LOKET INDUK KETERANGAN SEHAT RAJAL LUAR JAM KERJA CALON PENGANTIN PEMERIKSAAN HAJI UGD

JML. LAKU 3,006 30,060,000 JML. LAKU 579 5,790,000 JML. LAKU 25 375,000 JML. LAKU 86 2,150,000 JML. LAKU 11 440,000 JML. LAKU 349
TANGGAL
Perbup 35/2020 10,000 Perbup 35/2020 10,000 Perbup 35/2020 15,000 Perbup 35/2020 25,000 Perbup 35/2020 40,000 Perbup 35/2020
NO. KARCIS JML Rp. NO. KARCIS JML Rp. NO. KARCIS JML Rp. NO. KARCIS JML Rp. NO. KARCIS JML Rp. NO. KARCIS JML
03-01-2022 01-12 12 120,000 01-02 2 20,000 0 0 0
04-01-2022 13-22 10 100,000 03 1 10,000 0 0 0
05-01-2022 0 0 0 0 0 0 0
06-01-2022 0 0 0 0 0 0 0
07-01-2022 0 0 0 0 0 0 0
08-01-2021 0 0 0 0 0 0 0
10-01-2022 23-30 8 80,000 04 1 10,000 0 0 0
11-01-2022 31-41 11 110,000 05-06 2 20,000 0 0 0
12-01-2022 42-51 10 100,000 07-10 4 40,000 0 0 0
13-01-2022 52-58 7 70,000 11 1 10,000 0 01-02 2 50,000 0
14-01-2022 59-82 24 240,000 12 1 10,000 0 0 0
15-01-2022 83-86 4 40,000 13-15 3 30,000 0 0 0
17-01-2022 87-107 21 210,000 16-17 2 20,000 0 0 0
18-01-2022 108-119 12 120,000 18-19 2 20,000 0 0 0
19-01-2022 120-134 15 150,000 20 1 10,000 0 0 0
20-01-2022 135-165 31 310,000 21-22 2 20,000 0 03-04 2 50,000 0
21-01-2022 166-175 10 100,000 0 0 0 0
22-01-2022 176-181 6 60,000 23 1 10,000 0 0 0
24-01-2022 182-200 19 190,000 24-27 4 40,000 0 0 0
25-01-2022 201-209 9 90,000 28-29 2 20,000 0 0 0
26-01-2022 210-222 13 130,000 0 0 0 0
27-01-2022 223-233 11 110,000 30-32 3 30,000 0 0 0
28-01-2022 234-242 9 90,000 33-354 3 30,000 0 0 0
29-01-2022 243-248 6 60,000 0 0 0 0
31-01-2022 249-266 18 180,000 36-37 2 20,000 0 0 0
02-02-2022 267-289 23 230,000 38 1 10,000 0 0 0
03-02-2022 290-296 7 70,000 39 1 10,000 0 0 0
04-02-2022 297-305 9 90,000 40 1 10,000 0 0 0
05-02-2022 306-312 7 70,000 0 0 0 0
07-02-2022 313-324 12 120,000 41-43 3 30,000 0 5-6 2 50,000 0
08-02-2022 325-339 15 150,000 44 1 10,000 0 0 0
09-02-2022 340-354 15 150,000 45 1 10,000 0 0 0
10-02-2022 355-365 11 110,000 46-47 2 20,000 0 0 0
11-02-2022 366-379 14 140,000 0 0 0 0
12-02-2022 380-391 12 120,000 0 0 0 0
13-02-2022 0 0 0 0 0 1-2 2
14-02-2022 392-414 23 230,000 48-49 2 20,000 0 0 0 3-5 3
15-02-2022 415-430 16 160,000 50 1 10,000 0 0 0 6 1
16-02-2022 431-451 21 210,000 0 0 0 0 7-8 2
17-02-2022 452-467 16 160,000 0 0 0 0
18-02-2022 468-477 10 100,000 51 1 10,000 0 0 0
19-02-2022 478-487 10 100,000 52 1 10,000 0 0 0
21-02-2022 488-505 18 180,000 53-56 4 40,000 1 1 15,000 7-8 2 50,000 0 9 1
22-02-2022 506-520 15 150,000 57 1 10,000 0 0 0
23-02-2022 521-536 16 160,000 58 1 10,000 2 1 15,000 0 0 10 1
24-02-2022 537-543 7 70,000 59-60 2 20,000 0 0 0 11-14 4
25-02-2022 544-547 4 40,000 61 1 10,000 0 0 0
26-02-2022 548-559 12 120,000 0 0 0 0 15-16 2
27-02-2022 0 0 0 0 0 17 1
28-02-2022 0 0 0 0 0 18-19 2
01-03-2022 560-570 11 110,000 62-65 4 40,000 3 1 15,000 0 0
02-03-2022 571-576 6 60,000 0 0 0 0
03-03-2022 0 0 0 0 0 20 1
04-03-2022 577-582 6 60,000 0 0 0 0 21-24 4
05-03-2022 583-591 9 90,000 66-67 2 20,000 0 0 0 25-26 2
06-03-2022 0 0 0 0 0 27 1
07-03-2022 592-607 16 160,000 68-71 4 40,000 0 0 0
08-03-2022 608-619 12 120,000 72-73 2 20,000 0 0 0
09-03-2022 620-637 18 180,000 0 0 0 0 28-29 2
10-03-2022 638-640 3 30,000 74-75 2 20,000 0 0 0 30-32 3
11-03-2022 641-651 11 110,000 76-77 2 20,000 0 0 0
12-03-2022 652-656 5 50,000 78-82 5 50,000 0 0 0
13-03-2022 0 0 0 0 0 33 1
14-03-2022 657-666 10 100,000 83-87 5 50,000 0 0 0 34-38 5
15-03-2022 667-675 9 90,000 88-91 4 40,000 4 1 15,000 0 0 39 1
16-03-2022 676-683 8 80,000 92 1 10,000 0 0 0 40 1
17-03-2022 684-693 10 100,000 0 5 1 15,000 9-10 2 50,000 0 41 1
18-03-2022 694-698 5 50,000 0 0 0 0
19-03-2022 699-710 12 120,000 0 0 0 0 42 1
20-03-2022 0 0 0 0 0 43-45 3
21-03-2022 711-716 6 60,000 93-94 2 20,000 0 0 0
22-03-2022 717-723 7 70,000 0 0 0 0 46 1
23-03-2022 724-735 12 120,000 95-101 7 70,000 0 0 0
24-03-2022 736-743 8 80,000 102 1 10,000 0 0 0 47-49 3
25-03-2022 744-749 6 60,000 103-105 3 30,000 6-7 2 30,000 0 0
26-03-2022 750-757 8 80,000 106 1 10,000 8 1 15,000 0 0
27-03-2022 0 0 0 0 0 50-51 2
28-03-2022 758-765 8 80,000 107 1 10,000 0 0 0
29-03-2022 766-779 14 140,000 0 0 0 0
30-03-2022 780-799 20 200,000 108-109 2 20,000 0 0 0 52-54 3
31-03-2022 800-805 6 60,000 110-111 2 20,000 0 0 0
01-04-2022 806-812 7 70,000 0 9-10 2 30,000 0 0 55-57 3
02-04-2022 813-822 10 100,000 112-114 3 30,000 0 0 0
03-04-2022 0 0 0 0 0 58-60 3
04-04-2022 823-832 10 100,000 115-116 2 20,000 11-12 2 30,000 0 0 61-63 3
05-04-2022 833-845 13 130,000 0 0 0 0 64-66 3
06-04-2022 846-857 12 120,000 117-118 2 20,000 0 0 0 67 1
07-04-2022 858-863 6 60,000 119-120 2 20,000 0 11-12 2 50,000 0 68-69 2
08-04-2022 864-873 10 100,000 121 1 10,000 0 0 0 70 1
09-04-2022 874-888 15 150,000 0 13 1 15,000 0 0
11-04-2022 889-897 9 90,000 122-124 3 30,000 0 0 0 71-72 2
12-04-2022 898-906 9 90,000 125 1 10,000 0 0 0 73 1
13-04-2022 907-916 10 100,000 0 14 1 15,000 0 0
14-04-2022 917-925 9 90,000 0 0 13-14 2 50,000 0 74-75 2
16-04-2022 926-933 8 80,000 126 1 10,000 15 1 15,000 0 0
17-04-2022 0 0 0 0 0 76-78 3
18-04-2022 934-945 12 120,000 127-128 2 20,000 16 1 15,000 0 0 79-83 5
19-04-2022 946-957 12 120,000 129-130 2 20,000 0 0 0
20-04-2022 958-967 10 100,000 131-133 3 30,000 0 0 0 84 1
21-04-2022 968-975 8 80,000 0 17 1 15,000 0 0 85 1
22-04-2022 976-988 13 130,000 134 1 10,000 18 1 15,000 0 0 86-87 2
23-04-2022 989-992 4 40,000 0 0 0 0 88-89 2
24-04-2022 0 0 0 0 0 90 1
25-04-2022 993-1009 17 170,000 135-136 2 20,000 0 15-16 2 50,000 0 91-96 6
26-04-2022 1010-1019 10 100,000 137-138 2 20,000 19 1 15,000 0 0 97 1
27-04-2022 1020-1023 4 40,000 0 0 0 0 98-101 4
28-04-2022 1024-1034 11 110,000 139 1 10,000 0 0 0
29-04-2022 1035-1043 9 90,000 0 20 1 15,000 0 0 102 1
30-04-2022 144-148 5 50,000 0 0 0 0
01-05-2022 0 0 0 0 0 103-104 2
04-05-2022 149-151 3 30,000 0 0 0 0 105-106 2
05-05-2022 152 1 10,000 0 0 0 0
06-05-2022 153-156 4 40,000 140 1 10,000 0 0 0 107-109 3
07-05-2022 157 1 10,000 0 0 0 0 110-111 2
08-05-2022 0 0 0 0 0 112 1
09-05-2022 158-181 24 240,000 141-144 4 40,000 0 0 0
10-05-2022 182-191 10 100,000 145-148 4 40,000 0 0 0 113 1
11-05-2022 192-201 10 100,000 149-151 3 30,000 0 0 0 114-116 3
12-05-2022 202-209 8 80,000 152-155 4 40,000 21 1 15,000 17-18 2 50,000 0 117 1
13-05-2022 210-216 7 70,000 156-157 2 20,000 0 0 0 118 1
14-05-2022 217-223 7 70,000 158-161 4 40,000 0 0 0
15-05-2022 0 0 0 0 0 119-122 4
16-05-2022 0 0 0 0 0
17-05-2022 224-243 20 200,000 162-168 7 70,000 0 0 0 123-125 3
18-05-2022 244-257 14 140,000 169-172 4 40,000 0 0 0 126-129 4
19-05-2022 258-266 9 90,000 173-174 2 20,000 0 0 0 130-132 3
20-05-2022 267-275 9 90,000 175-177 3 30,000 0 0 0 133 1
21-05-2022 276-280 5 50,000 178-180 3 30,000 0 0 0 134 1
22-05-2022 0 0 0 0 0 135-138 4
23-05-2022 281-292 12 120,000 181-184 4 40,000 0 19-20 2 50,000 0 139 1
24-05-2022 293-303 11 110,000 185 1 10,000 22 1 15,000 0 0 140-141 2
25-05-2022 304-313 10 100,000 186-188 3 30,000 0 0 1-2 2 80,000 142 1
26-05-2022 0 0 0 0 0 143 1
27-05-2022 314-322 9 90,000 189-194 6 60,000 0 0 3-11 9 360,000 144-148 5
28-05-2022 323-330 8 80,000 195-196 2 20,000 0 0 0 149-150 2
30-05-2022 331-339 9 90,000 197-204 8 80,000 0 21-22 2 50,000 0 151-152 2
31-05-2022 340-356 17 170,000 205-206 2 20,000 0 0 0 153-154 2
01-06-2022 0 0 0 0 0 155-157 3
02-06-2022 357-363 7 70,000 207-210 4 40,000 23 1 15,000 0 0
03-06-2022 364-375 12 120,000 211-212 2 20,000 0 0 0
04-06-2022 376-381 6 60,000 0 0 0 0 158 1
05-06-2022 0 0 0 0 0 159-161 3
06-06-2022 382-394 13 130,000 213-220 8 80,000 0 0 0
07-06-2022 395-409 15 150,000 221-222 2 20,000 24 1 15,000 0 0
08-06-2022 410-416 7 70,000 223-227 5 50,000 0 0 0 162 1
09-06-2022 417-420 4 40,000 228-229 2 20,000 0 23-24 2 50,000 0 163 1
10-06-2022 421-428 8 80,000 230-231 2 20,000 0 0 0 164 1
11-06-2022 429-439 11 110,000 232-236 5 50,000 0 0 0 165 1
13-06-2022 440-451 12 120,000 237-240 4 40,000 0 0 0
14-06-2022 452-463 12 120,000 241-245 5 50,000 0 0 0 166 1
15-06-2022 464-475 12 120,000 246-250 5 50,000 0 0 0 167 1
16-06-2022 476-486 11 110,000 251-257 7 70,000 0 0 0
17-06-2022 487-493 7 70,000 258-263 6 60,000 0 0 0
18-06-2022 494-499 6 60,000 264-266 3 30,000 0 0 0 168 1
19-06-2022 0 0 0 0 0 169-170 2
20-06-2022 500-513 14 140,000 267-278 12 120,000 25 1 15,000 0 0 171-172 2
21-06-2022 514-520 7 70,000 279-281 3 30,000 0 0 0 173 1
22-06-2022 521-526 6 60,000 282-289 8 80,000 0 0 0 174 1
23-06-2022 527-530 4 40,000 290-291 2 20,000 0 0 0 175 1
24-06-2022 531-539 9 90,000 292-299 8 80,000 0 0 0 176-178 3
25-06-2022 540-548 9 90,000 300-302 3 30,000 0 0 0
27-06-2022 549-560 12 120,000 303-314 12 120,000 0 0 0 179-180 2
28-06-2022 561-566 6 60,000 315-330 16 160,000 0 0 0 181 1
29-06-2022 567-573 7 70,000 331-332 2 20,000 0 0 0 182-184 3
30-06-2022 574-582 9 90,000 333-335 3 30,000 0 0 0 185 1
01-07-2022 583-589 7 70,000 336-339 4 40,000 0 0 0
02-07-2022 590-592 3 30,000 340-343 4 40,000 0 0 0 186 1
03-07-2022 0 0 0 0 0 187 1
04-07-2022 593-600 8 80,000 344-351 8 80,000 0 0 0
05-07-2022 601-610 10 100,000 352-353 2 20,000 0 0 0 188 1
06-07-2022 611-624 14 140,000 354 1 10,000 0 0 0 189 1
07-07-2022 625-631 7 70,000 355 1 10,000 0 0 0 190 1
