Karcis 2023

HASIL REKONSILIASI BENDA BERHARGA/KARCIS DENGAN PENDAPATAN YANG DITERIMA TAHUN 2023
DINAS KESEHATAN KABUPATEN PURWOREJO

BULAN : JANUARI 2023
R
KARCIS 2022 PENGADAAN PERFORASI
S/D BULAN LALU
NO. PUSKESMAS JENIS KARCIS TARIF
USUL HAPUS SISA PERSEDIAAN s/d Bulan Lalu Bulan Ini s/d Bulan Ini s/d Bulan Lalu Bulan Ini s/d Bulan Ini KARCIS RUPIAH
1 Puskesmas Grabag
Karcis Rawat Jalan 10,500 2,956 3,000 - - 3,000 3,000 -
KPPS 5,500 - - -
Karcis IGD 15,500 177 1,600 - - 900 900 -
Parkir R2 1,000 1,870 3,000 - - 3,000 3,000 -
Parkir R4 2,000 1,038 2,500 - - 500 500 -
2 Puskesmas Ngombol
Karcis Rawat Jalan 10,500 202 3,000 - - 3,000 3,000 -
KPPS 5,500 - - -
Karcis IGD 15,500 1,471 600 - - 600 600 -
3 Puskesmas Bragolan
KPPS 5,500 - - -
Karcis IGD 15,500 70 600 - - 600 600 -
Parkir 1,000 837 6,000 - - 6,000 6,000 -
4 Puskesmas Bubutan
KPPS 5,500 - - -
Karcis IGD 15,500 28 1,900 - - 200 200 -
5 Puskesmas Bagelen
Karcis Rawat Jalan 10,500 190 300 3,000 3,000 300 3,000 3,300 -
KPPS 5,500 - - - -
Karcis IGD 15,500 74 1,700 - - 200 200 -
6 Puskesmas Dadirejo
Karcis Rawat Jalan 10,500 246 4,000 - - 2,000 - 2,000 -
KPPS 5,500 - - -
Karcis IGD 15,500 99 2,500 - - 500 - 500 -
7 Puskesmas Kaligesing
Karcis Rawat Jalan 10,500 1,889 9,300 - 4,000 4,000 -
KPPS 5,500 - - -
Karcis IGD 15,500 298 300 - 300 300 -
8 Puskesmas Cangkrep
Karcis Rawat Jalan 10,500 690 600 1,800 1,800 600 1,800 2,400 -
KPPS 5,500 - - -
Karcis IGD 15,500 204 100 500 500 100 500 600 -
9 Puskesmas Purworejo
KPPS 5,500 - - - -
Karcis IGD 15,500 12 300 - 300 300 -
Parkir 1,000 4,138 3,000 - 3,000 3,000 -
10 Puskesmas Mranti
KPPS 5,500 - - -
Parkir 1,000 - 3,000 - - 3,000 3,000 -
11 Puskesmas Bayan
KPPS 5,500 - - -
Karcis IGD 15,500 86 900 - - 600 - 600 -
Parkir 1,000 4,870 7,500 - - 7,500 - 7,500 -
12 Puskesmas Banyuurip
KPPS 5,500 - - -
Karcis IGD 15,500 48 100 - - 100 100 -
13 Puskesmas Seborokrapyak
KPPS 5,500 - - -
Karcis IGD 15,500 342 1,000 - - 500 - 500 -
14 Puskesmas Semawungdaleman
Karcis Rawat Jalan 10,500 1,408 9,000 - - 3,000 - 3,000 -
KPPS 5,500 - - -
Karcis IGD 15,500 495 200 - - 200 - 200 -
Parkir 1,000 1,105 2,800 - - 2,000 - 2,000 -
15 Puskesmas Kutoarjo
Karcis Rawat Jalan+jamk 10,500 708 6,000 - 3,000 - 3,000 -
KPPS 5,500 - - -
Karcis IGD 15,500 859 3,000 - 1,000 - 1,000 -
Parkir 1,000 143 12,000 - 6,000 - 6,000 -
16 Puskesmas Wirun
Karcis Rawat Jalan 10,500 3,000 - - 3,000 3,000 -
KPPS 5,500 - - -
Karcis IGD 15,500 - 300 - - 300 300 -
17 Puskesmas Butuh
Karcis Rawat Jalan 10,500 1,440 4,200 - - 4,200 - 4,200 -
KPPS 5,500 - - -
Karcis IGD 15,500 237 500 - - 500 - 500 -
Parkir R2 1,000 - 4,200 - - 4,200 - 4,200 -
Parkir R4 2,000 100 100 - - 100 - 100 -
18 Puskesmas Sruwohrejo
KPPS 5,500 - - -
Karcis IGD 15,500 - - - - -
19 Puskesmas Pituruh
Karcis Rawat Jalan 10,500 161 1,800 3,900 3,900 1,200 - 1,200 -
R
S/D BULAN LALU
KPPS 5,500 - - -
Karcis IGD 15,500 53 300 1,500 1,500 300 - 300 -
20 Puskesmas Karanggetas
KPPS 5,500 - - -
Karcis IGD 15,500 174 100 - - 100 - 100 -
21 Puskesmas Kemiri
KPPS 5,500 - - -
Karcis IGD 15,500 621 600 - - 600 - 600 -
Parkir 1,000 1,194 2,000 - - 2,000 - 2,000 -
22 Puskesmas Winong
KPPS 5,500 - - -
Karcis IGD 15,500 - 500 - - 500 500 -
23 Puskesmas Bruno
KPPS 5,500 - - -
Karcis IGD 15,500 291 400 - 300 300 -
Parkir 1,000 308 3,000 - 3,000 3,000 -
24 Puskesmas Gebang
KPPS 5,500 - - -
Karcis IGD 15,500 255 2,200 - - 100 100 -
25 Puskesmas Loano
Karcis Rawat Jalan 10,500 762 11,400 - 3,000 3,000 -
KPPS 5,500 - - -
Karcis IGD 15,500 775 1,200 - 200 200 -
26 Puskesmas Banyuasin
KPPS 5,500 - - -
Karcis IGD 15,500 365 4,000 - - 2,000 2,000 -
27 Puskesmas Bener
Karcis Rawat Jalan 10,500 2,342 3,000 - - 3,000 3,000 -
KPPS 5,500 - - -
Karcis IGD 15,500 - - - - -
REALISASI
SISA KARCIS
BULAN INI S/D BULAN INI CEK LAPORAN
SELISIH
BELUM BULANAN
KARCIS RUPIAH KARCIS RUPIAH PERPORASI PERSEDIAAN
PERFORASI
733 7,696,500 733 7,696,500 - 2,124 2,124 7,696,500 -

143 786,500 143 786,500 - 786,500 -
116 1,798,000 116 1,798,000 700 784 1,484 1,798,000 -
1,629 1,629,000 1,629 1,629,000 - 1,371 1,371 1,729,000 -
50 100,000 50 100,000 2,000 450 2,450
882 9,261,000 882 9,261,000 - 2,042 2,042 9,261,000 -

76 418,000 76 418,000 - 418,000 -
138 2,139,000 138 2,139,000 - 462 462 2,139,000 -
472 4,956,000 472 4,956,000 - 2,528 2,528 4,956,000 -

- - - - -
89 1,379,500 89 1,379,500 - 511 511 1,379,500 -
1,053 1,053,000 1,053 1,053,000 - 4,947 4,947 1,053,000 -
596 6,258,000 596 6,258,000 - 4,394 4,394 6,258,000 -

10 55,000 10 55,000 - 55,000 -
40 620,000 40 620,000 1,700 160 1,860 620,000 -
510 5,355,000 510 5,355,000 - 2,790 2,790 5,355,000 -

- - - - -
2 31,000 2 31,000 1,500 198 1,698 31,000 -
496 5,208,000 496 5,208,000 2,000 1,455 3,455 5,208,000 -

49 269,500 49 269,500 - 269,500 -
84 1,302,000 84 1,302,000 2,000 416 2,416 1,302,000 -
576 6,048,000 576 6,048,000 5,300 3,359 8,659 6,048,000 -

65 357,500 65 357,500 - 357,500 -
35 542,500 35 542,500 - 265 265 542,500 -
765 8,032,500 765 8,032,500 - 1,635 1,635 8,032,500 -

- - - - -
90 1,395,000 90 1,395,000 - 510 510 1,395,000 -
968 10,164,000 968 10,164,000 - 12,232 12,232 10,164,000 -

- - - - - -
14 217,000 14 217,000 - 286 286 217,000 -
388 388,000 388 388,000 - 2,612 2,612 388,000 -
916 9,618,000 916 9,618,000 - 2,005 2,005 10,052,500 -

79 434,500 79 434,500 - -
1,485 1,485,000 1,485 1,485,000 - 1,515 1,515 1,485,000 -
966 10,143,000 966 10,143,000 - 11,034 11,034 10,143,000 -

- - - - -
3 46,500 3 46,500 300 597 897 46,500 -
540 540,000 540 540,000 - 6,960 6,960 540,000 -
693 7,276,500 693 7,276,500 - 2,176 2,176 7,276,500 -

131 720,500 131 720,500 - 720,500 -
7 108,500 7 108,500 - 93 93 108,500 -
330 3,465,000 330 3,465,000 5,500 592 6,092 3,465,000 -

78 429,000 78 429,000 - 429,000 -
60 930,000 60 930,000 500 440 940 930,000 -
598 6,279,000 598 6,279,000 6,000 2,275 8,275 6,279,000 -

127 698,500 127 698,500 - 698,500 -
43 666,500 43 666,500 - 157 157 666,500 -
245 245,000 245 245,000 800 1,755 2,555 245,000 -
562 5,901,000 562 5,901,000 3,000 2,360 5,360 5,901,000 -

78 429,000 78 429,000 - 429,000 -
20 310,000 20 310,000 2,000 980 2,980 310,000 -
1,125 1,125,000 1,125 1,125,000 6,000 4,875 10,875 1,125,000 -
363 3,811,500 363 3,811,500 - 2,583 2,583 4,108,500 -

54 297,000 54 297,000 - -
4 62,000 4 62,000 - 296 296 62,000 -
636 6,678,000 636 6,678,000 - 3,564 3,564 6,678,000 -

- - - - -
33 511,500 33 511,500 - 467 467 511,500 -
813 813,000 813 813,000 - 3,387 3,387 813,000 -
- - - - - 100 100 -
583 6,121,500 583 6,121,500 9,000 2,313 11,313 6,693,500 -

104 572,000 104 572,000 - -
- - - - - - -
796 8,358,000 796 8,358,000 4,500 380 4,880 8,358,000 -

REALISASI
SISA KARCIS
SELISIH
BELUM BULANAN
PERFORASI
24 132,000 24 132,000 - 132,000 -
71 1,100,500 71 1,100,500 1,500 229 1,729 1,100,500 -
605 6,352,500 605 6,352,500 3,300 2,269 5,569 6,352,500 -

126 693,000 126 693,000 - 693,000 -
- - - - - 100 100 -
988 10,374,000 988 10,374,000 - 4,916 4,916 10,374,000 -

96 528,000 96 528,000 - 528,000 -
27 418,500 27 418,500 - 573 573 418,500 -
407 407,000 407 407,000 - 1,593 1,593 407,000 -
583 6,121,500 583 6,121,500 - 862 862 6,121,500 -

55 302,500 55 302,500 - 302,500 -
11 170,500 11 170,500 - 489 489 170,500 -
537 5,638,500 537 5,638,500 - 2,386 2,386 5,638,500 -

77 423,500 77 423,500 - 423,500 -
27 418,500 27 418,500 100 273 373 418,500 -
1,085 1,085,000 1,085 1,085,000 - 1,915 1,915 1,085,000 -
711 7,465,500 711 7,465,500 - 2,289 2,289 7,465,500 -

- - - - - -
1 15,500 1 15,500 2,100 99 2,199 15,500 -
862 9,051,000 862 9,051,000 8,400 2,055 10,455 9,051,000 -

83 456,500 83 456,500 - 456,500 -
30 465,000 30 465,000 1,000 170 1,170 465,000 -
451 4,735,500 451 4,735,500 3,000 2,503 5,503 4,735,500 -

46 253,000 46 253,000 - 253,000 -
47 728,500 47 728,500 2,000 1,953 3,953 728,500 -
767 8,053,500 767 8,053,500 - 1,963 1,963 8,053,500 -

270 1,485,000 270 1,485,000 - 1,485,000 -
- - - - - - -
Purworejo, 31 Januari 2023

KEPALA DINAS KESEHATAN
KABUPATEN PURWOREJO
dr. SUDARMI, MM
Pembina Utama Muda
NIP. 19690220 200212 2 004
BULAN : FEBRUARI 2023
R
S/D BULAN LALU
1 Puskesmas Grabag
Karcis Rawat Jalan 10,500 2,956 3,000 - - 3,000 3,000 733 7,696,500
KPPS 5,500 - - 143 786,500
Karcis IGD 15,500 177 1,600 - - 900 900 116 1,798,000
Parkir R2 1,000 1,870 3,000 - 6,000 6,000 3,000 6,000 9,000 1,629 1,629,000
Parkir R4 2,000 1,038 2,500 - - 500 500 50 100,000
2 Puskesmas Ngombol
Karcis Rawat Jalan 10,500 202 3,000 - - 3,000 3,000 882 9,261,000
KPPS 5,500 - - 76 418,000
Karcis IGD 15,500 1,471 600 - - 600 600 138 2,139,000
KPPS 5,500 - - - -
Karcis IGD 15,500 70 600 - - 600 600 89 1,379,500
Parkir 1,000 837 6,000 - - 6,000 6,000 1,053 1,053,000
4 Puskesmas Bubutan
KPPS 5,500 - - 10 55,000
Karcis IGD 15,500 28 1,900 - - 200 200 40 620,000
5 Puskesmas Bagelen
Karcis Rawat Jalan 10,500 190 300 3,000 3,000 3,300 3,300 510 5,355,000
KPPS 5,500 - - - -
Karcis IGD 15,500 74 1,700 - - 200 200 2 31,000
KPPS 5,500 - - 49 269,500
Karcis IGD 15,500 99 2,500 - - 500 500 84 1,302,000
KPPS 5,500 - - 65 357,500
Karcis IGD 15,500 298 300 - - 300 300 35 542,500
KPPS 5,500 - - - -
Karcis IGD 15,500 204 100 500 500 600 600 90 1,395,000
KPPS 5,500 - - - -
Karcis IGD 15,500 12 300 - - 300 300 14 217,000
Parkir 1,000 4,138 3,000 - - 3,000 3,000 388 388,000
10 Puskesmas Mranti
Karcis Rawat Jalan 10,500 286 3,000 - 1,000 1,000 3,000 1,000 4,000 916 9,618,000
KPPS 5,500 - - 79 434,500
Parkir 1,000 - 3,000 - 3,000 3,000 3,000 3,000 6,000 1,485 1,485,000
11 Puskesmas Bayan
KPPS 5,500 - - - -
Karcis IGD 15,500 86 900 - - 600 600 3 46,500
Parkir 1,000 4,870 7,500 - - 7,500 7,500 540 540,000
KPPS 5,500 - - 131 720,500
Karcis IGD 15,500 48 100 - - 100 100 7 108,500
Karcis Rawat Jalan 10,500 803 6,500 - - 1,000 3,500 4,500 330 3,465,000
KPPS 5,500 - - 78 429,000
Karcis IGD 15,500 342 1,000 - - 500 500 60 930,000
KPPS 5,500 - - 127 698,500
Karcis IGD 15,500 495 200 - - 200 200 43 666,500
Parkir 1,000 1,105 2,800 - - 2,000 2,000 245 245,000
Karcis Rawat Jalan+jamk 10,500 708 6,000 - - 3,000 3,000 562 5,901,000
KPPS 5,500 - - 78 429,000
Karcis IGD 15,500 859 3,000 - - 1,000 1,000 20 310,000
Parkir 1,000 143 12,000 - - 6,000 6,000 1,125 1,125,000
16 Puskesmas Wirun
Karcis Rawat Jalan 10,500 3,000 - - 3,000 3,000 363 3,811,500
KPPS 5,500 - - 54 297,000
Karcis IGD 15,500 - 300 - - 300 300 4 62,000
17 Puskesmas Butuh
KPPS 5,500 - - - -
Karcis IGD 15,500 237 500 - - 500 500 33 511,500
Parkir R2 1,000 - 4,200 - - 4,200 4,200 813 813,000
Parkir R4 2,000 100 100 - - 100 100 - -
KPPS 5,500 - - 104 572,000
Karcis IGD 15,500 - - - - - - - -
Karcis Rawat Jalan 10,500 161 1,800 3,900 3,900 1,200 3,000 4,200 796 8,358,000
R
S/D BULAN LALU
KPPS 5,500 - - 24 132,000

Karcis IGD 15,500 53 300 1,500 1,500 300 1,000 1,300 71 1,100,500
KPPS 5,500 - - 126 693,000
Karcis IGD 15,500 174 100 - - 100 100 - -
21 Puskesmas Kemiri
KPPS 5,500 - - 96 528,000
Karcis IGD 15,500 621 600 - - 600 600 27 418,500
Parkir 1,000 1,194 2,000 - - 2,000 2,000 407 407,000
22 Puskesmas Winong
Karcis Rawat Jalan 10,500 446 1,500 - 3,000 3,000 1,500 3,000 4,500 583 6,121,500
KPPS 5,500 - - 55 302,500
Karcis IGD 15,500 - 500 - - 500 500 11 170,500
23 Puskesmas Bruno
KPPS 5,500 - - 77 423,500
Karcis IGD 15,500 291 400 - - 300 300 27 418,500
Parkir 1,000 308 3,000 - - 3,000 3,000 1,085 1,085,000
24 Puskesmas Gebang
KPPS 5,500 - - - -
Karcis IGD 15,500 255 2,200 - - 100 100 1 15,500
25 Puskesmas Loano
KPPS 5,500 - - 83 456,500
Karcis IGD 15,500 775 1,200 - - 200 200 30 465,000
KPPS 5,500 - - 46 253,000
Karcis IGD 15,500 375 4,000 - - 2,000 2,000 47 728,500
27 Puskesmas Bener
KPPS 5,500 - - 270 1,485,000
Karcis IGD 15,500 - - - - - - - -
REALISASI
SISA KARCIS
SELISIH
BELUM BULANAN
PERFORASI
1,000 10,500,000 1,733 18,196,500 - 1,119 1,119 18,196,500 -

5 27,500 148 814,000 - 814,000 -
93 1,441,500 209 3,239,500 700 691 1,391 3,239,500 -
1,426 1,426,000 3,055 3,055,000 - 5,945 5,945 3,217,000 -
31 62,000 81 162,000 2,000 419 2,419
817 8,578,500 1,699 17,839,500 - 1,225 1,225 17,839,500 -

- 76 418,000 - 418,000 -
135 2,092,500 273 4,231,500 - 327 327 4,231,500 -
447 4,693,500 919 9,649,500 - 2,081 2,081 9,649,500 -

- - - - -
95 1,472,500 184 2,852,000 - 416 416 2,852,000 -
979 979,000 2,032 2,032,000 - 3,968 3,968 2,032,000 -
592 6,216,000 1,188 12,474,000 - 3,802 3,802 12,474,000 -

- - 10 55,000 - 55,000 -
35 542,500 75 1,162,500 1,700 125 1,825 1,162,500 -
346 3,633,000 856 8,988,000 - 2,444 2,444 8,988,000 -

- - - - -
8 124,000 10 155,000 1,500 190 1,690 155,000 -
493 5,176,500 989 10,384,500 2,000 961 2,961 10,384,500 -

1 5,500 50 275,000 - 275,000 -
35 542,500 119 1,844,500 2,000 381 2,381 1,844,500 -
522 5,481,000 1,098 11,529,000 5,300 2,813 8,113 11,529,000 -

24 132,000 89 489,500 - 489,500 -
20 310,000 55 852,500 - 245 245 852,500 -
506 5,313,000 1,271 13,345,500 - 1,129 1,129 13,345,500 -

- - - - -
63 976,500 153 2,371,500 - 447 447 2,371,500 -
847 8,893,500 1,815 19,057,500 - 11,385 11,385 19,057,500 -

- - - - - -
20 310,000 34 527,000 - 266 266 527,000 -
336 336,000 724 724,000 - 2,276 2,276 724,000 -
828 8,694,000 1,744 18,312,000 - 2,176 2,176 18,752,000 -

1 5,500 80 440,000 - -
1,260 1,260,000 2,745 2,745,000 - 3,255 3,255 2,745,000 -
742 7,791,000 1,708 17,934,000 - 10,292 10,292 17,934,000 -

- - - - - -
1 15,500 4 62,000 300 596 896 62,000 -
555 555,000 1,095 1,095,000 - 6,405 6,405 1,095,000 -
674 7,077,000 1,367 14,353,500 - 1,500 1,500 14,353,500 -

2 11,000 133 731,500 - 731,500 -
6 93,000 13 201,500 - 87 87 201,500 -
254 2,667,000 584 6,132,000 2,000 3,831 5,831 6,132,000 -

7 38,500 85 467,500 - 467,500 -
34 527,000 94 1,457,000 500 406 906 1,457,000 -
597 6,268,500 1,195 12,547,500 6,000 1,678 7,678 12,547,500 -

- - 127 698,500 - 698,500 -
35 542,500 78 1,209,000 - 122 122 1,209,000 -
185 185,000 430 430,000 800 1,570 2,370 430,000 -
506 5,313,000 1,068 11,214,000 3,000 1,851 4,851 11,214,000 -

3 16,500 81 445,500 - 445,500 -
8 124,000 28 434,000 2,000 972 2,972 434,000 -
898 898,000 2,023 2,023,000 6,000 3,977 9,977 2,023,000 -
353 3,706,500 716 7,518,000 - 2,230 2,230 7,518,000 -

- 54 297,000 - 297,000 -
4 62,000 8 124,000 - 292 292 124,000 -
531 5,575,500 1,167 12,253,500 - 3,033 3,033 12,253,500 -

- - - - -
28 434,000 61 945,500 - 439 439 945,500 -
486 486,000 1,299 1,299,000 - 2,901 2,901 1,303,000 -
2 4,000 2 4,000 - 98 98 -
492 5,166,000 1,075 11,287,500 9,000 1,821 10,821 11,859,500 -

- - 104 572,000 - -
- - - - - - - -
644 6,762,000 1,440 15,120,000 1,500 2,736 4,236 15,120,000 -

REALISASI
SISA KARCIS
SELISIH
BELUM BULANAN
PERFORASI
- - 24 132,000 - 132,000 -
60 930,000 131 2,030,500 500 1,169 1,669 2,030,500 -
542 5,691,000 1,147 12,043,500 3,300 1,724 5,024 12,043,500 -

3 16,500 129 709,500 - 709,500 -
2 31,000 2 31,000 - 98 98 31,000 -
961 10,090,500 1,949 20,464,500 - 3,954 3,954 20,464,500 -

1 5,500 97 533,500 - 533,500 -
33 511,500 60 930,000 - 540 540 930,000 -
357 357,000 764 764,000 - 1,236 1,236 764,000 -
482 5,061,000 1,065 11,182,500 - 3,380 3,380 11,182,500 -

- 55 302,500 - 302,500 -
7 108,500 18 279,000 - 482 482 279,000 -
399 4,189,500 936 9,828,000 - 1,987 1,987 9,828,000 -

- - 77 423,500 - 423,500 -
33 511,500 60 930,000 100 240 340 930,000 -
952 952,000 2,037 2,037,000 - 963 963 2,037,000 -
487 5,113,500 1,198 12,579,000 - 1,802 1,802 12,579,000 -

- - - - -
5 77,500 6 93,000 2,100 94 2,194 93,000 -
735 7,717,500 1,597 16,768,500 8,400 1,316 9,716 16,768,500 -

4 22,000 87 478,500 - 478,500 -
36 558,000 66 1,023,000 1,000 134 1,134 1,023,000 -
394 4,137,000 845 8,872,500 3,000 2,109 5,109 8,872,500 -

- 46 253,000 - 253,000 -
20 310,000 67 1,038,500 2,000 1,933 3,933 1,038,500 -
761 7,990,500 1,528 16,044,000 - 1,184 1,184 16,044,000 -

