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KEPOLISIAN NEGARA REPUBLIK INDONESIA DAERAH SUMATERA SELATAN RUMAH SAKIT BHAYANGKARA PALEMBANG

REVISI PAGU ANGGARAN

1 2 3 3 4 5 16 18

650840 RUMKIT BHAYANGKARA PALEMBANG 131,917,905,000

060.01.BP Program Modernisasi Almatsus dan Sarana Prasarana Polri 29,160,378,000

3084 Pengembangan Peralatan Polri 27,816,071,000

3084.CAF Sarana Bidang Pertahanan dan Keamanan 27,816,071,000

3084.CAF.002 Pemenuhan Alat Material 12 orang 27,816,071,000

065 Peralatan Kesehatan 27,816,071,000

QW PENGADAAN ALKES 24,983,571,000

(KPPN.014-Palembang)

537112 Belanja Modal Peralatan dan Mesin - BLU 24,983,571,000

(KPPN.014-Palembang)

- BLOOD GAS ANALYZER 1 UNIT 229,216,000 229,216,000 -

- SPIROMETRI 1 UNIT 210,784,000 210,784,000 -

- OPTHALMIC EXCIMER LASER SYSTEM 1 UNIT 94,500,000 94,500,000 -

- USB TELINGA KAMERA VEIDEO OTOSCOPE THT 1 UNIT 30,000,000 30,000,000 30,000,000 30,000,000 1 UNIT 30,000,000

- ENDOSCOPY OTOCOMPACT PROESIONAL 1 UNIT 333,295,000 333,295,000 333,295,000 333,295,000 1 UNIT 333,295,000

- GENOSE 3 UNIT 80,000,000 80,000,000 500,000,000 500,000,000 5 UNIT 100,000,000

- UROLOGI 1 UNIT 1,500,000,000 1,500,000,000 2,909,320,000 2,909,320,000 1 UNIT 2,909,320,000

- ALKES UTD 1 SET 2,750,000,000 2,750,000,000 2,750,000,000 2,750,000,000 1 SET 2,750,000,000

- ELEKTROSURGICAL 1 UNIT 575,564,000 575,564,000 575,564,000 575,564,000 1 UNIT 575,564,000

- USG FOR RADIOLOGY 654,689,000 654,689,000 1 UNIT 654,689,000

- USG 4D FOR OBGYN 2,471,553,000 2,471,553,000 3 UNIT 823,851,000

- USG FOR CARDIC 711,321,000 711,321,000 1 UNIT 711,321,000

- TELE 146,880,000 146,880,000 1 UNIT 146,880,000

- MINOR SET 360,000,000 360,000,000 5 SET 72,000,000

- COUTER 6,000,000 6,000,000 2 UNIT 3,000,000

- NON CONTACT TONOMETER 133,200,000 133,200,000 1 UNIT 133,200,000

- USG MATA+BIO METRI LENSA 184,800,000 184,800,000 1 UNIT 184,800,000

- LASER ND DENGAN LASER ARGON 130,800,000 130,800,000 1 SET 130,800,000

- PERIMETER HUMPHREY 120,000,000 120,000,000 1 UNIT 120,000,000

- I CARE HANDHELD TONOMETER 111,600,000 111,600,000 1 UNIT 111,600,000

- GONIOSKOPI 158,400,000 158,400,000 1 UNIT 158,400,000

- LENSA 78 5,000,000 5,000,000 1 SET 5,000,000

- TROLI 28,800,000 28,800,000 3 UNIT 9,600,000

- KATARAK SET 75,000,000 75,000,000 1 SET 75,000,000

- MINOR INSTRUMEN AESCULAP 84,000,000 84,000,000 1 SET 84,000,000

- GLUKOMA SET 60,000,000 60,000,000 1 SET 60,000,000

- EVISCERASI SET 60,000,000 60,000,000 1 SET 60,000,000

- CRANIOTOMY SET 208,800,000 208,800,000 1 SET 208,800,000

- ORTHOPEDI SET 252,000,000 252,000,000 1 SET 252,000,000

- DAREM KLEM 24,000,000 24,000,000 4 UNIT 6,000,000

- KLEM KOHER 24,000,000 24,000,000 4 SET 6,000,000

- TENSIMETER ANAK 14,487,000 14,487,000 1 UNIT 14,487,000

- TIMBANGN DIGITAL 2,700,000 2,700,000 1 UNIT 2,700,000

- TIMBANGAN BAYI DIGITAL 3,900,000 3,900,000 1 UNIT 3,900,000

- MICRO MOTOR SURGERY 95,250,000 95,250,000 1 UNIT 95,250,000

- ORAL SURGERY SET 22,000,000 22,000,000 1 SET 22,000,000

- RF CAUTER 230,000,000 230,000,000 1 UNIT 230,000,000

' - AUTOMATIC BLOOD PRESSURE MONITOR - AUTOMATIC BLOOD PRESSURE MONITOR 215,004,000 215,004,000 6 UNIT 35,834,000

- POMPA TRANSFER - AUTOMATIC BLOOD PRESSURE MONITOR 50,000,000 50,000,000 1 UNIT 50,000,000

- AIRVO UNIT OPTI FLOW THERAPY - AUTOMATIC BLOOD PRESSURE MONITOR 850,000,000 850,000,000 5 UNIT 170,000,000

- CARDIO DEFIBILATOR MONITOR - AUTOMATIC BLOOD PRESSURE MONITOR 100,000,000 100,000,000 1 UNIT 100,000,000

- ORTHOPEDIC SET - AUTOMATIC BLOOD PRESSURE MONITOR 210,000,000 210,000,000 1 UNIT 210,000,000

- HIGH SPEED DRILL 645,536,000 645,536,000 1 UNIT 645,536,000

- ORTHOPEDIC EMERGENCY SET 80,000,000 80,000,000 1 UNIT 80,000,000

- MESIN ANASTESI 1,250,000,000 1,250,000,000 1 UNIT 1,250,000,000

- BODY COMPOSITION ANALYZER 235,000,000 235,000,000 1 UNIT 235,000,000

- ULTRASONIC PULSED DOPPLER IMAGING SYSTEM 7,870,672,000 7,870,672,000 2 UNIT 3,935,336,000

QX PENGADAAN NON ALKES 2,832,500,000

537112 Belanja Modal Peralatan dan Mesin - BLU 2,832,500,000

(KPPN.014-Palembang)

