Rencana Pelaksanaan Kegiatan ( RPK )

Peningkatan Pelayanan UPTD Labkesda tahun 2019

Jumlah Anggaran : Rp. 114.200.000

NO URAIAN TOTAL JAN FEB MRT APRIL MEI JUNI JULI AGUSTUS SEPTEMBER OKT NOV DES
Peningkatan pelayanan UPTD Labkesda 155,000,000.00 4,406,425.00 11,706,425.00 4,406,425.00 10,268,425.00 4,406,425.00 4,406,425.00 4,406,425.00 10,996,425.00 4,406,425.00 4,406,425.00 4,406,425.00 4,406,425.00

20,519,275.00 19,081,275.00 19,809,275.00 13,219,275.00

Belanja Pegawai 5,400,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00

1 Honorarium Panitia Pelaksana Kegiatan 5,400,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00

Belanja Barang dan Jasa 87,263,200.00 7,924,425.00 7,930,865.00 7,878,065.00 7,338,225.00 7,654,205.00 7,421,825.00 7,355,705.00 7,462,925.00 7,305,625.00 7,811,425.00 8,023,485.00 3,156,425.00

2 Belanja Bahan Kesehatan Habis Pakai Reagen 49,386,100.00 4,768,000.00 4,774,440.00 4,721,640.00 4,181,800.00 4,497,780.00 4,265,400.00 4,199,280.00 4,306,500.00 4,149,200.00 4,655,000.00 4,867,060.00 0.00

Belanja Jasa Kantor 37,877,100.00 3,156,425.00 3,156,425.00 3,156,425.00 3,156,425.00 3,156,425.00 3,156,425.00 3,156,425.00 3,156,425.00 3,156,425.00 3,156,425.00 3,156,425.00 3,156,425.00

3 Belanja Telepon 4,782,000.00 398,500.00 398,500.00 398,500.00 398,500.00 398,500.00 398,500.00 398,500.00 398,500.00 398,500.00 398,500.00 398,500.00 398,500.00

4 Belanja Air 3,240,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00

5 Belanja Listrik 23,928,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00

Belanja Kawat/Faksimili/Internet/Intranet/TV
6 5,927,100.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00
Kabel/TV Satelit

7 Belanja Cetak 720,000.00

Cetak Blangko Hasil Laboratorium 720,000.00

8 Belanja Penggadaan 40,000.00

Foto copy A4/Foli0 39,300.00

Foto copy Duble Folio 700.00

9 Belanja Makanan Dan Minuman Kegiatan 9,600,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00

10 Belanja Seragam untuk Kegiatan 1,000,000.00

Baju Rompi 1,000,000.00

11 Belanja Perjalanan Dinas Dalam Daerah 12,452,000.00 5,862,000.00 6,590,000.00

- Eselon IV a 4,640,000.00

- PNS Golongan III 2,000,000.00

- Non PNS 1,600,000.00

- BBM 4,212,000.00

12 Belanja Pemeliharan Peralatan dan Mesin 8,000,000.00

Kalibrasi 8,000,000.00

13 Belanja Jasa Dekorasi/Dokumntasi dan Publikasi 7,000,000.00

Papan Informasi 7,000,000.00

14 Jasa Pihak Ketiga 7,300,000.00

PME 7,300,000.00 7,300,000.00

Belanja Modal Peralatan dan Mesin-Pengadaan

15 16,224,800.00
Alat
Kantor Lainnya- Anjungan Loket Mandiri

TOTAL 155,000,000.00 9,174,425.00 16,480,865.00 9,128,065.00 14,450,225.00 8,904,205.00 8,671,825.00 8,605,705.00 15,302,925.00 8,555,625.00 9,061,425.00 9,273,485.00 4,406,425.00

PPTK

dr. DEWI VIRONICA

NIP.19810424 201001 2 010
 Rencana Pelaksanaan Kegiatan ( RPK )
Peningkatan Pelayanan UPTD Labkesda tahun 2019
Jumlah Anggaran : Rp. 155.000.000
Sumber Dana Bagi Hasil Pajak Rokok

NO URAIAN TOTAL JAN FEB MRT APRIL MEI JUNI JULI AGUSTUS SEPTEMBER OKT NOV DES
Peningkatan pelayanan UPTD Labkesda 155,000,000.00 4,406,825.00 16,474,825.00 9,181,265.00 15,170,625.00 24,606,105.00 12,556,025.00 16,913,325.00 15,671,825.00 9,273,885.00 8,944,605.00 12,672,225.00 9,128,465.00

