Kib BPK Dinkes - Edit

KARTU
B.
NO. KODE
: 12 07 05 07 03 2015
LOKASI
SKPD
: DINAS KESEHATAN KOTA PALEMBANG.
BADAN LAYANAN UMUM DAERAH PUSKESMAS
No. Nomor Ukuran /

Kode Barang Nama Barang / Jenis Barang Merk / Type Bahan
Urut Register CC
1 2 3 4 5 6 7
1 Pembuatan rak gudang 1 unit
2 Stabilizer
Stabilizer 1
Stabilizer 1
Stabilizer 1000VA Red analog 1
Stabilizer svc 3000VA 1
Stabilizer svc 500VA RED 1
Stabilizier MinamotoSM 2000 1
Stavol Sentra 10.000 W 1 Unit
3 Tabung Pemadam Kebakaran

APAR 2
APAR 2
APAR 1 Unit
4 Televisi
TV 43 Inch 1
TV Sony 40'' 1
LCD TV Sharp 1
TV LED 42 inci Sony 2
TV LG 43 inch 1
TV samsung 55 inch 1
Samsung TV 1
Led TV Sony 55" W 80B 1
TV Samsung 48 inch 1
TV LED LG 32LF630T 1
TV LCD 2
TV LED 32 " 1
TV LED 40 " 1
TV 40" 1 bh Aquos 1
SHARP LED TV 32" 1
Samsung LED TV 40' 1
TV LCD 1
TV 32 inch 1
tv 42 inci 1
tv32 inci 1
TV LED Samsung 32 " 1
LED TV4 2 " KDL-40R35OC 1
Tv 43 inci 1
LED TV Samsung 43 " 1
TV Merk Sharp 40 inci 1
TV LCD SHARP 40 INCI 1
Page 1 of 151
No. Nomor Ukuran /
Urut Register CC
1 2 3 4 5 6 7
TV LED KDL - 40R350B 1
TV LCD 1
tv panasonic 1
TV Sharp LED 32' 1
TV 32' Sharp LED Aquous 1
Televisi Panasonic 32" 1
Televisi LED Toshiba 50" 1
Televisi 39"
Televisi 39
Home theatre Panasonic 1
Home Theater 1
5 VCD/DVD
DVD Mini Hi-Fi LG 1 bh
6 Air Conditioner
AC Panasonic 1 PK 1
AC Panasonic 1,5 Pk 1
AC Panasonic 1/2 PK 1
ACPanasonic 1PK 1
AC Split 3
AC Panasonic 1 PK 1
AC Panasonic 2 PK 2
AC Panasonic ¾ 1
AC Sharp ¾ Split 1
AC Panasonic ¾ Split 1
AC 1
AC 0,5 PK 4
AC 1 PK 1
AC 1
AC Panasonic KN 09 RKJ 6
AC Panasonic 1 PK 1
AC Panasonic I PK 2
AC Panasonic 1 PK 1
AC Sharp 2 PK 1
AC spilit 1/2 pk Sharp 1
AC split Panasonic 1/2 pk CS-UV5RKP 1
AC split Panasonic 1 pk CS-UV9RKP 1
AC Panasonic 1,5 PK 1
AC Split Panasonik CS-KN5RKJ 1
AC Split Panasonik CS-KN7RKJ 1 Unit
Page 2 of 151
No. Nomor Ukuran /
Urut Register CC
1 2 3 4 5 6 7
Sharp AC Split 1 PK 1 Unit
AC Sharp AH-AP7RHL 3/4 PK 2 Unit
AC Sharp AH-AP9SHL 1 PK 3 Unit
AC 1 Buah
AC 1 Buah
AC 1 Buah
AC 1 Buah
AC split 1PK Standar merk Panasonic type
Yn.09.RKJ 2 Unit
AC split 1/2 PK Standar merk Panasonic Type
Yn.05.RKJ 1 Unit
AC 0,5 PK OO1
AC 3,4PK OO1
AC 1 PK 001-004
LG AVC SPLIT 3/4 1
LG AC SPLIT 1/2 PK 1
AC LG 1 pk 1
AC LG 1/2 PK 1
AC Panasonic 1 pk 1
AC 3
AC Samsung 3 bh
ac 2
AC SHARP AHA 9 SEY 2
Yn.09.RKJ 2 Unit
Yn.05.RKJ 1 Unit
ac sharp 1/2 pk 1 unit
sharp ac split 1 pk type AH-AP9SSY) 1 unit
AC merk Sharp 1 PK 1 Unit
AC Sharp 5
AC 1 PK Panasonic 1 buah
AC 1 PK Elektrulux 1 buah
AC Sharp 3/4 PK 1 Unit
AC Split Daikin 2 PK 1 Unit
ac 1/2 pk panasonic 1 buah
AC 1 PK Panasonic 2
AC 1 PK Panasonic 5
AC 3/4 PK Panasonic 1
Page 3 of 151
No. Nomor Ukuran /
Urut Register CC
1 2 3 4 5 6 7
AC 1 PK Panasonic 2
AC 1 PK Panasonic 1
Sharp AC 1/2 PK Ah A 5 sey 1 Unit
Sharp AC 1 PK Ah A 9 Sey 1 Unit
Air Conditioner 1
Air Conditioner 1
AC merk Sharp 1 Unit
AC 2 Unit
Acmerk sharp 1,5 pk I unit
AC merk Changhong 3 bh
AC merk LG E 09NXA 1 PK 1 bh
AC + Perangkat + Pasang 1
7 Wireless (TOA) 1
Wirelees Yamada 1
8 Kipas Angin
Kipas angin Pansonic 1
Kipas angin Pansonic 1
Kipas Angin 20 inch 1
Kipas Angin Industrial Double Fan 16 Inch 2
Kipas Angin Uap Humidifier Blk 2,3 L LB-FS-50 1

kipas angin maspion 1
Kipas Angin 1 bh
Kipas Angin Floor Fan 1 bh
Kipas Angin Double Fan ACE 2
Kipas Angin 2
Kipas Angin 1
Kipas Angin Tegak
Kipas Angin Tegak + Unit Pesawat Telepon
Kipas Angin 2 Buah
kipas blower 7
Kipas Angin
9 exhauspan 2
10 Pompa Air
Pompa Air Shimizu 1 Unit
11 Mesin Genset
Mesin Genset 1 Unit
Mesin Genset 1 unit
Mesin Genset 1
Mesin Genset 1 buah
Mesin Genset 1
Page 4 of 151
No. Nomor Ukuran /
Urut Register CC
1 2 3 4 5 6 7
Mesin Genset 1
12 Lemari
Lemari Arsip Lion type L 33 A 1 unit 1 unit
Lemari kaca apotik dan Papan Tulis Profil
Puskesmas 1 set
Lemari sliding kaca 1
Almari fronline FC-06 1
Lemari Partisi 4
Lemari Kaca Hitam Besar 4
Lemari Kaca Sedang 2
Lemari Kaca Kecil 1
Lemari Gantung 1
Lemari Piring 1
Lemari Arsip Tinggi Pintu Kupu - kupu High
Point 2
Lemari Arsip Sedang Pintu Sliding High Point 2

Lemari Arsip Rendah Pintu Kupu - kupu High
Point 2
Lemari Filling Cab 4 Shelves 1
Lemari File Cabinet 2 Up 1 Down 1
Lemari Kaca Pintu Geser 1
Lemari Ruang Gilingan Mas 1
Lemari Arsip Kokobi 2
Lemari Arsip Kokubi 5
Lemari Lion Type L33 AK 1
Lemari Yunika Tipe C165 2
Lemari Pendek C23H 1
Lemari Tinggi Uno Classic Type Ust.
1530C/Beech 1
Lemari Loker 1
Lemari Prospek 1/2 Kaca 1
Slinding Door CA 1
Lemari Piala 1
Lemari Obat 4 Pintu CA 1
Lemari Krisbow 2
Lemari perpustakaan 1
lemari uk p.220.L 40. T 226 (3,500,000) 1
lemari uk P 150.L 40. T 180(2,200,000) 1
Lemari uk P 100.l40.T180 (1,650,000) 1
Lemari uk P80.L.40.T.150(1.050.000) 1
Lemari KIA 1
Lemari arsip tinggi ST 437 2
Lemari arsip hight + low 1
Lemari Besi/Metal 2
Lemari Arsip Kaca 1 bh
Lemari Ichiban OO1
Page 5 of 151
No. Nomor Ukuran /
Urut Register CC
1 2 3 4 5 6 7
Lemari Sliding Kaca
Lemari Arsip Lion L33AK 1 buah
Lemari Arsip Lion L33 2 buah
Lemari Arsip 1 buah
Lemari Arsip 1 buah
Lemari Arsip 1 buah
Lemari Arsip Optima 1 buah
Lemari Arsip Zonzure 1 buah
Lemari Besi 1
Lemari Serba Guna Type B-901 2 Unit
Lemari,TV, ARSD 511 1
Lemari Apotek 1 bh
Lemari Obat 1
Lemari Kaca OO1
Lemari Obat aluminium model piano kombinasi

keramik orange ukuran 160X160X45 cm 2 Buah
Lemari buku MTB-3183 1 Buah
Lemari arsip 30 kotak (Locker kartu rekam
medik) 1 Set
Lemari File stopmap Pasien 1 set
LEMARI SLIDING DOOR 1 BUAH
Lemari Etalase Kaca 4 Pintu
Lemari Arsip 2 unit
Lemari 1 buah
Lemari 2
Lemari 1 buah
13 Brankas
Brankas Ichiban H5 40TA 1
Brankas Fire Box 1
Brankas 1 bh
Brankas Fire Safe Box 1
Brankas 1
Filling Cabinet
Filling Cabinet 4 laci 2
File Cabinet 2
Filling Cabinet 2 Shelves Up/Down Glass
Beige 2
File Cabinet Blue 1
Page 6 of 151
No. Nomor Ukuran /
Urut Register CC
1 2 3 4 5 6 7
File Cabinet Swing Blue 2
Filing Cabinet High White 2
Glass filing cabinet high white 1
Filling Cabinet Sliding 180X90X39 cm dan 1
Filling Cabinet 2 Shelves up/down glass 1
Pembelian Filling Kabinet 2
Filling kabinet Hight White 1
File Cabinet 180x115x39 Blue 2
File Cabinet 2 Up Down 1800 x 900 1
14 Loker
Locker 18 Doors 1 set
Loker Door White Green 1 buah
Loker 1 Unit
Loker 3 pintu 1
Loker 6 Tingkat tanpa pintu 1
Locker Lion L 556 1 buah
Locker 9 DRS White- Green (P1/2) 1 Unit
15 Papan Nama
Papan Nama Acrylic 1 set
Papan Akrilik Grafik PWS - Program 1
Papan Nama 2 Muka 1 bh
papan DUK 1 buah
Papan Akrilik PWS - Gizi 1
Papan Tulis 1 bh
Pembuatan Logo Puskesmas 1 set
Pengadaan Papan 1 set
Papan Nama DUK 1
Page 7 of 151
No. Nomor Ukuran /
Urut Register CC
1 2 3 4 5 6 7
Papan Nama puskesmas 1 set
Papan Acrilyc , bunner
Frame Akrilik 1
Papan Nama Puskesmas 1
Papan Nama 1
16 Partisi
1 Buah Partisi + 4 Buah Kursi
1 Set Partisi dan 1 lemari kaca 1 set
Partisi MTBS 1
Partisi ruang shalat 1
Partisi klinik laktasi 1
Partisi lemari meja kantor loket & Pojok Asi 1
17 Terali
Teralis Pintu 3 Pintu
Teralis 1 Set
Terali kompresor AC 3 Buah
pembuatan Auning Puskesmas/dan teralis
besi I unit
Trali Jendela
Teralis Tutup Selokan
Teralis Penutup selokan
Teralis Penutup Selokan
Terali Jendela Pintu 1 SET
18 Komputer
Komputer 1 set
Komputer 4 unit
Komputer Lenovo AIO C260 1
Komputer PC ACER 1
Komputer PC Lenovo H30-00-J1800 WIN 1
1
Komputer PC ACER ATC605 1
PC Lenovo ATO C260 3
Komputer merk lenovo 1
Komputer merk Lenovo 2
Komputer Merek HP 1
Komputer Asus K31AD-Bing 2
komputer pc lenovo a10 c260 2
komputer lenovo c series 6
Komputer merk Lenovo AIO C 2000 2
Page 8 of 151
No. Nomor Ukuran /
Urut Register CC
1 2 3 4 5 6 7
Komputer PC Lenovo H30-00-11D, J1800
BING + Lenovo LED 18.5 L11931 4
Komputer 8
Komputer Lenovo 1
Komputer Lenovo 1
komputer Lenovo Idea center C4030HFTD All
in one 2
komputer Lenovo PC S 500-2 KIA
(10HV002KIA)(12.042.000) 3
Komputer PC CI 7 lenovo 1
Komputer Lenovo 1
Komputer 1
Komputer 1
Komputer 1
Komputer 1
Komputer 1
PC Lenovo AIO C260 1
Komputer Set Lenovo 2
komputer 1
Komputer merk AOC tipe E 1670SWU 2
Komputer Lenovo
Komputer
komputer
Komputer
PC Acer Aspire One 2
pc lenovo 1
pc lenovo 1
PC Acer Aspire 1
Lenovo 1
PC Lenovo 1
PC Lenovo 1
PC Lenovo H 30-05 1
PC Lenovo i5 1
PC Asus 1
PC Pustu [AOC] 3
PC Lenovo A10 C260 (57326506)+LED
monitor dan 3
PC LENOVO LED 1
Monitor Komputer 1
Komputer 1
LCD Monitor Acer 15,6" 1
LED monitor LG 22" (22M37A-B) 1
Komputer 1
PC LENOVO 1 UNIT
19 Notebook / Laptop
Laptop ACER 1
Page 9 of 151
No. Nomor Ukuran /
Urut Register CC
1 2 3 4 5 6 7
Laptop Lenovo 2
Laptop Lenovo 1
Laptop Lenovo 1
Laptop-Notebook Acer Aspire E5-411-

