PEMERINTAH KABUPATEN PURWOREJO

DINAS KESEHATAN
Jn.May.jend Sutoyo No.17 Telp. 321034 Purworejo

DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO

BULAN : JANUARI 2015
1
NO, PUSKESMAS / RAWAT JALAN 4.1.2.01.01.01 KIR/ADM 4.1.2.01.01.02. TINDAKAN 4.1.2.01.01.03.
RSUD Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini

1 Grabag 97,750,000 7,060,500 0 7,060,500 4,000,000 330,000 0 330,000 38,500,000 485,000 0 485,000
2 Ngombol 116,939,500 6,124,500 0 6,124,500 5,500,000 410,000 0 410,000 55,500,000 2,778,500 0 2,778,500
3 Bubutan 81,000,500 4,644,000 0 4,644,000 1,750,000 110,000 0 110,000 33,500,000 1,544,500 0 1,544,500
4 Bagelen 68,097,000 3,843,000 0 3,843,000 1,400,000 70,000 0 70,000 22,000,500 1,780,000 0 1,780,000
5 Dadirejo 60,511,000 2,866,500 0 2,866,500 1,000,000 80,500 0 80,500 40,235,500 2,968,000 0 2,968,000
6 Kaligesing 71,104,000 4,221,000 0 4,221,000 2,000,000 115,000 0 115,000 58,999,500 5,324,000 0 5,324,000
7 Cangkrep 81,152,000 5,899,500 0 5,899,500 3,000,000 355,000 0 355,000 60,000,500 5,319,750 0 5,319,750
8 Mranti 121,403,000 6,088,500 0 6,088,500 1,500,000 170,000 0 170,000 35,000,000 1,302,500 0 1,302,500
9 Purworejo 219,250,000 12,312,000 0 12,312,000 7,000,000 925,000 0 925,000 66,000,000 8,642,500 0 8,642,500
10 Banyuurip 79,954,000 5,530,500 0 5,530,500 1,750,000 250,000 0 250,000 23,000,000 620,000 0 620,000
11 Seborokrapyak 58,648,500 2,947,500 0 2,947,500 750,000 110,000 0 110,000 22,000,000 677,500 0 677,500
12 Bayan 110,750,500 5,814,000 0 5,814,000 2,000,000 190,000 0 190,000 65,000,000 355,000 0 355,000
13 Sem daleman 116,277,000 7,857,000 0 7,857,000 5,150,000 317,500 0 317,500 78,825,500 9,577,000 0 9,577,000
14 Wirun 50,997,500 3,195,000 0 3,195,000 1,700,000 70,000 0 70,000 22,000,000 382,500 0 382,500
15 Butuh 69,500,000 4,203,000 0 4,203,000 2,000,000 175,000 0 175,000 22,200,500 515,000 0 515,000
16 Sruwohrejo 57,801,000 3,402,000 0 3,402,000 1,000,000 130,000 0 130,000 14,000,000 330,000 0 330,000
17 Pituruh 92,317,000 6,075,000 0 6,075,000 18,000,000 1,355,000 0 1,355,000 320,000,000 25,869,900 0 25,869,900
18 Karanggetas 25,929,000 1,813,500 0 1,813,500 1,500,000 40,000 0 40,000 31,000,000 177,500 0 177,500
19 Kemiri 95,701,000 6,214,500 0 6,214,500 4,000,000 240,000 0 240,000 78,700,000 1,135,000 0 1,135,000
20 Winong 55,100,000 3,240,000 0 3,240,000 1,500,000 100,000 0 100,000 28,000,000 2,410,000 0 2,410,000
21 Bruno 61,879,000 4,374,000 0 4,374,000 6,000,000 245,000 0 245,000 188,920,500 13,891,000 0 13,891,000
22 Gebang 88,002,000 4,648,500 0 4,648,500 2,000,000 185,000 0 185,000 41,000,000 810,000 0 810,000
23 Loano 116,945,000 7,330,500 0 7,330,500 8,000,000 590,000 0 590,000 91,000,500 7,033,500 0 7,033,500
24 Banyuasin 32,300,000 2,043,000 0 2,043,000 2,500,000 72,500 0 72,500 48,000,000 222,500 0 222,500
25 Bener 61,599,500 3,771,000 0 3,771,000 500,000 25,000 0 25,000 57,000,000 1,227,500 0 1,227,500
26 Kutoarjo 52,898,000 4,954,500 0 4,954,500 5,000,000 490,000 0 490,000 54,350,000 4,998,500 0 4,998,500
27 Bragolan 106,194,000 5,314,500 0 5,314,500 4,500,000 382,500 0 382,500 83,500,000 17,084,500 0 17,084,500

Jumlah 2,250,000,000 135,787,500 0 135,787,500 95,000,000 7,533,000 0 7,533,000 1,678,233,000 117,461,650 0 117,461,650
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 DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO
BULAN : JANUARI 2015

NO, PUSKESMAS / LABORATORIUM 4.1.2.01.01.04. OBAT-OBATAN 4.1.2.01.01.05. KONSULTASI GIZI 4.1.2.01.01.06. RAWAT INAP UMUM 4.1.2.01.01.07.
RSUD Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini

1 Grabag 2,500,000 554,000 0 554,000 0 0 0 0 0 0 0 0 0 0 0 0

2 Ngombol 17,500,000 2,416,500 0 2,416,500 55,000,000 9,048,000 0 9,048,000 3,300,000 265,000 0 265,000 30,000,000 3,735,000 0 3,735,000
3 Bubutan 7,000,000 1,179,500 0 1,179,500 8,000,000 848,000 0 848,000 250,000 0 0 0 5,000,000 671,000 0 671,000
4 Bagelen 3,000,000 331,000 0 331,000 0 0 0 0 0 0 0 0 0
5 Dadirejo 8,000,000 243,500 0 243,500 25,000,000 807,000 0 807,000 1,400,000 72,000 0 72,000 10,000,000 2,329,500 0 2,329,500
6 Kaligesing 2,500,000 467,000 0 467,000 7,500,000 405,100 0 405,100 250,000 45,000 0 45,000 5,000,000 270,000 0 270,000
7 Cangkrep 10,000,000 1,888,000 0 1,888,000 35,000,000 2,600,225 0 2,600,225 5,000,000 255,000 0 255,000 30,000,000 2,535,000 0 2,535,000
8 Mranti 3,000,000 299,000 0 299,000 0 0 0 0 0 0 0 0 0
9 Purworejo 14,000,000 3,096,000 0 3,096,000 0 0 0 0 0 0 0 0 0
10 Banyuurip 6,000,000 1,026,000 0 1,026,000 0 0 0 0 0 0 0 0 0
11 Seborokrapyak 4,000,000 729,000 0 729,000 0 0 0 0 0 0 0 0 0
12 Bayan 8,000,000 508,000 0 508,000 0 0 0 0 0 0 0 0 0
13 Semdaleman 15,750,000 1,606,500 0 1,606,500 45,000,000 2,458,000 0 2,458,000 1,900,000 135,000 0 135,000 15,000,000 1,045,000 0 1,045,000
14 Wirun 365,000 487,000 0 487,000 0 0 0 0 0 0 0 0 0
15 Butuh 1,500,000 726,000 0 726,000 0 0 0 0 0 0 0 0 0
16 Sruwohrejo 4,200,000 325,000 0 325,000 0 0 0 0 0 0 0 0 0
17 Pituruh 25,510,000 3,540,250 0 3,540,250 145,000,000 8,800,750 0 8,800,750 14,500,000 990,000 0 990,000 154,500,000 9,055,500 0 9,055,500
18 Karanggetas 1,575,000 0 0 0 0 0 0 0 0 0 0 0 0
19 Kemiri 7,000,000 2,013,000 0 2,013,000 0 0 0 0 0 0 0 0 0
20 Winong 6,000,000 459,000 0 459,000 0 0 0 0 0 0 0 0 0
21 Bruno 6,300,000 1,717,500 0 1,717,500 35,000,000 2,450,000 0 2,450,000 4,000,000 150,000 0 150,000 30,000,000 1,695,000 0 1,695,000
22 Gebang 5,000,000 262,000 0 262,000 0 0 0 0 0 0 0 0 0
23 Loano 40,000,000 9,844,000 0 9,844,000 84,940,000 11,372,510 0 11,372,510 15,000,000 699,000 0 699,000 65,500,000 6,855,000 0 6,855,000
24 Banyuasin 8,000,000 844,000 0 844,000 45,000,000 355,000 0 355,000 0 0 0 0 15,000,000 326,000 0 326,000
25 Bener 750,000 1,684,500 0 1,684,500 0 0 0 0 0 0 0 0 0
26 Kutoarjo 8,000,000 486,000 0 486,000 40,000,000 4,471,800 0 4,471,800 250,000 0 0 0 15,000,000 1,850,000 0 1,850,000
27 Bragolan 35,000,000 4,809,750 0 4,809,750 50,000,000 3,622,450 0 3,622,450 4,400,000 182,500 0 182,500 35,000,000 3,845,000 0 3,845,000
JUMLAH 250,450,000 41,542,000 - 41,542,000 575,440,000 47,238,835 - 47,238,835 50,250,000 2,793,500 - 2,793,500 410,000,000 34,212,000 - 34,212,000
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 DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO
BULAN : JANUARI 2015

NO, PUSKESMAS / CAPENG 4.1.2.01.01.09. CAL HAJ 4.1.2.01.01.12. REALISASI %

RSUD Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini Total target Bl.ini s/d bl.lalu s/d bl.ini Target

1 Grabag 3,500,000 520,000 0 520,000 640,000 0 0 0 146,890,000 8,949,500 0 8,949,500 6.09

2 Ngombol 2,500,000 250,000 0 250,000 580,000 0 0 0 286,819,500 25,027,500 0 25,027,500 8.73
3 Bubutan 1,000,000 210,000 0 210,000 440,000 0 0 0 137,940,500 9,207,000 0 9,207,000 6.67
4 Bagelen 2,000,000 240,000 0 240,000 200,000 0 0 0 96,697,500 6,264,000 0 6,264,000 6.48
5 Dadirejo 850,000 30,000 0 30,000 160,000 0 0 0 147,156,500 9,397,000 0 9,397,000 6.39
6 Kaligesing 2,000,000 250,000 0 250,000 100,000 0 0 0 149,453,500 11,097,100 0 11,097,100 7.43
7 Cangkrep 3,000,000 340,000 0 340,000 500,000 0 0 0 227,652,500 19,192,475 0 19,192,475 8.43
8 Mranti 1,000,000 90,000 0 90,000 1,100,000 0 0 0 163,003,000 7,950,000 0 7,950,000 4.88
9 Purworejo 3,000,000 370,000 0 370,000 1,100,000 0 0 0 310,350,000 25,345,500 0 25,345,500 8.17
10 Banyuurip 2,000,000 400,000 0 400,000 780,000 0 0 0 113,484,000 7,826,500 0 7,826,500 6.90
11 Seborokrapyak 500,000 20,000 0 20,000 240,000 0 0 0 86,138,500 4,484,000 0 4,484,000 5.21
12 Bayan 4,000,000 410,000 0 410,000 1,180,000 0 0 0 190,930,500 7,277,000 0 7,277,000 3.81
13 Sem daleman 2,500,000 180,000 0 180,000 660,000 0 0 0 281,062,500 23,176,000 0 23,176,000 8.25
14 Wirun 800,000 90,000 0 90,000 180,000 0 0 0 76,042,500 4,224,500 0 4,224,500 5.56
15 Butuh 2,000,000 160,000 0 160,000 520,000 0 0 0 97,720,500 5,779,000 0 5,779,000 5.91
16 Sruwohrejo 1,000,000 100,000 0 100,000 380,000 0 0 0 78,381,000 4,287,000 0 4,287,000 5.47
17 Pituruh 3,500,000 120,000 0 120,000 260,000 0 0 0 773,587,000 55,806,400 0 55,806,400 7.21
18 Karanggetas 100,000 0 0 0 460,000 0 0 0 60,564,000 2,031,000 0 2,031,000 3.35
19 Kemiri 4,500,000 480,000 0 480,000 620,000 0 0 0 190,521,000 10,082,500 0 10,082,500 5.29
20 Winong 100,000 0 0 0 540,000 0 0 0 91,240,000 6,209,000 0 6,209,000 6.81
21 Bruno 1,500,000 250,000 0 250,000 340,000 0 0 0 333,939,500 24,772,500 0 24,772,500 7.42
22 Gebang 4,000,000 400,000 0 400,000 920,000 0 0 0 140,922,000 6,305,500 0 6,305,500 4.47
23 Loano 1,265,000 210,000 0 210,000 420,000 0 0 0 423,070,500 43,934,510 0 43,934,510 10.38
24 Banyuasin 800,000 140,000 0 140,000 340,000 0 0 0 151,940,000 4,003,000 0 4,003,000 2.63
25 Bener 4,000,000 430,000 0 430,000 700,000 0 0 0 124,549,500 7,138,000 0 7,138,000 5.73
26 Kutoarjo 1,750,000 180,000 0 180,000 560,000 0 0 0 177,808,000 17,430,800 0 17,430,800 9.80
27 Bragolan 1,500,000 150,000 0 150,000 80,000 0 0 0 320,174,000 35,391,200 0 35,391,200 11.05
J U M LAH 54,665,000 6,020,000 0 6,020,000 14,000,000 0 0 0 5,378,038,000 392,588,485 0 392,588,485 7
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MENGETAHUI
Kepala Dinas Kesehatan Kabupaten Purworejo, ……………………
Purworejo, Bendahara Penerimaan

