REKAP KONTRAK REAGEN TA.

2022
JENIS ANGGARAN BLUD KETERANGAN
BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK KET BAYAR BELUM BAYAR
PAGU #REF!
1 PT. ARIANDA MITRA SEJAHTERA 50,805,569.00 001 01/BLUD/SPK/RSUD-AT/I/2022 ###
2 PT. ANUGERAH REZEKI BERSAMA 7,998,705.00 058 01/BLUD/SP/RSUD-AT/I/2022 ###
3 PT. CAKRA MEDIKA ANTARNUSA 89,740,000.00 010 01/BLUD/SP/RSUD-AT/I/2022 ###
4 PT. DEXA AFRINDO PRATAMA 4,644,000.00 COVID 047 01/BLUD/SP/RSUD-AT/I/2022 ###
5 PT. DIMAS ANADALAS MAKMUR 352,000.00 009 01/BLUD/SP/RSUD-AT/I/2022 ###
6 PT. ENSEVAL PUTERA MEGATRADING 58,585,692.00 008 01/BLUD/SPK/RSUD-AT/I/2022 ###
7 PT. ITAMA RANORAYA 1,458,965.00 007 01/BLUD/SP/RSUD-AT/I/2022 ###
JANUARI
8 PT. MEDQUES 3,546,000.00 075 01/BLUD/SP/RSUD-AT/I/2022 PROSES SPM
9 PT. MULTIPLUS 8,360,000.00 006 01/BLUD/SP/RSUD-AT/I/2022 ###
10 PT. REKAN BERSAMA MEDILAB 3,795,000.00 005 01/BLUD/SP/RSUD-AT/I/2022 ###
11 PT. SAMUDRA 8,652,094.00 004 01/BLUD/SP/RSUD-AT/I/2022 ###
12 PT. SETIA ANUGRAH MEDAN 20,790,000.00 003 01/BLUD/SP/RSUD-AT/I/2022 ###
13 PT. TIRTA MEDICAL INDONESIA 141,443,500.00 002 01/BLUD/SPK/RSUD-AT/I/2022 ###
Total 400,171,525.00 396,625,525.00 3,546,000.00
TOTAL BELANJA JANUARI 400,171,525.00 400,171,525.00

JENIS ANGGARAN BLUD KETERANGAN

BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK KET BAYAR BELUM BAYAR
PAGU #REF!
1 PT. ARIANDA MITRA SEJAHTERA 92,588,234.00 080 01/BLUD/SPK/RSUD-AT/II/2022 Monday, April 11, 2022
2 PT. ABADI MAKMUR BERSAMA 4,763,000.00 078 01/BLUD/BAST/RSUD-AT/II/2022 Monday, April 4, 2022
3 PT. ANUGERAH REZEKI BERSAMA 4,416,500.00 086 01/BLUD/BAST/RSUD-AT/II/2022 Monday, April 4, 2022
4 PT. CAKRA MEDIKA ANTARNUSA 4,620,000.00 074 01/BLUD/BAST/RSUD-AT/II/2022 ###
5 PT. DEXA AFRINDO PRATAMA 4,644,000.00 COVID 088 01/BLUD/BAST/RSUD-AT/II/2022 Monday, April 4, 2022
6 PT. DIMAS ANADALAS MAKMUR 1,392,160.00 076 01/BLUD/BAST/RSUD-AT/II/2022 Friday, March 25, 2022
7 PT. ENSEVAL PUTERA MEGATRADING 87,498,477.00 078 01/BLUD/SPK/RSUD-AT/II/2022 Monday, April 11, 2022
8 PT. INDOFARMA 747,600.00 087 01/BLUD/BAST/RSUD-AT/II/2022 Monday, April 4, 2022
FEBRUA 9 PT. ITAMA RANORAYA 2,917,930.00 073 01/BLUD/BAST/RSUD-AT/II/2022 Monday, April 4, 2022
RI 10 PT. MENSA BINA SUKSES 13,949,925.00 076 01/BLUD/SP/RSUD-AT/II/2022 Monday, April 11, 2022
11 PT. MULTI MEDIKA LABORATORY 1,060,400.00 080 01/BLUD/BAST/RSUD-AT/II/2022 Monday, April 4, 2022
12 PT. MULTIPLUS 8,360,000.00 084 01/BLUD/BAST/RSUD-AT/II/2022 Friday, March 25, 2022
13 PT. REKAN BERSAMA MEDILAB 9,570,000.00 078 01/BLUD/BAST/RSUD-AT/II/2022 Friday, March 25, 2022
14 PT. SAMUDRA 5,751,275.00 075 01/BLUD/BAST/RSUD-AT/II/2022 ###
15 PT. SETIA ANUGRAH MEDAN 42,900,000.00 086 01/BLUD/SP/RSUD-AT/II/2022 Friday, March 25, 2022
16 PT. TIRTA MEDICAL INDONESIA 55,198,990.00 079 01/BLUD/SPK/RSUD-AT/II/2022 ###
17 PT. TRANSMEDIK 16,995,000.00 082 01/BLUD/SP/RSUD-AT/II/2022 Monday, April 11, 2022
Total 357,373,491.00 357,373,491.00
TOTAL BELANJA FEBRUARI 357,373,491.00 357,373,491.00

JENIS ANGGARAN BLUD KETERANGAN

BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK KET BAYAR BELUM BAYAR
PAGU #REF!
1 PT. ARIANDA MITRA SEJAHTERA 107,067,743.00 174 01/BLUD/SPK/RSUD-AT/III/2022 ###
2 PT. ANUGERAH REZEKI BERSAMA 7,748,052.00 180.A 01/BLUD/BAST/RSUD-AT/III/2022 ###
3 PT. DEXA AFRINDO PRATAMA 4,644,000.00 COVID 174.A 01/BLUD/BAST/RSUD-AT/III/2022 Monday, April 25, 2022
4 PT. DIMAS ANADALAS MAKMUR 1,559,800.00 167.B 01/BLUD/BAST/RSUD-AT/III/2022 Tuesday, April 19, 2022
5 PT. ENSEVAL PUTERA MEGATRADING 72,861,040.00 171.B 01/BLUD/SPK/RSUD-AT/III/2022 ###
6 PT. INDOFARMA 679,000.00 176.A 01/BLUD/BAST/RSUD-AT/III/2022 ###
MARET 7 PT. ITAMA RANORAYA 1,458,965.00 181.C 01/BLUD/BAST/RSUD-AT/III/2022 ###
8 PT. REKAN BERSAMA MEDILAB 6,600,000.00 182 01/BLUD/BAST/RSUD-AT/III/2022 Monday, April 25, 2022
9 PT. SAMUDRA 6,653,275.00 175.A 01/BLUD/BAST/RSUD-AT/III/2022 ###
10 PT. SETIA ANUGRAH MEDAN 28,930,000.00 169 01/BLUD/SP/RSUD-AT/III/2022 Monday, April 25, 2022
11 PT. TIRTA MEDICAL INDONESIA 38,121,050.00 168 01/BLUD/SP/RSUD-AT/III/2022 Monday, April 25, 2022
12 PT. TRANSMEDIK 28,325,000.00 170 01/BLUD/SP/RSUD-AT/III/2022 Tuesday, May 10, 2022
Total 304,647,925.00 304,647,925.00
TOTAL BELANJA MARET 304,647,925.00 304,647,925.00

