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AREA

NO NAMA BARANG NO KATALOG TEST


PENGUKURAN

1 ALUMINIUM CELL TEST 1,005,940,001 25 0,02-0,5 MG/L


2 ARSENIK CELL TEST 1,179,170,001 100 LOW
3 AMONIUM CELL TEST 1147390001 25 0,01-2
4 BOD CELL TEST 1006870001 50 0,5-3000
5 CALSIUM CELL TEST 1008580001 25 10-250
6 CHLORINE CELL TEST 1005970001 200 0,03-6
7 CYANIDE CELL TEST 1147300001 100 0,002-0,5
8 COPPER CELL TEST 1145530001 25 0,05-8
9 CADMIUM CELL TEST 1017450001 25 55
10 FLUORIDA CELL TEST 1145570001 25 0,1-1,5
11 IRON CEEL TEST 1145490001 25 0,05-4
12 MANGAN CELL TEST 1008190001 25 0,1-5
13 SULFATE CELL TEST 1145480001 25 `5 -25
14 NITRIT CELL TEST 1145470001 25 0,01-0,7
15 NITRAT CEEL TEST 1145630001 25 0,5-25
16 ZINC CELL TEST 1008610001 25 0,2-5
17 TOTAL ALKALI CELL TEST 1017580001 25
18 LARUTAN STANDAR Ph 1990020001 `1 - 7 500 ml
19 TOTAL HARDNESS 1009610001 `7 - 14 500 ml
20 LARUTAN STANDAR Mn 1197890500 500 ml
21 LARUTAN STANDAR Cl 1198970500 500 ml
22 LARUTAN STANDAR Al 1197700500 500 ml
23 LARUTAN STANDAR Fe 1197810500 500 ml
24 LARUTAN STANDAR Zn 1198060500 500 ml
25 LARUTAN STANDAR Ca 1197780500 500 ml
26 LARUTAN STANDAR As 1197730500 500 ml
27 LARUTAN STANDAR Ca 1197780500 500 ml
28 LARUTAN STANDAR Cu 1197860500 500 ml
29 LARUTAN STANDAR Cd 1197770500 500 ml
30 LARUTAN STANDAR Hg 1702260500 500 ml
31 LARUTAN STANDAR Fluorida 1198140500 500 ml
32 LARUTAN STANDAR Nitrat 1198110500 500 ml
33 LARUTAN STANDAR Sulfate 1198130500 500 ml
34 LARUTAN STANDAR Arsen 1197730500 500 ml
35 LARUTAN STANDAR Amoniak 1198120500 500 ml
36 buffer ph 7 1094770001
37 LACTOSE BROTH 1076610500 1 KG
38 BGLB 1054540500 1 KG
39 HNO 3 1004561000 L
40 NUTRIENT AGAR 1054500500 500 GR
41 BUFFER PEPTON 250 GR
42 NAOH (NATRIUM HIDROKSIDA)
43 Amonium Klorida (NH4Cl) 1011450500 500 gr
44 Amonium Hidroksida pekat (NH4OH) 1l
45 EDTA 1 kg
46 AMINO ETANOL 500 L
47 Indikator EBT 100 gr
48 NaCL 1 kg
49 NH2OH HCl
50 NATRIUM SITRAT (Na3C6H5O7.H2O)
51 HIDROKSILAMIN HIDROKLORIDA
52 REAGEN NEOKUPROIN
53 KLOROFORM 1024421000
54 KALIUM IODIDA
55 SELENIUM 1197960500 500 ML
56 Indikator METIL ORANGE 25 GR
57 KMno4 1 KG
58 CaCl2 2H2O 500 GR
59 NaSO4 500 GR
60 DIAMINOBENZIDINE HIDROKLORIDA
61 Toluen 1L
62 Etanol 8187601000 1L
63 Metanol 2,5 L
64 SILIKA GEL 1 KG
65 Amonium Thiosulfate 1012081000 1 kg
66 BORAX TEST KIT I SET 100
67 FORMALIN TEST KIT I SET 100
68 METANIL YELOW TEST KIT I SET 100
69 RODAMIN B TEST KIT I SET 100
JUMLAH

1
2
1
1
1
1
2
2
2
2
1
1
1
1
1
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
PEMERINTAHAN KABUPATEN DHARMASRAYA
DINAS KESEHATAN
UPTD LABORATORIUM KESEHATAN DAERAH
Jln. Lintas Sumatera Km. 2 Sungai dareh
Kode Pos : 27614 No Telp. (0754) 40081

DAFTAR PERMINTAAN BARANG HABIS PAKAI


UPTD. LABKESDA KAB. DHARMASRAYA

NO NAMA BARANG SPESIFIKASI JUMLAH HARGA

1 STRIP HCG BOX 1

2 STRIP HBSAG BOX 1

3 STRIP ANTI HIV BOX 1

4 STRIP MALARIA BOX 1

5 STRIP GULA DARAH BOX 5

6 STRIP KHOLESTEROL BOX 5

7 STRIP ASAM URAT BOX 5

8 TABUNG EDTA BOX 3

Sungai Dareh, 19 Juli 2016


Kepala UPTD Labkesda

( drg.Lennita Arifin )
NIP.19761123200804 2 001
ASRAYA

N DAERAH
m. 2 Sungai dareh
0081

S PAKAI
RAYA

Total jumlah Keterangan

1 KLINIK

1 KLINIK

1 KLINIK

1 KLINIK

5 KLINIK

5 KLINIK

5 KLINIK

3 KLINIK

gai Dareh, 19 Juli 2016


Kepala UPTD Labkesda

( drg.Lennita Arifin )
IP.19761123200804 2 001
42 HUMATROL N (SERUM KONTROL) 6X5ML 2 Rp 1,350,000

