Pot Mpe Des Fix

Kode Rincian Penghitungan
Uraian Jumlah (Rp.)

Rekening Volume Satuan Harga Satuan
1 2 3 4 Rp5 6 = (3x5)
5 2 2 3 2 1 Belanja Penggantian Jasa Pelayanan Publik 614,745,000
PIS PK 172,099,500
Workshop PIS PK Tk Puskesmas
Konsumsi 72 or x 1 pkm x 1 hr x 1 kl 72 Rp 30,000 Rp 2,160,000
Narsum 1 or x 1 kl x 1 hr x 1 kl 1 Rp 350,000 Rp 350,000
Panitia
Ketua 1 or x 1 kl x 1 hr x 1 kl 1 Rp 300,000 Rp 300,000
Sekretaris 1 or x 1 kl x 1 hr x 1 kl 1 Rp 250,000 Rp 250,000
Anggota 1 or x 1 kl x 1 hr x 1 kl 1 Rp 150,000 Rp 150,000
ATK 72 or x 1 pkt x 1 hr x 1 kl 72 Rp 10,000 Rp 720,000
Penggandaan 72 or x 4 lbr x 1 hr x 1 kl 288 Rp 250 Rp 72,000
PERTEMUAN MONEV DAN

ANALISIS DATA PUSKESMAS
Konsumsi 20 or x 1 kl x 1 hr x 4 kl 80 Rp 30,000 Rp 2,400,000
honor Narsum 1 or x 1 kl x 1 hr x 4 kl 4 Rp 350,000 Rp 1,400,000
Ketua 1 or x 1 kl x 1 hr x 4 kl 4 Rp 250,000 Rp 1,000,000
Sekretaris 1 or x 1 kl x 1 hr x 4 kl 4 Rp 200,000 Rp 800,000
1 or x 1 kl x 1 hr x 4 kl 4 Rp 150,000 Rp 600,000
Anggota
Honor Pembina PIS PK
Ka PKM 1 or x 1 x 1 x 12 kl 12 Rp 300,000 Rp 3,600,000
Admin 1 or x 1 x 1 x 12 kl 12 Rp 250,000 Rp 3,000,000
Supervisor 1 or x 1 x 1 x 12 kl 12 Rp 250,000 Rp 3,000,000

Pelaksanaan pembinaan keluarga
sehat
Tranport petugas Pendataan Keluarga 2 or x 36 tim x 5 hr x 8 kl 2880 Rp 30,000 Rp 86,400,000
Penggandaan Prokesga 4535 kk x 1 x 4 lmbr x 1 kl 18140 Rp 250 Rp 4,535,000
Cetak PIN Kesga 450 kk x 1 tim x 1 lmbr x 1 kl 450 Rp 15,000 Rp 6,750,000
Stiker PIS PK 4535 kk x 1 tim x 1 lmbr x 1 kl 4535 Rp 500 Rp 2,267,500
Tanda Pengenal 72 or x 1 tim x 1 lmbr x 1 kl 72 Rp 10,000 Rp 720,000
Paket pelaksanaan Survey 72 or x 1 pkt x 1 hr x 1 kl 72 Rp 150,000 Rp 10,800,000
Baju Kaos 72 or x 1 pkt x 1 hr x 1 kl 72 Rp 100,000 Rp 7,200,000
Bahan Kontak 4535 kk x 1 x 1 x 1 kl 4535 Rp 3,000 Rp 13,605,000
Kunjungan rumah intervensi PIS

PK
Transport Petugas 450 kk x 1 or x 1 hr x 1 kl 450 Rp 30,000 Rp 13,500,000
Monev Pelaksanaan PIS PK di

Kelurahan
Ka PKM 1 or x 7 kel x 1 hr x 4 kl 28 Rp 30,000 Rp 840,000
Admin 1 or x 7 kel x 1 hr x 4 kl 28 Rp 30,000 Rp 840,000
Supervisor 1 or x 7 kel x 1 hr x 4 kl 28 Rp 30,000 Rp 840,000
Pemeliharaan perangkat PIS PK 1 keg x 1 x 1 x 4 kl 4 Rp 1,000,000 Rp 4,000,000
UKM ESENSIAL 248,880,000
PROMOSI KESEHATAN
distribusi garam beryodium 2 or x 10 ling x 1 hr x 12 kl 240 Rp 30,000 Rp 7,200,000

Penyuluhan keliling penyakit
lingkungan berdasarkan perubahan
musim
Transport petugas 3 or x 26 ling x 1 hr x 1 kl 78 Rp 30,000 Rp 2,340,000
Pelayanan Posyandu 0 Rp -
Transport petugas 4 or x 26 pos x 1 hr x 12 kl 1248 Rp 30,000 Rp 37,440,000
Refreshing kader posyandu 0 Rp -

Transport Peserta 13 pos x 5 or x 1 hr x 2 kl 130 Rp 30,000 Rp 3,900,000
ATK Refreshing kader posyandu 1 pkt 1 1 2 kl 2 Rp 100,000 Rp 200,000
Konsumsi Refreshing kader
13 pos x 5 or x 1 hr x 2 kl 130 Rp 30,000 Rp 3,900,000
posyandu
Honor Narasumber 3 or x 1 kl x 1 hr x 2 kl 6 Rp 150,000 Rp 900,000
Advokasi program kesehatan ke

kelurahan
Transport petugas 2 or x 7 kel x 1 hr x 1 kl 14 Rp 30,000 Rp 420,000
Penyuluhan HIV AIDS Di sekolah

Transport petugas 7 skl x 3 or x 1 hr x 1 kl 21 Rp 30,000 Rp 630,000
Survei PHBS sekolah dan penentuan

0 Rp -
strata sekolah
Transport petugas 23 skl x 3 or x 1 hr x 1 kl 69 Rp 30,000 Rp 2,070,000
UKS
Pembinaan Dokter kecil 0 Rp -
Pembinaan Poskestren 0 Rp -
Pemutakhiran data UKS 0 Rp -

Penjaringan Kesehatan Siswa SD/MI
Transport petugas 16 SD x 6 or x 1 hr x 1 kl 96 Rp 30,000 Rp 2,880,000
Penggandaan Formulir Screening

Kesehatan Siswa Sekolah 1 pkt 1 1 1 kl 1 Rp 150,000 Rp 150,000
Dasar/Madrasah
Sweeping Penjaringan kesehatan
SD/MI
Screening Kesehatan Siswa

0 Rp -
SMP/MTs & SMA/MA
Penggandaan Formulir Screening

Kesehatan Siswa SMP/MTs & 1 pkt 1 1 1 kl 1 Rp 150,000 Rp 150,000
SMA/MA
Penyuluhan PHBS sekolah+distribusi

0 Rp -
albendazole
Penyuluhan Kesehatan Reproduksi

remaja, Dampak Rokok dan 0 Rp -
penyalahgunaan Napza
Pembinaan kantin sehat 0 Rp -

Transport petugas 16 SD x 2 or x 1 hr x 1 kl 32 Rp 30,000 Rp 960,000
Demo sikat Gigi & cuci tangan

0 Rp -
massal (CTPS)
Transport petugas 6 SD x 4 or x 1 hr x 1 kl 24 Rp 30,000 Rp 720,000
Bahan Kontak Demo sikat Gigi &
6 pkt 1 1 1 6 Rp 100,000 Rp 600,000
cuci tangan massal (CTPS)
KESEHATAN LINGKUNGAN
Pemantauan SAB & JAGA 2 or x 7 kel x 2 hr x 1 kl 28 Rp 30,000 Rp 840,000
Kaporisasi 2 or x 7 kel x 2 hr x 2 kl 56 Rp 30,000 Rp 1,680,000
Pendataan Rumah Sehat 2 or x 7 kel x 2 hr x 1 kl 28 Rp 30,000 Rp 840,000
Pemantauan Rumah Sehat 2 or x 7 kel x 2 hr x 1 kl 28 Rp 30,000 Rp 840,000
inspeksi sanitasi sekolah 2 or x 16 sklh x 1 hr x 1 kl 32 Rp 30,000 Rp 960,000
Pendataan TTU & TPM 2 or X 7 kel x 2 hr x 1 kl 28 Rp 30,000 Rp 840,000

Pemantauan TTU & TPM 2 or x 7 kel x 2 hr x 1 kl 28 Rp 30,000 Rp 840,000
Kunjungan Rumah Pasien Klinik

1 or x 2 psn x 1 hr x 12 kl 24 Rp 30,000 Rp 720,000
Sanitasi
pemeriksaan kelembaban udara di

3 or x 3 ktr x 1 hr x 1 kl 9 Rp 30,000 Rp 270,000
perusahaan besar
KIA
PMT BUMIL KEK 10 kss x 30 hr x 1 x 1 300 Rp 10,000 Rp 3,000,000

PEMANTAUAN PMT BUMIL KEK 2 or x 1 kel x 1 hr x 2 kl 4 Rp 30,000 Rp 120,000
PELACAKAN KASUS RESTI 2 or x 7 kel x 1 hr x 4 kl 56 Rp 30,000 Rp 1,680,000
PROMOSI KB 2 or x 7 kel x 1 hr x 4 kl 56 Rp 30,000 Rp 1,680,000
PEMERIKSAAN IVA DAN

2 or x 7 kel x 1 hr x 4 kl 56 Rp 30,000 Rp 1,680,000
PAYUDARA DIKELURAHAN
KELAS IBU BALITA DAN PMBA

SNACK KELAS IBU BALITA DAN
PMBA
KELAS IBU HAMIL DI PKM

snack kelas bumil di PKM 15 or x 1 keg x 2 hr x 3 kl 90 Rp 30,000 Rp 2,700,000
Honor Narasumber 1 or x 1 keg x 2 hr x 3 kl 6 Rp 150,000 Rp 900,000
KELAS IBU HAMIL DI

KELURAHAN
snack kelas bumil 20 or x 7 kel x 2 hr x 1 kl 280 Rp 30,000 Rp 8,400,000
Honor Narasumber 1 or x 7 kel x 1 hr x 1 kl 7 Rp 150,000 Rp 1,050,000
Pemantauan SDIDTK 2 or x 7 kel X 1 hr x 4 kl 56 Rp 30,000 Rp 1,680,000

Pemantauan SDIDTK di TK/PAUD 2 or x 7 tk X 1 hr x 1 kl 14 Rp 30,000 Rp 420,000
PENYULUHAN IVA DAN

KANKER PAYUDARA DI 2 or x 7 kel X 1 hr x 2 kl 28 Rp 30,000 Rp 840,000
Kelurahan
Pemantauan Pasien kanker 2 or x 7 kss x 1 hr x 1 kl 14 Rp 30,000 Rp 420,000
DRK 20 or x 1 pkm X 1 hr x 3 kl 60 Rp 30,000 Rp 1,800,000
PROMOSI IMD & ASI ESCLUSIF 2 or x 7 kel x 1 hr x 2 kl 28 Rp 30,000 Rp 840,000
OJT KIA
konsumsi OJT KIA 20 or x 1 pkm x 1 hr x 2 kl 40 Rp 30,000 Rp 1,200,000
Validasi data terintegrasi

konsumsi peserta 10 or x 1 pkm x 1 hr x 1 kl 10 Rp 30,000 Rp 300,000
GIZI
Sweeping posyandu
Transport kader sweeping posyandu 1 org x 26 pos x 1 hr x 4 kl 104 Rp 30,000 Rp 3,120,000
0 Rp -
Konseling gizi di kelurahan
(AE,garam beryodium, Fe)
transport petugas 1 org x 7 kel x 1 hr x 1 kl 7 Rp 30,000 Rp 210,000
Penanggulangan KVA
sweeping Vit. A
transport kader sweeping Vit. A 2 org x 7 kel x 1 hr x 2 kl 28 Rp 30,000 Rp 840,000
0 Rp -
Verifikasi data Vit. A
tranport petugas verifikasi data Vit. A 1 org x 7 kel x 1 hr x 2 kl 14 Rp 30,000 Rp 420,000
0 Rp -
distribusi dan penyuluhan Fe di
2 org x 7 sklh x 1 hr x 4 kl 56 Rp 30,000 Rp 1,680,000
sekolah
Pemberian PMT Penyuluhan 26 pos x 1 pkt x 1 hr x 12 kl 312 Rp 200,000 Rp 62,400,000
PMT Pemulihan Balita

a. Gizi Kurang 10 kss x 1 kel x 30 hma x 1 kl 300 Rp 10,000 Rp 3,000,000
b. Gizi Buruk 3 kss x 1 kel x 30 hma x 3 kl 270 Rp 10,000 Rp 2,700,000
pemantauan pemberian PMT gizi
2 or x 10 kss x 1 hr x 1 kl 20 Rp 30,000 Rp 600,000
kurang
pemantauan pemberian PMT gizi

buruk
Surveilance kasus gizi buruk 2 or x 7 kel x 1 hr x 1 kl 14 Rp 30,000 Rp 420,000
Pelaksanaan kelas gizi

pembelian bahan makanan 1 kls x 10 or x 10 hma x 1 kl 100 Rp 10,000 Rp 1,000,000
transport petugas penyuluh 1 x 3 or x 10 hr x 1 kl 30 Rp 30,000 Rp 900,000
tranport kader 1 kls x 2 or x 10 hr x 1 kl 20 Rp 30,000 Rp 600,000
Pekan penimbangan posyandu

transport petugas 26 pos x 2 or x 1 hr x 1 kl 52 Rp 30,000 Rp 1,560,000
transport kader 26 pos x 5 or x 1 hr x 1 kl 130 Rp 30,000 Rp 3,900,000
PELAYANAN PENCEGAHAN DAN PENGENDALIAN PENYAKIT (P2P) 0 Rp -

SURVEILANS
pelacakan kasus peny.yang
berpotensi KLB
Survei jentik 2 or x 7 kel x 1 hr x 2 kl 28 Rp 30,000 Rp 840,000
Abatesasi 2 or x 7 kel x 2 hr x 2 kl 56 Rp 30,000 Rp 1,680,000
pelacakan kasus penyakit new

1 or x 20 jh x 1 hr x 1 kl 20 Rp 30,000 Rp 600,000
emerging kepulangan jemaah haji
pelacakan kasus AFP 2 or x 3 kss x 1 hr x 1 kl 6 Rp 30,000 Rp 180,000
pengambilan dan pengiriman

spesimen AFP (faeces)
bila ada
pelacakan kasus PD3I 2 or x 0 kss x 0 hr x 0 kl Rp 30,000 Rp -
kasus
bila ada
pengambilan sampel PD3I 2 or x 0 kss x 0 hr x 0 kl Rp 30,000 Rp -
kasus
bila ada
pengiriman sampel PD3I 2 or x 0 kss x 0 hr x 0 kl Rp 30,000 Rp -
kasus
Posbindu PTM 3 or x 13 pos x 1 hr x 6 kl 234 Rp 30,000 Rp 7,020,000
Posbindu sekolah 3 or x 2 sklh x 1 hr x 2 kl 12 Rp 30,000 Rp 360,000

0 Rp -
posbindu instansi 3 or x 4 ins x 1 hr x 1 kl 12 Rp 30,000 Rp 360,000
0 Rp -
TB 0 Rp -
Sosialisasi pencegahan dan
penanganan penyakit TBC Tk. Kel
Konsumsi 20 or x 7 kel x 1 hr x 1 kl 140 Rp 30,000 Rp 4,200,000
penjaringan oleh kader TB paru 1 org x 21 susp x 1 hr x 6 kl 126 Rp 10,000 Rp 1,260,000
Pelacakan kontak serumah dan

2 org x 50 bta x 1 hr x 1 kl 100 Rp 30,000 Rp 3,000,000
tetangga BTA+
penjaringan susp TB di pesantren dan

3 org x 4 sklh x 1 hr x 1 kl 12 Rp 30,000 Rp 360,000
SMP
pembinaan dan pengawasan PMO 2 or x 7 kel x 1 hr x 2 kl 28 Rp 30,000 Rp 840,000
kunjungan rumah TB mangkir

Transport petugas 2 or x 4 kss x 1 hr x 3 kl 24 Rp 30,000 Rp 720,000
Pengantaran sampel TB ke Lab.

Rp -
Rujukan
Transport petugas 1 or x 12 hr x 1 x 12 kl 144 Rp 30,000 Rp 4,320,000
penyuntikan kategori 2
Transport petugas 1 or x 3 kss x 10 hr x 2 kl 60 Rp 30,000 Rp 1,800,000
ISPA
penjaringan kasus ISPA dan Diare 2 or x 7 kel x 1 hr x 2 kl 28 Rp 30,000 Rp 840,000
0 Rp -
Kunjungan rumah pneumonia 1 or x 6 kss x 1 hr x 1 kl 6 Rp 30,000 Rp 180,000
sosialisasi tentang penyakit Ispa dan

1 or x 7 kel x 1 hr x 4 kl 28 Rp 30,000 Rp 840,000
diare kepada kader di kelurahan
pembagian oralit untuk kasus diare 1 org x 7 kel x 1 hr x 4 kl 28 Rp 30,000 Rp 840,000
KUSTA
pelacakan kasus kusta di masyarakat 2 or x 7 kel x 1 hr x 4 kl 56 Rp 30,000 Rp 1,680,000
pemeriksaan kontak serumah dan

tetangga
kemoprofilaksis pada keluarga pasien
dan tetangga sekitar.
pemantauan minum obat pada pasien

1 or x 6 psn x 1 hr x 4 kl 24 Rp 30,000 Rp 720,000
kusta
penjaringan kasus kusta pada anak

2 or x 22 sklh x 1 hr x 1 kl 44 Rp 30,000 Rp 1,320,000
sekolah SD dan SMP sederajat
LEC (leprocy elimination case)

honor narasumber LEC 1 org x 2 kel x 1 hr x 1 kl 2 Rp 150,000 Rp 300,000
transport petugas 2 org x 2 kel x 1 hr x 1 kl 4 Rp 30,000 Rp 120,000
konsumsi pesertaLEC 20 org x 2 kel x 1 hr x 1 kl 40 Rp 30,000 Rp 1,200,000
IMUNISASI
pendataan sasaran imunisasi campak
rubella (imunisasi MR) di Kelurahan
transport pendataan sasaran imunisasi

campak rubella (imunisasi MR) di
sekolah
transport petugas 2 or x 23 sklh x 1 hr x 1 kl 46 Rp 30,000 Rp 1,380,000
sosialisasi imunisasi campak Rubella

(Di PKM)
konsumsi sosialisasi imunisasi
campak Rubella
Narasumber 2 or x 1 kel x 1 hr x 2 kl 4 Rp 150,000 Rp 600,000
Pelaksanaan imunisasi campak

rubella di umur 9 bulan - 15 tahun
Transport petugas 2 or x 26 pos x 1 hr x 1 kl 52 Rp 30,000 Rp 1,560,000
Transport kader 2 or x 26 pos x 1 hr x 1 kl 52 Rp 30,000 Rp 1,560,000
Transport petugas ke sekolah 2 or x 23 sklh x 1 hr x 1 kl 46 Rp 30,000 Rp 1,380,000
Sweeping Campak Rubella 2 or x 7 kel x 1 hr x 1 kl 14 Rp 30,000 Rp 420,000
Pelaksanaan BIAS I
Transport petugas 2 or x 16 sklh x 1 hr x 1 kl 32 Rp 30,000 Rp 960,000
Sweeping BIAS I 1 or x 16 sklh x 1 hr x 1 kl 16 Rp 30,000 Rp 480,000
Pelaksanaan BIAS II
Transport petugas 2 or x 16 sklh x 1 hr x 1 kl 32 Rp 30,000 Rp 960,000
Sweeping BIAS II 1 or x 16 sklh x 1 hr x 1 kl 16 Rp 30,000 Rp 480,000
Sweeping imunisasi rutin 2 org x 26 pos x 1 hr x 1 kl 52 Rp 30,000 Rp 1,560,000
UKM PENGEMBANGAN 51,260,000
UKK
Pendataan pada pos UKK 2 or x 4 pos x 1 hr x 1 kl 8 Rp 30,000 Rp 240,000
Pemeriksaan berkala terhadap tenaga

2 or x 4 pos x 1 hr x 6 kl 48 Rp 30,000 Rp 1,440,000
pos UKK
Pembinaan pada pos UKK 2 or x 4 pos x 1 hr x 2 kl 16 Rp 30,000 Rp 480,000
pelatihan kader UKK

honor narasumber 1 org x 1 kel x 1 hr x 1 kl 1 Rp 150,000 Rp 150,000
Transport peserta 20 org x 1 kel x 1 hr x 1 kl 20 Rp 30,000 Rp 600,000
konsumsi peserta 25 org x 1 kel x 1 hr x 1 kl 25 Rp 30,000 Rp 750,000
JIWA
Deteksi dini masalah kesehatan jiwa 2 or x 7 kel x 1 hr x 2 kl 28 Rp 30,000 Rp 840,000
Swepping penderita Keswa 2 or x 7 kel x 1 hr x 2 kl 28 Rp 30,000 Rp 840,000
KUNJUNGAN RUMAH PASIEN

2 or X 7 Kel X 1 hr x 12 kl 168 Rp 30,000 Rp 5,040,000
JIWA
sosialisasi kesehatan Jiwa 0 Rp -

honor narasumber 1 or x 1 pkm x 1 hr x 1 kl 1 Rp 150,000 Rp 150,000
transport peserta 30 or x 1 pkm x 1 hr x 1 kl 30 Rp 30,000 Rp 900,000
snack peserta 36 or X 1 pkm x 1 hr x 1 kl 36 Rp 30,000 Rp 1,080,000
Refresing untuk PMO 0 Rp -

Transport peserta 25 or X 1 kel x 1 hr x 2 kl 50 Rp 30,000 Rp 1,500,000
Konsumsi peserta 30 or X 1 kel x 1 hr x 2 kl 60 Rp 30,000 Rp 1,800,000
Pembuatan dan penyebaran Leaflet

10 lbr X 7 kel x 1 x 1 kl 70 Rp 5,000 Rp 350,000
Jiwa
pembuatan poster Jiwa 1 pkt X 1 x 1 x 1 kl 1 Rp 150,000 Rp 150,000
Senam bersama pasien jiwa 0 Rp -

Snack peserta 25 or X 1 kel x 1 hr x 4 kl 100 Rp 10,000 Rp 1,000,000
honor instruktur senam 1 org x 1 kel x 1 hr x 4 kl 4 Rp 150,000 Rp 600,000
Kegiatan kerohanian pasien jiwa 0 Rp -

Snack 25 or X 1 kel x 1 hr x 4 kl 100 Rp 10,000 Rp 1,000,000
Honor ustadz 1 org x 1 kel x 1 hr x 4 kl 4 Rp 150,000 Rp 600,000
PENGOBATAN TRADISIONAL
Sosialisasi batra dgn pengelola batra
(ketrampilan dan ramuan) di PKM
transport peserta 25 or x 1 kel x 1 hr x 1 kl 25 Rp 30,000 Rp 750,000
konsumsi peserta 30 or X 1 kel x 1 hr x 1 kl 30 Rp 30,000 Rp 900,000
honor narasumber 1 or X 1 kel x 1 hr x 1 kl 1 Rp 150,000 Rp 150,000
pembuatan leaflet dan penyebaran 10 lbr X 7 kel x 1 x 1 kl 70 Rp 5,000 Rp 350,000
pembinaan batra (keterampilan +

2 org x 7 kel x 1 hr x 2 kl 28 Rp 30,000 Rp 840,000
ramuan)
LANSIA 0 Rp -
Posyandu Lansia di Kelurahan
2 or x 12 pos x 1 hr x 12 kl 288 Rp 30,000 Rp 8,640,000
(Transport petugas)
0 Rp -
penyuluhan kesehatan lansia 0 Rp -
Konsumsi penyuluhan kesehatan
lansia
Honor Narasumber penyuluhan
kesehatan lansia
0 Rp -
Senam lansia di kelurahan 0 Rp -
Konsumsi penyuluhan kesehatan
lansia
Honor instruktur senam 1 or x 4 kel x 1 hr x 1 kl 4 Rp 150,000 Rp 600,000
PERKESMAS
kunjungan rumah pada pasien
beresiko tinggi.
0 Rp -
Pertemuan terpadu dengan petugas

pustu,polindes,poskesdes,ten tang 15 or x 1 kel x 1 hr x 2 kl 30 Rp 30,000 Rp 900,000
program perkesmas
ATK 1 pkt x 1 kel x 1 hr x 2 kl 2 Rp 100,000 Rp 200,000
Konsumsi peserta 18 or x 1 kel x 1 hr x 2 kl 36 Rp 30,000 Rp 1,080,000
REMAJA
Kelas remaja di kelurahan
snack peserta kls remaja di
15 or x 1 kel X 1 hr x 2 kl 30 Rp 10,000 Rp 300,000
kelurahan
transport petugas 2 or x 1 kel X 1 hr x 2 kl 4 Rp 30,000 Rp 120,000
Posyandu REMAJA 2 or x 7 kel X 1 hr x 6 kl 84 Rp 30,000 Rp 2,520,000
PENYULUHAN KESPRO dan

NAPZA di kelurahan
transpor petugas 1 or x 3 kel X 1 hr x 1 kl 3 Rp 30,000 Rp 90,000
konsumsi peserta 10 or x 3 kel X 1 hr x 1 kl 30 Rp 10,000 Rp 300,000
PENYULUHAN KESPRO dan

NAPZA di sekolah
transpor petugas 1 or x 3 skl x 1 hr x 1 kl 3 Rp 30,000 Rp 90,000
konsumsi peserta 10 or x 3 skl x 1 hr x 1 kl 30 Rp 10,000 Rp 300,000
PEMBINAAn remaja di SD kls 4 s/d

2 or x 5 skl X 1 hr x 1 kl 10 Rp 30,000 Rp 300,000
kls 6
penyuluhan TT Catin 1 or x 7 kel X 1 hr x 1 kl 7 Rp 30,000 Rp 210,000

pembinaan Kader remaja
transport petugas 1 or x 7 kel X 1 hr x 1 kl 7 Rp 30,000 Rp 210,000
0 Rp -
pembinaan Konselor sebaya di
sekolah
transport petugas 2 or x 4 skl X 1 hr x 1 kl 8 Rp 30,000 Rp 240,000
PANCA INDRA
Penjaringan panca indera 2 or x 11 pos x 1 hr x 2 kl 44 Rp 30,000 Rp 1,320,000
0 Rp -
Kunjungan rumah pasien post operasi
2 or x 1 pos x 1 hr x 2 kl 4 Rp 30,000 Rp 120,000
katarak
0 Rp -
Penyuluhan kesehatan pada pasien
gangguan panca indera
transport pretugas 2 or x 2 kel x 1 hr x 2 kl 8 Rp 30,000 Rp 240,000
Konsumsi 10 or x 2 kel x 1 hr x 2 kl 40 Rp 30,000 Rp 1,200,000
PELAKSANAAN FUNGSI MANAJEMEN ( P1, P2, P3 ) 116,845,500
Pertemuan Lokakaryamini
1. Bulanan
a. Konsumsi Peserta 45 or x 1 pkm x 1 hr x 12 kl 540 Rp 30,000 Rp 16,200,000
b. Spanduk
c. Transpor Peserta
d. Penggandaan 1 keg x 1 x 1 hr x 12 kl 12 Rp 50,000 Rp 600,000
e. Honorarium Panitia Rp -
- ketua 1 or x 1 keg x 1 hr x 12 kl 12 Rp 300,000 Rp 3,600,000
- sekretaris 1 or x 1 keg x 1 hr x 12 kl 12 Rp 250,000 Rp 3,000,000
- Anggota 3 or x 1 keg x 1 hr x 12 kl 36 Rp 150,000 Rp 5,400,000
Pertemuan Lokakaryamini
;2. Tribulanan
a. Konsumsi Peserta 30 or x 1 keg x 1 hr x 4 kl 120 Rp 30,000 Rp 3,600,000
b. Spanduk
c. Transpor Peserta 26 or x 1 keg x 1 hr x 4 kl 104 Rp 30,000 Rp 3,120,000
d. ATK 26 or x 1 keg x 1 hr x 4 kl 104 Rp 10,000 Rp 1,040,000
e. Honorarium Narasumber 2 or x 1 keg x 1 hr x 4 kl 8 Rp 350,000 Rp 2,800,000
f. Honorarium Panitia
Pertemuan Penyusunan RUK

3. Puskesmas
b. ATK 1 pkt x 1 keg x 1 x 1 1 Rp 200,000 Rp 200,000
Pertemuan Penyusunan RPK

4. Puskesmas
Pertemuan Penilaian Kinerja

5. Puskesmas
Rapat Tinjauan Manajemen

6. Puskesmas
a. Konsumsi Peserta 7 or x 1 keg x 1 hr x 1 kl 7 Rp 30,000 Rp 210,000
b. Penggandaan 1 pkt x 1 keg x 1 x 1 1 Rp 100,000 Rp 100,000
Pertemuan Analisis Hasil Audit

7. Internal & PMKP
a. Konsumsi Peserta 10 or x 1 keg x 1 hr x 1 kl 10 Rp 30,000 Rp 300,000
b. Penggandaan 1 or x 1 keg x 1 hr x 1 kl 1 Rp 100,000 Rp 100,000
8. Pelaksanaan SMD
a. Transport petugas Survey 5 or x 7 kel x 2 hr x 1 kl 70 Rp 30,000 Rp 2,100,000
b. Penggandaan foto copy form
1 pkt x 7 kel x 1 hr x 1 kl 7 Rp 100,000 Rp 700,000
survey
9. Pelaksanaan MMD
a. Konsumsi peserta 36 or x 7 kel x 1 hr x 1 kl 252 Rp 30,000 Rp 7,560,000
b. Transport Peserta 30 or x 7 kel x 1 hr x 1 kl 210 Rp 30,000 Rp 6,300,000
c. ATK 1 pkt x 7 kel x 1 hr x 1 kl 7 Rp 10,000 Rp 70,000
d. Spanduk 1 pkt x 1 x 1 x 1 kl 1 Rp 100,000 Rp 100,000
e. Honor Narasumber 2 or x 7 x 1 x 1 kl 14 Rp 350,000 Rp 4,900,000
f. Honorarium Panitia
10. BIMTEK Kelurahan/Instansi

a. Transpor Petugas
11. Supervisi Poskesdes

a. Transpor Petugas 3 or x 6 kel x 1 hr x 2 kl 36 Rp 30,000 Rp 1,080,000
12. Supervisi Pustu

a. Transpor Petugas 3 or x 6 kel x 1 hr x 2 kl 36 Rp 30,000 Rp 1,080,000
13. Monitoring Posyandu

a. Transpor Petugas
Distribusi Alkes dan BHP di

14. Jaringan
a. biaya sewa kendaraan 1 hr x 6 kl 1 1 6 Rp 100,000 Rp 600,000
b. biaya buruh angkut 1 or x 1 keg x 1 hr x 6 kl 6 Rp 50,000 Rp 300,000
15. Pembinaan Jejaring

a. Transpor Petugas 2 or x 7 kel x 1 hr x 2 kl 28 Rp 30,000 Rp 840,000
16. Biaya Lembur Tim 1 keg x 1 x 1 x 1 1 Rp 2,875,500 Rp 2,875,500
17. Honorarium Verifikator 1 or x 12 kl 1 1 12 Rp 250,000 Rp 3,000,000
Honorarium Tim Perencanaan

18. PKM
a. Ketua 1 or x 4 kl 1 1 4 Rp 300,000 Rp 1,200,000
b. Sekretaris 1 or x 4 kl 1 1 4 Rp 250,000 Rp 1,000,000
c. Anggota 3 or x 4 kl 1 1 12 Rp 150,000 Rp 1,800,000
Honorarium Tim Penilaian
19. Kinerja
a. Ketua 1 or x 4 kl 1 1 4 Rp 300,000 Rp 1,200,000
b. Sekretaris 1 or x 4 kl 1 1 4 Rp 250,000 Rp 1,000,000
c. Anggota 2 or x 4 kl 1 1 8 Rp 150,000 Rp 1,200,000
Sosialisasi Kelurahan siaga (Di

20 PKM)
Konsumsi peserta 2 or x 7 kel x 1 hr x 1 kl 14 Rp 30,000 Rp 420,000
ATK 1 pkt x 7 kel x 1 hr x 1 kl 7 Rp 100,000 Rp 700,000
Spanduk 1 pkt x 1 x 1 x 1 1 Rp 100,000 Rp 100,000
Honor Narasumber 2 or x 1 kel x 1 x 1 2 Rp 350,000 Rp 700,000
21 Honorarium Pengelola BOK

Kuasa Pengguna Anggaran 1 or x 12 kl 1 1 12 Rp 300,000 Rp 3,600,000
Pengelola Keuangan 1 or x 12 kl 1 1 12 Rp 250,000 Rp 3,000,000
Pengelola Administrasi 1 or x 12 kl 1 1 12 Rp 250,000 Rp 3,000,000
22 ATK Manajemen BOK 1 pkt x 1 kel x 1 hr x 12 kl 12 Rp 200,000 Rp 2,400,000
ATK Pembuatan laporan tahunan

1 pkt x 1 kel x 1 hr x 2 kl 2 Rp 600,000 Rp 1,200,000
23 untuk tiap program
24 Penggandaan SPJ 1 pkt x 1 kel x 1 hr x 12 kl 12 Rp 200,000 Rp 2,400,000
STBM (SANITASI TOTAL BERBASIS MASYARAKAT) 25,660,000
Pemicuan (STBM) STOP BABS di

5 org x 7 kel x 2 hr x 6 kl 420 Rp 30,000 Rp 12,600,000
kelurahan
ATK Pemicuan (STBM) STOP
1 pkt x 7 kel x 1 hr x 6 kl 42 Rp 100,000 Rp 4,200,000
BABS di kelurahan
Monitoring STOP BABS (STBM) 2 or x 7 kel x 2 hr x 6 kl 168 Rp 30,000 Rp 5,040,000
pemicuan (STBM) STOP BABS di

2 or X 16 sklh x 1 hr x 1 kl 32 Rp 30,000 Rp 960,000
sekolah
ATK pemicuan (STBM) STOP

1 pkt x 16 sklh x 1 hr x 1 kl 16 Rp 100,000 Rp 1,600,000
BABS di sekolah
Pembentukan & Pembinaan
2 or x 7 kel x 2 hr x 1 kl 28 Rp 30,000 Rp 840,000
POKMAIR
pemeriksaan sampel air 2 or x 7 kel x 1 hr x 1 kl 14 Rp 30,000 Rp 420,000
Jumlah Rp614,745,000 -
Kota Bima, 2018

Kepala Dinas Kesehatan
Drs.H.Azhari, M. Si
Nip. 19630502 198702 1 004

614,745,000 - BULAN
1 2 3 4 5 6 7 8 9 10 11 12
100.0
21,920,000 34,277,000 72,385,000 65,807,500 47,980,000 55,205,500 57,770,000 50,350,000 64,910,000 46,350,000 35,180,000 62,610,000
28.0 %
2,160,000
350,000
300,000
250,000
150,000
720,000
72,000
600,000 600,000 600,000 600,000
350,000 350,000 350,000 350,000
250,000 250,000 250,000 250,000
200,000 200,000 200,000 200,000
150,000 150,000 150,000 150,000
900,000 900,000 900,000 900,000
750,000 750,000 750,000 750,000
750,000 750,000 750,000 750,000

10,800,000 10,800,000 10,800,000 10,800,000 10,800,000 10,800,000 10,800,000 10,800,000
2,200,000 2,335,000
3,375,000 3,375,000
1,100,000 1,167,500
720,000
5,400,000 5,400,000
7,200,000
13,605,000
2,700,000 2,700,000 2,700,000 2,700,000 2,700,000
210,000 210,000 210,000 210,000
210,000 210,000 210,000 210,000
210,000 210,000 210,000 210,000
1,000,000 1,000,000 1,000,000 1,000,000
40.5 %
600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000 600,000
780,000 780,000 780,000
3,120,000 3,120,000 3,120,000 3,120,000 3,120,000 3,120,000 3,120,000 3,120,000 3,120,000 3,120,000 3,120,000 3,120,000
1,950,000 1,950,000
100,000 100,000
1,950,000 1,950,000
450,000 450,000
420,000
630,000
2,070,000
1,200,000 1,200,000
90,000 90,000
690,000
2,880,000
150,000
1,920,000
1,260,000
150,000
630,000 630,000 630,000 630,000
630,000
480,000 480,000
720,000
600,000
840,000
840,000 840,000
840,000
840,000
960,000
840,000
840,000
60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000 60,000
270,000
3,000,000
60,000 60,000
420,000 420,000 420,000 420,000
420,000 420,000 420,000 420,000
420,000 420,000 420,000 420,000
600,000 600,000 600,000
900,000 900,000 900,000

300,000 300,000 300,000
1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000 1,200,000

150,000 150,000 150,000 150,000 150,000 150,000 150,000
420,000 420,000 420,000 420,000

60,000 60,000 60,000 60,000 60,000 60,000 60,000
420,000 420,000
420,000
600,000 600,000 600,000
420,000 420,000
600,000 600,000
300,000
780,000 780,000 780,000 780,000
210,000
420,000 420,000
210,000 210,000
420,000 420,000 420,000 420,000
5,200,000 5,200,000 5,200,000 5,200,000 5,200,000 5,200,000 5,200,000 5,200,000 5,200,000 5,200,000 5,200,000 5,200,000
3,000,000
900,000 900,000 900,000
300,000 300,000
180,000 180,000 180,000
420,000
1,000,000
900,000
600,000
1,560,000
3,900,000
210,000 210,000 210,000 210,000 210,000 210,000
420,000 420,000
840,000 840,000
600,000
180,000
180,000
1,170,000 1,170,000 1,170,000 1,170,000 1,170,000 1,170,000
180,000 180,000
360,000
90,000 90,000 90,000 90,000 90,000 90,000 90,000

600,000 600,000 600,000 600,000 600,000 600,000 600,000
210,000 210,000 210,000 210,000 210,000 210,000
600,000 600,000 600,000 600,000 600,000
360,000
420,000 420,000
240,000 240,000 240,000
360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000 360,000
300,000 300,000 300,000 300,000 300,000 300,000
420,000 420,000
180,000
210,000 210,000 210,000 210,000

210,000 210,000 210,000 210,000
420,000 420,000 420,000 420,000
360,000 360,000
360,000
180,000 180,000 180,000 180,000
1,320,000
300,000
120,000
1,200,000
420,000
1,380,000
1,050,000 1,050,000
300,000 300,000
1,560,000
1,560,000
1,380,000
420,000
960,000
480,000
960,000
480,000
1,560,000
8.3 %
240,000
240,000 240,000 240,000 240,000 240,000 240,000
240,000 240,000
150,000
600,000
750,000
420,000 420,000
420,000 420,000
420,000 420,000 420,000 420,000 420,000 420,000 420,000 420,000 420,000 420,000 420,000 420,000
150,000
900,000
1,080,000
750,000 750,000
900,000 900,000
350,000
150,000
250,000 250,000 250,000 250,000

150,000 150,000 150,000 150,000
250,000 250,000 250,000 250,000

150,000 150,000 150,000 150,000
750,000
900,000
150,000
350,000
420,000 420,000
720,000 720,000 720,000 720,000 720,000 720,000 720,000 720,000 720,000 720,000 720,000 720,000
30,000 30,000 30,000 30,000 30,000 30,000 30,000

600,000 600,000 600,000 600,000 600,000 600,000 600,000
150,000 150,000 150,000 150,000 150,000 150,000 150,000

60,000 60,000 60,000 60,000
600,000 600,000 600,000 600,000
150,000 150,000 150,000 150,000
420,000 420,000 420,000 420,000
450,000 450,000
100,000 100,000
540,000 540,000
150,000 150,000
60,000 60,000
420,000 420,000 420,000 420,000 420,000 420,000
90,000
300,000
90,000
300,000
300,000
210,000
210,000
240,000
660,000 660,000
60,000 60,000
120,000 120,000
600,000 600,000
19.0 %
1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000 1,350,000
50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000 50,000
300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000 300,000
250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000 250,000
450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000 450,000
900,000 900,000 900,000 900,000
780,000 780,000 780,000 780,000

260,000 260,000 260,000 260,000
700,000 700,000 700,000 700,000
900,000 900,000 900,000 900,000
750,000 750,000 750,000 750,000
900,000 900,000 900,000 900,000
1,200,000
200,000
1,200,000
200,000
1,200,000
200,000
210,000
100,000
300,000
100,000
2,100,000
700,000
7,560,000
6,300,000
70,000
100,000
4,900,000
2,100,000
1,750,000
2,100,000
540,000 540,000
540,000 540,000
100,000 100,000 100,000 100,000 100,000 100,000

50,000 50,000 50,000 50,000 50,000 50,000
420,000 420,000
2,875,500
750,000 750,000 750,000 750,000
300,000 300,000 300,000 300,000

250,000 250,000 250,000 250,000
450,000 450,000 450,000 450,000
300,000 300,000 300,000 300,000
250,000 250,000 250,000 250,000
300,000 300,000 300,000 300,000
420,000
700,000
100,000
700,000
900,000 900,000 900,000 900,000

750,000 750,000 750,000 750,000
750,000 750,000 750,000 750,000
200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000
600,000 600,000
200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000 200,000
4.2 %
2,100,000 2,100,000 2,100,000 2,100,000 2,100,000 2,100,000
700,000 700,000 700,000 700,000 700,000 700,000
840,000 840,000 840,000 840,000 840,000 840,000
960,000
1,600,000
840,000
420,000
21,920,000 34,277,000 72,385,000 65,807,500 47,980,000 55,205,500 57,770,000 50,350,000 64,910,000 46,350,000 35,180,000 62,610,000
SISA TER SPJ
- 614,745,000
Rp0
-Rp614,745,000
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Rp0 -
- 614,745,000 614,745,000
-
RINCIAN MATA ANGGARAN DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA TAHUN 2018
DIKES PKM PAJAK
JANUARI FEBRUARI PERMINTAAN

Belanja Penggantian Jasa Pelayanan Publik % NOMINAL % NOMINAL PPN PPH 21 PPH 22 PPH 23
21,920,000 34,277,000 56,197,000 5% Rp2,673,727 10% Rp5,577,700 Rp2,388,896 Rp182,500 Rp509,318 Rp132,000
PIS PK - 16,797,000 16,797,000 HARGA DASAR

Konsumsi 2,160,000 Rp2,160,000 5% 106,036 10% 216,000 1,963,636 102,857 39,273
Narsum 350,000 Rp350,000 5% 16,625 10% 35,000 318,182 17,500
Panitia -
Ketua 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000
Sekretaris 250,000 Rp250,000 5% 12,500 10% 25,000 227,273
Anggota 150,000 Rp150,000 5% 7,125 10% 15,000 136,364 7,500
ATK 720,000 Rp720,000 5% 36,000 10% 72,000 654,545
Penggandaan 72,000 Rp72,000 5% 3,600 10% 7,200 65,455
-
Pelaksanaan pembinaan keluarga sehat -
Penggandaan Prokesga 2,200,000 Rp2,200,000 5% 97,000 10% 220,000 2,000,000 200,000 60,000
Cetak PIN Kesga 3,375,000 Rp3,375,000 5% 148,807 10% 337,500 3,068,182 306,818 92,045
Stiker PIS PK 1,100,000 Rp1,100,000 5% 50,000 10% 110,000 1,000,000 100,000
Tanda Pengenal 720,000 Rp720,000 5% 36,000 10% 72,000 654,545
Paket pelaksanaan Survey 5,400,000 Rp5,400,000 5% 270,000 10% 540,000 4,909,091 490,909 73,636
-
UKM ESENSIAL 11,530,000 12,700,000 24,230,000 -
-
PROMOSI KESEHATAN -
-
distribusi garam beryodium 600,000 600,000 Rp1,200,000 5% 60,000 10% 120,000 1,090,909
-
Pelayanan Posyandu -
Transport petugas 3,120,000 3,120,000 Rp6,240,000 5% 312,000 10% 624,000 5,672,727
-
KESEHATAN LINGKUNGAN -
-
Pemantauan SAB & JAGA 840,000 Rp840,000 5% 42,000 10% 84,000 763,636
-
Kaporisasi 840,000 Rp840,000 5% 42,000 10% 84,000 763,636
-
Kunjungan Rumah Pasien Klinik Sanitasi 60,000 60,000 Rp120,000 5% 6,000 10% 12,000 109,091
GIZI -
-
Penanggulangan KVA -
sweeping Vit. A -
transport kader sweeping Vit. A 420,000 Rp420,000 0% - 0% - 381,818
-
Verifikasi data Vit. A -
tranport petugas verifikasi data Vit. A 210,000 Rp210,000 5% 10,500 10% 21,000 190,909
-
Pemberian PMT Penyuluhan 5,200,000 5,200,000 Rp10,400,000 5% 458,545 10% 1,040,000 9,454,545 945,455 283,636
-
PELAYANAN PENCEGAHAN DAN PENGENDA 5% -
SURVEILANS -
pelacakan kasus peny.yang berpotensi KLB 210,000 Rp210,000 5% 10,500 10% 21,000 190,909
-
Survei jentik 420,000 Rp420,000 5% 21,000 10% 42,000 381,818
-
Abatesasi 840,000 Rp840,000 5% 42,000 10% 84,000 763,636
-
Posbindu PTM 1,170,000 Rp1,170,000 5% 58,500 10% 117,000 1,063,636
-
TB -
Pengantaran sampel TB ke Lab. Rujukan -
Transport petugas 360,000 360,000 Rp720,000 5% 36,000 10% 72,000 654,545
-
penyuntikan kategori 2 -
Transport petugas 300,000 300,000 Rp600,000 5% 30,000 10% 60,000 545,455
-
UKM PENGEMBANGAN 1,140,000 1,140,000 2,280,000 -
-
JIWA -
KUNJUNGAN RUMAH PASIEN JIWA 420,000 420,000 Rp840,000 5% 42,000 10% 84,000 763,636
-
LANSIA -
Posyandu Lansia di Kelurahan (Transport
720,000 720,000 Rp1,440,000 5% 72,000 10% 144,000 1,309,091
petugas)
-
PELAKSANAAN FUNGSI MANAJEMEN ( P1, P2, P 6,450,000 2,800,000 9,250,000 -
-
Pertemuan Lokakaryamini Bulanan -
a. Konsumsi Peserta 1,350,000 1,350,000 Rp2,700,000 5% 132,545 10% 270,000 2,454,545 128,571 49,091
b. Spanduk -
c. Transpor Peserta -
d. Penggandaan 50,000 50,000 Rp100,000 5% 5,000 10% 10,000 90,909
e. Honorarium Panitia -
- ketua 300,000 300,000 Rp600,000 5% 28,500 10% 60,000 545,455 30,000
- sekretaris 250,000 250,000 Rp500,000 5% 23,750 10% 50,000 454,545 25,000
- Anggota 450,000 450,000 Rp900,000 5% 42,750 10% 90,000 818,182 45,000
-
Pertemuan Penyusunan RPK
-
Puskesmas
a. Konsumsi Peserta 1,200,000 Rp1,200,000 5% 58,909 10% 120,000 1,090,909 57,143 21,818
b. ATK 200,000 Rp200,000 5% 10,000 10% 20,000 181,818
-
Pertemuan Penilaian Kinerja
-
Puskesmas
b. ATK 200,000 Rp200,000 5% 10,000 10% 20,000 181,818
-
Honorarium Tim Penilaian Kinerja -
a. Ketua 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000
b. Sekretaris 250,000 Rp250,000 5% 11,875 10% 25,000 227,273 12,500
c. Anggota 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000
-
ATK Manajemen BOK 200,000 200,000 Rp400,000 5% 20,000 10% 40,000 363,636
-
Penggandaan SPJ 200,000 200,000 Rp400,000 5% 20,000 10% 40,000 363,636
-
STBM (SANITASI TOTAL BERBASIS MASYARAKA 2,800,000 840,000 3,640,000 -
-
Pemicuan (STBM) STOP BABS di kelurahan 2,100,000 Rp2,100,000 5% 105,000 10% 210,000 1,909,091
ATK Pemicuan (STBM) STOP BABS di
700,000 Rp700,000 5% 35,000 10% 70,000 636,364
kelurahan
-
Monitoring STOP BABS (STBM) 840,000 Rp840,000 5% 42,000 10% 84,000 763,636
Jumlah 21,920,000 34,277,000 56,197,000 Rp2,673,727 Rp5,577,700 Rp2,388,896 Rp182,500 Rp509,318 Rp132,000
TOTAL PPN KONSUMSI / PAJAK RESTORAN Rp345,714 ###

TOTAL PPN DAN PPH BELANJA BARANG BANTUAN MASYARAKAT Rp945,455 ###
TOTAL PPH / PAJAK HONOR ###
BELANJA BARANG DAN JASA/ CETAK DAN
BAHAN CONTOH PAKET SURVEY PIS PK (PPN ### ###
DAN PPH)
CATATAN :
NO PAJAK YG SUDAH DIBAYAR PKM PPN PPH TOTAL
1 PPN ( PAJAK MAKMIN/RESTORAN ) ### ###
PPN DAN PPH BELANJA BARANG DAN JASA
2 / CETAK DAN BAHAN CONTOH ( Paket ### ### ###
pelaksanaan Survey PIS PK )
TOTAL Rp 910,260
RINCIAN PENGGUNAAN ANGGARAN
UPT. Puskesmas Rasanae Timur
JANUARI S/D FEBRUARI 2018
BULAN PAJAK
NO MATA ANGGARAN TOTAL
JANUARI FEBRUARI PPN PPH 21 PPH 22 PPH 23
Belanja penggantian jasa pelayanan publik
1 Honorarium Tim/ Panitia Pelaksana Kegi Rp1,850,000 Rp2,050,000 Rp3,900,000 182,500
2 Uang saku/Transport Rp9,570,000 Rp9,480,000 Rp19,050,000
3 Belanja Alat Tulis Kantor Rp1,300,000 Rp920,000 Rp2,220,000
Belanja materai
4 Belanja Bahan Contoh Rp0 Rp5,400,000 Rp5,400,000 490,909 73,636
5 Belanja Barang Bantuan Masyakarat (P Rp5,200,000 Rp5,200,000 Rp10,400,000 945,455 283,636
6 Belanja Penggandaan (Foto Copy) Rp250,000 Rp7,717,000 Rp7,967,000 606,818 152,045
7 Belanja Spanduk Rp0 Rp0 Rp0
8 Belanja makanan dan minuman rapat Rp3,750,000 Rp3,510,000 Rp7,260,000 345,714 132,000
9 Belanja Cetak Rp0 - Rp0
TOTAL 21,920,000 34,277,000 56,197,000 - - - - - 2,388,896 182,500 509,318 132,000
CATATAN : TANDA KUNING SUDAH

