NAMA PEMERINTAH DAERAH
                 LOGO
            LAPORAN BADAN PENGAWAS 
                TENTANG 
         KINERJA BADAN LAYANAN UMUM DAERAH
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              TAHUN ..................
                        KATA PENGANTAR 
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                      Hambalang , 4 Agustus 2013
                        DEWAN PENGAWAS
                      RSUDPPK-BLUD DHABEDA
         1.          Ketua       ..........................................
         2.          Anggota     ..........................................
         3.          Anggota     ..........................................
         4.          Anggota     ..........................................
         5.          Anggota     ..........................................
                       RINGKASAN EKSEKUTIF
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                                                                                DAFTAR ISI 
                           KATA PENGANTAR .........................................................................................................................
                           RINGKASAN EKSEKUTIF................................................................................................................
                           DAFTAR ISI .......................................................................................................................................
                           BAB I. DEWAN PENGAWAS...........................................................................................................
                                     1. Dasar Hukum      
                                     2. Susunan Anggota 
                                     3. Uraian Tugas dan Kewajiban  
                                     4. Teknis Pengawasan 
                                     5. Rencana Kerja dan Pelaksanaan Kegiatan 
                           Bab II.  Laporan Kegiatan Dewan Pengawas
                                     1.  Proses Penyusunan RBA 
                                     2.  Operasional  BLUD
                                     3.  Saran / nasehat yang diberikan kepada pejabat pengelola BLUD 
                                     4.  Masukan kepada Kepala Daerah
                           BAB III. IKHTISAR  KINERJA BLUD TAHUN 
                                     Lap lengkap Kinerja BLUD sbg Lampiran Laporan Dewas
                                     1.   Keuangan 
                                     2.   Non Keuangan   
                           BAB IV. EVALUASI DAN ANALISIS KINERJA 
                                     1.  Keuangan 
                                         1)   Memperoleh hasil usaha atau hasil layanan yang diberikan (rentabilitas);
                                         2)   Memenuhi kewajiban jangka pendeknya (likuiditas);
                                         3)   Memenuhi seluruh kewajibannya (Solvabilitas);
                                         4)   Kemampuan Penerimaan dari jasa Layanan untuk membiayai pengeluaran (cost 
                                              recovery).
                                     2.  Non Keuangan 
                                         1). Perspektif Pelanggan  (Customers)
                                         2). Perspektif Proses Bisnis Internal (Internal business process)
                                         3). Perspektif Pembelajaran dan pertumbuhan SDM (learning and growth) 
                           BAB V. CATATAN YANG PERLU MENDAPATKAN PERHATIAN  
                                     1.  Kepala Daerah 
                                     2.  Pengelola BLUD 
                           BAB VI. PENUTUP 
                                     1.  Kesimpulan  
                                     2.  Saran  
                                                                                        
                           LAMPIRAN