Nomor Cek/Giro NO BK

GGF 937 551 37,445,932.00 790/4-2018

GGF 939 529 14,915,855.00 850/9-2018

CFZ 700 146 4,199,681.00 1367/11-2018

GGF 940 735 56,736,000.00 153-154/12-2018

GGF 940 599 21,098,700.00 577/12-2018

CFZ 700 310 697,725.00 22/1-2019

GGF 941 380 6,447,273.00 197/1-2019

GGF 941 390 52,697,500.00 212-213/1-2019

CFZ 700 786 4,595,971.00 226/1-2019

CFZ 700 787 4,875,750.00 227/1-2019

CFZ 700 788 3,152,000.00 228/1-2019

CFZ 700 792 7,823,362.00 232/1-2019

CFZ 700 717 1,750,000.00 90-91/1-2019

CFZ 700 718 3,063,624.00 92-93/1-2019

CFZ 700 844 780,000.00 145/1-2019

CFZ 700 834 34,295,983.00 123-129/1-2019

CFZ 700 890 12,290,800.00 237-238/1-2019

GGF 940 694 20,228,091.00 181/1-2019

CFZ 700 363 2,793,000.00 183/1-2019

GGF 941 407 22,968,409.00 269/1-2019

GGF 941 411 36,265,909.00 273/1-2019

GGF 941 416 27,087,500.00 278/1-2019

GGF 941 419 9,308,250.00 281/1-2019

GGF 941 429 76,533,967.00 310-311/1-2019

CFZ 700 901 7,232,288.50 336/1-2019

CFZ 700 902 5,584,950.00 337/1-2019

CFZ 700 904 1,343,864.00 339/1-2019

CFZ 700 905 1,197,273.00 340/1-2019

CFZ 700 907 7,570,710.00 342/1-2019

CFZ 700 908 1,891,200.00 343/1-2019

CFZ 700 911 4,081,481.00 346/1-2019

CFZ 700 225 6,452,500.00 369/1-2019

CFZ 700 274 6,019,719.00 376/1-2019

GGF 940 775 35,078,805.00 377/1-2019

GGF 941 271 89,689,930.00 381-383/1-2019

GGF 941 272 98,785,616.00 384-387/1-2019

GGF 941 242 217,931,250.00 428-434/1-2019

GGF 941 243 15,070,500.00 435/1-2019

GGF 941 246 13,740,750.00 438/1-2019

GGF 941 248 16,843,500.00 440/1-2019

GGF 941 250 19,777,815.00 442/1-2019

GGF 941 187 30,178,210.00 443/1-2019

CFZ 700 189 3,856,275.00 444/1-2019

CFZ 700 269 15,220,000.00 468/1-2019

CFZ 700 750 3,134,091.00 456/1-2019

GGF 940 643 18,067,584.00 459/1-2019

GGF 940 645 21,437,256.00 461/1-2019

GGF 940 648 13,790,000.00 465/1-2019

GGF 940 650 22,939,222.00 467/1-2019

GGF 939 549 14,477,272.00 513/1-2019

CFZ 700 147 8,450,000.00 515/1-2019