(G5D(P.Black))= Intel Celeron N2840, 2G.500 1
Laptop ASUS 1
Laptop ACER Aspire One 1
1
Notebook Thosiba Satelite 1
Notebook ACER+Microsoft 1
Laptop merk lenovo 1
Laptop Lenovo G40-30 1
Laptop Lenovo E10-30 1
Laptop Acer Aspire Z1402 3
Notebook tosibha satellite C55D-B5310 1
Laptop 1
Laptop 1
Laptop 1
Laptop ASSUS 1
Laptop Asus 1
laptop merk asus type x453 m 1
Laptop merk Lenovo 1
LAPTOP TOSHIBA 1
Laptop ACER Es-471-368D 2
Laptop Asus 1
Laptop ASUS X453M 1
Note Book Acer Aspire E3-112-CU58 1
Note Book Lenovo G40-30 1
laptop merk lenovo 640-30-wid N 2830 1
NOTEBOOK HP 2
Leptop Asus 1
Leptop Acer Espire es1/111 1
Note Book Acer Aspire E5-471-503W+Software
Ms.Windows 8.1 1
NB.Acer dan Printer Epson 1Set
Notebook Lenovo G40-80 i3 1
Notebook Acer Aspire One 1 Unit
Note Book Toshiba As200 OO1
Notebook 1
notebook acer aspire e3-112 1 unit
Notebook HP Pavillon 14-G105AU 1 Unit
Notebook e5-471 1
Notebook
Notebook
Notebook
Notebook
Notebook
Page 10 of 151
No. Nomor Ukuran /
Urut Register CC
1 2 3 4 5 6 7
notebook accer aspira one (1421401) 1 buah
Note Book HP Pavilon 14-R205TU 2
Notebook ACER Aspire 1 unit
2 Unit Notebook ACER E5 2 unit
Notebook linopo 14 inci 1
NOTEBOOK TOSHIBA SATELITE INTEL
CORE I-3 1
Notebook Acer Aspire one 14 Z1402-3563 1
Notebook acer (putih) 1
Notebook acer (biru) 1
Notebook Acer Aspire One 1
Notebook Lenovo 1
Notebook Acer 1 bh
Notebook Lenovo G40 1 Unit
Notebook 1
Notebook Tosiba + printer 1 buah
20 Printer
Printer Canon MX-397 (A4) 1
Printer Brother 1
Printer Canon IP 2770 3 buah 3
Printer Epson L 350 1
Printer Canon IP 2770 2
Printer 2
Printer EPSON Type L-550 1
Printer Epson L210 2
Printer epson L210 6
printer brother 9dcp-j150 1
printer brother 9dcp-j150 1 buah
PRINTER HP 1515 2 BUAH
PRINTER CANON MX E 510 1 BUAH
PRINTER CANON MX 397 1 UNIT
Printer Brother DCP T-300 1 buah
Printer Brother 1 bh
Printer Brother 1
Printer Canon IP2770 3
Printer L550 1
Printer 1
Printer canon E510 1 Unit
Printer Epson Stylus L210 1 bh
Printer Brother 2 Buah
Printer L 210 1
Page 11 of 151
No. Nomor Ukuran /
Urut Register CC
1 2 3 4 5 6 7
Printer OO1
Printer 1
Printer OO1
Printer 1
Printer
Printer
Printer
Printer Epson L565 1 Unit
Printer Brother 1 buah
Printer Epson 1210 1
Printer M 200 1
Printer Epson Stylus L120 1
Printer Brother DCP-T300 1
printer Epson 1
Printer canon E510 1
Printer Brother 2
Printer Brother 1
21 Finger Print
Finger Print
Finger Print 1
22 Meja Kerja
Meja Merk Faye2 Rect Table Brown 1
meja resepsionis 1 buah
Meja Manager 1 Set
Meja counter 1 set
MEJA RESEPSIONIS 1 SET
MEJA TULIS 1/2 BIRO ORBITEN 2 BUAH
MEJA TULIS 1/2 BIRO 4 BUAH
Meja tipe L Horse Metal 1 bh
Meja Bundar 1 bh
Meja Tulis 4
Meja Etalase Alma CA kaca Es 5mm Polos
Meja Kantor 1 buah
meja kantor 1 buah
Meja Kantor + Lemari 1 buah
Meja Komputer Kaca 1
Mobile probstal 1 Unit
Page 12 of 151
No. Nomor Ukuran /
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1 2 3 4 5 6 7
Meja 2
Meja Kantor 1/2 biro 2
Meja kerja staff desk ebony 1
Meja kerja kaca 1
Meja 1Set
Pedestal Malca Staff Desk light ( meja ) 1 set
Meja dokter 1
Meja dokter 1
Meja pimpinan 1
Meja Lemari 1
Meja Plywood 60 x 100 3
Meja Kaca 50 x 80 4
Meja Merk Uno 1
Meja Naori Black 1
Meja tulis VISSI MTV-158 6
Meja Loket 1 unit
Meja dispenser (838636) 7
Meja Kerja Bulat 1 bh
Meja Kerja 1 bh
Meja Kerja 1 bh
Meja Kerja 1
Meja Kerja 1/2 Biro Yunika 3
Meja Kantor Merk High Point 1
Meja komputer grace 3
Meja tulis 1/2 Biro MP merk Expo 4 Buah
Pembelian Meja Besi OO1
Meja kantor 2
Meja Keja 1 bh
meja direktu+meja komputer 1
Meja Kerja Expo 2 bh
Meja Batu pendaftaran 1 bh
Meja Double TU 1 bh
Meja Kantor uk.160x167x76 cm 1
Meja 2
Meja 1/2 biro 3
Meja Resepsionis 1
Meja Pendaftaran 1 Buah
Meja dan Lemari 4
Meja kantor dan Papan tulis 1
MEJA KERJA KAYU 4 BUAH
meja Kantor L- biro plywood 1
Meja obat 1
Meja 1 buah
23 Meja Rapat/Pertemuan
Meja tamu 1
Meja Rapat 1
Meja meeting Oval 1 buah
Page 13 of 151
No. Nomor Ukuran /
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1 2 3 4 5 6 7
MEJA + KURSI TAMU 1 SET
Meja Pertemuan 1 buah
Meja Sudut 1
24 Kursi Kerja
Kursi Kerja
Kursi putar hitam 2
Kursi pasien biru 1
Kursi putar zolla (dokter) 1
Kursi pasien biru 1
Kursi isis 10
Kursi Manager 1
Kursi Kerja Merk Stramm Volare 5
Kursi kerja (iso chair ergosit) 6
Kursi hadap merah 1
Kursi hadap merah 1
Kursi besar 1 set
Kursi Kerja 6
Kursi Kerja 4
kursi 4
kursi 1
Kursi Putar 4 bh
Kursi Kerja 2 Buah
Kursi Kerja 2 Buah
kursi direktur 1
Kursi Hazel Bar 001-005
Kursi Manejer OO1
Kursi Bandara 2 bh
Kursi chitos 2 bh
Kursi Bandara 2 bh
Kursi Chitose 5 bh
KURSI CHROM 3 BUAH
KURSI MANAGER CHROM 4 BUAH
PUBLIC CHAIR 2 BUAH
Kursi Kantor 1 buah
Kursi Kantor 4 buah
Kursi Direktur 1 buah
Kursi SB - 205 U 9
Kursi putar 3 Buah
Kursi Direktur 1 Unit
KURSI CHROM 3 BUAH
PUBLIC CHAIR 4 BUAH
Kursi Tipe Hugo L Merah 1 bh
Kursi 1
Kursi 1
Page 14 of 151
No. Nomor Ukuran /
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1 2 3 4 5 6 7
25 Kursi Tunggu
Kursi tunggu 4 dudukan 1
Kursi tunggu 1
kursi tunggu WD standar 3
Kursi Bandara (52cm) UP Silver 3
Kursi Tunggu 2
Kursi Tunggu 4 set blue 1 buah
Kursi Tunggu Pasien 2 bh
Kursi Tunggu Pasien 2bh
Kursi Tunggu 5 bh
kursi tunggu 4 seat 2
Kursi tunggu 3 sheet 1
Kursi Tunggu 6
Kursi Tunggu 1
Kursi Tunggu OO1-004
Kursi Tunggu 6
Bangku Tunggu pasien 4 pot 4 Unit
Bangku Tunggu Pasien 3 pot 4 Unit
26 Sofa
Sofa Tamu 1 set
Sofa 1
SOFA 1
Sofa Tamu 1
Sofa 1
Sofa 1 Buah
Sofa 1 Pcs
sofa L-M10 1
Sofa 1 Set
Sofa 1
Sofa
Sofa 1 Set
Sofa 1
Sofa Hilton 1 set
Sofa u klinik laktasi 1
27 Rak Buku/TV/Kayu/Plastik/Besi
Rak pendaftaran 1 Set
Rak alas untuk gizi 1
Rak/ Lemari PMT 1
Rak Besi 1 Buah
rak rekam medik 1 unit
RAK APOTIK 1 SET
RAK BUKU 2 BUAH
Rak Obat
Page 15 of 151
No. Nomor Ukuran /
Urut Register CC
1 2 3 4 5 6 7
Rak Buku Metal Brother B-902 1 Unit
Rak Lemari 2 buah 2 unit
Rak Simpan 3
rak obat dll 1
Rak Apotik 8
Rak Obat 1
Rak Buku Metal 2
Rak kartu 1
Rak Etalase Kaca Es
Rak Obat
Rak Obat 4 bh
28 Dispenser
Dispenser 1
Dispenser HWD-88 1
Dispenser Galaxy RSA 1 Unit
Dispenser Sanken 1 buah
Dispenser Polytron 107 1
Dispenser Miyako 389 2
Water Dispenser White 1
29 Kulkas
Kulkas sanyo 1
Kulkas 2 Pintu 1
Kulkas 1 Pintu 1
Kulkas LG 1 pintu 1
Kulkas Sharp 1 Unit
Lemari Es 1
Kulkas 1 Pintu Merk Sharp 1
KULKAS Portable 1
Kulkas Mini 1 bh
Kulkas 1 Pintu 1 bh
Lemari Es 2 pintu sharp 1
Kulkas 1 pintu 1 bh
Kulkas Sharp Type SJM 165 1
Kulkas 2 Pintu Sharp 1
Kulkas 1 pintu merk sharp SJM 180D. FP Pink 1 buah

Kulkas 1
Kulkas 1
Kulkas Portable Fridge
Kulkas Mini Bar GEA 1 Unit
Kulkas Panasonic 1 unit 1 unit
kulkas merk SHARP I unit
Lemari Es Portable 1
Lemari Es SharpSJ315-MD 1 Unit
Refrigerator 1 Buah
GEA Freezer 100 1 Unit
Page 16 of 151
No. Nomor Ukuran /
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1 2 3 4 5 6 7
30 Gorden
Gordyn, Vertical Blinds dan Roller Blinds 1
Gorden 1
Wallpaper dan Gordyn per ruangan 5
gordeng poned I unit
Gorden Vertikal Blind 85 Meter
Gorden gedung utama
Gorden gedung kedua
Vertikal Blind 4
Vertikal Blind 2
Vertikal + Krei + Hordeng Ruang Pimpinan 1
Vertical Bland 3 bh Pintu 3
vertical Blind 1
Vertical Blind 1
Vertical Blind 1
Tirai Vertical 1
Gordyn dan Tirai 1 Set
Gorden 1 UNIT
Hospital Gordeen 1
Wallpaper 1 Set
Wallpaper Moncheri 1 set
Wall Paper 1 Paket
31 Kamera
Kamera Canon 1 buah
kamera sony type DSC-WX80 & Intel core i5
processor 1 unit
Kamera Sony 1 bh
Kamera Sony 1
camera Canon 1
Camera Sony Cyber OO1
Camera SONY 1 unit
Sony Kamera Cyber Shot DSC-N830 1 Unit
32 Handycam
Sony Handycam HDR-PJ410 1 Unit
Handycam SONY 1 unit
handycam spectra dx 17 s/n cpti3120104 1
33 Proyektor / Infokus
Proj Infokus 1 unit
Proyektor / LCD 1
Projektor 1 bh
Projector Hitachi CP -RX250 1
Page 17 of 151
No. Nomor Ukuran /
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1 2 3 4 5 6 7
Projector EpsonEB-X350 1
Proyektor BenQ Mysos 1
Proyektor 1
projector merk Hitachi 1
PROJECTOR HITACHI+LYR TRIPOD LETAEC OO1

projector hitachi (cp.rx 250) 1 buah
Proyektor EPSON EB-5200 1
Infocus 1
INFOKUS SONY DX 22 1 SET
infocus 1 Set
34 Layar Proyektor
LCD proyektor Optoma 1 unit
layar tripod brite (tri-2121) 1 buah
SCREEN 70X70 TRIPOT 1
35 Tape / Sound system

Speker Dat Karaoke Balster M-22 1 Unit
Speaker 1
Speaker Aktif 1
Mini Compo 1 Buah
Tape Recorder Mayako 1 buah
Speaker Warle Merck Yamaha 1
Speker 1 Pasang 1
Mini Hifi DM-5530 1
36 Alat Kedokteran Umum

Partus set 2
Hecting set 2
Sthetoskop neonatus riestar 2
Stetoscope Litman 1
Stetoscope Litman 2
Korentang 1
Korentang 2
Doppler fetal heart Bestmen 2
USG Merk Mindray Type DP 10 2
Alat TDP (Lampu Theuraphy) 1
Tensimeter digital terumo 1
1
Tensimeter air raksa riester 1
Tensimeter kompas anak Onemed 1
Tensimeter Raksa 8
Tensi Meter Riester 3
Tensi Meter Nova 2
Tensimeter Air Raksa Riestar 2
Termometer raksa GEA 1
Page 18 of 151
No. Nomor Ukuran /
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1 2 3 4 5 6 7
Termometer digital alpa 2
Meja instrumen SS 2 rak 1
Doppler bestman BF-500+ 1
Nebulizer NEC28 Omron 1
Doppler JPD-100 B Jumper 3
Stelisator kering Fortune 1
Sterilisator 2
Sterilisator 1
Sterilisator Kering Corona 1
tabung oxygen 1
Alat Kesehatan 1 Set
Alat Kesehatan 1 set
Autoskop 1
EKG KENZ 1,3 Channel 1
Sterilisator Kering Electra 1
Kursi Roda Shima 1
kursi roda merk shima 1 buah
Tabung Oksigen 1000M3 1
Tempat tidur bayi 1
EKG 1
Nebulizer 1 bh
Doppler 1 bh
Tensi Air Raksa 1 bh
Tensi air raksa erka 2 buah
Dopler1 unit merk Edan 1
Tabung Oksigen 3
Sterilisator kering 1
Sterillisator Corona 1 buah
Instrument Troley Stainless 3 tingkat 1 buah
Dopler Bistos BT-220 1 buah
Sterilisator Coremedic 1 buah
Kursi Roda Shima 1 buah
Bed Periksa Pasien Lokal 1 buah
Tensimeter Air Raksa 1 bh
Tabung Oksigen 2
Gynaecology bed SM-9022A 1
Tensimeter Air raksa 2
Lampu sorot 1
Stand Tensimeter OO1
Mercury Tensimeter 001-003
Bed Anak 2
piramid Food model 1
Bed Pasien Anak 1 bh
Tensi Meter Air Raksa 1 bh
Nebulizer Omron Type NE-C 28 1 bh
Tensi HG 1 Buah
Tensimeter air raksa 1
Sterilisator basah 42 cm 1
Page 19 of 151
No. Nomor Ukuran /
Urut Register CC
1 2 3 4 5 6 7
Sterilisator kering fortune 2
Verios Bed 1 Buah
Screm hordeng 1
Screm hordeng 1
doopler FHR Detector type BF 500++ Merk
Bestman 1 set
Baby tofel 1 unit
Tensi meterAir Raksa 1 Unit
Oksigen 1 set 1 Set
Otoskop 1 buah
Bed Gynekology (Besi) 1 buah
Lampu Hallogen 1 buah
Timbangan manual Smith 1 Unit
Bed Skreme Shimma 1 Unit
Bad Pasien
Tempat Tidur Obgin 1 set
Bed Pasien 1
Bed Pasien 2
Gynaecology SM 9022 A 1
SKAREM PONED 1 SET
Baby Tafel 1 buah
Jahitan Ruang Poli Pelayanan 1 Paket
Damparan ACP Rak Aluminium gigi dan
Laboratorium 4 Buah
Meja Pemeriksaan Bayi, Pintu dan Kusen
lemari gigi. 1 Paket
Bed Gynecologi PC SM-9022A + Halogen lamp
SM 9061 1 Unit
Tensi meter Riester, Statescope dan timbangan
bayi 1 Paket
Sterilisator kering merk Corona 1 Buah
Bed Obgin 1
37 Alat Komunikasi
Handphone Samsung Galaxy J2 1
Telepon 1 set
Alat Kedokteran Gigi

Peralatan gigi 1
ULTRASONIC SCALLER 1
HANDPIECE LOW SPEED ALEGRA 1
Light Curing Woodpecker LED C 1
Handpiece high speed 1 bh
scaller 1
HS W&H RC 90 RM (Alat Poli gigi) 1 Unit
Hand Piece 1 Buah
Light Cure 1 Buah
light ouring woodpecker led-f 1
G Bond GC 1
Page 20 of 151
No. Nomor Ukuran /
Urut Register CC
1 2 3 4 5 6 7
LED LIGHT CURING UNIT JR-CL17 1 Unit
38 Alat Laboratorium
Alat Centrifuge Mikro 1 Unit
Micropipet uk. 5-50Ul 1 buah
Micropipet uk.100-1000Ul 1 buah
Hematology Analizer 1
Troli Nadine Kitchen 1

Fordable platform handtruck (Trolly kecil) 1
Mesin Cuci 1
Tiang internet 18 m 1
Closet Armstand Winplex 1
Skat Pembatas Lipat Aluminium CA 3
Sharp REFSJ-M180D 1
Nakas Sieben Mobile Pedesial SMP IRD 1
Interior Rapat 1
Acrilic Ukuran F4
Kotak Saran 1
Kitchen Set 1 bh
High Pressure Cleaning 1 buah
Kaca Pintu 1 buah
Alat Elektronik 1 Set
Acrilic dorong tarik / kotak saran 1
pintu geser 1 set
Tangga Pasien Shima 2 buah
Tea CBNT SM41008A Ebony 1 bh
Malca Credenza 4 Door Light 1 bh
Mebel 1 Buah
Tedmond 1
Magic com 1 bh
roller blid OO1
Floor Sign Caution dan work safe mat OO1
Pintu Kamar Mandi OO1
Wastafel merk TOTO 2 Set
TEDMOND 1000L 1 SET
Wood Panel TV 1 set
SJM 180 DF-Biru 1
Pembuatan Interior Lemari Meja Kantor Apotik
dan 1
Auning puskesmas I unit
Water Jug 1
Tangga Aluminium 1
Riben Kaca 50M
Kusen 3" CA Kaca Mati Polos 5mm
Kaca Meja
Foto Bingkai uk.120x90 cm
Biaya Pembuatan Huruf Timbul
Page 21 of 151
No. Nomor Ukuran /
Urut Register CC
1 2 3 4 5 6 7
Total
MENGETAHUI :
a.n Kepala Dinas Kesehatan
Sekretaris
Dr.Hj. Letizia, M.Kes

Nip196402141991032002
Page 22 of 151
KARTU INVENTARIS BARANG (KIB)
B. PERALATAN DAN MESIN
Asal Usul Cara

Nomor nilai
Tahun Perolehan
Pembelian Rusak
Pabrik Rangka Mesin Polisi BP Baik
Berat
8 9 10 11 12 13 14 15
2015 BLUD 9,900,000.00
2015 BLUD 3,000,000.00

2015 BLUD 1,298,000.00
2015 BLUD 698,000.00
2015 BLUD 1,458,000.00
2015 BLUD 508,000.00
2015 BLUD 1,650,000.00
2015 BLUD 7,315,000.00
2015 BLUD 2,041,100.00

2015 BLUD 1,830,000.00
2015 BLUD 2,167,900.00
2015 BLUD 5,711,841.00

2015 BLUD 5,210,000.00
2015 BLUD 3,300,000.00
2015 BLUD 4,120,000.00
2015 BLUD 7,329,000.00
2015 BLUD 18,449,000.00
2015 BLUD 3,150,950.00
2015 BLUD 13,999,000.00
2015 BLUD 8,750,000.00
2015 BLUD 4,769,000.00
2015 BLUD 8,920,000.00
2015 BLUD 3,029,000.00
2015 BLUD 5,099,000.00
2015 BLUD 4,900,000.00
2015 BLUD 2,950,000.00
2015 BLUD 4,996,568.00
2015 BLUD 5,156,875.00
2015 BLUD 3,191,941.00
2015 BLUD 4,850,250.00
2015 BLUD 2,961,250.00
2015 BLUD 3,458,368.00
2015 BLUD 4,819,000.00
2015 BLUD 5,799,000.00
2015 BLUD 7,043,759.00
2015 BLUD 6,696,550.00
2015 BLUD 6,800,000.00
2015 BLUD 3,200,000.00
Page 23 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 4,783,773.00
2015 BLUD 2,982,273.00
2015 BLUD 4,000,000.00
2015 BLUD 3,349,700.00
2015 BLUD 3,534,472.00
2015 BLUD 2,883,795.00
2015 BLUD 9,450,000.00
2015 BLUD 5,225,000.00
2015 BLUD 5,225,000.00
2015 BLUD 2,926,875.00
2015 BLUD 1,815,000.00
2015 BLUD 1,616,750.00
2015 BLUD 3,900,000.00

