laporan realisasi kemajuan fisik dan keuangan

- ^*'cry'n REAI.ISASI KEMAJUAN FISIK DAN KEUANGAil S/D BULAN DESEMBER 2021

RUMAH SAKIT UMUM DAERAH

No. R€k, Pfihram drn

K€ghtrn _P€karr..n ^Paket Anggffrn 8clrn . _Suhb.r

Dana

li{.tod.

P.ngrda.

n PGny.dl

a

JaE

t nggrl

Palrklmn ,6r*nk

illl.l Kontr.k

(RP)

Sh. TGndd

($) Er

Rqlis.l

E I

^KET

Kauangan

FLlk

^ort

gtt7,

t.02.01

Progr.D pcn!trF4

hriih r-L.r4-

ln Pam.mrhan

Xontrak

^oh

,3

1 1.02.01.2.0 2

Admlnl.tn.l l(.u.ntrn P.ramkat D.rnh

0

0

100

11,E01.r59.413 0 0 0 11.801.759,413 0 0 100 ,1,067.385.469 0 21,067.385.469

9f

^{100 100}

1,02.01.2,02.

01

Peny€diaan Garl dan

funlanorn AsN 21.801.759.413 0 c 0 21,801.759.413 0 0 100 21,067.385,465 0 21.067.385.469 96,6 100 100

Peny€dlaan GrJl dafl

Tun lngan ASN 21.801.759.413 0 0 0 21.801.759.413

Dana

T6nsLr

Um!m.

Dina

Iipe

Swakelola

I

^{0 100} 21.067,385,469 c 21.067.385.469 95,6 100 100

2 1.02.01,2,1 0

Panlnek.tan

210.650,7t1.140 3.90r.629.000

o 0 214.S59,34!.,140 0 0 100 14r.798,684.569 2.530.652,000 150,329.5rE.569 60 99,11

t(x,

1.02.01.2.10, 01

Pc[ylnon din

^penqn rng

Pehy.nan ELUD 2t0.650,7t2,140 3.908.629.000 0 0 214.559.341.140 0 0 100 147,798.886,569 2.530.652.000 150,329.538.s69 70,1 99,71

8elon.

Peg.wat

BLUD 59.982.168.375 _{c 0} 0 59.982.168,375

Pcndap.tc

n

dlrl

_Swakebla ^Tlpe ₁ ^{0 0 100} 59,635.138,415 0 59.635.138.415

*,1

100 100

Eelaor. Brrang

dln

Jasa BLUD 150.668.543.765 ₀ 0 0 150.668.513.765

Pendrpata n darl Tlp.

Sw.kalola 1 0 0 100 88.146.199,374 0 88.146.199.374 58,5 100 100

Bcl.n a Modal AEt

Kshrtqn

Pais Box 0 169.4{t0.000 0 C 169.480.00C

Pendapdta

n darl E.

Purchashg PT. Indall

&ry.

241101202t 156,700.000 12,780,000 100 c 156.700,000 156,700.000 92,5 100 100

Eclanjr Modlt At.t

Kehabn

Washer 0 1.047.298.000 _{c 0} 1,047,298.00C

Pend!pat!

n dart E.

Purchaslng F/T,

ti6pl

Nh0! tllt2l202L

961.224.904 86.073.1m 100 c c

(

0 40 40

B€lin a Modll Atat

l(@hat!f,

Tabung 0 156.200,0m ₀ 0 156.200,000

Pcndapat!

n

dirl

_Purch.shg^E.

PT.

Cllacp t61091202t 156,200.000 c 100 0 156.200.00{ 156.200.000 100 1m 100

B€l.ola Modat AIat

Kwhatan Tabqng c 154,000.000 0 0 154.000.000

Pendapab

n

dlrl

^E.

Purchaslng PT.

Clhap

^16/0912021 154.000"000 c 100 0 154,000.00c 154.000.000 100 100 r00

Belan

r

Modrt Atnt

Kehe&n

8to Safety 0 211.530,00( 0 0 211.530.000

Pendapat

n darl E.

Purchaslng PT,

Eso

lJtima

0?lttnlzt

191,400,000 20.130.00c r00 0 1S1.400.000 191.400,000 90,5 100 100

Belanla Modat Atat

K*hatEn

Cytotoxlc

Safety Cabhet 0 446,290.000 _{0 0} 446.290.000

Pendap.ta n darl ELUD Purchaslng

PT.

