Format TW

SKPD : Dinas Kesehatan
KOTA : Kota Tangerang Selatan

PROVINSI : Banten
UPT/Puskesmas : Jurang Mangu
BUKU PENERIMAAN BARANG HABIS PAKAI
BULAN/TAHUN*) TMT TGL. 01 Januari 2018 S/D TGL. 31 Maret 2018
Dokumen/Faktur/Kwitansi/Nota Pembelian
No. Tanggal Penerimaan Dari Nama Barang/ Jenis Barang
Nomor Tanggal
1 2 3 4 5 6
Persediaan Akhir 31 Desember 2017

ATK (5.2.2.01.01)
2016
OPERASIONAL
1 31-Dec-17 Stock Opname 31-Dec-17 Isi Stapler No.10
2 31-Dec-17 Stock Opname 31-Dec-17 Penggaris Besi
2017
JKN
1 31-Dec-17 Stock Opname 31-Dec-17 Bussiness File
2 31-Dec-17 Stock Opname 31-Dec-17 Box File "Bindex"
3 31-Dec-17 Stock Opname 31-Dec-17 Trigonal Klip
4 31-Dec-17 Stock Opname 31-Dec-17 Lakban Hitam
5 31-Dec-17 Stock Opname 31-Dec-17 Penghapus Joyko
6 31-Dec-17 Stock Opname 31-Dec-17 Amplop Jaya Besar
7 31-Dec-17 Stock Opname 31-Dec-17 Amplop Jaya Kecil
8 31-Dec-17 Stock Opname 31-Dec-17 Kertas Termal Antrian
9 31-Dec-17 Stock Opname 31-Dec-17 Label NO.103
10 31-Dec-17 Stock Opname 31-Dec-17 Buku Folio 100 Lembar
12 31-Dec-17 Stock Opname 31-Dec-17 Buku Ekspedisi 1/2Folio
13 31-Dec-17 Stock Opname 31-Dec-17 Buku Tulis
14 31-Dec-17 Stock Opname 31-Dec-17 Spidol Whitebord Snowman
15 31-Dec-17 Stock Opname 31-Dec-17 Post it
16 31-Dec-17 Stock Opname 31-Dec-17 Ballpoint Faster
17 31-Dec-17 Stock Opname 31-Dec-17 Pensil 2B
18 31-Dec-17 Stock Opname 31-Dec-17 Bak Stempel
19 31-Dec-17 Stock Opname 31-Dec-17 Lem Kertas Stik
20 31-Dec-17 Stock Opname 31-Dec-17 Bantex Pocket
21 31-Dec-17 Stock Opname 31-Dec-17 Kertas A4 70gr
22 31-Dec-17 Stock Opname 31-Dec-17 Kertas F4 70gr
Sub Total (Rp)
ALAT LISTRIK DAN ELEKTRONIK (5.2.2.01.03)
2016
OPERASIONAL
1 31-Dec-17 Stock Opname 31-Dec-17 Senter Everready
2017
OPERASIONAL
1 31-Dec-17 Stock Opname 31-Dec-17 Baterai Kering "Eveready" AA
2 31-Dec-17 Stock Opname 31-Dec-17 Baterai Kering "Eveready" AAA
3 31-Dec-17 Stock Opname 31-Dec-17 Senter Kepala
4 31-Dec-17 Stock Opname 31-Dec-17 Lampu LED Piliph
5 31-Dec-17 Stock Opname 31-Dec-17 Lampu Jari Piliph
6 31-Dec-17 Stock Opname 31-Dec-17 Baterai Timbangan
Sub Total (Rp)
ALAT KEBERSIHAN DAN BAHAN PEMBERSIH (5.2.2.01.05)
2016
OPERASIONAL
1 31-Dec-17 Stock Opname 31-Dec-17 Kemoceng
2 31-Dec-17 Stock Opname 31-Dec-17 Cangkul
2017
OPERASIONAL
1 31-Dec-17 Stock Opname 31-Dec-17 Pembersih Kaca "Cling"
2 31-Dec-17 Stock Opname 31-Dec-17 Handsanitizer "Nuvo"
3 31-Dec-17 Stock Opname 31-Dec-17 Pengki Plastik
4 31-Dec-17 Stock Opname 31-Dec-17 Sabun Cuci Piring "Sunlight"
5 31-Dec-17 Stock Opname 31-Dec-17 Hand Soap (galon)
6 31-Dec-17 Stock Opname 31-Dec-17 Sapu Lidi
7 31-Dec-17 Stock Opname 31-Dec-17 Soklin Lantai 1600ml
8 31-Dec-17 Stock Opname 31-Dec-17 Baygon Anti Nyamuk
9 31-Dec-17 Stock Opname 31-Dec-17 Hit Anti Nyamuk
10 31-Dec-17 Stock Opname 31-Dec-17 Glade Reffil pengharum matic
11 31-Dec-17 Stock Opname 31-Dec-17 Porstek
12 31-Dec-17 Stock Opname 31-Dec-17 Hand Sanittizer Galon
13 31-Dec-17 Stock Opname 31-Dec-17 Bayclin Galon
14 31-Dec-17 Stock Opname 31-Dec-17 Loby duster
15 31-Dec-17 Stock Opname 31-Dec-17 Pel Super MOP
16 31-Dec-17 Stock Opname 31-Dec-17 Sabun Colek Ekonomi
17 31-Dec-17 Stock Opname 31-Dec-17 Kamper Bulat
18 31-Dec-17 Stock Opname 31-Dec-17 Kamper Kotak
19 31-Dec-17 Stock Opname 31-Dec-17 Pel Gagang
20 31-Dec-17 Stock Opname 31-Dec-17 Gayung
21 31-Dec-17 Stock Opname 31-Dec-17 Mr.Mscle pembersih kaca
22 31-Dec-17 Stock Opname 31-Dec-17 Sikat Bulat WC
Sub Total (Rp)
BAHAN MAKANAN, MINUMAN DAN PMT
2017
OPERASIONAL
1 31-Dec-17 Stock Opname 31-Dec-17 Teh Celup Tong Tji
2 31-Dec-17 Stock Opname 31-Dec-17 Kopi "White koffie"
3 31-Dec-17 Stock Opname 31-Dec-17 Kopi "ABC SUsu"
4 31-Dec-17 Stock Opname 31-Dec-17 Kopi "Kapal Api"
5 31-Dec-17 Stock Opname 31-Dec-17 Gula Pasir "Rosebrand"
6 31-Dec-17 Stock Opname 31-Dec-17 Susu "Milo"
Sub Total (Rp)
CETAK (5.2.2.06.01)
