REKAP MUTASI PIUTANG

TAHUN 2016

PUSKESMAS : BOJONG I
NO BULAN KLAIM DIVERIFIKASI PEMBAYARAN SISA PIUTANG
1 JANUARI 14,400,000 14,400,000 14,400,000 - -
2 FEBRUARI 13,155,000 13,025,000 13,025,000 130,000 -
3 MARET 8,025,000 7,950,000 7,950,000 75,000 -
4 APRIL 17,965,000 17,965,000 17,400,000 - 565,000
5 MEI 18,950,000 18,950,000 18,600,000 - 350,000
6 JUNI 14,310,000 14,310,000 13,800,000 - 510,000
7 JULI 14,740,000 14,680,000 14,400,000 60,000 280,000
8 AGUSTUS 15,000,000 15,000,000 13,800,000 - 1,200,000
9 SEPTEMBER 8,400,000 8,400,000 - - 8,400,000
10 OKTOBER 6,800,000 6,800,000 - - 6,800,000
11 NOVEMBER 10,500,000 10,500,000 - - 10,500,000
12 DESEMBER 11,900,000 11,900,000 - - 11,900,000
JUMLAH 154,145,000 153,880,000 113,375,000 265,000 40,505,000

Piutang Audited 23,305,000

Selisih/ Koreksi 17,200,000

Bojong, 31 Desember 2017

Kepala Puskesmas Bojong I

drg. Hendra
NIP. 19650919 199103 1 009
 REKAP MUTASI PIUTANG
TAHUN 2017

PUSKESMAS : BOJONG I
NO BULAN KLAIM DIVERIFIKASI PEMBAYARAN SISA PIUTANG
SALDO 2016 40,505,000 39,625,000 880,000
1 JANUARI 8,067,500 7,715,000 7,000,000 352,500 715,000
2 FEBRUARI 10,250,000 10,235,000 9,800,000 15,000 435,000
3 MARET 13,925,000 13,880,000 13,300,000 45,000 580,000
4 APRIL 19,425,000 18,980,000 17,150,000 445,000 1,830,000
5 MEI 19,480,000 19,465,000 18,900,000 15,000 565,000
6 JUNI 16,325,000 16,310,000 16,100,000 15,000 210,000
7 JULI 16,410,000 15,710,000 335,000 700,000 15,375,000
8 AGUSTUS 14,695,000 14,340,000 - 355,000 14,340,000
9 SEPTEMBER 20,180,000 20,120,000 345,000 60,000 19,775,000
10 OKTOBER 13,875,000 12,345,000 255,000 1,530,000 12,090,000
11 NOVEMBER 17,045,000 15,815,000 - 1,230,000 15,815,000
12 DESEMBER 18,420,000 17,890,000 - 530,000 17,890,000
JUMLAH 188,097,500 182,805,000 83,185,000 5,292,500 100,500,000

Piutang Unaudited 77,626,500

Selisih/ Koreksi 22,873,500

Bojong, 31 Desember 2017

Kepala Puskesmas Bojong I

drg. Hendra
NIP. 19650919 199103 1 009
 REKAP MUTASI PIUTANG
TAHUN 2016

PUSKESMAS : BOJONG I
NO BULAN KLAIM DIVERIFIKASI PEMBAYARAN
1 JANUARI 14,400,000 14,400,000 14,400,000
2 FEBRUARI 13,155,000 13,025,000 13,025,000
3 MARET 8,025,000 7,950,000 7,950,000
4 APRIL 17,965,000 17,965,000 17,400,000
5 MEI 18,950,000 18,950,000 18,600,000
6 JUNI 14,310,000 14,310,000 13,800,000
7 JULI 14,740,000 14,680,000 14,400,000
8 AGUSTUS 15,000,000 15,000,000 13,800,000
9 SEPTEMBER 8,400,000 8,400,000 -
10 OKTOBER 6,800,000 6,800,000 -
11 NOVEMBER 10,500,000 10,500,000 -
12 DESEMBER 11,900,000 11,900,000 -
JUMLAH 154,145,000 153,880,000 113,375,000

Piutang Unaudited :
Selisih/ Koreksi :
 PIUTANG
016

PEMBAYARAN 2017 SISA PIUTANG

- - -
- 130,000 -
- 75,000 -
565,000 - -
350,000 - -
510,000 - -
- 60,000 280,000
600,000 - 600,000
8,400,000 - -
6,800,000 - -
10,500,000 - -
11,900,000 - -
39,625,000 265,000 880,000
 REKAP MUTASI PIUTANG
TAHUN 2016