GGF 940 897 295,500,000.00 509-510/1-2019

GGF 940 899 500,000,000.00 512/1-2019

GGF 940 900 28,018,205.00 512/1-2019

GGF 941 294 14,141,018.00 477-478/1-2019

GGF 941 299 59,947,100.00 494-495/1-2019

GGF 939 524 368,808,146.66 519-527/1-2019

GGF 939 525 365,319,716.31 528-537/1-2019

CFZ 700 938 420,000.00 586/1-2019

CFZ 700 926 822,240.00 563-564/1-2019

CFZ 700 927 100,000.00 565/1-2019

CFZ 700 929 2,409,750.00 567/1-2019

CFZ 700 934 191,953,942.00 577-579/1-2019

CFZ 700 935 964,200.00 580/1-2019

CFZ 700 937 20,151,314.00 583/1-2019

GGF 941 189 13,387,997.00 550/1-2019

GGF 941 190 39,061,406.00 551/1-2019

GGF 941 192 16,753,372.00 553/1-2019

GGF 941 194 27,304,200.00 555/1-2019

CFZ 700 367 7,092,000.00 558/1-2019

CFZ 700 368 892,874.00 559/1-2019

CFZ 700 369 3,137,225.00 560/1-2019

CFZ 700 371 8,000,662.00 562/1-2019

CFZ 700 973 596,000.00 660/1-2019

CFZ 700 974 44,800,000.00 661/1-2019

GGF 940 625 41,209,000.00 596/1-2019

CFZ 700 951 561,440.00 597/1-2019

CFZ 700 952 698,820.00 598/1-2019

CFZ 700 954 50,225,000.00 608/1-2019

CFZ 700 957 59,006,457.89 628/1-2019

CFZ 700 958 86,249,953.00 629/1-2019

CFZ 700 961 221,328,311.00 637-640/1-2019

CFZ 700 963 22,805,825.00 642-644/1-2019

CFZ 700 964 11,191,234.00 645-646/1-2019

CFZ 700 965 38,485,820.00 647-648/1-2019

CFZ 700 966 45,128,098.00 649-650/1-2019

CFZ 700 967 3,213,131.00 651/1-2019

CFZ 700 969 3,220,425.00 654/1-2019

CFZ 700 970 7,573,792.00 655/1-2019

 KARTU PENGAWASAN PENGELUARN RM RUMKIT TK III WIJAYAKUSUMA
BULAN JUNI 2021

No AKUN URAIAN BRUTO PPN PPH 22 PPH 23 PPH 21 JUMLAH

PAJAK

1-Jun
1 51…. Gaji PNS bl Juni 2021 457,069,818 370 370
2 51…. Gaji TNI bl Juni 2021 228,944,867 144,655 144,655
-
2-Jun -
-
Tunkin TNI bulan Mei -
Tunkin PNS bulan Mei -
-
6-Jun -
Gaji PNS ke-13 2021 448,458,160 796,660 796,660
Gaji TNI k-13 2021 163,684,660 2,019,760 2,019,760
UM Pns bulan Mei 73,516,000 2,531,700 2,531,700
-
-