08-07-2022 632-642 11 110,000 356-357 2 20,000 0 0 0 191 1
09-07-2022 643 1 10,000 0 0 0 0 192-193 2
10-07-2022 0 0 0 0 0 194 1
11-07-2022 644-654 11 110,000 358-364 7 70,000 0 0 0 195-197 3
12-07-2022 655-663 9 90,000 365-369 5 50,000 0 0 0 198-199 2
13-07-2022 664-669 6 60,000 370-377 8 80,000 0 0 0
14-07-2022 670-673 4 40,000 378 1 10,000 0 0 0 200-201 2
15-07-2022 674-681 8 80,000 379-381 3 30,000 0 0 0
16-07-2022 682-686 5 50,000 382 1 10,000 0 0 0 202-206 5
17-07-2022 0 0 0 0 0 207-208 2
18-07-2022 687-695 9 90,000 383-384 2 20,000 0 0 0 209 1
19-07-2022 696-701 6 60,000 385 1 10,000 0 0 0
20-07-2022 702-709 8 80,000 386-388 3 30,000 0 0 0
21-07-2022 710-717 8 80,000 389-390 2 20,000 0 0 0 210 1
22-07-2022 718-724 7 70,000 0 0 0 0
23-07-2022 725-730 6 60,000 391 1 10,000 0 0 0 211-214 4
24-07-2022 0 0 0 0 0 215-218 4
25-07-2022 731-739 9 90,000 392-394 3 30,000 0 0 0 219 1
26-07-2022 740-744 5 50,000 395 1 10,000 0 0 0
27-07-2022 745-753 9 90,000 396 1 10,000 0 0 0
28-07-2022 754-763 10 100,000 397 1 10,000 0 0 0
29-07-2022 764-768 5 50,000 398-401 4 40,000 0 0 0
01-08-2022 769-779 11 110,000 402-403 2 20,000 0 0 0 220-224 5
02-08-2022 780-787 8 80,000 404-405 2 20,000 0 0 0
03-08-2022 788-795 8 80,000 406-408 3 30,000 0 0 0
04-08-2022 796-806 11 110,000 409 1 10,000 0 0 0 225 1
05-08-2022 807-813 7 70,000 410 1 10,000 0 0 0
06-08-2022 814-819 6 60,000 411 1 10,000 0 0 0 226-227 2
08-08-2022 820-835 16 160,000 412-416 5 50,000 0 25-26 2 50,000 0 228-229 2
09-08-2022 836-848 13 130,000 417-419 3 30,000 0 0 0 230 1
10-08-2022 849-857 9 90,000 420-422 3 30,000 0 0 0 231 1
11-08-2022 858-864 7 70,000 423-425 3 30,000 0 27-30 4 100,000 0 232-234 3
12-08-2022 865-870 6 60,000 426-428 3 30,000 0 0 0 235 1
13-08-2022 871-877 7 70,000 0 0 0 0 236-237 2
14-08-2022 0 0 0 0 0 238 1
15-08-2022 878-890 13 130,000 429-432 4 40,000 0 31-34 4 100,000 0 239-240 2
16-08-2022 891-900 10 100,000 0 0 0 0
17-08-2022 0 0 0 0 0 241 1
18-08-2022 901-916 16 160,000 433-436 4 40,000 0 0 0
19-08-2022 917-922 6 60,000 437-440 4 40,000 0 0 0 242 1
20-08-2022 923-928 6 60,000 0 0 0 0
21-08-2022 0 0 0 0 0 243 1
22-08-2022 929-938 10 100,000 441-444 4 40,000 0 0 0 244 1
23-08-2022 939-950 12 120,000 445-447 3 30,000 0 0 0 245 1
24-08-2022 951-958 8 80,000 448 1 10,000 0 0 0
25-08-2022 959-971 13 130,000 449-450 2 20,000 0 0 0
26-08-2022 972-978 7 70,000 451-452 2 20,000 0 0 0
27-08-2022 979-986 8 80,000 453 1 10,000 0 0 0
28-08-2022 0 0 0 0 0 246 1
29-08-2022 987-991 5 50,000 454-455 2 20,000 0 0 0 247 1
30-08-2022 992-1000 9 90,000 456-457 2 20,000 0 0 0 248-249 2
31-08-2022 1001-1014 14 140,000 458 1 10,000 0 0 0
01-09-2022 1015-1031 17 170,000 459 1 10,000 0 0 0 250 1
02-09-2022 1032-1036 5 50,000 0 0 0 0 251 1
03-09-2022 1037-1043 7 70,000 460 1 10,000 0 0 0 252-253 2
05-09-2022 1044-1056 13 130,000 461-463 3 30,000 0 35-38 4 100,000 0 254 1
06-09-2022 1057-1070 14 140,000 0 0 0 0 255 1
07-09-2022 1071-1081 11 110,000 0 0 0 0
08-09-2022 1082-1096 15 150,000 464 1 10,000 0 39-40 2 50,000 0
09-09-2022 1097-1108 12 120,000 465-467 3 30,000 0 0 0
10-09-2022 1109-1118 10 100,000 0 0 0 0
12-09-2022 1119-1135 17 170,000 468-471 4 40,000 0 0 0 256 1
13-09-2022 1136-1154 19 190,000 0 0 0 0
14-09-2022 1155-1172 18 180,000 0 0 0 0 257-259 3
15-09-2022 1173-1185 13 130,000 0 0 0 0
16-09-2022 1186-1196 11 110,000 0 0 0 0 260-261 2
17-09-2022 1197-1205 9 90,000 472 1 10,000 0 0 0 262 1
18-09-2022 0 0 0 0 0 263-266 4
19-09-2022 1206-1224 19 190,000 473-475 3 30,000 0 0 0 267 1
20-09-2022 1225-1238 14 140,000 476-478 3 30,000 0 0 0 268 1
21-09-2022 1239-1254 16 160,000 0 0 0 0
22-09-2022 1255-1275 21 210,000 479 1 10,000 0 41-42 2 50,000 0 269 1
23-09-2022 1276-1288 13 130,000 480-482 3 30,000 0 0 0
24-09-2022 1289-1298 10 100,000 483-484 2 20,000 0 0 0
25-09-2022 0 0 0 0 0 270-271 2
26-09-2022 1299-1318 20 200,000 485 1 10,000 0 43-50 8 200,000 0
27-09-2022 1319-1331 13 130,000 486 1 10,000 0 0 0
28-09-2022 1332-1354 23 230,000 0 0 0 0 272-273 2
29-09-2022 1355-1366 15 150,000 487 1 10,000 0 51-52 2 50,000 0 274-275 2
30-09-2022 1367-1375 9 90,000 0 0 0 0
01-10-2022 1376-1382 7 70,000 489-491 3 30,000 0 0 0 276 1
02-10-2022 0 0 0 0 0 277-278 2
03-10-2022 1383-1399 17 170,000 492 1 10,000 0 53-58 6 150,000 0 279-280 2
04-10-2022 1400-1410 11 110,000 493-499 7 70,000 0 0 0
05-10-2022 1411-1425 15 150,000 0 0 0 0
06-10-2022 1426-1444 19 190,000 0 0 59-62 4 100,000 0 281 1
07-10-2022 1445-1456 12 120,000 0 0 0 0 282 1
09-10-2022 0 0 0 0 0 283 1
10-10-2022 1457-1475 19 190,000 500-501 2 20,000 0 63-64 2 50,000 0 284-286 3
11-10-2022 1476-1486 11 110,000 0 0 0 0
12-10-2022 1487-1498 12 120,000 0 0 0 0 287 1
13-10-2022 1499-1517 19 190,000 502 1 10,000 0 65-68 4 100,000 0 288 1
14-10-2022 1518-1525 8 80,000 0 0 0 0 289 1
15-10-2022 1526-1534 9 90,000 0 0 0 0 290-292 3
16-10-2022 0 0 0 0 0 293-294 2
17-10-2022 1535-1548 14 140,000 503-508 6 60,000 0 0 0 295 1
18-10-2022 1549-1560 12 120,000 509 1 10,000 0 0 0 296 1
19-10-2022 1561-1566 6 60,000 0 0 0 0 297-298 2
20-10-2022 1567-1580 14 140,000 510-513 4 40,000 0 0 0 299 1
21-10-2022 1581-1592 12 120,000 514 1 10,000 0 69-70 2 50,000 0 300 1
22-10-2022 1593-1600 8 80,000 515 1 10,000 0 0 0 301 1
23-10-2022 0 0 0 0 0 302-305 4
24-10-2022 1601-1623 23 230,000 516 1 10,000 0 71-72 2 50,000 0 306 1
25-10-2022 1624-1639 16 160,000 517 1 10,000 0 0 0 307 1
26-10-2022 1640-1649 10 100,000 0 0 0 0 308 1
27-10-2022 1650-1658 9 90,000 518 1 10,000 0 73-74 2 50,000 0
28-10-2022 1659-1668 10 100,000 519-520 2 20,000 0 0 0 309-310 2
29-10-2022 1669-1676 8 80,000 0 0 0 0 311 1
31-10-2022 1677-1691 15 150,000 0 0 0 0
01-11-2022 1692-1706 15 150,000 521-522 2 20,000 0 0 0 312-317 6
02-11-2022 1707-1715 19 190,000 523-528 6 60,000 0 0 0 318-319 2
03-11-2022 1716-1728 13 130,000 529-530 2 20,000 0 75-78 4 100,000 0 320 1
04-11-2022 1729-1740 12 120,000 531-534 4 40,000 0 0 0
05-11-2022 1741-1750 10 100,000 535-536 2 20,000 0 0 0 321-322 2
07-11-2022 1751-1777 27 270,000 0 0 0 0
08-11-2022 1778-1797 20 200,000 537-538 2 20,000 0 0 0 323 1
09-11-2022 1798-1819 22 220,000 539 1 10,000 0 0 0
10-11-2022 1820-1828 9 90,000 540-541 2 20,000 0 0 0 324 1
11-11-2022 1829-1843 15 150,000 542 1 10,000 0 0 0 325 1
12-11-2022 1844-1850 7 70,000 543-546 4 40,000 0 0 0 326-327 2
13-11-2022 0 0 0 0 0 328-329 2
14-11-2022 1851-1863 13 130,000 547-548 2 20,000 0 79-80 2 50,000 0
15-11-2022 1864-1880 17 170,000 549 1 10,000 0 0 0
16-11-2022 1881-1894 14 140,000 550-551 2 20,000 0 0 0
17-11-2022 1895-1909 15 150,000 552 1 10,000 0 81-82 2 50,000 0 330 1
18-11-2022 1910-1920 11 110,000 553-554 2 20,000 0 0 0 331-332 2
19-11-2022 1921-1932 12 120,000 0 0 0 0
20-11-2022 0 0 0 0 0 333 1
21-11-2022 1933-1947 15 150,000 555-556 2 20,000 0 83-86 4 100,000 0 334 1
22-11-2022 1948-1967 20 200,000 557-560 4 40,000 0 0 0 335 1
23-11-2022 1968-1977 10 100,000 561-562 2 20,000 0 0 0
24-11-2022 1978-1989 12 120,000 563 1 10,000 0 0 0 336-338 3
25-11-2022 1990-1997 8 80,000 564-565 2 20,000 0 0 0 339-341 3
26-11-2022 1998-2006 9 90,000 566 1 10,000 0 0 0 342-344 3
28-11-2022 2007-2024 18 180,000 567-573 7 70,000 0 0 0 345-346 2
29-11-2022 2025-2037 13 130,000 574-575 2 20,000 0 0 0 347 1
30-11-2022 2038-2051 14 140,000 0 0 0 0
30-11-2022 0 0 0 0 0 348 1
01-12-2022 2052-2061 10 100,000 576-578 3 30,000 0 0 0 349 1
02-12-2022 2062-2068 7 70,000 0 0 0 0
03-12-2022 2069-2078 10 100,000 0 0 0 0
05-12-2022 2079-2093 15 150,000 579-580 2 20,000 0 0 0
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GD PUSKESMAS PEMBANTU POLINDES/PONKESDES LABORAT BP GIGI KIA
6,980,000 JML. LAKU 181 1,810,000 JML. LAKU 18 180,000 JML. LAKU 632 33,440,000 JML LAKU 6 190,000 JML LAKU 64 1,635,000 JML LAKU 234
20,000 Perbup 35/2020 10,000 Perbup 35/2020 10,000 BILLING BILLING BILLING BILLING
Rp. NO. KARCIS JML Rp. NO. KARCIS JML Rp. NOMOR JML Rp. NOMOR JML Rp. NOMOR JML Rp. NOMOR JML
0 0 0 - - 01-01 1 65,000
0 1 10,000 - - 02-03 2 110,000 0017-0017 1
0 2 20,000 - -
0 1 10,000 - -
0 2 20,000 - - 0018-0018 1
0 0 0 - -
0 1 10,000 - - 04 1 30,000
0 0 0 - - 05-08 4 190,000 06 1
0 0 0 - - 09-11 3 125,000 10-11 2
0 0 0 - - 12-13 2 85,000
0 1 10,000 - - 15-17 3 138,000 14 1 20,000
0 0 0 - - 18-19 2 40,000
0 3 30,000 - - 20-21 2 35,000 22 1 35,000 20 1
0 0 0 - - 23-27 5 315,000 23-26 4
0 1 10,000 - - 28-32 5 325,000 32 1
0 1 10,000 - - 33-34 2 58,000
0 0 0 - - 35 1 20,000
0 1 10,000 - -
0 1 10,000 - - 36 1 99,000 37-38 2 80,000
0 0 0 - - 39-40 2 83,000
0 0 0 - - 41-45 5 340,000 43-45 3 30,000
0 1 10,000 - - 46 1 73,000
0 1 10,000 - - 47 1 70,000
0 1 10,000 - - 48 1 35,000
0 2 20,000 - - 49-51 3 141,000
0 1 10,000 - - 52-58 7 393,000 57-58 2
0 0 0 - - 59 1 20,000 59 1
0 2 20,000 - -
0 0 0 - - 60 1 30,000
0 0 0 - - 61-67 7 386,000
0 3 30,000 - - 68-73 6 329,000 72-73 2
0 1 10,000 - - 74-75 2 126,000 74-75 2
 0 2 20,000 1 10,000 76 1 20,000
0 1 10,000 - - 77 1 45,000 79 1 35,000 78 1
0 2 20,000 - - 80 1 20,000
40,000 0 0 - -
60,000 3 30,000 1 10,000 81 1 138,000
20,000 3 30,000 1 10,000 83-85 3 199,000
40,000 2 20,000 1 10,000 86-93 8 678,000 87-88 2
0 2 20,000 - - 95-96 2 93,000 94 1 20,000
