KODE REK JML PAGU JAN PEB

KIA 1.02.1.02.01.42.46.5.2.2.2 512,120,000 512,120,000 14,520,000 16,185,000

PROMKES Belanja Transport lokal 760,000 5,650,000
KESLING 1,980,000 5,995,000
GIZI - 7,300,000
TB 825,000 1,430,000
SURVEILANC - 275,000
DIARE 4,000,000 220,000
ISPA 990,000 990,000
GIGI 220,000 1,100,000
IMUNISASI 1,210,000 1,210,000
KESJAOR 275,000 330,000
POSBINDU 2,750,000 2,750,000
JIWA
LANSIA 1,760,000 1,540,000
KESTRAD 1,100,000 1,210,000
INDERA 220,000
HAJI 1,100,000
PERKESMAS - 550,000
PISPK - 5,390,000
UKS - -
GEMA CERMAT
MANAG 2,200,000
JML BANTRAS 31,490,000 54,545,000

KIA 1.02.1.02.01.42.46.5.2.2.1 120,820,000 120,820,000 - 2,320,000

PROMKES Belanja Makmin Rapat 600,000 2,175,000
KESLING - -
GIZI 1,540,000
TB - 660,000
SURVELANC
DIARE 1,540,000 250,000
ISPA 1,280,000 1,280,000
KESJAOR - -
POSBINDU
JIWA
LANSIA
KESTRAD 200,000
HAJI 500,000 -
PISPK - 300,000
UKS - -
GEMA CERMAT
MANAG 3,500,000 3,850,000
7,420,000 12,575,000

KIA 1.02.1.02.01.42.46.5.2.2.3 6,000,000 6,000,000 2,500,000

PROMKES Belanja Nara Sumber
GEMA CERMAT
 - 2,500,000

KIA 1.02.1.02.01.42.46.5.2.2.0 29,463,250 29,463,250 500,000

PROMKES Belanja ATK - 540,000
GIZI -
TB - - -
DIARE 418,000
KESTRAD 50,000
PISPK 2,869,000 -
UKS - -
GEMA CERMAT
MANAG 521,250 500,000
3,808,250 1,590,000

KIA 1.02.1.02.01.42.46.5.2.2.0 15,320,000 15,320,000

PROMKES Belanja Cetak leaflet 300,000 800,000
KESLING - 400,000
GIZI 800,000
TB - -
SURVEILANC
DIARE
ISPA
IMUNISASI
KESJAOR - -
POSBINDU -
LANSIA -
INDERA
PERKESMAS 800,000 800,000
PISPK 980,000 -
UKS
2,880,000 2,000,000

PROMKES 1.02.1.02.01.42.46.5.2.2.0 4,398,000 4,398,000 - 420,000

GIZI Belanja Penggandaan 300,000 126,000
JIWA
LANSIA
KESTRAD 60,000
UKS
GEMA CERMAT
MANAG 210,000 210,000
510,000 816,000

KIA 1.02.1.02.01.42.46.5.2.2.0 33,598,000 33,598,000

KESLING Belanja Publikasi Banner - 300,000
PROMKES -
GIZI 400,000
DIARE 200,000
IMUNISAI
POSBINDU 5,350,000
JIWA
LANSIA 3,690,000
KESTRAD 200,000
HAJI 600,000
PERKESMAS 200,000
PISPK 4,000,000 -
UKS - -
GEMA CERMAT
MANAG 200,000 200,000
14,440,000 900,000

KESLING 1.02.1.02.01.42.46.5.2.2.0 3,880,000 3,880,000 - -

Belanja Jasa Pengujian laboratorium

KESLING 1.02.1.02.01.42.46.5.2.2.1 2,700,000 2,700,000 - -

Belanja Perjalanan Dinas Luar Daerah

MANAG 1.02.1.02.01.42.46.5.2.2.1 1,760,000 1,760,000 160,000 160,000

Belanja Perjalanan Dinas Dalam Daerah

KESTRAD 1.02.1.02.01.42.46.5.2.2.0 5,000,000 5,000,000

Belanja Bahan Bibit Tanaman

GEMA CERM1.02.1.02.01.42.46.5.2.2.0 7,680,000 7,680,000

Belanja Bahan Percontohan / Praktek lapangan

ENTRY 1.02.1.02.01.42.46.5.2.2.3 12,000,000 12,000,000 1,500,000

Tenaga Data Entry

JUMLAH 754,739,250 754,739,250

 MRT APR MEI JUN JULI AGUST SEPT
14,795,000 9,625,000 8,855,000 19,325,000 16,465,000 16,465,000 17,565,000
2,695,000 8,430,000 1,265,000 2,860,000 7,850,000 1,100,000 880,000
8,195,000 7,150,000 1,540,000 1,540,000 1,540,000 1,320,000 1,540,000
4,660,000 1,650,000 110,000 2,530,000 110,000 3,300,000 770,000
5,155,000 1,650,000 1,100,000 1,025,000 2,090,000 7,128,000 1,320,000
1,375,000 275,000 275,000 4,235,000 275,000 3,135,000 1,375,000
220,000 220,000 220,000 220,000 220,000 220,000 220,000
770,000 990,000 990,000 550,000 1,430,000 990,000 1,210,000
1,100,000 990,000 - - - - -
1,210,000 1,210,000 1,210,000 1,210,000 1,210,000 2,860,000 1,210,000
220,000 2,145,000 - - 770,000 220,000 2,970,000
7,750,000 2,750,000 2,750,000 2,750,000 2,750,000 2,750,000 3,025,000
550,000 550,000 550,000 2,000,000 550,000 550,000
1,540,000 1,540,000 - - 1,540,000 1,540,000 3,540,000
220,000 - 550,000 1,485,000 - 440,000 110,000
220,000 220,000 110,000 220,000 220,000 220,000
1,100,000
440,000 440,000 - 440,000 770,000 825,000 1,430,000
7,590,000 8,635,000 - 6,820,000 10,450,000 14,960,000 9,185,000
825,000 - 7,425,000 2,475,000 - - 4,950,000
4,000,000 4,000,000
2,200,000 2,200,000
59,530,000 52,470,000 29,040,000 47,575,000 49,690,000 64,223,000 53,170,000

1,660,000 1,660,000 1,660,000 1,660,000 1,660,000 1,660,000 1,660,000

2,137,000 4,657,000 - 1,477,000 3,922,000 1,717,000 -
1,320,000 1,800,000 - - - - -
430,000
2,200,000 300,000 - - 1,550,000 300,000 300,000
300,000 300,000
250,000 250,000 250,000 250,000 250,000 250,000 250,000
960,000 1,280,000 1,280,000 640,000 1,920,000 1,280,000 1,600,000
- 600,000 - 600,000 460,000 - 1,700,000
1,925,000
875,000
875,000
250,000
- - - - - - -
450,000 400,000 - 350,000 550,000 700,000 490,000
900,000 - 2,100,000 500,000 - - -
1,680,000 1,680,000
2,975,000 3,500,000 3,850,000 2,975,000 3,500,000 3,850,000 2,975,000
14,777,000 16,127,000 9,140,000 9,432,000 14,687,000 11,737,000 9,850,000

1,000,000
1,500,000 1,000,000
 - 2,500,000 - - - 1,000,000 -

1,000,000 140,000 150,000 140,000

- 545,000 - - 260,000 - -
150,000
286,000 - - - - - -

50,000
1,390,000 - - 6,500,000 - - -
- - - 500,000 - - -
4,152,000 4,152,000
500,000 500,000 500,000 500,000 500,000 500,000 500,000
3,326,000 5,337,000 500,000 7,700,000 900,000 4,652,000 500,000

800,000
- - - - - -
840,000

1,600,000 - - - - - -
800,000
800,000
800,000
800,000
- 1,600,000 - - - - -
- - 800,000 - - - -
- - - - - - -
800,000

- - - - - -
800,000
4,040,000 3,200,000 2,400,000 800,000 - - -

- 102,000 - - 12,000 - -

75,000
75,000
60,000
150,000
144,000 144,000
360,000 210,000 210,000 360,000 210,000 210,000 360,000
360,000 456,000 210,000 570,000 297,000 354,000 435,000

200,000 200,000 200,000 200,000

800,000 2,708,000 - - - - -
2,000,000

2,000,000
 200,000 1,000,000 1,000,000
200,000
200,000
200,000
600,000

3,750,000 - - - - - -
600,000 - 600,000 200,000 - - -
200,000 200,000
200,000 200,000 200,000
5,350,000 5,108,000 3,600,000 1,200,000 600,000 600,000 1,400,000

3,180,000 - - 700,000 - - -

1,800,000 - - 900,000 - - -

160,000 160,000 160,000 160,000 160,000 160,000 160,000

3,840,000 3,840,000

1,500,000 1,500,000 1,500,000 1,500,000 1,500,000

 OKT NOP DES
12,395,000 3,025,000
1,320,000 935,000
1,760,000 220,000 -
- 110,000 -
2,420,000 220,000 -
3,135,000 1,375,000 -
220,000 220,000 -
990,000 - -
- 1,650,000 -
1,210,000 2,750,000 -
880,000 - -
2,750,000 2,750,000 -
550,000
1,540,000 1,540,000 -
22,000 110,000 -
220,000 2,200,000

825,000 1,100,000 -
6,050,000 11,495,000 -
2,200,000 - -

2,200,000
38,487,000 31,900,000 -

940,000 - -
- - -
- - -

300,000 300,000 -
300,000
250,000 250,000
1,280,000
350,000 - -

- - -
300,000 480,000 -
- - -

3,500,000 4,375,000 2,450,000

7,220,000 5,405,000 2,450,000
 - - -

150,000
- - -

- - -

- - -
- - -

500,000 500,000
500,000 650,000 -

- - -

- - -

- - -
- - -
- - -

- - -

- - -

- - -

210,000 180,000
210,000 180,000 -

200,000
- - -
 - - -
- - -

200,000
400,000 - -

- - -

- - -

160,000 160,000

5,000,000

1,500,000 1,500,000
ANGGARAN KAS BULANAN BOK TAHUN ANGGARAN 2019 PUSKESMAS BALEREJO

KODE REK JML PAGU JAN PEB MRT APR

1.02.1.02.01.42.46.5.2.2.27.01 512,120,000 31,490,000 54,545,000 59,530,000 52,470,000
Belanja Transport lokal

1.02.1.02.01.42.46.5.2.2.11.02 120,820,000 7,420,000 12,575,000 14,777,000 16,127,000

Belanja Makmin Rapat

1.02.1.02.01.42.46.5.2.2.30.01 6,000,000 - 2,500,000 - 2,500,000

Belanja Nara Sumber

1.02.1.02.01.42.46.5.2.2.01.01 29,463,250 3,808,250 1,590,000 3,326,000 5,337,000

Belanja ATK

1.02.1.02.01.42.46.5.2.2.06.01 15,320,000 2,880,000 2,000,000 4,040,000 3,200,000

Belanja Cetak leaflet

1.02.1.02.01.42.46.5.2.2.06.02 4,398,000 510,000 816,000 360,000 456,000

Belanja Penggandaan

1.02.1.02.01.42.46.5.2.2.03.14 33,598,000 14,440,000 900,000 5,350,000 5,108,000

Belanja Publikasi Banner

1.02.1.02.01.42.46.5.2.2.03.13 3,880,000 - - 3,180,000 -

Belanja Jasa Pengujian laboratorium

1.02.1.02.01.42.46.5.2.2.15.02 2,700,000 - - 1,800,000 -

Belanja Perjalanan Dinas Luar Daerah

1.02.1.02.01.42.46.5.2.2.15.01 1,760,000 160,000 160,000 160,000 160,000

Belanja Perjalanan Dinas Dalam Daerah

1.02.1.02.01.42.46.5.2.2.02.02 5,000,000
Belanja Bahan Bibit Tanaman

1.02.1.02.01.42.46.5.2.2.02.15 7,680,000 3,840,000

Belanja Bahan Percontohan / Praktek lapangan

1.02.1.02.01.42.46.5.2.2.30.60 12,000,000 1,500,000 1,500,000 1,500,000

Tenaga Data Entry

JUMLAH 754,739,250
 MEI JUN JULI AGUST SEPT OKT NOP
29,040,000 47,575,000 49,690,000 64,223,000 53,170,000 38,487,000 31,900,000

