Contoh & Format RAPB

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RENCANA ANGGARAN

RENCANA ANGGARAN PENDAPATPENDAPATAN AN BELANJABELANJA KLINIK MUHAMMADIYAH LAMONGAN KLINIK MUHAMMADIYAH LAMONGAN

SEMESTER 1 TAHUN 2014 SEMESTER 1 TAHUN 2014

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Saa##uuaa JJuu$$llaa!! SSaa##uuaa RA%AT JALAN RA%AT JALAN II KKll""""&&UU$$uu$$''IIGGDD2244JJaa$$ 1

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2 PPeennggggaannttiiaan n AllaAat t SSuunnttiikk 6600 TiinTnd d 116600..0 0 55..333 3 55,,337 7 55,,66,,552200 3

3 PPeennddaa!!ttaarraan n ""aassiieen n PPaaggii 11331133 ""s s 221188..8 8 77..22  5,,050000 0 66,,556622,,550000 4

4 PPeennddaa!!ttaarraan n ""aassiieen n SSoorree 11550000 "s "s 225500..0 0 88..333 3 1100,,00000 0 1155,,000000,,000000 5

5 PPeennddaa!!ttaarraan n ""aassiieen n ##aallaa## 3388 "s "s 115566..3 3 55..221 1 1155,,00000 0 1144,,006622,,550000 6

6 PPeennddaa!!ttaarraan n Prra Pa $$%%SS 887777 ""s s 114466..2 2 44..887 7 55,,00000 0 44,,338877,,000000 7

7 &&aarr''iis s PPaassiieen n (a(annssiia a ) ) 665 5 ttaa**uunn 332255 ""s s 5544..2 2 11..881 1 22,,55000 0 881122,,550000 8

8 &&aarr''iis s PPaassiieen n kkeelluuaarrggaa 224400 ""s s 4400..0 0 11..333 3 2,,323775 5 557700,,000000 

 PPaassiieen n ggrraattiiss++kk**uussuuss++kkaarr++kkeelluuaarrgga a kkaarr 112200 ""s s 2200..0 0 00..667 7 - - --1

100 PPaassiieen n &*&*iittaann 2244 ""s s 4..0 40 00..113 3 111188,,77441 1 22,,8844,,778844 1

111 TTiinnddaakkaan n ddookktteerr 11007733 TTiinnd d 117788..8 8 55..6 6 2233,,77448 8 2255,,4466,,773300 1

122 TTiinnddaakkaan n // 111166 TTiinnd d 11..3 3 00..664 4 2255,,00000 0 22,,888877,,550000 1

133 eeuulliieerr 118888 TTiinndd 3311..33 11..0044 3344,,443355 66,,445566,,553355 1

144 PPeennuuaallaan n ttaauunng g ookkssiiggeenn 11111155 lliitteerr 6600 lliitteer r 118855..8 8 6..161  330 0 22,,000066,,555500 1

155 ((aaiinn22 66 TTiinndd 11..00

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JUUMMLLAAHH 4444(()) *+*+ 11,,11--22))11--..11))

IIII KKll""""&&GG""//""aaMMuulluu## 1

1 PPeennddaa!!ttaarraan n PPaassiieen n kklliinniik k ggiiggi i ddaan n ##uulluutt 666600 ""ss 111100 33..667 7 55,,00000 0 33,,330000,,000000 2

2 TTiinnddaakkaan n DDookktteer r iiggii 5544 TTiinndd  33..330 0 5500,,00000 0 22,,770000,,000000 3

3 PPaassiieen n ggrraattiiss++kk**uussuuss++kkaarr++kkeelluuaarrgga a kkaarr 3300 "s"s 55 00..1177  --Ju$la!

Ju$la! 6600 ""ss ,,-000-000,,-000-000

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2 aannttiiSSuunnttiikk//''lloo!!ee## 6666 ttiinndd 00..3377 --

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4 PPaassiieenn&& 118800 ""ss 11..0000 22,,550000 445500,,000000

5

5 PPaassiieennaaii++##uunniissaassii 545400 ""ss 33..0000 2,,5250000 11,,335500,,000000 6

6 PPaassiieennuu$$eellaa**iirrkkaann 6600 ""ss 00..3333 55,,000000 330000,,000000 7

7 PPaassiieennAAnnaakkaarruullaa**iirr55 5544 ""ss 00..3300 5,,0500000 227700,,000000 8

8 PPaassiieennrruuuukkaann""oosstt""aarrttuu## 2288 ""ss 00..1155 5,,0500000 113388,,775500 

 TTiinnddaakkaannPPaa""ss##eeaarr++&&AA 3300 ""ss 00..1177 110000,,000000 33,,000000,,000000 1