18 99,000 288 1,584,000 - 1,584,000 -
- - - - - - -
Purworejo, 28 Februari 2023

KABUPATEN PURWOREJO
dr. SUDARMI, MM
Pembina Utama Muda
NIP. 19690220 200212 2 004
BULAN : MARET 2023
R
S/D BULAN LALU
1 Puskesmas Grabag
Karcis Rawat Jalan 10,500 2,956 3,000 - 3,000 3,000 3,000 3,000 6,000 1,733 18,196,500
KPPS 5,500 - - 148 814,000
Karcis IGD 15,500 177 1,600 - - 900 900 209 3,239,500
Parkir R2 1,000 1,870 3,000 6,000 6,000 9,000 9,000 3,055 3,055,000
Parkir R4 2,000 1,038 2,500 - - 500 500 81 162,000
2 Puskesmas Ngombol
Karcis Rawat Jalan 10,500 202 3,000 - - 3,000 3,000 1,699 17,839,500
KPPS 5,500 - - 76 418,000
Karcis IGD 15,500 1,471 600 - - 600 600 273 4,231,500
KPPS 5,500 - - - -
Karcis IGD 15,500 70 600 - - 600 600 184 2,852,000
Parkir 1,000 837 6,000 - - 6,000 6,000 2,032 2,032,000
4 Puskesmas Bubutan
KPPS 5,500 - - 10 55,000
Karcis IGD 15,500 28 1,900 - - 200 200 75 1,162,500
5 Puskesmas Bagelen
KPPS 5,500 - - - -
Karcis IGD 15,500 74 1,700 - - 200 200 10 155,000
Karcis Rawat Jalan 10,500 246 4,000 - - 2,000 2,000 4,000 989 10,384,500
KPPS 5,500 - - 50 275,000
Karcis IGD 15,500 99 2,500 - - 500 500 119 1,844,500
Karcis Rawat Jalan 10,500 1,889 9,300 - - 4,000 5,300 9,300 1,098 11,529,000
KPPS 5,500 - - 89 489,500
Karcis IGD 15,500 298 300 - - 300 300 55 852,500
Karcis Rawat Jalan 10,500 690 600 1,800 1,800 2,400 2,400 1,271 13,345,500
KPPS 5,500 - - - -
Karcis IGD 15,500 204 100 500 500 600 600 153 2,371,500
Karcis Rawat Jalan 10,500 5,265 13,200 - - 13,200 13,200 1,815 19,057,500
KPPS 5,500 - - - -
Karcis IGD 15,500 12 300 - - 300 300 34 527,000
Parkir 1,000 4,138 3,000 - - 3,000 3,000 724 724,000
10 Puskesmas Mranti
Karcis Rawat Jalan 10,500 286 3,000 1,000 1,000 4,000 4,000 1,744 18,312,000
KPPS 5,500 - - 80 440,000
Parkir 1,000 - 3,000 3,000 3,000 6,000 6,000 2,745 2,745,000
11 Puskesmas Bayan
KPPS 5,500 - - - -
Karcis IGD 15,500 86 900 - - 600 600 4 62,000
Parkir 1,000 4,870 7,500 - - 7,500 7,500 1,095 1,095,000
Karcis Rawat Jalan 10,500 573 3,000 - 8,000 8,000 3,000 8,000 11,000 1,367 14,353,500
KPPS 5,500 - - 133 731,500
Karcis IGD 15,500 48 100 - - 100 100 13 201,500
KPPS 5,500 - - 85 467,500
Karcis IGD 15,500 342 1,000 - - 500 500 94 1,457,000
KPPS 5,500 - - 127 698,500
Karcis IGD 15,500 495 200 - - 200 200 78 1,209,000
Parkir 1,000 1,105 2,800 - - 2,000 2,000 430 430,000
Karcis Rawat Jalan+jamk 10,500 708 6,000 - - 3,000 3,000 1,068 11,214,000
KPPS 5,500 - - 81 445,500
Karcis IGD 15,500 859 3,000 - - 1,000 1,000 28 434,000
Parkir 1,000 143 12,000 - - 6,000 6,000 2,023 2,023,000
16 Puskesmas Wirun
Karcis Rawat Jalan 10,500 3,000 - - 3,000 3,000 716 7,518,000
KPPS 5,500 - - 54 297,000
Karcis IGD 15,500 - 300 - - 300 300 8 124,000
17 Puskesmas Butuh
KPPS 5,500 - - - -
Karcis IGD 15,500 237 500 - - 500 500 61 945,500
Parkir R2 1,000 - 4,200 - - 4,200 4,200 1,299 1,299,000
Parkir R4 2,000 100 100 - - 100 100 2 4,000
KPPS 5,500 - - 104 572,000
Karcis IGD 15,500 - - - - - - - -
R
S/D BULAN LALU
KPPS 5,500 - - 24 132,000

Karcis IGD 15,500 53 300 1,500 1,500 1,300 1,300 131 2,030,500
KPPS 5,500 - - 129 709,500
Karcis IGD 15,500 174 100 - - 100 100 2 31,000
21 Puskesmas Kemiri
KPPS 5,500 - - 97 533,500
Karcis IGD 15,500 621 600 - - 600 600 60 930,000
Parkir 1,000 1,194 2,000 - - 2,000 2,000 764 764,000
22 Puskesmas Winong
KPPS 5,500 - - 55 302,500
Karcis IGD 15,500 - 500 - - 500 500 18 279,000
23 Puskesmas Bruno
KPPS 5,500 - - 77 423,500
Karcis IGD 15,500 291 400 - - 300 300 60 930,000
Parkir 1,000 308 3,000 - - 3,000 3,000 2,037 2,037,000
24 Puskesmas Gebang
KPPS 5,500 - - - -
Karcis IGD 15,500 255 2,200 - - 100 100 6 93,000
25 Puskesmas Loano
Karcis Rawat Jalan 10,500 762 11,400 - - 3,000 1,000 4,000 1,597 16,768,500
KPPS 5,500 - - 87 478,500
Karcis IGD 15,500 775 1,200 - - 200 100 300 66 1,023,000
KPPS 5,500 - - 46 253,000
Karcis IGD 15,500 375 4,000 - - 2,000 2,000 67 1,038,500
27 Puskesmas Bener
KPPS 5,500 - - 288 1,584,000
Karcis IGD 15,500 - - - - - - - -
REALISASI
SISA KARCIS
SELISIH
BELUM BULANAN
PERFORASI
838 8,799,000 2,571 26,995,500 - 3,281 3,281 26,995,500 -

- - 148 814,000 - 814,000 -
114 1,767,000 323 5,006,500 700 577 1,277 5,006,500 -
1,771 1,771,000 4,826 4,826,000 - 4,174 4,174 5,082,000 -
47 94,000 128 256,000 2,000 372 2,372
723 7,591,500 2,422 25,431,000 - 502 502 25,431,000 -

- 76 418,000 - 418,000 -
149 2,309,500 422 6,541,000 - 178 178 6,541,000 -
477 5,008,500 1,396 14,658,000 - 1,604 1,604 14,658,000 -

- - - - - - -
107 1,658,500 291 4,510,500 - 309 309 4,510,500 -
1,033 1,033,000 3,065 3,065,000 - 2,935 2,935 3,065,000 -
575 6,037,500 1,763 18,511,500 - 3,227 3,227 18,511,500 -

- - 10 55,000 - 55,000 -
24 372,000 99 1,534,500 1,700 101 1,801 1,534,500 -
352 3,696,000 1,208 12,684,000 - 2,092 2,092 12,684,000 -

- - - - - -
6 93,000 16 248,000 1,500 184 1,684 248,000 -
470 4,935,000 1,459 15,319,500 - 2,491 2,491 15,319,500 -

- 50 275,000 - 275,000 -
58 899,000 177 2,743,500 2,000 323 2,323 2,743,500 -
612 6,426,000 1,710 17,955,000 - 7,501 7,501 17,955,000 -

- - 89 489,500 - 489,500 -
12 186,000 67 1,038,500 - 233 233 1,038,500 -
527 5,533,500 1,798 18,879,000 - 602 602 18,879,000 -

- - - - - - -
40 620,000 193 2,991,500 - 407 407 2,991,500 -
816 8,568,000 2,631 27,625,500 - 10,569 10,569 27,625,500 -

- - - - - - -
13 201,500 47 728,500 - 253 253 728,500 -
337 337,000 1,061 1,061,000 - 1,939 1,939 1,061,000 -
968 10,164,000 2,712 28,476,000 - 1,208 1,208 28,916,000 -

- - 80 440,000 - - -
1,526 1,526,000 4,271 4,271,000 - 1,729 1,729 4,271,000 -
861 9,040,500 2,569 26,974,500 - 9,431 9,431 26,974,500 -

- - - - - - -
- - 4 62,000 300 596 896 62,000 -
460 460,000 1,555 1,555,000 - 5,945 5,945 1,555,000 -
678 7,119,000 2,045 21,472,500 - 8,822 8,822 21,472,500 -

- - 133 731,500 - 731,500 -
3 46,500 16 248,000 - 84 84 248,000 -
324 3,402,000 908 9,534,000 2,000 3,507 5,507 10,001,500 -

- - 85 467,500 - -
42 651,000 136 2,108,000 500 364 864 2,108,000 -
565 5,932,500 1,760 18,480,000 6,000 1,113 7,113 18,480,000 -

- - 127 698,500 - 698,500 -
24 372,000 102 1,581,000 - 98 98 1,581,000 -
225 225,000 655 655,000 800 1,345 2,145 655,000 -
540 5,670,000 1,608 16,884,000 3,000 1,311 4,311 16,884,000 -

- - 81 445,500 - 445,500 -
24 372,000 52 806,000 2,000 948 2,948 806,000 -
975 975,000 2,998 2,998,000 6,000 3,002 9,002 2,998,000 -
343 3,601,500 1,059 11,119,500 - 1,887 1,887 11,119,500 -

- 54 297,000 - 297,000 -
1 15,500 9 139,500 - 291 291 139,500 -
463 4,861,500 1,630 17,115,000 - 2,570 2,570 17,115,000 -

- - - - - -
41 635,500 102 1,581,000 - 398 398 1,581,000 -
508 508,000 1,807 1,807,000 - 2,393 2,393 1,811,000 -
- - 2 4,000 - 98 98 -
483 5,071,500 1,558 16,359,000 9,000 1,338 10,338 16,931,000 -

- - 104 572,000 - -
- - - - - - -
568 5,964,000 2,008 21,084,000 1,500 2,168 3,668 21,084,000 -

REALISASI
SISA KARCIS
SELISIH
BELUM BULANAN
PERFORASI
- - 24 132,000 - 132,000 -
63 976,500 194 3,007,000 500 1,106 1,606 3,007,000 -
475 4,987,500 1,622 17,031,000 3,300 1,249 4,549 17,031,000 -

- - 129 709,500 - 709,500 -
- - 2 31,000 - 98 98 31,000 -
1,031 10,825,500 2,980 31,290,000 - 2,923 2,923 31,290,000 -

- - 97 533,500 - 533,500 -
38 589,000 98 1,519,000 - 502 502 1,519,000 -
448 448,000 1,212 1,212,000 - 788 788 1,212,000 -
518 5,439,000 1,583 16,621,500 - 2,862 2,862 16,621,500 -

- - 55 302,500 - 302,500 -
9 139,500 27 418,500 - 473 473 418,500 -
386 4,053,000 1,322 13,881,000 - 1,601 1,601 13,881,000 -

- - 77 423,500 - 423,500 -
22 341,000 82 1,271,000 100 218 318 1,271,000 -
945 945,000 2,982 2,982,000 - 18 18 2,982,000 -
588 6,174,000 1,786 18,753,000 - 1,214 1,214 18,753,000 -

- - - - - - -
14 217,000 20 310,000 2,100 80 2,180 310,000 -
741 7,780,500 2,338 24,549,000 7,400 1,575 8,975 24,549,000 -

- - 87 478,500 - 478,500 -
40 620,000 106 1,643,000 900 194 1,094 1,643,000 -
467 4,903,500 1,312 13,776,000 3,000 1,642 4,642 13,776,000 -

- 46 253,000 - 253,000 -
27 418,500 94 1,457,000 2,000 1,906 3,906 1,457,000 -
679 7,129,500 2,207 23,173,500 - 505 505 23,173,500 -

- 288 1,584,000 - 1,584,000 -
- - - - - - -
Purworejo, 31 Maret 2023

KABUPATEN PURWOREJO
dr. SUDARMI, MM
Pembina Utama Muda
NIP. 19690220 200212 2 004
BULAN : APRIL 2023
REALISASI
S/D BULAN LALU BULAN INI
SISA
USUL HAPUS s/d Bulan Lalu Bulan Ini s/d Bulan Ini s/d Bulan Lalu Bulan Ini s/d Bulan Ini KARCIS RUPIAH KARCIS
PERSEDIAAN
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15
1 Puskesmas Grabag
Karcis Rawat Jalan 10,500 2,956 3,000 3,000 3,000 6,000 6,000 2,571 26,995,500 573
KPPS 5,500 - - 148 814,000 -
Karcis IGD 15,500 177 1,600 - - 900 900 323 5,006,500 100
Parkir R2 1,000 1,870 3,000 6,000 6,000 9,000 9,000 4,826 4,826,000 1,297
Parkir R4 2,000 1,038 2,500 - - 500 500 128 256,000 36
2 Puskesmas Ngombol
Karcis Rawat Jalan 10,500 202 3,000 - 6,000 6,000 3,000 6,000 9,000 2,422 25,431,000 571
KPPS 5,500 - - 76 418,000
Karcis IGD 15,500 1,471 600 - 600 600 600 600 1,200 422 6,541,000 175
Karcis Rawat Jalan 10,500 288 3,000 - - 3,000 3,000 1,396 14,658,000 393
KPPS 5,500 - - - - -
Karcis IGD 15,500 70 600 - - 600 600 291 4,510,500 93
Parkir 1,000 837 6,000 - - 6,000 6,000 3,065 3,065,000 899
4 Puskesmas Bubutan
KPPS 5,500 - - 10 55,000
Karcis IGD 15,500 28 1,900 - - 200 200 99 1,534,500 25
5 Puskesmas Bagelen
Karcis Rawat Jalan 10,500 190 300 3,000 3,000 3,300 3,300 1,208 12,684,000 249
KPPS 5,500 - - - -
Karcis IGD 15,500 74 1,700 - - 200 200 16 248,000 2
KPPS 5,500 - - 50 275,000 -
Karcis IGD 15,500 99 2,500 - - 500 500 177 2,743,500 75
Karcis Rawat Jalan 10,500 1,889 9,300 - - 9,300 9,300 1,710 17,955,000 453
KPPS 5,500 - - 89 489,500 -
Karcis IGD 15,500 298 300 - - 300 300 67 1,038,500 27
Karcis Rawat Jalan 10,500 690 600 1,800 1,200 3,000 2,400 2,400 1,798 18,879,000 437
KPPS 5,500 - - - - -
Karcis IGD 15,500 204 100 500 500 600 600 193 2,991,500 8
KPPS 5,500 - - - - -
Karcis IGD 15,500 12 300 - - 300 300 47 728,500 11
Parkir 1,000 4,138 3,000 - - 3,000 3,000 1,061 1,061,000 242
10 Puskesmas Mranti
Karcis Rawat Jalan 10,500 286 3,000 1,000 1,000 2,000 4,000 1,000 5,000 2,712 28,476,000 706
KPPS 5,500 - - 80 440,000 -
Parkir 1,000 - 3,000 3,000 3,000 6,000 6,000 4,271 4,271,000 1,133
11 Puskesmas Bayan
KPPS 5,500 - - - - -
Karcis IGD 15,500 86 900 - - 600 600 4 62,000 -
Parkir 1,000 4,870 7,500 - - 7,500 7,500 1,555 1,555,000 60
Karcis Rawat Jalan 10,500 573 3,000 8,000 8,000 11,000 11,000 2,045 21,472,500 527
KPPS 5,500 - - 133 731,500 -
Karcis IGD 15,500 48 100 - - 100 100 16 248,000 -
Karcis Rawat Jalan 10,500 803 6,500 - - 4,500 4,500 908 9,534,000 236
KPPS 5,500 - - 85 467,500
Karcis IGD 15,500 342 1,000 - - 500 500 136 2,108,000 55
KPPS 5,500 - - 127 698,500
Karcis IGD 15,500 495 200 - - 200 200 102 1,581,000 26
Parkir 1,000 1,105 2,800 - - 2,000 2,000 655 655,000 300
REALISASI
SISA
PERSEDIAAN
Karcis Rawat Jalan+jamk 10,500 708 6,000 - - 3,000 3,000 1,608 16,884,000 382
KPPS 5,500 - - 81 445,500 -
Karcis IGD 15,500 859 3,000 - - 1,000 1,000 52 806,000 13
Parkir 1,000 143 12,000 - - 6,000 6,000 2,998 2,998,000 673
16 Puskesmas Wirun
Karcis Rawat Jalan 10,500 3,000 - - 3,000 3,000 1,059 11,119,500 235
KPPS 5,500 - - 54 297,000 -
Karcis IGD 15,500 - 300 - - 300 300 9 139,500 8
17 Puskesmas Butuh
KPPS 5,500 - - - - -
Karcis IGD 15,500 237 500 - - 500 500 102 1,581,000 42
Parkir R2 1,000 - 4,200 - - 4,200 4,200 1,807 1,807,000 406
Parkir R4 2,000 100 100 - - 100 100 2 4,000 -
KPPS 5,500 - - 104 572,000 -
Karcis IGD 15,500 - - - - - - - -
KPPS 5,500 - - 24 132,000 -
Karcis IGD 15,500 53 300 1,500 1,500 1,300 1,300 194 3,007,000 90
KPPS 5,500 - - 129 709,500
Karcis IGD 15,500 174 100 - - 100 100 2 31,000
21 Puskesmas Kemiri
KPPS 5,500 - - 97 533,500 -
Karcis IGD 15,500 621 600 - - 600 600 98 1,519,000 25
Parkir 1,000 1,194 2,000 - - 2,000 2,000 1,212 1,212,000 224
22 Puskesmas Winong
KPPS 5,500 - - 55 302,500 -
Karcis IGD 15,500 - 500 - - 500 500 27 418,500 9
Parkir 1,000 - - - 600 600 - 600 600 - - 123
23 Puskesmas Bruno
Karcis Rawat Jalan 10,500 2,931 3,000 - 3,000 3,000 3,000 3,000 6,000 1,322 13,881,000 427
KPPS 5,500 - - 77 423,500 -
Karcis IGD 15,500 291 400 - - - 300 - 300 82 1,271,000 17
Parkir 1,000 308 3,000 - 9,000 9,000 3,000 9,000 12,000 2,982 2,982,000 910
24 Puskesmas Gebang
KPPS 5,500 - - - - -
Karcis IGD 15,500 255 2,200 - - 100 100 20 310,000 2
25 Puskesmas Loano
KPPS 5,500 - - 87 478,500 -
Karcis IGD 15,500 775 1,200 - - 300 300 106 1,643,000 66
KPPS 5,500 - - 46 253,000
Karcis IGD 15,500 375 4,000 - - 2,000 2,000 94 1,457,000 43
27 Puskesmas Bener
Karcis Rawat Jalan 10,500 2,342 3,000 - 3,000 3,000 3,000 3,000 6,000 2,207 23,173,500 550
KPPS 5,500 - - 288 1,584,000
Karcis IGD 15,500 - - - - - - - -
REALISASI
SISA KARCIS
SELISIH
BELUM BULANAN
RUPIAH KARCIS RUPIAH PERPORASI PERSEDIAAN
PERFORASI
16 = 4 * 15 17 = 13 + 15 18 = 14 + 16 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
6,016,500 3,144 33,012,000 - 2,708 2,708 33,012,000 -

- 148 814,000 - 814,000 -
1,550,000 423 6,556,500 700 477 1,177 6,556,500 -
1,297,000 6,123 6,123,000 - 2,877 2,877 6,451,000 -
72,000 164 328,000 2,000 336 2,336
5,995,500 2,993 31,426,500 - 5,931 5,931 31,426,500 -

- 76 418,000 - 418,000 -
2,712,500 597 9,253,500 - 603 603 9,253,500 -
4,126,500 1,789 18,784,500 - 1,211 1,211 18,784,500 -

- - - - -
1,441,500 384 5,952,000 - 216 216 5,952,000 -
899,000 3,964 3,964,000 - 2,036 2,036 3,964,000 -
5,008,500 2,240 23,520,000 - 2,750 2,750 23,520,000 -

- 10 55,000 - 55,000 -
387,500 124 1,922,000 1,700 76 1,776 1,922,000 -
2,614,500 1,457 15,298,500 - 1,843 1,843 15,298,500 -

- - - - -
31,000 18 279,000 1,500 182 1,682 279,000 -
3,874,500 1,828 19,194,000 - 2,122 2,122 19,194,000 -

- 50 275,000 - 275,000 -
1,162,500 252 3,906,000 2,000 248 2,248 3,906,000 -
4,756,500 2,163 22,711,500 - 7,048 7,048 22,711,500 -

- 89 489,500 - 489,500 -
418,500 94 1,457,000 - 206 206 1,457,000 -
4,588,500 2,235 23,467,500 1,200 165 1,365 23,467,500 -

- - - - -
124,000 201 3,115,500 - 399 399 3,115,500 -
6,594,000 3,259 34,219,500 - 9,941 9,941 34,219,500 -

- - - - - -
170,500 58 899,000 - 242 242 899,000 -
242,000 1,303 1,303,000 - 1,697 1,697 1,303,000 -
7,413,000 3,418 35,889,000 - 1,502 1,502 36,329,000 -

- 80 440,000 - - -
1,133,000 5,404 5,404,000 - 596 596 5,404,000 -
6,541,500 3,192 33,516,000 - 8,808 8,808 33,516,000 -

- - - - -
- 4 62,000 300 596 896 62,000 -
60,000 1,615 1,615,000 - 5,885 5,885 1,615,000 -
5,533,500 2,572 27,006,000 - 8,295 8,295 27,006,000 -

- 133 731,500 - 731,500 -
- 16 248,000 - 84 84 248,000 -
2,478,000 1,144 12,012,000 2,000 3,271 5,271 12,012,000 -

- 85 467,500 - 467,500 -
852,500 191 2,960,500 500 309 809 2,960,500 -
5,176,500 2,253 23,656,500 6,000 620 6,620 23,656,500 -

- 127 698,500 - 698,500 -
403,000 128 1,984,000 - 72 72 1,984,000 -
300,000 955 955,000 800 1,045 1,845 955,000 -
REALISASI
SISA KARCIS
SELISIH
BELUM BULANAN
PERFORASI
4,011,000 1,990 20,895,000 3,000 929 3,929 20,895,000 -

- 81 445,500 - 445,500 -
201,500 65 1,007,500 2,000 935 2,935 1,007,500 -
673,000 3,671 3,671,000 6,000 2,329 8,329 3,671,000 -
2,467,500 1,294 13,587,000 - 1,652 1,652 13,587,000 -

- 54 297,000 - 297,000 -
124,000 17 263,500 - 283 283 263,500 -
3,906,000 2,002 21,021,000 - 2,198 2,198 21,021,000 -

- - - - -
651,000 144 2,232,000 - 356 356 2,232,000 -
406,000 2,213 2,213,000 - 1,987 1,987 2,217,000 -
- 2 4,000 - 98 98 -
4,315,500 1,969 20,674,500 9,000 927 9,927 21,246,500 -

- 104 572,000 - -
- - - - - - -
4,158,000 2,404 25,242,000 1,500 1,772 3,272 25,242,000 -

- 24 132,000 - 132,000 -
1,395,000 284 4,402,000 500 1,016 1,516 4,402,000 -
3,675,000 1,972 20,706,000 3,300 899 4,199 20,706,000 -

- 129 709,500 - 709,500 -
- 2 31,000 - 98 98 31,000 -
7,098,000 3,656 38,388,000 - 2,247 2,247 38,388,000 -

- 97 533,500 - 533,500 -
387,500 123 1,906,500 - 477 477 1,906,500 -
224,000 1,436 1,436,000 - 564 564 1,436,000 -
4,977,000 2,057 21,598,500 - 2,388 2,388 21,598,500 -