9,140,000 9,432,000 14,687,000 11,737,000 9,850,000 7,220,000 5,405,000

- - - 1,000,000 - - -

500,000 7,700,000 900,000 4,652,000 500,000 500,000 650,000

2,400,000 800,000 - - - - -

210,000 570,000 297,000 354,000 435,000 210,000 180,000

3,600,000 1,200,000 600,000 600,000 1,400,000 400,000 -

- 700,000 - - - - -

- 900,000 - - - - -

160,000 160,000 160,000 160,000 160,000 160,000 160,000

5,000,000

3,840,000

1,500,000 1,500,000 1,500,000 1,500,000 1,500,000

 DES
-

2,450,000

-
 ANGGARAN KAS BOK TAHUN ANGGARAN 2019 PUSKESMAS BALEREJO

KODE REK JML PAGU TRIBULAN 1 TRIBULAN 2 TRIBULAN 3

1.02.1.02.01.42.46.5.2.2.27.01 512,120,000 145,565,000 129,085,000 167,083,000
Belanja Transport lokal - - -
- - -
1.02.1.02.01.42.46.5.2.2.11.02 120,820,000 34,772,000 34,699,000 36,274,000
Belanja Makmin Rapat - - -
- - -
1.02.1.02.01.42.46.5.2.2.30.01 6,000,000 2,500,000 2,500,000 1,000,000
Belanja Nara Sumber - - -
- - -
1.02.1.02.01.42.46.5.2.2.01.01 29,463,250 8,724,250 13,537,000 6,052,000
Belanja ATK - - -
- - -
1.02.1.02.01.42.46.5.2.2.06.01 15,320,000 8,920,000 6,400,000 -
Belanja Cetak leaflet - - -
- - -
1.02.1.02.01.42.46.5.2.2.06.02 4,398,000 1,686,000 1,236,000 1,086,000
Belanja Penggandaan - - -
- - -
1.02.1.02.01.42.46.5.2.2.03.14 33,598,000 20,690,000 9,908,000 2,600,000
Belanja Publikasi Banner - - -
- - -
1.02.1.02.01.42.46.5.2.2.03.13 3,880,000 3,180,000 700,000 -
Belanja Jasa Pengujian laboratorium - - -
- - -
1.02.1.02.01.42.46.5.2.2.15.02 2,700,000 1,800,000 900,000 -
Belanja Perjalanan Dinas Luar Daerah - - -
- - -
1.02.1.02.01.42.46.5.2.2.15.01 1,760,000 480,000 480,000 480,000
Belanja Perjalanan Dinas Dalam Daerah - - -
- - -
1.02.1.02.01.42.46.5.2.2.02.02 5,000,000 - - -
Belanja Bahan Bibit Tanaman - - -
- - -
1.02.1.02.01.42.46.5.2.2.02.15 7,680,000 - 3,840,000 3,840,000
Belanja Bahan Percontohan / Praktek lapangan - - -
- - -
1.02.1.02.01.42.46.5.2.2.30.60 12,000,000 3,000,000 1,500,000 4,500,000
Tenaga Data Entry - - -
- - -
JUMLAH 754,739,250 231,317,250 204,785,000 222,915,000
231,317,250
TRIBULAN 4
70,387,000
-
-
15,075,000
-
-
-
-
-
1,150,000
-
-
-
-
-
390,000
-
-
400,000
-
-
-
-
-
-
-
-
320,000
-
-
5,000,000
-
-
-
-
-
3,000,000
-
-
95,722,000
 RINCIAN
KEGIAT
AN
DANA JAN PEB MARET APRIL MEI JUNI

10
Pendataan 55,000 x 40 x 2 = 2 8,800,000 4,400,000 4,400,000
sasaran
(TERPADU)

orientasi Kala 100,000 x 26 x 1 = 2,600,000 2,600,000

Karya Kelas ibu
hamil dan Balita

35,000 x 30 x 2 2,100,000 2,100,000

700,000 x 2 x 2 2,800,000 2,800,000
500,000 x 1 x 1 500,000 500,000
pelaksana 55,000 x 16 x 10 = 8,800,000 1,760,000
an kelas
ibu hamil

10,000 x 560 x 1 = 5,600,000 1,120,000

1,000,000 x 1 x 1 = 1,000,000 200,000

Pembinaan teknis 55,000 x 2 x 10 = 1,100,000 550,000
manajemen
kesehatan ibu
dan supervisi
Fasilitatif
300,000 x 1 x 1 = 300,000 150,000
Pemeriksaan Ibu 55,000 x 5 x 10 = 2,750,000 275,000 275,000 275,000 275,000 275,000
hamil terpadu

Pemeriksaan Ibu
hamil terpadu

x =
Pemantauan PMT
Bumil KEK
x =
Pelaksana 55,000 X 3 x 10 = 2 3,300,000 1,100,000 1,100,000
an
Program
Perencana
an
Persalinan
dan
Pencegah
Pemantauan
an
Penggunaan buku
Komplikasi
KIA
(P4K)
Pemantauan 55,000 x 100 x 2 = 11,000,000 1,100,000 1,100,000 1,100,000 1,100,000 1,100,000 1,100,000
bumil resiko
tinggi
Pengadaan 4,000 x 200 x 1 = 800,000 800,000
Leaflet Bumil
Resti

Pelaksanaan 55,000 x 18 x 10 = 9,900,000 1,320,000 1,320,000 1,320,000 1,320,000

kelas ibu Balita

10,000 x 1,080 x 1 = 10,800,000 1,440,000 1,440,000 1,440,000 1,440,000

1,000,000 x 1 x 1 = 1,000,000 1,000,000
 DANA JAN PEB MARET APRIL MEI JUNI

Kunjungan rumah 55,000 x 2 x 10 = 3 3,300,000 1,100,000 1,100,000

PUS yang tidak
ber-KB atau drop
out

Pelacakan 55,000 x 2 x 2 = 220,000 110,000

kematian
neonatal
termasuk otopsi
verbal

Pembinaan 55,000 x 2 x 40 = 4,400,000 440,000 440,000 440,000 440,000 440,000 440,000

peserta KB Aktif

Pemantauan ibu 55,000 x 2 x 40 = 4,400,000 440,000 440,000 440,000 440,000 440,000 440,000
nifas dan calon
peserta KB baru

Pelayanan nifas 55,000 x 2 x 40 = 4,400,000 440,000 440,000 440,000 440,000 440,000 440,000
termasuk KB

Pemeriksaan 55,000 x 2 x 50
Neonatus

Pemantauan 55,000 x 2 x 50 = 5,500,000 550,000 550,000 550,000 550,000 550,000 550,000

kesehatan
neonatus
termasuk
neonatus resiko
tinggi

Pelacakan 55,000 x 2 x 2 = 220,000 220,000

kematian
neonatal
termasuk otopsi
verbal
Kunjungan rumah 55,000 x 2 x 38 = 4,180,000 550,000 550,000 440,000 440,000 440,000
tindak lanjut
Screening
Hipothyroid
Kongenital (SHK)

Pemantauan 55,000 x 2 x 40 = 2 8,800,000 4,400,000

Kesehatan Bayi
(pengukuran
pertumbuhan,
pemantauan
perkembangan,
pemberian
vitamin A,
imunisasi dasar
lengkap) PEB UTK
ORI, AGUST UTK
SDIDDTK

Kunjungan 55,000 x 2 x 40 = 1 8,800,000 880,000 880,000 880,000 880,000 880,000 880,000

rumah/pendampi
ngan bayi yang
tidak datang ke
Posyandu
Pemantauan bayi 55,000 x 2 x 75 = 8,250,000 770,000 770,000 880,000 770,000 880,000
resiko tinggi
Pemantauan 55,000 x 2 x 100 = 11,000,000 1,100,000 1,100,000 1,100,000 1,100,000 1,100,000
Balita Resti
 DANA JAN PEB MARET APRIL MEI JUNI

Pemantauan 55,000 x 2 x 40 = 2 8,800,000 4,400,000

Kesehatan Balita
(pengukuran
pertumbuhan,
pemantauan
perkembangan,
pemberian
vitamin A,
imunisasi dasar
lengkap) PEB UTK
ORI, AGUST UTK
SDIDDTK
Penyuluhan 55,000 x 2 x 10 = 1 2,200,000 220,000 220,000 220,000 220,000 220,000
kesehatan
reproduksi
termasuk
keluarga
berencana
Pendataan PUS 55,000 x 2 x 40 = 2 8,800,000 4,400,000

Pemeriksaan IVA 55,000 x 2 x 10 = 1,100,000 110,000 110,000 110,000 110,000 110,000 110,000
dan Payudara

10,000 x 22 x 10 = 2,200,000 220,000 220,000 220,000 220,000 220,000 220,000

Superfisi 55,000 x 2 x 10 1,100,000 550,000 550,000

Fasilitatif

160,820,000
 JULI AGUST SEPT OKT NOP DES

BANTRAS KONSUMSI ATK NS

8,800,000

132,620,000 20,700,000 2,800,000 2,800,000

2,600,000

2,100,000
2,800,000
500,000
1,760,000 1,760,000 1,760,000 1,760,000 8,800,000

1,120,000 1,120,000 1,120,000 1,120,000 5,600,000

200,000 200,000 200,000 200,000 1,000,000

550,000 1,100,000

150,000 300,000
275,000 275,000 275,000 275,000 275,000 2,750,000

1,100,000 3,300,000

1,100,000 1,100,000 1,100,000 1,100,000 11,000,000

800,000

1,320,000 1,320,000 1,320,000 660,000 9,900,000

1,440,000 1,440,000 1,440,000 720,000 10,800,000

1,000,000
 JULI AGUST SEPT OKT NOP DES

1,100,000 3,300,000

110,000 220,000

440,000 440,000 440,000 440,000 4,400,000

440,000 440,000 440,000 440,000 4,400,000

440,000 440,000 440,000 440,000 4,400,000

550,000 550,000 550,000 550,000 5,500,000

220,000

440,000 440,000 440,000 440,000 4,180,000

4,400,000 8,800,000

880,000 880,000 880,000 880,000 8,800,000

880,000 880,000 880,000 770,000 770,000 8,250,000

1,100,000 1,100,000 1,100,000 1,100,000 1,100,000 11,000,000
 JULI AGUST SEPT OKT NOP DES

4,400,000 8,800,000

220,000 220,000 220,000 220,000 220,000 2,200,000

4,400,000 8,800,000

110,000 110,000 110,000 110,000 1,100,000

220,000 220,000 220,000 220,000 2,200,000

1,100,000

160,820,000
Publikasi

1,900,000 160,820,000
KEGIATAN RINCIAN KEGIATAN
DANA ALAT TENAG JAN PEB MARET APRIL MEI
A
3 9 10 11
Orientasi kader Transport peser 40 x 100,000 = 4,000,000 Lap Top Promkes 4,000,000
kesehatan dalam
upaya
peningkatan
kegiatan di
Posyandu Balita