2015 BLUD 5,120,000.00
2015 BLUD 3,450,000.00
2015 BLUD 3,900,000.00
2015 BLUD 9,900,000.00
2015 BLUD 6,881,326.00
2015 BLUD 15,021,836.00
2015 BLUD 3,976,334.00
2015 BLUD 13,380,140.00
2015 BLUD 3,999,250.00
2015 BLUD 3,343,000.00
2015 BLUD 3,865,650.00
2015 BLUD 3,623,750.00
2015 BLUD 24,808,750.00
2015 BLUD 5,296,250.00
2015 BLUD 3,623,750.00
2015 BLUD 26,780,500.00
2015 BLUD 3,641,000.00
2015 BLUD 5,120,500.00
2015 BLUD 7,940,000.00
2015 BLUD 4,506,000.00
2015 BLUD 3,639,000.00
2015 BLUD 4,471,121.00
2015 BLUD 3,800,000.00
2015 BLUD 2,975,530.00
2015 BLUD 3,292,290.00
2015 BLUD 3,976,364.00
2015 BLUD 3,450,000.00
2015 BLUD 5,280,000.00
2015 BLUD 3,600,000.00
2015 BLUD 3,670,500.00
2015 BLUD 3,829,500.00
Page 24 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 4,673,432.00
2015 BLUD 7,790,000.00
2015 BLUD 12,060,000.00
2015 BLUD 3,791,000.00
2015 BLUD 4,900,000.00
2015 BLUD 5,463,500.00
2015 BLUD 6,000,000.00
2015
BLUD 8,136,000.00
2015
BLUD 3,729,000.00
2015 BLUD 3,975,000.00
2015 BLUD 4,160,000.00
2015 BLUD 17,140,000.00
2015 BLUD 3,300,000.00
2015 BLUD 3,850,000.00
2015 BLUD 4,000,000.00
2015 BLUD 3,800,000.00
2015 BLUD 4,150,000.00
2015 BLUD 9,500,000.00
2015 BLUD 13,873,781.00
2015 BLUD 11,707,500.00
2015 BLUD 7,491,818.00
2015
BLUD 8,136,000.00
2015
BLUD 3,729,000.00
2015 BLUD 3,242,623.00
2015 BLUD 4,286,668.00
2015 BLUD 5,200,000.00
2015 BLUD 19,250,000.00
2015 BLUD 3,950,000.00
2015 BLUD 4,252,500.00
2015 BLUD 4,252,500.00
2015 BLUD 4,206,001.00
2015 BLUD 4,206,001.00
2015 BLUD 4,206,000.00
2015 BLUD 4,206,000.00
2015 BLUD 4,206,000.00
2015 BLUD 2,174,250.00
2015 BLUD 2,061,750.00
2015 BLUD 6,150,000.00
2015 BLUD 2,800,000.00
2015 BLUD 2,800,000.00
2015 BLUD 2,800,000.00
2015 BLUD 3,450,000.00
2015 BLUD 9,378,200.00
2015 BLUD 24,163,400.00
2015 BLUD 4,693,200.00
Page 25 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 9,004,920.00
2015 BLUD 4,689,100.00
2015 BLUD 3,769,713.00
2015 BLUD 4,023,123.00
2015 BLUD 3,150,000.00
2015 BLUD 4,237,000.00
2015 BLUD 3,329,000.00
2015 BLUD 5,200,000.00
2015 BLUD 7,069,091.00
2015 BLUD 5,191,362.00
2015 BLUD 11,220,000.00
2015 BLUD 4,090,000.00
2015 BLUD 4,020,475.00
2015 BLUD 6,210,000.00

2015 BLUD 2,978,100.00
2015 BLUD 746,900.00

2015 BLUD 864,700.00
2015 BLUD 2,376,600.00
2015 BLUD 1,546,200.00
2015 BLUD 2,998,000.00
2015
BLUD 1,818,000.00
2015 BLUD 1,974,000.00
2015 BLUD 1,454,400.00
2015 BLUD 1,475,000.00
2015 BLUD 2,908,800.00
2015 BLUD 950,000.00
2015 BLUD 595,000.00
2015 BLUD 595,000.00
2015 BLUD 795,000.00
2015 BLUD 9,366,000.00
2015 BLUD 8,195,250.00
2015 BLUD 483,000.00
2015 BLUD 2,285,750.00
2015 BLUD 1,247,500.00
2015 BLUD 11,830,909.00

2015 BLUD 9,900,000.00
2015 BLUD 6,490,000.00
2015 BLUD 9,090,150.00
2015 BLUD 12,687,000.00
Page 26 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 10,899,900.00
2015 BLUD 3,443,000.00

2015
BLUD 4,915,500.00
2015 BLUD 1,999,000.00
2015 BLUD 2,783,000.00
2015 BLUD 28,127,000.00
2015 BLUD 9,240,000.00
2015 BLUD 2,255,000.00
2015 BLUD 1,045,000.00
2015 BLUD 1,350,000.00
2015 BLUD 1,350,000.00
2015
BLUD 4,185,000.00
2015
BLUD 2,835,000.00
2015
BLUD 2,362,500.00
2015 BLUD 2,729,000.00
2015 BLUD 2,729,000.00
2015 BLUD 2,000,000.00
2015 BLUD 2,600,000.00
2015 BLUD 4,500,000.00
2015 BLUD 10,450,000.00
2015 BLUD 3,531,000.00
2015 BLUD 5,060,000.00
2015 BLUD 2,035,000.00
2015
BLUD 2,035,000.00
2015 BLUD 4,063,636.00
2015 BLUD 2,090,000.00
2015 BLUD 3,289,250.00
2015 BLUD 2,400,000.00
2015 BLUD 3,345,000.00
2015 BLUD 5,774,560.00
2015 BLUD 3,465,727.00
2015 BLUD 3,913,637.00
2015 BLUD 2,460,000.00
2015 BLUD 1,845,000.00
2015 BLUD 1,174,090.00
2015 BLUD 1,845,000.00
2015 BLUD 8,715,000.00
2015 BLUD
2015 BLUD 6,990,000.00
2015 BLUD 2,718,000.00
2015 BLUD 3,425,000.00
2015 BLUD 2,963,182.00
Page 27 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 7,100,000.00
2015 BLUD 3,020,800.00
2015 BLUD 4,673,600.00
2015 BLUD 4,180,000.00
2015 BLUD 2,420,000.00
2015 BLUD 2,420,000.00
2015 BLUD 4,180,000.00
2015 BLUD 2,500,000.00
2015 BLUD 2,500,000.00
2015 BLUD 2,500,000.00
2015 BLUD 2,500,000.00
2015 BLUD 2,500,000.00
2015 BLUD 2,500,000.00
2015 BLUD 2,500,000.00
2015 BLUD 2,053,355.00
2015 BLUD 3,458,331.00
2015 BLUD 629,000.00
2015 BLUD 8,362,500.00
2015 BLUD 4,000,000.00
2015 BLUD 1,800,000.00
2015
BLUD 4,294,000.00
2015 BLUD 1,430,000.00
2015
BLUD 5,650,000.00
2015 BLUD 30,100,500.00
2015 BLUD 3,407,440.00
2015 BLUD 3,080,000.00
2015 BLUD 7,320,000.00
2015 BLUD 2,266,000.00
2015 BLUD 2,718,000.00
2015 BLUD 1,658,100.00
2015 BLUD 4,510,000.00

2015 BLUD 4,328,000.00
2015 BLUD 3,023,100.00
2015 BLUD 2,989,000.00
2015 BLUD 4,432,125.00
2015 BLUD 4,300,555.00

2015 BLUD 4,152,260.00
2015 BLUD 4,003,965.00
2015 BLUD 5,138,000.00
2015
BLUD 5,138,000.00
2015 BLUD 2,569,000.00
Page 28 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 5,778,000.00
2015 BLUD 5,138,000.00
2015 BLUD 4,427,564.00
2015 BLUD 4,566,000.00
2015 BLUD 2,283,000.00
2015 BLUD 2,932,335.00
2015 BLUD 2,600,092.00
2015 BLUD 4,758,300.00
2015 BLUD 2,453,000.00
2015 BLUD 8,997,000.00
2015 BLUD 2,889,000.00
2015 BLUD 5,127,000.00
2015 BLUD 2,999,000.00
2015 BLUD 5,317,000.00
2015 BLUD 5,599,000.00
2015 BLUD 4,070,000.00
2015 BLUD 2,698,200.00
2015 BLUD 2,299,000.00
2015 BLUD 7,712,000.00
2015 BLUD 8,172,000.00
2015 BLUD 45,000,000.00
2015 BLUD 5,598,000.00
2015 BLUD 2,799,000.00
2015 BLUD 6,678,000.00
2015 BLUD 2,889,000.00
2015 BLUD 5,598,000.00
2015 BLUD 3,311,100.00

2015 BLUD 3,679,000.00
2015 BLUD 3,899,000.00
2015 BLUD 1,494,000.00
2015 BLUD 2,758,000.00
2015 BLUD 8,083,750.00
2015 BLUD 1,527,200.00
2015 BLUD 3,509,132.00
2015 BLUD 4,288,868.00
2015 BLUD 1,210,000.00

2015 BLUD 6,600,000.00
2015 BLUD 2,676,000.00
2015 BLUD 2,230,000.00
2015 BLUD 1,320,000.00
2015 BLUD 1,078,000.00
2015 BLUD 4,970,453.00
2015 BLUD 8,175,000.00
2015 BLUD 9,900,000.00
Page 29 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 1,393,750.00
2015 BLUD 1,393,750.00
2015 BLUD 1,449,500.00
2015 BLUD 9,509,500.00
2015 BLUD 4,500,000.00
2015 BLUD 4,000,000.00
2015 BLUD 5,800,000.00
2015 BLUD 21,485,000.00

2015 BLUD 8,305,000.00
2015 BLUD 9,504,545.00
2015 BLUD 5,423,182.00
2015 BLUD 6,709,091.00
2015 BLUD 35,000,000.00
2015 BLUD 4,970,454.00

2015 BLUD 9,910,534.00
2015 BLUD 2,542,500.00
2015 BLUD 2,542,500.00
2015
BLUD 13,984,433.00
2015 BLUD 985,000.00
2015 BLUD 970,000.00
2015 BLUD 970,000.00
2015 BLUD 735,000.00
2015 BLUD 23,080,500.00
###
2015 BLUD 7,094,000.00

2015 BLUD 24,641,500.00
2015 BLUD 500,000.00
2015 BLUD 8,393,500.00
2015 BLUD 4,561,363.50
2015 BLUD 9,900,000.00
2015 BLUD 2,975,530.00
2015 BLUD 10,800,000.00
2015 BLUD 9,300,000.00
2015 BLUD 14,097,000.00
2015 BLUD 7,932,050.00
2015 BLUD 12,900,000.00
2015 BLUD 6,163,080.00
2015 BLUD 9,398,000.00
2015 BLUD 9,398,000.00
2015 BLUD 32,112,000.00
2015 BLUD 9,731,000.00
Page 30 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015
BLUD 19,600,000.00
2015 BLUD 49,060,000.00
2015 BLUD 5,472,622.00
2015 BLUD 5,472,622.00
2015
BLUD 12,822,500.00
2015
BLUD 36,126,000.00
2015 BLUD 13,350,000.00
2015 BLUD 9,398,000.00
2015 BLUD 4,763,077.00
2015 BLUD 4,763,077.00
2015 BLUD 5,472,622.00
2015 BLUD 7,080,250.00
2015 BLUD 7,191,750.00
2015 BLUD 4,499,000.00
2015 BLUD 9,860,000.00
2015 BLUD 5,685,385.00
2015 BLUD 6,450,000.00
2015 BLUD 9,680,000.00
2015 BLUD 6,600,000.00
2015 BLUD 6,268,900.00
2015 BLUD 6,268,900.00
2015 BLUD 6,268,900.00
2015 BLUD 9,198,000.00
2015 BLUD 4,699,000.00
2015 BLUD 4,699,000.00
2015 BLUD 4,599,000.00
2015 BLUD 7,671,200.00
2015 BLUD 4,850,000.00
2015 BLUD 4,850,000.00
2015 BLUD 4,699,000.00
2015 BLUD 4,600,000.00
2015 BLUD 7,899,000.00
2015 BLUD 4,600,000.00
2015 BLUD 12,820,500.00
2015
BLUD 26,856,295.00
2015 BLUD 4,917,750.00
2015 BLUD 3,300,400.00
2015 BLUD 5,334,955.00
2015 BLUD 925,000.00
2015 BLUD 2,000,000.00
2015 BLUD 5,334,954.00
2015 BLUD 4,560,400.00
2015 BLUD 4,906,000.00

Page 31 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 8,400,000.00
2015 BLUD 3,400,000.00
2015 BLUD 4,200,000.00
2015
BLUD 4,599,000.00
2015 BLUD 5,407,750.00
2015 BLUD 3,999,000.00
2015 BLUD 2,569,000.00
2015 BLUD 6,590,000.00
2015 BLUD 7,098,000.00
2015 BLUD 8,362,500.00
2015 BLUD 3,099,000.00
2015 BLUD 3,899,000.00
2015 BLUD 13,350,000.00
2015 BLUD 4,867,500.00
2015 BLUD 6,090,000.00
2015 BLUD 5,371,259.00
2015 BLUD 5,300,000.00
2015 BLUD 8,260,000.00
2015 BLUD 5,463,500.00
2015 BLUD 3,986,125.00
2015 BLUD 9,402,250.00
2015 BLUD 8,128,500.00
2015 BLUD 11,978,000.00
2015 BLUD 4,565,000.00
2015 BLUD 4,201,000.00
2015 BLUD 3,546,714.00
2015 BLUD 3,952,168.00
2015 BLUD 3,791,000.00
2015 BLUD 16,109,188.00
2015 BLUD 8,685,300.00
2015 BLUD 3,400,000.00
2015
BLUD 8,209,441.00
2015 BLUD 7,300,000.00
2015 BLUD 4,799,000.00
2015 BLUD 6,799,000.00
2015 BLUD 3,699,000.00
2015 BLUD 6,465,885.00
2015 BLUD 3,899,000.00
2015 BLUD 4,012,885.00
2015 BLUD 3,899,000.00
2015 BLUD 5,555,864.00
2015 BLUD 4,788,050.00
2015 BLUD 4,783,900.00
2015 BLUD 4,783,900.00
2015 BLUD 4,783,900.00
2015 BLUD 4,783,900.00
Page 32 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 3,999,000.00
2015 BLUD 3,999,000.00
2015 BLUD 7,904,336.00
2015 BLUD 3,299,000.00
2015 BLUD 19,601,700.00
2015 BLUD 3,750,000.00
2015
BLUD 6,129,122.00
2015 BLUD 5,099,000.00
2015 BLUD 7,999,000.00
2015 BLUD 7,298,000.00
2015 BLUD 3,999,000.00
2015 BLUD 8,198,000.00
2015 BLUD 5,168,532.00
2015 BLUD 6,698,000.00
2015 BLUD 4,788,050.00
2015 BLUD 6,360,000.00
2015 BLUD 1,720,000.00

2015 BLUD 3,233,500.00
2015 BLUD 1,770,000.00
2015 BLUD 2,350,000.00
2015 BLUD 5,550,000.00
2015 BLUD 1,200,000.00
2015 BLUD 2,500,000.00
2015 BLUD 4,125,500.00
2015 BLUD 3,640,000.00
2015 BLUD 16,450,000.00
2015 BLUD 1,800,000.00
2015 BLUD 1,800,000.00
2015 BLUD 1,368,220.00
2015 BLUD 1,293,110.00
2015 BLUD 1,320,000.00
2015 BLUD 1,899,000.00
2015 BLUD 1,899,000.00
2015 BLUD 1,899,000.00
2015 BLUD 2,620,250.00
2015 BLUD 1,899,000.00
2015 BLUD 2,100,000.00
2015 BLUD 3,534,545.00
2015 BLUD
2015 BLUD 1,199,000.00
2015 BLUD 2,100,000.00
2015 BLUD 2,700,000.00
2015 BLUD 12,153,500.00
2015 BLUD 2,425,125.00
2015 BLUD 2,374,772.00
Page 33 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 1,226,500.00
2015 BLUD
2015 BLUD 1,210,000.00
2015 BLUD 670,000.00
2015 BLUD 670,000.00
2015 BLUD 2,475,000.00
2015 BLUD 2,475,000.00
2015 BLUD 3,650,000.00
2015 BLUD 2,190,000.00
2015 BLUD 5,466,000.00
2015 BLUD 4,400,000.00
2015 BLUD
2015 BLUD 2,620,250.00
2015 BLUD 5,909,500.00
2015 BLUD 2,300,000.00
2015 BLUD 2,300,000.00
2015 BLUD 2,350,000.00
2015 BLUD 2,100,000.00
2015 BLUD 1,900,000.00
2015 BLUD 3,798,000.00
2015 BLUD 2,150,000.00
2015 BLUD 1,199,000.00
2015 BLUD 2,100,000.00
2015 BLUD 2,700,000.00
2015 BLUD 12,153,500.00
2015 BLUD 2,425,125.00
2015 BLUD 1,800,000.00

2015 BLUD 1,900,000.00
2015 BLUD 1,138,000.00

2015 BLUD 10,078,978.00
2015 BLUD 4,549,000.00
2015 BLUD 19,782,300.00
2015 BLUD 7,910,000.00
2015 BLUD 2,536,625.00
2015 BLUD 5,876,000.00
2015 BLUD 5,950,000.00
2015 BLUD 1,650,000.00
2015 BLUD 3,855,250.00
2015 BLUD 3,579,875.00
2015 BLUD 1,050,000.00
2015 BLUD 4,200,000.00
2015 BLUD 9,940,909.00
2015 BLUD 1,899,000.00
2015 BLUD 1,248,000.00
Page 34 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 1,258,000.00
2015 BLUD 1,618,000.00
2015 BLUD 3,794,000.00
2015 BLUD 2,350,000.00
2015 BLUD 5,273,000.00
2015 BLUD 1,068,910.00
2015 BLUD 2,758,000.00
2015 BLUD
2015 BLUD 4,829,000.00
2015 BLUD 2,168,000.00
2015 BLUD 5,400,000.00
2015 BLUD 7,200,000.00
2015 BLUD 2,650,500.00
2015 BLUD 2,184,000.00
2015 BLUD 3,960,000.00
2015 BLUD 4,237,000.00
2015 BLUD 5,927,000.00
2015 BLUD 1,809,000.00
2015 BLUD 8,362,500.00
2015 BLUD 8,362,500.00
2015 BLUD 2,667,080.00
2015 BLUD 8,530,500.00
2015 BLUD 1,256,250.00
2015 BLUD 742,500.00
2015 BLUD 3,390,000.00
2015 BLUD 1,527,273.00
2015 BLUD
2015 BLUD 4,299,000.00
2015 BLUD 5,236,040.00
2015 BLUD 1,449,500.00
2015 BLUD 9,379,798.00
2015 BLUD 1,767,272.00
2015 BLUD 7,599,000.00
2015 BLUD 2,298,000.00
2015 BLUD 3,801,819.00
2015 BLUD 23,415,000.00
2015 BLUD 9,812,000.00
2015 BLUD 6,244,000.00
2015 BLUD 5,580,000.00
2015 BLUD 5,798,000.00
2015 BLUD 4,627,250.00
2015 BLUD 8,610,000.00
2015 BLUD 2,000,000.00
2015 BLUD 4,600,000.00