ES

Utrmr

t0ltu202t

333.205,000 113.08s.00( r00 333.205.000 333.205.000 74t7 100 100

Eelsnl! Modll

Abt K6ah.trn

Smra Mhlmally

Invartw

BrG$t vrcuum

&rtJtrd

Erctslon (VAE) SyrEm/ USG

BESV

Mtntm.t

InvEM

Sum.ru

9r

1.703.831,000 0 1.703.831.000

Pfidrprb

n

dffl

BLUD

E.

Purcharlng

ff.

Prc H€.lth

t!t212021

1.539.147.000 r64.684.00( 100 0 1,539.147.000 1.539.147.00C 90,3 100 100

nal

Admlnlstrast Pe*antoran Pengadaan Alat

K&hatln

Umum

0 20.000.000 0 0 20.000.000

Pendrpata n

dlrl

BLUO Tlp€

Sw.kclola

I

^{0 c 100 17.548,780 c 17.548,780 87,? 100 100}

1.02.02

D.n Up.y.

₀

23.7rr,t7r.350 ₀

₀

2t,77r,1 r,350

0 0 100 51.815.i106 22.250,855,731

22,102,612,1

7 94

to0

100

:t 1.02,02,2,0 1

Palrtrnm l(mhrt n untuk

uKltt

d.n uxP

Kqan.ng.n DGrth

⁰

2r,7r?,177 .150

0

2r,7r,

.177

,3t0

0 0 100 51.616.406 22,2s0.855,731

22,102.612,13f

94 100 100

P€ngembangrn Rumah

S.klt 0 13.989.200.000 0 c 13.989.200.000 0

( t00

21.762.830 13,194.436.000 13.216.198.830 94,5 100 100

I

I

Pclakslnaan Konghukil Eelanla Modal Bangunan K6ehatan Rawat Inap

d.n

ICCU

0 13,759,200.000 0 13,759.200.000

DAK Ftsik- BIdrng

Kehatrn

dan KB- Rcauler- Pelayanan K@hatan Ruluk n

Tender PT.

Putera Jiya Andalrn -

Pl.

Blntan0 Sembllrn, KSO

191t2t202r 12.996.106,000 763.094.000 100 12.996.106,000 12.996,106.000 94,5 100 100

I

Admhlstrasl PeriontoEn Belanla t''todal Banounan

Kehatan

t{awat Inap dan ICCU

0 30.000,000 0 30.000.00c

Pendapata n darl BLUD

rpe

Swakelola 1

100 21.762.83! 0 21.762.834 100

5 7 8 10

1l

11

dm, rRo)

luml.h lRnl

)1 2) 2l

1l

14 15 t6

1l

18 19 20

168,866,272,03t 2.530,652,000

171.396.9r4.03t

¹⁰⁰

(

100

f**","*n

KonstrulGl Betanja l"lodal Bangunan

Kehatan

Rawat Inap dan ICCU

0

(

0 200.000.000

DAK Flslk- Bldang

Kffihabn

dan KB- Reguhr Pelayanan

Kffihat

n RuJukan

Pengadaan Langsung

Cv. Skala Abadi

)aya

1911212021 100 0 198.330.000 198.330.000 99,2 100 100

1.02,02.2.01. PEngadaan Sarana Farllltas tuayanan

0 2,762,977.350 0 c 2.762.971.35t c c 100 16.711.596 1,601.310.418 1.618.022.014 58,6 100 100

Belanja ltodat Alat

Kehatan

rcR Uf,lt 0 557.617,500 0 0 557.617.sm

DBH Cukai Hasll Tembakau

E.

Purchasing PT, oexa

Arfindo Pratama

@10912021 484.500.000 73.117.500 100 0 484.500.000 484.s00.000 85,9 100 100

Pengawr$n Konstruk, Eehnla

Modal Eingunan 0 1.531.149.117

0 1.531.149.117

DAK Flsik"

Bidang Kwhatan

Pengadaan llnoaung

CV, Skala Abadl

J.ya

3110s12021 513,780.000 96,376,667 100 0 198.330.00C 198.330.00t 13 100 100

Eelanja ltodat Atat

Kesehatan

Fffier

⁰ 112,750,000 c 112.7s0.000

DStl Cukal Hasll Tembokau

E- Purch!5ing

PT

Blovahe 2810812021 82.692.000 30,0s8.00c 100 0 82.692.00( 82.692.000 71,3 100 100

Behn.