43 LEV II (URINE Kontrol) 12X12 ML 1 Rp 4,987,000

44 BLUE TIP BOX 2 Rp 90,000

45 YELLOW TIP BOX 3 Rp 90,000

46 WHITE TIP BOX 2 Rp 90,000

47 CHOLESTEROL(10017) (HUMAN) 4X30 ML 12 Rp 875,000

48 CREATININ(10051) (HUMAN) 200 ML 2 Rp 500,000

49 BILIRUBIN TOTAL/DIRECT (10740) 2X100 ML 2 Rp 662,500

50 GOT (12011) (HUMAN) 10X10 ML 2 Rp 625,000

51 GPT (12012) (HUMAN) 10X10 ML 2 Rp 625,000

52 TOTAL PROTEIN (157004) (HUMAN) 4X100 ML 2 Rp 477,000

53 TRIGLYCERIDES (10720P) (HUMAN) 9X15 ML 3 Rp 1,726,000

54 UREA (HUMAN) 2X 100 ML 2 Rp 550,000

55 URICE ACID (HUMAN) 4 X30 ML 3 Rp 1,010,000

56 COMBINA 11,S (HUMAN) 150 TEST 2 Rp 1,246,000

57 HDL COLESTEROL (HUMAN) 4 X80 ML 3 Rp 1,300,000

58 HbsAg RAPID TEST KOTAK 1 Rp 800,000

59 WIDAL H 5 ML 4 Rp 234,000

60 WIDAL O 5 ML 4 Rp 234,000

61 TEST Ca DARAH/KALSIUM (HUMAN) 200 ML 1 Rp 585,000

62 TEST GLUKOSA DARAH (HUMAN) 4 X 100 ML 3 Rp 923,500

63 TEST GLUKOSA DARAH (HUMAN) 5 X 100 ML 3 Rp 923,500

64 NARKOBA TEST 3 PARAMETER 25 5 Rp 1,200,000

65 BD VACUTAINER UKURAN 22 5 Rp 590,000

66 BD VACUTAINER UKURAN 24 5 Rp 590,000

67 BD VACUTAINER UKURAN 26 5 Rp 590,000

68 PLESTERIN BULAT ONE MED BOX 5 Rp 250,000

Sungai Dareh, 02 Januari 2017


Kepala UPTD Labkesda

( drg. Lennita Arifin)


NIP.19731123 200804 2 001
Rp 2,700,000 KLINIK

Rp 4,987,000 KLINIK

Rp 180,000 KLINIK

Rp 270,000 KLINIK

Rp 180,000 KLINIK

Rp 10,500,000 KLINIK

Rp 1,000,000 KLINIK

Rp 1,325,000 KLINIK

Rp 1,250,000 KLINIK

Rp 1,250,000 KLINIK

Rp 954,000 KLINIK

Rp 5,178,000 KLINIK

Rp 1,100,000 KLINIK

Rp 3,030,000 KLINIK

Rp 2,492,000 KLINIK

Rp 3,900,000 KLINIK

Rp 800,000 KLINIK

Rp 936,000 KLINIK

Rp 936,000 KLINIK

Rp 585,000 KLINIK

Rp 2,770,500 KLINIK

Rp 2,770,500 KLINIK

Rp 6,000,000 KLINIK

Rp 2,950,000 KLINIK

Rp 2,950,000 KLINIK

Rp 2,950,000 KLINIK

Rp 1,250,000 KLINIK
Rp 167,604,000

Sungai Dareh, 02 Januari 2017


Kepala UPTD Labkesda

( drg. Lennita Arifin)


NIP.19731123 200804 2 001
PEMERINTAHAN KABUPATEN DHARMASRAYA
DINAS KESEHATAN
UPTD LABORATORIUM KESEHATAN DAERAH
Jln. Lintas Sumatera Km. 2 Sungai dareh
Kode Pos : 27614 No Telp. (0754) 40081

DAFTAR PERMINTAAN BARANG HABIS PAKAI


UPTD. LABKESDA KAB. DHARMASRAYA

NO NAMA BARANG SPESIFIKASI JUMLAH HARGA

1 STRIP HCG BOX 1

2 STRIP HBSAG BOX 1

3 STRIP ANTI HIV BOX 1

4 STRIP MALARIA BOX 1

5 STRIP GULA DARAH BOX 5

6 STRIP KHOLESTEROL BOX 5

7 STRIP ASAM URAT BOX 5

8 TABUNG EDTA BOX 3

Sungai Dareh, 19 Juli 2016


Kepala UPTD Labkesda

( drg.Lennita Arifin )
NIP.19761123200804 2 001
SRAYA

N DAERAH
m. 2 Sungai dareh
0081

PAKAI
AYA

Total jumlah Keterangan

1 KLINIK

1 KLINIK

1 KLINIK

1 KLINIK

5 KLINIK

5 KLINIK

5 KLINIK

3 KLINIK

gai Dareh, 19 Juli 2016


Kepala UPTD Labkesda

( drg.Lennita Arifin )
IP.19761123200804 2 001
PEMERINTAHAN KABUPATEN DHARMASRAYA
DINAS KESEHATAN
UPTD LABORATORIUM KESEHATAN DAERAH
Jln. Lintas Sumatera Km. 2 Sungai dareh
Kode Pos : 27614 No Telp. (0754) 40081