2015 BLUD 1,470,000.00
2015 BLUD 1,041,273.00
Page 35 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 4,125,500.00
2015 BLUD 8,615,455.00
2015 BLUD 1,030,000.00
2015 BLUD 41,890,000.00

2015 BLUD 918,000.00
2015 BLUD 500,000.00
2015 BLUD 2,350,000.00
2015 BLUD 1,784,000.00
2015 BLUD 6,569,000.00
2015 BLUD
2015 BLUD 5,523,750.00
2015 BLUD 3,314,250.00
2015 BLUD 2,508,000.00
2015 BLUD 2,988,000.00
2015 BLUD
2015 BLUD 3,449,000.00
2015 BLUD 4,827,000.00
2015 BLUD 4,147,800.00
2015 BLUD 4,087,010.00
2015 BLUD 1,540,785.00
2015 BLUD 4,800,000.00
2015 BLUD 547,091.00
2015 BLUD 328,909.01
2015 BLUD 3,099,700.00
2015 BLUD 5,190,000.00
2015 BLUD 2,759,000.00
2015 BLUD 3,345,000.00
2015 BLUD 2,278,175.00
2015 BLUD 3,340,500.00
2015 BLUD 2,503,425.00
2015 BLUD 1,155,000.00
2015 BLUD 6,377,800.00
2015 BLUD 4,237,700.00
2015 BLUD 500,000.00
2015 BLUD 2,000,000.00
2015 BLUD 1,638,636.00
2015 BLUD 7,435,125.00
2015 BLUD 3,447,000.00
2015 BLUD 4,599,000.00
2015 BLUD 1,155,000.00
2015 BLUD 8,474,000.00
2015 BLUD 1,960,000.00
2015 BLUD 2,793,800.00
2015 BLUD 2,604,200.00
Page 36 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 1,870,000.00

2015 BLUD 1,870,000.00
2015 BLUD 3,740,000.00
2015 BLUD 1,149,000.00
2015 BLUD 4,497,000.00
2015 BLUD 4,620,000.00
2015 BLUD 2,958,000.00
2015 BLUD 1,286,727.00
2015 BLUD 2,958,000.00
2015 BLUD 2,298,000.00
2015 BLUD 14,860,000.00
2015 BLUD 3,838,388.00
2015 BLUD 10,603,650.00
2015 BLUD 1,149,000.00
2015 BLUD 8,874,000.00
2015 BLUD 1,299,000.00
2015 BLUD 5,916,000.00
2015 BLUD 8,874,000.00
2015 BLUD 7,714,000.00
2015 BLUD 5,785,500.00
2015 BLUD 6,378,000.00

2015 BLUD 3,410,000.00
2015 BLUD 9,366,000.00
2015 BLUD 8,808,500.00
2015 BLUD 5,016,385.00
2015 BLUD 9,900,000.00
2015 BLUD 1,469,000.00
2015 BLUD 9,680,000.00
2015 BLUD 6,050,000.00
2015 BLUD 2,978,100.00
2015 BLUD 2,970,000.00
2015 BLUD 8,400,000.00
2015 BLUD 2,299,000.00
2015 BLUD 6,578,500.00
2015 BLUD 2,310,000.00
2015 BLUD 8,525,000.00

2015 BLUD 1,418,182.00
2015 BLUD 3,000,000.00
2015 BLUD 7,975,000.00
2015 BLUD 3,902,500.00
2015 BLUD 7,247,500.00
2015 BLUD 4,827,950.00
2015 BLUD 9,913,500.00
Page 37 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 4,827,950.00
2015 BLUD 2,718,000.00
2015 BLUD 3,207,000.00
2015 BLUD 9,728,182.00
2015 BLUD 19,700,000.00
2015 BLUD 3,420,000.00
2015 BLUD 4,763,000.00
2015 BLUD 1,155,000.00
2015 BLUD 7,159,750.00
2015 BLUD 9,913,500.00
2015 BLUD 4,276,000.00
2015 BLUD 2,100,000.00

2015 BLUD 2,288,790.00
2015 BLUD 1,649,000.00
2015 BLUD 1,527,271.00
2015 BLUD 5,250,000.00
2015 BLUD 9,526,500.00
2015 BLUD 2,198,000.00
2015 BLUD 1,716,000.00

2015 BLUD 2,799,000.00
2015 BLUD 2,133,050.00
2015 BLUD 2,125,000.00
2015 BLUD 1,869,000.00
2015 BLUD 2,420,000.00
2015 BLUD 1,725,000.00
2015 BLUD 2,107,350.00
2015 BLUD 1,367,395.00
2015 BLUD 1,725,000.00
2015 BLUD 2,700,000.00
2015 BLUD 1,732,500.00
2015 BLUD 1,650,000.00
2015 BLUD 4,500,000.00
2015
BLUD 2,090,000.00
2015 BLUD 2,092,850.00
2015 BLUD 2,863,900.00
2015 BLUD 4,626,300.00
2015 BLUD 1,349,000.00
2015 BLUD 2,706,500.00
2015 BLUD 1,877,728.00
2015 BLUD 1,621,363.00
2015 BLUD 4,197,273.00
2015 BLUD 16,596,800.00
2015 BLUD 2,779,000.00
Page 38 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 26,684,866.00

2015 BLUD 5,575,000.00
2015 BLUD 6,720,000.00
2015 BLUD 7,179,545.00
2015 BLUD 18,307,841.00
2015 BLUD 9,477,500.00
2015 BLUD 6,646,900.00
2015 BLUD 5,017,500.00
2015 BLUD 2,508,750.00
2015 BLUD 28,990,000.00
2015 BLUD 1,815,000.00
2015 BLUD 9,434,100.00
2015 BLUD 7,176,000.00
2015 BLUD 22,964,144.00
2015 BLUD 17,417,549.00
2015 BLUD 15,610,000.00
2015 BLUD 8,920,000.00
2015 BLUD 6,720,000.00
2015 BLUD 900,000.00
2015 BLUD 8,000,000.00
2015 BLUD 2,250,000.00

2015 BLUD 2,100,000.00
2015 BLUD 5,233,030.00
2015 BLUD 1,694,000.00

2015
BLUD 4,054,544.00
2015 BLUD 5,067,168.00
2015 BLUD 3,546,714.00
2015 BLUD 1,800,000.00
2015 BLUD 1,499,000.00
2015 BLUD 4,275,000.00
2015 BLUD 1,599,000.00
2015 BLUD 4,075,336.00

2015 BLUD 2,499,000.00
2015 BLUD 3,500,000.00
2015 BLUD 4,350,000.00

2015 BLUD 6,740,682.00
2015 BLUD 5,818,273.00
2015 BLUD 4,899,000.00
Page 39 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 3,600,000.00
2015 BLUD 5,798,000.00
2015 BLUD 5,200,000.00
2015 BLUD 8,213,250.00
2015
BLUD 5,523,305.00
2015 BLUD 4,899,000.00
2015 BLUD 500,000.00
2015 BLUD 5,399,110.00
2015 BLUD 8,580,000.00
2015 BLUD 5,917,500.00
2015 BLUD 4,214,700.00

2015 BLUD 1,805,375.00
2015 BLUD 600,000.00
2015 BLUD 2,286,865.00

2015 BLUD 1,500,000.00
2015 BLUD 1,950,000.00
2015 BLUD 1,430,000.00
2015 BLUD 1,963,636.00
2015 BLUD 2,575,000.00
2015 BLUD 1,600,000.00
2015 BLUD 1,939,000.00
2015 BLUD 918,000.00

2015 BLUD 744,800.00
2015 BLUD 724,800.00
2015 BLUD 1,200,000.00
2015 BLUD 2,715,773.00
2015 BLUD 362,400.00
2015 BLUD 344,800.00
2015 BLUD 994,800.00
2015 BLUD 4,906,000.00
2015 BLUD 1,341,818.00
2015 BLUD 1,430,000.00
2015 BLUD 1,430,000.00
2015 BLUD 1,485,000.00
2015 BLUD 121,000.00
2015 BLUD 3,000,000.00
2015 BLUD 9,680,000.00
2015 BLUD 5,070,000.00
2015 BLUD 3,072,727.00
2015 BLUD 2,943,600.00
2015 BLUD 13,200.00
Page 40 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 77,000.00
2015 BLUD 2,475,000.00
2015 BLUD 1,320,000.00
2015 BLUD 1,200,000.00
2015 BLUD 3,240,000.00
2015 BLUD 2,024,000.00
2015 BLUD 3,960,000.00
2015 BLUD 4,561,363.50
2015 BLUD 1,900,000.00
2015 BLUD 1,100,000.00
2015 BLUD 2,340,000.00
2015 BLUD 2,246,500.00
2015 BLUD 1,925,000.00
2015 BLUD 40,140,000.00
2015 BLUD 1,895,500.00
2015 BLUD 1,170,750.00
2015 BLUD 1,155,000.00
2015 BLUD 1,059,250.00
2015 BLUD 4,787,500.00
2015 BLUD 20,665,250.00
2015 BLUD 1,540,000.00
2015 BLUD 1,375,000.00
2015 BLUD 1,375,000.00
2015 BLUD 3,345,000.00
2015 BLUD 1,350,000.00
2015 BLUD 3,600,000.00
2015 BLUD 1,700,000.00
2015 BLUD 2,072,333.33
2015 BLUD 3,222,333.33
2015 BLUD 1,388,750.00
2015 BLUD 1,838,750.00
2015 BLUD 1,188,750.00
2015 BLUD 1,688,750.00
2015 BLUD 1,505,250.00
2015 BLUD 2,600,000.00
2015 BLUD 5,100,010.00
2015 BLUD 3,010,500.00
2015 BLUD 1,338,000.00
2015 BLUD 3,023,693.00
2015 BLUD 4,233,171.00
2015 BLUD 6,150,000.00
2015 BLUD 1,980,000.00
2015 BLUD 5,500,000.00
2015 BLUD 2,420,000.00
2015 BLUD 1,100,000.00
2015 BLUD 1,900,000.00
2015 BLUD 1,485,000.00
2015 BLUD 2,007,000.00
Page 41 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 3,345,000.00
2015 BLUD 9,350,000.00
2015 BLUD 9,754,020.00
2015 BLUD 7,225,200.00
2015
BLUD 1,265,000.00
2015 BLUD 2,147,000.00
2015 BLUD 2,326,600.00
2015 BLUD 2,376,500.00
2015 BLUD 1,500,000.00
2015 BLUD 3,500,000.00
2015 BLUD 1,600,000.00
2015 BLUD 1,435,909.00
2015 BLUD 2,540,091.00
2015 BLUD 3,861,000.00
2015 BLUD 2,310,000.00
2015 BLUD 960,000.00
2015 BLUD 960,000.00
2015 BLUD 4,794,500.00
2015 BLUD 15,052,500.00
2015 BLUD 4,950,000.00
2015 BLUD 3,991,774.00
2015
BLUD 3,107,500.00
2015
BLUD 12,995,000.00
2015
BLUD 7,026,092.00
2015
BLUD 6,578,946.00
2015 BLUD 1,870,000.00
2015 BLUD 10,822,500.00
2015 BLUD 1,999,000.00

2015 BLUD 9,735,000.00
2015 BLUD 2,680,000.00

2015 BLUD 4,290,000.00
2015 BLUD 6,380,000.00
2015 BLUD 1,551,000.00
2015 BLUD 1,705,000.00
2015 BLUD 1,980,000.00
2015 BLUD 1,925,000.00
2015 BLUD 1,976,500.00
2015 BLUD 7,500,000.00
2015 BLUD 4,708,000.00
2015 BLUD
Page 42 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
2015 BLUD 1,078,000.00
2015 BLUD 5,280,000.00

2015 BLUD 1,980,000.00
2015 BLUD 1,980,000.00
2015 BLUD 113,000,000.00
2015 BLUD 1,158,000.00

2015 BLUD 299,000.00
2015 BLUD 2,200,000.00
2015 BLUD 6,664,000.00
2015 BLUD 1,200,000.00
2015 BLUD 4,090,909.00
2015 BLUD 1,999,000.00
2015 BLUD 1,149,000.00
2015 BLUD 52,616,000.00
2015 BLUD 5,104,000.00
2015 BLUD 7,364,500.00
2015 BLUD 5,548,800.00
2015 BLUD 1,100,000.00
2015 BLUD 3,500,000.00
2015 BLUD 4,745,000.00
2015 BLUD 1,991,000.00
2015 BLUD 1,956,818.00
2015 BLUD 1,449,500.00
2015 BLUD 1,799,000.00
2015 BLUD 2,299,000.00
2015 BLUD 9,812,000.00
2015 BLUD 1,338,000.00
2015 BLUD 491,632.00
2015 BLUD 5,522,727.00
2015 BLUD 1,647,800.00
2015 BLUD 1,363,636.00
2015 BLUD 3,030,800.00
2015 BLUD 1,320,000.00
2015 BLUD 2,174,200.00
2015 BLUD 1,850,000.00
2015
BLUD 14,594,708.33
2015 BLUD 2,000,000.00
2015 BLUD 875,000.00
2015 BLUD 825,000.00
2015 BLUD 7,159,750.00
2015 BLUD 380,000.00
2015 BLUD 5,000,810.00
2015 BLUD 3,190,000.00
2015 BLUD 1,457,500.00
2015 BLUD 6,490,000.00
Page 43 of 151
Asal Usul Cara
Nomor nilai
Tahun Perolehan
Pembelian Rusak
Berat
8 9 10 11 12 13 14 15
4,645,556,917.00
Palembang, 201
PENGURUS BARANG
Yeni Laswari SKM

