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X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 - - - 35,000,000

1 Belanja Sewa Penginapan Workshop Audit Internal dan Tinj.Manaj 14,000,000 - 14,000,000
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 - 7,000,000
3 Belanja Sewa Penginapan Workshop Pemahaman Standar dan Inst 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 - - - 1,200,000
1 Belanja Sewa Sound System WorkshopAudit Internal dan Tinjaua 450,000 - 450,000
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 - 300,000
Belanja Sewa Sound Sytem Workshop Pemahaman Standar dan In 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 - - - 241,500,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
2 Workshop Keselamatan Pasien 9,000,000 - - - 9,000,000
- Makan 6,000,000 - 6,000,000
- Snack 3,000,000 - 3,000,000
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 2018 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 - - - 205,500,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 - 12,000,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 - 13,500,000
- Puskesmas Sundatar 13,500,000 - 13,500,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 - - - 93,900,000


1 Perjalanan Dinas Dalam Daerah 93,900,000 93,900,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 - 30,716,700 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 - 30,716,700 30,716,700 969,283,300

Lubuk Sikaping, Maret 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 - - - 35,000,000
1 Belanja Sewa Penginapan Workshop Audit Internal dan Ti 14,000,000 - 14,000,000
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 - 7,000,000
3 Belanja Sewa Penginapan Workshop Pemahaman Standar d 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 - - - 1,200,000
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 - 450,000
2 Belanja Sewa Sound System Workshop Keselamatan Pasie 300,000 - 300,000
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 - - - 241,500,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
2 Workshop Keselamatan Pasien 9,000,000 - - - 9,000,000
- Makan 6,000,000 - 6,000,000
- Snack 3,000,000 - 3,000,000
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 - - 205,500,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 - 12,000,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 - 13,500,000
- Puskesmas Sundatar 13,500,000 - 13,500,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 - - - 93,900,000


1 Perjalanan Dinas Dalam Daerah 93,900,000 93,900,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 30,716,700 3,600,000 34,316,700 965,683,300

Lubuk Sikaping, Maret 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 - - - 2,000,000
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan 750,000 - 750,000
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasi 500,000 - 500,000
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan 750,000 - 750,000

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 - - - 35,000,000


1 Belanja Sewa Penginapan Workshop Audit Internal dan 14,000,000 - 14,000,000
2 Belanja Sewa Penginapan Workshop Keselamatan Pasie 7,000,000 - 7,000,000
3 Belanja Sewa Penginapan Workshop Pemahaman Standa 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 - - - 1,200,000
1 Belanja Sewa Sound System WorkshopAudit Internal da 450,000 - 450,000
2 Belanja Sewa Sound System Workshop Keselamatan Pas 300,000 - 300,000
Belanja Sewa Sound Sytem Workshop Pemahaman Stan 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 - 13,500,000 13,500,000 228,000,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 - 13,500,000 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 - - - 9,000,000
- Makan 6,000,000 - 6,000,000
- Snack 3,000,000 - 3,000,000
3 Workshop Pemahaman Standar dan Instrumen FKTP Ver 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 - - 205,500,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 - 12,000,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 - 13,500,000
- Puskesmas Sundatar 13,500,000 - 13,500,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 - - - 93,900,000


1 Perjalanan Dinas Dalam Daerah 93,900,000 93,900,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 34,316,700 13,500,000 47,816,700 952,183,300

Lubuk Sikaping, Maret 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 - - - 35,000,000
1 Belanja Sewa Penginapan Workshop Audit Internal dan T 14,000,000 - 14,000,000
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 - 7,000,000
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 - - - 1,200,000
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 - 450,000
2 Belanja Sewa Sound System Workshop Keselamatan Pasi 300,000 - 300,000
Belanja Sewa Sound Sytem Workshop Pemahaman Standa 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 13,500,000 - 13,500,000 228,000,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 - - - 9,000,000
- Makan 6,000,000 - 6,000,000
- Snack 3,000,000 - 3,000,000
3 Workshop Pemahaman Standar dan Instrumen FKTP Vers 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 - - 205,500,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 - 12,000,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 - 13,500,000
- Puskesmas Sundatar 13,500,000 - 13,500,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 - - - 93,900,000


1 Perjalanan Dinas Dalam Daerah 93,900,000 93,900,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 47,816,700 3,200,000 51,016,700 948,983,300

Lubuk Sikaping, Maret 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 - - - 2,000,000
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Tinj. 750,000 - 750,000
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 - 500,000
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan Instr 750,000 - 750,000

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 - - - 35,000,000


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tinj.M 14,000,000 - 14,000,000
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 - 7,000,000
3 Belanja Sewa Penginapan Workshop Pemahaman Standar dan 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 - - - 1,200,000
1 Belanja Sewa Sound System WorkshopAudit Internal dan Tin 450,000 - 450,000
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 - 300,000
Belanja Sewa Sound Sytem Workshop Pemahaman Standar da 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 13,500,000 - 13,500,000 228,000,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 - - - 9,000,000
- Makan 6,000,000 - 6,000,000
- Snack 3,000,000 - 3,000,000
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 20 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 - - 205,500,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 - 12,000,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 - 13,500,000
- Puskesmas Sundatar 13,500,000 - 13,500,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 - - - 93,900,000


1 Perjalanan Dinas Dalam Daerah 93,900,000 93,900,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 51,016,700 5,280,000 56,296,700 943,703,300

Lubuk Sikaping, Maret 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 - - - 35,000,000
1 Belanja Sewa Penginapan Workshop Audit Internal d 14,000,000 - 14,000,000
2 Belanja Sewa Penginapan Workshop Keselamatan Pas 7,000,000 - 7,000,000
3 Belanja Sewa Penginapan Workshop Pemahaman Stan 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 - - - 1,200,000
1 Belanja Sewa Sound System WorkshopAudit Internal 450,000 - 450,000
2 Belanja Sewa Sound System Workshop Keselamatan 300,000 - 300,000
Belanja Sewa Sound Sytem Workshop Pemahaman St 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 13,500,000 - 13,500,000 228,000,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 - - - 9,000,000
- Makan 6,000,000 - 6,000,000
- Snack 3,000,000 - 3,000,000
3 Workshop Pemahaman Standar dan Instrumen FKTP 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 - - 205,500,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 - 12,000,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 - 13,500,000
- Puskesmas Sundatar 13,500,000 - 13,500,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 - - - 93,900,000


1 Perjalanan Dinas Dalam Daerah 93,900,000 93,900,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 56,296,700 4,400,000 60,696,700 939,303,300

Lubuk Sikaping, Maret 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 - - - 35,000,000
1 Belanja Sewa Penginapan Workshop Audit Internal dan Tin 14,000,000 - 14,000,000
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 - 7,000,000
3 Belanja Sewa Penginapan Workshop Pemahaman Standar da 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 - - - 1,200,000
1 Belanja Sewa Sound System WorkshopAudit Internal dan T 450,000 - 450,000
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 - 300,000
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 13,500,000 - 13,500,000 228,000,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 - - - 9,000,000
- Makan 6,000,000 - 6,000,000
- Snack 3,000,000 - 3,000,000
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 - - 205,500,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 - 12,000,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 - 13,500,000
- Puskesmas Sundatar 13,500,000 - 13,500,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 - - - 93,900,000


1 Perjalanan Dinas Dalam Daerah 93,900,000 93,900,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 60,696,700 10,800,000 71,496,700 928,503,300

Lubuk Sikaping, Maret 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 - - - 35,000,000
1 Belanja Sewa Penginapan Workshop Audit Internal da 14,000,000 - 14,000,000
2 Belanja Sewa Penginapan Workshop Keselamatan Pasi 7,000,000 - 7,000,000
3 Belanja Sewa Penginapan Workshop Pemahaman Stand 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 - - - 1,200,000
1 Belanja Sewa Sound System WorkshopAudit Internal 450,000 - 450,000
2 Belanja Sewa Sound System Workshop Keselamatan P 300,000 - 300,000
Belanja Sewa Sound Sytem Workshop Pemahaman Sta 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 13,500,000 - 13,500,000 228,000,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 - - - 9,000,000
- Makan 6,000,000 - 6,000,000
- Snack 3,000,000 - 3,000,000
3 Workshop Pemahaman Standar dan Instrumen FKTP V 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 - - 205,500,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 - 12,000,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 - 13,500,000
- Puskesmas Sundatar 13,500,000 - 13,500,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 - - - 93,900,000


1 Perjalanan Dinas Dalam Daerah 93,900,000 93,900,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 60,696,700 19,700,000 80,396,700 908,803,300

Lubuk Sikaping, Maret 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARK 2,000,000 - 750,000 750,000 1,250,000
1 Belanja Sewa Ruang Rapat Workshop Audit Internal 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan P 500,000 - 500,000
3 Belanja Sewa Ruang Workshop Pemahaman Standar 750,000 - 750,000

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 - 14,000,000 14,000,000 21,000,000


1 Belanja Sewa Penginapan Workshop Audit Internal 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan P 7,000,000 - 7,000,000
3 Belanja Sewa Penginapan Workshop Pemahaman Sta 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 - 450,000 450,000 750,000
1 Belanja Sewa Sound System WorkshopAudit Interna 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan 300,000 - 300,000
Belanja Sewa Sound Sytem Workshop Pemahaman S 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 13,500,000 - 13,500,000 228,000,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 - - - 9,000,000
- Makan 6,000,000 - 6,000,000
- Snack 3,000,000 - 3,000,000
3 Workshop Pemahaman Standar dan Instrumen FKTP 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 - - 205,500,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 - 12,000,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 - 13,500,000
- Puskesmas Sundatar 13,500,000 - 13,500,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 - - - 93,900,000


1 Perjalanan Dinas Dalam Daerah 93,900,000 93,900,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 80,396,700 15,200,000 95,596,700 893,603,300

Lubuk Sikaping, Maret 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 14,000,000 - 14,000,000 21,000,000
1 Belanja Sewa Penginapan Workshop Audit Internal dan T 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 - 7,000,000
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 450,000 - 450,000 750,000
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasi 300,000 - 300,000
Belanja Sewa Sound Sytem Workshop Pemahaman Standa 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 13,500,000 - 13,500,000 228,000,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 - - - 9,000,000
- Makan 6,000,000 - 6,000,000
- Snack 3,000,000 - 3,000,000
3 Workshop Pemahaman Standar dan Instrumen FKTP Vers 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 - - 205,500,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 - 12,000,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 - 13,500,000
- Puskesmas Sundatar 13,500,000 - 13,500,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 - - - 93,900,000


1 Perjalanan Dinas Dalam Daerah 93,900,000 93,900,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 90,316,700 3,900,000 94,216,700 894,983,300

Lubuk Sikaping, Maret 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 750,000 - 750,000 1,250,000
1 Belanja Sewa Ruang Rapat Workshop Audit Internal da 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pas 500,000 - 500,000
3 Belanja Sewa Ruang Workshop Pemahaman Standar da 750,000 - 750,000

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 14,000,000 - 14,000,000 21,000,000


1 Belanja Sewa Penginapan Workshop Audit Internal da 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasi 7,000,000 - 7,000,000
3 Belanja Sewa Penginapan Workshop Pemahaman Stand 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 450,000 - 450,000 750,000
1 Belanja Sewa Sound System WorkshopAudit Internal 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan P 300,000 - 300,000
Belanja Sewa Sound Sytem Workshop Pemahaman Sta 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 13,500,000 - 13,500,000 228,000,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 - - - 9,000,000
- Makan 6,000,000 - 6,000,000
- Snack 3,000,000 - 3,000,000
3 Workshop Pemahaman Standar dan Instrumen FKTP V 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 - - 205,500,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 - 12,000,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 - 13,500,000
- Puskesmas Sundatar 13,500,000 - 13,500,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 - - - 93,900,000


1 Perjalanan Dinas Dalam Daerah 93,900,000 93,900,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 92,216,700 3,600,000 95,816,700 893,383,300

Lubuk Sikaping, Maret 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 750,000 - 750,000 1,250,000
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Tinj.Man 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 - 500,000
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan Instrum 750,000 - 750,000

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 14,000,000 - 14,000,000 21,000,000


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tinj.Man 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 - 7,000,000
3 Belanja Sewa Penginapan Workshop Pemahaman Standar dan In 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 450,000 - 450,000 750,000
1 Belanja Sewa Sound System WorkshopAudit Internal dan Tinja 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 - 300,000
Belanja Sewa Sound Sytem Workshop Pemahaman Standar dan 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 13,500,000 8,250,000 21,750,000 219,750,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 - - - 9,000,000
- Makan 6,000,000 - 6,000,000
- Snack 3,000,000 - 3,000,000
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 2018 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 - 8,250,000 8,250,000 197,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 - - - 93,900,000


1 Perjalanan Dinas Dalam Daerah 93,900,000 93,900,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 95,816,700 8,250,000 104,066,700 885,133,300

Lubuk Sikaping, Maret 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/P 2,000,000 750,000 - 750,000 1,250,000
1 Belanja Sewa Ruang Rapat Workshop Audit Inte 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselama 500,000 - 500,000
3 Belanja Sewa Ruang Workshop Pemahaman Sta 750,000 - 750,000

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 14,000,000 - 14,000,000 21,000,000


1 Belanja Sewa Penginapan Workshop Audit Inte 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamat 7,000,000 - 7,000,000
3 Belanja Sewa Penginapan Workshop Pemahama 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 450,000 - 450,000 750,000
1 Belanja Sewa Sound System WorkshopAudit Int 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselam 300,000 - 300,000
Belanja Sewa Sound Sytem Workshop Pemaham 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 21,750,000 - 21,750,000 219,750,000


1 Workshop Audit Internal dan Tinjauan Manaje 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 - - - 9,000,000
- Makan 6,000,000 - 6,000,000
- Snack 3,000,000 - 3,000,000
3 Workshop Pemahaman Standar dan Instrumen 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 8,250,000 8,250,000 197,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 - 175,000 175,000 93,725,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 175,000 175,000 93,725,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 104,066,700 292,750 104,359,450 884,840,550

Lubuk Sikaping, Juli 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
VIII BELANJA PENGGANDAAN 49,500,000 1,500,000 - 1,500,000 48,000,000
1 Foto Copy Workshop Audit Internal dan tinjauan Manajeme 500,000 500,000 500,000 -
2 Foto Copy Workshop Keselamatan Pasien 500,000 - 500,000
3 Foto Copy Workshop Pemahaman Standar dan Instrumen FK 500,000 - 500,000
4 Foto Copy Kegiatan Pendampingan Akreditasi Puskesmas 48,000,000 1,000,000 1,000,000 47,000,000

IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 750,000 500,000 1,250,000 750,000


1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Tin 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan In 750,000 - 750,000

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 14,000,000 7,000,000 21,000,000 14,000,000


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tin 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar d 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 450,000 300,000 750,000 450,000
1 Belanja Sewa Sound System WorkshopAudit Internal dan T 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 21,750,000 9,000,000 30,750,000 210,750,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 - 9,000,000 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 8,250,000 8,250,000 197,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 175,000 - 175,000 93,725,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 175,000 175,000 93,725,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 104,359,450 16,800,000 121,159,450 868,040,550

Lubuk Sikaping, Juli 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 21,000,000 - 21,000,000 14,000,000
1 Belanja Sewa Penginapan Workshop Audit Internal dan Tinj.Manaj 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar dan Instru 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 750,000 - 750,000 450,000
1 Belanja Sewa Sound System WorkshopAudit Internal dan Tinjauan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar dan Inst 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 30,750,000 - 30,750,000 210,750,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 2018 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 8,250,000 8,250,000 197,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 175,000 - 175,000 93,725,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 175,000 175,000 93,725,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 121,159,450 478,500 121,637,950 867,562,050