0 1 10,000 - - 97-101 5 347,000
0 0 0 - - 102-103 2 198,000
20,000 2 20,000 3 30,000 104-108 5 336,000
0 1 10,000 - - 109-113 5 279,000 109-110 2
20,000 4 40,000 - - 114-118 5 315,000 114 1
80,000 1 10,000 - - 119-123 5 337,000
0 0 0 - - 126-130 5 466,000
40,000 1 10,000 - - 131-132 2 50,000
20,000 0 0 - -
40,000 0 0 - -
0 0 0 - - 133-136 4 196,000 135 1
0 0 0 - - 137 1 63,000 137 1
20,000 0 0 - -
80,000 1 10,000 - - 139 4 159,000
40,000 0 0 - - 144-145 2 139,000 143 1
20,000 0 0 - -
0 1 10,000 - - 146-147 2 114,000 147 1
0 0 0 - - 148-153 6 337,000 148-152 5
40,000 0 0 - - 154-162 9 481,000 156-160 5
60,000 0 0 - - 163 1 20,000
0 0 0 1 10,000 164-168 5 311,000 164-166 2
0 0 0 - -
20,000 0 0 - -
100,000 0 0 - - 170 1 99,000
20,000 0 0 - -
20,000 1 10,000 1 10,000 171-172 2 126,000
20,000 0 0 - - 173-175 3 111,000 177-178 2 40,000 176 1
0 0 0 - - 179 1 99,000
20,000 0 0 - -
60,000 0 0 - -
 0 0 0 - - 180-181 2 100,000
20,000 0 0 - - 182-186 5 272,000 184-185 2
0 0 0 - - 187-194 8 507,000 195 1 20,000 188-192 5
60,000 2 20,000 - - 196-197 2 65,000 198 1 20,000
0 0 0 - - 199 1 99,000
0 0 0 - -
40,000 0 0 - -
0 1 10,000 - - 200 1 20,000
0 0 0 - - 201 1 70,000 202 1 20,000
60,000 0 0 - - 205-210 5 219,000 206-208 3
0 0 0 - - 212 1 99,000 213 1 20,000
60,000 0 0 - -
0 0 0 - - 214-215 2 35,000
60,000 0 0 - -
60,000 0 0 - - 216-218 3 60,000
60,000 1 10,000 - - 219 1 63,000 220-222 3 80,000
20,000 1 10,000 - - 223-228 6 360,000 223-224,227 3
40,000 0 0 - - 229-230 2 91,000
20,000 1 10,000 - -
0 0 0 - -
40,000 0 0 - - 232 1 20,000
20,000 0 0 - - 233-234 2 126,000
0 0 0 - - 235-236 2 83,000 236 1
40,000 0 0 - - 237-238 2 91,000
0 0 0 - -
60,000 0 0 - -
100,000 2 20,000 - - 240 1 20,000 239 1 20,000
0 0 0 - - 241-245 5 272,000 241,243-244 3
20,000 0 0 - - 246-250 5 315,000 247-250 4
20,000 0 0 - - 252 1 30,000 251 1
40,000 0 0 - - 253 1
40,000 0 0 - - 254 1 73,000
20,000 0 0 - -
120,000 0 0 - - 255-260 6 186,000
20,000 1 10,000 1 10,000 261-262 2 93,000
80,000 0 0 - - 263-264 2 172,000
0 0 0 - - 265 1 45,000 266 1 20,000
20,000 0 0 - - 267 1 20,000
0 0 0 - -
 40,000 0 0 - -
40,000 0 0 - -
0 0 0 - -
60,000 0 0 - -
40,000 0 0 - -
20,000 0 0 - -
0 2 20,000 - - 268-270 3 95,000
20,000 0 0 - - 271-273 3 189,000
60,000 1 10,000 - - 274 1 63,000 274 1
20,000 0 0 - - 275-279 5 181,000
20,000 1 10,000 - - 280 1 20,000
0 0 0 - - 281-286 6 360,000 282-286 5
80,000 0 0 - -
0 0 0 - -
60,000 1 10,000 - -
80,000 1 10,000 - - 287-290 4 262,000 287 1
60,000 1 10,000 - - 291 1 63,000
20,000 1 10,000 - -
20,000 0 0 - - 292 1 20,000
80,000 0 0 - -
20,000 0 0 - - 293-295 3 111,000 296-297 2 40,000
40,000 0 0 - - 299-304 6 335,000 298 1 20,000 300-303 4
20,000 1 10,000 - -
20,000 0 0 - -
100,000 0 0 - - 305 1 20,000
40,000 1 10,000 - -
40,000 0 0 - - 306-309 4 131,000
40,000 1 10,000 - - 310-316 7 352,000 310-312 3
60,000 0 0 - -
0 0 0 - -
0 0 0 2 20,000 317-318 2 60,000
20,000 1 10,000 - -
60,000 0 0 - -
0 0 0 - - 319 1 73,000 329 1 20,000
0 2 20,000 - - 320-325 6 345,000 320-321 2
20,000 0 0 - - 326-328 3 113,000 327 1
20,000 0 0 - - 330-331 2 91,000
20,000 0 0 - - 332 1 60,000
20,000 1 10,000 - - 333-334 2 50,000
 0 1 10,000 2 20,000 335 1 30,000 335 1
20,000 2 20,000 - - 337-338 2 126,000 336-338 3
20,000 1 10,000 1 10,000 339-342 4 247,000
0 1 10,000 - - 343 1
0 1 10,000 - - 344 1
20,000 0 0 - - 346-348 3 50,000 345 1 40,000
40,000 0 0 - -
40,000 1 10,000 - - 349 1 30,000
20,000 2 20,000 - - 350-352 3 156,000
20,000 2 20,000 - - 353-355 3 146,000 355 1
20,000 0 0 - -
60,000 0 0 - - 356 1
0 0 0 - -
40,000 0 0 - - 357 1 30,000 358 1 20,000
20,000 1 10,000 - - 359-363 5 186,000 359-360 2
60,000 0 0 - - 364-366 3 199,000 364-365 2
20,000 0 0 - - 367 1 20,000
0 0 0 - - 368-370 3 108,000 371 1 30,000
20,000 1 10,000 - -
20,000 0 0 - -
0 0 0 - - 372-374 3 70,000
20,000 1 10,000 - - 375-377 3 189,000 378 1 40,000 376-377 2
20,000 1 10,000 - - 379-385 7 360,000 379-381 3
20,000 1 10,000 - -
20,000 1 10,000 - - 386-389 4 108,000
40,000 0 0 - -
20,000 0 0 - -
60,000 0 0 - - 390-393 4 105,000
40,000 0 0 - - 394-398 5 285,000 394-397 4
0 1 10,000 - - 399-400 2 126,000 399-400 2
40,000 0 0 - - 401 1 20,000
0 0 0 - -
100,000 0 0 - - 402 1 20,000
40,000 0 0 - -
20,000 0 0 - -
0 2 20,000 - -
0 1 10,000 - - 403-406 4 219,000 405-406 2
20,000 0 0 - -
0 0 0 - - 407 1 15,000
 80,000 0 0 - -
80,000 0 0 - -
20,000 2 20,000 - -
0 0 0 - - 409-410 2 126,000 408 1 20,000 409-410 2
0 0 0 - - 411-413 3 156,000 412-413 2
0 0 0 - - 414 1 73,000
0 0 0 - - 415 1 20,000
100,000 0 0 - -
0 0 0 - - 416-417 2 126,000 418 1 40,000 416-417 2
0 1 10,000 - - 419-420 2 83,000 419 1
20,000 0 0 - - 421 1 20,000
0 0 0 - -
40,000 0 0 - -
40,000 0 0 - - 422-425 4 176,000
20,000 2 20,000 - - 426-428 3 156,000
20,000 0 0 - - 429-431 3 171,000 430-431 2
60,000 0 0 - - 432-435 4 182,000
20,000 0 0 - - 436-437 2 60,000
40,000 1 10,000 - -
20,000 0 0 - -
40,000 0 0 - - 438-441 4 182,000
0 2 20,000 - - 442-448 6 378,000 449 1 20,000 442-448 6
20,000 0 0 - -
0 0 0 - -
20,000 0 0 - -
0 1 10,000 - - 450-451 2 146,000
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IA KB UGD RAWAT INAP PONED ADMINISTRASI
97,103,000
7,195,000 JML LAKU 0 - JML LAKU 13 2,258,000 JML LAKU 0 - JML LAKU 4 3,200,000 JML LAKU 14 1,400,000 Setor
BILLING BILLING BILLING BILLING BILLING PENDA
ke
Rp. NOMOR JML Rp. NOMOR JML Rp. NOMOR JML Rp. NOMOR JML Rp. NOMOR JML Rp. PATAN Rp.
205,000
230,000
20,000
10,000
20,000
-
130,000
10,000 330,000
20,000 285,000
215,000
418,000
110,000
150,000 480,000
40,000 495,000
10,000 505,000
448,000
01-02 2 100,000 220,000
80,000
03 1 200,000 619,000
193,000
500,000
223,000
200,000
105,000
04 1 100,000 461,000
20,000 663,000
10,000 110,000
120,000
100,000
586,000
20,000 539,000
20,000 316,000
 180,000
150,000 380,000
160,000
40,000
82 1 98,000 586,000
429,000
20,000 978,000
293,000
467,000
308,000
691,000
20,000 469,000
10,000 570,000
124-125 2 120,000 637,000
5 1 100,000 616,000
220,000
20,000
40,000
10,000 371,000
10,000 133,000
20,000
138 1 185,000 494,000
30,000 145 1 795,000 1,114,000
20,000
10,000 334,000
50,000 527,000
50,000 751,000
130,000
120,000 571,000
100,000
20,000
349,000
165,000
256,000
30,000 366,000
149,000
140,000
60,000
 180,000
20,000 382,000
50,000 767,000
255,000
219,000
105,000
40,000
120,000
230,000
30,000 204,211 2 80,000 609,000
6 1 100,000 299,000
160,000
165,000
60,000
270,000
231 1 800,000 1,143,000
30,000 560,000
261,000
140,000
165,000
232 1 800,000 980,000
246,000
10,000 208,000
271,000
105,000
60,000
315,000
30,000 442,000
40,000 505,000
30,000 175,000
30,000 225,000
153,000
20,000
546,000
268,000
292,000
185,000
145,000
07 1 100,000 150,000
 40,000
70,000
10,000
110,000
50,000
20,000
395,000
349,000
10,000 273,000
386,000
140,000
50,000 520,000
80,000
-
340,000
10,000 542,000
243,000
150,000
120,000
80,000
381,000
40,000 570,000
240,000
20,000
630,000
150,000
391,000
30,000 08 1 100,000 722,000
60,000
125,000
220,000
90,000
60,000
303,000
20,000 570,000
10,000 263,000
221,000
180,000
240,000
 10,000 230,000
50,000 386,000
457,000
30,000 220,000
30,000 170,000
200,000
40,000
355,000
296,000
10,000 336,000
80,000
100,000 330,000
120,000
330,000
20,000 456,000
20,000 369,000
9 1 100,000 260,000
248,000
100,000
20,000
230,000
20,000 399,000
30,000 570,000
110,000
268,000
50,000
20,000
345,000 47
40,000 505,000
20,000 296,000
110,000
110,000
180,000
40,000
130,000
90,000
20,000 359,000
120,000
85,000
 150,000
80,000
160,000
20,000 226,000
20,000 276,000
183,000
10 1 100,000 210,000
230,000
20,000 286,000
10,000 213,000
160,000
80,000
110,000
476,000
356,000
20,000 331,000
442,000
170,000
120,000
20,000
492,000
60,000 578,000
20,000
200,000
120,000
216,000
20,000
150,000 415,000
20,000 542,000
20,000 286,000
190,000
90,000
173,000
20,000
110,000
10,000 253,000
30,000 11 1 100,000 436,000
150,000 350,000
90,000
 200,000
457,000
30,000 452,000
20,000 248,000
346,000
160,000
173,000
245,000
210,000
10,000 333,000
150,000 280,000
170,000
120,000
80,000
260,000
30,000 409,000
180,000 634,000
481,000
326,000
130,000
40,000
519 1 800,000 1,727,000
243,000
10,000 516,000
487,000
12 1 100,000 386,000
537 1 20,000 243,000
40,000
720,000
10,000 346,000
150,000 625,000
527,000
150,000 388,000
20,000
471,000
170,000 592,000
150,000 426,000
602,000
100,000
 579 1 100,000 290,000
40,000
30,000 370,000
369,000
310,000 619,000
300,000 726,000
394,000
193,000
80,000
700,000
180,000 876,000
20,000 326,000
344,000
190,000
110,000
75,000 13 1 100,000 428,000
255,000 831,000
20,000 529,000
150,000 650 1 800,000 1,359,000
10,000 263,000
160,000
180,000 696,000
330,000 988,000
600,000 1,172,000
677 1 20,000 150,000
253,000
170,000
40,000
10,000 386,000
150,000 556,000
245,000 561,000
225,000 664,000
250,000 702 1 20,000 460,000
266,000
20,000
175,000 805,000
20,000 567,000
40,000 530,000
426,000
 205,000
731 1 20,000 180,000
560,000
50,000 690,000
30,000 14 1 100,000 459,000
752 1 800,000 820,000
305,000
150,000 441,000
150,000 250,000
308,000
-
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-
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TANGGAL
SETOR

