LAB KOBA Pisah Dari RDT

LAPORAN PENERIMAAN DAN PENGELUARAN REAGENSIA PUSKESMAS KOBA
PER 31 DESEMBER 2015

Saldo Awal 01 Desember 2015 PENERIMAAN PENGE
TANGGAL
No NAMA BARANG KEMASAN HARGA HARGA
PEROLEHAN VLM JUMLAH VLM JUMLAH VLM
SATUAN SATUAN
1 Widal Set
a. Salmonella Typhi H 10/2/2013 vial @ 5 ml 2 Rp 84,000 Rp 168,000 0 Rp - Rp - 0
b. Salmonella Paratyphi AH 10/2/2013 vial @ 5 ml 2 Rp 84,000 Rp 168,000 0 Rp - Rp - 2
c. Salmonella Paratyphi BH 10/2/2013 vial @ 5 ml 0 Rp 84,000 Rp - 0 Rp - Rp - 0
d. Salmonella Paratyphi CH 10/2/2013 vial @ 5 ml 1 Rp 84,000 Rp 84,000 0 Rp - Rp - 0
e. Salmonella typhi O 9/11/2015 vial @ 5 ml 1 Rp 90,000 Rp 90,000 0 Rp - Rp - 1
f. Salmonella Paratyphi AO 9/11/2015 vial @ 5 ml 1 Rp 90,000 Rp 90,000 0 Rp - Rp - 0
g. Salmonella Paratyphi BO 9/11/2015 vial @ 5 ml 2 Rp 90,000 Rp 180,000 0 Rp - Rp - 1
g. Salmonella Paratyphi CO 9/11/2015 vial @ 5 ml 3 Rp 90,000 Rp 270,000 0 Rp - Rp - 1
2 Reagen Golongan Darah
Anti A 9/11/2015 vial @ 10 ml 2 Rp 105,000 Rp 210,000 0 Rp - Rp - 0
Anti B 9/11/2015 vial @ 10 ml 2 Rp 105,000 Rp 210,000 0 Rp - Rp - 0
Anti AB 9/11/2015 vial @ 10 ml 2 Rp 105,000 Rp 210,000 0 Rp - Rp - 0
Anti D 9/11/2015 vial @ 10 ml 2 Rp 105,000 Rp 210,000 0 Rp - Rp - 0
3 Alkohol 70 % 9/11/2015 botol @ 1L 7 Rp 31,000 Rp 217,000 0
4 Alkohol 95 % 9/11/2015 botol @ 1 l 3 Rp 27,000 Rp 81,000 Rp -
5 Spiritus 9/11/2015 botol @ 1 l 6 Rp 37,500 Rp 225,000 0
6 HCl 0,1 N 9/11/2015 botol@100ml 5 Rp 35,000 Rp 175,000 Rp -
7 Aquadest 9/11/5015 botol @ 1 l 15 Rp 30,000 Rp 450,000 Rp - 1
8 Methanol PA 9/11/2015 botol @ 1 l 3 Rp 480,000 Rp 1,440,000 0 Rp - 1
9 Oil Imersi 9/11/2015 botol @ 100 ml 4 Rp 650,000 Rp 2,600,000 0 Rp - Rp - 0
10 Larutan Turk 9/11/2015 botol @ 100 ml 3 Rp 50,000 Rp 150,000 Rp - 0
11 Lisol 10/2/2013 botol @ 1 l 4 Rp 65,000 Rp 260,000 0 Rp - Rp - 0
12 Sabun Cuci Tangan anti Bakteri 11/9/2015 botol @ 250 ml 9 Rp 22,000 Rp 198,000 0 Rp - Rp - 0
13 GIEMSA 11/9/2015 botol@500ml 3 Rp 1,175,000 Rp 3,525,000 0 Rp - Rp - 0
14 buffer PH 7,2 tablet 10/2/2013 botol @ 20 tab 2 Rp 360,000 Rp 720,000 0 Rp - Rp - 0
15 buffer PH 7,2 tablet 11/9/2015 Botol@100 ml 2 Rp 375,000 Rp 750,000 0 Rp - Rp - 0
16 Reagen Zeil Nelsen 31/8/2015 paket 2 Rp 267,500 Rp 535,000 0 Rp - Rp - 0
17 kartu golongan darah pak @ 100 lbr 14 Rp 15,000 Rp 210,000 0 Rp - Rp - 0
18 slide 9/11/2015 box@72 pcs 24 Rp 36,250 Rp 870,000 0 Rp - Rp - 1
19 Stik urine 9/11/2015 2 Rp.160.000 Rp320,000 0 Rp - Rp - 0
20 Blood lancet 11/9/2015 box@200pcs 20 Rp 42,500 Rp 850,000 Rp - 1
21 Tissue 11/9/2015 rol 26 Rp 4,000 Rp 104,000 Rp - 3
22 pot urine 11/9/2015 pcs 97 Rp 3,200 Rp 310,400 0 Rp - Rp - 1
TOTAL Rp 15,880,400 total Rp -

Mengetahui Koba, 31 Desember 2015
Kepala Puskesmas Koba Petugas Laboratorium
Aries Noordiyanto, SKM Tuty Kurniawati, Amd. AK

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

PER 31 JANUARI 2016
Saldo Awal 01 januari 2016 PENERIMAAN PENGE
TANGGAL
SATUAN SATUAN
1 Widal Set
a. Salmonella Typhi H 10/2/2013 vial @ 5 ml 2 Rp 84,000 Rp 168,000 0 Rp - Rp - 2
b. Salmonella Paratyphi AH 10/2/2013 vial @ 5 ml 0 Rp 84,000 Rp - 0 Rp - Rp - 0
e. Salmonella typhi O 9/11/2015 vial @ 5 ml 0 Rp 90,000 Rp - 0 Rp - Rp - 0
3 Alkohol 70 % 9/11/2015 botol @ 1L 7 Rp 31,000 Rp 217,000 0 Rp - Rp - 0
4 Alkohol 95 % 9/11/2015 botol @ 1 l 3 Rp 27,000 Rp 81,000 0 Rp - Rp - 0
5 Spiritus 9/11/2015 botol @ 1 l 6 Rp 37,500 Rp 225,000 0 Rp - Rp - 0
6 HCl 0,1 N 9/11/2015 botol@100ml 5 Rp 35,000 Rp 175,000 0 Rp - Rp - 1
7 Aquadest 9/11/5015 botol @ 1 l 14 Rp 30,000 Rp 420,000 0 Rp - Rp - 2
8 Methanol PA 9/11/2015 botol @ 1 l 2 Rp 480,000 Rp 960,000 0 Rp - Rp - 0

Mengetahui Koba, 31 Januari 2016

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

PER 29 FEBRUARI 2016
Saldo Awal 01 FEBRUARI 2016 PENERIMAAN PENGE
TANGGAL
SATUAN SATUAN
1 Widal Set
a. Salmonella Typhi H 10/2/2013 vial @ 5 ml 0 Rp 84,000 Rp - 0 Rp - Rp - 0
19 Stik urine 9/11/2015 2 Rp. 160.000 Rp320,000 0 Rp - Rp - 0

Mengetahui Koba, 29 Februari 2016

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

PER 31 Maret 2016
Saldo Awal 01 Maret 2016 PENERIMAAN PENGE
TANGGAL
SATUAN SATUAN
1 Widal Set
f. Salmonella Paratyphi AO 9/11/2015 vial @ 5 ml 0 Rp 90,000 Rp - 0 Rp - Rp - 0

Mengetahui Koba, 31 Maret 2015

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
PER 30 April 2016
Saldo Awal 01 April 2016 PENERIMAAN PENGE
TANGGAL
SATUAN SATUAN
1 Widal Set
2 Reagen Golongan Darah Rp -
19 Stik urine 9/11/2015 1 Rp 160,000 Rp 160,000 0 Rp - Rp - 0

Mengetahui Koba, 30 April 2015
NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

PER 31 Mei 2016
Saldo Awal 01 Mei 2016 PENERIMAAN PENGE
TANGGAL
SATUAN SATUAN
1 Widal Set
2 Reagen Golongan Darah Rp -
19 Stik urine 9/11/2015 1 Rp 160,000 Rp 160,000 0 Rp - Rp - 0
21 Tissue 11/9/2015 rol 0 Rp 4,000 Rp - Rp - 0
Mengetahui Koba, 31 Mei 2015

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

PER 30 JUNI 2016
Saldo Awal 01 Mei 2016 PENERIMAAN PENGE
TANGGAL
SATUAN SATUAN
1 Widal Set
19 Stik urine 9/11/2015 1 Rp 160,000 Rp160,000 0 Rp - Rp - 0

Mengetahui Koba, 30 Juni 2016
NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

PER 30 JULI 2016
Saldo Awal 01 juli 2016 PENERIMAAN PENGE
TANGGAL
SATUAN SATUAN
1 Widal Set
16 Reagen Zeil Nelsen 31/8/2015 paket 0 Rp 267,500 Rp - 10 Rp 267,500 Rp 2,675,000 1
TOTAL Rp 9,770,750 total Rp 2,675,000
Mengetahui Koba, 30 Juli 2016

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
PER 31 Agustus 2016
Saldo Awal 01 agustus 2016 PENERIMAAN PENGE
TANGGAL
SATUAN SATUAN
1 Widal Set
16 Reagen Zeil Nelsen 31/8/2015 paket 9 Rp 267,500 Rp 2,407,500 0 Rp - Rp - 0
19 Stik urine 9/11/2015 0 Rp.160.000 - 0 Rp - Rp - 0
22 pot urine 11/9/2015 pcs 0 Rp 3,200 Rp - 0 Rp - Rp - 0
Mengetahui Koba, 31 Agustus 2016

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

PER 30 September 2016
Saldo Awal 01 September 2016 PENERIMAAN PENGE
TANGGAL
SATUAN SATUAN
1 Widal Set
19 Stik urine 9/11/2015 0 Rp.160.000 - 0 Rp - Rp - 0
23 BeneCheck Plus Glucose 14/9/2016 box 0 32 Rp 153,491 Rp 4,911,712 0
24 BeneCheck Plus Cholesterol 14/9/2016 box 0 60 Rp 233,020 Rp 13,981,200 2
25 BeneCheck Plus Uric 14/9/2016 box 0 25 Rp 128,376 Rp 3,209,400 0
TOTAL Rp 11,224,750 total Rp 22,102,312

Mengetahui Koba, 30 September 2016

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

PER 31 Oktober 2016
Saldo Awal 01 Oktober 2016 PENERIMAAN PENGE
TANGGAL
SATUAN SATUAN
1 Widal Set
Anti A 9/11/2015 vial @ 10 ml 0 Rp 105,000 Rp - 0 Rp - Rp - 0
19 Stik urine 9/11/2015 0 Rp 160,000 Rp - 0 Rp - Rp - 0
23 BeneCheck Plus Glucose 14/9/2016 box 32 Rp 153,491 Rp 4,911,712 0 Rp - Rp - 5
24 BeneCheck Plus Cholesterol 14/9/2016 box 58 Rp 233,020 Rp 13,515,160 0 Rp - Rp - 14
25 BeneCheck Plus Uric 14/9/2016 box 25 Rp 128,376 Rp 3,209,400 0 Rp - Rp - 3

Mengetahui Koba, 31 Oktober 2016
NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

PER 31 Oktober 2016
Saldo Awal 01 Oktober 2016 PENERIMAAN PENGE
TANGGAL
SATUAN SATUAN
1 Widal Set

Mengetahui Koba, 31 Oktober 2016

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
PER 30 November 2016
Saldo Awal 01 November 2016 PENERIMAAN PENGE
TANGGAL
SATUAN SATUAN
1 Widal Set
d. Salmonella Paratyphi CH 10/2/2013 vial @ 5 ml 0 Rp 84,000 Rp - 0 Rp - Rp - 0
g. Salmonella Paratyphi CO 9/11/2015 vial @ 5 ml 0 Rp 90,000 Rp - 0 Rp - Rp - 0
Anti B 9/11/2015 vial @ 10 ml 0 Rp 105,000 Rp - 0 Rp - Rp - 0
Anti D 9/11/2015 vial @ 10 ml 0 Rp 105,000 Rp - 0 Rp - Rp - 0

Mengetahui Koba, 30 November 2016

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

PER 31 Desember 2016
Saldo Awal 01 November 2016 PENERIMAAN PENGE
TANGGAL
SATUAN SATUAN
1 Widal Set
d. Salmonella Paratyphi CH 10/2/2013 vial @ 5 ml 0 Rp 84,000 Rp - 0 Rp - Rp - 0
g. Salmonella Paratyphi CO 9/11/2015 vial @ 5 ml 0 Rp 90,000 Rp - 0 Rp - Rp - 0
Plh Kepala Puskesmas Koba Petugas Laboratorium
dr. Kevin Sulay Wijaya Tuty Kurniawati, Amd. AK

NIP.19841224 201101 1 003 NIP. 19850116 201001 2 007
NB: reagen zeil nelsen yang keluar dikarenakan ex.date
S KOBA
PENGELUARAN SISA 31 DESEMBER 2015

HARGA
HARGA SATUAN JUMLAH VLM JUMLAH
SATUAN
Rp - Rp - 2 Rp 84,000 Rp 168,000
Rp 84,000 Rp 168,000 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 1 Rp 84,000 Rp 84,000
Rp 90,000 Rp 90,000 0 Rp 90,000 Rp -
Rp - Rp - 1 Rp 90,000 Rp 90,000
Rp 90,000 Rp 90,000 1 Rp 90,000 Rp 90,000
Rp 90,000 Rp 90,000 2 Rp 90,000 Rp 180,000
Rp -
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 7 Rp 31,000 Rp 217,000
Rp - 3 Rp 27,000 Rp 81,000
Rp - Rp - 6 Rp 37,500 Rp 225,000 Rp 14,828,200
5 Rp 35,000 Rp 175,000
Rp 30,000 Rp 30,000 14 Rp 30,000 Rp 420,000
Rp 480,000 Rp 480,000 2 Rp 480,000 Rp 960,000
Rp - Rp - 4 Rp 650,000 Rp 2,600,000
Rp - Rp - 3 Rp 50,000 Rp 150,000
Rp - Rp - 4 Rp 65,000 Rp 260,000
Rp - Rp - 9 Rp 22,000 Rp 198,000
Rp - Rp - 3 Rp 1,175,000 Rp 3,525,000
Rp - Rp - 2 Rp 360,000 Rp 720,000
Rp - Rp - 2 Rp 375,000 Rp 750,000
Rp - Rp - 2 Rp 267,500 Rp 535,000
Rp - Rp - 14 Rp 15,000 Rp 210,000
Rp 36,250 Rp 36,250 24 Rp 36,250 Rp 870,000
Rp - Rp - 2 Rp 160,000 Rp 320,000
Rp 42,500 Rp 42,500 18 Rp 42,500 Rp 765,000
Rp 4,000 Rp 12,000 22 Rp 4,000 Rp 88,000
Rp 3,200 Rp 3,200 96 Rp 3,200 Rp 307,200
TOTA
TOTAL Rp 1,041,950 L Rp 14,828,200
S KOBA
PENGELUARAN SISA 31 JANUARI 2016

HARGA
SATUAN
Rp 84,000 Rp 168,000 0 Rp 84,000 Rp -

Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 1 Rp 84,000 Rp 84,000
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 1 Rp 90,000 Rp 90,000
Rp - Rp - 1 Rp 90,000 Rp 90,000
Rp - Rp - 2 Rp 90,000 Rp 180,000
Rp - Rp -
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 7 Rp 31,000 Rp 217,000
Rp - Rp - 3 Rp 27,000 Rp 81,000
Rp - Rp - 6 Rp 37,500 Rp 225,000
Rp 35,000 Rp 35,000 4 Rp 35,000 Rp 140,000
Rp 30,000 Rp 60,000 12 Rp 30,000 Rp 360,000
Rp - Rp - 2 Rp 480,000 Rp 960,000
Rp - Rp - 4 Rp 650,000 Rp 2,600,000
Rp - Rp - 3 Rp 50,000 Rp 150,000
Rp - Rp - 4 Rp 65,000 Rp 260,000
Rp 22,000 Rp 22,000 8 Rp 22,000 Rp 176,000
Rp - Rp - 3 Rp 1,175,000 Rp 3,525,000
Rp - Rp - 2 Rp 360,000 Rp 720,000
Rp - Rp - 2 Rp 375,000 Rp 750,000
Rp 267,500 Rp 267,500 1 Rp 267,500 Rp 267,500
Rp 15,000 Rp 15,000 13 Rp 15,000 Rp 195,000
Rp 36,250 Rp 36,250 23 Rp 36,250 Rp 833,750
Rp - Rp - 2 Rp 160,000 Rp 320,000
Rp 42,500 Rp 42,500 17 Rp 42,500 Rp 722,500
Rp 4,000 Rp 12,000 19 Rp 4,000 Rp 76,000
Rp 3,200 Rp 51,200 80 Rp 3,200 Rp 256,000
TOTA
TOTAL Rp 709,450 L Rp 14,118,750
S KOBA
PENGELUARAN SISA 29 FEBRUARI 2016

HARGA
SATUAN
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 1 Rp 84,000 Rp 84,000
Rp - Rp - 0 Rp 90,000 Rp -
Rp 90,000 Rp 90,000 0 Rp 90,000 Rp -
Rp - Rp - 1 Rp 90,000 Rp 90,000
Rp - Rp - 2 Rp 90,000 Rp 180,000
Rp - 0 Rp -
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 7 Rp 31,000 Rp 217,000
Rp - Rp - 3 Rp 27,000 Rp 81,000
Rp - Rp - 6 Rp 37,500 Rp 225,000
Rp - Rp - 4 Rp 35,000 Rp 140,000
Rp - Rp - 12 Rp 30,000 Rp 360,000
Rp - Rp - 2 Rp 480,000 Rp 960,000
Rp - Rp - 4 Rp 650,000 Rp 2,600,000
Rp - Rp - 3 Rp 50,000 Rp 150,000
Rp - Rp - 4 Rp 65,000 Rp 260,000
Rp - Rp - 8 Rp 22,000 Rp 176,000
Rp - Rp - 3 Rp 1,175,000 Rp 3,525,000
Rp - Rp - 2 Rp 360,000 Rp 720,000
Rp - Rp - 2 Rp 375,000 Rp 750,000
Rp - Rp - 1 Rp 267,500 Rp 267,500
Rp - Rp - 13 Rp 15,000 Rp 195,000
Rp 36,250 Rp 36,250 22 Rp 36,250 Rp 797,500
Rp - Rp - 2 Rp 160,000 Rp 320,000
Rp 42,500 Rp 42,500 16 Rp 42,500 Rp 680,000
Rp 4,000 Rp 24,000 13 Rp 4,000 Rp 52,000
Rp 3,200 Rp 32,000 70 Rp 3,200 Rp 224,000
TOTA
TOTAL Rp 224,750 L Rp 13,894,000
S KOBA
PENGELUARAN SISA 31 Maret 2016

HARGA
SATUAN
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 1 Rp 84,000 Rp 84,000
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 1 Rp 90,000 Rp 90,000
Rp - Rp - 2 Rp 90,000 Rp 180,000
Rp - 0 Rp -
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 7 Rp 31,000 Rp 217,000
Rp - Rp - 3 Rp 27,000 Rp 81,000
Rp - Rp - 6 Rp 37,500 Rp 225,000
Rp - Rp - 4 Rp 35,000 Rp 140,000
Rp - Rp - 12 Rp 30,000 Rp 360,000
Rp - Rp - 2 Rp 480,000 Rp 960,000
Rp - Rp - 4 Rp 650,000 Rp 2,600,000
Rp 50,000 Rp 50,000 2 Rp 50,000 Rp 100,000
Rp - Rp - 4 Rp 65,000 Rp 260,000
Rp 22,000 Rp 22,000 7 Rp 22,000 Rp 154,000
Rp 1,175,000 Rp 2,350,000 1 Rp 1,175,000 Rp 1,175,000
Rp - Rp - 2 Rp 360,000 Rp 720,000
Rp - Rp - 2 Rp 375,000 Rp 750,000
Rp - Rp - 1 Rp 267,500 Rp 267,500
Rp - Rp - 13 Rp 15,000 Rp 195,000
Rp 36,250 Rp 36,250 21 Rp 36,250 Rp 761,250
Rp 160,000 Rp 160,000 1 Rp 160,000 Rp 160,000
Rp 42,500 Rp 85,000 14 Rp 42,500 Rp 595,000
Rp 4,000 Rp 24,000 7 Rp 4,000 Rp 28,000
Rp 3,200 Rp 73,600 47 Rp 3,200 Rp 150,400
TOTA
TOTAL Rp 2,800,850 L Rp 11,093,150
S KOBA
PENGELUARAN SISA 30 April 2016

HARGA
SATUAN
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 1 Rp 84,000 Rp 84,000
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 1 Rp 90,000 Rp 90,000
Rp - Rp - 2 Rp 90,000 Rp 180,000
0 Rp -
Rp 105,000 Rp 105,000 1 Rp 105,000 Rp 105,000
Rp 105,000 Rp 105,000 1 Rp 105,000 Rp 105,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp 31,000 Rp 31,000 6 Rp 31,000 Rp 186,000
Rp - Rp - 3 Rp 27,000 Rp 81,000
Rp - Rp - 6 Rp 37,500 Rp 225,000
Rp - Rp - 4 Rp 35,000 Rp 140,000 Rp 11,093,150
Rp - Rp - 12 Rp 30,000 Rp 360,000
Rp - Rp - 2 Rp 480,000 Rp 960,000
Rp - Rp - 4 Rp 650,000 Rp 2,600,000
Rp - Rp - 2 Rp 50,000 Rp 100,000
Rp - Rp - 4 Rp 65,000 Rp 260,000
Rp - Rp - 7 Rp 22,000 Rp 154,000
Rp - Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp - Rp - 2 Rp 360,000 Rp 720,000 60250
Rp - Rp - 2 Rp 375,000 Rp 750,000
Rp - Rp - 1 Rp 267,500 Rp 267,500
Rp - Rp - 13 Rp 15,000 Rp 195,000
Rp 36,250 Rp 72,500 19 Rp 36,250 Rp 688,750
Rp - Rp - 1 Rp 160,000 Rp 160,000
Rp 42,500 Rp 42,500 13 Rp 42,500 Rp 552,500
Rp 4,000 Rp 28,000 0 Rp 4,000 Rp -
Rp 3,200 Rp 89,600 19 Rp 3,200 Rp 60,800
TOTA
TOTAL Rp 473,600 L Rp 10,619,550
S KOBA
PENGELUARAN SISA 31 Mei 2016

HARGA
SATUAN
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 1 Rp 84,000 Rp 84,000
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 1 Rp 90,000 Rp 90,000
Rp - Rp - 2 Rp 90,000 Rp 180,000
0
Rp - Rp - 1 Rp 105,000 Rp 105,000
Rp - Rp - 1 Rp 105,000 Rp 105,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 6 Rp 31,000 Rp 186,000
Rp - Rp - 3 Rp 27,000 Rp 81,000
Rp - Rp - 6 Rp 37,500 Rp 225,000
Rp - Rp - 4 Rp 35,000 Rp 140,000
Rp 30,000 Rp 30,000 11 Rp 30,000 Rp 330,000
Rp - Rp - 2 Rp 480,000 Rp 960,000
Rp - Rp - 4 Rp 650,000 Rp 2,600,000
Rp - Rp - 2 Rp 50,000 Rp 100,000
Rp - Rp - 4 Rp 65,000 Rp 260,000
Rp 32,000 Rp 32,000 6 Rp 22,000 Rp 132,000
Rp - Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp - Rp - 2 Rp 360,000 Rp 720,000
Rp - Rp - 2 Rp 375,000 Rp 750,000
Rp - Rp - 1 Rp 267,500 Rp 267,500
Rp 15,000 Rp 30,000 11 Rp 15,000 Rp 165,000
Rp 36,200 Rp 108,600 16 Rp 36,250 Rp 580,000
Rp - Rp - 1 Rp 160,000 Rp 160,000
Rp 42,500 Rp 85,000 11 Rp 42,500 Rp 467,500
Rp 4,000 Rp - 0 Rp 4,000 Rp -
Rp 3,200 Rp 28,800 10 Rp 3,200 Rp 32,000
TOTA
TOTAL Rp 314,400 L Rp 10,315,000
S KOBA

HARGA
SATUAN
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 1 Rp 84,000 Rp 84,000
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 1 Rp 90,000 Rp 90,000
Rp 90,000 - 2 Rp 90,000 Rp 180,000
Rp -
Rp - Rp - 1 Rp 105,000 Rp 105,000
Rp - Rp - 1 Rp 105,000 Rp 105,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp 31,000 Rp 31,000 5 Rp 31,000 Rp 155,000
Rp - Rp - 3 Rp 27,000 Rp 81,000
Rp - Rp - 6 Rp 37,500 Rp 225,000
Rp 35,000 Rp 35,000 3 Rp 35,000 Rp 105,000
Rp 30,000 Rp 30,000 10 Rp 30,000 Rp 300,000
Rp - Rp - 2 Rp 480,000 Rp 960,000
Rp - Rp - 4 Rp 650,000 Rp 2,600,000
Rp 50,000 Rp - 2 Rp 50,000 Rp 100,000
Rp 65,000 Rp 65,000 3 Rp 65,000 Rp 195,000
Rp 32,000 Rp 32,000 5 Rp 22,000 Rp 110,000
Rp - Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp - Rp - 2 Rp 360,000 Rp 720,000
Rp - Rp - 2 Rp 375,000 Rp 750,000
Rp 267,500 Rp 267,500 0 Rp 17 Rp -
Rp 15,000 Rp 15,000 10 Rp 15,000 Rp 150,000
Rp 36,200 Rp 36,200 15 Rp 36,250 Rp 543,750
Rp - Rp - 1 Rp 160,000 Rp 160,000
Rp 42,500 Rp 42,500 10 Rp 42,500 Rp 425,000
Rp - Rp - 0 Rp 4,000 Rp -
Rp - Rp - 10 Rp 3,200 Rp 32,000
TOTA
TOTAL Rp 554,200 L Rp 9,770,750
S KOBA
PENGELUARAN SISA 30 Juli 2016

HARGA
SATUAN
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 1 Rp 84,000 Rp 84,000
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 1 Rp 90,000 Rp 90,000
Rp 90,000 Rp 90,000 1 Rp 90,000 Rp 90,000
Rp - Rp -
Rp - Rp - 1 Rp 105,000 Rp 105,000
Rp - Rp - 1 Rp 105,000 Rp 105,000
Rp - Rp - 2 Rp 105,000 Rp 210,000
Rp 105,000 Rp 105,000 1 Rp 105,000 Rp 105,000
Rp - Rp - 5 Rp 31,000 Rp 155,000
Rp 27,000 Rp 27,000 2 Rp 27,000 Rp 54,000
Rp - Rp - 6 Rp 37,500 Rp 225,000
Rp 35,000 Rp 35,000 2 Rp 35,000 Rp 70,000
Rp 30,000 Rp 30,000 9 Rp 30,000 Rp 270,000
Rp - Rp - 2 Rp 480,000 Rp 960,000
Rp - Rp - 4 Rp 650,000 Rp 2,600,000
Rp 50,000 Rp 50,000 1 Rp 50,000 Rp 50,000
Rp 65,000 Rp 65,000 2 Rp 65,000 Rp 130,000
Rp 22,000 Rp 22,000 4 Rp 22,000 Rp 88,000
Rp - Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp - Rp - 2 Rp 360,000 Rp 720,000
Rp - Rp - 2 Rp 375,000 Rp 750,000
Rp 267,500 Rp 267,500 9 Rp 267,500 Rp 2,407,500
Rp 15,000 Rp 15,000 9 Rp 15,000 Rp 135,000
Rp 36,250 Rp 36,250 14 Rp 36,250 Rp 507,500
Rp 160,000 Rp 160,000 0 Rp 160,000 Rp -
Rp 42,500 Rp 42,500 9 Rp 42,500 Rp 382,500
Rp - Rp - 0 Rp 4,000 Rp -
Rp 3,200 Rp 32,000 0 Rp 3,200 Rp -
TOTAL Rp 977,250 Rp 11,468,500
S KOBA
PENGELUARAN SISA 31 Agustus 2016