2017
JKN
1 31-Dec-17 Stock Opname 31-Dec-17 Rujukan
2 31-Dec-17 Stock Opname 31-Dec-17 Anamnesa
3 31-Dec-17 Stock Opname 31-Dec-17 Efek Samping Obat
4 31-Dec-17 Stock Opname 31-Dec-17 Surat Keterangan Dirawat
5 31-Dec-17 Stock Opname 31-Dec-17 Persetujuan Rawat Inap
6 31-Dec-17 Stock Opname 31-Dec-17 Form Hasil USG
7 31-Dec-17 Stock Opname 31-Dec-17 Kertas berKop Puskesmas
8 31-Dec-17 Stock Opname 31-Dec-17 Informed Consent Keluarga Berencana
9 31-Dec-17 Stock Opname 31-Dec-17 Informed Consent ANC
10 31-Dec-17 Stock Opname 31-Dec-17 Informed Consent
11 31-Dec-17 Stock Opname 31-Dec-17 Surat Perintah Rawat Inap
12 31-Dec-17 Stock Opname 31-Dec-17 Bukti Pelayanan
13 31-Dec-17 Stock Opname 31-Dec-17 Perjalanan Penyakit
14 31-Dec-17 Stock Opname 31-Dec-17 Surat Pulang Paksa
15 31-Dec-17 Stock Opname 31-Dec-17 Lembar Konsultasi
16 31-Dec-17 Stock Opname 31-Dec-17 Persetujuan / Penolakan Tindakan
17 31-Dec-17 Stock Opname 31-Dec-17 Format Absensi
18 31-Dec-17 Stock Opname 31-Dec-17 SOAP Kebidanan
19 31-Dec-17 Stock Opname 31-Dec-17 Asuhan Kebidanan
20 31-Dec-17 Stock Opname 31-Dec-17 Follow Up Dokter
21 31-Dec-17 Stock Opname 31-Dec-17 Form Urinalisa
22 31-Dec-17 Stock Opname 31-Dec-17 Pengantar Laboratorium
23 31-Dec-17 Stock Opname 31-Dec-17 Form Hasil Laboratorium
24 31-Dec-17 Stock Opname 31-Dec-17 Catatan Pengobatan Pasien
25 31-Dec-17 Stock Opname 31-Dec-17 Catatan Perkembangan
26 31-Dec-17 Stock Opname 31-Dec-17 Partograf
27 31-Dec-17 Stock Opname 31-Dec-17 Resep
28 31-Dec-17 Stock Opname 31-Dec-17 Resume
29 31-Dec-17 Stock Opname 31-Dec-17 Kartu IBU
30 31-Dec-17 Stock Opname 31-Dec-17 Kontrol Faktor Penyakit Jantung
31 31-Dec-17 Stock Opname 31-Dec-17 Kuesioner Kepuasan Pasien
32 31-Dec-17 Stock Opname 31-Dec-17 Surat Keterangan Dokter
33 31-Dec-17 Stock Opname 31-Dec-17 Surat Keterangan Sakit
34 31-Dec-17 Stock Opname 31-Dec-17 Etiket Obat
35 31-Dec-17 Stock Opname 31-Dec-17 Lembar Kontrol Pasien
Sub Total (Rp)
MAKAN DAN MINUM HARIAN PEGAWAI (5.2.2.11.01)
2017
GIZI
1 31-Dec-17 Stock Opname 31-Dec-17 PMT Pemulihan Balita(Paket)
a. Nutren
b. Biskuit SUN
2 31-Dec-17 Stock Opname 31-Dec-17 PMT Pemulihan Balita
Biskuit Balita (KEMENKES)
3 31-Dec-17 Stock Opname 31-Dec-17 PMT- Ibu hamil
a. Makanan Tambahan Ibu hamil (APBD)
b. Makanan Tambahan Ibu hamil (KEMENKES)
Sub Total (Rp)
Alat Kontrasepsi
2016
BKKBN
1 31-Dec-17 Stock Opname 31-Dec-17 Pil KB 1 Kombinasi
2 31-Dec-17 Stock Opname 31-Dec-17 KB Suntik 3 Bulan
2017
BKKBN
1 31-Dec-17 Stock Opname 31-Dec-17 Kondom
2 31-Dec-17 Stock Opname 31-Dec-17 Implant
3 31-Dec-17 Stock Opname 31-Dec-17 IUD
Sub Total (Rp)
VAKSIN
2017
VAKSIN
1 31-Dec-17 Stock Opname 31-Dec-17 Pentabio
2 31-Dec-17 Stock Opname 31-Dec-17 dT
3 31-Dec-17 Stock Opname 31-Dec-17 Td
4 31-Dec-17 Stock Opname 31-Dec-17 Polio oral
5 31-Dec-17 Stock Opname 31-Dec-17 IPV
6 31-Dec-17 Stock Opname 31-Dec-17 Hb0
7 31-Dec-17 Stock Opname 31-Dec-17 BCG
Sub Total (Rp)
OBAT-OBATAN
2013
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Diazepam Inj 5 mg/ml
2 31-Dec-17 Stock Opname 31-Dec-17 Pirantel tablet 125
3 31-Dec-17 Stock Opname 31-Dec-17 Teofilin Tablet
2014
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Aminofilin inj 24 mg /ml
2 31-Dec-17 Stock Opname 31-Dec-17 Amitriptilin HCl tablet salut 25 mg
3 31-Dec-17 Stock Opname 31-Dec-17 Digoksin tablet 0.25 mg
4 31-Dec-17 Stock Opname 31-Dec-17 Furosemid tab 40 mg
5 31-Dec-17 Stock Opname 31-Dec-17 Glukosa larutan infus 10%
7 31-Dec-17 Stock Opname 31-Dec-17 Metronidazol tablet 250 mg
8 31-Dec-17 Stock Opname 31-Dec-17 Sianokobalamin inj 500 mcg/ml-1 ml
2015
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Amoksisilin sirup kering forte 250mg/ml
2 31-Dec-17 Stock Opname 31-Dec-17 Anti Hipertensi Herbal
3 31-Dec-17 Stock Opname 31-Dec-17 Asam Asetilsalisilat 80 mg
4 31-Dec-17 Stock Opname 31-Dec-17 Asiklovir Tablet 200 mg
