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RENCANA KERJA DAN ANGARANSATUAN KERJA PERANGKAT DAERAH

PEMERINTAH KABUPATEN OGAN ILIRTahun Anggaran 2016

Urusan Pemerintah : 1 Urusan WajibBidang Pemerintahan : 1.02. 1.02 KesehatanUnit Organisasi : 1.02. 1.02.02 Rumah Sakit Umum Daerah Ogan IlirSub Unit Organisasi : 1.02. 1.02.02.01 Rumah Sakit Umum Daerah Ogan IlirProgram : 1.02. 1.02.02.01.26 Program Pengadaan, Peningkatan Sarana dan Prasarana Rumah Sakit / Rumah Sakit Jiwa / Rumah Sakit Paru-Paru/ Rumah Sakit MataKegiatan : 1.02. 1.02.02.01.26. 19 Pengadaan Obat-Obatan Rumah SakitLokasi Kegiatan :Jumlah Tahun n-1 :Jumlah Tahun n :Jumlah Tahun n+1 :

INDIKATOR DAN TOLAK UKUR KINERJA BELANJA LANGSUNGINDIKATOR TOLAK UKUR KINERJA TARGET KINERJA

MASUKAN Jumlah Dana Rp. 2.100.000.000KELUARAN Tersedianya Obat-Obatan Rumah Sakit 1 TahunHASIL Terpenuhinya Kebutuhan Obat Rumah Sakit 100%Kelompok Sasaran Kegiatan :

RINCIAN ANGGARAN BELANJA LANGSUNG MENURUT PROGRAM DAN PER KEGIATAN SATUAN KERJA PERANGKAT DAERAHKODE

URAIANRINCIAN PERHITUNGAN

REKENING Volume Satuan

1 2 3 4BELANJA BELANJA LANGSUNG Belanja Barang dan Jasa Pengadaan Obat-Obatan Rumah Sakit

1 - air untuk injeksi amp 25 mL 5,000 Vial2 - akarbose tab 50 mg 3,500 Tablet3 - albendazol tab 400 mg 500 Tablet4 - alopurinol tab 100 mg 25,000 Tablet5 - alprazolam tab 0,5 mg 2,500 Tablet

6 - alprazolam tab 1 mg 2,500 Tablet7 - Ambroxol syr 15 mg/ml 2,000 Botol8 - Ambroxol tab 30mg 15,000 Tablet9 - amfoterisin B salep mata 1% 100 Tube

10 - amilorid tab 5 mg 100 Tablet11 - aminofilin inj 24 mg/mL 200 Ampul12 - aminofilin tab 200 mg 3,000 Tablet13 - amiodaron inj 150 mg/3 mL 75 Ampul14 - amiodaron tab 200 mg 1,000 Tablet15 - amitriptilin tab sal 25 mg 10,000 Tablet16 - amlodipin tab 10 mg 5,000 Tablet17 - amlodipin tab 5 mg 10,000 Tablet18 - amoksisilin sir kering 125 mg/5 mL 1,500 Botol19 - amoksisilin tab 250 mg 15,000 Kapsul20 - amoksisilin kaplet 500 mg 20,000 Kaplet21 - antasida suspensi 5,000 Botol

22 - antasida tab kunyah 30,000 Tablet23 - Antibakteri, kombinasi : basitrasin 500 UI/g + polimiksin B 10.000 UI/g Salep 250 Tube24 - antihemoroid Supp Kombinasi 500 Suppositoria25 - antimalaria kombinasi : Sulfadoksin 500 mg + pirimetamin 25 mg 1,000 Tablet26 - artemether inj 80 mg/mL 60 Ampul27 - artesunat serb inj 60 mg/mL (i.v./i.m.) 30 Vial28 - asam asetilsalisilat (asetosal) tab 100 mg 10,000 Tablet29 - asam asetilsalisilat (asetosal) tab 80 mg 15,000 Tablet30 - asam askorbat (vitamin C) tab 250 mg 1,500 Tablet31 - asam askorbat (vitamin C) tab 50 mg 5,000 Tablet32 - asam folat tab 1 mg 10,000 Tablet33 - asam fusidat krim 3% 1,500 Tube34 - asam mefenamat 500mg 45,000 Kaplet35 - asam pipemidat kaps 400 mg 2,000 Kapsul36 - asam salisilat lar 0,1% 50 botol37 - asam salisilat salep 5% 50 Tube38 - asam traneksamat inj 100 mg/mL 1,500 Ampul39 - asam traneksamat tab 500 mg 5,000 Tablet40 - asiklovir tab 400 mg 5,000 Tablet

41 - asiklovir krim 5% 250 Tube42 - atapulgit tab 600mg 2,500 Tablet43 - atenolol tab 50 mg 2,000 Tablet44 - atropin inj 0,25 mg/mL 500 Ampul45 - atropin tab 0,5 mg 2,000 Tablet46 - azitromisin tab 500 mg 1,000 Tablet47 - bahan tumpatan sementara lar, serb( A1, A2, A3, A3,5) 8 syringe48 - bedak salisil serb 2% 500 Kotak49 - betahistin 8,000 Tablet50 - betametason krim 0,1% 500 Tube51 - betametason tts mata 1 mg/mL 30 Botol52 - bisakodil sup 10 mg 100 Suppositoria53 - bisakodil tab sal 5 mg 1,000 Tablet54 - bisoprolol tab 5 mg 1,000 Tablet55 - bromokriptin tab 2,5 mg 50 Tablet56 - budesonid ih 200 mcg/dosis 50 unit57 - citicholine inj 250 mg 500 Ampul58 - citicholine inj 500 mg 1,000 Ampul59 - citicholine tab 500 mg 10,000 Tablet60 - coal tar lar 5 % 30 Botol61 - copper T set/buah 10 set62 - deksametason inj 5 mg/mL 1,000 Ampul63 - deksametason tab 0,5 mg 10,000 Tablet64 - desoksimetason krim 0,25% tube 5 gr 250 Tube65 - devitalisasi pasta (non arsen) 2 Botol66 - diazepam inj 5 mg/mL (i.v.) 500 Ampul67 - diazepam lar rektal 5 mg/2,5 mL 500 tube68 - diazepam tab 2 mg 2,000 Tablet69 - diazepam tab 5 mg 1,000 Tablet70 - dietilkarbamazin tab 100 mg 1,500 Tablet71 - difenhidramin inj 10 mg/mL (i.v./i.m.) 1,000 Ampul72 - digoksin tab 0,25 mg 3,000 Tablet73 - diltiazem HCl inj 5 mg/5 mL 100 Ampul74 - diltiazem HCl tab 30 mg 2,000 Tablet75 - diltiazem kaps SR 100 mg 1,500 Tablet