- 55 302,500 - 302,500 -
139,500 36 558,000 - 464 464 558,000 -
123,000 123 123,000 - 477 477 123,000 -
4,483,500 1,749 18,364,500 - 4,174 4,174 18,364,500 -

- 77 423,500 - 423,500 -
263,500 99 1,534,500 100 201 301 1,534,500 -
910,000 3,892 3,892,000 - 8,108 8,108 3,892,000 -
3,675,000 2,136 22,428,000 - 864 864 22,428,000 -

- - - - - -
31,000 22 341,000 2,100 78 2,178 341,000 -
6,163,500 2,925 30,712,500 7,400 988 8,388 30,712,500 -

- 87 478,500 - 478,500 -
1,023,000 172 2,666,000 900 128 1,028 2,666,000 -
2,982,000 1,596 16,758,000 3,000 1,358 4,358 16,758,000 -

- 46 253,000 - 253,000 -
666,500 137 2,123,500 2,000 1,863 3,863 2,123,500 -
5,775,000 2,757 28,948,500 - 2,955 2,955 28,948,500 -

- 288 1,584,000 - 1,584,000 -
- - - - - - -
Purworejo, 28 April 2023

KABUPATEN PURWOREJO
dr. SUDARMI, MM
Pembina Utama Muda
NIP. 19690220 200212 2 004
BULAN : MEI 2023
REALISASI
SISA
PERSEDIAAN
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15
1 Puskesmas Grabag
KPPS 5,500 - - 148 814,000 -
Karcis IGD 15,500 177 1,600 - - 900 900 423 6,556,500 93
Parkir R2 1,000 1,870 3,000 6,000 6,000 9,000 9,000 6,123 6,123,000 2,067
Parkir R4 2,000 1,038 2,500 - - 500 500 164 328,000 72
2 Puskesmas Ngombol
KPPS 5,500 - - 76 418,000 -
Karcis IGD 15,500 1,471 600 600 600 1,200 1,200 597 9,253,500 153
KPPS 5,500 - - - - -
Karcis IGD 15,500 70 600 - - 600 600 384 5,952,000 121
Parkir 1,000 837 6,000 - - 6,000 6,000 3,964 3,964,000 1,042
4 Puskesmas Bubutan
KPPS 5,500 - - 10 55,000 -
Karcis IGD 15,500 28 1,900 - - 200 200 124 1,922,000 31
5 Puskesmas Bagelen
Karcis Rawat Jalan 10,500 190 300 3,000 3,000 3,300 3,300 1,457 15,298,500 444
KPPS 5,500 - - - - -
Karcis IGD 15,500 74 1,700 - - 200 200 18 279,000 2
KPPS 5,500 - - 50 275,000 -
Karcis IGD 15,500 99 2,500 - - 500 500 252 3,906,000 65
KPPS 5,500 - - 89 489,500 -
Karcis IGD 15,500 298 300 - - 300 300 94 1,457,000 4
Karcis Rawat Jalan 10,500 690 600 3,000 3,000 2,400 1,200 3,600 2,235 23,467,500 537
KPPS 5,500 - - - -
Karcis IGD 15,500 204 100 500 500 600 600 201 3,115,500 12
KPPS 5,500 - - - - -
Karcis IGD 15,500 12 300 - - 300 300 58 899,000 17
Parkir 1,000 4,138 3,000 - - 3,000 3,000 1,303 1,303,000 410
10 Puskesmas Mranti
Karcis Rawat Jalan 10,500 286 3,000 2,000 500 2,500 5,000 500 5,500 3,418 35,889,000 1,083
KPPS 5,500 - - 80 440,000 1
Parkir 1,000 - 3,000 3,000 1,500 4,500 6,000 1,500 7,500 5,404 5,404,000 1,596
11 Puskesmas Bayan
KPPS 5,500 - - - - -
Karcis IGD 15,500 86 900 - - 600 600 4 62,000 -
Parkir 1,000 4,870 7,500 - - 7,500 7,500 1,615 1,615,000 320
KPPS 5,500 - - 133 731,500 -
Karcis IGD 15,500 48 100 - - 100 100 16 248,000 6
KPPS 5,500 - - 85 467,500
Karcis IGD 15,500 342 1,000 - - 500 500 191 2,960,500 67
Karcis Rawat Jalan 10,500 1,408 9,000 - - 3,000 6,000 9,000 2,253 23,656,500 635
KPPS 5,500 - - - 127 698,500 -
Karcis IGD 15,500 495 200 - - 200 - 200 128 1,984,000 32
Parkir 1,000 1,105 2,800 - - 2,000 800 2,800 955 955,000 300
REALISASI
SISA
PERSEDIAAN
Karcis Rawat Jalan+jamk 10,500 708 6,000 - - 3,000 3,000 1,990 20,895,000 610
KPPS 5,500 - - 81 445,500 -
Karcis IGD 15,500 859 3,000 - - 1,000 1,000 65 1,007,500 20
Parkir 1,000 143 12,000 - - 6,000 6,000 3,671 3,671,000 1,004
16 Puskesmas Wirun
Karcis Rawat Jalan 10,500 3,000 - - 3,000 3,000 1,294 13,587,000 303
KPPS 5,500 - - 54 297,000 -
Karcis IGD 15,500 - 300 - - 300 300 17 263,500 2
17 Puskesmas Butuh
KPPS 5,500 - - - -
Karcis IGD 15,500 237 500 - - 500 500 144 2,232,000 41
Parkir R2 1,000 - 4,200 - - 4,200 4,200 2,213 2,213,000 723
Parkir R4 2,000 100 100 - - 100 100 2 4,000 -
Karcis Rawat Jalan 10,500 690 12,000 - - 3,000 3,000 6,000 1,969 20,674,500 616
KPPS 5,500 - - 104 572,000 -
Karcis IGD 15,500 - - - - - - - - -
KPPS 5,500 - - 24 132,000 -
Karcis IGD 15,500 53 300 1,500 1,500 1,300 1,300 284 4,402,000 84
KPPS 5,500 - - 129 709,500 -
Karcis IGD 15,500 174 100 - - 100 100 2 31,000 -
21 Puskesmas Kemiri
Karcis Rawat Jalan 10,500 943 6,000 - - 6,000 6,000 3,656 38,388,000 1,004
KPPS 5,500 - - 97 533,500 -
Karcis IGD 15,500 621 600 - - 600 600 123 1,906,500 41
Parkir 1,000 1,194 2,000 - - 2,000 2,000 1,436 1,436,000 386
22 Puskesmas Winong
Karcis Rawat Jalan 10,500 446 1,500 3,000 3,000 4,500 - 4,500 2,057 21,598,500 659
KPPS 5,500 - - 55 302,500 -
Karcis IGD 15,500 - 500 - - 500 - 500 36 558,000 18
Parkir 1,000 - - 600 1,500 2,100 600 1,500 2,100 123 123,000 691
23 Puskesmas Bruno
KPPS 5,500 - - - - 77 423,500 -
Karcis IGD 15,500 291 400 - - 300 300 99 1,534,500 29
Parkir 1,000 308 3,000 9,000 9,000 12,000 12,000 3,892 3,892,000 931
24 Puskesmas Gebang
Karcis Rawat Jalan 10,500 2 3,000 - 1,500 1,500 3,000 1,500 4,500 2,136 22,428,000 598
KPPS 5,500 - - - - - -
Karcis IGD 15,500 255 2,200 - - 100 100 22 341,000 5
25 Puskesmas Loano
KPPS 5,500 - - - - 87 478,500 -
Karcis IGD 15,500 775 1,200 - - 300 100 400 172 2,666,000 43
KPPS 5,500 - - - - 46 253,000
Karcis IGD 15,500 375 4,000 - - 2,000 2,000 137 2,123,500 34
27 Puskesmas Bener
KPPS 5,500 - - - - 288 1,584,000
Karcis IGD 15,500 - - - - - - - -
REALISASI
SISA KARCIS
SELISIH
BELUM BULANAN
PERFORASI
16 = 4 * 15 17 = 13 + 15 18 = 14 + 16 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
9,292,500 4,029 42,304,500 - 1,823 1,823 42,304,500 -

- 148 814,000 - 814,000 -
1,441,500 516 7,998,000 700 384 1,084 7,998,000 -
2,067,000 8,190 8,190,000 - 810 810 8,662,000 -
144,000 236 472,000 2,000 264 2,264
8,442,000 3,797 39,868,500 - 5,127 5,127 39,868,500 -

- 76 418,000 - 418,000 -
2,371,500 750 11,625,000 - 450 450 11,625,000 -
5,869,500 2,348 24,654,000 - 652 652 24,654,000 -

- - - - - -
1,875,500 505 7,827,500 - 95 95 7,827,500 -
1,042,000 5,006 5,006,000 - 994 994 5,006,000 -
6,688,500 2,877 30,208,500 - 2,113 2,113 30,208,500 -

- 10 55,000 - 55,000 -
480,500 155 2,402,500 1,700 45 1,745 2,402,500 -
4,662,000 1,901 19,960,500 - 1,399 1,399 19,960,500 -

- - - - - -
31,000 20 310,000 1,500 180 1,680 310,000 -
5,512,500 2,353 24,706,500 - 1,597 1,597 24,706,500 -

- 50 275,000 - 275,000 -
1,007,500 317 4,913,500 2,000 183 2,183 4,913,500 -
5,985,000 2,733 28,696,500 - 6,478 6,478 28,696,500 -

- 89 489,500 - 489,500 -
62,000 98 1,519,000 - 202 202 1,519,000 -
5,638,500 2,772 29,106,000 - 828 828 29,106,000 -

- - - - -
186,000 213 3,301,500 - 387 387 3,301,500 -
9,807,000 4,193 44,026,500 - 9,007 9,007 44,026,500 -

- - - - -
263,500 75 1,162,500 - 225 225 1,162,500 -
410,000 1,713 1,713,000 - 1,287 1,287 1,713,000 -
11,371,500 4,501 47,260,500 - 918 918 47,706,000 -

5,500 81 445,500 - - -
1,596,000 7,000 7,000,000 - 500 500 7,000,000 -
9,964,500 4,141 43,480,500 - 7,859 7,859 43,480,500 -

- - - - - -
- 4 62,000 300 596 896 62,000 -
320,000 1,935 1,935,000 - 5,565 5,565 1,935,000 -
8,767,500 3,407 35,773,500 - 7,460 7,460 35,773,500 -

- 133 731,500 - 731,500 -
93,000 22 341,000 - 78 78 341,000 -
3,958,500 1,521 15,970,500 2,000 2,894 4,894 15,970,500 -

- 85 467,500 - 467,500 -
1,038,500 258 3,999,000 500 242 742 3,999,000 -
6,667,500 2,888 30,324,000 - 5,985 5,985 30,324,000 -

- 127 698,500 - 698,500 -
496,000 160 2,480,000 - 40 40 2,480,000 -
300,000 1,255 1,255,000 - 1,545 1,545 1,255,000 -
REALISASI
SISA KARCIS
SELISIH
BELUM BULANAN
PERFORASI
6,405,000 2,600 27,300,000 3,000 319 3,319 27,300,000 -

- 81 445,500 - 445,500 -
310,000 85 1,317,500 2,000 915 2,915 1,317,500 -
1,004,000 4,675 4,675,000 6,000 1,325 7,325 4,675,000 -
3,181,500 1,597 16,768,500 - 1,349 1,349 16,768,500 -

- 54 297,000 - 297,000 -
31,000 19 294,500 - 281 281 294,500 -
6,352,500 2,607 27,373,500 - 1,593 1,593 27,373,500 -

- - - - -
635,500 185 2,867,500 - 315 315 2,867,500 -
723,000 2,936 2,936,000 - 1,264 1,264 2,940,000 -
- 2 4,000 - 98 98 -
6,468,000 2,585 27,142,500 6,000 3,311 9,311 27,714,500 -

- 104 572,000 - -
- - - - - - -
7,329,000 3,102 32,571,000 1,500 1,074 2,574 32,571,000 -

- 24 132,000 - 132,000 -
1,302,000 368 5,704,000 500 932 1,432 5,704,000 -
6,058,500 2,549 26,764,500 - 3,622 3,622 26,764,500 -

- 129 709,500 - 709,500 -
- 2 31,000 - 98 98 31,000 -
10,542,000 4,660 48,930,000 - 1,243 1,243 48,930,000 -

- 97 533,500 - 533,500 -
635,500 164 2,542,000 - 436 436 2,542,000 -
386,000 1,822 1,822,000 - 178 178 1,822,000 -
6,919,500 2,716 28,518,000 - 1,729 1,729 28,518,000 -

- 55 302,500 - 302,500 -
279,000 54 837,000 - 446 446 837,000 -
691,000 814 814,000 - 1,286 1,286 814,000 -
5,743,500 2,296 24,108,000 - 3,627 3,627 24,108,000 -

- 77 423,500 - 423,500 -
449,500 128 1,984,000 100 172 272 1,984,000 -
931,000 4,823 4,823,000 - 7,177 7,177 4,823,000 -
6,279,000 2,734 28,707,000 - 1,766 1,766 28,707,000 -

- - - - - -
77,500 27 418,500 2,100 73 2,173 418,500 -
9,387,000 3,819 40,099,500 6,400 1,094 7,494 40,099,500 -

- 87 478,500 - 478,500 -
666,500 215 3,332,500 800 185 985 3,332,500 -
5,428,500 2,113 22,186,500 3,000 841 3,841 22,186,500 -

- 46 253,000 - 253,000 -
527,000 171 2,650,500 2,000 1,829 3,829 2,650,500 -
9,082,500 3,622 38,031,000 - 2,090 2,090 38,031,000 -

- 288 1,584,000 - 1,584,000 -
- - - - - - -
Purworejo, 31 Mei 2023

Plh. Kepala Dinas Kesehatan
Kabupaten Purworejo
Asisten Administrasi Umum
drg. Nancy Megawati Hadisusilo, M.M.

Pembina Utama Muda
NIP. 19650204 198910 2 001
BULAN : JUNI 2023
REALISASI
KARCIS 2022 PENGADAAN / CETAK PERFORASI
S/D BULAN LALU BULAN INI S/D BULAN INI
SISA BELUM
USUL HAPUS s/d Bulan Lalu Bulan Ini s/d Bulan Ini s/d Bulan Lalu Bulan Ini s/d Bulan Ini KARCIS RUPIAH KARCIS RUPIAH KARCIS RUPIAH
PERSEDIAAN PERFORASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 14 + 16 19 = 6 + 9 - 12
1 Puskesmas Grabag
Karcis Rawat Jalan 10,500 2,956 3,000 3,000 3,000 6,000 6,000 3,000 9,000 4,029 42,304,500 849 8,914,500 4,878 51,219,000 -
KPPS 5,500 - - 148 814,000 - 148 814,000 -
Karcis IGD 15,500 177 1,600 - 3,000 3,000 900 600 1,500 516 7,998,000 85 1,317,500 601 9,315,500 3,100
Parkir R2 1,000 1,870 3,000 6,000 6,000 12,000 9,000 6,000 15,000 8,190 8,190,000 1,412 1,412,000 9,602 9,602,000 -
Parkir R4 2,000 1,038 2,500 - 3,000 3,000 500 300 800 236 472,000 41 82,000 277 554,000 4,700
2 Puskesmas Ngombol
Karcis Rawat Jalan 10,500 202 3,000 6,000 4,000 10,000 9,000 4,000 13,000 3,797 39,868,500 870 9,135,000 4,667 49,003,500 -
KPPS 5,500 - - 76 418,000 - 76 418,000 -
Karcis IGD 15,500 1,471 600 600 300 900 1,200 300 1,500 750 11,625,000 165 2,557,500 915 14,182,500 -
Karcis Rawat Jalan 10,500 288 3,000 - 1,500 1,500 3,000 1,500 4,500 2,348 24,654,000 451 4,735,500 2,799 29,389,500 -
KPPS 5,500 - - - - - - - -
Karcis IGD 15,500 70 600 - 300 300 600 300 900 505 7,827,500 102 1,581,000 607 9,408,500 -
Parkir 1,000 837 6,000 - 3,000 3,000 6,000 3,000 9,000 5,006 5,006,000 798 798,000 5,804 5,804,000 -
4 Puskesmas Bubutan
Karcis Rawat Jalan 10,500 227 5,000 - 5,000 5,000 5,000 3,000 8,000 2,877 30,208,500 533 5,596,500 3,410 35,805,000 2,000
KPPS 5,500 - - 10 55,000 - - 10 55,000 -
Karcis IGD 15,500 28 1,900 - 1,000 1,000 200 200 400 155 2,402,500 39 604,500 194 3,007,000 2,500
5 Puskesmas Bagelen
Karcis Rawat Jalan 10,500 190 300 3,000 3,000 6,000 3,300 1,500 4,800 1,901 19,960,500 398 4,179,000 2,299 24,139,500 1,500
KPPS 5,500 - - - - - - - - -
Karcis IGD 15,500 74 1,700 - - - 200 - 200 20 310,000 4 62,000 24 372,000 1,500
KPPS 5,500 - - 50 275,000 - - 50 275,000 -
Karcis IGD 15,500 99 2,500 - 3,000 3,000 500 500 1,000 317 4,913,500 63 976,500 380 5,890,000 4,500
Karcis Rawat Jalan 10,500 1,889 9,300 - 4,200 4,200 9,300 4,200 13,500 2,733 28,696,500 609 6,394,500 3,342 35,091,000 -
KPPS 5,500 - - 89 489,500 - - 89 489,500 -
Karcis IGD 15,500 298 300 - 300 300 300 300 600 98 1,519,000 7 108,500 105 1,627,500 -
Karcis Rawat Jalan 10,500 690 600 3,000 3,600 6,600 3,600 2,500 6,100 2,772 29,106,000 561 5,890,500 3,333 34,996,500 1,100
KPPS 5,500 - - - - - - - -
Karcis IGD 15,500 204 100 500 - 500 600 - 600 213 3,301,500 13 201,500 226 3,503,000 -
Karcis Rawat Jalan 10,500 5,265 13,200 - 5,400 5,400 13,200 3,400 16,600 4,193 44,026,500 824 8,652,000 5,017 52,678,500 2,000
KPPS 5,500 - - - - - - - - -
Karcis IGD 15,500 12 300 - 100 100 300 100 400 75 1,162,500 12 186,000 87 1,348,500 -
Parkir 1,000 4,138 3,000 - 3,000 3,000 3,000 3,000 6,000 1,713 1,713,000 319 319,000 2,032 2,032,000 -
10 Puskesmas Mranti
KPPS 5,500 - - 81 445,500 - - 81 445,500 -
Parkir 1,000 - 3,000 4,500 3,000 7,500 7,500 3,000 10,500 7,000 7,000,000 1,174 1,174,000 8,174 8,174,000 -
11 Puskesmas Bayan
KPPS 5,500 - - - - - - - - -
Karcis IGD 15,500 86 900 - 300 300 600 100 700 4 62,000 2 31,000 6 93,000 500
Parkir 1,000 4,870 7,500 - 1,000 1,000 7,500 1,000 8,500 1,935 1,935,000 155 155,000 2,090 2,090,000 -
Karcis Rawat Jalan 10,500 573 3,000 8,000 6,000 14,000 11,000 4,000 15,000 3,407 35,773,500 791 8,305,500 4,198 44,079,000 2,000
KPPS 5,500 - - 133 731,500 - - 133 731,500 -
Karcis IGD 15,500 48 100 - 100 100 100 100 200 22 341,000 4 62,000 26 403,000 -
KPPS 5,500 - - 85 467,500 - - 85 467,500 -
Karcis IGD 15,500 342 1,000 - 3,000 3,000 500 200 700 258 3,999,000 53 821,500 311 4,820,500 3,300
KPPS 5,500 - - 127 698,500 - 127 698,500 -
Karcis IGD 15,500 495 200 - 300 300 200 300 500 160 2,480,000 30 465,000 190 2,945,000 -
Parkir 1,000 1,105 2,800 - 2,000 2,000 2,800 1,500 4,300 1,255 1,255,000 300 300,000 1,555 1,555,000 500
Karcis Rawat Jalan+jamk 10,500 708 9,000 - 6,000 6,000 3,000 3,000 6,000 2,600 27,300,000 469 4,924,500 3,069 32,224,500 9,000
KPPS 5,500 - - 81 445,500 - 81 445,500 -
Karcis IGD 15,500 859 3,000 - 600 600 1,000 300 1,300 85 1,317,500 4 62,000 89 1,379,500 2,300
Parkir 1,000 143 12,000 - 5,700 5,700 6,000 4,000 10,000 4,675 4,675,000 926 926,000 5,601 5,601,000 7,700
16 Puskesmas Wirun
Karcis Rawat Jalan 10,500 3,000 - 3,000 3,000 3,000 2,000 5,000 1,597 16,768,500 351 3,685,500 1,948 20,454,000 1,000
KPPS 5,500 - - 54 297,000 - - 54 297,000 -
Karcis IGD 15,500 - 300 - 300 300 300 100 400 19 294,500 2 31,000 21 325,500 200
17 Puskesmas Butuh
KPPS 5,500 - - - - - - - - -
Karcis IGD 15,500 237 500 - 500 500 500 200 700 185 2,867,500 34 527,000 219 3,394,500 300
Parkir R2 1,000 - 4,200 - 4,200 4,200 4,200 2,400 6,600 2,936 2,936,000 455 455,000 3,391 3,391,000 1,800
Parkir R4 2,000 100 100 - 100 100 100 100 200 2 4,000 - - 2 4,000 -
REALISASI
S/D BULAN LALU BULAN INI S/D BULAN INI
SISA BELUM
USUL HAPUS s/d Bulan Lalu Bulan Ini s/d Bulan Ini s/d Bulan Lalu Bulan Ini s/d Bulan Ini KARCIS RUPIAH KARCIS RUPIAH KARCIS RUPIAH
KPPS 5,500 - - 104 572,000 - - 104 572,000 -
Karcis IGD 15,500 - - - - - - - - - - - -
Karcis Rawat Jalan 10,500 161 1,800 3,900 3,000 6,900 4,200 2,500 6,700 3,102 32,571,000 722 7,581,000 3,824 40,152,000 2,000
KPPS 5,500 - - 24 132,000 - - 24 132,000 -
Karcis IGD 15,500 53 300 1,500 3,000 4,500 1,300 300 1,600 368 5,704,000 49 759,500 417 6,463,500 3,200
Karcis Rawat Jalan 10,500 146 6,300 - 3,000 3,000 6,300 3,000 9,300 2,549 26,764,500 475 4,987,500 3,024 31,752,000 -
KPPS 5,500 - - 129 709,500 - - 129 709,500 -
Karcis IGD 15,500 174 100 - 100 100 100 100 200 2 31,000 - - 2 31,000 -
21 Puskesmas Kemiri
KPPS 5,500 - - 97 533,500 - - 97 533,500 -
Karcis IGD 15,500 621 600 - 400 400 600 400 1,000 164 2,542,000 34 527,000 198 3,069,000 -
Parkir 1,000 1,194 2,000 - 3,000 3,000 2,000 2,000 4,000 1,822 1,822,000 178 178,000 2,000 2,000,000 1,000
22 Puskesmas Winong
KPPS 5,500 - - - 55 302,500 - 55 302,500 -
Karcis IGD 15,500 - 500 - 100 100 500 100 600 54 837,000 11 170,500 65 1,007,500 -
Parkir 1,000 - - 2,100 3,000 5,100 2,100 3,000 5,100 814 814,000 528 528,000 1,342 1,342,000 -
23 Puskesmas Bruno
Karcis Rawat Jalan 10,500 2,931 3,000 3,000 3,000 6,000 6,000 2,000 8,000 2,296 24,108,000 490 5,145,000 2,786 29,253,000 1,000
KPPS 5,500 - - - - 77 423,500 - - 77 423,500 -
Karcis IGD 15,500 291 400 - 100 100 300 100 400 128 1,984,000 25 387,500 153 2,371,500 100
Parkir 1,000 308 3,000 9,000 6,000 15,000 12,000 3,000 15,000 4,823 4,823,000 777 777,000 5,600 5,600,000 3,000
24 Puskesmas Gebang
Karcis Rawat Jalan 10,500 2 3,000 1,500 2,500 4,000 4,500 2,000 6,500 2,734 28,707,000 709 7,444,500 3,443 36,151,500 500
KPPS 5,500 - - - - - - - - - -
Karcis IGD 15,500 255 2,200 - 500 500 100 100 200 27 418,500 - - 27 418,500 2,500
25 Puskesmas Loano
KPPS 5,500 - - - - 87 478,500 - - 87 478,500 -
Karcis IGD 15,500 775 1,200 - 600 600 400 300 700 215 3,332,500 51 790,500 266 4,123,000 1,100
KPPS 5,500 - - - - 46 253,000 - 46 253,000 -
Karcis IGD 15,500 375 4,000 - 300 300 2,000 300 2,300 171 2,650,500 33 511,500 204 3,162,000 2,000
27 Puskesmas Bener
Karcis Rawat Jalan 10,500 2,342 3,000 3,000 3,000 6,000 6,000 3,000 9,000 3,622 38,031,000 723 7,591,500 4,345 45,622,500 -
KPPS 5,500 - - - - 288 1,584,000 - - 288 1,584,000 -
Karcis IGD 15,500 - - - - - - - - - - - - -
KARCIS PERBUP BARU
SISA KARCIS USUL HAPUS SISA
CEK LAPORAN POSISI AKHIR JUNI 2023
SELISIH KARCIS RUSAK
BULANAN BELUM
PERPORASI PERSEDIAAN PERFORASI PERSEDIAAN (SALAH PERBUP)
PERFORASI
20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18 24 25 26 = 24 + 25 27 = 21 - 26
3,974 3,974 51,219,000 - - 3,000 3,000 974

