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    This document is a recapitulation report of the results of an inventory of medical equipment owned by a clinic. It lists 51 items of equipment including a dental unit, medical supplies, examination tools, and furniture. For each item it provides details like the year of purchase, quantity owned, original price, current price, and condition. The report finds that the inventory matches the administrative records for all 51 items in terms of quantity, price, and condition.

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    LAPORAN INVENTARIS ALKES

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    This document is a recapitulation report of the results of an inventory of medical equipment owned by a clinic. It lists 51 items of equipment including a dental unit, medical supplies, examination tools, and furniture. For each item it provides details like the year of purchase, quantity owned, original price, current price, and condition. The report finds that the inventory matches the administrative records for all 51 items in terms of quantity, price, and condition.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    35 views4 pages

    Laporan Inventaris Alkes

    Uploaded by

    fktp dkt
    This document is a recapitulation report of the results of an inventory of medical equipment owned by a clinic. It lists 51 items of equipment including a dental unit, medical supplies, examination tools, and furniture. For each item it provides details like the year of purchase, quantity owned, original price, current price, and condition. The report finds that the inventory matches the administrative records for all 51 items in terms of quantity, price, and condition.

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    © All Rights Reserved
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    of 4

    Denkesyah 05.04.

    04 Surabaya
    FKTP Klinik DKT 02 SDA

    REKAPITULASI LAPORAN HASIL INVENTARISASI

    Kode NUP Nama Merk/Type Tahun Menurut Administrasi (SIMAK BMN) Menurut Inventaris (di lapangan)
    No
    Barang Barang Perolehan Kuantitas Harga Satuan Harga Barang Kondisi Kuantitas harga Satuan Harga Barang Kondisi Harga Barang
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
    1 5.5 Dental Unit 2014 1 Rp. 6.025.000 Rp. 6.025.000 1 1 Rp. 6.025.000 Rp. 6.025.000 1 Rp. 6.025.000
    2 Cucing SS 8 cm 2014 1 Rp. 20.000 Rp. 20.000 1 1 Rp. 20.000 Rp. 20.000 1 Rp. 20.000
    3 Otoscope RRC 2014 1 Rp. 60.000 Rp. 60.000 1 1 Rp. 60.000 Rp. 60.000 1 Rp. 60.000
    4 Gunting Perban RRC/OM 2014 1 Rp. 23.000 Rp. 23.000 1 1 Rp. 23.000 Rp. 23.000 1 Rp. 23.000
    5 Pinset Anatomi RRC/PWL 2014 1 Rp. 10.000 Rp. 10.000 1 1 Rp. 10.000 Rp. 10.000 1 Rp. 10.000
    6 Gunting Lurus j-tj 2014 1 Rp. 23.000 Rp. 23.000 1 1 Rp. 23.000 Rp. 23.000 1 Rp. 23.000
    7 Doppler Digital Contec-JTRN 2014 1 Rp. 800.000 Rp. 800.000 1 1 Rp. 800.000 Rp. 800.000 1 Rp. 800.000
    8 Termometer Dgtl 2014 1 Rp. 31.000 Rp. 31.000 1 1 Rp. 31.000 Rp. 31.000 1 Rp. 31.000
    9 Lemari Obat 2014 1 Rp. 1.600.000 Rp. 1.600.000 1 1 Rp. 1.600.000 Rp. 1.600.000 1 Rp. 1.600.000
    10 Tensi HG ABN Regency 2014 1 Rp. 850.000 Rp. 850.000 1 1 Rp. 850.000 Rp. 850.000 1 Rp. 850.000
    11 Nebulizer Philips/90543 2014 1 Rp. 580.000 Rp. 580.000 1 1 Rp. 580.000 Rp. 580.000 1 Rp. 580.000
    12 Stetoscope ABN Majestic 2014 1 Rp. 175.000 Rp. 175.000 1 1 Rp. 175.000 Rp. 175.000 1 Rp. 175.000
    13 Lemari Alkes 2014 1 Rp. 1.400.000 Rp. 1.400.000 1 1 Rp. 1.400.000 Rp. 1.400.000 1 Rp. 1.400.000
    14 Gelas Kumur 2014 4 Rp. 3.400 Rp. 13.600 1 4 Rp. 3.400 Rp. 13.600 1 Rp. 13.600
    15 Tempat cotton pelet 2014 1 Rp. 9.600 Rp. 9.600 1 1 Rp. 9.600 Rp. 9.600 1 Rp. 9.600
    16 Tempat cotton pelet 2014 1 Rp. 9.800 Rp. 9.800 1 1 Rp. 9.800 Rp. 9.800 1 Rp. 9.800
    17 Sambel Sekat 2014 1 Rp. 2.900 Rp. 2.900 1 1 Rp. 2.900 Rp. 2.900 1 Rp. 2.900
    18 Termos Vaksin 1789919 LS 2014 1 Rp. 59.990 Rp. 59.990 1 1 Rp. 59.990 Rp. 59.990 1 Rp. 59.990
    19 Stetoskope Telinga 2014 1 Rp. 245.000 Rp. 245.000 1 1 Rp. 245.000 Rp. 245.000 1 Rp. 245.000
    20 Pinset Telinga 2014 1 Rp. 25.000 Rp. 25.000 1 1 Rp. 25.000 Rp. 25.000 1 Rp. 25.000
    21 Speculum Hidung A 2014 1 Rp. 95.000 Rp. 95.000 1 1 Rp. 95.000 Rp. 95.000 1 Rp. 95.000
    22 Speculum Hidung D 2014 1 Rp. 65.000 Rp. 65.000 1 1 Rp. 65.000 Rp. 65.000 1 Rp. 65.000
    23 Cerumen Tang 2014 1 Rp. 10.000 Rp. 10.000 1 1 Rp. 10.000 Rp. 10.000 1 Rp. 10.000
    24 Bedah Minor Set 2014 1 Rp. 200.000 Rp. 200.000 1 1 Rp. 200.000 Rp. 200.000 1 Rp. 200.000
    25 Alat Benechek GCU 2014 1 Rp. 615.000 Rp. 615.000 1 1 Rp. 615.000 Rp. 615.000 1 Rp. 615.000
    Denkesyah 05.04.04 Surabaya
    FKTP Klinik DKT 02 SDA
    REKAPITULASI LAPORAN HASIL INVENTARISASI