5 31-Dec-17 Stock Opname 31-Dec-17 Cairan Elektrolit Kombinasi Na, K, Cl, Lactate, Glucose
6 31-Dec-17 Stock Opname 31-Dec-17 Etakridin larutan 0,1 % (Rivanol)
7 31-Dec-17 Stock Opname 31-Dec-17 Fenobarbital tablet 30 mg
8 31-Dec-17 Stock Opname 31-Dec-17 Kalsium Glukonat injkesi i.v 10% (100mg/ml)
9 31-Dec-17 Stock Opname 31-Dec-17 Kaptopril tablet 12,5 mg
10 31-Dec-17 Stock Opname 31-Dec-17 Loperamid
11 31-Dec-17 Stock Opname 31-Dec-17 Metampiron Injeksi
12 31-Dec-17 Stock Opname 31-Dec-17 Metformin HCL tablet 500 mg
14 31-Dec-17 Stock Opname 31-Dec-17 Metoklopramide tablet
15 31-Dec-17 Stock Opname 31-Dec-17 Natrium Diklofenak tablet 25 mg
16 31-Dec-17 Stock Opname 31-Dec-17 Nifedipin tablet 10 mg
17 31-Dec-17 Stock Opname 31-Dec-17 Retinol (VIT A) tablet salut 200.000 IU
2016
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Alopurinol tablet 100 mg
2 31-Dec-17 Stock Opname 31-Dec-17 Amlodipin 10 mg
3 31-Dec-17 Stock Opname 31-Dec-17 Antasida DOEN tablet
4 31-Dec-17 Stock Opname 31-Dec-17 Asam Askorbat (Vit. C) tablet 50 mg
5 31-Dec-17 Stock Opname 31-Dec-17 Asam Mefenamat Tablet 500 mg
6 31-Dec-17 Stock Opname 31-Dec-17 Atapulgit
7 31-Dec-17 Stock Opname 31-Dec-17 Bisoprolol tab 5 mg
8 31-Dec-17 Stock Opname 31-Dec-17 Cairan Hydroxyethyl Strach (HES) 200/0.5 60 g, Nacl 9 g
9 31-Dec-17 Stock Opname 31-Dec-17 Deksametason injeksi 5 mg/ml
10 31-Dec-17 Stock Opname 31-Dec-17 Deksametason tablet 0.5 mg
11 31-Dec-17 Stock Opname 31-Dec-17 Difenhidramin inj 10 mg/5ml-1ml
12 31-Dec-17 Stock Opname 31-Dec-17 Domperidon 10mg
13 31-Dec-17 Stock Opname 31-Dec-17 Domperidon suspensi 5 mg/5ml
14 31-Dec-17 Stock Opname 31-Dec-17 Epinefrin / Adrenalin inj 0.1 %
15 31-Dec-17 Stock Opname 31-Dec-17 Gemfibrozil kapsul 300 mg
16 31-Dec-17 Stock Opname 31-Dec-17 Glimepirid 1mg
17 31-Dec-17 Stock Opname 31-Dec-17 Isorbid dinitrat tablet sublingual 5 mg
18 31-Dec-17 Stock Opname 31-Dec-17 Kalsium laktat (Kalk) tablet 500 mg
20 31-Dec-17 Stock Opname 31-Dec-17 Kloramfenikol tetes telinga 3 %
21 31-Dec-17 Stock Opname 31-Dec-17 Kotrimoksazol suspensi
22 31-Dec-17 Stock Opname 31-Dec-17 Kotrimosazol tablet. Komb: Sulfametoksazol 400 mg + Trimetoprim 80 mg
23 31-Dec-17 Stock Opname 31-Dec-17 Lactulose Sirup
24 31-Dec-17 Stock Opname 31-Dec-17 Lidokain Injeksi 2% + Epinefrin
25 31-Dec-17 Stock Opname 31-Dec-17 Methisoprinol 250 mg/5ml
26 31-Dec-17 Stock Opname 31-Dec-17 Methisoprinol 500 mg
27 31-Dec-17 Stock Opname 31-Dec-17 Metilergometrin injeksi 0,200 mg-ml
28 31-Dec-17 Stock Opname 31-Dec-17 Mikonazol cream
29 31-Dec-17 Stock Opname 31-Dec-17 Natrium Klorida larutan infus 0.9 % steril
31 31-Dec-17 Stock Opname 31-Dec-17 Nistatin tablet salut 500.000 IU
32 31-Dec-17 Stock Opname 31-Dec-17 Nistatin tablet vaginal 100.000 IU/g
33 31-Dec-17 Stock Opname 31-Dec-17 Obat Antianemia
34 31-Dec-17 Stock Opname 31-Dec-17 Obat Antifungi Drop
35 31-Dec-17 Stock Opname 31-Dec-17 Obat Flu dan Batuk Sirup
36 31-Dec-17 Stock Opname 31-Dec-17 Piridoksin (Vitamin B6) tablet 10 mg
37 31-Dec-17 Stock Opname 31-Dec-17 Prednison tablet 5 mg
38 31-Dec-17 Stock Opname 31-Dec-17 Ranitidin Hcl Sirup
39 31-Dec-17 Stock Opname 31-Dec-17 Ranitidin injeksi 25mg/ml
40 31-Dec-17 Stock Opname 31-Dec-17 Retinol (VIT A) kapsul 100.000 IU
41 31-Dec-17 Stock Opname 31-Dec-17 Ringer laktat larutan infus steril
42 31-Dec-17 Stock Opname 31-Dec-17 Salisil Bedak 2 %
43 31-Dec-17 Stock Opname 31-Dec-17 Siprofloksasin tablet 500 mg
44 31-Dec-17 Stock Opname 31-Dec-17 Suplemen Ibu Menyusui
45 31-Dec-17 Stock Opname 31-Dec-17 Tiampenikol kapsul 500 mg
46 31-Dec-17 Stock Opname 31-Dec-17 Vitamin B Komplek
47 31-Dec-17 Stock Opname 31-Dec-17 Zink sirup
2017
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Albendazol 400 mg
2 31-Dec-17 Stock Opname 31-Dec-17 Albendazol suspensi