HARGA
SATUAN
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 1 Rp 84,000 Rp 84,000
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 1 Rp 90,000 Rp 90,000
Rp - Rp - 1 Rp 90,000 Rp 90,000
Rp - 1 Rp 105,000 Rp 105,000
Rp - Rp - 1 Rp 105,000 Rp 105,000
Rp 105,000 Rp 105,000 1 Rp 105,000 Rp 105,000
Rp - Rp - 1 Rp 105,000 Rp 105,000
Rp - Rp - 5 Rp 31,000 Rp 155,000
Rp - Rp - 2 Rp 27,000 Rp 54,000
Rp - Rp - 6 Rp 37,500 Rp 225,000
Rp - Rp - 2 Rp 35,000 Rp 70,000
Rp 30,000 Rp 60,000 7 Rp 30,000 Rp 210,000
Rp - Rp - 2 Rp 480,000 Rp 960,000
Rp - Rp - 4 Rp 650,000 Rp 2,600,000
Rp - Rp - 1 Rp 50,000 Rp 50,000
Rp - Rp - 2 Rp 65,000 Rp 130,000
Rp - Rp - 4 Rp 22,000 Rp 88,000
Rp - Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp - Rp - 2 Rp 360,000 Rp 720,000
Rp - Rp - 2 Rp 375,000 Rp 750,000
Rp - Rp - 9 Rp 267,500 Rp 2,407,500
Rp - Rp - 9 Rp 15,000 Rp 135,000
Rp 36,250 Rp 36,250 13 Rp 36,250 Rp 471,250
Rp - Rp - 0 Rp 160,000 Rp -
Rp 42,500 Rp 42,500 8 Rp 42,500 Rp 340,000
Rp - Rp - 0 Rp 4,000 Rp -
Rp - Rp - 0 Rp 3,200 Rp -
TOTAL Rp 243,750 Rp 11,224,750
S KOBA
PENGELUARAN SISA 30 September 2016

HARGA
SATUAN
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 1 Rp 84,000 Rp 84,000
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 1 Rp 90,000 Rp 90,000
Rp - Rp - 1 Rp 90,000 Rp 90,000
Rp 105,000 Rp 105,000 0 Rp 105,000 Rp -

Rp - Rp - 1 Rp 105,000 Rp 105,000
Rp - Rp - 1 Rp 105,000 Rp 105,000
Rp - Rp - 1 Rp 105,000 Rp 105,000
Rp - Rp - 5 Rp 31,000 Rp 155,000
Rp 27,000 Rp 27,000 1 Rp 27,000 Rp 27,000
Rp 37,500 Rp 37,500 5 Rp 37,500 Rp 187,500
Rp - Rp - 2 Rp 35,000 Rp 70,000
Rp 30,000 Rp 30,000 6 Rp 30,000 Rp 180,000
Rp - Rp - 2 Rp 480,000 Rp 960,000
Rp - Rp - 4 Rp 650,000 Rp 2,600,000
Rp - Rp - 1 Rp 50,000 Rp 50,000
Rp - Rp - 2 Rp 65,000 Rp 130,000
Rp - Rp - 4 Rp 22,000 Rp 88,000
Rp - Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp - Rp - 2 Rp 360,000 Rp 720,000
Rp - Rp - 2 Rp 375,000 Rp 750,000
Rp - Rp - 9 Rp 267,500 Rp 2,407,500
Rp - Rp - 9 Rp 15,000 Rp 135,000
Rp - Rp - 13 Rp 36,250 Rp 471,250
Rp - Rp - 0 Rp 160,000 Rp -
Rp - Rp - 8 Rp 42,500 Rp 340,000
Rp - Rp - 0 Rp 4,000 Rp -
Rp - Rp - 0 Rp 3,200 Rp -
Rp 153,491 Rp - 32 Rp 153,491 Rp 4,911,712
Rp 233,020 Rp 466,040 58 Rp 233,020 Rp 13,515,160
Rp 128,376 Rp - 25 Rp 128,376 Rp 3,209,400
TOTA
TOTAL Rp 665,540 L Rp 32,661,522
S KOBA
PENGELUARAN SISA 31 Oktober 2016

HARGA
SATUAN
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp 84,000 Rp 84,000 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 1 Rp 90,000 Rp 90,000
Rp 90,000 Rp 90,000 0 Rp 90,000 Rp -
Rp - Rp - 0 Rp 105,000 Rp -
Rp 105,000 Rp 105,000 0 Rp 105,000 Rp -
Rp - Rp - 1 Rp 105,000 Rp 105,000
Rp 105,000 Rp 105,000 0 Rp 105,000 Rp -
Rp - Rp - 5 Rp 31,000 Rp 155,000
Rp - Rp - 1 Rp 27,000 Rp 27,000
Rp 37,500 Rp 37,500 4 Rp 37,500 Rp 150,000
Rp - Rp - 2 Rp 35,000 Rp 70,000
Rp - Rp - 6 Rp 30,000 Rp 180,000
Rp - Rp - 2 Rp 480,000 Rp 960,000
Rp - Rp - 4 Rp 650,000 Rp 2,600,000
Rp - Rp - 1 Rp 50,000 Rp 50,000
Rp 65,000 Rp 65,000 1 Rp 65,000 Rp 65,000
Rp - Rp - 4 Rp 22,000 Rp 88,000
Rp - Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp 360,000 Rp 360,000 1 Rp 360,000 Rp 360,000
Rp - Rp - 2 Rp 375,000 Rp 750,000
Rp - Rp - 9 Rp 267,500 Rp 2,407,500
Rp 15,000 Rp 15,000 8 Rp 15,000 Rp 120,000
Rp 36,250 Rp 36,250 12 Rp 36,250 Rp 435,000
Rp - Rp - 0 Rp 160,000 Rp -
Rp - Rp - 8 Rp 42,500 Rp 340,000
Rp - Rp - 0 Rp 4,000 Rp -
Rp - Rp - 0 Rp 3,200 Rp -
Rp 153,491 Rp 767,455 27 Rp 153,491 Rp 4,144,257
Rp 233,020 Rp 3,262,280 44 Rp 233,020 Rp 10,252,880
Rp 128,376 Rp 385,128 22 Rp 128,376 Rp 2,824,272
TOTA
TOTAL Rp 5,312,613 L Rp 27,348,909
S KOBA

HARGA
SATUAN
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp 84,000 Rp 84,000 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 1 Rp 90,000 Rp 90,000
Rp 90,000 Rp 90,000 0 Rp 90,000 Rp -
Rp - Rp - 0 Rp 105,000 Rp -
Rp 105,000 Rp 105,000 0 Rp 105,000 Rp -
Rp - Rp - 1 Rp 105,000 Rp 105,000
Rp 105,000 Rp 105,000 0 Rp 105,000 Rp -
Rp - Rp - 5 Rp 31,000 Rp 155,000
Rp - Rp - 1 Rp 27,000 Rp 27,000
Rp 37,500 Rp 37,500 4 Rp 37,500 Rp 150,000
Rp - Rp - 2 Rp 35,000 Rp 70,000
Rp - Rp - 6 Rp 30,000 Rp 180,000
Rp - Rp - 2 Rp 480,000 Rp 960,000
Rp - Rp - 4 Rp 650,000 Rp 2,600,000
Rp - Rp - 1 Rp 50,000 Rp 50,000
Rp 65,000 Rp 65,000 1 Rp 65,000 Rp 65,000
Rp - Rp - 4 Rp 22,000 Rp 88,000
Rp - Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp 360,000 Rp 360,000 1 Rp 360,000 Rp 360,000
Rp - Rp - 2 Rp 375,000 Rp 750,000
Rp - Rp - 9 Rp 267,500 Rp 2,407,500
Rp 15,000 Rp 15,000 8 Rp 15,000 Rp 120,000
Rp 36,250 Rp 36,250 12 Rp 36,250 Rp 435,000
Rp - Rp - 0 Rp 160,000 Rp -
Rp - Rp - 8 Rp 42,500 Rp 340,000
Rp - Rp - 0 Rp 4,000 Rp -
Rp - Rp - 0 Rp 3,200 Rp -
Rp 153,491 Rp 767,455 27 Rp 153,491 Rp 4,144,257
Rp 233,020 Rp 3,262,280 44 Rp 233,020 Rp 10,252,880
Rp 128,376 Rp 385,128 22 Rp 128,376 Rp 2,824,272
TOTA
TOTAL Rp 5,312,613 L Rp 27,348,909
S KOBA
PENGELUARAN SISA 30 November 2016

HARGA
SATUAN
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 1 Rp 90,000 Rp 90,000
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 0 Rp 105,000 Rp -
Rp - Rp - 0 Rp 105,000 Rp -
Rp - Rp - 1 Rp 105,000 Rp 105,000
Rp - Rp - 0 Rp 105,000 Rp -
Rp - Rp - 5 Rp 31,000 Rp 155,000
Rp - Rp - 1 Rp 27,000 Rp 27,000
Rp 37,500 Rp 37,500 3 Rp 37,500 Rp 112,500
Rp - Rp - 2 Rp 35,000 Rp 70,000
Rp 30,000 Rp 30,000 5 Rp 30,000 Rp 150,000
Rp - Rp - 2 Rp 480,000 Rp 960,000
Rp - Rp - 4 Rp 650,000 Rp 2,600,000
Rp - Rp - 1 Rp 50,000 Rp 50,000
Rp - Rp - 1 Rp 65,000 Rp 65,000
Rp - Rp - 4 Rp 22,000 Rp 88,000
Rp - Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp - Rp - 1 Rp 360,000 Rp 360,000
Rp - Rp - 2 Rp 375,000 Rp 750,000
Rp - Rp - 9 Rp 267,500 Rp 2,407,500
Rp - Rp - 8 Rp 15,000 Rp 120,000
Rp 36,250 Rp 36,250 11 Rp 36,250 Rp 398,750
Rp - Rp - 0 Rp 160,000 Rp -
Rp 42,500 Rp 170,000 4 Rp 42,500 Rp 170,000
Rp - Rp - 0 Rp 4,000 Rp -
Rp - Rp - 0 Rp 3,200 Rp -
Rp 153,491 Rp 613,964 23 Rp 153,491 Rp 3,530,293
Rp 233,020 Rp 2,330,200 34 Rp 233,020 Rp 7,922,680
Rp 128,376 Rp 385,128 19 Rp 128,376 Rp 2,439,144
TOTA
TOTAL Rp 3,603,042 L Rp 23,745,867
S KOBA

HARGA
SATUAN
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 84,000 Rp -
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 1 Rp 90,000 Rp 90,000
Rp - Rp - 0 Rp 90,000 Rp -
Rp - Rp - 0 Rp 105,000 Rp -
Rp - Rp - 0 Rp 105,000 Rp -
Rp - Rp - 1 Rp 105,000 Rp 105,000
Rp - Rp - 0 Rp 105,000 Rp -
Rp - Rp - 5 Rp 31,000 Rp 155,000
Rp - Rp - 1 Rp 27,000 Rp 27,000
Rp 37,500 Rp 37,500 2 Rp 37,500 Rp 75,000
Rp - Rp - 2 Rp 35,000 Rp 70,000
Rp 30,000 Rp 30,000 4 Rp 30,000 Rp 120,000
Rp - Rp - 2 Rp 480,000 Rp 960,000
Rp - Rp - 4 Rp 650,000 Rp 2,600,000
Rp 50,000 Rp 50,000 0 Rp 50,000 Rp -
Rp - Rp - 1 Rp 65,000 Rp 65,000
Rp 22,000 Rp 22,000 3 Rp 22,000 Rp 66,000
Rp - Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp - Rp - 1 Rp 360,000 Rp 360,000
Rp - Rp - 2 Rp 375,000 Rp 750,000
Rp 267,500 Rp 2,407,500 0 Rp 267,500 Rp -
Rp 15,000 Rp 15,000 7 Rp 15,000 Rp 105,000
Rp 36,250 Rp 36,250 10 Rp 36,250 Rp 362,500
Rp - Rp - 0 Rp 160,000 Rp -
Rp 42,500 Rp 85,000 2 Rp 42,500 Rp 85,000
Rp - Rp - 0 Rp 4,000 Rp -
Rp - Rp - 0 Rp 3,200 Rp -
Rp 153,491 Rp 306,982 21 Rp 153,491 Rp 3,223,311
Rp 233,020 Rp 1,631,140 27 Rp 233,020 Rp 6,291,540
Rp 128,376 Rp 256,752 17 Rp 128,376 Rp 2,182,392
TOTAL Rp 4,878,124 TOTAL Rp 18,867,743
LAPORAN HARIAN PEMAKAIAN REAGENSIA LABORATORIUM BULAN JANUARI 2015
NO NAMA REAGEN KEMASAN TANGGAL Total
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Widal Set
a. Salmonella Typhi H vial @ 5 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
b. Salmonella Paratyphi AH vial @ 5 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
c. Salmonella Paratyphi BH vial @ 5 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
d. Salmonella Paratyphi CH vial @ 5 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
e. Salmonella typhi O vial @ 5 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
f. Salmonella Paratyphi AO vial @ 5 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Salmonella Paratyphi BO vial @ 5 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
g. Salmonella Paratyphi CO vial @ 5 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0
2 Reagen Golongan Darah 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anti A vial @ 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anti B vial @ 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anti AB vial @ 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anti D vial @ 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Alkohol 95 % botol @ 1 l 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Spiritus botol @ 1 l 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 HCl 0,1 N botol @100 ml 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
6 Aquadest botol @ 1 l 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2
7 Methanol PA botol @ 1 l 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Oil Imersi botol @ 100 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Larutan Turk botol @ 100 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Lisol botol @ 1 l 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
11 Stik DM kotak @ 25 pc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 2
12 Sabun Cuci Tangan anti Bakteri botol @ 250 ml 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
13 Larutan Giemsa botol @ 100 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 buffer PH 7,2 botol @ 20 tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Reagen Zeil Nelsen botol @ 100 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Reagen BTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lar. Karbol Fuchin Botol @ 100 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lar.Methilen Blue Botol @ 100 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Lar. Asam Alkohol Botol @ 100 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui
ARIES NOORDIYANTO ,SKM Tuty Kurniawati, Amd.AK
NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
LAPORAN HARIAN PEMAKAIAN REAGENSIA LABORATORIUM BULAN FEBRUARI 2015

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Widal Set
Anti A vial @ 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anti B vial @ 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anti AB vial @ 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anti D vial @ 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Alkohol 95 % botol @ 1 l 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Spiritus botol @ 1 l 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 HCl 0,1 N botol @100 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Aquadest botol @ 1 l 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 3
10 Lisol botol @ 1 l 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
11 Stik DM kotak @ 25 pc 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 3
16 Reagen BTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
LAPORAN HARIAN PEMAKAIAN REAGENSIA LABORATORIUM BULAN MARET 2015

1 2 3 4 5 6 7 8 9 1 11 12 13 14 15 16 17 18 19 1 21 22 23 24 25 26 27 28 29 30 31
1 Widal Set
Anti A vial @ 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anti B vial @ 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anti AB vial @ 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anti D vial @ 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Alkohol 95 % botol @ 1 l 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Spiritus botol @ 1 l 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
5 HCl 0,1 N botol @100 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Aquadest botol @ 1 l 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
10 Lisol botol @ 1 l 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
11 Stik DM kotak @ 25 pc 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 2
16 Reagen BTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Lancet box @ 200 butir 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
18 Slide box @ 72 slide 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1
Mengetahui

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
LAPORAN HARIAN PEMAKAIAN REAGENSIA LABORATORIUM BULAN APRIL 2015
1 2 3 4 5 6 7 8 9 1 11 12 13 14 15 16 17 18 19 1 21 22 23 24 25 26 27 28 29 30 31
1 Widal Set
Anti A vial @ 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anti B vial @ 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anti AB vial @ 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Anti D vial @ 10 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Alkohol 95 % botol @ 1 l 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
4 Spiritus botol @ 1 l 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 HCl 0,1 N botol @100 ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Aquadest botol @ 1 l 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Lisol botol @ 1 l 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Stik DM kotak @ 25 pc 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 4
16 Reagen BTA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Lancet box @ 200 butir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
18 Slide box @ 72 slide 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 2
Mengetahui

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
0
PER 31 Januari 2015
No NAMA BARANG TANGGAL KEMASAN SISA/ 31 Desember 2014 PENERIMAAN PENGELUARAN

PEROLEHAN HARGA HARGA
VLM HARGA JUMLAH VLM SATUAN JML VLM SATUAN
1 Widal Set SATUAN
a. Salmonella Typhi H 10/2/2013 vial @ 5 ml 6 Rp 84,000 Rp 504,000 0 Rp - Rp - 0 Rp -
b. Salmonella Paratyphi AH 10/2/2013 vial @ 5 ml 6 Rp 84,000 Rp 504,000 0 Rp - Rp - 0 Rp -
c. Salmonella Paratyphi BH 10/2/2013 vial @ 5 ml 6 Rp 84,000 Rp 504,000 0 Rp - Rp - 0 Rp -
d. Salmonella Paratyphi CH 10/2/2013 vial @ 5 ml 6 Rp 84,000 Rp 504,000 0 Rp - Rp - 0 Rp -
e. Salmonella typhi O 10/2/2013 vial @ 5 ml 6 Rp 84,000 Rp 504,000 0 Rp - Rp - 0 Rp -
f. Salmonella Paratyphi AO 10/2/2013 vial @ 5 ml 6 Rp 84,000 Rp 504,000 0 Rp - Rp - 0 Rp -
g. Salmonella Paratyphi BO 10/2/2013 vial @ 5 ml 6 Rp 84,000 Rp 504,000 0 Rp - Rp - 0 Rp -
g. Salmonella Paratyphi CO 10/2/2013 vial @ 5 ml 6 Rp 84,000 Rp 504,000 0 Rp - Rp - 1 Rp 84,000
Anti A 10/2/2013 vial @ 10 ml 2 Rp 53,000 Rp 106,000 0 Rp - Rp - 0 Rp -
Anti B 10/2/2013 vial @ 10 ml 2 Rp 53,000 Rp 106,000 0 Rp - Rp - 0 Rp -
Anti AB 10/2/2013 vial @ 10 ml 2 Rp 53,000 Rp 106,000 0 Rp - Rp - 0 Rp -
Anti D 10/2/2013 vial @ 10 ml 4 Rp 115,000 Rp 460,000 0 Rp - Rp - 0 Rp -
3 Alkohol 95 % 10/2/2013 botol @ 1 l 10 Rp 35,000 Rp 350,000 0 Rp - Rp - 0 Rp -
4 Spiritus 10/2/2013 botol @ 1 l 7 Rp 35,000 Rp 245,000 0 Rp - Rp - 0 Rp -
5 HCl 0,1 N 10/2/2013 botol @100 ml 3 Rp 30,000 Rp 90,000 0 Rp - Rp - 0 Rp -
6 Aquadest 10/2/2013 botol @ 1 l 8 Rp 15,000 Rp 120,000 0 Rp - Rp - 0 Rp -
7 Methanol PA 10/2/2013 botol @ 1 l 2 Rp 450,000 Rp 900,000 0 Rp - Rp - 0 Rp -
8 Oil Imersi 10/2/2013 botol @ 100 ml 1 Rp 480,000 Rp 480,000 0 Rp - Rp - 0 Rp -
9 Larutan Turk 10/2/2013 botol @ 100 ml 2 Rp 44,000 Rp 88,000 0 Rp - Rp - 0 Rp -
10 Lisol 10/2/2013 botol @ 1 l 5 Rp 65,000 Rp 325,000 0 Rp - Rp - 0 Rp -
11 Stik DM 10/2/2013 kotak @ 25 pc 17 Rp 159,000 Rp 2,703,000 0 Rp - Rp - 0 Rp -
12 Sabun Cuci Tangan anti Bakteri 10/2/2013 botol @ 250 ml 3 Rp 18,000 Rp 54,000 0 Rp - Rp - 0 Rp -
13 Larutan Giemsa 10/2/2013 botol @ 100 ml 7 Rp 181,000 Rp 1,267,000 0 Rp - Rp - 0 Rp -
14 buffer PH 7,2 tablet 10/2/2013 botol @ 20 tab 2 Rp 360,000 Rp 720,000 0 Rp - Rp - 0 Rp -
15 Reagen Zeil Nelsen 10/2/2013 botol @ 100 ml Rp - Rp - 0 Rp - Rp - 0 Rp -
16 Reagen BTA 10/2/2013
Lar. Karbol Fuchin 10/2/2013 Botol @ 100 ml 6 Rp 108,000 Rp 648,000 0 Rp - Rp - 1 Rp. 108.000
Lar.Methilen Blue 10/2/2013 Botol @ 100 ml 4 Rp 108,000 Rp 432,000 0 Rp - Rp - 1 Rp. 108.000
Lar. Asam Alkohol 10/2/2013 Botol @ 100 ml 4 Rp 108,000 Rp 432,000 0 Rp - Rp - 1 Rp. 108.000
17 kartu golongan darah pak @ 100 lbr 16 Rp 15,000 Rp 240,000 0 Rp - Rp - 2 Rp 15,000
18 Imersi btl @ 500 ml 1 Rp 575,000 Rp 575,000 0 Rp - Rp - Rp.575.000
19 slide ktk @ 72 buah 3 Rp 32,000 Rp 96,000 5 Rp 32,000 Rp 160,000 0 Rp -
20 stik urine btl@ 100 piece 2 Rp 153,000 Rp 306,000 0 Rp - Rp - 1 Rp.153.000
TOTAL Rp 14,881,000 Rp 160,000
Mengetahui
ARIES NOORDIYANTO ,SKM Tuty Kurniawati, Amd. AK

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
no NAMA BARANG TANGGAL KEMASAN SISA/ 31 Januari 2015 PENERIMAAN PENGELUARAN

1 Widal Set SATUAN
a. Salmonella Typhi H 10/2/2013 vial @ 5 ml 6 Rp 84,000 Rp 504,000 0 Rp - Rp - 1 Rp. 84.000
e. Salmonella typhi O 10/2/2013 vial @ 5 ml 6 Rp 84,000 Rp 504,000 0 Rp - Rp - 1 Rp. 84.000
g. Salmonella Paratyphi CO 10/2/2013 vial @ 5 ml 5 Rp 84,000 Rp 420,000 0 Rp - Rp - 0 Rp -
11 Stik DM 10/2/2013 kotak @ 25 pc 17 Rp 159,000 Rp 2,703,000 0 Rp - Rp - 1 Rp. 159.000
12 Sabun Cuci Tangan anti Bakteri 10/2/2013 botol @ 250 ml 3 Rp 18,000 Rp 54,000 0 Rp - Rp - 1 Rp 18,000
15 Reagen Zeil Nelsen 10/2/2013 botol @ 100 ml
16 Reagen BTA 10/2/2013
Lar. Karbol Fuchin 10/2/2013 Botol @ 100 ml 5 Rp 108,000 Rp 540,000 0 Rp - Rp - 0 Rp -
Lar.Methilen Blue 10/2/2013 Botol @ 100 ml 3 Rp 108,000 Rp 324,000 0 Rp - Rp - 0 Rp -
Lar. Asam Alkohol 10/2/2013 Botol @ 100 ml 3 Rp 108,000 Rp 324,000 0 Rp - Rp - 0 Rp -
17 kartu golongan darah pak @ 100 lbr 14 Rp 15,000 Rp 210,000 0 Rp - Rp - 0 Rp -
18 Imersi btl @ 500 ml 1 Rp 575,000 Rp 575,000 0 Rp - Rp - 1 Rp 575,000
19 slide ktk @ 72 buah 8 Rp32,000 Rp256,000 0 Rp - Rp - 2 Rp32,000
20 stik urine btl@ 100 piece 1 Rp 153,000 Rp153,000 0 Rp - Rp - 0 Rp -
Rp 14,450,000
Mengetahui

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
PER 31 MARET 2015
no NAMA BARANG TANGGAL KEMASAN SISA/ 28 Februari 2015 PENERIMAAN PENGELUARAN
1 Widal Set SATUAN
b. Salmonella Paratyphi AH 10/2/2013 vial @ 5 ml 6 Rp 84,000 Rp 504,000 0 Rp - Rp - 1 Rp 84,000
c. Salmonella Paratyphi BH 10/2/2013 vial @ 5 ml 6 Rp 84,000 Rp 504,000 0 Rp - Rp - 1 Rp 84,000
d. Salmonella Paratyphi CH 10/2/2013 vial @ 5 ml 6 Rp 84,000 Rp 504,000 0 Rp - Rp - 1 Rp 84,000
f. Salmonella Paratyphi AO 10/2/2013 vial @ 5 ml 6 Rp 84,000 Rp 504,000 0 Rp - Rp - 1 Rp 84,000
g. Salmonella Paratyphi BO 10/2/2013 vial @ 5 ml 6 Rp 84,000 Rp 504,000 0 Rp - Rp - 1 Rp 84,000
4 Spiritus 10/2/2013 botol @ 1 l 7 Rp 35,000 Rp 245,000 0 Rp - Rp - 1 Rp. 35.000
6 Aquadest 10/2/2013 botol @ 1 l 8 Rp 15,000 Rp 120,000 0 Rp - Rp - 1 Rp. 15.000
15 Reagen Zeil Nelsen 10/2/2013 botol @ 100 ml 0 Rp - Rp - 0 Rp - Rp - 0 Rp -
16 Reagen BTA 10/2/2013
18 Imersi btl @ 100 ml 0 Rp - Rp - 0 Rp - Rp - 0 Rp -
19 slide ktk @ 72 buah 6 Rp32,000 Rp 192,000 0 Rp - Rp - 2 Rp32,000
20 stik urine btl@ 100 piece 1 Rp 153,000 Rp 153,000 0 Rp - Rp - 0 Rp -
Rp 13,466,000
Mengetahui

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
PER 30 April 2015
no NAMA BARANG TANGGAL KEMASAN SISA/ 31 Maret 2015 PENERIMAAN PENGELUARAN

1 Widal Set SATUAN
a. Salmonella Typhi H 10/2/2013 vial @ 5 ml 5 Rp 84,000 Rp 420,000 0 Rp - Rp - 1 Rp. 84.000
b. Salmonella Paratyphi AH 10/2/2013 vial @ 5 ml 5 Rp 84,000 Rp 420,000 0 Rp - Rp - 1 Rp. 84.000
c. Salmonella Paratyphi BH 10/2/2013 vial @ 5 ml 5 Rp 84,000 Rp 420,000 0 Rp - Rp - 1 Rp. 84.000
d. Salmonella Paratyphi CH 10/2/2013 vial @ 5 ml 5 Rp 84,000 Rp 420,000 0 Rp - Rp - 1 Rp. 84.000
e. Salmonella typhi O 10/2/2013 vial @ 5 ml 5 Rp 84,000 Rp 420,000 0 Rp - Rp - 1 Rp. 84.000
f. Salmonella Paratyphi AO 10/2/2013 vial @ 5 ml 5 Rp 84,000 Rp 420,000 0 Rp - Rp - 1 Rp. 84.000
g. Salmonella Paratyphi BO 10/2/2013 vial @ 5 ml 5 Rp 84,000 Rp 420,000 0 Rp - Rp - 1 Rp. 84.000
g. Salmonella Paratyphi CO 10/2/2013 vial @ 5 ml 4 Rp 84,000 Rp 336,000 0 Rp - Rp - 1 Rp. 84.000
Anti D 10/2/2013 vial @ 10 ml 4 Rp 115,000 Rp 460,000 0 Rp - Rp - 1 Rp. 115. 000
3 Alkohol 95 % 10/2/2013 botol @ 1 l 10 Rp 35,000 Rp 350,000 0 Rp - Rp - 1 Rp. 35.000
5 HCl 0,1 N 10/2/2013 botol @100 ml 3 Rp 30,000 Rp 90,000 0 Rp - Rp - 1 Rp. 30.000
11 Stik DM 10/2/2013 kotak @ 25 pc 13 Rp 159,000 Rp 2,067,000 0 Rp - Rp - 4 Rp 159,000
15 Reagen Zeil Nelsen 10/2/2013 botol @ 100 ml
16 Reagen BTA 10/2/2013
20 stik urine
TOT btl@ 100 piece 1 Rp 153,000 Rp153,000 0 Rp - Rp - 0 Rp -
AL Rp 12,371,000
Mengetahui

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
PER 30 Mei 2015
no NAMA BARANG TANGGAL KEMASAN SISA/ 30 April 2015 PENERIMAAN PENGELUARAN