814,000 - - - - -
899 3,999 9,315,500 - 2,400 600 3,000 999
5,398 5,398 10,156,000 - - 3,000 3,000 2,398
523 5,223 2,700 300 3,000 2,223
8,257 8,257 49,003,500 - - 4,000 4,000 4,257

418,000 - - - - -
585 585 14,182,500 - - 300 300 285
1,701 1,701 29,389,500 - - 1,500 1,500 201

- - - - - -
293 293 9,408,500 - - 293 293 -
3,196 3,196 5,804,000 - - 3,000 3,000 196
4,580 6,580 35,805,000 - 2,000 3,000 5,000 1,580

55,000 - - - -
206 2,706 3,007,000 - 800 200 1,000 1,706
2,501 4,001 24,139,500 - 1,500 1,500 3,000 1,001

- - - - -
176 1,676 372,000 - - 200 200 1,476
3,134 4,134 29,568,000 - 1,000 2,000 3,000 1,134

275,000 - - - - -
620 5,120 5,890,000 - 2,500 500 3,000 2,120
10,069 10,069 35,091,000 - - 4,200 4,200 5,869

489,500 - - - - -
495 495 1,627,500 - - 300 300 195
2,767 3,867 34,996,500 - 1,100 2,500 3,600 267

- - - - - -
374 374 3,503,000 - - - - 374
11,583 13,583 52,678,500 - 2,000 3,400 5,400 8,183

- - - - - -
313 313 1,348,500 - - 100 100 213
3,968 3,968 2,032,000 - - 3,000 3,000 968
3,023 3,023 57,103,500 - - 2,651 2,651 372

- - - - -
2,326 2,326 8,174,000 - - 2,326 2,326 -
10,220 12,420 52,290,000 - 2,200 3,200 5,400 7,020

- - - - - -
694 1,194 93,000 - 200 100 300 894
6,410 6,410 2,090,000 - - 1,000 1,000 5,410
10,669 12,669 44,079,000 - 2,000 4,000 6,000 6,669

731,500 - - - - -
174 174 403,000 - - 100 100 74
4,075 10,575 19,320,000 - 4,500 1,500 6,000 4,575

467,500 - - - - -
389 3,689 4,820,500 - 2,800 200 3,000 689
8,314 9,314 37,369,500 - 1,000 3,000 4,000 5,314

698,500 - - - -
310 310 2,945,000 - - 300 300 10
2,745 3,245 1,555,000 - 500 1,500 2,000 1,245
2,850 11,850 32,224,500 - 3,000 2,000 5,000 6,850

445,500 - - - - -
1,211 3,511 1,379,500 - 300 300 600 2,911
4,399 12,099 5,601,000 - 1,700 4,000 5,700 6,399
2,998 3,998 20,454,000 - 1,000 2,000 3,000 998

297,000 - - - - -
379 579 325,500 - 200 100 300 279
3,691 5,291 32,644,500 1,600 2,600 4,200 1,091

- - - -
481 781 3,394,500 - 300 200 500 281
3,209 5,009 3,395,000 - 1,800 2,400 4,200 809
198 198 - - 100 100 98
KARCIS PERBUP BARU
SISA KARCIS USUL HAPUS SISA
CEK LAPORAN POSISI AKHIR JUNI 2023
SELISIH KARCIS RUSAK
BULANAN BELUM
PERPORASI PERSEDIAAN PERFORASI PERSEDIAAN (SALAH PERBUP)
PERFORASI
4,764 11,764 33,458,000 - 1,000 2,000 3,000 8,764

- - - - -
- - - - - - -
2,852 4,852 40,152,000 - 500 2,500 3,000 1,852

132,000 - - - - -
1,183 4,383 6,463,500 - 2,700 300 3,000 1,383
6,147 6,147 31,752,000 - - 3,000 3,000 3,147

709,500 - - - -
198 198 31,000 - - 100 100 98
5,320 7,320 58,621,500 - 2,000 5,000 7,000 320

533,500 - - - - -
802 802 3,069,000 - - 400 400 402
2,000 3,000 2,000,000 - 1,000 2,000 3,000 -
4,221 4,221 33,852,000 - - 3,000 3,000 1,221

302,500 - - - - -
535 535 1,007,500 - - 100 100 435
3,758 3,758 1,342,000 - - 3,000 3,000 758
5,137 6,137 29,253,000 - 1,000 2,000 3,000 3,137

423,500 - - - -
247 347 2,371,500 - - 100 100 247
9,400 12,400 5,600,000 - 3,000 3,000 6,000 6,400
3,057 3,557 36,151,500 - 500 2,000 2,500 1,057

- - - -
173 2,673 418,500 - 400 100 500 2,173
4,330 12,730 48,121,500 - 2,000 4,000 6,000 6,730

478,500 - - - - -
434 1,534 4,123,000 - 300 300 600 934
3,472 6,472 26,061,000 - - 3,000 3,000 3,472

253,000 - - - -
2,096 4,096 3,162,000 - - 300 300 3,796
4,367 4,367 45,622,500 - - 3,000 3,000 1,367

1,584,000 - - - - -
- - - - - - -
Purworejo, 30 Juni 2023

KABUPATEN PURWOREJO
dr. SUDARMI, MM
Pembina Utama Muda
NIP. 19690220 200212 2 004
BULAN : JUNI 2023
REALISASI
S/D BULAN LALU BULAN INI S/D BUL
NO PUSKESMAS JENIS KARCIS TARIF
SISA
USUL HAPUS s/d Bulan Lalu Bulan Ini s/d Bulan Ini s/d Bulan Lalu Bulan Ini s/d Bulan Ini KARCIS RUPIAH KARCIS RUPIAH KARCIS
PERSEDIAAN
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15
1 PUSKESMAS GRABAG
Karcis Rawat Jalan 10,500 2,956 3,000 3,000 3,000 6,000 6,000 4,029 42,304,500 849 8,914,500 4,878
KPPS 5,500 - - 148 814,000 - 148
PERBUP 35 TAHUN 2019 Karcis IGD 15,500 177 1,600 - - 900 900 516 7,998,000 85 1,317,500 601
Parkir R2 1,000 1,870 3,000 6,000 3,000 9,000 9,000 3,000 12,000 8,190 8,190,000 1,412 1,412,000 9,602
Parkir R4 2,000 1,038 2,500 - - 500 500 236 472,000 41 82,000 277
Karcis Rawat Jalan 10,500 3,000 3,000 3,000 3,000 - - -
KPPS 5,500 - - - - - -
PERBUP 21 TAHUN 2023 Karcis IGD 15,500 3,000 3,000 600 600 - - -
Parkir R2 1,000 3,000 3,000 3,000 3,000 - - -
Parkir R4 2,000 3,000 3,000 300 300 - - -
2 PUSKESMAS NGOMBOL
Karcis Rawat Jalan 10,500 202 3,000 6,000 6,000 9,000 9,000 3,797 39,868,500 870 9,135,000 4,667
PERBUP 35 TAHUN 2019 KPPS 5,500 - - 76 418,000 - 76
Karcis IGD 15,500 1,471 600 600 600 1,200 1,200 750 11,625,000 165 2,557,500 915
PERBUP 21 TAHUN 2023 KPPS 5,500 - - - - -
Karcis IGD 15,500 300 300 300 300 - - -
3 PUSKESMAS BRAGOLAN
Karcis Rawat Jalan 10,500 288 3,000 - - 3,000 3,000 2,348 24,654,000 451 4,735,500 2,799
KPPS 5,500 - - - - - -
PERBUP 35 TAHUN 2019
Karcis IGD 15,500 70 600 - - 600 600 505 7,827,500 95 1,472,500 600
Parkir 1,000 837 6,000 - - 6,000 6,000 5,006 5,006,000 798 798,000 5,804
KPPS 5,500 - - - - -
Karcis IGD 15,500 300 300 300 300 - 7 108,500 7
Parkir 1,000 3,000 3,000 3,000 3,000 - - -
4 PUSKESMAS BUBUTAN
PERBUP 35 TAHUN 2019 KPPS 5,500 - - 10 55,000 - - 10
Karcis IGD 15,500 28 1,900 - - 200 200 155 2,402,500 39 604,500 194
Karcis IGD 15,500 1,000 1,000 200 200 - - -
5 PUSKESMAS BAGELEN
Karcis Rawat Jalan 10,500 190 300 3,000 3,000 3,300 3,300 1,901 19,960,500 398 4,179,000 2,299
PERBUP 35 TAHUN 2019 KPPS 5,500 - - - - - - -
Karcis IGD 15,500 74 1,700 - - 200 200 20 310,000 4 62,000 24
Karcis IGD 15,500 - - - - - - -
6 PUSKESMAS DADIREJO
Karcis IGD 15,500 99 2,500 - - 500 500 317 4,913,500 63 976,500 380
Karcis IGD 15,500 3,000 3,000 500 500 - - -
7 PUSKESMAS KALIGESING
Karcis Rawat Jalan 10,500 1,889 9,300 - - 9,300 9,300 2,733 28,696,500 609 6,394,500 3,342
Karcis IGD 15,500 298 300 - - 300 300 98 1,519,000 7 108,500 105
Karcis IGD 15,500 300 300 300 300 - - -
8 PUSKESMAS CANGKREP
Karcis Rawat Jalan 10,500 690 600 3,000 3,000 3,600 3,600 2,772 29,106,000 561 5,890,500 3,333
PERBUP 35 TAHUN 2019 KPPS 5,500 - - - - - -
Karcis IGD 15,500 204 100 500 500 600 600 213 3,301,500 13 201,500 226
Karcis IGD 15,500 - - - - - -
REALISASI
SISA
PERSEDIAAN
9 PUSKESMAS PURWOREJO
KPPS 5,500 - - - - - - -
Karcis IGD 15,500 12 300 - - 300 300 75 1,162,500 12 186,000 87
Parkir 1,000 4,138 3,000 - - 3,000 3,000 1,713 1,713,000 319 319,000 2,032
KPPS 5,500 - - - - -
Karcis IGD 15,500 100 100 100 100 - - -
Parkir 1,000 3,000 3,000 3,000 3,000 - - -
10 PUSKESMAS MRANTI
Parkir 1,000 - 3,000 4,500 4,500 7,500 7,500 7,000 7,000,000 500 500,000 7,500
Karcis Rawat Jalan 10,500 3,000 3,000 3,000 3,000 - 349 3,664,500 349
Parkir 1,000 3,000 3,000 3,000 3,000 - 674 674,000 674
11 PUSKESMAS BAYAN
KPPS 5,500 - - - - - - -
Karcis IGD 15,500 86 900 - - 600 600 4 62,000 2 31,000 6
Parkir 1,000 4,870 7,500 - - 7,500 7,500 1,935 1,935,000 155 155,000 2,090
KPPS 5,500 - - - - -
Karcis IGD 15,500 300 300 100 100 - - -
Parkir 1,000 1,000 1,000 1,000 1,000 - - -
12 PUSKESMAS BANYUURIP
Karcis IGD 15,500 48 100 - - 100 100 22 341,000 4 62,000 26
Karcis IGD 15,500 100 100 100 100 - - -
13 PUSKESMAS SEBOROKRAPYAK
Karcis IGD 15,500 342 1,000 - - 500 500 258 3,999,000 53 821,500 311
Karcis IGD 15,500 3,000 3,000 200 200 - - -
14 PUSKESMAS SEMAWUNGDALEMAN
KPPS 5,500 - - 127 698,500 - 127
Karcis IGD 15,500 495 200 - - 200 200 160 2,480,000 30 465,000 190
Parkir 1,000 1,105 2,800 - - 2,800 2,800 1,255 1,255,000 300 300,000 1,555
KPPS 5,500 - - - - -
Karcis IGD 15,500 300 300 300 300 - - -
Parkir 1,000 2,000 2,000 1,500 1,500 - - -
15 PUSKESMAS KUTOARJO
Karcis Rawat Jalan+jamk 10,500 708 9,000 - - 3,000 1,000 4,000 2,600 27,300,000 469 4,924,500 3,069
KPPS 5,500 - - 81 445,500 - 81
Karcis IGD 15,500 859 3,000 - - 1,000 1,000 85 1,317,500 4 62,000 89
Parkir 1,000 143 12,000 - - 6,000 6,000 4,675 4,675,000 926 926,000 5,601
Karcis Rawat Jalan+jamk 10,500 6,000 6,000 2,000 2,000 - - -
KPPS 5,500 - - - - -
Karcis IGD 15,500 600 600 300 300 - - -
Parkir 1,000 5,700 5,700 4,000 4,000 - - -
16 PUSKESMAS WIRUN
Karcis Rawat Jalan 10,500 3,000 - - 3,000 3,000 1,597 16,768,500 351 3,685,500 1,948
Karcis IGD 15,500 - 300 - - 300 300 19 294,500 2 31,000 21
Karcis IGD 15,500 300 300 100 100 - - -
REALISASI
SISA
PERSEDIAAN
17 PUSKESMAS BUTUH
KPPS 5,500 - - - - - -
PERBUP 35 TAHUN 2019 Karcis IGD 15,500 237 500 - - 500 500 185 2,867,500 34 527,000 219
Parkir R2 1,000 - 4,200 - - 4,200 4,200 2,936 2,936,000 455 455,000 3,391
Parkir R4 2,000 100 100 - - 100 100 2 4,000 - - 2
KPPS 5,500 - - - - - -
PERBUP 21 TAHUN 2023 Karcis IGD 15,500 500 500 200 200 - - -
Parkir R2 1,000 4,200 4,200 2,400 2,400 - - -
Parkir R4 2,000 100 100 100 100 - - -
18 PUSKESMAS SRUWOHREJO
Karcis IGD 15,500 - - - - - - - - - -
PERBUP 21 TAHUN 2023 KPPS 5,500 - - -
Karcis IGD 15,500 - - -
19 PUSKESMAS PITURUH
Karcis IGD 15,500 53 300 1,500 1,500 1,300 1,300 368 5,704,000 49 759,500 417
Karcis IGD 15,500 3,000 3,000 300 300 - - -
20 PUSKESMAS KARANGGETAS
Karcis IGD 15,500 174 100 - - 100 100 2 31,000 - - 2
Karcis IGD 15,500 100 100 100 100 - - -
21 PUSKESMAS KEMIRI
KPPS 5,500 - - 97 533,500 - - 97
Karcis IGD 15,500 621 600 - - 600 600 164 2,542,000 34 527,000 198
Parkir 1,000 1,194 2,000 - - 2,000 2,000 1,822 1,822,000 178 178,000 2,000
KPPS 5,500 - - - - -
Karcis IGD 15,500 400 400 400 400 - - -
Parkir 1,000 3,000 3,000 2,000 2,000 - - -
22 PUSKESMAS WINONG
KPPS 5,500 - - 55 302,500 - 55
Karcis IGD 15,500 - 500 - - 500 500 54 837,000 11 170,500 65
Parkir 1,000 - - 2,100 2,100 2,100 2,100 814 814,000 528 528,000 1,342
KPPS 5,500 - - - - - -
Karcis IGD 15,500 100 100 100 100 - - -
Parkir 1,000 3,000 3,000 3,000 3,000 - - -
23 PUSKESMAS BRUNO
KPPS 5,500 - - - - 77 423,500 - - 77
Karcis IGD 15,500 291 400 - - 300 300 128 1,984,000 25 387,500 153
Parkir 1,000 308 3,000 9,000 9,000 12,000 12,000 4,823 4,823,000 777 777,000 5,600
KPPS 5,500 - - - - -
Karcis IGD 15,500 100 100 100 100 - - -
Parkir 1,000 6,000 6,000 3,000 3,000 - - -
24 PUSKESMAS GEBANG
PERBUP 35 TAHUN 2019 KPPS 5,500 - - - - - - - -
Karcis IGD 15,500 255 2,200 - - 100 100 27 418,500 - - 27
Karcis IGD 15,500 500 500 100 100 - - -
REALISASI
SISA
PERSEDIAAN
25 PUSKESMAS LOANO
PERBUP 35 TAHUN 2019 KPPS 5,500 - - - - 87 478,500 - - 87
Karcis IGD 15,500 775 1,200 - - 400 400 215 3,332,500 51 790,500 266
Karcis IGD 15,500 600 600 300 300 - - -
26 PUSKESMAS BANYUASIN
PERBUP 35 TAHUN 2019 KPPS 5,500 - - - - 46 253,000 - 46
Karcis IGD 15,500 375 4,000 - - 2,000 2,000 171 2,650,500 33 511,500 204
Karcis IGD 15,500 300 300 300 300 - - -
27 PUSKESMAS BENER
PERBUP 35 TAHUN 2019 KPPS 5,500 - - - - 288 1,584,000 - - 288
Karcis IGD 15,500 - - - - - - - - - - -
PERBUP 21 TAHUN 2023 KPPS 5,500 - - -
Karcis IGD 15,500 - - -
K
K
NI
REALISASI
SISA KARCIS
S/D BULAN INI CEK LAPORAN
SELISIH
BELUM BULANAN
RUPIAH PERPORASI PERSEDIAAN
PERFORASI
18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
51,219,000 - 974 974 51,219,000 -

814,000 - - - 814,000 -
9,315,500 700 299 999 9,315,500 -
9,602,000 - 2,398 2,398 10,156,000 -
554,000 2,000 223 2,223
- - 3,000 3,000
- - - -
- 2,400 600 3,000
- - 3,000 3,000
- 2,700 300 3,000
49,003,500 - 4,257 4,257 49,003,500 -

418,000 - - - 418,000 -
14,182,500 - 285 285 14,182,500 -
- - 4,000 4,000
- - - -
- - 300 300
29,389,500 - 201 201 29,389,500 -

- - - - - -
9,300,000 - - - 9,408,500 -
5,804,000 - 196 196 5,804,000 -
- - 1,500 1,500
- - - -
108,500 - 293 293
- - 3,000 3,000
35,805,000 - 1,580 1,580 35,805,000 -

55,000 - - - 55,000 -
3,007,000 1,700 6 1,706 3,007,000 -
- 2,000 3,000 5,000
- - - -
- 800 200 1,000
24,139,500 - 1,001 1,001 24,139,500 -

- - - - - -
372,000 1,500 176 1,676 372,000 -
- 1,500 1,500 3,000
- - - -
- - - -
29,568,000 - 1,134 1,134 29,568,000 -

275,000 - - - 275,000 -
5,890,000 2,000 120 2,120 5,890,000 -
- 1,000 2,000 3,000
- - - -
- 2,500 500 3,000
35,091,000 - 5,869 5,869 35,091,000 -

489,500 - - - 489,500 -
1,627,500 - 195 195 1,627,500 -
- - 4,200 4,200
- - - -
- - 300 300
34,996,500 - 267 267 34,996,500 -

- - - - - -
3,503,000 - 374 374 3,503,000 -
- 1,100 2,500 3,600
- - - -
- - - -
REALISASI
SISA KARCIS
SELISIH
BELUM BULANAN
PERFORASI
52,678,500 - 8,183 8,183 52,678,500 -

- - - - - -
1,348,500 - 213 213 1,348,500 -
2,032,000 - 968 968 2,032,000 -
- 2,000 3,400 5,400
- - - -
- - 100 100
- - 3,000 3,000
52,993,500 - 372 372 57,103,500 -

445,500 - - -
7,500,000 - - - 8,174,000 -
3,664,500 - 2,651 2,651
- - - -
674,000 - 2,326 2,326
52,290,000 - 7,020 7,020 52,290,000 -

- - - - - -
93,000 300 594 894 93,000 -
2,090,000 - 5,410 5,410 2,090,000 -
- 2,200 3,200 5,400
- - - -
- 200 100 300
- - 1,000 1,000
44,079,000 - 6,669 6,669 44,079,000 -

731,500 - - - 731,500 -
403,000 - 74 74 403,000 -
- 2,000 4,000 6,000
- - - -
- - 100 100
19,320,000 2,000 2,575 4,575 19,320,000 -

467,500 - - - 467,500 -
4,820,500 500 189 689 4,820,500 -
- 4,500 1,500 6,000
- - - -
- 2,800 200 3,000
37,369,500 - 5,314 5,314 37,369,500 -

698,500 - - - 698,500 -
2,945,000 - 10 10 2,945,000 -
1,555,000 - 1,245 1,245 1,555,000 -
- 1,000 3,000 4,000
- - - -
- - 300 300
- 500 1,500 2,000
32,224,500 5,000 850 5,850 32,224,500 -

445,500 - - - 445,500 -
1,379,500 2,000 911 2,911 1,379,500 -
5,601,000 6,000 399 6,399 5,601,000 -
- 4,000 2,000 6,000
- - - -
- 300 300 600
- 1,700 4,000 5,700
20,454,000 - 998 998 20,454,000 -

297,000 - - - 297,000 -
325,500 - 279 279 325,500 -
- 1,000 2,000 3,000
- - - -
- 200 100 300
REALISASI
SISA KARCIS
SELISIH
BELUM BULANAN
PERFORASI
32,644,500 - 1,091 1,091 32,644,500 -

- - - - - -
3,394,500 - 281 281 3,394,500 -
3,391,000 - 809 809 3,395,000 -
4,000 - 98 98
- 1,600 2,600 4,200
- - - -
- 300 200 500
- 1,800 2,400 4,200
- - 100 100
32,886,000 6,000 2,764 8,764 33,458,000 -

572,000 - - -
- - - - -
- 1,000 2,000 3,000
- - - -
- - - -
40,152,000 1,500 352 1,852 40,152,000 -

132,000 - - - 132,000 -
6,463,500 500 883 1,383 6,463,500 -
- 500 2,500 3,000
- - - -
- 2,700 300 3,000
31,752,000 - 3,147 3,147 31,752,000 -

709,500 - - - 709,500 -
31,000 - 98 98 31,000 -
- - 3,000 3,000
- - - -
- - 100 100
58,621,500 - 320 320 58,621,500 -

533,500 - - - 533,500 -
3,069,000 - 402 402 3,069,000 -
2,000,000 - - - 2,000,000 -
- 2,000 5,000 7,000
- - - -
- - 400 400
- 1,000 2,000 3,000
33,852,000 - 1,221 1,221 33,852,000 -

302,500 - - - 302,500 -
1,007,500 - 435 435 1,007,500 -
1,342,000 - 758 758 1,342,000 -
- - 3,000 3,000
- - - -
- - 100 100
- - 3,000 3,000
29,253,000 - 3,137 3,137 29,253,000 -

423,500 - - - 423,500 -
2,371,500 100 147 247 2,371,500 -
5,600,000 - 6,400 6,400 5,600,000 -
- 1,000 2,000 3,000
- - - -
- - 100 100
- 3,000 3,000 6,000
36,151,500 - 1,057 1,057 36,151,500 -