30,062,915.00 52,332,755.00 41,859,035.00 30,745,295.00

Belanja Pegawai

1 Honorarium Panitia Pelaksana Kegiatan 5,400,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00

Belanja Barang dan Jasa

2 Belanja Bahan Kesehatan Habis Pakai Reagen 49,406,100.00 0.00 4,768,000.00 4,774,440.00 4,181,800.00 4,199,280.00 4,149,200.00 4,306,500.00 4,675,000.00 4,867,060.00 4,497,780.00 4,265,400.00 4,721,640.00

Belanja Jasa Kantor 37,881,900.00

3 Belanja Telepon 4,786,800.00 398,900.00 398,900.00 398,900.00 398,900.00 398,900.00 398,900.00 398,900.00 398,900.00 398,900.00 398,900.00 398,900.00 398,900.00

4 Belanja Air 3,240,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00

5 Belanja Listrik 23,928,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00

Belanja Kawat/Faksimili/Internet/Intranet/TV
6 5,927,100.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00
Kabel/TV Satelit

7 Belanja Cetak 720,000.00

Cetak Blangko Hasil Laboratorium 720,000.00 720,000.00

8 Belanja Penggadaan 40,000.00 40,000.00

Foto copy A4/Foli0 39,300.00

Foto copy Duble Folio 700.00

9 Belanja Makanan Dan Minuman Kegiatan 9,600,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00

10 Belanja Seragam untuk Kegiatan 1,000,000.00

Baju Rompi 1,000,000.00 1,000,000.00

NO URAIAN TOTAL JAN FEB MRT APRIL MEI JUNI JULI AGUSTUS SEPTEMBER OKT NOV DES
11 Belanja Perjalanan Dinas Dalam Daerah 12,452,000.00 5,862,000.00 6,590,000.00

- Eselon IV a 4,640,000.00

- PNS Golongan III 2,000,000.00

- Non PNS 1,600,000.00

- BBM 4,212,000.00

12 Belanja Pemeliharan Peralatan dan Mesin 8,000,000.00

Kalibrasi 8,000,000.00 4,000,000.00 4,000,000.00

13 Belanja Jasa Dekorasi/Dokumntasi dan Publikasi 8,200,000.00

Papan Informasi 8,200,000.00 8,200,000.00

14 Jasa Pihak Ketiga 7,300,000.00

PME 7,300,000.00 7,300,000.00

15 Belanja Modal Peralatan dan Mesin-Pengadaan 15,000,000.00 15,000,000.00

Alat Kantor Lainnya- Anjungan Loket Mandiri

TOTAL 155,000,000.00 4,406,825.00 16,474,825.00 9,181,265.00 15,170,625.00 24,606,105.00 12,556,025.00 16,913,325.00 15,671,825.00 9,273,885.00 8,944,605.00 12,672,225.00 9,128,465.00

PPTK

KHOIRUL ROZIQIN,SKM
NIP.19750706 201001 1 004
 Rencana Pelaksanaan Kegiatan ( RPK )
Peningkatan Pelayanan UPTD Labkesda tahun 2019
Jumlah Anggaran : Rp. 155.000.000
Sumber Dana : Dana Bagi Hasil Pajak Rokok dan Dana Alokasi Umum ( DAU )

NO URAIAN TOTAL JAN FEB MRT APRIL MEI JUNI JULI AGUSTUS SEPTEMBER OKT NOV DES
Peningkatan pelayanan UPTD Labkesda 155,000,000.00 4,406,825.00 16,474,825.00 9,181,265.00 15,170,625.00 24,606,105.00 12,556,025.00 16,913,325.00 15,671,825.00 9,273,885.00 8,944,605.00 12,672,225.00 9,128,465.00

30,062,915.00 52,332,755.00 41,859,035.00 30,745,295.00

Sumber Dana : Dana Alokasi Umum ( DAU )

Belanja Jasa Kantor 37,881,900.00

1 Belanja Telepon 4,786,800.00 398,900.00 398,900.00 398,900.00 398,900.00 398,900.00 398,900.00 398,900.00 398,900.00 398,900.00 398,900.00 398,900.00 398,900.00

2 Belanja Air 3,240,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00 270,000.00

3 Belanja Listrik 23,928,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00 1,994,000.00

Belanja Kawat/Faksimili/Internet/Intranet/TV
4 5,927,100.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00 493,925.00
Kabel/TV Satelit

