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BUKU KAS UMUM BANTUAN OPERASIONAL KESEHATAN (BOK) Departemen / Lembaga : (024) KEMENTERIAN KESEHA T AN Unit rgani!a!i : (0") DIT#EN $INA %I&I DAN KESEHA T AN I$ 'r in!i / Kab*paten : ("+0+) KA$U'A TEN %RNT ALSat*an Ker,a : ("+-+.) DINAS KESEHA T AN KA$%RNT  T angga1NS ' DI' A : . De!ember 2 0+2 /N: DI' A 3 0240"4"+- Rei!i e + : 500/Die!/.++/III/20+"tangga1 2Maret 20 2 : 500/Die!/.6/I7/20+"tangga1 5 Apri1 20+ " :  T a8*n Anggaran : 20+" K''N : (0.0) %RNT ALLimboto, Mengetahui Kuasa Pengguna Anggaan Ben!ahaa Pen !#H$# NUR ALBAR, S%#P&# 'INASIM ROSNA POLAMO NIP# *+++-+. ++NIP# /+/.+

BUKU KAS UMUM 2013.xlsx

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Departemen / Lembaga : (024) KEMENTERIAN KESEHATAN
Unit rgani!a!i : (0") DIT#EN $INA %I&I DAN KESEHATAN I$
'rin!i / Kab*paten : ("+0+) KA$U'ATEN %RNTAL
Sat*an Ker,a : ("+-+.) DINAS KESEHATAN KA$ %RNT
 Tangga1 N S' DI'A : . De!ember 20+2 /N : DI'A 3 0240"4"+- Rei!i e + : 500/Die!/.++/III/20+" tangga1 2 Maret 20
2 : 500/Die!/.6/I7/20+" tangga1 5 Apri1 20+
" :
!#H$# NUR ALBAR, S%#P&# 'INASIM ROSNA POLAMO
NIP# *+++ -+ . ++ NIP# /+/ .+
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Departemen/Lembaga : (024) KEMENTERIAN KESEHATAN
Unit rgani!a!i : (0") DIREKTRAT #ENDERAL $INA %I&I DAN KESEHATAN I$U 'rin!i/Kab/Kta : ("+0+) %RNTAL
Sat*an Ker,a : ("+-+.) DINAS KESEHATAN KA$U'ATEN %RNTAL
 Tg1 N S' DI'A : . De!ember 20+2 /N : DI'A 3 0240"4"+-+./20+"
 Ta8*n Anggaran : 20+"
K''N : (0.0) %RNTAL
 #UMLAH S/D $ULAN INI Rp 3
SAL&O .- 'ebuai .+0
Mengeta8*i
DAR9IN A$UKASI SKM
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$ENDAHARA 'EN%ELUARAN
MARTHA 'LAML
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Departemen/Lembaga : (024) KEMENTERIAN KESEHATAN
Unit rgani!a!i : (0") DIREKTRAT #ENDERAL $INA %I&I DAN KESEHATAN I$U DAN ANAK 
'rin!i/Kab/Kta : ("+0+) %RNTAL Sat*an Ker,a : ("+-+.) DINAS KESEHATAN KA$U'ATEN %RNTAL
 Tg1 N S' DI'A : . De!ember 20+2 /N : DI'A 3 0240"4"+-+./20+"
 Ta8*n Anggaran : 20+"
K''N : (0.0) %RNTAL
+ Maret 20+" Sa1= Ka! 25 <ebr*ari 20+" Rp 3
 2UMLAH 3
 #UMLAH S/D $ULAN INI Rp 3
SAL&O . Maet .+0
Mengeta8*i
NOMOR BUKTI
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DAR9IN A$UKASI SKM NI' +-50404 +-5-0" + 0+"
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8/16/2019 BUKU KAS UMUM 2013.xlsx
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Departemen/Lembaga : (024) KEMENTERIAN KESEHATAN
Unit rgani!a!i : (0") DIREKTRAT #ENDERAL $INA %I&I DAN KESEHATAN I$U DAN ANAK 
'rin!i/Kab/Kta : ("+0+) %RNTAL Sat*an Ker,a : ("+-+.) DINAS KESEHATAN KA$U'ATEN %RNTAL
 Tg1 N S' DI'A : . De!ember 20+2 /N : DI'A 3 0240"4"+-+./20+"
 Ta8*n Anggaran : 20+"
K''N : (0.0) %RNTAL
. Apri1 20+" Rp ".2"0000
- Apri1 20+" 0000+
- Apri1 20+" 00002
- Apri1 20+" 0000"
++ Apri1 20+" Rp +5000000
+2 Apri1 20+" Rp 5-2.000
+. Apri1 20+" 00004
+. Apri1 20+" 0000.