JENIS ANGGARAN BLUD KETERANGAN

BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK KET BAYAR BELUM BAYAR
PAGU #REF!
1 PT. ARIANDA MITRA SEJAHTERA 101,560,963.00 225.A 01/BLUD/SPK/RSUD-AT/IV/2022 Friday, May 13, 2022
2 PT. ANUGERAH REZEKI BERSAMA 6,385,166.00 221.A 01/BLUD/BAST/RSUD-AT/IV/2022 Tuesday, June 21, 2022
3 PT. DEXA AFRINDO PRATAMA 9,288,000.00 COVID 216.B 01/BLUD/BAST/RSUD-AT/IV/2022 ###
4 PT. DIMAS ANADALAS MAKMUR 405,072.00 210.A 01/BLUD/BAST/RSUD-AT/IV/2022 Thursday, June 2, 2022
5 PT. ENSEVAL PUTERA MEGATRADING 205,108,829.00 248.A 01/BLUD/SPK/RSUD-AT/IV/2022 Friday, June 10, 2022
6 PT. CAKRA MEDIKA ANTARNUSA 4,662,000.00 213.A 01/BLUD/BAST/RSUD-AT/IV/2022 Thursday, June 2, 2022
APRIL
7 PT. REKAN BERSAMA MEDILAB 32,838,500.00 249 01/BLUD/SP/RSUD-AT/IV/2022 ###
8 PT. SAMUDRA 8,777,924.00 214 01/BLUD/BAST/RSUD-AT/IV/2022 Monday, May 30, 2022
9 PT. SETIA ANUGRAH MEDAN 17,254,950.00 240 01/BLUD/SP/RSUD-AT/IV/2022 ###
10 PT. TIRTA MEDICAL INDONESIA 73,621,083.00 245 01/BLUD/SPK/RSUD-AT/IV/2022 ###
11 PT. TRANSMEDIK 63,225,600.00 256.A 01/BLUD/SPK/RSUD-AT/IV/2022 Tuesday, June 21, 2022
Total 523,128,087.00 523,128,087.00
TOTAL BELANJA APRIL 523,128,087.00 523,128,087.00

JENIS ANGGARAN BLUD KETERANGAN

BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK KET BAYAR BELUM BAYAR
PAGU #REF!
1 PT. ARIANDA MITRA SEJAHTERA 24,576,969.00 298 01/BLUD/SP/RSUD-AT/V/2022 Tuesday, June 28, 2022

MEI
 2 PT. ANUGERAH REZEKI BERSAMA 3,506,157.00 273.A 01/BLUD/BAST/RSUD-AT/V/2022 ###
3 PT. ANUGRAH PHARMINDO LESTARI 767,999.00 287 01/BLUD/BAST/RSUD-AT/V/2022 ###
4 PT. DIMAS ANADALAS MAKMUR 452,436.00 265 01/BLUD/BAST/RSUD-AT/V/2022 Tuesday, June 21, 2022
5 PT. ENSEVAL PUTERA MEGATRADING 59,866,350.00 287 01/BLUD/SPK/RSUD-AT/V/2022 ###
MEI
6 PT. REKAN BERSAMA MEDILAB 31,546,200.00 297 01/BLUD/SP/RSUD-AT/V/2022 Tuesday, June 21, 2022
7 PT. SAMUDRA 6,111,105.00 263.A 01/BLUD/BAST/RSUD-AT/V/2022 ###
8 PT. SETIA ANUGRAH MEDAN 20,290,800.00 305.A 01/BLUD/SP/RSUD-AT/V/2022 Tuesday, June 21, 2022
9 PT. TRANSMEDIK 22,866,000.00 300 01/BLUD/SP/RSUD-AT/V/2022 Tuesday, June 28, 2022
Total 169,984,016.00 169,984,016.00
TOTAL BELANJA MEI 169,984,016.00 169,984,016.00

JENIS ANGGARAN BLUD KETERANGAN

BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK KET BAYAR BELUM BAYAR
PAGU #REF!
1 PT. ARIANDA MITRA SEJAHTERA 57,032,417.00 347 01/BLUD/SPK/RSUD-AT/VI/2022 TTD KONTRAK