76 - diltiazem kaps SR 200 mg 1,500 Tablet77 - diltiazem tab 30 mg 500 Tablet78 - dimenhidrinat tab 50 mg 3,000 Tablet79 - dobutamin inj 50 mg/mL 50 vial80 - doksisiklin kaps 100 mg 5,000 Tablet81 - domperidon susp 5 mg/5 mL 300 Botol82 - domperidon tab 10 mg 5,000 Tablet83 - dopamin inj 40 mg/mL 50 ampul84 - efedrin inj 50 mg/mL 200 Ampul85 - epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) 200 Ampul86 - ergokalsiferol (vitamin D2) kaps 50.000 UI 100 Kapsul87 - ergokalsiferol (vitamin D2) susp 10.000 UI/mL 30 Botol88 - ergotamin tab 1 mg 2,000 Tablet89 - eritromisin kaps 250 mg 5,000 Kapsul90 - eritromisin sir 200 mg/5 mL 150 Botol91 - etambutol tab 250 mg 500 Tablet92 - etanol 70% 1 liter 600 Botol93 - etil klorida semprot 100 mL 100 Botol94 - fenitoin Na kaps 100 mg 5,000 Tablet95 - fenobarbital tab 30 mg 5,000 Tablet96 - fenofibrat kaps 100 mg 3,000 Kapsul97 - fenoterol HBr aerosol 100 mcg/puf 50 Box98 - ferro fumarat kaps lunak 300 mg 1,500 Kapsul99 - ferro sulfat tab salut 300 mg 3,000 Tablet100 - fitomenadion (vitamin K 1) inj 2 mg/mL (i.m.) 600 Ampul101 - fitomenadion (vitamin K 1) tab sal 10 mg 5,000 Tablet102 - flufenazin inj 25 mg/mL (i.m.) 25 Ampul103 - flukonazol inj 2 mg/mL 50 Ampul104 - flukonazol kaps 150 mg 150 Kapsul105 - flunarizin 5 mg 1,500 Tablet106 - fluoksetin kaps 10 mg 1,500 Kapsul107 - fluor kapl 1 mg 100 Tablet108 - fluor tab 0,5 mg 100 Tablet109 - flusinolon asetonid krim 0,025% 100 Tube110 - flutikason furoat intranasal spray 30 botol

111 - furosemid inj 10 mg/mL (i.v./i.m.) 300 Ampul112 - furosemid tab 40 mg 5,000 Tablet113 - Gabapentin 300mg 1,000 Kapsul114 - garam oralit kombinasi 7,000 Sachet115 - gemfibrozil kaps 300 mg 2,500 Kapsul116 - gentamisin inj 40 mg/mL 1,000 vial117 - gentamisin tts mata 0,3% 150 botol118 - glass ionomer ART set 6 set119 - glibenklamid tab 5 mg 7,000 Tablet120 - gliklazid tab 80 mg 1,500 Tablet121 - glikuidon tab 30 mg 1,000 Tablet122 - glimepirid tab 1 mg 800 Tablet123 - glimepirid tab 2 mg 2,000 Tablet124 - glipizid tab 5 mg 1,000 Tablet125 - gliseril trinitrat kaps SR 2,5 mg 100 Kapsul126 - gliseril trinitrat kaps SR 5 mg 100 Tablet127 - glucosamin 500mg 4,000 Kaplet128 - griseofulvin (micronized) tab scored 250 mg 200 Tablet129 - gutta percha dan paper points 15 - 40 mm 6 Kotak130 - gutta percha dan paper points 45 - 80 mm 6 Kotak131 - haloperidol tab 1,5 mg 2,000 Tablet132 - haloperidol tab 5 mg 1,000 Tablet133 - hidrogen peroksida cairan 3% 175 Botol134 - hidroklorotiazid tab 25 mg 1,500 Tablet135 - hidrokortison krim 1% 250 Tube136 - hiosina butilbromida inj 20 mg/mL 200 ampul137 - hiosina butilbromida tab 10 mg 2,000 Tablet138 - human insulin long acting 100 plexpen139 - human insulin mix insulin 75 plexpen140 - human insulin short acting 100 plexpen141 - ibuprofen sir 100 mg/5 mL 150 Botol142 - ibuprofen tab 400 mg 5,000 Tablet143 - imidapril tab 5 mg 3,000 Tablet144 - ipratropium bromida ih padat 20 mg 20 Box145 - ipratropium bromida nebulizer 0,025% 75 Box