Nip. 198208312009032001
Page 44 of 151
Keterangan
Tempat
Keterangan
16
Makrayu
#REF!
KAMPUS
Gandus
Gandus
Gandus
Merdeka
kalidoni
#REF!
Sukarami
kalidoni
KAMPUS
Keramasan
Gandus
Gandus
Makrayu
OPI
OPI
Keramasan
KERTAPATI
#REF!
PLAJU
PAKJO
PAKJO
PADANG SELASA
23 Ilir
Ariodillah
dempo
talang ratu
5 Ilir
5 Ilir
11 ilir
boom baru
kenten
sabokingking
kalidoni
sei selincah
sei selincah
Page 45 of 151
Keterangan
Tempat
Keterangan
16
Multiwahana
Sematang borang
punti kayu
albar
karya jaya
4 ulu
Merdeka
Sukarami
Sukarami
4 ulu
#REF!
KAMPUS
PADANG SELASA
PADANG SELASA
PADANG SELASA
PADANG SELASA
TAMAN BACAAN
KERAMASAN
KERAMASAN
KERAMASAN
KERAMASAN
NAGASWIDAK
NAGASWIDAK
NAGASWIDAK
#REF!
PLAJU
PLAJU
KAMPUS
PAKJO
PADANG SELASA
PADANG SELASA
PADANG SELASA
Makrayu
Makrayu
Makrayu
Gandus
4 ulu
4 ulu
KERAMASAN
PADANG SELASA
PADANG SELASA
PADANG SELASA
Ariodillah
Ariodillah
Page 46 of 151
Keterangan
Tempat
Keterangan
16
Talabg Betutu
Ariodillah
Ariodillah
dempo
dempo
dempo
dempo
sabokingking
sabokingking
kenten
kenten
kenten
23 Ilir
23 Ilir
Merdeka
Merdeka
Merdeka
Basuki Rahmat
sekip
boom baru
sabokingking
sabokingking
bukit sangkal
bukit sangkal
kalidoni
Multiwahana
Multiwahana
punti kayu
punti kayu
punti kayu
punti kayu
punti kayu
punti kayu
punti kayu
Talang betutu
Talang betutu
Talang betutu
punti kayu
punti kayu
punti kayu
punti kayu
albar
albar
albar
Page 47 of 151
Keterangan
Tempat
Keterangan
16
albar
albar
karya jaya
karya jaya
Pembina
Pembina
SEI BAUNG
kalidoni
Sematang borang
Sematang borang
Sukarami
albar
Sukarami
Gandus
Gandus
KERTAPATI
KERTAPATI
#REF!
#REF!
#REF!
KAMPUS
KAMPUS
Merdeka
Sukarami
Sukarami
Sukarami
Sukarami
dempo
5 ilir
Sukarami
5 ilir
Talang betutu
Sematang borang
Makrayu
Pembina
PAKJO
Merdeka
Page 48 of 151
Keterangan
Tempat
Keterangan
16
Sukarami
Makrayu
Makrayu
1 Ulu
4 ulu
#REF!
Pembina
Pembina
Pembina
Pembina
Pembina
KERTAPATI
KERTAPATI
KERTAPATI
KERTAPATI
KERTAPATI
KERTAPATI
KERTAPATI
NAGASWIDAK
TAMAN BACAAN
TAMAN BACAAN
TAMAN BACAAN
TAMAN BACAAN
TAMAN BACAAN
TAMAN BACAAN
TAMAN BACAAN
#REF!
PAKJO
#REF!
KAMPUS
PADANG SELASA
PADANG SELASA
PADANG SELASA
PADANG SELASA
PADANG SELASA
PADANG SELASA
Basuki Rahmat
Basuki Rahmat
Basuki Rahmat
talang ratu
sekip
kenten
Page 49 of 151
Keterangan
Tempat
Keterangan
16
Sukarami
Talang betutu
Talang betutu
punti kayu
punti kayu
punti kayu
punti kayu
punti kayu
punti kayu
punti kayu
punti kayu
punti kayu
punti kayu
punti kayu
albar
karya jaya
1 Ulu
KAMPUS
23 Ilir
kenten
sabokingking
sabokingking
sabokingking
kalidoni
sei selincah
Sukarami
kalidoni
PAKJO
4 ulu
PAKJO
TAMAN BACAAN
#REF!
Ariodillah
Basuki Rahmat
#REF!
#REF!
#REF!
PAKJO
SEI BAUNG
Ariodillah
Page 50 of 151
Keterangan
Tempat
Keterangan
16
Ariodillah
Ariodillah
boom baru
boom baru
boom baru
sabokingking
sabokingking
kenten
Gandus
Gandus
Gandus
Gandus
Gandus
Gandus
Gandus
Gandus
Gandus
Gandus
Gandus
Gandus
Gandus
Gandus
Gandus
boom baru
boom baru
boom baru
PAKJO
PAKJO
punti kayu
OPI
#REF!
Talang betutu
sabokingking
sabokingking
Makrayu
Pembina
KAMPUS
bukit sangkal
Pembina
KAMPUS
sekip
sekip
Pembina
Page 51 of 151
Keterangan
Tempat
Keterangan
16
bukit sangkal
bukit sangkal
bukit sangkal
Sukarami
KERTAPATI
KERTAPATI
#REF!
Sukarami
Makrayu
PADANG SELASA
PADANG SELASA
PADANG SELASA
Multiwahana
punti kayu
punti kayu
sabokingking
sabokingking
Sematang borang
Sukarami
Sukarami
Sukarami
Sukarami
sei selincah
Makrayu
Makrayu
Gandus
4 ulu
4 ulu
4 ulu
4 ulu
4 ulu
4 ulu
Keramasan
kalidoni
kalidoni
dempo
Ariodillah
5 ilir
5 ilir
Page 52 of 151
Keterangan
Tempat
Keterangan
16
TAMAN BACAAN
PLAJU
KAMPUS
KAMPUS
PADANG SELASA
PADANG SELASA
Merdeka
talang ratu
talang ratu
talang ratu
Basuki Rahmat
Basuki Rahmat
Basuki Rahmat
sekip
bukit sangkal
kalidoni
Sukarami
Sukarami
Sukarami
Sukarami
Talang betutu
punti kayu
punti kayu
punti kayu
punti kayu
punti kayu
punti kayu
KERTAPATI
NAGASWIDAK
#REF!
#REF!
#REF!
Multiwahana
Multiwahana
Basuki Rahmat
boom baru
23 Ilir
Merdeka
boom baru
sei selincah
Makrayu
Page 53 of 151
Keterangan
Tempat
Keterangan
16
NAGASWIDAK
NAGASWIDAK
NAGASWIDAK
TAMAN BACAAN
KAMPUS
PAKJO
PAKJO
PAKJO
PAKJO
PADANG SELASA
23 Ilir
23 Ilir
Merdeka
Ariodillah
dempo
talang ratu
Basuki Rahmat
sekip
kenten
bukit sangkal
kalidoni
sei selincah
Multiwahana
albar
karya jaya
karya jaya
bukit sangkal
sei selincah
punti kayu
1 Ulu
7 ulu
OPI
#REF!
#REF!
SEI BAUNG
kenten
Sukarami
bukit sangkal
sabokingking
boom baru
Sukarami
Sukarami
Sukarami
Sukarami
Sukarami
Page 54 of 151
Keterangan
Tempat
Keterangan
16
punti kayu
punti kayu
#REF!
Makrayu
Makrayu
1 Ulu
4 ulu
#REF!
KERTAPATI
KERTAPATI
KAMPUS
Sukarami
PAKJO
Makrayu
Makrayu
Makrayu
Gandus
Gandus
1 Ulu
Pembina
karya jaya
4 ulu
KERAMASAN
punti kayu
punti kayu
sei selincah
sei selincah
sei selincah
punti kayu
punti kayu
punti kayu
KAMPUS
#REF!
4 ulu
boom baru
Basuki Rahmat
SEI BAUNG
dempo
dempo
dempo
dempo
boom baru
Page 55 of 151
Keterangan
Tempat
Keterangan
16
kenten
Basuki Rahmat
kenten
Sukarami
Sukarami
Sukarami
Sukarami
Talang betutu
punti kayu
albar
KERTAPATI
NAGASWIDAK
NAGASWIDAK
NAGASWIDAK
NAGASWIDAK
NAGASWIDAK
PAKJO
PADANG SELASA
SEI BAUNG
Ariodillah
Ariodillah
dempo
dempo
Multiwahana
Multiwahana
KERTAPATI
punti kayu
sabokingking
kalidoni
sei selincah
sei selincah
sei selincah
Sukarami
Sukarami
punti kayu
punti kayu
punti kayu
Pembina
OPI
Page 56 of 151
Keterangan
Tempat
Keterangan
16
1 Ulu
Gandus
Gandus
Gandus
OPI
OPI
NAGASWIDAK
NAGASWIDAK
NAGASWIDAK
KERTAPATI
4 ulu
SEI BAUNG
PADANG SELASA
KAMPUS
KAMPUS
KAMPUS
#REF!
TAMAN BACAAN
KERTAPATI
4 ulu
sabokingking
kenten
Basuki Rahmat
sekip
11 ilir
sekip
sekip
Merdeka
talang ratu
boom baru
talang ratu
dempo
Basuki Rahmat
Basuki Rahmat
sei selincah
PADANG SELASA
PADANG SELASA
PAKJO
KERTAPATI
SEI BAUNG
Page 57 of 151
Keterangan
Tempat
Keterangan
16
sei selincah
punti kayu
#REF!
Makrayu
Gandus
Gandus
Gandus
Gandus
Basuki Rahmat
Basuki Rahmat
KERTAPATI
KERTAPATI
4 ulu
OPI
#REF!
#REF!
#REF!
#REF!
sekip
SEI BAUNG
SEI BAUNG
kenten
kenten
11 ilir
11 ilir
11 ilir
11 ilir
sei selincah
sei selincah
sei selincah
punti kayu
punti kayu
punti kayu
Sukarami
sabokingking
sabokingking
sei selincah
sei selincah
NAGASWIDAK
NAGASWIDAK
Page 58 of 151
Keterangan
Tempat
Keterangan
16
4 ulu
4 ulu
4 ulu
1 Ulu
TAMAN BACAAN
#REF!
SEI BAUNG
sekip
Pembina
boom baru
kenten
talang ratu
kalidoni
kalidoni
OPI
TAMAN BACAAN
#REF!
PADANG SELASA
talang ratu
dempo
kalidoni
Multiwahana
Sukarami
Sukarami
punti kayu
#REF!
PAKJO
PADANG SELASA
PADANG SELASA
23 Ilir
dempo
bukit sangkal
sei selincah
sei selincah
Sukarami
Page 59 of 151
Keterangan
Tempat
Keterangan
16
karya jaya
Makrayu
4 ulu
PADANG SELASA
Pembina
#REF!
#REF!
PADANG SELASA
Sukarami
Sukarami
#REF!
boom baru
Talang betutu
punti kayu
Gandus
Gandus
NAGASWIDAK
#REF!
NAGASWIDAK
NAGASWIDAK
OPI
Pembina
KERTAPATI
PLAJU
KAMPUS
KAMPUS
PADANG SELASA
23 Ilir
Merdeka
sabokingking
Sukarami
Sukarami
Sukarami
Talang betutu
Makrayu
Sematang borang
boom baru
karya jaya
dempo
Talang betutu
Page 60 of 151
Keterangan
Tempat
Keterangan
16
7 ulu
Pembina
KERTAPATI
Sematang borang
punti kayu
Gandus
Gandus
Basuki Rahmat
Basuki Rahmat
Multiwahana
Multiwahana
PADANG SELASA
PADANG SELASA
Merdeka
talang ratu
11 ilir
11 ilir
KERTAPATI
sei selincah
#REF!
PAKJO
PAKJO
sabokingking
PAKJO
bukit sangkal
KAMPUS
4 ulu
1 Ulu
kenten
Makrayu
karya jaya
karya jaya
Makrayu
1 Ulu
sekip
talang ratu
KAMPUS
#REF!
Page 61 of 151
Keterangan
Tempat
Keterangan
16
4 ulu
KERTAPATI
NAGASWIDAK
PADANG SELASA
kenten
punti kayu
Gandus
albar
sei selincah
kalidoni
bukit sangkal
punti kayu
4 ulu
karya jaya
Pembina
PLAJU
dempo
punti kayu
Multiwahana
1 Ulu
boom baru
Gandus
Gandus
Gandus
NAGASWIDAK
NAGASWIDAK
Gandus
Gandus
Gandus
Gandus
4 ulu
4 ulu
4 ulu
4 ulu
4 ulu
4 ulu
Pembina
NAGASWIDAK
NAGASWIDAK
#REF!
4 ulu
Page 62 of 151
Keterangan
Tempat
Keterangan
16
4 ulu
4 ulu
4 ulu
4 ulu
4 ulu
Gandus
OPI
4 ulu
KERTAPATI
PADANG SELASA
PAKJO
PAKJO
#REF!
#REF!
#REF!
#REF!
bukit sangkal
#REF!
#REF!
#REF!
KAMPUS
KAMPUS
KAMPUS
PAKJO
PADANG SELASA
KERTAPATI
PADANG SELASA
SEI BAUNG
SEI BAUNG
SEI BAUNG
SEI BAUNG
SEI BAUNG
SEI BAUNG
KAMPUS
Merdeka
boom baru
boom baru
boom baru
kenten
kenten
PADANG SELASA
PADANG SELASA
Ariodillah
dempo
talang ratu
Basuki Rahmat
Page 63 of 151
Keterangan
Tempat
Keterangan
16
Basuki Rahmat
dempo
Basuki Rahmat
Basuki Rahmat
bukit sangkal
kalidoni
kalidoni
punti kayu
punti kayu
punti kayu
punti kayu
karya jaya
karya jaya
Sukarami
Sukarami
Sukarami
Multiwahana
sei selincah
Talang betutu
sabokingking
sabokingking
sabokingking
sabokingking
sabokingking
sabokingking
#REF!
KERTAPATI
PADANG SELASA
Gandus
4 ulu
4 ulu
#REF!
KAMPUS
PADANG SELASA
SEI BAUNG
dempo
dempo
Basuki Rahmat
Basuki Rahmat
Page 64 of 151
Keterangan
Tempat
Keterangan
16
kalidoni
Talang betutu
Talang betutu
Talang betutu
4 ulu
KERTAPATI
4 ulu
Pembina
KERTAPATI
TAMAN BACAAN
#REF!
#REF!
#REF!
#REF!
#REF!
KAMPUS
PAKJO
PAKJO
PAKJO
PADANG SELASA
PADANG SELASA
SEI BAUNG
dempo
Basuki Rahmat
11 ilir
kenten
kenten
kenten
sabokingking
sei selincah
kalidoni
Multiwahana
Multiwahana
Sematang borang
Sukarami
Sukarami
Sukarami
Sukarami
Sukarami
Sukarami
Sukarami
Sukarami
Page 65 of 151
Keterangan
Tempat
Keterangan
16
Palembang, 2016
PENGURUS BARANG
Yeni Laswari SKM

Nip. 198208312009032001
Page 66 of 151
SKPD : DINAS KESEHATAN KOTA PALEMBANG.
Nomor
No. Nama Barang/ Jenis kondisi Bangunan
Urut Barang Kode Barang Register (B,KB,RB)
1 2 3 4 5
Pembangunan gedung Baik
1
Laboratorium
Pemeliharaan gedung Baik
2
laboratorium
Pembangunan Gudang & Baik
3
Dapur dg ukuran 5x6
MENGETAHUI :
Sekretaris

Nip196402141991032002
C.GEDUNG DAN BANGUNAN
Dokumen Statu
Kontruksi Bangunan
Luas Lantai Gedung Luas s
Letak / Alamat Tang Nom
Bertingkat Tidak Beton Tidak M² Tana
gal or (M²) h
6 7 8 9 10 11 12 13
Bertingkat Beton
Puskesmas 4 ulu
Bertingkat Beton
Puskesmas 4 ulu
Bertingkat Beton
Puskesmas OPI
TOTAL
Asal
Nomor Kode Tanah Nilai Keterangan
Usul
14 15 6 7
BLUD 85,229,980.00
BLUD 15,662,077.00
BLUD 70,000,000.00
170,892,057.00
Palembang, 2016
PENGURUS BARANG
Yeni Laswari SKM

Nip.198208312009032001
KARTU
D. JALA
NO. KODE LOKASI :12 07 05 07 03 2015
Nomor
No. Panjang
Nama Barang/ Jenis Barang Kontruksi
Urut Kode Barang Register (Km)
1 2 3 4 5 6
PENAMBAHAN DAYA 1
Pembangunan Jaringan Internet 1
Jaringan Internet 1
TOTAL
MENGETAHUI :
Sekretaris

Nip196402141991032002
D. JALAN, IRIGASI DAN JARINGAN
Letak / Lokasi Dokumen Nomor

Status
Lebar (M) Luas (M²) Kode Asal Usul Nilai
Tanggal Nomor Tanah
Tanah
7 p 8 9 10 11 12 13 14
Puskesmas
BLUD 6,658,200.00
Sei Selincah
Puskesmas 7
BLUD 5,887,758.00
Ulu
Puskesmas
BLUD 9,700,500.00
Plaju
22,246,458.00
Palembang, 2016
PENGURUS BARANG
Yeni Laswari SKM

Nip.198208312009032001
Kondisi
(R, KB, Keterangan
RB)
15 16
Palembang, 2016
PENGURUS BARANG
KARTU IN
E. AS
NO. KODE LOKASI : 12 07 05 07 03 2015

Nomor Buku Perpustakaan
Nama Barang/ Jenis

No.
Barang Kode Barang Register Judul / Pencipta Spesifikasi
1 2 3 4 5 6
Tanaman Hias Leaf
1 Hedge
1
2 Pembuatan Rumah Toga 1
JUMLAH
MENGETAHUI :
Sekretaris

Nip196402141991032002
E. ASET TETAP LAINNYA
Barang Bercorak Hewan /

Ternak dan
Kesenian / Kebudayaan Tumbuhan] Tahun
Asal Usul Cara
Jumlah Cetak /
Perolehan
Pembelian
Asal
Pencipta Bahan Jenis Ukuran
Daerah
7 8 9 10 11 12 13 14
BLUD
BLUD
JUMLAH
Palembang,
PENGURUS
Harga (Ribuan
Keterangan
Rupiah)
15 16
1,078,000.00 KERTAPATI
3,735,250.00 Multiwahana
4,813,250.00
Palembang, 2016
PENGURUS BARANG
Yeni Laswari SKM

Nip.198208312009032001
ASET LAINNYA
BADAN LAYANAN UMU
NO. KODE LOKASI : 12 07 05 07 03 2015

Nomor Buku Perpustakaan
Nama Barang/ Jenis

No.
Barang Kode Barang Register Judul / Pencipta Spesifikasi
1 2 3 4 5 6
SIK (Sistem Informasi
1 Komputer)
1 Paket
Aplikasi Simpus dan TV

2 Informasi
1
JUMLAH
MENGETAHUI :
Sekretaris

Nip196402141991032002
AINNYA - ASET TIDAK BERWUJUD
AN UMUM DAERAH PUSKESMAS TAHUN 2015

Ternak dan
Kesenian / Kebudayaan Tumbuhan] Tahun Cetak Asal Usul Cara Harga (Ribuan
Jumlah
/ Pembelian Perolehan Rupiah)
Asal
Daerah
7 8 9 10 11 12 13 14 15
2015 2015 BLUD 3,927,600.00
2015 2015 BLUD 3,927,600.00
7,855,200.00
Palembang, 2016
PENGURUS BARANG
Yeni Laswari SKM

Nip.198208312009032001
Keterangan
16 17
sabokingking
Taman Bacaan
Palembang, 2016
PENGURUS BARANG
ASET LAINNYA
BADAN LAYANAN UMU
NO. KODE LOKASI : 12 07 05 07 03 2015

Nomor Buku Perpustakaan Barang Bercorak
Nama Barang/ Jenis Kesenian / Kebudaya

No. Judul /
Barang Kode Barang Register Spesifikasi
Pencipta
Asal Daerah
1 2 3 4 5 6 7
Stabilizer 1000VA Red
1 analog
Stabilizer svc 500VA
2 RED
3 Kipas angin Pansonic
4 Kipas angin Pansonic
5 Kipas Angin
6 Kipas Angin
7 Kipas Angin Tegak

Kipas Angin Tegak +
8 Unit Pesawat Telepon
9 Kipas Angin
10 Lemari,TV, ARSD 511
11 Trali Jendela
12 Teralis Tutup Selokan
13 Teralis Penutup selokan
14 Teralis Penutup Selokan
Komputer
Komputer Lenovo AIO
15 C260
16 LCD Monitor Acer 15,6"

Notebook LENOVO 640-
17 70
18 Printer
19 Printer

No. Judul /
Pencipta
Asal Daerah
1 2 3 4 5 6 7
20 Meja komputer grace
21 Kursi putar hitam
22 Kursi pasien biru
23 Kursi Kerja
24 Kursi Kerja
25 Kursi Kantor
26 Gorden
27 Screen Proyektor
SCREEN 70X70
28 TRIPOT
29 Partus set
30 Hecting set
Sthetoskop neonatus
31 riestar
32 Korentang
Doppler fetal heart
33 Bestmen
Tensimeter kompas anak
34 Onemed
35 Termometer raksa GEA
36 Termometer digital alpa
37 Bed Pasien
38 Bed Pasien
Fordable platform
39 handtruck (Trolly kecil)
40 Magic com
41 Water Jug
42 Tangga Aluminium
Kusen 3" CA Kaca Mati
43 Polos 5mm

No. Judul /
Pencipta
Asal Daerah
1 2 3 4 5 6 7
Total
MENGETAHUI :
Sekretaris

Nip196402141991032002
ASET LAINNYA - ASET TIDAK BERWUJUD
BADAN LAYANAN UMUM DAERAH PUSKESMAS TAHUN 2015

Ternak dan
Kesenian / Kebudayaan Tumbuhan] Tahun Cetak / Asal Usul Cara
Jumlah
Pembelian Perolehan
8 9 10 11 12 13 14
1 2015 BLUD
1 2015 BLUD
1 2015 BLUD
1 2015 BLUD
2 2015 BLUD
1 2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
1 2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
1 2015 BLUD
1 2015 BLUD
2 2015 BLUD
1 2015 BLUD
2015 BLUD
Ternak dan
Jumlah
Pembelian Perolehan
8 9 10 11 12 13 14
3 2015 BLUD
2 2015 BLUD
1 2015 BLUD
2 Buah 2015 BLUD
2 Buah 2015 BLUD
1 buah 2015 BLUD
1 UNIT 2015 BLUD
1 2015 BLUD
1 2015 BLUD
2 2015 BLUD
2 2015 BLUD
2 2015 BLUD
1 2015 BLUD
2 2015 BLUD
1 2015 BLUD
1 2015 BLUD
2 2015 BLUD
1 2015 BLUD
2 2015 BLUD
1 2015 BLUD
1 bh 2015 BLUD
1 2015 BLUD
1 2015 BLUD
2015 BLUD
Ternak dan
Jumlah
Pembelian Perolehan
8 9 10 11 12 13 14
Total
Palembang,
PENGURUS
Yeni Lasw
Nip.19820831
Harga (Ribuan
Keterangan
Rupiah)
15 16
698,000.00 RU.KIA Gandus
508,000.00 RU.BP GIGI Gandus
RU.TUNGGU PASIEN
746,900.00 Gandus
DEPAN
864,700.00 RU. KIA & Persalinan Gandus
950,000.00 Sukarami
595,000.00 RU.PKM. Sukarami Sukarami
629,000.00 1 Ulu
500,000.00 KLINIK TERAPUNG Gandus
925,000.00 Poli KIA 23 Ilir

