Data Pemakaian / Pengambilan ATK

Bulan Januari 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 4/1/2016 Trigonal clips 1 Box 15,000 15,000

2 4/1/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

Kertas Fax 210 x 30 1 Roll 20,000 20,000

3 5/1/2016 Amplop Logo Mitra Family 1 Box 50,000 50,000

Amplop polos putih kecil 1 Box 12,000 12,000
Isi Staples Kecil Etona 10 3 Pak 1,250 3,750
Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000
Odner Bindex Kecil 777 1 pc 1,666 1,666

4 5/1/2016 Batu Batery ABC Alkaline AA 4 Pcs 5,000 20,000

5 5/1/2016 Isi Staples Kecil Etona 10 2 Pak 1,250 2,500

6 5/1/2016 Amplop Coklat F4 1 Pak 30,000 30,000

Isi Ballpoint Snowman (Refill) 2 Pcs 666 1,332
Ballpoint Standard AE7 Merah 1 pcs 1,416 1,416

7 6/1/2016 Buku Kwarto 200 1 Pc 12,000 12,000

8 6/1/2016 Double tape 1 " 1 rol 6,500 6,500

Stiker Label Tom & Jerry 103 1 Pak 4,000 4,000

9 6/1/2016 Batu Batery ABC Alkaline AAA 3 pcs 3,333 9,999

10 7/1/2016 Stiker Label Tom & Jerry 127 10 Pak 4,000 40,000
Isi Staples Kecil Etona 10 3 Pak 1,250 3,750
Post it 2 pak 10,000 20,000
Trigonal clips 1 Box 15,000 15,000
Binder clips no. 111 1 Box 5,000 5,000

11 8/1/2016 Buku Folio 500 lbr 1 pc

Ballpoint Standard AE7 Hitam 2 pcs 1,416 2,832

12 8/1/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

13 8/1/2016 Odner Bindex Besar 717 1 pc 1,666 1,666

Staples Kecil "Max" HD -10 1 pcs 15,000 15,000
Isi Ballpoint Snowman (Refill) 3 Pcs 666 1,998
14 11/1/2016 Stiker Label Tom & Jerry 100 1 Pak 4,000 4,000
Isi Staples Kecil Etona 10 4 Pak 1,250 5,000
Isi Ballpoint Snowman (Refill) 2 Pcs 666 1,332
Tip ex Kenko 1 pc 3,750 3,750

15 12/1/2016 Amplop Coklat Kabinet 1 Pak 15,000 15,000

16 13/01/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

17 13/01/2016 Stiker Label Tom & Jerry 127 10 Pak 4,000 40,000
Tip ex Kenko 1 pc 3,750 3,750

18 13/01/2016 Spidol Hitam Permanent 2 pcs 5,416 10,832

Spidol Boardmarker hitam 2 pcs 6,250 12,500

19 15/01/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

Spidol Hitam Permanent 1 pcs 5,416 5,416

20 15/01/2016 Continous Form 9 1/2 X 11, 2 ply 1 Dus 210,000 ###

Isi Ballpoint Snowman (Refill) 1 Pcs 666 666

21 15/01/2016 Isi Ballpoint Snowman (Refill) 3 Pcs 666 1,998

22 18/01/2016 Batu Batery ABC Alkaline AA 2 Pcs 5,000 10,000

23 20/01/2016 Stiker Label Tom & Jerry 100 10 Pak 4,000 40,000
Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000
Dokumen / Clear Holder 40 Sheet 1 pcs 20,000 20,000
Standard Buku / beesco 10 Set 25,000 ###

24 20/01/2016 Isi Ballpoint Snowman (Refill) 6 Pcs 666 3,996

Pen Meja / Neutral Set Pen 3 pc 6,000 18,000

25 20/01/2016 Lem / Glue Stick "Kenko" 25 gr 2 pc 7,000 14,000

Binder Clips no. 107 1 Dus 4,000 4,000
Isi Staples Kecil Etona 10 2 Pak 1,250 2,500

26 21/01/2016 Buku 1/2 Folio 1 pc 10,000 10,000

27 21/01/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

Ballpoint Standard AE7 Hitam 2 pcs 1,416 2,832
Isi Ballpoint Snowman (Refill) 2 Pcs 666 1,332
Spidol Hitam Permanent 1 pcs 5,416 5,416
Tip ex Kenko 1 pc 3,750 3,750

28 22/01/2016 Skat File A4 1 Pak 25,000 25,000

29 22/01/2016 Continous Form 9 1/2 X 11, 2 ply 1 Box 210,000 ###
Continous Form 9 1/2 X 11, 2 ply PRS 1 Box 215,000 ###
Amplop polos putih kecil 1 Box 12,000 12,000
Amplop Logo Mitra Family 1 Box 50,000 50,000

30 22/01/2016 handboard Kayu 1 Pcs 5,000 5,000

31 25/01/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

Kertas HVS F4 70 gr "Natural" 1 Rim 33,000 33,000
Isi Ballpoint Snowman (Refill) 2 Pcs 666 1,332
Tip ex Kertas Roll 1 Pc 7,000 7,000

32 27/01/2016 Batu Batery ABC Alkaline AA 2 Pcs 5,000 10,000

33 27/01/2016 Buku Tulis SIDU 1 pc 2,800 2,800

34 27/01/2016 Batery Sony LR41 1,5 V 1 Pcs 10,000 10,000

35 28/01/2016 Batu Batery ABC Alkaline AA 2 Pcs 5,000 10,000

36 28/01/2016 Amplop Polos Putih panjang 1 Box 15,000 15,000

Isi Ballpoint Snowman (Refill) 6 Pcs 666 3,996

37 28/01/2016 Amplop polos putih kecil 1 Box 12,000 12,000

38 28/01/2016 Stiker Label Tom & Jerry 127 10 Pak 4,000 40,000
Spidol Boardmarker hitam 2 pcs 6,250 12,500
Gunting 1 pc 5,000 5,000

Total ###

Data Pemakaian / Pengambilan ATK

Bulan Februari 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 1/2/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000
Buku Folio 300 lbr 1 pc 35,000 35,000

2 1/2/2016 Isi Ballpoint Snowman (Refill) 3 Pcs 666 1,998

Spidol Hitam Permanent 1 pcs 5,416 5,416
Isi Staples Kecil Etona 10 1 Pak 1,250 1,250

3 1/2/2016 Spidol Hitam Permanent 1 pcs 5,416 5,416

Batu Batery ABC Alkaline AA 2 Pcs 5,000 10,000
 Amplop Polos Putih panjang 1 Box 15,000 15,000

4 1/2/2016 Buku Kwarto 200 1 Pc 12,000 12,000

5 2/2/2016 Tip ex Kenko 1 pc 3,750 3,750

Isi Ballpoint Snowman (Refill) 2 Pcs 666 1,332
Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

6 2/2/2016 Odner Bindex Besar 717 1 pc 1,666 1,666

Odner Bindex Kecil 777 1 pc 1,666 1,666

7 2/2/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

Post it 1 pak 10,000 10,000
Lem / Glue Stick "Kenko" 25 gr 1 pc 7,000 7,000

8 3/2/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

9 3/2/2016 Stiker Label Tom & Jerry 127 10 Pak 4,000 40,000
Isi Staples Kecil Etona 10 3 Pak 1,250 3,750
Isolasi Bening 1/2 " 1 Rol 3,000 3,000
Buku Kwarto 200 1 Pc 12,000 12,000
Continous Form 9 1/2 X 11, 2 ply 1 Box 210,000 ###

10 3/2/2016 Stiker Label Tom & Jerry 103 1 Pak 4,000 4,000
Batu Batery ABC Alkaline AA 2 Pcs 5,000 10,000

11 3/2/2016 Isi Ballpoint Snowman (Refill) 4 Pcs 666 2,664

Isi Staples Kecil Etona 10 4 Pak 1,250 5,000
Buku Tulis SIDU 58 1 pc 2,800 2,800

12 3/2/2016 Batery ABC Alkaline AAA 2 pcs 3,333 6,666

13 5/2/2016 Amplop polos putih kecil 1 Box 12,000 12,000

Isi Ballpoint Snowman (Refill) 6 Pcs 666 3,996
Trigonal clips 1 Box 15,000 15,000

14 5/2/2016 Kertas Fax 210 X 30 1 Rol 20,000 20,000

Isolasi Bening 1/2 " 1 Rol 3,000 3,000

15 5/2/2016 Buku Kwarto 200 1 Pc 12,000 12,000

16 9/2/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

Isi Ballpoint Snowman (Refill) 4 Pcs 666 2,664
Isi Staples Kecil Etona 10 4 Pak 1,250 5,000

17 9/2/2016 Buku Folio 300 lbr 2 pc 35,000 70,000

Isi Ballpoint Snowman (Refill) 3 Pcs 666 1,998
 Penggaris 30 cm 1 pc 1,666 1,666

18 9/2/2016 Amplop polos putih kecil 1 Box 12,000 12,000

19 10/2/2016 Ballpoint Standard AE7 Hitam 2 pcs 1,416 2,832

20 10/2/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

Post it 2 pak 10,000 20,000

21 10/2/2016 Stiker Label Tom & Jerry 127 10 Pak 4,000 40,000
Gunting 1 pc 5,000 5,000
Binder clips no. 111 1 Box 5,000 5,000

22 11/2/2016 Spidol Boardmarker hitam 1 pcs 6,250 6,250

23 11/2/2016 Trigonal clips 1 Box 15,000 15,000

24 11/2/2016 Amplop polos putih kecil 1 Box 12,000 12,000

Amplop Polos Putih panjang 1 Box 15,000 15,000

25 12/2/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

Buku Kwarto 200 1 Pc 12,000 12,000
Spidol Hitam Permanent 1 pcs 5,416 5,416

26 12/2/2016 Batery ABC Alkaline AAA 2 pcs 3,333 6,666

Cutter 1 Set 3,750 3,750

27 12/2/2016 Post it 2 pak 10,000 20,000

Tinta Stempel Yamura 1 pcs 8,500 8,500
Trigonal clips 1 Box 15,000 15,000
Binder Clips no. 155 1 Dus 7,000 7,000
Continous Form 9 1/2 X 11, 2 ply PRS 1 Dus 215,000 ###

28 15/02/2016 Buku Kwarto 200 1 Pc 12,000 12,000

Buku 1/2 Folio 1 pc 10,000 10,000

29 15/02/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

Amplop Polos Putih panjang 1 Box 15,000 15,000
Isi Ballpoint Snowman (Refill) 2 Pcs 666 1,332

Stiker Label Tom & Jerry 127 10 Pak 4,000 40,000

Isi Ballpoint Snowman (Refill) 5 Pcs 666 3,330
Continous Form 9 1/2 X 11, 3 : 4 J - Plus 1 Dus 410,000 ###

30 15/02/2016 Kertas Fax 210 x 30 1 Roll 20,000 20,000

31 15/02/2016 Map kancing 1 Pc 15,000 15,000

 Album kartu Nama 1 Pc 10,000 10,000

32 15/02/2016 Batery ABC Alkaline AAA 2 pcs 3,333 6,666

33 15/02/2016 Buku Folio 200 lbr 1 Pcs 30,000 30,000

34 16/02/2016 Isi Staples Kecil Etona 10 3 Pak 1,250 3,750

Spidol Hitam Permanent 2 pcs 5,416 10,832
Spidol Merah Permanent 2 pcs 5,416 10,832

35 16/02/2016 Lem / Glue Stick "Kenko" 25 gr 1 pc 7,000 7,000

36 16/02/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

Kertas HVS F4 70 gr "Natural" 1 Rim 33,000 33,000
Amplop Coklat F4 1 Pak 30,000 30,000

37 17/02/2016 Isi Ballpoint Snowman (Refill) 6 Pcs 666 3,996

38 17/02/2016 Skat File A4 1 Pak 25,000 25,000

39 18/02/2016 Stiker Label Tom & Jerry 100 1 Pak 4,000 4,000

40 18/02/2016 Odner Bindex Besar 717 2 pc 1,666 3,332

41 19/02/2016 Map Snelhekter Biru 20 pcs 1,300 26,000

42 19/02/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

Isi Ballpoint Snowman (Refill) 3 Pcs 666 1,998
Skat File Folio 1 Pak 28,000 28,000

43 19/02/2016 Staples Kecil Max HD - 10 1 Pc 15,000 15,000

44 19/02/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

45 22/02/2016 Isi Ballpoint Snowman (Refill) 4 Pcs 666 2,664

Buku Ekspedisi (1/2 Folio) 100 lbr 1 Pcs 8,000 8,000
Batery ABC Alkaline AAA 1 pcs 3,333 3,333

46 22/02/2016 Ribbon Pack Hp Nylon 2 pcs

Super clean set 1 Set

47 22/02/2016 Buku Kwarto 200 2 Pc 12,000 24,000

Isi Staples Kecil Etona 10 3 Pak 1,250 3,750
Isi Ballpoint Snowman (Refill) 3 Pcs 666 1,998

48 22/02/2016 Kertas Fax 210 x 30 1 Roll 20,000 20,000

49 22/02/2016 Amplop Polos Putih panjang 1 Box 15,000 15,000
Spidol Boardmarker hitam 1 pcs 6,250 6,250
Spidol Hitam Permanent 2 pcs 5,416 10,832

50 23/02/2016 Isi Ballpoint Snowman (Refill) 3 Pcs 666 1,998

Stiker Label Tom & Jerry 103 1 Pak 4,000 4,000
Isi Staples Kecil Etona 10 1 Pak 1,250 1,250
Gunting OLL Gunindo 1 pcs 5,000 5,000
Tip ex Kenko 1 pc 3,750 3,750
Spidol Hitam Permanent 1 pcs 5,416 5,416

51 23/02/2016 Binder Clips no. 260 2 pcs 1,250 2,500

52 23/02/2016 Cutter 1 Set 3,750 3,750

Binder clips no. 111 1 Box 5,000 5,000

53 23/02/2016 Amplop Coklat F4 1 Pak 30,000 30,000

Trigonal clips 1 Box 15,000 15,000

54 23/02/2016 Batery ABC Alkaline AAA 1 pcs 3,333 3,333

55 24/02/2016 Isi Ballpoint Snowman (Refill) 4 Pcs 666 2,664

Amplop polos putih kecil 1 Box 12,000 12,000

56 24/02/2016 Ribbon Pack For LX 310 1 Pcs

Ribbon Data Card 2 Pcs

57 24/02/2016 Gunting OLL Gunindo 1 pcs 5,000 5,000

58 25/02/2016 Amplop Coklat Kabinet 1 Pak 15,000 15,000

59 26/02/2016 Amplop Polos Putih panjang 1 Box 15,000 15,000

Post it 2 pak 10,000 20,000

60 26/02/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

Isi Ballpoint Snowman (Refill) 3 Pcs 666 1,998

61 26/02/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

62 26/02/2016 Isi Ballpoint Snowman (Refill) 6 Pcs 666 3,996

Amplop polos putih kecil 1 Box 12,000 12,000
Ballpoint Standard AE7 Hitam 8 pcs 1,416 11,328

63 29/02/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000 28,000

Ballpoint Standard AE7 Hitam 1 pcs 1,416 1,416
Lem / Glue Stick "Kenko" 25 gr 1 pc 7,000 7,000
64 29/02/2016 Isi Staples Kecil Etona 10 1 Pak 1,250 1,250

65 29/02/2016 Isi Staples Kecil Etona 10 3 Pak 1,250 3,750

Binder Clips no. 260 2 pcs 1,250 2,500

66 29/02/2016 Karton manila Putih 10 lbr 2,000 20,000

67 29/02/2016 Stiker Label Tom & Jerry 127 10 Pak 4,000 40,000

68 29/02/2016 Isi Staples Kecil Etona 10 1 Pak 1,250 1,250

###

Data Pemakaian / Pengambilan ATK

Bulan Maret 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 10\3\2016 kertas hvs a4 a4 rim 28,000 ###
kertas hvs f4 rim 33,000 ###
fos it 2 10000 ###
kertas fax 1 rol 20000 ###
17\3\16 bak tinta 1 buah
bak tinta 1 buah
map 5 pc 1300 ###
15\3\16 binder clip no 155 2 dus 7000 ###

penghapus 1 buah
bindex uk kecil 2 buah 1666 ###
17\3\16 isi pulpen 6 pc 666 ###
SPIDOL MARKER 2 BUAH 6250 ###
isi steples 3 kotak 1250 ###
18\3\16 buku folio 1 buah 30000 ###
28\3\16 batu batre 4 buah 3333 ###
pulpen 2 buah 1416 ###
28\3\16 kertas hvs a4 1 rim 28000 ###
kertas hvsf4 1 rim 33000 ###
spdol snowman permanen 1 buah 5416 ###
pulpen 2 buah 1416 ###
28\3\16 kertas hvs a4 1 rim 28000 ###
reppil pulpen 2 pc 666 ###

28\3\16 tom jeri 5 pak 4000 ###

kertas 2 rangkap 1 bok
30\3\16 isi pulpen 3 pc 666 ###
penggaris 1 buah
14\3\2016 buku polio kecil 1 bku 10000 ###

steples 1 buah 15000 ###

31\3\16 kertas fax 1 rol 20000 ###
kertashvs a4 1 rim 28000 ###
30\3\2016 pulpen 2 buah 1416 ###
amplop besar 1 pak 15000 ###
30\3\2016 post it 3 pc 10000 ###
binder klip 2 pak 4000 ###
binder klip 2 pak 4000 ###
isi hekter 3 pc 1250 ###
31\3\2016
ontner besar 5 1666 ###
pulpen hitam 1 buah 1416 ###
otner bindek besar 3 bh 1666 ###
kertas hvs f4 1 rim 28000 ###
kertas hvsa4 1 rim 33000 ###
16\3\2016 amplop besar 1 bok 15,000 ###
amplop 95*152MM 1 BOK 12000 ###
4\3\2016 buku polio 1 bk 30,000 ###
bindek besar 1 buah 1,666 ###
buku besar 1 buah 30,000 ###
buku kcil sidu 1 buah 2,800 ###
4\3\2016 t0m& jery 10 lembar 4000 ###
penyerut pensil 1 buah
4\3\2016 isi bolpoin 5 pcs 666 ###
7\3\2016 isi pulpen 3 pcs 666 ###
7\3\2016 buku obor bintang 1 buah
7\3\2016 kertas a4 1 rim 28000 ###
besko 1 dus
7\3\2016 bindek klip no 155 1 7000 ###
10\3\2016 isi pulpen 2 pcs 666 ###
kertas hvs 1 rim 28000 ###
11\3\2016 tom jery 1 pak 4000 ###

binder clip 1 bok 3000 ###

14\3\2016 amplop p kecil 1 bok 12000 ###
amplop besar 1 bok 15000 ###
14\3\2016 amplop besar 1 bok 15000 ###
spidol bord marker 1 buah 6250 ###
spidol bord markr 1 buah 6250 ###
ampolop kecil 1 bok 12000 ###
14\3\2016 binder clip no 155 1 dus 7000 ###
isi staples 4 pak 1250 ###
tipex 1 buah 3750 ###
kertas a4 1 rim 28000 ###
klip kecil 2 dus 4000 ###
14\3\2016 isi pulpen 3 bk 666 ###
14\4\2016 a4 2 rim 33000 ###
14\3\2016 kertas f4 1 rim 33000 ###
pulpen 1 buah 1416 ###
isi pulpen 2 pcs 666 ###
15\3\2016 bindex odner besar 1 1666 ###
stples 1 buah 15000 ###
penggaris 1 buah 1666 ###
pembolong 1
trigonal klip 1 15000 ###
bindek klip no 155 1 ###
15\3\2016 pulpen 1 buah 1416 ###
tri gonal klip 1 buah 15000 ###
15\3\2016 pulpen 1 buah 1416 ###
isi hektr 2 pak 1250 ###
tpex 1 buah 3750 ###
spidaol permanen 1 buah 6250 ###
15\3\2016 pulpen 4 buah 1416 ###
post it 2 pak 10000 ###
14\3\2016 kertas a4 2 rim 28000 ###
kertas f4 1 rim 33000 ###
isi pulpen 2 pcs 666 ###
isi hekter 2 pak 1250 ###
24\3\2016 kertas hvs f4 2 rim 33000 ###
kertas A4 1 RIM 28000 ###
isi pulpen 3 PCS 666 ###
22\3\2016 tom &jery 1 pak 4000 ###
isi bolpoin 6 pcs 666 ###
spidol markr 2 buah 6250 ###
22\3\16 map pplastik 12
21\3\16 pulpen 3 buak 1416 ###
isi pulpen 6 pcs 666 ###
20\3\16 bk tulis panjang 1 buah 12000 ###
bk tulis besar 1 buah 35000 ###
isi pulpen 3 pcs 666 ###
amlpop kcil 1 pak 12000 ###
21\3\2016 klp besar 5 pak 5000 ###
klip kecil 5 pak 4000 ###
kip paling besar 5 pak 5000 ###
tom&jery 10 pak 4000 ###
31\3\16 batu jam dingding 1 buah 5000 ###

TOTAL
 Data Pemakaian / Pengambilan ATK
BULAN APRIL 2016

1NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL

1 1\4\2016 KERTAS HVS A4 1 RIM 28000 28000
2 1\4\2016 BUKU KWTANSI 3 BK 2000 6000
PULPEN 1 BUAH 1416 1416
ISI ULANG PULPEN 5 PCS 666 3330
TRIGONAL KLIP 1 BUAH 15000 15000

3 4/4/2016 ISI ULANG PULPEN 8 PCS 666 5328

SPIDOL BOAR MARKTR 4 BUAH 6250 25000
AMPLOP BESAR 1 PAK 15000 15000
AMPLOP KECIL 1 PAK 12000 12000
ISI STPLES 1 PAK 1250 1250
BUKU KWRTO KECIL 1 BK 12000 12000
SPIDOL PER MANEN 2 BUAH 5416 10832

4 4/4/2016 KERTAS A4 1 RIM 28000 28000

5 4/4\2016 MAP SETATUS 55 PCS 3750 206250

ISI HEKTR 2 PAK 1250 2500
AMPLOP PUTH BESAR 1 PAK 15000 15000
AMLOP COKLAT 1 PAK 15000 15000
ISSI PULPEN 2 PCS 666 1332
PEMBOLONG 1 BUAH 30000 30000

5 5/4/2016 MARK NOTES PLASTIK 2 PAK

CLER HOIDER 1

6 5/4/2016 ROL PLINTER 10 ROL

PULPEN 5 BUAH 1416 7080
BINDEK BESAR 1 BUAH 1666 1666
KARTU STOK 1 PAK 30000 30000
KARTU STOK I PAK 30000 30000

7 5/4\2016 BINDEK BESAR 1 BUAH 1666 1666

8 5\4\2016 KERTAS PIAGAM BUAH 50000

9 6/4/2016 PULPEN 2 BUAH 1416 2832

ISI HEKTR 4 PAK 1250 5000
ISI HEKTER BESAR 2 PAK 1500 30000
TIPEX 1 BUAH 3750 3750
 BINDER CLIPS BESAR 260 1 PAK 1250 1250
KERTAS 3 PLAY 10 DUS

10 6/4/2016 CONTINOUS FORM 3 PLAY 1 dus 410000 410000

11 6/4/2016 KERTAS F4 1 RIM 33000 33000

12 6/4/2016 AMPLOP PANJANG 1 BOX 15000 15000

AMPLOP KECIL 1 BOK 12000 12000
PULPEN 1 BUAH 1416 1416

13 6/4\2016 MAP PASIEN 150 PCS 3750 562500

14 7/4/2016 PEMBATAS BUKU 5 PAK 30000 150000

KERTAS A4 1 RIM 28000 28000
ISI PULPEN 3 PCS 666 1988

15 7\4\2016 AMLPLOP BESAR 1 PAK 15000 15000

AMLPOP KECIL 1 PAK 12000 12000

16 7/4/2016 BUKU BESAR 1 BK 30000 30000

17 7\4\2016 GLUE STICK 2 BUAH 7000 14000

STABILO 1 BUAH

18 8/4/2016 KERTAS 3PLY 2 DUS 320000 640000

AMLLOP KECIL 2 PAK 12000 24000
AMLOP LOGO 2 PAK 50000 100000
19 11\4\2016 KERAS GULUNG 3 RANGKAP 20 PCS
TOM &JERY 2 PAK 4000 8000

20 11/4/2016 BUKU KWITANSI 1 BK 2000 2000

POST it 3 10000 30000
Kertas hvs a4 1 rim 28000 28000
BINDE CLIP 1 1250 1250
21 11/4/2016 TIPEX 1 BUAH 3750 3750
SPIDOL PERMANEN 1 BUAH 5414 5414

22 11/4/2016 KERTAS FAX 1 ROL 20000 20000

Thermol paper roll 2 Rol

23 11/4/2016 STPLES 50 1 BUAH 20000 20000

ISI STPLES 1 PAK 1500 1500
TRIGONAL CLIP 1 15000 15000

24/ . KERTAS HVS A4 1 RIM 28000 28000

AMLOP 1 PAK 15000 15000
 ISI PULPEN 3 PCS 666 1998
TOM& JERY 1 PAK 4000 4000

25 11/4/2016 ISI PULPEN 3 PCS 666 1998

ISI HEKTER 1 1250 1250
26 12/4/2016 PULPEN 2 BUAH 1416 2832
ISI STEPLES KECIL 3 PAK 1250 3750

28 13/4/2016 TRIGONAL CLIP 1 15000 15000

ISI STEPLES 4 PAK 1250 5000
KERTAS A4 2 RIM 28000 56000
PULPEN 1 BUAH 1416 1416
AMLOP UANG 2 PAK 30000 60000
POST IT 2 BUAH 4000 8000

29 12/4/2016 KERTAS A4 2 RIM 28000 56000

PULPEN 3 BUAH 1416 4248

30 13/4/2016 STAPLES KECIL 1 BUAH 13000 13000

ISI STPLAS 1 PAK 1250 1250
PULPEN 2 BUAH 1416 ``2828
ALAS MOS 1 BUAH

31 14/4/2016 STEMFLE LOGO BARU 3 BUAH

MAP STATUS 1 RIM

32 7/4/2016 AMLOP KCL 1 PAK 12000 12000

33 15/4/2016 pulpen 1 buah 1416 1416

KLIP BINDER 155 1 PAK 7000 7000
KERTAS HVS A4 1 RIM 28000 28000

34 15/4/2016 KERTAS KWITANSI 20 BK 2000 40000

PULPEN 2 BUAH 1416 2828
PENSIL 2 BUAH
TIPEX 1 BUAH 3750 3750

35 18/4/2016 KERTAS PRIN 3 RANGKAP 20 LEMBAR

ISI STAPLES 2 PAK 1250 2500
PULPEN 5 BUAH 1416 7080
TOM& JERY 5 PAK 4000 20000

36 18/4/2016 ISI PULPEN 3 PCS 666 1998

TOM JERY 1 PAK 4000 4000
ISI PULPEN 8 PCS 666 5328
37 20/4/2016 KERTAS a4 2 rim 28000 56000
PULPEN 2 BUAH 1416 2832

38 19/4/2016 ISI CATER 1 SET 3750 3750

TOM& JERY 1 PAK 4000 4000

39 21/4/2016 OETNER BESAR 6 BUAH 1666 9996

40 21/4/2016 KERTAS ELIFET GULUNG 2

TINTA PLINTER EPSON 1 BUAH

41 21/4/2016 BINDER KLIP 117 1 BOX 7000 7000

BINDER KLIP 111 1 BOX 5000 5000

42 21/4/2016 BUSINES FILLE 5 BUAH 30000 150000

43 21/4/2016 KWITANSI KECIL 3 BK 2000 6000

44 22/4/2016 BESCO/ 1MAX NO7 20 PSNG 7000 140000

PEMBATAS BUKU/STATUS PX 2 PAK 25000 50000
KERTAS PRIN REG FAX 1 ROL 20000 20000

45 25/4/2016 PULPEN 2 BUAH 1416 2832

ISI STAPLES 2 PC 1250 2500

46 23/4/2016 PULPEN 2 BUAH 1416 2823

KERTAS A4 2 RIM 28000 56000

47 25/4/2016 MAP STATUS 100 PCS

ISI STAPLES 2 PAK 1250 2500
BESCO 40 PASANG 7000 280000

48 25/4/2016 ISI PULPEN 6 PCS 666 3996

49 25/4/2016 PULPEN 1 BUAH 1416 1416

50 19/42016 BINDEX 11 BUAH 16666 183326

51 25/4/2016 STEPLES KECIL 1 BUAH 13000 13000

BINDER KLIP 155 1 BOX 7000 7000
ISI STAPLES 1 PAK 1250 1250
BIDER KLIP 111 1 PAX 5000 5000
POST IT BESAR 3 PAK 4000 12000
BINDEX BESAR 3 BUAH 16666 49998
PENGGARIS 1 BUAH
 52 25/4/2016 STABILO 1 BUAH

53 26/4/2016 pulpen 2 buah 1416 1416

BINDER CLIP 1 PAK 5000 5000

54 26/4/2016 ISI PULPEN 3 PCS 666 1998

55 27/4/2016 DATA PRIN EPSON BLAK 2 BUAH 30000 60000

56 28/4/2016 KERTAS FAKTUR 3 RANGKAP 20 LEMBAR

57 28/4/2016 KERTAS A4 2 RIM 28000 56000

29/4/2016 ISI PULPEN 6 PCS 666 3,996

4/29/2016 LABEL MR

4/29/2016 POSTIT 2 PAK 4000 8000

ISI PULPEN 4 PCS 666 2664
ISI HEKTR KECIL 4 PAK 1250 5000
ISI HEKTR BESAR 2 PAK 1500 6000
KERTAS 3 PLAY 20 LEMBAR
AMLOP BESAR 1 PAK 12000 12000
BINDER KLIP NO 155 2 DUS 5000 10000
BINDER KLIP GEDE 2 DUS 5000 10000

29 KERTASA4 2 RIM 28000 56000

POS IT 2 PAK 4000 8000
PULPEN 2 BIAH 1416 2832

29/4/2016 LABEL /KERTAS 1 ROLL

Data Pemakaian / Pengambilan ATK

BULAN MEI 2016

1NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL

1 2/5/2016 ISI PULPEN 6 PCS 666 3396
ISI HEKTR NO 10 2 PAK 1250 1500
BUSINES FILE 4 BUAH 1750 7000
BUKU KWRTO KECIL 1 BUAH 12000 12000
AMLOP KCIL 1 PAK 12000 12000

2 2/5/2016 KERTAS THERMAL 2

 3 2/5/2016 BOK FILE/BINDEK 2 BUAH 20000 40000
POST IT 1 PAK 10,000 10,000
TOM &JERI 1 PAK 4000 4000
BUSINES FILE 3 BUAH 1750 5250

4 2/5/2016 BUKU POLIO 200 LEMAR 1 BUAH 30000 30000

5 2/5/2016 HP 802 REPILL KIT BLACK 1 BUAH 40,000 40000

HP 802 REFILL KIT COLOR 1 BUAH 40,000 40000

5 2/5 2016 PEMBOLONG BESAR 1 BUAH 50000 50,000

6 2/52016 MAP STATUS 100 BUAH 3750 375,000

PEMBATAS BUKU 3 BUAH 25000 75,000
BESCO 40 PASANG 7000 280,000

7 2/5/2016 TOM&JERY 3 PAK 4000 12000

8 4/5/2016 BRON ENULGE F4 1 PAK

BRON ENULAGE A3 1 PAK

9 6/5/2016 BUKU KWRTO BESAR 2 BK 30000 60,000

SPIDOL BODMAKER 1 BUAH 6250 6250

10 9/5/2016 KERTAS A4 1 RIM 28000 28,000

ISI STEPLES NO10 4 PAK 1250 5000
BINDER KLIP 155 2 PAK 7916 15,832
POSIT 2 PAK 10000 20,000
KERTAS 3 RANGKAP 10 ROL
KERTAS BILING 1 ROL
AMLPOP MITRA 1 PAK 50,000 50,000
AMLPOP KECIL 1 PAK 12,000 12,000
BINDER KLIP 260 2 PAK 1416 5,666

11 9/5/2016 TOM&jery 38*100 1 PAK 10000 10000

BUKU BESAR 1 BUAH 30,000 30,000

12 9/5/2016 PULPEN 2 BUAH 1416 2832

13 9/5/2016 BUKU KWARTO KECIL 1 BUAH 12000 12000

SPIDOL MARKET PERMANEN 2 BUAH 5414 10,828
ISI STEPLES 3 PAK 1250 3750
ISI PULPEN 6 PCS 666 3996
TOM &JERY 1 PAK 4000 4000
MAP LPASTIK/ BUSINES FILE 13 BUAH 1750 22750
14 9/5/2016 SPIDOL PERMANEN 2 BUAH 5414 10 828
ISI PULPEN 3 PCS 833 2499

15 9/5/2016 KERTAS A4 2 RIM 28000 56000

KERTAS FAX 1 ROL 20000 20000

16 9/5/2016 KERTAS A4 1 RIM 28000 28000

ROL LABEL NAMA 1 ROL
KERTAS RIBON LABEL 1 ROL

17 9/5/2016 KERTAS TAJ 127 5 100000 500,000

KERTAS PRIN 3 RANGKAP 20 ROL KASIH

18 10/5/2016 TOM& JERI 5 PAK 4000 20,000

19 9/5/2016 ISI HEKTER 5 PAK 1250 6250

BINDER KLIP NO 11 1 PAK 5000 5000
BINDER KLIP NO 155 1 PAK 7916 7916
GLUE STICK SEDENG 1 BUAH 7000 7000
POS IT 1 PAK 10000 10000
BINDER CLIPS 1 PAK 5000 5000

20 12/5/2016 MAP STATUS 100 LEMBAR 1300 130,000

TRIGONAL KLIP 2 PC 1700 3400
ISI STPLES 3 PC 1250 3750

21 12/5/2016 KERTAS A4 1 RIM 28000 28000

KERTAS F4 1 RIM 33000 33000
RIBON /HP 1 BUAH

22 16/5/2016 KLIP BINDER 1 PAK 7916 7916

KERTAS A4 1 RIM 28000 28000

23 16/5/2016 BUKU PANJANG 1 BUAH 15000 15000

BUKU BESAR 1 BUAH 30000 30000

24 16/5/2016 BUKU PANJANG 2 BUAH 15000 30000

PULPEN 2 BUAH 1416 2832
BUKU POLIO 300 LEMBAR/TEBAL 1 BUAH 35000 35000
BUKU POLIO 200LEMBAR 1 BUAH 30000 30000

25 16/5/2016 PULPEN 2 BUAH 1416 2832

26 17/5/2016 POSIT 2 PAK 10000 20000

PULPEN STANDAR 1 BUAH 1416 1416
ISI PULPEN 2 PCS 833 1666
TIPEX 1 BUAH 5000 5000
 LAKBAN 1 GULUNG 10000 10000
TRIGONAL KLIP 1 PAK 1700 1700

27 17/5/2016 STEPLES KCIL 2 BUAH 13000 26000

PULPEN HITAM 2 BUAH 1416 2832
PULPEN MERAH 2 BUAH 1416 2832
TIPEX 1 BUAH 5000 5000
STABILO 1 BUAH
PENGHAPUS 1 BUAH 2000 4000
PEMBOLONG 1 BUAH 30000 30000
PENGGARIS 1 BUAH
ISI STEPLES 1 PAK 1250 1250

28 17/5/2016 SPIDOL WIT BOAR 1 BUAH 5414 5416

SPIDOL PERMANEN 1 BUAH 6250 6250
ISI STEPLES 1 PAK 1250 1250

29 17/5/2016 KERTA F4 2 RIM 33000 66000

TRIGONAL KLIP 1 PAK 1700 1700

30 17/5/2016 MAP STATUS 150 BUAH 1300 195,000

BINDEK DUDUK 10 BUIAH 20000 200,000

31 18/5/2016 CKIP BINDEK N 155 2 PAK 7916 15,833

TIPEX 1 BUAH 5000 5000
KERTAS ROL KWITANSI 10 PCS KASIH

32 18/5/2016 CONTINOUS FROM 3 PLAY NCR

9.5*11 1 BOK 320,000
CLER HOLDER 5 PCS 2916 14,583

33 19/5/2016 ISI STPLES KCIL 10 PAK 1250 12500

KERTAS PRINTON 3 RANGKAP 20 KASIH

34 19/5/2016 KWITANSI KECIL 3 BK 7000 21000

35 19/5/2016 KERTAS THERMAL 2 RIM

KERTAS A4 2 RIM 28000 56000
ISI STEPLES 2 PAK 1250 2500
PULPEN 2 BUAH 1416 2832

36 18/5/2016 ISI PULPEN 4 PCS 833 3332

STEPLES KCIL 1 13000 13000

37 18/5/2016 SPIDOL BOAD MAKER 1 BUAH 5414 5144

MAP PLASTIK 1 BUAH 3500 3500
TOM& JERY 1 PAK 10000 10000
 PULPEN 2 BUAH 1416 2832
ISI PULPEN 6 PCS 833 4998

38 19/5/2016 KERTAS A4 2 RIM 28000 56000

39 19/5/2016 ISI STEPLES KECIL 10 PAK 1250 12500

KERTAS PRIN TOUT 3 RANGKAP 20 PAK

40 20/5/2016 BINDEK CLIP 1 BOK 35000 35000

MARK NOTE
BUSSIES FILE 5 PCS 3500 17500

41 20/5/2016 ISI PULPEN 3 PCS 833 2499

SPIDOL PERMANEN 1 BUAH 6250 6250
SPIDOL BOAR MARKER 2 BUAH 5414 10828
ISI HEKTER KECIL 1 PAK 1250 1250

42 20/5/2016 CONTINUS FROM 3 PLAY 1 DUS 320000 320,000

KERTAS PRIN 2 PLAY 20 BUAH
BUKU KWRTO KECIL 2 BUAH 12000 24000
ISI PULPEN 4 BUAH 833 3332
BINDEK KLIP GEDE 1 DUS 17000 17000
BINDER KLIP SEDANG 2 PAK 9500 19,000

43 20/5/2016 SPIDOL PERMANEN 1 BUAH 6250 6250

ISI HEKTER KECIL 1 PAK 1250 1250
ISIPULPEN 3 PCS 833 2499

44 19/5/2016 AMLOP KECIL 1 PAK 12000 12000

AMLOP BESAR 1 PAK 15000 15000
BUKU KWRTO 1 BK 12000 12000
BUKU POLIO 200 LEMBAR 1 BK 30000 30000

45 20/5/2016 EPSON INK BLACK BOTOL 1 BOTOL 90000 90000

46 24/5/2016 ISI PULPEN 3 PCS 833 2499

47 23/5/2015 AMLOP BESAR 1 PAK 15000 15000

AMLOP KCIL 1 PAK 12000 12000
STABILO MERAH 1 BUAH
STABILO BIRU 1 BUAH
NOT WARNA WARNI 1 PAK 10000 10000
SPIDOL BOARMARKER 1 BUAH 5414 5414
SPIDOL PERMANEN 1 BUAH 6250 6250
P0SIT WARNA WARNI 1 PAK 10000 10000
POS IT 1 PAK 10000 10000
 48 23/5/2016 PITA PRINT 2 PCS KASIH

49 25/5/2016 DAICHI FILE /CLER HOLDER A4 2 PCS 2700 5400

DAICHI /CLER HORDER F4 2 PCS

50 18/5/2016 BUKU TULIS BIASA 2 BK 2000 4000

51 24/5/2016 BUSSINES FILE 5 PCS 3500 17500

BUKU KWRTO 1 BK 12000 12000
PULPEN 1 BUAH 1414

52 25/5/2016 KWITANSI MITRA 2 BK 10,000 20,000

53 26/5/2016 KERTAS A4 2 RIM 28000 56000

54 30/5/2016 KERTAS FAX 1 GO 15000 15000

55 31/5/2016 KERTAS A4 2 RIM 28000 56000

ISI STAPLES 4 PAK 1250 5000
PULPEN 2 BUAH 1414 2828
STPLES 1 BUAH 13000 13000
PENGGARIS 1 BUAH

56 31/5/2016 KERTAS A4 2 PLAY 1 RIM 40000 40000

57 31/5/2016 ISI PULPEN 3 PCS 833 2499

SPIDOL PERMANEN 1 BUAH 6250 6250
SPIDOL BOADRMAKER 2 BUAH 5414 10,828

Data Pemakaian / Pengambilan ATK

BULAN JUNI 2016
1NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 1/6/2016 DAICHI CLER HOLDER 5 PC 2250 11,250

2 1/6/2016 ISI ULANG TINTA INK BIRU 1 BUAH 8500 8500

LEM GLU E STIK 1 BUAH 2500
ISI PULPEN 6 PCS 833 4,998
MAP BENING /CLER HOLDER 10 PC 2250 22,500

3 1/6/2016 KERTAS TOM&JERY 3 PAK 10,000 30,000

4 1/6/2016 ISI STAPLES KECIL 3 PAK 1250 3,750

 AMPLOP KECIL 1 PAK 12,000 12,000

5 1/6/2016 PENGGARIS 1 BUAH 2000 2000

ISI PULPEN 2 PC 833 1,666

5 3/6/2016 ISI PULPEN 3 PCS 833 2,499

SPIDOL PER MANEN 1 BUAH 6250 6250

6 3/6/2016 POSIT 2B 10000 20000

KERTAS A4 2 RIM 28,000 56,000
ISI PULPEN 3 PCS 8333 2499

7 2/6/2016 NOTE MARK/WARNA WARNI 2B 10000 20,000

8 1/6/2016 AMLOP UK 35*35 50 LEMBAR 400 200,000

AMLOP UK 18*24 50 LEMBAR 3000 150,000
AMLOP UK 24*30 50 LEMBAR 2000 100,00

9 6/6/2016 TRIGONAL CLIPS 1 PAK 1700 1700

SPIDOL PERMANEN 1 BUAH 6250 6250
TIPEX 1 BUAH 7250 7250
PULPEN 1 BUAH 1414 1414
ISI HEKTER KECIL 1 PAK 1250 1250

10 6/6/2016 PULPEN 1 BUAH 1411 1414

11 6/6/2016 KERTAS A4 2 RIM 28000 56000

12 6/6/2016 AMLOP KECIL 1 PAK 12000 12000

BOX FILE ( BINDEK) 2 BUAH 20,000 20,000
TAPE DISPENSER 1 BUAH 35000 35000

13 7/6/2016 CLIP KECIL 2 PAK 1250 2500

SOLATIP BENING KECIL 1G 5000 10000

14 7/6/2016 OTNER 4 BUAH 20000 80,000

KWRTO KECIL 2 BK 12000 12,000

15 MAP MITRA 100 LEMBAR 3000 300,000

16 7/6/2016 KWITANSI 1 BK 2000 2000

ISI HEKTER 5 PAK 1250 1250
ISI PULPEN 2 PCS 833 1666
PULPEN MERAH 1 BUAH 1414 1414
PULPEN HITAM 1 BUAH 1414 1414
POST IT 2 PAK 10000 20,000
 17 8/6/2016 PULPEN HITAM 3 BUAH 1414 4242
PULPEN MERAH 1 BUAH 1414 1414

18 8/6/2016 BINDER CLIPS NO 155 2 PAK 9500 19,000

19 7/6/2016 KWITANSI 1 BK 2000 2000

ISI HEKTER 5 PAK 1250 6250
PULPEN MERAH 1 BUAH 1414 1414
POST IT 2 PAK 10000 20,000
PULPEN HITAM 1 BUAH 1414 1414

20 10/6/2016 POS IT 2 PAK 10,000 20,000

ROLL PAPER 3 PLAY 20
AMPLOP BESAR BERLOGO 1 PAK 15,000 15000
KLIP KECIL 2 PAK 1250 2,500
BINDER CLIP NO155 2 PAK 9,500 19000

21 10/6/2016 KERTAS A4 2 RIM 28,000 56,000

22 10/6/2016 ISI HEKTER 2 PAK 1,250 2500

TIPEX 1 BUAH 7250 7250
AMLOP KECIL 1 PAK 12,000 12000

23 9/6/2016 KERTAS PIAGAM 1 RIM 30,000 30,000

BINDEK DUDUK 10 BUAH 20,000 200,000

24 9/6/2016 KWITANSI ROLS 10 G

25 10/6/2016 SPIDOL MARKER 2 BUAH 5414 10828

SPIDOL PERMANEN 2 BUAH 6250 12500
TIPX 1 BUAH 7250 7250

26 10/62016 GLUE STICK 2 BUAH 2500 5000

TRIGONAL 2 PAK 1700 3400

27 10/6/2016 KERTAS ETIKET 2G

TINTA ETIKET 3 8500 25500

28 13/6/2016 tom &JERY 1 PAK 4000

29/ 13/6/2016 BINDEK DUDUK 17 PCS 20000 340,000

ISI STPLES KECIL 2 PAK 1250 2500

30 13/6/2016 CATER 1 BUAH 12500 12500

BINDER CLIP 155 1 PAK 9500 9500

31 13/6/2016 BUKU KWRTO KECIL 1 BK 12000 12000

 BUKU KWRTO BESAR 4 BK 30000 120,000

32 14/6/2016 KARTU STOK 100 LEMBAR 200 20,000

KERTAS STNK 3 RANGKAP 20 G
TINTA EPSON TM 4220 2 BUAH 8500 17,000

33 14/6/2016 PULPEN 2 BUAH 1414 2828

KARTU NAMA 3 BOK 40,000 120,000

34 14/6/2016 TRIGONAL KLIP 2 PAK 1700 2400

35 8/6/2016 AMLPOO KCL 1 PAK 12000 12000

AMLOP BESAR 1 PAK 15000 15000
CLER HOLDER BENING 7 PCS 2250 15,750

36 8/6/2016 STEMPEL KRISTAL 1 BUAH 30,000 30,000

8/6/2016 STEMPEL KRISTAL 1 BUAH 30000 30,000

37 15/6/2016 PULPEN 1 BUAH 1414 1414

ISI PULPEN 6 BUAH 833 4,998

38 15/6/2016 BUKU KWRTO 100 2 BK 12000 24000

BINDEK DUDUK 5 BUAH 20000 100000
SPIDOL PERMANEN 2 BUAH 6250 12500
ISI PULPEN 6 PCS 833 4998

39 16/6/2016 KERTAS A4 1 RIM 28000 28000

TINTA PRINTER HITAM 1 BUAH 30,000 30,000

39 15/6/2016 KERTAS F4 2 RIM 30000 60,000

40 15/6/2016 UONER BESAR 5 BUAH 20000 100,000

41 16/6/2016 CLIP TRI GONAL 1 PAK 1700 1700

BINDER CLIP NO 111 2 PAK 9500 19000
42 1 TOM &JERY 1 PAk 10000 10000

42 16/6/2016 BUKU KWRTO KECIL 2 BK 12000 24,000

43 16/6/2016 TELSTRUK FAK 2G

RESUM MEDIS 4 BK 20,000 80000

44 17/6/2016 KWITANSI RSIA MF 3 BK 10000 30,000

ROL PAPER 10 G
KLIP KECIL 2 PAK 9500 19000
 PULPEN HITAM 2 BUAH 1414 2828

45 18/6/2016 KERTAS A4 2 RIM 28000 56,000

SPIDOL PERMANEN 2 BUAH 6250 12500
BOADR MARKER 2 BUAH 5414 10828

46 18/6/2016 MAP SNIL 1 PAK 27000 27000

POSIT 2 PAK 10,000 20,000
TEMPA T PULPEN 1 BUAH 17000 17000

47 20/6/2016 TOM & JERY 1 PAK 10000 10000

POS IT 2 PAK 10,000 20,000

48 22/6/2016 TINTA PRINTER 5 8500 42500

KERTAS 4ETIKET 3

49 22/6/2016 KERTAS HVS 2 RIM 28000 56000

TIPX 1 BUAH 3750 3750

STAMPRAD /TINTA 1 BUAH 8500 8500

50 27/6/2016 TRIGONAL CLIPS 2 PAK 1700 3400

LEM 1 BUAH 3250 3250
PAPER FASTER 1 PAK 5550 5550
PENSIL 1 BUAH 1250 12150

51 24/6/2016 CLER HOLDER 3 PCS 2250 6750

HEKTER 1 BUAH 17000 17000
SERUTAN PENSIL 1 BUAH 3250 3250

52 24/6/2016 PITA PRINTER CARD PASEN 1 BUAH

53 23/6/2016 STRUK FAX 2G

54 22/6/2016 PITA RIBON LABEL 2

KERTAS FAX 1G
PULPEN 1 BUAH 1414 1414

55 23/6/2016 KERTAS 95*11 1 DUS 210,000 21`0,000

56 27/6/2016 STABILO PINK 1 BUAH 7500 7500

STABILO HIJAU 1 BUAH 7500 7500
ISI STAPLES 3 PAK 1250 3750

57 27/6/2016 BUSINES FILE 2 PCS 2250 5000

58 28/6/2016 POSIT 3 PAK 10,000 30,000

 59 29/6/2016 ISI PULPEN 1 PCS 833 833

60 28/6/2016 ISI STPLES NO 10 2 PAK 1250 2500

61 28/6/2016 BINDEK DUDUK 5 BUAH 20,000 100000

PEMBATAS BUKU 2 PAK 10,000 20,000
ISI STPLES NO 10 3 PAK 1250 3750
KERTAS FAX KECIL EPSON 2 PAK
TIPEX 1 BUAH 3750 3750
PULPEN 3 BUAH 1414 4242

62 30/6/2016 ISI PULPEN 5 PCS 833 4165

SPIDOL PER MANEN 1 BUIAH 6750 6750

63 30/6/2016 PULPEN 2 BUAH 1414 2828

ISI PULPEN 4 PCS 833 3332

64 30/6/2016 PULPEN 2 BUAH 1414 2828

ISI PULPEN 4 PCS 833 3332

KERTAS F 4 2 RIM 30,000 60,000

65 KERTASA4 1 RIM 28000 28,000

Data Pemakaian / Pengambilan ATK

BULAN JULI 2016
1NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 4/7/2016 FASTENERS 2 PCS
CONTINUOS FROM 1 RIM 320,000

2 4/7/2016 ISI STPLES 5 PAK 1250 6250

TINTA PRINTER 1 BUAH 30000 30000
KERTAS PRIN 3 PLAY 20 G

3 4/7/2016 TIPX 1 BUAH 7250 7250

AMPLOP 2 PAK 12000 24,000
MAP FILE TEBAL 1 BUAH 15000 15000

4 4/7/2016 TINTA STEMPEL 1 BUAH 8500 8500

PULPEN 2 BUAH 1414 2828
 5 4/7/2016 KERTAS A4 2 RIM 28000 56,000

6 1/7/2016 KERTAS A4 1 RIM 28000 28000

KERTAS F4 1 RIM 30000 30000
ISI STPLEWS 4 PAK 1250 5000
PULPEN 2 BUAH 1414 2828

7 2/7/2016 KARTU STOK 20 LEMBAR 200 4000

ISI SPLES 1 PAK 1250 1250

8 1/7/2016 KERTAS ROL 20 ROOOLL

ISI HEKTER 3 PAK 1250 3750
ISI PULPEN 3 PCS 888 2664
BINDER CLIP 155 1 PAK 9500 9500
BON SEMENTARA 5 BK 10000 50000

9 1/7/2016 PULPEN 2 BUAH 1414 2828

LEM KERTAS 1 BUAH 1750 1750
POIS T 1 PAK 10000 10000

10 4/7/2016 ISI PULPEN 12 PCS 888 10566

PULPEN 2 BUAH 1414 2828
SPIDOL PERMANEN 2 BUAH 6750 6750
BUKU BESAR 1 BK 30000 30000
STBILO 2 BUAH 2500 5000

11 13/7/2016 BINDEK DUDUK 5 BUAH 20000 100000

MAP STATUS 100 PCS 3000 300,000
FOMOLIR PENDAFTARAN BARU 1 RIM 70000 70000
ISI STPLES 2 PAAK 1250 2500
LABEL NAMA 1 10000 10000
PITA PRIN 1

12 12/7/2016 KARTU NAMA DINI 2 BOX 40000 80,000

13 15/7/2016 AMPLOP KECIL 1 BOX 12000 12000

14 13/7/2016 KERTAS HVS 2 RIM 28,000 56,000

ISI STPLES 2 PAK 1250 2500

15 12/7/2016 TINTA PRINTER EPSON 1 BUAH 90000 90000

TINTA PRINTER LX 310 1 BUAH 90,000 90000
PULPEN MERAH 1 BUAH 1414 1414
TIPX 1 BUAH 7250 7250

16 14/7/2016 MAP POLOS BIRU 1 DUS 65000 65000

A4 1 RIM 28000 28000
17 16/7/2016 DOKUMEN ISI 100 1 BUAH 50,000 50000

18 16/7/2016 DOKUMEN ISI 100 1 BUAH 50000 50000

19 16/7/2016 DOKUMEN ISI 100 1 BUAH 50000 50000

PEMBOLONG 1 BUAH 50000 50000

20 18/7/2016 BUKU TULIS BESAR 1 BUAH 30000 30,000

MAP LPASTIK DAICHI 1O LEMBAR 2250 22,500
BINDEK /BOXFALE 2 BUAH 20000 40000

21 19/7/2016 BUKU KWTO KECIL 1 BUAH 12000 12000

BUKU BESAR 1 BUAH 30000 30000

22 19/7/2016 TINTA PRINTER 1 BUAH 90000 90,000

KERTAS FAX 1 BUAH
PULPEN 3 BUAH 1414 4232

23 20/7/2016 ISI PULPEN 5 PCS 833 4165

PULPEN 1 1414 1414
BINDEK KLIP 107 2 2,916 5832
BINDER CLIP 111 2 5833 11,666
BINDER CLIP 155 1 PAK 7,083 7,083
BINDER CLIP 260 4 17000 68,000

24 20/7/2016 FRINTER NILON RIBON 1 BUAH 90,000 90,000

25 21/7/2015 PULPEN 1 BUAH 1414 1414

26 21/7/2016 STPLES 1 BUAH 15000 15000

BINDEK DUDUK 5 BUAH 20000 100,000

27 21/7/2016 KERTAS A4 1 RIM 28000 28000

28 22/7/2016 BOXFILE 3 BUAH 20,000 60,000

PULPEN 4 BUAH 1414
MAP BIERU 1 DUS 65,000 65,000
BUKU BESAR 1 BUAH 30,000 30,000

29 22/7/2016 MAP STATUS 100 LEMBAR 3,000 300,000

30 26/7/23016 kertas rol kwtansi 20 rol

KWTANSI MITRA 5 BK 5000 25000

31 26/7/2016 SPIDOL PERMANEN 1 BUAH 6750 6750

 TOM &JERY 1 PAK 5000 5000
HEKTER KCL &ISI 1 BUAH 15000 15000
1 PAK 1250 1250
PULPEN 1 BUAH 1414 1414

32 28/7/2016 HVS A4 2 RIM 28,000 56,000

ISI STPLES 2 PAK 1250 2500
KERTAS TRACER EPSON 2G
BINDEK DUDUK 5 BUAH 20000 100000
BINDEK BLUE CYBER 2 BUAH 20000 40000

33 28/7/2016 ISI PULPEN 3 PCS 833 2499

PITA RIBON 2G
POS IT 2 PAK 10000 20000
BUSINES FILE 10 PCS 2700 27000
BINDER CLIP 1 DUS 7083 7083

34 28/7/2016 PRIN LABEL 2G

SPIDOL PERMANEN 2 BUAH 6750 13500
POS IT 2 PAK 10,000 20,000

35 28/7/2016 PEMBOLONG BESAR 1 BUAH 50000 50,000

TIPX 2 BUAH 3750 7500
PULPEN 1 BUAH 1414 1,414

36 29/7/216 KWITANSI BIASA 5 BK 2000 10,000

ISI PULPEN 4 PCS 833 3332
ROL PAPER 10 G
ISI STPLES KECIL 5 PAK 1250 6250
KWITASI RSIA 5 BK 10000 50,000
PENGGARIS 1 BUIAH 2000 2000

37 29/7/2016 NOTE MARK 1 PAK 10000 10000

38 30/7/2016 ISI PULPEN 1 PAK 833 9996

KLIP 155 2 PAK 7083 14,166
ISI HEKTER 1 PAK 1250 1250
SERUTAN 1 BUAH 5000 5000

Data Pemakaian / Pengambilan ATK

 BULAN AGUSTUS 2016
1NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 1/8/2016 ISI PULPEN 5 PCS 833 4165
BUKU PANJANG1 1 BK 30,000 30,000

2 1/8/2016 ISI PULPEN 5 PCS 833 4165

TOM &JERY 1 SET 10000 10000

3 2/8/2016 STEPLES KECIL 1 BUAH 13000 1`3000

LEM KERTAS 1 BUAH 3750 3750
ISI STPLES 1 PAK 1250 1250

4 5/82016 STEMPEL 1 BUAH 15000 15000

TINTA YAMORA 1 BUAH 8000 8000
PULPEN 1 BUAH 1414 1414

5 3/8/2016 AMPLOP COKLAT 1 PAK

A4 2 RIM 28000 56,000

6 1/8/2016 PULPEN 2 BUAH 1414 2828

ISI PULPEN 5 PCS 833 4165
AMLOP KECIL 1 PAK 12000 12,000

7 4/8/2016 PULPEN TEMPEL 1 BUAH 6000 6000

KERTAS ETIKET 20 G

8 8/8/2016 KERTAS A4 2 RIM 28000 56,000

TINTA CAP 1 BUAH 8000 8000

9 5/8/2016 BUKU BESAR 1 BK 35,000 35,000

BUKU PANJANG 1 BK 30000 30000
ISI HEKTER 1 PAK 1250 1250
PULPEN 2 BUAH 1414 2828
PUPEN 1B 1414 1414

10 11/8/2016 BINDEK DUDUK 5 BUAH 20000 100000

BINDEK DIRI 2 BUAH 30000 60000
AMLOP BESAR 1 PAK 15000 15000
PEMBATAS BUKU 1 PAK 12000 12000
MAP STATUS 100 LEMBAR 3000 300,000
KERTAS FAX 1
KERTAS A4 2 RIM 28000 56000
KERTAS TRECER 2 BUAH
PULPEN 2 BUAH 1414 2828
ISI STPLES BESAR 1 BUAH 2000 2000
BUKU KWRTO KECIL 1 BK 15000 15000
 STABILO 1 BUAH 8000 8000

11 8/8/2016 PULPEN HITAM MEJA 1 BUAH 6000 6000

PULPEN MERAH 1 BUAH 1414 1414

12 8/8/2016 AMLOP KECIL 1 PAK 12000 12,000

13 8/8/2016 KERTAS F4 1 RIM 30000 30000

KERTASA4 1 RIM 28000 28000

14 1/8/2016 CONTINUS FROM 1 DUS 320,000 320,000

BINDEK BESAR 3 BUAH 30000 90,000
KERTASA4 1 RIM 28000 28000
STABILO 1 BUAH 8000 8000
PULPEN 2 BUAH 1414 2828

15 5/8/2016 STABILO 1 BUAH 8000 8000

16 8/8/2016 amlop kecil 1 pak 12000 12000

biling kertas 3 rangkap 1 dus 320,000 320,000

17 11/8/2016 KERTAS ROL STRUK KALKULATOR 1 PAK 20000 20000

ISI HEKTR KCIL 3 PAK 1250 3750
PULPEN 2 BUAH 1414 2828
A4 2 RIM 28000 56000

18 12/8/2016 TINTA PRIN EPSON L200 2 BUAH 90000 180000

BUKU PERMINTAA 1 BK 10000 10,000

19 10/8/2016 BUKU BESAR TEBAL 1 BK 35000 35000

20 15/8/2016 kertas biling 3 rangkap 1g

hvs 1 rim 28000 28000
kertas kwitansi 3 ranangkap 2 pak
FASTENER 2 pak
KWITANSI MITRA 5 BK 10000 50000

21 16/8/2016 PULPEN 5 BUAH 1414 7070

22 18/8/20167 TRIGONAL KLIP 1 PAK 2500 10000

PULPEN MEJA 2 BUAH 6000 12000

23 19/8/2016 kertas continues from 1 dus 320,000 320,000

kertas a4 2 rim 28,000 56,000

24 19/8/2016 spidol wit boar 1 buah 5414 5414

pulpeN 1 BUAH 1414 1414
 ISI PULPEN 4 PCS 833 3332
BUKU KWRTO BESAR TEBAL 1 bk 35,000 35,000

25 18/8/2016 trigonal clip 1 bok 2500 2500

bindek biru kecil 5 buah 20000 100000
bindek besar hitam 10 buah 30000 300,000
pppucket +hindok

26 19/8/2016 bindek duduk 5 buah 20-000 100,000

map snil 1 dus 65,000 65000

27 22/8/16 pulpen meja 2 BUAH 6000 12000

KERTAS FAX 2G
KERTAS ETIKET 2G
POS IT 2 PAK 10000 20,000
LEM 1 BUAH 7500 7500

28 23/8/2016 ISI HEKTER KECIL 5 PAK 2500 12500

TIPX 1 BUAH 4500 4500
BINDER CLIP 107 3 BOK 3500 10500
BINDER CLIP SEDANG 3 BOK 9500 28500
AMPLOP MITRA 1 BOK 15000 15000

29 23/8/2016 STEPLES 1 BUAH 15000 15000

30 23/8/2016 PULPEN MEJA 1 BUAH 6000 6000

ISI STEPLES 10 BOK 2500 25000

31 23/8/2016 PULPEN MEJA 1 BUAH 6000 6000

ISI PULPEN 4 PCS 833 3332
AMLOP KECIL 1 PAK 12000

32 23/8/2016 PULPEN 2 BUAH 1414 2828

33 20/8/2016 BINDEK DUDUK 2 BUAH 20000 40000

CLER SELVER FELIX 5
AMLOP 1 PAK 15000 15000

34 24/8/2016 STEPLES KCL 1 BUAH 15000 15000

TIPEX 1 BUAH 4500 4500

35 25/8/2016 ISI PULPEN 5 PCS 833 4165

SPIDOL PERMANEN 2 BUAH 6750 13500
TIPX 1 BUAH 4500 4500
STABILO 2 BUAH 8000 16000
AMLOP KECIL 1 PAK 12000 12000
 36 29/8/2016 KERTAS HVS A4 2 RIM 28000 56000
GENERAL CNSET 1G
KERETAS THERMAL 2

37 26/8/2016 KERTAS A4 1 RIM 28000 28000

KERTAS F4 70GR 1 RIM 30000 30000

38 25/8/2016 BUSINESS 12 BUAH 20000 240,000

39 29/8/2016 BINDEK 10 BUAH 20000 200,000

KERTAS PRINT REGISTRASI 2G

40 29/8/2016 EVERAGE CONTEK 1 PAK

A4 1 RIM 28000 28000

41 29/8/2016 SPIDOL PERMANEN 1 BUAH 6750 6750

42 30/8/2016 STIKER ETIKET 3G

43 30/8/2016 PULPEN MEJA 7 BUAH 6000 35000

STMP RAD BIRU 1 BUAH 15000 15000
TIPX 1 BUAH 5500 5500
SPIDOL PERMANEN 1 BUAH 6750 6750

44 30/8/2016 STEMPEL RS 1 BUAH 30000 30,000

BAK STEMPEL 1 BUAH 25000 25000
TINTA INK 1 BUAH 8500 8500
45 30/8/2016 BUKU SIDU 1 BK 2500 2500

46 30/8/2016 PEMBATAS BUKU 1 PAK 10000 10000

PENGKAIT STEPLES 1 BUAH 10000 10000
SPIDOL PERMANEN 1 BUAH 6750 6750
map status 2 dus 65000

Data Pemakaian / Pengambilan ATK

BULAN SEPTEMBER 2016
1NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
 1 1/9/2016 KERTAS CONTINUS 3 RANGKAP 1 DUS 320000 320000
STABILO 1 BUAH 8000 8000
POS IT 2 PAK 10000 20,000
BINDEK CLIP 1 BOK 7500 7500
BINDERR CLIP 111 1 BOK 9500 9500
STEPLES KECIL 1 BUAH 15000 15000
ISI STPLES NO 10 3 PAK 2500 7500
BINDER CLIP 107 1 BOK 3500 3500
HVS A4 2 RIM 28000 56,000

2 2/9/2016 STRUK 3 PLAY 10 G

3 2/9/2016 ROOL PAPER 20 G

KWITANSI MF 5 BK 10000 50,000

4 5/9/2016 ISI HEKTER 1 PAK 2500 2500

TRIGONAL KLIP 1 PAK 3500 3500

5 5/9/2016 KERTAS PIAGAM 2 PAK 45000 90000

PENCABUT HEKTER 1 BUAH 13000 13000

6 5/9/2016 KERTAS CONTINUS 1 DUS 320000 320000

7 6/9/2016 MAP STATUS 300 LEMBAR 3000 900000

MARK NOTE 1 PAK 10000 10000
PULPEN MEJA 2 BUAH 6000 12000
PULPEN HITAM 2 BUAH 1414 2828

8 7/9/2016 SPIDOL PERMANEN 1 BUAH 6750 6750

9 7/9/2016 isi pulpen 6 BUAH 833 4998

10 7/9/2016 BS 3 BK 7000 21000

STABILO WARNA BIRU 1 BUAH 8000 8000
STABILO WARNA ORENGE 1 BUAH 8000 8000
STABILO WARNA KUNING 1 BUAH 8000 8000

11 1/9/2016 CONTINUOS 1 RIM 320,000 320,000

12 16/9/2016 KERTAS PRIN STRUK 10 G

SPIDOL MERAH 1 BUAH 5414 5141
SPIDOL PERMANEN 1 BUAH 6750 6750
SPIDOL BOADMAKER 1 BUAH 5414 5414
KLIP BINDER SEDANG 2 Pak 7083 14166
klip binder kecil 2 pak 3500 7000
klip binder besr 2 pak 8500 19000
13 8/9/2016 ISI STPLS 3 PAK 2500 7500
TIPX 2 BUAH 5500 11000
KERTAS A4 2 RIM 28000 56,000

14 15/6/2016 ISI PULPEN 3 PCS 833 1666

AMLOP KECIL 1 PAK 12000 12000
PENGGARIS 1 BUAH 2000 2000
MAP PLASTIK 20 BUAH 2700 54000

15 13/9/2016 BINDER BESAR 4 30000 120,000 120,000

16 14/9/2016 AMLOP KECIL 1 PAK 12000 12,000

MAP PLASTIK 3 BUAH 2700 8100
ISI PULPEN 5 PCS 833 4,165
ISI HEKTER 1 PAK 2500 2500

17 15/9/2016 TRI GONAL KLIP 1 BOX 3500 3500

KERTAS HVS 2 RIM 28000 56000
LEMKERTAS 1 BUAH 5000 5000
POST IT 2 PAK 10000 20000

18 15/9/2016 REFII HP TYPE 802 2 PAK 25000 50000

REFI HP TYPE 802 WARNA 3 PAK 25000 75000

19 14/9/2016 ISI HEKTER 5 PAK 2500 12500

TINTA ETIKET 2 BUAH 25000 50000
TOM &JERY 1 PAK 10000 10000
KERTAS PRINTER 3 RANGKAP 10 G

20 16/9/2016 AMLOP PUTIH BESAR 1 PAK 15000 15000

21 20/6/2016 BUKU TULIS 2 BK 2000 4000

PULPEN 1 BK 1414 1414

22 20/9/2016 KERTAS HVSA4 1 RIM 28000 28000

AMLOP COKLAT 35*24 1 PAK 30000 30000

23 20/9/2016 DATA INK BLAK REFILL 1 BUAH 90000 90000

DATTA INK COLOR REFILL 1 BUAH 90000 90000

24 19/9/2016 PPULPEN 1 BUAH 1414 1414

25 20/9/2019 TOM JERY 1 PAK 10000 10000

NOT MARK 1 PAK 10000 10000

26 21/9/2016 ISI PULPEN 2 PCS 833 1666

HVS A4 2 RIM 28000 56000
 BINDEKS 6 BUAH 20000 120,000
PEMBATAS BUKU 2 PAK 30000 60,000
ISI STPLES 2 PAK 2500 5000

27 22/9/2016 CONTINUS 1 DUS 320000 320,000

BINDER KLIP 3 PAK 5000 15,000
28 22/ MAP PLASTIK 5 BUAH 2700 13,500
PULPEN 2 BUAH 1414 2,828
PENSIL 2 BUAH 1000 2,000
ISI HEKTER 5 PAK 2500 12,500
PENGHAPUS 2 BUAH 2000 4,000
HEKTER 1 BUAH 13000 13,000
TRIGONAL KLIP 1 PAK 1500 1,500
LEM 1 BUAH 5000 5,000

29 22/9/2016 KERTAS 3PLY 20 G

ISI HEKTER 5 PAK 2500 12,500
KWITANSI MITRA 5 BK 10000 50,000
AMLOP KECIL 2 PAK 12000 24,000
KWITASI BIASA 5 BK 2000 10,000
ISI PULPEN 4 PCS 833 3,332

30 23/9/2016 NOTMARK 1 PAK 10000 10,000

TOM&JERY 1 PAK 10000 10,000

31 23/9/2016 PULPEN 1 BUAH 1414 1,414

ISI PULPEN 4 PCS 833 3,332

32 23/9/2016 STEMPEL DR DANNIS 1 BUAH 60,000 60,000

TEMPEL KRSTAL 1 BUAH 30000 30,000

33 26/9/2016 BUSINESS FILE 10 BAUH 2700 27,000

BINDEX /BOXFILE 1 BUAH 20000 20,000
KERTAS A4 1 RIM 28000 28,000

34 26/9/2016 TINTA PRINTER 1 BUAH 90000 90,000

35 26/9/2016 POS IT 2 PAK 10000 20,000

PITA PRIN LABEL 2 BUAH 15000 30000
KERTAS FAX 2G
BINDEK DUDUK 5 BUAH 20000 100000
PEMBATAS BUKU 2 PAK 30000 60,000
MAP PASIEN 100 LEM 3750 375000
SPIDOL PERMANEN 2 BUAH 6750 13500

36 26/9/2016 KERTAS 3PLY 10 G

KERTAS PRIN ETIKET 4G
37 27/9/2016 KERTASA4 1 RIM 28000 28000

38 29/9/2016 POS IT 3 PAK 10000 30,000

CONTINUS FROM 3 PLY 1 DUS 320,000 320,000
FASTENER 1 DUS
HEKTER 1 BUAH 13000 13,000

39 28/9/2016 KERTASHVSA4 2 PAK 28000 56,000

ISI STPLES 2 PAK 2500 5000
ISI PULPEN 2 PCS 1414 2,828
NOT MARK 1 PAK 10000 10,000

40 28/9/2016 AMLOP MITRA 1 PAK 15000 15,000

41 29/9/2016 TOM&JERY107 1 PAK 10000 10000

42 29/9/2016 BUKU KWRTO 1 BK 12000 12000

AMLOP KECIL 1 PAK 12000 12,000

43 29/9/2016 KERTAS PRIN 3 RANGKAP 20 G

TINTA /HP 2 PCS 25000 50,000

44 29/9/2016 MAP PLASTIK 5 PCS 2700 13500

FROMDPJP 1 RIM 70000 70000
PEMBERIAN TERAPI 1 RIM 70000 70000
KERTAS FAX 2G 20000 40000

45 30/9/2016 PRINTER RIBON /HP 2 PCS 25000 50,000

TINTA EPSON 1 PCS 90,000 90,000

46 30/9/2016 KERTAS A4 1 PAK 28000 28000

KERTAS F4 1 PAK 30000 30000
BLINDER CLIP 1 PAK 7500 7500
BINDER CLIP KECIL 1 PAK 2500 2500
ISI STPLES 1 PAK 2500 2500

47 30/9/2016 amlop kecil 2 pak 12000 24000

 Data Pemakaian / Pengambilan ATK
BULAN OKTOBER 2016
1NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 3/10/2016 PENGGARIS 1 BUAH 2000 2000
ISI PULPEN 5 PCS 833 4165

2 4/10/2016 KWITANSI BIASA 1 BK 2000 2000

PENGGARIS 1 BUAH 2000 2000
BINDEK HITAM 5 BUAH 30000 150,000

3 4/10/2016 CONTINUOS 2 PLY 1 DUS 215000 215,000

4 4/10/2016 ISI PULPEN 1 PAK 13000 13,000

5 5/10/2016 MAP STATUS 100 LEBAR 3750 375000

LABEL PASIEN 2G
BINDEK DUDUK 5 BUAH 20000 100,000
MAP DAICI 5 BUAH 2700 13500
ISI STPLES4 4 PAK 2500 10,000

6 5/10/2016 HP/RIBON 1 BUAH 25000 25,000

7 6/10/2016 KERTAS HVS A4 2 RIM 28000 56,000

TINTA /INK YAMORA 1 BUAH 8000 8000

8 10/10/2016 P0SIT 1 PAK 10000 10000

9 10/10/2016 STAN PEN 1 BUAH 6000 6000

10 10/10/2016 KERTAS ETIKET FAX 4G 20000 80000

ISI TINTA HP 5 PCS 25000 125000
HEKTER 2 BUAH 13000 26000

11 10/10/2016 MAP STATUS 100 LEMBAR 3000 300,000

12 10/10/2016 AMLOP MITRA 1 PAK 50000 50,000

KWITANSI MITRA 4 BK 5500 22500
FAXTUR 1 BUAH 20000 20,000
POSIT 2 PAK 10000 20,000
KERTAS 3 PLAY 30 G 7000 210,000

13 10/10/2016 KERTAS F4 1 RIM 30000 30,000

KERTAS A4 1 RIM 28000 28000
BINDEK DUDUK 5 BUAH 20000 100000
MAP PLASTIK /DAICI 1 PAK 27000 27000
BUKU KWRTO KECIL 1 BK 8000 8000
14 10/10/2016 KERTAS PRIN 3 RANGKAP 20 G 7000 140,000
TINTA PRINTER 1 BUAH 90000 90000

15 10/10/2016 ISI PULPEN 5 PCS 833 4165

PENSIL MERAH BIRU 1 BUAH 2500 2500

16 11/10/2016 A4 1 RIM 28000 28000

PULPEN 1 BUAH 1414 1414
ISI PULPEN 4 PCS 833 3332

17 11/10/2016 A4 1 RIM 28000 28000

18 11/10/2016 BUKUKWRTO KECIL 1 BK 8000 8000

MAP FILE 100/DOKUMEN ISI 1 BK 50000 50,000

19 11/10/2016 KERTAS A4 1 RIM 28000 28000

KENKO PUSH PINS/PAKU 1 PAK 7000 7000

20 12/10/2016 KERTASA4 1 RIM 28000 28000

AMLOP PUTIH BESAR 1 PAK 15000 15000
AMLOP KECIL 1 PAK 13000 13000

21 12/10/2016 KERTAS A4 WARNA 1 RIM 45000 45000

PLASTIK CLER SLEVER/DAICI 4 PCS 2700 10800

22 14/102016 KERTAS A4 2 RIM 28000 56000

MAP DAICI 1 PCS 2700 2700

23 18/10/2016 PULPEN 1 BUAH 1414 1414

24 18/10/2016 POS IT 2 PAK 10000 20000

KERTAS A4 2 PAK 28000 28000

25 18/10/2016 TOM JERY 107 1 PAK 10000 10000

26 18/10/2016 KERTAS FAX KECIL 3G

STEPLES 1 BUAH 13000 13,000
KARTU PASIEN 500 PCS 2500
KERTAS A4 2 RIM 28000 56000
ISI STPLES 1 PAK 2500 2500
PENGGARIS 1 BUAH 2000 2000
PULPEN MEJA 1 BUAH 6000 6000
PULPEN 2 BUAH 1414 2828

27 18/2016 DUKUMEN ISI 100 1 BUAH

AMLOP COKLAT 2 PAK
 PENGHAPUS 1 BUAH 2000
PULPEN 1 BUAH 1414 1414
ISI PULPEN 2 BUAH 833
DOKUMEN ISI 100 2 BUAH

28 20/10/2016 CONTINUS FROM 3 PLY 1 DUS 320000 320000

TINTA RIBONHP 2 BUAH 25000 50000

29 20/10/2016 BUSINES FILE 2 BUAH

BINDEK BESAR 2 BUAH 20000 40000

30 21/10/2016 AMLOP KECIL 1 PAK 12000 12000

KERTAS A4 1 RIM 28000 28000

31 21/10/2016 BINDEK DUDUK 5 BUAH 20000 100000

MAP STATUS 100 B 3000 300000
PENGGARIS 2 BUAH 2000 4000
KERTASF4 2 RIM 30000 60000
PULPEN 2 BUAH 1414 2828
POIST 2 BK 10000 20000
CLER HORDER 4 BUAH 2700 10,800
BUKU TULIS 1 BK 2000 2000
BUSINES FILE 4 BUAH 3500 14000
POIST 2 BK 10000 20000

32 21/10/2016 AMLOP KECIL 1 PAK 12000 12000

AMLOP BESAR 1 PAK 15000 15000

33 21/10/2016 PULPEN 3 BUAH 1414 4242

TIPEX 1 BUAH 7500 7500

34 21/10/2016 KARTU NAMA DR FREDY 2 BOX 40000 80000

KARTU NAMA DR DEDY 3 BOX 40000 120000

35 21/10/2016 P0ST IT 3 BK 10000 30000

RIBON PRINTER LX HP 1 BUAH 12000 12000

36 21/10/2016 KERTAS 3PRIN RANGKAP 20 G 70000 140,000

37 21/10/2016 BUSINESS FILE A4 40 BUAH 3000 1E+06

38 25/10/2016 PULPEN 2 BUAH 1414 2828

HVS F4 1 RIM 30000 30000

39 25/10/2016 TRIGONAL KLIP 107 1 PAK 2500 2500

TRIGONAL KLIP 1 PAK 2500 2500
40 26/10/2016 BINDEX 5 BUAH 20000 100000
KERTAS FAX KECIL 4G
MAP STATUS 100 BUAH 3000 300000
SPIDOL PERMANEN 2 BUAH 6750 13500

41 26/10/2016 KERTAS HVS TEBAL 15 BUAH 1500 22500

42 26/10/2016 TINTA PRIN 3G

MAP FILE 5 BUAH 3500 17500
LABEL NAMA 2G
FOMULIR HAK&KEWAJIBAN PASIEN 5 BK 20000 100000
SURAT PERSETUJUAN TINDAKAN 5 BK 20000 100000

43 27/10/2016 BINDEX 1 BUAH 20000 20000

HVSF4 1 RIM 30000 30000
HVSA4 1 RIM 28000 28000
DOKUMEN ISI 100 1 BUAH 50000 50000
PULPEN 2 BUAH 1414 2828
BUKU TULIS 1 BK 2000 2000
CONTINUS FROM 2 PLAY 1 BOX 220000 220,000

44 28/102016 BINDEX BESAR 5 BUAH 30000 150000

TEMPAT PENSIL 1 BUAH 7000 7000
MAP PLASTIK FILE 1 BUAH 3500 3500
PENGHAPUS 1 BUAH 2000 2000
BINDER KLIP 2 PAK 2500 5000
PENSIL 1 BUAH 2000 2000
TRIGONAL KLIP 1 PAK 1500 1500

45 28/10/2016 KERTAS ROL 3 PLYA 10 G 7000 70000

FASTENER 2 BUAH 6000 6000

46 31/10/2016 CONTINUS 3FLY 1 DUS 320000 320,000

47 31/10/2016 BOX FILE 10 BUAH 20000 200000

48 31/10/2016 BUKU TULIS 1 BK 8000 8000

STPLES 1 BUAH 13000 13000
CLER HOLDER /FILE 2 LUSIN 27000 54000

49 31/10/2016 PULPEN 3 BUAH 1414 4242

SPIDOL PERMANEN 1 BUAH 6750 6750

50 31/102116 PULPEN 4 BUAH 5656 5656

SPIDOL PERMANEN 1 BUAH 6750 6750
TRIGONAL KLIP 1 PAK 2500 2500
 Data Pemakaian / Pengambilan ATK
BULAN NOVEMBER 2016
1NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 1/11/2016 TINTA PRIN EPSON 310 1 BUAH 90000 90000

1 1/11/2016 KERTAS A4 1 RIM 28000 28000

3 1/11/2016 TOM JERY 2 PAK 10000 20000

FILE 5 BUAH 3500 17500
4 1/11/2016 AMLOP COLKAT 1 PAK 30000 30000

5 1/112016 TRYGONAL KLIP 1 PAK 2500 2500

PULPEN 1 BUAH 1414 1414

6 1/11/2016 PULPEN 4 BUAH 1414 5,656

ISI PULPEN 1 PAK 8330 8330

7 1/112016 RIBON/HP 2 PCS 25000 50000

BUKU BOS 1 BK 8000 8000

8 2/11/2016 MAP STATUS 100 LEMBAR 3000 300000

9 3/11/2016 KERTAS TOM &JERY 3 PAK 10000 30,000

BINDEK BESAR 1 BUAH 30000 30000
BINDEK SEDANG 3 BUAH 20000 20000
TIPEX 1 BUAH 5000 5000
PENSIL 1 BUAH 1500 1500
PENGHAPUS 1 BUAH 2000 2000
SERUTAN 1 BUAH 3000 3000

10 3/11/2016 ISI PULPEN 1 PAK 8330 8330

PENSIL RED BIRU 1 BUAH 2500 25000
TIPX 1 BUAH 5000 5000
SPIDOL PERMANEN 1 BUAH 6750 6750
BUKU KWRTO KECIL 1 BK 8000 8000
KLIP 107 1 PAK 2500 2500
11/ 3/11/2016 AMLOP LOGO 1 PAK 50000 50000
AMLOP PUTIH POLOS 1 PAK 15000 15000

12 3/11/2016 PULPEN MEJA 1 BUAH 6000 6000

13 4/11/2016 CLER HOLDER/DAICI 50 LEMBAR 2700 135,000

BOX FILE 5 BUAH 20000 100,000

14 4/11/2016 KERTAS F4 1 RIM 30000 30,000

BINDER KLIP SEDANG 2 PAK 5000 10,000
PENGHAPUS 1 BUAH 2000 2,000

15 4/11/2016 BINDEX 717 10 BUAH 30000 300,000

16 7/11/2016 KERTAS AA4 1 RIM 28000 28,000

KERTAS F4 1 RIM 30000 30,000
ISI HEKTER 1 PAK 2500 2,500
TRIGONAL KLIP 1 PAK 2500 2,500

17 7/11/2016 BINDEX DUDUK 2 BUAH 30000 30,000

18 7/11/2016 AMLOP KECIL 1 PAK 12000 12,000

GLUE STICK 1 BUAH 5000 5000
SPIDOL BOADMARKER 1 BUAH 5500 5,500
BUKU KWRTO KECIL 1 BK 8000 8000

19 7/11/2016 SPIDOL PERMANEN 1 BUAH 6750 6750

NOT MARK 2 PAK 10000 20,000

20/ 8/11/2016 KERTAS A4 1 RIM 28000 28,000

KERTAS F4 1 RIM 30000 300,000

21/ 9/11/2016 AMLOP COKLAT 1 PAK 30000 30,000

MAP STATUS 200 PCS 3000 600,000
KERTAS KOP SURAT 1 RIM KASIH
AMLOP SURAT 1 PAK 50000 50,000
BINDEK DUDUK 4 BUAH 20000 80,000
22 9/11/2016 LEM STIK 4 BUAH 5000 20,000
PENGGARIS 1 BUAH 2000 2000

23 9/11/2016 PULPEEN 1 BUAH 1414 1,414

BUSINES FILE 3 BUAH 3500 10,500
BUKU KWTO PANJANG 1 BK 15000 15,000

24 10/11/2016 KERTAS A4 1 RIM 28000 28,000

25 10/11/2016 BUSINES FILE 2 PCS 3500 7,000

26 10/11/2016 KERTAS 3 PLY R 10 ROLL 2000 20000

KWITANSI MITRA 5 BK 10000 50,000

27 10/11/2016 KERTAS A4 1 RIM 28000 28,000

PULPEN 1 BUAH 1411 1414
BUKU KWRTO KECIL 1 BK 8000 8,000
TIPEX 1 BUAH 6500 6500
PULPEN MEJA 2 BUAH 6000 12,000

28 10/11/2016 BINDEK 24 BUAH 20000 480,000

AMLOP COKLAT 1 PAK 30,000 30,000

29 10/11/2016 BINDEK 1 BUAH 20,000 20,000

30 15/11/2016 BUKU KWRTO PANJANG 1 BK 15000 15000

PULPEN 1 BUAH 1414 1414
ISI PULPEN 2 PCS 833 `1666
BUKU KWRTO BESAR 1 BK 20000 20000

31 15/11/2016 PULPEN 1 BUAH 1414 1414

PULPEN MEJA 1 BUAH 6000 6000
32 15/11/2016 TINTA 1 BUAH 90000 90000
PAPER KLIP 1 PAK 2500 2500

33 15/11/2016 TIPEX 1 BUAH 5500 5500

34 15/11/2016 CLER HOLDER 3 PAK 27000 81000

KERTAS FAX 3G KASIH
KERTAS LASER 3G KASIH

35 15/11/2016 KERTAS PRIN EPSON 20 ROOL 2000 40000

ISI HEKTER 2 PAK 2500 5000
TOM &JERY 1 PAK 10000 10000
PULPEN 2 BUAH 1414 2828
PILPEN MERAH 2 BUAH 1414 2828

36 15/11/2016 KERTAS A4 1 RM 28000 28000

KERTAS F4 1 RIM 30000 30,000
TINTA EPSON BIRU 1 PCS 90000 90,000
POS IT 1 PAK 10000 10,000
PENG HAPUS 1 BUAH 2000 2,000
SERUTAN PENSIL 1 BUAH 2500 2,500
TIPEX 1 BUAH 5500 5,500
TRIGONAL KLIP 1 PAK 2500 2,500
CONTINUS 1 BOX 330,000 330,000
37 15/11/2016 MAP MIKRO KANCING 1 PCS 15000 15,000

38 15/11/016 KERTAS FAX 2 RO 2000 4,000

POS IT 2 PAK 10000 20000
PULPEN 2 BUAH 1414 2,828
KERTAS A4 1 RIM 28000 28000
KERTAS F4 1 RIM 30000 30,000

39 15/11/2016 KERTAS A4 1 RIM 28000 28,000

40 15/11/2016 ISI PULPEN 6 PCS 833 4,998

AMLOP KECIL 1 PAK 12000 12000
TIPEX 1 BUAH 5500 5,500

41 15/11/2016 MAP FILE 6 PCS 3500 21,000

AMLOP KECIL 1 PAK 12000 12000

42 15/11/2016 PULPEN 2 BUAH 1414 2828

43 15/11/2016 ISI PULPEN 1 PAK 8300 8300

PULPEN 2 BUAH 1416 2832

44 21/11/2016 TINTA PRINTER 1 BUAH 90000 90000

BINDEX DUDUK 10 BUAH 20000 200000
KERTAS A4 WARNA BIRU 1 RIM 50000 50000

45 21/11/2016 MAP PLSTIK FILE 2 PCS 3500 7000

46 22/11/2016 KERTAS A4 2 RIM 28000 56000

POS IT 2 PAK 10000 20,000
STABILO 2 BUAH 8000 16000
KALKULATOR 1 BUAH 100000 100000
BUSNIS FILE 2 BUAH 3500 7000

47 22/11/2016 FASTENERS 3 PAK 8500 25500

POS IT 5 PAK 10000 50000
ISI STPLES 5 PAK 2500 12500
ISI STEPLES BESAR 5 PAK 3000 15000
BINDER KLIP KECIL 3 PAK 2500 7500
BINER KLIP SEDANG 3 PAK 5000 15000
BINDER KLIP BESAR 3 PAK 7500 22500
PAPER 3 PLY 10 ROLL 2000 20000
KERTAS CONTINOUS 1 BOX 330000 330000
KLIP 2 PAK 2500 5000

48 22/11/2016 PULPEN 2 BUAH 1416 2832

49 22/11/2016 PERMANEN 1 BUAH 6750 6750
PENGGARIS 1 BUAH 2000 2000

50 24/11/2016 POST IT 1 PAK 10000 10000

SPIDOL PERMANEN 1 BUAH 6750 6750
PENGGARIS 1 BUAH 2000 2000
ISI STPLES 1 BOX 2500 2500
BUSINES FILE 2 BUAH 3500 7000

51 24/11/2016 BUKU BESAR 1 BK 20000 20000

52 24/11/2016 ISI BINDEK PLASTIK 2 PAK 15000 30000

MAP TEBAL HIJAU 48 B 7000 336000
MAP KANCING 2B 3000 6000

53 24/11/2016 TEMPAT PENSIL KERANJANG 1B 13000 13000

54 24/11/2016 TEMPAT PENSIL KERANJANG 1B 13000 13000

55 24/11/2016 CONTINUS 2PLY 1 BOX 229000 229000

56 24/11/2016 ISI PULPEN 1 PAK 8330 8330

PULPEN 1B 1416 1416

57 24/11/2016 PULPEN 2B 1416 2832

58 24/11/2016 SPIDOL BOAD MAKER 1B 6250 6250

PULPEN BIRU 1B 1416 1416

59 24/11/2016 SPIDOL ORIP 1B 7000 7000

60 24/11/2016 PENGGARIS 1B 2000 2000

ISI PULPEN 6 PCS 1416 8,496

61 28/11/2016 KERTAS 4A 2 RIM 28000 56000

KERTAS A4 2 RIM 28000 56000

62 28/11/2016 KERTAS A4 2 RIM 28000 56,000

KERTAS F4 2 RIM 30000 60000

63 28/11/2016 BINDEX BOXFILE 10 BUAH 20000 200000

64 28/11/2016 CLER HOLDER /MAF DAICI F4 2 PAK 27000 54000

FILE 1 BUAH 3500 3500
KLIP 107 2 PAK 2500 5000
 65 29/11/2016 MAP SPAGUL 100 PCS 8000 800000
PP POKET FOLIO 7 PAK 18000 126,000
A4 2 RIM 28000 56000
TRIGONAK KLIP 2 PAK 2500 5000
KLIP107 2 PAK 2500 5000
KLIP 115 1 PAK 3000 3000

Data Pemakaian / Pengambilan ATK

BULAN DESEMBER 2016
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 2/12/2016 AMLOP BESAR 2 PAK 15000 30,000

2 2/12/2016 KERTAS F4 4 PAK 30000 60,000

3 2/12/2016 CLIP 107 1 PAK 2916 2916

CLIP 111 1 PAK 5833 5833
CLIP 155 1 PAK 7000 7000
TOM &JERY 1 PAK 10000 10000
PULPEN 1 BUAH 1416 1416
ISI PULPEN 1 PAK 10000 10000
POS IT 1 PAK 10000 10000
BUSINES FILE 1 BUAH 3500 3500
BINDEK 1 BUAH 20000 20000
PENSIL RED GLUE 1 BUAH 2000 2000

4 2/12/2016 KERTAS ROL PAPER 3 PLY 10 ROLL 2000 20000

ISI PULPEN 4 PCS 833 3332
TINTA EPSON 1 BUAH 90000 90000
ISI HEKTER 5 PAK 2,900 14500

5 2/12/2016 BUSINES FILE 6 BUAH 3500 21000

MARK N NOTES 1 PAK 10000 10000
SPIDOL MARKER 1 BUAH 6250 6250
6 2/12/2016 PULPEN MEJA 3 BUAH 2000 6000
STABILO 1 BUAH 8000 8000
STEPLES KECIL 1 BUAH 13000 13000
ISI STEPLES 1 PAK 2900 2900
 AMLOP BESAR 1 PAK 15000 15000
AMLOP KECIL 1 PAK 12000 12000
MAP SNIL 1 PAK 2700 2700

7 2/12/2016 PULPEN 1 BUAH 1416 1416

ISI PULPEN 1 PAK 10000 10000
BUKU KWRTO PANJANG 2 BK 15000 30,000
KLIPP127 1 PAK 4000 4000

8 2/12/2016 PULPEN 2 BUAH 1416 2832

PULPEN MERAH 2 BUAH 2832 2832
BUKU KWRTO 1 BK 8000 8000

9 2/12/2016 BINDER BESAR 1 BUAH 30,000 30000

HEKTER 1 BUAH 13000 13000
ISI HEKTER 5 PAK 2900 14500
BINDER CLIP 127 1 PAK 4000 4000
BINDERCLIP 107 1 PAK 2916 2916
BINDERKLIP 155 1 PAK 7000 7000
MAP FILE ISI 100 1 BUAH 50000 50,000
TEMPAT PULPEN 1 BUAH 13000 13000

10 2/12/2016 BINDEK 1 BUAH 20000 20,000

STABILO 1 BUAH 8000 8000
KLIP 107 1 PAK 2916 2916

11 6/12/2016 BUKU QUARTO 1 BK 8000 8000

12 6/12/2016 ISI HEKTER 2 PAK 2900 5800

13 6/12/2016 TRI GONAL KLIP 2 PAK 2500 5000

POS IT 2 PAK 10000 20000
BINDER CLIP 111 1 PAK 5833 5833
CONTINUS FROM 3 PLY 1 BOX 320000 320000
PENSI 2 BUAH 2000 4000

14 6/12/201`6 BOX FILE 12 BUAH 20000 240000

### 6/12/2016 KERTAS A4 1 RIM 28000 28000

16 6/12/2016 CLIP 107 1 PAK 2916 2916

CLIP 127 1 PAK 4000 4000
ISI STEPLES 3 PAK 2900 8700
STABILO 1 BUAH 8000 8000

17 8/12/2016 PITA RIBON U PLINTER/KASIH 5G

BINEX DUDUK 5 BUAH 20000 100000
 KERTASFAX /KSIH 4G
NOTMART 2 PAK 10000 20000

18 8/12/2016 KERTAS A4 1 RIM 28000 28000

KERTAS F4 1 RIM 30,000 30,000
SERUTAN 1 BUAH 3000 3000

19 8/12/2016 KERTAS PRIN 3 RNGKAP 2 PAK 70000 140000

20 9/12/2016 BUKU Q BESAR 1 BK 30000 30,000

BUKU Q PANJANG 1 BK 13000 13000

21 9/12/2016 HEKTER 1 BUAH 13000 13000

KERTAS A4 1 RIM 28000 28000
KERTAS F4 1 RIM 30000 30000
TIPX 1 BUAH 5000 5000

22 9/12/2016 PULPEN 1 BUAH 1416 1416

pulpen meja 1 buah 6000 6000

23 9/12/2016 PULPEN MERAH 2 BUAH 1416 2832

TIPX 1 BUAH 5000 5000

24 13/12/2016 STABILO 1 BUAH 8000 8000

AMLOP KECIL 1 PAK 13000 13000
FILE 3 BUAH 3500 10500

25 13/12/2016 Kertas a4 2 rim 28000 56000

AMLOP COKLAT 1 RIM 30000 30000
ISI HEWHTER 1 PAK 2900 2900
BINDER CLIP 111 1 PAK 5833 5833
PENSIL 1 BUAH 2000 2000
STEPLES BESAR 1 BUAH 18000 18000
ISI STPLES BESAR 1 PAK 5000 5000

26 15/12/2016 KERTASF4 2 RIM 30000 60000

PENGGARIS 1 BUAH 2000 2000
P0S IT 2 PAK 10000 20,000

27 15/12/2016 SPIDOL 4 BUAH 6250 25,000

PULPEN 6 KOTAK 17000 102,000
STABILO 2 BUAH 8000 16000
MAP KANCING BIASA 2 BUAH 3000 6000

28 15/12/2016 HEKTER BESAR 1 BUAH 18000 18,000

BINDX 10 BUAH 20000 200,000
KERTAS FAX KECIL KASIH 3 ROLL
 KERTAS A4 2 RIM 28000 56,000
STABILO 1 BUAH 8000 8000
PULPEN

29 15/12/2016 TINTA ETIKET 4 PCS 28000 112000

KERTAS ETKET KASIH 4 ROOL

30 16/12/2016 kertas a4 1 rim 28000 28000

penggaris 1 buah 2000 2000
kertas tom jery 1p 10000 10000
pulpe 1 buah 1416 1416

31 17/12/2016 KERTAS A4 1 RIM 28000 28000

KERTAS F4 1 RIM 30000 30,000
ISI ETPLES 2 PAK 2500 5000
POS IT 1 PAK 10000 10000
STABILO 3 BUAH 8000 24000
BINDER KLIP 107 1 PAK 2916 2916
BINDER KLIP 111 1 PAK 5833 5833

32 21/12/2016 ISI HEKTER 2 PAK 2500 5000

BUKU TULIS KECIL QUARTO 1 BK 8000 8000
AMLOP KECIL 2 PAK 13000 26000

33 21/12/2016 PULPEN 4 BUAH 1416 5664

ISI PULPEN 4 PCS 833 3332

34 21/12/2016 BUKU KUARTO BESAR 1 BK 32000 32000

17 21/2016 CONTINUS 1 DUS 220000 220,000

18 21/12/2016 KERTAS FAX 2G

TINTA 1 PCS 90000 90,000
19 21/12/2016 ROL FAFER 3PLY 1 PAK 70,000 70000

20 21/12/2016 TRIGONAL KLIP 1 PAK 2500 2500

PULPEN 3 BUAH 1416 4248
ISI HEKTER 1 PAK 2500 2500

21 22/12/2016 PULPEN MEJA 1 BUAH 6000 6000

KERTAS F4 1 RIM 30000 30,000

22 23/12/2016 PULPEN 1 BUAH 1416 1416

23 26/12/2016 BINDEX DUDUK 2 BUAH 20000 40000

STABILO 1 BUAH 8000 8000
POSIT 1 PAK 10000 10000
 24 26/12/12 PEMBATAS BUKU 2 PAK 30000 60000
PULPEN 2 BUAH 1416 2832

25 26/12/2016 PEMBATAS BUKU 1 PAK 30000 30,000

NOT MARK 1 PAK 10000 10000

26 26/12/2016 CONTINUS 3 PLY 1 DUS 330,000 330,000

FESTENER 1 BUAH 10000 10,000
KERTAS 3PLY 1 PAK 70,000 70,000
ISI HEHTR 5 PAK 2500 12,500
TIPX 1 BUAH 5,500 5,500

27 26/12/2016 KERTAS A4 2 RIM 28,000 56,000

KERTAS F4 1 RIM 30000 30,000

28 28/12/2016 TOM &JERY 1 PAK 10000 10,000

ISI HEKTER 10 PAK 2500 25,000

29 28/12/2016 TINTA PRINTER HITAM 1 PCS 90000 90,000

TINTA PRINTER BIRU 1 PCS 90000 90,000
TINTA PINK 1 PCS 90000 90,000
TINTA KUNING 1 PCS 90000 90,000
KERTAS WARNA F4 1 RIM 50000 50,000

30 28/12/2016 KERTAS NCR 3 RANGKAP I PAK 70000 70,000

PULPEN 2 BUAH 1416 2,832
BOARD MARKER 1 BUAH 6000 6,000
KARTU STOK 500 LEMBAR 500 25,000

31 30/12/2016 A4 2 RIM 28000 56,000

F4 2 RIM 30000 60,000
A4 1 RIM 28000 28,000
F4 1 RIM 30000 30,000

Data Pemakaian / Pengambilan ATK

BULAN JANUARY 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 2/1/2017 KERTAS F4 1 RIM 30000 30000
BUKU KUARTO KECIL 1 BK 8000 8000
 2 2/1/2017 MAP BUSINES FILE 1 PCS 3700 3700

3 3/1/2016 PULPEN 1 PAK 17000 17000

4 3/1/2017 TRIGONAL KLIP 2 PAK 3500 7000

BINDER KLIP 111 1 PAK 4000 4000
PULPEN 1 BUAH 1416 1416
RAUTAN 1 BUAH 3000 3000

5 3/1/20-17 BINDEX DUDUK 1 BUAH 20000 20000

BUKU PANJANG KWRTO 1 BK 12000 12000
KLIP 260 1 BX 7000 7000

6 3/1/2017 PULPEN 1 BUAH 1416 1416

EPSON HITAM REPILL 1 PCS 90000 90000
DATA INK 1 PCS 30000 30000

7 3/1/2017 POSIT 2 PAK 10000 20000

8 3/1/2017 ISI HEKTER 1 PAK 25000 2500

BINDX DUDUK 2 BUAH 20000 40,000
BINDEX BESAR 1 BUAH 30000 30000

9 3/1/2017 AMLOP BESAR LOGO MITRA 2 PAK 50000 50000

ROL PAPER 75* 3PLY 10 ROL 7000 70000
ISI HEKTER 5 PAK 2500 12500
ISI PULPEN 10 PCS 833 8330

10 3/1/2017 KERTAS A4 3 RIM 28000 84000

KERTAS F4 3 RIM 30000 90000
BINDEK DUDUK 13 BUAH 20000 260000

11 5/1/2017 BUKU KUWARTO KECIL 1 BK 8000 8000

BINDERKLIP 107 1 PAK 4000 4000

12 10/1/2017 KERTAS A4 1 RIM 28000 28000

KERTAS F4 1 RIM 30000 30,000

13 10/1/2017 CONTINUS FROM 9,5*11 1 DUS 320,000 320,000

TRIGONAL KLIP 1 PAK 2500 2500

14 10/1/2017 CONTINUS 3 PLY 1 DUS 320,000 320,000

PULPEN 1 BUAH 1416 1416

15 13/1/2017 ISI STEPLES 10 PAK 2500 25000

ISI PULPEN 1 PAK 8330 8330
 PULPEN 2 BUAH 1416 2832
AMLOP KECIL 1 PAK 12000 120000
AMLOP BESAR 1 PAK 15000 15000
STABILO 2 BUAH 8000 16000

16 13/1/2016 PEMBATAS BUKU 20 PAK 30000 600000

PEMBATAS ELATIS 9 PAK 30000 30000
BINDEX DUDUK 12 BUAH 20000 240000
TRRAY BESI 1 BUAH 25000 25000

13/1/201 KERTAS PRIN 3 PLY 1 PAK 70000 70,000

ISI STEPLES 3 PAK 2500 7500

13/1/2017 BOX FILE BINDEX 50 BUAH 20000 ###

F4 COLOR 1 RIM 50000 50000

13/1/2017 F4 CLOR 1 RIM 50000 50,000

13/1/2017 FASTENER 2 BUAH 10000 20000

13/1/2017 TRIGONAL KLIP 1 BUAH 2500 2500

BINDEK 1 BUAH 20000 20000

13/1/2017 kertas a4 2 rim 28000 56000

POS IT 2 PAK 10000 20,000
BINEX 1 DUS 20000 240000
BINDER CLIP 111 1 PAK 4000 4000
ISI HEHTER 1 PK 2500 2500
STABILO 1 BUAH 8000 8000

13/1/2013 ISI PULPEN 5 PCS 833 4165

BAK STEMPEL BESAR 1 BUAH 15000 15000

20/1/2017 ODNER BANTEK FOLIO KWITASI 20 PCS 26000 520,000

BOX FILE BINDEX 200 BUAH 20000 ###
SKAT FILE 3 PCS 30000 90000
PP POKET POLIO 3 PAK 15000 45,000
CONTINUS FROM 2 PLY 1 DUS 220,000 220,000

20/1/2017 ROLL PAPER 3 PLY 1 PAK 70000 70,000

TIPEX 1 BUAH 5500 5,500
CONTINUS FROM 3 PLY 1 DUS 320,000 320,000
POSIT 2 PAK 10000 20,000
ISI TINTA PREINTER EPSON 2 BUAH 90000 180,000
ISI TINTA PRINTER TRESER 3 PLY 3 BUAH

20/1/2017 KERTAS A4 2 RIM 28000 56,000

20/1/2017 CLERAR SLEEVES 1 BUAH 15000 15000
BINDEX 717 1 BUAH 30000 30,000
POS IT 1 PAK 10000 10000

20/1/2017 PLASTIK POKET BINDEX 3 PAK 15000 45000

BINDEX DUDUK 100 BUAH 20000 2E+06
BANTEK RANAP 20 BUAH 26000 520000
PEMBATAS BANTEX 2 PAK 15000 30000

20/1/2017 PULPEN 3 BUAH 1416 4248

20/1/2017 PULPEN 2 BUAH 1416 2832

20/1/2017 AMLOP 35*35 100 LEMBAR 30000 3E+06

TINTA EPSON 1 PCS 90000 90000
ISI PULPEN 5 PCS 833 4165
SPIDOL PERMNEN 1 BUAH 5700 5700
BINDER KLIP 260 1 PAK 1450 1450

20/1/2017 AMLOP COKLAT 1 PAK 30000 30000

ISI HEKTERR 2 PAK 2500 5000
STABILO 1 BUAH 8000 8000

20/1/2017 KERTAS F4 2 RIM 32000 64000

KERTAS A4 2 RIM 28500 57000

27/1/2017 PENGGARIS 1 BUAH 2000 2000

SPIDOL PERMANEN 1 BUAH 6000 6000
PULPEN 2 BUAH 1416 2832
AMLOP KECIL 1 PAK 12000 12000
AMLOP BESAR 1 PAK 15,000 15,000

27/1/2017 KERTASA4 2 RIM 28000 56000

ISI HEKTER 5 PAK 2500 12500
PULPEN 3 BUAH 1416 4248
TRIGONAL 2 PAK 2500 5000
BINDER 111 1 PAK 4000 4000
BINDER 107 1 PAK 7500 7500

27/1/2017 A4 2 RIM 28000 56000

BINDEX DUDUK 100 BUAH 20000 2E+06

31/1/2017 BUKU TULIS 2 bk 2000 4000

 Data Pemakaian / Pengambilan ATK
BULAN FEBUARY 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 1/2/2017 KENKO LEM STIK 1 PCS 4000 4000
EPSONTINTA BLAK 2 PCS 90000 180000
EPSON TINTAYELOW 1 PCS 90000 90000
EPSON TINTA MAGETA 1 PCS 90000 90000
KENKO TIPEX 1 PCS 5500 5500
SNOW MAN PERMANEN 1 BUAH 5750 5750
TRIGONAL KLIP 1 PAK 2500 2500
BINDER KLIP 1-07 1 PAK 7500 7500
BINDER KLIP 155 2 PAK 8400 16800
PULPEN MERAH 1 BUAH 1416 1416
PENGHAPUS 1 BUAH 2000 2000
INK ISI TINTA STEMPEL 1 BUAH 9000 9000

2 1/2/2017 KERTAS A4 1 RIM 28000 28000

KERTAS F4 1 RIM 32000 32000
KERTAS F4 2 RIM 32000 64000

3 3/2/2017
KWITANSI BIASA 1 BK 2000 2000
PENGHAPUS 1 BUAH 2000 2000

4 2/2/2017 BUKU KWRTO 4 BK 8000 36000

5 3/2/2017 AMLOP KECIL 1 PAK 12000 12000

PULPEN HITAM 4 BUAH 1416 5564
BUKU TULIS KECIL 1 BK 8000 8000

6 3/2/2017 KERTAS A4 2 RIM 28000 56000

7 3/2/2017 KERTAS PRIN 3 RANGKAP 1 PAK 70000 70000

8 7/2/2017 MAP STATUS 1000 LMBR 3750 4E+06

ISI STEPLES 3 PAK 2500 7500
SPIDOL PERMANEN 1 BUAH 6000 6000

9 7/2/2017 ISI HEKTER 1 PAK 2500 2500

SPIDOL PERMANEN 1 BUAH 5750 5750
10 7/2/2017 STABILO MERAH 1 BUAH 8000 8000
STABILO BIRU 1 BUAH 8000 8000

11 7/2/2017 KERTAS F4 1 RIM 32000 32000

12 7/1/2017 TINTA HP RIBON 3 PCS 12000 36000

TINTA STRUK KASIH 3

13 8/2/2017 A4 1 RIM 28500 28500

14 11/2/2017 KERTAS F4 1 RIM 30000 30000

15 10/2/2017 SPIDOL PERMANEN 1 BUAH 6750 6750

16 14/2/2017 BINDER CLIP 260 1 PAK 17000 17000

TRI GONAL KILIP 1 PAK 2500 2500

17 14/2/2017 KERATAS A4 1 RIM 28500 28500

18 14/2/2017 KERTAS F4 1 RIM 30000 30,000

KERTASA4 1 RIM 28500 28500
POS IT 2 PCS 10000 20000

19 14/2/2017 AMLOP KECIL 2 PAK 12000 24,000

RESEP 10 BK 7500 75000
PULPEN 4 1416 5564 5564

20 14/2/2017 AMLOP KECIL 2 PAK 12000 24000

KWTANSI BIASA 4 BK 2000 8000
ISI STEPLES NO 10 5 PAK 2500 12500
BINDER CLIP 155 3 PAK 8400 25,200
ISI PULPEN 1 PAK 8330 8330

21 14/2/2017 KERTAS 3 PLY 1 PAK 70000 70000

22 10/2/2017 PULPEN 1 BUAH 1416 1416

STEPLES 1 BUAH 15000 15000
KERTAS A4 1 RIM 28500 28500
ISI STEPLES 3 PAK 2500 7500

23 10/2/2017 PLASTIK POCKET F4 8 PCS 1700 13600

24 10/2/2017 PULPEN 1 BUAH 1416 1416

25 10/2/2017 TINTA T6664 HITAM 1 PCS 95000 95000

TINTA T 6664 MERAH 1 PCS 90000 90000
 BUKU KWRTO KECIL 1 BK 8000 8000
MARK NOTE 3 PAK 10000 30000
BINDER KLIP 155 2 PAK 8400 16800
PULPEN 2 BUAH 1416 2832
TRIGONAL KLIP 1 PAK 2500 2500
MARK NOTE

26 KERTAS 3 PLY 1 PAK 70000 70000

FASTENER 2 P CS 10000 20000

27 15/2/2017 PLASTIK BENING FILE F4 3 PCS 1700 5100

28 15/2/2017 KERTAS A4 2 RIM 28500 57000

KERTASF4 1 RIM 30000 30000

29 16/2/2017 BINDEX FILE 2 BUAH 30000 60000

PLASTIK BINDEX 3
30 17/2/2017 PULPENMERAH 1 BUAH 1416 1416
GUNTING 1 BUAH 5000 5000
HEKTER 1 BUAH 3500 3500

31 15/2/2017 PULPEN 2 BUAH 1416 2832

32 16/2/2017 BUKU KUARTO KECIL 1 BUKU 8000 8000

PULPEN 2 BUAH 1416 2832
KERTAS A4 1 RIM 28500 28500
KERTAS F4 1 RIM 30,000 30,000

33 17/2/2017 KERTAS A4 1 RIM 28500 28,500

KERTASF4 1 RIM 30000 30000
PULPEN 4 BUAH 1416 5,664
LABEL KASIH 2G
KERTAS FAX KECIL 8G
KERTAS FAX BESAR 1G

34 18/2/2017 BUKU QUARTO BESAR 1 BUKU 30000 30,000

BUKU BIASA 1 BUKU 2000 2000

35 21/2/2017 AMLOP COKLAT 2 PAK 30000 60000

ISI HEKTER 1 PAK 2500 2500
BINDER CLIP 155 1 PAK 8400 8400
HEKTER 1 BUAH 13000 13000

36 20/2/2017 ROL PAPER 3 PLY 1 PAK 70000 70000

CONTINUS FROM 3 PLY 2 DUS 320,000 320,000
37 22/2/2017 SEPIDOL PERMANEN 2 BUAH 6750 13400
TOM &JERY 1 PAK 10000 10000
37 P0S IT 2 PAK 10000 20,000

38 22/2/2017 PLASTIK POCKET 4 PAK 17000 68,000

39 22/2/2017 PLASTIK POCKET 3 PAK 17000 51,000

40 22/2/2017 CONTINUS FROM 3 PLY 1 DUS 320000 320,000

41 22/2/2017 CONTINUS FROM 2 PLY 1 DUS 220000 220000

42 23/2/2017 AMLOP KECIL 2 PAK 13000 26000

ISI TINTA 1 PCS 9000 9000
LEM GLUE STIC 1 PCS 5500 5500
SPIDOL PERMANEN 1 BUAH 6750 6750
PLASTIK DAICI 1 LUSIN 30000 30000

23 23/2/2017 KERTAS A4 1 RIM 28500 28500

RADIOLOGI 1 RIM 28500 28500
PENGGARIS 1 BUAH 2000 2000
PULPEN 2 BUAH 1416 2832

24 23/2/2017 PLASTIK POKET POLIO 8 PAK 17000 135,000

BINDEX DUDUK 5 BUAH 20000 1E+06
PEMBOLONG BESAR 1 BUAH 50000 50,000
SPIDOL PERMANEN 1 BUAH 6750 6750

25 27/2/2017 BUKU KWRTO KECIL 1 BK 10000 10000

SPIDOL 1 BUAH 6750 6750
PENGGARIS 1 BUAH 2000 2000
BINDER KLIP 155 1 PAK 8400 8400
ISI HEKTER 1 PAK 2500 2500
PULPEN 5 BUAH 1416 7080
FALE 3 PCS 2700 8100
PENGBOLONG KECIL 1 BUAH 12000 12000

26 27/2/2017 BINDEX DUDUK 2 BUAH 20000 40,000

PP POKET POLIO 3 PAK 17000 51000
PEMBATAS BUKU 6 PAK 30000 30,000
CONTINUS 2 PLY 1 DUS 230,000 230,000
 Data Pemakaian / Pengambilan ATK
BULAN MARET 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 2/3/2017 ROL PAPER 3 PLY 1 PAK 70000 70000
KWITANSI BIASA 5 PAK BK 2000
LEM 1 BUAH 2500 2500
CONTINUS FROM 3 PLY 1 DUS 320000 320000
2 2/3/2017 CALCULATOR 1 BUAH 30000 30,000
ISI HEKTER 3 PAK 2500 7500
POSIT 4 PAK 10000 40000
BINDER CLIP 155 1 PAK 8400 8400
BINDER CLIP 260 1 PAK 17000 17000
BINDER CLIP 111 1 PAK 4000 4000
TRIGONAL 1 PAK 2500 2500
KERTAS A4 3 RIM 28500 85500
PULPEN 1 BUAH 1416 1416

3 2/3/2017 POSIT 5 PAK 10000 50,000

ROL PAPER 3 PLY 1 PAK 70000 70000
TINTA ETIKET KASIH 3

4 2/3/2017 MAP DAICI 1 PAK 27000 27000

ISI HEKTER 2 PAK 2500 5000

5 2/3/2017 KERTAS A4 2 RIM 28500 57000

KERTASF4 1 RIM 30000 30000
LEM 1 BUAH 2500 2500
ISI STEPLES 4 PAK 2500 10000
ISI PULPEN 5 PCS 4165 4165

6 2/3/2017 BINDER CLIP 155 1 PAK 8400 8400

BINDER CLIP 260 1 PAK 17000 17000

7 2/3/21017 AMLOP UK 35*35 10 PAK 30000 30000

8 2/3/2017 KERTAS A4 1 RIM 28500 28500

PENGGARIS 1 BUAH 2000 2000

9 2/3/2017 BUKU QUATO BESAR 1 BK 30000 30,000

PULPEN 2 BUAH 1416 2832
STABILO 2 BUAH 8000 16000

10 3/3/2017 ISI PULPEN 1 PAK 8333 8333

BUKU QUATO PANJANG 1 BUAH 8000 8000
TIPEX 1 BUAH 5500 5500
ISI PULPEN 1 PAK 8333 8333
 TIPEX 1 BUAH 5500 5500
PULPEN 2 BUAH 1416 2832

11 3/3/2017 PEMBOLONG BESAR 1 BUAH 50000 50,000

PENBATAS BUKU 3 PAK 30000 90000

12 3/3/201`7 RIBON INK LX-310 3 BUAH 30000 90,000

DATA INK REFIL WARNA 2 PCS 90000 90,000
LEM 1 BUAH 2500 2,500
TRIGONAL KLIP 1 PAK 2500 2,500
BINDEX BESAR 2 BUAH 30000 60,000
PLASTIK BINDEX 2 PAK 17000 34,000
TRIGONAL KLIP 1 PAK 2500 2,500

13 8/3/2017 BINDEX 10 BUAH 20000 200,000

PP POKET 2 PAK 17000 34,000
14 8/3/2017 KOP SURAT 1 RIM 50000 50,000

15 8/3/2017 BISNIS FILE 6 BUAH 2700 16,200

16 8/3/2017 KERTAS F4 1 RIM 28500 28,500

KERTAS A4 1 RIM 30000 30000
KERTAS WARNA F4 1 RIM 50000 50,000
PEMBATAS BUKU 7 PAK 30000 21000
PLASTIK POKKET 1 PAK 17000 17,000
PULPEN 2 BUAH 1416 2832

17 8/3/2017 AMLOPMITRA 1 PAK 30000 30000

PULPEN 2 BUAH 1416 2832

18 9/3/2017 ACO 2 PAK 10000 20000

ISI TINTA PRINTER EPSON 2 PCS 15000 30000
ROOLPAPER 3 PLY 1 PAK 70000 70,000
ISI HEKTER 5 PAK 2500 12500
ISI PULPEN 1 PAK 8333 8333

19 9/3/2017 BINDEX DUDUK 6 BUAH 20000 120000

PLASTIK POKKET 3 PAK 17000 51000

20 9/3/2017 AMLOP COKLAT 1 RIM 30000 30000

TRIGONAL KLIP 1 PAK 2500 2500
ISI HEKTER 1 PAK 2,500 2500
PULPEN 1 BUAH 1416 1416

21 9/3/2017 BUKU KWRTO PANJANG 2 BK 12000 24000

KERTAS 3 PLY 1 DUS 320,000 320000
POSIT 1 PAK 10000 10000
 TOM &JERY 1 PAK 10000 10000
PULPEN 2 BUAH 1416 2832
BINDEX DUDUK 1 BUAH 20000 20,000
TINTA YAMURA 1 BUAH 8000 8000

22 3/3/2017 BINDEX DUDUK 20 BUAH 20000 400000

CLER HODER 2 PAK 27000 54,000
ISI STEPLES 5 PAK 2500 12500

23 14/3/2017 ROL PAPER 1 PAK 70000 70000

PITA ETIKET 5
TRIGONAL KLIP 2 PAK 2500 5000
ROL PAPER 1 PAK 70000 70000
KERTAS F4 1 RIM 30000 30,000

10/3/2017 KERTAS A4 2 RIM 28500 57000

KERTAS F4 1 RIM 30000 30000
PENGGARIS 1 BUAH 2000 2000

14/3/2017 AMLOP KECIL 2 PAK 12000 24,000

PULPEN 1 PAK 8330 8330

14/3/2017 BINER KLI 155 1 PAK 8400 8400

TRIGONAL 1 PAK 2500 2500
KERTAS A4 1 RIM 28500 28,500
EPSON TINTA BLAK 664 2 PCS 90000 180,000
PULPEN MERAH 1 BUA 1416 1416
LEM 1 BUH 2500 2500
BINDEX 2 BUAH 20000 40000