100 PPaassiieennPPeerriikkssaarraattiiss 55 ""ss 00..0033 --

--1

111 JJaassaa""eerriikkssaaiiddaann 11000055 ""ss 55..5588 1100,,000000 1100,,005500,,000000 J JUUMMLLAAHH 11((--((--33((00 T TOOTTAALL 1100--11((00--,,..)) II OONNEEDDAAYYCCAARREE 1 1 5"+"6#era*"5"+"6#era*" P Peennddaa!!ttaarraann 00 ""ss 0..50500 55,,000000 445500,,000000 T Tiinnddaakkaann 8811 ttddkk 00..4455 2255,,000000 22,,002255,,000000 S

Seeaaaallaatt 6655 ""##kk 00..3366 5500,,000000 33,,224400,,000000 Ju#la* Ju#la* (-31(-000(-31(-000 Tar/e# Tar/e# Se$e+#er 1 Se$e+#er 1

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2 O76 Penda!taran 180 "s 30 1.00 10,000 1,800,000 Tindakan 162 tdk 27 0.0 300,000 48,600,000 Seaalat 146 "#k 24 0.81 58,333 8,505,000 Ju#la* (-)0(-000 3 S*a Penda!taran 180 "s 1.00 10,000 1,800,000

Tindakan S"a deasa 162 tdk 0.0 150,000 24,300,000

TindakanS"aai 18 tdk 0.10 80,000 1,440,000

Ju#la* 23-(40-000 4 Ra8a# Lu&a Penda!taran 0 "s 0.50 5,000 450,000 Tindakan 81 tdk 0.45 63,000 5,103,000 Ju#la* (-((,-000 5 Be&a$ Penda!taran 180 "s 1.00 5,000 00,000 Tindakan 162 tdk 0.0 50,000 8,100,000 Seaalat 162 "#k 0.0 7,407 1,200,000 Ju#la* 10-200-000 6 Ke9a#"&a Penda!taran 10 "s 1.06 15,000 2,850,000 Tindakan 171 tdk 0.5 100,000 17,100,000 Seaalat 171 "#k 0.5 26,316 4,500,000 Ju#la* 24-4(0-000 TOTAL 1,2-,.,-000  RA%ATINAP Kela+ ,

Sea ruang 32 "s 86 *r (9S 3 *ari 60,000 5,130,000

:isitedokter 26 "s 135 *r 3TT 30,000 4,050,000

Asu*an ke"eraatan 32 "s 86 *r 9% 60 8,000 7,884,000

Seaalat 222 "#k 68 "ersen 7,124 1,57,758

Tindakan dokter 66 tdk 20 "ersen 35,622 2,340,383

Tindakan "eraat 131 tdk 40 "ersen 11,874 1,560,255

Penualan taung oksigen 33 "s 200 liter 30 17,100

&onsul dokter s"esialis 3 "s 12 "ersen 75,000 2,56,500

Ju$la! 3)-.)3-)).

Kela+ 2

Sea ruang 21 "s 657 *r (9S 3 *ari 105,000 68,85,000

:isitedokter 17 "s 51 *r 2TT 50,000 2,565,000

Asu*an ke"eraatan 183 "s 548 *r 9% 60 8,000 4,380,000

Tindakan dokter 44 tdk 20.0 "ersen 35,622 1,560,255

Seaalat 148 "#k 68 "ersen 7,124 1,053,172

Penualan taung oksigen 22 "s 200 liter 30 131,400

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Ju#la* 10-)4-3)3 Kela+ 2 K

Sea ruang 21 "s 438 *r (9S 2 *ari 105,000 45,0,000

Sea:& 175 "s 80 "ersen 200,000 35,040,000

:isite dokter 17 "s 34.2 *r 2 TT 50,000 1,710,000

Tindakan "ersalinan dokter 117 "s 500,000 58,500,000

Asu*an keidanan 146 "s 8,000 1,168,000

Tindakan "ersalinan idan 22 tdk 10 "ersen 250,000 5,475,000

Peraatanai 166 "s 5 "ersen 5,370 ,881,616

Akte kela*iran 166 "s 5 "ersen 35,000 5,825,400

Seaalat 88 "s 40 "ersen 31,250 2,737,500

Penualan taung oksigen 66 "s 200 liter 30 34,200

Ju#la* 14-321-31.