1 Widal Set SATUAN
2 Reagen Golongan Darah 0 Rp - Rp -
15 Reagen Zeil Nelsen 10/2/2013 botol @ 100 ml 0 0 0 Rp - Rp - 0 Rp -
16 Reagen BTA 10/2/2013 0 Rp - Rp -
Rp 10,819,000
Mengetahui

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
PER 30 Juni 2015
SISA/ 30 Mei 2015 PENERIMAAN PENGELUARAN

TANGGAL
NO. NAMA BARANG KEMASAN
PEROLEHAN VLM HARGA SATUAN JUMLAH VLM HARGA SATUAN JUMLAH VLM HARGA SATUAN
1 Widal Set
11 Stik DM 10/2/2013 kotak @ 25 pc 6 Rp 159,000 Rp 954,000 0 Rp - Rp - 2 Rp 159,000
15 Reagen Zeil Nelsen 10/2/2013 botol @ 100 ml 0 0 0 Rp - Rp - 0 Rp -
16 Reagen BTA 10/2/2013 0 Rp - Rp -
TOTAL Rp 10,310,000 TOTAL
Mengetahui

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
PER 31 Juli 2015
SISA/ 30 Juni 2015 PENERIMAAN PENGELUARAN

TANGGAL
No NAMA BARANG PEROLEHAN KEMASAN
VLM JUMLAH VLM HARGA SATUAN JUMLAH VLM HARGA SATUAN
HARGA SATUAN
1 Widal Set
11 Stik DM 10/2/2013 kotak @ 25 pc 4 Rp 159,000 Rp 636,000 0 Rp - Rp - 4 Rp 159,000
15 Reagen Zeil Nelsen 10/2/2013 botol @ 100 ml 0 0 0 0 Rp - Rp - 0 Rp -
16 Reagen BTA 10/2/2013 0 0 Rp - Rp -
18 Imersi btl @ 100 ml 0 Rp 575,000 Rp - 0 Rp - Rp - 0 Rp -
19 slide ktk @ 72 buah 0 Rp - Rp - 0 Rp - Rp - 0 Rp -
TOTAL Rp 9,960,000 TOTAL 0 TOTAL
Mengetahui

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
PER 31 AGUSTUS 2015
SISA/ 30 Juli 2015 PENERIMAAN PENGELUARAN

TANGGAL
No NAMA BARANG KEMASAN
PEROLEHAN VLM JUMLAH VLM HARGA SATUAN JUMLAH VLM HARGA SATUAN
HARGA SATUAN
1 Widal Set
14 Reagen Zeil Nelsen 10/2/2013 paket 0 0 0 3 Rp 267,500 Rp 802,500 0 Rp -
15 Reagen BTA 10/2/2013 0 0 Rp - Rp -
16 kartu Golongan Darah 10/2/2013 Botol @ 100 ml 14 Rp 15,000 Rp 210,000 0 Rp - Rp - 0 Rp -
17 imersi Botol @ 500 ml 1 Rp 575,000 Rp 575,000 0 Rp - Rp - 0 Rp -
18 slide box 0 Rp - Rp - 2 Rp 32,000 Rp 64,000 1 Rp 32,000
TOTAL Rp 9,899,000 TOTAL Rp 866,500 TOTAL
Mengetahui

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

PER 30 SEPTEMBER 2015
SISA/ 31 AGUSTUS 2015 PENERIMAAN PENGELUARAN
TANGGAL
HARGA SATUAN
1 Widal Set
e. Salmonella typhi O 10/2/2013 vial @ 5 ml 4 Rp 84,000 Rp 336,000 0 Rp - Rp - 4 Rp 84,000
Anti A 10/2/2013 vial @ 10 ml 2 Rp 53,000 Rp 106,000 0 Rp - Rp - 1 Rp 53,000
Anti B 10/2/2013 vial @ 10 ml 2 Rp 53,000 Rp 106,000 0 Rp - Rp - 1 Rp 53,000
Anti AB 10/2/2013 vial @ 10 ml 2 Rp 53,000 Rp 106,000 0 Rp - Rp - 1 Rp 53,000
Anti D 10/2/2013 vial @ 10 ml 3 Rp 115,000 Rp 345,000 0 Rp - Rp - 2 Rp 115,000
3 Alkohol 95 % 10/2/2013 botol @ 1 l 9 Rp 35,000 Rp 315,000 0 Rp - Rp - 2 Rp 35,000
4 Spiritus 10/2/2013 botol @ 1 l 6 Rp 35,000 Rp 210,000 0 Rp - Rp - 2 Rp 35,000
5 HCl 0,1 N 10/2/2013 botol @100 ml 2 Rp 30,000 Rp 60,000 0 Rp - Rp - 1 Rp 30,000
6 Aquadest 10/2/2013 botol @ 1 l 7 Rp 15,000 Rp 105,000 0 Rp - Rp - 7 Rp 15,000
9 Larutan Turk 10/2/2013 botol @ 100 ml 2 Rp 44,000 Rp 88,000 0 Rp - Rp - 1 Rp 44,000
11 Sabun Cuci Tangan anti Bakteri 10/2/2013 botol @ 250 ml 2 Rp 18,000 Rp 36,000 0 Rp - Rp - 2 Rp 18,000
12 Larutan Giemsa 10/2/2013 botol @ 100 ml 7 Rp 181,000 Rp 1,267,000 0 Rp - Rp - 1 Rp 181,000
14 Reagen Zeil Nelsen 31/8/2015 paket 3 276500 802500 Rp - Rp - 1 Rp 276,500
15 Reagen BTA 10/2/2013 0 0 Rp - Rp -
Lar. Karbol Fuchin 10/2/2013 Botol @ 100 ml 5 Rp 108,000 Rp 540,000 0 Rp - Rp - 5 Rp 108,000
Lar.Methilen Blue 10/2/2013 Botol @ 100 ml 3 Rp 108,000 Rp 324,000 0 Rp - Rp - 3 Rp 108,000
Lar. Asam Alkohol 10/2/2013 Botol @ 100 ml 3 Rp 108,000 Rp 324,000 0 Rp - Rp - 3 Rp 108,000
17 imersi Botol @ 500 ml 1 Rp 575,000 Rp 575,000 0 Rp - Rp - 0 Rp -
18 slide box 1 Rp 32,000 Rp 32,000 2 Rp 32,000 Rp 64,000 1 Rp 32,000
19 stik urin btl@100pcs 1 Rp 153,000 Rp 153,000 0 Rp - Rp - 0 Rp -
TOTAL Rp 10,733,500 TOTAL Rp 64,000 TOTAL
Mengetahui
NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

NB: Untuk reagen Widal test dan Reagen gol darah keluar karena expired date.
PER 30 OKTOBER 2015
SISA/ 31 september 2015 PENERIMAAN PENGELUARAN

TANGGAL
HARGA SATUAN
1 Widal Set
c. Salmonella Paratyphi BH 10/2/2013 vial @ 5 ml 0 Rp 84,000 Rp - 0 Rp - Rp - 0 Rp -
e. Salmonella typhi O 9/11/2015 vial @ 5 ml 0 Rp 84,000 Rp - 1 Rp 90,000 Rp 90,000 0 Rp -
f. Salmonella Paratyphi AO 9/11/2015 vial @ 5 ml 0 Rp 84,000 Rp - 1 Rp 90,000 Rp 90,000 0 Rp -
9/11/2015 vial @ 5 ml 1 Rp 90,000 Rp 90,000
9/11/2015 vial @ 5 ml 1 Rp 90,000 Rp 90,000
Anti A 10/2/2013 vial @ 10 ml 1 Rp 53,000 Rp 53,000 3 Rp 105,000 Rp 315,000 0 Rp -
Anti B 10/2/2013 vial @ 10 ml 1 Rp 53,000 Rp 53,000 3 Rp 105,000 Rp 315,000 0 Rp -
Anti AB 10/2/2013 vial @ 10 ml 1 Rp 53,000 Rp 53,000 3 Rp 105,000 Rp 315,000 0 Rp -
Anti D 10/2/2013 vial @ 10 ml 1 Rp 115,000 Rp 115,000 3 Rp 105,000 Rp 315,000 0 Rp -
3 Alkohol 95 % 10/2/2013 botol @ 1 l 7 Rp 35,000 Rp 245,000 0 Rp - Rp - 1 Rp 35,000
Alkohol 95 % 9/11/2015 btol @ 1 l 3 Rp 27,000 Rp 81,000 0 Rp -
spritus 9/11/2015 botol @ 1 l 0 Rp - Rp - 2 Rp 37,500 Rp 75,000
HCL 0,1 N 9/11/2015 botol @100 ml 5 Rp 35,000 Rp 175,000
6 Aquadest 9/11/2015 botol @ 1 l 0 Rp - Rp - 15 Rp 30,000 Rp 450,000 0 Rp -
7 Methanol PA 10/2/2013 botol @ 1 l 2 Rp 450,000 Rp 900,000 0 Rp - Rp - 1 Rp 450,000
Methanol PA 9/11/2015 botol@1 l 1 Rp 480,000 Rp 480,000
Oil Imersi 9/11/2015 botol@100ml 4 Rp 650,000 Rp 2,600,000
9 Larutan Turk 9/11/2015 botol @ 100 ml 1 Rp 44,000 Rp 44,000 3 Rp 50,000 Rp 150,000 1 Rp 44,000
10 Lisol 10/2/2013 botol @ 1 l 5 Rp 65,000 Rp 325,000 0 Rp - Rp - 1 Rp 65,000
11 Sabun Cuci Tangan anti Bakteri 9/11/2015 botol @ 250 ml 0 Rp - Rp - 10 Rp 22,000 Rp 220,000 1 Rp 22,000
12 Larutan Giemsa 10/2/2013 botol @ 100 ml 6 Rp 181,000 Rp 1,086,000 0 Rp - Rp - 6 Rp 181,000
13 larutan giemsa 9/11/2015 botol@500ml 1 Rp 1,175,000 Rp 1,175,000 2 Rp 1,175,000 Rp 2,350,000
15 buffer PH 7,2 larutan 9/11/2015 btol @100 ml 2 Rp 375,000 Rp 750,000
16 Reagen Zeil Nelsen 31/8/2015 paket 2 276500 Rp 534,000 Rp - Rp - 0 Rp -
17 Reagen BTA 10/2/2013 0 0 Rp - Rp - Rp -
Lar. Karbol Fuchin 10/2/2013 Botol @ 100 ml 0 Rp 108,000 Rp - 0 Rp - Rp - 0 Rp -
Lar.Methilen Blue 10/2/2013 Botol @ 100 ml 0 Rp 108,000 Rp - 0 Rp - Rp - 0 Rp -
Lar. Asam Alkohol 10/2/2013 Botol @ 100 ml 0 Rp 108,000 Rp - 0 Rp - Rp - 0 Rp -
19 slide box 2 Rp 32,000 Rp 32,000 2 Rp 32,000 Rp 64,000 0 Rp -
slide 9/11/2015 box@72 pcs 25 Rp 36,250 Rp 905,250
20 Pot urine 9/11/2015 picis 0 Rp - Rp - 100 Rp 32,000 Rp 320,000 0 Rp -
21 tissue 9/11/2015 rol 30 Rp 4,000 Rp 120,000
21 Blood lancet 9/11/2015 box@200 pcs 20 Rp 42,500 Rp 850,000
22 stik urin btl@100pcs 1 Rp 153,000 Rp 153,000 0 Rp - Rp - 0 Rp -
TOTAL Rp 7,272,000 TOTAL Rp 11,210,250 TOTAL
Mengetahui

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
NB: Untuk reagen Widal test dan Reagen gol darah,Alkohol 95 % keluar karena expired date.
PER 30 NOVEMBER 2015
SISA/ 31 OKTOBER 2015 PENERIMAAN PENGELUARAN
TANGGAL
PEROLEHAN VLM HARGA JUMLAH VLM JUMLAH VLM
SATUAN SATUAN SATUAN
1 Widal Set
a. Salmonella Typhi H 10/2/2013 vial @ 5 ml 4 Rp 84,000 Rp 336,000 0 Rp - Rp - 2 Rp 84,000
9/11/2015 vial @ 5 ml 1 Rp 90,000 Rp 90,000 Rp -
9/11/2015 vial @ 5 ml 1 Rp 90,000 Rp 90,000
Anti A 9/11/2015 vial @ 10 ml 1 Rp 53,000 Rp 53,000 3 Rp 105,000 Rp 315,000 2 Rp 105,000
Anti B 9/11/2015 vial @ 10 ml 1 Rp 53,000 Rp 53,000 3 Rp 105,000 Rp 105,000 2 Rp 105,000
Anti AB 9/11/2015 vial @ 10 ml 1 Rp 53,000 Rp 53,000 3 Rp 105,000 Rp 315,000 2 Rp 105,000
Anti D 9/11/2015 vial @ 10 ml 1 Rp 115,000 Rp 115,000 3 Rp 105,000 Rp 315,000 2 Rp 105,000
3 Alkohol 70 % 9/11/2015 botol @ 1L 8 Rp 31,000 Rp 248,000 1 Rp 31,000
5 Spiritus 10/2/2013 botol @ 1 l 4 Rp 35,000 Rp 140,000 0 Rp -
6 9/11/2015 botol 1 l 2 Rp 37,500 Rp 75,000 0 Rp - Rp - 0 Rp -
7 HCl 0,1 N 10/2/2013 botol @100 ml 1 Rp 30,000 Rp 30,000 0 Rp - Rp - 1 Rp 30,000
8 9/11/2015 botol@100ml 5 Rp 35,000 Rp 175,000 Rp -
9 Aquadest 9/11/5015 botol @ 1 l 15 Rp 30,000 Rp 30,000 Rp - 0 Rp -
10 Methanol PA 10/2/2013 botol @ 1 l 2 Rp 450,000 Rp 900,000 0 Rp - 1 Rp 450,000
9/11/2015 botol@1 l 2 Rp 480,000 Rp 960,000 Rp -
Oil Imersi 4 Rp 650,000 Rp 2,600,000
12 Larutan Turk 9/11/2015 botol @ 100 ml 3 Rp 50,000 Rp 150,000 Rp - 0 Rp -
13 Lisol 10/2/2013 botol @ 1 l 5 Rp 65,000 Rp 325,000 0 Rp - Rp - 1 Rp 65,000
15 GIEMSA 11/9/2015 botol@500ml 3 Rp 1,175,000 Rp 3,525,000 0 Rp - Rp - 0 Rp -
16 buffer PH 7,2 tablet 11/9/2015 Botol@100 ml 2 Rp 375,000 Rp 750,000 0 Rp - Rp - 0 Rp -
18 Reagen Zeil Nelsen 31/8/2015 paket 2 Rp 267,500 Rp 534,000 0 Rp - Rp - 0 Rp -
19 slide box 2 Rp 32,000 Rp 64,000 0 Rp - Rp - 2 Rp 3,200
slide 9/11/2015 box@72 pcs 25 Rp 36,250 Rp 905,250 0 Rp - Rp 905,250 0 Rp -
22 Blood lancet 11/9/2015 box@200pcs 20 Rp 42,500 Rp 850,000 Rp - 1 Rp 42,500
23 Tissue 09=11-15 rol 30 Rp 4,000 Rp 120,000 Rp - 5 Rp 4,000
24 pot urine 11/9/2015 pcs 100 Rp 3,200 Rp 320,000 0 Rp - Rp - 3 Rp 3,200
TOTAL Rp 15,948,250 total Rp 1,955,250 TOTAL
Mengetahui

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
NB: Untuk reagen Giemsa@100 m,turk, gol darah,widal,alkohol 95% yang keluar Expired
SISA 31 Januari 2015
HARGA
JUMLAH VLM SATUAN JUMLAH
Rp - 6 Rp 84,000 Rp 504,000
Rp - 6 Rp 84,000 Rp 504,000
Rp - 6 Rp 84,000 Rp 504,000
Rp - 6 Rp 84,000 Rp 504,000
Rp - 6 Rp 84,000 Rp 504,000
Rp - 6 Rp 84,000 Rp 504,000
Rp - 6 Rp 84,000 Rp 504,000
Rp 84,000 5 Rp 84,000 Rp 420,000
Rp -
Rp - 2 Rp 53,000 Rp 106,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 4 Rp 115,000 Rp 460,000
Rp - 10 Rp 35,000 Rp 350,000
Rp - 7 Rp 35,000 Rp 245,000
Rp - 3 Rp 30,000 Rp 90,000
Rp - 8 Rp 15,000 Rp 120,000
Rp - 2 Rp 450,000 Rp 900,000
Rp - 1 Rp 480,000 Rp 480,000
Rp - 2 Rp 44,000 Rp 88,000
Rp - 5 Rp 65,000 Rp 325,000
Rp - 17 Rp 159,000 Rp 2,703,000
Rp - 3 Rp 18,000 Rp 54,000
Rp - 7 Rp 181,000 Rp 1,267,000
Rp - 2 Rp 360,000 Rp 720,000
Rp - 0 Rp - Rp -
Rp 108,000 5 Rp 108,000 Rp 540,000
Rp 108,000 3 Rp 108,000 Rp 324,000
Rp 108,000 3 Rp 108,000 Rp 324,000
Rp 30,000 14 Rp 15,000 Rp 210,000
Rp 575,000 1 Rp 575,000 Rp 575,000
Rp - 8 Rp32,000 Rp 256,000
Rp 153,000 1 Rp 153,000 Rp 153,000
Rp 1,166,000 Rp 14,450,000
SISA 28 Februari 2015

HARGA
Rp. 84.000 5 Rp 84,000 Rp 420,000

Rp - 6 Rp 84,000 Rp 504,000
Rp - 6 Rp 84,000 Rp 504,000
Rp - 6 Rp 84,000 Rp 504,000
Rp 84,000 5 Rp 84,000 Rp 420,000
Rp - 6 Rp 84,000 Rp 504,000
Rp - 6 Rp 84,000 Rp 504,000
Rp - 5 Rp 84,000 Rp 420,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 4 Rp 115,000 Rp 460,000
Rp - 10 Rp 35,000 Rp 350,000
Rp - 7 Rp 35,000 Rp 245,000
Rp - 3 Rp 30,000 Rp 90,000
Rp - 8 Rp 15,000 Rp 120,000
Rp - 2 Rp 450,000 Rp 900,000
Rp - 1 Rp 480,000 Rp 480,000
Rp - 2 Rp 44,000 Rp 88,000
Rp - 5 Rp 65,000 Rp 325,000
Rp. 159.000 16 Rp 159,000 Rp 2,544,000
Rp 18,000 2 Rp 18,000 Rp 36,000
Rp - 7 Rp 181,000 Rp 1,267,000
Rp - 2 Rp 360,000 Rp 720,000
Rp - 5 Rp 108,000 Rp 540,000
Rp - 3 Rp 108,000 Rp 324,000
Rp - 3 Rp 108,000 Rp 324,000
Rp - 14 Rp 15,000 Rp 210,000
Rp 575,000 0 Rp 575,000 Rp -
Rp .64.000 6 Rp32,000 Rp 192,000
Rp - 1 Rp 153,000 Rp 153,000
Rp 677,000 Rp 13,466,000
SISA 31 Maret 2015
HARGA
Rp - 5 Rp 84,000 Rp 420,000
Rp 84,000 5 Rp 84,000 Rp 420,000
Rp 84,000 5 Rp 84,000 Rp 420,000
Rp 84,000 5 Rp 84,000 Rp 420,000
Rp - 5 Rp 84,000 Rp 420,000
Rp 84,000 5 Rp 84,000 Rp 420,000
Rp 84,000 5 Rp 84,000 Rp 420,000
Rp 84,000 4 Rp 84,000 Rp 336,000
0 Rp -
Rp - 2 Rp 53,000 Rp 106,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 4 Rp 115,000 Rp 460,000
Rp - 10 Rp 35,000 Rp 350,000
Rp. 35.000 6 Rp 35,000 Rp 210,000
Rp - 3 Rp 30,000 Rp 90,000
Rp 15,000 7 Rp 15,000 Rp 105,000
Rp - 2 Rp 450,000 Rp 900,000
Rp - 1 Rp 480,000 Rp 480,000
Rp - 2 Rp 44,000 Rp 88,000
Rp - 5 Rp 65,000 Rp 325,000
Rp. 159.000 13 Rp 159,000 Rp 2,067,000
Rp - 2 Rp 18,000 Rp 36,000
Rp - 7 Rp 181,000 Rp 1,267,000
Rp - 2 Rp 360,000 Rp 720,000
Rp - 0 Rp - Rp -
Rp - 5 Rp 108,000 Rp 540,000
Rp - 3 Rp 108,000 Rp 324,000
Rp - 3 Rp 108,000 Rp 324,000
Rp - 14 Rp 15,000 Rp 210,000
Rp - 0 Rp - Rp -
Rp .64.000 4 Rp32,000 Rp 128,000
Rp - 1 Rp 153,000 Rp 153,000
Rp 519,000 Rp 12,371,000
SISA 30 April 2015

HARGA
Rp 84,000 4 Rp 84,000 Rp 336,000

Rp 84,000 4 Rp 84,000 Rp 336,000
Rp 84,000 4 Rp 84,000 Rp 336,000
Rp 84,000 4 Rp 84,000 Rp 336,000
Rp 84,000 4 Rp 84,000 Rp 336,000
Rp 84,000 4 Rp 84,000 Rp 336,000
Rp 84,000 4 Rp 84,000 Rp 336,000
Rp 84,000 3 Rp 84,000 Rp 252,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 2 Rp 53,000 Rp 106,000
Rp 115,000 3 Rp 115,000 Rp 345,000
Rp 35,000 9 Rp 35,000 Rp 315,000
Rp - 6 Rp 35,000 Rp 210,000
Rp 30,000 2 Rp 30,000 Rp 60,000
Rp - 7 Rp 15,000 Rp 105,000
Rp - 2 Rp 450,000 Rp 900,000
Rp - 1 Rp 480,000 Rp 480,000
Rp - 2 Rp 44,000 Rp 88,000
Rp - 5 Rp 65,000 Rp 325,000
Rp 636,000 9 Rp 159,000 Rp 1,431,000
Rp - 2 Rp 18,000 Rp 36,000
Rp - 7 Rp 181,000 Rp 1,267,000
Rp - 2 Rp 360,000 Rp 720,000
Rp - 5 Rp 108,000 Rp 540,000
Rp - 3 Rp 108,000 Rp 324,000
Rp - 3 Rp 108,000 Rp 324,000
Rp - 14 Rp 15,000 Rp 210,000
Rp - 0 Rp - Rp -
Rp 64,000 2 Rp32,000 Rp 64,000
Rp - 1 Rp 153,000 Rp 153,000
Rp 1,552,000 Rp 10,819,000
SISA 30 Mei 2015

HARGA
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 3 Rp 84,000 Rp 252,000
0
Rp - 2 Rp 53,000 Rp 106,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 3 Rp 115,000 Rp 345,000
Rp - 9 Rp 35,000 Rp 315,000
Rp - 6 Rp 35,000 Rp 210,000
Rp - 2 Rp 30,000 Rp 60,000
Rp - 7 Rp 15,000 Rp 105,000
Rp - 2 Rp 450,000 Rp 900,000
Rp - 1 Rp 480,000 Rp 480,000
Rp - 2 Rp 44,000 Rp 88,000
Rp - 5 Rp 65,000 Rp 325,000
Rp 477,000 6 Rp 159,000 Rp 954,000
Rp - 2 Rp 18,000 Rp 36,000
Rp - 7 Rp 181,000 Rp 1,267,000
Rp - 2 Rp 360,000 Rp 720,000
Rp - 0
0
Rp - 5 Rp 108,000 Rp 540,000
Rp - 3 Rp 108,000 Rp 324,000
Rp - 3 Rp 108,000 Rp 324,000
Rp - 14 Rp 15,000 Rp 210,000
Rp - 0 Rp - Rp -
Rp 32,000 1 Rp32,000 Rp 32,000
Rp - 1 Rp 153,000 Rp 153,000
Rp 509,000 Rp 10,310,000
PENGELUARAN SISA 30 Juni 2015

JUMLAH VLM HARGA SATUAN JUMLAH
4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 3 Rp 84,000 Rp 252,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 3 Rp 115,000 Rp 345,000
Rp - 9 Rp 35,000 Rp 315,000
Rp - 6 Rp 35,000 Rp 210,000
Rp - 2 Rp 30,000 Rp 60,000
Rp - 7 15000 Rp 105,000
Rp - 2 Rp 450,000 Rp 900,000
Rp - 1 Rp 480,000 Rp 480,000
Rp - 2 Rp 44,000 Rp 88,000
Rp - 5 Rp 65,000 Rp 325,000
Rp 318,000 4 Rp 159,000 Rp 636,000
Rp - 2 Rp 18,000 Rp 36,000
Rp - 7 Rp 181,000 Rp 1,267,000
Rp - 2 Rp 360,000 Rp 720,000
Rp - 0
0
Rp - 5 Rp 108,000 Rp 540,000
Rp - 3 Rp 108,000 Rp 324,000
Rp - 3 Rp 108,000 Rp 324,000
Rp - 14 Rp 15,000 Rp 210,000
Rp - 0 Rp - Rp -
Rp 32,000 0 Rp32,000 Rp -
Rp - 1 Rp 153,000 Rp 153,000
Rp 350,000 TOTAL Rp 9,960,000

Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 3 Rp 84,000 Rp 252,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 3 Rp 115,000 Rp 345,000
Rp - 9 Rp 35,000 Rp 315,000
Rp - 6 Rp 35,000 Rp 210,000
Rp - 2 Rp 30,000 Rp 210,000
Rp - 7 15000 Rp 105,000
Rp - 2 Rp 450,000 Rp 900,000
Rp - 1 Rp 480,000 Rp 480,000
Rp - 2 Rp 44,000 Rp 88,000
Rp - 5 Rp 65,000 Rp 325,000
Rp 636,000 0 Rp 159,000 Rp -
Rp - 2 Rp 18,000 Rp 36,000
Rp - 7 Rp 181,000 Rp 1,267,000
Rp - 2 Rp 360,000 Rp 720,000
Rp - 0
0
Rp - 5 Rp 108,000 Rp 540,000
Rp - 3 Rp 108,000 Rp 324,000
Rp - 3 Rp 108,000 Rp 324,000
Rp - 14 Rp 15,000 Rp 210,000
Rp - 1 Rp 575,000 Rp 575,000
Rp - 0 Rp - Rp -
Rp - 1 Rp 153,000 Rp 153,000
Rp 636,000 TOTAL Rp 9,896,000

Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 4 Rp 84,000 Rp 336,000
Rp - 3 Rp 84,000 Rp 252,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 2 Rp 53,000 Rp 106,000
Rp - 3 Rp 115,000 Rp 345,000
Rp - 9 Rp 35,000 Rp 315,000
Rp - 6 Rp 35,000 Rp 210,000
Rp - 2 Rp 30,000 Rp 60,000
Rp - 7 15000 Rp 105,000
Rp - 2 Rp 450,000 Rp 900,000
Rp - 1 Rp 480,000 Rp 480,000
Rp - 2 Rp 44,000 Rp 88,000
Rp - 5 Rp 65,000 Rp 325,000
Rp - 2 Rp 18,000 Rp 36,000
Rp - 7 Rp 181,000 Rp 1,267,000
Rp - 2 Rp 360,000 Rp 720,000
Rp - 3 Rp 267,500 Rp 802,500
0
Rp - 5 Rp 108,000 Rp 540,000
Rp - 3 Rp 108,000 Rp 324,000
Rp - 3 Rp 108,000 Rp 324,000
Rp - 14 Rp 15,000 Rp 210,000
Rp - 1 Rp 575,000 Rp 575,000
Rp 32,000 1 Rp 32,000 Rp 32,000
Rp - 1 Rp 153,000 Rp 153,000
Rp 32,000 TOTAL Rp 10,733,500
PENGELUARAN SISA 30 SEPTEMBER,2015

Rp - 4 Rp 84,000 Rp 336,000
Rp 168,000 2 Rp 84,000 Rp 168,000
Rp 336,000 0 Rp 84,000 Rp -
Rp 252,000 1 Rp 84,000 Rp 84,000
Rp 336,000 0 Rp 84,000 Rp -
Rp 336,000 0 Rp 84,000 Rp -
Rp 252,000 1 Rp 84,000 Rp 84,000
Rp - 3 Rp 84,000 Rp 252,000
Rp 53,000 1 Rp 53,000 Rp 53,000