Harga (Ribuan
Keterangan
Rupiah)
15 16
Ruang KIA, Apotek,
742,500.00 4 ulu
MTBS
918,000.00 RU.PIMPINAN Gandus
500,000.00 RU. APOTEK Gandus
547,091.00 Loket dan tata usaha SEI BAUNG

Ruang KIA dan Tata
328,909.01 SEI BAUNG
Usaha
500,000.00 TU punti kayu
900,000.00 sei selincah
500,000.00 PUSTU SUAK BUJANG Gandus
600,000.00 Puskesmas 4 ulu

RU. IMUNISASI &
918,000.00 Gandus
PROMKES
744,800.00 RU.KIA & PERSALINAN Gandus
724,800.00 RU.KIA Gandus
362,400.00 RU. UGD Gandus
121,000.00 Ruang MTBS 4 ulu
13,200.00 Ruang MTBS 4 ulu
77,000.00 Ruang BP Umum 4 ulu
960,000.00 Poli Umum Sukarami
960,000.00 RU. Poli Lansia Sukarami
299,000.00 Gudang Obat 4 ulu
491,632.00 Dapur 11 Ilir

Harga (Ribuan
Keterangan
Rupiah)
15 16
27,917,532.01
Palembang, 2016
PENGURUS BARANG
Yeni Laswari SKM

Nip.198208312009032001
NO. KODE LOKASI : 12 07 05 07 03 2015
No. Urut Kode Barang Nama Barang / Jenis Barang Nomor Register Merk / Type
1 2 3 4 5
Pembuatan rak gudang 1 unit
Stabilizer
Stabilizer 1
Stabilizer 1
Stabilizer svc 3000VA 1
Stabilizier MinamotoSM 2000 1
Stavol Sentra 10.000 W 1 Unit
Tabung Pemadam Kebakaran

APAR 2
APAR 2
APAR 1 Unit
Televisi
TV 43 Inch 1
TV Sony 40'' 1
LCD TV Sharp 1
TV LED 42 inci Sony 2
TV LG 43 inch 1
TV samsung 55 inch 1
Samsung TV 1
Led TV Sony 55" W 80B 1
TV Samsung 48 inch 1
TV LED LG 32LF630T 1
TV LCD 2
TV LED 32 " 1
TV LED 40 " 1
TV 40" 1 bh Aquos 1
SHARP LED TV 32" 1
Samsung LED TV 40' 1
TV LCD 1
TV 32 inch 1
tv 42 inci 1
tv32 inci 1
TV LED Samsung 32 " 1
LED TV4 2 " KDL-40R35OC 1
Tv 43 inci 1
LED TV Samsung 43 " 1
TV Merk Sharp 40 inci 1
TV LED KDL - 40R350B 1
Page 88 of 151
1 2 3 4 5
TV LCD 1
tv panasonic 1
TV Sharp LED 32' 1
TV 32' Sharp LED Aquous 1
Televisi Panasonic 32" 1
Televisi LED Toshiba 50" 1
Televisi 39"
Televisi 39
Home theatre Panasonic 1
Home Theater 1
VCD/DVD
DVD Mini Hi-Fi LG 1 bh
Air Conditioner
AC Panasonic 1 PK 1
ACPanasonic 1PK 1
AC Split 3
AC Panasonic 1 PK 1
AC Panasonic 2 PK 2
AC Panasonic ¾ 1
AC Sharp ¾ Split 1
AC Panasonic ¾ Split 1
AC 1
AC 0,5 PK 4
AC 1 PK 1
AC 1
AC Panasonic KN 09 RKJ 6
AC Panasonic 1 PK 1
AC Panasonic I PK 2
AC Panasonic 1 PK 1
AC Sharp 2 PK 1
AC spilit 1/2 pk Sharp 1
AC split Panasonic 1/2 pk CS-UV5RKP 1
AC split Panasonic 1 pk CS-UV9RKP 1
AC Panasonic 1,5 PK 1
AC Split Panasonik CS-KN5RKJ 1
AC Split Panasonik CS-KN7RKJ 1 Unit
Page 89 of 151
1 2 3 4 5
AC Sharp AH-AP7RHL 3/4 PK 2 Unit
AC Sharp AH-AP9SHL 1 PK 3 Unit
AC 1 Buah
AC 1 Buah
AC 1 Buah
AC 1 Buah
Yn.09.RKJ 2 Unit
Yn.05.RKJ 1 Unit
AC 0,5 PK OO1
AC 3,4PK OO1
AC 1 PK 001-004
LG AVC SPLIT 3/4 1
LG AC SPLIT 1/2 PK 1
AC LG 1 pk 1
AC LG 1/2 PK 1
AC Panasonic 1 pk 1
AC 3
AC Samsung 3 bh
ac 2
AC SHARP AHA 9 SEY 2
Yn.09.RKJ 2 Unit
Yn.05.RKJ 1 Unit
ac sharp 1/2 pk 1 unit
sharp ac split 1 pk type AH-AP9SSY) 1 unit
AC merk Sharp 1 PK 1 Unit
AC Sharp 5
AC Split Daikin 2 PK 1 Unit
AC 1 PK Panasonic 2
AC 1 PK Panasonic 5
AC 3/4 PK Panasonic 1
Page 90 of 151
1 2 3 4 5
AC 1 PK Panasonic 2
AC 1 PK Panasonic 1
Sharp AC 1/2 PK Ah A 5 sey 1 Unit
Sharp AC 1 PK Ah A 9 Sey 1 Unit
Air Conditioner 1
Air Conditioner 1
AC merk Sharp 1 Unit
AC 2 Unit
Acmerk sharp 1,5 pk I unit
AC merk Changhong 3 bh
AC merk LG E 09NXA 1 PK 1 bh
AC + Perangkat + Pasang 1
Wireless (TOA) 1
Wirelees Yamada 1
Kipas Angin
Kipas Angin Industrial Double Fan 16 Inch 2
Kipas Angin Uap Humidifier Blk 2,3 L LB-FS-50 1
kipas angin maspion 1
Kipas Angin 1 bh
Kipas Angin Floor Fan 1 bh
Kipas Angin Double Fan ACE 2
Kipas Angin 2 Buah
kipas blower 7
exhauspan 2
Pompa Air
Pompa Air Shimizu 1 Unit
Mesin Genset
Mesin Genset 1 Unit
Mesin Genset 1 unit
Mesin Genset 1
Mesin Genset 1 buah
Mesin Genset 1
Mesin Genset 1
Lemari
Lemari Arsip Lion type L 33 A 1 unit 1 unit
Lemari kaca apotik dan Papan Tulis Profil
Puskesmas 1 set
Lemari sliding kaca 1
Almari fronline FC-06 1
Page 91 of 151
1 2 3 4 5
Lemari Partisi 4
Lemari Kaca Hitam Besar 4
Lemari Kaca Sedang 2
Lemari Kaca Kecil 1
Lemari Gantung 1
Lemari Piring 1
Lemari Arsip Tinggi Pintu Kupu - kupu High Point 2
Lemari Arsip Sedang Pintu Sliding High Point 2
Lemari Arsip Rendah Pintu Kupu - kupu High Point 2

Lemari Filling Cab 4 Shelves 1
Lemari File Cabinet 2 Up 1 Down 1
Lemari Kaca Pintu Geser 1
Lemari Ruang Gilingan Mas 1
Lemari Arsip Kokobi 2
Lemari Arsip Kokubi 5
Lemari Lion Type L33 AK 1
Lemari Yunika Tipe C165 2
Lemari Pendek C23H 1
Lemari Tinggi Uno Classic Type Ust. 1530C/Beech 1

Lemari Loker 1
Lemari Prospek 1/2 Kaca 1
Slinding Door CA 1
Lemari Piala 1
Lemari Obat 4 Pintu CA 1
Lemari Krisbow 2
Lemari perpustakaan 1
lemari uk p.220.L 40. T 226 (3,500,000) 1
lemari uk P 150.L 40. T 180(2,200,000) 1
Lemari uk P 100.l40.T180 (1,650,000) 1
Lemari uk P80.L.40.T.150(1.050.000) 1
Lemari KIA 1
Lemari arsip hight + low 1
Lemari Besi/Metal 2
Lemari Arsip Kaca 1 bh
Lemari Ichiban OO1
Lemari Sliding Kaca
Lemari Arsip Lion L33AK 1 buah
Lemari Arsip Lion L33 2 buah
Lemari Arsip 1 buah
Lemari Arsip 1 buah
Lemari Arsip 1 buah
Lemari Arsip Optima 1 buah
Page 92 of 151
1 2 3 4 5
Lemari Besi 1
Lemari Serba Guna Type B-901 2 Unit
Lemari Apotek 1 bh
Lemari Obat 1
Lemari Kaca OO1
Lemari Obat aluminium model piano kombinasi
keramik orange ukuran 160X160X45 cm 2 Buah
Lemari buku MTB-3183 1 Buah
Lemari arsip 30 kotak (Locker kartu rekam medik) 1 Set

Lemari File stopmap Pasien 1 set
LEMARI SLIDING DOOR 1 BUAH
Lemari Etalase Kaca 4 Pintu
Lemari Arsip 2 unit
Lemari 1 buah
Lemari 2
Lemari 1 buah
Brankas
Brankas Ichiban H5 40TA 1
Brankas Fire Box 1
Brankas 1 bh
Brankas Fire Safe Box 1
Brankas 1
Filling Cabinet
File Cabinet 2
Filling Cabinet 2 Shelves Up/Down Glass Beige 2
File Cabinet Blue 1
Filling Cabinet Sliding 180X90X39 cm dan 1
Filling Cabinet 2 Shelves up/down glass 1
Pembelian Filling Kabinet 2
Page 93 of 151
1 2 3 4 5
File Cabinet 180x115x39 Blue 2
File Cabinet 2 Up Down 1800 x 900 1
Loker
Loker Door White Green 1 buah
Loker 1 Unit
Loker 3 pintu 1
Loker 6 Tingkat tanpa pintu 1
Locker Lion L 556 1 buah
Papan Nama
Papan Nama Acrylic 1 set
Papan Akrilik Grafik PWS - Program 1
Papan Nama 2 Muka 1 bh
papan DUK 1 buah
Papan Akrilik PWS - Gizi 1
Papan Tulis 1 bh
Pembuatan Logo Puskesmas 1 set
Pengadaan Papan 1 set
Papan Nama DUK 1
Papan Acrilyc , bunner
Frame Akrilik 1
Papan Nama Puskesmas 1
Papan Nama 1
Partisi
1 Buah Partisi + 4 Buah Kursi
1 Set Partisi dan 1 lemari kaca 1 set
Page 94 of 151
1 2 3 4 5
Partisi MTBS 1
Partisi ruang shalat 1
Partisi klinik laktasi 1
Partisi lemari meja kantor loket & Pojok Asi 1
Terali
Teralis Pintu 3 Pintu
Teralis 1 Set
pembuatan Auning Puskesmas/dan teralis besi I unit
Terali Jendela Pintu 1 SET
Komputer
Komputer 1 set
Komputer 4 unit
Komputer PC ACER 1
1
Komputer PC ACER ATC605 1
PC Lenovo ATO C260 3
Komputer merk Lenovo 2
Komputer Merek HP 1
Komputer Asus K31AD-Bing 2
komputer pc lenovo a10 c260 2
komputer lenovo c series 6
Komputer merk Lenovo AIO C 2000 2
Komputer PC Lenovo H30-00-11D, J1800 BING +
Lenovo LED 18.5 L11931 4
Komputer 8
Komputer Lenovo 1
Komputer Lenovo 1
komputer Lenovo Idea center C4030HFTD All in one 2