    Kode NUP Nama Merk/Type Tahun Menurut Administrasi (SIMAK BMN) Menurut Inventaris (di lapangan)
    No
    Barang Barang Perolehan Kuantitas Harga Satuan Harga Barang Kondisi Kuantitas harga Satuan Harga Barang Kondisi Harga Barang
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
    26 Blender Obat Magic Blender 2014 1 Rp. 475.000 Rp. 475.000 1 1 Rp. 475.000 Rp. 475.000 1 Rp. 475.000
    27 Bad Ginex 2014 1 Rp.14.250.000 Rp.14.250.000 1 1 Rp.14.250.000 Rp.14.250.000 1 Rp.14.250.000
    28 Selang Alkes Gigi 2014 2 Rp. 150.000 Rp. 300.000 1 2 Rp. 150.000 Rp. 300.000 1 Rp. 300.000
    29 Tang Cabut Anak 2014 4 Rp. 140.000 Rp. 560.000 1 4 Rp. 140.000 Rp. 560.000 1 Rp. 560.000
    30 Easy Touch GCU 400 2015 1 Rp. 420.000 Rp. 420.000 1 1 Rp. 420.000 Rp. 420.000 1 Rp. 420.000
    31 Stature Meter One Med 2015 1 Rp. 35.000 Rp. 35.000 1 1 Rp. 35.000 Rp 35.000 1 Rp. 35.000
    32 Termometer Digital Sharp Flexi 2015 1 Rp. 45.000 Rp. 45.000 1 1 Rp. 45.000 Rp. 45.000 1 Rp. 45.000
    33 Termometer Rectal One Med 2015 1 Rp. 12.000 Rp. 12.000 1 1 Rp. 12.000 Rp. 12.000 1 Rp. 12.000
    34 Mat Bur 2015 5 Rp. 15.000 Rp. 75.000 1 5 Rp. 15.000 Rp. 75.000 1 Rp. 75.000
    35 Ext. Fuji IX GP 2015 1 Rp. 790.000 Rp. 790.000 1 1 Rp. 790.000 Rp. 790.000 1 Rp. 790.000
    36 Bengkok Stainless B 2015 3 Rp. 20.000 Rp. 60.000 1 3 Rp. 20.000 Rp. 60.000 1 Rp. 60.000
    37 Bengkok Stainless K 2015 1 Rp. 31.000 Rp. 31.000 1 1 Rp. 31.000 Rp. 31.000 1 Rp. 31.000
    38 Bak Instrumen Tgg 2015 2 Rp. 47.000 Rp. 94.000 1 2 Rp. 47.000 Rp. 94.000 1 Rp. 94.000
    39 Hydcal Technew 2015 1 Rp. 125.000 Rp. 125.000 1 1 Rp. 125.000 Rp. 125.000 1 Rp. 125.000
    40 Masker Nebulizer One Med Dws 2015 1 Rp. 30.000 Rp. 30.000 1 1 Rp. 30.000 Rp. 30.000 1 Rp. 30.000
    41 Masker Nebulizer One Med Dws 2015 1 Rp. 30.000 Rp. 30.000 1 1 Rp. 30.000 Rp. 30.000 1 Rp. 30.000
    42 3260 Handel Kaca Mulut 2015 5 Rp. 14.000 Rp. 70.000 1 5 Rp. 14.000 Rp. 70.000 1 Rp. 70.000
    43 2867 Saliva PH Indikator 2015 1 Rp. 110.000 Rp. 110.000 1 1 Rp. 110.000 Rp. 110.000 1 Rp. 110.000
    44 Timbangan Badan BR9707-71 2015 1 Rp. 179.000 Rp. 179.000 1 1 Rp. 179.000 Rp. 179.000 1 Rp. 179.000
    45 2750.S Tooth Mousse GC 2015 1 Rp. 195.000 Rp. 195.000 1 1 Rp. 195.000 Rp. 195.000 1 Rp. 195.000
    46 Woodpecker UDSP-LED 2015 1 Rp. 2.812.500 Rp. 2.812.500 1 1 Rp. 2.812.500 Rp. 2.812.500 1 Rp. 2.812.500
    47 Head LED 9892 D 2015 1 Rp. 250.000 Rp. 250.000 1 1 Rp. 250.000 Rp. 250.000 1 Rp. 250.000
    48 Table Scaler Oval 2015 1 Rp. 250.000 Rp. 250.000 1 1 Rp. 250.000 Rp. 250.000 1 Rp. 250.000
    49 Tabung O2 + Trolly 2015 1 Rp. 950.000 Rp. 950.000 1 1 Rp. 950.000 Rp. 950.000 1 Rp. 950.000
    50 Tempat Kapas + Per 2015 1 Rp. 93.750 Rp. 93.750 1 1 Rp. 93.750 Rp. 93.750 1 Rp. 93.750
    51 Meja Mayo 2015 1 Rp. 850.000 Rp. 850.000 1 1 Rp. 850.000 Rp. 850.000 1 Rp. 850.000
    52 Dressing Jar 12 cm 2015 1 Rp. 137.500 Rp. 137.500 1 1 Rp. 137.500 Rp. 137.500 1 Rp. 137.500
    Denkesyah 05.04.04 Surabaya
    FKTP Klinik DKT 02 SDA
    REKAPITULASI LAPORAN HASIL INVENTARISASI

