LPSE Kabupaten Rokan Hulu RSUD ROHUL0001

(1)

A . F O R M A T R U P M E L A L U I P E M llIH A N P E N Y E D IA B A R A N G /JA S A P E M E R IN T A H

M E L A L U I P E N Y E D IA

N om or:

0'J.11 ~

I"n

I

~'J,.I \,~

T anggal:

SRQPONMLKJIHGFEDCBA

' " 1

ZYXWVUTSRQPONMLKJIHGFEDCBA

\ : ) ~ b r f

? o d ' l .

P E N G U M U M A N

R E N C A N A U M U M P E N G A D A A N B A R A N G JA S A P E M E R IN T A H

P A /K P A / K em eterian /L em baga/P em erintah D aerah/lnstitusi lainnya (K /L lD /I), R S U D R okan H ulu A lam at : JI S yeh Ism ail P asir P engaraian

m engum um kan R encana U m um P engadaan B arang JasaU ntuk P elaksanaan kegiatan tahun anggaran 2 0 1 3 , seperti tersebut dibaw ah ini .

SRQPONMLKJIHGFEDCBA

S a t u a n K e r ja P erkiraan B iava (R p) P e la k s a n a a n L e la n g /S elekst P e la k s a n a a n P e k e r ja a n

S u m b e r d a n a

N o N a m a P a k e t P e n g a d a a n K e g ia t a n J e n is B e la n ja

J e n is

P e n u n ju k a n _{P e m b e lia n} _{V o lu m e} L o k a s i _{(A P B N /A P B D /P /}

K ode N a m a P e n g a d a a n _{L elang /S eleksi} langsung/P eng p e k e r ja a n

H L N ) A w al (T anggal) S elesai (T anggal) A w al (T anggal) S elesai (Ian g g al]

s e c a r a

a d a a n E le k t r o n ik

," " < " n o

1 2 3 4 5 6 7 8 9 1 0 1 1 1 2 1 3 1 4 1 5 1 6 1 7

I

B e l a n j a P e m b e l i a n M aterai P e n y e d ia a n J a s a S u r a l M c n y u r a t B e l a n j a B a r a n g 1 0 ,2 5 4 ,0 0 0 J a n u a r i D e s e m b e r

I

1 1 .0 2 .0 2 R S U D d a n J a s a 1 K e g ia t a n R o k a n H u lu A P B D

B elanja P engadaan A lat

P e n y e d ia a n A la t T u lis K a n t o r

B elanja B arang

1 8 7 ,5 8 0 ,1 0 0 J a n u a r i D e s e m b e r

2 1 .0 2 .0 2 R S U D T u lis K a n t o r d a n J a s a 1 K e g ia t a n R o k a n H u lu A P B D

P e n g a d a a n C e t a k B la n g k o P e n y e d ia a n B a r a n g C etakan d a n P e n g g a n d a a n B elan ja B arang 1 9 8 ,4 0 6 ,5 0 0 J a n u a r i O e s e m b e r

I

3 1 .0 2 .0 2 R S U D d a n J a s a 1 K e g ia t a n R o k a n H u lu A P B D

B elanja A lat L istrik dan P c n y e d i a a n k c m p o n e n in s ta ls ! l i s t r i k B elanja B arang

9 4 .0 2 1 ,3 0 0 J a n u a r i D e s e m b e r

I

4 1 .0 2 .0 2 R S U D E lektronik p en eran g an b a n g u n a n k a n t o r dan Jasa 1 K e g ia t a n R o k a n H u lu A P B D

1 .0 2 .0 2 R S U D B e l a n j a S u r a l k a b a r / r n a j a l a h

P e n y e d ia a n b a h a n b a c a a n d a n p e r a t u r a n B e l a n j a B a r a n g

5 ,4 0 0 ,0 0 0 R o k a n H u lu A P B D J a n u a r i D e s e m b e r

5 p e r u n d a n g - u n d a n g a n d a n J a s a 1 K e g ia t a n

I

,

B e l a n j a M o d a l P e n g a d a a n

I

6 1 .0 2 .0 2 R S U D P o m p a A i r P e n y e d ia a n p e r a la t a n d a n p e r le n g k a p a n k an to r B elanja M odal 2 2 ,4 3 5 ,3 9 5 1 P ak et R o k a n H u lu A P B D J u li J u li