JUMLAH 1,371,673,505 - - - 5,493,145 5,493,145

NETTO

457,069,448
228,800,212
-
-
-
-
-
-
-
447,661,500
161,664,900
70,984,300
-
-

1,366,180,360
 BLU
KARTU PENGAWASAN PENGELUARN BLU RUMKIT TK III WIJAYAKUSUMA
BULAN JUNI 2021

BK Akun Uraian Bruto Ppn PPh 22 PPh 23 PPh 21 Jumlah Pajak Netto

31 Mei
- -
1 525112 Koperasi Pembayaran Snak Extra fooding tgl 8 sd 14/4/21 12,399,650 1,127,241 169,086 1,296,327 11,103,323
2 525112 Koperasi Pembayaran Snak Extra fooding tgl 15 sd 21/4/21 21,681,500 1,971,045 295,657 2,266,702 19,414,798
3 525112 Koperasi Pembayaran Bahan Makanan u Umum tgl 8 sd 14/4/21 1,010,000 - 1,010,000
4 525112 Koperasi Pembayaran Bahan Makanan u BPJS tgl 8 sd 14/4/21 23,135,000 2,103,182 315,477 2,418,659 20,716,341
5 525112 Koperasi Pembayaran Bahan Makanan u Umum tgl 15 sd 21/4/21 1,739,000 - 1,739,000
6 525112 Koperasi Pembayaran Bahan Makanan u BPJS tgl 15 sd 21/4/21 24,964,000 2,269,455 340,418 2,609,873 22,354,127
7 525152 Koperasi dukungan Snak Extra fooding petugas Covid 19 tgl 1 sd 31/3/21 1,904,500 - 1,904,500
8 525152 Koperasi dukungan Snak Extra fooding petugas Covid 19 tgl 8 sd 14/4/21 1,564,000 - 1,564,000
9 525152 Koperasi dukungan Snak Extra fooding petugas Covid 19 tgl 15 sd 21/4/21 6,900,000 - 6,900,000
- -
10 525153 PT. ENSEVAL yar Bekkes F 121001125 tgl 07/01/2021 38,700,000 - 38,700,000
11 525153 PT. ENSEVAL yar Bekkes F 121003791 tgl 18/01/2021 38,700,000 - 38,700,000
12 525153 PT. ENSEVAL yar Bekkes F 121004381 tgl 19/01/2021 36,000,000 - 36,000,000
13 525153 PT. ENSEVAL yar Bekkes F 121003792 tgl 18/01/2021 38,700,000 - 38,700,000
BPJS - -
14 525111 Gaji PPNPN Mei 2021 359,428,000 34,967,500 34,967,500 324,460,500
- -
4 Juni - -
- -
15 525113 Jasa Dokter pasien umum Mei 2021 & BPJS Apr 2021 804,853,618 47,278,720 47,278,720 757,574,898
16 525113 Jasa Paramedis ( Instalasi Rawat Inap ) pasien umum Mei 2021 19,020,250 110,281 110,281 18,909,969
17 525113 Jasa Paramedis ( Instalasi Rawat Jalan ) pasien umum Mei 2021 20,827,449 205,841 205,841 20,621,608
18 525113 Jasa Paramedis ( Instalasi Penunjang ) pasien umum Mei 2021 23,095,840 223,789 223,789 22,872,051
19 525113 Jasa Staf Watlan, Watnap, Pengentri pasien umum Mei 2021 2,016,463 77,301 77,301 1,939,162
20 525113 Insentif Ka Instal Watnap & Ka Instal Watlan Umum pasien umum Mei 2021 455,064 68,260 68,260 386,804
21 525113 Jasa Ka Instal IGD Umum pasien umum Mei 2021 475,253 71,288 71,288 403,965
22 525113 Jasa Pengelola Instalasi Farmasi pasien umum Mei 2021 6,028,400 74,149 74,149 5,954,251
23 525113 Jasa Staf Instalasi Farmasi pasien umum Mei 2021 11,195,600 40,864 40,864 11,154,736
24 525113 Honor Pembimbing Mei 2021 Bulan Mei 2021 13,404,500 715,077 715,077 12,689,423
25 525113 Jasa Akuntansi Bulan Mei 2021 500,000 - 500,000
26 525113 Komite Medik Bulan Mei 2021 1,400,000 210,000 210,000 1,190,000
27 525113 Jasa Marketing Bulan Mei 2021 1,200,000 - 1,200,000
28 525113 Jasa Jaga IGD Bulan Mei 2021 14,400,000 - 14,400,000
29 525113 Uang Transportasi Bulan Mei 2021 5,650,000 - 5,650,000
30 525113 Jasa Penanggungjawab Radiologi Bulan Mei 2021 3,500,000 175,000 175,000 3,325,000