- LAPTOP 10 UNIT 8,800,000 8,800,000 180,000,000 180,000,000 12 UNIT 15,000,000

- AC 5 UNIT 5,379,200 5,379,200 90,750,000 90,750,000 3 UNIT 30,250,000

- HOSPITAL TV 55 INCHI 1 SET 224,956,000 224,956,000 50,000,000 50,000,000 2 UNIT 25,000,000

- TV 198,000,000 198,000,000 33 UNIT 6,000,000

- VIDEO TRON 563,261,000 563,261,000 1 UNIT 563,261,000

- MESIN CUCI 21,450,000 21,450,000 1 UNIT 21,450,000

- DRONE 40,000,000 40,000,000 1 UNIT 40,000,000

- MOTOR MATIC AMBULANCE 90,000,000 90,000,000 2 UNIT 45,000,000

- BOR ELEKTRIK 10,000,000 10,000,000 2 UNIT 5,000,000

- POMPA SEDOT 50,000,000 50,000,000 2 UNIT 25,000,000

- SOUND SYSTEM 28,700,000 28,700,000 1 SET 28,700,000

- KOMPUTER 130,000,000 130,000,000 10 UNIT 13,000,000

- AC 1 PK 57,435,000 57,435,000 15 UNIT 3,829,000

- AC 2 PK 81,200,000 81,200,000 14 UNIT 5,800,000

- MIKROTIK ROUTERBOARD CCR 9,852,000 9,852,000 1 UNIT 9,852,000

- LEMARI DIALIZER 16,500,000 16,500,000 1 UNIT 16,500,000

- FURNITURE 198,500,000 198,500,000 10 SET 19,850,000

- KURSI TUNGGU 210,000,000 210,000,000 30 UNIT 7,000,000

- PRINTER 40,000,000 40,000,000 10 UNIT 4,000,000

- FREEZER 30,000,000 30,000,000 3 UNIT 10,000,000

- SHOWCASE 21,000,000 21,000,000 3 UNIT 7,000,000

- WASHER TIVA DESINFECTOR 715,852,000 715,852,000 1 UNIT 715,852,000

5059 Dukungan Manajemen dan Teknik Sarpras 1,344,307,000

5059.EAA Layanan Perkantoran 12 Layanan 1,344,307,000

5059.EAA.994 Layanan Perkantoran 12 Layanan 1,344,307,000

002 Operasional dan Pemeliharaan Kantor 1,344,307,000

AO PEMELIHARAAN GEDUNG NEGARA 467,820,000

523111 Belanja Pemeliharaan Gedung dan Bangunan 0 - - 467,820,000

- HAR GEDUNG KANTOR 2260 M2 207,000 207,000 467,820,000 467,820,000 2260 M2 207,000

KET KODE

RENCANA KEGIATAN (RENGIAT) RUMAH SAKIT BHAYANGKARA PALEMBANG T.A. 2021

NO URAIAN SATKER

17

SATUAN BIAYA

ANGGARAN TARGET

(2)