Modat At.t

(ehahn

_oeep

Ft@er

^{c 0} 158.620.00(

DBH Culal Hasll Tembakau

E- Purchashg

PT Blov.lme

d

28t08t202t 135.128.00C 23.492.00( 100 c 135,128.000 135.128.000 85,2 100 100

Belan a Modat Alat

0 0 169.400.00c

DBH Cukrl H.stl Tembeliu

E.

Purcharlng PT.

Glomed

Adlnata

@lw/202r

70.250.00c 99.150.00( 100 c 70.250.000 70.250.000 4t,5 100 100

Modal Alat Spln

0 12.5.r0.000

oBli Cukrl

lrr.ll Tcmbrk!!

E.

Purch.slng PT.

Glomed

Adlnata 09tc0t2021 12.422304 117,70C 100

(

12.422.300 t2.422304 99,1 100

lYodal

Allt

Vortex 30.360.000

DBH Cukil Hastl Tembakau

E.

Purchaslng PT. K.rya

Prutama 23t10t2021 13.r52.00C 17.208.00c 100 0 13.r52.000 13.1s2,00C 43,3 100 100

Modat Atat

66,000.00(

DBH Cukrl HaEll Tcmbckau

E- Purchashq

PT, Ensryal

Puten 01t09t202t 64.031.968 1.968.03' 100

il.03r.96€

^{64.031.968 97 100 100}

l4odal Atat

0ry0!th 62,700.00c

DBH Cukrl Ha3ll T€mbtkru

E.

Purcha6ln0 PT.

Glom.d

Adlnltr

^{@/c912021 3s.321,200 27.378,80( r00 0}

35,321.20( 35,321.200 56,3 100 100

Eelan a Modal Alat Keseh.tan Blo

215.985.000 DBH Cuk!l

Hasll Tembrkru

E.

Purchaslng PT. EsCo

Utamr 01/0912021 19r,400,0m 24.585.00C 100 0 191.400,000 191,400,000 88,6 100 100

Modal Atat

VeMl

0 C 94.875,450

DBH Cukat Hasll Tembrkau

E- Purchaslng

PT, Farar Mrs

Murnl

18llol202r

94.875.450 c r00 0 94.875.450 94,875.450 100 100 100

8€lan a Mod.l Atot

Kehat!n Autchve

⁰ 163.350,000 0 0 163.350.00(

oBH Cukrl H6sll Temb!kau

E.

Purchasjng PT.

Glomed

Adinata

otlo9l202t

115.587.500 47.',t62,s9C 100 0 11S.587,500 11s.587.500 70,8 100 100

Belan

.

Modat Aht

Kehatan

Pharmaceu(cal 0 t28.677.2N _{0 0} t28.617.20A

DBH CUIGI Hasll Tembakau

E.

Purchaslng PT. Slgmr

B€d

3vc8t202t

103.620.000 25.057,20( 100 c 103.620.000 103.620,00c 80,5 100 100

Admlntstrast Perkantoran Pengadaan AEt

K*hatan

_/Atat

Pef,un ang M€dlk Fasllltar P€layanon

0 27.602,2N 0 0 27.602.200

Pendapata n darl BLUD

Tlpe

Swtkclola 1 0 0 100 16.711.596 c 16.711,596 60,5 100

14

Pcnoadaan

Abt

Penun

ing

Fasllltas Pelayanan 0 7.025.000.000 0 0 7.025.000.00( 0 0 100 13.341.980 6.871.939.313 6.88s.281.293 98 100 100

B€lan

.

i4odat AIat Keseh.trn Umum Ulnnya ICU Bed/

T€mpat Ttdur ICU

0 892.172,000 0 0 892.172.000

DAK Flsik- Bldang

Kehatan

dan K8- R€guler Pelayonan

Kehat!n

RuJukrn E"

Purchaslng pT.

SuElka Alk6lndo

20h01202t 888,000.000 4.172.000 100 888.000.000 8E8.000,000 99,s 100 100

200.000.000

d

158.620,00(

169,400.00c

100

c

(

94.875,45(

100

c

I I

Belan a N4odat Alat Kesehatan umum Lainnya Infuse pump

0 234.027.0@

(

234.027.004 DAK Ftstk-

Bidang K6ehatan

dan KB- Reguler Pelayanan

K*hatar

Rurukan E' Purchaslng

ff.