PUSKESMAS : BOJONG I
NO BULAN KLAIM DIVERIFIKASI PEMBAYARAN
1 JANUARI 14,400,000 14,400,000 14,400,000
2 FEBRUARI 13,155,000 13,025,000 13,025,000
3 MARET 8,025,000 7,950,000 7,950,000
4 APRIL 17,965,000 17,965,000 17,400,000
5 MEI 18,950,000 18,950,000 18,600,000
6 JUNI 14,310,000 14,310,000 13,800,000
7 JULI 14,740,000 14,680,000 14,400,000
8 AGUSTUS 15,000,000 15,000,000 13,800,000
9 SEPTEMBER 8,400,000 8,400,000 -
10 OKTOBER 6,800,000 6,800,000 -
11 NOVEMBER 10,500,000 10,500,000 -
12 DESEMBER 11,900,000 11,900,000 -
JUMLAH 154,145,000 153,880,000 113,375,000

Piutang Unaudited :
Selisih/ Koreksi :
 PIUTANG
016

PEMBAYARAN 2017 SISA PIUTANG

- - -
- 130,000 -
- 75,000 -
565,000 - -
350,000 - -
510,000 - -
- 60,000 280,000
600,000 - 600,000
8,400,000 - -
6,800,000 - -
10,500,000 - -
11,900,000 - -
39,625,000 265,000 880,000
 RINCIAN KLAIM DAN PENERIMAAN TAHUN 2016
PUSKESMAS BOJONG I

PEMBAYARAN
TERIMA TANGGAL
TAHUN BULAN KETERANGAN KLAIM (PENCAIRAN)
(VERIFIKASI) PENCAIRAN
2016

2016 Januari Persalinan PBI 10,200,000 10,200,000 10,200,000 12 Juli 2016

Persalinan Non PBI 4,200,000 4,200,000 4,200,000 30 Maret 2016
JUMLAH 14,400,000 14,400,000 14,400,000
Februari KB PBI 555,000 425,000 425,000 08 November 2016
Persalinan PBI 9,600,000 9,600,000 9,600,000 13 April 2016
Persalinan Non PBI 3,000,000 3,000,000 3,000,000 14 April 2016
JUMLAH 13,155,000 13,025,000 13,025,000
Maret KB PBI 225,000 150,000 150,000 08 November 2018
Persalinan PBI 7,200,000 7,200,000 7,200,000 14 Juni 2018
Persalinan Non PBI 600,000 600,000 600,000 14 Juni 2018
JUMLAH 8,025,000 7,950,000 7,950,000
April KB PBI 565,000 565,000
Persalinan PBI 15,600,000 15,600,000 15,600,000 14 September 2016
Persalinan Non PBI 1,800,000 1,800,000 1,800,000 09 September 2016
JUMLAH 17,965,000 17,965,000 17,400,000
Mei KB PBI 350,000 350,000
Persalinan PBI 16,800,000 16,800,000 16,800,000 01 Desember 2016
Persalinan Non PBI 1,800,000 1,800,000 1,800,000 17 Oktober 2016
JUMLAH 18,950,000 18,950,000 18,600,000
Juni KB PBI 510,000 510,000
Persalinan PBI 12,000,000 12,000,000 12,000,000 08 November 2016
Persalinan Non PBI 1,800,000 1,800,000 1,800,000 08 November 2016
JUMLAH 14,310,000 14,310,000 13,800,000
Juli KB PBI 340,000 280,000
Persalinan PBI 12,000,000 12,000,000 12,000,000 08 November 2016
Persalinan Non PBI 2,400,000 2,400,000 2,400,000 07 November 2016
JUMLAH 14,740,000 14,680,000 14,400,000
Agustus Persalinan PBI 12,600,000 12,600,000 12,000,000 08 November 2016
Persalinan Non PBI 2,400,000 2,400,000 1,800,000 08 November 2016
JUMLAH 15,000,000 15,000,000 13,800,000
September Persalinan PBI 6,600,000 6,600,000
Persalinan Non PBI 1,800,000 1,800,000
JUMLAH 8,400,000 8,400,000 -
Oktober Persalinan PBI 5,000,000 5,000,000
Persalinan Non PBI 1,800,000 1,800,000
JUMLAH 6,800,000 6,800,000 -
November Persalinan PBI 9,100,000 9,100,000
Persalinan Non PBI 1,400,000 1,400,000
JUMLAH 10,500,000 10,500,000 -
Desember Persalinan PBI 9,800,000 9,800,000
Persalinan Non PBI 2,100,000 2,100,000
JUMLAH 11,900,000 11,900,000 -
JUMLAH 154,145,000 153,880,000 113,375,000
Bojong, 31 Desember 2017
Kepala Puskesmas Bojong I