31 525113 Jasa Penanggungjawab Laboratorium Bulan Mei 2021 2,000,000 50,000 50,000 1,950,000
32 525113 Jasa Penanggungjawab Ruangan RI Bulan Mei 2021 2,250,000 - - 2,250,000
33 525113 Insentif Non Paramedis Bulan Mei 2021 246,041,321 2,442,196 2,442,196 243,599,125
34 525113 Jasa Paramedis ( Instalasi Rawat Inap ) pasien BPJS April 2021 210,056,574 1,054,763 1,054,763 209,001,811
35 525113 Jasa Paramedis ( Instalasi Rawat Jalan ) pasien BPJS April 2021 230,774,062 2,231,303 2,231,303 228,542,759
36 525113 Jasa Paramedis ( Instalasi Penunjang ) pasien BPJS April 2021 88,242,324 803,291 803,291 87,439,033
37 525113 Jasa Staf Watlan, Watnap, Pengentri pasien BPJS April 2021 26,527,141 1,269,091 1,269,091 25,258,050
38 525113 Insentif Ka Instal Watnap & Ka Instal Watlan BPJS pasien BPJS April 2021 5,037,035 755,556 755,556 4,281,479
39 525113 Jasa Ka Instal IGD BPJS pasien BPJS April 2021 1,667,239 250,086 250,086 1,417,153
40 525113 Jasa Pengelola Instalasi Farmasi pasien BPJS April 2021 35,774,550 440,027 440,027 35,334,523
41 525113 Jasa Staf Instalasi Farmasi pasien BPJS April 2021 65,938,450 230,785 230,785 65,707,665
42 525113 Jasa Fismed Bulan Mei 2021 2,000,000 - 2,000,000
43 525113 Tunjangan Bahaya Radiasi Bulan Mei 2021 5,500,000 - 5,500,000
44 525113 Insentif SPI Bulan Mei 2021 4,716,547 459,863 459,863 4,256,684
45 525113 Pengelola BPJS pasien BPJS April 2021 87,358,940 2,068,769 2,068,769 85,290,171
46 525113 Honor Pengelola BLU Bulan Mei 2021 384,147,738 32,748,594 32,748,594 351,399,144
- -
8 Juni - -
- -
47 525121 CV Satria Muda Yar Bekkes F 18/FP/SM tgl 18/05/2021 44,880,000 4,080,000 612,000 4,692,000 40,188,000
48 525121 CV Satria Muda Yar Bekkes F 19/FP/SM tgl 19/05/2021 44,044,000 4,004,000 600,600 4,604,600 39,439,400
49 525121 CV Satria Muda Yar Bekkes F 20/FP/SM tgl 21/05/2021 45,485,000 4,135,000 620,250 4,755,250 40,729,750
- -
9 Juni - -
50 525113 Biaya listrik bulan Mei 83,696,328 - 83,696,328
51 525113 Biaya Telp bulan Mei 2,739,558 - 2,739,558
52 525121 CV. Trinity Centraal ATK bulan Mei 2021 12,585,000 1,144,091 171,614 1,315,705 11,269,295
- -
10 Juni - -
53 525153 PT Pasitama Bekkes F. 21030019 tgl 15/03/2021 22,050,000 - 22,050,000
- -
54 525121 PT Sms Sinar mandiri sejahtera Bekkes F.'03-2521 tgl 25/03/2021 22,616,000 2,056,000 308,400 2,364,400 20,251,600
- -
55 525121 UD Caryamas gas medik F. 80419062 tgl 16/01/2021 19,770,300 1,797,300 269,595 2,066,895 17,703,405
56 525121 UD Caryamas gas medik F.80419075 tgl 10/02/2021 24,284,700 2,207,700 331,155 2,538,855 21,745,845
57 525121 UD Caryamas gas medik F.80419084 tgl 08/03/2021 26,225,100 2,384,100 357,615 2,741,715 23,483,385
58 525121 UD Caryamas gas medik F 80419087 tgl 29/03/2021 26,868,600 2,442,600 366,390 2,808,990 24,059,610
- -
59 525121 PT Sarana Maju Sentosa Bekkes F.21.PT/.SMS/10000204 tgl 21/01/2021 17,924,500 1,629,500 244,425 1,873,925 16,050,575
60 525121 PT Sarana Maju Sentosa Bekkes F.21.PT/.SMS/10000400 tgl 15/02/2021 24,772,000 2,252,000 337,800 2,589,800 22,182,200
- -
61 525121 PT AMS Bekkes F. INVPWK210203041, 3042, 3065, 3107, 3326, 4126, 4349, 28,758,376 2,614,398 392,160 3,006,558 25,751,818