Dr .Kuswantoro, M.Kes Mistinah, S.IP

NIP. 19621204 198803 1 011 NIP.19620302 198512 2 003
 PEMERINTAH KABUPATEN PURWOREJO
DINAS KESEHATAN
Jn.May.jend Sutoyo No.17 Telp. 321034 Purworejo

DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO

BULAN : PEBRUARI 2015
1
NO, PUSKESMAS / RAWAT JALAN 4.1.2.01.01.01 KIR/ADM 4.1.2.01.01.02. TINDAKAN 4.1.2.01.01.03.
RSUD Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini

1 Grabag 72,882,000 8,086,500 7,060,500 15,147,000 6,000,000 560,000 330,000 890,000 41,000,000 5,985,000 485,000 6,470,000
2 Ngombol 69,322,500 6,399,000 6,124,500 12,523,500 9,000,000 560,000 410,000 970,000 40,000,000 10,093,000 2,778,500 12,871,500
3 Bubutan 50,026,500 4,441,500 4,644,000 9,085,500 1,500,000 135,000 110,000 245,000 28,000,000 1,686,500 1,544,500 3,231,000
4 Bagelen 41,080,500 3,973,500 3,843,000 7,816,500 2,500,000 125,000 70,000 195,000 25,000,000 5,857,500 1,780,000 7,637,500
5 Dadirejo 32,004,000 2,857,500 2,866,500 5,724,000 1,500,000 60,000 80,500 140,500 35,000,000 427,000 2,968,000 3,395,000
6 Kaligesing 41,530,500 4,288,500 4,221,000 8,509,500 3,000,000 255,000 115,000 370,000 52,000,000 10,226,500 5,324,000 15,550,500
7 Cangkrep 55,372,500 4,617,000 5,899,500 10,516,500 2,500,000 575,000 355,000 930,000 43,000,000 5,359,000 5,319,750 10,678,750
8 Mranti 73,462,500 6,754,500 6,088,500 12,843,000 2,000,000 380,000 170,000 550,000 53,000,000 10,152,500 1,302,500 11,455,000
9 Purworejo 139,990,500 11,975,000 12,312,000 24,287,000 12,000,000 940,000 925,000 1,865,000 85,000,000 8,825,000 8,642,500 17,467,500
10 Banyuurip 49,536,000 4,491,000 5,530,500 10,021,500 1,000,000 205,000 250,000 455,000 22,000,000 11,336,000 620,000 11,956,000
11 Seborokrapyak 33,412,500 3,145,500 2,947,500 6,093,000 600,000 60,000 110,000 170,000 35,000,000 2,825,000 677,500 3,502,500
12 Bayan 68,719,500 5,386,500 5,814,000 11,200,500 2,000,000 285,000 190,000 475,000 70,000,000 367,500 355,000 722,500
13 Sem daleman 81,171,000 7,285,500 7,857,000 15,142,500 4,000,000 330,000 317,500 647,500 82,000,000 18,531,000 9,577,000 28,108,000
14 Wirun 32,553,000 2,691,000 3,195,000 5,886,000 1,500,000 95,000 70,000 165,000 36,000,000 2,207,500 382,500 2,590,000
15 Butuh 45,274,500 4,504,500 4,203,000 8,707,500 2,000,000 125,000 175,000 300,000 52,000,000 352,500 515,000 867,500
16 Sruwohrejo 40,144,500 4,554,000 3,402,000 7,956,000 1,000,000 160,000 130,000 290,000 55,000,000 10,340,000 330,000 10,670,000
17 Pituruh 69,048,000 5,931,000 6,075,000 12,006,000 16,000,000 1,495,000 1,355,000 2,850,000 275,000,000 25,832,450 25,869,900 51,702,350
18 Karanggetas 22,095,000 2,146,500 1,813,500 3,960,000 1,000,000 100,000 40,000 140,000 25,000,000 7,135,000 177,500 7,312,500
19 Kemiri 67,531,500 5,818,500 6,214,500 12,033,000 5,000,000 395,000 240,000 635,000 52,000,000 1,297,500 1,135,000 2,432,500
20 Winong 34,456,500 2,952,000 3,240,000 6,192,000 1,000,000 55,000 100,000 155,000 49,000,000 9,455,000 2,410,000 11,865,000
21 Bruno 35,316,000 4,477,500 4,374,000 8,851,500 9,000,000 417,500 245,000 662,500 165,000,000 7,870,250 13,891,000 21,761,250
22 Gebang 47,713,500 4,563,000 4,648,500 9,211,500 2,100,000 180,000 185,000 365,000 65,000,000 1,930,000 810,000 2,740,000
23 Loano 85,131,000 6,957,000 7,330,500 14,287,500 9,000,000 485,000 590,000 1,075,000 125,000,000 4,926,000 7,033,500 11,959,500
24 Banyuasin 24,921,000 1,782,000 2,043,000 3,825,000 2,000,000 88,000 72,500 160,500 28,000,000 160,000 222,500 382,500
25 Bener 36,535,500 4,122,000 3,771,000 7,893,000 300,000 25,000 25,000 50,000 90,000,000 31,682,000 1,227,500 32,909,500
26 Kutoarjo 45,252,000 4,783,500 4,954,500 9,738,000 6,000,000 625,000 490,000 1,115,000 56,000,000 5,530,000 4,998,500 10,528,500
27 Bragolan 49,270,500 5,310,000 5,314,500 10,624,500 4,500,000 390,000 382,500 772,500 55,116,500 5,815,000 17,084,500 22,899,500

Jumlah 1,443,753,000 134,294,000 135,787,500 270,081,500 108,000,000 9,105,500 7,533,000 16,638,500 1,739,116,500 206,204,700 117,461,650 323,666,350
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 DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO
BULAN : PEBRUARI 2015

NO, PUSKESMAS / LABORATORIUM 4.1.2.01.01.04. OBAT-OBATAN 4.1.2.01.01.05. KONSULTASI GIZI 4.1.2.01.01.06. RAWAT INAP UMUM 4.1.2.01.01.07.
RSUD Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini

1 Grabag 1,500,000 574,000 554,000 1,128,000 0 0 0 0 0 0 0 0 0

2 Ngombol 8,500,000 2,561,500 2,416,500 4,978,000 62,220,000 7,834,000 9,048,000 16,882,000 2,000,000 255,000 265,000 520,000 145,000,000 6,177,500 3,735,000 9,912,500
3 Bubutan 2,500,000 1,992,500 1,179,500 3,172,000 2,500,000 1,874,000 848,000 2,722,000 0 0 0 0 10,000,000 880,000 671,000 1,551,000
4 Bagelen 650,000 310,000 331,000 641,000 0 0 0 0 0 0 0 0 0
5 Dadirejo 1,100,000 393,500 243,500 637,000 9,000,000 688,000 807,000 1,495,000 750,000 56,000 72,000 128,000 35,000,000 856,000 2,329,500 3,185,500
6 Kaligesing 600,000 237,000 467,000 704,000 3,000,000 640,900 405,100 1,046,000 100,000 50,000 45,000 95,000 40,000,000 1,455,000 270,000 1,725,000
7 Cangkrep 4,500,000 1,366,500 1,888,000 3,254,500 15,000,000 2,839,125 2,600,225 5,439,350 1,500,000 250,000 255,000 505,000 132,000,000 8,479,000 2,535,000 11,014,000
8 Mranti 1,100,000 313,000 299,000 612,000 0 0 0 0 0 0 0 0 0
9 Purworejo 18,000,000 2,976,000 3,096,000 6,072,000 0 0 0 0 0 0 0 0 0
10 Banyuurip 1,500,000 543,000 1,026,000 1,569,000 0 0 0 0 0 0 0 0 0
11 Seborokrapyak 2,500,000 847,500 729,000 1,576,500 0 0 0 0 0 0 0 0 0
12 Bayan 2,400,000 378,000 508,000 886,000 0 0 0 0 0 0 0 0 0
13 Semdaleman 7,200,000 1,272,000 1,606,500 2,878,500 15,000,000 467,000 2,458,000 2,925,000 1,200,000 25,000 135,000 160,000 47,000,000 722,500 1,045,000 1,767,500
14 Wirun 1,200,000 244,000 487,000 731,000 0 0 0 0 0 0 0 0 0
15 Butuh 700,000 660,000 726,000 1,386,000 0 0 0 0 0 0 0 0 0
16 Sruwohrejo 1,500,000 541,000 325,000 866,000 0 0 0 0 0 0 0 0 0
17 Pituruh 12,200,000 3,343,025 3,540,250 6,883,275 85,000,000 11,111,175 8,800,750 19,911,925 9,725,000 1,208,000 990,000 2,198,000 293,000,000 17,314,500 9,055,500 26,370,000
18 Karanggetas 550,000 0 0 0 0 0 0 0 0 0 0 0 0
19 Kemiri 4,300,000 1,999,000 2,013,000 4,012,000 0 0 0 0 0 0 0 0 0
20 Winong 2,100,000 723,500 459,000 1,182,500 0 0 0 0 0 0 0 0 0
21 Bruno 4,000,000 1,532,500 1,717,500 3,250,000 10,000,000 3,885,400 2,450,000 6,335,400 750,000 202,500 150,000 352,500 120,000,000 6,540,000 1,695,000 8,235,000
22 Gebang 1,600,000 218,000 262,000 480,000 0 0 0 0 0 0 0 0 0
23 Loano 21,000,000 5,191,000 9,844,000 15,035,000 35,000,000 4,462,430 11,372,510 15,834,940 8,000,000 376,000 699,000 1,075,000 210,000,000 6,402,500 6,855,000 13,257,500
24 Banyuasin 2,500,000 726,000 844,000 1,570,000 6,000,000 344,400 355,000 699,400 0 0 0 98,000,000 3,686,000 326,000 4,012,000
25 Bener 2,600,000 1,438,500 1,684,500 3,123,000 0 0 0 0 0 0 0 0 0
26 Kutoarjo 2,800,000 813,500 486,000 1,299,500 20,000,000 2,831,600 4,471,800 7,303,400 100,000 5,000 0 5,000 92,747,000 3,400,000 1,850,000 5,250,000
27 Bragolan 16,125,000 3,642,500 4,809,750 8,452,250 25,000,000 1,628,800 3,622,450 5,251,250 1,000,000 85,000 182,500 267,500 105,000,000 4,682,000 3,845,000 8,527,000
JUMLAH 125,225,000 34,837,025 41,542,000 76,379,025 287,720,000 38,606,830 47,238,835 85,845,665 25,125,000 2,512,500 2,793,500 5,306,000 1,327,747,000 60,595,000 34,212,000 94,807,000
v v v v
 DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO
BULAN : PEBRUARI 2015