146 - irbesartan tab 150 mg 5,000 Tablet147 - isoniazid tab 100 mg 500 Tablet148 - isoniazid tab 300 mg 500 Tablet149 - isosorbid dinitrat inj 10 mg/10 mL (i.v.) 200 Box150 - isosorbid dinitrat tab 5 mg 7,000 Tablet151 - kalium aspartat tab 300 mg 2,000 Tablet152 - kalium klorida tab 600 mg 5,000 Tablet153 - kalsium glukonat inj 100 mg/mL 75 Box154 - kalsium hidroksida bubuk, pasta 12 Box155 - kalsium karbonat tab 500 mg 5,000 Tablet156 - kalsium laktat (kalk) tab 500 mg 2,000 Tablet157 - kandesartan tab 16 mg 3,000 Tablet158 - kandesartan tab 8 mg 3,000 Tablet159 - kaptopril tab 12,5 mg 10,000 Tablet160 - kaptopril tab 25 mg 7,000 Tablet161 - kaptopril tab 50 mg 250 Tablet162 - karbamazepin tab 200 mg 800 Tablet163 - karbogliserin tts telinga 10 % 150 botol164 - ketokonazol tab 200 mg 5,000 Tablet165 - ketokonazol krim 2% 5 gr 300 Tube166 - ketoprofen sup 100 mg 500 Suppositoria167 - ketorolak inj 30 mg/mL 2,000 ampul168 - klindamisin kaps 150 mg 3,000 kapsul169 - klindamisin kaps 300 mg 3,000 kapsul170 - klobazam tab 10 mg 5,000 Tablet171 - klomifen sitrat tab 50 mg 100 Tablet172 - klonidin tab 0,15 mg 3,000 Tablet 173 - klopidogrel tab 75 mg 5,000 Tablet174 - kloramfenikol tts mata 1% 300 botol175 - Kloramfenikol tts telinga 300 Botol176 - kloramfenikol kaps 250 mg 1,000 kapsul177 - kloramfenikol salep kulit 2% 250 Tube178 - kloramfenikol salep mata 1% 300 Tube179 - kloramfenikol susp 125 mg/5 mL 500 Botol180 - klorfeniramin (CTM) tab 4 mg 20,000 Tablet

181 - klorfenol kamfer mentol (CHKM) 6 Botol182 - klorpromazin tab 25 mg 100 Tablet183 - klorpromazin tab sal 100 mg 200 Tablet184 - kodein tab 10 mg 2,500 Tablet185 - kolekalsiferol (vitamin D3) kaps lunak 0,25 mcg 2,000 kapsul186 - koloid HES BM 130 000 lar inf 6% 50 Botol187 - kombinasi : benserazid 25 mg + levodopa 100 mg tab (Antiparkinson) 2,500 Tablet188 - kombinasi : ergotamin 1 mg + kafein 50 mg (antimigren) 3,000 Tablet189 - kombinasi : ferro sulfat 200 mg + asam folat 0,25 mg 5,000 Tablet190 - kombinasi : ipratropium bromida 0,5 mg + salbutamol 2,5 mg Solution 0,025% 100 vial191 - kombinasi : levonorgestrel 150 mcg + etinilestradiol 30 mcg 200 Tablet192 - kombinasi : medroksi progesteron asetat + estradiol sipionat inj depot 25 mg + 5 mg 150 vial193 - kombinasi: kaolin 550 mg + pektin 20 mg 5,000 Tablet194 - Kombinasi : Parafin + Gliserin + Fenoltalein(Laxadine) 500 Botol195 - kotrimoksazol 480 mg 15,000 Tablet196 - kotrimoksazol susp 240 mg 500 Botol197 - kuinin inj 25% (i.v.) 20 Ampul198 - kuinin tab 200 mg 300 Tablet199 - laktulosa sir 3,335 g/5 mL 100 Botol200 - lansoprazol inj 30 mg/mL 300 Ampul201 - lansoprazol kaps 30 mg 10,000 kapsul202 - levofloksasin inf 5 mg/mL 100 botol203 - levofloksasin tab 500 mg 1,500 Tablet204 - levotiroksin tab 100 mcg 1,000 Tablet205 - lidokain cairan semprot 10% 30 botol206 - lidokain gel 2% 250 syringe207 - lidokain HCl 2% + epinefrin 1 : 80.000 inj 2 mL 10,000 Ampul208 - lidokain inj 2% (HCl) 10,000 Ampul209 - lisinopril tab 10 mg 3,000 Tablet210 - lisinopril tab 5 mg 7,000 Tablet211 - loperamid tab 2 mg 5,000 Tablet212 - lorazepam tab 2 mg 500 Tablet213 - magnesium sulfat inj 40% 200 ampul214 - manitol lar infus 20% 150 Botol215 - meloxicam 7,5mg 10,000 Tablet

216 - Meloxicam 15mg 10,000 Tablet217 - metformin tab 500 mg 10,000 Tablet218 - metilergometrin inj 0,2 mg/mL 250 Ampul219 - metilergometrin tab salut 0,125 mg 1,000 Tablet220 - metilprednisolon inj 125 mg/vial 75 Vial221 - metilprednisolon tab 4 mg 15,000 Tablet222 - metoklopramid inj 5 mg/mL 300 Ampul223 - metoklopramid sir 5 mg/5 mL 100 Botol224 - metoklopramid tab 5 mg 5,000 Tablet225 - metronidazol lar inf 5 mg/mL 300 Botol226 - metronidazol ovula 500 mg 250 Ovula227 - metronidazol tab 500 mg 15,000 Tablet228 - mikonazol krim 2% 250 Tube229 - n-asetil sistein kaps 200 mg 1,500 kapsul230 - natrium bikarbonat inj 8,4% (i.v.) 100 Tablet231 - natrium diklofenak tab 25 mg 15,000 Tablet232 - natrium diklofenak tab 50 mg 15,000 Tablet233 - natrium fusidat krim 20 mg/g 50 Tube234 - nifedipin kaps 10 mg 500 kapsul235 - nifedipin tab SR 30 mg 13,000 Tablet236 - nistatin susp 100.000 UI/mL 250 Botol237 - nistatin tab salut 500.000 UI 700 Tablet238 - norepinefrin inj 1 mg/mL 75 Ampul239 - ofloksasin tts telinga 3% 100 Botol240 - oksimetazolin tts hidung 0,025% 50 Botol241 - oksitosin inj 10 UI/mL 5,000 Ampul242 - olopatadin tts mata 0,1% 75 Botol243 - omeprazol inj 40 mg/10 mL 100 Ampul244 - omeprazol kaps 20 mg 10,000 kapsul245 - ondansetron inj 4 mg/2 mL 3,000 Ampul246 - ondansetron tab 4 mg 5,000 Tablet247 - ondansetron tab 8 mg 5,000 Tablet248 - parasetamol drips (infus) 1000 mg/100 mL 100 Botol249 - parasetamol sir 120 mg/5 mL 3,000 Botol250 - Parasetamol supp 300 Suppositoria

