JAN

Laporan Pemakaian Bahan Habis Pakai (BHP) Radiologi UPT. RSUD Bali Mandara
Bulan : Januari
Tahun : 2018

NO NAMA BHP MERK BHP SATUAN NO. BATCH

1 2 3 4 5
1 Film X-Ray 35 x 43 cm Carestream box
2 Film X-Ray 28 x 35 cm Carestream box
3 Film X-Ray 20 x 25 cm Carestream box
4 Film CT Scan DT 2B 14 x 17 in AGFA box
5 Kertas film USG Hitam Putih Sony roll 201216-K74E
6 Kertas film USG Berwarna Canon box
7 Kertas film Panoramic YC paper pak
8 Spuit Kaca 200 cc Janet buah
9 Tissue Paseo roll
BAHAN HABIS PAKAI LAINNYA
10 USG Gel Onemed Botol
11 Masker Aximed Box
12 Hansaplast plester coklat PT. Beiersdorf ind Buah
13 Alkohol 70% PT. Adifarma Botol
14 Povidone Iodine Onemed Botol 19071788
15 Alcohol Swab Onemed Box
16 Sabun Anti Bakteri Onemed Botol 2061788
17 Aseptan Onemed Botol 16061788
18 Disposable Saftety Box PT. Medibest Buah
19 Sterilized Water For Injection Otsuka Buah 00E47A
20 My Jelly 5 gram Onemed Box 7041788
21 Nierbekken Disposable Onemed Buah
22 Kassa Hidrofil Roll
23 Handscoon uk L Aximed Box
24 Handscoon uk S Aximed Box
25 Handscoon uk M Aximed Box
26 Abbocath 20 G Remedi biji
27 Abbocath 22 G Remedi biji
28 Spuit 20 CC Aximed biji
29 Folley Chateter 18 Aximed biji
30 Threeway Stopcock Berekor Hospitech biji
31 Wing Needle uk 21 Onemed biji
32 Needle 18 G Terumo biji
33 Hypafix Aximed biji
34 Ns 500 ml Widartra biji
35 Spuit 50 CC Aximed biji
38 Barium Sulfat Kg K44874650
39 Kondom Sutra Sutra Box

Page 1
 JAN
40 Masker N95 Onemed Buah
41 Electroda 3M Buah
42 Infus Set Makro Troge Buah
43 NS PB 100 ml Otsuka Botol
44 Abbocath 18G Terumo Buah

Page 2
 JAN

STOK STOK
PENERIMAAN PEMAKAIAN KADALUARSA KET
AWAL AKHIR
6 7 8 9 10 11
5 0 0 16/10/2018 5
7 0 1 27/05/2019 6
9 0 0 4/6/2019 9
9 0 0 2018/12 9
33 0 1 32
30 0 0 30
5 0 0 5
2 0 0 2
108 0 6 102

1 1 2 03/01/19 0
2 0 1 2022/01 1
1 0 0 2020/06 1
2 0 0 2020/09 2
2 0 0 2020/06 2
1 0 0 2020/04 1
1 0 0 2020/05 1
2 5 3 2020/05 4
2 0 0 2
10 0 0 03/05/20 10
1 0 0 2020/03 1
4 0 2 2
1 0 0 1
2 0 0 14/06/2022 2
1 0 0 14/06/2022 1
2 0 1 14/06/2022 1
2 0 0 2022/04 2
2 0 0 2021/11 2
2 0 0 2021/03 2
2 0 0 21/03/2022 2
2 2 2 2022/05 2
2 0 0 2020/07 2
5 0 0 2021/08 5
1 0 0 31/10/2020 1
2 0 0 2019/08 2
2 0 0 2021/02 2
1000 0 0 2018/08 1000
0 12 1 2022/06 11

Page 3
 JAN
0 11 0 11
0 50 6 2019/05 44
0 3 2 2021/12 1
0 5 2 2020/07 3
0 3 1 30/06/2022 2

Page 4
 FEB
Laporan Pemakaian Bahan Habis Pakai (BHP) Radiologi UPT. RSUD Bali Mandara
Bulan : Februari
Tahun : 2018

NO NAMA BHP MERK BHP SATUAN NO. BATCH

1 2 3 4 5
1 Film X-Ray 35 x 43 cm Carestream box
2 Film X-Ray 28 x 35 cm Carestream box
3 Film X-Ray 20 x 25 cm Carestream box
4 Film CT Scan DT 2B 14 x 17 in AGFA box
5 Kertas film USG Hitam Putih Sony roll
6 Kertas film USG Berwarna Canon box
7 Kertas film Panoramic YC paper pak
8 Spuit Kaca 200 cc Janet buah
9 Tissue Paseo roll
BAHAN HABIS PAKAI LAINNYA
10 USG Gel Onemed Botol
11 Masker Aximed Box
12 Hansaplast plester coklat PT. Beiersdorf ind Buah
13 Alkohol 70% PT. Adifarma Botol
14 Povidone Iodine Onemed Botol
15 Alcohol Swab Onemed Box
16 Sabun Anti Bakteri Onemed Botol
17 Aseptan Onemed Botol
18 Disposable Saftety Box PT. Medibest Buah
19 Sterilized Water For Injection Otsuka Buah
20 My Jelly 5 gram Onemed Box
21 Nierbekken Disposable Onemed Buah
22 Kassa Hidrofil Roll
23 Handscoon uk L Aximed Box
24 Handscoon uk S Aximed Box
25 Handscoon uk M Aximed Box
26 Abbocath 20 G Remedi biji
27 Abbocath 22 G Remedi biji
28 Spuit 20 CC Aximed biji
29 Folley Chateter 18 Aximed biji
30 Threeway Stopcock Berekor Hospitech biji
31 Wing Needle uk 21 Onemed biji
32 Needle 18 G Terumo biji
33 Hypafix Aximed biji
34 Ns 500 ml Widartra biji
35 Spuit 50 CC Aximed biji

Page 5
 FEB
38 Barium Sulfat Kg
39 Kondom Sutra Sutra Box
40 Masker N95 Onemed Buah
41 Electroda 3M Buah
42 Infus Set Makro Troge Buah
43 NS PB 100 ml Otsuka Botol
44 Abbocath 18G Terumo Buah
45 Aquasonic Gel Galon

Page 6
 FEB

STOK STOK
PENERIMAAN PEMAKAIAN KADALUARSA KET
AWAL AKHIR
9 10 11
5 0 0 16/10/2018 5
6 0 3 27/05/2019 3
9 0 1 4/6/2019 8
9 0 1 2018/12 8
32 0 11 21
30 0 0 30
5 0 0 5
2 0 0 2
102 0 3 99

0 0 0 0
1 5 3 3
1 0 1 0
2 2 2 2
2 0 0 2
1 1 0 2
1 0 1 0
4 5 4 5
2 0 0 2
10 0 0 10
1 0 0 1
2 10 1 11
1 0 1 0
2 0 0 2
1 0 0 1
1 3 2 2
2 0 0 2
2 0 0 2
2 0 0 2
2 0 0 2
2 0 0 2
2 0 0 2
5 0 0 5
1 2 1 2
2 0 0 5
2 0 0 2

Page 7
 FEB
1000 0 0 1000
11 0 0 11
11 0 0 11
44 0 0 44
1 0 0 1
3 0 0 3
2 0 0 2
0 1 0 1

Page 8
 MAR
Laporan Pemakaian Bahan Habis Pakai (BHP) Radiologi UPT. RSUD Bali Mandara
Bulan : Maret
Tahun : 2018