- - - - - -
418,500 2,100 73 2,173 418,500 -
- 500 2,000 2,500
- - - -
- 400 100 500
REALISASI
SISA KARCIS
SELISIH
BELUM BULANAN
PERFORASI
48,121,500 6,400 330 6,730 48,121,500 -

478,500 - - - 478,500 -
4,123,000 800 134 934 4,123,000 -
- 2,000 4,000 6,000
- - - -
- 300 300 600
26,061,000 3,000 472 3,472 26,061,000 -

253,000 - - - 253,000 -
3,162,000 2,000 1,796 3,796 3,162,000 -
- - 3,000 3,000
- - - -
- - 300 300
45,622,500 - 1,367 1,367 45,622,500 -

1,584,000 - - - 1,584,000 -
- - - - -
- - 3,000 3,000
- - - -
- - - -
Purworejo, 30 Juni 2023

KABUPATEN PURWOREJO
dr. SUDARMI, MM
Pembina Utama Muda
NIP. 19690220 200212 2 004
BULAN : JULI 2023
REALISASI
KARCIS 2022 PENGADAAN / CETAK PERFORASI SISA KARCIS
S/D BULAN LALU BULAN INI S/D BULAN INI CEK LAPORAN
NO PUSKESMAS JENIS KARCIS TARIF BULANAN SELISIH
SISA BELUM
USUL HAPUS PERSEDIAAN s/d Bulan Lalu Bulan Ini s/d Bulan Ini s/d Bulan Lalu Bulan Ini s/d Bulan Ini KARCIS RUPIAH KARCIS RUPIAH KARCIS RUPIAH PERFORASI PERPORASI PERSEDIAAN
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
1 PUSKESMAS GRABAG
Karcis Rawat Jalan 10,500 2,956 3,000 3,000 3,000 6,000 6,000 4,878 51,219,000 - 4,878 51,219,000 - 974 974
KPPS 5,500 - - - - 148 814,000 - 148 814,000 - - -
PERBUP 35 TAHUN 2019 Karcis IGD 15,500 177 1,600 - - 900 900 601 9,315,500 - 601 9,315,500 700 299 999
Parkir R2 1,000 1,870 3,000 9,000 9,000 12,000 12,000 9,602 9,602,000 - 9,602 9,602,000 - 2,398 2,398
Parkir R4 2,000 1,038 2,500 - - 500 500 277 554,000 - 277 554,000 2,000 223 2,223
Karcis Rawat Jalan 10,500 3,000 3,000 3,000 3,000 - - 711 7,465,500 711 7,465,500 - 2,289 2,289 58,684,500 -
KPPS 5,500 - - - - - - - - - - - - - 814,000 -
PERBUP 21 TAHUN 2023 Karcis IGD 15,500 3,000 3,000 600 600 - - 137 2,123,500 137 2,123,500 2,400 463 2,863 11,439,000 -
Parkir R2 1,000 3,000 3,000 3,000 3,000 - - 1,485 1,485,000 1,485 1,485,000 - 1,515 1,515 11,725,000 -
Parkir R4 2,000 3,000 3,000 300 300 - - 42 84,000 42 84,000 2,700 258 2,958 -
2 PUSKESMAS NGOMBOL
Karcis Rawat Jalan 10,500 202 3,000 6,000 6,000 9,000 9,000 4,667 49,003,500 - 4,667 49,003,500 - 4,257 4,257
PERBUP 35 TAHUN 2019 KPPS 5,500 - - - - 76 418,000 - 76 418,000 - - -
Karcis IGD 15,500 1,471 600 600 600 1,200 1,200 915 14,182,500 - 915 14,182,500 - 285 285
PERBUP 21 TAHUN 2023 KPPS 5,500 - - - - - - - - - - - - - 418,000 -
Karcis IGD 15,500 300 300 300 300 - - 162 2,511,000 162 2,511,000 - 138 138 16,693,500 -
Karcis Rawat Jalan 10,500 288 3,000 - - 3,000 3,000 2,799 29,389,500 - 2,799 29,389,500 - 201 201
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 70 600 - - 600 600 600 9,300,000 - 600 9,300,000 - - -
Parkir 1,000 837 6,000 - - 6,000 6,000 5,804 5,804,000 - 5,804 5,804,000 - 196 196
KPPS 5,500 - - - - - - - - - - - - - -
Karcis IGD 15,500 300 300 300 300 7 108,500 108 1,674,000 115 1,782,500 - 185 185 11,082,500 -
Parkir 1,000 3,000 3,000 3,000 3,000 - - 652 652,000 652 652,000 - 2,348 2,348 6,456,000 -
4 PUSKESMAS BUBUTAN
Karcis Rawat Jalan 10,500 227 5,000 - - 5,000 5,000 3,410 35,805,000 - 3,410 35,805,000 - 1,580 1,580
Karcis IGD 15,500 28 1,900 - - 200 200 194 3,007,000 - 194 3,007,000 1,700 6 1,706
Karcis Rawat Jalan 10,500 5,000 5,000 3,000 3,000 - - 552 5,796,000 552 5,796,000 2,000 2,448 4,448 41,601,000 -
Karcis IGD 15,500 1,000 1,000 200 200 - - 26 403,000 26 403,000 800 174 974 3,410,000 -
5 PUSKESMAS BAGELEN
Karcis Rawat Jalan 10,500 190 300 3,000 3,000 3,300 3,300 2,299 24,139,500 - 2,299 24,139,500 - 1,001 1,001
PERBUP 35 TAHUN 2019 KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 74 1,700 - - 200 200 24 372,000 2 31,000 26 403,000 1,500 174 1,674
PERBUP 21 TAHUN 2023 KPPS 5,500 - - - - - - - - - - - - - - -
Karcis IGD 15,500 - - - - - - - - - - - - - 403,000 -
Karcis IGD 15,500 99 2,500 - - 500 500 380 5,890,000 - 380 5,890,000 2,000 120 2,120
PERBUP 21 TAHUN 2023 KPPS 5,500 - - - - - - - - - - - - 275,000 -
Karcis IGD 15,500 3,000 3,000 500 500 - - 44 682,000 44 682,000 2,500 456 2,956 6,572,000 -
Karcis Rawat Jalan 10,500 1,889 9,300 - - 9,300 9,300 3,342 35,091,000 - 3,342 35,091,000 - 5,869 5,869
Karcis IGD 15,500 298 300 - - 300 300 105 1,627,500 - 105 1,627,500 - 195 195
Karcis IGD 15,500 300 300 300 300 - - 22 341,000 22 341,000 - 278 278 1,968,500 -
REALISASI
SISA BELUM
Karcis Rawat Jalan 10,500 690 600 3,000 3,000 3,600 3,600 3,333 34,996,500 - 3,333 34,996,500 - 267 267
Karcis IGD 15,500 204 100 500 500 600 600 226 3,503,000 - 226 3,503,000 - 374 374
Karcis IGD 15,500 - 300 300 - 100 100 - - 13 201,500 13 201,500 200 87 287 3,704,500 -
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 12 300 - - 300 300 87 1,348,500 - 87 1,348,500 - 213 213
Parkir 1,000 4,138 3,000 - - 3,000 3,000 2,032 2,032,000 - 2,032 2,032,000 - 968 968
KPPS 5,500 - - - - - - - - - - - - - - -
Karcis IGD 15,500 100 100 100 100 - - 17 263,500 17 263,500 - 83 83 1,612,000 -
Parkir 1,000 3,000 3,000 3,000 3,000 - - 354 354,000 354 354,000 - 2,646 2,646 2,386,000 -
10 PUSKESMAS MRANTI
Karcis Rawat Jalan 10,500 286 3,000 2,500 2,500 5,500 5,500 5,047 52,993,500 - 5,047 52,993,500 - 372 372
Parkir 1,000 - 3,000 4,500 4,500 7,500 7,500 7,500 7,500,000 - 7,500 7,500,000 - - -
Karcis Rawat Jalan 10,500 3,000 3,000 3,000 3,000 349 3,664,500 973 10,216,500 1,322 13,881,000 - 1,678 1,678 66,874,500 -
Parkir 1,000 3,000 3,000 3,000 3,000 674 674,000 1,563 1,563,000 2,237 2,237,000 - 763 763 9,737,000 -
11 PUSKESMAS BAYAN
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 86 900 - - 600 600 6 93,000 - 6 93,000 300 594 894
Parkir 1,000 4,870 7,500 - - 7,500 7,500 2,090 2,090,000 - 2,090 2,090,000 - 5,410 5,410
KPPS 5,500 - - - - - - - - - - - - - - -
Karcis IGD 15,500 300 300 100 100 - - - - - - 200 100 300 93,000 -
Parkir 1,000 1,000 1,000 1,000 1,000 - - 260 260,000 260 260,000 - 740 740 2,350,000 -
Karcis IGD 15,500 48 100 - - 100 100 26 403,000 - 26 403,000 - 74 74
Karcis IGD 15,500 100 100 100 100 - - 1 15,500 1 15,500 - 99 99 418,500 -
Karcis Rawat Jalan 10,500 803 6,500 - - 4,500 4,500 1,840 19,320,000 - 1,840 19,320,000 2,000 2,575 4,575
Karcis IGD 15,500 342 1,000 - - 500 500 311 4,820,500 - 311 4,820,500 500 189 689
Karcis IGD 15,500 3,000 3,000 200 200 - - 73 1,131,500 73 1,131,500 2,800 127 2,927 5,952,000 -
KPPS 5,500 - - - - 127 698,500 - 127 698,500 - - -
Karcis IGD 15,500 495 200 - - 200 200 190 2,945,000 - 190 2,945,000 - 10 10
Parkir 1,000 1,105 2,800 - - 2,800 2,800 1,555 1,555,000 - 1,555 1,555,000 - 1,245 1,245
KPPS 5,500 - - - - - - - - - - - - 698,500 -
Karcis IGD 15,500 300 300 300 300 - - 33 511,500 33 511,500 - 267 267 3,456,500 -
Parkir 1,000 2,000 2,000 1,500 1,500 - - 330 330,000 330 330,000 500 1,170 1,670 1,885,000 -
Karcis Rawat Jalan+jamk 10,500 708 9,000 - - 4,000 4,000 3,069 32,224,500 - 3,069 32,224,500 5,000 850 5,850
KPPS 5,500 - - - - 81 445,500 - 81 445,500 - - -
Karcis IGD 15,500 859 3,000 - - 1,000 1,000 89 1,379,500 - 89 1,379,500 2,000 911 2,911
Parkir 1,000 143 12,000 - - 6,000 6,000 5,601 5,601,000 - 5,601 5,601,000 6,000 399 6,399
Karcis Rawat Jalan+jamk 10,500 6,000 6,000 2,000 2,000 - - 593 6,226,500 593 6,226,500 4,000 1,407 5,407 38,451,000 -
KPPS 5,500 - - - - - - - - - - - - - 445,500 -
Karcis IGD 15,500 600 600 300 300 - - 7 108,500 7 108,500 300 293 593 1,488,000 -
REALISASI
SISA BELUM
PERBUP 21 TAHUN 2023 USUL HAPUS PERSEDIAAN s/d Bulan Lalu Bulan Ini s/d Bulan Ini s/d Bulan Lalu Bulan Ini s/d Bulan Ini KARCIS RUPIAH KARCIS RUPIAH KARCIS RUPIAH PERFORASI PERPORASI PERSEDIAAN
Parkir 1,000 5,700 5,700 4,000 4,000 - - 1,021 1,021,000 1,021 1,021,000 1,700 2,979 4,679 6,622,000 -
REALISASI
SISA BELUM
16 PUSKESMAS WIRUN
Karcis Rawat Jalan 10,500 3,000 - - 3,000 3,000 1,948 20,454,000 - 1,948 20,454,000 - 998 998
Karcis IGD 15,500 - 300 - - 300 300 21 325,500 - 21 325,500 - 279 279
Karcis IGD 15,500 300 300 100 100 - - 2 31,000 2 31,000 200 98 298 356,500 -
17 PUSKESMAS BUTUH
KPPS 5,500 - - - - - - - - - - - -
PERBUP 35 TAHUN 2019 Karcis IGD 15,500 237 500 - - 500 500 219 3,394,500 - 219 3,394,500 - 281 281
Parkir R2 1,000 - 4,200 - - 4,200 4,200 3,391 3,391,000 - 3,391 3,391,000 - 809 809
Parkir R4 2,000 100 100 - - 100 100 2 4,000 - 2 4,000 - 98 98
KPPS 5,500 - - - - - - - - - - - - - - -
PERBUP 21 TAHUN 2023 Karcis IGD 15,500 500 500 200 200 - - 30 465,000 30 465,000 300 170 470 3,859,500 -
Parkir R2 1,000 4,200 4,200 2,400 2,400 - - 636 636,000 636 636,000 1,800 1,764 3,564 4,031,000 -
Parkir R4 2,000 100 100 100 100 - - - - - - 100 100 -
Karcis IGD 15,500 - - - - - - - - - - - - - -
PERBUP 21 TAHUN 2023 KPPS 5,500 - - - - - - - - - - -
Karcis IGD 15,500 - - - - - - - - - - -
Karcis Rawat Jalan 10,500 161 1,800 3,900 3,900 4,200 4,200 3,824 40,152,000 - 3,824 40,152,000 1,500 352 1,852
Karcis IGD 15,500 53 300 1,500 1,500 1,300 1,300 417 6,463,500 - 417 6,463,500 500 883 1,383
Karcis Rawat Jalan 10,500 3,000 3,000 2,500 2,500 - - 627 6,583,500 627 6,583,500 500 1,873 2,373 46,735,500 -
Karcis IGD 15,500 3,000 3,000 300 300 - - 64 992,000 64 992,000 2,700 236 2,936 7,455,500 -
Karcis IGD 15,500 174 100 - - 100 100 2 31,000 - 2 31,000 - 98 98
Karcis IGD 15,500 100 100 100 100 - - - - - - 100 100 31,000 -
21 PUSKESMAS KEMIRI
KPPS 5,500 - - - - 97 533,500 - 97 533,500 - - -
Karcis IGD 15,500 621 600 - - 600 600 198 3,069,000 - 198 3,069,000 - 402 402
Parkir 1,000 1,194 2,000 - - 2,000 2,000 2,000 2,000,000 - 2,000 2,000,000 - - -
KPPS 5,500 - - - - - - - - - - - - - 533,500 -
Karcis IGD 15,500 400 400 400 400 - - 42 651,000 42 651,000 - 358 358 3,720,000 -
Parkir 1,000 3,000 3,000 2,000 2,000 - - 431 431,000 431 431,000 1,000 1,569 2,569 2,431,000 -
22 PUSKESMAS WINONG
KPPS 5,500 - - - - 55 302,500 - 55 302,500 - - -
Karcis IGD 15,500 - 500 - - 500 500 65 1,007,500 - 65 1,007,500 - 435 435
Parkir 1,000 - - 2,100 2,100 2,100 2,100 1,342 1,342,000 - 1,342 1,342,000 - 758 758
KPPS 5,500 - - - - - - - - - - - - 302,500 -
Karcis IGD 15,500 100 100 100 100 - - 13 201,500 13 201,500 - 87 87 1,209,000 -
Parkir 1,000 3,000 3,000 3,000 3,000 - - 605 605,000 605 605,000 - 2,395 2,395 1,947,000 -
23 PUSKESMAS BRUNO
Karcis Rawat Jalan 10,500 2,931 3,000 3,000 3,000 6,000 6,000 2,786 29,253,000 - 2,786 29,253,000 - 3,137 3,137
KPPS 5,500 - - - - 77 423,500 - 77 423,500 - - -
Karcis IGD 15,500 291 400 - - 300 300 153 2,371,500 - 153 2,371,500 100 147 247
Parkir 1,000 308 3,000 9,000 9,000 12,000 12,000 5,600 5,600,000 - 5,600 5,600,000 - 6,400 6,400

REALISASI
SISA BELUM
KPPS 5,500 - - - - - - - - - - - - 423,500 -

Karcis IGD 15,500 100 100 100 100 - - 30 465,000 30 465,000 - 70 70 2,836,500 -
Parkir 1,000 6,000 6,000 3,000 3,000 - - 609 609,000 609 609,000 3,000 2,391 5,391 6,209,000 -
24 PUSKESMAS GEBANG
Karcis IGD 15,500 255 2,200 - - 100 100 27 418,500 - 27 418,500 2,100 73 2,173
Karcis Rawat Jalan 10,500 2,500 2,500 2,000 2,000 - - 377 3,958,500 377 3,958,500 500 1,623 2,123 40,110,000 -
Karcis IGD 15,500 500 500 100 100 - - 4 62,000 4 62,000 400 96 496 480,500 -
25 PUSKESMAS LOANO
Karcis Rawat Jalan 10,500 762 11,400 - - 5,000 5,000 4,583 48,121,500 18 189,000 4,601 48,310,500 6,400 312 6,712
Karcis IGD 15,500 775 1,200 - - 400 400 266 4,123,000 - 266 4,123,000 800 134 934
Karcis IGD 15,500 600 600 300 300 - - 48 744,000 48 744,000 300 252 552 4,867,000 -
Karcis Rawat Jalan 10,500 600 6,000 - - 3,000 3,000 2,482 26,061,000 - 2,482 26,061,000 3,000 472 3,472
Karcis IGD 15,500 375 4,000 - - 2,000 2,000 204 3,162,000 - 204 3,162,000 2,000 1,796 3,796
Karcis IGD 15,500 300 300 300 300 - - 59 914,500 59 914,500 - 241 241 4,076,500 -
27 PUSKESMAS BENER
PERBUP 35 TAHUN 2019 KPPS 5,500 - - - - 288 1,584,000 - 288 1,584,000 - - -
Karcis IGD 15,500 - - - - - - - - - - - - - -
PERBUP 21 TAHUN 2023 KPPS 5,500 - - - - - - - - - - 1,584,000 -
Karcis IGD 15,500 - - - - - - - - - - -
KETERANGAN WARNA : Purworejo, 31 Agustus 2023