DIBAYAR OLEH PKM
TOTAL
POTONGAN YANG TOTAL YANG DITERIMA
PAJAK DITERIMA POTONGAN PROGRAM
(PPN/PPH)
Rp3,212,714 Rp52,984,286 Rp11,464,142 Rp44,732,858
142,130 Rp2,017,870 Rp464,166 Rp1,695,834

17,500 332,500 Rp69,125 Rp280,875
- - Rp0
15,000 285,000 Rp59,250 Rp240,750
- 250,000 Rp37,500 Rp212,500
7,500 142,500 Rp29,625 Rp120,375
- 720,000 Rp108,000 Rp612,000
- 72,000 Rp10,800 Rp61,200
- - Rp0
- - Rp0
260,000 1,940,000 Rp577,000 Rp1,623,000
398,864 2,976,136 Rp885,170 Rp2,489,830
100,000 Rp1,000,000 Rp260,000 Rp840,000
- Rp720,000 Rp108,000 Rp612,000
564,545 4,835,455 Rp1,374,545 Rp4,025,455
- - Rp0
-
- - Rp0
- - Rp0
- - Rp0
- 1,200,000 Rp180,000 Rp1,020,000
- - Rp0
- - Rp0
- 6,240,000 Rp936,000 Rp5,304,000
- - Rp0
- - Rp0
- - Rp0
- 840,000 Rp126,000 Rp714,000
- - Rp0
- 840,000 Rp126,000 Rp714,000
- - Rp0
- 120,000 Rp18,000 Rp102,000
- - Rp0
- - Rp0
- - Rp0
- - Rp0
- 420,000 Rp0 Rp420,000
- - Rp0
- - Rp0
- 210,000 Rp31,500 Rp178,500
- - Rp0
1,229,091 Rp9,170,909 Rp2,727,636 Rp7,672,364
- - Rp0
- - Rp0
- - Rp0
- 210,000 Rp31,500 Rp178,500
- - Rp0
- 420,000 Rp63,000 Rp357,000
- - Rp0
- 840,000 Rp126,000 Rp714,000
- - Rp0
- 1,170,000 Rp175,500 Rp994,500
- - Rp0
- - Rp0
- - Rp0
- 720,000 Rp108,000 Rp612,000
- - Rp0
- - Rp0
- 600,000 Rp90,000 Rp510,000
- - Rp0
-
- - Rp0
- - Rp0
- 840,000 Rp126,000 Rp714,000
- - Rp0
- - Rp0
- 1,440,000 Rp216,000 Rp1,224,000
- - Rp0
-
- - Rp0
- - Rp0
177,662 2,522,338 Rp580,208 Rp2,119,792
- - Rp0
- - Rp0
- 100,000 Rp15,000 Rp85,000
- - Rp0
30,000 570,000 Rp118,500 Rp481,500
25,000 475,000 Rp98,750 Rp401,250
45,000 855,000 Rp177,750 Rp722,250
- - Rp0
- - Rp0
78,961 1,121,039 Rp257,870 Rp942,130
- 200,000 Rp30,000 Rp170,000
- - Rp0
- - Rp0
78,961 1,121,039 Rp257,870 Rp942,130
- 200,000 Rp30,000 Rp170,000
- - Rp0
- - Rp0
15,000 285,000 Rp59,250 Rp240,750
12,500 237,500 Rp49,375 Rp200,625
15,000 285,000 Rp59,250 Rp240,750
- - Rp0
- 400,000 Rp60,000 Rp340,000
- - Rp0
- 400,000 Rp60,000 Rp340,000
- - Rp0
-
- - Rp0
- 2,100,000 Rp315,000 Rp1,785,000
- 700,000 Rp105,000 Rp595,000
- - Rp0
- 840,000 Rp126,000 Rp714,000
Rp3,212,714 Rp52,984,286 Rp11,464,142 Rp44,732,858

TOTAL
YANG
POTONGAN
DITERIMA
PAJAK
Rp182,500 Rp3,717,500
Rp0 Rp19,050,000
Rp0 Rp2,220,000
Rp0 Rp0
Rp564,545 Rp4,835,455
Rp1,229,091 Rp9,170,909
Rp758,864 Rp7,208,136
Rp0 Rp0
Rp477,714 Rp6,782,286
Rp0 Rp0
3,212,714 52,984,286
39,273 2,120,727
17,500 332,500
15,000 285,000
-
7,500 142,500
260,000 1,940,000
398,864 2,976,136
100,000 1,000,000
-
1,229,091 9,170,909.09
49,091 2,650,909.09
30,000 570,000.00
25,000 475,000.00
45,000 855,000.00
21,818 Rp1,178,182
21,818 1,178,181.82
15,000 285,000.00
12,500 237,500.00
15,000 285,000.00
POTONGAN PAJAK BOK RASTIM JANUARI 2018
DIKES PKM PAJAK
YANG
TOTAL
PERMINTAAN DITERIMA
Belanja Penggantian Jasa Pelayanan Publik % NOMINAL % NOMINAL PPN PPH 21 PPH 22 PPH 23 POTONGAN
PROGRAM
NAMA
21,920,000 5% Rp1,057,239 10% Rp2,192,000 Rp651,299 Rp92,500 Rp141,818 Rp68,182 Rp4,203,037 Rp17,716,963
Rp2,673,727 Rp5,577,700 Rp2,388,896 Rp182,500 Rp509,318 Rp132,000 Rp11,464,142 Rp44,732,858
HARGA
PIS PK - DASAR
-
UKM ESENSIAL 11,530,000 -
-
PROMOSI KESEHATAN -
-
distribusi garam beryodium Rp600,000 5% 30,000 10% 60,000 545,455 Rp90,000 Rp510,000
- Rp0
Pelayanan Posyandu - Rp0
Transport petugas Rp3,120,000 5% 156,000 10% 312,000 2,836,364 Rp468,000 Rp2,652,000
- Rp0
KESEHATAN LINGKUNGAN - Rp0
- Rp0
Kaporisasi Rp840,000 5% 42,000 10% 84,000 763,636 Rp126,000 Rp714,000
- Rp0
Kunjungan Rumah Pasien Klinik Sanitasi Rp60,000 5% 3,000 10% 6,000 54,545 Rp9,000 Rp51,000
Rp0
GIZI - Rp0
- Rp0
Pemberian PMT Penyuluhan Rp5,200,000 5% 229,273 10% 520,000 4,727,273 472,727 141,818 Rp1,363,818 Rp3,836,182
- Rp0
PELAYANAN PENCEGAHAN DAN PENGENDALIAN PENY 5% - Rp0
SURVEILANS - Rp0
pelacakan kasus peny.yang berpotensi KLB Rp210,000 5% 10,500 10% 21,000 190,909 Rp31,500 Rp178,500
- Rp0
Abatesasi Rp840,000 5% 42,000 10% 84,000 763,636 Rp126,000 Rp714,000
- Rp0
TB - Rp0
Pengantaran sampel TB ke Lab. Rujukan - Rp0
Transport petugas Rp360,000 5% 18,000 10% 36,000 327,273 Rp54,000 Rp306,000
- Rp0
penyuntikan kategori 2 - Rp0
- Rp0
UKM PENGEMBANGAN 1,140,000 -
- Rp0
JIWA - Rp0
KUNJUNGAN RUMAH PASIEN JIWA Rp420,000 5% 21,000 10% 42,000 381,818 Rp63,000 Rp357,000
- Rp0
LANSIA - Rp0
Posyandu Lansia di Kelurahan (Transport petugas) Rp720,000 5% 36,000 10% 72,000 654,545 Rp108,000 Rp612,000
- Rp0
PELAKSANAAN FUNGSI MANAJEMEN ( P1, P2, P3 ) 6,450,000 -
- Rp0
Pertemuan Lokakaryamini Bulanan - Rp0
a. Konsumsi Peserta Rp1,350,000 5% 66,273 10% 135,000 1,227,273 64,286 24,545 Rp290,104 Rp1,059,896
b. Spanduk - Rp0
c. Transpor Peserta - Rp0
d. Penggandaan Rp50,000 5% 2,500 10% 5,000 45,455 Rp7,500 Rp42,500
e. Honorarium Panitia - Rp0
- ketua Rp300,000 5% 14,250 10% 30,000 272,727 15,000 Rp59,250 Rp240,750
- sekretaris Rp250,000 5% 11,875 10% 25,000 227,273 12,500 Rp49,375 Rp200,625
- Anggota Rp450,000 5% 21,375 10% 45,000 409,091 22,500 Rp88,875 Rp361,125
- Rp0
Pertemuan Penyusunan RPK Puskesmas - Rp0
a. Konsumsi Peserta Rp1,200,000 5% 58,909 10% 120,000 1,090,909 57,143 21,818 Rp257,870 Rp942,130
b. ATK Rp200,000 5% 10,000 10% 20,000 181,818 Rp30,000 Rp170,000
- Rp0
Pertemuan Penilaian Kinerja Puskesmas - Rp0
a. Konsumsi Peserta Rp1,200,000 5% 58,909 10% 120,000 1,090,909 57,143 21,818 Rp257,870 Rp942,130
b. ATK Rp200,000 5% 10,000 10% 20,000 181,818 Rp30,000 Rp170,000
- Rp0
Honorarium Tim Penilaian Kinerja - Rp0
a. Ketua Rp300,000 5% 14,250 10% 30,000 272,727 15,000 Rp59,250 Rp240,750
b. Sekretaris Rp250,000 5% 11,875 10% 25,000 227,273 12,500 Rp49,375 Rp200,625
c. Anggota Rp300,000 5% 14,250 10% 30,000 272,727 15,000 Rp59,250 Rp240,750
- Rp0
ATK Manajemen BOK Rp200,000 5% 10,000 10% 20,000 181,818 Rp30,000 Rp170,000
- Rp0
Penggandaan SPJ Rp200,000 5% 10,000 10% 20,000 181,818 Rp30,000 Rp170,000
- Rp0
STBM (SANITASI TOTAL BERBASIS MASYARAKAT) 2,800,000 -
- Rp0
Pemicuan (STBM) STOP BABS di kelurahan Rp2,100,000 5% 105,000 10% 210,000 1,909,091 Rp315,000 Rp1,785,000
ATK Pemicuan (STBM) STOP BABS di kelurahan Rp700,000 5% 35,000 10% 70,000 636,364 Rp105,000 Rp595,000
- Rp0
Jumlah 21,920,000 Rp1,057,239 Rp2,192,000 Rp651,299 Rp92,500 Rp141,818 Rp68,182 Rp4,203,037 Rp17,716,963
TOTAL PPN KONSUMSI / PAJAK RESTORAN ### ###

TOTAL PPN DAN PPH BELANJA BARANG BANTUAN MASYARAKAT ### ###

BELANJA BARANG DAN JASA/ CETAK DAN BAHAN CONTOH
PAKET SURVEY PIS PK (PPN DAN PPH)
CATATAN :
NO PAJAK YG SUDAH DIBAYAR PKM TOTAL
1 PPN ( PAJAK MAKMIN/RESTORAN ) #REF!
PPN DAN PPH BELANJA BARANG DAN JASA / CETAK
2 DAN BAHAN CONTOH ( Paket pelaksanaan Survey PIS #REF!
PK )
TOTAL #REF!

PAJAK
PPN PPH 21 PPH 22 PPH 23
1 Honorarium Tim/ Panitia Pelaksana Kegiatan #REF! 92,500
2 Uang saku/Transport #REF!
3 Belanja Alat Tulis Kantor #REF!
Belanja materai
4 Belanja Bahan Contoh #REF! #REF! #REF!
5 Belanja Barang Bantuan Masyakarat (PMT) Rp5,200,000 472,727 141,818
6 Belanja Penggandaan (Foto Copy) #REF! #REF! #REF!
7 Belanja Spanduk Rp0
8 Belanja makanan dan minuman rapat #REF! #REF! #REF!
9 Belanja Cetak Rp0
TOTAL #REF! - - - - - #REF! 92,500 #REF! #REF!
CATATAN : TANDA KUNING SUDAH DIBAYAR OLEH

PKM
PARAF
Rp52,984,286 Rp44,732,858
614,545 Rp4,585,455
24,545 1,325,454.55
15,000 285,000.00
12,500 237,500.00
22,500 427,500.00
21,818 Rp1,178,182
21,818 1,178,181.82
15,000 285,000.00
12,500 237,500.00
15,000 285,000.00
POTONGAN PAJAK BOK RASTIM FEBRUARI 2018
DIKES PKM PAJAK
YANG
TOTAL
PERMINTAAN DITERIMA
Belanja Penggantian Jasa Pelayanan Publik % NOMINAL % NOMINAL PPN PPH 21 PPH 22 PPH 23 POTONGAN
PROGRAM
34,277,000 5% Rp1,616,489 10% Rp3,385,700 Rp1,737,597 Rp90,000 Rp367,500 Rp63,818 Rp7,261,104 Rp27,015,896
Rp2,673,727 Rp5,577,700 Rp2,388,896 Rp182,500 Rp509,318 Rp132,000 Rp11,464,142 Rp44,732,858
PIS PK 16,797,000 HARGA DASAR

Konsumsi Rp2,160,000 5% 106,036 10% 216,000 1,963,636 102,857 39,273 Rp464,166 Rp1,695,834
Narsum Rp350,000 5% 16,625 10% 35,000 318,182 17,500 Rp69,125 Rp280,875
Panitia - Rp0
Ketua Rp300,000 5% 14,250 10% 30,000 272,727 15,000 Rp59,250 Rp240,750
Sekretaris Rp250,000 5% 12,500 10% 25,000 227,273 Rp37,500 Rp212,500
Anggota Rp150,000 5% 7,125 10% 15,000 136,364 7,500 Rp29,625 Rp120,375
ATK Rp720,000 5% 36,000 10% 72,000 654,545 Rp108,000 Rp612,000
Penggandaan Rp72,000 5% 3,600 10% 7,200 65,455 Rp10,800 Rp61,200
- Rp0
Pelaksanaan pembinaan keluarga sehat - Rp0
Penggandaan Prokesga Rp2,200,000 5% 97,000 10% 220,000 2,000,000 200,000 60,000 Rp577,000 Rp1,623,000
Cetak PIN Kesga Rp3,375,000 5% 148,807 10% 337,500 3,068,182 306,818 92,045 Rp885,170 Rp2,489,830
Stiker PIS PK Rp1,100,000 5% 50,000 10% 110,000 1,000,000 100,000 Rp260,000 Rp840,000
Tanda Pengenal Rp720,000 5% 36,000 10% 72,000 654,545 Rp108,000 Rp612,000
Paket pelaksanaan Survey Rp5,400,000 5% 270,000 10% 540,000 4,909,091 490,909 73,636 Rp1,374,545 Rp4,025,455
-
UKM ESENSIAL 12,700,000 -
- Rp0
PROMOSI KESEHATAN - Rp0
- Rp0
distribusi garam beryodium Rp600,000 5% 30,000 10% 60,000 545,455 Rp90,000 Rp510,000
- Rp0
Pelayanan Posyandu - Rp0
Transport petugas Rp3,120,000 5% 156,000 10% 312,000 2,836,364 Rp468,000 Rp2,652,000
- Rp0
KESEHATAN LINGKUNGAN - Rp0
- Rp0
Pemantauan SAB & JAGA Rp840,000 5% 42,000 10% 84,000 763,636 Rp126,000 Rp714,000
- Rp0
Kunjungan Rumah Pasien Klinik Sanitasi Rp60,000 5% 3,000 10% 6,000 54,545 Rp9,000 Rp51,000
GIZI - Rp0
- Rp0
Penanggulangan KVA - Rp0
sweeping Vit. A - Rp0
transport kader sweeping Vit. A Rp420,000 0% - 0% - 381,818 Rp0 Rp420,000
- Rp0
Verifikasi data Vit. A - Rp0
tranport petugas verifikasi data Vit. A Rp210,000 5% 10,500 10% 21,000 190,909 Rp31,500 Rp178,500
- Rp0
Pemberian PMT Penyuluhan Rp5,200,000 5% 229,273 10% 520,000 4,727,273 472,727 141,818 Rp1,363,818 Rp3,836,182
- Rp0
PELAYANAN PENCEGAHAN DAN PENGENDALIAN PENYAKI 5% - Rp0
SURVEILANS - Rp0
- Rp0
Survei jentik Rp420,000 5% 21,000 10% 42,000 381,818 Rp63,000 Rp357,000
- Rp0
Posbindu PTM Rp1,170,000 5% 58,500 10% 117,000 1,063,636 Rp175,500 Rp994,500
- Rp0
TB - Rp0
- Rp0
- Rp0
UKM PENGEMBANGAN 1,140,000 -
- Rp0
JIWA - Rp0
KUNJUNGAN RUMAH PASIEN JIWA Rp420,000 5% 21,000 10% 42,000 381,818 Rp63,000 Rp357,000
- Rp0
LANSIA - Rp0
Posyandu Lansia di Kelurahan (Transport petugas) Rp720,000 5% 36,000 10% 72,000 654,545 Rp108,000 Rp612,000
- Rp0
- Rp0
Pertemuan Lokakaryamini Bulanan - Rp0
a. Konsumsi Peserta Rp1,350,000 5% 66,273 10% 135,000 1,227,273 64,286 24,545 Rp290,104 Rp1,059,896
b. Spanduk - Rp0
d. Penggandaan Rp50,000 5% 2,500 10% 5,000 45,455 Rp7,500 Rp42,500
- ketua Rp300,000 5% 14,250 10% 30,000 272,727 15,000 Rp59,250 Rp240,750
- sekretaris Rp250,000 5% 11,875 10% 25,000 227,273 12,500 Rp49,375 Rp200,625
- Anggota Rp450,000 5% 21,375 10% 45,000 409,091 22,500 Rp88,875 Rp361,125
- Rp0
- Rp0
ATK Manajemen BOK Rp200,000 5% 10,000 10% 20,000 181,818 Rp30,000 Rp170,000
- Rp0
Penggandaan SPJ Rp200,000 5% 10,000 10% 20,000 181,818 Rp30,000 Rp170,000
- Rp0
STBM (SANITASI TOTAL BERBASIS MASYARAKAT) 840,000 -
- Rp0
Monitoring STOP BABS (STBM) Rp840,000 5% 42,000 10% 84,000 763,636 Rp126,000 Rp714,000
Jumlah 34,277,000 Rp1,616,489 Rp3,385,700 Rp1,737,597 Rp90,000 Rp367,500 Rp63,818 Rp7,261,104 Rp27,015,896
TOTAL PPN KONSUMSI / PAJAK RESTORAN Rp 167,143 ###

TOTAL PPN DAN PPH BELANJA BARANG BANTUAN MASYARAKAT Rp 472,727 ###
TOTAL PPH / PAJAK HONOR Rp90,000
BELANJA BARANG DAN JASA/ CETAK DAN BAHAN CONTOH Rp 1,097,727 ###
CATATAN :
1 PPN ( PAJAK MAKMIN/RESTORAN ) ###
PPN DAN PPH BELANJA BARANG DAN JASA / CETAK DAN
2 ###
BAHAN CONTOH ( Paket pelaksanaan Survey PIS PK )
TOTAL Rp 731,688
PAJAK
1 Honorarium Tim/ Panitia Pelaksana Kegiatan #REF! 90,000
2 Uang saku/Transport #REF!
3 Belanja Alat Tulis Kantor #REF!
Belanja materai
4 Belanja Bahan Contoh Rp5,400,000 490,909 73,636
6 Belanja Penggandaan (Foto Copy) Rp7,717,000 606,818 152,045
8 Belanja makanan dan minuman rapat #REF! #REF! #REF!
9 Belanja Cetak Rp0
TOTAL #REF! - - - - - #REF! 90,000 367,500 #REF!
CATATAN : TANDA KUNING SUDAH DIBAYAR OLEH PKM

NAMA PARAF
Rp52,984,286 Rp44,732,858
39,273 2,120,727
17,500 332,500
15,000 285,000
-
7,500 142,500
260,000 1,940,000
398,864 2,976,136
100,000 1,000,000
-
614,545 4,585,454.55
24,545 1,325,454.55
15,000 285,000.00
12,500 237,500.00
22,500 427,500.00
RINCIAN PENGGUNAAN ANGGARAN DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN MARET TAHUN 2018
DIKES PKM PAJAK
MARET PERMINTAAN
Belanja Penggantian Jasa Pelayanan Publik % NOMINAL % NOMINAL PPN PPH 21 PPH 22 PPH 23
46,580,000 46,580,000 5% Rp2,137,948 10% Rp4,450,000 Rp1,125,628 Rp342,500 Rp223,636 Rp93,091

Rp243,810
PIS PK 12,100,000 12,100,000 HARGA DASAR
-
Honor Pembina PIS PK -
Ka PKM 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000
Admin 250,000 Rp250,000 5% 11,875 10% 25,000 227,273 12,500
Supervisor 750,000 Rp750,000 5% 35,625 10% 75,000 681,818 37,500
- Rp0 5% - 10% - - -
Pelaksanaan pembinaan keluarga sehat - Rp0 5% - 10% - -
Tranport petugas Pendataan Keluarga 10,800,000 Rp10,800,000 5% 540,000 10% 1,080,000 9,818,182
- Rp0 5% - 10% - -
UKM ESENSIAL 18,430,000 17,740,000 - 0%
- Rp0 5% - 10%
PROMOSI KESEHATAN - Rp0 5% - 10%
- Rp0 5% - 10%
distribusi garam beryodium 600,000 Rp600,000 5% 30,000 10% 60,000 545,455
- Rp0 5% - 10% - -
Pelayanan Posyandu - Rp0 5% - 10% - -
Transport petugas 3,120,000 Rp3,120,000 5% 156,000 10% 312,000 2,836,364
- Rp0 5% - 10% - -
Advokasi program kesehatan ke kelurahan - Rp0 5% - 10% - -
Transport petugas 420,000 Rp420,000 5% 21,000 10% 42,000 381,818
- Rp0 5% - 10% - -
KESEHATAN LINGKUNGAN - Rp0 5% - 10% - -
- Rp0 5% - 10% - -
Kunjungan Rumah Pasien Klinik Sanitasi 60,000 Rp60,000 5% 3,000 10% 6,000 54,545
- Rp0 5% - 10% - -
KIA - Rp0 5% - 10% - -
- Rp0 5% - 10% - -
PMT BUMIL KEK 3,000,000 Rp3,000,000 5% 132,273 10% 300,000 2,727,273 272,727 81,818
PEMANTAUAN PMT BUMIL KEK 60,000 Rp60,000 5% 3,000 10% 6,000 54,545
- Rp0 5% - 10% - -
PELACAKAN KASUS RESTI 420,000 Rp420,000 5% 21,000 10% 42,000 381,818
- Rp0 5% - 10% - -
PROMOSI KB 420,000 Rp420,000 5% 21,000 10% 42,000 381,818
- Rp0 5% - 10% - -
KELAS IBU HAMIL DI KELURAHAN - Rp0 5% - 10% - -
snack kelas bumil 1,200,000 Rp1,200,000 5% 58,909 10% 120,000 1,090,909 57,143 21,818
Honor Fasilitator 150,000 Rp150,000 5% 7,125 10% 15,000 136,364 7,500
- Rp0 5% - 10% - -
GIZI - Rp0 5% - 10% - -
- Rp0 5% - 10% - -
Sweeping posyandu - Rp0 5% - 10% - -
Transport kader sweeping posyandu 780,000 Rp780,000 0% - 0% - 709,091
- Rp0 5% - 10% - -
Pemberian PMT Penyuluhan 5,200,000 Rp5,200,000 5% 229,273 10% 520,000 4,727,273 472,727 141,818
- Rp0 5% - 10% - -
PMT Pemulihan Balita - Rp0 5% - 10% - -
a. Gizi Kurang 1,500,000 Rp1,500,000 5% 68,182 10% 150,000 1,363,636 136,364
- Rp0 5% - 10% - -
PELAYANAN PENCEGAHAN DAN PENGEND - Rp0 5% - 10% - -
SURVEILANS - Rp0 5% - 10% - -
pelacakan kasus peny.yang berpotensi KLB 210,000 Rp210,000 5% 10,500 10% 21,000 190,909
- Rp0 5% - 10% - -
TB - Rp0 5% - 10% - -
kunjungan rumah TB mangkir - Rp0 5% - 10% - -
- Rp0 5% - 10% - -
Pengantaran sampel TB ke Lab. Rujukan - Rp0 5% - 10% - -
- Rp0 5% - 10% - -
penyuntikan kategori 2 - Rp0 5% - 10% - -
- Rp0 5% - 10% - -
ISPA - Rp0 5% - 10% - -
- Rp0 5% - 10% - -
Kunjungan rumah pneumonia 180,000 Rp180,000 5% 9,000 10% 18,000 163,636
- Rp0 5% - 10% - -
sosialisasi tentang penyakit Ispa dan diare
210,000 Rp210,000 5% 10,500 10% 21,000 190,909
kepada kader di kelurahan
- Rp0 5% - 10%
UKM PENGEMBANGAN 3,570,000 3,570,000 - 0%
- Rp0 - 10%
JIWA - Rp0 - 10%
KUNJUNGAN RUMAH PASIEN JIWA 420,000 Rp420,000 5% 21,000 10% 42,000 381,818
- Rp0 5% - 10% - -
LANSIA - Rp0 5% - 10% - -
720,000 Rp720,000 5% 36,000 10% 72,000 654,545
petugas)
- Rp0 5% - 10% - -
penyuluhan kesehatan lansia - Rp0 5% - 10% - -
Konsumsi penyuluhan kesehatan lansia 600,000 Rp600,000 5% 29,455 10% 60,000 545,455 28,571 10,909
Honor Narasumber penyuluhan kesehatan
150,000 Rp150,000 5% 7,125 10% 15,000 136,364 7,500
lansia
- Rp0 5% - 10% - -
Senam lansia di kelurahan - Rp0 5% - 10% - -
Konsumsi senam kesehatan lansia 600,000 Rp600,000 5% 29,455 10% 60,000 545,455 28,571 10,909
Honor instruktur senam 150,000 Rp150,000 5% 7,125 10% 15,000 136,364 7,500
- Rp0 5% - 10% - -
REMAJA - Rp0 5% - 10% - -
Kelas remaja di kelurahan - Rp0 5% - 10% - -
snack peserta kls remaja di kelurahan 150,000 Rp150,000 5% 7,364 10% 15,000 136,364 7,143 2,727
transport petugas 60,000 Rp60,000 5% 3,000 10% 6,000 54,545
- Rp0 5% - 10% - -
Posyandu REMAJA 420,000 Rp420,000 5% 21,000 10% 42,000 381,818
- Rp0 5% - 10% - -
pembinaan Kader remaja - Rp0 5% - 10% - -
transport petugas 210,000 Rp210,000 5% 10,500 10% 21,000 190,909
- - 10%
PELAKSANAAN FUNGSI MANAJEMEN ( P1, P2, P3 ) 9,680,000 9,680,000 - 0%
- Rp0 5% - 10%
Pertemuan Lokakaryamini Bulanan - Rp0 5% - 10%
b. Spanduk - Rp0 5% - 10% - -
c. Transpor Peserta - Rp0 5% - 10% - -
d. Penggandaan 50,000 Rp50,000 5% 2,500 10% 5,000 45,455
e. Honorarium Panitia - Rp0 5% - 10% - -
- ketua 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000
- sekretaris 250,000 Rp250,000 5% 11,875 10% 25,000 227,273 12,500
- Anggota 450,000 Rp450,000 5% 21,375 10% 45,000 409,091 22,500
- Rp0 5% - 10% - -
Pertemuan Lokakaryamini - Rp0 5% - 10% - -
Tribulanan
a. Konsumsi Peserta 900,000 Rp900,000 5% 44,182 10% 90,000 818,182 42,857 16,364
b. Spanduk - Rp0 5% - 10% - -
c. Transpor Peserta 1,300,000 Rp1,300,000 0% - 0% - 1,181,818
d. ATK 260,000 Rp260,000 5% 13,000 10% 26,000 236,364
e. Honorarium Narasumber 700,000 Rp700,000 5% 33,250 10% 70,000 636,364 35,000
f. Honorarium Panitia - Rp0 5% - 10% - -
- ketua 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000
- sekretaris 250,000 Rp250,000 5% 11,875 10% 25,000 227,273 12,500
- Anggota 450,000 Rp450,000 5% 21,375 10% 45,000 409,091 22,500
- Rp0 5% - 10% - -
makan minum Lembur Tim 320,000 Rp320,000 5% 15,709 10% 32,000 290,909 15,238 5,818
- Rp0 5% - 10% - -
Honorarium Pengelola BOK - Rp0 5% - 10% - -
Kuasa Pengguna Anggaran 900,000 Rp900,000 5% 42,750 10% 90,000 818,182 45,000
Pengelola Keuangan 750,000 Rp750,000 5% 35,625 10% 75,000 681,818 37,500
Pengelola Administrasi 750,000 Rp750,000 5% 35,625 10% 75,000 681,818 37,500
- Rp0 5% - 10% - -
ATK Manajemen BOK 200,000 Rp200,000 5% - 10% 20,000 181,818
- Rp0 5% - 10% - -
Penggandaan SPJ 200,000 Rp200,000 5% 10,000 10% 20,000 181,818
- Rp0 - 10%
STBM (SANITASI TOTAL BERBASIS MASYARAKAT) 2,800,000 2,800,000 - 0%
- Rp0 - 10%
Pemicuan (STBM) STOP BABS di kelurahan 2,100,000 Rp2,100,000 5% 105,000 10% 210,000 1,909,091
ATK Pemicuan (STBM) STOP BABS di
700,000 Rp700,000 5% 35,000 10% 70,000 636,364
kelurahan
-
Jumlah 46,580,000 46,580,000 Rp2,137,948 Rp4,450,000 Rp1,125,628 Rp342,500 Rp223,636 Rp93,091
TOTAL PPN KONSUMSI / PAJAK RESTORAN Rp186,667 Rp93,091

TOTAL PPN DAN PPH BELANJA BARANG BANTUAN MASYARAKAT Rp881,818 ###
BELANJA BARANG DAN JASA/ CETAK DAN BAHAN
Rp - Rp -
CONTOH PAKET SURVEY PIS PK (PPN DAN PPH)
CATATAN :
TOTAL Rp 243,810
RINCIAN MATA ANGGARAN
BULAN MARET 2018
PAJAK
1 Honorarium Tim/ Panitia Pelaksana Kegiatan Rp6,850,000 342,500
2 Uang saku/Transport Rp23,500,000
3 Belanja Alat Tulis Kantor Rp1,160,000
4 Belanja materai Rp0
5 Belanja Bahan Contoh Rp0
7 Belanja Penggandaan (Foto Copy) Rp250,000
9 Belanja makanan dan minuman rapat Rp5,120,000 243,810 93,091
10 Belanja Cetak
TOTAL - 46,580,000 - - - - - 1,125,628 342,500 223,636 93,091
CATATAN : TANDA KUNING SUDAH

DIBAYAR OLEH PKM
18
TOTAL
POTONGAN YANG TOTAL YANG DITERIMA
PAJAK DITERIMA POTONGAN PROGRAM
(PPN/PPH)
Rp1,784,855 Rp44,795,145 Rp8,372,803 Rp38,207,197
Rp1,784,855 Rp44,795,145 -Rp4,096,907
15,000 Rp285,000 Rp59,250 Rp240,750

12,500 Rp237,500 Rp49,375 Rp200,625
37,500 Rp712,500 Rp148,125 Rp601,875
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp10,800,000 Rp1,620,000 Rp9,180,000
- Rp0 Rp0 Rp0
-
- Rp0 Rp0
- Rp0 Rp0
- Rp0 Rp0
- Rp600,000 Rp90,000 Rp510,000
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp3,120,000 Rp468,000 Rp2,652,000
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp420,000 Rp63,000 Rp357,000
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp60,000 Rp9,000 Rp51,000
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
354,545 Rp2,645,455 Rp786,818 Rp2,213,182
- Rp60,000 Rp9,000 Rp51,000
- Rp0 Rp0 Rp0
- Rp420,000 Rp63,000 Rp357,000
- Rp0 Rp0 Rp0
- Rp420,000 Rp63,000 Rp357,000
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
78,961 Rp1,121,039 Rp257,870 Rp942,130
7,500 Rp142,500 Rp29,625 Rp120,375
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp780,000 Rp0 Rp780,000
- Rp0 Rp0 Rp0
614,545 Rp4,585,455 Rp1,363,818 Rp3,836,182
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
136,364 Rp1,363,636 Rp354,545 Rp1,145,455
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp210,000 Rp31,500 Rp178,500
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp240,000 Rp36,000 Rp204,000
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp360,000 Rp54,000 Rp306,000
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp300,000 Rp45,000 Rp255,000
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp180,000 Rp27,000 Rp153,000
- Rp0 Rp0 Rp0
- Rp210,000 Rp31,500 Rp178,500
- Rp0 Rp0
-
- Rp0 Rp0
- Rp0 Rp0
- Rp420,000 Rp63,000 Rp357,000
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp720,000 Rp108,000 Rp612,000
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp30,000 Rp4,500 Rp25,500
39,481 Rp560,519 Rp128,935 Rp471,065
7,500 Rp142,500 Rp29,625 Rp120,375
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp60,000 Rp9,000 Rp51,000
39,481 Rp560,519 Rp128,935 Rp471,065
7,500 Rp142,500 Rp29,625 Rp120,375
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
9,870 Rp140,130 Rp32,234 Rp117,766
- Rp60,000 Rp9,000 Rp51,000
- Rp0 Rp0 Rp0
- Rp420,000 Rp63,000 Rp357,000
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp210,000 Rp31,500 Rp178,500
- Rp0 Rp0
-
- Rp0 Rp0
- Rp0 Rp0
88,831 Rp1,261,169 Rp290,104 Rp1,059,896
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
- Rp50,000 Rp7,500 Rp42,500
- Rp0 Rp0 Rp0
15,000 Rp285,000 Rp59,250 Rp240,750
12,500 Rp237,500 Rp49,375 Rp200,625
22,500 Rp427,500 Rp88,875 Rp361,125
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
59,221 Rp840,779 Rp193,403 Rp706,597

- Rp0 Rp0 Rp0
- Rp1,300,000 Rp0 Rp1,300,000
- Rp260,000 Rp39,000 Rp221,000
35,000 Rp665,000 Rp138,250 Rp561,750
- Rp0 Rp0 Rp0
15,000 Rp285,000 Rp59,250 Rp240,750
12,500 Rp237,500 Rp49,375 Rp200,625
22,500 Rp427,500 Rp88,875 Rp361,125
- Rp0 Rp0 Rp0
21,056 Rp298,944 Rp68,765 Rp251,235
- Rp0 Rp0 Rp0
- Rp0 Rp0 Rp0
45,000 Rp855,000 Rp177,750 Rp722,250
37,500 Rp712,500 Rp148,125 Rp601,875
37,500 Rp712,500 Rp148,125 Rp601,875
- Rp0 Rp0 Rp0
- Rp200,000 Rp20,000 Rp180,000
- Rp0 Rp0 Rp0
- Rp200,000 Rp30,000 Rp170,000
- Rp0 Rp0
-
- Rp0 Rp0
- Rp2,100,000 Rp315,000 Rp1,785,000
- Rp700,000 Rp105,000 Rp595,000
Rp0
Rp1,784,855 Rp44,795,145 Rp8,372,803 Rp38,207,197
TOTAL
YANG
POTONGAN
DITERIMA
PAJAK
Rp342,500 Rp6,507,500
Rp0 Rp23,500,000
Rp0 Rp1,160,000
Rp0 Rp0
Rp0 Rp0
Rp1,105,455 Rp8,594,545
Rp0 Rp250,000
Rp0 Rp0
Rp336,900 Rp4,783,100
Rp0 Rp0
1,784,855 44,795,145
15,000 285,000
12,500 237,500
37,500 712,500
354,545 2,645,455
21,818 1,178,182
7,500 142,500
614,545 4,585,455
136,364 1,363,636
10,909 589,091
7,500 142,500
10,909 589,091
7,500 142,500
2,727 147,273
24,545 1,325,454.55
15,000 285,000.00
12,500 237,500.00
22,500 427,500.00
16,364 883,636
35,000 665,000
15,000 285,000
12,500 237,500
22,500 427,500
5,818 314,182
45,000 855,000
37,500 712,500
37,500 712,500
RINCIAN PENGGUNAAN ANGGARAN DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN APRIL TAHUN 2018
DIKES PKM PAJAK TOTAL
YANG
POTONGAN
APRIL PERMINTAAN DITERIMA DI
Belanja Penggantian Jasa Pelayanan Publik % NOMINAL % NOMINAL PPN PPH 21 PPH 22 PPH 23 PAJAK
DIKES
(PPN/PPH)
52,240,000 52,240,000 5% Rp2,567,483 10% Rp3,064,000 Rp472,727 Rp65,000 Rp141,818 Rp210,800 Rp1,141,298 Rp51,098,702
Rp5,733,335 Rp250,952 Rp890,345 Rp51,349,655
-
Pelaksanaan pembinaan keluarga sehat
Tranport petugas Pendataan Keluarga 21,600,000 Rp21,600,000 5% 1,080,000 0% - 19,636,364 - Rp21,600,000
-
Monev Pelaksanaan PIS PK di Kelurahan -
Ka PKM 210,000 Rp210,000 5% 10,500 10% 21,000 190,909 - Rp210,000
Admin 210,000 Rp210,000 5% 10,500 10% 21,000 190,909 - Rp210,000
Supervisor 210,000 Rp210,000 5% 10,500 10% 21,000 190,909 - Rp210,000
UKM ESENSIAL 22,930,000 22,930,000 - -
PROMOSI KESEHATAN
-
distribusi garam beryodium 600,000 Rp600,000 5% 30,000 10% 60,000 545,455 - Rp600,000
-
Transport petugas 3,120,000 Rp3,120,000 5% 156,000 10% 312,000 2,836,364 - Rp3,120,000
-
Penyuluhan PHBS sekolah+distribusi albendazole -
Transport petugas 360,000 Rp360,000 5% 18,000 10% 36,000 327,273 - Rp360,000
-
Demo sikat Gigi & cuci tangan massal (CTPS) -
-
-
Pemantauan Rumah Sehat 840,000 Rp840,000 5% 42,000 10% 84,000 763,636 - Rp840,000
-
Kunjungan Rumah Pasien Klinik Sanitasi 60,000 Rp60,000 5% 3,000 10% 6,000 54,545 - Rp60,000
-
KIA -
-
PEMERIKSAAN IVA DAN PAYUDARA
420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
DIKELURAHAN
-
KELAS IBU BALITA DAN PMBA -
Snack kelas ibu balita dan PMBA 600,000 Rp600,000 5% 28,800 10% 60,000 545,455 28,571 24,000 52,571 Rp547,429
Honor Fasilitator 150,000 Rp150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
-
KELAS IBU HAMIL DI KELURAHAN -
snack kelas bumil 1,200,000 Rp1,200,000 5% 57,600 10% 120,000 1,090,909 57,143 48,000 105,143 Rp1,094,857
-
Pemantauan SDIDTK 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
Pemantauan SDIDTK di TK/PAUD 60,000 Rp60,000 5% 3,000 10% 6,000 54,545 - Rp60,000
-
PENYULUHAN IVA DAN KANKER
420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
PAYUDARA DI Kelurahan
-
OJT KIA -
konsumsi OJT KIA 600,000 Rp600,000 5% 28,800 10% 60,000 545,455 28,571 24,000 52,571 Rp547,429
-
GIZI -
-
distribusi dan penyuluhan Fe di sekolah 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0
Pemberian PMT Penyuluhan 5,200,000 Rp5,200,000 5% 229,273 10% 520,000 4,727,273 472,727 141,818 614,545 Rp4,585,455
- Rp0
PMT Pemulihan Balita - Rp0
b. Gizi Buruk 900,000 Rp900,000 5% 45,000 10% 90,000 818,182 - Rp900,000
- Rp0
pemantauan pemberian PMT gizi kurang 300,000 Rp300,000 5% 15,000 10% 30,000 272,727 - Rp300,000
-
PELAYANAN PENCEGAHAN DAN PENGENDALIAN -
SURVEILANS -
-
Survei jentik 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0
Posbindu PTM 1,170,000 Rp1,170,000 5% 58,500 10% 117,000 1,063,636 - Rp1,170,000
- Rp0
TB - Rp0
- Rp0
Sosialisasi pencegahan dan penanganan
- Rp0
penyakit TBC Tk. Kel
Konsumsi 600,000 Rp600,000 5% 28,800 10% 60,000 545,455 28,571 24,000 52,571 Rp547,429
- Rp0
Pelacakan kontak serumah dan tetangga BTA+ 600,000 Rp600,000 5% 30,000 10% 60,000 545,455 - Rp600,000
- Rp0
pembinaan dan pengawasan PMO 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0
- Rp0
- Rp0
ISPA - Rp0
penjaringan kasus ISPA dan Diare 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0
pembagian oralit untuk kasus diare 210,000 Rp210,000 5% 10,500 10% 21,000 190,909 - Rp210,000
- Rp0
IMUNISASI - Rp0
pendataan sasaran imunisasi campak rubella
- Rp0
(imunisasi MR) di Kelurahan
- Rp0
transport pendataan sasaran imunisasi campak
- Rp0
rubella (imunisasi MR) di sekolah
transport petugas 1,380,000 Rp1,380,000 5% 69,000 10% 138,000 1,254,545 - Rp1,380,000
-
UKM PENGEMBANGAN 3,120,000 3,120,000 -
UKK
Pendataan pada pos UKK 240,000 Rp240,000 5% 12,000 10% 24,000 218,182 - Rp240,000
- Rp0
Pemeriksaan berkala terhadap tenaga pos UKK 240,000 Rp240,000 5% 12,000 10% 24,000 218,182 - Rp240,000
JIWA - Rp0
KUNJUNGAN RUMAH PASIEN JIWA 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0
LANSIA - Rp0
- Rp0
Posyandu Lansia di Kelurahan (Transport petugas) 720,000 Rp720,000 5% 36,000 10% 72,000 654,545 - Rp720,000
- Rp0
penyuluhan kesehatan lansia - Rp0
Konsumsi penyuluhan kesehatan lansia 600,000 Rp600,000 5% 28,800 10% 60,000 545,455 28,571 24,000 52,571 Rp547,429
- Rp0
PERKESMAS - Rp0
kunjungan rumah pada pasien beresiko tinggi. 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0
REMAJA - Rp0
- Rp0
Posyandu REMAJA 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
-
PELAKSANAAN FUNGSI MANAJEMEN ( P1, P2, P3 ) 3,120,000 3,120,000 - -
-
a. Konsumsi Peserta 1,350,000 Rp1,350,000 5% 64,800 10% 135,000 1,227,273 64,286 54,000 118,286 Rp1,231,714
b. Spanduk - Rp0
d. Penggandaan 50,000 Rp50,000 5% 2,500 10% 5,000 45,455 - Rp50,000
- ketua 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
- sekretaris 250,000 Rp250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
- Anggota 450,000 Rp450,000 5% 21,375 10% 45,000 409,091 22,500 22,500 Rp427,500
- Rp0
makan minum Lembur Tim 320,000 Rp320,000 5% 15,360 10% 32,000 290,909 15,238 12,800 28,038 Rp291,962
- Rp0
ATK Manajemen BOK 200,000 Rp200,000 5% 10,000 10% 20,000 181,818 - Rp200,000
-
Penggandaan SPJ 200,000 Rp200,000 5% 10,000 10% 20,000 181,818 - Rp200,000
-
STBM (SANITASI TOTAL BERBASIS MASYARAKAT) 840,000 840,000 - 0% -
- Rp0 - 10% - Rp0
Monitoring STOP BABS (STBM) 840,000 Rp840,000 5% 42,000 10% 84,000 763,636 - Rp840,000
Jumlah 52,240,000 52,240,000 Rp2,567,483 Rp3,064,000 Rp723,680 Rp65,000 Rp141,818 Rp210,800 Rp1,141,298 Rp51,098,702
TOTAL PPN KONSUMSI / PAJAK RESTORAN ### ###
TOTAL PPN DAN PPH BELANJA BARANG BANTUAN MASYARAKAT ### ###

BELANJA BARANG DAN JASA/ CETAK DAN BAHAN CONTOH Rp - Rp -
CATATAN :
1 PPN ( PAJAK MAKMIN/RESTORAN ) Rp 250,952
TOTAL Rp 250,952
BULAN APRIL 2018
TOTAL
PAJAK YANG
NO MATA ANGGARAN TOTAL POTONGAN
PPN PPH 21 PPH 22 PPH 23 DITERIMA
PAJAK
1 Honorarium Tim/ Panitia Pelaksana Kegiatan Rp65,000 Rp1,235,000

Rp1,300,000 65,000
2 Uang saku/Transport ### Rp0 Rp39,120,000
3 Belanja Alat Tulis Kantor Rp200,000 Rp0 Rp200,000
4 Belanja materai Rp0 Rp0 Rp0
5 Belanja Bahan Contoh Rp0 Rp0 Rp0
6 Belanja Barang Bantuan Masyakarat (PMT) Rp614,545 Rp4,585,455

Rp5,200,000 472,727 141,818
Belanja Barang Bantuan Masyakarat (PMT)
7 (TIDAK KENA PAJAK PPH22) Rp900,000 Rp0 Rp900,000
-
8 Belanja Penggandaan (Foto Copy) Rp250,000 Rp0 Rp250,000
9 Belanja Spanduk Rp0 Rp0 Rp0
10 Belanja makanan dan minuman rapat Rp5,270,000 250,952 210,800 Rp461,752 Rp4,808,248
11 Belanja Cetak Rp0 Rp0
TOTAL - 52,240,000 - - - - - 723,680 65,000 141,818 210,800 1,141,298 51,098,702
CATATAN : TANDA KUNING SUDAH DIBAYAR

OLEH PKM
CATATAN : TANDA HIJAU TIDAK KENA
POTONGAN PAJAK PPH22
YANG
TOTAL
DITERIMA
POTONGAN
PROGRAM
NAMA PARAF
Rp6,772,781 Rp45,467,219
Rp6,521,828 Rp45,718,172
Rp250,952
Rp1,080,000 Rp20,520,000
Rp31,500 Rp178,500
Rp31,500 Rp178,500
Rp31,500 Rp178,500
Rp90,000 Rp510,000
Rp468,000 Rp2,652,000
Rp54,000 Rp306,000
Rp108,000 Rp612,000
Rp126,000 Rp714,000
Rp9,000 Rp51,000
Rp63,000 Rp357,000
Rp141,371 Rp458,629
Rp29,625 Rp120,375
Rp282,743 Rp917,257
Rp29,625 Rp120,375
Rp63,000 Rp357,000
Rp9,000 Rp51,000
Rp63,000 Rp357,000
Rp141,371 Rp458,629
Rp63,000 Rp357,000
Rp1,363,818 Rp3,836,182
Rp135,000 Rp765,000
Rp45,000 Rp255,000
Rp63,000 Rp357,000
Rp175,500 Rp994,500
Rp13,500 Rp76,500
Rp141,371 Rp458,629
Rp90,000 Rp510,000
Rp63,000 Rp357,000
Rp54,000 Rp306,000
Rp45,000 Rp255,000
Rp63,000 Rp357,000
Rp31,500 Rp178,500
Rp63,000 Rp357,000
Rp207,000 Rp1,173,000
Rp36,000 Rp204,000
Rp36,000 Rp204,000
Rp63,000 Rp357,000
Rp108,000 Rp612,000
Rp9,000 Rp51,000
Rp141,371 Rp458,629
Rp63,000 Rp357,000
Rp63,000 Rp357,000
Rp318,086 Rp1,031,914
Rp7,500 Rp42,500
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp88,875 Rp361,125
Rp75,398 Rp244,602
Rp30,000 Rp170,000
Rp30,000 Rp170,000
Rp0
Rp126,000 Rp714,000
Rp6,772,781 Rp45,467,219
24,000 576,000
7,500 142,500
48,000 1,152,000
7,500 142,500
24,000 576,000
614,545 4,585,455
- 900,000
24,000 576,000
24,000 576,000
54,000 1,296,000
15,000 285,000.00
12,500 237,500.00
22,500 427,500.00
12,800 307,200
Rp 2,160,000
Rp 210,000
Rp 210,000
Rp 210,000
Rp 600,000
Rp 3,120,000
Rp 360,000
Rp 720,000
Rp 840,000
Rp 60,000
Rp 420,000
Rp 600,000
Rp 150,000
Rp 1,200,000
Rp 150,000
Rp 420,000
Rp 60,000
Rp 420,000
Rp 600,000
Rp 420,000
Rp 5,200,000
Rp 900,000
Rp 300,000
Rp 420,000
Rp 1,170,000
Rp 90,000
Rp 600,000
Rp 600,000
Rp 420,000
Rp 360,000
Rp 300,000
Rp 420,000
Rp 210,000
Rp 420,000
Rp 1,380,000
Rp 240,000
Rp 240,000
Rp 420,000
Rp 720,000
Rp 60,000
Rp 600,000
Rp 420,000
Rp 420,000
Rp 1,350,000
Rp 50,000
Rp 300,000
Rp 250,000
Rp 450,000
Rp 320,000
Rp 200,000
Rp 200,000
Rp 840,000
RINCIAN PENGGUNAAN ANGGARAN DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN MEI TAHUN 2018
POTONGAN
MEI PERMINTAAN
(PPN/PPH)
65,369,000 65,369,000 5% Rp3,165,853 10% Rp4,344,900 Rp1,051,727 Rp87,500 Rp315,518 Rp277,200 Rp2,601,945
Rp5,733,335 Rp330,000 Rp49,091 Rp1,731,945
Rp490,909
Pelaksanaan pembinaan keluarga sehat -