2 PT. ANUGERAH REZEKI BERSAMA 12,874,251.00 348 01/BLUD/SP/RSUD-AT/VI/2022 TTD KONTRAK

3 PT. CAKRA MEDIKA ANTARNUSA 3,091,229.00 312 01/BLUD/BAST/RSUD-AT/VI/2022 PROSES SPM

4 PT. DIMAS ANADALAS MAKMUR 438,672.00 305 01/BLUD/BAST/RSUD-AT/VI/2022 PROSES SPM

5 PT. DEXA AFRINDO PRATAMA 9,288,000.00 354 01/BLUD/BAST/RSUD-AT/VI/2022 PROSES SPM

6 PT. ENSEVAL PUTERA MEGATRADING 44,855,175.00 350.A 01/BLUD/SP/RSUD-AT/VI/2022 PROSES SPM

7 PT. ITAMA RANORAYA 4,416,684.00 324 01/BLUD/BAST/RSUD-AT/VI/2022 PROSES SPM

JUNI
8 PT. MEDQUES 4,734,000.00 306.A 01/BLUD/BAST/RSUD-AT/VI/2022 TTD KONTRAK

9 PT. REKAN BERSAMA MEDILAB 85,625,400.00 347.A 01/BLUD/SPK/RSUD-AT/VI/2022 TTD KONTRAK

10 PT. SAMUDRA 9,282,538.00 337 01/BLUD/BAST/RSUD-AT/VI/2022 PROSES SPM

11 PT. SETIA ANUGRAH MEDAN 7,811,625.00 304 01/BLUD/BAST/RSUD-AT/VI/2022 TTD KONTRAK

12 PT. TIRTA MEDICAL INDONESIA 75,560,031.00 349.A 01/BLUD/SPK/RSUD-AT/VI/2022 TTD KONTRAK

13 PT. TRANSMEDIK 28,582,500.00 345 01/BLUD/SP/RSUD-AT/VI/2022 PROSES SPM

Total 343,592,522.00 343,592,522.00

TOTAL BELANJA JUNI 343,592,522.00 343,592,522.00

TOTAL BELANJA 2,098,897,566.00

TOTAL SUDAH BAYAR 1,751,759,044.00
TOTAL BELUM BAYAR 347,138,522.00

TOTAL BELANJA JANUARI-JUNI

JANUARI 400,171,525.00 Lubuk Pakam JULI 2022

FEBRUARI 357,373,491.00 PEJABAT PELAKSANA TEKNIS KEGIATAN
MARET 304,647,925.00
APRIL 523,128,087.00
MEI 169,984,016.00
 JUNI 343,592,522.00
TOTAL BELANJA 2,098,897,566.00
WAHYU WIDIARTI,SKM.MKM
NIP. 19790317 200604 2 020
 REKAP KONTRAK BAHAN MEDIS HABIS PAKAI TA. 2022
JENIS ANGGARAN BLUD KETERANGAN
BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK KET BAYAR BELUM BAYAR
PAGU #REF!
1 PT. ABADI MAKMUR BERSAMA 26,422,000.00 030 01/BLUD/SP/RSUD-AT/I/2022 3/14/2022
2 PT. ABADI NUSA 6,540,000.00 059 01/BLUD/SP/RSUD-AT/I/2022 3/14/2022
3 PT. ANUGRAH PHARMINDO LESTARI 6,980,347.00 029 01/BLUD/SP/RSUD-AT/I/2022 3/16/2022
4 PT. AZKHA MEDICAL INDONESIA 22,492,454.00 048 01/BLUD/SP/RSUD-AT/I/2022 3/9/2022
5 PT. BRATACEM 600,000.00 028 01/BLUD/SP/RSUD-AT/I/2022 3/16/2022
6 PT. BRATACO 1,128,400.00 027 01/BLUD/SP/RSUD-AT/I/2022 3/16/2022
7 PT. CAKRA MEDIKA ANTARNUSA 824,000.00 055 01/BLUD/SP/RSUD-AT/I/2022 3/2/2022
8 PT. DANVI MEDILAB PERKASA 27,895,603.00 026 01/BLUD/SP/RSUD-AT/I/2022 2/17/2022
9 PT. DIMAS ANADALAS MAKMUR 41,117,386.00 025 01/BLUD/SP/RSUD-AT/I/2022 3/14/2022
10 PT. DOS NI ROHA 6,512,392.00 024 01/BLUD/SP/RSUD-AT/I/2022 3/16/2022
11 PT. ENSEVAL PUTRA MEGATRADING 52,169,596.00 023 01/BLUD/SPK/RSUD-AT/I/2022 3/2/2022
12 PT. EUREKA SUKSES ABADI 4,573,800.00 022 01/BLUD/SP/RSUD-AT/I/2022 3/16/2022
JANUAR 3/14/2022
13 PT. GLOBAL PHARMA INDONESIA 13,489,400.00 021 01/BLUD/SP/RSUD-AT/I/2022
I
14 PT. KIMIA FARMA TRADING & DISTRIBUTION 355,740.00 020 01/BLUD/SP/RSUD-AT/I/2022 3/14/2022
15 PT. MEGA BERLIAN RAJAWALI 6,063,750.00 019 01/BLUD/SP/RSUD-AT/I/2022 3/14/2022
16 PT. MENSA BINA SUKSES 6,249,650.00 018 01/BLUD/SP/RSUD-AT/I/2022 3/14/2022
17 PT. MERAPI UTAMA PHARMA 19,684,863.00 017 01/BLUD/SP/RSUD-AT/I/2022 2/24/2022
18 PT. MITRA FAJAR SELARAS 42,204,800.00 016 01/BLUD/SP/RSUD-AT/I/2022 3/16/2022
19 PT. PARIT PADANG GLOBAL 93,547,657.00 015 01/BLUD/SPK/RSUD-AT/I/2022 3/2/2022
20 PT. SINAR RODA UTAMA 210,749,000.00 014 01/BLUD/SPK/RSUD-AT/I/2022 3/9/2022
21 PT. SUKSES JAYA ALKESINDO 2,266,651.00 013 01/BLUD/SP/RSUD-AT/I/2022 3/14/2022
22 PT. TRANSMEDIK 6,446,561.00 012 01/BLUD/SP/RSUD-AT/I/2022 3/14/2022
23 PT. WORKCARD 1,554,300.00 011 01/BLUD/SP/RSUD-AT/I/2022 14-Mar
24 PT. YOTA MEDIKA INDONESIA 2,620,200.00 057 01/BLUD/SP/RSUD-AT/I/2022 14-Mar
Total 602,488,550.00 602,488,550.00
TOTAL BELANJA JANUARI 602,488,550.00 602,488,550.00

JENIS ANGGARAN BLUD KETERANGAN

BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK KET BAYAR BELUM BAYAR

PAGU #REF!

1 PT. ABADI MAKMUR BERSAMA 33,115,500.00 122 01/BLUD/SP/RSUD-AT/II/2022 4/11/2022

2 PT. ABADI NUSA 6,864,209.00 131 01/BLUD/BAST/RSUD-AT/II/2022 4/4/2022
3 PT. ANUGRAH PHARMINDO LESTARI 12,125,460.00 126 01/BLUD/SP/RSUD-AT/II/2022 4/11/2022
4 PT. AZKHA MEDICAL INDONESIA 23,863,189.00 107 01/BLUD/SP/RSUD-AT/II/2022 3/25/2022
 5 PT. BRATACO 160,000.00 118 01/BLUD/SP/RSUD-AT/II/2022 4/11/2022
6 CV. BERKAT USAHA MANDIRI 2,860,000.00 121 01/BLUD/BAST/RSUD-AT/II/2022 4/11/2022
7 PT. CAHAYA DUA DELAPAN 18,243,500.00 110 01/BLUD/SP/RSUD-AT/II/2022 3/25/2022
8 PT. DANVI MEDILAB PERKASA 25,652,657.00 116 01/BLUD/SP/RSUD-AT/II/2022 4/13/2022
9 PT. DIMAS ANADALAS MAKMUR 7,012,712.00 120 01/BLUD/BAST/RSUD-AT/II/2022 3/25/2022
10 PT. DOS NI ROHA 4,231,441.00 131 01/BLUD/BAST/RSUD-AT/II/2022 4/13/2022
11 PT. ENSEVAL PUTRA MEGATRADING 78,477,683.00 125 01/BLUD/SPK/RSUD-AT/II/2022 4/11/2022
12 PT. EUREKA SUKSES ABADI 9,147,600.00 114 01/BLUD/BAST/RSUD-AT/II/2022 4/4/2022

FEBRUA 13 PT. EDISON DUTA SARANA 5,762,015.00 124 01/BLUD/BAST/RSUD-AT/II/2022 4/11/2022

RI 14 PT. GLOBAL PHARMA INDONESIA 20,511,000.00 114 01/BLUD/SP/RSUD-AT/II/2022 4/11/2022
15 PT. KIMIA FARMA TRADING & DISTRIBUTION 2,095,015.00 116 01/BLUD/BAST/RSUD-AT/II/2022 3/25/2022
16 PT. MEGA BERLIAN RAJAWALI 28,575,000.00 COVID 120 01/BLUD/SP/RSUD-AT/II/2022 4/11/2022
17 PT. MEGA BERLIAN RAJAWALI 10,917,500.00 119 01/BLUD/SP/RSUD-AT/II/2022 4/11/2022
18 PT. MENSA BINA SUKSES 2,075,156.00 130 01/BLUD/BAST/RSUD-AT/II/2022 4/4/2022
19 PT. MERAPI UTAMA PHARMA 2,808,628.00 115 01/BLUD/BAST/RSUD-AT/II/2022 3/25/2022
20 PT. MITRA FAJAR SELARAS 54,120,000.00 109 01/BLUD/SPK/RSUD-AT/II/2022 4/14/2022
21 PT. PARIT PADANG GLOBAL 162,840,345.00 124 01/BLUD/SP/RSUD-AT/II/2022 4/11/2022
22 PT. PARIT PADANG GLOBAL 7,200,000.00 124 01/BLUD/SP/RSUD-AT/II/2022 4/28/2022
23 PT. SINAR RODA UTAMA 173,481,000.00 123 01/BLUD/SPK/RSUD-AT/II/2022 4/14/2022
24 PT. TRANSMEDIK 7,253,688.00 132 01/BLUD/BAST/RSUD-AT/II/2022 4/4/2022
25 PT. YOTA MEDIKA INDONESIA 32,752,500.00 130 01/BLUD/SP/RSUD-AT/II/2022 11-Apr
Total 732,145,798.00 732,145,798.00

TOTAL BELANJA FEBRUARI 732,145,798.00 732,145,798.00

JENIS ANGGARAN BLUD KETERANGAN

BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK KET BAYAR BELUM BAYAR

PAGU #REF!

