PUSKESMAS LABUAN

RS KOMODO RS SILOAM HOSPITAL RS BEN BOI RS ST. RAFAEL CANCAR PKM WAENKAKENG PKM PACAR PKM GOLOWELU
BAJO

No Kategori FKTP Tarif Ambulan

Jarak Jarak Jarak Jarak Jarak Jarak Jarak
Nama FKTP Biaya Biaya Biaya Biaya Biaya Jarak (KM) Biaya Biaya Biaya
(KM) (KM) (KM) (KM) (KM) (KM) (KM)

1 Puskesmas Nanga Terang Terpencil Rp11,000 37 Rp 407,000 43 Rp 473,000 78 Rp 858,000 62 Rp 682,000 - - - - - - 50 Rp 550,000
2 Puskesmas Waning Sangat Terpencil Rp13,000 128 Rp 1,664,000 134 Rp 1,742,000 41 Rp 533,000 25 Rp 325,000 - - - - - - 13 Rp 169,000
3 Puskesmas Wae Pitak Terpencil Rp11,000 78 Rp 858,000 84 Rp 924,000 39 Rp 429,000 23 Rp 253,000 - - - - - - 11 Rp 121,000
4 Puskesmas Benteng Pedesaan Rp9,000 16 Rp 144,000 23 Rp 207,000 127 Rp 1,143,000 110 Rp 990,000 23 Rp 207,000 60 Rp 540,000 - - -
5 Puskesmas Datak Pedesaan Rp9,000 63 Rp 567,000 70 Rp 630,000 87 Rp 783,000 70 Rp 630,000 - - 20 Rp 180,000 - - -
6 Puskesmas Rego Sangat Terpencil Rp13,000 116 Rp 1,508,000 123 Rp 1,599,000 100 Rp 1,300,000 83 Rp 1,079,000 - - - - 30 Rp 390,000 55 Rp 715,000
7 Puskesmas Golo Welu Terpencil Rp11,000 116 Rp 1,276,000 122 Rp 1,342,000 45 Rp 495,000 28 Rp 308,000 - - 61 Rp 671,000 - - - -
8 Puskesas Tentang Sangat Terpencil Rp13,000 98 Rp 1,274,000 105 Rp 1,365,000 65 Rp 845,000 48 Rp 624,000 - - 76 Rp 988,000 - - 20 Rp 260,000
9 Puskesmas Bari Sangat Terpencil Rp13,000 121 Rp 1,573,000 128 Rp 1,664,000 100 Rp 1,300,000 83 Rp 1,079,000 - - - 30 Rp390,000 55 Rp 715,000
10 Puskesmas Ranggu Terpencil Rp11,000 131 Rp 1,441,000 115 Rp 1,265,000 60 Rp 660,000 43 Rp 473,000 - 42 Rp 462,000 - - 15 Rp 165,000
11 Puskesmas Pacar Sangat Terpencil Rp13,000 91 Rp 1,183,000 98 Rp 1,274,000 70 Rp 910,000 53 Rp 689,000 - - - - 29 Rp 377,000
12 Puskesmas Wae Nakeng Perkotaan Rp8,000 56 Rp 448,000 63 Rp 504,000 67 Rp 536,000 50 Rp 400,000 - - - - -
13 Puskesmas Orong Pedesaan Rp9,000 73 Rp 657,000 80 Rp 720,000 80 Rp 720,000 63 Rp 567,000 - 27 Rp 243,000 - - 29 Rp 261,000
14 Puskesmas Nangalili Pedesaan Rp9,000 62 Rp 558,000 69 Rp 621,000 79 Rp 711,000 62 Rp 558,000 - 12 Rp 108,000 - - -
15 Puskesmas Werang Terpencil Rp11,000 49 Rp 539,000 56 Rp 616,000 115 Rp 1,265,000 98 Rp 1,078,000 - 48 Rp 528,000 - - -
16 Puskesmas Rekas Pedesaan Rp9,000 28 Rp 252,000 35 Rp 315,000 95 Rp 855,000 78 Rp 7,020,000 - 28 Rp 252,000 - - -
17 Puskesmas Labuan Bajo Dalam Kota Rp50,000 1 Rp 50,000 1 Rp 50,000 131 Rp 6,550,000 114 Rp 5,700,000 - - - - -
18 Puskesmas Terang Terpencil Rp11,000 33 Rp 363,000 40 Rp 440,000 120 Rp 1,320,000 103 Rp 1,133,000 35 Rp 385,000 - 58 Rp638,000 75 Rp 825,000
19 Puskesmas Warsawe Terpencil Rp11,000 23 Rp 253,000 30 Rp 330,000 116 Rp 1,276,000 99 Rp 1,089,000 - 49 Rp 539,000 - - -
20 Puskesmas Wae Kanta Terpencil Rp11,000 81 Rp 891,000 88 Rp 968,000 57 Rp 627,000 40 Rp 440,000 - 25 Rp 275,000 0 - -
21 Puskesmas Lengkong Cepang Terpencil Rp11,000 103 Rp 1,133,000 100 Rp 1,100,000 107 Rp 1,177,000 90 Rp 990,000 - 47 Rp 517,000 - - -

Jarak sesuai dengan BA Jarak ………….. Dengan ……….no………

Kategori Puskesmas sesuai dengan ……………….
Tarif Ambulan sesuai dengan ……………..
 PKM TERANG PKM REKAS PKM NANGALILI PKM ORONG

Jarak Jarak Jarak

Biaya Biaya Biaya Jarak (KM) Biaya
(KM) (KM) (KM)

6 Rp 66,000 - - - - - -
50 Rp 650,000 - - - - - -
34 Rp 374,000 - - - - - -
- - - - - - - -
- - - - - - - -
88 Rp 1,144,000 - - - - - -
- - - - - - - -
- - - - - - - -
Rp 88 Rp 1,144,000 - - - - - -
- - - - 20 Rp 220,000
58 Rp 754,000 - - - - -
- - - - - -
- - - - - - -
- - - - - - -
- - 11 Rp 121,000 - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - 21 Rp 231,000 - - - -
- - - - - - -
- - - 30 Rp 330,000 - -