drg. Hendra
NIP. 19650919 199103 1 009
PIUTANG

-
-
-
-
-
-
-
-
-
-
-
565,000
-
-
565,000
350,000
-
-
350,000
510,000
-
-
510,000
280,000
-
-
280,000
600,000
600,000
1,200,000
6,600,000
1,800,000
8,400,000
5,000,000
1,800,000
6,800,000
9,100,000
1,400,000
10,500,000
9,800,000
2,100,000
11,900,000
40,505,000
###
 RINCIAN KLAIM DAN PENERIMAAN TAHUN 2016 DITERIMA DI TAHUN 2017
PUSKESMAS BOJONG I

PEMBAYARAN
TERIMA
TAHUN BULAN KETERANGAN (PENCAIRAN) TANGGAL PENCAIRAN
(VERIFIKASI) 2017
2016 Januari Persalinan PBI -
Persalinan Non PBI -
JUMLAH - -
Februari KB PBI -
Persalinan PBI -
Persalinan Non PBI -
JUMLAH - -
Maret KB PBI -
Persalinan PBI -
Persalinan Non PBI -
JUMLAH - -
April KB PBI 565,000 565,000 16 Juni 2017
Persalinan PBI -
Persalinan Non PBI -
JUMLAH 565,000 565,000
Mei KB PBI 350,000 350,000 16 Juni 2017
Persalinan PBI -
Persalinan Non PBI -
JUMLAH 350,000 350,000
Juni KB PBI 510,000 510,000 21 Juni 2017
Persalinan PBI -
Persalinan Non PBI -
JUMLAH 510,000 510,000
Juli KB PBI 280,000
Persalinan PBI -
Persalinan Non PBI -
JUMLAH 280,000 -
Agustus Persalinan PBI 600,000
Persalinan Non PBI 600,000 600,000 26 Januari 2017
JUMLAH 1,200,000 600,000
September Persalinan PBI 6,600,000 6,600,000 21 Agustus 2017
Persalinan Non PBI 1,800,000 1,800,000 21 Agustus 2017
JUMLAH 8,400,000 8,400,000
Oktober Persalinan PBI 5,000,000 5,000,000 21, 28 Agustus 2017
Persalinan Non PBI 1,800,000 1,800,000 28 Agustus 2018
JUMLAH 6,800,000 6,800,000
November Persalinan PBI 9,100,000 9,100,000 28 Agustus 2017
Persalinan Non PBI 1,400,000 1,400,000 28 Agustus 2017
JUMLAH 10,500,000 10,500,000
Desember Persalinan PBI 9,800,000 9,800,000 08 September 2017
Persalinan Non PBI 2,100,000 2,100,000 08 September 2017
JUMLAH 11,900,000 11,900,000
JUMLAH 40,505,000 39,625,000

Bojong, 31 Desember 2017

Kepala Puskesmas Bojong I

drg. Hendra
NIP. 19650919 199103 1 009
017

PIUTANG

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
280,000
-
-
280,000
600,000
-
600,000
-
-
-
-
-
-
-
-
-
-
-
-
880,000
 RINCIAN KLAIM DAN PENERIMAAN TAHUN 2017
PUSKESMAS BOJONG I