4350, 4351, 4414 tgl 19, 22, 26, 27/02/2021
62 525121 PT AMS Bekkes F. INVPWK210200097, 1187, 1401, 1714 tgl 1, 8, 9, 10/02/2021 15,496,173 1,408,743 211,311 1,620,054 13,876,119
- -
63 525121 PT Tiara Kencana Bekkes F. 21/PWK00270, 0280, 0284 tgl 16/02/2021 7,183,055 653,005 97,951 750,956 6,432,099
64 525121 PT Tiara Kencana Bekkes F. 21/PWK00269, 0278, 0338, 0339, 0353, 0372 tgl 16, 37,518,740 3410795 511619 3,922,414 33,596,326
25, 26, 27/02/2021
- -
65 525121 PT BCA Bekkes F. 21P8648 tgl 15/01/2021 hd 32,670,000 2,970,000 445,500 3,415,500 29,254,500
66 525121 PT BCA Bekkes F. 21P8675 tgl 20/01/2021 hd 49,549,500 4,504,500 675,675 5,180,175 44,369,325
67 525121 PT BCA Bekkes F. 21P8676 tgl 20/01/2021 hd 10,631,500 966,500 144,975 1,111,475 9,520,025
68 525121 PT BCA Bekkes F. 21P8605 tgl 08/01/2021 hd 47,520,000 4,320,000 648,000 4,968,000 42,552,000
- -
69 525121 PT APL Bekkes F.00535, 0093 tgl 25/01/2021 43,739,795 3,976,345 596,452 4,572,797 39,166,998
70 525121 PT APL Bekkes F.0151, 1350 tgl 25, 27/01/2021 36,584,200 3,325,836 498,876 3,824,712 32,759,488
- -
71 525121 PT Pasitama Bekkes F. 21020011 tgl 03/02/2021 hd 11,660,000 1,060,000 159,000 1,219,000 10,441,000
72 525121 PT Pasitama Bekkes F. 21020012 tgl 03/02/2021 hd 10,494,000 954,000 143,100 1,097,100 9,396,900
- -
73 525121 CV Bio Bekkes F.2103048 tgl 15/03/2021 19,013,500 1,728,500 259,275 1,987,775 17,025,725
- -
74 525121 PT Tri sapta jaya obat no f.12116002973, 3882, 4101, 5748 tgl 30/1, 8, 10, 21,720,820 1,974,620 296,193 2,270,813 19,450,007
26/02/2021
75 525121 PT Tri sapta jaya obat no f.12116002676, 2677 tgl 28/01/2021 39,576,350 3,597,850 539,678 4,137,528 35,438,822
- -
76 525121 PT Edison Bekkes F. 0262, tgl 01/03/2021 5,209,776 473,616 71,042 544,658 4,665,118
- -
77 525121 PT. MERAPI Bekkes F. 2335, 2810, 3025, 3075 tgl 15, 23, 26, 27/02/2021 3,958,449 359,859 53,979 413,838 3,544,611
78 525121 PT Merapi Utama pharma Bekkes F.2337, 2675, 2752, 3082, 3087, 3102 tgl 15, 4,621,576 39,584,806
19, 22, 27/02/2021 44,206,382 4,018,762 602,814
- -
79 525121 PT MSM F. 057 - 059 tgl 2/02/2021 34,334,572 3,121,325 468,199 3,589,524 30,745,048
80 525121 PT MSM F.054 tgl 02/02/2021 43,214,386 3,928,581 589,287 4,517,868 38,696,518
- -
81 525121 PT Kimia Farma Bekkes F. 2803991150, 3916 Tgl 27/02/2021 49,912,091 4,537,463 680,619 5,218,082 44,694,009
82 525121 PT Kimia Farma Bekkes F. 2803985451, 91148 Tgl 25, 27/02/2021 42,148,026 3,831,639 574,746 4,406,385 37,741,641
83 525121 PT Kimia Farma Bekkes F. 2804082645 Tgl 31/03/2021 49,200,030 4,472,730 670,910 5,143,640 44,056,390
84 525121 PT Kimia Farma Bekkes F. 2804023566, 77586, 78267, 79008, 82144, 85152 Tgl 49,926,525 4,538,775 680,816 5,219,591 44,706,934
12, 30, 31/03/2021
- -
85 525121 PT Cobra Dental Bekkes F. C023.57007 tgl 11/05/2021 1,007,500 - 1,007,500
- -
86 525121 PT BSP Bekkes F. FKPWT/202102/00587, 00588, 02648 tgl 2, 8/02/2021 48,378,330 4,398,030 659,705 5,057,735 43,320,595
87 525153 PT BSP Bekkes F. FKPWT/202102/02652 tgl 08/02/2021 918,000 - 918,000
88 525121 PT BSP Bekkes F. FKPWT/202102/04327, 4328 tgl 15/02/2021 36,203,640 3,291,240 493,686 3,784,926 32,418,714