15-01-2021

20-01-2021
29-07-2022
 SEWA KEKAYAAN DAERAH KAPITASI NON KAPITASI PROLANIS
TANGGAL 4.1.04.16.01.0001.02 50,000.00 4.1.04.16.01.0001.03 665,371,300.00 4.1.04.16.01.0001.04 18,453,600.00 4.1.04.16.01.0001.05

KETERANGAN JUMLAH (Rp.) KETERANGAN JUMLAH (Rp.) KETERANGAN JUMLAH (Rp.) KETERANGAN
03-01-2022 KLAIM Nopember 2022 702,100.00
04-01-2022
05-01-2022
06-01-2022
07-01-2022
08-01-2021
10-01-2022
11-01-2022
12-01-2022
13-01-2022
14-01-2022
15-01-2022
17-01-2022 BPJS KESEHATAN 57,542,000.00
18-01-2022
19-01-2022
20-01-2022
21-01-2022
22-01-2022
24-01-2022 BPJS KESEHATAN DES 2021
25-01-2022
26-01-2022
27-01-2022
28-01-2022
29-01-2022
31-01-2022 KLAIM DESEMBER 2021 1,042,100.00
02-02-2022
03-02-2022
04-02-2022
05-02-2022
07-02-2022
08-02-2022
09-02-2022
10-02-2022
11-02-2022
12-02-2022
13-02-2022
14-02-2022
15-02-2022 BPJS KESEHATAN 60,276,200.00
16-02-2022
17-02-2022
18-02-2022
19-02-2022
21-02-2022
22-02-2022
23-02-2022
24-02-2022
25-02-2022
26-02-2022
27-02-2022
28-02-2022
01-03-2022
02-03-2022
03-03-2022
04-03-2022
05-03-2022
06-03-2022
07-03-2022 BPJS KESEHATAN JAN 2022