REVISI PAGU ANGGARAN

1 2 3 3 4 5 16 18

KET KODE

NO URAIAN SATKER

17

SATUAN BIAYA

ANGGARAN TARGET

AY HAR RANMOR R 4/6/10 0 - - 189,620,000

523121 Beban Pemeliharaan Peralatan dan Mesin 0 - - 189,620,000

- HAR RANMOR R4 9 UNIT 19,000,000 19,000,000 171,000,000 171,000,000 9 UNIT 19,000,000

- HAR RANMOR R6 1 UNIT 18,620,000 18,620,000 18,620,000 18,620,000 1 UNIT 18,620,000

BE PEMELIHARAAN SARANA GEDUNG 0 - - 123,540,000 -

523119 Belanja Pemeliharaan Gedung dan Bangunan Lainnya 0 - - 123,540,000 -

- HAR HALAMAN 1000 M2 10,000 - -

BH PEMELIHARAAN PERALATAN KANTOR 0 - - 123,540,000

523121 Belanja Pemeliharaan Peralatan dan Mesin 0 - - 123,540,000

- HAR INVENTARIS KANTOR 70 OT 80,000 80,000 5,600,000 5,600,000 70 OT 80,000

- AC 154 UNIT 610,000 610,000 93,940,000 93,940,000 154 UNIT 610,000

- UPS 30 UNIT 1,461,000 800,000 24,000,000 24,000,000 30 UNIT 800,000

- PABX 1 UNIT 30,630,000 - -

BI PEMELIHARAAN PERALATAN FUNGSIONAL 0 - - 393,237,000

523121 Beban Pemeliharaan Peralatan dan Mesin 0 - - 393,237,000

> HAR ALKES 260,257,000

>> ALKES ANASTHESI, ICU DAN IBS 30,000,000

- PORTABLE VENTILATOR 1 UNIT 2,000,000 2,000,000 2,000,000 2,000,000 1 UNIT 2,000,000

- RESUSITATOR ADULT 1 UNIT 3,000,000 3,000,000 3,000,000 3,000,000 1 UNIT 3,000,000

- RESUCITATOR PEDIATRIC 1 UNIT 3,000,000 3,000,000 3,000,000 3,000,000 1 UNIT 3,000,000

- ANASTHESIA APPARATUS PORTABLE 2 UNIT 3,816,000 1,500,000 3,000,000 3,000,000 2 UNIT 1,500,000

- MESIN ANASTESI 1 UNIT 10,000,000 5,000,000 5,000,000 5,000,000 1 UNIT 5,000,000

- PATIENT MONITOR ECG 2 UNIT 5,000,000 2,500,000 5,000,000 5,000,000 2 UNIT 2,500,000

- OPERATING TABLE 3 UNIT 8,200,000 3,000,000 9,000,000 9,000,000 3 UNIT 3,000,000

>> ALKES OBSTETRI GYNECOLOGY 23,000,000

- USG 5 UNIT 9,000,000 4,000,000 20,000,000 20,000,000 5 UNIT 4,000,000

- GYNECOLOGICAl TREATMENT 1 UNIT 3,000,000 3,000,000 3,000,000 3,000,000 1 UNIT 3,000,000

>> ALKES CARDIOLOGI 25,465,000

- DEFIBRILATOR 4 UNIT 5,000,000 3,000,000 12,000,000 12,000,000 4 UNIT 3,000,000

- ECG 3 UNIT 1,500,000 1,500,000 4,500,000 4,500,000 3 UNIT 1,500,000

- DOPPLER ECOCERDIOGRAPH 1 UNIT 2,000,000 2,000,000 2,000,000 2,000,000 1 UNIT 2,000,000

- TREADMILL 1 UNIT 5,965,000 5,965,000 5,965,000 5,965,000 1 UNIT 5,965,000

- ECHO 1 UNIT 1,000,000 1,000,000 1,000,000 1,000,000 1 UNIT 1,000,000

>> ALKES ANAK 7,500,000

- STANDAR INCUBATOR 5 UNIT 3,000,000 1,500,000 7,500,000 7,500,000 5 UNIT 1,500,000

>> ALKES REHABILITASI MEDIK 15,000,000

- DIATHERMY SHORT WAVE 2 UNIT 4,000,000 2,000,000 4,000,000 4,000,000 2 UNIT 2,000,000

- MICROTHERAPHY DIAMETRIC 2 UNIT 4,000,000 4,000,000 8,000,000 8,000,000 2 UNIT 4,000,000

- TRACTION WITH TABEL 3 UNIT 2,333,000 1,000,000 3,000,000 3,000,000 3 UNIT 1,000,000

>> ALKES GIGI 12,000,000

- DENTAL UNIT 3 UNIT 8,200,000 4,000,000 12,000,000 12,000,000 3 UNIT 4,000,000

>> ALKES RADIOLOGI 62,230,000

- CT SCAN 1 UNIT 95,051,000 60,230,000 15,980,000 15,980,000 1 UNIT 15,980,000

- X-RAY UNIT 1 UNIT 5,000,000 2,000,000 46,250,000 46,250,000 1 UNIT 46,250,000

>>ALKES THT 1,000,000

- TREATMENT UNIT 1 UNIT 2,981,000 1,000,000 1,000,000 1,000,000 1 UNIT 1,000,000

>>ALKES ENDOSCOPY 1,072,000

- LAPARASCOPY 1 UNIT 2,000,000 1,072,000 1,072,000 1,072,000 1 UNIT 1,072,000

>>ALKES MATA 2,000,000

- SCREEN OPTHAL TEST 1 UNIT 2,000,000 2,000,000 2,000,000 2,000,000 1 UNIT 2,000,000