89 525121 PT BSP Bekkes F. FKPWT/202102/04344, 4345 tgl 15/02/2021 47,388,000 4,308,000 646,200 4,954,200 42,433,800
- -
90 525121 PT AAM Bekkes F.461221003458, 3459, 3460, 3540 tgl 4, 5/02/2021 47,757,936 4,341,629 651,245 4,992,874 42,765,062
91 525121 PT AAM Bekkes F.461221005612, 5841 tgl 26, 27/02/2021 17,927,899 1,629,808 244,471 1,874,279 16,053,620
92 525121 PT AAM Bekkes F.461221004873, 4874, 4875 tgl 18/02/2021 34,293,700 3,117,609 467,641 3,585,250 30,708,450
93 525121 PT AAM Bekkes F.461221003738, 4377, 4800, 4872 tgl 8, 15, 18/02/2021 45,426,001 4,129,636 619,445 4,749,081 40,676,920
- -
94 525121 PT Rajawali bekkes FKT/PWK/2021/00002301, 2265, 2263 tgl 25/02/2021 63,447,120 5,767,920 865,188 6,633,108 56,814,012
- -
95 525121 PT Penta Valen Bekkes F. 3717, 3841, 3961, 4424, 4459 tgl 17, 19, 20, 26/02/21 36,098,150 3,281,650 492,248 3,773,898 32,324,252
- -
96 525121 PT Parit Padang Bekkes F. 8220383347, 3669, 3967 tgl 9, 10, 13/02/2021 43,013,685 3,910,335 586,550 4,496,885 38,516,800
97 525121 PT Parit Padang Bekkes F. 3930, 4609, 6889, 7789, 7932, 7933, 8079 tgl 11, 16, 4,903,847 42,002,518
24, 27/02/2021 46,906,365 4,264,215 639,632
98 525121 PT Parit Padang Bekkes F. 8228, 7749 tgl 27/02/2021 48,787,750 4435250 665288 5,100,538 43,687,212
- -
99 525121 PT ATMU Bekkes F. 21A48382815 tgl 09/01/2021 27,500,000 2,500,000 375,000 2,875,000 24,625,000
100 525121 PT ATMU Bekkes F. 21A48382971 tgl 13/01/2021 10,192,270 926,570 138,986 1,065,556 9,126,714
101 525121 PT ATMU Bekkes F. 21A48383047 tgl 15/01/2021 847,000 - 847,000
102 525121 PT ATMU Bekkes F. 21A48383043 tgl 15/01/2021 8,112,500 737,500 110,625 848,125 7,264,375
103 525153 PT ATMU Bekkes F. 21A48383180 tgl 20/01/2021 45,200,000 - 45,200,000
104 525153 PT ATMU Bekkes F. 21A48383280 tgl 20/01/2021 6,000,000 - 6,000,000
105 525153 PT ATMU Bekkes F. 21A48383240 tgl 21/01/2021 38,800,000 582,000 582,000 38,218,000
106 525121 PT ATMU Bekkes F. 21A48383226 tgl 21/01/2021 10,901,000 - 10,901,000
107 525121 PT ATMU Bekkes F. 21A48383254 tgl 22/01/2021 401,280 - 401,280
108 525121 PT ATMU Bekkes F. 21A48383385 tgl 27/01/2021 770,000 - 770,000
109 525121 PT ATMU Bekkes F. 21A48383422 tgl 28/01/2021 2,558,875 232,625 34,894 267,519 2,291,356
110 525121 PT ATMU Bekkes F. 21A48383469 tgl 29/01/2021 5,280,000 480,000 72,000 552,000 4,728,000
- -
111 525121 PT Ensavel bekkes F. 120081347, 2009 tgl 2, 4/12/20 48,873,000 4,443,000 666,450 5,109,450 43,763,550
112 525121 PT Ensavel bekkes F. 321000102, 121004068, 121004605, 321000294, 5,188,061 44,436,871
321000369 tgl 49, 18, 20, 22, 27/01/21 49,624,932 4,511,357 676,704
113 525121 PT Ensavel bekkes F. 121004606, 321000304 tgl 20, 22/01/2021 49,966,510 4,542,410 681,362 5,223,772 44,742,738
114 525121 PT Ensavel bekkes F. 121007824, 121007837, 321000421 tgl 30/01/2021 33,253,247 3,023,022 453,453 3,476,475 29,776,772
115 525121 PT Ensavel bekkes F. 121001121, 121001210 tgl 7, 8/01/2021 49,060,000 4,460,000 669,000 5,129,000 43,931,000
116 525121 PT Ensavel bekkes F. 121001114, 321000061, 121001124, 1642 tgl 7, 9/01/2021 49,940,825 4,540,075 681,011 5,221,086 44,719,739