NO, PUSKESMAS / CAPENG 4.1.2.01.01.09. CAL HAJ 4.1.2.01.01.12. REALISASI %

RSUD Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini Total target Bl.ini s/d bl.lalu s/d bl.ini Target

1 Grabag 5,000,000 250,000 520,000 770,000 840,000 0 0 0 127,222,000 15,455,500 8,949,500 24,405,000 19.18
2 Ngombol 2,700,000 190,000 250,000 440,000 420,000 0 0 0 339,162,500 34,070,000 25,027,500 59,097,500 17.42
3 Bubutan 1,510,000 110,000 210,000 320,000 380,000 0 0 0 96,416,500 11,119,500 9,207,000 20,326,500 21.08
4 Bagelen 2,500,000 90,000 240,000 330,000 120,000 0 0 0 71,850,500 10,356,000 6,264,000 16,620,000 23.13
5 Dadirejo 600,000 50,000 30,000 80,000 100,000 120,000 0 120,000 115,054,000 5,508,000 9,397,000 14,905,000 12.95
6 Kaligesing 2,230,000 140,000 250,000 390,000 120,000 20,000 0 20,000 142,580,500 17,312,900 11,097,100 28,410,000 19.93
7 Cangkrep 3,330,000 330,000 340,000 670,000 320,000 0 0 0 257,522,500 23,815,625 19,192,475 43,008,100 16.70
8 Mranti 800,000 60,000 90,000 150,000 760,000 0 0 0 131,122,500 17,660,000 7,950,000 25,610,000 19.53
9 Purworejo 3,100,000 240,000 370,000 610,000 560,000 0 0 0 258,650,500 24,956,000 25,345,500 50,301,500 19.45
10 Banyuurip 2,980,000 160,000 400,000 560,000 340,000 0 0 0 77,356,000 16,735,000 7,826,500 24,561,500 31.75
11 Seborokrapyak 200,000 30,000 20,000 50,000 200,000 0 0 0 71,912,500 6,908,000 4,484,000 11,392,000 15.84
12 Bayan 3,500,000 350,000 410,000 760,000 1,000,000 0 0 0 147,619,500 6,767,000 7,277,000 14,044,000 9.51
13 Sem daleman 2,370,000 160,000 180,000 340,000 460,000 100,000 0 100,000 240,401,000 28,893,000 23,176,000 52,069,000 21.66
14 Wirun 600,000 50,000 90,000 140,000 280,000 180,000 0 180,000 72,133,000 5,467,500 4,224,500 9,692,000 13.44
15 Butuh 2,024,000 120,000 160,000 280,000 740,000 100,000 0 100,000 102,738,500 5,862,000 5,779,000 11,641,000 11.33
16 Sruwohrejo 1,600,000 80,000 100,000 180,000 840,000 240,000 0 240,000 100,084,500 15,915,000 4,287,000 20,202,000 20.18
17 Pituruh 3,200,000 130,000 120,000 250,000 600,000 20,000 0 20,000 763,773,000 66,385,150 55,806,400 122,191,550 16.00
18 Karanggetas 0 0 0 0 300,000 0 0 0 48,945,000 9,381,500 2,031,000 11,412,500 23.32
19 Kemiri 4,280,000 230,000 480,000 710,000 340,000 0 0 0 133,451,500 9,740,000 10,082,500 19,822,500 14.85
20 Winong 40,000 0 0 260,000 0 0 0 86,856,500 13,185,500 6,209,000 19,394,500 22.33
21 Bruno 1,750,000 70,000 250,000 320,000 380,000 0 0 0 346,196,000 24,995,650 24,772,500 49,768,150 14.38
22 Gebang 2,711,000 300,000 400,000 700,000 780,000 0 0 0 119,904,500 7,191,000 6,305,500 13,496,500 11.26
23 Loano 1,500,000 175,000 210,000 385,000 480,000 0 0 0 495,111,000 28,974,930 43,934,510 72,909,440 14.73
24 Banyuasin 1,600,000 100,000 140,000 240,000 180,000 0 0 0 163,201,000 6,886,400 4,003,000 10,889,400 6.67
25 Bener 3,000,000 290,000 430,000 720,000 600,000 0 0 0 133,035,500 37,557,500 7,138,000 44,695,500 33.60
26 Kutoarjo 90,000 180,000 270,000 220,000 240,000 0 240,000 223,119,000 18,318,600 17,430,800 35,749,400 16.02
27 Bragolan 1,540,000 160,000 150,000 310,000 380,000 20,000 0 20,000 257,932,000 21,733,300 35,391,200 57,124,500 22.15
J U M LA H 54,665,000 3,955,000 6,020,000 9,975,000 12,000,000 1,040,000 0 1,040,000 5,123,351,500 491,150,555 392,588,485 883,739,040 17
v v Keterangan: Rekap untuk Puskesmas tidak dikurangi biaya meterai.
MENGETAHUI
Kepala Dinas Kesehatan Kabupaten Purworejo, ……………………
Purworejo, Bendahara Penerimaan

Dr .Kuswantoro, M.Kes Mistinah, S.IP

NIP. 19621204 198803 1 011 NIP.19620302 198512 2 003
 PEMERINTAH KABUPATEN PURWOREJO
DINAS KESEHATAN
Jn.May.jend Sutoyo No.17 Telp. 321034 Purworejo

DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO

BULAN : MARET 2015
1
NO, PUSKESMAS / RAWAT JALAN 4.1.2.01.01.01 KIR/ADM 4.1.2.01.01.02. TINDAKAN 4.1.2.01.01.03.
RSUD Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini

1 Grabag 72,882,000 7,285,500 15,147,000 22,432,500 6,000,000 690,000 890,000 1,580,000 41,000,000 4,715,000 6,470,000 11,185,000
2 Ngombol 69,322,500 5,922,000 12,523,500 18,445,500 9,000,000 385,000 970,000 1,355,000 40,000,000 5,057,500 12,871,500 17,929,000
3 Bubutan 50,026,500 5,341,500 9,085,500 14,427,000 1,500,000 145,000 245,000 390,000 28,000,000 4,908,500 3,231,000 8,139,500
4 Bagelen 41,080,500 3,771,000 7,816,500 11,587,500 2,500,000 120,000 195,000 315,000 25,000,000 3,192,500 7,637,500 10,830,000
5 Dadirejo 32,004,000 3,060,000 5,724,000 8,784,000 1,500,000 45,000 140,500 185,500 35,000,000 337,000 3,395,000 3,732,000
6 Kaligesing 41,530,500 4,284,000 8,509,500 12,793,500 3,000,000 155,000 370,000 525,000 52,000,000 10,714,000 15,550,500 26,264,500
7 Cangkrep 55,372,500 6,709,500 10,516,500 17,226,000 2,500,000 220,000 930,000 1,150,000 43,000,000 10,151,250 10,678,750 20,830,000
8 Mranti 73,462,500 7,623,000 12,843,000 20,466,000 2,000,000 150,000 550,000 700,000 53,000,000 14,687,500 11,455,000 26,142,500
9 Purworejo 139,990,500 12,717,000 24,287,000 37,004,000 12,000,000 870,000 1,865,000 2,735,000 85,000,000 7,427,500 17,467,500 24,895,000
10 Banyuurip 49,536,000 6,187,500 10,021,500 16,209,000 1,000,000 175,000 455,000 630,000 22,000,000 592,500 11,956,000 12,548,500
11 Seborokrapyak 33,412,500 3,271,500 6,093,000 9,364,500 600,000 80,000 170,000 250,000 35,000,000 700,000 3,502,500 4,202,500
12 Bayan 68,719,500 6,421,500 11,200,500 17,622,000 2,000,000 185,000 475,000 660,000 70,000,000 36,013,000 722,500 36,735,500
13 Sem daleman 81,171,000 7,780,500 15,142,500 22,923,000 4,000,000 485,000 647,500 1,132,500 82,000,000 19,512,500 28,108,000 47,620,500
14 Wirun 32,553,000 2,929,500 5,886,000 8,815,500 1,500,000 50,000 165,000 215,000 36,000,000 2,465,000 2,590,000 5,055,000
15 Butuh 45,274,500 4,522,500 8,707,500 13,230,000 2,000,000 370,000 300,000 670,000 52,000,000 1,822,500 867,500 2,690,000
16 Sruwohrejo 40,144,500 4,185,000 7,956,000 12,141,000 1,000,000 320,000 290,000 610,000 55,000,000 4,680,000 10,670,000 15,350,000
17 Pituruh 69,048,000 5,836,500 12,006,000 17,842,500 16,000,000 1,110,000 2,850,000 3,960,000 275,000,000 36,035,300 51,702,350 87,737,650
18 Karanggetas 22,095,000 3,037,500 3,960,000 6,997,500 1,000,000 40,000 140,000 180,000 25,000,000 4,037,500 7,312,500 11,350,000
19 Kemiri 67,531,500 6,106,500 12,033,000 18,139,500 5,000,000 310,000 635,000 945,000 52,000,000 2,650,000 2,432,500 5,082,500
20 Winong 34,456,500 3,348,000 6,192,000 9,540,000 1,000,000 130,000 155,000 285,000 49,000,000 25,303,500 11,865,000 37,168,500
21 Bruno 35,316,000 4,635,000 8,851,500 13,486,500 9,000,000 350,000 662,500 1,012,500 165,000,000 62,003,300 21,761,250 83,764,550
22 Gebang 47,713,500 5,346,000 9,211,500 14,557,500 2,100,000 395,000 365,000 760,000 65,000,000 12,831,500 2,740,000 15,571,500
23 Loano 85,131,000 8,266,500 14,287,500 22,554,000 9,000,000 807,000 1,075,000 1,882,000 125,000,000 8,850,000 11,959,500 20,809,500
24 Banyuasin 24,921,000 2,574,000 3,825,000 6,399,000 2,000,000 131,000 160,500 291,500 28,000,000 297,500 382,500 680,000
25 Bener 36,535,500 4,576,500 7,893,000 12,469,500 300,000 25,000 50,000 75,000 90,000,000 12,882,500 32,909,500 45,792,000
26 Kutoarjo 45,252,000 5,350,500 9,738,000 15,088,500 6,000,000 605,000 1,115,000 1,720,000 56,000,000 8,144,000 10,528,500 18,672,500
27 Bragolan 49,270,500 5,296,500 10,624,500 15,921,000 4,500,000 375,000 772,500 1,147,500 55,116,500 4,462,500 22,899,500 27,362,000

Jumlah 1,443,753,000 146,385,000 135,787,500 416,466,500 108,000,000 8,723,000 16,638,500 25,361,500 1,739,116,500 304,473,850 323,666,350 628,140,200
v v v
 DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO
BULAN : MARET 2015

NO, PUSKESMAS / LABORATORIUM 4.1.2.01.01.04. OBAT-OBATAN 4.1.2.01.01.05. KONSULTASI GIZI 4.1.2.01.01.06. RAWAT INAP UMUM 4.1.2.01.01.07.
RSUD Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini

1 Grabag 1,500,000 524,000 1,128,000 1,652,000 0 0 0 0 0 0 0 0 0

2 Ngombol 8,500,000 2,170,000 4,978,000 7,148,000 62,220,000 10,330,000 16,882,000 27,212,000 2,000,000 205,000 520,000 725,000 145,000,000 14,684,000 9,912,500 24,596,500
3 Bubutan 2,500,000 1,118,000 3,172,000 4,290,000 2,500,000 263,500 2,722,000 2,985,500 0 0 0 0 10,000,000 1,290,000 1,551,000 2,841,000
4 Bagelen 650,000 613,000 641,000 1,254,000 0 0 0 0 0 0 0 0 0
5 Dadirejo 1,100,000 450,000 637,000 1,087,000 9,000,000 559,000 1,495,000 2,054,000 750,000 56,000 128,000 184,000 35,000,000 5,656,000 3,185,500 8,841,500
6 Kaligesing 600,000 309,000 704,000 1,013,000 3,000,000 475,200 1,046,000 1,521,200 100,000 40,000 95,000 135,000 40,000,000 9,165,000 1,725,000 10,890,000
7 Cangkrep 4,500,000 1,491,000 3,254,500 4,745,500 15,000,000 1,454,400 5,439,350 6,893,750 1,500,000 145,000 505,000 650,000 132,000,000 17,695,000 11,014,000 28,709,000
8 Mranti 1,100,000 499,000 612,000 1,111,000 0 0 0 0 0 0 0 0 0
9 Purworejo 18,000,000 4,531,000 6,072,000 10,603,000 0 0 0 0 0 0 0 0 0
10 Banyuurip 1,500,000 643,000 1,569,000 2,212,000 0 0 0 0 0 0 0 0 0
11 Seborokrapyak 2,500,000 1,031,500 1,576,500 2,608,000 0 0 0 0 0 0 0 0 0
12 Bayan 2,400,000 990,000 886,000 1,876,000 0 0 0 0 0 0 0 0 0
13 Semdaleman 7,200,000 1,205,000 2,878,500 4,083,500 15,000,000 714,000 2,925,000 3,639,000 1,200,000 45,000 160,000 205,000 47,000,000 2,823,000 1,767,500 4,590,500
14 Wirun 1,200,000 297,000 731,000 1,028,000 0 0 0 0 0 0 0 0 0
15 Butuh 700,000 1,292,000 1,386,000 2,678,000 0 0 0 0 0 0 0 0 0
16 Sruwohrejo 1,500,000 630,000 866,000 1,496,000 0 0 0 0 0 0 0 0 0
17 Pituruh 12,200,000 4,649,850 6,883,275 11,533,125 85,000,000 10,845,250 19,911,925 30,757,175 9,725,000 1,190,000 2,198,000 3,388,000 293,000,000 29,542,500 26,370,000 55,912,500
18 Karanggetas 550,000 98,000 0 98,000 0 0 0 0 0 0 0 0 0
19 Kemiri 4,300,000 2,358,500 4,012,000 6,370,500 0 0 0 0 0 0 0 0 0
20 Winong 2,100,000 975,500 1,182,500 2,158,000 0 0 0 0 0 0 0 0 0
21 Bruno 4,000,000 1,642,500 3,250,000 4,892,500 10,000,000 2,657,050 6,335,400 8,992,450 750,000 220,000 352,500 572,500 120,000,000 26,688,000 8,235,000 34,923,000
22 Gebang 1,600,000 324,000 480,000 804,000 0 0 0 0 0 0 0 0 0
23 Loano 21,000,000 9,634,000 15,035,000 24,669,000 35,000,000 10,690,412 15,834,940 26,525,352 8,000,000 766,000 1,075,000 1,841,000 210,000,000 25,982,500 13,257,500 39,240,000
24 Banyuasin 2,500,000 738,000 1,570,000 2,308,000 6,000,000 1,140,300 699,400 1,839,700 0 0 0 0 98,000,000 13,324,000 4,012,000 17,336,000
25 Bener 2,600,000 1,441,000 3,123,000 4,564,000 0 0 0 0 0 0 0 0 0
26 Kutoarjo 2,800,000 904,000 1,299,500 2,203,500 20,000,000 3,487,530 7,303,400 10,790,930 100,000 15,000 5,000 20,000 92,747,000 17,865,000 5,250,000 23,115,000
27 Bragolan 16,125,000 4,459,500 8,452,250 12,911,750 25,000,000 1,478,800 5,251,250 6,730,050 1,000,000 65,000 267,500 332,500 105,000,000 19,945,500 8,527,000 28,472,500
JUMLAH 125,225,000 45,018,350 76,379,025 121,397,375 287,720,000 44,095,442 85,845,665 129,941,107 25,125,000 2,747,000 5,306,000 8,053,000 1,327,747,000 184,660,500 34,212,000 279,467,500
v v v v
 DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO
BULAN : MARET 2015

NO, PUSKESMAS / CAPENG 4.1.2.01.01.09. CAL HAJ 4.1.2.01.01.12. REALISASI %

RSUD Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini Total target Bl.ini s/d bl.lalu s/d bl.ini Target

1 Grabag 5,000,000 270,000 770,000 1,040,000 840,000 240,000 0 240,000 127,222,000 13,724,500 24,405,000 38,129,500 29.97
2 Ngombol 2,700,000 270,000 440,000 710,000 420,000 300,000 0 300,000 339,162,500 39,323,500 59,097,500 98,421,000 29.02
3 Bubutan 1,510,000 90,000 320,000 410,000 380,000 200,000 0 200,000 96,416,500 13,356,500 20,326,500 33,683,000 34.93
4 Bagelen 2,500,000 310,000 330,000 640,000 120,000 100,000 0 100,000 71,850,500 8,106,500 16,620,000 24,726,500 34.41
5 Dadirejo 600,000 51,000 80,000 131,000 100,000 20,000 120,000 140,000 115,054,000 10,234,000 14,905,000 25,139,000 21.85
6 Kaligesing 2,230,000 190,000 390,000 580,000 120,000 40,000 20,000 60,000 142,580,500 25,372,200 28,410,000 53,782,200 37.72
7 Cangkrep 3,330,000 330,000 670,000 1,000,000 320,000 160,000 0 160,000 257,522,500 38,356,150 43,008,100 81,364,250 31.60
8 Mranti 800,000 40,000 150,000 190,000 760,000 0 0 0 131,122,500 22,999,500 25,610,000 48,609,500 37.07
9 Purworejo 3,100,000 290,000 610,000 900,000 560,000 460,000 0 460,000 258,650,500 26,295,500 50,301,500 76,597,000 29.61
10 Banyuurip 2,980,000 210,000 560,000 770,000 340,000 360,000 0 360,000 77,356,000 8,168,000 24,561,500 32,729,500 42.31
11 Seborokrapyak 200,000 110,000 50,000 160,000 200,000 20,000 0 20,000 71,912,500 5,213,000 11,392,000 16,605,000 23.09
12 Bayan 3,500,000 400,000 760,000 1,160,000 1,000,000 840,000 0 840,000 147,619,500 44,849,500 14,044,000 58,893,500 39.90
13 Sem daleman 2,370,000 200,000 340,000 540,000 460,000 260,000 100,000 360,000 240,401,000 33,025,000 52,069,000 85,094,000 35.40
14 Wirun 600,000 80,000 140,000 220,000 280,000 20,000 180,000 200,000 72,133,000 5,841,500 9,692,000 15,533,500 21.53
15 Butuh 2,024,000 220,000 280,000 500,000 740,000 360,000 100,000 460,000 102,738,500 8,587,000 11,641,000 20,228,000 19.69
16 Sruwohrejo 1,600,000 100,000 180,000 280,000 840,000 60,000 240,000 300,000 100,084,500 9,975,000 20,202,000 30,177,000 30.15
17 Pituruh 3,200,000 160,000 250,000 410,000 600,000 240,000 20,000 260,000 763,773,000 89,609,400 122,191,550 211,800,950 27.73
18 Karanggetas 0 0 0 0 300,000 0 0 0 48,945,000 7,213,000 11,412,500 18,625,500 38.05
19 Kemiri 4,280,000 440,000 710,000 1,150,000 340,000 440,000 0 440,000 133,451,500 12,305,000 19,822,500 32,127,500 24.07
20 Winong 40,000 0 0 0 260,000 100,000 0 100,000 86,856,500 29,857,000 19,394,500 49,251,500 56.70
21 Bruno 1,750,000 120,000 320,000 440,000 380,000 340,000 0 340,000 346,196,000 98,655,850 49,768,150 148,424,000 42.87
22 Gebang 2,711,000 460,000 700,000 1,160,000 780,000 420,000 0 420,000 119,904,500 19,776,500 13,496,500 33,273,000 27.75
23 Loano 1,500,000 200,000 385,000 585,000 480,000 340,000 0 340,000 495,111,000 65,536,412 72,909,440 138,445,852 27.96
24 Banyuasin 1,600,000 100,000 240,000 340,000 180,000 60,000 0 60,000 163,201,000 18,364,800 10,889,400 29,254,200 17.93
25 Bener 3,000,000 270,000 720,000 990,000 600,000 0 0 0 133,035,500 19,195,000 44,695,500 63,890,500 48.03
26 Kutoarjo 130,000 270,000 400,000 220,000 80,000 240,000 320,000 223,119,000 36,581,030 35,749,400 72,330,430 32.42
27 Bragolan 1,540,000 120,000 310,000 430,000 380,000 20,000 20,000 40,000 257,932,000 36,222,800 57,124,500 93,347,300 36.19
J U M LA H 54,665,000 5,161,000 9,975,000 15,136,000 12,000,000 5,480,000 1,040,000 6,520,000 5,123,351,500 746,744,142 883,739,040 1,630,483,182 32
v v Keterangan: Rekap Puskesmas tidak dikurangi biaya meterai.
MENGETAHUI
Kepala Dinas Kesehatan Kabupaten Purworejo, ……………………
Purworejo, Bendahara Penerimaan

Dr .Kuswantoro, M.Kes Mistinah, S.IP

NIP. 19621204 198803 1 011 NIP.19620302 198512 2 003
 PEMERINTAH KABUPATEN PURWOREJO
DINAS KESEHATAN
Jn.May.jend Sutoyo No.17 Telp. 321034 Purworejo

DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO

BULAN : APRIL 2015
1
NO, PUSKESMAS / RAWAT JALAN 4.1.2.01.01.01 KIR/ADM 4.1.2.01.01.02. TINDAKAN 4.1.2.01.01.03.
RSUD Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini

1 Grabag 72,882,000 7,033,500 22,432,500 29,466,000 6,000,000 625,000 1,580,000 2,205,000 41,000,000 10,330,000 11,185,000 21,515,000
2 Ngombol 69,322,500 6,239,250 18,445,500 24,684,750 9,000,000 587,500 1,355,000 1,942,500 40,000,000 8,115,250 17,929,000 26,044,250
3 Bubutan 50,026,500 4,459,500 14,427,000 18,886,500 1,500,000 200,000 390,000 590,000 28,000,000 892,500 8,139,500 9,032,000
4 Bagelen 41,080,500 3,748,500 11,587,500 15,336,000 2,500,000 145,000 315,000 460,000 25,000,000 2,700,000 10,830,000 13,530,000
5 Dadirejo 32,004,000 2,821,500 8,784,000 11,605,500 1,500,000 90,000 185,500 275,500 35,000,000 12,193,900 3,732,000 15,925,900
6 Kaligesing 41,530,500 4,131,000 12,793,500 16,924,500 3,000,000 185,000 525,000 710,000 52,000,000 4,909,500 26,264,500 31,174,000
7 Cangkrep 55,372,500 5,328,000 17,226,000 22,554,000 2,500,000 325,000 1,150,000 1,475,000 43,000,000 4,263,500 20,830,000 25,093,500
8 Mranti 73,462,500 6,048,000 20,466,000 26,514,000 2,000,000 245,000 700,000 945,000 53,000,000 1,190,000 26,142,500 27,332,500
9 Purworejo 139,990,500 12,055,500 37,004,000 49,059,500 12,000,000 1,255,000 2,735,000 3,990,000 85,000,000 23,147,500 24,895,000 48,042,500
10 Banyuurip 49,536,000 5,260,500 16,209,000 21,469,500 1,000,000 230,000 630,000 860,000 22,000,000 4,644,500 12,548,500 17,193,000
11 Seborokrapyak 33,412,500 3,474,000 9,364,500 12,838,500 600,000 115,000 250,000 365,000 35,000,000 12,560,000 4,202,500 16,762,500
12 Bayan 68,719,500 5,490,000 17,622,000 23,112,000 2,000,000 325,000 660,000 985,000 70,000,000 8,532,500 36,735,500 45,268,000
13 Sem daleman 81,171,000 7,951,500 22,923,000 30,874,500 4,000,000 497,500 1,132,500 1,630,000 82,000,000 17,282,500 47,620,500 64,903,000
14 Wirun 32,553,000 2,821,500 8,815,500 11,637,000 1,500,000 45,000 215,000 260,000 36,000,000 7,812,500 5,055,000 12,867,500
15 Butuh 45,274,500 4,680,000 13,230,000 17,910,000 2,000,000 305,000 670,000 975,000 52,000,000 23,967,500 2,690,000 26,657,500
16 Sruwohrejo 40,144,500 3,876,500 12,141,000 16,017,500 1,000,000 285,000 610,000 895,000 55,000,000 12,227,500 15,350,000 27,577,500
17 Pituruh 69,048,000 6,763,500 17,842,500 24,606,000 16,000,000 1,615,000 3,960,000 5,575,000 275,000,000 59,813,100 87,737,650 147,550,750
18 Karanggetas 22,095,000 1,309,000 6,997,500 8,306,500 1,000,000 90,000 180,000 270,000 25,000,000 9,315,000 11,350,000 20,665,000
19 Kemiri 67,531,500 6,187,500 18,139,500 24,327,000 5,000,000 510,000 945,000 1,455,000 52,000,000 15,855,600 5,082,500 20,938,100
20 Winong 34,456,500 3,172,500 9,540,000 12,712,500 1,000,000 55,000 285,000 340,000 49,000,000 8,572,000 37,168,500 45,740,500
21 Bruno 35,316,000 4,365,000 13,486,500 17,851,500 9,000,000 600,000 1,012,500 1,612,500 165,000,000 30,744,400 83,764,550 114,508,950
22 Gebang 47,713,500 5,305,500 14,557,500 19,863,000 2,100,000 165,000 760,000 925,000 65,000,000 2,267,500 15,571,500 17,839,000
23 Loano 85,131,000 7,816,500 22,554,000 30,370,500 9,000,000 705,000 1,882,000 2,587,000 125,000,000 29,964,000 20,809,500 50,773,500
24 Banyuasin 24,921,000 2,178,000 6,399,000 8,577,000 2,000,000 180,500 291,500 472,000 28,000,000 8,040,000 680,000 8,720,000
25 Bener 36,535,500 4,045,500 12,469,500 16,515,000 300,000 25,000 75,000 100,000 90,000,000 16,078,500 45,792,000 61,870,500
26 Kutoarjo 45,252,000 5,287,500 15,088,500 20,376,000 6,000,000 505,000 1,720,000 2,225,000 56,000,000 7,617,800 18,672,500 26,290,300
27 Bragolan 49,270,500 4,918,500 15,921,000 20,839,500 4,500,000 350,000 1,147,500 1,497,500 55,116,500 7,011,000 27,362,000 34,373,000

Jumlah 1,443,753,000 136,767,750 135,787,500 553,234,250 108,000,000 10,260,500 25,361,500 35,622,000 1,739,116,500 350,048,050 628,140,200 978,188,250
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 DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO
BULAN : APRIL 2015

NO, PUSKESMAS / LABORATORIUM 4.1.2.01.01.04. OBAT-OBATAN 4.1.2.01.01.05. KONSULTASI GIZI 4.1.2.01.01.06. RAWAT INAP UMUM 4.1.2.01.01.07.
RSUD Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini

1 Grabag 1,500,000 496,000 1,652,000 2,148,000 0 0 0 0 0 0 0 0 0

2 Ngombol 8,500,000 1,892,500 7,148,000 9,040,500 62,220,000 9,012,000 27,212,000 36,224,000 2,000,000 257,500 725,000 982,500 145,000,000 24,859,100 24,596,500 49,455,600
3 Bubutan 2,500,000 685,000 4,290,000 4,975,000 2,500,000 435,000 2,985,500 3,420,500 0 45,000 0 45,000 10,000,000 7,905,000 2,841,000 10,746,000
4 Bagelen 650,000 649,000 1,254,000 1,903,000 0 0 0 0 0 0 0 0 0
5 Dadirejo 1,100,000 476,000 1,087,000 1,563,000 9,000,000 2,070,100 2,054,000 4,124,100 750,000 148,000 184,000 332,000 35,000,000 624,000 8,841,500 9,465,500
6 Kaligesing 600,000 396,000 1,013,000 1,409,000 3,000,000 1,073,450 1,521,200 2,594,650 100,000 80,000 135,000 215,000 40,000,000 13,875,000 10,890,000 24,765,000
7 Cangkrep 4,500,000 1,698,000 4,745,500 6,443,500 15,000,000 1,952,050 6,893,750 8,845,800 1,500,000 150,000 650,000 800,000 132,000,000 23,802,000 28,709,000 52,511,000
8 Mranti 1,100,000 347,000 1,111,000 1,458,000 0 0 0 0 0 0 0 0 0
9 Purworejo 18,000,000 4,426,000 10,603,000 15,029,000 0 0 0 0 0 0 0 0 0
10 Banyuurip 1,500,000 1,083,500 2,212,000 3,295,500 0 0 0 0 0 0 0 0 0
11 Seborokrapyak 2,500,000 1,546,000 2,608,000 4,154,000 0 0 0 0 0 0 0 0 0
12 Bayan 2,400,000 765,000 1,876,000 2,641,000 0 0 0 0 0 0 0 0 0
13 Semdaleman 7,200,000 1,394,500 4,083,500 5,478,000 15,000,000 1,884,000 3,639,000 5,523,000 1,200,000 55,000 205,000 260,000 47,000,000 9,440,000 4,590,500 14,030,500
14 Wirun 1,200,000 373,000 1,028,000 1,401,000 0 0 0 0 0 0 0 0 0
15 Butuh 700,000 689,500 2,678,000 3,367,500 0 0 0 0 0 0 0 0 0
16 Sruwohrejo 1,500,000 300,000 1,496,000 1,796,000 0 0 0 0 0 0 0 0 0
17 Pituruh 12,200,000 3,273,000 11,533,125 14,806,125 85,000,000 14,173,100 30,757,175 44,930,275 9,725,000 1,486,000 3,388,000 4,874,000 293,000,000 33,628,000 55,912,500 89,540,500
18 Karanggetas 550,000 0 98,000 98,000 0 0 0 0 0 0 0 0 0
19 Kemiri 4,300,000 2,086,000 6,370,500 8,456,500 0 0 0 0 0 0 0 0 0
20 Winong 2,100,000 555,000 2,158,000 2,713,000 0 0 0 0 0 0 0 0 0
21 Bruno 4,000,000 1,687,500 4,892,500 6,580,000 10,000,000 5,116,850 8,992,450 14,109,300 750,000 285,000 572,500 857,500 120,000,000 28,890,000 34,923,000 63,813,000
22 Gebang 1,600,000 165,000 804,000 969,000 0 0 0 0 0 0 0 0 0
23 Loano 21,000,000 5,787,000 24,669,000 30,456,000 35,000,000 8,899,760 26,525,352 35,425,112 8,000,000 626,000 1,841,000 2,467,000 210,000,000 17,823,810 39,240,000 57,063,810
24 Banyuasin 2,500,000 598,000 2,308,000 2,906,000 6,000,000 574,500 1,839,700 2,414,200 0 0 0 0 98,000,000 19,032,000 17,336,000 36,368,000
25 Bener 2,600,000 1,458,500 4,564,000 6,022,500 0 0 0 0 0 0 0 0 0
26 Kutoarjo 2,800,000 838,000 2,203,500 3,041,500 20,000,000 3,905,100 10,790,930 14,696,030 100,000 0 20,000 20,000 92,747,000 9,035,000 23,115,000 32,150,000
27 Bragolan 16,125,000 5,240,000 12,911,750 18,151,750 25,000,000 3,258,600 6,730,050 9,988,650 1,000,000 100,000 332,500 432,500 105,000,000 27,559,200 28,472,500 56,031,700
JUMLAH 125,225,000 38,905,000 121,397,375 160,302,375 287,720,000 52,354,510 129,941,107 182,295,617 25,125,000 3,232,500 8,053,000 11,285,500 1,327,747,000 216,473,110 34,212,000 495,940,610
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 DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO
BULAN : APRIL 2015

NO, PUSKESMAS / CAPENG 4.1.2.01.01.09. CAL HAJ 4.1.2.01.01.12. REALISASI %

RSUD Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini Total target Bl.ini s/d bl.lalu s/d bl.ini Target