Rp 53,000 1 Rp 53,000 Rp 53,000
Rp 53,000 1 Rp 53,000 Rp 53,000
Rp 230,000 1 Rp 115,000 Rp 115,000
Rp 70,000 7 Rp 35,000 Rp 245,000
Rp 35,000 4 Rp 35,000 Rp 140,000
Rp 30,000 1 Rp 30,000 Rp 30,000
Rp 105,000 0 15000 Rp -
Rp - 2 Rp 450,000 Rp 900,000
Rp - 1 Rp 480,000 Rp 480,000
Rp 44,000 1 Rp 44,000 Rp 44,000
Rp - 5 Rp 65,000 Rp 325,000
Rp 36,000 0 Rp 18,000 Rp -
Rp 181,000 6 Rp 181,000 Rp 1,086,000
Rp - 2 Rp 360,000 Rp 720,000
Rp 276,500 2 Rp 267,500 Rp 534,000
0
Rp 540,000 0 Rp 108,000 Rp -
Rp 324,000 0 Rp 108,000 Rp -
Rp 324,000 0 Rp 108,000 Rp -
Rp - 14 Rp 15,000 Rp 210,000
Rp - 1 Rp 575,000 Rp 575,000
Rp 32,000 2 Rp 32,000 Rp 32,000
1 Rp 153,000 Rp 153,000
Rp 4,066,500 TOTAL Rp 6,672,000
PENGELUARAN SISA 30 OKTOBER,2015
Rp - 4 Rp 84,000 Rp 336,000
Rp - 2 Rp 84,000 Rp 168,000
Rp - 0 Rp 84,000 Rp -
Rp - 1 Rp 84,000 Rp 84,000
Rp - 1 Rp 90,000 Rp 90,000
Rp - 1 Rp 90,000 Rp 90,000
Rp - 1 Rp 84,000 Rp 84,000
1 Rp 90,000 Rp 90,000
Rp - 3 Rp 84,000 Rp 252,000
1 Rp 90,000 Rp 90,000
Rp - 4 Rp 53,000 Rp 212,000
Rp - 4 Rp 53,000 Rp 212,000
Rp - 4 Rp 53,000 Rp 212,000
Rp - 4 Rp 115,000 Rp 460,000
Rp 35,000 6 Rp 35,000 Rp 210,000
Rp - 3 Rp 27,000 Rp 81,000
Rp - 4 Rp 35,000 Rp 140,000
3 Rp 37,500 Rp 75,000
Rp - 1 Rp 30,000 Rp 30,000
5 Rp 35,000 Rp 175,000
Rp - 15 15000 Rp 225,000
Rp 450,000 1 Rp 450,000 Rp 450,000
1 Rp 480,000 Rp 480,000
Rp - 1 Rp 480,000 Rp 480,000
4 Rp 650,000 Rp 2,600,000
Rp 44,000 3 Rp 50,000 Rp 150,000
Rp 65,000 4 Rp 65,000 Rp 260,000
Rp 22,000 9 Rp 22,000 Rp 198,000
Rp 1,086,000 0 Rp - Rp -
3 Rp 1,175,000 Rp 3,525,000
Rp - 2 Rp 360,000 Rp 720,000
2 Rp 375,000 Rp 750,000
Rp - 2 Rp 267,500 Rp 534,000
Rp - 0
Rp - 0 Rp 108,000 Rp -
Rp - 0 Rp 108,000 Rp -
Rp - 0 Rp 108,000 Rp -
Rp - 14 Rp 15,000 Rp 210,000
Rp - 2 Rp 32,000 Rp 64,000
25 Rp 36,250 Rp 905,250
Rp - 100 Rp 32,000 Rp 320,000
30 Rp 40,000 Rp 120,000
20 Rp 42,500 Rp 850,000
Rp - 1 Rp 153,000 Rp 153,000
Rp 1,702,000 TOTAL Rp 16,085,250
A
ENGELUARAN SISA 30 NOVEMBER 2015

HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp 168,000 2 Rp 84,000 Rp 168,000

Rp - 2 Rp 84,000 Rp 168,000
Rp - 0 Rp 84,000 Rp -
Rp - 1 Rp 84,000 Rp 84,000
Rp - 1 Rp 90,000 Rp 90,000
Rp - 1 Rp 90,000 Rp 90,000
Rp - 1 Rp 84,000 Rp 84,000
1 Rp 90,000 Rp 90,000
Rp 84,000 2 Rp 84,000 Rp 168,000
1 Rp 90,000 Rp 90,000
Rp 210,000 2 Rp 105,000 Rp 210,000

Rp 210,000 2 Rp 105,000 Rp 210,000
Rp 210,000 2 Rp 105,000 Rp 210,000
Rp 210,000 2 Rp 105,000 Rp 210,000
Rp 31,000 7 Rp 31,000 Rp 217,000
Rp - 3 Rp 27,000 Rp 81,000
Rp - 4 Rp 35,000 Rp 140,000
Rp - 2 Rp 37,500 Rp 75,000
Rp 30,000 0 Rp 30,000 Rp -
5 Rp 35,000 Rp 175,000
Rp - 15 Rp 15000 Rp 175,000
Rp 450,000 1 Rp 450,000 Rp 450,000
2 Rp 480,000 Rp 960,000
Rp - 1 Rp 480,000 Rp 480,000
4 Rp 650,000 Rp 2,600,000
Rp 44,000 3 Rp 50,000 Rp 150,000
Rp 65,000 4 Rp 65,000 Rp 260,000
Rp - 9 Rp 22,000 Rp 198,000
Rp - 3 Rp 1,175,000 Rp 3,525,000
Rp - 2 Rp 360,000 Rp 720,000
Rp - 2 Rp 375,000 Rp 750,000
Rp - 2 Rp 267,500 Rp 534,000
Rp - 14 Rp 15,000 Rp 210,000
Rp 64,000 0 Rp - Rp -
Rp - 25 Rp 36,250 Rp 905,250
Rp 42,500 19 Rp 42,500 Rp 807,500
Rp 20,000 25 Rp 4,000 Rp 100,000
Rp 9,600 97 Rp 3,200 Rp 310,400
Rp 1,848,100 TOTAL Rp 15,695,150
PER 31 AGUSTUS 2015
SISA/ 30 Juni 2015 PENERIMAAN PENGELUARAN SISA 31

TANGGAL
PEROLEHAN VLM JUMLAH VLM HARGA SATUAN JUMLAH VLM JUMLAH VLM
SATUAN SATUAN
1 Widal Set
a. Salmonella Typhi H 10/2/2013 vial @ 5 ml 4 Rp 84,000 Rp 336,000 0 Rp - Rp - 0 Rp - Rp - 4
b. Salmonella Paratyphi AH 10/2/2013 vial @ 5 ml 4 Rp 84,000 Rp 336,000 0 Rp - Rp - 0 Rp - Rp - 4
c. Salmonella Paratyphi BH 10/2/2013 vial @ 5 ml 4 Rp 84,000 Rp 336,000 0 Rp - Rp - 0 Rp - Rp - 4
d. Salmonella Paratyphi CH 10/2/2013 vial @ 5 ml 4 Rp 84,000 Rp 336,000 0 Rp - Rp - 0 Rp - Rp - 4
e. Salmonella typhi O 10/2/2013 vial @ 5 ml 4 Rp 84,000 Rp 336,000 0 Rp - Rp - 0 Rp - Rp - 4
f. Salmonella Paratyphi AO 10/2/2013 vial @ 5 ml 4 Rp 84,000 Rp 336,000 0 Rp - Rp - 0 Rp - Rp - 4
g. Salmonella Paratyphi BO 10/2/2013 vial @ 5 ml 4 Rp 84,000 Rp 336,000 0 Rp - Rp - 0 Rp - Rp - 4
g. Salmonella Paratyphi CO 10/2/2013 vial @ 5 ml 3 Rp 84,000 Rp 252,000 0 Rp - Rp - 0 Rp - Rp - 3
Anti A 10/2/2013 vial @ 10 ml 2 Rp 53,000 Rp 106,000 0 Rp - Rp - 0 Rp - Rp - 2
Anti B 10/2/2013 vial @ 10 ml 2 Rp 53,000 Rp 106,000 0 Rp - Rp - 0 Rp - Rp - 2
Anti AB 10/2/2013 vial @ 10 ml 2 Rp 53,000 Rp 106,000 0 Rp - Rp - 0 Rp - Rp - 2
Anti D 10/2/2013 vial @ 10 ml 3 Rp 115,000 Rp 345,000 0 Rp - Rp - 0 Rp - Rp - 3
3 Alkohol 95 % 10/2/2013 botol @ 1 l 9 Rp 35,000 Rp 315,000 0 Rp - Rp - 0 Rp - Rp - 9
4 Spiritus 10/2/2013 botol @ 1 l 6 Rp 35,000 Rp 210,000 0 Rp - Rp - 0 Rp - Rp - 6
5 HCl 0,1 N 10/2/2013 botol @100 ml 2 Rp 30,000 Rp 60,000 0 Rp - Rp - 0 Rp - Rp - 2
6 Aquadest 10/2/2013 botol @ 1 l 7 Rp 15,000 Rp 105,000 0 Rp - Rp - 0 Rp - Rp - 7
7 Methanol PA 10/2/2013 botol @ 1 l 2 Rp 450,000 Rp 900,000 0 Rp - Rp - 0 Rp - Rp - 2
8 Oil Imersi 10/2/2013 botol @ 100 ml 1 Rp 480,000 Rp 480,000 0 Rp - Rp - 0 Rp - Rp - 1
9 Larutan Turk 10/2/2013 botol @ 100 ml 2 Rp 44,000 Rp 88,000 0 Rp - Rp - 0 Rp - Rp - 2
10 Lisol 10/2/2013 botol @ 1 l 5 Rp 65,000 Rp 325,000 0 Rp - Rp - 0 Rp - Rp - 5
11 Sabun Cuci Tangan anti Bakteri 10/2/2013 botol @ 250 ml 2 Rp 18,000 Rp 36,000 0 Rp - Rp - 0 Rp - Rp - 2
12 Larutan Giemsa 10/2/2013 botol @ 100 ml 7 Rp 181,000 Rp 1,267,000 0 Rp - Rp - 0 Rp - Rp - 7
13 buffer PH 7,2 tablet 10/2/2013 botol @ 20 tab 2 Rp 360,000 Rp 720,000 0 Rp - Rp - 0 Rp - Rp - 2
14 Reagen Zeil Nelsen 31/8/2015 paket 0 0 0 3 Rp 267,500 Rp 802,500 0 Rp - Rp - 3
15 kartu golongan darah pak @ 100 lbr 14 Rp 15,000 Rp 210,000 0 Rp - Rp - 0 Rp - Rp - 14
16 Imersi btl @ 100 ml 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0
17 slide ktk @ 72 buah 0 Rp - Rp - 0 Rp - Rp - 0 Rp - Rp - 0
18 stik urine btl@ 100 piece 1 Rp 153,000 Rp153,000 0 Rp - Rp - 0 Rp - Rp - 1
TOTAL Rp 8,136,000 TOTAL 0 TOTAL Rp - TOTAL
Mengetahui

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
PER 30 SEPTEMBER 2015
SISA/ 31 AGUSTUS 2015 PENERIMAAN PENGELUARAN SISA 30 S

TANGGAL
SATUAN SATUAN
1 Widal Set
Anti A 10/2/2013 vial @ 10 ml 2 Rp 53,000 Rp 106,000 0 Rp - Rp - 1 Rp 53,000 Rp 53,000 1
Anti B 10/2/2013 vial @ 10 ml 2 Rp 53,000 Rp 106,000 0 Rp - Rp - 1 Rp 53,000 Rp 53,000 1
Anti AB 10/2/2013 vial @ 10 ml 2 Rp 53,000 Rp 106,000 0 Rp - Rp - 1 Rp 53,000 Rp 53,000 1
Anti D 10/2/2013 vial @ 10 ml 3 Rp 115,000 Rp 345,000 0 Rp - Rp - 2 Rp 115,000 Rp 230,000 1
3 Alkohol 95 % 10/2/2013 botol @ 1 l 9 Rp 35,000 Rp 315,000 0 Rp - Rp - 2 Rp 35,000 Rp 70,000 7
4 Spiritus 10/2/2013 botol @ 1 l 6 Rp 35,000 Rp 210,000 0 Rp - Rp - 2 Rp 35,000 Rp 35,000 4
5 HCl 0,1 N 10/2/2013 botol @100 ml 2 Rp 30,000 Rp 60,000 0 Rp - Rp - 1 Rp 30,000 Rp 30,000 1
6 Aquadest 10/2/2013 botol @ 1 l 7 Rp 15,000 Rp 105,000 0 Rp - Rp - 7 Rp 15,000 Rp 105,000 0
9 Larutan Turk 10/2/2013 botol @ 100 ml 2 Rp 44,000 Rp 88,000 0 Rp - Rp - 1 Rp 44,000 Rp 44,000 1
11 Sabun Cuci Tangan anti Bakteri 10/2/2013 botol @ 250 ml 2 Rp 18,000 Rp 36,000 0 Rp - Rp - 2 Rp 18,000 Rp 36,000 0
12 Larutan Giemsa 10/2/2013 botol @ 100 ml 7 Rp 181,000 Rp 1,267,000 0 Rp - Rp - 1 Rp 181,000 Rp 181,000 6
14 Reagen Zeil Nelsen 31/8/2015 paket 3 276500 802500 Rp - Rp - 1 Rp 276,500 Rp 276,500 2
TOTAL Rp 8,938,500 TOTAL 0 TOTAL Rp 1,166,500 TOTAL
Mengetahui

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

PER 30 NOVEMBER 2015
SISA/ 31 OKTOBER 2015 PENERIMAAN PENGELUARAN SISA 30 N
TANGGAL
SATUAN SATUAN
1 Widal Set
c. Salmonella Paratyphi BH 10/2/2013 vial @ 5 ml 0 Rp 84,000 Rp - 0 Rp - Rp - 0 Rp - Rp - 0
e. Salmonella typhi O 10/2/2013 vial @ 5 ml 0 Rp 84,000 Rp - 1 Rp 90,000 Rp 90,000 0 Rp - Rp - 1
f. Salmonella Paratyphi AO 10/2/2013 vial @ 5 ml 0 Rp 84,000 Rp - 1 Rp 90,000 Rp 90,000 0 Rp - Rp - 1
g. Salmonella Paratyphi BO 11/9/2015 vial @ 5 ml 1 Rp 84,000 Rp 84,000 1 Rp 90,000 Rp 90,000 0 Rp - Rp - 2
g. Salmonella Paratyphi CO 11/9/2015 vial @ 5 ml 3 Rp 84,000 Rp 252,000 1 Rp 90,000 Rp 90,000 1 Rp 90,000 Rp - 3
Anti A 9/11/2015 vial @ 10 ml 1 Rp 53,000 Rp 53,000 3 Rp 105,000 Rp 315,000 2 Rp 105,000 Rp 210,000 2
Anti B 9/11/2015 vial @ 10 ml 1 Rp 53,000 Rp 53,000 3 Rp 105,000 Rp 315,000 2 Rp 105,000 Rp 210,000 2
Anti AB 9/11/2015 vial @ 10 ml 1 Rp 53,000 Rp 53,000 3 Rp 105,000 Rp 315,000 2 Rp 105,000 Rp 210,000 2
Anti D 9/11/2015 vial @ 10 ml 1 Rp 115,000 Rp 115,000 3 Rp 105,000 Rp 315,000 2 Rp 105,000 Rp 210,000 2
3 Alkohol 70 % 9/11/2015 botol @ 1L - - - 8 Rp 31,000 Rp 248,000 1 Rp 31,000 Rp 31,000 7
4 Alkohol 95 % 9/11/2015 botol @ 1 l 6 Rp 35,000 Rp 210,000 3 Rp 27,000 Rp 81,000 6 Rp 27,000 Rp 162,000 3
5 Spiritus 9/11/2015 botol @ 1 l 4 Rp 35,000 Rp 140,000 2 Rp 375,000 Rp 750,000 0 Rp - Rp - 6
6 HCl 0,1 N 9/11/2015 botol @100 ml 1 Rp 30,000 Rp 30,000 5 Rp 35,000 Rp - 1 Rp - Rp - 5
7 Aquadest 9/11/5015 botol @ 1 l 0 - - 15 Rp 30,000 Rp 450,000 0 Rp - Rp - 15
8 Methanol PA 9/11/2015 botol @ 1 l 2 Rp 450,000 Rp 900,000 2 Rp 480,000 Rp 960,000 1 Rp 450,000 Rp 450,000 3
9 Oil Imersi 9/11/2015 botol @ 100 ml 1 Rp 480,000 Rp 480,000 4 Rp 650,000 Rp 2,600,000 1 Rp 650,000 Rp 650,000 4
10 Larutan Turk 9/11/2015 botol @ 100 ml 1 Rp 44,000 Rp 44,000 3 Rp 50,000 Rp 150,000 1 Rp 50,000 Rp 50,000 3
11 Lisol 10/2/2013 botol @ 1 l 5 Rp 65,000 Rp 325,000 0 Rp - Rp - 1 Rp 65,000 Rp 65,000 4
12 Sabun Cuci Tangan anti Bakteri 9/11/5015 botol @ 250 ml 0 Rp 18,000 Rp - 10 Rp 22,000 Rp 220,000 1 Rp 22,000 Rp 22,000 9
13 Giemsa 9/11/5015 botol@500ml 0 2 Rp 1,175,000 Rp 2,350,000 3
15 buffer PH 7,2 LARUTAN 9/11/5015 Botol@100 ml 0 Rp - Rp - 2 Rp 375,000 Rp 750,000 0 Rp - Rp - 2
16 Reagen Zeil Nelsen 31/8/2015 paket 2 267500 535000 0 Rp - Rp - 0 Rp - Rp - 2
18 slide 9/11/2015 ktk @ 72 buah 0 Rp - Rp - 25 Rp 36,250 Rp 906,250 1 Rp 36,250 Rp 36,250 24
19 stik urine 9/11/5015 btl@ 100 piece 1 Rp 153,000 Rp153,000 1 Rp 160,000 Rp 160,000 0 Rp - Rp - 2
20 Blood lancet 9/11/5015 box@200pcs 1 20 Rp 42,500 Rp 850,000 1 Rp 42,500 Rp 42,500 20
21 Tissue 9/11/5015 rol 0 Rp - Rp0 30 Rp 4,000 Rp 120,000 4 Rp 4,000 Rp 16,000 26
22 pot urine 9/11/5015 pcs 0 Rp - Rp0 100 Rp 3,200 Rp 320,000 3 Rp 3,200 Rp 9,600 97
TOTAL Rp 4,945,000 TOTAL Rp 12,535,250 TOTAL Rp 2,374,350 TOTAL
Mengetahui

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
NB: Untuk reagen Giemsa@100 m,turk, gol darah,widal yang keluar Expired
AN PENGELUARAN REAGENSIA PUSKESMAS KOBA PER 30 OKTEMBER 2015
SISA/ 30 Septemer 2015 PENERIMAAN PENGELUARAN SISA 30

TANGGAL
NAMA BARANG KEMASAN HARGA
PEROLEHAN VLM HARGA JUMLAH VLM HARGA SATUAN JUMLAH VLM JUMLAH VLM
No SATUAN SATUAN
Widal Set
1 a. Salmonella Typhi H 10/2/2013 vial @ 5 ml 4 Rp 84,000 Rp 336,000 0 Rp - Rp - 0 Rp - Rp - 4
Reagen Golongan Darah
2 Anti A 10/2/2013 vial @ 10 ml 2 Rp 53,000 Rp 106,000 0 Rp - Rp - 1 Rp 53,000 Rp 53,000 1
Anti B 10/2/2013 vial @ 10 ml 2 Rp 53,000 Rp 106,000 0 Rp - Rp - 1 Rp 53,000 Rp 53,000 1
Anti AB 10/2/2013 vial @ 10 ml 2 Rp 53,000 Rp 106,000 0 Rp - Rp - 1 Rp 53,000 Rp 53,000 1
Anti D 10/2/2013 vial @ 10 ml 3 Rp 115,000 Rp 345,000 0 Rp - Rp - 2 Rp 115,000 Rp 230,000 1
Alkohol 95 % 10/2/2013 botol @ 1 l 9 Rp 35,000 Rp 315,000 0 Rp - Rp - 2 Rp 35,000 Rp 70,000 7
3 Spiritus 10/2/2013 botol @ 1 l 6 Rp 35,000 Rp 210,000 0 Rp - Rp - 2 Rp 35,000 Rp 35,000 4
4 HCl 0,1 N 10/2/2013 botol @100 ml 2 Rp 30,000 Rp 60,000 0 Rp - Rp - 1 Rp 30,000 Rp 30,000 1
5 Aquadest 10/2/2013 botol @ 1 l 7 Rp 15,000 Rp 105,000 0 Rp - Rp - 7 Rp 15,000 Rp 105,000 0
8 Larutan Turk 10/2/2013 botol @ 100 ml 2 Rp 44,000 Rp 88,000 0 Rp - Rp - 1 Rp 44,000 Rp 44,000 1
10 Sabun Cuci Tangan anti Bakteri 10/2/2013 botol @ 250 ml 2 Rp 18,000 Rp 36,000 0 Rp - Rp - 2 Rp 18,000 Rp 36,000 0
11 Larutan Giemsa 10/2/2013 botol @ 100 ml 7 Rp 181,000 Rp 1,267,000 0 Rp - Rp - 1 Rp 181,000 Rp 181,000 6
13 Reagen Zeil Nelsen 31/8/2015 paket 3 276500 802500 Rp - Rp - 1 Rp 276,500 Rp 276,500 2
18 TOTAL Rp 8,938,500 TOTAL 0 TOTAL Rp 1,166,500 TOTAL
Mengetahui

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
SISA 31 Agustus 2015
HARGA SATUAN JUMLAH
Rp 84,000 Rp 336,000
Rp 84,000 Rp 336,000
Rp 84,000 Rp 336,000
Rp 84,000 Rp 336,000
Rp 84,000 Rp 336,000
Rp 84,000 Rp 336,000
Rp 84,000 Rp 336,000
Rp 84,000 Rp 252,000
Rp 53,000 Rp 106,000
Rp 53,000 Rp 106,000
Rp 53,000 Rp 106,000
Rp 115,000 Rp 345,000
Rp 35,000 Rp 315,000
Rp 35,000 Rp 210,000
Rp 30,000 Rp 60,000
15000 Rp 105,000
Rp 450,000 Rp 900,000
Rp 480,000 Rp 480,000
Rp 44,000 Rp 88,000
Rp 65,000 Rp 325,000
Rp 18,000 Rp 36,000
Rp 181,000 Rp 1,267,000
Rp 360,000 Rp 720,000
Rp 267,500 Rp 802,500
Rp 15,000 Rp 210,000
Rp - Rp -
Rp - Rp -
Rp 153,000 Rp 153,000
TOTAL Rp 8,938,500
SISA 30 SEPTEMBER,2015
HARGA SATUAN JUMLAH
Rp 84,000 Rp 336,000
Rp 84,000 Rp 168,000
Rp 84,000 Rp -
Rp 84,000 Rp 84,000
Rp 84,000 Rp -
Rp 84,000 Rp -
Rp 84,000 Rp 84,000
Rp 84,000 Rp 252,000
Rp 53,000 Rp 53,000
Rp 53,000 Rp 53,000
Rp 53,000 Rp 53,000
Rp 115,000 Rp 115,000
Rp 35,000 Rp 245,000
Rp 35,000 Rp 140,000
Rp 30,000 Rp 30,000
15000 Rp -
Rp 450,000 Rp 900,000
Rp 480,000 Rp 480,000
Rp 44,000 Rp 44,000
Rp 65,000 Rp 325,000
Rp 18,000 Rp -
Rp 181,000 Rp 1,086,000
Rp 360,000 Rp 720,000
Rp 267,500 Rp 534,000
Rp 15,000 Rp 210,000
Rp - Rp -
Rp - Rp -
Rp 153,000 Rp 153,000
TOTAL Rp 6,065,000
SISA 30 NOVEMBER 2015

HARGA SATUAN JUMLAH
Rp 84,000 Rp 168,000
Rp 84,000 Rp 168,000
Rp 84,000 Rp -
Rp 84,000 Rp 84,000
Rp 90,000 Rp 90,000
Rp 90,000 Rp 90,000
Rp 90,000 Rp 180,000
Rp 90,000 Rp 270,000
Rp 105,000 Rp 210,000
Rp 105,000 Rp 210,000
Rp 105,000 Rp 210,000
Rp 105,000 Rp 210,000
Rp 31,000 Rp 217,000
Rp 27,000 Rp 81,000
Rp 37,500 Rp 225,000
Rp 35,000 Rp 175,000
Rp 30,000 Rp 450,000
Rp 480,000 Rp 1,440,000
Rp 650,000 Rp 2,600,000
Rp 50,000 Rp 150,000
Rp 65,000 Rp 260,000
Rp 22,000 Rp 198,000
Rp 1,175,000 Rp 3,525,000
Rp 360,000 Rp 720,000
Rp 375,000 Rp 750,000
Rp 267,500 Rp 535,000
Rp 15,000 Rp 210,000
Rp 36,250 Rp 870,000
Rp 160,000 Rp 320,000
Rp 42,500 Rp 850,000
Rp 4,000 Rp 104,000
Rp 3,200 Rp 310,400
TOTAL Rp 15,880,400
SISA 30 OKTOBER,2015
HARGA SATUAN JUMLAH
Rp 84,000 Rp 336,000
Rp 84,000 Rp 168,000
Rp 84,000 Rp -
Rp 84,000 Rp 84,000
Rp 84,000 Rp -
Rp 84,000 Rp -
Rp 84,000 Rp 84,000
Rp 84,000 Rp 252,000
Rp 53,000 Rp 53,000
Rp 53,000 Rp 53,000
Rp 53,000 Rp 53,000
Rp 115,000 Rp 115,000
Rp 35,000 Rp 245,000
Rp 35,000 Rp 140,000
Rp 30,000 Rp 30,000
15000 Rp -
Rp 450,000 Rp 900,000
Rp 480,000 Rp 480,000
Rp 44,000 Rp 44,000
Rp 65,000 Rp 325,000
Rp 18,000 Rp -
Rp 181,000 Rp 1,086,000
Rp 360,000 Rp 720,000
Rp 267,500 Rp 534,000
Rp 15,000 Rp 210,000
Rp - Rp -
Rp - Rp -
Rp 153,000 Rp 153,000
TOTAL Rp 6,065,000
PER 31 DESEMBER 2015
SISA/ 30 November 2015 PENERIMAAN
TANGGAL
No NAMA BARANG KEMASAN HARGA
PEROLEHAN VLM JUMLAH VLM JUMLAH
HARGA SATUAN SATUAN
1 Widal Set
a. Salmonella Typhi H 10/2/2013 vial @ 5 ml 2 Rp 84,000 Rp 168,000 0 Rp - Rp -
b. Salmonella Paratyphi AH 10/2/2013 vial @ 5 ml 2 Rp 84,000 Rp 168,000 0 Rp - Rp -
c. Salmonella Paratyphi BH 10/2/2013 vial @ 5 ml 0 Rp 84,000 Rp - 0 Rp - Rp -
d. Salmonella Paratyphi CH 10/2/2013 vial @ 5 ml 1 Rp 84,000 Rp 84,000 0 Rp - Rp -
e. Salmonella typhi O 9/11/2015 vial @ 5 ml 1 Rp 90,000 Rp 90,000 0 Rp - Rp -
f. Salmonella Paratyphi AO 9/11/2015 vial @ 5 ml 1 Rp 90,000 Rp 90,000 0 Rp - Rp -
g. Salmonella Paratyphi BO 10/2/2013 vial @ 5 ml 1 Rp 84,000 Rp 84,000 0 Rp - Rp -
9/11/2015 vial @ 5 ml 1 Rp 90,000 Rp 90,000 Rp -
g. Salmonella Paratyphi CO 10/2/2013 vial @ 5 ml 2 Rp 84,000 Rp 168,000 0 Rp - Rp -
9/11/2015 vial @ 5 ml 1 Rp 90,000 Rp 90,000
Anti A 9/11/2015 vial @ 10 ml 2 Rp 105,000 Rp 210,000 0 Rp - Rp -
Anti B 9/11/2015 vial @ 10 ml 2 Rp 105,000 Rp 210,000 0 Rp - Rp -
Anti AB 9/11/2015 vial @ 10 ml 2 Rp 105,000 Rp 210,000 0 Rp - Rp -
Anti D 9/11/2015 vial @ 10 ml 2 Rp 105,000 Rp 210,000 0 Rp - Rp -
3 Alkohol 70 % 9/11/2015 botol @ 1L 7 Rp 31,000 Rp 217,000
5 Spiritus 10/2/2013 botol @ 1 l 4 Rp 35,000 Rp 140,000
6 9/11/2015 botol 1 l 2 Rp 37,500 Rp 75,000 0 Rp - Rp -
7 HCl 0,1 N 9/11/2015 botol@100ml 5 Rp 35,000 Rp 175,000 Rp -
8 Aquadest 9/11/5015 botol @ 1 l 15 Rp 30,000 Rp 450,000 Rp -
9 Methanol PA 10/2/2013 botol @ 1 l 1 Rp 450,000 Rp 450,000 0 Rp -
9/11/2015 botol@1 l 2 Rp 480,000 Rp 960,000 Rp -
10 Oil Imersi 9/11/2015 botol @ 100 ml 1 Rp 480,000 Rp 480,000 0 Rp - Rp -
Oil Imersi 4 Rp 650,000 Rp 2,600,000
11 Larutan Turk 9/11/2015 botol @ 100 ml 3 Rp 50,000 Rp 150,000 Rp -
12 Lisol 10/2/2013 botol @ 1 l 4 Rp 65,000 Rp 260,000 0 Rp - Rp -
13 Sabun Cuci Tangan anti Bakteri 9/11/2015 botol @ 250 ml 9 Rp 22,000 Rp 198,000 0 Rp - Rp -
14 GIEMSA 9/11/2015 botol@500ml 3 Rp 1,175,000 Rp 3,525,000 0 Rp - Rp -
15 buffer PH 7,2 tablet 10/2/2013 botol @ 20 tab 2 Rp 360,000 Rp 720,000 0 Rp - Rp -
16 buffer PH 7,2 tablet 9/11/2015 Botol@100 ml 2 Rp 375,000 Rp 750,000 0 Rp - Rp -
18 Reagen Zeil Nelsen 31/8/2015 paket 2 Rp 267,500 Rp 535,000 0 Rp - Rp -
19 kartu golongan darah pak @ 100 lbr 14 Rp 15,000 Rp 210,000 0 Rp - Rp -
20 slide 9/11/2015 box@72 pcs 25 Rp 36,250 Rp 905,250 0 Rp - Rp -
21 Blood lancet 9/11/2015 box@200pcs 19 Rp 42,500 Rp 807,500 Rp -
22 Tissue 9/11/2015 rol 25 Rp 4,000 Rp 100,000 Rp -
23 pot urine 11/9/2015 pcs 97 Rp 3,200 Rp 310,400 0 Rp - Rp -
Mengetahui
Rp 15,971,150
Royana, SKM Tuty Kurniawati, Amd. AK
NIP.19810615 200501 2 009 NIP. 19850116 201001 2 007