08-03-2022
09-03-2022
10-03-2022
11-03-2022
12-03-2022
13-03-2022
14-03-2022 KLAIM JANUARI 2022 922,100.00
15-03-2022 BPJS KESEHATAN 58,602,500.00
16-03-2022
17-03-2022
18-03-2022
19-03-2022
20-03-2022
21-03-2022
22-03-2022
23-03-2022
24-03-2022
25-03-2022
26-03-2022
27-03-2022
28-03-2022 BPJS KESEHATAN PEB 2022

29-03-2022
30-03-2022
31-03-2022
01-04-2022
02-04-2022
03-04-2022
04-04-2022 KLAIM PEBRUARI 2022 787,100.00
05-04-2022
06-04-2022
07-04-2022
08-04-2022
09-04-2022
11-04-2022
12-04-2022
13-04-2022
14-04-2022
16-04-2022
17-04-2022
18-04-2022 BPJS KESEHATAN 60,252,200.00
19-04-2022
20-04-2022
21-04-2022
22-04-2022
23-04-2022
24-04-2022
25-04-2022
26-04-2022
27-04-2022
28-04-2022
29-04-2022
30-04-2022
01-05-2022
04-05-2022
05-05-2022
06-05-2022
07-05-2022
08-05-2022
09-05-2022
10-05-2022
11-05-2022
12-05-2022
13-05-2022
14-05-2022
15-05-2022
16-05-2022
17-05-2022 BPJS KESEHATAN 60,568,400.00
18-05-2022
19-05-2022
20-05-2022
21-05-2022
22-05-2022
23-05-2022
24-05-2022
25-05-2022
26-05-2022
27-05-2022
28-05-2022
30-05-2022
31-05-2022
01-06-2022
02-06-2022 BPJS KES MAR-APR 2022

03-06-2022
04-06-2022
05-06-2022
06-06-2022
07-06-2022
08-06-2022
09-06-2022 KLAIM MAR-APR 2022 4,204,200.00
10-06-2022
11-06-2022
13-06-2022
14-06-2022
15-06-2022 BPJS KESEHATAN 61,260,200.00
16-06-2022
17-06-2022
18-06-2022
19-06-2022
20-06-2022
21-06-2022
22-06-2022
23-06-2022
24-06-2022
25-06-2022
27-06-2022
28-06-2022
29-06-2022
30-06-2022
01-07-2022
02-07-2022
03-07-2022
04-07-2022
05-07-2022
06-07-2022
07-07-2022 KLAIM MEI 2022 2,934,600.00
08-07-2022
09-07-2022
10-07-2022
11-07-2022
12-07-2022
13-07-2022
14-07-2022
15-07-2022 BPJS KESEHATAN 61,236,200.00
16-07-2022
17-07-2022
18-07-2022
19-07-2022
20-07-2022
21-07-2022
22-07-2022
23-07-2022
24-07-2022
25-07-2022 BPJS KES JUNI 2022

26-07-2022
27-07-2022
28-07-2022
29-07-2022
01-08-2022
02-08-2022
03-08-2022
04-08-2022 KLAIM JUNI 2022 2,802,100.00
05-08-2022
06-08-2022
08-08-2022
09-08-2022
10-08-2022
11-08-2022
12-08-2022
13-08-2022
14-08-2022
15-08-2022 BPJS KESEHATAN 61,512,200.00
16-08-2022
17-08-2022
18-08-2022
19-08-2022
20-08-2022
21-08-2022
22-08-2022
23-08-2022
24-08-2022
25-08-2022
26-08-2022
27-08-2022
28-08-2022
29-08-2022 BPJS KES JULI 2022

30-08-2022
31-08-2022
01-09-2022
02-09-2022
03-09-2022
05-09-2022
06-09-2022
07-09-2022
08-09-2022
09-09-2022
10-09-2022
12-09-2022
13-09-2022
14-09-2022
15-09-2022 BPJS KESEHATAN 61,620,200.00 KLAIM JULI 2022 1,647,100.00
16-09-2022
17-09-2022
18-09-2022
19-09-2022
20-09-2022
21-09-2022
22-09-2022
23-09-2022
24-09-2022
25-09-2022
26-09-2022 BPJS KES AGUSTUS 2022

27-09-2022
28-09-2022
29-09-2022 KLAIM AGUSTUS 2022 2,457,100.00
30-09-2022
01-10-2022
02-10-2022
03-10-2022
04-10-2022
05-10-2022
06-10-2022 KLAIM AGUSTUS 2022 955,100.00
07-10-2022
09-10-2022
10-10-2022
11-10-2022
12-10-2022
13-10-2022
14-10-2022
15-10-2022
16-10-2022
17-10-2022 BPJS KESEHATAN 59,945,000.00
18-10-2022
19-10-2022
20-10-2022
21-10-2022
22-10-2022
23-10-2022
24-10-2022
25-10-2022
26-10-2022
27-10-2022
28-10-2022
29-10-2022
31-10-2022 BPJS KES SEPTEMBER 2022

01-11-2022
02-11-2022
03-11-2022
04-11-2022
05-11-2022
07-11-2022
08-11-2022
09-11-2022
10-11-2022
11-11-2022
12-11-2022
13-11-2022
14-11-2022
15-11-2022 BPJS KESEHATAN 62,556,200.00
16-11-2022
17-11-2022
18-11-2022
19-11-2022
20-11-2022
21-11-2022
22-11-2022
23-11-2022
24-11-2022
25-11-2022
26-11-2022
28-11-2022 Sewa Rumah Dinas Oktober 2022 25,000.00 BPJS KES 0KTOBER 2022

29-11-2022
30-11-2022 Sewa Rumah Dinas Nopember 2022 25,000.00
30-11-2022
01-12-2022
02-12-2022
03-12-2022
05-12-2022
LANIS HIBAH HASIL KERJA SAMA Pendapatan BLUD yang sah BUNGA
6,331,000.00 4.1.04.16.01.0001.06 - 4.1.04.16.01.0001.07 - 4.1.04.16.01.0001.08 600,000.00 4.1.04.16.01.0001.09

JUMLAH (Rp.) KETERANGAN JUMLAH (Rp.) KETERANGAN JUMLAH (Rp.) KETERANGAN JUMLAH (Rp.) KETERANGAN

407,100.00

LELANG ASBRAK 600,000.00

637,100.00
667,100.00
1,344,200.00
667,100.00
647,100.00

647,100.00
647,100.00
667,100.00
NGA
424,197.01
JUMLAH (Rp.)
63,723.81

20,954.85
51,250.92
42,595.71
30,620.34
31,763.26
30,719.43
31,734.20
37,360.39
40,165.45