NO NAMA BHP MERK BHP SATUAN NO. BATCH

1 2 3 4 5
1 Film X-Ray 35 x 43 cm Carestream box
2 Film X-Ray 28 x 35 cm Carestream box
3 Film X-Ray 20 x 25 cm Carestream box
4 Film CT Scan DT 2B 14 x 17 in AGFA box
5 Kertas film USG Hitam Putih Sony roll
6 Kertas film USG Berwarna Canon box
7 Kertas film Panoramic YC paper pak
8 Spuit Kaca 200 cc Janet buah
9 Tissue Paseo roll
BAHAN HABIS PAKAI LAINNYA
10 USG Gel Onemed Botol
11 Masker Aximed Box
12 Hansaplast plester coklat PT. Beiersdorf ind Buah
13 Alkohol 70% PT. Adifarma Botol
14 Povidone Iodine Onemed Botol
15 Alcohol Swab Onemed Box
16 Sabun Anti Bakteri Onemed Botol
17 Aseptan Onemed Botol
18 Disposable Saftety Box PT. Medibest Buah
19 Sterilized Water For Injection Otsuka Buah
20 My Jelly 5 gram Onemed Box
21 Nierbekken Disposable Onemed Buah
22 Kassa Hidrofil Roll
23 Handscoon uk L Aximed Box
24 Handscoon uk S Aximed Box
25 Handscoon uk M Aximed Box
26 Abbocath 20 G Remedi biji
27 Abbocath 22 G Remedi biji
28 Spuit 20 CC Aximed biji
29 Folley Chateter 18 Aximed biji
30 Threeway Stopcock Berekor Hospitech biji
31 Wing Needle uk 21 Onemed biji
32 Needle 18 G Terumo biji
33 Hypafix Aximed biji
34 Ns 500 ml Widartra biji
35 Spuit 50 CC Aximed biji

Page 9
 MAR
38 Barium Sulfat Kg
39 Kondom Sutra Sutra Box
40 Masker N95 Onemed Buah
41 Electroda 3M Buah
42 Infus Set Makro Troge Buah
43 NS PB 100 ml Otsuka Botol
44 Abbocath 18G Terumo Buah
45 Aquasonic Gel Galon
46 Tissue Paseo (wajah) Paseo Buah
47 Kassa Hidrofil (2m x 80cm) Roll
48 Underpad Nicecare Lembar

Page 10
 MAR

STOK STOK
PENERIMAAN PEMAKAIAN KADALUARSA KET
AWAL AKHIR
9 10 11
5 0 0 16/10/2018 5
3 1 1 27/05/2019 3
8 0 1 4/6/2019 7
8 0 0 2018/12 8
21 11 10 22
30 0 3 27
5 0 0 5
2 0 0 2
99 0 4 95

0 0 0 0
3 0 2 1
0 3 0 3
2 1 2 1
2 0 0 2
2 1 0 3
0 5 0 5
5 3 2 6
2 0 0 2
10 0 0 10
1 0 0 1
11 0 2 9
0 2 0 2
2 0 0 2
1 0 1 0
2 0 1 1
2 0 0 2
2 0 0 2
2 0 0 2
2 0 1 1
2 0 0 2
2 0 0 2
5 0 0 5
2 0 0 3
5 0 0 2
2 0 0 2

Page 11
 MAR
1000 0 0 1000
11 0 0 11
11 0 0 11
44 0 0 44
1 0 0 1
3 0 0 3
2 0 0 2
1 0 0 1
0 10 3 7
0 10 1 9
0 10 0 10

Page 12
 APR
Laporan Pemakaian Bahan Habis Pakai (BHP) Radiologi UPT. RSUD Bali Mandara
Bulan : April
Tahun : 2018

STOK STOK
NO NAMA BHP MERK BHP SATUAN NO. BATCH PENERIMAAN PEMAKAIAN KADALUARSA KET
AWAL AKHIR
1 2 3 4 5 9 10 11
1 Film X-Ray 35 x 43 cm Carestream box 5 0 0 16/10/2018 5
2 Film X-Ray 28 x 35 cm Carestream box 2 3 2 27/05/2019 3
3 Film X-Ray 20 x 25 cm Carestream box 7 0 1 4/6/2019 6
4 Film CT Scan DT 2B 14 x 17 in AGFA box 8 0 1 2018/12 7
5 Kertas film USG Hitam Putih Sony roll 22 0 5 17
6 Kertas film USG Berwarna Canon box 27 0 0 27
7 Kertas film Panoramic YC paper pak 5 0 0 5
8 Spuit Kaca 200 cc Janet buah
9 Tissue Paseo roll 95 0 5 90
BAHAN HABIS PAKAI LAINNYA
10 USG Gel Onemed Botol 0 0 0 0
11 Masker Aximed Box 1 5 3 3
12 Hansaplast plester coklat PT. Beiersdorf ind Buah 3 0 0 3
13 Alkohol 70% PT. Adifarma Botol 1 2 1 2
14 Povidone Iodine Onemed Botol 2 0 0 2
15 Alcohol Swab Onemed Box 3 0 1 2
16 Sabun Anti Bakteri Onemed Botol 5 0 0 5
17 Aseptan Onemed Botol 6 2 3 5
18 Disposable Saftety Box PT. Medibest Buah 2 0 0 2
19 Sterilized Water For Injection Otsuka Buah 10 0 0 10
20 My Jelly 5 gram Onemed Box 1 0 0 1
21 Nierbekken Disposable Onemed Buah 9 0 1 8
22 Kassa Hidrofil Roll 2 0 1 1
23 Handscoon uk L Aximed Box 2 2 1 3
24 Handscoon uk S Aximed Box 0 2 0 2
25 Handscoon uk M Aximed Box 1 0 1 0
26 Abbocath 20 G Remedi biji 2 0 0 2
27 Abbocath 22 G Remedi biji 2 0 0 2
28 Spuit 20 CC Aximed biji 2 0 0 2
29 Folley Chateter 18 Aximed biji 2 0 1 1
30 Threeway Stopcock Berekor Hospitech biji 2 0 0 2
31 Wing Needle uk 21 Onemed biji 2 0 0 2
32 Needle 18 G Terumo biji 5 0 0 5
33 Hypafix Aximed biji 2 0 2 0
34 Ns 500 ml Widartra biji 2 0 0 2

Page 13
 APR
35 Spuit 50 CC Aximed biji 2 0 0 2
38 Barium Sulfat Kg 1000 0 400 600
39 Kondom Sutra Sutra Box 11 0 0 11
40 Masker N95 Onemed Buah 11 0 0 11
41 Electroda 3M Buah 44 0 0 44
42 Infus Set Makro Troge Buah 1 0 0 1
43 NS PB 100 ml Otsuka Botol 3 0 1 2
44 Abbocath 18G Terumo Buah 2 0 0 2
45 Aquasonic Gel Galon 1 0 0 1
46 Tissue Paseo (wajah) Paseo Buah 7 0 3 4
47 Kassa Hidrofil (2m x 80cm) Roll 9 0 2 7
48 Underpad Nicecare Lembar 10 0 0 10
49 Konix USG Gel Konix Galon 0 12 0 12
48 Spuit 20 CC Aximed Biji 2 0 0 2
49 Spuit 50 CC Aximed Biji 2 4 1 5
50 Sterilized Water For Injection Otsuka Buah 10 0 0 10
51 Threeway Stopcock Berekor Hospitech Biji 2 0 0 2
52 Tissue Paseo (wajah) Paseo Buah 4 10 3 11
53 Ultrasonic Gel Botol 0 0 0 0
54 Underpad Nicecare Lembar 10 0 0 10
55 USG Gel Onemed Botol 0 0 0 0
56 Wing Needle uk 21 Onemed Biji 2 1 1 2

Page 14
 MEI
Laporan Pemakaian Bahan Habis Pakai (BHP) Radiologi UPT. RSUD Bali Mandara
Bulan : Mei
Tahun : 2018