Lubuk Sikaping, Juli 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 1,250,000 - 1,250,000 750,000
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasi 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan 750,000 - 750,000

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 21,000,000 - 21,000,000 14,000,000


1 Belanja Sewa Penginapan Workshop Audit Internal dan 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasie 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standa 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 750,000 - 750,000 450,000
1 Belanja Sewa Sound System WorkshopAudit Internal d 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pa 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Stan 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 30,750,000 - 30,750,000 210,750,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Ve 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 8,250,000 8,250,000 197,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 175,000 - 175,000 93,725,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 175,000 175,000 93,725,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 121,637,950 25,600,000 154,517,950 845,482,050

Lubuk Sikaping, Juli 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 1,250,000 - 1,250,000 750,000
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Ti 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan I 750,000 - 750,000

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 21,000,000 - 21,000,000 14,000,000


1 Belanja Sewa Penginapan Workshop Audit Internal dan Ti 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar d 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 750,000 - 750,000 450,000
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasie 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 30,750,000 - 30,750,000 210,750,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 8,250,000 8,250,000 197,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 175,000 - 175,000 93,725,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 175,000 175,000 93,725,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 147,237,950 10,480,000 164,997,950 835,002,050

Lubuk Sikaping, Juli 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 1,250,000 - 1,250,000 750,000
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Tin 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan In 750,000 - 750,000

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 21,000,000 - 21,000,000 14,000,000


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tin 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar d 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 750,000 - 750,000 450,000
1 Belanja Sewa Sound System WorkshopAudit Internal dan T 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 30,750,000 - 30,750,000 210,750,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 8,250,000 8,250,000 197,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 175,000 5,575,000 5,750,000 88,150,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 175,000 5,575,000 5,750,000 88,150,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 150,837,950 5,575,000 170,572,950 829,427,050

Lubuk Sikaping, Juli 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 1,250,000 - 1,250,000 750,000
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasie 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan 750,000 - 750,000

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 21,000,000 - 21,000,000 14,000,000


1 Belanja Sewa Penginapan Workshop Audit Internal dan 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 750,000 - 750,000 450,000
1 Belanja Sewa Sound System WorkshopAudit Internal da 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pas 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Stand 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 30,750,000 - 30,750,000 210,750,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Ver 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 8,250,000 8,250,000 197,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 5,750,000 - 5,750,000 88,150,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 5,750,000 5,750,000 88,150,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 173,000,000 30,716,700 - 30,716,700 142,283,300
1 Perjalanan Dinas Luar Daerah 173,000,000 30,716,700 30,716,700 142,283,300

1,000,000,000 156,412,950 2,200,000 172,772,950 827,227,050

Lubuk Sikaping, Juli 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARK 2,000,000 1,250,000 - 1,250,000 750,000
1 Belanja Sewa Ruang Rapat Workshop Audit Internal 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar 750,000 - 750,000

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 21,000,000 - 21,000,000 14,000,000


1 Belanja Sewa Penginapan Workshop Audit Internal 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan P 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman St 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 750,000 - 750,000 450,000
1 Belanja Sewa Sound System WorkshopAudit Interna 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman S 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 30,750,000 - 30,750,000 210,750,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 8,250,000 8,250,000 197,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 5,750,000 3,475,000 9,225,000 84,675,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 5,750,000 3,475,000 9,225,000 84,675,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 30,716,700 900,000 31,616,700 139,983,300
1 Perjalanan Dinas Luar Daerah 171,600,000 30,716,700 900,000 31,616,700 139,983,300

1,000,000,000 158,612,950 11,575,000 184,347,950 815,652,050

Lubuk Sikaping, Juli 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 1,250,000 - 1,250,000 750,000
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasie 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan 750,000 - 750,000

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 21,000,000 - 21,000,000 14,000,000


1 Belanja Sewa Penginapan Workshop Audit Internal dan 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasie 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 750,000 - 750,000 450,000
1 Belanja Sewa Sound System WorkshopAudit Internal da 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pas 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Stand 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 30,750,000 - 30,750,000 210,750,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Ver 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 8,250,000 8,250,000 197,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 9,225,000 - 9,225,000 84,675,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 9,225,000 9,225,000 84,675,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 31,616,700 - 31,616,700 139,983,300
1 Perjalanan Dinas Luar Daerah 171,600,000 31,616,700 31,616,700 139,983,300

1,000,000,000 184,347,950 1,373,750 185,721,700 814,278,300

Lubuk Sikaping, Agustus 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PA 2,000,000 1,250,000 - 1,250,000 750,000
1 Belanja Sewa Ruang Rapat Workshop Audit Intern 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamata 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Stand 750,000 - 750,000

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 21,000,000 - 21,000,000 14,000,000


1 Belanja Sewa Penginapan Workshop Audit Intern 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 750,000 - 750,000 450,000
1 Belanja Sewa Sound System WorkshopAudit Inte 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselama 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahama 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 30,750,000 - 30,750,000 210,750,000


1 Workshop Audit Internal dan Tinjauan Manajem 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen F 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 8,250,000 8,250,000 197,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 9,225,000 - 9,225,000 84,675,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 9,225,000 9,225,000 84,675,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 31,616,700 - 31,616,700 139,983,300
1 Perjalanan Dinas Luar Daerah 171,600,000 31,616,700 31,616,700 139,983,300

1,000,000,000 185,721,700 900,000 186,621,700 813,378,300

Lubuk Sikaping, Agustus 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARK 2,000,000 1,250,000 - 1,250,000 750,000
1 Belanja Sewa Ruang Rapat Workshop Audit Internal 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan P 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar 750,000 - 750,000

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 21,000,000 - 21,000,000 14,000,000


1 Belanja Sewa Penginapan Workshop Audit Internal 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pa 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Sta 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 750,000 - 750,000 450,000
1 Belanja Sewa Sound System WorkshopAudit Interna 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman S 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 30,750,000 - 30,750,000 210,750,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 8,250,000 8,250,000 197,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 - 12,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 - 12,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 9,225,000 - 9,225,000 84,675,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 9,225,000 9,225,000 84,675,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 31,616,700 - 31,616,700 139,983,300
1 Perjalanan Dinas Luar Daerah 171,600,000 31,616,700 31,616,700 139,983,300

1,000,000,000 187,621,700 4,500,000 192,121,700 807,878,300

Lubuk Sikaping, Agustus 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PAR 2,000,000 1,250,000 - 1,250,000 750,000
1 Belanja Sewa Ruang Rapat Workshop Audit Interna 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standa 750,000 - 750,000

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 21,000,000 - 21,000,000 14,000,000


1 Belanja Sewa Penginapan Workshop Audit Interna 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman S 14,000,000 - 14,000,000
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 750,000 - 750,000 450,000
1 Belanja Sewa Sound System WorkshopAudit Inter 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamat 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman 450,000 - 450,000

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 30,750,000 5,000,000 35,750,000 205,750,000
1 Workshop Audit Internal dan Tinjauan Manajeme 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FK 13,500,000 - - - 13,500,000
- Makan 9,000,000 - 9,000,000
- Snack 4,500,000 - 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 8,250,000 5,000,000 13,250,000 192,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 9,225,000 - 9,225,000 84,675,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 9,225,000 9,225,000 84,675,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 31,616,700 - 31,616,700 139,983,300
1 Perjalanan Dinas Luar Daerah 171,600,000 31,616,700 31,616,700 139,983,300

1,000,000,000 192,121,700 5,000,000 197,121,700 802,878,300

Lubuk Sikaping, Agustus 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
DAFTAR SPJ
KEGIATAN : PENYUSUNAN AKREDITASI PUSKESMAS
BULAN : Workshop Pemahaman Standar ( Wima Murni)

JUMLAH JUMLAH JUMLAH JUMLAH SPJ SISA


NO URAIAN UANG SPJ LALU SPJ S/D INI UANG
Rp Rp Rp Rp
PENYUSUNAN AKRIDETASI PUSKESMAS 1,000,000,000 197,121,700 28,700,000 225,821,700 774,178,300
I BELANJA ALAT TULIS KANTOR 68,700,000 16,160,000 - 16,160,000 52,540,000
1 ATK Workshop Audit Internal dan Tinjauan M 6,900,000 5,280,000 - 5,280,000 1,620,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 4,800,000 4,800,000 1,600,000

2 ATK Workshop Keselamatan Pasien 6,900,000 6,880,000 - 6,880,000 20,000


ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

3 ATK Workshop Pemahaman Standar dan Instru 6,900,000 - - - 6,900,000


ATK Peserta 500,000 - 500,000
Seminar KIT 6,400,000 - 6,400,000

4 ATK Workshop Pendampingan Pasca Akreditasi 48,000,000 4,000,000 - 4,000,000 44,000,000


ATK (16 Pusk X 3 hr X 2 kl ) 48,000,000 4,000,000 4,000,000 44,000,000

II. BELANJA BAHAN BAKAR 40,000,000 4,170,000 - 4,170,000 35,830,000


1 BBM Perjalanan Dinas 40,000,000 4,170,000 4,170,000 35,830,000

III BELANJA PENGGANTIAN TRANSP DAN AKOM 57,800,000 36,600,000 - 36,600,000 21,200,000
1 Transport Narasumber 3,500,000 2,000,000 2,000,000 1,500,000
2 Transportasi Workshop Audit Internal dan Ti 5,300,000 5,300,000 5,300,000 -
3 Uang Saku Workshop Audit Internal dan Tinj 14,400,000 14,400,000 14,400,000 -
4 Transportasi Workshop Keselamatan Pasien 5,300,000 5,300,000 5,300,000 -
5 Uang Saku Workshop Keselamatan Pasien 9,600,000 9,600,000 9,600,000 -
6 Transportasi Workshop Pemahaman Standar d 5,300,000 5,300,000
7 Uang Saku Workshop Pemahaman Standar dan 14,400,000 - 14,400,000

IV BELANJA DOKUMENTASI 2,850,000 1,200,000 - 1,200,000 1,650,000


1 Workshop Audit Internal dan Tinjauan Manaj 150,000 150,000 150,000 -
2 Workshop Keselamatan Pasien 150,000 150,000 150,000 -
3 Workshop Pemahaman standar dan Instrumen 150,000 - 150,000
4 Pendampingan Pasca Akreditasi 2,400,000 900,000 900,000 1,500,000
-
V BELANJA PROMOSI 750,000 500,000 - 500,000 250,000
1 Workshop Audit Internal dan Tinjauan Manaj 250,000 250,000 250,000 -
2 Workshop Keselamatan Pasien 250,000 250,000 250,000 -
3 Workshop Pemahaman standar dan Instrumen 250,000 - 250,000

VI BELANJA JASA TENAGA AHLI/INSTRUKTUR 225,600,000 27,500,000 - 27,500,000 198,100,000


1 Workshop Audit Inrernal dan Tinjauan Manaj 14,900,000 3,400,000 - 3,400,000 11,500,000
- Honor Narasumber Ahli 10,800,000 10,800,000 10,800,000 -
- Honor Narasumber Setara Eselon II 2,700,000 2,700,000 2,700,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
2 Workshop Keselamatan Pasien 10,400,000 9,700,000 - 9,700,000 700,000
- Honor Narasumber Ahli 7,200,000 7,200,000 7,200,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
3 Workshop Pemahaman Standar dan Instrumen 27,500,000 - - - 27,500,000
- Honor Narasumber Ahli 24,300,000 - 24,300,000
- Honor Narasumber Setara Eselon II 1,800,000 - 1,800,000
- Honor Moderator 1,400,000 - 1,400,000
4 Honor Pendamping Pasca Akreditasi 172,800,000 14,400,000 - 14,400,000 158,400,000
- Honor Tim Pendamping 172,800,000 14,400,000 14,400,000 158,400,000

VII BELANJA CETAK / PENGGANDAAN 9,600,000 6,400,000 - 6,400,000 3,200,000


1 Cetak Buku Audit Internal dan Tinjauan Mana 3,200,000 3,200,000 3,200,000 -
2 Cetak Buku Keselamatan Pasien 3,200,000 3,200,000 3,200,000 -
3 Cetak Buku Pemahaman Standar dan Instrumen 3,200,000 - 3,200,000

VIII BELANJA PENGGANDAAN 49,500,000 5,000,000 - 5,000,000 44,500,000


1 Foto Copy Workshop Audit Internal dan tinja 500,000 500,000 500,000 -
2 Foto Copy Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Foto Copy Workshop Pemahaman Standar dan 500,000 - 500,000
4 Foto Copy Kegiatan Pendampingan Akreditasi 48,000,000 4,000,000 4,000,000 44,000,000
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKI 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal d 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pa 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar d 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal da 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pas 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Stan 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan P 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman St 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 49,250,000 - 49,250,000 192,250,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP V 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 13,250,000 - 13,250,000 192,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 9,225,000 - 9,225,000 84,675,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 9,225,000 9,225,000 84,675,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 31,616,700 - 31,616,700 139,983,300
1 Perjalanan Dinas Luar Daerah 171,600,000 31,616,700 31,616,700 139,983,300

1,000,000,000 225,821,700 10,980,000 247,601,700 752,398,300

Lubuk Sikaping, Agustus 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Tinj.M 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan Instr 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tinj.M 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar dan 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan Tinj 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar da 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 49,250,000 - 49,250,000 192,250,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 201 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 13,250,000 - 13,250,000 192,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 9,225,000 - 9,225,000 84,675,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 9,225,000 9,225,000 84,675,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 31,616,700 - 31,616,700 139,983,300
1 Perjalanan Dinas Luar Daerah 171,600,000 31,616,700 31,616,700 139,983,300

1,000,000,000 236,801,700 25,800,000 273,401,700 726,598,300

Lubuk Sikaping, Agustus 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasie 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan T 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal da 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pas 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Stand 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 49,250,000 - 49,250,000 192,250,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Vers 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 13,250,000 - 13,250,000 192,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 9,225,000 - 9,225,000 84,675,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 9,225,000 9,225,000 84,675,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 31,616,700 - 31,616,700 139,983,300
1 Perjalanan Dinas Luar Daerah 171,600,000 31,616,700 31,616,700 139,983,300

1,000,000,000 262,601,700 1,800,000 275,201,700 724,798,300

Lubuk Sikaping, Agustus 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Tinj.Ma 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan Instrum 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tinj.Man 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar dan In 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan Tinja 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar dan 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 49,250,000 - 49,250,000 192,250,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 2018 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 13,250,000 - 13,250,000 192,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 9,225,000 - 9,225,000 84,675,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 9,225,000 9,225,000 84,675,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 31,616,700 - 31,616,700 139,983,300
1 Perjalanan Dinas Luar Daerah 171,600,000 31,616,700 31,616,700 139,983,300

1,000,000,000 264,401,700 1,400,000 276,601,700 723,398,300

Lubuk Sikaping, Agustus 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
DAFTAR SPJ
KEGIATAN : PENYUSUNAN AKREDITASI PUSKESMAS
BULAN : Uang Saku dan Transportasi Peserta Workshop Pemahaman Standar