11 Juni - -
117 525112 PT karya adi manunggal pembaan gas elpiji tgl 8 sd 15/4/2021 1,800,000 - 1,800,000
118 525112 CV Cherry pembaan parcel tgl 8 sd 14 /4/ 2021 610,000 - 610,000
119 525112 UD Kurnia Pembaan Air Galon VIP tgl 8 sd 14 / 4 / 2021 380,000 - 380,000
120 525112 Bakmi Ferry pembaan makan R. Kresna & VIP tgl 8 sd 14/4/21 396,000 7,920 7,920 388,080
121 525112 PT karya adi manunggal pembaan gas elpiji tgl 15 sd 21/4/2021 1,050,000 - 1,050,000
122 525112 CV Cherry pembaan parcel tgl 15 sd 21 / 4 / 2021 220,000 - 220,000
123 525112 UD Kurnia Pembaan Air Galon VIP tgl 15 sd 21 / 4 / 2021 323,000 - 323,000
124 525112 Bakmi Ferry pembaan makan R. Kresna & VIP tgl 15 sd 21/4/21 756,000 15,120 15,120 740,880
125 525112 PT karya adi manunggal pembaan gas elpiji tgl 22 sd 30/4/21 1,050,000 - 1,050,000
126 525112 CV Cherry pembaan parcel tgl 22 sd 30/4/21 745,000 - 745,000
127 525112 UD Kurnia Pembaan Air Galon VIP tgl 22 sd 30/4/21 285,000 - 285,000
128 525112 Bakmi Ferry pembaan makan R.Kresna & VIP tgl 22 sd 30/4/21 612,000 - 612,000
129 525112 Lab Patologi Anatomi a.n. Ny Sri Andayani dkk (35 orang) 8,000,000 - 8,000,000
130 525121 PT Kebayoran Bekkes F. 11ASB21006259 Tgl 27/02/2021 3,960,000 - 3,960,000
- -
131 525112 Koperasi Pembaan Bahan Makanan u Umum tgl 22 sd 30/4/21 1,992,000 - 1,992,000
132 525112 Koperasi Pembaan Bahan Makanan u BPJS tgl 22 sd 30/4/21 33,969,000 3,088,091 463,214 3,551,305 30,417,695
133 525112 Koperasi Pembaan Snak Extra fooding tgl 22 sd 30/4/21 26,402,350 2,400,214 360,032 2,760,246 23,642,104
134 525152 Koperasi dukungan Snak Extra fooding petugas Covid 19 tgl 15 sd 21/4/21 9,647,375 - 9,647,375
135 525152 Koperasi dukungan Snak Extra fooding petugas Covid 19 tgl 22 sd 30/4/21 9,643,175 - 9,643,175
136 525152 Koperasi dukungan makan pasien Covid 19 tgl 22 sd 30 /4/21 10,350,000 - 10,350,000
- -
137 525113 PDAM Mei 2021 24,127,000 - 24,127,000
- -
138 525121 PT Brataco Bekkes IVPWK2100187, 0759 tgl 15/03/2021 6,447,000 586,091 87,914 674,005 5,772,995
- -
14 Juni - -
139 525112 Foto copy bl Juni 14,079,750 281,595 281,595 13,798,155
140 525121 Materai 1,500,000 - 1,500,000
141 525115 Serka Edi BPD giat mengantar wabku 1,081,400 - 1,081,400
142 525115 Serka Eka Setiawan BPD penataran Lapku di Bandung 800,000 - 800,000
143 525115 Serka Muksin BPD giat pengambilan Munisi 761,400 - 761,400
144 525115 PH Dahoni BPD giat mengantar anggota Rumkit lap di Solo 2,266,000 - 2,266,000
145 525113 Jasa Angkut sampah domestik bl April 2,560,000 51,200 51,200 2,508,800
- -
JUMLAH PENGESAHAN 1 5,205,696,305 185,697,333 28,436,603 355,835 129,022,394 343,512,165 4,862,184,140
- -
15 Juni - -
146 537112 PT Adhira Medika Persada Internasional Yar 1 set Basic Spine Instrument. F. 198,000,000 18,000,000 2,700,000 20,700,000 177,300,000
2105-003/INV/AMPI tgl 24 Mei 2021, SPK no : SPK/28/IV/2021 tgl 30 April 2021,
BAPHP no : BAPPHP/34/V/2021 tgl 24 Mei 2021
- -
- -
16 Juni - -
147 525113 Honorarium dewan pengawas blu rswk bulan Juni 2021 89,790,692 12,599,661 12,599,661 77,191,031
- -
17 Juni - -