+. Apri1 20+" 0000
NOMOR BUKTI
 Terima Uang 'er!e=iaan !e!*ai S'2D Nmr 6-02$/0.0/+++/20+" tangga1 . Apri1 20+"
;7 A<I<A (Ma!ri a!in)
$a>ar bia>a ATK *nt* eper1*an Sater Dina! Ke!e8atan Kab*paten %rnta1 (0") b*1an #an*ari !/= Maret 20+"
;7 A<I<A (Ma!ri a!in)
 $a>ar bia>a 'enggan=aan *nt* eper1*an Sater Dina! Ke!e8atan Kab*paten %rnta1 (0") b*1an  #an*ari !/= Maret 20+"
Dar?in Ab*a!i SKMD
$a>ar $ia>a Tran!prt =an Uang Harian pa=a Kn!*1ta!i $ant*an pera!ina1 Ke!e8atan ($K) =i Dina! Ke!e8atan 'rin!i tangga1 4 Apri1 20+"
 Terima S'2D *nt* pemba>aran $e1an,a $arang Hnrari*m Tim 'enge11a $ant*an pera!ina1 Ke!e8atan ($K) !e!*ai Nmr 6-660$/0.0/+++ tangga1 ++ Apri1 20+"
 Terima S'2D *nt* pemba>aran $e1an,a $arang Hnrari*m 'enangg*ng ,a?ab =an $en=a8ara 'enge1*aran 'embant* '*!e!am! $ant*an pera!ina1 Ke!e8atan ($K) !e!*ai Nmr 6-66+$/0.0/+++ tangga1 ++ Apri1 20+"
 Terima S'2D *nt* pemba>aran $e1an,a $arang Hnrari*m Tim 'enge11a Ke*angan $ant*an pera!ina1 Ke!e8atan ($K) !e!*ai Nmr 6-6-.$/0.0/+++ tangga1 +2 Apri1 20+"
=
$a>ar Tran!prt La1 pa=a egiatan Mnitring =an Ea1*a!i 'rgram $ant*an per!ina1 Ke!e8atan ($K) =i '*!e!ma! Mti1ang $*1*1i Si=m*1> S*amam*r =an '*!e!ma! $i1at tangga1 - !/= +" Apri1 20+"
Dr HiM8 Nat!ir
M Ab=*1MKe! =
$a>ar Uang Sa* pa=a egiatan Mnitring =an
Ea1*a!i 'rgram $ant*an per!ina1 Ke!e8atan ($K) =i '*!e!ma! Mti1ang $*1*1i Si=m*1> S*amam*r =an '*!e!ma! $i1at tangga1 - !/= +" Apri1 20+"
Dar?in Ab*a!i SKMD
$a>ar Tran!prt La1 pa=a egiatan Mnitring =an Ea1*a!i 'rgram $ant*an per!ina1 Ke!e8atan ($K) =i '*!e!ma! Te1aga #a>a Limbt Limbt $arat $*8* =an '*!e!ma! 'ngngai1a tangga1 - !/= +" Apri1 20+"
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20 Apri1 20+" 000+"