Urcgen Advanced Solutlons

1B/tol2o2r 100 c 234.000.000 234.000,000 100 100 100

Belanla Modat Atat K6ehatan Ljmum Lalnnya Syrtnge Pump

0 232.324.8m 0 0 232,324.800

DAK Ftstk- BidEog Ksehatan

dafl KB- Reguler Pelayanan Keshatan

RuJukan E"

Purchasing PT, Urcgen Advanced Solutlons

t8t10l202r

220.981.248 100 0 220.981.248 220.981,248 95,1 100 100

Eelanla Modat Atat K€sehahn Umum La,nnya Venfllator

508,341.75C s08.341.75C

DAK Flslk"

Bldang Ksehatnn

dan

(B-

R€guler Pelayanan Keshatan

RuJuk!n E' Purchasing

PT.6ratla Jaya lVulya

t8110/2021 404,830.065 103.511,685 100 0 {04,830,065 404.830.065 79,6 100 100

Bclan a Modrt Atat

Kshatln

umum Lrlnnya 6ed6lde I'lonltor

r.766.600.000 1.766.600,000

DAK Flslk- Bldan0 K€seh!bn

drn KB"

Rcouler Pelayan.n Ksehabn Rurukan

E"

Purchashg PT.

Intenusa 0ua Medlka

14lr0l202r

1.760.000.00c 1.760.000.00c

i

lBehnla ^l,tooat

lrat

Kesehrtan Umum Lrlnnyo Echo cadlography

0 3.346.523.250

DAK Fisrk- Eldang

K*h.tan

dan KB- Reguler- Pelayanan Keehatan

RuJukao Purchasln0

PT. B€rca Nlaga Mdtka

20h0t202\

3.346,000.00c 100 0 100 100 100

Eelan

r

Modal Alat Ksehstan Umum

Lolnnya Fllm Vlewer 0 20.011.200

DAK Frsrk- Bld8n0 Ksehatan

dan KB- Reouler Pelay6nan KEehSun

Ruruk4n E- Purchaslng

PT. TTI 0elta Jaya

311t0/2021 18,128,00C 1.883.200 100 0 18.128,000 90,6 100 100

Admhlstrast Perkntoran _{Eelan a} Modal Alat

Kffhatan

Umum Lalnnya ICCU

0 2S.000.000

Pendapata n darl SLUD

Tipe Swakelola 1

0 100 13.341,980

1

I

(

27.00

,ra.rrr.*1

I

ol

I

I

I I

I I

I

I

I I

*,rr.*J

,l

I

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6.600.000l roo r,zoo.ooo.oool

sr,s

I

13,34r.e801 53,4

| I

I I

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,.*r."r."i

r.r+o.ooo.oool

'*l*'l

,l ,r,rtr.r1

I

1 1

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4

1.02.03,2.0 2

PaMaanlan

Kabutuhan

dln Prnd.yrgun.an Sumb!rd.y. il.nul.

KcCl.t

n

ut*uk

UKp

d.tr ukM

dl

Ul.y.h

&!Jll!t r,lxet

0 0

9,304,2A6,2t4

100 9.394.1E6.234 ¹⁰⁰ 100 100

02

0 ( 9,394.286.234 100 ₁₀₀ 100 100

,.r*.*r*al

_{0 100 100}

c 9.394,286.234 APBD 100

'npe

Swakelola

I

¹⁰⁰

,,*.^r,*.lrl

9.394.286.23{

RSUD

Purworejo, 03 Januari 2022 RSUD dr, Tjitrowardo,io Kelas

B

Utama Muda 198803 ¹ 011

1.02.03

9.394.2A6,234 ₀

9.394.2&.234

100

,.r*.r"",,,nl ol 9,194,2A6,23t

100 100 100

Pemenuhan Kebutuhan Somber Daya I'tanusia

(ffihatan *sualshndar

IVanusla S€sual

(

(

JUMLAH

u'"*,rrr,rrrl 27.685305.35( ol

^I

269.s32.s64.13' 0l

ⁱ 0 100

178,112.374.678 24.7AL507.731

203.093.882.405 75

99,t'

100