B elanja M odal P engadaan

P e n y e d ia a n p eralatan d a n p e r le n g k a p a n k a n t o r B elanja M odal 1 ,5 0 0 ,0 0 0

I

7 1 .0 2 .0 2 R S U D M e s i n H i t u n g 1 P ak et R o k a n H u lu A P B D J u li Juli

P e n y e d ia a n p e r a la t a n d a n p e r le n g k a p a n k an to r B elanja M odal 3 ,9 6 6 ,5 0 0

I

8 1 .0 2 .0 2 R S U D P e n g h a n c u r K C l t 3 S 1P ak et R o k a n H u lu A P B D J u li J u li

B e l a n j a M o d a l P en g ad aan

P e n y e d ia a n p eralatan d a n p e r le n g k a p a n k an to r B elanja M odal 8 8 .7 4 0 ,0 0 0

9 1 .0 2 .0 2 R S U D A la r P e n d in g in R u a n g a n ₁_{P ak et} R o k a n H u lu A P B D J a n u a r i J a n u a r i

P en y ed iaan p eralatan d a n p erlen g k ap an k an to r B elanja M odal 1 3 0 .0 6 1 ,4 0 0

I

1 0 1 .0 2 .0 2 R S U D K om puterl P c 1 P aket R o k a n H u lu A P B D A pril A p r il

B e la n ja M o d a l P e n g a d a a n

P enyediaan p e r a la t a n d a n perlengkapan k a n t o r B elanja M odal 1 9 ,6 0 0 ,q o o

I

1 1 1 .0 2 .0 2 R S U D K o m p u t e r l N o t e b o o k 1 P a k e t R o k a n H u lu A P B D J a n u a r i J a n u a r i

P enyediaan p e r a la t a n d a n perlengkapan k a n t o r B elanja M odal 1 7 .1 0 0 ,0 0 0

I

1 2 1 .0 2 .0 2 R S U D P r in t e r 1P ak et R o k a n H u lu A P B D Juli J u li

P e n y e d ia a n p e r a la t a n d a n p erlen g k ap an k an to r B elanja M odal 5 4 .4 1 9 .1 5 4

1 3 1 .0 2 .0 2 R S U D U P S dan S tabilizer

,

1P a k e t R o k a n H u lu A P B D J u li Juli

B elanja M odal K elengkapan

P enyediaan peralatan d a n perlengkapan kantor B elanja M odal 2 ,4 8 0 ,0 0 0

1 4 1 .0 2 .0 2 R S U D K o m p u t e r 1 P aket R o k a n H u lu A P B D lu li O e s e m b e r

P e n y e d ia a n peralaran dan perlengkapan k a n t o r B elan ja M odal 1 2 .7 5 4 ,8 0 0

1 5 1 .0 2 .0 2 R S U D P r o y e k tc r 1 P ak et R o k a n H u lu A P B D J u li Iu f

B e la n ja B u k u P eraturan P e n y e d ia a n b a h a n b a c a a n d a n p e r a t u r a n B e la n ja B aran g _{1 0 .0 0 0 .0 0 0}

1 6 1 .0 2 .0 2 R S U D P erundang-undangan p e r u n d a n g - u n d a n g a n d a n Jasa 1 K e g ia t a n R o k a n H u lu A P B D Juli lu ll

P e n y e d ia a n J a s a K o n s u lt a n s i P e r e n c a n a a n R e h a b R e k a m

R eh ab ih tasi sedang/berat g e d u n g kantor B e la n ja B a r a n g 2 1 .3 0 I ,5 7 6

M edik dan V IP di R S U D d a nJ a s a

1 7 1 .0 2 .0 2 R S U D 1 K e g t a t a n R o k a n H u lu A P B D Juf J u li

P e n y e d ia a n J a s a K o n s u lt a n s i

P en g aw asan R e h a b R e k a m

R e h a b ilit a s i sedangzberar g e d u n g kantor B e la n ja B aran g 1 5 .6 3 4 ,4 8 3

M edik dan V IP di R S U D d a nJasa

(2)