komputer Lenovo PC S 500-2 KIA (10HV002KIA)
(12.042.000) 3
Komputer PC CI 7 lenovo 1
Komputer Lenovo 1
Komputer 1
Komputer 1
Komputer 1
Komputer 1
Komputer 1
Komputer Set Lenovo 2
Page 95 of 151
1 2 3 4 5
komputer 1
Komputer merk AOC tipe E 1670SWU 2
Komputer Lenovo
Komputer
komputer
Komputer
PC Acer Aspire One 2
pc lenovo 1
pc lenovo 1
PC Acer Aspire 1
Lenovo 1
PC Lenovo 1
PC Lenovo 1
PC Lenovo H 30-05 1
PC Lenovo i5 1
PC Asus 1
PC Pustu [AOC] 3
PC Lenovo A10 C260 (57326506)+LED monitor dan
3
PC LENOVO LED 1
Monitor Komputer 1
Komputer 1
LED monitor LG 22" (22M37A-B) 1
Komputer 1
PC LENOVO 1 UNIT
Notebook / Laptop
Laptop ACER 1
Laptop Lenovo 2
Laptop Lenovo 1
Laptop Lenovo 1
Laptop-Notebook Acer Aspire E5-411-
(G5D(P.Black))= Intel Celeron N2840, 2G.500 1
Laptop ASUS 1
Laptop ACER Aspire One 1
1
Notebook Thosiba Satelite 1
Notebook ACER+Microsoft 1
Laptop merk lenovo 1
Laptop Lenovo G40-30 1
Laptop Lenovo E10-30 1
Laptop Acer Aspire Z1402 3
Notebook tosibha satellite C55D-B5310 1
Laptop 1
Laptop 1
Laptop 1
Page 96 of 151
1 2 3 4 5
Laptop ASSUS 1
Laptop Asus 1
laptop merk asus type x453 m 1
Laptop merk Lenovo 1
LAPTOP TOSHIBA 1
Laptop ACER Es-471-368D 2
Laptop Asus 1
Laptop ASUS X453M 1
Note Book Acer Aspire E3-112-CU58 1
Note Book Lenovo G40-30 1
laptop merk lenovo 640-30-wid N 2830 1
NOTEBOOK HP 2
Leptop Asus 1
Leptop Acer Espire es1/111 1
Note Book Acer Aspire E5-471-503W+Software
Ms.Windows 8.1 1
NB.Acer dan Printer Epson 1Set
Notebook Acer Aspire One 1 Unit
Note Book Toshiba As200 OO1
Notebook 1
notebook acer aspire e3-112 1 unit
Notebook HP Pavillon 14-G105AU 1 Unit
Notebook e5-471 1
Notebook
Notebook
Notebook
Notebook
Notebook
Note Book HP Pavilon 14-R205TU 2
Notebook ACER Aspire 1 unit
2 Unit Notebook ACER E5 2 unit
Notebook linopo 14 inci 1
NOTEBOOK TOSHIBA SATELITE INTEL CORE 1
Notebook Acer Aspire one 14 Z1402-3563 1
Notebook acer (putih) 1
Notebook acer (biru) 1
Notebook Acer Aspire One 1
Notebook Lenovo 1
Notebook Acer 1 bh
Notebook Lenovo G40 1 Unit
Notebook 1
Notebook Tosiba + printer 1 buah
Printer
Page 97 of 151
1 2 3 4 5
Printer Canon MX-397 (A4) 1
Printer Brother 1
Printer Canon IP 2770 3 buah 3
Printer Canon IP 2770 2
Printer 2
Printer EPSON Type L-550 1
printer brother 9dcp-j150 1
printer brother 9dcp-j150 1 buah
PRINTER HP 1515 2 BUAH
PRINTER CANON MX E 510 1 BUAH
PRINTER CANON MX 397 1 UNIT
Printer Brother 1 bh
Printer Brother 1
Printer Canon IP2770 3
Printer L550 1
Printer 1
Printer canon E510 1 Unit
Printer L 210 1
Printer OO1
Printer 1
Printer OO1
Printer
Printer
Printer Epson L565 1 Unit
Printer Brother 1 buah
Printer Epson 1210 1
Printer M 200 1
Printer Brother DCP-T300 1
printer Epson 1
Page 98 of 151
1 2 3 4 5
Printer canon E510 1
Printer Brother 2
Printer Brother 1
Finger Print
Finger Print
Finger Print 1
Meja Kerja
Meja Merk Faye2 Rect Table Brown 1
meja resepsionis 1 buah
Meja Manager 1 Set
Meja counter 1 set
MEJA RESEPSIONIS 1 SET
MEJA TULIS 1/2 BIRO ORBITEN 2 BUAH
MEJA TULIS 1/2 BIRO 4 BUAH
Meja tipe L Horse Metal 1 bh
Meja Bundar 1 bh
Meja Tulis 4
Meja Etalase Alma CA kaca Es 5mm Polos
Meja Kantor 1 buah
meja kantor 1 buah
Meja Kantor + Lemari 1 buah
Meja Komputer Kaca 1
Mobile probstal 1 Unit
Meja 2
Meja Kantor 1/2 biro 2
Meja kerja staff desk ebony 1
Meja kerja kaca 1
Meja 1Set
Pedestal Malca Staff Desk light ( meja ) 1 set
Meja dokter 1
Meja dokter 1
Meja pimpinan 1
Meja Lemari 1
Meja Plywood 60 x 100 3
Meja Kaca 50 x 80 4
Meja Merk Uno 1
Meja Naori Black 1
Meja tulis VISSI MTV-158 6
Meja Loket 1 unit
Meja dispenser (838636) 7
Meja Kerja Bulat 1 bh
Meja Kerja 1 bh
Meja Kerja 1 bh
Meja Kerja 1
Page 99 of 151
1 2 3 4 5
Meja Kerja 1/2 Biro Yunika 3
Meja Kantor Merk High Point 1
Meja tulis 1/2 Biro MP merk Expo 4 Buah
Pembelian Meja Besi OO1
Meja kantor 2
Meja Keja 1 bh
meja direktu+meja komputer 1
Meja Kerja Expo 2 bh
Meja Batu pendaftaran 1 bh
Meja Double TU 1 bh
Meja Kantor uk.160x167x76 cm 1
Meja 2
Meja 1/2 biro 3
Meja Resepsionis 1
Meja Pendaftaran 1 Buah
Meja dan Lemari 4
Meja kantor dan Papan tulis 1
MEJA KERJA KAYU 4 BUAH
meja Kantor L- biro plywood 1
Meja obat 1
Meja 1 buah
Meja Rapat/Pertemuan
Meja tamu 1
Meja Rapat 1
Meja meeting Oval 1 buah
MEJA + KURSI TAMU 1 SET
Meja Pertemuan 1 buah
Meja Sudut 1
Kursi Kerja
Kursi Kerja
Kursi putar zolla (dokter) 1
Kursi pasien biru 1
Kursi isis 10
Kursi Manager 1
Kursi kerja (iso chair ergosit) 6
Kursi hadap merah 1
Kursi hadap merah 1
Kursi besar 1 set
Kursi Kerja 6
Kursi Kerja 4
kursi 4
kursi 1
Kursi Putar 4 bh
Page 100 of 151
1 2 3 4 5
kursi direktur 1
Kursi Hazel Bar 001-005
Kursi Manejer OO1
Kursi Bandara 2 bh
Kursi chitos 2 bh
Kursi Bandara 2 bh
Kursi Chitose 5 bh
KURSI CHROM 3 BUAH
KURSI MANAGER CHROM 4 BUAH
PUBLIC CHAIR 2 BUAH
Kursi Kantor 4 buah
Kursi Direktur 1 buah
Kursi SB - 205 U 9
Kursi putar 3 Buah
Kursi Direktur 1 Unit
KURSI CHROM 3 BUAH
PUBLIC CHAIR 4 BUAH
Kursi Tipe Hugo L Merah 1 bh
Kursi 1
Kursi 1
Kursi Tunggu
Kursi tunggu 1
kursi tunggu WD standar 3
Kursi Bandara (52cm) UP Silver 3
Kursi Tunggu 2
Kursi Tunggu 4 set blue 1 buah
Kursi Tunggu Pasien 2 bh
Kursi Tunggu Pasien 2bh
Kursi Tunggu 5 bh
Kursi tunggu 3 sheet 1
Kursi Tunggu 6
Kursi Tunggu 1
Kursi Tunggu OO1-004
Kursi Tunggu 6
Bangku Tunggu pasien 4 pot 4 Unit
Bangku Tunggu Pasien 3 pot 4 Unit
Sofa
Sofa Tamu 1 set
Sofa 1
SOFA 1
Sofa Tamu 1
Page 101 of 151
1 2 3 4 5
Sofa 1
Sofa 1 Buah
Sofa 1 Pcs
sofa L-M10 1
Sofa 1 Set
Sofa 1
Sofa
Sofa 1 Set
Sofa 1
Sofa Hilton 1 set
Sofa u klinik laktasi 1
Rak Buku/TV/Kayu/Plastik/Besi
Rak pendaftaran 1 Set
Rak alas untuk gizi 1
Rak/ Lemari PMT 1
Rak Besi 1 Buah
rak rekam medik 1 unit
RAK APOTIK 1 SET
RAK BUKU 2 BUAH
Rak Obat
Rak Buku Metal Brother B-902 1 Unit
Rak Lemari 2 buah 2 unit
Rak Simpan 3
rak obat dll 1
Rak Apotik 8
Rak Obat 1
Rak Buku Metal 2
Rak kartu 1
Rak Etalase Kaca Es
Rak Obat
Rak Obat 4 bh
Dispenser
Dispenser 1
Dispenser HWD-88 1
Dispenser Galaxy RSA 1 Unit
Dispenser Sanken 1 buah
Dispenser Polytron 107 1
Dispenser Miyako 389 2
Water Dispenser White 1
Kulkas
Kulkas sanyo 1
Kulkas 2 Pintu 1
Page 102 of 151
1 2 3 4 5
Kulkas 1 Pintu 1
Kulkas LG 1 pintu 1
Kulkas Sharp 1 Unit
Lemari Es 1
Kulkas 1 Pintu Merk Sharp 1
KULKAS Portable 1
Kulkas Mini 1 bh
Kulkas 1 Pintu 1 bh
Lemari Es 2 pintu sharp 1
Kulkas 1 pintu 1 bh
Kulkas Sharp Type SJM 165 1
Kulkas 2 Pintu Sharp 1
Kulkas 1 pintu merk sharp SJM 180D. FP Pink 1 buah
Kulkas 1
Kulkas 1
Kulkas Portable Fridge
Kulkas Mini Bar GEA 1 Unit
Kulkas Panasonic 1 unit 1 unit
kulkas merk SHARP I unit
Lemari Es Portable 1
Lemari Es SharpSJ315-MD 1 Unit
Refrigerator 1 Buah
GEA Freezer 100 1 Unit
Gorden
Gordyn, Vertical Blinds dan Roller Blinds 1
Gorden 1
gordeng poned I unit
Gorden Vertikal Blind 85 Meter
Gorden gedung utama
Gorden gedung kedua
Vertikal Blind 4
Vertikal Blind 2
Vertikal + Krei + Hordeng Ruang Pimpinan 1
Vertical Bland 3 bh Pintu 3
vertical Blind 1
Vertical Blind 1
Vertical Blind 1
Tirai Vertical 1
Hospital Gordeen 1
Wallpaper 1 Set
Wallpaper Moncheri 1 set
Wall Paper 1 Paket
Page 103 of 151
1 2 3 4 5
Kamera
Kamera Canon 1 buah
kamera sony type DSC-WX80 & Intel core i5
processor 1 unit
Kamera Sony 1 bh
Kamera Sony 1
camera Canon 1
Camera Sony Cyber OO1
Camera SONY 1 unit
Sony Kamera Cyber Shot DSC-N830 1 Unit
Handycam
Sony Handycam HDR-PJ410 1 Unit
Handycam SONY 1 unit
handycam spectra dx 17 s/n cpti3120104 1
Proyektor / Infokus
Proj Infokus 1 unit
Proyektor / LCD 1
Projektor 1 bh
Projector Hitachi CP -RX250 1
Projector EpsonEB-X350 1
Proyektor BenQ Mysos 1
Proyektor 1
projector merk Hitachi 1
PROJECTOR HITACHI+LYR TRIPOD LETAEC OO1
projector hitachi (cp.rx 250) 1 buah
Infocus 1
INFOKUS SONY DX 22 1 SET
infocus 1 Set
Layar Proyektor
LCD proyektor Optoma 1 unit
layar tripod brite (tri-2121) 1 buah
Tape / Sound system

Speker Dat Karaoke Balster M-22 1 Unit
Speaker 1
Speaker Aktif 1
Mini Compo 1 Buah
Tape Recorder Mayako 1 buah
Speaker Warle Merck Yamaha 1
Speker 1 Pasang 1
Mini Hifi DM-5530 1
Alat Kedokteran Umum

Stetoscope Litman 1
Page 104 of 151

1 2 3 4 5
Stetoscope Litman 2
USG Merk Mindray Type DP 10 2
Alat TDP (Lampu Theuraphy) 1
Tensimeter digital terumo 1
1
Tensimeter Raksa 8
Tensi Meter Riester 3
Tensi Meter Nova 2
Tensimeter Air Raksa Riestar 2
Meja instrumen SS 2 rak 1
Doppler bestman BF-500+ 1
Nebulizer NEC28 Omron 1
Doppler JPD-100 B Jumper 3
Stelisator kering Fortune 1
Sterilisator 2
Sterilisator 1
Sterilisator Kering Corona 1
tabung oxygen 1
Alat Kesehatan 1 Set
Alat Kesehatan 1 set
Autoskop 1
EKG KENZ 1,3 Channel 1
Sterilisator Kering Electra 1
Kursi Roda Shima 1
kursi roda merk shima 1 buah
Tabung Oksigen 1000M3 1
Tempat tidur bayi 1
EKG 1
Nebulizer 1 bh
Doppler 1 bh
Tensi Air Raksa 1 bh
Tensi air raksa erka 2 buah
Dopler1 unit merk Edan 1
Tabung Oksigen 3
Sterilisator kering 1
Sterillisator Corona 1 buah
Instrument Troley Stainless 3 tingkat 1 buah
Dopler Bistos BT-220 1 buah
Sterilisator Coremedic 1 buah
Kursi Roda Shima 1 buah
Bed Periksa Pasien Lokal 1 buah
Tensimeter Air Raksa 1 bh
Tabung Oksigen 2
Gynaecology bed SM-9022A 1
Tensimeter Air raksa 2
Lampu sorot 1
Page 105 of 151
1 2 3 4 5
Stand Tensimeter OO1
Mercury Tensimeter 001-003
Bed Anak 2
piramid Food model 1
Bed Pasien Anak 1 bh
Tensi Meter Air Raksa 1 bh
Nebulizer Omron Type NE-C 28 1 bh
Tensi HG 1 Buah
Tensimeter air raksa 1
Sterilisator basah 42 cm 1
Sterilisator kering fortune 2
Verios Bed 1 Buah
Screm hordeng 1
Screm hordeng 1
doopler FHR Detector type BF 500++ Merk Bestman 1 set

Baby tofel 1 unit
Tensi meterAir Raksa 1 Unit
Oksigen 1 set 1 Set
Otoskop 1 buah
Bed Gynekology (Besi) 1 buah
Lampu Hallogen 1 buah
Timbangan manual Smith 1 Unit
Bed Skreme Shimma 1 Unit
Bad Pasien
Tempat Tidur Obgin 1 set
Gynaecology SM 9022 A 1
SKAREM PONED 1 SET
Baby Tafel 1 buah
Jahitan Ruang Poli Pelayanan 1 Paket
Damparan ACP Rak Aluminium gigi dan
Laboratorium 4 Buah
Meja Pemeriksaan Bayi, Pintu dan Kusen lemari
gigi. 1 Paket
Bed Gynecologi PC SM-9022A + Halogen lamp SM
9061 1 Unit
Tensi meter Riester, Statescope dan timbangan bayi 1 Paket

Sterilisator kering merk Corona 1 Buah
Bed Obgin 1
Alat Komunikasi
Handphone Samsung Galaxy J2 1
Telepon 1 set
Alat Kedokteran Gigi

Peralatan gigi 1
ULTRASONIC SCALLER 1
HANDPIECE LOW SPEED ALEGRA 1
Page 106 of 151

1 2 3 4 5
Light Curing Woodpecker LED C 1
Handpiece high speed 1 bh
scaller 1
HS W&H RC 90 RM (Alat Poli gigi) 1 Unit
Hand Piece 1 Buah
Light Cure 1 Buah
light ouring woodpecker led-f 1
G Bond GC 1
LED LIGHT CURING UNIT JR-CL17 1 Unit
Alat Laboratorium
Alat Centrifuge Mikro 1 Unit
Micropipet uk. 5-50Ul 1 buah
Micropipet uk.100-1000Ul 1 buah
Hematology Analizer 1
Troli Nadine Kitchen 1

Mesin Cuci 1
Tiang internet 18 m 1
Closet Armstand Winplex 1
Skat Pembatas Lipat Aluminium CA 3
Sharp REFSJ-M180D 1
Nakas Sieben Mobile Pedesial SMP IRD 1
Interior Rapat 1
Acrilic Ukuran F4
Kotak Saran 1
Kitchen Set 1 bh
High Pressure Cleaning 1 buah
Kaca Pintu 1 buah
Alat Elektronik 1 Set
Acrilic dorong tarik / kotak saran 1
pintu geser 1 set
Tangga Pasien Shima 2 buah
Tea CBNT SM41008A Ebony 1 bh
Malca Credenza 4 Door Light 1 bh
Mebel 1 Buah
Tedmond 1
roller blid OO1
Floor Sign Caution dan work safe mat OO1
Pintu Kamar Mandi OO1
Wastafel merk TOTO 2 Set
TEDMOND 1000L 1 SET
Wood Panel TV 1 set
SJM 180 DF-Biru 1
Pembuatan Interior Lemari Meja Kantor Apotik dan 1

Auning puskesmas I unit
Riben Kaca 50M
Kaca Meja
Page 107 of 151

1 2 3 4 5
Biaya Pembuatan Huruf Timbul
Total
MENGETAHUI :
Sekretaris

Nip196402141991032002
Page 108 of 151

B. PERALATAN DAN MESIN
Asal Usul Cara

Tahun Nomor
Ukuran / CC Bahan Perolehan
Pembelian
Pabrik Rangka Mesin Polisi BP
6 7 8 9 10 11 12 13 14
2015 BLUD
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Asal Usul Cara
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Pembelian
6 7 8 9 10 11 12 13 14
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Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
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BLUD
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Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
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Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
2015 BLUD
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2015
BLUD
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Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
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2015 BLUD
2015 BLUD
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2015
BLUD
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Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
2015 BLUD
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Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
2015 BLUD
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Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
2015 BLUD
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Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015
BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
Page 118 of 151

Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
Page 119 of 151
Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
Page 120 of 151
Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
Page 121 of 151
Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
Page 122 of 151
Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
Page 123 of 151
Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
Page 124 of 151
Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
2015
BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
Page 125 of 151

Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
Page 126 of 151
Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015
BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015
BLUD
2015
BLUD
2015
BLUD
2015
BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
Page 127 of 151
Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015 BLUD
2015
BLUD
2015 BLUD
2015 BLUD
2015 BLUD
Page 128 of 151

Asal Usul Cara
Tahun Nomor
Pembelian
6 7 8 9 10 11 12 13 14
2015 BLUD
2015 BLUD
2015 BLUD
Total
Page 129 of 151

nilai Keterangan
Baik Rusak Berat Tempat Keterangan
15 16
9,900,000.00 Makrayu
3,000,000.00 Plaju
1,298,000.00 KAMPUS
1,458,000.00 Gandus
1,650,000.00 Merdeka
7,315,000.00 kalidoni
2,041,100.00 Plaju
1,830,000.00 Sukarami
2,167,900.00 kalidoni
5,711,841.00 KAMPUS
5,210,000.00 Keramasan
3,300,000.00 Gandus
4,120,000.00 Gandus
7,329,000.00 Makrayu
18,449,000.00 OPI
3,150,950.00 OPI
13,999,000.00 Keramasan
4,769,000.00 Taman bacaan
8,920,000.00 PLAJU
3,029,000.00 PAKJO
5,099,000.00 PAKJO
4,900,000.00 PADANG SELASA
2,950,000.00 23 Ilir
4,996,568.00 Ariodillah
5,156,875.00 dempo
3,191,941.00 talang ratu
4,850,250.00 5 Ilir
2,961,250.00 5 Ilir
3,458,368.00 11 ilir
4,819,000.00 boom baru
5,799,000.00 kenten
7,043,759.00 sabokingking
6,696,550.00 kalidoni
6,800,000.00 sei selincah
Page 130 of 151

nilai Keterangan
15 16
2,982,273.00 Sematang borang
4,000,000.00 punti kayu
3,349,700.00 albar
3,534,472.00 karya jaya
2,883,795.00 4 ulu
9,450,000.00 Merdeka
5,225,000.00 Sukarami
5,225,000.00 Sukarami
2,926,875.00 4 ulu
1,815,000.00 7 Ulu
1,616,750.00 KAMPUS

9,900,000.00 TAMAN BACAAN
6,881,326.00 KERAMASAN
15,021,836.00 KERAMASAN
13,380,140.00 KERAMASAN
3,999,250.00 NAGASWIDAK
24,808,750.00 PLAJU
5,296,250.00 PLAJU
3,623,750.00 KAMPUS
26,780,500.00 PAKJO
4,506,000.00 Makrayu
3,639,000.00 Makrayu
4,471,121.00 Makrayu
3,800,000.00 Gandus
2,975,530.00 4 ulu
3,292,290.00 4 ulu
4,673,432.00 Talabg Betutu
Page 131 of 151
nilai Keterangan
15 16
3,791,000.00 dempo
4,900,000.00 dempo
5,463,500.00 dempo
6,000,000.00 dempo
3,975,000.00 kenten
4,160,000.00 kenten
17,140,000.00 kenten
3,300,000.00 23 Ilir
3,850,000.00 23 Ilir
4,000,000.00 Merdeka
3,800,000.00 Merdeka
4,150,000.00 Merdeka
9,500,000.00 Basuki Rahmat
13,873,781.00 sekip
11,707,500.00
7,491,818.00 boom baru
3,242,623.00 bukit sangkal
5,200,000.00 kalidoni
4,252,500.00 punti kayu
4,252,500.00 punti kayu
4,206,001.00 punti kayu
4,206,001.00 punti kayu
4,206,000.00 punti kayu
4,206,000.00 punti kayu
4,206,000.00 punti kayu
2,174,250.00 Talang betutu
2,800,000.00 punti kayu
2,800,000.00 punti kayu
2,800,000.00 punti kayu
3,450,000.00 punti kayu
9,378,200.00 albar
24,163,400.00 albar
4,693,200.00 albar
Page 132 of 151

nilai Keterangan
15 16
9,004,920.00 albar
4,689,100.00 albar
3,769,713.00 karya jaya
4,023,123.00 karya jaya
3,150,000.00 Pembina
4,237,000.00 Pembina
3,329,000.00 SEI BAUNG
5,200,000.00 kalidoni
11,220,000.00
4,090,000.00
4,020,475.00 Sukarami
6,210,000.00 albar
2,978,100.00 Sukarami
1,974,000.00 Plaju
1,454,400.00 KAMPUS
1,475,000.00 KAMPUS
2,908,800.00 Merdeka
9,366,000.00 dempo
8,195,250.00 5 ilir
2,285,750.00 5 ilir

9,900,000.00 Makrayu
6,490,000.00 Pembina
9,090,150.00 PAKJO
12,687,000.00 Merdeka
10,899,900.00 Sukarami
3,443,000.00 Makrayu
4,915,500.00 Makrayu
1,999,000.00 1 Ulu
2,783,000.00 4 ulu
Page 133 of 151
nilai Keterangan
15 16
28,127,000.00 7 ulu
9,240,000.00 Pembina
2,255,000.00 Pembina
1,045,000.00 Pembina
1,350,000.00 Pembina
1,350,000.00 Pembina