20 Apri1 20+" 000+.
20 Apri1 20+" 000+
22 Apri1 20+" 000+6
22 Apri1 20+" 000+5
Dar?in Ab*a!i SKMD
$a>ar *ang Sa* pa=a egiatan Mnitring =an Ea1*a!i 'rgram $ant*an per!ina1 Ke!e8atan ($K) =i '*!e!ma! Te1aga #a>a Limbt Limbt $arat $*8* =an '*!e!ma! 'ngngai1a tangga1 - !/= +" Apri1 20+"
 Dr H, N*r A1barSp'D <INASIM =
$a>ar $ia>a Hnr tim 'enge11a Ke*angan $ant*an per!ina1 Ke!e8atan ($K) !e1ang b*1an  #an*ari !/= Maret 20+"
Dr Hi &arman Ha=ati =
$a>ar $ia>a Hnr tim 'enge11a $ant*an per!ina1 Ke!e8atan ($K) !e1ang b*1an #an*ari
!/= Maret 20+"
=
$a>ar $ia>a Hnr 'engg*ng ,a?ab =an ben=a8ara 'enge1*aran 'embant* '*!e!ma! $ant*an per!ina1 Ke!e8atan ($K) !e1ang b*1an #an*ari !/= Maret 20+"
;7 A<I<A (Ma!ri a!in)
$a>ar bia>a ATK pa=a pertem*an S!ia1i!a!i $ant*an per!ina1 Ke!e8atan ($K) Kab*paten %rnta1 tangga1 20 Apri1 20+" =i Hte1 Mi1ana Limbt
;7 A<I<A (Ma!ri a!in)
$a>ar bia>a 'enggan=aan pa=a pertem*an
S!ia1i!a!i $ant*an per!ina1 Ke!e8atan ($K)Kab*paten %rnta1 tangga1 20 Apri1 20+" =i Hte1 Mi1ana Limbt
;itra #a>a 'rint ( #8an Ra8im)
$a>ar bia>a Span=* pa=a pertem*an S!ia1i!a!i $ant*an per!ina1 Ke!e8atan ($K) Kab*paten %rnta1 tangga1 20 Apri1 20+" =i Hte1 Mi1ana Limbt
Hte1 Mi1ana (Dra H, S*?arni Ra8im
$a>ar bia>a 'aet Meeting <*11=a> 'e!erta pa=a pertem*an S!ia1i!a!i $ant*an per!ina1 Ke!e8atan ($K) Kab*paten %rnta1 tangga1 20 Apri1 20+" =i Hte1 Mi1ana Limbt
Dr 9i=>a ' [email protected]= MKe!
=
$a>ar bia>a Tran!prt La1 'e!erta pa=a pertem*an S!ia1i!a!i $ant*an per!ina1 Ke!e8atan ($K) Kab*paten %rnta1 tangga1 20 Apri1 20+" =i Hte1 Mi1ana Limbt
Dr 9i=>a ' [email protected]= MKe!
=
$a>ar bia>a *ang !a* pe!erta pa=a pertem*an S!ia1i!a!i $ant*an per!ina1 Ke!e8atan ($K) Kab*paten %rnta1 tangga1 20 Apri1 20+" =i Hte1 Mi1ana Limbt
S>*ri Da?a1i
AMKL =
$a>ar bia>a Tran!prt La1 pa=a egiatan
Mnitring =an Ea1*a!i 'rgram $ant*anper!ina1 Ke!e8atan ($K) =i '*!e!ma! $i1*8* $at*=aa 'antai $at*=aa $ngmeme =an '*!e!ma! M1pat=* tangga1 +. !/= +- Apri1 20+"
S>*ri Da?a1i AMKL =
$a>ar bia>a Uang Sa* pa=a egiatan Mnitring =an Ea1*a!i 'rgram $ant*an per!ina1 Ke!e8atan ($K) =i '*!e!ma! $i1*8* $at*=aa 'antai $at*=aa $ngmeme =an '*!e!ma! M1pat=* tangga1 +. !/= +- Apri1 20+"