Makmin 45 x 35,000 = 1,575,000 Proyektor Nutrisionos 1,575,000

Materi ( 10 lbr 400 x 300 = 120,000 Sound Sanitarian 120,000
Map Plastik 40 x 3,500 = 140,000 ATK Bikor 140,000
Alat Tulis 40 x 2,500 = 100,000 P2 100,000
Block note 40 x 4000 = 160,000 160,000
Revitalisasi Transport peser 40 x 100,000 = 4,000,000 Lap Top Promkes 4,000,000
Desa Siaga
Makmin 47 x 35,000 = 1,645,000 Proyektor Nutrisionos 1,645,000
Materi ( 10 lbr 40 x 300 = 12,000 Sound Sanitarian 12,000
Map Plastik 40 x 3,500 = 140,000 ATK Bikor 140,000
Alat Tulis 40 x 2,500 = 100,000 Surveilans 100,000
Block note 40 x 4,000 = 160,000 Jiwa 160000
Honor Nara S 1 x 700,000 = 700,000 Kasie Promkes 700,000
Oriientasi Transport peser 40 x 100,000 = 4,000,000 Lap Top Promkes
kader
kesehatan
dalam upaya
kesehatan
secara terpadu
termasuk KPP

Makmin 45 x 35,000 = 1,575,000 Proyektor Nutrisionos

Materi ( 10 lbr 40 x 300 = 12,000 Sound Sanitarian
Map Plastik 40 x 3,500 = 140,000 ATK Surveilans
Alat Tulis 40 x 2,500 = 100,000 Perkesmas
Block note 40 x 4,000 = 160,000
Penyuluhan Transport peser 29 x 55,000 = 1,595,000 Lap Top Promkes
kelompok
tentang PHBS
RT

Transport petugas Nutrisionos

Snack 29 x 10,000 = 290,000 Sanitarian
Bidan
Survey PHBS Transport kad 40 x 55,000 = 2,200,000 Quesioner Kader 660,000 220,000 440,000 440,000
RT Tanspot petug 40 x 55,000 = 2,200,000 Promkes
Blanko PHBS 3 x 100,000 = 300,000 300,000
( 4 rim ) =
Pembinaan Transport pet 40 x 55,000 = 2,200,000 Kendaraan Promkes 330,000 110,000 220,000 220,000 220,000
Posyandu
Balita

x = Bidan
Penyuluhan x = Lap Top Promkes
NAPZA
x = Proyektor UKS
x = Sound
ATK
Survey Transport kad 40 x 55,000 = 2,200,000 Kendaraan Kader 330,000 110,000 220,000 220,000
Mawas Diri
Blanko quesio 1,000 x 300 = 300,000 ATK 300,000
( 10 lbr )
Alat Tulis 40 x 3,500 = 140,000 140,000
Blanko SMD
Musyawarah Transport pes 29 x 55,000 = 1,595,000 Laptop Promkes 1,595,000
Masyarakat
Desa
 Proyektor Sanitarian
Snack 35 x 10,000 = 350,000 Flift chart Nutrisionis 350,000
Bidan desa
Pembinaan Transport pet 30 x 55,000 = 1,650,000 Kendaraan Promkes 275,000 275,000 275,000 275,000 275,000
PHBS di tempat
kerja
x = 0 Quesioner Sanitarian
Pembinaan Transport pet 5 x 55,000 = 275,000 Kendaraan Dokter
Pondok
Pesantren
Advokasi di Transport 20 x 55,000 = 1,100,000 Kendaraan Promkes 110,000 110,000 110,000 110,000
tingkat desa petugas
bidang
kesehatan

Pengadaan cetak leaflet 4000 x 200 = 800,000 800,000

Leaflet PHBS
RT
Penyuluhan Transport pet 3 x 55,000 = 165,000 Laptop Promkes
kelompok
tentang
bahaya rokok
bagi
kesehatan
pada siswa

Snack 53 x 10,000 = 530,000 Proyektor UKS

Penggerakan Transpor petu 15 x 55,000 = 825,000 Leaflet Promkes 165,000 165,000 165,000 165,000
keluarga /
masyarakat
dalam upaya
pengendalian
penyakit
Hipertensi

Snack 300 x 10,000 = 3,000,000 Perawat 600,000 600,000 600,000 600,000

Orientasi Transport pes 30 x 100,000 = 3,000,000 Lapo top Promkes 3,000,000
kelompok
tentang
penyakit
menular dan
PTM

Makmin 35 x 35,000 = 1,225,000 Proyektor Perawat 1,225,000

Materi 10 lbr 300 x 300 = 90,000 ATK Posbindu 90,000
Map Plastik 30 x 3,000 = 90,000 Sanitarian 90,000
Block note 30 x 4,000 = 120,000 Nutrisionis 120,000
Alat tulis 30 x 2,500 = 75,000 75,000
Penggalangan Transport pet 50 x 55,000 2,750,000 Lapo top Promkes
dukungan wali
murid dan
sekolah dalam
upaya
peningkatan
kesehatan
siwa di
sekolah dan
keluaraga

Snack 56 x 10,000 560,000 Nutrisionis

Pengadaan Ex cetak ex 20 x 100,000 = 2,000,000 2,000,000
Baner PHBS baner 40
RT buah

50,464,000
 JUNI JULI AGUST SEPT OKT NOP DES BANTRAS KONSUMSI ATK FC NS PUBLIKASI

4,000,000 33,755,000 10,750,000 1,625,000 534,000 700,000 2,000,000

1,575,000
120,000
140,000
100,000
160,000
4,000,000

1,645,000
12,000
140,000
100,000
160,000
700,000
4,000,000 4,000,000

1,575,000 1,575,000
12,000 12,000
140,000 140,000
100,000 100,000
160,000 160,000
1,595,000 1,595,000

-
290,000 290,000
-
440,000 440,000 440,000 330,000 440,000 550,000 4,400,000
-
300,000
-
220,000 165,000 220,000 220,000 275,000 2,200,000

-
-

-
-
-
220,000 220,000 165,000 220,000 220,000 275,000 2,200,000

300,000
-
140,000
-
1,595,000
 0
350,000
0
275,000 1,650,000

0
275,000 275,000

110,000 110,000 110,000 110,000 110,000 110,000 1,100,000

800,000

165,000 165,000

530,000 530,000
165,000 825,000

600,000 3,000,000
3,000,000

1,225,000
90,000
90,000
120,000
75,000
2,750,000 2,750,000

560,000 560,000
2,000,000

50,464,000
CETAK

1,100,000 50,464,000
 KESLING
KEGIATAN RINCIAN KEGIATAN

DANA JAN PEB MARET APRIL

3 9
660,000 220,000 440,000 440,000
Inspseksi kesehatan 55,000 x 2 x 40 = 4,400,000
lingkungan tentang
sarana air minum
275,000
Inspseksi kesehatan 55,000 x 1 x 5 = 275,000
lingkungan tentang Depot
Air Minum
60,000
60,000 x 10 x 1 = 600,000

160,000
160,000 x 2 x 1 = 320,000

1,600,000
800,000 x 2 x 1 = 1,600,000

425,000
425,000 x 1 x 2 = 850,000
475,000
475,000 x 1 x 2 = 950,000
330,000 330,000 330,000 330,000
Inspseksi kesehatan 55,000 x 2 x 32 = 3,520,000
lingkungan tentang
tempat pengelolaan
makanan
220,000 220,000 220,000 220,000
Inspseksi kesehatan 55,000 x 2 x 20 = 2,200,000
lingkungan tentang
tempat fasilitas umum
660,000 220,000 440,000 440,000
Inspseksi kesehatan 55,000 x 2 x 40 = 4,400,000
lingkungan tentang
perumahan
110,000 110,000 110,000 110,000
Intervensi pasien 55,000 x 2 x 10 = 1,100,000
penyakit berbasis
lingkungan

Verifikasi Desa ODF 55,000 x 34 x 1 = 1,870,000 1,870,000

10,000 x 42 x 1 = 420,000 420,000

200,000 x 1 x 1 = 200,000 200,000
2,200,000
Survey Sanitasi Dasar 55,000 x 40 x 1 = 2,200,000
400,000
Leaflet 4,000 100 1 400,000
825,000
Kampanye CTPS di 55,000 x 3 x 5 = 825,000
sekolah dan masyarakt
900,000
10,000 x 30 x 3 = 900,000
600,000
200,000 x 1 x 3 = 600,000
1,508,000
4,000 377 1 1,508,000
4,785,000
Sosialisasi dan advokasi 55,000 x 29 x 3 = 4,785,000
desa STBM
900,000
10,000 x 30 x 3 = 900,000
600,000
200,000 x 1 x 3 = 600,000
840,000
4,000 70 3 840,000
Sosialisasi dan 55,000 x 29 x 3 = 4,785,000 4,785,000

pembentukan bank
sampah
10,000 x 30 x 3 = 900,000 900,000
 KEGIATAN RINCIAN KEGIATAN

DANA JAN PEB MARET APRIL

600,000
200,000 x 1 x 3 = 600,000

720,000
Surveilance kualitas air di 60,000 12 1 720,000
masyarakat
640,000
160,000 4 1 640,000

425,000
425,000 1 1 425,000
475,000
475,000 1 1 475,000
2,695,000
Validasi data STBM dan 55,000 49 1 2,695,000
pembuatan peta sanitasi
300,000
100,000 3 1 300,000

JUMLAH 47,803,000

22,498,000
MEI JUNI JULI AGUST SEPT OKT NOP DES BANTRAS KONSUMSI

440,000 440,000 440,000 330,000 440,000 550,000 4,400,000

275,000

540,000 600,000

160,000 320,000

1,600,000

425,000 850,000

475,000 950,000

330,000 330,000 330,000 330,000 330,000 330,000 220,000 3,520,000

220,000 220,000 220,000 220,000 220,000 220,000 2,200,000

440,000 440,000 440,000 330,000 440,000 550,000 4,400,000

110,000 110,000 110,000 110,000 110,000 110,000 1,100,000

1,870,000

420,000
200,000
2,200,000

400,000

825,000

900,000
600,000
1,508,000
4,785,000

900,000
600,000
840,000
4,785,000

900,000
MEI JUNI JULI AGUST SEPT OKT NOP DES BANTRAS KONSUMSI
600,000
-
720,000

640,000

425,000

475,000

2,695,000

300,000

47,803,000

-
PUBLIKASI JASA LABORAT ATK SPPD LW

#REF!
 JAN PEB MARET APRIL MEI

KEGIATAN RINCIAN KEGIATAN

DANA
3 9
300,000
Pendataan foto copy x 1000 x 300 = 300,000
sasaran PMT x x =
balita kurus, MP- x x =
ASI, vitamin A x x =
dan PMT bumil 3,300,000
Pemantauan transport pe x 120 x 55,000 = 6,600,000
KEK
Status Gizi
(Bulan timbang) x
x
x
110,000 110,000
Penyuluhan gizi transport pe x 10 x 55,000 = 550,000
di pos gizi x x =
x x =
x x =
4,550,000
Survey kadarzi transport pe x 80 x 55,000 = 4,400,000
fotocopy x 500 x 300 = 150,000
x x =
x x =
1650000
Monitoring garam transport pe x 30 x 55,000 = 1,650,000
beryodium x x =
x x =
x x =
4,000,000
Pembinaan transport pesx 40 x 100,000 = 4,000,000
teknis kader
posyandu Konsumsi x 44 x 35,000 = 1,540,000 1,540,000
126,000
foto copy x 420 x 300 = 126,000
x
Surveilans dan transport pe x 3 x 55,000 = 165,000
pelacakan gizi
buruk x x
x x
x x
x x
Pembinaan & transport peser 43 x 55,000 = 2,365,000
edukasi PMBA
( Pemberian
Makan Bayi &
Anak )
Snack 43 x 10,000 = 430,000

Pembinaan balita transport 2 x 55,000 = 110,000

sehat

Pemberian transport pe x 10 x 55,000 = 550,000

Tablet tambah x x =
darah rematri x x =
x x =
Pemberian
Tablet tambah
darah rematri
KEGIATAN RINCIAN KEGIATAN
DANA
x x =
Pembuatan banner x 2 x 200,000 = 400,000 400000

banner IMD dan x x =

ASI eksklusif x x =
x x =
800000
Pencetakan 200 x 4,000 800,000
leaflet (ASI
eksklusif, cegah
anemia pada
remaja putri)
total 24,136,000
JUNI JULI AGUST SEPT OKT NOP DES