251 - parasetamol tab 500 mg 30,000 Tablet252 - parasetamol tts 60 mg/0,6 mL 800 Botol253 - perak sulfadiazin krim 1% 50 Tube254 - permetrin krim 5 % 100 tube255 - piracetam inj 3 gr 250 Ampul256 - piracetam tab 800 mg 7,000 Tablet257 - piracetam 1200mg 7,000 Tablet258 - pirantel pamoat susp 125 mg/5 mL 150 Botol259 - pirantel pamoat tab scored 125 mg 4,000 Tablet260 - pirazinamid tab 500 mg 500 Tablet261 - piridoksin (vitamin B6) tab 10 mg 5,000 Tablet262 - Polikresulen cairan 10 ml 125 Botol263 - povidon iodin lar 100 mg/mL 1 liter 600 Botol @ 1000 ml264 - prednison tab 5 mg 5,000 Tablet265 - Pregabalin 2,000 tablet266 - propiltiourasil tab 100 mg 5,000 Tablet267 - propranolol tab 10 mg 3,000 Tablet268 - propranolol tab 40 mg 5,000 Tablet269 - ramipril tab 2,5 mg 7,000 Tablet270 - ramipril tab 5 mg 7,000 Tablet271 - ranitidin inj 25 mg/mL 7,250 Ampul272 - ranitidin tab 150 mg 20,000 kapsul273 - retinol (vitamin A) kaps lunak 100.000 UI 500 kapsul274 - retinol (vitamin A) kaps lunak 200.000 UI 500 kapsul275 - rifampisin kaps 300 mg 5,000 kapsul276 - risperidon tab sal 2 mg 3,000 Tablet277 - salbutamol nebules vial 2,5 mg 1,500 Vial278 - salbutamol tab 2 mg 7,000 Tablet279 - salbutamol tab 4 mg 5,000 Tablet280 - sefadroksil kaps 500 mg 20,000 kapsul281 - sefadroksil sir kering 125 mg/5 mL 500 Botol282 - sefepim serb inj 1000 mg/vial 500 Vial283 - sefiksim sir 100 mg/5 mL 200 Botol284 - sefiksim tab 100 mg 2,500 Tablet285 - sefotaksim serb inj 1.000 mg/vial 7,000 Vial

286 - seftazidim serb inj 1.000 mg/vial 150 Vial287 - seftriakson serb inj 1.000 mg/vial 7,000 Vial

288 - setirizin tab 10 mg 10,000 Tablet289 - setirizin sir 5 mg/5 mL 250 Botol290 - sianokobalamin (vitamin B12) inj 500 mcg/mL 5,000 Ampul291 - sianokobalamin (vitamin B12) tab 50 mcg 10,000 Tablet292 - simvastatin tab sal 10 mg 3,000 Tablet293 - siprofloksasin inf 2 mg/mL 200 Botol294 - siprofloksasin tab scored 500 mg 20,000 Tablet295 - spironolakton tab 25 mg 5,000 Tablet296 - streptomisin serb inj 1000 mg/vial 100 Vial297 - sukralfat susp 500 mg/5 mL 300 Botol298 - sukralfat tab 500 mg 2,500 Tablet299 - teofilin tab 150 mg 5,000 Tablet300 - terazosin HCl tab 1 mg 2,500 Tablet301 - terbutalin tab 2,5 mg 2,500 Tablet302 - tetanus toxoid inj 30 Vial303 - tetrakain tts mata 0,5% 100 Botol304 - tetrasiklin kaps 250 mg 5,000 kapsul305 - tiamazol tab 5 mg 3,000 Tablet306 - tiamin (vitamin B1) tab 50 mg 7,000 Tablet307 - tramadol inj 50 mg/mL 5,500 Ampul308 - triamsinolon asetonid nasal spray 55 mcg/puf 30 Botol309 - triheksifenidil tab 2 mg 5,000 Tablet310 - valproat sir 250 mg/5 mL 100 Botol311 - valproat tab SR 250 mg 2,000 Tablet312 - valproat tab SR 500 mg 2,000 Tablet313 - valsartan tab 80 mg 2,500 Tablet314 - verapamil tab 80 mg 3,000 Tablet315 - vitamin B kompleks tab 15,000 Tablet316 - warfarin tab 1 mg 5,000 Tablet317 - zinc sir 20 mg/5 mL 250 Botol318 - zinc tab disp 20 mg 5,000 Tablet319 - zinc sir 10 mg/mL 250 Botol320 - bismecon gel 500 Tube

321 - Glukosa 40% 400 Botol322 - Gentamisin SK 250 Tube323 - hemafort 8,000 Tablet

1 - Syringe 1cc tuberculin 27G x " 200 Box/1002 250 Box/1003 - Syringe disposable 5 cc x 22G x 1" 150 Box/1004 - Syringe disposable 10 cc x 21G x 1" 25 Box/1005 - Syringe 20 cc ec 2 Box/506 - Syringe 50 cc ec tip 2 Box/207 - Infus set Pediatric (60 drops/ml) 5,000 bh8 - Infus set Dewasa (20 drops/ml) 5,000 bh9 - Blood Transfusion set 100 bh