Sumber Dana : Dana Bagi Hasil Pajak Rokok

Belanja Pegawai

5 Honorarium Panitia Pelaksana Kegiatan 5,400,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00 450,000.00

Belanja Barang dan Jasa

6 Belanja Bahan Kesehatan Habis Pakai Reagen 49,406,100.00 4,768,000.00 4,774,440.00 4,181,800.00 4,199,280.00 4,149,200.00 4,306,500.00 4,675,000.00 4,867,060.00 4,497,780.00 4,265,400.00 4,721,640.00

7 Belanja Cetak 720,000.00

Cetak Blangko Hasil Laboratorium 720,000.00 720,000.00

8 Belanja Penggadaan 40,000.00 40,000.00

Foto copy A4/Foli0 39,300.00

Foto copy Duble Folio 700.00

NO URAIAN TOTAL JAN FEB MRT APRIL MEI JUNI JULI AGUSTUS SEPTEMBER OKT NOV DES
9 Belanja Makanan Dan Minuman Kegiatan 9,600,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00 800,000.00

10 Belanja Seragam untuk Kegiatan 1,000,000.00

Baju Rompi 1,000,000.00 1,000,000.00

11 Belanja Perjalanan Dinas Dalam Daerah 12,452,000.00 5,862,000.00 6,590,000.00

- Eselon IV a 4,640,000.00

- PNS Golongan III 2,000,000.00

- Non PNS 1,600,000.00

- BBM 4,212,000.00

12 Belanja Pemeliharan Peralatan dan Mesin 8,000,000.00

Kalibrasi 8,000,000.00 4,000,000.00 4,000,000.00

13 Belanja Jasa Dekorasi/Dokumntasi dan Publikasi 8,200,000.00

Papan Informasi 8,200,000.00 8,200,000.00

14 Jasa Pihak Ketiga 7,300,000.00

PME 7,300,000.00 7,300,000.00

15 Belanja Modal Peralatan dan Mesin-Pengadaan 15,000,000.00 15,000,000.00

Alat Kantor Lainnya- Anjungan Loket Mandiri

TOTAL 155,000,000.00 4,406,825.00 16,474,825.00 9,181,265.00 15,170,625.00 24,606,105.00 12,556,025.00 16,913,325.00 15,671,825.00 9,273,885.00 8,944,605.00 12,672,225.00 9,128,465.00