43,308.65
 Jml LAKU - - Jml LAKU 3 30,000 Jml LAKU - - Jml LAKU 8 80,000 Jml LAKU 6 60,000 Jml LAKU 1 10,000
POLINDES/ALANG 2 POLINDES/SAMBIREJO POLINDES/PONKESDES POLINDES/PONKESDES POLINDES/PONKESDES
POLINDES/JANTI (3)
CARUBAN (1) (2) JANTI(4) ACAR(5) SB REJO(6)
TANGGAL
Perbup 35/2020 10,000 Perbup 35/2020 10,000 Perbup 35/2020 10,000 Perbup 35/2020 10,000 Perbup 35/2020 10,000 Perbup 35/2020 10,000
NO. KARCIS JML Rp. NO. KARCIS JML Rp. NO. KARCIS JML Rp. NO. KARCIS JML Rp. NO. KARCIS JML Rp. NO. KARCIS JML Rp.
03-01-2022 0 0 0 0 0 0
04-01-2022 0 0 0 0 0 0
05-01-2022 0 0 0 0 0 0
06-01-2022 0 0 0 0 0 0
07-01-2022 0 0 0 0 0 0
08-01-2021 0 0 0 0 0 0
10-01-2022 0 0 0 0 0 0
11-01-2022 0 0 0 0 0 0
12-01-2022 0 0 0 0 0 0
13-01-2022 0 0 0 0 0 0
14-01-2022 0 0 0 0 0 0
15-01-2022 0 0 0 0 0 0
17-01-2022 0 0 0 0 0 0
18-01-2022 0 0 0 0 0 0
19-01-2022 0 0 0 0 0 0
20-01-2022 0 0 0 0 0 0
21-01-2022 0 0 0 0 0 0
22-01-2022 0 0 0 0 0 0
24-01-2022 0 0 0 0 0 0
25-01-2022 0 0 0 0 0 0
26-01-2022 0 0 0 0 0 0
27-01-2022 0 0 0 0 0 0
28-01-2022 0 001-001 0 0 0 0 0
29-01-2022 0 0 0 0 0 0
31-01-2022 0 0 0 0 0 0
02-02-2022 0 0 0 0 0 0
03-02-2022 0 0 0 0 0 0
04-02-2022 0 0 0 0 0 0
05-02-2022 0 0 0 0 0 0
07-02-2022 0 0 0 0 0 0
08-02-2022 0 0 0 0 0 0
09-02-2022 0 0 0 0 0 0
10-02-2022 0 0 0 1 1 10000 0 0
11-02-2022 0 0 0 0 0 0
12-02-2022 0 0 0 0 0 0
13-02-2022 0 0 0 0 0 0
14-02-2022 0 0 0 2 1 10000 0 0
15-02-2022 0 0 0 3 1 10000 0 0
16-02-2022 0 0 0 0 1 1 10000 0
17-02-2022 0 0 0 0 0 0
18-02-2022 0 0 0 0 0 0
19-02-2022 0 0 0 0 0 0
21-02-2022 0 0 0 0 3 30000 0
22-02-2022 0 0 0 0 0 0
23-02-2022 0 0 0 0 0 0
24-02-2022 0 0 0 0 0 0
25-02-2022 0 0 0 0 0 0
26-02-2022 0 0 0 0 0 0
27-02-2022 0 0 0 0 0 0
28-02-2022 0 0 0 0 0 0
01-03-2022 0 0 0 0 0 0
02-03-2022 0 0 0 0 0 0
03-03-2022 0 0 0 0 0 0
04-03-2022 0 0 0 0 0 0
05-03-2022 0 0 0 0 0 0
06-03-2022 0 0 0 0 0 0
07-03-2022 0 0 0 0 0 0
08-03-2022 0 0 0 0 0 0
09-03-2022 0 0 0 0 0 0
10-03-2022 0 0 0 0 0 0
11-03-2022 0 0 0 0 5 1 10000 0
12-03-2022 0 0 0 0 0 0
13-03-2022 0 0 0 0 0 0
14-03-2022 0 0 0 0 0 0
15-03-2022 0 0 0 0 0 0
16-03-2022 0 0 0 0 6 1 10000 0
17-03-2022 0 0 0 0 0 0
18-03-2022 0 0 0 0 0 0
19-03-2022 0 0 0 0 0 0
20-03-2022 0 0 0 0 0 0
21-03-2022 0 0 0 0 0 0
22-03-2022 0 0 0 0 0 0
23-03-2022 0 0 0 0 0 0
24-03-2022 0 0 0 0 0 0
25-03-2022 0 0 0 0 0 0
26-03-2022 0 0 0 0 0 0
27-03-2022 0 0 0 0 0 0
28-03-2022 0 0 0 0 0 0
29-03-2022 0 0 0 0 0 0
30-03-2022 0 0 0 0 0 0
31-03-2022 0 0 0 0 0 0
01-04-2022 0 0 0 0 0 0
02-04-2022 0 0 0 0 0 0
03-04-2022 0 0 0 0 0 0
04-04-2022 0 0 0 0 0 0
05-04-2022 0 0 0 0 0 0
06-04-2022 0 0 0 0 0 0
07-04-2022 0 0 0 0 0 0
08-04-2022 0 0 0 0 0 0
09-04-2022 0 0 0 0 0 0
11-04-2022 0 0 0 0 0 0
12-04-2022 0 0 0 0 0 0
13-04-2022 0 0 0 0 0 0
14-04-2022 0 0 0 0 0 0
16-04-2022 0 0 0 0 0 0
17-04-2022 0 0 0 0 0 0
18-04-2022 0 0 0 0 0 0
19-04-2022 0 0 0 0 0 0
20-04-2022 0 0 0 0 0 0
21-04-2022 0 0 0 0 0 0
22-04-2022 0 0 0 0 0 0
23-04-2022 0 0 0 0 0 0
24-04-2022 0 0 0 0 0 0
25-04-2022 0 0 0 0 0 0
26-04-2022 0 0 0 4 1 10000 0 0
27-04-2022 0 0 0 0 0 0
28-04-2022 0 0 0 0 0 0
29-04-2022 0 0 0 0 0 0
30-04-2022 0 0 0 0 0 0
01-05-2022 0 0 0 0 0 0
04-05-2022 0 0 0 0 0 0
05-05-2022 0 0 0 0 0 0
06-05-2022 0 0 0 0 0 0
07-05-2022 0 0 0 0 0 0
08-05-2022 0 0 0 0 0 0
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 - Jml LAKU - - Jml LAKU - - Jml LAKU - - Jml LAKU 18 180,000
S/PONKESDES POLINDES/PONKESDES POLINDES/PONKESDES POLINDES/PONKESDES TOTAL
(13) (14) (15) (16) POSKESDES/POLINDES
10,000 Perbup 35/2020 10,000 Perbup 35/2020 10,000 Perbup 35/2020 10,000 Perbup 35/2020 10,000
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 PUSTU PUSTU PUSTU PUSTU PUSTU PENDAPATAN
JUMLAH LAKU 181 1,810,000 JUMLAH LAKU 0 0 JUMLAH LAKU 0 0 JUMLAH LAKU 0 0 JUMLAH LAKU 0 0 PUSKESMAS
TANGGAL PEMBANTU
Perbup 35/2020 10,000 Perbup 35/2020 10,000 Perbup 35/2020 10,000 Perbup 35/2020 10,000 Perbup 35/2020 10,000
NO. KARCIS JML Rp. NO. KARCIS JML Rp. NO. KARCIS JML Rp. NO. KARCIS JML Rp. NO. KARCIS JML Rp. JUML Rp.
03-01-2022 0 0 0 0 0 0 0
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17-01-2022 009-011 3 30,000 0 0 0 0 3 30,000
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24-01-2022 1 10,000 0 0 0 0 1 10,000
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02-02-2022 21 1 10,000 0 0 0 0 1 10,000
03-02-2022 0 0 0 0 0 0 0
04-02-2022 22-23 2 20,000 0 0 0 0 2 20,000
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07-02-2022 0 0 0 0 0 0 0
08-02-2022 24-26 3 30,000 0 0 0 0 3 30,000
09-02-2022 27 1 10,000 0 0 0 0 1 10,000
10-02-2022 28-29 2 20,000 0 0 0 0 2 20,000
11-02-2022 30 1 10,000 0 0 0 0 1 10,000
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01-03-2022 0 0 0 0 0 0 0
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04-03-2022 53 1 10,000 0 0 0 0 1 10,000
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07-03-2022 54 1 10,000 0 0 0 0 1 10,000
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14-03-2022 0 0 0 0 0 0 0
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16-03-2022 55 1 10,000 0 0 0 0 1 10,000
17-03-2022 0 0 0 0 0 0 0
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19-03-2022 0 0 0 0 0 0 0
20-03-2022 0 0 0 0 0 0 0
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22-03-2022 0 0 0 0 0 0 0
23-03-2022 0 0 0 0 0 0 0
24-03-2022 56-57 2 20,000 0 0 0 0 2 20,000
25-03-2022 0 0 0 0 0 0 0
26-03-2022 0 0 0 0 0 0 0
27-03-2022 0 0 0 0 0 0 0
28-03-2022 58 1 10,000 0 0 0 0 1 10,000
29-03-2022 0 0 0 0 0 0 0
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31-03-2022 0 0 0 0 0 0 0
01-04-2022 0 0 0 0 0 0 0
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05-04-2022 59 1 10,000 0 0 0 0 1 10,000
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18-04-2022 62-63 2 20,000 0 0 0 0 2 20,000
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14-05-2022 0 0 0 0 0 0 0
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17-05-2022 69 1 10,000 0 0 0 0 1 10,000
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07-06-2022 77-78 2 20,000 0 0 0 0 2 20,000
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11-06-2022 79 1 10,000 0 0 0 0 1 10,000
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23-06-2022 0 0 0 0 0 0 0
24-06-2022 0 0 0 0 0 0 0
25-06-2022 0 0 0 0 0 0 0
27-06-2022 0 0 0 0 0 0 0
28-06-2022 91 1 10,000 0 0 0 0 1 10,000
29-06-2022 0 0 0 0 0 0 0
30-06-2022 0 0 0 0 0 0 0
01-07-2022 0 0 0 0 0 0 0
02-07-2022 92 1 10,000 0 0 0 0 1 10,000
03-07-2022 0 0 0 0 0 0 0
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05-07-2022 93 1 10,000 0 0 0 0 1 10,000
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03-08-2022 103 1 10,000 0 0 0 0 1 10,000
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0 0 0 0 0 0 0
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0 0 0 0 0 0 0
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0 0 0 0 0 0 0
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0 0 0 0 0 0 0
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0 0 0 0 0 0 0
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0 0 0 0 0 0 0
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0 0 0 0 0 0 0
0 0 0 0 0 0 0
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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
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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 0 0 0 0 0 0
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0 0 0 0 0 0 0
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0 0 0 0 0 0 0
0 0 0 0 0 0 0
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0 0 0 0 0 0 0
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0 0 0 0 0 0 0
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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 0 0 0 0 0 0
0 0 0 0 0 0 0
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0 0 0 0 0 0 0
s/d
Isi Tgl setor & LOKET INDUK KETERANGAN SEHAT RAJAL LUAR JAM KERJA CALON PENGANTIN PEMERIKSAAN HAJI UGD
Setoran ke
05-12-2022 JML. LAKU 25 250,000 JML. LAKU 2 20,000 JML. LAKU 0 0 JML. LAKU 0 0 JML. LAKU 0 0 JML. LAKU 0
Perbup 35/2020 10,000 Perbup 35/2020 10,000 Perbup 35/2020 15,000 Perbup 35/2020 25,000 Perbup 35/2020 40,000 Perbup 35/2020
TANGGAL
NO. KARCIS JML Rp. NO. KARCIS JML Rp. NO. KARCIS JML Rp. NO. KARCIS JML Rp. NO. KARCIS JML Rp. NO. KARCIS JML
03-12-2022 2069-2078 10 100,000 0 0 0 0
05-12-2022 2079-2093 15 150,000 579-580 2 20,000 0 0 0
GD PUSKESMAS PEMBANTU POLINDES/PONKESDES LABORAT BP GIGI KIA
0 JML. LAKU 2 20,000 JML. LAKU 0 0 JML. LAKU 2 118,000 JML LAKU 0 - JML LAKU 0 - JML LAKU 1
20,000 Perbup 35/2020 10,000 Perbup 35/2020 10,000 BILLING BILLING BILLING BILLING
Rp. NO. KARCIS JML Rp. NO. KARCIS JML Rp. NOMOR JML Rp. NOMOR JML Rp. NOMOR JML Rp. NOMOR JML
0 0 0 - - 757 1
0 2 20,000 - - 758-759 2 118,000
IA KB UGD RAWAT INAP PONED ADMINISTRASI
558,000
150,000 JML LAKU 0 - JML LAKU 0 - JML LAKU 0 - JML LAKU 0 - JML LAKU 0 - Setor
BILLING BILLING BILLING BILLING BILLING ke
5/10/2022
Rp. NOMOR JML Rp. NOMOR JML Rp. NOMOR JML Rp. NOMOR JML Rp. NOMOR JML Rp.
150,000 250,000 78
308,000
TANGGAL
SETOR

05-12-2022
 PEMERINTAH KABUPATEN JOMBANG
SURAT TANDA SETORAN ( STS )

STS No. 78 Bank : Bank Jatim

No. Rekening : 0111023905

Harap diterima uang sebesar : Rp.558,000-

( dengan huruf ) (Lima Ratus Lima Puluh Delapan Ribu Rupiah)

Pendapatan BLUD PUSKESMAS JARAK KULON Tanggal : 03-12-2022 s/d 05-12-2022
Dengan perincian sebagai berikut :
03-12-2022 05-12-2022
No. Unit No. Bukti Jumlah (Rp.)
LAYANAN BLUD JARAK KULON
1 LOKET INDUK 2069-2078 2079-2093 Rp 250,000.00
2 KETERANGAN SEHAT 579-580 Rp 20,000.00
3 RAJAL LUAR JAM KERJA Rp -
4 CALON PENGANTIN Rp -
5 PEMERIKSAAN HAJI Rp -
6 UGD Rp -
7 PUSKESMAS PEMBANTU Rp 20,000.00
8 POLINDES/PONKESDES Rp -
9 LABORAT 758-759 Rp 118,000.00
10 B P Rp -
11 GIGI Rp -
12 K I A 757 Rp 150,000.00
13 K B Rp -
14 U G D Rp -
15 RAWAT INAP Rp -
16 PONED Rp -
17 ADMINISTRASI Rp -
18 SEWA KEKAYAAN DAERAH Rp -
JUMLAH : Rp 558,000.00

Uang tersebut diterima pada tanggal :