Saldo Awal 01 September2017 PENERIMAAN PENGELUARA
AMA BARANG
TANGGAL PEROLEHAN KEMASAN HARGA
VLM JUMLAH VLM SATUA JUMLAH VLM
HARGA SATUAN N
Widal Set
a. Salm 10/2/2013 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0
b. Salm 10/2/2013 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0
c. Salm 10/2/2013 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0
d. Salm 10/2/2013 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0
e. Salm 9/11/2015 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0
f. Salm 9/11/2015 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0
g. Salm 9/11/2015 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0
h. Salm 9/11/2015 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0
Alkohol 9/11/2015 botol @ 1L 2 Rp 31,000 Rp 62,000 0 Rp - Rp - 0
Alkohol 9/11/2015 botol @ 1 l 1 Rp 27,000 Rp 27,000 0 Rp - Rp - 0
Spiritus 9/11/2015 botol @ 1 l 0 Rp 37,500 Rp - 0 Rp - Rp - 0
HCl 0,1 9/11/2015 botol@100ml 1 Rp 35,000 Rp 35,000 0 Rp - Rp - 0
Aquades 9/11/5015 botol @ 1 l 4 Rp 30,000 Rp 120,000 0 Rp - Rp - 0
Methan 9/11/2015 botol @ 1 l 2 Rp 480,000 Rp 960,000 0 Rp - Rp - 0
Oil Ime 9/11/2015 botol @ 100 ml 0 Rp 650,000 Rp - 0 Rp - Rp - 0
Larutan 9/11/2015 botol @ 100 ml 0 Rp 50,000 Rp - Rp - 0
Lisol 10/2/2013 botol @ 1 l 0 Rp 65,000 Rp - 0 Rp - Rp - 0
Sabun C 11/9/2015 botol @ 250 ml 0 Rp 22,000 Rp - 0 Rp - Rp - 0
GIEMS 11/9/2015 botol@500ml 1 Rp 1,175,000 Rp 1,175,000 0 Rp - Rp - 1
buffer P 10/2/2013 botol @ 20 tab 1 Rp 360,000 Rp 360,000 0 Rp - Rp - 0
buffer P 11/9/2015 Botol@100 ml 2 Rp 375,000 Rp 750,000 0 Rp - Rp - 0
kartu golongan darah pak @ 100 lbr 3 Rp 15,000 Rp 45,000 0 Rp - Rp - 0
slide 9/11/2015 box@72 pcs 3 Rp 36,250 Rp 108,750 0 Rp - Rp - 2
Stik uri 9/11/2015 0 Rp 281,600 Rp - 0 Rp - Rp - 0
Blood l 11/9/2015 box@200pcs 12 Rp 60,000 Rp 720,000 0 Rp - Rp - 1
Tissue 11/9/2015 rol 0 Rp 4,000 Rp - Rp - 0
pot urin 21/08/17 pcs 47 Rp 4,000 Rp 188,000 0 Rp - Rp - 2
BeneChe 21/08/17 box 31 Rp 156,872.73 Rp 4,863,054.63 0 Rp - Rp - 3
BeneChe 2`/08/17 box 24 Rp 129,802.08 Rp 3,115,249.92 0 Rp - Rp - 0
Humansens plus uric acid 3 Rp 553,799 Rp 1,661,397 0 Rp - Rp - 1
blood C 13/1/2017 Tube 181 Rp 1,760 Rp 318,560 0 Rp - Rp - 0
Blood C 13/1/2017 Tube 85 Rp 1,815 Rp 154,275 Rp - Rp - 18
Lancet 21/08/17 buah 1 Rp 50,000 Rp 50,000 0 Rp - Rp - 0
STOK OPNAME MALARIA 0
Giemsa 26/1/17 botol@100ml 0 Rp 479,000 Rp - 0 Rp - Rp - 0
Lancet 26/1/17 kotak@200 3 Rp 49,500 Rp 148,500 0 Rp - Rp - 1
Slide 26/1/17 kotak@72 pcs 6 Rp 39,875 Rp 239,250 0 Rp - Rp - 0
Box Sli 26/1/17 box 2 Rp 68,000 Rp 136,000 0 Rp - Rp - 0
TOTA
L Rp 28,610,772.13 total Rp -

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
PER 31 oktober 2017
Saldo Awal 01 September2017 PENERIMAAN PENGELUARA
AMA BARANG
TANGGAL PEROLEHAN KEMASAN HARGA
VLM JUMLAH VLM SATUA JUMLAH VLM
HARGA SATUAN N
Widal Set
a. Salm 10/2/2013 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0
b. Salm 10/2/2013 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0
c. Salm 10/2/2013 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0
d. Salm 10/2/2013 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0
e. Salm 9/11/2015 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0
f. Salm 9/11/2015 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0
g. Salm 9/11/2015 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0
h. Salm 9/11/2015 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0
Alkohol 9/11/2015 botol @ 1L 2 Rp 31,000 Rp 62,000 0 Rp - Rp - 0
Alkohol 9/11/2015 botol @ 1 l 1 Rp 27,000 Rp 27,000 0 Rp - Rp - 0
Spiritus 9/11/2015 botol @ 1 l 0 Rp 37,500 Rp - 0 Rp - Rp - 0
HCl 0,1 9/11/2015 botol@100ml 1 Rp 35,000 Rp 35,000 0 Rp - Rp - 0
Aquades 9/11/5015 botol @ 1 l 4 Rp 30,000 Rp 120,000 0 Rp - Rp - 4
Methan 9/11/2015 botol @ 1 l 2 Rp 480,000 Rp 960,000 0 Rp - Rp - 0
Oil Ime 9/11/2015 botol @ 100 ml 0 Rp 650,000 Rp - 0 Rp - Rp - 0
Larutan 9/11/2015 botol @ 100 ml 0 Rp 50,000 Rp - Rp - 0
Lisol 10/2/2013 botol @ 1 l 0 Rp 65,000 Rp - 0 Rp - Rp - 0
Sabun C 11/9/2015 botol @ 250 ml 0 Rp 22,000 Rp - 0 Rp - Rp - 0
GIEMS 11/9/2015 botol@500ml 0 Rp 1,175,000 Rp - 0 Rp - Rp - 0
buffer P 10/2/2013 botol @ 20 tab 1 Rp 360,000 Rp 360,000 0 Rp - Rp - 0
buffer P 11/9/2015 Botol@100 ml 2 Rp 375,000 Rp 750,000 0 Rp - Rp - 0
kartu golongan darah pak @ 100 lbr 3 Rp 15,000 Rp 45,000 0 Rp - Rp - 0
slide 9/11/2015 box@72 pcs 1 Rp 36,250 Rp 36,250 0 Rp - Rp - 0
Stik uri 9/11/2015 0 Rp 281,600 Rp - 0 Rp - Rp - 0
Blood l 11/9/2015 box@200pcs 11 Rp 60,000 Rp 660,000 0 Rp - Rp - 2
Tissue 11/9/2015 rol 0 Rp 4,000 Rp - Rp - 0
pot urin 21/08/17 pcs 45 Rp 4,000 Rp 180,000 0 Rp - Rp - 1
BeneChe 2`/08/17 box 24 Rp 129,802.08 Rp 3,115,249.92 0 Rp - Rp - 0
Humansens plus uric acid 2 Rp 553,799 Rp 1,107,598 0 Rp - Rp - 1
blood C 13/1/2017 Tube 181 Rp 1,760 Rp 318,560 0 Rp - Rp - 3
Blood C 13/1/2017 Tube 67 Rp 1,815 Rp 121,605 Rp - Rp - 16
Lancet 21/08/17 buah 1 Rp 50,000 Rp 50,000 0 Rp - Rp - 0
STOK OPNAME MALARIA 0
Giemsa 26/1/17 botol@100ml 0 Rp 479,000 Rp - 0 Rp - Rp - 0
Lancet 26/1/17 kotak@200 2 Rp 49,500 Rp 99,000 0 Rp - Rp - 0
Slide 26/1/17 kotak@72 pcs 6 Rp 39,875 Rp 239,250 0 Rp - Rp - 0
Box Sli 26/1/17 box 2 Rp 68,000 Rp 136,000 0 Rp - Rp - 0
TOTA
L Rp 24,077,042.48 total Rp -

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
PUSKESMAS KOBA
PENGELUARAN SISA 31 DESEMBER 2015

VLM HARGA SATUAN JUMLAH VLM HARGA SATUAN JUMLAH
0 Rp - Rp - 2 Rp 84,000 Rp 168,000
2 Rp 84,000 Rp 168,000 0 Rp 84,000 Rp -
0 Rp - Rp - 0 Rp 84,000 Rp -
0 Rp - Rp - 1 Rp 84,000 Rp 84,000
1 Rp 90,000 Rp 90,000 0 Rp 90,000 Rp -
0 Rp - Rp - 1 Rp 90,000 Rp 90,000
1 Rp 84,000 Rp 84,000 0 Rp 84,000 Rp -
1 Rp 90,000 Rp 90,000
1 Rp 84,000 Rp 84,000 1 Rp 84,000 Rp 84,000
1 Rp 90,000 Rp 90,000
0 Rp - Rp - 2 Rp 105,000 Rp 210,000
0 Rp - Rp - 2 Rp 105,000 Rp 210,000
0 Rp - Rp - 2 Rp 105,000 Rp 210,000
0 Rp - Rp - 2 Rp 105,000 Rp 210,000
0 Rp - Rp - 7 Rp 31,000 Rp 217,000
Rp - 3 Rp 27,000 Rp 81,000
0 Rp - Rp - 4 Rp 35,000 Rp 140,000
0 Rp - Rp - 2 Rp 37,500 Rp 75,000
5 Rp 35,000 Rp 175,000
1 Rp 30,000 Rp 30,000 14 30000 Rp 420,000
1 Rp 450,000 Rp 450,000 0 Rp - Rp -
2 Rp 480,000 Rp 960,000
0 Rp - Rp - 1 Rp 480,000 Rp 480,000
4 Rp 650,000 Rp 2,600,000
0 Rp - Rp - 3 Rp 50,000 Rp 150,000
0 Rp - Rp - 4 Rp 65,000 Rp 260,000
0 Rp - Rp - 9 Rp 22,000 Rp 198,000
0 Rp - Rp - 3 Rp 1,175,000 Rp 3,525,000
0 Rp - Rp - 2 Rp 360,000 Rp 720,000
0 Rp - Rp - 2 Rp 375,000 Rp 750,000
0 Rp - Rp - 2 Rp 267,500 Rp 535,000
0 Rp - Rp - 14 Rp 15,000 Rp 210,000
1 Rp 36,250 Rp 36,250 24 Rp 36,250 Rp 870,000
1 Rp 42,500 Rp 42,500 18 Rp 42,500 Rp 765,000
3 Rp 4,000 Rp 12,000 22 Rp 4,000 Rp 88,000
1 Rp 3,200 Rp 3,200 96 Rp 3,200 Rp 307,200
TOTAL Rp 999,950 TOTAL Rp 14,972,200
oratorium
wati, Amd. AK
16 201001 2 007
PUSKESMAS KOBA

HARGA
SATUAN
Rp - Rp - 0 Rp 104,500 Rp -
Rp - Rp - 0 Rp 104,500 Rp -
Rp - Rp - 0 Rp 104,500 Rp -
Rp - Rp - 0 Rp 104,500 Rp -
Rp - Rp - 0 Rp 104,500 Rp -
Rp - Rp - 0 Rp 104,500 Rp -
Rp - Rp - 0 Rp 104,500 Rp -
Rp - Rp - 0 Rp 104,500 Rp -
Rp - Rp - 0 Rp 121,000 Rp -
Rp - Rp - 0 Rp 121,000 Rp -
Rp - Rp - 0 Rp 121,000 Rp -
Rp - Rp - 0 Rp 121,000 Rp -
Rp - Rp - 2 Rp 31,000 Rp 62,000
Rp - Rp - 1 Rp 27,000 Rp 27,000
Rp - Rp - 0 Rp 37,500 Rp -
Rp - Rp - 1 Rp 35,000 Rp 35,000
Rp - Rp - 4 Rp 30,000 Rp 120,000
Rp - Rp - 2 Rp 480,000 Rp 960,000
Rp - Rp - 0 Rp 650,000 Rp -
Rp - Rp - 0 Rp 50,000 Rp -
Rp - Rp - 0 Rp 65,000 Rp -
Rp - Rp - 0 Rp 22,000 Rp -
Rp 1,175,000 Rp 1,175,000 0 Rp 1,175,000 Rp - ed:31/07/2017
Rp - Rp - 1 Rp 360,000 Rp 360,000
Rp - Rp - 2 Rp 375,000 Rp 750,000
Rp - Rp - 3 Rp 15,000 Rp 45,000
Rp 36,250 Rp 72,500 1 Rp 36,250 Rp 36,250
Rp - Rp - 0 Rp 281,600 Rp -
Rp 60,000 Rp 60,000 11 Rp 60,000 Rp 660,000
Rp - Rp - 0 Rp 4,000 Rp -
Rp 4,000 Rp 8,000 45 Rp 4,000 Rp 180,000
Rp 156,872.73 Rp 470,618.19 28 Rp 156,872.73 Rp 4,392,436.44
Rp 234,626.94 Rp 2,111,642.46 48 Rp 234,626.94 Rp 11,262,093
Rp - Rp - 24 Rp 129,802.08 Rp 3,115,249.92
Rp 553,799 Rp 553,799 2 Rp 553,799 Rp 1,107,598
Rp - Rp - 181 Rp 1,760 Rp 318,560
Rp 1,815 Rp 32,670 67 Rp 1,815 Rp 121,605
Rp - Rp - 1 Rp 50,000 Rp 50,000
Rp - Rp -
Rp - Rp - 0 Rp 479,000 Rp -
Rp 49,500 Rp 49,500 2 Rp 49,500 Rp 99,000
Rp - Rp - 6 Rp 39,875 Rp 239,250.00
Rp - Rp - 2 Rp 68,000 Rp 136,000
TOTAL Rp 4,533,729.65 TOTAL Rp 24,077,042.48

PUSKESMAS KOBA

HARGA
SATUAN
Rp - Rp - 0 Rp 104,500 Rp -
Rp - Rp - 0 Rp 104,500 Rp -
Rp - Rp - 0 Rp 104,500 Rp -
Rp - Rp - 0 Rp 104,500 Rp -
Rp - Rp - 0 Rp 104,500 Rp -
Rp - Rp - 0 Rp 104,500 Rp -
Rp - Rp - 0 Rp 104,500 Rp -
Rp - Rp - 0 Rp 104,500 Rp -
Rp - Rp - 0 Rp 121,000 Rp -
Rp - Rp - 0 Rp 121,000 Rp -
Rp - Rp - 0 Rp 121,000 Rp -
Rp - Rp - 0 Rp 121,000 Rp -
Rp - Rp - 2 Rp 31,000 Rp 62,000
Rp - Rp - 1 Rp 27,000 Rp 27,000
Rp - Rp - 0 Rp 37,500 Rp -
Rp - Rp - 1 Rp 35,000 Rp 35,000
Rp 30,000 Rp 120,000 0 Rp 30,000 Rp - ed.agustus 2017
Rp - Rp - 2 Rp 480,000 Rp 960,000
Rp - Rp - 0 Rp 650,000 Rp -
Rp - Rp - 0 Rp 50,000 Rp -
Rp - Rp - 0 Rp 65,000 Rp -
Rp - Rp - 0 Rp 22,000 Rp -
Rp - Rp - 0 Rp 1,175,000 Rp - ed:31/07/2017
Rp - Rp - 1 Rp 360,000 Rp 360,000
Rp - Rp - 2 Rp 375,000 Rp 750,000
Rp - Rp - 3 Rp 15,000 Rp 45,000
Rp - Rp - 1 Rp 36,250 Rp 36,250
Rp - Rp - 0 Rp 281,600 Rp -
Rp 60,000 Rp 120,000 9 Rp 60,000 Rp 540,000
Rp - Rp - 0 Rp 4,000 Rp -
Rp 4,000 Rp 4,000 44 Rp 4,000 Rp 176,000
Rp 156,872.73 Rp 627,490.92 24 Rp 156,872.73 Rp 3,764,945.52
Rp 234,626.94 Rp 3,050,150.22 35 Rp 234,626.94 Rp 8,211,942.90
Rp - Rp - 24 Rp 129,802.08 Rp 3,115,249.92
Rp 553,799 Rp 553,799 1 Rp 553,799 Rp 553,799
Rp 1,760 Rp 5,280 178 Rp 1,760 Rp 313,280
Rp 1,815 Rp 29,040 51 Rp 1,815 Rp 92,565
Rp - Rp - 1 Rp 50,000 Rp 50,000 Bukan BHP
Rp - Rp -
Rp - Rp - 0 Rp 479,000 Rp -
Rp - Rp - 2 Rp 49,500 Rp 99,000
Rp - Rp - 6 Rp 39,875 Rp 239,250.00
Rp - Rp - 2 Rp 68,000 Rp 136,000
TOTAL Rp 4,509,760.14 TOTAL Rp 19,567,282.34

PER 31 Januari 2017
TANGGAL Saldo Awal 01 Januari 2017 PENERIMAAN PENGELUARAN
No NAMA BARANG PEROLEHA KEMASAN HARGA HARGA HARGA
N VLM JUMLAH VLM JUMLAH VLM
Widal Set
a. Salmonella Typhi H 10/2/2013 vial @ 5 ml 0 Rp 84,000 Rp - 1 Rp 104,500 Rp 104,500 1 Rp 104,500
b. Salmonella Paratyphi AH 10/2/2013 vial @ 5 ml 0 Rp 84,000 Rp - 1 Rp 104,500 Rp 104,500 1 Rp 104,500
c. Salmonella Paratyphi BH 10/2/2013 vial @ 5 ml 0 Rp 84,000 Rp - 1 Rp 104,500 Rp 104,500 1 Rp 104,500
d. Salmonella Paratyphi CH 10/2/2013 vial @ 5 ml 0 Rp 84,000 Rp - 1 Rp 104,500 Rp 104,500 1 Rp 104,500
e. Salmonella typhi O 9/11/2015 vial @ 5 ml 0 Rp 90,000 Rp - 1 Rp 104,500 Rp 104,500 1 Rp 104,500
f. Salmonella Paratyphi AO 9/11/2015 vial @ 5 ml 0 Rp 90,000 Rp - 1 Rp 104,500 Rp 104,500 1 Rp 104,500
g. Salmonella Paratyphi BO 9/11/2015 vial @ 5 ml 1 Rp 90,000 Rp 90,000 0 Rp 90,000 Rp - 1 Rp 90,000
1 Rp 104,500 Rp 104,500 1 Rp 104,500
g. Salmonella Paratyphi CO 9/11/2015 vial @ 5 ml 0 Rp 90,000 Rp - 1 Rp 104,500 Rp 104,500 1 Rp 104,500
Anti A 9/11/2015 vial @ 10 ml 0 Rp 105,000 Rp - 1 Rp 121,000 Rp 121,000 1 Rp 121,000
Anti B 9/11/2015 vial @ 10 ml 0 Rp 105,000 Rp - 1 Rp 121,000 Rp 121,000 1 Rp 121,000
1 Rp 121,000 Rp 121,000 1 Rp 121,000
Anti D 9/11/2015 vial @ 10 ml 0 Rp 105,000 Rp - 1 Rp 121,000 Rp 121,000 1 Rp 121,000
Alkohol 70 % 9/11/2015 botol @ 1L 5 Rp 31,000 Rp 155,000 0 Rp - Rp - 1 Rp 31,000
Alkohol 95 % 9/11/2015 botol @ 1 l 1 Rp 27,000 Rp 27,000 0 Rp - Rp - 0 Rp -
Spiritus 9/11/2015 botol @ 1 l 2 Rp 37,500 Rp 75,000 0 Rp - Rp - 0 Rp -
HCl 0,1 N 9/11/2015 botol@100ml 2 Rp 35,000 Rp 70,000 0 Rp - Rp - 1 Rp 35,000
Aquadest 9/11/5015 botol @ 1 l 4 Rp 30,000 Rp 120,000 0 Rp - Rp - 0 Rp -
Methanol PA 9/11/2015 botol @ 1 l 2 Rp 480,000 Rp 960,000 0 Rp - Rp - 0 Rp -
Oil Imersi 9/11/2015 botol @ 100 ml 4 Rp 650,000 Rp 2,600,000 0 Rp - Rp - 4 Rp 650,000
Larutan Turk 9/11/2015 botol @ 100 ml 0 Rp 50,000 Rp - Rp - 0 Rp -
Lisol 10/2/2013 botol @ 1 l 1 Rp 65,000 Rp 65,000 0 Rp - Rp - 1 Rp 65,000
Sabun Cuci Tangan anti Bakteri 11/9/2015 botol @ 250 ml 3 Rp 22,000 Rp 66,000 0 Rp - Rp - 0 Rp -
GIEMSA 11/9/2015 botol@500ml 1 Rp 1,175,000 Rp 1,175,000 0 Rp - Rp - 1 Rp 1,175,000
buffer PH 7,2 tablet 10/2/2013 botol @ 20 tab 1 Rp 360,000 Rp 360,000 0 Rp - Rp - 0 Rp -
buffer PH 7,2 tablet 11/9/2015 Botol@100 ml 2 Rp 375,000 Rp 750,000 0 Rp - Rp - 0 Rp -
Reagen Zeil Nelsen 20/12/2016 paket 0 Rp 267,500 Rp - 4 Rp 267,500 Rp 1,070,000 1 Rp 267,500
kartu golongan darah pak @ 100 lbr 7 Rp 15,000 Rp 105,000 0 Rp - Rp - 1 Rp 15,000
slide 9/11/2015 box@72 pcs 10 Rp 36,250 Rp 362,500 0 Rp - Rp - 1 Rp 36,250
Stik urine 9/11/2015 0 Rp 160,000 Rp - 200 Rp 2,816 Rp 563,200 1 Rp 2,816
Blood lancet 11/9/2015 box@200pcs 2 Rp 42,500 Rp 85,000 Rp - 1 Rp 42,500
Tissue 11/9/2015 rol 0 Rp 4,000 Rp - Rp - 0 Rp -
pot urine 11/9/2015 pcs 0 Rp 3,200 Rp - 0 Rp - Rp - 0 Rp -
BeneCheck Plus Glucose 14/9/2016 box 21 Rp 153,491 Rp 3,223,311 0 Rp - Rp - 3 Rp 153,491
BeneCheck Plus Cholesterol 14/9/2016 box 27 Rp 233,020 Rp 6,291,540 0 Rp - Rp - 9 Rp 233,020
BeneCheck Plus Uric 14/9/2016 box 17 Rp 128,376 Rp 2,182,392 0 Rp - Rp - 3 Rp 128,376
blood Collection Tube EDTA 13/1/2017 Tube 0 Rp - Rp - 200 Rp 1,760 Rp 352,000 10 Rp 1,760
Blood Collection Tube no additive 13/1/2017 Tube 0 Rp - Rp - 100 Rp 1,815 Rp 181,500 0 Rp 1,815

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
NB:Giemsa dan Oil imersi stok pindah Ke Stok Malaria

PER 31 Januari 2017
TANGGAL Saldo Awal 01 Januari 2017 PENERIMAAN PENGELUARAN
Widal Set
e. Salmonella typhi O 9/11/2015 vial @ 5 ml 0 Rp 90,000 Rp - 1 Rp 104,500 Rp 104,500 1 Rp 104,500
g. Salmonella Paratyphi BO 9/11/2015 vial @ 5 ml 1 Rp 90,000 Rp 90,000 0 Rp 90,000 Rp - 1 Rp 90,000
1 Rp 104,500 Rp 104,500 1 Rp 104,500
g. Salmonella Paratyphi CO 9/11/2015 vial @ 5 ml 0 Rp 90,000 Rp - 1 Rp 104,500 Rp 104,500 1 Rp 104,500
1 Rp 121,000 Rp 121,000 1 Rp 121,000
Oil Imersi 9/11/2015 botol @ 100 ml 4 Rp 650,000 Rp 2,600,000 0 Rp - Rp - 4 Rp 650,000
Lisol 10/2/2013 botol @ 1 l 1 Rp 65,000 Rp 65,000 0 Rp - Rp - 1 Rp 65,000
GIEMSA 11/9/2015 botol@500ml 1 Rp 1,175,000 Rp 1,175,000 0 Rp - Rp - 0 Rp -
Stik urine 9/11/2015 0 Rp 160,000 Rp - 2 Rp 281,600 Rp 563,200 1 Rp 281,600
Blood lancet 11/9/2015 box@200pcs 2 Rp 42,500 Rp 85,000 Rp - 1 Rp 42,500
blood Collection Tube EDTA 13/1/2017 Tube 0 Rp - Rp - 200 Rp 1,760 Rp 352,000 10 Rp 1,760
Blood Collection Tube no additive 13/1/2017 Tube 0 Rp - Rp - 100 Rp 1,815 Rp 181,500 0 Rp 1,815
STOK OPNAME MALARIA
Giemsa 26/1/17 botol@100ml 3 Rp 479,000 Rp 1,437,000 0 Rp -
Lancet 26/1/17 kotak@200 7 Rp 49,500 Rp 346,500 1 Rp 49,500
Slide 26/1/17 kotak@72 pcs 20 Rp 39,875 Rp 797,500 1 Rp 39,875
Box Slide 26/1/17 box 7 Rp 68,000 Rp 476,000 0 Rp 68,000