10 - Feeding Tube / NGT No.6 (100 cm) 100 pcs11 - Feeding Tube / NGT No. 8 (100 cm) 200 pcs12 - Feeding Tube / NGT No. 10 (100 cm) 200 pcs13 - Stomach Tube / NGT No. 12 (85 cm) 100 pcs14 - Stomach Tube / NGT No. 16 (85 cm) 200 pcs15 - Stomach Tube / NGT No 18 200 pcs16 - IV. Chateter No. 16 500 Bh17 - IV. Catheter No. 18 500 bh18 - IV. Catheter No. 20 3,000 bh19 - IV. Catheter No. 22 3,000 bh20 - IV. Catheter No. 24 5,000 bh21 - IV. catheter No. 26 1,000 bh22 - Surgical Glove steril No. 6,5 2,000 psg23 - Surgical Glove steril No. 7,5 2,000 psg24 - Surgical Glove steril No. 8 1,000 psg25 - Surgical Glove Non Steril size S 50 Box/100 26 - Surgical Glove Non Steril size M 75 Box/10027 - Surgical Glove Non Steril size L 75 Box/10028 - Folley Catheter 2 way No. 12 20 Box/1029 - Folley catheter 2 way No. 16 20 Box/10

Pengadaan Bahan Medis Habis Pakai

- Syringe disposable 3 cc x 23G x 1 "

30 - Folley Catheter 2 way No. 18 20 Box/1031 - Kapas Pembalut / absorben 250 gram 300 roll32 - Kassa hydrophil 40 x 80 cm 400 roll33 - Kassa pembalut 2 m x 80 cm 1,000 roll34 - Kassa pembalut hydrophil 4 m x 15 cm 5,000 roll35 - Kassa pembalut hydrophil 4 m x 3 cm 5,000 roll36 - Kassa hydrophil steril 16 x 16 cm 5,000 box/1637 - Catgut Plain 3/0 + jarum 1/2 GT 35 mm 200 Box/2438 - Catgut Plain 2/0 + jarum 1/2 GT 35 mm 200 Box/2439 - Catgut Chromic 2/0 + jarum 1/2 GT 35 mm 200 Box/2440 - Catgut Chromic 3/0 + jarum 1/2 GT 35 mm 200 Box/2441 - Catgut Chromic 4/0 + jarum 1/2 GT 35 mm 50 Box/2442 - Silk 2/0 + jarum 1/2 GT 35 mm 100 Box/3643 - Silk 3/0 + jarum 1/2 GT 35 mm 250 Box/3644 - Urine bag 600 bh45 - Plester 7,50 cm x 4,5 m 800 roll46 - Alkohol Swab 450 Box/10047 - Glass Ukur 100mL 5 bh48 - Antiseptic surgical hand scrub 500 cc + dispenser (Chlorhexidine) 250 botol49 - IV. Dressing 67P 20 Box/10050 - Plester Elastis (Elastis Perban) ukuran 10 cm x 4,55 m 10 roll51 - Plester Plastik Waterprof 100 Pack52 - Suction chateter Fr. 8 30 pcs53 - Suction chateter Fr. 10 30 pcs54 - Suction chateter Fr. 12 30 pcs55 - Suction chateter Fr. 14 30 pcs56 - Suction chateter Fr. 16 30 pcs57 - wing needle 23 G 50 Bh58 - wing needle 25 G 50 Bh59 - wing needle 27 G 50 Bh60 - Disposable Needle 25 G x 1" 750 pcs61 - Disposable Needle 27 G x 1/2" 750 pcs62 - Scalpel Blade # 22 1 Box/10063 - Scalpel Blade # 10 1 Box/10064 - Sofratulle/ Bioplacenton Tulle 75 Box/10

65 - Kondom Cateter 150 pcs66 - Kertas EKG 50 box67 - Cat gut Plain 2/0 Caset 100 M 4 roll68 - Cat gut Plain 3/0 Caset 100 M 4 roll69 - Cat gut Cromic 2/0 Caset 100 M 4 roll70 - Cat gut Cromic 3/0 Caset 100 M 4 roll71 - Silk 2/0 Caset 100 M 5 roll72 - Silk 3/0 Caset 100 M 5 roll73 - Larutan Clorin 1000 ml 175 Botol74 - Currasponge/ Spongostan 10 Box75 - Cangkang Kapsul "00" 1 Bks/100076 - Cangkang Kapsul "0" 1 Bks/100077 - Cangkang Kapsul "1" 1 Bks/100078 - Pot Salep 10 cc 100 Bh79 - Pot Salep 15 cc 100 Bh80 - Pot Salep 20 cc 100 Bh81 - Pot Salep 30 cc 100 Bh82 - Pot Salep 40 cc 100 Bh83 - Surgical Mask Plus 3 Ply Plus Earloop 500 Box/5084 - Gelang Identitas (pink, biru muda, orange, merah) dewasa 40 Box/10085 - Gelang Identitas (pink, biru muda, orange, merah) anak 40 Box/10086 - Apron plastik panjang (130 cm) 20 Pack/2587 - USG Gel botol 250 ml 50 botol88 - Handscoon Panjang/Sarung Tangan Ginecology panjang 75 psg89 - Handscoon Rumah Tangga 75 psg90 - Umbilical Cord Klem Steril Nylon 100 Box/5091 - Film Rontgen uk. 24x30 2 Box/10092 - Film Rontgen uk. 30x40 3 Box/10093 - Larutan Fixer 20 ltr 1 Gallon94 - Larutan Devloper Reflenisher 20 ltr 1 Gallon95 - Tissue Gulung 300 Roll96 - Nasal Oxygen Canula - child Straight 75 pcs97 - Nasal Oxygen Canula - Adult Straight 75 pcs98 - Tempat limbah tajam / Sharp container 7 liter 35 Box99 - Larutan Steril ( Lysol) 1 liter 50 botol

RENCANA KERJA DAN ANGARANSATUAN KERJA PERANGKAT DAERAH

PEMERINTAH KABUPATEN OGAN ILIRTahun Anggaran 2016

Program Pengadaan, Peningkatan Sarana dan Prasarana Rumah Sakit / Rumah Sakit Jiwa / Rumah Sakit Paru-Paru/ Rumah Sakit Mata