STOK STOK
NO NAMA BHP MERK BHP SATUAN NO. BATCH PENERIMAAN PEMAKAIAN KADALUARSA KET
AWAL AKHIR
1 2 3 4 5 9 10 11
1 Film X-Ray 35 x 43 cm Carestream box 5 0 0 16/10/2018 5
2 Film X-Ray 28 x 35 cm Carestream box 3 0 1 27/05/2019 2
3 Film X-Ray 20 x 25 cm Carestream box 6 0 2 4/6/2019 4
4 Film CT Scan DT 2B 14 x 17 in AGFA box 7 0 1 2018/12 6
5 Kertas film USG Hitam Putih Sony roll 17 0 7 10
6 Kertas film USG Berwarna Canon box 27 0 0 27
7 Kertas film Panoramic YC paper pak 5 0 0 5
8 Spuit Kaca 200 cc Janet buah 2 0 0 2
9 Tissue Paseo roll 90 0 10 80
BAHAN HABIS PAKAI LAINNYA
10 Abbocath 18G Terumo Buah 2 2 0 4
11 Abbocath 20 G Remedi Biji 2 0 0 2
12 Abbocath 22 G Remedi Biji 2 0 0 2
13 Alcohol Swab Onemed Box 2 1 1 2
14 Alkohol 70% PT. Adifarma Botol 2 1 1 2
15 Aquasonic Gel Galon 1 0 0 1
16 Aseptan Onemed Botol 5 4 3 6
17 Barium Sulfat Kg 1000 0 400 600
18 Disposable Saftety Box PT. Medibest Buah 2 0 0 2
19 Electroda 3M Buah 44 0 0 44
20 Folley Chateter 18 Aximed Biji 1 1 0 2
21 Handscoon uk L Aximed Box 2 2 1 3
22 Handscoon uk M Aximed Box 3 0 1 2
23 Handscoon uk S Aximed Box 2 6 4 4
24 Hansaplast plester coklat PT. Beiersdorf ind Buah 3 0 0 3
25 Hypafix Aximed Biji 0 2 0 2
26 Infus Set Makro Troge Buah 1 0 0 1
27 Iopamiro Botol 1 0 0 1
28 Iopamiro 370 (100 ml) Botol 0 1 0 1
29 Iopamiro 370 (50 ml) Botol 0 1 1 0
30 Kassa Hidrofil Roll 1 0 0 1
31 Kassa Hidrofil (2m x 80cm) Roll 7 0 0 7
32 Kondom Sutra Sutra Box 11 0 0 11
33 Konix USG Gel Konix Galon 12 0 0 12
34 Makro Infus Set Buah 0 2 0 2
35 Masker Aximed Box 3 7 4 6
36 Masker N95 Onemed Buah 11 0 2 9
37 My Jelly 5 gram Onemed Box 1 0 0 1
38 Needle 18 G Terumo Biji 5 10 1 14
39 Needle wing uk 19 G Buah 0 1 0 1
40 Nierbekken Disposable Onemed Buah 8 0 1 7
41 Ns 500 ml Widartra Biji 2 6 2 6

Page 15
 MEI
42 NS PB 100 ml Otsuka Botol 2 6 2 6
43 Plester Coklat Buah 3 0 1 2
44 Povidone Iodine Onemed Botol 2 0 0 2
45 Sabun Anti Bakteri Onemed Botol 5 0 0 5
46 Safety Box Buah 1 2 0 3
47 Spuit 10 ml Buah 0 2 0 2
48 Spuit 20 CC Aximed Biji 2 4 2 4
49 Spuit 50 CC Aximed Biji 2 4 1 5
50 Sterilized Water For Injection Otsuka Buah 10 0 0 10
51 Threeway Stopcock Berekor Hospitech Biji 2 0 0 2
52 Tissue Paseo (wajah) Paseo Buah 4 10 3 11
53 Ultrasonic Gel Botol 0 0 0 0
54 Underpad Nicecare Lembar 10 0 0 10
55 USG Gel Onemed Botol 0 0 0 0
56 Wing Needle uk 21 Onemed Biji 2 1 1 2

Page 16
 JUNI
Laporan Pemakaian Bahan Habis Pakai (BHP) Radiologi UPT. RSUD Bali Mandara
Bulan : Juni
Tahun : 2018

STOK STOK
NO NAMA BHP MERK BHP SATUAN NO. BATCH PENERIMAAN PEMAKAIAN KADALUARSA KET
AWAL AKHIR
1 2 3 4 5 9 10 11
1 Film X-Ray 35 x 43 cm Carestream box 5 20 0 16/10/2018 25
2 Film X-Ray 28 x 35 cm Carestream box 2 40 1 27/05/2019 41
3 Film X-Ray 20 x 25 cm Carestream box 4 25 1 4/6/2019 28
4 Film CT Scan DT 2B 14 x 17 in AGFA box 6 20 1 2018/12 25
5 Kertas film USG Hitam Putih Sony roll 10 200 7 203
6 Kertas film USG Berwarna Canon box 27 30 3 54
7 Kertas film Panoramic YC paper pak 5 3 0 8
8 Spuit Kaca 200 cc Janet buah 2 0 0 2
9 CD KEPING 0 1500 0 1500
10 Tissue Paseo roll 80 360 14 426
BAHAN HABIS PAKAI LAINNYA
11 Abbocath 18G Terumo Buah 4 6 3 7
12 Abbocath 20 G Remedi Biji 2 0 0 2
13 Abbocath 22 G Remedi Biji 2 0 0 2
14 Alcohol Swab Onemed Box 2 1 0 3
15 Alkohol 70% PT. Adifarma Botol 2 2 2 2
16 Aquasonic Gel Galon 1 0 0 1
17 Aseptan Onemed Botol 6 6 7 5
18 Barium Sulfat Kg 600 0 0 600
19 Disposable Saftety Box PT. Medibest Buah 3 0 0 3
20 Electroda 3M Buah 44 0 0 44
21 Folley Chateter 18 Aximed Biji 2 3 2 3
22 Handscoon uk L Aximed Box 3 0 1 2
23 Handscoon uk M Aximed Box 2 2 0 4
24 Handscoon uk S Aximed Box 4 0 1 3
25 Hansaplast plester coklat PT. Beiersdorf Buah 2 0 1 1
26 Hypafix Aximed Biji 2 0 0 2
27 Infus Set Makro Troge Buah 1 6 1 6
28 Iopamiro Botol 1 7 5 3
Page 17
 JUNI
29 Iopamiro 370 (100 ml) Botol 1 2 1 2
30 Iopamiro 370 (50 ml) Botol 0 17 8 9
31 Kassa Hidrofil Roll 1 0 0 1
32 Kassa Hidrofil (2m x 80cm) Roll 7 0 1 6
33 Kondom Sutra Sutra Box 11 0 0 11
34 Konix USG Gel Konix Galon 12 0 0 12
35 Masker Aximed Box 6 5 6 5
36 Masker N95 Onemed Buah 9 0 0 9
37 My Jelly 5 gram Onemed Box 1 0 0 1
38 Needle 18 G Terumo Biji 14 5 10 9
39 Needle wing uk 19 G Buah 1 0 0 1
40 Nierbekken Disposable Onemed Buah 7 0 0 7
41 Ns 500 ml Widartra Biji 6 1 1 6
42 NS PB 100 ml Otsuka Botol 6 7 7 6
43 Povidone Iodine Onemed Botol 2 0 0 2
44 Sabun Anti Bakteri Onemed Botol 5 0 1 4
45 Safety Box Buah 3 0 0 3
46 Spuit 10 ml Buah 2 8 4 6
47 Spuit 20 CC Aximed Biji 4 50 45 9
48 Spuit 50 CC Aximed Biji 5 2 2 5
49 Sterilized Water For Injection Otsuka Buah 10 0 0 10
50 Threeway Stopcock Berekor Hospitech Biji 2 6 3 5
51 Tissue Paseo (wajah) Paseo Buah 11 0 5 6
52 Ultrasonic Gel Botol 0 0 0 0
53 Underpad Nicecare Lembar 10 0 1 9
54 USG Gel Onemed Botol 0 0 0 0
55 Wing Needle uk 21 Onemed Biji 2 12 6 8
56 Folley Chateter 16 3 0 0 3