>>ALKES UMUM 26,100,000

- STERILISATOR 5 UNIT 1,000,000 1,000,000 5,000,000 5,000,000 5 UNIT 1,000,000

- BANKAR 10 UNIT 1,000,000 500,000 5,000,000 5,000,000 10 UNIT 500,000

- SUCTION 6 UNIT 500,000 500,000 3,000,000 3,000,000 6 UNIT 500,000

- KURSI RODA 38 UNIT 335,000 250,000 9,500,000 9,500,000 38 UNIT 250,000

- OPERATING LIGHTS 6 UNIT 1,294,000 600,000 3,600,000 3,600,000 6 UNIT 600,000

>> ALKES DOKPOL 35,000,000

- FREEZER JENAZAH 6 UNIT 5,000,000 5,000,000 30,000,000 30,000,000 6 UNIT 5,000,000

- AUTOPSI TABLE 2 UNIT 2,500,000 2,500,000 5,000,000 5,000,000 2 UNIT 2,500,000

>> ALKES LABORATORIUM 19,890,000

- MICROSCOPE 1 UNIT 3,000,000 3,000,000 3,000,000 3,000,000 1 UNIT 3,000,000

- CENTRIFUGE 1 UNIT 7,000,000 7,000,000 7,000,000 7,000,000 1 UNIT 7,000,000

- HEMATOLOGY ANALYXER 1 UNIT 1,000,000 1,000,000 1,000,000 1,000,000 1 UNIT 1,000,000

- SPIROMETER 1 UNIT 4,390,000 4,390,000 4,390,000 4,390,000 1 UNIT 4,390,000

- NEBULIZER 3 UNIT 1,500,000 1,500,000 4,500,000 4,500,000 3 UNIT 1,500,000

> HAR FUNGSIONAL 132,980,000

>> EMERGENCY GENERATOR SET 26,000,000

- GENSET 200 KVA 1 UNIT 15,850,000 15,850,000 15,850,000 15,850,000 1 UNIT 15,850,000

- GENSER 100 KVA 1 UNIT 10,150,000 10,150,000 10,150,000 10,150,000 1 UNIT 10,150,000

>> HAR KOMPUTER, LAPTOP DAN PRINTER 90,980,000

- KOMPUTER DAN LAPTOP 71 UNIT 730,000 730,000 51,830,000 51,830,000 71 UNIT 730,000

- PRINTER 58 UNIT 675,000 675,000 39,150,000 39,150,000 58 UNIT 675,000

>> INCENERATOR 10,000,000

- INCENERATOR 1 UNIT 10,000,000 10,000,000 10,000,000 10,000,000 1 UNIT 10,000,000

>> CCTV 6,000,000

- CCTV 1 SET 12,000,000 6,000,000 6,000,000 6,000,000 1 SET 6,000,000

U HAR PERALATAN FUNGSIONAL - - 46,550,000

523121 Belanja Pemeliharaan Peralatan dan Mesin - - 46,550,000

- KALIBRASI ALKES 70 UNIT 665,000 665,000 46,550,000 46,550,000 70 UNIT

060.01.01.WA PROGRAM DUKUNGAN MANAJEMEN 102,757,527,000

3072 Pelayanan Kesehatan Polri 97,735,626,000

3072.BAA Pelayanan Publik Kepada Masyarakat 412 orang 97,735,626,000

3072.BAA.001 Layanan Kesehatan BLU 12 orang 95,028,870,000

Q DUKUNGAN PENELENGGARAAN PELAYANAN KESEHATAN 95,028,870,000

525111 Belanja Gaji dan Tunjangan 5,712,816,000

> GAJI PEGAWAI BLU 5,712,816,000

- PEGAWAI BLU 12 BLN 984,405,000 984,405,000

5,712,816,000

5,712,816,000 12 BLN 476,068,000

525112 Belanja Barang 10,101,376,000

- MAKAN PASIEN 80 ORG x 365 HARI [80 ORG x 365 HARI] 29200 OH 32,000 32,000

1,203,040,000

1,203,040,000 37595 OH 32,000

- PENDUKUNG MEDIS 12 BLN 63,000,000 63,000,000

2,249,976,000

2,249,976,000 12 BLN 187,498,000

- PENDUKUNG UMUM 12 BLN 199,568,000 213,909,000 6,101,988,000 6,101,988,000 12 BLN 508,499,000

- GIAT BAKSOS 1 GIAT 28,562,000 28,570,000 49,998,000 49,998,000 3 GIAT 16,666,000

- BIAYA BANK 12 BLN 500,000 500,000 600,000 600,000 6 BLN 100,000

- SURVEI AKREDITASI 8 BLN 10,000,000 10,000,000 80,000,000 80,000,000 8 BLN 10,000,000

- PROMOSI 3 GIAT 1,000,000 1,000,000 3,000,000 3,000,000 3 GIAT 1,000,000

- PEMERIKSAAN BERKALA OPERASIONAL RS 12 BLN 5,000,000 5,000,000 28,470,000 28,470,000 10 BLN 2,847,000

- PELATIHAN 9 GIAT 3,100,000 27,900,000 27,900,000 9 GIAT 3,100,000

- SPEAKER AKTIF 10 BLN 20,000,000 - 1,200,000 1,200,000 2 UNIT 600,000

- PEN LIGHT 300,000 300,000 1 BUAH 300,000

- WOODEN TONGE SPATEL 200,000 200,000 1 BUAH 200,000

- NEAR BEKHEN 600,000 600,000 2 BUAH 300,000

(3)