5 31-Dec-17 Stock Opname 31-Dec-17 Ambroksol Syrup 15 mg / ml
6 31-Dec-17 Stock Opname 31-Dec-17 Amoksisilin kaplet 500 mg
7 31-Dec-17 Stock Opname 31-Dec-17 Antasida DOEN Suspensi
8 31-Dec-17 Stock Opname 31-Dec-17 Anti Bakteri DOEN salep
9 31-Dec-17 Stock Opname 31-Dec-17 Anti Hemmoroid DOEN supp
10 31-Dec-17 Stock Opname 31-Dec-17 Aqua Pro Injeksi 25 ml
12 31-Dec-17 Stock Opname 31-Dec-17 Asam Folat tab 0.4 mg
16 31-Dec-17 Stock Opname 31-Dec-17 Besi II Sulfat 200 mg + As. Folat (Tambah darah)
17 31-Dec-17 Stock Opname 31-Dec-17 Betahistin 6 mg
18 31-Dec-17 Stock Opname 31-Dec-17 Betametason Krim
19 31-Dec-17 Stock Opname 31-Dec-17 BIOSAT 1,5 Serum Antitetanus (A.T.S)
20 31-Dec-17 Stock Opname 31-Dec-17 Bisakodil supp 10 mg
22 31-Dec-17 Stock Opname 31-Dec-17 Cetirizine HCl tablet 10 mg
24 31-Dec-17 Stock Opname 31-Dec-17 Diazepam supp
27 31-Dec-17 Stock Opname 31-Dec-17 Eritromisin kapsul 500 mg
29 31-Dec-17 Stock Opname 31-Dec-17 Fitomenadion (Vit K1) tablet gula 10 mg
30 31-Dec-17 Stock Opname 31-Dec-17 Fitomenadion injeksi 2mg/1ml
31 31-Dec-17 Stock Opname 31-Dec-17 Framisetin Sulfat Tulle 1%
32 31-Dec-17 Stock Opname 31-Dec-17 Garam oralit serbuk kombinasi
33 31-Dec-17 Stock Opname 31-Dec-17 Griseofulvin tablet 125 mg micronized
34 31-Dec-17 Stock Opname 31-Dec-17 Hidroklortiazid (HCT) tablet 25 mg
35 31-Dec-17 Stock Opname 31-Dec-17 Hidrokortison cream 2,5 %
36 31-Dec-17 Stock Opname 31-Dec-17 Ibuprofen tablet 200 mg
38 31-Dec-17 Stock Opname 31-Dec-17 Ipatropium Br dan Salbutamol Sulphate udv
40 31-Dec-17 Stock Opname 31-Dec-17 Kalsium Glukonat injkesi i.v 10%
41 31-Dec-17 Stock Opname 31-Dec-17 Kaptopril tablet 25 mg
42 31-Dec-17 Stock Opname 31-Dec-17 Ketokonazol krim 2 %
43 31-Dec-17 Stock Opname 31-Dec-17 Ketokonazol tablet 200 mg
44 31-Dec-17 Stock Opname 31-Dec-17 Kloramfenikol salep kulit 2%
45 31-Dec-17 Stock Opname 31-Dec-17 Kloramfenikol salep mata 1 %
46 31-Dec-17 Stock Opname 31-Dec-17 Kloramfenikol suspensi 125mg/5ml
47 31-Dec-17 Stock Opname 31-Dec-17 Kloramfenikol tetes mata 0.5 %
48 31-Dec-17 Stock Opname 31-Dec-17 Klorfeniramin maleat tablet 4 mg
50 31-Dec-17 Stock Opname 31-Dec-17 Lidokain Injeksi 2%
51 31-Dec-17 Stock Opname 31-Dec-17 Lidokain Jeli 2%
52 31-Dec-17 Stock Opname 31-Dec-17 Loratadine 10 mg
53 31-Dec-17 Stock Opname 31-Dec-17 Magnesium sulfat inj 25 ml-40 %
54 31-Dec-17 Stock Opname 31-Dec-17 Metilprednisolon 4 mg
55 31-Dec-17 Stock Opname 31-Dec-17 Metronidazol Sirup 125 mg/5ml
57 31-Dec-17 Stock Opname 31-Dec-17 Metronidazol tablet 500mg
58 31-Dec-17 Stock Opname 31-Dec-17 Multivitamin anak sirup
60 31-Dec-17 Stock Opname 31-Dec-17 Obat Batuk Hitam 100 mL
61 31-Dec-17 Stock Opname 31-Dec-17 Oksitosin injeksi 10 IU/ml
62 31-Dec-17 Stock Opname 31-Dec-17 Omeprazol injeksi 40mg/10ml
63 31-Dec-17 Stock Opname 31-Dec-17 Omeprazol kapsul 20 mg
64 31-Dec-17 Stock Opname 31-Dec-17 Parasetamol drop
65 31-Dec-17 Stock Opname 31-Dec-17 Parasetamol sirup 120 mg / 5 ml
66 31-Dec-17 Stock Opname 31-Dec-17 Parasetamol tablet 500 mg
67 31-Dec-17 Stock Opname 31-Dec-17 Phenol Glycerol 10%
68 31-Dec-17 Stock Opname 31-Dec-17 Povidon iodida larutan 10 % (300 ml)
69 31-Dec-17 Stock Opname 31-Dec-17 Ranitidin tablet 150 mg
70 31-Dec-17 Stock Opname 31-Dec-17 Salbutamol tab 4 mg
71 31-Dec-17 Stock Opname 31-Dec-17 Simvastatin tablet 10 mg
72 31-Dec-17 Stock Opname 31-Dec-17 Sulfadiazin Krim 1%
73 31-Dec-17 Stock Opname 31-Dec-17 Terbutalin cairan ih 2.5 mg/ml
74 31-Dec-17 Stock Opname 31-Dec-17 Tiamin HCL / Nitrat ( Vit B1 )
75 31-Dec-17 Stock Opname 31-Dec-17 Permetrin krim 5% 10 g
77 31-Dec-17 Stock Opname 31-Dec-17 Vitamin Neurotropik
79 31-Dec-17 Stock Opname 31-Dec-17 Zink tablet 20 mg
JKN
1 31-Dec-17 Stock Opname 31-Dec-17 Alupurinol
2 31-Dec-17 Stock Opname 31-Dec-17 Kloramfenikol sy
3 31-Dec-17 Stock Opname 31-Dec-17 Kloramfenikol TT