Kela+ 1

Sea ruang 21 "s 657 *r (9S 3 *ari 215,82 141,841,372

:isite dokter 17 "s 51 *r 2 TT 100,000 5,130,000

Asu*an ke"eraatan 146 "s 438 *r 9% 60 8,000 3,504,000

Tindakan dokter 44 tdk 20 "ersen 50,000 2,10,000

"enualan taung oksigen 22 liter 200 liter 30 131,400

Seaalat 14 "#k 68 "ersen 7,124 1,060,73

&onsul dokter s"esialis 26 "s 12 "ersen 100,000 2,628,000

Ju#la* 211-3))-34.

TOTAL ((-1.-2((

PENUNJANG Lab6ra#6"u$

9utsour'ing 2087 "s "enda"atan koto 348 11.5 60,000 125,205,000

Penda"atan 40 "ersen 45,007,541 1-00,-01.

Ra"6l6/"

;oto gigi 172.5 "s 25 "ersen 40,000 .-)00-000

De*6 Oba#

Penualan %aat Jalan 478 %ese" 26.61 80,000 383,120,000

Penualan %aat na" 2738 %ese" 15.21 160,000 438,000,000

Penualanluar 180 %ese" 1.00 80,000 14,400,000

Ju#la* ,(-(20-000

Re&a$ $e"+

Penda!taran&elas1 21 "s 1.22 75,000 16,425,000

Penda!taran &elas 2 :& 21 "s 1.22 65,000 14,235,000

:isu#et%e"ertu# 8 an 0.04 25,000 200,000

Ad#inistrasi a#inan kese*atan 5 "s 0.03 25,000 125,000

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(5)

RENCANA ANGGARAN PENDAPATAN BELANJA KLINIK MUHAMMADIYAH LAMONGAN

SEMESTER 1 TAHUN 2014

NO PENGELUARAN Tar/e#2014 Per!ar" TARIP TAHUN2014

Tar/e# Sa#ua Ju$la! Sa#ua

BEBAN OPERASIONAL RA%AT JALAN

I Kl""&U$u$'IGD24Ja$

1 Pre#i asa dokter 44,527,500 247,375 75 33,35,625

2 Pre#i Tindakan dokter 25,46,730 141,4 75 1,102,28

3 <P 445 "s 25 700 3,121,300

4 9<P 445 "s 25 1000 4,45,000

5 Pre#iTindakan/ 116 Tind 1 5,000 577,500

6 Pre#i Penda!taran Pra $%S 4,387,000 24,372 75 3,20,250

7 <P Taung oksigen 1,115 liter 6 25 27,86

JUMLAH .,-)3,-41

II Kl""&G"/"aMulu#

1 Pre#i Penda!taran Pasien klinik gigi dan #ulut 3,300,000 167 75 2,475,000

2 9<P 54 Tind 4,23 2,24,262

3 <P 54 Tind 831 43,725

Ju$la! (-)2-)3

III KIADANKKB

1 Pre#i "eriksa idan 10,050,000 20 2,010,000

2 <P 1005 "s 350 351,750

3 9<P 1005 "s 250 251,250

4 iaasuntik& 180 "s 8,500 1,530,000

5 iaa"a"s#ear 30 "s 41,55 1,246,77

JUMLAH (-,)-33)

I ONEDAYCARE

1 5"+"6#era*" Pre#i tindakan 2,025,000 "s 5,625 15 303,750 <P 81 "s 0.23 831 67,326 9<P 81 "s 1425 115,416 Ju#la* 4.-4)2 2 O76 Pre#iTindakan 48,600,000 "s 135000 50 24,300,000 <P 162 "s 0.45 831 134,652 9<P 162 10,000 1,620,000 Ju#la* 2.-0(4-.(2 3 S*a

Pre#i tindakan S"a Deasa 24,300,000 "s 67500 40 ,720,000

Pre#i tindakan S"a ai 1,440,000 40 576,000

<P 162 "s 0.45 10,000 1,620,000

9<P 162 "s 1,425 230,850

Ju#la* 12-14.-(0

(6)