PEMBAYARAN
TERIMA
TAHUN BULAN KETERANGAN KLAIM (PENCAIRAN) TANGGAL
(VERIFIKASI) 2016
2017 Januari KB PBI 830,000 715,000
Persalinan PBI 4,200,000 4,200,000 4,200,000 28 November 2017
Persalinan Non PBI 2,800,000 2,800,000 2,800,000 18 September 2017
SENAM 237,500
JUMLAH 8,067,500 7,715,000 7,000,000
Februari KB PBI 450,000 435,000
Persalinan PBI 9,100,000 9,100,000 9,100,000 09 November 2017
Persalinan Non PBI 700,000 700,000 700,000 29 November 2017
JUMLAH 10,250,000 10,235,000 9,800,000
Maret KB PBI 625,000 580,000
Persalinan PBI 12,600,000 12,600,000 12,600,000 09 November 2017
Persalinan Non PBI 700,000 700,000 700,000 09 November 2017
JUMLAH 13,925,000 13,880,000 13,300,000
April KB PBI 675,000 430,000
Persalinan PBI 14,700,000 14,700,000 13,300,000 28 November 2017
Persalinan Non PBI 3,500,000 3,500,000 3,500,000 28 November 2017
EDUKASI 200,000
SENAM 350,000 350,000 350,000 10 November 2017
JUMLAH 19,425,000 18,980,000 17,150,000
Mei KB PBI 255,000 240,000
Persalinan PBI 18,200,000 18,200,000 18,200,000 09 November 2017
Persalinan Non PBI 700,000 700,000 700,000 05 Desember 2017
SENAM 325,000 325,000
JUMLAH 19,480,000 19,465,000 18,900,000
Juni KB PBI 225,000 210,000
Persalinan PBI 10,500,000 10,500,000 10,500,000 29 November 2017
Persalinan Non PBI 5,600,000 5,600,000 5,600,000 09 November 2017
JUMLAH 16,325,000 16,310,000 16,100,000
Juli KB PBI 675,000 675,000
Persalinan PBI 10,500,000 10,500,000
Persalinan Non PBI 4,900,000 4,200,000
SENAM 335,000 335,000 335,000 27 Desember 2017
JUMLAH 16,410,000 15,710,000 335,000
Agustus KB PBI 355,000 340,000
Persalinan PBI 10,500,000 10,500,000
Persalinan Non PBI 3,500,000 3,500,000
SENAM 340,000
JUMLAH 14,695,000 14,340,000 -
September KB PBI 935,000 875,000
Persalinan PBI 14,000,000 14,000,000
Persalinan Non PBI 4,900,000 4,900,000
SENAM 345,000 345,000 345,000 27 Desember 2017
JUMLAH 20,180,000 20,120,000 345,000
Oktober KB PBI 915,000 840,000
KB Non PBI 130,000
 PEMBAYARAN
TERIMA
TAHUN BULAN KETERANGAN KLAIM (PENCAIRAN) TANGGAL
(VERIFIKASI) 2016
Pra Rujukan PBI 1,375,000 750,000
Persalinan PBI 8,400,000 7,700,000
Persalinan Non PBI 2,800,000 2,800,000
SENAM 255,000 255,000 255,000 27 Desember 2017
JUMLAH 13,875,000 12,345,000 255,000
November KB PBI 785,000 755,000
Pra Rujukan PBI 1,375,000 875,000
Pra Rujukan Non PBI 625,000 625,000
Persalinan PBI 11,900,000 11,200,000
Persalinan Non PBI 2,100,000 2,100,000
SENAM 260,000 260,000
JUMLAH 17,045,000 15,815,000 -
Desember KB PBI 500,000 470,000
Pra Rujukan PBI 1,250,000 875,000
Pra Rujukan Non PBI 250,000 125,000
Persalinan PBI 14,000,000 14,000,000
Persalinan Non PBI 2,100,000 2,100,000
SENAM 320,000 320,000
JUMLAH 18,420,000 17,890,000 -
JUMLAH 188,097,500 182,805,000 83,185,000

- Bojong, 31 Desember 2017

Kepala Puskesmas Bojong I

drg. Hendra
NIP. 19650919 199103 1 009
PIUTANG

715,000
-
-
-
715,000
435,000
-
-
435,000
580,000
-
-
580,000
430,000
1,400,000
-
-
-
1,830,000
240,000
-
-
325,000
565,000
210,000
-
-
210,000
675,000
10,500,000
4,200,000
-
15,375,000
340,000
10,500,000
3,500,000
-
14,340,000
875,000
14,000,000
4,900,000
-
19,775,000
840,000
-
PIUTANG

750,000
7,700,000
2,800,000
-
12,090,000
755,000
875,000
625,000
11,200,000
2,100,000
260,000
15,815,000
470,000
875,000
125,000
14,000,000
2,100,000
320,000
17,890,000
99,620,000
 REKAP MUTASI PIUTANG
TAHUN 2018