1 PT. ABADI MAKMUR BERSAMA 20,820,250.00 170.A 01/BLUD/SP/RSUD-AT/III/2022 5/10/2022

2 PT. ABADI NUSA 9,762,500.00 178.A 01/BLUD/BAST/RSUD-AT/III/2022 4/25/2022
3 PT. ANUGRAH PHARMINDO LESTARI 11,106,767.00 168.B 01/BLUD/SP/RSUD-AT/III/2022 5/10/2022
4 PT. AZKHA MEDICAL INDONESIA 17,002,410.00 168.A 01/BLUD/SP/RSUD-AT/III/2022 4/24/2022
 5 PT. BRATACO 2,405,000.00 180 01/BLUD/BAST/RSUD-AT/III/2022 4/28/2022
6 PT. CAKRA MEDIKA ANTARNUSA 9,255,602.00 170 01/BLUD/BAST/RSUD-AT/III/2022 4/27/2022
7 PT. DANVI MEDILAB PERKASA 20,449,516.00 164.A 01/BLUD/SP/RSUD-AT/III/2022 5/10/2022
8 PT. DIMAS ANADALAS MAKMUR 4,680,015.00 170 01/BLUD/BAST/RSUD-AT/III/2022 4/19/2022
9 PT. DOS NI ROHA 4,554,182.00 188 01/BLUD/BAST/RSUD-AT/III/2022 4/25/2022
10 PT. ENSEVAL PUTRA MEGATRADING 113,931,253.00 171.B 01/BLUD/SPK/RSUD-AT/III/2022 4/28/2022
11 PT. ENSEVAL PUTRA MEGATRADING 11,455,050.00 COVID 163.A 01/BLUD/SP/RSUD-AT/III/2022 5/10/2022
12 PT. EUREKA SUKSES ABADI 17,453,005.00 EKAT 145 01/BLUD/SP/RSUD-AT/III/2022 5/13/2022
13 PT. EDISON DUTA SARANA 16,193,453.00 176.A 01/BLUD/SP/RSUD-AT/III/2022 5/10/2022
MARET
14 PT. GLOBAL PHARMA INDONESIA 4,919,299.00 169.A 01/BLUD/BAST/RSUD-AT/III/2022 4/28/2022
15 PT. KIMIA FARMA TRADING & DISTRIBUTION 550,550.00 181.B 01/BLUD/BAST/RSUD-AT/III/2022 4/28/2022
16 PT. BERKAT PERMAI RAJAWALI 4,000,000.00 COVID 187 01/BLUD/BAST/RSUD-AT/III/2022 4/28/2022
17 PT. NUSA ASIA MEDIKA 1,237,500.00 167.A 01/BLUD/BAST/RSUD-AT/III/2022 4/28/2022
18 PT. MENSA BINA SUKSES 2,363,130.00 EKAT 213 01/BLUD/BAST/RSUD-AT/III/2022 4/27/2022
19 PT. MENSA BINA SUKSES 14,576,039.00 169.B 01/BLUD/SP/RSUD-AT/III/2022 4/27/2022
20 PT. MERAPI UTAMA PHARMA 14,282,972.00 175.A 01/BLUD/SP/RSUD-AT/III/2022 4/27/2022
21 PT. MITRA FAJAR SELARAS 23,514,700.00 172.A 01/BLUD/SP/RSUD-AT/III/2022 5/10/2022
22 PT. PARIT PADANG GLOBAL 91,819,630.00 174.A 01/BLUD/BAST/RSUD-AT/III/2022 4/28/2022
23 PT. SINAR RODA UTAMA 173,481,000.00 169.A 01/BLUD/SPK/RSUD-AT/III/2022 4/28/2022
24 PT. SURGIKA ALKESINDO 36,801,765.00 173.A 01/BLUD/SP/RSUD-AT/III/2022 5/13/2022
25 PT. WORKCARD 14,169,400.00 161 01/BLUD/SP/RSUD-AT/III/2022 25-May
Total 640,784,988.00 640,784,988.00

TOTAL BELANJA MARET 640,784,988.00 640,784,988.00

JENIS ANGGARAN BLUD KETERANGAN

BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK KET BAYAR BELUM BAYAR

PAGU #REF!

1 PT. ABADI MAKMUR BERSAMA 37,684,500.00 254.A 01/BLUD/SP/RSUD-AT/IV/2022 5/13/2022

2 PT. ABADI NUSA 848,420.00 PPN 10% 204 01/BLUD/BAST/RSUD-AT/IV/2022 5/30/2022

3 PT. ABADI NUSA 12,918,000.00 258 01/BLUD/SP/RSUD-AT/IV/2022 6/10/2022

4 PT. ANUGRAH PHARMINDO LESTARI 21,478,275.00 250.A 01/BLUD/SP/RSUD-AT/IV/2022 6/10/2022
 5 PT. AZKHA MEDICAL INDONESIA 57,579,830.00 259 01/BLUD/SPK/RSUD-AT/VI/2022 6/10/2022
6 PT. BRATACO 1,800,000.00 PPN 10% 195 01/BLUD/BAST/RSUD-AT/IV/2022 6/14/2022

7 PT. BRATACO 2,150,000.00 207 01/BLUD/BAST/RSUD-AT/IV/2022 6/14/2022

8 PT. CAKRA MEDIKA ANTARNUSA 15,566,240.00 246.A 01/BLUD/SP/RSUD-AT/IV/2022 6/2/2022

9 PT. CAKRA MEDIKA ANTARNUSA 34,650,000.00 COVID 251.C 01/BLUD/SP/RSUD-AT/IV/2022 6/2/2022

10 PT. DANVI MEDILAB PERKASA 64,571,783.00 244.A 01/BLUD/SPK/RSUD-AT/VI/2022 6/23/2022

11 PT. DIMAS ANADALAS MAKMUR 28,945,892.00 247 01/BLUD/SP/RSUD-AT/IV/2022 6/2/2022

12 PT. DOS NI ROHA 15,875,673.00 251.B 01/BLUD/SP/RSUD-AT/IV/2022 6/14/2022

13 PT. ENSEVAL PUTRA MEGATRADING 52,154,862.00 245.A 01/BLUD/SPK/RSUD-AT/IV/2022 6/10/2022

14 PT. PRATAMA SENTRA REHABILITASI 919,080.00 236.B 01/BLUD/BAST/RSUD-AT/IV/2022 6/8/2022

15 PT. EUREKA SUKSES ABADI 13,174,079.00 255 01/BLUD/SP/RSUD-AT/IV/2022 6/14/2022

APRIL 16 PT. EDISON DUTA SARANA 39,390,345.00 247.A 01/BLUD/SP/RSUD-AT/IV/2022 6/10/2022

17 PT. GLOBAL PHARMA INDONESIA 17,980,839.00 241 01/BLUD/SP/RSUD-AT/IV/2022 6/14/2022

18 PT. KIMIA FARMA TRADING & DISTRIBUTION 24,184,764.00 257 01/BLUD/SP/RSUD-AT/IV/2022 6/10/2022

19 PT. BERKAT PERMAI RAJAWALI 4,000,258.00 237 01/BLUD/BAST/RSUD-AT/IV/2022 6/2/2022

20 PT. BERKAT PERMAI RAJAWALI 10,970,000.00 COVID 246 01/BLUD/SP/RSUD-AT/IV/2022 6/2/2022

21 PT. TRANSMEDIK 2,062,530.00 PPN 10% 201 01/BLUD/BAST/RSUD-AT/IV/2022 6/21/2022

22 PT. TRANSMEDIK 2,255,009.00 232.A 01/BLUD/BAST/RSUD-AT/IV/2022 6/21/2022

23 PT. MENSA BINA SUKSES 40,922,363.00 252.A 01/BLUD/SP/RSUD-AT/IV/2022 6/8/2022

24 PT. RAJAWALI 6,574,006.00 211 01/BLUD/BAST/RSUD-AT/IV/2022 6/21/2022

25 PT. MERAPI UTAMA PHARMA 13,142,760.00 251.A 01/BLUD/SP/RSUD-AT/IV/2022 6/8/2022

26 PT. MITRA FAJAR SELARAS 54,534,855.00 253.B 01/BLUD/SPK/RSUD-AT/VI/2022 6/21/2022

27 PT. PARIT PADANG GLOBAL 115,052,360.00 251 01/BLUD/SPK/RSUD-AT/VI/2022 6/8/2022

28 PT. SINAR RODA UTAMA 175,058,100.00 249.A 01/BLUD/SPK/RSUD-AT/VI/2022 6/21/2022

29 PT. SUKSES JAYA ALKESINDO 10,000,000.00 COVID 253 01/BLUD/SP/RSUD-AT/IV/2022 6/8/2022

30 PT. WORKCARD 4,453,900.00 PPN 10% 01/BLUD/BAST/RSUD-AT/IV/2022 30-May
Total 880,898,723.00 880,898,723.00

TOTAL BELANJA APRIL 880,898,723.00 880,898,723.00

JENIS ANGGARAN BLUD KETERANGAN

BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK KET BAYAR BELUM BAYAR
 PAGU #REF!