1 Grabag 5,000,000 310,000 1,040,000 1,350,000 840,000 0 240,000 240,000 127,222,000 18,794,500 38,129,500 56,924,000 44.74
2 Ngombol 2,700,000 280,000 710,000 990,000 420,000 20,000 300,000 320,000 339,162,500 51,263,100 98,421,000 149,684,100 44.13
3 Bubutan 1,510,000 210,000 410,000 620,000 380,000 0 200,000 200,000 96,416,500 14,832,000 33,683,000 48,515,000 50.32
4 Bagelen 2,500,000 180,000 640,000 820,000 120,000 0 100,000 100,000 71,850,500 7,422,500 24,726,500 32,149,000 44.74
5 Dadirejo 600,000 20,000 131,000 151,000 100,000 0 140,000 140,000 115,054,000 18,443,500 25,139,000 43,582,500 37.88
6 Kaligesing 2,230,000 240,000 580,000 820,000 120,000 0 60,000 60,000 142,580,500 24,889,950 53,782,200 78,672,150 55.18
7 Cangkrep 3,330,000 250,000 1,000,000 1,250,000 320,000 0 160,000 160,000 257,522,500 37,768,550 81,364,250 119,132,800 46.26
8 Mranti 800,000 50,000 190,000 240,000 760,000 0 0 0 131,122,500 7,880,000 48,609,500 56,489,500 43.08
9 Purworejo 3,100,000 330,000 900,000 1,230,000 560,000 0 460,000 460,000 258,650,500 41,214,000 76,597,000 117,811,000 45.55
10 Banyuurip 2,980,000 330,000 770,000 1,100,000 340,000 0 360,000 360,000 77,356,000 11,548,500 32,729,500 44,278,000 57.24
11 Seborokrapyak 200,000 20,000 160,000 180,000 200,000 0 20,000 20,000 71,912,500 17,715,000 16,605,000 34,320,000 47.72
12 Bayan 3,500,000 370,000 1,160,000 1,530,000 1,000,000 0 840,000 840,000 147,619,500 15,482,500 58,893,500 74,376,000 50.38
13 Sem daleman 2,370,000 310,000 540,000 850,000 460,000 0 360,000 360,000 240,401,000 38,815,000 85,094,000 123,909,000 51.54
14 Wirun 600,000 60,000 220,000 280,000 280,000 0 200,000 200,000 72,133,000 11,112,000 15,533,500 26,645,500 36.94
15 Butuh 2,024,000 130,000 500,000 630,000 740,000 0 460,000 460,000 102,738,500 29,772,000 20,228,000 50,000,000 48.67
16 Sruwohrejo 1,600,000 70,000 280,000 350,000 840,000 0 300,000 300,000 100,084,500 16,759,000 30,177,000 46,936,000 46.90
17 Pituruh 3,200,000 90,000 410,000 500,000 600,000 0 260,000 260,000 763,773,000 120,841,700 211,800,950 332,642,650 43.55
18 Karanggetas 0 0 0 0 300,000 0 0 0 48,945,000 10,714,000 18,625,500 29,339,500 59.94
19 Kemiri 4,280,000 380,000 1,150,000 1,530,000 340,000 0 440,000 440,000 133,451,500 25,019,100 32,127,500 57,146,600 42.82
20 Winong 40,000 0 0 0 260,000 0 100,000 100,000 86,856,500 12,354,500 49,251,500 61,606,000 70.93
21 Bruno 1,750,000 120,000 440,000 560,000 380,000 0 340,000 340,000 346,196,000 71,808,750 148,424,000 220,232,750 63.62
22 Gebang 2,711,000 310,000 1,160,000 1,470,000 780,000 0 420,000 420,000 119,904,500 8,213,000 33,273,000 41,486,000 34.60
23 Loano 1,500,000 160,000 585,000 745,000 480,000 0 340,000 340,000 495,111,000 71,782,070 138,445,852 210,227,922 42.46
24 Banyuasin 1,600,000 60,000 340,000 400,000 180,000 0 60,000 60,000 163,201,000 30,663,000 29,254,200 59,917,200 36.71
25 Bener 3,000,000 350,000 990,000 1,340,000 600,000 0 0 0 133,035,500 21,957,500 63,890,500 85,848,000 64.53
26 Kutoarjo 200,000 400,000 600,000 220,000 0 320,000 320,000 223,119,000 27,388,400 72,330,430 99,718,830 44.69
27 Bragolan 1,540,000 130,000 430,000 560,000 380,000 0 40,000 40,000 257,932,000 48,567,300 93,347,300 141,914,600 55.02
J U M LA H 54,665,000 4,960,000 15,136,000 20,096,000 12,000,000 20,000 6,520,000 6,540,000 5,123,351,500 813,021,420 1,630,483,182 2,443,504,602 48
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MENGETAHUI
Kepala Dinas Kesehatan Kabupaten Purworejo, ……………………
Purworejo, Bendahara Penerimaan

Dr .Kuswantoro, M.Kes Mistinah, S.IP

NIP. 19621204 198803 1 011 NIP.19620302 198512 2 003
 PEMERINTAH KABUPATEN PURWOREJO
DINAS KESEHATAN
Jn.May.jend Sutoyo No.17 Telp. 321034 Purworejo

DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO

BULAN : MEI 2015
1
NO, PUSKESMAS / RAWAT JALAN 4.1.2.01.01.01 KIR/ADM 4.1.2.01.01.02. TINDAKAN 4.1.2.01.01.03.
RSUD Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini

1 Grabag 72,882,000 7,006,500 29,466,000 36,472,500 6,000,000 925,000 2,205,000 3,130,000 41,000,000 572,500 21,515,000 22,087,500
2 Ngombol 69,322,500 7,204,500 24,684,750 31,889,250 9,000,000 1,490,000 1,942,500 3,432,500 40,000,000 17,555,900 26,044,250 43,600,150
3 Bubutan 50,026,500 4,842,000 18,886,500 23,728,500 1,500,000 405,000 590,000 995,000 28,000,000 2,985,000 9,032,000 12,017,000
4 Bagelen 41,080,500 4,014,000 15,336,000 19,350,000 2,500,000 245,000 460,000 705,000 25,000,000 5,777,500 13,530,000 19,307,500
5 Dadirejo 32,004,000 2,826,000 11,605,500 14,431,500 1,500,000 115,000 275,500 390,500 35,000,000 316,000 15,925,900 16,241,900
6 Kaligesing 41,530,500 4,567,500 16,924,500 21,492,000 3,000,000 460,000 710,000 1,170,000 52,000,000 14,803,500 31,174,000 45,977,500
7 Cangkrep 55,372,500 5,031,000 22,554,000 27,585,000 2,500,000 455,000 1,475,000 1,930,000 43,000,000 2,626,750 25,093,500 27,720,250
8 Mranti 73,462,500 5,265,000 26,514,000 31,779,000 2,000,000 220,000 945,000 1,165,000 53,000,000 5,157,500 27,332,500 32,490,000
9 Purworejo 139,990,500 10,120,500 49,059,500 59,180,000 12,000,000 965,000 3,990,000 4,955,000 85,000,000 15,211,200 48,042,500 63,253,700
10 Banyuurip 49,536,000 5,305,500 21,469,500 26,775,000 1,000,000 210,000 860,000 1,070,000 22,000,000 3,355,000 17,193,000 20,548,000
11 Seborokrapyak 33,412,500 2,767,500 12,838,500 15,606,000 600,000 255,000 365,000 620,000 35,000,000 4,610,000 16,762,500 21,372,500
12 Bayan 68,719,500 5,112,000 23,112,000 28,224,000 2,000,000 400,000 985,000 1,385,000 70,000,000 11,530,000 45,268,000 56,798,000
13 Sem daleman 81,171,000 6,831,000 30,874,500 37,705,500 4,000,000 680,000 1,630,000 2,310,000 82,000,000 6,337,500 64,903,000 71,240,500
14 Wirun 32,553,000 2,655,000 11,637,000 14,292,000 1,500,000 225,000 260,000 485,000 36,000,000 1,122,500 12,867,500 13,990,000
15 Butuh 45,274,500 4,320,000 17,910,000 22,230,000 2,000,000 500,000 975,000 1,475,000 52,000,000 7,633,000 26,657,500 34,290,500
16 Sruwohrejo 40,144,500 3,499,000 16,017,500 19,516,500 1,000,000 275,000 895,000 1,170,000 55,000,000 5,815,000 27,577,500 33,392,500
17 Pituruh 69,048,000 6,048,000 24,606,000 30,654,000 16,000,000 1,877,500 5,575,000 7,452,500 275,000,000 26,723,700 147,550,750 174,274,450
18 Karanggetas 22,095,000 1,530,500 8,306,500 9,837,000 1,000,000 115,000 270,000 385,000 25,000,000 152,000 20,665,000 20,817,000
19 Kemiri 67,531,500 6,075,000 24,327,000 30,402,000 5,000,000 690,000 1,455,000 2,145,000 52,000,000 4,676,500 20,938,100 25,614,600
20 Winong 34,456,500 2,970,000 12,712,500 15,682,500 1,000,000 165,000 340,000 505,000 49,000,000 5,835,500 45,740,500 51,576,000
21 Bruno 35,316,000 4,977,000 17,851,500 22,828,500 9,000,000 685,000 1,612,500 2,297,500 165,000,000 8,552,700 114,508,950 123,061,650
22 Gebang 47,713,500 5,220,000 19,863,000 25,083,000 2,100,000 495,000 925,000 1,420,000 65,000,000 11,267,500 17,839,000 29,106,500
23 Loano 85,131,000 7,060,500 30,370,500 37,431,000 9,000,000 930,000 2,587,000 3,517,000 125,000,000 10,107,500 50,773,500 60,881,000
24 Banyuasin 24,921,000 2,236,500 8,577,000 10,813,500 2,000,000 316,000 472,000 788,000 28,000,000 8,805,000 8,720,000 17,525,000
25 Bener 36,535,500 3,753,000 16,515,000 20,268,000 300,000 30,000 100,000 130,000 90,000,000 3,773,500 61,870,500 65,644,000
26 Kutoarjo 45,252,000 5,215,500 20,376,000 25,591,500 6,000,000 775,000 2,225,000 3,000,000 56,000,000 7,422,400 26,290,300 33,712,700
27 Bragolan 49,270,500 4,972,500 20,839,500 25,812,000 4,500,000 583,500 1,497,500 2,081,000 55,116,500 2,536,100 34,373,000 36,909,100
Jumlah 1,443,753,000 131,425,500 135,787,500 684,659,750 108,000,000 14,487,000 35,622,000 50,109,000 1,739,116,500 195,261,250 978,188,250 1,173,449,500
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 DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO
BULAN : MEI 2015

NO, PUSKESMAS / LABORATORIUM 4.1.2.01.01.04. OBAT-OBATAN 4.1.2.01.01.05. KONSULTASI GIZI 4.1.2.01.01.06. RAWAT INAP UMUM 4.1.2.01.01.07.
RSUD Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini

1 Grabag 1,500,000 490,000 2,148,000 2,638,000 0 0 0 0 0 0 0 0 0

2 Ngombol 8,500,000 1,261,500 9,040,500 10,302,000 62,220,000 5,222,500 36,224,000 41,446,500 2,000,000 229,000 982,500 1,211,500 145,000,000 2,440,000 49,455,600 51,895,600
3 Bubutan 2,500,000 1,007,000 4,975,000 5,982,000 2,500,000 1,741,000 3,420,500 5,161,500 0 0 45,000 45,000 10,000,000 1,275,000 10,746,000 12,021,000
4 Bagelen 650,000 602,000 1,903,000 2,505,000 0 0 0 0 0 0 0 0 0
5 Dadirejo 1,100,000 296,000 1,563,000 1,859,000 9,000,000 593,000 4,124,100 4,717,100 750,000 48,000 332,000 380,000 35,000,000 3,860,300 9,465,500 13,325,800
6 Kaligesing 600,000 264,000 1,409,000 1,673,000 3,000,000 201,800 2,594,650 2,796,450 100,000 20,000 215,000 235,000 40,000,000 6,330,000 24,765,000 31,095,000
7 Cangkrep 4,500,000 2,610,000 6,443,500 9,053,500 15,000,000 2,394,450 8,845,800 11,240,250 1,500,000 175,000 800,000 975,000 132,000,000 9,365,000 52,511,000 61,876,000
8 Mranti 1,100,000 235,000 1,458,000 1,693,000 0 0 0 0 0 0 0 0 0
9 Purworejo 18,000,000 2,535,000 15,029,000 17,564,000 0 0 0 0 0 0 0 0 0
10 Banyuurip 1,500,000 489,000 3,295,500 3,784,500 0 0 0 0 0 0 0 0 0
11 Seborokrapyak 2,500,000 892,000 4,154,000 5,046,000 0 0 0 0 0 0 0 0 0
12 Bayan 2,400,000 500,000 2,641,000 3,141,000 0 0 0 0 0 0 0 0 0
13 Semdaleman 7,200,000 1,435,500 5,478,000 6,913,500 15,000,000 1,004,500 5,523,000 6,527,500 1,200,000 35,000 260,000 295,000 47,000,000 3,432,000 14,030,500 17,462,500
14 Wirun 1,200,000 323,500 1,401,000 1,724,500 0 0 0 0 0 0 0 0 0
15 Butuh 700,000 817,000 3,367,500 4,184,500 0 0 0 0 0 0 0 0 0
16 Sruwohrejo 1,500,000 418,000 1,796,000 2,214,000 0 0 0 0 0 0 0 0 0
17 Pituruh 12,200,000 3,136,500 14,806,125 17,942,625 85,000,000 12,193,400 44,930,275 57,123,675 9,725,000 1,180,000 4,874,000 6,054,000 293,000,000 53,369,500 89,540,500 142,910,000
18 Karanggetas 550,000 1,590,000 98,000 1,688,000 0 0 0 0 0 0 0 0 0
19 Kemiri 4,300,000 1,590,500 8,456,500 10,047,000 0 0 0 0 0 0 0 0 0
20 Winong 2,100,000 480,000 2,713,000 3,193,000 0 0 0 0 0 0 0 0 0
21 Bruno 4,000,000 1,465,500 6,580,000 8,045,500 10,000,000 2,177,704 14,109,300 16,287,004 750,000 175,000 857,500 1,032,500 120,000,000 18,630,000 63,813,000 82,443,000
22 Gebang 1,600,000 185,000 969,000 1,154,000 0 0 0 0 0 0 0 0 0
23 Loano 21,000,000 6,097,000 30,456,000 36,553,000 35,000,000 11,203,020 35,425,112 46,628,132 8,000,000 625,000 2,467,000 3,092,000 210,000,000 5,445,000 57,063,810 62,508,810
24 Banyuasin 2,500,000 668,000 2,906,000 3,574,000 6,000,000 800,800 2,414,200 3,215,000 0 0 0 0 98,000,000 9,304,000 36,368,000 45,672,000
25 Bener 2,600,000 1,040,500 6,022,500 7,063,000 0 0 0 0 0 0 0 0 0
26 Kutoarjo 2,800,000 892,500 3,041,500 3,934,000 20,000,000 2,603,900 14,696,030 17,299,930 100,000 15,000 20,000 35,000 92,747,000 10,680,000 32,150,000 42,830,000
27 Bragolan 16,125,000 4,085,500 18,151,750 22,237,250 25,000,000 1,949,200 9,988,650 11,937,850 1,000,000 60,000 432,500 492,500 105,000,000 12,953,700 56,031,700 68,985,400
JUMLAH 125,225,000 35,406,500 160,302,375 195,708,875 287,720,000 42,085,274 182,295,617 224,380,891 25,125,000 2,562,000 11,285,500 13,847,500 1,327,747,000 137,084,500 34,212,000 633,025,110
v v v v
 DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO
BULAN : MEI 2015