JUMLAH JUMLAH JUMLAH JUMLAH SPJ SISA


NO URAIAN UANG SPJ LALU SPJ S/D INI UANG
Rp Rp Rp Rp
PENYUSUNAN AKRIDETASI PUSKESMAS 1,000,000,000 265,801,700 19,700,000 296,301,700 703,698,300
I BELANJA ALAT TULIS KANTOR 68,700,000 23,040,000 - 23,040,000 45,660,000
1 ATK Workshop Audit Internal dan Tinjauan Manajemen 6,900,000 5,280,000 - 5,280,000 1,620,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 4,800,000 4,800,000 1,600,000

2 ATK Workshop Keselamatan Pasien 6,900,000 6,880,000 - 6,880,000 20,000


ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

3 ATK Workshop Pemahaman Standar dan Instrumen FKTP Varsi 2 6,900,000 6,880,000 - 6,880,000 20,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

4 ATK Workshop Pendampingan Pasca Akreditasi 48,000,000 4,000,000 - 4,000,000 44,000,000


ATK (16 Pusk X 3 hr X 2 kl ) 48,000,000 4,000,000 4,000,000 44,000,000

II. BELANJA BAHAN BAKAR 40,000,000 4,170,000 - 4,170,000 35,830,000


1 BBM Perjalanan Dinas 40,000,000 4,170,000 4,170,000 35,830,000

III BELANJA PENGGANTIAN TRANSP DAN AKOMODASI 57,800,000 38,100,000 19,700,000 57,800,000 -
1 Transport Narasumber 3,500,000 3,500,000 3,500,000 -
2 Transportasi Workshop Audit Internal dan Tinjauan Manajemen 5,300,000 5,300,000 5,300,000 -
3 Uang Saku Workshop Audit Internal dan Tinjauan Manajemen 14,400,000 14,400,000 14,400,000 -
4 Transportasi Workshop Keselamatan Pasien 5,300,000 5,300,000 5,300,000 -
5 Uang Saku Workshop Keselamatan Pasien 9,600,000 9,600,000 9,600,000 -
6 Transportasi Workshop Pemahaman Standar dan Instrumen FKT 5,300,000 5,300,000 5,300,000 -
7 Uang Saku Workshop Pemahaman Standar dan Instrumen FKTP V 14,400,000 14,400,000 14,400,000 -

IV BELANJA DOKUMENTASI 2,850,000 1,350,000 - 1,350,000 1,500,000


1 Workshop Audit Internal dan Tinjauan Manajemen 150,000 150,000 150,000 -
2 Workshop Keselamatan Pasien 150,000 150,000 150,000 -
3 Workshop Pemahaman standar dan Instrumen FKTP Versi 2018 150,000 150,000 150,000 -
4 Pendampingan Pasca Akreditasi 2,400,000 900,000 900,000 1,500,000
-
V BELANJA PROMOSI 750,000 750,000 - 750,000 -
1 Workshop Audit Internal dan Tinjauan Manajemen 250,000 250,000 250,000 -
2 Workshop Keselamatan Pasien 250,000 250,000 250,000 -
3 Workshop Pemahaman standar dan Instrumen FKTP Versi 2018 250,000 250,000 250,000 -

VI BELANJA JASA TENAGA AHLI/INSTRUKTUR /NARASUMBER 225,600,000 55,000,000 - 65,800,000 159,800,000


1 Workshop Audit Inrernal dan Tinjauan Manajemen 14,900,000 3,400,000 - 14,200,000 700,000
- Honor Narasumber Ahli 10,800,000 10,800,000 10,800,000 -
- Honor Narasumber Setara Eselon II 2,700,000 2,700,000 2,700,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
2 Workshop Keselamatan Pasien 10,400,000 9,700,000 - 9,700,000 700,000
- Honor Narasumber Ahli 7,200,000 7,200,000 7,200,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 2018 27,500,000 27,500,000 - 27,500,000 -
- Honor Narasumber Ahli 24,300,000 24,300,000 24,300,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 1,400,000 1,400,000 -
4 Honor Pendamping Pasca Akreditasi 172,800,000 14,400,000 - 14,400,000 158,400,000
- Honor Tim Pendamping 172,800,000 14,400,000 14,400,000 158,400,000

VII BELANJA CETAK / PENGGANDAAN 9,600,000 9,600,000 - 9,600,000 -


1 Cetak Buku Audit Internal dan Tinjauan Manajemen 3,200,000 3,200,000 3,200,000 -
2 Cetak Buku Keselamatan Pasien 3,200,000 3,200,000 3,200,000 -
3 Cetak Buku Pemahaman Standar dan Instrumen FKTP Versi 2018 3,200,000 3,200,000 3,200,000 -

VIII BELANJA PENGGANDAAN 49,500,000 5,500,000 - 5,500,000 44,000,000


1 Foto Copy Workshop Audit Internal dan tinjauan Manajemen 500,000 500,000 500,000 -
2 Foto Copy Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Foto Copy Workshop Pemahaman Standar dan Instrumen FKTP V 500,000 500,000 500,000 -
4 Foto Copy Kegiatan Pendampingan Akreditasi Puskesmas 48,000,000 4,000,000 4,000,000 44,000,000
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Ti 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan I 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Ti 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasie 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 49,250,000 - 49,250,000 192,250,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 13,250,000 - 13,250,000 192,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 9,225,000 1,625,000 10,850,000 83,050,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 9,225,000 1,625,000 10,850,000 83,050,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 31,616,700 - 31,616,700 139,983,300
1 Perjalanan Dinas Luar Daerah 171,600,000 31,616,700 31,616,700 139,983,300

1,000,000,000 296,301,700 16,025,000 312,326,700 687,673,300

Lubuk Sikaping, Agustus 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Tinj.Ma 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan Instrum 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tinj.Ma 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar dan In 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan Tinja 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar dan 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 49,250,000 - 49,250,000 192,250,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 2018 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 13,250,000 - 13,250,000 192,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 - 12,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 10,850,000 - 10,850,000 83,050,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 10,850,000 10,850,000 83,050,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 31,616,700 - 31,616,700 139,983,300
1 Perjalanan Dinas Luar Daerah 171,600,000 31,616,700 31,616,700 139,983,300

1,000,000,000 278,486,700 8,000,000 320,326,700 679,673,300

Lubuk Sikaping, Agustus 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
DAFTAR SPJ
KEGIATAN : PENYUSUNAN AKREDITASI PUSKESMAS
BULAN : Makan Pendampingan Kumpulan

JUMLAH JUMLAH JUMLAH JUMLAH SPJ SISA


NO URAIAN UANG SPJ LALU SPJ S/D INI UANG
Rp Rp Rp Rp
PENYUSUNAN AKRIDETASI PUSKESMAS 1,000,000,000 309,526,700 2,500,000 322,826,700 677,173,300
I BELANJA ALAT TULIS KANTOR 68,700,000 27,040,000 - 27,040,000 41,660,000
1 ATK Workshop Audit Internal dan Tinjauan Manajem 6,900,000 5,280,000 - 5,280,000 1,620,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 4,800,000 4,800,000 1,600,000

2 ATK Workshop Keselamatan Pasien 6,900,000 6,880,000 - 6,880,000 20,000


ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

3 ATK Workshop Pemahaman Standar dan Instrumen FK 6,900,000 6,880,000 - 6,880,000 20,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

4 ATK Workshop Pendampingan Pasca Akreditasi 48,000,000 8,000,000 - 8,000,000 40,000,000


ATK (16 Pusk X 3 hr X 2 kl ) 48,000,000 8,000,000 8,000,000 40,000,000

II. BELANJA BAHAN BAKAR 40,000,000 4,170,000 - 4,170,000 35,830,000


1 BBM Perjalanan Dinas 40,000,000 4,170,000 4,170,000 35,830,000

III BELANJA PENGGANTIAN TRANSP DAN AKOMODASI 57,800,000 57,800,000 - 57,800,000 -


1 Transport Narasumber 3,500,000 3,500,000 3,500,000 -
2 Transportasi Workshop Audit Internal dan Tinjauan 5,300,000 5,300,000 5,300,000 -
3 Uang Saku Workshop Audit Internal dan Tinjauan M 14,400,000 14,400,000 14,400,000 -
4 Transportasi Workshop Keselamatan Pasien 5,300,000 5,300,000 5,300,000 -
5 Uang Saku Workshop Keselamatan Pasien 9,600,000 9,600,000 9,600,000 -
6 Transportasi Workshop Pemahaman Standar dan Ins 5,300,000 5,300,000 5,300,000
7 Uang Saku Workshop Pemahaman Standar dan Instru 14,400,000 14,400,000 14,400,000 -

IV BELANJA DOKUMENTASI 2,850,000 1,350,000 - 1,350,000 1,500,000


1 Workshop Audit Internal dan Tinjauan Manajemen 150,000 150,000 150,000 -
2 Workshop Keselamatan Pasien 150,000 150,000 150,000 -
3 Workshop Pemahaman standar dan Instrumen FKTP V 150,000 150,000 150,000 -
4 Pendampingan Pasca Akreditasi 2,400,000 900,000 900,000 1,500,000
-
V BELANJA PROMOSI 750,000 750,000 - 750,000 -
1 Workshop Audit Internal dan Tinjauan Manajemen 250,000 250,000 250,000 -
2 Workshop Keselamatan Pasien 250,000 250,000 250,000 -
3 Workshop Pemahaman standar dan Instrumen FKTP V 250,000 250,000 250,000 -

VI BELANJA JASA TENAGA AHLI/INSTRUKTUR /NARAS 225,600,000 69,400,000 - 80,200,000 145,400,000


1 Workshop Audit Inrernal dan Tinjauan Manajemen 14,900,000 3,400,000 - 14,200,000 700,000
- Honor Narasumber Ahli 10,800,000 10,800,000 10,800,000 -
- Honor Narasumber Setara Eselon II 2,700,000 2,700,000 2,700,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
2 Workshop Keselamatan Pasien 10,400,000 9,700,000 - 9,700,000 700,000
- Honor Narasumber Ahli 7,200,000 7,200,000 7,200,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
3 Workshop Pemahaman Standar dan Instrumen FKTP V 27,500,000 27,500,000 - 27,500,000 -
- Honor Narasumber Ahli 24,300,000 24,300,000 24,300,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 1,400,000 1,400,000 -
4 Honor Pendamping Pasca Akreditasi 172,800,000 28,800,000 - 28,800,000 144,000,000
- Honor Tim Pendamping 172,800,000 28,800,000 28,800,000 144,000,000

VII BELANJA CETAK / PENGGANDAAN 9,600,000 9,600,000 - 9,600,000 -


1 Cetak Buku Audit Internal dan Tinjauan Manajemen 3,200,000 3,200,000 3,200,000 -
2 Cetak Buku Keselamatan Pasien 3,200,000 3,200,000 3,200,000 -
3 Cetak Buku Pemahaman Standar dan Instrumen FKTP 3,200,000 3,200,000 3,200,000 -

VIII BELANJA PENGGANDAAN 49,500,000 9,500,000 - 9,500,000 40,000,000


1 Foto Copy Workshop Audit Internal dan tinjauan Ma 500,000 500,000 500,000 -
2 Foto Copy Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Foto Copy Workshop Pemahaman Standar dan Instrum 500,000 500,000 500,000 -
4 Foto Copy Kegiatan Pendampingan Akreditasi Puskes 48,000,000 8,000,000 8,000,000 40,000,000
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Tinj.M 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan Instru 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tinj.Ma 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar dan I 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan Tinj 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar dan 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 51,750,000 2,500,000 54,250,000 187,250,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 201 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 15,750,000 2,500,000 18,250,000 187,250,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 - 13,500,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 10,850,000 - 10,850,000 83,050,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 10,850,000 10,850,000 83,050,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 31,616,700 - 31,616,700 139,983,300
1 Perjalanan Dinas Luar Daerah 171,600,000 31,616,700 31,616,700 139,983,300

1,000,000,000 312,026,700 2,500,000 325,326,700 674,673,300

Lubuk Sikaping, September 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PAR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan P 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman St 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Intern 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamata 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 54,250,000 3,750,000 58,000,000 183,500,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKT 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 18,250,000 3,750,000 22,000,000 183,500,000
- Puskesmas Ladang Panjang 13,500,000 - 13,500,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 10,850,000 - 10,850,000 83,050,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 10,850,000 10,850,000 83,050,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 31,616,700 - 31,616,700 139,983,300
1 Perjalanan Dinas Luar Daerah 171,600,000 31,616,700 31,616,700 139,983,300

1,000,000,000 314,526,700 3,750,000 329,076,700 670,923,300

Lubuk Sikaping, September 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PAR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan P 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman St 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Intern 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamata 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 58,000,000 3,750,000 61,750,000 179,750,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKT 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 22,000,000 3,750,000 25,750,000 179,750,000
- Puskesmas Ladang Panjang 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 10,850,000 - 10,850,000 83,050,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 10,850,000 10,850,000 83,050,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 31,616,700 - 31,616,700 139,983,300
1 Perjalanan Dinas Luar Daerah 171,600,000 31,616,700 31,616,700 139,983,300

1,000,000,000 322,446,700 3,750,000 332,826,700 667,173,300

Lubuk Sikaping, September 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKI 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal d 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pa 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar d 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal d 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pas 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Stan 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman St 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 61,750,000 - 61,750,000 179,750,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 25,750,000 - 25,750,000 179,750,000
- Puskesmas Ladang Panjang 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 10,850,000 6,175,000 17,025,000 76,875,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 10,850,000 6,175,000 17,025,000 76,875,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 31,616,700 850,000 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 31,616,700 850,000 32,466,700 139,133,300

1,000,000,000 294,986,700 7,025,000 339,851,700 660,148,300

Lubuk Sikaping, September 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Ti 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan I 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Ti 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasie 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 61,750,000 - 61,750,000 179,750,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 25,750,000 - 25,750,000 179,750,000
- Puskesmas Ladang Panjang 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 17,025,000 - 17,025,000 76,875,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 17,025,000 17,025,000 76,875,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 302,011,700 21,600,000 361,451,700 638,548,300

Lubuk Sikaping, September 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Tinj 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan Inst 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tinj 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar dan 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan Ti 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar d 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 61,750,000 - 61,750,000 179,750,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 2 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 25,750,000 - 25,750,000 179,750,000
- Puskesmas Ladang Panjang 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 - 13,500,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 17,025,000 - 17,025,000 76,875,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 17,025,000 17,025,000 76,875,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 323,611,700 4,307,250 365,758,950 634,241,050

Lubuk Sikaping, September 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Tin 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan In 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tin 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar d 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan T 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 61,750,000 5,625,000 67,375,000 174,125,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 25,750,000 5,625,000 31,375,000 174,125,000
- Puskesmas Ladang Panjang 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 17,025,000 - 17,025,000 76,875,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 17,025,000 17,025,000 76,875,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 327,918,950 5,625,000 371,383,950 628,616,050

Lubuk Sikaping, September 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PA 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Intern 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamata 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Stand 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Intern 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Inte 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselama 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahama 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 67,375,000 2,500,000 69,875,000 171,625,000
1 Workshop Audit Internal dan Tinjauan Manajem 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen F 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 31,375,000 2,500,000 33,875,000 171,625,000
- Puskesmas Ladang Panjang 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Rao 13,500,000 - 13,500,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 2,500,000 2,500,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 17,025,000 - 17,025,000 76,875,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 17,025,000 17,025,000 76,875,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 333,543,950 2,500,000 373,883,950 626,116,050