PERBUP LAMA KEPALA DINAS KESEHATAN
PERBUP BARU KABUPATEN PURWOREJO
KARCIS KADAL
dr. SUDARMI, MM
Pembina Utama Muda
NIP. 19690220 200212 2 004
BULAN : AGUSTUS 2023
REALISASI
NO PUSKESMAS JENIS KARCIS TARIF SELISIH
SISA BELUM BULANAN
USUL HAPUS s/d Bulan Lalu Bulan Ini s/d Bulan Ini s/d Bulan Lalu Bulan Ini s/d Bulan Ini KARCIS RUPIAH KARCIS RUPIAH KARCIS RUPIAH PERPORASI PERSEDIAAN
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
1 PUSKESMAS GRABAG
KPPS 5,500 - - - - 148 814,000 - 148 814,000 - - -
Parkir R2 1,000 1,870 3,000 9,000 9,000 12,000 12,000 9,602 9,602,000 - 9,602 9,602,000 - 2,398 2,398
Parkir R4 2,000 1,038 2,500 - - 500 500 277 554,000 - 277 554,000 2,000 223 2,223
KPPS 5,500 - - - - - - - - - - - - - 814,000 -
PERBUP 21 TAHUN 2023 Karcis IGD 15,500 3,000 3,000 600 600 137 2,123,500 113 1,751,500 250 3,875,000 2,400 350 2,750 13,190,500 -
Parkir R2 1,000 3,000 3,000 3,000 3,000 1,485 1,485,000 1,243 1,243,000 2,728 2,728,000 - 272 272 13,370,000 -
Parkir R4 2,000 3,000 3,000 300 300 42 84,000 201 402,000 243 486,000 2,700 57 2,757 - -
2 PUSKESMAS NGOMBOL
Karcis IGD 15,500 1,471 600 600 600 1,200 1,200 915 14,182,500 - 915 14,182,500 - 285 285
Karcis IGD 15,500 300 500 800 300 500 800 162 2,511,000 183 2,836,500 345 5,347,500 - 455 455 19,530,000 -
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 70 600 - - 600 600 600 9,300,000 - 600 9,300,000 - - -
Parkir 1,000 837 6,000 - - 6,000 6,000 5,804 5,804,000 - 5,804 5,804,000 - 196 196
Karcis Rawat Jalan 10,500 1,500 1,500 1,500 1,500 396 4,158,000 392 4,116,000 788 8,274,000 - 712 712 37,663,500 -
KPPS 5,500 - - - - - - - - - - - - - -
Karcis IGD 15,500 300 100 400 300 100 400 115 1,782,500 110 1,705,000 225 3,487,500 - 175 175 12,787,500 -
Parkir 1,000 3,000 3,000 3,000 3,000 652 652,000 724 724,000 1,376 1,376,000 - 1,624 1,624 7,180,000 -
4 PUSKESMAS BUBUTAN
Karcis IGD 15,500 28 1,900 - - 200 200 194 3,007,000 - 194 3,007,000 1,700 6 1,706
Karcis Rawat Jalan 10,500 5,000 5,000 3,000 - 3,000 552 5,796,000 536 5,628,000 1,088 11,424,000 2,000 1,912 3,912 47,229,000 -
Karcis IGD 15,500 1,000 1,000 200 200 26 403,000 36 558,000 62 961,000 800 138 938 3,968,000 -
5 PUSKESMAS BAGELEN
Karcis IGD 15,500 74 1,700 - - 200 200 26 403,000 - 26 403,000 1,500 174 1,674
Karcis Rawat Jalan 10,500 3,000 3,000 1,500 1,500 302 3,171,000 396 4,158,000 698 7,329,000 1,500 802 2,302 31,468,500 -
PERBUP 21 TAHUN 2023 KPPS 5,500 - - - - - - - - - - - - - -
Karcis IGD 15,500 - 1,000 1,000 - 100 100 - - 1 15,500 1 15,500 900 99 999 418,500 -
Karcis IGD 15,500 99 2,500 - - 500 500 380 5,890,000 - 380 5,890,000 2,000 120 2,120
Karcis Rawat Jalan 10,500 3,000 3,000 2,000 2,000 403 4,231,500 451 4,735,500 854 8,967,000 1,000 1,146 2,146 38,535,000 -
Karcis IGD 15,500 3,000 3,000 500 500 44 682,000 47 728,500 91 1,410,500 2,500 409 2,909 7,300,500 -
Karcis IGD 15,500 298 300 - - 300 300 105 1,627,500 - 105 1,627,500 - 195 195
Karcis IGD 15,500 300 300 300 300 22 341,000 39 604,500 61 945,500 - 239 239 2,573,000 -
REALISASI
SISA BELUM BULANAN
Karcis IGD 15,500 204 100 500 500 600 600 226 3,503,000 - 226 3,503,000 - 374 374
Karcis Rawat Jalan 10,500 3,600 3,600 2,500 2,500 574 6,027,000 555 5,827,500 1,129 11,854,500 1,100 1,371 2,471 46,851,000 -
Karcis IGD 15,500 300 300 100 100 13 201,500 13 201,500 26 403,000 200 74 274 3,906,000 -
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 12 300 - - 300 300 87 1,348,500 - 87 1,348,500 - 213 213
Parkir 1,000 4,138 3,000 - - 3,000 3,000 2,032 2,032,000 - 2,032 2,032,000 - 968 968
KPPS 5,500 - - - - - - - - - - - - - - -
Karcis IGD 15,500 100 100 100 100 17 263,500 13 201,500 30 465,000 - 70 70 1,813,500 -
Parkir 1,000 3,000 3,000 3,000 3,000 354 354,000 436 436,000 790 790,000 - 2,210 2,210 2,822,000 -
10 PUSKESMAS MRANTI
Parkir 1,000 - 3,000 4,500 4,500 7,500 7,500 7,500 7,500,000 - 7,500 7,500,000 - - -
Karcis Rawat Jalan 10,500 3,000 3,000 3,000 3,000 1,322 13,881,000 957 10,048,500 2,279 23,929,500 - 721 721 76,923,000 -
Parkir 1,000 3,000 6,000 9,000 3,000 6,000 9,000 2,237 2,237,000 1,650 1,650,000 3,887 3,887,000 - 5,113 5,113 11,387,000 -
11 PUSKESMAS BAYAN
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 86 900 - - 600 600 6 93,000 - 6 93,000 300 594 894
Parkir 1,000 4,870 7,500 - - 7,500 7,500 2,090 2,090,000 - 2,090 2,090,000 - 5,410 5,410
KPPS 5,500 - - - - - - - - - - - - - -
Karcis IGD 15,500 300 300 100 100 - - 5 77,500 5 77,500 200 95 295 170,500 -
Parkir 1,000 1,000 1,000 1,000 1,000 260 260,000 370 370,000 630 630,000 - 370 370 2,720,000 -
Karcis IGD 15,500 48 100 - - 100 100 26 403,000 - 26 403,000 - 74 74
Karcis IGD 15,500 100 100 100 100 1 15,500 7 108,500 8 124,000 - 92 92 527,000 -
Karcis IGD 15,500 342 1,000 - - 500 500 311 4,820,500 - 311 4,820,500 500 189 689
Karcis Rawat Jalan 10,500 6,000 6,000 1,500 1,500 366 3,843,000 330 3,465,000 696 7,308,000 4,500 804 5,304 26,628,000 -
Karcis IGD 15,500 3,000 3,000 200 200 73 1,131,500 37 573,500 110 1,705,000 2,800 90 2,890 6,525,500 -
KPPS 5,500 - - - - 127 698,500 - 127 698,500 - - -
Karcis IGD 15,500 495 200 - - 200 200 190 2,945,000 - 190 2,945,000 - 10 10
Parkir 1,000 1,105 2,800 - - 2,800 2,800 1,555 1,555,000 - 1,555 1,555,000 - 1,245 1,245
KPPS 5,500 - - - - - - - - - - - - - 698,500 -
Karcis IGD 15,500 300 300 300 300 33 511,500 42 651,000 75 1,162,500 - 225 225 4,107,500 -
Parkir 1,000 2,000 2,000 1,500 1,500 330 330,000 320 320,000 650 650,000 500 850 1,350 2,205,000 -
KPPS 5,500 - - - - 81 445,500 - 81 445,500 - - -
Karcis IGD 15,500 859 3,000 - - 1,000 1,000 89 1,379,500 - 89 1,379,500 2,000 911 2,911
Parkir 1,000 143 12,000 - - 6,000 6,000 5,601 5,601,000 - 5,601 5,601,000 6,000 399 6,399
Karcis Rawat Jalan+jamk 10,500 6,000 6,000 2,000 2,000 593 6,226,500 543 5,701,500 1,136 11,928,000 4,000 864 4,864 44,152,500 -
KPPS 5,500 - - - - - - - - - - - - 445,500 -
Karcis IGD 15,500 600 600 300 300 7 108,500 8 124,000 15 232,500 300 285 585 1,612,000 -
Parkir 1,000 5,700 5,700 4,000 4,000 1,021 1,021,000 1,011 1,011,000 2,032 2,032,000 1,700 1,968 3,668 7,633,000 -
REALISASI
SISA BELUM BULANAN
16 PUSKESMAS WIRUN
Karcis IGD 15,500 - 300 - - 300 300 21 325,500 - 21 325,500 - 279 279
Karcis IGD 15,500 300 300 100 100 2 31,000 2 31,000 4 62,000 200 96 296 387,500 -
17 PUSKESMAS BUTUH
KPPS 5,500 - - - - - - - - - - - -
Parkir R2 1,000 - 4,200 - - 4,200 4,200 3,391 3,391,000 - 3,391 3,391,000 - 809 809
Parkir R4 2,000 100 100 - - 100 100 2 4,000 - 2 4,000 - 98 98
KPPS 5,500 - - - - - - - - - - - - - -
PERBUP 21 TAHUN 2023 Karcis IGD 15,500 500 500 200 200 30 465,000 29 449,500 59 914,500 300 141 441 4,309,000 -
Parkir R2 1,000 4,200 4,200 2,400 2,400 636 636,000 625 625,000 1,261 1,261,000 1,800 1,139 2,939 4,680,000 -
Parkir R4 2,000 100 100 100 100 - - 12 24,000 12 24,000 - 88 88 - -
Karcis IGD 15,500 - - - - - - - - - - - - - -
Karcis Rawat Jalan 10,500 3,000 3,000 2,000 2,000 540 5,670,000 606 6,363,000 1,146 12,033,000 1,000 854 1,854 45,491,000 -
Karcis IGD 15,500 - - - - - - - - - - - -
Karcis IGD 15,500 53 300 1,500 1,500 1,300 1,300 417 6,463,500 - 417 6,463,500 500 883 1,383
Karcis Rawat Jalan 10,500 3,000 3,000 2,500 2,500 627 6,583,500 596 6,258,000 1,223 12,841,500 500 1,277 1,777 52,993,500 -
Karcis IGD 15,500 3,000 3,000 300 300 64 992,000 88 1,364,000 152 2,356,000 2,700 148 2,848 8,819,500 -
Karcis IGD 15,500 174 100 - - 100 100 2 31,000 - 2 31,000 - 98 98
Karcis Rawat Jalan 10,500 3,000 3,000 3,000 3,000 488 5,124,000 510 5,355,000 998 10,479,000 - 2,002 2,002 42,231,000 -
Karcis IGD 15,500 100 100 100 100 - - 1 15,500 1 15,500 - 99 99 46,500 -
21 PUSKESMAS KEMIRI
KPPS 5,500 - - - - 97 533,500 - 97 533,500 - - -
Karcis IGD 15,500 621 600 - - 600 600 198 3,069,000 - 198 3,069,000 - 402 402
Parkir 1,000 1,194 2,000 - - 2,000 2,000 2,000 2,000,000 - 2,000 2,000,000 - - -
KPPS 5,500 - - - - - - - - - - - - - 533,500 -
Karcis IGD 15,500 400 400 400 400 42 651,000 41 635,500 83 1,286,500 - 317 317 4,355,500 -
Parkir 1,000 3,000 3,000 2,000 2,000 431 431,000 419 419,000 850 850,000 1,000 1,150 2,150 2,850,000 -
22 PUSKESMAS WINONG
KPPS 5,500 - - - - 55 302,500 - 55 302,500 - - -
Karcis IGD 15,500 - 500 - - 500 500 65 1,007,500 - 65 1,007,500 - 435 435
Parkir 1,000 - - 2,100 2,100 2,100 2,100 1,342 1,342,000 - 1,342 1,342,000 - 758 758
KPPS 5,500 - - - - - - - - - - - - 302,500 -
Karcis IGD 15,500 100 100 100 100 13 201,500 10 155,000 23 356,500 - 77 77 1,364,000 -
Parkir 1,000 3,000 3,000 3,000 3,000 605 605,000 600 600,000 1,205 1,205,000 - 1,795 1,795 2,547,000 -
23 PUSKESMAS BRUNO
KPPS 5,500 - - - - 77 423,500 - 77 423,500 - - -
Karcis IGD 15,500 291 400 - - 300 300 153 2,371,500 - 153 2,371,500 100 147 247
Parkir 1,000 308 3,000 9,000 9,000 12,000 12,000 5,600 5,600,000 - 5,600 5,600,000 - 6,400 6,400
KPPS 5,500 - - - - - - - - - - - - 423,500 -
Karcis IGD 15,500 100 100 100 100 30 465,000 16 248,000 46 713,000 - 54 54 3,084,500 -
REALISASI
SISA BELUM BULANAN
PERBUP 21 TAHUN 2023 USUL HAPUS s/d Bulan Lalu Bulan Ini s/d Bulan Ini s/d Bulan Lalu Bulan Ini s/d Bulan Ini KARCIS RUPIAH KARCIS RUPIAH KARCIS RUPIAH PERPORASI PERSEDIAAN
Parkir 1,000 6,000 6,000 3,000 3,000 609 609,000 772 772,000 1,381 1,381,000 3,000 1,619 4,619 6,981,000 -
24 PUSKESMAS GEBANG
Karcis IGD 15,500 255 2,200 - - 100 100 27 418,500 - 27 418,500 2,100 73 2,173
Karcis Rawat Jalan 10,500 2,500 2,500 2,000 2,000 377 3,958,500 581 6,100,500 958 10,059,000 500 1,042 1,542 46,210,500 -
Karcis IGD 15,500 500 500 100 100 4 62,000 1 15,500 5 77,500 400 95 495 496,000 -
25 PUSKESMAS LOANO
Karcis IGD 15,500 775 1,200 - - 400 400 266 4,123,000 - 266 4,123,000 800 134 934
Karcis IGD 15,500 600 600 300 300 48 744,000 46 713,000 94 1,457,000 300 206 506 5,580,000 -
Karcis IGD 15,500 375 4,000 - - 2,000 2,000 204 3,162,000 - 204 3,162,000 2,000 1,796 3,796
Karcis Rawat Jalan 10,500 3,000 3,000 3,000 3,000 424 4,452,000 397 4,168,500 821 8,620,500 - 2,179 2,179 34,681,500 -
Karcis IGD 15,500 300 300 300 300 59 914,500 58 899,000 117 1,813,500 - 183 183 4,975,500 -
27 PUSKESMAS BENER
Karcis IGD 15,500 - - - - - - - - - - - - - -
Karcis IGD 15,500 - - - - - - - - - - - -
KETERANGAN WARNA : Purworejo, 31 Agustus 2023

KARCIS KADAL
dr. SUDARMI, MM
Pembina Utama Muda
NIP. 19690220 200212 2 004
BULAN : SEPTEMBER 2023
REALISASI
USUL SISA s/d Bulan s/d Bulan s/d Bulan BELUM BULANAN
Bulan Ini Bulan Ini s/d Bulan Ini KARCIS RUPIAH KARCIS RUPIAH KARCIS RUPIAH PERPORASI PERSEDIAAN
HAPUS PERSEDIAAN Lalu Ini Lalu PERFORASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
1 PUSKESMAS GRABAG
KPPS 5,500 - - - - 148 814,000 - 148 814,000 - - -
Parkir R2 1,000 1,870 3,000 9,000 9,000 12,000 12,000 9,602 9,602,000 - 9,602 9,602,000 - 2,398 2,398
Parkir R4 2,000 1,038 2,500 - - 500 500 277 554,000 - 277 554,000 2,000 223 2,223
KPPS 5,500 - - - - - - - - - - - - 814,000 -
Parkir R2 1,000 3,000 6,000 9,000 3,000 6,000 9,000 2,728 2,728,000 1,462 1,462,000 4,190 4,190,000 - 4,810 4,810 15,020,000 -
Parkir R4 2,000 3,000 3,000 300 300 600 243 486,000 94 188,000 337 674,000 2,400 263 2,663 - -
2 PUSKESMAS NGOMBOL
Karcis IGD 15,500 1,471 600 600 600 1,200 1,200 915 14,182,500 - 915 14,182,500 - 285 285
Karcis Rawat Jalan 10,500 4,000 4,000 4,000 4,000 1,583 16,621,500 783 8,221,500 2,366 24,843,000 - 1,634 1,634 73,846,500 -
Karcis IGD 15,500 800 800 800 800 345 5,347,500 134 2,077,000 479 7,424,500 - 321 321 21,607,000 -
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 70 600 - - 600 600 600 9,300,000 - 600 9,300,000 - - -
Parkir 1,000 837 6,000 - - 6,000 6,000 5,804 5,804,000 - 5,804 5,804,000 - 196 196
Karcis Rawat Jalan 10,500 1,500 1,500 1,500 1,500 788 8,274,000 550 5,775,000 1,338 14,049,000 - 162 162 43,438,500 -
KPPS 5,500 - - - - - - - - - - - - - - -
Karcis IGD 15,500 400 400 400 400 225 3,487,500 107 1,658,500 332 5,146,000 - 68 68 14,446,000 -
Parkir 1,000 3,000 3,000 3,000 3,000 1,376 1,376,000 816 816,000 2,192 2,192,000 - 808 808 7,996,000 -
4 PUSKESMAS BUBUTAN
Karcis IGD 15,500 28 1,900 - - 200 200 194 3,007,000 - 194 3,007,000 1,700 6 1,706
Karcis Rawat Jalan 10,500 5,000 - 5,000 3,000 2,000 5,000 1,088 11,424,000 575 6,037,500 1,663 17,461,500 - 3,337 3,337 53,266,500 -
Karcis IGD 15,500 1,000 1,000 200 200 62 961,000 37 573,500 99 1,534,500 800 101 901 4,541,500 -
5 PUSKESMAS BAGELEN
Karcis IGD 15,500 74 1,700 - - 200 200 26 403,000 - 26 403,000 1,500 174 1,674
Karcis IGD 15,500 1,000 1,000 100 100 1 15,500 6 93,000 7 108,500 900 93 993 511,500 -
Karcis IGD 15,500 99 2,500 - - 500 500 380 5,890,000 - 380 5,890,000 2,000 120 2,120
Karcis IGD 15,500 3,000 3,000 500 500 91 1,410,500 55 852,500 146 2,263,000 2,500 354 2,854 8,153,000 -
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
Karcis IGD 15,500 298 300 - - 300 300 105 1,627,500 - 105 1,627,500 - 195 195
Karcis IGD 15,500 300 300 300 300 61 945,500 26 403,000 87 1,348,500 - 213 213 2,976,000 -
Karcis IGD 15,500 204 100 500 500 600 600 226 3,503,000 - 226 3,503,000 - 374 374
Karcis Rawat Jalan 10,500 3,600 3,600 2,500 2,500 1,129 11,854,500 682 7,161,000 1,811 19,015,500 1,100 689 1,789 54,012,000 -
PERBUP 21 TAHUN 2023 KPPS 5,500 - - - - - - - - - - - - -
Karcis IGD 15,500 300 300 100 100 26 403,000 36 558,000 62 961,000 200 38 238 4,464,000 -
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 12 300 - - 300 300 87 1,348,500 - 87 1,348,500 - 213 213
Parkir 1,000 4,138 3,000 - - 3,000 3,000 2,032 2,032,000 - 2,032 2,032,000 - 968 968
KPPS 5,500 - - - - - - - - - - - - - - -
Karcis IGD 15,500 100 100 100 100 30 465,000 10 155,000 40 620,000 - 60 60 1,968,500 -
Parkir 1,000 3,000 3,000 3,000 3,000 790 790,000 448 448,000 1,238 1,238,000 - 1,762 1,762 3,270,000 -
10 PUSKESMAS MRANTI
Parkir 1,000 - 3,000 4,500 4,500 7,500 7,500 7,500 7,500,000 - 7,500 7,500,000 - - -
Karcis Rawat Jalan 10,500 3,000 3,000 6,000 3,000 3,000 6,000 2,279 23,929,500 979 10,279,500 3,258 34,209,000 - 2,742 2,742 87,202,500 -
Parkir 1,000 9,000 9,000 9,000 9,000 3,887 3,887,000 1,716 1,716,000 5,603 5,603,000 - 3,397 3,397 13,103,000 -
11 PUSKESMAS BAYAN
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 86 900 - - 600 600 6 93,000 - 6 93,000 300 594 894
Parkir 1,000 4,870 7,500 - - 7,500 7,500 2,090 2,090,000 - 2,090 2,090,000 - 5,410 5,410
Karcis Rawat Jalan 10,500 5,400 5,400 3,200 2,200 5,400 1,539 16,159,500 816 8,568,000 2,355 24,727,500 - 3,045 3,045 77,017,500 -
KPPS 5,500 - - - - - - - - - - - - - -
Karcis IGD 15,500 300 300 100 200 300 5 77,500 - - 5 77,500 - 295 295 170,500 -
Parkir 1,000 1,000 1,200 2,200 1,000 1,200 2,200 630 630,000 500 500,000 1,130 1,130,000 - 1,070 1,070 3,220,000 -
Karcis IGD 15,500 48 100 - - 100 100 26 403,000 - 26 403,000 - 74 74
Karcis Rawat Jalan 10,500 6,000 6,000 4,000 4,000 1,363 14,311,500 659 6,919,500 2,022 21,231,000 2,000 1,978 3,978 65,310,000 -
Karcis IGD 15,500 100 100 100 100 8 124,000 6 93,000 14 217,000 - 86 86 620,000 -
Karcis IGD 15,500 342 1,000 - - 500 500 311 4,820,500 - 311 4,820,500 500 189 689
Karcis IGD 15,500 3,000 3,000 200 200 110 1,705,000 51 790,500 161 2,495,500 2,800 39 2,839 7,316,000 -
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
KPPS 5,500 - - - - 127 698,500 - 127 698,500 - - -
Karcis IGD 15,500 495 200 - - 200 200 190 2,945,000 - 190 2,945,000 - 10 10
Parkir 1,000 1,105 2,800 - - 2,800 2,800 1,555 1,555,000 - 1,555 1,555,000 - 1,245 1,245
KPPS 5,500 - - - - - - - - - - - - 698,500 -
Karcis IGD 15,500 300 300 300 300 75 1,162,500 32 496,000 107 1,658,500 - 193 193 4,603,500 -
Parkir 1,000 2,000 2,000 1,500 1,500 650 650,000 350 350,000 1,000 1,000,000 500 500 1,000 2,555,000 -
KPPS 5,500 - - - - 81 445,500 - 81 445,500 - - -
Karcis IGD 15,500 859 3,000 - - 1,000 1,000 89 1,379,500 - 89 1,379,500 2,000 911 2,911
Parkir 1,000 143 12,000 - - 6,000 6,000 5,601 5,601,000 - 5,601 5,601,000 6,000 399 6,399
Karcis Rawat Jalan+jamk 10,500 6,000 6,000 2,000 2,000 4,000 1,136 11,928,000 520 5,460,000 1,656 17,388,000 2,000 2,344 4,344 49,612,500 -
KPPS 5,500 - - - - - - - - - - - - - 445,500 -
Karcis IGD 15,500 600 600 300 300 600 15 232,500 12 186,000 27 418,500 - 573 573 1,798,000 -
Parkir 1,000 5,700 5,700 4,000 1,700 5,700 2,032 2,032,000 1,068 1,068,000 3,100 3,100,000 - 2,600 2,600 8,701,000 -
16 PUSKESMAS WIRUN
Karcis IGD 15,500 - 300 - - 300 300 21 325,500 - 21 325,500 - 279 279
Karcis IGD 15,500 300 300 100 100 4 62,000 1 15,500 5 77,500 200 95 295 403,000 -
17 PUSKESMAS BUTUH
KPPS 5,500 - - - - - - - - - - - -
Parkir R2 1,000 - 4,200 - - 4,200 4,200 3,391 3,391,000 - 3,391 3,391,000 - 809 809
Parkir R4 2,000 100 100 - - 100 100 2 4,000 - 2 4,000 - 98 98
KPPS 5,500 - - - - - - - - - - - - - -
PERBUP 21 TAHUN 2023 Karcis IGD 15,500 500 500 200 200 59 914,500 19 294,500 78 1,209,000 300 122 422 4,603,500 -
Parkir R2 1,000 4,200 4,200 2,400 2,400 1,261 1,261,000 604 604,000 1,865 1,865,000 1,800 535 2,335 5,302,000 -
Parkir R4 2,000 100 100 100 100 12 24,000 9 18,000 21 42,000 - 79 79 - -
Karcis IGD 15,500 - - - - - - - - - - - - - -
Karcis IGD 15,500 - - - - - - - - - - - -
Karcis IGD 15,500 53 300 1,500 1,500 1,300 1,300 417 6,463,500 - 417 6,463,500 500 883 1,383
Karcis Rawat Jalan 10,500 3,000 3,000 2,500 2,500 1,223 12,841,500 512 5,376,000 1,735 18,217,500 500 765 1,265 58,369,500 -
Karcis IGD 15,500 3,000 3,000 300 300 152 2,356,000 48 744,000 200 3,100,000 2,700 100 2,800 9,563,500 -
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
Karcis IGD 15,500 174 100 - - 100 100 2 31,000 - 2 31,000 - 98 98
Karcis IGD 15,500 100 100 100 100 1 15,500 - 1 15,500 - 99 99 46,500 -
21 PUSKESMAS KEMIRI
KPPS 5,500 - - - - 97 533,500 - 97 533,500 - - -
Karcis IGD 15,500 621 600 - - 600 600 198 3,069,000 - 198 3,069,000 - 402 402
Parkir 1,000 1,194 2,000 - - 2,000 2,000 2,000 2,000,000 - 2,000 2,000,000 - - -
KPPS 5,500 - - - - - - - - - - - - 533,500 -
Karcis IGD 15,500 400 400 400 400 83 1,286,500 36 558,000 119 1,844,500 - 281 281 4,913,500 -
Parkir 1,000 3,000 3,000 2,000 2,000 850 850,000 390 390,000 1,240 1,240,000 1,000 760 1,760 3,240,000 -
22 PUSKESMAS WINONG
KPPS 5,500 - - - - 55 302,500 - 55 302,500 - - -
Karcis IGD 15,500 - 500 - - 500 500 65 1,007,500 - 65 1,007,500 - 435 435
Parkir 1,000 - - 2,100 2,100 2,100 2,100 1,342 1,342,000 - 1,342 1,342,000 - 758 758
KPPS 5,500 - - - - - - - - - - - - - 302,500 -
Karcis IGD 15,500 100 100 100 100 23 356,500 6 93,000 29 449,500 - 71 71 1,457,000 -
Parkir 1,000 3,000 3,000 3,000 3,000 1,205 1,205,000 610 610,000 1,815 1,815,000 - 1,185 1,185 3,157,000 -
23 PUSKESMAS BRUNO
KPPS 5,500 - - - - 77 423,500 - 77 423,500 - - -
Karcis IGD 15,500 291 400 - - 300 300 153 2,371,500 - 153 2,371,500 100 147 247
Parkir 1,000 308 3,000 9,000 9,000 12,000 12,000 5,600 5,600,000 - 5,600 5,600,000 - 6,400 6,400
KPPS 5,500 - - - - - - - - - - - - - 423,500 -
Karcis IGD 15,500 100 100 100 100 46 713,000 20 310,000 66 1,023,000 - 34 34 3,394,500 -
Parkir 1,000 6,000 6,000 3,000 3,000 1,381 1,381,000 707 707,000 2,088 2,088,000 3,000 912 3,912 7,688,000 -
24 PUSKESMAS GEBANG
Karcis IGD 15,500 255 2,200 - - 100 100 27 418,500 - 27 418,500 2,100 73 2,173
Karcis Rawat Jalan 10,500 2,500 2,500 2,000 500 2,500 958 10,059,000 530 5,565,000 1,488 15,624,000 - 1,012 1,012 51,775,500 -
Karcis IGD 15,500 500 500 100 100 5 77,500 7 108,500 12 186,000 400 88 488 604,500 -
25 PUSKESMAS LOANO
Karcis IGD 15,500 775 1,200 - - 400 400 266 4,123,000 - 266 4,123,000 800 134 934
Karcis IGD 15,500 600 600 300 300 94 1,457,000 34 527,000 128 1,984,000 300 172 472 6,107,000 -
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
Karcis IGD 15,500 375 4,000 - - 2,000 2,000 204 3,162,000 - 204 3,162,000 2,000 1,796 3,796
Karcis IGD 15,500 300 300 300 300 117 1,813,500 21 325,500 138 2,139,000 - 162 162 5,301,000 -
27 PUSKESMAS BENER
Karcis IGD 15,500 - - - - - - - - - - - - - -
Karcis IGD 15,500 - - - - - - - - - - - -
KETERANGAN WARNA : Purworejo, 29 September 2023