NO, PUSKESMAS / CAPENG 4.1.2.01.01.09. CAL HAJ 4.1.2.01.01.12. REALISASI %

RSUD Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini Total target Bl.ini s/d bl.lalu s/d bl.ini Target

1 Grabag 5,000,000 420,000 1,350,000 1,770,000 840,000 0 240,000 240,000 127,222,000 9,414,000 56,924,000 66,338,000 52.14
2 Ngombol 2,700,000 220,000 990,000 1,210,000 420,000 0 320,000 320,000 339,162,500 35,623,400 149,684,100 185,307,500 54.64
3 Bubutan 1,510,000 130,000 620,000 750,000 380,000 0 200,000 200,000 96,416,500 12,385,000 48,515,000 60,900,000 63.16
4 Bagelen 2,500,000 140,000 820,000 960,000 120,000 0 100,000 100,000 71,850,500 10,778,500 32,149,000 42,927,500 59.75
5 Dadirejo 600,000 60,000 151,000 211,000 100,000 0 140,000 140,000 115,054,000 8,114,300 43,582,500 51,696,800 44.93
6 Kaligesing 2,230,000 270,000 820,000 1,090,000 120,000 0 60,000 60,000 142,580,500 26,916,800 78,672,150 105,588,950 74.06
7 Cangkrep 3,330,000 230,000 1,250,000 1,480,000 320,000 0 160,000 160,000 257,522,500 22,887,200 119,132,800 142,020,000 55.15
8 Mranti 800,000 50,000 240,000 290,000 760,000 0 0 0 131,122,500 10,927,500 56,489,500 67,417,000 51.42
9 Purworejo 3,100,000 190,000 1,230,000 1,420,000 560,000 0 460,000 460,000 258,650,500 29,021,700 117,811,000 146,832,700 56.77
10 Banyuurip 2,980,000 190,000 1,100,000 1,290,000 340,000 0 360,000 360,000 77,356,000 9,549,500 44,278,000 53,827,500 69.58
11 Seborokrapyak 200,000 0 180,000 180,000 200,000 0 20,000 20,000 71,912,500 8,524,500 34,320,000 42,844,500 59.58
12 Bayan 3,500,000 410,000 1,530,000 1,940,000 1,000,000 0 840,000 840,000 147,619,500 17,952,000 74,376,000 92,328,000 62.54
13 Sem daleman 2,370,000 220,000 850,000 1,070,000 460,000 0 360,000 360,000 240,401,000 19,975,500 123,909,000 143,884,500 59.85
14 Wirun 600,000 40,000 280,000 320,000 280,000 0 200,000 200,000 72,133,000 4,366,000 26,645,500 31,011,500 42.99
15 Butuh 2,024,000 150,000 630,000 780,000 740,000 0 460,000 460,000 102,738,500 13,420,000 50,000,000 63,420,000 61.73
16 Sruwohrejo 1,600,000 190,000 350,000 540,000 840,000 0 300,000 300,000 100,084,500 10,197,000 46,936,000 57,133,000 57.08
17 Pituruh 3,200,000 70,000 500,000 570,000 600,000 0 260,000 260,000 763,773,000 104,598,600 332,642,650 437,241,250 57.25
18 Karanggetas 0 0 0 0 300,000 0 0 0 48,945,000 3,387,500 29,339,500 32,727,000 66.86
19 Kemiri 4,280,000 340,000 1,530,000 1,870,000 340,000 0 440,000 440,000 133,451,500 13,372,000 57,146,600 70,518,600 52.84
20 Winong 40,000 0 0 0 260,000 0 100,000 100,000 86,856,500 9,450,500 61,606,000 71,056,500 81.81
21 Bruno 1,750,000 130,000 560,000 690,000 380,000 0 340,000 340,000 346,196,000 36,792,904 220,232,750 257,025,654 74.24
22 Gebang 2,711,000 380,000 1,470,000 1,850,000 780,000 0 420,000 420,000 119,904,500 17,547,500 41,486,000 59,033,500 49.23
23 Loano 1,500,000 110,000 745,000 855,000 480,000 0 340,000 340,000 495,111,000 41,578,020 210,227,922 251,805,942 50.86
24 Banyuasin 1,600,000 70,000 400,000 470,000 180,000 0 60,000 60,000 163,201,000 22,200,300 59,917,200 82,117,500 50.32
25 Bener 3,000,000 280,000 1,340,000 1,620,000 600,000 0 0 0 133,035,500 8,877,000 85,848,000 94,725,000 71.20
26 Kutoarjo 130,000 600,000 730,000 220,000 0 320,000 320,000 223,119,000 27,734,300 99,718,830 127,453,130 57.12
27 Bragolan 1,540,000 130,000 560,000 690,000 380,000 0 40,000 40,000 257,932,000 27,270,500 141,914,600 169,185,100 65.59
J U M LA H 54,665,000 4,550,000 20,096,000 24,646,000 12,000,000 0 6,540,000 6,540,000 5,123,351,500 562,862,024 2,443,504,602 3,006,366,626 59
v v
MENGETAHUI
Kepala Dinas Kesehatan Kabupaten Purworejo, ……………………
Purworejo, Bendahara Penerimaan

Dr .Kuswantoro, M.Kes Mistinah, S.IP

NIP. 19621204 198803 1 011 NIP.19620302 198512 2 003
 PEMERINTAH KABUPATEN PURWOREJO
DINAS KESEHATAN
Jn.May.jend Sutoyo No.17 Telp. 321034 Purworejo

DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO

BULAN : JUNI 2015
1
NO, PUSKESMAS / RAWAT JALAN 4.1.2.01.01.01 KIR/ADM 4.1.2.01.01.02. TINDAKAN 4.1.2.01.01.03.
RSUD Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini

1 Grabag 72,882,000 6,790,500 36,472,500 43,263,000 6,000,000 870,000 3,130,000 4,000,000 41,000,000 7,505,000 22,087,500 29,592,500
2 Ngombol 69,322,500 5,994,000 31,889,250 37,883,250 9,000,000 830,000 3,432,500 4,262,500 40,000,000 3,524,000 43,600,150 47,124,150
3 Bubutan 50,026,500 4,513,500 23,728,500 28,242,000 1,500,000 175,000 995,000 1,170,000 28,000,000 1,861,500 12,017,000 13,878,500
4 Bagelen 41,080,500 4,108,500 19,350,000 23,458,500 2,500,000 125,000 705,000 830,000 25,000,000 5,220,000 19,307,500 24,527,500
5 Dadirejo 32,004,000 2,970,000 14,431,500 17,401,500 1,500,000 70,000 390,500 460,500 35,000,000 719,000 16,241,900 16,960,900
6 Kaligesing 41,530,500 4,626,000 21,492,000 26,118,000 3,000,000 220,000 1,170,000 1,390,000 52,000,000 7,250,600 45,977,500 53,228,100
7 Cangkrep 55,372,500 5,359,500 27,585,000 32,944,500 2,500,000 315,000 1,930,000 2,245,000 43,000,000 5,059,500 27,720,250 32,779,750
8 Mranti 73,462,500 5,098,500 31,779,000 36,877,500 2,000,000 190,000 1,165,000 1,355,000 53,000,000 3,297,500 32,490,000 35,787,500
9 Purworejo 139,990,500 9,558,000 59,180,000 68,738,000 12,000,000 695,000 4,955,000 5,650,000 85,000,000 7,988,500 63,253,700 71,242,200
10 Banyuurip 49,536,000 4,977,000 26,775,000 31,752,000 1,000,000 180,000 1,070,000 1,250,000 22,000,000 637,500 20,548,000 21,185,500
11 Seborokrapyak 33,412,500 3,028,500 15,606,000 18,634,500 600,000 160,000 620,000 780,000 35,000,000 4,426,000 21,372,500 25,798,500
12 Bayan 68,719,500 5,728,500 28,224,000 33,952,500 2,000,000 440,000 1,385,000 1,825,000 70,000,000 9,710,000 56,798,000 66,508,000
13 Sem daleman 81,171,000 7,726,500 37,705,500 45,432,000 4,000,000 1,650,000 2,310,000 3,960,000 82,000,000 10,533,500 71,240,500 81,774,000
14 Wirun 32,553,000 3,546,000 14,292,000 17,838,000 1,500,000 165,000 485,000 650,000 36,000,000 2,590,000 13,990,000 16,580,000
15 Butuh 45,274,500 4,158,000 22,230,000 26,388,000 2,000,000 395,000 1,475,000 1,870,000 52,000,000 7,997,500 34,290,500 42,288,000
16 Sruwohrejo 40,144,500 3,613,500 19,516,500 23,130,000 1,000,000 245,000 1,170,000 1,415,000 55,000,000 392,500 33,392,500 33,785,000
17 Pituruh 69,048,000 6,043,500 30,654,000 36,697,500 16,000,000 1,665,000 7,452,500 9,117,500 275,000,000 28,181,600 174,274,450 202,456,050
18 Karanggetas 22,095,000 3,888,000 9,837,000 13,725,000 1,000,000 205,000 385,000 590,000 25,000,000 986,000 20,817,000 21,803,000
19 Kemiri 67,531,500 6,025,500 30,402,000 36,427,500 5,000,000 460,000 2,145,000 2,605,000 52,000,000 9,417,500 25,614,600 35,032,100
20 Winong 34,456,500 2,875,500 15,682,500 18,558,000 1,000,000 40,000 505,000 545,000 49,000,000 1,185,000 51,576,000 52,761,000
21 Bruno 35,316,000 4,405,500 22,828,500 27,234,000 9,000,000 640,000 2,297,500 2,937,500 165,000,000 8,682,800 123,061,650 131,744,450
22 Gebang 47,713,500 4,765,500 25,083,000 29,848,500 2,100,000 260,000 1,420,000 1,680,000 65,000,000 1,587,500 29,106,500 30,694,000
23 Loano 85,131,000 6,529,500 37,431,000 43,960,500 9,000,000 827,000 3,517,000 4,344,000 125,000,000 14,047,000 60,881,000 74,928,000
24 Banyuasin 24,921,000 2,457,000 10,813,500 13,270,500 2,000,000 182,000 788,000 970,000 28,000,000 242,500 17,525,000 17,767,500
25 Bener 36,535,500 3,834,000 20,268,000 24,102,000 300,000 50,000 130,000 180,000 90,000,000 9,067,500 65,644,000 74,711,500
26 Kutoarjo 45,252,000 5,044,500 25,591,500 30,636,000 6,000,000 985,000 3,000,000 3,985,000 56,000,000 5,957,400 33,712,700 39,670,100
27 Bragolan 49,270,500 4,981,500 25,812,000 30,793,500 4,500,000 400,000 2,081,000 2,481,000 55,116,500 4,430,200 36,909,100 41,339,300