INDIKATOR DAN TOLAK UKUR KINERJA BELANJA LANGSUNGTARGET KINERJA

Rp. 2.100.000.000

RINCIAN ANGGARAN BELANJA LANGSUNG MENURUT PROGRAM DAN PER KEGIATAN SATUAN KERJA PERANGKAT DAERAHRINCIAN PERHITUNGAN JUMLAH

Harga (Rp)Satuan

5 62,100,000,0002,100,000,0002,100,000,000

4,025 20,125,000897 3,139,500402 201,000101 2,525,000207 517,500

Formulir

RKA SKPD 2.2.1

268 670,0004,830 9,660,000

250 3,750,00021,275 2,127,500

138 461,2004,612 19,000

95 285,00014,350 1,076,250

1,495 1,495,000135 1,350,000392 1,960,000221 2,210,000

2,875 4,312,500242 3,630,000311 6,220,000

2,435 12,175,00085 2,550,000

3,035 758,7503,100 1,550,000

652 652,00026,565 1,593,90038,990 1,169,700

130 1,300,000178 2,670,000182 273,000115 575,000

58 580,0006,798 10,197,000

185 8,325,0002,088 4,176,0002,500 125,0002,500 125,0003,565 5,347,5002,850 14,250,000

397 1,985,000

4,253 1,063,250242 605,000426 852,000

1,631 815,50089 178,000 178

5,175 5,175,000330,000 2,640,000

1,438 719,000 1,250 10,000,0001,748 874,000

28,870 866,1006,950 695,000

525 525,000770 770,000

284,152 14,207,600121,900 6,095,000 191324750

17,352 8,676,000 190,868,750 456,00032,350 32,350,000

7,298 72,980,000287,500 8,625,000

70,000 700,0001,908 1,908,000

74 740,0007,070 1,767,500

483,000 966,0005,048 2,524,000

13,980 6,990,00052 104,00071 71,000

165 247,5001,265 1,265,000

115 345,000 1456,350 5,635,000

155 310,000 3354947504,428 6,642,000 335,038,750

4,849 7,273,500 456,000205 102,500120 360,000

32,241 1,612,050328 1,640,000

3,922 1,176,600196 980,000

11,270 563,50015,755 3,151,000

9,781 1,956,200782 78,200

9,200 276,0005,482 10,964,000

572 2,860,0009,077 1,361,550

361 180,5002,962 1,777,200

127,575 12,757,500161 805,000

76 380,000266 798,000

83,835 4,191,7501,089 1,633,500

70 210,000 3950553004,120 2,472,000 394,599,300

759 3,795,000 456,00063,250 1,581,25045,782 2,289,10026,565 3,984,750

6,486 9,729,000505 757,500

55 5,50045 4,500

2,875 287,500112,700 3,381,000

2,208 662,400108 540,000

9,680 9,680,000342 2,394,000349 872,500

4,105 4,105,0003,856 578,400

425,000 2,550,00067 469,000 3.0727272727

279 418,5001,147 1,147,000

305 244,000502 1,004,000

3,450 3,450,0001,717 171,7002,497 249,7002,027 8,108,000

265 53,00044,000 264,00044,000 264,000

83 166,000115 115,000

29,000 5,075,00050 75,000

3,104 776,0005,434 1,086,800

405 810,000184,896 18,489,600

87,543 6,565,72587,543 8,754,300

4,225 633,750176 880,000

2,560 7,680,00092,000 1,840,00094,500 7,087,500

1,721 8,605,00079 39,500

191 95,50040,227 8,045,400 528423815

107 749,000 535,208,675811 1,622,000 -6,784,860

1,817 9,085,0008,970 672,750

260,000 3,120,00059 295,00084 168,000

5,916 17,748,0003,743 11,229,000

71 710,000102 714,000162 40,500296 236,800

2,466 369,900357 1,785,000

3,442 1,032,6003,130 1,565,0002,920 5,840,000

436 1,308,0001,017 3,051,0001,035 5,175,0002,264 226,400

246 738,0003,910 19,550,0003,375 1,012,5003,200 960,000

336 336,0004,447 1,111,7501,840 552,0004,445 2,222,500

61 1,220,000

142,000 852,00082 8,200

171 34,200604 1,510,000

2,990 5,980,00038,000 1,900,000

1,812 4,530,000164 492,000

50 250,0006,888 688,8002,520 504,0006,460 969,000

211 1,055,00014,315 7,157,500

167 2,505,0002,555 1,277,5007,500 150,000

810 243,00017,500 1,750,00094,350 28,305,000 689,066,575

544 5,440,000 68228171548,200 4,820,000 -6,784,860

637 955,500980 980,000

171,500 5,145,00046,000 11,500,000

1,650 16,500,0001,010 10,100,000

725 2,175,000420 2,940,000106 530,000

1,588 794,0006,350 1,270,000

71,300 10,695,000755 7,550,000

1,308 13,080,000132 1,320,000

3,163 790,750186 186,000

25,860 1,939,500242 3,630,000

2,000 600,0003,220 322,000

124 620,00011,800 3,540,000

4,650 1,162,500190 2,850,000

3,500 875,0005,506 8,259,0007,500 750,000

161 2,415,000213 3,195,000

7,540 377,000127 63,500

4,030 52,390,00042,350 10,587,500

773 541,10062,000 4,650,00057,500 5,750,00033,300 1,665,000

2,190 10,950,00078,200 5,865,00043,700 4,370,000

252 2,520,00025,000 75,000,000

873 4,365,0001,450 7,250,000

42,446 4,244,6001,720 5,160,0009,167 2,750,100

97 2,910,0008,050 6,440,000

27,770 1,388,50013,200 1,320,00023,090 5,772,500

1,084 7,588,0001,747 12,229,000