KARCIS KADAL
dr. SUDARMI, MM
Pembina Utama Muda
NIP. 19690220 200212 2 004
BULAN : OKTOBER 2023
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
1 PUSKESMAS GRABAG
KPPS 5,500 - - - - 148 814,000 - 148 814,000 - - -
Parkir R2 1,000 1,870 3,000 9,000 9,000 12,000 12,000 9,602 9,602,000 - 9,602 9,602,000 - 2,398 2,398
Parkir R4 2,000 1,038 2,500 - - 500 500 277 554,000 - 277 554,000 2,000 223 2,223
Karcis Rawat Jalan 10,500 3,000 3,000 6,000 3,000 2,300 5,300 2,159 22,669,500 876 9,198,000 3,035 31,867,500 700 2,265 2,965 83,086,500 -
KPPS 5,500 - - - - - - - - - - - - 814,000 -
PERBUP 21 TAHUN 2023 Karcis IGD 15,500 3,000 3,000 600 200 800 365 5,657,500 116 1,798,000 481 7,455,500 2,200 319 2,519 16,771,000 -
Parkir R2 1,000 9,000 6,000 15,000 9,000 9,000 4,190 4,190,000 1,618 1,618,000 5,808 5,808,000 6,000 3,192 9,192 16,744,000 -
Parkir R4 2,000 3,000 3,000 600 600 337 674,000 53 106,000 390 780,000 2,400 210 2,610 -
2 PUSKESMAS NGOMBOL
Karcis IGD 15,500 1,471 600 600 600 1,200 1,200 915 14,182,500 - 915 14,182,500 - 285 285
Karcis IGD 15,500 800 800 800 800 479 7,424,500 147 2,278,500 626 9,703,000 - 174 174 23,885,500 -
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 70 600 - - 600 600 600 9,300,000 - 600 9,300,000 - - -
Parkir 1,000 837 6,000 - - 6,000 6,000 5,804 5,804,000 - 5,804 5,804,000 - 196 196
KPPS 5,500 - - - - - - - - - - - - -
Karcis IGD 15,500 400 200 600 400 200 600 332 5,146,000 84 1,302,000 416 6,448,000 - 184 184 15,748,000 -
Parkir 1,000 3,000 3,000 6,000 3,000 3,000 6,000 2,192 2,192,000 873 873,000 3,065 3,065,000 - 2,935 2,935 8,869,000 -
4 PUSKESMAS BUBUTAN
Karcis IGD 15,500 28 1,900 - - 200 200 194 3,007,000 - 194 3,007,000 1,700 6 1,706
Karcis IGD 15,500 1,000 1,000 200 200 99 1,534,500 24 372,000 123 1,906,500 800 77 877 4,913,500 -
5 PUSKESMAS BAGELEN
Karcis IGD 15,500 74 1,700 - - 200 200 26 403,000 - 26 403,000 1,500 174 1,674
Karcis Rawat Jalan 10,500 3,000 3,000 1,500 600 2,100 1,041 10,930,500 397 4,168,500 1,438 15,099,000 900 662 1,562 39,238,500 -
Karcis IGD 15,500 1,000 1,000 100 100 7 108,500 4 62,000 11 170,500 900 89 989 573,500 -
Karcis IGD 15,500 99 2,500 - - 500 500 380 5,890,000 - 380 5,890,000 2,000 120 2,120
Karcis IGD 15,500 3,000 3,000 500 500 146 2,263,000 63 976,500 209 3,239,500 2,500 291 2,791 9,129,500 -
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
Karcis IGD 15,500 298 300 - - 300 300 105 1,627,500 - 105 1,627,500 - 195 195
Karcis IGD 15,500 300 300 300 300 87 1,348,500 32 496,000 119 1,844,500 - 181 181 3,472,000 -
Karcis IGD 15,500 204 100 500 500 600 600 226 3,503,000 - 226 3,503,000 - 374 374
Karcis IGD 15,500 300 300 100 200 300 62 961,000 18 279,000 80 1,240,000 - 220 220 4,743,000 -
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 12 300 - - 300 300 87 1,348,500 - 87 1,348,500 - 213 213
Parkir 1,000 4,138 3,000 - - 3,000 3,000 2,032 2,032,000 - 2,032 2,032,000 - 968 968
KPPS 5,500 - - - - - - - - - - - - - - -
Karcis IGD 15,500 100 100 100 - 100 40 620,000 20 310,000 60 930,000 - 40 40 2,278,500 -
Parkir 1,000 3,000 3,000 3,000 - 3,000 1,238 1,238,000 426 426,000 1,664 1,664,000 - 1,336 1,336 3,696,000 -
10 PUSKESMAS MRANTI
Parkir 1,000 - 3,000 4,500 4,500 7,500 7,500 7,500 7,500,000 - 7,500 7,500,000 - - -
Parkir 1,000 9,000 9,000 9,000 9,000 5,603 5,603,000 1,823 1,823,000 7,426 7,426,000 - 1,574 1,574 14,926,000 -
11 PUSKESMAS BAYAN
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 86 900 - - 600 600 6 93,000 - 6 93,000 300 594 894
Parkir 1,000 4,870 7,500 - - 7,500 7,500 2,090 2,090,000 - 2,090 2,090,000 - 5,410 5,410
KPPS 5,500 - - - - - - - - - - - - - -
Karcis IGD 15,500 300 300 300 300 5 77,500 3 46,500 8 124,000 - 292 292 217,000 -
Parkir 1,000 2,200 2,200 2,200 2,200 1,130 1,130,000 300 300,000 1,430 1,430,000 - 770 770 3,520,000 -
Karcis IGD 15,500 48 100 - - 100 100 26 403,000 - 26 403,000 - 74 74
Karcis IGD 15,500 100 100 100 100 14 217,000 2 31,000 16 248,000 - 84 84 651,000 -
Karcis IGD 15,500 342 1,000 - - 500 500 311 4,820,500 - 311 4,820,500 500 189 689
Karcis Rawat Jalan 10,500 6,000 6,000 1,500 1,500 3,000 1,064 11,172,000 339 3,559,500 1,403 14,731,500 3,000 1,597 4,597 34,051,500 -
Karcis IGD 15,500 3,000 3,000 200 200 400 161 2,495,500 23 356,500 184 2,852,000 2,600 216 2,816 7,672,500 -
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
KPPS 5,500 - - - - 127 698,500 - 127 698,500 - - -
Karcis IGD 15,500 495 200 - - 200 200 190 2,945,000 - 190 2,945,000 - 10 10
Parkir 1,000 1,105 2,800 - - 2,800 2,800 1,555 1,555,000 - 1,555 1,555,000 - 1,245 1,245
KPPS 5,500 - - - - - - - - - - - - 698,500 -
Karcis IGD 15,500 300 300 300 300 107 1,658,500 25 387,500 132 2,046,000 - 168 168 4,991,000 -
Parkir 1,000 2,000 2,000 1,500 1,500 1,000 1,000,000 330 330,000 1,330 1,330,000 500 170 670 2,885,000 -
KPPS 5,500 - - - - 81 445,500 - 81 445,500 - - -
Karcis IGD 15,500 859 3,000 - - 1,000 1,000 89 1,379,500 - 89 1,379,500 2,000 911 2,911
Parkir 1,000 143 12,000 - - 6,000 6,000 5,601 5,601,000 - 5,601 5,601,000 6,000 399 6,399
Karcis Rawat Jalan+jamk 10,500 6,000 6,000 4,000 4,000 1,656 17,388,000 526 5,523,000 2,182 22,911,000 2,000 1,818 3,818 55,135,500 -
KPPS 5,500 - - - - - - - - - - - - 445,500 -
Karcis IGD 15,500 600 600 600 600 27 418,500 16 248,000 43 666,500 - 557 557 2,046,000 -
Parkir 1,000 5,700 5,700 5,700 5,700 3,100 3,100,000 1,037 1,037,000 4,137 4,137,000 - 1,563 1,563 9,738,000 -
16 PUSKESMAS WIRUN
Karcis IGD 15,500 - 300 - - 300 300 21 325,500 - 21 325,500 - 279 279
Karcis IGD 15,500 300 300 100 100 5 77,500 1 15,500 6 93,000 200 94 294 418,500 -
17 PUSKESMAS BUTUH
KPPS 5,500 - - - - - - - - - - - -
Parkir R2 1,000 - 4,200 - - 4,200 4,200 3,391 3,391,000 - 3,391 3,391,000 - 809 809
Parkir R4 2,000 100 100 - - 100 100 2 4,000 - 2 4,000 - 98 98
Karcis Rawat Jalan 10,500 4,200 4,200 2,600 500 3,100 1,452 15,246,000 513 5,386,500 1,965 20,632,500 1,100 1,135 2,235 53,277,000 -
KPPS 5,500 - - - - - - - - - - - - - - -
PERBUP 21 TAHUN 2023 Karcis IGD 15,500 500 500 200 200 78 1,209,000 34 527,000 112 1,736,000 300 88 388 5,130,500 -
Parkir R2 1,000 4,200 4,200 2,400 1,000 3,400 1,865 1,865,000 732 732,000 2,597 2,597,000 800 803 1,603 6,072,000 -
Parkir R4 2,000 100 100 100 100 21 42,000 19 38,000 40 80,000 - 60 60 -
Karcis IGD 15,500 - - - - - - - - - - - - - -
Karcis IGD 15,500 - - - - - - - - - - -
Karcis IGD 15,500 53 300 1,500 1,500 1,300 1,300 417 6,463,500 - 417 6,463,500 500 883 1,383
Karcis Rawat Jalan 10,500 3,000 3,000 2,500 500 3,000 1,735 18,217,500 663 6,961,500 2,398 25,179,000 - 602 602 65,331,000 -
Karcis IGD 15,500 3,000 3,000 300 200 500 200 3,100,000 90 1,395,000 290 4,495,000 2,500 210 2,710 10,958,500 -
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
Karcis IGD 15,500 174 100 - - 100 100 2 31,000 - 2 31,000 - 98 98
Karcis IGD 15,500 100 100 100 100 1 15,500 1 15,500 2 31,000 - 98 98 62,000 -
21 PUSKESMAS KEMIRI
KPPS 5,500 - - - - 97 533,500 - 97 533,500 - - -
Karcis IGD 15,500 621 600 - - 600 600 198 3,069,000 - 198 3,069,000 - 402 402
Parkir 1,000 1,194 2,000 - - 2,000 2,000 2,000 2,000,000 - 2,000 2,000,000 - - -
KPPS 5,500 - - - - - - - - - - - - 533,500 -
Karcis IGD 15,500 400 400 400 400 119 1,844,500 45 697,500 164 2,542,000 - 236 236 5,611,000 -
Parkir 1,000 3,000 3,000 2,000 2,000 1,240 1,240,000 420 420,000 1,660 1,660,000 1,000 340 1,340 3,660,000 -
22 PUSKESMAS WINONG
KPPS 5,500 - - - - 55 302,500 - 55 302,500 - - -
Karcis IGD 15,500 - 500 - - 500 500 65 1,007,500 - 65 1,007,500 - 435 435
Parkir 1,000 - - 2,100 2,100 2,100 2,100 1,342 1,342,000 - 1,342 1,342,000 - 758 758
KPPS 5,500 - - - - - - - - - - - - - 302,500 -
Karcis IGD 15,500 100 100 100 100 29 449,500 8 124,000 37 573,500 - 63 63 1,581,000 -
Parkir 1,000 3,000 3,000 3,000 3,000 1,815 1,815,000 737 737,000 2,552 2,552,000 - 448 448 3,894,000 -
23 PUSKESMAS BRUNO
KPPS 5,500 - - - - 77 423,500 - 77 423,500 - - -
Karcis IGD 15,500 291 400 - - 300 300 153 2,371,500 - 153 2,371,500 100 147 247
Parkir 1,000 308 3,000 9,000 9,000 12,000 12,000 5,600 5,600,000 - 5,600 5,600,000 - 6,400 6,400
KPPS 5,500 - - - - - - - - - - - - 423,500 -
Karcis IGD 15,500 100 100 100 100 66 1,023,000 20 310,000 86 1,333,000 - 14 14 3,704,500 -
Parkir 1,000 6,000 6,000 3,000 3,000 2,088 2,088,000 896 896,000 2,984 2,984,000 3,000 16 3,016 8,584,000 -
24 PUSKESMAS GEBANG
Karcis IGD 15,500 255 2,200 - - 100 100 27 418,500 - 27 418,500 2,100 73 2,173
Karcis Rawat Jalan 10,500 2,500 2,000 4,500 2,500 800 3,300 1,488 15,624,000 533 5,596,500 2,021 21,220,500 1,200 1,279 2,479 57,372,000 -
Karcis IGD 15,500 500 500 100 100 12 186,000 3 46,500 15 232,500 400 85 485 651,000 -
25 PUSKESMAS LOANO
Karcis IGD 15,500 775 1,200 - - 400 400 266 4,123,000 - 266 4,123,000 800 134 934
Karcis IGD 15,500 600 600 300 300 128 1,984,000 45 697,500 173 2,681,500 300 127 427 6,804,500 -
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
Karcis IGD 15,500 375 4,000 - - 2,000 2,000 204 3,162,000 - 204 3,162,000 2,000 1,796 3,796
Karcis IGD 15,500 300 300 300 300 138 2,139,000 17 263,500 155 2,402,500 - 145 145 5,564,500 -
27 PUSKESMAS BENER
Karcis IGD 15,500 - - - - - - - - - - - - - -
Karcis IGD 15,500 - - - - - - - - - - -
KETERANGAN WARNA : Purworejo, 24 November 2023

KARCIS KADAL
dr. SUDARMI, MM
Pembina Utama Muda
NIP. 19690220 200212 2 004
BULAN : NOVEMBER 2023
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
1 PUSKESMAS GRABAG
KPPS 5,500 - - - - 148 814,000 - 148 814,000 - - -
Parkir R2 1,000 1,870 3,000 9,000 9,000 12,000 12,000 9,602 9,602,000 - 9,602 9,602,000 - 2,398 2,398
Parkir R4 2,000 1,038 2,500 - - 500 500 277 554,000 - 277 554,000 2,000 223 2,223
Karcis Rawat Jalan 10,500 6,000 6,000 5,300 5,300 3,035 31,867,500 821 8,620,500 3,856 40,488,000 700 1,444 2,144 91,707,000 -
KPPS 5,500 - - - - - - - - - - - - 814,000 -
Parkir R2 1,000 15,000 15,000 9,000 9,000 5,808 5,808,000 1,517 1,517,000 7,325 7,325,000 6,000 1,675 7,675 18,381,000 -
Parkir R4 2,000 3,000 3,000 600 600 390 780,000 60 120,000 450 900,000 2,400 150 2,550 -
2 PUSKESMAS NGOMBOL
Karcis IGD 15,500 1,471 600 600 600 1,200 1,200 915 14,182,500 - 915 14,182,500 - 285 285
Karcis IGD 15,500 800 200 1,000 800 200 1,000 626 9,703,000 181 2,805,500 807 12,508,500 - 193 193 26,691,000 -
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 70 600 - - 600 600 600 9,300,000 - 600 9,300,000 - - -
Parkir 1,000 837 6,000 - - 6,000 6,000 5,804 5,804,000 - 5,804 5,804,000 - 196 196
KPPS 5,500 - - - - - - - - - - - - - - -
Karcis IGD 15,500 600 600 600 600 416 6,448,000 107 1,658,500 523 8,106,500 - 77 77 17,406,500 -
Parkir 1,000 6,000 6,000 6,000 6,000 3,065 3,065,000 761 761,000 3,826 3,826,000 - 2,174 2,174 9,630,000 -
4 PUSKESMAS BUBUTAN
Karcis IGD 15,500 28 1,900 - - 200 200 194 3,007,000 - 194 3,007,000 1,700 6 1,706
Karcis IGD 15,500 1,000 1,000 200 200 123 1,906,500 33 511,500 156 2,418,000 800 44 844 5,425,000 -
5 PUSKESMAS BAGELEN
Karcis IGD 15,500 74 1,700 - - 200 200 26 403,000 - 26 403,000 1,500 174 1,674
Karcis Rawat Jalan 10,500 3,000 3,000 2,100 2,100 1,438 15,099,000 341 3,580,500 1,779 18,679,500 900 321 1,221 42,819,000 -
Karcis IGD 15,500 1,000 1,000 100 100 11 170,500 11 170,500 22 341,000 900 78 978 744,000 -
Karcis IGD 15,500 99 2,500 - - 500 500 380 5,890,000 - 380 5,890,000 2,000 120 2,120
Karcis IGD 15,500 3,000 3,000 500 500 209 3,239,500 51 790,500 260 4,030,000 2,500 240 2,740 9,920,000 -
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
Karcis IGD 15,500 298 300 - - 300 300 105 1,627,500 - 105 1,627,500 - 195 195
Karcis IGD 15,500 300 300 300 300 119 1,844,500 16 248,000 135 2,092,500 - 165 165 3,720,000 -
Karcis IGD 15,500 204 100 500 500 600 600 226 3,503,000 - 226 3,503,000 - 374 374
Karcis IGD 15,500 300 300 300 300 80 1,240,000 19 294,500 99 1,534,500 - 201 201 5,037,500 -
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 12 300 - - 300 300 87 1,348,500 - 87 1,348,500 - 213 213
Parkir 1,000 4,138 3,000 - - 3,000 3,000 2,032 2,032,000 - 2,032 2,032,000 - 968 968
KPPS 5,500 - - - - - - - - - - - - - -
Karcis IGD 15,500 100 100 100 100 60 930,000 6 93,000 66 1,023,000 - 34 34 2,371,500 -
Parkir 1,000 3,000 3,000 3,000 3,000 1,664 1,664,000 387 387,000 2,051 2,051,000 - 949 949 4,083,000 -
10 PUSKESMAS MRANTI
Parkir 1,000 - 3,000 4,500 4,500 7,500 7,500 7,500 7,500,000 - 7,500 7,500,000 - - -
Parkir 1,000 9,000 9,000 9,000 9,000 7,426 7,426,000 922 922,000 8,348 8,348,000 - 652 652 15,848,000 -
11 PUSKESMAS BAYAN
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 86 900 - - 600 600 6 93,000 - 6 93,000 300 594 894
Parkir 1,000 4,870 7,500 - - 7,500 7,500 2,090 2,090,000 - 2,090 2,090,000 - 5,410 5,410
KPPS 5,500 - - - - - - - - - - - - -
Karcis IGD 15,500 300 300 300 300 8 124,000 2 31,000 10 155,000 - 290 290 248,000 -
Parkir 1,000 2,200 2,200 2,200 2,200 1,430 1,430,000 250 250,000 1,680 1,680,000 - 520 520 3,770,000 -
Karcis IGD 15,500 48 100 - - 100 100 26 403,000 - 26 403,000 - 74 74
Karcis IGD 15,500 100 100 100 100 16 248,000 9 139,500 25 387,500 - 75 75 790,500 -
Karcis IGD 15,500 342 1,000 - - 500 500 311 4,820,500 - 311 4,820,500 500 189 689
Karcis IGD 15,500 3,000 3,000 400 400 184 2,852,000 10 155,000 194 3,007,000 2,600 206 2,806 7,827,500 -
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
KPPS 5,500 - - - - 127 698,500 - 127 698,500 - - -
Karcis IGD 15,500 495 200 - - 200 200 190 2,945,000 - 190 2,945,000 - 10 10
Parkir 1,000 1,105 2,800 - - 2,800 2,800 1,555 1,555,000 - 1,555 1,555,000 - 1,245 1,245
Karcis Rawat Jalan 10,500 4,000 4,000 3,000 1,000 4,000 2,389 25,084,500 621 6,520,500 3,010 31,605,000 - 990 990 68,974,500 -
KPPS 5,500 - - - - - - - - - - - - 698,500 -
Karcis IGD 15,500 300 300 300 - 300 132 2,046,000 27 418,500 159 2,464,500 - 141 141 5,409,500 -
Parkir 1,000 2,000 2,000 1,500 500 2,000 1,330 1,330,000 333 333,000 1,663 1,663,000 - 337 337 3,218,000 -
KPPS 5,500 - - - - 81 445,500 - 81 445,500 - - -
Karcis IGD 15,500 859 3,000 - - 1,000 1,000 89 1,379,500 - 89 1,379,500 2,000 911 2,911
Parkir 1,000 143 12,000 - - 6,000 6,000 5,601 5,601,000 - 5,601 5,601,000 6,000 399 6,399
Karcis Rawat Jalan+jamk 10,500 6,000 6,000 4,000 4,000 2,182 22,911,000 540 5,670,000 2,722 28,581,000 2,000 1,278 3,278 60,805,500 -
KPPS 5,500 - - - - - - - - - - - - 445,500 -
Karcis IGD 15,500 600 600 600 600 43 666,500 18 279,000 61 945,500 - 539 539 2,325,000 -
Parkir 1,000 5,700 5,700 5,700 5,700 4,137 4,137,000 991 991,000 5,128 5,128,000 - 572 572 10,729,000 -
16 PUSKESMAS WIRUN
Karcis IGD 15,500 - 300 - - 300 300 21 325,500 - 21 325,500 - 279 279
Karcis IGD 15,500 300 300 100 100 6 93,000 2 31,000 8 124,000 200 92 292 449,500 -
17 PUSKESMAS BUTUH
KPPS 5,500 - - - - - - - - - - - -
Parkir R2 1,000 - 4,200 - - 4,200 4,200 3,391 3,391,000 - 3,391 3,391,000 - 809 809
Parkir R4 2,000 100 100 - - 100 100 2 4,000 - 2 4,000 - 98 98
KPPS 5,500 - - - - - - - - - - - - -
PERBUP 21 TAHUN 2023 Karcis IGD 15,500 500 500 200 200 112 1,736,000 30 465,000 142 2,201,000 300 58 358 5,595,500 -
Parkir R2 1,000 4,200 4,200 3,400 500 3,900 2,597 2,597,000 610 610,000 3,207 3,207,000 300 693 993 6,702,000 -
Parkir R4 2,000 100 100 100 100 40 80,000 10 20,000 50 100,000 - 50 50 -
Karcis IGD 15,500 - - - - - - - - - - - - - -
Karcis IGD 15,500 - - - - - - - - - - -
Karcis IGD 15,500 53 300 1,500 1,500 1,300 1,300 417 6,463,500 - 417 6,463,500 500 883 1,383
Karcis Rawat Jalan 10,500 3,000 3,000 6,000 3,000 700 3,700 2,398 25,179,000 626 6,573,000 3,024 31,752,000 2,300 676 2,976 71,904,000 -
Karcis IGD 15,500 3,000 3,000 500 500 290 4,495,000 48 744,000 338 5,239,000 2,500 162 2,662 11,702,500 -
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
Karcis IGD 15,500 174 100 - - 100 100 2 31,000 - 2 31,000 - 98 98
Karcis IGD 15,500 100 100 100 100 2 31,000 1 15,500 3 46,500 - 97 97 77,500 -
21 PUSKESMAS KEMIRI
KPPS 5,500 - - - - 97 533,500 - 97 533,500 - - -
Karcis IGD 15,500 621 600 - - 600 600 198 3,069,000 - 198 3,069,000 - 402 402
Parkir 1,000 1,194 2,000 - - 2,000 2,000 2,000 2,000,000 - 2,000 2,000,000 - - -
KPPS 5,500 - - - - - - - - - - - - 533,500 -
Karcis IGD 15,500 400 400 400 400 164 2,542,000 28 434,000 192 2,976,000 - 208 208 6,045,000 -
Parkir 1,000 3,000 3,000 2,000 600 2,600 1,660 1,660,000 480 480,000 2,140 2,140,000 400 460 860 4,140,000 -
22 PUSKESMAS WINONG
KPPS 5,500 - - - - 55 302,500 - 55 302,500 - - -
Karcis IGD 15,500 - 500 - - 500 500 65 1,007,500 - 65 1,007,500 - 435 435
Parkir 1,000 - - 2,100 2,100 2,100 2,100 1,342 1,342,000 - 1,342 1,342,000 - 758 758
KPPS 5,500 - - - - - - - - - - - - 302,500 -
Karcis IGD 15,500 100 100 100 100 37 573,500 11 170,500 48 744,000 - 52 52 1,751,500 -
Parkir 1,000 3,000 1,200 4,200 3,000 1,200 4,200 2,552 2,552,000 816 816,000 3,368 3,368,000 - 832 832 4,710,000 -
23 PUSKESMAS BRUNO
KPPS 5,500 - - - - 77 423,500 - 77 423,500 - - -
Karcis IGD 15,500 291 400 - - 300 300 153 2,371,500 - 153 2,371,500 100 147 247
Parkir 1,000 308 3,000 9,000 9,000 12,000 12,000 5,600 5,600,000 - 5,600 5,600,000 - 6,400 6,400
Karcis Rawat Jalan 10,500 3,000 3,000 2,000 1,000 3,000 1,771 18,595,500 353 3,706,500 2,124 22,302,000 - 876 876 51,555,000 -
KPPS 5,500 - - - - - - - - - - - - 423,500 -
Karcis IGD 15,500 100 100 100 100 86 1,333,000 13 201,500 99 1,534,500 - 1 1 3,906,000 -
Parkir 1,000 6,000 6,000 3,000 1,500 4,500 2,984 2,984,000 679 679,000 3,663 3,663,000 1,500 837 2,337 9,263,000 -
24 PUSKESMAS GEBANG
Karcis IGD 15,500 255 2,200 - - 100 100 27 418,500 - 27 418,500 2,100 73 2,173
Karcis IGD 15,500 500 500 100 100 15 232,500 1 15,500 16 248,000 400 84 484 666,500 -
25 PUSKESMAS LOANO
Karcis IGD 15,500 775 1,200 - - 400 400 266 4,123,000 - 266 4,123,000 800 134 934
Karcis IGD 15,500 600 600 300 300 173 2,681,500 38 589,000 211 3,270,500 300 89 389 7,393,500 -
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
Karcis IGD 15,500 375 4,000 - - 2,000 2,000 204 3,162,000 - 204 3,162,000 2,000 1,796 3,796
Karcis IGD 15,500 300 300 300 300 155 2,402,500 21 325,500 176 2,728,000 - 124 124 5,890,000 -
27 PUSKESMAS BENER
Karcis IGD 15,500 - - - - - - - - - - - - - -
Karcis IGD 15,500 - - - - - - - - - - -
KETERANGAN WARNA : Purworejo, 21 Desember 2023