    Kode NUP Nama Merk/Type Tahun Menurut Administrasi (SIMAK BMN) Menurut Inventaris (di lapangan)
    No
    Barang Barang Perolehan Kuantitas Harga Satuan Harga Barang Kondisi Kuantitas harga Satuan Harga Barang Kondisi Harga Barang
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
    53 Standart Infus 2015 1 Rp. 125.000 Rp. 125.000 1 1 Rp. 125.000 Rp. 125.000 1 Rp. 125.000
    54 Lampu Sorot 2015 1 Rp. 1.250.000 Rp. 1.250.000 1 1 Rp. 1.250.000 Rp. 1.250.000 1 Rp. 1.250.000
    55 Pen Light GEA 2015 1 Rp. 40.625 Rp. 40.625 1 1 Rp. 40.625 Rp. 40.625 1 Rp. 40.625
    56 Stelirisator My Life 2015 1 Rp. 1.750.000 Rp. 1.750.000 1 1 Rp. 1.750.000 Rp. 1.750.000 1 Rp. 1.750.000
    57 Dental Unit Hayasi 2802 2015 1 Rp. 32.500.000 Rp.32.500.000 1 1 Rp.32.500.000 Rp.32.500.000 1 Rp.32.500.000
    58 Kompresor Silant 2015 1 Rp. 5.000.000 Rp. 5.000.000 1 1 Rp. 5.000.000 Rp. 5.000.000 1 Rp. 5.000.000
    59 Lampu Sorot 2015 1 Rp. 53.000 Rp. 53.000 1 1 Rp. 53.000 Rp. 53.000 1 Rp. 53.000
    60 Light Curing Powerful 2015 1 Rp. 3.500.000 Rp. 3.500.000 1 1 Rp. 3.500.000 Rp. 3.500.000 1 Rp. 3.500.000
    61 Tromol Verban D 18x18 Dres 2015 1 Rp. 170.000 Rp. 170.000 1 1 Rp. 170.000 Rp. 170.000 1 Rp. 170.000
    62 Korentang Sponge Foster 2015 1 Rp. 50.000 Rp. 50.000 1 1 Rp. 50.000 Rp. 50.000 1 Rp. 50.000
    63 Handuk Gigi 2015 3 Rp. 16.000 Rp. 48.000 1 1 Rp. 48.000 Rp. 48.000 1 Rp. 48.000
    64 Senter Carge 2015 1 Rp. 30.000 Rp. 30.000 1 1 Rp. 30.000 Rp. 30.000 1 Rp. 30.000
    65 Kit set serumen 2015 1 Rp. 44.000 Rp. 44.000 1 1 Rp. 44.000 Rp. 44.000 1 Rp. 44.000
    66 Mata Bur 2015 4 Rp. 15.000 Rp. 60.000 3 4 Rp. 15.000 Rp. 60.000 3 Rp. 60.000
    67 Micro Aplicator 2015 1 Rp. 55.000 Rp. 55.000 1 1 Rp. 55.000 Rp. 55.000 1 Rp. 55.000
    68 Kaca mulit+Handle 2015 2 Rp. 30.000 Rp. 60.000 1 2 Rp. 30.000 Rp. 60.000 1 Rp. 60.000
    69 Pinset 2015 2 Rp. 25.000 Rp. 50.000 1 2 Rp. 25.000 Rp. 50.000 1 Rp. 50.000