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 2UMLAH R% *-,++4,+++
2" Apri1 20+" +000000
2" Apri1 20+" "200000
24 Apri1 20+" 00024
24 Apri1 20+" 0002.
 #UMLAH $ULAN LALU Rp 3
 #UMLAH S/D $ULAN INI Rp 6220.000
SAL&O 0+ A%i" .+0
Mengeta8*i
SKMMKe! =
$a>ar bia>a Tran!prt La1 pa=a egiatan Mnitring =an Ea1*a!i 'rgram $ant*an per!ina1 Ke!e8atan ($K) =i '*!e!ma! Tiba?a  Tabng Mng1at T*1a=enggi =an '*!e!ma!  Ti1te tangga1 +. !/= +- Apri1 20+"
Ur*?at> 9 Ngg1e
SKMMKe! =
$a>ar bia>a Uang Sa* pa=a egiatan Mnitring =an Ea1*a!i 'rgram $ant*an per!ina1 Ke!e8atan ($K) =i '*!e!ma! Tiba?a Tabng Mng1at T*1a=enggi =an '*!e!ma! Ti1te tangga1 +. !/= +- Apri1 20+"
$a>ar $ia>a Tran!prt =an Uang Harian pa=a Kn!*1ta!i =an Kr=ina!i =engan KAN9IL D#'$N / K''N =i K''N %rnta1 tangga1 5 #an*ari 20+"
$a>ar $ia>a Tran!prt =an Uang Harian pa=a Kn!*1ta!i =an Kr=ina!i =engan KAN9IL D#'$N /
K''N =i K''N %rnta1 tangga1 ++ <ebr*ari 20+"
$a>ar $ia>a Tran!prt =an Uang Harian pa=a Kn!*1ta!i =an Kr=ina!i =engan KAN9IL D#'$N / K''N =i K''N %rnta1 tangga1 ++ Maret 20+"
 Terima S'2D *nt* pemba>aran $e1an,a $arang Hnrari*m 'anitia pa=a 'ertem*an S!ia1i!a!i $ant*an pera!ina1 Ke!e8atan ($K) !e!*ai Nmr 6-66+$/0.0/+++ tangga1 2" Apri1 20+"
 Terima S'2D *nt* pemba>aran $e1an,a $arang Hnrari*m Nara!*mber pa=a 'ertem*an S!ia1i!a!i $ant*an pera!ina1 Ke!e8atan ($K) !e!*ai Nmr 6-66+$/0.0/+++ tangga1 2" Apri1 20+"
Dar?in Ab*a!i SKM =
$a>ar $ia>a Hnrari*m 'anitia pa=a 'ertem*an S!ia1i!a!i $ant*an pera!ina1 Ke!e8atan ($K) Kab*paten %rnta1
Dr H, N*r A1bar Sp'D<INASIM
=
$a>ar $ia>a Hnrari*m Nara!*mber pa=a 'ertem*an S!ia1i!a!i $ant*an pera!ina1 Ke!e8atan ($K) Kab*paten %rnta1
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NI' +-60"04 +--50" + 0++
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Rp -00000 Rp "25"0000
Rp +2+.000 Rp "++.000
Rp 4"-0000
Rp +.00000 Rp 2+40000
Rp 6.0000 Rp +"-0000
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Rp 5-2.000 Rp .0-.000
R% ,+/+,+++ R% 4+,*4,+++
R% ,+/+,+++ R% 4+,*4,+++
Rp +5000000 Rp 26++.000
Rp .00000 Rp 2+.000
Rp .00000 Rp 2++.000
Rp "40000 Rp 2.66.000
Rp +0200000 Rp +..6.000
Rp "400000 Rp +2+6.000
Rp 40000 Rp .6+.000
Rp 6.0000 Rp 4-.000
Rp +.00000 Rp "4.000
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Rp +.00000 Rp +2+.000
Rp 40.000 Rp 5+0000
Rp 40.000 Rp 40.000
R% *,*++,+++ R% /+4,+++
R% *,*++,+++ R% /+4,+++