~

hgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA

-

~

B elan ja M o d al R eh ab

r

:',

R ek arn M ed ik d an V IP d i

SRQPONMLKJIHGFEDCBA

R e h a b ilit a s i sed an g /b erat g e d u n g k a n t o r B elan ja M o d al 4 0 9 ,5 0 0 .0 0 0

1 9 1 .0 2 .0 2 R S U D R S U D R o k an H u lu ₁

P ak et R o k a n H u lu A P B D Jan u an F e b r u a n A p r il J u li

B elan ja M o d al P en g ad aan

R e h a b ilit a s i s e d a n g lb e r a t g e d u n g k an to r B elan ja M o d al 2 5 .6 2 4 ,2 0 0

K a n o p i P a r k ir

2 0 1 .0 2 .0 2 R S U D 1 P ak et R o k a n H u lu A P B D J u li J u li

SRQPONMLKJIHGFEDCBA

B e l a n j a P a k a i a n K erja

P e n g a d a a n p a k a i a n k erjai a p a n g a n B e l a n j a B aran g 7 3 ,3 0 0 ,0 0 0

L a p a n g a n d a n J a s a

2 1 1 .0 2 .0 2 R S U D 1 K e g ia t a n R o k a n H u lu A P B D A p r il A p ril

B elan ja P ak aian K o rp ri P e n g a d a a n p a k a i a n k o rp ri B e l a n j a

B a r a n g

1 3 ,2 5 0 ,0 0 0

d a nJasa

2 2 1 .0 2 .0 2 R S U D 1 K e g ia t a n R o k a n H u lu A P B D J a n u a r i J a n u a

B e l a n j a P e n y u s u n a n L a k i p P e n y u s u n a n l a p o r a n c a p a i a n k i n e r j a d a n i k h t i s a r B elan ja B aran g

9 ,4 0 0 ,0 0 0

d an P ro fil r e a lis a s i k in e r ja d a n J a s a

2 3 1 .0 2 .0 2 R S U D 1 K e g ia t a n R o k a n H u lu A P B D A p ril A p ril

1 .0 2 .0 2 R S U D B elan ja P e n y u s u n a n P en y u su n an P elap o ran K e u a n g a n a k h i r t a h u n 1 5 ,9 0 0 ,0 0 0 R o k a n H u lu A P B D A p ril

2 4 l.an o ran K eu an aan 1 K e g ia t a n A p ril

B elan ja Ik lan

P e n g e r n b a n g a n m e d ia p r o m o s i d a n in f o n n a s i B elan ja B aran g

5 0 ,0 0 0 ,0 0 0

sad ar h id u p seh at d a n J a s a

2 S 1 .0 2 .0 2 R S U D 1 K e g ia t a n R o k a n H u lu A P B D J a n u a r i D e s e m b

B elan ja P u b lik asi (Y ello w P e n g e m b a n g a n m e d ia p ro m o si d a n in f o n n a s i B elan ja B aran g

1 ,6 3 3 ,0 0 0

P ag e) s a d a rh id u p s e h a t d a n J a s a

2 6 1 .0 2 .0 2 R S U D 1 K e g ia t a n R o k a n H u lu A P B D J a n u a r i D e s e m b

B elan ja C etak P r o m o s i

P e n g e m b a n g a n m e d ia p ro m o si d a n in fo rm asi B elan ja B aran g

1 2 ,4 4 2 ,0 0 0

sad ar h id u p seh at d a n J a s a

2 7 1 .0 2 .0 2 R S U D 1 P ak et R o k a n H u lu A P B D J a n u a r i D e s e m b

B elan ja C etak P ap an P e n g e m b a n g a n m e d ia p ro rn o si d a n in fo rrn asi

B elan ja M o d al 2 8 ,7 5 0 ,0 0 0

P e n g u m u m a n sad ar h id u p seh at

2 8 1 .0 2 .0 2 R S U D 1 P ak et R o k a n H u lu A P B D J a n u a r i D esem b e

P e n g a d a a n alar-alar k eseh atan r u m a h sak it B elan ja M o d al 1 ,2 9 3 ,0 4 4 ,3 9 3 A lat K ed ck teran

2 9 1 .0 2 .0 2 R S U D 1 P ak et R o k a n H u lu A P B D J a n u a r i F e b r u a r i A p ril J u li