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

PER 28 Februari 2017
TANGGAL Saldo Awal 01 februari 2017 PENERIMAAN PENGELUARAN
Widal Set
a. Salmonella Typhi H 10/2/2013 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0 Rp -
b. Salmonella Paratyphi AH 10/2/2013 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0 Rp -
d. Salmonella Paratyphi CH 10/2/2013 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0 Rp -
e. Salmonella typhi O 9/11/2015 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0 Rp -
f. Salmonella Paratyphi AO 9/11/2015 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0 Rp -
g. Salmonella Paratyphi BO 9/11/2015 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0 Rp -
h. Salmonella Paratyphi CO 9/11/2015 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0 Rp -
Anti A 9/11/2015 vial @ 10 ml 0 Rp 121,000 Rp - 0 Rp - Rp - 0 Rp -
Anti B 9/11/2015 vial @ 10 ml 0 Rp 121,000 Rp - 0 Rp - Rp - 0 Rp -
Anti AB 9/11/2015 vial @ 10 ml 0 Rp 121,000 Rp - 0 Rp - Rp - 0 Rp -
Anti D 9/11/2015 vial @ 10 ml 0 Rp 121,000 Rp - 0 Rp - Rp - 0 Rp -
Alkohol 70 % 9/11/2015 botol @ 1L 4 Rp 31,000 Rp 124,000 0 Rp - Rp - 0 Rp -
HCl 0,1 N 9/11/2015 botol@100ml 1 Rp 35,000 Rp 35,000 0 Rp - Rp - 0 Rp -
Oil Imersi 9/11/2015 botol @ 100 ml 0 Rp 650,000 Rp - 0 Rp - Rp - 0 Rp -
Lisol 10/2/2013 botol @ 1 l 0 Rp 65,000 Rp - 0 Rp - Rp - 0 Rp -
Sabun Cuci Tangan anti Bakteri 11/9/2015 botol @ 250 ml 3 Rp 22,000 Rp 66,000 0 Rp - Rp - 1 Rp 22,000
kartu golongan darah pak @ 100 lbr 6 Rp 15,000 Rp 90,000 0 Rp - Rp - 0 Rp -
Stik urine 9/11/2015 1 Rp 281,600 Rp 281,600 0 Rp - Rp - 0 Rp -
Blood lancet 11/9/2015 box@200pcs 1 Rp 42,500 Rp 42,500 Rp - Rp - 1 Rp 42,500
blood Collection Tube EDTA 13/1/2017 Tube 190 Rp 1,760 Rp 334,400 0 Rp - Rp - 5 Rp 1,760
Blood Collection Tube no additive 13/1/2017 Tube 100 Rp 1,815 Rp 181,500 0 Rp - Rp - 0 Rp -
STOK OPNAME MALARIA
Giemsa 26/1/17 botol@100ml 3 Rp 479,000 Rp 1,437,000 0 Rp - Rp - 0 Rp -
Lancet 26/1/17 kotak@200 6 Rp 49,500 Rp 297,000 0 Rp - Rp - 1 Rp 49,500
Slide 26/1/17 kotak@72 pcs 19 Rp 39,875 Rp 757,625 0 Rp - Rp - 3 Rp 39,875
Box Slide 26/1/17 box 7 Rp 68,000 Rp 476,000 0 Rp - Rp - 0 Rp 68,000
TOTAL Rp 16,670,337 total Rp - TOTAL
Mengetahui Koba, 28 februari 2017

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

PER 31 Maret 2017
TANGGAL Saldo Awal 01 Maret 2017 PENERIMAAN PENGELUARAN
Widal Set
Blood lancet 11/9/2015 box@200pcs 0 Rp 42,500 Rp - Rp - Rp - 0 Rp -
blood Collection Tube EDTA 13/1/2017 Tube 185 Rp 1,760 Rp 325,600 0 Rp - Rp - 0 Rp -
STOK OPNAME MALARIA

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

PER 30 April 2017
TANGGAL Saldo Awal 01 aPRIL 2017 PENERIMAAN PENGELUARAN
Widal Set
slide 9/11/2015 box@72 pcs 6 Rp 36,250 Rp 217,500 0 Rp - Rp - 0 Rp -
BeneCheck Plus Glucose 14/9/2016 box 12 Rp 153,491 Rp 1,841,892 0 Rp - Rp - 0 Rp -
Humansens plus glukosa 20/04/17 box 3 Rp 254,800 Rp 764,400 1 Rp 254,800
BeneCheck Plus Cholesterol 14/9/2016 box 0 Rp 233,020 Rp - 0 Rp - Rp - 0 Rp -
Humansens plus cholesterol 20/04/17 bos 11 Rp 546,900 Rp 6,015,900 4 Rp 546,900
BeneCheck Plus Uric 14/9/2016 box 7 Rp 128,376 Rp 898,632 0 Rp - Rp - 0 Rp -
Humansens plus uric acid 20/04/17 box 3 Rp 553,300 Rp 1,659,900 2 Rp 553,300
STOK OPNAME MALARIA

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
NB: NO SBBK HUMASENS MENYUSUL

PER 31 Mei 2017
TANGGAL Saldo Awal 01 mei 2017 PENERIMAAN PENGELUARAN
Widal Set
Humansens plus glukosa 20/04/17 box 2 Rp 254,800 Rp 509,600 0 Rp - Rp - 2 Rp 254,800
BeneCheck Plus Cholesterol 14/9/2016 box 0 Rp 233,020 Rp - 0 Rp - Rp - 0 Rp -
Humansens plus cholesterol 20/04/17 bos 7 Rp 546,900 Rp 3,828,300 0 Rp - Rp - 6 Rp 546,900
BeneCheck Plus Uric 14/9/2016 box 7 Rp 128,376 Rp 898,632 0 Rp - Rp - 4 Rp 128,376
Humansens plus uric acid 20/04/17 box 1 Rp 553,300 Rp 553,300 0 Rp - Rp - 0 Rp -
Blood Collection Tube no additive 13/1/2017 Tube 100 Rp 1,815 Rp 181,500 0 Rp - Rp - 1 Rp 1,815
STOK OPNAME MALARIA
Lancet 26/1/17 kotak@200 3 Rp 49,500 Rp 148,500 0 Rp - Rp - 0 Rp -
Box Slide 26/1/17 box 2 Rp 68,000 Rp 136,000 0 Rp - Rp - 0 Rp -

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
NB: NO SBBK HUMASENS MENYUSUL

PER 31 Juni 2017
No NAMA BARANG PEROLEHA KEMASAN
TANGGAL
Widal Set
BeneCheck Plus Glucose 14/9/2016 box 6 Rp 153,491 Rp 920,946 0 Rp - Rp - 0 Rp -
Humansens plus glukosa 20/04/17 box 0 Rp 254,800 Rp - 0 Rp - Rp - 0 Rp -
BeneCheck Plus Cholesterol 14/9/2016 box 0 Rp 233,020 Rp - 0 Rp - Rp - Rp -
Humansens plus cholesterol 20/04/17 bos 1 Rp 546,900 Rp 546,900 0 Rp - Rp - 1 Rp 546,900
9 Rp 547,399 Rp 4,926,591 3 Rp 547,399
BeneCheck Plus Uric 14/9/2016 box 3 Rp 128,376 Rp 385,128 0 Rp - Rp - 0 Rp -
Humansens plus uric acid 20/04/17 box 1 Rp 553,300 Rp 553,300 0 Rp - Rp - 1 Rp 553,300
6 Rp 553,799 Rp 3,322,794 1 Rp 553,799
STOK OPNAME MALARIA

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

PER 31 Juli 2017
Widal Set
Spiritus 9/11/2015 botol @ 1 l 2 Rp 37,500 Rp 75,000 0 Rp - Rp - 1 Rp 37,500
Sabun Cuci Tangan anti Bakteri 11/9/2015 botol @ 250 ml 0 Rp 22,000 Rp - 0 Rp - Rp - 0 Rp 22,000
Stik urine 9/11/2015 1 Rp 281,600 Rp 281,600 0 Rp - Rp - 1 Rp 281,600
BeneCheck Plus Glucose 14/9/2016 box 6 Rp 153,491 Rp 920,946 0 Rp - Rp - 0 Rp -
Humansens plus glukosa 20/04/17 box 0 Rp 254,800 Rp - 0 Rp - Rp - 0 Rp -
BeneCheck Plus Cholesterol 14/9/2016 box 0 Rp 233,020 Rp - 0 Rp - Rp - Rp -
Humansens plus cholesterol 20/04/17 bos 6 Rp 547,399 Rp 3,284,394 0 Rp - Rp - 5 Rp 547,399
BeneCheck Plus Uric 14/9/2016 box 3 Rp 128,376 Rp 385,128 0 Rp - Rp - 3 Rp 128,376
Humansens plus uric acid 5 Rp 553,799 Rp 2,768,995 0 Rp - Rp - 0 Rp -
STOK OPNAME MALARIA
NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
PER 31 Agustus 2017
TANGGAL Saldo Awal 01 Agustus 2017 PENERIMAAN PENGELUARAN
NAMA BARANG PEROLEHA KEMASAN HARGA HARGA HARGA
Widal Set
UARAN
e. Salmonella
REAGENSIA
typhi O PUSKESMAS KOBA
9/11/2015 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0 Rp -
Noh. Salmonella Paratyphi CO 9/11/2015 vial @ 5 ml 0 Rp 104,500 Rp - 0 Rp - Rp - 0 Rp -
Spiritus 9/11/2015 botol @ 1 l 1 Rp 37,500 Rp 37,500 0 Rp - Rp - 1 Rp 37,500
Sabun Cuci Tangan anti Bakteri 11/9/2015 botol @ 250 ml 0 Rp 22,000 Rp - 0 Rp - Rp - 0 Rp -
Stik urine 9/11/2015 0 Rp 281,600 Rp - 0 Rp - Rp - 0 Rp -
Blood lancet 11/9/2015 box@200pcs 0 Rp 42,500 Rp - 13 Rp 60,000 Rp 780,000 1 Rp 60,000
pot urine 21/08/17 pcs 0 Rp 3,200 Rp - 50 Rp 4,000 Rp 200,000 3 Rp 4,000
BeneCheck Plus Glucose 21/08/17 box 6 Rp 153,491 Rp 920,946 0 Rp - Rp - 6 Rp 153,491
32 Rp 156,873 Rp 5,019,936 1 Rp 156,873
BeneCheck Plus Cholesterol 21/08/17 box 0 Rp 233,020 Rp - 60 Rp 234,627 Rp 14,077,620 3 Rp 234,627
Human senscholesterol 1 Rp 547,399 Rp 547,399 1 Rp 547,399
BeneCheck Plus Uric 2`/08/17 box 0 Rp 128,376 Rp - 24 Rp 129,802 Rp 3,115,248 0 Rp -
Humansens plus uric acid 5 Rp 553,799 Rp 2,768,995 0 Rp - Rp - 2 Rp 553,799
lancet 21/08/17 Buah 1 Rp 50,000 Rp 50,000 0 Rp -
STOK OPNAME MALARIA
Giemsa 26/1/17 botol@100ml 3 Rp 479,000 Rp 1,437,000 0 Rp - Rp - 3 Rp 479,000
TOTAL Rp 10,429,310 total Rp 23,242,804.00 TOTAL

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

TANGGAL Saldo Awal 01 September2017 PENERIMAAN PENGELUARAN
Widal Set
Spiritus 9/11/2015 botol @ 1 l 0 Rp 37,500 Rp - 0 Rp - Rp - 0 Rp -
GIEMSA 11/9/2015 botol@500ml 1 Rp 1,175,000 Rp 1,175,000 0 Rp - Rp - 1 Rp 1,175,000
Blood lancet 11/9/2015 box@200pcs 12 Rp 60,000 Rp 720,000 0 Rp - Rp - 1 Rp 60,000
pot urine 21/08/17 pcs 47 Rp 4,000 Rp 188,000 0 Rp - Rp - 2 Rp 4,000
BeneCheck Plus Uric 2`/08/17 box 24 Rp 129,802 Rp 3,115,248 0 Rp - Rp - 0 Rp -
Blood Collection Tube no additive 13/1/2017 Tube 85 Rp 1,815 Rp 154,275 Rp - Rp - 18 Rp 1,815
Lancet 21/08/17 buah 1 Rp 50,000 Rp 50,000 0 Rp - Rp - 0 Rp -
STOK OPNAME MALARIA 0 Rp -
Giemsa 26/1/17 botol@100ml 0 Rp 479,000 Rp - 0 Rp - Rp - 0 Rp -
Slide 26/1/17 kotak@72 pcs 6 Rp 39,875 Rp 239,250 0 Rp - Rp - 0 Rp -

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
PER 31 oktober 2017
TANGGAL Saldo Awal 01 September2017 PENERIMAAN PENGELUARAN
Widal Set
Aquadest 9/11/5015 botol @ 1 l 4 Rp 30,000 Rp 120,000 0 Rp - Rp - 4 Rp 30,000
GIEMSA 11/9/2015 botol@500ml 0 Rp 1,175,000 Rp - 0 Rp - Rp - 0 Rp -
BeneCheck Plus Uric 2`/08/17 box 24 Rp 129,802 Rp 3,115,248 0 Rp - Rp - 0 Rp 129,802

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

TANGGAL Saldo Awal 01 Novemberr2017 PENERIMAAN PENGELUARAN
Widal Set
Aquadest 9/11/5015 botol @ 1 l 0 Rp 30,000 Rp - 0 Rp - Rp - 0 Rp -
Humansens plus uric acid 1 Rp 553,799 Rp 553,799 0 Rp - Rp - 1 Rp 553,799

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007
TANGGAL Saldo Awal 01 Desember2017 PENERIMAAN PENGELUARAN
Widal Set
e. Salmonella typhi O 9/11/2015 vial @ 5 ml 0 Rp 104,500 Rp - 2 #VALUE! 1 Rp 107,800
g. Salmonella Paratyphi BO 9/11/2015 vial @ 5 ml 0 Rp 104,500 Rp - 2 Rp 107,800 Rp 215,600 1 Rp 107,800
h. Salmonella Paratyphi CO 9/11/2015 vial @ 5 ml 0 Rp 104,500 Rp - 2 Rp 107,800 Rp 215,600 1 Rp 107,800
Anti AB 9/11/2015 vial @ 10 ml 0 Rp 121,000 Rp - 2 Rp 121,000 Rp 242,000 1 Rp 121,000
Aquadest 9/11/5015 botol @ 1 l 0 Rp 30,000 Rp - 0 Rp - Rp - 0 Rp -
Humansens plus uric acid 0 Rp 553,799 Rp - 0 Rp - Rp - 0 Rp -
Blood Collection Tube no additive 13/1/2017 Tube 50 Rp 1,815 Rp 90,750 Rp - Rp - 0 Rp -
TOTAL Rp 15,968,007 total #VALUE! TOTAL
Royana, SKM Tuty Kurniawati, A. Md. AK
NIP.19810615 200501 2 009 NIP. 19850116 201001 2 007
ARAN SISA 31 januari 2017
HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp 104,500 0 Rp 104,500 Rp -
Rp 104,500 0 Rp 104,500 Rp -
Rp 104,500 0 Rp 104,500 Rp -
Rp 104,500 0 Rp 104,500 Rp -
Rp 104,500 0 Rp 104,500 Rp -
Rp 104,500 0 Rp 104,500 Rp -
Rp 90,000 0 Rp 90,000 Rp -
Rp 104,500 0 Rp 104,500 Rp -
Rp 104,500 0 Rp 104,500 Rp -
Rp 121,000 0 Rp 121,000 Rp -
Rp 121,000 0 Rp 121,000 Rp -
Rp 105,000 0 Rp 105,000 Rp -
Rp 121,000 0 Rp 121,000 Rp -
Rp 121,000 0 Rp 121,000 Rp -
Rp 31,000 4 Rp 31,000 Rp 124,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 2 Rp 37,500 Rp 75,000
Rp 35,000 1 Rp 35,000 Rp 35,000
Rp - 4 Rp 30,000 Rp 120,000
Rp - 2 Rp 480,000 Rp 960,000
Rp 2,600,000 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp 65,000 0 Rp 65,000 Rp -
Rp - 3 Rp 22,000 Rp 66,000
Rp 1,175,000 0 Rp 1,175,000 Rp -
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp 267,500 3 Rp 267,500 Rp 802,500
Rp 15,000 6 Rp 15,000 Rp 90,000
Rp 36,250 9 Rp 36,250 Rp 326,250
Rp 2,816 199 Rp 2,816 Rp 560,384
Rp 42,500 1 Rp 42,500 Rp 42,500
Rp - 0 Rp 4,000 Rp -
Rp - 0 Rp 3,200 Rp -
Rp 460,473 18 Rp 153,491 Rp 2,762,838
Rp 2,097,180 18 Rp 233,020 Rp 4,194,360
Rp 385,128 14 Rp 128,376 Rp 1,797,264
Rp 17,600 190 Rp 1,760 Rp 334,400
Rp - 100 Rp 1,815 Rp 181,500
Rp 8,745,447 TOTAL Rp 13,608,996
ARAN SISA 31 januari 2017

HARGA NO SBBK Yang baru masuk
JUMLAH VLM JUMLAH
SATUAN
Rp 104,500 0 Rp 104,500 Rp - SBBK.030/9839/DINKES/2016


Rp 121,000 0 Rp 121,000 Rp -
Rp 31,000 4 Rp 31,000 Rp 124,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 2 Rp 37,500 Rp 75,000
Rp 35,000 1 Rp 35,000 Rp 35,000
Rp - 4 Rp 30,000 Rp 120,000
Rp - 2 Rp 480,000 Rp 960,000
Rp 2,600,000 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp 65,000 0 Rp 65,000 Rp -
Rp - 3 Rp 22,000 Rp 66,000
Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp 15,000 6 Rp 15,000 Rp 90,000
Rp 36,250 9 Rp 36,250 Rp 326,250
Rp 281,600 1 Rp 281,600 Rp 281,600 SBBK.030/9823/DINKES/2016
Rp 42,500 1 Rp 42,500 Rp 42,500
Rp - 0 Rp 4,000 Rp -
Rp - 0 Rp 3,200 Rp -
Rp 460,473 18 Rp 153,491 Rp 2,762,838
Rp 2,097,180 18 Rp 233,020 Rp 4,194,360
Rp 385,128 14 Rp 128,376 Rp 1,797,264
Rp 17,600 190 Rp 1,760 Rp 334,400 SBBK.030/9823/DINKES/2016
Rp - 100 Rp 1,815 Rp 181,500 SBBK.030/9823/DINKES/2016
Rp - 3 Rp 479,000 Rp 1,437,000 SBBK.443.1/08.1/SBBK.DK/2017

Rp 49,500 6 Rp 49,500 Rp 297,000 SBBK.443.1/08/SBBK/DK/2017
Rp 39,875 19 Rp 39,875 Rp 757,625 SBBK.443.1/08/SBBK/DK/2017
Rp - 7 Rp 68,000 Rp 476,000 SBBK.443.1/08.1/SBBK.DK/2017
Rp 7,671,106 TOTAL Rp 16,670,337
ARAN SISA 28 Februari 2017

JUMLAH VLM JUMLAH
SATUAN
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 4 Rp 31,000 Rp 124,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 2 Rp 37,500 Rp 75,000
Rp - 1 Rp 35,000 Rp 35,000
Rp - 4 Rp 30,000 Rp 120,000
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp 22,000 2 Rp 22,000 Rp 44,000
Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp - 6 Rp 15,000 Rp 90,000
Rp 36,250 8 Rp 36,250 Rp 290,000
Rp - 1 Rp 281,600 Rp 281,600
Rp 42,500 0 Rp 42,500 Rp -
Rp - 0 Rp 4,000 Rp -
Rp - 0 Rp 3,200 Rp -
Rp 306,982 16 Rp 153,491 Rp 2,455,856
Rp 2,330,200 8 Rp 233,020 Rp 1,864,160
Rp 385,128 11 Rp 128,376 Rp 1,412,136
Rp 8,800 185 Rp 1,760 Rp 325,600
Rp - 100 Rp 1,815 Rp 181,500
Rp - 3 Rp 479,000 Rp 1,437,000
Rp 49,500 5 Rp 49,500 Rp 247,500
Rp 119,625 16 Rp 39,875 Rp 638,000.00
Rp - 7 Rp 68,000 Rp 476,000
Rp 3,300,985 TOTAL Rp 13,369,352
ARAN SISA 31 M2017

JUMLAH VLM JUMLAH
SATUAN
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 4 Rp 31,000 Rp 124,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 2 Rp 37,500 Rp 75,000
Rp - 1 Rp 35,000 Rp 35,000
Rp - 4 Rp 30,000 Rp 120,000
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp - 2 Rp 22,000 Rp 44,000
Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp 15,000 5 Rp 15,000 Rp 75,000
Rp 72,500 6 Rp 36,250 Rp 217,500
Rp - 1 Rp 281,600 Rp 281,600
Rp - 0 Rp 42,500 Rp -
Rp - 0 Rp 4,000 Rp -
Rp - 0 Rp 3,200 Rp -
Rp 613,964 12 Rp 153,491 Rp 1,841,892
Rp 1,864,160 0 Rp 233,020 Rp -
Rp 513,504 7 Rp 128,376 Rp 898,632
Rp - 185 Rp 1,760 Rp 325,600
Rp - 100 Rp 1,815 Rp 181,500
Rp - 3 Rp 479,000 Rp 1,437,000
Rp 49,500 4 Rp 49,500 Rp 198,000
Rp 79,750 14 Rp 39,875 Rp 558,250.00
Rp - 7 Rp 68,000 Rp 476,000
Rp 3,208,378 TOTAL Rp 10,160,974
ARAN SISA 30 APRIL2017
HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 4 Rp 31,000 Rp 124,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 2 Rp 37,500 Rp 75,000
Rp - 1 Rp 35,000 Rp 35,000
Rp - 4 Rp 30,000 Rp 120,000
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp 22,000 1 Rp 22,000 Rp 22,000
Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp 15,000 4 Rp 15,000 Rp 60,000
Rp - 6 Rp 36,250 Rp 217,500
Rp - 1 Rp 281,600 Rp 281,600
Rp - 0 Rp 42,500 Rp -
Rp - 0 Rp 4,000 Rp -
Rp - 0 Rp 3,200 Rp -
Rp - 12 Rp 153,491 Rp 1,841,892
Rp 254,800 2 Rp 254,800 Rp 509,600
Rp - 0 Rp 233,020 Rp -
Rp 2,187,600 7 Rp 546,900 Rp 3,828,300
Rp - 7 Rp 128,376 Rp 898,632
Rp 1,106,600 1 Rp 553,300 Rp 553,300
Rp - 185 Rp 1,760 Rp 325,600
Rp - 100 Rp 1,815 Rp 181,500
Rp - 3 Rp 479,000 Rp 1,437,000
Rp 49,500 3 Rp 49,500 Rp 148,500
Rp 119,625 11 Rp 39,875 Rp 438,625.00
Rp 340,000 2 Rp 68,000 Rp 136,000
Rp 4,095,125 TOTAL Rp 14,506,049
ARAN SISA 31 Mei 2017
HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 4 Rp 31,000 Rp 124,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 2 Rp 37,500 Rp 75,000
Rp - 1 Rp 35,000 Rp 35,000
Rp - 4 Rp 30,000 Rp 120,000
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp - 1 Rp 22,000 Rp 22,000
Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp - 4 Rp 15,000 Rp 60,000
Rp 108,750 3 Rp 36,250 Rp 108,750
Rp - 1 Rp 281,600 Rp 281,600
Rp - 0 Rp 42,500 Rp -
Rp - 0 Rp 4,000 Rp -
Rp - 0 Rp 3,200 Rp -
Rp 920,946 6 Rp 153,491 Rp 920,946
Rp 509,600 0 Rp 254,800 Rp -
Rp - 0 Rp 233,020 Rp -
Rp 3,281,400 1 Rp 546,900 Rp 546,900
Rp 513,504 3 Rp 128,376 Rp 385,128
Rp - 1 Rp 553,300 Rp 553,300
Rp 3,520 183 Rp 1,760 Rp 322,080
Rp 1,815 99 Rp 1,815 Rp 179,685
Rp - 3 Rp 479,000 Rp 1,437,000
Rp - 3 Rp 49,500 Rp 148,500
Rp 79,750 9 Rp 39,875 Rp 358,875.00
Rp - 2 Rp 68,000 Rp 136,000
Rp 5,419,285 TOTAL Rp 9,086,764

HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 4 Rp 31,000 Rp 124,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 2 Rp 37,500 Rp 75,000
Rp - 1 Rp 35,000 Rp 35,000
Rp - 4 Rp 30,000 Rp 120,000
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp 22,000 0 Rp 22,000 Rp -
Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp 15,000 3 Rp 15,000 Rp 45,000
Rp - 3 Rp 36,250 Rp 108,750
Rp - 1 Rp 281,600 Rp 281,600
Rp - 0 Rp 42,500 Rp -
Rp - 0 Rp 4,000 Rp -
Rp - 0 Rp 3,200 Rp -
Rp - 6 Rp 153,491 Rp 920,946
Rp - 0 Rp 254,800 Rp -
Rp - 0 Rp 233,020 Rp -
Rp 546,900 0 Rp 546,900 Rp -
Rp 1,642,197 6 Rp 547,399 Rp 3,284,394
Rp - 3 Rp 128,376 Rp 385,128
Rp 553,300 0 Rp 553,300 Rp -
Rp 553,799 5 Rp 553,799 Rp 2,768,995
Rp - 183 Rp 1,760 Rp 322,080
Rp - 99 Rp 1,815 Rp 179,685
Rp - 3 Rp 479,000 Rp 1,437,000
Rp - 3 Rp 49,500 Rp 148,500
Rp 39,875 8 Rp 39,875 Rp 319,000.00
Rp - 2 Rp 68,000 Rp 136,000
Rp 3,373,071 TOTAL Rp 13,963,078

HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp 31,000 3 Rp 31,000 Rp 93,000
Rp - 1 Rp 27,000 Rp 27,000
Rp 37,500 1 Rp 37,500 Rp 37,500
Rp - 1 Rp 35,000 Rp 35,000
Rp - 4 Rp 30,000 Rp 120,000
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp - 0 Rp 22,000 Rp -
Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp - 3 Rp 15,000 Rp 45,000
Rp - 3 Rp 36,250 Rp 108,750
Rp 281,600 0 Rp 281,600 Rp -
Rp - 0 Rp 42,500 Rp -
Rp - 0 Rp 4,000 Rp -
Rp - 0 Rp 3,200 Rp -
Rp - 6 Rp 153,491 Rp 920,946
Rp - 0 Rp 254,800 Rp -
Rp - 0 Rp 233,020 Rp -
Rp 2,736,995 1 Rp 547,399 Rp 547,399
Rp 385,128 0 Rp 128,376 Rp -
Rp - 5 Rp 553,799 Rp 2,768,995
Rp 3,520 181 Rp 1,760 Rp 318,560
Rp 18,150 89 Rp 1,815 Rp 161,535
Rp - 3 Rp 479,000 Rp 1,437,000
Rp - 3 Rp 49,500 Rp 148,500
Rp 39,875 7 Rp 39,875 Rp 279,125.00
Rp - 2 Rp 68,000 Rp 136,000
Rp 3,533,768 TOTAL Rp 10,429,310
ARAN SISA 31 Agustus 2017
HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp 31,000 2 Rp 31,000 Rp 62,000
Rp - 1 Rp 27,000 Rp 27,000
Rp 37,500 0 Rp 37,500 Rp -
Rp - 1 Rp 35,000 Rp 35,000
Rp - 4 Rp 30,000 Rp 120,000
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp - 0 Rp 22,000 Rp -
Rp - 1 Rp 1,175,000 Rp 1,175,000
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp - 3 Rp 15,000 Rp 45,000
Rp - 3 Rp 36,250 Rp 108,750
Rp - 0 Rp 281,600 Rp -
Rp 60,000 12 Rp 60,000 Rp 720,000 030/9762/DINKES/2017
Rp - 0 Rp 4,000 Rp -
Rp 12,000 47 Rp 4,000 Rp 188,000 030/9762/DINKES/2017
Rp 920,946 0 Rp 153,491 Rp -
Rp 156,873 31 Rp 156,873 Rp 4,863,063 030/9730/DINKES/2017
Rp 703,881 57 Rp 234,627 Rp 13,373,739 030/9730/DINKES/2017
Rp 547,399 0 Rp 547,399 Rp -
Rp - 24 Rp 129,802 Rp 3,115,248 030/9730/DINKES/2017
Rp 1,107,598 3 Rp 553,799 Rp 1,661,397
Rp - 181 Rp 1,760 Rp 318,560
Rp 7,260 85 Rp 1,815 Rp 154,275
Rp - 1 Rp 50,000 Rp 50,000 Bukan BHP
Rp 1,437,000 0 Rp 479,000 Rp -
Rp - 3 Rp 49,500 Rp 148,500
Rp 39,875 6 Rp 39,875 Rp 239,250.00
Rp - 2 Rp 68,000 Rp 136,000
Rp 5,061,332.00 TOTAL Rp 28,610,782
ARAN SISA 30 September 2017

HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 2 Rp 31,000 Rp 62,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 0 Rp 37,500 Rp -
Rp - 1 Rp 35,000 Rp 35,000
Rp - 4 Rp 30,000 Rp 120,000
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp - 0 Rp 22,000 Rp -
Rp 1,175,000 0 Rp 1,175,000 Rp - ed:31/07/2017
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp - 3 Rp 15,000 Rp 45,000
Rp 72,500 1 Rp 36,250 Rp 36,250
Rp - 0 Rp 281,600 Rp -
Rp 60,000 11 Rp 60,000 Rp 660,000
Rp - 0 Rp 4,000 Rp -
Rp 8,000 45 Rp 4,000 Rp 180,000
Rp 470,619 28 Rp 156,873 Rp 4,392,444
Rp 2,111,643 48 Rp 234,627 Rp 11,262,096
Rp - 24 Rp 129,802 Rp 3,115,248
Rp 553,799 2 Rp 553,799 Rp 1,107,598
Rp - 181 Rp 1,760 Rp 318,560
Rp 32,670 67 Rp 1,815 Rp 121,605
Rp - 1 Rp 50,000 Rp 50,000
Rp -
Rp - 0 Rp 479,000 Rp -
Rp 49,500 2 Rp 49,500 Rp 99,000
Rp - 6 Rp 39,875 Rp 239,250.00
Rp - 2 Rp 68,000 Rp 136,000
Rp 4,533,731.00 TOTAL Rp 24,077,051.00
ARAN SISA 30 September 2017
HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 2 Rp 31,000 Rp 62,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 0 Rp 37,500 Rp -
Rp - 1 Rp 35,000 Rp 35,000
Rp 120,000 0 Rp 30,000 Rp - ed.agustus 2017
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp - 0 Rp 22,000 Rp -
Rp - 0 Rp 1,175,000 Rp - ed:31/07/2017
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp - 3 Rp 15,000 Rp 45,000
Rp - 1 Rp 36,250 Rp 36,250
Rp - 0 Rp 281,600 Rp -
Rp 120,000 9 Rp 60,000 Rp 540,000
Rp - 0 Rp 4,000 Rp -
Rp 4,000 44 Rp 4,000 Rp 176,000
Rp 627,492 24 Rp 156,873 Rp 3,764,952
Rp 3,050,151 35 Rp 234,627 Rp 8,211,945
Rp - 24 Rp 129,802 Rp 3,115,248
Rp 553,799 1 Rp 553,799 Rp 553,799
Rp 5,280 178 Rp 1,760 Rp 313,280
Rp 29,040 51 Rp 1,815 Rp 92,565
Rp - 1 Rp 50,000 Rp 50,000 Bukan BHP
Rp -
Rp - 0 Rp 479,000 Rp -
Rp - 2 Rp 49,500 Rp 99,000
Rp - 6 Rp 39,875 Rp 239,250.00
Rp - 2 Rp 68,000 Rp 136,000
Rp 4,509,762 TOTAL Rp 19,567,289
ARAN SISA 30 November 2017

HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 104,500 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 2 Rp 31,000 Rp 62,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 0 Rp 37,500 Rp -
Rp - 1 Rp 35,000 Rp 35,000
Rp - 0 Rp 30,000 Rp - ed.agustus 2017
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp - 0 Rp 22,000 Rp -
Rp - 0 Rp 1,175,000 Rp - ed:31/07/2017
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp - 3 Rp 15,000 Rp 45,000
Rp - 1 Rp 36,250 Rp 36,250
Rp - 0 Rp 281,600 Rp -
Rp 60,000 8 Rp 60,000 Rp 480,000
Rp - 0 Rp 4,000 Rp -
Rp 12,000 41 Rp 4,000 Rp 164,000
Rp 470,619 21 Rp 156,873 Rp 3,294,333
Rp 2,111,643 26 Rp 234,627 Rp 6,100,302
Rp 389,406 21 Rp 129,802 Rp 2,725,842
Rp 553,799 0 Rp 553,799 Rp -
Rp - 178 Rp 1,760 Rp 313,280
Rp 1,815 50 Rp 1,815 Rp 90,750
Rp - 1 Rp 50,000 Rp 50,000 Bukan BHP
Rp -
Rp - 0 Rp 479,000 Rp -
Rp - 2 Rp 49,500 Rp 99,000
Rp - 6 Rp 39,875 Rp 239,250.00
Rp - 2 Rp 68,000 Rp 136,000
Rp 3,599,282 TOTAL Rp 15,968,007
ARAN SISA 30 Desember 2017
HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp 107,800 1 Rp 107,800 Rp 107,800

Rp 107,800 1 Rp 107,800 Rp 107,800
Rp 107,800 1 Rp 107,800 Rp 107,800
Rp 107,800 1 Rp 107,800 Rp 107,800
Rp 107,800 1 Rp 107,800 Rp 107,800
Rp 107,800 1 Rp 107,800 Rp 107,800
Rp 107,800 1 Rp 107,800 Rp 107,800
Rp 107,800 1 Rp 107,800 Rp 107,800
Rp 121,000 1 Rp 121,000 Rp 121,000

Rp 121,000 1 Rp 121,000 Rp 121,000
Rp 121,000 1 Rp 121,000 Rp 121,000
Rp 121,000 1 Rp 121,000 Rp 121,000
Rp - 2 Rp 31,000 Rp 62,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 0 Rp 37,500 Rp -
Rp - 1 Rp 35,000 Rp 35,000
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp - 0 Rp 22,000 Rp -
Rp - 0 Rp 1,175,000 Rp - ed:31/07/2017
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp - 3 Rp 15,000 Rp 45,000
Rp - 1 Rp 36,250 Rp 36,250
Rp - 0 Rp 281,600 Rp -
Rp 60,000 7 Rp 60,000 Rp 420,000
Rp - 0 Rp 4,000 Rp -
Rp 8,000 39 Rp 4,000 Rp 156,000
Rp 470,619 18 Rp 156,873 Rp 2,823,714
Rp 2,346,270 16 Rp 234,627 Rp 3,754,032
Rp 389,406 18 Rp 129,802 Rp 2,336,436
Rp - 0 Rp 553,799 Rp -
Rp 31,680 160 Rp 1,760 Rp 281,600
Rp - 50 Rp 1,815 Rp 90,750
Rp - 1 Rp 50,000 Rp 50,000 Bukan BHP
Rp -
Rp - 0 Rp 479,000 Rp -
2 Rp 49,500 Rp 99,000
Rp - 6 Rp 39,875 Rp 239,250.00
Rp - 2 Rp 68,000 Rp 136,000
Rp 4,652,375 TOTAL Rp 14,008,432
LAPORAN PENERIMAAN DAN PENGELUARAN BAHAN DAN ALAT PTM PUSKESMAS KOBA
PER 30 Agustus 2017
TANGGAL Saldo Awal 1 agustus 2017 PENERIMAAN PENGELUARAN SISA 30 AGUSTUS 2017
NAMA BARANG PEROLEH KEMASAN HARGA HARGA HARGA
AN VLM HARGA JUMLAH VLM JUMLAH VLM JUMLAH VLM
SATUAN SATUAN SATUAN SATUAN
BeneCheck Plus Glucose 21/08/17 box 15 Rp 156,081 Rp 2,341,215 0 Rp - Rp - 0 Rp 156,081 Rp - 15 Rp 156,081
BeneCheck Plus Cholesterol 21/08/17 box 35 Rp 234,237 Rp 8,198,295 0 Rp - Rp - 0 Rp 234,237 Rp - 35 Rp 234,237
BeneCheck Plus Uric 21/08/17 box 15 Rp 129,863 Rp 1,947,945 0 Rp - Rp - 0 Rp 129,802 Rp - 15 Rp 129,863
TOTAL Rp 12,487,455 total Rp - TOTAL Rp - TOTAL
Mengetahui Koba, 30 agustus 2017

Kepala Puskesmas Koba Penanggung jawab PTM
Aries Noordiyanto, SKM Arila, A.Md.Kep

NIP.19740327 199603 1 002 NIP. 19820320 200903 2 002
TANGGAL Saldo Awal 01 September2017 PENERIMAAN PENGELUARAN SISA 30 September 2017
Mengetahui Koba, 30 september 2017


NIP.19740327 199603 1 002 NIP. 19820320 200903 2 002
PER 30 Oktober 2017
TANGGAL Saldo Awal 01 Oktober 2017 PENERIMAAN PENGELUARAN SISA 30 Oktober 2017
Mengetahui Koba, 30 oktober 2017


NIP.19740327 199603 1 002 NIP. 19820320 200903 2 002
TANGGAL Saldo Awal 01 November 2017 PENERIMAAN PENGELUARAN SISA 30 November 2017
BeneCheck Plus Glucose 21/08/17 box 15 Rp 156,081 Rp 2,341,215 0 Rp - Rp - 1 Rp 156,081 Rp 156,081 14 Rp 156,081
BeneCheck Plus Cholesterol 21/08/17 box 35 Rp 234,237 Rp 8,198,295 0 Rp - Rp - 9 Rp 234,237 Rp 2,108,133 26 Rp 234,237
BeneCheck Plus Uric 21/08/17 box 15 Rp 129,863 Rp 1,947,945 0 Rp - Rp - 4 Rp 129,802 Rp 519,208 11 Rp 129,863
TOTAL Rp 12,487,455 total Rp - TOTAL Rp 2,783,422 TOTAL

NIP.19740327 199603 1 002 NIP. 19820320 200903 2 002
TANGGAL Saldo Awal 01 Desember 2017 PENERIMAAN PENGELUARAN SISA 30 Desember 2017


NIP.19740327 199603 1 002 NIP. 19820320 200903 2 002
TANGGAL Saldo Awal 01 Desember 2017 PENERIMAAN PENGELUARAN SISA 30 Desember 2017

NIP.19740327 199603 1 002 NIP. 19820320 200903 2 002
US 2017
JUMLAH
Rp 2,341,215
Rp 8,198,295
Rp 1,947,945
Rp 12,487,455
ber 2017
JUMLAH
Rp 2,341,215
Rp 8,198,295
Rp 1,947,945
Rp 12,487,455
er 2017
JUMLAH
Rp 2,341,215
Rp 8,198,295
Rp 1,947,945
Rp 12,487,455
ber 2017
JUMLAH
Rp 2,185,134
Rp 6,090,162
Rp 1,428,493
Rp 9,703,789
ber 2017
JUMLAH
Rp 2,029,053
Rp 3,982,029
Rp 909,041
Rp 6,920,123
ber 2017
JUMLAH
Rp 2,029,053
Rp 3,982,029
Rp 909,041
Rp 6,920,123
PER 31 Januari 2018
TANGGAL Stock Awal 02 Januari 2018 PENERIMAAN PENGELUARAN
NAMA BARANG PEROLEHA KEMASAN HARGA HARGA
N VLM HARGA SATUAN JUMLAH VLM JUMLAH VLM
SATUAN SATUAN
Widal Set
h. Salmonella Paratyphi CO 9/11/2015 vial @ 5 ml 1 Rp 107,800 Rp 107,800 0 Rp - Rp - 0 Rp 107,800
Reagen Golongan Darah Rp -
Alkohol 95 % 9/11/2015 botol @ 1 l 1 Rp 27,000 Rp 27,000 0 Rp - Rp - 0 Rp 27,000
Spiritus 9/11/2015 botol @ 1 l 0 Rp 37,500 Rp - 0 Rp - Rp - 0 Rp 37,500
Aquadest 9/11/5015 botol @ 1 l 0 Rp 30,000 Rp - 0 Rp - Rp - 0 Rp 30,000
Methanol PA 9/11/2015 botol @ 1 l 2 Rp 480,000 Rp 960,000 0 Rp - Rp - 0 Rp 480,000
Oil Imersi 9/11/2015 botol @ 100 ml 0 Rp 650,000 Rp - 0 Rp - Rp - 0 Rp 650,000
Larutan Turk 9/11/2015 botol @ 100 ml 0 Rp 50,000 Rp - Rp - 0 Rp 50,000
Lisol 10/2/2013 botol @ 1 l 0 Rp 65,000 Rp - 0 Rp - Rp - 0 Rp 65,000
Sabun Cuci Tangan anti Bakte 11/9/2015 botol @ 250 ml 0 Rp 22,000 Rp - 0 Rp - Rp - 0 Rp 22,000
GIEMSA 11/9/2015 botol@500ml 0 Rp 1,175,000 Rp - 0 Rp - Rp - 0 Rp 1,175,000
buffer PH 7,2 tablet 10/2/2013 botol @ 20 tab 1 Rp 360,000 Rp 360,000 0 Rp - Rp - 0 Rp 360,000
buffer PH 7,2 tablet 11/9/2015 Botol@100 ml 2 Rp 375,000 Rp 750,000 0 Rp - Rp - 0 Rp 375,000
Stik urine 9/11/2015 0 Rp 281,600 Rp - 0 Rp - Rp - 0 Rp 281,600
Tissue 11/9/2015 rol 0 Rp 4,000 Rp - Rp - 0 Rp 4,000
BeneCheck Plus Uric Acid 2`/08/17 box 18 Rp 129,802 Rp 2,336,437 0 Rp - Rp - 6 Rp 129,802
Humansens plus uric acid 0 Rp 553,799 Rp - 0 Rp - Rp - 0 Rp 553,799
Blood Collection Tube EDTA 13/1/2017 Tube 160 Rp 1,760 Rp 281,600 0 Rp - Rp - 4 Rp 1,760
Blood Collection Tube no add 13/1/2017 Tube 50 Rp 1,815 Rp 90,750 Rp - Rp - 3 Rp 1,815
Lancet 21/08/17 buah 1 Rp 50,000 Rp 50,000 0 Rp - Rp - 0 Rp 50,000
TOTAL Rp 13,534,177.68 total Rp - TOTAL
drg. Eva Fidia Lestari Tuti Yastriani, A. Md. AK

NIP. 198009222012122002

PER 28 Februari 2018
TANGGAL Stock Awal 31 Januari 2018 PENERIMAAN PENGELUARAN
SATUAN SATUAN
Widal Set
Reagen Golongan Darah Rp - Rp -
BeneCheck Plus Glucose 21/08/17 box 15 Rp 156,872.73 Rp 2,353,091 0 Rp - Rp - 3 Rp 156,873
BeneCheck Plus Cholesterol 21/08/17 box 2 Rp 234,626.94 Rp 469,254 0 Rp - Rp - 2 Rp 234,627
BeneCheck Plus Uric Acid 2`/08/17 box 12 Rp 129,802.08 Rp 1,557,625 0 Rp - Rp - 4 Rp 129,802
TOTAL Rp 8,884,484.80 total Rp - TOTAL
Mengetahui Koba, 28 Februari 2018
NIP. 198009222012122002

PER 31 MARET 2018
TANGGAL Stock Awal 28 Februari 2018 PENERIMAAN PENGELUARAN
SATUAN SATUAN
Widal Set
BeneCheck Plus Glucose 21/08/17 box 12 Rp 156,872.73 Rp 1,882,473 0 Rp - Rp - 3 Rp 156,873
BeneCheck Plus Cholesterol 21/08/17 box 0 Rp 234,626.94 Rp - 0 Rp - Rp - 0 Rp 234,627
BeneCheck Plus Uric Acid 2`/08/17 box 8 Rp 129,802.08 Rp 1,038,417 0 Rp - Rp - 3 Rp 129,802
RDT HbsAg 7/3/2018 90 Rp 9,878 Rp 889,020 40 Rp 9,878
Tabung serum tutup ulir luar 7/3/2018 5 ml 90 Rp 2,090 Rp 188,100 40 Rp 2,090
Flashback blood collection n 7/3/2018 90 Rp 5,500 Rp 495,000 40 Rp 5,500
needle holder 7/3/2018 15 Rp 3,080 Rp 46,200 3 Rp 3,080
serum blood collection tube 7/3/2018 10 ml 90 Rp 1,584 Rp 142,560 40 Rp 1,584
NIP. 198009222012122002

PER 30 April 2018
TANGGAL Stock Awal 31 Maret 2018 PENERIMAAN PENGELUARAN
SATUAN SATUAN
Widal Set
BeneCheck Plus Cholesterol 21/08/17 box 0 Rp 234,627 Rp - 0 Rp - Rp - 0 Rp 234,627
BeneCheck Plus Uric Acid 2`/08/17 box 5 Rp 129,802 Rp 649,010 0 Rp - Rp - 2 Rp 129,802
Blood Collection Tube no add 13/1/2017 Tube 38 Rp 1,815 Rp 68,970 0 Rp - Rp - 2 Rp 1,815
RDT HbsAg 7/3/2018 50 Rp 9,878 Rp 493,900 Rp - 30 Rp 9,878
Tabung serum tutup ulir luar 7/3/2018 5 ml 50 Rp 2,090 Rp 104,500 Rp - 30 Rp 2,090
Flashback blood collection n 7/3/2018 50 Rp 5,500 Rp 275,000 Rp - 30 Rp 5,500
needle holder 7/3/2018 12 Rp 3,080 Rp 36,960 Rp - 5 Rp 3,080
serum blood collection tube 7/3/2018 10 ml 50 Rp 1,584 Rp 79,200 Rp - 30 Rp 1,584

NIP. 198009222012122002
PER 31 Mei 2018
TANGGAL Stock Awal 30 April 2018 PENERIMAAN PENGELUARAN
SATUAN SATUAN
Widal Set
HCl 0,1 N 9/11/2015 botol@100ml 0 Rp 35,000 Rp - 0 Rp - Rp - 0 Rp 35,000
slide 9/11/2015 box@72 pcs 0 Rp 36,250 Rp - 0 Rp - Rp - 0 Rp 36,250
BeneCheck Plus Uric Acid 2`/08/17 box 3 Rp 129,802 Rp 389,406 0 Rp - Rp - 3 Rp 129,802
RDT DBD IgG/IgM 5/5/2018 120 Rp 37,500 Rp 4,500,000 30 Rp 37,500
RDT DBD Combo 5/5/2018 25 Rp 115,236 Rp 2,880,900 1 Rp 115,236
RDT HbsAg 7/3/2018 20 Rp 9,878 Rp 197,560 20 Rp 9,878
Tabung serum tutup ulir luar 7/3/2018 5 ml 20 Rp 2,090 Rp 41,800 20 Rp 2,090
Flashback blood collection n 7/3/2018 20 Rp 5,500 Rp 110,000 20 Rp 5,500
needle holder 7/3/2018 7 Rp 3,080 Rp 21,560 7 Rp 3,080
serum blood collection tube 7/3/2018 10 ml 20 Rp 1,584 Rp 31,680 20 Rp 1,584

NIP. 198009222012122002
PER 30 Juni 2018
TANGGAL Stock Awal 31 Meil 2018 PENERIMAAN PENGELUARAN
SATUAN SATUAN
Widal Set
kartu golongan darah pak @ 100 lbr 0 Rp 15,000 Rp - 0 Rp - Rp - 0 Rp 15,000
BeneCheck Plus Uric Acid 2`/08/17 box 0 Rp 129,802 Rp - 0 Rp - Rp - 0 Rp 129,802
Vacum blood collection 15/6/2018 Rp - 230 Rp 5,740 Rp 1,320,200 50 Rp 5,740
Vaccutainer Plain 15/6/2018 Rp - 230 Rp 3,830 Rp 880,900 50 Rp 3,830
Needle Holder 15/6/2018 Rp - 23 Rp 3,800 Rp 87,400 3 Rp 3,800
RDT DBD IgG/IgM 5/5/2018 90 Rp 37,500 Rp 3,375,000 Rp - 15 Rp 37,500
RDT DBD Combo 5/5/2018 24 Rp 115,236 Rp 2,765,664 Rp - 0 Rp 115,236
RDT HbsAg 7/3/2018 0 Rp 9,878 Rp - 230 Rp 9,878 Rp 2,271,940 50 Rp 9,878
Plh. Kepala Puskesmas Koba Petugas Laboratorium
dr. Itha Paulina Siahaan Tuti Yastriani, A. Md. AK

NIP. 198809052014022001
PER 31 Juli 2018
TANGGAL Stock Awal 30 Juni 2018 PENERIMAAN PENGELUARAN
SATUAN SATUAN
Widal Set
Anti D 9/11/2015 vial @ 10 ml 0 Rp 121,000 Rp - 0 Rp - Rp - 0 Rp 121,000
buffer PH 7,2 cair 11/9/2015 Botol@100 ml 2 Rp 375,000 Rp 750,000 0 Rp - Rp - 0 Rp 375,000
Vacum blood collection 15/6/2018 180 Rp 5,740 Rp 1,033,200 50 Rp 5,740
Vaccutainer Plain 15/6/2018 180 Rp 3,830 Rp 689,400 50 Rp 3,830
Needle Holder 15/6/2018 20 Rp 3,800 Rp 76,000 5 Rp 3,800
RDT DBD IgG/IgM 5/5/2018 75 Rp 37,500 Rp 2,812,500 75 Rp 37,500
RDT DBD Combo 5/5/2018 24 Rp 115,236 Rp 2,765,664 24 Rp 115,236
RDT HbsAg 7/3/2018 180 Rp 9,878 Rp 1,778,040 50 Rp 9,878
Plh. Kepala Puskesmas Koba Petugas Laboratorium

NIP. 198009222012122002

PER 30 Agustus 2018
TANGGAL Stock Awal 31 Juli 2018 PENERIMAAN PENGELUARAN
NAMA BARANG PEROLEHA KEMASAN
N
TANGGAL
SATUAN SATUAN
Widal Set
buffer PH 7,2 tablet 10/2/2013 botol @ 20 tab 0 Rp 360,000 Rp - 0 Rp - Rp - 0 Rp 360,000
buffer PH 7,2 cair 11/9/2015 Botol@100 ml 2 Rp 375,000 Rp 750,000 0 Rp - Rp - 2 Rp 375,000
Blood lancet 11/9/2015 box@200pcs 0 Rp 60,000 Rp - 0 Rp - Rp - 0 Rp 60,000
BeneCheck Plus Glucose 21/08/17 box 0 Rp 156,873 Rp - 0 Rp - Rp - 0 Rp 156,873
Blood Collection Tube EDTA 13/1/2017 Tube 0 Rp 1,760 Rp - 0 Rp - Rp - 0 Rp 1,760
Vacum blood collection 15/6/2018 130 Rp 5,740 Rp 746,200 40 Rp 5,740
RDT HbsAg 7/3/2018 130 Rp 9,878 Rp 1,284,140 40 Rp 9,878
Lancet 21/08/17 buah 0 Rp 50,000 Rp - 0 Rp - Rp - 0 Rp 50,000

NIP. 198009222012122002

TANGGAL Stock Awal 30 Agustus 2018 PENERIMAAN PENGELUARAN
SATUAN SATUAN
Widal Set
Lisol 10/2/2013 botol @ 1 l 0 Rp 45,000 Rp - 5 Rp 45,000 Rp 225,000 1 Rp 45,000
buffer PH 7,2 cair 11/9/2015 Botol@100 ml 0 Rp 375,000 Rp - 0 Rp - Rp - 0 Rp 375,000
pot urine 21/08/17 pcs 0 Rp 4,000 Rp - 0 Rp - Rp - 0 Rp 4,000
Blood Collection Tube no add 13/1/2017 Tube 0 Rp 1,815 Rp - 0 Rp - Rp - 0 Rp 1,815
Vacum blood collection 15/6/2018 90 Rp 5,740 Rp 516,600 90 Rp 5,740
RDT HbsAg 7/3/2018 90 Rp 9,878 Rp 889,020 90 Rp 9,878
TOTAL Rp 4,031,720 total Rp 225,000 TOTAL

NIP. 198009222012122002

PER 31 Oktober 2018
TANGGAL Stock Awal 30 September 2018 PENERIMAAN PENGELUARAN
SATUAN SATUAN
Widal Set
Lisol 10/2/2013 botol @ 1 l 4 Rp 45,000 Rp 180,000 0 Rp - Rp - 0 Rp -
Mengetahui Koba, 31 Oktober2018
drg. Eva Fidia Lestari Tuty Kurniawati, A. Md. AK
NIP. 198009222012122002 NIP. 19850116 201001 2 001

TANGGAL Stock Awal 1 November 2018 PENERIMAAN PENGELUARAN
SATUAN SATUAN
Widal Set
Spiritus 9/11/2015 botol @ 1 l 0 Rp - Rp - 0 Rp - Rp - 0 Rp -
Methanol PA 9/11/2015 botol @ 1 l 0 Rp 121,000 Rp - 0 Rp - Rp - 0 Rp 121,000
GIEMSA 11/9/2015 botol@500ml 0 Rp 35,000 Rp - 0 Rp - Rp - 0 Rp 35,000
Tissue 11/9/2015 rol 0 Rp 1,175,000 Rp - Rp - 0 Rp 1,175,000
BeneCheck Plus Glucose 11/9/2018 box 0 Rp - Rp - 10 Rp 157,872 Rp 1,578,720 2 Rp 157,872
BeneCheck Plus Cholesterol 11/9/2018 box 0 Rp - Rp - 40 Rp 234,714 Rp 9,388,565 7 Rp 234,714
BeneCheck Plus Uric Acid 11/9/2018 box 0 Rp 36,250 Rp - 9 Rp 129,930 Rp 1,169,370 3 Rp 129,930
Alkohol Swab 11/9/2018 0 Rp - Rp - 3 Rp 14,000 Rp 42,000 0 Rp -
PP Test 11/9/2018 0 Rp - Rp - 100 Rp 1,500 Rp 150,000 3 Rp 1,500
kartu Golongan Darah 11/19/2018 pak@100 pcs 0 Rp - Rp - 30 Rp 30,000 Rp 900,000 1 Rp 30,000
TOTAL Rp 1,463,400 total Rp 12,328,654.71 TOTAL
Mengetahui Koba, 30 november2018

NIP. 198009222012122002 NIP. 19850116 201001 2 001
TANGGAL Stock Awal 1 Desember 2018 PENERIMAAN PENGELUARAN
SATUAN SATUAN
Widal Set
Alkohol 70 % 9/11/2015 botol @ 1L 0 Rp 31,000 Rp - 0 Rp - Rp - 0 Rp 31,000
Alkohol 95 % 9/11/2015 botol @ 1 l 0 Rp 27,000 Rp - 0 Rp - Rp - 0 Rp -
Spiritus 9/11/2015 botol @ 1 l 0 Rp - Rp - 0 Rp - Rp - 0 Rp -
Methanol PA 9/11/2015 botol @ 1 l 0 Rp 121,000 Rp - 0 Rp - Rp - 0 Rp 121,000
Sabun Cuci Tangan anti Bakte 11/9/2015 botol @ 250 ml 0 Rp - Rp - 0 Rp - Rp - 0 Rp -
GIEMSA 11/9/2015 botol@500ml 0 Rp 121,000 Rp - 0 Rp - Rp - 0 Rp 121,000
Alkohol Swab 11/9/2018 3 Rp 14,000 Rp 42,000 0 Rp - Rp - 0 Rp -
Blood Collection Tube no add 13/1/2017 Tube 0 Rp 1,175,000 Rp - 0 Rp - Rp - 0 Rp 1,175,000
Mengetahui Koba, 31 Desember2018
RDT Rp 9,933,622