10,040 1,506,000354 1,416,000 1038877515253 126,500 1,055,191,125

55 275,000 -16,313,61020,692 2,586,50044,383 26,629,800

137 685,00014,250 28,500,000

385 1,925,00091 273,000

126 630,0001,144 8,008,000

690 4,830,0001,369 9,925,250

145 2,900,000314 157,000554 277,000736 3,680,000

1,194 3,582,00015,000 22,500,000

71 497,000109 545,000597 11,940,000

5,824 2,912,00051,805 25,902,50010,350 2,070,000

999 2,497,5003,623 25,361,000

19,600 2,940,0004,025 28,175,000

214 2,140,0009,659 2,414,7501,300 6,500,000

69 690,000200 600,000

17,250 3,450,000299 5,980,000368 1,840,000

4,407 440,70015,928 4,778,400

519 1,297,500288 1,440,000

2,023 5,057,500115 287,500

231,000 6,930,00013,200 1,320,000

177 885,000647 1,941,000

52 364,0002,898 15,939,000

103,500 3,105,00056 280,000

48,070 4,807,0003,212 6,424,0006,268 12,536,0004,485 11,212,500

269 807,000127 1,905,000147 735,000

8,936 2,234,000572 2,860,000

18,080 4,520,00012,650 6,325,000

4,554 1,821,6002,373 593,250

840 6,720,0001,406,575,375

78,500 15,700,00078,500 19,625,00090,563 13,584,450

111,694 2,792,35090,563 181,12682,110 164,220

4,227 21,135,0003,864 19,320,0004,347 434,7009,298 929,8009,298 1,859,6009,298 1,859,6008,900 890,0008,900 1,780,0008,900 1,780,0004,589 2,294,5004,589 2,294,5004,589 13,767,0004,589 13,767,0004,589 22,945,0004,951 4,951,0005,048 10,096,0005,048 10,096,0005,048 5,048,000

70,398 3,519,90070,398 5,279,85070,398 5,279,85096,600 1,932,00096,600 1,932,000

96,600 1,932,00015,094 4,528,200

126,788 50,715,2009,298 9,298,0002,536 12,680,000

713 3,565,0007,004 35,020,000

161,805 32,361,000161,805 32,361,000161,805 32,361,000161,805 32,361,000161,805 8,090,250132,825 13,282,500132,825 33,206,250

3,623 2,173,80040,860 32,688,00012,075 5,433,750

150,000 750,00075,469 18,867,250

265,650 5,313,00055,000 550,000

7,600 760,0005,247 157,4105,247 157,4105,247 157,4105,247 157,4105,247 157,4101,691 84,5501,691 84,5501,691 84,550

615 461,250615 461,250

362,250 362,250362,250 362,250119,600 8,970,000

46,000 6,900,000215,000 10,750,000

1,135,710 4,542,8401,100,420 4,401,6801,135,710 4,542,8401,100,420 4,401,680

513,250 2,566,250470,400 2,352,000

22,050 3,858,750676,000 6,760,000222,750 222,750 222,581207,900 207,900178,100 178,100

350 35,000399 39,900459 45,900570 57,000698 69,800

26,560 13,280,000117,990 4,719,600105,570 4,222,800118,200 2,364,000

27,000 1,350,00012,500 937,50013,750 1,031,250

1,208 120,8002,527,470 5,054,9404,018,900 12,056,700

866,800 866,8001,404,149 1,404,149

3,132 939,60012,880 966,00012,880 966,000

101,250 3,543,75049,500 2,475,000

693,424,625

2,100,000,000

Indralaya, 2015Kasi. Penunjang Medis,

Muhammad Ridwan, S. Kep.NIP. 197101181997031006

RENCANA KERJA DAN ANGARANSATUAN KERJA PERANGKAT DAERAHPEMERINTAH KABUPATEN OGAN ILIR

Tahun Anggaran 2016Urusan Pemerintah : 1 Urusan WajibBidang Pemerintahan : 1.02. 1.02 KesehatanUnit Organisasi : 1.02. 1.02.02 Rumah Sakit Umum Daerah Ogan IlirSub Unit Organisasi : 1.02. 1.02.02.01 Rumah Sakit Umum Daerah Ogan IlirProgram : 1.02. 1.02.02.22 Program Pencegahan dan Penanggulangan Penyakit MenularKegiatan : 1.02. 1.02.02.22. 03 Pengadaan Vaksin Penyakit MenularLokasi Kegiatan : Kabupaten Ogan IlirJumlah Tahun n-1 :Jumlah Tahun n : Rp. 30.000.000 (Tigapuluh juta rupiah)Jumlah Tahun n+1 :


MASUKAN Jumlah Dana Rp. 30.000.000KELUARAN Tersedianya Vaksin Penyakit Menular 1 TahunHASIL Terpenuhinya Kebutuhan Vaksin Rumah Sakit 100%Kelompok Sasaran Kegiatan :



REKENING Volume Satuan

1 2 3 4BELANJA BELANJA LANGSUNG Belanja Barang dan Jasa Pengadaan Vaksin Penyakit Menular - Vaksin Anti Bisa Ular 6 Vial - Vaksin Anti Rabies (serum anti rabies Inj. 200 UI/ml) 9 Vial - Vaksin Anti Tetanus (Human Tetanus Imunoglobulin Inj. i.m. 250 UI) 100 Ampul - Vaksin Hepatitis (Hepatitis B Imunoglobulin) 6 Vial


Muhammad Ridwan, S. Kep.

NIP. 197101181997031006


Tahun Anggaran 2016


RINCIAN ANGGARAN BELANJA LANGSUNG MENURUT PROGRAM DAN PER KEGIATAN SATUAN KERJA PERANGKAT DAERAHRINCIAN PERHITUNGAN JUMLAH

Harga (Rp)Satuan

5 650,000,00050,000,00050,000,000

496,550 2,979,30081,800 736,200

179,205 17,920,5001,394,000 8,364,000

30,000,000


Muhammad Ridwan, S. Kep.