17/3/2017 MAP PLASTIK DAICI 2 PAK 27000 54000

17/3/2017 KERTAS ROLL PAPER 1 PAK 70000 70000

21/3/2017 KERTAS WARNA BIRU A4 1 RIM 50000 50000

ISI STEPLES 20 PAK 2500 50000

21/3/2017 KERTAS A4 2 RIM 28000 56000

PULPEN 2 BUAH 1416 2832
PENSIL 1 BUAH 3000 3000
HEKTER 1 BUAH 13000 13000
ISI HEKTER 2 PAK 2500 5000
BINDER KLIP 155 1 PAK 8400 8400
PENGGARIS 1 BUAH 2000 2000
BINER KLIP 111 1 PAK 4000 4000

21/3/2017 CONTINUS FROM 3 PLY 1 DUS 320000 320,000

 FASTENER 1 PCS 10000 10000
P0SIT 3 PAK 10000 30000

21/3/2017 SPIDOL WIT BOAR 1 BUAH 6750 6750

21/3/2017 KERTAS PRINTER 3 PLY 1 PAK 70000 70000

PULPEN ETIKET 1 BUAH 3500 3500
TIPX 1 BUAH 5500 5500

21/3/2017 KERTAS A4 3 RIM 28000 84000

KERTAS F4 3 RIM 30000 90,000

21/3/2017 CONTINUS 2 PLY 1 DUS 290000 290000

RIBON BLAK/HP NILION 2 PCS 90000 180000

21/3/2017 BINDEX 3 BUAH 20000 60000

BINDER KLIP 107 1 PAK 8400 8400

21/3/2017 POKET PLSTIK 10 PAK 17000 170000

BINDEX DUDUK 3 BUAH 20000 60000
21/3/2017 ISI HEKTER 5 PAK 2500 12500
KERTAS 2 RANGKAP 1 PAK 65000 65000
PULPEN MEJA 2 BUAH 6000 12000

21/3/2017 AMLOP BESAR 1 PAK 15000 15000

PULPEN 1 BUAH 1416 1416
BUKU PANJANG 1 BK 12000 12000
ISI PULPEN 1 PAK 8330 8330

21/3/2017 BUSINES FILE 1 PAK 27000 27000

SPIDOL PERMANEN 1 BUAH 6750 6750
BUKU QUATO BESAR 1 BK 30000 30000
PULPEN 1 BUAH 1416 1416

27/3/2017 PULPEN HITAM 2 BUAH 1416 2832

KERTAS 2 PLY 1 PAK 65000 65000

27/3/2017 KERTAS 3 PLY 1 PAK 70000 70000

PULPEN 2 BUAH 1416 2832
PULPEN MERAH 2 BUAH 1416 2832
TOM &JERY 1 PAK 10000 10000

27/3/2017 KERTAS A4 2 RIM 28000 56000

F4 1 RIM 30000 30000
ISI PULPEN 1 PAK 8330 8330
PENGGARIS 1 BUAH 2000 2000
ISI STEPLES 2 PAK 2500 5000
 27/3/2017 MAP TOP MAP 1 PAK 35000 35000
MAP SNIL 1 PAK 32500 32500
PENGGARIS BESI 1 BUAH 15000 15000

31/3/2017 KERTAS A4 2 RIM 28500 57000

KERATS F4 2 RIM 30-000 60000
TIRAI 3 SUSUN 1 BUAH 75,000 75,000
31/3/2017 KERTAS 3 RANGKAP 1 PAK 70000 70000
TINTA PRIN KASIH 5
TINTA ETIKET 5

31/3/2017 KALKULATOR 1 BUAH 50000 50000

PULPEN 2 BUAH 1416 2832
PENSIL 3 BUAH 2000 6000
POSIT 1 PAK 10000 10000
BINDEX 1 DUS 200000 200,000
AMLOP MITRA 1 PAK 50000 50000
31/3/2017 TUSUKAN NOTA 2 BUAH 8000 16000
PEN MEJA 2 BUAH 7000 14000
MAP BENING UNGU 20 LEMBAR 2700 54000
31/3/2017 MAP L BENING 20 LEMBAR 2700 54000
KERATAS A4 2 RIM 28000 56000
AMLOP MITRA 1 PAK 50000 50000

31/3/2017 PULPEN MEJA 1 BUAH 7000 7000

PUPEN 1 BUAH 1416 1416

Data Pemakaian / Pengambilan ATK

BULAN APRIL 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 4/4/2017 MAP 1 PAK 32500 32500

2 4/4/2017 PULPEN BIRU 4 BUAH 1416 5664

ISI STEPLES 10 PAK 2500 25000
AMLOP KECIL 2 PAK 13000 26000
AMLOP BESAR 2 PAK 15000 30000
 3 4/4/2017 KERTAS A4 1 RIM 28000 28000
KERTAS F4 1 RIM 30000 30000
KERTAS WARNA 1 RIM 50000 50000

4 4/4/2017 BINDEX BERDIRI 4 BUAH 30000 120,000

ISI PULPEN 1 PAK 8330 8330

5 4/4/2017 PULPEN 2 BUAH 1416 2832

6 4/4/2017 TOM&jeri 5 pak 10000 50000

7 4/4/2017 KERTAS WARNA 1 RIM 50000 50000

STEPLES 5 PAK 2500 12500

7 4/4/2017 KALKULATOR 1 BUAH 50000 50,000

8 4/4/2017 CLER HOLDER 100 PCS 3500 350000

KERTAS F4 2 RIM 30000 60000
KERTAS A4 2 RIM 28000 56000

9 4/4/2017 KERTAS 2 PLY 1 PAK 60000 60000

TRIGONAL KLIP 1 PAK 2500 2500

10 4/4/2017 AMLOP COKLAT 3 PAK 30000 90000

11 7/4/2017 CONTINUS FROM 3 RANGKAP 1 DUS 330,000 330,000

BINDER CLIP 101 2 PAK 4800 8600
KERTAS A4 2 RIM 28500 57000
KERTAS F4 1 RIM 30000 30000
ISI HEKTER 2 PAK 2500 5000
PENSIL 1 BUAH 3700 3700

12 7/4/2017 CONTINUOS FROM 2 PLY 1 DUS 220,000 220,000

ISI TINTA PRINTER 308/HP 1 PCS 90000 90000

13 7/4/2017 KERTAS STRUK 2 PLY 1 PAK 75000 75000

POS IT 5 PAK 10000 50,000
PULPEN ETIKET 1 BUAH 6000 6000
PITA PRINTER KASIH 2

14 7/4/2017 ISI PULPEN 1 PAK 8330 8330

15 7/4/2017 HVS A4 2 RIM 28500 57000

HVS F4 2 RIM 30000 60000

16 10/4/2017 BUKU QUARTO BESAR 1 BK 30000 30,000

17 11/4/2017 KERTAS PRIN 2 PLY 2 PAK 60000 120,000

18 11/4/2017 KERTAS A4 2 RIM 28500 57,000

KERTAS F4 2 RIM 30000 60,000
ISI STEPLES 2 PAK 2500 5,000
PULPEN 2 BUAH 1416 2,832

19 11/4/2017 PULPEN 2 RANAP 1416 2,832

20 12/4/2017 BUKU 1 BK 8000 8,000

KERTAS STRUK 75*65 2 PLY 2 PAK 60000 120,000
TRIGONAL KLIP 2 PAK 2500 5,000
BINDER KLIP 155 2 PAK 8400 16,800

12 12/4/2017 AMLOP KECIL 1 PAK 12000 12,000

AMLOP BESAR 1 PAK 15000 15,000
BINDEX 717 3 BUAH 20000 60,000

13 11/4/2017 AMLOP COKLAT F4 2 PAK 30000 60,000

PENGGARIS 1 BUAH 2000 2,000
TRIGONAL KLIP 1 PAK 2500 2,500
PENGHAPUS 1 BUAH 2000 2,000
PENSIL 1 BUAH 2000 3,700

14 17/4/2017 FASTENER 2 PCS 14000 28,000

AMLOP KECIL 2 PAK 12000 24,000
PULPEN MEJA 1 BUAH 8000 8,000

15 17/4/2017 LEM GLU STIK 1 BUAH 3500 3,500

PENGSESRUT 1 BUAH 3000 3,000

16 17/4/2017 MAP LPSTIK 5 PAK 17000 85,000

PLASTIK DAICI 2 PAK 37000 64,000
BINDEX BESAR 3 BUAH 20000 60,000

17 17/4/2017 CONTINOUS FROM 3 PLY 1 DUS 320,000 320,000

BINDER KLIP 155 4 PAK 8400 33,600

18 17/4/2017 ISI PULPEN 1 PAK 8333 8,333

PULPEN 1 BUAH 1416 1,416

19 17/4/2017 ISI HERTER 2 PAK 2500 5,000

PULPEN 2 BUAH 1416 2,832

20 17/4/2017 AMLOP BESAR 1 PAK 15000 15,000

SPIDOL PERMANEN 1 BUAH 6750 6,750
 PENSIL BLUE REED 1 BUAH 3000 3,000

21 17/4/2017 LABEL KASIH 4 GOLONG

22 17/4/2-017 KERTAS t & JERY 10 PAK 10000 100000

23 19/4/2017 TIPEX 1 BUAH 5750 5750

ISI PULPEN 1 PAK 8330 8330

24 19/4/2017 KWITASI 5 BK 2000 10000

POST IT 2 PAK 10000 20,000

25 19/4/2017 BINDEX 1 BUAH 20000 20000

BUSINES FILE 1 BUAH 2700 2700
KERTASA4 1 RIM 28500 28500
26 21/4/2017 AMLOP KECIL 2 PAK 15000 30,000
STEPLES 1 BUAH 15000 15000
PULPEN BIRU 4 BUAH 1416 5664
BOX FILE 2 BUAH 20000 40000

27 18/4/2017 BINDEX DUDUK 1 PAK 240000 240,000

KERTAS A4 3 RIM 28500 85500
KERTAS F4 3 RIM 30000 90000
KERTAS FAX KECIL 5G
AKRIRIK 3 RANGKAP 2 PCS 40000 80000
LABEL 5G

28 25/4/2017 PULPEN MEJA 2 BUAH 8000 16000

PULPEN HITAM 4 BUAH 1416 5664

29 25/4/2017 NOTE MARK 2 PAK 10000 20000

SPIDOL PERMANEN 2 BUAH 5750 15000
KERTAS F4 3 RIM 30000 120,000
BINDEX DUDUK 15 BUAH 20000 300000
KERTAS WARNA 2 RIM 50000 100000
STROFOM 1 BUAH 5000 5000

30 25/4/2017 KERTAS PRINTER 3 PLY 2 PAK 70000 140,000

PULPEN SNWMAN 1 BUAH 6000 6000
KERTAS KASIH 5G

31 25/4/2017 BINDEX UNGU 5 BUAH 30000 150000

AKRIRIK 3 SUSUN 2 BUAH 75000 75000

32 25/4/2017 AMLOP BESAR LOGO 1 PAK

AMLOP KECI LOGO 1 PAK
SPILDOL PERMANEN 1 BUAH 5750 5750
 BUKU BESAR 1 BK 30000 30000
BUKU PANJANG 1 BK 15000 15000

MAP PLASTIK DAICI 1 PAK 27000 27000

Data Pemakaian / Pengambilan ATK

BULAN MEI 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 1/5/2017 KERTAS F4 2 RIM 30000 60000

2 2/5/2017 MAP DAICI 2 PAK 30000 60000

TINTA YAMURA 1 BOTOL 8000 8000
KERTAS A4 1 RIM 30000 30000

3 2/5/2017 KERTAS PRIN 2 PLY 1 PAK 70000 70,000

4 2/5/2017 PULPEN 2 BUAH 1416 2832

BUKU KWRTO PANJANG 1 BK 12000 12000
BUKU KWRTO KECIL 1 BK 8000 8000
KERTAS A4 1 RIM 27000 270,000
PENGGARIS 1 BUAH 2000 2000
SPIDOL MARKER 1 BUAH 6750 6750
TIPX 1 BUAH 5750 5750
STABILO 1 BUAH 8000 8000

5 2/5/2017 KERTAS A4 6 RIM 27000 162000

KERTASF4 6 RIM 30000 180000
BINDEX DUDUK 20 BUAH 20000 400000

6 3/5/2017 ISI HEKTER NO 10 2 PAK 2500 5000

STABILO 1 BUAH 8000 8000
BINDER KLIP 155 1 PAK 8400 8400
PULPEN 3 BUAH 1416 4248
KERTAS f4 1 RIM 30000 30000
TEMPAT KARTU NAMA 1 BK 70000 70000

7 3/5/2017 SPIDOL PERMANEN 1 BUAH 6750 6750

 8 3/5/2017 PULPEN 4 BUAH 1416 5264
STABILO 2 BUAH 8000 16000
AMLOP KECIL 2 PAK 12000 24,000
TIPX 1 BUAH 5750 5750
BUKU BESAR 1 BK 30000 30000

9 3/5/2017 BUKU BESAR 3 BK 30000 90000

BUKU KWATO PANJANG 2 BK 12000 24,000
PULPEN 3 BUAH 1416 4248

10 3/5/2017 BUKU KWARTO BESAR 1 BK 30000 30000

POSIT 1 PAK 10000 10,000
SPIDOL PERMANEN + 1 BUAH 6750 6750
STABILO 1 BUAH 8000 8000
STEROPON BUSA 1 BUAH 10000 10,000
PULPEN 2 BUAH 1416 2832
ISI HEKTER 1 PAK 2500 2500
MAP PLASTIK ISI 100 1 BUAH 3000 3000

11 3/5/2017 SPIDOL PERMANEN 1 BUAH 6750 6750

SPIDOL MARKERT 1 BUAH 6750 6750
STABILO 1 BUAH 8000 8000
PULPEN 2 BUAH 1416 2832

12 3/5/2017 CLER HOLDER 1 BUAH 30000 30,000

PULPEN 1 BUAH 1416 1416

13 4/5/2017 PULPEN 2 2 BUAH 1416 2832

KETAS A4 1 RIM 27000 27000
KERTAS f4 1 rim 30000 30,000
lem 1 BUAH 5000 5000
ISI PULPEN 1 PAK 2888 2888

14 4/5/2017 KERTAS PRIN 1 PAK 70000 70000

15 8/5/2017 TINTA KUNING 1 PCS 90000 90000

LEM 1 BUAH 5000 5000
ISI STEPLES 1 PAK 2500 2500

16 9/5/2017 KERTAS f4 2 RIM 30,000 60,000

KERTAS A4 2 RIM 27000 54,000

17 9/5/2017 KERTAS KASIR 1 PAK 70000 70,000

ISI PRIN EPSON STRUK 2 PCS 90000 180,000
ISI PITA EPSON L*310 2 PCS 30000 60,000
 TIPX 1 BUAH 5750 5,750
ISI PULPEN 1 PAK 2888 2,888

18 9/5/2017 KERTAS A4 1 RIM 27000 27,000

BUSINES FILE 3 BUAH 3500 10,500
MAP DAICI 6 BUAH 1700 10,200
PPPOKET PLASTIK 20 PAK 17000 340,000
BINDX DUDUK 8 BUAH 20000 160,000
CLER HOLDER ISI 1 BUAH 30000 30,000
NOT MART 3 PAK 10000 30,000
POS IT 5 PAK 10000 50,000
PEMBATS BUKU 5 PAK 30000 150,000

20 9/5/2017 KERTAS A4 4 RIM 27000 108,000

KERTASF4 2 RIM 30000 60,000
BINDX 2 BUAH 20000 40,000

21 11/5/2017 KERTAS f4 1 RIM 30000 30,000

PULPEN 1 BUAH 1416 1,416
TRIGONAL KLIP 1 PAK 2500 2,500

22 12/5/2017 BINDEX DUDUK 1 BUAH 20000 20,000

PO SIT 1 PAK 10000 10,000
CLERHOLDER ISI 1 BUAH 30000 30,000

23 12/5/2017 BUKU TULIS KWRTO KECIL 4 BK 8000 32,000

PULPEN ETIKET 1 BUAH 8000 8,000
KERTAS PRIN 1 PAK 70000 70,000

24 13/5/2017 MAP SEA/MAP KARYAWAN 2 BUAH 8500 17,000

KERTAS 4 3 rim 27000 108,000
KERTAS F4 3 rim 30000 90,000

25 15/5/2017 HEKTER 1 BUAH 12000 12,000

LEM 1 BUAH 5000 5,000
BINDEX DUDUK 2 BUAH 20000 40,000
POKET PLSTIK 1 PAK 17000 17,000
PEMBATAS 1 PAK 30000 30,000

26 15/5/2017 FASTENER 2 PAK 15000 30,000

POSIT 2 PAK 10000 20,000
KERTAS A4 1 RIM 27000 27,000
KERTAS F4 1 RIM 30000 30,000

27 15/5/2017 BINDEX DUDUK 1 BUAH 20000 20,000

BUSINES FILE 2 BUAH 3500 7,000
28 15/5/2017 BINEDX DUDUK 4 BUAH 20000 80000
TINTA WARNA 4 PCS 90000 270000
BUSINES FILE 1 BUAH 3500 3500
PENGHAPUS 1 BUAH 2000 2000
SPIDOL 1 BUAH 6750 6750

29 15/5/2017 PULPEN 2 BUAH 1416 2832

LEM 1 BUAH 5000 5000
KERTA FAX 2G
ISI HEKTER 4 PAK 2500 10000
KERTAS A4 4 RIM 27000 108000
ISI ULANG PULPEL 1 PAK 2888 2888
POS IT 4 PAK 10000 40,000
PULPEN MEJA 2 BUAH 8000 16,000
MAP KARYAWAN 6 BUAH 8500 51000
PP POKET 2 PAK 17000 34000

30 15/5/2017 MAP KARYAWN 6 BUAH 8500 51000

PP POCKET 2 PAK 17000 34000

31 15/5/2017 PULPEN 2 BUAH 1416 2832

KERTAS A4 1 RI 27000 27000
KERTAS F4 1 RIM 30000 30,000

32 15/5/2017 KERTAS A4 1 RIM 27000 27000

33 15/5/2017 AMLOP KECIL 2 PAK 12000 24,000

ISI PULPEN 1 PAK 2888 2888
NOT MART 3 PAK 10000 30000
SPIDOL PERMANEN 1 BUAH 6750 6750
PULPEN MEJA 1 BUAH 8000 8000

34 17/5/2017 KERTAS A4 1 RIM 27000 27000

KERTAS A4 2 RIM 27000 54000
KERTAS F4 2 RIM 30000 60000

35 17/5/2017 BINDEX 1 BUAH 20000 20000

36 17/5/2017 BUKU KWRTO PANJANG 1 BK 12000 12000

PENGGARIS 1 BUAH 2000 2000
PULPEN ETIKET 1 BUAH 8000 8000
MAP KARYAWAN 3 BUAH 8500 25500
PP POKET 2 PAK 17000 54000
37 17/5/2017 KERTAS A4 5 RIM 27000 135000
KERTAS F4 5 RIM 30000 150000
MAP KARYAWAN 6 PAK 85000 510000
PP POCKET 50 PAK 17000 850,000

38 18/5/2017 KERTAS A4 2 RIM 27000 54000

KERTAS F4 2 RIM 30000 60000
BINDEK DUDUK 20 BUAH 20000 400000
TINTA WARNA 4 PCS 90000 360000

39 22/5/2017 PEMBOLONG 1 BUAH 50000 500,000

LEM 1 BUAH 5000 5000
PENSIL 1 BUAH 2000 2000
PENGHAPUS 1 BUAH 2000 2000
SERUTAN 1 BUAH 2000 2000

40 17/5/2017 MAP DAICI 1 PAK 27000 27000

BUNDEX BESAR 3 BUAH 20000 60000

41 22/5/2017 CONTINUS 2 PLY 1 DUS 220000 220,000

ISI STEP ES 2 PAK 2500 5000

42 22/5/2017 PULPEN 5 BUAH 1416 7080

POS IT 3 PAK 10000 30,000
TRIGONAL KLIP 2 PAK 2500 5000
BINER KLIP 155 1 PAK 8400 84000
ISI HEKTER 1 PAK 2500 2500

43 24/5/2017 PULPEN 3 BUAH 1416 4248

44 22/5/2017 ISI STEPLES 5 PAK 2500 12500

KERTAS PRINTER 2 RANGKAP 1 PAK 70000 70000
KERTAS HVS A4 1 RIM 27000 27000

45 26/5/2017 CONTINUS FROM 1 RIM 320,000 320,000

46 30/5/2017 POSIT 1 PAK 10000 10,000

LEM 1 BUAH 5000 5000
PULPEN 2 BUAH 1416 2,832

HVS F4 1 RIM 30000 30,000

HVS A4 1 RIM 27000 27,000

47 31/5/2017 ISI HEKTER 6 PAK 2500 15,000

TRIGONAL KLIP 1 PAK 2500 2,500
KERTAS A4 2 RIM 27000 54,000
KERTAS F4 1 RIM 30000 30,000
 48 31/5/2017 KERTAS PRIN 1 PAK 70000 70,000
ISI STEPLES 5 PAK 2500 12,500

49 31/5/2017 KERTAS PRIN 2 PAK 70000 140,000

KETRAS ETIKAET 5G
TINTA PITA 3G 30000 90,000
TINTASTRUK OBAT 3G 15000 45000

Data Pemakaian / Pengambilan ATK

BULAN JUNI 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 1/JUNI/2017 TRIGONAL KLIP 111 1 PAK 5000 5000
KERTAS A4 2 RIM 27000 54000
KERTAS F4 1 RIM 30000 30,000
ISI STEPLES 5 PAK 1250 6250
2 1/JUNI/2017
ISI STEPLES 6 PAK 1250 7500
KERTAS 2 PLY STRUK 1 PAK 60000 60,000

3 1/6/2017 KERTAS 2 PLY 2 PAK 60000 120,000

KERTAS ETIKET 5 ROLL 10000 50000
TINTA ETIKET 3G
TINTA PRINTER STRUK

4 1/JUNI/2017 PAPAN UJIAN 5 BUAH 5000 25000

MAP PLASTIK DAICI 1 PAK 30000 30,000

5 2/JUNI KERTAS F4 2 RIM 30000 60,000

KERTAS A4 2 RIM 27000 54,000
HEKTER 1 BUAH 13000 13,000

6 3/6/2017 ISI PULPEN 1 PAK 8333 8,333

4 3/JUNI/2017 TINTA ETIKAET 1G

 5 5/6/2017 TINTA EPSON 664 BLAK 2 PCS 95000 190000
TINTA EPSON 664 BIRU 1 PCS 90000 90000
TINTA EPSON 664 KUNING 1 PCS 90000 90000
TINTA EPSON 664 PING 1 PCS 90000 90000

6 5/JUNI/2017 ISI PULPEN 1 PAK 8333 8333

7 5/6/2017 CONTINUS FROM 3 PLY 1 BOX 330,000 330,000

8 5/6/2017 KWITASI BIASA 1 BK 2000 2000

9 5/6/2017 KERTAS TOM&JERY 1 PAK 10000 10000

10 6/6/2017 AMLOP KECIL MITRA 2 PAK 28000 56000

STABILO 2 BUAH 8000 16000
SEPIDOL BOTMARKER 1 BUAH 6250 6250

11 7/6/2017 AMLOP COKLAT F4 2 PAK 30000 60000

AMLOP COKLAT UANG 1 PAK 15000 15000
BINDER KLIP NO 155 1 PAK 8400 8400
PULPEN 1 BUAH 1416 1416

12 12/6/2017 KERTAS PRIN 3 RANGKAP 1 PAK 70000 70,000

13 12/6/2017 PITA L 2 BUAH 10000 20000

14 12/6/2017 HVS A4/F4 2 RIM 28000 56000

HVSF4 2 RIM 30000 60000
SPIDOL 3 BUAH 6250 6250
PULPEN 2 BUAH 1416 2832

15 13/6/2017 DATA INK BLAK REFILL 1 BUAH 70000 70000

16 13/6/2017 BINDER CLIP 155 1 PAK 8400 84000

BINDER KLIP 111 1 PAK 2500 2500
PULPEN 4 BUAH 1416 5664
17 13/6/2017 KERTAS A4 1 RIM 28000 28000

18 13/6/2017 PULPEN 2 BUAH 1416 2832

AMLOPKECIL 1 PAK 12000 12000
RAK TRAI 1 BUAH 70000 70000

19 14/6/2017 KERTAS FAX 5G

LABEL 3G
PITA LABEL 3G
BINDEX DUDUK 20 BUAH 20000 400000
KERTAS WARNA 1 RIM 50000 50000
20 14/6/2017 CONTINUS 2 PLY 1 BOX 220,000 220,000
TIPX 1 BUAH 5000 5000

21 14/6/2017 AMLOP BESAR MITRA 1 PAK 38000 38000

KERTAS 2 PLY 1 PAK 70000 70000
TRIGONAL KLIP 3 PAK 2500 7500
ISI PULPEN 1 PAK 8333 8333

22 14/6/2017 BUSINES FILE 2 BUAH 2500 5000

23 14/6/2017 TINTA EPSON 664 1 PCS 95000 95,000

24 14/6/2017 KERTAS PPRIN 1 PAK 70000 70000

PULPEN ETIKET 2 BUAH 7000 14000

25 15/6/2017 KERTAS A4 2 RIM 28000 56,000

KERTASFA 2 RIM 30000 60,000
PULPEN 2 BUAH 1416 2832
PULPEN MEJA 1 BUAH 8000 8000

26 16/6/2017 LABEL TOM JERY 2 PAK 10000 20000

27 22/6/2017 BUKU QUARTO PANJANG 1 BK 12000 12,000

BUKU QUARTO KECIL 1 BK 8000 8000
SPIDOL PERMANEN 2 BUAH 6750 13500

28 22/6/2017 AMLOP KECIL MITRA 1 PAK 28000 28,000

TREY 3 SUSUN 2 BUAH 80000 160,000

29 23/6/2017 TRIGONAL KLIP 1 PAK 2500 2500

PULPEN 2 BUAH 1416 2832

30 23/6/2017 KERTAS A4 1 RIM 28000 28000

KERTAS F4 1 RIM 30000 30,000
KERTAS PRINTER 3G

31 23/6/2017 PAS PANDING FILE 1 PCS 50000 50,000

32 22/6/2017 BUKU QUQRTO PANJANG 1 BK 12000 12,000

BUKU QUARTO KECIL 1 BK 8000 8000

33 23/6/2017 ACCO PLASTIK FASTENER 2 PAK 15000 30000

POSIT 5 PAK 10000 50000
KERTAS PRIN 2 PAK 60000 120000

34 23/6/2017 KERTAS A4 4 RIM 28000 112000

 KERTAS F4 2 RIM 30000 60000
BINDEX UNGU 25 BUAH 20000 500000

35 23/6/2017 BINDEX 717 14 BUAH 30000 420000

PENSIL 1 BUAH 2000 2000
BINDER CLIP 155 1 PAK 5000 5000
BINDER CLIP 127 1 PAK 6000 6000
MAP SEAGULL 1 PAK 20000 20,000

36 29/6/2017 BINDEX UNGU 10 BUAH 20000 200000

Data Pemakaian / Pengambilan ATK

BULAN JULI 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 3/JULI/2017 CONTINUS 3 PLY 9,5*11 1 DUS 330000 330,000
ISI HEKTER 3 PAK 2500 7500
PENGHAPUS 1 BUAH 2000 2000
CONTINUS 2 PLY 1 DUS 220000 220,000

2 4/7/2017 SPIDOL 1 BUAH 6750 6750

GUNTING 1 BUAH 5000 5000

PENGGARIS 1 BUAH 2000 2000

3 4/7/2017 KERTAS A4 2 RIM 27000 54,000

PENSIL 1 BUAH 2500 2500

4 4/7/2017 KERTAS a4 2 RIM 27000 54000

kertas F4 2 RIM 30000 60000

5 4/7/2017 BANTEX 7 BUAH 20000 140000

STABILO 2 BUAH 8000 16000
SPIDOL MARKET 2 BUAH 6750 13500
PULPEN 4 BUAH 1416 5664

6 4/7/2017 BUSINES FILE 1 PAK 35000 35000

7 4/7/2017 BUSINES FILE 5 PAK 3500 17500

8 5/JULI/2017 BINDEX DUDUK 10 BUAH 20000 200000

PULPEN 2 BUAH 1416 2832

9 7/JULI/2017 BUKU BESAR 1 BK 32000 32000

 PULPEN 3 BUAH 1416 4248
BUKU KECI QUARTO 1 BK 8000 8000

10 7/JULI/2017 CONTINUS 3PLY 1 DUS 320000 320000

POS IT 2 PAK 10000 20000

11 10/JULI/2017 KERTAS F4 3 RIM 30000 210000

ISI STEPLESNO 10 5 PAK 2500 12500
LABEL 3G

12 12/JULI/2017 AMLOP MITRA KECIL 1 PAK 28000 28000

MAP DAICI 5 PAK 25000 125000
ISI HEKTER 1 BOX 25000 25,000
BINDEX 5 BUAH 20000 100000
STABILI0 2 BUAH 8000 16000

13 13/JULI/2017 STABILO 1 BUAH 8000 8000

ISI HEKTER 1 PAK 2500 2500
KERTAS A4 1 RIM 28000 28000
PENGHAPUS 1 BUAH 2000 2000
PULPEN 2 BUAH 1416 2832
ISI TINTA YAMURA 1 PCS 8000 8000
BINDER CLIP 111 1 PAK 2500 2500
TRIGONAL KLIP 1 PAK 2500 5000

14 13/JULI/2017 PENGGARIS 1 BUAH 2000 2000

PULPEN 2 BUAH 1416 2832
LEM 1 BUAH 5000 5000
AMLOP KECIL MITRA 2 PAK 28000 56000
AMLOP BESAR MITRA 2 PAK 32000 64000
KWITANSI 5 BK 2000 10000
ISI STPLES 5 PAK 2500 12500
KERTAS 2 PLY 1 PAK 60000 60000

15 13-Jul-17 KERTAS ETIKET 6G

POS IT 3 PAK 10000 30000

16 13/JULI/2017 SPIDOLMARKET 3 BUAH 6750 20250

BUSINES FILE 3 BUAH 3500 10500
BINDEX 1 BUAH 20000 20000

17 13/JULI/2017 CLER HOLDER 30 PAK 35000 105,000

PUSPIN 1 PAK 10000 10000
BINDEX DUDUK 20 BUAH 20,000 400000
STEPLES NO 10 4 PAK 2500 10000
PULPEN 2 BUAH 1416 2832
BUSINES FILE 5 LEMBAR 3500 17500
20 13/JULI/2017 POS IT 3 PAK 10000 30,000
ISI HEKTER 3 PAK 2500 7500
TINTA YAMURA 1 PCS 8000 8000
TIPX 1 BUAH 5500 5500
PULPEN 1 BUAH 1416 1416
KERTAS 2 PLY 1 PAK 60000 60000
CONTINUS 3 RANGKAP 1 DUS 320,000 320000
AMLOP MITRA 2 PAK 28000 56000

21 13/JULI/2017 KERTAS A4 3 RIM 28000 84,000

KERTAS F4 3 RIM 30000 90,000
KERTAS FAX 2 BUAH 25000 50000
POS IT 2 PAK 10000 20,000
BINDEX 10 BUAH 20000 200,000
CONTINUS FROM 2 PLY 1 DUS 220000 220,000

22 17/JULI/2017 KERTAS 2 PYL 1 PAK 60000 60,000

BUKUQUARTO 1 BK 8000 8,000
BUKU QUARTO PANJANG 1 BK 12000 12,000
PULPEL ETIKET 1 BUAH 8000 8,000
TIPX 1 BUAH 5500 5,500

23 18/JULI/2017 SPIDOL 1 BUAH 5750 5,750

PULPEN 3 BUAH 1416 4,248

24 18/JULI/2017 SIDU WARNA 2 RIM 50000 100,000

ERC 38 PRINTEC 2 BUAH 30000 60,000

25 18/JULI/2017 BUKU POLIO PANJANG 2 BK 16000 32,000

26 24/JULI/2017 KERTAS A4 2 RIM 27000 54,000

KERTAS F4 2 RIM 30000 60000

27 24/JULI/2017 TINTA BLAK 2 PCS 95000 190000

STEPLES 2 PAK 13000 26000
ISI STEPLES 4 PCS 2500 10000
KERTAS A4 4 RIM 27000 108000

28 21/JULI/2017 KERTSA 2 PLY PRIN 2 PAK 60000 120000

29 25/JULI/2017 BUKU QUARTO KECIL 1 BK 8000 8000

30 31/JULI/21017 KERTAS PRINTER 3G 11000 33000

31 27/JULI/2017 BINDER KLIP 111 5 PAK 2500 12500

KERTAS A4 2 RIM 27000 54000
 KERTAS 2 PYLY 1 PAK 60000 60000
TINTA PRINTEE EPSON 4 PCS 30000 120000

32 17/JULI/2017 CONTINUS 2 PLY 1 BOX 220000 220,000

STEPLES 2 BUAH 13000 26000

33 27/JULI/2017 AMLOP BESAR 1 PAK 30000 30000

AMLOP KECIL 1 PAK 27000 27,000

34 27/JULI/2017 PENSIL 1 BUAH 2000 2000

PULPEN 1 BUAH 1416 1416
ISI HEKTER 3 PAK 2500 7500
POS IT 1 PAK 10000 10000
BINDER CLIP 111 2 PAK 2500 5000

35 31/JULI/2017 MAP DAICI 1 PAK 30000 30,000

36 31/JULI/2017 PPOKET 2 PAK 15000 30000
MAP TEBAL PPKET 2 BUAH 15000 30000

37 31,JULI/2017 TRIGONAL KLIP 2 PAK 2500 5000

BUSINES FILE 2 LEMBAR 2500 5000

38 31/JULI/2017 KETRAS 2 PLY 1 PAK 60000 60,000

POS IT 1 PAK 10000 10000
TOM JERY 1 PAK 10000 10000
PENGGARIS 1 BUAH 2000 2000

39 31/JULI/2017 TOM& JERY 1 PAK 10000 10000

SPIDOL PERMANEN 2 BUAH 6750 13500

Data Pemakaian / Pengambilan ATK

BULAN AGUSTUS 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 1/8/2017 KERTAS A4 3 RIM 27000 81000
STABILO 1 BUAH 8000 8000
PENSIL 2 BUAH 2000 4000
ISI PULPEN 1 PAK 8333 8333

2 2/8/2017 POSIT 1 PAK 10000 10000

 KERTAS A4 2 RIM 27000 54000
KERTAS F4 1 RIM 30000 30000

2 2/8/2017 KERTAS PRIN 2 PLY 1 PAK 60000 60,000

3 3/8/2017 TINTA EPSON BLAK 1 PCS 95,000 95,000

TINTA EPSON MAGETA 1 PCS 90000 90000

4 3/8/2017 KERTAS PRIN 3G 11,000 33,000

5 3/8/2017 TRIGONAL KLIP 1 PAK 2500 2500

ISI PULPEN 1 PAK 8333 8333
ISI HEKTER 1 PAK 2500 2500

6 3/8/2017 CLIP 260 10 PAK 8400 84000

BINDEK 1 BUAH 20000 20000
BINDEK SEA GOOL 2 BUAH 20000 40000
PP POKET 2 PAK 17000 34,000
TRIGONAL KLIP 1 PAK 2500 2500
T*JERY 1 PAK 10000 10000
STABILO 1 BUAH 8000 8,000
PULPEN 2 BUAH 1416 2832
KERTAS A4 1 RIM 27000 27000
3 3/8/2017 PULPEN 4 BUAH 1416 5664
STABILO 2 BUAH 8000 16000
AMLOP KECIL 2 PAK 12000 24000
SPIDOL MARKER 1 BUAH 6750 6750

4 3/8/2017 CONTINUS FROM 3 PLY 1 BOX 320000 320,000

5 4/8/2017 SPIDOL MARKER 2 BUAH 6750 13000

6 5/8/2017 PULPEN 2 BUAH 1416 2832

BUKU QUARTO KECIL 2 BK 8000 16000

7 5/8/2017 PAPER ROLL/PRIN 1 PAK 60000 60000

CONTINUS 2PLY 1 BOX 220000 220,000
PULPEN MEJA 2 BUAH 8000 16000

8 5/8/2017 KERTAS PRIN 1 PAK 60000 60000

9 5/8/2017 KERTAS A4 2 RIM 27000 54000

KERTS F4 2 RIM 30000 60000

10 7/8/2017 KERTAS A4 2 RIM 27000 54000

ISI PULPEN 1 PAK 8333 8333
11 7/8/2017 BINDEX DUDUK 15 BUAH 20000 300,000
KERTAS F4 3 RIM 30000 90000
KERTAS A4 3 RIM 27000 54000

12 7/8/2017 TRIGONAL 1 PAK 2500 2500

13 8/8/2017 AMLP COKLAT A4 2 PAK 30000 60000

POS IT 2 PAK 10000 20000

14 8/8/2017 ISI HEKTER 5 PAK 2500 12500

KERTASD PRIN 2 PLY 1 PAK 60000 60000
PULPEN 2 BUAH 1416 2832

15 9/8/2017 KERTAS WARNA 1 RIM 50000 50000

16 9/8/2017 SPIDOL 2 BUAH 6750 13000

ISI PULPEN 1 PAK 8333 8333
PULPEN 3 BUAH 1416 3232

17 9/8/2017 ISI HEKTER 10 PAK 2500 25000

18 9/8/2017 CONTINUS 2PLY 1 BOX 220000 220,000

19 9/8/2017 STEPLES 1 BUAH 13000 13000

ISI PULPEN 1 PAK 8333 8333
PRIN2 PLY 1 PAK 60000 60000
LEM 1 BUAH 5000 5000
BUKU BESAR TEBAL 1 BK 40000 40000
U BUKU KECL 1 BK 8000 8000

20 10/8/2017 TERMAL TRANFER 5G 11000 55000

LABEL 3G
ROL THERMAL 5G

21 11/8/2017 BUKU BESAR 1 BK 30000 30,000

22 11/8/2017 PULPEN 2 BUAH 1416 2632

STABILO 1 BUAH 8000 8,000
SPIDOL PERMANEN 1 BUAH 6750 6750

23 12/8/2017 KERTASD A4 3 RIM 27000 81000

KERTAS F4 1 RIM 320,000 32,000

24 12/8/2017 KERTAS PRIN 2 PLY 1 PAK 60000 60,000

25 14/8/2017 AMLOP KECIL 1 PAK 30000 30,000

26 14/8/2017 CONTINUS 3 PYL 1 BOX 320000 320,000
BINDEX 1 DUS 220000 220,000
MAP DAICI 1 PAK 27000 27,000
QUARTO KECIL 1 BK 8000 8,000
PENGGARIS 1 BUAH 2000 2,000

27 15/8/2017 HEKTER 1 BUA 13000 13,000

LEM 1 BUAH 2500 2,500

28 18/8/2017 KERTAS A4 2 RIM 27000 54,000

kertas f4 2 rim 32000 64,000
29 18/8/2017 ISI STEPLES 1 KOTAK 25000 25,000
BUKU TULIS 2 BK 2500 5000

30 21/8/2017 AMLOP KECIL 4 PAK 30000 120000

AMLOP BESAR 2 PAK 35000 70000
PULPEN 4 BUAH 1416 5,664
STABILO 4 BUAH 8000 36000
SPIDOL MARKER 1 BUAH 6750 6750

31 21/8/2017 PAPER CLIP 2 PAK 2500 7500

BINDER CLIP 2 PAK 4000 8000
CONTINUS 1 BOX 320000 320,000
POS IT 2 PAK 10000 20000
PENSIL 1 BUAH 2000 2000
ISI HEHTER 1 PAK 2500 2500
PULPEN 2 BUAH 1416 2832
BINDER CLIP 111 1 PAK 2500 2500

32 21/8/2017 KERTAS F4 2 RIM 32000 64000

KERTASA4 2 RIM 28000 56000

33 16/8/2017 KERTAS F4 3 RIM 32000 96000

KERTAS A4 3 RIM 27000 81000
BINDEX DUDUK 20 BUAH 20000 400000
KERTAS LOGO 1 RIM 50000 50000

34 18/8/2017 BINDEX 3 BUAH 20000 60000

35 18/8/2017 KERTAS FAX 1 BUAH 30000 30000

KERTAS A4 3 RIM 27000 81000
KERTAS F4 2 RIM 32000 64000

TELTRUK 3G 11000 33000

RIBON 4 BUAH 4 15000
PULPEN 6 BUAH 1416 8496
 LABEL 2G

25 21/8/2017 KERTAS ROL PAPER 1 PAK 60000 60000

TRIGONAL KLIP 2 PAK 2500 5000
BINDER KLIP SEDANG 3 PAK 6000 18000
POS IT 5 PAK 10000 50000
TIPX 1 BUAH 5750 5750

26 22/8/2017 KERTAS A4 2 RIM 27000 54000

TINTA PRIN BLAK 1 BUAH 95000 95000

27 24/8/2017 KERTAS A4 2 RIM 27000 54000

28 24/2017 TINTA ERC 4 BUAH 15000 60000

KERTAS PRINT 1 PAK 60000 60000
POS IT 2 PAK 10000 20000

29 24/8/2017 PULPEN 1 BUAH 1416 1416

KWITASI BIASA 1 BK 3000 3000
STABILO 2 BUAH 8000 16000
PENGHAPUS 1 BUAH 2000 2000
BINDER CLIP 107 1 PAK 4000 4000

30 25/8/2017 KERTAS A4 1 RIM 27000 27000

KRTASS F4 2 RIM 32000 64000
BINDEX DUDUK 20 BUAH 20000 400,000
KERATAS LOGO 1 RIM 50000 50000

31 25/8/2017 CONTINUSFOM 1 BOX 320000 320,000

BINER CLIP 5 PAK 5000 25000
ISI STEPLES 1 PAK 2500 2500
FASTENER/ACO 3 PAK 10000 30000
KERTAS A4 1 RIM 27000 27000
KERTAS F4 1 RIM 32000 32000
NOT MARTK 2 PAK 10000 20000

32 26/8/2017 KERTAS PRIN 1 PAK 60000 60000

KERTAS PRIN 1 PAK 60000 60000
TIPX 1 BUAH 5750 5750

33 28/2017 AMLOP KECIL MITRA 4 PAK 30000 120000

AMLOP BESAR 2 PAK 35000 70000
LEM 1 BUAH 5000 5000

34 28//8/2017 ISI PULPEN 1 PAK 3330 3330

SPIDOL PERMNEN 1 BUAH 5750 5750
 35 30/8/2017 PULPEN 3 BUAH 1416 2832
HEKTER 1 PAK 2500 2500

36 30/8/2017 LABEL 2G
KERTAS WARNA 2 RIM 50000 100000
KERTAS PRIN 2 BUAH 11000 22000
NOT MART 2 PAK 10000 20000
KERTAS A4 2 RIM 28000 56000
KERTAS F4 2 RIM 32000 64000

37 30/8/2017 KERTASA4 2 RIM 28000 56000

ISI HEKTER 4 PAK 2500 10000
POSIT 2 PAK 10000 20000
KERTAS FAX 1G 30000 30000
CONTINUS 2 PLY 1 BOX 230000 230000

Data Pemakaian / Pengambilan ATK

BULAN SEPTEMBER 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 2/9/2017 BUKU POLIO BESR 1 BK 30000 30000
POS IT 2 PAK 10000 20000
NOT MARK 2 PAK 10000 20000

2 4/9/2017 KERTAS PRIN 2 PAK 60000 120000

KERTAS ETIKET 5 ROL 30000 150000

3 4/9/2017 KERTAS PRIN 2 PAK 60000 120000

4 5/9/2017 KERTAS A4 2 RIM 28000 56000

KERTAS F4 2 RIM 32000 64000
SPIDOL PERMANEN 4 BUAH 6750 27000
LABEL 3G
KERTAS TESERAN 3G 11000 33000
ISI HEKTER 3 PAK 2500 7500
HEKTER 1 BUAH 13000 13000
AMLOP BESAR 1 PAK 50000 50000

5 5/9/2017 ISI PULPEN 1 PAK 8333 8333

PULPEN 4 BUAH 1416 5664
PENGGARIS 2 BUAH 2000 4000
AMLOP KECIL 2 PAK 28000 56000
AMLOP KECIL 2 PAK 50000 100000
 CLER HOLDER 1 PAK 27000 27,000

6 5/9/2019 TINTA EPSON L310 2 BUAH 90000 180000

TINTA PRINTER 4 BUAH 30000 120000

7 6/9/2017 TRIGONAL 2 PAK 2500 5000

BINDE CLIP 107 3 PAK 4500 13500
BINDER CLIP 155 3 PAK 5000 15000
PULPEN 1 BUAH 1416 1416

8 5/9/2017 BUKU BESAR 1 BK 30000 30000

9 5/9/2017 BUKU BESAR 1 BK 30000 30000

ISI HEKTER 1 PAK 2500 2500

10 5/9/2017 PULPEN 1 BUAH 1416 1416

KALKULATOR 1 BUAH 30000 30000

11 7/9/2017 hvs a4 3 RIM 28000 840000

PENGHAPUS 1 BUAH 2000 2000
TIPX 1 BUAH 5000 5000

12 7/9/2017 CONTINUS 2 PLY 1 DUS 230000 230,000

CONTINUS 3 PLY 1 DUS 320000 320000

13 11/9/2017 BINDEX 20 BUAH 20000 400000

ACCO 2 PAK 10000 20000
SPIDOL PERMANEN 2 BUAH 6750 13500
STEPLES 1 BUAH 13000 13000
KERTAS A4 2 2 28000 56000 56000
PITA LABEL 4G

14 11/9/2017 POS IT 2 PAK 10000 20000

15 13/9/2017 GLUE STIK 1 BUAH 2500 2500

ISI HEKTER 4 PAK 2500 10000
BINDER CLIP107 1 PK 4000 4000
AMLOP PUTIH 1 PAK 50000 50000

16 14/9/2017 CONTINUS 1 BOX 230000 230000

TIPX 1 BUAH 5000 5000
PENSIL 1 BUAH 2000 2000
ISI PULPEN 1 PAK 8333 8333

17 14/9/2017 PULPEN 2 BUAH 1416 2432

TOM& JERY 1 PAK 10000 10000
 18 14/9/2017 MAP KUNING 4 BUAH 30000 120,000
PPKET 4 PAK 30000 120000

19 22/9/2017 SPIDOL PERMANEN 2 BUAH 6750 13500

BUKU BESAR TEBAL 1 BK 50000 50000

20 19/9/2017 PITA REBON 10 BUAH 30000 300000

21/ 13/9/2019 AMLOP BESAR 2 PAK 35000 70000

22 18/9/2017 AMLOP BESAR 2 PAK 35000 70000

23 23/9/2017 ROL PAPER/KERTAS PRIN 1 PAK 60000 60000

ISI HEKTER 1 DUS 25000 25,000

24 26/9/2-`19 LABEL 107&126 4 PAK 10000 40000

25 26/9/2019 KERATS A4 3 RIM 28000 84000

ISI HEKTER 4 PAK 2500 10000
NOTE MARK 2 PAK 10000 20000
POSIT 2 PAK 10000 20000
ISI PULPEN 1 PAK 3888 3888
KERTAS FAX 2 PAK 20000 40000

26 27/9/2017 POS IT 1 PAK 10000 10000

HEKTER 1 BUAH 13000 13000
TRIGONAL 1 PAK 2500 2500
PEMBOLONG 1 BUAH 35000 35000
MAP FILE 2 BUAH 3500 7000

27 27/9/2017 SPIDOL 1 BUAH 6750 6750

28 15/9/2017 KERTAS A4 1 RIM 28000 28000

KERTASF4 1 RIM 32000 32000
KERTAS KOP 1 RIM 50000 50000

29 18/2017 KERTAS F4 2 RIM 32000 64000

KERTAS A4 2 RIM 28000 56000
TRIGONAL KLIP 5 PAK 2500 12500
LABEL 2G
PITA LABEL 2G
PRINTEC 3G 11000 33000

30 22/9/2017 KERTAS PRIN 1 PAK 60000 60,000

TIPX 1 BUAH 5000 5000

31 28/9/2017 KERTAS PRIN 1 PAK 60000 60,000

 KERTAS LABEL 3G

32 28/9/2017 AMLOP PUTIH LOGO 1 PAK 30000 30000

AMLOP COKLAT 1 PAK 30000 30000

35 28/9/2017 HVS A4 2 RIM 32000 64000

A4 2 RIM 28000 56000
KERTAD LABEL 3G
PRINTEC 3G 11000 33000
TRIGONAL 2 PAK 2500 5000
TINTA BLAK 1 PCS 95000 95000
TINTA BLAK 1 PCS 95000 95000
CNTINUS 3PLY 1 BOX 330000 330000

Data Pemakaian / Pengambilan ATK

BULAN OKTEBER 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 2/10/2017 TRIGONAL KLIP 5 BUAH 2500 7500
KERTAS ROL PAPER/PRIN 1 PAK 60000 60,000
KERTAS A4 1 RIM 28000 28000
TIPX 1 BUAH 5000 5000

2 2/10/2017 TINTA YAUMRA 1 BUAH 8000 8000

3 2/10/2017 CONTINUS 2 PLY 1 DUS 220000 220000

4 2 OK BUSINES FILE 2 LEMBAR 2700 5400

5 2/10/2017 AMLOP KECIL 1 PAK 28000 28000

6 2/10/2017 TOM& JERY 1 PAK 10000 10000

SPIDOL PERMANEN 2 BUAH 6750 13500

7 2/10/2017 PULPEN 2 BUAH 1416 1416

ISI PULPEN 1 PAK 3888 3888

8 2/10/2017 BUSINES FILE 2 LEMBAR 2700 5400

TIPX 1 BUAH 5000 5000
PENGGARIS 1 BUAH 2000 2000

3 3/10/2017 F4 WARNA 2 RIM 50000 100000

PRINTEC 2 BUAH 11000 22000
BINDEX DUDUK 30 BUAH 20000 600000
F4 KERTAS 2 RIM 32000 64000
 KERTAS LABEL 3 BG

4 3/10/2017 KERTAS A4 2 RIM 28000 56000

5 2/10/2017 POS IT 2 PAK 10000 20000

PENGGARIS 1 BUAH 2000 2000
KERTAS A4 2 RIM 28000 56000
KERTAS F4 1 RIM 32000 32000
PULPEN 2 BUAH 1416 2832
PULEN MERAH 1 BUAH 1416 1416
EPSON 664 1 PCS 95000 95000

6 2/10/2017 CONTINUS 3 PLY 1 BOX 320000 320000

7 3/10/2017 AMLOP BESAR 2 PAK 50000 100000

AMLOP KECIL 2 PAK 40000 80000

8 3/10/2017 KERTAS A4 4 RIM 28000 112000

TRIGONAL KLIP 3 PAK 2500 7500
ISI HEKTER 3 PAK 2500 7500
KERTAS F4 4 PAK 32000 128000

9 5/10/2017 PRINTER 1 PAK 60000 60000

ETIKET 2 BUAH 8000 16000
STEPLES 1 BUAH 13000 13000

10 5/10/2017 BINDEX 17 BUAH 20000 340000

KERTAS F4 2 RIM 32000 64000

11 5/10/2017 BINDEX 3 BUAH 20000 60000

12 9/10/2017 SPIDOL MARKER 1 BUAH 6750 6750

BINDEX DUDUK 3 BUAH 20000 60000

13 5/10/2017 SPIDOL PERMANEN 1 BUAH 6500 6500

EPSON TINTA 2 BUAH 90000 180,000
HP NYLON RIBON 1 BUAH 30000 30000

14 9/10/2017 AMLOP COKLAT 1 PAK 30000 30000

CONTINUS 3PYL 1 DUS 320000 320000
BINDER CLIP 107 1 PAK 4000 4000
STABILO 1 BUAH 8000 8000

15 9/10/2017 PULPEN 3 BUAH 1500 4500

AMLOP KECIL 1 PAK 13000 13000
16 9/10/2017 ACCO 2 PAK 10000 20000
PITA 4G
PRINTEC 2G 11000 22,000

16 10/10/2017 EPSON 664 ISI ULANG HITAM 3 PCS 95000 285000

N
17 10/10/2017 SPIDOLPERMANEN 1 BUAH 6750 6750
ISI PULPEN 1 PAK 10000 10000
BUSINES FILE 4 LEMBAR 2700 10800

18 9/10/2017 ISI PULPEN 1 PAK 10000 10000

19 10/10/2017 ROL/PAPER KERTAS STRUK 1 PAK 60000 60000

TINTA PRINTER 2 PCS 30000 60000

20 10/10/2017 ROLPAPER /KERTAS STRUK 1 PAK 60000 60000

21 10/10/2017 AMLOP KECIL 1 PAK 13000 13000

AMLOP BESAR 1 PAK 16000 16000

22 10/10/2017 BINDEX 15 BUAH 20000 300000

KERTAS WARNA 5 PAK 15000 75000
KERTAS A4 2 RIM 28000 56,000
KERTAS F4 2 RIM 32000 64,000

23 9/10/2017 KERTSA A4 2 RIM 28000 56,000

PULPEN 2 BUAH 1500 3,000
ISI STAPLES 2 PAK 2500 5,000

24 16/10/2017 BUKU BESAR 1 BK 32000 32,000

25 16/10/2017 CONTINUS 3 PLY 1 DUS 320000 320,000

PITA PRIN 2 PCS 30000 60000
ISI HEKTER B ESAR 3 PAK 30-00 9,000
TRIGONAL KLIP 3 PAK 2500 7500
ISI PULPEN 1 PAK 10000 10,000
KERTAS STRUK 1 PAK 60000 60000

26 14/10/2017 KERTAS A4 2 RIM 28000 56000

ISI STPLES 2 PAK 2500 5000
PULPEN 3 BUAH 1500 4500
KERTAS FAX 1G 30000 30000

27 14/7/2017 KERTAS A4 2 RIM 28000 56000

KERTAS F4 2 RIM 32000 64000

30 13/10/2017 KERTAS A4 2 RIM 28000 56000

 KERTAS F4 2 RIM 32000 64000
ISI HEKTER 1 PAK 2500 2500
TRIGONAL KLIP 1 PAK 2500 2500
BINDER CLIP 107 1 PAK 4000 4000
BINDEX 1 DUS 1000000 1E+06
POS IT 1 PAK 10000 10000
PENSIL 1 BUAH 2000 2000

31 12/10/2017 SPIDOL PERMANEN 3 BUAH 6750 20,250

TOM &JERY 1 BOX 100000 100000

32 12/10/2017 PULPEN 2 BUAH 1500 3000

PENGGARIS 1 BUAH 2000 2000

33 12/10/2017 KERTASPRIN 1 PAK 60000 60000

PULPEN ETIKET 4 BUAH 8000 24000

34 21/10/2017 KERTAS PRINTER 1 PAK 60000 60000

KERTASF4 1 RIM 32000 32000
PULPEN 2 BUAH 1500 3000

35 21/10/2017 KRTSA A4 2 RIM 28000 56000

KERTAS FAX 2 BUAH 30000 30000
PENGGAERIS 1 BUAH 2000 2000

36 25/10/2017 EPSON 665 KUNING 2 PCS 90000 180000

37 18/10/2017 SPIDOL PERMANEN 3 BUAH 5750 17250

TOM &JERY 1 PAK 10000 10000
ISI HEKTER 1 PAK 2500 2500
BUSINES FILE 1 PAK 27000 27000

38 24/10/2017 KERTAS F4 2 RIM 32000 64000

KERTAS A4 2 RIM 28000 56000
1SI PULPEN 1 PAK 10000 10000
PULPEN 4 BUAH 1500 6000
STABILO 2 BUAH 8000 16000

39 23/10/2017 TRIGONAL KLIP 2 PAK 2500 5000

ISI HEKTER 2 PAK 2500 5,000
KWITANSI 2 BK 2000 4000
BINDER CLIP 107 1 PAK 4000 4000
BINDER CLIP 155 1 PAK 5000 5000
PENSIL 1 BUAH 2000 2,000
STABILO 2 BUAH 8000 16000
KERTAS A4 2 RIM 28000 56000
 KERTAS F4 1 RIM 32,000 64000

40 KERTAS PRIN 1 PAK 60000 60000

POS IT 3 PAK 10000 30000

41 18/10/2017 POS IT 3 PAK 10000 30000

PRINTEC 4G 11,000 44000
LABEL 4G
RIBON 5G
SPIDOL PERMNEN 1 BUAH 6750 6750
TRIGONAL 2 PAK 2500 5000

42 28/10/2017 PRINTEC 4 BUAH 11,000 44000

POS IT 2 PAK 10000 20000
PULPEN 4 BUAH 1500 6000
KERTAS 3 RIM 28000 84000
KERTAS FAX 2 BUAH 30000 60000

43 27/10/2017 KERTAS PRIN 1 PAK 60000 60000

ACCO FASTENER 3 PAK 10000 30000
POSIT 2 PCS 10000 20000
CONTINUS PRS 1 DUS 320,000 320,000
CONTINUS 3PLY 1 DUS 320000 320,000
TIPX 1 BUAH 5000 5000
AMLOP KECIL 1 PAK 13,000 13,000
AMLOP BESR 1 PAK 15000 15,000
TINTA LP 1 PCS 30000 30,000
KERTAS F4 2 RIM 32000 64,000

44 27/10/2017 BINDEX DUDUK 30 BUAH 20000 60,000

45 27/10/2017 TIPX 1 BUAH 5000 5,000

KERTAS PRIN 1 PAK 60000 60000

AMLOP KECIL 1 PAK 13000 13,000

SPIDOL 1 BUAH 6750 6750
ISI PULPEN 1 PAK 10000 10000
ISI PULPEN 1 PAK 10000 10000

KERTAS A4 2 RIM 28000 56,000

KERTAS FAX 2G 30000 60000
PENGGARIS 1 BUAH 2000 2000
16/10/.2017 KERTAS PRIN 1 PAK 60000 60,000
 Data Pemakaian / Pengambilan ATK
BULAN NOVEMBER 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 1/11/2017 TOM&jery 1 PAK 10000 10000
BINDEX 2 BUAH 20000 40000
BUSINES 1 PAK 25000 25000

2 1/11/2017 KERTAS PRINTER 2 PAK 60000 120000

LABEL 5G
EPSON 664 1 PCS 90000 90000

3 2/11/2017 KERTAS A4 3 RIM 28000 84000

KERTAS F4 2 RIM 32000 64000
KERTAX FAX 1G 30000 30000

4 2/11/2017 PULPEN SNOMAN 3 BUAH 8000 24,000

KERTASA4 3 RIM 28000 84000

5 3/11/2017 NILON PRINTER RIBON 3 PCS 15000 45000

POS IT 2 PAK 10000 20,000
KERTAS PRIN 2 PAK 60000 120000

6 3/11/2017 PULPEN 2 BUAH 1500 3000

LEM 1 BUAH 2500 2,500

7 1/11/2017 AMLOP KECIL 2 PAK 13000 26000

AMLOP BESAR 2 PAK 15000 30,000
CONTINUS 2 PLY 1 DUS 230000 230000

8 3/11/2017 LEM 1 BUAH 2500 2500

PULPEN 2 BUAH 1500 3000

9 7/11/2017 PRIN KERTAS 4G

PITA PRIN 4G
BINDEX DUDUK 10 BUAH 20000 20000

10 7/11/2017 PRINAN KWITANSI EPSON 2 BUAH 15000 30000

11 7/11/2017 KERTAS PRIN 2 PAK 60000 120,000

POSIT 2 PAK 10000 20,000
NILON PRINTER 3G 15000 45000
12 3/11/2017/ KERTAR PRIN 2 PAK 60000 120,000
 Unit MEDIS UMUM
Lab ###

###
Medrek
###

50,000.00
12,000.00
Kasir 3,750.00
28,000.00
1,666.00

Umum 20,000.00

Bu Nevy 2,500.00

30,000.00
Accounting 1,332.00
1,416.00

Gizi 12,000.00

###
Lab
###

N.S Lt. 1 ###

###
###
Apotek ###
###
###

VK
###

Medrek ###

1,666.00
Kasir 15,000.00
1,998.00
 ###
###
Medrek
###
###

Accounting 15,000.00

Medrek ###

###
Apotek
###

###
N.S Lt. 3
###

###
Lab
###

###
G. farmasi
666.00

Bu Nevy 1,998.00

VK ###

###
###
Medrek
###
###

###
N.S Lt. 1
###

14,000.00
Accounting 4,000.00
2,500.00

NICU / HCU ###

28,000.00
2,832.00
Marketing 1,332.00
5,416.00
3,750.00

Accounting 25,000.00
 ###
###
Kasir
12,000.00
50,000.00

N.S Lt. 3 ###

###
###
Medrek
###
###

Umum 10,000.00

Umum / G A 2,800.00

IGD ###

Umum 10,000.00

###
N.S Lt. 3
###

N.S Lt. 1 ###

###
Apotek ###
###

### ###

Unit MEDIS UMUM

###
Medrek
###

###
NICU / HCU ###
###

###
VK ###
 VK
###

Radiologi ###

3,750.00
Accounting 1,332.00
28,000.00

1,666.00
Bu Nevy
1,666.00

28,000.00
Marketing 10,000.00
7,000.00

Medrek ###

###
###
Apotek ###
###
###

###
N.S Lt. 3
###

2,664.00
Kasir 5,000.00
2,800.00

N.S Lt. 1 ###

###
OKA ###
###

###
Medrek
###

Accounting 12,000.00

###
Medrek ###
###

###
NICU / HCU ###
NICU / HCU
###

Kasir 12,000.00

N.S Lt. 3 ###

###
Medrek
###

###
Apotek ###
###

IGD ###

VK ###

###
N.S Lt. 1
###

###
Medrek ###
###

###
N.S Lt. 3
###

20,000.00
8,500.00
Kasir 15,000.00
7,000.00
###

###
IGD
###

###
Lab ###
###

###
Apotek ###
###

Medrek ###

15,000.00
Marketing
Marketing
10,000.00

Umum 6,666.00

N.S Lt. 3 ###

###
Apotek ###
###

N.S Lt. 1 ###

###
Medrek ###
###

N.S Lt. 3 ###

Accounting 25,000.00

Radiologi ###

Accounting 3,332.00

N.S Lt. 1 ###

###
Medrek ###
###

Accounting 15,000.00

Marketing 28,000.00

###
VK ###
###

IT

24,000.00
Kasir 3,750.00
1,998.00

Medrek ###
 ###
N.S Lt. 3 ###
###

###
###
###
NICU / HCU
###
###
###

Hrd 2,500.00

###
Apotek
###

30,000.00
Accounting
15,000.00

Umum 3,333.00

###
N.S Lt. 1
###

IT

Umum 5,000.00

Accounting 15,000.00

15,000.00
kasir
20,000.00

###
Medrek
###

Radiologi ###

###
N.S Lt. 3 ###
###

###
Medrek ###
###
 IGD ###

3,750.00
Accounting
2,500.00

Umum / GA 20,000.00

Apotek ###

N.S Lt. 3 ###

### ###

Unit MEDIS UMUM

###
medrek
###
medrek ###
medrek ###
marketing
akuntin
marketing 6,500.00
kasir 14,000.00

3,332.00
ranap 3 ###
ranap 3 ###
ranap 3 ###
###
vk ###
vk ###
fo 28,000.00
fo 33,000.00
fo 5,416.00
fo 2,832.00
lab ###
lab ###

farmasi ###
farmasi
nicu ###
nicu
sekretariat 10,000.00

yanmed ###
mr ###
mr\fo ###
ranap 3 ###
ranap 3
apotek ###
apotek
apotek
apotek ###

keuangngan 83,330.00
keuangngan 1,416.00
keuangngan 4,998.00
28,000.00

markerting 15,000.00
MARKETING 12,000.00
radiologi ###
menkep ###
menkep ###
menkep ###
###
vk
ranap 3 ###
nicu ###
fo
mr ###

kasir 7,000.00
leb ###
leb ###

keuangngan 3,000.00
igd ###
###
ranap 3 ###
###
###
###
kasir 7,000.00
5,000.00
3,750.00
28,000.00
nicu ###
###
###
###
###
Yadmed ###
###
###

###
###
r ok ###
###
lt 2 vip ###

###
###
farmasi ###
###
keuangngan 46,000.00
30,000.00
1,332.00

fo 33,000.00
28,000.00
1,998.00
ranap 3
###
###
poli
p0li ###
###
vip

###
###

vk
UNIT MEDIS UMUM
MR 28,000
KASIR 6000
1416
3330
15,000

RANAP 3 5328
25,000
15,000
12,000
1250
12,000
10,832

LABORATURIUM 28,000

MR 206,250
2500
15,000
15,000
1332
30,000

FARMASI
7080
1666
30,000
30,000

SEKERTARIS 1666

MR

MR 2832
5000
30000
3750
 1250

kasir 410,000

leb 33,000

VK 15,000
12,000
1416

MR 562,500

MR FO 150,000
28,000
1988

VK 15000
12000

IGD 30,000

KEUANGANGAN 14,000

KASIR 64,000
24,000
100,000
FARMASI
8000

KASIR 2000
30,000
28,000
1250
VK 3750
5414

MR /FO 20,000

EDP 20,000
1500
15,000

LABORATORIUM 28,000
15,000
 1988
4000

NICU 1988
1250
RANAP 3 2832
3750

KEUANGNGAN 15,000
5000
56,000
SEKERTARIS 1416
60,000
8000

MR 56,000
4248

EDP 13,000
1250
2828

FO /MR

POLI 12,000

EDP 1416
7000
28,000

KASIR 40,000
2828

3750

FARMASI
2500
7080
20,000

NICU 1988
4000
5328
EDP 56,000
2832

IGD 3750
4000

KEUANGAN 9996

FARMASI

OFICE 7000
5000

UMUM 150,000

KASIR 6000

FO/MR 140,000
50,000
20,000

FO/MR 2832
2500

FO/MR 2823
56,000

MR
2500
28,000

RANAP 3 3996

0K 1416

RANAP 3 183,326

GUDANG FARM 13,000

7000
1250
5000
12,000
49,998
 MR

KEUANGAN 1416
5000

NICU 1988

IT 60,000

FARMASI

IT 56,000

0POLI 3996

8000
KASIR 2664
5000
6000

12000
10000
10000

56000
FO 8000
2832

mbilan ATK
16

UNIT MEDIS UMUM

RANAP 3 3,396
1,500
7,000
12,000
12,000

PENDAFTARAN
MENKEP 40,000
10,000
4000
5250

30,000

IT 40,000
40,000

MR 50,000

MR 375,000
75,000
280,000

FARMASI 12,000

KEUANGAN

RANAP 3 60,000
6,250

KASIR 28,000
5000
15,832
20,000

50,000
12,000
5666

POLIKLINIK 10,000
30,000

VK 2,832

RANAP 3 12,000
10,828
3,750
3,999
4,000
22,750
NICU 10,828
2,499

PO 56,000
20,000

MR 28,000

FARMASI 500,000

FARMASI 20,000

KEUANGAN 6250
5000
7916
7000
10,000
5000

MR 130,000
3400
3750

OFFIS 28,000
33,000

MR 7916
28,000

VK 15,000
30,000

VIP /RANAP2 30,000

2,832
35,000
30,000

OK 2,832

MARKETTING 20,000
1416
1666
5000
 10000
1700

OFFIS 26,000
2832
2832
5000

4000
30000

1250

IGD 5,416
6,250
1,250

LAB 66000
1700

MR 195,000
200,000

KASIR 15,833
5000

KEUANGAN 320,000
14,583

FARMASI 12,500

KASIR 21,000

FO
56,000
2500
2832

MR 3332

RANAP 3 5,414
3,500
10,000
 2,832
4,998

MARKETING 56,000

FARMASI 12,500

MENKEP 35,000

17,500

VIP/RANAP 2 2,499
6,250
10,828
1,250

KASIR 320,000

24,000
3332
17,000
19,000

NICU 6,250
1,250
2,499

POLI 12,000
15,000
12,000
30,000

IT 90,000

IGD 2,499

RANAP 3 15,000
12,000

10,000
5,414
6,250
10,000
10,000
 MARKETING 5400

EDP 4000

MENKEP 17,500
12,000
1414

KASIR 20,000

EDP 56,000

FO 15,000

FO 56,000
5000
2828
13,000

G FARMASI 40,000

R OK 2,499
6,250
10,828

3,763,430
695,522

mbilan ATK
16
UNIT MEDIS UMUM
KEUANGAN 11,250

POLI 8,500
2,500
4,998
22,500

APOTEK 30,000

VIP 3,750
 12,000

RANAP 3 2,000
1,666

NICU 2,499
6,250

FO 20,000
56,000
2,499

MR 20,000

RADIOLOGI 200,000
150,000
100,000

VK 1,700
6,250
7,250
1,414
1,250

RANAP 3 1,414

HRD 56,000

POLIKLINIK 12,000
20,000
35,000

LEB 2,500
10,000

KEUANGAN 80,000 80,000

12,000

MR 300,000

KEUANGAN 2,000
12,500
1,666
1,414
1,414
20,000
FARMASI 4,242
1,414

KASIR 19,000

KEUANGAN 2,000
6,250
1,414
20,000
1,414

KASIR 20,000

15,000
2,500
19,000

FO 56,000

NICU 2,500
7,250
12,000

MR 30,000

KASIR KASIH

RANAP 3 10,828
12,500
7,250

KEUANGAN 5,000
3,400

FAMASI
25,500

LEB

MR 340,000
2,500

VIP 12,500
9,500

POLI 12,000
 120,000

FARMASI 20,000

FARM 17,000

MR 2,828

POLI 120,000

LEB 2,400

MARKETING 12,000
15,000
BU NEVI 15,750

MR 30,000

KASIR 30,000

RANAP 3 1,414
4,998

MR 24,000
100,000
12 ,500
4,998

FARMASI 28,000
30,000

KEUANGAN 60,000

KEUANGAN 100,000

MARKEING 1,700
19,000
10,000

P0LIKLINIK 24,000

MR
80,000

KASR 30,000

19,000
 2,828

EDP 56,000
0K 12,500
10,828

KEUANGAN 27,000
HRD 20,000
HRD 17,000

APOTEK 10,000
20,000

FARMASI 42,500

EDP 56,000

IGD 3,750
8,500

KASIR 3,400
3,250
5,550
1,250

VIP 6,750
17,000
3,250

PENDAFTARAN

MR

1414

KASIR 210,000

KEUNGAN 7,500
7,500
3,750

GIZI 5,000

KASIR 30,000
 RANAP 3 833

EDP 2,500

MR 100,000
20,000
3,750

3,750
4,242

NICU 4,165
6,750 2,998,399

VK 2,828
3,332

0K 2,828
3,332

LAB 60,000
28,000
657,665
3,086,399

mbilan ATK
16
UNIT MEDIS UMUM
KASIR
320,000

FARMASI 6,250
30,000

POLI 7,250
24,000
15,000

MR 8,500
2,828
FO 56,000

OFFIS 28,000
30,000
5,000
2,828

IGD 4,000
1250

KASIR
3,750
2,664
9,500
50,000

FO 2,828
1,750
10,000

RANAP 3 10,566
2,828
6,750
30,000
5,000

MR 100,000
300,000
70,000
2,500
10,000

MARKETING 80,000

MARKETING 12,000

FO 56,000
2,500

KASIRE 90,000
90,000
1,414
7,250

MARKETING 65,000
28,000
VIP 50,000

P0LI 50,000

RANAP 3 50,000
50,000

NICU 30,000
22,500
40,000 40,000

RANAP 3 12000
30000

MR 90,000

OFICE 4,165
1,414
5,832
11,666
7,083
68,000

FARMASI

SECURITI 1414

MR 15000
100,000

OFIS 28,000

POLI 60,000

65,000
30,000

MR 300,000

KASIR
25,000

RADIOLOGI 6,750
 5,000
15,000
1,250
1,414

FO 56,000
2,500

100,000
40,000

OFFIS 2,499

20,000
27,000
7,083

MR MR 13,500
20,000

KASIR 50,000
7,500
1,414

KASIR 10,000
3,332

6,250
50,000
2,000

MR 10,000

OK 9,996 2,600,628
14,166
1,250
5,000
626,556
UNIT MEDIS UMUM
VIP/LANTAI 2 4,165
30,000

NICU 4,165
10,000

MR 13,000
3,750
1,250

RANAP 3 15,000
8,000
SECURTI 1414

MARKETING
56,000

P0LI 2,828
4,165
12,000

KASIR 6,000

MR 56,000
8,000

VK 35,000
30,000
1,250
2,828
APOTEK 1414

MR 100,000
60,000
15,000
12,000
300,000

56,000

2,828
2,000
15,000
 8,000

6000
1414

KASIRE 12,000

FO 30,000
28,000

OFFIS 320,000
90,000
MR 28,000
8,000
2,828

RANAP3 8,000

kasir
320,000

KEUANGAN 20,000
3,750
2,828
56,000

MR 180,000
10,000

POLI 35,000

kasir
kas 28,000

50,000

FARMASI 7070

KASIR 10,000
12,000

edp 320,000
56,000

igd 5,414
1,414
 3,332
35,000

keuangan 2,500
100,000
300,000

mr 100,000
65,000

FO 12,000

20,000
7,500

KASIR 12,500
4,500
10,500
28,500
15,000

FARMASI 15,000

EDP 6,000
25,000

POLI 6,000
3332
12,000

GUDANG OBAT 2828

IGD 40,000

15,000

KASIR 15,000
4,500

NICU 4,165
13,500
4,500
16,000
12,000
F0 56,000

GIZI 28000
30000

HRD 240,000

MR 200,000

MARKETING
28,000

GIZI 6,750

APOTEK

POLIKLINIK 35,000
15,000
5,500
6,750

GUDANG FAR 30,000

25,000
8,500
EDP 2,500
436,308
MR 10,000
10,000
6,750
130,000
3,877,374

UNIT MEDIS UMUM

KEUANGAN 320,000
8,000
20,000
7,500
9,500
15,000
7,500
3,500
56,000

FARMASI

KASIR
50,000

VK 2,500
3,500

MR 90,000
13,000

EDP 320,000

MR 900,000
10,000
12,000
2,828

GIZI 6,750

RANAP 3 4,998

KEUANGAN 21,000
8,000
8,000
8,000

EDP 320,000

farmasi
5,141
6,750
5,414
14,166
7,000
19,000
MR 7,500
11,000
56,000

POLI 1,666
12,000
2,000
54,000

MR 120,000

NICU 12,000
8,100
4,165
2,500

MR 3,500
56,000
5,000
20,000

IT 50,000
75,000

FARMASI 12,500
50,000
10,000

KEUANGAN 15,000

EDP 4,000
1,414

KEUANGAN 28,000
30,000

IT 90,000
90,000

KASIR 1,414

GIZI 10,000
10,000

MR 1,666
56,000
 120,000
60,000
5,000

KEUANGAN 320,000
OFFIS 15,000
13,500
2,828
2,000
12,500
4,000
13,000
1,500
5,000

KASIR
12,500
50,000
24,000
10,000
3,332

GIZI 10,000
10,000

VIP 1,414
3,332

MR 60,000
30,000

HRD 27,000
20,000
28,000

EDP 90,000

MR 20,000
30,000

100,000
60,000
375,000
13,500

FARMASI
HRD 28,000

KASIR 30,000
320,000

13,000

FO 56,000
5,000
2,828
10,000

KASIR 15,000

MARKETING 10,000

POLI 12,000
12,000

APOTEK

MR 13,500
70,000
70,000
40,000

KASIR 50,000
90,000

OFFIS 28,000
30,000
7,500
2,500
2,500

marketing 24,000
UNIT MEDIS UMUM
IGD 2,000
4,165

KEUANGAN 2,000
2,000
150,000

EDP 215,000

VK 13,000

MR 375,000

100,000
13,500
10,000

APOTEK 25,000

KEUANGAN 56,000
8,000

GIZI 10,000

IGD 6,000

APOTEK 80,000
125,000
26,000

MR 300,000

KASIR 50,000
22,500
20,000
20,000
210,000

MR 30,000
28,000
100,000
27,000
8,000
APOTEK 140,000
90,000

NICU/VICU 4,165
2,500

KASIR 28,000
1,414
3,332

FO 28,000

VK 8000
50,000

IT 28,000
7000

OFFIS 28,000
15,000
13,000

PAIRMAN/ 45,000
10,800

OFFIS 56,000
27,000

EDP 1,414

FO 20,000
28,000

IT 10,000

MR
13,000

56,000
2,500
2,000
6,000
2,828

KEUANGAN
SEKERTARIS

KASR 320,000
50,000

VK 40,000

MARKETING 12,000
28,000

FO/MR 100,000
300,000
4,000
60,000
2,828
20,000
10,800
2,000
14,000
20,000

RANAP 3 12,000
15,000

OK 4,242
7,500

POLI 80,000
12,000

OFFIS &IT 30,000

12,000

FARMASI 140,000

KOMITE 120,000

FO 2,828
30,000

LEB 2,500
2,500
MR 100,000

300,000
13,500

22,500

RM 17,500

100,000
100,000

FO 20,000
30,000
28,000
50,000
2,828
EDP 2,000
220,000

OFFIS 150,000
7,000
3,500
2,000
5,000
2,000
1,500

KASIR 70,000
12,000

GUDANG FARMASI 320,000

OFFIS/KEUANGAN 200,000

MR 8,000
13,000
54,000

NICU 4,242
6,750

VK 5,656
6,750
2,500
5,851,635
 247,907

UNIT MEDIS UMUM

EDP 90,000

GIZI 28,000

VK 20,000
17,500
KEUANGAN 30,000

MR 2,500
1,414

APOTEK 5,656
8,333

IT 50,000
8,000

MR 300,000

APOTEK 30,000
30,000
20,000
5,000
1,500
2,000
3,000

VIP 8,330
2,500
5,000
6,750
8,000
2,500
SEKERTARIAT 50,000
15,000

POLI 6,000

MR 135,000
100,000

KEAUANGAN 30,000
10,000
2,000

AKUNTING 300,000

HRD 28,000
30,000
2,500
2,500

GA 30,000

IGD 12,000
5,000
5500
8,000

SEKERTARIAT 6,750
20,000

HRD 28,000
30,000

MR 30,000
600,000

50,000
80,000
HRD 20,000
2,000

RANAP 3 1,414
10,500
15,000

SEKERTARIS 28,000
OK 7,000

KASIR 20,000
50,000

FO/EDP 28,000
1,414
8,000
6,500
12,000

HRD 480,000
30,000

MARKETING 20,000

MARKETING 15,000
1,414
1,666
20,000

EDP 1,414
6,000
OFFIS 90,000
2,500

KASIR 5,500

MR 81,000

APOTEJ 40,000
5,000
10,000
2,828
2,828

IT 28,000
30,000
90,000
10,000
2,000
2,500
5,500
2,500
330,000
MARKETING 15,000

FO 4,000
20,000
2,828
28,000
30,000

LEB/RO 28,000

POLI 4,998
12,000
5,500

RANP 3 21,000
12,000

GIZI

VK 8300
2,832

MR 90,000
200,000
50,000

MARKETING 7,000

KEUANGAN 56,000
20,000
16,000
100,000
7,000

KASIR 25,500
50,000
12,500
15,000
7,500
15,000
22,500
20,000
330,000
5,000

FARMASI 2,832
RO/LEB 6,750
2,000

GIZI 10,000
6,750
2,000
2,500
7,000

GA 20,000

HRD 30,000
336,000
6,000

OFFIS 13,000

POLI 13,000

EDP 229,000

DR IGD 8,330
1,416

GIZI 2,832

FARMASI 6,250
1,416

KASIR 7,000

RANAP 3 2,000
8,496

FO 56,000
MR 56,000

SEKERTARIAT 56,000
60,000

HRD 200,000

MR 54,000
3,500
5,000
HRD 800,000
126,000
56,000
240,866 5,000
5,000
3,000
7,040,375

UNIT MEDIS UMUM

NICU 30,000

FO/EDP 60,000

VIP 2,916
5,833
7,000
10,000
1,416
10,000
10,000
3,500
20,000
2,000

KASIR 20,000
3,332
90,000
14,500.00

RANAP 3 21,000
10,000
6,250
POLI 6,000
8,000
13,000
2,900
 15,000
12,000
2,700

RANAP 3 1416
10,000
30,000
4,000

FARMASI 2,832
2,832
8,000

GUDANG FARMASI 30,000

13,000
14,500
4,000
2,916
7,000
50,000
13,000

GIZI 20,000
8,000
2,916

KASIR 8,000

APOTEK 5,800

HRD 5,000
20,000
5,833
320,000
4,000

GUDANG OBAT 240,000

GIZI 28,000

MR 2,916
4,000
8,700
8,000

MR
100,000
 20,000

FO 28,000
30,000
3,000

APOTEK 140,000

IGD 30,000
13,000

SEKERTARIAT 13,000
28,000
30,000
5,000

FO 1,416
6,000

KASIR 2,832
5,000
1
RANAP 3 8,000
13,000
10,500

sekertariat 56,000
KEUANGAN 30,000
2,900
5,833
2,000
18,000
5,000

FO 60,000
2,000
20,000

MARKETING /MCU
102,000
16,000
6,000

MR
FARMASI 112,000

sekertariat 28,000
2,000
10,000
1,416

KEUANGAN 28,000
30,000
5,000
10,000
24,000
2,916
5,833

POLI 5,000
8,000
26,000

FO 5,664
3,332

NICU 32,000

EDF 220,000

F0
90,000
KASIR 70,000

VK 2,500
4,248
2,500

KASIR 6,000
30,000

RANAP 3 1,416

RADIOLOGI 40,000
8,000
10,000
MR 60,000
2,832

RANAP3 30,000
10,000

KASIR 330,000
10,000
70,000
12,500
5,500

FO 56,000
30,000

FARMASI 10,000
25,000

FO 90,000
90,000
90,000
90,000
MR 50,000

FARMSI 70,000
2,832
6,000
25,000

SEKERTARIAT 56,000
60,000
MARKETING 28,000
30,000
3,806,883
441,095

UNIT MEDIS UMUM

MR 30,000
8,000
SEKERTARIAT 3,700

OK 17,000

KEUANGAN 7,000
4,000
1,416
3,000

GIZI 20,000
12,000
7,000

IT 1,416
90,000
30,000

FARMASI 20,000

SEKERTARIS 2,500
40,000
30,000

KASIR 100,000
70,000
12,500
8,330

MR/ 84,000
90,000
260,000

RANAP 3 8,000
4,000

FO 28,000
30,000

KEUANGAN 320,000
25,000

GUDANG FARMASI 320,000

1,416

POLI 25,000
8,330
 2,832
12,000
15,000
16,000

MR 600,000
180,000
240,000
25,000

FARMASI 70,000
7,500

MR 1,000,000
50,000

RANAP 3 50,000

KASIR 20,000

MARKETING 2,500
20,000

BACK OFFIS 56,000

20,000
240,000
4,000
2,500
8,000

RANAP 3 4,165
15,000

MR 520,000
4,000,000
90,000
45,000
FO 220,000S

KASIR 70,000
5,500
320,000
20,000
180,000

OFFIS 56,000
KEUANGAN 15,000
30,000
10,000

MR 45,000
2,000,000
520,000
30,000

GUDANG FARMASI 4,248

RANAP 3 2,832

RADIOLOGI 3,000,000
90,000
4,165
5,700
1,450

OFFIS 30,000
5,000
8,000

FO 64,000
57,000

VIP 2,000
6,000
2,832
12,000
15,000

OFFIS 56,000
12,500
4,248
5,000
217,991 4,000
7,500

FO 56,000
2,000,000

EDP 4,000
17,580,089
UNIT MEDIS UMUM
IT 4,000
180,000
90,000
90,000
5,500
5,750
2,500
7,500
16,800
1,416
2,000
9,000

FO 28,000
32,000
MR 64,000

2,000
2,000

FARMASI 36,000

POLI 12,000
5,564
8,000

GIZI 56,000

FARMASI 70,000

MR 3,750,000
7,500
6,000

VK 2,500
5,750
RANAP 3 8,000
8,000

IGD 32,000

FARMASI 36,000

GIZI 28,500

FO 30,000

NICU 6,750

KEUANGNGAN 17,000
2,500

MARKETING 28,500

MR 30,000
28,500
20,000

POLI 24,000
75,000
5,564

KASIR 24,000
8,000
12,500
25,200
8,330

FARMASI 70,000

MR 1,416
15,000
28,500
7,500

IT 13,600

FARMASI 1,416 S

KEUANGAN 95,000
90,000
 8,000
30,000
16,800
2,832
2,500

KASIR 70,000
20,000

MARKETING 5,100

KEUANGAN 57,000
30,000

MARKETING 60,000

SEKERTARIS 1,416
5,000
3,500

IGD 2,832

FO 8000
2,832
28,500
30,000

MR 28,500
30,000
5,664

FARMASI 30,000
2,000

KEUANGAN 30,000
2,500
8,400
13,000

KASIR 70,000
640,000
PANTRY 13,400
10,000
 20,000

HRD 68,000

IT 51,000

KASIR 320,000

EDP 220,000

POLI 26,000
9,000
5,500
6,750
30,000

FO 28,500
LEB 28,500
EDP 2,000
VK 2,832

IT 135,000
100,000
MR 50,000
FARMSI 6,750

OK 10,000
6,750
2,000
8,400
2,500
7,080
RANAP 3 8,100
GIZI 12,000

MARKETING 40,000
51,000
MR 30,000
FARMASI 356,872 230,000
7,711,122
UNIT MEDIS UMUM
KASIR 70,000
10,000
2,500
320,000
KEUANGAN 30,000
7,500
40,000
8,400
17,000
4,000
2,500
85,500
1,416

FARMASI 50,000
70,000

IGD 27,000
5,000

FO 57,000
30,000
2,500
10,000
4,165

MARKETING 8,400
17,000

RADIOLOGI 300,000

IGD 28,500
2,000

RANAP 3 30,000
2,832
16,000

INTENSIF /NIC 8,333

8,000
5,500
VIP 8,333
 5,500
2,832

MR 50,000
90,000

IT 90,000
90,000
KEUANANGAN 2,500
2,500
MARKETING 60,000
34,000
2,500

PPI 200,000
34,000
SEKERTARIS 50,000

RANAP 3 16,200

MR 28,500
30000
50,000
21,000
17,000
2,832

RANAP 3 30,000
RANAP 3 2,832

KASIR 20,000
30,000
70,000
12,500
8,333

POKJA KPS 12,000

51,000

KEUANGAN 30,000
2,500
2,500
1,416

G FARMASI 24,000
320,000
10,000
 10,000
2,832
20,000
8,000

MR 400,000
54,000
12,500

FARMASI 70,000

KASIR 5,000
70,000
30,000

FO 57,000
30,000
2,000

POLI 24,000

KEUANGAN 8,400
2,500
38,500
180,000
1,416
MARKETING 2,500
40,000

R INTENSIF 54000

KASIR 70,000

APOTEK 50,000
50,000

KEUANGAN 56,000
2,832
3,000
13,000
5,000
8,400
2,000
4,000

KASIR 320,000
 10,000
30,000

SEKETARIS 6,750

APOTEK 70,000
3,500
5,500

MR 84,000
90,000

EDP 290,000
180,000

KEUANGAN 60,000
8,400

HRD 170,000
60,000
FARMASI 12,500
65,000
12,000

RANAP 3 15,000
1,416
12,000
8,330

VIP 27,000
6,750
30,000
1,416

KASIR 2,832
65,000

FARMASI 70,000
2,832
2,832
10,000

FO 56,000
30,000
8,330
2,000
5,000
MARKETING 35,000
SEKERTARIS 32,500
15,000

EDP/FO 57,000
60,000
75,000
FARMASI 70,000

KEUANGAN 50,000
2,832
6,000
10,000
200,000
RANAP 3 50,000
FO 16,000
14,000
54,000
54,000
MR 56,000
50,000

KASIR 7,000
1,416

428,774
6,504,066

UNIT MEDIS UMUM

SEKERTARIAT 32,500

POLI 5,664
25,000
26,000
30,000
OK 28,000
30,000
50,000

FO 120,000
8,330

VK 2,832

IT 50,000

MR 50,000
12,500

KASIR 50,000

MR 350,000
60,000
56,000

KASIR 60,000
2,500

GUDANG FARMSI 90,000

KEUANGAN 330,000
8,600
5 57,000
30,000
5,000
2,000

GUDANG FARMASI 220,000

90,000

FARMASI 75,000
50,000
6,000

VIP 8,330

MR 57,000
60,000

IGD 30,000
FARMASI 120,000

FO 57,000
60,000
5,000
2,832

RANAP 3 2,832

KASIR 8,000
120,000
5,000
16,800

MARKETING 12,000
15,000
60,000

KEUANGAN 60,000
2,000
2,500
2,000
2,000

KASIR 28,000
24,000
8,000

SEKERTARIAT 3,500
3,000

MARKETING 85,000
64,000
60,000

KASIR 320,000
33,600

VK 8333
1416

VIP 5,000
2,832

RANAP 3 15,000
6,750
 3,000

APOTEK 100,000

NICU 5,750
8,330

KASIR 10,000
20,000

MARKETING 20,000
2,700
28,500
POLI 30,000
15,000
5,664
40,000

MR 240,000
85,500
90,000

80,000

IGD 16,000
5,664

MR 20,000
15,000
120,000
300,000
100,000
5,000

FARMASI 140,000
6,000

FO 150,000
150,000

RANAP 3

5,750
 30,000
15,000

R ITENSIF 27,000
482,315 4,797,194

UNIT MEDIS UMUM

MR 60,000

VIP 60,000
8,000
30,000

APOTEK 70,000

CSSD 2,832
12,000
8,000
27,000
2,000
6,750
5,750
8,000

MR 162,000
180,000
400,000

KEUANGAN 5,000
8,000
8,400
4,248
30,000
70,000

VK 6,750
POLI 5,264
16,000
24,000
5,750
30,000

RANAP 3 90,000
24,000
4,248

RADIOLOGI 30,000
10,000
6,750
8,000
10,000
2,832
2,500
30,000

RANAP 3 6,750
6,750
8,000
2,832

GUDANG FARMASI 30,000

1,416

FO 2,832
27,000
30,000
5,000
2,888

FARMASI 70,000

OFFIS/IT 90,000
5,000
2,500

FO 60,000
54,000

KASIR 70,000
180,000
60,000
 5,750
2,888

POKJA SKP 27,000

10,500
10,200
340,000
160,000
30,000
30,000
50,000
150,000

MR 108,000
60,000
40,000

KEUANGAN 30,000
1,416
2,500

SEKERTARIS 20,000
10,000
30,000

APOTEK 32,000
8,000
70,000

MR 17,000
108,000
90,000

CSSD 12,000
5,000
40,000
17,000
30,000

KASIR 30,000
20,000
27,000
30,000

GIZI 20,000
7,000
MR 80,000
270,000
3,500
2,000
6,750

FO 2,832
5,000

10,000
108,000
2,888
40,000
16,000
51,000
34,000

RANAP 3 51,000
34,000

MR 2,832
27,000
30,000

FARMASI 27,000

POLI 24,000
2,888
30,000
6,750
8,000

MR 27,000
FO 54,000
60,000

KPS 20,000

PPI 12,000
2,000
8,000
25,500
54,000
HRD 135,000
150,000
510,000
850,000

FO 54,000
GA 60,000
MR 400,000
360,000

FO 50,000
5,000
2,000
2,000
2,000

KPS 27,000
60,000

EDP 220,000
5,000

HRD 7,080
30,000
5,000
8,400
2,500

NICU 4,248

MR 12,500
FARMASI 70,000
KASIR 27,000

GUDANG FARMASI 320,000

VIP 10,000
5,000
2,832

MR 30,000
27,000

KEUANGAN 15,000
2,500
54,000
30,000
KASIR 70,000
12,500
780,646
FARMASI 140,000
#VALUE!
90,000
45,000
8,140,150

UNIT MEDIS UMUM

KEUANGAN 5,000
54,000
30,000

KASIR 7,500
60,000

FARMSI 120,000
50,000

INSENTIP 25,000
30,000

MR 60,000
54,000
13,000

INSENTIP 8,333
IT 190,000
90,000
90,000
90,000

RANAP 3 8,333

KASIR 330,000

OK 2,000

G FARMASI 10,000

POLI 56,000
16,000
6,250

KEUANGAN 60,000
15,000
8,400
1,416

FARMSI 70,000

KASIR 20,000

MR 56,000
60,000
6,250
2,832

IT 70,000

KEUANGAN 8,400
2,500
5,664
28,000

POLI 2,832
12,000
70,000

MR

MR 400,000
50,000
EDP 220,000
5,000

KASIR 38,000
70,000
75,000
8,333

RANAP 3 5,000

RADIOLOGI 95,000

APOTEK 70,000
14,000

F0 56,000
60,000
2,832
8,000

SEKERTARIS 20,000

RANAP 3 12,000
8,000
13,500

POLI 28,000
160,000

VK 2,500
2,832

MR 28,000
30,000

KEUANGAN 50,000

VIP 12,000
8,000

KASIR 30,000
50,000
120,000

FO 112,000
 60,000
483,580 500,000

KEUNGAN 420,000
2,000
5,000
6,000
20,000

FO 200,000
4,498,127

UNIT MEDIS UMUM

KEUANGAN 330,000
7,500
2,000
220,000

SECURITY/BUAT 6,750
PAPAN AKRE
5,000
2,000

SEKERTARIS 54,000
2,500

FO 54,000
60,000

POLI 140,000
16,000
13,500
5,664

RANAP 3 35,000
VK 17,500

MR 200,000
2,832

RANAP 3 32,000
 4,248
8,000

KASIR 320,000
20,000

MR 210,000
12,500

POLI 28,000
125,000
25,000
100,000
16,000

KEUANGAN 8,000
25,000
28,000
2,000
2,832
8,000
2,500
5,000

KASIR 2,000
2,832
5,000
56,000
64,000
10,000
12,500
60,000

FARMASI
30,000

PANTRY 20,250
10,500
20,000

MR 105,000
10,000
400,000
10,000
2,832
17,500
KASIR 30,000
7,500
8,000
5,500
1,416
60,000
320,000
56,000

FO 84,000
90,000
50,000
20,000
200,000
EDP 220,000

FARMASI 60,000
8,000
12,000
8,000
PANTRY 5,500

NICU 5,750
4,248

MR 100,000
60,000

FARMASI 32,000

MR 54,000
60,000

FO 190,000
26,000
10,000
108,000

FARMASI 120,000

RANAP 3 8,000

MR 33,000

KASIR 12,500
54,000
 60,000
120,000

EDP 220,000
26,000

RANAP 3 30,000
27,000

KEUANGAN 2,000
1,416
7,500
10,000
5,000

VIP 30,000
NICU 30,000
30,000

MR 5,000
5,000

APOTEK 60,000
10,000
10,000
2,000

RANAP 3 10,000 5,078,160

13,500

754,410

UNIT MEDIS UMUM

FO 81,000
8,000
4,000
8,333

SEKERTARIS 10,000
 54,000
30,000

APOTEK 60,000

IT 95,000
90,000

MR 11,000

VK 2,500
8,333
2,500

RADIOLOGI 84,000
20,000
40,000
34,000
25,000
10,000
8,000
2,832
27,000
POLI 5,664
16,000
24,000
6,750

GUDANG FARMASI 320,000

PANTRY 17,000

FO 2,832
16,000

KASIR 60,000
220,000
16,000

FARMASI 60,000

MR 54,000
60,000

FO 54,000
8,333
MR 300,000
90,000
54,000

VIP 2,500

KEUANGAN 60,000
20,000

FARMASI 12,500
60,000
2,832

MR 50,000

RANAP 3 13,000
8,333
32,32

FARMASI 25,000

EDP 220,000

KASIR 13,000
8,333
60,000
5,000
40,000
8,000

MR 55,000

MARKETING 30,000

RANAP 3 2,832
8,000
6,750

FO 81,000
32,000

APOTEK 60,000

IGD 30,000
KEUANGAN 320,000
220,000
27,000
8,000
2,000

SEKERTARIS 13,000
2,500

FO 57,000
64,000
APOTEK 25,000
5,000

POLI 120,000
70,000
5,664
36,000
6,750

KEUANGAN 7,500
8,000
320,000
20,000
2,000
2,500
2,832
2,500

MR 64,000
56,000

MR 96,000
81,000
400,000
50,000

MARKETING 60,000

FO 30,000
81,000
64,000

mr 33,000
60,000
8,496
KASIR 60,000
5,000
18,000
50,000
5,750

FO 54,000
95,000

SEKETARIS 54,000

APOTEK 60,000
60,000
20,000

KEUNGAN 1,416
3,000
16,000
2,000
4,000

MR 27,000
64,000
400,000
50,000

KASIR 320,000
25,000
2,500
30,000
MR 27,000
32,000
20,000

KASIR 60,000
APOTEK 60,000
5,750

POLI 120,000
75,000
KASIR 5,000

RANAP 3 3,330
5,750
VK 2,832
2,500

563,655
MR 100,000
22,000
20,000
56,000
64,000

FO 56,000
10,000
20,000
30,000
230,000
7,335,072

UNIT MEDIS UMUM

EDP 30,000
20,000
20,000

KASIR 120,000
150,000

FARMSI 120,000

MR 56,000
64,000
27,000

33,000
7,500
13,000
50,000

POLI 8,333
5,664
4,000
56,000
100,000
 27,000

KASR 180,000
120,000

KEUNGAN 5,000
13,500
15,000
1,416

R INSNTIP 30,000

PNTRY 30,000
2,500

EDP 1,416
30,000

FO 84,000
2,000
5,000

G FARMASI 230,000
320,000

MR 400,000
20,000
13,500
13,000
56,000

FARMASI 20,000

KEUANGAN 2,500
10,000
4,000
50,000

EDP 230,000
5,000
2,000
8,333

NICU 2,432
10,000
POLI 120,000
120,000

VIP 13,500
50,000

FARMASI 300,000

EDP 70,000

70,000

KASIR 60,000
25,000

G FARMSI 40,000

FO 84,000
10,000
20,000
20,000
3,888
40,000

CSTING/GA 10,000
13,000
2,500
35,000
7,000

NICU 6,750

SEKERTARIS 28,000
32,000
50,000

MR 64,000
56,000
12,500

33,000

FARMASI 60,000
5,000

60,000
KEUANGAN 30,000
30,000

MR 64,000
56,000

33,000
553,679 5,000
95,000
FO 95,000
G FARMSI 330,000
4,533,553

UNIT MEDIS UMUM

KASIR 7,500
60,000
28,000
5,000

VK 8,000

EDP 220,000

KEUANGAN 5,400

NICU 28,000

VIP 10,000
13,500

RANAP 3 2,832
3,888

CASTING/GA 5,400
5,000
2,000

MR 100,000
22,000
600,000
64,000
FO 56,000

IT 20,000
2,000
56,000
32,000
2,832
1,416
95,000

GUDANG FARMASI 320,000

EDP 100,000
80,000

MARKETING 112,000
7,500
7,500
128,000

FARMASI 60,000
16,000
13,000

MR 340,000
64,000

RANAP 3 60,000

RANAP 3 6,750
60,000

OFFIS 6,500
180,000
30,000

KEUANGAN 30,000
320,000
4,000
8,000

RANAP 3 4500
13,000
MR 20,000

22,000

IT 285,000

RANAP 3 6,750
10,000
10,800

IGD 10,000

KASIR 60,000
60,000

FARAMSI 60,000

EDP 13,000
16,000

MR 300,000
75,000
56,000
64,000

FO 56,000
3,000
5,000

IGD 32,000

KASIR 320,000
60,000
9,000
7,500
10,000
60,000

FO 56,000
5,000
4,500
30,000

MR 56,000
64,000

KEUANGAN 56,000
 64,000
2,500
2,500
4,000
1,000,000
10,000
2,000

RADIOLOGI 20,250
100,000

CASTING/GA 3,000
2,000

FARMASI 60,000
24,000

FARMASI 60,000
32,000
3,000

FO 56,000
60,000
2,000

IT 180,000

RANAP 17,250
10,000
2,500
27,000

MR 64,000
56,000
POLI 10,000
6,000
16,000

KEUANGAN 5,000
5,000
4,000
4,000
5,000
2,000
16,000
56,000
 64,000

FARMASI 60,000
30,000

MR 30,000
44,000

6,750
5,000

FO 44,000
20,000
6,000
84,000
60,000

KASIR 60,000
30,000
20,000
320,000
320,000
5,000
13,000
15,000
30,000

MR 60,000

FARMASI 5,000
60,000

VIP 13,000
6,750
10,000
10,000

FO 56,000
60,000
2,000
FARMASI 60,000

408,520 8,523,048
UNIT MEDIS UMUM
VK 10,000
40,000
25,000

APOTEK 120,000

90,000

FO 84,000
64,000
30,000

SEKERTARIAT 24,000
84,000

FARMASI 45,000
20,000
120,000

FO 3,000
2,500

EDP 26,000
30,000
230,000

FO 2,500
3,000

MR

200,000

KASIR 30,000

APOTEK 120,000
20,000
45,000
KASIR 120,000
 Pemasukan Barang ATK, Umum & Percetakan
Bulan Januari 2016

No Tanggal Nama Barang Jumlah Satuan Harga

1 5/1/2016 Brosur Full Colour 2 Rim 300,000

2 5/1/2016 Sabun Cuci Botol "Sleek" 450 ml refill 2 Pouch 25,500

3 7/1/2016 Pisau Cukur Gillette Goal II @24 pcs / lbr 1 Lbr 120,000

4 7/1/2016 Batery Sony CR 2032 4 Pcs 15,000

5 13/01/2016 Softener 20 Ltr 12,000

Detergent Cair 20 Ltr 15,000

6 13/01/2016 Kertas HVS A4 70 gr "Natural" 10 Rim 28,000

Stiker label Tom & Jerry 127 @25 pak / Dus 2 Dus 100,000
Stiker label Tom & Jerry 100 @25 pak / Dus 1 Dus 100,000
Isi Staples Kecil Etona - 10 @20 pak / box 1 Box 25,000
Ballpoint Standard AE7 Hitam 1 lsn 17,000
Spidol Hitam Permanent 1 lsn 60,000
Amplop Coklat F4 2 Pak 30,000
Continous Form 9 1/2 X 11, 2 ply 1 Dus 210,000
Tip ex Kertas Roll 1 Pc 7,000

7 13/01/2016 Bak / Ember besar 2 Pcs 50,000

Box Container Kecil 3 Susun 1 Pc 70,000

8 13/01/2016 Bukti Permintaan Barang 20 Buku 15,000

Formulir Pemakaian Alat Kesehatan 20 Buku 10,000
Laporan Harian Poliklinik 10 Buku 20,000

9 18/01/2016 Sabun Cuci Botol "Sleek" 450 ml refill 2 Pouch 21,900

Sunlight Lime refill 400 ml 2 Pouch 8,800

10 21/01/2016 Amplop Logo Mitra Family 10 Dus 50,000

Buku Catatan Kesehatan Ibu & Anak + Lampiran
1000 Buku 5,000

11 22/01/2016 Standard Buku 10 set 25,000

 Continous Form 9 1/2 X 11, 2 ply 1 Box 210,000
Continous Form 9 1/2 X 11, 2 ply PRS 1 Box 215,000
handboard Kayu 1 Pcs 5,000

12 26/01/2016 Kop Surat Mitra Family 2 Rim 120,000

Lembar Poliklinik 2 Rim 70,000
Surat Keterangan Pelayanan Medis 2 Rim 70,000

13 28/01/2016 Gelas LOGO Mitra Family 300 pcs 12,500

Paket Kelas III 450 Paket 9,000

14 28/01/2016 Permintaan Pemeriksaan Laboratorium 2 Rim 70000

Permintaan Pemeriksaan Patologi 2 Rim 70000
Daftar Visite & Konsul Dokter 20 Buku 10000

Pemasukan Barang ATK, Umum & Percetakan

Bulan Februari 2016

No Tanggal Nama Barang Jumlah Satuan Harga

1 1/2/2016Kartu Nama dr. dedi Kurniawan Saputra, Sp.A 2 Box 40,000
Resep 60 Buku 7,000
Surat Pernyataan Penolakan Rawat Inap / tind. Medis
2 Rim 70,000

2 3/2/2016 Kertas HVS A4 70 gr "Natural" 5 Rim 28,000

Continous Form 9 1/2 X 11, 2 ply 1 Box 210,000
Batu Batery ABC Alkaline AA isi 2 5 set 10,000
Tip Ex Kenko @ 12 pcs / dus 1 Dus 50,000
Kertas Fax 210 X 30 1 Roll 20,000
Skat File A4 1 Pak 25,000

3 3/2/2016 Plastik Kresek Putih HD 24 10 Pak 15,000

Plastik Kresek Putih HD 28 10 Pak 15,000
Plastik Kresek Putih HD 17 25 Pak 16,000

4 9/2/2016 Catatan Perkembangan / Implementasi 2 Rim 70,000

5 12/2/2016 Buku Folio 200 lbr 6 Pcs 30,000
Buku Kwarto 200 lbr 6 Pcs 12,000
Buku Ekspedisi (1/2 Folio) 100 lbr 6 Pcs 8,000
Spidol Kecil Hitam 1 Lsn 12,000
Isolasi 1" 6 Roll 5,000
Isolasi 1/2" 6 Roll 3,000
Gunting OLL Gunindo 1 Lsn 60,000
Amplop Polos Putih Kecil 10 Box 12,000
Skat File Folio 3 Pak 28,000
Continous Form 9 1/2 X 11, 2 ply PRS 1 Dus 215,000

6 15/02/2016 Continous Form 9 1/2 X 11, 3 : 4 J - Plus 1 Dus 410,000

Stiker label Tom & Jerry 127 @25 pak / Dus 1 Dus 100,000
Map kancing 1 Pc 15,000
Album kartu Nama 1 Pc 10,000

7 15/02/2016 Softener 20 Ltr 12,000

Detergen Cair 20 Ltr 15,000
Pemutih 20 Ltr 8,000
Parfum Loundry 5 Ltr 22,000

8 15/02/2016 Pisau Cukur Gillette Goal II @24 pcs / lbr 1 Lbr 120,000

9 15/02/2016 Sensus Harian Pasien Rawat Inap 10 Buku 20,000

PPC Nama Dokter 9 Pcs 20,000

10 18/02/2016 Serah Terima Pasien 1 Rim 70,000

Pengkajian Keperawatan Rawat Inap 1 Rim 70,000

11 21/02/2016 Data Medis Pasien 2 Rim 70,000

Amplop Rontgen Besar 100 Lbr 2,500
Amplop Rontgen Kecil 100 Lbr 1,500
Bukti Bon sementara 30 Buku 7,000

12 22/02/2016 Lakban / Isolasi Bening 2" 2 Roll 10,000

Kertas Hvs A4 70 gr "Natural" 10 Rim 28,000
Kertas Fax 210 X 30 2 Roll 20,000
Kertas Hvs F4 70 gr "Natural" 2 Rim 30,000
Batery ABC Alkaline AAA @6 pcs / set 3 set 20,000
 Staples Kecil Max HD - 10 2 Pc 15,000
Post it 12 Pc 10,000

13 23/02/2016 Sabun Cuci Botol "Sleek" 450 ml refill 2 Pouch 25,500

14 26/02/2016 Odner Bindex Besar @12 pcs / dus 1 dus 200,000

Karton manila Putih 10 lbr 2,000
Spidol Boradmarker Hitam 1 Lsn 75,000
Spidol Hitam permanent @12 pcs / box 1 Box 60,000

15 26/02/2016 Plastik Klip 7 X 10 ( 43 pak ) 3 Kg 40,000

Plastik Klip 13 X 8,7 ( 27 pak ) 3 Kg 40,000
Plastik Klip 10 X 15 (21 pak ) 3 Kg 40,000

16 26/02/2016 Map Rekam Medis 1000 Lbr 3750

Pemasukan Barang ATK, Umum & Percetakan

BULAN MARET 2016

No Tanggal Nama Barang Jumlah Satuan Harga

1 1\3\2016 standdar ae7 24 pic 708
isi staples no 10 2 pak 25,000
lsi pulpun snoman 1 sdu
klip no 3 1 pak
tabel tom & jery 1 bok
atk polio polos 2 pak 30000
amplop ppi besar 10 pak 15000
atk kabinet 2 pak 15000
pembolong kenko 3 buah 30000

2 3\3\16 resep 60 bk 7000

3 8\3\16 cf k2 pps 1 dus
standar buku 12 set 25000
4 8\3\16 farfum 5 liter 22000
softener 20 liter 12000
deterjen 20 liter 15000

5 10\3\2016 silet goal 24 lbr 1,382,400

 11\3\2016 cout[13,8 2 bh 26000
11\3\2016 cf k3 prs 1 dus
kertas fax 3 rim 20000
label 127 1 dus
expanding 1 bk
6 14\3\16 natural a4 10 rim 28000
natral f4 5 rim 30000
bk folio 200 6 buku 30000
bk kwarto 6 buku 12000

7 22\3\2016 natural a4 5 rim 28000

santri label
amplop ppi kecil 5 pak 12000
map sayal helater 1 dus
biswebs filter pi pt 11
gieli tafe 7 bok 7000

8 23\3\2016 towel multi folisol 20

9 29\3\2016 resep no 2 play 1\3 f 60 7000

daftar visit no 2 2 ply 20 10000

10 29\3\16 OQNES BINTEK FA 1 DUS

bolpoin af 7 1 dus
kertas f4 natural 5 dus 30000

11 21\3\2 tisu dus 300 bok 3500

12 30\3\2016 philip 18 wat 24 buah 32000

13 31\3\2016 plastik klip 20 biji

14 31\3\16 softener 10 liter 12000

dettejen 20 litr 15000
stiker tom jeri 5 pc

Pemasukan Barang ATK, Umum & Percetakan

BULAN APRIL 2016
BULAN APRIL 2016

NO TANGGAL NAMA BARANG JUMLAH SATAUN HARGA

1 4/4/2016 NATURAL A4 5 RIM 28000
CF K3 PVII 2 DUS 320000
 AMPLOP PPI BSR 5 DUS 15000
AMLOP PPI KECIL 5 DUS 12000
MAP SNELL B10 2 DUS 65000
A/C POLIO POLOS 1 PAK 30000
PIAGAM 1 PAK 50000
KARTU STK 1 PAK 15000
KERTAS FAX 210X 30 2 RIM 40000
10PC) ALKALINE AZ 5 SET 50000

2 4/4/2016 POST IT 3B 3OOOO

DOCUMEN ISI 100 1B 50000

3 4/4/2016 RESUM MEDIS 10 BK 20000

CATATAN PERKEMBANGAN 2 RIM 70000

4 5/4/2016 SILET GOAL 11 BLUE 1 LEMBAR

12X24 1,620,000

5 7/4/2016 MAP 200 LBR 3750

6 11/4/2016 NATURAR A4 10 RIM 28000

CATER GUNINDOBSR 1 PAK 45000
POST IT 654 10 B 10000
BINDER CLIP 155 1 GROSS 95000
BUKU EXPEDISI 100 3B 8000
STAPLES MAX KECIL 3 BUAH 13000
KWITANSI KCL 5B 2000
STANDAR AE7 1 DUS 17000
SPIDOL PERMANEN 1 DUS 60000

7 4/4/2016 CLIP 10X15 10 PAK 75000

CLIP 13X17 10 PAK 60000
KANTONG PLASTIK 15 B 225000

8 17/4/2016 SERAH TERIMA HVS 2 RIM 70000

SURAT KETERANGAN MEDIS 2 RIM 70000
LAPORAN HARIAN POLIKLINIK P.M.K.H 10 BK 40000
LEMBAR POLIKLINIK 2 RIM 70000
SURAT PERSETUJUAN TINDAKAN TNP 10 BK 20000
BUKTI PERMINTAA BARANG 20 BK 10000

9 STEMPEL KRISTAL 3 BH
DAFTAR VISIT & KONSUL DR 20 BK 10000
REKOMENDASI& ADMINISTRASI 20 BK 7000
PESEN PASIEUN PULANG 20 BK 10000
RESEP 60 BK 7000
10 23/4/2016 ODNES BINDEK FLOW 1G 200000
DOBEL TAPE 3M BSR 2 PAK 45000
STEROPOM GUPPY 3 PCS 5000
BOX FILE BINDEK 3 SUSUN 30 PCS 20000
TRUL 3 SUSUN 2 PCS 75000
MAP TRANSPARAN 1G 35000

11 22/4/2016 STANDAR A17 10 SET 25000

ISI SATPLES 1 DUS 55000
ISI STPLES N0 10 1 DUS 25000
KERTAS FAX 2 RIM 20000
STPLES KECIL 1 BUAH 13000
STPLES BESAR 1 BUAH 20000
BINDER KLIP N0 107 1 DUS 35000
ABC 3 BUAH 10000
NATURAL A4 5 RIM 28000

12 22/4/2016 STEMPEL KRISTAL 2 BUAH 30000

STEMPEL 2 WARNA 1 BUAH 70000

13 26/4/2016 GILET 24 BUAH 65000

14 25/4/2016 (100lbr)map b10 sneell 2 dus 65000

Sskat file polio 2 pak 30000
pulpen stndar ae 7 1 pak 17000
standar buku besi 1 set 25000

22/4/2016 DETERJEN 20 LITER 15000

BAYKLIN 20 LITER 12000

4/28/2016 TULIP(KANTONG KRESEK KCIL 5 PAK 16000

TULIP(KANTONG KRESEK SEDANG) 5 PAK 16000

4/28/2016 MATA BOR 1 BUAH 35000

PAKU RIPET 20 BUAH 500

4/28/2016 RODA HORDENG 20 BIJI 200

KAWAT HORDENG 1 BUNGKUS 10000

29/4/2016 PAKET MANDI 475 PAKET 8100

TOTAL
 Pemasukan Barang ATK, Umum & Percetakan
BULAN MEI 2016

NO TANGGAL NAMA BARANG JUMLAH SATAUN HARGA

1 2/5/2016 STANDAR BUKU 40 SET 25000
100 LERBAR )MAP SNELL 2 DUS 65000
BINDER KLIP 260 5 DUS 17000
PEMBATAS BUKU 3 PAK 30000
PEMBOLONG KERTAS KENKO NO 85 1 BUAH 50000

2 4/5/2016 100LERBAR ) AMPLOP COLKAT 1 PAK 65000

100 LEMBAR) MAP SNELL 2 DUS 65000

3 9/5/2016 BINDER KLIP NO 155 1 GROS 95000

ETONA NO 10 2 DUS 25000
MAP SNELL B1O 2 DUS 65000
ISI PULPEN SNOWMAN 1 DUS 10000
KERTAS FAX 210*30 2 RIM 20000
BUKU POLIO 200B10/BUKU KWARTO 2 BK 30000
BENANG RAMI KODEK 1 PAK 50000

4 9/5/2016 CATATAN PERKEMBANGAN 2 RIM 70000

FOMULIR PENDAFTARAN PASIEN 2 RIM 70000
TANDA TERIMA FAKTUR TP BM 1 20 BK 10000
PERMINTAAN UANG MUKA TP BM 30 BK 7000
KWINTASI 30 BK 7000

5 12/5/2016 SABUN CUCI BOTOL'' SLEEK'' 3 POCK 29900

SUNLIGHT 3 POCK 15000
ZWITSAL BABY 3 POCK 22500
TOWEL TISU PENGESAT 20 PAK

6 17/5/2016
CF 9.5*11 2PULL/ KERTAS KOMPUTER 1 BOK
STOP MAP/MAP STATUS/MAP SNEL 3 BOK 65000
A4 70GRAM NATURAL/KERTAS NATU 5 RIM 28000
BOK FILE BINDEK 30 PCS 20000
MAP TANPARAN/BUSINES FILE/MAP P 2 LUSIN 35000
TIPEX 1 LUSIN
BUKU POLIO 200 LEMBAR 2 PCS 30000
BUKU FOLIO 300 LEMAR 2 PCS 35000
PEMBOLONG TANGGUNG 2 PCS 30000
CUPE NO 3/TRIGONAL KLIP 1 BOK
 DOBEL TIP 3 M 1 GROS
BUKU KWRTO 200 LEMBAR 5 PCS 12000
AE7 STANDAR HITAM 2 LUSIN 17000
TRAI 3 SUSUN 1 PCS
BUKU FOLIO200 LEMBAR 2 PCS 30000
BATU ABC KCIL 3 PCS 7000
PENGHAPUS PENSIL 2 PCS 2000

7 17/5/2016 CATATAN PERKEMBANGAN 2 RIM 70000

PERMINTAAN RAWAT INAP 2 RIM 70000
RESUM MEDIS 10 BK 20000
KARTU NAMA 1 BOK 40000
PAPAN NAMA DR 1 BH 2 0000

8 17/5/2016 DAFTAR VISIT &KONSUL DOKTER 20 BK 10,000

GRAFIK 2 RIM 70000
DATA MEDIS PASIEUN 2 RIM 70000
HASIL PEMERIKSAA CTG.EKG.USG 2 RIM 70000
PENGKAJIAN KEPERAWATAN 2 RIM 70000
PERMINTAAN PEMERIKSAAN LEB 3 RIM 70000
CATATAN PERKEMBANGAN DI ISI DR 2 RIM 70000
DOKTER PENANGGUNG JAWAB PEL 3 RIM 70000

9 11/5/2016 GILET (PISAU CUKUR) 24 BUAH 65000

10 15/52016 SOFTENER
DETER JEN

11 23/5/2016 HAK & KEWJIBAN PASIEN 20 BK 20000

NATURAL POLIO
12 23/5/2016 NATURAL A4 5 RIM 30000
CF K3 PRS 1 DUS 32500
MAP SNIL /STATUS 2 DUS 65000
AMLOP KCIL 5 PAK 12000
KWITANSI KCL 7 PAK 2000
BKU KWRTO 100 BIO 8 BK 8000
TEMPAT PENSIL KERANJANG 3 BK 12000
POSIT PRINTER /WARNA WARNI 5 PAK 10000
STANDAR AE 7/ PULPEN 1 PAK 17000
SPIDOL PER MANEN 1 PAK 60,000
BINDER CLIP 111 1 GROS 70,000
MAP SNIL PAICHI /MAP BENING 1 PAK 27000
 KERTAS A4 5 RIM 28000