148 525152 Biaya Peti Jenazah pasien covid 19 yang meninggal tanggal 4 April s.d.9 juni 2021 untuk 14 22,400,000 - 22,400,000
pasien RSWK
149 525154 Jasa Pemulsaran Jenazah pasien covid 19 yang meninggal tanggal 4 April s.d.9 juni 2021 5,800,000 - 5,800,000
untuk 14 pasien RSWK
- -
23 Juni - -
150 525121 PT Megah Medika Pharma Bekkes F. 115/SAL/INV/YGY1/04/21 tgl 20/04/2021 935,000 - 935,000
- -
151 525121 PT APL Bekkes F.1320324873, 5596 tgl 6, 8/02/2021 12,451,797 1,131,982 169,797 1,301,779 11,150,018
152 525121 PT APL Bekkes F.1320332397, 3554 tgl 24, 26/02/2021 48,627,463 4,420,678 663,102 5,083,780 43,543,683
153 525121 PT APL Bekkes F.1320331450, 1847 tgl 23, 24/02/2021 44,777,645 4,070,695 610,604 4,681,299 40,096,346
- -
154 525153 PT. Rajawali Bekkes F FKT/PWK/2021/00003505 tgl 25/03/2021 46,000,000 - 46,000,000
155 525153 PT. Rajawali Bekkes F FKT/PWK/2021/00003092, 3508 tgl 12, 25/03/2021 14,265,000 - 14,265,000
- -
156 525114 Sejati Bengkel Har Ranmor Avanza R 9436 LH & Kijang LGX 86003-IV 2,447,000 222,455 44,491 266,946 2,180,054
157 525114 Sejati Bengkel Har Ranmor Kijang Super 86003-IV, 7,730,000 702,727 140,545 843,272 6,886,728
- -
158 525153 PT Pasitama Bekkes F. 0018 tgl 05/03/2021 34,800,000 - 34,800,000
- -
159 525112 Pengembalian biaya RO 1,030,400 - 1,030,400
160 525112 Pengembalian biaya RO 2,777,650 - 2,777,650
161 525115 Mayor Ckm dr. Benny giat ZI 2,248,050 - 2,248,050
162 525115 Kapten Ckm Tugiyo pendaftaran casis Diklapa 1,181,400 - 1,181,400
163 525115 Pns Puspa BPD giat Bimtek penatausahaan BMN 2,781,400 - 2,781,400
164 525115 Letu Ckm Sutejo BP giat rapat Sun RKA bid.Ops. 1,181,400 - 1,181,400
165 525115 Kapten Eko BPD giat latbakjatri 1,281,400 - 1,281,400
166 525113 Jasa Marketing Jasaraharja bulan April 5,000,000 - 5,000,000
- -
24 Juni - -
167 525121 PT AMS Bekkes F. IINVPWK210300024, 0025, 0033, 0043, 0062, 0887, 0889, 20,109,100 1,828,100 274,215 2,102,315 18,006,785
1216, 1801 tgl 1, 5, 9, 13/03/2021
168 525153 PT. AMS yar Bekkes F. INVPWK210300620 tgl 04/03/2021 2,464,000 - 2,464,000
169 525121 PT AMS Bekkes F. IINVPWK210304019, 115 tgl 25,26/3/2021 4,944,060 449,460 67,419 516,879 4,427,181
170 525121 PT AMS Bekkes F. IINVPWK210403163,165,166,167,168,216,313 tgl 37,356,776 3,396,071 509,411 3,905,482 33,451,294
20,21/4/2021
- -
171 525112 Pajak kendaraan No Pol.195415 5,167,500 - 5,167,500
172 525112 Dukungan BBM 500,000 - 500,000
173 525115 Duk diklat training Jivec di RSWK 3,471,060 68,060 68,060 3,403,000
174 525119 Duk diklat giat pelatihan pelayanan sentral sterilisasi petugas CSSD 7,000,000 - 7,000,000
175 525119 Meeting dalam kota study banding ZI di RSUD Ajibarang 1,875,000 - 1,875,000
176 525121 Aptik tunai 8,811,550 - 8,811,550
177 525113 Jasa Paramedis Safari KB bulan April 3,120,000 - 3,120,000
178 525112 Biaya adm klaim BPJS 68,700 - 68,700
- -
JUMLAH PENGESAHAN 2 640,394,043 34,222,168 5,179,584 68,060 12,599,661 52,069,473 588,324,570

JUMLAH TOTAL 5,846,090,348 219,919,501 33,616,187 423,895 141,622,055 395,581,638 5,450,508,710

 PEMBAYARAN TANGGAL 17 MEI 2021

BK Akun Uraian Bruto Ppn PPh 22 PPh 23 PPh 21 Jumlah Pajak Netto