Formulir RKA

SKPD 2.2.1

NIP. 197101181997031006


Tahun Anggaran 2016Urusan Pemerintah : 1 Urusan WajibBidang Pemerintahan : 1.02. 1.02 KesehatanUnit Organisasi : 1.02. 1.02.02 Rumah Sakit Umum Daerah Ogan IlirSub Unit Organisasi : 1.02. 1.02.02.01 Rumah Sakit Umum Daerah Ogan IlirProgram : 1.02. 1.02.02.01.15 Program Obat dan Perbekalan KesehatanKegiatan : 1.02. 1.02.02.01.15.07 Peningkatan Pelayanan FarmasiLokasi Kegiatan :Jumlah Tahun n-1 :Jumlah Tahun n :Jumlah Tahun n+1 :


MASUKAN Jumlah Dana Rp. 40.000.000KELUARAN Tersedianya Sarana Penunjang Pelayanan Farmasi 100%HASIL Meningkatnya Pelayanan Farmasi 1 TahunKelompok Sasaran Kegiatan :



REKENING Volume Satuan HargaSatuan

1 2 3 4 5BELANJA BELANJA LANGSUNG Belanja Barang dan Jasa Pengadaan Alat Kesehatan Farmasi - Mortar (alat penumbuk obat) 13 cm 2 Bh 130,000 - Mortar (alat penumbuk obat) 8 cm 2 Bh 97,500 - Mortar (alat penumbuk obat) 6 cm 2 Bh 65,000 - Medicine Packet SI-20-S 1 Box/60.000 5,047,350 - Sealing Equipments-S 1 Set 4,117,575 - Pulverizer-S 1 Set 2,191,613 - Plastik Spoon-S 3 pcs 59,772 - Pallet Ukuran 1200 x 1200 x 160 mm 5 Bh 325,000 - Lemari Vaksin 1 Unit 5,497,146 - Lemari Obat Narkotik Ukuran P = 80 cm, L = 60 cm, T = 120 cm bahan Plat Baja 2 Unit 1,000,000 - Rak Obat Besi siku Ukuran 180 x 120 x 45 cm 5 unit 2,500,000

Belanja Bahan Cetak & Buku Bacaan - Cetak Salinan Resep 10 Rim 168,750 - Cetak Etiket Obat Oral 10 Rim 168,750 - Cetak etiket obat Luar 10 Rim 195,750 - Cetak Surat Pesanan Narkotik (kertas karbon warna rangkap 3) 2 Rim 249,750 - Belanja Buku ISO 1 Bh 125,000 - Belanja Buku MIMS 1 Bh 150,000 - Belanja Buku Farmakope 1 Bh 150,000


Muhammad Ridwan, S. Kep.NIP. 197101181997031006


Tahun Anggaran 2016


RINCIAN ANGGARAN BELANJA LANGSUNG MENURUT PROGRAM DAN PER KEGIATAN SATUAN KERJA PERANGKAT DAERAHJUMLAH

(Rp)

6

40,000,000.00

260,000.00195,000.00130,000.00

5,047,350.004,117,575.002,191,613.00

179,316.001,625,000.005,497,146.002,000,000.00

12,500,000.0033,743,000.00

Formulir RKA

SKPD 2.2.1

1,687,500.001,687,500.001,957,500.00

499,500.00125,000.00150,000.00150,000.00

6,257,000.00

40,000,000.00

Indralaya, 2015

Belanja ATK - Alat Pengecap Nomor Antri - Pena Hitam Biru - Pena Merah - Spidol Permanen - Tinta isi Ulang Spidol - Gunting kertas - Kalkulator 12 digit - Lem Besar - Curter Besar - Isi Necis sedang - Necis sedang - Perkamen (Kertas Puyer) - Bantalan Cap - Tinta Cap - Pensil - Penghapus - Tip Ex - Stabilo - Pelobang Kertas - Mistar besi 30 cm - Trigonal Klip - Amplop Besar - Amplop Kecil - Map Snelhecter Plastik - Map Kertas biasa - Buku Tulis Ukuran Folio isi 200 lembar - Buku Tulis 1/2 Folio isi 100 lembar - Buku Tulis biasa isi 38 lembar - Buku Ekspedisi isi 100 lembar

Belanja ATK - Alat Pengecap Nomor Antri 1 Bh 50000 50,000.00 - Pena Hitam Biru 12 Ktk 35,000 420,000.00 - Pena Merah 12 Ktk 35,000 420,000.00 - Spidol Permanen 24 Bh 7,000 168,000.00 - Tinta isi Ulang Spidol 3 Botol 16,400 49,200.00 - Gunting kertas 3 Bh 13,000 39,000.00 - Kalkulator 12 digit 3 Bh 60,000 180,000.00 - Lem Besar 6 Botol 14,000 84,000.00 - Curter Besar 6 Bh 16,000 96,000.00 - Isi Necis sedang 2 Bh 27,000 54,000.00 - Necis sedang 6 Kotak 6,000 36,000.00 - Perkamen (Kertas Puyer) 1 Pack 29,000 29,000.00 - Bantalan Cap 3 Bh 20,000 60,000.00 - Tinta Cap 3 Botol 18,000 54,000.00 - Pensil 24 Bh 3,000 72,000.00 - Penghapus 12 bh 2,000 24,000.00 - Tip Ex 12 bh 12,000 144,000.00 - Stabilo 12 bh 11,000 132,000.00 - Pelobang Kertas 3 bh 30,400 91,200.00 - Mistar besi 30 cm 6 bh 7,500 45,000.00 - Trigonal Klip 12 kotak 4,000 48,000.00 - Amplop Besar 1 Box 31,500 31,500.00 - Amplop Kecil 1 Box 26,500 26,500.00 - Map Snelhecter Plastik 24 bh 6,500 156,000.00 - Map Kertas biasa 24 bh 1,775 42,600.00 - Buku Tulis Ukuran Folio isi 200 lembar 12 bh 39,500 474,000.00 - Buku Tulis 1/2 Folio isi 100 lembar 12 bh 10,000 120,000.00 - Buku Tulis biasa isi 38 lembar 12 bh 3,500 42,000.00 - Buku Ekspedisi isi 100 lembar 12 bh 10,000 120,000.00

ObatVaksinAlkesSheet4

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