4 31-Dec-17 Stock Opname 31-Dec-17 Kortimox GITRI
5 31-Dec-17 Stock Opname 31-Dec-17 PCT tab
Sub Total (Rp)
BMHP
TAHUN 2011
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Kasa Pembalut Hidrofil 4 x 5 elastik
TAHUN 2012
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Eugenol cairan
TAHUN 2013
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Jarum Hekting Kulit
2 31-Dec-17 Stock Opname 31-Dec-17 Jarum Hekting Otot
3 31-Dec-17 Stock Opname 31-Dec-17 Pisau Bisturi 20
TAHUN 2014
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Aquabidest 500ml
2 31-Dec-17 Stock Opname 31-Dec-17 Articulating paper
3 31-Dec-17 Stock Opname 31-Dec-17 Catgut 2/0 Plain
4 31-Dec-17 Stock Opname 31-Dec-17 Catgut 3/0 Chromic
6 31-Dec-17 Stock Opname 31-Dec-17 Dressing Fiksasi untuk luka lebar 10 cm x 5 cm
7 31-Dec-17 Stock Opname 31-Dec-17 ID Pasien bayi biru
8 31-Dec-17 Stock Opname 31-Dec-17 ID pasien bayi pink
9 31-Dec-17 Stock Opname 31-Dec-17 IV Catheter No. 22 with injection Port
10 31-Dec-17 Stock Opname 31-Dec-17 IV Chateter No. 18 with injection Port
11 31-Dec-17 Stock Opname 31-Dec-17 Kasa Pembalut Elastic 3 inchi
12 31-Dec-17 Stock Opname 31-Dec-17 Kertas Puyer Cetak (pocket medicine)
13 31-Dec-17 Stock Opname 31-Dec-17 Masker Nebulizer Dewasa
17 31-Dec-17 Stock Opname 31-Dec-17 Plastik klip 4 x 6
20 31-Dec-17 Stock Opname 31-Dec-17 Plester kain 2 x 5y
21 31-Dec-17 Stock Opname 31-Dec-17 Plester roll kertas 1"
22 31-Dec-17 Stock Opname 31-Dec-17 Semen seng fosfat serbuk
23 31-Dec-17 Stock Opname 31-Dec-17 Silk Benang Bedah 3/0
TAHUN 2015
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Alkohol 1000 ml
2 31-Dec-17 Stock Opname 31-Dec-17 Aseptic Gel + Dispenser 500 ml
3 31-Dec-17 Stock Opname 31-Dec-17 Handscoon Non Steril S
4 31-Dec-17 Stock Opname 31-Dec-17 Kapas 1 kg
5 31-Dec-17 Stock Opname 31-Dec-17 Kasa Hidrofil steril 16 x 16 (isi 16 lbr)
6 31-Dec-17 Stock Opname 31-Dec-17 Plastik klip 13 x 8,7
8 31-Dec-17 Stock Opname 31-Dec-17 Selang O2 Dewasa (nasal oxygen canula- adult)
TAHUN 2016
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Alat Suntik 3 cc
2 31-Dec-17 Stock Opname 31-Dec-17 Alat suntik sekali pakai 5 ml
3 31-Dec-17 Stock Opname 31-Dec-17 Antiseptik untuk saluran akar
4 31-Dec-17 Stock Opname 31-Dec-17 Bonding
5 31-Dec-17 Stock Opname 31-Dec-17 Etil klorida semprot
6 31-Dec-17 Stock Opname 31-Dec-17 Fletcher Cairan
7 31-Dec-17 Stock Opname 31-Dec-17 Fletcher Serbuk
8 31-Dec-17 Stock Opname 31-Dec-17 Glass Ionomer cement Art
9 31-Dec-17 Stock Opname 31-Dec-17 Handscoon Non Steril L
10 31-Dec-17 Stock Opname 31-Dec-17 Handscoon panjang untuk manual plasenta 6,5
11 31-Dec-17 Stock Opname 31-Dec-17 handscoon panjang untuk manual plasenta 7
12 31-Dec-17 Stock Opname 31-Dec-17 IV Catheter 20
15 31-Dec-17 Stock Opname 31-Dec-17 Masker Nebulizer Anak
16 31-Dec-17 Stock Opname 31-Dec-17 Pasta Iodoform
18 31-Dec-17 Stock Opname 31-Dec-17 Tambal Sementara Untuk Gigi
19 31-Dec-17 Stock Opname 31-Dec-17 Three way stopcock
TAHUN 2017
FARMASI
3 31-Dec-17 Stock Opname 31-Dec-17 Alkohol Swab
7 31-Dec-17 Stock Opname 31-Dec-17 Foley Catheter No. 16
9 31-Dec-17 Stock Opname 31-Dec-17 Handscoon (Steril) # 7
10 31-Dec-17 Stock Opname 31-Dec-17 Infus Anak
11 31-Dec-17 Stock Opname 31-Dec-17 Infus set dewasa
12 31-Dec-17 Stock Opname 31-Dec-17 Lisol
13 31-Dec-17 Stock Opname 31-Dec-17 Masker
16 31-Dec-17 Stock Opname 31-Dec-17 Safety box
17 31-Dec-17 Stock Opname 31-Dec-17 Selang O2 anak (nasal oxygen canula- child)
18 31-Dec-17 Stock Opname 31-Dec-17 Selang O2 NEO NATUS
20 31-Dec-17 Stock Opname 31-Dec-17 Spuit 0,05
22 31-Dec-17 Stock Opname 31-Dec-17 Spuit 5 cc
23 31-Dec-17 Stock Opname 31-Dec-17 Urine Bag
LABORATORIUM
1 31-Dec-17 Stock Opname 31-Dec-17 EDTA Cair
2 31-Dec-17 Stock Opname 31-Dec-17 Kertas Print
3 31-Dec-17 Stock Opname 31-Dec-17 Pot Feses (Buah)