    70 Gunting Lurus 2016 1 Rp. 25.000 Rp. 25.000 1 1 Rp. 25.000 Rp. 25.000 1 Rp. 25.000
    71 Gunting AJ 2016 1 Rp. 24.000 Rp. 24.000 1 1 Rp. 24.000 Rp. 24.000 1 Rp. 24.000
    72 Termoter Digital 2016 1 Rp. 30.000 Rp. 30.000 1 1 Rp. 30.000 Rp. 30.000 1 Rp. 30.000
    73 Stetoscope Riester 2016 1 Rp. 320.000 Rp. 320.000 1 1 Rp. 320.000 Rp. 320.000 1 Rp. 320.000
    74 Tensi Raksa Lotus 2016 1 Rp. 320.000 Rp. 320.000 1 1 Rp. 320.000 Rp. 320.000 1 Rp. 320.000
    75 Gunting Nlfuder One Med 2016 1 Rp. 52.000 Rp. 52.000 1 1 Rp. 52.000 Rp. 52.000 1 Rp. 52.000
    76 High Speed Zhole 2016 1 Rp. 1.850.000 Rp. 1.850.000 1 1 Rp. 1.850.000 Rp. 1.850.000 1 Rp. 1.850.000
    77 Switch Foot DU 2016 1 Rp. 800.000 Rp. 800.000 1 1 Rp. 800.000 Rp. 800.000 1 Rp. 800.000
    78 Tong Spatel Polos One Med 2016 1 Rp. 7.000 Rp. 14.000 1 2 Rp. 7.000 Rp. 14.000 1 Rp. 14.000
    79 Lingset One Med 2016 1 Rp. 5.000 Rp. 5.000 1 1 Rp. 5.000 Rp. 5.000 1 Rp. 5.000
    80 Mata Bur 2016 8 Rp. 15.000 Rp. 160.000 1 8 Rp. 15.000 Rp. 160.000 1 Rp. 160.000
    81 Othoscope One Med 2016 1 Rp. 60.000 Rp. 60.000 1 1 Rp. 60.000 Rp. 60.000 1 Rp. 60.000
    82 Tensi Lapangan One Med 2016 1 Rp. 85.000 Rp. 85.000 1 1 Rp. 85.000 Rp. 85.000 1 Rp. 85.000
    83 Cool Pack 2016 1 Rp. 199.000 Rp. 199.000 1 1 Rp. 199.000 Rp. 199.000 1 Rp. 199.000
    84 Gunting AJ One Med 2016 1 Rp. 17.500 Rp. 17.500 1 1 Rp. 17.500 Rp. 17.500 1 Rp. 17.500
    85 Msker Nabulizer Ank ABN 2016 1 Rp. 35.000 Rp. 35.000 1 1 Rp. 35.000 Rp. 35.000 1 Rp. 35.000
    86 Tensi Digital One Med 2016 1 Rp. 295.000 Rp. 295.000 1 1 Rp. 295.000 Rp. 295.000 1 Rp. 295.000
    Jumlah

    …………………………………………., 2016

    Tim Inventarisasi
    1
    2

    Catatan:
    a. Penulisan kondisi barang angka 1 untuk kondisi Baik, 2 untuk kondisi RR, 3 untuk kondisi RB
    b. Penulisan status 01 digunakan sendiri

    Kepala FKTP Klinik DKT Sidoarjo

    Agus Prayitno
    Pelda NRP 21950229970874

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