31 LAMPU PLILIP 12 BUAH 30000

Pemasukan Barang ATK, Umum & Percetakan

BULAN JUNI 2016

NO TANGGAL NAMA BARANG JUMLAH SATAUN HARGA

1 1/6/2016 CV .200 A 1 PACK 20000

2 2/6/2016 TKARTU STOK BARANG 2000 LEMBAR 200

TANDA TERIMA 30 BK 7000

3 3/6/2016 DETERJEN 10 LITER 15000

SOFTENER 15 LITER 12000

4 3/6/2016 KANTONG KRESEK 20 PAK 15000

KLIP 13*8,7 10 PAK 6000
KLIP 7*10 10 PAK 5000
K KRESEK HITAM 1 PAK 6500

5 3/6/2016 CF 95*11 3PRS 1 BOK 325,000

CF 5*11 3 PLAY 1 BOK 315,000
A4 70 GRAM NATUR 5 RIM 28,000
SPIDOL WB 1 LUSIN 75,000
STEPLES MAX NO 10 3 PCS 13,000
BAK STEMPEL YAMORA 3 PCS 25,000
TINTA STEMPEL YAMORA 2 BTL 8500

6 8/6/2016 RESUM MEDIS 20 BK 20,000

FOMULIR PENOLAKAN ANESTESI & S 2 RIM 70,000
FOMULIR PERSETUJUAN ANESTESI &S 2 RIM 70,000
PERSARATAN PULANG ATAS PERMINTA 2 RIM 70,000
FOMLIR PERSETUJUAN TINDAKAN KE 2 RIM 70,000
FOMULIR PERSETUJUAN UMUM 2 RIM 70,000
SURAT PERSETUJUAN TATA LAKSANA 2 RIM 70,000

7 8/6/2016 MAP REKAM MEDIS 1000 LMBR 3,000

PAPAN NAMA ACRILIC 1 BH 20,000

8 9/6/2016 BLANKO PIAGAM ASB 2 PAK 30,000

ISOLASI DAIMARU 3R 5000
ALKALINE ISI 6PC 2 SET 20,000
KERTAS FAX 210*30 1R 20,000
 9 10/6/2016 A4 70GRM NATUR 5 RIM 28000
BUKU EKSPEDISI 3 BK 8000
POS IT 65 TNGGUNG 10 PCS 10000
ETONA NO 2 PAK 25,000

10 10/6/2016 PIPA WAPIN 4 BTG 80,000

KLE 1/2WAPIN 20 BH 28,000
KEBI 8 BH 40,000

11 10/6/2016 FREON DUPON 1 KG 150,000

12 10/6/2016 PAKU RIVET 40 BH 10,000

13 10/6/2016 HD 15*24 20 0AK 15000

KLIP 10*15 10 PAK 7500
PP 40*60 1 IKAT 15000
KLIP 12*20 5 PAK 14,000

14 8/6/2016 MAP REKAN MEDIS/MAP MITRA 1000 LEMBAR 3000

PAPAN NAMA 1 BH 20,000
GENERAL CONSENT 1 RIM 70000
STEMPEL KRISTAL 4 PCS 30,000
KARTU NAMA 3 BOK 40,000

15 14/6/2016 BOX FILE BINDEK 30 PCS 20000

TRAY 3 SUSUN 1 PCS 75000
AMLOP COKLAT 2 PAK 30000
ISI BULPEN 19 PCS
BUKU POLIO 200 LEMBAR 4 BK 30000
BINDER KLIP NO155 1 BOK 85,000
ABC 1 BOK
MAP DAICHI POLIO 1 PCS

16 16/6/2016 SILET GOAL 11 12*24 1 LBR 115,200

17 16/6/2016 EPSON L100 BLAK 3 BK 90,000

AMLOP PPI KCL 5 DUS 12000
LAKBAN COKLAT 2G 8500
MAP TRANSFARAN 3 PAK 35000
PULPEN AE7 1 DUS 17000
18 16/6/2016 KLIP 12*20 3 PAK 14000
KLIP 17*11 5 PAK 15000
PP 40*60 5 IKAT 15000

19 16/6/2016 STIKER BROCO 2 BH 15000

COLOKAN T BROCO 2 BH 20,000
TERMINAL BROCO 1 BH 45,000

20 16/6/2016 CAPAR 2 BUAH 20000

NULM 2 BH 20000

21 20/6/2016 PHILIPS ESENTIAL 12 BUAH 30,000

22 21/6/2016 BATERRAI 9 V0OLT 5 BUAH 10,000

ACCO 1 DUS 10,000
BUKU KWRTO 100 B/10 4 BUAH 8,000
NATURAL A4 5 RIM 28,000
CATER GURINDO 1 PAK 3,750

23 20/6/2016 PERSETUJUAN TINDAKAN MEDIS 2 RIM 70,000

DATA MEDIS PASIEN 2 RIM 70,000
REKOMENDASI ADMINISTRASI PASIEN 10 BK 7,000
COPY RESEP 30 BK 7,000
PASEN PULANG 20 BK 10,000
KONTROL ISTIMEWAH 1 RIM 70,000
AMLOP COKLAT BESAR 100 LEMBAR 4,000
AMLOP COKLAT SEDANG 100 LEMBAR 3,000
AMLOP COKLAT KECIL 100 LEMBAR 2,000

24 20/6/2016 SURAT PESENAN PSIKOTROPIKA 20 BK 15,000

SURAT PESENAN NARKOTIKA 20 BK 20,000
STEMPEL KRISTAL DR 1 BUAH 30,000

25 20/6/2016 DETERJEN 20 LIETR 15,000

SOFTENER 20 LITER 12,000
BAIKLIN 10 LITER 8,000

26 26/8/2016 SOFTENER 20 LITER 12,000

DETERJEN 20 LITER 15,000
PEMUTIH 20 LITER 8000
 27 26/8/2016 KARTU STOK 2000 LEMBAR 500

Pemasukan Barang ATK, Umum & Percetakan

BULAN JULI 2016
NO TANGGAL NAMA BARANG JUMLAH SATAUN HARGA
1 1/7/2016 DOKUMEN ISI 100 LEMBAR 1 PCS 50000
SPIDOL PERMANEN HITAM/MERAH 2 PAK 60000
ACCO PUTIH 5 PAK 10000
CLIP NO 1 1 GROS 20000
POS IT 654 TANGGUNG 10 PCS 10000
SERUTAN 2 PCS 2500
CF 9*5*11 3 PRS 2 DUS 325000
SKAT FILEFOLIO 3 PAK 30000
PULPEN A STANDAR 1 LSN 17000
COTRIDE LX 300 HP 2 PCS 25000
REPTIL1*300HP BIRU 5 PCS 10000
PITA GRS 38 10 PAK 30000

2 1/JULI/2016 KARTU NAMA DINI 2 BOK 40000

SURAT KETERANGAN MEDIS 3 RIM 70,000
PERMINTAAN RONGSEN 2 RIM 70000
PERMINTAAN RAWAT INAP 2 RIM 70000

3 15/JULI/2016 AMLOP KCIL 10 PAK 12000

MAP SNIL BIO 2 DUS 65,000
DOKUMEN ISI 100 3B 50000
TIPX KENKO 1 DUS 55,000
ETONA NO 10 2 PAK 25,000
PUNCH NO 85 2B 40,000

4 19/7/2016 NIP 15*24 25 PAK 15000

KANTONG HITAM 10 PAK 12,000
12*20 15 PAK 14,000
11*17 15 PAK 15,000
13*87 15 PAK 6000
 10*7 15 PAK 5000
15*10 15 PAK 7500
KLIP BIRU 15 PAK 16000

5 19/7/2016 BUKTI PERMINTAAN BARANG 40 BK 15000

LAPORAN HARIAN KLINIK 30 BK 40,000
SURAT PERMOHONAN PINDAH KLS 2 RIM 70,000
PENGKAJIAN KEPERAWATAN 2 RIM 70,000
DAFTAR CONTRO ISTIMEWAH 3 RIM 70,000
COPI RESEP 30 BK 7,000
RESEP 30 BK 7,000

6 DETERJEN 20 LITER 15,000

SOFTENER 20 LITER 12,000
BAYLIN 20 LITER 8,000

7 29/72016 SERAH TERIMA PASIEN 2 RIM 70,000

PERMINTAAN RAWAT INAP 2 RIM 70,000
SURAT KETERANGAN PELAYANANAN M 3 RIM 70,000
CATATAN PERKEMBANGAN 2 RIM 70,000
DATAMEDIS PASIEN 2 RIM 70,000
LEMBAR POLIKLINIK 3 RIM 70,000
PEMERIKSAAN LABO 2 RIM 70,000
FORMULIR PEMBERIAAN TERAPI 3 RIM 70,000
PENDELAGASIAN WEWENANG 10 BK 20,000

8 29/7/2016 KERTAS FAX210*30 2 RIM 20,000

KERTAS A4 15 RIM 28,000
TINTA T 664 70GRAM NATUR 2 BOTOL 90,000
STEPLES MAX HD 10 4 PCS 13,000
TINTA STEMPEL YAMURA 2 BOTOL 8,500
BOXFILE BINDEK 30 PCS 20,000
BK FOLIO 200LEMBAR 4 PCS 30,000
BUKU FOLIO 300 LEMBAR 3 PCS 35,000
BUKU EXPEDISI 5 PCS 8,000
PULPEN 1 LS
STABILO BOS 8 PCS 8,000
MAP SNIL BIO 2 DUS 65,000
MAP TRANPARAN 1 LS
BOLPOIN MEJA 2 PCS 6,000
 Pemasukan Barang ATK, Umum & Percetakan
BULAN AGUSTUS 2016
NO TANGGAL NAMA BARANG JUMLAH SATAUN HARGA
1 5/8/20P16 TOWEL 7*10950 7 PAK 10950
ZWITSAL BABY 2 PCS 28 100
SLEE 450MIL 4 PCS 29900
EVEREADY SENTER 1 BUAH 53900
MITU BABY 4 PCS 21,300
SUNLIGHT 2 PCS 14,750
SUNLI REFF 200 5 PCS 4925
FASEO 1 PAK 17 775
KONICARE 1 BUAH 21,280

2 12/8/2016 CF K3 PLL 2 DUS 320,000

STRUK 58*118 1 PAK 20,000
CF K2 PVLL 2 DUS 215,000
TINTA YAMORA 2B 8,500
PITA LX HP 10 B 12,000
KWITANSI KECIL 3B 2,000
BK KWRTO 5B 12,000
BK BASTER 200 B 10 1B 16,000
PEN MEJA 6B 6,000
STANDARAE 1 DUS 17,000

3 12/8/2016 RENCANA ASUHASN KEPERAWATAN 3 RIM 70000

SUTRAT PERNYATAAN PERSETUJUAN M 3 RIM 70000
DATA MEDIS 3 RIM 70000
FROM PERSETUJUAN 3 RIM 70000
SERAH TERIMA PASIEN 2 RIM 70000
FROM PEMBERIAN TERAFI 2 RIM 70,000
RESEP 60 BK 7000
KARTU NAMA DR DEDI 4 BOK 40,000
PERMINTAA PEMERIKSAAN LEB 2 RIM 70000

4 16/8/2016 tinta 7 bh 90000

tanggung 10 pcs 10000
map daici 1 lsn 27000
 gunting 1 lsn 60000

5 19/8/2016 hd 15*24 40 pak 15000

klip 7*10 20 pak 5000
13*87 20 pak 6000
10*15 20 pak 7500
11*17 20 pak 10000
20*12 20 pak 14000
klip biru 20 pak 16000

6 19/8/2016 ODNER BINDEX FOLIO+KWITANSI 2 DUS 200000

ACCO 3 DUS 10000
PUSH PIN 2B 5000
PP ROCKET BINDEK FOLIO 1 PAK 18000

7 26/8/2016 KARTU STOK 2000 LEMBAR 500

8 26/8/2016 SOFTENER 20 LITER 12000

DETERJEN 20 LITER 15000
PEMUTIH 20 LITER 8000

9 30/8/2016 A4 70 GRAM 10 RIM 30000

ODNER BINDEK 1 LSN 200000
MAP SNEL 2 DUS 65000
MAP TRANPARAN 1 LSN 35000
BATU BAKAL 9 VOLT ALKALINE 2 SET 25000
BATU A 2 PROMO 3 SET 20000
ETONA 3 PAK 25000
BINDER CLIP NO 127 1 GROS 48000
ISOLASI 1/2 DAIMARU 3G 3000
PEMBUKA STEPLES 1 PCS 10000
BOLPOIN MEJA 10 PCS 6000
 Pemasukan Barang ATK, Umum & Percetakan
BULAN SEPTEMBER 2016
NO TANGGAL NAMA BARANG JUMLAH SATAUN HARGA
1 6/9/2016 DOOR CLOSER 2 BUAH 250,000
KACA FILM 5 METER 100000

2 7/9/2016 BEDONG BAYI 1 LUSIN 210,000

7/9/2016 SUPER PEL 6 PCS 10800

ZWITSAL5 5 BUAH 29,450
TISU TWL MUKTI /TISU PENGESAT 10 PAK 9600
DOMESTOS 500 ML 1 BUAH 16500

7/9/2016 SLEEK 450 ML 5 PCS 29900

SARUNG TANGAN 3 PAK 31900
SUNGLIGHT 10 PCS 14750

17/9/2016 TAS MITRA 900 PCS

15/9/2016 DETOL MS 30 BUAH

DETOLDHS PUMP 24 BUAH
TTP 1

19/9/2016 HDP24/15 40 PAK 15000

60*100/PLASTIK SAMPAH 5 PAK 16000
KLIP 7*10 20 PAK 5000
KLIP BIRU 15 PAK 16000

19/9/2016 NATURAR A4 15 RIM 28000

CF K3 PUULL /CONTINUS 3 RANGKAP 1 DUS 320000
CF K2 PULL/CONTINUS 2 RANGKAP 1 DUS 215000
BOX FILE 10 B 20000
AMLOP PPI KECIL 5 PAK 12000
AMLOP BESAR 5 PAK 15000
BLNKO PIAGAM BAMBU 3 PAK 45000
MAP L DAICI F4 2 PAK 27000
MAP DOKUMEN ISI 20 2 BK 15000
BUKU BASTER 100 BIO 1 BK 10000
 AMLOP COKLAT 2 PAK 30000
FRC 38 HP 10 BUAH 25000
POST IT 5 PAK 10000
SERUTAN PENSIL 3 BUAH 3000
ALKALIN A3 ISI 6 PC 2 SET 20000
STEPLES HD 10 3 BUAH 13000
TINTA CAP YAMURA 2 BUAH 8500
EPSON L 100 BLAK 3 BUAH 90000
POIS IT 65 KUNING 5 PAK 10000
PULPEN 1 PAK 17000
TINTA SUNTIK BLAK +COLOR 6 BUAH 25000
ACCO/ PENJEPIT SETATUS 4 DUS 10000
20PC LEM STIK 15,9RM 1 BOX 5000
SPIDOL PERMANEN 1 DPAK 60000
ISI PULPEN 12 DUS 10000
SKAT FILE BAMBI F4 5 PK 30000

19/9/2016 LMBR MAP REKAM MEDIS 1000 LEMBAR 3750

23/9/2016 PAKET MANDI 356 PAKET 14500

TISU 500 BOX 4000

22/9/2016 FORMULIR PESETUJUAN 4 RIM 70000

DR PENANGGUNG JAWAB 2 RIM 70000
RESEP 30 BK 7000
CATATAN PERKEMBANGAN 3 RIM 70000
CADOK 3 RIM 70000
LAMPIRAN 3 RIM 70000
STEMPER DR DANNIS 1 BUAH 60,000
STEMPEL KRISTAL 1 BUAH 30000
LA MPIRAN UMUM 4 RIM 70000

26/9/2016 PHILIP SITDANG 18 W 12 BUAH 28000

DETERJEN 5 LITER 15000

MOLTO 5 LITER 12000

29/9/2016 SKS (SURAT KETERANGAN SAKIT) 20 BK 10000

DAFTAR PEMESAENAN BAHAN MAKA 20 BK 15000
DAFTAR VISIT & KONTROL 20 BK 15000
SURAT PERSETUJUAN TINDAKAN TANP 10 BK 20000
KARTU NAMA BB LAMINATING 1 BOX 120000
COPY RESEP 60 BK 7000
CEKLIS PASEIN PULANG 2 RIM 70000

29/9/2016 CONTINOUS FROM K3 PVLL 1 DUS 320000

KERTAS FAX210*30 2R 20000
 BATRE ABC 1 DUS 45000
PUSH PIN 2B 5000
LABEL T&JERY 1 BOX 100000
EXPEDADING FILE 1 BOX 20000
STPLES MAXHD 10 2B 13000
POIST 5 PAK 10000
TRIGONAL 1 BOX 20000
CLER HOLDER ISI 40 1 BOX 20000

Pemasukan Barang ATK, Umum & Percetakan

BULAN OKTOBER 2016 /PEMBELIAN
NO TANGGAL NAMA BARANG JUMLAH SATAUN HARGA
1 1/10/2016 MUG LOGO MITRA 200 BUAH 15000

2 5/10/2016 HDP 15*24/PLASTIK KANTONG 40 PAK 15000

KLIP 10*7 20 PAK 5000
KLIP 15*10 20 PAK 7500
KLIP BIRU 20 PAK 16000
KLIP 13*8,7 10 PAK 7500

3 5/10/2016 DETERJEN 5 LITER 15000

SOFTENER 5 LITER 12000
PEMUTIH 5 LITER 8000

4 6/10/2016 CF 9,5*11 3 PLAY 2 BOX 320,000

CF9,5*11 2 PLY 2 BOX 220,000
KERTAS STRUK 75*65 3 PLAY G 6 PAK 70000
KERTTAS FAX 3R 20000
LAKBAN BENING 2G 8500
ISOLASI 3G 5000
ISOLASI 1/2 5G 3000
KWTANSI BIAS 5 BK 2000
PULPEN MEJA 2 BUAH 6000

5 8/10/2016 AMLOP PUTIH MITRA 5 PAK 50000

LEMBAR POLIKLINIK 2 RIM 70000
RESEP 80 BK 7000
FROMULIR PENDAFTARAA
PASIN BARU 3 BRIM 70000
SURAT PELAYANAN MEDIS 3 RIM 70000
 CATATAN PERKEMBANGAN 4 RIM 70000
KWTANSI MITRA 30 BK 5500
COPY RESEP 30 BK 7000

6 10/10/2016 SUNGLAIGT 10 PCS 14750

TISU PENGESAT/MULTI 10 PAK 15000
CONICER 2 BTL 19100
BABY OIL 2 BTL 20000
BLUE SCOUR/SPON CUCI PIRING 2 BUAH 6000
SLEEK 4 PCS 29900
PELAN 1 BUAH 50000
JUITSAL SABUN BAYI 1 BOTOL 16000
SUPER PEL 2 PCS 10800

7 11/10/2016 NATURAL A4 10 PAK 28000

BOX FILE /BINDEK DUDUK 20 BUAH 20000
SILET GOL 24 BUAH 4000
DOKUMEN ISI 100/MAP PLASTIK 1 BUAH 50000
MAP DAICI 4 PAK 27000
MAP A4 2 BUAH 25000
A4 WARNA 1 PAK 45000
AMPLOP KECIL 5 PAK 13000
BUKU KWRTO KECIL 5 BK 8000
EXPADING V -TEC 1 BUAH 20000
KENKO PUSP PINS/PAKU 3G 7000
PULPEN C6 2 BUAH 2500
ALKALIN ISI 2/BATUJAM 4 PAK 10000

8 18/10/2016 NATURAL POLIO 10 RIM 30000

LAKBAN MERAH 1G 10000
CONTRIDGE ERC 10 B 30000
STPLES MAXKCL 2 BUAH 13000
DIT 3M 1/2 1 RIM 40000

9 18/102016 KARTU NAMA DR FREDY 2 BOX 40000

KARTU NAMADR DEDY 3 BOX 40000
SURAT PERSETUJUAN TATA LAK
SANA 2 RIM 70000
SURAT KETERANGA RAWAT INAP 2 RIM 70000
RESEP 60 BK 7000
LEMBAR POLIKLINIK 2 RIM 70000

10 19/10/2016 DOKUMEN ISI 100 5 PCS 50000

 AMLOP COKLAT UANG 4 PAK 16000
PENGHAPUS 5 PCS 2000
MAP TRANPARAN 2 LUSIN 35000
AE7 STANDAR 1 LUSIN 17000
PLSTIK 10 CARD 30 PCS 1000

21/10/2016 SOFTENER 10 LITER 12000

BAIKLIN 10 LITER 8000
DETERJEN 10 LITER 15000

21/10/2016 PHILIP STRONG 18 WAT 12 WAT 28000

24/10/2016 NATURAL A4 5 RIM 28000

BUSINES FILE 3 PAK 35000
MAP L DAICI F4 2 PAK 27000
30 STRUK 75*65 3 PLY 3 PAK 70000
PLASTIK NAME TAGE 70 PAK 1000
ALKALIN A3 ISI 6 2 ST 20000
ABC 9 VOLT 2B 10000

31/10/2016 odner bindex 1 lsn 200000

tempat pensil meja 2 pcs 20000
spidol permanen 1 lsn 60000
bk q 100 5 bk 8000
gilet 24 pcs 4000

Pemasukan Barang ATK, Umum & Percetakan

BULAN NOPPEMBER 201`6
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 4/11/2016 BAKI PLASTIK 5 BUAH 5000
BASCOM SEKA 3 BUAH 18000
SUNGLIGHT 10 PCS 15000
SARUNG PLASTIK 3 PAK 30000
SIKAT CUCI LEMBUT 3 BUAH 3000
ZUITSAL/SABUN BAYI 3 PCS 29900

TISU PENGESAT 10 PAK 29900

 2 9/11/2016 ODNER BINDEK FOLIO 2 PCS 200000
BOX FILE BINDEK 30 BUAH 20000
MAP L DAICI FOLIO 2 LUSIN 27000
AMLOP COLAT FOLIO 2 PAK 30,000
PENSIL 2B PBR 1 LUSIN 37000
PULPEN 1 LUSIN 17000
MAP TRANPARAN 2 LUSIN 35000
KERTAS A4 5 RIM 28000
KERTAS F4 5 RIM 30000
CF95*11 1 DUS 330,000
PULPEN MEJA 3 BUAH 6000
FASTENER ACO 2 PAK 8500

10 10/11/2016 DETERJEN 10 LITER 15000

MOLTO 10 L 12000
PENGHARUM 5L 21000
BAIKLIN 10 L 8,000

11 14/11/2016 KERTAS A4 10 RIM 28000

PUSPIN 2 PCS 5000
BUKU TULIS 32 LEMBAR 1 PAK 16000
MAP MIKRO KANENGA 1 PCS 15000
P.P FOKET POLIO 2 PAK 15000
EXPADING 1 PCS 50,000
MAP SPAGUL 1 PCS 8000

12 22/11/2016 HDP 15*24 20 PAK 15000

KLIP BIRU 20 PAK 16000
KLIP 12*20 20 PAK 14000
KLIP 15*10 20 PAK 7500

13 22/11/2016 CF 95*11 3 FLY 1 BOX 330,000

KALKULATOR 1 BUAH 100000
POS IT 15 PAK 10000
TIPEX ISI 12 1 PAK 60000
STABILO BOSS 4 BUAH 8000
KERTAS FAX 210*30 2 PAK 20000
TINTA BOTOL 664BIRU 2 BOTOL 90000
RAUTAN PENSIL 2 BUAH 3000
TALI ID CAR 1 PAK 8000
PENGHAPUS 2 BUAH 2000
PULPEN 3 PAK 17000
 BINDER KLIP 260 2 PAK 17000
BINDERKLIP 155 1 PAK 84000
ISI HEKTER 1 PAK 25000
FASTENERACO 2 BUAH 10000
BUKU 100 5 BK 8000
KERTAS STRUK 75*65 3 PLY 4G 70000
BUKU BASTER 2 BK 10000

14 22/11/2016 AMLOP LGO 5 PAK 50000

15 24/11/2016 MAP SEA GULLSNELL /MAP TEBAL

HIJAU 48 B 7000
100PC/PPPACKET F4 5 PK 17000
MAP KANCING 2B 3000
SPIDOL WIT BOAR 1 PK 75000
TEMPAT PENSIL KERANJANG 2B 13000
PEN MEJA 3B 6000
ALKALINEA3 ISI 6 1 SET 20,000
SEPIDOL ORIP 1B 7000

DETERJEN 5 LITER 15000

SOFTENER 5 LITER 12000

16 29/11/2016 MAP SPAGUL 100 PCS 8000

CF 9.5*11 2 FLY 1 DUS 220,000
CF 9.5*113 FLY 1 DUS 330,000
TINTA BOTOL T664 3 BOTOL 90000
BATU 9 VOLT ABC 2 SET 10000
ISI PULPEN 1 GROS 120,000
P.PPOKET FOLIO 7 PAK 18000
BOX FILE BINDEK 20 PCS 20000

Pemasukan Barang ATK, Umum & Percetakan

BULAN DESEMBER 2016
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 6/12/2016 F4 70GRM NATURAL 10 RIM 30000
A4 70GRM NATURAL 10 RIM 28000
ODNER BINDEK FOLIO 1 LSN 200000
MAP TRANSPARAN 2 LSN 35000
AMLOP BESR 5 PAK 16000
AMLOP KECIL 5 PAK 13000
CLIP TRIGONAL NO 3 1 LSN 17000
BK Q 200 LEMBAR 2 BK 13,000
STABILO BOSS 5 BUAH 8000
PEN MEJA 4 PCS 2000
PRONTO 4 PCS 10000
STEPLES MAX HD 10 2 BUAH 13000
POSIT 6 PAK 10000
SKAT FILE 2 PAK 30,000

2 6/12/2016 PERMOHONAN IJIN CUTI 20 BK 10000

HASIL PEMERIKSAAN CTG ECG 1 RIM 70000

3 7/12/2016 DETERJEN 10 LITER 150000

SOFTENER 10 LITER 120000
BAIKLIN 10 LITER 80000

4 9/12/2016 GIANT FCL TISU 10 8190 81900

SLEEK 450 MIL 3 PCS 32890
SLEEK 200MIL 2 PCS 22890
SUNGLAIGHT 450MIL 10 PCS 18,190
TISU 10 PCS 9290
ZWITSAL BATH 5 PCS 24690

5 9/12/2016 TISU MULTI/TISU PENGESAT 6 PAK 29,900

PARKIR 2 KALI 2000

6 14/15/2016 NATURAL A4 5 RIM 28,000

MAP KANCING 2 PC 3000
AMLOP COKLAT 2 PAK 30000
STRUK 75*65 3 PAK 70000
ISOLASI 6 ROL 5000
PULPEN 6 PAK 17000
TISU ROLL 5 ROLL 4000
STABILO BOSS 2 BUAH 8000
ISOLASI DAMARU 2R 3000
STEPLES MAX HD 10 3 BUAH 13000
ETONA 2 PAK 25000
 GUNTING 1 PAK 55000
CITIZEN 1 BUAH 100000
BAC ARTLIN JUMBO 1 BUAH 50,000

7 16/12/2016 HANDUK 35*80+BORDIL 120 PCS 19000

BIAYA KIRIM 75000

8 20/12/2016 PAKET MANDI 250 PAKET 14500

9 20/12/2016 CF 95*11 2PULL 1 DUS 220,000

A4 70 GR 5 RIM 28000
BOX FILE BINDEK 30 PCS 20000
JILET 1 LSN 60000
BK 300 LEMBAR 3 BK 35000
BK BASTER 200 2 BK 16000
ABC A2 KECIL 1 BOX 45000
BOLPOIN MEJA 2 BUAH 6000

10 20/12/2016 RESEP 30 BK 7000

11 28/12/2016 STRONG 12 BUAH 28000

STOP KONTAK BROCO 2 BUAH 80000
BATAS PHILIP 3 BUAH 37000
PITING BROCO 2 BUAH 10000

12 28/12/2016 CONTINUS FOR K3 PULL 1 BOX 330,000

NATURALFOLIO 5 RIM 30000
HVS WARNA 1 RIM 50000
POIS IT 12 PC 10000
POSIT PRONTO 3 PC 10000
KERTAS FAX 210*30 1 RIM 20000
SPIDOL OTIP 2 BUAH 7000
DOUBEL TAPE 3G 5000

13 30/12/2016 TISU DUS 500 PAK 4000

SEPATU BOT 3 PSANG 85000

14 30/12/2017 BASKOM 11 BUAH 26000
 Pemasukan Barang ATK, Umum & Percetakan
BULAN JANUARY 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 3/1/2017 STRONG 18 WAT 12 BUAH 28000
STEKER 2 BH 10000

2 3/1/2017 ODNER BINDEX FOLIO 30 PCS 26000

PEMBATAS BUKU 10 PCS 30000
PAPAN UJIAN KAYU 1 BUAH 4000
LABEL TOM &JERY NO 127 1 PAK 10000
TINTA BOTOL T664 H.M.K 6 BOTOL 90000
KERTAS STOKK 75*65 3 PLY 2 PAK 70000
KERTAS A4 5 RIM 28,000
HVS WARNA F4 5 RIM 50000
ONDNER BINDEX FOLIO 1 LSN
BINDER KLIP NO 10-7 1 GROS
BINDER KLIP 111 1 GROS
BATU ALKALIN 2 SET 20000

3 3/1/2017 RESUM MEDIS 10 BK 20000

FROM PENDAFTARAN BARU 2 RIM 70000
LEMBAR POLIKLINIK 2 RIM 70000
SALINAN RESEP 2 RIM 70000
HASIL PEMERIKSAAN CTG/ECG/USG 2 RIM 70000
HAK DAN KEWAJIBAN PASIEN 2 RIM 70000
FROM PERSETUJUAN UMUM
GENARAL CONSET 2 RIM 70000
SURAT PERMINTAAN SCON OPIN
ION EKSTERNAL 2 RIM 70000

4 3/1/201Q7 SURAT PERMINTAAN SCOND OPIN

ION INTERNAL 2 RIM 70000
IMPORMASI 2 RIM 70000
RINGKASAN PASEN MASUK 2 RIM 70000
SURAT PERNYATAAN 2 RIM 70000
FROM PENYELESAIAN 2 RIM 70000
GRAFIK VITAL 2 RIM 70000
STEMPEL KRISTAL 2 BUAH 35000

5 9/1/2017 BOX KECIL/ SHOPING BAG 1 BUAH 69,900

6 9/1/2017 BOXSEDANG/LS WAGON 1 BUAH 129,000

SUNLIGHT 5 PCS 15,175
 SUNGLIGHT KECIL 5 PCS 5,000
PARKIR 3,000

7 12/1/2016 AMLOP RONGSEN 100 LMBR 3,000

RESEP 30 BK 7,500
TINDAKAN POLI KLINIK 60 BK BK 3,750
SERAH TERIMA PASIEN 40 BK 11,000

8 12/1/2016 LAMPU STRONG 12 BUAH 28,000

12/1/2016 HD 15*24 PTBL 40 PAK 15000

KLIP 15*10 20 PAK 7500
KLIP 17*11 20 PAK 10000
KLIP13*8.7 20 PAK 6000
KLIP 10*7 20 PAK 5000

9 12/1/2017 NATURAL FOLIO 5 RIM 32000

NATURAL A4 5 RIM 28500
BOX FILE BINDEX 50 BUAH 20000
TINTA EPSON L100 BLAK 2 BUAH 90000
SPIDOL PERMANEN 1 PAK 5000
RAK 3 SUSUN BESI V TEZ 3 BUAH 25000
SKAT FILE FOLI0 22 PAK 30000
PP POCKET BINDEX F4 3 PAK 17000
ACCO 3 PAK 10000
KLIP NO 3 1 PAK
SERUTAN PENSIL 2 PCS 2000
STABILO BOS 6 BUAH 8000
BATRE ABC 1 BOX

17/1/2017 BINDEX DUDUK 100 PCS 20000

TRESER 3 PLY75*65 4 PAK 70000
ISI STEPLES 2 PAK 25000
STABILO BOS 7 BUAH 8000
BINDER CLIP NO 260 3 LSN 17000
CONER BINDEX KWITANSI 1 LSN
A4 5 RIM 28500
F4 5 RIM 32000
PP POCKET BINDEX F4 3 PAK 18000

19/1/2017 ODNER BANTEX 20 PCS 26000

BOX FILE BINDEX 200 PCS 20000
SKAT FILI 3 PAK 30000
PPPOKET 3 PAK 15000
 20/1/2017 CF K2 FULL 1 BOX 220,000
CF K3 FULL 1 BOX 330,000
BUKU KWRTO 5 BK 13000
PENGHAPUS 2 BUAH 2000
SERUTAN 2 BUAH 2000

20/1/2017 KLIP BIRU 20 PAK 16000

31/1/2017 HD 15*24 KANTONG KRSEK 40 PAK 15000

Pemasukan Barang ATK, Umum & Percetakan

BULAN FEBURY 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 1/2/2017 BOX FILE 100 BUAH 20000
NATURAL 5 RIM 28500
AMLOP PPI BESAR 5 PAK 16000
AMLOP KECIL 5 PAK 13000

2 3/2/2017 NAGATA PANCI 6 BUAH 29000

SIKAT WC BULAT 1 BUAH 10,000
SUNGLIGT 10 PCS 15000
SLEK 3 PCS 29000
BEDAK BAYI 2 BOTOL 25000
SUPERPEL 3 PCS 15000
TISU BIASA 20 PAK 6000
SPON 3 PCS 4000

3 3/2/2017 TISU PENGESAT 10 PAK 299000

PARKIR 1 KALI 2000

4 9/2/2017 POKET POLIO BINDEK 5 PAK 17000

ISOLASI 3G 5000
I SOLASI 1/2 3G 3000
AE7 1 LSN 17000
ACCA PUTIH 3 PAK 10000
KERTAS STRUK 75*65 3 PLY 3 PAK 70000
KERTAS F4 70GRAM COPY 5 RIM 30000
 KETAS A4 5 RIM 28500
CF 95*11 2 FULL SIDU 1 BOX 220,000
LAKBAN BENING 6G 8500
LAKBAN KOIN 2 WARNA 2G 15000
POSIT PORONTO 5 PCS 10000
AE STANDAR 2 LSN 17000
TINTA T6664 HITAM 3 BOTOL 95000
TINTA T6664 WARNA 6 BOTOL 90000
POS IT TANGGUNG 1 GROS 120,000
STEPLES MAX 10 2 PCS 13000
TINTA YAMURA 3 BTL 8500
BATU A3 ALKALIN 2 SET 20000
BATU 9 VOLT ABC 3 PCS 10000
SPIDOL ORIP 2 PCS 7000
GILET 1 LSN 65000
CATER BESAR 1 LSN 40000
KWITANSI KECIL 5 PCS 2000

5 16/2/2017 PLASTIK PP POCKET POLIO 7 PAK 17000

ISI HEKTER BESAR 1 PAK 50000
BINDER CLIP 155 1 GROSS 85000
BATRE ABC 1 DUS 45,000
STABILO 2 PCS 8000
A4 5 RIM 28500
BK KRTO 3 BK 10000
BK KWITANSI 5 BK 2000
DOBLE TAPE 3 PCS 3000
AMLOP KECIL 5 PAK 13000
TINTA KALKULATOR 2 PCS 15000
BUSINES FALE 1 LUSIN 35,000
MAP L DAICI 1 LUSIN 30000

6 21/2/2017 STEMPEL T BIRU 5 BUAH 60000

STEMPEL KRISTAL 3 BUAH 30000
CATATAN IMLEMENTASI 2 RIM 70000
CATATAN MEDIS GAWAT DARURAT 2 RIM 70000
CATATAN TERITERGRASI 2 RIM 70000
ASUHAN KEP 2 RIM 70000
DISCARGE PLANING 2 RIM 70000
ASEMEN RAWAT INAP 2 RIM 70000

7 22/2/2017 KERTAS F4 10 RIM 30000

KERTAS A4 10 RIM 28500
KERTAS STRUK 75*65 3PLY 2 PAK 70000
AMLOP COKLAT 2 PAK 30000
 CF 95*11 3PLY 1 DUS 330,000
PP POKET 4 PAK 17000
BIO FOLIO 200 LEMBAR 2 PCS 30000
LAKBAN HITAM BESAR 2 2G 15000
GILET 1 PAK 70000
SPIDOP ORIP 2 BUAH 8000
BUKU KWITANSI KECIL 3 BK 2000
STABUN BOS 3 PCS 8000

8 24/2/2017 TINDAKAN KEPERAWATAN 2 RIM 70000

RESEP 30 BK 7500
RIWAYAT TUMBUH KEMBANG 2 RIM 70000
RIWAYAT TUMBUH KEMBANG 2 RIM 70000
PENKAJIAN 2 RIM 70000
KARTU NM DR DEDI 2 BOX 40,000

9 24/2/2017 BOX FILE BINDEX 50 BUAH 20000

CF 95*11 1 BOX 220,000
SKAT FILE 10 PAK 30,000
PEMBOLONG BESAR 1 BUAH 50,000
PEMBOLONG KECIL 2 BUAH 12,000
PULPEN 1 LSN 25,000
KERTAS FAX 210*30 2 ROLL 20,000
KABEL DATA 1 PCS 7,000
P,P POKET FOLIO 10 PAK 30,000
AMLOP POLOS 5 PAK 15,000
LEBEL TOM &JERY 1 BOX 100,000
LAKBAN 2 ROOL 8,500

TOTAL

Pemasukan Barang ATK, Umum & Percetakan

BULAN MARET 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 6/3/2017 KALKULATOR 1 PCS 100000
CF9.5*11 2FULL SIDU 1 DUS 220,000
PULPEN AE 7 STANDAR 1 LSN 17000
BUKU KWITANSI KECIL SIDU 4 PCS 2000
 TINTA SUNTIK 2 PCS 25000
REPIL 300 HP 5 PCS 12000
BUKU 100 LEMBAR B10 5 PCS 8000
TRIGONAL KLIP 1 GROS 17000
PENGGARIS 30 CM 1 LSN 20000
PP POKET FOLIO BIDEK 10 PAK 17000
POSIT 12 PAK 12000
A4 5 RIM 27000
BINDER CLIP 260 3 LSN 17000
F4 5 RIM 30000

2 8/3/2017 TOWEL TISU DISKON_ 53400 20 PAK 8900

JAPAN PENYARING 1 BUAH 33900
ZUITSAL BABY SHOP DIS_11375 5 PCS 22,750
SUNLIGHT 10 PCS 15,000

PARKIR 1 KALI 4000

3 6/3/2017 PAKET MANDI 220 PAKET 14500

TISU 500 PCS 4000

4 13/3/2017 CONTINUS 3 PLY 1 DUS 330000

ISI STEPLES NO 10 2 PAK 25000
ISI PULPEN 1 GROS 120000
PULPEN 1 PAK 17000
MAP COLAT 1 PAK 30000

5 13/3/2017 STEMPEL KRISTAL 4 BUAH 35000

CATATA PERKEMBANGAN 2 RIM 70000

6 10/3/2017 TISU 2 PAK 26200

STELA IN ONE 2 PCS 10200
STELA DAILY 2 PCS 14900

7 14/3/2017 MAP L DAICI 2 PAK 30000

NCR 2 PLY 4 PAK 60000
CONTINUS 3 PLY 1 DUS 330000

8 14/3/2017 STIKANG 6 BUAH 29000

 9 14/3/2017 HD 17 40 PAK 15000
KLIP 15*10 20 PAK 7500
KLIP 20*7 20 PAK 14000
KLIP 10*7 10 PAK 5000
KLIP 13*8,7 10 PAK 6000

10 18/3/2017 PENOLAKAN TRANFUSI 2 RIM 70000

PESETUJUAN TINDAKAN 2 RIM 70000
PEMULIR KELUHAN 2 RIM 70000
PENOLAKN TINDAKAN KEDOK 2 RIM 70000
PENOLAKAN PENGOBATAN 2 RIM 70000
PERMINTAAN PULANG 2 RIM 70000
PESETUJUAN PENGOBATAN 2 RIM 70000
NILAI NILAI 2 RIM 70000
PENKAJIAN KEPERAWATAN 2 RIM 70000

PESETJUAN ANATESI 2 RIM 70000

PELAKSANAAN PELAYANAN KE
ROHANIAN 2 RIM 70000
FORMULIR BARANG BERHAGA
PASIEN 2 RIM 70000
ASUHAN KAMAR BEDAH INTRA
OPERASI 2 RIM 70000
ASUHAN KAMAR BEDAH PRE OPRSI 2 RIM 70000
PERSETUJUAN TRANFUSI DARAH 2 RIM 70000
PERMINTAAN PELAYANAN KEROH 2 RIM 70000
FORMULIR PASIEN TERMINAL 2 RIM 70000
PENOLAKAN TINDAKAN 2 RIM 70000

FORMLIR PRIVASI 2 RIM 70000

ASUHAN KEPERAWATAN KAMAR
BEDAH 2 RIM 70000

MAP REKAN MEDIS 1000 LEMBR 3750

STMPEL KRISTAL 1 BUAH 30000

24/3/2017 CONTINUS 1 DUS 315000

BINDEX 50 PCS 20000
PENGGARIS STANLIS 1 BUAH 15000
STRUK 2 PY 5 PAK 40000
FOLIO PAPER 5 RIM, 35000
HVS WARNA 5 RIM, 50000
 MAP SNIL BIO 1 BOX 65000
BUKU PLOI 200 5 BK 30000
STABILO BOS 5 BUAH 8000
ETONA NO 10 2 PAK 2500
MAP TRANFARAN 2 PAK 35000

GELAS MUG 150 BUAH 15000

30/3/2017 KALULATOR 2 BUAH 100000

BATRE ALKALINEA2 4 SET 20000
LABEL TOM&JERY 2 DUS 105000
TUSUKAN NOTA 2 BUAH 8000
TINTA CAP PYRANIO 2 BUAH 8000
PEN MEJA 4 BUAH 7000
AMLOP KECIL 10 PAK 13000
MAP L KIKI 4 PAK 15000
STANDAR AE7 2 PAK 34000
COPY PAPER 10 RIM 27000
TRY 3 SUSUN 2 BUAH 75,000
PAPANUJIAN 2 BUAH 5000
STRU 75*652PY 5 PAK 40000

31/3/2017 HD 15 20 PAK 15000

HD 24 20 PAK 15000
HD 30 17 PAK 15000
KLIP 10*15 20 PAK 7500
KLIP 13*8.7 20 PAK 6000

Pemasukan Barang ATK, Umum & Percetakan

BULAN APRIL 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 3/4/2017 CONTINUOS FORM FULL K3 1 BOX 330000
CONTINUS FROM K3 PRS 1 BOX 335,000
CONTINUS K2 FULL 1 BOX 220,000
TEMPAT BRUSUR 1 LSN 60000
TEMPAT BRUSOR 2 KAKI 2 BUAH 70000
PULPEN STANDAR 1 PAK 17000
TRAY 3 SUSUN 1 BUAH 75000
A4 COPY PAPER 70GRAM 5 RIM 27000
STRUK 75*65 5 PAK 40000

2 5/4/2017 FROM KUISIONER FULL COLOR 2 RIM 200000

3 6/4/2017 MAP STATUS 500 LEMBAR

 4 4/4/2017 KERANJANG BIT MAHABAT 3 BUAH 30000
KRANJANG SALPADOR 3 BUAH 20000
SIKAT BIGGI KUKU 1 BUAH 10000
KERANJANG UNGU 5 BUAH 20000
BOX SINPO OBAT 2 BUAH 35000
KESET BANDUNG 16 BUAH 10000
SARUNG TANGAN PLSTIK 2 PAK 20000

5 4/4/2017 VIP FACIAL TISU 200. 10 PAK 8000

TOWEL MULTI150 10 PAK 11500
MAMA LEMON 5 PCS 11700
SUNLIGHT 6 PCS 15500
KERANJANG JAPAN 2 BUAH 4490

6 4/4/2017 NICE SOFTPAK 2 PCS 10500

SLEEK B NPL CLN 4 PCS 28300
CASSONS LQ CLNS 2 PCS 16800

7 7/4/2017 PLSTIK KUNING 5 PK 80000

8 7/4/2017 PLASTIK HITAM 5 PAK 175000

9 11/4/2017 BATRE ALKALINE A3 2 SET 20000

BATRE ALKALINE A2 4 SET 20000
BATRE ABC A2 BIRU 1 BOX 45000
ODNER BINDEX 717 1 BOX 220,000
BOX FILE 1 BOX 1
MAP L DAICI F4 10 PAK 30000
FABER CASTEL 1 PAK 37000
POIST 10 PAK 120000
ISOLASI 4 ROL 5000
COPY PAPER A4 10 RIM 27000
CONTINUS FROM 2 PLY 1 BOX 220,000
CONTINUS FROM 3 PLY 1 BOX 330,000
AMLOP COKLAT POLIO 2 PAK 30000

10 11/4/2017 TINDAKAN POLI SPOG 30 BK 3750

TINDAKAN POLI SPA 30 BK 3750
CATATN PERSALINAN 2 RIM 70000
SENSUS HARIAN PASIEN 30 BK 22,000
LAPORAN HARIAN POLI KLINIK 20 BK 44,000
AMLOP RONSEN 100 LEMBAR 3000
 CATATAN BAYI BARU LAHIR 2 RIM 70000
BERITA ACARA 20 BK 15,000

11 12/4/2017 75*65 2PY STRUK 4 PAK 60500

12 13/4/2017 LEOFLET BPJS 4 RIM 500000

LEOFLET JADWAL DR 4 RIM 500000
KARTU ANTRI 200 PCS 10000

13 13/4/2017 PERCETAKAN KEDOKTERAN 2 RIM 70000

PERTUJUAN KEDOKTERAN 3 RIM 70000
PENOLAKAN ANA TESI 3 RIM 70000
PENGKAJIAN KEPERAWATAN 9 RIM 70000
LEMBAR POLI KLINIK 3 RIM 70000

14 13/4/2017 BUKTI P BARANG 20 BK 10000

RESUM MEDIS 30 BK 20000
TINDAKAN SPOG 30 BK 3750
TINDAKAN SPA 30 BK 3750

15 13/4/2017 MAP REKAM MEDIS 1000 PCS 2800

16 13/4/2017 BUKU QUARTO 200 L 5 BK 13,000

GILET 2 PAK 75000
AMLOP POLOS BESAR 5 PAK 16,000
AMLOP KECIL 5 PAK 13000
LABEL TOM &jery 2 box 105,000
TINTA EFSON BLAK 5 PAK 95000
CAT TRIGO ERC38 6 BUAH 30,000

17 19/4/2017 KERANJANG OBAT ALKES 10 BUAH 30000

TONG SAMPAH 1 BUAH 150000

18 19/4/2017 TISU PENGESAT 10 PAK 299000

KERANJANG SEDANG 2 BUAH 46000
PARKI 2 KALI 4000

20 19/4/2017 BOX CONTENER 1 BUAH 151 200

21 19/4/2017 KERANJANG MASAK 1 BUAH 30000

22 21/4/2017 BOX CONTENER 1 BUAH 151 200
BOX CONTENER KECIL 1 BUAH 70000
KERANJANG OBAT 8 BUAH 28500

23 18/4/2017 ACRYLIK EMERGENCY 6 PCS 40000

ACRYLIK TITIK KUMPUL 1 PCS 350,000

24 18/4/2017 SERAH TERIMA PASIEN 40 BK 5500

BUKTI BON SEMENTARA 30 BK 7000
RESEP 60 BK 7000
CATATAN PERKEMBANGAN 4 RIM 70000
CPPT 4 RIM 70000

25 21/4/2017 HDP12/5 40 PAK 15000

KLIP 10*7 20 PAK 5000
KLIP 8*5 20 PAK 5000
KLIP 13*8,7 20 PAK 6000
KLIP20*12 20 PAK 14000
KLIP BIRU 10 PAK 16000

26 25/4/2017 PEN DEBOS SPIRAL 4 BUAH 7000

ALKALINE 9 VOLT 5 BUAH 25000
PULPEN STANDAR AE7 1 PAK 17000
SPIDOL OTIP 3 BUAH 7000
STORUFOOM 3 BUAH 5000
CF K2 FLY 2 BOX 220000
CF K3 FLY 1 BOX 330,000
COPY PAPER A4 10 RIM 27000
COPY PAPER F4 10 RIM 35000
SERUTAN 2 BUAH 3000
BOX FILE BINDEX 20 BUAH 20000

27 25/4/2017 PAKET MANDI 500 PCS 14500

SARUNG BANTAL 30 PCS 55000

28 25/4/2017 ASUHAN KEPERAWATAN 3 RIM 70000

FROM PENGKAJIAN 3 RIM 70000
GAWAT DARURAT 3 RIM 70000
RIWAYAT PERSALINANAN 3 RIM 70000
PERMINTAAN RAWAT INAP 3 RIM 70000
TINDAKAN KEPERAWATAN 3 RIM 70000
FROM PENJELASAN 4 RIM 70000
 BESI PAPAN UMBUL 2 BANER 4 PCS 900000

KWITANSI 30 BK 2 RIM 70000

SURAT CONTROL 40 BK 2 RIM 70000
COPY RESEP 30 BK 7000
PESEN PASIN PULANG 20 BK 10000
SURAT RUJUKAN 20 BK 10000

MAP REKAM MEDIS 1000 PCS 2800

SPANDUK BPJS 1 PCS 250000
AMLOP KECIL LOGO 9 BOX 25000
AMLOP BESAR LOGO 9 BOX 30000

20/4/2017 ONDER BINDEX UNGU 15 PCS 26000

TEMPAT BROSUR 3 SUSUN 4 PCS 130000
A4 COPY 10 RIM 27000
FA 10 RIM 35000
TINTA EPSON 664 BLK 5 PCS 95000
BATRE ALKALINE A3 4 ST 20000
BUKU POLIO200 BIO 5 BK 30000
PAPAN UJIAN 2 BK 10000
TUSUKAN NOTA 2 BUAH 8000
TINTA CAP YAMORA 3 BUAH 8000
TRAY 3 SUSUN 1 BUAH 75000
HVS WARNA F4 5 RIM 50000

KERTAS KASIR 2PLY 4 PAK 248000

LAPORAN PEMBELIAN BULAN MEI 2017

TANGGAL
KETERANGAN NOMINAL
### Beli bensin unt 203,000
Transport antar 35,000
### Pembelian kawa 100,000
### Pembelian pintu 1,153,000
Parkir ke toko b 2,000
Parkir toko agu 2,000
Pembelian bens 203,000
### Retribusi penga 900,000
Cek uji kualitas 257,000
Pembelian bras 18,000
Beli bensin unt 20,000
### Perpanjang paj 1,803,000
Parkir perpanja 4,000
Pembelian bens 203,000
### Pembelian bens 23,000
Parkir untuk pe 2,000
### Pembelian bahan 725,000
### Pembelian kerta 248,000
Pembelian whit 956,602
Pembelian keper 146,000
Pembelian kabel 830,000
Pembelian tempa 1,553,300
Tera timbangan 900,000
Beli kertas A4 (a 400,000
Pembelian pera 627,500
### Las rolling tang 180,000
### Pembelian braso 56,000
Pembelian bens 203,000
### Pembelian freo 100,000
### Pembayaran cuci 318,000
Pembelian freon 300,000
### Pembelian semen, 289,000
### Pembelian ikan 10,000
Pembelian APAR 800,000
Pembelian breke 703,000
Parkir pembelia 4,000
Pembelian bras 19,900
Pembelian cat ut 1,112,000
### Pembelian bens 203,000
Pembelian bens 252,000
Pembelian lemar 4,858,500
Pembelian cat 269,000
Pembelian wasta 847,000
Pembelian kantu 1,462,000
Pembelian kabel 417,000
### Pembuangan sa 700,000
Pembelian bensi 23,000
Pembelian bens 252,000
Pembayaran tol 5,000
 Pengecatan & pe 900,000
Pembelian keni, 1,418,000
### Pembelian bens 203,000
### Pembelian bens 203,000
### Perjalanan dina 643,000
### Pembelian fleksi 80,000
Pembelian freon 280,000
Pembelian bens 203,000

LAPORAN PEMBELIAN BULAN JUNI 2017

Pemasukan Barang ATK, Umum & Percetakan
BULAN JUNI 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 6/6/2017 TINTA EPSON HITAM 6 BUAH 95000
PP POKET FOLIO 20 PAK 17000
HVS WARNA SIDU POLIO 5 RIM 50000
PAPAN UJIAN 4 BUAH 5000
MAP L DAICI 20 PAK 30000
CONTINUS FORM K3 FULL 2 BOX 330,000
CONTINUS FORM K2 FULL 2 BOX 220,000
BUKU BASTER 5 BK 10000
BUKU KWRTO300 5 BK 35,000
LEM STIK 12 B 7,000
SPIDOL WHIT BOAR 1 PAK 75,000
STRUK 2 PLY 5 PAK 60,000
ETONA 3 PAK 25,000
PITA LX 300BCL 10 BUAH 10,000
GILET 1 PAK 70,000
BISNIS FILE 5 PAK 25,000
A4 10 RIM 27,000
F4 10 RIM 30,000
MAP SEA GULL SNELL 5 BOX 85,000
BINDER KLIP 111 12 DUS 5,000
PULPEN AE7 2 PAK 17,000

2 8/6/2017 BINGKAI UKURAN 22*60 1 BUAH 100,000

3 8/6/2017 WAIK UNGU+TAMBAH CANGKOK 2 BUAH 350000

LITROS INPOR(HORDENG
 4 8/6/2017 LAKBAN LANGBAL POLICE LINE 1G 100000
(6TAPE)
SENTER 1 BUAH 35000

5 9/6/2017 LAKBAN POLICE LINE 2 BUAH 100000

6 7/6/2017 LAMINATING 2 LEMBAR 10000

7 6/6/2017 SLEEK 2 PCS 29900

ZUITSAL BOTOL 2 BOTOL 30000
ZUITSAL ISI ULANG 5 PCS 29900
SUNGLIT 2 PCS 15500

6/6/2017
8 SUNGLIT 10 PCS 15500
TISU BIASA 10 PAK 10000

9 6/7/2017
TISU PENGESAT 10 PAK 29900
PARKIR 3 KALI 2000

10 15/6/2017
DAFTAR VISIT DR 20 BK 10000
HAK DAN KEWAJIBAN 10 BK 20000
RESEP 60 BK 7000
CLIS PASIN BARU 3 RIM 70000
ASEMEN DAN CATATAN B/B 3 RIM 70000
PENOLAKAN PENGOBATAN 3 RIM 70000
PERNYATAAN PULANG 3 RIM 70000
KARTU LEBARAN 100 PCS 200000
DPJP 3 RIM 70000
CATATAN PERKEMBANGAN 4 RIM 70000
SURAT PELAYANAN MEDIS 3 RIM 70000
KARTU STOK BARANG 1000 PCS 500
AMLOP KECIL MITRA 8 BOX 30000

11 14/6/2017
HD15/24 40 PAK 15000
KLIP 10*15 20 PAK 7500

12 14/6/2017
CLIP NO3 1 PAK 30000
ISOLASI 5 ROL 3000
ISOLASI DAMARU 5 ROLL 5000
 LAKBAN BENING 5 ROOL 8500
SPIDOL PERMANEN 1 PAK 60000
STEPLES NO 10 3 BUAH 13000
ODNER BINEX 50 BUAH 20000
DOUBEL TIP 1/2 3 ROOL 35,000
DOUBEL TIP 1/2 1 ROOL 40000
PENGHAPUS 3 PCS 2000
TINTA EPSON T 664 HITAM 4 PCS 95000

13 20/6/2017 TRAY 3 SUSUN 4 BUAH 80000

HVS A4 10 RIM 28,000
HVS F4 10 RIM 30000
ODNER BINDEX UNGU 2 DUS 390,000
AMLOP COKLAT 4 PAK 30000
KERTAS STOK 75*65 6 PAK 60,000
PAS PANDING FILE 1 PCS 50000
CF95*11 3 PLY 2 DUS 330,000
SIDUF4 WARNA BIRU 1 DUS 50000
CF 95*11 2PLY 1 DUS 220,000

14 29/6/2017 TUSUKAN NOTA 2 BUAH 8000

TINTA PIRAMID 2 BUAH 8000
PEN MEJA 4 BUAH 7000
AMLOP KECIL PPI 5 PAK 13000
MAP L KIKI 4 PAK 15000
PULPEN 1 PAK 17000
KERTAS A4 10 RIM 27000
KERTAS F4 10 RIM 35000
TRAY 3 SUSUN 2 BUAH 75000
PAPAN UJIAN 2 BUAH 5000

15 29/6/2017 BUKU BASTR 3000 5 BK 35000

BUKU BASTER 200 5 BK 15000
COPY A4 10 RIM 27000
COPY F4 10 RIM 30000
ODNER BIO FOLIO 24 BUAH 20000
STRUK 75*65 6 PAK 60000
CF95*11 2FLY 2 BOX 220,000
BINDEX ORNER 30 PCS 20000
 Pemasukan Barang ATK, Umum & Percetakan
BULAN JULI 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 4 JULI 2017 SUNGLIGHT REFF 240 4 PCS 4900
SUNGLIGT 45O 1 PCS 9400
SUPER PEL 800 2 PCS 12250 DIS 520
SUPER PING 800 1 PCS 12250 DIS260
NICE/TISU BIASA 10 PAK 10900 DIS 30500
TISU TOWEL 2 PAK 11500 DIS 4600
SPON CUCI 1 BUAH 3900
SLEEK 450 3 PCS 29900
SUNGLIGHT 900 8 PCS 14300

2 4 JULI 2017 TISU PENGESAT 6 PAK 36900 _ DIS42000

3 4 JULI 2017 DISPENSER 1 BUAH 166000
PARKIR 1 KALI 5000

4 7/JULI/2017 CONTINUS3PLY 2 BOX 330,000

CONTINUS 2PLY 2 BOX 220,000
MAP LDAICI 10 PAK 30000
BUKU FOLIO 200 LEMBAR 5 BK 30000
BUKU KWRTO 200 B 5 BK 13000
BUKU SIDU 1 PAK 26000
A4 10 RIM 27000
SPIDOL 5 BUAH 7000
BINDER CLIP NO 107 1 GROS 40000
STANDAR 1 PAK 17000
SIDU WARNA BIRU 5 RIM 50000
GILET 1 PAK 70000

5 17/JULI/2017 SURAT PERMINTAAN 3 RIM 70000

CPPT 3 RIM 70000
LEMBAR POLI 3 RIM 70000
PENGKAJIAN 3 RIM 70000
SALINAN RESEP 3 RIM 70000
GENERAL CONSERT B/B 3 RIM 85000
ASEMEN RAWAT INAP 3 RIM 70000

6 17/JULI/2017 AMLOP COKLAT 100 LEMBAR 1500

 AMLOP RONSEN BESAR 200 LEMBAR 40000

7 18/JULI/2017 FROM PATOGRAF 4 RIM 85000

18/JULI/2017 AMLOP PUTIH STANDAR 10 PAK 35000
8 SERAH TERIMA PASIIEN 40 BK 5000
FROM LEB 4 RIM 70000
SURAT PERSETUJUAN RAWAT INAP 3 RIM 70000

9 20/JULI/2017 TISU PENGESAT 7 PAK 29900

PARKIR 1 KALI 3000

20/JULI/2017 BAIGON SEMPROT 1 BOTOL 38000 DIS -11,110

BAIGON SEMPROT LAU 1 BOTOL 38000 DIS -11,110
20/JULI/2017 SPIDOL WARNA 1 SET 13,000

1 13/JULI/2017 MAP L DAICI 6 PAK 30000

TELL STRUK 75*65 2PLY 6 PAK 60000
BATRE ALKALINE 2 SET 20000
POSIT 12 PAK 10000
SERUTAN 4 PAK 3000
STEPLES 3 BUAH 13000
ISI STEPLES 2 BOX 25000
BINDEX 50 BUAH 20000
ERC 38 PRINTER 10 BUAH 30000
KWINTASI 5 BUAH 2000
KERTAS FAX 210*30 3 RIM 20000
PENGHAPUS 3 BUAH 2000

24/JULI/2017
RESEP 60 BK 7000
BROSUR BPJS 3 RIM 500000
ACRILIR BROSUR 50 PCS 90000

23/JULI/2017 HD15/24 40 PAK 15000

KLIP 8,7*13 20 PAK 6000
KLIP 7*10 20 PAK 5000
KLIP 5*8 20 PAK 5000
20*12 20 PAK 14000
KLIP BIRU 10 PAK 16000

20/JULI/2017
HDP 15/24 40 PAK 15000
 5*8 20 PAK 5000
13/8,7 20 PAK 6000
KLIP 17*12 20 PAK 10000

20/JULI/2017 ALKALINE 9 VOLT 4 PCS 22000

REFIL SNOMAN 1 GROS 120000
PENSIL AE 7 2 PAK 17000
CATER GURIDA BESAR 1 LUSIN 40000
PEMBOLONG 2 BUAH 15000
COPY PAPER A4 10 RIM 27,000
COPY PAPER F4 10 RIM 30000
BUKU QUARTO 200 L 5 BK 13000
BK POLIO 200 5 BK 30000
BK BASTER 5 BK 16000
TINTA EPSON T 664 BLAK 5 BOTOL 95000

31/JULI/2017 KERTAS PRINTER 100 GOLONG 11000

Pemasukan Barang ATK, Umum & Percetakan

BULAN AGUSTUS 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 2/8/20117 MUG LOGO 300 PCS 15000
PAKET MANDI 499 PAKET 14500
TISU MULTI 100 PAKET 7500
TISU DUS 500 PCS 4000

2 4/8/2017 HD 15/24/PLASTIK 40 PAK 15000

KLIP 7*10 20 PAK 5000
KLIP 13*8,7 20 PAK 6000
KLIP 15*10 20 PAK 7500
KLIP BIRU 10 PAK 16000

3 7/8/2017 BENDERA 1 BUAH 100000

BENANG KANTEH 2 BUAH 5000

4 7/8/2017 OLI TOP 1 1 BOTOL 46000

KAIN PEL 1 BUAH 25000
5 8/8/2017 TINTA EPSON BLK 6 PCS 95000
TINTA WARNA 4 PCS 90000
PENSIL 1 PAK 17000
BINDER KLIP 260 5 PAK 17000
MAP L DAICI 5 PAK 30000
BUSINES FILE 3 PAK 35,000
TRIGONAL KLIP 1 PAK 15000
AMLOP 3 PAK 30000
CONTINUS 3PLY 2 DUS 330000
ISOLASI 3 PCS 5000
ISOLASI1/2 3G 3000
STEPLES 2 BUAH 13000
POS IT 12 PAK 10000
A4 WARNA 5 RIM 30000

6 31/7/2017 KERTAS A4 10 RIM 27000

KERTASF4 10 RIM 30000
CONTINUS 2 PLY 2 BOX 220,000
KERTAS 2 PLY 6 PAK 60000
STABILO 15 BUAH 8000
BUKU 2 BK 8000
PEMBOLONG 2 BUAH 45,000
PEMBOLONG TANGGUNG 1 BUAH 50000
BATU ALKALINE 2 BUAH 25,000
BINDEX 50 BUAH 20000
AE7 2 PAK 17,000

7 11/8/2017 SUNGLIGT 10 PCS 14300

ZUITSAL 3 PCS 29900
SLEEK 3 PCS 29900
TISU ROL 3 PAK 26000

KERANJANG281 2 BUAH 10000

KERANJANG282 3 BUAH 11000

HP NOKIA 1 BUAH 280000

8 15/8/2017 BUKU POLIO 500 LEMBAR 1 BK 60000

BINDEX 2 LSN 220000
CONTINUS 2 DUS 330000
KERTAS STRUK 7 PAK 60000
KERTAS A4 5 RIM 28000
KERTAS F4 10 RIM 32000
 BUKU 200 FOLOIO 3 BK 30000
BUKU Q 200 3 BK 13000
BUKU EXPEDISI 3 BK 13000
BATU ALKALINE 2 ST 20000
ISOLASI 1/2 DAIMARU 5G 3000
ISOLASI1 DAIMARU 5G 5000
CCONTINUS 2PYL 1 DUS 220000
PENGGARIS 1 LSN 25000
SPIDOL PERMANEN 2 LSN 62000
ISI STEPLES 3 PAK 25000

9 16/8/2017 JILID 4 BK 16000

10 22/8/2017 TINTA YAMURA 5 PCS 8000

BK POLIO 500 1 PBK 60000
BK FOLIO 200 7 BK 30000
BOX FILE 1 DUS 20000
BK BASTER 5 BK 16000
COPY PAPER A4 10 RIM 28000
COPY F4 10 RIM 32000
CONTINUS 1 DUS 340000
KERTAS PRIN 6 PAK 60000
KERTAS PRINTEC 30/34/38 10 PCS 30000
A4 SIDU WARNA 5 RIM 50000
CONTINUS 3 PLY 1 DUS 330,000
CONTINUS 2 PLY 1 DUS 220000
STEPLES 3 BUAH 13000

11 24/8/2017 HD17/24 40 PAK 15000

KLIP 7*10 20 PAK 5000
KLIP 13*8,7 20 PAK 6000
KLIP 11*17 20 PAK 10000
KLIP 10*15 20 PAK 7500
KLIP BIRU 10 PAK 16000

12 24/8/2017 COB 9 PCS 50000

MITRA PAMILY 10 PCS 50000
DR BUDI 1 PCS 50000

Drigen 1 pcs 40000

29/8/2017 SUNLIGHT 2 PCS 29900

29/8/2017 ISI ULANG PRIMA 20 GALON 11500
PARKIR 1 KALI 2000
 22/8/2017 HANDUK35*80+BORDIR 200 PCS 20000
ONGKOS KIRIM 1 KALI 105000

Pemasukan Barang ATK, Umum & Percetakan

BULAN AGUSTUS 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 4/9/2017 ISI ULANG PRIMA 25 GALON 11500

2 7/9/2017 POHON MEATI+PUPUK 10 POHON 10000

3 7/9/2017 KAPUR AJAIB 1 PAK 16000

AMBIPUR 1 BUAH 49000
BAIGON 1 BUAH 39500
STEKER 1 BUAH 15000

4 5/9/2017 SLEEK 5 PCS 29900

SUNLIGHT 5 PCS 31200
ZWITSAL 5 PCS 29900
SARUNG TANGAN PLSTIK 2 PAK 30000
MAMA LEMON 4 PCS 12500
TISU 5 PAK 19700
WIPOL 2 PCS 12000

6 5/9/2017 EMBER 1 PCS 75000

KERANJANG 5 PCS 22500

7 29/8/2017 ALCO 6 PAK 10000

BINDER CLIP 155 16 GROS 7000
STABILO 6 BUAH 8000
DIT 31/2 1 PCS 40000
ONNER BINDEX 1 DUS 26000
CF 2 PLY 1 DUS 220000
AE7 2 PAK 17000
KERTAS STRUK 6 PAK 60000
KERTAS F4 10 RIM 32000
KERTAS A4 5 RIM 28000
 8 4/9/2017 GILET 1 LBR 144000

9 8/9/2017 HD PLASTIK 40 PAK 15000

KLIP 7*10 20 PAK 5000
KLIP 10*5 20 PAK 7500
KLIP 20*12 20 PAK 14000
KLIP BIRU 10 PAK 16000

10 8/9/2017 COPY PAPER 10 RIM 28000

TELSTRUK 75*65 7 PAK 60000
KETAS FAX 2 BUAH 20000
CONTINUS FROM 2 PLY 2 BOX 220,000
POSIT 12 PAK 10000
BINDEX 30 BUAH 20000

11 15/9/2019 BINDER CLIP NO 107 1 GROS 48000

SOLASI1/2 DAMARU 5 ROOL 3000
TINTA 664HITAM 6 BOTOL 95000
PITA ERC 5 PCS 30000
KERATAS A4 10 RIM 32000
BUKU FOLIO 5 PCS 30000
TINTA WARNA 614 6 PCS 90000
PEN AE7 2 PAK 17000
ALKALINE 9 VOLT 4 PCS 22000

Pemasukan Barang ATK, Umum & Percetakan

OKTEBER 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 26/9/2017 KERTAS A4 10 RIM 28000
KERTAS F4 10 RIM 320000
CONTINUS 3PLY 2 DUX 320000
SPIDOL WIT BOAR 1 PAK 77000
ISOLASI 6G 25500
ETONA 2 PAK 25000
BATRE ABC 1 DUX 45000
TRIGONAL KLIP 1 PAK 15000
PITA 7755 7 PCS 11000
GUNTING 1 LUSIN 60000
BOX FILE BINDEX 50 BUAH 20000
SPIDOL PERMANEN 1 PAK 62000
 BINDER KLIP 260 5 PAK 17000
STAPLES 2 BUAH 13000
KERTAS FAX 3G 20000
CONTINUS 2 PLY 2 DUS 220000

2 5/10/2017 SUGLIGHT1600MIL 10 PCS 30000

ZUITSAL 3 PCS
SLEEK 3 PCS

3 6/10/2017 TISU PENGESAT 14 PAK 29900

PARKIR 1 KALI 3000

4 11/10/2017 BANTAL 7 BUAH 129000

FHESHENER HELI 2 BUAH 41900

TISU PENESAT 1 PAK 36900

TISU TOWEL 10 PAK 11500

5 BANTAL 7 BUAH 50000

6 9/10/2017 KERTAS F4 70 GRAM 10 RIM 32000

KERTAS A4 10 RIM 28000
AMLOP POLOS BESAR 5 PAK 16000
AMLOP POLOS KECIL 5 PAK 13000
HVS WARNA 5 RIM 50000
KERTAS STRUK 7 PAK 60000
AMLOP COKALAT POLIO 1 PAK 30000
ALCO 5 PAK 10000
TINTA YAMURA 5 PAK 10000
ISI PULPEN 10 PCS 10000
SPIDOL 1 LSN 70000
MARK NOTE 5 PAK 10000
AE 7 1 LSN 18000
DOUBLEB TAPE 3M 2 ROL 30000

7 10/10/2017 GORDYN ALMA 30 MTR 20000

RODAKU 200 PCS 20000
KAWAT 2 BKS 10000
TUTUP BAUD 12 PCS 12000
 KAKI ALMA 24 PCS 12000

8 18/10/2017 TIMBANGAN 1 BUAH 111,000

PH METER 1 BUAH 139,000
BAIGON 1 BOTOL 30000
KAPORIT 1 BOTOL 75,000

9 19/10/2017 TISU 100 PAK 7,500

MUG LOGO 300 BUAH 15000

10 23/10/2017 SENTER LISTRIK 1 BUAH 75000

 mum & Percetakan
ri 2016

Total Supplier Ket MEDIS UMUM

600,000 Percetakan Arie Medrek 600,000

51,000 Indomaret NICU / HCU 51,000

120,000 Apotek 120,000

60,000 Toko Jam SONO 60,000

240,000
Loundry
300,000
540,000 540,000

280,000
200,000
100,000
25,000
17,000 toko Agung
60,000
60,000
210,000 G. Farmasi
7,000 Medrek
959,000 959,000

100,000 Loundry 100,000

Toko Laris
70,000 Apotek 70,000
170,000

300,000
200,000 Percetakan Arie OKA
200,000 N.S Lt. 1
700,000 700,000

43,800
Indomaret
17,600
61,400 61,400

500,000
Percetakan Arie
5,000,000
5,500,000 5,500,000

250,000 Medrek 250,000

toko Agung
 210,000 210,000
toko Agung Kasir
215,000 215,000
5,000 N.S Lt.3 5,000
680,000

240,000 Sekretariat 240,000

140,000 Percetakan Arie 140,000
Medrek
140,000 140,000
520,000

3,750,000
CV. Mitra Amanah
4,050,000
7,800,000 7,800,000

140,000
140,000 Percetakan Arie OKA
200,000
480,000 480,000

18,241,400 3,575,000.00 14,666,400.00

mum & Percetakan

ri 2016

Total Supplier Ket MEDIS UMUM

80,000
420,000 Percetakan Arie
140,000
640,000 640,000.00

140,000
210,000 Apotek
50,000
toko Agung
50,000
20,000
25,000 Medrek
495,000 495,000.00

150,000
150,000 Toko Plastik "TIGA JAYA"
400,000
700,000 700,000.00

140,000 Percetakan Arie 140,000.00

180,000
72,000
48,000
12,000
30,000
Toko Agung
18,000
60,000
120,000
84,000
215,000 Kasir
839,000 839,000.00

410,000 Apotek 410,000.00

100,000 100,000.00
Toko Agung
15,000 15,000.00
Accounting
10,000 10,000.00
535,000

240,000
300,000
Loundry
160,000
110,000
810,000 810,000.00

120,000 Apotek 120,000.00

200,000
Percetakan Arie
180,000
380,000 380,000.00

70,000
Percetakan Arie
70,000
140,000 140,000.00

140,000 140,000.00
250,000 250,000.00
Percetakan Arie
150,000 150,000.00
210,000 210,000.00
750,000

20,000
280,000
40,000
60,000 Toko Agung
60,000
 Toko Agung

30,000
120,000
610,000 610,000.00

51,000 Indomaret 51,000.00

200,000
20,000 Umum /GA
Toko Agung
75,000
60,000
355,000 355,000.00

120,000
120,000 Toko Plastik "TIGA JAYA"
120,000
360,000 360,000.00

3,750,000 Percetakan Arie Medrek 3,750,000.00

10,675,000 7,826,000.00 2,849,000.00

mum & Percetakan

ET 2016

Total Supplier Unit MEDIS UMUM

17,000
50,000
120,000
20000
100000
60000
150000
g
un

30000
ag
ko

90000
to

420000 percetakan arie

215000
300000 toko agung
110000
240000
300000

115200 shop Sales

 52000 toko setuju
330000
60000
100000
20000 toko agung
280000
150000
180000
72000 toko agung

140000
100000
60000
65000
30000
49000 toko agung

219000 tecnok mart

420000
200000 percetakan ari

200000
17000
150000 toko agung

1,050,000 cv mitra amanah

768000 lancar eginci

32000

120000
300000
30000
7,531,200

ng ATK, Umum & Percetakan

LAN APRIL 2016

TOTAL SUPLAYER UNIT MEDIS UMUM

140000
640000
 75000
60000
130000 TOKO AGUNG
30000
50000
15000
40000
50000

30000 TOKO AGUNG

50000

200000 PERCETAKAN ARIE

140000

SALES SHOP
135000

750000 PERCETAKAN ARIE

280000 TOKO AGUNG

45000
100000
95000
24000
39000
100000
17000
60000

75000
60000

140000 PERCETAKAN ARIE

140000
400000
140000
200000
200000

30000 PERCETETAKAN ARIE

200000
140000
200000
420000
1,050,000
 200000 TOKO AGUNG
90000
15000
600000
150000
35000
1,090,000

25000 TOKO AGUNG

55000
25000
40000
13000
20000
35000
30000
140000
608000

60000 PERCETAKAN ARIE

70000

156000

130000
60000
17000
25000
232000

300000
240000

80000 ANEKA JAYA

80000

35000
10000

4000
10000 TOKO ABC

3.847.000 CV MITRA AMANAH

ng ATK, Umum & Percetakan
LAN MEI 2016

TOTAL SUPLAYER UNIT MEDIS UMUM

1,000,000 TOKO AGUNG
130,000
85,000
90,000
50000
1,355,000
65,000
130,000
195,000 TOKO AGUNG
95,000
50,000
130,000
10,000
40,000
60,000
50,000
435,000 PERCETAKAN ARIE
140,000
140,000
200,000
210,000
210,000 TECNOMAR
900,000
89,700
45,000
67,500
219,000 T
421,000 TOKO AGUNG

210,000
195,000
140,000
600,000
70,000
60,000
60,000
70,000
60,000
17,000
 45,000
60,000
34,000
75,000
60,000
21,000
4,000
0
1,781,000
PERCETAKAN ARIE
140,000
140,000
200,000
40,000
20,000
540,000
PERCETAKAN ARIE
200,000
140,000
140,000
140,000
140,000
210,000
140,000
210,000
1,320,000

156,000

100,000
100,000
200,000

400,000 PERCETAKAn arie

150,000 TOKO AGUNG

325,000
130,000
60,000
14,000
64,000
36,000
50,000
17,000
60,000
70,000
27,000
 140,000
1,143,000
360,000 BINTANG JAYA

mum & Percetakan

2016

TOTAL SUPLAYER UNIT MEDIS UMUM

20000 BINTANG JAYA

400,000 PERCETAKAN ARIE

210,000
610,000
180,000
150,000
330,000
15,000 TK PLASTIK 3 JAYA
60,000
50,000
6,500
416,500

325,000 TOKO AGUNG

315,000
140,000
75,000
13,000
75,000
8,500
986,000
400,000 PERCETAKAN ARIE
140,000
140,000
140,000
140,000
140,000
140,000
1,380,000
3,000,000
20,000
3,020,000 TOKO AGUNG
60,000
15,000
40,000
20,000
 135,000
140,000 TOKO AGUNG
24,000
100,000
50,000
314,000

80,000 SIG
28,000
40,000
148,000
150,000

10,000 DANESTA YON

300,000 TIGA JAYA

75,000
15,000
70,000
460,000

3,000,000 PERCETAKAN ARIE

20,000
70,000
120,000
120,000
3,330,000

600,000 TOKO AGUNG

75,000
60,000
120,000
120,000
85,000
45,000
27,000
1,131,000

115,200

270,000 TOKO AGUNG

60,000
17,000
105,000
17,000
469,000
 42,000 TIGA JAYA
75,000
75,000
192,000

30,000 TOKO ELEK TRO

40,000
45,000
115,000
20,000 TAUFIQ COPY CENTER
20,000

160,000 NIGA PHOTENIX

160,000

50,000 TOKO AGUNG

10,000
32,000
140,000
45,000
277,000

140,000 PERCETAKAN ARIE

140,000
70,000
210,000
200,000
70,000
400,000
300,000
200,000
1 ,730,000

300,000
400,000
30,000
730,000

300,000
240,000
80,000
620,000

240,000
300,000
160,000
 700,000

1,000,000

ng ATK, Umum & Percetakan

LAN JULI 2016
TOTAL SUPLAYER UNIT MEDIS UMUM
50000 TOKO AGUNG
120000
50,000
20000
100000
5000
650000
90000
17000
50000
50000
300000
1,542,000

40000
210,000
140,000
140,000
780,000

120,000 TOKO AGUNG

130,000
150,000
55,000
50,000
80,000
585,000

375,000 TOKO PLASTIK

120,000
210,000
225,000
90,000
 75,000
112 ,500
240,000
1,447,500

600,000 PERCETAKAN ARIE

1,200,000
140,000
140,000
210,000
210,000
210,000
2,710,000
300,000 TOKO DETERJEN
240,000
160,000
700,000

140,000 PERCETAKAN ARIE

140,000
140,000
140,000
140,000
210,000
140,000
210,000
200,000
1,530,000

40,000 TOKO AGUNG

420,000
180,000
52,000
17,000
600,000
120,000
105,000
40,000
17,000
64,000
130,000
35,000
12,000
1,832,000
ng ATK, Umum & Percetakan
N AGUSTUS 2016
TOTAL SUPLAYER UNIT MEDIS UMUM
76,650 TECNOMAR
56,200
119,600
53,900
85,200
29,500
24,625
17,775
21,280
484,930

640,000 TOKO AGUNG

20,000
430,000
17,000
120,000
6,000
60,000
16,000
36,000
17,000
1,362,000

210,000 PERCETAKAN ARIE

210,000
210,000
210,000
140,000
140,000
420,000
160,000
140,000
1,840,000

630,000 TOKO AGUNG

100,000
27,000
 60,000
817,000

600,000 TIGA JAYA

100,000
120,000
150,000
200,000
280,000
320,000
1,770,000

400,000 TOKO AGUNG

30,000
10,000
18,000
458,000

1,000,000

240,000
300,000
160,000
700,000

300,000 TOKO AGUNG

200,000
130,000
35,000
50,000
60,000
75,000
48,000
9,000
20,000
60,000
1,004,000
ng ATK, Umum & Percetakan
N SEPTEMBER 2016
TOTAL SUPLAYER UNIT MEDIS UMUM
500,000
500,000

210,000 KASIH IBU

64,800 CARREPOR
147,250
96,000
16,500

149,500 TEKNO MART

95,700
147,500

PT INDAH LOGISTIK

PT RBI/DETOL

600000 TIGA JAYA

80,000
100,000
240,000

420,000 TOKO AGUNG

320,000
215,000
200,000
60,000
15,000
135,000
54,000
30,000
10,000
 60,000
250,000
50,000
9,000
40,000
39,000
17,000
270,000
50,000
17,000
150,000
40,000
100,000
60,000
120,000
150,000

3,750,000 PERCETAKAN ARIE

5,162,000 CV MITRA AMANAH

2,000,000

260,000 PERCETAKAN ARIE

140,000
210,000
210,000
210,000
210,000
60,000
30,000
280,000

336,000 TOKO ELEKTRO

75,000
60,000

200,000 PERCETAKAN ARIE

300,000
300,000
200,000
120,000
420,000
140,000

320,000 TOKO AGUNG

40,000
 45,000
10,000
100,000
20,000
26,000
50,000
20,000
20,000
21,152,250

ng ATK, Umum & Percetakan

OBER 2016 /PEMBELIAN
TOTAL SUPLAYER UNIT MEDIS
3,000,000 CV

600,000 TOKO PLASTIK TG JAYA

100,000
150,000
320,000
75,000
1,245,000
75,000
60,000
40,000
175,000
650,000 TOKO AGUNG
440,000
420,000
60,000
17,000
15,000
15,000
10,000
12,000
1,639,000
250,000 PERCETAKAN ARIE
140,000
420,000

210,000
210,000
 280,000
165,000
210,000
1,885,000
147,500 TOSERBA BARU
150,000
38,200
40,000
12,000
119,600
50,000
16,000
21,600
594,900

280,000 TOKO AGUNG

400,000
96,000
50,000
108,000
50,000
45,000
65,000
40,000
20,000
21,000
5,000
40,000
1,220,000

300,000 TOKO ABUNG

10,000
300,000
26,000
40,000
676,000

80,000 PERCETAKAN
120,000

140,000
140,000
420,000
140,000
1,040,000

250,000
 64,000
10,000
70,000
17,000
30,000
441,000

120,000
80,000
150,000
350,000
336,000 TOKO ELEKTRO

140,000 TOKO AGUNG

105,000
54,000
210,000
70,000
40,000
20,000
639,000

200,000
40,000
60,000
40,000
96,000
436,000

ng ATK, Umum & Percetakan

NOPPEMBER 201`6
TOTAL SUPLAYER UNIT MEDIS
30000 TOSERBA BARU
54,000
150,000
90,000
9,000
89,700
422,700

299,000 ACE
 400,000 TOKO AGUNG
600,000
54,000
30,000
37,000
17,000
35,000
140,000
150,000
330,000
18,000
17,000
1,893,000
150,000
120,000
110,000
80,000
460,000

280,000 TOKO AGUNG

10,000
16,000
15,000
30,000
50,000
8,000
409,000
300,000 TOKO PLASTIK
320,000
280,000
150,000
1,050,000

330,000 TOKO AGUNG

100,000
150,000
60,000
32,000
40,000
180,000
6,000
8,000
4,000
51,000
 34,000
84,000
25,000
20,000
40,000
280,000
20,000
1,464,000
250,000 PERCETAKAN ARIE

336,000 TOKO AGUNG

85,000
6,000
75,000
26,000
18,000
20,000
7,000
573,000

75,000
60,000

800,000 TOKO AGUNG

220,000
330,000
270,000
20,000
120,000
126,000
400,000
2,286,000

ng ATK, Umum & Percetakan

N DESEMBER 2016
TOTAL SUPLAYER UNIT MEDIS
 300000 TOKO AGUNG
280,000
200,000
70,000
80,000
65,000
17,000
26,000
40,000
8,000
40,000
26,000
60,000
60,000
1,288,000

200,000
70,000

350,000

81,900 PT HERO SUPERMAKET

98,670
45,780
181,900
92,900
123,450
624,600

179,400 ACE /TEKNOMART

4,000

140,000 TOKO AGUNG

6,000
60,000
210,000
30,000
102,000
20,000
16,000
6,000
39,000
50,000
 55,000
100,000
50,000
884,000

2,280,000
75,000
2,355,000

3,625,000

220,000
140,000
600,000
60,000
105,000
32,000
45,000
12,000
1,214,000

210,000

336,000
80,000
111,000
20,000
547,000

330,000
150,000
50,000
120,000
30,000
20,000
14,000
15,000
729,000

2,000,000

255,000 SLG
226,000
ng ATK, Umum & Percetakan
N JANUARY 2017
TOTAL SUPLAYER UNIT MEDIS
336,000 NIGA PHOENIK
20,000
356,000

780,000 TOKO AGUNG

300,000
4,000
100,000
90,000
70,000
140,000
250,000
200,000
48,000
60,000
40,000
2,602,000

200,000 PERCETAKAN ARIE

140,000
140,000
140,000
140,000
140,000

140,000

140,000
1,180,000

PERCETAKAN ARIE
140,000
140,000
140,000
140,000
140,000
140,000
70,000
910,000
69,900 ACE

129,000 TEKNO MART

75,875
 25,000
3,000
232,875

300,000 PERCETAKAN ARIE

225,000
225,000
440,000
1,190,000

336,000 TOKO NIGA PHOTENIX

600,000 TIGA JAYA

150,000
200,000
120,000
100,000
1,170,000
160,000 TOKO AGUNG
142,000
1,000,000
180,000
60,000
75,000
660,000
51,000
30,000
17,000
4,000
48,000
45,000
2,472,000
2,000,000 TOKO AGUNG
280,000
50,000
56,000
51,000
220,000
142,500
32,000
54,000
2,885,500
520,000 TOKO AGUNG
4,000,000
90,000
45,000
4,655,000
 220,000 TOKO AGUNG
330,000
65,000
4,000
4,000

320,000 TOKO PLASTIK

600,000 TIGA JAYA

ng ATK, Umum & Percetakan

AN FEBURY 2017
TOTAL SUPLAYER UNIT MEDIS
2,000,000 TOKO AGUNG
142,500
80,000
65,000
2,287,500

174,000 TOKO BARU

10,000
150,000
87,000
50,000
45,000
120,000
12,000
648,000

299,000 ACCE
2000

85,000 toko agung

15,000
9000
17000
30000
210000
150,000
 28500
220,000
51000
30,000
50,000
34,000
285,000
540,000
120,000
26,000
25,500
40,000
30,000
14,000
65,000
40,000
10,000
2,239,000
119,000 TOKO AGUNG
50,000
85,000
45,000
16,000
142,500
30,000
10,000
9,000
65,000
30,000
35,000
30,000
666,500

60,000 PERCETAKAN ARIE

90,000
140,000
140,000
140,000
140,000
140,000
140,000
1,230,000

300,000 TOKO AGUNG

285,000
140,000
60,000
 330,000
68,000
60,000
30,000
70,000
16,000
6,000
24,000
1,389,000

140,000 PERCETAKAN ARIE

225,000
140,000
70,000
70,000
80,000
865,000

1,000,000 TOKO AGUNG

220,000
300,000
50,000
24,000
25,000
40,000
7,000
300,000
30,000
100,000
8,500
2,018,000

11,644,000

ng ATK, Umum & Percetakan

AN MARET 2017
TOTAL SUPLAYER UNIT MEDIS
100,000 TOKO AGUNG
220,000
17,000
8,000
 50,000
60,000
40,000
17,000
20,000
170,000
12,000
135,000
51,000
150,000
1,158,000

124,600 HIPERMART
33,900
102,375
155,000
415,000
4,000

3,190,000 CV AMANAH
200,000
5,196,000

330,000 TOKO AGUNG

50,000
120,000
17,000
30,000
547,000

140,000 PERCETAKAN ARIE

140,000
280,000

52,400 INDOMARET
20,400
25,800
98,600

60,000 TOKO AGUNG

240,000
330,000
630,000

174,000 TOKO ELEKTRONIK

 600,000 TOKO PALTIK
150,000
280,000
50,000
60,000
1,140,000

140,000 PERCETAKAN
140,000
140,000
140,000
140,000
140,000
140,000
140,000
140,000
1,280,000

140,000 PERCETAKAN ARIE

140,000

140,000

140,000
140,000
140,000
140,000
140,000
140,000
1,260,000

140,000 PERCETAKAN ARIE

140,000
280,000

3,750,000 PERCETAKAN ARIE

30,000
3,780,000

315,000 TOKO AGUNG

1,000,000
15,000
200,000
175,000
250,000
 65,000
150,000
40,000
5,000
70,000
2,330,000

2,250,000 CV AMNAH

200,000 TOKO AGUNG

80,000
210,000
16,000
16,000
28,000
130,000
60,000
34,000
270,000
150,000
10,000
200,000
1,754,000
300,000 TOKO PLASTIK 3 JAYA
300,000
225,000
150,000
120,000
1,095,000
ng ATK, Umum & Percetakan
LAN APRIL 2017
TOTAL SUPLAYER UNIT MEDIS
330,000 TOKO AGUNG
335,000
220,000
60,000
140,000
17,000
75,000
135,000
200,000
1 ,512,000

400,000 PERCETAKAN ARIE

PERCETAKAN BEKASI
 90,000 TOKO KEMBAR JAYA
60,000
10,000
100,000
70,000
160,000
40,000
530,000

80,000 TEKNO MART

115,000
41,950
93,000
89,800
419,750

21,000 ALFA
113,200
33,600
167,800

80,000 TOKO PLSTIK

175,000 TOKO PASTIK KEMBANG

40,000 TOKO AGUNG

80,000
45,000
220,000
1,000,000
300,000
37,000
120,000
20,000
270,000
220,000
330,000
60,000
2,742,000

112,500 PECETAKAN ARIE

112,500
140,000
660,000
880,000
300,000
 140,000
300,000
2,785,000

242,000 TOKO HOSANA

2,000,000 PERCETAKAN BEKASI

2,000,000
2,000,000
6,000,000

140,000 PERCETAKAN BEKASI

210,000
210,000
630,000
210,000
1,200,000

200,000 PERCETAKAN BEKASI

500,000
112,500
112,500
925,000
2,800,000

65,000 TOKO AGUNG

150,000
80,000
65,000
210,000
475,000
180,000
1,275,000

300,000 TEKNO MART/HIPERMART

150,000
450,000

299,000 ACE
92000
4000
395,000

151,200 ACE

30000 PASAR TUPAREV

 151,200 HIPER MART/TEKNOMART
70,000
228,000
449,200

240,000 PERCETAKAN BEKASI

350,000
590,000

220,000 PERCETAKAN BEKASI

210,000
420,000
280,000
280,000

600,000 TIGA JAYA

100,000
100,000
120,000
280,000
160,000
1,360,000

28,000 TOKO AGUNG

125,000
17,000
21,000
15,000
220,000
330,000
270,000
350,000
6,000
400,000
2,002,000
7,250,000 MITRA AMANAH
1,650,000

210,000 PERCETAKAN BEKASI

210,000
210,000
210,000
210,000
210,000
280,000
1,540,000

3,600,000 PERCETAKAN BEKASI

140,000 PERCETAKAN BEKSI

140,000
210,000
200,000
200,000
890,000

2,800,000 PERCETAKAN BEKASI

250,000
225,000
270,000

390,000 TOKO AGUNG

520,000
270,000
350,000
475,000
80,000
150,000
20,000
16,000
24,000
75,000
250,000
2,620,000

248,000 HOSANA
ng ATK, Umum & Percetakan
LAN JUNI 2017
TOTAL SUPLAYER UNIT MEDIS
370,000 TOKO AGUNG
170,000
250,000
20,000
600,000
660,000
440,000
50,000
175,000
84,000
75,000
300,000
75,000
100,000
70,000
125,000
270,000
300,000
425,000
60,000
34,000
4,653,000

100,000 TOKO ARMAN

350,000 PUTRA GORDYN,,

 100,000 BUANA STATIONERY

35,000

200,000 BUANA STATIONERY

20,000 POTO COPY

59,800 TECNO MART

60,000
149,500
31,000
300,300

155,000 TOKO BARU

100,000

299,000 ACE
6,000

200,000 SEMAR JAYA

200,000
420,000
210,000
210,000
210,000
210,000
200,000
210,000
280,000
21,000
500,000
240,000
3,111,000

600,000 TOKO PLSTIK

150,000
750,000

30,000 TOKO AGUNG

15,000
25,000
 42,000
60,000
52,000
1,000,000
105,000
40,000
6,000
380,000
1,745,000

320,000 TOKO AGUNG

280,000
300,000
780,000
120,000
360,000
50,000
660,000
50,000
220,000
3,330,000

16,000 TOKO AGUNG

16,000
28,000
65,000
60,000
17,000
270,000
350,000
150,000
10,000
980,000

175,000 TOKO AGUNG

80,000
270,000
300,000
480,000
120,000
440,000
600,000
2,705,000
ng ATK, Umum & Percetakan
LAN JULI 2017
TOTAL SUPLAYER UNIT MEDIS
19,600 TEKNOMART
9,400
23,980
11,990
78,500
18,400
3,900
29,900
114,400
369,870

221,400 ACE
166,000 SAMUDRA
5,000 TEKNOMART

660,000 TOKO AGUNG

440,000
300,000
150,000
65,000
26,000
270,000
35,000
40,000
17,000
250,000
70,000
2,320,000

210,000
210,000
210,000
210,000
210,000
255,000
210,000
1,725,000

150,000
 42,924
950,000

340,000 SEMAR JAYA

350,000 SEMAR JAYA
200,000
280,000
210,000
1,040,000

209,300 ACE
3,000

26,890 TEKNOMART
26,890
13,000 BUANA STATIONERY
66,780

180,000 TOKO AGUNG

360,000
40,000
120,000
12,000
26,000
50,000
1,000,000
300,000
10,000
60,000
6,000
2,164,000

420,000 SEMAR JAYA

1,500,000
4,500,000

600,000 TIGA JAYA

120,000
100,000
100,000
280,000
160,000
1,360,000

600,000 TIGA JAYA

 100,000
120,000
200,000
1,020,000
88,000 TOKO AGUNG
120,000
34,000
40,000
30,000
270,000
300,000
65,000
150,000
80,000
475,000

1,100,000

ng ATK, Umum & Percetakan

N AGUSTUS 2017
TOTAL SUPLAYER UNIT MEDIS
4,500,000 MITRA AMANAH
7,235,000
750,000
4,000
12,489,000

600,000 TOKO PLASTIK

100,000
120,000
150,000
160,000
1,130,000
100,000 TOKO AMPERA
10,000
110,000
46,000 TOKO BARU
25,000
71,000
 570,000 TOKO AGUNG
360,000
37,000
85,000
150,000
105,000
15,000
90,000
660,000
15,000
9,000
26,000
120,000
150,000
2,392,000

270,000 TOKO AGUNG

300,000
440,000
360,000
120,000
16,000
90,000
50,000
50,000
1,000,000
34,000
2,730,000

143,000 TOKO BARU

89,700
89,700
78,000
400,400

20,000 SAMUDRA
33,000
53,000

280,000 PERTEMUAN

60,000 AGUNG
440,000
330,000
420,000
140,000
320,000
 90,000
39,000
39,000
40,000
15,000
25,000
220,000
25,000
124,000
750,000
3,077,000

16,000 POTO COPY TAUPIK

40,000 TOKO AGUNG

60,000
210,000
1,000,000
80,000
280,000
320,000
340,000
360,000
300,000
250,000
330,000
220,000
39,000
3,829,000

600,000 TOKO PLASTIK 3 JAYA

100,000
120,000
200,000
150,000
160,000
1,330,000

450,000 MICKY
500,000
50,000
1,000,000
40,000 3 JAYA

59,800 ALFAMART
230,000 TOKO LUKAS
2,000
 232,000

4,000,000 HANDUK 88
105,000

ng ATK, Umum & Percetakan

N AGUSTUS 2017
TOTAL SUPLAYER UNIT MEDIS
287,500 TOKO LUKAS

100,000 TOKO BUGA INDAH

16000 INDOMRT
49,000
39,500
15,000
119,500

149,500 TOKO BARU

156,000
149,500
30,000
50,000
98,500
24,000
657,500

75,000 TOKO SMUDRA

112,500
187,500

60,000 TOKO AGUNG

84,000
48,000
40,000
340,000
220,000
34,000
360,000
320,000
140,000
1,646,000
 144,000 TOKOSHOP SALES

600,000 TOKO PLASTIK 3 JAYA

100,000
150,000
280,000
160,000

280,000 TOKO AGUNG

420,000
40,000
440,000
120,000
600,000
1,900,000

48,000 AGUNG
15,000
570,000
150,000
370,000
150,000
540,000
34,000
88,000
1,965,000

ng ATK, Umum & Percetakan

KTEBER 2017
TOTAL SUPLAYER UNIT MEDIS
280,000 TOKO AGUNG
320,000
660,000
77,000
22,500
50,000
45,000
15,000
77,000
60,000
1,000,000
62,000
 85,000
26,000
60,000
440,000
3,279,500

300,000 PASAR TUPAREP

418,600 TEKNOMART
3000

903,000 ACE
-210,000
83,800
-41,900
36,900
-7,000
92,000 TEKNOMART
350,000 TOKO KOKI

320,000 TOKO AGUNG

280,000
80,000
65,000
250,000
420,000
30,000
50,000
50,000
100,000
70,000
50,000
18,000
90,000
1,873,000

600,000 DILFI GORDIN

20,000
10,000
12,000
 12,000
654,000

111,000 TOKO
139,000 TOKO
30,000 ALPA
75,000 TOKO

750,000 MITRA AMANAH

4,500,000

75,000 LOYAL
 Data Pemakaian / Pengambilan Formulir / Cetakan
Bulan Januari 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 5/1/2016 Resep 2 Buku 6,000 12,000

2 5/1/2016Catatan Perkembangan / Implementasi 50 Lbr 140 7,000

Pengkajian Keperawatan R I 50 Lbr 140 7,000
Form. Rencana Asuhan Keperawatan 50 Lbr 120 6,000

3 5/1/2016 Brosur Full Colour 2 Rim ### 600,000

4 6/1/2016Permintaan Pemeriksaan Laboratorium 20 Lbr 140 2,800

5 8/1/2016 Papan Nama Bayi Baru lahir 28 Lbr

Buku Catatan kesehatan + Lampiran 20 Buku 4,250 85,000
Permintaan Pemeriksaan Laboratorium 30 Lbr 140 4,200

6 11/1/2016Permintaan Pemeriksaan Laboratorium 50 Lbr 140 7,000

Form Serah Terima Pasien 50 Lbr 140 7,000
Surat Pernyataan Persetujuan Tindakan Medis
50 Lbr 120 6,000

7 12/1/2016 Resep 8 Buku 6,000 48,000

8 13/01/2016 Surat Ket Pelayanan Medis 1 Rim 70,000 70,000

9 13/01/2016
Catatan Perkembangan / Implementasi 50 Lbr 140 7,000
Permintaan Pemeriksaan Laboratorium 50 Lbr 140 7,000

10 15/01/2016 Bukti Permintaan Barang 2 Buku 9,000 18,000

Surat Pernyataan Persetujuan Tindakan Medis
30 Lbr 120 3,600
Resep 2 Buku 6,000 12,000
Catatan Perkembangan / Implementasi 50 Lbr 140 7,000
Permintaan Pemeriksaan Laboratorium 30 Lbr 140 4,200

11 18/01/2016
Catatan Perkembangan / Implementasi 30 Lbr 140 4,200
Surat Pernyataan Persetujuan Tindakan Medis
30 Lbr 120 3,600
Daftar Visite & Konsul Dokter 1 Buku 10,000 10,000
Resep 1 Buku 6,000 6,000

12 20/01/2016 Resep 2 Buku 6,000 12,000

Permintaan Rawat Inap 1 Buku 14,000 14,000

13 20/01/2016
Catatan Perkembangan / Implementasi 50 Lbr 140 7,000
 Resep 5 Buku 6,000 30,000
Daftar Visite & Konsul Dokter 2 Buku 10,000 20,000

14 20/01/2016 Laporan Harian Poliklinik 3 Buku 20,000 60,000

Bukti Permintaan Barang 2 Buku 15,000 30,000
Buku Catatan kesehatan + Lampiran 19 Buku 4,250 80,750

15 21/01/2016 Bukti Permintaan Barang 1 Buku 15,000 15,000

Resep 2 Buku 6,000 12,000

16 25/01/2016 Bukti Permintaan Barang 1 Buku 15,000 15,000

Amplop Rontgen uk. 24 X 30 1 Pak

17 27/01/2016 Surat Keterangan Sakit 1 Buku 10,000 10,000

18 27/01/2016 Resep 2 Buku 6,000 12,000

Daftar Visite & Konsul Dokter 1 Buku 10,000 10,000

19 28/01/2016Formulir Pemakaian Alat Kesehatan 2 Buku 10,000 20,000

20 28/01/2016
Catatan Perkembangan / Implementasi 50 Lbr 140 7,000
Surat Keterangan Rawat Inap 30 Lbr 120 3,600
Pesan Pasien Pulang & Surat Kontrol 2 Buku 9,000 18,000
Rekomendasi Administrasi Pasien Pulang Rawat2Inap Buku 7,000 14,000
Resep 2 Buku 6,000 12,000

21 28/01/2016Buku Catatan kesehatan + Lampiran 40 Buku 4,250 170,000

Total ###
BULAN APRIL

ian / Pengambilan28/01/2016
Formulir / Cetakan
Catatan Perkembangan / Implementasi 50 Lbr 140 7,000
Bulan Februari 2016 12/4/2016 B18B 14089 Lbr 120 3,600
19/4/2016 B18B14259 1 Btl 30,000
No 26/4/2016 B18B 1 BTL 30,000
1 Resep 2 Buku 6,000 12,000

2 1/2/2016 Sensus Harian Pasien Rawat Inap 2 Buku 18,000 36,000

Resep 1 Buku 6,000 6,000
Pesan Pasien Pulang & Surat Kontrol 2 Buku 9,000 18,000
Form. Rencana Asuhan Keperawatan 50 Lbr 120 6,000
BULAN APRIL
Catatan Perkembangan / Implementasi 50 Lbr 140 7,000

3
 Tanggal Nama Barang Jumlah Satuan Harga Total
1/3/1900 26/4/2016 B18B 14432 1 BTL 30,000

Pesan Pasien Pulang & Surat Kontrol 1 Buku 9,000 9,000

Sensus Harian Pasien Rawat Inap 1 Buku 18,000 18,000
Buku Catatan kesehatan + Lampiran 30 Buku 5,000 150,000
Papan Nama Bayi Baru lahir 30 Lbr

4 2/2/2016 Bukti Permintaan Barang 1 Buku 15,000 15,000

5 2/2/2016 Resep 8 Buku 6,000 48,000

Kartu Nama dr. dedi Kurniawan Saputra, Sp.A
2 Box 40,000 80,000
Surat Pernyataan Penolakan Rawat Inap / tind.100
Medis Lbr 140 14,000

6 Surat
3/2/2016
Pesanan Obat Mengandung Prekursor Farmasi1(PT.AAM)Buku 20,000 20,000

7 3/2/2016Catatan Perkembangan / Implementasi 50 Lbr 140 7,000

Pengkajian Keperawatan R I 50 Lbr 140 7,000
Form. Rencana Asuhan Keperawatan 50 Lbr 120 6,000

8 4/2/2016 Resep 2 Buku 6,000 12,000

Permintaan Rawat Inap 1 Buku 14,000 14,000
Permintaan Pemeriksaan Laboratorium 50 Lbr 140 7,000

9 5/2/2016 Permintaan Pemeriksaan Patologi 1 Rim 70,000 70,000

Bukti Permintaan Barang 1 Buku 15,000 15,000
Daftar Visite & Konsul Dokter 1 Buku 10,000 10,000
Resep 2 Buku 6,000 12,000

10 5/2/2016 Form Serah Terima Pasien 50 Lbr 140 7,000

Surat Pernyataan Persetujuan Tindakan Medis
50 Lbr 120 6,000

11 9/2/2016 Lembar Poliklinik 1 Rim 70,000 70,000

12 9/2/2016Catatan Perkembangan / Implementasi 30 Lbr 140 4,200

Permintaan Pemeriksaan Laboratorium 50 Lbr 140 7,000
Rekomendasi Administrasi Pasien Pulang Rawat2Inap Buku 7,000 14,000
Daftar Visite & Konsul Dokter 2 Buku 10,000 20,000
Resep 2 Buku 6,000 12,000

13 9/2/2016Catatan Perkembangan / Implementasi 50 Lbr 140 7,000

Resep 3 Buku 6,000 18,000
Daftar Visite & Konsul Dokter 2 Buku 10,000 20,000
Pesan Pasien Pulang & Surat Kontrol 2 Buku 9,000 18,000
Rekomendasi Administrasi Pasien Pulang Rawat2Inap Buku 7,000 14,000

14 11/2/2016 Resep 2 Buku 6,000 12,000

15 11/2/2016Catatan Perkembangan / Implementasi 30 Lbr 140 4,200
Surat Pernyataan Persetujuan Tindakan Medis
30 Lbr 120 3,600
Daftar Visite & Konsul Dokter 1 Buku 10,000 10,000

16 11/2/2016 Resep 8 Buku 6,000 48,000

Permintaan Pemeriksaan Laboratorium100 Lbr 140 14,000
Permintaan Rawat Inap 1 Buku 14,000 14,000
Surat Keterangan Sakit 4 Buku 10,000 40,000
Surat Keterangan sehat 2 Buku 8,000 16,000

17 12/2/2016Catatan Perkembangan / Implementasi 50 Lbr 140 7,000

Permintaan Pemeriksaan Laboratorium 20 Lbr 140 2,800
Resep 2 Buku 6,000 12,000

18 15/02/2013 Bukti Permintaan Barang 1 Buku 15,000 15,000

19 15/02/2013 Laporan Harian Poliklinik 2 Buku 20,000 40,000

PPC Nama Dokter 9 Pcs 20,000 180,000

20 15/02/2013
Catatan Perkembangan / Implementasi 50 Lbr 140 7,000
Permintaan Pemeriksaan Laboratorium 20 Lbr 140 2,800

21 17/02/2016
Catatan Perkembangan / Implementasi100 Lbr 140 14,000
Surat Keterangan Rawat Inap 20 Lbr 120 2,400
Permintaan Pemeriksaan Laboratorium 20 Lbr 140 2,800
Resep 3 Buku 6,000 18,000

22 18/02/2016 Resep 3 Buku 6,000 18,000

23 18/02/2016 Form Serah Terima Pasien 50 Lbr 140 7,000

Surat Pernyataan Persetujuan Tindakan Medis
50 Lbr 120 6,000

24 19/02/2016
Permintaan Pemeriksaan Laboratorium 50 Lbr 140 7,000
Resep 3 Buku 6,000 18,000

25 19/02/2016
Catatan Perkembangan / Implementasi100 Lbr 140 14,000
Daftar Visite & Konsul Dokter 2 Buku 10,000 20,000

26 22/02/2016
Catatan Perkembangan / Implementasi 30 Lbr 140 4,200
Surat Pernyataan Persetujuan Tindakan Medis
30 Lbr 120 3,600
Daftar Visite & Konsul Dokter 1 Buku 10,000 10,000
Surat Keterangan Rawat Inap 30 Lbr 120 3,600

27 22/02/2016
Surat Pernyataan Persetujuan Tindakan Tanpa Jaminan
2 Buku 20,000 40,000

28 22/02/2016 Amplop Rontgen Besar 100 Lbr 2,500 250,000

 Amplop Rontgen Kecil 100 Lbr 1,500 150,000

29 22/02/2016Catatan Perkembangan / Implementasi100 Lbr 140 14,000

Surat Pernyataan Persetujuan Tindakan Medis20 Lbr 120 2,400
Surat Pernyataan Penolakan Rawat Inap / tind. 20
Medis Lbr 140 2,800
Form. Rencana Asuhan Keperawatan 30 Lbr 120 3,600
Permintaan Pemeriksaan Laboratorium 20 Lbr 140 2,800
Pengkajian Keperawatan R I 30 Lbr 140 4,200
Resep 4 Buku 6,000 24,000

30 22/02/2016
Surat Pesanan Obat Mengandung Prekursor Farmasi
2 Buku 20,000 40,000

31 23/02/2016 Resep 4 Buku 6,000 24,000

Catatan Perkembangan / Implementasi 30 Lbr 140 4,200

32 23/02/2016 Form Serah Terima Pasien 50 Lbr 140 7,000

Surat Pernyataan Persetujuan Tindakan Medis
30 Lbr 120 3,600

33 23/02/2016 Resep 3 Buku 6,000 18,000

Daftar Visite & Konsul Dokter 3 Buku 10,000 30,000

34 24/02/2016 Form Serah Terima Pasien 100 Lbr 140 14,000

Surat Pernyataan Persetujuan Tindakan Medis
10 Lbr 120 1,200

35 25/02/2016
Permintaan Pemeriksaan Laboratorium 50 Lbr 140 7,000
Permintaan Rawat Inap 1 Buku 14,000 14,000
Resep 2 Buku 6,000 12,000
Surat Keterangan Sakit 1 Buku 10,000 10,000
Surat Keterangan sehat 1 Buku 8,000 8,000
Permintaan Pemeriksaan Rontgen 50 Lbr 140 7,000
Form Serah Terima Pasien 50 Lbr 140 7,000

36 25/02/2016
Catatan Perkembangan / Implementasi100 Lbr 140 14,000
Surat Keterangan Rawat Inap 20 Lbr 120 2,400
Resep 2 Buku 6,000 12,000

37 26/02/2016 Amplop Logo Mitra Family 1 Box 50,000 50,000

38 26/02/2016 Map Rekam Medis 1000 Lbr 3750 ###

39 26/02/2016 Surat Keterangan Rawat Inap 30 Lbr 120 3,600

Catatan Perkembangan / Implementasi 50 Lbr 140 7,000
Resep 2 Buku 6,000 12,000

40 29/02/2016 Resep 2 Buku 6,000 12,000

41 29/02/2016 Resep 3 Buku 6,000 18,000

42 29/02/2016
Permintaan Pemeriksaan Laboratorium 20 Lbr 140 2,800
Catatan Perkembangan / Implementasi 50 Lbr 140 7,000

43 29/02/2016 Tanda Terima 3 Buku 10,000 30,000

Bukti Permintaan Barang 1 Buku 15,000 15,000

###

Data Pemakaian / Pengambilan Formulir / Cetakan

Bulan Maret 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 10\3\16
17\3\16 form implementasi 50 lbr 140 7,000.00
resep 2 bk 6000 ###
Tanda terima 2 bk 10000 ###
17\3\16 resep DR 2 BK 6000 ###
bak tinta 1 pc
map 5
18\3\16 from laboratorium 20 lembar 140 2,800.00
from rawat inap 20 lembar 140 2,800.00
resep 2 bk 6000 ###
18\3\16 resep 3 buku 6000 ###
permintaan pemeriksaan lab 24 lembar 140 ###
28\3\16 resep 1 bk 6000 6,000.00
daftar vist dan konsul doktr 1 rim 10000 ###
catatan perkembangan 30 lembar 140 4,200.00
ceklis pasien pulang 30 lembar 120 3,600.00
persetujuan anatesi 30 lembar 120 3,600.00
28\3\16 resep 4 bk 6000 ###
from persetujuan pembiusan 50 lembar 120 6,000.00
28\3\16 kartu berobat 2 pak 1400 2,800.00
pembatas status 2 pak
28\3\16 resep umum 5 bk 6000 ###
30\3\16 from lab 30 lembar 140 4,200.00
resep 3 bk 6000 ###
persetujuan tindakan 20 lembar 120 2,400.00
visit dr 2 bk 10000 ###
from lembar konsul 20 lembar 140 2,800.00
sensus kunjungan 1
30\3\16 forit visite dr 3 rim 10000 ###
resep 3 bk 6000 ###
tanda terima 3 bk 10000 ###
tanda terima 3 bk 10000 ###
21\3\2016 resep 3 bk 6000 ###
5\3\2016 from serah terima pasien 100 lembar 140 1,400.00
from persetujuan tindakan medi 100 lembar 140 1,400.00
from pengajian keperawatan 100 lembar 140 1,400.00
7\3\2016 resep 1 bk 6000 6,000.00
daftar vist dan konsul doktr 1 bk 10000 ###
catatan perkembangan 30 lembar 120 3,600.00
4\3\2016 catatan perkembangan 50 lembar 120 6,000.00
from laboratorium 30 lembar 140 4,200.00
resep 5 bk 6000 ###
visit dr 2 bk 10000 ###
7\3\2016 resep 2 bk 6000 ###
7\3\2016 catatan perkembangan 50 lembar 120 6,000.00

11\3\2016 resep 2 bk 6000 ###

from laboratorium 50 lembar 140 7,000.00
surat terima pasien 50 lembar 140 7,000.00
8\3\2016 persetujuan tindaka medis 30 lembar 140 4,200.00
ceklis pasien pulang 30 lembar 120 3,600.00
pembangngan daftar bayi 30 lembar 140 4,200.00
akrilik bayi 30 lembar
buku catatan kesehatan ibu bay 30 bk 4250 ###
11\3\2016 from laboratorium 20 lembar 140 2,800.00
daftar vist dan konsul doktr 3 bk 10000 ###
resep 4 bk 6000 ###
surat kontol 3 bk
from implementasi 100 lembar 140 ###
14\3\2016 from laboratorium 30 lembar 140 4,200.00
surat keteranngan sakit 1 buku 10000 ###
surat keteranngan sehat 1 buku 8000 8,000.00
daftar vist dan konsul doktr 1 buku 10000 ###
resep dr 2 buku 6000 ###
from catatan perkembangan 30 lembar 120 3,600.00

serah terima 50 lembar 140 7,000.00

14\3\16 from implementasi 150 lembar 140 ###
rencana asuhan keper 20 lembar 120 2,400.00
14\3\2016 resep 3 bk 6000 ###
from lab 50 lembar 140 7,000.00
implementasi 12 lembar 140 1,600.00
14\3\2016 lembar polikinik 1 rim 20000 ###

fomulir visit 1 bk 10000 ###

reep 2 bk 6000 ###
15\3\2016 from pengajian ri 30 lembar 140 4,200.00
 ceklis pasien pulang 30 lembar 3600120 3,600.00
daftar vist dan konsul doktr 1 bk 10000 ###
resep 2 bk 6000 ###
rencana asuhan keper 50 lembar 120 6,000.00
surat keterangngan rawt inap 50 lembar 140 7,000.00
15\3\2016 resep dr 3 bk 6000 ###
22\3\2016 daftar vist dan konsul doktr 3 bk 10000 ###
resep dr 2 bk 6000 ###
from laboratorium 20 lembar 140 2,800.00
22\3\16 bukucatatan kesehatan 100 lembar 5000 ###
map mcu warna biru 10 buah
21\3\16 resep 5 bk 6000 ###

from lab 100 lembar 140 1,400.00

from serah terima pasien 50 lembar 140 7,000.00
from pengajian keperawatan 100 lembar 120 ###
from persetujuan tindakan medi 100 lembar 120 ###

TOTAL

Data Pemakaian / Pengambilan Formulir / Cetakan

BULAN APRIL 2016
BULAN APRIL 2016

NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL

1 1\4\2016 BUKTI PERMINTAAN BARANG 1 BK 15000 15000

2 1/4/2016 COPY RESEP 6 BK 6000 36000

3 4/4/2016 RESEO OBAT 5 BK 6000 30000

FROM LABORATORIUM 20 LEMBAR 140 2800
SURAT CONTROL 2 BK 9000 18000
BUKTI PERMINTAAN BARANG 2 BK 15000 30000

4 4/4/2016 RESP DR 5 BK 6000 30000

FROM LABORATORIUM 50 LEMBAR 140 7000
FROM PENGANTAR RAWAT INAP 100 LEMBAR 140 14000

5 4/4/2016 FROM PENDAFTARAN 1 RIM 70000 70000

SURAT KONTROL 1 BK 9000 9000

6 5/4/2016 FROM PERMINTAAN BARANG 1 BK 15000 15000

 7 5\4\2016 RESUM 3 BK 20000 60000

8 6\4206 from leb 20 lembar 140 2800

9 6/4/2016 CATATAN PERKEMBANGNGAN 1 RIM 70000 70000

10 6/4/2016 DAFTAR VISIT DAN KONSUL DR 1 BK 10000 10000

FROM LABORATURIUM 30 LEMBAR 140 4200
RESEP 1 BK 6000 6000
SURAT KONTROL 1 BK 9000 9000
BUKTI PERMINTAA BARANG 1 BK 15000 15000

11 7/4/2016 SURAT PERSETUJUAN TAMPA JA 2 BK 20000 40000

12 7/4/2016 RESEP 2 BK 6000 12000

13 8/4/2016 PERMITAAN pemeriksaan leb 100 lemar 140 1400

PERMINTAA RAWAT INAP 50 LEMBAR 120 6000
Surat pernyataan tindakan medi 50 lembar 120 6000
Resep 5 bk 6000 30000

14 11/4/2016 BUKU catatan kesehatan 40 lembar 140 5600

kartu identitas bayi 30 bk 10000 30000

15 11/4/2016 RESEP 3 BK 6000 18000

IMLEMENTASI 50 LEMBAR 140 7000
REKOMENDASI PULANG 2 BK 7000 14000
SURAT KONTROL 2 BK 9000 18000

16 12/3/2016 RESEP 5 BK 6000 30000

SURAT KONTROL 3 BK 9000 27000
SURAT KETERANGAN RAWAT IN 30 LEMBAR 140 4200
FROM LABORATURIM 30 LEMBAR 140 4200
DAFTAR VISIT & KONSUL 5 BK 10000 50000
FROM REKOMENDASI 2 BK 7000 14000
17 14/ 4 2016 FROM POLIKLINIK 1 RIM 70000 70000
FROM RESUM 2 BK 20000 40000