2,400,000.00 PAKJO
5,774,560.00 KAMPUS
Basuki Rahmat
3,425,000.00 sekip
2,963,182.00 kenten
7,100,000.00 Sukarami
4,180,000.00 punti kayu
2,420,000.00 punti kayu
2,420,000.00 punti kayu
4,180,000.00 punti kayu
2,500,000.00 punti kayu
2,500,000.00 punti kayu
Page 134 of 151

nilai Keterangan
15 16
2,500,000.00 punti kayu
2,500,000.00 punti kayu
2,500,000.00 punti kayu
2,500,000.00 punti kayu
2,500,000.00 punti kayu
2,053,355.00 albar
3,458,331.00 karya jaya
8,362,500.00 KAMPUS
4,000,000.00 23 Ilir
1,800,000.00 kenten
30,100,500.00 kalidoni
3,080,000.00 Sukarami
7,320,000.00 kalidoni
2,266,000.00 PAKJO
2,718,000.00 4 ulu
1,658,100.00 PAKJO

4,328,000.00 Plaju
4,432,125.00
4,300,555.00 Plaju
4,152,260.00 Plaju
4,003,965.00 Plaju
5,138,000.00 PAKJO
5,138,000.00 SEI BAUNG
4,427,564.00 boom baru
4,566,000.00 boom baru
2,283,000.00 boom baru
4,758,300.00 kenten
2,453,000.00 Gandus
8,997,000.00 Gandus
2,889,000.00 Gandus
Page 135 of 151

nilai Keterangan
15 16
5,127,000.00 Gandus
2,999,000.00 Gandus
5,317,000.00 Gandus
5,599,000.00 Gandus
4,070,000.00 Gandus
2,698,200.00 Gandus
2,299,000.00 Gandus
7,712,000.00 Gandus
8,172,000.00 Gandus
45,000,000.00 Gandus
5,598,000.00 Gandus
2,799,000.00 Gandus
6,678,000.00 boom baru
2,889,000.00 boom baru
5,598,000.00 boom baru
3,311,100.00 PAKJO
3,679,000.00 PAKJO
3,899,000.00 punti kayu
1,494,000.00 OPI
2,758,000.00
1,210,000.00 Makrayu
6,600,000.00 Pembina
2,676,000.00 KAMPUS
1,320,000.00 Pembina
1,078,000.00 KAMPUS
4,970,453.00 sekip
8,175,000.00 sekip
9,900,000.00 Pembina
9,509,500.00 Sukarami
21,485,000.00 Sukarami
8,305,000.00 Makrayu
Page 136 of 151
nilai Keterangan
15 16
4,970,454.00 punti kayu

9,910,534.00 punti kayu
7,094,000.00 Makrayu
24,641,500.00 Makrayu
8,393,500.00 4 ulu
4,561,363.50 4 ulu
9,900,000.00 4 ulu
2,975,530.00 4 ulu
10,800,000.00 4 ulu
9,300,000.00 4 ulu
14,097,000.00 Keramasan
7,932,050.00 kalidoni
12,900,000.00 kalidoni
6,163,080.00 dempo
9,398,000.00 5 ilir
32,112,000.00 5 ilir
9,731,000.00

49,060,000.00 PLAJU
5,472,622.00 KAMPUS
5,472,622.00 KAMPUS

13,350,000.00 Merdeka
9,398,000.00
9,860,000.00 sekip
Page 137 of 151

nilai Keterangan
15 16
6,450,000.00 kalidoni
9,680,000.00
6,600,000.00 Sukarami
6,268,900.00 Sukarami
6,268,900.00 Sukarami
6,268,900.00 Sukarami
4,699,000.00 punti kayu
4,699,000.00 punti kayu
4,599,000.00 punti kayu
7,671,200.00 punti kayu
4,850,000.00 punti kayu
4,850,000.00 punti kayu
7,899,000.00 Plaju
4,600,000.00 Plaju
12,820,500.00 Plaju
5,334,955.00 boom baru
2,000,000.00 Merdeka
5,334,954.00 boom baru
4,906,000.00 Makrayu

5,407,750.00 KAMPUS
3,999,000.00 PAKJO
2,569,000.00 PAKJO
6,590,000.00 PAKJO
7,098,000.00 PAKJO
3,099,000.00 23 Ilir
3,899,000.00 23 Ilir
13,350,000.00 Merdeka
6,090,000.00 dempo
Page 138 of 151

nilai Keterangan
15 16
8,260,000.00 sekip
5,463,500.00 kenten
9,402,250.00 kalidoni
4,565,000.00
4,201,000.00 albar
3,546,714.00 karya jaya
3,952,168.00 karya jaya
8,685,300.00 punti kayu
3,400,000.00 1 Ulu
8,209,441.00 7 ulu
7,300,000.00 OPI
4,799,000.00 Plaju
6,799,000.00 Plaju
3,699,000.00 SEI BAUNG
6,465,885.00 kenten
3,899,000.00 Sukarami
5,555,864.00 boom baru
4,788,050.00 Sukarami
4,783,900.00 Sukarami
4,783,900.00 Sukarami
4,783,900.00 Sukarami
4,783,900.00 Sukarami
3,999,000.00 punti kayu
3,999,000.00 punti kayu
7,904,336.00 7 Ulu
3,299,000.00 Makrayu
19,601,700.00 Makrayu
3,750,000.00 1 Ulu
6,129,122.00 4 ulu
5,099,000.00 7 ulu
7,999,000.00
7,298,000.00
5,168,532.00 KAMPUS
6,698,000.00
4,788,050.00 Sukarami
6,360,000.00 PAKJO
Page 139 of 151

nilai Keterangan
15 16
1,720,000.00 Makrayu
3,233,500.00 Makrayu
1,770,000.00 Makrayu
2,350,000.00 Gandus
5,550,000.00 Gandus
1,200,000.00 1 Ulu
2,500,000.00 Pembina
4,125,500.00 karya jaya
3,640,000.00 4 ulu
16,450,000.00 KERAMASAN
1,800,000.00 punti kayu
1,800,000.00 punti kayu
1,899,000.00 punti kayu
1,899,000.00 punti kayu
1,899,000.00 punti kayu
2,620,250.00 KAMPUS
1,899,000.00 Plaju
2,100,000.00 4 ulu
3,534,545.00 boom baru
Basuki Rahmat
1,199,000.00 SEI BAUNG
2,100,000.00 dempo
2,700,000.00 dempo
12,153,500.00 dempo
2,425,125.00 dempo
2,374,772.00 boom baru
1,226,500.00 kenten
Basuki Rahmat
1,210,000.00 kenten
2,475,000.00 Sukarami
2,475,000.00 Sukarami
2,190,000.00 punti kayu
5,466,000.00 albar
4,400,000.00
1,900,000.00 PAKJO
3,798,000.00
Page 140 of 151
nilai Keterangan
15 16
1,199,000.00 SEI BAUNG
12,153,500.00 dempo
2,425,125.00 dempo
10,078,978.00 punti kayu
19,782,300.00 kalidoni
5,950,000.00 Sosial
1,650,000.00 Sosial
3,855,250.00 Sukarami
3,579,875.00 Sukarami
1,050,000.00 punti kayu
4,200,000.00 punti kayu
9,940,909.00 punti kayu
1,899,000.00 Pembina
1,248,000.00 OPI
1,258,000.00 1 Ulu
1,618,000.00 Gandus
3,794,000.00 Gandus
2,350,000.00 Gandus
5,273,000.00 OPI
1,068,910.00 OPI
2,758,000.00
4,829,000.00
2,168,000.00
3,960,000.00 4 ulu
4,237,000.00 SEI BAUNG
1,809,000.00 KAMPUS
8,362,500.00 KAMPUS
8,362,500.00 KAMPUS
2,667,080.00 Plaju
Page 141 of 151
nilai Keterangan
15 16
1,527,273.00 kenten
Basuki Rahmat
4,299,000.00 sekip
5,236,040.00
1,449,500.00 11 ilir
9,379,798.00 sekip
1,767,272.00 sekip
7,599,000.00 Merdeka
3,801,819.00 boom baru
9,812,000.00 dempo
2,000,000.00 PAKJO
4,600,000.00
1,041,273.00 SEI BAUNG
8,615,455.00 punti kayu
1,030,000.00 Plaju
41,890,000.00 Makrayu
2,350,000.00 Gandus
1,784,000.00 Gandus
Basuki Rahmat
2,508,000.00 4 ulu
2,988,000.00
3,449,000.00 OPI
4,147,800.00 Plaju
4,087,010.00 Plaju
1,540,785.00 Plaju
4,800,000.00 sekip
Page 142 of 151
nilai Keterangan
15 16
3,099,700.00
5,190,000.00 kenten
2,759,000.00 kenten
3,345,000.00 11 ilir
2,278,175.00 11 ilir
3,340,500.00 11 ilir
2,503,425.00 11 ilir
2,000,000.00 punti kayu
1,638,636.00 punti kayu
7,435,125.00 Sukarami
1,960,000.00
1,870,000.00 4 ulu
1,870,000.00 4 ulu
3,740,000.00 4 ulu
1,149,000.00
4,497,000.00 1 Ulu
2,958,000.00 Plaju
1,286,727.00 SEI BAUNG
2,958,000.00
2,298,000.00
14,860,000.00 sekip
3,838,388.00
10,603,650.00
1,149,000.00
8,874,000.00 Pembina
1,299,000.00 boom baru
5,916,000.00 kenten
7,714,000.00 kalidoni
5,785,500.00 kalidoni
6,378,000.00 OPI
9,366,000.00 Plaju
Page 143 of 151
nilai Keterangan
15 16
9,900,000.00 dempo
1,469,000.00 kalidoni
6,050,000.00
2,978,100.00 Sukarami
2,970,000.00 Sukarami
8,400,000.00 punti kayu
6,578,500.00 PAKJO
8,525,000.00
3,000,000.00 23 Ilir
7,975,000.00 dempo
9,913,500.00 Sukarami
4,827,950.00 karya jaya
2,718,000.00 Makrayu
3,207,000.00 4 ulu
19,700,000.00 Pembina
3,420,000.00 Plaju
4,763,000.00 Plaju
7,159,750.00 Sukarami
9,913,500.00 Sukarami
4,276,000.00
2,100,000.00 Plaju
2,288,790.00 boom baru
1,527,271.00 punti kayu
5,250,000.00 Gandus
9,526,500.00 Gandus
1,716,000.00 Plaju
Page 144 of 151
nilai Keterangan
15 16
2,125,000.00
1,869,000.00 OPI
2,420,000.00 Pembina
2,107,350.00 PLAJU
1,367,395.00 KAMPUS
1,725,000.00 KAMPUS
1,732,500.00
1,650,000.00 23 Ilir
4,500,000.00 Merdeka
2,092,850.00 Sukarami
2,863,900.00 Sukarami
4,626,300.00 Sukarami
2,706,500.00 Makrayu
1,621,363.00 boom baru
4,197,273.00 karya jaya
16,596,800.00 dempo
26,684,866.00 7 ulu
5,575,000.00 Pembina
18,307,841.00 punti kayu
9,477,500.00 Gandus
6,646,900.00 Gandus
22,964,144.00 Merdeka
15,610,000.00 11 ilir
8,920,000.00 11 ilir
8,000,000.00 Plaju
2,250,000.00 PAKJO
2,100,000.00 PAKJO
Page 145 of 151
nilai Keterangan
15 16
1,694,000.00 PAKJO

5,067,168.00 KAMPUS
3,546,714.00 4 ulu
1,800,000.00 1 Ulu
1,499,000.00 kenten
4,275,000.00 Makrayu
1,599,000.00 karya jaya
4,075,336.00 karya jaya

2,499,000.00 Makrayu
3,500,000.00 1 Ulu
4,350,000.00 sekip
5,818,273.00 KAMPUS
4,899,000.00 7 Ulu
3,600,000.00 4 ulu
5,523,305.00 kenten
4,899,000.00 punti kayu
5,399,110.00 albar
5,917,500.00 kalidoni

1,805,375.00 punti kayu
2,286,865.00 karya jaya

1,500,000.00 Pembina
1,950,000.00 PLAJU
1,430,000.00 dempo
1,963,636.00 punti kayu
1,600,000.00 1 Ulu
1,939,000.00 boom baru
Page 146 of 151

nilai Keterangan
15 16
4,906,000.00 Gandus
1,341,818.00 4 ulu
1,430,000.00 4 ulu
1,430,000.00 4 ulu
1,485,000.00 4 ulu
3,000,000.00 4 ulu
9,680,000.00 Pembina
2,943,600.00 Taman Bacaan
2,475,000.00 4 ulu
1,320,000.00 4 ulu
1,200,000.00 4 ulu
3,240,000.00 4 ulu
2,024,000.00 Gandus
3,960,000.00 OPI
4,561,363.50 4 ulu
2,340,000.00 PAKJO
2,246,500.00 PAKJO
1,925,000.00 Plaju
4,787,500.00 Plaju
20,665,250.00 Plaju
1,540,000.00 KAMPUS
1,375,000.00 KAMPUS
1,375,000.00 KAMPUS
3,345,000.00 PAKJO
2,072,333.33 SEI BAUNG
3,222,333.33 SEI BAUNG
1,388,750.00 SEI BAUNG
1,838,750.00 SEI BAUNG
1,188,750.00 SEI BAUNG
1,688,750.00 SEI BAUNG
1,505,250.00 KAMPUS
2,600,000.00 Merdeka
5,100,010.00 boom baru
3,010,500.00 boom baru
1,338,000.00 boom baru
Page 147 of 151
nilai Keterangan
15 16
3,023,693.00 kenten
4,233,171.00 kenten
2,420,000.00
1,100,000.00
1,900,000.00 dempo
9,350,000.00 dempo

2,147,000.00 kalidoni
2,326,600.00 kalidoni
2,376,500.00 punti kayu
1,500,000.00 punti kayu
3,500,000.00 punti kayu
1,600,000.00 punti kayu
1,435,909.00 karya jaya
2,540,091.00 karya jaya
3,861,000.00 Sukarami
2,310,000.00
10,822,500.00 Plaju
2,680,000.00 Gandus
4,290,000.00 4 ulu
6,380,000.00 4 ulu
Page 148 of 151

nilai Keterangan
15 16
1,551,000.00 7 Ulu
1,705,000.00 KAMPUS
1,925,000.00 SEI BAUNG
1,976,500.00 dempo
7,500,000.00 dempo
Basuki Rahmat
1,078,000.00 kalidoni

113,000,000.00 4 ulu
2,200,000.00 Pembina
6,664,000.00
52,616,000.00 Plaju
5,104,000.00 Plaju
7,364,500.00 Plaju
5,548,800.00 KAMPUS
1,100,000.00 PAKJO
3,500,000.00 PAKJO
4,745,000.00 PAKJO
1,449,500.00 SEI BAUNG
1,799,000.00
2,299,000.00
9,812,000.00 dempo
5,522,727.00 kenten
1,647,800.00 kenten
1,363,636.00 kenten
2,174,200.00 kalidoni
7,159,750.00 Sukarami
5,000,810.00 Sukarami
Page 149 of 151

nilai Keterangan
15 16
3,190,000.00 Sukarami
1,457,500.00 Sukarami
6,490,000.00 Sukarami
4,617,639,384.99
Palembang, 2016
PENGURUS BARANG
Yeni Laswari SKM

Nip.198208312009032001
Page 150 of 151

DAFTAR INVENTARIS BARANG (BELANJA MODAL BLUD PUSKESMAS)
TAHUN 2015
NO JENIS ASET NILAI
1 Tanah -
2 Peralatan Mesin 4,617,639,384.99
3 Gedung dan Bangunan 170,892,057.00
4 Jalan, Irigasi dan Jaringan 22,246,458.00
5 Aset Tetap Lainnya (Tanaman Hias dan Rumah Toga) 4,813,250.00
6 Aset Lainnya-Aset Tidak Berwujud 7,855,200.00
7 Dibawah 1 juta 27,917,532.01
Jumlah 4,851,363,882.00
Palembang, 2016
Mengetahui
a.n Kepala Dinas Kesehatan Kasubbag. Keuangan
Kota Palembang & Perlengkapan
Sekretaris
dr. Hj. Letizia, M.Kes Toraha, SE, MM

NIP. 196402141991032002 NIP. 196709271988032004

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KARTU

No. Nomor Ukuran /

3 Tabung Pemadam Kebakaran

Kipas Angin Uap Humidifier Blk 2,3 L LB-FS-50 1

Lemari Arsip Sedang Pintu Sliding High Point 2

Lemari Obat aluminium model piano kombinasi

Laptop-Notebook Acer Aspire E5-411-

Kulkas 1 pintu merk sharp SJM 180D. FP Pink 1 buah

PROJECTOR HITACHI+LYR TRIPOD LETAEC OO1

35 Tape / Sound system

36 Alat Kedokteran Umum

Alat Kedokteran Gigi

Troli Nadine Kitchen 1

Dr.Hj. Letizia, M.Kes

Asal Usul Cara

2015 BLUD 3,000,000.00

2015 BLUD 2,041,100.00

2015 BLUD 5,711,841.00

2015 BLUD 1,616,750.00

2015 BLUD 3,900,000.00

2015 BLUD 6,210,000.00

2015 BLUD 746,900.00

2015 BLUD 2,285,750.00

2015 BLUD 1,247,500.00

2015 BLUD 11,830,909.00

2015 BLUD 3,443,000.00

2015 BLUD 4,510,000.00

2015 BLUD 4,300,555.00

2015 BLUD 3,311,100.00

2015 BLUD 1,210,000.00

2015 BLUD 21,485,000.00

2015 BLUD 4,970,454.00

2015 BLUD 7,094,000.00

2015 BLUD 4,906,000.00

2015 BLUD 1,720,000.00

2015 BLUD 1,800,000.00

2015 BLUD 1,138,000.00

2015 BLUD 4,600,000.00

2015 BLUD 1,030,000.00

2015 BLUD 41,890,000.00

2015 BLUD 1,870,000.00

2015 BLUD 6,378,000.00

2015 BLUD 8,525,000.00

2015 BLUD 2,100,000.00

2015 BLUD 1,716,000.00

2015 BLUD 26,684,866.00

2015 BLUD 2,250,000.00

2015 BLUD 1,694,000.00

2015 BLUD 4,075,336.00

2015 BLUD 4,350,000.00

2015 BLUD 4,214,700.00

2015 BLUD 2,286,865.00

2015 BLUD 918,000.00

2015 BLUD 1,999,000.00

2015 BLUD 2,680,000.00

2015 BLUD 5,280,000.00

2015 BLUD 1,158,000.00

Yeni Laswari SKM

Yeni Laswari SKM

Dr.Hj. Letizia, M.Kes

Yeni Laswari SKM

Pembangunan Jaringan Internet 1

Dr.Hj. Letizia, M.Kes