Lubuk Sikaping, September 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Tinj 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan Ins 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tinj 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar da 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan Ti 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 69,875,000 5,625,000 75,500,000 166,000,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 2 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 33,875,000 5,625,000 39,500,000 166,000,000
- Puskesmas Ladang Panjang 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Simpati 12,000,000 1,500,000 1,500,000 10,500,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 2,250,000 11,250,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 17,025,000 - 17,025,000 76,875,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 17,025,000 17,025,000 76,875,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 336,043,950 5,625,000 379,508,950 620,491,050

Lubuk Sikaping, September 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
DAFTAR SPJ
KEGIATAN : PENYUSUNAN AKREDITASI PUSKESMAS
BULAN : Makan Pusk. Simpati tgl 2 dan 12 September 2019

JUMLAH JUMLAH JUMLAH JUMLAH SPJ SISA


NO URAIAN UANG SPJ LALU SPJ S/D INI UANG
Rp Rp Rp Rp
PENYUSUNAN AKRIDETASI PUSKESMAS 1,000,000,000 341,668,950 2,500,000 382,008,950 617,991,050
I BELANJA ALAT TULIS KANTOR 68,700,000 - - 27,040,000 41,660,000
1 ATK Workshop Audit Internal dan Tinjauan Manajemen 6,900,000 5,280,000 - 5,280,000 1,620,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 4,800,000 4,800,000 1,600,000

2 ATK Workshop Keselamatan Pasien 6,900,000 6,880,000 - 6,880,000 20,000


ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

3 ATK Workshop Pemahaman Standar dan Instrumen FKTP 6,900,000 6,880,000 - 6,880,000 20,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

4 ATK Workshop Pendampingan Pasca Akreditasi 48,000,000 8,000,000 - 8,000,000 40,000,000


ATK (16 Pusk X 3 hr X 2 kl ) 48,000,000 8,000,000 8,000,000 40,000,000

II. BELANJA BAHAN BAKAR 40,000,000 8,477,250 - 8,477,250 31,522,750


1 BBM Perjalanan Dinas 40,000,000 8,477,250 8,477,250 31,522,750

III BELANJA PENGGANTIAN TRANSP DAN AKOMODASI 57,800,000 57,800,000 - 57,800,000 -


1 Transport Narasumber 3,500,000 3,500,000 3,500,000 -
2 Transportasi Workshop Audit Internal dan Tinjauan M 5,300,000 5,300,000 5,300,000 -
3 Uang Saku Workshop Audit Internal dan Tinjauan Man 14,400,000 14,400,000 14,400,000 -
4 Transportasi Workshop Keselamatan Pasien 5,300,000 5,300,000 5,300,000 -
5 Uang Saku Workshop Keselamatan Pasien 9,600,000 9,600,000 9,600,000 -
6 Transportasi Workshop Pemahaman Standar dan Instr 5,300,000 5,300,000 5,300,000
7 Uang Saku Workshop Pemahaman Standar dan Instrume 14,400,000 14,400,000 14,400,000 -

IV BELANJA DOKUMENTASI 2,850,000 1,350,000 - 1,350,000 1,500,000


1 Workshop Audit Internal dan Tinjauan Manajemen 150,000 150,000 150,000 -
2 Workshop Keselamatan Pasien 150,000 150,000 150,000 -
3 Workshop Pemahaman standar dan Instrumen FKTP Ver 150,000 150,000 150,000 -
4 Pendampingan Pasca Akreditasi 2,400,000 900,000 900,000 1,500,000
-
V BELANJA PROMOSI 750,000 750,000 - 750,000 -
1 Workshop Audit Internal dan Tinjauan Manajemen 250,000 250,000 250,000 -
2 Workshop Keselamatan Pasien 250,000 250,000 250,000 -
3 Workshop Pemahaman standar dan Instrumen FKTP Ver 250,000 250,000 250,000 -

VI BELANJA JASA TENAGA AHLI/INSTRUKTUR /NARASUM 225,600,000 91,000,000 - 101,800,000 123,800,000


1 Workshop Audit Inrernal dan Tinjauan Manajemen 14,900,000 3,400,000 - 14,200,000 700,000
- Honor Narasumber Ahli 10,800,000 10,800,000 10,800,000 -
- Honor Narasumber Setara Eselon II 2,700,000 2,700,000 2,700,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
2 Workshop Keselamatan Pasien 10,400,000 9,700,000 - 9,700,000 700,000
- Honor Narasumber Ahli 7,200,000 7,200,000 7,200,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
3 Workshop Pemahaman Standar dan Instrumen FKTP Ver 27,500,000 27,500,000 - 27,500,000 -
- Honor Narasumber Ahli 24,300,000 24,300,000 24,300,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 1,400,000 1,400,000 -
4 Honor Pendamping Pasca Akreditasi 172,800,000 50,400,000 - 50,400,000 122,400,000
- Honor Tim Pendamping 172,800,000 50,400,000 50,400,000 122,400,000

VII BELANJA CETAK / PENGGANDAAN 9,600,000 9,600,000 - 9,600,000 -


1 Cetak Buku Audit Internal dan Tinjauan Manajemen 3,200,000 3,200,000 3,200,000 -
2 Cetak Buku Keselamatan Pasien 3,200,000 3,200,000 3,200,000 -
3 Cetak Buku Pemahaman Standar dan Instrumen FKTP Ve 3,200,000 3,200,000 3,200,000 -

VIII BELANJA PENGGANDAAN 49,500,000 9,500,000 - 9,500,000 40,000,000


1 Foto Copy Workshop Audit Internal dan tinjauan Mana 500,000 500,000 500,000 -
2 Foto Copy Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Foto Copy Workshop Pemahaman Standar dan Instrume 500,000 500,000 500,000 -
4 Foto Copy Kegiatan Pendampingan Akreditasi Puskesma 48,000,000 8,000,000 8,000,000 40,000,000
DAFTAR SPJ
KEGIATAN : PENYUSUNAN AKREDITASI PUSKESMAS
BULAN : Makan Pusk. Sundatar tgl 7, 14 dan 21 September 2019

JUMLAH JUMLAH JUMLAH JUMLAH SPJ SISA


NO URAIAN UANG SPJ LALU SPJ S/D INI UANG
Rp Rp Rp Rp
PENYUSUNAN AKRIDETASI PUSKESMAS 1,000,000,000 344,168,950 5,625,000 387,633,950 612,366,050
I BELANJA ALAT TULIS KANTOR 68,700,000 - - 27,040,000 41,660,000
1 ATK Workshop Audit Internal dan Tinjauan Manajemen 6,900,000 5,280,000 - 5,280,000 1,620,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 4,800,000 4,800,000 1,600,000

2 ATK Workshop Keselamatan Pasien 6,900,000 6,880,000 - 6,880,000 20,000


ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

3 ATK Workshop Pemahaman Standar dan Instrumen FKTP V 6,900,000 6,880,000 - 6,880,000 20,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

4 ATK Workshop Pendampingan Pasca Akreditasi 48,000,000 8,000,000 - 8,000,000 40,000,000


ATK (16 Pusk X 3 hr X 2 kl ) 48,000,000 8,000,000 8,000,000 40,000,000

II. BELANJA BAHAN BAKAR 40,000,000 8,477,250 - 8,477,250 31,522,750


1 BBM Perjalanan Dinas 40,000,000 8,477,250 8,477,250 31,522,750

III BELANJA PENGGANTIAN TRANSP DAN AKOMODASI 57,800,000 57,800,000 - 57,800,000 -


1 Transport Narasumber 3,500,000 3,500,000 3,500,000 -
2 Transportasi Workshop Audit Internal dan Tinjauan Man 5,300,000 5,300,000 5,300,000 -
3 Uang Saku Workshop Audit Internal dan Tinjauan Manaj 14,400,000 14,400,000 14,400,000 -
4 Transportasi Workshop Keselamatan Pasien 5,300,000 5,300,000 5,300,000 -
5 Uang Saku Workshop Keselamatan Pasien 9,600,000 9,600,000 9,600,000 -
6 Transportasi Workshop Pemahaman Standar dan Instrum 5,300,000 5,300,000 5,300,000
7 Uang Saku Workshop Pemahaman Standar dan Instrumen 14,400,000 14,400,000 14,400,000 -

IV BELANJA DOKUMENTASI 2,850,000 1,350,000 - 1,350,000 1,500,000


1 Workshop Audit Internal dan Tinjauan Manajemen 150,000 150,000 150,000 -
2 Workshop Keselamatan Pasien 150,000 150,000 150,000 -
3 Workshop Pemahaman standar dan Instrumen FKTP Versi 150,000 150,000 150,000 -
4 Pendampingan Pasca Akreditasi 2,400,000 900,000 900,000 1,500,000
-
V BELANJA PROMOSI 750,000 750,000 - 750,000 -
1 Workshop Audit Internal dan Tinjauan Manajemen 250,000 250,000 250,000 -
2 Workshop Keselamatan Pasien 250,000 250,000 250,000 -
3 Workshop Pemahaman standar dan Instrumen FKTP Versi 250,000 250,000 250,000 -

VI BELANJA JASA TENAGA AHLI/INSTRUKTUR /NARASUMB 225,600,000 91,000,000 - 101,800,000 123,800,000


1 Workshop Audit Inrernal dan Tinjauan Manajemen 14,900,000 3,400,000 - 14,200,000 700,000
- Honor Narasumber Ahli 10,800,000 10,800,000 10,800,000 -
- Honor Narasumber Setara Eselon II 2,700,000 2,700,000 2,700,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
2 Workshop Keselamatan Pasien 10,400,000 9,700,000 - 9,700,000 700,000
- Honor Narasumber Ahli 7,200,000 7,200,000 7,200,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 27,500,000 27,500,000 - 27,500,000 -
- Honor Narasumber Ahli 24,300,000 24,300,000 24,300,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 1,400,000 1,400,000 -
4 Honor Pendamping Pasca Akreditasi 172,800,000 50,400,000 - 50,400,000 122,400,000
- Honor Tim Pendamping 172,800,000 50,400,000 50,400,000 122,400,000

VII BELANJA CETAK / PENGGANDAAN 9,600,000 9,600,000 - 9,600,000 -


1 Cetak Buku Audit Internal dan Tinjauan Manajemen 3,200,000 3,200,000 3,200,000 -
2 Cetak Buku Keselamatan Pasien 3,200,000 3,200,000 3,200,000 -
3 Cetak Buku Pemahaman Standar dan Instrumen FKTP Vers 3,200,000 3,200,000 3,200,000 -

VIII BELANJA PENGGANDAAN 49,500,000 9,500,000 - 9,500,000 40,000,000


1 Foto Copy Workshop Audit Internal dan tinjauan Manaje 500,000 500,000 500,000 -
2 Foto Copy Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Foto Copy Workshop Pemahaman Standar dan Instrumen 500,000 500,000 500,000 -
4 Foto Copy Kegiatan Pendampingan Akreditasi Puskesmas 48,000,000 8,000,000 8,000,000 40,000,000

IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -


1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan T 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan I 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan T 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasi 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standa 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 78,000,000 5,625,000 83,625,000 157,875,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Vers 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 42,000,000 5,625,000 47,625,000 157,875,000
- Puskesmas Ladang Panjang 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 2,250,000 5,625,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 - 13,500,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 17,025,000 - 17,025,000 76,875,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 17,025,000 17,025,000 76,875,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 344,168,950 5,625,000 387,633,950 612,366,050

Lubuk Sikaping, September 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
DAFTAR SPJ
KEGIATAN : PENYUSUNAN AKREDITASI PUSKESMAS
BULAN : REALISASI

JUMLAH JUMLAH JUMLAH JUMLAH SPJ SISA


NO URAIAN UANG SPJ LALU SPJ S/D INI UANG
Rp Rp Rp Rp
PENYUSUNAN AKRIDETASI PUSKESMAS 1,000,000,000 364,793,950 - 402,633,950 597,366,050
I BELANJA ALAT TULIS KANTOR 68,700,000 - - 27,040,000 41,660,000
1 ATK Workshop Audit Internal dan Tinjauan Manajemen 6,900,000 5,280,000 - 5,280,000 1,620,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 4,800,000 4,800,000 1,600,000

2 ATK Workshop Keselamatan Pasien 6,900,000 6,880,000 - 6,880,000 20,000


ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

3 ATK Workshop Pemahaman Standar dan Instrumen FKTP V 6,900,000 6,880,000 - 6,880,000 20,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

4 ATK Workshop Pendampingan Pasca Akreditasi 48,000,000 8,000,000 - 8,000,000 40,000,000


ATK (16 Pusk X 3 hr X 2 kl ) 48,000,000 8,000,000 8,000,000 40,000,000

II. BELANJA BAHAN BAKAR 40,000,000 8,477,250 - 8,477,250 31,522,750


1 BBM Perjalanan Dinas 40,000,000 8,477,250 8,477,250 31,522,750

III BELANJA PENGGANTIAN TRANSP DAN AKOMODASI 57,800,000 57,800,000 - 57,800,000 -


1 Transport Narasumber 3,500,000 3,500,000 3,500,000 -
2 Transportasi Workshop Audit Internal dan Tinjauan Man 5,300,000 5,300,000 5,300,000 -
3 Uang Saku Workshop Audit Internal dan Tinjauan Manaj 14,400,000 14,400,000 14,400,000 -
4 Transportasi Workshop Keselamatan Pasien 5,300,000 5,300,000 5,300,000 -
5 Uang Saku Workshop Keselamatan Pasien 9,600,000 9,600,000 9,600,000 -
6 Transportasi Workshop Pemahaman Standar dan Instrum 5,300,000 5,300,000 5,300,000
7 Uang Saku Workshop Pemahaman Standar dan Instrumen 14,400,000 14,400,000 14,400,000 -

IV BELANJA DOKUMENTASI 2,850,000 1,350,000 - 1,350,000 1,500,000


1 Workshop Audit Internal dan Tinjauan Manajemen 150,000 150,000 150,000 -
2 Workshop Keselamatan Pasien 150,000 150,000 150,000 -
3 Workshop Pemahaman standar dan Instrumen FKTP Versi 150,000 150,000 150,000 -
4 Pendampingan Pasca Akreditasi 2,400,000 900,000 900,000 1,500,000
-
V BELANJA PROMOSI 750,000 750,000 - 750,000 -
1 Workshop Audit Internal dan Tinjauan Manajemen 250,000 250,000 250,000 -
2 Workshop Keselamatan Pasien 250,000 250,000 250,000 -
3 Workshop Pemahaman standar dan Instrumen FKTP Versi 250,000 250,000 250,000 -

VI BELANJA JASA TENAGA AHLI/INSTRUKTUR /NARASUMB 225,600,000 91,000,000 - 101,800,000 123,800,000


1 Workshop Audit Inrernal dan Tinjauan Manajemen 14,900,000 3,400,000 - 14,200,000 700,000
- Honor Narasumber Ahli 10,800,000 10,800,000 10,800,000 -
- Honor Narasumber Setara Eselon II 2,700,000 2,700,000 2,700,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
2 Workshop Keselamatan Pasien 10,400,000 9,700,000 - 9,700,000 700,000
- Honor Narasumber Ahli 7,200,000 7,200,000 7,200,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 27,500,000 27,500,000 - 27,500,000 -
- Honor Narasumber Ahli 24,300,000 24,300,000 24,300,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 1,400,000 1,400,000 -
4 Honor Pendamping Pasca Akreditasi 172,800,000 50,400,000 - 50,400,000 122,400,000
- Honor Tim Pendamping 172,800,000 50,400,000 50,400,000 122,400,000