1 PT. ABADI MAKMUR BERSAMA 7,548,000.00 254 01/BLUD/BAST/RSUD-AT/V/2022 6/28/2022

2 PT. AZKHA MEDICAL INDONESIA 28,950,033.00 293.A 01/BLUD/SP/RSUD-AT/V/2022 6/28/2022

3 PT. CAHAYA DUA DELAPAN 8,610,015.00 263 01/BLUD/BAST/RSUD-AT/V/2022 6/21/2022

4 PT. DANVI MEDILAB PERKASA 10,965,821.00 296 01/BLUD/SP/RSUD-AT/V/2022 6/28/2022

5 PT. MEGA INTI MAKMUR 1,155,177.00 264 01/BLUD/BAST/RSUD-AT/V/2022 7/11/2022

6 PT. ENSEVAL PUTRA MEGATRADING 67,643,322.00 289.A 01/BLUD/SPK/RSUD-AT/V/2022 6/23/2022

7 PT. PRATAMA SENTRA REHABILITASI 1,198,800.00 289 01/BLUD/BAST/RSUD-AT/V/2022 6/28/2022

8 PT. EDISON DUTA SARANA 14,555,541.00 294.A 01/BLUD/SP/RSUD-AT/V/2022 7/11/2022

MEI 9 PT. GLOBAL PHARMA INDONESIA 660,299.00 253 01/BLUD/BAST/RSUD-AT/V/2022 7/11/2022

10 PT. BERKAT PERMAI RAJAWALI 6,800,000.00 COVID 254.A 01/BLUD/BAST/RSUD-AT/V/2022 6/23/2022

11 PT. BERKAT PERMAI RAJAWALI 2,887,256.00 253.A 01/BLUD/BAST/RSUD-AT/V/2022 6/23/2022

12 PT. MENSA BINA SUKSES 6,548,833.00 274 01/BLUD/BAST/RSUD-AT/V/2022 7/8/2022

13 PT. MERAPI UTAMA PHARMA 13,049,043.00 294 01/BLUD/SP/RSUD-AT/V/2022 6/23/2022

14 PT. MITRA FAJAR SELARAS 10,545,000.00 299 01/BLUD/SP/RSUD-AT/V/2022 7/11/2022

15 PT. PARIT PADANG GLOBAL 91,501,295.00 288 01/BLUD/SPK/RSUD-AT/V/2022 7/8/2022

16 PT. SINAR RODA UTAMA 175,058,100.00 299.A 01/BLUD/SPK/RSUD-AT/V/2022 7/11/2022

Total 447,676,535.00 447,676,535.00

TOTAL BELANJA MEI 447,676,535.00 447,676,535.00

JENIS ANGGARAN BLUD KETERANGAN

BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK KET BAYAR BELUM BAYAR

PAGU #REF!