BANTRAS KONSUMSI FOTOCOPI

300,000 20,390,000 1,970,000 576,000

3,300,000 6,600,000

110,000 110,000 110,000 550,000

4,550,000

1650000

4,000,000

1,540,000
126,000

165,000 165,000

2,365,000 2,365,000

430,000 430,000

110,000 110,000

550,000 550,000
 BANTRAS KONSUMSI FOTOCOPI

400000

800000

24,136,000
PUBLIKASI JML

1,200,000 24,136,000
 JAN PEB MARET APRIL MEI

UPAYA KEGIATAN RINCIAN KEGIATAN

KESEH DANA
ATAN
2 3 9
Upaya Penjaringan 55,000 15 x 10 = 8,250,000 825,000 825,000 825,000 825,000 825,000
Penceg suspek TB
ahan ( pengambilan x =
Penyaki dan pengiriman
t sample dahak )
Menular
Langsu x =
ng x =
( antara Kunjungan rumah 55,000 2 x 8 = 880,000 110,000 110,000 110,000
lain : untuk folow up
TB, tatalaksana kasus
HIV / ( TB, Kusta ) x =
AIDS, x =
IMS,
x =
Hepatiti 220,000 220,000 110,000
s, Diare, Penyuluhan 55,000 2 x 10 = 1,100,000
Tiphoid, kepada
ISPA / masyarakat 10,000 10 30 3,000,000 600,000 600,000 300,000
Pnemon tentang Penyakit
ia, TB, Kusta
Kusta, x =
Frambu x =
sia, dll ) 330,000
Pemeriksaan kulit 55,000 2 x 5 = 550,000
kontak serumah x =
pada fokus x =
OYPMK ( Kusta ) x =
Upaya Orientasi pada 100,000 40 x 1 = 4,000,000 4,000,000
Penceg kader kesehatan 35,000 44 x 1 = 1,540,000 1,540,000
ahan Kader TB 4,000 44 x 1 = 176,000 176,000
Penyaki 2,500 44 x 1 = 110,000 110,000
t 275,000 275,000 275,000
Pelacakan kasus 55,000 2 x 15 = 1,650,000
Menular
TB Investigasi x =
Langsu
Kontak x =
ng
( antara x =
lain : Pemberian obat 55,000 2 x 70 = 7,700,000
TB, pencegahan x =
HIV / individu ( obat x =
AIDS, cacing
x =
IMS, Albendazole )
Hepatiti Pertemuan 10,000 20 x 1 = 200,000
s, Diare, paguyuban TB / x =
Tiphoid, Kader TB x =
ISPA / x =
Pnemon x =
ia, Evaluasi 55,000 2 x 5 = 550,000
Kusta, Murtaling
Frambu
10,000 25 x 5 = 1,250,000
sia, dll )
x =
x =
Leaflet TB 4,000 200 x 1 = 800,000 800,000
UPAYA KEGIATAN RINCIAN KEGIATAN
KESEH DANA
ATAN Leaflet Kusta 4,000 200 x 1 = 800,000 800,000

Screening 55,000 2 x 10 = 1,100,000

Pemeriksaan kulit
pada anank sekolah
(Kusta)
JUMLAH 33,656,000
 JUNI JULI AGUST SEPT OKT NOP
DES

BANTRAS KONSUMSI

825,000 825,000 825,000 825,000 825,000 8,250,000 25,780,000 5,990,000

-
-
-
-
-
110,000 110,000 110,000 110,000 110,000 880,000
-
-
-
-
-
110,000 110,000 110,000 110,000 110,000 1,100,000

300,000 300,000 300,000 300,000 300,000 3,000,000

-
-
-
-
220,000 550,000
-
-
-
4,000,000
1,540,000
176,000
110,000
275,000 275,000 275,000 1,650,000
-
-
-
7,700,000 7,700,000
-
-
-
200,000 200,000
-
-
-
-
550,000 550,000

1,250,000 1,250,000
-
-
800,000
 BANTRAS KONSUMSI
800,000

1,100,000 1,100,000

33,656,000
PUBLIKASI ATK JML

1,600,000 286,000 33,656,000

 RENCANA USULAN KEGIATAN (RUK) PUSKESMAS BALEREJO
KEGIATAN SURVEILANS EPIDEMIOLOGI
TAHUN 2019
JAN PEB MARET
UPAYA RINCIAN KEGIATAN
NO KESEH KEGIATAN
ATAN DANA
1 2 3 9
pemantauPemantauan Penyakit
penyakit berpotensi KLB
berpotenssecara berkala
mingguan
penyelidikan KLB 55,000 x 2x 10 1,100,000 110,000 110,000

Evaluasi pemantauan 55,000 x 3x 10 1,650,000 165,000 165,000

penyakit berpotensi
KLB di desa termasuk
kejadian keracunan
pangan
Pencegah 55,000 x 30 x 3 4,950,000
penanggulsosialisasi gerakan 1 10,000 x 30 x 3 900,000
penyakit R 1 J
menular
Pemeriksaan 1 R 1 J 55,000 x 20 x 3 x 1 3,300,000
TL 1 R 1 J 55,000 x 2x 3 x 1 330,000

Leaflet 4,000 x 200 x 1 x 1 800,000 800,000

1,100,000
PJB 55,000 x 2x 10 x 4 4,400,000

JUMLAH 17,430,000
APRIL MEI JUNI JULI AGUST SEPT OKT NOP DES

BANTRAS KONSUMS

110,000 110,000 110,000 110,000 110,000 110,000 110,000 110,000 1,100,000

15,730,000 900,000
0
0
0
165,000 165,000 165,000 165,000 165,000 165,000 165,000 165,000 1,650,000
0
0
0
4,950,000
1,650,000 1,650,000 1,650,000
300,000 300,000 300,000 900,000
0
0
1,100,000 1,100,000 1,100,000 3,300,000
330,000
110,000 110,000 110,000
0
0
800,000
0
0
0
1,100,000 1,100,000 1,100,000 4,400,000
0
0
0
17,430,000
PUBLIKASI JML

800,000 17,430,000
RENCANA
TA USUSLAN KEGIATAN (RUK) PUSKESMAS BALEREJO
PROGRAM
HU ESENSIAL DAN NON ESENSIAL
N
20 JAN PEB MARET APRIL
19 UPAYA RINCIAN KEGIATAN
NO KESEH KEGIATAN
ATAN DANA
1 2 3 9
1 Pencega x =
han dan Penatalaksanaan x =
pengend diare pd balita di x =
alian puskesmas
x =
penyakit
(diare) Sosialisasi bank 100,000 x 40 x 1 = 4,000,000 4,000,000
35,000 x 44 x 1 = 1,540,000 1,540,000
oralit pada kader
200,000 x 1 x 1 = 200,000 200,000
kesehatan
9,500 x 44 x 1 = 418,000 418,000
55,000 x 2 x 10 = 1,100,000 110,000 110,000 110,000
10,000 x 25 x 10 = 2,500,000 250,000 250,000 250,000
Penyuluhan diare

Penatalaksanaan
Diare pd balita d
iDesa
x =
x =
x =
x =
55,000 x 2 x 10 = 1,100,000 110,000 110,000 110,000

monetoring dan x =
evaluasi kegiatan x =
x =
4,000 x 200 x 1 = 800,000 800,000
x =
LEAFLET
x =
x =
x =
JUMLAH 11,658,000
MEI JUNI JULI AGUST SEPT OKT NOP DES

BANTRAS KONSUMSI PUBLIKASI

6,200,000 4,040,000 1,000,000

4,000,000
1,540,000
200,000
418,000
110,000 110,000 110,000 110,000 110,000 110,000 110,000 1,100,000
250,000 250,000 250,000 250,000 250,000 250,000 250,000 2,500,000
-
-
-

-
-
-
110,000 110,000 110,000 110,000 110,000 110,000 110,000 1,100,000
-
-
-
800,000
-
-
-
-
11,658,000
ATK JML

418,000 11,658,000
RUK ISPA 2019
PROGRAM ESENSIAL DAN NON ESENSIAL
TAHU
N JAN PEB MARET

2019
NO UPAYA KEGIATAN RINCIAN KEGIATAN
KESEH DANA
1 2 ATAN 3 9
Upaya Penatalaksanaan 55,000 x 2 x 40 = 4,400,000 440,000 440,000 330,000
pencega ispa(pnemoni) pada x =
han dan balita di Posyandu x =
pengend
x =
alian
penyakit Penyuluhan 55,000 x 2 x 40 = 4,400,000 440,000 440,000 330,000
(ispa) penatalaksanaan
ispa(pnemoni) pada
ibu balita di Desa
10,000 x 32 x 40 = 12,800,000 1,280,000 1,280,000 960,000
x =
x =
Monetoring kegiatan 55,000 x 2 x 10 = 1,100,000 110,000 110,000 110,000
dan Evaluasi x =
x =
x =
LEAFLET 4,000 x 200 x 1 = 800,000
x =
x =
x =
x =
x =
x =
x =
JUMLAH 23,500,000
 APRIL MEI JUNI JULI AGUST SEPT OKT DES
NOP

BANTRAS KONSUMSI PUBLIKASI

440,000 440,000 220,000 660,000 440,000 550,000 440,000 4,400,000

0 9,900,000 12,800,000 800,000
0
0
440,000 440,000 220,000 660,000 440,000 550,000 440,000 4,400,000

1,280,000 1,280,000 640,000 1,920,000 1,280,000 1,600,000 1,280,000 12,800,000

0
0
110,000 110,000 110,000 110,000 110,000 110,000 110,000 1,100,000
0
0
0
800,000 800,000
0
0
0
0
0
0
0
23,500,000
JML

23,500,000
 JAN PEB MARET APRIL MEI

RINCIAN KEGIATAN
KEGIATAN
DANA
3 9
Upaya x = 0
kesehatan x =
gilut rawat
jalan x =
x =
Penyuluhan transport 14 2 x 55,000 = 1,540,000 550,000 550,000 440,000
dan petugas x =
pemeriksaan x =
rujukan gigi x =
di PAUD 550,000 550,000 550,000
Penyuluhan transport
dan petugas 15 2 x 55,000 = 1,650,000
pemeriksaan x =
sikat gigi x =
bersama di x =
TK
Penyuluhan transport 15 2 x 55,000 = 1,650,000
dan petugas x =
pemeriksaan x =
rujukan gigi x =
di SD 220000
Penyuluhan transport 2 2 x 55,000 = 220,000
dan petugas
pemeriksaan
rujukan gigi x =
di
x =
masyarakat
x =
x 0
x 0
x 0
x 0
x 0
x = 0
x =
x =
x =
x 5,060,000
x
x
x
x
x
x
x
x
JUNI JULI AGUST SEPT OKT NOP DES

BANTRAS

5,060,000

1,540,000
-
-
-
1,650,000

-
-
-
1,650,000 1,650,000
-
-
-
220,000

-
-
-
-
-
-
-
-
-
-

5,060,000
RENCANA USUSLAN KEGIATAN (RUK) PUSKESMAS BALEREJO
PROGRAM IMUNISASI
T
A JAN PEB MARET APRIL MEI

HN UPAYA KEGIA WAKTU RINCIAN KEGIATAN

UO KESEH TAN DANA
ATAN
N1 2 3 8 9
1. PELAYA POSYA Jadwal Bantras 55000 x 220 = 12,100,000 1,100,000 1,100,000 1,100,000 1,100,000 1,100,000
20 NAN NDU Posyand
19 IMUNIS BALIT u setiap
ASI A pos
( IMUNI
x =
SASI)
x =
x =
BIAS 2 X bulan Bantras 55000 x 60 = 3,300,000
Agustus,
Novembe x =
r
x =
x =
SWEE 21x Bantras 55000 x 20 = 1,100,000 110,000 110,000 110,000 110,000 110,000
PING dalam 1
tahun
x =

x =
x =
Pengad Januari ex Benne 100000 x 20 = 2,000,000 2,000,000
aan ex x =
Bener x =
x =
Pengad Januari Leaflet 4000 x 200 = 800,000 800000
aan
Leaflet x =
x =
x =
19,300,000