VII BELANJA CETAK / PENGGANDAAN 9,600,000 9,600,000 - 9,600,000 -


1 Cetak Buku Audit Internal dan Tinjauan Manajemen 3,200,000 3,200,000 3,200,000 -
2 Cetak Buku Keselamatan Pasien 3,200,000 3,200,000 3,200,000 -
3 Cetak Buku Pemahaman Standar dan Instrumen FKTP Vers 3,200,000 3,200,000 3,200,000 -

VIII BELANJA PENGGANDAAN 49,500,000 9,500,000 - 9,500,000 40,000,000


1 Foto Copy Workshop Audit Internal dan tinjauan Manaje 500,000 500,000 500,000 -
2 Foto Copy Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Foto Copy Workshop Pemahaman Standar dan Instrumen 500,000 500,000 500,000 -
4 Foto Copy Kegiatan Pendampingan Akreditasi Puskesmas 48,000,000 8,000,000 8,000,000 40,000,000

IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -


1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan T 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan I 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan T 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasi 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standa 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 98,625,000 - 98,625,000 142,875,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Vers 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 62,625,000 - 62,625,000 142,875,000
- Puskesmas Ladang Panjang 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 3,750,000 3,750,000 8,250,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 3,750,000 3,750,000 8,250,000
- Puskesmas Cubadak 13,500,000 1,875,000 1,875,000 11,625,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 17,025,000 - 17,025,000 76,875,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 17,025,000 17,025,000 76,875,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 364,793,950 - 402,633,950 597,366,050

Lubuk Sikaping, September 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
DAFTAR SPJ
KEGIATAN : PENYUSUNAN AKREDITASI PUSKESMAS
BULAN : Makan Minum Pusk. Cubadak tgl 12 September 2019 dan 4 Oktober 2019

JUMLAH JUMLAH JUMLAH JUMLAH SPJ SISA


NO URAIAN UANG SPJ LALU SPJ S/D INI UANG
Rp Rp Rp Rp
PENYUSUNAN AKRIDETASI PUSKESMAS 1,000,000,000 349,793,950 3,750,000 391,383,950 608,616,050
I BELANJA ALAT TULIS KANTOR 68,700,000 - - 27,040,000 41,660,000
1 ATK Workshop Audit Internal dan Tinjauan Manaj 6,900,000 5,280,000 - 5,280,000 1,620,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 4,800,000 4,800,000 1,600,000

2 ATK Workshop Keselamatan Pasien 6,900,000 6,880,000 - 6,880,000 20,000


ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

3 ATK Workshop Pemahaman Standar dan Instrumen 6,900,000 6,880,000 - 6,880,000 20,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

4 ATK Workshop Pendampingan Pasca Akreditasi 48,000,000 8,000,000 - 8,000,000 40,000,000


ATK (16 Pusk X 3 hr X 2 kl ) 48,000,000 8,000,000 8,000,000 40,000,000

II. BELANJA BAHAN BAKAR 40,000,000 8,477,250 - 8,477,250 31,522,750


1 BBM Perjalanan Dinas 40,000,000 8,477,250 8,477,250 31,522,750

III BELANJA PENGGANTIAN TRANSP DAN AKOMODA 57,800,000 57,800,000 - 57,800,000 -


1 Transport Narasumber 3,500,000 3,500,000 3,500,000 -
2 Transportasi Workshop Audit Internal dan Tinjau 5,300,000 5,300,000 5,300,000 -
3 Uang Saku Workshop Audit Internal dan Tinjauan 14,400,000 14,400,000 14,400,000 -
4 Transportasi Workshop Keselamatan Pasien 5,300,000 5,300,000 5,300,000 -
5 Uang Saku Workshop Keselamatan Pasien 9,600,000 9,600,000 9,600,000 -
6 Transportasi Workshop Pemahaman Standar dan I 5,300,000 5,300,000 5,300,000
7 Uang Saku Workshop Pemahaman Standar dan Inst 14,400,000 14,400,000 14,400,000 -

IV BELANJA DOKUMENTASI 2,850,000 1,350,000 - 1,350,000 1,500,000


1 Workshop Audit Internal dan Tinjauan Manajemen 150,000 150,000 150,000 -
2 Workshop Keselamatan Pasien 150,000 150,000 150,000 -
3 Workshop Pemahaman standar dan Instrumen FKTP 150,000 150,000 150,000 -
4 Pendampingan Pasca Akreditasi 2,400,000 900,000 900,000 1,500,000
-
V BELANJA PROMOSI 750,000 750,000 - 750,000 -
1 Workshop Audit Internal dan Tinjauan Manajemen 250,000 250,000 250,000 -
2 Workshop Keselamatan Pasien 250,000 250,000 250,000 -
3 Workshop Pemahaman standar dan Instrumen FKTP 250,000 250,000 250,000 -

VI BELANJA JASA TENAGA AHLI/INSTRUKTUR /NA 225,600,000 91,000,000 - 101,800,000 123,800,000


1 Workshop Audit Inrernal dan Tinjauan Manajemen 14,900,000 3,400,000 - 14,200,000 700,000
- Honor Narasumber Ahli 10,800,000 10,800,000 10,800,000 -
- Honor Narasumber Setara Eselon II 2,700,000 2,700,000 2,700,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
2 Workshop Keselamatan Pasien 10,400,000 9,700,000 - 9,700,000 700,000
- Honor Narasumber Ahli 7,200,000 7,200,000 7,200,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
3 Workshop Pemahaman Standar dan Instrumen FKTP 27,500,000 27,500,000 - 27,500,000 -
- Honor Narasumber Ahli 24,300,000 24,300,000 24,300,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 1,400,000 1,400,000 -
4 Honor Pendamping Pasca Akreditasi 172,800,000 50,400,000 - 50,400,000 122,400,000
- Honor Tim Pendamping 172,800,000 50,400,000 50,400,000 122,400,000

VII BELANJA CETAK / PENGGANDAAN 9,600,000 9,600,000 - 9,600,000 -


1 Cetak Buku Audit Internal dan Tinjauan Manajeme 3,200,000 3,200,000 3,200,000 -
2 Cetak Buku Keselamatan Pasien 3,200,000 3,200,000 3,200,000 -
3 Cetak Buku Pemahaman Standar dan Instrumen FK 3,200,000 3,200,000 3,200,000 -

VIII BELANJA PENGGANDAAN 49,500,000 9,500,000 - 9,500,000 40,000,000


1 Foto Copy Workshop Audit Internal dan tinjauan 500,000 500,000 500,000 -
2 Foto Copy Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Foto Copy Workshop Pemahaman Standar dan Inst 500,000 500,000 500,000 -
4 Foto Copy Kegiatan Pendampingan Akreditasi Pus 48,000,000 8,000,000 8,000,000 40,000,000
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Ti 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan In 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tin 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar d 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasie 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 87,375,000 - 87,375,000 154,125,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 51,375,000 - 51,375,000 154,125,000
- Puskesmas Ladang Panjang 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 17,025,000 6,825,000 23,850,000 70,050,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 17,025,000 6,825,000 23,850,000 70,050,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 353,543,950 6,825,000 398,208,950 601,791,050

Lubuk Sikaping, Oktober 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan T 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan I 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Ti 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasi 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standa 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 87,375,000 - 87,375,000 154,125,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 51,375,000 - 51,375,000 154,125,000
- Puskesmas Ladang Panjang 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 23,850,000 - 23,850,000 70,050,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 23,850,000 23,850,000 70,050,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 360,368,950 18,270,000 416,478,950 583,521,050

Lubuk Sikaping, Oktober 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasie 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal da 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pas 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Stand 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 87,375,000 3,750,000 91,125,000 150,375,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Ver 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 51,375,000 3,750,000 55,125,000 150,375,000
- Puskesmas Ladang Panjang 13,500,000 3,750,000 3,750,000 7,500,000 6,000,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 4,500,000 9,000,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 23,850,000 - 23,850,000 70,050,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 23,850,000 23,850,000 70,050,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 378,638,950 3,750,000 420,228,950 579,771,050

Lubuk Sikaping, Oktober 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARK 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan P 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman St 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Interna 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman S 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 91,125,000 3,750,000 94,875,000 146,625,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 55,125,000 3,750,000 58,875,000 146,625,000
- Puskesmas Ladang Panjang 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 4,500,000 3,750,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 - 12,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 23,850,000 - 23,850,000 70,050,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 23,850,000 23,850,000 70,050,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 382,388,950 3,750,000 423,978,950 576,021,050

Lubuk Sikaping, Oktober 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasi 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasie 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standa 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal d 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pa 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Stan 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 94,875,000 2,500,000 97,375,000 144,125,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Ve 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 58,875,000 2,500,000 61,375,000 144,125,000
- Puskesmas Ladang Panjang 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 23,850,000 - 23,850,000 70,050,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 23,850,000 23,850,000 70,050,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 386,138,950 2,500,000 426,478,950 573,521,050

Lubuk Sikaping, Oktober 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Tinj. 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan Instr 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tinj.M 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar dan 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan Tin 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar da 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 97,375,000 3,750,000 101,125,000 140,375,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 20 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 61,375,000 3,750,000 65,125,000 140,375,000
- Puskesmas Ladang Panjang 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 3,750,000 3,750,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 23,850,000 - 23,850,000 70,050,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 23,850,000 23,850,000 70,050,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 388,638,950 3,750,000 430,228,950 569,771,050

Lubuk Sikaping, Oktober 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasie 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan T 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal da 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pas 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Stand 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 101,125,000 - 101,125,000 140,375,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Vers 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 65,125,000 - 65,125,000 140,375,000
- Puskesmas Ladang Panjang 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 23,850,000 - 23,850,000 70,050,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 23,850,000 23,850,000 70,050,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 392,388,950 2,849,000 433,077,950 566,922,050

Lubuk Sikaping, Oktober 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal da 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pas 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar da 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal da 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasi 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Stand 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan P 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Sta 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 101,125,000 2,500,000 103,625,000 137,875,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP V 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 65,125,000 2,500,000 67,625,000 137,875,000
- Puskesmas Ladang Panjang 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 2,500,000 2,500,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 23,850,000 - 23,850,000 70,050,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 23,850,000 23,850,000 70,050,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 395,237,950 2,500,000 435,577,950 564,422,050

Lubuk Sikaping, Oktober 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasie 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal da 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pas 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Stand 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 103,625,000 - 103,625,000 137,875,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Ver 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 67,625,000 - 67,625,000 137,875,000
- Puskesmas Ladang Panjang 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 23,850,000 10,975,000 34,825,000 59,075,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 23,850,000 10,975,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 424,777,950 10,975,000 446,552,950 553,447,050

Lubuk Sikaping, Oktober 2019


Yang Menerima -

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARK 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan P 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman St 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Interna 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamata 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 103,625,000 - 103,625,000 137,875,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 67,625,000 - 67,625,000 137,875,000
- Puskesmas Ladang Panjang 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 34,825,000 - 34,825,000 59,075,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 408,712,950 34,200,000 480,752,950 519,247,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/P 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Inter 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamat 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Stan 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Inter 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamata 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Int 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselam 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemaham 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 103,625,000 - 103,625,000 137,875,000


1 Workshop Audit Internal dan Tinjauan Manajem 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen F 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 67,625,000 - 67,625,000 137,875,000
- Puskesmas Ladang Panjang 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 34,825,000 - 34,825,000 59,075,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 442,912,950 11,500,000 492,252,950 507,747,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/ 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pema 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN K 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System Worksho 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Worksh 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Worksh 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIAT 241,500,000 103,625,000 - 103,625,000 137,875,000


1 Workshop Audit Internal dan Tinja 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akredit 205,500,000 67,625,000 - 67,625,000 137,875,000
- Puskesmas Ladang Panjang 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dala 93,900,000 34,825,000 - 34,825,000 59,075,000


1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR 171,600,000 32,466,700 - 32,466,700 139,133,300


1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 454,412,950 9,500,000 501,752,950 498,247,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PA 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Intern 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamata 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Stand 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Intern 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Inte 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselama 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahama 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 103,625,000 - 103,625,000 137,875,000


1 Workshop Audit Internal dan Tinjauan Manajem 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen F 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 67,625,000 - 67,625,000 137,875,000
- Puskesmas Ladang Panjang 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 34,825,000 - 34,825,000 59,075,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 463,912,950 11,500,000 513,252,950 486,747,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARK 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan P 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan P 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Sta 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Interna 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman S 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 103,625,000 - 103,625,000 137,875,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 67,625,000 - 67,625,000 137,875,000
- Puskesmas Ladang Panjang 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 34,825,000 - 34,825,000 59,075,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 463,912,950 9,500,000 522,752,950 477,247,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARK 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan P 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan P 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Sta 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Interna 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman S 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 103,625,000 3,750,000 107,375,000 134,125,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 67,625,000 3,750,000 71,375,000 134,125,000
- Puskesmas Ladang Panjang 13,500,000 7,500,000 3,750,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 34,825,000 - 34,825,000 59,075,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 463,912,950 3,750,000 526,502,950 473,497,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Ti 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan In 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tin 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar d 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasie 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 107,375,000 2,500,000 109,875,000 131,625,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 71,375,000 2,500,000 73,875,000 131,625,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 2,500,000 2,500,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 34,825,000 - 34,825,000 59,075,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 467,662,950 2,500,000 529,002,950 470,997,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan T 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan I 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Ti 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasi 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standa 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 109,875,000 3,750,000 113,625,000 127,875,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 73,875,000 3,750,000 77,625,000 127,875,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 7,875,000 7,875,000 5,625,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 3,750,000 11,250,000 2,250,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 34,825,000 - 34,825,000 59,075,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 470,162,950 3,750,000 532,752,950 467,247,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Tinj.Ma 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan Instru 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tinj.Ma 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar dan I 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan Tinj 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar dan 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 109,875,000 3,750,000 113,625,000 127,875,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 2018 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 73,875,000 3,750,000 77,625,000 127,875,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 7,875,000 3,750,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 - 12,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 34,825,000 - 34,825,000 59,075,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 470,162,950 3,750,000 532,752,950 467,247,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Ti 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan In 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tin 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar d 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasie 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 113,625,000 2,500,000 116,125,000 125,375,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 77,625,000 2,500,000 80,125,000 125,375,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 - 12,000,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 2,500,000 2,500,000 9,500,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 34,825,000 - 34,825,000 59,075,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 473,912,950 2,500,000 535,252,950 464,747,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Ti 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan In 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tin 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar d 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasie 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 116,125,000 2,500,000 118,625,000 122,875,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 80,125,000 2,500,000 82,625,000 122,875,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 2,500,000 2,500,000 9,500,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 34,825,000 - 34,825,000 59,075,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 476,412,950 2,500,000 537,752,950 462,247,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/P 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Inter 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamat 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Stan 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Inter 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamata 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Int 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselam 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemaham 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 118,625,000 - 118,625,000 122,875,000


1 Workshop Audit Internal dan Tinjauan Manaje 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen F 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 82,625,000 - 82,625,000 122,875,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 2,500,000 2,500,000 9,500,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 34,825,000 - 34,825,000 59,075,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 478,912,950 1,200,000 538,952,950 461,047,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Ti 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan In 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Ti 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar d 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasie 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 118,625,000 5,625,000 124,250,000 117,250,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 82,625,000 5,625,000 88,250,000 117,250,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 5,625,000 5,625,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 2,500,000 2,500,000 9,500,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 34,825,000 - 34,825,000 59,075,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 480,112,950 5,625,000 544,577,950 455,422,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasi 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar da 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasi 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Stand 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal d 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pa 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Stan 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 124,250,000 - 124,250,000 117,250,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Ve 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 88,250,000 - 88,250,000 117,250,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 2,500,000 2,500,000 9,500,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 34,825,000 - 34,825,000 59,075,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 485,737,950 756,750 545,334,700 454,665,300