KARCIS KADAL
dr. SUDARMI, MM
Pembina Utama Muda
NIP. 19690220 200212 2 004
BULAN : NOVEMBER 2023
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
1 PUSKESMAS GRABAG
KPPS 5,500 - - - - 148 814,000 - 148 814,000 - - -
Parkir R2 1,000 1,870 3,000 9,000 9,000 12,000 12,000 9,602 9,602,000 - 9,602 9,602,000 - 2,398 2,398
Parkir R4 2,000 1,038 2,500 - - 500 500 277 554,000 - 277 554,000 2,000 223 2,223
Karcis Rawat Jalan 10,500 6,000 3,000 9,000 5,300 1,700 7,000 3,856 40,488,000 526 5,523,000 4,382 46,011,000 2,000 1,405 3,405 (97,230,000)
KPPS 5,500 - - - - - - 1,213 6,671,500 1,213 6,671,500 - - - (7,485,500)
PERBUP 21 TAHUN 2023 Karcis IGD 15,500 3,000 3,000 800 300 1,100 584 9,052,000 118 1,829,000 702 10,881,000 1,900 398 2,298 (20,196,500)
Parkir R2 1,000 15,000 3,000 18,000 9,000 9,000 7,325 7,325,000 1,610 1,610,000 8,935 8,935,000 9,000 65 9,065 (20,127,000)
Parkir R4 2,000 3,000 3,000 600 300 900 450 900,000 68 136,000 518 1,036,000 2,100 382 2,482 -
2 PUSKESMAS NGOMBOL
Karcis IGD 15,500 1,471 600 600 600 1,200 1,200 915 14,182,500 - 915 14,182,500 - 285 285
Karcis Rawat Jalan 10,500 5,000 2,500 7,500 5,000 2,500 7,500 3,847 40,393,500 690 7,245,000 4,537 47,638,500 - 2,531 2,531 (96,642,000)
PERBUP 21 TAHUN 2023 KPPS 5,500 - - - - - - 432 2,376,000 432 2,376,000 - - - (2,794,000)
Karcis IGD 15,500 1,000 500 1,500 1,000 500 1,500 807 12,508,500 167 2,588,500 974 15,097,000 - 526 526 (29,279,500)
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 70 600 - - 600 600 600 9,300,000 - 600 9,300,000 - - -
Parkir 1,000 837 6,000 - - 6,000 6,000 5,804 5,804,000 - 5,804 5,804,000 - 196 196
Karcis Rawat Jalan 10,500 3,000 3,000 3,000 3,000 2,179 22,879,500 418 4,389,000 2,597 27,268,500 - 197 197 (56,658,000)
KPPS 5,500 - - - - - - 206 1,133,000 206 1,133,000 - - - (1,133,000)
PERBUP 21 TAHUN 2023 Karcis IGD 15,500 600 100 700 600 100 700 523 8,106,500 107 1,658,500 630 9,765,000 - 70 70 (19,065,000)
Parkir R2 1,000 6,000 700 6,700 6,000 700 6,700 3,826 3,826,000 798 798,000 4,624 4,624,000 - 2,076 2,076 (10,428,000)
Parkir R4 2,000 - 100 100 - 100 100 - - 100 100 -
4 PUSKESMAS BUBUTAN
Karcis IGD 15,500 28 1,900 - - 200 200 194 3,007,000 - 194 3,007,000 1,700 6 1,706
Karcis Rawat Jalan 10,500 5,000 5,000 5,000 5,000 2,817 29,578,500 575 6,037,500 3,392 35,616,000 - 1,143 1,143 (71,421,000)
Karcis IGD 15,500 1,000 1,000 200 200 156 2,418,000 35 542,500 191 2,960,500 800 9 809 (5,967,500)
5 PUSKESMAS BAGELEN
Karcis IGD 15,500 74 1,700 - - 200 200 26 403,000 - 26 403,000 1,500 174 1,674
Karcis Rawat Jalan 10,500 3,000 3,000 2,100 200 2,300 1,779 18,679,500 286 3,003,000 2,065 21,682,500 700 235 935 (45,822,000)
Karcis IGD 15,500 1,000 1,000 100 100 22 341,000 2 31,000 24 372,000 900 76 976 (775,000)
Karcis IGD 15,500 99 2,500 - - 500 500 380 5,890,000 - 380 5,890,000 2,000 120 2,120
Karcis Rawat Jalan 10,500 3,000 600 3,600 3,000 600 3,600 2,227 23,383,500 - 2,227 23,383,500 - 1,373 1,373 (52,951,500)
PERBUP 21 TAHUN 2023 KPPS 5,500 - - - - - - - - - - - - (275,000)
Karcis IGD 15,500 3,000 3,000 500 500 260 4,030,000 - 260 4,030,000 2,500 240 2,740 (9,920,000)
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
Karcis IGD 15,500 298 300 - - 300 300 105 1,627,500 - 105 1,627,500 - 195 195
Karcis IGD 15,500 300 300 300 300 135 2,092,500 35 542,500 170 2,635,000 - 130 130 (4,262,500)
Karcis IGD 15,500 204 100 500 500 600 600 226 3,503,000 - 226 3,503,000 - 374 374
Karcis Rawat Jalan 10,500 3,600 6,000 9,600 3,600 3,600 2,911 30,565,500 - 2,911 30,565,500 6,000 689 6,689 (65,562,000)
Karcis IGD 15,500 300 600 900 300 300 99 1,534,500 - 99 1,534,500 600 201 801 (5,037,500)
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 12 300 - - 300 300 87 1,348,500 - 87 1,348,500 - 213 213
Parkir 1,000 4,138 3,000 - - 3,000 3,000 2,032 2,032,000 - 2,032 2,032,000 - 968 968
Karcis Rawat Jalan 10,500 5,400 600 6,000 5,400 600 6,000 4,315 45,307,500 782 8,211,000 5,097 53,518,500 - 276 276 (106,197,000)
KPPS 5,500 - - - - - - 627 3,448,500 627 3,448,500 - - - (3,448,500)
Karcis IGD 15,500 100 100 100 100 66 1,023,000 15 232,500 81 1,255,500 - 19 19 (2,604,000)
Parkir 1,000 3,000 600 3,600 3,000 600 3,600 2,051 2,051,000 395 395,000 2,446 2,446,000 - 1,154 1,154 (4,478,000)
10 PUSKESMAS MRANTI
Parkir 1,000 - 3,000 4,500 4,500 7,500 7,500 7,500 7,500,000 - 7,500 7,500,000 - - -
PERBUP 21 TAHUN 2023 KPPS 5,500 - - - - - - 574 3,157,000 574 3,157,000 - - -
Parkir 1,000 9,000 9,000 9,000 9,000 8,348 8,348,000 652 652,000 9,000 9,000,000 - - - (16,500,000)
11 PUSKESMAS BAYAN
KPPS 5,500 - - - - - - - - - - - -
Karcis IGD 15,500 86 900 - - 600 600 6 93,000 - 6 93,000 300 594 894
Parkir 1,000 4,870 7,500 - - 7,500 7,500 2,090 2,090,000 - 2,090 2,090,000 - 5,410 5,410
KPPS 5,500 - - - - - - 1,150 6,325,000 1,150 6,325,000 - - - (6,325,000)
Karcis IGD 15,500 300 300 300 300 10 155,000 3 46,500 13 201,500 - 287 287 (294,500)
Parkir 1,000 2,200 1,500 3,700 2,200 1,500 3,700 1,680 1,680,000 365 365,000 2,045 2,045,000 - 1,655 1,655 (4,135,000)
Karcis IGD 15,500 48 100 - - 100 100 26 403,000 - 26 403,000 - 74 74
Karcis Rawat Jalan 10,500 6,000 3,000 9,000 5,000 2,000 7,000 3,384 35,532,000 691 7,255,500 4,075 42,787,500 2,000 2,243 4,243 (86,866,500)
Karcis IGD 15,500 100 100 200 100 100 200 25 387,500 8 124,000 33 511,500 - 167 167 (914,500)
Karcis IGD 15,500 342 1,000 - - 500 500 311 4,820,500 - 311 4,820,500 500 189 689
Karcis Rawat Jalan 10,500 6,000 6,000 3,000 3,000 1,702 17,871,000 - 1,702 17,871,000 3,000 1,298 4,298 (37,191,000)
Karcis IGD 15,500 3,000 3,000 400 400 194 3,007,000 - 194 3,007,000 2,600 206 2,806 (7,827,500)
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
KPPS 5,500 - - - - 127 698,500 - 127 698,500 - - -
Karcis IGD 15,500 495 200 - - 200 200 190 2,945,000 - 190 2,945,000 - 10 10
Parkir 1,000 1,105 2,800 - - 2,800 2,800 1,555 1,555,000 - 1,555 1,555,000 - 1,245 1,245
KPPS 5,500 - - - - - - 592 3,256,000 592 3,256,000 - - - (3,954,500)
Karcis IGD 15,500 300 300 300 300 159 2,464,500 42 651,000 201 3,115,500 - 99 99 (6,060,500)
Parkir 1,000 2,000 4,000 6,000 2,000 900 2,900 1,663 1,663,000 550 550,000 2,213 2,213,000 3,100 687 3,787 (3,768,000)
KPPS 5,500 - - - - 81 445,500 - 81 445,500 - - -
Karcis IGD 15,500 859 3,000 - - 1,000 1,000 89 1,379,500 - 89 1,379,500 2,000 911 2,911
Parkir 1,000 143 12,000 - - 6,000 6,000 5,601 5,601,000 - 5,601 5,601,000 6,000 399 6,399
Karcis Rawat Jalan+jamk 10,500 6,000 3,000 9,000 4,000 1,000 5,000 2,722 28,581,000 495 5,197,500 3,217 33,778,500 4,000 1,770 5,770 (66,003,000)
KPPS 5,500 - - - - - - 13 71,500 13 71,500 - - - (517,000)
Karcis IGD 15,500 600 600 1,200 600 100 700 61 945,500 395 6,122,500 456 7,068,000 500 244 744 (8,447,500)
Parkir 1,000 5,700 6,000 11,700 5,700 1,800 7,500 5,128 5,128,000 1,127 1,127,000 6,255 6,255,000 4,200 1,245 5,445 (11,856,000)
16 PUSKESMAS WIRUN
Karcis IGD 15,500 - 300 - - 300 300 21 325,500 - 21 325,500 - 279 279
Karcis Rawat Jalan 10,500 3,000 3,000 2,000 1,000 3,000 1,717 18,028,500 - 1,717 18,028,500 - 1,283 1,283 (38,482,500)
Karcis IGD 15,500 300 300 100 100 8 124,000 - 8 124,000 200 92 292 (449,500)
17 PUSKESMAS BUTUH
KPPS 5,500 - - - - - - - - - - - -
Parkir R2 1,000 - 4,200 - - 4,200 4,200 3,391 3,391,000 - 3,391 3,391,000 - 809 809
Parkir R4 2,000 100 100 - - 100 100 2 4,000 - 2 4,000 - 98 98
Karcis Rawat Jalan 10,500 4,200 4,200 3,100 500 3,600 2,422 25,431,000 438 4,599,000 2,860 30,030,000 600 82 682 (62,674,500)
KPPS 5,500 - - - - - - 658 3,619,000 658 3,619,000 - - - (3,619,000)
PERBUP 21 TAHUN 2023 Karcis IGD 15,500 500 500 200 200 142 2,201,000 43 666,500 185 2,867,500 300 15 315 (6,262,000)
Parkir R2 1,000 4,200 600 4,800 3,900 600 4,500 3,207 3,207,000 660 660,000 3,867 3,867,000 300 633 933 (7,388,000)
Parkir R4 2,000 100 100 100 100 50 100,000 13 26,000 63 126,000 - 37 37 -
Karcis IGD 15,500 - - - - - - - - - - - - - -
PERBUP 21 TAHUN 2023 KPPS 5,500 - - - - 616 3,388,000 616 3,388,000 - - - -
Karcis IGD 15,500 - - - - - - - - - - -
Karcis IGD 15,500 53 300 1,500 1,500 1,300 1,300 417 6,463,500 - 417 6,463,500 500 883 1,383
Karcis Rawat Jalan 10,500 6,000 6,000 3,700 3,700 3,024 31,752,000 - 3,024 31,752,000 2,300 676 2,976 (71,904,000)
Karcis IGD 15,500 3,000 3,000 500 500 338 5,239,000 - 338 5,239,000 2,500 162 2,662 (11,702,500)
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
Karcis IGD 15,500 174 100 - - 100 100 2 31,000 - 2 31,000 - 98 98
Karcis IGD 15,500 100 100 100 100 3 46,500 3 46,500 6 93,000 - 94 94 (124,000)
21 PUSKESMAS KEMIRI
KPPS 5,500 - - - - 97 533,500 - 97 533,500 - - -
Karcis IGD 15,500 621 600 - - 600 600 198 3,069,000 - 198 3,069,000 - 402 402
Parkir 1,000 1,194 2,000 - - 2,000 2,000 2,000 2,000,000 - 2,000 2,000,000 - - -
Karcis Rawat Jalan 10,500 7,000 7,000 5,000 5,000 4,406 46,263,000 935 9,817,500 5,341 56,080,500 2,000 (1,304) 696 (114,702,000)
KPPS 5,500 - - - - - - 963 5,296,500 963 5,296,500 - - - (5,830,000)
Karcis IGD 15,500 400 400 400 400 192 2,976,000 59 914,500 251 3,890,500 - 149 149 (6,959,500)
Parkir 1,000 3,000 3,000 2,600 2,600 2,140 2,140,000 440 440,000 2,580 2,580,000 400 20 420 (4,580,000)
22 PUSKESMAS WINONG
KPPS 5,500 - - - - 55 302,500 - 55 302,500 - - -
Karcis IGD 15,500 - 500 - - 500 500 65 1,007,500 - 65 1,007,500 - 435 435
Parkir 1,000 - - 2,100 2,100 2,100 2,100 1,342 1,342,000 - 1,342 1,342,000 - 758 758
Karcis Rawat Jalan 10,500 4,200 200 4,400 4,200 200 4,400 2,962 31,101,000 - 2,962 31,101,000 - 1,438 1,438 (64,953,000)
KPPS 5,500 - - - - - - - - - - - - (302,500)
Karcis IGD 15,500 100 100 100 100 48 744,000 - 48 744,000 - 52 52 (1,751,500)
Parkir 1,000 4,200 400 4,600 4,200 400 4,600 3,368 3,368,000 - 3,368 3,368,000 - 1,232 1,232 (4,710,000)
23 PUSKESMAS BRUNO
KPPS 5,500 - - - - 77 423,500 - 77 423,500 - - -
Karcis IGD 15,500 291 400 - - 300 300 153 2,371,500 - 153 2,371,500 100 147 247
Parkir 1,000 308 3,000 9,000 9,000 12,000 12,000 5,600 5,600,000 - 5,600 5,600,000 - 6,400 6,400
Karcis Rawat Jalan 10,500 3,000 2,000 5,000 3,000 2,000 5,000 2,124 22,302,000 303 3,181,500 2,427 25,483,500 - 1,264 1,264 (54,736,500)
KPPS 5,500 - - - - - - 1,309 7,199,500 1,309 7,199,500 - - - (7,623,000)
Karcis IGD 15,500 100 400 500 100 300 400 99 1,534,500 20 310,000 119 1,844,500 100 281 381 (4,216,000)
Parkir 1,000 6,000 6,000 4,500 1,500 6,000 3,663 3,663,000 829 829,000 4,492 4,492,000 - 1,508 1,508 (10,092,000)
24 PUSKESMAS GEBANG
Karcis IGD 15,500 255 2,200 - - 100 100 27 418,500 - 27 418,500 2,100 73 2,173
Karcis Rawat Jalan 10,500 4,500 4,500 3,300 300 3,600 2,469 25,924,500 1,011 10,615,500 3,480 36,540,000 900 120 1,020 (72,691,500)
Karcis IGD 15,500 500 500 100 100 200 16 248,000 4 62,000 20 310,000 300 180 480 (728,500)
25 PUSKESMAS LOANO
Karcis IGD 15,500 775 1,200 - - 400 400 266 4,123,000 - 266 4,123,000 800 134 934
Karcis Rawat Jalan 10,500 6,000 6,000 5,000 1,000 6,000 3,850 40,425,000 720 7,560,000 4,570 47,985,000 - 962 962 (96,295,500)
Karcis IGD 15,500 600 600 300 300 211 3,270,500 50 775,000 261 4,045,500 300 39 339 (8,168,500)
REALISASI
1 2 3 4 5 6 7 8 9=7+8 10 11 12 = 10 + 11 13 14 = 4 * 13 15 16 = 4 * 15 17 = 13 + 15 18 = 4 * 17 19 = 6 + 9 - 12 20 = 12 - 17 21 = 19 + 20 22 23 = 22 - 18
Karcis IGD 15,500 375 4,000 - - 2,000 2,000 204 3,162,000 - 204 3,162,000 2,000 1,796 3,796
Karcis IGD 15,500 300 300 300 300 176 2,728,000 24 372,000 200 3,100,000 - 100 100 (6,262,000)
27 PUSKESMAS BENER
Karcis IGD 15,500 - - - - - - - - - - - - - -
PERBUP 21 TAHUN 2023 KPPS 5,500 - - - - 1,060 5,830,000 1,060 5,830,000 - - - (7,414,000)
Karcis IGD 15,500 - - - - - - - - - - -
KETERANGAN WARNA : Purworejo, 21 Desember 2023

KARCIS KADAL
dr. SUDARMI, MM
Pembina Utama Muda
NIP. 19690220 200212 2 004

Karcis 2023

Hochgeladen von

Dokumentinformationen

Originaltitel

Copyright

Verfügbare Formate

Dieses Dokument teilen

Dokument teilen oder einbetten

Freigabeoptionen

Stufen Sie dieses Dokument als nützlich ein?

Sind diese Inhalte unangemessen?

Copyright:

Verfügbare Formate

Karcis 2023

Hochgeladen von

Copyright:

Verfügbare Formate

HASIL REKONSILIASI BENDA BERHARGA/KARCIS DENGAN PENDAPATAN YANG DITERIMA TAHUN 2023

DINAS KESEHATAN KABUPATEN PURWOREJO

733 7,696,500 733 7,696,500 - 2,124 2,124 7,696,500 -

882 9,261,000 882 9,261,000 - 2,042 2,042 9,261,000 -

472 4,956,000 472 4,956,000 - 2,528 2,528 4,956,000 -

596 6,258,000 596 6,258,000 - 4,394 4,394 6,258,000 -

510 5,355,000 510 5,355,000 - 2,790 2,790 5,355,000 -

496 5,208,000 496 5,208,000 2,000 1,455 3,455 5,208,000 -

576 6,048,000 576 6,048,000 5,300 3,359 8,659 6,048,000 -

765 8,032,500 765 8,032,500 - 1,635 1,635 8,032,500 -

968 10,164,000 968 10,164,000 - 12,232 12,232 10,164,000 -

916 9,618,000 916 9,618,000 - 2,005 2,005 10,052,500 -

966 10,143,000 966 10,143,000 - 11,034 11,034 10,143,000 -

693 7,276,500 693 7,276,500 - 2,176 2,176 7,276,500 -

330 3,465,000 330 3,465,000 5,500 592 6,092 3,465,000 -

598 6,279,000 598 6,279,000 6,000 2,275 8,275 6,279,000 -

562 5,901,000 562 5,901,000 3,000 2,360 5,360 5,901,000 -

363 3,811,500 363 3,811,500 - 2,583 2,583 4,108,500 -

636 6,678,000 636 6,678,000 - 3,564 3,564 6,678,000 -

583 6,121,500 583 6,121,500 9,000 2,313 11,313 6,693,500 -

796 8,358,000 796 8,358,000 4,500 380 4,880 8,358,000 -

605 6,352,500 605 6,352,500 3,300 2,269 5,569 6,352,500 -

988 10,374,000 988 10,374,000 - 4,916 4,916 10,374,000 -

583 6,121,500 583 6,121,500 - 862 862 6,121,500 -

537 5,638,500 537 5,638,500 - 2,386 2,386 5,638,500 -

711 7,465,500 711 7,465,500 - 2,289 2,289 7,465,500 -

862 9,051,000 862 9,051,000 8,400 2,055 10,455 9,051,000 -

451 4,735,500 451 4,735,500 3,000 2,503 5,503 4,735,500 -

767 8,053,500 767 8,053,500 - 1,963 1,963 8,053,500 -

Purworejo, 31 Januari 2023

KPPS 5,500 - - 24 132,000

1,000 10,500,000 1,733 18,196,500 - 1,119 1,119 18,196,500 -

817 8,578,500 1,699 17,839,500 - 1,225 1,225 17,839,500 -

447 4,693,500 919 9,649,500 - 2,081 2,081 9,649,500 -

592 6,216,000 1,188 12,474,000 - 3,802 3,802 12,474,000 -

346 3,633,000 856 8,988,000 - 2,444 2,444 8,988,000 -

493 5,176,500 989 10,384,500 2,000 961 2,961 10,384,500 -

522 5,481,000 1,098 11,529,000 5,300 2,813 8,113 11,529,000 -

506 5,313,000 1,271 13,345,500 - 1,129 1,129 13,345,500 -

847 8,893,500 1,815 19,057,500 - 11,385 11,385 19,057,500 -

828 8,694,000 1,744 18,312,000 - 2,176 2,176 18,752,000 -

742 7,791,000 1,708 17,934,000 - 10,292 10,292 17,934,000 -

674 7,077,000 1,367 14,353,500 - 1,500 1,500 14,353,500 -

254 2,667,000 584 6,132,000 2,000 3,831 5,831 6,132,000 -

597 6,268,500 1,195 12,547,500 6,000 1,678 7,678 12,547,500 -

506 5,313,000 1,068 11,214,000 3,000 1,851 4,851 11,214,000 -

353 3,706,500 716 7,518,000 - 2,230 2,230 7,518,000 -

531 5,575,500 1,167 12,253,500 - 3,033 3,033 12,253,500 -

492 5,166,000 1,075 11,287,500 9,000 1,821 10,821 11,859,500 -

644 6,762,000 1,440 15,120,000 1,500 2,736 4,236 15,120,000 -

542 5,691,000 1,147 12,043,500 3,300 1,724 5,024 12,043,500 -

961 10,090,500 1,949 20,464,500 - 3,954 3,954 20,464,500 -

482 5,061,000 1,065 11,182,500 - 3,380 3,380 11,182,500 -

399 4,189,500 936 9,828,000 - 1,987 1,987 9,828,000 -

487 5,113,500 1,198 12,579,000 - 1,802 1,802 12,579,000 -

735 7,717,500 1,597 16,768,500 8,400 1,316 9,716 16,768,500 -

394 4,137,000 845 8,872,500 3,000 2,109 5,109 8,872,500 -

761 7,990,500 1,528 16,044,000 - 1,184 1,184 16,044,000 -

Purworejo, 28 Februari 2023

KPPS 5,500 - - 24 132,000

838 8,799,000 2,571 26,995,500 - 3,281 3,281 26,995,500 -

723 7,591,500 2,422 25,431,000 - 502 502 25,431,000 -

477 5,008,500 1,396 14,658,000 - 1,604 1,604 14,658,000 -