14/4/2016 Catatan perkerbangann 30 LEMBAR 120 3600

19 14/4/2016 CATATAN PERKEMBANGAN 60 LEMBAR 120 7200

PERSETUJUAN TINDAKAN 30 LEMBAR 140 4200
LEB 30 LEMBAR 140 4200
SURAT RAWAT INAP 30 LEMBAR 120 3600
RESEP 1 BK 6000 12000
DAFTAR VISIT DR 1 BK 10000 10000
20 7/4/2016 RESEP 10 BK 6000 60000

21 18/4/2016 LEMBAR POLIKLINIK 2 RIM 70000 140000

PERSETUJUAN TINDAKAN TANP 2 rim 20000 40000

22 19/4/2016 SERAH TERIMA PASIEN 100 LEMBAR 140 1400

RESEP DR 2 BK 6000 12000

23 18/4/2016 RESEP 5 BK 6000 30000

DAFTAR VISIT DAN CONTROL 5 BK 10000 50000
FROM LABORATORIUM 30 LEMBAR 140 4200
FROM PERSETUJUAN 30 LEMBAR 140 4200
FROM KETERANGNGAN RAWAT 20 LEMBAR 120 2400

24 18/4/2016 FROM LAB 30 LEMBAR 140 4200

CATATAN PERKEMBANGAN PER 30 LEMBAR 120 3600
CATATAN PERKEMBANGNGAN D 30 LEMBAR 120 3600
PERSETUJUAN TINDAKAN MEDI 30 LEMBAR 140 4200
REKOMENDASI PASIEIN PULANG 1 BK 10000 10000
DAFTAR VISIT DR 1 BK 10000 10000
RESEP 1 BK 6000 6000
SURAT CONTROL 1 BK 10000 10000

25 18/4/2016 RESEP 2 BK 6000 12000

IMLEMENTASI 50 LEMBAR 120 6000
SURAT KETERANGAN RAWAT IN 20 LEMBAR 140 2800
TINDAKAN RAWAT MEDIS 20 LEMBAR 140 2800

26 20/4/2016 FROM CATATAN PERKEMBANGA 100 LEMBAR 120 12000

27 22/4/2016 FROM PENDAFTARAN 1 RIM 70000 70000

27
28 23/4/2016 FROM LABORATORIUM 100 LEM BAR 140 1400

29 25/4/2016 RESEP 5 BK 7000 35000

CATATAN PERKEMBANGAN 200 LEMBAR 120 24000
FROM REKOMENDASI 3 BK 10000 30000
FROM SURAT CONTROL 3 BK 10000 30000

30 25/4/2016 RESEP 2 BK 7000 14000

FOMULIR PEMAKAIAN ALAT KE 2 BK 10000 20000

31 25/4/2016 BUKTI PENERIMAA BARANG 1 BK 10000 10000

32 26/4/2016 DAFTAR VISIT DR DAN KONSUL 2 BK 10000 20000

RESEP 2 BK 6000 12000
 FROM PEMAKAIN BNP 2 BK 20000 40000
PERSETUJUAN TINDAKAN MEDI 60 LEMBAR 140 8400
PERMINTAA RAWAT INAP 60 LEMBAR 140 8400

26/ 4 /2016 RESEP 3 BK 7000 21000

FROM ROUTGEN 30 LEMBAR 140 4200
CATATAN PERKEMBANGAN DOK 30 LEMBAR 140 4200
RENCANA ASUHAN KEPERAWAT 30 LEMBAR 140 4200
PENGKAJIAN PERWAT DEWASA 30 LEMBAR 140 4200
DAFTAR KONTROL ISTIMEWAH 50 LEMBAR 120 3600
28/4/2016 FROM LEB 100 LEMBAR 140 14000

29/4/2016 FROM HARIAN KLINIK 6 BK 20000 120000

RESEP 10 BK 7000 70000
FROM SURAT KETEANGAN SAKI 2 BK 10000 20000

29/4/2016 FOMULIR PEMBERIAN THERAPI 1 RIM 70000 70000

FOM RESUM 2 BK 1000 20000

Data Pemakaian / Pengambilan Formulir / Cetakan

BULAN MEI 2016
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA TOTAL
1 2/5/2016 PERSETUJUAN ANASTESI 20 LEMBAR 140 2800
IMLEMENTASI 50 LEMBAR 120 6000
RESEP 4 BK 7000 28,000
FROM ,EB 40 LEMBAR 140 5600

2 2/5/2016 CEKLIS PASEN PULANG 30 LEMBAR 120 3600

PERSETUJUAN TINDAKAN MEDI 30 LEMBAR 140 4200
BUKU CATATAN KESEHATAN IBU 37 BK 5000 185,000
BUKU CATATAN KESEHATAN ANA 37 BK 4250 157,250

3 2/5/2016 RESEP DR 5 BK 7000 35,000

FROM SERAH TERIMA PASIEN 100 LEMBAR 140 14,000
FROM PENGKAJIAN KEPERAWA 100 LEMBAR 140 14,000
FROM PERSETUJUAN TINDAKAN 100 LEMBAR 120 12,000

4 9/5/2016 BUKU PERMINTAAN BARANG 2 BK 15000 30,000

5 9/5/2016 FROM HASIL EKG /CTG 40 LERBAR 1000 40,000

FROM LEB 500 LEMBAR 140 70,000
 FROM KETERANGAN SAKIT 4 BK 10000 40,000
FROM PERMINTAAN RAWAT INA 30 LEMBAR 120 3600
FROM PENOLAKAN RAWAT INA 200 LEMBAR 120 24000
FROM SERAH TERIMA PASIEN 200 LEMBAR 140 28,000
FROM PENGKAJIAN KEPERAWA 200 LEMBAR 140 28,000
FROM PERSETUJUAN TINDAKAN 50 LEMBAR 140 7000
RESEP UMUM 6 BK 7000 42,000

6 9/5/2016 RESEP 3 BK 7000 21,000

SURAT KONTROL 3 BK 10000 30,000
SURAT PENOLAKAN TINDAKAN 20 LEM BAR 140 2800
RENCANA ASUHAN KEPERAWAT 20 LEM BAR 120 2400
DATA INDETITAS 30 LEM BAR
CATATAN DR 50 LEM BAR 140 7000

7 9/5/2016 CATATAN PERKEMBANGAN PER 30 LEMBAR 120 3600

DAFTAR VISIT &K 2 BK 10000 20,000
CEKLIS PASEN PU 30 LEMBAR 120 3600

9/5/2016 RESEP 3 BK 7000 21000

FROM PERKEMBANGAN 50 LEM BAR 120 6000
SURAT REKOMENDASI 3 BK 10000 30000
DAFRTAR VISI &KONSUL 3 BK 10000 30000
FROM LEB 20 LEM BAR 140 2800

8 9/5/2016 CATATAN PERAWAT 40 LEMBAR 120 4800

RESEP 3 BK 7000 21000
FROM LEB 20 LEMBAR 140 2800
FROM RONGSEN 20 LEMBAR 140 2800
VISIT DR 2 BK 10000 20000
DAFTAR CNTROL 50 LEMBAR 120 6000

9 9/5/2016 COPY RESEP 5 PAK 7000 35000

10 9/5/2016 PERMINTAAN LABORATORIUM 100 LEMBAR 140 14000

PERMINTAAN RAWATI 100 LEMBAR 120 12000

11 12/5/2016 MAP SETATUS 100 LEMBAR 65000 130,000

12 14/5/2016 RESEP DR 5 BK 7000 35000

SURAT KETERANGAN SAKIT 2 BK 10000 20000
SURAT KETERANGAN SEHAT 2 BK 10000 20000
SERAH TERIMA FASEN 100 LEMBAR 120 12000
PERSETUJUAN TINDAKAN MEDI 100 LEMBAR 140 14000
PENGKAJIAN KEPERAWATAN 100 LEMBAR 140 14000

13 14/5/2016 RESEP 2 BK 7000 14000

14 16/5/2015 RESEP 2 BK 7000 14000
FROM LAB 45 LEMBAR 140 6300
CATATAN PERKEMBANGAN 50 LERBAR 120 6000

15 16/5/2016 CATATAN PERKEMBANGAN /IML 100 LEMBAR 120 12000

RESEP DOKTER 10 BK 7000 70,000

16 16/5/2016 KERTAS PRINTER KECIL 3 RANG 20 PCS

17 16/5/2016 POMULIR PERMINTAAN BARAN 2 BK 10000 20000

RESEP 3 BK 7000 21000

18 17/5/2016 KARTU NAMA 1 BOK 40,000

PAPAN NAMA 1 BUAH 20000

19 18/5/2016 CTG USG.FOMULIR 1 RIM 70000 70000

DPJP 1 RIM 70000 70000

20 21/5/2016 FROM LABORATORIUM 50 LEMBAR 140 7000

FROM RADIOLOGI 50 LEMBAR 140 7000
DAFTAR VISIT DOKTER 2 BK 10000 20000

21 20/5/21016 IMLEMENTASI 50 LEMBAR 140 7000

RESEP 3 BK 7000 21000
FROM LAB 40 LEMBAR 140 5600
FROM PERMOHONAN PINDAH K 30 LEMBAR 140 4200
FROM SURAT KETERANGAN RA 30 LEMBAR 140 4200

22 19/5/2016 RESEP UMUM 10 BK 7000 70000

23 23/5/2016 BUKU PERMINTAAN BARANG 1 BK 10000 10000

SURAT KET PELAYANAN MEDIS 1 RIM 70000 70000

24 23/5/2016 TANDA TERIMA 2 BK 10000 20000

25 24/5/2016 MAP SETATUS 100 PCS 65000 130000

26 23/5/2016 IMPLENTASI 200 LEMBAR 140 2800

FROM LAB 50 LEMBAR 140 7000
RESEP DR 3 BK 7000 21000
DAFTAR VISIT & CONSUL DR 1 BK 10000 10000

27 24/5/2016 DATA MEDIS 1 RIM 70,000 70,000

28 26/5/2016 CATATATAN PERKEMBABNGAN 100 LEMBAR 140 14000

ASUHAN KEPERAWATAN 100 LEMBAR 140 14000
 CEKLIS PULANG 50 LEMBAR 140 7000
CATATATAN DR 50 LEMBAR 140 7000
IDENTITAS 50 LEMBAR 140 7000

29 26/5/2016 HP 1 BUAH 25000 25000

30 31/52016 RESEP 2 BK 7000 14000

FROM DAFTAR V ISIT +KONS 2 BK 10000 20000

31 31/5/2016 CATATAN PERKEMBANGAN 60 LEMBAR 140 8400

RESEP 2 BK 7000 14000
DAFTAR VISIT DAN CONSUL DR 2 BK 10000 20000
BUKU IBU 30 BK 10000 300,000
BUKU BAYI 30 BK 4250 127,500

32 31/5/2016 RESEP DR 3 BK 7000 21,000

FROM PERSETUJUAN TINDKAN 50 LEMBAR 140 7000
SERAH TERIMA PASIEN 50 LEMBAR 140 7,000

Data Pemakaian / Pengambilan Formulir / Cetakan

Bulan Januari 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 1/6/2016 BUKTI PERMINTAAN BARANG 1 BK 10000 10,000

2 1/6/2016 RESEP DOKTER 3 BK 7000 21,000

DAFTAR VISIT & CONSUL D 3 BK 10,000 30,000
CATATAN PERKEMBABGAN/IMLE 150 EMBAR 140 21,000

3 1/6/2016 FROM LAB 1 RIM 70,000 70,000

FROM PERMINTAAN BARANG 1 BK 10,000 10,000

4 1/6/2016 KERTAS 3 PRIN RANGKAP 30 BINDEL KASIH

5 3/6/2016 RESUM MEDIS 1 BK 10000 10000

6 2/6/2016 KERTAS STRUK 3 RANGKAP 30 BINDEL KASIH

KERTAS ETIKET PRIN 1 BGULUNG

7 3/6/2016 RENACANA ASUHAN KE 50 LEMBAR 140 7000

IMLEMENTASI 50 LEMBAR 140 7000
 RESEP 2 BK 7000 14000

8 6/6/2016 FROM PENGKAJIAN KEPERAWA 1 RIM 70,000 70,000

9 6/6/2016 CATATAN PERKEMBANGAN 40 LEMBAR 140 5600

10 6/6/2016 IMPLEMENTASI 100 LEMBAR 140 14,000

RESEP DR 2 BK 7000 14000
DAFTAR VISIT DAN KONSUL DR 3 BK 10,000 30,000

11 6/6/2016 RESEP 10 BK 7000 70,000

12 7/6/2016 BUKU PERMINTAAN BARANG 1 BK 10,000 10,000

13 7/6/2016 SERAH TERIMA PASIEN 1 RIM 70,000 70,000

14 8/6/2016 MAP PASIEN 200 LEMBAR 3,000 600,000

PERSETUJUAN TATA LAKSANA RI 1 RIM 70,000 70,000
PULANG ATAS PERMINTAAN SEN 1 RIM 70,000 70,000
GENERAL CONSER 1 RIM 70,000 70,000

15 7/6/2016 CLIP KECIL N0 155 2 PAK 9,500 19,000

16 7/6/2016 LEMBAR CONTROL ISTIMEWAH 50 LEMBAR 140 7000

FROM PERSETUJUAN MEDIS 50 LEMBAR 140 7000
CATATSN DR 20 LEMBAR 140 2800
RESEP 3 BK 7000 21000
IMLEMENTASI 50 LEMBAR 140 7000
BUKU PERMINTAAN BARANG 2 BK 10,000 10,000
SURAT KETERANGAN RAWAT IN 15 LEMBAR 140 2100
17 9/6/2016 FROM PELAYANAAN MEDIS 1 RIM 70000 70000
FROM HAK DAN KEWJIBAN 3 BK 10,000 30000

18 10/6/2016 RESEP DR 6 BK 7000 42000

FROM LEB 50 LEMAR 140 7000
SURAT KONTROL 5 BK 10000 50,000

19 11/6/2016 LAPORAN HARIAN POLIKINIK 1 BK 20,000 20,000

20 13/6/2016 CATATAN PERKEMBANGAN 100 LEMBAR 140 14,000

21 13/6/2016 FROM LAPOORAN HARIAN 6 BK 20,000 160,000

FROM PERMINTAA RAWAT INA 2 RIM 70,000 140,000

22 14/6/2016 KERTAS LABEL NAMAPX 2 ROL

CM 023 30 LEMBAR 140 4200
23 CM 23A 30 LEMBAR 140 4200
CM 22 30 LEMBAR 140 4200
 CM 022A 30 LEMBAR 140 4200

24 15/6/2016 IMLEMENTASI 100 LEMBAR 140 14000

RESEP DR 3 BK 7000 21000
FROM LABORATORIUM 20 LEMBAR 140 2800

25 16/6/2016 FOMULIR PENOLAKAN TINDAKA 50 LEMBAR 140 7000

FOMULIRPERSETUJUAN TINDAK 50 LEMBAR 140 7000

26 16/6/2016 RESEP 2 BK 7000 14000

27 16/6/2016 KERTAS A4 2 RIM 28,000 56,000

28 16/6/2016 PERSETUJUAN TINDAKAN MEDI 60 LEMBAR 140 8400

RESEP 1 BK 7000 7000
DAFTAR VISIT DAN CONSUL DR 2 BK 10000 20000
CATATAN PERKEMBANGAN 60 LEMBAR 140 8400
DPJP 60 LEMBAR 140 84000
BUKU CATATAN IBU 30 BK 10000 300,000
BUKU CATATANBAYI 30 BK 4250 127500

29 20/6/2016 FROM LABORATORIUM 20 LEMBAR 140 2800

CATATAN PERKEMBANGAN 50 LEMBAR 140 7000
RESEP 5 BK 7000 35000
AMLOP KECIL 1 PAK 12000 12000
FROM PENOLAKAN 20 LEMBAR 140 2800
FROM CATATAN DR 10 LEMBAR 140 1400

30 20/6/2016 FROM PERMINTAAN BARANG 2 BK 10000 20,000

31 21/6/2016 FOMULIR PELAYANAN MEDIS 1 RIM 70,000 70,000

CATATAN PERKEMBANGAN DR 1 RIM 70,000 70,000
FROM PEMBERIAN TERAPI 1 RIM 70,000 70,000
FROM DATA MEDIS 1 RIM 70,000 70,000

32 24/6/2016 SURAT REKOMENDASI PULANG 3 BK 10000 30000

PEMBERIAN TERAPI 100 LEMBAR 140 14000

33 24/6/2016 STATUS RM 100 LEMAR 3000 300000

34 22/6/2016 SURAT PERSETUJUAN TINDAKAN 2 RIM 70,000 140,000

35 23/6/2016 TANDA TERIMA 5 BK 10000 50,000

36 27/6/2016 BUKTI BON SEMENTARA 3 BK 10000 30000

37 30/6/2016 IMPLEMENTASI 100 LEMBAR 140 14000

 DAFTAR CONTROL ISTIMEWAH 100 LEMBAR 140 14000
FROM LAB 50 LEMBAR 140 7000
CATATAN DR 50 LEMBAR 140 7000
SENSUS PASIEN 2 BK 20000 40,000
RESEP 3 BK 7000 21000
SURAT KONTROL 2 BK 10000 20,000

38 30/6/2016 CATATAN PERKERMBANGAN 60 LEMBAR 140 8,400

PERSETUJUAN ANATESI 60 LEMBAR 140 8400
RESP 3 BK 7000 21,000
CEKLIS PULANG 60 LEMBAR 140 8,400

Data Pemakaian / Pengambilan Formulir / Cetakan

BULAN JULI 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 4/7/2016 FROM HIJAU HASIL EKG 20 LEMBAR 500 10,000
RESEP 10 BK 7000 70,000
BUKU KESEHATAN IBU 50 BK 10000 50,000
B UKU KESEHATAN BAYI 50 BK 4250 42,500
FROM PELAYANAN MEDIS 1 RIM 70000 70,000

2 4/7/2016 RESUM MEDIS 4 RIM 70,000 280,000

PELAYANAN MEDIS 1 RIM 70000 70,000

3 15/7/2016 PROM LEB 100 LEMBAR 140 14,000

4 16/7/2016 LAPORAN HARIAN POLI KLINIK 10 BK 40000 400,000

5 18/7/2016 RESEP 3 BK 7000 21000

FROM TINDAKAN VISIT 2 BK 10000 20,000

6 19/7/2016 RESEP 3 BK 7000 21,000

FROM LEB 20 LEMBAR 140 2,800

7 20/7/2016 RESEP DR 7 BK 7000 49,000

8 21/7/2016 FROM SERAH TERIMA 20 LEMBAR 140 2,800

FROM PERSETUJUAN TINDAKAN 30 LEMBAR 140 4200
SURAT RUJUKAN 4 BK 10000 40000
RESEP 10 BK 7000 70,000
 9 22/7/2016 TANDA TERIMA 4 BK 7000 28000

10 24/7/2016 COPY RESEP 3 BK 7000 21,000

RESEP 1 bk 7000 7000

11 25/7/2016 FROM PEMERIKSA LEB 100 LEMBAR 140

DATA MEDIS PASIEN 1 RIM 70000 70000

12 28/7/2016 HAK DAN KEWAJIBAN 3 BK 10000 30,000

PERSETUJUAN JAMINAN RA 1 RIM 70,000 70,000
GENERAL CONSET 1 RIM 70000 70,000

13 28/6/2016 KARTU BAYI 60 BK 4250 255,000

Data Pemakaian / Pengambilan Formulir / Cetakan

BULAN AGUSTUS 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 1/8/2016 CATATAN DOKTER 50 LEMBAR 140 7000
CATATAN PERKEMBANGAN 50 LEMBAR 140 7000
IDENTITAS 50 LEMBAR 140 7000
RENCANA ASUHAN 50 LEMBAR 140 7000
LEMBAR POLIKLINIK 1 RIM 70000 70,000

2 1/8/2016 IMLEMENTASI 50 LEMBAR 140 7000

RENCANA ASKEP 50 LEMBAR 140 7000
FROM LAB 50 LEMBAR 140 7000
DAFTAR CONTROL ISTIMEWAH 50 LEMBAR 140 7000
VISIT DR 2 BK 10000 20000
SERAH TERIMA PASIEN 50 LEMBAR 140 7000
SURAT KET RAWAT INAP 50 LEMBAR 140 7000
SURAT KET PINDAH KELAS 50 LEMBAR 140 7000
FROM SURAT CONTROL 2 BK 10000 20000
RESEP 2 BK 7000 14000

3 1/8/2016 RESEP 3 BK 7000 21000

4 1/8/2016 CATATAN PERKEMBAN 1 RIM 70000 70000

FROM LEB 50 LEMBAR 140 7000
 RESEP 5 BK 7000 35000

5 2/8/2016 COPY RESEP 7 BK 7000 49000

6 5/8/2016 SURAT CONTROL 2 BK 10000 20,000

KMS IBU 40 BK 10000 400,000
KMS BAYI 40 BK 4250 170,000
PERMINTAAN RAWAT INAP 60 LEMBAR 140 8,400
PERSETUJUAN TINDAKAN 60 LEMBAR 140 8,400
PERSETUJAUAN ANATESI 60 LEMBAR 140 8,400
CATATAN KEPERAWATAN 60 LEMBAR 140 8,400
PAPAN NAMA BAYI

7 8/8/2016 LEMBAR CTG 1 RIM 70000 70,000

RESUM MEDIS 2 BK
DAFTAR CONTROL 1 RIM 70000 70000
PELAYANANA MEDIS 1 RIM 70000 70000
MAP STATUS 100 LEMBAR 3000 300000

8 4/8/2016 FROM PERSETUJUAAN ANATESI 100 LEMBAR 140 14000

FROM SERAH TERIMA PASIEN 1 RIM 70000 70000
FROM RUJUKAN 4 BK 10000 40000

9 2/8/2016 RESEP 5 BK 7000 35000

LEMBAR POLI KLINIK 1 RIM 70000 70000

10 11/8/2016 RESEP 5 BUAH 7000 35000

RENCANA ASUHAN 20 LEMBAR 140 2800
INDENTITAS 60 LEMBAR 140 8400

11 11/8/2016 LEMBAR POLIKLINIK 1 RM 70000 70,000

12 18/8/2016 copy resep 2 bk 7000 14000

13 18/8/20-16 resap 6 bk 7000 49,000

14 18/8/2016 resep 4 bk 7000 28,000

visit dr 1 bk 10000 10,000
surat keterangan sakit 4 bk 10000 40,000
15 18/8/2016 resep 10 bk 7000 7,000

19/8/21016 from permintaan rawat inap 1 rim 70000 70,000

12 data medis 1 rim 70000 70,000

13 19/8/2016 hak dan kewjiban 1 rim 70000 70,000

14 25/8/2016 FROM LAB 50 LEMBAR 140 7,000

 RESEP 3 BK 7000 21,000
IMLEMENTASI 40 LEMBAR 140 5,600
BUKTI VISIT DR 2 BK 10000 20,000
REKOMENDASI PLUANG 2 BK 7000 14,000
SURAT CONTROL 2 BK 10000 20,000

15 25/8/2016 CANDOK 60 LEMBAR 140 8,000

16 25/8/2016 FORMULIR PASIEN BARU 1 RIM 70000 70,000

FOM HAK DAN KEWAJIBAN 2 BK 40000 80,000
TINDAKAN TANPA JAMINAN 2 BK 40000 80,000

17 24/8/2016 FROM LABORATORIUM 60 LEMBAR 140 8,000

BUKU PERMINTAAN BARANG 1 BK 15,000 15,000

18 23/8/2016 CATATAN PERKEMBANGAN 60 LEMBAR 140 8,000

BUKU PERMINTAA BARANG 1 BK 15000 15,000
PERSETUJUAN TINDAKAN MEDIS 1 RIM 70,000 70,000
RESEP 2 BK 7000 14,000
DAFTAR VISIT DAN COSUL DR 2 BK 1000 20,000

19 258/2016 SENSUS HARIAN POLIKLINIK 3 BK 40000 120,000

20 28/8/2016 LEMBAR DBP 1 RIM 70000 70,000

RESUM RAWAT INAP 3 BK
PELAYANAN MEDIS 1 RIM 70000 70000

21 29/8/2016 LEMBAR POLIKLINIK 1 RIM 70000 70000

22/ 30/8/2016 SURAT PERNYATAAN PERSETUJ 1 RIM 70000 70000

23
 Data Pemakaian / Pengambilan Formulir / Cetakan
BULAN SEPTEMBER 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 1/9/2016 PERMINTAAN LAB 1 RIM 70000 70000

2 5/9/2016 CEKLIS PASIEN PULANG 30 LEMBAR 140 4200

RESEP 3 BK 7000 21000
REKOMENDASI PULANG 3 BK 10000 30,000

3 5/9/2016 GREAFIK 1 RIM 70000 70000

RESUM MEDIS 2 BK 10000 20,000
LABEL 2G
KERTAS A4 1 RIM 28000 28000
KERTAS PIAGAM 2 PAK 20000 40000

4 6/9/2016 SURAT CONTROL 1 BK 10000 10000

RESEP 5 BK 7000 35,000
CATATAN PERKEMBANGAN 150 LEMBAR 140 21,000
RESEP DR 5 BK 7000 35,000
5 FROM LEB 30 LEMBAR 140 4,200
SURAT KT RAWAT INAP 30 LEMBAR 140 4,200

6 14/6/2016 IMLEMENTASI 50 LEMBAR 140 7,000

RESEP 2 BK 7000 14,000

7 15/9/2016 RESUM MEDIS 2 BK 20000 40,000

FROM PEMBERIAN TERAPI 1 RIM 70000 70,000

8 15/9/2016 CEKLIS PULANG 100 LEMBAR 140 14,000

CAPER 100 LEMBAR 140 14,000

9 20/9/2016 COPY RESEP 6 BK 7000 42,000

10 21/9/2016 PELAYANAN MEDIS 1 RIM 70000 70000

11 22/9/2016 PERMINTAAN BARANG 2 BK 10000 20000

12 22/9/2016 BS 5 BK 7000 35000

13 26/9/2016 FOMULIR PENDAFTARAN 1 RIM 70000 70000

FOMULIR GENERAL CONSET 1 RIM 70000 70000
SURAT PERSETUJUAN TINDAKAN 2 BK 20000 40,000
HAK& KEWAJIBAN 2 BK 20000 40000
 14 26/9/2016 CATATAN PERKEMBANGAN 1 RIM 70000 70000
RESEP 4 BK 7000 28000
FROM LAB 60 LEMBAR 140 8400

15 26/9/2016 RESEP DR 6 BK 7000 42000

17 26/9/2016 IMPLEMENTASI 1 RIM 70000 70000

FROM LAB 60 LEMAR 140 8400
PERSETUJUAN TINDAKAN MEDI 60 LMBAR 140 8400

18 29/9/2016 FROM LAPORAN HARIAN POLI 10 BK 40000 400000

RESEP 10 BK 7000 70000

29/9/2016 FROM PEMESANAN BARANG 2 BK 10000 20,000

Data Pemakaian / Pengambilan Formulir / Cetakan

BULAN OKTOBER 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 4/10/216 FROM PERMINTAAN BARANG 1 BK 10000 10000

2 4/10/2016 RIWAYAT PERSALINAN 60 LEMBAR 140 8400

PASIEN CEKLIS PULANG 60 LEMBAR 140 8400
KMS IBU 40 BK 10000 400,000
BUKU BAYI 40 BK 4750 190,000
SURAT CONTROL 2 BK 10000 20000
PAPAN NAMA BAYI 60 LEMBAR
DAFTAR VISIT & CONSUL 2 BK 15000 30,000
IMLEMENTASI 60 LEMBAR 140 8,400
RESEP 2 BK 7000 14,000
FROM LAB 60 LEMBAR 140 8,400
PERSETUJUAN TINDAKAN MEDI 60 LEMBAR 140 8,400
DPJP 60 LEMBAR 140 84,000

3 4/10/2016 RESEP 6 BK 7000 42,000

4 10/10/2016 IMLEMENTASI 100 LEMBAR 140 14,000

DAFTAR CONTROL ISTIMEWAH 100 LEMBAR 140 14,000
RESEP 2 BK 7000 14,000
 5 10/10/2016 RESEP 4 BK 7000 28,000

6 10/10/2016 LEMBAR POLI KLINIK 1 RIM 70000 70,000

7 12/10/2016 BUKU SENSUS HARIAN 3 VK

8 15/10/2016 RESEP 4 BK 7000 28000

REKOMENDASI 2 BK 10000 20000
SURAT KONTROL 2 BK 10000 20000
LEMBAR VISIT 2 BK 10000 20000
IMLEMENTASI 1 RIM 70000 70000

9 20/10/2016 KERTAS BS 3 BK 10000 30000

10 20/10/2016 KERTAS BS 2 BK 10000 20000

11 20/10/2016 RESEP 6 BK 7000 42000

REKOMENDASI 1 RIM 70000 70000
SURAT KONTROR 2 BK 10000 20000
LEMBAR VISIT &KONTROL 2 BK 10000 20,000

12 21/10/2016 RESEP 6 BK 7000 42000

PERMINTAAN BARANG 1 BK 10000 10000
DAFTAR VISIT DR 1 BK 10000 10000

13 25/10/2016 SURAT PERSETUJUAN TINDAKAN 2 BK 20000 40000

HAK DAN KEWAJIBAN 2 BK 20000 40000

14 28/10/2016 IMLEMENTASI 1 RIM 70000 70000

FROMLEB 1 RIM 70000 70000

15 31/10/2016 SURAT KONTROL 3 BK 10000 30000

RESEP 2 BK 7000 14000
DAFTARVISIT DANCONTROL DO 2 BK 10000 20000
CEKLIS PASIEN PULAN 30 LEMBAR 140 42000
DPJP 30 LEMBAR 140 42000
IMLEMENTASI 1 RIM 70000 70000
 Data Pemakaian / Pengambilan Formulir / Cetakan
BULAN NOVEMBER 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 1/11/2016 RESEP 10 BK 7000 7000

2 3/11/2016 SURAT KETERANGAN MEDIS 1 RIM 70000 70000

3 6/11/2016 RESEP 4 BK 7000 28000

4 7/11/2016 FORMULIR DPJP 2 RIM 70000 140000

5 8/11/2016 IMLEMENTASI 1 RIM 70000 70000

SURAT KONTROL 2 BK 10000 20,000

6 9/11/2016 EKG/CTG 1 RIM 70000 70,000

7 9/11/2016 SENSUS 1 BK 20000 20,000

PERSETUJUAN TINDAKAN ANATE 1 RIM 70000 70,000
PERSETUJUAN TINDAKAN KEDO 1 RIM 70000 70,000

8 15/11/2016 RESEP 3 BK 7000 21,000

CEKLIS PULANG 30 EMBAR 140 4,200
IMLEMENTASI 30 LEMBAR 140 4,200

9 15/11/2016 LAPORAN HARIAN 2 BK 40000 80,000

10 15/11/2016 RESEP 10 BK 7000 70,000

FROM TINDAKAN POLI KLINIK 1 RIM 70000 70000
AMLOP KECIL 1 PAK 12000 12,000

11 15/11/2016 IMLEMENTASI 1 RIM 70000 70,000

12 15/11/2016 LEMBAR RESUM MEDIS 2 RIM 70000 140,000

13 15/11/2016 PERMINTAAN RAWAT INAP 50 LEMAR 140 7000

14 21/11/2016 RESEP 5 BK 7000 35,000

15 22/11/2016 PENGKAJIAN KEPERAWATAN 1 RIM 70000 70000

16 24/11/2016 RESEP 4 BK 7000 28000

RUJUKAN 1 BK 10000 10000
 Data Pemakaian / Pengambilan Formulir / Cetakan
BULAN DESEMBER 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 2/12/2016 CATATAN PERKEMBANGAN 30 LEMBAR 140 4200
CATATAN PERKEMBANGAN
PASIEN TERINTRIGRASI 30 LEMBAR 140 4,200
CATATAN BAYI BARU LAHIR 30 LEMBAR 140 4,200
RESEP 4 BK 7000 28000

2 2/12/2016 CATATAN PERKEMBANGAN PA

SIEN TERINTEGRASI 30 LEMBAR 140 4200
CATATAN PERKEMBANGAN PA 30 LEMBAR 140 4200

3 2/12/2016 RESEP 6 BK 7000 42000

SURAT KONTROL 1 BK 10000 10,000
SURAT PENELOKAN RAWAT 1 RIM 70000 70,000
INAP/MEDIS
RESEP 10 BK 7000 70000
BUKU KESEHATAN IBU 100 BK 10000 100,000
BUKUKESHATAN BAYI 100 BUAH 4750 47,500
FROM LAB 1 RIM 70000 70,000

2/12/2016 PENDELEGASAN WEWENANG 1 BK 20000 20,000

4 RESEP 5 BK 7000 35,000
SERAH TERIMA PASIEN 1 RIM 70000 70,000

5 2/12/2016 COPI RESEP 3 BK 7000 21,000

5 BK PERMINTAAN BARANG 1 BK 10000 10,000

6 6/12/2016 LEMBAR POLI KLINIK 1 RIM 70000 70,000

SURAT PELAYANAN MEWDIS 1 RIM 70000 70,000
DATA MEDIS PASIEN 1 RIM 70000 70,000
CTG/ 1 RIM 70,000 70,000

7 6/12/2016 PROM CUTI 5 BK 10000 50,000

8 13/12/2016 IMLEMENTASI 1 RIM 70,000 70,000

9 13/12/2016 TANDA TERIMA 1 BK 7000 7000

10 13/12/2016 FORM PERMINTAAN RAWT INA 1 RIM 70000 70000
SURAT KET SAKIT 3 BK 10000 30,000

11 16/12/2016 SENSUS PASIEN 1 BK 20000 20000

12 21/12/2016 RESEP 15 BK 7000 105000

BUKU KESEHATAN 100 BK 10000 400000

13 21/12/2016 RESEP 3 BK 7000 21000

14 21/12/2016 BUKU PANJANG 1 BK 12000 12000

SURAT KONTROL 3 BK 10000 30,000
IMLEMENTASI 200 LEMBAR 140 28,000

15 21/12/2016 BS 3 BK 7000 21000

16 21/12/2016 BUKU SENSUS PASIEN 1 BK 20000 20,000

RESEP 1 BK 7000 7000

17 21/2016 LEMBAR EKG 40 LEMBAR 1500 60,000

18 21/12/2016 PERSETUJUAN TINDAKAN 60 LEMBAR 140 8400

RESEP 2 BK 7000 14,000
19 21/12/2016 IMLEMENTASI 60 LEMBAR 140 8400
DAFTR VIISIT &KONSUL 2 BK 10000 20,000
RESEP 6 PAK 7000 28000

Data Pemakaian / Pengambilan Formulir / Cetakan

BULan january 2017

No Tanggal Nama Barang Jumlah Satuan Harga

1 6/1/2017 CATATAN 2 RIM 70000
GRAFIK VIT 2 RIM 70000

2 6/1/2017 BUKU PER 1 BK 10000

3 6/1/2017 RESEP 1 BK 7000

RESEP 3 BK 7000
 4 13/1/2016 FROM TIND 10 BK 3750
FROM TIN 10 BK 3750
FROM SURT 4 BK 10000
FROM HARI 1 BK 40000

5 13/1/2017 DATA MEDI 1 RIM 70000

6 13/1/2017 SALINAN R 1 RIM 70000

CTG 1 RIM 70000

7 20/1/2017 RESEP 3 BUKU 7000

CPPT 60 LEMBAR 140

8 27/1/2017 SURAT CO 2 BUKU 10000

RESEP 2 BUKU 7500
SURAT KET 1 BUKU 10000
CATATAN 100 LEMBAR 140
RENCANA 50 LEMBAR 140
LEMBAR P 50 LEMBAR 140

Data Pemakaian / Pengambilan Formulir / Cetakan

BULAN FEBUARY 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 3/2/2017 BON SEMENTARA 2 BK 10000 20000

2 3/2/2017 RESEP 10 BK 7500 75000

BUKU LAPORAN HARIAN 1 RIM 40000 480000

3 6/2/2017 PERSETUJUAN ANATESI 60 LEMBAR 140 8400

PERSETUJUAN TINDAKAN DR 60 LEMBAR 140 8400
CPPT 60 LEMBAR 140 8400
CATATAN IMLEMENTASI 60 LEMBAR 140 8400
BUKU IBU 30 BUKU 10000 300000
BUKU BAYI 30 BK 4000 120000

4 7/2/2017 RESEP 4 BK 7500 30000

5 7/2/2017 RESEP 5 BK 7500 37500

 6 10/2/2017 FROM LAB 60 LEMBAR 140 8400
DAFTAR CONTROL ISTIME 60 LEMBAR 140 8400
CPPT 60 LEMBAR 140 8400
RENCANA ASKEP 60 LEMBAR 140 8400

7 14/2/2017 TINDAKAN SPOG 8 BK 3750 30000

TINDAKAN SPA 10 BK 3750 37500

8 13/2/2017 KWTANSI MITRA 5 BK 10000 50,000

9 13/2/2017 TANDA TREIMA 2 BK 10000 10000

10 15/2/2017 RESEP 2 BUKU 7500 15000

11 15/2/2017 RESEP 4 BUKU 7500 30,000

RESEP 4 BUKU 7500 30,000
RESEP 4 BUKU 7500 30000
RESEP 11 BUKU 7500 90000

12 16/2/2017 CPPT 60 LEMBAR 140 8400

PERSETUJUAN TINDAKAN 60 LEMBAR 140 8400
IMLEMENTASI 60 LEMBAR 140 8400
RESEP 2 BUKU 7500 15000

13 17/2/2017 RESUM MEDIS ISI 5 5 BK 20000 100000

MAP STATUS 1000 LEMBAR 3750 3,750,000
14 17/2/2017 TANDA TERIMA 3 BUKU 10000 30,000

15 18/2/2017 VISIT DOKTER 2 BUKU 10000 20000

PASEN PULANG 2 BUKU 10000 20000
IMLEMENTASI 1 RIM 70000 70000

16 23/2/2017 FROM TINDAKAN DR SP.A 3 BK 3750 11250

FROM TINDAKAN DR SP.OG 9 BK 3750 33750
RESEP 6 BK 7500 45,000
FROM TINDAKAN POLI 1 RIM 70000 70,000

17 23/2/2017 RESUM MEDIS 5 BK 20000 100,000

PELAYANAN MEDIS 1 RIM 70000 70,000
LEMBAR POLI 1 RIM 70000 70,000
KARTU BEROBAT 500 PCS

18 27/2/2017 GAWAT DARURAT 1 RIM 70000 70,000

TINDAKAN 1 RIM 70,000 70,000
IMLEMENTASI 1 RIM 70000 70,000
RESEP 3 BK 7500 22,500
 BUKU PERMINTAA BARANG 1 BK 10000 10,000
KARTU NAMA DR DEDI 2 BOX 40000 80,000
SALINAN RESEP 1 RIM 70000 70,000
CTG 1 RIM 70000 70,000

Data Pemakaian / Pengambilan Formulir / Cetakan

BULAN MARET 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 3/3/2017 RENCANA ASKEP 50 LEMBAR 140 7000
CPPT 50 LEMBAR 140 7000
RESEP 3 BK 7500 22,500

2 3/3/2017 RESEP 4 BK 7500 30000

SURAT CONTROL 2 BK 10000 20000
DR VISIT 2 BK 10000 20000
CATATAN IMLEMENTASI 1 RIM 70000 70000

3 4/3/2017 RESEP 10 BK 7500 75000

SPA 10 BK 3750 37500
SPOG 10 BK 3750 3750

4 1/3/2017 BS 3 BK 7000 21000

5 4/3/2017 ASUHAN KEP 1 RIM 70000 70000

CATATAN MEDIS GAWAT 1 RIM 70000 70000

6 4/3/2017 TANDA TERIMA 5 BK 7000 30000

8 4/3/2017 RESEP 5 BK 7500 37500

FOMULIR KESEHATAN 2 BK 40000 80000
RESEP 4 BK 7500 30000
FROM SERAH TERIMA 50 LEMBAR 140 7000

7 9/3/2017 TANDA TERIMA 2 BK 10000 20000

CPPT 1 RIM 70000 70000

8 14/3/2017 IMLEMENTAS 50 LEMBAR 140 7000

CPPT 50 LEMBAR 140 7000
 REKOMENDASI 1 BK 20000 20000
VISIT DR 1 BK 20000 20000
FROM LEB 50 LEMBAR 140 7000
SKRI 50 LEMBAR 140 7000
SURAT KONTROL 1 BK 20000 20000
RENCANA ASUHAN 50 LEMBAR 140 7000

9 14/3/2017 RESEP 10 BK 7500 75000

10 17/3/2017 CATATAN PERSALINAN 100 LEMBAR 140 14000

BAYI BARU LAHIR 100 LEMBAR 140 14000
REKOMENDASI PULANG 2 BK 10000 20000
SURAT KONTROL 2 BK 10000 20000
RESEP 2 BK 7500 15000
PERSETUJUAN TINDAKAN 100 LEMBAR 140 14000
DAFTAR DAN VISIT DR 2W BK 10000 20000
IMLEMENTASI 100 LEMBAR 140 14000

11 21/3/2017 MAP STATUS 400 LEMBAR 3500 1400000

21/3/2017 LEMBAR KONTROL 100 LEMBAR 140 14000

RESEP 3 BK 7500 22500
IMLEMENTASI 100 LEMBAR 140 14000
VIST DR 2 BK 10000 20000
PERSETUJUAN TINDAKAN 100 LEMBAR 140 14000
PESETUJUAN TRANFUSI 100 LEMBAR 140 14000
PENOLAKAN 100 LEMBAR 140 14000
BUKU PERMINTAAN BARANG 2 BK 10000 20000
27/3/2017 IMLEMENTASI 100 LEMBAR 140 14000
RESEP 3 BK 7500 22500
DAFTAR VISIT 3 BK 10000 30000
REKOMENDASI 2 BK 10000 20000
RAWAT INAP 3 RIM 70000 210000

27/3/2017 PERMINTAAN BARANG 2 BK 10000 20000

27/3/2017 MAP TRANFARAN 2 PAK 35000 70000

COPY RESEP 5 BK 7000 35000

PERMINTAANBARANG 5 BK 10000 50000
SALINAN RESEP 1 RIM 70000 70000
CPPT 1 RIM 70000 70000
IMLEMENTASI 1 RIM 70000 70000
RESEP 5 BK 7000 35000
SURAT CONTROL 2 BK 10000 20000
PENGKAJIAN RAWAT INAP 3 RIM 70000 210000
 31/3/2017 BUKU TANPA JAMINAN 1 BK 40000 40000

Data Pemakaian / Pengambilan Formulir / Cetakan

BULAN APRIL 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 4/4/2017 FOMULIR ALKES 2 BK 40000 80000

2 4/4/2017 SURAT PERSETUJUAN TIN 2 BK 40000 80000

DAKAN TANPA JAMINAN

3 7/4/2017 IMLEMENTASI 50 LEMBAR 140 1400

RESEP 2 BK 7500 15,000

4 10/4/2017 SURAT SKIT 3 BK 10000 30,000

FOMULIR KELUHAN PELANG 50 LEMBAR 140 1400

5 12/4/2017 BS 3 BK 7500 22500

6 12/4/2017 BS 3 BK 7500 22500

7 12/4/2017 IMLEMEMTASI 1 RIM 70000 70000

RESEP 4 BK 7500 30000
8 19/4/2017 CPPT 100 LEMBAR 140 14000

EMBAR CONTROL ISTIMEWA 100 LEMBAR 140 14000

RESEP 3 BK 7500 22500
FROM LAB 100 LEMBAR 140 14000

9 18/4/2017 RESUM 10 BK 20000 400000

CPPT 1 RIM 70000 70000
GRAFIK 1 RIM 70000 70000
FROMUGD 1 RIM 70000 70000
TINDAKAN TANPA JAMINAN 2 BK 20000 40000

10 25/4/2017 GENRAL CONSET 1 RIM 70000 70000

FOMULIR PASEN TERMINAL 1 RIM 70000 70000
 PENOLAKAN TINDAKAN
KEDOKTERAN 1 RIM 70000 70000
PERSETUJUAN PEMBERIAN
TRANFUSI DARAH 1 RIM 70000 70000
IMPORMASI PENUNDAAN
PELAYANAN 1 RIM 70000 70000
SURAT PERMINTAAN SECOND
OPINION 1 RIM 70000 70000
FORMULIR PENYIMPANAN
BARANG 1 RIM 70000 7000
FORMULIR PERMINTAAN
PRIVASI 1 RIM 70000 70000

PERMINTAAN PELAYANAN
KEROHANIAN 1 RIM 70000 70000
FORMULIR PELAKSANA
PELAYANAN KEROHHANIAN 1 RIM 70000 70000
FORMULIRKELUHAN PELANG
GAN 1 RIM 70000 70000
CPPT 2 RIM 70000 140,000
MAP STATUS 1000 LEMBAR
PEMBERIAN TERAPI 1 RIM 70000 70000
CTG/USG 1 RIM 70000 70000

11 27/4/2017 RESEP 6 BK 7000 42000

12 27/4/2017 IMLEMENTASI 100 LEMBAR 140 14000

CPPT 100 LEMBAR 140 14000
RESEP 3 BK 7000 21000
SURAT CONTROL 2 BK 10000 20000

Data Pemakaian / Pengambilan Formulir / Cetakan

BULAN MEI 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

) 2/5/2017 CEKLIS PULANG 100 LEMBAR 140 14000
 RESEEP 3 BK 7500 22500

2 3/5/2017 PROM LEB 100 LEMBAR 140 14000

RESEP 2 BK 7500 15000

3 3/5/2017 RESEP 20 BK 7500 150000

POM PENGKAJIAN 1 RIM 70000 70000
RAWAT JALN 1 RIM 7000 70,000

4 3/5/2017 HAK DAN KEWAJIBAN 1 BK 40000 40,000

GENERAL CONSEN 1 BK 40000 40,000
SURAT PERSETUJUAN RAWAT
INAP 1 RIM 70000 70,000
RINGKASAN KELUAR 1 RIM 70000 70,000
POMULIR PENDAFTARAN
PASEN BARU 1 RIM 70000 70,000
JADWAL PRAKTEK DR 1 RIM 80000 80,000
DAFTRA PASEN BARU 1 RIM 70000 70,000

5 8/5/2017 KOP SURAT 1 RIM 60000 60,000

BUKU PERMINTAAN BRNG 3 BK 10000 30,000
TANDA TERIMA 2 BK 7000 14,000

6 13/5/2017 HASIL PEMERIKASAAN CTG 1 RIM 70000 70,000

BUKU PERMINTAAN BRNG 1 BK 10000 10,000

7 15/5/2017 HAK DAN KEWAJIBAN 1 BK 40000 40,000

CPPT 2 RIM 70000 140,000
DISCHARGE PLNING 2 RIM 70000 140,000
PM 2 RIM 70000 140,000

8 15/5/2017 RESEP 3 BK 7500 22,500

RESEP 10 BK 7500 75,000

8 22/5/2017 HAK DAN KEWAJIBAN 2 BK 40000 80,000

SURAT PESERTUJUAN TIN
DKA TANPA JAMINAN 1 BK 40000 40,000

9 22/5/2017 CPPT 100 LEMBAR 140 14000

LEMBAR VISIT DR 2 BK 10000 20,000
RESEP 3 BK 7500 22500
REKOMEDSI PULNG 2 BK 10000 20000

10 22/5/2017 PATUGRAF 100 LEMBAR 140 14,000

IMLEMENTASI 100 LEMBAR 140 14,000
PERSETUJUAN TINDAKAN
KEDOKTERAN 100 LEMBAR 140 14,000
 PESETUJUAN PENGOBATAN 100 LEMBAR 140 14,000
PESETUJUAN ANATESI DAN
SEDASI 100 LEMBAR 140 14,000
POMULIR PEMBERIAN SUSU 100 LEMBAR 140 14,000

11 22/5/2017 SALINAN RESEP 1 RIM 70000 70,000

KOP SURAT 1 RIM 60000 60,000
CTG/EKG 1 RIM 70000 700,000

12 22/5/2017 CPPT 100 LEMBAR 140 14,000

RESEP 3 BK 7500 22,500
IMLEMENTASI 100 LEMBAR 140 14,000
SURAT CONTROL 2 BK 10000 20,000
ASEMEN RAWAT INAP 1 2 3 100 LEMBAR 140 14000

13 24/5/2017 FROM CPPT 100 LEMBAR 140 14,000

IMLEMENTASI 100 LEMBAR 140 14,000
FROM RONGSEN 100 LEMBAR 140 14,000
FROM LEB 100 LEMBAR 140 14,000
TANDA TERIM 1 BK 7000 7,000

14 29/5/2017 CPPT 20 LEMBAR 140 2,800

IMLEMENTASI 20 LEMBAR 140 2,800
PENOLAKAN DR 20 LEMBAR 140 2,800

15 29/5/2017 CPPT 50 LEMBAR 140 7,000

IMLEMENTASI 50 LEMBAR 140 7,000
SURAT CONTROL 2 BK 10000 20,000
REKOMENDASI 2 BK 10000 20,000
VISIT DR 2 BK 10000 20,000

16 30/5/2017 RESEP 10 BK 7000 70,000

IMLEMENTASI 100 LEMBAR 140 14,000

17 30/5/2017 RESEP 8 BK 7000 56,000

FOM TINDAKAN SPA 10 BK 3500 35,000
FOM TINDAKAN SPOG 10 BK 3500 35,000
KARTU NAMA DR DEDI SPA 6 PAK 80000 480,000
KARTU NAMADR FREDI 4 PAK 80000 320,000

18 31/5/2017 BS 2 BK 7000 14,000

FROM PERSETUJUAN SUSU 50 LEMBAR 140 7,000
 Data Pemakaian / Pengambilan Formulir / Cetakan
BULAN JUNI 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 1/6/2017 BS 2 BK 7000 14,000

2 1/JUNI 2017 PERSETUJUAN SUSU FORMLA 50 LEMBAR 140 7000

RESEP 3 BK 7000 21000
CPPT 50 LEMBAR 140 7000
IMLEMENTASI 50 LEMBAR 140 7000

3 2/JUNI/2017 RESEP 6 BK 7000 42,000

SENSUS PASIN RAWAT 1 BK 40000 40000

4 5/6/2017 KWITANSI 3 BK 5000 15000

BS 2 BK 7000 14000
P BARANG 2 BK 10000 20000

5 5/6/2017 BS 2 BK 7000 14,000

6 6/6/2017 LEMBAR PENGKAJIAN 1 RIM 70000 70,000

RESEP 20 BK 7000 140,000

7 7/6/2017 KARTU STOK 500 LEMBAR 1000 500,000

PLASTIK KLIP 3 PAK 8400 25,200

8 6/6/2017 SALINAN RESEP 1 RIM 70000 70,000

MAP STATUS 200 LEMBAR 3500 700,000

9 7/6/2017 PULPEN 3 BUAH 1416 4,248

10 7/6/2017 TANDA TERIMA 2 BUAH 7000 14,000

11 13/6/2017 FOM LEMBAR POLI 1 RIM 70000 70000

FOM PESETUJUAN TINDAKAN 1 RIM 70000 70000
ANATESI DAN SEDASI 1 RIM 70000 70000

12 13/6/2017 IMLEMENTASI 50 LEMBAR 140 7000

CPPT 50 LEMBAR 140 7000
13 14/6/2017 CPPT 50 LEMBAR 140 7000
RESEP 3 BK 7000 21000
IMLEMENTASI 50 LEMBAR 140 7000

14 15/6/2017 HAK DAN KEWAJIBAN 2 BK 20000 40,000

TINDAKAN TANPA JAMINAN 2 BK 20000 40,000
S PERMINTAAN RAWAT INAP 1 RIM 70000 70,000
S GENARAL CONSET 1 RIM 70000 70,000
PSIN BARU 1 RIM 70000 70,000
BUKTI PERMINTAAN BARANG 1 BK 10000 10,000

15 15/6/2017 CPPT 50 LEMBAR 140 7,000

IMLEMENTASI 50 LEMBAR 140 7,000
SURAT KETERANGAN RAWAT IN 50 LEMBAR 140 7,000
VISIT DR 1 BK 10000 10,000

16 15/6/2017 CPPT 50 LEMBAR 140 7,000

IMLEMENTASI 50 LEMBAR 140 7,000
RESEP 3 BK 7000 21,000
VISI DR 1 BK 10000 10,000

17 20/6/2017 FROM CUTI 2 BK 10000 20,000

LABEL BIRU 5G

18 22/2/2017 CPPT 100 LEMBAR 140 14000

IMLEMENTASI 100 LEMBAR 140 14000
RENCANA KEPERAWATAN 100 LEMBAR 140 14000
ASUHAN RAWAT INAP 1,2,3 150 LEMBAR 140 21,000

19 22/6/2017 RESEP 5 BK 7000 35000

VISIT DR 2 BK 10000 20,000
SURAT CONTROL 2 BK 10000 20000
RENCANA KEPERAWATAN 50 LEMBAR 140 7000
PASIN BARU 50 LEMBAR 140 7000
IMLEMENTASI 50 LEMBAR 140 7000
CPPT 50 LEMBAR 140 7000
DAFTAR CONTROL ISTIMEWAH 50 LEMBAR 140 7000

20 22/3/2017 RESEP 10 BK 7000 70000

TINDAKAN SPA 10 BK 3500 35000
TINDAKAN SPOG 10 BK 3500 35000
FROMLAB 1 RIM 70000 70000
SURAT KONTROL 10 BK 7000 70000

21 23/6/2017 PERSETUJUAN DR 100 LEMBAR 140 14000

IMLEMENTASI 100 LEMBAR 140 14000
RESEP 3 BK 7000 21000
 DAFTR VISIT DR 2 BK 10000 20000
CPPT 100 LEMBAR 140 14000
CATATAN PERSALINAN 100 LEMBAR 140 14000
RIWAYAT PERSALINAN 100 LEMBAR 140 14000
CATATAN BAYI BARU 100 LEMBAR 140 14000
POTOGRAF 100 LEMBAR 140 14,000

22 23/6/2017 KARTU STOK 500 LEMBAR 500 250,000

23 23/6/2017 AMLOP MITRA 1 PAK 38000 38,000

Data Pemakaian / Pengambilan Formulir / Cetakan

BULAN JULI 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 2/JULI/2017 FORM ASKEP 1,2,3 150 LEMBAR 140 21000
IMLEMENTASI 100 LEMBAR 140 14000
CPPT 100 LEMBAR 140

2 4/JULI/2017 AMLOP KECIL MITRA 2 PAK 27000 27000

AMLOP BESAR MITRA 1 PAK 30000 30,000
LAPORAN HARIAN POLI 1 PAK 220000 220,000
LEMBAR POLI 1 RIM 70000 70000
RESEP 20 PAK 7000 140,000

3 5/JULI/2017 MAP STATUS 200 LEMBAR 3500 700,000

CATATAN MEDIS 1 RIM 70000 70000
PENGKAJIAN 1 RIM 70000 70,000

4 5/JULI/2017 HAK DAN KEWAJIBAN 2 BK 20000 40,000

TINDAKAN TANPA 2 BK 20000 40,000
HEKTER 1 PAK 2500 2,500
BUKU QUARTO KECIL 2 BK 8000 16,000

5 5/JULI/2017 PULPEN 5 BUAH 1416 7,080

KERTAS 2 PLY 1 PAK 60000 60,000
PULPEN ETIKET 2 BUAH 8000 16,000
 6 7/7/2017 RESEP 3 BK 7000 21,000
REKOMENDASI PULANG 2 BK 10000 20,000

7 10/JULI/2017 ASUHAN KEPERAWATAN 1,2,3 150 LEMBAR 140 21,000

8 10/JULI 2017 POLIKLINIK 1 RIM 70000 70,000

9 12/JULI/2017 RESEP 20 BK 7000 140000

PENGKAJIAN KEPERAWATAN 1 RIM 70000 70000
FROM RONGSEN 1 RIM 70000 70000
FROM LEB 1 RIM 70000 70000
PERMINTAAN BARANG 2 BK 10000 20000
PENUNDAAN 1 RIM 70000 70000
SERAH TERIMA PASIN 1 RIM 70000 70000

10 13/JULI/2017 BS 2 BK 7000 14,000

11 13/JULI/2017 KWITANSI MITRA 5 BK 7000 35,000

TANDA TERIMA 5 BK 7,000 35,000
BS 5 BK 7000 35,000

12 13/JULI/2017 HAK DAN KEWAJIBAN 1 BK 20000 20,000

GENARAL CONSERT 1 RIM 70000 70,000
KELUAR MASUK PASIN 1 RIM 70000 70,000

13 18/JULI/2017 IMLEMENTASI 100 LEMBAR 140 14,000

CPPT 100 LEMBAR 140 14,000
FROM LEB 50 LEMBAR 140 7,500
RESEP 3 BK 7000 21,000
DAFTAR CONTROL 50 LEMBAR 140 7,500
ASEMEN RAWAT INAP 150 LEMBAR 140 21,500

14 17/JULI/2017 BUKU OPRASI 2 BK 20000 40,000

BUKU PERMINTAAN BARNG 2 BK 10000 20,000
BS 2 BK 7000 14,000

15 18/JULI/2017 LEB 50 LEMBAR 140 7,000

RENCANA KEPERAWATAN 50 LEMBAR 140 7,000
CPPT 50 LEMBAR 140 7,000
IMLEMENTASI 50 LEMBAR 140 7,000
KONTROL ISTIMEWAH 50 LEMBAR 140 7,000
BUKU SENSUS 1 BK 20000 20,000
RESEP 5 BK 7000 35,000

16 24/JULI/2017
DPJP 1 RIM 70000 70,000
 CPPT 1 RIM 70000 70,000
HASIL CTG 1 RIM 70000 70,000
SALINAN RESEP 1 RIM 70000 70,000
FROM TERAPI 1 RIM 70000 70,000
CEKLIS PASIN BARU 1 RIM 70000 70,000
ASESEMEN 1 2 2 RIM 70000 140,000

17 24/JULI/2017
HAK DAN KEWAJIBAN 2 BK 20000 40,000
FORMULIR PENDAPTARAN 1 RIM 70000 70,000
PERSETUJUAN TANPA JAMINA 2 BK 20000 40,000
SURAT RI 1 RIM 70000 70,000

18 24/JULI/2017 RSEP 2 BK 7000 14,000

DAFTAR FISIT 2 BK 10000 20,000
SURAT CONTROL 2 BK 10000 20,000
IMLEMENTASI 100 LEMBAR 140 14,000
SUSU FORMULA 50 LEMBAR 140 7,000
CPPT 50 LEMBAR 140 7,000

19 24/JULI/2017 COPY RESEP 5 BK 7000 35,000

20 25/JULI/2017 RESEP 2 BK 7000 14,000

CPPT 50 LEMBAR 140 7000
IMLENMENTASI 50 LEMBAR 140 7,000

21 26/JULI/2017 PERSETUJUAN DR 50 LEMBAR 140 7,000

TRANFUSI DARAH 50 LEMBAR 140 7,000

AMLOP RONSEN 200 LEMBAR 4000 800,000

AMLOP RONSEN KECIL 100 LEMBAR 1500 150,000

22 27/JULI/2017 FROM APS 50 LEMBAR 140 7,000

23 27/JULI/2017 CATATAN IGD 1,2, 100 LEMBAR 140 14,000

CPPT 50 LEMBAR 140 7000
IMLEMENTASI 50 LEMBAR 140 7,000
RESEP 3 BK 7000 21000
VISIT DR 2 BK 10000 20,000

24 27/JULI/2017 FROM LAB 50 LEMBAR 140 7,000

DR VISIT 2 BK 10000 20,000
KONTROL ISTIMEWAH 2 BK 10000 20,000

25 31/JULI/2017 CPPT 50 LEMBAR 140 7,000

IMLEMENTASI 50 LEMBAR 140 7,000
RESEP 4 BK 7000 28,000
 FROM LEB 50 LEMBAR 140 7,000

Data Pemakaian / Pengambilan Formulir / Cetakan

BULAN AGUSTUS 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 3/8/2017 BUKU KESEHATAN 20 BKU 10000 200000
SUFOR 50 LEMBAR 140 7000
IMLEMENTASI 50 LEMBAR 140 7000
CPPT 50 LEMBAR 140 7000
PERMINTAAAN RAWAR INAP 50 LEMBAR 140 7000
CEKLIS PASIN PULANG 50 LEMBAR 140 7000
ADMINITRASI PULANG 2 BKU 10000 20000

2 3/8/2017 RESEP 20 BK 7000 140000

PENGKAJIAN 2 RIM 70000 140000
FROM MENUNDA RAWAT INAP 1 RIM 70000 70000
FROM NEBULEJER 3 BK 10000 30,000

3 3/8/2017 RESEP 3 BK 7000 21,000

4 4/8/2017 RENCANA ASUHAN KEP 50 LEMBAR 140 7,000

PERSETUJUAN TRANFUSI DARA 50 LEMBAR 140 7000
POPM PINDAH KELAS 50 LEMBAR 140 7,000
POM LAB 50 LEMBAR 140 7000

5 5/8/2017 POMULIR GC 1 RIM 85000 85000

HAK DAN KEWAJIBAN 2 BK 20000 40000
TINDAKAN TANPA JAMINAN 2 BK 20000 40000
POMULIR P BARU 1 RIM 70000 70000
S
6 5/8/2017 AMLOP BESAR LOGO MITRA 2 PAK 40,000 80,000
KARTU STOK 300 LEMBAR 500 15000

7 7/8/2017 CPPT 100 LEMBAR 140 14000

IMLEMENTASI 50 LEMBAR 140 7000
CEKLIS PASIN PULANG 50 LEMBAR 140 7000

8 8/8/2017 TANDA TREIMA 1 BK 7000 7000

9 9/8/2017 LEMBAR POLI 1 RIM 70000 70000

 GRAFIK 1 RIM 70000 70000
DISCA PLENING 1 RIM 70000 70000

10 9/8/2017 FROM SERAH TREIMA 100 LEMBAR 140 14000

DAFTAR CONTROL 100 LEMBAR 140 14000
RESEP 3 BK 7000 21,000
DISCA PLENING 100 LEMBAR 140 14000
PENOLAKAN TINDAKAN 100 LEMBAR 140 14000
FROM APS 1000 LEMBAR 140 14000
DAFTAR VIST 3 BK 10000 30000
ASEMEN RAWAP INAT 123 150 LEMBAR 140 21000

11 14/8/2017 RESEP 3 BK 7000 21000

FOMPINDAH KLS 100 LEMBAR 140 14000
SURAT CONTROL 2 BK 10000 20000
CPPT 100 LEMBAR 140 14000
IMLEMENTSI 100 LEMBAR 140 14000

12 14/8/2017 RESEP 10 BK 7000 70000

SURAT RUJUKAN 5 BK 10000 50000
PERMINTAAN RAWT INAP 100 LEMBAR 140 14,000
FROM LAB 100 LEMBAR 140 14000
FROM RO 100 LEMBAR 140 14000

13 11/8/2017 CPPT 100 LEMBAR 140 14000

ILEMENTASI 100 LEMBAR 140 14000
RESP 3 BK 7000 21000
FROM LAB 100 LEMBAR 140 14000

14 18/8/2017 HAK DAN KEWAJIBAN 2 BK 20000 40000

TINDAKAN TANPA JAMINAN 2 BK 20000 40000

15 18/8/2017 RESREP 3 BK 7000 21000

DR VVISIT 2 BK 10000 20000
CPPT 100 LEMBAR 140 14000
IMLEMENTASI 100 LEMBAR 140 14000

21 21/8/2017 ILEMENTASI 100 LEMBAR 140 14000

CPPT 100 LEMBAR 140 14000
RSEP 4 BK 7000 28000
SKRI 100 LEMBAR 140 14000
LAB 100 LEMBAR 140 14000

21 21/8/2017 IMLEMENTASI 100 LEMBAR 100 1400

RESEP 2 BK 7000 14000
CPPT 100 LEMBAR 140 14000
LAB 100 LEMBAR 140 14000
 SURAT CONTROL 1 BK 10000 10000
SORAT REKOMENDASI 1 BK 10000 10000

22 21/8/2017 RESEP 12 BK 7000 84000

PENGKJIAN RAWAT JALN 1 RIM 70000 70000
LAB 1 RIM 70000 70000

23 16/8/2017 MAP STATUS 400 LEMBAR

24 21/8/2017 RESUM MEDIS 15 BK 20000 300000

33000
25 21/8/2017 CPPT 100 LEMBAR 140 14000
IMLEMENTASI 100 LEMBAR 140 14000
RESEP 3 BK 7000 21000
BUKU PERMINTAAN BARANG 2 BK 10000 10000
25 21/8/2017 DAFTAR CONTROL ISTIMEWAH 100 LEMBAR 140 14000

26 22/8/2017 GENERAL KONSENT 1 RIM 80000 80000

PASEN BARU 1 RIM 70000 70000

27 28/8/2017 LEMBAR KONSULTSI 100 LEMBAR 140 14000

REKOMENDSI PULANG 1 BK 10000 10000
RESEP 3 BK 7000 21000

28 28/8/2017 RESEP 3 BK 7000 21000

29 30/8/2017 CPPT 100 LEMBAR 140 14000

IMLEMENTASI 100 LEMBAR 140 14000
PERSETUJUAN TINDAKAN 100 LEMBAR 140 14000
RESEP 2 BK 7000 14000
DAFTAR VISIT 2 BK 10000 20000

30 30/8/2017 HAK DAN KEWAJIBAN 2 BK 20000 40000

PERSSTTUJUAN TTA 1 RIM 70000 70000

Data Pemakaian / Pengambilan Formulir / Cetakan

BULAN SEPTEMBER 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 1/9/2017 RESEP 10 BK 7000 70000
 CPPT 1 RIM 70000 70000
PENGKAJIAN RAWAT INAP 1,2,3 3 RIM 70000 210000
IMLEMENTASI 1 RIM 70000 70,000
LEMBAR VIST DR 3 BK 10000 30000

2 5/9/2017 LEMBAR POLI 1 RIM 70000 70000

DISCHARGE PLANING 1 RIM 80000 80000
KETERANGAN PELAYAN MEDIS 1 RIM 70000 70000
DPJP 1 RIM 70000 70000
CEKLIS PASEN BARU 1 RIM 70000 70000
PENERBANGAN 1 RIM 70000 70000

3 5/9/2017 FROM TINDAKAN SPA 20 BK 3500 70000

FROM TINDAKN SPOG 20 BK 3500 70000
FROM SERAH TERIMA 1 RIM 70000 70000
SURAT KONTROL 10 BK 7000 70000
PERMINTAAN RAWAT INAP 1 RIM 70000 70000

4 5/9/2017 CPPT 100 LEMBAR 140 14000

RESEP 2 BK 7000 14000
DAFTAR CONTROL ISTIMEWAH 100 LEMBAR 140 14000
SRUJUKAN 2 BK 10000 20000

FROM PERMINTAAN BARANG 1 BK 10000 10000

5 6/9/2017 KWITANSI MITRA 10 PAK 7000 70000

CPPT 100 LEMBAR 140 14000
IMLEMENTASI 100 LEMBAR 140 14,000
RESEP 4 BK 7000 28000
TINDAKAN IGD 1,2, 100 LEMBAR 140 14000
RESEP 5 BK 7000 35000

6 11/9/2017 MAP STATUS 100 LEMBAR 2800 280000

RINGKASAN PASEN MASUK 1 LRIM 70000 70000
KARTU STOK 300 LEMBAR

7 13/9/2017 CPPT 100 LEMBAR 140 14000

RESEP 20 BK 7000 140,000
FOMPENGKAJIAN 2 RIM 70000 140000
SURAT PERSETUJUAN DR 100 LEMBAR 140 14000
SEDASI 100 LEMBAR 140 14000
ANATESI 100 LEMBAR 140 14000
BUKU OPERASI 2 BK 40000 80000

8 18/9/2017 KARTU STOK 300 LEMBAR 500 150000

COPY RESP 5 BK 7000 35000
 9 22/9/2017 CPPT 100 LEMBAR 140 14000
IMLEMENTASI 100 LEMBAR 140 14000
BUKU KMS 40 BK 24000 960000
RESEP 2 BK 7000 14000

10 23/9/2017 BS 5 7000 35000 35,000

11 26/9/2017 HAK DAN KEWAJIBAN 2 BK 40000 80000

GENERAL CONSERT 1 RIM 80000 80000
PERSETUJUAN PINDAH KLS 1 RIM 70000 70000

12 18/9/2017 SALINAN RESEP 1 RIM 70000 70000

HASIL NCTG 1 RIM 70000 70000
CPPT 1 RIM 70000 70000
CEKLIS PBARU 1 RIM 70000 70000
MAP STATUS 100 LEMBAR 2800 280000
TERINTERGRASI 1 RIM 70000 70000
DPJP 1 RIM 70000 70000

13 25/9/2017 DSPJP 100 LEMBAR 140 14000

IMLEMENTASI 100 LEMBAR 140 14000
CPPT 100 LEMBAR 140 14000
PERMINTAAN R I 100 LEMBAR 140 14000

14 26/9/2017 RESEP 5 BK 7000 35000

PERMINTAAN BARANG 1 BK 7000 7000
PERMINTAAN RI 1 LEMBAR 140 14000
15 28/9/2017 ASKEP 1GD 100 LEMBAR 140 14000
FROM LAB 100 LEMBAR 140 14,000

16 28/9/2017 CATATN MEDIS 2 RIM 70000 140000

PENKAJIAN 2 RIM 70000 140000
GRAFIK 2 RIM 70000 140,000
RESUM MEDIS 14 BK 40000 560000
CEKLIS PASIN BARU 1 RIM 70000 70000
MAP SETATUS 100 LEMBAR 2800 280000

Data Pemakaian / Pengambilan Formulir / Cetakan

BULAN OKTEBER 2017
 No Tanggal Nama Barang Jumlah Satuan Harga Total
1 2/10/2017 IMLEMENTASI 100 LEMBAR 140 14000
CPPT 100 LEMBAR 140 14000

2 2/10/2017 CPPT 100 LEMBAR 140 14000

RESEP 2 BK 7000 14000
IMLEMENTAS 100 LEMBAR 140 14000

3 2/10/2017 CPPT 100 LEMBAR 140 14000

IMLEMENTASI 100 LEMBAR 140 14000
RESEP 2 BK 7000 14000
4
2/10/2017 CPPT 100 LEMBAR 140 14000
RESEP 5 BK 7000 35,000
IMLEMENTASI 100 LEMBAR 140 14000
DAFTRAR VISIT 2 BK 10000 20000
ASKEP 100 LEMBAR 140 14000
REKOMENDASI PULANG 2 BK 10000 20000

5 4/10/2017 ASEMEN RAWAT INAP 1,2,3 150 LEMBAR 140 21000

ASKEP 50 LEMBAR 140 7500

6 4/10/2017 ASEMEN RAWAT INAP 150 LEMBAR 140 21000

7 5/10/2017 BROSUR 2 RIM 500000 1000000

8 9/10/2017 RENCANA ASUHAN 100 LEMBAR 140 14000

RESEP 5 BK 7000 35000

9 9/10/2017 RESEP 5 BK 7000 28000

CPPT 100 LEMBAR 140 14000
IMLEMENTASI 100 LEMBAR 140 14000
DAFTAR VISIT DAN CONSUL 1 BK 10000 10000
FROM LAB 100 LEMBAR 140 14000
PERMINTAAN RAWAT INAP 100 LEMBAR 140 14000
CEKLIS PULANG 100 LEMBAR 140 14000
BUKU PASPOR 30 BK 28000 840000

10 9/10/2017 MAP STATUS 100 LEMBAR 2800 280000

11 10/10/2017 FROM LEB 100 LEMBAR 140 14000

REKOMENDASI PULANG 2 BK 10000 20000
RESEP 3 BK 7000 21000
DAFTAR VISIT DR 2 BK 10000 20000

I2 9/10/2017 RESEP 10 BK 7000 70000

 SURAT SAKIT 3 BK 10000 300000

13 10/10/2017 CPPT 100 LEMBAR 140 14000

IMLEMENTASI 100 LEMBAR 140 14000

14 10/10/2017 HAK DAN KEWAJIBAN 2 BK 24000 48000

GENERAL CONSERN 1 RIM 80000 80000

15 10/10/2017 SERAH TERIMA 1 RIM 70000 70000

RESEP 20 BK 7000 140,000
RAWAT JALAN 1 RIM 70000 70000
TIDAKAN SPA SPOG

16 16/10/2017 RESEP 2 BK 7000 14000

CPPT 100 LEMBAR 140 14,000
IMLEMENTASI 100 LEMBAR 140 14,000

17 16/10/2017 TINDAKAN POLI KLINIK 3 BK 24000 72000

FROM LAB 1 RIM 70000 70000
RONSEN 1 RIM 70000 70000
RAWAT INAP 1 RIM 70000 70000
RESEP 5 BK 7000 35000
TINDAKAN ANATESI DSEDSASI 1 RIM 70000 70000
TINDAKAN KEDOKTERAN 1 RIM 70000 70000

18 16/10/2017 BS 2 BK 7000 14000

19 14/10/2017 MAP STATUS 100 LEMABR 2400 240000

POLIKLINIK 1 RIM 70000 70000
SURAT KETERENGAN PELAYANA 2 RIM 70000 140000

20 13/10/2017 ASEMEN RAWT INAP 100 LEMBAR 140 14000

LAB 100 LEMBAR 140 14000
CEKLIS PASIN PULANG 100 LEMBAR 140 14000
SURAT KTERANGAN RWAT INAP 100 LEMBAR 140 14000
RESEP 2 BK 7000 14000

21 13/10/2017 SERAH TERIMA 1 RIM 70000 70000

RESP 20 BK 7000 140000
RAWAT JALN 1 RIM 70000 70000
SPA SPOG 20 BK
HARIAN POLI KLINIK 10 BK
SURAT BEROBAT 2 BK
BUKU FASPOR 10 BK 28000 280000
22 21/10/2017 PASEWN BARU 1 RIM 70000 70000
HAK &KEWJIBAN 1 RIM 70000 70000
23 18/10/2017 PERSETUJUAN TINDKN KEDRRA 100 LEMBAR 140 14000
PERSETUJUAN ANATESI 100 LEMBAR 140 14000
CPPT 100 LEMBAR 140 14,000
IMLEMENTASI 100 LEMBAR 140 14000
CATATAN PERSALINAN 100 LEMBAR 140 14000
BAYI BARU LAHIR 100 LEMBAR 140 14000
RIWAYT PERSALINA 100 LEMBAR 140 14000
SURAT KONTROL 2 BK 10000 20000
VISI DR 2 BK 10000 10000
RESEP 2 BUKU 7000 14000

24 18/10/2017 VISIT DR 3 BK 10000 30000

RESEP 5 7000 35000
PENGKJIAN 1,2,3 100 LEMBAR 140 14000

25 18/10/2017 CPPT 100 LEMBAR 140 14000

IMLENTASI 100 LEMBAR 140 14000
RESEP 4 BK 7000 28000
ASEMEN 1,2,3 150 LEMBAR 140 21000

26 18/10/2017 CPPT 100 LEMBAR 140 14000

IMLEMENTASI 100 LEMBAR 140 14000
RESEP 2 BK 7000 7000

27 18/10/2017 BUKU PERMINTAAN BARANG 3 BK 12000 36000

RESEP 6 BK 7000 48000

28 24/10/2017 MAP STATUS 100 LEMBAR 2800 280000

SALINAN RESEP 2 RIM 70000 140000
CTG 1 RIM 70000 70000
FROM IGD 1,2 2 RIM 70000 140000

29 23/10/2017 RESEP 20 BK 7000 28000

LAPORAN HARIAN POLI 2 BK 28000 56000
LEMBAR POLI KLINIK 1 RIM 70000 70000
PENGKJIAN KEPERAWTAN 1 RIM 70000 70000
FROM LAB 1 RIM 70000 70000

30 23/10/2017 PENUNDAAN 100 LEMBAR 140 14000

PENOLAKAN 100 LEMBAR 140 14000
DAFTAR CONTROL 100 LEMBAR 140 14000
RESEP 10 BK 7000 35,000
SENSUS HARIAN 1 NK 24000 24000
DANTAR CONTRO PULANG 2 BK 10000 20000
ASEMEN 100 LEMBAR 140 14,000
IMLEMENTASI 100 LEMBAR 140 14000
CPPT 100 LEMBAR 140 14000
 31 23/10/2017 CPPT 100 LEMBAR 140 14000
IMLEMEN TASI 100 LEMBAR 140 14000
RSEP 2 BK 7000 14000
SERAH TERIMA 100 LEMBAR 140 14,000

32 17/10/2017 MAP STATUS 100 LEMBAR 2800 280,000

33 28/10/2017 HAK DAN KEWAJIBAN PASIEN 2 BK 24000 48,000

34 28/10/2017 MAP STATUS 100 LBR 2400 240000

35 25/10/2017 PERSETUJUAN PENGOBATAN 100 LEMBAR 140 14000

ASKEP 100 LEMBAR 140 14000
BAYI BARU BARU LAHIR 100 LEMBAR 140 14000
CPPT 100 LEMBAR 140 14000
IMLEMENTASI 100 LEMBAR 140 14,000
RIWAYAT PERSALINA 100 LEMBAR 140 14,000
DAFTAR VISIT 2 BK 10000 20000
PASPOR KESHATN 30 BK 28000 840,000

36 25/10/2017 CPPT 100 LEMBAR 140 14,000

PERKEMBANGAN 100 LEMBAR 140 14000
RESEP 3 BK 8000 24,000
PASEN MASUK DAN KELUAR 1 RIM 70000 70000
TATA LAKSANA RAWAT INAP 1 RIM 70000 70,000

Data Pemakaian / Pengambilan Formulir / Cetakan

BULAN NOVEMBER 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 1/11/2017 CPPT 1 RIM 70000 70000
LAB 1 RIM 70000 70000

2 1/11/21017 PENGKJIAN IGD 2 RIM 70000 140000

CPPT 100 LEMBAR 140 14,000
IMLEMENTASI 100 LEMBAR 140 14,000
 3 3/11/2017 HAK DAN KEWAJIBAN 3 BK 24000 72,000
POM PASIEN BARU 1 RIM 70000 70,000

4 1/11/2017 SURAT CONTROL 1 BK 12000 12,000

REKOMENDASI PULANG 2 BK 12000 24,000
CELIS PASEN PULANG 100 LEMBAR 140 14,000

5 1/11/2017 RESEP 5 BK 8000 40,000

CPPT 100 LEMBAR 100 140
PINDAH KELAS 100 LEMBAR 100 140

6 1/11/2017 SURAT CONTROL 2 BK 12000 24,000

7 7/11/2017 MAP STATUS 100 LEMBAR 2400 240,000

RESUM MEDIS 4 BK 24000 96,000
DISCA PLANING 1 RIM 70000 70,000
ASEMEN 1 RIM 70000 70,000
CLIS ORENTASI 1 RIM 70000 70,000

8 6/11/2017 CPPT 1 RIM 70000 70,000

CAPER 100 LEMBAR 140 14,000
RESEP 2 BK 8000 16,000

9 6/11/2017 RESEP 5 BK 8000 40,000

FOM LAB 100 LEMBAR 140 14,000
CPPT 1 RIM 70000 70,000
CAPER 1 RIM 70000 70,000

10 7/11/2017 PENGKJIAN 2 RIM 70000 140,000

an

Unit MEDIS UMUM

IGD ###

7,000.00
N.S Lt. 3 7,000.00
6,000.00

Medrek ###

Lab 2,800.00

VK ###
4,200.00

7,000.00
IGD 7,000.00
6,000.00

N.S Lt. 1 ###

Medrek ###

7,000.00
N.S Lt. 3
7,000.00

###
3,600.00
NICU / HCU ###
7,000.00
4,200.00

4,200.00
3,600.00
VK
###
6,000.00

###
IGD
###

7,000.00
N.S Lt. 3
 N.S Lt. 3 ###
###

###
N.S Lt. 1 ###
###

###
NICU / HCU
###

###
Radiologi

IGD ###

###
OKA
###

OKA ###

7,000.00
3,600.00
N.S Lt. 3 ###
###
###

N.S Lt. 1 ###

###

N.S Lt. 3
MEDIS UMUM
###

###
6,000.00
NICU / HCU ###
6,000.00
7,000.00

4,200.00
3,600.00
3,600.00
 Unit 4,200.00
30000 6,000.00
7,000.00
9,000.00
###
###

Accounting 15,000.00

###
N.S Lt. 1 ###
###

Apotek ###

7,000.00
N.S Lt. 3 7,000.00
6,000.00

###
IGD ###
7,000.00

###
###
OKA
###
###

7,000.00
IGD
6,000.00

Medrek ###

4,200.00
7,000.00
NICU / HCU ###
###
###

7,000.00
###
N.S Lt. 3 ###
###
###

IGD ###
 4,200.00
VK 3,600.00
###

###
###
N.S Lt. 1 ###
###
###

7,000.00
N.S Lt. 3 2,800.00
###

Apotek ###

###
N.S Lt. 1
###

7,000.00
N.S Lt. 3
2,800.00

###
2,400.00
N.S Lt. 3
2,800.00
###

N.S Lt. 1 ###

7,000.00
IGD
6,000.00

7,000.00
IGD
###

###
N.S Lt. 3
###

4,200.00
3,600.00
VK
###
3,600.00

Medrek ###

###
Radiologi
Radiologi
###

###
2,400.00
2,800.00
N.S Lt. 3 3,600.00
2,800.00
4,200.00
###

Apotek ###

###
NICU / HCU
4,200.00

7,000.00
IGD
3,600.00

###
N.S Lt. 3
###

###
N.S Lt. 1
1,200.00

7,000.00
###
###
IGD ###
8,000.00
7,000.00
7,000.00

###
N.S Lt. 3 2,400.00
###

Kasir 50,000.00

Medrek ###

3,600.00
N.S Lt. 3 7,000.00
###

IGD ###

N.S Lt. 1 ###

 2,800.00
N.S Lt. 3
7,000.00

30,000.00
Accounting
15,000.00

### 110,000.00

an

Unit Medis Umum

7,000.00
12,000.00
kasir 20,000.00
marketing 12,000.00
akunting

ranap3 2,800.00
ranap3 2,800.00
ranap3 ###
igd ###
igd ###
vk 6,000.00
vk ###
vk 4,200.00
vk 3,600.00
vk 3,600.00
igd ###
igd 6,000.00
fo 2,800.00
fo
poliklinik ###
nicu 4,200.00
nicu ###
nicu 2,400.00
nicu ###
nicu 2,800.00

ranap 3 ###
ranap 3 ###
bu nevi 30,000.00
keuangngan 30,000.00
ranap 3 ###
igd 1,400.00
igd 1,400.00
igd 1,400.00
vk 6,000.00
vk ###
vk 3,600.00
n-s ranap3 6,000.00
ranap 3 4,200.00
ranap3 ###
ranap3 ###
nicu ###
nicu 6,000.00

igd ###
igd 7,000.00
igd 7,000.00
4,200.00
3,600.00
4,200.00
vk
vk ###
2,800.00
###
###

ranap 3 ###
4,200.00
###
8,000.00
###
###
3,600.00

igd 7,000.00
ranap ###
2,400.00
nicu ###
7,000.00
1,600.00
###

###
###
lt 2 vip 4,200.00
 3,600.00
###
###
6,000.00
7,000.00
ranap3 ###
ranap 3 ###
###
2,800.00
p0liklinik ###

poliklinik ###

1,400.00
7,000.00
###
###

### 113,800.00

/ Cetakan

UNIT MEDIS UMUM

KASIR 15000

FARMASI 36000

RANAP 3 30000
2800
18000
30000

IGD 30000
7000
14000

70000
9000

SKERTARIS 15000
MR 60000

leb 2800

70000

VK 10000
4200
6000
9000
15000

40000

OK 12000

IGD 1400
6000
6000
30000

5600
30000

NICU 18000
7000
14000
18000

RANAP3 30000
27000
4200
4200
50000
14000
KASIR 70000
40000

VIP LT 2 3600

VK 7200
4200
4200
3600
12000
10000
POLI 60000

MR 140000
40000

IGD 1400
12000

RANAP 3 30000
50000
4200
4200
2400

VK 4200
3600
3600
4200
10000
10000
6000
10000

NICU 12000
6000
2800
2800

RANAP 3 12000

FO /MR 70000

POLI 1400

RANAP 3 35000
24000
30000
30000

R OK 14000
20000

10000

VK 20000
12000
 40000
8400
8400

NICU 21000
4200
4200
VIP 4200
4200
NICU 3600
RANAP 3 14000

P0LI 120000
70000
20000
70000
MR 20000

.508.800

1.527.200

lan Formulir / Cetakan

2016
UNIT MEDIS UMUM
RANAP 3 2,800
6,000
28,000
5,600

VK 3,600
4,200
185,000
157,000

IGD 35,000
14,000
14,000
12,000

KASIR 30,000

POLIKLINIK 40,000
70,000
 40,000
3,600
24,000
28,000
28,000
7,000
42,000

VIP LANTAI 2 21,000

30,000
2,800
2,400

7,000

VK 3,600
20,000
3,600

RANAP 3 21,000
6,000
30,000
30,000
2,800

NICU 4,800
21,000
2,800
2,800
20,000
6,000

FARMASI 35,000

IGD 14,000
12,000

MR 130,000

1GD 35,000
20,000
20,000
12,000
14,000
14,000

RANAP 3 14,000
VK 14,000
6,300
6,000

RANAP 3 12,000
70,000

APOTEK

VIP/RANAP 2 20,000
21,000

P0LI 40,000
20,000

MR 70,000
70,000

IGD 7,000
7,000
20,000

NICU 7,000
21,000
5,600
4,200
4,200

POLI 70,000

MR 10,000
70,000

MARKETING 20,000

MR 130,000

RANAP 3 2,800
7,000
21,000
10,000

MR 70,000

VIP/RANAP 2 14,000
14,000
 7,000
7,000
7,000

IT 25,000

R OK 14,000
20,000

VK 8,400
14,000
20,000
300,000
127,500

IGD 21,000
7,000
7,000 660000
2,126,400

an

Unit MEDIS UMUM

KEUANGNGAN 10,000

RANAP 3 21,000
30,000
21,000

POLI 70,000
10,000

APOTEK

MR 10,000

APOTEK

NICU 7,000
7,000
 14,000

IGD 70,000

VK 5,600

RANAP3 14,000
14,000
30,000

POLI 70,000
KEUANGAN 10,000

IGD 70,000

MR 600,000
70,000
70,000
70,000

LEB 19,000

NICU 7,000
7,000
2,800
21,000
7,000
10,000
2,100
MR 70,000
30,000

RANAP 3 42,000
7,000
50,000

20,000

VIP 14,000

POLI 160,000
140,000

MR
MR 4,200
4,200
4,200
 4,200

RANAP 3 14,000
21,000
2,800

IGD 7,000
7,000

RANAP 3 14,000

MARKETING 56,000

VK 8,400
7,000
20,000
8,400
8,400
300,000
127,500

RANAP 3 2,800
7,000
35,000
12,000
2,800
1,400

APOTEK 20,000

MR 70,000
70,000
70,000

VIP 30,000
14,000

MR 300,000

MR 140,000

KASIR 50,000

KEUANGAN 30,000

NICU 14,000
 14,000 1,771,800
7,000
7,000
40,000
21,000
20,000

VK 8,400
8,400
21,000
8,400
1,773,200

an

Unit MEDIS UMUM

P0LI 10,000
70,000
50,000
42,500
70,000

MR 280,000
70,000

RANAP3 14,000

POLI 400,000

NICU 21,000
20,000

RANAP 3 21,000
2,800

IGD 49,000

POLI 2,800
4,200
40,000
70,000
 MARKETING 887,300 28,000

FARMASI 21,000
7000

IGD
IG 70,000

FO 30,000
70,000
70,000

POLI 255,000
901,000

an

Unit MEDIS UMUM

VIP[ LANTAI 2 7,000
7,000
7,000
7,000
70,000

NICU 7,000
7,000
7,000
7,000
20,000
7,000
7,000
7,000
20,000
14,000

IGD 21,000

RANAP 3 70,000
7,000
 35,000

APOTEK 49,000

VK 20,000
400,000
170,000
8,400
8,400
8,400
8,400

MR 70,000

70,000
70,000
300,000

POLI 14,000
70,000
40,000

RANAP 3 35,000
70,000

RANAP 3 35,000
2,800
8,400

MR 70,000

farmasi 14,000

ranap 3 49,000

igd 28,000
10,000
40,000
poli 70,000

igd 70,000
70,000

mr 70,000

NICU 7,000
 21,000
5,600
20,000
14,000
20,000

RANAP 3 8,000

MR 70,000
80,000
80,000

KASIR 8,000
10,000

VK 8,000
15,000
70,000
14,000
20,000

IGD 120,000

MR 70,000

70,000

MR 70,000

POLI 70,000 1,031,000

2,122,400
an

Unit MEDIS UMUM

1GD 70,000

VK 4,200
21,000
30,000

MR 70,000
20,000

28,000
40,000

RANAP 3 10,000
35,000
21,000
35,000
4,200
4,200

NICU 7,000
14,000

MR 40,000
70,000

VIP 14,000
14,000

IGD 42,000

MR 70,000

KEUANGAN 20,000

KASR 35,000

MR 70,000
70,000
40,000
40,000
 RANAP 3 70,000
28,000
8,400

IGD 42,000

RANAP 3 70,000
8,400
8,400

POLI 400,000
70,000

GIZI 20,000

an

Unit MEDIS UMUM

IT 10,000

VK 8,400
8,400
400,000
190,000
20,000

30,000
8,400
14,000
8,400
8,400
8,400

RANAP 3 42,000

NICU 14,000
14,000
14,000
RANAP 3 28,000

MR 70,000

RANAP 3 28,000
20,000
20,000
20,000
70,000

KEUANGAN 30,000

KASIR 20,000

RANAP 3 42,000
70,000
20,000
20,000

IGD 42,000
10,000
10,000

FO 40,000
40,000

RANAP 3 70,000
70,000

VK 30,000
14,000
20,000
4,200
42,000
70,000
1,708,600 10,000
an

Unit MEDIS UMUM

POLI 70,000

MR 70,000

RANAP 3 28,000

MR 140,000

RANAP 3 70,000
20,000

MR 70,000

RANAP 3 20,000
70,000
70,000

VIP 21,000
4,200
4,200

IGD 80,000

POLI 70,000
70,000
12,000
0
RANAP 3 70,000

MR 140,000
0
VK 7,000
420,000
RANAP 3 35,000

IGD 70,000

IGD 28,000
10,000
829,400
an

Unit MEDIS UMUM

VK 4,200

4,200
4,200
28,000

NICU 4,200
4,200

RANAP 3 42,000
10,000
POLI 70,000

70,000
100,000
47,500
70,000

IGD 20,000
35,000
70,000

VIP 21,000
10,000

MR 70,000
70,000
70,000
70,000

HRD 50,000

RANAP 3 70,000

KEUANGAN 7,000
 POLI 70,000
30,000

RANAP 3 20,000

P0LI 105,000
400,000

RANAP 3 21,000

IGD 12,000
30,000
28,000

OFFIS 21,000

NICU 20,000
7,000

EDF 60,000

VK 8,400
14,000 418,000
8,400
20,000
RANAP 3 28,000
1,506,300

/ Cetakan

Total Unit MEDIS UMUM

140000 MR 140,000
140,000 140,000

10000 IT 10,000

7000 IGD 7000

21000 RANAP 3 21,000
 37500 POLI 37,500
37500 37,500
40000 40,000
40,000 40,000

70,000 IGD 70,000

70,000 MR 70,000
70,000 70,000

21,000 VK 21,000
2,400 2,400

20,000 VIP 20,000

15,000 15,000
10,000 10,000
14,000 14,000
7,000 7,000 430,000
7,000 7,000
349,400

an

Unit MEDIS UMUM

KEUNGAN 20,000

POLI 75,000
480,000

VK 8,400
8,400
8,400
8,400
300,000
120,000

IGD 30,000

ranap 3 37,500
NICU 8,400
8,400
8,400
8,400

POLI 30,000
POLI 37,500

KASIR 50,000

KEUANGAN 20,000

IGD 15,000

RANAP 3 30,000
VIP 30,000
NICU 30,000
POLI 90,000

VK 8,400
8,400
8,400
15,000

MR 100,000
3,750,000
KASIR 30,000

RANAP 3 20,000
20,000
70,000

POLI 11,250
33,750
45,000
70,000

MR 100,000
70,000
70,000

IGD 70,000
70,000
RANAP 3 70,000
OK 22,500
 10,000
POLI 80,000
MR 2,054,900 70,000
70,000
4,300,000

an

Unit MEDIS UMUM

INSENTIP 7,000
7,000
22,500

RANAP 3 30,000
20,000
20,000
70,000

POLI 75,000
37,500
37,500

KEUANGAN 7,000

IGD 70,000
70,000

KASIR 30,000

OK 37,500
80,000
VIP 30,000
RANAP 3 7,000

KEUANGAN 20,000
MR 70,000

VIP 7,000
7,000
 20,000
20,000
7,000
7,000
20,000
7,000

POLI 75,000

VK 14,000
14,000
20,000
20,000
15,000
14,000
20,000
14,000

MR 1,400,000

INSENTIP 14,000
22,500
14,000
20,000
14,000
14,000
14,000
20,000
RANAP 3 14,000
22,500

20,000
210,000

FARMASI 20,000

MARKETING 70,000

FARMASI 35,000
50,000
MR 70,000
RANAP 3 70,000
70,000
35,000
20,000
210,000
 FO 40,000
1,726,000
1,812,000

an

Unit MEDIS UMUM

OK 80,000

FO 80,000

VIP 1400
15,000

IGD 30,000
14,000

KASIR 22,500

KEUANGAN 22,500

RANAP 3 70,000
30,000
NICU 14,000

14,000
22,500
14,000

MR 400,000
70,000
70,000
70,000
40,000

MR 70,000
70,000
 70,000

70,000

70,000

70,000

70,000

70,000

70,000

70,000

70,000
140,000

70,000
70,000

IGD 42,000

RANAP 3 14,000
14,000
304,900 21,000
20,000
1,936,000

an

Unit MEDIS UMUM

VIP 14,000
 22,500

VK 14,000
15,000

POLI 150,000
70,000
70,000

FO 40,000
40,000

70,000
70,000

70,000
80,000
MR 70,000

SEKERTARIAT 60,000
30,000
14,000

MR 70,000
GIJI 10,000

FO FO 40,000
MR MR 140,000
140,000
140,000

APOTEK 22,500
75,000

FO 80,000

40,000

RANAP 3 14,000
20,000
22,500
20,000

VK 14,000
14,000

14,000
 14,000

14,000
14,000

MR 70,000
60,000
70,000

VIP 14,000
22,500
14,000
20,000
14,000

R NICU 14,000
14,000
14,000
14,000
MR 7,000

VIP 2,800
2,800
2,800

RANAP 3 7,000
7,000
20,000
20,000
20,000

VIP 70,000
14,000

POLI 56,000
35,000
35,000
480,000
320,000

KASIR 14,000
INSENTIP 7,000 1,447,500
1,830,900
an

Unit MEDIS UMUM

KASIR 14,000

INSENTIP 7,000
21,000
7,000
7,000

RANAP 3 42,000
40,000

KASIR 15,000
14,000
20,000

OK 7,000

POLI 70,000
140,000

FARMASI 500,000
25,200

MR 70,000
700,000

1GD 4,248

KEUANGAN 14,000

POLI 70,000
70,000
70,000

VIP 7,000
7,000
RANAP 3 70,000
21,000
7,000

FO 40,000
40,000
70,000
70,000
70,000
10,000

RANAP 3 7,000
7,000
7,000
10,000

NICU 7,000
7,000
21,000
10,000

OFFIS 20,000

VIP 14,000
14,000
14,000
21,000

RANAP 3 35,000
20,000
20,000
7,000
7,000
7,000
7,000
7,000

POLI 70,000
35,000
35,000
70,000
70,000

VK 14,000
14,000
21,000
 20,000
14,000
14,000
14,000
14,000
14,000
1,335,248
APOTEK 250,000

MR 38,000
1,980,200

an

Unit MEDIS UMUM

VIP 21,000
14,000

POLI 54,000
30,000
220,000
70,000
140,000

MR 700,000
70,000
70,000

FO 40,000
40,000
2,500
16,000

APOTEK 7,080
60,000
16,000
RANAP 3 21,000
20,000

IGD 21,000

MR 70,000

POLI 140,000
70,000
70,000
70,000
20,000
70,000
70,000

14,000

KASIR 35,000
35,000
35,000

FO 20,000
70,000
70,000

NICU 14,000
14,000
7,500
21,000
7,500
21,500

OK 40,000
20,000
14,000

RANAP 3 7,000
7,000
7,000
7,000
7,000
20,000
35,000

MR 70,000
 70,000
70,000
70,000
70,000
70,000
140,000

FO 40,000
70,000
40,000
70,000

VK 14,000
20,000
20,000
14,000
7,000
7,000

FARMASI 35,000

RANAP 3 14,000
7,000
7,000

NICU 7,000
7,000

RADIOLOGI 800,000
150,000
3,135,580
RANP 3 7,000

IGD 14,000
7,000
7,000
21,000
20,000

RANAP 3 7,000
20,000
20,000

RANAP 3 7,000
7,000
28,000
 7,000
1,666,500

an

Unit MEDIS UMUM

VK 200,000
7,000
7,000
7,000
7,000
7,000
20,000

POLI 140,000
140,000
70,000
30,000

RANP 3 21,000

VK 7,000
7,000
7,000
7,000

FO 85,000
40,000
40,000
70,000

KASIR 80,000
APOTEK 15,000

VIP 14,000
7,000
7,000

KEUANGAN 7,000

MR 70,000
 70,000
70,000

RANAP 3 14,000
14,000
21,000
14,000
14,000
14,000
30,000
21,000

NICU 21,000
14,000
20,000
14,000
14,000

IGD 70,000
50,000
14,000
14,000
14,000

VIP 14,000
14,000
21,000
14,000

FO 40,000
40,000

RANAP 3 21,000
20,000
14,000
14,000

RANAP 3 14,000
14,000
28,000
14,000
14,000

VIP 14,000
14,000
14,000
14,000
 10,000
10,000

POLI 84,000
70,000
70,000

MR 300,000

R INSEPTIP 14,000
14,000
21,000
10,000
KASIR 14,000

FO 80,000
70,000

RANAP 3 14,000
10,000
21,000

IGD 21,000

APOTEK 14,000
14,000
14,000
14,000
20,000

FO 40,000
70,000
1,740,000
1,277,000

an

Unit MEDIS UMUM

RANAP 3 70,000
 70,000
210,000
70,000
30,000

MR 70,000
80,000
70,000
70,000
70,000
70,000

POLI 70,000
70,000
70,000
70,000
70,000

R INSENTIP 14,000
14,000
14,000
20,000

EDP 10,000

KASIR 70,000
VIP 14,000 36,400
14,000
IGD 28,000
14,000
RANAP 3 35,000

MR 280,000
70,000

NICU 14,000
POLI 140,000
14,000
VK 14,000
14,000
OK 14,000
80,000

PARMASI 150,000
35,000
 VIP 14,000
14,000
VK 960,000
14,000

KASIR 35,000

FO 80,000
80,000
70,000

MR 70,000
70,000
70,000
70,000
280,000
70,000
70,000

NICU 14,000
14,000
14,000
14,000

IGD 35,000
7,000
14,000
14,000
14,000

MR 140,000
140,000
140,000
2,049,000 560,000
70,000
280,000
3,726,400

an
 Unit MEDIS UMUM
VK 14,000
14,000

NICU 14,000
14,000
14,000

VIP 14,000
14,000
14,000

RANAP 3 14,000
35,000
14,000
20,000
14,000
20,000

NICU 21,000
7,500

VIP 21,000

MARKETING 1,000,000

RANP 3 14,000
35,000

VK 28,000
14,000
14,000
10,000
14,000
14,000
14,000
840,000

MR 280,000

RANAP 3 14,000
20,000
21,000
20,000

IGD 70,000
 30,000

RANAP 3 14,000
14,000

FO 48,000
80,000

POLI 70000
140,000
70,000

VIP 14,000
14,000
14,000

IGD 72,000
70,000
70,000
70,000
35,000
70,000
70,000

14,000

MR 240,000
70,000
140,000

VIP 14,000
14,000
14,000
14,000
14,000

POLI 70,000
140,000
70,000

280,000
FO 70,000
70,000
VK 14,000
14,000
14,000
14,000
14,000
14,000
14,000
20,000
20,000
14,000

0 30,000
35,000
14,000

VIP 14,000
14,000
28,000
21,000

NICU 14,000
14,000
7,000

RANP 3 36,000
48,000

MR 280,000
140,000
70,000
140,000

POLI 280,000
56,000
70,000
70,000
70,000

RANAP 3 14,000
14,000
14,000
35,000
24,000
20,000
14,000
14,000
14,000
 VIP 14,000
14,000
14,000

MR 280,000

FO 48,000

MR 240,000

VK 14,000
14,000
14,000
14,000
14,000
14,000
20,000
840,000

VIP 14,000
14,000
24,000
FO 70,000
70,000

3,350,000
5,061,500

an

Unit MEDIS UMUM

RANAP 3 70,000
70,000

IGD 140,000
14,000
14,000
FO 72,000
70,000

VK 12,000
24,000
14,000

RANAP 3 40,000
14,000
14,000

RANAP 3 24,000

MR 240,000
96,000
70,000
70,000
70,000

VIP 70,000
14,000
16,000

RANAP 3 40,000
14,000
70,000
70,000

IGD 140,000
 Data Pemakaian / Pengambilan Barang Umum
Bulan Januari 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 4/1/2016 Baby Bath 2 in 1 Hair & Body "Zwitsal" 1
Dettol Antiseptik Desinfektan 2
Sabun Cuci Botol "Sleek" 450 ml refill 1 Pouch 25,400 25,400

2 5/1/2016 Tisu Pengesat " Value Plus " 4 pak 15,000 60,000

3 5/1/2016 Dettol Hand Soap Refill 4 Pouch

Dettol Hand Sanitizer 3 Btl

4 7/1/2016 Dettol Hand Sanitizer 4 Btl

Dettol Hand Soap Refill 7 Pouch

5 7/1/2016 Plastik Kresek Putih uk.15 5 Pak 15,000 75,000

Plastik Klip uk. 13 X 8,7 3 Pak
Plastik Klip uk. 15 X 10 5 Pak
Pisau Cukur Gillette Goal II (24 pcs / lbr) 1 Lbr 120,000 120,000

6 7/1/2016 Dettol Hand Soap 2 Btl

7 13/01/2016 Softener 20 Ltr 12,000 240,000

Detergent Cair 20 Ltr 15,000 300,000

8 13/01/2016 Box Container Kecil 3 Susun 1 Pc 70,000 70,000

9 13/01/2016 Dettol Hand Soap Refill 3 Pouch

10 13/01/2016 Tisu Pengesat " Value Plus " 1 pak 15,000 15,000
Dettol Hand Soap 1 Btl

11 15/01/2016 Sabun Cuci Botol "Sleek" 450 ml refill 1 Pouch 25,400 25,400
Dettol Hand Sanitizer 1 Btl
Baby Bath 2 in 1 Hair & Body "Zwitsal" 1 Pouch

12 15/01/2016 Dettol Hand Soap Refill 1 Pouch

13 18/01/2016 Sabun Cuci Botol "Sleek" 450 ml refill 1 Pouch 21,900 21,900
Sunlight Lime refill 400 ml 1 Pouch 8,800 8,800
Baby Bath 2 in 1 Hair & Body "Zwitsal" 1 Pouch

14 20/01/2016 Bak / Ember besar 2 Pcs 50,000 100,000

15 20/01/2016 Tisu Pengesat " Value Plus " 3 pak 15,000 45,000

16 21/01/2016 Plastik Kresek Putih uk.15 10 Pak 15,000 150,000

Plastik Kresek Putih uk.24 5 Pak 15,000 75,000
Plastik Kresek Putih uk.28 5 Pak 15,000 75,000
Plastik Klip uk. 13 X 8,7 5 Pak
Plastik Klip uk. 15 X 10 5 Pak
Plastik Klip uk. 20 X 12 5 Pak

17 21/01/2016 Dettol Antiseptik Desinfektan 3 Btl

Dettol Hand Sanitizer 2 Btl
Dettol Hand Soap 2 Btl

18 27/01/2016 Plastik Kresek Putih uk.24 1 Pak 15,000 15,000

19 27/01/2016 Dettol Hand Soap Refill 10 Pouch

Dettol Hand Sanitizer 10 Btl

20 28/01/2016 Sunlight Lime refill 400 ml 1 Pouch 8,800 8,800

Tisu Pengesat " Value Plus " 1 pak 15,000 15,000

21 Dettol Hand Soap Refill 6 Pouch

Dettol Hand Sanitizer 4 Btl

22 28/01/2016 Dettol Paket 10 Paket

Total 1,445,300

Data Pemakaian / Pengambilan Barang Umum

Bulan Februari 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 1/2/2016 Baby Bath 2 in 1 Hair & Body "Zwitsal" 1 pouch
Bedak Bayi / Baby Powder Zwitsal 1 pc

2 3/2/2016 Plastik Kresek Putih uk.24 5 Pak 15,000 75,000

Plastik Kresek Putih uk. 17 5 Pak 16,000 80,000

3 3/2/2016 Tisu Pengesat " Value Plus " 3 pak 15,000 45,000

4 9/2/2016 Plastik Kresek Putih uk.24 2 pak 15,000 30,000

Plastik Kresek Putih uk.28 2 pak 15,000 30,000

5 9/2/2016 Sabun Cuci Botol "Sleek" 450 ml refill 1 Pouch 25,500 25,500
6 10/2/2016 Dettol Hand Sanitizer 4 Btl
Dettol Hand Soap Refill 17 Pouch

7 15/02/2016 Dettol Hand Soap Refill 1 Pouch

8 15/02/2016 Dettol Antiseptik Desinfektan 2 Btl

9 15/02/2016Pisau Cukur Gillette Goal II (24 pcs / lbr) 1 Lbr 120,000 120,000

10 15/02/2016 Softener 20 Ltr 12,000 240,000

Detergen Cair 20 Ltr 15,000 300,000
Pemutih 20 Ltr 8,000 160,000
Parfum Loundry 5 Ltr 22,000 110,000

11 16/02/2016 Plastik Klip uk. 10 X 7 5 pak

Plastik Klip uk. 13 X 8,7 5 pak
Plastik Klip uk. 15 X 10 5 pak

12 19/02/2016Dettol ID Mother Sampling (Paket Dettol) 67 pcs

Dettol Hand Soap Pump 24 Btl
Dettol Hand Sanitizer 48 Btl

13 19/02/2016 Dettol Hand Soap Refill 16 Pouch

Dettol Hand Soap Pump 4 Btl
Dettol Hand Sanitizer 1 Btl

14 19/02/2016 Dettol Hand Soap Refill 1 Pouch

Dettol Hand Soap Pump 1 Btl
Dettol Hand Sanitizer 2 Btl

15 22/02/2016 Baby Bath 2 in 1 Hair & Body "Zwitsal" 1 pouch

Sabun Cuci Botol "Sleek" 450 ml refill 2 Pouch 25,500

16 22/02/2016 Dettol Hand Sanitizer 1 Btl

17 22/02/2016 Dettol Hand Soap Refill 2 Pouch

18 23/02/2016 Dettol Hand Sanitizer 2 Btl

Plastik Klip uk. 10 X 7 1 pak
Plastik Klip uk. 8 X 5 1 pak

19 23/02/2016 Plastik Kresek Putih uk. 17 10 Pak 16,000 160,000

Plastik Klip uk. 10 X 7 4 pak
Plastik Klip uk. 13 X 8,7 5 pak
Plastik Klip uk. 15 X 10 5 pak

20 24/02/2016 Dettol Hand Soap Refill 9 Pouch

 Dettol Hand Sanitizer 4 Btl
Dettol Hand Soap Pump 1 Btl

21 24/02/2016 Tisu Pengesat " Value Plus " 3 pak 15,000 45,000

22 25/02/2016 Dettol Hand Soap Refill 1 Pouch

23 29/02/2016 Tisu Pengesat " Value Plus " 3 pak 15,000 45,000

1,465,500

Data Pemakaian / Pengambilan Barang Umum

Bulan Maret 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

28\3\16 sleek 1 buah 25,500 25,500.00
sabun mandi cair 1 buah
detol hand sanitizer 1 buah
sabun sanlai cuci piring 1 buah 8800 8,800.00
spon cuci pring 1 buah
28\3\16 refil hansop 1 buah
30\3\16 klip obat 15x10 1 pak
detol hand sanitizer 2 buah
slek sabun botol 1 buah 25500 25,500.00
detol gel 2 buah
klip obat kecil 1 pak
klip obat 15*10 1 pak
31\3\16 kantong plastik 5 pak 16000 80,000.00
31\3\2016 tisu besar 1 pak 15000 15,000.00
30\3\2016 kantong plastik kecil 10 pak 16000
plastik besar 10 pak 16000 160,000.00
klip plastik 5 pak
klip plastik besar 5 pak
klip plastik bir 5 pak
sabun cucu tangan 1 buah
detol hand sanitizer 1 buah
16\3\2016 detol hand sanitizer 1 buah
4\3\2016 plastik klip besar 20*12 2 pak
plastik klip sedang 5 pak
7\3\16 detol hand sanitizer 1 botol
7\3\16 deol hand sanitilizer 1 pcs
10\3 refil hansop 1 pcs
tisu besar 1 pak 15000 15,000.00
11\3\2016 plastik obat kip besar 1 pak
plastik obat klip kecil 1 pak
 14\3\2016 rak sepatu 1 buah
teko listrik 1 buah 50000 5,000.00
14\3\2016 zwitsal sabun 1 pcs
15\3\2016 tisu pengesat 1 pak 15000 15,000.00
plastik klip 1 pak
20\3\2016 box +tutup dingding[keranjang] 2 buah

22\3\16 tisu pengesat 2 pk 15000 30,000.00

20\3\16 detol 2
kresek kecil 5 pak 16000 80,000.00
kresek besar 5 pak 16000 80,000.00
TOTAL 539,800.00

Data Pemakaian / Pengambilan Barang Umum

BULAN APRIL 2016

NO TNGGAL NAMA BARANG JUMLAH SATUAN HARGA

1 1/4/2016 SANTILIZER 10 PCS
HANSOP ISI ULANG 10 PCS

2 5/4/2016 PLASTIK SEDANG 1 PAK

BENANG KASUR 1 G0LONG

3 6/4/2016 TISU KASR 2 PAK 15000 30000

DETOL 1 PCS
4 8\4\2016 PLASTIK KECIL 15 PAK 15000 225000

5 11\4\2016 KRESEK KECIL 10 PAK 15000 15000

KLIP obat sedang 5 pak
klip obat kecil 2 pak
0 Klip obat besar 5 pak
Kresek putih sedang 5 pak 16000 80000

6 11/4/2016 TISU PENGESAT 1 PAK 15000 15000

TISU MITRA 6 DUS 3500 21000
SUNGLIGH 1 POUCS 8800 8800

7 11\42016 SUNGLIGH 1 PC 8800

TISU 3 BOK 3500 10500
8 11/4/2016 TISU KASAR 1 PAK 15000 15000
DETOL HANSOP 3 PCS

9 7/4/2016 TISU KESAT 3 PAK 15000 45000

18/4/2016 BEDAK BAYI 1 BUAH
 DETOL 1 BUAH
TISU KOTAK 5 PAK 3500 17500
SPON

10 18/4/2016 KLIP PLASTIS KECIL 5 PAK

KLIP PLSTK SEDANG 5 PAK
KRESEK PUTIH 5 PAK 16000

11 22/4/2016 MUSHOLA GANTI LAMPU PHILIP 1 BUAH 32000 32000

LAMPU PHILIP 1 BUAH 32000 32000
LAMPU PHILIP 4 32000 128000

LAMPU PHILIP 1 BUAH 32000 32000

LAMPU PHILIP 2 BUAH 32000 64000

LAMPU PHILIP 1 BUAH 32000 32000

LAMPU PHILIP 2 BUAH 32000 64000

LAMPU PHILIP 1 BUAH 32000 32000

LAMPU PHILIP 2 BUAH 32000 64000
LAMPU PHILIP 4 BUAH 32000 128000
LAMPU PHILIP 1 BUAH 32000 32000
LAMPU PHILIP 2 BUAH 32000 64000
LAMPU PHILIP 2 BUAH 32000 64000
LAMPU PHILIP 2 BUAH 32000 64000
LAMPU PHILIP 1 BUAH 32000 32000

21/4/2016 KLIP OBAT 1 PAK

25/4/2016 TISU PENGESAT 2 PAK 15000 30000

TALI NILON/ BENANG RAMI 1 GULUNG

19/4/2016 BOX FILE 3 SUSUN 1 BUAH 70000 70000

25/4 2016 KRESEK BESAR 1 PAK 16000 16000

KRESEH BESAR 1 1PAK 16000 16000
KRESEK SEDANG 1 PAK 15000 15000
KRESK KECIL 1 PAK 15000 15000
GUNTING 1 BUAH 6000 6000

26/4/2016 BATU BATRE 2 BUAH 2000 4000

26/4/2016 DETOL CUCI TANGAN 2 BOTL

SLEEK CUCI BOTOL 1 BUAH 25 500 25500
DETOL ANTI BAKTERIAL 2 BOTL
ZWITSAL SABUN 1 BOTL
 KLIP OBAT 3 PAK

25/4/2016 GITLET CUKUR 24 PCS 65000 156000

27/4/2016 PLASTIK KLIP 5 PAK

KANTONG PLASTIK BESAR 5 PAK 16000 80000
PLASTIK KLIP BIRU 5 PAK 17000 17000
28/4/2016 PLASTIK KRESEK BESAR 4 PAK 16000 64000
TISU 5 PAK 3500 17500
LAKBAN BENING 1 BUAH 10000 10,000
SELOTIP 1 BUAH 5000 5000

29/4/2016 TISU KOTAK 8 PAK 3500 5328

HANSOP 4 BOTL
TISU PENGESAT 3 PAK 15000 15000

29/4/2016 TOILET SET 10 PAK 8100 81000

TISU 10 PAK 3500 35000

Data Pemakaian / Pengambilan Barang Umum

BULAN MEI 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 2/5/2016 SANTILIJER DETOL 8 BUAH
HANSOP 8 BUAH

2 2/5/2016 PLASTIK KLIP 3 PAK

3 9/5/2016 HANSOP 4 PCS

HANSOP 1 BOTOL
TISU PENGESAT 3 PAK 15000 45000
TISU KOTAK 6 PAK 3750 22,500

4 9/5/2016 SABUN MANDI 1 PCS

CAIR /ZUITSAL
SLEEK 1 PCS 25000 25000
BATU BATRE 2 BUAH 2000 4000

5 9/5/2016 TISU KOTAK 6 PAK 3750 22,500

6 10/5/2016 K PLSTIK KCIL 10 PAK 16000 160,000

K PLSTIK SEDANG 5 PAK 16000 80000
 TISU KOTAK 5 KOTAK 3750 18750

7 12/5/2016 KLIP PLASTIK 5 PAK

KLIP PLASTIK
OBAT BIRU

8 13/5/2016 BATERAI A3 2 PC 2000 4000

9 16/5/2016 TISU KOTAK 4 KOTAK 3750 15000

10 16/5/2016 TISU KOTAK 5 KOTAK 3750 18750

11 16/52016 TISU KOTAK 8 KOTAK 3750 30000

12 16/5/201`6 TISU KOTAK 8 KOTAK 3750 30000

13 16/5/2016 TISU KOTAK 4 KOTAK 3750 15000

LAKBAN 1 GOLONG 10000 10000

14 17/6/2016 ELEGAN TRAY 1 BUAH 75,000

15 17/5/2016 HANSOP 1 BOTOL

16 17/5/2016 SANTILIJER 3 BOTL

HANSOP 10 BOTL

17 17/5/2016 TRAI 3 SUSUN 1 PCS 75000

18 19/5/216 KRESEK KECIL 10 PAK 16000 160000

KRESEK SEDANG 5 PAK 16000 80000

19 20/5/2016 SLEEK 1 PCS 25000 25000

DETOL SABUN C
CUCCI TANGAN 1 PCS

20 19/5/2016 TISU PENGESAT 3 PAK 15000 45000

DETOL SANITILEJER 4 BOTOL

21 11/5/2016 GILET CUKUR 24 BUAH 65000 156000

22 24/5/2016 WADAH PENSIL 2 BUAH 12000 24000

23/ 24/5/2016 GUNTING 1 BUAH

24 31/5/2016 TISU DOKTER 6 PAK 3250 19500

TISU PENGESAT 2 PAK 15000 30000
BENANG KASUR 2 GOLONG 5000 10000
 HANSOAP 2 BOTOL
25 31/5/2016 SANGLAI 1 PCS 8800 8800

30/5/2016 SANTILIJER 20 BTL

Data Pemakaian / Pengambilan Barang Umum

BULAN JUNI

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 1/6/2016 STAM P RAD 1 BUAH 25000 25,000
CATER GURIDDO 1 BUAH 12000 12,000

2 1/6/2016 TISU PENGESAT 3 PAH 15000 45,000

3 1/6/2016 PLASTIK KLIP 4 PAK 6000 24,000

KANTONG PLASTIK BESAR 5 PAK 16,000 80,000
KANTONG PLASTIK KECIL 5 PAK 16000 80,000
CATER 1 BUAH 12000 12,000
MAMA LEMON 1 BUAH 8800 8,800
SPON U CUCI PIRING 1 BUAH 1500 1,500