PUSKESMAS : BOJONG I
NO BULAN KLAIM DIVERIFIKASI PEMBAYARAN SISA PIUTANG
SALDO 2016 880,000 600,000 280,000
SALDO 2017 100,435,000 100,110,000 325,000
1 JANUARI 18,110,000 17,455,000 17,455,000 655,000 -
2 FEBRUARI 7,550,000 6,905,000 6,905,000 645,000 -
3 MARET 19,455,000 18,160,000 18,160,000 1,295,000 -
4 APRIL 21,015,000 20,985,000 20,985,000 30,000 -
5 MEI 19,325,000 19,045,000 19,045,000 280,000 -
6 JUNI 17,285,000 17,210,000 17,210,000 75,000 -
7 JULI 13,435,000 13,335,000 13,335,000 100,000 -
8 AGUSTUS 11,270,000 10,785,000 310,000 485,000 10,475,000
9 SEPTEMBER 17,615,000 17,515,000 - 100,000 17,515,000
10 OKTOBER 20,890,000 20,600,000 - 290,000 20,600,000
11 NOVEMBER 13,980,000 - - 13,980,000 -
12 DESEMBER 13,565,000 320,000 - 13,245,000 320,000
JUMLAH 193,495,000 162,315,000 113,405,000 31,180,000 49,515,000

Piutang Unaudited
Selisih/ Koreksi

Bojong, 31 Desember 2018

Kepala Puskesmas Bojong I

drg. Hendra
NIP. 19650919 199103 1 009
 RINCIAN KLAIM TAHUN 2016 PENERIMAAN TAHUN 2018
PUSKESMAS BOJONG I

PEMBAYARAN
TERIMA
TAHUN BULAN KETERANGAN (PENCAIRAN)
(VERIFIKASI)
2018
2016 Januari Persalinan PBI -
Persalinan Non PBI -
JUMLAH - -
Februari KB PBI -
Persalinan PBI -
Persalinan Non PBI -
JUMLAH - -
Maret KB PBI -
Persalinan PBI -
Persalinan Non PBI -
JUMLAH - -
April KB PBI -
Persalinan PBI -
Persalinan Non PBI -
JUMLAH - -
Mei KB PBI -
Persalinan PBI -
Persalinan Non PBI -
JUMLAH - -
Juni KB PBI -
Persalinan PBI -
Persalinan Non PBI -
JUMLAH - -
Juli KB PBI 280,000
Persalinan PBI -
Persalinan Non PBI -
JUMLAH 280,000 -
Agustus Persalinan PBI 600,000 600,000
Persalinan Non PBI -
JUMLAH 600,000 600,000
September Persalinan PBI -
Persalinan Non PBI -
JUMLAH - -
Oktober Persalinan PBI -
Persalinan Non PBI -
JUMLAH - -
November Persalinan PBI -
Persalinan Non PBI -
JUMLAH - -
Desember Persalinan PBI -
Persalinan Non PBI -
JUMLAH - -
JUMLAH 880,000 600,000

Bojong, 31 Desember 2018

Kepala Puskesmas Bojong I
 drg. Hendra
NIP. 19650919 199103 1 009
UN 2018

TANGGAL
PIUTANG
PENCAIRAN

-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
280,000
-
-
280,000
20 April 2018 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
280,000

31 Desember 2018
uskesmas Bojong I
drg. Hendra
50919 199103 1 009
 RINCIAN KLAIM TAHUN 2017 PENERIMAAN TAHUN 2018
PUSKESMAS BOJONG I