DAFTAR PERMINTAAN BARANG HABIS PAKAI


UPTD. LABKESDA KAB. DHARMASRAYA

NO NAMA BARANG SPESIFIKASI JUMLAH HARGA

1 DIRUI DILUENT 20 L 6 Rp 1,550,000

2 DIRUI CLEANER L 6 Rp 1,000,000

3 DIRUI LYSE L 6 Rp 2,350,000

4 LARUTAN REES-ECKER 200 ML 1 Rp 125,000

5 Ig G- Ig M DENGUE BOX 1 Rp 1,777,500

6 MALARIA STRIP BOX 1 Rp 1,125,000

7 GOLONGAN DARAH ABO SET 1 Rp 500,000

8 WIDAL (STY H DAN O ) SET 1 Rp 550,000

9 CHOLESTEROL STRIP KOTAK 5 Rp 150,000

10 HCl (ASAM KLORIDA) 2.5 L 1 Rp 500,000

11 H2SO4 (ASAM SULFAT) 1L 1 Rp 850,000

13 LACTOSE BROTH 1 KG 1 Rp 1,200,000

15 NAOH (NATRIUM HIDROKSIDA) 1 KG 1 Rp 2,000,000

16 HNO 3 L 1 Rp 950,000

17 PH INDIKATOR PAPER 1-10 SET 1 Rp 850,000

18 ALUMINIUM CELL TEST MERC 2 Rp 2,250,000

19 CHLORINE CELL TEST MERC 1 Rp 2,000,000

20 IRON CEEL TEST MERC 2 Rp 2,400,000

21 MANGAN CELL TEST MERC 2 Rp 2,400,000

22 SULFATE CELL TEST MERC 2 Rp 2,200,000

23 NITRIR CELL TEST MERC 2 Rp 2,300,000

24 NITRAT CEEL TEST MERC 2 Rp 2,400,000

25 NUTRIENT AGAR 500 GR 1 Rp 450,000

26 BUFFER PEPTON 250 GR 1 Rp 575,000

Sungai Dareh, 21 Juli 2016


Kepala UPTD Labkesda

( drg.Lennita Arifin )
NIP.19761123200804 2 001
RAYA

DAERAH
Sungai dareh
1

AKAI
YA

Total jumlah Keterangan

Rp 9,300,000 KLINIK

Rp 6,000,000 KLINIK

Rp 14,100,000 KLINIK

Rp 125,000 KLINIK

Rp 1,777,500 KLINIK

Rp 1,125,000 KLINIK

Rp 500,000 KLINIK

Rp 550,000 KLINIK

Rp 750,000 KLINIK

Rp 500,000 KESMAS

Rp 850,000 KESMAS

Rp 1,200,000 KESMAS

Rp 2,000,000 KESMAS

Rp 950,000 KESMAS

Rp 850,000 KESMAS

Rp 4,500,000 KESMAS

Rp 2,000,000 KESMAS

Rp 4,800,000 KESMAS

Rp 4,800,000 KESMAS

Rp 4,400,000 KESMAS

Rp 4,600,000 KESMAS

Rp 4,800,000 KESMAS

Rp 450,000 KESMAS

Rp 575,000 KESMAS

Rp 71,502,500

gai Dareh, 21 Juli 2016


epala UPTD Labkesda

( drg.Lennita Arifin )
IP.19761123200804 2 001
PEMERINTAHAN KABUPATEN DHARMASRAYA
DINAS KESEHATAN
UPTD LABORATORIUM KESEHATAN DAERAH
Jln. Lintas Sumatera Km. 2 Sungai dareh
Kode Pos : 27573 No Telp : (0754) 40081

DAFTAR PERMINTAAN BARANG HABIS PAKAI


UPTD. LABKESDA KAB. DHARMASRAYA
NO NAMA BARANG SPESIFIKASI JUMLAH HARGA
1 NATRIUM SITRAT 3.8% 500 ml 2 Rp 100,000
2 GIEMSA STAIN 400 ml 2 Rp 700,000
3 METANOL 500 ml 2 Rp 500,000
4 LARUTAN SCHLESINGER 100 ml 2 Rp 200,000
5 PEWARNA GRAM 1 SET 1 SET 2 Rp 1,500,000
6 EOSIN 2% 100 ML 2 Rp 300,000
7 LARUTAN TURK 200 ml 2 Rp 100,000
8 LARUTAN REES ECKER 200 ml 3 Rp 100,000
9 LARUTAN BaCl2 10 % 200 ml 2 Rp 100,000
10 LARUTAN FOUCHET 200 ml 2 Rp 400,000
11 OIL EMERSI 200 ml 2 Rp 400,000
12 VACUM TUBE EDTA BOX 15 Rp 180,000
13 LARUTAN NATRIUM HIPOLKORIT L 50 Rp 170,000
14 AKUADEST BOTOL KACA 1L 250 Rp 95,000
15 STIK NESCO CHOLESTEROL KOTAK 15 Rp 150,000
16 STIK NESCO GLUKOSA KOTAK 30 Rp 120,000
17 STIK NESCO ASAM URAT KOTAK 30 Rp 120,000
18 STIK MALARIA KOTAK 5 Rp 1,125,000
19 STIK IGG/IGM DENGUE KOTAK 4 Rp 1,775,000
20 RT- DILUENT 20 L 3 Rp 1,100,000
21 RT- CLEANER L 3 Rp 770,000
22 RT- LYSE L 1 Rp 1,100,000
23 AMMONIUM OXALAT 1 % 100 ml 5 Rp 100,000
24 OBJEK GLASS KOTAK 15 Rp 60,000
25 BLOOD LANCET KOTAK 15 Rp 25,000
26 MASKER KOTAK 20 Rp 50,000
27 HAND SKOON STERIL KOTAK 20 Rp 350,000
28 SPUIT TERUMO 3 ml KOTAK 20 Rp 150,000
29 SPUIT TERUMO 5 ml KOTAK 10 Rp 200,000
30 ALKOHOL 70 % I LITER 20 Rp 30,000
31 SPRITUS BAKAR 1 LITER 30 Rp 20,000
32 KAPAS NON LEMAK KOTAK 50 Rp 500,000
33 ASAM ASETAT 6 % 200 ML 2 Rp 100,000
34 ANTI SERA GOLONGAN DARAH SET 1 Rp 500,000
35 KERTAS SARING WATCHMAN KOTAK 5 Rp 450,000
36 PARA 12 (DARAH KONTROL) 1 VIAL 5 Rp 1,684,000
37 HUMATROL N (SERUM KONTROL) 6X5ML 2 Rp 1,350,000
38 LEV II (URINE Kontrol) 12X12 ML 1 Rp 4,987,000
39 CUP SAMPLE 1 PACK (1000 PCS) 1 Rp 750,000
40 BLUE TIP BOX 5 Rp 90,000
41 YELLOW TIP BOX 5 Rp 90,000
42 WHITE TIP BOX 5 Rp 90,000
43 POT URINE PCS 500 Rp 1,500
44 CHOLESTEROL(10017) 4X30 ML 4 Rp 875,000
45 CREATININ(10051) 200 ML 1 Rp 500,000
46 BILIRUBIN TOTAL/DIRECT (10740) 2X100 ML 1 Rp 662,500
47 GOT (12011) 10X10 ML 1 Rp 625,000
48 GPT (12012) 10X10 ML 1 Rp 625,000
49 TOTAL PROTEIN (157004) 4X100 ML 1 Rp 477,000
50 TRIGLYCERIDES (10720P) 9X15 ML 2 Rp 1,726,000
51 UREA 2X 100 ML 1 Rp 550,000
52 URICE ACID 4 X30 ML 2 Rp 1,010,000
53 COMBINA 11,S 150 TEST 2 Rp 1,246,000
54 HDL COLESTEROL 4 X80 ML 3 Rp 1,300,000
55 HbsAg RAPID TEST KOTAK 1 Rp 800,000
56 WIDAL H 5 ML 4 Rp 234,000
57 WIDAL O 5 ML 4 Rp 234,000
58 TEST Ca DARAH/KALSIUM 200 ML 1 Rp 585,000
59 TEST GLUKOSA DARAH 4 X 100 ML 1 Rp 923,500
60 STERIL WATER 1000 ML 50 Rp 20,000