Pengad Sewaktu Sertifikat 30000 x 150 = 4,500,000

aan -waktu
Settifika x =
t Lulus x =
Imunisa
x =
si (IDL)
JUNI JULI AGUST SEPT OKT NOP DES

BANTRAS PUBLIKASI JML

1,100,000 1,100,000 1,100,000 1,100,000 1,100,000 1,100,000 12,100,000 16,500,000 2,800,000 19,300,000

-
-
-
1,650,000 1,650,000 3,300,000

-
-
-
110,000 110,000 110,000 110,000 110,000 1,100,000

-
-
2,000,000
-
-
-
800,000

-
-
-
19,300,000
 JAN PEB MARET APRIL

NO UPA KEGIAT WAKTU RINCIAN KEGIATAN

YA AN DANA
1 KES
2 3 8 9
EHA Pendataa Jan-Nopemb
55,000 x 1 x 5 = 275,000 275,000
KESEHATAN KERJA

TAN n Pekerja
x x = 0
dan
x x 0
tempat
kerja x x 0
x x = 0
x x = 0
Advokasi Jan-Nopemb 55,000 x 2 x 1 = 110,000 110,000
pembent = 0
ukan
= 0
UKK
= 0
= 0
=
Pemerik Jan-Nopemb 55,000 x 3 x 5 = 825,000 275,000
saan 10,000 x 3 x 35 = 1,050,000 350,000
tempat x x 0
kerja
x x 0
dan
pekerja x x = 0
x x = 0
Pembina Jan-Nopemb 55,000 x 3 x 5 = 825,000 275,000
an dan x x 0
pemanta x x 0
uan x x = 0
kesehat
x x = 0
an kerja
x x = 0
Sosialisa Maret 55,000 x 1 x 25 = 1,375,000 1,375,000
si dan 10,000 x 1 x 25 250,000 250,000
orientasi x x 0
kesehat x x 0
an kerja
x x = 0

x x = 0
Cetak 4,000 x 200 x 1 = 800,000 800,000
Leaflet x x = 0
x x = 0
x x = 0
Pemerik Februari 55,000 x 10 x 5 = 2,750,000
KESEHATAN OLAHRAGA

saan s/d 10,000 x 1 x 170 = 1,700,000

kebugar Nopember x x = 0
an x x = 0
Sekolah
= 0
Anak
Pemerik
Sekolah Maret 10,000 x 1 x 11 = 110,000
saan = 0
kebugar = 0
an CJH = 0
Pemerik April 10,000 x 1 x 60 = 600,000
saan
kebugar
an = 0
karyawa
= 0
n
= 0
Pembina Januari 55,000 x 2 x 15 = 1,650,000 220,000 220,000 220,000
an s/d
kesehat Nopember
an
 JAN PEB MARET APRIL
Pembina Januari
an s/d
kesehat Nopember x x = 0
an x x = 0
olahrga
Cetak Maret 4,000 x 200 x 1 = 800,000 800,000
pada
Leaflet x x = 0
kelompo
k senam x x = 0
lansia x x = 0
x x = 0
x x =
x x =
x x =
x x =
13,120,000
MEI JUNI JULI AGUST SEPT OKT NOP DES

BANTRAS KONSUMSI PUBLIKASI

275,000
0 7,810,000 3,710,000 1,600,000
0
0
0
0
110,000
0
0
0
0
0
275,000 275,000 825,000
350,000 350,000 1,050,000
0
0
0
0
275,000 275,000 825,000
0
0
0
0
0
1,375,000
250,000
0
0
0
0
0
0
800,000
0
0
0
2,750,000 2,750,000
1,700,000 1,700,000
0
0
0
110,000 110,000
0
0
0
600,000 600,000

0
0
0
220,000 220,000 220,000 330,000 1,650,000 15 Klub Olahraga
MEI JUNI JULI AGUST SEPT OKT NOP DES

0
0
0
800,000
0
0
0
0
0
0
0
0
13,120,000
13,120,000
RENCANA USUSLAN KEGIATAN (RUK) PUSKESMAS BALEREJO
PROGRAM ESENSIAL DAN NON ESENSIAL
TA JAN PEB MARET APRIL
HU
NNO KEGIATAN TARGET RINCIAN KEGIATAN

20 DANA
191 3 6 9
1 Orientasi kader Posbindu PTM 10 Desa 100,000 x 1 x 50 = 5,000,000 5,000,000
35,000 x 1 x 55 = 1,925,000 1,925,000
200,000 x 1 x 1 = 200,000 200,000
= 0
= 0
Pengukuran dan Pemeriksaan 10 pos 55,000 x 11 x 50 = 30,250,000 2,750,000 2,750,000 2,750,000 2,750,000
faktor resiko PTM
x = 0
x = 0
x = 0

Pemantauan penerapan 5 Sekolah 55,000 x 1 x 5 = 275,000

Kawasan Tanpa Rokok di
Sekolah 200,000 x 1 x 5 = 1,000,000
x = 0
0
x = 0
Cetak Buku Panduan Posbindu 10 Pos 60,000 x 10 x 10 = 6,000,000 6,000,000
PTM
x = 0
x = 0
x = 0
Cetak Kartu KMS Posbindu 10 Pos 115,000 x 1 x 1 = 115,000 115,000
PTM
x = 0
x = 0
x = 0
Cetak Form Pelayanan − 100,000 x 1 x 2 = 200,000 200,000
Terpadu PTM
x = 0
x = 0
x = 0
Cetak X Banner 10 Pos 100,000 x 1 x 10 = 1,000,000
x = 0
x = 0
x = 0
Cetak Leaflet 10 Pos 4,000 x 200 x 1 = 800,000
x = 0
x = 0
x = 0
x = 0
x = 0
x = 0
x = 0
x = 0

46,765,000
 MEI JUNI JULI AGUST SEPT OKT NOP DES

BANTRAS KONSUMSI PUBLIKASI

5,000,000 35,525,000 1,925,000 3,000,000

1,925,000
200,000
0
0
2,750,000 2,750,000 2,750,000 2,750,000 2,750,000 2,750,000 2,750,000 30,250,000
0
0
0
0
275,000 275,000
1,000,000 1,000,000
0
0
0
6,000,000
0
0
0
115,000
0
0
0
200,000
0
0
0
1,000,000 1,000,000
0
0
0
800,000 800,000
0
0
0
0
0
0
0
0

46,765,000
CETAK JML

6,315,000 46,765,000
 RENCANA USULAN KEGIATAN PUSKESMAS BAKEREJO
PROGRAM KESEHATAN JIWA
TA JAN PEB MARET

HU
NNO UPAYA KEGIATAN WAKTU RINCIAN KEGIATAN
201 KESEHATA DANA ALAT TENAGA
N
9
1 2 3 8 9 10 11
Program Pelatihan Jan-Des 100,000 x 20 x 1 = 2,000,000 Tranfort Programer
kesehatan deteksi dini 2018 35,000 x 25 x 1 = 875,000 snak
jiwa kejiwaan bagi 300 x 250 x 1 = 75,000
remaja / 200,000 x 1 x 1 = 200,000
keluarga

Penanganan Jan-Des x x = 0 obat Programer

kasus jiwa yang 2019 x x = 0
datang berobat x x = 0
ke puskesmas x x = 0

Penanganan Jan-Des x x = 0 Ambulan Sopir

kasus 2019 x x = 0 Kader
kesehatan jiwa x x = 0 babinkantibmas
melalaui x x = 0
rujukan

Kunjungan Jan-Des 55,000 x 30 x 2 = 3,300,000 Obat Programer 550,000

Rumah Pasi\en x x = 0 Buku Kader
Jiwa x x = 0 Tensi
x x = 0

6,450,000

JUMLAH

Penanggung jawab program

SUWARNO
APRIL MEI JUNI JULI AGUST SEPT OKT NOP DES

BANTRAS KONSUMSI FOTOCOPI

2,000,000 2,000,000
875,000 875,000
75,000 75,000
200,000 200,000 5,300,000 875,000 75,000

0
0
0
0

0
0
0
0

550,000 550,000 550,000 550,000 550,000 3,300,000

0
0
0

6,450,000
PUBLIKASI JML

200,000 6,450,000
 RENCANA USULAN KEGIATAN PUSKESMAS BALEREJO
PROGRAMER KESEHATAN LANSIA
TAHUN 2019 JAN PEB MARET

NO UPAYA KEGIATAN WAKTU RINCIAN KEGIATAN

KESEHA DANA
1 TAN
2 3 8 9
1,760,000 1,540,000 1,540,000
Program Pembinaan Jan-Des 55,000 x 4 64 14,080,000
er Posyandu
Kesehata Lasia
n Jiwa
115,000 x 6 1 690,000 690,000

60,000 X 100 1 3,000,000 3,000,000

Pembinaan Maret 100,000 x 1 20 2,000,000

Teknis 35,000 x 1 25 875,000
Kader
Lansia 300 250 1 75,000
200,000 1 1 200,000

JUMLAH 20,920,000
 APRIL MEI JUNI JULI AGUST SEPT OKT NOP DES

BANTRAS KONSUMSI

1,540,000 1,540,000 1,540,000 1,540,000 1,540,000 1,540,000 14,080,000

0
0
0
690,000

0
16,080,000 875,000

3,000,000

2,000,000 2,000,000

875,000 875,000

75,000 75,000

200,000 200,000

0
0

20,920,000
PUBLIKASI FOTOCOPI CETAK JML

200,000 75,000 3,690,000 20,920,000

 JAN PEB MARET APRIL MEI

RINCIAN KEGIATAN
KEGIATAN TUJUAN
DANA
3 4 9
Untuk mengetahui Bantras 20 x 55,000 = 1,100,000 1,100,000
jumlah penyehat
tradisional yang
Pendataan ada di wilayah kerja

x =
Bantras 20 x 55,000 = 1,100,000 1,100,000
Meningkatkan
kemauan,pengetah Snack 20 10,000 = 200,000 200,000
uan dan Bolpoint 20 2,500 = 50,000 50,000
kemampuan Banner 1 200,000 = 200,000 200,000
Pembentukan
masyarakat dalam Foto copi 200 300 60,000 60,000
Kelompok
mengatasi masalah
Asman
kesehatan ringan
dengan
pemanfaatan Toga
dan Akupresur
Meningkatkan Bantras 25 x 55,000 = 1,375,000
pengetahuan , Snack 25 x 10,000 = 250,000
kemauan serta Foto copi 200 x 300 = 60,000
kemampuan Banner 1 200,000 = 200,000
Pembinaan penyehat Bolpoint 20 2,500 50,000
Hattra tradisional dalam
0
memberikan
pelayanan sesuai
standart dan
Meningkatkan
memiliki STPT mutu x
pelayanan
penyehat Bantras 10 x 55,000 = 550,000 330,000
tradisional,
sehingga =
Pemantauan
masyarakat
Hattra
terhindar dari
dampak negatif =
pelayanan
kesehatan
Meningkatkan = 110,000 220,000 220,000
tradisional
pengetahuan dan
ketrampilan
masyarakat dalam Bantras 24 x 55,000 1,320,000
Pembinaan asuhan mandiri
ASMAN melalui
x =
pemanfaatan
TOGA dan x =
ketrampilan,pencat
Pembuatan atan dan pelaporan x =
Taman Obat
Keluarga 0 x 0 = 0
Leaflet
Sebagai sarana x =
edukasi bagi
x =
masyarakat untuk
mengenal TOGA x = 5,000,000
dan manfaatnya
x =
x =