PEMBAYARAN
TERIMA
TAHUN BULAN KETERANGAN KLAIM (PENCAIRAN)
(VERIFIKASI) 2018
2017 Januari KB PBI dan Non PBI 830,000 715,000 715,000
Persalinan PBI 4,200,000 -
Persalinan Non PBI 2,800,000 -
SENAM 237,500 -
JUMLAH 8,067,500 715,000 715,000
Februari KB PBI 450,000 435,000 435,000
Persalinan PBI 9,100,000 -
Persalinan Non PBI 700,000 -
JUMLAH 10,250,000 435,000 435,000
Maret KB PBI 625,000 580,000 580,000
Persalinan PBI 12,600,000 -
Persalinan Non PBI 700,000 -
JUMLAH 13,925,000 580,000 580,000
April KB PBI dan Non PBI 675,000 430,000 430,000
Pra Rujukan PBI -
Pra Rujukan Non PBI -
Persalinan PBI 14,700,000 1,400,000 1,400,000
Persalinan Non PBI 3,500,000 -
EDUKASI 200,000 -
SENAM 350,000 -
JUMLAH 19,425,000 1,830,000 1,830,000
Mei KB PBI dan Non PBI 255,000 240,000 240,000
Persalinan PBI 18,200,000 -
Persalinan Non PBI 700,000 -
SENAM 325,000 325,000
JUMLAH 19,480,000 565,000 240,000
Juni KB PBI 225,000 210,000 210,000
Persalinan PBI 10,500,000 -
Persalinan Non PBI 5,600,000 -
JUMLAH 16,325,000 210,000 210,000
Juli KB PBI 675,000 675,000 675,000
Persalinan PBI 10,500,000 10,500,000 10,500,000
Persalinan Non PBI 4,900,000 4,200,000 4,200,000
SENAM 335,000 -
JUMLAH 16,410,000 15,375,000 15,375,000
Agustus KB PBI 355,000 340,000 340,000
Persalinan PBI 10,500,000 10,500,000 10,500,000
Persalinan Non PBI 3,500,000 3,500,000 3,500,000
SENAM - -
JUMLAH 14,355,000 14,340,000 14,340,000
SeptemberKB PBI 935,000 875,000 875,000
Persalinan PBI 14,000,000 14,000,000 14,000,000
Persalinan Non PBI 4,900,000 4,900,000 4,900,000
SENAM 345,000 -
JUMLAH 20,180,000 19,775,000 19,775,000
Oktober KB PBI 915,000 840,000 840,000
KB Non PBI 130,000 115,000 115,000
Pra Rujukan PBI 1,375,000 750,000 750,000
 PEMBAYARAN
TERIMA
TAHUN BULAN KETERANGAN KLAIM (PENCAIRAN)
(VERIFIKASI) 2018
Persalinan PBI 8,400,000 7,700,000 7,700,000
Persalinan Non PBI 2,800,000 2,800,000 2,800,000
SENAM 255,000 -
JUMLAH 13,875,000 12,205,000 12,205,000
November KB PBI 785,000 755,000 755,000
Pra Rujukan PBI 1,375,000 875,000 875,000
Pra Rujukan Non PBI 625,000 625,000 625,000
Persalinan PBI 12,500,000 11,900,000 11,900,000
Persalinan Non PBI 2,100,000 2,100,000 2,100,000
SENAM 260,000 260,000 260,000
JUMLAH 17,645,000 16,515,000 16,515,000
Desember KB PBI 500,000 470,000 470,000
Pra Rujukan PBI 1,250,000 875,000 875,000
Pra Rujukan Non PBI 250,000 125,000 125,000
Persalinan PBI 14,000,000 14,000,000 14,000,000
Persalinan Non PBI 2,100,000 2,100,000 2,100,000
SENAM 320,000 320,000 320,000
JUMLAH 18,420,000 17,890,000 17,890,000
JUMLAH 188,357,500 100,435,000 100,110,000

Terdapat koreksi jumlah piutang tahun 2017 audited yaitu sebesar Rp. 815.000,00 yaitu KB Non PBI Bu
115.000,00 dan Persalinan PBI Bulan November Rp 700.000,00

Bojong, 31 Desember 201

Kepala Puskesmas Bojon

drg. Hendra
NIP. 19650919 199103 1 0
018

TANGGAL PIUTANG

05 September 2018 -
-
-
-
-
19 Maret 2018 -
-
-
-
29 Juni 2018 -
-
-
-
05 September 2018 -
-
-
22 Februari 2018 -
-
-
-
-
29 Juni 2018 -
-
-
325,000
325,000
05 September 2018 -
-
-
-
05 September 2018 -
22 Februari 2018 -
13, 19 Pebruari 2018 -
-
-
29 Juni 2018 -
22 Februari 2018 -
22 Februari 2018 -
-
-
05 September 2018 -
02 Mar, 20 Apr 2018 -
22 Februari 2018 -
-
-
19 Maret 2018 -
05 September 2018 -
12 April 2018 -
 TANGGAL PIUTANG

07 Maret 2018 -
07 Maret 2018 -
-
-
19 Maret 2018 -
12 April 2018 -
19 Maret 2018 -
02 Mar, 03 Agt 2018 -
02 Maret 2018 -
18 Januari 2018 -
-
19 April 2018 -
19 April 2018 -
19 Maret 2018 -
19 Mar, 20 Apr 2018 -
19 Maret 2018 -
18 Januari 2018 -
-
325,000

u KB Non PBI Bulan Oktober Rp

31 Desember 2018
Puskesmas Bojong I

drg. Hendra
50919 199103 1 009
 RINCIAN KLAIM DAN PENERIMAAN TAHUN 2018
PUSKESMAS BOJONG I

TERIMA
TAHUN BULAN KETERANGAN KLAIM (VERIFIKASI)