Sungai Dareh, 26 April 2016


Kepala UPTD Labkesda

(drg.Lennita Arifin )
NIP.19761123200804 2 001
YA

ERAH
ungai dareh
081

KAI
A
Total jumlah Keterangan
Rp 200,000 KLINIK
Rp 1,400,000 KLINIK
Rp 1,000,000 KLINIK
Rp 400,000 KLINIK
Rp 3,000,000 KLINIK
Rp 600,000 KLINIK
Rp 200,000 KLINIK
Rp 300,000 KLINIK
Rp 200,000 KLINIK
Rp 800,000 KLINIK
Rp 800,000 KLINIK
Rp 2,700,000 KLINIK
Rp 8,500,000 KLINIK
Rp 23,750,000 KLINIK
Rp 2,250,000 KLINIK
Rp 3,600,000 KLINIK
Rp 3,600,000 KLINIK
Rp 5,625,000 KLINIK
Rp 7,100,000 KLINIK
Rp 3,300,000 KLINIK
Rp 2,310,000 KLINIK
Rp 1,100,000 KLINIK
Rp 500,000 KLINIK
Rp 900,000 KLINIK
Rp 375,000 KLINIK
Rp 1,000,000 KLINIK
Rp 7,000,000 KLINIK
Rp 3,000,000 KLINIK
Rp 2,000,000 KLINIK
Rp 600,000 KLINIK
Rp 600,000 KLINIK
Rp 25,000,000 KLINIK
Rp 200,000 KLINIK
Rp 500,000 KLINIK
Rp 2,250,000 KLINIK
Rp 8,420,000 KLINIK
Rp 2,700,000 KLINIK
Rp 4,987,000 KLINIK
Rp 750,000 KLINIK
Rp 450,000 KLINIK
Rp 450,000 KLINIK
Rp 450,000 KLINIK
Rp 750,000 KLINIK
Rp 3,500,000 KLINIK
Rp 500,000 KLINIK
Rp 662,500 KLINIK
Rp 625,000 KLINIK
Rp 625,000 KLINIK
Rp 477,000 KLINIK
Rp 3,452,000 KLINIK
Rp 550,000 KLINIK
Rp 2,020,000 KLINIK
Rp 2,492,000 KLINIK
Rp 3,900,000 KLINIK
Rp 800,000 KLINIK
Rp 936,000 KLINIK
Rp 936,000 KLINIK
Rp 585,000 KLINIK
Rp 923,500 KLINIK
Rp 1,000,000 KLINIK
Rp 159,601,000

gai Dareh, 26 April 2016


Kepala UPTD Labkesda

(drg.Lennita Arifin )
IP.19761123200804 2 001
PEMERINTAHAN KABUPATEN DHARMASRAYA
DINAS KESEHATAN
UPTD LABORATORIUM KESEHATAN DAERAH
Jln. Lintas Sumatera Km. 2 Sungai dareh
Kode Pos : 27614 No Telp. (0754) 40081 email : labkesda_dharmasraya@yahoo.co.id
DAFTAR PERMINTAAN BARANG HABIS PAKAI TAHUN 2017
UPTD. LABKESDA KAB. DHARMASRAYA
NO NAMA BARANG SPESIFIKASI TEST RANGE JUMLAH