B elan ja O b at -o b aran (U n it

P en g ad aan o b at-o b at r u m a h sak it B elan ja

B a r a n g

1 8 4 ,4 5 0 ,0 0 0

T ran fu si d arah ) d a n J a s a

3 0 1 .0 2 .0 2 R S U D 1 K e g ia t a n R o k a n H u lu A P B D J a n u a r i D e s e m b e i

P e n g a d a a n m e b e lu e r r u m a h sak it B elan ja M o d al 1 7 ,4 4 0 ,0 0 0

\

A lm a r i

3 1 1 .0 2 .0 2 R S U D 1 P ak et R o k a n H u lu A P B D Ju li J u li

P e n g a d a a n m e b e lu e r r u m a h sak it B elan ja M o d al 5 1 .5 0 0 ,0 0 0

M eja K erja

3 2 1 .0 2 .0 2 R S U D 1 P ak et R c k a n H u lu A P B D J u li J u li

I

P e n g a d a a n m e b e lu e r r u m a h s a k it B elan ja M o d al 2 9 .0 9 0 .0 0 0 3 3

K u r s i k e r ja

1P ak et R o k a n H u lu A P B D J u li Ju li

1 .0 2 .0 2 R S U D

B e la n ja P e r a la t a n P e n g a d a a n p erlen g k ap an r u m a h t a n g g a r u m a h

B e la n ja B a r a n g

K e b e r s ih a n d a n B a h a n s a k it ( d a p u r , r u a n g p a s ie n , la u n d r y . r u a n g 3 6 4 .7 6 9 ,2 7 8 P em b ersih C le a n in g S erv is t u n g g u d a n la in - la in )

d a n J a s a

J a n u a r i D e s e m b e r

3 4 1 .0 2 .0 2 R S U D 1 K e g ia t a n R o k a n H u lu A P B D

P e n g a d a a n p e r le n g k a p a n r u m a h t a n g g a ru m ah

sak it ( d a p u r , r u a n g p asien . la u n d r y . r u a n g B elan ja M o d al 1 1 ,5 6 5 .0 0 0

G ero b ak

3 5 1 .0 2 .0 2 R S U D t u n g g u d a n la in - la in ) 1P ak et R okan H u lu A P B D J a n u a r i J a n u a r i

B elan ja 1 0 0 a l H iasan

P e n g a d a a n p e r le n g k a p a n r u m a h tan g g a r u m a h

sak it ( d a p u r , r u a n g p a s ie n . la u n d r y . ru an g B elan ja M o d al 7 2 .9 0 0 .0 0 0

3 6 1 .0 2 .0 2

R u a n g a n K a n r o r

t u n g g u d a n la in - la in ) 1 P ak et R o k a n H u lu A P B D A p r il A p ril

(3)

''''\

ZYXWVUTSRQPONMLKJIHGFEDCBA

..'\

SRQPONMLKJIHGFEDCBA

P e n g a d a a n p e r l e n g k a p a n r u m a ht a n g g a r u m a h

~

hgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA

B elan ja M o d al R ak

s a k it(d ap u r, ru an g p asien , la u n d r y , r u a n g B elan ja M o d al 1 ,8 0 0 ,0 0 0 B u lu IT V /K em b an g

3 7 1 .0 2 .0 2 R S U D t u n g g u d a n l a i n - l a i n ) 1 P ak et R o k a nH u lu A P B D J u li J u li

B elan ja M o d al K o m p o r G as sak it (d ap u r, ru an g p asien , la u n d r y , ru an g B elan ja M o d al 4 8 0 ,0 0 0

3 8 1 .0 2 .0 2 R S U D ru n g g u d a n l a i n - l a i n ) 1 P ak et R o k a n H u lu A P B D J u li J u li

B elan ja M o d al D isp en ser sak it ( d a p u r , ru an g p a s i e n , l a u n d r y ,r u a n g B elan ja M o d al 4 ,5 2 4 ,0 0 0

3 9 1 .0 2 .0 2 R S U D t u n g g u d a nl a i n - l a i n ) 1 P ak et R o k a n H u lu A P B D J u li J u li

P e n g a d a a n p erlen g k ap an r u m a htan g g a r u r n a h

B elan ja M o d al R ak p irin g sak it ( d a p u r , r u a n g p asien , l a u n d r y ,ru an g B elan ja M o d al 3 ,0 0 0 ,0 0 0