Tranport petugas Pendataan Keluarga Rp 21,600,000 21,600,000 21,600,000 5% 1,080,000 0% - 19,636,364 -
- - 5% - 10% - -
Penggandaan Prokesga Keluarga Rp 1,517,500 - - 5% - 10% - - - -
Penggandaan Prokesga Keluarga Rp 2,994,000 2,994,000 2,994,000 5% 132,008 10% 299,400 2,721,818 272,182 81,655 353,836
Cetak PIN Kesga Rp 3,375,000 3,375,000 3,375,000 5% 148,807 10% 337,500 3,068,182 306,818 92,045 398,864
Stiker PIS PK Rp 1,167,500 - - 5% - 10% - - - -
Paket pelaksanaan Survey Rp 5,400,000 5,400,000 5,400,000 5% 270,000 10% 540,000 4,909,091 490,909 49,091 540,000
- - 5% - 10% - -
- 5% 10% - -
UKM ESENSIAL Rp - 21,780,000 21,780,000 -
5% 10% - -
PROMOSI KESEHATAN - 5% 10% - -
- 5% 10% - -
distribusi garam beryodium Rp 600,000 600,000 600,000 5% 30,000 10% 60,000 545,455 -
- - 5% - 10% - -
Pelayanan Posyandu - - 5% - 10% - -
Transport petugas Rp 3,120,000 3,120,000 3,120,000 5% 156,000 10% 312,000 2,836,364 -
- - 5% - 10% - -
Refreshing kader posyandu - - 5% - 10% - -
Transport Peserta Rp 1,950,000 1,950,000 1,950,000 5% 97,500 10% 195,000 1,772,727 -
ATK Refreshing kader posyandu Rp 100,000 100,000 100,000 5% 5,000 10% 10,000 90,909 -
Konsumsi Refreshing kader posyandu Rp 1,950,000 1,950,000 1,950,000 5% 93,600 10% 195,000 1,772,727 92,857 78,000 170,857
Honor Narasumber Rp 450,000 450,000 450,000 5% 21,375 10% 45,000 409,091 22,500 22,500
- - 5% - 10% - -
Survei PHBS sekolah dan penentuan strata sekolah Rp - - - 5% - 10% - -
Transport petugas Rp 1,440,000 1,440,000 1,440,000 5% 72,000 10% 144,000 1,309,091 -
Penggandaan Formulir Survey PHBS Sekolah
Rp 140,000 140,000 140,000 5% 7,000 10% 14,000 127,273 -
Dasar/Madrasah
- - 5% - 10% - -
UKS - - 5% - 10% - -
Penyuluhan PHBS sekolah+distribusi albendazole Rp - - - 5% - 10% - -
Transport petugas Rp 360,000 360,000 360,000 5% 18,000 10% 36,000 327,273 -
- - 5% - 10% - -
KESEHATAN LINGKUNGAN Rp - - - 5% - 10% - -
Rp - - - 5% - 10% - -
Kunjungan Rumah Pasien Klinik Sanitasi Rp 60,000 60,000 60,000 5% 3,000 10% 6,000 54,545 -
Rp - - - 5% - 10% - -
KIA Rp - - - 5% - 10% - -
KELAS IBU HAMIL DI KELURAHAN Rp - - - 5% - 10% - -
snack kelas bumil Rp 1,200,000 1,200,000 1,200,000 5% 57,600 10% 120,000 1,090,909 57,143 48,000 105,143
Honor Fasilitator Rp 150,000 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
Rp - - - 5% - 10% - -
Pemantauan Pasien kanker Rp 420,000 420,000 420,000 5% 21,000 10% 42,000 381,818 -
- - 5% - 10% - -
PROMOSI IMD & ASI ESCLUSIF Rp 420,000 420,000 420,000 5% 21,000 10% 42,000 381,818 -
Rp - - - 5% - 10% - -
GIZI Rp - - - 5% - 10% - -
Pemberian PMT Penyuluhan Rp 5,200,000 5,200,000 5,200,000 5% 229,273 10% 520,000 4,727,273 472,727 141,818 614,545
Rp - - - 5% - 10% - -
PMT Pemulihan Balita Rp - - - 5% - 10% - -
b. Gizi Buruk Rp 900,000 900,000 900,000 5% 45,000 10% 90,000 818,182 - -
Rp - - - 5% - 10% - -
pemantauan pemberian PMT gizi buruk Rp 180,000 180,000 180,000 5% 9,000 10% 18,000 163,636 -
Rp - - - 5% - 10% - -
PELAYANAN PENCEGAHAN DAN PENGENDALIAN Rp - - - 5% - 10% - -
SURVEILANS Rp - - - 5% - 10% - -
pelacakan kasus peny.yang berpotensi KLB Rp 210,000 210,000 210,000 5% 10,500 10% 21,000 190,909 -
Rp - - - 5% - 10% - -
TB Rp - - - 5% - 10% - -
Rp - - - 5% - 10% - -
Rp - - - 5% - 10% - -
Konsumsi Rp 600,000 600,000 600,000 5% 28,800 10% 60,000 545,455 28,571 24,000 52,571
- - 5% - 10% - -
penjaringan oleh kader TB paru Rp 320,000 320,000 320,000 0% - 0% - 290,909 -
- - 5% - 10% - -
Pelacakan kontak serumah dan tetangga BTA+ Rp 600,000 600,000 600,000 5% 30,000 10% 60,000 545,455 -
Rp - - - 5% - 10% - -
Pengantaran sampel TB ke Lab. Rujukan Rp - - - 5% - 10% - -
Rp - - - 5% - 10% - -
ISPA Rp - - - 5% - 10% - -
sosialisasi tentang penyakit Ispa dan diare kepada
Rp 210,000 210,000 210,000 5% 10,500 10% 21,000 190,909 -
kader di kelurahan
- - 5% - 10% - -
pembagian oralit untuk kasus diare Rp 210,000 210,000 210,000 5% 10,500 10% 21,000 190,909 -
Rp - - - 5% - 10% - -
KUSTA - - 5% - 10% - -
pelacakan kasus kusta di masyarakat Rp 420,000 420,000 420,000 5% 21,000 10% 42,000 381,818 -
- - 5% - 10% - -
pemantauan minum obat pada pasien kusta Rp 120,000 120,000 120,000 5% 6,000 10% 12,000 109,091 -
5% 10% - -
UKM PENGEMBANGAN Rp - 4,140,000 4,140,000 -
5% 10% - -
UKK - 5% 10% - -
- 5% 10% - -
Pemeriksaan berkala terhadap tenaga pos UKK Rp 240,000 240,000 240,000 5% 12,000 10% 24,000 218,182 -
- - 5% - 10% - -
JIWA - - 5% - 10% - -
KUNJUNGAN RUMAH PASIEN JIWA Rp 420,000 420,000 420,000 5% 21,000 10% 42,000 381,818 -
- - 5% - 10% - -
LANSIA - - 5% - 10% - -
- - 5% - 10% - -
Rp 720,000 720,000 720,000 5% 36,000 10% 72,000 654,545 -
petugas)
- - 5% - 10% - -
penyuluhan kesehatan lansia Rp - - - 5% - 10% - -
Konsumsi penyuluhan kesehatan lansia Rp 600,000 600,000 600,000 5% 28,800 10% 60,000 545,455 28,571 24,000 52,571
- - 5% - 10% - -
Senam lansia di kelurahan Rp - - - 5% - 10% - -
Konsumsi senam kesehatan lansia Rp 600,000 600,000 600,000 5% 28,800 10% 60,000 545,455 28,571 24,000 52,571
Honor instruktur senam Rp 150,000 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
- - 5% - 10% - -
REMAJA - - 5% - 10% - -
Kelas remaja di kelurahan - - 5% - 10% - -
snack peserta kls remaja di kelurahan Rp 150,000 150,000 150,000 5% 7,200 10% 15,000 136,364 7,143 6,000 13,143
transport petugas Rp 60,000 60,000 60,000 5% 3,000 10% 6,000 54,545 -
- - 5% - 10% - -
Posyandu REMAJA Rp 420,000 420,000 420,000 5% 21,000 10% 42,000 381,818 -
- - 5% - 10% - -
PANCA INDRA - - 5% - 10% - -
Penjaringan panca indera Rp 660,000 660,000 660,000 5% 33,000 10% 66,000 600,000 -
5% 10% - -
PELAKSANAAN FUNGSI MANAJEMEN ( P1, P2, P3 ) Rp - 3,280,000 3,280,000 -
5% 10% - -
Pertemuan Lokakaryamini Bulanan - 5% 10% - -
a. Konsumsi Peserta Rp 1,350,000 1,350,000 1,350,000 5% 64,800 10% 135,000 1,227,273 64,286 54,000 118,286
b. Spanduk - - 5% - 10% - -
c. Transpor Peserta - - 5% - 10% - -
d. Penggandaan Rp 50,000 50,000 50,000 5% 2,500 10% 5,000 45,455 -
e. Honorarium Panitia Rp - - - 5% - 10% - -
- ketua Rp 300,000 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
- sekretaris Rp 250,000 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
- Anggota Rp 450,000 450,000 450,000 5% 21,375 10% 45,000 409,091 22,500 22,500
- - 5% - 10% - -
makan minum Lembur Tim Rp 480,000 480,000 480,000 5% 23,040 10% 48,000 436,364 22,857 19,200 42,057
- - 5% - 10% - -
ATK Manajemen BOK Rp 200,000 200,000 200,000 5% 10,000 10% 20,000 181,818 -
- - 5% - 10% - -
Penggandaan SPJ Rp 200,000 200,000 200,000 5% 10,000 10% 20,000 181,818 -
- - 5% 10% - -
STBM (SANITASI TOTAL BERBASIS MASYARAKAT) Rp - 2,800,000 2,800,000 -
Pemicuan (STBM) STOP BABS di kelurahan Rp 2,100,000 2,100,000 2,100,000 5% 105,000 10% 210,000 1,909,091 -
ATK Pemicuan (STBM) STOP BABS di kelurahan Rp 700,000 700,000 700,000 5% 35,000 10% 70,000 636,364 -
Jumlah 65,369,000 Rp3,165,853 Rp4,344,900 Rp1,872,636 Rp87,500 Rp364,609 Rp277,200 Rp2,601,945
TOTAL PPN KONSUMSI / PAJAK RESTORAN Rp 330,000 Rp 277,200
TOTAL PPH / PAJAK HONOR Rp 87,500
BELANJA BARANG DAN JASA/ CETAK DAN BAHAN CONTOH Rp 490,909 Rp49,091
Drs.H.Azhari, M. Si
CATATAN : Nip. 19630502 198702 1 004
1 PPN ( PAJAK MAKMIN/RESTORAN ) Rp330,000
TOTAL Rp 330,000
BULAN MEI 2018
TOTAL
PAJAK
PPN PPH 21 PPH 22 PPH 23 PAJAK
1 Honorarium Tim/ Panitia Pelaksana Kegiatan Rp1,750,000 87,500 Rp87,500
2 Uang saku/Transport Rp37,430,000

3 Belanja Alat Tulis Kantor Rp1,000,000
4 Belanja materai
5 Belanja Bahan Contoh
6 (KENA PAJAK PPH22) Rp5,200,000 472,727 141,818 Rp614,545

7 (TIDAK KENA PAJAK PPH22) Rp900,000 - Rp0
8 Belanja Penggandaan (Foto Copy) Rp390,000

9 Belanja Spanduk
10 Belanja makanan dan minuman rapat Rp6,930,000 330,000 277,200 Rp607,200
11 Belanja Cetak (KENA PAJAK PPH22) Rp6,369,000 579,000 173,700 Rp752,700
12 Belanja Cetak (TIDAK KENA PAJAK PPH22) Rp0 - Rp0
Belanja Cetak / PAKET PELAKSANAAN SURVEY
13 PIS PK (KENA PAJAK PPH22) Rp5,400,000 490,909 49,091 Rp540,000
TOTAL - 65,369,000 - - - - - 1,872,636 87,500 364,609 277,200 2,601,945

OLEH PKM
CATATAN : TOTAL KADER : Rp. 320.000

YANG YANG
TOTAL
DITERIMA DI DITERIMA
POTONGAN
DIKES PROGRAM
NAMA PARAF
Rp62,767,055 Rp10,112,698 Rp55,256,302
Rp63,637,055 Rp9,242,698 Rp56,126,302
Rp870,000
Rp21,600,000 Rp1,080,000 Rp20,520,000

Rp0
- Rp0 Rp0
2,640,164 Rp785,245 Rp2,208,755
2,976,136 Rp885,170 Rp2,489,830
- Rp0 Rp0
4,860,000 Rp1,350,000 Rp4,050,000
Rp0
Rp0
Rp0
Rp600,000 Rp90,000 Rp510,000
Rp0
Rp0
Rp3,120,000 Rp468,000 Rp2,652,000
Rp0
Rp0
Rp1,950,000 Rp292,500 Rp1,657,500
Rp100,000 Rp15,000 Rp85,000
Rp1,779,143 Rp459,457 Rp1,490,543
Rp427,500 Rp88,875 Rp361,125
Rp0
Rp0
Rp1,440,000 Rp216,000 Rp1,224,000
Rp140,000 Rp21,000 Rp119,000
Rp0
Rp0
Rp0
Rp360,000 Rp54,000 Rp306,000
Rp0
Rp0
Rp0
Rp60,000 Rp9,000 Rp51,000
Rp0
Rp0
Rp0
Rp1,094,857 Rp282,743 Rp917,257
Rp142,500 Rp29,625 Rp120,375
Rp0
Rp420,000 Rp63,000 Rp357,000
Rp0
Rp420,000 Rp63,000 Rp357,000
Rp0
Rp0
Rp4,585,455 Rp1,363,818 Rp3,836,182
Rp0
Rp0
Rp900,000 Rp135,000 Rp765,000
Rp0
Rp180,000 Rp27,000 Rp153,000
Rp0
Rp0
Rp0
Rp210,000 Rp31,500 Rp178,500
Rp0
Rp0
Rp0
Rp0
Rp90,000 Rp13,500 Rp76,500
Rp547,429 Rp141,371 Rp458,629
Rp0
Rp320,000 Rp0 Rp320,000
Rp0
Rp600,000 Rp90,000 Rp510,000
Rp0
Rp0
Rp360,000 Rp54,000 Rp306,000
Rp0
Rp0
Rp210,000 Rp31,500 Rp178,500
Rp0
Rp210,000 Rp31,500 Rp178,500
Rp0
Rp0
Rp420,000 Rp63,000 Rp357,000
Rp0
Rp120,000 Rp18,000 Rp102,000
Rp0
Rp0
Rp240,000 Rp36,000 Rp204,000
Rp0
Rp0
Rp420,000 Rp63,000 Rp357,000
Rp0
Rp0
Rp0
Rp720,000 Rp108,000 Rp612,000
Rp0
Rp0
Rp60,000 Rp9,000 Rp51,000
Rp547,429 Rp141,371 Rp458,629
Rp0
Rp0
Rp60,000 Rp9,000 Rp51,000
Rp547,429 Rp141,371 Rp458,629
Rp142,500 Rp29,625 Rp120,375
Rp0
Rp0
Rp0
Rp136,857 Rp35,343 Rp114,657
Rp60,000 Rp9,000 Rp51,000
Rp0
Rp420,000 Rp63,000 Rp357,000
Rp0
Rp0
Rp660,000 Rp99,000 Rp561,000
Rp0
Rp1,231,714 Rp318,086 Rp1,031,914
Rp0
Rp0
Rp50,000 Rp7,500 Rp42,500
Rp0
Rp285,000 Rp59,250 Rp240,750
Rp237,500 Rp49,375 Rp200,625
Rp427,500 Rp88,875 Rp361,125
Rp0
Rp437,943 Rp113,097 Rp366,903
Rp0
Rp200,000 Rp30,000 Rp170,000
Rp0
Rp200,000 Rp30,000 Rp170,000
Rp2,100,000 Rp315,000 Rp1,785,000

Rp700,000 Rp105,000 Rp595,000
Rp62,767,055 Rp10,112,698 Rp55,256,302

YANG
DITERIMA
Rp1,662,500
Rp37,430,000
Rp1,000,000
Rp4,585,455
Rp900,000
Rp390,000
Rp6,322,800
Rp5,616,300
Rp0
Rp4,860,000
62,767,055
- -
353,836 2,640,164
398,864 2,976,136
- -
540,000 4,860,000
78,000 1,872,000
22,500 427,500
48,000 1,152,000
7,500 142,500
614,545 4,585,455
- 900,000
24,000 576,000
24,000 576,000
24,000 576,000
7,500 142,500
6,000 144,000
54,000 1,296,000
15,000 285,000.00
12,500 237,500.00
22,500 427,500.00
19,200 460,800
RINCIAN PENGGUNAAN ANGGARAN DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN juni TAHUN 2018
YANG
POTONGAN
JUNI PERMINTAAN DITERIMA DI
DIKES
(PPN/PPH)
75,945,000 75,945,000 5% Rp3,509,533 10% Rp4,761,500 Rp716,818 Rp462,500 Rp141,818 Rp403,200 Rp2,204,336 Rp73,740,664
Rp480,000 Rp1,724,336 Rp74,220,664
PERTEMUAN MONEV DAN ANALISIS

DATA PUSKESMAS - - Rp0
Konsumsi 600,000 600,000 5% 28,800 10% 60,000 545,455 28,571 24,000 52,571 Rp547,429
honor Narsum 350,000 350,000 5% 16,625 10% 35,000 318,182 17,500 17,500 Rp332,500
Ketua 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
Sekretaris 200,000 200,000 5% 9,500 10% 20,000 181,818 10,000 10,000 Rp190,000
Anggota 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
- - 5% - 10% - - - Rp0
Honor Pembina PIS PK - - 5% - 10% - - - Rp0
Ka PKM 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
Admin 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
Supervisor 750,000 750,000 5% 35,625 10% 75,000 681,818 37,500 37,500 Rp712,500
- - 5% - 10% - - - Rp0
Pelaksanaan pembinaan keluarga sehat - - 5% - 10% - - - Rp0
Tranport petugas Pendataan Keluarga 21,600,000 21,600,000 5% 1,080,000 0% - 19,636,364 - Rp21,600,000
- - 5% - 10% - - - Rp0
Penggandaan Prokesga Keluarga 1,517,500 1,517,500 5% 68,977 10% 151,750 1,379,545 137,955 137,955 Rp1,379,545
- - 5% - 10% - - - Rp0
Stiker PIS PK 1,167,500 1,167,500 5% 53,068 10% 116,750 1,061,364 106,136 106,136 Rp1,061,364
- - 5% - 10% - - - Rp0
Kunjungan rumah intervensi PIS PK - - 5% - 10% - - - Rp0
Transport Petugas 2,700,000 2,700,000 5% 135,000 0% - 2,454,545 - Rp2,700,000
- - 5% - 10% - - - Rp0
Monev Pelaksanaan PIS PK di Kelurahan - - 5% - 10% - - - Rp0
Ka PKM 210,000 210,000 5% 10,500 10% 21,000 190,909 - Rp210,000
Admin 210,000 210,000 5% 10,500 10% 21,000 190,909 - Rp210,000
Supervisor 210,000 210,000 5% 10,500 10% 21,000 190,909 - Rp210,000
- 5% - 10% - - - Rp0
UKM ESENSIAL 28,610,000 28,610,000 - -
5% - 10% - -
PROMOSI KESEHATAN - 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
Pelayanan Posyandu - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
Refreshing kader posyandu - Rp0 5% - 10% - - - Rp0
Transport Peserta 1,950,000 Rp1,950,000 0% - 0% - 1,772,727 - Rp1,950,000
ATK Refreshing kader posyandu 100,000 Rp100,000 5% 5,000 10% 10,000 90,909 - Rp100,000
Konsumsi Refreshing kader posyandu 1,950,000 Rp1,950,000 5% 93,600 10% 195,000 1,772,727 92,857 78,000 170,857 Rp1,779,143
Honor Narasumber 450,000 Rp450,000 5% 21,375 10% 45,000 409,091 22,500 22,500 Rp427,500
- Rp0 5% - 10% - - - Rp0
UKS - Rp0 5% - 10% - - - Rp0
Penjaringan Kesehatan Siswa SD/MI - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
Penggandaan Formulir Screening Kesehatan Siswa
150,000 Rp150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
Sekolah Dasar/Madrasah
- Rp0 5% - 10% - - - Rp0
Penyuluhan PHBS sekolah+distribusi albendazole - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
Demo sikat Gigi & cuci tangan massal (CTPS) - Rp0 5% - 10% - - - Rp0
Bahan Kontak Demo sikat Gigi & cuci tangan
600,000 Rp600,000 5% 30,000 10% 60,000 545,455 - Rp600,000
massal (CTPS)
- Rp0 5% - 10% - - - Rp0
KESEHATAN LINGKUNGAN - Rp0 5% - 10% - - - Rp0
inspeksi sanitasi sekolah 360,000 Rp360,000 5% 18,000 10% 36,000 327,273 - Rp360,000
- Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
KIA - Rp0 5% - 10% - - - Rp0
PELACAKAN KASUS RESTI 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0 5% - 10% - - - Rp0
PROMOSI KB 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0 5% - 10% - - - Rp0
DRK / Konsumsi pertemuan DRK 600,000 Rp600,000 5% 28,800 10% 60,000 545,455 28,571 24,000 52,571 Rp547,429
- Rp0 5% - 10% - - - Rp0
GIZI - Rp0 5% - 10% - - - Rp0
Sweeping posyandu - Rp0 5% - 10% - - - Rp0
Transport kader sweeping posyandu 780,000 Rp780,000 0% - 0% - 709,091 - Rp780,000
- Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
PMT Pemulihan Balita - Rp0 5% - 10% - - - Rp0
b. Gizi Buruk 900,000 Rp900,000 5% 45,000 10% 90,000 818,182 - Rp900,000
- Rp0 5% - 10% - - - Rp0
pemantauan pemberian PMT gizi buruk 180,000 Rp180,000 5% 9,000 10% 18,000 163,636 - Rp180,000
- Rp0 5% - 10% - - - Rp0
PELAYANAN PENCEGAHAN DAN PENGENDALIA - Rp0 5% - 10% - - - Rp0
SURVEILANS - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
TB - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
Konsumsi 600,000 Rp600,000 5% 28,800 10% 60,000 545,455 28,571 24,000 52,571 Rp547,429
- Rp0 5% - 10% - - - Rp0
pembinaan dan pengawasan PMO 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0 5% - 10% - - - Rp0
kunjungan rumah TB mangkir - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
Pengantaran sampel TB ke Lab. Rujukan - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
penyuntikan kategori 2 - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
ISPA - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
KUSTA - Rp0 5% - 10% - - - Rp0
pemantauan minum obat pada pasien kusta 120,000 Rp120,000 5% 6,000 10% 12,000 109,091 - Rp120,000
- Rp0 5% - 10% - - - Rp0
IMUNISASI - Rp0 5% - 10% - - - Rp0
sosialisasi imunisasi campak Rubella (Di PKM) - Rp0 5% - 10% - - - Rp0
konsumsi sosialisasi imunisasi campak Rubella 2,400,000 Rp2,400,000 5% 115,200 10% 240,000 2,181,818 114,286 96,000 210,286 Rp2,189,714
transport peserta 2,100,000 Rp2,100,000 5% 105,000 10% 210,000 1,909,091 - Rp2,100,000
Narasumber 600,000 Rp600,000 5% 28,500 10% 60,000 545,455 30,000 30,000 Rp570,000
- Rp0 5% - 10% - - - Rp0
UKM PENGEMBANGAN 3,840,000 3,840,000 - -
5% - 10% - -
UKK - 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
Pembinaan pada pos UKK 240,000 Rp240,000 5% 12,000 10% 24,000 218,182 - Rp240,000
- Rp0 5% - 10% - - - Rp0
JIWA - Rp0 5% - 10% - - - Rp0
Deteksi dini masalah kesehatan jiwa 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
LANSIA - Rp0 5% - 10% - - - Rp0
720,000 Rp720,000 5% 36,000 10% 72,000 654,545 - Rp720,000
petugas)
- Rp0 5% - 10% - - - Rp0
penyuluhan kesehatan lansia - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
REMAJA - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
PANCA INDRA - Rp0 5% - 10% - - - Rp0
Penyuluhan kesehatan pada pasien gangguan panca
- Rp0 5% - 10% - - - Rp0
indera
transport pretugas 120,000 Rp120,000 5% 6,000 10% 12,000 109,091 - Rp120,000
Konsumsi 600,000 Rp600,000 5% 28,800 10% 60,000 545,455 28,571 24,000 52,571 Rp547,429
- - - Rp0
5% - 10% - -
Pertemuan Lokakaryamini Bulanan - 5% - 10% - - - Rp0
b. Spanduk - Rp0 5% - 10% - - - Rp0
c. Transpor Peserta - Rp0 5% - 10% - - - Rp0
e. Honorarium Panitia - Rp0 5% - 10% - - - Rp0
- ketua 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
- sekretaris 250,000 Rp250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
- Anggota 450,000 Rp450,000 5% 21,375 10% 45,000 409,091 22,500 22,500 Rp427,500
- Rp0 5% - 10% - - - Rp0
Pertemuan Lokakaryamini Tribulanan - Rp0 5% - 10% - - - Rp0
a. Konsumsi Peserta 900,000 Rp900,000 5% 43,200 10% 90,000 818,182 42,857 36,000 78,857 Rp821,143
b. Spanduk - Rp0 5% - 10% - - - Rp0
c. Transpor Peserta 1,300,000 Rp1,300,000 0% - 0% - 1,181,818 - Rp1,300,000
d. ATK 260,000 Rp260,000 5% 13,000 10% 26,000 236,364 - Rp260,000
e. Honorarium Narasumber 700,000 Rp700,000 5% 33,250 10% 70,000 636,364 35,000 35,000 Rp665,000
f. Honorarium Panitia - Rp0 - - - - Rp0
- ketua 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
- sekretaris 250,000 Rp250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
- Anggota 450,000 Rp450,000 5% 21,375 10% 45,000 409,091 22,500 22,500 Rp427,500
- Rp0 5% - 10% - - - Rp0
Supervisi Poskesdes - Rp0 5% - 10% - - - Rp0
a. Transpor Petugas 540,000 Rp540,000 5% 27,000 10% 54,000 490,909 - - Rp540,000
- Rp0 5% - 10% - - - Rp0
Supervisi Pustu - Rp0 5% - 10% - - - Rp0
a. Transpor Petugas 540,000 Rp540,000 5% 27,000 10% 54,000 490,909 - Rp540,000
- Rp0 5% - 10% - - - Rp0
Pembinaan Jejaring - Rp0 5% - 10% - - - Rp0
a. Transpor Petugas 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0 5% - 10% - - - Rp0
Rp0 5% - 10% - - - Rp0
Honorarium Tim Penilaian Kinerja - Rp0 5% - 10% - - - Rp0
a. Ketua 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
b. Sekretaris 250,000 Rp250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
c. Anggota 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
- Rp0 5% - 10% - - - Rp0
Honorarium Pengelola BOK - Rp0 5% - 10% - - - Rp0
Kuasa Pengguna Anggaran 900,000 Rp900,000 5% 42,750 10% 90,000 818,182 45,000 45,000 Rp855,000
Pengelola Keuangan 750,000 Rp750,000 5% 35,625 10% 75,000 681,818 37,500 37,500 Rp712,500
Pengelola Administrasi 750,000 Rp750,000 5% 35,625 10% 75,000 681,818 37,500 37,500 Rp712,500
- Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
Rp0 5% - 10% - - - Rp0
STBM (SANITASI TOTAL BERBASIS MASYARAKAT) 840,000 840,000 - -
-
Monitoring STOP BABS (STBM) 840,000 840,000 5% 42,000 10% 84,000 763,636 - Rp840,000
Jumlah 75,945,000 Rp3,509,533 Rp4,761,500 Rp924,156 Rp462,500 Rp141,818 Rp403,200 Rp2,204,336 Rp73,740,664
TOTAL PPN KONSUMSI / PAJAK RESTORAN Rp 480,000 Rp 403,200
TOTAL PPN DAN PPH BELANJA BARANG BANTUAN MASYARAKAT #REF! #REF!
BELANJA BARANG DAN JASA/ CETAK DAN BAHAN CONTOH #REF! #REF!
CATATAN :
TOTAL Rp 480,000
BULAN JUNI 2018
TOTAL
PAJAK YANG
HRG DASAR PPN PPH 21 PPH 22 PPH 23 DITERIMA
PAJAK
1 Honorarium Tim/ Panitia Pelaksana Kegiatan Rp9,250,000 8,409,091 462,500 Rp462,500 Rp8,787,500
2 Uang saku/Transport Rp46,270,000 42,063,636 Rp0 Rp46,270,000

3 Belanja Alat Tulis Kantor Rp560,000 509,091 Rp0 Rp560,000
4 Belanja materai Rp0 - Rp0 Rp0
5 Belanja Bahan Contoh Rp600,000 545,455 Rp0 Rp600,000
6 (KENA PAJAK PPH22) : - - - Rp0 Rp0
Pemberian PMT Penyuluhan Rp5,200,000 4,727,273 472,727 141,818 Rp614,545 Rp4,585,455

7 (TIDAK KENA PAJAK PPH22) : - Rp0 Rp0
PMT Pemulihan Balita Gizi Buruk Rp900,000 818,182 Rp0 Rp900,000

8 Belanja Penggandaan (Foto Copy) Rp400,000 363,636 Rp0 Rp400,000
9 Belanja Spanduk Rp0 - Rp0 Rp0
10 Belanja makanan dan minuman rapat Rp10,080,000 9,163,636 480,000 403,200 Rp883,200 Rp9,196,800
11 Belanja Cetak (KENA PAJAK PPH22) Rp0 - - - Rp0 Rp0
12 Belanja Cetak (TIDAK KENA PAJAK PPH22) : - Rp0 Rp0
Penggandaan Prokesga Keluarga Rp1,517,500 1,379,545 137,955 Rp137,955 Rp1,379,545
Stiker PIS PK Rp1,167,500 1,061,364 106,136 Rp106,136 Rp1,061,364
13 PIS PK (KENA PAJAK PPH22) Rp0 - - - Rp0 Rp0
TOTAL - 75,945,000 5% 3,509,533 - 66,600,000 1,196,818 462,500 141,818 403,200 2,204,336 73,740,664

OLEH PKM
CATATAN : TOTAL KADER DAN LINSEK Rp 4,030,000

YANG
TOTAL
DITERIMA
POTONGAN
PROGRAM
Rp10,475,370 Rp65,469,630
Rp9,995,370 Rp65,949,630
Rp480,000
Rp0 Rp0
Rp141,371 Rp458,629
Rp69,125 Rp280,875
Rp49,375 Rp200,625
Rp39,500 Rp160,500
Rp29,625 Rp120,375
Rp0 Rp0
Rp0 Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp148,125 Rp601,875
Rp0 Rp0
Rp0 Rp0
Rp1,080,000 Rp20,520,000
Rp0 Rp0
Rp358,682 Rp1,158,818
Rp0 Rp0
Rp275,955 Rp891,545
Rp0 Rp0
Rp0 Rp0
Rp135,000 Rp2,565,000
Rp0 Rp0
Rp0 Rp0
Rp31,500 Rp178,500
Rp31,500 Rp178,500
Rp31,500 Rp178,500
Rp0 Rp0
Rp0 Rp0
Rp90,000 Rp510,000
Rp0 Rp0
Rp0 Rp0
Rp468,000 Rp2,652,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp1,950,000
Rp15,000 Rp85,000
Rp459,457 Rp1,490,543
Rp88,875 Rp361,125
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp270,000 Rp1,530,000
Rp0 Rp0
Rp22,500 Rp127,500
Rp0 Rp0
Rp0 Rp0
Rp54,000 Rp306,000
Rp0 Rp0
Rp0 Rp0
Rp90,000 Rp510,000
Rp0 Rp0
Rp0 Rp0
Rp54,000 Rp306,000
Rp0 Rp0
Rp9,000 Rp51,000
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp141,371 Rp458,629
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp780,000
Rp0 Rp0
Rp1,363,818 Rp3,836,182
Rp0 Rp0
Rp0 Rp0
Rp135,000 Rp765,000
Rp0 Rp0
Rp27,000 Rp153,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp175,500 Rp994,500
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp13,500 Rp76,500
Rp141,371 Rp458,629
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp36,000 Rp204,000
Rp0 Rp0
Rp0 Rp0
Rp54,000 Rp306,000
Rp0 Rp0
Rp0 Rp0
Rp45,000 Rp255,000
Rp0 Rp0
Rp0 Rp0
Rp31,500 Rp178,500
Rp0 Rp0
Rp0 Rp0
Rp18,000 Rp102,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp565,486 Rp1,834,514
Rp315,000 Rp1,785,000
Rp118,500 Rp481,500
Rp0 Rp0
Rp0 Rp0
Rp36,000 Rp204,000
Rp0 Rp0
Rp36,000 Rp204,000
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp108,000 Rp612,000
Rp0 Rp0
Rp0 Rp0
Rp9,000 Rp51,000
Rp141,371 Rp458,629
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp18,000 Rp102,000
Rp141,371 Rp458,629
Rp0 Rp0
Rp0 Rp0
Rp318,086 Rp1,031,914
Rp0 Rp0
Rp0 Rp0
Rp7,500 Rp42,500
Rp0 Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp88,875 Rp361,125
Rp0 Rp0
Rp0 Rp0
Rp212,057 Rp687,943
Rp0 Rp0
Rp0 Rp1,300,000
Rp39,000 Rp221,000
Rp138,250 Rp561,750
Rp0 Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp88,875 Rp361,125
Rp0 Rp0
Rp0 Rp0
Rp81,000 Rp459,000
Rp0 Rp0
Rp0 Rp0
Rp81,000 Rp459,000
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp113,097 Rp366,903
Rp0 Rp0
Rp0 Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp59,250 Rp240,750
Rp0 Rp0
Rp0 Rp0
Rp177,750 Rp722,250
Rp148,125 Rp601,875
Rp148,125 Rp601,875
Rp0 Rp0
Rp30,000 Rp170,000
Rp0 Rp0
Rp30,000 Rp170,000
Rp0 Rp0
Rp126,000 Rp714,000
Rp10,202,707 Rp65,742,293
24,000 576,000
17,500 332,500
12,500 237,500
10,000 190,000
7,500 142,500
15,000 285,000
12,500 237,500
37,500 712,500
137,955 1,379,545
106,136 1,061,364
78,000 1,872,000
22,500 427,500
24,000 576,000
614,545 4,585,455
24,000 576,000
96,000 2,304,000
30,000 570,000
24,000 576,000
24,000 576,000
54,000 1,296,000
15,000 285,000
12,500 237,500
22,500 427,500
36,000 864,000
35,000 665,000
15,000 285,000
12,500 237,500
22,500 427,500
19,200 460,800
15,000 285,000
12,500 237,500
15,000 285,000
45,000 855,000
37,500 712,500
37,500 712,500
RINCIAN PENGGUNAAN ANGGARAN DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN juli TAHUN 2018
YANG
POTONGAN
JULI PERMINTAAN DITERIMA DI
DIKES
(PPN/PPH)
54,200,000 54,200,000 5% Rp2,598,768 10% Rp3,948,000 Rp472,727 Rp137,500 Rp141,818 Rp0 Rp1,405,598 Rp52,794,402
Rp400,952 Rp252,600 Rp1,004,645 Rp53,195,355
Pelaksanaan pembinaan keluarga sehat

Tranport petugas Pendataan Keluarga 10,800,000 10,800,000 5% 540,000 0% - 9,818,182 - Rp10,800,000
- - -
- - -
Kunjungan rumah intervensi PIS PK - - -
- - -
UKM ESENSIAL 20,400,000 20,400,000 - - -
5% - 10% - -
PROMOSI KESEHATAN
- Rp0 5% - 10% - - - Rp0
Pelayanan Posyandu - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
UKS - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
Pemutakhiran data UKS - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
Penjaringan Kesehatan Siswa SD/MI - Rp0 5% - 10% - - - Rp0
Transport petugas 1,080,000 Rp1,080,000 5% 54,000 10% 108,000 981,818 - Rp1,080,000
- Rp0 5% - 10% - - - Rp0
Penyuluhan PHBS sekolah+distribusi albendazole - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
Penggandaan Formulir Screening Kesehatan Siswa
150,000 Rp150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
SMP/MTs & SMA/MA
- Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
KESEHATAN LINGKUNGAN - Rp0 5% - 10% - - - Rp0
inspeksi sanitasi sekolah 600,000 Rp600,000 5% 30,000 10% 60,000 545,455 - Rp600,000
- Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
KIA - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
KELAS IBU HAMIL DI PKM - Rp0 5% - 10% - - - Rp0
snack kelas bumil di PKM 900,000 Rp900,000 5% 43,650 10% 90,000 818,182 42,857 27,000 69,857 Rp830,143
- Rp0 5% - 10% - - - Rp0
KELAS IBU HAMIL DI KELURAHAN - Rp0 5% - 10% - - - Rp0
snack kelas bumil 1,200,000 Rp1,200,000 5% 58,200 10% 120,000 1,090,909 57,143 36,000 93,143 Rp1,106,857
- Rp0 5% - 10% - - - Rp0
Pemantauan SDIDTK 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
PROMOSI IMD & ASI ESCLUSIF 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0 5% - 10% - - - Rp0
GIZI - Rp0 5% - 10% - - - Rp0
- - Rp0
Konseling gizi di kelurahan (AE,garam
- Rp0 5% - 10% - - - Rp0
beryodium, Fe)
transport petugas 210,000 Rp210,000 5% 10,500 10% 21,000 190,909 - Rp210,000
- Rp0 5% - 10% - - - Rp0
distribusi dan penyuluhan Fe di sekolah 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
pemantauan pemberian PMT gizi buruk 180,000 Rp180,000 5% 9,000 10% 18,000 163,636 - Rp180,000
- Rp0 5% - 10% - - - Rp0
PELAYANAN PENCEGAHAN DAN PENGENDALIA - Rp0 5% - 10% - - - Rp0
SURVEILANS - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
pelacakan kasus peny.yang berpotensi KLB 210,000 Rp210,000 5% 10,500 10% 21,000 190,909 - Rp210,000
- Rp0 5% - 10% - - - Rp0
TB - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
Konsumsi 600,000 Rp600,000 5% 29,100 10% 60,000 545,455 28,571 18,000 46,571 Rp553,429
- Rp0 5% - 10% - - - Rp0
penjaringan oleh kader TB paru 320,000 Rp320,000 0% - 0% - 290,909 - Rp320,000
- Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
penjaringan susp TB di pesantren dan SMP 360,000 Rp360,000 5% 18,000 10% 36,000 327,273 - Rp360,000
- Rp0 5% - 10% - - - Rp0
Pengantaran sampel TB ke Lab. Rujukan - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
ISPA - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
penjaringan kasus ISPA dan Diare 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0 5% - 10% - - - Rp0
210,000 Rp210,000 5% 10,500 10% 21,000 190,909 - Rp210,000
kader di kelurahan
- Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
KUSTA - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
pelacakan kasus kusta di masyarakat 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0 5% - 10% - - - Rp0
pemeriksaan kontak serumah dan tetangga 360,000 Rp360,000 5% 18,000 10% 36,000 327,273 - Rp360,000
- Rp0 5% - 10% - - - Rp0
penjaringan kasus kusta pada anak sekolah SD dan
660,000 Rp660,000 5% 33,000 10% 66,000 600,000 - Rp660,000
SMP sederajat
- - 10% - - - Rp0
UKM PENGEMBANGAN 10,270,000 10,270,000 - - -
5% - 10% - -
UKK -
-
- Rp0 5% - 10% - - - Rp0
Pembinaan pada pos UKK 240,000 Rp240,000 5% 12,000 10% 24,000 218,182 - Rp240,000
- Rp0 5% - 10% - - - Rp0
JIWA - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
Swepping penderita Keswa 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
Refresing untuk PMO - Rp0 5% - 10% - - - Rp0
Transport peserta 750,000 Rp750,000 0% - 0% - 681,818 - Rp750,000
Konsumsi peserta 900,000 Rp900,000 5% 43,650 10% 90,000 818,182 42,857 27,000 69,857 Rp830,143
- Rp0 5% - 10% - - - Rp0
Pembuatan dan penyebaran Leaflet Jiwa 350,000 Rp350,000 5% 17,500 10% 35,000 318,182 - Rp350,000
- Rp0 5% - 10% - - - Rp0
Senam bersama pasien jiwa - Rp0 5% - 10% - - - Rp0
Snack peserta 250,000 Rp250,000 5% 12,125 10% 25,000 227,273 11,905 7,500 19,405 Rp230,595
honor instruktur senam 150,000 Rp150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
- Rp0 5% - 10% - - - Rp0
Kegiatan kerohanian pasien jiwa - Rp0 5% - 10% - - - Rp0
Snack 250,000 Rp250,000 5% 12,125 10% 25,000 227,273 11,905 7,500 19,405 Rp230,595
Honor ustadz 150,000 Rp150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
- Rp0 5% - 10% - - - Rp0
PENGOBATAN TRADISIONAL - Rp0 5% - 10% - - - Rp0
Sosialisasi batra dgn pengelola batra (ketrampilan
- Rp0 5% - 10% - - - Rp0
dan ramuan) di PKM
transport peserta 750,000 Rp750,000 5% 37,500 10% 75,000 681,818 - Rp750,000
konsumsi peserta 900,000 Rp900,000 5% 43,650 10% 90,000 818,182 42,857 27,000 69,857 Rp830,143
honor narasumber 150,000 Rp150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
- Rp0 5% - 10% - - - Rp0
pembuatan leaflet dan penyebaran leaflet batra 350,000 Rp350,000 5% 17,500 10% 35,000 318,182 - Rp350,000
- Rp0 5% - 10% - - - Rp0
LANSIA - Rp0 5% - 10% - - - Rp0
720,000 Rp720,000 5% 36,000 10% 72,000 654,545 - Rp720,000
petugas)
- Rp0 5% - 10% - - - Rp0
penyuluhan kesehatan lansia - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
PERKESMAS - Rp0 5% - 10% - - - Rp0
Pertemuan terpadu dengan petugas - Rp0 5% - 10% - - - Rp0
pustu,polindes,poskesdes,ten tang program 450,000 Rp450,000 5% 22,500 10% 45,000 409,091 - Rp450,000
perkesmas - Rp0 5% - 10% - - - Rp0
ATK 100,000 Rp100,000 5% 5,000 10% 10,000 90,909 - Rp100,000
- Rp0 5% - 10% - - - Rp0
Konsumsi peserta 540,000 Rp540,000 5% 26,190 10% 54,000 490,909 25,714 16,200 41,914 Rp498,086
- Rp0 5% - 10% - - - Rp0
REMAJA - Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
Kelas remaja di kelurahan - Rp0 5% - 10% - - - Rp0
snack peserta kls remaja di kelurahan 150,000 Rp150,000 5% 7,275 10% 15,000 136,364 7,143 4,500 11,643 Rp138,357
- Rp0 5% - 10% - - - Rp0
PENYULUHAN KESPRO dan NAPZA di
- Rp0 5% - 10% - - - Rp0
sekolah
transpor petugas 90,000 Rp90,000 5% 4,500 10% 9,000 81,818 - Rp90,000
- Rp0 5% - 10% - - - Rp0
PEMBINAAn remaja di SD kls 4 s/d kls 6 300,000 Rp300,000 5% 15,000 10% 30,000 272,727 - Rp300,000
- Rp0 5% - 10% - - - Rp0
penyuluhan TT Catin 210,000 Rp210,000 5% 10,500 10% 21,000 190,909 - Rp210,000
- Rp0 5% - 10% - - - Rp0
5% - 10% - -
Pertemuan Lokakaryamini Bulanan
b. Spanduk - Rp0
e. Honorarium Panitia - Rp0 5% - 10% - - - Rp0
- ketua 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
- sekretaris 250,000 Rp250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
- Anggota 450,000 Rp450,000 5% 21,375 10% 45,000 409,091 22,500 22,500 Rp427,500
- Rp0 5% - 10% - - - Rp0
Pelaksanaan SMD - Rp0 5% - 10% - - - Rp0
a. Transport petugas Survey 2,100,000 Rp2,100,000 5% 105,000 10% 210,000 1,909,091 - Rp2,100,000
b. Penggandaan foto copy form survey 700,000 Rp700,000 5% 35,000 10% 70,000 636,364 - Rp700,000
- Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
Distribusi Alkes dan BHP di Jaringan - Rp0 5% - 10% - - - Rp0
a. biaya sewa kendaraan 100,000 Rp100,000 0% - 0% - 90,909 - Rp100,000
b. biaya buruh angkut 50,000 Rp50,000 0% - 0% - 45,455 - Rp50,000
- Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
Honorarium Tim Perencanaan PKM - Rp0 5% - 10% - - - Rp0
a. Ketua 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
c. Anggota 450,000 Rp450,000 5% 21,375 10% 45,000 409,091 22,500 22,500 Rp427,500
- Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
- Rp0 5% - 10% - - - Rp0
STBM (SANITASI TOTAL BERBASIS MASYARAKAT) 2,800,000 2,800,000 - -
-
Pemicuan (STBM) STOP BABS di kelurahan 2,100,000 2,100,000 5% 105,000 10% 210,000 1,909,091 - Rp2,100,000
ATK Pemicuan (STBM) STOP BABS di kelurahan 700,000 700,000 5% 35,000 10% 70,000 636,364 - Rp700,000
- - -
Jumlah 54,200,000 Rp2,598,768 Rp3,948,000 Rp873,680 Rp137,500 Rp394,418 Rp0 Rp1,405,598 Rp52,794,402
TOTAL PPN KONSUMSI / PAJAK RESTORAN Rp 400,952 Rp -

CATATAN :
TOTAL Rp 400,952
BULAN JULI 2018
TOTAL
PAJAK YANG
PAJAK

3 Belanja Alat Tulis Kantor Rp1,000,000 909,091 Rp0 Rp1,000,000
5 Belanja Bahan Contoh Rp0 - Rp0 Rp0

PMT Pemulihan Balita Gizi Buruk Rp0 - Rp0 Rp0

8 Belanja Penggandaan (Foto Copy) Rp1,100,000 1,000,000 Rp0 Rp1,100,000
Pembuatan dan penyebaran Leaflet Rp700,000 636,364 Rp0 Rp700,000
Penggandaan Prokesga Keluarga Rp0 - - Rp0 Rp0
Stiker PIS PK Rp0 - - Rp0 Rp0
14 Distribusi Alkes dan BHP di Jaringan - Rp0 Rp0

Biaya Sewa kendaraan Rp100,000 90,909 Rp0 Rp100,000
Biaya buruh angkut Rp50,000 45,455 Rp0 Rp50,000
TOTAL - 54,200,000 - 49,272,727 873,680 137,500 394,418 - 1,405,598 52,794,402

OLEH PKM

YANG
TOTAL
DITERIMA
POTONGAN
PROGRAM
Rp7,952,366 Rp46,247,634
Rp7,551,413 Rp46,648,587
Rp540,000 Rp10,260,000
Rp135,000 Rp2,565,000
Rp90,000 Rp510,000
Rp0 Rp0
Rp0 Rp0
Rp468,000 Rp2,652,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp45,000 Rp255,000
Rp0 Rp0
Rp0 Rp0
Rp162,000 Rp918,000
Rp0 Rp0
Rp0 Rp0
Rp54,000 Rp306,000
Rp0 Rp0
Rp22,500 Rp127,500
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp90,000 Rp510,000
Rp0 Rp0
Rp9,000 Rp51,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp203,507 Rp696,493
Rp29,625 Rp120,375
Rp0 Rp0
Rp0 Rp0
Rp271,343 Rp928,657
Rp29,625 Rp120,375
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp9,000 Rp51,000
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp31,500 Rp178,500
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp1,363,818 Rp3,836,182
Rp0 Rp0
Rp27,000 Rp153,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp31,500 Rp178,500
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp13,500 Rp76,500
Rp135,671 Rp464,329
Rp0 Rp0
Rp0 Rp320,000
Rp0 Rp0
Rp90,000 Rp510,000
Rp0 Rp0
Rp54,000 Rp306,000
Rp0 Rp0
Rp0 Rp0
Rp54,000 Rp306,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp31,500 Rp178,500
Rp0 Rp0
Rp31,500 Rp178,500
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp54,000 Rp306,000
Rp0 Rp0
Rp99,000 Rp561,000
Rp0
Rp36,000 Rp204,000
Rp0 Rp0
Rp36,000 Rp204,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp750,000
Rp203,507 Rp696,493
Rp0 Rp0
Rp52,500 Rp297,500
Rp0 Rp0
Rp0 Rp0
Rp56,530 Rp193,470
Rp29,625 Rp120,375
Rp0 Rp0
Rp0 Rp0
Rp56,530 Rp193,470
Rp29,625 Rp120,375
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp112,500 Rp637,500
Rp203,507 Rp696,493
Rp29,625 Rp120,375
Rp0 Rp0
Rp52,500 Rp297,500
Rp0 Rp0
Rp0 Rp0
Rp108,000 Rp612,000
Rp0 Rp0
Rp0 Rp0
Rp9,000 Rp51,000
Rp135,671 Rp464,329
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp67,500 Rp382,500
Rp0 Rp0
Rp15,000 Rp85,000
Rp0 Rp0
Rp122,104 Rp417,896
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp33,918 Rp116,082
Rp9,000 Rp51,000
Rp0 Rp0
Rp0 Rp0
Rp13,500 Rp76,500
Rp67,836 Rp232,164
Rp0 Rp0
Rp45,000 Rp255,000
Rp0 Rp0
Rp31,500 Rp178,500
Rp0 Rp0
Rp305,261 Rp1,044,739
Rp0 Rp0
Rp0 Rp0
Rp7,500 Rp42,500
Rp0 Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp88,875 Rp361,125
Rp0 Rp0
Rp0 Rp0
Rp315,000 Rp1,785,000
Rp105,000 Rp595,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp100,000
Rp0 Rp50,000
Rp0 Rp0
Rp108,537 Rp371,463
Rp0 Rp0
Rp0 Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp88,875 Rp361,125
Rp0 Rp0
Rp30,000 Rp170,000
Rp0 Rp0
Rp30,000 Rp170,000
Rp0 Rp0
Rp315,000 Rp1,785,000
Rp105,000 Rp595,000
Rp7,952,366 Rp46,247,634
27,000 873,000
7,500 142,500
36,000 1,164,000
7,500 142,500
614,545 4,585,455
18,000 582,000
27,000 873,000
7,500 242,500
7,500 142,500
7,500 242,500
7,500 142,500
27,000 873,000
7,500 142,500
18,000 582,000
16,200 523,800
4,500 145,500
9,000 291,000
40,500 1,309,500
15,000 285,000
12,500 237,500
22,500 427,500
14,400 465,600
15,000 285,000
12,500 237,500
22,500 427,500
RINCIAN PENGGUNAAN ANGGARAN DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN AGUSTUS TAHUN 2018
YANG
POTONGAN
AGUSTUS PERMINTAAN DITERIMA DI
DIKES
(PPN/PPH)
Rp282,381 Rp177,900 Rp1,148,809 Rp43,738,191