1 DIRUI BF FDT LYSE 500 ML 1


2 DIRUI BF 6500 (SLS) 500 ML 1
3 DIRUI BF FDO LYSE 5L 1
4 DIRUI BF DILUENT 20 L 1
5 DIRUI BF DETERJEN 10 ML 1
6 REAGEN PAEK ELEKTROLIT CONLY PAKET 1
7 Ig G- Ig M DENGUE BOX 1
8 GOLONGAN DARAH ABO SET 1
9 WIDAL (STY H DAN O ) SET 1
10 VACUM TUBE EDTA BOX 10
11 STIK NESCO CHOLESTEROL KOTAK 10 15
12 STIK NESCO GLUKOSA KOTAK 25 5
13 STIK NESCO ASAM URAT KOTAK 25 5
14 STIK MALARIA KOTAK 2
15 STIK IGG/IGM DENGUE KOTAK 1
16 OBJEK GLASS KOTAK 5
17 BLOOD LANCET KOTAK 5
18 MASKER KOTAK 8
19 HAND SKOON STERIL KOTAK 8
20 SPUIT TERUMO 3 ml KOTAK 15
21 SPUIT TERUMO 5 ml KOTAK 8
22 ALKOHOL 70 % I LITER 15
23 SPRITUS BAKAR 1 LITER 18
24 KAPAS NON LEMAK KOTAK 20
25 NATRIUM SITRAT 3,8 % 500 ML 1
26 CBC-ST PLUS HEMATOLOGI KONTROL 1 VIAL 5
27 HUMATROL N (SERUM KONTROL) 6X5ML 2
28 LEV II (URINE Kontrol) 12X12 ML 1
29 BLUE TIP BOX 2
30 YELLOW TIP BOX 3
31 WHITE TIP BOX 1
32 CHOLESTEROL(10017) (HUMAN) 4X30 ML 10
33 CREATININ(10051) (HUMAN) 200 ML 1
34 BILIRUBIN TOTAL/DIRECT (10740) 2X100 ML 1
35 GOT (12011) (HUMAN) 10X10 ML 1
36 GPT (12012) (HUMAN) 10X10 ML 1
37 TOTAL PROTEIN (157004) (HUMAN) 4X100 ML 1
38 TRIGLYCERIDES (10720P) (HUMAN) 9X15 ML 1
39 UREA (HUMAN) 2X 100 ML 1
40 URICE ACID (HUMAN) 4 X30 ML 2
41 COMBINA 11,S (HUMAN) 150 TEST 1
42 HDL COLESTEROL (HUMAN) 4 X80 ML 2
43 HbsAg RAPID TEST KOTAK 1
44 TEST Ca DARAH/KALSIUM (HUMAN) 200 ML 1
45 TEST GLUKOSA DARAH (HUMAN) 4 X 100 ML 2
46 NARKOBA TEST 3 PARAMETER AMP,THC,MOR 25 2
47 STERIL WATER 1000 ML 50
48 LACTOSE BROTH 1 KG 1
49 ALUMINIUM CELL TEST MERC 25 0,02-0,5 MG/L 1
50 ARSENIK CELL TEST MERC 100 LOW 1
51 AMONIUM CELL TEST MERC 25 0,01-2 1
53 CYANIDE CELL TEST MERC 100 0,002-0,5 1
54 COPPER CELL TEST MERC 25 0,05-8 1
55 CADMIUM CELL TEST MERC 25 55 1
56 FLUORIDA CELL TEST MERC 25 0,1-1,5 1
57 IRON CEEL TEST MERC 25 0,05-4 1
58 MANGAN CELL TEST MERC 25 0,1-5 1
59 SULFATE CELL TEST MERC 25 `5 -25 1
60 ZINC CELL TEST MERC 25 0,2-5 1
JUMLAH TOTAL
Sungai Dareh, 30 Mei 2
Kepala UPTD Labke

( dr. Titi Suhartati M.Bio


NIP.19770912 200604 2
AYA

AERAH

asraya@yahoo.co.id
I TAHUN 2017
AYA
HARGA Total jumlah
Rp 1,500,000 Rp 1,500,000
Rp 3,300,000 Rp 3,300,000
Rp 8,500,000 Rp 8,500,000
Rp 1,500,000 Rp 1,500,000
Rp 750,000 Rp 750,000
Rp 2,350,000 Rp 2,350,000
Rp 1,777,500 Rp 1,777,500
Rp 500,000 Rp 500,000
Rp 550,000 Rp 550,000
Rp 180,000 Rp 1,800,000
Rp 135,000 Rp 2,025,000
Rp 120,000 Rp 600,000
Rp 120,000 Rp 600,000
Rp 1,125,000 Rp 2,250,000
Rp 1,775,000 Rp 1,775,000
Rp 60,000 Rp 300,000
Rp 25,000 Rp 125,000
Rp 50,000 Rp 400,000
Rp 350,000 Rp 2,800,000
Rp 150,000 Rp 2,250,000
Rp 200,000 Rp 1,600,000
Rp 30,000 Rp 450,000
Rp 20,000 Rp 360,000
Rp 50,000 Rp 1,000,000
Rp 100,000 Rp 100,000
Rp 1,684,000 Rp 8,420,000
Rp 1,350,000 Rp 2,700,000
Rp 4,987,000 Rp 4,987,000
Rp 90,000 Rp 180,000
Rp 90,000 Rp 270,000
Rp 90,000 Rp 90,000
Rp 875,000 Rp 8,750,000
Rp 500,000 Rp 500,000
Rp 662,500 Rp 662,500
Rp 625,000 Rp 625,000
Rp 625,000 Rp 625,000
Rp 477,000 Rp 477,000
Rp 1,726,000 Rp 1,726,000
Rp 550,000 Rp 550,000
Rp 1,010,000 Rp 2,020,000
Rp 1,246,000 Rp 1,246,000
Rp 1,300,000 Rp 2,600,000
Rp 800,000 Rp 800,000
Rp 585,000 Rp 585,000
Rp 923,500 Rp 1,847,000
Rp 1,000,000 Rp 2,000,000
Rp 20,000 Rp 1,000,000
Rp 1,200,000 Rp 1,200,000
Rp 2,250,000 Rp 2,250,000
Rp 1,850,000 Rp 1,850,000
Rp 2,000,000 Rp 2,000,000
Rp 2,250,000 Rp 2,250,000
Rp 1,950,000 Rp 1,950,000
Rp 2,900,000 Rp 2,900,000
Rp 1,896,000 Rp 1,896,000
Rp 1,825,000 Rp 1,825,000
Rp 2,156,000 Rp 2,156,000
Rp 2,050,000 Rp 2,050,000
Rp 2,050,000 Rp 2,050,000
Rp 106,200,000