Rp 4200000
Rp "200000 Rp 3
R% .,.+4,+++ R% 3
Rp 6220.000
$ENDAHARA 'EN%ELUARAN
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NI' +-6404++ 200"+2 2 005
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Departemen/Lembaga : (024) KEMENTERIAN KESEHATAN
Unit rgani!a!i : (0") DIREKTRAT #ENDERAL $INA %I&I DAN KESEHATAN I$U DAN ANAK 
'rin!i/Kab/Kta : ("+0+) %RNTAL
Sat*an Ker,a : ("+-+.) DINAS KESEHATAN KA$U'ATEN %RNTAL
 Tg1 N S' DI'A : . De!ember 20+2 /N : DI'A 3 0240"4"+-+./20+"
 Ta8*n Anggaran : 20+"
K''N : (0.0) %RNTAL
+4 Mei 20+" Rp +6.+4+00
0002 '*,ia!i8 SKM
00026
00025
0002-
000"0
000"+ 9i1>an 'ma1
000"2 '*,i A!t*ti
 Terima S'2D *nt* 'emba>aran $e1an,a $arang
 Ta8ap I $ant*an pera!ina1 Ke!e8atan ($K)'*!e!ma! Ti1te Se!*ai Nmr 500"5.$/0.0/+++ tangga1 +4 Mei 20+"
$a>ar $ia>a Kegiatan $K '*!e!ma! Ti1te $*1an  #an*ari !/= Maret 20+"
 Terima S'2D *nt* 'emba>aran $e1an,a $arang  Ta8ap I $ant*an pera!ina1 Ke!e8atan ($K) '*!e!ma! Te1aga #a>a Se!*ai Nmr 500"5$/0.0/+++ tangga1 +4 Mei 20+"
Ab= 9a8i= Ha!>im
$a>ar $ia>a Kegiatan $K '*!e!ma! Te1aga #a>a $*1an #an*ari !/= Maret 20+"
 Terima S'2D *nt* 'emba>aran $e1an,a $arang
 Ta8ap I $ant*an pera!ina1 Ke!e8atan ($K) '*!e!ma! Tabng Se!*ai Nmr 500"56$/0.0/+++ tangga1 +4 Mei 20+"
N*rnaning!i8 M Mnti
$a>ar $ia>a Kegiatan $K '*!e!ma! Tabng $*1an  #an*ari !/= Maret 20+"
 Terima S'2D *nt* 'emba>aran $e1an,a $arang  Ta8ap I $ant*an pera!ina1 Ke!e8atan ($K) '*!e!ma! 'ngngai1a Se!*ai Nmr 500"55$/0.0/+++ tangga1 +4 Mei 20+"
Ernta Niati SKM
$a>ar $ia>a Kegiatan $K '*!e!ma! 'ngngai1a $*1an #an*ari !/= Maret 20+"
 Terima S'2D *nt* 'emba>aran $e1an,a $arang  Ta8ap I $ant*an pera!ina1 Ke!e8atan ($K) '*!e!ma! $at*=aa 'antai Se!*ai Nmr 500"5-$/0.0/+++ tangga1 +4 Mei 20+"
Nining Utiara8man SST
$a>ar $ia>a Kegiatan $K '*!e!ma! $at*=aa 'antai $*1an #an*ari !/= Maret 20+"
 Terima S'2D *nt* 'emba>aran $e1an,a $arang  Ta8ap I $ant*an pera!ina1 Ke!e8atan ($K) '*!e!ma! Mti1ang Se!*ai Nmr 500"-0$/0.0/+++ tangga1 +4 Mei 20+"
$a>ar $ia>a Kegiatan $K '*!e!ma! Mti1ang $*1an #an*ari !/= Maret 20+"
 Terima S'2D *nt* 'emba>aran $e1an,a $arang  Ta8ap I $ant*an pera!ina1 Ke!e8atan ($K) '*!e!ma! S*amam*r Se!*ai Nmr 500"-+$/0.0/+++ tangga1 +4 Mei 20+"
$a>ar $ia>a Kegiatan $K '*!e!ma! S*amam*r $*1an #an*ari !/= Maret 20+"
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000""
 2UMLAH R% .+.,*0/,/++
000".