Page 18
 JUNI

Page 19
 JULI

pemakaian
JUNI JULI
35 x 43 cm 0 0
28 x 35 cm 1 2
20 x 25 cm 1 0
Film CT Scan 1 1
USG Hitam Putih 7 5
USG Berwarna 3 1
film Panoramic 0 0

pemakaian BHP
8
7
6
5
4
3
2
1
0
cm an h a ic
cm cm Sc
ti rn am
3 5 5 Pu a
x4 x3 x2 CT m rw n or
35 28 20 l m pemakaian ta Be JULI Pa
F i Hi JUNI S G m
G U fil
US

Page 20
 Laporan Pemakaian Bahan Habis Pakai (BHP)Agustus
Radiologi UPT. RSUD Bali Mandara
Bulan : Agustus
Tahun : 2018

STOK STOK
NO NAMA BHP MERK BHP SATUAN NO. BATCH PENERIMAAN PEMAKAIAN KADALUARSA KET
AWAL AKHIR

1 Film X-Ray 35 x 43 cm Carestream box 25 0 0 11/3/2019 25

2 Film X-Ray 28 x 35 cm Carestream box 39 0 3 11/3/2019 36
3 Film X-Ray 20 x 25 cm Carestream box 28 0 2 1/3/2020 26
4 Film CT Scan DT 2B 14 x 17 in AGFA box 24 0 1 Apr-19 23
5 Kertas film USG Hitam Putih Sony roll 198 0 5 193
6 Kertas film USG Berwarna Canon box 53 0 0 53
7 Kertas film Panoramic YC paper pak 8 0 0 8
8 Spuit Kaca 200 cc Janet buah 2 0 0 2
9 CD KEPING 1500 0 100 1400
10 Tissue Paseo roll 420 0 6 414
BAHAN HABIS PAKAI LAINNYA
11 Abbocath 18G Terumo Buah 7 0 1 6
12 Abbocath 20 G Remedi Biji 2 0 0 2
13 Abbocath 22 G Remedi Biji 2 0 0 2
14 Alcohol Swab Onemed Box 5 0 1 4
15 Alkohol 70% PT. Adifarma Botol 2 2 2 Apr-21 2
16 Aquasonic Gel Galon 1 0 0 1
17 Aseptan Onemed Botol 10 0 5 Aug-20 5
18 Barium Sulfat Kg 600 0 0 Aug-18 600
19 Disposable Saftety Box PT. Medibest Buah 3 0 0 3
20 Electroda 3M Buah 44 0 0 May-19 44
21 Folley Chateter 18 Aximed Biji 0 5 2 3/21/2022 3
22 Handscoon uk L Aximed Box 2 0 0 2
23 Handscoon uk M Aximed Box 2 0 0 2
24 Handscoon uk S Aximed Box 3 2 2 3
25 Hansaplast plester coklat PT. Beiersdorf Buah 1 0 0 1
26 Hypafix Aximed Biji 1 2 0 Feb-22 3
27 Infus Set Makro Troge Buah 6 0 1 Dec-21 5
28 Iopamiro 370(30 ML) Botol 4 4 3 Nov-21 5
29 Iopamiro 370 (100 ml) Botol 3 3 3 Apr-22 3
30 Iopamiro 370 (50 ml) Botol 8 8 10 Aug-22 6
31 Kassa Hidrofil Roll 1 1 1 1
32 Kassa Hidrofil (2m x 80cm) Roll 6 0 0 6
33 Kondom Sutra Sutra Box 11 0 0 Jun-22 11
34 Konix USG Gel Konix Galon 12 0 0 12
35 Masker Aximed Box 5 4 6 3
36 Masker N95 Onemed Buah 9 0 2 7
37 My Jelly 5 gram Onemed Box 1 0 0 Mar-20 1
38 Needle 18 G Terumo Biji 18 10 11 Sep-22 17
39 Needle wing uk 19 G Buah 1 0 0 Jan-20 1
40 Nierbekken Disposable Onemed Buah 6 0 0 6
41 Ns 500 ml Widartra Biji 4 6 1 Mar-22 9
42 NS PB 100 ml Otsuka Botol 5 5 3 Jan-21 7
43 Povidone Iodine Onemed Botol 2 0 1 Jun-20 1
44 Sabun Anti Bakteri Onemed Botol 6 0 0 Apr-20 6
45 Safety Box Buah 3 0 0 3
46 Spuit 10 ml Buah 11 5 4 May-21 12
47 Spuit 20 CC Aximed Biji 48 50 36 Mar-21 62
48 Spuit 50 CC Aximed Biji 8 20 8 Mar-21 20
49 Sterilized Water For Injection Otsuka Buah 9 0 1 5/31/2020 8
50 Threeway Stopcock Berekor Hospitech Biji 5 0 1 Jan-23 4
51 Tissue Paseo (wajah) Paseo Buah 19 0 4 15
52 Ultrasonic Gel Botol 0 0 0 0
53 Underpad Nicecare Lembar 9 0 1 8
54 USG Gel Onemed Botol 0 0 0 0
55 Wing Needle uk 21 Onemed Biji 9 10 9 Jul-20 10
56 Folley Chateter 16 Buah 1 5 3 7/29/2022 3
57 Syringe buah 10 0 1 Aug-22 9
58 Extention Tube Buah 5 0 1 Apr-21 4

Page 21
 BHP EXP
Laporan Pemakaian Bahan Habis Pakai (BHP) Radiologi UPT. RSUD Bali Mandara
Bulan : Agustus
Tahun : 2018

NO NAMA BHP MERK BHP SATUAN STOK KADALUARSA STOK KADALUARSA

1 Film X-Ray 35 x 43 cm Carestream box 5 16/10/2018 20 11/3/2019

2 Film X-Ray 28 x 35 cm Carestream box 0 27/05/2019 37 11/3/2019
3 Film X-Ray 20 x 25 cm Carestream box 1 4/6/2019 25 1/3/2020
4 Film CT Scan DT 2B 14 x 17 in AGFA box 3 Apr-19 20 May-19

Laporan Pemakaian Bahan Habis Pakai (BHP) Radiologi UPT. RSUD Bali Mandara
Bulan : Agustus
Tahun : 2018

NO NAMA BHP MERK BHP SATUAN STOK KADALUARSA STOK KADALUARSA

1 Film X-Ray 35 x 43 cm Carestream box 5 16/10/2018 20 11/3/2019

2 Film X-Ray 28 x 35 cm Carestream box 0 27/05/2019 37 11/3/2019
3 Film X-Ray 20 x 25 cm Carestream box 1 4/6/2019 25 1/3/2020
4 Film CT Scan DT 2B 14 x 17 in AGFA box 3 Apr-19 20 May-19

Page 22
BHP EXP

Page 23
 Laporan Pemakaian Bahan Habis Pakai (BHP)september
Radiologi UPT. RSUD Bali Mandara
Bulan : September
Tahun : 2018