REVISI PAGU ANGGARAN

1 2 3 3 4 5 16 18

KET KODE

NO URAIAN SATKER

17

SATUAN BIAYA

ANGGARAN TARGET

- METERAN UKUR 100,000 100,000 1 BUAH 100,000

- TERMOS ES 900,000 900,000 1 BUAH 900,000

- PENGUKUR SUHU LEMARI ES 104,000 104,000 1 UKUR 104,000

- TABUNG GAS OKSIGEN 125,000,000 125,000,000 50 UNIT 2,500,000

- REGULATOR OKSIGEN 100,000,000 100,000,000 50 UNIT 2,000,000

- CCTV [16 TITIK X 2 SET] 128,000,000 128,000,000 32 TITIK 4,000,000

525113 Belanja Jasa 18,350,903,000

- MEDIS, PARAMEDIS DAN PENUNJANG MEDIS 12 BLN 346,948,250 302,948,250 16,421,952,000 16,421,952,000 12 BLN 1,368,496,000

- INSTRUKTUR CI 12 BLN 14,000,000 14,000,000 168,000,000 168,000,000 12 BLN 14,000,000

- ANGKUT LIMBAH MEDIS 12 BLN 5,000,000 5,000,000 347,496,000 347,496,000 12 BLN 28,958,000

- ANGKUT SAMPAH 12 BLN 2,000,000 2,000,000 24,000,000 24,000,000 12 BLN 2,000,000

- SEDOT WC 6 BLN 700,000 700,000 4,200,000 4,200,000 6 BLN 700,000

- DEWAS 6 BLN 6,000,000 6,000,000 161,892,000 161,892,000 12 BLN 13,491,000

- AUDIT EKSTERNAL 1 GIAT 100,000,000 100,000,000 42,000,000 42,000,000 2 GIAT 21,000,000

- ROHANIAWAN 12 BLN 400,000 400,000 400,000 400,000 1 BLN 400,000

- IT 1 GIAT 22,000,000 22,000,000 22,000,000 22,000,000 1 GIAT 22,000,000

- JASA MORBIS 12 BLN 20,000,000 240,000,000 240,000,000 12 BLN 20,000,000

- OUT SOURCING 851,998,000 851,998,000 7 BLN 121,714,000

- JASA PEMASANGAN AC STANDING 15,000,000 15,000,000 3 GIAT 5,000,000

- JASA PEMASANGAN AC SPLIT 51,965,000 51,965,000 19 GIAT 2,735,000

525114 Belanja Pemeliharaan 7,800,903,000

- HAR GEDUNG 5000 M2 218,000 218,000 6,213,000,000 6,213,000,000 28500 M2 218,000

- HAR PERALATAN KANTOR 12 BLN 139,762,000 139,762,000 677,136,000 677,136,000 12 BLN 56,428,000

- HAR ALKES 10 BLN 331,690,000 331,690,000 646,280,000 646,280,000 10 BLN 64,628,000

- HAR KENDARAAN R6 1 UNIT 30,000,000 30,000,000 30,000,000 30,000,000 1 UNIT 30,000,000

- HAR MOBIL AMBULANCE 5 UNIT 40,000,000 40,000,000 20,747,000 20,747,000 5 UNIT 4,149,400

- HAR MINI BUS 2 UNIT 5,000,000 5,000,000 10,000,000 10,000,000 2 UNIT 5,000,000

- HAR AC 203,740,000 203,740,000 334 UNIT 610,000

525115 Belanja Perjalanan 401,256,000

- PERJALANAN DINAS 12 BLN 33,438,000 33,438,000 401,256,000 401,256,000 12 BLN 33,438,000

525121 Belanja Barang Persediaan Barang Konsumsi - BLU 0 - - 456,000,000

> BELANJA NON COVID 456,000,000

- BEKAL KANTOR 12 BLN 38,000,000 38,000,000 456,000,000 456,000,000 12 BLN 38,000,000

> BELANJA KEPERLUAN COVID - -

>> BELANJA BARANG PENANGANAN COVID (BLU) - -

- THERMOGUN 4 PCS 700,000 - - -

- EKSTRA FOODING (100 ORG X 235 HARI) 23500 OH 7,500 - - -

- HAZMAT APD 660 PCS 95,000 - - -

- FACE SHIELD 400 PCS 139,250 - - -

- KACAMATA GOOGLE 250 PCS 88,000 - - -

- MASKER SCUBA 600 PCS 8,000 - - -

>> BELANJA BARANG PERSEDIAAN PENANGANAN COVID

(BLU) - -

- RAPID TEST 2200 PCS 82,500 - - -

- SWAB TEST 1000 PCS 900,000 - - -

- MASKER N95 150 BOX 295,000 - - -

- OBAT DAN VITAMIN 12 BLN 8,500,000 - - -

- VITAMIN DAYA TAHAN TUBUH PERS RUMKIT 12 BLN 9,000,000 - - -

- CAIRAN DISENFEKTAN 60 LITER 727,000 - - -

- HAND SANITEZER 75 LTR 300,000 - - -

- SENSI SHOES COVER 500 BOX 500,000 - - -

- SENSI NURSE CAP 500 BOX 65,000 - - -

- MASKER BEDAH 300 BOX 150,000 - - -

525129 Belanja Barang Persediaan Lainnya - BLU 0 - - 52,205,616,000

- BEKAL MEDIS 12 BLN 996,203,000 1,167,338,000 52,205,616,000 52,205,616,000 12 BLN 4,350,468,000

3072.BAA.002 Layanan Kesehatan 400 Orang 2,706,756,000

003 Dukungan Operasional Pertahanan dan Keamanan 2,706,756,000

FS DUKUNGAN OPERASIONAL SATKER 245,404,000

521115 Honor Operasional Satuan Kerja 93,036,000

- KPA 1 ORG X 12 BLN (1 ORG X 12 BLN ) 12 OB 2,900,000 2,900,000 34,800,000 34,800,000 12 OB 2,900,000

- PPK 1 ORG X 12 BLN (1 ORG X 12 BLN ) 12 OB 2,900,000 2,900,000 34,800,000 34,800,000 12 OB 2,900,000

- BENDAHARA PENGELUARAN 1 ORG X 12 BLN (1 ORG X

12 BLN ) 12 OB 1,000,000 1,000,000 12,000,000 12,000,000 12 OB 1,000,000

- STAF PENGELOLA KEUANGAN 1 ORG X 12 BLN (1 ORG

X 12 BLN ) 12 OB 800,000 800,000 9,600,000 9,600,000 12 OB 800,000

- HONOR PENCERAMAH 1,836,000 1,836,000 6 KALI 306,000

521119 Belanja Barang Operasional Lainnya - -

> BIAYA PELATIHAN - -

- MAKAN 40 ORG X 1 HR X 9 GIAT ( 40 ORG X 1 HR X 9

GIAT ) 360 OK 40,000 40,000 - -

- SNACK 40 ORG X 1 HR X 9 GIAT ( 40 ORG X 1 HR X 9

GIAT ) 360 OK 15,000 15,000 - -

- HONOR NARASUMBER EKSTERNAL 1 ORG X 1 JAM X 9

GIAT ( 1 ORG X 1 JAM X 9 GIAT ) 9 OJ 900,000 900,000 - -

522141 Belanja Sewa 152,368,000

- SEWA KENDARAAN R4 [1 UNIT x 12HARI x 7 GIAT] 14 HARI 1,086,000 1,086,000 92,368,000 92,368,000 92 HARI 1,004,000

- SEWA MESIN FOTOCOPY 12 BLN 5,000,000 5,000,000 60,000,000 60,000,000 12 BLN 5,000,000

524111 Belanja Perjalanan Dinas Biasa 0 - - - -

- JALDIS LUAR KOTA 0 - - - -

FY ULP NON ORGANIK/JAGA FUNGSI 0 - - 51,100,000

521112 Belanja pengadaan bahan makanan 0 - - 51,100,000

- UANG MAKAN [4 ORG x 365 HARI] 1460 OH 70,000 70,000 51,100,000 51,100,000 730 OH 70,000

HE PENYELENGGARAAN KEDOKTERAN FORENSIK 1,532,707,000

521119 Belanja Barang Operasional Lainnya 1,532,707,000

> PELAYANAN DOKPOL 1,322,707,000

>> PEMBUATAN VER 246,400,000

- VISUM PADA KORBAN HIDUP 350 ORG 130,000 130,000 41,400,000 41,400,000 230 ORG 180,000

- OTOPSI PEMERIKSAAN LUAR 120 ORG 500,000 500,000 75,000,000 75,000,000 150 ORG 500,000

- OTOPSI JENAZAH (PEMERIKSAAN LUAR DAN DALAM) 30 ORG 3,000,000 3,000,000 114,000,000 114,000,000 38 ORG 3,000,000

- PEMERIKSAAN KERANGKA 5 ORG 732,000 732,000 16,000,000 16,000,000 10 ORG 1,600,000

- PENERBITAN SURAT KET MEDIS TERSANGKA KASUS

KEDOKTERAN FORENSIK 5 ORG 500,000 500,000 - -

>> ODONTOLOGI KEPOLISIAN - -

- DENTAL OTOPSI 11 ORG 840,000 840,000 - -

- PEMBUATAN ODONTOGRAM LENGKAP 11 ORG 75,000 75,000 - - - PENENTUAN USIA INDIVIDU TERSANGKA DAN KORBAN 11 ORG 461,000 461,000 - -

>> PEMULASARAAN JENAZAH 117,500,000

- PERAWATAN JENAZAH 40 ORG 450,000 450,000 67,500,000 67,500,000 150 ORG 450,000

- PETI MATI 20 UNIT 1,000,000 1,000,000 50,000,000 50,000,000 50 UNIT 1,000,000

>> YANKES KORBAN KEKERASAN PADA WANITA DAN ANAK

YG TIDAK DIJAMIN BPJS 167,500,000

- RAWAT JALAN 1 ORG x 267 HARI [1 ORG x 267 HARI] 267 OH 300,000 300,000 87,500,000 87,500,000 350 OH 250,000 - RAWAT INAP 1 ORG x 200 HARI [1 ORG x 200 HARI] 200 OH 1,300,000 1,300,000 80,000,000 80,000,000 80 OH 1,000,000

(4)