2018 Januari KB PBI 280,000 250,000

Pra Rujukan PBI 1,625,000 1,125,000
RJTP
Pra Rujukan Non PBI 500,000 375,000
Ambulans
Persalinan PBI 10,500,000 10,500,000
RITP
Persalinan Non PBI 4,900,000 4,900,000
KEG. KELOMPOK Senam Prolanis 305,000 305,000
JUMLAH 18,110,000 17,455,000
KB PBI 400,000 355,000
Februari Pra Rujukan PBI 875,000 375,000
RJTP
Pra Rujukan Non PBI 750,000 250,000
Ambulans - -
Persalinan PBI 5,600,000 5,600,000
RITP
Persalinan Non PBI - -
KEG. KELOMPOK Senam Prolanis 325,000 325,000
JUMLAH 7,550,000 6,905,000
Maret KB PBI 530,000 485,000
Pra Rujukan PBI 2,000,000 1,000,000
RJTP
Pra Rujukan Non PBI 500,000 250,000
Ambulans - -
Persalinan PBI 13,300,000 13,300,000
RITP
Persalinan Non PBI 2,800,000 2,800,000
KEG. KELOMPOK Senam Prolanis 325,000 325,000
JUMLAH 19,455,000 18,160,000
April KB PBI 365,000 335,000
Pra Rujukan PBI 1,750,000 1,750,000
RJTP
Pra Rujukan Non PBI 375,000 375,000
Ambulans - -
Persalinan PBI 13,300,000 13,300,000
RITP
Persalinan Non PBI 4,900,000 4,900,000
KEG. KELOMPOK Senam Prolanis 325,000 325,000
JUMLAH 21,015,000 20,985,000
Mei KB PBI 485,000 455,000
RJTP Pra Rujukan 1,000,000 750,000
Ambulans - -
Persalinan PBI 11,900,000 11,900,000
RITP
Persalinan Non PBI 5,600,000 5,600,000
KEG. KELOMPOK Senam Prolanis 340,000 340,000
JUMLAH 19,325,000 19,045,000
Juni KB PBI 310,000 235,000
RJTP Pra Rujukan 875,000 875,000
Ambulans - -
RITP Persalinan 16,100,000 16,100,000
KEG. KELOMPOK Senam Prolanis - -
JUMLAH 17,285,000 17,210,000
Juli KB PBI 610,000 510,000
RJTP Pra Rujukan 625,000 625,000
Ambulans - -
 TERIMA
TAHUN BULAN KETERANGAN KLAIM (VERIFIKASI)

RITP Persalinan 11,900,000 11,900,000

KEG. KELOMPOK Senam Prolanis 300,000 300,000
JUMLAH 13,435,000 13,335,000
Agustus KB PBI 1,360,000 1,000,000
RJTP Pra Rujukan 500,000 375,000
Ambulans - -
RITP Persalinan 9,100,000 9,100,000
KEG. KELOMPOK Senam Prolanis 310,000 310,000
JUMLAH 11,270,000 10,785,000
September KB 865,000 765,000
RJTP Pra Rujukan 625,000 625,000
Ambulans 1,100,000 1,100,000
RITP Persalinan 14,700,000 14,700,000
KEG. KELOMPOK Senam Prolanis 325,000 325,000
JUMLAH 17,615,000 17,515,000
Oktober KB 1,305,000 1,190,000
RJTP Pra Rujukan 750,000 625,000
Ambulans 1,000,000 950,000
RITP Persalinan 17,500,000 17,500,000
KEG. KELOMPOK Senam Prolanis 335,000 335,000
JUMLAH 20,890,000 20,600,000
November KB 630,000
RJTP Pra Rujukan -
Ambulans 750,000
RITP Persalinan 12,600,000
KEG. KELOMPOK Senam Prolanis - -
JUMLAH 13,980,000 -
Desember KB 345,000
RJTP Pra Rujukan -
Ambulans 1,000,000
RITP Persalinan 11,900,000
KEG. KELOMPOK Senam Prolanis 320,000 320,000
JUMLAH 13,565,000 320,000
JUMLAH 193,495,000 162,315,000
2018