4 1/6/2016 BATU JAM DINGDING 4 BUAH 2000 8,000

BATUR REMOT TV 6 BUAH 2000 12,000

5 2/6/2016 PLASTIK KLIP KECIL 4 PAK 7500 30,000

KLIP SEDANG 4 PAK 7500 30,000
TISU 5 BOK 3750 18 750

6 2/6/2016 STAMP RAD 1 BUAH 25000 25,000

7 3/6/2016 SOFTENER 15 LITER 12000 180,000

DETERJEN CAIR 10 LITER 15,000 150,000

8 1/6/2016 CV 200 A 1 PAK 20,000 20000

9 6/6/2016 BATU BATERAI REMOT AC 4 BUAH 2000 8000

TAPE DISPENSER 1 BUAH 35,000 35,000
SOLASI BENING 1 GOLONG 10,000 10,000

10 7/6/2016 DETOL SANTILIZER 1 BTL

12 7/6/2016 KAPUR BAGUS 1 PCS

13 8/6/2016 KLIP OBAT BESAR 5 PAK 7500 37,500
PLASTIK PUTIH KCL 10 PAK 15000 150,000
PLASTIK PUTIH SEDANG 10 PAK 15000 150,000

14 7/6/2016 DOBELTIP 1G 10,000 10,000

SOLASI BENING 1G 10000 10,000
DETOL CUCI TNGAN 2 BTL

15 10/6/2016 KLIP OBAT 2 PAK 7500 15,000

SLEEK BOTOL CUCI BTL 1 PCS 29900

16 10/6/2016 ELEGAN TRAY 1 75000 75,000

17 10/6/2016 KLIP OBAT BESAR 10 PAK 6000 60000

KLIP OBAT 10*15 5 PAK 7500 37,500

18 13/6/2016 GUNTING 1 BUAH 12000 12000

CATER 1 BUAH 1500 12500
PLASTIK 1 IKAT 15000 15000

19 13/6/2016 BATU BATTRE JAM 4 BUAH 2000 8000

TISU PENGESAT 3 BUAH 15000 15,000
20 TISU KOTAK 6 PAK 3000 18,000

20 13/6/2016 RESEP 2 BK 7000 14,000

21 13/6/2016 AMLOP COKLAT 1 RIM

22 14/6/2016 RESEP DR 7 BK 7000 49,000

23 14/6/2016 PLASTIK KLIP BIRU 5 PAK 6000 30,000

PLASTIK KLIP PUTIH 17*17 5 PAK 6000 30,000
PLASTIKK KLIP PUTIH 15 2 PAK 6000 12,000
GILLETE 1 LBR 115,200
TISU 5 PAK 3000 15,000
HAND SOAP 1 BTL

24 14/6/2016 BATU KOTAK 2 BUAH

25 14/6/2016 PLASTIK HITAM 1 PAK 6500 65000

detol anti septi 1 botol

26 8/6/2016 LAMPU PHILIP(RANAP 3) 1 BUAH 30000 30000

LAMPU PHILIP(RANAP 3) 1 BUAH 30000 30000
LAMPU PHILIP 2 BUAH 30000 60000
LAMPU PHILIP 1 BUAH 30000 30000
 LAMPU PHILIP 1 BUAH 30000 30000
AMPU PHILIP 3 BUAH 30000 90000
LAMPU PHLIP 1 BUAH 30000 30000
LAMPU PHILIP 1 BUAH 30000 30000
LAMPU PHLIP 1 BUAH 30000 30000
LAMPU PHLIILP 2 BUAH 30000 60000
LAMPU PHLILIP 1 BUAH 30000 30000
LAMPU PHLILIP 2 BUAH 30000 60000
LAMPU PHLILIP 2 BUAH 30000 60000
LAMPU PHLILIP 2 BUAH 30000 60000
LAMPUPLILIP 1 BUAH 30000 30000

27 20/6/2016 PLASTIK K KECIL 10 PAK 15000 150,000

CATER 1 BUAH 12000 12000
PLASTIK KLIP OBAT

28 20/6/2016 BATRE TIMBANGAN BAYI 1 PAK

29 20/6/2016 DETOL ANTI SEPTI 2 BTL

30 20/6/2016 L T 1 LAMPU PILIP 5 BUAH 30,000 150,000

LAMPU PILIP 3 BUAH 30000 90,000
LAMPU PLILIP 1 BUAH 30000 30,000
LAMPU PILIP 3 BUAH 30000 90,000

31 22/6/2016 TISU KOTAK 5 BOK 3250 16,250

GUNTING 1 BUAH 7500 7,500
G
32 24/6/2016 SOLATIP 1G 10000 1`0000
DOBELTIP 1G 10000 10000

33 23/6/2016 HAND SOAP 8 PCS

34 30/6/2016 GUNTING 1 BUAH 7500 7500

ZWITSAL SABUN 1 PC 22500 22500
SLEEK 1 PC 29900 29900
DETOL 2
DETOL SANTILIJER 1
DETOL ANTI SEPTIK 1

35 28/6/2016 PLASTIK KLIP 20*12 5 PAK 6000 30,000

PLASTIK KLIP 17*11 5 PAK 6000 30,000
PLASTIK KLIP 15*10 5 PAK 6000 30,000
PLASTIK KLIP*15*10 5 PAK 5000 25,000
PLASTIKKLIP 10*7 5 PAK 5000 25,000
 36 30/6/201`6 GUNTING 1 BUAH 7500 7,500
DETOL 1
BATU BATRE 4 BUAH 2000 8,000
GUNTING 1 BUAH 7500 7500

Data Pemakaian / Pengambilan Barang Umum

BULAN JULI 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 4/7/2016 TISU 10 PAK 3500 35000
PLASTIK KLIP 10 PAK 6000 60000

2 12/7/2016 PLASTIK PUTIH 1 PAK 16000 16000

BENANG RAMI 2 GOLONG 10,000 20,000
TISU PENGESAT 2 PAK 15000 30,000
TISU DR 6 PAK 3500 21,000
DETOL CUCI TANGAN 1 PC

3 14/7/2016 LAMPU PHILIP 2 BUAH 30000 60,000

LAMPU PHILIP 2 BUAH 30000 60,000
LAMPU PHILIP 2 BUAH 30000 60,000
LAMPU PHILIP 2 BUAH 30000 60,000

LAMPU PHILIP 1 BUAH 30,000 30,000

LAMPU PHILIP 1 BUAH 30,000 30,000

4 13/7/2016 TISU 2 PAK 3500 7,000

5 18/7/2016 KRESEK 5 PAK 16000 80,000

KRSEK KECIL 10 PAK 15000 150,000
PLASTIK KLIP OBAT 5 PAK 15000 75,000
PLASTIK OBAT SEDANG 13*8,7 10 PAK 6000 60,000
PLASTIKL OBAT KECIL 7*10 5 PAK 5000 25,000
 TISU 5 PAK 3500 17,500
KANTONG PLASTIK 6 PAK 12000 72,000
PLASTIK OBAT 10 PAK 7500 75,000

6 18/7/2016 DETOL SABUN CUCI 2 PCS

ZWITSAL SABUN MANDI 1 PCS
SLEEK CUCI BOTOL 1 PCS

7 19/7/2016 TISU 2 PAK 3500 7000

DETOL 2 PCS
DETOL 1 PCS
BATU BATRE 4 BUAH 2000 8000
DETOL 2

8 22/7/2016 TISUK KOTAK 6 PAK 3500

TISU PENGESAT 2 PAK 15000 30000

9 22/7/2016 PLASTIK SEDANG 20 PAK 15000 300000

STIKER ETIKET 10 PCS 5000 50000
STIKER 3PLY 20 PCS 10000 200,000

10 26/7/2016 BATU BATRE 2 BUAH 2000 4000

11 28/7/2016 TISU 5 PAK 3750 18750

DETOL
BATU BATRE 2 BUAH 2000 4000
BATU BATRE 2 BUAH 2000 4000

12 28/7/2016 REKSEL KECIL 1 BUAH 15000 15000

TISU 1 PAK 3750 3750
BATRE AC 2 BUAH 2000 4000
TISU 5 PAK 3750 18750

Data Pemakaian / Pengambilan Barang Umum

BULAN AGUSTUS 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 2/8/2016 TISU KOTAK 5 PAK 3750 18750
 PLASTIK KRESEK 2 PAK 16000 32000

2 4/8/2016 GUNTING 1 BUAH

SENTER 1 BUAH

3 4/8/2016 gilet 12*24 1 lembar 115200 115200

TISU 10 PAK 3750 3750

4 1/8/2016 TISU 1 PAK 3750 3750

DETOL 1 BUAH
SLEEK

5 8/8/2016 PLSTIK KLIP BIRU 10 PAK 16000 160000

PLASTIK KLIP PUTIH 5 PAK 15000 75000
SEDAng 15*1-0 5 pak 7500 37500
agak besar17*11 5 PAK 15000 75000
besar 10*20 5 PAK 14000 70000

6 BATU BATRE TIMBANGAN 1 BUAH 5000 5000

TISU PENGESAT 2 PAK 15000 30,000
TISUKOTAK 6 PAK 3750 22500

7 12/8/2016 PLASTIK KRESEK KECI 6 PAK 15000 90000

PLSTI KLIP KLIP SEDANG 6 PAK 7500 45000
PLSTI KLIP KLIP SEDANG 6 PAK 7500 45000

8 16/8/2016 PLASTIK KECIL PUTIH 10 PAK 15000 150,000

CLER SLEEVC 1 PAK 25,000 25,000
TISU 5 PAK 3750 18750
9 18/8/2016 TISU 2 DUS 3750 7000
STEROFOM 1 DUS 15000 15000
PAKU SKIROKOM 1 DUS 5000 5000

10 18/8/2016 PLASTIK KLIP OBAT 10*7 3 PAK 5000 15000

PLSTIK KLIP OBAT 13*8,7 3 PAK 6000 18,000
PLASTIK KLIP OBAT 15*10 3 PAK 7500 22500
SOLATIP 1G 10000 10000
PLASTIK KRESEK 10 PAK 15000 150000

tisu 1 pak 3750 3750

11 25/8/2016 KANTONG KRESEK 10 PAK 15000 15000

12 25/8/2016 BEDAK 1 BUAH 27500 27500

SUNLIGH 1 PCS 14750 14750
SLEEK 2 PCS 29900 59800
MITU BABY 2 PCS 23900 47800
DETOL
 BATU BATRE 4 4BUAH 2000 8000

13 29/8/2016 DETOL 2 PCS

TISU 2 KOTAK 3750 7500

14 26/8/2016 LAMPU 2 BUAH 30000 60000

LAMPU 2 BUAH 30000 60000
LAMPU 1 BUAH 30000 30000
LAMPU 1 BUAH 30000 30000
LAMPU 1 BUAH 30000 30000
LAMPU 1 BUAH 30000 30000
LAMPU 4 BUAH 30000 120,000
LAMPU 1 BUAH 30000 30000
LAMPU 2 BUAH 30,000 60,000
LAMPU 1 BUAH 30000 30000
LAMPU 2 BUAH 30,000 60,000
LAMPU 2 BUAH 30,000 60,000
LAMPU 2 BUAH 30,000 60,000
LAMPU 1 BUAH 30,000 30,000

15 30/8/2016 PLASTIK KLIP 15*10 5 PAK 7,500 37,500

PLASTIK KLIP 10*7 5 PAK 5,000 25,000
17*11 5 PAK 15,000 75,000
TISU 10 PAK 3,750 37,500
PLASTIK PUTIH KECIL 10 PAK 15,000 150,000

16 30/8/2016 SOLATIP BENING 1G 10,000 10,000

Data Pemakaian / Pengambilan Barang Umum

BULAN SEPTEMBER 2016
No Tanggal Nama Barang Jumlah Satuan Harga Total
1 2/9/2016 LAMPU PLILIP 1 BUAH 30000 30000
LAMPU PLILIP 3 BUAH 30000 90000
LAMPU PLILIP 2 BUAH 30000 60000
LAMPU PLILIP 1 BUAH 30000 30000

2 2/9/2016 KLIP BIRU 10 PAK 16000 160,000

KRESEK PUTIH 10 PAK 15000 150000
KRESEK SEDANG 10 PAK 15000 150000

3 5/9/2016 BATU BATRE 4 BUAH 2000 8000

SOLATIP 1G 10000 10000
PLASTIK HITAM 2 PAK 15000 30,000

4 5/9/2016 SUNLAI 2 PCS 15000 30000

TISU 2 BOK 3750 7500

5 7/9/2016 SUNLIGHT 1 PCS 15000 15,000

SUPERPER 2 PCS 11000 22,000
SARUNG TANGAN PLASTIK 2 PAK 31,900 62800
TISU 1 PAK 3750

6 16/9/2016 KLIP OBAT KECIL 5 PAK 5000 25000

7 15/9/2016 SLEEK 1 PCS 29900 29900

TISUKOTAK 6 PAK 3750 22,500
DETOL 3 BUAH
TISU PENGESAT 2 PAK 15000 30000

8 14/9/2016 SLEEK 1 PCS 29900 29900

DETOL 2 PCS
SABUN MANDI BAYI 1 PCS 21300 21300

9 15/9/2016 PLASTIK KLIP BESAR 3 PAK 16000 48000

KLIP KECIL 1 PAK 5000 5000
klip 17*11 3 pak 15000 15000

10 8/9/2016 KLIP BIRU 5 PAK 16000 80000

11 14/9/2016 KANTONG PLSTIK 10 PAK 16000 160,000

KNTONG PLASTIK SEDANG 5 PAK 16000 160000
SUNLIGHT 1 PCS 15000 15000
KLIP BIRU 10 PAK 16000 160000
PLASTIK KLIP 7*10 10 PAK 5000 50000
TISU 10 PAK 3750 37500

12 16/9/2016 LAMPU PHILIP 1 BUAH 28000 28000

 LAMPU PHILIP 2 BUAH 28000 56000
LAMPU PHILIP 4 BUAH 28000 112000
LAMPU PHILIP 3 BUAH 28000 84000
LAMPU PHILIP 2 BUAH 28000 56000

13 16/9/2016 BATU REMOT AC 2 BUAH 2000 4000

14 16/9/2016 SUNGLIGT 1 PCS 15000 15000

15 19/9/2016 TISU 4 PAK 4000 16000

16 19/9/2016 TISU PENGESAT 4 PAK 15000 60000

17 19/9/2016 SUNGLIGT 1 PCS 15000 15000

18 22/9/2016 BATU JAM 2 BUAH 2000 4000

19 23/9/2016 SUNLIGT 1 PCS 15000 15000

20 23/9/2016 SUNGLIT 1 PCS 15000 15000

21/ 26/9/2016 KANTONG PLASTIK 5 PAK 15000 75000

22 26/9/2016 GELAS MF 70 BUAH 12500 875,000

TAS 5 BUAH

23 26/9/2019 SUNLIGHT 1 PCS 15000 15000

PAKU 1 PAK 10000 10000
KLIP OBAT10*7 1 PAK 5000 5000
BATU JAM 4 4 BUAH 2000 8000

24 29/9/2016 HANSOP 5 PCS

TISU KOTAK 6 PAK 3750 22500
TISU PENGESAT 2 PAK 15000 30000

25 29/9/2016 PLASTIK OBAT KECIL 6 PAK 5000 30,000

PLASTIK KRESEK 6 PAK 6000 30,000
KLIP OBAT BIRU 3 PAK 16000 48000
PLSTIK OBAT SEDANG 10 PAK 6000 60,000
SOLATIP 2G 10000 20,000
 Data Pemakaian / Pengambilan Barang Umum
BULAN OKTOBER 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 2/10/2016 BATU JAM 4 BUAH 2000 8000
SELOTIP 1G 10000 10000
TRAS BAG /PLASTIK SAMPAH 1 PAK 16000 16000
SUNLIGHT 2 PCS 15000 30,000
SUPERPEL 2 PCS 11000 22000
DETOL 1 BOTOL
SARUNG TANGAN PLASTIK 1 PAK 32000 32000

2 3/10/2016 BATU TIMBANGAN 1 BUAH 15000 15000

3 4/10/2016 BATU AAA 2 BUAH 2000 4000

4 5/10/2016 TISU 2 PAK 4000 8000

5 5/10/2016 TISU 5 PAK 4000 20000

KLIP OBAT 10*7 10 PAK 5000 50000
KLIP OBAT 15*10 10 PAK 7500 75000
KANTONG PLASTIK KECIL 10 PAK 15000 150000
KLIP BIRU 10 PAK 16000 160000

6 6/10/2016 SOLATIP 1G 10000 10000

7 10/10/2016 SELOTIP 1G 10000 10000

DETOL HANDSANITILIJER 2 BOTL
TISU 20 PAK 4000 80000
DETOL CAIR 2 BOTL

8 10/10/2016 GILET 24 BUAH 4000 96000

TISU 5 PAK 4000 20000
KLIP BIRU 5 PAK 16000 80000
KANTONG PLASTIK KECIL 5 PAK 15000 15000

9 10/10/2016 PELAN 1 BUAH 50000 50000

SUNGLIGT 2 BUAH 15000 30000
KNTENER DISPENSER/
BUAT LAKBAN 1 BUAH 45000 45000
LAKBAN 1 BUAH 5000 50000

10 15/10/2016 SUNGLIGT 2 PCS 15000 30000

11 18/10/2016 TISU 2 PAK 4000 8000

12 18/10/2016 PLASTIK SAMBAL KLIP 1 PAK 5000 5000
SUPER PEL 1 PCS 11000 11000

12 18/10/2016 TISU 2 PAK 4000 8000

DETOL 1 BUAH

13 18/10/2016 KANTONG PLASTIK 6 PAK 16000

K PLSTIK SEDANG 6 PAK 16000
KLIP OBAT SEDANG 10 PAK 7000 70000
TISU 4 PAK 4000 16000

14 18/10/2016 LAKBAN MERAH 1G

15 20/16/2016 TISU 2 PAK 4000 8000

TISU PENGESAT 1 PAK 15000 15000

16 21/10/2016 BATU ABC KECIL 3 BUAH 2000 6000

17 21/10/2016 BATU ALKALIN KECIL 6 BUAH

17 21/2016 SUNGLAGHT 1 PCS 15000 15000

DETOL CAIR 1
DETOL SANTILIJER 1

17 21/10/2016 DETOL SANTILIJER 1 BOTOL

DETOL SANTILIJER 1 BOTOL
DETOL SANTILIJER 1 BOTOL
DETOL SANTILIJER 1 BOTOL
SABUN CUCITANGAN 1 PCS
SABUN CUCITANGAN 1 PCS
SABUN CUCITANGAN 1 PCS
SABUN CUCITANGAN 1 PCS
SABUN CUCITANGAN 1 PCS
SABUN CUCITANGAN 1 PCS
SABUN CUCITANGAN 1 PCS
SABUN CUCITANGAN 1 PCS
SABUN CUCITANGAN 1 PCS

18 24/10/2016 KANTONG PLASTIK KECIL 5 PAK 16000 80000

TISU 4 PAK 4000 16000

21 21/10/201`6 LAMPU PHILIP 3 BUAH 28000 84000

LAMPU PHILIP 2 BUAH 28000 56000
LAMPU PHILIP 3 BUAH 28000 84000
LAMPU PHILIP 2 BUAH 28000 56000
LAMPU PHILIP 2 BUAH 28000 56000
22 24/10/2016 SABUN BAYI 2 BOTOL 29450 58900

PLASTI K 10 CARD 30 PCS 1000 30000

23 27/10/2016 TISU/MULTI 2 PAK 15000 30000

24 27/10/2016 TISUKOTAK 6 PAK 4000 24000

TISU PENGESAT 4 PAK 15000 60000

25 28/10/2016 PLASTIK KLIP 8*5 5 PAK 7500 37500

PLASTIKKLIP 10*7 5 PAK 5000 25000
KANTONG PLASTIK 5 PAK 16000 80000
KLIP BIRU 5 PAK 16000 80000

26 28/10/2016 SUNGLIGHT 1 PCS 15000 15000

DETOL ANTI SEPTIK 1 BOTOL
PLASTIK SAMPAH 1 PAK 16000 16000
TEMPAT PENSIL 1 BUAH 20000 20000

27 31/10/2016 PLASTIK KRESEK 10 PAK 16000 160000

KLIP BIRU 10 PAK 16000 160000
KLIP 15*10 10 PAK
KLIP11*7 10 PAK
KRESEK SEDANG 10 PAK 16000 160000

28 31/10/2016 STOROPONG BOR 1 BUAH 15000 15000

TISU PENGESAT 2 PAK 15000 30000

29 31/10/2016 GILET 24 PCS 4000 96000

TEMPAT PENSIL 1 PCS 20000 20000

30 31/10/2016 SLEEK 1 PCS 29900 29900

DETOL CUCI 2 BOTOL
ZUITSAL 1 PCS 29900 29900

31 31/10/2016 GELAS MITRA 4 BUAH 15000 60000

TAS MITRA 4 BUAH
 Data Pemakaian / Pengambilan Barang Umum
BULAN NOVEMBER 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

### 1/11/2016 TISU KOTAK 10 PAK 4000 40000

2 1/11/2016 SUNGLAGT 1 PCS 15000 15000

DETOL 1 BOTL

3 3/11/2016 SUNGLAIGT 1 PCS 15000 15000

4 3/11/2016 TISU KOTAK 6 PAK 4000 24000

TISU PENGESAT 1 PAK 29900 29900

5 5/11/2016 TISU PENGESAT 1 PAK 29900 29900

SIKAT LEMBUT 2 BUAH 3000 6000

6 7/11/2016 KERTAS HVS A4 1 RIM 28000 28000

KERTAS HVS F4 1 RIM 30,000 30,000

PLSTIK NAME TAG 67 PCS 1000 67000

BATU ALKALIN ISI 6 1 SET 20000 20000

BATU ABC 2 BUAH 2000 4000
BATU ABC 4 BUAH 2000 8000

7 8/10/2016 SUNGLIGT 2 PCS 15000 30,000

8 16/11/2016 SUNGLIGT 2 PCS 15000 30000

9 10/11/2016 TISU 6 PAK 4000 24000

10/ 10/11/2016 TISU 4 PAK 4000 16,000

11 10/11/2016 TISU 5 PAK 4000 20,000

12 15/11/2016 PLASTIK KLIP 20*12 5 PAK 14000 70000

PLASTIK KLIP 15*10 12 PAK 7500 90,000
PLASTIK KLIP 18*8,5 10 PAK 12000 120000
PLASTIK 10*7 5 PAK 5000 25000
TISU PENGESAT 1 PAK 29900 29900
DETOL
13 15/11/2016 KATER 2 BUAH 5000 5000

14 15/11/2016 PAKU PUSPIN 1 PAK 5000 5000

PAPAN STROPOM 1 BUAH 15000 15000

15 15/11/2016 KANTON KRESEK KECIL 5 PAK 16000 16000

16 15/11/2016 SUNGLIGHT 1 PCS 15000 15000

HANSOP 6 PCS

17 21/11/2016 BATU ALKALINE 2 BUAH 4000 8000

BATU ABC 1 BUAH 2000 2000
_,,_ 1 BUAH 2000 2000
_,,- 1 BUAH 2000 2000
_,_, 1 BUAH 2000 2000

BATU TIMBANGAN 1 BUAH 10000 10000

18 22/11/2016 KANTONG PLSTIK KECIL 10 PAK 15000 150,000

KLIP 15*10 10 PAK 7500 75000
KLIP 20*12 10 PAK 14000 140,000
KLIP BIRU 10 PAK 16000 160,000
TISU 3 PAK 4000 12,000

19 22/11/2016 TISU PENGESAT 1 PAK 29900 29,900

20 23/11/2016 SUNGLAIGT 2 PCS 15000 30,000

DETO CAIR 1 BOTOL

21 23/11/20126 DETOL SANTILIJER 10 BOTOL

22 23/11/2016 TALI BENANG 61 BUAH 500 30,500

23 24/11/2016 KERANJANG BUAT OBAT 1 BUAH 5000 5000

24 28/11/201`6 SUNGLAIGT 2 PCS 15000 30000

25 29/1`1/2016 BATU JAM KOTAK 2 BUAH 10000 20000

26 28/11/2016 KLIP 13*8.7 2 PAK 7500 15,000

KLIP 10*7 2 PAK 7500 15000
 Data Pemakaian / Pengambilan Barang Umum
BULAN DESEMBER 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 2/12/2016 SOLASI 1G 10000 10000

2 2/12/2016 SLEK 2 PCS 29900 59800

MITU BABY SABUN 1 PCS 29900 29900

3 2/12/2016 SOLASI 1G 10000 10000

SUNGLIGHT 1 PCS 15000 15000
DETOL HANSOP 1 PCS
DETOL SANTILIJER 1 BTL

4 2/12/2016 BATU BATRE ABC 1 BUAH 2000 2000

5 5/12/2016 DETOL SANTI LIJER 2B

HANSOP DETOL 3 PCS
TISU PENGESAT 1 PAK 29900 29900

6 7/12/2016 KRESEK KECIL 6 PAK 16000 96000

KRESEK SEDANG 6 PAK 16000 96000
KLIP PLASTIK BIRU 5 PAK 16000 80000
KERANJANG /BAKI BESAR 3 BUAH 9000 27000
7 9/12/2016 TISU BIASA 3 PAK 8190 24570

8 15/12/2016 KANTONG PLASTIK KECIL 10 PAK 16000 160,000

KANTONG PLASTIK BESAR 10 PAK 16000 160000
PLASTIK OBAT 15*10 10 PAK 7500 75000
PLSTIK OBAT 10*7 10 PAK 7500 75,000
TISU 3 PAK 9290 27,870
KLIP BIRU 10 PAK 16000 160,000

9 15/12/2016 GUNTING 2 BUAH 4600 9200

TISU GULUNG 5 R00LL 4000 20000
SELOTIP 3G 5000 15000
10 15/12/2016 SUNGLAIGT 2 PCS 18190 36,380
DETOL CUCI TANGAN 5 BOTOL
SANTILIJER 5 BOTOL

11 21/12/2016 GUNTING 1 BUAH 5500 5500

12 21/12/2016 SUNGLIAT 1 PCS 15000 15000

 BARTE ABC 4 BUAH 2000 8000
HANSOP 1 BOTOL

13 26/12/2016 SUNGLIGT 2 PCS 15000 30,000

DETOL 1 BOTOL

14 28/12/2016 RAK SUSUN 1 BUAH 45000 45000

BAKI 1 BUAH 5000 5000

15 28/12/2016 KLIP 10*2 5 PAK 5000 25000

KLIP 13*8.7 20 PAK 7500 150000
KLIP 15*10 10 PAK 7500 75000
TISU 3 PAK 15000 45000
KLIP 17*11 5 PAK 10000 50000
KANTONG PLASTIK BESAR 5 PAK 16000
KANTONG PLASTIK SEDANG 5 PAK 16000

Data Pemakaian / Pengambilan Barang Umum

BULAN JANUARY 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 2/1/2017 BASKOM 11 BUAH 20000 22000
SEPATU BOT 3 PASANG 85000 255,000
TISU PENGESAT 1 PAK 29900 29900
DETOL CUCI TANGAN 2 BOTOL
TISU KOTAK 5 PAK 4000 20000
SUNGLAI 1 PCS 15000 15000
PAPAN UJIAN 1 BUAH 4000 4000

2 2/1/2017 SUNGLAIT 2 PCS 15000 30000

LAMPU RUANGAN 1 BUAH 28000 28000

SOLATIP 1G 10000 10000

LAMPU 2 BUAH 28000 56000

LAMPU 2 BUAH 28000 56000
LAMPU 2 BUAH 28000 56000
 LAMPU 2 BUAH 28000 56000
LAMPU 4 BUAH 28000 112000
LAMPU 2 BUAH 28000 56000
LAMPU 2 BUAH 28000 56000
LAMPU 3 BUAH 28000
LAMPU 1 BUAH 28000 28000

BATRE ABC 4 BUAH 2000 8000

BATU BATREAAA I SET 10000 10000

BATU BATREAA 2 BUAH 2000 4000

GELAS MITRA 4 BUAH

TAS MITRA 4 BUAH

TISU KOTAK 4 PAK 4000 16000

KARET GELANG 1 IKAT

9/1/2017 BOX CONTENER SEDANG 1 BUAH 129000 129000

BOX CONTERNER KECIL 1 BUAH 69000 67000

9/1/2017 LAMPU 5 BUAH 28000 140000

LAMPU 1 BUAH 28000 28000
LAMPU 5 BUAH 28000 140,000
LAMPU 1 BUAH 28000 28000

9/1/2017 LAMPU 1 BUAH 28000 28000

LAMPU 1 BUAH 28000 28000
LAMPU 1 BUAH 28000 28000
LAMPU 2 BUAH 28000 56,000
LAMPU 2 BUAH 28000 56,000
LAMPU 3 BUAH 28000 84000
LAMPU 2 BUAH 28000 56000

13/1/2017 TISU KOTAK 6 PAK 4000 24000

TISU PENGESAT 1 PK 29900 29900
DETOL SANTILIJER 2 BOTOL

113/1/2017 TISU 5 PAK 4000 20000

KLIP 17*11 8 PAK 10000 80000
KLIP 10*7 6 PAK 5000 30,000
KLIP15*10 10 PAK 7500 150,000

13/1/2017 TISU PENGESAT 1 PAK 29900 29900

HAND SEKRUG 2 PCS
SANTILIJER 1 BOTOL
 20/1/2017 KLIP BIRU 10 PAK 16000 160,000
TISU 3 PAK 4000 12000
KLIP 15*10 5 PAK 7500 37500
KLIP10*7 5 PAK 5000 25000
KANTONG 5 PAK 16000 80000
KANTONG PRASTIK 5 PAK 16000 80,000

27/1/2017 TISU PENGESAT 2 PAK 29000 58000

GUNTING 1 BUAH 5000 5000

27/1/2017 TISU 5 PAK 4000 20000

DETOL 2
SUNGLIGHT 1 PCS 15500 15,500
KANTONG PLASTIK SEDANG 5 PAK 16000 80000
KANTONG PLSTIK KECIL 5 PAK 16000 80000
GILET 1 PAK 56000 56000
31/1/2017 plastik klip 13*8,7 5 pak 6000 30000
plstik klip 10*7 5 pak 5000 25000
plstik klip 15*10 10 pak 7500 75000
plstik klip 20*17 10 pak 8500 85000
plstik hd 10 pak 15000 150000
plstik sedang 10 pak 15000 150,000
tisu 5 pak 4000 20,000
detol 1

Data Pemakaian / Pengambilan Barang Umum

BULAN FEBUARY 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 1/2/2017 BATERA ALKALINE 1 PAK 20000 20000

2 3/2/2017 TISU BIASA 5 PAK 4000 20000

TISU PENGESAT 6 PCS 7500 45000

3 2/2/2017 SUNGLIGT 3 PCS 15000 45000

SUPERPEL 1 PCS 15000 15000
DETOL 2 BOTOL
 4 4/2/2017 BASKOM 6 VIP 29000 174000
TISU 1 PAK 29900 29900

5 4/2/2017 KANTONG PLASTIK 5 PAK 16000 80000

KLIP 10*7 5 PAK 4000 20,000

6 6/2/2017 TISU PENGESAT 1 PAK 29900 29900

7 6/2/2017 TISU PENGESAT 1 PAK 29900 29900

8 6/2/2017 DETOL CAIR 1 BTL

SUNGLIGHT 3 PCS 15000 45,000
SUPERPEL 1 PCS 15000 15000

9 14/2/2017 TISU PENGESAT 1 PAK 29900 29900

SUNGLIHT 1 PCS 15000 15000

10 13/2/2017 BATU BATRE ISI 6 1 PAK 20000 20,000

11 14/2/2017 KANTONG PLASTIK 10 PAK 16000 160,000

TISU 5 PAK 6000 30,000

12 13/2/2017 LAKBAN MERAH 1G 15000 15,000

13 2/2/2017 TAS 10 BUAH 2800 28,000

GELAS 10 BUAH 15000 150000

14 16/2/2017 BATU BATRE 4 BUAH 2000 8000

BATU BATRE AA ISI 6 1 PAK 20000 20,000

15 17/2/2017 DETOL 2 TOL

16 18/2/2017 TISU 5 PAK 6000 30,000

KANTONG PLASTIK 5 PAK 16000 80000
PLASTIK KLIP 13*87 5 PAK 6000 6000
DETOL 2 BOTOL
SPON 1 PCS 5000 5000
GILET 1 PAK 60000 60,000

17 20/2/2017 DETOL 1 BOTOL

SLEEK 1 PCS 29900 29900

18 22/2/2017 SUNGLIGHT 3 PCS 15000 45000

19 22/2/2017 GELAS 20 BUAH 15000 300000

TAS 20 BUAH 28000 56000
 20 22/3/2017 SARUNG TANGAN PLASTIK 2 PAK 29000 58000

21 22/2/2017 BATU ABC 4 BUAH 2000 8000

DETOL 1
SLEEK 2 PCS 29900 59800
DETOL 1
TISU PENGESAT 1 PAK 29900 29900
KANTONG PLASTIK 15 PAK 16000 16,000
TISU BIASA 6 PAK 6000 36,000
PLASTIK KLIP 17*11 15 PAK 10000 150,000

22 28/2/2017 SUNGLAIGHT 2 PCS 15000 30,000

PLASTIK SEDANG 1 PAK 16000 16,000
KLIP 17*11 1 PAK 10000 10,000

Data Pemakaian / Pengambilan Barang Umum

BULAN MARET 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 3/3/2017 TISU 1 PAK 29900 29900
DETOL 1 BOTOL
SLEEK 1 PCS 29900 29900

2 4/3/2017 TISU 10 PAK 8900 8900

DETOL SANTILIJER 1 BOTOL
SOLASI 2G 10000 20000
TISU 1 PAK 29900 29900
KLIP 13*87 10 PAK 6000 6000

3 3-Mar GELAS MITRA 9 BUAH

TAS MITRA 9 BUAH
BATRE 4 BUAH 2000 8000

4 6/3/2017 SUNGLIGHT 1 PCS 15000 15000

KLIP OBAT 13*8 5 PAK 6000 6000
SARINGAN 1 BUAH
BATRE 4 BUAH 2000 8000
UNTUK REMOT TI &AC

5 9/3/2017 SUNGLIGT 3 PCS 15500 46500

SOLASI 2G 5000 10000
 DETOL 2

6 14/3/2017 KLIP OBAT 13*87 15 PAK 6000 90000

KANTONG PLASTIK KECIL 15 PAK 16000 240,000
KLIP 15*10 10 PAK 7500 75000

7 14/3/2017 RIBON 5G
TELESSTRUK LASER 3G
TERSTRUK FAX 3G

8 13/3/2016 KLIP 13*8,7 5 PAK 6000 30000

KLIP 10*7 5 PAK 4000 20000
KLIP 20*17 10 PAK 14000 140,000
KLIP 15*10 10 PAK 7500 75000
PLASTIK BSAR 3 PAK 16000 48000

9 17/3/201`7 SUNGLIGT 1 PCS 15500 15500

SPON 1 PCS 3000 3000

10 21/3/2017 KANTONG PLSTIK 10 PAK 16000 16000

KLIP 13*8,7 10 PAK 6000 60000
TISU 3 PAK 8300 24900

21/3/2017 DETOL 2 BOTOL

SLEK 2 PCS 29900 59800
TISU 1 PAK 8300 8300

21/3/2017 GILET 1 PAK 56000 56000

KARET 1 PAK 5000 5000
16/3/2017 SUNGLIGT 2 PCS 15500 31000
15/3/2017 GELAS 16 BUAH 15000 240,000
TAS 16 BUAH 5000 80000

PLSTIK OBAT 10 PAK 4000 40000

KANTONG PLSTIK 4 PAK 16000 64000
K PLSTIK SEDANG 5 PAK 16000 80000
GUNTING 2 BUAH 2500 5000
TAS MITRA 20 BUAH 5000 100000

31/3/2017 SLEEK 2 PCS 29900 59 800

TISU BIASA 2 PAK 8500 17000

31/3/2017 KANTONG PASTIK 15 PAK 16000 240000

KANTONG BESAR 10 PAK 16000 16000
KLIP 15*10 15 PAK 7500 112500
 Data Pemakaian / Pengambilan Barang Umum
BULAN MEI 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 4/4/2017 SUNGLIGHT 1 PCS 15500 15500
KERANJANG BESAR 2 BUAH 44900 89800
KERANJANG KECIL 5 BUAH 20000 100000

2 4/4/2017 SIKAT KUKU 1 BUAH 10000 10000

3 4/4/2017 KERANJANG 5 BUAH 20000 100000

BOX OBAT 2 BUAH 30000 60000
KESET 11 BUAH 10000 110,000

4 4/4/2017 KESET 5 BUAH 10000 50,000

SUNGLIGHT 5 PCS 15500 77500
5 4/4/2017 TISU KOTAK 6 PAK 8000 48,000
TISU PENGESAT 2 PAK 29900 59800

6 4/4/2017 TAS MITRA 7 BUAH 4000 28,000

7 7/4/2017 TISU 2 PAK 8500 17000

8 7/4/2017 TISU 2 PAK 8500 17000

KATER 1 BUAH 5000 5000

9 11/4/2017 PLSTIK KECIL 15 PAK 15000 225000

KLIP OBAT 10*7 15 PAK 4000 60000
KLIP 13*8.7 15 PAK 6000 90000

### 11/4/2017 SUNGLIGT 2 PCS 15500 31000

11 19/4/21017 KERANJANG OBAT ALKES 14 BUAH 30000 420000

TONG SAMPAH 1 BUAH 150000 150,000
KERANJANG SAYUR 4 BUAH 30000 120,000
BOX CONTENER 1 BUAH 151200 151,200

12 19/4/2017 TISU PENGESAT 1 PAK 29900 29900

 13 21/4/2017 KERANJANG OBAT 8 BUAH 28500 228,000
BOX KECIL 1 BUAH 70000 70,000
BOX CONTENER 1 BUAH 151 200 151,200

14 21/4/2017 SABUN BAYI ZUITSAL 2 PCS 29900 59,800

GUNTING 1 BUAH 5500 5,500
BATU BATRE A3 1 PAK 24000 24,000

15 21/4/2017 TISU PENGESAT 1 PAK 29900 29,900

16 26/4/2017 PLSTIK KUNING 2 PAK 30000 60,000

PLASTIK HITAM 2 PAK 30000 60,000

21/4/2017 KLIP 10*7 20 PAK 5000 100,000

KLIP 8*5 20 PAK 5000 100,000
KLIP 13*8,7 20 PAK 6000 120,000
KLIP BIRU 10 PAK 16000 160,000
KLIP 20*12 20 PAK 14000 280,000
KANTONG PLASTIK KECIL 20 PAK 15000 300,000
KANTONG PLASTIK SEDANG 20 PAK 15000 300,000
GILET 1 PAK 75000 75,000

Data Pemakaian / Pengambilan Barang Umum

BULAN MEI 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 2/5/2017 GUNTING 1 BUAH 5000 5000
BAKI 1 BUAH 20000 20000
TOPLES 1 BUAH 25000 25,000

2 2/5/2017 KANTONG PLASTIK SEDANG 10 PAK 16000 160000

KANTONG PLASTIK KECIL 10 PAK 16000 160000
KLIP BIRU 5 PAK 1600 80000
KLIP 13*8,7 5 PAK 6000 30000
KLIP 15*10 5 PAK 7500 37500

3 2/5/20127 CATER 1 BUAH 5000 5000

 GUNTING 1 BUAH 5000 5000
ISI CATER 1 PAK 15000 15,000

4 2/5/2017 TISU PENGESAT 1 PAK 29900 29900

5 3/5/2017 LAKBAN 1G 10000 10000

GUNTING 1 BUAH 5000 5000

6 4/5/2017 TISU 3 PAK 10000 30000

LAKBAN MERAH 2G 10000 20000
LAKBAN HITAM 1G 10000 10000

7 11/5//2017 BATUBATRE ISI 6 1 PAK 16000 16000

8 12/5/2017 KANTONG PLASTIK K 5 PAK 16000 80000

KLIP 13*87 3 PAK 6000 18000
TISU 5 PAK 10000 50000

9 12/5/2017 PIGURA 2 BUAH 30000 60000

SEMPROT ALKOHOL 1 BUAH 15000 15000
BOTOL KECAP 2 BUAH 10000 20000

10 15/5/2017 SUNLIGHT 6 PCS 15500 93000

SARUNG TANGAN 1 PAK 30000 30000
KESET 2 BUAH 15000 30000

11 15/5/2017 TISU KOTAK 6 PAK 4500 27000

TISU PENGESAT 1 PAK 29900 29900
PISAU CATER 1 BUAH 5000 5000
DOBEL TIP 1 BUAH 10000 10000

12 16/5/2017 KANTONG PLASTIK KECIL 15 PAK 16000 240,000

KANTONG PLSTIK SEDANG 15 PAK 16000 240000
KLIP 15*10 15 PAK 7500 112500
LAKBAN BENING 1G 10000 10000

13 22/5/2017 PLSTIK KLIP 13*87 5 PAK 6000 30000

PLSTIK KLIP 15*10 5 PAK 7500 37500
KANTONG PASTIK KECIL 5 PAK 16000 80000
LAKBAN BENING 2G 10000 20,000
TISU 4 PAK 10000 40000

14 17/5/2017 DOBELTIP 5G 10000 50000

LAKBAN MERAH KUNING 4G 10000 40000

15 24/5/2017 SLEEK 1 PCS 29900 29900

 16 22/5/2017 LACI 1 BUAH 70000 70000

17 24/'5/2017 KANTONG PLASTIK B 1 PAK 16000 16,000

KANTONG PLASTIK S 13 PAK 16000 208000
KANTONG PLASTIK K 15 PAK 16000 240,000
PLSTIK KLIP 10*7 15 PAK 5000 75000
SUNLIGT 1 PCS 15500 15,500

18 23/5/2017 GELAS MITRA 15 BUAH 15000 225,000

TAS MITR 15 BUAH 2800 42000

19 29/5/2017 GUNTING 1 BUAH 5000 5000

SOLASIBAN 1 BUAH 10000 10000

GUNTING 1 BUAH 5000 5000

GUNTING 1 BUAH 5000 5000

CATER 1 BUAH 5000 5,000
SUNGLAIT 2 PCS 15500 31,000

20 30/5/2017 DOBEL TIP 1G 10000 10000

PLSTIK KLIP 8*5 1 PAK 5000 5000
PLSTIK KLIP 15*10 1 PAK 7500 7500

21 31/5/2017 PLASTIK KECIL 15 PAK 16000 240000

BATRE ALKALINE 2 BUAH 2000 4000
ZHUITSAL 1 PCS 29900 29900

Data Pemakaian / Pengambilan Barang Umum

BULANJUNI 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 1/6/2017 KANTONG PLSTIK 15 PAK 16000 240000

2 2/6/2017 BATRE ALKALINE 2 BUAH 2000 4000

 3 3/6/2017 ZUITSAL 2 PCS 29900 29900

4 2/6/2017 SABUN MANDI ZUITSAL 1 PCS 29900 29900

BENANG RAMI 1G 5000 5000
CATER 1 BUAH 5000 5000
ISI CATER 1 PAK 8000 8000
TISU PENGESAT 1 PAK 29900 299000

5 3/JUNI/2017 GILET 1 PAK 70000 70000

TISU BIASA 5 PAK 10000 50000

6 5/JUNI/2017 PLASTK 1 PAK 16000 16000

7/ 6/JUNI/2017 BINGKA PANJANG 1 BUAH 100000 100000

8 7/6/2017 TISU PENGESAT 1 PAK 29900 29900

9 7/6/2017 SENTER 1 BUAH 35,000 35,000

10 8/6/2017 HODENG 1 BUAH 175000 17500

11 9/6/2017 SUNGLIGHT 3 PCS 15500 46500

SUPER PEL 2 PCS 15500 30500
LAKBAN 2G 10000 20000

12 12/6/2017 TISU 5 PAK 10000 10000

13 13/6/2017 TISU KOTAK 6 PAK 4800 28800

TISU PENGESAT 1 PAK 29900 29,900
BATU BATRE JAM 4 BUAH 2000 8000

14 14/6/2017 KRESEK KECIL 5 PAK 16000 80000

KLIP 0BAT 20*5 5 PAK 14000 70000
KLIP OBAT 15*10 10 PAK 7500 75000
KLIP OBAT13**8,7 5 PAK 6000 30000
KLIP OBAT 10*7 5 PAK 5000 25000
KANTONG PLASTIK BESAR 3 PAK 16000 48000
KANTONG PLSTIK SEDANG 5 PAK 16000 80000
KANTONG PLASTIKKECIL 10 PAK 16000 160,000
KERTAS PRIN 1 PAK 70000 70000
PLASTI KLI BIRU 2 PAK 16000 32000
TISU BIASA 5 PAK 10000 50000
SOLASI 1G 10000 10000
TISU PENGESAT 1 PAK 29900 29900
GILET 1 PAK 75000 75,000
15 23/6/2017 PLSTIK KLIP 13*8,7 10 PAK 6000 60,000
PLSTIK KLIP 10*7 10 PAK 5000 50000
 16 22/6/2017 PLASTIK KLIP 15*10 1`0 PAK 7500 75000
PLASTIK KLI 8*5 10 PAK 5000 50,000
PASTIK KLIP 20*12 10 PAK 16000 160,000
KANTONG PASTIK BESAR 10 PAK 16000 160,000
KANTONG PLASTIK KECIL 15 PAK 16000 240,000

Data Pemakaian / Pengambilan Barang Umum

BULAN JULI 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 5/JULI/2017 PLASTIK KECIL 15 PAK 16000 240000
TISU TOILET 1 PAK 7475 7475
TISU BIASA 5 PAK 7850 39250
2 4/JULI/2017 GELAS MITRA 5 BUAH 15000 75000
TAS MITRA 5 BUAH 2800 14,000

3 4/JULI/2017 SUNGLIGT 3 PCS 14300 42900

LAKBAN BENING 1G 10000 10000

4 11/JULI/2017 GELASMITRA 17 BUAH 15000 255000

TAS 17 BUAH 2800 47600

5 12/JULI2017 TISU PENGESAT 2 PAK 29900 59800

TISU KOYTAK 6 PAK 4000 26000
KARET 1 BUNGKUS 5000 5000

6 13/JULI/2017 KANTONG KECIL 15 PAK 16000 240,000

PLASTIK KLIP 10*7 13 PAK 5000 65,000
KANTONG SEDANG 10 PAK 16000 160,000

7 17/JULI/2017 SUNGLAGHT 2 PCS 14300 28,600

8 18/JULI/2017 KLIP 18*13 5 PAK 6000 30,000

KLIP 10*7 5 PAK 5000 25000
KANTONG SEDANG 3 PAK 16000 48,000
KANTONG KECIL 5 PAK 16000 80000
TISU BIASA 5 PAK 7850 7,850
SPON CUCI 1 BUAH 3900 3900
SUNGLIGHT 240 1 PCS 4900 4,900

9 18/JULI/2017 SLEEK 1 PCS 29900 29,900

ZUITSAL SABUN 1 PCS 29900 29900
 10 18/JULI/2017 GILET 1 PAK 70000 70000
SUNGLIGT 2 PCS 14300 28600

11 18/JULI/2017 KANTONG PLSTI KECIL 15 PAK 15000 225000

KANTONG SEDANG 10 PAK 15000 225000

12 20/JULI/2017 BATRE TOA 2 BUAH 22,000 44,000

CATER 1 BUAH 4000 4,000
GUNTING 1 BUAH 5000 5000
LAKBAN HITAM 2G 10000 20000

13 24/JULI/2017
ZUITSAL 1 PCS 29900 29900

14 24/7/2017 SOLATIP 1G 5000 5000

GUNTING 1 BUAH 5000 5000

15/ 26/2017 SLEEK 1 PCS 29900 29900

TISU PPENGESAT 1 PAK 29900 29900

16 18/JULI/2017 TISU PENGESAT 1 PCS 7475 7475

TISU PENGESAT 1 PAK 29900 29,900

17 26/JULI/2017 SUNGLAGT 2 PCS 14300 28600

18 29/JULI/2017 PLATIK KECIL 5 PAK 15000 75000

PLASTIK BESAR 5 PAK 15000 75,000
PLASTIK SEDANG 5 PAK 15000 75000

19 20/JULI/2017 BAIGON 2 BOTOL 38000 76000

Data Pemakaian / Pengambilan Barang Umum

BULAN AGUSTUS 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

 1 1/8/2017 PLASTIK KLIP OBAT 10*7 5 PAK 5000 25000
PLASTIK KLIP OBAT13*8,7 5 PAK 6000 30000
KANTONG PLASTIK KECIL 5 PAK 16000 80000
KANTONG PLASTIK SEDANG 3 PAK 16000 48000
KANTONG PLSTIK BEASR 2 PAK 16000 32000
TISU BIASA 3 PAK 10000 30000
TISU TOILET 1 PAK 7500 7500

2 3/8/2017 GELAS PAKET 5 BUAH 15000 75,000

TAS 5 BUAH 2800 14000

3 3/8/2017 GUNTING 1 BUAH 5000 5000

4 3/8/2017 TISU PENGESAT 1 PAK 29900 29900

TISU PENGESAT 2 PCS 7475 14950
TISU KOTAK 6 PAK 4000 24,000
SOLASI 1G 10000 10000

5 4/8/2017 GELAS PAKET 3 BUAH 15000 45000

TAS 3 BUAH 2800 8400

6 4/8/2017 SUNLIGHT 2 PCS 14300 14300

BATU BATRE 2 BUAH 2000 4000
SOLASI 2 BUAH 10000 20000

7 7/8/2017 PLASTIK KLIP 15*10 3 PAK 7500 22500

KANTONG PLASTIK 5 PAK 15000 75000
POS IT 2 PAK 10000 20000
ISI STEPLES 10 PAK 2500 25000

8 9/8/2017 GELAS PAKET 3 BUAH 15000 45000

TAS 3 BUAH 2800 8400

9 8/8/2017 TISU 5 PAK 10000 50,000

KLIP 10*7 5 PAK 5000 35,000
KLIP 18*17 10 PAK 6000 60000
KLIP BIRU 10 PAK 16000 160000
KLIP 15*10 10 PAK 7500 75000
KLIP 13*8,7 10 PAK 6000 60000
KANTONG PLASTIK 10 PAK 15000 150000

10 11/8/2017 BOX KERANJANG 5 BUAH 20000 100000

GELAS 20 BUAH 15000 300000
8/8/2017 TISU ROL 1 PAK 27000 27000
KANTONG PLASTIK K 10 PAK 15000 150,000

11 8/8/2017 SUNGLIGT 2 PCS 14300 28600

12 14/8/2017 KLIP 18*17 2 PAK 6000 12000
TISU PENGESAT 1 PAK 7500 7500
TISU PENGESAT 5 PAK 7500 37500
TISU PENGESAT 1 PAK 7500 7500
TISU PENGESAT 2 PAK 7500 15000
TISU PENGESAT 1 PAK 7500 7500
TISU PENGESAT 2 PAK 7500 15000
TISU PENGESAT 1 PAK 7500 7500

13 12/8/2017 SUNGLIGHT 2 PCS 14300 28600

14 15/8/2017 SUNGLIGHT 2 PCS 14300 28600

18 18/8/2017 KANTONG PLASTIK B 3 PAK 16000 38000

KLIP 15*10 5 PAK 7500 37500
KLIP 10*7 5 PAK 5000 25000
SUNGLIGT 1 PCS 14300 14300

19 16/8/2017 GELAS MITRA 10 BUAH 15000 150000

TAS MITRA 10 BUAH 2800 28000
SUNGLAIGT 1 PCS 14300 14,300

20 1`6/8/2017 SUNGLIGHT 1 PCS 14300 14300

21 18/8/2017 GELAS MITRA 15 BUAH 15000 225000

TAS 15 BUAH 2800 42000
22 18/15/2017 GELAS MITRA 16 BUAH 15000 240000
TAS 16 BUAH 2800 44800
23 21/8/2017 SLEEK 1 PCS 29900 29900
TISU PENGESAT 1 PAK 7500 7500
TISU PENGESAT 1 PAK 7500 7500
KLIP OBAT 2 PAK 7500 22500
SUNLAGHT 2 PCS 29900 59800
21 21/8/2017 GELAS MITRA 10 PAK 15000 15000
TAS 10 PAK 2800 28000
TISU PENGESAT 6 PAK 7500 45000

22 22/8/2017 GELAS MITRA 7 BUAH 15000 105,000

TAS 7 BUAH 2800 19600

23 24/8/2017 GELAS MITRA 13 BUAH 15000 195,000

TAS 13 BUAH 2800 36400

24 24/8/2017 KLIP OBAT 10*15 10 PAK 7500 75000

KLIP 17*11 5 PAK 6000 30000
KLIP BIRU 10 PAK 16000 160000
KANTONG SEDANG 10 PAK 16000 160000
 KANTONG KECIL 10 PAK 16000 160000

25 25/8/2017 GELAS 15 BUAH 15000 225000

TAS 15 BUAH 2800 42000

26 25/8/2017 KLIP 15*10 5 PAK 7500 37500

27 26/8/2017 PLASTIK KECIL 5 PAK 16000 80000

KLIP 15*10 7 PAK 7500 52000
KLIP 20*17 5 PAK 6000 30000
KLIP 10*7 5 PAK 5000 25000

28 28/8/2017 TISU PENGESAT 4 PAK 7500 30000

GUNTING 1 BUAH 5000 KASIR

29 28/8/2017 TISU PENGESAT 3 PAK 7500 22500

30 30/8/2017 TISU ROL 1 PAK 22500 22500

KANTONG PLASTIK 10 PAK 16000 160000
KLIP 15*10 10 PAK 7500 75000

31 30/8/2017 ZUITSAL 1 PAK 29900 29900

TISU PENGESAT 3 PAK 7500 22,500
DOBELTIP 1G 10000 10000
SUNLIGHT 2 PCS 29900 59800

Data Pemakaian / Pengambilan Barang Umum

BULAN SEP TEMBER 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 1/9/2017 GELAS SEPAKET 30 BUAH 15000 450000
TAS 30 BUAH 2800 84000
TISU PENGESAT 5 PAK 7500 32500
SUNGLAIGT 1 PCS 32500 32500
2 4/9/2017 GILET 1 PAK 144000 144000
KANTONG PLSTIK 5 PAK 15000 75000

3 5/9/2017 TISU KOTAK 6 PAK 4800 28800

TISU PENGESAT 6 PAK 7500 45000
 4 5/9/2017 TISU PENGESAT 6 PAK 7500 45000
TISU PENGESAT 1 PAK 7500 7500
TISU PENGESAT 2 PAK 7500 15000
TISU PENGESAT 2 PAK 7500 15000
TISU PENGESAT 2 PAK 7500 15000
TISU PENGESAT 2 PAK 7500 15000
ZUITSAL 1 PCS 29900 29900
5 5/9/2017 SLEEK 2 PCS 29900 59800
TISU PENGESAT 2 PAK 7500 15000
PLSTIK BUNGKUS BAYI 2 PAK 30000 60000
SLEEK 1 PCS 29900 29900
SUNLIGHT 1 PCS 14300 14300

6 5/9/2017 SUNLIGHT 2 PCS 32500 65000

SOLASI 2G 10000 20000
ZUITSAL 1 PCS 29900 29,900
7 6/9/2017 GELAS 13 BUAH 195000 195000
TAS 13 BUAH 2800 36400
SUNGLIGHT 1 PCS 14300 14300

8 8/9/2017 KRESEK KECIL 10 PAK 16000 160000

KRESEK KECIL 10 PAK 16000 160000
KLIP 15*10 10 PAK 7500 75000
KLIP BIRU 10 PAK 16000 160000

9 11/9/2017 KANTONG PLASTIK 15 PAK 16000 240000

KANTONG PLASTIK 5 PAK 16000 80000
PLASTIK KLIP 13,8,7 5 PAK 6000 30000
TISU 2 PAK 25000 50000
KATER 1 BUAH 3000 3000

10 LACI OBAT 2 BUAH 85000 190000

11 SUNLIGHT 2 PCS 32500 32500

2 EMBER BESAR 1 BUAH 75000 75000

13 4/9/2017 ISI ULANG PRIMA 25 GALON 11500 287,500

SUNLIGT 2 PCS 15000 30000
14 7/9/2017 POHON MEATI+PUPUK 10 POHON 10000 100,000

15 7/9/2017 KAPUR AJAIB 1 PAK 16000 16000

AMBIPUR 1 BUAH 49000 49,000
BAIGON 1 BUAH 39500 39,500
STEKER 1 BUAH 15000 15,000
SULIGHT 1 PCS 15000 15,000
16 18/9/2017 KANTONG 1 PAK 16000 16,000
 KANTONG KECIL 5 PAK 16000 80,000
KLIP 20*17 5 PAK 6000 30,000
KLIP 15*10 5 PAK 7500 37,500
KLIP 10*7 5 PAK 5000 25,000
SUNGLIGHT 2 BUAH 32500 65,000
17 22/9/2017 GELAS 5 1BUAH 15000 75,000

18 18/9/2017 GELAS 20 BUAH 15000 300,000

TAS 20 BUAH 2800 56000

19 19/9/2017 GELAS 15 BUAH 15000 225000

TAS 15 BUAH 2800

20 20/9/2017 GELAS 25 BUAH 15000

TAS 25 BUAH 2800

21 23/9/2017 SUNLIGHT 2 PCS 32500 65,000

SOLASI 3G 10000 30000

22 27/9/2017 SOLASI 1G 10000 10000

23 27/9/2017 GELAS 32 BUAH 15000 480000

TAS 32 BUAH 2800 89600

30 25/9/2017 ZUITSAL 1 PCS 29900 29900

SELEEK 1 PCS 29900 29,900

31 28/9/2017 SUNLIGHT 1 PCS 32500 32,500

GUNTING 1 BUAH 5000 5000

32 22/9/2017 PLASTIK 5 PAK 16000 80000

TISU 1 PAK 29000 29000
SUNGLIGT 1 PCS 12400 12400

33 28/9/2017 TISU PENGESAT 2 PAK 7500 15000

TISU PENGESAT 2 PAK 7500 15000
TISU PENGESAT 2 PAK 7500 15000

Data Pemakaian / Pengambilan Barang Umum

BULAN SEP TEMBER 2017
No Tanggal Nama Barang Jumlah Satuan Harga Total
1 1/10/2017 GELAS 3 PCS 15000 45000
TAS 3 PCS 2800 8400

2 2/10/2017 PLATIK KECIL 10 PCS 15000 150000

PLASTIK BESAR 10 PCS 15000 150,000
TISU 3 PAK 15000 45000
PLASTIK KLIP 10*7 5 PAK 25000 25,000
GILET 1 PAK 75000 75000
KLIP BIRU 10 PAK 15000 150,000
KLIP 20*12 10 PAK 14000 140000

3 2/10/2017 GUNTING 1 BUAH 5000 5000

4 2 OKTEBER SABUN ZUITSAL 1 PCS 29900 29900

TISU 3 PAK 7500 22500

5 2/10/2017 TISU 2 PAK 7500 15000

SLEEK 1 PCS 29900 299000

6 2/10/2017 CPPT 100 LEMBAR 140 14000

IMLEMENTASI 100 LEMBAR 140 14000
RESEP 2 BK 7000 14000

3 3/10/2017 GELAS 10 BUAH 15000 150000

4 3/10/2017 SUNLIGT BESAR 1 PCS 30000 30000

5 5/10/2017 KLIP 10*7 5 PAK 5000 25000

KLIP15*10 5 PAK 7500 37500
KLIP 20*7 5 PAK 14000 70000
KANTONG PLASTIK 5 PAK 15000 75000
6 PLASTIK BESAR 5 PAK 15000 75000
GUNTING 1 BUAH 5000 5000

7 11/10/2017 BANTAL 7 BUAH 99000 693000

BANTAL 7 BUAH 50000 350000

FRESENER 2 BUAH 41,900 41,900

TISU PENGESAT /TOWEL 6 PAK 11500 92000

BATRE REMOTE 2 BUAH 2000 4000

8 9/10/2017 TISU PENGESAT 2 PAK 11500 23000

TISU PENGESAT 7 PAK 11500 80500
TISU PENGESAT 2 PAK 11500 23000
TISU PENGESAT 2 PAK 11500 23000
 TISU PENGESAT 2 PAK 11500 23000

9 10/10/2017 TISU BIASA 5 PAK 11000 55,000

10 10/10/2017 LAMPU 4 BUAH 28000 112000

LAMPU 2 BUAH 28000 56000
LAMPU 2 BUAH 28000 56000
LAMPU 4 BUAH 28000 112000
LAMPU 5 BUAH 28,000 140000
LAMPU 3 BUAH 28,000 84000
LAMPU 2 BUAH 28000 56000
LAMPU 2 BUAH 28000 56000

11 10/10/2017 GORDIN ALMA 30 MTR 20000 600,000

RODAKU 200 PCS 20000 20000
KWAT 2 BKS 10000 10000
TUTUP BAUD 12 PCS 12000 12000
KAKI ALMA 24 PCS 12000 12000

12 12/10/2017 KRESEK 5 PAK 16000 80000

13 18/10/2017 PLSTIK KECIL 10 PAK 16000 16000

KLIP 15*10 5 PAK 7500 37500

14 19/10/2017 TISU PENGS 2 PAK 7500

TISU PENGS 2 PAK
TISU PENGS 2 PAK
TISU PENGS 2 PAK
TISU PENGS 1 PAK
TISU PENGS 1 PAK
TISU PENGS 1 PAK
TISU PENGS 1 PAK
TISU PENGS 1 PAK
TISU PENGS 1 PAK
TISU PENGS 1 PAK

15 23/10/2017 GELAS PAKET 2 DUS

PAYUNG KECIL 8
PAYUNG BESAR 8
PAYUNG SEDANG 8

16 23/10/2017 TISU PENGSAT 6 PAK

TISU KOTAK 6

17 23/10/2017 KLIP 10*7 7 PAK 5000 35,000

KLIP 17*11 3 PAK 6000 18000
KERTAS PRIN 1 PAK 60000 60000
 POS IT 3 PAK 10000 30000

18 20/10/2017 GELAS PAKET 70 BUAH

TAS 70 BUAH
PAYUNG SEDANG 3 BUAH
PAYUNG KECIL 4 BUAH
PAYUNG BESAR 3 BUAH

PAYUNG 2 BUAH
PAYUNG 2 BUAH

19 23/10/2017 CATER 2 BUAH 5000 10000

GUNTIN 1 BUAH 5000 5,000
TISU 3 PAK 11500 34500
KANTONG PLSTIK 5 PAK 16000 80,000

20 18/10/2017 TIMBANGAN 1 BUAH 111,000 111,000

PH METER 1 BUAH 139,000 139,000
BAIGON 1 BOTOL 30000 30,000
KAPORIT 1 BOTOL 75,000 75,000

21 23/10/2017 SENTER LISTRIK 1 BUAH 75,000 75,000

22 29/10/2017 SUNLIGHT 10 PCS 14,300 143,000

Data Pemakaian / Pengambilan Barang Umum

BULAN NOVEMBER 20-17

No Tanggal Nama Barang Jumlah Satuan Harga Total

1 2/11/2017 KANTONG PLASTIK BESAR 15 PAK 16000 240,000
KANTONG PLSTIK KECIL 15 PAK 16000 240,000
KLIP 20*12 10 PAK 6000 60000
KLIP 15*10 10 PAK 5000 50000
m

Unit MEDIS UMUM

VK 25,400.00

60,000.00
N.S Lt. 1

Umum

Umum

75,000.00

Apotek
120,000.00

Umum

240,000.00
Loundry
300,000.00

Apotek 70,000.00

Umum

15,000.00
Office

25,400.00
NICU / HCU

Lab

21,900.00
VK 8,800.00

Loundry 100,000.00
 N.S Lt. 1 45,000.00

150,000.00
75,000.00
75,000.00
Apotek

NICU / HCU

Gudang Farmasi 15,000.00

Umum

8,800.00
OKA
15,000.00

N.S Lt. 1

Umum / G A (Bu Lia)

790,300.00 655,000.00

Unit MEDIS UMUM

VK

75,000.00
Apotek
80,000.00

N.S Lt. 1 45,000.00

30,000.00
G. Farmasi
30,000.00

NICU / HCU 25,500.00

 Umum

Lab

Umum

Apotek 120,000.00

240,000.00
300,000.00
Loundry
160,000.00
110,000.00

Apotek

Kasir

Umum

Umum

VK

Kasir

Umum

NICU / HCU

160,000.00
Apotek

Umum
 Umum

N.S Lt. 1 45,000.00

Umum

N.S Lt. 1 45,000.00

655,500.00 810,000.00

Unit medis umum

25,500.00
vk

vk
vk 8,800.00
vk
lab
nicu
nicu
nicu 25,500.00
nicu
vk
vk
farmasi 80,000.00
lab 15,000.00
apotek
apotek 160,000.00
apotek
apotek
apotek

MARKETING

vk
nicu
leb
leb 15,000.00
 ranap 3
5,000.00
nicu
r ok 15,000.00

lab

poli 30,000.00
nicu
farmasi 80,000.00
80,000.00
539,800.00

ng Umum

MEDIS UMUM
UMUM

OK

LEB 30,000

FARMASI 225,000

FARMASI 150,000

80,000

POLI 15,000 15,000

21,000 2
8800

OK 8800
10500
15,000

POLIKLINIK 45,000
VK
 17,500

FARMASI

8000

MUSHOLAH 32000
R.303 32,000
R 310 32,000

RANAP 2 32,000
DEPAN LIP 32,000
R VK 64,000
R PEMULIHAN 32,000

LANTAI 1 64,000
KASIR
APOTEK 32,000
GUDANG OBAT 64,000
R AULA 128,000
R PANTRI 32,000
R LAB 64,000
KMR MANDI UMUM 64,000
R RONGSEN 64,000
S RUANG RONGSEN 32,000

FARMASI

R OK 30,000

RANP 3 70,000

G FARMASI 16,000
16,000
15,000
15,000
6000

VK 4000

NICU
25,500
 FARMASI 156,000

FARMASI
80,000
17,000
64,000
17,500
10,000
5000

P0LI 5328

15000

RANAP 3 81000
35000
1,501,502
631,428

ambilan Barang Umum

MEI 2016

Unit medis umum

UMUM

FARMASI

POLIKLINIK

45,000
22,500

VK

25,000
4,000

22,500

FARMASI 160,000
80,000
 18,750

FARMASI

NICU 4,000

GUDNG FARMASI 15,000

POLIKKLINIK 18,750

VK 30,000

VIP/NICU 30,000

APOTEK 15,000
10,000

KEUANGAN 75,000

LAB

UMUM

OFFIS 75,000

FARMASI 160,000
80,000

NICU 25,000

POLI 45,000

FARMASI 156,000

KEUANGAN 24,000

MENKEP

R OK 19,500
30,000
10,000
 VK 8,800

UMUM 868,750
340,050

ambilan Barang Umum

JUNI

Unit medis umum

IGD 25,000
12,000

0POLI 45,000

APOTEK 24,000
80,000
80,000
12,000
8,800
1,500

VIP 8,000
12,000

APOTEK 30,000
30,000
18,750

MARKETING 25,000

LONDRY 180,000
150,000

TEKNISI 20,000

POLI 8,000
35,000
10,000

LEB

PA IRMAN
FARMASI 37,500
150,000
150,000

LEB 10,000
10,000

NICU 15,000
29,900

MR 75,000

FARMASI 60,000
37,500

VIP 12,000
12,500
15,000

POLI 8,000
15,000
18,000

RANAP 3 14,000

IGD

FARMASI 30,000
30,000
12,000
115,200
15,000

PA IRMAN

OK 6,500

RANAP 3 30,000
BELAKANG RANAP 30,000
R 307 60,000
R 301 30,000
R 303 30,000
R 310 90,000
R 306 30,000
DEPAN KAMAR 302 30,000
RANAP LT 2 30,000
R 202 60,000
DIBELAKANG RANAP1 30,000
DI R NICU 60,000
TEMPAT LOKER 60,000
PINTU MASUK 60,000
KASIR 30,000

APOTEK 150,00
12,000

POLI

VK

LT 1 150,000
R DR DEDI 90,000
APOTEK 30,000
NICU 90,000

APOTEK 16,250
7,500

VIP 10,000
10,000

NICU 7,500
22,500
NICU 29,900

AP0TEK 30,000
30,000
30,000
25,000
25,000
 VK 7,500

8,000
OK 7,500

2,594,500

397,300

ambilan Barang Umum

ULI 2016

Unit medis umum

FARMASI 35,000
60,000

OK 16,000
20,000
30,000
21,000

RANP 3 60,000
301 60,000
302 60,000
303 60,000

RANAP 2/NICU 30,000

APOTEK 30,000

FO 7,000

FARMASI 70,000
150,000
75,000
60,000
25,000
 17,500
72,000
75,000

NICU

MR 7,000

IGD
VK 8,000

POLI
30,000

FARMASI 300,000
50,000
200,000

MR 4,000

FO 18,750

POLI 4,000
PA YANTO /UMUM 4,000

KASIR 15,000
3,750
OK 4,000 1,279,000
18,750
421,750

ambilan Barang Umum

STUS 2016

Unit medis umum

APOTEK 18,750
 32,000

KASIR
POLI

FARMASI 115,200
37,500

NICU 3750

farmasi 160,000
75,000
37,500
75,000
70,000

POLI 5000
30,000
22,500

FARMASI 90,000
45,000
45,000

FARMASI 150,000
25,000
18,750
KASIR 7,000
15,000
5,000

farmsi 15,000
18,000
22,500
10,000
150,000

edp 3,750
APOTEK 150,000

NICU 27,500
14,750
59,800
47,800
 VK 8,000

FO
7,500

R MR 60,000
R IGD 60,000
KMR MANDI LT 1 30,000
KMR MANDI DR UMUM 30,000
R 302 30,000
LOKER 30,000
D P ANAK 120,000
NICU 30,000
KMR MANDI NICU 60,000
R 203 30,000
TANGA DRURAT 60,000
R 203 60,000
R 303 60,000
R VK 30,000

APOTEK 37,500
25,000
75,000
37,500
150,000

POLI 10,000

ambilan Barang Umum

MBER 2016
 Unit medis umum
LT1 DPN POLI 30,000
IGD 90,000
PANTRY 60,000
R 306 30000

FARMASI 160,000
150,000
150,000

VK 8,000
10,000
30,000

PANTRY/GIZI 30,000
EDP 7,500

PANTRY/ GIZI 15,000

22,000
62,800
3,750

APOTEK 25,000

POLI 29,900
22,500

30,000

NICU 29,900
21,300
21,300

VIP 48,000
5,000
15,000

APOTEK 80,000

FARMASI 160,000
160,000
15,000
160,000
50,000
37,500

R SERVER 28,000
R NICU 56,000
R 310 112,000
R311 84,000
RAULA 56,000

IT 4,000

GIZI/PANTRY 15,000

KASIR 16,000

OK 60,000

PANTRY 15,000

RANAP 3 4,000

PANTRY 15,000

APOTEK 15,000

FARMASI 75,000

MARKETING 875,000

INST GIZI 15,000

10,000
5,000
8,000

POLI
22,500
30,000

APOTEK 30,000
30,000
48,000
60,000
20,000
2,748,550
729,400
ambilan Barang Umum
OBER 2016

Unit medis umum

PANTRY 8,000
10,000
16,000
30,000
22,000

32,000

POLI 15,000

IT 4,000

MR 8000

APOTEK 20,000
50,000
75,000
150,000
160,000

RANAP 3 10,000

NICU 10,000

80,000

96,000
FARMASI 20,000
80,000
75,000

GIZI/PANTR 50,000
GIZI/PANTR 30,000

GIZI/PANTR 45,000
5,000

PANTRY 30,000

EDP 8,000
PANTRY 5,000
11,000

FO 8,000

APOTEK

70,000
16,000

VK 8,000
15,000

RANAP 3 6000

IT

PANTRY 15,000

RANAAP 3/307
RANNAP 3/310
RANAP3/311
RANAP/306
307
310
311
309
308
309
304
303
30-2

FARMASI 80,000
16,000

VK 84,000
RANAP 2 VIP 56,000
R STERIL 84,000
R BAYI 56,000
R EVAKUASI 56,000
VK 58,900

PA IRMAN 30,000

EDP 30,000

POLI 24,000
60,000

APOTEK 37,500
25,000
80,000
80,000

INTST GIZI 15,000

16,000
20,000

APOTEK 160,000
160,000

160,000

OK 15,000
30,000

APOTEK 96,000
OFFIS 20,000

NICU 29,000

29,900

MARKETING 681,800 60,000

2,279,500
ambilan Barang Umum
MBER 2016

Unit medis umum

APOTEK 40,000

PANTRY 15,000

APOTEK 15,000

POLI 24,000
29,900

OK 29,900
6,000

HRD 28,000
30,000

GA

RANAP 3 20,000
R 201 4,000
KEUANGAN 8,000

INTS GIZI 30,000

GIZI 30,000

KASR 24,000

EDP/FO 16,000

KASIR 20,000

APOTEK 70,000
90,000
120,000
MARKETING 10,000

HRD 5,000
15,000

APOTEK 16,000

POLI 15,000

R COSTUMER 8,000
R 307 2,000
R 201 2,000
R 309 2,000
304 2,000

POLI 10000

FARMASI 150,000
75,000
140,000
160,000
12,000

POLI 29,900

GIZI 30,000
172,700

UMUM

GA 30,500

FARMASI 5,000

GIJI 30,000

GA 20,000

GIZI 15,000
15,000
1,276,500
ambilan Barang Umum
MBER 2016

Unit medis umum

VIP 10,000

NICU 59,800
29,900

FARMASI 10,000
15,000

GA 2000

IGD

29,900

APOTEK 96,000
96,000
80,000
27,000
24,570

FARMASI 160,000
160,000
75,000
75,000
27,870
160,000

MARKETING/MCU 9,200
20,000
15,000
GIZI 36,380

KASIR 5,500

VK 15,000
 8,000

GIZI 30,000
FO

MR 45,000
5,000

FARMASI 25,000
150,000
75,000
152,600 45,000
50,000
1,519,520

ambilan Barang Umum

UARY 2017

Unit medis umum

RANAP 3 220,000
OK 255,000
29,900

20,000
15,000
RANAP 3 4,000

PANTRY 30,000

FARMASI 28,000
10,000

VK 56,000
R PRASION 56,000
DEPAN LIP 56,000
R PEMULIHAN 56,000
POLI 112,000
308 56,000
304 56,000
PANTYR
WC UMUM 28,000

1GD 8,000

KEUANGAN 10,000
4,000

MARKETING

FARMASI 16,000

VK 129,000
RANAP 3 97,000

R 305 140,000
MUSHOLA 28,000
POLI ANAK 140,000
PANTRY 28,000

R GUADNG OBAT 28,000

APOTEK 28,000
R COSTUMER SERVIS 28,000
R 302 56,000
R NATIONS RANAP 3 56,000
R IGD 84,000
R 310 56,000

POLI 24,000
29,900

FARMASI 20,000
80,000
30,000
150,000

IGD 29,900
 FARMASI 160,000
12,000
37,500
25,000
80,000
80,000

VIP 59,800
5,000

FARMASI 20,000
1,906,500
15,500
80,000
80,000
56,000
farmasi 30,000
25,000
75,000
85,000
150,000
150,000
20,000
1,727,000

ambilan Barang Umum

UARY 2017

Unit medis umum

IT 20,000

POLI 20,000
45,000

PANTRY 45,000
15,000
VIP 174,000
29,900

FARMASI 80,000
20,000

VK 29,900

OK 29,900

PANTRY 45,000
15,000

POLI 29,900
15,000

KEUANGAN 20,000

FARMASI 16,000
30,000

FARMASI 15,000

MARKETING 2,800
150,000

VK 8,000
RANAP 3 20,000

MR

FARMASI 25,000
80,000
30,000

5,000
60,000

NICU
29,900

PANTRY 45,000

MARKETING 300,000
56,000
 PANTRY 58,000

VK 8,000

INTENSIF 59,800

29,900
FARMASI 529,200 16,000
36,000
150,000

PANTRY 30,000
FARMAASI 16,000
10,000
1,390,800

ambilan Barang Umum

RET 2017

Unit medis umum

INTENSIF 29,900

29,900

FARMASI 44,500

FANTRY 20,000
IGD 29,900
FARMASI 6,000

MARKETING

VK 8,000

FARMASI 15,000
30,000

UMUM 8,000

PANTRY 46,500
10,000
FARMASI 60,000
240,000
75,000

MR

FARMASI 30,000
20,000
140,000
75,000
48,000

VK 15,500
3,000

APOTEK 160,000
60,000
24,900

INSETIP 59,800
8,300

APOTEK 56,000
5,000
PANTRY 31,000
MARKETING 240,000
80,000

FARMASI 40,000
64,000
80,000
5,000
100,000

INSENTIP 59,800
17,000

FARMASI 240,000
160,000
112,500
261,100
2,326,400
ambilan Barang Umum
MEI 2017

Unit medis umum

FARMASI 15,500
89,800
100,000

OK 10,000

RANAP 3 100,000
60,000
110,000

VIP 50,000
PANTRY 77,500
POLI 48,000
59,800

MARKETING 28,000

FARMASI 17,000

VIP 17,000
5,000

FARMASI 225,000
60,000
90,000

PANTRY

APOTEK 420,000
PANTRY 150,000
120,000
MR 151,200

POLI 29,900
 RANAP 3 228,000
70,000
151,200

NICU 59,800
5,500
24,000

IGD 29,900

PPI 60,000
60,000

FARMASI 100,000
100,000
120,000
160,000
280,000
300,000
300,000
1,178,100 75,000
2,979,000

ambilan Barang Umum

MEI 2017

Unit medis umum

VIP 5,000
20,000
25,000

APOTEK 160,000
160,000
80,000
30,000
37,500

CSSD 5,000
 5,000
15,000

POLI 29,900

RADIOLOGI 10,000
RANP 3 5,000

APOTEK 30,000
20,000
10,000

KEUANGAN 16,000

APOTEK 80,000
18,000
50,000

IGD 60,000
15,000
20,000

GIJI 93,000
30,000
30,000

POLI 27,000
29,900
5,000
10,000

APOTEK 240,000
240,000
112,500
10,000

APOTEK 30,000
37,500
80,000
20,000
40,000

PPI 50,000
OK 40,000

NICU/HCU 29,900
 MR 70,000

FARMASI 16,000
208,000
240,000
75,000
15,500

MARKETING 225,000
42,000

VIP 5,000
10,000

NICU 5,000

GIZI 5,000
5,000
31,000

VIP 10,000
5,000
7,500

FARMASI 240,000
MARKEWTING 4,000
INSENTIP 29,900 2,841,000
469,100

ambilan Barang Umum

NI 2017

Unit medis umum

FARMASI 240,000

MARKETING 4,000
INSENTIF 59,800

VK 29,900
5,000
5,000
8,000
29,900

FARMASI 70,000
50,000

OK 16,000

POLI 100,000

IGD 29,900

POLI 35,000

RADIOLOGI 175,000

GIZI 46,500
30,500
20,000

FARMASI 10,000

POLI 28,800
29,900
8,000
369,200
APOTEK 80,000
70,000
75,000
30,000
25,000
48,000
80,000
160,000
70,000
32,000
50,000
20,000
29,900
75,000
APOTEK 60,000
50,000
 75,000
50,000
160,000
160,000
240,000
2,301,900

ambilan Barang Umum

ULI 2017

Unit medis umum

APOTEK 240,000
7,475
39,250
MARKETING 75,000
14,000

PANTRY 42,900
10,000

MARKETING 255,000
47,600

POLI 59,800
26,000
KASIR 5,000

FARMASI 240,000
65,000
160,000

PANTRY 28,500

FARMASI 30,000
25,000
48,000
80,000
7,850
3,900
4,900

NICU 29,900
29,900
 FARMASI 70,000
PANTRY 28,600

FARMASI 225,000
225,000

MARKETING 44,000
4,000
5,000
20,000

VK 29,900

FARMASI 5,000
5,000

NICU 29,900
29,900

PASIEN VIP 7,475

IGD 29,900

PANTRY 28,600

APOTEK 75,000
75,000
75,000
2,314,575
OK 76,000
348,675

ambilan Barang Umum

STUS 2017

Unit medis umum

APOTEK 25,000
30,000
80,000
48,000
32,000
30,000
7,500

MARKETING 75,000
14,000

5,000

POLI 29,900
14,950
24,000
10,000

MARKETING 45,000
8,400

PANTRY 28,600
4,000
20,000

FARMASI 22,500
75,000
20,000
25,000

MARKETING 45,000
8,400

FARMASI 50,000
35,000
60,000
160,000
75,000
60,000
150,000

RANAP 3 100,000
MARKETING 300,000
FARMASI 27,000
150,000

PANTRY 28,600
NICU 12,000
7,500
VIP 37,500
WC NICU 7,500
VK 15,000
OK 7,500
15,000
CSSD 7,500

PANTRY 28,600
28,600

APOTEK 38,000
37,500
25,000
14,300

MARKETING 150,000
28,000
14,300

FARMASI 14,300

MARKETING 225,000
42,000
240,000
44,800
R INSENTIP 29,900
7,500
WESTAFEL NICU 7,500
22,500
PANTRY 59,800
MARKETING 150,000
28,000
R VIP 45,000

MARKETING 105,000
19,600

MARKTING 195,000
36,400

APOTEK 75,000
30,000
160,000
160,000
 160,000

MARKETING 225,000
42,000

APOTEK 37,500

APOTEK 80,000
52,000
30,000
25,000

POLI 30,000
5,000

IGD 22,500

APOTEK 22,500
160,000
75,000

VK 29,900
22,500
MR 468,150 10,000
PANTRY 59,800
4,714,500

ambilan Barang Umum

EMBER 2017

Unit medis umum

MARKETING 450,000
84,000
32,500
32,500
FARMASI 144,000
75,000

POLI 28,800
45,000
R VIP 45,000
R WESTAPEL NICU 7,500
R WESTAPEL UMUM 15,000
IGD 15,000
APOTEK 15,000
CSSD 15,000
VK 29,900
INSENTIP 59,800
15,000
60,000
VK 29,900
14,300

PANTRY 65,000
20,000
VIP 29,900
MARKETING 195,000
36,400
CSSD 14,300

APOTEK 160,000
160,000
75,000
160,000

APOTEK 240,000
80,000
30,000
50,000
3,000

NICU 190,000

PANTRY 32 ,500
GA 75,000

GA 287,500
30,000
CASTING/GA 100,000

CASTING/GA 16,000
49,000
39,500
15,000
15,000
FARMASI 16,000
 80,000
30,000
37,500
25,000
PANTRY 65,000
MARKETING 75,000

MARKETING 300,000
56,000

MARKETING 225,000

PANTRY 65,000
30,000

CASTING/GA 10,000

MARKETING 480,000
89,600

NICU 29,900
29,900

PANTRY 32,500
5,000

FARMASI 80,000
29,000
12,400
4,499,900
IGD 15,000
NICU 15,000 0
VK 15,000
696,700

ambilan Barang Umum

EMBER 2017
 Unit medis umum
MARKETING 45,000
8,400

FARMASI 150,000
150,000
45,000
25,000
75,000
150,000
140,000

KASIR 5,000

VK 29,900
22,500

NICU 15,000
29,900

VIP 14,000
14,000
14,000

MARKETING 150,000

PANTRY 30,000

FARMASI 25,000
37,500
70,000
75,000
75,000
5,000

RANAP 3 693,000
350,000

MOBIL/GA 41,900

POLI 92,000
RANP 3 4,000

IGD 23,000
VIP 80,500
NICU 23,000
VK 23,000
OK 23,000

FARMASI 55,000

POLY 112,000
DEPA KASIER 56,000
PINTU MASUK 56,000
RANAP 3 112,000
VIP 140,000
VIP 84,000
56,000
VIP 56,000

R 312 600,000
20,000
10,000
12,000
12,000

FARMASSI 80,000

160,000
FARMASI 37,500

IGD
VK
NICU
OK
R VIP 201
R VIP 202
R VIP 203
R VIP 204
R VIP 205
R VIP 206
R VIP 208

MARKETING

FARMASI 35,000
18,000
60,000
 30,000

MARKETING

INPENTARIS
DR FREDY

FARMASI 10,000
5,000
34,500
80,000

CASTLING/GA 111,000
139,000
30,000
75,000

CASTING/GA 75,000

PANTRY 143,000
2,684,800
2,572,800

ambilan Barang Umum

MBER 20-17

Unit medis umum

APOTEK 240,000
240,000
60,000
50,000
 Data Pengiriman Oksigen 6 m3
Bulan Januari 2016

No Tanggal No SJ Jumlah Satuan Harga Total

1 7/1/2016 B18B 011386 15 Btl 43,000 645,000
2 13/01/2016 B18B 011771 10 Btl 43,000 430,000
3 21/01/2016 B18B 011933 15 Btl 43,000 645,000
4 26/01/2016 B18B 012099 15 Btl 43,000 645,000

55 675,000

Data Pengiriman Oksigen 2,5 m3

Bulan Januari 2016

No Tanggal No SJ Jumlah Satuan Harga Total

1 13/01/2016 B18B 011771 1 Btl 30,000 30,000

Data Pengiriman Oksigen 6 m3

Bulan Februari 2016

No Tanggal No SJ Jumlah Satuan Harga Total

1 2/2/2016 B18B 012278 20 Btl 43,000 860,000
2 6/2/2016 B18B 012398 15 Btl 43,000 645,000
3 11/2/2016 B18B 012517 10 Btl 43,000 430,000
4 18/02/2016 B18B 012703 10 Btl 43,000 430,000
5 24/02/2016 B18B 012864 15 Btl 43,000 645,000
6 29/02/2016 B18B 012969 10 Btl 43,000 430,000
80 675,000

Data Pengiriman Oksigen 2,5 m3

Bulan Februari 2016

No Tanggal No SJ Jumlah Satuan Harga Total

1 6/2/2016 B18B 012398 2 Btl 30,000 60,000
2 18/02/2016 B18B 012703 1 Btl 30,000 30,000
3 29/02/2016 B18B 012969 1 Btl 30,000 30,000
 4 120,000

Data Pengiriman Oksigen 6 m3

Bulan Maret 2016

No Tanggal No SJ Jumlah Satuan Harga Total

1 1/3/2016 B18B 012997 10 Btl 43,000 430,000
2 4/3/2016 B18B 013081 15 Btl 43,000 645,000
3 8/3/2016 B18B 013162 10 Btl 43,000 430,000
4 11/3/2016 B18B 013239 10 Btl 43,000 430,000
5 16\3\2016 B18B 013369 10 Btl 43,000 430,000
6 24\3\2016 B18B 01355 10 Btl 43,000 430,000
65 2,795,000

Data Pengiriman Oksigen 2,5 m3

Bulan Maret 2016

No Tanggal No SJ Jumlah Satuan Harga Total

1 16\3\2016 B18B O13369 1 Btl 30,000 30,000
2 -
3 -
1 30,000

Data Pengiriman Oksigen 2,5 m3

BULAN APRIL

No Tanggal No SJ Jumlah Satuan Harga Total

1 12/4/2016 B18B 14089 1 Btl 30,000 30,000
2 19/4/2016 B18B14259 1 Btl 30,000 30,000
3 26/4/2016 B18B 1 BTL 30,000 30,000
3 90,000

Data Pengiriman Oksigen 6 m3

BULAN APRIL

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

 1 5/4/2016 B18B 013911 15 BTL 43000 645000
2 12/4/2016 B18B 14089 15 BTL 43000 645000
3 19/4/2016 B18B 14259 15 BTL 43000 645000
4 26/4/2016 B18B 14432 15 BTL 43000 645000
60 2.580.000

Data Pengiriman Oksigen 2,5 m3

BULAN MEI 2016

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 4/5/2016 B18B 14609 2 BTL 30,000 60,000
2 10/5/2016 B18B 14694 1 BTL 30,000 30,000
3 13/5/2016 BI8B 14796 1 BTL 30,000 30,000
120,000
0

Data Pengiriman Oksigen 6 m3

BULAN MEI 2016

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 4/5 2016 BI8B 15 BTL 43000 645,000
2 10/5/2016 B1 8B 14694 15 BTL 43000 645,000
3 13/5/2016 BI 14796 15 BTL 43000 645,000
4 18/5/2016 BI8B 14936 15 BTL 43000 645,000
5 25/05/2016 B18B 015166 15 BTL 43000 645,000
3,225,000

Data Pengiriman Oksigen 2,5 m3

BULAN JUNI

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1
2 8/6/2016 15493 1 BTL 30,000 30,000

30,000
 Data Pengiriman Oksigen 6 m3
BULAN JUNI

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 1/6/2016 15325 15 BTL 43000 645,000
2 8/6/2016 15493 10 BTL 43000 430,000
3 18/6/2016 10 BTL 43000 430,000
4 25/6/2016 15971 10 BTL 43000 430,000
5 30/6/2016 016090/4 10 BTL 43000 430,000
2,365,000

Data Pengiriman Oksigen 2,5 m3

BULAN JULI 2016

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 1/7/2016 16138 1 BTL 30000 30,000
2

30,000

Data Pengiriman Oksigen 6 m3

JULI

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 1/7/2016 16138 10 BTL 43000 430,000
2 14/7/2016 16266 10 BTL 43000 430,000
3 19/7/2016 16376 10 BTL 43000 430,000
4 28/7/2017 16632 9 BTL 43000 387,000
BTL
1,677,000
 Data Pengiriman Oksigen 2,5 m3
BULAN ABUSTUS

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 1/8/2016 16138 1 BTL 30000 30,000
2

30,000

Data Pengiriman Oksigen 6 m3

BULAN AGUSTUS 2016

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 10/8/2016 16921 15 BTL 43000 645,000
2 24/8/2016 17240 15 BTL 43000 645,000
3 BTL 43000
4 BTL 43000
BTL
1,290,000

Data Pengiriman Oksigen 2,5 m3

BULAN SEPTEMBER

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 21/9/2016 1 BTL 30000 30,000
2

30,000

Data Pengiriman Oksigen 6 m3

SEPTEMBER

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 8/11/2016 1787 15 BTL 43000 258,000
 2 15/11/2016 19294 14 BTL 43000 602,000
3 21/11/2016 19427 15 BTL 43000 645,000
4 25/11/2016 19553 15 BTL 43000 645,000
28/11/2016 19623 15 BTL 43000 645,000
2,795,000

Data Pengiriman Oksigen 2,5 m3

BULAN OKTOBER 2016

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 13/10/2016 18474 2 BTL 30000 60,000
2 22/10/2016 18710 1 BTL 30,000 30,000

60,000

Data Pengiriman Oksigen 6 m3

BULAN OKTOBER

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 4/10/2016 18227 9 BTL 43000 387,000
2 13/10/2016 18474 6 BTL 258,000
3 18/10/2016 18574 10 BTL 43000 430,000
4 22/10/2016 18710 15 BTL 43000 645,000
5 31/10/2016 18912 15 BTL 43000 645,000
2,365,000

Data Pengiriman Oksigen 2,5 m3

BULAN NOVEMBER 2016

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 8/11/2016 1 BTL 30000 30,000
 2 BTL

30,000

Data Pengiriman Oksigen 6 m3

BULAN NOVEMBER

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 8/11/2016 1787 15 BTL 43000 645,000
2 1511/2016 19294 14 BTL 43000 602,000
3 21/11/2016 19427 15 BTL 43000 645,000
4 25/11/2016 19553 15 BTL 43000 645,000

2,537,000

Data Pengiriman Oksigen 2,5 m3

BULAN DESEMBER 2016

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 15/12/2016 20023 2 BTL 30000 60,000
2 BTL

60,000

Data Pengiriman Oksigen 6 m3

BULAN DESEMBER

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 15/12/2016 20023 10 BTL 43000 430,000
2 20/12/2016 20149 15 BTL 43000 640,000
3 30/12/2016 2049 10 BTL 43000 430,000

1,500,000
 Data Pengiriman Oksigen 2,5 m3
BULAN JANUARI 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 10/1/2017 20608 2 BTL 30000 60,000
2 31/1/2017 21121 1 BTL 30,000 30,000

90,000

Data Pengiriman Oksigen 6 m3

BULAN JANUARY 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 10/1/2017 206080 15 BTL 43000 645,000
2 18/1/2017 20821 15 BTL 43000 645,000
3 26/1/2017 21025 20 BTL 43000 860,000
4 31/1/2017 21121 20 BTL 43000 860,000

3,010,000

Data Pengiriman Oksigen 2,5 m3

BULAN FEBUARY

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

 Data Pengiriman Oksigen 6 m3
BULAN FEBUARY 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 14/2/2017 21551 15 BTL 43000 645,000
2 7/2/2017 21293 15 BTL 43000 645,000
3 22/2/2017 21736 15 BTL 43000 645,000
4

1,935,000

Data Pengiriman Oksigen 6 m3

BULAN MARET 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 15/3/2017 22312 15 BTL 43000 645,000
2 22/3/2017 22540 10 BTL 43000 430,000
3 23/3/2017 22540 10 BTL 43000 430,000
4 30/3/2017 22715 15 BTL 43000 645,000

2,150,000

Data Pengiriman Oksigen 2,5 m3

BULAN APRIL 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 5/4/2017 22864 1 BTL 30000 30,000
 Data Pengiriman Oksigen 6 m3
BULAN APRIL 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 5/4/2017 22864 19 BTL 43000 817,000
2 8/4/2017 22962 18 BTL 43000 774,000
3 11/4/2017 23029 10 BTL 43000 430,000
4 18/4/2017 23188 10 BTL 43000 430,000
5 21/4/2017 23268 15 BTL 43000 645,000
6 27/4/2017 23406 10 BTL 43000 430,000
3,096,000

Data Pengiriman Oksigen 2,5 m3

BULAN APRIL 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 11/4/2017 23029 1 BTL 30000 30,000

10000
Data Pengiriman Oksigen 6 m3
BULAN MEI 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 9/5/2017 23645 20 BTL 43000 860,000
2 2/5/2017 23480 15 BTL 43000 645,000
3 22/5/2017 454 10 BTL 43000 430,000
4 29/5/2017 60 15 BTL 43000 645,000
5
6 2,580,000

Data Pengiriman Oksigen 2,5 m3

BULAN MEI 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

 1 21/6/2017 1213 2 BTL 30000 60,000

30,000

6000 12000

Data Pengiriman Oksigen 6 m3

BULAN JUNI 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 13/O7/2017 1527 20 BTL 43000 860,000
2 22/6/2017 12 15 BTL 43000 645,000
3 15/6/2017 109 20 BTL 43000 860,000
4 21/6/2017 1213 30 BTL 43000 1,290,000
5
6 3,655,000

Data Pengiriman Oksigen 2,5 m3

BULAN JUNI 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 2/6/2017 23480 1 BTL 30000 30,000

0 30,000

Data Pengiriman Oksigen 6 m3

BULAN JULI 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 13/O7/2017 1527 20 BTL 43000 860,000
2 19/07/2017 1634 30 BTL 43000 1,290,000
3 29/07/2017 1850 30 BTL 43000 1,290,000
 6 3,440,000

Data Pengiriman Oksigen 2,5 m3

BULAN JULI 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 19/7/2017 1634 3 BTL 30000 90,000

30,000

Data Pengiriman Oksigen 6 m3

BULAN AGUSTUS 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 11/8/2017 20 30 BTL 43000 1,290,000
2 30/8/2017 2358 30 BTL 43000 1,290,000
3 BTL

6 2,580,000

Data Pengiriman Oksigen 2,5 m3

BULAN AGUSTUS 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 30/8/2017 2364 2 BTL 30000 30,000

30,000
 Data Pengiriman Oksigen 6 m3
BULAN SEPTEMBER 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 5/9/2017 253 30 BTL 43000 1,290,000
2 29/9/2017 3518 30 BTL 43000 1,290,000
3 BTL

6 2,580,000

Data Pengiriman Oksigen 2,5 m3

BULAN SEPTEMBER 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 5/9/2017 253 1 BTL 30000 30,000
2 29/9/2017 35518 1 BTL 30,000 30,000
3 14/9/2017 2749 2 BTL 30,000 60,000

120,000

Data Pengiriman Oksigen 6 m3

BULAN OKTEBER 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 12/10/2017 3775 30 BTL 43000 1,290,000
2 25/10/2017 3030 30 BTL 43000 1,290,000
3

6 2,580,000
 Data Pengiriman Oksigen 2,5 m3
BULAN OKTOBER 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL

1 12/10/2017 3775 2 BTL 30000 60,000
2 25/10/2017 3030 2 BTL 30,000 60,000

60,000
 Pemasukan Air Galon Prima
Bulan Januari 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 15/01/2016 59 Gln 21007 11,000 649,000
2 22/01/2016 13 Gln 21643 11,000 143,000

72 792,000

Pemasukan Air Galon Cleo

Bulan Januari 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

Pemasukan Air Galon Prima

Bulan Februari 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 4/2/2016 32 Gln 21222 11,000 352,000
2 12/00/2016 29 Gln 21309 11,000 319,000
3 19/02/2016 30 Gln 21426 11,000 330,000
4 26/02/2016 27 Gln 21931 11,000 297,000
1,298,000

Pemasukan Air Galon Cleo

Bulan Februari 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 12/2/2016 38 Gln JAF- 005056 9,000 342,000
 342,000

Pemasukan Air Galon Prima

Bulan Maret 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 4/3/2016 34 Gln 00507 11,000 374,000
2 Gln 11,000 -

34 374,000

Pemasukan Air Galon Cleo

Bulan Maret 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

Pemasukan Air Galon Prima

BULAN APRIL 2016
No Tanggal Jumlah Satuan No. Faktur Harga Total
1 4/13/2016 44 Gln 315 11,000 484,000
2 4/22/2016 31 Gln 476 11,000 341,000
3 29/4/2016 28 Gln 722 11,000 308,000

75 1,133,000

Pemasukan Air Galon Cleo

BULAN APRIL 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 22/4/2016 22 GALON 9,000 225,000

Pemasukan Air Galon Prima

BULAN MEI 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 11/5/2016 42 GALON 499 11000 462,000
2 20/5/2016 35 GALON 147 11000 385,000
847,000

Pemasukan Air Galon Cleo

BULAN MEI 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 25/5/2016 32 GALON 9,000 288,000

Pemasukan Air Galon Prima

BULAN JUNI

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 07/06/ 36 GALON 321 11000 396,000
2 17/6/2016 31 GALON 435 11000 341,000

737,000
 Pemasukan Air Galon Cleo
BULAN JUNI 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 22/6/2016 17 GALON 21792 9,000 153,000

Pemasukan Air Galon Prima

BULAN JULI 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 15/7/2016 25 GALON 474 11000 275,000
2 28/7/2016 28 GALON 139 11000 300,000

575,000

Pemasukan Air Galon Cleo

BULAN JULI 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 10/8/2016 25 GALON 5852 9,000 225,000
2 18/8/2016 26 GALON 21430 9,000 234,000
3 24/8/2016 17 GALON 21525 9,000 153,000

Pemasukan Air Galon Prima

BULAN AGUSTUS 2016
No Tanggal Jumlah Satuan No. Faktur Harga Total
1 10/8/2016 20 GALON 4 11000 220,000
2 28/7/2016 28 GALON 139 11000 300,000

520,000

Pemasukan Air Galon Cleo

BULAN AGUSTUS

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 10/8/2016 25 GALON 5852 9,000 225,000
2 18/8/2016 26 GALON 21430 9,000 234,000
3 24/8/2016 17 GALON 21525 9,000 153,000
4 26/8/2016 14 GALON 21535 9,000 126,000

Pemasukan Air Galon Prima

BULAN SEPTEMBER 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 5/9/2016 50 GALON 285 11000 550,000
2 24/09/2016 43 GALON 344 11000 473,000

1,023,000

Pemasukan Air Galon Cleo

BULAN SEPTEMBER 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 5/9/2016 15 GALON 20551 9,000 135,000
2 20/9/2016 22 GALON 26592 9,000 198,000
3 30/9/2016 22 GALON 26197 9,000 198,000
4 GALON 9,000
531,000

Pemasukan Air Galon Prima

BULAN OKTEBER 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 12/10/2016 27 GALON 11708 11000 297,000
2 21/10/2016 15 GALON 1 11000 165,000

462,000

Pemasukan Air Galon Cleo

BULAN OKTEBER 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 10/10/2016 20 GALON 26753 9,000 180,000
2 14/10/2016 11 GALON 26779 9,000 99,000
3 20/10/2016 12 GALON 24712 9,000 108,000
4 25/10/2016 11 GALON 9,000 99,000
486,000

Pemasukan Air Galon Prima

BULAN NOVEMBER 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 18/11/2016 27 GALON 1280 11000 297,000
2 28/11/2016 28 GALON 1433 11000 308,000
 605,000

Pemasukan Air Galon Cleo

BULAN NOVEMBER 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 5/11/2016 21 GALON 24198 9,000 189,000
2 18/11/2016 19 GALON 25190 9,000 171,000
3 24/11/2016 15 GALON 25529 9,000 135,000
4
495,000

Pemasukan Air Galon Prima

BULAN DESEMBER 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 28/12/2016 23 GALON 946 11000 253,000

253,000

Pemasukan Air Galon Cleo

BULAN DESEMBER 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 10/12/2016 18 GALON 24198 9,000 162,000
2 13/12/2016 15 GALON 74269 9,000 135,000
3 26/12/2016 16 GALON 74538 9,000 144,000
4
441,000
 Pemasukan Air Galon Prima
BULAN JANUARY

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 17/1/2017 34 GALON 800 11000 374,000

374,000

Pemasukan Air Galon Cleo

BULAN JANUARY 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 14/2/2017 18 GALON 78285 9,000 162,000
2 GALON 9,000
3
4
162,000

Pemasukan Air Galon Prima

BULAN FEBUARY 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 14/2/2016 38 GALON 1151 11000 456,000

456,000
 Pemasukan Air Galon Cleo
BULAN FEBUARI 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 14/3/2017 37 GALON 82758 9,000 333,000
2 30/3/2017 23 GALON 83809 9,000 207,000
3
4
540,000

Pemasukan Air Galon Prima

BULAN MARET 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 10/3/2017 35 GALON 1388 11000 420,000

420,000

Pemasukan Air Galon Cleo

BULAN APRIL 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 13/4/2017 22 GALON 80705 9,000 198,000
2 GALON 9,000
3
4
198,000

Pemasukan Air Galon Prima

BULAN APRIL 2017
No Tanggal Jumlah Satuan No. Faktur Harga Total
1 7/4/2017 31 GALON 11399 11000 372,000

372,000

10000

Pemasukan Air Galon Cleo

BULAN MEI 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 16/5/2017 34 GALON 84104 9,000 306,000
2 30/5/2017 14 GALON 83809 9,000 126,000
3
4
432,000

Pemasukan Air Galon Prima

BULAN MEI 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 19/05/2017 54 GALON 2153 11000 648,000

648,000
 Pemasukan Air Galon Cleo
BULAN JUNI 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total

31 28/6/2017 14 GALON 86313 9,000 126,000
2 GALON 9,000
3
4
126,000

Pemasukan Air Galon Prima

BULAN JUNI 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 30/6/2017 33 GALON 2537 12000 396,000

396,000

Pemasukan Air Galon Cleo

BULAN JULI 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total

31 18/JULI/2017 27 GALON 86313 9,000 243,000
2 24/juli/2017 16 GALON 87525 9,000 144,000
3
4
387,000
 Pemasukan Air Galon Prima
BULAN JULY 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 20/JULI/2017 55 GALON 2867 12000 660,000

660,000

Pemasukan Air Galon Cleo

BULAN AGUSTUS 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total

31 14/AG/2017 30 GALON 90957 9,000 270,000
2 23/08/2017 17 GALON 88555 9,000 108,000
3
4
378,000

Pemasukan Air Galon Prima

BULAN AGUSTUS 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 7/8/2017 39 GALON 3463 12000 468,000
2 7/

468,000

Pemasukan Air Galon Cleo

BULAN SEPTEMBER 2017
No Tanggal Jumlah Satuan No. Faktur Harga Total
1 5/9/2017 18 GALON 9162 9,000 162,000
2 18/9/2017 24 GALON 88555 9,000 216,000
3 20/9/21017 12 GALON 89882 9,000 108,000
4
378,000

Pemasukan Air Galon Prima

BULAN SEPTEMBER 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 11/9/2017 54 GALON 3146 12000 648,000
2 23/9/2017 20 GALON 3637 12000 240,000
3 27/9/2017 47 GALON 3690 12000 564,000

888,000

Pemasukan Air Galon Cleo

BULAN OKTOBER 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 7/10/2017 33 GALON 89316 9,000 297,000
2 19/10/2017 16 GALON 88555 9,000 144,000
3 16/10/2017 19 GALON 89882 9,000 171,000
4 25/10/2017 16 GALON 94349 9,000 144,000
756,000

Pemasukan Air Galon Prima

BULAN OKTEBER 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total

1 18/10/20127 17 GALON 3764 12000 204,000
2 23/10/2017 30 GALON 3713 12000 360,000
3 31/10/2017 56 GALON 3973 12000 672,000

1,236,000
[
0
NO No RM Nama Pasien Tgl Masuk
1 10802 DINAR PURBATHIN, 1-Apr-16
2 10803 LISNAWATI BIN BENI, 1-Apr-16
3 10805 DEMAS ARIF SATRIA 1-Apr-16
4 10808 ICHA PUSPITASARI, 1-Apr-16
5 9569 ROSMAYANTI 1-Apr-16
6 10818 MAISYAROH AZKA, 1-Apr-16
7 9499 HANINDYA AUNI NA 1-Apr-16
8 10819 DZHAKY ALMAIR JAM 1-Apr-16
9 8610 AL HUSNA R.H 1-Apr-16
10 10816 DZAKY ARDHANIHAI 1-Apr-16
11 5140 BY NY MAISYAROH 1-Apr-16
12 7893 IKA ASTARI, NY 2-Apr-16
13 10832 BY NY ROSMAYANTI 2-Apr-16
14 10833 RESTU, NY 2-Apr-16
15 10840 IPAH HASBIAH, NY 2-Apr-16
16 7782 BY NY RESTU 2-Apr-16
17 10821 BY NY IPAH 2-Apr-16
18 10820 ANIQ AINUL MARDI 2-Apr-16
19 10822 TRI AYU ASRIANI , N 2-Apr-16
20 8578 SYEIKHA NUR AULIY 2-Apr-16
21 10823 TRI UTAMI 2-Apr-16
22 10829 ARI FATRIANSA 2-Apr-16
23 10834 DUWI ARIYANTI, NY 2-Apr-16
24 10828 IIS SUSILAH 2-Apr-16
25 10842 TRI UTAMI, NY, BY 3-Apr-16
26 9380 DUWI ARIYANTI, NY, 3-Apr-16
27 10847 IIS SUSILAH 1, NY, B 3-Apr-16
28 10810 IIS SUSILAH 2, NY, B 3-Apr-16
29 10849 TITIN SUPRIATIN 3-Apr-16
30 10850 KEZIA ZAVIER AIHDI 3-Apr-16
31 10851 KHOTIMATUN KHAS 3-Apr-16
32 7603 TITIN BY NY 3-Apr-16
33 10860 SITI HARTINI 3-Apr-16
34 10858 ANDYA NABILA ARA 3-Apr-16
35 10859 IRMA YUNITA, NY 3-Apr-16
36 7541 ZAHRATIKA RAMADY 3-Apr-16
37 7431 VERA ROSANTI, NY 4-Apr-16
38 10862 ANEU MAYASARI 4-Apr-16
39 10865 BY NY VERA 4-Apr-16
40 10814 DAMAR PRASETYA, 4-Apr-16
41 10867 BY NY ANEU 4-Apr-16
42 9441 VIVI ANDRIANTI 4-Apr-16
43 10872 VIVI ANDRIANTI, BY 4-Apr-16
44 4081 AHMAD FAHMI ROS 4-Apr-16
45 10875 RAFALDY GIBRAN, A 4-Apr-16
46 10877 QUEENISA AL JANNA 4-Apr-16
47 8077 HAFIZA KHAIRA LU 4-Apr-16
48 10886 NURBAETI , NY 4-Apr-16
49 10887 ALIF NAUFAL ZAKI, 4-Apr-16
50 10683 ASSYFATU HAFFIZA 5-Apr-16
51 10890 KARINA AZZAHRA, 5-Apr-16
52 10891 RATU AVIA EKA PERT 5-Apr-16
53 10905 AFIF APRILIO FIRDA 5-Apr-16
54 10906 NORMAN ALAIK, TN 5-Apr-16
55 2555 M. NURKHOLIS MAJI 5-Apr-16
56 10915 HATTA WIJAYA 6-Apr-16
57 10917 HAFIZA KHAIRA LUB 6-Apr-16
58 10919 DINAR NOVANINDAR 6-Apr-16
59 10852 BY NY DINAR NOVA 6-Apr-16
60 10920 ANITA SARI, NY 6-Apr-16
61 10922 SYIFA USSAADAH, B 6-Apr-16
62 10921 RENA APRIYANTI, N 6-Apr-16
63 10931 ISMIATI 6-Apr-16
64 2314 NITRA LEGIARTI, NY 6-Apr-16
65 10923 NITRA LEGIARTI, BY 7-Apr-16
66 10538 IVAH HALIPAH, NY 7-Apr-16
67 10940 HANNAN ABDURRO 7-Apr-16
68 10941 ALFIA ZAHRA, AN 7-Apr-16
69 10945 RAFA RASDIONO,AN 7-Apr-16
70 9615 INA KURNIA SARI 7-Apr-16
71 10951 BY NY INA KURNIA 7-Apr-16
72 8075 ADLI DZIL IKRAM 7-Apr-16
73 10863 ALESA ZAHRA, BY 7-Apr-16
74 10956 NORA NURIANY GIR 7-Apr-16
75 7622 RITVIK,AN 8-Apr-16
76 10957 SITI ISMAYA ,NY 8-Apr-16
77 10958 ARSYAD RIZQI TAU 8-Apr-16
78 10960 SITI ISMAYA, BY NY 8-Apr-16
79 10257 DEWI NURJANAH, N 8-Apr-16
80 4155 ONENG, NY 8-Apr-16
81 77 BY NY ONENG 8-Apr-16
82 2787 KEENAN DEFA CAHYA 8-Apr-16
83 9803 AGUSTINA KRISTIANI 9-Apr-16
84 10978 AQILA HUMAIRA MA 9-Apr-16
85 10984 ALVIN ANDREA JUNI 9-Apr-16
86 10986 SANTI SISDARWATI, 9-Apr-16
87 10985 SANTI SISDARWATI, 9-Apr-16
88 10977 AUDY MEYDIANA PU 9-Apr-16
89 10994 ARYA VIKO VALIAN, 9-Apr-16
90 10999 FITRI ENDAH LESTAR 9-Apr-16
91 8666 DZAKY FAIZ KHAIRU 9-Apr-16
92 10989 NAWFAL AQIS IZZ GI 9-Apr-16
93 10997 NURMA JAYANTI, NY 9-Apr-16
 94 11000 BY NY HJ.NEA 9-Apr-16
95 11001 AINAYYA FATHIYYAT 9-Apr-16
96 11003 TIA LATIFATU SADIY 9-Apr-16
97 11002 NURMA JAYANTI, NY, 10-Apr-16
98 11002 DEPI NURMAWATI 10-Apr-16
99 11004 TIA LATIFATU SADIYA 10-Apr-16
100 11005 HABIBIE AZIO HAMIZ 10-Apr-16
101 11006 HANIFA SRI ISNAINI 10-Apr-16
102 11008 KARINA HERNA NUG 10-Apr-16
103 11009 KARINA HERNA NUG 10-Apr-16
104 11007 JANE ASTARINA 10-Apr-16
105 11015 AL HUSNA R.H 10-Apr-16
M.GILANG PUTRA
106 11015 RUSDIYANTO, AN 10-Apr-16
RAVA PUTRA
107 11026 FAUZIYANA, AN 10-Apr-16
108 11027 AHMAD KHAFA, AN 11-Apr-16
JANE ASTARINA , BY,
109 11034 NY 11-Apr-16
ALESHA SHEZA
110 11019 PERMANA 11-Apr-16
111 11035 TRI SUSANTI , NN 11-Apr-16
112 11038 NURJANAH,NY 11-Apr-16
ARJUNA PANJI
113 3123 KURNIAWAN, AN 11-Apr-16
114 11045 ABDUL HALIM, TN 11-Apr-16
HUMAIRA BILQIST AL-
115 11047 RIDWAN, AN 12-Apr-16
ANGGA ZYAHRUL
116 11049 ROMADHON, TN 12-Apr-16
117 11050 MILDA SYIFA, AN 12-Apr-16
AFRILLIA CEARTINA
118 11059 ISKANDAR 12-Apr-16
MUHAMMAD AL
HAFIDZ SHAUQI
119 11063 IRAWAN 12-Apr-16
AFRILLIA CEARTINE
120 11064 ISKANDAR, NY, BY 12-Apr-16
TOTOK MARYONO, TN
121 11065 12-Apr-16
BY NY ERPIYANTI
122 11066 PASARIBU 12-Apr-16
KHANZA ANINDIYA
123 8770 RIZVIE 12-Apr-16
NETTI ANA
124 11068 RACHMAYANTI 13-Apr-16
DIINA PURNAMASARI,
125 8953 NY 13-Apr-16
126 11070 WILLYA HARYATI 13-Apr-16
SEPTIAN DWI CAHYO,
127 7144 TN 13-Apr-16
128 11076 SUCI FEBRIANTI,NY 13-Apr-16
129 11079 SRI JULIANI, NY 13-Apr-16
130 11078 ASTIANA YULIA 13-Apr-16
131 11081 PONIRAH 13-Apr-16
ASTIANA YULIA, BY
132 11082 NY 13-Apr-16
 133 11084 HENI EKOWATI 13-Apr-16
134 11083 BY NY RESTU 14-Apr-16
135 11085 BY NY IPAH 14-Apr-16
136 11090 ANIQ AINUL MARDI 14-Apr-16
1317 11091 TRI AYU ASRIANI , N 14-Apr-16
138 5362 SYEIKHA NUR AULIY 14-Apr-16
139 8858 TRI UTAMI 14-Apr-16
140 4778 ARI FATRIANSA 14-Apr-16
141 9500 DUWI ARIYANTI, NY 14-Apr-16
142 9064 IIS SUSILAH 14-Apr-16
143 11102 TRI UTAMI, NY, BY 14-Apr-16
144 11103 DUWI ARIYANTI, NY, 14-Apr-16
145 11104 IIS SUSILAH 1, NY, B 14-Apr-16
146 11105 IIS SUSILAH 2, NY, B 14-Apr-16
147 1641 TITIN SUPRIATIN 15-Apr-16
148 11107 KEZIA ZAVIER AIHDI 15-Apr-16
149 2438 KHOTIMATUN KHAS 15-Apr-16
150 11111 TITIN BY NY 15-Apr-16
151 11112 SITI HARTINI 15-Apr-16
152 11031 ANDYA NABILA ARA 15-Apr-16
153 1308 IRMA YUNITA, NY 15-Apr-16
154 11120 ZAHRATIKA RAMADY 16-Apr-16
155 11123 VERA ROSANTI, NY 16-Apr-16
156 11122 ANEU MAYASARI 16-Apr-16
157 11131 BY NY VERA 16-Apr-16
158 11130 DAMAR PRASETYA, 16-Apr-16
159 11133 BY NY ANEU 16-Apr-16
160 9723 VIVI ANDRIANTI 16-Apr-16
161 11149 VIVI ANDRIANTI, BY 16-Apr-16
162 5087 AHMAD FAHMI ROS 17-Apr-16
163 11154 RAFALDY GIBRAN, A 17-Apr-16
164 5869 QUEENISA AL JANNA 17-Apr-16
165 4615 HAFIZA KHAIRA LU 17-Apr-16
167 11160 NURBAETI , NY 17-Apr-16
168 11162 ALIF NAUFAL ZAKI, 17-Apr-16
169 9325 ASSYFATU HAFFIZA 17-Apr-16
170 KARINA AN 18-Apr-16
171 Nnorman
172 M NURKHOLIS MAJID
173 11175 HATTA WIJAYA
174 5282 HAFIZA KHAIRA LUBNA
175 11185 DINAR NOVANINDAR,NY
176 11186 BY NY NINDAR NOVNINDAR
177 11190 ANITA SARI,NY
178 11188 SYIFA USSADAH,BY 26-Apr-16
179 11191 RENA APRIYANTI NY 21-Apr-16
180 11193 ISMIATI 25-Apr-16
 181 4813 NITRA LEGIART,NY 25-Apr-16
182 11194 BY, NY NITRA 25-Apr-16
183 11195 IVAH HALIPAH ,NY 25-Apr-16
184 11196 HANNAN ABDUROH 25-Apr-16
185 3530 ALFIA ZHRA
186 11200 RAFA RASDIONO 22-Apr-16
187 11202 INA KURNIA SARI 25-Apr-16
188 8056 BY NY INA 26-Apr-16
189 11213 ADLI DZIL IKRAM
190 7798 ALESA ZAHRA BY
191 11216 NORA NURIAYANI GIRSANG,NY
192 11218 RITVI AN 26-Apr-16
193 7992 SITI ISMAYA,NY 25-Apr-16
194 5384 ARSYAD RIZQI TAU 25-Apr-16
195 11226 BY NY ISMAYA 26-Apr-16
1996 11230 DEWI NURJANAH,N 25-Apr-16
197 11231 ONENG,NY 26-Apr-16
199 11234 BY NY, ONENG
200 11235 KEENAN DEFA CAHY 25-Apr-16
201 9886 AGUSTINA KRISTIAN 26-Apr-16
202 11238 AQILA HUMAIRA M 26-Apr-16
203 4204 ALVIN ANDERA JUNI 26-Apr-16
204 11240 SANTI SISDARWATI 25-Apr-16
205 8750 BY NY SANTI 26-Apr-16
206 11247 AUDY MEYDIANA PU 26-Apr-16
207 11245 ARYA VIKO VALIAN 26-Apr-16
208 10779 FITRY ENDAH LESTARI
209 11254 DZAKY FAIS KHAIRU 26-Apr-16
210 8020 NALWA AQIS
211 11271 NURMA JAYANTI ,NY
12 5810 BY NY HJ NEA 26-Apr-16
213 11266 AINAYYA FATHIYYATURAHMAN
214 11267 TIA LATIFATU SADIYAH
215 11268 BY NY JAYANTI
216 11270 DEPI NURMAWATI
217 8914 TIA LATIFATU SADIYAH
218 11272 HABIBIE AZIO HAMIZAN
219 11273 HANIFA SRI ISNAINI
220 11274 KARINA HERNA NUGRAHA
221 11276 BY NY KARINA
222 11280 JANE ASTRARINA
223 10596 AL HUSNA R.H
224 7144 M GILANG PUTRA R
225 RAVA PUTRA
226 AHMA KHAFA
227 JANE ASTRARINA
228 ALESSA SHEZA
 229 TRI SUSANTI
230 NURJANAH
231 00011145 ARJUNA PANJI
232 00011307 ABDUL HALI
233 00011309 HUMAIRA
234 00000684 ANGGA TN
235 00011310 AN M ALFAJID
236 AN MILDA
237 NY AFRILIA