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Tinj. 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan Inst 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tinj. 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar dan 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan Tin 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar d 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 124,250,000 - 124,250,000 117,250,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 20 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 88,250,000 - 88,250,000 117,250,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 2,500,000 2,500,000 9,500,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 34,825,000 - 34,825,000 59,075,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 486,494,700 7,140,250 552,474,950 447,525,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasi 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasie 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standa 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal d 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pa 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Stan 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 124,250,000 - 124,250,000 117,250,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Ve 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 88,250,000 - 88,250,000 117,250,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 8,250,000 5,250,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 2,500,000 2,500,000 9,500,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 34,825,000 - 34,825,000 59,075,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 493,634,950 16,200,000 568,674,950 431,325,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Ti 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan In 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Ti 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar d 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasie 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 124,250,000 3,570,000 127,820,000 113,680,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 88,250,000 3,570,000 91,820,000 113,680,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 8,250,000 3,570,000 11,820,000 1,680,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 2,500,000 2,500,000 9,500,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 34,825,000 - 34,825,000 59,075,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 34,825,000 59,075,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 - 32,466,700 139,133,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 32,466,700 139,133,300

1,000,000,000 509,834,950 3,570,000 572,244,950 427,755,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasi 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasi 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standa 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal d 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pa 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Stan 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 127,820,000 - 127,820,000 113,680,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Ve 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 91,820,000 - 91,820,000 113,680,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 11,820,000 11,820,000 1,680,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 2,500,000 2,500,000 9,500,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 34,825,000 1,350,000 36,175,000 57,725,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 34,825,000 1,350,000 36,175,000 57,725,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 32,466,700 1,925,000 34,391,700 137,208,300
1 Perjalanan Dinas Luar Daerah 171,600,000 32,466,700 1,925,000 34,391,700 137,208,300

1,000,000,000 513,404,950 3,275,000 575,519,950 424,480,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan T 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan I 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan T 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasi 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standa 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 127,820,000 - 127,820,000 113,680,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Vers 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 91,820,000 - 91,820,000 113,680,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 11,820,000 11,820,000 1,680,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 2,500,000 2,500,000 9,500,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 36,175,000 - 36,175,000 57,725,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 36,175,000 36,175,000 57,725,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 34,391,700 - 34,391,700 137,208,300
1 Perjalanan Dinas Luar Daerah 171,600,000 34,391,700 34,391,700 137,208,300

1,000,000,000 516,679,950 4,500,000 580,019,950 419,980,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Ti 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan In 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tin 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar d 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasie 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 127,820,000 - 127,820,000 113,680,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 91,820,000 - 91,820,000 113,680,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 11,820,000 11,820,000 1,680,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 - 13,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 2,500,000 2,500,000 9,500,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 36,175,000 - 36,175,000 57,725,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 36,175,000 36,175,000 57,725,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 34,391,700 - 34,391,700 137,208,300
1 Perjalanan Dinas Luar Daerah 171,600,000 34,391,700 34,391,700 137,208,300

1,000,000,000 516,679,950 - 580,019,950 419,980,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/P 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Inter 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamat 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Stan 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Inter 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamata 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Int 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselam 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemaham 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 127,820,000 7,500,000 135,320,000 106,180,000
1 Workshop Audit Internal dan Tinjauan Manaje 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 91,820,000 7,500,000 99,320,000 106,180,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 4,000,000 4,000,000 8,000,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 11,820,000 11,820,000 1,680,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 2,500,000 2,500,000 9,500,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 36,175,000 - 36,175,000 57,725,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 36,175,000 36,175,000 57,725,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 34,391,700 - 34,391,700 137,208,300
1 Perjalanan Dinas Luar Daerah 171,600,000 34,391,700 34,391,700 137,208,300

1,000,000,000 569,219,950 7,500,000 587,519,950 412,480,050

Lubuk Sikaping, Oktober 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasie 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal da 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pas 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Stand 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 135,320,000 2,500,000 137,820,000 103,680,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Ver 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 99,320,000 2,500,000 101,820,000 103,680,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 4,000,000 2,500,000 6,500,000 5,500,000
- Puskesmas Kumpulan 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 11,820,000 11,820,000 1,680,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 - 13,500,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 2,500,000 2,500,000 9,500,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 36,175,000 - 36,175,000 57,725,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 36,175,000 36,175,000 57,725,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 34,391,700 - 34,391,700 137,208,300
1 Perjalanan Dinas Luar Daerah 171,600,000 34,391,700 34,391,700 137,208,300

1,000,000,000 576,719,950 2,500,000 590,019,950 409,980,050

Lubuk Sikaping, November 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan T 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasie 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan T 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasi 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standa 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 147,820,000 2,500,000 150,320,000 91,180,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Vers 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 111,820,000 2,500,000 114,320,000 91,180,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 6,500,000 6,500,000 5,500,000
- Puskesmas Kumpulan 12,000,000 7,500,000 2,500,000 10,000,000 2,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 11,820,000 11,820,000 1,680,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 2,500,000 2,500,000 9,500,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 36,175,000 - 36,175,000 57,725,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 36,175,000 36,175,000 57,725,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 34,391,700 - 34,391,700 137,208,300
1 Perjalanan Dinas Luar Daerah 171,600,000 34,391,700 34,391,700 137,208,300

1,000,000,000 589,219,950 2,500,000 602,519,950 397,480,050

Lubuk Sikaping, November 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal da 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pas 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar da 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasi 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Stand 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan P 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Sta 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 152,820,000 2,500,000 155,320,000 86,180,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Ve 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 116,820,000 2,500,000 119,320,000 86,180,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 6,500,000 6,500,000 5,500,000
- Puskesmas Kumpulan 12,000,000 10,000,000 10,000,000 2,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 11,820,000 11,820,000 1,680,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 7,500,000 7,500,000 4,500,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 2,500,000 2,500,000 5,000,000 7,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 36,175,000 - 36,175,000 57,725,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 36,175,000 36,175,000 57,725,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 34,391,700 - 34,391,700 137,208,300
1 Perjalanan Dinas Luar Daerah 171,600,000 34,391,700 34,391,700 137,208,300

1,000,000,000 541,679,950 2,500,000 607,519,950 392,480,050

Lubuk Sikaping, November 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal da 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pas 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar da 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal da 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasi 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Stand 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan P 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Sta 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 150,320,000 2,500,000 152,820,000 88,680,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Ve 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 114,320,000 2,500,000 116,820,000 88,680,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 6,500,000 6,500,000 5,500,000
- Puskesmas Kumpulan 12,000,000 10,000,000 10,000,000 2,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 11,820,000 11,820,000 1,680,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 5,000,000 2,500,000 7,500,000 4,500,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 2,500,000 2,500,000 9,500,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 36,175,000 - 36,175,000 57,725,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 36,175,000 36,175,000 57,725,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 34,391,700 - 34,391,700 137,208,300
1 Perjalanan Dinas Luar Daerah 171,600,000 34,391,700 34,391,700 137,208,300

1,000,000,000 539,179,950 2,500,000 605,019,950 394,980,050

Lubuk Sikaping, November 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Tin 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan Ins 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Tinj 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar da 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan T 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasien 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 155,320,000 - 155,320,000 86,180,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 119,320,000 - 119,320,000 86,180,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 6,500,000 6,500,000 5,500,000
- Puskesmas Kumpulan 12,000,000 10,000,000 10,000,000 2,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 11,820,000 11,820,000 1,680,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 7,500,000 7,500,000 4,500,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 5,000,000 5,000,000 7,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 36,175,000 - 36,175,000 57,725,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 36,175,000 36,175,000 57,725,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 34,391,700 - 34,391,700 137,208,300
1 Perjalanan Dinas Luar Daerah 171,600,000 34,391,700 34,391,700 137,208,300

1,000,000,000 548,679,950 25,200,000 632,719,950 367,280,050

Lubuk Sikaping, November 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan T 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan I 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan T 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasi 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standa 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 155,320,000 - 155,320,000 86,180,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Vers 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 119,320,000 - 119,320,000 86,180,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 6,500,000 6,500,000 5,500,000
- Puskesmas Kumpulan 12,000,000 10,000,000 10,000,000 2,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 11,820,000 11,820,000 1,680,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 7,500,000 7,500,000 4,500,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 5,000,000 5,000,000 7,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 36,175,000 - 36,175,000 57,725,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 36,175,000 36,175,000 57,725,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 34,391,700 - 34,391,700 137,208,300
1 Perjalanan Dinas Luar Daerah 171,600,000 34,391,700 34,391,700 137,208,300

1,000,000,000 621,919,950 7,000,000 639,719,950 360,280,050

Lubuk Sikaping, November 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDA 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Kes 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahama 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Kese 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pem 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTO 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudi 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Ke 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pe 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 155,320,000 - 155,320,000 86,180,000


1 Workshop Audit Internal dan Tinjauan M 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instr 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 119,320,000 - 119,320,000 86,180,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 6,500,000 6,500,000 5,500,000
- Puskesmas Kumpulan 12,000,000 10,000,000 10,000,000 2,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 11,820,000 11,820,000 1,680,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 7,500,000 7,500,000 4,500,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 5,000,000 5,000,000 7,000,000

XII BELANJA PERJALANAN DINAS (Dalam Dae 93,900,000 36,175,000 - 36,175,000 57,725,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 36,175,000 36,175,000 57,725,000

XII BELANJA PERJALANAN DINAS LUAR DAER 171,600,000 34,391,700 - 34,391,700 137,208,300
1 Perjalanan Dinas Luar Daerah 171,600,000 34,391,700 34,391,700 137,208,300

1,000,000,000 628,919,950 6,971,400 646,691,350 353,308,650

Lubuk Sikaping, November 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
DAFTAR SPJ
KEGIATAN : PENYUSUNAN AKREDITASI PUSKESMAS
BULAN : Foto Copy tgl 21 Okt s/d 31 Okt 2019

JUMLAH JUMLAH JUMLAH JUMLAH SPJ SISA


NO URAIAN UANG SPJ LALU SPJ S/D INI UANG
Rp Rp Rp Rp
PENYUSUNAN AKRIDETASI PUSKESMAS 1,000,000,000 635,891,350 4,475,700 651,167,050 348,832,950
I BELANJA ALAT TULIS KANTOR 68,700,000 59,540,000 - 59,540,000 9,160,000
1 ATK Workshop Audit Internal dan Tinjauan Ma 6,900,000 5,280,000 - 5,280,000 1,620,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 4,800,000 4,800,000 1,600,000

2 ATK Workshop Keselamatan Pasien 6,900,000 6,880,000 - 6,880,000 20,000


ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

3 ATK Workshop Pemahaman Standar dan Instrum 6,900,000 6,880,000 - 6,880,000 20,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

4 ATK Workshop Pendampingan Pasca Akreditasi 48,000,000 40,500,000 - 40,500,000 7,500,000


ATK (16 Pusk X 3 hr X 2 kl ) 48,000,000 40,500,000 40,500,000 7,500,000

II. BELANJA BAHAN BAKAR 40,000,000 19,223,250 - 19,223,250 20,776,750


1 BBM Perjalanan Dinas 40,000,000 19,223,250 19,223,250 20,776,750

III BELANJA PENGGANTIAN TRANSP DAN AKOMO 57,800,000 57,800,000 - 57,800,000 -


1 Transport Narasumber 3,500,000 3,500,000 3,500,000 -
2 Transportasi Workshop Audit Internal dan Tin 5,300,000 5,300,000 5,300,000 -
3 Uang Saku Workshop Audit Internal dan Tinja 14,400,000 14,400,000 14,400,000 -
4 Transportasi Workshop Keselamatan Pasien 5,300,000 5,300,000 5,300,000 -
5 Uang Saku Workshop Keselamatan Pasien 9,600,000 9,600,000 9,600,000 -
6 Transportasi Workshop Pemahaman Standar da 5,300,000 5,300,000 5,300,000
7 Uang Saku Workshop Pemahaman Standar dan I 14,400,000 14,400,000 14,400,000 -

IV BELANJA DOKUMENTASI 2,850,000 2,550,000 - 2,550,000 300,000


1 Workshop Audit Internal dan Tinjauan Manaje 150,000 150,000 150,000 -
2 Workshop Keselamatan Pasien 150,000 150,000 150,000 -
3 Workshop Pemahaman standar dan Instrumen F 150,000 150,000 150,000 -
4 Pendampingan Pasca Akreditasi 2,400,000 2,100,000 2,100,000 300,000
-
V BELANJA PROMOSI 750,000 750,000 - 750,000 -
1 Workshop Audit Internal dan Tinjauan Manaje 250,000 250,000 250,000 -
2 Workshop Keselamatan Pasien 250,000 250,000 250,000 -
3 Workshop Pemahaman standar dan Instrumen F 250,000 250,000 250,000 -

VI BELANJA JASA TENAGA AHLI/INSTRUKTUR / 225,600,000 184,870,000 - 195,670,000 29,930,000


1 Workshop Audit Inrernal dan Tinjauan Manaje 14,900,000 3,400,000 - 14,200,000 700,000
- Honor Narasumber Ahli 10,800,000 10,800,000 10,800,000 -
- Honor Narasumber Setara Eselon II 2,700,000 2,700,000 2,700,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
2 Workshop Keselamatan Pasien 10,400,000 9,700,000 - 9,700,000 700,000
- Honor Narasumber Ahli 7,200,000 7,200,000 7,200,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
3 Workshop Pemahaman Standar dan Instrumen F 27,500,000 27,500,000 - 27,500,000 -
- Honor Narasumber Ahli 24,300,000 24,300,000 24,300,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 1,400,000 1,400,000 -
4 Honor Pendamping Pasca Akreditasi 172,800,000 144,270,000 - 144,270,000 28,530,000
- Honor Tim Pendamping 172,800,000 144,270,000 144,270,000 28,530,000

VII BELANJA CETAK / PENGGANDAAN 9,600,000 9,600,000 - 9,600,000 -


1 Cetak Buku Audit Internal dan Tinjauan Manaj 3,200,000 3,200,000 3,200,000 -
2 Cetak Buku Keselamatan Pasien 3,200,000 3,200,000 3,200,000 -
3 Cetak Buku Pemahaman Standar dan Instrumen 3,200,000 3,200,000 3,200,000 -

VIII BELANJA PENGGANDAAN 49,500,000 37,471,400 4,475,700 41,947,100 7,552,900


1 Foto Copy Workshop Audit Internal dan tinjau 500,000 500,000 500,000 -
2 Foto Copy Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Foto Copy Workshop Pemahaman Standar dan I 500,000 500,000 500,000 -
4 Foto Copy Kegiatan Pendampingan Akreditasi P 48,000,000 35,971,400 4,475,700 40,447,100 7,552,900
DAFTAR SPJ
KEGIATAN : PENYUSUNAN AKREDITASI PUSKESMAS
BULAN : BBM November 2019

JUMLAH JUMLAH JUMLAH JUMLAH SPJ SISA


NO URAIAN UANG SPJ LALU SPJ S/D INI UANG
Rp Rp Rp Rp
PENYUSUNAN AKRIDETASI PUSKESMAS 1,000,000,000 640,367,050 4,520,500 655,687,550 344,312,450
I BELANJA ALAT TULIS KANTOR 68,700,000 59,540,000 - 59,540,000 9,160,000
1 ATK Workshop Audit Internal dan Tinjauan Manaj 6,900,000 5,280,000 - 5,280,000 1,620,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 4,800,000 4,800,000 1,600,000