DATA PUSKESMAS
Konsumsi 600,000 600,000 5% 29,100 10% 60,000 545,455 28,571 18,000 46,571 Rp553,429
honor Narsum 350,000 350,000 5% 16,625 10% 35,000 318,182 17,500 17,500 Rp332,500
Ketua 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
Sekretaris 200,000 200,000 5% 9,500 10% 20,000 181,818 10,000 10,000 Rp190,000
Anggota 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
- - 5% -
Kunjungan rumah intervensi PIS PK - - 5% -
- - 5% -
Monev Pelaksanaan PIS PK di Kelurahan - - 5% -
Ka PKM 210,000 210,000 5% 10,500 10% 21,000 190,909 - Rp210,000
Admin 210,000 210,000 5% 10,500 10% 21,000 190,909 - Rp210,000
Supervisor 210,000 210,000 5% 10,500 10% 21,000 190,909 - Rp210,000
- - -
UKM ESENSIAL 28,330,000 28,330,000 - -
5% - 10% - -
PROMOSI KESEHATAN
Rp0
- Rp0 10%
Pelayanan Posyandu - Rp0 10%
- Rp0 10%
Penyuluhan HIV AIDS Di sekolah - Rp0 10%
- Rp0 10%
UKS - Rp0 10%
Pembinaan Dokter kecil - Rp0 10%
Snack peserta pembinaan dokcil 600,000 Rp600,000 5% 29,100 10% 60,000 545,455 28,571 18,000 46,571 Rp553,429
- Rp0 10%
Pemutakhiran data UKS - Rp0 10%
Sweeping Penjaringan kesehatan SD/MI - Rp0 10%
- Rp0 10%
Screening Kesehatan Siswa SMP/MTs &
- Rp0 10%
SMA/MA
- Rp0 10%
Pembinaan dan Pemeriksaan Gigi di SD - Rp0 10%
- Rp0 10%
KESEHATAN LINGKUNGAN - Rp0 10%
- Rp0 10%
Pendataan TTU & TPM 840,000 Rp840,000 5% 42,000 10% 84,000 763,636 - Rp840,000
- Rp0 10%
- Rp0 10%
KIA - Rp0 10%
PEMANTAUAN PMT BUMIL KEK 60,000 Rp60,000 5% 3,000 10% 6,000 54,545 - Rp60,000
- Rp0 10%
420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
DIKELURAHAN
- Rp0 10%
KELAS IBU BALITA DAN PMBA - Rp0 10%
SNACK KELAS IBU BALITA DAN PMBA 600,000 Rp600,000 5% 29,100 10% 60,000 545,455 28,571 18,000 46,571 Rp553,429
- Rp0 10%
Pemantauan SDIDTK di kel 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0 10%
- Rp0 10%
GIZI - Rp0 10%
- Rp0 10%
Penanggulangan KVA - Rp0 10%
sweeping Vit. A - Rp0
transport kader sweeping Vit. A 420,000 Rp420,000 0% - 0% - 381,818 - Rp420,000
- Rp0
Verifikasi data Vit. A - Rp0
tranport petugas verifikasi data Vit. A 210,000 Rp210,000 5% 10,500 10% 21,000 190,909 - Rp210,000
- Rp0 10%
- Rp0 10%
PMT Pemulihan Balita - Rp0 10%
a. Gizi Kurang 1,500,000 Rp1,500,000 5% 68,182 10% 150,000 1,363,636 136,364 136,364 Rp1,363,636
- Rp0 10%
Pekan penimbangan posyandu - Rp0 10%
transport kader 1,950,000 Rp1,950,000 0% - 0% - 1,772,727 - Rp1,950,000
PELAYANAN PENCEGAHAN DAN PENGENDALIA
SURVEILANS

- Rp0 10%
TB - Rp0 10%
- Rp0 10%
Konsumsi 600,000 Rp600,000 5% 29,100 10% 60,000 545,455 28,571 18,000 46,571 Rp553,429
- Rp0 10%
- Rp0 10%
Pengantaran sampel TB ke Lab. Rujukan - Rp0 10%
- Rp0 10%
KUSTA - Rp0 10%
kemoprofilaksis pada keluarga pasien dan tetangga
360,000 Rp360,000 5% 18,000 10% 36,000 327,273 - Rp360,000
sekitar.
- Rp0 10%
pemantauan minum obat pada pasien kusta 120,000 Rp120,000 5% 6,000 10% 12,000 109,091 - Rp120,000
- Rp0 10%
penjaringan kasus kusta pada anak sekolah SD dan
660,000 Rp660,000 5% 33,000 10% 66,000 600,000 - Rp660,000
SMP sederajat
- Rp0 10%
IMUNISASI - Rp0 10%
Pelaksanaan imunisasi campak rubella di umur 9
- Rp0 10%
bulan - 15 tahun
Transport petugas ke sekolah 1,380,000 Rp1,380,000 5% 69,000 10% 138,000 1,254,545 - Rp1,380,000
- Rp0 10%
- Rp0 10%
-
- 5% - 10% - -
UKK - Rp0 10%
- Rp0 10%
- Rp0 10%
JIWA - Rp0 10%
- Rp0 10%
pembuatan poster Jiwa 150,000 Rp150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
- Rp0 10%
Senam bersama pasien jiwa - Rp0 10%
- Rp0 10%
Kegiatan kerohanian pasien jiwa - Rp0 10%
Snack 250,000 Rp250,000 5% 12,125 10% 25,000 227,273 11,905 7,500 19,405 Rp230,595
- Rp0 10%
PENGOBATAN TRADISIONAL - Rp0 10%
- Rp0 10%
pembinaan batra (keterampilan + ramuan) 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0 10%
LANSIA - Rp0 10%
720,000 Rp720,000 5% 36,000 10% 72,000 654,545 - Rp720,000
petugas)
- Rp0 10%
penyuluhan kesehatan lansia - Rp0 10%
- Rp0 10%
Senam lansia di kelurahan - Rp0 10%
Konsumsi senam kesehatan lansia 600,000 Rp600,000 5% 29,100 10% 60,000 545,455 28,571 18,000 46,571 Rp553,429
Honor instruktur senam 150,000 Rp150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
- Rp0 10%
REMAJA - Rp0 10%
Kelas remaja di kelurahan - Rp0 10%
- Rp0 10%
- Rp0 10%
pembinaan Konselor sebaya di sekolah - Rp0 10%
- Rp0
5% - 10% - -
Pertemuan Lokakaryamini Bulanan - 10%
b. Spanduk - Rp0 10%
c. Transpor Peserta - Rp0 10%
e. Honorarium Panitia - Rp0 10%
- ketua 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
- sekretaris 250,000 Rp250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
- Anggota 450,000 Rp450,000 5% 21,375 10% 45,000 409,091 22,500 22,500 Rp427,500
- Rp0
Distribusi Alkes dan BHP di Jaringan - Rp0
a. biaya sewa kendaraan 100,000 Rp100,000 0% - 0% - 90,909 - Rp100,000
b. biaya buruh angkut 50,000 Rp50,000 0% - 0% - 45,455 - Rp50,000
- Rp0
- Rp0 10%
Honorarium Tim Perencanaan PKM - Rp0 10%
a. Ketua 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
c. Anggota 450,000 Rp450,000 5% 21,375 10% 45,000 409,091 22,500 22,500 Rp427,500
- Rp0 10%
Honorarium Tim Penilaian Kinerja - Rp0 10%
a. Ketua 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
c. Anggota 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
- Rp0 10%
- Rp0 10%
ATK Pembuatan laporan tahunan untuk tiap
677,000 Rp677,000 5% 33,850 10% 67,700 615,455 - Rp677,000
program
- Rp0 10%
- Rp0
-
TOTAL PPN DAN PPH BELANJA BARANG BANTUAN MASYARAKAT #REF! ###

CATATAN :
TOTAL Rp 282,381
BULAN AGUSTUS 2018
TOTAL
PAJAK YANG
PAJAK

3 Belanja Alat Tulis Kantor Rp877,000 797,273 Rp0 Rp877,000
5 Belanja Bahan Contoh Rp0 - Rp0 Rp0

PMT Pemulihan Balita Gizi Kurang Rp1,500,000 1,363,636 136,364 Rp136,364 Rp1,363,636
Pembuatan dan penyebaran Leaflet Rp0 - Rp0 Rp0
Pembuatan Poster jiwa Rp150,000 136,364 Rp0 Rp150,000

TOTAL - 44,887,000 - - 40,806,364 891,472 220,000 319,718 - 1,431,190 43,455,810

OLEH PKM

YANG
TOTAL
DITERIMA
POTONGAN
PROGRAM
Rp7,458,800 Rp37,428,200
Rp7,176,419 Rp37,710,581
Rp135,671 Rp464,329
Rp69,125 Rp280,875
Rp49,375 Rp200,625
Rp39,500 Rp160,500
Rp29,625 Rp120,375
Rp135,000 Rp2,565,000
Rp31,500 Rp178,500
Rp31,500 Rp178,500
Rp31,500 Rp178,500
Rp90,000 Rp510,000
Rp468,000 Rp2,652,000
Rp94,500 Rp535,500
Rp180,000 Rp1,020,000
Rp135,671 Rp464,329
Rp58,500 Rp331,500
Rp288,000 Rp1,632,000
Rp189,000 Rp1,071,000
Rp90,000 Rp510,000
Rp126,000 Rp714,000
Rp9,000 Rp51,000
Rp9,000 Rp51,000
Rp63,000 Rp357,000
Rp135,671 Rp464,329
Rp29,625 Rp120,375
Rp63,000 Rp357,000
Rp9,000 Rp51,000
Rp0 Rp420,000
Rp31,500 Rp178,500
Rp1,363,818 Rp3,836,182
Rp354,545 Rp1,145,455
Rp117,000 Rp663,000
Rp0 Rp1,950,000
Rp175,500 Rp994,500
Rp13,500 Rp76,500
Rp135,671 Rp464,329
Rp90,000 Rp510,000
Rp54,000 Rp306,000
Rp54,000 Rp306,000
Rp18,000 Rp102,000
Rp99,000 Rp561,000
Rp207,000 Rp1,173,000
Rp36,000 Rp204,000
Rp63,000 Rp357,000
Rp22,500 Rp127,500
Rp56,530 Rp193,470
Rp29,625 Rp120,375
Rp56,530 Rp193,470
Rp29,625 Rp120,375
Rp63,000 Rp357,000
Rp108,000 Rp612,000
Rp9,000 Rp51,000
Rp135,671 Rp464,329
Rp9,000 Rp51,000
Rp135,671 Rp464,329
Rp29,625 Rp120,375
Rp63,000 Rp357,000
Rp36,000 Rp204,000
Rp305,261 Rp1,044,739
Rp7,500 Rp42,500
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp88,875 Rp361,125
Rp0 Rp100,000
Rp0 Rp50,000
Rp108,537 Rp371,463
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp88,875 Rp361,125
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp59,250 Rp240,750
Rp30,000 Rp170,000
Rp101,550 Rp575,450
Rp30,000 Rp170,000
Rp126,000 Rp714,000
Rp7,458,800 Rp37,428,200
18,000 582,000
17,500 332,500
12,500 237,500
10,000 190,000
7,500 142,500
18,000 582,000
18,000 582,000
7,500 142,500
614,545 4,585,455
136,364 1,363,636
18,000 582,000
7,500 242,500
7,500 142,500
7,500 242,500
7,500 142,500
18,000 582,000
18,000 582,000
7,500 142,500
40,500 1,309,500
15,000 285,000
12,500 237,500
22,500 427,500
14,400 465,600
15,000 285,000
12,500 237,500
22,500 427,500
15,000 285,000
12,500 237,500
15,000 285,000
RINCIAN PENGGUNAAN ANGGARAN DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN SEPTEMBER TAHUN 2018
YANG
POTONGAN
SEPTEMBER PERMINTAAN DITERIMA DI
DIKES
(PPN/PPH)
Rp914,762 Rp576,300 Rp2,236,300 Rp82,463,700
-
Ka PKM 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
Admin 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
Supervisor 750,000 750,000 5% 35,625 10% 75,000 681,818 37,500 37,500 Rp712,500
- - - - Rp0
Kunjungan rumah intervensi PIS PK - - - - Rp0
Transport Petugas 2,700,000 2,700,000 5% 135,000 0% 2,454,545 - Rp2,700,000
- - Rp0
UKM ESENSIAL 33,550,000 33,550,000 -
- - - Rp0
PROMOSI KESEHATAN - - - Rp0
- - - Rp0
distribusi garam beryodium 600,000 600,000 5% 30,000 10% 60,000 545,455 - Rp600,000
- - - - Rp0
Pelayanan Posyandu - - - - Rp0
Transport petugas 3,120,000 3,120,000 5% 156,000 10% 312,000 2,836,364 - Rp3,120,000
- - - - Rp0
Survei PHBS sekolah dan penentuan strata sekolah - - - - Rp0
Transport petugas 630,000 630,000 5% 31,500 10% 63,000 572,727 - Rp630,000
Penggandaan Formulir Survey PHBS Sekolah
100,000 100,000 5% 5,000 10% 10,000 90,909 - Rp100,000
Dasar/Madrasah
- - - - Rp0
UKS - - - - Rp0
Pembinaan Dokter kecil - - - - Rp0
Snack peserta pembinaan dokcil 600,000 600,000 5% 29,100 10% 60,000 545,455 28,571 18,000 46,571 Rp553,429
- - - - Rp0
Pembinaan Poskestren - - - - Rp0
- - - - Rp0
Penyuluhan Kesehatan Reproduksi remaja,
- - - - Rp0
Dampak Rokok dan penyalahgunaan Napza
- - - - Rp0
Pembinaan kantin sehat - - - - Rp0
- - - - Rp0
UKGS - - - - Rp0
Pembinaan dan Pemeriksaan Gigi di TK / PAUD - - - - Rp0
- - - - Rp0
KESEHATAN LINGKUNGAN - - - - Rp0
- - - - Rp0
Pemantauan TTU & TPM 840,000 840,000 5% 42,000 10% 84,000 763,636 - Rp840,000
- - - - Rp0
Kunjungan Rumah Pasien Klinik Sanitasi 60,000 60,000 5% 3,000 10% 6,000 54,545 - Rp60,000
- - - - Rp0
KIA - - - - Rp0
- - - - Rp0
PELACAKAN KASUS RESTI 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- - - - Rp0
PROMOSI KB 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- - - - Rp0
KELAS IBU HAMIL DI PKM - - - - Rp0
snack kelas bumil di PKM 900,000 900,000 5% 43,650 10% 90,000 818,182 42,857 27,000 69,857 Rp830,143
Honor Fasilitator 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
- - - - Rp0
KELAS IBU HAMIL DI KELURAHAN - - - - Rp0
snack kelas bumil 1,200,000 1,200,000 5% 58,200 10% 120,000 1,090,909 57,143 36,000 93,143 Rp1,106,857
- - - - Rp0
Pemantauan SDIDTK di TK/PAUD 60,000 60,000 5% 3,000 10% 6,000 54,545 - Rp60,000
- - - - Rp0
PENYULUHAN IVA DAN KANKER
420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
PAYUDARA DI Kelurahan
- - - - Rp0
DRK/ Konsumsi pertemuan DRK 600,000 600,000 5% 29,100 10% 60,000 545,455 28,571 18,000 46,571 Rp553,429
- - - - Rp0
GIZI - - - - Rp0
- - - - Rp0
Sweeping posyandu - - - - Rp0
Transport kader sweeping posyandu 780,000 780,000 0% - 0% 709,091 - Rp780,000
- - - - Rp0
Pemberian PMT Penyuluhan 5,200,000 5,200,000 5% 229,273 10% 520,000 4,727,273 472,727 141,818 614,545 Rp4,585,455
- - - - Rp0
pemantauan pemberian PMT gizi kurang 300,000 300,000 5% 15,000 10% 30,000 272,727 - Rp300,000
- - - - Rp0
Pekan penimbangan posyandu - - - - Rp0
transport petugas 780,000 780,000 5% 39,000 10% 78,000 709,091 - Rp780,000
transport kader 1,950,000 1,950,000 0% - 0% 1,772,727 - Rp1,950,000
- - - - Rp0
PELAYANAN PENCEGAHAN DAN PENGENDALIA - - - - Rp0
SURVEILANS - - - - Rp0
pelacakan kasus peny.yang berpotensi KLB 210,000 210,000 5% 10,500 10% 21,000 190,909 - Rp210,000
- - - - Rp0
pelacakan kasus penyakit new emerging
1,320,000 1,320,000 5% 66,000 10% 132,000 1,200,000 - Rp1,320,000
kepulangan jemaah haji
- - - - Rp0
TB - - - - Rp0
- - - - Rp0
Penggalangan Komitmen PMO Bersama Pasien
- - - - Rp0
dan Senam Pernapasan
Transport peserta 2,400,000 2,400,000 5% 120,000 10% 240,000 2,181,818 - Rp2,400,000
Konsumsi 2,520,000 2,520,000 5% 122,220 10% 252,000 2,290,909 120,000 75,600 195,600 Rp2,324,400
- - - - Rp0
penjaringan oleh kader TB paru 320,000 320,000 0% - 0% 290,909 - Rp320,000
- - - - Rp0
Pelacakan kontak serumah dan tetangga BTA+ 600,000 600,000 5% 30,000 10% 60,000 545,455 - Rp600,000
- - - - Rp0
kunjungan rumah TB mangkir - - - - Rp0
- - - - Rp0
Pengantaran sampel TB ke Lab. Rujukan - - - - Rp0
- - - - Rp0
KUSTA - - - - Rp0
- - - - Rp0
KUSTA - - - - Rp0
pelacakan kasus kusta di masyarakat 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- - - - Rp0
pemantauan minum obat pada pasien kusta 120,000 120,000 5% 6,000 10% 12,000 109,091 - Rp120,000
- - - - Rp0
Pelaksanaan imunisasi campak rubella di umur 9
- - - - Rp0
bulan - 15 tahun
Transport kader 1,560,000 1,560,000 0% - 0% 1,418,182 - Rp1,560,000
- - - Rp0
- - Rp0
UKK - - - Rp0
- - - Rp0
- Rp0 - - Rp0
pelatihan kader UKK - Rp0 - - Rp0
honor narasumber 150,000 Rp150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
Transport peserta 600,000 Rp600,000 0% - 0% - 545,455 - Rp600,000
- Rp0 - - Rp0
JIWA - Rp0 - - Rp0
- Rp0 - - Rp0
- Rp0 - - Rp0
Senam bersama pasien jiwa - Rp0 - - Rp0
- Rp0 - - Rp0
Kegiatan kerohanian pasien jiwa - Rp0 - - Rp0
Snack 250,000 Rp250,000 5% 12,125 10% 25,000 227,273 11,905 7,500 19,405 Rp230,595
- Rp0 - - Rp0
PENGOBATAN TRADISIONAL - Rp0 - - Rp0
- Rp0 - - Rp0
pembinaan batra (keterampilan + ramuan) 420,000 Rp420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- Rp0 - - Rp0
LANSIA - Rp0 - - Rp0
720,000 Rp720,000 5% 36,000 10% 72,000 654,545 - Rp720,000
petugas)
- Rp0 - - Rp0
penyuluhan kesehatan lansia - Rp0 - - Rp0
- Rp0 - - Rp0
PERKESMAS - Rp0 - - Rp0
- Rp0 - - Rp0
REMAJA - Rp0 - - Rp0
- Rp0 - - Rp0
PENYULUHAN KESPRO dan NAPZA di
- Rp0 - - Rp0
kelurahan
transpor petugas 90,000 Rp90,000 5% 4,500 10% 9,000 81,818 - Rp90,000
- Rp0 - - Rp0
PANCA INDRA - Rp0 - - Rp0
- Rp0 - - Rp0
Penjaringan panca indera 660,000 Rp660,000 5% 33,000 10% 66,000 600,000 - Rp660,000
- Rp0 - - Rp0
- Rp0 - - Rp0
indera
transport pretugas 120,000 Rp120,000 5% 6,000 10% 12,000 109,091 - Rp120,000
Konsumsi 600,000 Rp600,000 5% 29,100 10% 60,000 545,455 28,571 18,000 46,571 Rp553,429
- - - Rp0
- 5% - 10% - - - Rp0
Pertemuan Lokakaryamini Bulanan - - - Rp0
b. Spanduk - Rp0 - - Rp0
c. Transpor Peserta - Rp0 - - Rp0
e. Honorarium Panitia - Rp0 - - Rp0
- ketua 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
- sekretaris 250,000 Rp250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
- Anggota 450,000 Rp450,000 5% 21,375 10% 45,000 409,091 22,500 22,500 Rp427,500
- Rp0 - - Rp0
Pertemuan Lokakaryamini Tribulanan - Rp0 - - Rp0
b. Spanduk - Rp0 - - Rp0
c. Transpor Peserta 1,300,000 Rp1,300,000 0% - 0% 1,181,818 - Rp1,300,000
d. ATK 260,000 Rp260,000 5% 13,000 10% 26,000 236,364 - Rp260,000
e. Honorarium Narasumber 700,000 Rp700,000 5% 33,250 10% 70,000 636,364 35,000 35,000 Rp665,000
f. Honorarium Panitia - Rp0 - - Rp0
- ketua 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
- sekretaris 250,000 Rp250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
- Anggota 450,000 Rp450,000 5% 21,375 10% 45,000 409,091 22,500 22,500 Rp427,500
- Rp0 - - Rp0
Rapat Tinjauan Manajemen Puskesmas - Rp0 - - Rp0
b. Penggandaan 100,000 Rp100,000 5% 5,000 10% 10,000 90,909 - Rp100,000
Pertemuan Analisis Hasil Audit Internal & - Rp0 - - Rp0
PMKP - Rp0 - - Rp0
b. Penggandaan 100,000 Rp100,000 5% 5,000 10% 10,000 90,909 - Rp100,000
- Rp0 - - Rp0
Pelaksanaan MMD - Rp0 - - Rp0
a. Konsumsi peserta 7,560,000 Rp7,560,000 5% 366,660 10% 756,000 6,872,727 360,000 226,800 586,800 Rp6,973,200
b. Transport Peserta 6,300,000 Rp6,300,000 0% - 0% 5,727,273 - Rp6,300,000
c. ATK 1,050,000 Rp1,050,000 5% 47,727 10% 105,000 954,545 95,455 95,455 Rp954,545
d. Spanduk 100,000 Rp100,000 5% 5,000 10% 10,000 90,909 - Rp100,000
e. Honor Narasumber 4,900,000 Rp4,900,000 5% 232,750 10% 490,000 4,454,545 245,000 245,000 Rp4,655,000
f. Honorarium Panitia - Rp0 - - Rp0
- ketua 2,100,000 Rp2,100,000 5% 99,750 10% 210,000 1,909,091 105,000 105,000 Rp1,995,000
- sekretaris 1,750,000 Rp1,750,000 5% 83,125 10% 175,000 1,590,909 87,500 87,500 Rp1,662,500
- Anggota 2,100,000 Rp2,100,000 5% 99,750 10% 210,000 1,909,091 105,000 105,000 Rp1,995,000
- Rp0 - - Rp0
Distribusi Alkes dan BHP di Jaringan - Rp0 - - Rp0
a. biaya sewa kendaraan 100,000 Rp100,000 0% - 0% 90,909 - Rp100,000
b. biaya buruh angkut 50,000 Rp50,000 0% - 0% 45,455 - Rp50,000
- Rp0 - - Rp0
- Rp0 - - Rp0
Honorarium Tim Perencanaan PKM - Rp0 - - Rp0
a. Ketua 300,000 Rp300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
c. Anggota 450,000 Rp450,000 5% 21,375 10% 45,000 409,091 22,500 22,500 Rp427,500
- Rp0 - - Rp0
Honorarium Pengelola BOK - Rp0 - - Rp0
Kuasa Pengguna Anggaran 900,000 Rp900,000 5% 42,750 10% 90,000 818,182 45,000 45,000 Rp855,000
Pengelola Keuangan 750,000 Rp750,000 5% 35,625 10% 75,000 681,818 37,500 37,500 Rp712,500
Pengelola Administrasi 750,000 Rp750,000 5% 35,625 10% 75,000 681,818 37,500 37,500 Rp712,500
- Rp0 - - Rp0
- Rp0 - - Rp0
- - - Rp0
- - - Rp0
Pemicuan (STBM) STOP BABS di kelurahan 2,100,000 2,100,000 5% 105,000 10% 210,000 1,909,091 - Rp2,100,000
ATK Pemicuan (STBM) STOP BABS di kelurahan 700,000 700,000 5% 35,000 10% 70,000 636,364 - Rp700,000
- - Rp0
Jumlah 84,700,000 Rp3,475,185 Rp6,904,000 Rp1,482,944 Rp950,000 Rp718,118 Rp0 Rp1,708,184 Rp81,548,938

CATATAN :
TOTAL Rp 914,762
BULAN SEPTEMBER 2018
TOTAL
PAJAK YANG
PAJAK

3 Belanja Alat Tulis Kantor Rp1,160,000 1,054,545 Rp0 Rp1,160,000
4 Belanja Alat Tulis Kantor Kena Pajak (PAJAK PPN) Rp1,050,000 954,545 95,455 Rp95,455 Rp954,545
5 Belanja materai - Rp0 Rp0
6 Belanja Bahan Contoh - Rp0 Rp0

PMT Pemulihan Balita Gizi Kurang - - Rp0 Rp0

10 Belanja Spanduk Rp100,000 90,909 Rp0 Rp100,000
11 Belanja makanan dan minuman rapat Rp19,210,000 17,463,636 914,762 576,300 Rp1,491,062 Rp17,718,938
Pembuatan dan penyebaran Leaflet Rp0 - Rp0 Rp0
Pembuatan Poster jiwa Rp0 - Rp0 Rp0

TOTAL - 84,700,000 5% 3,475,185 10% 6,904,000 77,000,000 1,482,944 950,000 718,118 - 3,151,062 81,548,938

OLEH PKM
CATATAN : TANDA HIJAU KENA POTONGAN
PAJAK

YANG
TOTAL
DITERIMA
POTONGAN
PROGRAM
NAMA PARAF
Rp13,530,247 Rp71,169,753
Rp12,615,485 Rp72,084,515
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp148,125 Rp601,875
Rp0 Rp0
Rp0 Rp0
Rp135,000 Rp2,565,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp90,000 Rp510,000
Rp0 Rp0
Rp0 Rp0
Rp468,000 Rp2,652,000
Rp0 Rp0
Rp0 Rp0
Rp94,500 Rp535,500
Rp15,000 Rp85,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp180,000 Rp1,020,000
Rp135,671 Rp464,329
Rp0 Rp0
Rp0 Rp0
Rp13,500 Rp76,500
Rp0 Rp0
Rp0 Rp0
Rp94,500 Rp535,500
Rp0 Rp0
Rp0 Rp0
Rp45,000 Rp255,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp126,000 Rp714,000
Rp0 Rp0
Rp9,000 Rp51,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp203,507 Rp696,493
Rp29,625 Rp120,375
Rp0 Rp0
Rp0 Rp0
Rp271,343 Rp928,657
Rp29,625 Rp120,375
Rp0 Rp0
Rp9,000 Rp51,000
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp135,671 Rp464,329
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp780,000
Rp0 Rp0
Rp1,363,818 Rp3,836,182
Rp0 Rp0
Rp45,000 Rp255,000
Rp0 Rp0
Rp0 Rp0
Rp117,000 Rp663,000
Rp0 Rp1,950,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp31,500 Rp178,500
Rp0 Rp0
Rp198,000 Rp1,122,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp360,000 Rp2,040,000
Rp569,820 Rp1,950,180
Rp0 Rp0
Rp0 Rp320,000
Rp0 Rp0
Rp90,000 Rp510,000
Rp0 Rp0
Rp0 Rp0
Rp36,000 Rp204,000
Rp0 Rp0
Rp0 Rp0
Rp54,000 Rp306,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp18,000 Rp102,000
Rp0 Rp0
Rp0 Rp0
Rp234,000 Rp1,326,000
Rp0 Rp1,560,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp36,000 Rp204,000
Rp0 Rp0
Rp0 Rp0
Rp29,625 Rp120,375
Rp0 Rp600,000
Rp169,589 Rp580,411
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp56,530 Rp193,470
Rp29,625 Rp120,375
Rp0 Rp0
Rp0 Rp0
Rp56,530 Rp193,470
Rp29,625 Rp120,375
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp108,000 Rp612,000
Rp0 Rp0
Rp0 Rp0
Rp9,000 Rp51,000
Rp135,671 Rp464,329
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp13,500 Rp76,500
Rp67,836 Rp232,164
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp99,000 Rp561,000
Rp0 Rp0
Rp0 Rp0
Rp18,000 Rp102,000
Rp135,671 Rp464,329
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp305,261 Rp1,044,739
Rp0 Rp0
Rp0 Rp0
Rp7,500 Rp42,500
Rp0 Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp88,875 Rp361,125
Rp0 Rp0
Rp0 Rp0
Rp203,507 Rp696,493
Rp0 Rp0
Rp0 Rp1,300,000
Rp39,000 Rp221,000
Rp138,250 Rp561,750
Rp0 Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp88,875 Rp361,125
Rp0 Rp0
Rp0 Rp0
Rp47,485 Rp162,515
Rp15,000 Rp85,000
Rp0 Rp0
Rp0 Rp0
Rp67,836 Rp232,164
Rp15,000 Rp85,000
Rp0 Rp0
Rp0 Rp0
Rp1,709,460 Rp5,850,540
Rp0 Rp6,300,000
Rp248,182 Rp801,818
Rp15,000 Rp85,000
Rp967,750 Rp3,932,250
Rp0 Rp0
Rp414,750 Rp1,685,250
Rp345,625 Rp1,404,375
Rp414,750 Rp1,685,250
Rp0 Rp0
Rp0 Rp0
Rp0 Rp100,000
Rp0 Rp50,000
Rp0 Rp0
Rp72,358 Rp247,642
Rp0 Rp0
Rp0 Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp88,875 Rp361,125
Rp0 Rp0
Rp0 Rp0
Rp177,750 Rp722,250
Rp148,125 Rp601,875
Rp148,125 Rp601,875
Rp0 Rp0
Rp30,000 Rp170,000
Rp0 Rp0
Rp30,000 Rp170,000
Rp0 Rp0
Rp0 Rp0
Rp315,000 Rp1,785,000
Rp105,000 Rp595,000
Rp0 Rp0
Rp13,530,247 Rp71,169,753
15,000 285,000
12,500 237,500
37,500 712,500
18,000 582,000
27,000 873,000
7,500 142,500
36,000 1,164,000
7,500 142,500
18,000 582,000
614,545 4,585,455
75,600 2,444,400
7,500 142,500
22,500 727,500
7,500 242,500
7,500 142,500
7,500 242,500
7,500 142,500
18,000 582,000
9,000 291,000
18,000 582,000
40,500 1,309,500
15,000 285,000
12,500 237,500
22,500 427,500
27,000 873,000
35,000 665,000
15,000 285,000
12,500 237,500
22,500 427,500
6,300 203,700
9,000 291,000
226,800 7,333,200
95,455 954,545
245,000 4,655,000
105,000 1,995,000
87,500 1,662,500
105,000 1,995,000
9,600 310,400
15,000 285,000
12,500 237,500
22,500 427,500
45,000 855,000
37,500 712,500
37,500 712,500
TOTAL
PAJAK
HRG DASAR PPN PPH 21 PPH 22 PPH 23 PAJAK
1 Honorarium Tim/ Panitia Pelaksana Kegiatan Rp19,000,000 17,272,727 950,000 Rp950,000
2 Uang saku/Transport Rp38,280,000 34,800,000 Rp0

3 Belanja Alat Tulis Kantor Rp1,160,000 1,054,545 Rp0
4 Belanja Alat Tulis Kantor Kena Pajak (PAJAK PPN) Rp1,050,000 954,545 95,455 Rp95,455
5 Belanja materai - Rp0
6 Belanja Bahan Contoh - Rp0
7 (KENA PAJAK PPH22) : - - - Rp0
Pemberian PMT Penyuluhan Rp5,200,000 4,727,273 472,727 141,818 Rp614,545

8 (TIDAK KENA PAJAK PPH22) : - Rp0
PMT Pemulihan Balita Gizi Kurang - - Rp0

9 Belanja Penggandaan (Foto Copy) Rp550,000 500,000 Rp0
10 Belanja Spanduk Rp100,000 90,909 Rp0
11 Belanja makanan dan minuman rapat Rp19,210,000 17,463,636 914,762 576,300 Rp1,491,062
12 Belanja Cetak (KENA PAJAK PPH22) Rp0 - - - Rp0
13 Belanja Cetak (TIDAK KENA PAJAK PPH22) : - Rp0
Pembuatan dan penyebaran Leaflet Rp0 - Rp0
Penggandaan Prokesga Keluarga Rp0 - - Rp0
Stiker PIS PK Rp0 - - Rp0
Pembuatan Poster jiwa Rp0 - Rp0
14 PIS PK (KENA PAJAK PPH22) Rp0 - - - Rp0
15 Distribusi Alkes dan BHP di Jaringan - Rp0

Biaya Sewa kendaraan Rp100,000 90,909 Rp0
Biaya buruh angkut Rp50,000 45,455 Rp0
TOTAL - 84,700,000 77,000,000 1,482,944 950,000 718,118 - 3,151,062

OLEH PKM
CATATAN : TANDA HIJAU KENA POTONGAN
PAJAK

RINCIAN PENGGUNAAN ANGGARAN DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN SEPTEMBER TAHUN 2018
PERMINTAAN
Belanja Penggantian Jasa Pelayanan Publik
-
Snack peserta pembinaan dokter kecil bulan september 600,000
###
-
snack kelas bumil di PKM bulan september 900,000
###
-
snack kelas bumil di kelurahan bulan september 1,200,000
###
-
DRK/ Konsumsi pertemuan DRK bulan september 600,000
###
-
Konsumsi Penggalangan Komitmen PMO Bersama Pasien dan Senam Pernapasan bulan september 2,520,000
###
-
konsumsi peserta pelatihan kader UKK bulan september Rp750,000
###
Rp0
Snack peserta Senam bersama pasien jiwa bulan september Rp250,000
###
Snack Kegiatan kerohanian pasien jiwa bulan september Rp250,000

###
Rp0
Konsumsi penyuluhan kesehatan lansia bulan september Rp600,000
###
Rp0
konsumsi peserta PENYULUHAN KESPRO dan NAPZA di kelurahan bulan september Rp300,000
###
Rp0
Konsumsi Penyuluhan kesehatan pada pasien gangguan panca indera bulan september Rp600,000
###
Konsumsi Peserta Pertemuan Lokakaryamini Bulanan bulan september Rp1,350,000

###
Rp0
Konsumsi Peserta Pertemuan Lokakaryamini Tribulanan bulan september Rp900,000
###
Rp0
Rp0
Konsumsi Peserta Rapat Tinjauan Manajemen Puskesmas bulan september Rp210,000
###
Rp0
Rp0
Konsumsi Peserta Pertemuan Analisis Hasil Audit Internal & PMKP bulan september Rp300,000
###
Rp0
Konsumsi peserta Pelaksanaan MMD bulan september Rp7,560,000
###
makan minum Lembur Tim bulan september Rp320,000

###
Rp19,210,000
RINCIAN PENGGUNAAN ANGGARAN DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN OKTOBER TAHUN 2018
YANG
POTONGAN
OKTOBER PERMINTAAN DITERIMA DI
DIKES
(PPN/PPH)
Rp540,000 Rp340,200 Rp1,371,018 Rp44,318,982

DATA PUSKESMAS -
Konsumsi 600,000 600,000 5% 29,100 10% 60,000 545,455 28,571 18,000 46,571 Rp553,429
honor Narsum 350,000 350,000 5% 16,625 10% 35,000 318,182 17,500 17,500 Rp332,500
Ketua 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
Sekretaris 200,000 200,000 5% 9,500 10% 20,000 181,818 10,000 10,000 Rp190,000
Anggota 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
- -
Kunjungan rumah intervensi PIS PK - -
Transport Petugas 2,700,000 2,700,000 0% - 0% 2,454,545 - Rp2,700,000
- -
Monev Pelaksanaan PIS PK di Kelurahan - -
Ka PKM 210,000 210,000 5% 9,975 10% 21,000 190,909 10,500 10,500 Rp199,500
Admin 210,000 210,000 5% 9,975 10% 21,000 190,909 10,500 10,500 Rp199,500
Supervisor 210,000 210,000 5% 9,975 10% 21,000 190,909 10,500 10,500 Rp199,500
- -
UKM ESENSIAL 25,380,000 25,380,000 -
- - -
PROMOSI KESEHATAN -
-
- -
Penyuluhan keliling penyakit lingkungan
- -
berdasarkan perubahan musim
- -
Pelayanan Posyandu - -
- -
UKS - -
- -
Pembinaan Poskestren - -
- -
Pembinaan kantin sehat - -
- -
KESEHATAN LINGKUNGAN - -
- -
- -
KIA - -
- -
420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
DIKELURAHAN
- -
KELAS IBU BALITA DAN PMBA - -
SNACK KELAS IBU BALITA DAN PMBA 600,000 600,000 5% 29,100 10% 60,000 545,455 28,571 18,000 46,571 Rp553,429
- -
KELAS IBU HAMIL DI PKM - -
- -
KELAS IBU HAMIL DI KELURAHAN - -
- -
Pemantauan SDIDTK di kelurahan 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- -
Honor Narasumber DRK 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
- -
OJT KIA - -
konsumsi OJT KIA 600,000 600,000 5% 29,100 10% 60,000 545,455 28,571 18,000 46,571 Rp553,429
- -
GIZI - -
- -
distribusi dan penyuluhan Fe di sekolah 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- -
- -
Pelaksanaan kelas gizi - -
pembelian bahan makanan 1,400,000 1,400,000 5% 63,636 10% 140,000 1,272,727 127,273 127,273 Rp1,272,727
transport petugas penyuluh 900,000 900,000 5% 45,000 10% 90,000 818,182 - Rp900,000
tranport kader 600,000 600,000 0% - 0% - 545,455 - Rp600,000
- -
SURVEILANCE - -
- -
Posbindu PTM 1,170,000 1,170,000 5% 58,500 10% 117,000 1,063,636 - Rp1,170,000
- -
TB - -
- -
Konsumsi 900,000 900,000 5% 43,650 10% 90,000 818,182 42,857 27,000 69,857 Rp830,143
- -
pembinaan dan pengawasan PMO 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- -
Pengantaran sampel TB ke Lab. Rujukan - -
- -
210,000 210,000 5% 10,500 10% 21,000 190,909 - Rp210,000
kader di kelurahan
- -
KUSTA - -
- -
pemeriksaan kontak serumah dan tetangga 360,000 360,000 5% 18,000 10% 36,000 327,273 - Rp360,000
- -
pemantauan minum obat pada pasien kusta 120,000 120,000 5% 6,000 10% 12,000 109,091 - Rp120,000
- -
IMUNISASI - -
- -
Sweeping Campak Rubella di kelurahan 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
Sweeping Campak Rubella di sekolah 1,380,000 1,380,000 5% 69,000 10% 138,000 1,254,545 - Rp1,380,000
- -
Pelaksanaan BIAS I - -
-
- - Rp0
JIWA -
-
KUNJUNGAN RUMAH PASIEN JIWA 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- -
Senam bersama pasien jiwa - -
Snack peserta 250,000 250,000 5% 12,125 10% 25,000 227,273 11,905 7,500 19,405 Rp230,595
honor instruktur senam 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
- -
Kegiatan kerohanian pasien jiwa - -
Snack 250,000 250,000 5% 12,125 10% 25,000 227,273 11,905 7,500 19,405 Rp230,595
Honor ustadz 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
- -
LANSIA - -
- -
720,000 720,000 5% 36,000 10% 72,000 654,545 - Rp720,000
petugas)
- -
Senam lansia di kelurahan - -
Konsumsi senam kesehatan lansia 600,000 600,000 5% 29,100 10% 60,000 545,455 28,571 18,000 46,571 Rp553,429
Honor instruktur senam 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
- -
PERKESMAS - -
- -
Transport peserta Pertemuan terpadu dengan
petugas pustu,polindes,poskesdes,tentang program 450,000 450,000 5% 22,500 10% 45,000 409,091 - Rp450,000
perkesmas
ATK 100,000 100,000 5% 5,000 10% 10,000 90,909 - Rp100,000
Konsumsi peserta 540,000 540,000 5% 26,190 10% 54,000 490,909 25,714 16,200 41,914 Rp498,086
- -
REMAJA - -
Kelas remaja di kelurahan - -
snack peserta kls remaja di kelurahan 150,000 150,000 5% 7,275 10% 15,000 136,364 7,143 4,500 11,643 Rp138,357
- -
Posyandu REMAJA 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- -
screening hb remaja di kelurahan 1,260,000 1,260,000 5% 63,000 10% 126,000 1,145,455 - Rp1,260,000
- -
-
a. Konsumsi Peserta 1,350,000 1,350,000 5% 65,475 10% 135,000 1,227,273 64,286 40,500 104,786 Rp1,245,214
b. Spanduk - -
c. Transpor Peserta - -
d. Penggandaan 50,000 50,000 5% 2,500 10% 5,000 45,455 - Rp50,000
e. Honorarium Panitia - -
- ketua 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
- sekretaris 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
- Anggota 450,000 450,000 5% 21,375 10% 45,000 409,091 22,500 22,500 Rp427,500
- -
Pertemuan Penyusunan RUK Puskesmas - -
b. ATK 200,000 200,000 5% 10,000 10% 20,000 181,818 - Rp200,000
- -
Honorarium Tim Audit Internal - -
a. Ketua 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
b. Sekretaris 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
c. Anggota 750,000 750,000 5% 35,625 10% 75,000 681,818 37,500 37,500 Rp712,500
- -
Distribusi Alkes dan BHP di Jaringan - -
a. biaya sewa kendaraan 100,000 100,000 0% - 0% - 90,909 - Rp100,000
b. biaya buruh angkut 50,000 50,000 0% - 0% - 45,455 - Rp50,000
- -
Pembinaan Jejaring - -
a. Transpor Petugas 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- -
makan minum Lembur Tim 1,600,000 1,600,000 5% 77,600 10% 160,000 1,454,545 76,190 48,000 124,190 Rp1,475,810
- -
Honorarium Tim Penilaian Kinerja - -
a. Ketua 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
b. Sekretaris 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
c. Anggota 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
- -
ATK Manajemen BOK 440,000 440,000 5% 22,000 10% 44,000 400,000 - Rp440,000
- -
Penggandaan SPJ 300,000 300,000 5% 15,000 10% 30,000 272,727 - Rp300,000
-
- - - - Rp0
- -

CATATAN :
TOTAL Rp 540,000
BULAN OKTOBER 2018
TOTAL
PAJAK YANG
PAJAK
1 BELANJA HONORARIUM Rp5,780,000 5,254,545 289,000 Rp289,000 Rp5,491,000

Rp0
2 BELANJA TRANSPORT Rp20,730,000 18,845,455 Rp0 Rp20,730,000
Rp0
3 ALAT TULIS KANTOR - Rp0 Rp0
ATK pertemuan terpadu dengan petugas (perkesmas) Rp100,000 Rp100,000
ATK pertemuan penyusunan RUK PKM Rp200,000 Rp200,000
ATK manajemen BOK Rp440,000 Rp440,000
Rp0
4 BELANJA BAHAN CONTOH - - - Rp0 Rp0
PMT Penyuluhan Rp5,200,000 4,727,273 472,727 141,818 Rp614,545 Rp4,585,455
Bahan Makanan Kelas Gizi Rp1,400,000 1,272,727 127,273 Rp127,273 Rp1,272,727
Rp0
5 BELANJA PENGGANDAAN (FOTO COPY) Rp0
penggandaan MINILOK Rp50,000 Rp50,000
Penggandaan SPJ Rp300,000 Rp300,000
Rp0
6 BELANJA MAKANAN DAN MINUMAN Rp11,340,000 10,309,091 540,000 340,200 Rp880,200 Rp10,459,800
Rp0
7 BELANJA JASA Rp0
Sewa kendaraan Distribusi Alkes dan BHP di
Jaringan Rp100,000 90,909 Rp0 Rp100,000
Biaya buruh angkut Distribusi Alkes dan BHP

di Jaringan Rp50,000 45,455 Rp0 Rp50,000
TOTAL - 45,690,000 40,545,455 1,140,000 289,000 482,018 - 1,911,018 43,778,982