238 DINA.PURNAMA SARI

239 WILYA HARYATI

240 SEPTIAN DWI

241 SUCI

242 SRI

243 ASTRIANA

244 PONIRAH

246 BY ASTRAINA

247 HENI

JUMLAH PASIEN
RAWAT INAP /VIP
/SVIP=187
5-Jul-00
TOILET SET=187
HANDUK=55
TAS=55
SANDAL=40
GELAS 40

PENGELUARAN
SOFFENIR/NAMA
PASIEN
BULAN MEI 2016

NO No RM Nama Pasien Tgl Masuk

1 00011385 IIN TARMINI, NY 1-May-16

2 00011386 IIN TARMINI, BY NY 1-May-16

00011387 NEVI 1-May-16
3 KRISTINANINGSIH, NY
00011388 ALDRIC ARSAKHA 1-May-16
4 PRANAJA
00009117 AIMANUN TSAQIB 1-May-16
5 ILYASA LUKMAN , AN
00002739 HENI EKOWATI , BY 2-May-16
6 NY
7 00011401 NURHAYATI , NY 2-May-16

8 00009395 NURAHAYATI, BY NY 2-May-16

00011280 FAJAR NUR TAUFIQ, 2-May-16
9 TN
 00011412 DAFA WAHYU 2-May-16
10 WICAKSONO, AN
00011416 KIAN MUAZZAM 2-May-16
11 BACHTIAR BY
00011414 NAYLA SHAFIYAH , AN 2-May-16
12
00011417 AZAM MAULANA 2-May-16
13 PUTRA GUNARDI , AN
14 00011418 FRESTI YULIANA, NY 2-May-16

15 00011419 WENDY WISNU WAR 2-May-16

16 00010405 FRESTI YULIANA, N 3-May-16

00011426 NABILA NUR AZAHRA,
17 AN 3-May-16
18 00011442 AGUSTIN WIDOWATI 3-May-16
19 00011422 AGUSTIN WIDOWATI 04-May-2016
20 00011443 SITI NUR AZIZAH , 04-May-2016
00011445 AHMAD ZAIN NUR 04-May-2016
21 HABIBI , AN
00011447 FREDELLA SHELBY 04-May-2016
22 SHAKILA
23 00011460 TASEM TASMARA, 04-May-2016
24 00007805 ABDUL LATIF, BY 04-May-2016
25 00011468 TASEM TASMARA,B 04-May-2016
26 00011429 AINUN SHAUMI 04-May-2016
27 00010761 JUMAIRA HUSNAYAI 04-May-2016
28 00011475 ALESHA LAVINA DA 04-May-2016
29 00011472 MUHAMMAD ICIRO 04-May-2016
30 00002983 ATI MARYATI, NY 04-May-2016
31 00002801 AL GHAZALI PUTR 04-May-2016
32 00011476 AHMAD SARNUBIH 04-May-2016
33 00011477 ALIYAH KURNIA, N 04-May-2016
34 00011478 ATI, BY NY 05-May-2016
35 00011280 TIARA RISKI,NY 05-May-2016
36 00011479 TIARA RISKI, NY, B 05-May-2016
37 00011480 ALIYAH, BY NY 05-May-2016
38 00010717 DESTI DELHI INDI 05-May-2016
39 00011481 MUNIAH WIYANI, N 05-May-2016
40 00011482 MUNIAH, BY NY 05-May-2016
41 00011484 NELLY NILAWATY 05-May-2016
42 00011485 NELLY NILAWATY, 05-May-2016
43 00011490 YULI JULFATUL HA 05-May-2016
44 00001286 FABIAN ADDI CHAK 06-May-2016
00011494 MARTINA PUSPO RINI, 06-May-2016
45 NY
46 00011499 ABDUL KARIM, AN 06-May-2016
47 00011500 ALVI FADRIAN, AN 06-May-2016
48 00011503 DIKI PUTRA PRATA 06-May-2016
49 00011502 NELLY MARTINI, NY 7-May-16
50 00011504 NAURA GEA NOVA 7-May-16
00006729 HABIBI ALLUBNAN, AN
51 7-May-16
52 00011505 PERAWATI 7-May-16
 00001513 DAFFA ROMANSYAH,
53 AN 7-May-16
00011514 SITI ANNISA KASTURI
54 FIRDAUS, BY 7-May-16
00011515 HUSNA MUMTAZA
55 SYARIFATUNNISA, AN 7-May-16
00010762 RD. FEERZHAL
ABYANSYAH PUTRA,
56 AN 7-May-16
00011281 RAYHAN RASSYA
57 GUNAWAN 8-May-16
00006313 MUWAHHID AL ARKAN
58 SIBARANI 8-May-16
59 00008822 NUR , BY NY 8-May-16
00011230 ARY TEGUH
60 SANTOSO 8-May-16
00011521 AZALEA PUTRI AIKO,
61 AN 8-May-16
00001418 SHOFIYYAH HALWA
62 AZ-ZAHRA 9-May-16
00005132 WANTO SUWANTO,
63 TN 9-May-16
00009137 MUEZAMMI AMAR AL-
64 HAFIDZH , AN 9-May-16
00011527 CENDEKIA SHOFIA
65 ABIDIN 9-May-16
66 00011526 NUR , NY 9-May-16
00011530 AMIRA NEURIS
67 RAHMADANI 9-May-16
00009955 DAUD ABDILLAH
68 ELYARA MAGHFIRAH 9-May-16
00008479 MOHAMAD TSABIT
69 QEIS RAMAZAN, BY 9-May-16
00011532 TAFRIKHUL WILDAN
NOVANDI

70 9-May-16
00008411 SYNTIA GUSTIANA, BY
71 NY 9-May-16
00011270 SHAKILA KHANZA
72 NUR AZZAHRA 9-May-16
00011542 ADIBA SHAKILA 10-May-2016
73 KHANSA
00011544 EZIO AZKA KAMA 10-May-2016
74 YAKUTA
00010961 MATTHEW ETHAN 10-May-2016
75 PURNAMA, AN
00007089 ACHMAD ZAKA , TN 10-May-2016

76
 SYIFAA DIAN
FIRDAUSY, AN

77 00011552 11-May-16
78 00005096 STAVERO JAVAS ARV 11-May-16
79 00009080 SYNTIA GUSTIANA 11-May-16
00011567 MUHAMMAD
80 HARADA , AN 11-May-16
00011568 ZAHRATIKA
81 RAMADYANI, NY 11-May-16
00011569 REGI PEBRIANSYAH
82 RUDIA, BY 11-May-16
00006393 NI MADE GILDA
83 GIASMITA PUTRI, AN 11-May-16
00011570 ALEESHA HASNA
84 RICITA PUTRI , AN 11-May-16
00011575 QINAYA AUFARIN , AN
85 11-May-16
ALISYA ALKA ADIA
86 LAVANI , AN 11-May-16
ALARIQ AIDAN
RAMDHANI

87 11-May-16
RAFKA ABDUL
88 RACHMAN , AN 11-May-16
89 ZULFA RININTA , NY 11-May-16
90 ZULFA , BY NY 11-May-16
91 SRI WULAN , NY 11-May-16
92 SRI WULAN, BY, NY 11-May-16
93 ISTIQOMAH , BY 11-May-16
94 LISA SUNARAH 11-May-16
95 LISA , BY NY 12-May-16
IKHSAN DIMAS
96 FADHILLAH, AN 12-May-16
HAISTA CANTIKA
97 NANIRA , AN 12-May-16
98 SYIFA AULIA , AN 12-May-16
EVAN BENJAMIN
99 PUTRA MEYDEA , BY 13-May-16
ALFAN KHOIR FAJRI,
100 BY 13-May-16
ALVIRA BALQIS
101 KHAIRUNNISA 13-May-16
102 SITI RUBAYA, NY 13-May-16
103 SUSI SUSILAWATI 13-May-16
104 RAMA RAMDHANI, AN 13-May-16
105 KIAN MUAZZAM BA 13-May-16
106 SUTRISNI, NY 13-May-16
107 OYOK, NY 13-May-16
108 BY. NY. OYOK 13-May-16
ROS DEWI NASUTION,
109 NY 13-May-16
110 ROS DEWI , BY NY 13-May-16
ALFIAN RIZKY MUTHA,
111 AN 14-May-16
112 DEDI PERMANA, BY 14-May-16
WIDA FITRIANA , BY
113 NY 14-May-16
114 TURMININGSIH , NY 14-May-16
ALISHA KHAIRA
115 WILDA, AN 14-May-16
ULY FADIL PRATAMA,
116 AN 14-May-16
117 WIDA FITRIANA 14-May-16
SYAHLA HANAN
118 PRAMUDIA, AN 14-May-16
TEGUH RIZKIA
120 PERMANA , AN 14-May-16
NASYWA SYIFA
121 FADILAH 14-May-16
KASYIFA DZIKRA
122 RAMADHANI , AN 15-May-16
123 ADE SRI WAHYUNI 15-May-16
ADE SRI WAHYUNI ,
124 BY NY 15-May-16
125 ABDILLAH HASAN, AN 15-May-16
HESTINA TRI
126 SETYOWATI , NY 15-May-16
ALMAS MUSTIKAWATI
KUSUMAH , AN
127 15-May-16
HESTINA TRI
128 SETYOWATI, BY, NY 16-May-16
NURUL AZZAHRA
129 JAELANI, AN 16-May-16
AXSEL EVERAD
130 SANTOSO, AN 16-May-16
BALQIS RATIFAH
131 SAPUTRA, AN 16-May-16
132 MARIA ULFA , NY 16-May-16
SHAFA ALISHA
133 KHAIRA WILDA , AN 16-May-16
134 MARIA ULFA , BY NY 16-May-16
MARIYAH RISNAWATI
135 NY 16-May-16
136 TUTI ALAWIYAH, NY 16-May-16
DINDA PERMATA SARI
137 16-May-16
140 DINDA , BY NY 16-May-16
TUTI ALAWIYAH, BY
141 NY 16-May-16
142 ADINDA PUTIK. NY 16-May-16
143 ERMIWATI GUTO, NY 17-May-16
MUHAMMAD IRHAM
144 MAULANA, AN 17-May-16
AISYAH ZAHIDA
145 AURORA , BY 17-May-16
146 ENTIS TISNAWATI, NY 17-May-16
147 ENTIS, BY NY 17-May-16
BADRYAH NUR SIFA,
148 AN 17-May-16
149 NURBAITI , NY 17-May-16
150 ARDI NAUFAL FAKHRI 17-May-16
151 SITI FATIMAH 17-May-16
AQUEEN ORYZA
152 SATIVA, AN 17-May-16
MUTHIA APRILIA
153 AZARI , AN 17-May-16
154 DEDEH SURYATI, NY 17-May-16
155 HUSNA SALMA 17-May-16
156 HENI HIMAWAN , NY 18-May-16
157 HENI , BY NY 18-May-16
RAINA NIDA EL
158 ROSYID , AN 18-May-16
M.KHOERUL AZMY AL-
159 BADRY , AN 18-May-16
RADJATA NAROTAMA
160 DANAPATI, BY 18-May-16
161 M.CHIO FIRDAUS , AN 18-May-16
162 ARTHA ULY , NY 18-May-16
163 ADINDA PUTIK. BY NY 18-May-16
165 KHOERUL AZAM , AN 18-May-16
166 M. RAFI HUDA , AN 18-May-16
167 M.ARIFIN ILHAM , AN 18-May-16
MUHAMMAD KENZIE
168 PURNAMA, AN 19-May-16
ARJUNA CANDRA
169 PRADIPTA , AN 19-May-16
170 SITI KULSUM, NY 19-May-16
171 SITI KULSUM , BY NY 19-May-16
172 HJ.ALISAH 19-May-16
173 ARUM INDRIYANI, NN 19-May-16
174 00011737 KAYSA SYAHIDAH, AN
20-May-16
175 00011738 PRISCILLA ZAHRA
LARASATI, AN 20-May-16
176 00011735 IBNU REZA BANGKIT,
AN 20-May-16
177 00011739 GHAZI MUHAMMAD ,
AN 20-May-16
178 00011740 SABIAN YASIR AKBAR,
AN 20-May-16
179 00011742 JAISYU MUHAMMAD,
AN 20-May-16
180 00011512 MUTIARA DWI
FAUZIYYAH, AN 21-May-16
181 00011744 NUNUNG NURHAYATI,
NY 21-May-16
182 00011745 NUNUNG NURHAYATI ,
BY NY 21-May-16
183 00011747 LIE FUI JIU, NY 21-May-16
184 00011749 LIE FUI JIU, BY NY 21-May-16
185 00011751 ARJUNA KENZIE
HAIDAR RAKHMAN 21-May-16
186 00011754 TALITHA YASMINE , AN
21-May-16
187 00011755 YUNITA ANA MARIA 22-May-16
188 00011757 DINA ARUM DEWI
PERTIWI , NY 22-May-16
189 00011758 DINA ARUM DEWI
PERTIWI , BY NY 22-May-16
190 00008373 KENZIE MUHAMMAD
AL KHALIFI HANDOKO 23-May-16
191 00011764 ADEEVA AFSHEEN
MEYSHA , BY 23-May-16
192 00011768 MUHAMMAD RAFIF
FAQIH HIDAYAT , AN 23-May-16
193 00006939 LINA HERNANI , NY 23-May-16
194 00011772 LUSYEANA NUR
FEBIYANTI 23-May-16
195 00011775 YENI MAYANTI, NY 24-May-16
196 00011777 MUHAMMAD YAZID
SIDIK, AN 24-May-16
197 00011780 PRISTA AYU ANINDYA
HAKIM, AN 24-May-16
198 00011782 MITA AYU LESTARI ,
NN 24-May-16
199 00004952 DIKA RAMADANI , AN 24-May-16
200 00011794 MUHAMMAD
FARINDRA PUTRA 24-May-16
201 00011774 RIJAL 25-May-16
202 00011800 MAHARDIKA
PRASETYA 25-May-16
203 00005530 MUHAMMAD
SULTHON TABATABAI
SARIEF , AN
25-May-16
204 00002443 MALIKA ALYA QANITA,
AN 25-May-16
205 00011804 DION DWI RAMADHAN
, AN 25-May-16
206 00011805 YUTAKA AKHWILANDI 25-May-16
207 00011806 IFTINA ASSABIYYA
RAFIFA , BY 25-May-16
208 00011807 FRIDA RIA NANDA , AN
25-May-16
209 00002176 MAYSUN PRIHATI
NINGSIH 25-May-16
210 00007574 KHUURIN SAFITRI, AN 25-May-16
211 00011814 DWI WAHYUNI 25-May-16
12 00011815 KEYSHA SHANUM
AZALIA AHMAD , AN 26-May-16
213 00011773 PUTRI WIDI ASTUTI 26-May-16
214 00011443 RAFASYAH AZKA
PUTRA GUNAWAN ,
BY 26-May-16
215 00011819 SITI HARDIYANTI 26-May-16
216 00011832 JAVIER AKTAM AL
FATIH 26-May-16
217 00011603 ELINA ANINDYA
MULYA 26-May-16
218 00011833 MUHAMMAD MALDINI
ROMADHONA 26-May-16
SYAHLA ALYA
219 00005403 RAMADHANI , AN 27-May-16
SYABIL SAFARAZ
220 00011835 PUTRA 27-May-16
 221 GAVIN RAYKA
ALFAROQ , BY 27/5/2016
222 LUSIANA , BY NY 28/5/2016
CINDY FEBRIANTHY ,
223 NY 29/5 2016
ANNISA NUR AIDA, AN
224 30/5/2016
SHAFIRA PUTRI H , AN
225 30/5/2016
AISYAH NUR HAYATI ,
226 NY 27/52016
227 DWI PRAMAYANTI 27/5/201`6
BY. NY AISYAH
228 NURHAYATI 28/5/209
BY. NY. DWI
229 PRAMAYANTI 28/5/2016
230
CAREM , BY ,NY

231 SYIFA AULIA , AN

BANYU PARADUTA
232 NARARYA , BY
233 ZHAPIRA OKTAVINA

234 ARSENIO AHMAD, BY

SYABIL ATHAILAH
235 ANGGORO , AN
236 DESI HERYANTI , NY
ADELIA PUTRI
237 PRATIWI, AN
DIINA PURNAMASARI,
238 NY 253
239 HARRA WIJAYA , AN

240 MIMI MARYANI , NY

FATHIYYAH NUR
241 SALMA CAISAR , AN
ARDIAN FAKHRY
242 YUDHA. AN
ARDIAN FAKHRY
243 YUDHA. AN

SOFFENIR /PKET MANDI

BULAN JUNI 2016
NO No RM Nama Pasien Tgl Masuk
1 00011932 RIYANTI, NY 1-Jun-16
2 00011929 ULYA AMJADILLA 1-Jun-16
00011916 FARIDA RIKKI JUNIA
3 ,NY 2-Jun-16
4 00011933 KARWIAH , NY 2-Jun-16
5 00011938 KARWIAH , BY NY 2-Jun-16
00011939 QUEENY HABIBAH
6 NUR RACHMA , AN 2-Jun-16
00006669 LINTANG GUMINTANG
7 , AN 2-Jun-16
00011306 MUHAMMAD GANJAR
8 PARAMAYOGA , BY 2-Jun-16
9 00000414 MALIK MAHIR 2-Jun-16
10 00011948 BY, NY SITI 2-Jun-16
11 00011969 ALVIS KHAIRI SYABAN ,3-Jun-16

12 00011950 WIS YELLY SUSETYASTY 3-Jun-16

13 00011956 RAISA MIKA NADHIFA , 3-Jun-16

14 00011957 LUQMAN NUR IHSAN 3-Jun-16

15 00011962 AQILLA , AN 3-Jun-16

16 00011973 NURBAETI SUSILAW4-Jun-16
17 00011980 NURBAETI , BY NY4-Jun-16
18 00006850 4-Jun-16
19 00011995 HANIF , BY 4-Jun-16
20 00005860 MEISYA ANEIRA NA4-Jun-16
21 00011981 M.AKMAL , BY 4-Jun-16
22 00008269 EVA ROSIDAH 4-Jun-16
23 00011975 FANISA ALIYA PUTR4-Jun-16
24 00008123 ELIA , NY 4-Jun-16
25 00011994 RAMA FAIZ AL FARIZ
4-Jun-16
26 00003552 EPITA PEBRIYANTI4-Jun-16
27 00011988 RAMADITYA JUNIYA 4-Jun-16
28 00011996 DANZIKI RAMZAN, 5-Jun-16
29 00011997 ALYA SITI NURJAN 5-Jun-16
30 00012000 WAHYUDIN , TN 5-Jun-16
31 00004140 NELLY OKTAPRIYA5-Jun-16
32 00011863 APRILYANI HUSNA5-Jun-16
00012001 SYAFIRA AZZAHRA ,
33 BY 6-Jun-16
00012002 BY, NY, NELLY
34 OKTAPRIYANTI 6-Jun-16
35 00010504 VERLINDAWATI, NY 6-Jun-16
36 00010903 SRI JULIANI, NY 6-Jun-16
00012007 BY, NY VERLINDAWATI
37 6-Jun-16
38 00012009 SYARI ATUSIPAH, AN 6-Jun-16
39 00012012 SRI JULIANI, BY NY 6-Jun-16
40 00008831 SISKAWATI 6-Jun-16
41 00012006 NAURA , AN 6-Jun-16
42 00012018 SISKAWATI , BY NY 6-Jun-16
00012017 OKI REGIA RABBANI ,
43 NY 6-Jun-16
44 00011724 SITI KHOLISOH , NY 7-Jun-16
00007647 MUHAMMAD ALMEER
45 ATHAILAH 7-Jun-16
00012023 SYAKIRA AINUN
46 NISSA, AN 7-Jun-16
 00011423 IKHSAN DIMAS
47 FADHILLAH, AN 7-Jun-16
48 00012025 ANGGUN NURANIE 7-Jun-16
00012028 OKALINA ANESKA
49 PUTRI, AN 7-Jun-16
00012030 ALULA AFSHEEN
50 MYESHA , BY 8-Jun-16
00012032 AGUS SUPRIYATNA ,
51 AN 8-Jun-16
00011971 NURMAULINAWATI,
52 NY 8-Jun-16
00012033 NAFISHA ATANIA
53 SUSANTO , BY 8-Jun-16
00012037 AQILA ANINDYA
54 FAIKAL 8-Jun-16
00012039 AWALIA IZZATUNNISA,
55 BY 8-Jun-16
00007974 NADA LATISHA ANJANI
56 8-Jun-16
00012041 GISELA AISYAH
57 MARYATI, AN 9-Jun-16
00012042 DIAH AZMI NIHAYATI,
58 NY 9-Jun-16
59 00012045 RISNA MULYONO 9-Jun-16
60 00007285 NIKO ALFARENDRA 9-Jun-16
61 00012054 SUSI LASTUTI 9-Jun-16
62 00012057 BY, NY SUSI LASTUTI 9-Jun-16
00008806 RAFFASYA ARKAN
63 SONJAYA 10-Jun-16
00012001 SYAFIRA AZZAHRA ,
64 BY 10-Jun-16
65 00012065 SINDY ARDIANTI. NY 10-Jun-16
66 00012077 SIRIN KHOYAROH ,BY 10-Jun-16
00012078 BY, NY SINDY
67 ARDIANTI 11-Jun-16
68 00009132 ELFITA SEPTININGSIH 11-Jun-16
00012079 BY, NY ELFITA
69 SEPTININGSIH 11-Jun-16
70 00010908 IBRAHIM, AN 11-Jun-16
71 00011846 YULI EKA DIANTI , NY 11-Jun-16
00011900 BY. NY AISYAH
72 NURHAYATI 11-Jun-16
00002481 ANNISA ZAHRA
73 YULIANT,AN 11-Jun-16
74 00012087 YENI YUNIARTI , NY 11-Jun-16
00012096 YENI YUNIARTI , BY
75 NY 11-Jun-16
76 00012097 HJ TATI HARTATI 11-Jun-16
00012098 YULI EKA DIATI, BY NY
77 12-Jun-16
78 00012099 SANTI SUSILAWATI 12-Jun-16
79 00012100 RAIHANUN, AN 12-Jun-16
80 00012101 PUTRI SABRINA, AN 12-Jun-16
00012102 SANTI SUSILAWATI,
81 BY NY 12-Jun-16
82 00012103 AFIQAH KALILA R, AN 12-Jun-16
00012104 GADIZA LOVANY
83 DIRA, AN 12-Jun-16
84 00012107 HJ.TATI , BY NY 12-Jun-16
 00012113 MUHAMMAD DZIKRI
85 AZHAR, AN 13-Jun-16
00012114 IJLAL SEPTIAN
86 HERMAWAN, AN 13-Jun-16
00012116 MUHAMMAD ALFIN AL
87 VHARO , AN 13-Jun-16
00012127 EARLYTA ARSYFA
88 SALSABILA. AN 14-Jun-16
00012128 AFIFA N KHUMAIRA .
89 AN 14-Jun-16
90 00012130 HAIKAL HAFIZH. AN 14-Jun-16
00009707 YUMNAA DHIA
91 ALTHAFUNNISA 14-Jun-16
92 00012134 M. RIZIQ HAMZAH. AN 14-Jun-16
93 00012137 YUSEFRILLA, BY NY 14-Jun-16
94 00012138 NOVITASARI, NY 14-Jun-16
00012140 ZANA SAHYA LOCITA ,
95 AN 15-Jun-16
00012141 IRNA PURNAMA SARI ,
96 NY 15-Jun-16
00012144 AL ASHARI ASOBARI,
97 AN 15-Jun-16
98 00012146 BY. NY. NOVITASARI 15-Jun-16
99 00012149 IRNA. BY 15-Jun-16
100 00012129 LENA SITI NURUL. NY 15-Jun-16
00012147 SOFYAN AL MALIKI.
101 AN 15-Jun-16
00012150 RAFFATAR
102 RAMADHAN, BY 15-Jun-16
00012152 MUHAMMAD AZKA
ALVIAN PRATAMA, AN
103 15-Jun-16
00012154 KAIRA ANANDA
104 SYAHBANI, AN 15-Jun-16
105 00012155 NOVI INDRAWATI , NY 15-Jun-16
106 00012156 AKMAL , AN 16-Jun-16
00012161 DESVIA AG
107 PRASANDA , AN 16-Jun-16
00012162 NAYSILA AZAHRA , AN
108 16-Jun-16
109 00009492 NIAWATI 17-Jun-16
00012167 MUHAMMAD ALDHI
110 ALFARIZY , AN 17-Jun-16
111 00012169 CASRIYATI 17-Jun-16
00012170 MUHAMMAD FADLI
112 HILMANI , BY 17-Jun-16
113 00012172 CASRIYATI, BY NY 17-Jun-16
114 00008480 APRIYANTI 17-Jun-16
00011171 NAFIZA RAMADHINA
115 KUSUMAH, AN 17-Jun-16
00012175 DEBY GITA SHAVIRA ,
116 AN 17-Jun-16
117 00012176 BY, NY APRIYANTI 17-Jun-16
00010642 REYNAND BIMA
118 ABINAYA 17-Jun-16
00011748 MUHAMMAD RAFFA
119 FIRDAUS 17-Jun-16
120 00012185 ILHAM RAMDAN , AN 18-Jun-16
00000060 MUHAMMAD
121 UNFAWAN 19-Jun-16
 00012188 ZIDAN KHAIRUL
122 KHALIK , AN 19-Jun-16
123 00012189 TASYA SAFIRA , AN 19-Jun-16
00006669 LINTANG GUMINTANG
124 , AN 19-Jun-16
125 00010482 DELISYA ABILQIS, BY 20-Jun-16
00012195 ANNISA FAKHRIYAH.
126 AN 20-Jun-16
00009705 FAIREL ATHARS
127 CHALIEF 20-Jun-16
128 00012200 NUROHMAN , TN 20-Jun-16
00007968 SALSABILA
129 AZRINULATI 20-Jun-16
130 00012201 LALITHA VEGA , AN 20-Jun-16
00012202 DYAH WULAN SARI ,
131 NY 21-Jun-16
00012203 DYAH WULAN SARI ,
132 BY NY 21-Jun-16
133 00012205 DIAN ISLAMIATI, NY 21-Jun-16
00012210 JULIANA SETIAWATI ,
134 NY 22-Jun-16
00012209 ADEEVA RAHMAH
135 AROANI ,BY 22-Jun-16
136 00008107 SUHENDAH 22-Jun-16
137 00012218 NURHIDAYATI . NY 22-Jun-16
138 00008913 GINA AYUDIA 22-Jun-16
00012224 RIZA MUHAMMAD , AN
139 23-Jun-16
00012225 LIDIAWATY RAHMAT ,
140 BY NY 23-Jun-16
00005641 SRI
141 WAHYUNINGSIH,NY 23-Jun-16
142 00012227 NANDITA INDAH . AN 23-Jun-16
00012231 NOVITA KUSUMAH
143 WULANDARI. NY 23-Jun-16
00012233 NOVITA KUSUMAH
144 WULANDARI. BY NY 23-Jun-16
145 00012234 IKA SOLIHAH, NY 23-Jun-16
146 00012236 IKA SOLIHAH , BY NY 23-Jun-16
00007015 SYANALA KANIA
1476 SALBILA . AN 24-Jun-16
00012241 MUHAMMAD ARFAN
148 RAMADHAN . AN 24-Jun-16
149 00012252 ROSI NOVIANTI, NN 24-Jun-16
150 00012255 SITI SUMIYATI, NY 25-Jun-16
00012254 NABILA HAYATUN
151 NUPUS 25-Jun-16
00006052 HAIKAL RIZKY KHAIRI
152 ALHAKIM 25-Jun-16
00012257 ANGGITA NABILAH
153 PUSPARINI 25-Jun-16
154 00011740 KHOERUL AZAM , AN 26-Jun-16
00011751 PRISCILLA ZAHRA
155 LARASATI, AN 27-Jun-16
00012272 AL HISYAM NOFAN
156 ADHIATAMA . AN 27-Jun-16
00007624 AXSEL EVERAD
157 SANTOSO, AN 27-Jun-16
00012275 RIZAL MAULANA
158 IBRAHIM , AN 27-Jun-16
159 NY SARI 29-Jun-16
160 NY SUNARTI 29/-JUNI-16
161 NY KURNIASIH 29-JUNI-16
162 AN FIRTRI 29-JUNI-16
163 AN ABIAN 29-JUNI-16
164 AN NALIZA 29-JUNI-16
165 HJ NUNUNG 29-JUNI-16
166

NO No RM Nama Pasien Tgl Masuk

1 00012393 SOFIYA SAIDAH, AN 11-Jul-16
2 00012398 SUKAESIH , NY 12-Jul-16
00012438 QISTHY RAHMAH
3 CHAIRANI , NN 14-Jul-16
4 00012446 ROMLAH , NY 15-Jul-16
5 00011219 DWI YULYANTI, NY 15-Jul-16
6 00012496 NURYATI, NY 18-Jul-16
7 00001535 PUTRI SRI RAHAYU 19-Jul-16
8 00012595 SITI KODARIAH , NY 27-Jul-16
9 00012315 IKA KURNIANTARI, NY 01-Jul-2016

10 00012344 ASRI YUNIAR , NY 5-Jul-16

11 00012348 WARNI ASIH 6-Jul-16
12 00012359 SITI NURYANAH , NY 7-Jul-16
13 00012361 HARYATI , NY 7-Jul-16
14 00012370 IMAHWATI , NY 8-Jul-16
15 00008541 SRI MULYANINGSIH 10-Jul-16
16 00012395 UMUL HAKAM, NY 11-Jul-16
17 00012419 SITI HABIBAH , NY 13-Jul-16
18 00012430 EUIS SUSANTI , NY 13-Jul-16
00012442 EDAH KOMARIAH , NY
19 14-Jul-16
20 00012551 DEDI SUYANDI , TN 23-Jul-16
21 00004907 HERNI HERIYANI 16-Jul-16
22 00004659 DEWI KOMALA SARI 27-Jul-16
00008992 WINDY JUNITA
23 NINGSIH , NY 28-Jul-16
24 00012448 NIA KURNIA , NY 15-Jul-16
25 00002262 ELYANA CANDRA 23-Jul-16
26 00012317 NAILA RAMANDA , AN 02-Jul-2016

27 00012321 NIZAR PRATAMA PUTRA 02-Jul-2016

28 00012320 DIANI LATIFAH . AN 02-Jul-2016

29 00010085 GAYATRI MEGARIADI 13-Jul-16

30 00012465 YUDA PRAYUGO 19-Jul-16
00012501 SHAREEFA JEHAN
31 AMIRA, BY 21-Jul-16
32 61500051 KHOERUL AZAM , AN 23-Jul-16
33 00012553 NAZRIL ADLANI, AN 24-Jul-16
00012572 MUHAMMAD NAZRIL
34 HADI SUPRIYADI , AN 25-Jul-16
35 00012573 TAMI , AN 25-Jul-16
00012584 SYAFIRA WANDA
36 ERYANTI ,AN 26-Jul-16
00008461 ZENGI BAYEZID
37 MAKAYASA 27-Jul-16
00012604 RIFA ALIYAH
38 SALSABILA ,AN 27-Jul-16
00012613 REZA NUR FITRAH
39 ISLAMY , AN 28-Jul-16
00012433 ARIS SUPRIYATNO ,
40 TN 14-Jul-16
00012484 AKUNG PURWITO AJI ,
41 TN 18-Jul-16
42 00012525 RIKI YUDIANTO , TN 25-Jul-16
00011551 NANDITA ZAHRA
43 PRASTIYO , AN 10-Jul-16
44 00010154 LISNA AYU 13-Jul-16
45 00002398 ZAHROTUL HELFI 14-Jul-16
46 00012533 NURSIMAH, NY 22-Jul-16
00009131 RIKA RAHMAWATI , NY
47 23-Jul-16
00000288 CORALIFIA SYIFANA
48 QOLBII ABIDIN 23-Jul-16
00012549 FATHINAH NUR
49 JALILLAH , AN 23-Jul-16
00006011 ANDHITA HADIF
50 ADZKIA 25-Jul-16
51 00012578 FAISAL BAHTIAR R 26-Jul-16
52 00012325 ROSNAWATI ,NY 02-Jul-2016

53 00012327 DUTHA ADYA YUDHO AT 02-Jul-2016

54 00010925 NURLELA, NY 03-Jul-2016

55 00012372 DAVID HAIKAL GI , AN 9-Jul-16

00006074 AMARA LABIBAH AZRA
56 , AN 12-Jul-16
57 00011415 MUTIARA , NY 13-Jul-16
00006570 REZA THORIQ AL AZIB
58 13-Jul-16
59 00010989 AISYAH NABILA 14-Jul-16
00008133 DIINA PURNAMASARI,
60 NY 14-Jul-16
61 00008416 CHANDA ZACHARY 15-Jul-16
00008293 FADHLIKAL AZHIM
62 KHAIRI 16-Jul-16
00012474 OPI PURNAMASARI ,
63 NY 17-Jul-16
64 00012253 SETIYO RINI ,NY 18-Jul-16
65 00012495 BUNGA SAHARA ,AN 18-Jul-16
66 00009514 AHSAN ABDU TAMZIZ 18-Jul-16
67 00012475 YUSSI ELFIZA , NY 19-Jul-16
 00010787 MARIYAH RISNAWATI
68 NY 20-Jul-16
69 00012238 YURI ARYANI .NY 21-Jul-16
70 00006261 YUDI , TN 22-Jul-16
00012538 HANIFAH AZARIA , AN
71 22-Jul-16
72 00012539 M IBNI NAVIS , AN 23-Jul-16
00012546 ARKAN RADINKA
73 MASKA, BY 23-Jul-16
00012547 GHANI MUBAROK
74 FIRDAUS , AN 23-Jul-16
75 00006022 ADHYASTA AZKA S 24-Jul-16
00009481 NAUFAL
76 ABDURRAHMAN 25-Jul-16
77 00009565 JASMIN AULIA 25-Jul-16
78 00009491 MELA MELATI SARI 26-Jul-16
00012588 IBNU SAKHI ZAIDAN ,
79 AN 27-Jul-16
80 00008431 AHMAD HERIYAWAN 27-Jul-16
81 00012305 REHAN AHZA MARDIKA 02-Jul-2016

82 00012436 NURSYARIFAH , AN 14-Jul-16

00012443 RENDY HARYANTO ,
83 AN 14-Jul-16
00012609 KORNELIUS
84 WIDJAYA ,AN 28-Jul-16
VIP /SVIP
VIP /SVIP
VIP /SVIP
VIP /SVIP
VIP /SVIP
VIP /SVIP
VIP /SVIP
VIP /SVIP
VIP /SVIP
VIP /SVIP
VIP /SVIP
RANAP 3

BULAN AGUSTUS 2016

NO No RM Nama Pasien Tgl Masuk
1 12655 HAFIZA INAYATUS S 1-Aug-16
2 12085 AGUNG MUHAMMAD 1-Aug-16
3 12664 AFIFA TALITA ZAHRA 1-Aug-16
 4 12666 RUZAIN BAKHTIAR, 1-Aug-16
5 7842 RAKA ABDULLAH AI 1-Aug-16
6 12667 DEVANIA LAOLI , AN 1-Aug-16
7 12669 NAURA HASNA ANNI 2-Aug-16
8 12654 DINDA SMARADHAH 2-Aug-16
9 12118 ARYANTI , NY 2-Aug-16
10 1158 ARZACHEL ATHARIZ 2-Aug-16
11 12665 LETISYA AZ'ZHAFIRA 2-Aug-16
12 12675 ARYANTI, BY NY 2-Aug-16
13 12678 SEKAR ANANDA ,BY 3-Aug-16
14 12680 SHANDY KELANA P,K 3-Aug-16
15 12679 MUHAMMAD AZAM A 3-Aug-16
16 12411 DEVI LUINITA . NY 3-Aug-16
17 12682 DEVI LUNITA ,BY NY 3-Aug-16
18 12683 SABINA LENITA ZAHI 3-Aug-16
19 9122 KEISHA AMALIA RA 3-Aug-16
20 12692 FARIS FIRDAUS PRA 3-Aug-16
21 12693 ANIH YUNITA SARI, 4-Aug-16
22 12695 ANIH YUNITA SARI, 4-Aug-16
23 12696 MUHAMMAD FACHR 4-Aug-16
24 12691 BRILLIANT AIDANO, 4-Aug-16
25 12697 MUHAMMAD RAFA A 4-Aug-16
26 12698 ALZENA HUMAIRAH 4-Aug-16
27 9481 NAUFAL ABDURRA 4-Aug-16
28 12707 ADINDA ZAHRA, AN 4-Aug-16
29 12713 NAURA KHAZNA ANN 5-Aug-16
30 12714 AFFAN ALEXIPRATAM 5-Aug-16
31 2041 ALYA RAHMAH KHAI 5-Aug-16
32 9383 YULI SITI MASITOH , 6-Aug-16
33 12729 YULI SITI MASITOH , 6-Aug-16
34 12732 NURI SHEILA NUGRA 6-Aug-16
35 12734 KAILI RAZIQ HANAN 7-Aug-16
36 12735 RIZA DEWI, NY 7-Aug-16
37 12738 RIZA DEWI , BY NY 7-Aug-16
38 12699 ALISYA NURUL ZAHR 7-Aug-16
39 1453 NABILA HAURA SAKH 7-Aug-16
40 12740 TAZKA IDWAR PRAT 8-Aug-16
41 12612 ARSHAKA NAUVAL AL 8-Aug-16
42 11058 YULI YANTI, NY 8-Aug-16
43 12343 HERAWATI , NY 8-Aug-16
44 12746 YULI YANTI , BY NY 8-Aug-16
45 12747 DAIRENZO NATAPRA 8-Aug-16
46 12748 SULASTRI , BY NY 9-Aug-16
47 9545 INDRIYANTI, NY 9-Aug-16
48 10046 ALYA PUTRI JASMINE 9-Aug-16
49 12756 INDRIYANTI, BY NY 9-Aug-16
50 2096 DESSY ERMALINA, N 9-Aug-16
51 12766 HANI OCTAVIANI, A 9-Aug-16
52 12772 DEBY CAROLINE , A 10-Aug-16
53 7133 LIA TRESNA KARTINI 10-Aug-16
54 11807 LINA HERNANI , NY 10-Aug-16
55 12770 SITI MUTMAINAH , 10-Aug-16
56 12777 MUHAMMAD HABIBI 10-Aug-16
57 12778 LIA TRESNA KARTINI 10-Aug-16
58 12779 AYUNINGSIH, AN 10-Aug-16
59 12780 LINA HERNANI, BY N 10-Aug-16
60 12786 SITI MUTMAINAH, B 10-Aug-16
61 12784 NAYLA FARA AZZAHR 10-Aug-16
62 12789 MUHAMMAD ALFAHR 11-Aug-16
63 12792 ZIO ALFARIDZI TRI 11-Aug-16
64 12795 HURI MARYAM YOHA 11-Aug-16
65 12797 AZMI ATHIFA NOVIA 11-Aug-16
66 12799 HURI MARYAM, BY 11-Aug-16
67 12801 CINDY SEPTIAN 12-Aug-16
68 12803 APRILIA HASNA LATI 12-Aug-16
69 12805 M RAFKA PUTRA AD 12-Aug-16
70 12807 CINDY SEPTIAN ,BY 12-Aug-16
71 12810 AHMAD HARI AL-FAT 12-Aug-16
72 12811 MUHAMMAD AL FATI 12-Aug-16
73 5153 FATIH ALFARIZKY SU 12-Aug-16
74 12812 HELVINA RIZKIYA, A 12-Aug-16
75 12813 FADHIL ABDUL HAKI 13-Aug-16
76 12814 RAFLI ADITYA JONDR 13-Aug-16
77 12818 AYESHA RADDIN MA 13-Aug-16
78 12830 SIDQI MUBAROK 13-Aug-16
79 12829 GAMA ABDILLA RA 13-Aug-16
80 12835 KHAYLA ALMIRA M 14-Aug-16
81 12839 UJANG WIJAYA , AN 14-Aug-16
82 12840 AYUDIA INARA HANA 14-Aug-16
83 12843 INDAH KIRANA ,AN 14-Aug-16
84 9472 NAUFFAL AFKAR NU 14-Aug-16
85 5530 ARJUNA KENZIE HA 15-Aug-16
86 10046 ALYA PUTRI JASMINE 15-Aug-16
87 10523 SYAUQI AHMAD K 15-Aug-16
88 12853 SALBIAN ADITYA JO 15-Aug-16
89 12856 AL ZAIDAN FAEYZA 15-Aug-16
90 12857 ALIF MUSLIAHADI V 15-Aug-16
91 12858 EUIS JULITA PRATIWI 15-Aug-16
92 12016 FAISA KISYA ANINDY 15-Aug-16
93 12861 REIKY AZKA PUTRA A 16-Aug-16
94 9328 AULIA FEBRIANY 16-Aug-16
95 12865 ADRIKNI AULIA AZ- 16-Aug-16
96 928 LIA MULIANI 16-Aug-16
97 12868 FIRDAUS ALFA REZQ 16-Aug-16
 98 12874 AULIA FEBRIANY , B 16-Aug-16
99 12872 INAYAH NUR ASIFA , 16-Aug-16
100 12878 LIA MULIANI , BY NY 16-Aug-16
101 12593 LISNAYATI 16-Aug-16
102 12884 BY NY LISNAYATI 17-Aug-16
103 12887 ZHAVINA ULHAQ KA 17-Aug-16
104 12890 M. RIZQI PRATAMA, 17-Aug-16
105 12893 NOEMI MALAIKA ANA 17-Aug-16
106 12894 FAJAR HARIZ SETIAJ 17-Aug-16
107 12898 DHEZAN MAULIDAN 17-Aug-16
108 12899 ALIFIA SEPTIANI AZ 18-Aug-16
109 9311 ALVIRA BALQIS KHA 18-Aug-16
110 8349 ATIQAH HUMAIRA FI 18-Aug-16
111 12572 MUHAMMAD NAZRIL 18-Aug-16
112 12909 JAMILURROHMAN HU 18-Aug-16
113 12911 MARIYATI , NY 19-Aug-16
114 12914 MIYUKI NAIMATUL A 19-Aug-16
115 12915 YASMIN YOHANA, A 19-Aug-16
116 12916 PRIMA JAYUSRINA 19-Aug-16
117 12917 MARYATI ,BY NY 19-Aug-16
118 12918 WATI ,BY NY 19-Aug-16
119 11761 SAVIRA ALESYA , AN 19-Aug-16
120 12923 RIKA ,NY 19-Aug-16
121 8888 RISTI ALYA PUTRI 19-Aug-16
122 11252 MIKHAYLA VINDI AL 19-Aug-16
123 12925 PRIMA JAYUSRINA D 20-Aug-16
124 12926 RIKA, BY NY 20-Aug-16
125 12927 YOSIKAH ISMIYANTI, 20-Aug-16
126 12928 YOSIKAH ISMIYANTI, 20-Aug-16
127 12933 MUHAMMAD AZKA Y 20-Aug-16
128 12934 MUHAMMAD ALIF A 20-Aug-16
129 12935 SUSILAWATI ,NY 20-Aug-16
130 12944 PRILI VHARISYA PRI 20-Aug-16
131 12945 SUSILAWATI ,BY NY 20-Aug-16
132 12900 PRIYANKA RAMADHA 21-Aug-16
133 12947 AGNIA SOLIHAT , AN 21-Aug-16
134 12949 MUHAMMAD ALFIN 21-Aug-16
135 12953 ANINDYA NAPRIKA , 21-Aug-16
136 12956 M YUSUF ALFAIZAL 22-Aug-16
137 12959 KOKOM , NY 22-Aug-16
138 8485 ARLENE ADFEEYAH Z 22-Aug-16
139 8181 RAFARDHAN ATTALLA 22-Aug-16
140 1656 EUIS MULYANI 22-Aug-16
141 12967 EUIS MULYANI , BY 22-Aug-16
142 12973 KOKOM , BY NY 22-Aug-16
143 12975 ELIS YUTIKA , NY 22-Aug-16
144 12028 OKALINA ANESKA PU 22-Aug-16
145 3000 NUR HIDAYAH 23-Aug-16
146 12976 NUR HIDAYAH, BY N 23-Aug-16
147 12978 ELIS YUTIKA , BY NY 23-Aug-16
148 12981 ALULA NOVIA NINDY 23-Aug-16
149 12984 ELNINO ALJANNATI 23-Aug-16
150 12983 REVAN KHAIRI NAS 23-Aug-16
151 9697 KHIAR FAJAR RAMA 23-Aug-16
152 4090 ALIGIBRAN HAMIBA 23-Aug-16
153 12985 KANAYA KANSA HUM 23-Aug-16
154 12986 PAJRIATUNISA , BY 23-Aug-16
155 9668 KAISA ALTHOFUNNI 23-Aug-16
156 12546 ARKAN RADINKA MA 23-Aug-16
157 9724 ANUGERAH TAQIYUDI 23-Aug-16
158 12929 MAHESA JOHAN ZANE 23-Aug-16
159 12988 VIA RUKMAYANTI , 23-Aug-16
160 12989 VIA RUKMAYANTI , B 24-Aug-16
161 11638 AQILLA AZZAHRA W 24-Aug-16
162 2210 DWI ASTUTI 24-Aug-16
163 12084 ALIFIANDRA NAUFA 24-Aug-16
164 12994 DWI ASTUTI, BY NY 24-Aug-16
165 12996 AZKA AL AKBAR, AN 24-Aug-16
166 13000 AL-BERTAN 24-Aug-16
167 13010 ALMIRA DELIA HUS 25-Aug-16
168 13021 ELMI, NY 26-Aug-16
169 10881 KHAYLA ADIA PRAST 26-Aug-16
170 13029 DAANIA NAZMA ALM 26-Aug-16
171 10959 IBRAHIM AMHAR W 27-Aug-16
172 13035 AUFA RIZAL AHMAD 27-Aug-16
173 4604 SHAQUELL KEN WI 27-Aug-16
174 13046 MUHAMMAD RAZKA 27-Aug-16
175 7318 MAELATUL AZIZAH , 28-Aug-16
176 13048 MAELATUL AZIZAH, 28-Aug-16
177 13049 ADNAN KHIAR RAMD 28-Aug-16
178 13052 RAISHA PUTRI WARD 28-Aug-16
179 13053 DIMAS DWI INDATO, 29-Aug-16
180 13064 GERALD PUTAMA AD 29-Aug-16
181 13061 RAISYANADIEN NASY 29-Aug-16
182 13066 HAMZAH MUHAMMAD 29-Aug-16
183 7471 MUHAMMAD DZAKY 29-Aug-16
184 12738 KENRICK FRISTIAN, 29-Aug-16
185 13067 RANGGA MAHARDIKA 29-Aug-16
186 3703 AZZAM ARROSYID I 29-Aug-16
187 13016 GEDE KEENAN ALVA 29-Aug-16
188 13065 SOPHIE CARISSA SIH 29-Aug-16
 BULAN SEPTEMBER 2016
NO No RM Nama Pasien Tgl Masuk
00013095 ADAM FIRMASYAH ,
1 AN 1-Sep-16
00012286 ANINDITA MAHARANI
2 KUNTADI, BY 1-Sep-16
00010650 HANINDYA KEISHA
3 AZZAHRA 1-Sep-16
4 00009976 EARLYTA ARSYFA S 1-Sep-16
5 00008486 NURUL HIDAYAH 1-Sep-16
6 00003515 SEPTIANI TRIRAHAYU 1-Sep-16
00008547 ALBIANSYAH
7 KHAIDAR 1-Sep-16
00013105 DHIRGAM YUSLI
8 PRAMUDYA , AN 1-Sep-16
00006907 MUHAMMAD AL FATIH
IMAM ALKHALIFI
9 1-Sep-16
10 00002594 YANTI YULINDASARI 2-Sep-16
11 00013106 MIRAWATI , NY 2-Sep-16
00013107 ANASTASYA DENIA
12 PUTRI 2-Sep-16
00013108 QARIRA ZAFKA
13 RAYSALIMA,AN 2-Sep-16
00013111 FARHANA NAJMA
14 ULYA ,BY 2-Sep-16
15 00013117 MIRAWATI, BY,NY 2-Sep-16
00013096 FATHUR GIBRAN AL
16 GHIFARI , AN 2-Sep-16
00013121 ABYAN ALDEBARAN,
17 AN 2-Sep-16
18 00013090 ALYA HAYATI , AN 2-Sep-16
00013123 MUHAMMAD RAFLI ,
19 AN 2-Sep-16
00012610 MUHAMMAD AL
20 HABSYI, AN 3-Sep-16
21 00009496 ENENG IMAS TUTI 3-Sep-16
22 00007006 QONITAH AS SALIMY 3-Sep-16
00004390 DHIMAS MICHAEL
23 KURNIAWAN 3-Sep-16
00013131 PUTRA KURNIASYAH
24 M 3-Sep-16
00013132 ENENG IMAS TUTI ,BY
25 NY 3-Sep-16
00013133 AHMAD YASIN
26 ABDULLAH, AN 3-Sep-16
00007358 ADITYA PUTRA
27 KUSMANA, AN 3-Sep-16
00010970 ADIYASTA KAMYA
28 MAHANI PUNA 3-Sep-16
29 00007129 SHOFIYYAH 4-Sep-16
 00013140 ZABDAN GHANI
30 ABGARY , AN 4-Sep-16
31 00013141 LESTARI , BY NY 4-Sep-16
00006961 KENTA ADDIEN AL-
32 KAMIL DIANANTO 4-Sep-16
00013149 UFAIRA RAMADHANI
33 SYAPUTRI, AN 4-Sep-16
34 00013150 ADE KOSASIH , H 5-Sep-16
35 00001435 RATTANIA SHUPI 5-Sep-16
00013156 M. RAFKA PRATAMA
36 HAMBALI, AN 5-Sep-16
00006177 LUTHFI
37 ABDURRAHMAN 5-Sep-16
38 00002544 MUHAMMAD FATHIR 5-Sep-16
39 00013021 ELMI, NY 5-Sep-16
00012085 AGUNG MUHAMMAD
40 ADHA , AN 6-Sep-16
00013166 VELDAN DIMAS
41 ALFATIH , AN 6-Sep-16
42 00013167 ARLIN 6-Sep-16
00006907 MUHAMMAD AL FATIH
IMAM ALKHALIFI
43 6-Sep-16
00011500 FABIAN ADDI
44 CHAKRA, AM 7-Sep-16
45 00013182 TRI WAHYUNI, NY 7-Sep-16
00013183 QAIREEN BATRISYA,
46 AN 7-Sep-16
47 00013185 TRI WAHYUNI , BY NY 7-Sep-16
00013180 GHINA RIZQI
48 AGUSLINA , NY 8-Sep-16
00013201 ALYA NURHAFIZAH,
49 AN 8-Sep-16
00013202 NADIA MUTIARA
50 HAFIZH, AN 8-Sep-16
00013204 DZULFA
51 KHAIRUNNISA , AN 8-Sep-16
00013213 AI RIYAN NUR SITI ,
52 NY 8-Sep-16
53 00009777 LIA KAMELIA 9-Sep-16
54 00009964 CUCU SETIANINGSIH 9-Sep-16
00013214 YUSI AZKADINI
55 NURDIN, BY 9-Sep-16
00013218 NINA MAYASARI, BY
56 NY 9-Sep-16
57 00013221 LIA KAMELIA, BY NY 9-Sep-16
58 00013227 LINDA LESMANA , NY 9-Sep-16
00013203 MUHAMAD ALIF
59 BADRANI, M, AN 9-Sep-16
00013228 RANI BUNGA
60 LESTARI , AN 9-Sep-16
00013229 LINDA LESMANA , BY
61 NY 9-Sep-16
00005087 AHMAD FAHMI
62 ROSYID 10-Sep-16
00010668 YUNITA RACHMI
63 AZHARI 10-Sep-16
00013235 YUNITA RACHMI , BY
64 NY 10-Sep-16
00013237 SUHAILA ILMA NAFLA
65 DWI PURNAMA 11-Sep-16
 00013238 ANINDITA KEISHA
66 ZAHRA, BY 11-Sep-16
00006905 ATHALLAH FARRAS
67 FARIZAL 12-Sep-16
00013247 ALEXANDER FIAN AL
68 HADI 12-Sep-16
00013248 FAUZAN RAKA
69 GARNIDA, AN 12-Sep-16
00013251 FAHRI MOHAMMADIN
70 NAYA , AN 13-Sep-16
71 00010127 IMAS ROSIDAH 13-Sep-16
00013257 MUHAMMAD YUSUF
72 AL GHAJALI , BY 13-Sep-16
73 00012847 M.RIZKI AZKA F, AN 13-Sep-16
00013258 AZKA ADITYA PUTRA
74 HANDOKO , AN 13-Sep-16
00001670 SYAILA NAURATU
75 JANNAH 13-Sep-16
00013260 RISKA NUR
76 OKTAVIANI, AN 13-Sep-16
00013261 IMAS ROSIDAH ,BY NY
77 13-Sep-16
78 00013268 ARIF MUSTOFA ,AN 13-Sep-16
00009751 RAFFASYA MALIK A ,
79 AN 14-Sep-16
80 00013271 MASLIA , NY 14-Sep-16
00007871 EARLYTA QUEISHA
81 ANYA 14-Sep-16
00013270 RATU SHAQUEELA
KEIRAFARA SUYUDI,
82 AN 14-Sep-16
83 00013275 MASLIA , BY NY 14-Sep-16
00005153 FATIH ALFARIZKY
84 SUCIPTO , AN 14-Sep-16
00013276 JASMINE HANANIA
85 KEISYA SABILA, BY 14-Sep-16
00012104 GADIZA LOVANY
86 DIRA, AN 14-Sep-16
87 00004519 DEWANI DANISWARA 14-Sep-16
00005652 NABILAH
88 ALIFATUNNISA 15-Sep-16
00013283 SHIREN NURPUTRI
89 RAMADHANI 15-Sep-16
90 00013288 UNIH KURNIA , NY 15-Sep-16
91 00013295 UNIH KURNIA , BY NY 15-Sep-16
00013294 NENI YUNIIAWATI , NY
92 15-Sep-16
00013296 SITI FATIMAH
93 AZZAHRA, AN 15-Sep-16
00010346 RAISSA ELYSIA
94 NURSADIRA 15-Sep-16
00012691 BRILLIANT AIDANO,
95 AN 15-Sep-16
00012924 MOCH RIFALQI
96 RASYID 15-Sep-16
97 00010272 KHAIRUL SUKMAWAN 15-Sep-16
00013299 NOVITA LIA DWI
98 ASTUTI 16-Sep-16
00004906 FAKHRY ABI
99 AFRIANSYAH , AN 16-Sep-16
00013317 MUHAMMAD RIZQI
100 SAPTA WISESA , AN 16-Sep-16
 00013321 NADINE THAFANA
101 NARESWARI, AN 17-Sep-16
00013327 DIYA SHAKILA
102 SUPRIADIN, AN 17-Sep-16
00009407 MUHAMMAD RAIHAN ,
103 AN 17-Sep-16
104 00012335 IRNA SARI . NY 17-Sep-16
00013332 TRIA PERMANAWATI,
105 NY 17-Sep-16
00013334 FAHIRA SYAHWA
106 HAFIZAHAH , AN 17-Sep-16
00013335 HERI RUDIANSYAH ,
107 TN 18-Sep-16
00013336 MUHAMMAD THAHER
108 RIZKY ALWI ,AN 18-Sep-16
109 00013338 IRNA SARI ,BY NY 18-Sep-16
00013339 CHARLISA ANINDIA
110 PUTRI ,AN 18-Sep-16
00013340 ZYAIN MALIK AL
111 JABBAR 18-Sep-16
00004913 ILMI FASTABIQUL
112 AFLAH 18-Sep-16
00003585 KARINDRA
113 LUTHFIYAH RAHMAN 18-Sep-16
00012987 ALESHA NAUFALYN
114 CALISTA PUTRI , AN 19-Sep-16
115 00006215 EVA OKTASIVA 19-Sep-16
00007055 CAHAYA AOSORA
116 WIDODO 19-Sep-16
00004441 KHOIRRO ATHAILLAH
117 ANNAS, AN 19-Sep-16
00011429 ALESHA LAVINA DANA
118 MAGNIFY, BY 19-Sep-16
119 00013300 ROSITA NINGRUM, NY 19-Sep-16
120 00013358 RAFFA HAMZAH , AN 20-Sep-16
00013362 JIHAN NAURA PUTRI
121 KURNIAWAN, BY 20-Sep-16
00013361 NAZEEHA FARA
122 AZZAHRA , AN 20-Sep-16
00008301 ALYSSA AYUDYA
123 PUTRI 20-Sep-16
124 00003901 NADIA AQILA RISYA 20-Sep-16
00011734 PRICILLIA OLIVIA
125 ILONA MARIS , BY 20-Sep-16
00013350 ALVARO NAUFAL
126 MAHERWARA ,AN 21-Sep-16
00013359 KHANSA ALIFATUS S ,
127 AN 21-Sep-16
128 00013377 DESRIYANTI , NY 21-Sep-16
00013379 YAYUK SRI RAHAYU ,
129 NY 21-Sep-16
00013382 PELANGI ANINDYA ,AN
130 21-Sep-16
00013384 YAYUK SRI RAHAYU
131 ,BY NY 21-Sep-16
132 00013385 RATNA SURYANI ,NY 21-Sep-16
00013399 DESRIYANTI 1 BY, NY,
133 22-Sep-16
00013400 DESRIYANTI 2 , BY
134 NY 22-Sep-16
00013401 MUHAMAD HAFIF
135 ESTIAWAN 22-Sep-16
 00013410 AHMAD FAWWAZ , AN
136 23-Sep-16
00009970 AQILLA TAZKIATUL
137 NAFSI , AN 23-Sep-16
00005479 VIENDRA INDRA
PERMANA SIDIQ
138 HALDIA 23-Sep-16
00007127 MUHAMAD NADIR
139 RAFASSYA , AN 23-Sep-16
140 00013419 DESY MARZUKI, NN 23-Sep-16
141 00013426 ROHAYANI, NY 23-Sep-16
142 00013427 LINDA LESTARI , NY 23-Sep-16
143 00013428 ROHAYANI , BY NY 24-Sep-16
00013429 LINDA LESTARI, BY NY
144 24-Sep-16
00009699 JUNITA PATMAWATI.
145 NY 24-Sep-16
146 00013164 RANDI PERMANA, AN 24-Sep-16
147 00013433 AHMAD FARIS, AN 24-Sep-16
00013441 JUNITA PATMAWATI ,
148 BY NY 24-Sep-16
00013092 KEISYA DUHITA 26-Sep-2016
HAYUNING TYAS , NY

149
00013445 KEISYA DUHITA 26-Sep-2016
HAYUNING TYAS , BY
NY

150
00013446 AHMAD ALFATIH ,AN 26-Sep-2016

151
00013452 RAKA ANWAR, AN 26-Sep-2016

152
 00013447 FATHAN AL MAISAZ 26-Sep-2016
ZAFAR

153
00013456 FARREL FAHREZA 26-Sep-2016
ALFARIZIE, BY

154
155 00009437 IVANA DEANGELA 27-Sep-2016

156 00012968 NENGSIH, HJ , NY 27-Sep-2016

157 00013462 ADHYASTHA EL DANISH 27-Sep-2016

158 00013465 ROMAULI PASARIBU, N 27-Sep-2016

159 00011619 DIAN ALAMTARI, NY 27-Sep-2016

160 00008412 IBRAHIM MOVIK 27-Sep-2016

161 00013466 ROMAULI PASARIBU, B 27-Sep-2016

162 00012568 DIAN ANJASARI , NY 27-Sep-2016

163 00009296 ALMYR JAMIL ALFARIZI 27-Sep-2016

164 00013354 NURHASANAH, NY 27-Sep-2016

165 00007671 NASYTHA SHIFRA ABDU 27-Sep-2016

166 00007245 IDZHAR HAMKA 27-Sep-2016

167 00013472 DIAN ALAMTARI, BY NY 27-Sep-2016

168 00013471 SITI NURBAETI 27-Sep-2016

169 00013473 DIAN ANJASARI , BY NY 27-Sep-2016

00013474 MUHAMMAD NAUFAL
170 HANIF ALNINO , AN 28-Sep-16
00013478 IRSYAD ADITYA
171 PERMANA, AN 28-Sep-16
00013482 SITI NURBAETI, BY NY
172 28-Sep-16
00013496 NURHASANAH ,BY NY
173 28-Sep-16
174 00007625 TIA APRIYANI 29-Sep-16
175 00013501 PUTRI ANJANI, NY 29-Sep-16
00013503 HANINDYA PUTRI
176 YUSUP, BY 29-Sep-16
177 00013504 JUNITA , NY 29-Sep-16
178 00013508 PUTRI KANIYA ,BY NY 29-Sep-16
00012056 RAFAEYZA ALVARO
179 KEVAN , AN 30-Sep-16
00013510 ATHAYA DEVAN
180 REFANDRA , AN 30-Sep-16
NO REG ID No RM Nama Pasien

1 REG/1610/00002 00001261 ARKAAN KAIVANNIIGATA ARSYAD

2 REG/1610/00004 00013522 TRIANA SUHARTINI, NY
3 REG/1610/00014 00013524 QONITA , BY
4 REG/1610/00022 00013526 PRISMA MAULANA , AN
5 REG/1610/00039 00007373 MUHAMMAD FAIQ HIDAYAT
6 REG/1610/00070 00013530 MIKHAYLA FIDELMA AZKADINA , AN
7 REG/1610/00072 00012835 KHAYLA ALMIRA M

8 REG/1610/00080 00012971 ALVIS FADHIL AIDIN RAHMAN , AN

9 REG/1610/00088 00013251 FAHRI MOHAMMADIN NAYA , AN

10 REG/1610/00113 00013544 KHANZA AZZAHRA IZATUNISA

11 REG/1610/00116 00000746 IIN PRIHATIN

12 REG/1610/00133 00013552 NUR SAHADAH, NY

13 REG/1610/00135 00007923 TEUNGKU MUHAMMAD BILAL SYA'BAN

14 REG/1610/00137 00013554 NUR SAHADAH ,BY NY

15 REG/1610/00147 00013555 FATIMAH AZZAHRA KHOIRUNNISAH

16 REG/1610/00148 00013276 JASMINE HANANIA KEISYA SABILA, BY

17 REG/1610/00151 00013558 SUHENI , NY

18 REG/1610/00166 00006145 VARRANT ROUSIHAN EL-BARKIE

19 REG/1610/00179 00013565 SETIANA INDAH PERTIWI, NN

20 REG/1610/00180 00013566 ASSYRAF MUZARAR FIRDAUS, BY

21 REG/1610/00183 00013568 PATRIASIH , NY

22 REG/1610/00185 00013543 ARI NURANI, NY

23 REG/1610/00195 00013570 PATRIASIH ,BY NY

24 REG/1610/00199 00013572 SHALIHA NURJANAH ,NN

25 REG/1610/00202 00013571 IRMINA DELSY NATALITA ,NY

26 REG/1610/00221 00013581 AYSE NADHEERA KHOIRULAN, AN

27 REG/1610/00230 00012111 NUR YANTI. NY

28 REG/1610/00235 00010514 FATHIA SYAKILA MUMTAZAH

29 REG/1610/00239 00013330 ANI SULASTRI , NY

30 REG/1610/00253 00013586 ISVARA MALAIKA WIYOKO, BY

31 REG/1610/00289 00011781 ARKAN SHIDQI, AN

32 REG/1610/00298 00007340 ADRIAN AZKA IRAWAN

33 REG/1610/00299 00013595 ZAIN SYABIL AL WIRATAMA, AN

34 REG/1610/00306 00013597 VITO DWI CAHYANTO , AN

35 REG/1610/00330 00013416 SUSAN JULIANTI, NY

36 REG/1610/00331 00013609 CLEO OKTAVIA TEGUH, BY

37 REG/1610/00354 00013525 KRISTINANI , NY

38 REG/1610/00357 00006215 EVA OKTASIVA , NY

39 REG/1610/00384 00013621 NAILA AMALIAH

40 REG/1610/00393 00013623 SHAFIRA AULIA N , AN

41 REG/1610/00401 00012778 DEVINA RAFANI NALIA , BY

42 REG/1610/00423 00011734 PRICILLIA OLIVIA ILONA MARIS , BY

43 REG/1610/00431 00006145 VARRANT ROUSIHAN EL-BARKIE

44 REG/1610/00459 00011710 ARKANA AL-FATIH RAMADHAN , AN

45 REG/1610/00463 00013410 AHMAD FAWWAZ , AN

46 REG/1610/00464 00013433 AHMAD FARIS, AN

47 REG/1610/00466 00012182 MICHAEL CHRISTIAN MILLARD , AN

REG/1610/00469 00013635 NAIRA ALMAHYRA PUTRI, AN

REG/1610/00472 00013636 GUSFIAN AHMAD SUGITO, AN
REG/1610/00476 00003560 VIKA AGUSTIN, NY
REG/1610/00493 00013642 NAURA NOVIYANTI, BY
REG/1610/00495 00013640 SITI HAPSOH, BY NY
REG/1610/00505 00010787 MARIYAH RISNAWATI NY
REG/1610/00519 00013649 FAIZ FAJAR IBRAHIM , BY

REG/1610/00532 00013643 TEGUH IQBAL MAULANA , AN

REG/1610/00541 00013651 DWI EKA SARTIKA ,NY
REG/1610/00542 00012237 M. DZAKI ADESTYA . AN
REG/1610/00545 00013658 AFRYLIA SAFITRI
REG/1610/00550 00013659 DWI EKA SARTIKA BY NY
REG/1610/00564 00013662 HAIDAR ABGORI NURTIANTO

Register Nama Pasien

REG/1610/00576 00004243 IDKHAL AL SURURI
REG/1610/00578 00012413 IKA SUARTIKA , NY
REG/1610/00579 00013479 MUHAMMAD ARDY MALIK, AN
REG/1610/00595 00011098 SHINTA DEWI RAHMAWATI
REG/1610/00601 00002495 REGINA SAFITRI
REG/1610/00607 00013672 KEN ZADA HASNASAKHI , AN
REG/1610/00620 00009869 SHALLI SHALLIHAH
REG/1610/00627 00013677 KIREY INARA PUTRI SETIAWAN
REG/1610/00629 00007131 MUHAMMAD NAZRIEL R
REG/1610/00634 00013679 BIMA ADIRAJADA , AN

REG/1610/00672 00013690 GAIZKA QIANA OKTARI

REG/1610/00706 00010028 JUJU JUMAROH

REG/1610/00708 00010542 LUSPITASARI, HJ
REG/1610/00709 00013703 LUSPITASARI, BY NY

REG/1610/00726 00013707 AULIYA NUR AZZUHRO , AN

REG/1610/00754 00013613 ERNI SUPRIYANI , NY
REG/1610/00755 00010014 LINA ULFAH
REG/1610/00756 00002544 MUHAMMAD FATHIR , AN

REG/1610/00761 00013712 ERNI SUPRIYANI,BY NY

REG/1610/00766 00013713 LINA ULFAH, BY NY
REG/1610/00774 00012874 KHADZIYA ANNISA DZAKIRA . BY
REG/1610/00780 00013717 DIANA MEIHILDA , AN
REG/1610/00791 00013723 DEDE LUTFHI RIFKA SYAKI , AN
REG/1610/00796 00013726 EVA ROVANIE, NY
REG/1610/00797 00013725 RINA NURAENI , NY
REG/1610/00798 00013727 RINA NURAENI , BY NY
REG/1610/00816 00013728 MUHAMMAD ALFARUQI , AN
REG/1610/00819 00013731 ZAVIER ASRAF MAULANA , BY
REG/1610/00821 00013296 SITI FATIMAH AZZAHRA, AN
REG/1610/00825 00013210 NURUL NUBUWWATI MUKARROMAH , NY
REG/1610/00826 00004130 NIA KURNIATI
REG/1610/00830 00013734 AISAH, NY
REG/1610/00831 00008677 RAISHA KHAYLA NAEEMA GHANI
REG/1610/00832 00013735 NIA KURNIATI , BY NY
REG/1610/00834 00012760 DEWA ABDUL GHOFUR
REG/1610/00836 00013736 AISAH , BY NY
REG/1610/00856 00013164 RANDI PERMANA, AN

REG/1610/00900 00013754 MUHAMMAD JIBRIL AL FATIH , BY

REG/1610/00905 00013313 IRMA SURYANI, NY

REG/1610/00909 00012761 MUHAMMAD KHALID AL-KAUTSAR, AN
REG/1610/00916 00013758 FILLIO ARZHATA AVERROES
REG/1610/00918 00004656 TSURAYA AZZANADA KANAYA ,AN

REG/1610/00949 00013764 NURUL,NY

REG/1610/00967 00013771 NURUL BY, NY
REG/1610/00973 00008339 GRISELLA HASNA RISTI
REG/1610/00986 00013775 RAYSSETA DZAKY ALKHALIFI
REG/1610/00989 00013618 NURI ZULAIKHA RAMADHANI, AN
REG/1610/00998 00011825 AINUN PUTRI RAMADANI , AN
REG/1610/01005 00012441 DION CESA PRATAMA,AN

REG/1610/01009 00005112 MUHAMMAD RIZQIE AL FATHAN

REG/1610/01016 00011706 SRI NURAENI. NY
REG/1610/01037 00013788 ALYA NADIVA ADISTIA , AN
REG/1610/01050 00001778 MARIA ULFA
REG/1610/01052 00013792 RINA OKTAVIANI, NY
REG/1610/01061 00013795 ZAINAB HUSNA HAFIZAH, AN
REG/1610/01063 00013796 RINA OKTAVIANI ,BY NY

REG/1610/01083 00013804 CUCUN CUNAYAH, NY

REG/1610/01110 00013815 NIA SUMIATI, NY
REG/1610/01112 00013818 NIA BY NY
REG/1610/01113 00013819 LEO SAPUTRA, BY
REG/1610/01114 00013807 WIJAYA FAUZAN FATIHIN, AN

REG/1610/01175 00013833 SAFRIYANTI, NY

REG/1610/01177 00013532 FITRA SUCI WINARTI , NY
REG/1610/01179 00013835 ARSYAD AL KHALIF, BY
REG/1610/01183 00013836 SHAFITRI HANDAYANI, AN
REG/1610/01207 00013845 MARIA ULFA , NY
REG/1610/01210 00013846 DARULLA RIHADATUL HAWA , AN
REG/1610/01213 00013848 CHIKA MEILANI , AN
REG/1610/01220 00010472 HARLINA
REG/1610/01226 00013851 BY NY MARIA ULFA
REG/1610/01228 00013853 HARLINA, BY NY
REG/1610/01231 00013478 IRSYAD ADITYA PERMANA, AN
REG/1610/01238 00010544 EKA SEPTIANTI , NY

REG/1610/01239 00013856 EKA SEPTIANTI , BY NY

REG/1610/01262 00013861 NINING SARININGSIH ,NY
REG/1610/01274 00013864 SYAHRANI YUMNA SALSABILLA
REG/1610/01276 00013863 MUHAMMMAD ZIKRI HAMZAH ,AN
REG/1610/01277 00013866 NINING SARININGSIH , BY NY

REG/1610/01288 00013871 RAFI AMAR FADHLI, AN

REG/1610/01291 00013873 MARYAM, BY NY
REG/1610/01292 00013872 WIWIN WINDARI, NY
REG/1610/01299 00012745 ALYSSA MUTIA ALFAH , AN

BULAN NOVEMBER 2016

No RM Nama Pasien Tgl Masuk

00010623 KIANDRA ABRISAM 1-Nov-16

00010764 YAYU PURNAMA , 2-Nov-16
00013503 HANINDYA PUTRI Y 2-Nov-16
00013901 ABDILLAH RAYYAN 2-Nov-16
REG/1611/00088 HATTA WIJAYA 03-Nov-2016
REG/1611/00097 MAYA DAMAYANTI 03-Nov-2016
REG/1611/00104 ALPIANI NUR JANAH 03-Nov-2016
REG/1611/00107 WIWIN WINDARI, NY 03-Nov-2016
REG/1611/00088 HATTA WIJAYA 03-Nov-2016
REG/1611/00097 MAYA DAMAYANTI 03-Nov-2016
REG/1611/00104 ALPIANI NUR JANAH 03-Nov-2016
REG/1611/00107 WIWIN WINDARI, NY 03-Nov-2016
REG/1611/00138 MAYA DAMAYANTI , BY 03-Nov-2016
REG/1611/00143 ROSTIANAH , NY 04-Nov-2016
REG/1611/00147 ROSTIANAH , BY NY 04-Nov-2016
REG/1611/00157 ADEEVA SHAQILA SOFY 04-Nov-2016
REG/1611/00164 TAZKIA, AN 04-Nov-2016
REG/1611/00172 AQILAH SILMI GHANIYA 05-Nov-2016
REG/1611/00173 SALSABILA 05-Nov-2016
REG/1611/00190 GAIZKA QIANA OKTARI 05-Nov-2016
REG/1611/00202 PEPY LILYANA NURVALI 05-Nov-2016
REG/1611/00215 ATIK SUHARNI 06-Nov-2016
REG/1611/00217 MARTINA PUSPO RINI, 06-Nov-2016
REG/1611/00218 ATIK SUHARNI , BY NY 7-Nov-16
REG/1611/00233 FREYA ALENA DEWI 7-Nov-16
REG/1611/00257 LARAS LESTARI 7-Nov-16
REG/1611/00258 ALKHALIFI RAJENDRA 7-Nov-16
REG/1611/00263 LARAS LESTARI ,BY
NY 7-Nov-16
REG/1611/00292 MUHAMMAD SAMI
HIBATULLAH 8-Nov-16
REG/1611/00293 SYAKIRA NAYLA
SALSABILA 8-Nov-16
REG/1611/00299 KARINA MAHARANI ,
AN 8-Nov-16
REG/1611/00304 JALILAH JAYA
HARAHAP, NY 8-Nov-16
REG/1611/00326 SINDY SILVIANI
ALFIYAH , AN 9-Nov-16
REG/1611/00328 ISWARA
ESTININGTYAS 9-Nov-16
REG/1611/00331 ERIKA PUTRI
WAHYUNI , NY 9-Nov-16
REG/1611/00340 NAURAH SHABIRAH
LUTHFIYAH, AN 9-Nov-16
REG/1611/00345 ERIKA , BY NY 9-Nov-16
REG/1611/00392 ARBI MAULANA ILHAM 10-Nov-2016
REG/1611/00397 JUAN MAKHIS AL KAFF, 10-Nov-2016
REG/1611/00399 ANDRI , BY 10-Nov-2016
REG/1611/00411 NISMARA KAMILIA KAW 10-Nov-2016
REG/1611/00415 ARYA FADILLAH 11-Nov-2016
REG/1611/00425 ANI SURYANI, NY 11-Nov-2016
REG/1611/00426 RISA NASIDATUL 11-Nov-2016
HUSNAH , NY
REG/1611/00435 ZIYAD ATHAYA 11-Nov-2016
REG/1611/00436 CERIA NAYSILA 11-Nov-2016
HASAN , BY
REG/1611/00438 SALSHABILA EKA AYU 11-Nov-2016
REG/1611/00441 PETY PRATIWI, NY 11-Nov-2016
REG/1611/00450 DEWI, BY NY 11-Nov-2016
REG/1611/00468 MAYA ULFA, NY 12-Nov-16
REG/1611/00488 EZRA AR-RAFIF , BY 12-Nov-16
REG/1611/00489 KHAYLA ALMIRA M 12-Nov-16
REG/1611/00494 KIENNAN ABRIZAM
AZZAHDI, AN 12-Nov-16
REG/1611/00522 ISMA NURWULAN . NY
12-Nov-16
REG/1611/00524 HARIS BIN ABDUL
BASIT 12-Nov-16
REG/1611/00529 GENDIS KINAR HASNA 13-Nov-2016
REG/1611/00538 ABDUL AZHAR FATHURR 13-Nov-2016
REG/1611/00540 WIDYA ADHE WINITA 13-Nov-2016
REG/1611/00543 ARIQ ADZANI
BACHTIAR ,AN 14-Nov-16
REG/1611/00558 INDAH
DARMANINGSIH 14-Nov-16
REG/1611/00568 LIES INDRIATI 14-Nov-16
REG/1611/00574 DESI HASITA NURAINI,
AN 14-Nov-16
REG/1611/00577 NAUFAL AL ZARQA
YULIANTO, BY 14-Nov-16
REG/1611/00583 KHALIS AZITA
CIPTAGHATI 14-Nov-16
REG/1611/00590 INDAH PUSPASARI ,
NY 14-Nov-16
REG/1611/00592 ASIH , BY NY 14-Nov-16
REG/1611/00593 RAKADARU NATA
NUGRAHA, BY 15-Nov-16
REG/1611/00605 SITI UMAYAH 15-Nov-16
REG/1611/00610 RAHMA RANJANI,AN 15-Nov-16
REG/1611/00616 ANDINI S. ZAHRA 15-Nov-16
REG/1611/00618 M. RAFKA PRATAMA
HAMBALI, AN 15-Nov-16
REG/1611/00621 RAKA APTA DARMA
,AN 15-Nov-16
REG/1611/00643 ALESHA NAUFALYN
CALISTA PUTRI , AN 15-Nov-16
REG/1611/00645 SRI MARYATI 15-Nov-16
REG/1611/00658 SUHERNI, NY 16-Nov-16
REG/1611/00662 SUHERNI BY NY 16-Nov-16
REG/1611/00664 CICI RATNASARI, NY 16-Nov-16
REG/1611/00668 CICI RATNASARI, BY
NY 16-Nov-16
REG/1611/00670 SRI MARYATI, BY NY 16-Nov-16
REG/1611/00685 KHAYLA
KHOIRUNNISA ,AN 16-Nov-16
REG/1611/00689 MIKHAILA ALMIRA
MARITZA 16-Nov-16
REG/1611/00697 INDIRA ARIS TANASYA
,AN 16-Nov-16
REG/1611/00701 HAFIZH ADYARIZKY,
AN 16-Nov-16
REG/1611/00726 HESTI
MEILATRIANTI ,NY 18-Nov-16
REG/1611/00734 HESTI
MEILATRIANTI ,BY NY 18-Nov-16
REG/1611/00752 DIAN NOVITA, NY 18-Nov-16
 REG/1611/00768 SITA NURAIDA
FERDIANTI ,NY 19-Nov-16
REG/1611/00775 ALESHA LAVINA DANA
MAGNIFY, BY 19-Nov-16
REG/1611/00776 RAISYA AMELIA
RAMLAN 19-Nov-16
REG/1611/00785 NADYA AMIRA
KHAIRUNNISA,AN 19-Nov-16
REG/1611/00809 MAIZA RIMSHA
SOPIAN 19-Nov-16
REG/1611/00836 M. RAFA SAEPULLAH,
AN 19-Nov-16
REG/1611/00838 IXIA ZHAFIRA DEFARA 19-Nov-16
REG/1611/00839 AZIZA MAKAILA
PUTRI, AN 19-Nov-16
REG/1611/00843 BILAL ZAHEER
GIBRAN 20-Nov-16
REG/1611/00845 RAFAEL YEEHEZKIEL
HERYANTO 20-Nov-16
REG/1611/00847 DAISAH , NY 20-Nov-16
REG/1611/00852 DIAZ ALZAHY
PRATAMA, AN 20-Nov-16
REG/1611/00867 QIRAN OKTAVIA
ARDIANSYAH 21-Nov-16
REG/1611/00876 BILQIS FITRIYANA 21-Nov-16
REG/1611/00884 AL ZIKRI FIRDAUS .
AN 21-Nov-16
REG/1611/00890 FADHILAH
SALSABILA, AN 21-Nov-16
REG/1611/00898 EVA OKTASIVA , NY 21-Nov-16
REG/1611/00912 SITI NUR ASSHYFA
AULIA 21-Nov-16
REG/1611/00918 NURJANAH,NY 22-Nov-16
REG/1611/00932 FATHAN PRATAMA
HIDAYAT ,AN 22-Nov-16
REG/1611/00933 FEBY SALSABILLAH
,AN 22-Nov-16
REG/1611/00937 M. ALFA RIZQY 22-Nov-16
REG/1611/00955 M. FIRDAUS
SUSANTO, AN 23-Nov-16
REG/1611/00960 RAHMA ASSYFA, AN 23-Nov-16
REG/1611/00961 RISTIANI DEWI, NY 23-Nov-16
REG/1611/00970 ASYRAF
GATHANAUFAL, BY 23-Nov-16
REG/1611/00974 MALIKA HIMAWARI
GHAISANI, BY 23-Nov-16
REG/1611/00979 MUHAMMAD AMZAR
FAIRUZ, AN 23-Nov-16
REG/1611/00980 MARTINA PUSPO RINI,
NY 23-Nov-16
REG/1611/00986 LISNAWATI, NY 23-Nov-16
REG/1611/00989 KEENAND ATHAYA
ISMAIL ,AN 23-Nov-16
REG/1611/00993 TAZKA ZULQARNAIN
ZULMI ,BY 23-Nov-16
REG/1611/01007 FAZRI PAMUNGKAS
,AN 23-Nov-16
REG/1611/01009 GINASTRIA HERDIAT,
NN 23-Nov-16
REG/1611/01038 INDAH NURUL RAMADH 24-Nov-2016

REG/1611/01046 ANINDYA FAUZIAH 25-Nov-16

REG/1611/01065 REYNAND VIRENDRA E 25-Nov-16
REG/1611/01070 VERA SAFITRI HIDAYAT 25-Nov-16
REG/1611/01073 ALSYAQIRI WISASTRO 25-Nov-16
REG/1611/01074 YASMIN NUR ASSYIFA 25-Nov-16
REG/1611/01080 PUTRIANA SARI , NY 25-Nov-16
REG/1611/01081 DZAKY ARDHANI , AN 25-Nov-16
REG/1611/01082 ANANTA YUNAN IBRAH 25-Nov-16
REG/1611/01083 PUTRIANA SARI , BY N 25-Nov-16
REG/1611/01084 KANAYA ALESHA SAIRA, 25-Nov-16
REG/1611/01088 AKBAR CAESAR NURDA 25-Nov-16
REG/1611/01091 ADYARA SITI KHAIRANI 25-Nov-16
REG/1611/01101 IRA RAHMAWATI ,NY 25-Nov-16
REG/1611/01103 KARSIH . NY 26-Nov-16
REG/1611/01104 KARSIH ,BY NY 26-Nov-16
REG/1611/01106 YANTI WIJAYANTI 26-Nov-16
REG/1611/01127 NELLY HARDIANTI, NY
26-Nov-16
REG/1611/01135 YANTI WIJAYANTI, BY
NY 26-Nov-16
REG/1611/01143 NELLY HARDIANTI, BY
NY 26-Nov-16
REG/1611/01171 KARTEM , NY 26-Nov-16
REG/1611/01173 NURINDAH
NANDAYANTI
HIBATULLAH , NY 26-Nov-16
REG/1611/01175 NURINDAH
NANDAYANTI
HIBATULLAH ,BY NY 26-Nov-16
REG/1611/01176 KARTEM ,BY NY 26-Nov-16
REG/1611/01178 CUNAYAH, NY 27-Nov-16
REG/1611/01179 CUNAYAH ,BY NY 27-Nov-16
REG/1611/01185 HANNAN MUHAMMAD
SHAFIN , BY 27-Nov-16
REG/1611/01186 ARYA DWI PUTRA , AN
27-Nov-16
AN MIAMAR 28_NOV-16
1 NY AZIZAH 28-Nov-16
AN DION 28-Nov-16
AN MALIKA 28-Nov-16
AN TIARA 28-Nov-16
AN MITA 29-Nov-16
AN BADRIAH 29-Nov
ATI 30-Nov-16
TRINA 30-Nov-16
 BULAN DESEMBER 2016
No RM Nama Pasien Tgl Masuk NAMA DR

1 NY WULAN 1/12/2016 PREDY

2 AN ANANDITA 2/12/2016 DR DEDI
3 AN M LUTHFI 2/12/2016 DR DEDI
4 AN AZIZAH 2/12/2016 DR DEDI
5 AN M ADIB 2/12/2016 DR DEDI
6 AN NATASYA 3/12/2016 DR DEDI
7 AN M IBNU 3/12/2016 DR DEDI
8 AN KLALAF 4/12/2016 DR DEDI
9 NY IRA 4/12/2016 DR FREDY
10 AN NAZWA 4/12/2016 DR DEDI
11 AN M ZHAHRA 4/12/2016 DR DEDI
12 AN ALFARIL 5/12/2016 DR DEDI
13 AN MARVELLA 1/12/2016 DR DEDI
14 NY NENG NOVI 1/12/2-016 DR WIDIYA
15 AN IRSAN 2/12/2016 DR DEDI
16 AN GRACELA 5/12/2016 DR SALY
17 AN ALFARIL 5/12/2016 DR DEDI
18 AN SYIFA 5/12/2016 DR DEDI
19 AN ZIDANE 6/12/2016 DR DANNIS
20 AN DINI 6/12/2016 DR DEDI
21 AN ADELIO 6/12/2016 DR DEDI
22 NY MIA 6/12/2016 DR FREDY
23/ AN VERONIKA 7/12/2016 DR DEDI
24 AN BILQIS 7/12/2016 DR DANNIS
25 AN MIKAILA 7/12/2016 DR SELY
26 NY EVA 7/12/2016 DR FERDY
29 AN INARA 7/12/2016 DR SALY
30 AN LANANG 8/12/2016 DR
31 AN MIHSAN 8/12/2016 DR
32 AN ZAHRA 8/12/2016 DR
33 AN ABI 8/12/2016 DR
34 AN ALIVAH 8/12/2016 DR
35 AN ABIL 8/12/2016 DR
36 AN M ZIDAN 8/12/2016 DR
37 AN TANIA 8/12/2016 DR
38 AN KARIN OLIP VIA 8/12/2016 DR
39 NY NURI 9/12/2016 DR FERDY
40 AN M ALBI 9/12/2016 DR DEDI
41 AN DERINA 9/12/2016 DR DEDI
42 AN BILQIS 10/12/2016 DR SELY
43 ABYAAN 10/12/2016 DR DEDI
44 STENI 11/12/2016 DR SELY
45 AN ROBY 11/12/2016 DR DEDI
46 AN KENZIE 11/12/2016 DRDEDI
47 AN JESIKA 12/12/2016 DR DEDI
48 AN ALVIRA 13/12/2016 DR SELY
49 AN ASHA AL 13/12/2016 DR DANIS
50 AN ANANDA 13/12/2016 DRDEDI
51 AN GAZIA 13/12/2016 DR SELI
52 NY RISA 13/12/2016 DR WIDIA
53 AN NAJLA 14/12/2016 DR DEDI
54 AN NADIAH 10/12/2016 DR DEDI
55 AN PRATIWI 11/12/2016 DR DEDI
56 AN M MUROB SALI 13/12/2016 DR SELY
57 AN CLARA 14/13/2016 DR DEDI
58 AN RAISA 14/12/2016 DR DEDI
59 BY MUHAMAD MUROBY 14/12/2016 DR DEDI
60 AN NAJLA 14/12/2016 DR SELY
61 AN RIFA 14/12/2016 DR DEDI
62 AN AFANDI 14/12/2016 DR DANIS
63 AN ALASYAFIN 14/12/2016 DR DEDI
64 NENG SELFI 14/12/2016 DR SELY
65 AN RAFI AZAM 15/12/2016 DR DEDI
66 AAN HAFSA 16/12/2016 DR SELI
67 AN HIFAHELL 16/12/2016 DR WIDIA
68 NY YANTI 16/12/2016 DR WIDIA
69 NY SILVIA 17/12/2016 DR FERDY
70 AN ROYAN 17/12/2016 DR DEDI
71 NY ANI 18/12/2016 DR FERDY
72 NY SITI ROMLAH 19/12/2016 DR WIDIA
73 AN ZUHUDIAR 19/12/2016 DR DEDI
74 AN SABRINA 19/12/2016 DR DEDI
75 NY ENENG 20/12/2016 DR FERDY
76 NY AGUNG 20/12/2016 DR DEDI
77 NY MEGA 21/12/2016 DR FREDY
78 AN ALYA 21/12/2016 DR DEDI
79 AN M MUROBI 18/12/2016 DR DEDI
80 AN STEVEN 19/12/2016 DR DEDI
81 AN GEORGE 26/12/2016 DR DEDI
82 AN SHAKILA 26/12/2016 DR DEDI
83 NY WIWIN 26/12/12 DR WIDIA
84 AN ASKA DINI 22/12/2016 DR DEDI
85 AN HILWA 22/12/2016 DR DEDI
86 AN UMAR 22/12/2016 DR DEDI
87 AN M RAFI 22/12/2016 DR DEDI
88 AN ANISA 22/12/2016 DR DEDI
89 AN BELVANIA 22/12/2016 DRDEDI
90 NY SITI ROMLAH 23/12/2016 DR FERDY
91 AN ALBERT 23/12/2016 DR DEDI
92 AN NAJWA 24/12/2016 DR DEDI
 93 AN ABYA 24/12/2016 DR DEDI
94 AN JAKI HILMI 24/12/2016 DRDEDI
95 AN DAFIT 25/12/2016 DR DEDI
96 ANGHISNAN 25/12/2016 DR DEDI
97 AN SYAHIRA 25/12/2016 DR DEDI
98 AN FAEYA 26/12/2016 DR DEDI
99 AN BILAL 26/12/2016 DR DEDI
100 TN CAHYA 26/12/2016 DR SUHITO
101 NY YETI 26/12/2016 DR WIDIA
102 AN DHAFA 27/12/2016 DR DEDI
103 KENJO 28/12/2016 DRDEDI
104 AN NAIRA 28/123/2016 DR DEDI
105 AN REYCHAL 30/12/2-016 DR DEDI
106 NY KUN KONAAH 30/12/2016 DR WIDIA
107 AN NAIRA 31/12/2016 DR DEDI
108 AN YUNI 31/12/2016 DR DEDI

BULAN JANUARY 2017 SOFFENIR PASIEN

No RM Nama Pasien Tgl Masuk NAMA DR

2 AN ALINA 1/1/2017 DR DEDI

3 NY NINA 1/1/2017 DR FEDRY
4 AN ENITA 1/1/2016 DRDEDI
5 AN RAYAN 1/1/2017 DR SELY
6 AN ALFARIZKI 1/1/2016 DR DEDI
7 AN AMARA 2/1/2017 DR DEDI
8 AN CLARA 2/1/2017 DR DEDI
9 AN INARA 3/1/2016 DR DEDI
10 NY DONA 3/1/2016 DR FREDY
11 AN ANTA 3/1/2016 DR DEDI
12 AN DESI 3/1/2016 DR DEDI
13 NY SITI 3/1/2016 DR WIDIA
14 AN RIFAN 4/1/2017
15 AN GAITSA 4/1/2017
16 AN KAUTSAR 5/1/2017
17 AN GHANI 5/1/2017
18 NY SITI NUR 5/1/2017
19 NY KIKI 5/1/2017
20 AN ZASKIAH 7/1/2017
21 AN DESI 6/1/2017
22 AN NOVIANTI 8/1/2017
23 AN ALPARISKI 8/1/2017
24 AN ISMATUL 8/1/2017
25 AN ADWA 9/1/2017
26 NY MEI RAHAYU 9/1/2017
27 AN DINI 9/1/20917
28 AN DAFADLAN 9/1/2017
29 AN SURAYA 9/1/2017
30 AN HANI 9/1/2017
31 AN KHAIRA 9/1/2017
32 NY INTAN 10/1/2017
33 AN AIDAN 10/1/2017
34 AN HANUNG 10/1/2017
35 AN DILA 10/1/217
36 AN TRIYA 10/1/2017
37 AN NAUFAL 11/1/2017
38 BY RIJA 11/1/2017
39 AN AZMI 11/1/2017
40 AN FAUZA 11/1/2017
41 AN HERLANI 11//2017
42 AN ISHAK 12/1/2017
43 AN MAKDAN 12/1/2017
44 AN SINTIA 12/1/2017
45 AN TIKA 12/1/2017
46 NY ROBIYAH 14/1/2017
47 NY SITI F 14/1/2017
48 AN SINTIA 14/1/2017
49 AN FIKA 14/1/2017
50 AN ELJA 15/1/2017
51 NY IMAS 15/1/2017
52 AN FIGNA 16/1/2017
53 NY PUTRI 16/1/2017
54 AN M HAFIS 16/1/2017
55 NY ANIH 16/1/2017
56 NY RAHAYU 16/1/2017
57 NY S NOFA 16/1/2017
58 NY NOVITA 17/1/2017
59 NY SITI NUR 17/1/2017
 60 NY FITRI 17/1/2017
61 AN SALSA 17/1/2017
62 AN ZAHRA 17/1/2017
63 AN TRIA 17/1/2017
64 NY EUIS 18/1/2017
65 AN NUHMA 18/1/2017
66 AN KHANIA 18/1/2017
67 NY MAMIH 18/1/2017
68 AN FANI 19/1/2017
69 AN HANIF 19/1/2017
70 AN HABIYAN 20/1/2017
71 AN M MAULANA 21/1/2017
72 AN M ZAFRAN 21/1/2017
73 AN M FATIH 22/1/2017
74 AN ALYA 22/1/2017
74 NY NURHASANAH 23/1/2017
75 NY ASW 23/1/2017
76 NY METIA 23/1/2017
77 AN M HARIS 23/1/2017
78 AN SHAHIRA 23/1/2017
79 AN ILHAM 23/1/2017
80by BY JIADAT 24/1/2017
81 NY INA HEDINA 25/1/2017
82 AN LUTFI 25/1/2017
83 AN SHAIRA 25/1/2017
84 NY ATIKA 25/1/2017
85 AN TEGUH 25/1/2017
86 NY NATINI 26/1/2017
87 NY YUNI 26/1/2017
88 AN RENDRA 26/1/2017
89 NY EEN 26/1/2017
90 NY FITRI 27/1/2017
91 NY TETI 28/1/2017
92 NY FEYOLA 29/1/2017
93 NY MUMUN 29/1/2017
94 AN FATHIA 30/1/2017
95 AN GHITA 2/1/2017
96 AN FAUJIAH 4/1/2017
97 AN TIARA 5/1/2017
98 AN ANDIRA 7/1/2017
99 AN BIMA 8/1/2017
100 AN AZMI 13/1/2017
101 AN M FADIYANSAH 16/1/2017
102 AN M BINTAN 19/1/2017
103 NY DINI 20/1/2017
104 AN YASINTIA 23/1/2017
105 AN AL KHALIFI 24/1/2017
 106 AN HAMZAN 25/1/2017
107 AN KHAILA 27/1/2017
108 AN JESSLYNE 29/1/2017
109 AN FATHIA 30/1/2017
110 NY ERNA 30/1/2017
111 NY SITI 30/1/2017
112 NY KARTIKA 30/1/2017
113 AN YOHANES 30/1/2017
114 AN FARISHA 30/1/2017
115 AN REHAN 30/1/2017
116 NY ALAMIYAH 31/1/2017
117 AN HANA 31/1/2017
118 NY MEI RAHAYU 31/1/2017
119 NY ANGGRAENI 31/1/2017
120 AN M YUSUP 31/1/2017
121 NY MEI FERONIKA 31/1/2017
122 NY SETIA 31/1/2017
123 NY ENENG 31/1/2017

BULAN FEBUARY 2017

No RM Nama Pasien Tgl Masuk NAMA DR

1 NY SANTI 1/2/2017 DR
2 AN GERA VANDRA 1/2/2017 DR
3 AN AL KHAFI 1/2/2017 DR
4 AN HILWA 2/2/2017 DR
5 AN NURKAMILA 2/2/2017 DR
6 AN ARKIANDA 2/2/2017 DR
7 AN SITI 2/2/2017
8 AN SOPI 2/2/2017
9 NY RARAN 3/2/2017 DR
10 NY MEI 3/2/2017 DR
11 NY ROHKANAH 3/2/2017 DR
12 AN ARUMI 4/2/2017 DR
13 AN SAEPULOH 4/2/2017 DR
14 AN SULTAN 5/2/2017 DR
15 AN SHILOH 5/2/2017 DR
16 AN FATIMAH 5/2/2017
17 AN RM AIR 6/2/2017 DR
18 NY IIS 6/2/2017 DR
19 NY NUNIK 6/2/2017 DR
20 AN RANGGA 6/7/2017 DR
21 AN GAUN 6/2/2017
22 AN FAIS 6/2/2017
23 NY NURJANAH 6/2/2017
24 AN ARALEA 6/2/2017
25 AN RAHIHAN 7/2/2017
26 AN M GIBRAN 7/2/2017
27 NY MUJAHIRAH 7/2/2017
28 M CANDRA 7/2/2017
29 AN ADNAN 8/2/2017
30 NY AWANA 9/2/2017
31 AN RAFI 9/2/2017
32 AN ASKA 9/2/2017
33 AN GAVIN 9/2/2017
34 NY MIRA 10/2/2017
35 AN M AZHAR 10/2/2017
36 AN ADITIA 11/2/2017
37 AN NAUFAL 11/2/2017
38 AN ASYIFA 11/2/2017
39 AN M TAWAS 12/2/2017
40 AN M RAFLI 12/2/2017
41 NY SITI ROBIYAH 12/2/2017
42 AN KENZA 12/2/2017
43 AN ZHEPFA 12/2/2017
44 AN ALIFAH 12/2/2017
45 AN ANAUFAL 12/2/2017
46 AN INDAH 12/2/2017
47 AN M AZAM 12/2/2017
48 AN SYAFIRA 13/2/2017
49 AN KIREN NA 13/2/2017
50 AN MEYVITA 13/2/2017
51 AN SIGY 13/2/2017
52 SARAH 13/2/2017
53 AN ALKAUTSAR 13/2/2017
54 AN AKMAL 14/2/2017
55 NY WIWIN 14/2/2017
56 NY SUKANAH 14/2/2017
57 AN NADIRA 15/2/2017
58 AN SYAPIQ 15/2/2017
59 NY TARWATI 15/2/2017
60 NY DIANA 15/2/2017
61 NY TRI 16/2/2017
62 AN AYASNA 16/2/2017
63 AN ARASELA 16/2/2017
 64 NY SELVIA 17/2/2017
65 NY TENI 17/2/2017
66 NY LIP IDRIANI 17/2/2017
67 AN MUTIARA 17/2/2017
68 NY ENUY 17/2/2017
69 AN AKMAL 18/2/2017
70 AN DESTA 18/2/2017
71 NY ELNERA 18/2/2017
72 NY AISAH 20/2/2017
73 AN BUNGA 20/2/2017
74 AN ALIFA 20/2/2017
75 AN KHNSA 21/2/2017
76 AN QUEEN 21/2/2017
78 AN RANI 21/2/2017
79 AN ALMAR 21/2/2017
80 AN DINA 21/2/2017
81 AN DINI 21/2/2017
82 AN DAFA 23/2/2017
83 AN PUYTRI 23/2/2017
84 NY ANDRIANI 23/2/2017
85 NY IDA 23/2/2017
86 AN BAGAS 23/2/2017
89 NY SRI FTRIANI 24/2/2017
90 NY YUSTIN 24/2/2017
91 NY MUTIA 24/2/2017
92 AN NOVITA YANTI 243/2/2017
93 NY ADELIA 25/2/2017
94 NY FIRTIYANI 25/2/2017
95 NY IDAH 25/2/2017
96 NY KARTINI 26/2/2017
97 AN RAFANDRA 26/2/2017
98 AN RAFLI 26/2/2017
99 AN SHASHI 27/2/2017
100 NY UNI 27/2/2017
101 AN ZAHRA 27/2/2017
102 AN HILMI 27/2017
103 AN PUTRI 27/2/207
104 NY EROS 27/2/2017
105 AN KHANZA 27/2/2017
106 AN DIANA 27/2/2017
107 AN DEFIANA 28/2017
108 AN SAFFANA 2/2/2017
109 AN DINDA 2/2/2017
110 AN RAISA 4/2/2017
111 AN AN M HANIF 8/2/2017
112 NY DIAN NOVITA 8/2/2017
113 AN M SULATAN 11/2/2017
 114 NY ENUR 17/2/2017
115 AN DINA 19/2/2017
116 AN NASYA 23/2/2017
117 AN AVISA ROS 25/2/2017
118 NY TIARA 25/2/2017
119 NY LIES 27/2/2017

BULAN MARET 2017 STOK MANDI

No RM Nama Pasien Tgl Masuk NAMA DR

1 NY HAYU 1/MARET 2017

2 NY EKA SANA 2/3/2017
3 AN M RAIHAN 2/MARET 2017
4N NY DWI 2/MARET 2017
5 NY ANI SOPIAH 2/MARET 2017
6 AN RENAN 2//MARET 2017
7 AN ARSHAKA 2/MARET 2017
8 NY SITI YUHANATA 3/MARET 2017
9 NY SURIATI 3/MARET 2017
10 AN RAISA 3/MARET 2017
11 AN KAILA 3/MARET 2017
12 AN GISELA 3/MARET 2017
13 AN KAILA 4/MARET 2017
14 AN NAQIYA 4/MARET 2017
15 AN FARIS 4/MARET 2017
16 AN CARISA 4/MARET 2017
17 AN GALIH 4/MARET 2017
18 AN M RAYA 4/MARET 2017
19 NY PUTRI 4/MARET 2017
20 AN MUFIDA 4/MARET 2017
21 NY VERAWTI 4/MARET 2017
22 AN MUFIDA 5/MARET/2017
23 AN NAURA 5/MARET/2017
24 AN CHOIRUL 5/MARET/2017
25 AN MUAMAR 6/MARET
26 AN M RAFI 6/MARET 2017
27 NY MARYATI 6/MARET 2017
28 AN ZAKI 6/MARET 2017
29 AN ANINDITA 7/MARET 2017
30 NY NANI 7/MARET 2017
31 NY HAYU 7/MARET 2017
32 NY TUTI 7/MARET 2017
33 AN NARENDIA 7/MARET 2017
34 AN ALFIAN 8/MARET 2017
35 NY ITA 8/MARET 2017
36 AN MIRJA 8/MARET 2017
37 AN ALULA 8/MARET 2017
38 AN JASMIN 9/MARET 2017
39 AN REFALDI 9/MARET 2017
40 AN M DZAKA 9/MARET 2017
41 AN FAJRI 9/MARET 2017
42 AN ANISA 9/MARET 2017
43 AN AM SARI 9/MARET 2017
44 AN M ARKAN 10/MARET 2017
45 NY LENI 10/MARET 2017
46 AN PRADITA 10/MARET 2017
47 AN ALIPIADRA 10/MARET 2017
48 NY ESRA 10/MARET 2017
49 AN NASYITA 10/MARET 2017
50 NY SITI AISAH 10/MARET 2017
51 AN HENI 10/MARET 2017
52 AN M RIDWAN 11/MARET 2017
53 NY EUIS 11/MARET 2017
54 AN DASTAN 11/MARET 2017
55 AN M FAISAL 12/MARET 2017
56 AN M RIZQIE 12/MARET 2017
57 AN M SHINTA 13/MARET 2W017
58 AN ALTHAF R 13/MARET 2W017
59 AN BINTANG 13/MARET 2W017
60 AN HAFIJAH 13/MARET 2W017
61 AN INDRI 13/MARET 2W017
62 AN DELTA 13 /MARET 2017
63 NY DEDEH 13/MARET 2W017
64 AN GHAISAN 13/MARET 2W017
65 AN RASYA 14/MARET 2017
66 NY WITRIYATMI 14/MARET 2017
67 NY RAHAYU 14/MARET 2017
68 AN NASYITA 14/MARET 2017
69 AN ELVINA 14/MARET 2017
70 AN SITI IDA 15/MARET 2017
71 AN FATHIR 15/MARET 2017
72 AN SYAFIQ 15/MARET 2017
73 AN NIZZAR 15/MARET 2017
74 AN ATIKAH 15/MARET 2017
75 AN YUSUP 15/MARET 2017
76 NY TESI 16/MARET 2017
 77 NY EUIS 16/MARET 2017
78 NY RATNA 16/MARET 2017
79 NY NURYATI 16/MARET 2017
80 AN KALISTA 16/MARET 2017
81 AN ILHAM 16/MARET 2017
82 AN JSKIA 17/MARET 21017
83 NY UMI 17/MARET 21017
84 NY NURHIDAYAH 17/MARET 21017
85 NY DAISAH 176/MARET 2017
86 AN SELVI 17/MARET 21017
87 AN ALFIAN 17/MARET 21017
88 AN KITY 18/MARET 2017
89 NY NADIA 18/MARET 2017
90 NY MILANI 18/MARET 2017
91 AN CHARO 18/MARET 2017
92 AN HAFIS 18/MARET 2017
93 NY SITI 18/MARET 2017
94 NY RATNA 18/MARET 2017
95 AN ARSAD 19/MARET 2017
96 AN HUDZAIFAH 19/MARET 2017
97 AN ALULA 19/MARET 2017
100 RUSTIANI 20/MARET 2017
101 AN ABIJAR 20/MARET 2017
102 NY TRI OKTA 20/MARET 2017
103 AN FAREL 20/MARET 2017
104 NY ESTI 21/MARET 2017
105 AN ARYA 21/MARET 2017
106 AN REHAN 21/MARET 2017
107 AN ALENA 21/MARET 2017
108 AN ADIKA 21/MARET 2017
109 NY WULAN 21/MARET 2017
110 AN REGINA 22/MARET/2017
111 AN CHIDIK 22/MARET/2017
112 AN DIMAS 22/MARET/2017
113 AN SOPIA 22/MARET/2017
114 AN LUFIYA 22/MARET/2017
115 NY KARTIKA 22/MARET/2017
116 NY ANGGITA 23/MARET 2017
117 NY DINA 23/MARET 2017
118 NY FITRI 23/MARET 2017
119 AN DEVANKA 23/MARET 2017
120 AN MAHIRA 23/MARET 2017
121 NY SAKINA 24/MARET /2017
122 AN MAHSAN 24/MARET /2017
123 AN NAUFAL 25/MARET 2017
124 AN FATHAN 25/MARET 2017
125 AN AZALEALA 25/MARET 2017
126 AN ABAYA 25/MARET 2017
127 AN M RAFA 25/MARET 2017
128 AN KAFIA 26/MARET 2017
129 NY ELMI 26/MARET 2017
130 AN ATHALAH 26/MARET 2017
131 AN ASHAKA 27/MARET 2017
132 AN NAYLA 27/MARET 2017
133 NY DESI 27/MARET 2017
134 NY YENI 27/MARET 2017
135 NY RINI 28/MARET 2017
136 AN TALITA 28/MARET 2017
137 NY MELATI 28/MARET 2017
138 AN ZIO 28/MARET 2017
139 AN ATQRI 28/MARET 2017
140 NY HAYU WINJAR 1/MARET 2017
141 AN AAFAN 2/MARET 2017
142 N Y EUIS 1/MARET 2017
143 ARSHAKA 3/MARET 2017
144 SIVANIA 4/MARET 2017
145 NAIFA 4/MARET 2017
146 NUTIAH 5/MARET/2017
147 NY PUTRI 5/MARET/2017
148 NY SERLA 7/MARET 2017
149 RAISA 8/MARET 2017
150 ALIFIANDA 10/MARET 2017
151 ARSYA 13/MARET 2W017
152 ALARIQ 22/MARET/2017
153 APPRYYANTI 24/MARET /2017
154 ALKHAFI ZIKRI 24/MARET /2017
155 AN ALARIQ 26/MARET 2017
156 AN DELISA 26/MARET 2017
157 AN M ARREL 27/MARET 2017
158 AN ARINI 28/MARET 2017
159 AN ALIKA 29/MARET 2017
160 NY NIA 30/MARET/2017
161 AN ELANO 30/MARET/2017
162 ARSHAKA 29/MARET 2017
163 SHALWA 29/MARET 2017
164 NABITA 29/MARET 2017
165 REYNAN 29/MARET 2017
166 EDWAR 29/MARET 2017
167 NY WULAN 29/MARET 2017
168 AN SHAQILA 29/MARET 2017
169 NY TARSIAH 29/MARET 2017
170 AN RIFQI 29/MARET 2017
171 ALESA 29/MARET 2017
172 ALFI 29/MARET 2017
 173 NAWAI 29/MARET 2017
174 TALITA 30/MARET/2017
175 NY IRNAWATI 31/MARET 2017
176 NY SRI 31/MARET 2017
177 NY EUIS 31/MARET 2017
178 AN UNFAWA 31/MARET 2017
179 NY INDRI 31/MARET 2017

BULAN APRIL 2017 SO

DAFTAR PASIEN RAWAT INAP RSIA MITRA FAMILY YANG TELAH PULAN
TANGGAL : 01 April 2017 - 22 April 2017

No RM Nama Pasien Tgl Masuk NAMA DR

ARSHAKA KEENANDRA , AN Apr-17

NIA RATNASARI, NY APRIL
ALESHA LAVINA DANA MAGNIFY, BY Apr-17
ARSHAKA ASFA RAMADHAN , AN Apr-17
RIFQI AHMAD ZAHIR ,AN APRIL
EDWARD NABHAN PRADIPTA AN APRIL
MAULANA MALIK IBRAHIM ,BY APRIL
SRI WAHYUNINGSIH, NY APRIL
RAFFA HIDAYAT ABRAR , BY APRIL
INDRI YANTI , NY APRIL
KHAFI MAHATAMA PRASETYA, AN APRIL
SHAKILA AZZALEA FATHIN AISYA ,AN APRIL
ELFANO DETRA PRAMUDYA APRIL
PRIJA AHMAD, BY APRIL
LAELASARI, NY APRIL
MELATI SINAGA , BY NY Apr-17
IRNAWATI , NY APRIL
GHINAR HAIBAH AL RASYD ,BY APRIL
ANISA NUR HAFIZHA , AN APRIL
AZKIA KANAYA PUTRI , AN APRIL
ZASKIA MAULIA CRISTIAN PUTRI, AN APRIL
LIANDRA , BY APRIL
NARENDRA RAKHA NUGRAHA , BY APRIL
VELIKA QUINZA HARMONY, AN APRIL
MUHAMMAD UNFAWAN APRIL
M. AHSAN ALFARIZI 7.
ALTHAF GHIFARI ALFATIH 8.
ALTHAF FAHREZA, AN
SILVA KIRANA IZATUNISA , AN 1.
NAFILA SYAFA PUTRI ,BY 2.
SRI YULIANTI 3.
ALIEFIANSYAH GILANG, AN 4.
TITIN SUGIARTI ,BY NY 5.
TITIN SUGIARTI, NY 6.
ABIDZAR AL FARIKH IBRAHIM , AN
REIHAN PANGERAN BAHTIAR
SAFENDRA ADZIN DINEZAD 1.
ANDINI, NY 2.
FAUZAN MAULANA FATIN , AN 3.
MUHAMMAD AFKAR ABDILLAH 4.
RAYNA NUR AZIZAH, BY 5.
SITI BADRIAH , NY 6.
SITI BADRIAH , BY NY 7.
JAD EMILDAN SYAZANI, BY 8.
TANTI APRIANTI 9.
TARSIAH, BY NY
ABDILLAH AGAM MUHTADIN , AN
ANDARA CHANTIKA ALMIRA 1.
RIA MAI WULANDARI, NY 2.
DION DWI RAMADHAN , AN 3.
FADHILAH SALSABILA, AN 4.
QUEENA IZZATUNNISA EL FARIS , AN 5.
MUHAMAD SALMAN AL FARIZ, BY 6.
KHANSA AUFA AMAORIE SUTARYA ,BY 7.
NENGSIH, HJ , NY 8.
FARZANA SHANUM , AN 9.
IRMA SUSILAWATI, NY 10.
ELJASMINE AZMYA ZAINA ,AN 11.
ETI HAYATI
FAHMI MU'THI SAPIYU ALDIN , BY
PRICELLA , AN 1.
ATIKA , NY 2.
RAKHA SABIL AHMAD , BY 3.
NAUFAL ARFA OKTARIAN , AN 4.
KHAIRUL SUKMAWAN, AN 5.
DEVANKA ALBY ALIANDO 6.
ALMEERA AZZAHRA ALFATHUNISSA, BY 7.
SITI MASITOH ,NY 8.
IKAH KARTIKAH, NY 9.
AMEERA MALIKA PUTRI DAHLAN. BY

EVA ROVANIE, NY
ASYIFA HANIFA ALKHAIRUNNISA , AN 1.
CHIKA AMALIA , AN 2.
MUHAMAD ALFATIHA ,AN 3.
RIZKIYA NAIRA SUSANTO , BY 4.
MUSPIRAH PITRI , NY 5.
DAIHAN HERDINANDA PRATAMA, BY 6.
ACHLA AULIA PUTRI ,BY 7.
VINA NOVITA SARI, NY
TINA RAHAYU , NY
TINA RAHAYU , BY NY 1.
HASNAH, BY NY 2.
HASNAH, NY 3.
AL FAREL IBNU HAFIZ, AN 4.
ALYA DEWINA MARYAM , AN 5.

AHMAD AL FURKON , AN 6.
ALESHA LAVINA DANA MAGNIFY, BY 7.
FAIZ KAYSHA AGAM 8.

CHAYRA AJRINE ANINDYA PUTRI, AN

AHMAD ZULFIKAR , AN

FITRI ANNISA R.S. NY 1.

RAISHA KHAYLA NAEEMA GHANI 3.

KENDRA MUHAMAD ARSYIL 4.

SYAKILA RAMADHANI , AN 6.
DURRATUL IMTINAN 7.
ANITA HARDIANTY PUTRI , AN 8.
ZAHRA ADISTY RAHMA ,AN 9.
ELJASMINE AZMYA ZAINA ,AN 10.
DEANDRA ALESHA YULIANT ,BY 11.
DEWI KUSUMA WARDANI , NY 12.
AHMAD FARUQ ,BY 13.
YULYANI, NY
MUSAB AUZAI SOFWAN , AN
ATIKAH KAMAL , NY 1.
QUEENSHA SHAKILA AZKAYRA, BY 2.
NANI NOKTAVIANI , NY 3.

PASCUAL ALOISIUS WAN, AN 4.

FAKHRI JHRAFRAN KHAIRY ,AN 5.
SEVIRA PRAMUDYANINGRUM , NY
HANINDYA KEISHA AZZAHRA
DANANG AHMAD ARKA AL KHAWARIZMI 1.
AUSHAF DZAKI ALFIAN, AN 2.
NAILA ZHAFIRA, AN 3.
DHIRGAM YUSLI PRAMUDYA , AN 4.
NAHDA SILFA SILMIKAFFAH, AN 5.
NURUL HALIMAH ,NY 6.
LESTARI NINGSIH, NY 7.
GABRIELLA DAMARA PARAHITA EMERY , AN 8.
MUHAMMAD ATALLA SADIQA , AN 9.
MUHAMMAD ABBAD ABQARI , BY 10.
HANA AISYAH DHIA RANA , AN 11.
HAQIA SEKAR MAHARANI, AN
MUHAMMAD AL VINO BAGUS RAMADHAN , AN
DITHA SUCIANINGSIH, NY 1.
MICHELLA REINA , BY 2.

SARWINI HARYANTO, BY NY 2.
SARWINI HARYANTO , NY 3.
ALRAFAEYZA AGASTYA WIJAYA , AN 4.
EMYR GHAISAN KURNIAWAN, BY 5.

MUHAMMAD AFKAR ASHIDIQ, BY 1.

INTAN NUR ARAFAH, AN 2.
WIWIN WINARTI, NY 3.

ARVINO RAHANDIKA NAZRIL, BY 4.

DHIRGAM YUSLI PRAMUDYA , AN 5.

GEA OKTAVIANI ,NY 6.

WIWI DIANTI 7.

REHAN ALFARIZKI.AN 8.

ARDHAN ADITYA RAMADHAN, AN 9.

ELLA MARDIAH , NY 10.

PUJI LESTARI , NY 11.
RINJANI SARI DEWY, NY 12.
RYANDINI WIRASH MULYORA , NY 13.
HUDZAIFAH AZZAM MUHIBULLOH ,BY
RATNA WULAN SARI, NY
ALIFA RISQI TRIASTO , BY 1.
AYU DWI ASTUTI , NY 2.
RAFANI ELLYSIA PUTRI, BY 3.
RAFFA IBNU KURNIA, AN 4.
HAMZAH ASADULLAH 5.
RAHEESHA ADLAN AKBAR 6.

ADILAH ANNISA HADI , AN 7.

AMADEUS, AN 8.
SYAFIRA AZZAHRA , BY 9.
ADITYA ABDUL GHANI , AN
IDA ROSDIANAH, NY 1
IDA ROSDIANAH ,BY NY 1.
BIMA ADIRAJADA , AN 2.
ALRIZKY , BY 3.
ALTHAF RAFA, AN 4.
FATHAN AL-KHAIRY NUGROHO , BY 5.
LINA MARLINA , BY NY 6.
LINA MARLINA , NY 7.
AZZAM KHAIRUL IKHWAN ,AN
AQILLA KHANZA ALFATHUNNISA ,AN 1
KHOLIFATUN NANGIMAH , NY 1.
SKYMYRA SHAZA NASAHAH, BY 2.
RAFLI AR RASYIID KURNIAWAN, AN 3.
DAFFA VIEZAL RAMADHAN 4.
ALVIN BAYU SYAHRIZKY , AN

HERLINAWATI ,NY
GHAISAN DAFFA ABDUL SUWANDI, AN 1.
NENGSIH, NY 2.
TRIYATMI , NY 3.
RANI NURMAYANTI ,NY 4.