REVISI PAGU ANGGARAN

1 2 3 3 4 5 16 18

KET KODE

NO URAIAN SATKER

17

SATUAN BIAYA

ANGGARAN TARGET

>> RIKES TAHANAN 791,307,000

- RAWAT JALAN 400 ORG 400,000 400,000 198,000,000 198,000,000 1100 ORG 180,000

- RAWAT INAP TANPA TINDAKAN OPERASI 30 ORG 2,630,100 2,630,100 163,932,000 163,932,000 57 ORG 2,876,000

- RAWAT INAP DGN TINDAKAN OPERASI ORG/PAKET 20 ORG 6,086,800 6,086,800 429,375,000 429,375,000 60 ORG 7,156,250

> KES KAMTIBNAS 210,000,000 -

- DETEKSI DINI NARKOBA 994 ORG 200,000 200,000 210,000,000 210,000,000 1050 ORG 200,000

Q DUKUNGAN PENYELENGGARAAN PELAYANAN KESEHATAN 877,545,000

521119 Belanja Barang Operasional Lainnya 877,545,000

> PELAYANAN YANKES 877,545,000

>> PREVENTIF TANPA TINDAKAN MEDIS -

- VAKSINASI INFLUENZA 500 ORG 310,000 310,000 -

- VAKSIN HEPATITIS A 2 KALI x 300 ORG [2 KALI x 300

ORG] 600 OK 377,000 377,000 -

- VAKSIN THYPOID 300 ORG 360,000 360,000 -

>> PELAYANAN KESEHATAN KERJA KURATIF DAN

REHABILITATIF 801,667,000

- PENYAKIT / KECELAKAAN TANPA TINDAKAN OPERASI +

PERAWATAN 17 ORG 6,575,000 6,575,000 131,500,000 131,500,000 20 ORG 6,575,000

- PENYAKIT / KECELAKAAN DENGAN TINDAKAN OPERASI

MULAI RINGAN S/D KHUSUS 12 ORG 30,000,000 30,000,000 450,000,000 450,000,000 15 ORG 30,000,000

- YANKES DENGAN SARANA DAN PRASARANA YANG

LEBIH TINGGI 2 ORG 126,350,000 126,350,000 220,167,000 220,167,000 2 ORG 110,083,500

>> PENYAKIT YANG TIDAK DITANGGUNG BPJS 75,878,000

- PENGOBATAN PADA TUGAS OPERASI DALAM NEGERI 1 ORG 8,804,000 8,804,000 8,804,000 8,804,000 1 ORG 8,804,000

- RAWAT JALAN TK LANJUT BAGI SISWA DIKTUK

ORG/KUNJUNGAN 3 ORG 900,000 900,000 2,700,000 2,700,000 3 ORG 900,000

- RAWAT INAP BAGI SISWA DIKTUK TANPA TINDAKAN

OPERASI ORG/PAKET 1 ORG 2,537,000 2,537,000 4,374,000 4,374,000 1 ORG 4,374,000

- RAWAT INAP BAGI SISWA DIKTUK DGN TINDAKAN

OPERASI RINGAN S/D KHUSUS 1 GIAT 30,722,000 30,722,000 60,000,000 60,000,000 3 GIAT 20,000,000

3073 Dukungan Pelayanan Internal Perkantoran Polri 5,021,901,000

3073.EAA Layanan Perkantoran 5,010,023,000

3073.EAA.994 Layanan Perkantoran 12 Layanan - - 5,010,023,000

001 Gaji dan Tunjangan 4,934,523,000

A Pembayaran Gaji dan Tunjangan 4,934,523,000

511161 Beban Gaji Pokok PNS TNI/Polri 0 - - 2,291,720,000

- Belanja Gaji Pokok PNS TNI/Polri 1 THN 1,964,330,000 1,964,330,000 1,949,005,000 1,949,005,000 1 THN 1,949,005,000

- Belanja Gaji Pokok PNS TNI/Polri (gaji ke 13) 1 BLN 163,695,000 163,695,000 163,695,000 163,695,000 1 BLN 163,695,000

- Belanja Gaji Pokok PNS TNI/Polri (gaji ke 14) 1 BLN 163,695,000 163,695,000 179,020,000 179,020,000 1 BLN 179,020,000

511169 Beban Pembulatan Gaji PNS TNI/Polri 0 - - 39,000

- Belanja Pembulatan Gaji PNS TNI/Polri 1 THN 33,000 33,000 32,000 32,000 1 THN 32,000 - Belanja Pembulatan Gaji PNS TNI/Polri (gaji ke 13) 1 BLN 3,000 3,000 3,000 3,000 1 BLN 3,000 - Belanja Pembulatan Gaji PNS TNI/Polri (gaji ke 14) 1 BLN 3,000 3,000 4,000 4,000 1 BLN 4,000

511171 Beban Tunj. Suami/Istri PNS TNI/Polri 0 - - 77,462,000

- Belanja Tunj. Suami/Istri PNS TNI/Polri 1 THN 66,396,000 66,396,000 65,225,000 65,225,000 1 THN 65,225,000

- Belanja Tunj. Suami/Istri PNS TNI/Polri (gaji ke 13) 1 BLN 5,533,000 5,533,000 5,533,000 5,533,000 1 BLN 5,533,000 - Belanja Tunj. Suami/Istri PNS TNI/Polri (gaji ke 14) 1 BLN 5,533,000 5,533,000 6,704,000 6,704,000 1 BLN 6,704,000

511172 Beban Tunj. Anak PNS TNI/Polri 0 - - 28,973,000

- Belanja Tunj. Anak PNS TNI/Polri 1 THN 24,833,000 24,833,000 24,833,000 24,583,000 1 THN 24,583,000

- Belanja Tunj. Anak PNS TNI/Polri (gaji ke 13) 1 BLN 2,070,000 2,070,000 2,070,000 2,070,000 1 BLN 2,070,000 - Belanja Tunj. Anak PNS TNI/Polri (gaji ke 14) 1 BLN 2,070,000 2,070,000 2,070,000 2,320,000 1 BLN 2,320,000

511173 Beban Tunj. Struktural PNS TNI/Polri 0 - - 115,360,000

- Belanja Tunj. Struktural PNS TNI/Polri 1 THN 98,880,000 98,880,000 98,880,000 98,390,000 1 THN 98,390,000

- Belanja Tunj. Struktural PNS TNI/Polri (gaji ke 13) 1 BLN 8,240,000 8,240,000 8,240,000 8,240,000 1 BLN 8,240,000 - Belanja Tunj. Struktural PNS TNI/Polri (gaji ke 14) 1 BLN 8,240,000 8,240,000 8,240,000 8,730,000 1 BLN 8,730,000

511174 Beban Tunj. Fungsional PNS TNI/Polri 0 - - 120,470,000

- Belanja Tunj. Fungsional PNS TNI/Polri 1 THN 103,260,000 103,260,000 103,260,000 102,690,000 1 THN 102,690,000