11,515,000
 JUNI JULI AGUST SEPT OKT NOP DES

BANTRAS KONSUMSIATK FOTOCOPI

1,100,000
5,445,000 450,000 100,000 120,000

1,100,000
200,000
50,000
200,000
60,000

1,375,000 1375000
250,000 250,000
60,000 60,000
200,000 200000

50,000 50,000

220,000 550,000

110,000 220,000 110,000 220,000 110,000 1,320,000

5,000,000 5,000,000

11,515,000
PUBLIKASITAMAN TOGJML

400,000 5,000,000 11,515,000

T
RENCANA
A USUSLAN KEGIATAN (RUK) PUSKESMAS BALEREJO
PROGRAM
H ESENSIAL DAN NON ESENSIAL
U
N JAN PEB MARET APRIL MEI
20
N
UPAYA
KEGIAT SASAR TARGE RINCIAN KEGIATAN
19 KESEH
O AN AN T DANA
ATAN
1 2 3 5 6 9
PROGR Penyulu Anak anak
AM han sekolah sekolah
KESEH Tentang SD : 15 SD 15
ATAN kesehat Kelas, kelas, transport pe 40 x 55,000 = 2,200,000
INDERA an SMP 2 SMP 2
x =
PENGLI Indera sekolah, Kelas,
HATAN ( penglih MTS 1 MTS 1 x =
DAN atan dan sekolah, kelas,
PENDE Pendeng SMK 2 SMK 2
NGARA aran ) sekolah Kelas
N Upaya
PROMO
TIF di
anak
sekolah
x =
Penyulu posyand posyand transport pe 30 x 55,000 = 1,650,000 220,000 220,000 220,000
han u lansia u balita x = 0
Tentang dan 10 pos, x =
kesehat posyand posyand
an u balita u lansia
Indera 10 pos
( penglih
atan dan
Pendeng x =
cetak
aran ) cetak 200 x 4,000 = 800,000 800,000
leaflet
Upaya x = 0
kesehat
PROMO x =
an
TIF di
indera x =
Posyand
u Balita x =
dan x =
Lansia x =

4,650,000
JUNI JULI AGUST SEPT OKT NOP DES

BANTRAS PUBLIKASI JML

2,200,000 2,200,000

3,850,000 800,000 4,650,000

-
-
-
-
-
-
-
-
-
-
110,000 220,000 220,000 220,000 220,000 1,650,000
-
-
-
-
-
-
-
800,000
-
-
-
-
-
-
4,650,000
T
A
RENCANA
H USUSLAN KEGIATAN (RUK) PUSKESMAS BALEREJO
PROGRAM
U ESENSIAL DAN NON ESENSIAL
N
2 JAN PEB
0 MITRA
UPAYA
1N KESEHA KEGIAT TUJUA SASAR TARG KERJA WAKT RINCIAN KEGIATAN
O
9 TAN AN N AN ET (LINSE U DANA
1 2 3 4 5 6 K)
7 8 9
1 UPAYA Pemeriksa Calon Seluruh 1 kades, jan-des snack 10 X 10,000 = 100,000 100,000
KESEHA an Haji jamaah calon kemenag
x =
Tahap 1 haji bisa jaamaah
TAN mendetek haji bisa x =
HAJI si secara mendetek
dini si secara
penyakit dini
yang penyakit
dideritany yang x =
Pemeriksa aCalon dideritany
Seluruh 1 kades, jan-des snack 10 X 10,000 = 100,000 100,000
an Haji jamaah acalon kemenag
Tahap 2 haji bisa jaamaah
mendetek haji bisa
si secara mendetek
dini si secara
penyakit dini
yang penyakit
dideritany yang
a dideritany
Pelaksana Dapat Seluruh 1 kades, jan-des snack 10 X 10,000 = 100,000 100,000
an Latihan mengetah calon kemenag
Fisik ( Tes ui jaamaah
Kebugaran kebugaran haji bisa
/ calon mendetek
Rockport) jamaah si secara
haji dini
penyakit
yang
dideritany
Pelaksana pemberia Seluruh 1 kades, jan-des snack 10 X 10,000 = 100,000 100,000
an n calon kemenag
vaksinasi kekebalan jaamaah
meningitis jamaah haji bisa
haji mendetek
sebelum si secara
melaksana dini
kan penyakit
ibadah ke yang
tanah suci dideritany
Pelaksana pemberia Seluruh 1 kades, jan-des snack 10 X 10,000 = 100,000 100,000
an n calon kemenag
Vaksinasi kekebalan jaamaah
influensa jamaah haji bisa
haji mendetek
sebelum si secara
melaksana dini
kan penyakit
ibadah ke yang
Mendete
tanah suci dideritany
an n transport p 20 x 55,000 = 1,100,000 1,100,000
ksi dini 1
Rumah penyakit x = 0 0
penyakit
pasca yang x =
yang dinkes jan-des
kepulan dialami
dialami kades,
gan setelah kemenag
pasca
jamaah kepulan
ibadah x =
( Follow gan
cetak haji
banner 3 x 200,000 600,000 600,000
banner 0 0
pemerik
saan haji
2,200,000
MARE APRI AGU NO
MEI JUNI JULI SEPT OKT DES
T L ST P

BANTRAS KONSUMSI PUBLIKASI

100,000
0 1,100,000 500,000 600,000 2,200,000
0
0
0
0
0
100,000
0
0
0
0
0
0
100,000
0
0
0
0
0
0
100,000
0
0
0
0
0
0
100,000
0
0
0
0
0
0
1,100,000 1,100,000
0
0
0
0
0
600,000 600,000
0
0
0
0
0
2,200,000
 PROGRAM ESENSIAL DAN NON ESENSIAL
TAHUN 2019

NO UPAYA KEGIAT TUJUA RINCIAN KEGIATAN JAN PEB MARET APRIL MEI
KESEH AN N
ATAN DANA
1 2 3 4 9
Kepera kunjung Keluarga x =
watan an mampu
Kesehat Rumah memeca
an keluarga hkan
Masyara rawan masalah
kat secara
mandiri x =
x =

x =
1.kedun transport petuga 10 x 55,000 = 550,000 550,000
gjati x =
x =
x =
2. transport petuga 8 x 55,000 = 440,000 440,000
warurejo x =
x =
x =
3.garon transport petuga 8 x 55,000 = 440,000 440,000
x =
x =
x =
4.kebon transport petuga 8 x 55,000 = 440,000
agung x =
x =
x =
5.babad transport petuga 14 x 55,000 = 770,000
an lor x =
x =
x =
6.sumbe transport petuga 15 x 55,000 = 825,000
rbening x =
x =
x =
7.gading transport petuga 12 x 55,000 = 660,000
x =
x =
x =
x =
8. transport petuga 14 x 55,000 = 770,000
Glonggo x =
ng x =
x =
9. transport petuga 10 x 55,000 = 550,000
jerukgul x =
ung x =
x =
10. transport petuga 20 x 55,000 = 1,100,000
Balerejo
NO UPAYA KEGIAT TUJUA RINCIAN KEGIATAN JAN PEB MARET APRIL MEI
KESEH AN N
ATAN 10. DANA
Balerejo x =
x =
x =
Kunjung Kelompo transport petuga 5 x 55,000 = 275,000
an k khusus
kelompo mampu
k khusus memeca
hkan
masalah
secara
mandiri

x =
x =

x =
cetak Kelompo cetak 8 x 100,000 = 800,000 800,000
blangko k khusus
perkesm mampu
as memeca
hkan
masalah
secara
mandiri

x =
x =
x =
cetak Kelompo banner 1 x 200,000 = 200,000 200,000
baner k khusus
perkesm mampu
as memeca
hkan
masalah
secara
mandiri

x =
x =
x =
cetak Kelompo leaflet 200 x 4,000 = 800,000 800,000
leaflet k khusus
perkesm mampu
as memeca
hkan
masalah
secara
mandiri

x =
NO UPAYA KEGIAT TUJUA RINCIAN KEGIATAN JAN PEB MARET APRIL MEI
KESEH AN N
ATAN DANA
x =
x =
8,620,000
 JUNI JULI AGUST SEPT OKT NOP DES

BANTRAS CETAK PUBLIKASI JML

6,820,000 800,000 1,000,000 8,620,000

550,000
0
0
0
440,000
0
0
0
440,000
0
0
0
440,000 440,000
0
0
0
770,000 770,000
0
0
0
825,000 825,000
0
0
0
1,430,000 1,430,000
0
0
0
0
0
0
0
0
550,000 550,000
0
0
0
0
JUNI JULI AGUST SEPT OKT NOP DES

BANTRAS CETAK PUBLIKASI JML

1,100,000 1,100,000
0
0
275,000 275,000

0
0
0
0
0
800,000

0
0
0
200,000

0
0
0
800,000

0
JUNI JULI AGUST SEPT OKT NOP DES

BANTRAS CETAK PUBLIKASI JML

0
0
8,620,000
 JAN PEB MARET APRIL MEI

NO UPAYA KEGIAT RINCIAN KEGIATAN

KESEH AN DANA
1 ATAN
2 3 9
PROGR A. x =
AM Follow x =
INDONE up x =
SIA kegiatan
SEHAT Pis-Pk
MELAL dengan
UI pendeka
PENDE tan x =
KATAN kel;uara
KELUA ga
RGA 1.DS. transport 25 x 55,000 = 1,375,000 1,375,000
KEDUN konsumsi 30 x 10,000 = 300,000 300,000
GJATI

transport 73 X 55,000 = 4,015,000 4,015,000

2.DS.W transport 41 x 55,000 = 2,255,000 2,255,000

ARUREJ konsumsi 45 x 10,000 = 450,000 450,000
O

transport 97 X 55,000 = 5,335,000 5,335,000

3. DS. transport 36 x 55,000 = 1,980,000 1,980,000

GARON konsumsi 40 x 10,000 = 400,000 400,000

transport 121 X 55,000 = 6,655,000 6,655,000

4. DS. transport 29 x 55,000 = 1,595,000

JERUKG konsumsi 35 x 10,000 = 350,000
ULUNG
ULUNG

JAN PEB MARET APRIL MEI

transport 95 X 55,000 = 5,225,000

x =
x =
x =
x =
5. DS. transport 49 x 55,000 = 2,695,000
KEBON konsumsi 55 x 10,000 = 550,000
AGUNG

transport 141 X 55,000 = 7,755,000

6. DS. transport 20 x 55,000 = 1,100,000

GADING konsumsi 25 x 10,000 = 250,000

transport 86 X 55,000 = 4,730,000

7. DS. transport 44 x 55,000 = 2,420,000

BABADA konsumsi 49 x 10,000 = 490,000
N LOR

transport 123 X 55,000 = 6,765,000

8. DS. transport 25 x 55,000 = 1,375,000

GLONG konsumsi 30 x 10,000 = 300,000
GONG

transport 85 X 55,000 = 4,675,000

9. DS. transport 40 x 55,000 = 2,200,000

SUMBE konsumsi 45 x 10,000 = 450,000
RBENIN
G

transport 126 X 55,000 = 6,930,000

10. DS. transport 43 x 55,000 = 2,365,000

BALERE
JO
 JAN PEB MARET APRIL MEI
10. DS.
BALERE konsumsi 48 x 10,000 = 480,000
JO

transport 166 X 55,000 = 9,130,000

B.
Persiapa
n SLR
PIS PK
1. tempat leafl 3 x 130,000 = 390,000 390,000
pengada
an
tempat
leaflet
2. Cetak leaflet 1 x 1,650,000 = 1,650,000 1,650,000
leaflet
PIS PK