Sungai Dareh, 30 Mei 2017


Kepala UPTD Labkesda

( dr. Titi Suhartati M.BioMed)


NIP.19770912 200604 2 015
PEMERINTAHAN KABUPATEN DHARMASRAYA
DINAS KESEHATAN
UPTD LABORATORIUM KESEHATAN DAERAH
Jln. Lintas Sumatera Km. 2 Sungai dareh
Kode Pos : 27573 No Telp : (0754) 40081

DAFTAR PERMINTAAN BARANG HABIS PAKAI TAHAP I


UPTD. LABKESDA KAB. DHARMASRAYA

NO NAMA BARANG SPESIFIKASI JUMLAH


1 NATRIUM SITRAT 3.8% 500 ml 1
2 GIEMSA STAIN 400 ml 1
3 METANOL 500 ml 1
4 LARUTAN SCHLESINGER 100 ml 1
5 LARUTAN TURK 200 ml 1
6 LARUTAN REES ECKER 200 ml 2
7 LARUTAN FOUCHET 200 ml 1
8 OIL EMERSI 200 ml 1
9 LARUTAN NATRIUM HIPOLKORIT L 20
10 DIRUI DILUENT 20 L 1
11 DIRUI CLEANER L 1
12 DIRUI LYSE L 1
13 AMMONIUM OXALAT 1 % 100 ml 2
14 SPRITUS BAKAR 1 LITER 10
15 ASAM ASETAT 6 % 200 ML 1
16 ANTI SERA GOLONGAN DARAH SET 1
17 KERTAS SARING WATCHMAN KOTAK 1
18 CBC-ST PLUS HEMATOLOGI KONTROL 1 VIAL 1
19 HUMATROL N (SERUM KONTROL) 6X5ML 1
20 LEV II (URINE Kontrol) 12X12 ML 1
21 CHOLESTEROL(10017) (HUMAN) 4X30 ML 2
22 CREATININ(10051) (HUMAN) 200 ML 1
23 BILIRUBIN TOTAL/DIRECT (10740) 2X100 ML 1
24 GOT (12011) (HUMAN) 10X10 ML 1
25 GPT (12012) (HUMAN) 10X10 ML 1
26 TOTAL PROTEIN (157004) (HUMAN) 4X100 ML 1
27 TRIGLYCERIDES (10720P) (HUMAN) 9X15 ML 1
28 UREA (HUMAN) 2X 100 ML 1
29 COMBINA 11,S (HUMAN) 150 TEST 1
30 HDL COLESTEROL (HUMAN) 4 X80 ML 2
31 TEST Ca DARAH/KALSIUM (HUMAN) 200 ML 1
32 TEST GLUKOSA DARAH (HUMAN) 4 X 100 ML 1
33 LARUTAN BaCl2 10 % 200 ml 2

Kepala UPTD Labke


N DHARMASRAYA
ATAN
KESEHATAN DAERAH
Km. 2 Sungai dareh
No Telp : (0754) 40081

BIS PAKAI TAHAP I


RMASRAYA

HARGA Total jumlah Keterangan


Rp 100,000 Rp 100,000 KLINIK
Rp 700,000 Rp 700,000 KLINIK
Rp 500,000 Rp 500,000 KLINIK
Rp 200,000 Rp 200,000 KLINIK
Rp 100,000 Rp 100,000 KLINIK
Rp 100,000 Rp 200,000 KLINIK
Rp 400,000 Rp 400,000 KLINIK
Rp 400,000 Rp 400,000 KLINIK
Rp 170,000 Rp 3,400,000 KLINIK
Rp 1,550,000 Rp 1,550,000 KLINIK
Rp 1,000,000 Rp 1,000,000 KLINIK
Rp 2,350,000 Rp 2,350,000 KLINIK
Rp 100,000 Rp 200,000 KLINIK
Rp 20,000 Rp 200,000 KLINIK
Rp 100,000 Rp 100,000 KLINIK
Rp 500,000 Rp 500,000 KLINIK
Rp 450,000 Rp 450,000 KLINIK
Rp 1,684,000 Rp 1,684,000 KLINIK
Rp 1,350,000 Rp 1,350,000 KLINIK
Rp 4,987,000 Rp 4,987,000 KLINIK
Rp 875,000 Rp 1,750,000 KLINIK
Rp 500,000 Rp 500,000 KLINIK
Rp 662,500 Rp 662,500 KLINIK
Rp 625,000 Rp 625,000 KLINIK
Rp 625,000 Rp 625,000 KLINIK
Rp 477,000 Rp 477,000 KLINIK
Rp 1,726,000 Rp 1,726,000 KLINIK
Rp 550,000 Rp 550,000 KLINIK
Rp 1,246,000 Rp 1,246,000 KLINIK
Rp 1,300,000 Rp 2,600,000 KLINIK
Rp 585,000 Rp 585,000 KLINIK
Rp 923,500 Rp 923,500 KLINIK
Rp 100,000 Rp 200,000 KLINIK
Rp 32,841,000

Sungai Dareh, 30 September 2016


Kepala UPTD Labkesda

(drg.Lennita Arifin )
NIP.19761123200804 2 001
PEMERINTAHAN KABUPATEN DHARMASRAYA
DINAS KESEHATAN
UPTD LABORATORIUM KESEHATAN DAERAH
Jln. Lintas Sumatera Km. 2 Sungai dareh
Kode Pos : 27573 No Telp : (0754) 40081