+. Mei 20+" Rp +2+.000
+. Mei 20+" Rp -000000
+. Mei 20+" Rp +"40000
+. Mei 20+" Rp 2000000
+. Mei 20+" Rp +2+.000
+. Mei 20+" Rp 2"+".000
000"
000"6 <atra8 D*nggi
 + Mei 20+" Rp ".4"0000
 Terima S'2D *nt* 'emba>aran $e1an,a $arang  Ta8ap I $ant*an pera!ina1 Ke!e8atan ($K) '*!e!ma! $i1*8* Se!*ai Nmr 500"-2$/0.0/+++ tangga1 +4 Mei 20+"
Sri 9i1in $ S*1eman
$a>ar $ia>a Kegiatan $K '*!e!ma! $i1*8* $*1an  #an*ari !/= Maret 20+"
 Terima S'2D *nt* 'emba>aran $e1an,a $arang  Ta8ap I $ant*an pera!ina1 Ke!e8atan ($K) '*!e!ma! M1pat=* Se!*ai Nmr 500"-"$/0.0/+++ tangga1 +4 Mei 20+"
$a>ar $ia>a Kegiatan $K '*!e!ma! M1pat=* $*1an #an*ari !/= Maret 20+"
 Terima S'2D *nt* 'emba>aran $e1an,a $arang  Ta8ap I $ant*an pera!ina1 Ke!e8atan ($K) '*!e!ma! $*1*1i Se!*ai Nmr 500"-4$/0.0/+++ tangga1 +4 Mei 20+"
A!tin Maa=i Am=Kep
$a>ar $ia>a Kegiatan $K '*!e!ma! $*1*1i $*1an  #an*ari !/= Maret 20+"
 Terima S'2D *nt* 'enggantian Uang 'er!e=iaan *nt* eper1*an $e1an,a $arang Se!*ai Nmr 5006""$/0.0/+++ tangga1 +. Mei 20+"
 Terima S'2D *nt* 'enggantian Uang 'er!e=iaan *nt* eper1*an $e1an,a $arang Se!*ai Nmr 5006"4$/0.0/+++ tangga1 +. Mei 20+"
 Terima S'2D *nt* 'enggantian Uang 'er!e=iaan *nt* eper1*an $e1an,a $arang Se!*ai Nmr 5006".$/0.0/+++ tangga1 +. Mei 20+"
 Terima S'2D *nt* 'enggantian Uang 'er!e=iaan *nt* eper1*an $e1an,a $arang Se!*ai Nmr 5006"$/0.0/+++ tangga1 +. Mei 20+"
 Terima S'2D *nt* 'enggantian Uang 'er!e=iaan *nt* eper1*an $e1an,a $arang Se!*ai Nmr 5006"6$/0.0/+++ tangga1 +. Mei 20+"
 Terima S'2D *nt* 'enggantian Uang 'er!e=iaan *nt* eper1*an $e1an,a $arang Se!*ai Nmr 5006"5$/0.0/+++ tangga1 +. Mei 20+"
 Terima S'2D *nt* 'emba>aran $e1an,a $arang  Ta8ap I $ant*an pera!ina1 Ke!e8atan ($K) '*!e!ma! $*8* Se!*ai Nmr 5006"-$/0.0/+++ tangga1 +. Mei 20+"
SaBra?ati T*1i AMKL
$a>ar $ia>a Kegiatan $K '*!e!ma! $*8* $*1an  #an*ari !/= Maret 20+"
 Terima S'2D *nt* 'emba>aran $e1an,a $arang  Ta8ap I $ant*an pera!ina1 Ke!e8atan ($K)
'*!e!ma! T*1a=enggi Se!*ai Nmr 500640$/0.0/+++ tangga1 +. Mei 20+"
$a>ar $ia>a Kegiatan $K '*!e!ma! T*1a=enggi $*1an #an*ari !/= Maret 20+"
 Terima S'2D *nt* 'emba>aran $e1an,a $arang  Ta8ap I $ant*an pera!ina1 Ke!e8atan ($K) '*!e!ma! Mng1at Se!*ai Nmr 50050.$/0.0/+++ tangga1 + Mei 20+"
8/16/2019 BUKU KAS UMUM 2013.xlsx
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000"-
00040
 2UMLAH R% /,4//,/++
00042
0004"
00044
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