Rp 540,000
OLEH PKM

YANG
TOTAL
DITERIMA
POTONGAN
PROGRAM
Rp8,178,467 Rp37,511,533
Rp7,638,467 Rp38,051,533
Rp135,671 Rp464,329
Rp69,125 Rp280,875
Rp49,375 Rp200,625
Rp39,500 Rp160,500
Rp29,625 Rp120,375
Rp0 Rp2,700,000
Rp41,475 Rp168,525
Rp41,475 Rp168,525
Rp41,475 Rp168,525
Rp90,000 Rp510,000
Rp121,500 Rp688,500
Rp468,000 Rp2,652,000
Rp13,500 Rp76,500
Rp45,000 Rp255,000
Rp9,000 Rp51,000
Rp63,000 Rp357,000
Rp135,671 Rp464,329
Rp29,625 Rp120,375
Rp203,507 Rp696,493
Rp29,625 Rp120,375
Rp271,343 Rp928,657
Rp29,625 Rp120,375
Rp63,000 Rp357,000
Rp9,000 Rp51,000
Rp135,671 Rp464,329
Rp29,625 Rp120,375
Rp135,671 Rp464,329
Rp63,000 Rp357,000
Rp1,363,818 Rp3,836,182
Rp330,909 Rp1,069,091
Rp135,000 Rp765,000
Rp0 Rp600,000
Rp175,500 Rp994,500
Rp13,500 Rp76,500
Rp203,507 Rp696,493
Rp63,000 Rp357,000
Rp67,500 Rp382,500
Rp31,500 Rp178,500
Rp54,000 Rp306,000
Rp18,000 Rp102,000
Rp63,000 Rp357,000
Rp207,000 Rp1,173,000
Rp144,000 Rp816,000
Rp0 Rp0
Rp63,000 Rp357,000
Rp56,530 Rp193,470
Rp29,625 Rp120,375
Rp56,530 Rp193,470
Rp29,625 Rp120,375
Rp108,000 Rp612,000
Rp9,000 Rp51,000
Rp135,671 Rp464,329
Rp29,625 Rp120,375
Rp67,500 Rp382,500
Rp15,000 Rp85,000
Rp122,104 Rp417,896
Rp33,918 Rp116,082
Rp9,000 Rp51,000
Rp63,000 Rp357,000
Rp189,000 Rp1,071,000
Rp305,261 Rp1,044,739
Rp7,500 Rp42,500
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp88,875 Rp361,125
Rp271,343 Rp928,657
Rp30,000 Rp170,000
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp148,125 Rp601,875
Rp0 Rp100,000
Rp0 Rp50,000
Rp63,000 Rp357,000
Rp361,790 Rp1,238,210
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp59,250 Rp240,750
Rp66,000 Rp374,000
Rp45,000 Rp255,000
Rp0 Rp0
Rp126,000 Rp714,000
Rp8,178,467 Rp37,511,533
18,000 582,000
17,500 332,500
12,500 237,500
10,000 190,000
7,500 142,500
10,500 199,500
10,500 199,500
10,500 199,500
18,000 582,000
7,500 142,500
27,000 873,000
7,500 142,500
36,000 1,164,000
7,500 142,500
18,000 582,000
7,500 142,500
18,000 582,000
614,545 4,585,455
127,273 1,272,727
27,000 873,000
7,500 242,500
7,500 142,500
7,500 242,500
7,500 142,500
18,000 582,000
7,500 142,500
16,200 523,800
4,500 145,500
40,500 1,309,500
15,000 285,000
12,500 237,500
22,500 427,500
36,000 1,164,000
15,000 285,000
12,500 237,500
37,500 712,500
48,000 1,552,000
15,000 285,000
12,500 237,500
15,000 285,000
RINCIAN PENGGUNAAN ANGGARAN DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN NOVEMBER TAHUN 2018
YANG
POTONGAN
NOVEMBER PERMINTAAN DITERIMA DI
DIKES
(PPN/PPH)
Rp584,762 Rp368,400 Rp1,617,264 Rp43,422,736
PIS PK - - HARGA DASAR
-
UKM ESENSIAL 27,590,000 27,590,000 -
- - - Rp0
PROMOSI KESEHATAN - - Rp0
- - Rp0
distribusi garam beryodium 600,000 600,000 5% 30,000 10% 60,000 545,455 Rp600,000
- - Rp0
- - Rp0
Transport petugas 810,000 810,000 5% 40,500 10% 81,000 736,364 Rp810,000
- - Rp0
Pelayanan Posyandu - - Rp0
Transport petugas 3,120,000 3,120,000 5% 156,000 10% 312,000 2,836,364 Rp3,120,000
- - Rp0
UKGS - - Rp0
- - Rp0
Pembinaan dan pemeriksaan gigi di kelurahan - - Rp0
- - Rp0
KESEHATAN LINGKUNGAN - - Rp0
- - Rp0
Kunjungan Rumah Pasien Klinik Sanitasi 60,000 60,000 5% 3,000 10% 6,000 54,545 Rp60,000
- - Rp0
KIA - - Rp0
- - Rp0
PMT BUMIL KEK 3,000,000 3,000,000 5% 132,273 10% 300,000 2,727,273 272,727 81,818 354,545 Rp2,645,455
PEMANTAUAN PMT BUMIL KEK 60,000 60,000 5% 3,000 10% 6,000 54,545 Rp60,000
- - Rp0
KELAS IBU BALITA DAN PMBA - - Rp0
SNACK KELAS IBU BALITA DAN PMBA 600,000 600,000 5% 29,100 10% 60,000 545,455 28,571 18,000 46,571 Rp553,429
- - Rp0
KELAS IBU HAMIL DI PKM - - Rp0
- - Rp0
KELAS IBU HAMIL DI KELURAHAN - - Rp0
- - Rp0
Pemantauan SDIDTK di TK/PAUD 60,000 60,000 5% 3,000 10% 6,000 54,545 Rp60,000
- - Rp0
OJT KIA - - Rp0
- - Rp0
Validasi data terintegrasi - - Rp0
konsumsi peserta 1,200,000 1,200,000 5% 58,200 10% 120,000 1,090,909 57,143 36,000 93,143 Rp1,106,857
- - Rp0
GIZI - - Rp0
- - Rp0
- - Rp0
Pelaksanaan kelas gizi - - Rp0
pembelian bahan makanan 1,400,000 1,400,000 5% 63,636 10% 140,000 1,272,727 127,273 127,273 Rp1,272,727
transport petugas penyuluh 900,000 900,000 5% 45,000 10% 90,000 818,182 Rp900,000
tranport kader 600,000 600,000 0% - 0% - 545,455 Rp600,000
- - Rp0
SURVEILANCE - - Rp0
- - Rp0
pelacakan kasus peny.yang berpotensi KLB 210,000 210,000 5% 10,500 10% 21,000 190,909 Rp210,000
- - Rp0
Abatesasi 840,000 840,000 5% 42,000 10% 84,000 763,636 Rp840,000
- - Rp0
TB - - Rp0
- - Rp0
Konsumsi 900,000 900,000 5% 43,650 10% 90,000 818,182 42,857 27,000 69,857 Rp830,143
- - Rp0
penjaringan oleh kader TB paru 320,000 320,000 0% - 0% - 290,909 Rp320,000
- - Rp0
pembinaan dan pengawasan PMO 420,000 420,000 5% 21,000 10% 42,000 381,818 Rp420,000
- - Rp0
Pengantaran sampel TB ke Lab. Rujukan - - Rp0
- - Rp0
KUSTA - - Rp0
- - Rp0
pemantauan minum obat pada pasien kusta 120,000 120,000 5% 6,000 10% 12,000 109,091 Rp120,000
- - Rp0
LEC (leprocy elimination case) - - Rp0
honor narasumber LEC 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
transport petugas 120,000 120,000 5% 6,000 10% 12,000 109,091 Rp120,000
konsumsi pesertaLEC 1,200,000 1,200,000 5% 58,200 10% 120,000 1,090,909 57,143 36,000 93,143 Rp1,106,857
- - Rp0
IMUNISASI - - Rp0
- - Rp0
- - Rp0
Sweeping bias I - - Rp0
- - Rp0
Pelaksanaan BIAS II - - Rp0
- - Rp0
- - - Rp0
JIWA - - Rp0
- - Rp0
Deteksi dini masalah kesehatan jiwa 420,000 420,000 5% 21,000 10% 42,000 381,818 Rp420,000
- - Rp0
KUNJUNGAN RUMAH PASIEN JIWA 420,000 420,000 5% 21,000 10% 42,000 381,818 Rp420,000
- - Rp0
sosialisasi kesehatan Jiwa - - Rp0
honor narasumber 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
transport peserta 900,000 900,000 0% - 0% - 818,182 Rp900,000
snack peserta 1,080,000 1,080,000 5% 52,380 10% 108,000 981,818 51,429 32,400 83,829 Rp996,171
- - Rp0
Refresing untuk PMO - - Rp0
Transport peserta 750,000 750,000 0% - 0% - 681,818 Rp750,000
honor narasumber 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
- - Rp0
LANSIA - - Rp0
- - Rp0
720,000 720,000 5% 36,000 10% 72,000 654,545 Rp720,000
petugas)
- - Rp0
REMAJA - - Rp0
Kelas remaja di kelurahan - - Rp0
transport petugas 60,000 60,000 5% 3,000 10% 6,000 54,545 Rp60,000
- - Rp0
Posyandu REMAJA 420,000 420,000 5% 21,000 10% 42,000 381,818 Rp420,000
- - Rp0
PANCA INDRA - - Rp0
- - Rp0
- - Rp0
indera
transport pretugas 120,000 120,000 5% 6,000 10% 12,000 109,091 Rp120,000
Konsumsi 600,000 600,000 5% 29,100 10% 60,000 545,455 28,571 18,000 46,571 Rp553,429
- Rp0
- - Rp0
Pertemuan Lokakaryamini Bulanan - - Rp0
b. Spanduk - - Rp0
c. Transpor Peserta - - Rp0
d. Penggandaan 50,000 50,000 5% 2,500 10% 5,000 45,455 Rp50,000
e. Honorarium Panitia - - Rp0
- ketua 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
- sekretaris 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
- Anggota 450,000 450,000 5% 21,375 10% 45,000 409,091 22,500 22,500 Rp427,500
- - Rp0
Supervisi Poskesdes - - Rp0
a. Transpor Petugas 540,000 540,000 5% 27,000 10% 54,000 490,909 Rp540,000
- - Rp0
Supervisi Pustu - - Rp0
a. Transpor Petugas 540,000 540,000 5% 27,000 10% 54,000 490,909 Rp540,000
- - Rp0
Distribusi Alkes dan BHP di Jaringan - - Rp0
a. biaya sewa kendaraan 100,000 100,000 0% - 0% - 90,909 Rp100,000
b. biaya buruh angkut 50,000 50,000 0% - 0% - 45,455 Rp50,000
- - Rp0
- - Rp0
Honorarium Tim Perencanaan PKM - - Rp0
a. Ketua 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
b. Sekretaris 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
c. Anggota 450,000 450,000 5% 21,375 10% 45,000 409,091 22,500 22,500 Rp427,500
- - Rp0
ATK Manajemen BOK 440,000 440,000 5% 22,000 10% 44,000 400,000 Rp440,000
- - Rp0
Penggandaan SPJ 300,000 300,000 5% 15,000 10% 30,000 272,727 Rp300,000
- Rp0
- - - - - Rp0
Pemicuan (STBM) STOP BABS di kelurahan 2,100,000 2,100,000 5% 105,000 10% 210,000 1,909,091 Rp2,100,000
ATK Pemicuan (STBM) STOP BABS di kelurahan 700,000 700,000 5% 35,000 10% 70,000 636,364 Rp700,000
- - Rp0
Pembentukan & Pembinaan POKMAIR 840,000 840,000 5% 42,000 10% 84,000 763,636 Rp840,000
- Rp0


CATATAN :
TOTAL Rp 584,762
BULAN NOVEMBER 2018
TOTAL
PAJAK YANG
PAJAK

Rp0
Rp0
ATK Pemicuan (STBM) STOP BABS di kelurahan Rp700,000 Rp700,000
Rp0
Bahan Makanan Kelas Gizi Rp1,400,000 1,272,727 127,273 Rp127,273 Rp1,272,727
PMT Bumil KEK Rp3,000,000 2,727,273 272,727 81,818 Rp354,545 Rp2,645,455
Rp0
5 BELANJA PENGGANDAAN (FOTO COPY) Rp0
penggandaan MINILOK Rp50,000 Rp50,000
Penggandaan SPJ Rp300,000 Rp300,000
Rp0
Rp0
7 BELANJA JASA Rp0
Jaringan Rp100,000 90,909 Rp0 Rp100,000

TOTAL - 45,040,000 39,590,909 1,457,489 152,500 592,036 - 2,202,026 42,837,974

Rp 584,762
OLEH PKM

YANG
TOTAL
DITERIMA
POTONGAN
PROGRAM
Rp8,469,162 Rp36,570,838
Rp7,884,400 Rp37,155,600
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp90,000 Rp510,000
Rp0 Rp0
Rp0 Rp0
Rp121,500 Rp688,500
Rp0 Rp0
Rp0 Rp0
Rp468,000 Rp2,652,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp9,000 Rp51,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp786,818 Rp2,213,182
Rp9,000 Rp51,000
Rp0 Rp0
Rp0 Rp0
Rp135,671 Rp464,329
Rp29,625 Rp120,375
Rp0 Rp0
Rp0 Rp0
Rp203,507 Rp696,493
Rp29,625 Rp120,375
Rp0 Rp0
Rp0 Rp0
Rp271,343 Rp928,657
Rp29,625 Rp120,375
Rp0 Rp0
Rp9,000 Rp51,000
Rp0 Rp0
Rp0 Rp0
Rp135,671 Rp464,329
Rp0 Rp0
Rp0 Rp0
Rp271,343 Rp928,657
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp1,363,818 Rp3,836,182
Rp0 Rp0
Rp0 Rp0
Rp330,909 Rp1,069,091
Rp135,000 Rp765,000
Rp0 Rp600,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp31,500 Rp178,500
Rp0 Rp0
Rp126,000 Rp714,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp13,500 Rp76,500
Rp203,507 Rp696,493
Rp0 Rp0
Rp0 Rp320,000
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp67,500 Rp382,500
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp18,000 Rp102,000
Rp0 Rp0
Rp0 Rp0
Rp59,250 Rp240,750
Rp18,000 Rp102,000
Rp271,343 Rp928,657
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp72,000 Rp408,000
Rp0 Rp0
Rp0 Rp0
Rp144,000 Rp816,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp29,625 Rp120,375
Rp0 Rp900,000
Rp244,209 Rp835,791
Rp0 Rp0
Rp0 Rp0
Rp0 Rp750,000
Rp203,507 Rp696,493
Rp29,625 Rp120,375
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp108,000 Rp612,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp33,918 Rp116,082
Rp9,000 Rp51,000
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp18,000 Rp102,000
Rp135,671 Rp464,329
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp305,261 Rp1,044,739
Rp0 Rp0
Rp0 Rp0
Rp7,500 Rp42,500
Rp0 Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp88,875 Rp361,125
Rp0 Rp0
Rp0 Rp0
Rp81,000 Rp459,000
Rp0 Rp0
Rp0 Rp0
Rp81,000 Rp459,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp100,000
Rp0 Rp50,000
Rp0 Rp0
Rp361,790 Rp1,238,210
Rp0 Rp0
Rp0 Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp88,875 Rp361,125
Rp0 Rp0
Rp66,000 Rp374,000
Rp0 Rp0
Rp45,000 Rp255,000
Rp0 Rp0
Rp0 Rp0
Rp315,000 Rp1,785,000
Rp105,000 Rp595,000
Rp0 Rp0
Rp126,000 Rp714,000
Rp0 Rp0
Rp8,469,162 Rp36,570,838
354,545 2,645,455
18,000 582,000
7,500 142,500
27,000 873,000
7,500 142,500
36,000 1,164,000
7,500 142,500
18,000 582,000
36,000 1,164,000
614,545 4,585,455
127,273 1,272,727
27,000 873,000
15,000 285,000
36,000 1,164,000
7,500 142,500
32,400 1,047,600
27,000 873,000
7,500 142,500
4,500 145,500
18,000 582,000
40,500 1,309,500
15,000 285,000
12,500 237,500
22,500 427,500
48,000 1,552,000
15,000 285,000
12,500 237,500
22,500 427,500
RINCIAN PENGGUNAAN ANGGARAN DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN DESEMBER TAHUN 2018
YANG
POTONGAN
DESEMBER PERMINTAAN DITERIMA DI
DIKES
(PPN/PPH)
Rp347,619 Rp219,000 Rp1,316,045 Rp42,580,955

DATA PUSKESMAS
Konsumsi 600,000 600,000 5% 29,100 10% 60,000 545,455 28,571 18,000 46,571 Rp553,429
honor Narsum 350,000 350,000 5% 16,625 10% 35,000 318,182 17,500 17,500 Rp332,500
Ketua 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
Sekretaris 200,000 200,000 5% 9,500 10% 20,000 181,818 10,000 10,000 Rp190,000
Anggota 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
- - Rp0
Honor Pembina PIS PK - - Rp0
Ka PKM 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
Admin 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
Supervisor 750,000 750,000 5% 35,625 10% 75,000 681,818 37,500 37,500 Rp712,500
- -
UKM ESENSIAL 19,330,000 19,330,000 -
- - - -
PROMOSI KESEHATAN - -
- -
- - Rp0
- - Rp0
- - Rp0
Pelayanan Posyandu - - Rp0
- - Rp0
KESEHATAN LINGKUNGAN - - Rp0
- - Rp0
Kaporisasi 840,000 840,000 5% 42,000 10% 84,000 763,636 - Rp840,000
- - Rp0
- - Rp0
KIA - - Rp0
- - Rp0
PELACAKAN KASUS RESTI 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- - Rp0
PROMOSI KB 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- - Rp0
420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
DIKELURAHAN
- - Rp0
- - Rp0
Honor Narasumber DRK 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
- - Rp0
OJT KIA - - Rp0
- - Rp0
GIZI - - Rp0
- - Rp0
Sweeping posyandu - - Rp0
Transport kader sweeping posyandu 780,000 780,000 0% - 0% - 709,091 - Rp780,000
- - Rp0
distribusi dan penyuluhan Fe di sekolah 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- - Rp0
- - Rp0
Surveilance kasus gizi buruk 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- - Rp0
SURVEILANCE - - Rp0
- - Rp0
Posbindu PTM 1,170,000 1,170,000 5% 58,500 10% 117,000 1,063,636 - Rp1,170,000
- - Rp0
TB - - Rp0
- - Rp0
pembinaan dan pengawasan PMO 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- - Rp0
Pengantaran sampel TB ke Lab. Rujukan - - Rp0
- - Rp0
KUSTA - - Rp0
- - Rp0
pelacakan kasus kusta di masyarakat 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- - Rp0
IMUNISASI - - Rp0
- - Rp0
Pelaksanaan BIAS II - - Rp0
Sweeping BIAS II 480,000 480,000 5% 24,000 10% 48,000 436,364 - Rp480,000
- - Rp0
Sweeping imunisasi rutin 1,560,000 1,560,000 5% 78,000 10% 156,000 1,418,182 - Rp1,560,000
- Rp0
- - - Rp0
JIWA - - Rp0
- - Rp0
Deteksi dini masalah kesehatan jiwa 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- - Rp0
KUNJUNGAN RUMAH PASIEN JIWA 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- - Rp0
LANSIA - - Rp0
- - Rp0
720,000 720,000 5% 36,000 10% 72,000 654,545 - Rp720,000
petugas)
- - Rp0
Konsumsi senam kesehatan lansia 600,000 600,000 5% 29,100 10% 60,000 545,455 28,571 18,000 46,571 Rp553,429
Honor instruktur senam 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
Rp0
PERKESMAS - - Rp0
kunjungan rumah pada pasien beresiko tinggi. 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- - Rp0
REMAJA - - Rp0
Kelas remaja di kelurahan - - Rp0
- - Rp0
Posyandu REMAJA 420,000 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
- - Rp0
pembinaan Konselor sebaya di sekolah - - Rp0
- - Rp0
screening hb remaja di kelurahan 1,260,000 1,260,000 5% 63,000 10% 126,000 1,145,455 - Rp1,260,000
- - Rp0
PANCA INDRA - - Rp0
- - Rp0
- - Rp0
indera
transport pretugas 60,000 60,000 5% 3,000 10% 6,000 54,545 - Rp60,000
Konsumsi 300,000 300,000 5% 14,550 10% 30,000 272,727 14,286 9,000 23,286 Rp276,714
-
- -
Pertemuan Lokakaryamini Bulanan - -
b. Spanduk - -
c. Transpor Peserta - -
d. Penggandaan 50,000 50,000 5% 2,500 10% 5,000 45,455 Rp50,000
e. Honorarium Panitia - - Rp0
- ketua 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
- sekretaris 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
- Anggota 450,000 450,000 5% 21,375 10% 45,000 409,091 22,500 22,500 Rp427,500
- - Rp0
Pertemuan Lokakaryamini Tribulanan - - Rp0
a. Konsumsi Peserta 900,000 900,000 5% 43,650 10% 90,000 818,182 42,857 27,000 69,857 Rp830,143
b. Spanduk - - Rp0
c. Transpor Peserta 1,300,000 1,300,000 0% - 0% - 1,181,818 - Rp1,300,000
d. ATK 260,000 260,000 5% 13,000 10% 26,000 236,364 Rp260,000
e. Honorarium Narasumber 700,000 700,000 5% 33,250 10% 70,000 636,364 35,000 35,000 Rp665,000
f. Honorarium Panitia - - Rp0
- ketua 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
- sekretaris 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
- Anggota 450,000 450,000 5% 21,375 10% 45,000 409,091 22,500 22,500 Rp427,500
- - Rp0
Honorarium Tim Audit Internal - - Rp0
a. Ketua 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
b. Sekretaris 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
c. Anggota 750,000 750,000 5% 35,625 10% 75,000 681,818 37,500 37,500 Rp712,500
- - Rp0
Distribusi Alkes dan BHP di Jaringan - - Rp0
a. biaya sewa kendaraan 100,000 100,000 0% - 0% - 90,909 Rp100,000
b. biaya buruh angkut 50,000 50,000 0% - 0% - 45,455 Rp50,000
- - Rp0
- - Rp0
Sosialisasi Kelurahan siaga (Di PKM) - - Rp0
Transport Peserta 480,000 480,000 0% - 0% - 436,364 Rp480,000
ATK 170,000 170,000 5% 8,500 10% 17,000 154,545 Rp170,000
Spanduk 100,000 100,000 5% 5,000 10% 10,000 90,909 Rp100,000
Honor Narasumber 700,000 700,000 5% 33,250 10% 70,000 636,364 35,000 35,000 Rp665,000
- - Rp0
Honorarium Pengelola BOK - - Rp0
Kuasa Pengguna Anggaran 900,000 900,000 5% 42,750 10% 90,000 818,182 45,000 45,000 Rp855,000
Pengelola Keuangan 750,000 750,000 5% 35,625 10% 75,000 681,818 37,500 37,500 Rp712,500
Pengelola Administrasi 750,000 750,000 5% 35,625 10% 75,000 681,818 37,500 37,500 Rp712,500
- - Rp0
ATK Manajemen BOK 440,000 440,000 5% 22,000 10% 44,000 400,000 - Rp440,000
- - Rp0
677,000 677,000 5% 33,850 10% 67,700 615,455 - Rp677,000
program
- - Rp0
Penggandaan SPJ 300,000 300,000 5% 15,000 10% 30,000 272,727 - Rp300,000
-
- - - - - Rp0
-

CATATAN :
TOTAL Rp 347,619
BULAN DESEMBER 2018
TOTAL
PAJAK YANG
Rp4,118,700 HRG DASAR PPN PPH 21 PPH 22 PPH 23 DITERIMA
PAJAK

- Rp0
- Rp0
Pertemuan Lokakaryamini Tribulanan Rp260,000 236,364 Rp260,000
ATK Sosialisasi Kelurahan siaga (Di PKM) Rp170,000 154,545 Rp170,000
ATK manajemen BOK Rp440,000 400,000 Rp440,000
program Rp677,000 615,455 Rp677,000
- Rp0
- Rp0
5 BELANJA PENGGANDAAN (FOTO COPY) - Rp0
penggandaan MINILOK Rp50,000 45,455 Rp50,000
Penggandaan SPJ Rp300,000 272,727 Rp300,000
- Rp0
- Rp0
7 BELANJA JASA - Rp0
Jaringan Rp100,000 90,909 Rp0 Rp100,000
- Rp0
8 BELANJA CETAK - Rp0
Spanduk Sosialisasi Kelurahan siaga (Di PKM) Rp100,000 90,909 Rp100,000
TOTAL - 43,897,000 39,815,455 820,346 482,500 360,818 - 1,663,665 42,233,335

Rp 347,619
OLEH PKM

YANG
TOTAL
DITERIMA
POTONGAN
PROGRAM
Rp7,775,912 Rp36,121,088
Rp7,428,293 Rp36,468,707
Rp135,671 Rp464,329
Rp69,125 Rp280,875
Rp49,375 Rp200,625
Rp39,500 Rp160,500
Rp29,625 Rp120,375
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp148,125 Rp601,875
Rp90,000 Rp510,000
Rp0 Rp0
Rp0 Rp0
Rp108,000 Rp612,000
Rp0 Rp0
Rp0 Rp0
Rp468,000 Rp2,652,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp126,000 Rp714,000
Rp0 Rp0
Rp9,000 Rp51,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp9,000 Rp51,000
Rp0 Rp0
Rp135,671 Rp464,329
Rp29,625 Rp120,375
Rp0 Rp0
Rp0 Rp0
Rp135,671 Rp464,329
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp780,000
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp1,363,818 Rp3,836,182
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp175,500 Rp994,500
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp67,500 Rp382,500
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp72,000 Rp408,000
Rp0 Rp0
Rp234,000 Rp1,326,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp108,000 Rp612,000
Rp0 Rp0
Rp9,000 Rp51,000
Rp135,671 Rp464,329
Rp29,625 Rp120,375
Rp0 Rp0
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp33,918 Rp116,082
Rp9,000 Rp51,000
Rp0 Rp0
Rp63,000 Rp357,000
Rp0 Rp0
Rp0 Rp0
Rp54,000 Rp306,000
Rp0 Rp0
Rp189,000 Rp1,071,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp9,000 Rp51,000
Rp67,836 Rp232,164
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp305,261 Rp1,044,739
Rp0 Rp0
Rp0 Rp0
Rp7,500 Rp42,500
Rp0 Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp88,875 Rp361,125
Rp0 Rp0
Rp0 Rp0
Rp203,507 Rp696,493
Rp0 Rp0
Rp0 Rp1,300,000
Rp39,000 Rp221,000
Rp138,250 Rp561,750
Rp0 Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp88,875 Rp361,125
Rp0 Rp0
Rp0 Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp148,125 Rp601,875
Rp0 Rp0
Rp0 Rp0
Rp0 Rp100,000
Rp0 Rp50,000
Rp0 Rp0
Rp361,790 Rp1,238,210
Rp0 Rp0
Rp0 Rp0
Rp0 Rp480,000
Rp135,671 Rp464,329
Rp25,500 Rp144,500
Rp15,000 Rp85,000
Rp138,250 Rp561,750
Rp0 Rp0
Rp0 Rp0
Rp177,750 Rp722,250
Rp148,125 Rp601,875
Rp148,125 Rp601,875
Rp0 Rp0
Rp66,000 Rp374,000
Rp0 Rp0
Rp101,550 Rp575,450
Rp0 Rp0
Rp45,000 Rp255,000
Rp0 Rp0
Rp0 Rp0
Rp126,000 Rp714,000
Rp7,775,912 Rp36,121,088
18,000 582,000
17,500 332,500
12,500 237,500
10,000 190,000
7,500 142,500
15,000 285,000
12,500 237,500
37,500 712,500
18,000 582,000
7,500 142,500
18,000 582,000
614,545 4,585,455
18,000 582,000
7,500 142,500
4,500 145,500
9,000 291,000
40,500 1,309,500
15,000 285,000
12,500 237,500
22,500 427,500
27,000 873,000
35,000 665,000
15,000 285,000
12,500 237,500
22,500 427,500
15,000 285,000
12,500 237,500
37,500 712,500
48,000 1,552,000
18,000 582,000
35,000 665,000
45,000 855,000
37,500 712,500
37,500 712,500
RINCIAN PENGGUNAAN ANGGARAN DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN JANUARI TAHUN 2019
POTONGAN
JANUARI PERMINTAAN
(PPN/PPH)
30,244,000 30,244,000 5% Rp934,515 10% Rp1,961,900 Rp577,273 Rp80,000 Rp173,182 Rp0 Rp1,084,657
Rp155,952 Rp98,250 Rp928,705
UKM ESENSIAL 22,575,000 22,575,000

- - -
UKM ESENSIAL -
UPAYA KESEHATAN IBU -
-
PMT BUMIL KEK Rp 2,100,000 2,100,000 5% 92,591 10% 210,000 1,909,091 190,909 57,273 248,182
Rp - -
PELACAKAN KASUS RESTI PADA BUMIL,BULIN,BUFAS DAN
BAYI Rp 300,000 300,000 5% 15,000 10% 30,000 272,727 -
Rp - -
KELAS IBU BALITA DAN PMBA Rp - -
SNACK KELAS IBU BALITA DAN PMBA Rp 300,000 300,000 5% 14,550 10% 30,000 272,727 14,286 9,000 23,286
Honor Fasilitator Rp 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
Rp - -
PROMOSI KESEHATAN Rp - -
Insentif kader posyandu Rp 10,625,000 10,625,000 0% - 0% - 9,659,091 -
Rp - -
Pelayanan Posyandu Rp - -
Transport petugas Rp 1,530,000 1,530,000 5% 76,500 10% 153,000 1,390,909 -
Rp - -
KESEHATAN LINGKUNGAN Rp - -
Kunjungan Rumah Pasien Klinik Sanitasi Rp 60,000 60,000 5% 3,000 10% 6,000 54,545 -
Rp - -
Pemicuan (STBM) STOP BABS di kelurahan Rp 600,000 600,000 5% 30,000 10% 60,000 545,455 -
ATK Pemicuan (STBM) STOP BABS di kelurahan Rp 500,000 500,000 5% 25,000 10% 50,000 454,545 -
Rp - -
GIZI Rp - -
Pemberian PMT Penyuluhan Rp 4,250,000 4,250,000 5% 187,386 10% 425,000 3,863,636 386,364 115,909 502,273
Rp - -
PELAYANAN PENCEGAHAN DAN PENGENDALIAN PENYAKIT (P2P) Rp - -
SURVEILANS Rp - -
pelacakan kasus peny.yang berpotensi KLB Rp 150,000 150,000 5% 7,500 10% 15,000 136,364 -
Rp - -
Survei jentik Rp 300,000 300,000 5% 15,000 10% 30,000 272,727 -
Rp - -
Posbindu PTM Rp 810,000 810,000 5% 40,500 10% 81,000 736,364 -
Rp - -
TB Rp - -
Pelacakan kontak serumah dan tetangga BTA+ Rp 150,000 150,000 5% 7,500 10% 15,000 136,364 -
Rp - -
Pengantaran sampel TB ke Lab. Rujukan Rp - -
Transport petugas Rp 390,000 390,000 5% 19,500 10% 39,000 354,545 -
Rp - -
ISPA DIARE HEPATITIS Rp - -
penjaringan kasus ISPA dan Diare Rp 150,000 150,000 5% 7,500 10% 15,000 136,364 -
Rp - -
pembagian oralit untuk kasus diare di kelurahan Rp 150,000 150,000 5% 7,500 10% 15,000 136,364 -
Rp - -
KUSTA Rp - -
pemantauan minum obat pada pasien kusta Rp 60,000 60,000 5% 3,000 10% 6,000 54,545 -
Rp - -
- -
UKM PENGEMBANGAN -
UKK -
Pendataan pada pos UKK Rp 150,000 150,000 5% 7,500 10% 15,000 136,364 -
Rp - -
Pemeriksaan berkala terhadap tenaga pos UKK Rp 300,000 300,000 5% 15,000 10% 30,000 272,727 -
Rp - -
Rp - -
JIWA Rp - -
Kunjungan dan pembinaan pada pasien dengan gangguan
kesehatan jiwa Rp 150,000 150,000 5% 7,500 10% 15,000 136,364 -
Rp - -
LANSIA Rp - -
Posyandu Lansia di Kelurahan (Transport petugas) Rp 270,000 270,000 5% 13,500 10% 27,000 245,455 -
KTA Rp - -
KTP Rp - -
Pendataan Kasus KTA/KTP Rp 150,000 150,000 5% 7,500 10% 15,000 136,364 -
Rp - -
PELAKSANAAN FUNGSI MANAJEMEN ( P1, P2, P3 ) 6,649,000 6,649,000 -
-
PELAKSANAAN FUNGSI MANAJEMEN ( P1, P2, P3 ) Rp - -
Pertemuan Lokakaryamini Bulanan Rp - -
Konsumsi Peserta Rp 1,575,000 1,575,000 5% 76,388 10% 157,500 1,431,818 75,000 47,250 122,250
Spanduk Rp 200,000 200,000 5% 10,000 10% 20,000 181,818 -
ATK/Dokumentasi Rp 100,000 100,000 5% 5,000 10% 10,000 90,909 -
Honorarium Panitia Rp - -
ketua Rp 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
sekretaris Rp 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota Rp 600,000 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
Rp - -
Pertemuan Penyusunan RUK Puskesmas Rp - -
Konsumsi Peserta Rp 700,000 700,000 5% 33,950 10% 70,000 636,364 33,333 21,000 54,333
Rp - -
Pertemuan Penyusunan RPK Puskesmas Rp - -
Konsumsi Peserta Rp 700,000 700,000 5% 33,950 10% 70,000 636,364 33,333 21,000 54,333
Rp - -
Pelaksanaan SMD Rp - -
Transport petugas pendamping Survey Rp 450,000 450,000 5% 22,500 10% 45,000 409,091 -
Penggandaan kuesioner SMD Rp 744,000 744,000 5% 37,200 10% 74,400 676,364 -
Honor Pengolahan dan tabulasi data Rp 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
Rp - -
ATK Manajemen BOK Rp 300,000 300,000 5% 15,000 10% 30,000 272,727 -
Rp - -
Penggandaan SPJ Rp 200,000 200,000 5% 10,000 10% 20,000 181,818 -
Rp - -
SISTEM INFORMASI PUSKESMAS Rp - -
Transpor Petugas pengantar laporan Rp 30,000 30,000 5% 1,500 10% 3,000 27,273 -
Rp - -
STBM (SANITASI TOTAL BERBASIS MASYARAKAT) - - - -
- - - -
Jumlah 30,244,000 30,244,000 Rp934,515 Rp1,961,900 Rp733,225 Rp80,000 Rp271,432 Rp0 Rp1,084,657
BELANJA BARANG DAN JASA/ CETAK DAN BAHAN CONTOH PAKET SURVEY PIS Rp - Rp -
PK (PPN DAN PPH)
CATATAN :
NO PAJAK YG SUDAH DIBAYAR PKM PPN TOTAL
1 PPN ( PAJAK MAKMIN/RESTORAN ) #REF! Rp155,952
TOTAL Rp 155,952
BULAN JANUARI 2019
TOTAL
BULAN PAJAK
JANUARI 5% 934,515 10% Rp1,961,900 HRG DASAR PPN PPH 21 PPH 22 PPH 23 PAJAK
1 BELANJA HONORARIUM Rp1,600,000 Rp1,600,000 1,454,545 80,000 Rp80,000

Insentif kader Rp10,625,000 Rp10,625,000 9,659,091 Rp0
2 BELANJA TRANSPORT Rp6,150,000 Rp6,150,000 5,590,909 Rp0

Rp0 -
3 ALAT TULIS KANTOR Rp0 - Rp0
ATK Pemicuan (STBM) STOP BABS di kelurahan Rp500,000 Rp500,000 454,545
ATK/Dokumentasi LOKAKARYA MINI BULANAN Rp100,000 Rp100,000 90,909
ATK/Dokumentasi Pertemuan Penyusunan RUK Puskesmas Rp100,000 Rp100,000 90,909
ATK/Dokumentasi Pertemuan Penyusunan RPK Puskesmas Rp100,000 Rp100,000 90,909

Rp0 -
4 BELANJA BAHAN CONTOH Rp0 - - - Rp0
PMT BUMIL KEK Rp2,100,000 Rp2,100,000 1,909,091 190,909 57,273 Rp248,182
PMT Penyuluhan Rp4,250,000 Rp4,250,000 3,863,636 386,364 115,909 Rp502,273
Rp0 -
5 BELANJA PENGGANDAAN (FOTO COPY) Rp0 -
penggandaan MINILOK Rp744,000 Rp744,000 676,364
Penggandaan SPJ Rp200,000 Rp200,000 181,818
Rp0 -
6 BELANJA MAKANAN DAN MINUMAN Rp3,275,000 Rp3,275,000 2,977,273 155,952 98,250 Rp254,202
Rp0 -
7 BELANJA JASA Rp0 -
Sewa kendaraan Distribusi Alkes dan BHP di Jaringan Rp0 - Rp0
Biaya buruh angkut Distribusi Alkes dan BHP di Jaringan Rp0 - Rp0
Rp0 -
8 BELANJA CETAK Rp0 -
Spanduk lokakarya mini bulanan Rp200,000 Rp200,000 181,818
TOTAL 30,244,000 30,244,000 5% 934,515 10% 1,961,900 27,040,000 733,225 80,000 271,432 - 1,084,657
CATATAN : TANDA KUNING SUDAH DIBAYAR OLEH PKM Rp 155,952

YANG YANG
TOTAL
POTONGAN
DIKES PROGRAM
Rp29,159,343 Rp3,981,072 Rp26,262,928

Rp29,315,295 Rp3,825,119 Rp26,418,881
Rp1,851,818 Rp550,773 Rp1,549,227

Rp0 Rp0
Rp300,000 Rp45,000 Rp255,000
Rp0 Rp0
Rp0 Rp0
Rp276,714 Rp67,836 Rp232,164
Rp142,500 Rp29,625 Rp120,375
Rp0 Rp0
Rp0 Rp0
Rp10,625,000 Rp0 Rp10,625,000
Rp0 Rp0
Rp0 Rp0
Rp1,530,000 Rp229,500 Rp1,300,500
Rp0 Rp0
Rp0 Rp0
Rp60,000 Rp9,000 Rp51,000
Rp0 Rp0
Rp600,000 Rp90,000 Rp510,000
Rp500,000 Rp75,000 Rp425,000
Rp0 Rp0
Rp0 Rp0
Rp3,747,727 Rp1,114,659 Rp3,135,341
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp150,000 Rp22,500 Rp127,500
Rp0 Rp0
Rp300,000 Rp45,000 Rp255,000
Rp0 Rp0
Rp810,000 Rp121,500 Rp688,500
Rp0 Rp0
Rp0 Rp0
Rp150,000 Rp22,500 Rp127,500
Rp0 Rp0
Rp0 Rp0
Rp390,000 Rp58,500 Rp331,500
Rp0 Rp0
Rp0 Rp0
Rp150,000 Rp22,500 Rp127,500
Rp0 Rp0
Rp150,000 Rp22,500 Rp127,500
Rp0 Rp0
Rp0 Rp0
Rp60,000 Rp9,000 Rp51,000
Rp0 Rp0
Rp0 Rp0 Rp0

Rp0 Rp0
Rp0 Rp0
Rp150,000 Rp22,500 Rp127,500
Rp0 Rp0
Rp300,000 Rp45,000 Rp255,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp150,000 Rp22,500 Rp127,500
Rp0 Rp0
Rp0 Rp0
Rp270,000 Rp40,500 Rp229,500
Rp0 Rp0
Rp0 Rp0
Rp150,000 Rp22,500 Rp127,500
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp1,452,750 Rp356,138 Rp1,218,863
Rp200,000 Rp30,000 Rp170,000
Rp100,000 Rp15,000 Rp85,000
Rp0 Rp0
Rp285,000 Rp59,250 Rp240,750
Rp237,500 Rp49,375 Rp200,625
Rp570,000 Rp118,500 Rp481,500
Rp0 Rp0
Rp0 Rp0
Rp645,667 Rp158,283 Rp541,717
Rp100,000 Rp15,000 Rp85,000
Rp0 Rp0
Rp0 Rp0
Rp645,667 Rp158,283 Rp541,717
Rp100,000 Rp15,000 Rp85,000
Rp0 Rp0
Rp0 Rp0
Rp450,000 Rp67,500 Rp382,500
Rp744,000 Rp111,600 Rp632,400
Rp285,000 Rp59,250 Rp240,750
Rp0 Rp0
Rp300,000 Rp45,000 Rp255,000
Rp0 Rp0
Rp200,000 Rp30,000 Rp170,000
Rp0 Rp0
Rp0 Rp0
Rp30,000 Rp4,500 Rp25,500
Rp0 Rp0 Rp0
Rp29,159,343 Rp3,981,072 Rp26,262,928

YANG
DITERIMA
Rp1,520,000
Rp10,625,000
Rp0
Rp6,150,000
Rp0
Rp0
Rp500,000
Rp100,000
Rp100,000
Rp100,000
Rp300,000
Rp0
Rp0
Rp1,851,818
Rp3,747,727
Rp0
Rp0
Rp744,000
Rp200,000
Rp0
Rp3,020,798
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp200,000
Rp0
29,159,343 3,981,072 26,262,928
248,182 1,851,818
9,000 291,000
7,500 142,500
502,273 3,747,727
47,250 1,527,750
15,000 285,000
12,500 237,500
30,000 570,000
21,000 679,000
21,000 679,000
15,000 285,000
RINCIAN PENGGUNAAN ANGGARAN DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN FEBRUARI TAHUN 2019
POTONGAN
FEBRUARI PERMINTAAN
(PPN/PPH)
32,655,000 32,655,000 5% Rp957,711 10% Rp1,993,000 Rp386,364 Rp125,000 Rp115,909 Rp0 Rp1,011,487
Rp235,714 Rp148,500 Rp775,773
UKM ESENSIAL 27,170,000 27,170,000
UPAYA KESEHATAN IBU

PEMANTAUAN PMT BUMIL KEK 150,000 150,000 5% 7,500 10% 15,000 136,364 -
- -
Pemantauan SDIDTK di kelurahan - -
transport petugas 150,000 150,000 5% 7,500 10% 15,000 136,364 -
- -
Pemantauan Pasien kanker 90,000 90,000 5% 4,500 10% 9,000 81,818 -
- -
Insentif kader posyandu 10,625,000 10,625,000 0% - 0% - 9,659,091 -
- -
Transport petugas 1,530,000 1,530,000 5% 76,500 10% 153,000 1,390,909 -
- -
Refreshing kader posyandu - -
Transport Peserta 1,350,000 1,350,000 0% - 0% - 1,227,273 -
konsumsi 1,750,000 1,750,000 5% 84,875 10% 175,000 1,590,909 83,333 52,500 135,833
Honor Fasilitator 450,000 450,000 5% 21,375 10% 45,000 409,091 22,500 22,500
Spanduk 200,000 200,000 5% 10,000 10% 20,000 181,818 -
- -
Pelatihan kader baru posyandu - -
Transport Peserta 600,000 600,000 0% - 0% - 545,455 -
ATK pelatihan kader posyandu 300,000 300,000 5% 15,000 10% 30,000 272,727 -
konsumsi Peserta 875,000 875,000 5% 42,438 10% 87,500 795,455 41,667 26,250 67,917
Honor Fasilitator 600,000 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
Spanduk 200,000 200,000 5% 10,000 10% 20,000 181,818 -
- -
UKGS - -
Pembinaan dan Pemeriksaan Gigi di Kelurahan - -
Transport petugas 300,000 300,000 5% 15,000 10% 30,000 272,727 -
- -
Kaporisasi 600,000 600,000 5% 30,000 10% 60,000 545,455 -
- -
Kunjungan Rumah Pasien Klinik Sanitasi 60,000 60,000 5% 3,000 10% 6,000 54,545 -
- -
Monitoring STOP BABS (STBM) 600,000 600,000 5% 30,000 10% 60,000 545,455 -
- -
GIZI - -
Sweeping Vit. A - -
transport petugas sweeping Vit. A 150,000 150,000 5% 7,500 10% 15,000 136,364 -
- -
Pemberian PMT Penyuluhan 4,250,000 4,250,000 5% 187,386 10% 425,000 3,863,636 386,364 115,909 502,273
- -
PELAYANAN PENCEGAHAN DAN PENGENDALIAN PENYAKIT (P2P) - -
SURVEILANS - -
Abatesasi 300,000 300,000 5% 15,000 10% 30,000 272,727 -
- -
Posbindu PTM 810,000 810,000 5% 40,500 10% 81,000 736,364 -
- -
TB - -
kunjungan rumah TB mangkir - -
- -
- -
ISPA DIARE HEPATITIS - -
pembagian obat cacing di Kelurahan 150,000 150,000 5% 7,500 10% 15,000 136,364 -
- -
pembagian obat cacing di SD 360,000 360,000 5% 18,000 10% 36,000 327,273 -
- -
KUSTA - -
kemoprofilaksis pada keluarga pasien dan tetangga sekitar. 150,000 150,000 5% 7,500 10% 15,000 136,364 -
- -
pemantauan minum obat pada pasien kusta 60,000 60,000 5% 3,000 10% 6,000 54,545 -
- -
- - -
PENGOBATAN TRADISIONAL - -
Pendataan Batra 150,000 150,000 5% 7,500 10% 15,000 136,364 -
- -
KESEHATAN OLAH RAGA - -
Pembinaan kesehatan olah raga ( club olah raga) 210,000 210,000 5% 10,500 10% 21,000 190,909 -
- -
JIWA - -
Kunjungan dan pembinaan pada pasien dengan gangguan kesehat 150,000 150,000 5% 7,500 10% 15,000 136,364 -
- -
Senam bersama pasien jiwa - -
Snack peserta 375,000 375,000 5% 18,188 10% 37,500 340,909 17,857 11,250 29,107
honor fasilitator instruktur senam 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
- -
Kegiatan kerohanian pasien jiwa - -
Snack 375,000 375,000 5% 18,188 10% 37,500 340,909 17,857 11,250 29,107
Honor fasilitator ustadz 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
- -
LANSIA - -
Posyandu Lansia di Kelurahan (Transport petugas) 270,000 270,000 5% 13,500 10% 27,000 245,455 -
- -
PANCA INDRA - -
Penjaringan panca indera dan katarak di kelurahan 150,000 150,000 5% 7,500 10% 15,000 136,364 -
- -
- -
Pertemuan Lokakaryamini Bulanan - -
Konsumsi Peserta 1,575,000 1,575,000 5% 76,388 10% 157,500 1,431,818 75,000 47,250 122,250
ATK/Dokumentasi 100,000 100,000 5% 5,000 10% 10,000 90,909 -
Honorarium Panitia - -
ketua 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
sekretaris 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 600,000 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
- -
Distribusi Alkes dan BHP di Jaringan - -
sewa kendaraan 100,000 100,000 0% - 0% - 90,909 -
honor buruh angkut 50,000 50,000 0% - 0% - 45,455 -
- -
ATK Manajemen BOK 300,000 300,000 5% 15,000 10% 30,000 272,727 -
- -
Penggandaan SPJ 200,000 200,000 5% 10,000 10% 20,000 181,818 -
- -
SISTEM INFORMASI PUSKESMAS - -
Transpor Petugas pengantar laporan 30,000 30,000 5% 1,500 10% 3,000 27,273 -
- -
- - - -
-
Jumlah 32,655,000 32,655,000 Rp957,711 Rp1,993,000 Rp622,078 Rp125,000 Rp264,409 Rp0 Rp1,011,487

BELANJA BARANG DAN JASA/ CETAK DAN BAHAN CONTOH PAKET SURVEY Rp - Rp -
PIS PK (PPN DAN PPH)
CATATAN :
NO PAJAK YG SUDAH DIBAYAR PKM PPH TOTAL
TOTAL Rp 235,714
BULAN FEBRUARI 2019
TOTAL
BULAN PAJAK
FEBRUARI 5% Rp957,711 10% 1,993,000 HRG DASAR PPN PPH 21 PPH 22 PPH 23 PAJAK
1 BELANJA HONORARIUM Rp2,500,000 Rp2,500,000 2,272,727 125,000 Rp125,000

Insentif kader Posyandu Rp10,625,000 Rp10,625,000 9,659,091 Rp0
2 BELANJA TRANSPORT Rp8,880,000 Rp8,880,000 8,072,727 Rp0

Rp0 - Rp0
3 ALAT TULIS KANTOR Rp0 - Rp0
ATK Pelatihan kader posyandu Rp300,000 Rp300,000 272,727 Rp0
ATK Pemicuan (STBM) STOP BABS di kelurahan Rp0 Rp0 - Rp0
ATK/Dokumentasi LOKAKARYA MINI BULANAN Rp100,000 Rp100,000 90,909 Rp0
ATK/Dokumentasi Pertemuan Penyusunan RUK Puskesmas Rp0 Rp0 - Rp0
ATK/Dokumentasi Pertemuan Penyusunan RPK Puskesmas Rp0 Rp0 - Rp0
ATK manajemen BOK Rp300,000 Rp300,000 Rp0

Rp0 - Rp0
4 BELANJA BAHAN CONTOH Rp0 - - - Rp0
PMT Bumil KEK Rp0 Rp0 - - - Rp0
PMT Penyuluhan Rp4,250,000 Rp4,250,000 3,863,636 386,364 115,909 Rp502,273
Rp0 - Rp0
5 BELANJA PENGGANDAAN (FOTO COPY) Rp0 - Rp0
penggandaan MINILOK Rp0 Rp0 - Rp0
Penggandaan SPJ Rp200,000 Rp200,000 181,818 Rp0
Rp0 - Rp0
6 BELANJA MAKANAN DAN MINUMAN Rp4,950,000 Rp4,950,000 4,500,000 235,714 148,500 Rp384,214
Rp0 - Rp0
7 BELANJA JASA Rp0 - Rp0
Sewa kendaraan Distribusi Alkes dan BHP di Jaringan Rp100,000 Rp100,000 90,909 Rp0
Biaya buruh angkut Distribusi Alkes dan BHP di Jaringan Rp50,000 Rp50,000 45,455 Rp0
Rp0 - Rp0
8 BELANJA CETAK Rp0 - Rp0
Spanduk lokakarya mini bulanan Rp0 - Rp0
Spanduk pelatihan kader posyandu Rp200,000 Rp200,000 181,818 Rp0
Spanduk refreshing kader posyandu Rp200,000 Rp200,000 181,818 Rp0
TOTAL 32,655,000 32,655,000 957,711 1,993,000 29,413,636 622,078 125,000 264,409 - 1,011,487

YANG YANG
TOTAL
POTONGAN
DIKES PROGRAM
Rp31,643,513 Rp3,962,198 Rp28,692,802

Rp31,879,227 Rp3,726,484 Rp28,928,516
Rp150,000 Rp22,500 Rp127,500

Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp150,000 Rp22,500 Rp127,500
Rp0 Rp0 Rp0
Rp90,000 Rp13,500 Rp76,500
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp10,625,000 Rp0 Rp10,625,000
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp1,530,000 Rp229,500 Rp1,300,500
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp1,350,000 Rp0 Rp1,350,000
Rp1,614,167 Rp395,708 Rp1,354,292
Rp427,500 Rp88,875 Rp361,125
Rp200,000 Rp30,000 Rp170,000
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp600,000 Rp0 Rp600,000
Rp300,000 Rp45,000 Rp255,000
Rp807,083 Rp197,854 Rp677,146
Rp570,000 Rp118,500 Rp481,500
Rp200,000 Rp30,000 Rp170,000
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp300,000 Rp45,000 Rp255,000
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp600,000 Rp90,000 Rp510,000
Rp0 Rp0 Rp0
Rp60,000 Rp9,000 Rp51,000
Rp0 Rp0 Rp0
Rp600,000 Rp90,000 Rp510,000
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp150,000 Rp22,500 Rp127,500
Rp0 Rp0 Rp0
Rp3,747,727 Rp1,114,659 Rp3,135,341
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp300,000 Rp45,000 Rp255,000
Rp0 Rp0 Rp0
Rp810,000 Rp121,500 Rp688,500
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp120,000 Rp18,000 Rp102,000
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp390,000 Rp58,500 Rp331,500
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp150,000 Rp22,500 Rp127,500
Rp0 Rp0 Rp0
Rp360,000 Rp54,000 Rp306,000
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp150,000 Rp22,500 Rp127,500
Rp0 Rp0 Rp0
Rp60,000 Rp9,000 Rp51,000
Rp150,000 Rp22,500 Rp127,500

Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp210,000 Rp31,500 Rp178,500
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp150,000 Rp22,500 Rp127,500
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp345,893 Rp84,795 Rp290,205
Rp142,500 Rp29,625 Rp120,375
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp345,893 Rp84,795 Rp290,205
Rp142,500 Rp29,625 Rp120,375
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp270,000 Rp40,500 Rp229,500
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp150,000 Rp22,500 Rp127,500
Rp1,452,750 Rp356,138 Rp1,218,863