AMALIA ADIBA , BY 5.
AL ZIDAN KUSUMAH ATTOHIRI, BY 6.
HABIBAH KURNIA DEWI ,NY 7.
KHADEEJA RAUDHATUL JANNAH, AN 8.
VINKA NANDYA DIANINGTYAS , NY 9.
YUKIO ASSYIFA WICAKSONO , BY 10.
NY YULI 11.
YULIA ,NY 12.
KHAIRUL MAULIDIN IKHWAN ,AN 13.
RHIANA DEVALERIA , AN

MAYA SARI, BY 1.

ALMIRA PUSPA KHAIRA 3.

VALIANT RAESHEVA MALIK 4.
AQILA JANNATU SAUQIY, AN 5.
ARKAN YUSUF SANTOSO, AN 6.

QUEENA IZZATUNNISA EL FARIS , AN 7.

WULAN NURAINI ,NY

ALKHALIFI ZIKRI HAMIZAN , BY 1.
OTIN HUSNUL HOTIMAH, NY 2.
KARTIKA INDAH PRATIWI , NY 3.
FITRIYANA, NY 4.
FALISHA NURQAILA RAFANIA, BY 5.
SOPIYAWATHI, NY 6.
TATU SUKMAWATI , NY 7.
MUHAMAD DHIRGHAM AYYUBI, BY 8.
ANI, NY
SHAKILA MYIESHA FATHIYYATURAHMA, BY
 SHAKIRA MYEISHA FATHIYYATURAHMA, BY Apr-17

RINA NURYANTI, NY
SYAQILA PUSPITA AZAHRA, AN

DAFTAR PASIEN RAWAT INAP /SOFFENIR

TANGGAL 1MEI S/D 31 MEI 2017

NAMA PASIEN TGL

NAMA DR

ARKA AIRLANGGA ALVIANTO ,BY 1/MEI/2017 DR

MARLINDA, NY 1/MEI/2017 DR
MARLINDA, BY NY 1/MEI/2017 DR
TANGGAL AYU FITRIAH 1/MEI/2017 DR
KELUAR :
022/MEI 2017 STIOFAN RAESHEVA QADDAFA
Mei 2017 1/MEI/2017 DR
SITI AISYAH BY NY 2/MEI/2017 DR
MUHAMMAD FADHILLAH , AN 2/MEI/2017
FADLAN ARYA SUTHA PUTRA P , AN 2/MEI/2017
MUHAMMAD ADHYASTA AP, AN 2/MEI/2017 DR
TANGGAL SITI MASITOH ,NY 2/MEI/2017
KELUAR :
03 Mei 2017 DR
3/MEI 2017 DR
LANTAI 3/MEI/2017 DR
VONY NATALIA, NY DR
RITA , BY NY DR
ATHAR FERNANDHITO HIDAYAT ,AN DR
TANGGAL M. IQBAL HABIBIE, AN
KELUAR :
044/MEI 2017
Mei 2017 DR
LANTAI 4/MEI/2017 DR
ANITA PERTIWI ,NY DR
DANISH ALFAREZEL NUGROHO , BY DR
KOKOM KOMALA
HAIKAL ANINDITO AGANI, AN
NUNUNG NURHOTIMAH , NY
MUHAMMAD HAFIZH PRIYATNA ,AN
TINI KARTINI ,NY
TANGGAL MUHAMMAD AGA MUNTAZAR , BY
KELUAR :
05 Mei 2017
5/MEI 2017
 LANTAI 5/MEI/2017
PUJI LESTARI , NY
ARSHAKA NAUVAL ALFAREZEL , BY
BASTIAN ATTANABIL PRASETYO , BY
TANGGAL SRI SURYANINGSIH , NY
KELUAR :
06 Mei 2017
6/MEI 2017
LANTAI 6/MEI/2017
HARTINI , NY
FUDTRIN KURNIA, NY
REZA ARSYAD
HAFIZH ZULFAATIR KURNIAWAN
TANGGAL ROSE YULIANA , NY
KELUAR :
07 Mei 2017
7/MEI/2017
LANTAI 7/MEI/2017
MUHAMMAD ALIF AL-AZZAM , AN
ADELIA FARANNISA AZMYA
JESSICA INTAN SUDARMAN, NY
TANGGAL KEENAN GHALI ALTEZZA , BY
KELUAR :
08 Mei 2017
8/MEI 2017
LANTAI 8/MEI/2017
KARTIKA INDAH PRATIWI , NY
NGUYEN HOANG HAU , NY
ANDINI SAFA ARKADEWI, AN
ALYSSA MUTIA ALFAH , AN
RAFAELLA CEMARA PARAHITA EMERY ,AN
GABRIELLA DAMARA PARAHITA EMERY , AN
TANGGAL TARMI, NY
KELUAR :
09 Mei 2017
9/MEI 2017
LANTAI 9/MEI/2017
MUHAMMAD RASHYA ZAYID ATHALLAH ,BY
TARMI , BY NY
SUKATRI ,BY NY
TANGGAL SUKATRI ,NY
KELUAR :
10 Mei 2017
10/MEI 2017
LANTAI 10/MEI/2017
ATMAHADI WIDODO, TN
MUHAMMAD SHINFAN IZA
CLEO ALFARIZQI WIDIANTO, AN
NASYAUQI ALSAVA, AN
FATIH AL GHIFFARY , AN
RANIA MAULIDIA SETIAWAN , AN
TANGGAL AHZA DANISH ATAYYA RAMADHAN , BY
KELUAR :
11 Mei 2017
11/MEI 2017
LANTAI 11/MEI/2017
GISELLA NADA SARASVATI WIEBASKORO , AN
TANGGAL RENSI SABATINI , NY
KELUAR :
12 Mei 2017
12/MEI 2017
LANTAI 12/MEI/2017
MUHAMMAD REZKY ALFIANSYAH
MAHNAZ NUR AZKA. AN
ALSYAQIRI WISASTRO ,AN
PURWATI, NY
HANIFAH ULYA QURRATU'AINI , AN
FACHRI RAMADHAN
ALULA NADIRA CHENDRIKA, AN
NETHANIA CELIN LANGI, AN
TANGGAL AQILA TSANIA RAHMA. BY
KELUAR :
13/5/2017
13 Mei 2017
LANTAI 13/MEI/2017
MUHAMAD FADILAH , AN
TANGGAL AQSHA KHAIRIL AZHAM ,AN
KELUAR :
14/5/2017
14 Mei 2017
LANTAI 14/MEI/2017
MARYAM SYARIFAH, NY
VONY NATALIA, NY
MUHAMMAD AGA MUNTAZAR , BY
DIMAS KOSWARA , AN
EARLYTA QUEISHA ANYA
ADELARD RADMILO EMERY, BY
AZIZATUL MUARIFAH, NY
TANGGAL RAYYINA KHARISMA PUTRI , AN
KELUAR :
16 Mei 2017
16/5/2017
LANTAI 16/MEI/2017
GRACEHA EVELYN
FITRIANA, BY NY
FITRIANA, NY
SITI LISMAYA ,NY
MIKAYLA ZEVANYA MEGAN , BY
PRADITA DIAH MUMPUNI, NY
TANGGAL RYUU SAMUDRO ARIFIANTO ,BY
KELUAR :
17/5/2017
17 Mei 2017
LANTAI 17/MEI/2017
CLOUDIA ASIFA ELSAFIRA, AN
FATHURRAHMAN DWISONY ,AN
NAFIZA RAMADHINA KUSUMA
 AFRYLIA SAFITRI
TANGGAL AFRYLIA SAFITRI ,BY NY
KELUAR :
18 Mei 2017
18/MEI 2017
LANTAI 18/MEI/2017
AYU AFTHIN AULIA , BY NY
AYU AFTHIN AULIA, NY
KAILA APRILIA, BY
MIKAIL RAFASSYA SAFRIZAL , BY
AHMAD MUNAWAR AGUSTIAN , AN
HILMY MALIH IBRAHIM
NURLELA , BY NY
TANGGAL BIMA ADIRAJADA , AN
KELUAR :
19 Mei 2017
19/MEI 2017
LANTAI 19/MEI/2017
NADHIRA AZ ZAHRA PUTRI ARIFIN
TANGGAL ALINDYA ALKA PUTERI , AN
KELUAR : LANTAI 20/MEI/201
20 Mei 2017
YANI , BY NY
YANI MULYANI ,NY
SRI RAHAYU , BY NY
SRI RAHAYU , NY
LYDIA AISAH , BY NY
LYDIA AISAH , NY
SITI ROHIYAH , NY
ASHIL YAAFI ,AN
AKHMAD ZAKIR, BY
LARAS ATI SUGIYANTO , NY
TANGGAL RAYA SYAFA AULIA, AN
KELUAR :
21/MEI
21 2017
Mei 2017
LANTAI 21/MEI/2017
SUMIYATI , NY
LASHIRA AURANTYASHA SHANUM D
MISHA AQILLA NAHFI, AN
DIANA SYAUQIA JAMILA, BY
DAFIYA LIYANA ZAHRAN, AN
TANGGAL JELITA PANJAITAN, BY NY
KELUAR :
22/MEI 2017
22 Mei 2017
LANTAI 22/MEI/2017
ARFANUR RAMADHAN, AN
ALKAUTSAR ARIF PATIWARA ,AN

23/MEI 201ERNA, BY NY
23/MEI/2017
AN ALIKI
AN APRI
AN RAKA
AN MARITZA
LAILATUL BAIDRY
 ANUGGERAH
24/MEI/ 2017
24/MEI/2017
AN AVERIL
M ALWI

25/MEI/2017
25/MEI/2017
NY EKA
NY SITI NURHENI
AN SYAFIQ
NY UNI
26/5/2017
NY ERNI 26/MMEI/2017
AN NURWAHYU
AN M UWAS
27/5/2017
27/MEI/2017
NY IPIT

28/5/2017
2/MEI/2017
GUAN
NY YUNITA

28/5/2017
DR YUNITA 28/MEI/2017

29/5/2017
29/MEI/2017
AN CAHAYA
NY SRI MARNI
NY SUMIARTI
30/5/2017 AN ALEKSANDER
30/5/2017 AN FATHAN
330/MEI
AN AQUELENA
AN JIO PADIL
AN SALSABILA
NY NINGSIH
NY SAIDAH
31/5/2017 31/MEI
AN ADIBAH 304/KLS 11
NY DITA 311/111
 DAFTAR PASIEN RAWAT INAP /SOFFENIR
TANGGAL 1 JUNI D/D 30 JUNI 2017
Nama Pasien Tgl Masuk

1/JUNI/201NAMA PASEN
1/JUNI/2017
NY DR YUNITA 206/VIP
AN ALFAN 205/VIP
AN NOVIYANTI 306/1
2/JUNI/2017
2/JUNI/2017
AN ADIBAH 304/11
NY LIDIA 310/111
3/JUNI/2017
3/JUNI/2017
NY ARLINA 204/SVIP
AN DAMAR 304/11
NY ANGRAENI 308/1
5/JUNI 2017
5/JUNI/2017
AN NAFISAH 302/11
AN AZKA 302/11
AN SYAM 307/111
NY DEVI 308/1
AN THIFANI 205/VIP
6/JUNI/2017
6/JUNI/2017
AN AIDAN 206/VIP
AN GIORDANO 202/VIP
AN M ELZHAR 307/11
NY YULIA 310/111
7/JUNI /2017
7/JUNI/2017
NY IZZATI 309/1
NY ANITA 310/111
9/JUNI/2017
9/JUNI/2017
AN M ALFIAN 304/11
AN AQILA 304/11
NY SUMYATI 308/11
 NY SOPI 303/1
10/JUNI/2017
10/JUNI/2017
AN AKMAL 304/11
AN SYAM 304/11
AN M SALMAN 301/11
AN KHALISHA 306/11
NY SUHERNI 310/111
NY EVI 309/1
11/JUNI/2017
11/JUNI/2017
AN QUEENARA 307/111
NY RITA 310/111
AN MIRZA 305/1
12/JUNI/2017
12/JUNI/2017
AN RAFISQI 305/1
NY WENDY 309/11
NY RIRIS 303/1
13/JUNI/2017
13/JUNI/2017
AN UNYAWA 302/1
AN ATHALIA 302/1
NY RATNA 303/1
14/JUNI/2017
14/JUNI/2017
NY WINDA
15/JUNI/2017
15/JUNI/2017
NY NIKEN 303/1
NY LINDA 308/1
AN ATHAR 304/1
16/JUNI/2017
16/JUNI/2017
17/JUNI/20AN ARSYAKA 304/11
17/JUNI/2017
NY IRNA 310/111
AN AILA 304
NY HUSNUL 310/111
NY AMALIYAH 309/1
18/6/2017
18/JUNI/2017
NY SULASTRI 308/1
NY IPIT 308/1
NY RIZA 308/1
NY RIKA 309
AN MICKO 307/111
 AN SHANUM 304/11
19/6/2017
19/JUNI/2017
AN ZIZILIA 304/11
M RISKY 307
NY DEWI 308/1
20/6/2017
20/JUNI/2017
NY SOPIAH 310/111
NY TIA 309/.11
NY IMAS 310/111
AN JIHAN 3033/1
NY EUIS 306/1
21/JUNI/2017

AN HAZAH 302/1
22/JUNI
NY IMA 310/111
24/JUNI/2017

AN RIVANO 24/6/2017
25/JUNI/2017

NY ANIS 25/6/2017
26/6/2017
26/JUNI/2017
AN ABIYA 26/JUNI/2017
AN LAURA 304/11
27/6/2017
27/JUNI/2017
AN M YUSUP 307111
29/6/2017
29/JUNI/2017
AN HANDRA 306/1
30/JUNI/2017
30/JUNI/2017
NY RATU 306/1

13/JUNI 2017
13/JUNI/2017
TANTI NURLINA 202/VIP
NY RIRIN 205/VIP
19/JUNI/2017
19/JUNI/2017
SHANUM 205/VIP
NY RINI 20-2/VIP
GABRIEL 206/VIP
20/JUNI/2017
20/JUNI/2017
HANUM 204/SVIP
22/JJUNI/2017
22/JUNI/2017
INTAN 202/VIP
23/JUNI/2017
23/JUNI/2017
ACQULA 205/VIP
29/JUNI/2017
29/JUNI/2017
NAHLA 202/VIP
30//JUNI/2017

DELISYA 205/VIP
0

DAFTAR RAWAT INAP /SOFFENIR 2017

TANGGAL 1 JULI

No RM Nama Pasien Tgl Masuk NAMA DR

1 AN SINDY 1 JULI/2017
2 AN SYIFA
3 NY TIRAH
4 AN M HAMDAN 2/JULI 2017
5 AN SERA 3/JULI 2017
6 AN KHANZA
7 AN FATHIR
8 NY DESI
9 NY BETRY
10 AN AQILA
11 NY IKA 4/JULI/2017
12 AN M IRSAN
13 AN NAUFAL
14 NY MIA
15 AN SAFIRA
16 NY HANIFAH
17 AN ARSAKHA
18 AN AZKIA 5//JULI/2017
19 AN NADIRA
20 AN FATHIAN
21 AN M REZA
22 NY LUCIANA 6/JULI/2017
23 AN ARSYIKA
24 AN M HILMI
25 AN SYAHIRA
26 AN KHANZA
27 AN NADILA 7/JULI/2017
28 AN FAREL
29 AN SURAYA 8/JULI/2017
30 AN AZRINA
31 NY DESMA
32 NY YULIA
33 NY SRI
34 NY SINTA
35 NY NURJANAH
36 NY KHAIRA
37 AN MUZAKI 9/JULI/2017
38 AN NAZWA
39 AN GHIDA
40 AN AG NA 10/JULI/2017
41 AN DWI
42 AN FATUH
43 AN DAIHAN
44 AN RELIN
45 AN FARIS 11/JULI/2017
46 NY EVIN
47 AN RIJKY
48 AN NISA
49 AN ARFAN
50 AN FANS 12/JULI/2017
51 AN RISKI
52 AN ANISA
53 NY EVIN
54 AN AFFAN
55 AN FAISA 13/JULI/2017
56 AN ALFAN
57 AN HAURA
58 AN ARSHAKA
59 AN ADEEVA 14/JULI/2017
60 AN ASMA
 61 AN RIDA
62 NY NINA
63 AN KANAYA
64 AN CLARISA
65 AN M AZRIL 15/JULI/2017
66 AN FADILAH 16/JULI/2017
67 NY .NAVIANI
68 NY KHUSNUL
69 NY AISAH 16/JULI/2017
70 AN M AGHA 17/JULI/2017
71 AN AZFAR
72 AN AISAH
73 AN NADILA
74 AN SIGY
75 AN ARSYA
76 NY IDA 18/JULI/2017
77 AN AINI 18/JULI/2017
78 AN CALISTA
79 AN FATIMAH 19/JULI/2017
80 AN SALSA BILAH
81 AN ALVIRA
82 NY ARMI
83 AN MAUREN
84 AN IDKHAL 6/JULI/2017
85 AN M ARLIEN
86 AN KEYLA
87 AN FARID 13/JULI/2017
88 NY CISTINA
89 NY RAHMAH
90 NY ANGGITA
91 AN SHERLA
92 NY NUARI CITRA 16/JULI/2017
93 NY MARIA 17/JULI/2017
94 AN ALARIS 19/JULI/2017
95 AN MISHA 20/JULI/2017
96 AN AN KHANZA
97 AN TAMARA
98 AN AL BI LUTFI
99 AN RASYID
100 AN ADANA
101 AN AQILA 21/JULI/2017
102 AN RENDAFA
103 AN ALIFA
104 AN M HILMI
105 AN AZIZAH
106 AN ABDILAH
107 AN RAFIQI 22/JULI/2017
108 AN QHOERUL
109 NY RESTU
110 NY NURI
111 NY RINJANI 23/JULI/2017
112 AN RAYAN
113 NY RAHMAH 24/JULI/2017
114 NY HENI
115 AN NADIRA
116 AN KENZI 25/JULI/2017
117 NY SITI
118 AN ANANDITA
119 NY TITIK
120 NY KOMARIAH
121 AN IRSAD
122 AN FAHMI
123 NY RINJANI 26/JULI/2017
124 AN YASID
125 NY WATI
126 NY AN MIRZA
127 AN PUTRA
128 NY MUMUN 27/JULI/2017
129 AN NADIVA
130 AN CLEO
131 AN SYAFIRA 28/JULI/2017
132 NY RIAN
133 AN NAIRA
134 M REZKY
135 AN ALGIS
136 AN ANAUFAL 29/JULI/2017
137 NY DEWI
138 AN ALFAREL
139 AQILA HASNA 30/JULI/2017
140 DEWI OKTA
141 AN ANNAS YA
142 NY FITRIA 20/JULI/2017
143 AN ADRIK GAISAR 23/JULI/2017
144 N Y SITI N 27/JULI/2017
145 NY RIFALINA 31/JULI/2017
146 ANNA SYA 31/JULI/2017
147 AN ADILAH 31/JULI/2017
148 QALILA 31/JULI/2017
149 SENANDUNG 31/JULI/2017
150 DEVINA 31/JULI/2017
151 M FAIQ 31/JULI/2017
152 NY DELI 31/JULI/2017
 DAFTAR RAWAT INAP /SOFFENIR 2017
BULAN AGUSTUS 2017

No RM Nama Pasien Tgl Masuk NAMA DR

1 PRISCA NURMALA 1/8/2017

22 AMIRA
3 SYAFANA
4 AN FAHMA 2/8/2017
5 AN BILQIS
6 NY YULI
7 SINTA SALASA BILA 3/8/2017
8 ADRIEL
9 ALI ALTAP
10 ROSITA
11 ABID 4/8/2017
12 NAHDA
13 M SULTAN
14 HAFIS
15 AFKAR
16 ALKALAFI
17 AN SALPA
18 LIA LETARY 5/8/2017
19 TRIANA DEWI
20 M RAFA
21 MAULA BIMA
22 ADELIYA
23 NY BUNGA
24 AN CHEILO
25 AN ARSHAKA
26 AN RAHESYA
27 AN GIBRAN
28 AN INTAN 7/8/2017
29 AN NATASYA
30 M EVAN
31 EVA SUPARTY
32 AN M AMAR
33 AN IBRAHIM
34 SULSTRI 8/8/2017
35 ADIS
35 INTEN INSANI
36 AZZAM
37 SUKNAH
38 GIBRAN
39 SISKA
40 AN SHIVA 9/8/2017
41 NY DEWI
42 NY SITI
43 AN NAWAH
44 AN UNFAIRA
45 AL SYA
46 M ARJA 10/8/2017
47 NY RISKA
48 ASTRID
48 M ZAIDA
49 RAFI
50 NIA KUSMATI
51 ALFAN
52 M FADLI
53 SHALI
54 SYAHIRA
55 M LUTFI
56 FAHREJA
57 RIAN NAUFAL 11/8/2017
58 FAIS
59 M YUSUP
60 M ARJUNA 12/8/2017
61 ZAHRA
62 WITRI
63 KHAIRUL
64 AL THAF
65 AN ATHARI
66 AN BASIT 15/8/2017
67 AN RAPASYA
68 AN RAIHAN
69 AN EPSEL
70 AN FALKI
71 AN ALKAHFI
72 NY YUPI
73 NY ARI
74 ZYANDRU
75 EVA SUPARTY
76 IBNU
77 BEPE
78 LINTANG 17/8/2017
79 ANINDYA
80 SILVIA
81 IRAWATI
82 TRI ANDRI
 83 KURNIA
85 NAREN
86 MAYA
87 NY MIDA 19/8/2017
88 RESHNG
89 AN M ALFAL
90 DITA 20/8/2017
91 M AZZAM
92 ADIBA
93 AGUNG
94 ARDO
95 DALISA
96 NY MANAH
97 NY SUWANTI
98 NY QONAAH
99 AN M AZKA
100 AN SALWA
101 NY WIDIH
102 HAPIDZ
103 ADEEVA
104 ERINA
105 EKA
106 ALBY
107 ALMEER
108 AL KHALIFI
109 GEOGE
110 NY WAHYU
111 AN ADELIA
112 NY KARYATI
113 NY RISMA
114 NY KAGENDRA
115 HIYATUL
116 SOPIA
117 LILI
118 SITI AISAH
119 FATAHILAH
120 REZA
121 WARSEM
122 AULIA
123 GAIDA
124 ZAIDAN
125 RAISYA
126 NABILA
127 MAYA
128 HANIFATUS
129 ELGIANSYAH
130 SRI APRIYANTI
131 SITI AMINAH
132 DEWI
133 LAURA
134 MICAEL
135 SRI WINENGSIH
136 M FAHREJA
137 KEVIN
138 MEKKA

139 INDUN
141 WAHYU
142 BRIAN
143 HADENIA
144 ZAHIRA
145 SARMAH
146 SUHAILA
147 JIHAN
148 BUNGA
149 AULIA
150 GHAJALI
151 EVA
152 ALVIN
153 MUHAMAD
154 IIN ROS
155 NAUFAL
156 AN RUFAIDAH
157 AZKIA
158 AGUNG
159 M ARJUNA
160 HAMIZAN
161 NADIA PUTRI
162 DAFITA
163 ALDRIC
164 SHAJIA
165 SITI AISAH
166 NAIF
167 ADEVA
168 NABILA
169 RAFI
170 MARDIANA
171 HIBAN
172 GHIPARI
173 SITI NURJANAH
174 CARISA
175 CANSA
176 FATAHILA
 MARKETING

DAFTAR RAWAT INAP /SOFFENIR 2017

BULAN SEPTEMBER 2017

NOS Nama Pasien Tgl Masuk NAMA DR

1 AN NAUFAL 1/9/2017
2 AN ALULA
3 NY SITI MARFUAH
4 NY TALITA
5 NY NIA
6 AN HAIDAR
7 NY BUNGA
8 M ZIKRI 2/9/2017
9 AN INTAN
10 NY TIARA
11 NY ROHMAH
12 AN MIKALA
13 M IKBAL
14 NY MARIA 3/9/21017
15 NY DIAN
16 AN ARSAKA
17 NY RINJANI
18 PRABU ATASASYA
19 NY WULAN
20 AN SALMA 4/9/2017
21 NY YUNITA
22 AN REGI
23 NY RITA
24 AN AISAH
25 AN AKMAL 5/9/2017
26 AN ASYILA
27 AN NY TATIN
28 AN ALMER
29 AN AAAAAALYA
30 AN AHMAD
31 NY SITI AISYAH
32 AN ARFAN 6/9/2017
33 AN SULTAN
34 AN STEPANO
35 AN RAFISAY
36 AN HALVIN
37 NY ROSIDAH
38 NY EVA
39 AN KENS
40 AN KAISA NAJLA 7/9/2017
41 NY NURWULAN
42 AN ABID
43 AN M ZIZAM
44 AN SANIRA
45 AN KHAIRIL
46 AN AMARA
47 AN RAFASYA
48 AN M UAIS
49 AN ATAYA
50 AN ZULPAN
51 AN REXSA
52 AN FAIS 8/9/2017
53 AN AN IBNU
54 AN PUTRA
55 AN KAYLA
56 AN AN MARFAN
57 AN AN ANDINI
58 NY YULIA
59 AN KHOIRIL
60 AN ABID
61 RENDAFFA
62 AN AZHAR 9/9/2017
63 NY DESTRI
64 NY TARIN
65 AN RIALDY
66 AN ALMERA
67 AN INARA
68 AN NAFISA
69 NY LINA
70 AN APRILIA
71 NY NUMI
72 AN RAFFA
73 NY RATIH
74 NY TITIN
75 AN ANI 11/9/2017
76 AN RIO
77 AN ADITTYA 12/9/2017
77 AN GAITS
78 NY FURY
 79 NY TIARA
80 ASYA
81 CAHAYA
82 CHAIRA
83 HILYA
84 A N RAFISAR
85 AMER AHMAD
86 RIALDI ADRIAN
87 NY TAMYU 13/9/2017
88 NY LIA
89 AN ASYA 14/9/2017
90 NY SARI
91 AN DEFINAL
92 NY ELAH 15/9/2017
93 AN ADITAMA
94 AN CHERY
95 AN RISKA
96 AN SITI RAILA
97 AN RANAYA
98 AN HANIFAH
99 NY ATIK 18/9/2017
100 NY YAUYUN
101 AN HASYIM
102 AN KALANDRA
103 AN TALITA 19/2017
104 an m amir
105 ANFAQIH
106 AN JANETA
107 AN ALDI
108 AN FARDAN
109 AN ABINAYA
1110 AN RAFA
111 AN LUKMAN
112 AN NAURA
113 NY NITA
ANA SEPTIANI ,NY 20
ANA SEPTIANI, BY, NY
AULIAN BASYIRA GHAIDAFATTANA, AN
ALESHA KEINARRA ELSAPUTRA , AN
SITI AJIZAH, NY
IDA WIDANINGSIH,NY
SYIFA AULIA , AN
ALFIN HAFIZ MAULANA ,AN
NAZWA RAHMA NURFITRI, AN
CATALYA CALMEERA BADRIKA , BY
RAKA REYNANDA PUTRA VIGI, AN
GIYA NOVI KOMARIAH, AN
 NOVI APRIYANI ,NY
ALARIC AZZAHIDI ARIEF , BY
SITI ASIAH , NY
SUMINAR , NY
AFIFA FITIA SEPTIANA , BY
BETY OKFARINA ,NY
ABDULLAH MUSA ,BY 24/9/2017
ny suminar
AN GIAN
AN JESICA 25/9/2017
NY RINA
NY MELISa
ny MARYATI
NY M RAFI
AN BASARIA
NY HANA
NY NANI
NY DEDE 27/9/2017
NY SITI
NY IDA
M RESZK
AN ZALIKA
ALVIAN
NY RIYANA 28/9/2017
0 AN LABIGOH
AN NAILA
AN NANDA
AN SILWANA
AN VIONA
AN NAOMI
AN ARYA
NMY SUMARSIH
NY SELLA
CHELSEA
GANENDRA
ZHAPIRA
AINUN
ALI
ALBI
SITI
ARSYIPA
NAOMI
ADRIL
SITI N
NAURA AYU
DIANDRA
AULIAN BASYIRA GHAIDAFATTANA, AN
 TITIN
MELISA
SYAKIRA
FAHREZA
TABINA
NANIN
AIDAN
FITRIA

DAFTAR RAWAT INAP /SOFFENIR 2017

BULAN OKTOBER 2017

NOS Nama Pasien Tgl Masuk NAMA DR

1 ANITA WAHYUNI , NY 1-Oct-17

2 YASMINE AULIA PUTRI 1-Oct-17
3 RIANA RATNA DEWI, NY 1-Oct-17
4 REYHAN ARGADINOTO MAHLI, AN 1-Oct-17
5 FAKHIRA DEWI SHAKILA, AN 1-Oct-17
6 AFFAN AL GHIFARI 2-Oct-17
7 YANI ISWATI, NY 2-Oct-17
8 AZZAHRA ALMAIRA SUKMA WULANDANI, AN 2-Oct-17
9 CALLISTA AYU HANIFA , AN 2-Oct-17
10 KEENANIO ELANG SATRIATAMA, BY 2-Oct-17
11 INDAH FEBRIANA, NN 2-Oct-17
12 ANNABEL JOY SCHOLASTIKA G , AN 2-Oct-17
13 M.RAYHAN , AN 2-Oct-17
14 WAHYUNI , NY 2-Oct-17
15 EKA FITRI NUGRAHANI ,BY NY 2-Oct-17
16 ULFAH SYAHADATUNISSA, AN 2-Oct-17
17 ALIYA INTAN NUR'AINI , AN 2-Oct-17
18 NAUFAL ALBI RAZKA , AN 2-Oct-17
19 ALINKA RADEA QUEENZHA SURYANA, AN 2-Oct-17
20 ISNA SYAQILA HIKARI 2-Oct-17
21 ALBEE FRANSLY , AN 2-Oct-17
22 NURHALIMAH , NY 2-Oct-17
23 SAYYIDINA MUHAMMAD HERMAWAN, BY 2-Oct-17
24 NOVIYANTI GUSTIN, AN 2-Oct-17
25 H. DADANG HENDAR HERMAWAN 2-Oct-17
26 TRI WAHYUNI ,NY 2-Oct-17
27 KYLIE MANUELLA RYSSA, BY 2-Oct-17
28 SUKAESIH , NY 04-Oct-2017

29 QUEENZA LAURA MAURITZ , AN 04-Oct-2017

30 KARENZA YEREMIA , AN 04-Oct-2017

31 AHMAD AL BARRA , AN 04-Oct-2017

32 SYAUQI AHMAD K ,AN 04-Oct-2017

33 TRI WAHYUNI , BY NY 04-Oct-2017

34 MUHAMMAD ALFAHRY RADITYA HERMAWAN , AN 04-Oct-2017

35 RIDWAN SETIO NUGRAHA , BY 04-Oct-2017

36 RATU AULIA SUKANDA ,AN 04-Oct-2017

37 MUHAMMAD HUDZAIFAH ,AN 04-Oct-2017

38 MUHAMAD FATIR RAMADAN 04-Oct-2017

39 AHNAF MAULANA YUSUF ,BY 5-Oct-17

40 MARCELLO GHANIY RESPATI , AN 5-Oct-17
41 ATHALUNA QUEEN PHALOSA ,AN 5-Oct-17
42 CLARA AYUDIASUCI SP, BY 5-Oct-17
43 KARYANI ,NY 5-Oct-17
44 KARYANI , BY NY 5-Oct-17
45 NAYSHILA ALEZHA ISKANDAR ,AN 5-Oct-17
46 ABIGAIL LAVENCIA , AN 6-Oct-17
47 CELLICA ADELIA PUTRI 6-Oct-17
48 PUJI ASIH , NY 6-Oct-17
49 PUJI ASIH, BY NY 6-Oct-17
50 FAKHRI MIRZA NASYAT ,AN 6-Oct-17
51 LUTHFI ARFA SANTOSO , AN 6-Oct-17
52 A HELMI HARIANSYAH , AN 6-Oct-17
53 AZZAHRA ADINDA SOPIYAN , AN 6-Oct-17
54 RAHMA TIARA CHARENINA ,AN 6-Oct-17
55 ALZAM FAIZ ARTANABIL ,AN 6-Oct-17
56 REXA NOER MAULANA, AN 6-Oct-17
57 KANAYA NAILUFAR RAMADHANI ,AN 07-Oct-2017

58 MUHAMMAD ADEN ALFARIZI ,AN 07-Oct-2017

59 ZHIA HANNA SANUSI ,AN 07-Oct-2017

60 AFIFA TALITA ZAHRA, AN 07-Oct-2017

61 DARA NUR ADDIBA ,AN 07-Oct-2017

62 AKMAL HAFIZ PRATAMA 07-Oct-2017

63 KHAYLA ALMIRA M ,AN 07-Oct-2017

63 SENNY YUDISTIRA PRATIWI ,NY

64 MUHAMMAD SULTAN AL FATEH ,BY
65 M.RIFQI QALIFA ,AN
66 RISKAWATI, BY NY
 67 MUHAMMAD AL KHALIFI HADI IRAWAN
68 MUHAMMAD AL HAFIDZ SHAUQI IRAWAN
69 EKA FITRIA NINGRUM, NY
70 ALESHA LAVINA DANA MAGNIFY, BY
71 RAFIF AGAM NAJENDRA , AN
72 ACQUILA SHIDQIA ALFATHUNNISA
73 REVI REVTIKASARI ,NY
74 AFIF MAHFUZHIN ,AN
75 REVI , BY NY
76 NINDIA SELDA SAVITRI , AN
77 KHODIQUNNUHA ALI MAS'UD , AN
78 ABU BAKAR HABIBI ROHMAN , AN
79 NASYAUQI ALSAVA, AN
80 LUANA FALISHA SURAHMAN, BY
81 UMI KULSUM , NY
82 YUI FAZILLA RAYA , AN
83 SUGIYATI , NY
84 ASSYFA AZ-ZAHRAH ,AN
85 SHAKILA ADEEVA SURAHMAN
86 LUVITA IRTAWAN ,NN
87 MIKHAYLA ASSYFA ,AN
88 SILVI AULIA WATI , AN
89 SUGIYATI, BY NY
90 SITI NURHAWATI, NY
91 HANIF FIRDAUS, BY

92 BAHRUT TAMAM KHAIRUDIN, AN

93 FIRAS FAIRUZ EL FATIH , AN
94 MUHAMMAD AZKA ALBANIN R , AN
95 LINA , NY
96 MIKAIL RAFASSYA SAFRIZAL , BY
97 AZZAM FADILLAH AHMAD.BY
98 IRA MAESAROH , NY
99 LIORA ZAHRA ALFORI , AN
100 NENNI SUPRINATININGSIH , NY
101 IRINA SUSANTI .NY
102 PANDE K PADMA S ,NY
103 RASYA ALFARIZQI KHAIRI, AN
104 BY. NY. PANDE
105 MUHAMMAD RADEN GUNTAR. AN
106 AMALIA FEBRIANI HAERUDIN , NY
107 ISTIANA ,NY
108 ERLANGGA DZAKI AL FATIH , AN
109 AIRA RAMADHANI ,AN
110 RAIMAH , NN
111 RADEN AZHAR AINUR ,AN
112 ISTIANA ,BY,NY
113 NABILA AMALIA PUTRI ,AN
114 NADHIRA HAFIT
115 SYAKIRA SENJA MAULIDIA
116 ARSYILA TSABITHA ELSHANUM ,BY
117 CALISTA ABIGAIL KEIKO TAMBUNAN ,AN
118 NAYYARA KHANSA MEDINA, BY
119 APRILIA PUTRI AZZAHRA , AN
120 INTAN PERMATA SARI , AN
121 ARVAN NUR RISKY. AN
122 RAFLY EKA FRIANSYAH ,AN
12 RAFANIA AZKIA MAULIDA ,AN
3 ANNISA KURNIASIH , NY
124 M.ZAIDAN AL FIKRI
125 DIAN NURAENI, HJ NY
126 DEDE AMINAH ,NY
127 RIZKI SAKI ZAIDAN , AN
128 SULTAN ASYRAF FATINNAUFAL, BY
129 RANY , NY
130 DEDE AMINAH ,BY ,NY
131 JOVITA WINONA SUDIYANTO, AN
132 PRADIPTA FAISTA S ,AN
133 NARENDRA RAKHA NUGRAHA , BY
134 MUHAMMAD LUTFIE SAKHI ZAIDAN ,AN
135 SURYATI , NY
136 MUHAMMAD RAFFASYA ALFARIZKI ,BY
137 REXI NOER MAULANA ,AN
138 ADNAN KHIAR RAMADHAN ,AN
139 ZULFAHMI FATHONI ALFAREZY ,AN
140 AZIENDA RAKHA KRISTIAN ,BY
141 ABQARI AGAM , BY
142 SURYATI , BY NY
143 GALDARA, AN
144 DINA AULIA SEPTIANI ,BY
145 JUNARSIH , NY
146 ATHALLA WIJAYA, BY
147 DESI RATNASARI HERYANA , NY
148 RASIKH AZKA ADZ-DZIKRA ,AN
149 DELVHY HERYANA SITUMEANG ,BY
150 WIDYAWATI , NY
151 INDAH SETIANA ,NY
152 NAURA LUTHFIA NAJAH PUTRI , AN
153 FATIH ZIANUR RAHMAN , AN
154 ZAHRAH KHAIRUNISA ,AN
155 INDAH SETIANA , BY NY
156 ASHEEQA GANES MAHESTARI , BY
157 DAMAR DWI PRAMUDYA , AN
158 RAHEESHA ADLAN AKBAR
159 MUHAMMAD ZAENUDIN ,AN
160 ALSYAQIRI WISASTRO ,AN
161 ZHAPIRA OKTAVINA
162 DIAN NURAENI, BY NY
163 CUCU NUR CHAHYATY, AN
164 WIWI SABIT PRATIWI
165 MOHAMAD GALIH RENDI SAPUTRA
166 ALDIRA KHUMAIRAH ISWARA ,BY
167 TIA YUSTIARINI ,NY
168 DHEA ANANDHITA ARAYA PUTRI, AN
169 PRISA ENGGAR ANGGELLYA ,AN
170 NAURA ALMEIRA AHZA
171 ROUF ILHAM YUSUF , AN
172 DENDI MAULANA , AN
173 TIA YUSTIARINI , BY NY
174 JIHAD ABRAAR HINDARTO, AN
175 RUHULI JIHADIYAH, AN
176 NAILA AZALIA ROBI, AN
177 MUHAMMAD ALWI ALKHALIFI , AN
178 KALITA HANIYA MALIK , AN
179 VIONA SERAVINA ALFARIZKI, AN
180 ISNA SYAQILA HIKARI
181 QUINSHA KINARAPRATIWI, AN
IKNA TRISNAWATI , NY 17-Oct-17 Dr. Fredy Lisnan, Sp. OG
ANNISA SYIFA SALSABILA , AN 17-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
LESTARI HANDAYANI , NY 17-Oct-17 Dr. Fredy Lisnan, Sp. OG
ALISHA RAHMA , AN 17-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
IKNA TRISNAWATI ,BY NY 17-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
RAIFA HILMIYA , AN 17-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
DIDA HARDIANSYAH ,AN 17-Oct-17 Dr. Suhito Aryo P., Sp. B
ABIZARD ALTAN NUTAQI.A ,NA 17-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
MYESHA AFHEEN RAMDAN , AN 17-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
ABDURRAHMAN SHIDIQ 17-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
MUHAMMAD FATHIR KHADAFI, AN 17-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
DWI INDRIYANI , NY 18-Oct-17 Dr. Fredy Lisnan, Sp. OG
KEVIN MILANO NUGRAHA , BY 18-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
M.RADITYA , AN 18-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
AINIYA NAVISHA ALYA , AN 18-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
MIKAYLA SHAFA SUHENDAR , AN 18-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
RIKIO ALZAM , AN 18-Oct-17 Dr. Sally Palit, Sp. A
SANTI SUSANTI , NY 18-Oct-17 Dr. Widya Prawitasari, Sp. OG
RIFQI PRIYATAMA PUTRA ,AN 18-Oct-17 Dr. Sally Palit, Sp. A
RAZZAN PRATAMA BUDIMAN ,AN 18-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
AFRIZAL HABIB RABBANI, AN 18-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
HERAWATI, AN 19-Oct-17 Dr. Sally Palit, Sp. A
IIS MARLINA , NY 19-Oct-17 Dr. Fredy Lisnan, Sp. OG
SITI ROHIYATUL JANAH ,AN 19-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
SITI SYAFIYYA ,AN
AMEERA RAISSA ,AN
MUHAMMAD IQBAL MAULANA
DZIKRI ALFATTIH NADIN , BY
RASIAH , NY
QONITA HASNA HUMAIRA , AN
DESI APRIYANTI, NY
DESI APRIYANTI, BY NY
RIFKA , AN
FATHAN AL MAISAN ZHAFAR PRIYONO
VELIKA QUINZA HARMONY, AN
CATUR SUDI PAMUNGKAS ,AN
SASKI RINJANI ,AN
KAISHA NAJLA KHAIRUNNISA
INDRIAWATI, NY
FATHAN AL MAISAZ ZAFAR
INDRIAWATI, BY NY
SATYA LANCANA , AN
MOHAMAD TSABIT QEIS RAMAZAN, BY
MUHAMAD AZKA ALDRIC , AN
MUHAMMAD ABDAN SYAKURO , AN
HENDRI NUR WIDAYANTI ,NY
EKA IRMAYANI , NY
HAFIZ MAULANA PUTRA. AN
NAUFAL ARFA OKTARIAN , AN
PADLI PRATAMA SOPIAN ,AN
VEVAKANANDA LAOUVIN PHARCA , BY
NABILA PUTRI ABDUL HALIQ, AN
SITI HASNA ALISHA , AN
NAZWA AMORA , AN
MUHAMAD AL FARZKY. BY
ARAFAHYA DIANDRA AKBAR , AN
RAKA JULIO PUTRO, AN
FAREL ALFARIZI , AN
IBNU SAKHI ZAIDAN , AN
FARIZ ABIYYU MUKTI , BY
ZAHIRA SAFINATUN NAJAH , AN
ZIHAN GATSYA JUMAR , AN
NAIFAH TISA SASIKIRANA , AN
MUHAMMAD CANNEZARO SAPUTRA
ZULFATUS SURAYA, NY
ILMATUL MAHMUDAH, AN
KOKOM, NY
KOKOM. BY NY
NADINE ADILA NUGROHO ,AN
AHMAD FAHMI MUBAROK, AN
NADINE ADILA NUGROHO ,AN
19-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
19-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
19-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
19-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
19-Oct-17 Dr. Fredy Lisnan, Sp. OG
19-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
19-Oct-17 Dr. Fredy Lisnan, Sp. OG
19-Oct-17 Dr. Sally Palit, Sp. A
19-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
19-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
19-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
20-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
20-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
20-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
20-Oct-17 Dr. Fredy Lisnan, Sp. OG
20-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
20-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
20-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
20-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
20-Oct-17 Dr. Sally Palit, Sp. A
20-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
20-Oct-17 Dr. Widya Prawitasari, Sp. OG
20-Oct-17 Dr. Fredy Lisnan, Sp. OG
20-Oct-17 Dr. Sally Palit, Sp. A
21-Oct-17 Dr. Sally Palit, Sp. A
21-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
21-Oct-17 Dr. Sally Palit, Sp. A
21-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
21-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
21-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
21-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
21-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
21-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
21-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
21-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
21-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
21-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
21-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
21-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
21-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
22-Oct-17 Dr. Widya Prawitasari, Sp. OG
22-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
22-Oct-17 Dr. Widya Prawitasari, Sp. OG
22-Oct-17 Dr. Sally Palit, Sp. A
22-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
22-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
22-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
FAKHRI JHAFRAN KHAIRY ,AN
DELVIN ORLANDO ,BY
ALI ITGHAN ELRAZAN ,AN
NI'MATHUL MINALLAH, NY
HAMKA FAUZI AZURA , AN
ZULFATUS SURAYA, BY NY
KIKI SOLEHA , NY
KIKI SOLEHA , BY NY
LUTHFIANA FAJRIN, NY
LESTARI ,AN
NENENG ROSTINA ,NY
RENATA RIHADATUL AISYHA
YANAH , NY
YANAH , BY
CARISSA YUMNA FAUZIAH , AN
SYALBIYAH HUSNA , AN
RISNA LESMANA, NY
QAIREEN BATRISYA, AN
EKA ALBATROSS, NY
EKA ALBATROS ,BY,NY
SITI NURHAYASIH ,NY
AUDY ARSA ADERALD WINARDI
AMALIA SARAH SYAH O ,AN
ARSYILA SHIDQIN, AN
PUTRI NINDA APRILIYANI ,AN
MALKA SYARIEF FIRDAUS ,AN
SABRINA NURBAYANTI ,AN
WINDARI ,NY
MUHAMMAD ARKAAN ZAIN EL GHIFARY
CUNAYAH , NY
SITI ROBIAH ,NY
ALIFIA RAHMADINI ,BY
NIZAN AL HASAN ,AN
SITI ROBIAH, BY NY
DESRI SOLEHAH, NY
REZKY AMALIYA, NY
ADITYA NAUFAL DARY ABIYYU ,AN
RAFFASA ILHAM ,BY
ZALIKA NUR RIZKITA, BY
RAHANDIKA YOVAN AZRIL AL FARIQ ,BY
UUN UNASIH ,NY
KAYSHA AL AZIZA ANWAR , AN
RAFARDHAN ATHALLA FAUZI, AN
NASYTHA SHIFRA ABDULLAH
AZKA AMZANI AHMAD , AN
MIDA KHALIPAH QIRANI ANNISA , AN
SHERDAN GILANG ASIDQIH ,AN
22-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
22-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
22-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
22-Oct-17 Dr. Suhito Aryo P., Sp. B
23-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
23-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
23-Oct-17 Dr. Widya Prawitasari, Sp. OG
23-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
23-Oct-17 Dr. Fredy Lisnan, Sp. OG
23-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
23-Oct-17 Dr. Fredy Lisnan, Sp. OG
23-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
23-Oct-17 Dr. Fredy Lisnan, Sp. OG
23-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
23-Oct-17 Dr. Sally Palit, Sp. A
23-Oct-17 Dr. Sally Palit, Sp. A
23-Oct-17 Dr. Fredy Lisnan, Sp. OG
23-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
23-Oct-17 Dr. Widya Prawitasari, Sp. OG
23-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
23-Oct-17 Dr. Widya Prawitasari, Sp. OG
24-Oct-17 Dr. Sally Palit, Sp. A
24-Oct-17 Dr. Sally Palit, Sp. A
24-Oct-17 Dr. Sally Palit, Sp. A
24-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
24-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
24-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
24-Oct-17 Dr. Fredy Lisnan, Sp. OG
24-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
24-Oct-17 Dr. Fredy Lisnan, Sp. OG
24-Oct-17 Dr. Fredy Lisnan, Sp. OG
24-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
24-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
24-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
24-Oct-17 Dr. Widya Prawitasari, Sp. OG
24-Oct-17 Dr. Fredy Lisnan, Sp. OG
24-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
24-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
24-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
24-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
24-Oct-17 Dr. Widya Prawitasari, Sp. OG
25-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
25-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
25-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
25-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
25-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
25-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
MIDA KEISHA SALSABILA, AN 25-Oct-17 Dr. Sally Palit, Sp. A
ALMEIRA PUTRI RAHMAT , AN 25-Oct-17 Dr. Sally Palit, Sp. A
ADITIA LUCKY PRATAMA ,AN 25-Oct-17 Dr. Sally Palit, Sp. A
UUN UNASIH ,BY NY 25-Oct-17 Dr. Sally Palit, Sp. A
FENA YULIANA ,AN 25-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
KHAUTSAR EL PURWAJI , BY 26-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
ANAK AGUNG GEDE PUTRA DANENDRA KENZIE D , AN 26-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
NATHANNAEL , AN 26-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
MUHAMMAD NAUFAL SAKHI NABIHAN 26-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
YASINTYA PRAADZANI, AN 26-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
KHANSA AINA ISKANDAR 26-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
RIZKI ZIANDRA, AN 26-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
RAFA ARKAN ROSYADA, AN 26-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
CHELSEA BINTANG AUDRIANNA ROSE, BY 27-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
BUDRIYANTI, NY 27-Oct-17 Dr. Widya Prawitasari, Sp. OG
DAFIYA RAMADANI ,AN 27-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
HARIS AR RASYID FAIRUZ Z ,BY 27-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
RIZKY BAGUS WICAKSONO ,AN 27-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
SYELVI ELISTARINA , AN 27-Oct-17 Dr. Sally Palit, Sp. A
MUHAMMAD FATIH ALFARIZI , AN 27-Oct-17 Dr. Sally Palit, Sp. A
MIKHAYLA AZZAHRA ZEFANOV , AN 27-Oct-17 Dr. Sally Palit, Sp. A
ANINDYA PUTRI MURGANI ,BY 27-Oct-17 Dr. Sally Palit, Sp. A
ALBY LUTHPY SUHERMAN , AN 27-Oct-17 Dr. Sally Palit, Sp. A
ADHYASTA ZAIDAN FIKRIANSYAH , AN 27-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
IRFAN PAMUNGKAS SULTONI ,AN 27-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
NAZZYFA ALANNA FIRDAUS ,AN 27-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
NAWAL MAGDA, AN 28-Oct-17 Dr. Sally Palit, Sp. A
NURUL HALIMAH ,NY 28-Oct-17 Dr. Budi, Sp. OG
GALANG RAHMAT RABBANI ,AN 28-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
MUHAMMAD AZKA ALFIAN PRATAMA, AN 28-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
DZAKIYA RAFIFAH ARTANTI ,AN 28-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
ATIQAH HUMAIRA FITRI , AN 28-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
DAVIAN AHMAD FAISAL ,AN 28-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
PUTRA ARDIANSYAH 28-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
NASYWAH AZALIA HARYADI 28-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
MARYANI SALSABILA ,AN 28-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
AISYAH AMANINA QURROTA A'YUN 29-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
KHAIRAV ALPILLO RAMADAN , AN 29-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
FIRJATULLAH SAPUTRA, AN 29-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
JUBAEDAH ,NY 29-Oct-17 Dr. Widya Prawitasari, Sp. OG
NABILA AISYAH, BY 29-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
KHIAR AL ZAFRAN KENZIE RIYANTO, AN 29-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
SYAQIRA NURUL AINI, AN 29-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
RADITYA SAKTIKA WISTARA 29-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
RAYHAN ALTHAF UTAMA, AN 29-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
AL FATHIR AMIN ALAMSYAH 29-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
FINA RATNA SARI ,NY 29-Oct-17 Dr. Widya Prawitasari, Sp. OG
SUSLIA PRAWATI , NY
ABINAYA NAKHLA H ,AN
ARETHA KHANZA ZAYNA ,AN
ARSYAD ISAM PAHLEPI , AN
RIZKY YOSUA , AN
ANINDYA AINUN MAHYA WASKITO
ANGGI KHARISMA DEWI , NY
SANI SHOBHAH, AN
FAHAD ALI GUFRON , AN
KIKI SOLEHA , BY NY
ABINAYA NAKHLA H ,AN
M. AL-FATIH, AN
DAVINA ANINDHITA FARDIANA, AN
ALDHAN RAPAEL ,AN
AISYAH DZAKIRAH
NAILA THALITA WARDOYO , BY
LAILA KHOERUNNISA ,AN
ATHALLA WIJAYA, BY
VIOLYTHA MILKA PRISCILLA S , AN
LARAEINA IRENE AVNI HERWANSAH
29-Oct-17 Dr. Widya Prawitasari, Sp. OG
29-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
30-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
30-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
30-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
30-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
30-Oct-17 Dr. Fredy Lisnan, Sp. OG
30-Oct-17 Dr. Suhito Aryo P., Sp. B
30-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
30-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
30-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
30-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
30-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
30-Oct-17 Dr. Sally Palit, Sp. A
30-Oct-17 Dr. Sally Palit, Sp. A
30-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
30-Oct-17 Dr. Sally Palit, Sp. A
30-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
30-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
30-Oct-17 Dr. Dedi Kurniawan Saputra, Sp. A
9
Dokter g/Kelas M .BDETOLT.SET TISUHANDUK SANDAL TAS GELAS
Dr. Irwi 303/I 1 1 1 1
Dr. Irwi 304/II 1 1
Dr. Dedi 305/I 1 1 1 1
Dr. Trip 304/II 1 1
Dr. Widy310/III 1 1 1 1
Dr. DediPERINA
Dr. Widy310/III 1 1 1 1
Dr. DediPERINA
Dr. Irwi 311/III 1 1
Dr. Dwi206/VIP 1 1 1 1 1 1
Dr. Dedi02 /VIP 1 1 1 1 1 1
Dr. Irwi 311/III 1 1
Dr. Dedi 307/III 1 1
Dr. Fred 310/III 1 1 1 1
Dr. DediPERINA
Dr. Widy 304/II 1 1
Dr. Trip PERINA
Dr. Trip 307/III 1 1
Dr. Dedi NICU 1
Dr. Dedi301/VIP 1 1 1 1 1 1
Dr. Dedi 304/II 1 1
Dr. Irwi201/VIP 1 1 1 1 1 1
Dr. Dedi205/VIP 1 1 1 1 1 1
Dr. Dedi 305/I 1 1 1 1
Dr. Dedi301/VIP 1 1 1 1 1 1
Dr. Dedi HCU 1
Dr. Irwi 303/I 1 1 1 1
Dr. Widy310/III 1 1 1 1
Dr. Dwi 304/II 1 1
Dr. Dedi 307/III 1 1
Dr. Dedi 307/III 1 1
Dr. Dedi 305/I 1 1 1 1
Dr. Irwi 304/II 1 1
Dr. Dedi 306/I 1 1 1 1
Dr. Dedi 306/I 1 1 1 1
Dr. Widy 304/II 1 1
Dr. Widy 304/II 1 1
Dr. DediPERINA
Dr. DediPERINA
Dr. Dedi 304/II 1 1
Dr. Irwi 311/III 1 1
Dr. Dedi04/SVIP 1 1 1 1 1 1
Dr. Dedi03/SVIP 1 1 1 1 1 1
Dr. Dedi206/VIP 1 1 1 1 1 1
Dr. DediPERINA
Dr. RR. 307/III 1 1
Dr. Widy 304/II 1 1
Dr. DediPERINA
Dr. Dedi 304/II 1 1
Dr. Dwi HCU
Dr. DediCU-HCU
Dr. RR. 307/III 1 1
Dr. DediPERINA
Dr. Dedi HCU
Dr. Dedi301/VIP 1 1 1 1 1 1
Dr. RR. 201/VIP 1 1 1 1 1 1
Dr. RR. 205/VIP 1 1 1 1 1 1
Dr. Dwi 304/II 1 1
Dr. Dwi 304/II 1 1
Dr. Irwi206/VIP 1 1 1 1 1 1
Dr. RR. 307/III 1 1
Dr. RR. 307/III 1 1
Dr. RR. 304/II 1 1
Dr. Dedi 305/I 1 1 1 1
Dr. Irwi206/VIP 1 1 1 1 1 1
Dr. RR. 302/VIP 1 1 1 1 1 1
Dr. Irwi 309/I 1 1 1 1
Dr. Dwi 304/II 1 1
Dr. Dwi 307/III 1 1
Dr. Dwi Haryadi, Sp. A., M. 1 1
Dr. Dedi307 / III 1 1
Dr. Dedi 304/II 1 1
Dr. Dedi HCU 1
Dr. Dwi 306/I 1 1 1 1
Dr. Widy206/VIP 1 1 1 1 1 1 1 1
Dr. RR. PERINA
Dr. RR. PERINA
Dr. Dedi 306/I 1 1 1 1
Dr. Dedi 307/III 1 1
Dr. Dedi 304/II 1 1
Dr. Dedi03/SVIP 1 1 1 1 1 1
Dr. Irwi 304/II 1 1 1 1 1 1
Dr. Widy205/VIP 1 1 1 1
Dr. DediPERINA
Dr. Dedi NICU 1
Dr. Irwi 304/II 1 1
Dr. Fred 308/I 1 1 1 1
Dr. Fred 310/III 1 1 1 1
Dr. Widy310/III 1 1 1 1
Dr. RR. 307/III 1 1
Dr. Fred 310/III 1 1 1 1
Dr. RR. 304/II 1 1
Dr. RR. 302/VIP 1 1 1 1 1 1
Dr. RR. PERINA
Dr. DediPERINA
Dr. DediPERINA
Dr. Fred 310/III 1 1 1 1
Dr. Dwi 304/II 1 1
Dr. Dedi NICU 1
Dr. Fred 310/III 1 1 1 1
Dr. Fari 303/I 1 1 1 1 1 1
Dr. DediPERINA
Dr. DediPERINA
Dr. Fred 310/III 1 1 1 1
Dr. Irwi 311/III 1 1
Dr. Dwi 307/III 1 1
Dr. RR. 307/III 1 1
Dr. Widy310/III 1 1 1 1
Dr. Dedi 307/III 1 1
Dr. RR. 304/II 1 1
Dr. Dedi 307/III 1 1
Dr. DediPERINA 1 1
Dr. Widy 304/II 1 1
Dr. DediPERINA
Dr. Rith 304 1 1
Dr. Dedi 304 1 1
Dr. Dedi 304 1 1
Dr. Widy 201 1 1 1 1 1 1 1 1

Dr. Rith 305 1 1 1 1

Dr. DediPERINA
Dr. Dedi 304 1 1
Dr. Rith 304 1 1
Dr. Widy 205 1 1 1 1 1 1 1 1
Dr Farid 310 1 1 1 1
Dr Dedi 3o8 1 1
Dr RR 304 1 1
Dr dedi 307 1 1
Dr Dedi 307 1 1
Dr Dedi PERINA
DR RITH 311 1 1
Dr Dedi PERINA
DR WIDI 310 1 1 1 1
DR WIDI 310 1 1 1 1
Dr Dedi NICU
Dr Dedi PERINA
Dr Dedi PERINA
DR RITH 204 1 1 1 1 1 1
DR RRD 308 1 1 1 1
DR WIDI 310 1 1 1 1
DR RITH 201 1 1 1 1 1 1
dr widia 306 1 1 1 1
DR WIDI 310 1 1 1 1
Dr Dedi Perina
Dr Dedi perina
Dr Dedi perina
Dr Dedi PERINA
DR WIDI205/VIP 1 1 1 1 1 1 1 1
Dr Dedi 302/VIP 1 1 1 1 1 1
DR RITH206/vip 1 1 1 1 1 1
DR DEDIPERINA
DR RITHISOLASI 1 1
DR DEDI 304 1 1
DR RITH 309 1 1 1 1
DR FRED203/VIP 1 1 1 1 1 1 1 1
Dr Farid 310 1 1 1 1
Dr Farid 310 1 1 1 1
Dr Dedi PERINA
Dr Dedi HCU
Dr Dedi NICU
DR WIDI201/VIP 1 1 1 1 1 1 1 1
Dr Dedi PERINA
DR DEDI 307 1 1
DR SUHI 307 1 1
Dr Dedi 304/II 1 1
Dr Dedi 307 1 1
DR RITH 310 1 1 1 1
Dr Dedi 307 1 1
Dr Dedi 307 1 1
Dr Dedi
DR RITH 305 1 1 1 1
DR RITH 305 1 1
Dr Dedi 304 1 1
Dr Dedi 304 1 1
DR WIDI205/VIP 1 1 1 1 1 1
Dr RR PERINA
DR WIDI 308 1 1
Dr Dedi APS
DR RITH APS
DR RITH BLPL
DR WIDI BLPL 1 1 1
Dr RR BLPL 1 1
DR RITH BLPL 1 1
Dr RR DANI 1 1
DR DAN HCU 1
DR DAN BLPL 1
DR WIDI BLPL 1 1 1 1 1
DR DAN BLPL
DR DAN BLPL 1 1
Dr Dedi NICU 1
DR RITHZA 1 1 1 1 1 1
Dr Dedi BLPL 1 1
DR WIDI BLPL 1 1 1 1 1 1 1
DR DAN 301 1 1 1 1 1 1
Dr Dedi BLPL
Dr Farid BLPL 1 1 1
DR BUDI S 1 1 1
Dr Dedi BLPL
Dr Dedi APS 1 1 1 1 1 1
DR SAR BLPL 1 1 1 1 1
Dr Dedi BLPL 1 1
Dr Dedi BLPL
DR WIDI BLPL 1 1 1 1 1 1 1
Dr Dedi BLPL
Dr Dedi BLPL 1 1 1 1 1 1
Dr Dedi BLPL 1 1
DR BUDI S 1 1 1
Dr Dedi BLPL 1 1
DR RR DANIS 1 1
DR WIDIA 1 1 1
DR DAN BLPL 1 1
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DR FARID 1 1 1
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DR WIDIA 1 1 1
Dr DediPERINA 1 1
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DR RR DANIS 1 1 1 1
DR WIDIA 1 1 1
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DR WIDI 308 1 1 1
DR RR DANIS 1 1
Dr DediISOLASI 1 1
DR RR DANIS 1 1
Dr Dedi 205 1 1 1 1 1 1
Dr Dedi
Dr Dedi
DR RITH 304 1 1
DR WIDI 311 1 1 1
Dr Dedi 304 1 1
DR RITHZA 1 1
DRDEDI 1 1
DR RITHZA 1 1
Dr Dedi
DR DANNIS
DR WIDIA
DR FRED 304 1 1 1 1
DR FRED 304 1 1
DR RITH 304 1 1
206 1 1 1 1 1 1
DR 304 1 1 1 1
304 1 1 1 1
DR RITH 304 1 1
PERINA
304 1 1
200 236 55 40 55 40

Dokter g/Kelas M .BDETOLT.SET TISUHANDUK SANDAL TAS GELAS

Dr. Budi311 1 1 1 1
Dr. DediPERINA
Dr. Rith 304 1 1
Dr. Suhit201 1 1 1 1 1 1
Dr. DediISOLASI 1 1
Dr. DediPERINA
Dr. Budi311 1 1 1 1
Dr. DediHCU
Dr. Rith 310 1 1
Dr. Dedi304 1 1
Dr. DediHCU
Dr. RR. 307 1 1
Dr. RR. 304 1 1
Dr. Widy201 1 1 1 1 1 1 1 1
Dr. FRE 304 1 1 1 1
Dr. DediPERINA
Dr. RR. 304 1 1
Dr. FRE 309 1 1 1 1 1
Dr. DED PERINA
Dr. FRE 311 1 1 1 1
Dr. Dedi307 1 1
Dr. Dedi304 1 1
Dr. FRE 311 1 1
Dr. Dedi307 1 1
Dr. DediPERINA
Dr. DED 302 1 1 1 1 1 1
Dr. RR. 307 1 1
Dr. Sally307 1 1
Dr. RR. 301 1 1 1 1 1 1
Dr. Budi311 1 1 1 1
Dr. Dedi304 1 1
Dr. Rith 310 1 1
Dr. Budi311 1 1 1 1
Dr. DediPERINA
Dr. Budi311 1 1 1 1
Dr. SallyPERINA
Dr. SallyPERINA
Dr. FRE 304 1 1
Dr. FRE 304 1 1 1 1
PERINA
Dr. M Fa206 1 1 1 1 1 1 1 1
Dr. SallyPERINA
Dr. Irwi 304 1 1
Dr. RR. 205 1 1 1 1 1
Dr. FRE 308 1 1 1 1
Dr. Dedi304 1 1
Dr. RR. 304 1 1
Dr. Dedi307 1 1
Dr. Rith 309 1 1 1
Dr. RR. 304 1 1
Dr. RR. 304 1 1
Dr. Rith 310 1 1
Dr. Dedi307 1 1 1
Dr. DediHCU 1 1
Dr. DediISOLASI 1 1

Dr. Dedi201 1 1 1 1 1 1
Dr. Dedi304 1 1
Dr. Dedi308 1 1 1
Dr. DediPERINA
Dr. Rith 304 1 1
Dr. Dedi308 1 1
Dr. RR. 304 1 1
Dr. Rith 206 1 1 1 1 1 1
Dr. RR. 308 1 1 1
Dr. Dedi302 1 1 1 1 1 1
Dr. Sara 311 1 1 1 1
Dr. Dedi205 1 1 1 1 1 1
Dr. Sally306 1 1 1
Dr. DediHCU
Dr. 307
Dedi
Kurnia
wan
Saputr
a, Sp. A

1 1
Dr. RR. PERINA
Dr. RR. 304 1 1
Dr. Dedi304 1 1
Dr. Dedi304 1 1
205
Dr. Dedi 1 1 1 1 1 1
Dr. 310
Rithza
Harun,
Sp. PD
1 1
Dr. 301
Dedi
Kurnia
wan
Saputr
a, Sp. A

1 1 1 1 1 1
Dr. RR. 201 1 1 1 1 1 1
Dr. Sara 305 1 1 1
Dr. RR. 304 1 1
Dr. Rith 206 1 1 1 1 1 1
Dr. Dedi307 1 1
Dr. Dedi306 1 1 1
Dr. RR. 308 1 1 1
Dr. RR. 302 1 1 1 1 1 1
Dr. DediHCU
Dr.
Dedi
Kurnia
wan
Saputr
a, Sp. A

204 1 1 1 1 1 1
Dr. RR. 307 1 1
Dr. Fari 304 1 1
Dr. SallyPERINA
Dr. Sara 305 1 1 1 1 1
Dr. DediPERINA
Dr. RR. HCU 1 1 1
Dr. Widy305 1 1
Dr. DediPERINA
Dr. Dedi304 1 1
Dr. RR. 307 1 1
Dr. Dedi307 1 1
Dr. RR. HCU
Dr. Dedi304 1 1
Dr. Dedi304 1 1
Dr. Widy205 1 1 1 1 1 1
Dr. Sara 310 1 1 1 1
Dr. DediHCU-304 1 1
Dr. DediNICU
Dr. Fari 310 1 1 1 1 1
Dr. Budi310 1 1 1 1
Dr. RR. PERINA 1 1
Dr. Widy311 1 1 1 1
Dr. DediPERINA
Dr. Dedi302 1 1 1 1 1 1
Dr. DediHCU
Dr. DediPERINA
Dr. Rith 308 1 1
Dr. RR. 307 1 1
Dr. Dedi307 1 1
Dr. Fari 304 1 1
Dr. Dedi307 1 1
Dr. RR. 307 1 1
Dr. Dedi306 1 1 1
Dr. Dedi307 1 1
Dr. Fred 311 1 1 1 1
Dr. DediPERINA
Dr. Dedi306 1 1 1
Dr. Sara 304 1 1

Dr. RR. 304 1 1

Dr. SallyPERINA
Dr. SallyISOLASI 1 1
Dr. Sally205 1 1 1 1 1 1
Dr. Dedi304 1 1
Dr. Budi204 1 1 1 1 1 1 1 1
Dr. Dedi304 1 1
Dr. SallyPERINA
Dr. Rith 308 1 1
Dr. Widy311 1 1
Dr. Widy311 1 1
Dr. RR. PERINA
Dr. DediNICU
Dr. Widy311 1 1
Dr. Rith 310 1 1
Dr. SallyHCU
Dr. DediHCU
Dr. Widy311 1 1
Dr. SallyPERINA
Dr. Dedi307 1 1
Dr. Rith 206 1 1 1 1 1 1
Dr. RR. 307 1 1
Dr. Rith 310 1 1
Dr. DediHCU
Dr. DediHCU
Dr. Rith 201 1 1 1 1 1 1
Dr. Dedi304 1 1
Dr. Fari 203 1 1 1 1 1 1 1 1
Dr. RR. PERINA
Dr. RR. 307 1 1
Dr. RR. 307 1 1
Dr. DediHCU
Dr. DediISOLASI 1 1
Dr. Rith 305 1 1 1
Dr. DediNICU
Dr. Dedi307 1 1
Dr. Dedi306 1 1 1
Dr. Sally307 1 1
Dr. RR. 304 1 1
Dr. Dedi304 1 1
Dr. Fred311 1 1
Dr. DediPERINA 1 1
Dr. Rith 309 1 1 1
Dr. Rith 305 1 1 1
Dr. RR. 304 1 1
Dr. Dedi306 1 1 1
Dr. RR. 304 1 1
Dr. Sally308 1 1
Dr. Dedi203 1 1 1 1 1 1
Dr. Sally308 1 1
Dr. Sally307 1 1
Dr. Sara 204 1 1 1 1 1 1 1 1
Dr. DediPERINA
Dr. Budi311 1 1 1 1
Dr. DediPERINA 1
Dr. Dedi302 1 1 1 1 1 1
Dr. RR. 308 1 1
Dr. Rith 310 1 1
Dr. Fred205 1 1 1 1 1 1 1 1
Dr. SallyPERINA
Dr. Dedi304 1 1
Dr. DediHCU-308 1 1 1
Dr. RR. 206 1 1 1 1 1 1
Dr. Sara 311 1 1
Dr. RR. 306 1 1 1
Dr. Rith 310 1 1
Dr. Dedi307 1 1
Dr. Dedi304 1 1
Dr. Dedi306 1 1
Dr. Dedi305 1 1 1
Dr. Dedi304 1 1
Dr. DediHCU
Dr. RR. 304 1 1

Dr. RR. 308 1 1 1

Dr. Dedi307 1 1
Dr. DediHCU
Dr. RR. 304 1 1
Dr. Sally201 1 1 1 1 1 1
Dr. Rith 204 1 1 1 1 1 1
Dr. Suhit307 1 1
Dr. Dedi307 1 1
Dr. Widy309 1 1 1 1 1
Dr. Sally308 1 1 1 1 1
Dr. Widy309 1 1 1 1 1

Dr. DediPERINA
Dr. Widy311 1 1 1 1
Dr. RR. 304 1 1
Dr. Dedi307 1 1
Dr. Dedi307 1 1
Dr. RR. 205 1 1 1 1 1 1
Dr. RR. 205 1 1 1 1 1 1
Dr. DediPERINA
Dr. SallyNICU
Dr. Widy305 1 1 1 1 1
Dr. Dedi302 1 1 1 1 1 1
Dr. DediISOLASI 1 1
Dr. Widy310 1 1 1 1
Dr. Widy206 1 1 1 1 1 1
Dr. DediPERINA
Dr. DediPERINA

Dr. DediNICU
Dr. RR. 307 1 1
Dr. DediHCU
Dr. Dedi301 1 1 1 1 1 1
Dr. Dedi304 1 1
Dr. Dedi307 1 1
Dr. Rith 311 1 1
Dr. DediHCU
Dr. Fred304 1 1
Dr. RR. 307 1 1
Dr. Rith 311 1 1
Dr. Dedi201 1 1 1 1 1 1
Dr. Dedi304 1 1 1 1 1 1
DR DEDI 304 1 1
30 30 177 177 68 68 36 36

Dokter g/Kelas M .BDETOLT.SET TISUHANDUK SANDAL TAS GELAS

Dr. Widy310 1 1 1 1
Dr. RR. 305 1 1 2
Dr. Dedi304 1 3
Dr. Sara 304 1 1 1 4
Dr. DediPERINA 1
Dr. DediHCU 1
Dr. Dedi304 1 7
Dr. DediHCU 1
Dr. Sally304 1 8
Dr. DediNICU
Dr. Dedi 302 1 1 1 1 1 9
Dr. Fredy1 1 1 1 10
Dr. Dedi PERINA
Dr. Dedi 307 1 1 11
Dr. Sally NICU
Dr. Fredy310 1 1 1 1 12
Dr. Dedi PERINA
Dr. Widy305 1 1 1 1 13
Dr. DediPERINA
Dr. Dedi 304 1 1 14
Dr. Dedi 307 1 1 15
Dr. Widy304 1 1 1 1 16
Dr. Dedi304 1 1 17
Dr. Rith 201 1 1 1 1 1 1
Dr. DediPERINA
Dr. Rith 304 18
Dr. Dedi304 1 1 19
Dr. Dedi307 1 1 20
Dr. DediHCU-303 1 1
Dr. Rith 205 1 1 1 1 1 1
Dr. Widy310 1 11 1 21
Dr. Dedi302 1 1 1 1 1 1 22
Dr. Dedi304 1 1 23
Dr. DediPERINA
Dr. Fred204 1 11 1 1 1 1 1
Dr. Widy306 1 11 1 24
Dr. DediHCU
Dr. Sally304 1 1 25
Dr. SallyPERINA
Dr. Widy308 1 1 1 1 26
Dr. Dedi307 ` 1 1 27
Dr. DediPERINA
Dr. Sara 305 1 11 1 1 1 28
Dr. Widy304 1 11 1 29
Dr. DediISOLASI/I 1 1 30
Dr. Dedi202 1 1 1 1 1
Dr. Dedi307 1 1 31
Dr. Fred306 1 11 1 1 32
Dr. Dedi303 1 1 33
Dr. Dedi307 ~ 1 1 34
Dr. Dedi307 1 1 35
Dr. Fred305 1 1 1 1 1 1 36
Dr. Dedi304 1 1 37
Dr. Sally201 1 1 1 1 1 1
Dr. SallyPERINA
Dr. Dedi307 1 1 38
Dr. Sally304 1 1 39
Dr. Rith 204 1 1 1 1 1 1
Dr. Rith 311 1 1 40
Dr. Sally304 1 1 41
Dr. Widy308 1 1 1 1 1 1 42
Dr. SallyPERINA
Dr. DediISOLASI/I 1 1 1 1 43
Dr. Dedi304 1 1 44
Dr. Sara 308/I 1 1 1 1 45
Dr. DediHCU
Dr. DediPERINA
Dr. Widy308 1 1 1 1 46
Dr. DediNICU
Dr. Dedi307 1 1 47
Dr. Fred205 1 1 1 1 1 1
Dr. Dedi307 1 1 48
Dr. Sally303 1 1 1 1 49
Dr. Fred306 1 1 1 1 1 1 50
Dr. SallyPERINA
Dr. Widy202 1 1 1 1 1 1 1 1
Dr. DediPERINA
Dr. Fred311 1 1 1 1 51
Dr. Dedi303 (Isolasi ) 1 1 1 1 52
Dr. Dedi307 1 1 53
Dr. DediPERINA
Dr. SallyHCU-ISOLASI 1 1
Dr. Sally305 1 1 1 1 54
Dr. SallyPERINA
Dr. Dedi305 1 1 1 1 55
Dr. Dedi305 1 1 1 1 56
Dr. DediISOLASI/I 1 1 1 1 57
Dr. Dedi304 1 1 58
Dr. Dedi307 1 1 59
Dr. Dedi304 1 1 60
Dr. Dedi201 1 1 1 1 1 1 61
Dr. Dedi304 1 1 62
Dr. DediNICU
Dr. Fred311 1 1 63
Dr. Dedi205 1 1 1 1 1 1
Dr. Widy304 1 1 1 1 64
Dr. Dedi304 1 1 65
Dr. DediPERINA
Dr. DediPERINA
Dr. Fred309 1 1 1 1 1 1 66
Dr. DediHCU
Dr. DediNICU

Dr. Sally307 1 1 67
Dr. Sally307 1 1 68
Dr. Widy206 1 1 1 1 1 1 1 1
Dr. Sally303 1 1 1 1 69
Dr. Dedi308 1 1 70
Dr. Dedi307 1 1 71
Dr. Rith 310 1 1 72
Dr. Dedi307 1 1 73
Dr. Sara 205 1 1 1 1 1 1 1 1
Dr. Dedi307 1 1 74
Dr. SallyPERINA
Dr. Widy304 1 1 75
Dr. Sally304 1 1 76
Dr. Dedi303/ISOLASI 1 1 1 1 77
Dr. SallyPERINA
Dr. Dedi305 1 1 1 1 78
Dr. Dedi304 1 1 79
Dr. Sally304 1 1 80
Dr. Dedi304 1 1 81
Dr. Dedi307 1 1 82
Dr. DediHCU
Dr. Dedi307 1 1 83
Dr. Dedi201 1 1 1 1 1 1
Dr. Dedi307 1 1 84
Dr. Dedi304 1 1 85
Dr. Rith 311 1 1 86
Dr. Dedi303 1 1 1 1 87
Dr. Dedi307 1 1 88
Dr. Sara 306 1 1 1 1 1 1 89
Dr. DediPERINA
Dr. Fred310 1 1 70
Dr. Rith 310 1 1 71
Dr. Sally307 1 1 72
Dr. Rith 310 1 1 73
Dr. Rith 308 1 1 1 1 74
Dr. Rith 205 1 1 1 1 1 1
Dr. Sally305 1 1 1 1 75
Dr. DediNICU
Dr. Alam311 1 1 76
Dr. Dedi307 1 1 77
Dr. Widy311 1 1 78
Dr. SallyPERINA
Dr. Widy306 1 1 79
Dr. DediPERINA
Dr. Dedi304 1 1 80
Dr. Dedi303/ISOLASI 1 1 81
Dr. Rith 309 1 1 82
1 1 83
Dr. Dedi307 1 1 84
Dr. Dedi308 1 1 1 1 85
Dr. Dedi206 1 1 1 1 1 1
Dr. Dedi304 1 1 86
Dr. Dedi305 1 1 1 1 87
Dr. Sally304 1 1 1 88
Dr. Sally303 1 1 1 1 89
Dr. Dedi303 1 1 1 1 90
DR SAR 310 1 1 91
310 1 1 1 1 92
310 1 1 1 1 93
HCU
307 1 1 94
304 1 1 95
205 1 1 1 1 1 1 1 1
25 25 132 132 45 18 48 18

8100 ### 1800 12500 26150

Dokter g/Kelas M .BDETOLT.SET TISUHANDUK SANDAL TAS GELAS
Dr. RR. 303 1 1 1 1 13650
Dr. Fred311 1 1 11850
Dr. Rith 311 1 1 11850
Dr. Rith 311 1 1 11850
Dr. Rith 311 1 1 11850
Dr. Rith 311 1 1 11850
Dr. Rith 311 1 1 11850
Dr. Rith 311 1 1 11850
Dr. Fred310 1 1 1 1 11850
Dr. Fred310 1 1 1 1 11850
Dr. Fred310 1 1 1 1 11850
Dr. Fred310 1 1 1 1 11850
Dr. Fred310 1 1 1 1 11850
Dr. Fred310 1 1 1 1 11850
Dr. Fred310 1 1 1 1 11850
Dr. Widy310 1 1 1 1 11850
Dr. Fred310 1 1 1 1 11850
Dr. Fred310 1 1 1 1 11850
Dr. Fred310 1 1 1 1 11850
Dr. Rith 310 1 1 11850
Dr. Fred309 1 1 1 1 1 1 13650
Dr. Widy309 1 1 1 1 1 1 13650
Dr. Sara 309 1 1 1 1 1 13650
Dr. Rith 308 1 1 1 1 13650
Dr. Rith 308 1 1 1 1 13650
Dr. Dedi307 1 1 11850
Dr. Dedi307 1 1 11850
Dr. Dedi307 1 1 11850
Dr. Suhit307 1 1 11850
Dr. Rith 307 1 1 11850
Dr. Sally307 1 1 11850
Dr. Dedi307 1 1 11850
Dr. Dedi307 1 1 11850
Dr. Dedi307 1 1 11850
Dr. Dedi307 1 1 11850
Dr. Dedi307 1 1 11850
Dr. Dedi307 1 1 11850
Dr. Dedi307 1 1 11850
Dr. Dedi307 1 1 11850
Dr. Rith 306 1 1 1 1 13650
Dr. Rith 306 1 1 1 1 13650
Dr. Rith 306 1 1 1 1 13650
Dr. Sally305 1 1 1 1 13650
Dr. Fred305 1 1 1 1 13650
Dr. Sally305 1 1 1 1 13650
Dr. Fred305 1 1 1 1 13650
Dr. Fred305 1 1 1 1 13650
Dr. Dedi305 1 1 1 1 13650
Dr. RR. 305 1 1 1 1 13650
Dr. Dedi305 1 1 1 1 13650
Dr. RR. 305 1 1 1 1 13650
Dr. Fred304 1 1 1 1 11850
Dr. Sally304 1 1 11850
Dr. Fred304 1 1 1 1 11850
Dr. Sally304 1 1 11850
Dr. Sally304 1 1 11850
Dr. Fred304 1 1 1 1 11850
Dr. RR. 304 1 1 11850
Dr. Sally304 1 1 1 11850
Dr. Fred304 1 1 1 1 11850
Dr. Sally304 1 1 11850
Dr. RR. 304 1 1 11850
Dr. Sara 304 1 1 1 1 11850
Dr. Fred304 1 1 1 1 11850
Dr. Sally304 1 1 11850
Dr. RR. 304 1 1 11850
Dr. Fred304 1 1 1 1 11850
Dr. Fred304 1 1 1 1 11850
Dr. Fred304 1 1 1 1 11850
Dr. Rith 304 1 1 11850
Dr. Dedi304 1 1 11850
Dr. RR. 304 1 1 11850
Dr. Dedi304 1 1 11850
Dr. Dedi304 1 1 11850
Dr. Dedi304 1 1 11850
Dr. Dedi304 1 1 11850
Dr. Dedi304 1 1 11850
Dr. Fred304 1 1 1 1 11850
Dr. Dedi304 1 1 11850
Dr. Dedi304 1 1 11850
Dr. Dedi303 1 1 11850
Dr. Sally303 1 1 11850
Dr. Sally303 1 1 11850
Dr. RR. 303 1 1 1 11850
1 1 1 1 1 1 26500
1 1 1 1 1 1 26500
1 1 1 1 1 1 26500 1E+06
1 1 1 1 1 1 26500
1 1 1 1 1 1 26500
1 1 1 1 1 1 26500
1 1 1 1 1 1 1 1 26500
1 1 1 1 1 1 26500
1 1 1 1 1 1 26500
1 1 1 1 1 1 26500
1 1 1 1 1 1 1 1 26500
1 1 11850
27 27 96 96 29 11 29 11 1E+06

8100 ### 18000 12500

Dokter g/Kelas M .BDETOLT.SET TISUHANDUK SANDAL TAS GELAS
Dr. Dedi 205 1 1 1 1 1 1 42350
Dr. Dedi 304 1 1 11850
Dr. Sally 305 1 1 1 1 29850
Dr. Dedi 303 1 1 11850
Dr. Dedi 204 1 1 1 1 1 1 42350
Dr. Dedi 304 1 1 11850
Dr. Dedi 304 1 1 11850
Dr. Dedi 201 1 1 1 1 1 1 42350
Dr. Widy 206 1 1 1 1 1 1 1 42350
Dr. RR. 305 1 1 1 1 29850
Dr. Dedi 304 1 1 11850
Dr. DediPERINADr. DPERINBLPL
Dr. DediNICU Dr. DNICU PLUS
Dr. Dedi 303 1 1 1 1 29850
Dr. Dedi 306 1 1 1 1 29850
Dr. Fred 309 1 1 1 1 1 1 29850
Dr. DediPERINA
Dr. RR. 304 1 1 11850
Dr. RR. 304 1 1 11850
Dr. Dedi 305 1 1 1 1 29850
Dr. Fred 310 1 1 1 1 11850
Dr. DediPERINA
Dr. Dedi 307 1 1 11850
Dr. RR. 201 1 1 1 1 1 1 42350
Dr. Dedi 307 1 1 11850
Dr. RR. 307 1 1 11850
Dr. Sally 304 1 1 11850
Dr. Dedi 203 1 1 1 1 1 1 42350
Dr. Dedi 304 1 1 11850
Dr. Sally 305 1 1 1 1 29850
Dr. Dedi 205 1 1 1 1 1 1 29850
Dr. Fred 308 1 1 1 1 1 1 29850
Dr. SallyPERINA
Dr. DediHCU
Dr. Dedi 305 1 1 1 1 29850
Dr. Fred 310 1 1 1 1 1 11850
Dr. DediPERINA
Dr. Dedi 304 1 1 11850
Dr. Dedi 304 1 1 11850
Dr. RR. 307 1 1 11850
Dr. DediHCU
Dr. Widy 309 1 1 1 1 1 1 29850
Dr. Fred 309 1 1 1 1 1 1 29850
Dr. SallyPERINA
Dr. Dedi 201 1 1 1 1 1 1 42350
Dr. DediNICU
Dr. Sara 309 1 1 1 1 1 1 29850
Dr. Dedi 304 1 1 11850
Dr. DediPERINA
Dr. Rith 205 1 1 1 1 1 1 42350
Dr. Dedi 307 1 1 11850
Dr. RR. 307 1 1 11850
Dr. Sara 203 1 1 1 1 1 1 1 1 42350
Dr. Sara 310 1 1 1 1 11850
Dr. Sara 306 1 1 1 1 1 1 29850
Dr. Dedi 304 1 1 11850
Dr. DediPERINA
Dr. RR. 305 1 1 1 1 29850
Dr. DediPERINA
Dr. RR. PERINA PERINA
Dr. RR. 304 1 1 11850
Dr. Dedi 303 1 1 1 1 29850
Dr. Dedi 304 1 1 11850
Dr. Widy 309 1 1 1 1 1 1 29850
Dr. Dedi 307 1 1 11850
Dr. DediPERINA PERINA
Dr. Fred 310 1 1 1 1 11850
Dr. RR. 304 1 1 11850
Dr. Dedi 304 1 1 11850
Dr. DediPERINA PERINA
Dr. Dedi 205 1 1 1 1 1 1 42350
Dr. Dedi 307 1 1 11850
Dr. Dedi 303 1 1 1 1 29850
Dr. Dedi 304 1 1 11850
Dr. RR. 308 1 1 1 1 29850
Dr. Dedi 307 1 1 11850
Dr. RR. 305 1 1 1 1 11850
Dr. RR. 307 1 1 11850
Dr. RR. 307 1 1 11850
Dr. Dedi 307 1 1 11850
Dr. DediHCU
Dr. Dedi 305 1 1 1 1 29850
Dr. Dedi 307 1 1 11850
Dr. Dedi 306 1 1 1 1 29850
Dr. Dedi 201 1 1 1 1 1 1 42350
Dr. Dedi 303 1 1 1 1 29850
Dr. Dedi 303 1 1 1 1 29850
Dr. RR. 304 1 1
Dr. Dedi 202 1 1 1 1 1 1 42350
Dr. RR. 206 1 1 1 1 1 1 42350
Dr. Widy 310 1 1 1 1 11850
Dr. Sally 307 1 1 11850
Dr. Dedi 204 1 1 11850
Dr. Fred 304 1 1 1 1 11850
Dr. Dedi 303 1 1 1 1 29850
Dr. Sara 304 1 1 1 1 11850
Dr. RR. 304 1 1 11850
Dr. SallyHCU 1 HCU
Dr. Sally 304 1 1 11850
Dr. SallyPERINA PERINA
Dr. Fred 205 1 1 1 1 1 1 1 1 42350
Dr. DediPERINA
Dr. RR. 204 1 1 1 1 1 1 42350
Dr. Dedi 307 1 1 11850
Dr. RR. 302 1 1 1 1 29500
Dr. RR. 304 1 1 11850
Dr. Dedi 305 1 1 1 1 29850
Dr. Sally 307 1 1 11850
Dr. Sally 304 1 1 11850
Dr. Dedi 304 1 1 11850
Dr. Dedi 303 1 1 1 1 29850
Dr. RR. 303 1 1 1 1 29850
Dr. Widy 304 1 1 1 1 11850
Dr. Dedi 304 1 1 11850
Dr. RR. 306 1 1 1 1 29850
Dr. Widy 205 1 1 1 1 1 1 1 1 42350
Dr. DediPERINA
Dr. SallyHCU
Dr. Sally 306 1 1 1 1 29850
Dr. Fred 310 1 1 1 1 11850
Dr. Dedi 304 1 1
Dr. Sally 202 1 1 1 1 1 1 42350
Dr. DediPERINA
Dr. DediPERINA
Dr. Fred 310 1 1 1 1 11850
Dr. DediPERINA
Dr. RR. 305 1 1 1 1 29850
Dr. RR. 205 1 1 1 1 1 1 42350
Dr. Widy 310 1 1 1 1 11850
Dr. RR. 307 1 1 11850
Dr. DediPERINA
Dr. Dedi 307 1 1 11850
Dr. RR. 307 1 1 11850
Dr. RR. 304 1 1 11850
Dr. RR. 307 1 1 11850
Dr. RR. 307 1 1 11850
Dr. Fred 310 1 1 1 1 11850
Dr. Dedi 304 1 1 11850
Dr. Dedi 307 1 1 11850
Dr. Widy 310 1 1 1 1 11850
Dr. SallyPERINA
Dr. DediPERINA
Dr. Widy 309 1 1 1 1 1 1 29850
Dr. Dedi 201 1 1 1 1 1 1 42350
Dr. Widy 304 1 1 1 1 11850
Dr. DediPERINA
Dr. DediPERINA
Dr. Dedi 304 1 1 11850
Dr. Dedi 305 1 1 1 1 1 1 29850
Dr. Dedi 304 1 1 11850
Dr. RR. 311 1 1 11850
Dr. Dedi 205 1 1 1 1 1 1 42350
Dr. RR. 311 1 1 11850
Dr. DediNICU Dr. DNICU BPJS
Dr. RR. 311 1 1 11850
Dr. Dedi 304 1 1 11850
Dr. Dedi 204 1 1 1 1 1 1 42350
Dr. Dedi 303 1 1 1 1 29850
Dr. Fred 310 1 1 1 1 11850
Dr. DediPERINA
Dr. Dedi 304 1 1 11850
Dr. Fred 309 1 1 1 1 1 1 29850
Dr. Dedi 305 1 1 1 1 29850
Dr. DediHCU HCU
Dr. RR. 304 1 1 11850
Dr. Dedi 201 1 1 1 1 1 1 42350
Dr. Dedi 303 1 1 1 1 29850
Dr. Fred 309 1 1 1 1 1 1 29850
Dr. Sally 304 1 1 11850
Dr. DediHCU
Dr. Dedi 205 1 1 1 1 1 1 42350
Dr. RR. 202 1 1 1 1 1 1 42350
Dr. Dedi 305 1 1 1 1 29850
Dr. DediHCU
Dr. Fred 304 1 1 1 1 11850
Dr. DediPERINA
Dr. RR. 303 1 1 1 1 29850
Dr. Dedi 303 1 1 1 1 29850
Dr. Dedi 304 1 1
Dr. RR. 306 1 1 1 1 29850
Dr. Dedi 305 1 1 1 1 29850
Dr. RR. 307 1 1 11850
Dr. Dedi 304 1 1 11850
Dr. DediHCU HCU
Dr. RR. 309 1 1 1 1 29850
Dr. Dedi 309 1 1 1 1 29850
Dr. Dedi 206 1 1 1 1 1 1 42350
Dr. Dedi 204 1 1 1 1 1 1 42350
32 31 151 151 73 27 71 27 3E+06
 ### ### 18000 15500
Dokter g/Kelas M .BDETOLT.SET TISUHANDUK SANDAL TAS GELAS
Dr. RR. 305 1 1 1 1 35500
Dr. Dedi304 1 1 18500
Dr. Dedi304 1 1 18500
Dr. Dedi304 1 1 18500
Dr. Rith 311 1 1 18500
Dr. Widy306 1 1 1 1 1 1 35500
Dr. Dedi307 1 1 18500
Dr. Dedi304 1 1 18500

Dr. Dedi305 1 1 1 1 35500

Dr. Sara 304 1 1 18500
Dr. Widy206 1 1 1 1 1 1 1 1 51500
Dr. RR. 304 1 1 18500
Dr. RR. 309 1 1 1 1 35500
Dr. DediPERINA
Dr. DediPERINA
Dr. Dedi303 1 1 1 1 35500
Dr. Dedi307 1 1 18500
Dr. Dedi309 1 1 1 1 35500
Dr. Dedi308 1 1 1 1 35500
Dr. Dedi307 1 1 18500
Dr. Fred310 1 1 1 1 18500
Dr. Dedi303 1 1 1 1 35500
Dr. Dedi307 1 1 18500
Dr. RR. 205 1 1 1 1 1 1 51500
Dr. DediPERINA
Dr. RR. 308 1 1 1 1 35500
Dr. Dedi304 1 1 18500
Dr. RR. 307 1 1 18500
Dr. Dedi303 1 1 1 1 35500
Dr. Dedi308 1 1 1 1 35500
Dr. DediNICU
Dr. Dedi305 1 1 1 1 35500
Dr. Dedi201 1 1 1 1 1 1 51500
Dr. Rith 202 1 1 1 1 1 1 51500
Dr. Fred304 1 1 1 1 18500
Dr. RR. 305 1 1 1 1 35500
Dr. RR. 309 1 1 1 1 35500
Dr. Dedi307 1 1 18500
Dr. Fred304 1 1 1 1 18500
Dr. Dedi304 1 1 18500
Dr. Dedi304 1 1 18500
Dr. Widy308 1 1 1 1 1 1 35500

Dr. Dedi309 1 1 1 1 35500

Dr. RR. 202 1 1 1 1 1 1 51500
Dr. Widy310 1 1 1 1 18500
Dr. RR. 304 1 1 18500
Dr. DediPERINA
Dr. Sara 310 1 1 1 1 18500
Dr. RR. 201 1 1 1 1 1 1 51500
Dr. RR. 205 1 1 1 1 1 1 51500
Dr. Dedi304 1 1 18500
Dr. Widy310 1 1 1 1 18500
Dr. Widy310 1 1 1 1 18500
Dr. Widy308 1 1 1 1 1 1 35500
Dr. DediPERINA
Dr. DediNICU
Dr. DediPERINA
Dr. Fred310 1 1 1 1 18500
Dr. Dedi305 1 1 1 1 35500
Dr. Dedi304 1 1 18500
Dr. DediPERINA
Dr. Dedi307 1 `1 18500
Dr. FredVIP 1 1 1 1 1 1 1 1 51500
Dr. DediPERINA
Dr. RR. 201 1 1 1 1 1 1 51500
Dr. Dedi305 1 1 1 1 35500
Dr. Dedi304 1 1 18500
Dr. Dedi304 1 1 18500
Dr. RR. 304 1 1 18500
Dr. Dedi305 1 1 1 1 35500
Dr. Widy310 1 1 1 1 18500
Dr. Dedi307 1 1 18500
Dr. Dedi304 1 1 18500
Dr. Dedi304 1 1 18500
Dr. Dedi307 1 1 18500
Dr. Dedi303-HCU 1 1 1 1 35500
Dr. DediPERINA
Dr. Dedi305 1 1 1 1 35500
Dr. Dedi303 1 1 1 1 35500
Dr. Sara 310 1 1 1 1 18500
Dr. Dedi304 1 1 18500

Dr. Dedi201 1 1 1 1 1 1 51500

Dr. DediPERINA
Dr. Dedi304 1 1 18500
Dr. DediHCU
Dr. Dedi306 1 1 1 1 35500
Dr. RR. 306 1 1 1 1 35500
Dr. RR. 205 1 1 1 1 1 1 51500
Dr. RR. 305 1 1 1 1 35500
Dr. Sara 310 1 1 1 1 18500
Dr. DediPERINA
Dr. Rith 304 1 1 18500
Dr. Dedi307 1 1 18500
Dr. RR. 305 1 1 1 1 35500
Dr. RR. 202 1 1 1 1 1 1 51500
Dr. Dedi205 1 1 1 1 1 1 51500
Dr. DediHCU
Dr. Widy310 1 1 1 1 18500
Dr. Dedi308 1 1 1 1 35500
Dr. Dedi202 1 1 1 1 1 1 51500
Dr. DediNICU
Dr. Dedi201 1 1 1 1 1 1 51500
Dr. Dedi305 1 1 1 1 35500
Dr. Widy310 1 1 1 1 18500
Dr. Widy205 1 1 1 1 1 1 1 1 51500
Dr. Dedi303 1 1 1 1 35500
Dr. Rith 206 1 1 1 1 1 1 51500
Dr. Dedi305 1 1 1 1 35500
Dr. DediPERINA
Dr. Dedi307 1 1 18500
Dr. DediPERINA
Dr. Dedi304 1 1 18500
Dr. Dedi306 1 1 1 1 35500
Dr. Dedi303 1 1 1 1 35500
Dr. Fred304 1 1 1 1 35500
Dr. Dedi304 1 1 18500
Dr. Dedi303 1 1 1 1 35500
Dr. Dedi307 1 1 18500
Dr. Widy202 1 1 1 1 1 1 1 1 51500
Dr. Dedi305 1 1 1 1 35500
Dr. DediPERINA
Dr. Dedi307 1 1 18500
Dr. Dedi304 1 1 18500
Dr. Dedi306 1 1 1 1 35500
Dr. Dedi305 1 1 1 1 35500
Dr. Dedi305 1 1 1 1 35500
Dr. Dedi304 1 1 18500
Dr. Fred310 1 1 1 1 18500
Dr. Fred308 1 1 1 1 1 1 35500
Dr. RR. 204 1 1 1 1 1 1 51500
Dr. DediPERINA
Dr. Fred308 1 1 1 1 18500
Dr. DediNICU
Dr. DediNICU
Dr. Dedi304 1 1 18500
Dr. Dedi305 1 1 1 1 35500
Dr. Dedi201 1 1 1 1 1 1 35500

Dr. Dedi304 1 1 18500

Dr. Suhi 306 1 1 1 1 35500
Dr. Widy310 1 1 1 1 18500
Dr. Fred310 1 1 1 1 18500
Dr. Widy310 1 1 1 1 18500
Dr. DediPERINA
Dr. DediPERINA
Dr. Fred308 1 1 1 1 1 1 35500
Dr. Dedi307 1 1 18500
Dr. Dedi306 1 1 1 1 35500
Dr. DediPERINA
Dr. 308
Fredy
Lisnan,
Sp. OG

1 1 1 1 1 1 35500
Dr. PERIN
Dedi A
Kurnia
wan
Saputr
a, Sp. A

Dr. RR. 304

Danis
Widyas
tuti,
Sp. A

1 1 18500
Dr. 304
Dedi
Kurnia
wan
Saputr
a, Sp. A

1 1 18500
Dr. 303
Dedi
Kurnia
wan
Saputr
a, Sp. A

1 1 1 1 35500
Dr. HCU
Dedi
Kurnia
wan
Saputr
a, Sp. A

Dr. Dedi307 1 1 18500

Dr. Widy311 1 1 18500
Dr. Dedi305 1 1 1 1 35500
Dr. Fred308 1 1 1 1 35500
Dr. Widy310 1 1 1 1 18500
Dr. RR. 304 1 1 18500
Dr. DediPERINA
Dr. Widy304 1 1 1 1 18500
Dr. Dedi307 1 1 18500
Dr. Widy309 1 1 1 1 1 35500
Dr. Dedi304 1 1 18500
Dr. Dedi305 1 1 1 1 35500
Dr. DediPERINA
Dr. Fred310 1 1 1 1 35500
Dr. DediPERINA
Dr. RR. 305 1 1 1 1 35500
Dr. Dedi303 1 1 1 1 35500
Dr. DediPERINA
Dr. DediPERINA
Dr. Rith 311 1 1 18500
Dr. Fred308 1 1 1 1 1 1 35500
Dr. DediPERINA
Dr. Fred310 1 1 1 1 18500
Dr. DediPERINA
Dr. Dedi304 1 1 18500
Dr. Dedi304 1 1 18500
34 32 146 146 72 21 69 22
BULAN OKTOBER 2016
DokterRuang/Kelas DETOL
MOTHER BABY T.SET TISU
SVIP VIP I II III ISOLASI PERINA NICU HCU DETOL T.SET TISU
Dr. Dedi Kurniawan Saput 1 1 1
Dr. Fredy Lisnan, Sp. OG 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
Dr. RR. Danis Widyastuti, 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
0 0 2 4 0 0 1 0 0

Dr. Dedi Kurniawan Saputra, Sp. 1 1 1

Dr. Dedi Kurniawan Saput 1 1 1
0 0 1 1 0 0 0 0 0

Dr. Dedi Kurniawan Saputra, Sp. 1 1 1

Dr. Sarah Alatas, Sp. OG. 1 1 1 1 1
1 1

Dr. Widya Prawitasari, Sp. OG 1 1 1 1 1

Dr. Dedi Kurniawan Saput 1 1 1
1 1 1 1 1
Dr. Dedi Kurniawan Saput 1 1 1
1 1 1
Dr. Widya Prawitasa 1 1 1 1 1
Dr. Dedi Kurniawan Saput 1 1 1
Dr. rithza sp.pd 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1
0 2 4 0 1 0 2 0 0

Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1

Dr. Sarah Alatas, Sp. OG., M. Kes 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1
Dr. Rithza Harun, Sp. PD 1 1 1
Dr. Sarah Alatas, S 1 1 1 1 1
Dr. RR. Danis Widyastuti, Sp. A 1 1 1
Dr. Sarah Alatas, Sp. OG., M. Kes 1 1 1 1 1
0 1 1 2 2 0 1 0 0

Dr. Dedi Kurniawan Saputra, Sp. 1 1 1

Dr. widya prawitasari, Sp.OG 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1
0 0 0 1 1 0 1 0 0
IGD 2
VK 1
3

Dr. Dedi Kurniawan Saputra, Sp. 1 1 1

Dr. Dedi Kurniawan 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 ` 1 1
Dr. RR. Danis Widyastuti, Sp. A 1
Dr. Fredy Lisnan, Sp. OG 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
0 1 0 2 2 0 1 0 0

Dr. Fredy Lisnan, Sp. OG 1 BLPL 1 1 1

Dr. Fredy Lisnan, Sp. OG 1 1 1 1
0 0 1 1 0 0 0 0 0
1
1

Dr. Dedi Kurniawan Saputra, Sp. 1 1

Dr. RR. Danis Widyastuti, Sp. A 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1
0 0 0 0 0 0 0 0 3
IGD 3

Dr. Dedi Kurniawan Saput 1 BLPL 1

Dr. Dedi Kurniawan Saputra, Sp. 1 BLPL 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1
Dr. Dedi Kurniawan Saput 1 BLPL 1
Dr. Dedi Kurniawan Saput 1 BLPL 1
Dr. Dedi K 1 BLPL 1
1 0 3 2 0 0 0 0 0
5
1
6

Dr. Dedi Kurniawan Saputra, Sp. 1 BLPL 1

Dr. Dedi Kurniawan Saputra, Sp. A 1 BLPL 1
Dr. Fredy Lisnan, Sp. OG 1 BLPL 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 BLPL
Dr. Dedi Kurniawan Saputra, Sp. A 1 BLPL
Dr. Fredy Lisnan, Sp. OG 1 BLPL 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
0 0 2 1 0 0 2 1 1

5
2
7

Dr. Dedi Kurniawan Saput 1 BLPL 1

Dr. Fredy Lisnan, Sp. OG 1 BLPL 1
Dr. Dedi Kurniawan Saputra, Sp. 1 BLPL 1
Dr. Widya Prawitasari, Sp. OG 1 BLPL 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Dedi Kurniawan Saputra, Sp. 1 BLPL 1
0 0 1 3 1 0 1 0 0

POLI 4
UGD 1
VK 1
6

Tanggal

Dr. Dedi Kurniawan Saputra, Sp. A 1

DR FREDY SP.OG 1 1 1 1 1
Dr. Dedi Kurniawan Saput 1 1 1
dr. WIDYA Sp.OG 1 1 1 1 1

5
0
0
5

dr. rr dannis sp.A 1 1 1

DR. FREDY LISNAN SP.OG 1 1 1 1 1
DR. DEDI SP.A 1
dr. RR. DANNIS Sp.A 1 1 1
Dr. Dedi Kurniawan 1 BLPL
0 1 1 0 2 0 1 0 0

Dr. Dedi Kurniawan Saputra, Sp. A 1

Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1

Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A
0 0 1 1 0 0 0 0 0
2
1

Dr. Dedi Kurniawan Saputra, Sp. 1 1 1

Dr. Widya Prawitasari, Sp. OG 1 1 1 1 1
Dr. Widya Prawitasari, S 1 1 1 1 1
Dr. Suhito Aryo P., Sp. B 1
0 0 1 2 1 0 0 0 0

Dr. Dedi Kurniawan Saputra, Sp. A 1

Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1
Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1
Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1
0 0 0 2 2 0 2 0 1
VK 2
PANAK 1
 IGD 4

Dr. Dedi Kurniawan Saputra, Sp. A 1

Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
Dr. Widya Prawitasari, Sp. OG 1 1 1
Dr. Fredy Lisnan, S 1 1 1 1 1
Dr. Fredy Lisnan, Sp. OG 1 BLPL 1 1
Dr. Dedi Kurniawan 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Dedi Kurniawan Saput 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
0 2 1 2 3 0 3 1 0

VK 3
POLI 5
IGD 4
12

Dr. Dedi Kurniawan Saputra, Sp. A 1

Dr. Sarah Alatas, Sp. OG. 1 1 1 1 1

Dr. Dedi Kurniawan Saput 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Dedi Kurniawan Saputra, Sp. 1
0 0 2 1 0 0 1 0 0

2
1
1
4

Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1

Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Dedi Kurniawan 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 BLPL 1 1
0 1 0 1 1 0 0 1 0

IGD 2
VK 1
 PANAK 1

Dr. Dedi Kurniawan Saput 1 1 1

Dr. Dedi Kurniawan 1 BLPL 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
0 1 1 1 0 0 0 0 0
1
1
2

Dr. Dedi Kurniawan Saputra, Sp. 1 1 1

Dr. Fredy Lisnan, S 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 BLPL 1
Dr. Widya Prawitasari, Sp. OG 1 BLPL 1 1 1
Dr. Widya Prawitasari, S 1 BLPL 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 APS 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
0 1 1 2 2 0 1 0 0
1
1
5
7

Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1

Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Dedi Kurniawan Saput 1 1 1
0 0 1 0 2 0 2 0 0

IGD 2
VK 2
PANAK 1
5

Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1

Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1
0 0 1 0 2 0 1 0 0
1
3
4
Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1
Dr. Dedi Kurniawan Saput 1 BLPL 1 1
Dr. Sarah Alatas, Sp. OG., M. Kes 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. RR. Danis Widyastuti, 1 BLPL 1 1
Dr. Widya Prawitasari, S 1 BLPL 1 1
0 0 3 0 3 0 2 0 0

5
1
2
8

Dr. Dedi Kurniawan Saputra, Sp. A 1

Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
0 0 1 2 0 0 2 0 0
2
2
1
5

Dr. Dedi Kurniawan Saput 1 1 1

Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Widya Prawitasari, Sp. OG 1
Dr. Dedi Kurniawan Saput 1 1 1
0 0 2 0 1 0 0 1 0 86 109
2
1
1
4

RUANG DETOL
MOTHER BABY T.SET TISU
NAMA DR
SVIP VIP I II III ISOLASI PERINA NICU HCU DETOL T.SET TISU
DR DANNIS WIDYASTUTI SPA 1 1 1
Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
Dr. Widya Prawitasar 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
Dr. Widya Prawitasari, Sp. OG 1 1 1
Dr. Dedi Kurniawan S 1 1 1
Dr. Widy 1 1 1 1 1
Dr. Dedi Kurniawan S 1 1 1
Dr. Widya Prawitasar 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
Dr. Widya 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1
Dr. Dedi K 1 1 1
Dr. Dedi K 1 1 1
Dr. Dedi K 1 1 1
Dr. Dedi Kurniawan Saput 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Dedi K 1 1 1
DR SARAH 1 1 1 1 1
Dr. fresy lisnan 1 1 1 1 1
Dr. Sarah Alatas, Sp. OG., M. Kes
Dr. Dedi K 1 1 1 1 1
Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1
Dr. Dedi K 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A

Dr. Dedi K 1 1 1
Dr. Dedi K 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1
Dr. Fredy Lisnan, Sp. OG 1 1 1 1
Dr. Dedi K 1 1 1
Dr. Dedi Kurniawan 1 1 1
Dr. Sarah Alatas, Sp. OG. 1 1 1 1 1
Dr. Dedi Kurniawan 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A
Dr. Dedi Kurniawan Saputra, Sp. A
Dr. Dedi Kurniawan Saputra, Sp. A
Dr. Dedi Kurniawan Saput 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A
Dr. Dedi K 1 1 1
Dr. Sarah Alatas, Sp. OG. 1 1 1
Dr. Fredy 1 1 1 1 1
Dr. RR. Da 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1
Dr. Dedi K 1 1 1
Dr. Fredy 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A
Dr. Fredy 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A
Dr. Dedi Kurniawan Saput 1 1 1
Dr. Dedi Kurniawan Saput 1 1 1
Dr. Sarah Alatas, Sp. OG. 1 1 1
Dr. Dedi Kurniawan Saput 1 1 1
Dr. Dedi K 1 1 1
DR 1 1 1
Dr. Sarah Alatas, Sp. OG., M. Kes 1 1 1 1 1
Dr. Dedi K 1 1 1
Dr. Widya Prawitasari, S 1 1 1 1 1
Dr. Sarah 1 1 1 1 1
Dr. Dedi K 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1
Dr. Dedi K 1 1 1
Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A

Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1

Dr. Fredy 1 1 1
Dr. Dedi K 1 1 1
Dr. Dedi K 1 1 1
Dr. RR. Danis Widyastuti, 1 1 1
Dr. Dedi K 1 1 1
Dr. Dedi K 1 1 1
Dr. Widya 1 1 1 1 1
Dr. Sarah 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A
Dr. Sarah Alatas, Sp. OG. 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1
Dr. RR. Danis Widya 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1
Dr. RR. Danis Widyastuti, Sp. A 1 1
Dr. Sarah Alatas, Sp. OG., M. Kes 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A
Dr. Widya Prawitasari, S 1 1 1 1 1
Dr. Dedi K 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1
Dr. Dedi Kurniawan 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
1 1 1
Dr. RR. Danis Widya 1 1 1 1
Dr. RR. Danis Widyastuti, Sp. A 1 1 1
Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1
Dr. RR. Danis Widyastuti, Sp. A 1 1 1
Dr. RR. Danis Widyastuti, Sp. A 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1
Dr. Fredy Lisnan, S 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
Dr. Widya Prawitasari, Sp. OG 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1
Dr. Dedi Kurniawan Saput 1 1 1
Dr. Sarah Alatas, Sp. OG. 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A

Dr. Dedi Kurniawan Saputra, Sp. 1 1 1

Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1
Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1
Dr. Widya Prawitasa 1 1 1 1 1
Dr. RR. Danis Widyastuti, 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1
dr Dwiana 1 1 1 1
Dr. Dedi Kurniawan 1 1 1

Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1

Dr. Dedi Kurniawan 1 1 1 1
Dr. Sarah Alatas, Sp. OG. 1 1 1 1 1
Dr. Dedi Kurniawan Saput 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. 1 1 1
Dr. Dedi Kurniawan Saput 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A
Dr. Dedi Kurniawan Saputra, Sp. A
Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Dedi Kurniawan Saputra, Sp. A 1
Dr. Widya Prawitasari, Sp. OG 1 1 1 1 1
Dr. Widya Prawitasari, Sp. OG 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A
Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1
Dr. Fredy Lisnan, S 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A

Dr. Dedi Kurniawan Saputra, Sp. A

Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1

Dr. Fredy Lisnan, Sp. OG 1 1 1 1 1

Dr. Dedi Kurniawan Saputra, Sp. A

Dr. Dedi Kurniawan Saputra, Sp. A 1 1 1 1 1
Dr. Widya Prawitasari, S 1 1 1 1 1
Dr. Dedi Kurniawan Saputra, Sp. A

Dr. Dedi Kurniawan Saputra, Sp. A

Dr. Dedi Kurniawan Saputra, Sp. A

DR DEDI 1 1 1
DR FEDRI 1 1 1
DR DEDI 1 1 1
DR DEDI 1 1 1
DR DEDI 1 1 1
DR DEDI 1 1 1
DR DEDI 1 1 1
DR FERDY 1 1 1 1 1
DR FERDY 1 1 1 1 1
30 13 29 21 31 44 44 131 131
 RUANG DETOL
MOTHER BABY T.SET TISU HANDUK
SVIP VIP I II III ISOLASIPERINA NICU HCU DETOL T.SET TISU HANDUK
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1
1 1
1 1
 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1
1 1
1 1
1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
0 21 27 36 22 16 19 1`08 78 11
0

RUANG DETOL
MOTHER BABY T.SET TISU HANDUK
SVIP VIP I II III ISOLASIPERINA NICU HCU DETOL T.SET TISU HANDUK
1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1 1
 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
 1 1 1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1
1 1 1 1
1 1 1
 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
10 41 31 38 1 30 30 123 123 42

RUANG DETOL
MOTHER BABY T.SET TISU HANDUK
SVIP VIP I II III ISOLASIPERINA NICU HCU DETOL T.SET TISU HANDUK
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
 1 1 1
1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
 1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
12 36 34 34 19 19 119 119 29

RUANG DETOL
MOTHER BABY T.SET TISU HANDUK
SVIP VIP I II III ISOLASIPERINA NICU HCU DETOL T.SET TISU HANDUK
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1 1
1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
 1 1 1
1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
22 63 37 52 1 1 1 1
35 35 179 179 35

NG TELAH PULANG

RUANG DETOL
MOTHER BABY T.SET TISU HANDUK
SVIP VIP I II III ISOLASIPERINA NICU HCU DETOL T.SET TISU HANDUK
1 1
1 1 1
1 1 1
1 1 1
1
1 1 1 1
1 1 1
1 1
1 1 1
1 1
1 1 1
1 1 1
1
1 1 1

1 1
1 1
1 1 1
1 1
1
1 1 1
1
 1 1 1

1 1
1 1 1
1 1 1
1 1 1
1
1
1 1 1
1 1 1
1 1
1 1 1 1
1 1 1
1 1
1 1 1 1
1
1 1 1 1
1 1 1
1 1
1 1
1 1 1 1
1 1
1 1 1 1

1 1
1
1
1
1

1 1 1
1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1 1
1 1 1
1 1 1
1 1
1 1 1
1
1 1 1
1 1
1
1 1 1
 1 1
1 1
1
1 1 1
1 1 1

1 1
1 1 1
1 1
1 1 1

1 1
1 1 1 1
1
1 1 1
1
1 1
1

1
1 1
1

1
1 1
1 1 1
1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1

1 1
1
1 1
1 1 1 1 1
1 1 1
1 1 1

1 1 1
1 1 1
1 1 1
1 1 1
1
 1 1 1
1 1 1
1 1
1 1 1
1 1
1 1 1
1

1 1 1 1
1

1 1
P
1 1 1

1 1 1 1 1
1 1 1 1 1
1
1 1
1 1
1 1 1

1 1 1
1
1 1
1
1 1
1
1 1
1

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1
1 1 1
1 1
1 1 1
1
1 1 1
1 1
1 1
1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1 1 1
1 1
1 1 1
 1 1 1
1
1 1 1

1 1 1 1 1
1 1
1 1 1
1 1 1 1 1

1 1 1
`
1 1
1 1
1 1 1
1
1 1 1
1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1

1 1 1
1 1 1 1 1
1 1 1 1 1

1
1 1
1 1 1
1
1 1 1
1
1 1
1 1 1
` 1 1 1 1
1 1
1 1 1
1 1 1
1 1 1 1 1
1 1
1 1 1
1 1
1 1 1
1 1 1

1 1 1 1
 1 1 1
3 0 1

/SOFFENIR
2017

RUANG DETOL
MOTHER BABY T.SET TISU HANDUK
SVIP VIP I II III ISOLASIPERINA NICU HCU DETOL T.SET TISU HANDUK
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1

1 1 1
1 1 1
1 1 1 1 1

1 1 1
1 1 1 1 1

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1

1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1

1 1 1 1
1 1 1 1
 1 1 1
1 1 1 1
1 1 1

1 1 1
1 1 1

1 1 1
1 1 1
1 1 1
1 1 1 1

1 1 1
1 1 1
1 1
1 1 1 1
1 1 1 1
1 1 1

1 1 1
1 1 1

1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1

1 1 1
1 1 1 1 1

1 1 1
1 1 1
1 1 1 1 1 1

1 1 1 1
1 1 1

1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1 1 1
 1 1 1

1 1 1

1 1 1
1 1 1 1

1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1

1 1 1 1 1
1 1 1 1 1
1 1 1

1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1

1 1 1 1
1 1 1 1
1 1 1 1
 1 1 1 1
1 1 1 1
1 1 1 1

1 1 1
1 1

1 1 1
1 1 1

1 1 1

1 1 1
1 1 1

1 1 1

1 1 1

1 1 1
1 1 1
1 1 1

1 1 1
1 1 1

1 1 1 1
1 1 1 1
1 1 1

1 1 1

1 1 1 1
1 1 1

1 1 1
1 1
1 1
1 1 1 1
1 1 1 1
 1 1 1 1

1 1 1
1 1 1

1 1 1
1 1 1
1 1 1
1 1 1

1 1 1
1 1 1
1 1 1

1 1

1 1 1
1 1 1

1 1 1 1

1 1
1
1 1
1 1
1 1 1
1 1 1 1

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1

1 1 1
1 1 1
4 18 45 51 26 151 151 34
/SOFFENIR
2017
RUANG DETOL
MOTHER BABY T.SET TISU HANDUK
SVIP VIP I II III ISOLASIPERINA NICU HCU DETOL T.SET TISU HANDUK

1 1 1 1 1
1 1 1 1 1
1 1 1 1

1 1 1
1

1 1 1 1 1
1 1
1 1 1

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1

1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1

1 1 1
1 1 1

1 1 1
1 1 1
1 1 1
1 1 1

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1 1

1 1 1
1 1 1
1 1 1

1 1 1
1 1
1 1 1

1 1 1
1 1 1
1 1 1

1 1 1

1 1 1
1 1 1
1 1 1

1 1 1

1 1 1
1 1 1
1 1 1
1 1 1

1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
 1 1 1

1 1 1
1 1 1
1 1 1

1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1

1 1 1

1 1 1

1 1 1

1 1
1 1 1

1 1 1
1 1 1

1 1 1

1 1 1

1 1 1

1 1 1 1 1
1 1 1 1 1

1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
 1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1

1 1 1 1 1
2 16 30 21 10 16 80 80 17

17

RUANG DETOL
MOTHER BABY T.SET TISU HANDUK
SVIP VIP I II III ISOLASIPERINA NICU HCU DETOL T.SET TISU HANDUK
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1
1
1
1
1
1
15 48 32 56 15 145 145 3
17

RUANG DETOL
MOTHER BABY T.SET TISU HANDUK
SVIP VIP I II III ISOLASIPERINA NICU HCU DETOL T.SET TISU HANDUK
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1

1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
37 28 53 58 37 176 176 37
 117
154

17

RUANG DETOL
MOTHER BABY T.SET TISU HANDUK
SVIP VIP I II III ISOLASIPERINA NICU HCU DETOL T.SET TISU HANDUK
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
30 181 181 30