3. Cetak banner 2 x 200,000 = 400,000 400,000

banner

4. 1 x 200,000 = 200,000 200,000

Pembuat
an video
dokume
ntasi PIS
PK

5. 20 x 50,000 = 1,000,000 1,000,000

Pengada
an
pigura
dokume
ntasi
PISPK

6. Sewa 1 X 1,500,000 1,500,000 1,500,000

dekor
(properti,
make
up)

E. Cetak 33 X 100,000 3,300,000 3,300,000

Pengada
an
blanko
follow up
PIS PK

E. Penga note book 302 x 4,000 = 1,208,000 1,208,000

bolpoint 302 X 2,500 755,000 755,000
 JAN PEB MARET APRIL MEI

map plastik 302 X 3,000 906,000 906,000

G. cetak 1X 1,650,000 1,650,000 1,650,000
Penceta
kan
leaflet
pin PIS
PK
i. Pengada
box file 500 x 13,000 6,500,000

104,054,000
 JUNI JULI AGUST SEPT OKT NOP DES

0 BANTRAS KONSUMSI PUBLIKASI

0
0
0 80,575,000 4,020,000 6,790,000
0
0
0
0
0

1,375,000
300,000
0
0
4,015,000
0
0
0
0
0
0
2,255,000
450,000
0
0
0
0
0
0
5,335,000
0
0
0
0
0
1,980,000
400,000
0
0
0
0
6,655,000
0
0
0
0
0
1,595,000 1,595,000
350,000 350,000
0
0
0
0
 JUNI JULI AGUST SEPT OKT NOP DES

5,225,000 5,225,000
0
0
0
0
2,695,000 2,695,000
550,000 550,000
0
0
0
7,755,000 7,755,000
0
0
0
0
1,100,000 1,100,000
250,000 250,000
0
0
0
4,730,000 4,730,000
0
0
0
0
2,420,000 2,420,000
490,000 490,000
0
0
0
6,765,000 6,765,000
0
0
0
0
1,375,000 1,375,000
300,000 300,000
0
0
0
4,675,000 4,675,000
0
0
0
0
2,200,000 2,200,000
450,000 450,000
0
0
0
6,930,000 6,930,000
0
0
0
0
2,365,000 2,365,000
JUNI JULI AGUST SEPT OKT NOP DES

480,000 480,000
0
0
0
9,130,000 9,130,000
0
0
0
0
0

390,000

1,650,000

400,000

200,000

1,000,000

1,500,000

0
0
3,300,000

1,208,000
755,000
 JUNI JULI AGUST SEPT OKT NOP DES

906,000
1,650,000

6,500,000 6,500,000
0
104,054,000
CETAK ATK JML

3,300,000 9,369,000 104,054,000

 JAN PEB MARET APRIL

KEGIATAN TUJUAN RINCIAN KEGIATAN

DANA
3 4 9
Pelatihan dokter kecil Meningkatkan 55,000 x 5 x 5= 1,375,000 825,000
pengetahuan & 10,000 x 30 x 5= 1,500,000 900,000
keterampilan dokter
kecil ttg kesehatan 200,000 5 1 1,000,000 600,000

Pembinaan usia Meningkatkan 55,000 x 25 x 5= 6,875,000

sekolah pengetahuan & 10,000 x 30 x 5= 1,500,000
keterampilan anak
sekolah ttg kesehatan 200,000 1 1 200,000

Penjaringan siswa Deteksi kelainan & 55,000 x 5 x 18 = 4,950,000

baru Penyakit x x = 0
x x = 0
x x = 0
55,000 x 5 x 8= 2,200,000
x x = 0
Pembinaan kader meningkatkan 55,000 x 45 x 1= 2,475,000
kesehatan remaja pengetahuan dan 10,000 x 50 x 1= 500,000
ketrampilan remaja
tentang kesehatan 300 x 10 x 50 = 150,000
2,500 x 50 x 1= 125,000
3,500 x 50 x 1= 175,000
4,000 x 50 x 1= 200,000
200,000 1 1 200,000
Pengadaan leaflet 4,000 x 200 x 1= 800,000
PHBS sekolah

JUMLAH 24,225,000
 MEI JUNI JULI AGUST SEPT OKT NOP DES

BANTRAS KONSUMSI PUBLIKASI

550,000 1,375,000
600,000 1,500,000 17,875,000 3,500,000 2,200,000
400,000 1,000,000
0
0
0
6,875,000 6,875,000
1,500,000 1,500,000
200,000 200,000
0
0
0
4,950,000 4,950,000
0
0
0
2,200,000 2,200,000
0
2,475,000 2,475,000
500,000 500,000
150,000 150,000
125,000 125,000
175,000 175,000
200,000 200,000
200,000 200,000
800,000 800,000
0
0
0

24,225,000
ATK FOTOCOPI JML

500,000 150,000 24,225,000

 JAN PEB MRT

UPAYA KEGIATAN RINCIAN KEGIATAN

KESEHATAN
DANA
2 3 9
UPAYA Gema Cermat 100,000 x 40 x 2 = 8,000,000
GEMA 35,000 x 48 x 2 = 3,360,000
CERMAT 300 x 480 x 2 = 288,000
700,000 x 2 x 2 = 2,800,000
4,000 x 48 x 2 = 384,000
2,500 48 2 240,000
80,000 48 2 7,680,000
JUMLAH 200,000 1 2 400,000

JUMLAH 23,152,000
APR MEI JULI AGUST SEPT OKT NOP DES
JUNI

TRANSPORT KONSUMSI FOTOCOPI HR NS

4,000,000 4,000,000 8,000,000

1,680,000 1,680,000 3,360,000 8,000,000 3,360,000 288,000 2,800,000
144,000 144,000 288,000
1,400,000 1,400,000 2,800,000

192,000 192,000 384,000

120,000 120,000 240,000
3,840,000 3,840,000 7,680,000
200,000 200,000 400,000

23,152,000
ATK PUBLIKASI BAHAN KONTAK

624,000 400,000 7,680,000 23,152,000

 JAN PEB MARET APRIL

KEGIATAN TARGET RINCIAN KEGIATAN

DANA
3 6 9
Minilokakarya bulanan 12 bulan 35,000 x 70 x 12 = 29,400,000 2,450,000 2,450,000 2,450,000 2,450,000
200,000 4 800,000 200,000 200,000

Minilokakarya lintas 4 kali 100,000 x 22 x 4 = 8,800,000 2,200,000

sektor

35,000 x 28 x 4 = 3,920,000 980,000

200,000 2 1 400,000 200,000

Sosialisasi PMK no 44 4 kali 35,000 x 30 x 4 = 4,200,000 1,050,000 1,050,000

tahun 2016, Desk RUK,
Desk RPK, Desk RKA,
Desk PAK

Pembinaan Management 4 kali 35,000 x 15 x 4 = 2,100,000 525,000

Mutu

Pembinaan Audit Internal 4 kali 35,000 x 12 x 4 = 1,680,000 420,000

Honor entry data dalam 12 bulan% ### x 1 x 12 = 12,000,000 1,200,000 1,200,000 1,200,000
aplikasi dan analisa data
PISPK

ATK Management BOK 48,000 x 100 x 1 = 4,800,000

5,000 x 11 55,000
25,000 x 20 500,000
15,000 x 50 750,000
10,000 x 50 500,000
20,000 x 30 600,000
2,000 60 120,000
 JAN PEB MARET APRIL

15,000 30 450,000
20,000 5 100,000

30,000 10 300,000
20,000 5 100,000

3,500 50 175,000
6,500 50 325,000
6,500 50 325,000
22,500 10 225,000
25,000 8 200,000

18,000 10 180,000
13,000 150 1,950,000
18,000 10 180,000
3,500 110 385,000
500 504 252,000

500 502 251,000

15,000 5 75,000
10,000 6 60,000
4,000 10 40,000
2,000 1 2,000
1,250 1 1,250
Foto Copy 300 7,600 2,280,000

Konsultasi & Koordinasi 40,000 22 880,000 80,000 80,000 80,000 80,000

kegiatan BOK

Pengambilan vaksin 40,000 22 880,000 80,000 80,000 80,000 80,000

### 15,000,000

JUMLAH 95,241,250
 MEI JUNI JULI AGUST SEPT OKT NOP DES

BANTRAS KONSUMSI HR ENTRY

2,450,000 2,450,000 2,450,000 2,450,000 2,450,000 2,450,000 2,450,000 2,450,000 29,400,000

200,000 200,000 800,000 8,800,000 41,300,000 12,000,000
0
0

2,200,000 2,200,000 2,200,000 8,800,000

980,000 980,000 980,000 3,920,000

200,000 400,000

0
0
1,050,000 1,050,000 4,200,000
0
0
0

525,000 525,000 525,000 2,100,000

0
0
0

420,000 420,000 420,000 1,680,000

0
0
0

1,200,000 1,200,000 1,200,000 2,400,000 1,200,000 1,200,000 12,000,000

0
0
0

0
0
0
0
0
0
0
MEI JUNI JULI AGUST SEPT OKT NOP DES

0
0

0
0
0
0

0
0
0
0

0
0
0

0
0
80,000 80,000 80,000 80,000 80,000 80,000 80,000 880,000

80,000 80,000 80,000 80,000 80,000 80,000 80,000 880,000

0
0
0
0
0

0
ATK FOTOCOPI SPPD DD SPPD LW PUBLIKASI JML

12,901,250 2,280,000 1,760,000 15,000,000 1,200,000 95,241,250

1 KIA KB 160,820,000 160,820,000
2 PROMKES 50,464,000 50,464,000
3 KESLING 47,803,000 47,803,000
4 GIZI 24,136,000 24,136,000
5 TB KUSTA HIV AIDS 33,656,000 33,656,000
6 SURVEILANS 17,430,000 17,430,000
7 DIARE 11,658,000 11,658,000
8 ISPA 23,500,000 23,500,000
9 GIGI 5,060,000 5,060,000
10 IMUNISASI 19,300,000 19,300,000
11 KESJAOR 13,120,000 13,120,000
12 POSBINDU 46,765,000 46,765,000
13 KESEHATAN JIWA 6,450,000 6,450,000
14 KESEHATAN LANSIA 20,920,000 20,920,000
15 KESTRAD 11,515,000 11,515,000
16 INDERA 4,650,000 4,650,000
17 PERKESMAS 8,620,000 8,620,000
18 PISPK 104,054,000 104,054,000
19 HAJI 2,200,000 2,200,000
20 GEMA CERMAT 23,152,000 23,152,000
21 MANAGEMENT BOK 95,241,250 95,241,250
22 UKS 24,225,000 24,225,000
PAGU 754,739,250
754,739,250 754,739,250
KIA KB BANTRAS KONSUMSI ATK NS Publikasi
133,720,000 20,700,000 2,800,000 2,800,000 800,000 160,820,000
PROMKES BANTRAS KONSUMSI ATK FC NS PUBLIKASI
33,755,000 10,750,000 1,625,000 534,000 700,000 2,000,000
KESLING BANTRAS KONSUMSI PUBLIKASI JASA LABORAATK SPPD LW
33,055,000 3,120,000 4,208,000 3,880,000 840,000 2,700,000
GIZI BANTRAS KONSUMSI FOTOCOPI PUBLIKASI JML
20,390,000 1,970,000 576,000 1,200,000 24,136,000
TB KUSTA HIV AIDS BANTRAS KONSUMSI PUBLIKASI ATK JML
25,780,000 5,990,000 1,600,000 286,000 33,656,000
SURVEILANS BANTRAS KONSUMSI PUBLIKASI JML
15,730,000 900,000 800,000 17,430,000
DIARE BANTRAS KONSUMSI PUBLIKASI ATK JML
6,200,000 4,040,000 1,000,000 418,000 11,658,000
ISPA BANTRAS KONSUMSI PUBLIKASI JML
9,900,000 12,800,000 800,000 23,500,000
GIGI BANTRAS
5,060,000
IMUNISASI BANTRAS PUBLIKASI JML
16,500,000 2,800,000 19,300,000
KESJAOR BANTRAS KONSUMSI PUBLIKASI
7,810,000 3,710,000 1,600,000 13,120,000
POSBINDU BANTRAS KONSUMSI PUBLIKASI CETAK JML
35,525,000 1,925,000 3,000,000 6,315,000 46,765,000
KESEHATAN JIWA BANTRAS KONSUMSI FOTOCOPI PUBLIKASI JML
5,300,000 875,000 75,000 200,000 6,450,000
KESEHATAN LANSIA BANTRAS KONSUMSI PUBLIKASI FOTOCOPI CETAK JML
16,080,000 875,000 200,000 75,000 3,690,000 20,920,000
KESTRAD BANTRAS KONSUMSI ATK FOTOCOPI PUBLIKASI TAMAN TOGA
5,445,000 450,000 100,000 120,000 400,000 5,000,000
INDERA BANTRAS PUBLIKASI JML
3,850,000 800,000 4,650,000
PERKESMAS BANTRAS CETAK PUBLIKASI JML
6,820,000 800,000 1,000,000 8,620,000
PISPK BANTRAS KONSUMSI PUBLIKASI CETAK ATK JML
80,575,000 4,020,000 6,790,000 3,300,000 9,369,000 104,054,000
HAJI BANTRAS KONSUMSI PUBLIKASI
1,100,000 500,000 600,000 2,200,000
GEMA CERMAT TRANSPORT KONSUMSI FOTOCOPI HR NS ATK PUBLIKASI
8,000,000 3,360,000 288,000 2,800,000 624,000 400,000
MANAGEMENT BOK BANTRAS KONSUMSI HR ENTRY ATK FOTOCOPI SPPD DD
8,800,000 41,300,000 12,000,000 12,901,250 2,280,000 1,760,000
UKS BANTRAS KONSUMSI PUBLIKASI ATK FOTOCOPI JML
17,875,000 3,500,000 2,200,000 500,000 150,000 24,225,000
 BANTRAS KONSUMSI ATK HR NS PUBLIKASI