- Belanja Tunj. Fungsional PNS TNI/Polri (gaji ke 13) 1 BLN 8,605,000 8,605,000 8,605,000 8,605,000 1 BLN 8,605,000 - Belanja Tunj. Fungsional PNS TNI/Polri (gaji ke 14) 1 BLN 8,605,000 8,605,000 8,605,000 9,175,000 1 BLN 9,175,000

511175 Beban Tunj. PPh PNS TNI/Polri 0 - - 12,561,000

- Belanja Tunj. PPh PNS TNI/Polri 1 THN 10,639,000 10,639,000 10,639,000 10,639,000 1 THN 10,639,000

- Belanja Tunj. PPh PNS TNI/Polri (gaji ke 13) 1 BLN 961,000 961,000 961,000 961,000 1 BLN 961,000 - Belanja Tunj. PPh PNS TNI/Polri (gaji ke 14) 1 BLN 961,000 961,000 961,000 961,000 1 BLN 961,000

511176 Beban Tunj. Beras PNS TNI/Polri 53,722,000 53,722,000 53,722,000

- Belanja Tunj. Beras PNS TNI/Polri 1 THN 53,722,000 53,722,000 53,722,000 53,722,000 1 THN 53,722,000

511179 Beban Uang Makan PNS TNI/Polri 0 - - 478,221,000

- Belanja Uang Makan PNS TNI/Polri 1 THN 396,000,000 396,000,000 478,221,000 478,221,000 1 THN 478,221,000

511193 Beban Tunjangan Umum PNS TNI/Polri 0 - - 17,640,000

- Belanja Tunjangan Umum PNS TNI/Polri 1 THN 15,120,000 15,120,000 14,575,000 14,575,000 1 THN 14,575,000

- Belanja Tunjangan Umum PNS TNI/Polri (gaji ke 13) 1 BLN 1,260,000 1,260,000 1,260,000 1,260,000 1 BLN 1,260,000 - Belanja Tunjangan Umum PNS TNI/Polri (gaji ke 14) 1 BLN 1,260,000 1,260,000 1,805,000 1,805,000 1 BLN 1,805,000

511211 Beban Gaji Pokok TNI/POLRI 0 - - 1,051,342,000

- Belanja Gaji Pokok TNI/POLRI 1 THN 1,016,937,000 1,016,937,000 906,902,000 906,902,000 1 THN 906,902,000

- Belanja Gaji Pokok TNI/POLRI (gaji ke 13) 1 BLN 58,313,000 58,313,000 58,313,000 58,313,000 1 BLN 58,313,000

- Belanja Gaji Pokok TNI/POLRI (gaji ke 14) 1 BLN 58,313,000 58,313,000 86,127,000 86,127,000 1 BLN 86,127,000

511219 Beban Pembulatan Gaji TNI/POLRI 0 - - 11,000

- Belanja Pembulatan Gaji TNI/POLRI 1 THN 9,000 9,000 9,000 8,000 1 THN 8,000 - Belanja Pembulatan Gaji TNI/POLRI (gaji ke 13) 1 BLN 1,000 1,000 1,000 1,000 1 BLN 1,000 - Belanja Pembulatan Gaji TNI/POLRI (gaji ke 14) 1 BLN 1,000 1,000 1,000 2,000 1 BLN 2,000

511221 Beban Tunj. Suami/Istri TNI/POLRI 0 - - 64,558,000

- Belanja Tunj. Suami/Istri TNI/POLRI 1 THN 55,334,000 55,334,000 55,334,000 53,068,000 1 THN 53,068,000

- Belanja Tunj. Suami/Istri TNI/POLRI (gaji ke 13) 1 BLN 4,612,000 4,612,000 4,612,000 4,612,000 1 BLN 4,612,000 - Belanja Tunj. Suami/Istri TNI/POLRI (gaji ke 14) 1 BLN 4,612,000 4,612,000 4,612,000 6,878,000 1 BLN 6,878,000

511222 Beban Tunj. Anak TNI/POLRI 0 - - 25,382,000

- Belanja Tunj. Anak TNI/POLRI 1 THN 21,756,000 21,756,000 21,756,000 21,756,000 1 THN 21,756,000

- Belanja Tunj. Anak TNI/POLRI (gaji ke 13) 1 BLN 1,813,000 1,813,000 1,813,000 1,813,000 1 BLN 1,813,000

- Belanja Tunj. Anak TNI/POLRI (gaji ke 14) 1 BLN 1,813,000 1,813,000 1,813,000 1,813,000 1 BLN 1,813,000

511223 Beban Tunj. Struktural TNI/POLRI 0 - - 104,580,000

- Belanja Tunj. Struktural TNI/POLRI 1 THN 89,640,000 89,640,000 89,640,000 89,640,000 1 THN 89,640,000

- Belanja Tunj. Struktural TNI/POLRI (gaji ke 13) 1 BLN 7,470,000 7,470,000 7,470,000 7,470,000 1 BLN 7,470,000 - Belanja Tunj. Struktural TNI/POLRI (gaji ke 14) 1 BLN 7,470,000 7,470,000 7,470,000 7,470,000 1 BLN 7,470,000

511225 Beban Tunj. PPh TNI/POLRI 0 - - 8,217,000

- Belanja Tunj. PPh TNI/POLRI 1 THN 7,043,000 7,043,000 7,043,000 4,759,000 1 THN 4,759,000

- Belanja Tunj. PPh TNI/POLRI (gaji ke 13) 1 BLN 587,000 587,000 587,000 587,000 1 BLN 587,000

- Belanja Tunj. PPh TNI/POLRI (gaji ke 14) 1 BLN 587,000 587,000 587,000 2,871,000 1 BLN 2,871,000

511226 Beban Tunj. Beras TNI/POLRI 0 - - 64,745,000

- Belanja Tunj. Beras TNI/POLRI 1 THN 64,745,000 64,745,000 64,745,000 64,745,000 1 THN 64,745,000

511228 Beban Tunj. Lauk pauk TNI/POLRI 0 - - 293,400,000

- Belanja Tunj. Lauk pauk TNI/POLRI 1 THN 293,400,000 293,400,000 293,400,000 293,400,000 1 THN 293,400,000