Mengetahui Bendahara Penerimaan /

Pengguna Anggaran/Kuasa Pengguna Anggaran Bend.Penerimaan Pembantu
BLUD PUSKESMAS JARAK KULON
dr.AINUN ZUBAIDAH, M.KP Mujianah
Nip.197707302005012007 Nip.197007062008012022
Jombang 05 Desember 2022

0111023905
Bend. Peng. BLUD PUSKESMAS JARAK KULON Rp.558,000-

Blud Puskesmas Jarak Kulon

Jl.Raya Jarakkulon Ds. Jarakkulon, Kec. Jogoroto
Rp.558,000-

Lima Ratus Lima Puluh Delapan RibuRupiah

 TOTAL 47,785,000 33,440,000 190,000 1,635,000 7,195,000 - 2,258,000 - 3,200,000

4.1.04.16.01.0001.01 4.1.04.16.01.0001.01 4.1.04.16.01.0001.01 4.1.04.16.01.0001.01 4.1.04.16.01.0001.01 4.1.04.16.01.0001.01 4.1.04.16.01.0001.01 4.1.04.16.01.0001.01 4.1.04.16.01.0001.01 4.1.04.16.01.0001.01
NO.
Tanggal Pendapatan RAWAT ADMINIS
STS KARCIS LABORAT BP GIGI KIA KB UGD PONED
INAP TRASI
1 03-01-2022 s/d 21-01-2022 2,200,000 1,516,000 35,000 40,000 230,000 - - - - 100,000

2 22-01-2022 s/d 26-01-2022 560,000 522,000 - 110,000 - - - - - 200,000

3 27-01-2022 s/d 31-01-2022 570,000 319,000 - - - - - - - 100,000

4 02-02-2022 s/d 07-02-2022 720,000 829,000 - - 30,000 - - - - -

5 08-02-2022 s/d 14-02-2022 1,200,000 678,000 35,000 - 190,000 - 98,000 - - -

6 15-02-2022 s/d 19-02-2022 920,000 1,515,000 - 20,000 20,000 - - - - -

7 21-02-2022 s/d 25-02-2022 1,000,000 1,733,000 - - 30,000 - 120,000 - - 100,000

8 26-02-2022 s/d 28-02-2022 230,000 50,000 - - - - - - - -

8 01-03-2022 s/d 02-03-2022 225,000 259,000 - - 20,000 - - - - -

9 03-03-2022 s/d 06-03-2022 340,000 298,000 - - 30,000 - 980,000 - - -

10 07-03-2022 s/d 09-03-2022 570,000 932,000 - - 110,000 - - - - -

11 10-03-2022 s/d 13-03-2022 370,000 311,000 20,000 - 120,000 - - - - -

12 14-03-2022 s/d 16-03-2022 545,000 225,000 - - - - - - - -

13 17-03-2022 s/d 20-03-2022 435,000 210,000 - 40,000 30,000 - - - - -

14 21-03-2022 s/d 24-03-2022 530,000 944,000 - 40,000 70,000 - - - - -

15 25-03-2022 s/d 27-03-2022 265,000 99,000 - - - - - - - -

16 28-03-2022 s/d 31-03-2022 600,000 408,000 - 40,000 30,000 - 80,000 - - 100,000

17 01-04-2022 s/d 03-04-2022 350,000 35,000 - - - - - - - -

18 04-04-2022 s/d 06-04-2022 580,000 483,000 - 80,000 30,000 - - - 800,000 -

19 07-04-2022 s/d 09-04-2022 475,000 91,000 - - - - - - - -

20 11-04-2022 s/d 13-04-2022 395,000 229,000 - - 10,000 - - - 800,000 -

21 14-04-2022 s/d 17-04-2022 345,000 91,000 - - - - - - - -

22 18-04-2022 s/d 20-04-2022 565,000 607,000 - 20,000 70,000 - - - - -

23 21-04-2022 s/d 24-04-2022 410,000 103,000 - - 60,000 - - - - -

24 25-04-2022 s/d 28-04-2022 775,000 496,000 - 20,000 - - - - - -

25 29-04-2022 s/d 30-04-2022 175,000 - - 20,000 - - - - - 100,000

25 01-05-2022 s/d 09-05-2022 600,000 95,000 - - - - - - - -

26 10-05-2022 s/d 12-05-2022 565,000 433,000 - - 10,000 - - - - -

27 13-05-2022 s/d 17-05-2022 650,000 380,000 - - 50,000 - - - - -

28 18-05-2022 s/d 19-05-2022 450,000 325,000 - - 10,000 - - - - -

29 20-05-2022 s/d 22-05-2022 330,000 - - 20,000 - - - - - -

30 23-05-2022 s/d 24-05-2022 405,000 446,000 - 60,000 40,000 - - - - -

31 25-05-2022 s/d 31-05-2022 1,520,000 503,000 - - 30,000 - - - - 100,000

32 01-06-2022 s/d 07-06-2022 910,000 478,000 - 20,000 20,000 - - - - -

33 08-06-2022 s/d 09-06-2022 270,000 204,000 - - 10,000 - - - - -

34 10-06-2022 s/d 11-06-2022 310,000 50,000 - 60,000 - - - - - -

35 13-06-2022 s/d 16-06-2022 800,000 403,000 - - 90,000 - - - - -

36 17-06-2022 s/d 19-06-2022 290,000 50,000 - 40,000 30,000 - - - - -

37 20-06-2022 s/d 22-06-2022 645,000 332,000 - - 10,000 - - - - -

38 23-06-2022 s/d 25-06-2022 430,000 - - - 100,000 - - - - -

39 27-06-2022 s/d 30-06-2022 820,000 435,000 - 20,000 40,000 - - - - 100,000

40 01-07-2022 s/d 03-07-2022 230,000 108,000 - 30,000 - - - - - -

41 04-07-2022 s/d 07-07-2022 600,000 619,000 - 40,000 50,000 - - - - -

42 08-07-2022 s/d 10-07-2022 230,000 108,000 - - - - - - - -

43 11-07-2022 s/d 13-07-2022 570,000 516,000 - - 60,000 - - - - -

44 14-07-2022 s/d 17-07-2022 400,000 40,000 - - - - - - - -

45 18-07-2022 s/d 21-07-2022 460,000 219,000 - - 20,000 - - - - -

 Copy Yang
97,153,000 Warna Hijau
4.1.04.16.01.0001.01
TANGGAL Paste Special -
SEWA JUMLAH Value ... dst
KEKAYAAN SETOR
DAERAH
- 4,121,000 21-01-2022
- 1,392,000 26-01-2022
- 989,000 31-01-2022
- 1,579,000 07-02-2022
- 2,201,000 15-02-2022
- 2,475,000 21-02-2022
- 2,983,000 25-02-2022
- 280,000 02-03-2022
- 504,000 02-03-2022
- 1,648,000 07-03-2022
- 1,612,000 10-03-2022
- 821,000 14-03-2022
- 770,000 17-03-2022
- 715,000 21-03-2022
- 1,584,000 25-03-2022
- 364,000 28-03-2022
- 1,258,000 31-03-2022
- 385,000 04-04-2022
- 1,973,000 07-04-2022
- 566,000 11-04-2022
- 1,434,000 14-04-2022
- 436,000 18-04-2022
- 1,262,000 21-04-2022
- 573,000 25-04-2022
- 1,291,000 28-04-2022
- 295,000 10-05-2022
- 695,000 10-05-2022
- 1,008,000 13-05-2022
- 1,080,000 18-05-2022
- 785,000 20-05-2022
- 350,000 23-05-2022
- 951,000 25-05-2022
- 2,153,000 31-05-2022
- 1,428,000 08-06-2022
- 484,000 10-06-2022
- 420,000 13-06-2022
- 1,293,000 17-06-2022
- 410,000 20-06-2022
- 987,000 23-06-2022
- 530,000 27-06-2022
- 1,415,000 30-06-2022
- 368,000 04-07-2022
- 1,309,000 08-07-2022
- 338,000 11-07-2022
- 1,146,000 13-07-2022
- 440,000 18-07-2022
- 699,000 22-07-2022
 PENERIMAAN TARIF LAYANAN BLUD PENDAPATAN BLUD
4.1.04.16.01.0001.01 4.1.04.16.01.0001.02 4.1.04.16.01.0001.03 4.1.04.16.01.0001.04 4.1.04.16.01.0001.05 4.1.04.16.01.0001.06 4.1.04.16.01.0001.07 4.1.04.16.01.0001.08 4.1.04.16.01.0001.09 4.1.04.16.01.0001

Sewa Kekayaan Pendapatan BLUD

BULAN TGL Awal TGL Akhir PENERIMAAN SETORAN SALDO Jasa Layanan Daerah
KAPITASI NON KAPITASI PROLANIS Hibah Hasil Kerja Sama yang sah BUNGA JUMLAH

JANUARI 03-01-2022 31-01-2022 6,502,000.00 6,502,000.00 - 6,502,000.00 - 57,542,000.00 1,744,200.00 407,100.00 - - 600,000.00 63,723.81 66,859,023.81

PEBRUARI 01-02-2022 28-02-2022 9,518,000.00 9,238,000.00 280,000.00 9,518,000.00 - 60,276,200.00 - - - - - 20,954.85 69,815,154.85

MARET 01-03-2022 31-03-2022 9,276,000.00 9,556,000.00 (280,000.00) 9,276,000.00 - 58,602,500.00 922,100.00 1,304,200.00 - - - 51,250.92 70,156,050.92

APRIL 01-04-2022 30-04-2022 8,215,000.00 7,920,000.00 295,000.00 8,215,000.00 - 60,252,200.00 787,100.00 - - - - 42,595.71 69,296,895.71

MEI 01-05-2022 31-05-2022 7,022,000.00 7,317,000.00 (295,000.00) 7,022,000.00 - 60,568,400.00 - - - - - 30,620.34 67,621,020.34

JUNI 01-06-2022 30-06-2022 6,967,000.00 6,967,000.00 - 6,967,000.00 - 61,260,200.00 4,204,200.00 1,344,200.00 - - - 31,763.26 73,807,363.26

JULI 01-07-2022 31-07-2022 5,670,000.00 5,670,000.00 - 5,670,000.00 - 61,236,200.00 2,934,600.00 667,100.00 - - - 30,719.43 70,538,619.43

AGUSTUS 01-08-2022 31-08-2022 7,155,000.00 7,155,000.00 - 7,155,000.00 - 61,512,200.00 2,802,100.00 647,100.00 - - - 31,734.20 72,148,134.20

SEPTEMBER 01-09-2022 30-09-2022 9,553,000.00 9,553,000.00 - 9,553,000.00 - 61,620,200.00 4,104,200.00 647,100.00 - - - 37,360.39 75,961,860.39

OKTOBER 01-10-2022 31-10-2022 11,155,000.00 11,155,000.00 - 11,155,000.00 - 59,945,000.00 955,100.00 647,100.00 - - - 40,165.45 72,742,365.45

NOPEMBER 01-11-2022 30-11-2022 14,816,000.00 13,996,000.00 820,000.00 14,766,000.00 50,000.00 62,556,200.00 - 667,100.00 - - - 43,308.65 78,082,608.65