4 0 1 .0 2 .0 2 R S U D tu n g g u d an lain -lain ) 1 P ak et R o k a n H u lu A P B D J u r i J u li

B elan ja M o d al P eralatan P e n g a d a a n p e r l e n g k a p a n r u m a ht a n g g a r u m a h

D ap u r

s a k i ! ( d a p u r ,r u a n g p a s i e n , l a u n d r y , r u a n g B elan ja M o d al 2 1 ,9 9 7 ,5 0 0

4 1 1 .0 2 .0 2 R S U D tu n g g u d an lain -lain ) 1 P ak et R o k a n H u lu A P B D J u li J u li

B clan ja r .lo d a lP cn g ad aan P e n g a d a a n p e r l e n g k a p a n r u m a ht a n g g a r u m a h

\ k s i n C u c i

sak it ( d a p u r , ru an g p asien , l a u n d r y , r u a n g l3 elan ja M o d al 2 7 ,0 0 0 ,0 0 0

-l . 2

:< ~ 2< :2

R S U D 1 1 I n g g l l c l a nla in -la in ) 1 P a i ( e : R o k a nH u lu AD3 D / ' .J u ~ ' J u li

~

....

"

~

..

p aS ir;~ n 7 ,~

D IR E : - T " tJ R

) { l e

I

(4)

-

hgfedcbaZYXWVUTSRQPONMLKJIHGFEDCBA

----_ ~ L lJI S W A K E L O L A

-I

S W A K E L O L A

I

SRQPONMLKJIHGFEDCBA

P E N G U M U M A N

0"3-1'1

SRQPONMLKJIHGFEDCBA

~ 9 A O

/ , c \ ,

I

')..D\'Z.-/'

l l C >

R E N C A N A U M U M P E N G A D A A N B A R A N G J A S A P E M E R IN T A H N o m o r :

T a n g g a l:

%1-O lf~ " " ~ (

': ; 1 . ~ 2

-P A /K -P A / K e m e te r ia n /L e m b a g a /P e m e r in ta h D a e r a h /ln s titu s i la in n y a ( K /L /D /I) , R S U D R o k a n H u lu A la m a t : J I S y e h Is m a il P a s ir P e n g a r a ia n m e n g u m u m k a n R e n c a n a U m u m P e n g a d a a n B a r a n g J a s a U n tu k P e la k s a n a a n k e g ia ta n ta h u n a n g g a r a n 2 0 1 3 , s e p e r ti te r s e b u t d ib a w a h in i :

S a tu a n K e r ja K e g ia ta n P e n g a d a a n P e la k s a n a a n L e la n g / S e le k s l P e la k s a n a a n P e k e r ja a n

S u m b e r d a n a

N o K e g ia ta n S w a k e lo la L e la n g /S e le k s i

K e g ia ta n L o k a s i p e k e r ja a n ( A P B N /A P B D / S e le s a i K e te r a n g a n

K o d e N a m a A w a l ( T a n g g a l) A w a l ( T a n g g a l) S e le s a i ( T a n g g a l)

N ila i ( R p ) V o lu m e P e n g a d a a n L a in n y a

P /H L N )

( T a n g g a l)

1

2

3

4

5

6

7

8

9

1 0

1 1

1 2

1 3

1 4

1

1 .0 2 .0 2

R S U D B e la n ja B a h a n B a k a r M o b il J a b a ta n d a n O p e r a s io n a l

8 1 ,0 0 0 ,0 0 0

1

P a k e t R o k a n H u lu A P B D J a n u a r i D e s e m b e r

2

1 .0 2 .0 2

R S U D B e la n ja P e m e lih a r a a n R u tin /B e r k a la K e n d e r a a n D in a s

8 5 ,0 0 0 ,0 0 0

1

K e g ia ta n R o k a n H u lu A P B D J a n u a r i D e s e m b e r

O o e r a s io n a l

3

1 .0 2 .0 2

R S U D B e la n ja P e m e lih a r a a n d a n P e r le n g k a p a n g e d u n g k a n to r