511232 Beban Tunj. Kowan/Polwan TNI TNI/POLRI - - 2,100,000

- Belanja Tunj. Kowan/Polwan TNI TNI/POLRI 1 THN 1,800,000 1,800,000 1,800,000 1,800,000 1 THN 1,800,000

- Belanja Tunj. Kowan/Polwan TNI TNI/POLRI (gaji ke 13) 1 BLN 150,000 150,000 150,000 150,000 1 BLN 150,000

(5)

REVISI PAGU ANGGARAN

1 2 3 3 4 5 16 18

KET KODE

NO URAIAN SATKER

17

SATUAN BIAYA

ANGGARAN TARGET

- Belanja Tunj. Kowan/Polwan TNI TNI/POLRI (gaji ke 14) 1 BLN 150,000 150,000 150,000 150,000 1 BLN 150,000

511244 Beban Tunjangan Umum TNI/Polri - - 6,300,000

- Belanja Tunjangan Umum TNI/Polri 1 THN 5,400,000 5,400,000 4,575,000 4,575,000 1 THN 4,575,000

- Belanja Tunjangan Umum TNI/Polri (gaji ke 13) 1 BLN 450,000 450,000 450,000 450,000 1 BLN 450,000 - Belanja Tunjangan Umum TNI/Polri (gaji ke 14) 1 BLN 450,000 450,000 1,275,000 1,275,000 1 BLN 1,275,000

512211 Beban Uang Lembur 0 - - 117,720,000

> UANG LEMBUR PNS 0 - - 53,280,000

- GOLONGAN II [6 ORG x 2 JAM x 10 HARI x 12 BLN] 1440 OJ 17,000 17,000 24,480,000 24,480,000 1440 OJ 17,000 - GOLONGAN III [6 ORG x 2 JAM x 10 HARI x 12 BLN] 1440 OJ 20,000 20,000 28,800,000 28,800,000 1440 OJ 20,000

> MAKAN LEMBUR PNS - - 51,840,000

- GOLONGAN II [6 ORG x 10 HARI x 12 JAM] 720 OH 35,000 35,000 25,200,000 25,200,000 720 OH 35,000 - GOLONGAN III [6 ORG x 10 HARI x 12 BLN] 720 OH 37,000 37,000 26,640,000 26,640,000 720 OH 37,000

> MAKAN LEMBUR POLRI 12,600,000

- GOLONGAN II [3 ORG x 10 HARI x 12 BLN] 360 OH 35,000 35,000 12,600,000 12,600,000 360 OH 35,000

002 Operasional dan Pemeliharaan Kantor 0 - - 75,500,000

BW PENGADAAN PERALATAN / PERLENGKAPAN KANTOR 0 - - 75,500,000

521811 Belanja Barang Persediaan Barang Konsumsi 0 - - 75,500,000

- BEKAL KANTOR 50 OT 1,510,000 1,510,000 75,500,000 75,500,000 50 OT 1,510,000

3073.EAC Layanan Umum 11,878,000

3073.EAC.001 Layanan Dukungan Manajemen Internal Perkantoran 11,878,000

003 Dukungan Operasional Pertahanan dan Keamanan 11,878,000

E PENYUSUNAN PROGRAM, ANGGARAN DAN RENCANA KERJA 550,000

521211 Belanja Bahan 550,000

> PENYUSUNAN PROGRAM DAN RENCANA KERJA 550,000

>> BIAYA RAPAT 550,000

- MAKAN 10 ORG x 1 HARI x 2 GIAT[10 ORG x 1 HARI x 2

GIAT] 20 OK 40,000 40,000 400,000 400,000 10 OK 40,000

- SNACK 10 ORG x 1 HARI x 2 GIAT [10 ORG x 1 HARI x 2

GIAT] 20 OK 15,000 15,000 150,000 150,000 10 OK 15,000

>> ALAT TULIS KANTOR (ATK) 0 - - - -

- KERTAS 1 RIM 45,000 - - -

- TINTA 1 BUAH 50,000 - - -

- JILID CETAK 10 BUKU 10,000 - - -

F PENYUSUNAN RKA-KL DAN DIPA - - - -

521211 Belanja Bahan - - - -

> PENYUSUNAN RKA-KL DIPA - - - -

>> BIAYA RAPAT - - - -

- MAKAN [10 ORG x 1 HARI x 1 GIAT] 10 OK 46,000 45,900 - - - SNACK [10 ORG x 1 HARI x 1 GIAT] 10 OK 17,000 17,000 - - >> ALAT TULIS KANTOR (ATK) 0 - - - -

- KERTAS 1 RIM 45,000 - - -

- TINTA 1 BUAH 50,000 - - -

- JILID CETAK 10 BUKU 10,000 - - -

G PENYUSUNAN EVALUASI LKIP 0 - - 630,000

521211 Belanja Bahan 0 - - 630,000

> PENYUSUNAN EVALUASI LKIP 0 - - 630,000

>> BIAYA RAPAT 0 - - 630,000

- MAKAN 10 ORG x 1 HARI x 1 GIAT [10 ORG x 1 HARI x 1

GIAT] 10 OK 46,000 46,000 460,000 460,000 10 OK 46,000

- SNACK 10 ORG x 1 HARI x 1 GIAT [10 ORG x 1 HARI x 1

GIAT] 10 OK 17,000 17,000 170,000 170,000 10 OK 17,000

>> ALAT TULIS KANTOR (ATK) 0 - - - -

- KERTAS 1 RIM 45,000 - - -

- TINTA 1 BUAH 50,000 - - -

- JILID CETAK 10 BUKU 10,000 - - -

JZ HONORARIUM SAI/SAKPA DAN PENGELOLAAN KEUANGAN 10,698,000

521115 Belanja Honor Operasional Satuan Kerja 10,698,000

- OPERATOR SAKTI [1 ORG x 12 BLN] 12 OB 300,000 300,000 3,600,000 3,600,000 12 OB 300,000

- OPERATOR SIRENA [1 ORG x 12 BLN] 12 OB 300,000 291,500 3,498,000 3,498,000 12 OB 291,500

- OPERATOR SIMAK [1 ORG x 12 BLN] 12 OB 150,000 150,000 1,800,000 1,800,000 12 OB 150,000

- OPERATOR SAIBA [1 ORG x 12 BLN] 12 OB 150,000 150,000 1,800,000 1,800,000 12 OB 150,000

131,794,365,000 TOTAL

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