Jumlah 1,443,753,000 132,646,500 135,787,500 817,306,250 108,000,000 12,439,000 50,109,000 62,548,000 1,739,116,500 162,497,600 1,173,449,500 1,335,947,100
v v v
 DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO
BULAN : JUNI 2015

NO, PUSKESMAS / LABORATORIUM 4.1.2.01.01.04. OBAT-OBATAN 4.1.2.01.01.05. KONSULTASI GIZI 4.1.2.01.01.06. RAWAT INAP UMUM 4.1.2.01.01.07.
RSUD Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini

1 Grabag 1,500,000 411,000 2,638,000 3,049,000 0 0 0 0 0 0 0 0 0

2 Ngombol 8,500,000 1,700,500 10,302,000 12,002,500 62,220,000 6,635,500 41,446,500 48,082,000 2,000,000 250,000 1,211,500 1,461,500 145,000,000 12,577,000 51,895,600 64,472,600
3 Bubutan 2,500,000 1,726,500 5,982,000 7,708,500 2,500,000 1,736,500 5,161,500 6,898,000 0 0 45,000 45,000 10,000,000 1,920,000 12,021,000 13,941,000
4 Bagelen 650,000 475,000 2,505,000 2,980,000 0 0 0 0 0 0 0 0 0
5 Dadirejo 1,100,000 220,000 1,859,000 2,079,000 9,000,000 517,500 4,717,100 5,234,600 750,000 48,000 380,000 428,000 35,000,000 6,818,000 13,325,800 20,143,800
6 Kaligesing 600,000 343,000 1,673,000 2,016,000 3,000,000 919,850 2,796,450 3,716,300 100,000 65,000 235,000 300,000 40,000,000 7,710,000 31,095,000 38,805,000
7 Cangkrep 4,500,000 2,525,000 9,053,500 11,578,500 15,000,000 3,446,150 11,240,250 14,686,400 1,500,000 250,000 975,000 1,225,000 132,000,000 10,966,000 61,876,000 72,842,000
8 Mranti 1,100,000 360,000 1,693,000 2,053,000 0 0 0 0 0 0 0 0 0
9 Purworejo 18,000,000 2,585,000 17,564,000 20,149,000 0 0 0 0 0 0 0 0 0
10 Banyuurip 1,500,000 74,000 3,784,500 3,858,500 0 0 0 0 0 0 0 0 0
11 Seborokrapyak 2,500,000 841,500 5,046,000 5,887,500 0 0 0 0 0 0 0 0 0
12 Bayan 2,400,000 442,000 3,141,000 3,583,000 0 0 0 0 0 0 0 0 0
13 Semdaleman 7,200,000 1,666,000 6,913,500 8,579,500 15,000,000 2,101,500 6,527,500 8,629,000 1,200,000 80,000 295,000 375,000 47,000,000 5,359,000 17,462,500 22,821,500
14 Wirun 1,200,000 282,000 1,724,500 2,006,500 0 0 0 0 0 0 0 0 0
15 Butuh 700,000 885,000 4,184,500 5,069,500 0 0 0 0 0 0 0 0 0
16 Sruwohrejo 1,500,000 179,000 2,214,000 2,393,000 0 0 0 0 0 0 0 0 0
17 Pituruh 12,200,000 2,700,500 17,942,625 20,643,125 85,000,000 14,497,300 57,123,675 71,620,975 9,725,000 1,440,000 6,054,000 7,494,000 293,000,000 11,660,000 142,910,000 154,570,000
18 Karanggetas 550,000 177,000 1,688,000 1,865,000 0 0 0 0 0 0 0 0 0
19 Kemiri 4,300,000 1,317,500 10,047,000 11,364,500 0 0 0 0 0 0 0 0 0
20 Winong 2,100,000 404,000 3,193,000 3,597,000 0 0 0 0 0 0 0 0 0
21 Bruno 4,000,000 1,467,000 8,045,500 9,512,500 10,000,000 2,703,210 16,287,004 18,990,214 750,000 225,000 1,032,500 1,257,500 120,000,000 14,835,000 82,443,000 97,278,000
22 Gebang 1,600,000 400,000 1,154,000 1,554,000 0 0 0 0 0 0 0 0 0
23 Loano 21,000,000 5,421,000 36,553,000 41,974,000 35,000,000 14,279,270 46,628,132 60,907,402 8,000,000 793,000 3,092,000 3,885,000 210,000,000 24,574,850 62,508,810 87,083,660
24 Banyuasin 2,500,000 527,000 3,574,000 4,101,000 6,000,000 597,700 3,215,000 3,812,700 0 0 0 0 98,000,000 588,000 45,672,000 46,260,000
25 Bener 2,600,000 364,000 7,063,000 7,427,000 0 0 0 0 0 0 0 0 0
26 Kutoarjo 2,800,000 876,000 3,934,000 4,810,000 20,000,000 4,550,700 17,299,930 21,850,630 100,000 55,000 35,000 90,000 92,747,000 9,365,000 42,830,000 52,195,000
27 Bragolan 16,125,000 6,071,500 22,237,250 28,308,750 25,000,000 3,756,800 11,937,850 15,694,650 1,000,000 110,000 492,500 602,500 105,000,000 13,269,000 68,985,400 82,254,400
JUMLAH 125,225,000 34,441,000 195,708,875 230,149,875 287,720,000 55,741,980 224,380,891 280,122,871 25,125,000 3,316,000 13,847,500 17,163,500 1,327,747,000 119,641,850 633,025,110 752,666,960
v v v v

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 DAFTAR : REKAPITULASI SETORAN PUSKESMAS SE KAB. PURWOREJO
BULAN : JUNI 2015

NO, PUSKESMAS / CAPENG 4.1.2.01.01.09. CAL HAJ 4.1.2.01.01.12. REALISASI %

RSUD Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini Target ( Rp ) Bulan Ini s/d Bln lalu s/d Bln ini Total target Bl.ini s/d bl.lalu s/d bl.ini Target

1 Grabag 5,000,000 140,000 1,770,000 1,910,000 840,000 0 240,000 240,000 127,222,000 15,716,500 66,338,000 82,054,500 64.50
2 Ngombol 2,700,000 130,000 1,210,000 1,340,000 420,000 0 320,000 320,000 339,162,500 31,641,000 185,307,500 216,948,500 63.97
3 Bubutan 1,510,000 50,000 750,000 800,000 380,000 0 200,000 200,000 96,416,500 11,983,000 60,900,000 72,883,000 75.59
4 Bagelen 2,500,000 100,000 960,000 1,060,000 120,000 0 100,000 100,000 71,850,500 10,028,500 42,927,500 52,956,000 73.70
5 Dadirejo 600,000 10,000 211,000 221,000 100,000 0 140,000 140,000 115,054,000 11,372,500 51,696,800 63,069,300 54.82
6 Kaligesing 2,230,000 120,000 1,090,000 1,210,000 120,000 0 60,000 60,000 142,580,500 21,254,450 105,588,950 126,843,400 88.96
7 Cangkrep 3,330,000 90,000 1,480,000 1,570,000 320,000 0 160,000 160,000 257,522,500 28,011,150 142,020,000 170,031,150 66.03
8 Mranti 800,000 10,000 290,000 300,000 760,000 640,000 0 640,000 131,122,500 9,596,000 67,417,000 77,013,000 58.73
9 Purworejo 3,100,000 200,000 1,420,000 1,620,000 560,000 0 460,000 460,000 258,650,500 21,026,500 146,832,700 167,859,200 64.90
10 Banyuurip 2,980,000 110,000 1,290,000 1,400,000 340,000 0 360,000 360,000 77,356,000 5,978,500 53,827,500 59,806,000 77.31
11 Seborokrapyak 200,000 0 180,000 180,000 200,000 0 20,000 20,000 71,912,500 8,456,000 42,844,500 51,300,500 71.34
12 Bayan 3,500,000 130,000 1,940,000 2,070,000 1,000,000 0 840,000 840,000 147,619,500 16,450,500 92,328,000 108,778,500 73.69
13 Sem daleman 2,370,000 110,000 1,070,000 1,180,000 460,000 0 360,000 360,000 240,401,000 29,226,500 143,884,500 173,111,000 72.01
14 Wirun 600,000 30,000 320,000 350,000 280,000 0 200,000 200,000 72,133,000 6,613,000 31,011,500 37,624,500 52.16
15 Butuh 2,024,000 110,000 780,000 890,000 740,000 0 460,000 460,000 102,738,500 13,545,500 63,420,000 76,965,500 74.91
16 Sruwohrejo 1,600,000 50,000 540,000 590,000 840,000 0 300,000 300,000 100,084,500 4,480,000 57,133,000 61,613,000 61.56
17 Pituruh 3,200,000 40,000 570,000 610,000 600,000 0 260,000 260,000 763,773,000 66,227,900 437,241,250 503,469,150 65.92
18 Karanggetas 0 0 0 0 300,000 0 0 0 48,945,000 5,256,000 32,727,000 37,983,000 77.60
19 Kemiri 4,280,000 130,000 1,870,000 2,000,000 340,000 0 440,000 440,000 133,451,500 17,350,500 70,518,600 87,869,100 65.84
20 Winong 40,000 10,000 0 10,000 260,000 0 100,000 100,000 86,856,500 4,514,500 71,056,500 75,571,000 87.01
21 Bruno 1,750,000 60,000 690,000 750,000 380,000 0 340,000 340,000 346,196,000 33,018,510 257,025,654 290,044,164 83.78
22 Gebang 2,711,000 100,000 1,850,000 1,950,000 780,000 0 420,000 420,000 119,904,500 7,113,000 59,033,500 66,146,500 55.17
23 Loano 1,500,000 80,000 855,000 935,000 480,000 0 340,000 340,000 495,111,000 66,551,620 251,805,942 318,357,562 64.30
24 Banyuasin 1,600,000 30,000 470,000 500,000 180,000 0 60,000 60,000 163,201,000 4,624,200 82,117,500 86,741,700 53.15
25 Bener 3,000,000 190,000 1,620,000 1,810,000 600,000 0 0 0 133,035,500 13,505,500 94,725,000 108,230,500 81.35
26 Kutoarjo 60,000 730,000 790,000 220,000 0 320,000 320,000 223,119,000 26,893,600 127,453,130 154,346,730 69.18
27 Bragolan 1,540,000 40,000 690,000 730,000 380,000 0 40,000 40,000 257,932,000 33,059,000 169,185,100 202,244,100 78.41
J U M LA H 54,665,000 2,130,000 24,646,000 26,776,000 12,000,000 640,000 6,540,000 7,180,000 5,123,351,500 523,493,930 3,006,366,626 3,529,860,556 69
v v
MENGETAHUI
Kepala Dinas Kesehatan Kabupaten Purworejo, ……………………
Purworejo, Bendahara Penerimaan

Dr .Kuswantoro, M.Kes Mistinah, S.IP

NIP. 19621204 198803 1 011 NIP.19620302 198512 2 003