Pre#itindakan 5,103,000 "s 14175.00 50 2,551,500 <P 81 "s 3,000 3,15,000 Ju#la* (-310-(00 5 Be&a$ Pre#itindakan 8,100,000 "s 22500 50 4,050,000 <P 162 "s 0.45 831 134,652 9<P 162 "s 1,425 230,850 Ju#la* 4-41(-(02 6 Ke9a#"&a Pre#itindakan 17,100,000 "s 47500 50 8,550,000 <P 171 "s 0.48 831 142,133 9<P 171 "s 1,425 243,675 Ju#la* -),(-0 TOTAL (3-34)-04  RA%ATINAP Kela+ , :isite dokter 4,050,000 75 3,037,500 Asu*an ke"eraatan 7,884,000 50 3,42,000 Tindakan dokter 2,340,383 75 1,755,287

&onsul dokter s"esialis 7,48,224 75 5,616,18

Tindakan "eraat 1,560,255 50 780,128

(inen 86 *r 11,874 11,701,13

&onsu#si 86 *r 30,000 2,565,000

<Ptaungoksigen 33 liter 25 821

9<P 86 1,187 1,170,11 <P 86 50 36,153 Ju$la! (-(0(-)12 Kela+ 2 :isite dokter 2,565,000 75 22,173,750 Asu*an ke"eraatan 4,380,000 50 2,10,000 Tindakan dokter 1,560,255 75 1,170,11

&onsul dokter s"esialis 2,233,800 75 1,675,350

Tindakan "eraat 1,040,170 50 520,085

(inen 657 *r 11,874 7,801,275

&onsu#si 657 *r 30,000 1,710,000

9<P 657 *r 1,187 780,128 <P 657 *r 50 624,102 Ju#la* (.-.4(-42) Kela+ 2 K :isite dokter 1,710,000 75 14,782,500 Asu*an keidanan 1,168,000 50 584,000 Tindakan idan 5,475,000 50 2,737,500

Tindakan "ersalinan dokter 58,500,000 75 43,875,000

(inen 657 *r 11,874 7,801,275

&onsu#si 657 *r 36,750 24,144,750

<Ptaungoksigen 66 liter 25 1,643

9<P 657 *r 1,781 1,170,11

(7)

iaa "e#uatan akte 166 "s 30,000 4,3,200 &onsu#si 657 *r 30,873 20,283,316 Ju#la* 121-4.(-((4 Kela+ 1 :isite dokter 5,130,000 75 44,347,500 Asu*an ke"eraatan 3,504,000 50 1,752,000 Tindakan dokter 2,10,000 75 1,642,500

&onsul dokter s"esialis 2,628,000 75 1,71,000

Tindakan "eraat 1,314,000 50 657,000

(inen 657 *r 11,874 7,801,275

&onsu#si 657 *r 61,000 40,077,000

9<P 657 *r 8,824 5,77,05 <P 657 *r 7,843 5,152,41 Ju#la* 10)-1)-2, T9TA( ,4(-1(-31 PENUNJANG Lab6ra#6"u$ =tilitas 182.5 *r 42,21 3-304-)., Ra"6l6/" :G"/"; ;il#igi 173 "s 8,000 1,380,000 <P 173 tdk 5,000 862,500 9<P 173 tdk 10,000 1,725,000

Pre#i "etugas 6,00,000 5 "ersen 5 345,000

Pre#i ruukan drg luar 6,00,000 10 "ersen 10 60,000

Ju#la* (-002-(00

De*6 Oba#

<P Penualan 9at 835,520,000 20 "ersen 20 66,266,667

a*an "roduksi 7,707 6 ulan 500 3,853,250

Pre#i% 7707 %ese" 75 577,88

Pre#i"uer50%+ 385 rese" 1,000 385,325.00

Pe#akaian<P 445 "s 500 2,22,500

Ju#la* 30,-,12-32)

Re&a$ $e"+

AT& > /etak 60,375 ulan 6 ,-.(.-2(0

K6+u$+"

Sna'k dokter aga > Praktek 5 dr>drg 180 *r 7,500 6,750,000

&onsu#si dokter "raktek 5 dr>drg 180 *r 20,000 18,000,000

&onsu#si ekstra dokter aga #ala# 1 dr 180 *r 7,500 1,350,000

&onsu#si ?isite dokter s"esialis 1 dr 45 *r 20,000 80,000

&onsu#si "egaai 25 "g 180 *r 13,000 58,500,000

&onsu#si ekstra "egaai aga #ala# 1 "g 180 *r 5,000 00,000

%a"at internal akis 20 "g 24 ra"at 10,000 4,800,000

%a"at eksternal 10 "g 8 ra"at 15,000 1,200,000

(8)

Ju$la! )2-4)0-000 BEBAN UMUM < ADMINISTRASI

GAJI PEGA%AI

aiPokok 20 "g 6 ulan @%; @%;