DAFTAR PERMINTAAN BARANG HABIS PAKAI


UPTD. LABKESDA KAB. DHARMASRAYA

NO NAMA BARANG SPESIFIKASI JUMLAH


1 NATRIUM SITRAT 3.8% 500 ml 2
2 GIEMSA STAIN 400 ml 2
3 METANOL 500 ml 2
4 LARUTAN SCHLESINGER 100 ml 2
5 PEWARNA GRAM 1 SET 1 SET 2
6 EOSIN 2% 100 ML 2
7 LARUTAN TURK 200 ml 2
8 LARUTAN REES ECKER 200 ml 3
9 LARUTAN BaCl2 10 % 200 ml 2
10 LARUTAN FOUCHET 200 ml 2
11 OIL EMERSI 200 ml 2
12 VACUM TUBE EDTA BOX 15
13 LARUTAN NATRIUM HIPOLKORIT L 50
14 AKUADEST BOTOL KACA 1L 250
15 STIK NESCO CHOLESTEROL KOTAK 15
16 STIK NESCO GLUKOSA KOTAK 30
17 STIK NESCO ASAM URAT KOTAK 30
18 STIK MALARIA KOTAK 5
19 STIK IGG/IGM DENGUE KOTAK 4
20 DIRUI DILUENT 20 L 3
21 DIRUI CLEANER L 3
22 DIRUI LYSE L 1
23 AMMONIUM OXALAT 1 % 100 ml 5
24 OBJEK GLASS KOTAK 15
25 BLOOD LANCET KOTAK 15
26 MASKER KOTAK 20
27 HAND SKOON STERIL KOTAK 20
28 SPUIT TERUMO 3 ml KOTAK 20
29 SPUIT TERUMO 5 ml KOTAK 10
30 ALKOHOL 70 % I LITER 20
31 SPRITUS BAKAR 1 LITER 30
32 KAPAS NON LEMAK KOTAK 50
33 ASAM ASETAT 6 % 200 ML 2
34 ANTI SERA GOLONGAN DARAH SET 1
35 KERTAS SARING WATCHMAN KOTAK 5
36 CBC-ST PLUS HEMATOLOGI KONTROL 1 VIAL 5
37 HUMATROL N (SERUM KONTROL) 6X5ML 2
38 LEV II (URINE Kontrol) 12X12 ML 1
39 CUP SAMPLE 1 PACK (1000 PCS) 1
40 BLUE TIP BOX 5
41 YELLOW TIP BOX 5
42 WHITE TIP BOX 5
43 POT URINE PCS 500
44 CHOLESTEROL(10017) (HUMAN) 4X30 ML 4
45 CREATININ(10051) (HUMAN) 200 ML 1
46 BILIRUBIN TOTAL/DIRECT (10740) 2X100 ML 1
47 GOT (12011) (HUMAN) 10X10 ML 1
48 GPT (12012) (HUMAN) 10X10 ML 1
49 TOTAL PROTEIN (157004) (HUMAN) 4X100 ML 1
50 TRIGLYCERIDES (10720P) (HUMAN) 9X15 ML 2
51 UREA (HUMAN) 2X 100 ML 1
52 URICE ACID (HUMAN) 4 X30 ML 2
53 COMBINA 11,S (HUMAN) 150 TEST 2
54 HDL COLESTEROL (HUMAN) 4 X80 ML 3
55 HbsAg RAPID TEST KOTAK 1
56 WIDAL H 5 ML 4
57 WIDAL O 5 ML 4
58 TEST Ca DARAH/KALSIUM (HUMAN) 200 ML 1
59 TEST GLUKOSA DARAH (HUMAN) 4 X 100 ML 1
60 STERIL WATER 1000 ML 50

Kepala UPTD Labke


HARMASRAYA
N
EHATAN DAERAH
Km. 2 Sungai dareh
elp : (0754) 40081

ABIS PAKAI
MASRAYA

HARGA Total jumlah Keterangan


Rp 100,000 Rp 200,000 KLINIK
Rp 700,000 Rp 1,400,000 KLINIK
Rp 500,000 Rp 1,000,000 KLINIK
Rp 200,000 Rp 400,000 KLINIK
Rp 1,500,000 Rp 3,000,000 KLINIK
Rp 300,000 Rp 600,000 KLINIK
Rp 100,000 Rp 200,000 KLINIK
Rp 100,000 Rp 300,000 KLINIK
Rp 100,000 Rp 200,000 KLINIK
Rp 400,000 Rp 800,000 KLINIK
Rp 400,000 Rp 800,000 KLINIK
Rp 180,000 Rp 2,700,000 KLINIK
Rp 170,000 Rp 8,500,000 KLINIK
Rp 95,000 Rp 23,750,000 KLINIK
Rp 150,000 Rp 2,250,000 KLINIK
Rp 120,000 Rp 3,600,000 KLINIK
Rp 120,000 Rp 3,600,000 KLINIK
Rp 1,125,000 Rp 5,625,000 KLINIK
Rp 1,775,000 Rp 7,100,000 KLINIK
Rp 1,550,000 Rp 4,650,000 KLINIK
Rp 1,000,000 Rp 3,000,000 KLINIK
Rp 2,350,000 Rp 2,350,000 KLINIK
Rp 100,000 Rp 500,000 KLINIK
Rp 60,000 Rp 900,000 KLINIK
Rp 25,000 Rp 375,000 KLINIK
Rp 50,000 Rp 1,000,000 KLINIK
Rp 350,000 Rp 7,000,000 KLINIK
Rp 150,000 Rp 3,000,000 KLINIK
Rp 200,000 Rp 2,000,000 KLINIK
Rp 30,000 Rp 600,000 KLINIK
Rp 20,000 Rp 600,000 KLINIK
Rp 500,000 Rp 25,000,000 KLINIK
Rp 100,000 Rp 200,000 KLINIK
Rp 500,000 Rp 500,000 KLINIK
Rp 450,000 Rp 2,250,000 KLINIK
Rp 1,684,000 Rp 8,420,000 KLINIK
Rp 1,350,000 Rp 2,700,000 KLINIK
Rp 4,987,000 Rp 4,987,000 KLINIK
Rp 750,000 Rp 750,000 KLINIK
Rp 90,000 Rp 450,000 KLINIK
Rp 90,000 Rp 450,000 KLINIK
Rp 90,000 Rp 450,000 KLINIK
Rp 1,500 Rp 750,000 KLINIK
Rp 875,000 Rp 3,500,000 KLINIK
Rp 500,000 Rp 500,000 KLINIK
Rp 662,500 Rp 662,500 KLINIK
Rp 625,000 Rp 625,000 KLINIK
Rp 625,000 Rp 625,000 KLINIK
Rp 477,000 Rp 477,000 KLINIK
Rp 1,726,000 Rp 3,452,000 KLINIK
Rp 550,000 Rp 550,000 KLINIK
Rp 1,010,000 Rp 2,020,000 KLINIK
Rp 1,246,000 Rp 2,492,000 KLINIK
Rp 1,300,000 Rp 3,900,000 KLINIK
Rp 800,000 Rp 800,000 KLINIK
Rp 234,000 Rp 936,000 KLINIK
Rp 234,000 Rp 936,000 KLINIK
Rp 585,000 Rp 585,000 KLINIK
Rp 923,500 Rp 923,500 KLINIK
Rp 20,000 Rp 1,000,000 KLINIK
Rp 162,891,000