Rp100,000 Rp15,000 Rp85,000
Rp0 Rp0 Rp0
Rp285,000 Rp59,250 Rp240,750
Rp237,500 Rp49,375 Rp200,625
Rp570,000 Rp118,500 Rp481,500
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp100,000 Rp0 Rp100,000
Rp50,000 Rp0 Rp50,000
Rp0 Rp0 Rp0
Rp300,000 Rp45,000 Rp255,000
Rp0 Rp0 Rp0
Rp200,000 Rp30,000 Rp170,000
Rp0 Rp0 Rp0
Rp0 Rp0 Rp0
Rp30,000 Rp4,500 Rp25,500
Rp0 Rp0 Rp0
Rp31,643,513 Rp3,962,198 Rp28,692,802

YANG
DITERIMA
Rp2,375,000
Rp10,625,000
Rp0
Rp8,880,000
Rp0
Rp0
Rp300,000
Rp0
Rp100,000
Rp0
Rp0
Rp300,000
Rp0
Rp0
Rp0
Rp3,747,727
Rp0
Rp0
Rp0
Rp200,000
Rp0
Rp4,565,786
Rp0
Rp0
Rp100,000
Rp50,000
Rp0
Rp0
Rp0
Rp200,000
Rp200,000
31,643,513 3,962,198 28,692,802
52,500 1,697,500
22,500 427,500
26,250 848,750
30,000 570,000
502,273 3,747,727
11,250 363,750
7,500 142,500
11,250 363,750
7,500 142,500
47,250 1,527,750
15,000 285,000
12,500 237,500
30,000 570,000
RINCIAN PENGGUNAAN ANGGARAN DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN MARET TAHUN 2019
POTONGAN
MARET PERMINTAAN
(PPN/PPH)
53,965,000 53,965,000 5% Rp1,799,411 10% Rp3,754,000 Rp386,364 Rp722,500 Rp115,909 Rp0 Rp2,070,820
Rp519,048 Rp327,000 Rp1,551,773
PIS PK
PERTEMUAN EVALUASI PIS PK
Konsumsi 900,000 900,000 5% 43,650 10% 90,000 818,182 42,857 27,000 69,857
Penggandaan 50,000 50,000 5% 2,500 10% 5,000 45,455 -
honor Narsum 350,000 350,000 5% 16,625 10% 35,000 318,182 17,500 17,500
Ketua 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Sekretaris 200,000 200,000 5% 9,500 10% 20,000 181,818 10,000 10,000
Anggota 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
UKM ESENSIAL 20,200,000 20,200,000
UPAYA KESEHATAN IBU

Sosialisasi P4K di Kelurahan 300,000 300,000 5% 15,000 10% 30,000 272,727 -
- -
Validasi data terintegrasi - -
konsumsi peserta 525,000 525,000 5% 25,463 10% 52,500 477,273 25,000 15,750 40,750
- -
Insentif kader posyandu 10,625,000 10,625,000 0% - 0% - 9,659,091 -
- -
Transport petugas 1,530,000 1,530,000 5% 76,500 10% 153,000 1,390,909 -
- -
Pemantauan SAB & JAGA 600,000 600,000 5% 30,000 10% 60,000 545,455 -
- -
Kunjungan Rumah Pasien Klinik Sanitasi 60,000 60,000 5% 3,000 10% 6,000 54,545 -
- -
GIZI - -
Verifikasi data Vit. A - -
tranport petugas verifikasi data Vit. A 150,000 150,000 5% 7,500 10% 15,000 136,364 -
- -
Pemberian PMT Penyuluhan 4,250,000 4,250,000 5% 187,386 10% 425,000 3,863,636 386,364 115,909 502,273
- -
PELAYANAN PENCEGAHAN DAN PENGENDALIAN PENYAKIT (P2P) - -
SURVEILANS - -
pelacakan kasus penyakit yang berpotensi KLB 150,000 150,000 5% 7,500 10% 15,000 136,364 -
- -
Posbindu PTM 810,000 810,000 5% 40,500 10% 81,000 736,364 -
- -
TB - -
- -
Kunjungan rumah pasien TB kategori 2 - -
- -
Senam Pernapasan Pasien TB Paru - -
Snack peserta 300,000 300,000 5% 14,550 10% 30,000 272,727 14,286 9,000 23,286
honor instruktur senam 150,000 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
- -
KUSTA - -
pemantauan minum obat pada pasien kusta 60,000 60,000 5% 3,000 10% 6,000 54,545 -
UKM PENGEMBANGAN 870,000 870,000 - -

- - -
JIWA
Deteksi dini masalah kesehatan jiwa 150,000 150,000 5% 7,500 10% 15,000 136,364 -
- -
Kunjungan dan pembinaan pada pasien dengan gangguan kesehat 150,000 150,000 5% 7,500 10% 15,000 136,364 -
- -
LANSIA - -
Posyandu Lansia di Kelurahan 270,000 270,000 5% 13,500 10% 27,000 245,455 -
- -
REMAJA - -
Posyandu REMAJA di kelurahan 300,000 300,000 5% 15,000 10% 30,000 272,727 -
-
- -
Konsumsi Peserta 1,575,000 1,575,000 5% 76,388 10% 157,500 1,431,818 75,000 47,250 122,250
Spanduk - -
ATK/Dokumentasi 100,000 100,000 5% 5,000 10% 10,000 90,909 -
ketua 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
sekretaris 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 600,000 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
- -
Pertemuan Lokakaryamini Tribulanan - -
Konsumsi Peserta 1,050,000 1,050,000 5% 50,925 10% 105,000 954,545 50,000 31,500 81,500
Spanduk 100,000 100,000 5% 5,000 10% 10,000 90,909 -
Uang Saku peserta 1,300,000 1,300,000 0% - 0% - 1,181,818 -
ATK 195,000 195,000 5% 9,750 10% 19,500 177,273 -
Honorarium Narasumber 700,000 700,000 5% 33,250 10% 70,000 636,364 35,000 35,000
ketua 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
sekretaris 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 600,000 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
- -
Pelaksanaan MMD - -
Konsumsi peserta 6,300,000 6,300,000 5% 305,550 10% 630,000 5,727,273 300,000 189,000 489,000
Transport Peserta 4,500,000 4,500,000 0% - 0% - 4,090,909 -
ATK 1,125,000 1,125,000 5% 56,250 10% 112,500 1,022,727 -
Spanduk 200,000 200,000 5% 10,000 10% 20,000 181,818 -
Honor Narasumber 3,500,000 3,500,000 5% 166,250 10% 350,000 3,181,818 175,000 175,000
ketua 1,500,000 1,500,000 5% 71,250 10% 150,000 1,363,636 75,000 75,000
sekretaris 1,250,000 1,250,000 5% 59,375 10% 125,000 1,136,364 62,500 62,500
Anggota 2,000,000 2,000,000 5% 95,000 10% 200,000 1,818,182 100,000 100,000
- -
Supervisi Poskesdes/Pustu - -
Transpor Petugas 360,000 360,000 5% 18,000 10% 36,000 327,273 -
- -
Konsumsi Lembur Tim 250,000 250,000 5% 12,125 10% 25,000 227,273 11,905 7,500 19,405
- -
Honorarium Tim Perencanaan PKM - -
Ketua 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
Sekretaris 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 600,000 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
- -
Honorarium Tim Penilaian Kinerja - -
Ketua 300,000 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
Sekretaris 250,000 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 400,000 400,000 5% 19,000 10% 40,000 363,636 20,000 20,000
- -
ATK Manajemen BOK 300,000 300,000 5% 15,000 10% 30,000 272,727 -
- -
Penggandaan SPJ 200,000 200,000 5% 10,000 10% 20,000 181,818 -
- -
Konsultasi Program Ke Dinas - -
Transpor Petugas 60,000 60,000 5% 3,000 10% 6,000 54,545 -
- -
SISTEM INFORMASI PUSKESMAS - -
Transpor Petugas pengantar laporan 30,000 30,000 5% 1,500 10% 3,000 27,273 -

- - - -
-
Jumlah 53,965,000 53,965,000 Rp1,799,411 Rp3,754,000 Rp862,554 Rp675,000 Rp415,909 Rp0 Rp2,070,820
BELANJA BARANG DAN JASA/ CETAK DAN BAHAN CONTOH PAKET SURVEY Rp - Rp -
PIS PK (PPN DAN PPH)
CATATAN :
TOTAL Rp 519,048
BULAN MARET 2019
TOTAL
PAJAK
5% Rp1,799,411 10% Rp3,754,000 HRG DASAR PPN PPH 21 PPH 22 PPH 23 PAJAK
1 BELANJA HONORARIUM Rp14,450,000 13,136,364 722,500 Rp722,500

Insentif kader Posyandu Rp10,625,000 9,659,091 Rp0
Rp0
2 BELANJA TRANSPORT Rp11,470,000 10,427,273 Rp0
- Rp0
3 ALAT TULIS KANTOR - Rp0
ATK Pelatihan kader posyandu Rp0 - Rp0
ATK Pemicuan (STBM) STOP BABS di kelurahan Rp0 - Rp0
ATK/Dokumentasi LOKAKARYA MINI BULANAN Rp100,000 90,909 Rp0
ATK/Dokumentasi LOKAKARYA MINI TRI BULANAN Rp195,000 177,273 Rp0
ATK/Dokumentasi Pertemuan Penyusunan RUK Puskesmas Rp0 - Rp0
ATK/Dokumentasi Pertemuan Penyusunan RPK Puskesmas Rp0 - Rp0
ATK PELAKSANAAN MMD Rp1,125,000 Rp0

ATK manajemen BOK Rp300,000 Rp0
- Rp0
4 BELANJA BAHAN CONTOH - - - Rp0
PMT Bumil KEK Rp0 - - - Rp0
PMT Penyuluhan Rp4,250,000 3,863,636 386,364 115,909 Rp502,273
- Rp0
penggandaan evaluasi PIS PK Rp50,000 45,455 Rp0
penggandaan MINILOK Rp0 - Rp0
Penggandaan SPJ Rp200,000 181,818 Rp0
- Rp0
6 BELANJA MAKANAN DAN MINUMAN Rp10,900,000 9,909,091 519,048 327,000 Rp846,048
- Rp0
Sewa kendaraan Distribusi Alkes dan BHP di Jaringan Rp0 - Rp0
Biaya buruh angkut Distribusi Alkes dan BHP di Jaringan Rp0 - Rp0
- Rp0
8 BELANJA CETAK Rp0 - Rp0
Spanduk lokakarya mini bulanan Rp0 - Rp0
Spanduk lokakarya mini tribulanan Rp100,000 90,909 Rp0
Spanduk MMD Rp200,000 181,818 Rp0
Spanduk pelatihan kader posyandu Rp0 - Rp0
Spanduk refreshing kader posyandu Rp0 - Rp0
TOTAL - 53,965,000 5% 1,799,411 10% 3,754,000 47,763,636 905,411 722,500 442,909 - 2,070,820

YANG YANG
TOTAL
POTONGAN
DIKES PROGRAM
Rp51,894,180 Rp7,624,232 Rp46,340,768

Rp52,413,227 Rp7,105,184 Rp46,859,816
Rp830,143 Rp203,507 Rp696,493

Rp50,000 Rp7,500 Rp42,500
Rp332,500 Rp69,125 Rp280,875
Rp237,500 Rp49,375 Rp200,625
Rp190,000 Rp39,500 Rp160,500
Rp142,500 Rp29,625 Rp120,375
Rp300,000 Rp45,000 Rp255,000
Rp484,250 Rp118,713 Rp406,288
Rp10,625,000 Rp0 Rp10,625,000
Rp1,530,000 Rp229,500 Rp1,300,500
Rp600,000 Rp90,000 Rp510,000
Rp60,000 Rp9,000 Rp51,000
Rp150,000 Rp22,500 Rp127,500
Rp3,747,727 Rp1,114,659 Rp3,135,341

Rp150,000 Rp22,500 Rp127,500
Rp810,000 Rp121,500 Rp688,500
Rp390,000 Rp58,500 Rp331,500
Rp300,000 Rp45,000 Rp255,000
Rp276,714 Rp67,836 Rp232,164

Rp142,500 Rp29,625 Rp120,375
Rp60,000 Rp9,000 Rp51,000
Rp150,000 Rp22,500 Rp127,500
Rp150,000 Rp22,500 Rp127,500
Rp270,000 Rp40,500 Rp229,500
Rp300,000 Rp45,000 Rp255,000
Rp1,452,750 Rp356,138 Rp1,218,863
Rp100,000 Rp15,000 Rp85,000
Rp285,000 Rp59,250 Rp240,750

Rp237,500 Rp49,375 Rp200,625
Rp570,000 Rp118,500 Rp481,500
Rp968,500 Rp237,425 Rp812,575

Rp100,000 Rp15,000 Rp85,000
Rp1,300,000 Rp0 Rp1,300,000
Rp195,000 Rp29,250 Rp165,750
Rp665,000 Rp138,250 Rp561,750
Rp285,000 Rp59,250 Rp240,750

Rp237,500 Rp49,375 Rp200,625
Rp570,000 Rp118,500 Rp481,500
Rp5,811,000 Rp1,424,550 Rp4,875,450

Rp4,500,000 Rp0 Rp4,500,000
Rp1,125,000 Rp168,750 Rp956,250
Rp200,000 Rp30,000 Rp170,000
Rp3,325,000 Rp691,250 Rp2,808,750
Rp1,425,000 Rp296,250 Rp1,203,750

Rp1,187,500 Rp246,875 Rp1,003,125
Rp1,900,000 Rp395,000 Rp1,605,000
Rp360,000 Rp54,000 Rp306,000
Rp230,595 Rp56,530 Rp193,470
Rp285,000 Rp59,250 Rp240,750

Rp237,500 Rp49,375 Rp200,625
Rp570,000 Rp118,500 Rp481,500
Rp285,000 Rp59,250 Rp240,750

Rp237,500 Rp49,375 Rp200,625
Rp380,000 Rp79,000 Rp321,000
Rp300,000 Rp45,000 Rp255,000
Rp200,000 Rp30,000 Rp170,000
Rp60,000 Rp9,000 Rp51,000
Rp30,000 Rp4,500 Rp25,500

Rp0 Rp0 Rp0
Rp51,894,180 Rp7,506,875 Rp46,458,125

YANG
DITERIMA
Rp13,727,500
Rp10,625,000
Rp0
Rp11,470,000
Rp0
Rp0
Rp0
Rp0
Rp100,000
Rp195,000
Rp0
Rp0
Rp1,125,000
Rp300,000
Rp0
Rp0
Rp0
Rp3,747,727
Rp0
Rp0
Rp50,000
Rp0
Rp200,000
Rp0
Rp10,053,952
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp100,000
Rp200,000
Rp0
Rp0
51,894,180 7,624,232 46,340,768
27,000 873,000
17,500 332,500
12,500 237,500
10,000 190,000
7,500 142,500
15,750 509,250
502,273 3,747,727
9,000 291,000
7,500 142,500
47,250 1,527,750
15,000 285,000
12,500 237,500
30,000 570,000
31,500 1,018,500
35,000 665,000
15,000 285,000
12,500 237,500
30,000 570,000
189,000 6,111,000
175,000 3,325,000
75,000 1,425,000
62,500 1,187,500
100,000 1,900,000
7,500 242,500
15,000 285,000
12,500 237,500
30,000 570,000
15,000 285,000
12,500 237,500
20,000 380,000
JAN HARGA DASAR
NO MATA ANGGARAN
1 BELANJA HONORARIUM Rp1,600,000 1,454,545

Insentif kader Posyandu Rp10,625,000 9,659,091
-
2 BELANJA TRANSPORT Rp6,150,000 5,590,909
-
3 ALAT TULIS KANTOR -
ATK Pelatihan kader posyandu -
ATK Pemicuan (STBM) STOP BABS di kelurahan Rp500,000 454,545
ATK/Dokumentasi LOKAKARYA MINI BULANAN Rp100,000 90,909
ATK/Dokumentasi LOKAKARYA MINI TRI BULANAN -
ATK/Dokumentasi Pertemuan Penyusunan RUK Puskesmas Rp100,000 90,909
ATK/Dokumentasi Pertemuan Penyusunan RPK Puskesmas Rp100,000 90,909
ATK PELAKSANAAN MMD -
ATK manajemen BOK Rp300,000 272,727
-
4 BELANJA BAHAN CONTOH -
PMT Bumil KEK Rp2,100,000 1,909,091
PMT Penyuluhan Rp4,250,000 3,863,636
-
5 BELANJA PENGGANDAAN (FOTO COPY) -
penggandaan evaluasi PIS PK -
penggandaan MINILOK Rp744,000 676,364
Penggandaan SPJ Rp200,000 181,818
-
6 BELANJA MAKANAN DAN MINUMAN Rp3,275,000 2,977,273
-
7 BELANJA JASA -
Sewa kendaraan Distribusi Alkes dan BHP di Jaringan -
Biaya buruh angkut Distribusi Alkes dan BHP di Jaringan -
-
8 BELANJA CETAK -
Spanduk lokakarya mini bulanan Rp200,000 181,818
Spanduk lokakarya mini tribulanan -
Spanduk MMD -
Spanduk pelatihan kader posyandu -
Spanduk refreshing kader posyandu -
TOTAL Rp30,244,000 Rp 27,494,545
PPN PPH 21 PPH22 PPH23 TOTAL YANG DITERIMA DI
POTONGAN DIKES
Rp 80,000 Rp 80,000 Rp 1,520,000 5%

Rp - Rp 10,625,000 0%
Rp - Rp -
Rp - Rp 6,150,000 5%
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp 500,000 5%
Rp - Rp 100,000 5%
Rp - Rp -
Rp - Rp 100,000 5%
Rp - Rp 100,000 5%
Rp - Rp -
Rp - Rp 300,000 5%
Rp - Rp -
Rp - Rp -
190,909 Rp 57,273 Rp 248,182 Rp 1,851,818 5%
386,364 Rp 115,909 Rp 502,273 Rp 3,747,727 5%
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp 744,000 5%
Rp - Rp 200,000 5%
Rp - Rp -
155,952 Rp 98,250 Rp 254,202 Rp 3,020,798 5%
Rp - Rp -
Rp - Rp -
Rp - Rp - 0%
Rp - Rp - 0%
Rp - Rp -
Rp - Rp -
Rp - Rp 200,000 5%
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp733,225 Rp80,000 Rp271,432 Rp0 Rp1,084,657 Rp29,159,343
5% 10% YANG DITERIMA FEB
PROGRAM
Rp 76,000 10% Rp 160,000 Rp 1,520,000 Rp 1,284,000 Rp 2,500,000

Rp - 0% Rp - Rp 10,625,000 Rp 10,625,000
Rp -
Rp 307,500 10% Rp 615,000 Rp 3,580,000 Rp 5,227,500 Rp 8,880,000
Rp -
Rp -
Rp - Rp 300,000
Rp 25,000 10% Rp 50,000 Rp 425,000
Rp 5,000 10% Rp 10,000 Rp 85,000 Rp 100,000
Rp -
Rp 5,000 10% Rp 10,000 Rp 85,000
Rp 5,000 10% Rp 10,000 Rp 85,000
Rp -
Rp 15,000 10% Rp 30,000 Rp 255,000 Rp 300,000
Rp -
Rp -
Rp 92,591 10% Rp 210,000 Rp 1,851,818 Rp 1,549,227
Rp 187,386 10% Rp 425,000 Rp 3,747,727 Rp 3,135,341 Rp 4,250,000
Rp -
Rp -
Rp -
Rp 37,200 10% Rp 74,400 Rp 632,400
Rp 10,000 10% Rp 20,000 Rp 170,000 Rp 200,000
Rp -
Rp 158,838 10% Rp 327,500 Rp 3,176,750 Rp 2,534,460 Rp 4,950,000
Rp -
Rp -
0% Rp - Rp 100,000
0% Rp - Rp 50,000
Rp -
Rp -
Rp 10,000 10% Rp 20,000 Rp 170,000
Rp -
Rp -
Rp - Rp 200,000
Rp - Rp 200,000
Rp -
Rp934,515 Rp1,961,900 Rp 26,262,928 Rp 32,655,000
HARGA DASAR PPN PPH 21 PPH22 PPH23 TOTAL
POTONGAN
Rp 2,272,727 Rp 125,000 Rp 125,000

Rp 9,659,091 Rp -
Rp - Rp -
Rp 8,072,727 Rp -
Rp - Rp -
Rp - Rp -
Rp 272,727 Rp -
Rp - Rp -
Rp 90,909 Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 272,727 Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 3,863,636 386,364 115,909 Rp 502,273
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 181,818 Rp -
Rp - Rp -
Rp 4,500,000 Rp 235,714 Rp 148,500 Rp 384,214
Rp - Rp -
Rp - Rp -
Rp 90,909 Rp -
Rp 45,455 Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 181,818 Rp -
Rp 181,818 Rp -
Rp - Rp -
Rp 29,686,364 Rp 622,078 Rp 125,000 Rp 264,409 Rp - Rp 1,011,487
YANG DITERIMA DI 5% 10% YANG DITERIMA
DIKES PROGRAM
Rp 2,375,000 5% Rp 118,750 10% Rp 250,000 Rp 2,375,000 Rp 2,006,250

Rp 10,625,000 0% Rp - 0% Rp - Rp 10,625,000
Rp - Rp -
Rp 8,880,000 5% Rp 346,500 10% Rp 693,000 Rp 6,930,000 Rp 7,840,500
Rp - Rp -
Rp - Rp -
Rp 300,000 5% Rp 15,000 10% Rp 30,000 Rp 255,000
Rp - Rp -
Rp 100,000 5% Rp 5,000 10% Rp 10,000 Rp 85,000
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 300,000 5% Rp 15,000 10% Rp 30,000 Rp 255,000
Rp - Rp -
Rp - Rp -
Rp -
Rp 3,747,727 5% Rp 187,386 10% Rp 425,000 Rp 3,747,727 Rp 3,135,341
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 200,000 5% Rp 10,000 10% Rp 20,000 Rp 170,000
Rp - Rp -
Rp 4,565,786 5% Rp 240,075 10% Rp 495,000 Rp 4,801,500 Rp 3,830,711
Rp - Rp -
Rp - Rp -
Rp 100,000 0% Rp - 0% Rp - Rp 100,000
Rp 50,000 0% Rp - 0% Rp - Rp 50,000
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 200,000 5% Rp 10,000 10% Rp 20,000 Rp 170,000
Rp 200,000 5% Rp 10,000 10% Rp 20,000 Rp 170,000
Rp - Rp -
Rp 31,643,513 Rp 957,711 Rp 1,993,000 Rp 28,692,802
MAR HARGA DASAR PPN PPH 21 PPH22
Rp14,450,000 Rp 13,136,364 Rp 722,500

Rp10,625,000 Rp 9,659,091
Rp0 Rp -
Rp11,470,000 Rp 10,427,273
Rp0 Rp -
Rp0 Rp -
Rp0 Rp -
Rp0 Rp -
Rp100,000 Rp 90,909
Rp195,000 Rp 177,273
Rp0 Rp -
Rp0 Rp -
Rp1,125,000 Rp 1,022,727
Rp300,000 Rp 272,727
Rp0 Rp -
Rp0 Rp -
Rp0 Rp -
Rp4,250,000 Rp 3,863,636 386,364 Rp 115,909
Rp0 Rp -
Rp0 Rp -
Rp50,000 Rp 45,455
Rp0 Rp -
Rp200,000 Rp 181,818
Rp0 Rp -
Rp10,900,000 Rp 9,909,091 519,048 Rp 327,000
Rp0 Rp -
Rp0 Rp -
Rp0 Rp -
Rp0 Rp -
Rp0 Rp -
Rp0 Rp -
Rp0 Rp -
Rp100,000 Rp 90,909
Rp200,000 Rp 181,818
Rp0 Rp -
Rp0 Rp -
Rp 53,965,000 Rp 49,059,091 Rp 905,411 Rp 722,500 Rp 442,909
PPH23 TOTAL YANG DITERIMA DI 5% 10%
POTONGAN DIKES
Rp 722,500 Rp 13,727,500 5% Rp 686,375 10% Rp 1,445,000

Rp - Rp 10,625,000 0% 0%
Rp - Rp -
Rp - Rp 11,470,000 5% Rp 283,500 10% Rp 567,000
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp 100,000 5% Rp 5,000 10% Rp 10,000
Rp - Rp 195,000 5% Rp 9,750 10% Rp 19,500
Rp - Rp -
Rp - Rp -
Rp - Rp 1,125,000 5% Rp 56,250 10% Rp 112,500
Rp - Rp 300,000 5% Rp 15,000 10% Rp 30,000
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp 502,273 Rp 3,747,727 5% Rp 187,386 10% Rp 425,000
Rp - Rp -
Rp - Rp -
Rp - Rp 50,000 5% Rp 2,500 10% Rp 5,000
Rp - Rp - 5% Rp - 10% Rp -
Rp - Rp 200,000 5% Rp 10,000 10% Rp 20,000
Rp - Rp -
Rp 846,048 Rp 10,053,952 5% Rp 528,650 10% Rp 1,090,000
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp -
Rp - Rp 100,000 5% Rp 5,000 10% Rp 10,000
Rp - Rp 200,000 5% Rp 10,000 10% Rp 20,000
Rp - Rp -
Rp - Rp -
Rp - Rp 2,070,820 Rp 51,894,180 Rp 1,799,411 Rp 3,754,000
YANG DITERIMA BULAN HARGA DASAR PPN
PROGRAM JAN FEB MAR
Rp 13,727,500 Rp 11,596,125 Rp 18,550,000 Rp 16,863,636 Rp -

Rp 10,625,000 Rp 31,875,000 Rp 28,977,273 Rp -
Rp - Rp - Rp - Rp -
Rp 5,670,000 Rp 10,619,500 Rp 26,500,000 Rp 24,090,909 Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp 300,000 Rp 272,727 Rp -
Rp - Rp 500,000 Rp 454,545 Rp -
Rp 85,000 Rp 300,000 Rp 272,727 Rp -
Rp 165,750 Rp 195,000 Rp 177,273 Rp -
Rp - Rp 100,000 Rp 90,909 Rp -
Rp - Rp 100,000 Rp 90,909 Rp -
Rp 956,250 Rp 1,125,000 Rp 1,022,727 Rp -
Rp 255,000 Rp 900,000 Rp 818,182 Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp 2,100,000 Rp 1,909,091 Rp 190,909
Rp 3,747,727 Rp 3,135,341 Rp 12,750,000 Rp 11,590,909 Rp 1,159,091
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp 42,500 Rp 50,000 Rp 45,455 Rp -
Rp - Rp 744,000 Rp 676,364 Rp -
Rp 170,000 Rp 600,000 Rp 545,455 Rp -
Rp - Rp - Rp - Rp -
Rp 10,573,000 Rp 8,435,302 Rp 19,125,000 Rp 17,386,364 Rp 910,714
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp 100,000 Rp 90,909 Rp -
Rp - Rp 50,000 Rp 45,455 Rp -
Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
Rp - Rp 200,000 Rp 181,818 Rp -
Rp 85,000 Rp 100,000 Rp 90,909 Rp -
Rp 170,000 Rp 200,000 Rp 181,818 Rp -
Rp - Rp 200,000 Rp 181,818 Rp -
Rp - Rp 200,000 Rp 181,818 Rp -
Rp - Rp - Rp - Rp -
Rp 46,340,768 Rp 116,864,000 Rp 106,240,000 Rp 2,260,714
TOTAL
PPH 21 PPH22 PPH23 POTONGAN YANG DITERIMA DI 5%
PAJAK DIKES
(PPN/PPH)
Rp 927,500 Rp - Rp 927,500 Rp 17,622,500 Rp 881,125

Rp - Rp - Rp - Rp 31,875,000 Rp -
Rp - Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp 26,500,000 Rp 937,500
Rp - Rp - Rp - Rp 300,000 Rp 15,000
Rp - Rp - Rp - Rp 500,000 Rp 25,000
Rp - Rp - Rp - Rp 300,000 Rp 15,000
Rp - Rp - Rp - Rp 195,000 Rp 9,750
Rp - Rp - Rp - Rp 100,000 Rp 5,000
Rp - Rp - Rp - Rp 100,000 Rp 5,000
Rp - Rp - Rp - Rp 1,125,000 Rp 56,250
Rp - Rp - Rp - Rp 900,000 Rp 45,000
Rp - Rp 57,273 Rp 248,182 Rp 1,851,818 Rp 92,591
Rp - Rp 347,727 Rp 1,506,818 Rp 11,243,182 Rp 562,159
Rp - Rp - Rp - Rp 50,000 Rp 2,500
Rp - Rp - Rp - Rp 744,000 Rp 37,200
Rp - Rp - Rp - Rp 600,000 Rp 30,000
Rp - Rp 573,750 Rp 573,750 Rp 18,551,250 Rp 927,563
Rp - Rp - Rp - Rp 100,000 Rp -
Rp - Rp - Rp - Rp 50,000 Rp -
Rp - Rp - Rp - Rp 200,000 Rp 10,000
Rp - Rp - Rp - Rp 100,000 Rp 5,000
Rp - Rp - Rp - Rp 200,000 Rp 10,000
Rp - Rp - Rp - Rp 200,000 Rp 10,000
Rp - Rp - Rp - Rp 200,000 Rp 10,000
Rp 927,500 Rp 978,750 Rp - Rp 3,256,250 Rp 113,607,750 Rp 3,691,638
Rp 112,697,036 Rp 3,691,638
10% YANG DITERIMA YANG DITERIMA
PROGRAM PROGRAM
Rp 1,855,000 Rp 14,886,375 Rp 14,886,375

Rp - Rp 31,875,000 Rp 31,875,000
Rp - Rp - Rp -
Rp 1,875,000 Rp 23,687,500 Rp 23,687,500
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp 30,000 Rp 255,000 Rp 255,000
Rp 50,000 Rp 425,000 Rp 425,000
Rp 30,000 Rp 255,000 Rp 255,000
Rp 19,500 Rp 165,750 Rp 165,750
Rp 10,000 Rp 85,000 Rp 85,000
Rp 10,000 Rp 85,000 Rp 85,000
Rp 112,500 Rp 956,250 Rp 956,250
Rp 90,000 Rp 765,000 Rp 765,000
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp 210,000 Rp 1,549,227 Rp 1,549,227
Rp 1,275,000 Rp 9,406,023 Rp 9,406,023
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp 5,000 Rp 42,500 Rp 42,500
Rp 74,400 Rp 632,400 Rp 632,400
Rp 60,000 Rp 510,000 Rp 510,000
Rp - Rp - Rp -
Rp 1,912,500 Rp 14,800,473 Rp 15,711,188
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp - Rp 100,000 Rp 100,000 TERIMA DI DIKES
Rp - Rp 50,000 Rp 50,000 Rp 109,916,113
Rp - Rp - Rp -
Rp - Rp - Rp -
Rp 20,000 Rp 170,000 Rp 170,000
Rp 10,000 Rp 85,000 Rp 85,000
Rp 20,000 Rp 170,000 Rp 170,000
Rp 20,000 Rp 170,000 Rp 170,000
Rp 20,000 Rp 170,000 Rp 170,000 DI TERIMA PROGRAM
Rp - Rp - Rp - Rp 102,207,213
Rp 7,708,900 Rp 101,296,498 Rp 102,207,213
Rp 7,708,900 Rp 101,296,498 Rp 102,207,213
Rp 102,207,213
RINCIAN PENGGUNAAN ANGGARAN DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN APRIL TAHUN 2019
YANG
POTONGAN
PERMINTAAN DITERIMA DI
DIKES
(PPN/PPH)
33,408,000 5% Rp997,086 10% Rp2,082,300 Rp477,545 Rp125,000 Rp122,727 Rp0 Rp1,128,892 Rp32,279,108
Rp247,619 Rp156,000 Rp881,273 Rp32,526,727
PIS PK 900,000 HARGA DASAR
-
Kunjungan rumah intervensi PIS PK -
Transport Petugas 900,000 0% - 0% - 818,182 - Rp900,000
-
-
SNACK KELAS IBU BALITA DAN PMBA 300,000 5% 14,550 10% 30,000 272,727 14,286 9,000 23,286 Rp276,714
Honor Fasilitator 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
-
KELAS IBU HAMIL DI PKM -
snack kelas bumil di PKM 675,000 5% 32,738 10% 67,500 613,636 32,143 20,250 52,393 Rp622,607
-
snack kelas bumil 675,000 5% 32,738 10% 67,500 613,636 32,143 20,250 52,393 Rp622,607
-
Pemantauan SDIDTK di TK/Paud -
transport petugas 30,000 5% 1,500 10% 3,000 27,273 - Rp30,000
-
PROMOSI KESEHATAN -
Insentif kader posyandu 10,625,000 0% - 0% - 9,659,091 - Rp10,625,000
-
Transport petugas 1,530,000 5% 76,500 10% 153,000 1,390,909 - Rp1,530,000
-
Penyuluhan Terpadu Program Kesehatan Puskesmas -
transport petugas TB 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
transport petugas Kusta 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
transport petugas HIV 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
transport petugas Kesehatan Remaja 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
transport petugas Gizi 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
transport petugas KIA 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
transport petugas ISPA Diare Hepatitis 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
-
Kunjungan Rumah Pasien Klinik Sanitasi 60,000 5% 3,000 10% 6,000 54,545 - Rp60,000
-
GIZI -
distribusi dan penyuluhan Fe di sekolah 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
-
Pemberian PMT Penyuluhan 4,250,000 5% 187,386 10% 425,000 3,863,636 386,364 115,909 502,273 Rp3,747,727
-
PELAYANAN PENCEGAHAN DAN PENGENDALIAN PENYAKIT (P2P) -
SURVEILANS -
Posbindu PTM 810,000 5% 40,500 10% 81,000 736,364 - Rp810,000
-
TB -
penjaringan susp TB di kelurahan 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
-
penjaringan susp TB oleh masyarakat 160,000 0% - 0% - 145,455 - Rp160,000
-
Transport petugas 390,000 5% 19,500 10% 39,000 354,545 - Rp390,000
-
KUSTA -
pemantauan minum obat pada pasien kusta 60,000 5% 3,000 10% 6,000 54,545 - Rp60,000
-
IMUNISASI -
Sweeping imunisasi rutin 510,000 5% 25,500 10% 51,000 463,636 - Rp510,000
-
ZOONOSIS -
Pelacakan kasus zoonosis di kelurahan 120,000 5% 6,000 10% 12,000 109,091 - Rp120,000
-
Penanganan cepat pasien zoonosis di kelurahan 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
UKM PENGEMBANGAN 6,035,000 - -

- -
-
PENGOBATAN TRADISIONAL -
Pengenalan akupresure + Ramuan (jamu) 300,000 5% 15,000 10% 30,000 272,727 - Rp300,000
Bahan Kontak batra (Minyak oles,hand body, rempah
rempah) 250,000 5% 11,023 10% 25,000 227,273 22,727 6,818 29,545 Rp220,455
-
pembinaan batra (keterampilan + ramuan) 300,000 5% 15,000 10% 30,000 272,727 - Rp300,000
-
JIWA -
Swepping penderita Keswa 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
-
kesehatan jiwa 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
-
Refresing untuk PMO -
Transport peserta 750,000 0% - 0% - 681,818 - Rp750,000
Snack peserta 450,000 5% 21,825 10% 45,000 409,091 21,429 13,500 34,929 Rp415,071
honor fasilitator 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
-
Pembuatan dan penyebaran Leaflet Jiwa 250,000 5% 12,500 10% 25,000 227,273 - Rp250,000
-
pembuatan poster Jiwa 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
-
Senam bersama pasien jiwa -
Snack peserta 375,000 5% 18,188 10% 37,500 340,909 17,857 11,250 29,107 Rp345,893
honor fasilitator instruktur senam 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
-
Kegiatan kerohanian pasien jiwa -
Snack 375,000 5% 18,188 10% 37,500 340,909 17,857 11,250 29,107 Rp345,893
Honor fasilitator ustadz 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
-
LANSIA -
Posyandu Lansia di Kelurahan (Transport petugas) 270,000 5% 13,500 10% 27,000 245,455 - Rp270,000
-
Senam lansia di kelurahan -
Snack 300,000 5% 14,550 10% 30,000 272,727 14,286 9,000 23,286 Rp276,714
Honor fasilitator instruktur senam 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
-
REMAJA -
Kelas remaja di kelurahan -
snack peserta kls remaja di kelurahan 225,000 5% 10,913 10% 22,500 204,545 10,714 6,750 17,464 Rp207,536
-
Posyandu REMAJA di sekolah 420,000 5% 21,000 10% 42,000 381,818 - Rp420,000
-
screening hb remaja di kelurahan 300,000 5% 15,000 10% 30,000 272,727 - Rp300,000
-
PANCA INDRA -
Penjaringan panca indera dan katarak di kelurahan 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000

-
Konsumsi Peserta 1,575,000 5% 76,388 10% 157,500 1,431,818 75,000 47,250 122,250 Rp1,452,750
ATK/Dokumentasi 100,000 5% 4,545 10% 10,000 90,909 9,091 9,091 Rp90,909
Honorarium Panitia -
ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000 Rp570,000
-
Distribusi Alkes dan BHP di Jaringan -
sewa kendaraan 100,000 0% - 0% - 90,909 - Rp100,000
honor buruh angkut 50,000 0% - 0% - 45,455 - Rp50,000
-
Konsumsi Lembur Tim 250,000 5% 12,125 10% 25,000 227,273 11,905 7,500 19,405 Rp230,595
-
ATK Manajemen BOK 300,000 5% 13,636 10% 30,000 272,727 27,273 27,273 Rp272,727
-
Penggandaan SPJ 353,000 5% 16,045 10% 35,300 320,909 32,091 32,091 Rp320,909
-
Pemantauan Disiplin Pegawai/ Sidak petugas pustu dan
polindes -
Transpor Petugas 240,000 5% 12,000 10% 24,000 218,182 - Rp240,000
-
SISTEM INFORMASI PUSKESMAS -
Honorarium Pengelola (SIP) media sosial PKM 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
-
Transpor Petugas pengantar laporan 60,000 5% 3,000 10% 6,000 54,545 - Rp60,000
-
STBM (SANITASI TOTAL BERBASIS MASYARAKAT) - - -
- - - - Rp0
-
Jumlah 33,408,000 Rp997,086 Rp2,082,300 Rp725,165 Rp125,000 Rp278,727 Rp0 Rp1,128,892 Rp32,279,108
BELANJA BARANG DAN JASA/ CETAK DAN BAHAN CONTOH PAKET SURVEY PIS PK Rp - Rp -
(PPN DAN PPH)
CATATAN :
TOTAL Rp 247,619
BULAN APRIL 2019
TOTAL
PAJAK YANG
5% Rp997,086 10% Rp2,082,300 HRG DASAR PPN PPH 21 PPH 22 PPH 23 DITERIMA
PAJAK
1 BELANJA HONORARIUM
Belanja honorarium (5%) Rp2,500,000 2,272,727 125,000 Rp125,000 Rp2,375,000
Belanja honorarium (0%) Rp0 - Rp0 Rp0
Insentif kader Posyandu Rp10,625,000 9,659,091 Rp0 Rp10,625,000
- Rp0 Rp0
2 BELANJA TRANSPORT - Rp0 Rp0
Transport petugas Rp8,530,000 7,754,545 Rp0 Rp8,530,000
Transport peserta / uang saku peserta Rp750,000 681,818 Rp0 Rp750,000
- Rp0 Rp0
ATK Pelatihan kader posyandu Rp0 - Rp0 Rp0
ATK Pemicuan (STBM) STOP BABS di kelurahan Rp0 - Rp0 Rp0
ATK/Dokumentasi LOKAKARYA MINI BULANAN Rp100,000 90,909 9,091 Rp9,091 Rp90,909
ATK/Dokumentasi LOKAKARYA MINI TRI BULANAN Rp0 - Rp0 Rp0
ATK/Dokumentasi Pertemuan Penyusunan RUK Puskesmas Rp0 - Rp0 Rp0
ATK/Dokumentasi Pertemuan Penyusunan RPK Puskesmas Rp0 - Rp0 Rp0
ATK PELAKSANAAN MMD Rp0 - Rp0 Rp0

ATK manajemen BOK Rp300,000 272,727 27,273 Rp27,273 Rp272,727
- Rp0 Rp0
PMT Bumil KEK Rp0 - - - Rp0 Rp0
rempah) Rp250,000 227,273 22,727 6,818 Rp29,545 Rp220,455
- Rp0 Rp0
5 BELANJA PENGGANDAAN (FOTO COPY) - Rp0 Rp0
penggandaan evaluasi PIS PK Rp0 - Rp0 Rp0
penggandaan MINILOK Rp0 - Rp0 Rp0
Penggandaan SPJ Rp353,000 320,909 32,091 Rp32,091 Rp320,909
- Rp0 Rp0
- Rp0 Rp0
7 BELANJA JASA - Rp0 Rp0
Sewa kendaraan Distribusi Alkes dan BHP di Jaringan Rp100,000 90,909 Rp0 Rp100,000
Biaya buruh angkut Distribusi Alkes dan BHP di Jaringan Rp50,000 45,455 Rp0 Rp50,000
- Rp0 Rp0
8 BELANJA CETAK - Rp0 Rp0
Spanduk lokakarya mini bulanan Rp0 - Rp0 Rp0
Spanduk lokakarya mini tribulanan Rp0 - Rp0 Rp0
Spanduk MMD Rp0 - Rp0 Rp0
Spanduk pelatihan kader posyandu Rp0 - Rp0 Rp0
Spanduk refreshing kader posyandu Rp0 - Rp0 Rp0
Pembuatan dan penyebaran Leaflet Jiwa Rp250,000 227,273 Rp0 Rp250,000
pembuatan poster Jiwa Rp150,000 136,364 Rp0 Rp150,000
TOTAL 33,408,000 5% 997,086 10% 2,082,300 30,007,273 725,165 125,000 278,727 - 1,128,892 32,279,108
CATATAN : TANDA KUNING SUDAH DIBAYAR OLEH PKM 247,619

CATATAN : TOTAL KADER DAN LINSEK 12,585,000
YANG
TOTAL
DITERIMA
POTONGAN
PROGRAM
NAMA PARAF
Rp4,208,278 Rp29,199,722
Rp3,960,659 Rp29,447,341
Rp0 Rp900,000
Rp67,836 Rp232,164
Rp29,625 Rp120,375
Rp152,630 Rp522,370
Rp29,625 Rp120,375
Rp152,630 Rp522,370
Rp29,625 Rp120,375
Rp4,500 Rp25,500
Rp0 Rp10,625,000
Rp229,500 Rp1,300,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp9,000 Rp51,000
Rp22,500 Rp127,500
Rp1,114,659 Rp3,135,341
Rp121,500 Rp688,500
Rp22,500 Rp127,500
Rp0 Rp160,000
Rp58,500 Rp331,500
Rp9,000 Rp51,000
Rp76,500 Rp433,500
Rp18,000 Rp102,000
Rp22,500 Rp127,500
Rp45,000 Rp255,000
Rp65,568 Rp184,432
Rp45,000 Rp255,000
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp0 Rp750,000
Rp101,754 Rp348,246
Rp29,625 Rp120,375
Rp37,500 Rp212,500
Rp22,500 Rp127,500
Rp84,795 Rp290,205
Rp29,625 Rp120,375
Rp84,795 Rp290,205
Rp29,625 Rp120,375
Rp40,500 Rp229,500
Rp9,000 Rp51,000
Rp67,836 Rp232,164
Rp29,625 Rp120,375
Rp50,877 Rp174,123
Rp9,000 Rp51,000
Rp29,625 Rp120,375
Rp63,000 Rp357,000
Rp45,000 Rp255,000
Rp22,500 Rp127,500
Rp356,138 Rp1,218,863
Rp23,636 Rp76,364
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp0 Rp100,000
Rp0 Rp50,000
Rp56,530 Rp193,470
Rp70,909 Rp229,091
Rp83,436 Rp269,564
Rp36,000 Rp204,000
Rp29,625 Rp120,375
Rp9,000 Rp51,000
Rp0 Rp0
Rp4,208,278 Rp29,199,722
4,208,278 29,199,722
9,000 291,000
7,500 142,500
20,250 654,750
7,500 142,500
20,250 654,750
7,500 142,500
### 3,747,727
29,545 220,455
13,500 436,500
7,500 142,500
11,250 363,750
7,500 142,500
11,250 363,750
7,500 142,500
9,000 291,000
7,500 142,500
6,750 218,250
7,500 142,500
47,250 1,527,750
9,091 90,909
15,000 285,000
12,500 237,500
30,000 570,000
7,500 242,500
27,273 272,727
32,091 320,909
7,500 142,500
YANG
POTONGAN
DIKES
(PPN/PPH)
26,790,000 5% Rp725,740 10% Rp1,526,500 Rp454,545 Rp80,000 Rp115,909 Rp0 Rp908,538 Rp25,881,462
Rp158,333 Rp99,750 Rp750,205 Rp26,039,795
PIS PK 900,000 HARGA DASAR
-
Kunjungan rumah intervensi PIS PK
Transport Petugas 900,000 0% - 0% - 818,182 - Rp900,000

-
-
DRK -
Snack pertemuan DRK 300,000 5% 14,550 10% 30,000 272,727 14,286 9,000 23,286 Rp276,714
-
PROMOSI KESEHATAN -
-
-
Survei PHBS Institusi Kesehatan -
-
transport petugas Lansia 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
transport petugas Panca Indera 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
transport petugas Jiwa 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
transport petugas SIP 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
transport petugas Zoonosis 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
-
Pemantauan Rumah Sehat 600,000 5% 30,000 10% 60,000 545,455 - Rp600,000
-
-
GIZI -
-
-
SURVEILANS -
pelacakan kasus peny.yang berpotensi KLB 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
-
TB -
Pelacakan kontak serumah dan tetangga BTA+ 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
-
-
ISPA DIARE HEPATITIS -
Screening Hepatitis pada kelompok beresiko 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
-
KUSTA -
pemeriksaan kontak serumah dan tetangga 300,000 5% 15,000 10% 30,000 272,727 - Rp300,000
-
- -
JIWA -
-
LANSIA -
-
Snack 300,000 5% 14,550 10% 30,000 272,727 14,286 9,000 23,286 Rp276,714
-
REMAJA -
-
Pembentukan dan pembinaan Kader remaja -
-
KTA KTP -
Pendampingan KTA/KTP 30,000 5% 1,500 10% 3,000 27,273 - Rp30,000
PELAKSANAAN FUNGSI MANAJEMEN ( P1, P2, P3 ) Rp 3,845,000 -
-
ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000 Rp570,000
-
-
-
-
Konsultasi Program Ke Dinas -
-

- - - - Rp0
-
Jumlah 26,790,000 Rp725,740 Rp1,526,500 Rp612,879 Rp80,000 Rp215,659 Rp0 Rp908,538 Rp25,881,462
(PPN DAN PPH)
CATATAN :
TOTAL Rp 158,333
BULAN MEI 2019
TOTAL
PAJAK YANG
5% Rp725,740 10% Rp1,526,500 HRG DASAR PPN PPH 21 PPH 22 PPH 23 DITERIMA
PAJAK
Belanja honorarium (0%) Rp0 - Rp0
- Rp0
Transport peserta / uang saku peserta Rp0 - Rp0
- Rp0 Rp0
ATK Pemicuan (STBM) STOP BABS di kelurahan Rp0 - Rp0 Rp0
ATK/Dokumentasi LOKAKARYA MINI TRI BULANAN Rp0 - Rp0 Rp0

- Rp0 Rp0
rempah) Rp0 - Rp0
- Rp0 Rp0
penggandaan evaluasi PIS PK Rp0 - Rp0 Rp0
- Rp0 Rp0
- Rp0 Rp0
Sewa kendaraan Distribusi Alkes dan BHP di Jaringan Rp0 - Rp0 Rp0
Biaya buruh angkut Distribusi Alkes dan BHP di Jaringan Rp0 - Rp0 Rp0
- Rp0 Rp0
Spanduk lokakarya mini bulanan Rp0 - Rp0 Rp0
Pembuatan dan penyebaran Leaflet Jiwa Rp0 - Rp0 Rp0
pembuatan poster Jiwa Rp0 - Rp0 Rp0
TOTAL 26,790,000 5% 725,740 10% 1,526,500 24,354,545 612,879 80,000 215,659 - 908,538 25,881,462

YANG
TOTAL
DITERIMA
POTONGAN
PROGRAM
NAMA PARAF
Rp3,160,778 Rp23,629,222
Rp3,002,444 Rp23,787,556
Rp0 Rp900,000
Rp152,630 Rp522,370
Rp29,625 Rp120,375
Rp67,836 Rp232,164
Rp0 Rp10,625,000
Rp229,500 Rp1,300,500
Rp31,500 Rp178,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp90,000 Rp510,000
Rp9,000 Rp51,000
Rp1,114,659 Rp3,135,341
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp58,500 Rp331,500
Rp22,500 Rp127,500
Rp45,000 Rp255,000
Rp9,000 Rp51,000
Rp22,500 Rp127,500
Rp40,500 Rp229,500
Rp9,000 Rp51,000
Rp67,836 Rp232,164
Rp29,625 Rp120,375
Rp50,877 Rp174,123
Rp9,000 Rp51,000
Rp29,625 Rp120,375
Rp45,000 Rp255,000
Rp4,500 Rp25,500
Rp356,138 Rp1,218,863
Rp23,636 Rp76,364
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp56,530 Rp193,470
Rp70,909 Rp229,091
Rp82,727 Rp267,273
Rp9,000 Rp51,000
Rp9,000 Rp51,000
Rp0 Rp0
Rp3,160,778 Rp23,629,222
3,160,778 23,629,222
20,250 654,750
7,500 142,500
9,000 291,000
502,273 3,747,727
9,000 291,000
7,500 142,500
6,750 218,250
7,500 142,500
47,250 1,527,750
9,091 90,909
15,000 285,000
12,500 237,500
30,000 570,000
7,500 242,500
27,273 272,727
31,818 318,182
RINCIAN PENGGUNAAN ANGGARAN DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN JUNI TAHUN 2019
YANG
POTONGAN
DIKES
(PPN/PPH)
43,700,000 5% Rp1,463,572 10% Rp3,066,500 Rp561,364 Rp452,500 Rp124,091 Rp0 Rp1,799,269 Rp41,900,731
Rp405,714 Rp255,600 Rp1,393,555 Rp42,306,445
PIS PK 3,400,000 HARGA DASAR
-
PIS PK
Konsumsi 900,000 5% 43,650 10% 90,000 818,182 42,857 27,000 69,857 Rp830,143
Penggandaan 50,000 5% 2,273 10% 5,000 45,455 4,545 4,545 Rp45,455
honor Narsum 350,000 5% 16,625 10% 35,000 318,182 17,500 17,500 Rp332,500
Ketua 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
Sekretaris 200,000 5% 9,500 10% 20,000 181,818 10,000 10,000 Rp190,000
Anggota 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
-
Admin 1,500,000 5% 71,250 10% 150,000 1,363,636 75,000 75,000 Rp1,425,000