4 31-Dec-17 Stock Opname 31-Dec-17 Pot Dahak (Buah)
5 31-Dec-17 Stock Opname 31-Dec-17 Stick Haemoglobin (Buah)
6 31-Dec-17 Stock Opname 31-Dec-17 Object Glass (Buah)
7 31-Dec-17 Stock Opname 31-Dec-17 Deck Glass (Buah)
8 31-Dec-17 Stock Opname 31-Dec-17 Yellow Tip (Bag)
9 31-Dec-17 Stock Opname 31-Dec-17 Blue Tip (Bag)
10 31-Dec-17 Stock Opname 31-Dec-17 Coverplast Oval (Buah)
11 31-Dec-17 Stock Opname 31-Dec-17 Coverplast Bulat (Buah)
12 31-Dec-17 Stock Opname 31-Dec-17 Handscoon (Buah)
13 31-Dec-17 Stock Opname 31-Dec-17 Tes Kehamilan (Buah)
14 31-Dec-17 Stock Opname 31-Dec-17 Stick Urin 10 Parameter (Strip)
15 31-Dec-17 Stock Opname 31-Dec-17 Lancet anak (Buah)
16 31-Dec-17 Stock Opname 31-Dec-17 Lancet (Box)
17 31-Dec-17 Stock Opname 31-Dec-17 Alkohol Swab 70% (Buah)
18 31-Dec-17 Stock Opname 31-Dec-17 BTA/Zeihl neelsen (set)
19 31-Dec-17 Stock Opname 31-Dec-17 Poch Pack D (Box)
20 31-Dec-17 Stock Opname 31-Dec-17 Poch Pack L (Box)
21 31-Dec-17 Stock Opname 31-Dec-17 HIV Rapid Vikia (Buah)
22 31-Dec-17 Stock Opname 31-Dec-17 HBsAg Rapid SD Bioline (Buah)
23 31-Dec-17 Stock Opname 31-Dec-17 HIV Rapid Oncoprobe (Buah)
24 31-Dec-17 Stock Opname 31-Dec-17 Cell Clean (Buah)
25 31-Dec-17 Stock Opname 31-Dec-17 Control Sysmex (Serial)
26 31-Dec-17 Stock Opname 31-Dec-17 Spuit 5 cc (Buah)
28 31-Dec-17 Stock Opname 31-Dec-17 Cholesterol Total (Kit)
29 31-Dec-17 Stock Opname 31-Dec-17 Trigliserida (Kit)
30 31-Dec-17 Stock Opname 31-Dec-17 Asam Urat (Kit)
31 31-Dec-17 Stock Opname 31-Dec-17 Glukosa (Kit)
32 31-Dec-17 Stock Opname 31-Dec-17 SGOT/AST (Kit)
33 31-Dec-17 Stock Opname 31-Dec-17 SGPT/ALT (Kit)
34 31-Dec-17 Stock Opname 31-Dec-17 HDL-Cholesterol (Kit)
35 31-Dec-17 Stock Opname 31-Dec-17 Salmonella Parathypi H (Vial)
36 31-Dec-17 Stock Opname 31-Dec-17 Salmonella Parathypi AH (Vial)
37 31-Dec-17 Stock Opname 31-Dec-17 Salmonella Parathypi BH (Vial)
38 31-Dec-17 Stock Opname 31-Dec-17 Salmonella Parathypi CH (Vial)
39 31-Dec-17 Stock Opname 31-Dec-17 Salmonella Parathypi O (Vial)
40 31-Dec-17 Stock Opname 31-Dec-17 Salmonella Parathypi AO (Vial)
41 31-Dec-17 Stock Opname 31-Dec-17 Salmonella Parathypi BO (Vial)
42 31-Dec-17 Stock Opname 31-Dec-17 Salmonella Parathypi CO (Vial)
43 31-Dec-17 Stock Opname 31-Dec-17 Gol. Darah Anti A (Vial)
44 31-Dec-17 Stock Opname 31-Dec-17 Gol. Darah Anti B (Vial)
45 31-Dec-17 Stock Opname 31-Dec-17 Gol. Darah Anti AB (Vial)
46 31-Dec-17 Stock Opname 31-Dec-17 Gol. Darah Anti D (Vial)
Sub Total (Rp)
Total Persediaan Awal Tahun 2018 (Rp)
Pembelian Barang Persediaan 2018
Belanja JKN 1 Januari 2018-31 Maret 2018
Belanja BMHP (522.01.09)
1 22-Feb-18 Belanja JKN 22-Feb-18 Oxygen Mask Adult NR
2 22-Feb-18 Belanja JKN 22-Feb-18 Cosmomed Oxygen Mask adult
3 22-Feb-18 Belanja JKN 22-Feb-18 Oxygen Mask Child NR
4 22-Feb-18 Belanja JKN 22-Feb-18 Cosmomed Oxygen Mask Child
5 22-Feb-18 Belanja JKN 22-Feb-18 Apron 75x130/050
6 22-Feb-18 Belanja JKN 22-Feb-18 Bio Hazard Bag Color Yelow
Sub Total (Rp)
Belanja Cetak (522.06.01)
1 6-Mar-18 Belanja JKN 6-Mar-18 Form Data Keluarga Pis PK
2 6-Mar-18 Belanja JKN 6-Mar-18 Form Keterangan anggota keluarga
3 6-Mar-18 Belanja JKN 6-Mar-18 Form Keterangan Lanjutan
4 6-Mar-18 Belanja JKN 6-Mar-18 Form Pengenalan Tempat
5 6-Mar-18 Belanja JKN 6-Mar-18 Form Catatan
6 6-Mar-18 Belanja JKN 6-Mar-18 Stiker Pis PK
7 6-Mar-18 Belanja JKN 6-Mar-18 Leaflet Pin Pis PK
9 6-Mar-18 Belanja JKN 6-Mar-18 Form Inspeksi sanitasi
10 6-Mar-18 Belanja JKN 6-Mar-18 Map Puskesmas
11 6-Mar-18 Belanja JKN 6-Mar-18 Kartu Golongan Darah
12 6-Mar-18 Belanja JKN 6-Mar-18 Form Pendaftaran Loket bernomor
13 6-Mar-18 Belanja JKN 6-Mar-18 Lembar pemeriksaan kesehatan umum
14 6-Mar-18 Belanja JKN 6-Mar-18 Lembar pemeriksaan Ordontogram
15 6-Mar-18 Belanja JKN 6-Mar-18 Buku Disposisi NCR 2 Rangkap 1/2 Folio
16 6-Mar-18 Belanja JKN 6-Mar-18 Form Rujukan Internal