TunanganJaatan 3 "g 6 ulan @%; @%;

TunangansteriBAnak "g 6 ulan

-Tunanganeras&araan 20 "g 6 ulan @%; @%;

Tunangan*ariraa 20 "g 6 ulan @%; @%;

<arian &ea#anan>/S 4 "g 6 ulan 1,200,000 28,800,000

Ju#la* =RE5>

KESEJAHTERAAN PEGA%AI

9atPegaai 155 "s 64,000 ,36,000

Tunangan!ungsional "g 6 ulan -

-Tunangank*usus "g 6 ulan -

-Tunangan le#ur "egaai 10 a# 6 ulan 7,000 70,000

TP 20 "g 400,000 8,000,000

&enaikanerkala -

-Seraga# "egaai 20 "g 1 se#ester 300,000 6,000,000

&esea*teraan nika* atau #eninggal 1 "g 250,000 250,000

Ju#la* 24-2(.-000

PENINGKATAN SDI

Pelati*an, Se#inar B Pendidikan 1 se#ester 1,000,000 1,000,000

&eutu*an ola* raga 1 se#ester 250,000 250,000

Ju#la* 1-2(0-000

BEBAN KANTOR

Ad#inistrasi B &euangan 6 ulan 212,500 1,275,000.00

<u#asBDaka* 6 ulan 600,000 3,600,000.00

;oto'o" B Pengiri#an 6 ulan 100,000 600,000.00

Ju#la* (-43(-000

PEMELIHARAAN

edung 6 ulan

- Alkes > Altor 1 se#ester 300,000 300,000.00

&eersi*an 1 se#ester 4,6,306 4,6,305.61

Sa#"a*#edisdannon#edis 1 se#ester

-Peraatan interior 1 se#ester 250,000 250,000.00

Ju#la* (-(1)-,0.

BBM ' PERJALANAN DINAS

Pe#eliankeutu*an&linik 6 ulan

-PPP& 6 ulan

-PP&linik-%S$( 30 PP 180 PP 1 3,028 545,020.62

Ako#odasi dinas luar "egaai 6 ulan 23,748 142,48.05

Ju#la* .3-(10 UTILITAS Air 6 ulan 50,000 300,000.00 Tele"on 6 ulan 150,000 00,000.00 (istrikBT: 6 ulan 15,000,000 0,000,000.00 Ju#la* )1-200-000

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MARKETING

Pengaian akis $ingguan C$inggu Sore 6 ulan 24 kali 208,333 5,000,000

Pengaian akis u2 $ingguan C&a#is Pagi 6 ulan 24 kali 208,333 5,000,000

(o#a Pengaian Se#esteran CE12 t* dan Deasa 6 ulan 1 kali 2,50,000 2,50,000

Pelati*an /usto#er Satis!a'tion 3ulanan 6 ulan 2 kali 1,200,000 2,400,000

Ju#la* 14-))0-000

PROMOTI5 < PREENTI5

Penulu*an ke desa 3 ulanan 6 ulan 2 kali 2,725,001 5,450,002

dukasi &ese*atan Sekola* 3 ulanan 6 ulan 2 kali 2,725,001 5,450,002

Ju#la* 10-)00-004

PAJAK DOKTER

LAINLAIN

Tenaga *arian "engelolaan sa#"a* 180 *ari 25,000 4,500,000

$aala*,&oran,Buku 6 ulan 100,000 600,000

&eanggotaanP&; 1 ta*un 20,000

PaakP 1 ta*un

(ain-lain

Ju#la* (-,)0-000

(10)

RENCANA ANGGARAN PENDAPATAN RSIA BELLE?A KEDATON

SEMESTER II 2013 UNIT @

NO PENDAPATAN Tar/e# Se$e+#er II Sa#ua Ju$la! Sa#ua Per bula Per !ar" TARI5 JUMLAH

A PELAYANAN I  II III B PENUNJANG

(11)

I II III I  C LAINLAIN I TOTAL

(12)

RENCANA ANGGARAN PENGELUARAN RSIA BELLE?A KEDATON

SEMESTER II 2013 UNIT @

NO PENGELUARAN Tar/e# Se$e+#er II Sa#ua Ju$la! Sa#ua Per !ar" TARI5 TAHUN 2013

A OPERASIONAL I ALAT II BAHAN III UTILITAS  B PREMITENAGA C KEGIATAN

(13)

D PENGEMBANGAN E LAINLAIN I II III TOTAL