-
Sosialisasi P4K di Kelurahan 300,000 5% 15,000 10% 30,000 272,727 - Rp300,000
-
BAYI 300,000 5% 15,000 10% 30,000 272,727 - Rp300,000
-
SNACK KELAS IBU BALITA DAN PMBA 300,000 5% 14,550 10% 30,000 272,727 14,286 9,000 23,286 Rp276,714
-
-
OJT KIA -
snack OJT KIA 300,000 5% 14,550 10% 30,000 272,727 14,286 9,000 23,286 Rp276,714
-
PROMOSI KESEHATAN -
-
-
transport petugas TB 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
transport petugas Kusta 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
transport petugas HIV 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
transport petugas Kesehatan Remaja 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
transport petugas Gizi 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
transport petugas KIA 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
transport petugas ISPA Diare Hepatitis 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
-
-
Pemicuan (STBM) STOP BABS di kelurahan 600,000 5% 30,000 10% 60,000 545,455 - Rp600,000
ATK Pemicuan (STBM) STOP BABS di kelurahan 500,000 5% 22,727 10% 50,000 454,545 45,455 45,455 Rp454,545
-
GIZI -
-
PMT Pemulihan Balita -
Gizi Kurang 300,000 5% 13,227 10% 30,000 272,727 27,273 8,182 35,455 Rp264,545
PELAYANAN PENCEGAHAN DAN PENGENDALIAN PENYAKIT (P2P)

SURVEILANS
Posbindu PTM 810,000 5% 40,500 10% 81,000 736,364 - Rp810,000
-
TB -
penjaringan susp TB di kelurahan 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000
-
penjaringan susp TB oleh masyarakat 160,000 0% - 0% - 145,455 - Rp160,000
-
Pertemuan dan pengawasan PMO -
Transport peserta 600,000 0% - 0% - 545,455 - Rp600,000
konsumsi peserta 770,000 5% 37,345 10% 77,000 700,000 36,667 23,100 59,767 Rp710,233
honor fasilitator 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
-
-
KUSTA -

- -
KESEHATAN OLAH RAGA -
Tes Kebugaran Pegawai -
snack Peserta 900,000 5% 43,650 10% 90,000 818,182 42,857 27,000 69,857 Rp830,143
-
JIWA -
-
Snack peserta 375,000 5% 18,188 10% 37,500 340,909 17,857 11,250 29,107 Rp345,893
honor fasilitator instruktur senam 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
-
Snack 375,000 5% 18,188 10% 37,500 340,909 17,857 11,250 29,107 Rp345,893
Honor fasilitator ustadz 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
-
LANSIA -
-
Snack 300,000 5% 14,550 10% 30,000 272,727 14,286 9,000 23,286 Rp276,714
-
REMAJA -
-
Posyandu REMAJA di kelurahan 300,000 5% 15,000 10% 30,000 272,727 - Rp300,000
Pembentukan Konselor sebaya di sekolah -
-
KTA KTP -
Pendataan Kasus KTA/KTP 150,000 5% 7,500 10% 15,000 136,364 - Rp150,000

-
Spanduk 200,000 5% 10,000 10% 20,000 181,818 - Rp200,000
ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000 Rp570,000
-
Pertemuan Lokakaryamini Tribulanan -
Uang Saku peserta 1,500,000 0% - 0% - 1,363,636 - Rp1,500,000
ATK 225,000 5% 10,227 10% 22,500 204,545 20,455 20,455 Rp204,545
-
Honorarium Narasumber 700,000 5% 33,250 10% 70,000 636,364 35,000 35,000 Rp665,000
ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000 Rp570,000
-
Pertemuan Analisis Hasil Audit Internal & PMKP -
Konsumsi Peserta 350,000 5% 16,975 10% 35,000 318,182 16,667 10,500 27,167 Rp322,833
Penggandaan 100,000 5% 4,545 10% 10,000 90,909 9,091 9,091 Rp90,909
-
sewa kendaraan 100,000 0% - 0% - 90,909 - Rp100,000
honor buruh angkut 50,000 0% - 0% - 45,455 - Rp50,000
-
-
Honorarium Tim Perencanaan PKM -
Ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
Sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000 Rp570,000
-
Ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000 Rp285,000
Sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500 Rp237,500
Anggota 400,000 5% 19,000 10% 40,000 363,636 20,000 20,000 Rp380,000
-
-
-
polindes -
-
Honorarium Pengelola (SIP) media sosial PKM 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500 Rp142,500
-
- - - - Rp0
-
(PPN DAN PPH)
CATATAN :
TOTAL Rp 405,714
BULAN JUNI 2019
TOTAL
PAJAK YANG
5% Rp1,463,572 10% Rp3,066,500 HRG DASAR PPN PPH 21 PPH 22 PPH 23 DITERIMA
PAJAK
Belanja honorarium (0%) Rp0 - Rp0 Rp0
- Rp0 Rp0
Transport peserta / uang saku peserta Rp2,100,000 1,909,091 Rp0 Rp2,100,000
- Rp0 Rp0
ATK Pemicuan (STBM) STOP BABS di kelurahan Rp500,000 454,545 45,455 Rp45,455 Rp454,545
ATK/Dokumentasi LOKAKARYA MINI TRI BULANAN Rp225,000 204,545 20,455 Rp20,455 Rp204,545

- Rp0 Rp0
PMT Gizi kurang Rp300,000 272,727 27,273 8,182 Rp35,455 Rp264,545
rempah) Rp0 - Rp0 Rp0
- Rp0 Rp0
penggandaan evaluasi PIS PK Rp50,000 45,455 4,545 Rp4,545 Rp45,455
Penggandaan Pertemuan Analisis Hasil Audit Internal & PMKP Rp100,000 90,909 9,091 Rp9,091 Rp90,909
Penggandaan Formulir Survey PHBS Sekolah Dasar/Madrasah Rp0 - Rp0 Rp0
- Rp0 Rp0
- Rp0 Rp0
Sewa kendaraan Distribusi Alkes dan BHP di Jaringan Rp100,000 90,909 Rp0 Rp100,000
Biaya buruh angkut Distribusi Alkes dan BHP di Jaringan Rp50,000 45,455 Rp0 Rp50,000
- Rp0 Rp0
Spanduk lokakarya mini bulanan Rp200,000 181,818 Rp0 Rp200,000
Pembuatan dan penyebaran Leaflet Jiwa Rp0 - Rp0 Rp0
pembuatan poster Jiwa Rp0 - Rp0 Rp0
TOTAL 43,700,000 5% 1,463,572 10% 3,066,500 39,727,273 967,078 452,500 379,691 - 1,799,269 41,900,731

YANG
TOTAL
DITERIMA
POTONGAN
PROGRAM
NAMA PARAF
Rp6,329,341 Rp37,370,659
Rp5,923,627 Rp37,776,373
Rp203,507 Rp696,493
Rp11,818 Rp38,182
Rp69,125 Rp280,875
Rp49,375 Rp200,625
Rp39,500 Rp160,500
Rp29,625 Rp120,375
Rp296,250 Rp1,203,750
Rp45,000 Rp255,000
Rp45,000 Rp255,000
Rp67,836 Rp232,164
Rp29,625 Rp120,375
Rp152,630 Rp522,370
Rp29,625 Rp120,375
Rp67,836 Rp232,164
Rp0 Rp10,625,000
Rp229,500 Rp1,300,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp9,000 Rp51,000
Rp90,000 Rp510,000
Rp118,182 Rp381,818
Rp1,114,659 Rp3,135,341
Rp78,682 Rp221,318
Rp121,500 Rp688,500
Rp22,500 Rp127,500
Rp0 Rp160,000
Rp0 Rp600,000
Rp174,112 Rp595,888
Rp29,625 Rp120,375
Rp58,500 Rp331,500
Rp9,000 Rp51,000
Rp203,507 Rp696,493
Rp59,250 Rp240,750
Rp22,500 Rp127,500
Rp84,795 Rp290,205
Rp29,625 Rp120,375
Rp84,795 Rp290,205
Rp29,625 Rp120,375
Rp40,500 Rp229,500
Rp9,000 Rp51,000
Rp67,836 Rp232,164
Rp29,625 Rp120,375
Rp50,877 Rp174,123
Rp9,000 Rp51,000
Rp29,625 Rp120,375
Rp45,000 Rp255,000
Rp27,000 Rp153,000
Rp22,500 Rp127,500
Rp356,138 Rp1,218,863
Rp30,000 Rp170,000
Rp23,636 Rp76,364
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp276,996 Rp948,004
Rp0 Rp1,500,000
Rp53,182 Rp171,818
Rp138,250 Rp561,750
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp79,142 Rp270,858
Rp23,636 Rp76,364
Rp0 Rp100,000
Rp0 Rp50,000
Rp56,530 Rp193,470
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp79,000 Rp321,000
Rp70,909 Rp229,091
Rp82,727 Rp267,273
Rp36,000 Rp204,000
Rp29,625 Rp120,375
Rp9,000 Rp51,000
Rp0 Rp0
Rp6,179,841 Rp37,520,159
6,329,341 37,370,659
27,000 873,000
4,545 45,455
17,500 332,500
12,500 237,500
10,000 190,000
7,500 142,500
75,000 1,425,000
9,000 291,000
7,500 142,500
20,250 654,750
7,500 142,500
9,000 291,000
45,455 454,545
502,273 3,747,727
35,455 264,545
23,100 746,900
7,500 142,500
27,000 873,000
15,000 285,000
11,250 363,750
7,500 142,500
11,250 363,750
7,500 142,500
9,000 291,000
7,500 142,500
6,750 218,250
7,500 142,500
47,250 1,527,750
9,091 90,909
15,000 285,000
12,500 237,500
30,000 570,000
36,750 1,188,250
20,455 204,545
35,000 665,000
15,000 285,000
12,500 237,500
30,000 570,000
10,500 339,500
9,091 90,909
7,500 242,500
15,000 285,000
12,500 237,500
30,000 570,000
15,000 285,000
12,500 237,500
20,000 380,000
27,273 272,727
31,818 318,182
7,500 142,500
RENCANA KERJA DAN ANGGARAN
SATUAN KERJA PERANGKAT DAERAH
KOTA : BIMA
Tahun Anggaran 2018
: 1.02
: 1.02.01
: 1. 02. 01.28
: 1. 02. 01.28.01
: Kota Bima
: 0
: -
: -
Indikator & Tolok Ukur Kinerja Belanja Langsung
Indikator Tolok Ukur Kinerja
Jumlah Dana Yang Dibutuhkan
Meningkatnya SDM tentang pangan dan bahan berbahaya
Meningkatnya kualitas obat dan makanan dimasyarakat
Rincian Anggaran Belanja Langsung
Menurut Program dan Per Kegiatan Satuan Kerja Perangkat Daerah
RINCIAN PENGGUNAAN ANGG
Uraian
2
BELANJA DAERAH
BELANJA LANGSUNG
BELANJA BARANG DAN JASA
Belanja Jasa Kantor
Belanja Penggantian Jasa Pelayanan Publik
PIS PK
PIS PK
Konsumsi
Penggandaan
honor Narsum
Ketua
Sekretaris
Anggota
Honor Pembina PIS PK

Admin
UKM ESENSIAL
UPAYA KESEHATAN IBU

Sosialisasi P4K di Kelurahan
BAYI
KELAS IBU BALITA DAN PMBA
SNACK KELAS IBU BALITA DAN PMBA
Honor Fasilitator
KELAS IBU HAMIL DI KELURAHAN

snack kelas bumil
Honor Fasilitator
OJT KIA
snack OJT KIA
PROMOSI KESEHATAN
Insentif kader posyandu
Pelayanan Posyandu
Transport petugas
Penyuluhan Terpadu Program Kesehatan Puskesmas

transport petugas TB
transport petugas Kusta
transport petugas HIV
transport petugas Kesehatan Remaja
transport petugas Gizi
transport petugas KIA
transport petugas ISPA Diare Hepatitis
KESEHATAN LINGKUNGAN
Kunjungan Rumah Pasien Klinik Sanitasi
Pemicuan (STBM) STOP BABS di kelurahan

ATK Pemicuan (STBM) STOP BABS di kelurahan
GIZI
Pemberian PMT Penyuluhan
PMT Pemulihan Balita

Gizi Kurang

SURVEILANS
Posbindu PTM
TB
penjaringan susp TB di kelurahan
penjaringan susp TB oleh masyarakat
Pertemuan dan pengawasan PMO

Transport peserta
konsumsi peserta
honor fasilitator
Pengantaran sampel TB ke Lab. Rujukan

Transport petugas
KUSTA
pemantauan minum obat pada pasien kusta
UKM PENGEMBANGAN
KESEHATAN OLAH RAGA

Tes Kebugaran Pegawai
snack Peserta
Honor Fasilitator
JIWA
kesehatan jiwa
Senam bersama pasien jiwa

Snack peserta
honor fasilitator instruktur senam
Kegiatan kerohanian pasien jiwa

Snack
Honor fasilitator ustadz
LANSIA
Posyandu Lansia di Kelurahan (Transport petugas)
Senam lansia di kelurahan

Transport petugas
Snack
Honor fasilitator instruktur senam
REMAJA
Kelas remaja di kelurahan
snack peserta kls remaja di kelurahan
transport petugas
Honor Fasilitator
Posyandu REMAJA di kelurahan

Pembentukan Konselor sebaya di sekolah
transport petugas
KTA KTP
Pendataan Kasus KTA/KTP
PELAKSANAAN FUNGSI MANAJEMEN ( P1, P2, P3 )

Konsumsi Peserta
Spanduk
ATK/Dokumentasi
Honorarium Panitia
ketua
sekretaris
Anggota
Pertemuan Lokakaryamini Tribulanan

Konsumsi Peserta
Uang Saku peserta
ATK
Honorarium Narasumber
Honorarium Panitia
ketua
sekretaris
Anggota
Pertemuan Analisis Hasil Audit Internal & PMKP

Konsumsi Peserta
Penggandaan
Distribusi Alkes dan BHP di Jaringan

sewa kendaraan
honor buruh angkut
Konsumsi Lembur Tim
Honorarium Tim Perencanaan PKM

Ketua
Sekretaris
Anggota
Honorarium Tim Penilaian Kinerja

Ketua
Sekretaris
Anggota
ATK Manajemen BOK
Penggandaan SPJ
polindes
Transpor Petugas
SISTEM INFORMASI PUSKESMAS

Honorarium Pengelola (SIP) media sosial PKM
Transpor Petugas pengantar laporan
STBM (SANITASI TOTAL BERBASIS MASYARAKAT)
Jumlah
TOTAL PPN KONSUMSI / PAJAK RESTORAN
TOTAL PPN DAN PPH BELANJA BARANG BANTUAN MASYARAKAT
TOTAL PPH / PAJAK HONOR
BELANJA BARANG DAN JASA/ CETAK DAN BAHAN CONTOH PAKET SURVEY PIS PK
(PPN DAN PPH)
CATATAN :
Tim Anggaran Pemerintah Daerah

Nama
Drs. H. Maryono Nasiman, MM.
Ir. Hamdan
Drs. H. Ramli Hakim, M.Si.
H. Umar AR, SH.
Drs. H. M. Fakhrunraji, ME.
Drs. Alwi Yasin
NO PAJAK YG SUDAH DIBAYAR PKM

1 PPN ( PAJAK MAKMIN/RESTORAN )
TOTAL
RINCIAN MA
UPT. Puskesma
BULAN
NO MATA ANGGARAN
april mei
Belanja honorarium (5%) Rp2,500,000 Rp 1,600,000
Belanja honorarium (0%)
Insentif kader Posyandu Rp10,625,000 Rp 10,625,000
2 BELANJA TRANSPORT
Transport petugas Rp8,530,000 Rp 6,240,000
Transport peserta / uang saku peserta Rp750,000
3 ALAT TULIS KANTOR

ATK Pelatihan kader posyandu
ATK Pemicuan (STBM) STOP BABS di kelurahan
ATK/Dokumentasi LOKAKARYA MINI BULANAN Rp100,000 Rp 100,000
ATK/Dokumentasi LOKAKARYA MINI TRI BULANAN
ATK/Dokumentasi Pertemuan Penyusunan RUK Puskesmas
ATK/Dokumentasi Pertemuan Penyusunan RPK Puskesmas
ATK PELAKSANAAN MMD

ATK manajemen BOK Rp300,000 Rp 300,000
4 BELANJA BAHAN CONTOH

PMT Bumil KEK
PMT Penyuluhan Rp4,250,000 Rp 4,250,000
PMT Gizi kurang
rempah) Rp250,000
5 BELANJA PENGGANDAAN (FOTO COPY)

penggandaan evaluasi PIS PK
penggandaan MINILOK
Penggandaan SPJ Rp353,000 Rp 350,000
Penggandaan Pertemuan Analisis Hasil Audit Internal & PMKP
Penggandaan Formulir Survey PHBS Sekolah Dasar/Madrasah
6 BELANJA MAKANAN DAN MINUMAN Rp5,200,000 Rp 3,325,000

7 BELANJA JASA
Sewa kendaraan Distribusi Alkes dan BHP di Jaringan Rp100,000
Biaya buruh angkut Distribusi Alkes dan BHP di Jaringan Rp50,000
8 BELANJA CETAK
Spanduk lokakarya mini bulanan
Spanduk lokakarya mini tribulanan
Spanduk MMD
Spanduk pelatihan kader posyandu
Spanduk refreshing kader posyandu
Pembuatan dan penyebaran Leaflet Jiwa Rp250,000
pembuatan poster Jiwa Rp150,000
TOTAL 33,408,000 26,790,000

CATATAN : TOTAL KADER DAN LINSEK Rp37,145,000
POTO
DIKES PKM PAJAK
PERMINTAAN
% NOMINAL % NOMINAL PPN PPH 21 PPH 22
43,700,000 5% Rp1,472,731 10% Rp3,066,500 Rp386,364 Rp452,500 Rp115,909

Rp405,714 Rp255,600
3,400,000 HARGA DASAR
900,000 5% 43,650 10% 90,000 818,182 42,857 27,000

50,000 5% 2,500 10% 5,000 45,455
350,000 5% 16,625 10% 35,000 318,182 17,500
250,000 5% 11,875 10% 25,000 227,273 12,500
200,000 5% 9,500 10% 20,000 181,818 10,000
150,000 5% 7,125 10% 15,000 136,364 7,500
-
-
1,500,000 5% 71,250 10% 150,000 1,363,636 75,000
24,180,000
-
-
300,000 5% 15,000 10% 30,000 272,727
-
300,000 5% 15,000 10% 30,000 272,727
-
-
300,000 5% 14,550 10% 30,000 272,727 14,286 9,000
150,000 5% 7,125 10% 15,000 136,364 7,500
-
-
675,000 5% 32,738 10% 67,500 613,636 32,143 20,250
150,000 5% 7,125 10% 15,000 136,364 7,500
-
-
300,000 5% 14,550 10% 30,000 272,727 14,286 9,000
-
-
10,625,000 0% - 0% - 9,659,091
-
-
1,530,000 5% 76,500 10% 153,000 1,390,909
-
-
150,000 5% 7,500 10% 15,000 136,364
150,000 5% 7,500 10% 15,000 136,364
150,000 5% 7,500 10% 15,000 136,364
150,000 5% 7,500 10% 15,000 136,364
150,000 5% 7,500 10% 15,000 136,364
150,000 5% 7,500 10% 15,000 136,364
150,000 5% 7,500 10% 15,000 136,364
-
-
60,000 5% 3,000 10% 6,000 54,545
-
600,000 5% 30,000 10% 60,000 545,455
500,000 5% 25,000 10% 50,000 454,545
-
-
4,250,000 5% 187,386 10% 425,000 3,863,636 386,364 115,909
-
-
300,000 5% 15,000 10% 30,000 272,727 - -
810,000 5% 40,500 10% 81,000 736,364

-
-
150,000 5% 7,500 10% 15,000 136,364
-
160,000 0% - 0% - 145,455
-
-
600,000 0% - 0% - 545,455
770,000 5% 37,345 10% 77,000 700,000 36,667 23,100
150,000 5% 7,125 10% 15,000 136,364 7,500
-
-
390,000 5% 19,500 10% 39,000 354,545
-
-
60,000 5% 3,000 10% 6,000 54,545
4,245,000 - -
-
-
-
900,000 5% 43,650 10% 90,000 818,182 42,857 27,000
300,000 5% 14,250 10% 30,000 272,727 15,000
-
-
150,000 5% 7,500 10% 15,000 136,364
-
-
375,000 5% 18,188 10% 37,500 340,909 17,857 11,250
150,000 5% 7,125 10% 15,000 136,364 7,500
-
-
375,000 5% 18,188 10% 37,500 340,909 17,857 11,250
150,000 5% 7,125 10% 15,000 136,364 7,500
-
-
270,000 5% 13,500 10% 27,000 245,455
-
-
60,000 5% 3,000 10% 6,000 54,545
300,000 5% 14,550 10% 30,000 272,727 14,286 9,000
150,000 5% 7,125 10% 15,000 136,364 7,500
-
-
-
225,000 5% 10,913 10% 22,500 204,545 10,714 6,750
60,000 5% 3,000 10% 6,000 54,545
150,000 5% 7,125 10% 15,000 136,364 7,500
-
300,000 5% 15,000 10% 30,000 272,727
-
180,000 5% 9,000 10% 18,000 163,636
-
-
150,000 5% 7,500 10% 15,000 136,364
11,875,000 -
-
-
1,575,000 5% 76,388 10% 157,500 1,431,818 75,000 47,250
200,000 5% 10,000 10% 20,000 181,818
100,000 5% 5,000 10% 10,000 90,909
-
300,000 5% 14,250 10% 30,000 272,727 15,000
250,000 5% 11,875 10% 25,000 227,273 12,500
600,000 5% 28,500 10% 60,000 545,455 30,000
-
-
1,225,000 5% 59,413 10% 122,500 1,113,636 58,333 36,750
1,500,000 0% - 0% - 1,363,636
225,000 5% 11,250 10% 22,500 204,545
-
700,000 5% 33,250 10% 70,000 636,364 35,000
-
300,000 5% 14,250 10% 30,000 272,727 15,000
250,000 5% 11,875 10% 25,000 227,273 12,500
600,000 5% 28,500 10% 60,000 545,455 30,000
-
-
350,000 5% 16,975 10% 35,000 318,182 16,667 10,500
100,000 5% 5,000 10% 10,000 90,909
-
-
100,000 0% - 0% - 90,909
50,000 0% - 0% - 45,455
-
250,000 5% 12,125 10% 25,000 227,273 11,905 7,500
-
-
300,000 5% 14,250 10% 30,000 272,727 15,000
250,000 5% 11,875 10% 25,000 227,273 12,500
600,000 5% 28,500 10% 60,000 545,455 30,000
-
-
300,000 5% 14,250 10% 30,000 272,727 15,000
250,000 5% 11,875 10% 25,000 227,273 12,500
400,000 5% 19,000 10% 40,000 363,636 20,000
-
300,000 5% 15,000 10% 30,000 272,727
-
350,000 5% 17,500 10% 35,000 318,182
-
-
240,000 5% 12,000 10% 24,000 218,182
-
-
150,000 5% 7,125 10% 15,000 136,364 7,500
-
60,000 5% 3,000 10% 6,000 54,545
- -
- - -
-
43,700,000 Rp1,472,731 Rp3,066,500 Rp749,221 Rp330,000 Rp344,509

Rp 405,714
Rp 386,364 ###
Rp452,500
Rp - Rp -
TOTAL
Rp405,714
Rp 405,714

BULAN JUNI 2019
PAJAK
juni TOTAL 5% 10% HRG DASAR PPN PPH 21 PPH 22
Rp9,050,000 Rp13,150,000 11,954,545 Rp657,500

Rp0 Rp0 -
Rp10,625,000 Rp31,875,000 28,977,273
Rp0 -
Rp0 -
Rp6,880,000 Rp21,650,000 19,681,818
Rp2,100,000 Rp2,850,000 2,590,909
Rp0 -
Rp0 -
Rp0 Rp0 -
Rp500,000 Rp500,000 454,545 45,455
Rp100,000 Rp300,000 272,727 27,273
Rp225,000 Rp225,000 204,545 20,455
Rp0 Rp0 -
Rp0 Rp0 -
Rp0 Rp0 -
Rp300,000 Rp900,000 818,182 81,818
Rp0 -
Rp0 - - -
Rp0 Rp0 - - -
Rp4,250,000 Rp12,750,000 11,590,909 1,159,091 347,727
Rp300,000 Rp300,000 272,727 27,273 8,182
Rp0 Rp250,000 227,273 22,727 6,818
Rp0 -
Rp0 -
Rp50,000 Rp50,000 45,455 4,545
Rp0 Rp0 - -
Rp350,000 Rp1,053,000 957,273 95,727
Rp100,000 Rp100,000 90,909 9,091
Rp0 Rp0 -
Rp0 -
Rp8,520,000 Rp17,045,000 15,495,455 811,667 511,350
Rp0 -
Rp0 -
Rp100,000 Rp200,000 181,818
Rp50,000 Rp100,000 90,909
Rp0 -
Rp0 -
Rp200,000 Rp200,000 181,818
Rp0 Rp0 -
Rp0 Rp0 -
Rp0 Rp0 -
Rp0 Rp0 -
Rp0 Rp250,000 227,273
Rp0 Rp150,000 136,364
43,700,000 103,898,000 5% 3,186,398 10% 6,675,300 94,089,091 2,305,121 657,500 874,077
Rp 3,186,398 Rp 6,675,300 Rp 477,545 Rp 125,000 Rp 278,727
Rp 454,545 Rp 80,000 Rp 215,659
Rp 561,364 Rp 452,500 Rp 379,691
Rp 1,493,455 Rp 657,500 Rp 874,077
9
POTONGAN
TOTAL
YANG YANG
POTONGAN TOTAL
PPH 23 PAJAK POTONGAN
DIKES PROGRAM
(PPN/PPH)
NAMA PARAF
Rp0 Rp1,616,087 Rp42,083,913 Rp6,155,318 Rp37,544,682
Rp1,210,373 Rp42,489,627 Rp5,749,604 Rp37,950,396
69,857 Rp830,143 Rp203,507 Rp696,493 27,000

- Rp50,000 Rp7,500 Rp42,500
17,500 Rp332,500 Rp69,125 Rp280,875 17,500
12,500 Rp237,500 Rp49,375 Rp200,625 12,500
10,000 Rp190,000 Rp39,500 Rp160,500 10,000
7,500 Rp142,500 Rp29,625 Rp120,375 7,500
75,000 Rp1,425,000 Rp296,250 Rp1,203,750 75,000
- Rp300,000 Rp45,000 Rp255,000
- Rp300,000 Rp45,000 Rp255,000
23,286 Rp276,714 Rp67,836 Rp232,164 9,000

7,500 Rp142,500 Rp29,625 Rp120,375 7,500
52,393 Rp622,607 Rp152,630 Rp522,370 20,250

7,500 Rp142,500 Rp29,625 Rp120,375 7,500
23,286 Rp276,714 Rp67,836 Rp232,164 9,000
- Rp10,625,000 Rp0 Rp10,625,000
- Rp1,530,000 Rp229,500 Rp1,300,500
- Rp150,000 Rp22,500 Rp127,500

- Rp150,000 Rp22,500 Rp127,500
- Rp150,000 Rp22,500 Rp127,500
- Rp150,000 Rp22,500 Rp127,500
- Rp150,000 Rp22,500 Rp127,500
- Rp150,000 Rp22,500 Rp127,500
- Rp150,000 Rp22,500 Rp127,500
- Rp60,000 Rp9,000 Rp51,000
- Rp600,000 Rp90,000 Rp510,000

- Rp500,000 Rp75,000 Rp425,000
502,273 Rp3,747,727 Rp1,114,659 Rp3,135,341 502,273
- Rp300,000 Rp45,000 Rp255,000 -
- Rp810,000 Rp121,500 Rp688,500
- Rp150,000 Rp22,500 Rp127,500

- Rp160,000 Rp0 Rp160,000
- Rp600,000 Rp0 Rp600,000

59,767 Rp710,233 Rp174,112 Rp595,888 23,100
7,500 Rp142,500 Rp29,625 Rp120,375 7,500
- Rp390,000 Rp58,500 Rp331,500
- Rp60,000 Rp9,000 Rp51,000
69,857 Rp830,143 Rp203,507 Rp696,493 27,000

15,000 Rp285,000 Rp59,250 Rp240,750 15,000
- Rp150,000 Rp22,500 Rp127,500
29,107 Rp345,893 Rp84,795 Rp290,205 11,250

7,500 Rp142,500 Rp29,625 Rp120,375 7,500
29,107 Rp345,893 Rp84,795 Rp290,205 11,250

7,500 Rp142,500 Rp29,625 Rp120,375 7,500
- Rp270,000 Rp40,500 Rp229,500
- Rp60,000 Rp9,000 Rp51,000

23,286 Rp276,714 Rp67,836 Rp232,164 9,000
7,500 Rp142,500 Rp29,625 Rp120,375 7,500
17,464 Rp207,536 Rp50,877 Rp174,123 6,750

- Rp60,000 Rp9,000 Rp51,000
7,500 Rp142,500 Rp29,625 Rp120,375 7,500
- Rp300,000 Rp45,000 Rp255,000
- Rp180,000 Rp27,000 Rp153,000
- Rp150,000 Rp22,500 Rp127,500

122,250 Rp1,452,750 Rp356,138 Rp1,218,863 47,250
- Rp200,000 Rp30,000 Rp170,000
- Rp100,000 Rp15,000 Rp85,000
15,000 Rp285,000 Rp59,250 Rp240,750 15,000

12,500 Rp237,500 Rp49,375 Rp200,625 12,500
30,000 Rp570,000 Rp118,500 Rp481,500 30,000
95,083 Rp1,129,917 Rp276,996 Rp948,004 36,750

- Rp1,500,000 Rp0 Rp1,500,000
- Rp225,000 Rp33,750 Rp191,250
35,000 Rp665,000 Rp138,250 Rp561,750 35,000
15,000 Rp285,000 Rp59,250 Rp240,750 15,000

12,500 Rp237,500 Rp49,375 Rp200,625 12,500
30,000 Rp570,000 Rp118,500 Rp481,500 30,000
27,167 Rp322,833 Rp79,142 Rp270,858 10,500

- Rp100,000 Rp15,000 Rp85,000
- Rp100,000 Rp0 Rp100,000

- Rp50,000 Rp0 Rp50,000
19,405 Rp230,595 Rp56,530 Rp193,470 7,500
15,000 Rp285,000 Rp59,250 Rp240,750 15,000

12,500 Rp237,500 Rp49,375 Rp200,625 12,500
30,000 Rp570,000 Rp118,500 Rp481,500 30,000
15,000 Rp285,000 Rp59,250 Rp240,750 15,000

12,500 Rp237,500 Rp49,375 Rp200,625 12,500
20,000 Rp380,000 Rp79,000 Rp321,000 20,000
- Rp300,000 Rp45,000 Rp255,000
- Rp350,000 Rp52,500 Rp297,500
- Rp240,000 Rp36,000 Rp204,000
7,500 Rp142,500 Rp29,625 Rp120,375 7,500
- Rp60,000 Rp9,000 Rp51,000
-
- Rp0 Rp0 Rp0
Rp0 Rp1,616,087 Rp42,083,913 Rp5,962,961 Rp37,737,039

###
TOTAL
YANG
POTONGAN
PPH 23 DITERIMA
PAJAK
Rp657,500 Rp12,492,500
Rp0 Rp0
Rp0 Rp31,875,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp21,650,000
Rp0 Rp2,850,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp45,455 Rp454,545
Rp27,273 Rp272,727
Rp20,455 Rp204,545
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp81,818 Rp818,182
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp1,506,818 Rp11,243,182
Rp35,455 Rp264,545
Rp29,545 Rp220,455
Rp0 Rp0
Rp0 Rp0
Rp4,545 Rp45,455
Rp0 Rp0
Rp95,727 Rp957,273
Rp9,091 Rp90,909
Rp0 Rp0
Rp0 Rp0
Rp1,323,017 Rp15,721,983
Rp0 Rp0
Rp0 Rp0
Rp0 Rp200,000
Rp0 Rp100,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp200,000
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp0
Rp0 Rp250,000
Rp0 Rp150,000
- 3,836,698 100,061,302 13,698,397 90,199,603
Rp 3,025,032 Rp 91,011,270
Rp 90,199,603
Rp 90,199,603
873,000
332,500
237,500
190,000
142,500
1,425,000
291,000
142,500
654,750
142,500
291,000
3,747,727
300,000
746,900
142,500
873,000
285,000
363,750
142,500
363,750
142,500
291,000
142,500
218,250
142,500
1,527,750
285,000
237,500
570,000
1,188,250
665,000
285,000
237,500
570,000
339,500
242,500
285,000
237,500
570,000
285,000
237,500
380,000
142,500
: CATATAN
PMT
Konsumsi
Honor
Pelibatan orang luar PKM
POTONGAN PAJAK DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN JUNI TAHUN 2019
RINCIAN KEGIATAN DIKES PKM PAJAK
HARGA
PERMINTAAN DASAR PPN TOTAL
Belanja Penggantian Jasa Pelayanan Publik 5% 10% PPN PPH 21 PPH 22 PPH 23
DISPENDA PAJAK
43,700,000 5% Rp1,463,572 10% Rp3,066,500 Rp405,714 Rp561,364 Rp452,500 Rp379,691 Rp0 Rp1,799,269
PIS PK 3,400,000
PIS PK
Konsumsi 900,000 5% 43,650 10% 90,000 818,182 42,857 27,000 69,857
Penggandaan 50,000 5% 2,273 10% 5,000 45,455 4,545 4,545
honor Narsum 350,000 5% 16,625 10% 35,000 318,182 17,500 17,500
Ketua 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Sekretaris 200,000 5% 9,500 10% 20,000 181,818 10,000 10,000
Anggota 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
- - -
Honor Pembina PIS PK - - -
Admin 1,500,000 5% 71,250 10% 150,000 1,363,636 75,000 75,000
- -
- - -
UPAYA KESEHATAN IBU - - -
Sosialisasi P4K di Kelurahan 300,000 5% 15,000 10% 30,000 272,727 -
- - -
BAYI 300,000 5% 15,000 10% 30,000 272,727 -
- - -
KELAS IBU BALITA DAN PMBA - - -
SNACK KELAS IBU BALITA DAN PMBA 300,000 5% 14,550 10% 30,000 272,727 14,286 9,000 23,286
Honor Fasilitator 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
- - -
KELAS IBU HAMIL DI KELURAHAN - - -
snack kelas bumil 675,000 5% 32,738 10% 67,500 613,636 32,143 20,250 52,393
- - -
OJT KIA - - -
snack OJT KIA 300,000 5% 14,550 10% 30,000 272,727 14,286 9,000 23,286
- - -
PROMOSI KESEHATAN - - -
Insentif kader posyandu 10,625,000 0% - 0% - 9,659,091 -
- - -
Pelayanan Posyandu - - -
Transport petugas 1,530,000 5% 76,500 10% 153,000 1,390,909 -
- - -
Penyuluhan Terpadu Program Kesehatan Puskesmas - - -
transport petugas TB 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas Kusta 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas HIV 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas Kesehatan Remaja 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas Gizi 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas KIA 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas ISPA Diare Hepatitis 150,000 5% 7,500 10% 15,000 136,364 -
- - -
KESEHATAN LINGKUNGAN - - -
Kunjungan Rumah Pasien Klinik Sanitasi 60,000 5% 3,000 10% 6,000 54,545 -
- - -
Pemicuan (STBM) STOP BABS di kelurahan 600,000 5% 30,000 10% 60,000 545,455 -
ATK Pemicuan (STBM) STOP BABS di kelurahan 500,000 5% 22,727 10% 50,000 454,545 45,455 45,455
- - -
GIZI - - -
Pemberian PMT Penyuluhan 4,250,000 5% 187,386 10% 425,000 3,863,636 386,364 115,909 502,273
- - -
PMT Pemulihan Balita - - -
Gizi Kurang 300,000 5% 13,227 10% 30,000 272,727 27,273 8,182 35,455
- - -
PELAYANAN PENCEGAHAN DAN PENGENDALIAN PENYAKIT (P2P) - - -
SURVEILANS - - -
Posbindu PTM 810,000 5% 40,500 10% 81,000 736,364 -
- - -
TB - - -
penjaringan susp TB di kelurahan 150,000 5% 7,500 10% 15,000 136,364 -
- - -
penjaringan susp TB oleh masyarakat 160,000 0% - 0% - 145,455 -
- - -
Pertemuan dan pengawasan PMO - - -
Transport peserta 600,000 0% - 0% - 545,455 -
konsumsi peserta 770,000 5% 37,345 10% 77,000 700,000 36,667 23,100 59,767
honor fasilitator 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
- - -
Pengantaran sampel TB ke Lab. Rujukan - - -
Transport petugas 390,000 5% 19,500 10% 39,000 354,545 -
- - -
KUSTA - - -
pemantauan minum obat pada pasien kusta 60,000 5% 3,000 10% 6,000 54,545 -
- - -
- - -
KESEHATAN OLAH RAGA - - -
Tes Kebugaran Pegawai - - -
snack Peserta 900,000 5% 43,650 10% 90,000 818,182 42,857 27,000 69,857
- - -
JIWA - - -
kesehatan jiwa 150,000 5% 7,500 10% 15,000 136,364 -
- - -
Senam bersama pasien jiwa - - -
Snack peserta 375,000 5% 18,188 10% 37,500 340,909 17,857 11,250 29,107
honor fasilitator instruktur senam 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
- - -
Kegiatan kerohanian pasien jiwa - - -
Snack 375,000 5% 18,188 10% 37,500 340,909 17,857 11,250 29,107
Honor fasilitator ustadz 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
- - -
LANSIA - - -
Posyandu Lansia di Kelurahan (Transport petugas) 270,000 5% 13,500 10% 27,000 245,455 -
- - -
Senam lansia di kelurahan - - -
Snack 300,000 5% 14,550 10% 30,000 272,727 14,286 9,000 23,286
Honor fasilitator instruktur senam 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
- - -
REMAJA - - -
Kelas remaja di kelurahan - - -
snack peserta kls remaja di kelurahan 225,000 5% 10,913 10% 22,500 204,545 10,714 6,750 17,464
transport petugas 60,000 5% 3,000 10% 6,000 54,545 -
- - -
Posyandu REMAJA di kelurahan 300,000 5% 15,000 10% 30,000 272,727 -
Pembentukan Konselor sebaya di sekolah - - -
- - -
KTA KTP - - -
Pendataan Kasus KTA/KTP 150,000 5% 7,500 10% 15,000 136,364 -
- - -
- - -
Pertemuan Lokakaryamini Bulanan - - -
Konsumsi Peserta 1,575,000 5% 76,388 10% 157,500 1,431,818 75,000 47,250 122,250
Spanduk 200,000 5% 10,000 10% 20,000 181,818 -
ATK/Dokumentasi 100,000 5% 4,545 10% 10,000 90,909 9,091 9,091
Honorarium Panitia - - -
ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
- - -
Pertemuan Lokakaryamini Tribulanan - - -
Uang Saku peserta 1,500,000 0% - 0% - 1,363,636 -
ATK 225,000 5% 10,227 10% 22,500 204,545 20,455 20,455
- - -
Honorarium Narasumber 700,000 5% 33,250 10% 70,000 636,364 35,000 35,000
Honorarium Panitia - - -
ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
- - -
Pertemuan Analisis Hasil Audit Internal & PMKP - - -
Konsumsi Peserta 350,000 5% 16,975 10% 35,000 318,182 16,667 10,500 27,167
Penggandaan 100,000 5% 4,545 10% 10,000 90,909 9,091 9,091
- - -
Distribusi Alkes dan BHP di Jaringan - - -
sewa kendaraan 100,000 0% - 0% - 90,909 -
honor buruh angkut 50,000 0% - 0% - 45,455 -
- - -
Konsumsi Lembur Tim 250,000 5% 12,125 10% 25,000 227,273 11,905 7,500 19,405
- - -
Honorarium Tim Perencanaan PKM - - -
Ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
Sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
- - -
Honorarium Tim Penilaian Kinerja - - -
Ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
Sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 400,000 5% 19,000 10% 40,000 363,636 20,000 20,000
- - -
ATK Manajemen BOK 300,000 5% 13,636 10% 30,000 272,727 27,273 27,273
- - -
Penggandaan SPJ 350,000 5% 15,909 10% 35,000 318,182 31,818 31,818
- - -
polindes - - -
Transpor Petugas 240,000 5% 12,000 10% 24,000 218,182 -
- - -
SISTEM INFORMASI PUSKESMAS - - -
Honorarium Pengelola (SIP) media sosial PKM 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
- - -
Transpor Petugas pengantar laporan 60,000 5% 3,000 10% 6,000 54,545 -
- -
Jumlah
PPN KONSUMSI / RESTORAN / DISPENDA Rp405,714

PPN Rp561,364
PPH 21 / HONOR Rp452,500
PPH 22 Rp379,691
KADER DAN LINSEK Rp13,035,000
BULAN JUNI 2019
PAJAK TOTAL
NO MATA ANGGARAN TOTAL PPN POTONGAN
DISPENDA
Belanja honorarium (5%) Rp9,050,000 8,227,273 452,500 Rp452,500
Belanja honorarium (0%) Rp0 - Rp0
Insentif kader Posyandu Rp10,625,000 9,659,091 Rp0
- Rp0
2 BELANJA TRANSPORT - Rp0
Transport petugas Rp6,880,000 6,254,545 Rp0
Transport peserta / uang saku peserta Rp2,100,000 1,909,091 Rp0
- Rp0
ATK Pelatihan kader posyandu Rp0 - Rp0
ATK Pemicuan (STBM) STOP BABS di kelurahan Rp500,000 454,545 45,455 Rp45,455
ATK/Dokumentasi LOKAKARYA MINI BULANAN Rp100,000 90,909 9,091 Rp9,091
ATK/Dokumentasi LOKAKARYA MINI TRI BULANAN Rp225,000 204,545 20,455 Rp20,455
ATK/Dokumentasi Pertemuan Penyusunan RUK Puskesmas Rp0 - Rp0
ATK/Dokumentasi Pertemuan Penyusunan RPK Puskesmas Rp0 - Rp0
ATK PELAKSANAAN MMD Rp0 - Rp0

ATK manajemen BOK Rp300,000 272,727 27,273 Rp27,273
- Rp0
PMT Bumil KEK Rp0 - - - Rp0
PMT Gizi kurang Rp300,000 272,727 27,273 8,182 Rp35,455
rempah) Rp0 - Rp0
- Rp0
penggandaan evaluasi PIS PK Rp50,000 45,455 4,545 Rp4,545
penggandaan MINILOK Rp0 - Rp0
Penggandaan SPJ Rp350,000 318,182 31,818 Rp31,818
Penggandaan Pertemuan Analisis Hasil Audit Internal & PMKP Rp100,000 90,909 9,091 Rp9,091
Penggandaan Formulir Survey PHBS Sekolah Dasar/Madrasah Rp0 - Rp0
- Rp0
- Rp0
Sewa kendaraan Distribusi Alkes dan BHP di Jaringan Rp100,000 90,909 Rp0
Biaya buruh angkut Distribusi Alkes dan BHP di Jaringan Rp50,000 45,455 Rp0
- Rp0
Spanduk lokakarya mini bulanan Rp200,000 181,818 Rp0
Spanduk lokakarya mini tribulanan Rp0 - Rp0
Spanduk MMD Rp0 - Rp0
Spanduk pelatihan kader posyandu Rp0 - Rp0
Spanduk refreshing kader posyandu Rp0 - Rp0
Pembuatan dan penyebaran Leaflet Jiwa Rp0 - Rp0
pembuatan poster Jiwa Rp0 - Rp0
TOTAL 43,700,000 5% 1,463,572 10% 3,066,500 39,727,273 405,714 561,364 452,500 379,691 - 1,799,269
PPN DISPENDA Rp 405,714

TOTAL KADER DAN LINSEK Rp 13,035,000
: PPN (10%) dan PPh 22 (3%)
: PPN (5%) dan PPh 22 (3%)
: PPh 21 (5%)
n orang luar PKM Tanpa potongan DIKES dan PKM
TOTAL YANG
SELURUH DITERIMA
NAMA PARAF
POTONGAN PROGRAM
Rp6,329,341 Rp37,370,659
Rp203,507 Rp696,493
Rp11,818 Rp38,182
Rp69,125 Rp280,875
Rp49,375 Rp200,625
Rp39,500 Rp160,500
Rp29,625 Rp120,375
Rp0
Rp0
Rp296,250 Rp1,203,750
Rp0
Rp0
Rp0
Rp45,000 Rp255,000
Rp0
Rp45,000 Rp255,000
Rp0
Rp0
Rp67,836 Rp232,164
Rp29,625 Rp120,375
Rp0
Rp0
Rp152,630 Rp522,370
Rp29,625 Rp120,375
Rp0
Rp0
Rp67,836 Rp232,164
Rp0
Rp0
Rp0 Rp10,625,000
Rp0
Rp0
Rp229,500 Rp1,300,500
Rp0
Rp0
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp0
Rp0
Rp9,000 Rp51,000
Rp0
Rp90,000 Rp510,000
Rp118,182 Rp381,818
Rp0
Rp0
Rp1,114,659 Rp3,135,341
Rp0
Rp0
Rp78,682 Rp221,318
Rp0
Rp0
Rp0
Rp121,500 Rp688,500
Rp0
Rp0
Rp22,500 Rp127,500
Rp0
Rp0 Rp160,000
Rp0
Rp0
Rp0 Rp600,000
Rp174,112 Rp595,888
Rp29,625 Rp120,375
Rp0
Rp0
Rp58,500 Rp331,500
Rp0
Rp0
Rp9,000 Rp51,000
Rp0
Rp0
Rp0
Rp0
Rp203,507 Rp696,493
Rp59,250 Rp240,750
Rp0
Rp0
Rp22,500 Rp127,500
Rp0
Rp0
Rp84,795 Rp290,205
Rp29,625 Rp120,375
Rp0
Rp0
Rp84,795 Rp290,205
Rp29,625 Rp120,375
Rp0
Rp0
Rp40,500 Rp229,500
Rp0
Rp0
Rp9,000 Rp51,000
Rp67,836 Rp232,164
Rp29,625 Rp120,375
Rp0
Rp0
Rp0
Rp50,877 Rp174,123
Rp9,000 Rp51,000
Rp29,625 Rp120,375
Rp0
Rp45,000 Rp255,000
Rp0
Rp27,000 Rp153,000
Rp0
Rp0
Rp22,500 Rp127,500
Rp0
Rp0
Rp0
Rp356,138 Rp1,218,863
Rp30,000 Rp170,000
Rp23,636 Rp76,364
Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp0
Rp0
Rp276,996 Rp948,004
Rp0 Rp1,500,000
Rp53,182 Rp171,818
Rp0
Rp138,250 Rp561,750
Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp0
Rp0
Rp79,142 Rp270,858
Rp23,636 Rp76,364
Rp0
Rp0
Rp0 Rp100,000
Rp0 Rp50,000
Rp0
Rp56,530 Rp193,470
Rp0
Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp0
Rp0
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp79,000 Rp321,000
Rp0
Rp70,909 Rp229,091
Rp0
Rp82,727 Rp267,273
Rp0
Rp0
Rp36,000 Rp204,000
Rp0
Rp0
Rp29,625 Rp120,375
Rp0
Rp9,000 Rp51,000
6,329,341 37,370,659
: CATATAN
PMT
Konsumsi
Honor
POTONGAN PAJAK DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN JULI TAHUN 2019
HARGA
DISPENDA PAJAK
PIS PK 900,000
Kunjungan rumah intervensi PIS PK -