1 PT. ABADI MAKMUR BERSAMA 3,052,500.00 335 01/BLUD/BAST/RSUD-AT/VI/2022 PROSES KONTRAK

2 PT. ABADI NUSA 867,128.00 313 01/BLUD/BAST/RSUD-AT/VI/2022 PROSES SPM

3 PT. AZKHA MEDICAL INDONESIA 7,096,005.00 342 01/BLUD/BAST/RSUD-AT/VI/2022 TTD KONTRAK

4 PT. ANUGRAH PHARMINDO LESTARI 12,844,057.00 353.A 01/BLUD/SP/RSUD-AT/VI/2022 TTD KONTRAK

5 PT. BRATACO 5,275,000.00 309 01/BLUD/BAST/RSUD-AT/VI/2022 PROSES KONTRAK

6 CV. BERKAT USAHA MANDIRI 4,884,000.00 302 01/BLUD/BAST/RSUD-AT/VI/2022 TTD KONTRAK

7 PT. CAHAYA DUA DELAPAN 14,350,025.00 561 01/BLUD/SP/RSUD-AT/VI/2022 PROSES SPM

8 PT. CAKRA MEDIKA ANTARNUSA 12,108,927.00 556.A 01/BLUD/SP/RSUD-AT/VI/2022 PROSES SPM

 9 PT. COBRA DENTAL 8,812,200.00 343 01/BLUD/BAST/RSUD-AT/VI/2022 TTD KONTRAK

10 PT. DANVI MEDILAB PERKASA 24,767,338.00 560.C 01/BLUD/SP/RSUD-AT/VI/2022 TTD KONTRAK

11 PT. DOS NI ROHA 3,218,956.00 307.A 01/BLUD/BAST/RSUD-AT/VI/2022 PROSES KONTRAK

12 PT. DIMAS ANADALAS MAKMUR 29,963,048.00 343.A 01/BLUD/SP/RSUD-AT/VI/2022 PROSES SPM

13 PT. ENSEVAL PUTRA MEGATRADING 64,395,953.00 345.B 01/BLUD/SPK/RSUD-AT/VI/2022 PROSES KONTRAK

14 PT. EUREKA SUKSES ABADI 12,470,507.00 560.A 01/BLUD/SP/RSUD-AT/VI/2022 TTD KONTRAK

JUNI 15 PT. PRATAMA SENTRA REHABILITASI 919,080.00 355.A 01/BLUD/BAST/RSUD-AT/VI/2022 TTD KONTRAK

16 PT. EDISON DUTA SARANA 57,718,129.00 357.A 01/BLUD/SPK/RSUD-AT/VI/2022 PROSES KONTRAK

17 PT. GLOBAL PHARMA INDONESIA 2,550,899.00 341 01/BLUD/BAST/RSUD-AT/VI/2022 PROSES SPM

18 PT. BERKAT PERMAI RAJAWALI 13,390,360.00 COVID 354 01/BLUD/SP/RSUD-AT/VI/2022 PROSES SPM

19 PT. BERKAT PERMAI RAJAWALI 9,969,298.00 330 01/BLUD/BAST/RSUD-AT/VI/2022 PROSES SPM

20 PT. KIMIA FARMA 5,010,540.00 340.A 01/BLUD/BAST/RSUD-AT/VI/2022 PROSES KONTRAK

21 PT. MENSA BINA SUKSES 10,365,529.00 558 01/BLUD/SP/RSUD-AT/VI/2022 TTD KONTRAK

22 PT. MERAPI UTAMA PHARMA 22,616,908.00 562 01/BLUD/SP/RSUD-AT/VI/2022 TTD KONTRAK

23 PT. MITRA FAJAR SELARAS 99,349,480.00 344.A 01/BLUD/SPK/RSUD-AT/VI/2022 PROSES KONTRAK

24 PT. PARIT PADANG GLOBAL 100,093,769.00 346.B 01/BLUD/SPK/RSUD-AT/VI/2022 TTD KONTRAK

25 PT. TRANSMEDIK 14,708,313.00 561.A 01/BLUD/SP/RSUD-AT/VI/2022 TTD KONTRAK

26 PT. SINAR RODA UTAMA 175,058,100.00 360.B 01/BLUD/SPK/RSUD-AT/VI/2022 TTD KONTRAK

27 PT. YOTA MEDIKA INDONESIA 3,966,030.00 310.A 01/BLUD/BAST/RSUD-AT/VI/2022 PROSES KONTRAK

28 PT. WORKCARD 13,483,170.00 355.A 01/BLUD/SP/RSUD-AT/VI/2022 TTD KONTRAK

Total 733,305,249.00 733,305,249.00

TOTAL BELANJA JUNI 733,305,249.00 733,305,249.00

TOTAL BELANJA 4,037,299,843.00

TOTAL SUDAH BAYAR 3,303,994,594.00
TOTAL BELUM BAYAR 733,305,249.00

TOTAL BELANJA JANUARI-JUNI

JANUARI 602,488,550.00 Lubuk Pakam Juli 2022

FEBRUARI 732,145,798.00 PEJABAT PELAKSANA TEKNIS KEGIATAN
MARET 640,784,988.00
APRIL 880,898,723.00
 MEI 447,676,535.00
JUNI 733,305,249.00
TOTAL BELANJA 4,037,299,843.00 WAHYU WIDIARTI,SKM.MKM
NIP. 19790317 200604 2 020
 REKAP KONTRAK OBAT TA. 2022
JENIS ANGGARAN BLUD KETERANGAN
BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK COVID TANGGAL BAYAR BELUM BAYAR
PAGU #REF!
1 APOTIK DELI 92,718,500.00 049 01/BLUD/SPK/RSUD-AT/I/2022 3/17/2022
2 APOTIK SULTAN 29,575,341.00 044 01/BLUD/SP/RSUD-AT/I/2022 3/9/2022
3 PT. ANTAR MITRA SEMBADA 44,287,681.00 043 01/BLUD/SP/RSUD-AT/I/2022 3/14/2022
4 PT. ANUGERAH ARGON MEDIKA 62,636,792.00 042 01/BLUD/SP/RSUD-AT/I/2022 3/14/2022
5 PT. ANUGRAH PHARMINDO LESTARI 138,318,351.00 045 01/BLUD/SPK/RSUD-AT/I/2022 3/17/2022
6 PT. BINA SAN PRIMA 9,866,188.00 056 01/BLUD/SP/RSUD-AT/I/2022 3/14/2022
7 PT. DISTRIVERSA BUANAMAS 5,707,570.00 041 01/BLUD/SP/RSUD-AT/I/2022 3/14/2022
8 PT. DOS NI ROHA 8,910,000.00 040 01/BLUD/SP/RSUD-AT/I/2022 3/16/2022
9 PT. ENSEVAL PUTRA MEGATRADING 108,528,785.00 039 01/BLUD/SPK/RSUD-AT/I/2022 3/4/2022
JANUAR 3/9/2022
10 PT. KIMIA FARMA TRADING & DISTRIBUTION 192,716,964.00 033 01/BLUD/SPK/RSUD-AT/I/2022
I
11 PT. INDOFARMA 2,477,849.00 038 01/BLUD/SP/RSUD-AT/I/2022 3/14/2022
12 PT. MERAPI UTAMA PHARMA 138,268,311.00 036 01/BLUD/SPK/RSUD-AT/I/2022 2/24/2022
13 PT. MILLENIUM PHARMACON INTERNATIONAL 72,361,617.00 046 01/BLUD/SPK/RSUD-AT/I/2022 3/9/2022
14 PT. MENSA BINA SUKSES 1,980,000.00 037 01/BLUD/SP/RSUD-AT/I/2022 3/14/2022
15 PT. PARIT PADANG GLOBAL 94,231,648.00 035 01/BLUD/SPK/RSUD-AT/I/2022 3/2/2022
16 PT. TRI SAPTA JAYA 1,001,154.00 032 01/BLUD/SP/RSUD-AT/I/2022 3/4/2022
17 PT. UNITED DICO CITAS 10,686,500.00 031 01/BLUD/SP/RSUD-AT/I/2022 3/16/2022
18 PT. RAJAWALI 6,191,032.00 034 01/BLUD/SP/RSUD-AT/I/2022 3/14/2022
Total 1,020,464,283.00 - 1,020,464,283.00
TOTAL BELANJA JANUARI 1,020,464,283.00 - 1,020,464,283.00

JENIS ANGGARAN BLUD KETERANGAN

BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK COVID TANGGAL BAYAR BELUM BAYAR
PAGU #REF!
1 APOTIK DELI 50,746,000.00 01/BLUD/SP/RSUD-AT/II/2022 7/11/2022
2 APOTIK SULTAN 15,330,913.00 090 01/BLUD/SP/RSUD-AT/II/2022 3/25/2022
3 APOTIK SULTAN 29,600,000.00 106 01/BLUD/SP/RSUD-AT/II/2022 3/16/2022
4 PT. ANTAR MITRA SEMBADA 34,757,009.00 094 01/BLUD/SP/RSUD-AT/II/2022 3/30/2022
5 PT. ANUGERAH ARGON MEDIKA 68,731,030.00 088 01/BLUD/SPK/RSUD-AT/II/2022 4/11/2022
6 PT. ANUGERAH ARGON MEDIKA 3,240,000.00 COVID 087 01/BLUD/BAST/RSUD-AT/II/2022 3/30/2022
7 PT. ANUGRAH PHARMINDO LESTARI 43,198,879.00 099 01/BLUD/SP/RSUD-AT/II/2022 4/11/2022
8 PT. BINA SAN PRIMA 4,875,542.00 100 01/BLUD/BAST/RSUD-AT/II/2022 3/25/2022

FEBRUA
RI
 9 PT. DISTRIVERSA BUANAMAS 250,470.00 098 01/BLUD/BAST/RSUD-AT/II/2022 3/25/2022
10 PT. DAYA MUDA AGUNG 12,632,400.00 092 01/BLUD/SP/RSUD-AT/II/2022 4/11/2022
FEBRUA 4/11/2022
11 PT. ENSEVAL PUTRA MEGATRADING 70,742,237.00 101 01/BLUD/SPK/RSUD-AT/II/2022
RI
12 PT. KIMIA FARMA TRADING & DISTRIBUTION 94,812,508.00 098 01/BLUD/SPK/RSUD-AT/II/2022 4/14/2022
13 PT. MERAPI UTAMA PHARMA 103,923,058.00 100 01/BLUD/SPK/RSUD-AT/II/2022 4/11/2022
14 PT. MILLENIUM PHARMACON INTERNATIONAL 52,471,910.00 093 01/BLUD/SPK/RSUD-AT/II/2022 4/14/2022
15 PT. MENSA BINA SUKSES 6,336,000.00 106 01/BLUD/BAST/RSUD-AT/II/2022 4/4/2022
16 PT. PARIT PADANG GLOBAL 115,479,447.00 104 01/BLUD/SPK/RSUD-AT/II/2022 4/11/2022
17 PT. VENTA VALENT 2,524,500.00 108 01/BLUD/BAST/RSUD-AT/II/2022 3/30/2022
18 PT. TRI SAPTA JAYA 18,300,974.00 096 01/BLUD/SP/RSUD-AT/II/2022 3/30/2022
19 PT. UNITED DICO CITAS 388,080.00 105 01/BLUD/BAST/RSUD-AT/II/2022 3/25/2022
20 PT. RAJAWALI 11,672,587.00 091 01/BLUD/SP/RSUD-AT/II/2022 4/4/2022
Total 740,013,544.00 - 740,013,544.00
TOTAL BELANJA FEBRUARI 740,013,544.00 - 740,013,544.00

JENIS ANGGARAN BLUD KETERANGAN

BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK COVID TANGGAL BAYAR BELUM BAYAR
PAGU #REF!
1 APOTIK DELI 64,906,500.00 155.A 01/BLUD/SPK/RSUD-AT/III/2022 PROSES SPM