PEMBAYARAN
(PENCAIRAN) TANGGAL PIUTANG
2018
250,000 20 April 2018 -
1,125,000 05 September 2018 -
375,000 05 September 2018 -
-
10,500,000 20 April 2018 -
4,900,000 20 April 2018 -
305,000 26 Desember 2018 -
17,455,000 -
355,000 10 September 2018 -
375,000 05 September 2018 -
250,000 04 Oktober 2018 -
-
5,600,000 29 Juni 2018 -
-
325,000 26 Desember 2018 -
6,905,000 -
485,000 04 Oktober 2018 -
1,000,000 04 Oktober 2018 -
250,000 04 Oktober 2018 -
-
13,300,000 03 Agustus 2018 -
2,800,000 03 Agustus 2018 -
325,000 26 Desember 2018 -
18,160,000 -
335,000 05 Oktober 2018 -
1,750,000 05 Oktober 2018 -
375,000 05 Oktober 2018
-
13,300,000 09 Oktober 2018 -
4,900,000 05 Oktober 2018 -
325,000 26 Desember 2018 -
20,985,000 -
455,000 21 November 2018 -
750,000 14 Desember 2018 -
-
11,900,000 11 Oktober 2018 -
5,600,000 11 Okt, 14 Des 2018 -
340,000 26 Desember 2018 -
19,045,000 -
235,000 16 November 2018 -
875,000 16 November 2018 -
-
16,100,000 16 November 2018 -
-
17,210,000 -
510,000 14 Desember 2018 -
625,000 14 Desember 2018 -
-
PEMBAYARAN
(PENCAIRAN) TANGGAL PIUTANG
2018
11,900,000 14 Desember 2018 -
300,000 26 Desember 2018 -
13,335,000 -
1,000,000
375,000
-
9,100,000
310,000 26 Desember 2018 -
310,000 10,475,000
765,000
625,000
1,100,000
14,700,000
325,000
- 17,515,000
1,190,000
625,000
950,000
17,500,000
335,000
- 20,600,000
-
-
-
-
-
- -
-
-
-
-
320,000
- 320,000
113,405,000 48,910,000

Bojong, 31 Desember 2018

Kepala Puskesmas Bojong I

drg. Hendra
NIP. 19650919 199103 1 009
 REKAP PIUTANG AUDITED TAHUN 2017
PUSKESMAS BOJONG I

PIUTANG AUDITED
TAHUN VERIFIKASI PEMBAYARAN
PER 31 DESEMBER 2017
2016 153,880,000 153,000,000 880,000
2017 182,805,000 83,185,000 99,620,000
JUMLAH 336,685,000 236,185,000 100,500,000

Bojong, 31 Desember 2017

Kepala Puskesmas Bojong I

drg. Hendra
NIP. 19650919 199103 1 009
 REKAPITULASI PIUTANG PUSKESMAS BOJONG I

PIUTANG VERIFIKASI
TAHUN
PER 31 DESEMBER 2017 TAHUN 2018
2016 880,000
2017 99,620,000 815,000
2018 - 162,315,000
100,500,000 163,130,000

REKAPITULASI UTANG PUSKESMAS BOJONG I

RINCIAN
Hutang Pihak Ketiga Pemeriksaan Laboratorium di Lab Gajah Mada untuk Program Kegiatan Prolanis TA 2017
dan 2018
Belanja Jasa Layanan Medis Bulan Desember 2018
TOTAL
ANG PUSKESMAS BOJONG I

PEMBAYARAN DARI BPJS PIUTANG

TAHUN 2018 PER 31 DESEMBER 2018
600,000 280,000
100,110,000 325,000
113,405,000 48,910,000
214,115,000 49,515,000

NG PUSKESMAS BOJONG I

JUMLAH
ntuk Program Kegiatan Prolanis TA 2017 2,995,000

74,901,960
77,896,960
 PEMERINTAH KABUPATEN PEKALONGAN
REKAPITULASI PELUNASAN UTANG TAHUN 2017
PUSKESMAS BOJONG I

NO. LUNAS TGL LUNAS NO. INVOICE TGL INVOICE KETERANGAN

00028/LUNAS/1 00001/INVOICE/1
2/12/2018 12/21/2017 Belanja Jasa Layanan Medis Bulan Desember 2017
020109/2018 020109/2018

JUMLAH

Kajen, 31 Desember 2018

PIMPINAN BLUD PUSKESMAS BOJONG I

drg. Hendra
PEMBINA (IV/a)
NIP. 19650919 199103 1 009
 JUMLAH
(Rp)

68,472,360.00

68,472,360.00

NG I