Transport Petugas 900,000 0% - 0% - 818,182 -
-
UPAYA KESEHATAN IBU

PEMANTAUAN PMT BUMIL KEK 150,000 5% 7,500 10% 15,000 136,364 -
-
PEMERIKSAAN IVA DAN PAYUDARA DIKELURAHAN 150,000 5% 7,500 10% 15,000 136,364 -
-
snack kelas bumil di PKM 675,000 5% 32,830 10% 67,500 613,636 32,143 18,409 50,552
-
-
-
DRK -
Snack pertemuan DRK 300,000 5% 14,591 10% 30,000 272,727 14,286 8,182 22,468
-
PROMOSI KESEHATAN -
-
Penyuluhan PHBS terpadu garam beryodium serta kesehatan
gigi dan mulut -
-
Pertemuan terpadu dengan petugas
pustu,polindes,poskesdes,tentang program perkesmas -
Honor fasilitator 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
Transport Peserta 240,000 0% - 0% - 218,182 -
Konsumsi 560,000 5% 27,236 10% 56,000 509,091 26,667 15,273 41,939
-
transport petugas Lansia 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas Panca Indera 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas Jiwa 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas SIP 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas Zoonosis 150,000 5% 7,500 10% 15,000 136,364 -
-
sosialisasi imunisasi Pneumococcus (PCV) Di PKM -
konsumsi 2,100,000 5% 102,136 10% 210,000 1,909,091 100,000 57,273 157,273
transport peserta 1,650,000 0% - 0% - 1,500,000 -
-
UKS -
Pemutakhiran data UKS -
-
-
-
Monitoring STOP BABS (STBM) 600,000 5% 30,000 10% 60,000 545,455 -
-
GIZI -
-
Gizi Kurang 1,200,000 5% 52,909 10% 120,000 1,090,909 109,091 32,727 141,818
-
SURVEILANS -
pelacakan kasus peny.yang berpotensi KLB 150,000 5% 7,500 10% 15,000 136,364 -
-
Posbindu PTM terintegrasi lansia dan IVA 1,080,000 5% 54,000 10% 108,000 981,818 -
-
TB -
Pelacakan kontak serumah dan tetangga BTA+ 150,000 5% 7,500 10% 15,000 136,364 -
-
-
penjaringan kasus ISPA dan Diare 150,000 5% 7,500 10% 15,000 136,364 -
-
Screening Hepatitis pada kelompok beresiko 150,000 5% 7,500 10% 15,000 136,364 -
-
KUSTA -
-
-
penjaringan kasus kusta pada anak sekolah SD dan SMP
sederajat 360,000 5% 18,000 10% 36,000 327,273 -
-
HIV -
Screening HIV -
Tranport petugas 300,000 5% 15,000 10% 30,000 272,727 -
-
UKK
Pembinaan pada pos UKK 150,000 5% 7,500 10% 15,000 136,364 -
-
JIWA -
-
kesehatan jiwa 150,000 5% 7,500 10% 15,000 136,364 -
-
Kegiatan Mobile Klinik bersama tim RSJ -
Snack penderita Kesehatan Jiwa 375,000 5% 18,239 10% 37,500 340,909 17,857 10,227 28,084
-
LANSIA -
Snack 300,000 5% 14,591 10% 30,000 272,727 14,286 8,182 22,468
-
REMAJA -
-
pembinaan Konselor sebaya di sekolah -
-
- - -
- - -
ATK/Dokumentasi 100,000 5% 5,000 10% 10,000 90,909 -
ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
-
-
-
Penggandaan SPJ 300,000 5% 15,000 10% 30,000 272,727 -
-
-
Jumlah

PPN Rp522,727
PPH 22 Rp340,500
BULAN JULI 2019
PAJAK TOTAL
DISPENDA
Belanja honorarium (0%) - Rp0
Insentif kader Posyandu - Rp0
- Rp0
- Rp0
ATK Pelatihan kader posyandu - Rp0
ATK Pemicuan (STBM) STOP BABS di kelurahan - - Rp0
ATK/Dokumentasi LOKAKARYA MINI TRI BULANAN - - Rp0
ATK/Dokumentasi Pertemuan Penyusunan RUK Puskesmas - Rp0
ATK/Dokumentasi Pertemuan Penyusunan RPK Puskesmas - Rp0
ATK PELAKSANAAN MMD - Rp0

- Rp0
PMT Bumil KEK - - - Rp0
PMT Gizi kurang Rp1,200,000 1,090,909 109,091 32,727 Rp141,818
rempah) - Rp0
- Rp0
penggandaan evaluasi PIS PK - - Rp0
penggandaan MINILOK - Rp0
Penggandaan Pertemuan Analisis Hasil Audit Internal & PMKP - - Rp0
Penggandaan Formulir Survey PHBS Sekolah Dasar/Madrasah - Rp0
- Rp0
- Rp0
Sewa kendaraan Distribusi Alkes dan BHP di Jaringan - Rp0
Biaya buruh angkut Distribusi Alkes dan BHP di Jaringan - Rp0
- Rp0
Spanduk lokakarya mini bulanan - Rp0
Spanduk lokakarya mini tribulanan - Rp0
Spanduk MMD - Rp0
Spanduk pelatihan kader posyandu - Rp0
Spanduk refreshing kader posyandu - Rp0
Pembuatan dan penyebaran Leaflet Jiwa - Rp0
pembuatan poster Jiwa - Rp0
TOTAL 27,115,000 5% 1,166,839 10% 2,432,500 24,650,000 335,000 522,727 125,000 340,500 - 1,323,227

: PPN (10%) dan PPh 22 (3%)
: PPN (5%) dan PPh 22 (3%)
: PPh 21 (5%)
TOTAL YANG
SELURUH DITERIMA
NAMA PARAF
POTONGAN PROGRAM
Rp4,922,566 Rp22,192,434
Rp0 Rp900,000
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp150,881 Rp524,119
Rp29,625 Rp120,375
Rp150,881 Rp524,119
Rp29,625 Rp120,375
Rp4,500 Rp25,500
Rp67,058 Rp232,942
Rp229,500 Rp1,300,500
Rp216,000 Rp1,224,000
Rp29,625 Rp120,375
Rp0 Rp240,000
Rp125,176 Rp434,824
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp469,409 Rp1,630,591
Rp0 Rp1,650,000
Rp88,875 Rp361,125
Rp54,000 Rp306,000
Rp9,000 Rp51,000
Rp90,000 Rp510,000
Rp1,114,659 Rp3,135,341
Rp314,727 Rp885,273
Rp22,500 Rp127,500
Rp162,000 Rp918,000
Rp22,500 Rp127,500
Rp58,500 Rp331,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp9,000 Rp51,000
Rp54,000 Rp306,000
Rp45,000 Rp255,000
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp9,000 Rp51,000
Rp83,823 Rp291,177
Rp4,500 Rp25,500
Rp67,058 Rp232,942
Rp29,625 Rp120,375
Rp50,294 Rp174,706
Rp59,250 Rp240,750
Rp54,000 Rp306,000
Rp0
Rp0
Rp352,057 Rp1,222,943
Rp15,000 Rp85,000
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp55,882 Rp194,118
Rp70,909 Rp229,091
Rp45,000 Rp255,000
Rp4,500 Rp25,500
4,922,566 22,192,434
: CATATAN
PMT
Konsumsi
Honor
POTONGAN PAJAK DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN AGUSTUS TAHUN 2019
HARGA
DISPENDA PAJAK
PIS PK 900,000

UPAYA KESEHATAN IBU

-
-
-
OJT KIA -
snack OJT KIA 300,000 5% 14,591 10% 30,000 272,727 14,286 8,182 22,468
-
PROMOSI KESEHATAN -
-
Survey PHBS institusi sekolah dan penentuan strata sekolah -
Transport petugas 1,080,000 5% 54,000 10% 108,000 981,818 -
Penggandaan Formulir Survey PHBS Sekolah Dasar/Madrasah 250,500 5% 12,525 10% 25,050 227,727 -
-
transport petugas TB 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas Kusta 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas Gizi 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas KIA 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas ISPA Diare Hepatitis 150,000 5% 7,500 10% 15,000 136,364 -
-
Pembinaan dokter kecil 360,000 5% 18,000 10% 36,000 327,273 -
-
UKS -
Penjaringan Kesehatan Siswa SD/MI -
Penggandaan Formulir Screening Kesehatan Siswa Sekolah
Dasar/Madrasah 600,000 5% 30,000 10% 60,000 545,455 -
-
Pembinaan kantin sehat -
-
UKGS -
Gosok Gigi masal (Balita) -
Bahan Kontak Gosok Gigi masal (Balita) 500,000 5% 25,000 10% 50,000 454,545 -
-
inspeksi sanitasi sekolah 720,000 5% 36,000 10% 72,000 654,545 -
-
-
GIZI -
Konseling gizi di kelurahan (AE,garam beryodium, Fe) -
-
Sweeping Vit. A -
transport petugas sweeping Vit. A 150,000 5% 7,500 10% 15,000 136,364 -
-
distribusi dan penyuluhan Fe di sekolah 150,000 5% 7,500 10% 15,000 136,364 -
-
-
Gizi Kurang 900,000 5% 39,682 10% 90,000 818,182 81,818 24,545 106,364
-
pemantauan pemberian PMT gizi kurang 150,000 5% 7,500 10% 15,000 136,364 -
-
SURVEILANS -
-
Survei jentik 300,000 5% 15,000 10% 30,000 272,727 -
-
-
TB -
penjaringan susp TB di pesantren dan SMP 150,000 5% 7,500 10% 15,000 136,364 -
-
penjaringan susp TB di kelurahan 150,000 5% 7,500 10% 15,000 136,364 -
-
penjaringan susp TB oleh masyarakat 180,000 0% - 0% - 163,636 -
-
-
pembagian oralit untuk kasus diare di kelurahan 150,000 5% 7,500 10% 15,000 136,364 -
-
pembagian obat cacing di SD 360,000 5% 18,000 10% 36,000 327,273 -
-
KUSTA -
pelacakan kasus kusta di masyarakat 300,000 5% 15,000 10% 30,000 272,727 -
-
-
penjaringan kasus kusta pada anak sekolah SD dan SMP
sederajat 300,000 5% 15,000 10% 30,000 272,727 -
ZOONOS -
IS -
Penanganan cepat pasien zoonosis di kelurahan 150,000 5% 7,500 10% 15,000 136,364 -
-
-
PENGOBATAN TRADISIONAL
pembinaan batra (keterampilan + ramuan) 300,000 5% 15,000 10% 30,000 272,727 -
-
UKK -
Pendataan pada pos UKK 150,000 5% 7,500 10% 15,000 136,364 -
-
JIWA -
Deteksi dini masalah kesehatan jiwa 150,000 5% 7,500 10% 15,000 136,364 -
-
kesehatan jiwa 150,000 5% 7,500 10% 15,000 136,364 -
-
Refresing untuk PMO -
Transport peserta 750,000 0% - 0% - 681,818 -
Snack peserta 390,000 5% 18,968 10% 39,000 354,545 18,571 10,636 29,208
-
Snack peserta 375,000 5% 18,239 10% 37,500 340,909 17,857 10,227 28,084
honor fasilitator instruktur senam 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
-
Snack 375,000 5% 18,239 10% 37,500 340,909 17,857 10,227 28,084
Honor fasilitator ustadz 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
-
LANSIA -
Snack 300,000 5% 14,591 10% 30,000 272,727 14,286 8,182 22,468
-
REMAJA -
-
Posyandu REMAJA di sekolah 420,000 5% 21,000 10% 42,000 381,818 -
-
- - -
ATK/Dokumentasi 100,000 5% 5,000 10% 10,000 90,909 -
ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
-
sewa kendaraan 100,000 0% - 0% - 90,909 -
-
-
-
Penggandaan SPJ 300,000 5% 15,000 10% 30,000 272,727 -
-
Pemantauan Disiplin Pegawai dan pemantauan peralatan
jaringan puskesmas -
-
-
-
Jumlah

PPN Rp522,727
PPH 22 Rp270,409
BULAN AGUSTUS 2019
PAJAK TOTAL
DISPENDA
Belanja honorarium (0%) -
Insentif kader Posyandu -
-
2 BELANJA TRANSPORT -
Transport petugas Rp14,850,000 ###
Transport peserta / uang saku peserta Rp750,000 681,818
-
ATK Pemicuan (STBM) STOP BABS di kelurahan - -
ATK/Dokumentasi LOKAKARYA MINI TRI BULANAN - -
ATK/Dokumentasi Pertemuan Penyusunan RUK Puskesmas -
ATK/Dokumentasi Pertemuan Penyusunan RPK Puskesmas -

-
4 BELANJA BAHAN CONTOH - - -
PMT Bumil KEK - - -
PMT Gizi kurang Rp900,000 818,182 81,818 24,545 Rp106,364
rempah) -
Pembelian BHP dan APD Zoonosis (Sabun Batang, Google,

Sepatu Boot, Celemek) Rp0 -
Bahan Kontak Gosok Gigi masal (Balita) Rp500,000 454,545

-
penggandaan evaluasi PIS PK - -
penggandaan MINILOK -
Penggandaan Pertemuan Analisis Hasil Audit Internal & PMKP - -
Penggandaan Formulir Survey PHBS Sekolah Dasar/Madrasah Rp250,500 227,727

Dasar/Madrasah Rp600,000 545,455
-
-
-
7 BELANJA JASA -
Sewa kendaraan Distribusi Alkes dan BHP di Jaringan Rp100,000 90,909
Biaya buruh angkut Distribusi Alkes dan BHP di Jaringan Rp50,000 45,455
-
8 BELANJA CETAK -
Spanduk lokakarya mini bulanan -
Spanduk MMD -
Pembuatan dan penyebaran Leaflet Jiwa -
pembuatan poster Jiwa -
TOTAL 30,365,500 5% 1,373,743 10% 2,838,550 27,605,000 226,905 522,727 117,500 270,409 - 1,137,541

: PPN (10%) dan PPh 22 (3%)
: PPN (5%) dan PPh 22 (3%)
: PPh 21 (5%)
TOTAL YANG
SELURUH DITERIMA
NAMA PARAF
POTONGAN PROGRAM
Rp5,349,834 Rp25,015,666
Rp0 Rp900,000
Rp22,500 Rp127,500
Rp67,058 Rp232,942
Rp29,625 Rp120,375
Rp150,881 Rp524,119
Rp29,625 Rp120,375
Rp67,058 Rp232,942
Rp229,500 Rp1,300,500
Rp162,000 Rp918,000
Rp37,575 Rp212,925
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp54,000 Rp306,000
Rp324,000 Rp1,836,000
Rp90,000 Rp510,000
Rp81,000 Rp459,000
Rp45,000 Rp255,000
Rp75,000 Rp425,000
Rp108,000 Rp612,000
Rp9,000 Rp51,000
Rp45,000 Rp255,000
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp1,114,659 Rp3,135,341
Rp236,045 Rp663,955
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp45,000 Rp255,000
Rp162,000 Rp918,000
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp0 Rp180,000
Rp58,500 Rp331,500
Rp22,500 Rp127,500
Rp54,000 Rp306,000
Rp45,000 Rp255,000
Rp9,000 Rp51,000
Rp45,000 Rp255,000
Rp22,500 Rp127,500
Rp45,000 Rp255,000
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp0 Rp750,000
Rp87,176 Rp302,824
Rp29,625 Rp120,375
Rp83,823 Rp291,177
Rp29,625 Rp120,375
Rp83,823 Rp291,177
Rp29,625 Rp120,375
Rp4,500 Rp25,500
Rp67,058 Rp232,942
Rp29,625 Rp120,375
Rp50,294 Rp174,706
Rp59,250 Rp240,750
Rp63,000 Rp357,000
Rp0
Rp352,057 Rp1,222,943
Rp15,000 Rp85,000
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp0 Rp100,000
Rp0 Rp50,000
Rp55,882 Rp194,118
Rp141,818 Rp458,182
Rp45,000 Rp255,000
Rp36,000 Rp204,000
Rp9,000 Rp51,000
Rp4,500 Rp25,500
5,349,834 25,015,666
: CATATAN
PMT
Konsumsi
Honor
POTONGAN PAJAK DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN SEPTEMBER TAHUN 2019
HARGA
DISPENDA PAJAK
PIS PK 1,900,000

Konsumsi 900,000 5% 43,773 10% 90,000 818,182 42,857 24,545 67,403
Penggandaan 50,000 5% 2,500 10% 5,000 45,455 -
honor Narsum 350,000 5% 16,625 10% 35,000 318,182 17,500 17,500
Ketua 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Sekretaris 200,000 5% 9,500 10% 20,000 181,818 10,000 10,000
Anggota 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500

-
snack kelas bumil di PKM 675,000 5% 32,830 10% 67,500 613,636 32,143 18,409 50,552
-
-
Pemantauan SDIDTK di kelurahan -
-
Pemantauan Pasien kanker 90,000 5% 4,500 10% 9,000 81,818 -
-
DRK -
Snack pertemuan DRK 300,000 5% 14,591 10% 30,000 272,727 14,286 8,182 22,468
-
PROMOSI KESEHATAN -
-
Penyuluhan Kespro remaja,dampak merokok dan
penyalahgunaan NAPZA di sekolah -
snack peserta 1,125,000 5% 54,716 10% 112,500 1,022,727 53,571 30,682 84,253
-
transport petugas Lansia 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas Panca Indera 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas Jiwa 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas SIP 150,000 5% 7,500 10% 15,000 136,364 -
transport petugas Zoonosis 150,000 5% 7,500 10% 15,000 136,364 -
-
Penyuluhan Demam Berdarah dan Kebersihan Lingkungan 1,020,000 5% 51,000 10% 102,000 927,273 -
-
UKS -
Demo sikat Gigi -
Bahan Kontak Demo sikat Gigi & cuci tangan massal (CTPS) 375,000 5% 18,750 10% 37,500 340,909 -
-
Pemutakhiran data UKS -
-
Sweeping Penjaringan kesehatan SD/MI -
-
Screening Kesehatan Siswa SMP/MTs & SMA/MA -
Penggandaan Formulir Screening Kesehatan Siswa SMP/MTs
& SMA/MA 750,000 5% 37,500 10% 75,000 681,818 -
-
Kaporisasi 600,000 5% 30,000 10% 60,000 545,455 -
-
Pemantauan TTU & TPM 300,000 5% 15,000 10% 30,000 272,727 -
-
-
GIZI -
Pemantauan status Gizi -
-
Verifikasi data Vit. A -
tranport petugas verifikasi data Vit. A 150,000 5% 7,500 10% 15,000 136,364 -
-
-
pemantauan pemberian PMT gizi kurang 90,000 5% 4,500 10% 9,000 81,818 -
-
Pelaksanaan kelas gizi -
pembelian bahan makanan 1,000,000 5% 50,000 10% 100,000 909,091 -
transport petugas penyuluh 900,000 5% 45,000 10% 90,000 818,182 -
-
SURVEILANS -
-
pelacakan kasus penyakit new emerging kepulangan jemaah
haji 780,000 5% 39,000 10% 78,000 709,091 -
-
TB -
-
Advokasi dan sosialisasi penanganan pasien TB kategori 2 -
-
Senam Pernapasan Pasien TB Paru -
Snack peserta 300,000 5% 14,591 10% 30,000 272,727 14,286 8,182 22,468
honor instruktur senam 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
-
-
pembagian obat cacing di Kelurahan 150,000 5% 7,500 10% 15,000 136,364 -
-
KUSTA -
pemeriksaan kontak serumah dan tetangga 300,000 5% 15,000 10% 30,000 272,727 -
-
IMUNISA -
SI -
Pelaksanaan BIAS I -
HIV -
Screening HIV -
Tranport petugas 300,000 5% 15,000 10% 30,000 272,727 -
Pembentukan Klp Akupresur +TOGA -
transport peserta 600,000 0% - 0% - 545,455 -
Snack peserta 360,000 5% 17,509 10% 36,000 327,273 17,143 9,818 26,961
-
Pengenalan akupresure + Ramuan (jamu) 300,000 5% 15,000 10% 30,000 272,727 -
rempah) 250,000 5% 12,500 10% 25,000 227,273 -
-
UKK -
Pembinaan pada pos UKK 150,000 5% 7,500 10% 15,000 136,364 -
-
Tes Kebugaran Pegawai -
snack Peserta 900,000 5% 43,773 10% 90,000 818,182 42,857 24,545 67,403
-
JIWA -
Swepping penderita Keswa 150,000 5% 7,500 10% 15,000 136,364 -
-
kesehatan jiwa 150,000 5% 7,500 10% 15,000 136,364 -
-
REMAJA -
Posyandu REMAJA di kelurahan 300,000 5% 15,000 10% 30,000 272,727 -
-
Pembentukan dan pembinaan Kader remaja -
-
pembinaan Konselor sebaya di sekolah -

- - -
ATK/Dokumentasi 100,000 5% 5,000 10% 10,000 90,909 -
ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
-
Pertemuan Lokakaryamini Tribulanan -
ATK 225,000 5% 11,250 10% 22,500 204,545 -
-
Honorarium Narasumber 700,000 5% 33,250 10% 70,000 636,364 35,000 35,000
ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
-
Rapat Tinjauan Manajemen Puskesmas -
Konsumsi Peserta 245,000 5% 11,916 10% 24,500 222,727 11,667 6,682 18,348
Penggandaan 101,000 5% 5,050 10% 10,100 91,818 -
-
Supervisi Poskesdes/Pustu -
-
-
Ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
Sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
-
Honorarium Auditor Internal Puskesmas 1,500,000 5% 71,250 10% 150,000 1,363,636 75,000 75,000
-
-
Penggandaan SPJ 300,000 5% 15,000 10% 30,000 272,727 -
-
-
-
Jumlah

PPN Rp440,909
PPH 22 Rp338,318
PAJAK TOTAL
DISPENDA
-
Transport petugas Rp15,420,000 14,018,182
Transport peserta / uang saku peserta Rp2,100,000 1,909,091
-
ATK/Dokumentasi LOKAKARYA MINI TRI BULANAN Rp225,000 204,545

-
PMT Bumil KEK - - -
PMT Gizi kurang -
rempah) Rp250,000 227,273

Sepatu Boot, Celemek) -
Bahan Kontak Gosok Gigi masal (Balita) -

Bahan Kontak demo Gosok Gigi dan cuci tangan massal Rp375,000 340,909
Bahan makanan kelas Gizi Rp1,000,000 909,091
-
penggandaan evaluasi PIS PK Rp50,000 45,455
Penggandaan Formulir Survey PHBS Sekolah Dasar/Madrasah -

Dasar/Madrasah -

& SMA/MA Rp750,000 681,818
penggandaan Rapat tinauan manajemen PKM Rp101,000 91,818

-
-
7 BELANJA JASA -
-
8 BELANJA CETAK -
Spanduk MMD -
TOTAL 41,326,000 5% 1,903,214 10% 3,922,600 37,569,091 388,333 440,909 382,500 338,318 - 1,550,061

: PPN (10%) dan PPh 22 (3%)
: PPN (5%) dan PPh 22 (3%)
: PPh 21 (5%)
TOTAL YANG
SELURUH DITERIMA
NAMA PARAF
POTONGAN PROGRAM
Rp7,375,874 Rp33,950,126
Rp201,175 Rp698,825
Rp7,500 Rp42,500
Rp69,125 Rp280,875
Rp49,375 Rp200,625
Rp39,500 Rp160,500
Rp29,625 Rp120,375
Rp67,058 Rp232,942
Rp29,625 Rp120,375
Rp150,881 Rp524,119
Rp29,625 Rp120,375
Rp4,500 Rp25,500
Rp22,500 Rp127,500
Rp13,500 Rp76,500
Rp67,058 Rp232,942
Rp229,500 Rp1,300,500
Rp67,500 Rp382,500
Rp251,469 Rp873,531
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp153,000 Rp867,000
Rp45,000 Rp255,000
Rp56,250 Rp318,750
Rp22,500 Rp127,500
Rp135,000 Rp765,000
Rp135,000 Rp765,000
Rp112,500 Rp637,500
Rp90,000 Rp510,000
Rp45,000 Rp255,000
Rp9,000 Rp51,000
Rp76,500 Rp433,500
Rp22,500 Rp127,500
Rp1,114,659 Rp3,135,341
Rp13,500 Rp76,500
Rp150,000 Rp850,000
Rp135,000 Rp765,000
Rp162,000 Rp918,000
Rp117,000 Rp663,000
Rp58,500 Rp331,500
Rp45,000 Rp255,000
Rp67,058 Rp232,942
Rp29,625 Rp120,375
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp45,000 Rp255,000
Rp9,000 Rp51,000
Rp108,000 Rp612,000
Rp45,000 Rp255,000
Rp0 Rp600,000
Rp80,470 Rp279,530
Rp29,625 Rp120,375
Rp45,000 Rp255,000
Rp37,500 Rp212,500
Rp22,500 Rp127,500
Rp201,175 Rp698,825
Rp59,250 Rp240,750
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp45,000 Rp255,000
Rp45,000 Rp255,000
Rp54,000 Rp306,000
Rp0
Rp352,057 Rp1,222,943
Rp15,000 Rp85,000
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp273,822 Rp951,178
Rp0 Rp1,500,000
Rp33,750 Rp191,250
Rp138,250 Rp561,750
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp54,764 Rp190,236
Rp15,150 Rp85,850
Rp54,000 Rp306,000
Rp55,882 Rp194,118
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp296,250 Rp1,203,750
Rp141,818 Rp458,182
Rp45,000 Rp255,000
Rp9,000 Rp51,000
Rp29,625 Rp120,375
Rp4,500 Rp25,500
7,375,874 33,950,126
BULAN 7,8,9 TAHUN 2019
PAJAK
NO MATA ANGGARAN JUL AGUS SEP TOTAL PPN
5% Rp4,443,795 10% Rp9,193,650 HRG DASAR PPN
DISPENDA
Belanja honorarium (5%) Rp2,500,000 Rp2,350,000 Rp7,650,000 Rp12,500,000 11,363,636
Belanja honorarium (0%) Rp0 -
Insentif kader Posyandu Rp0 -
Rp0 -
2 BELANJA TRANSPORT Rp0 -
Transport petugas Rp9,540,000 Rp14,850,000 Rp15,420,000 Rp39,810,000 36,190,909
Transport peserta / uang saku peserta Rp1,890,000 Rp750,000 Rp2,100,000 Rp4,740,000 4,309,091
Rp0 -
3 ALAT TULIS KANTOR Rp0 -
ATK Pelatihan kader posyandu Rp0 -
ATK Pemicuan (STBM) STOP BABS di kelurahan Rp0 - -
ATK/Dokumentasi LOKAKARYA MINI BULANAN Rp100,000 Rp100,000 Rp100,000 Rp300,000 272,727
ATK/Dokumentasi LOKAKARYA MINI TRI BULANAN Rp225,000 Rp225,000 204,545
ATK/Dokumentasi Pertemuan Penyusunan RUK Puskesmas Rp0 -
ATK/Dokumentasi Pertemuan Penyusunan RPK Puskesmas Rp0 -
ATK PELAKSANAAN MMD Rp0 -

ATK manajemen BOK Rp300,000 Rp600,000 Rp600,000 Rp1,500,000 1,363,636 136,364
Rp0 -
4 BELANJA BAHAN CONTOH Rp0 - -
PMT Bumil KEK Rp0 - -
PMT Penyuluhan Rp4,250,000 Rp4,250,000 Rp4,250,000 Rp12,750,000 11,590,909 1,159,091
PMT Gizi kurang Rp1,200,000 Rp900,000 Rp2,100,000 1,909,091 190,909
PAJAK TOTAL
POTONGAN
PPH 21 PPH 22 PPH 23 PAJAK
625,000 Rp625,000
Rp136,364
-
-
347,727 Rp1,506,818
57,273 Rp248,182
: CATATAN
PMT
Konsumsi
Honor
POTONGAN PAJAK DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN OKTOBER TAHUN 2019
HARGA
DISPENDA PAJAK
18,845,000 5% Rp820,905 10% Rp1,719,500 Rp164,048 Rp440,909 Rp87,500 Rp248,500 Rp0 Rp940,957
PIS PK 900,000

PROMOSI KESEHATAN
-
-
Sosialisasi bahaya merokok bagi kesehatan -
konsumsi 770,000 5% 37,450 10% 77,000 700,000 36,667 21,000 57,667
-
-
-
GIZI -
-
-
SURVEILANS -
SURVEILANS
Abatesasi 300,000 5% 15,000 10% 30,000 272,727 -
-
Posbindu PTM terintegrasi lansia dan IVA
Transport petugas Surveilance 270,000 5% 13,500 10% 27,000 245,455 -
Transport petugas Lansia 270,000 5% 13,500 10% 27,000 245,455 -
Transport petugas Iva 270,000 5% 13,500 10% 27,000 245,455 -
Transport petugas Lab 270,000 5% 13,500 10% 27,000 245,455 -
-
TB -
-
-
-
KUSTA -
-
-
IMUNISASI -
Sweeping BIAS I 720,000 5% 36,000 10% 72,000 654,545 -
-
Pelaksanaan BIAS II -
UKK
Pemeriksaan berkala terhadap tenaga pos UKK 300,000 5% 15,000 10% 30,000 272,727 -
-
Tes Kebugaran Pegawai Kecamatan -
snack Peserta 900,000 5% 43,773 10% 90,000 818,182 42,857 24,545 67,403
-
JIWA -
Kunjungan dan pembinaan pada pasien dengan gangguan 150,000
kesehatan jiwa 5% 7,500 10% 15,000 136,364 -
-
REMAJA -
screening hb remaja di kelurahan
Transport petugas Remaja 150,000 5% 7,500 10% 15,000 136,364 -
-
KTA KTP -
Pendampingan KTA/KTP 60,000 5% 3,000 10% 6,000 54,545 -
-
Koordinasi lintas sektor dengan Polri dan LBHI dan LPA -
Transport petugas pengantar 30,000 5% 1,500 10% 3,000 27,273 -

- - -
ATK/Dokumentasi 100,000 5% 5,000 10% 10,000 90,909 -
ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
-
sewa kendaraan 100,000 0% - 0% - 90,909 -
-
-
-
Penggandaan SPJ 300,000 5% 15,000 10% 30,000 272,727 -
-
Pemantauan Disiplin Pegawai dan pemantauan peralatan -
jaringan puskesmas
-
Jumlah

PPN Rp440,909
PPH 22 Rp248,500
BULAN OKTOBER 2019
PAJAK TOTAL
5% Rp820,905 10% Rp1,719,500 HRG DASAR PPN PPH 21 PPH 22 PPH 23 PAJAK
DISPENDA
-
-

-
PMT Bumil KEK - - -
PMT Gizi kurang -
rempah) -


Bahan Kontak demo Gosok Gigi dan cuci tangan massal -
Bahan makanan kelas Gizi -
-

Dasar/Madrasah -

& SMA/MA -
penggandaan Rapat tinauan manajemen PKM -

-
-
7 BELANJA JASA -
Sewa kendaraan Distribusi Alkes dan BHP di Jaringan Rp100,000 90,909
Biaya buruh angkut Distribusi Alkes dan BHP di Jaringan Rp50,000 45,455
-
8 BELANJA CETAK -
Spanduk MMD -
TOTAL 18,845,000 5% 820,905 10% 1,719,500 17,131,818 164,048 440,909 87,500 248,500 - 940,957

: PPN (10%) dan PPh 22 (3%)
: PPN (5%) dan PPh 22 (3%)
: PPh 21 (5%)
TOTAL YANG
SELURUH DITERIMA
NAMA PARAF
POTONGAN PROGRAM
Rp3,481,361 Rp15,363,639
Rp0 Rp900,000
Rp229,500 Rp1,300,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp172,117 Rp597,883
Rp0 Rp600,000
Rp59,250 Rp240,750
Rp9,000 Rp51,000
Rp1,151,364 Rp3,098,636
Rp45,000 Rp255,000
Rp40,500 Rp229,500
Rp40,500 Rp229,500
Rp40,500 Rp229,500
Rp40,500 Rp229,500
Rp58,500 Rp331,500
Rp45,000 Rp255,000
Rp22,500 Rp127,500
Rp9,000 Rp51,000
Rp108,000 Rp612,000
Rp108,000 Rp612,000
Rp45,000 Rp255,000
Rp201,175 Rp698,825
Rp59,250 Rp240,750
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp9,000 Rp51,000
Rp4,500 Rp25,500
Rp0
Rp352,057 Rp1,222,943
Rp15,000 Rp85,000
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp0 Rp100,000
Rp0 Rp50,000
Rp44,706 Rp155,294
Rp141,818 Rp458,182
Rp45,000 Rp255,000
Rp36,000 Rp204,000
Rp9,000 Rp51,000
3,481,361 15,363,639
: CATATAN
PMT
Konsumsi
Honor
POTONGAN PAJAK DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN NOVEMBER TAHUN 2019
HARGA
DISPENDA PAJAK
16,265,000 5% Rp720,043 10% Rp1,512,500 Rp111,190 Rp440,909 Rp65,000 Rp218,227 Rp0 Rp835,327
PIS PK 900,000

UPAYA KESEHATAN IBU

-
-
PROMOSI KESEHATAN -
-
Pertemuan terpadu dengan petugas -
pustu,polindes,poskesdes,tentang program perkesmas
Honor fasilitator 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
Transport Peserta 240,000 0% - 0% - 218,182 -
Konsumsi 560,000 5% 27,236 10% 56,000 509,091 26,667 15,273 41,939
-
-
GIZI -
-
Pekan penimbangan posyandu -
transport petugas 1,020,000 5% 51,000 10% 102,000 927,273 -
-
SURVEILANS
-
TB -
-
-
-
-
KUSTA -
-
IMUNISASI -
Sweeping BIAS II 720,000 5% 36,000 10% 72,000 654,545 -
-
Sweeping imunisasi rutin 510,000 5% 25,500 10% 51,000 463,636 -
-
UKM PENGEMBANGAN 150,000
JIWA
Kunjungan dan pembinaan pada pasien dengan gangguan 150,000 5%
kesehatan jiwa 7,500 10% 15,000 136,364 -

- - -
ATK/Dokumentasi 100,000 5% 5,000 10% 10,000 90,909 -
ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
-
-
-
-
Penggandaan SPJ 300,000 5% 15,000 10% 30,000 272,727 -
-
-
-
Jumlah

PPN Rp440,909
PPH 22 Rp218,227
BULAN NOVEMBER 2019
PAJAK TOTAL
5% Rp720,043 10% Rp1,512,500 HRG DASAR PPN PPH 21 PPH 22 PPH 23 PAJAK
DISPENDA
-
-

-
PMT Bumil KEK - - -
PMT Gizi kurang -
rempah) -


Bahan Kontak demo Gosok Gigi dan cuci tangan massal -
Bahan makanan kelas Gizi -
-

Dasar/Madrasah -

& SMA/MA -
penggandaan Rapat tinauan manajemen PKM -

-
-
7 BELANJA JASA -
-
8 BELANJA CETAK -
Spanduk MMD -
TOTAL 16,265,000 5% 720,043 10% 1,512,500 14,786,364 111,190 440,909 65,000 218,227 - 835,327

: PPN (10%) dan PPh 22 (3%)
: PPN (5%) dan PPh 22 (3%)
: PPh 21 (5%)
TOTAL YANG
SELURUH DITERIMA
NAMA PARAF
POTONGAN PROGRAM
Rp3,067,870 Rp13,197,130
Rp0 Rp900,000
Rp22,500 Rp127,500
Rp229,500 Rp1,300,500
Rp29,625 Rp120,375
Rp0 Rp240,000
Rp125,176 Rp434,824
Rp9,000 Rp51,000
Rp1,151,364 Rp3,098,636
Rp153,000 Rp867,000
Rp40,500 Rp229,500
Rp40,500 Rp229,500
Rp40,500 Rp229,500
Rp40,500 Rp229,500
Rp58,500 Rp331,500
Rp45,000 Rp255,000
Rp22,500 Rp127,500
Rp9,000 Rp51,000
Rp108,000 Rp612,000
Rp76,500 Rp433,500
Rp22,500 Rp127,500
Rp0
Rp352,057 Rp1,222,943
Rp15,000 Rp85,000
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp44,706 Rp155,294
Rp141,818 Rp458,182
Rp45,000 Rp255,000
Rp9,000 Rp51,000
Rp9,000 Rp51,000
3,067,870 13,197,130
: CATATAN
PMT
Konsumsi
Honor
POTONGAN PAJAK DAK NON FISIK BOK PKM RASANAE TIMUR KOTA BIMA BULAN DESEMBER TAHUN 2019
HARGA
DISPENDA PAJAK
PIS PK 3,412,000
PIS PK
Konsumsi 900,000 5% 43,773 10% 90,000 818,182 42,857 24,545 67,403
Penggandaan 62,000 5% 3,100 10% 6,200 56,364 -
honor Narsum 350,000 5% 16,625 10% 35,000 318,182 17,500 17,500
Ketua 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Sekretaris 200,000 5% 9,500 10% 20,000 181,818 10,000 10,000
Anggota 150,000 5% 7,125 10% 15,000 136,364 7,500 7,500
-
Admin 1,500,000 5% 71,250 10% 150,000 1,363,636 75,000 75,000
PROMOSI KESEHATAN -
-
-
-
Sosialisasi bahaya merokok bagi kesehatan -
konsumsi 770,000 5% 37,450 10% 77,000 700,000 36,667 21,000 57,667
-
-
-
GIZI -
-
SURVEILANS -
-
-
TB -
-
KUSTA -
pelacakan kasus kusta di masyarakat 300,000 5% 15,000 10% 30,000 272,727 -
-
UKM PENGEMBANGAN 150,000
JIWA
Kunjungan dan pembinaan pada pasien dengan gangguan 150,000 5%
kesehatan jiwa 7,500 10% 15,000 136,364 -

- - -
ATK/Dokumentasi 100,000 5% 5,000 10% 10,000 90,909 -
ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
- -
Pertemuan Lokakaryamini Tribulanan - -
Spanduk 200,000 5% 10,000 10% 20,000 181,818 - -
ATK 225,000 5% 11,250 10% 22,500 204,545 -
-
Honorarium Narasumber Lokakaryamini Tribulanan 700,000 5% 33,250 10% 70,000 636,364 35,000 35,000
ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
-
-
Pertemuan Penilaian Kinerja Puskesmas -
ATK/Dokumentasi 200,000 5% 10,000 10% 20,000 181,818 -
-
Rapat Tinjauan Manajemen Puskesmas -
ATK 202,500 5% 10,125 10% 20,250 184,091 -
Konsumsi 945,000 5% 45,961 10% 94,500 859,091 45,000 25,773 70,773
-
sewa kendaraan 100,000 0% - 0% - 90,909 -
-
-
Ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
Sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 600,000 5% 28,500 10% 60,000 545,455 30,000 30,000
-
Ketua 300,000 5% 14,250 10% 30,000 272,727 15,000 15,000
Sekretaris 250,000 5% 11,875 10% 25,000 227,273 12,500 12,500
Anggota 400,000 5% 19,000 10% 40,000 363,636 20,000 20,000
-
-
ATK Pembuatan laporan tahunan untuk tiap program 2,500,000 5% 109,091 10% 250,000 2,272,727 227,273 90,909 318,182
-
Penggandaan SPJ 297,000 5% 14,850 10% 29,700 270,000 -
-
Pemantauan Disiplin Pegawai dan pemantauan peralatan -
jaringan puskesmas
-
-
Jumlah

PPN Rp668,182
PPH 22 Rp438,136
BULAN DESEMBER 2019
PAJAK TOTAL
DISPENDA
Belanja honorarium (0%) - Rp0
Insentif kader Posyandu - Rp0
- Rp0
- Rp0
ATK Pelatihan kader posyandu - Rp0
ATK Pemicuan (STBM) STOP BABS di kelurahan - - Rp0
ATK/Dokumentasi LOKAKARYA MINI TRI BULANAN Rp225,000 204,545 Rp0
ATK/Dokumentasi Pertemuan Penyusunan RUK Puskesmas - Rp0
ATK/Dokumentasi Pertemuan Penyusunan RPK Puskesmas - Rp0
ATK PELAKSANAAN MMD - Rp0

ATK pembuatan laporan tahunan tiap program Rp2,500,000 2,272,727 227,273 90,909 Rp318,182
ATK/Dokumentasi Pertemuan Pertemuan penilaian kinerja
Puskesmas Rp200,000 181,818 Rp0
ATK Rapat tinjauan manajemen PKM Rp202,500 184,091 Rp0
- Rp0
PMT Bumil KEK - - - Rp0
PMT Gizi kurang - Rp0
rempah) - Rp0

Sepatu Boot, Celemek) - Rp0
Bahan Kontak Gosok Gigi masal (Balita) - Rp0

Bahan Kontak demo Gosok Gigi dan cuci tangan massal - Rp0
Bahan makanan kelas Gizi - Rp0
- Rp0
penggandaan evaluasi PIS PK - Rp0
penggandaan MINILOK - Rp0
Penggandaan Pertemuan Analisis Hasil Audit Internal & PMKP - - Rp0
Penggandaan Formulir Survey PHBS Sekolah Dasar/Madrasah - Rp0

Dasar/Madrasah - Rp0

& SMA/MA - Rp0
penggandaan Rapat tinauan manajemen PKM - Rp0

Penggandaan Pertemuan Evaluasi PIS PK Rp62,000 56,364 Rp0
- Rp0
- Rp0
Sewa kendaraan Distribusi Alkes dan BHP di Jaringan Rp100,000 90,909 Rp0
Biaya buruh angkut Distribusi Alkes dan BHP di Jaringan Rp50,000 45,455 Rp0
- Rp0
Spanduk lokakarya mini bulanan - Rp0
Spanduk lokakarya mini tribulanan Rp200,000 181,818 Rp0
Spanduk MMD - Rp0
Spanduk pelatihan kader posyandu - Rp0
Spanduk refreshing kader posyandu - Rp0
Pembuatan dan penyebaran Leaflet Jiwa - Rp0
TOTAL 30,571,500 5% 1,340,009 10% 2,832,150 27,792,273 336,429 668,182 415,000 438,136 - 1,857,747

: PPN (10%) dan PPh 22 (3%)
: PPN (5%) dan PPh 22 (3%)
: PPh 21 (5%)
TOTAL YANG
SELURUH DITERIMA
NAMA PARAF
POTONGAN PROGRAM
Rp6,029,906 Rp24,541,594
Rp201,175 Rp698,825
Rp9,300 Rp52,700
Rp69,125 Rp280,875
Rp49,375 Rp200,625
Rp39,500 Rp160,500
Rp29,625 Rp120,375
Rp296,250 Rp1,203,750
Rp229,500 Rp1,300,500
Rp22,500 Rp127,500
Rp22,500 Rp127,500
Rp172,117 Rp597,883
Rp0 Rp600,000
Rp59,250 Rp240,750
Rp9,000 Rp51,000
Rp1,151,364 Rp3,098,636
Rp22,500 Rp127,500
Rp40,500 Rp229,500
Rp40,500 Rp229,500
Rp40,500 Rp229,500
Rp40,500 Rp229,500
Rp58,500 Rp331,500
Rp45,000 Rp255,000
Rp9,000 Rp51,000
Rp22,500 Rp127,500
Rp0
Rp352,057 Rp1,222,943
Rp15,000 Rp85,000
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp273,822 Rp951,178
Rp30,000 Rp170,000
Rp0 Rp1,500,000
Rp33,750 Rp191,250
Rp138,250 Rp561,750
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp312,939 Rp1,087,061
Rp30,000 Rp170,000
Rp30,375 Rp172,125
Rp211,234 Rp733,766
Rp59,250 Rp240,750
Rp0 Rp100,000
Rp0 Rp50,000
Rp55,882 Rp194,118
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp118,500 Rp481,500
Rp59,250 Rp240,750
Rp49,375 Rp200,625
Rp79,000 Rp321,000
Rp141,818 Rp458,182
Rp677,273 Rp1,822,727
Rp44,550 Rp252,450
Rp36,000 Rp204,000
Rp29,625 Rp120,375
Rp9,000 Rp51,000
6,029,906 24,541,594
BULAN OKTOBER NOVEMBER DESEMBER 2019
PAJAK
NO MATA ANGGARAN OKTOBER NOVEMBER DESEMBER TOTAL PPN
5% Rp2,880,957 10% Rp6,064,150 HRG DASAR PPN
DISPENDA
Belanja honorarium (5%) Rp1,750,000 Rp1,300,000 Rp8,300,000 Rp11,350,000 10,318,182
-
Transport petugas Rp7,650,000 Rp7,140,000 Rp4,320,000 Rp19,110,000 17,372,727
Transport peserta / uang saku peserta Rp600,000 Rp240,000 Rp2,100,000 Rp2,940,000 2,672,727
-
ATK/Dokumentasi LOKAKARYA MINI BULANAN Rp100,000 Rp100,000 Rp100,000 Rp300,000 272,727
ATK/Dokumentasi LOKAKARYA MINI TRI BULANAN Rp225,000 Rp225,000 204,545

ATK manajemen BOK Rp600,000 Rp600,000 Rp600,000 Rp1,800,000 1,636,364 163,636
ATK pembuatan laporan tahunan tiap program Rp2,500,000 Rp2,500,000 2,272,727 227,273
ATK/Dokumentasi Pertemuan Pertemuan penilaian kinerja
Puskesmas Rp200,000 Rp200,000 181,818
PAJAK TOTAL
POTONGAN
PPH 21 PPH 22 PPH 23 PAJAK
567,500 Rp567,500
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp0
Rp163,636
90,909 Rp318,182
Rp0

Pot Mpe Des Fix

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Kode Rincian Penghitungan

Uraian Jumlah (Rp.)

Workshop PIS PK Tk Puskesmas

Konsumsi 72 or x 1 pkm x 1 hr x 1 kl 72 Rp 30,000 Rp 2,160,000

Narsum 1 or x 1 kl x 1 hr x 1 kl 1 Rp 350,000 Rp 350,000

Ketua 1 or x 1 kl x 1 hr x 1 kl 1 Rp 300,000 Rp 300,000

Sekretaris 1 or x 1 kl x 1 hr x 1 kl 1 Rp 250,000 Rp 250,000

Anggota 1 or x 1 kl x 1 hr x 1 kl 1 Rp 150,000 Rp 150,000

ATK 72 or x 1 pkt x 1 hr x 1 kl 72 Rp 10,000 Rp 720,000

Penggandaan 72 or x 4 lbr x 1 hr x 1 kl 288 Rp 250 Rp 72,000

PERTEMUAN MONEV DAN

Konsumsi 20 or x 1 kl x 1 hr x 4 kl 80 Rp 30,000 Rp 2,400,000

honor Narsum 1 or x 1 kl x 1 hr x 4 kl 4 Rp 350,000 Rp 1,400,000

Ketua 1 or x 1 kl x 1 hr x 4 kl 4 Rp 250,000 Rp 1,000,000

Sekretaris 1 or x 1 kl x 1 hr x 4 kl 4 Rp 200,000 Rp 800,000

Honor Pembina PIS PK

Ka PKM 1 or x 1 x 1 x 12 kl 12 Rp 300,000 Rp 3,600,000

Admin 1 or x 1 x 1 x 12 kl 12 Rp 250,000 Rp 3,000,000

Supervisor 1 or x 1 x 1 x 12 kl 12 Rp 250,000 Rp 3,000,000

Tranport petugas Pendataan Keluarga 2 or x 36 tim x 5 hr x 8 kl 2880 Rp 30,000 Rp 86,400,000

Penggandaan Prokesga 4535 kk x 1 x 4 lmbr x 1 kl 18140 Rp 250 Rp 4,535,000

Cetak PIN Kesga 450 kk x 1 tim x 1 lmbr x 1 kl 450 Rp 15,000 Rp 6,750,000

Stiker PIS PK 4535 kk x 1 tim x 1 lmbr x 1 kl 4535 Rp 500 Rp 2,267,500

Tanda Pengenal 72 or x 1 tim x 1 lmbr x 1 kl 72 Rp 10,000 Rp 720,000

Paket pelaksanaan Survey 72 or x 1 pkt x 1 hr x 1 kl 72 Rp 150,000 Rp 10,800,000

Baju Kaos 72 or x 1 pkt x 1 hr x 1 kl 72 Rp 100,000 Rp 7,200,000

Bahan Kontak 4535 kk x 1 x 1 x 1 kl 4535 Rp 3,000 Rp 13,605,000

Kunjungan rumah intervensi PIS

Transport Petugas 450 kk x 1 or x 1 hr x 1 kl 450 Rp 30,000 Rp 13,500,000

Monev Pelaksanaan PIS PK di

Ka PKM 1 or x 7 kel x 1 hr x 4 kl 28 Rp 30,000 Rp 840,000

Admin 1 or x 7 kel x 1 hr x 4 kl 28 Rp 30,000 Rp 840,000

Supervisor 1 or x 7 kel x 1 hr x 4 kl 28 Rp 30,000 Rp 840,000

Pemeliharaan perangkat PIS PK 1 keg x 1 x 1 x 4 kl 4 Rp 1,000,000 Rp 4,000,000

UKM ESENSIAL 248,880,000

distribusi garam beryodium 2 or x 10 ling x 1 hr x 12 kl 240 Rp 30,000 Rp 7,200,000

Refreshing kader posyandu 0 Rp -

Advokasi program kesehatan ke

Penyuluhan HIV AIDS Di sekolah

Survei PHBS sekolah dan penentuan

Pemutakhiran data UKS 0 Rp -

Penggandaan Formulir Screening

Screening Kesehatan Siswa

Penggandaan Formulir Screening

Penyuluhan PHBS sekolah+distribusi

Penyuluhan Kesehatan Reproduksi

Pembinaan kantin sehat 0 Rp -

Demo sikat Gigi & cuci tangan

Pemantauan SAB & JAGA 2 or x 7 kel x 2 hr x 1 kl 28 Rp 30,000 Rp 840,000

Kaporisasi 2 or x 7 kel x 2 hr x 2 kl 56 Rp 30,000 Rp 1,680,000

Pendataan Rumah Sehat 2 or x 7 kel x 2 hr x 1 kl 28 Rp 30,000 Rp 840,000

Pemantauan Rumah Sehat 2 or x 7 kel x 2 hr x 1 kl 28 Rp 30,000 Rp 840,000

inspeksi sanitasi sekolah 2 or x 16 sklh x 1 hr x 1 kl 32 Rp 30,000 Rp 960,000

Pendataan TTU & TPM 2 or X 7 kel x 2 hr x 1 kl 28 Rp 30,000 Rp 840,000

Kunjungan Rumah Pasien Klinik

pemeriksaan kelembaban udara di

PMT BUMIL KEK 10 kss x 30 hr x 1 x 1 300 Rp 10,000 Rp 3,000,000

PELACAKAN KASUS RESTI 2 or x 7 kel x 1 hr x 4 kl 56 Rp 30,000 Rp 1,680,000

PROMOSI KB 2 or x 7 kel x 1 hr x 4 kl 56 Rp 30,000 Rp 1,680,000

PEMERIKSAAN IVA DAN

KELAS IBU BALITA DAN PMBA

KELAS IBU HAMIL DI PKM

KELAS IBU HAMIL DI