2 ATK Workshop Keselamatan Pasien 6,900,000 6,880,000 - 6,880,000 20,000


ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

3 ATK Workshop Pemahaman Standar dan Instrumen 6,900,000 6,880,000 - 6,880,000 20,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

4 ATK Workshop Pendampingan Pasca Akreditasi 48,000,000 40,500,000 - 40,500,000 7,500,000


ATK (16 Pusk X 3 hr X 2 kl ) 48,000,000 40,500,000 40,500,000 7,500,000

II. BELANJA BAHAN BAKAR 40,000,000 19,223,250 4,520,500 23,743,750 16,256,250


1 BBM Perjalanan Dinas 40,000,000 19,223,250 4,520,500 23,743,750 16,256,250

III BELANJA PENGGANTIAN TRANSP DAN AKOMODA 57,800,000 57,800,000 - 57,800,000 -


1 Transport Narasumber 3,500,000 3,500,000 3,500,000 -
2 Transportasi Workshop Audit Internal dan Tinjau 5,300,000 5,300,000 5,300,000 -
3 Uang Saku Workshop Audit Internal dan Tinjauan 14,400,000 14,400,000 14,400,000 -
4 Transportasi Workshop Keselamatan Pasien 5,300,000 5,300,000 5,300,000 -
5 Uang Saku Workshop Keselamatan Pasien 9,600,000 9,600,000 9,600,000 -
6 Transportasi Workshop Pemahaman Standar dan I 5,300,000 5,300,000 5,300,000
7 Uang Saku Workshop Pemahaman Standar dan Inst 14,400,000 14,400,000 14,400,000 -

IV BELANJA DOKUMENTASI 2,850,000 2,550,000 - 2,550,000 300,000


1 Workshop Audit Internal dan Tinjauan Manajemen 150,000 150,000 150,000 -
2 Workshop Keselamatan Pasien 150,000 150,000 150,000 -
3 Workshop Pemahaman standar dan Instrumen FKTP 150,000 150,000 150,000 -
4 Pendampingan Pasca Akreditasi 2,400,000 2,100,000 2,100,000 300,000
-
V BELANJA PROMOSI 750,000 750,000 - 750,000 -
1 Workshop Audit Internal dan Tinjauan Manajemen 250,000 250,000 250,000 -
2 Workshop Keselamatan Pasien 250,000 250,000 250,000 -
3 Workshop Pemahaman standar dan Instrumen FKTP 250,000 250,000 250,000 -

VI BELANJA JASA TENAGA AHLI/INSTRUKTUR /NA 225,600,000 184,870,000 - 195,670,000 29,930,000


1 Workshop Audit Inrernal dan Tinjauan Manajemen 14,900,000 3,400,000 - 14,200,000 700,000
- Honor Narasumber Ahli 10,800,000 10,800,000 10,800,000 -
- Honor Narasumber Setara Eselon II 2,700,000 2,700,000 2,700,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
2 Workshop Keselamatan Pasien 10,400,000 9,700,000 - 9,700,000 700,000
- Honor Narasumber Ahli 7,200,000 7,200,000 7,200,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
3 Workshop Pemahaman Standar dan Instrumen FKTP 27,500,000 27,500,000 - 27,500,000 -
- Honor Narasumber Ahli 24,300,000 24,300,000 24,300,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 1,400,000 1,400,000 -
4 Honor Pendamping Pasca Akreditasi 172,800,000 144,270,000 - 144,270,000 28,530,000
- Honor Tim Pendamping 172,800,000 144,270,000 144,270,000 28,530,000

VII BELANJA CETAK / PENGGANDAAN 9,600,000 9,600,000 - 9,600,000 -


1 Cetak Buku Audit Internal dan Tinjauan Manajeme 3,200,000 3,200,000 3,200,000 -
2 Cetak Buku Keselamatan Pasien 3,200,000 3,200,000 3,200,000 -
3 Cetak Buku Pemahaman Standar dan Instrumen FK 3,200,000 3,200,000 3,200,000 -

VIII BELANJA PENGGANDAAN 49,500,000 41,947,100 - 41,947,100 7,552,900


1 Foto Copy Workshop Audit Internal dan tinjauan 500,000 500,000 500,000 -
2 Foto Copy Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Foto Copy Workshop Pemahaman Standar dan Inst 500,000 500,000 500,000 -
4 Foto Copy Kegiatan Pendampingan Akreditasi Pus 48,000,000 40,447,100 40,447,100 7,552,900
hy
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan Ti 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar dan I 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal dan Ti 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pasien 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Standar 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal dan 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan Pasie 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman Standar 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 155,320,000 - 155,320,000 86,180,000


1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP Versi 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 119,320,000 - 119,320,000 86,180,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 6,500,000 6,500,000 5,500,000
- Puskesmas Kumpulan 12,000,000 10,000,000 10,000,000 2,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 11,820,000 11,820,000 1,680,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 3,750,000 3,750,000 9,750,000
- Puskesmas Sip.Tonang 12,000,000 7,500,000 7,500,000 4,500,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Silayang 12,000,000 5,000,000 5,000,000 7,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 36,175,000 10,475,000 46,650,000 47,250,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 36,175,000 10,475,000 46,650,000 47,250,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 34,391,700 1,925,000 36,316,700 135,283,300
1 Perjalanan Dinas Luar Daerah 171,600,000 34,391,700 1,925,000 36,316,700 135,283,300

1,000,000,000 644,887,550 12,400,000 668,087,550 331,912,450

Lubuk Sikaping, November 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
DAFTAR SPJ
KEGIATAN : PENYUSUNAN AKREDITASI PUSKESMAS
BULAN : Perj.Dinas Dlm dan Luar bulan Nov tgl 1 s/d 16 No

JUMLAH JUMLAH
NO URAIAN UANG SPJ LALU
Rp Rp
PENYUSUNAN AKRIDETASI PUSKESMAS 1,000,000,000 644,887,550
I BELANJA ALAT TULIS KANTOR 68,700,000 59,540,000
1 ATK Workshop Audit Internal dan Tinjauan Manajemen 6,900,000 5,280,000
ATK Peserta 500,000 480,000
Seminar KIT 6,400,000 4,800,000

2 ATK Workshop Keselamatan Pasien 6,900,000 6,880,000


ATK Peserta 500,000 480,000
Seminar KIT 6,400,000 6,400,000

3 ATK Workshop Pemahaman Standar dan Instrumen FKTP 6,900,000 6,880,000


ATK Peserta 500,000 480,000
Seminar KIT 6,400,000 6,400,000

4 ATK Workshop Pendampingan Pasca Akreditasi 48,000,000 40,500,000


ATK (16 Pusk X 3 hr X 2 kl ) 48,000,000 40,500,000

II. BELANJA BAHAN BAKAR 40,000,000 23,743,750


1 BBM Perjalanan Dinas 40,000,000 23,743,750

III BELANJA PENGGANTIAN TRANSP DAN AKOMODASI 57,800,000 57,800,000


1 Transport Narasumber 3,500,000 3,500,000
2 Transportasi Workshop Audit Internal dan Tinjauan M 5,300,000 5,300,000
3 Uang Saku Workshop Audit Internal dan Tinjauan Man 14,400,000 14,400,000
4 Transportasi Workshop Keselamatan Pasien 5,300,000 5,300,000
5 Uang Saku Workshop Keselamatan Pasien 9,600,000 9,600,000
6 Transportasi Workshop Pemahaman Standar dan Inst 5,300,000 5,300,000
7 Uang Saku Workshop Pemahaman Standar dan Instrume 14,400,000 14,400,000

IV BELANJA DOKUMENTASI 2,850,000 2,550,000


1 Workshop Audit Internal dan Tinjauan Manajemen 150,000 150,000
2 Workshop Keselamatan Pasien 150,000 150,000
3 Workshop Pemahaman standar dan Instrumen FKTP Ver 150,000 150,000
4 Pendampingan Pasca Akreditasi 2,400,000 2,100,000

V BELANJA PROMOSI 750,000 750,000


1 Workshop Audit Internal dan Tinjauan Manajemen 250,000 250,000
2 Workshop Keselamatan Pasien 250,000 250,000
3 Workshop Pemahaman standar dan Instrumen FKTP Ver 250,000 250,000

VI BELANJA JASA TENAGA AHLI/INSTRUKTUR /NARASU 225,600,000 184,870,000


1 Workshop Audit Inrernal dan Tinjauan Manajemen 14,900,000 3,400,000
- Honor Narasumber Ahli 10,800,000 10,800,000
- Honor Narasumber Setara Eselon II 2,700,000 2,700,000
- Honor Moderator 1,400,000 700,000
2 Workshop Keselamatan Pasien 10,400,000 9,700,000
- Honor Narasumber Ahli 7,200,000 7,200,000
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000
- Honor Moderator 1,400,000 700,000
3 Workshop Pemahaman Standar dan Instrumen FKTP Ve 27,500,000 27,500,000
- Honor Narasumber Ahli 24,300,000 24,300,000
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000
- Honor Moderator 1,400,000 1,400,000
4 Honor Pendamping Pasca Akreditasi 172,800,000 144,270,000
- Honor Tim Pendamping 172,800,000 144,270,000

VII BELANJA CETAK / PENGGANDAAN 9,600,000 9,600,000


1 Cetak Buku Audit Internal dan Tinjauan Manajemen 3,200,000 3,200,000
2 Cetak Buku Keselamatan Pasien 3,200,000 3,200,000
3 Cetak Buku Pemahaman Standar dan Instrumen FKTP V 3,200,000 3,200,000

VIII BELANJA PENGGANDAAN 49,500,000 41,947,100


1 Foto Copy Workshop Audit Internal dan tinjauan Man 500,000 500,000
2 Foto Copy Workshop Keselamatan Pasien 500,000 500,000
3 Foto Copy Workshop Pemahaman Standar dan Instrume 500,000 500,000
4 Foto Copy Kegiatan Pendampingan Akreditasi Puskesma 48,000,000 40,447,100
hy
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKIR 2,000,000 2,000,000
1 Belanja Sewa Ruang Rapat Workshop Audit Internal dan 750,000 750,000
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pas 500,000 500,000
3 Belanja Sewa Ruang Workshop Pemahaman Standar da 750,000 750,000

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000


1 Belanja Sewa Penginapan Workshop Audit Internal dan 14,000,000 14,000,000
2 Belanja Sewa Penginapan Workshop Keselamatan Pasi 7,000,000 7,000,000
3 Belanja Sewa Penginapan Workshop Pemahaman Stand 14,000,000 14,000,000

XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000


1 Belanja Sewa Sound System WorkshopAudit Internal d 450,000 450,000
2 Belanja Sewa Sound System Workshop Keselamatan Pa 300,000 300,000
Belanja Sewa Sound Sytem Workshop Pemahaman Sta 450,000 450,000
XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 155,320,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000
- Makan 9,000,000 9,000,000
- Snack 4,500,000 4,500,000
2 Workshop Keselamatan Pasien 9,000,000 9,000,000
- Makan 6,000,000 6,000,000
- Snack 3,000,000 3,000,000
3 Workshop Pemahaman Standar dan Instrumen FKTP Ve 13,500,000 13,500,000
- Makan 9,000,000 9,000,000
- Snack 4,500,000 4,500,000
4 Makan Pendampingan Pasca Akreditasi 205,500,000 119,320,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000
- Puskesmas Simpati 12,000,000 6,500,000
- Puskesmas Kumpulan 12,000,000 10,000,000
- Puskesmas Bonjol 13,500,000 5,625,000
- Puskesmas Lubuk Sikaping 13,500,000 11,820,000
- Puskesmas Sundatar 13,500,000 11,625,000
- Puskesmas Pegang Baru 13,500,000 7,500,000
- Puskesmas Kuamang 12,000,000 5,000,000
- Puskesmas Tapus 13,500,000 7,500,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000
- Puskesmas Rao 13,500,000 11,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000
- Puskesmas Cubadak 13,500,000 3,750,000
- Puskesmas Sip.Tonang 12,000,000 7,500,000
- Puskesmas Pintu Padang 12,000,000 5,000,000
- Puskesmas Silayang 12,000,000 5,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 36,175,000


1 Perjalanan Dinas Dalam Daerah 93,900,000 36,175,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 34,391,700


1 Perjalanan Dinas Luar Daerah 171,600,000 34,391,700

1,000,000,000 644,887,550

Yang Menerima

DEFIA DONA
NIP.19801210 200701 2 003
R SPJ
ASI PUSKESMAS
bulan Nov tgl 1 s/d 16 Nov 2019

JUMLAH JUMLAH SPJ SISA


SPJ S/D INI UANG
Rp Rp
12,400,000 668,087,550 331,912,450
- 59,540,000 9,160,000
- 5,280,000 1,620,000
480,000 20,000
4,800,000 1,600,000

- 6,880,000 20,000
480,000 20,000
6,400,000 -

- 6,880,000 20,000
480,000 20,000
6,400,000 -

- 40,500,000 7,500,000
40,500,000 7,500,000

- 23,743,750 16,256,250
23,743,750 16,256,250

- 57,800,000 -
3,500,000 -
5,300,000 -
14,400,000 -
5,300,000 -
9,600,000 -
5,300,000
14,400,000 -

- 2,550,000 300,000
150,000 -
150,000 -
150,000 -
2,100,000 300,000
-
- 750,000 -
250,000 -
250,000 -
250,000 -

- 195,670,000 29,930,000
- 14,200,000 700,000
10,800,000 -
2,700,000 -
700,000 700,000
- 9,700,000 700,000
7,200,000 -
1,800,000 -
700,000 700,000
- 27,500,000 -
24,300,000 -
1,800,000 -
1,400,000 -
- 144,270,000 28,530,000
144,270,000 28,530,000

- 9,600,000 -
3,200,000 -
3,200,000 -
3,200,000 -

- 41,947,100 7,552,900
500,000 -
500,000 -
500,000 -
40,447,100 7,552,900

- 2,000,000 -
750,000 -
500,000 -
750,000 -

- 35,000,000 -
14,000,000 -
7,000,000 -
14,000,000 -
-
- 1,200,000 -
450,000 -
300,000 -
450,000 -
- 155,320,000 86,180,000
- 13,500,000 -
9,000,000 -
4,500,000 -
- 9,000,000 -
6,000,000 -
3,000,000 -
- 13,500,000 -
9,000,000 -
4,500,000 -
- 119,320,000 86,180,000
11,250,000 2,250,000
6,500,000 5,500,000
10,000,000 2,000,000
5,625,000 7,875,000
11,820,000 1,680,000
11,625,000 1,875,000
7,500,000 6,000,000
5,000,000 7,000,000
7,500,000 6,000,000
7,500,000 6,000,000
11,250,000 2,250,000
2,500,000 9,500,000
3,750,000 9,750,000
7,500,000 4,500,000
5,000,000 7,000,000
5,000,000 7,000,000

10,475,000 46,650,000 47,250,000


10,475,000 46,650,000 47,250,000

1,925,000 36,316,700 135,283,300


1,925,000 36,316,700 135,283,300

12,400,000 668,087,550 331,912,450

Lubuk Sikaping, November 2019


PPTK

HIKMAH RIDHA .SKM.M.Kes


NIP.19761227 200012 2 003
DAFTAR SPJ
KEGIATAN : PENYUSUNAN AKREDITASI PUSKESMAS
BULAN : Makmin Cubadak Tgl 7 dan 14 November 2019