STOK STOK
NO NAMA BHP MERK BHP SATUAN NO. BATCH PENERIMAAN PEMAKAIAN KADALUARSA KET
AWAL AKHIR

1 Film X-Ray 35 x 43 cm Carestream box 25 0 1 11/3/2019 24

2 Film X-Ray 28 x 35 cm Carestream box 36 0 3 11/3/2019 33
3 Film X-Ray 20 x 25 cm Carestream box 26 0 3 1/3/2020 23
4 Film CT Scan DT 2B 14 x 17 in AGFA box 23 0 1 Apr-19 22
5 Kertas film USG Hitam Putih Sony roll 193 0 10 183
6 Kertas film USG Berwarna Canon box 53 0 1 52
7 Kertas film Panoramic YC paper pak 20 0 1 19
8 Spuit Kaca 200 cc Janet buah 2 0 2 0
9 CD KEPING 1400 0 200 1200
10 Tissue Paseo roll 414 0 20 394
BAHAN HABIS PAKAI LAINNYA
11 Abbocath 18G Terumo Buah 6 8 7 7
12 Abbocath 20 G Remedi Biji 2 0 0 2
13 Abbocath 22 G Remedi Biji 2 2 1 3
14 Alcohol Swab Onemed Box 4 2 3 3
15 Alkohol 70% PT. Adifarma Botol 2 1 2 Apr-21 1
16 Aquasonic Gel Galon 1 0 0 1
17 Aseptan Onemed Botol 5 3 2 Aug-20 6
18 Barium Sulfat Kg 600 0 0 Aug-18 600
19 Disposable Saftety Box PT. Medibest Buah 3 0 0 3
20 Electroda 3M Buah 44 0 0 May-19 44
21 Folley Chateter 18 Aximed Biji 3 3 3 3/21/2022 3
22 Handscoon uk L Aximed Box 2 0 1 1
23 Handscoon uk M Aximed Box 2 0 2 0
24 Handscoon uk S Aximed Box 3 0 2 1
25 Hansaplast plester coklat PT. Beiersdorf Buah 1 0 1 0
26 Hypafix Aximed Biji 3 0 1 Feb-22 2
27 Infus Set Makro Troge Buah 5 6 5 Dec-21 6
28 Iopamiro 370(30 ML) Botol 5 9 14 Nov-21 0
29 Iopamiro 370 (100 ml) Botol 3 7 8 Apr-22 2
30 Iopamiro 370 (50 ml) Botol 6 10 13 Aug-22 3
31 Kassa Hidrofil Roll 1 0 1 0
32 Kassa Hidrofil (2m x 80cm) Roll 6 0 1 5
33 Kondom Sutra Sutra Box 11 0 0 Jun-22 11
34 Konix USG Gel Konix Galon 12 0 1 11
35 Masker Aximed Box 3 5 7 1
36 Masker N95 Onemed Buah 7 0 0 7
37 My Jelly 5 gram Onemed Box 1 0 0 Mar-20 1
38 Needle 18 G Terumo Biji 17 0 17 Sep-22 0
39 Needle wing uk 19 G Buah 1 0 0 Jan-20 1
40 Nierbekken Disposable Onemed Buah 6 0 2 4
41 Ns 500 ml Widartra Biji 9 0 2 Mar-22 7
42 NS PB 100 ml Otsuka Botol 7 7 13 Jan-21 1
43 Povidone Iodine Onemed Botol 1 0 0 Jun-20 1
44 Sabun Anti Bakteri Onemed Botol 6 0 1 Apr-20 5
45 Safety Box Buah 3 0 0 3
46 Spuit 10 ml Buah 12 0 8 May-21 4
47 Spuit 20 CC Aximed Biji 62 0 55 Mar-21 7
48 Spuit 50 CC Aximed Biji 20 0 8 Mar-21 12
49 Sterilized Water For Injection Otsuka Buah 8 0 0 5/31/2020 8
50 Threeway Stopcock Berekor Hospitech Biji 4 6 4 Jan-23 6
51 Tissue Paseo (wajah) Paseo Buah 15 0 4 11
52 Ultrasonic Gel Botol 0 0 0 0
53 Underpad Nicecare Lembar 8 0 0 8
54 USG Gel Onemed Botol 0 0 0 0
55 Wing Needle uk 21 Onemed Biji 10 8 12 Jul-20 6
56 Folley Chateter 16 Buah 3 4 3 7/29/2022 4
57 Syringe buah 9 0 5 Aug-22 4
58 Extention Tube Buah 4 3 5 Apr-21 2
september
 Laporan Pemakaian Bahan Habis Pakai (BHP) Radiologi UPT. RSUD Bali Mandara
Bulan : September
Tahun : 2018
STOK STOK
NO NAMA BHP MERK BHP SATUAN NO. BATCH PENERIMAAN PEMAKAIAN KADALUARSA KET
AWAL AKHIR

1 Film X-Ray 35 x 43 cm Carestream box 24 0 4 11/3/2019 20

2 Film X-Ray 28 x 35 cm Carestream box 33 0 0 11/3/2019 33
3 Film X-Ray 20 x 25 cm Carestream box 23 0 0 1/3/2020 23
4 Film CT Scan DT 2B 14 x 17 in AGFA box 22 0 1 Apr-19 21
5 Kertas film USG Hitam Putih Sony roll 183 0 12 171
6 Kertas film USG Berwarna Canon box 52 0 1 51
7 Kertas film Panoramic YC paper pak 19 0 2 17
8 Spuit Kaca 200 cc Janet buah 0 0 0 0
9 CD KEPING 1200 0 0 1200
10 Tissue Paseo roll 394 0 10 384
BAHAN HABIS PAKAI LAINNYA
11 Abbocath 18G Terumo Buah 7 0 3 4
12 Abbocath 20 G Remedi Biji 2 0 0 2
13 Abbocath 22 G Remedi Biji 3 0 0 3
14 Alcohol Swab Onemed Box 3 3 2 4
15 Alkohol 70% PT. Adifarma Botol 1 2 2 Apr-21 1
16 Aquasonic Gel Galon 1 0 1 0
17 Aseptan Onemed Botol 6 5 7 Aug-20 4
18 Barium Sulfat Kg 600 0 0 Aug-18 600
19 Electroda 3M Buah 44 0 0 May-19 44
20 Folley Chateter 18 Aximed Biji 3 8 6 3/21/2022 5
21 Handscoon uk L Aximed Box 2 1 0 3
22 Handscoon uk M Aximed Box 0 3 3 0
23 Handscoon uk S Aximed Box 1 1 1 1
24 Hansaplast plester coklat PT. Beiersdorf Buah 0 1 0 1
25 Hypafix Aximed Biji 2 0 0 Feb-22 2
26 Infus Set Makro Troge Buah 6 6 2 Dec-21 10
27 Iopamiro 370(30 ML) Botol 0 0 0 Nov-21 0
28 Iopamiro 370 (100 ml) Botol 2 7 6 Apr-22 3
29 Iopamiro 370 (50 ml) Botol 3 10 13 Aug-22 0
30 Kassa Hidrofil Roll 0 2 0 2
31 Kassa Hidrofil (2m x 80cm) Roll 6 0 2 4
32 Kondom Sutra Sutra Box 11 0 0 Jun-22 11
33 Konix USG Gel Konix Galon 11 0 0 11
34 Masker Aximed Box 1 11 9 3
35 Masker N95 Onemed Buah 7 0 0 7
36 My Jelly 5 gram Onemed Box 1 0 0 Mar-20 1
37 Needle 18 G Terumo Biji 0 30 13 Sep-22 17
38 Needle wing uk 19 G Buah 1 0 0 Jan-20 1
39 Nierbekken Disposable Onemed Buah 4 0 0 4
40 Ns 500 ml Widartra Biji 7 0 2 Mar-22 5
41 NS PB 100 ml Otsuka Botol 1 11 7 Jan-21 5
42 Povidone Iodine Onemed Botol 1 0 0 Jun-20 1
43 Sabun Anti Bakteri Onemed Botol 5 0 1 Apr-20 4
44 Safety Box Buah 3 0 1 2
45 Spuit 10 ml Buah 4 0 0 May-21 4
46 Spuit 20 CC Aximed Biji 7 100 60 Mar-21 47
47 Spuit 50 CC Aximed Biji 12 20 10 Mar-21 22
48 Sterilized Water For Injection Otsuka Buah 8 0 2 5/31/2020 6
49 Threeway Stopcock Berekor Hospitech Biji 6 0 2 Jan-23 4
50 Tissue Paseo (wajah) Paseo Buah 11 15 3 23
51 Ultrasonic Gel Botol 0 0 0 0
52 Underpad Nicecare Lembar 8 0 1 7
53 USG Gel Onemed Botol 0 0 0 0
54 Wing Needle uk 21 Onemed Biji 6 14 11 Jul-20 9
55 Folley Chateter 16 Buah 4 4 6 7/29/2022 2
56 Syringe buah 4 2 0 Aug-22 6
57 Extention Tube Buah 2 4 0 Apr-21 6
58 Scanlux (50 ml) Buah 0 15 8 7
 Laporan Pemakaian Bahan Habis Pakai (BHP) Radiologi UPT. RSUD Bali Mandara
Bulan : November
Tahun : 2018