DESEMBER 01-12-2022 31-12-2022 1,304,000.00 2,124,000.00 (820,000.00) 1,304,000.00 - - - - - - - - 1,304,000.00

JUMLAH 01-01-2022 31-12-2022 97,103,000.00 97,153,000.00 (50,000.00) 97,103,000.00 50,000.00 665,371,300.00 18,453,600.00 6,331,000.00 - - 600,000.00 424,197.01 788,333,097.01
 NO. KODE
NO. TGL BUKTI
URAIAN REKENING
REF PENERIMAAN

31-05-2022 Karcis 4.1.04.16.01.0001.01 240,000.00

31-05-2022 Tindakan Laborat 4.1.04.16.01.0001.01 352,000.00
31-05-2022 Tindakan B P 4.1.04.16.01.0001.01 -
31-05-2022 Tindakan Gigi 4.1.04.16.01.0001.01 -
31-05-2022 Tindakan K I A 4.1.04.16.01.0001.01 30,000.00
31-05-2022 Tindakan K B 4.1.04.16.01.0001.01 -
31-05-2022 Tindakan U G D 4.1.04.16.01.0001.01 -
31-05-2022 Tindakan Rawat Inap 4.1.04.16.01.0001.01 -
31-05-2022 Tindakan Poned 4.1.04.16.01.0001.01 -
31-05-2022 Administrasi 4.1.04.16.01.0001.01 100,000.00
31-05-2022 Sewa Kekayaan Daerah 4.1.04.16.01.0001.02 -
31-05-2022 Disetor ke Rek. Kas: 0111023905
PENGELUARAN 31-05-2022 ISI TANGGAL

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2,153,000.00
 DAFTAR REKENING PUSKESMAS BLUD
DINAS KESEHATAN KABUPATEN JOMBANG

NO REKENING
NO BLUD PUSKESMAS Kepala BLUD Puskesmas
Bend Peng BLUD
1 JELAKOMBO 0111023573 dr.PUSPITASARI PANTJAWARDANI

2 PULOLOR 0111023590 PENI DWI SULISTYANI, SKM

3 JABON 0111023581 drg.DYAH SUHARTI

4 TAMBAKREJO 0111023603 dr.NOER HAJATI, MM

5 CUKIR 0111023620 drg.MUHAMAD ARIF SETIJADI

6 BRAMBANG 0111023611 drg.NOVIE SOESILOWATI, M.KP

7 BLIMBING GUDO 0111023638 dr.AGUSTINUS SUMARNO

8 PLUMBON GAMBANG 0111023646 dr.ADNIYAH SRI NENGSEH

9 BANDAR KEDUNGMULYO 0111023662 dr.HENDRI MARZUKI

10 PERAK 0111023654 OISATIN,S.ST, MM

11 MEGALUH 0111023671 dr.FITRIJAH, MM

12 TEMBELANG 0111023697 dr.PUGUH HARI SUBAGIA, M.Si

13 JATIWATES 0111023689 drg.AMI SETYANINGRUM

14 BAWANGAN PLOSO 0111023701 drg.ARIES ENANDY

15 KABUH 0111023727 dr.SRI MUSTIKANING BATIN SULISTYOWATI

16 PLANDAAN 0111023719 dr.ASNAN BUDI SASMITO

17 TAPEN 0111023735 drg.ISTI KENYO ROSANTI

18 KEBOAN 0111023743 dr.BINTI SUKARTINI

19 MOJOAGUNG 0111023751 drg.DIANA ROOSSUMANTRI

20 GAMBIRAN 0111023760 drg.ERVIN IKARINI

21 SUMOBITO 0111023786 dr.HEXAWAN TJAHJA WIDADA, MKP

22 JOGOLOYO 0111023778 RIZKIE KOERNIAWATI, SKM, MKP

23 KESAMBEN 0111023794 dr.MERIDIAN GEODESI, MM

24 BLIMBING KESAMBEN 0111023808 MUCHTAR EFFENDY, SKM, M.KP

25 PETERONGAN 0111023816 dr.HELENA AGESTINE MAYANG SARI

26 MAYANGAN 0111023832 dr.DYAH AYU YULYASTUTI

27 DUKUHKLOPO 0111023824 dr.NANIK

28 JARAK KULON 0111023905 dr.AINUN ZUBAIDAH, M.KP

29 PULOREJO 0111023859 dr.RITA ANDAYANI

30 KESAMBEN NGORO 0111023841 dr.DIDIN SUDIANA

31 MOJOWARNO 0111023867 dr.AINUN ZUBAIDAH, M.KP

32 JAPANAN 0111023875 drg.ARIANY RATNANINGTYAS

33 BARENG 0111023883 dr.ANDRI SUHARYONO, MKP

34 WONOSALAM 0111023891 dr.IVAN UBAIDILLAH HAKAM

 NIP BENDAHARA PENERIMAAN NIP Alamat Puskesmas

197010192002122004 Alfiyatul Husniyah, Amd.Keb 197312232008012009

Jl.Sultan Agung No. 12 Jelakombo, K

197404242000032002 Suko Widodo 196803191993032010 Jl.Brigjen Katamso 06 Kel. Pulolor, K

196812132005012011 Eni Puji Astuti 196612251987032008 Jl.Kapten Tendean 60 Jabon, Kec. Jo

196604112002122005 Nida'us Sa'adah, AMd.Kep 199604242019032011 Jl.Garuda No.3 Kel. Tambakrejo, Kec

196210151989011002 Mahmudah 196507171980320109 Jl.Raya Mojowarno No.16 Cukir, Kec.

197512022007012011 Nunung Nurhayati 196812241987032001 Jl.Brambang 114, Kec. Diwek

196909042002121010 M Ali Makhsun 197503082010011002 Jl.Raya Blimbing No. 46, Kec. Gudo

197301092014122001 Ery Winarti 198006062008012017 Jl.Plumbon Gambang, Kec. Gudo Jom

197010312014121001 Harni Nur Rahmi, AMd.Kep 198104102008012014 Jl.Raya Bandar Kedung Mulyo No.14

196611051988122002 Rohwati 196522041987032006 Jl.Raya Perak No.109 Pagerwojo, Kec.

197211022006042020 Catur Prasetya, Amd.Kep 199502102019031001 Jl.Raya Megaluh 24, Kec. Megaluh

196811102002121005 Yuliani Ulfah 197706292009012003 Jl.Raya Pesantren No.302, Ds. Pesan

197509262014122001 Kamala Muaziza, AMd.Kep 198107022010012012 Jl.Seruni No. 2 Jatiwates, Kec. Tembe

196304121989031019 Nurma Widaniyati, AMd.Kep 198403012009012005 Jl.Raya Ploso Babat No. 236 Ds. Baw

196907142002122003 Susiyati 198011242001122002 Jl.Raya Kabuh 84 Karang Pakis, Kec.

196910242002121003 Ria Savitri, AMd.Keb 198704302011012009 Jl.Raya Bangsri-Gebang No.09, Ds. Ba

198506052011012002 Sri Wahyuni, AMd.Kep 198306092010012018 Jl.Raya Brantas No.111 Ds. Tapen, Ke

197804212014122001 Danarti 196504052006042006 Jl.Pendidikan 20 Keboan, Kec. Ngusik

197808152014122001 Juarijah 196604201987032011 Jl.Veteran No.327 Kec. Mojoagung

197608232007012009 Musrianah 198008072008012025 Jl.Yos Sudarso No.8 Ds. Gambiran, K

197106082002121006 Endah Kritinawati, AMd.Kep.Gi 198404132006042013 Jl.Raya Sumobito 568, Kec. Sumobito

197103181995012001 Mujianah 196604132007012011 Jl.Raya Jogoloyo, Kec. Sumobito

197508312006041012 Suprih Andayani 196608241988022001 Jl.Raya Kesamben 3 A Kesamben, Ke

197103132000031004 Sunu Madyaningsih 197212012007012013 Jl.Kimia Farma No 12 Blimbing, Kec.

198508172011012010 Candra Wulansari, AMd.Kep 199509162019032014 Jl.Raya Brawijaya No. 153, Kec. Pete

197202092010012001 Astuti Umi Umroh, S.Tr.Keb 197006131992032012 Jl.Raya Mayangan, Kec. Jogoroto

196402241989122001 Yuyun Istin Wahyuni, AMd.Kep 198402182011012005 Jl.Kenanga No. 1 Ds. Dukuh Klopo, Ke

197707302005012007 Mujianah 197007062008012022 Jl.Raya Jarakkulon Ds. Jarakkulon, Ke

197705092011012003 Zuhroini Yusefa 197708052005012016 Jl.Klotok No. 35, Ds. Pulorejo, Kec. Ng

196603162002121003 Emma Faradina 197905082008012015 Jl.Raya Tugu No. 40, Ds. Kesamben K

197707302005012007 Emy Moetrofin, AMd.Kes 198201122008012009 Jl.Raya Selorejo No.12, Ds. Selorejo

198209192010012009
Eny Farida, AMd.Keb 197005091991022003 Jl.Raya Sumberboto No.60 Ds. Japana

196612052001121001 Farida 198203262014052001 Jl.Dr. Soetomo 47, Kec. Bareng

198304012011011004 Susilowati 196405202007012002 Jl.Anjasmoro No. 360 Ds. Wonosalam

 PAGU
28
DIISI SESUAI NO.
PENDAPATAN PUSKESMAS

1,430,651,608.65 JELAKOMBO 1
923,900,000.00 PULOLOR 2
926,962,407.00 JABON 3
855,535,145.00 TAMBAKREJO 4
4,680,943,642.00 CUKIR 5
1,429,200,000.00 BRAMBANG 6
2,265,453,200.00 BLIMBING GUDO 7
971,947,896.80 PLUMBON GAMBANG 8
2,648,485,999.00 BANDAR KEDUNGMU 9
2,987,210,049.00 PERAK 10
1,725,371,230.00 MEGALUH 11
2,063,431,395.27 TEMBELANG 12
873,277,189.00 JATIWATES 13
1,708,063,525.00 BAWANGAN PLOSO 14
2,811,471,600.00 KABUH 15
1,962,198,166.00 PLANDAAN 16
2,260,000,000.00 TAPEN 17
1,650,962,529.00 KEBOAN 18
4,345,116,589.00 MOJOAGUNG 19
1,254,384,761.00 GAMBIRAN 20
3,027,602,668.00 SUMOBITO 21
1,745,493,500.00 JOGOLOYO 22
1,781,186,232.00 KESAMBEN 23
763,456,050.00 BLIMBING KESAMBE 24
2,826,604,504.00 PETERONGAN 25
2,895,788,218.00 MAYANGAN 26
1,214,363,885.00 DUKUHKLOPO 27
842,588,250.00 JARAK KULON 28
1,962,584,319.00 PULOREJO 29
1,385,103,136.00 KESAMBEN NGORO 30
3,341,000,000.00 MOJOWARNO 31
2,245,010,000.00 JAPANAN 32
4,642,094,415.00 BARENG 33
2,600,219,095.00 WONOSALAM 34