Sungai Dareh, 19 Januari 2016


Kepala UPTD Labkesda

(drg.Lennita Arifin )
NIP.19761123200804 2 001
BUKU EKSPERDISI
SURAT KELUAR
UPT. LABKESDA DHARMASRAYA
PEMERINTAHAN KABUPATEN DHARMASRAYA
DINAS KESEHATAN
UPTD LABORATORIUM KESEHATAN DAERAH
Jln. Lintas Sumatera Km. 2 Sungai dareh
Kode Pos : 27573 No Telp : (0754) 40081

DAFTAR PERMINTAAN BARANG HABIS PAKAI


UPTD. LABKESDA KAB. DHARMASRAYA

NO NAMA BARANG SPESIFIKASI JUMLAH Keterangan


2 VACUM TUBE EDTA 3 ML BOX 5 KLINIK
3 VACUM EDTA 0,5 ML BOX 3 KLINIK
4 STIK CHOLESTEROL BENECHEK KOTAK 20 KLINIK
5 STIK GLUKOSA BENECHEK KOTAK 10 KLINIK
6 STIK ASAM URAT BENECHEK KOTAK 10 KLINIK
7 OBJEK GLASS KOTAK 5 KLINIK
8 BLOOD LANCET KOTAK 5 KLINIK
9 MASKER KOTAK 5 KLINIK
10 HAND SKOON STERIL KOTAK 5 KLINIK
11 SPUIT TERUMO 3 ml KOTAK 5 KLINIK
12 SPUIT TERUMO 5 ml KOTAK 5 KLINIK
13 KAPAS NON LEMAK KOTAK 10 KLINIK
14 ASAM ASETAT 6 % 200 ML 1 KLINIK
15 ANTI SERA GOLONGAN DARAH SET 1 KLINIK
16 CUP SAMPLE 1 PACK (1000 PCS) 1 KLINIK
17 YELLOW TIP BOX 2 KLINIK
18 WHITE TIP BOX 2 KLINIK
19 HbsAg RAPID TEST KOTAK 1 KLINIK
20 Oil Emersi 200 ml 1 KLINIK
21 Eosin 2% 100 ml 1 KLINIK
22 Hcg Strip kOTAK 1 KLINIK
23 Widal H 5 Ml 1 KLINIK
24 WIDAL O 5 ML 1 KLINIK
25 pot urin pcs 200 klinik
26 rees ecker botol 1 KLINIK
27 STERIL WATER 1000 ML 50 KLINIK

Sungai Dareh, Agustus 2017


Kepala UPTD Labkesda
dr Titi Suhartati M.BioMed
Nip 19770912 200604 2 015
PEMERINTAHAN KABUPATEN DHARMASRAYA
DINAS KESEHATAN
UPTD LABORATORIUM KESEHATAN DAERAH
Jln. Lintas Sumatera Km. 2 Sungai dareh
Kode Pos : 27573 No Telp : (0754) 40081

DAFTAR PERMINTAAN BARANG


UPTD. LABKESDA KAB. DHARMASRAYA
PER OKTOBER 2017
NO NAMA BARANG SPESIFIKASI JUMLAH
1 Blue Tip BOX 2
2 White Tip BOX 2
3 Strip Malaria KOTAK 3
4 Stik Nesco Asam Urat KOTAK 25
5 Stik Nesco Glukosa KOTAK 25
6 Stik Nesco Kholesterol KOTAK 30
7 Vacum Cup Gel Lot Aktivator KOTAK 3
8 vacup cup EDTA 0,5 ml KOTAK 5
9 Cbc- ST plus hematologi kontrol vial 5
10 Dirui BF 6500 SLS KOTAK 2
11 Dirui BF FDT Lyse KOTAK 4
12 Human GOT 12011 KOTAK 2
13 Human GPT 12012 KOTAK 2
14 Human Kholesterol 10017 KOTAK 6
15 Human Total Protein 1570004 KOTAK 2
16 Human Asam Urat KOTAK 3
17 Human HDL Kholesterol KOTAK 3
18 Human Test Ca Darah / Calsium KOTAK 1
19 Human Test Glukosa Darah KOTAK 6
20 Human Trigliserida 10720 P KOTAK 3
21 Human Urea KOTAK 2
22 Humatrol N Serum Kontrol Kit 2
23 Level II Urine Kontrol Kit 1
24 Larutan Asam Asetat 6 % Botol 2
25 Metanol 100 ml botol 5
26 Human Combina 11 S BOX 2
27 Reagen Elektrolit paket 1

Sungai Dareh, 26 Oktober 2017


Kepala UPTD Labkesda

dr Titi Suhartati M.BioMed


Nip 19770912 200604 2 015
YA

RAH
i dareh

AYA

Keterangan
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
KLINIK
klinik
KLINIK
KLINIK
KLINIK

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