STOK STOK
NO NAMA BHP MERK BHP SATUAN NO. PENERIMAAN PEMAKAIAN EXP KET
AWAL AKHIR
BATCH
1 Film X-Ray 35 x 43 cm Carestream box 20 0 1 11/3/2019 19
2 Film X-Ray 28 x 35 cm Carestream box 33 0 3 11/3/2019 30
3 Film X-Ray 20 x 25 cm Carestream box 23 0 0 1/3/2020 23
4 Film CT Scan DT 2B 14 x 17 in AGFA box 21 0 2 Apr-19 19 proses retur= 5box
5 Kertas film USG Hitam Putih Sony roll 171 0 8 163
6 Kertas film USG Berwarna Canon box 51 0 4 47
7 Kertas film Panoramic YC paper pak 17 0 1 16
8 Spuit Kaca 200 cc Janet buah 2 0 0 2
9 CD KEPING 1200 0 0 1200
10 Tissue Paseo roll 384 0 8 376
BAHAN HABIS PAKAI LAINNYA
11 Abbocath 18G Terumo Buah 4 7 3 8
12 Abbocath 20 G Remedi Biji 2 0 0 2
13 Abbocath 22 G Remedi Biji 3 1 0 4
14 Alcohol Swab Onemed Box 4 0 0 4
15 Alkohol 70% PT. Adifa Botol 1 2 2 Apr-21 1
16 Aquasonic Gel Galon 0 0 0 0
17 Aseptan Onemed Botol 4 2 4 Aug-20 2
18 Barium Sulfat Kg 600 0 0 Aug-18 600
19 Electroda 3M Buah 44 0 0 May-19 44
20 Folley Chateter 18 Aximed Biji 5 0 5 3/21/2022 0
21 Handscoon uk L Aximed Box 3 0 0 3
22 Handscoon uk M Aximed Box 0 3 3 0
23 Handscoon uk S Aximed Box 1 3 2 2
24 Hansaplast plester coklat PT. Beiers Buah 1 0 0 1
25 Hypafix Aximed Biji 2 0 0 Feb-22 2
26 Infus Set Makro Troge Buah 10 0 2 Dec-21 8
27 Iopamiro 370(30 ML) Botol 0 0 0 Nov-21 0
28 Iopamiro 370 (100 ml) Botol 3 3 4 Apr-22 2
29 Iopamiro 370 (50 ml) Botol 0 0 0 Aug-22 0
30 Kassa Hidrofil Roll 2 0 0 2
31 Kassa Hidrofil (2m x 80cm) Roll 4 0 0 4
32 Kondom Sutra Sutra Box 11 0 0 Jun-22 11
33 Konix USG Gel Konix Galon 11 0 0 11
34 Masker Aximed Box 3 10 8 5
35 Masker N95 Onemed Buah 7 0 0 7
36 My Jelly 5 gram Onemed Box 1 0 0 Mar-20 1
37 Needle 18 G Terumo Biji 17 20 16 Sep-22 21
38 Needle wing uk 19 G Buah 1 0 0 Jan-20 1
39 Nierbekken Disposable Onemed Buah 4 0 1 3
40 Ns 500 ml Widartra Biji 5 6 3 Mar-22 8
41 NS PB 100 ml Otsuka Botol 5 5 1 Jan-21 9
42 Povidone Iodine Onemed Botol 1 0 0 Jun-20 1
43 Sabun Anti Bakteri Onemed Botol 4 2 2 Apr-20 4
44 Safety Box Buah 2 0 0 2
45 Spuit 10 ml Buah 4 0 0 May-21 4
46 Spuit 20 CC Aximed Biji 47 0 45 Mar-21 2
47 Spuit 50 CC Aximed Biji 22 0 12 Mar-21 10
48 Sterilized Water For Injection Otsuka Buah 6 0 1 5/31/2020 5
49 Threeway Stopcock Berekor Hospitech Biji 4 11 2 Jan-23 13
50 Tissue Paseo (wajah) Paseo Buah 23 0 1 22
51 Ultrasonic Gel Botol 0 0 0 0
52 Underpad Nicecare Lembar 7 0 3 4
53 USG Gel Onemed Botol 0 0 0 0
54 Wing Needle uk 21 Onemed Biji 9 9 11 Jul-20 7
55 Folley Chateter 16 Buah 2 0 1 7/29/2022 1
56 Syringe buah 6 0 0 Aug-22 6
57 Extention Tube Buah 6 0 1 Apr-21 5
58 Scanlux (50 ml) Buah 7 18 19 6
 Laporan Pemakaian Bahan Habis Pakai (BHP) Radiologi UPT. RSUD Bali Mandara
Bulan : Desember
Tahun : 2018

STOK STOK
NO NAMA BHP MERK BHP SATUAN NO. PENERIMAAN PEMAKAIAN EXP KET
AWAL AKHIR
BATCH
1 Film X-Ray 35 x 43 cm Carestream box 19 0 0 11/3/2019 19
2 Film X-Ray 28 x 35 cm Carestream box 30 0 3 11/3/2019 27
3 Film X-Ray 20 x 25 cm Carestream box 23 0 1 1/3/2020 22
4 Film CT Scan DT 2B 14 x 17 in AGFA box 19 0 1 Apr-19 18
5 Kertas film USG Hitam Putih Sony roll 163 0 6 157
6 Kertas film USG Berwarna Canon box 47 0 1 46
7 Kertas film Panoramic YC paper pak 16 0 1 15
8 Spuit Kaca 200 cc Janet buah 2 0 0 2
9 CD KEPING 1200 0 0 1200
10 Tissue Paseo roll 376 0 8 368
BAHAN HABIS PAKAI LAINNYA
11 Abbocath 18G Terumo Buah 8 0 4 4
12 Abbocath 20 G Remedi Biji 2 0 0 2
13 Abbocath 22 G Remedi Biji 4 0 0 4
14 Alcohol Swab Onemed Box 4 0 0 4
15 Alkohol 70% PT. Adifarma Botol 1 5 1 Apr-21 5
16 Aquasonic Gel Galon 0 0 0 0
17 Aseptan Onemed Botol 2 5 2 Aug-20 5
18 Barium Sulfat Kg 600 0 0 Aug-18 600
19 Electroda 3M Buah 44 0 0 May-19 44
20 Folley Chateter 18 Aximed Biji 0 5 1 3/21/2022 4
21 Handscoon uk L Aximed Box 3 0 0 3
22 Handscoon uk M Aximed Box 0 0 2 1
23 Handscoon uk S Aximed Box 2 2 2 2
24 Hansaplast plester coklat PT. Beiersdorf ind Buah 1 0 0 1
25 Hypafix Aximed Biji 2 0 0 Feb-22 2
26 Infus Set Makro Troge Buah 8 0 0 Dec-21 8
27 Iopamiro 370(30 ML) Botol 0 0 0 Nov-21 0
28 Iopamiro 370 (100 ml) Botol 2 5 3 Apr-22 4
29 Iopamiro 370 (50 ml) Botol 0 0 0 Aug-22 0
30 Kassa Hidrofil Roll 2 0 1 1
31 Kassa Hidrofil (2m x 80cm) Roll 4 0 0 4
32 Kondom Sutra Sutra Box 11 0 0 11
33 Konix USG Gel Konix Galon 11 0 0 11
34 Masker Aximed Box 5 6 6 5
35 Masker N95 Onemed Buah 7 0 0 7
36 My Jelly 5 gram Onemed Box 1 0 0 Mar-20 1
37 Needle 18 G Terumo Biji 21 10 13 Sep-22 18
38 Needle wing uk 19 G Buah 1 0 0 Jan-20 1
39 Nierbekken Disposable Onemed Buah 3 0 1 2
40 Ns 500 ml Widartra Biji 8 0 0 Mar-22 8
41 NS PB 100 ml Otsuka Botol 9 0 3 Jan-21 6
42 Povidone Iodine Onemed Botol 1 0 0 Jun-20 1
43 Sabun Anti Bakteri Onemed Botol 4 0 2 Apr-20 2
44 Safety Box Buah 2 0 0 2
45 Spuit 10 ml Buah 4 2 4 May-21 2
46 Spuit 20 CC Aximed Biji 2 100 46 Mar-21 56
47 Spuit 50 CC Aximed Biji 10 30 5 Mar-21 35
48 Sterilized Water For Injection Otsuka Buah 5 0 0 5/31/2020 5
49 Threeway Stopcock Berekor Hospitech Biji 13 0 0 Jan-23 13
50 Tissue Paseo (wajah) Paseo Buah 22 0 0 22
51 Ultrasonic Gel Botol 0 0 0 0
52 Underpad Nicecare Lembar 4 0 0 4
53 USG Gel Onemed Botol 0 0 0 0
54 Wing Needle uk 21 Onemed Biji 7 14 7 Jul-20 14
55 Folley Chateter 16 Buah 1 4 3 7/29/2022 2
56 Syringe buah 6 0 0 Aug-22 6
57 Extention Tube Buah 5 2 0 Apr-21 7
58 Scanlux (50 ml) Buah 6 18 15 9
 Laporan Pemakaian Bahan Habis Pakai (BHP) Radiologi UPT. RSUD Bali Mandara
Bulan : Januari
Tahun : 2019