1 6 8 ,9 0 0 ,0 0 0

1

I

4

1 .0 2 .0 2

R S U D B e la n ja P e m e lih a r a a n P e r a la ta n d a n P e r le n g k a p a n k a n to r

4 6 ,0 2 0 ,0 0 0

1

P e m e lih r a a n K o m o u te r )

5

1 .0 2 .0 2

R S U D B e la n ja S a d a r W is a ta

1 0 ,0 0 0 ,0 0 0

3 K e g a ia ta n R o k a n H u lu A P B D ju li D e s e m b e r

6

1 .0 2 .0 2

R S U D B e la n ja P e m e lih a r a a n R u tin lB e r k a la P e n g o la h a n L im b a h

3 6 ,0 5 2 ,9 8 0

1

7

1 .0 2 .0 2

R S U D B e la n ja P e m e lih a r a a n A la t K e s e h a ta n d a n K a lib r a s i

2 2 4 ,5 5 0 ,0 0 0

1

8

1 .0 2 .0 2

R S U D B e la n ja P e m e lih a r a a n M o b il A m b u la n c e

2 5 0 ,0 0 0 ,0 0 0

1

9

1 .0 2 .0 2

R S U D P e n d id ik a n d a n P e la tih a n T e n a g a K e s e h a ta n

3 7 1 ,9 5 0 ,0 0 0

1

1 0

1 .0 2 .0 2

R S U D B e la n ja P e n g a d a a n A la t T u lis K a n to r ( B L U D )

1 8 7 ,5 8 0 , I 0 0

1

P a k e t R o k a n H u lu B L U D J a n u a r i D e s e m b e r

1 1

1 .0 2 .0 2

R S U D B e la n ja B a h a n B a k a r G e n s e t, O li d a n E lp iji

3 8 4 ,1 8 7 ,5 0 0

1

1 2

1 .0 2 .0 2

R S U D B e la n ja O k s ig e n d a n

N 2 0

3 2 2 ,1 4 9 ,5 0 0

1

1 3

1 .0 2 .0 2

R S U D B e la n ja O b a t d a n B a h a n H a b is P a k a i

7 ,0 3 6 ,1 2 8 ,0 0 0

1

1 4

1 .0 2 .0 2

R S U D B e la n ja J a s a P ih a k k e 3

1 1 5 ,2 0 0 ,0 0 0

1

K e g ia ta n R o k a n H u lu B L U D J a n u a r i D e s e m b e r

1 5

1 .0 2 .0 2

R S U D P e n g a d a a n C e ta k ( B L U D )

1 2 1 ,9 6 2 ,5 0 0

1

1 6

1 .0 2 .0 2

R S U D B e la n ja P e m e lih a r a a n A la t K e s e h a ta n R u m a h S a k it

8 1 ,0 0 0 ,0 0 0

1

1 7

1 .0 2 .0 2

R S U D B e la n ja M o d a l P e n g a d a a n A la t K e d o k te r a n

1 0 0 ,0 0 0 ,0 0 0

1

1 8

1 .0 2 .0 2

R S U D B e la n ja P e r a la ta n d a n b a h a n K e b e r s ih a n

9 8 ,6 0 4 ,0 0 0

1

1 9

1 .0 2 .0 2

R S U D B e la n ja J a s a K e b e r s ih a n R S U D R o k a n H u lu

7 7 1 ,6 0 0 ,0 0 0

1

2 0

1 .0 2 .0 2

R S U D B e la n ja M a k a n M in u m R a p a t

9 8 .6 0 4 ,0 0 0

1

2 1

1 .0 2 .0 2

R S U D B e la n ja M a k a n M in u m P a s ie n

1 ,2 7 0 ,5 0 7 ,5 0 0

1

2 2

1 .0 2 .0 2

R S U D B e la n ja P e m e lih a r a a n R u tin R u m a h S a k it

3 3 1 ,8 1 5 ,0 0 0

1

K e g ia ta n R o k a n H u lu B L U D

-

...•...

J a n u a r i D e s e m b e r

...

""'-""

...--....

P a s ir P e n g a r a ia n

2 7

D e s e m b e r

2 0 1 2

D I R E r S U O R O K A N H U L U

Z L I

A N I

N lP . 1 9 7 3 0 3 1 8 2 0 0 2 1 2 2 0 0 3