NIP. 198009222012122002 NIP. 19850116 201001 2 001
ESMAS KOBA
PENGELUARAN SISA 31 Januari 2018

HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp 31,000 1 Rp 31,000 Rp 31,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 0 Rp 37,500 Rp -
Rp - 1 Rp 35,000 Rp 35,000
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp - 0 Rp 22,000 Rp -
Rp - 0 Rp 1,175,000 Rp - ed:31/07/2017
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp - 3 Rp 15,000 Rp 45,000
Rp - 1 Rp 36,250 Rp 36,250
Rp - 0 Rp 281,600 Rp -
Rp 60,000 6 Rp 60,000 Rp 360,000
Rp - 0 Rp 4,000 Rp -
Rp 12,000 36 Rp 4,000 Rp 144,000
Rp 470,618 15 Rp 156,873 Rp 2,353,091
Rp 3,284,777 2 Rp 234,627 Rp 469,254
Rp 778,812 12 Rp 129,802 Rp 1,557,625
Rp - 0 Rp 553,799 Rp -
Rp 7,040 156 Rp 1,760 Rp 274,560
Rp 5,445 47 Rp 1,815 Rp 85,305
Rp - 1 Rp 50,000 Rp 50,000 Bukan BHP
Rp 4,649,692.88 TOTAL Rp 8,884,484.80
ESMAS KOBA
PENGELUARAN SISA 28 Februari 2018

HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp -
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 31,000 Rp 31,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 0 Rp 37,500 Rp -
Rp - 1 Rp 35,000 Rp 35,000
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp - 0 Rp 22,000 Rp -
Rp - 0 Rp 1,175,000 Rp - ed:31/07/2017
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp - 3 Rp 15,000 Rp 45,000
Rp - 1 Rp 36,250 Rp 36,250
Rp - 0 Rp 281,600 Rp -
Rp 120,000 4 Rp 60,000 Rp 240,000
Rp - 0 Rp 4,000 Rp -
Rp 28,000 29 Rp 4,000 Rp 116,000
Rp 470,618 12 Rp 156,873 Rp 1,882,473
Rp 469,254 0 Rp 234,627 Rp -
Rp 519,208 8 Rp 129,802 Rp 1,038,417
Rp - 0 Rp 553,799 Rp -
Rp 14,080 148 Rp 1,760 Rp 260,480
Rp 1,815 46 Rp 1,815 Rp 83,490
Rp - 1 Rp 50,000 Rp 50,000 Bukan BHP
Rp 1,622,975.40 TOTAL Rp 7,261,509.39
ESMAS KOBA
PENGELUARAN SISA 3 Maret 2018

HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp -
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 31,000 Rp 31,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 0 Rp 37,500 Rp -
Rp - 1 Rp 35,000 Rp 35,000
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp - 0 Rp 22,000 Rp -
Rp - 0 Rp 1,175,000 Rp - ed:31/07/2017
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp 15,000 2 Rp 15,000 Rp 30,000
Rp - 1 Rp 36,250 Rp 36,250
Rp - 0 Rp 281,600 Rp -
Rp - 4 Rp 60,000 Rp 240,000
Rp - 0 Rp 4,000 Rp -
Rp 12,000 26 Rp 4,000 Rp 104,000
Rp 470,618 9 Rp 156,873 Rp 1,411,855
Rp - 0 Rp 234,627 Rp -
Rp 389,406 5 Rp 129,802 Rp 649,010
Rp - 0 Rp 553,799 Rp -
Rp 79,200 103 Rp 1,760 Rp 181,280
Rp 14,520 38 Rp 1,815 Rp 68,970
Rp 395,120 50 Rp 9,878 Rp 493,900
Rp 83,600 50 Rp 2,090 Rp 104,500
Rp 220,000 50 Rp 5,500 Rp 275,000
Rp 9,240 12 Rp 3,080 Rp 36,960
Rp 63,360 50 Rp 1,584 Rp 79,200
Rp - 1 Rp 50,000 Rp 50,000 Bukan BHP
Rp 1,752,064.43 TOTAL Rp 7,270,324.96
ESMAS KOBA
PENGELUARAN SISA 30 April 2018

HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp -
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 31,000 Rp 31,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 0 Rp 37,500 Rp -
Rp 35,000 0 Rp 35,000 Rp -
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp - 0 Rp 22,000 Rp -
Rp - 0 Rp 1,175,000 Rp - ed:31/07/2017
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp 15,000 1 Rp 15,000 Rp 15,000
Rp 36,250 0 Rp 36,250 Rp -
Rp - 0 Rp 281,600 Rp -
Rp 60,000 3 Rp 60,000 Rp 180,000
Rp - 0 Rp 4,000 Rp -
Rp - 26 Rp 4,000 Rp 104,000
Rp 470,618 6 Rp 156,873 Rp 941,236
Rp - 0 Rp 234,627 Rp -
Rp 259,604 3 Rp 129,802 Rp 389,406
Rp - 0 Rp 553,799 Rp -
Rp 49,280 75 Rp 1,760 Rp 132,000
Rp 3,630 36 Rp 1,815 Rp 65,340
Rp 296,340 20 Rp 9,878 Rp 197,560
Rp 62,700 20 Rp 2,090 Rp 41,800
Rp 165,000 20 Rp 5,500 Rp 110,000
Rp 15,400 7 Rp 3,080 Rp 21,560
Rp 47,520 20 Rp 1,584 Rp 31,680
Rp - 1 Rp 50,000 Rp 50,000 Bukan BHP
Rp 1,516,342.35 TOTAL Rp 5,753,982.61
ESMAS KOBA

HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 0 Rp -
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 31,000 Rp 31,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 0 Rp 37,500 Rp -
Rp - 0 Rp 35,000 Rp -
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp - 0 Rp 22,000 Rp -
Rp - 0 Rp 1,175,000 Rp - ed:31/07/2017
Rp - 1 Rp 360,000 Rp 360,000
Rp - 2 Rp 375,000 Rp 750,000
Rp 15,000 0 Rp 15,000 Rp -
Rp - 0 Rp 36,250 Rp -
Rp - 0 Rp 281,600 Rp -
Rp 60,000 2 Rp 60,000 Rp 120,000
Rp - 0 Rp 4,000 Rp -
Rp 16,000 22 Rp 4,000 Rp 88,000
Rp 470,618 3 Rp 156,873 Rp 470,618
Rp - 0 Rp 234,627 Rp -
Rp 389,406 0 Rp 129,802 Rp -
Rp - 0 Rp 553,799 Rp -
Rp 66,880 37 Rp 1,760 Rp 65,120
Rp 3,630 34 Rp 1,815 Rp 61,710
Rp 1,125,000 90 Rp 37,500 Rp 3,375,000
Rp 115,236 24 Rp 115,236 Rp 2,765,664
Rp 197,560 0 Rp 9,878 Rp -
Rp 41,800 0 Rp 2,090 Rp -
Rp 110,000 0 Rp 5,500 Rp -
Rp 21,560 0 Rp 3,080 Rp -
Rp 31,680 0 Rp 1,584 Rp -
Rp - 1 Rp 50,000 Rp 50,000 Bukan BHP
Rp 2,664,370.43 TOTAL Rp 10,470,512.18
ESMAS KOBA
PENGELUARAN SISA 30 Juni 2018

HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - Rp -
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp 121,000 0 Rp 121,000 Rp -
Rp - 1 Rp 31,000 Rp 31,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 0 Rp 37,500 Rp -
Rp - 0 Rp 35,000 Rp -
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp - 0 Rp 22,000 Rp -
Rp - 0 Rp 1,175,000 Rp - ed:31/07/2017
Rp - 1 Rp 360,000 Rp 360,000 ed:30/07/2018
Rp - 2 Rp 375,000 Rp 750,000
Rp - 0 Rp 15,000 Rp -
Rp - 0 Rp 36,250 Rp -
Rp - 0 Rp 281,600 Rp -
Rp 60,000 1 Rp 60,000 Rp 60,000
Rp - 0 Rp 4,000 Rp -
Rp 20,000 17 Rp 4,000 Rp 68,000
Rp 313,745 1 Rp 156,873 Rp 156,873
Rp - 0 Rp 234,627 Rp -
Rp - 0 Rp 129,802 Rp -
Rp - 0 Rp 553,799 Rp -
Rp 61,600 2 Rp 1,760 Rp 3,520
Rp 5,445 31 Rp 1,815 Rp 56,265
Rp 287,000 180 Rp 5,740 Rp 1,033,200
Rp 191,500 180 Rp 3,830 Rp 689,400
Rp 11,400 20 Rp 3,800 Rp 76,000
Rp 562,500 75 Rp 37,500 Rp 2,812,500
Rp - 24 Rp 115,236 Rp 2,765,664
Rp 493,900 180 Rp 9,878 Rp 1,778,040
Rp - 1 Rp 50,000 Rp 50,000 Bukan BHP
Rp 2,128,090.45 TOTAL Rp 12,902,861.73
ESMAS KOBA

HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - Rp -
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 0 Rp 121,000 Rp -
Rp - 1 Rp 31,000 Rp 31,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 0 Rp 37,500 Rp -
Rp - 0 Rp 35,000 Rp -
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp - 0 Rp 22,000 Rp -
Rp - 0 Rp 1,175,000 Rp - ed:31/07/2017
Rp 360,000 0 Rp 360,000 Rp - ed:30/07/2018
Rp - 2 Rp 375,000 Rp 750,000
Rp - 0 Rp 15,000 Rp -
Rp - 0 Rp 36,250 Rp -
Rp - 0 Rp 281,600 Rp -
Rp 60,000 0 Rp 60,000 Rp -
Rp - 0 Rp 4,000 Rp -
Rp 24,000 11 Rp 4,000 Rp 44,000
Rp 156,873 0 Rp 156,873 Rp -
Rp - 0 Rp 234,627 Rp -
Rp - 0 Rp 129,802 Rp -
Rp - 0 Rp 553,799 Rp -
Rp 3,520 0 Rp 1,760 Rp -
Rp 50,820 3 Rp 1,815 Rp 5,445
Rp 287,000 130 Rp 5,740 Rp 746,200
Rp 191,500 130 Rp 3,830 Rp 497,900
Rp 19,000 15 Rp 3,800 Rp 57,000
Rp 2,812,500 0 Rp 37,500 Rp -
Rp 2,765,664 0 Rp 115,236 Rp -
Rp 493,900 130 Rp 9,878 Rp 1,284,140
Rp 50,000 0 Rp 50,000 Rp - Bukan BHP
Rp 7,274,776.73 TOTAL Rp 5,628,085.00
ESMAS KOBA

HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - Rp -
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 0 Rp 121,000 Rp -
Rp - 1 Rp 31,000 Rp 31,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 0 Rp 37,500 Rp -
Rp - 0 Rp 35,000 Rp -
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 65,000 Rp -
Rp - 0 Rp 22,000 Rp -
Rp - 0 Rp 1,175,000 Rp - ed:31/07/2017
Rp - 0 Rp 360,000 Rp - ed:30/07/2018
Rp 750,000 0 Rp 375,000 Rp - ed:22/08/2018
Rp - 0 Rp 15,000 Rp -
Rp - 0 Rp 36,250 Rp -
Rp - 0 Rp 281,600 Rp -
Rp - 0 Rp 60,000 Rp -
Rp - 0 Rp 4,000 Rp -
Rp 44,000 0 Rp 4,000 Rp -
Rp - 0 Rp 156,873 Rp -
Rp - 0 Rp 234,627 Rp -
Rp - 0 Rp 129,802 Rp -
Rp - 0 Rp 553,799 Rp -
Rp - 0 Rp 1,760 Rp -
Rp 5,445 0 Rp 1,815 Rp -
Rp 229,600 90 Rp 5,740 Rp 516,600
Rp 153,200 90 Rp 3,830 Rp 344,700
Rp 19,000 10 Rp 3,800 Rp 38,000
Rp 395,120 90 Rp 9,878 Rp 889,020
Rp - 0 Rp 50,000 Rp - Bukan BHP
Rp 1,596,365.00 TOTAL Rp 4,031,720.00
ESMAS KOBA

HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - Rp -
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 0 Rp 121,000 Rp -
Rp - 1 Rp 31,000 Rp 31,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 0 Rp 37,500 Rp -
Rp - 0 Rp 35,000 Rp -
Rp - 2 Rp 480,000 Rp 960,000
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp 45,000 4 Rp 45,000 Rp 180,000 dana kapitasi
Rp - 0 Rp 22,000 Rp -
Rp - 0 Rp 1,175,000 Rp - ed:31/07/2017
Rp - 0 Rp 360,000 Rp - ed:30/07/2018
Rp - 0 Rp 375,000 Rp - ed:22/08/2018
Rp - 0 Rp 15,000 Rp -
Rp - 0 Rp 36,250 Rp -
Rp - 0 Rp 281,600 Rp -
Rp - 0 Rp 60,000 Rp -
Rp - 0 Rp 4,000 Rp -
Rp - 0 Rp 4,000 Rp -
Rp - 0 Rp 156,873 Rp -
Rp - 0 Rp 234,627 Rp -
Rp - 0 Rp 129,802 Rp -
Rp - 0 Rp 553,799 Rp -
Rp - 0 Rp 1,760 Rp -
Rp - 0 Rp 1,815 Rp -
Rp 516,600 0 Rp 5,740 Rp -
Rp 344,700 0 Rp 3,830 Rp -
Rp 38,000 0 Rp 3,800 Rp -
Rp 889,020 0 Rp 9,878 Rp -
Rp 1,833,320.00 TOTAL Rp 2,423,400.00
ESMAS KOBA

HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - Rp -
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 0 Rp 121,000 Rp -
Rp - 1 Rp 31,000 Rp 31,000
Rp - 1 Rp 27,000 Rp 27,000
Rp - 0 Rp 37,500 Rp -
Rp - 0 Rp 35,000 Rp -
Rp 960,000 0 Rp 480,000 Rp - ed.September 2018
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 4 Rp 45,000 Rp 180,000 dana kapitasi
Rp - 0 Rp 22,000 Rp -
Rp - 0 Rp 1,175,000 Rp - ed:31/07/2017
Rp - 0 Rp 360,000 Rp - ed:30/07/2018
Rp - 0 Rp 375,000 Rp - ed:22/08/2018
Rp - 0 Rp 15,000 Rp -
Rp - 0 Rp 36,250 Rp -
Rp - 0 Rp 281,600 Rp -
Rp - 0 Rp 60,000 Rp -
Rp - 0 Rp 4,000 Rp -
Rp - 0 Rp 4,000 Rp -
Rp - 0 Rp 156,873 Rp -
Rp - 0 Rp 234,627 Rp -
Rp - 0 Rp 129,802 Rp -
Rp - 0 Rp 553,799 Rp -
Rp - 0 Rp 1,760 Rp -
Rp - 0 Rp 1,815 Rp -
Rp 960,000.00 TOTAL Rp 1,463,400.00
ESMAS KOBA

HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - Rp -
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 0 Rp 121,000 Rp -
Rp 31,000 0 Rp 31,000 Rp -
Rp 27,000 0 Rp 27,000 Rp -
Rp - 0 Rp - Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp - ed.September 2018
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 31,000 Rp -
Rp - 0 Rp 37,500 Rp -
Rp - 0 Rp 35,000 Rp - ed:31/07/2017
Rp - 0 Rp 30,000 Rp - ed:30/07/2018
Rp - 0 Rp 480,000 Rp - ed:22/08/2018
Rp - 0 Rp 650,000 Rp -
Rp - 0 Rp 50,000 Rp -
Rp - 0 Rp 45,000 Rp -
Rp - 0 Rp 22,000 Rp -
Rp - 0 Rp 1,175,000 Rp -
Rp - 0 Rp 360,000 Rp -
Rp 315,744 8 Rp 157,872 Rp 1,262,976
Rp 1,642,999 33 Rp 234,714 Rp 7,745,566
Rp 389,790 6 Rp 129,930 Rp 779,580
Rp - 3 Rp 14,000 Rp 42,000
Rp 4,500 97 Rp 1,500 Rp 145,500 ed : juni 2011
Rp - 0 Rp 60,000 Rp -
Rp - 0 Rp 4,000 Rp -
Rp 30,000 29 Rp 30,000 Rp 870,000
Rp 2,411,032.82 TOTAL Rp 11,381,021.88
ESMAS KOBA
PENGELUARAN SISA 31 Desember 2018

HARGA
JUMLAH VLM JUMLAH
SATUAN
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - 1 Rp 107,800 Rp 107,800
Rp - Rp -
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 1 Rp 121,000 Rp 121,000
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 31,000 Rp -
Rp - 0 Rp - Rp -
Rp - 0 Rp - Rp -
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 121,000 Rp - ed.September 2018
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 31,000 Rp -
Rp - 0 Rp - Rp -
Rp - 0 Rp 121,000 Rp - ed:31/07/2017
Rp - 0 Rp 121,000 Rp - ed:30/07/2018
Rp - 0 Rp 121,000 Rp - ed:22/08/2018
Rp - 0 Rp 121,000 Rp -
Rp - 0 Rp 31,000 Rp -
Rp - 0 Rp 37,500 Rp -
Rp - 0 Rp 35,000 Rp -
Rp - 3 Rp 14,000 Rp 42,000
Rp - 0 Rp 22,000 Rp -
Rp - 0 Rp 1,175,000 Rp -
Rp - TOTAL Rp 1,447,400.00
RDT Rp 6,476,361
3,457,261.29 Rp 7,923,760.59
Rp 7,923,761
LAPORAN PENERIMAAN DAN PENGELUARAN REAGENSI
PER 31 JANUARI 2
STOK OPNAME MALARIA

Saldo Awal 01 Januari 2018 PENERIMAAN
TANGGAL
PEROLEHAN VLM JUMLAH VLM
SATUAN
Giemsa 26/1/17 botol@100ml 0 Rp 479,000 Rp - 0
Lancet 26/1/17 kotak@200 2 Rp 49,500 Rp 99,000 0
Slide 26/1/17 kotak@72 pcs 6 Rp 39,875 Rp 239,250 0
Box Slide 26/1/17 box 2 Rp 68,000 Rp 136,000 0
TOTAL Rp 474,250 TOTAL
Mengetahui
Kepala Puskesmas Koba
drg. Eva Fidia Lestari

NIP. 198009222012122002

PER 28 FEBRUARI
STOK OPNAME MALARIA

Saldo Awal 01 Februari 2018 PENERIMAAN
TANGGAL
SATUAN
Mengetahui

NIP. 198009222012122002

PER 31 MARET 201
STOK OPNAME MALARIA

Saldo Awal 01 Maret 2018 PENERIMAAN
TANGGAL
SATUAN
Mengetahui

NIP. 198009222012122002

PER 30 APRIL 2018
STOK OPNAME MALARIA

Saldo Awal 01 April 2018 PENERIMAAN
TANGGAL
SATUAN
Mengetahui

NIP. 198009222012122002

PER 31 Mei 2018
STOK OPNAME MALARIA

Saldo Awal 01 Mei 2018 PENERIMAAN
TANGGAL
SATUAN
Mengetahui

NIP. 198009222012122002

PER 31 JUNI 2018
STOK OPNAME MALARIA

Saldo Awal 01 Mei 2018 PENERIMAAN
TANGGAL
SATUAN
Mengetahui

NIP. 198009222012122002

PER 30 JUNI 2018
STOK OPNAME MALARIA

Saldo Awal 01 Juni 2018 PENERIMAAN
TANGGAL
SATUAN
Mengetahui

NIP. 198009222012122002

PER 31 JULI 2018
STOK OPNAME MALARIA

Saldo Awal 01 Juli 2018 PENERIMAAN
TANGGAL
SATUAN
Mengetahui

NIP. 198009222012122002
ENGELUARAN REAGENSIA MALARIA PUSKESMAS KOBA
PER 31 JANUARI 2018
PENERIMAAN PENGELUARAN Sisa 31 Januari 2018

HARGA
HARGA SA JUMLAH VLM HARGA JUMLAHVLM JUMLAH
SATUAN
Rp - Rp - 0 Rp - Rp - 0 Rp 479,000 Rp -
Rp - Rp - 0 Rp - 2 Rp 49,500 Rp 99,000
Rp - Rp - 0 Rp - Rp - 6 Rp 39,875 Rp 239,250.00
Rp - Rp - 0 Rp - Rp - 2 Rp 68,000 Rp 136,000
Rp - TOTAL Rp - TOTAL Rp 474,250
Koba, 31 Januari 2018
Petugas Laboratorium
Tuti Yastriani, A. Md. AK

PENERIMAAN PENGELUARAN Sisa 28 Februari 2018

HARGA
SATUAN
Rp - Rp - 0 Rp - Rp - 0 Rp 479,000 Rp -
Rp - Rp - 0 Rp - 2 Rp 49,500 Rp 99,000
Rp - Rp - 0 Rp - Rp - 6 Rp 39,875 Rp 239,250.00
Rp - Rp - 0 Rp - Rp - 2 Rp 68,000 Rp 136,000
Koba, 28 Februari 2018

PER 31 MARET 2018
PENERIMAAN PENGELUARAN Sisa 31 Maret 2018

HARGA
SATUAN
Rp - Rp - 0 Rp - Rp - 0 Rp 479,000 Rp -
Rp - Rp - 0 Rp - 2 Rp 49,500 Rp 99,000
Rp - Rp - 0 Rp - Rp - 6 Rp 39,875 Rp 239,250.00
Rp - Rp - 0 Rp - Rp - 2 Rp 68,000 Rp 136,000
Koba, 31 Maret 2018

PER 30 APRIL 2018
PENERIMAAN PENGELUARAN Sisa 30 April 2018

HARGA
SATUAN
Rp - Rp - 0 Rp - Rp - 0 Rp 479,000 Rp -
Rp - Rp - 0 Rp - 2 Rp 49,500 Rp 99,000
Rp - Rp - 0 Rp - Rp - 6 Rp 39,875 Rp 239,250.00
Rp - Rp - 0 Rp - Rp - 2 Rp 68,000 Rp 136,000
Koba, 30 April 2018

PER 31 Mei 2018
PENERIMAAN PENGELUARAN Sisa 31 Mei 2018

HARGA
SATUAN
Rp - Rp - 0 Rp - Rp - 0 Rp 479,000 Rp -
Rp - Rp - 0 Rp - 2 Rp 49,500 Rp 99,000
Rp - Rp - 0 Rp - Rp - 6 Rp 39,875 Rp 239,250.00
Rp - Rp - 0 Rp - Rp - 2 Rp 68,000 Rp 136,000
Koba, 31 Mei 2018

PER 31 JUNI 2018
PENERIMAAN PENGELUARAN Sisa 31 Mei 2018

HARGA
SATUAN
Rp - Rp - 0 Rp - Rp - 0 Rp 479,000 Rp -
Rp - Rp - 0 Rp - 2 Rp 49,500 Rp 99,000
Rp - Rp - 0 Rp - Rp - 6 Rp 39,875 Rp 239,250.00
Rp - Rp - 0 Rp - Rp - 2 Rp 68,000 Rp 136,000
Koba, 31 Mei 2018

PER 30 JUNI 2018
PENERIMAAN PENGELUARAN Sisa 30 Juni 2018

HARGA
SATUAN
Rp - Rp - 0 Rp - Rp - 0 Rp 479,000 Rp -
Rp - Rp - 0 Rp - 2 Rp 49,500 Rp 99,000
Rp - Rp - 0 Rp - Rp - 6 Rp 39,875 Rp 239,250.00
Rp - Rp - 0 Rp - Rp - 2 Rp 68,000 Rp 136,000
Koba, 30 Juni 2018

PER 31 JULI 2018
PENERIMAAN PENGELUARAN Sisa 31 Juli 2018

HARGA
SATUAN
Rp - Rp - 0 Rp - Rp - 0 Rp 479,000 Rp -
Rp - Rp - 0 Rp - 2 Rp 49,500 Rp 99,000
Rp - Rp - 0 Rp - Rp - 6 Rp 39,875 Rp 239,250.00
Rp - Rp - 0 Rp - Rp - 2 Rp 68,000 Rp 136,000
Koba, 31 Juli 2018

LAB KOBA Pisah Dari RDT

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LAPORAN PENERIMAAN DAN PENGELUARAN REAGENSIA PUSKESMAS KOBA

PER 31 DESEMBER 2015

TOTAL Rp 15,880,400 total Rp -

Aries Noordiyanto, SKM Tuty Kurniawati, Amd. AK

LAPORAN PENERIMAAN DAN PENGELUARAN REAGENSIA PUSKESMAS KOBA

TOTAL Rp 14,828,200 total Rp -

Aries Noordiyanto, SKM Tuty Kurniawati, Amd. AK

LAPORAN PENERIMAAN DAN PENGELUARAN REAGENSIA PUSKESMAS KOBA

TOTAL Rp 14,118,750 total Rp -

Aries Noordiyanto, SKM Tuty Kurniawati, Amd. AK

LAPORAN PENERIMAAN DAN PENGELUARAN REAGENSIA PUSKESMAS KOBA

TOTAL Rp 13,894,000 total Rp -

Aries Noordiyanto, SKM Tuty Kurniawati, Amd. AK

TOTAL Rp 11,093,150 total Rp -

Aries Noordiyanto, SKM Tuty Kurniawati, Amd. AK

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

LAPORAN PENERIMAAN DAN PENGELUARAN REAGENSIA PUSKESMAS KOBA

Aries Noordiyanto, SKM Tuty Kurniawati, Amd. AK

LAPORAN PENERIMAAN DAN PENGELUARAN REAGENSIA PUSKESMAS KOBA

TOTAL Rp 10,315,000 total Rp -

LAPORAN PENERIMAAN DAN PENGELUARAN REAGENSIA PUSKESMAS KOBA

Aries Noordiyanto, SKM Tuty Kurniawati, Amd. AK

Aries Noordiyanto, SKM Tuty Kurniawati, Amd. AK

LAPORAN PENERIMAAN DAN PENGELUARAN REAGENSIA PUSKESMAS KOBA

TOTAL Rp 11,224,750 total Rp 22,102,312

Aries Noordiyanto, SKM Tuty Kurniawati, Amd. AK

LAPORAN PENERIMAAN DAN PENGELUARAN REAGENSIA PUSKESMAS KOBA

TOTAL Rp 32,661,522 total Rp -

LAPORAN PENERIMAAN DAN PENGELUARAN REAGENSIA PUSKESMAS KOBA

TOTAL Rp 32,661,522 total Rp -

Aries Noordiyanto, SKM Tuty Kurniawati, Amd. AK

TOTAL Rp 27,348,909 total Rp -

Aries Noordiyanto, SKM Tuty Kurniawati, Amd. AK

LAPORAN PENERIMAAN DAN PENGELUARAN REAGENSIA PUSKESMAS KOBA

dr. Kevin Sulay Wijaya Tuty Kurniawati, Amd. AK

PENGELUARAN SISA 31 DESEMBER 2015

PENGELUARAN SISA 31 JANUARI 2016

Rp 84,000 Rp 168,000 0 Rp 84,000 Rp -

PENGELUARAN SISA 29 FEBRUARI 2016

PENGELUARAN SISA 31 Maret 2016

PENGELUARAN SISA 30 April 2016

PENGELUARAN SISA 31 Mei 2016

PENGELUARAN SISA 31 Mei 2016

PENGELUARAN SISA 30 Juli 2016

PENGELUARAN SISA 31 Agustus 2016

PENGELUARAN SISA 30 September 2016

Rp 105,000 Rp 105,000 0 Rp 105,000 Rp -

PENGELUARAN SISA 31 Oktober 2016

PENGELUARAN SISA 31 Oktober 2016

PENGELUARAN SISA 30 November 2016

PENGELUARAN SISA 30 November 2016

NIP.19740327 199603 1 002 NIP. 19850116 201001 2 007

LAPORAN HARIAN PEMAKAIAN REAGENSIA LABORATORIUM BULAN FEBRUARI 2015

ARIES NOORDIYANTO ,SKM Tuty Kurniawati, Amd.AK

LAPORAN HARIAN PEMAKAIAN REAGENSIA LABORATORIUM BULAN MARET 2015

ARIES NOORDIYANTO ,SKM Tuty Kurniawati, Amd.AK

ARIES NOORDIYANTO ,SKM Tuty Kurniawati, Amd.AK

No NAMA BARANG TANGGAL KEMASAN SISA/ 31 Desember 2014 PENERIMAAN PENGELUARAN

ARIES NOORDIYANTO ,SKM Tuty Kurniawati, Amd. AK

no NAMA BARANG TANGGAL KEMASAN SISA/ 31 Januari 2015 PENERIMAAN PENGELUARAN

ARIES NOORDIYANTO ,SKM Tuty Kurniawati, Amd. AK

ARIES NOORDIYANTO ,SKM Tuty Kurniawati, Amd. AK