STOK STOK
NO NAMA BHP MERK BHP SATUAN NO. PENERIMAAN PEMAKAIAN EXP KET
AWAL AKHIR
BATCH
1 Film X-Ray 35 x 43 cm Carestream box 19 0 1 11/3/2019 18
2 Film X-Ray 28 x 35 cm Carestream box 27 0 3 11/3/2019 24
3 Film X-Ray 20 x 25 cm Carestream box 22 0 2 1/3/2020 20
4 Film CT Scan DT 2B 14 x 17 in AGFA box 18 0 2 Apr-19 16
5 Kertas film USG Hitam Putih Sony roll 157 0 6 151
6 Kertas film USG Berwarna Canon box 46 0 2 44
7 Kertas film Panoramic YC paper pak 15 0 1 14
8 Spuit Kaca 200 cc Janet buah 2 0 0 2
9 CD KEPING 1200 0 200 1000
10 Tissue Paseo roll 368 0 8 360
BAHAN HABIS PAKAI LAINNYA
11 Abbocath 18G Terumo Buah 4 0 1 3
12 Abbocath 20 G Remedi Biji 2 0 0 2
13 Abbocath 22 G Remedi Biji 4 0 1 3
14 Alcohol Swab Onemed Box 4 0 1 3
15 Alkohol 70% PT. Adifarma Botol 5 0 3 Apr-21 2
16 Aquasonic Gel Galon 0 0 0 0
17 Aseptan Onemed Botol 5 8 6 Aug-20 7
18 Barium Sulfat Kg 600 0 0 Aug-18 600
19 Electroda 3M Buah 44 0 0 May-19 44
20 Folley Chateter 18 Aximed Biji 4 0 1 3/21/2022 3
21 Handscoon uk L Aximed Box 3 1 1 3
22 Handscoon uk M Aximed Box 1 3 2 2
23 Handscoon uk S Aximed Box 2 3 1 4
24 Hansaplast plester coklat PT. Beiersdor Buah 1 0 0 1
25 Hypafix Aximed Biji 2 0 0 Feb-22 2
26 Infus Set Makro Troge Buah 8 0 1 Dec-21 7
27 Iopamiro 370(30 ML) Botol 0 10 5 Nov-21 5
28 Iopamiro 370 (100 ml) Botol 4 3 6 Apr-22 1
29 Iopamiro 370 (50 ml) Botol 0 6 2 Aug-22 4
30 Kassa Hidrofil Roll 1 0 1 0
31 Kassa Hidrofil (2m x 80cm) Roll 4 0 0 4
32 Kondom Sutra Sutra Box 11 0 0 11
33 Konix USG Gel Konix Galon 11 0 1 10
34 Masker Aximed Box 5 10 7 8
35 Masker N95 Onemed Buah 7 0 0 7
36 My Jelly 5 gram Onemed Box 1 0 0 Mar-20 1
37 Needle 18 G Terumo Biji 18 0 4 Sep-22 14
38 Needle wing uk 19 G Buah 1 0 0 Jan-20 1
39 Nierbekken Disposable Onemed Buah 2 0 0 2
40 Ns 500 ml Widartra Biji 8 3 1 Mar-22 10
41 NS PB 100 ml Otsuka Botol 6 3 5 Jan-21 4
42 Povidone Iodine Onemed Botol 1 0 0 Jun-20 1
43 Sabun Anti Bakteri Onemed Botol 2 2 0 Apr-20 4
44 Safety Box Buah 2 0 0 2
45 Spuit 10 ml Buah 2 0 1 May-21 1
46 Spuit 20 CC Aximed Biji 56 50 50 Mar-21 56
47 Spuit 50 CC Aximed Biji 35 0 4 Mar-21 31
48 Sterilized Water For Injection Otsuka Buah 5 0 0 5/31/2020 5
49 Threeway Stopcock Berekor Hospitech Biji 13 0 1 Jan-23 12
50 Tissue Paseo (wajah) Paseo Buah 22 0 2 20
51 Ultrasonic Gel Botol 0 0 0 0
52 Underpad Nicecare Lembar 4 0 0 4
53 USG Gel Onemed Botol 0 0 0 0
54 Wing Needle uk 21 Onemed Biji 14 5 10 Jul-20 9
55 Folley Chateter 16 Buah 2 3 2 7/29/2022 3
56 Syringe buah 6 0 1 Aug-22 5
57 Extention Tube Buah 7 0 0 Apr-21 7
58 Scanlux (50 ml) Buah 9 16 13 12
59 Scanlux (100 ml) Buah 0 3 0 3
60 KAPAS Buah 0 1 0 1
61 Folly Chat 6 Buah 0 2 0 2
62 folly chat 8 Buah 0 2 0 2
 Laporan Pemakaian Bahan Habis Pakai (BHP) Radiologi UPT. RSUD Bali Mandara
Bulan : Februari
Tahun : 2019