2 APOTIK SULTAN 13,044,723.00 157 01/BLUD/SP/RSUD-AT/III/2022 4/28/2022

3 PT. ANTAR MITRA SEMBADA 19,744,351.00 172 01/BLUD/SP/RSUD-AT/III/2022 4/27/2022
4 PT. ANUGERAH ARGON MEDIKA 54,711,925.00 165.A 01/BLUD/SPK/RSUD-AT/III/2022 4/28/2022
5 PT. DOS NI ROHA 669,977.00 171 01/BLUD/BAST/RSUD-AT/III/2022 4/27/2022
6 PT. ANUGRAH PHARMINDO LESTARI 116,719,577.00 166.A 01/BLUD/SPK/RSUD-AT/III/2022 4/28/2022
7 PT. BINA SAN PRIMA 2,970,000.00 177 01/BLUD/BAST/RSUD-AT/III/2022 4/25/2022
8 PT. DISTRIVERSA BUANAMAS 2,420,000.00 167 01/BLUD/BAST/RSUD-AT/III/2022 4/28/2022
9 PT. INDOFARMA 1,353,829.00 176 01/BLUD/BAST/RSUD-AT/III/2022 4/28/2022
MARET 10 PT. ENSEVAL PUTRA MEGATRADING 4,740,000.00 COVID 183 01/BLUD/BAST/RSUD-AT/III/2022 4/28/2022
11 PT. ENSEVAL PUTRA MEGATRADING 131,992,826.00 166 01/BLUD/SPK/RSUD-AT/III/2022 4/28/2022
12 PT. KIMIA FARMA TRADING & DISTRIBUTION 128,786,412.00 164 01/BLUD/SPK/RSUD-AT/III/2022 5/10/2022
13 PT. MERAPI UTAMA PHARMA 120,721,802.00 163 01/BLUD/SPK/RSUD-AT/III/2022 4/28/2022
14 PT. MILLENIUM PHARMACON INTERNATIONAL 43,594,365.00 171 01/BLUD/SP/RSUD-AT/III/2022 4/28/2022
15 PT. PARIT PADANG GLOBAL 12,246,043.00 165 01/BLUD/SP/RSUD-AT/III/2022 4/28/2022
16 PT. TRI SAPTA JAYA 5,087,940.00 178 01/BLUD/BAST/RSUD-AT/III/2022 4/28/2022
17 PT. UNITED DICO CITAS 20,351,100.00 173 01/BLUD/SP/RSUD-AT/III/2022 4/28/2022
 18 PT. RAJAWALI 2,597,738.00 172 01/BLUD/BAST/RSUD-AT/III/2022 4/27/2022
Total 746,659,108.00 - 681,752,608.00 64,906,500.00
TOTAL BELANJA MARET 746,659,108.00 - 746,659,108.00

JENIS ANGGARAN BLUD KETERANGAN

BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK COVID TANGGAL BAYAR BELUM BAYAR
PAGU #REF!
1 APOTIK DELI 61,904,500.00 232 01/BLUD/SPK/RSUD-AT/IV/2022 PROSES SPM

2 APOTIK SULTAN 3,874,465.00 241.A 01/BLUD/BAST/RSUD-AT/IV/2022 6/21/2022

3 PT. ANTAR MITRA SEMBADA 234,927.00 PPN 10% 195.A 01/BLUD/BAST/RSUD-AT/IV/2022 5/30/2022
4 PT. ANTAR MITRA SEMBADA 53,277,303.00 240.A 01/BLUD/SPK/RSUD-AT/IV/2022 6/14/2022
5 PT. ANUGERAH ARGON MEDIKA 32,251,422.00 242 01/BLUD/SP/RSUD-AT/IV/2022 6/8/2022
6 PT. ANUGRAH PHARMINDO LESTARI 396,501.00 PPN 10% 197.A 01/BLUD/BAST/RSUD-AT/IV/2022 6/8/2022
7 PT. ANUGRAH PHARMINDO LESTARI 19,426,358.00 250.B 01/BLUD/SP/RSUD-AT/IV/2022 6/8/2022
8 PT. BINA SAN PRIMA 1,358,831.00 205 01/BLUD/BAST/RSUD-AT/IV/2022 6/10/2022
9 PT. DISTRIVERSA BUANAMAS 1,126,372.00 224 01/BLUD/BAST/RSUD-AT/IV/2022 6/8/2022
10 PT. DAYA MUDA AGUNG 2,830,500.00 223.A 01/BLUD/BAST/RSUD-AT/IV/2022 6/8/2022
11 PT. COBRA DENTAL 385,000.00 199 01/BLUD/BAST/RSUD-AT/IV/2022 6/14/2022
APRIL 12 PT. ENSEVAL PUTRA MEGATRADING 82,156,753.00 241.A 01/BLUD/SPK/RSUD-AT/IV/2022 6/10/2022
13 PT. KIMIA FARMA TRADING & DISTRIBUTION 181,144,955.00 PPN 10% 196 01/BLUD/SPK/RSUD-AT/IV/2022 6/14/2022
14 PT. KIMIA FARMA TRADING & DISTRIBUTION 90,235,001.00 252.B 01/BLUD/SPK/RSUD-AT/IV/2022 6/8/2022
15 PT. MERAPI UTAMA PHARMA 46,253,683.00 243.B 01/BLUD/SP/RSUD-AT/IV/2022 6/13/2022
16 PT. MILLENIUM PHARMACON INTERNATIONAL 23,395,075.00 PPN 10% 01/BLUD/SP/RSUD-AT/IV/2022 6/13/2022
17 PT. MILLENIUM PHARMACON INTERNATIONAL 25,564,344.00 243.A 01/BLUD/SP/RSUD-AT/IV/2022 6/28/2022
18 PT. PARIT PADANG GLOBAL 826,922.00 PPN 10% 194.A 01/BLUD/BAST/RSUD-AT/IV/2022 6/10/2022
19 PT. PARIT PADANG GLOBAL 69,203,927.00 248.B 01/BLUD/SPK/RSUD-AT/IV/2022 9/8/2022
20 PT. TRI SAPTA JAYA 11,085,540.00 243 01/BLUD/SP/RSUD-AT/IV/2022 6/14/2022
21 PT. UNITED DICO CITAS 94,162,687.00 253.A 01/BLUD/SPK/RSUD-AT/IV/2022 6/13/2022
22 PT. PENTA VALEN 6,393,600.00 209 01/BLUD/BAST/RSUD-AT/IV/2022 6/9/2022
Total 807,488,666.00 - 745,584,166.00 61,904,500.00
TOTAL BELANJA APRIL 807,488,666.00 - 807,488,666.00

JENIS ANGGARAN BLUD KETERANGAN

BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK COVID TANGGAL BAYAR BELUM BAYAR
PAGU #REF!
1 APOTIK DELI 36,536,500.00 289.B 01/BLUD/SP/RSUD-AT/V/2022 TTD KONTRAK

2 APOTIK SULTAN 4,940,504.00 293 01/BLUD/BAST/RSUD-AT/V/2022 6/28/2022

 3 PT. ANTAR MITRA SEMBADA 731,213.00 273.A 01/BLUD/BAST/RSUD-AT/V/2022 6/23/2022
4 PT. ANUGERAH ARGON MEDIKA 911,052.00 268 01/BLUD/BAST/RSUD-AT/V/2022 6/28/2022

MEI
 5 PT. ANUGRAH PHARMINDO LESTARI 20,579,977.00 297.B 01/BLUD/SP/RSUD-AT/V/2022 6/23/2022
6 PT. BINA SAN PRIMA 1,089,754.00 255 01/BLUD/BAST/RSUD-AT/V/2022 6/23/2022
7 PT. CAHAYA DUA DELAPAN 8,610,015.00 263 01/BLUD/BAST/RSUD-AT/V/2022 6/21/2022
8 PT. DISTRIVERSA BUANAMAS 610,500.00 257 01/BLUD/BAST/RSUD-AT/V/2022 6/28/2022
MEI
9 PT. ENSEVAL PUTRA MEGATRADING 25,369,382.00 287.A 01/BLUD/SP/RSUD-AT/V/2022 6/23/2022
10 PT. KIMIA FARMA TRADING & DISTRIBUTION 86,209,853.00 288.A 01/BLUD/SPK/RSUD-AT/V/2022 6/28/2022
11 PT. MERAPI UTAMA PHARMA 58,493,318.00 295.A 01/BLUD/SPK/RSUD-AT/V/2022 PROSES SPM

12 PT. MILLENIUM PHARMACON INTERNATIONAL 42,384,682.00 290.A 01/BLUD/SP/RSUD-AT/V/2022 6/28/2022

13 PT. PARIT PADANG GLOBAL 22,776,034.00 296.A 01/BLUD/SP/RSUD-AT/V/2022 6/28/2022
14 PT. MARGA NUSANTARA JAYA 333,000.00 259.A 01/BLUD/BAST/RSUD-AT/V/2022 7/11/2022
15 PT. RAJAWALI 2,492,675.00 281.A 01/BLUD/BAST/RSUD-AT/V/2022 6/23/2022
Total 312,068,459.00 - 217,038,641.00 95,029,818.00
TOTAL BELANJA MEI 312,068,459.00 - 312,068,459.00