17

Ruang/Kelas DETOL
MOTHER BABY T.SET TISU HANDUK
SVIP VIP I II III ISOLPERINA NICU HCU DETOL T.SET TISU HANDUK
1 1 1 1
1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1
1 1 1
1
 1
1 1 1
1 1 1
1 1 1 1 1
1 0 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1 1 1
1
 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1
 1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1
1 1 1
1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1
1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1
1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1
1 1 1
1 1 1 1 1
1 1 1
1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1
1 1 1
 1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
 1 1 1
1 1 1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1 1 1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
6 32 89 102 94 36 328 328 36
HANDUK SANDALTAS GELAS HANDUK SANDAL TAS GELAS
HANDUK SANDALTAS GELAS HANDUK SANDAL TAS GELAS
1 1 1 1 1 1 1 1

1 1 1 1

1 1 1 1

1 1

1 1

1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1

1 1 1 1 1 1 1

1 1 1 1 1
1

1
1
1

1 1 1 1 1
1
1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1

1
1
1 1 1 1 1

1 1 1 1 1

1 1 1 1 1
1
1
1

1
1 1 1

1 1 1
 1

1
1
1 1 1 1 1
1
1 1 1 1 1 1 1

1 1 1 1 1

1 1 1 1
1 1 1 1
 1 1 1 1
1 1 1 1 1 1 1 1

1 1 1 1 1 1 1 1
1 1
1 1 1 1 1 1
1 1 1 1
1 1

BPJS
 1 1 1

1 1 1

1 1 1

1 1 1
49 18 26 18 26

HANDUK SANDALTAS GELAS

HANDUK SANDALTAS GELAS
1 1

1 1 1 1
1 1
1 1

1 1 1 1

1 1 1 1
1 1 1 1
1 1 1 1
1 1

1 1 1 1
1 1 1 1
1 1 1 1

1 1 1 1
1 1
1 1 1 1

1 1 1 1
1 1 1 1
1 1 1 1
1 1
1 1 1 1
1 1 1 1
1 1
1 1 1 1

1 1

1 1 1 1
1 1
1 1 1 1
1 1 1 1

1 1 1 1
1 1 1 1

1 1 1 1

1 1
1 1
1 1
1 1
1 1 1 1
1 1

1 1 1 1
1 1
1 1 1 1
1 1 1 1

1 1 1 1
1 1 1 1

1 1 1 1
1 1 1 1
1 1 1 1
1
1 1 1 1
1 1 1 1
1 1 1
1 1 1

1
1 1 1 1

1 1 1 1

1
1

1
1 1 1
1

1 1 1 1
1 1 1
 1 1 1 1
1
1

1 1 1 1

57 53 58 39
SANDAL TAS GELAS
SANDAL TAS GELAS

1
1

1
1
1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1

1
1

1 1
1 1

1
1
1
1 1
1 1
1 1
1 1
1 1
1 1

1
1

1
1

1 1
1 1
1 1
1 1
1 1

1
 1

44 21

TAS GELAS
TAS GELAS
1

1
1

1
1
1

1
1
1

1
1

1
1

1
1

1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1
 1
1
1
1

1
1

42 9

TAS GELAS
TAS GELAS
1

1
1
1

1
1

1
1
1
1

1
1

1
1

1 1
1 1
1 1
1 1
1 1
1 1
 1 1
1 1
1 1
1 1
1 1
1 1
29 12

TAS GELAS
TAS GELAS

1
1
1

1
1
1

1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
 1

35 23

TAS GELAS GELAS

TAS GELAS GELAS
1
1
1

1 1 1

1
1

1
 1

1 1 1

1 1 1

1 1 1

1
1 1 1

1
1 1

1
1

1 1

1 1

1 1

1
1 1

1
1

1
1

1 1

1 1
1 1

1 1

1 1
1 1

1
1

1 1

1 1

1
1 1
1 1

1
1 1

1 1

1
1

1 1
TAS GELAS
TAS GELAS

1
1
1

1
1

1
1
1

1
1

1 1
1 1
1 1
1 1

1 1
1 1
1 1
1 1
1 1
1 1

1 1
1 1

1 1

1 1
1 1
 1 1

1
1
1

1
1

1 1

1 1

42 18
TAS GELAS
TAS GELAS

1 1
1 1

1 1

1
1 1

1 1
1 1

1
1

1
1
1

1
1
1

1
1
1
1
1

1 1
1 1

1 1
1 1
1 1
 1 1

1 1

1 1

1 1

1 1
41 16

TAS GELAS GELAS

TAS GELAS GELAS
1

1
1
1
1

1
1

1
1

1
1

1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
 1 1
1 1
1 1
1 1

36 15
TAS GELAS
TAS GELAS
1

1
1

1
1
1

1
1

1
1
1
 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
58 37
 117
175

TAS GELAS
TAS GELAS
1

1
1

1 1

1 1

1 1
1 1

1
1
1

1 1
1

1 1
1 1

1 1
1
1

1
1
1
1
1
1

1
1
1
1

1
1

1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
64 30

GELAS
GELAS

TAS GELAS
TAS GELAS

1
1
1
1 1

1 1
1 1

1 1

1 1
1 1

1
1
1 1 1

1 1 1

1 1 1

1 1 1
1 1 1

1 1 1

1 1 1
1 1 1

1 1
1 1

1 1
1 1

1 1

1 1

1 1
1 1

1 1
1 1

1
1
1 1

1 1
1 1

1 1
 1

36
 FAKTUR PENJUALAN PAKET MANDI
NO N BULAN APRIL
NO NAMA BARANG QTY SATUAN HARGA JUMLAH
1 PAKET MANDI 475 PAKET 8100 3.847.000
TAS 2800
2 TISU PAK 4000
HANDUK 18000
GELAS 15000

GALON SEMUANY ADA =40

YANG ADA 34
 1`4/5/2016
10/5/2016

11/5/2016

12/5/2016
13/5/2016
1/5/2016

2/5/2016

4/5/2016

5/5/2016

6/5/2016

7/5/2016

8/5/2016

9/5/2016
13 14 12 13 12 12 14 20 13 13 8
5 5 4 5 8 12 14 8 8 4 2
13 14 12 13 12 12 3 20 13 13 8
13 14 12 13 12 12 14 20 13 13 8
16 17 16 17 17 18 18 19 15 15 10

3 2 2 2 3 3 3 3 3 5 3
3 4 3 4 4 3 3 3 3 5 3
3 3 3 3 4 3 3 3 3 5 3
3 3 3 3 4 3 3 3 3 5 3
6 6 3 5 3 3 3 3 3 5 3
5 5 3 6 3 3 3 3 3 5 3
3 5 2 2 3 3 3 3 3 3 3
3 3 2 2 3 3 3 3 3 3 3
3 3 2 2 3 3 3 3 3 3 3
3 3 2 2 3 3 3 3 3 3 3
3 2 2 2 2 3 3 2 3 2
3 2 2 2 3 3
3 3 2 3 3 3
3 3 4 4 3 3 3 2 3 4 3

16 25 21 4
16 25 21 4
6 12 9
6 12 12
8 12 12
3 3 2
4 6 4

3 3 3 3 3 3 3 3 3 3 4
3 3 3 3 3 3 3 3 3 3 4
2 2 2 2 3 2 2 3 2
2 2 2 1

4 2 4 4 4 4
4 4
2 2
186 119 103 207 108 129 113 128 110 196 91

10/6/2016

11/6/2016

12/6/2016
13/6/2016
14/6/2016
1/6/2016

2/6/2016

4/6/2016

5/6/2016

6/6/2016

7/6/2016

8/6/2016

9/6/2016
13 12 13 15 13 17 17 12 14 14 13 14 14
6 4 4 5 4 5 5 4 5 5 5 4 4
13 12 13 15 13 17 17 12 14 14 13 14 14
13 12 13 15 13 17 17 12 14 14 13 14 14
17 17 17 17 17 20 20 16 17 17 17 17 17

3 2 2 3 2 2 3 2 3 3 3 3 3
4 2 2 3 2 2 3 2 3 3 3 3 3
3 2 2 2 2 2 3 2 3 3 3 3 3
3 2 2 3 2 2 3 2 3 3 3 3 3
3 2 2 3 2 2 3 2 3 3 3 3 3
3 2 2 3 2 2 3 2 3 3 3 3 3
3 2 2 3 2 3 3 2 3 3 3 3 3
3 2 2 3 2 3 3 2 3 3 3 3 3
3 2 2 3 2 3 3 4 3 3 3 3 3
3 2 2 2 2 3 3 2 3 3 3 3 3
3 2 2 2 3 3 2 3 3 3
2 2 2 2 3 3 2 2 2
2 2 2 2 3 3 2
2 2 2 2 3 2 2

8 8
8 8
3 4
3 3
4 4
2 2
2 2
8 19
8 19
3 6
4 5 5 9
4 8
2 2
2 4

3 3 3 3 3 3 3 3 3 3 3 3 3
3 3 3 3 3 3 3 3 3 3 3 3 3
3 3 3 3 3 3
2 2 2 3
 3
4 4 4 3
6 3
3 3
3

102 98 127 101 103 149 124 125 123 112 190 99 88

PENCUCIAN LONDRY/PAKET LINEN/BAJU OK

BAJU BAYI/HORDENG
BULAN JULI 2016
5/7./.2016

10/6/2016

12/7/2016
13/7/2016
14/7/2016
11/72016
1/7/2016

2/7/2016

4/7/2016

7/6/2016

8/6/2016

9/7/2016
7/7/016

7 12 13 6 6 10 7 12 8 9 8 10
7 4 4 6 4 10 7 4 8 9 8 10
7 12 13 6 6 10 7 12 8 9 8 8
7 12 13 6 6 10 7 12 8 9 8 8
7 17 17 6 6 10 7 16 8 17 10 10

3 2 2 3 2 2 2 2 3 3 3 3
4 2 2 3 2 2 2 2 3 3 3 3
3 2 2 2 2 2 2 2 3 3 3 3
3 2 2 3 2 2 2 2 3 3 3 3
3 2 2 3 2 2 2 2 3 3 3 3
3 2 2 3 2 2 2 2 3 3 3 3
3 2 2 3 2 3 2 2 3 3 3 3
3 2 2 3 2 3 2 2 3 3 3 3
3 2 2 3 2 3 2 4 3 3 3 3
3 2 2 2 2 3 2 2 3 3 3 3
3 2 2 2 3 2 2 3 3
2 2 2 2 3 2 2
2 2 2 2 3 2
2 2 2 2 3 2 2

8 8 16 8 8 19
8 8 16 8 8 19
 3 3
3 3
4 4
2 2
2 2
6 4 3 10
6 3 4 10
6 4 4 10
8 2 2 4
2 2 2 8

3 3 3 3 3 3 3 33 3 3
3 3 3 3 3 3 3 33 3 3
3 3 3 3 3 3
2 2 2 3
3
4 4 3
3
3
111 98 127 58 131 123 66 125 83 83 112 158 85

PENCUCIAN LONDRY/PAKET LINEN/BAJU OK

BAJU BAYI/HORDENG
BULAN AGUSTUS 2016

10/8/2016

11/8/2016

12/8/2016
13/8/2016
14/8/2016
1/8/2016

2/7/2016

4/8/2016

5/8/2016

6/8/2016

7/8/2016

8/8/2016

9/8/2016

7 12 13 6 6 10 7 12 17 14 11 17
7 4 4 6 4 10 7 4 6 7 5 5
7 12 13 6 6 10 7 12 17 14 11 17
7 12 13 6 6 10 7 12 17 14 11 17
7 17 17 6 6 10 7 16 17 16 7 7

3 2 2 3 2 2 2 2 2 2 2 2
4 2 2 3 2 2 2 2 2 2 2 2
3 2 2 2 2 2 2 2 2 2 2 2
3 2 2 3 2 2 2 2 2 2 2 2
3 2 2 3 2 2 2 2 2 2 2 2
3 2 2 3 2 2 2 2 2 2 2 2
3 2 2 3 2 3 2 2 2 2 2 2
 3 2 2 3 2 3 2 2 2 2 2 2
3 2 2 3 2 3 2 4 2 2 2 2
3 2 2 2 2 3 2 2 2 2 2 2
3 2 2 2 3 2 2 2 2 2 2
2 2 2 2 3 2 2 2 2
2 2 2 2 3 2 2 2 2
2 2 2 2 3 2 2 2

8 8 16 8 16
8 8 16 8 16
3 3 6 4 6
3 3 6 3 12
4 4 6 4 8
2 2 8 2 2
2 2 2 2 2

3 3 3 3 3 3 3 3 3 3 3
3 3 3 3 3 3 3 3 3 3 3
3 3 3 3 3 3
2 2

4 4 2
6
2
111 98 127 58 131 123 66 97 183 93 79 95

PENCUCIAN LONDRY/PAKET LINEN/BAJU OK

BAJU BAYI/HORDENG
BULan SEPTEMBER 2016
10/9/2002

11/9/2016

12/9/2016
13/9/2016
14/9/2016
1/9/2016

2/9/2016

4/8/2016

5/9/2016

6/9/2016

7/9/2016

8/9/2016

9/9/2016

15 12 13 15 16 10 7 12 17 14 11 17 15
7 4 4 6 4 10 7 4 6 7 5 5 15
15 12 13 15 14 10 7 12 17 14 11 17 15
 15 12 13 15 14 10 7 12 17 14 11 17 12
7 17 17 8 6 10 7 16 17 16 7 7

3 2 2 3 2 2 2 2 2 2 2 2 2
4 2 2 3 2 2 2 2 2 2 2 2 2
3 2 2 2 2 2 2 2 2 2 2 2 2
3 2 2 3 2 2 2 2 2 2 2 2 2
3 2 2 3 2 2 2 2 2 2 2 2 2
3 2 2 3 2 2 2 2 2 2 2 2 2
3 2 2 3 2 3 2 2 2 2 2 2 2
3 2 2 3 2 3 2 2 2 2 2 2 2
3 2 2 3 2 3 2 4 2 2 2 2 2
3 2 2 2 2 3 2 2 2 2 2 2
3 2 2 2 3 2 2 2 2 2 2 2
2 2 2 2 3 2 2 2 2
2 2 2 2 3 2 2 2 2 2
2 2 2 2 3 2 2 2

8 8 16 8
8 8 16 8
3 3 6 3
3 4 12 3
4 4 8 3
2 1 2 3
2 4 2

3 3 3 3 3 3 3 3 3 3 3 3 3
3 3 3 3 3 3 3 3 3 3 3 3 3
3 3 3 3 3 3 3 3
3 3 2 3
3 3
4 3 3 2
3 6
3 3 2
111 98 127 58 123 66 97 183 93 79 95 119
PENCUCIAN LONDRY/PAKET LINEN/BAJU OK
BAJU BAYI/HORDENG
BULAN OKTOBER 2016

10/10/2016

11/10/2016

12/10/2016
13/10/2016
14/10/2016
1/10/2016

4/10/2016

5/10/2016

6/10/2016

7/10/2016

8/10/2016

9/10/2016
2/9/2016
15 12 13 15 16 10 7 12 17 14 11 17 15
7 4 4 6 4 10 7 4 6 7 5 5 15
15 12 13 15 14 10 7 12 17 14 11 17 15
15 12 13 15 14 10 7 12 17 14 11 17 12
7 17 17 8 6 10 7 16 17 16 7 7

3 2 2 3 2 2 2 2 2 2 2 2 2
4 2 2 3 2 2 2 2 2 2 2 2 2
3 2 2 2 2 2 2 2 2 2 2 2 2
3 2 2 3 2 2 2 2 2 2 2 2 2
3 2 2 3 2 2 2 2 2 2 2 2 2
3 2 2 3 2 2 2 2 2 2 2 2 2
3 2 2 3 2 3 2 2 2 2 2 2 2
3 2 2 3 2 3 2 2 2 2 2 2 2
3 2 2 3 2 3 2 4 2 2 2 2 2
3 2 2 2 2 3 2 2 2 2 2 2
3 2 2 2 3 2 2 2 2 2 2 2
2 2 2 2 3 2 2 2 2
2 2 2 2 3 2 2 2 2 2
2 2 2 2 3 2 2 2

8 8 8 8 8 8
8 8 8 8 8 8
3 3 3 3 3 3
3 4 5 6 6 3
4 4 4 4 4 3
2 1 2 2 1 3
2 4 2 2 1

3 3 3 3 3 3 3 3 3 3 3 3 3
3 3 3 3 3 3 3 3 3 3 3 3 3
3 3 3 3 3 3 3 3
3 3 2 3
3 3
4 3 3 2 5
3 6 5
 3 3 2 5
105 98 127 111 103 124 66 97 183 93 79 95 119

PENCUCIAN LONDRY/PAKET LINEN/BAJU OK

BAJU BAYI/HORDENG
BULA

10/11/20916

11/11/2016
12/11/2016
13/11/2016
1/11/2016

3/11/2016

4/11/2016

5/11/2016

6/11/2016

7/11/2016

8/11/2016

9/11/2016
NAMA
RANAP 3 \
SARU 8 15 13 15 16 10 7 12 10 14 11 17
SELI 8 10 4 6 4 10 7 4 6 7 5 5
STIC 8 15 13 15 14 10 7 12 17 14 11 17
SPRE 8 15 13 15 14 10 7 12 17 14 11 17
PERL 8 10 17 8 6 10 7 16 17 16 7 7
RANAP 2/VK/NICU
KEL 3 3 2 3 2 2 2 2 2 2 2 2
HAN 4 3 2 3 2 2 2 2 2 2 2 2
SPRE 3 3 2 2 2 2 2 2 2 2 2 2
S BAT 3 3 2 3 2 2 2 2 2 2 2 2
BAJU 3 3 2 3 2 2 2 2 2 2 2 2
BED 3 3 2 3 2 2 2 2 2 2 2 2
SPRE 3 3 2 3 2 3 2 2 2 2 2 2
S BA 3 3 2 3 2 3 2 2 2 2 2 2
STIC 3 3 2 3 2 3 2 4 2 2 2 2
PERL 3 3 2 2 2 3 2 2 2 2 2 2
BEDC 3 3 2 2 3 2 2 2 2 2 2
BNTL 2 2 2 3 2 2 2 2
BANT 2 2 2 3 2 2 2 2
WESL 2 2 2 3 2 2 2
OK
BAJU OK 10 10 10 10 10
CELANA 10 10 10 10 10
JAS 3 3 3 3 3
DUK KECIL /PE 3 3 3 4 4
DUK BESAR 4 4 4 4 3
BAJU PASIEN 2 1 1 2 1
 MASKER/TOPI 2 2 2 2 1
POLI/IGD/R DR
SPRE 3 3 3 3 3 3 3 3 3 3 3 3
S BA 3 3 3 3 3 3 3 3 3 3 3 3
SELIMUT 3 3 3 3 3 3 3
HANDUK POLI GIGI 3 3 2
UMUM 3 3
HORDENG 3 3 2 5
MUKENA 3 6 5
SEJADAH 3 3 2 5
86 107 131 111 103 92 99 97 183 93 79 95

DESEMBER 2016
7/121/2016

12/12/2016

11/11/2016

12/11/2016
13/12/2016
14/12/2016
1/12/2016

2/12/2016

4/12/2016

5/12/2016

8/12/2016

9/11/2016
612/2016

NAMA LINEN
RANAP 3 \
SARUNG BANTL 8 12 13 10 16 10 7 12 10 14 17
SELIMUT 8 4 4 10 4 10 7 4 6 7 5
STICLAKEN 8 12 13 10 14 10 7 12 17 14 17
SPRE 8 12 13 10 14 10 7 12 17 14 17
PERLA/BANTAL 8 17 17 13 6 10 7 16 17 16 7
RANAP 2/VK/NICU
KELAMBU 3 2 2 3 2 2 2 2 2 2 2
HANDUK 4 2 2 3 2 2 2 2 2 2 2
SPRE BAYI 3 2 2 2 2 2 2 2 2 2 2
S BATAL BAYI 3 2 2 3 2 2 2 2 2 2 2
BAJU BAYI 3 2 2 3 2 2 2 2 2 2 2
BEDONGAN 3 2 2 3 2 2 2 2 2 2 2
SPRE 3 2 2 3 2 3 2 2 2 2 2
S BANTAL 3 2 2 3 2 3 2 2 2 2 2
STICLAKEN 3 2 2 3 2 3 2 4 2 2 2
PERLAK 3 2 2 2 2 3 2 2 2 2 2
BEDCOPER 3 2 2 2 3 2 2 2 2 2
BNTL BAYI 2 2 2 2 3 2 2 2
BANTAAL 2 2 2 2 3 2 2 2
WESLAP 2 2 2 2 3 2 2
OK
BAJU OK 10 10 10
CELANA 10 10 10
JAS 3 3 3
DUK KECIL /PERLAK 3 3 6
DUK BESAR 4 4 4
BAJU PASIEN 2 1 1
MASKER/TOPI/KERUDUNG 2 2 2
POLI/IGD/R DR
SPRE 3 3 3 3 3 3 3 3 3 3 3
S BANTAL 3 3 3 3 3 3 3 3 3 3 3 3
SELIMUT 3 3 3 3 3 3 3
HANDUK POLI GIGI 3 3 2
UMUM 3 3
HORDENG 4 3 3 2 5
MUKENA 3 6 5
SEJADAH 3 3 2 5
86 98 131 105 103 92 99 97 183 93 79 95 0

REKAP CUCI LINEN ORSOSING

30/11/20916

31`/12/2016
20/11/2016
21/12/2016

23/11/2016

24/11/2016

25/11/2016

26/11/2016

27/11/2016

28/11/2016

29/11/2016

LINEN
SELIMUT 11 4 2 5 5 9 2 6
BED COPER 2 1 4 1 2
DUK SEDANG 4 3 7 3
DUK KECIL 1 3 7 3
SPRE PUTIH 19 5 6 14 13 19 3 11
SPRE KUNING 1
STICLAKEN PUTIH 17 4 1 19 8 15 3 12
S BANTAL PUTIH 17 4 4 12 11 19 3 11
S BAN TAL KUNING 1 1
BAJU OK 2 1 3 8 10
CELANA 4 4 7 10
SPRE BIRU 1
S BIRU 1
S BANTAL UNGU 1 3 1
SPRE UNGU 3 1
BEDONGAN 3 1 1
DUK BESAR 1 2
JAS 9 6
SPRAI BAYI 1 1 2
S BANTAL BAYI 1 1 2

NAMA LINEN ORSOSING/LINEN/ BAJU OK/BJU BAYI

BEDONGAN/SELIMUU/BEDCOPER
BULAN JANUARY 2017

12/1/20178
10/1/2017

11/1/2017

13/1/2017

14/1/2017
15/1/2016
2/1/2017

3/1/2017

5/1/2017

6/1/2017

7/1/2016

8/1/2017

9/1/2017
NAMA LINEN
SPRE UNGU POLI 1 1 1 1
S BANTAL UNGU POLI 1 1 1 1 1
SELIMUT 6 6 5 1 5 6 8 6 10 9
BEDCOPER 2 2 1 2 1 1 2 1
S BANTAL PUTIH 11 11 12 11 11 10 7 11 12 22 11
SPRE PUTIH 11 14 14 11 10 12 6 14 14 19 9
STICLAKEN 12 12 11 9 12 9 8 14 14 15 13
BEDONGAN 2 1 1 3 2
SPRE BAYI 2 2 1 1 1
S BANTAL BAYI 2 2 1 1
BAJU BAYI 1 2 1 1
BAJU OK 10 10 4 14 2 5
CELANA OK 10 10 4 13 3
JAS 6 6 6
DUK KKECIL/DUK BOLONG 8 10 7 2 2
DUK SEDANG 7 6 1 7 2
DUK BESAR 2 3 2 1
SPRE BIRU/HIJAU/ KUNING 1 2 1 1
S BAANTAL BIRU/HIJAU/KUNING 1 2 1 1 1
KELAMBU 1 1 1 1
SPRE KREM 2 1
S BNTL KREM 1 1
STICLAKEN 1 1
BAJU PASIEN 2 1
PERLAK
BANTAL
WESLAP
HANDUK
94 46 48 85 40 0 54 79 53 54 78 59
JUMLAH PERKILO 31,3014,1517,0527,7614,77 17,31 27,76 15,74 16,77 25,57 21,02

NAMA LINEN ORSOSING/LINEN/ BAJU OK/BJU BAYI

BEDONGAN/SELIMUU/BEDCOPER
BULAN FEBUARY 2017

10/2/2017

11/2/2017

12/2/2017
13/2/2017
14/2/2017
1/2/2017

2/2/2017

4/2/2017

5/2/2017

6/2/2017

7/2/2017

8/2/2017

9/2/2017
NAMA LINEN
SPRE PUTIH 5 12 18 18 6 7 6 10 8 17 13
S BANTAL PUTIH 6 11 13 16 8 7 9 9 8 12 10
STICLAKEN PUTIH 6 17 18 16 6 11 8 7 5 25 12
SPRE UNGU 1 1 1 3 1 1 2 1 1 1
S BANTAL UNGU 1 1 1 3 1 1 2 1 1 1
SPRE KREM/ANAK 2 3 2 3 3 3 2 3 2
STICLAKEN KREM 2 2 2 3 2 2 1 4 2
SA BATAL KREM 3 3 2 3 3 3 1 3 2
SLIMUT 5 10 11 15 5 9 6 5 6 8 7
BEDCOPER 1 1 1 1 2 2 1 1 1 1
PERLAK 1 1 2 1 1 1 6 1 2
BAJU BAYI 1 1 1 1 1 1 1
BEDONGNGAN 15 6 10 5 4 5 2 22 9
KELAMBU 2 2 2 2 2
BAJU PASIEN 8 1 1 1 1 1 1 1
BAJU OK 12 19 18 9 8 13 1 7 9 2
CELANA OK 12 18 18 9 8 14 1 7 9 2
JAS 3 6 6 3 3 3 4
DUK KECIL /DUK BOLONG 6 8 9 4 3 5 2 5 4
DUK BESAR 1 5 1 1 3 4 1
DUK SEDANG 5 6 5 4 2 5 4
HORDENDG 2
HANDUK 2 2 2 2 2 1 3
BANTAL 3
WASLAP 3 3 3 3 3 2 4 1 5
SPRE BAYI 2 2 2 2 1 2 3 2 9 3
S BANTAL BAYI 2 1 1 2 3 2
 82 159 144 98 80 70 105 47 66 151 77
JUMLAH PERKILO 26,5 48,6648,63 30,3626,71 20,49 33,34 23,16 26,19 39,3 22,29

15
NAMA LINEN ORSOSING/LINEN/ BAJU OK/BJU BAYI
BEDONGAN/SELIMUT/BED COVER
BULAN MA

10/3/2017

11/3/2017

12/2/2017
13/3/2017
14/3/2017
1/3/2017

2/3/2017

4/3/2017

5/3/2017

6/3/2017

7/3/2017

8/3/2017

9/3/2017
NAMA LINEN
SELIMUT 5 2 6 9 9 13 8 10 10 9 9 14
BEDONG 11 3 14 45 16 3 2 2 4 18 29 15
SPRE BAYI 1 4 2 10 3 2 3 1 5 7 7 7
WASLAP 5 6 2 12 5 6 3 5 5 9 9 9
SPRE PUTIH 8 9 8 22 6 14 7 11 11 16 15 16
SPRE BIRU/UNGU/KREM/HIJAU 3 1 2 2 2 2 2 2
BED COPER 2 4 2 2 3 4 2 1 1 1
S BANTAL PUTIH 7 8 9 14 9 14 7 15 15 10 10 10
S BNTL KREM/ UNGU/ HJAU/BRU 3 1 2 2 2 2 2 2 1 3
STICLAKEN PUTIH 8 8 12 28 6 14 13 13 13 23 23 23
KELAMBU 1 1 1 2 1 1 1 1
STICLAKEN KREM 2 3 6 5 2 1 4 5 2 3 3 3
SPRE KREM 2 2 6 7 3 4 3 8 5 4 3 3
S BANTAL KREM 2 2 5 7 2 4 2 2 5 1 3 3
BAJU PASIEN 1 2 1 1 1 1 2 1 1 1 1
BAJU OK 6 6 1 7 20 2 20 21 11 6 10
CELANA 6 6 1 7 22 2 20 21 11 5 10
JAS OK 6 6 3 6 6 6 3 3 3
DUK KECIL 7 7 8 6 1 6 6 6 6 5
DUK BESAR 2 2 1 3 1 1 3
DUK SEDANG 5 5 4 9 1 7 7 3 3 3
HANDUK 1 1 1 1 1 1 1 1 1 1
MUKENA ATASAN 1
MUKENA BAWAH 1
sajadah 60 83 110 169 100 149 67 144 146 138 139 144
JUMLAH PERKILO 14,3 13,5129,85 39,0543,35 51,25 25,16 28,74 57,00 39,3 41,00

NAMA LINEN ORSOSING/LINEN/ BAJU OK/BJU BAYI

BEDONGAN/SELIMUT/BED COVER
 BULAN APRIL 2017

10/4/2017

11/4/2017

12/4/2017
13/4/2017
14/4/2017
1/4/2017

4/4/2017

5/4/2017

6/4/2017

7/4/2017

8/4/2017

9/4/2017
NAMA LINEN
SELIMUT 6 2 9 11 6 8 10 8 14 11 9 9 14
BEDONG 3 3 5 17 21 20 20 2 12 4 18 29 15
SPRE BAYI 2 4 2 7 1 4 3 4 5 7 7 7
WASLAP 3 6 5 5 6 5 8 3 9 5 9 9 9
SPRE PUTIH 10 9 13 19 8 7 12 7 20 11 16 15 16
SPRE BIRU/UNGU/KREM/HIJAU 4 1 1 1 2 3 1 2 1 2
BED COPER 3 1 2 2 1 3 1 2 1 1 1
S BANTAL PUTIH 13 8 13 19 8 8 12 7 24 15 10 10 10
S BNTL KREM/ UNGU/ HJAU/BRU 4 1 3 1 2 2 1 2 1 2 1 3
STICLAKEN PUTIH 13 8 7 14 6 8 12 13 23 13 23 23 23
KELAMBU 3 1 1 2 1 3 4 1 1 1
STICLAKEN KREM 3 3 2 2 1 4 1 2 3 3 3
SPRE KREM 2 2 1 3 4 3 3 5 4 3 3
S BANTAL KREM 2 2 2 2 4 2 1 5 1 3 3
BAJU PASIEN 4 1 2 1 4 1 1 4 1 1 1 1
BAJU OK 26 6 18 15 9 2 13 21 8 6 8
CELANA 25 6 18 15 9 2 13 21 8 5 8
JAS OK 6 6 6 3 7 6 6 3 3 3
DUK KECIL 16 7 9 11 6 4 1 14 6 6 6 5
DUK BESAR 4 2 4 1 2 2 1 3
DUK SEDANG 9 5 7 8 7 1 7 7 3 3 3
HANDUK 7 1 1 1 1 1 1 1 1 1 1
MUKENA ATASAN 1
MUKENA BAWAH 1
sajadah
KESET 6 4
BAJU BAYI 2 2 2 2
KERUDUNG 2 2 2 2
spre anak 2 2
SPALEK
hordeng 4 4
172 129 105 123 127 99 0 180 147 136 139 144
JUMLAH PERKILO 58,32 44,1226,0940,5840,84 24,27 56,32 34,49 32,03 22,5 62,19

FROM LINEN /ORSOSING

FROM LINEN/ORSOSING/ OK /VK/RANAP 3/VIP/NICU/HCU/P
P0LI/IGD/BULAN MEI 2017
 11/5/2017
12/5/2017
13/5/2017
1/5/2017

3/5/2017

4/5/2017

5/5/2017

6/5/2017

7/5/2017

8/7/2017

9/5/2017
10/5/207
NAMA LINEN
SPRE KERUT PUTIH BAC 13 13 4 7 4 19 16 2 14 4 8
STICLAKEN BAC 13 13 9 6 9 18 19 10 12 4 9
SARUNG BANTAL BAC 13 12 6 13 6 16 8 9 10 4 7
SELIMUT BAC 10 7 6 8 6 11 9 2 9 3 9
BEDCOPER 1 2 1 2 4 2 2 1 2
DUK KECIL BAC OK 3 2 8 8 1 1 1 1
JAS BAC 7 3 7 7 3
BAJU OK BAC 5 5 8 8 1 4 1
CELANA BAC 5 5 8 8 2 4 1
BEDONG BAYI 13 10 6 12 2 5
SPRE UNGU BAC 4 1 1 2 2 2 1
SARUNG BANTAL UNGU 3 1 1 1 2 2 1
SPRE KERUT KREM BAC 4 2 4 5 3 3 4 3
SARUNG BANTAL BAC 4 1 4 5 1 3 2 2
STIKLAKEN KREM BAC 3 3 5 1 2 3
KELAMBU 4 2 2 2 1
DUK BESAR 4 1
SPRE ANAK BAC
SARUNG BANTAL RS 3 3 1 3 1 2 9 6 3 3
DUK SEDANGRS 10 10 10 1 2 4 3
DUK KECIL RS 11 1 4 4 1 3 1
BAJU OK RS 10 3 11 11 1 4 4 5
JAS RS 2
CELANA RS 10 3 11 11 1 4 4 4
BAJU PASIEN 2 5 5 1 2 1 1
DUK LUBANG 1
PERAK 11 8 8 8 12 10 3
SPRE KERUT 2 1 1
KERUDUNG 2
KESET 1
HORDENG 5 6 2
MUKENA ATASAN 1 1 1
MUKENA BAWAHAN 1 1 1
SAJADAH 1 1 1
KAIN SARUNG 1 1 1
HANDUK BAC 2 4 1
SPRE BAYI RS 1 3
BEDONG RS 5 3 9
WASLAP 6 6 2
BAJU BAYI 1 1
BANTAL 2 3

144 117 121 64 127 99 119 76 97 75

JUMLAH PERKILO 67,31 38,5367,8923,3450,23 54,04 38,23 22,72 35,72 14,19

FROM LINEN /ORSOSING

FROM LINEN/ORSOSING/ OK /VK/RANAP 3/VIP/NICU/HCU/P
P0LI/JUNI/2017

10/6/2017

12/6/2017
13/6/2017
1/6/2017

3/6/2017

4/4/2017

5/6/2017

6/6/2017

7/6/2017

8/7/2017

9/6/2017

11/6/217
NAMA LINEN
SPRE KERUT PUTIH BAC 6 7 6 7 11 9 5 4 7 11
STICLAKEN BAC 12 8 8 13 10 11 6 4 16 13
SARUNG BANTAL BAC 5 4 9 3 8 12 3 2 10 9
SELIMUT BAC 7 10 11 6 10 9 6 4 9 10
BEDCOPER 1 4 2 3 2 2
DUK KECIL BAC OK 3 4 2 3 5 3
1JAS OK BAC 1 3 3 3 6 9 3
BAJU OK BAC 8 9 6 2 3 4 12 2
CELANA BAC 8 9 6 1 3 4 12 2
BEDONG BAYI 1 5 21 10 4 1 3 12 17
SPRE UNGU BAC 1 2 2 2 1 4 2 2
SARUNG BANTAL UNGU 1 2 2 2 1 3 2 2
SPRE KERUT KREM BAC 1 1 5 1 2 3 3 1 1
SARUNG BANTAL BAC 2 3 2 2 3 3
STIKLAKEN KREM BAC 2 2 1 2 2
KELAMBU 4 2 1 1 1 1
DUK BESAR 1 3 2 2 1 2
SPRE ANAK BAC 1
HANDUK BAC 2 1 1
DUK SEDANGRS 3 3 6 1 1 4 11 4
DUK KECIL RS 6 3 4 2 8 8 4
BAJU OK RS 3 5 2 4 4 3 2 15 6
JAS RS 2 5
CELANA RS 3 5 2 4 4 3 2 15 5
BAJU PASIEN 1 2 4 1 1 5 1
DUK LUBANG 1 1
PERAK 8 9 7 9 8 5 5 8 11
SPRE KERUT 1 3 2 1 2 1
KERUDUNG 1 1 1 2 1
KESET 1 1 3 1
HORDENG 2
MUKENA ATASAN 7 5 1
MUKENA BAWAHAN 7 5 1
SAJADAH 1 1
KAIN SARUNG 1
SARUNG BANTAL 2 3 4 6 2
SPRE BAYI RS 1 3
BEDONG RS 3 3
WASLAP 2 2
BAJU BAYI 1
BANTAL 2 1

91 107 144 75 63 79 54 70 182 116

JUMLAH PER KILO 26,22 36, 29 48,5424,61 33,59 15,56 29,66 59,84 41,7 69,49

FROM LINEN /ORSOSING

FROM LINEN/ORSOSING/ OK /VK/RANAP 3/VIP/NICU/HCU/P
P0LI/ JULI
13/JULI/2017
10/juli/2017

11/juli/2017

12/juli/2017
1/JULI/2017

3/JULI/2017

4/JULI/2017

5/JULI/2017

6/JULI/2017

7/JULI/2017

8/JULI/2017

9/juli/2017

NAMA LINEN 2/JUL

SPRE KERUT PUTIH BAC 8 8 11 9 6 12 10 19 12 7 11
STICLAKEN BAC 8 7 12 10 11 12 14 26 14 10 13
SARUNG BANTAL BAC 6 8 9 5 4 5 6 7 9 5 9
SELIMUT BAC 6 5 11 3 4 12 10 15 10 6 10
BEDCOPER 2 2 1 3 1 2 2 1 2
DUK KECIL BAC OK 2 2 4 4 1 2 14 5 3
1JAS OK BAC 3 3 3 3 13 2 2 3
BAJU OK BAC 4 3 4 2 3 3 1 2
CELANA BAC 4 3 4 2 2 3 2 2
BEDONG BAYI 10 6 12 1 2 4 4 9 17
SPRE UNGU BAC 4 2 2 2 3 2 2 2 2 2 2
SARUNG BANTAL UNGU 4 2 2 3 2 1 2 2 2 2 2
SPRE KERUT KREM BAC 2 3 2 2 1 1 2 4 3 1
SARUNG BANTAL BAC 2 5 2 1 2 1 3 1
STIKLAKEN KREM BAC 1 1 2 3 2 2 1
KELAMBU 1 2 1 2 2 6 1
DUK BESAR 1 2
SPRE ANAK BAC
HANDUK BAC 2 2 1 1 1
DUK SEDANGRS 4 7 4 3 4 15 4 4 4
DUK KECIL RS 2 6 1 3 11 5 5 4
BAJU OK RS 3 8 7 5 5 1 23 4 12 6
JAS RS 3 1 1
CELANA RS 3 9 7 4 5 1 22 4 12 5
BAJU PASIEN 1 2 1 1 1 5 3 1
DUK LUBANG
PERAK 6 4 11 8 12 7 23 7 9 11
SPRE KERUT 1 5 15 1 1 1
KERUDUNG 1 1 1
KESET 1 1 2
HORDENG 5 2
MUKENA ATASAN 1 3
MUKENA BAWAHAN 1 3
SAJADAH 1
KAIN SARUNG
SARUNG BANTAL 4 11 2 5 6
SPRE BAYI RS 1 4
BEDONG RS 17 2 3 2
WASLAP 3 2 2
BAJU BAYI 1 1
BANTAL 3 1
BEDCOPER/SELIMUT 1 2
108 73 148 99 63 98 60 229 99 101 116
JUMLAH PERKILO 32,39 22,5834,8624,8621,09 37,05 23,31 97,14 35,67 34,3 15,82
 FROM LINEN /ORSOSING
FROM LINEN/ORSOSING/ OK /VK/RANAP 3/VIP/NICU/HCU/P
P0LI/ AGUSTUS 2017

13/JULI/2017
6/JULI/2017

10/8/2017

11/8/2017
12/8/2017
7/8/20-17
1/8/2017

2/8/2017

3/8/2017

4/8/2017

5/8/2017

8/8/2017

9/8/2017
NAMA LINEN
SPRE KERUT PUTIH BAC 7 8 6 9 9 25 7 8 10 13 10
STICLAKEN BAC 2 12 10 11 10 24 7 7 7 20 12
SARUNG BANTAL BAC 7 5 3 8 5 16 9 4 7 14 7
SELIMUT BAC 9 6 2 8 3 14 8 3 8 14 6
BEDCOPER 1 1 3 3 7 1 1 2
DUK KECIL BAC OK 8 6 4 1 3 4 6 2
1JAS OK BAC 3 3 3 3 3 4
BAJU OK BAC 4 1 4 4 6 4
CELANA BAC 4 1 4 4 6 4
BEDONG BAYI 1 1 3 1 2 4 1 7
SPRE UNGU BAC 2 2 3 1 2 1 2 1 2 1 2
SARUNG BANTAL UNGU 2 2 3 2 3 1 2 1 2 1 2
SPRE KERUT KREM BAC 1 2 1 2 2 2 2 2 4 1 2
SARUNG BANTAL BAC 1 3 1 3 1 4 1 3 1 3
STIKLAKEN KREM BAC 2 1 2 3 3 1 1 1 1
KELAMBU 1 1 1 1 2
DUK BESAR 2 1 1
SPRE ANAK BAC 1 2 1 1
HANDUK BAC 1 2 1 1
DUK SEDANGRS 1 7 3 4 7 5 6
DUK KECIL RS 1 3 1 1 2 2 2 3
BAJU OK RS 7 6 5 7 1 9 3 15
JAS RS 3
CELANA RS 7 6 5 7 1 9 3 14
BAJU PASIEN 2 2 1 1 2 1 3 2
DUK LUBANG
PERAK 6 9 5 11 18 7 7 12 17 9
SPRE KERUT 1 4 4 9 12 10 2 3 6
KERUDUNG 1 1 1 1 1
KESET 2 1 1 5 1 1 2
HORDENG 1
MUKENA ATASAN 1 4
MUKENA BAWAHAN 1 4
SAJADAH 1
KAIN SARUNG
SARUNG BANTAL 2 1 6 6 2 17 9 9 6 7
SPRE BAYI RS 3 1 5 1 1 4 1
BEDONG RS 11 11 13 5 2 9 12 2
WASLAP 1 5 6 2 2 7 5 7
BAJU BAYI 2
BANTAL 1 3 1 1
BEDCOPER/SELIMUT 1 2 1
70 122 104 71 99 99 115 114 159 77
JUMLAH PERKILO 32,39 22,5834,8624,86 37,05 23,31 97,14 35,67 34,39

FROM LINEN /ORSOSING

FROM LINEN/ORSOSING/ OK /VK/RANAP 3/VIP/NICU/HCU/P
P0LI/ Sep-17

10/9/2017

11/9/2017
12/9/2017
13/9/2017
1/9/2017

2/9/2017

3/9/2019

4/9/2017

5/9/2017

6/9/2017

7/9/2017

8/9/2017

9/9/2017

NAMA LINEN
SPRE KERUT PUTIH BAC 16 7 10 12 7 8 11 12 7 11 14 12 13
STICLAKEN BAC 11 7 11 13 7 9 16 9 13 11 9 9 7
SARUNG BANTAL BAC 10 9 6 7 9 5 9 2 11 8 7 8 13
SELIMUT BAC 6 7 6 15 11 7 10 7 13 12 11 8 10
BEDCOPER 1 1 1 2 3 1 1 2 3
DUK KECIL BAC OK 14 10 3 4 2 4 8 7 1
1JAS OK BAC 6 3 7 1 1 1 3 6
BAJU OK BAC `2 1 9 9 5 4 1 1 4 3 3
CELANA BAC 1 1 10 8 5 4 1 1 4 8 2
BEDONG BAYI 4 3 7 6 4 3 5 8 11 2
SPRE UNGU BAC `1 3 2 3 2 2 2 1 2
SARUNG BANTAL UNGU 1 3 2 3 2 2 2 1 2 3
SPRE KERUT KREM BAC 1 1 2 3 3 2 3 2 3 3 2
SARUNG BANTAL BAC 1 1 2 2 1 3 1 2 2
STIKLAKEN KREM BAC 2 `1 2 3 1 1
KELAMBU 2 1 2 2 1 3 2 2 2
DUK BESAR 1 3 4 3 2 1 1 1 1
SPRE ANAK BAC 1 1
HANDUK BAC 1 1 1 2
DUK SEDANGRS 2 11 6 10 6 7 4 6 5 3 1
DUK KECIL RS 2 6 7 4 2 4 4 3 9 1
BAJU OK RS 3 12 3 9 5 12 4 3 8 6 7 1 4
JAS RS 3 3 3 2 6 3 1
CELANA RS 3 12 3 11 5 12 5 2 9 5 5 1 6
BAJU PASIEN 3 3 3 2 1 1 3 4 1
DUK LUBANG
PERAK 16 9 11 12 12 12 13 8 13 14 17 9 12
SPRE KERUT 1 3 2 3 4 2 4 4 4 6 5
KERUDUNG 1 1 2 2
KESET 2 2 3 3 5 2 1 1 1 4 1
HORDENG 7 1 9 4
MUKENA ATASAN 1 5
MUKENA BAWAHAN 1 5
SAJADAH
KAIN SARUNG 1 3
SARUNG BANTAL 4 510 7 4 3 5 4 6 14 8
SPRE BAYI RS 2 3 6 2 1 2 1 3 5 4 7 1
BEDONG RS 6 5 814 16 8 8 12 20 20 5 12 9
WASLAP 5 2 4 3 2 4 1 3 3 3 6 1 2
BAJU BAYI 1 1 1 1
BANTAL 1 1 3 1
BEDCOPER/SELIMUT 1 1 4 2 1 2 4 1 5 2
93 132 141 183 128 145 153 94 165 164 141 102 95
JUMLAH PERKILO 32,39 22,5834,8624,86 37,05 23,31 97,14 35,67 34,39

FROM LINEN /ORSOSING

FROM LINEN/ORSOSING/ OK /VK/RANAP 3/VIP/NICU/HCU/P
P0LI/ 0KTEBER 2017
11/10/2W017
10/10/12017

12/10/2017
13/10/2017
1/10/2017

2/10/2017

3/10/2017

4/10/2017

5/10/2017

6/10/2017

7/10/2017

8/10/2017

9/10/2017

NAMA LINEN
SPRE KERUT PUTIH BAC 16 7 9 6 19 9 14 12 7 10 16 12 13
STICLAKEN BAC 11 7 8 6 18 12 12 9 13 11 9 9 7
SARUNG BANTAL BAC 10 9 11 5 8 10 9 2 11 8 7 8 13
SELIMUT BAC 6 7 9 7 6 9 8 7 13 12 11 8 10
BEDCOPER 2 1 4 2 3 1 1 2 3
DUK KECIL BAC OK 14 6 3 2 2 4 8 7 1
1JAS OK BAC 6 3 6
BAJU OK BAC `2 1 3 1 1 4 3 3
CELANA BAC 1 1 3 1 1 4 8 2
BEDONG BAYI 4 3 1 2 2 2 5 8 11 2
SPRE UNGU BAC `1 3 1 2 3 2 2 2 1 2
SARUNG BANTAL UNGU 1 2 1 3 3 2 2 2 1 2 3
SPRE KERUT KREM BAC 1 2 1 1 1 4 3 2 3 3 2
SARUNG BANTAL BAC 2 2 1 1 1 1 3 1 2 2
STIKLAKEN KREM BAC 2 3 1 1
KELAMBU 2 1 1 1 1 2 2 2
DUK BESAR 1 3 4 2 1 1 1
SPRE ANAK BAC 2 1 1
HANDUK BAC 1 1 1 2 2
DUK SEDANGRS 2 11 8 2 6 5 3 1
DUK KECIL RS 2 6 5 1 1 3 9 1
BAJU OK RS 3 12 5 2 1 1 3 8 6 7 1 4
JAS RS 3 1 1
CELANA RS 3 12 5 1 1 2 9 5 5 1 6
BAJU PASIEN 3 1 1 1 3 4 1
DUK LUBANG
PERAK 16 9 12 7 8 5 9 8 13 14 17 9 12
SPRE KERUT 1 1 1 3 2 2 4 4 4 6 5
KERUDUNG 1 1 1 2
KESET 2 2 2 1 1 1 1 4 1
HORDENG 4
MUKENA ATASAN
MUKENA BAWAHAN
SAJADAH
KAIN SARUNG 3
SARUNG BANTAL 4 12 4 6 5 5 7 4 6 14 8
SPRE BAYI RS 2 5 4 6 5 9 2 3 5 4 7 1
BEDONG RS 6 5 7
15 19 23 23 16 20 20 5 12 9
WASLAP 5 2 1 4 3 4 6 2 3 3 6 1 2
BAJU BAYI 1 1 2 1 1 1
BANTAL 2 1 1 3 1
BEDCOPER/SELIMUT 1 1 4 4 3 1 2 4 1 5 2
93 132 132 84 117 106 124 94 164 163 143 102 95
JUMLAH PERKILO 32,39 22,5834,8624,86 37,05 23,31 97,14 35,67 34,39
15/5/2016

16/5/2016

17/5/2016

18/5/2016

19/5/2016

20/5/2016
21/5/2016
22/5/2016

23/5/2016

24/5/2016

25/5/2016

26\5\2016

27/5/2016

28/5/2016

29/5/2016

30/5/2016

31/5/2016
14 15 13 14 14 13 10 10 10 10 13 `14 10 10 15

3
8 5 5 3 4 5 5 10 5 5 5 5 5 10 8
14 15 13 14 14 13 10 5 10 10 13 14 10 10 10
14 15 13 14 14 13 10 10 10 10 13 14 10 10 15
18 19 16 17 17 17 15 115 17 17 17 17 13 15 16

4 3 3 3 3 3 3 3 3 3 3 3 3 3 3
4 3 3 3 3 3 3 3 3 3 3 3 3 3 3
4 3 3 3 3 3 3 3 3 4 5 5 3 3 3
4 3 3 3 3 3 3 3 3 4 4 4 4 4 4
4 3 3 3 3 3 3 3 3 4 5 5 5 5 3
5 3 3 3 3 3 7 5 5 3 3 3 4 4 3
2 3 3 3 3 3 5 3 3 3 3 3 3 5 3
2 3 3 3 3 3 5 3 3 3 3 3 3 4 4
2 3 3 3 3 3 5 3 3 3 3 3 3 4 4
2 3 3 3 3 3 3 3 3 3 3 3 3 3 3
2 3 3 2 3 3 3 2 2 3 3 3 3 3 3
3 3 3 3 3 3 2 2
3 3 3 3 3
3 3 3 3 3 5 2 2 3 3 3 3 3 3

21 8 16 12 8 8 8 2
21 8 16 12 8 8 8 2
9 3 6 9 4 3 3
14 4 9 9 4 4 4 3
14 4 9 9 4 4 4
2 2 2 2 2 2 2
4 4 4 4 2 2 2

3 3 3 3 3 3 3 3 3 3 3
3 3 3 3 3 3 3 3 3 3 3
3 1 3 3 3
2 3 3 2 2

2 3 4 2
2 6
3 3
 201
15/6/2016 120 141 172 102 172 98 232 125 97 114 137 90 109 107 3617

16/5/2016

17/5/2016

18/5/2016

19/5/2016

20/5/2016
21/5/2016
22/5/2016

23/5/2016

24/5/2016

25/5/2016

26\5\2016

27/6/2016

28/6/2016

29/6/2016

30/6/2016
14 14 10 11 12 13 12 1Q 10 10 11 7 8 10
4 4 4 5 12 5 5 5 5 5 3 2 5 5
14 14 10 11 12 13 12 10 10 10 11 7 8 10
14 14 10 11 12 13 12 10 10 10 11 7 8 10
17 17 15 16 17 17 16 16 15 15 11 10 10 18

3 3 3 3 3 1 1 1 1 1 1 1 2 4
3 3 3 3 3 1 1 1 1 1 1 1 2 4
3 3 3 3 3 1 1 1 1 1 1 1 2 4
3 3 3 3 1 1 1 1 1 1 1 2 4
3 3 3 3 3 1 1 1 1 1 1 1 2 4
3 3 3 3 3 1 1 1 1 1 1 1 2 4
3 3 3 3 3 1 1 1 1 1 1 1 2 2
3 3 3 3 3 1 1 1 1 1 1 1 2 2
3 3 3 3 3 1 1 1 1 1 1 1 2 2
3 3 3 3 3 1 1 1 1 1 1 1 2 2
3 3 3 3 3 1 1 1 1 1 1 1 1 1
2 1 1 1 1 1 1
1
2 2 2 2 1 1 2 4

8 8 8 16 16
8 8 8 16 16
4 4 3 6 6
6 6 4 7 12 12
4 4 4 8 8
2 2 2 2 2
2 2 4 8 2

3 3 3 3 3 3 3 3 3 3 3 3 3
3 3 3 3 3 3 3 3 3 3 3 3 3
3 3 3 3 3 3 3 3 3 3 3 3 3
3 3 3 3 3 3 3 3 3 3 3
 3 3 3 3 3 3 3 3 3 3 3
4 3 3 3 3 3 3 3
5 3 3 3 3 3 3 3
3 3 3 3 3 3
3 3 3 3 3 3
3 3
148 139 113 117 129### 71 148 79 91 87 61 77 167 3207

19/7/201Q6
15/7/2016

16/7/2016

17/7/2016

18/7/2016

20/7/2017
21/7/2016
22/7/2016

23/7/2016

25/5/2016

26/7/2017

27/6/2016

28/6/2016

29/6/2016

30/7/2016

31/7/2016
24/72016

14 11 5 12 13 12 10 10 12 11 7 8 10 17
4 5 5 12 5 5 5 5 12 3 2 5 5 17
14 11 5 12 13 12 10 10 8 11 7 8 10 10
14 11 5 12 13 12 10 10 12 11 7 8 10 10
17 16 5 17 17 16 16 15 17 11 10 10 18 10

3 3 3 6 3 1 1 1 1 1 1 1 2 4 4
3 3 3 6 3 1 1 1 1 1 1 1 2 4 4
3 3 3 6 3 1 1 1 1 1 1 1 2 4 4
3 3 3 6 3 1 1 1 1 1 1 1 2 4 4
3 3 3 6 3 1 1 1 1 1 1 1 2 4 4
3 3 3 6 3 1 1 1 1 1 1 1 2 4 4
3 3 3 2 3 1 1 1 1 1 1 1 2 2 4
3 3 3 2 3 1 1 1 1 3 1 1 2 2 4
3 3 3 2 3 1 1 1 1 3 1 1 2 2 4
3 3 3 2 3 1 1 1 1 3 1 1 2 2 4
3 3 3 2 3 1 1 1 1 2 1 1 1 1 4
1 1 1 1 1 4
1
2 2 3 1 1 2 4

8 8 16 8 8 8
8 8 16 8 8 8
 8 3 6 3 3 4
6 4 7 12 4 4 4
4 4 8 4 4 4
2 2 2 2 2 2
2 4 8 2 2 2

3 3 33 3 3 3 3 3 3 3 3
3 3 3 33 3 3 3 3 3 3 3 3
3 3 3 33 3 3 3 3 3 3 3 3
3 33 3 3 3 3 3 3 3 3
3 3 3 3 3 3 3 3 3 3
4 3 3 3 3
5 3 3 3 3
3 3 3 3
89 102 111 83 126### 71 155 79 82 106 61 77 136 168 2930
15/8/2016

16/8/2016

17/8/2016

18/8/2016

19/8/2016

20/8/2016
21/8/2016
22/8/2016

24/8/2016

25/8/2016

26/8/2016

27/8/2016

28/8/2016

29/8/2016

30/8/2016

31/8/2016
23/2016

19 12 17 18 14 12 10 18 12 14 10 15 7 8 10 10
8 6 4 5 5 10 5 5 4 6 7 8 10 5
19 12 17 18 14 12 10 18 12 14 10 15 7 8 10 10
19 12 17 18 14 12 10 18 12 14 10 15 7 8 10 10
9 8 6 4 6 5 5 6 6 5 7 7 7 8 10 10

2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2
 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2
2 2 2 2 2 3

16 20
16 20
6 9
14 14
12 14
2 2
2 2

3 3 3 3 3 3 3
3 3 3 3 3 3 3
3 3 3 3 3 3 3
3
3
2 2 3 2
4 2 3
2 2 4
117 79 176 97 86 77### 91 73 77 65 92 61 68 83 69 2820
17/9/2016

18/8/2016

19/9/2016

20/9/2016
21/8/2016
22/9/2016

24/9/2016

25/9/2016

26/9/2016

27/9/2016

28/9/2016

29/9/2016

30/9/2016
16/9/
15/9

23/9

19 12 17 18 14 12 10 18 12 14 10 15 7 7 8 10
8 6 4 5 5 10 5 5 4 6 7 7 8 10
19 12 17 18 14 12 10 18 12 14 10 15 7 7 8 10
 19 12 17 18 14 12 10 18 12 14 10 15 7 7 8 10
9 8 6 4 6 5 5 6 6 5 7 7 7 7 8 10

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 3

16 16 9 8 16
16 16 9 8 16
6 6 3 3 6
14 14 4 4 10
12 12 4 4 8
2 2 2 2 2
2 2 4 2 2

3 3 3 3 3 3 3 3
3 3 3 3 3 3 3 3
3 3 3 3 3 3 3 3
3
3 3
2 2 3
4 2 3
2 2 4
117 79 176 97 86 77### 91 73 77 108 92 61 61 68 143 2903
15/10/2016

16/10/2016

17/10/2016

18/10/2016

19/10/2016

20/10/2016
21/10/2016
22/10/2016

23/10/2016

24/10/2016

25/10/2016

27/10/2016

28/10/2016

29/10/2016

30/10/2016

31/10/2016
24/10/201
19 12 17 18 14 12 10 18 12 14 10 15 7 7 8 10
8 6 4 5 5 10 5 5 4 10 6 7 7 8 10
19 12 17 18 14 12 10 18 12 14 10 15 7 7 8 10
19 12 17 18 14 12 10 18 12 14 10 15 7 7 8 10
9 8 6 4 6 5 5 6 6 5 7 7 7 7 8 8

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 3

16 16 9 8 16 9
16 16 9 8 16 9
6 6 3 3 6 6
14 14 4 4 4
12 12 4 4 8 8
2 2 2 2 2 2
2 2 4 2 2 2

3 3 3 3 3 3 3 3 3 3
3 3 3 3 3 3 3 3 3 3
3 3 3 3 3 3 3 3 3 3
3
3
2 3 2 4 4 6 6 6
4 3 2 4
 2 3 2
117 147 108 165 95 112 84 91 73 77 123 86 67 126 123 3101

30/11/20916
14/11/2016

15/11/2016

16/11/2016

17/11/2016

18/11/2016

19/11/2016
20/11/2016
21/11/2016

22/11/2016

23/11/2016

24/11/2016

25/11/2016

26/11/2016

27/11/2016

28/11/2016

29/11/2016
15 19 12 17 18 14 12 10 18 12 14 10 10 7 8 8 8
15 8 6 4 5 5 10 5 5 4 10 10 7 8 8 8
15 19 12 17 18 14 12 10 18 12 14 10 10 7 8 8 8
12 19 12 17 18 14 12 10 18 12 14 10 10 7 8 8 8
9 8 6 4 6 5 5 6 6 5 7 7 7 8 8 8

2 2 2 2 2 2 2 2 2 2 2 2 2 2 8 2 3
2 2 2 2 2 2 2 2 2 2 2 2 2 2 8 2 3
2 2 2 2 2 2 2 2 2 2 2 2 2 2 6 2 3
2 2 2 2 2 2 2 2 2 2 2 2 2 2 6 2 3
2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 8 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 7 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 7 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 7 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 7 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 3

10 16 10 9 14 16 9
10 16 10 9 14 16 9
3 6 3 3 8 6 6
3 14 3 4 8 11 4
4 12 4 4 10 14 8
4 2 4 2 2 3 2
 2 1 4 2 2 2

3 3 3 3 3 3 3 3 3 3 3 2
3 3 3 3 3 3 3 3 3 3 3 2
3 3 3 3 3 3 3 3 3 3 3 2
3 3
3
2 3 2 4 4 6
4 3 2 4
2 3 2
125 117 147 108 132 95### 84 91 73 77 150 75 135 122 77 119 3213

30/11/20916

30/11/20916
31`/12/2016
15/12/2016

16/12/2016

17/12/2016

18/12/2016

19/11/2016

20/11/2016
21/12/2016
22/11/2016

23/11/2016

24/11/2016

25/11/2016

26/11/2016

27/11/2016

28/11/2016

29/11/2016

19 12 17 18 14
8 6 4 5
19 12 17 18 14
19 12 17 18 14
9 8 6 4 6

2 2 2 2 2
2 2 2 2 2
2 2 2 2 2
2 2 2 2 2 2
2 2 2 2 2 ORSOSING 0RSOSING
2 2 2 2 2
2 2 2 2 2
2 2 2 2 2
 2 2 2 2 2
2 2 2 2 2
2 2 2 2 2
2 2 2 2 2
2 2 2 2
2 2

16 10
16 10
6 3
14 3
12 4
2 4
2 1
ORSOSING
3 3 3 3 3
3 3 3 3 3
3 3 3 3 3
3
3
2 3
4 3
2 3
117 147 108 132 95 ###
16/1/2016

17/1/2017

18/1/2016

19/1/2016

20/1/2017

21/1/2017
22/1/2017
23/1/2017

24/1/2017

25/1/2017

26/1/2017

27/1/2017

28/1/2017

29/1/2017

30/1/2017

31/1/2017
2 1 2
2 1 2
13 3 4 6 3 6 6 2 4 7 11 6 2
1 2 3 1 2 2 2 2
16 6 9 6 6 4 11 10 4 9 7 13 9 2
19 5 8 7 6 6 9 9 3 6 10 9 10 2
14 10 9 6 4 4 12 5 4 7 13 7 7 4
2 3 8 5 8 4 9 5 3 7 2 6 6
2 1 6 4 9 2 4 4 2 3 1 1 2
1 2 2 1 4 2 1 2 1
1 1 1 1
11 22 6 9 12 5 6 17 13 9
12 20 5 9 1`2 5 6 17 14 1 9
12 6 5 7 4 3 6 3 2
1 15 9 1 4 2 6 4 9 4 3 8
15 13 1 5 3 2 3 7 4 11
2 2 1 1 7 1 2 2
1 1 1 1 1 1 1
1 1 1 1 1 1 1
2 1 1 1 1
2 1 2 2 3 1
2 2 2 2 1
2 2 1 1 2 2 2
4 3 1 2 2 1 2 2 2
10 2 1 2 1 5 1 2
5 6
 2 3 8 7 1 3 3 4 4
2 2 2 1 1 1
78 105 122 42 57 78 68 92 41 71 121 106 0 56 68 1864
24,31 36,40 40,44 17,4414,4925,68 16,78 35,22 13,6222,38 42,9440,24 0 18,64 22,79 0
16/2/20176

24/2/21017
15/2/2017

17/2/2017

18/2/2017

19/2/2017

20/2/2017
21/2/2017
22/2/2017

23/2/2017

25/2/2017

26/2/2017

27/2/2017

28/2/2017
6 8 10 10 14 3 6 9 10 13 6 10 8
11 6 12 8 18 2 8 3 9 16 9 10 8
8 5 12 8 13 4 7 9 10 12 7 12 10
1 1 5 1 1 1 2 1 1 2 2
1 1 5 1 1 1 2 1 1 2 2
1 2 3 1 2 1 2 1 5 2
1 2 3 1 3 2 2 1 1 4 2
1 2 3 1 2 2 2 1 1 4 1
7 10 7 5 10 2 4 1 8 1 7 12 6
1 3 1 2 1 1 1 3
1 4 15 5 2 2
2 3 1 1 1 1
17 1 5 15 10 16 11 4 15 1 9 10
1 3 2 1 1 3
1 2 1 2 5 1 2 5 3 2 2
10 13 9 10 2 5 10 1 16 22 7 8
11 13 9 10 1 4 9 2 18 26 7 8
3 3 3 3 6 13 5 2 3
5 3 12 2 1 11 24 6 3 5
1 2 3 1 4 6 2 2
1 6 4 7 1 1 4 15 5 5 6
2 4
2 `1 1 1 1 1 1
1 1 2
2 2 2 12 5 2 5 3 2 2 7 5
3 4 1 2 7 1 2 7 3 2 3 4
7 4 1 2 3
 83 108 91 95 128 48 56 97 55 187 110 116 98 2413
31.58 34.21 30.89 30.4 31 12 14,45 26,75 21,7073,06 38,9039,36 25,62

24/2/21017
15/3/2017

16/3/2017

17/3/2017

18/3/2017

19/2/2017

20/3/2017
21/3/2017
22/3/2017

23/3/2017

25/2/2017

26/2/2017

27/2/2017

28/2/2017

29/3/2017

30/3/2017

31/3/2017
11 7 17 11 24 12 14 7 7 8 10 9 8 11 12
9 15 15 7 37 4 19 9 6 14 34 10 32 6 15
2 3 2 3 6 2 1 3 5 1 1 3
5 6 5 3 3 1 7 7 5 6 6 4 3 4 1
13 9 17 11 23 16 13 15 9 11 24 7 8 11 2
2 1 4 2 2 3 1 1 2 1 1
1 2 4 2 4 3 1 1 1 3 1 1
8 10 10 5 21 14 10 8 8 9 31 9 13 10 14
2 1 3 2 2 2 1 1 1 2 1 1
18 1 22 11 31 2 20 15 12 15 28 8 5 12 13
1 5 5 3 1 2 1 3
2 13 4 3 4 1 1 2 1 5 1 1 2 3
2 4 1 6 9 1 2 2 6 1 2 1 3
7 1 4 9 3 4 5 1 3 1 3
4 1 5 1 2 2 1 2 1 2 2 1 1
20 11 9 11 11 8 5 13 9 1 20 11 3
16 8 9 10 8 8 5 13 9 1 19 11 3
10 17 3 4 3 3 4 4 3 2 4 3 6
2 8 23 5 6 5 7 7 5 4 9 2 5 6
2 7 1 4 1 1 2 1 1
12 17 3 2 4 4 3 3 4 4 6 5 1
2 5 3 1 1 2 1 1
6 1
7
77 63 205 165 211### 122 103 78 115 193 76 132 94 96 3388
24,71 21,86 83,41 57,81 68,2 48,541,82 34,78 26,7531,91 54,99 28,22 37,97 33,31 38,32
 21/4/12017
15/4/2017

16/4/2017

17/4/2017

18/4/2017

19/4/2017

20/4/2017

22/4/2017

23/4/2017

24/4/2017

25/4/2017

26/4/2017

27/4/2017

28/4/2017

29/4/2017

30/4/2017
11 17 11 10 24 12 14 7 8 7 10 9 8
9 15 7 1 37 4 19 6 14 9 34 10 32
2 2 1 3 6 2 1 3 5 1 1
5 5 3 3 1 7 5 6 7 6 4 3
13 17 11 17 23 16 13 9 11 15 24 7 8
2 4 2 2 2 3 1 1 2 1
1 4 2 4 3 1 1 1 3 1
8 10 5 20 21 14 10 8 9 8 31 9 13
2 3 2 2 2 2 1 1 1 2 1
18 22 11 16 31 2 20 12 15 15 28 8 5
5 5 3 1 2 1
2 3 13 3 4 1 1 1 2 5 1 1
2 6 4 3 9 1 2 2 6 1 2
4 7 3 9 3 4 5 1 3
5 4 1 2 2 2 1 1 2 2 1
11 20 19 9 5 11 5 13 8 9 1 20
8 16 19 9 5 8 5 13 8 9 1 19
17 10 6 3 4 3 4 4 3 3 2 4
2 23 8 11 5 1 5 7 5 7 4 9 2
7 2 2 1 1 1 1 2 1
17 12 12 3 1 4 3 3 4 4 4 6
5 2 2 3 1 2 1 1
6 6
7 6
6 4
2 1 2
2 2
2 1 2
2 2
96
4
77 213 171 247 211 93 122 78 115 130 193 76 132 3581
20,49 83,31 35,7853,1028,5 43,755,12 57,1240,31 20,1235,30 56,48 39,43

NAP 3/VIP/NICU/HCU/P
 15/5/201`7
14/5/2017

16/5/2017

17/5/2017

19/5/2017
20/5/2017
21/5/2017

22/5/2017

24/5/2017

25/5/2017

26/5/2017

27/5/2017

28/5/2017

29/5/2017

30/5/2017

31/5/2017
18/5/207

23/2017
16 4 7 4 4 24 11 24 11 10 6 13 10 16 3 4
18 5 9 5 5 27 11 27 11 8 10 12 10 17 5 7
10 4 6 4 4 15 8 15 8 7 4 9 12 15 7 2
15 4 4 4 4 18 5 18 5 6 2 3 10 15 10 5
2 1 5 1 5 1 2 3 1 3 2
7 1 13 1 1 3 4 3 4 3 1 2 1
11 1 6 1 1 7 4 7 4 3 4
12 2 1 2 2 1 6 1 6 2 7 5
12 2 1 2 2 1 5 1 5 1 7 5
18 20 8 4 8 4 4 9 5 2 2 1
2 7 7 7 1 2 1 2 2 1 2 4 2
2 6 6 6 2 2 2 2 2 1 2 3 2 2
2 3 2 3 3 2 2 2 2 1 2 2 2 2 2 1
2 3 2 3 3 2 1 2 1 2 3 2 2 2
1 3 2 3 3 1 2 1 2 1 1 3 2 1
1 4 1 4 1 1 2 2 1
5 4 1 1

4 1 1 4 5 3
11 5 9 9 9 9 4 5 6
14 5 8 6 8 6 2 1 3 6
12 1 14 1 1 9 13 9 13 3 2 3
12 2 2 2 13 13 3 2 3
12 14 10 2 10 2 5 1
4 2 2 1 2 1 2 1
1 1
19 7 11 7 7 27 10 27 10 6 3 4 8 5 7
1 2 1 2 1 1
2 1 3 1 3 1
3 1 2 1 2 16 1 1
2 3
3 6
3 6
3 2
1
2 1 1 1 2 2 2
2 2
4
1
1
1 6

224 56 141 56 56### 131 194 133 88 48 69 103 87 41 94

 14,19 28,20 75,80 17,3237,7769,0 49,1 0 73,07 41,4827,97 14,9522,31 35,52 0 33,79 20,54 37,06

NAP 3/VIP/NICU/HCU/P
14/6/2017

15/6/2017

16/6/2017

17/6/2017

18/6/2017

19/6/2017
20/6/2017
21/6/2017

22/6/2017

23/6/2017

24/6/2017

25/5/2017

26/6/2017

27/6/2017

28/6/2017

29/6/2017

30/6/2017
11 5 8 10 4 8 7 11 5 7 8 2 10 2
12 5 10 7 5 23 7 11 7 6 3 2 10 1
9 4 3 5 4 12 4 8 7 2 10 3 12
11 5 5 5 4 12 5 5 7 9 5 2 10
1 1 1 3 1 5 3 3 1
4 9 5 1 12 4 4 6 1 1 2
3 6 7 1 10 3 4 2 3 3
3 4 9 2 9 3 6 2 3 7
3 4 9 2 9 3 5 2 3 7
12 12 10 2 9 5 4 7 2 4 2 2 6
2 2 4 7 1 3 2 1 2 2 2
2 2 4 6 2 3 2 2 2 2 2
2 1 2 1 3 2 2 2 1 2 2
2 1 1 3 1 2 1 2 3
2 2 3 3 2 1 2 1 1
2 3 1 1 2 1 4 1 2 2
2 8 1 1 1

2 1 1 1 4
7 8 11 12 4 9 6 5 1 5
6 2 6 10 6 2 3 2 1 3
 8 7 8 1 20 6 13 9 4 2
3 9 2 3 13 4 2
9 7 9 21 6 2 10 2 1
2 1 3 2 5 1 1 2 1 2 1
1 1
7 10 5 7 15 3 10 27 10 6 2 8 1
15 1 1 1 1 2 1 1
2 3 3 1 3
1 1 1 6 1 2 1 2 1
5
4 1 3
6 1 3
3
1
2 3 1 2 1 2 2
2
8 7 5 10
3 3
1 1 3 2
3

148 104 146 52 56 219 73 131 126 88 48 0 41 103 22 0 2414

33,20 43,04 43,03 22,50 75,3 26,649,51 33,92 40,6915,16 23,92 11,74 4,83 0 0 0

NAP 3/VIP/NICU/HCU/P
14/JULI/2017

15/JULI/2017

16/JULI/2017

17/JULI/2017

18/JULI/2017

19/JULI/2017
20/JULI/2017
21/JULI/2017

22/JULI/2017

28/JULI/2017

29/JULI/2017
23/juli/2017

24/juli/2017

25/juli/2017

26/juli/2017

27/juli/2017

31/juli/2017
30/6/2017

11 16 25 4 5 8 10 10 7 21 17 10 9 12 12 24
12 16 26 5 7 4 13 12 6 29 10 2 8 8 14 23
9 12 17 4 4 3 6 4 2 11 8 6 12 18 11 19
11 6 19 4 4 8 6 10 9 15 14 5 5 7 9 19
 1 3 2 2 1 1 3 5 1 3 2
4 1 1 1 2 1 4 4 7 7 3 4
3 3 1 2 3 3 6 7 3 3
3 5 2 2 3 1 3 2 3 1 6 1 3
3 5 3 2 3 1 3 2 3 1 6 1 3
12 8 6 2 1 1 2 8 1 5 3 5 14 1
2 2 3 7 2 2 1 2 2 2 1 2 3 2 3
2 2 3 6 2 2 2 2 2 1 1 2 2 2 3
2 1 1 3 1 2 2 2 2 1 1 1 1 1
2 1 1 3 1 1 4 1 1 3 2 1 2 1
2 2 1 3 2 1 2 2 1 1
2 1 2 2 1 1 1 1 1 2 1 2 3
2 3 1 1 4 1 2
1 1 2 1 4
2 1 1 1 1 1
7 4 1 2 2 1 5 3 3 9 11 3 2
6 4 4 2 1 3 3 2 5 6 1 2
8 4 3 1 6 3 4 3 8 14 17 7 7
3 2 1 4 3
9 4 3 6 3 2 9 15 15 9 6
2 1 1 6 1 1 1 2 2 2 2 1
1
8 23 7 6 9 8 9 10 23 15 10 5 13 12 19
15 1 1 1 1 2 1 4 3 1 2 3
3 1 1
1 1 1 2 4 1 2 1 1 1 1
5
6 1 4
S 6 1 4

1 1
1 1 6 4 5 6 2 8 6 2 4 1 8
1 1 3 2 5 2 3
11 6 10 25 8 23 23 5
3 1 2 1 5 4 2 10 8 1
1 1 1
3 2 3 2 1

148 112 148 56 89 69 57 65 88 200 134 114 100 193 126 0 175
41,96 40,75
NAP 3/VIP/NICU/HCU/P
14/8/2017

15/8/2017

16/8/2017

17/8/2017

18/8/2017

19/8/2017
20/8/2017
21/8/2017

22/8/2017

23/8/2017

24/8/2017

25/8/2017

26/8/2017

27/8/2017

28/8/2017

29/8/2017

30/8/2017

31/8/2017
14 20 12 5 4 9 8 10 10 7 21 20 10 13 12 11 4 4
15 15 6 7 5 8 4 13 12 6 29 12 13 14 8 11 9 9
7 15 7 5 4 8 3 6 4 2 11 12 13 6 18 12 4 1
11 8 4 4 7 8 6 10 9 15 14 7 8 7 7 8
4 4 1 4 1 1 3 5 1 1 2 1 4
5 4 2 1 2 1 4 7 10 3 7 6
4 3 1 2 3 4 5 1 7 3
4 3 1 2 3 1 3 2 3 8 6 3
4 3 1 2 3 1 3 2 3 8 6 3
11 13 3 5 2 1 1 2 8 3 4 4 5 2 15
1 2 4 3 7 2 2 1 2 2 2 1 1 3 2 2 2
2 2 5 2 6 2 2 2 2 2 2 1 1 2 2 2 2
4 3 1 3 3 1 2 2 2 2 1 1 1 4 1 1 2 2
2 3 1 3 3 1 1 4 1 1 1 1 1 1 2 2
3 1 3 2 1 2 2 1 1 2 1 1 1
1 2 2 1 1 1 1 1 2 1 2 2
3 3 1 1 4 1 4 2
4 1 2 1 1
3 1 2 1
5 7 5 2 2 1 5 3 10 11 6
4 6 1 2 1 3 3 12 1 6 2
5 9 11 1 6 3 4 3 6 1 17 12
3 2 1 4 3
6 9 11 6 3 2 6 1 15 12
1 2 1 6 1 1 1 2 1 2 1 1
1
16 17 9 9 7 6 9 8 9 10 23 17 12 5 13 12 10 7
4 2 2 3 1 1 1 2 1 4 2 3 3 1 12 6 6
1 1 3 1
2 2 4 1 2 1 2 1 2 3
4 1 3
4 6 1 1 1
 4 S 6 1 1

1 1
17 9 6 6 1 6 4 5 6 2 8 6 4 1 7 6
7 6 3 6 1 1 5 3 5 2 3 3
3 27 21 11 6 10 25 10 16 17 23 5 15 15
1 7 2 4 1 2 1 5 2 3 3 8 1 3 3
1 1 1
23 1
2 2 2
137 164 144 124 56 103 69 57 65 88 200 167 134 100 193 139 60 83
41,96 40,75 57,16 36,4248,7934,95 42,88 44,11 59,1056,07 49,3557,50 74,46 34,68 53,49 48,08 37,99

NAP 3/VIP/NICU/HCU/P
14/9/2017

15/9/2017

16/9/2017

17/9/2017

18/9/2017

19/9/2017
20/9/2017

22/9/2017

23/9/2017

24/9/2017

25/9/2017

26/9/2017

28/9/2017

29/9/2017

30/9/2017
21/92017

11 8 13 9 13 9 8 10 10 7 21 20 10 13 12 11
12 12 6 6 13 8 4 13 12 6 29 12 13 14 8 11
9 12 9 6 12 8 3 6 4 2 11 12 13 6 18 12
12 10 10 9 5 7 8 6 10 9 15 14 7 8 7 7
3 5 2 2 1 4 1 1 3 5 1 1 2 1
7 5 1 1 2 1 4 7 10 3 7 6
1 2 2 3 4 5 1 7 3
8 5 4 1 3 1 3 2 3 8 6 3
8 4 4 2 3 1 3 2 3 8 6 3
2 2 1 1 2 8 3 4 4 5
2 2 4 2 3 2 2 1 2 2 2 1 1 3 2
2 2 3 2 3 2 2 2 2 2 2 1 1 2 2
3 5 3 1 2 2 2 2 1 1 1 4 1 1
1 4 1 1 1 4 1 1 1 1 1 1 2
1 1 3 2 1 2 2 1 1 2 1 1
1 1 2 2 1 1 1 1 1 2 1 2
 1 1 3 3 1 1 4 1 4 2
2 1 1 2
1 1 2 1
11 12 3 4 2 2 1 5 3 10 11 6
5 2 2 5 2 1 3 3 12 1 6 2
8 5 7 5 6 3 4 3 6 1 17 12
3 4 2 1 1 4 3
9 7 6 5 6 3 2 6 1 15 12
5 4 1 2 1 6 1 1 1 2 1 2 1
1
17 13 12 5 11 6 9 8 9 10 23 17 12 5 13 12
12 5 6 1 1 1 1 1 2 1 4 2 3 3 1 12
1 2 2 1 3 1
2 4 8 2 4 1 2 1 2 1 2
4
1 5 6 1
1 3 6 1

1
22 6 4 4 4 6 4 5 6 2 8 6 4 1
1 4 1 2 2 1 1 5 3 5 2 3
18 15 19 20 24 11 6 10 25 10 16 17 23 5
2 9 5 4 5 1 2 1 5 2 3 3 8 1
1 2 1
2 1
1 1 1 3 2 2
200 161 145 104 114 103 69 57 65 88 200 167 134 100 193 139 3775
41,96 40,75 57,16 36,4248,7934,95 42,88 44,11 59,1056,07 49,3557,50 74,46 34,68 53,49

NAP 3/VIP/NICU/HCU/P
14/10/2017

15/10/2017

16/10/2017

17/10/2017

18/10/2017

19/10/2017
20/10/2017
21/10/2017

22/10/2017

23/10/2017

24/10/2017

25/10/2017

28/10/2017

29/10/2017

30/10/2017

31/10/2017

11 11 13 14 13 9 8 10 10 7 21 20 10 21 16 11
12 17 14 14 13 8 4 13 12 6 29 12 13 15 18 11
9 9 6 11 12 8 3 6 4 2 11 12 13 11 12 12
12 6 2 12 5 7 8 6 10 9 15 14 7 20 5 7
 3 2 4 1 4 1 1 3 5 1 1 3 1
7 6 4 2 2 1 4 7 10 2 6
6 2 1 2 3 4 5 3
8 3 6 3 1 3 2 3 8 3
8 4 6 3 1 3 2 3 8 3
7 1 2 1 1 2 8 3 4 2 1
2 2 3 3 2 2 1 2 2 2 1 2 2
2 2 2 3 2 2 2 2 2 2 1 2
3 1 4 3 1 2 2 2 2 1 1 1 2 1
1 2 1 1 1 4 1 1 1 1 1 2
1 1 2 1 2 2 1 1 2 1
3 2 1 2 2 1 1 1 1 1 1 2
1 4 1 3 1 1 4 2
2 1 1 2 1
1 2 1 2 1
11 11 5 2 2 1 5 3 10 6
5 9 5 1 2 1 3 3 12 1 1 2
8 16 7 6 3 4 3 6 1 12
3 2 1 4 3
9 16 7 6 3 2 6 1 12
5 3 1 1 6 1 1 1 2 1 1
1
17 10 8 16 11 6 9 8 9 10 23 17 12 17 6 12
12 4 11 3 1 1 1 1 2 1 4 2 3 13 5 12
1 1 1 3
2 2 1 5 8 2 4 1 2 1 2 1 2
4
5 6 1
3 6 1

1
22 8 5 13 4 6 4 5 6 2 8 6 4 1
1 3 1 6 2 1 1 5 3 5 1 3
18 4 20 22 24 11 6 10 25 10 16 17 14 5
2 4 4 6 5 1 2 1 5 2 3 10 1
1 1 1
2 1
1 2 3 4 2 2 4
200 168 152 139 114 103 69 57 65 88 200 167 134 149 88 139 3581
41,96 40,75 57,16 36,4248,7934,95 42,88 44,11 59,1056,07 49,3557,50 74,46 34,68 53,49
 31`/12/2016

0RSOSING
2921
4828
3068

3068
3113
 PENCUCIAN 2016/LONDRY
NO BULAN JUMLAH
1 JANUARY 1727
2 FEBUARI 2995
3 MARET 3404
4 APRIL 3961
5 MEI 3617
6 JUNI 3207
7 JULI 2930
8 AGUSTUS 2830
9 SEPTEMBER 2903
10 0KTOBER 3101
11 NOVEMBER 3212
12 DESEMBER 1967

PENGELUARAN SOFFENIR 2016

NO BULAN TOILET SET TISU HANDUK TAS GELAS SENDAL DETOL
1 JANUARY 85 87 24 24 16 24

2 FEBUARY 163 163 53 53 35 53

3 MARET 216 216 82 82 46 46

4 APRIL 187 187 64 64 37 37

5 MEI 177 177 68 68 36 36

6 JUNI 132 132 45 48 18 18 26

7 JULI 112 112 29 29 11 11 27

8 AGUSTUS 151 151 73 21 71 27 31

9 SEPTEMBER 146 146 72 69 21 22 34

13 70

10 Oktober 105 107 40 34 11 13 36

10 10

12 DESEMBER 108 78 11 44 21 0 1`6

1 Jan-17 123 123 42 42 9 0 30

2 FEBUARY 17 119 119 29 29 12 0 19

3 MARET 2017 179 179 35 35 23 35

 4 APRIL

5 MEI 122 122 20 29 20

6 juni 80 80 17 41 16 16

7 juli 145 145 3 36 15 15

8 AGUSTUS 176 176 37 58+117=175 37+117=154 37

9 SEPTEMBER 181 181 30 61 30 0 30

10 OKTOBER 328 328 36 36 36 36

170 170
MOTHER BABY

26

27

31

32

36

19

30

19

35
0
 PEMBELIAN PERCETAKAN
JUNI/JULI 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
15/6/2017
DAFTAR VISIT DR 20 BK 10000
HAK DAN KEWAJIBAN 10 BK 20000
RESEP 60 BK 7000
CLIS PASIN BARU 3 RIM 70000
ASEMEN DAN CATATAN B/B 3 RIM 70000
PENOLAKAN PENGOBATAN 3 RIM 70000
PERNYATAAN PULANG 3 RIM 70000
KARTU LEBARAN 100 PCS 200000
DPJP 3 RIM 70000
CATATAN PERKEMBANGAN 4 RIM 70000
SURAT PELAYANAN MEDIS 3 RIM 70000
KARTU STOK BARANG 1000 PCS 500
AMLOP KECIL MITRA 8 BOX 30000

18/JULI/2017 AMLOP PUTIH STANDAR 10 PAK 35000

SERAH TERIMA PASIIEN 40 BK 5000
FROM LEB 4 RIM 70000
SURAT PERSETUJUAN RAWAT INAP 3 RIM 70000

18/JULI/2017 FROM PATOGRAF 4 RIM 85000

24/JULI/2017
RESEP 60 BK 7000
BROSUR BPJS 3 RIM 500000
ACRILIR BROSUR 50 PCS 90000

PEMBELIAN PERCETAKAN
AGUSTUS/2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 4/8/2017 GRAPIK VITAL 3 RIM 70000
SERAH TERIMA 3 RIM 85000
STEMPEL OTOMATIS 9 PCS 86000
2 4/8/2017 BROSUL JADWAL DOKTER 2 RIM 500000
SPANDUK IMUNISASI 1 PCS 250000

3 14/8/2017 RESEP 60 BK 70000

AMLOP KECIL 10 BOX 40000

4 14/8/2017 CATATAN KEP PERIOPERATIP 6 RIM 85000

FROM PENDAFTRAAN 3 RIM 70000
INF PENUNDAAN PELAYANAN 3 RIM 70000
CPPT 3 RIM 70000
IMLEMEMTASI 3 RIM 70000
PERNYATAAN 3 RIM 70000
SURAT RUJUK 3 RIM 70000

5 22/8/2017 MAP MEDICAL 600 PCS 6000

6 22/8/2017 SIT PERMOHONAN PINDAH 3 RIM 70000

LEMBARAN KONSULTASI 3 RIM 70000
DISCHARGE PLNING 3 RIM 70000
CHECKLIS KESELAMATN 3 RIM 70000
RONGSEN 3 RIM 70000
SIT KETERANGAN SAKIT 3 RIM 70000

7 14/8/2017 MAP REKAM MEDIS 400 PCS 2800

8 29/8/2017 DAFTAR PEMESANAN 30 BK 15000

DAFTAR VISIT 20 BK 10000
RESEP 60 BK 7000
PENGKAJIAN KEPERAWATAN 3 RIM 70000
SKSAKIT 30 RIM 70000
PENERBANGAN 6 RIM 70000
IMLEMETASI 3 RIM 70000
CPPT 4 RIM 70000
LEMBAR POLI 3 RIM 70000
AML0P BESAR 10 BOX 50000
MAP REKAMMEDIS 600 PCS 2800
 PEMBELIAN PERCETAKAN
Sep-17
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 4/9/2017 BUKU PASPOR 560 BK 24000

2 13/9/2017 SURAT PERSETUJUAN 3 RIM 70000

DPJP 3 RIM 70000
RAWAT INAP 3 RIM 70000
CKLIS ORIENTASSI 3 RIM 70000
BUKTI PERMINTAA BARANG 20 BK 12000
HAK DAN PASIN 20 BK 24000
TINDAKN POLI 120 BK 4000

PEMBELIAN PERCETAKAN
OKTOBER 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 5/10/2017 PAYUNG BESAR 150 BUAHH 80000
PAYUNG STANDAR 150 BUAHH 70000
PAYUNG LIPAT 150 BUAHH 60000

2 5/10/2017 BROSUR 2 RIM 500000

3 10/10/2017 KARTU NAMA DR DEDI 5 BOX 40000

PENGKAJIAN 3 RIM 70000
KEPERAWATAN RAWAT JALN 4 RIM 70000
CPPT 4 RIM 70000
CATATN MEDIS GAWT DARURAT 3 RIM 70000
SALINAN RESEP 3 RIM 70000
LAB 4 RIM 70000

CATATN PERKEMBANGAN 3 RIM 70000

SERAH TERIMAB/B 3 RIM 85000
SURAT JALN 3 RIM 70000

ROLL OP BONNER 2 PCS 450,000

20/10/2017 BON PEMESANAN MAKANAA 3 RIM 70000
BUKTI BON SEMENTARA 15 BK 8000
PESAN PASIEN PULANG 20 BK 12,000
DISCHANGE PLANING 20 BK 24,000
RESEP 60 BK 8000
MAP REKAM MEDIS 800 LEMBAR 2800

20/10/2017 LAB 4 RIM 70000

PENGKJIAN 3 RIM 70000
IMLEMENTASI 3 RIM 70000
POMUKIR DIET PASIEN 3 RIM 70000
CPPT 4 RIM 70000
SALINAN RESEP 3 RIM 70000
HASIL NEBULLIZER 3 RIM 70000
AKAN
7
TOTAL SUPLAYER UNIT MEDIS

200,000 SEMAR JAYA

200,000
420,000
210,000
210,000
210,000
210,000
200,000
210,000
280,000
21,000
500,000
240,000
3,111,000

350,000 SEMAR JAYA

200,000
280,000
210,000
1,040,000

340,000 SEMAR JAYA

420,000 SEMAR JAYA

1,500,000
4,500,000
6,420,000

AKAN
7
TOTAL SUPLAYER UNIT MEDIS
210,000 SEMAR JAYA
255,000
720,000
1,185,000
1,000,000 SEMAR JAYA
250,000
1,250,000

420,000 SEMAR JAYA

400,000

510,000 SEMAR JAYA

210,000
210,000
210,000
210,000
210,000
210,000
1,770,000

3,600,000 SEMAR JAYA

210,000 SEMAR JAYA

210,000
210,000
210,000
210,000
210,000

1,120,000 SEMAR JAYA

450,000 SEMARJAYA
20,000
420,000
210,000
210,000
420,000
210,000
280,000
210,000
500,000
1,680,000
4,610,000
AKAN

TOTAL SUPLAYER UNIT MEDIS

13,440,000 SEMAR JAYA

210,000 SEMAR JAYA

70,000
70,000
70,000
240,000
480,000
480,000
2,040,000

AKAN
7
TOTAL SUPLAYER UNIT MEDIS
12,000,000 SEMAR JAYA
10,500,000
9,000,000
31,500,000

500,000 SEMAR JAYA

200,000 SEMAR JAYA

210,000
280,000
280,000
210,000
210,000
280,000
1,680,000
210,000 SEMAR JAYA
255,000
210,000

900,000 SEMAR JAYA

 210,000 SEMAR JAYA
120,000
240,000
480,000
480,000
2,240,000 SEMAR JAYA
3,777,000

280,000
210,000
210,000
210,000
280,000
210,000
210,000
 STOK GUDANG SEPTEMBER 2017

PERCETAKAN
LAPORAN HARIAN POLI KLINIK 1 RIM 70000 70,000
PERNYATAAN SUSU PORMULA 3 RIM 70000 210,000
LAPORAN OPERSI 2 RIM 70000 140,000
TINDAKAN KEPERAWATAN 3 RIM 70000 210,000
LEMBAR POLIKLINIK 3 RIM 70000 210,000
RESUM MEDIS 14 BK 30000 420,000
RIWYAT PERSALINAN 3 RIM 70000 210,000
AS KEP UNIT GAWAT DARURAT 3 RIM 70000 210,000
PERMINTAAN PULANG 5 RIM 70000 350,000
CATATAN BAYI 1 RIM 70000 70,000
ASKEP 0
CATATAN PERSALINAN 1 RIM 70000 70,000
DAFTAR C ISTIMEWAH 3 RIM 70000 210,000
SENSUS HARIAN RAWAT INAP 20 BK 30000 600,000
FOMULIR OBAT 10 BK 30000 300,000
HAK &KEWAJIBAN 8 BK 240000 192,000
SURAT PEE TIN TAN JAMINAN 10 BK 30000 30,000
PENELEGASIAN WEWENANG 5 BK 24000 120,000
ASEMEN R INAP 1,2,3 10 RIM 70000 700,000
PENOLAKAN PENGOBATAN 3 RIM 70000 210,000
GRAFIK 2 RIM 70000 140,000
CEKLIS PASEN PULANG 0
SALINAN RESEP 1 RIM 70000 70,000
LEMBAR KONSULTASI 2 RIM 70000 140,000
PENGKJIAN R JALN 1 RIM 70000 70,000
SURAT SKIT 10 BK 12000 120,000
BERRITA ACARA 2 RIM 70000 140,000
ASKEP KMR BEDAH PRE OPERASI 2 RIM 70000 70,000
ASKEP KMR BEDAH INTRA OPERASI 2 RIM 70000 140,000
ASKEP KMR BDEH POST OPERASI 2 RIM 70000 140,000
ASEMEN IDUKASI 2 RIM 70000 140,000
SURAT PERNYATAAN IMPORMASI 3 RIM 70000 210,000
CTG 1 RIM 70000 70,000
RONGSEN 2 RIM 70000 140,000
POMULIR P BARU 4 RIM 70000 280,000
PATOGRAP 3 RIM 85000 255,000
PINDAH KELAS 3 RIM 70000 210,000
GENERAL CONSENT 2 RIM 85000 170,000
CEKLIS UNIT KAMAR BEDAH 2 RIM 70000 140,000
KEP PREROPERAITP 2 RIM 70000 140,000
MASLAH INTRA OPERSI 2 RIM 70000 140,000
PATOLOGI/SITOLOGI 2 RIM 70000 140,000
CATATAN ANATESI 2 RIM 70000 140,000
SKI PENERBANGAN 2 RIM 70000 140,000
DAFTAR PESENAN BAHAN MAKANAN 20 BK 12000 240,000
FOMULIR KELUHAN KELUARGA 2 RIM 70000 140,000
SURAT RESUS 1 RIM 70000 70,000
SURAT KEMATIAN 1 RIM 70000 70,000
PENUNDAAN PENOBATAN 1 RIM 70000 70,000
PERMINTAAN KEROHHANIAN 3 RIM 70000 210,000
PRIVASI 1 RIM 70000 70,000
PSIN MASUK DAN KELUAR 0 RIM 70000 0
SCON 1 RIM 70000 70,000
NILAI 2 KEPERCAYAAN 2 RIM 70000 140,000
KELUHAN PASEN 1 RIM 70000 70,000
CHEKLIS PASEIN BARU 2 RIM 70000 140,000
INTERNAL 6 RIM 70000 420,000
TRANFFUSI DARAH 6 RIM 70000 420,000
MAP STATUS 100 LEMBAR 2400 240,000
MAP RONGSEN 3 PAK 300000 900,000
SURAT CONTROL 9 BK 12000 108,000
SURAT RUJUKAN UMUM 1 RIM 70000 70,000
POM CUTI 8 BK 12000 96,000
SURAT CONTROL 3 BK 12000 36,000
COPY RESEP 20 BK 7000 140,000
REKOMENDASI 8 BK 12000 96,000
BS 12 BK 7000 84,000
TANDATERIM 8 BK 7000 56,000
DAFTAR VISIT 20 BK 12000 120,000
KWITASI MITRA 20 BK 7000 140,000
SURAT SEHAT 10 BK 12000 120,000
RESEP 10 BK 80000 80,000
TINDAKAN SPA 15 BK 4000 60,000
TINDAKAN SPOG 15 BK 4000 60,000
SERAH TERIMA PASIN 25 BK 5000 125,000
PERMINTAAN BARANG 10 BK 12000 120,000
DPJP 2 RIM 70000 140,000
PERMINTAAN RAWT INAP 3 RIM 70000 210,000
SKRI 3 RIM 70000 210,000
CATATAN PERKEMBANGAN 2 RIM 70000 140,000
LAB 1 RIM 70000 70,000
SURAT PERSETUJUAN RI 2 RIM 70000 140,000
PERSETUJUAN TIDAKAN KEDRRAN 1 RIM 70000 70,000
CPPT 3 RIM 70000 210,000
SRAH TERIMA PASIN 2 RIM 70000 140,000
PERSETUJUAN ANATESI 2 RIM 70000 140,000
PERSETUJUAN PENGOBATAN 2 RIM 70000 140,000

ATK
BUKU PANJANG 2 BK 12000 24,000
BK KECIL 2 BK 8000 16,000
BUKU BESAR 3 BK 30000 90,000
PENGGARIS 6 BUAH 2000 12,000
SPIDOL MARKET 4 BUAH 6750 27,000
SPIDOL PERMANEN 4 BUAH 6750 27,000
SPIDOL PERMANEN 10 BUAH 6750 67,500
TOM&JERY 103 8 PAK 10000 80,000
TOM&jery 126 5 PAK 10000 50,000
TOM&JRY 5 PAK 10000 50,000
TOM&JERY 123 5 PAK 10000 50,000
TOM&JERY127 5 PAK 10000 50,000
PUP
PULPEN BIRU 6 BUAH 1416 8,496
PULPEN MERAH 12 BUAH 1416 16,992
LEM 9 BUAH 5000 45,000
TIPX 5 BUAH 5000 25,000
BINDER CLIP 155 8 PAK 7000 56,000
BINDER CLIP 107 8 PAK 4000 32,000
BINDER CLIP 111 8 PAK 6000 48,000
BINDER CLIP 206 1 PAK 17000 17,000
SERUTAN 2 BUAH 2000 4,000
POS IT 20 PAK 10000 200,000
NOT MARK 1 PAK 10000 10,000
PRINTEC 60 G 11000 660,000
KERTAS WARNA 2 RIM 50000 100,000
P POCKET 5 PAK 19000 95,000
MAP SEA GOOL 10 BUAH 15000 150,000
BUSINES FILE 2 BUAH 3500 7,000
KWITASI 5 BK 2000 10,000
PRINTEC ROL 5 BUAH 30000 150,000
HP EPSON 4 BUAH 30000 120,000
PEMBOLONG BESAR 1 BUAH 30000 30,000
PEMBOLLONG KECIL 1 BUAH 20000 20,000

UMUM
BATU BATRE VOL 9 2 BUAH 22000 44,000
ALKALINE 1SET 1 SET 10000 10,000
KLIP 20*12 3 PAK 14000 42,000
KLIP 17*11 5 PAK 6000 30,000
KLIP 15*10 5 PAK 7500 37,500
KLIP 13*8,7 5 PAK 6000 30,000
KLIP8*5 5 PAK 5000 25,000
KLIP 10*7 5 PAK 5000 25,000
LAKBAN BESAR 4G 10000 40,000
SOLASI KECIL 4G 5000 20,000
DAIMARU 3G 45000 135,000
TISU KOTAK 100 KOTAK 4000 400,000
HANDUK 130 BUAH 20000 2,600,000
STOK TOILET 150 PAKET 14500 2,175,000
TISU PENGESAT 60 PAK 7500 450,000
TAS 0 BUAH 2800 0
GELAS 100 BUAH 15000 150,000

STOK GUDANG LOGISTIK BULAN OKTOBER 2017

PERCETAKAN
LAPORAN HARIAN POLI KLINIK 0 RIM 70000
PERNYATAAN SUSU PORMULA 2 RIM 70000 210,000
LAPORAN OPERSI 2 RIM 70000 140,000
TINDAKAN KEPERAWATAN 2 RIM 70000 210,000
LEMBAR POLIKLINIK 0 RIM 70000 210,000
RESUM MEDIS 8 BK 30000 420,000
RIWYAT PERSALINAN 2 RIM 70000 210,000
AS KEP UNIT GAWAT DARURAT 2 RIM 70000 210,000
PERMINTAAN PULANG 4 RIM 70000 350,000
CATATAN BAYI 0 RIM 70000 70,000
ASKEP 0
CATATAN PERSALINAN 1 RIM 70000 70,000
DAFTAR C ISTIMEWAH 2 RIM 70000 210,000
SENSUS HARIAN RAWAT INAP 17 BK 30000 600,000
FOMULIR OBAT 8 BK 30000 300,000
HAK &KEWAJIBAN 5 BK 240000 192,000
SURAT PEE TIN TAN JAMINAN 6 BK 30000 30,000
PENELEGASIAN WEWENANG 3 BK 24000 120,000
ASEMEN R INAP 1,2,3 6 RIM 70000 420,000
PENOLAKAN PENGOBATAN 2 RIM 70000 210,000
GRAFIK 2 RIM 70000 140,000
CEKLIS PASEN PULANG 0
SALINAN RESEP 2 RIM 70000 70,000
LEMBAR KONSULTASI 2 RIM 70000 140,000
PENGKJIAN R JALN 1 RIM 70000 70,000
SURAT SKIT 10 BK 12000 120,000
BERRITA ACARA 2 RIM 70000 140,000
ASKEP KMR BEDAH PRE OPERASI 2 RIM 70000 70,000
ASKEP KMR BEDAH INTRA OPERASI 2 RIM 70000 140,000
ASKEP KMR BDEH POST OPERASI 2 RIM 70000 140,000
ASEMEN IDUKASI 2 RIM 70000 140,000
SURAT PERNYATAAN IMPORMASI 2 RIM 70000 210,000
CTG 2 RIM 70000 70,000
RONGSEN 1 RIM 70000 140,000
POMULIR P BARU 4 RIM 70000 280,000
PATOGRAP 3 RIM 85000 255,000
PINDAH KELAS 3 RIM 70000 210,000
GENERAL CONSENT 2 RIM 85000 170,000
CEKLIS UNIT KAMAR BEDAH 2 RIM 70000 140,000
KEP PREROPERAITP 2 RIM 70000 140,000
MASLAH INTRA OPERSI 2 RIM 70000 140,000
PATOLOGI/SITOLOGI 2 RIM 70000 140,000
CATATAN ANATESI 2 RIM 70000 140,000
SKI PENERBANGAN 2 RIM 70000 140,000
DAFTAR PESENAN BAHAN MAKANAN 20 BK 12000 240,000
FOMULIR KELUHAN KELUARGA 2 RIM 70000 140,000
SURAT RESUS 1 RIM 70000 70,000
SURAT KEMATIAN 1 RIM 70000 70,000
PENUNDAAN PENOBATAN 1 RIM 70000 70,000
PERMINTAAN KEROHHANIAN 3 RIM 70000 210,000
PRIVASI 1 RIM 70000 70,000
PSIN MASUK DAN KELUAR 2 RIM 70000 140,000
SCON 1 RIM 70000 70,000
NILAI 2 KEPERCAYAAN 2 RIM 70000 140,000
KELUHAN PASEN 1 RIM 70000 70,000
CHEKLIS PASEIN BARU 2 RIM 70000 140,000
INTERNAL 6 RIM 70000 420,000
TRANFFUSI DARAH 6 RIM 70000 420,000
MAP STATUS 300 LEMBAR 2400 720,000
MAP RONGSEN 3 PAK 300000 900,000
SURAT CONTROL 4 BK 12000 48,000
SURAT RUJUKAN UMUM 1 RIM 70000 70,000
POM CUTI 4 BK 12000 48,000
SURAT CONTROL 3 BK 12000 36,000
COPY RESEP 15 BK 7,000 105,000
REKOMENDASI 5 BK 12000 60,000
BS 12 BK 7000 84,000
TANDATERIM 5 BK 7000 35,000
DAFTAR VISIT 0 BK 12000
KWITASI MITRA 15 BK 7000 105,000
SURAT SEHAT 10 BK 12000 120,000
RESEP 10 BK 8000 80,000
TINDAKAN SPA 15 BK 4000 60,000
TINDAKAN SPOG 15 BK 4000 60,000
SERAH TERIMA PASIN 15 BK 5000 75,000
PERMINTAAN BARANG 6 BK 12000 120,000
DPJP 2 RIM 70000 140,000
PERMINTAAN RAWT INAP 3 RIM 70000 210,000
SKRI 3 RIM 70000 210,000
CATATAN PERKEMBANGAN 3 RIM 70000 140,000
LAB 1 RIM 70000 70,000
SURAT PERSETUJUAN RI 2 RIM 70000 140,000
PERSETUJUAN TIDAKAN KEDRRAN 1 RIM 70000 70,000
CPPT 3 RIM 70000 210,000
SRAH TERIMA PASIN 2 RIM 70000 140,000
PERSETUJUAN ANATESI 2 RIM 70000 140,000
PERSETUJUAN PENGOBATAN 2 RIM 70000 140,000
FOMULIR DIET 3 RIM 70000 210,000

ATK
BUKU PANJANG 2 BK 12000 24,000
BK KECIL 1 BK 8000 80,000
BUKU BESAR 2 BK 30000 60,000
PENGGARIS 6 BUAH 2000 12,000
SPIDOL MARKET 4 BUAH 6750 27,000
SPIDOL PERMANEN 4 BUAH 6750 27,000
SPIDOL PERMANEN 10 BUAH 6750 67,500
TOM&JERY 103 5 PAK 10000 50,000
TOM&jery 126 3 PAK 10000 30,000
TOM&JRY 5 PAK 10000 50,000
TOM&JERY 123 3 PAK 10000 10,000
TOM&JERY127 5 PAK 10000 50,000
PULPEN HITAM 5 BUAH 1500 7,500
PULPEN BIRU 6 BUAH 1416 8,496
PULPEN MERAH 12 BUAH 1416 16,992
LEM 9 BUAH 5000 45,000
TIPX 2 BUAH 5000 10,000
BINDER CLIP 155 6 PAK 7000 42,000
BINDER CLIP 107 6 PAK 4000 28,000
BINDER CLIP 111 6 PAK 6000 36,000
BINDER CLIP 206 1 PAK 17000 17,000
SERUTAN 1 BUAH 2000 2,000
POS IT 8 PAK 10000 80,000
NOT MARK 1 PAK 10000 10,000
PRINTEC 80 G 11000 880,000
KERTAS WARNA 1 RIM 50000 50,000
P POCKET 5 PAK 19000 95,000
MAP SEA GOOL 10 BUAH 15000 150,000
BUSINES FILE 1 PAK 27000 27,000
KWITASI 5 BK 2000 10,000
PRINTEC ROL 3 BUAH 30000 90,000
HP EPSON 2 BUAH 30000 60,000
PEMBOLONG BESAR 0 BUAH 30000
PEMBOLLONG KECIL BUAH 20000

UMUM
BATU BATRE VOL 9 2 BUAH 22000 44,000
ALKALINE 1SET 1 SET 10000 10,000
KLIP 20*12 3 PAK 14000 42,000
KLIP 17*11 5 PAK 6000 30,000
KLIP 15*10 5 PAK 7500 37,500
KLIP 13*8,7 5 PAK 6000 30,000
KLIP8*5 5 PAK 5000 25,000
KLIP 10*7 5 PAK 5000 25,000
LAKBAN BESAR 4G 10000 40,000
SOLASI KECIL 4G 5000 20,000
DAIMARU 3G 45000 135,000
TISU KOTAK 20 KOTAK 4000 80,000
HANDUK 130 BUAH 20000 2,600,000
STOK TOILET 250 PAKET 14500 1,450,000
TISU PENGESAT 60 PAK 7500 150,000
TAS 0 BUAH 2800
 STOK AWAL DAN AKHIR SEPTEMBER/OKTOBER 2017

JUMLAH QTY
NO NAMABARANG SATUAN HARGA AWAL PENAMBAHAN JUMLAH
PERCETAKAN
LAPORAN HARIAN POLI KLIRIM 70,000 1 1
PERNYATAAN SUSU PORMURIM 70,000 3 3
LAPORAN OPERSI RIM 70,000 2 2
TINDAKAN KEPERAWATAN RIM 70,000 3 3
LEMBAR POLIKLINIK RIM 70,000 1 1
RESUM MEDIS BK 30,000 14 14
RIWYAT PERSALINAN RIM 70,000 3 3
AS KEP UNIT GAWAT DARU RIM 70,000 3 3
PERMINTAAN PULANG RIM 70,000 5 5
CATATAN BAYI RIM 70,000 1 1
ASKEP 0 0
CATATAN PERSALINAN RIM 70,000 1 1
DAFTAR C ISTIMEWAH RIM 70,000 3 3
SENSUS HARIAN RAWAT INBK 30,000 20 20
FOMULIR OBAT BK 30,000 10 10
HAK &KEWAJIBAN BK 24,000 8 8
SURAT PEE TIN TAN JAMIN BK 30,000 10 10
PENELEGASIAN WEWENANBK 24,000 5 5
ASEMEN R INAP 1,2,3 RIM 70,000 10 10
PENOLAKAN PENGOBATANRIM 70,000 3 3
GRAFIK RIM 70,000 2 2
CEKLIS PASEN PULANG RIM 0 0 0
SALINAN RESEP RIM 70000 1 1
LEMBAR KONSULTASI RIM 70000 2 2
PENGKJIAN R JALN RIM 70000 1 1
SURAT SKIT BK 12000 10 10
BERRITA ACARA RIM 70000 2 2
ASKEP KMR BEDAH PRE OPRIM 70000 2 2
ASKEP KMR BEDAH INTRA RIM 70000 2 2
ASKEP KMR BDEH POST OPRIM 70000 2 2
ASEMEN IDUKASI RIM 70000 2 2
SURAT PERNYATAAN IMPO RIM 70000 3 3
CTG RIM 70000 1 1
RONGSEN RIM 70000 2 2
POMULIR P BARU RIM 70000 4 4
PATOGRAP RIM 85000 3 3
PINDAH KELAS RIM 70000 3 3
GENERAL CONSENT RIM 85000 2 2
CEKLIS UNIT KAMAR BEDA RIM 70000 2 2
KEP PREROPERAITP RIM 70000 2 2
MASLAH INTRA OPERSI RIM 70000 2 2
PATOLOGI/SITOLOGI RIM 70000 2 2
CATATAN ANATESI RIM 70000 2 2
SKI PENERBANGAN RIM 70000 2 2
DAFTAR PESENAN BAHAN BK 12000 20 20
FOMULIR KELUHAN KELUA RIM 70000 2 2
SURAT RESUS RIM 70000 1 1
SURAT KEMATIAN RIM 70000 1 1
PENUNDAAN PENOBATAN RIM 70000 1 1
PERMINTAAN KEROHHANI RIM 70000 3 3
PRIVASI RIM 70000 1 1
PSIN MASUK DAN KELUAR RIM 70000 2 2
SCON RIM 70000 1 1
NILAI 2 KEPERCAYAAN RIM 70000 2 2
KELUHAN PASEN RIM 70000 1 1
CHEKLIS PASEIN BARU RIM 70000 2 2
INTERNAL RIM 70000 6 6
TRANFFUSI DARAH RIM 70000 6 6
MAP STATUS LEMBAR 2400 100 800 900
MAP RONGSEN PAK 300000 3 3
SURAT CONTROL BK 12000 9 9
SURAT RUJUKAN UMUM RIM 70000 1 1
POM CUTI BK 12000 8 8
SURAT CONTROL BK 12000 3 3
COPY RESEP BK 7000 20 20
REKOMENDASI BK 12000 8 8
BS BK 7000 12 12
TANDATERIM BK 7000 8 8
DAFTAR VISIT BK 12000 20 20
KWITASI MITRA BK 7000 20 20
SURAT SEHAT BK 12000 10 10
RESEP BK 7000 60 60
TINDAKAN SPA BK 4000 25 25
TINDAKAN SPOG BK 4000 25 25
SERAH TERIMA PASIN BK 5000 25 25
PERMINTAAN BARANG BK 12000 10 10
DPJP RIM 70000 2 2
PERMINTAAN RAWT INAP RIM 70000 3 3
SKRI RIM 70000 3 3
CATATAN PERKEMBANGAN RIM 70000 2 2
LAB RIM 70000 1 1
SURAT PERSETUJUAN RI RIM 70000 2 2
PERSETUJUAN TIDAKAN KERIM 70000 1 1
CPPT RIM 0 4 4
SRAH TERIMA PASIN RIM 70000 2 2
PERSETUJUAN ANATESI RIM 70000 2 2
PERSETUJUAN PENGOBATARIM 70000 2 2
ATK
BUKU PANJANG BK 12000 2 2
BK KECIL BK 8000 2 2
BUKU BESAR BK 30000 3 3
PENGGARIS BUAH 2000 6 6
SPIDOL MARKET BUAH 6750 4 12 16
SPIDOL PERMANEN BUAH 6750 4 12 16
SPIDOL WHIT BOART BUAH 6750 10 10
TOM&JERY 103 PAK 10000 8 8
TOM&jery 126 PAK 10000 5 5
TOM&JRY PAK 10000 5 5
TOM&JERY 123 PAK 10000 5 5
TOM&JERY127 PAK 10000 5 5
ISI STEPLES PAK 2500 2 24 26
PULPEN BIRU BUAH 1416 6
PULPEN MERAH BUAH 1416 12
LEM BUAH 5000 9
TIPX BUAH 5000 5 5
BINDER CLIP 155 PAK 7000 8 8
BINDER CLIP 107 PAK 4000 8 8
BINDER CLIP 111 PAK 6000 8 8
BINDER CLIP 206 PAK 17000 1 1
SERUTAN BUAH 2000 2 2
POS IT PAK 10000 20 10 30
NOT MARK PAK 10000 1 5 6
PRINTEC G 11000 60 50 110
KERTAS WARNA RIM 50000 2 5 7
P POCKET PAK 19000 5 5
MAP SEA GOOL BUAH 15000 10 10
BUSINES FILE BUAH 3500 2 20 24
KWITASI BK 2000 5 5
PRINTEC ROL BUAH 30000 5 5 10
HP EPSON BUAH 30000 4 4 8
PEMBOLONG BESAR BUAH 30000 1 1
PEMBOLLONG KECIL BUAH 20000 1 1
KERTAS A4 RIM 28000 10 20 30
KERTAS F4 RIM 32000 10 20 30
CONTINUS 3 PLY BOX 330000 2 2 4
TRI GONAL KLIP PAK 15000 1 12 13
BOX FILE BINDEX BUAH 20000 50 30 80
STEPLES NO 10 BUAH 13000 2 2
KERTAS FAX G 20000 3 3 6
CONTINUS 2 PLY DUS 220000 2 2 4
PITA NEW 7755 PCS 11000 7 4 11
ALCO PAK 10000 5 5 10
PULPEN HITAM PAK 18000 1 2 3
TINTA YAMURA PCS 10000 5 5
ISI PULPEN PAK 10000 10 10 20
AMLOP KECIL OPLOS PAK 13000 5 10 15
AMLOP BESAR PAK 16000 5 10 15
KERTAS STRUK 2 PY PAK 60000 7 7 14
AMLOP COKLAT POLIO PAK 30000 1 1
SPIDOL ORIP LSN 70000 1 1

UMUM
BATU BATRE VOL 9 BUAH 22000 2 2 4
ALKALINE 1SET SET 10000 1 1 2
KLIP 20*12 PAK 14000 3 30 33
KLIP 17*11 PAK 6000 5 30 35
KLIP 15*10 PAK 7500 5 30 35
KLIP 13*8,7 PAK 6000 5 30 35
KLIP8*5 PAK 5000 5 20 25
KLIP 10*7 PAK 5000 5 30 35
LAKBAN BESAR G 10000 4 4
SOLASI KECIL G 5000 4 3 7
DAIMARU G 45000 3 3
TISU KOTAK KOTAK 4000 100 200 300
HANDUK BUAH 20000 130 130
STOK TOILET PAKET 14500 100 250 350
TISU PENGESAT PAK 7500 20 100 120
TAS BUAH 2800 100 100
ALKALINE 1SET SET 10000 1 1 2
BATU ABC AA DUS 45000 1 1 2
GUNTING LUSIN 60000 1 1
DOBEL TIP ROOL 30000 2 2 4
JUMLAH QTY
PEMAKAIAN AKHIR SALDO

1 0 0
2 1 70,000
2 140,000
1 2 140,000
1 0 0
8 6 180,000
3 210,000
3 210,000
5 350,000
1 0 0
0 0
1 70,000
3 210,000
20 600,000
10 300,000
8 192,000
10 300,000
5 120,000
10 700,000
3 210,000
2 140,000
0 0
1 70,000
2 140,000
1 70,000
10 120,000
2 140,000
2 140,000
2 140,000
2 140,000
2 140,000
3 210,000
1 70,000
2 140,000
4 280,000
3 255,000
3 210,000
2 170,000
2 140,000
 2 140,000
2 140,000
2 140,000
2 140,000
2 140,000
20 240,000
2 140,000
1 70,000
1 70,000
1 70,000
3 210,000
1 70,000
2 0 0
1 70,000
2 140,000
1 70,000
2 140,000
6 420,000
6 420,000
500 400 960,000
3 900,000
9 108,000
1 70,000
8 96,000
3 36,000
20 140,000
8 96,000
12 84,000
8 56,000
20 240,000
20 140,000
10 120,000
60 420,000
10 15 60,000
10 15 60,000
25 125,000
10 120,000
2 140,000
3 210,000
3 210,000
2 140,000
1 70,000
2 140,000
1 70,000
3 1 70,000
2 140,000
2 140,000
 2 140,000

2 24,000
2 16,000
3 90,000
6 12,000
10 6 40,500
16 0
10 67,500
3 5 50,000
3 2 20,000
5 50,000
3 2 20,000
5 50,000
20 6 15,000

3 2 10,000
2 6 42,000
2 6 24,000
2 6 36,000
1 17,000
1 1 2,000
20 10 100,000
5 1 10,000
30 80 880,000
6 1 50,000
5 19,000
10 150,000
20 4 14,000
3 2 4,000
8 2 60,000
6 2 60,000
1 0 0
1 0 0
28 2 56,000
28 2 64,000
4 0 0
13 0 0
70 10 200,000
2 0 0
6 0 0
4 0 0
7 4 44,000
10 0 0
3 0 0
 3 2 20,000
18 2 20,000
15 0 0
15 0 0
14 0 0
1 0 0
1 0 0

2 2 44,000
2 0 0
28 5 70,000
30 5 30,000
30 5 37,500
30 5 30,000
20 5 25,000
30 5 25,000
2 2 20,000
5 2 10,000
3 0 0
250 50 200,000
50 80 1,600,000
250 100 1,450,000
60 60 450,000
100 0 0
1 1 10,000
1 1 45,000
1 0 0
4 0 0