17 6-Mar-18 Belanja JKN 6-Mar-18 Buku Resep Dalam
18 6-Mar-18 Belanja JKN 6-Mar-18 Buku Resep Luar
19 6-Mar-18 Belanja JKN 6-Mar-18 form pernyataan peserta
20 6-Mar-18 Belanja JKN 6-Mar-18 Form surat keterangan lahir
21 6-Mar-18 Belanja JKN 6-Mar-18 form partograf
22 6-Mar-18 Belanja JKN 6-Mar-18 kartu stok obat
23 6-Mar-18 Belanja JKN 6-Mar-18 kartu stok barang
24 6-Mar-18 Belanja JKN 6-Mar-18 form catatan perkembangan
25 6-Mar-18 Belanja JKN 6-Mar-18 form daftar pemesanan makanan pasien
26 6-Mar-18 Belanja JKN 6-Mar-18 form rekap pemesanan makanan pasien
27 6-Mar-18 Belanja JKN 6-Mar-18 balok SKDN
28 6-Mar-18 Belanja JKN 6-Mar-18 leaflet STBM
29 6-Mar-18 Belanja JKN 6-Mar-18 leaflet DAM
30 6-Mar-18 Belanja JKN 6-Mar-18 leaflet Cuci tangan
31 6-Mar-18 Belanja JKN 6-Mar-18 leaflet diet mandiri
32 6-Mar-18 Belanja JKN 6-Mar-18 leaflet bahan penukar
33 6-Mar-18 Belanja JKN 6-Mar-18 stempel puskesmas
34 6-Mar-18 Belanja JKN 6-Mar-18 stiker dilarang masuk Uk 30x25Cm
35 6-Mar-18 Belanja JKN 6-Mar-18 stiker naik uk.10x10cm
36 6-Mar-18 Belanja JKN 6-Mar-18 stiker turun uk.10x10cm
37 6-Mar-18 Belanja JKN 6-Mar-18 stiker hati-hati tangga uk 10x15cm
Sub Total (Rp)
1 20-Mar-18 Belanja JKN 20-Mar-18 Guedel Ukuran S,M,L
2 20-Mar-18 Belanja JKN 20-Mar-18 Selang NGT S,M,L
3 20-Mar-18 Belanja JKN 20-Mar-18 Amubag/ Resusitasi anak dewasa
Sub Total (Rp)
1 20-Mar-18 Belanja JKN 20-Mar-18 Alkes Gigi
2 20-Mar-18 Belanja JKN 20-Mar-18 Alat Persalinan
3 20-Mar-18 Belanja JKN 20-Mar-18 Timbangan Bayi
4 20-Mar-18 Belanja JKN 20-Mar-18 Thermometer
5 20-Mar-18 Belanja JKN 20-Mar-18 Pispot
6 20-Mar-18 Belanja JKN 20-Mar-18 Helm Partus
7 20-Mar-18 Belanja JKN 20-Mar-18 Korentang
8 20-Mar-18 Belanja JKN 20-Mar-18 Tensimeter
9 20-Mar-18 Belanja JKN 20-Mar-18 Kom
Sub Total (Rp)
Total Pembelian JKN Barang Persediaan Triwulan 1 (Rp)
Belanja Operasional 1 Januari 2018-31 Maret 2018
Belanja Makan Minum Harian Pegawai (522.11.01)
1 5-Mar-18 Belanja Operasional 5-Mar-18 Kopi Kapal Api
2 5-Mar-18 Belanja Operasional 5-Mar-18 Kopi ABC Susu
3 5-Mar-18 Belanja Operasional 5-Mar-18 Luwak White Kofiie
Sub Total (Rp)
Belanja Bahan Pembersih (522.01.05)
1 5-Mar-18 Belanja Operasional 5-Mar-18 Tissue Box
2 5-Mar-18 Belanja Operasional 5-Mar-18 Plastik Sampah
Sub Total (Rp)
Belanja Alat Tulis Kantor (522.01.01)
1 6-Mar-18 Belanja Operasional 6-Mar-18 Pulpen Baliner Hitam+Biru
2 6-Mar-18 Belanja Operasional 6-Mar-18 Lem Stick Besar
3 6-Mar-18 Belanja Operasional 6-Mar-18 Map Bening L
4 6-Mar-18 Belanja Operasional 6-Mar-18 Pulpen Faster Cetek
5 6-Mar-18 Belanja Operasional 6-Mar-18 Rautan Meja Besar
6 6-Mar-18 Belanja Operasional 6-Mar-18 Stempel Tanggal
7 6-Mar-18 Belanja Operasional 6-Mar-18 Stempel Lunas
8 6-Mar-18 Belanja Operasional 6-Mar-18 Spidol Permanent Snowman
9 6-Mar-18 Belanja Operasional 6-Mar-18 Spidol Kecil Snowman
10 6-Mar-18 Belanja Operasional 6-Mar-18 Lakban Besar 2" HItam
11 6-Mar-18 Belanja Operasional 6-Mar-18 Lakban Besar 2" Merah
12 6-Mar-18 Belanja Operasional 6-Mar-18 Lakban Besar 2" Kuning
13 6-Mar-18 Belanja Operasional 6-Mar-18 Lakban Besar 2" Hijau
14 6-Mar-18 Belanja Operasional 6-Mar-18 Desk Organizer
Sub Total (Rp)
Total Pembelian Operasional Barang Persediaan Triwulan 1 (Rp)
01 Januari-31 Maret 2018 01 Januari-31 Maret 2018 Obat dan Vaksin
01 Januari-31 Maret 2018 01 Januari-31 Maret 2018 BMHP
01 Januari-31 Maret 2018 01 Januari-31 Maret 2018 Laboratorium
01 Januari-31 Maret 2018 01 Januari-31 Maret 2018 PMT
01 Januari-31 Maret 2018 01 Januari-31 Maret 2018 ALKON
Total Penerimaan Persediaan Triwulan 1 (Rp)
Mengetahui,
Kepala UPT / Puskesmas Jurang Mangu
Aisah, SKM
NIP. 19660920 198803 2 003
UN*) TMT TGL. 01 Januari 2018 S/D TGL. 31 Maret 2018
Harga Bukti Pembayaran

Banyaknya Satuan Satuan Fisik Barang Honor+adm Jumlah Harga (Rp) Berita Acara Penerimaan Ket.