133,720,000 20,700,000 2,800,000 2,800,000 800,000

CETAK
1,100,000 50,464,000 33,755,000 10,750,000 1,625,000 700,000 2,000,000

47,803,000 33,055,000 3,120,000 840,000 0 4,208,000

20,390,000 1,970,000 0 0 1,200,000

25,780,000 5,990,000 286,000 0 1,600,000

15,730,000 900,000 0 0 800,000

6,200,000 4,040,000 418,000 0 1,000,000

9,900,000 12,800,000 0 0 800,000

5,060,000 0 0 0 0

16,500,000 0 0 0 2,800,000

7,810,000 3,710,000 0 0 1,600,000

35,525,000 1,925,000 0 0 3,000,000

5,300,000 875,000 0 0 200,000

16,080,000 875,000 0 0 200,000

JML
11,515,000 5,445,000 450,000 100,000 0 400,000

3,850,000 0 0 0 800,000

6,820,000 0 0 0 1,000,000

80,575,000 4,020,000 9,369,000 0 6,790,000

1,100,000 500,000 0 0 600,000

BAHAN KONTAK
7,680,000 23,152,000 8,000,000 3,360,000 624,000 2,800,000 400,000
SPPD LW PUBLIKASI JML
15,000,000 1,200,000 95,241,250 8,800,000 41,300,000 12,901,250 0 1,200,000

17,875,000 3,500,000 500,000 0 2,200,000

754,739,250 497,270,000 120,785,000 29,463,250 6,300,000 33,598,000
BANTRAS KONSUMSI ATK HR NS PUBLIKASI

48,803,000
FOTOCOPI CETAK JASA LABORATSPPD DD SPPD LW HR ENTRY TAMAN TOGA
BAHAN KONTAK

0 0 0 0 0 0 0 0

534,000 1,100,000 0 0 0 0 0 0

0 0 3,880,000 0 2,700,000 0 0 0

576,000 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 6,315,000 0 0 0 0 0 0

75,000 0 0 0 0 0 0 0

75,000 3,690,000 0 0 0 0 0 0

120,000 0 0 0 0 0 5,000,000 0

0 0 0 0 0 0 0 0

0 800,000 0 0 0 0 0 0

0 3,300,000 0 0 0 0 0 0

0 0 0 0 0 0 0 0

288,000 0 0 0 0 0 0 7,680,000

2,280,000 0 0 1,760,000 15,000,000 12,000,000 0 0

150,000 0 0 0 0 0 0 0
 4,098,000 15,205,000 3,880,000 1,760,000 17,700,000 12,000,000 5,000,000 7,680,000
FOTOCOPI CETAK JASA LABORATSPPD DD SPPD LW HR ENTRY TAMAN TOGA BAHAN KONTAK
KODE REK ?? KODE REK ???
115,000
15,320,000
JML ITUNGAN PAS PAGU

160,820,000 160,820,000
0
50,464,000 50,464,000
0
47,803,000 47,803,000
0
24,136,000 24,136,000
0
33,656,000 33,656,000
0
17,430,000 17,430,000
0
11,658,000 11,658,000
0
23,500,000 23,500,000
0
5,060,000 5,060,000
0
19,300,000 19,300,000
0
13,120,000 13,120,000
0
46,765,000 46,765,000
0
6,450,000 6,450,000
0
20,920,000 20,920,000
0
11,515,000 11,515,000
0
4,650,000 4,650,000
0
8,620,000 8,620,000
0
104,054,000 104,054,000
0
2,200,000 2,200,000
0
23,152,000 23,152,000
0
95,241,250 95,241,250
0
24,225,000 24,225,000
 754,739,250 754,739,250
HAN KONTAK
ODE REK ???
BANTRAS KONSUMSI ATK NS Publikasi KIA KB
129,320,000 20,700,000 2,000,000 2,800,000 3,300,000 158,120,000

BANTRAS KONSUMSI ATK FC NS PUBLIKASI CETAK PROMKES

33,755,000 9,250,000 1,625,000 354,000 700,000 4,000,000 2,050,000 51,734,000

BANTRAS KONSUMSI PUBLIKASI JASA LABORAATK SPPD LW KESLING

33,055,000 3,120,000 5,600,000 3,880,000 840,000 2,700,000 49,195,000

BANTRAS KONSUMSI FOTOCOPI PUBLIKASI GIZI

17,090,000 1,900,000 234,000 2,050,000 21,274,000

BANTRAS PUBLIKASI IMUN

10,450,000 5,650,000 16,100,000

BANTRAS KONSUMSI PUBLIKASI KESJAOR

7,810,000 3,710,000 3,300,000 14,820,000

BANTRAS KONSUMSI PUBLIKASI CETAK POSBINDU

35,525,000 1,925,000 4,850,000 13,850,000 56,150,000

BANTRAS KONSUMSI FOTOCOPI PUBLIKASI JIWA

5,300,000 875,000 75,000 200,000 6,450,000

BANTRAS KONSUMSI PUBLIKASI FOTOCOPI CETAK LANSIA

16,080,000 875,000 200,000 75,000 12,900,000 30,130,000

BANTRAS KONSUMSI ATK FOTOCOPI PUBLIKASI TAMAN TOGA KESTRAD

5,445,000 450,000 100,000 120,000 400,000 5,000,000 11,515,000

BANTRAS PUBLIKASI INDERA

3,850,000 1,650,000 5,500,000

BANTRAS KONSUMSI PUBLIKASI HAJI

1,100,000 500,000 600,000 2,200,000

BANTRAS CETAK PUBLIKASI PERKESMAS

6,655,000 800,000 1,850,000 9,305,000

BANTRAS KONSUMSI PUBLIKASI CETAK ATK PISPK

80,575,000 4,020,000 6,790,000 3,300,000 9,369,000 104,054,000

BANTRAS KONSUMSI PUBLIKASI ATK FOTOCOPI UKS

17,875,000 3,500,000 3,050,000 500,000 150,000 25,075,000
BANTRAS KONSUMSI FOTOCOPI HR NS ATK PUBLIKASI BAHAN KONTAGEMA CERMAT
8,000,000 3,360,000 288,000 2,800,000 624,000 1,650,000 7,680,000 24,402,000

BANTRAS KONSUMSI HR ENTRY ATK FOTOCOPI SPPD DD SPPD LW PUBLIKASI

8,800,000 41,300,000 12,000,000 12,884,250 2,280,000 1,760,000 15,000,000 3,200,000
JUMLAH BANTRAS KONSUMSI ATK HR NS PUBLIKASI
158,120,000 KIA KB 129,320,000 20,700,000 2,000,000 2,800,000 3,300,000
51,734,000 PROMKES 33,755,000 9,250,000 1,625,000 700,000 4,000,000
49,195,000 KESLING 33,055,000 3,120,000 840,000 5,600,000
21,274,000 GIZI 17,090,000 1,900,000 0 2,050,000
16,100,000 IMUN 10,450,000 - - 5,650,000
14,820,000 KESJAOR 7,810,000 3,710,000 0 3,300,000
56,150,000 POSBINDU 35,525,000 1,925,000 - 4,850,000
6,450,000 JIWA 5,300,000 875,000 0 200,000
30,130,000 LANSIA 16,080,000 875,000 - 200,000
11,515,000 KESTRAD 5,445,000 450,000 100,000 400,000
5,500,000 INDERA 3,850,000 0 0 1,650,000
2,200,000 HAJI 1,100,000 500,000 0 600,000
9,305,000 PERKESMAS 6,655,000 0 0 1,850,000
104,054,000 PISPK 80,575,000 4,020,000 9,369,000 6,790,000
25,075,000 UKS 17,875,000 3,500,000 500,000 3,050,000
24,402,000 GEMA CERMAT 8,000,000 3,360,000 624,000 2,800,000 1,650,000
97,224,250 MANAG 8,800,000 41,300,000 12,884,250 3,200,000

420,685,000 95,485,000 27,942,250 6,300,000 48,340,000

683,248,250
MA CERMAT

MANAG
97,224,250
FOTOCOPI CETAK JASA LABORAT SPPD DD SPPD LW HR ENTRY TAMAN TOGA
0 0
354,000 2,050,000
0 0 3,880,000 2,700,000
234,000 0
0 0
0 0
0 13,850,000
75,000 0
75,000 12,900,000
120,000 0 5,000,000
0 0
0 0
0 800,000
0 3,300,000
150,000 0
288,000 0
2,280,000 0 1,760,000 15,000,000 12,000,000

3,576,000 32,900,000 3,880,000 1,760,000 17,700,000 12,000,000 5,000,000

BAHAN KONTAKJUMLAH
158,120,000 1 KIA KB KIA KB
51,734,000 2 PROMKES PROMKES
49,195,000 3 KESLING KESLING
21,274,000 4 GIZI GIZI
16,100,000 5 TB KUSTA HIV AIDS IMUN
14,820,000 6 SURVEILANS KESJAOR
56,150,000 7 DIARE POSBINDU
6,450,000 8 ISPA JIWA
30,130,000 9 GIGI LANSIA
11,515,000 10 IMUNISASI KESTRAD
5,500,000 11 KESJAOR INDERA
2,200,000 12 POSBINDU HAJI
9,305,000 13 KESEHATAN JIWA PERKESMAS
104,054,000 14 KESEHATAN LANSIA PISPK
25,075,000 15 KESTRAD UKS
7,680,000 24,402,000 16 INDERA GEMA CERMAT
97,224,250 17 PERKESMAS MANAG
PISPK
HAJI
7,680,000 GEMA CERMAT
MANAGEMENT BOK
683,248,250 683,248,250 UKS