PPTK

KHOIRUL ROZIQIN,SKM
NIP.19750706 201001 1 004
 PEMBELIAN REAGEN KIMIA KLINIK dan KIMIA AIR

No Nama Reagen Vol Satuan Harga Satuan Total Harga Januari Februari Maret

1 Triglyceride 1 Kit 4,768,000 4,768,000 4,768,000

2 Asam Urat 1 Kit 2,979,240 2,979,240 2,979,240

3 Urine Strip 10 parameter 2 Pak 897,600 1,795,200 1,795,200

Total 9,542,440 0 4,768,000 4,774,440

Nama Reagen Vol Satuan Harga Satuan Total Harga April Mei Juni

1 SGOT 1 Kit 2,090,900 2,090,900 2,090,900

2 SGPT 1 Kit 2,090,900 2,090,900 2,090,900

3 Glukose 1 Kit 1,787,280 1,787,280 1,787,280

4 Pasta for ECG/Cardio cream 2 Botol 146,150 292,300 292,300

5 Nitrate sbg NO3 1 Kit 2,119,700 2,119,700 2,119,700

6 Zink 1 Kit 4,149,200 4,149,200 4,149,200

Total 12,530,280 4,181,800 4,199,280 4,149,200

Nama Reagen Vol Satuan Harga Satuan Total Harga Juli Agst Sep

1 Flouride 1 Kit 4,306,500 4,306,500 4,306,500

2 Manganese 1 Kit 3,483,700 3,483,700 3,483,700

3 Nitrite sbg NO2 1 Kit 1,191,300 1,191,300 1,191,300

4 Besi/Iron 1 Kit 3,668,500 3,668,500 3,668,500

5 Kesadahan CaCO₃ 1 Kit 1,155,000 1,155,000 1,155,000

6 Alkohol Swab 1 Pak 43,560 43,560 43,560

Total 13,848,560 4,306,500 4,675,000 4,867,060

Nama Reagen Vol Satuan Harga Satuan Total Harga Okt Nov Des

1 Kolesterol 1 Kit 2,546,280 2,546,280 2,546,280

2 Lysing Solution/Stromatolyzer WH 1 Kit 1,951,500 1,951,500 1,951,500

3 Diluent Solution/Cell Pack 1 Kit 2,732,100 2,732,100 2,732,100

4 Cell Clean 1 Kit 1,533,300 1,533,300 1,533,300

5 Asam Urat 1 Kit 2,979,240 2,979,240 2,979,240

6 Ureum 2 Kit 871,200 1,742,400 1,742,400

Total 13,484,820 4,497,780 4,265,400 4,721,640

JUMLAH 49,406,100 12,986,080 17,907,680 18,512,340

 9,542,440

12,530,280

13,848,560

13,484,820

49,406,100
Tarif berdasarkan Bidang pada Program Nasional Pemantapan Mutu Eksternal
Balai Besar Laboratorium Kesehatan Surabaya Tahun 2019

No Bidang Tarif

1 Kimia Klinik Rp 1,500,000

2 Hematologi Rp 1,900,000

3 Urianalisa Rp 1,500,000

4 Mikrokopis BTA Rp 750,000

5 Mikrokopis Telur Cacing Rp 750,000

6 Kimia Air Terbatas Rp 900,000

Total Rp 7,300,000
 Perjalanan Dinas 16 Puskesmas
NO Bulan April 2019 Eselon IV Gol III Non Pns Jarak BBM Harga Jumlah Total
Tujuan Rp Rp Rp Km Lt Rp Rp Rp

1 Sumberasih 145,000 100,000 16 4 12,000 48,000 293,000

2 Wonomerto 145,000 100,000 30 6 12,000 72,000 317,000

3 Sukapura 145,000 125,000 58 11 12,000 132,000 402,000

4 Tongas 145,000 125,000 28 6 12,000 72,000 342,000

5 Curahtulis 145,000 125,000 28 6 12,000 72,000 342,000

6 Lumbang 145,000 100,000 56 9 12,000 108,000 353,000

7 Bantaran 145,000 100,000 36 7 12,000 84,000 329,000

8 Kuripan 145,000 125,000 35 7 12,000 84,000 354,000

9 Sumber 145,000 125,000 46 9 12,000 108,000 378,000

10 Tegalsiwalan 145,000 100,000 30 6 12,000 72,000 317,000

11 Leces 145,000 100,000 24 6 12,000 72,000 317,000

12 Jorongan 145,000 125,000 24 6 12,000 72,000 342,000

13 Banyuanyar 145,000 125,000 44 9 12,000 108,000 378,000

14 Klenang Kidul 145,000 125,000 44 9 12,000 108,000 378,000

15 Krucil 145,000 125,000 96 19 12,000 228,000 498,000

16 Tiris 145,000 125,000 100 21 12,000 252,000 522,000

Jumlah 2,175,000 1,250,000 600,000 141 1,692,000 5,862,000

 Perjalanan Dinas 16 Puskesmas

NO Bulan Agustus 2019 Eselon IV Gol III Non Pns Jarak BBM Harga Jumlah Total

Tujuan Rp Rp Rp Km Lt Rp Rp Rp

1 Ranugedang 145,000 125,000 100 21 12,000 252,000 522,000

2 Gending 145,000 100,000 24 6 12,000 72,000 317,000

3 Maron 145,000 100,000 44 9 12,000 108,000 353,000

4 Suko 145,000 100,000 44 9 12,000 108,000 353,000

5 Pajarakan 145,000 125,000 42 9 12,000 108,000 378,000

6 Kraksaan 145,000 125,000 50 10 12,000 120,000 390,000

7 Krejengan 145,000 100,000 62 11 12,000 132,000 377,000

8 Gading wangkal 145,000 100,000 73 13 12,000 156,000 401,000

9 Condong 145,000 100,000 73 13 12,000 156,000 401,000

10 Paiton 145,000 125,000 76 14 12,000 168,000 438,000

11 Jabungsisir 145,000 125,000 76 14 12,000 168,000 438,000

12 Kotaanyar 145,000 125,000 82 15 12,000 180,000 450,000

13 Pakuniran 145,000 100,000 130 21 12,000 252,000 497,000

14 Glagah 145,000 100,000 130 21 12,000 252,000 497,000

15 Besuk 145,000 100,000 68 12 12,000 144,000 389,000

16 Bago 145,000 100,000 68 12 12,000 144,000 389,000

Jumlah 2,320,000 750,000 1,000,000 210 2,520,000 6,590,000