JUMLAH JUMLAH JUMLAH JUMLAH SPJ SISA


NO URAIAN UANG SPJ LALU SPJ S/D INI UANG
Rp Rp Rp Rp
PENYUSUNAN AKRIDETASI PUSKESMAS 1,000,000,000 657,287,550 3,750,000 671,837,550 328,162,450
I BELANJA ALAT TULIS KANTOR 68,700,000 59,540,000 - 59,540,000 9,160,000
1 ATK Workshop Audit Internal dan Tinjauan Manajem 6,900,000 5,280,000 - 5,280,000 1,620,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 4,800,000 4,800,000 1,600,000

2 ATK Workshop Keselamatan Pasien 6,900,000 6,880,000 - 6,880,000 20,000


ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

3 ATK Workshop Pemahaman Standar dan Instrumen FK 6,900,000 6,880,000 - 6,880,000 20,000
ATK Peserta 500,000 480,000 480,000 20,000
Seminar KIT 6,400,000 6,400,000 6,400,000 -

4 ATK Workshop Pendampingan Pasca Akreditasi 48,000,000 40,500,000 - 40,500,000 7,500,000


ATK (16 Pusk X 3 hr X 2 kl ) 48,000,000 40,500,000 40,500,000 7,500,000

II. BELANJA BAHAN BAKAR 40,000,000 23,743,750 - 23,743,750 16,256,250


1 BBM Perjalanan Dinas 40,000,000 23,743,750 23,743,750 16,256,250

III BELANJA PENGGANTIAN TRANSP DAN AKOMODASI 57,800,000 57,800,000 - 57,800,000 -


1 Transport Narasumber 3,500,000 3,500,000 3,500,000 -
2 Transportasi Workshop Audit Internal dan Tinjauan 5,300,000 5,300,000 5,300,000 -
3 Uang Saku Workshop Audit Internal dan Tinjauan M 14,400,000 14,400,000 14,400,000 -
4 Transportasi Workshop Keselamatan Pasien 5,300,000 5,300,000 5,300,000 -
5 Uang Saku Workshop Keselamatan Pasien 9,600,000 9,600,000 9,600,000 -
6 Transportasi Workshop Pemahaman Standar dan Ins 5,300,000 5,300,000 5,300,000
7 Uang Saku Workshop Pemahaman Standar dan Instru 14,400,000 14,400,000 14,400,000 -

IV BELANJA DOKUMENTASI 2,850,000 2,550,000 - 2,550,000 300,000


1 Workshop Audit Internal dan Tinjauan Manajemen 150,000 150,000 150,000 -
2 Workshop Keselamatan Pasien 150,000 150,000 150,000 -
3 Workshop Pemahaman standar dan Instrumen FKTP V 150,000 150,000 150,000 -
4 Pendampingan Pasca Akreditasi 2,400,000 2,100,000 2,100,000 300,000
-
V BELANJA PROMOSI 750,000 750,000 - 750,000 -
1 Workshop Audit Internal dan Tinjauan Manajemen 250,000 250,000 250,000 -
2 Workshop Keselamatan Pasien 250,000 250,000 250,000 -
3 Workshop Pemahaman standar dan Instrumen FKTP V 250,000 250,000 250,000 -

VI BELANJA JASA TENAGA AHLI/INSTRUKTUR /NARA 225,600,000 184,870,000 - 195,670,000 29,930,000


1 Workshop Audit Inrernal dan Tinjauan Manajemen 14,900,000 3,400,000 - 14,200,000 700,000
- Honor Narasumber Ahli 10,800,000 10,800,000 10,800,000 -
- Honor Narasumber Setara Eselon II 2,700,000 2,700,000 2,700,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
2 Workshop Keselamatan Pasien 10,400,000 9,700,000 - 9,700,000 700,000
- Honor Narasumber Ahli 7,200,000 7,200,000 7,200,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 700,000 700,000 700,000
3 Workshop Pemahaman Standar dan Instrumen FKTP V 27,500,000 27,500,000 - 27,500,000 -
- Honor Narasumber Ahli 24,300,000 24,300,000 24,300,000 -
- Honor Narasumber Setara Eselon II 1,800,000 1,800,000 1,800,000 -
- Honor Moderator 1,400,000 1,400,000 1,400,000 -
4 Honor Pendamping Pasca Akreditasi 172,800,000 144,270,000 - 144,270,000 28,530,000
- Honor Tim Pendamping 172,800,000 144,270,000 144,270,000 28,530,000

VII BELANJA CETAK / PENGGANDAAN 9,600,000 9,600,000 - 9,600,000 -


1 Cetak Buku Audit Internal dan Tinjauan Manajemen 3,200,000 3,200,000 3,200,000 -
2 Cetak Buku Keselamatan Pasien 3,200,000 3,200,000 3,200,000 -
3 Cetak Buku Pemahaman Standar dan Instrumen FKTP 3,200,000 3,200,000 3,200,000 -

VIII BELANJA PENGGANDAAN 49,500,000 41,947,100 - 41,947,100 7,552,900


1 Foto Copy Workshop Audit Internal dan tinjauan Ma 500,000 500,000 500,000 -
2 Foto Copy Workshop Keselamatan Pasien 500,000 500,000 500,000 -
3 Foto Copy Workshop Pemahaman Standar dan Instru 500,000 500,000 500,000 -
4 Foto Copy Kegiatan Pendampingan Akreditasi Puskes 48,000,000 40,447,100 40,447,100 7,552,900
hy
IX BELANJA SEWA RUMAH /GEDUNG/GU 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Aud 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Ke 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemaha 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Aud 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Ke 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop P 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANT 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAu 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 159,070,000 2,500,000 161,570,000 79,930,000
1 Workshop Audit Internal dan Tinjauan 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Ins 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 123,070,000 2,500,000 125,570,000 79,930,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 6,500,000 6,500,000 5,500,000
- Puskesmas Kumpulan 12,000,000 10,000,000 10,000,000 2,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 11,820,000 11,820,000 1,680,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Sip.Tonang 12,000,000 7,500,000 7,500,000 4,500,000
- Puskesmas Pintu Padang 12,000,000 5,000,000 2,500,000 7,500,000 4,500,000
- Puskesmas Silayang 12,000,000 5,000,000 5,000,000 7,000,000

XII BELANJA PERJALANAN DINAS (Dalam D 93,900,000 46,650,000 - 46,650,000 47,250,000


1 Perjalanan Dinas Dalam Daerah 93,900,000 46,650,000 46,650,000 47,250,000

XII BELANJA PERJALANAN DINAS LUAR DA 171,600,000 36,316,700 - 36,316,700 135,283,300


1 Perjalanan Dinas Luar Daerah 171,600,000 36,316,700 36,316,700 135,283,300

1,000,000,000 662,567,550 2,500,000 675,867,550 324,132,450

Lubuk Sikaping, November 2019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKI 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan P 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal d 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pa 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Sta 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Interna 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman S 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 161,570,000 2,500,000 164,070,000 77,430,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 125,570,000 2,500,000 128,070,000 77,430,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 6,500,000 6,500,000 5,500,000
- Puskesmas Kumpulan 12,000,000 10,000,000 10,000,000 2,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 11,820,000 11,820,000 1,680,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Sip.Tonang 12,000,000 7,500,000 7,500,000 4,500,000
- Puskesmas Pintu Padang 12,000,000 7,500,000 7,500,000 4,500,000
- Puskesmas Silayang 12,000,000 5,000,000 2,500,000 7,500,000 4,500,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 46,650,000 - 46,650,000 47,250,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 46,650,000 46,650,000 47,250,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 36,316,700 - 36,316,700 135,283,300
1 Perjalanan Dinas Luar Daerah 171,600,000 36,316,700 36,316,700 135,283,300

1,000,000,000 665,067,550 2,500,000 678,367,550 321,632,450

Lubuk Sikaping, Desember F1042019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARKI 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal d 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan Pa 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar d 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal da 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pas 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Stan 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Internal 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan P 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman St 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 164,070,000 2,500,000 166,570,000 74,930,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP V 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 128,070,000 2,500,000 130,570,000 74,930,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 6,500,000 6,500,000 5,500,000
- Puskesmas Kumpulan 12,000,000 10,000,000 10,000,000 2,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 11,820,000 11,820,000 1,680,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 9,500,000
- Puskesmas Cubadak 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Sip.Tonang 12,000,000 7,500,000 7,500,000 4,500,000
- Puskesmas Pintu Padang 12,000,000 7,500,000 7,500,000 4,500,000
- Puskesmas Silayang 12,000,000 7,500,000 2,500,000 10,000,000 2,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 46,650,000 - 46,650,000 47,250,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 46,650,000 46,650,000 47,250,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 36,316,700 - 36,316,700 135,283,300
1 Perjalanan Dinas Luar Daerah 171,600,000 36,316,700 36,316,700 135,283,300

1,000,000,000 667,567,550 2,500,000 680,867,550 319,132,450

Lubuk Sikaping, Desember F1042019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
IX BELANJA SEWA RUMAH /GEDUNG/GUDANG/PARK 2,000,000 2,000,000 - 2,000,000 -
1 Belanja Sewa Ruang Rapat Workshop Audit Internal 750,000 750,000 750,000 -
2 Belanja Sewa Ruang Rapat Workshop Keselamatan P 500,000 500,000 500,000 -
3 Belanja Sewa Ruang Workshop Pemahaman Standar 750,000 750,000 750,000 -

X BELANJA SEWA PENGINAPAN HOTEL 35,000,000 35,000,000 - 35,000,000 -


1 Belanja Sewa Penginapan Workshop Audit Internal 14,000,000 14,000,000 14,000,000 -
2 Belanja Sewa Penginapan Workshop Keselamatan Pa 7,000,000 7,000,000 7,000,000 -
3 Belanja Sewa Penginapan Workshop Pemahaman Sta 14,000,000 14,000,000 14,000,000 -
-
XI BELANJAN SEWA PERLENGKAPAN KANTOR 1,200,000 1,200,000 - 1,200,000 -
1 Belanja Sewa Sound System WorkshopAudit Interna 450,000 450,000 450,000 -
2 Belanja Sewa Sound System Workshop Keselamatan 300,000 300,000 300,000 -
Belanja Sewa Sound Sytem Workshop Pemahaman S 450,000 450,000 450,000 -

XII MAKANAN DAN MINUMAN KEGIATAN 241,500,000 166,570,000 2,500,000 169,070,000 72,430,000
1 Workshop Audit Internal dan Tinjauan Manajemen 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
2 Workshop Keselamatan Pasien 9,000,000 9,000,000 - 9,000,000 -
- Makan 6,000,000 6,000,000 6,000,000 -
- Snack 3,000,000 3,000,000 3,000,000 -
3 Workshop Pemahaman Standar dan Instrumen FKTP 13,500,000 13,500,000 - 13,500,000 -
- Makan 9,000,000 9,000,000 9,000,000 -
- Snack 4,500,000 4,500,000 4,500,000 -
4 Makan Pendampingan Pasca Akreditasi 205,500,000 130,570,000 2,500,000 133,070,000 72,430,000
- Puskesmas Ladang Panjang 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Simpati 12,000,000 6,500,000 6,500,000 5,500,000
- Puskesmas Kumpulan 12,000,000 10,000,000 10,000,000 2,000,000
- Puskesmas Bonjol 13,500,000 5,625,000 5,625,000 7,875,000
- Puskesmas Lubuk Sikaping 13,500,000 11,820,000 11,820,000 1,680,000
- Puskesmas Sundatar 13,500,000 11,625,000 11,625,000 1,875,000
- Puskesmas Pegang Baru 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Kuamang 12,000,000 5,000,000 5,000,000 7,000,000
- Puskesmas Tapus 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Lansat Kadap 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Rao 13,500,000 11,250,000 11,250,000 2,250,000
- Puskesmas Koto Rajo 12,000,000 2,500,000 2,500,000 5,000,000 7,000,000
- Puskesmas Cubadak 13,500,000 7,500,000 7,500,000 6,000,000
- Puskesmas Sip.Tonang 12,000,000 7,500,000 7,500,000 4,500,000
- Puskesmas Pintu Padang 12,000,000 7,500,000 7,500,000 4,500,000
- Puskesmas Silayang 12,000,000 10,000,000 10,000,000 2,000,000

XII BELANJA PERJALANAN DINAS (Dalam Daerah) 93,900,000 46,650,000 - 46,650,000 47,250,000
1 Perjalanan Dinas Dalam Daerah 93,900,000 46,650,000 46,650,000 47,250,000

XII BELANJA PERJALANAN DINAS LUAR DAERAH 171,600,000 36,316,700 - 36,316,700 135,283,300
1 Perjalanan Dinas Luar Daerah 171,600,000 36,316,700 36,316,700 135,283,300

1,000,000,000 670,067,550 2,500,000 683,367,550 316,632,450

Lubuk Sikaping, Desember F1042019


Yang Menerima PPTK

DEFIA DONA HIKMAH RIDHA .SKM.M.Kes


NIP.19801210 200701 2 003 NIP.19761227 200012 2 003
DAFTAR SPJ

KEGIATAN : BOK
BULAN : Maret 2020
UNIT KERJA : PUSKESMAS TAPUS

JUMLAH JUMLAH JUMLAH JUMLAH SPJ SISA


NO URAIAN UANG SPJ LALU SPJ S/D INI UANG
Rp Rp Rp Rp
I ATK Operasional
- Puskesmas Tapus 35,000,000 2,900,000 2,900,000 5,800,000 29,200,000
- -
II BBM
- Puskesmas Tapus 3,925,000 - 3,925,000
- -
III BELANJA PERSEDIAAN MAKANAN POKOK
- Puskesmas Tapus 5,000,000 - 5,000,000
- -
IV PENGANTIAN TRANSPORT
Program/Kegiatan Tapus - -
- Transpor 25,000,000 7,700,000 8,580,000 16,280,000 8,720,000
- Uang Saku 37,500,000 - 37,500,000
- Pengantian Transport tenaga Kontrak 109,646,000 109,646,000

V HONORARIUM TANAGA AHLI/NARASUMBER


- Puskesmas Tapus 7,500,000 - 7,500,000

VI HONORARIUM TANAGA KONTRAK BOK


- Puskesmas Tapus 48,000,000 - 48,000,000
- -
VII CETAK
- Puskesmas Tapus 8,840,000 - 8,840,000
- -
VIII BELANJA PENGANDAAN / FOTO COPY
- Puskesmas Tapus 30,700,000 - 30,700,000
- -
IX BELANJA MAKANAN DAN MINUMAN
Makan 17,500,000 962,500 2,187,500 3,150,000 14,350,000
Snack 7,500,000 412,500 937,500 1,350,000 6,150,000

X BELANJA PERJALANAN DINAS DALAM DAERAH


- Puskesmas Tapus 15,250,000 - 15,250,000
- -
Pengantian Transportasi - -
- Puskesmas Tapus 298,610,000 80,140,000 11,680,000 91,820,000 298,610,000
649,971,000 92,115,000 26,285,000 118,400,000 531,571,000

Lubuk Sikaping, Maret 2020


Yang Menerima Pimpinan Puskesmas Tapus

SYAHRENI, SKM dr. PUTRI YOLANDA IMBRA


NIP.19790106 200604 2 012 NIP.19820705 200803 2 001

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