JENIS ANGGARAN BLUD KETERANGAN

BULAN NO PBF NOMOR SPK/SP
NILAI KONTRAK COVID TANGGAL BAYAR BELUM BAYAR
PAGU #REF!
1 APOTIK DELI 73,173,000.00 336.A 01/BLUD/SPK/RSUD-AT/VI/2022 TTD KONTRAK

2 APOTIK SULTAN 10,370,221.00 01/BLUD/SP/RSUD-AT/VI/2022 TTD KONTRAK

3 PT. ANTAR MITRA SEMBADA 33,908,264.00 355 01/BLUD/SP/RSUD-AT/VI/2022 PENDING BAYAR TTD KONTRAK

4 PT. ANUGERAH ARGON MEDIKA 47,172,270.00 345.A 01/BLUD/SP/RSUD-AT/VI/2022 TTD KONTRAK

5 PT. ANUGRAH PHARMINDO LESTARI 115,363,765.00 346 01/BLUD/SPK/RSUD-AT/VI/2022 PROSES KONTRAK

6 PT. BINA SAN PRIMA 22,074,488.00 577 01/BLUD/SP/RSUD-AT/VI/2022 TTD KONTRAK

7 PT. BRATACO 6,000,000.00 349 01/BLUD/BAST/RSUD-AT/VI/2022 PROSES KONTRAK

8 PT. DISTRIVERSA BUANAMAS 1,248,750.00 341.A 01/BLUD/BAST/RSUD-AT/VI/2022 PROSES SPM

9 PT. ENSEVAL PUTRA MEGATRADING 117,730,514.00 556 01/BLUD/SPK/RSUD-AT/VI/2022 TTD KONTRAK

JUNI 10 PT. INDOFARMA 2,903,822.00 332 01/BLUD/BAST/RSUD-AT/VI/2022 PENGGANDAAN

11 PT. KIMIA FARMA TRADING & DISTRIBUTION 103,699,770.00 348.A 01/BLUD/SPK/RSUD-AT/VI/2022 PROSES KONTRAK

12 PT. MERAPI UTAMA PHARMA 94,158,579.00 351.A 01/BLUD/SPK/RSUD-AT/VI/2022 PROSES KONTRAK

13 PT. MILLENIUM PHARMACON INTERNATIONAL 84,881,202.00 346.A 01/BLUD/SPK/RSUD-AT/VI/2022 TTD KONTRAK

14 PT. MENSA BINA SUKSES 2,833,830.00 329.A 01/BLUD/BAST/RSUD-AT/VI/2022 PROSES SPM

15 PT. PARIT PADANG GLOBAL 134,488,887.00 352.A 01/BLUD/SPK/RSUD-AT/VI/2022 TTD KONTRAK

16 PT. TRI SAPTA JAYA 20,218,644.00 559.A 01/BLUD/SP/RSUD-AT/VI/2022 PROSES SPM

17 PT. RAJAWALI 819,276.00 316.A 01/BLUD/BAST/RSUD-AT/VI/2022 PROSES SPM

18 PT. UNITED DICO CITAS 17,036,835.00 344 01/BLUD/SP/RSUD-AT/VI/2022 PROSES SPM

Total 888,082,117.00 - 888,082,117.00

TOTAL BELANJA JUNI 888,082,117.00 - 888,082,117.00
 TOTAL BELANJA 4,514,776,177.00
TOTAL SUDAH BAYAR 3,404,853,242.00
TOTAL BELUM BAYAR 1,109,922,935.00

TOTAL BELANJA JANUARI-JUNI Lubuk Pakam Juli 2022

JANUARI 1,020,464,283.00 PEJABAT PELAKSANA TEKNIS KEGIATAN
FEBRUARI 740,013,544.00
MARET 746,659,108.00
APRIL 807,488,666.00
MEI 312,068,459.00
JUNI 888,082,117.00
TOTAL BELANJA 4,514,776,177.00
WAHYU WIDIARTI,SKM.MKM
NIP. 19790317 200604 2 020
 SATUAN HARGA
NO BULAN NAMA BARANG JUMLAH TOTAL
UKUR SATUAN
1 OTSU-SALIN 3 100 BTL 30,334.70 3,033,470.00
2 OTSU-NS/RUBB 2000 BTL 6,900.30 13,800,600.00
3 OTSU-RL/RUBB 2000 BTL 7,703.30 15,406,600.00
4 OTSU WATER INJ 25 ML 900 AMP 2,624.60 2,362,140.00
JANUARI
5 OTSU MANITOL 20 40 BTL 43,499.50 1,739,980.00
6 OTSU D40 500 BTL 7,000.40 3,500,200.00
7 OTSU KCL 7,46 293 AMP 3,471.60 1,017,178.80
8 OTSU-SALIN 3 100 BTL 30,334.70 3,033,470.00
TOTAL 43,893,638.80

1 OTSU MGSO4 40 50 AMP 4,290.00 214,500.00

2 FEBRUARI OTSU-RL/RUBB 1000 BTL 7,703.30 7,703,300.00
3 OTSU SALIN 3 85 BTL 30,334.70 2,578,449.50
TOTAL 10,496,249.50

1 OTSU KCL 7,46 90 AMP 3,471.60 312,444.00

2 MEYLON 8,4% 25 ML 30 AMP 6,749.60 202,488.00
3 MARET OTSU D40 20 AMP 7,000.40 140,008.00
4 OTSU MANITOL 20 80 BTL 43,499.50 3,479,960.00
5 PLETAAL 100 MG 690 CAP 5,668.30 3,911,127.00
TOTAL 8,046,027.00

1 OTSU D40 250 AMP 7,064.04 1,766,010.00

APRIL
2 MEYLON 8,4% 25 ML 20 AMP 6,810.96 136,219.20
TOTAL 1,902,229.20

1 OTSU MANITOL 20 80 BTL 43,894.92 3,511,593.60

2 OTSU D40 400 AMP 6,999.66 2,799,864.00
3 MEYLON 8,4% 25 ML 60 AMP 6,749.91 404,994.60
MEI
4 OTSU MDGSO4 40 20 AMP 4,290.15 85,803.00
5 OTSU MANITOL 20 20 BTL 43,894.95 877,899.00
6 OTSU SALIN 3 40 BTL 30,610.47 1,224,418.80
TOTAL 8,904,573.00

1 OTSU D40 800 AMP 6,999.66 5,599,728.00

2 OTSU KCL 7,46 100 AMP 3,472.08 347,208.00
JUNI
3 OTSU SALIN 3 140 BTL 30,610.47 4,285,465.80
4 OTSU-D10 100 BTL 7,199.46 719,946.00
TOTAL 10,952,347.80

1 OTSU SALIN 3 20 BTL 30,610.47 612,209.40

2 OTSU MGSO4 40 140 AMP 4,290.15 600,621.00
3 OTSU MANITOL 20 200 BTL 43,894.95 8,778,990.00

JULI
4 OTSU D40 700 AMP 6,999.66 4,899,762.00
5 JULI OTSU KCL 7,46 300 AMP 3,472.08 1,041,624.00
6 MEYLON 8,4% 26 ML 400 AMP 6,749.91 2,699,964.00
7 0TSU MANITOL 20 100 BTL 43,894.95 4,389,495.00
8 PLETAAL SR CAP 100 MG 420 CAP 5,857.47 2,460,137.40
9 PLETAAL TAB 100 MG 690 CAP 5,719.83 3,946,682.70
TOTAL 29,429,485.50
TOTAL BELANJA KESELURUHAN 113,624,550.80