STOK STOK
NO NAMA BHP MERK BHP SATUAN NO. PENERIMAANPEMAKAIAN EXP KET
AWAL AKHIR
BATCH
1 Film X-Ray 35 x 43 cm Carestream box 18 0 1 11/3/2019 17
2 Film X-Ray 28 x 35 cm Carestream box 24 0 2 11/3/2019 22
3 Film X-Ray 20 x 25 cm Carestream box 20 0 1 1/3/2020 19
4 Film CT Scan DT 2B 14 x 17AGFA box 16 0 2 Apr-19 14
5 Kertas film USG Hitam Puti Sony roll 151 0 4 147
6 Kertas film USG Berwarna Canon box 44 0 0 44
7 Kertas film Panoramic YC paper pak 14 0 2 12
8 Spuit Kaca 200 cc Janet buah 2 0 0 2
9 CD KEPING 1000 0 0 1000
10 Tissue Paseo roll 360 0 21 339
BAHAN HABIS PAKAI LAINNYA
11 Abbocath 18G Terumo Buah 3 10 5 8
12 Abbocath 20 G Remedi Biji 2 8 6 4
13 Abbocath 22 G Remedi Biji 3 5 2 6
14 Alcohol Swab Onemed Box 3 0 0 3
15 Alkohol 70% PT. Adifarma Botol 2 0 0 Apr-21 2
16 Aquasonic Gel Galon 0 0 0 0
17 Aseptan Onemed Botol 7 0 3 Aug-20 4
18 Barium Sulfat Kg 600 0 0 Aug-18 600
19 Electroda 3M Buah 44 0 0 May-19 44
20 Folley Chateter 18 Aximed Biji 3 0 3 3/21/2022 0
21 Handscoon uk L Aximed Box 3 0 1 2
22 Handscoon uk M Aximed Box 2 4 1 5
23 Handscoon uk S Aximed Box 4 0 4 0
24 Hansaplast plester coklat PT. Beiersdorf Buah 1 0 0 1
25 Hypafix Aximed Biji 2 2 2 Feb-22 2
26 Infus Set Makro Troge Buah 7 0 4 Dec-21 3
27 Iopamiro 370(30 ML) Botol 5 0 0 Nov-21 5
28 Iopamiro 370 (100 ml) Botol 1 10 4 Apr-22 7
29 Iopamiro 370 (50 ml) Botol 4 0 0 Aug-22 4
30 Kassa Hidrofil Roll 0 0 0 0
31 Kassa Hidrofil (2m x 80cm) Roll 4 0 0 4
32 Kondom Sutra Sutra Box 11 0 0 11
33 Konix USG Gel Konix Galon 10 0 0 10
34 Masker Aximed Box 8 6 10 4
35 Masker N95 Onemed Buah 7 0 0 7
36 My Jelly 5 gram Onemed Box 1 0 0 Mar-20 1
37 Needle 18 G Terumo Biji 14 0 8 Sep-22 6
38 Needle wing uk 19 G Buah 1 0 0 Jan-20 1
39 Nierbekken Disposable Onemed Buah 2 0 1 1
40 Ns 500 ml Widartra Biji 10 0 8 Mar-22 2
41 NS PB 100 ml Otsuka Botol 4 0 4 Jan-21 0
42 Povidone Iodine Onemed Botol 1 0 0 Jun-20 1
43 Sabun Anti Bakteri Onemed Botol 4 4 5 Apr-20 3
44 Safety Box Buah 2 0 2 0
45 Spuit 10 ml Buah 1 0 0 May-21 1
46 Spuit 20 CC Aximed Biji 56 50 44 Mar-21 62
47 Spuit 50 CC Aximed Biji 31 0 6 Mar-21 25
48 Sterilized Water For Injecti Otsuka Buah 5 0 1 5/31/2020 4
49 Threeway Stopcock Bereko Hospitech Biji 12 0 4 Jan-23 8
50 Tissue Paseo (wajah) Paseo Buah 20 20 13 27
51 Ultrasonic Gel Botol 0 0 0 0
52 Underpad Nicecare Lembar 4 0 1 3
53 USG Gel Onemed Botol 0 0 0 0
54 Wing Needle uk 21 Onemed Biji 9 10 16 Jul-20 3
55 Folley Chateter 16 Buah 3 0 3 7/29/2022 0
56 Syringe buah 5 4 7 Aug-22 2
57 Extention Tube Buah 7 0 5 Apr-21 2
58 Scanlux (50 ml) Buah 12 10 18 4
59 Scanlux (100 ml) Buah 3 5 8 0
60 KAPAS Buah 1 0 0 1
61 Folly Chat 6 Buah 2 0 0 2
62 folly chat 8 Buah 2 2 0 4
63 Handscoon Steril Buah 0 6 0 6
 Laporan Pemakaian Bahan Habis Pakai (BHP) Radiologi UPT. RSUD Bali Mandara
Bulan : Maret
Tahun : 2019

STOK
STOK
NO NAMA BHP MERK BHP SATUAN NO. PENERIMAANPEMAKAIAN EXP KET
AKHIR
AWAL
BATCH
1 Film X-Ray 35 x 43 cm Carestream box 17 0 2 11/3/2019 4
0 2/22/2020 7
0 7/1/2020 4
2 Film X-Ray 28 x 35 cm Carestream box 22 0 3 8/1/2019 0
11/3/2019 19
3 Film X-Ray 20 x 25 cm Carestream box 19 0 2 1/3/2020 9
1/23/2020 8
4 Film CT Scan DT 2B 14 x 17 in AGFA box 14 0 2 Mei 2019 5
Sep-19 7
5 Kertas film USG Hitam Putih Sony roll 147 0 8 139
6 Kertas film USG Berwarna Canon box 44 0 0 44
7 Kertas film Panoramic YC paper pak 12 0 0 12
8 Spuit Kaca 200 cc Janet buah 2 0 0 2
9 CD KEPING 1000 0 0 1000
10 Tissue Paseo roll 339 0 10 329
BAHAN HABIS PAKAI LAINNYA
11 Abbocath 18G Terumo Buah 8 5 5 8
12 Abbocath 20 G Terumo buah 4 10 10 4
13 Abbocath 22 G Terumo Biji 6 0 0 6
14 Alcohol Swab Onemed Box 3 0 1 2
15 Alkohol 70% PT. Adifarma Botol 2 0 0 Apr-21 2
16 Aquasonic Gel Galon 0 0 0 0
17 Aseptan Onemed Botol 4 8 5 Aug-20 7
18 Barium Sulfat Kg 600 Aug-18 expired
19 Electroda 3M Buah 44 0 0 May-19 44
20 Folley Chateter 18 Aximed Biji 0 5 1 3/21/2022 4
21 Handscoon uk L Aximed Box 2 0 1 1
22 Handscoon uk M Aximed Box 5 0 1 4
23 Handscoon uk S Aximed Box 0 5 3 2
24 Hansaplast plester coklat PT. Beiersdorf Buah 1 0 0 1
25 Hypafix Aximed Biji 2 0 0 Feb-22 2
26 Infus Set Makro Troge Buah 3 15 10 Dec-21 8
27 Iopamiro 370(30 ML) Botol 5 0 1 Nov-21 4
28 Iopamiro 370 (100 ml) Botol 7 0 2 Apr-22 5
29 Iopamiro 370 (50 ml) Botol 4 0 0 Aug-22 4
30 Kassa Hidrofil Roll 0 0 0 0
31 Kassa Hidrofil (2m x 80cm) Roll 4 0 0 4
32 Kondom Sutra Sutra Box 11 0 0 11
33 Konix USG Gel Konix Galon 10 0 0 10
34 Masker Aximed Box 4 7 7 4
35 Masker N95 Onemed Buah 7 0 0 7
36 My Jelly 5 gram Onemed Box 1 0 0 Mar-20 1
37 Needle 18 G Terumo Biji 6 0 5 Sep-22 1
38 Needle wing uk 19 G Buah 1 0 0 Jan-20 1
39 Nierbekken Disposable Onemed Buah 1 10 2 9
40 Ns 500 ml Widartra Biji 2 5 2 Mar-22 5
41 NS PB 100 ml Otsuka Botol 0 15 8 Jan-21 7
42 Povidone Iodine Onemed Botol 1 0 0 Jun-20 1
43 Sabun Anti Bakteri Onemed Botol 3 3 2 Apr-20 4
44 Safety Box Buah 0 2 0 2
45 Spuit 10 ml Buah 1 15 6 May-21 10
46 Spuit 20 CC Aximed Biji 62 0 19 Mar-21 43
47 Spuit 50 CC Aximed Biji 25 0 5 Mar-21 20
48 Sterilized Water For Injection Otsuka Buah 4 0 2 5/31/2020 2
49 Threeway Stopcock Berekor Hospitech Biji 8 8 10 Jan-23 6
50 Tissue Paseo (wajah) Paseo Buah 27 0 4 23
51 Ultrasonic Gel Botol 0 0 0 0
52 Underpad Nicecare Lembar 3 0 1 2
53 USG Gel Onemed Botol 0 0 0 0
54 Wing Needle uk 21 Onemed Biji 3 10 2 Jul-20 11
55 Folley Chateter 16 Buah 0 5 3 7/29/2022 2
56 Syringe buah 2 10 9 Aug-22 3
57 Extention Tube Buah 2 9 9 Apr-21 2
58 Scanlux (50 ml) Buah 4 10 8 6
59 Scanlux (100 ml) Buah 0 15 11 4
60 KAPAS Buah 1 0 0 1
61 Folly Chat 6 Buah 2 3 2 3
62 folly chat 8 Buah 4 0 2 2
63 Handscoon Steril Buah 6 0 0 6
64 Spuit 1cc buah 2 0 0 2
65 Spuit 3cc buah 5 0 0 3
66 Spuit 5cc buah 1 15 5 11