(Rp) (Rp) (Rp) Nomor Tanggal
7 8 9 10 (7x9) 11 12 (10+11) 13 14 15
10 Pack Rp 42,500.00 Rp 425,000.00

6 Buah Rp 6,300.00 Rp 37,800.00
17 Pack Rp 55,000.00 Rp 935,000.00

47 Buah Rp 35,000.00 Rp 1,645,000.00
9 Pack Rp 25,000.00 Rp 225,000.00
4 Buah Rp 25,000.00 Rp 100,000.00
120 Buah Rp 1,125.00 Rp 135,000.00
17 Pack Rp 29,000.00 Rp 493,000.00
24 Pack Rp 25,000.00 Rp 600,000.00
43 Roll Rp 16,000.00 Rp 688,000.00
5 Pack Rp 102,500.00 Rp 512,500.00
26 Buah Rp 25,000.00 Rp 650,000.00
10 Buah Rp 75,000.00 Rp 750,000.00
12 Buah Rp 12,000.00 Rp 144,000.00
11 Buah Rp 4,000.00 Rp 44,000.00
23 Buah Rp 11,000.00 Rp 253,000.00
16 Pack Rp 15,000.00 Rp 240,000.00
4 Lusin Rp 40,000.00 Rp 160,000.00
2 Lusin Rp 17,500.00 Rp 35,000.00
4 Buah Rp 5,800.00 Rp 23,200.00
1 Buah Rp 6,200.00 Rp 6,200.00
5 Pack Rp 125,000.00 Rp 625,000.00
29 Rim Rp 40,000.00 Rp 1,160,000.00
80 Rim Rp 48,000.00 Rp 3,840,000.00
Rp 13,726,700.00
1 Buah Rp 20,000.00 Rp 20,000.00
8 Pack Rp 25,000.00 Rp 200,000.00

8 Pack Rp 31,000.00 Rp 248,000.00
1 Buah Rp 75,000.00 Rp 75,000.00
20 Buah Rp 147,000.00 Rp 2,940,000.00
6 Buah Rp 55,000.00 Rp 330,000.00
18 Buah Rp 30,000.00 Rp 540,000.00
Rp 4,353,000.00
1 Buah Rp 20,300.00 Rp 20,300.00

2 Buah Rp 45,000.00 Rp 90,000.00
9 Buah Rp 14,000.00 Rp 126,000.00
4 Buah Rp 12,990.00 Rp 51,960.00
5 Buah Rp 21,000.00 Rp 105,000.00
17 Buah Rp 15,500.00 Rp 263,500.00
9 Galon Rp 127,000.00 Rp 1,143,000.00
7 Buah Rp 20,000.00 Rp 140,000.00
17 Buah Rp 25,200.00 Rp 428,400.00
8 Kaleng Rp 35,000.00 Rp 280,000.00
6 Kaleng Rp 35,000.00 Rp 210,000.00
8 Buah Rp 35,000.00 Rp 280,000.00
8 Buah Rp 16,900.00 Rp 135,200.00
3 Galon Rp 185,000.00 Rp 555,000.00
3 Galon Rp 48,635.00 Rp 145,905.00
5 Buah Rp 200,000.00 Rp 1,000,000.00
2 Buah Rp 179,000.00 Rp 358,000.00
14 Buah Rp 3,000.00 Rp 42,000.00
14 Buah Rp 20,000.00 Rp 280,000.00
4 Buah Rp 20,000.00 Rp 80,000.00
2 Buah Rp 85,000.00 Rp 170,000.00
3 Buah Rp 5,000.00 Rp 15,000.00
15 Buah Rp 15,000.00 Rp 225,000.00
7 Buah Rp 9,000.00 Rp 63,000.00
Rp 6,207,265.00
15 Kotak Rp 8,200.00 Rp 123,000.00

100 Sachet Rp 2,000.00 Rp 200,000.00
140 Sachet Rp 1,916.00 Rp 268,240.00
40 Sachet Rp 1,875.00 Rp 75,000.00
23 Kg Rp 18,500.00 Rp 425,500.00
200 Sachet Rp 2,800.00 Rp 560,000.00
Rp 1,651,740.00
7 Rim Rp 90,000.00 Rp 630,000.00

10 Rim Rp 90,000.00 Rp 900,000.00
1 Rim Rp 90,000.00 Rp 90,000.00
5 Rim Rp 90,000.00 Rp 450,000.00
11 Rim Rp 90,000.00 Rp 990,000.00
1 Rim Rp 95,000.00 Rp 95,000.00
3 Rim Rp 90,000.00 Rp 270,000.00
1 Rim Rp 90,000.00 Rp 90,000.00
1 Rim Rp 90,000.00 Rp 90,000.00
2 Rim Rp 90,000.00 Rp 180,000.00
3 Rim Rp 90,000.00 Rp 270,000.00
3 Rim Rp 90,000.00 Rp 270,000.00
11 Rim Rp 90,000.00 Rp 990,000.00
5 Rim Rp 90,000.00 Rp 450,000.00
12 Rim Rp 90,000.00 Rp 1,080,000.00
4 Rim Rp 90,000.00 Rp 360,000.00
4 Rim Rp 95,000.00 Rp 380,000.00
7 Rim Rp 90,000.00 Rp 630,000.00
4 Rim Rp 90,000.00 Rp 360,000.00
6 Rim Rp 90,000.00 Rp 540,000.00
7 Rim Rp 90,000.00 Rp 630,000.00
4 Rim Rp 95,000.00 Rp 380,000.00
1 Rim Rp 95,000.00 Rp 95,000.00
1 Rim Rp 90,000.00 Rp 90,000.00
4 Rim Rp 90,000.00 Rp 360,000.00
2 Rim Rp 90,000.00 Rp 180,000.00
2 Rim Rp 95,000.00 Rp 190,000.00
3 Rim Rp 90,000.00 Rp 270,000.00
2 Rim Rp 90,000.00 Rp 180,000.00
1 Rim Rp 90,000.00 Rp 90,000.00
1 Rim Rp 95,000.00 Rp 95,000.00
2 Rim Rp 95,000.00 Rp 190,000.00
3 Rim Rp 95,000.00 Rp 285,000.00
1 Rim Rp 90,000.00 Rp 90,000.00
4 Rim Rp 90,000.00 Rp 360,000.00
Rp 12,600,000.00
Rp 121,660.00 Rp 7,421,260.00
61
324 Rp 54,648.00 Rp 17,705,952.00
156 Rp 51,340.00 Rp 8,009,040.00

90 Rp 69,162.00 Rp 6,224,580.00
Rp 39,360,832.00
2984 Rp 1,518.00 Rp 4,529,712.00
3580 Rp 6,090.00 Rp 21,802,200.00
949 Rp 96,000.00 Rp 91,104,000.00

60 Rp 257,500.00 Rp 15,450,000.00
86 Rp 11,800.00 Rp 1,014,800.00
Rp 133,900,712.00
534 Rp 76,285.00 Rp 40,736,190.00

722 Rp 16,412.00 Rp 11,849,464.00
593 Rp 16,500.00 Rp 9,784,500.00
133 Rp 42,300.00 Rp 5,625,900.00
8 Rp 137,610.00 Rp 1,100,880.00
124 Rp 20,900.00 Rp 2,591,600.00
19 Rp 59,950.00 Rp 1,139,050.00
Rp 72,827,584.00
27 Rp 2,344.00 Rp 63,288.00
88 Rp 311.00 Rp 27,368.00
190 Rp 2,213.75 Rp 420,612.50
29 Rp 3,822.00 Rp 110,838.00
100 Rp 112.00 Rp 11,200.00
100 Rp 97.00 Rp 9,700.00
314 Rp 75.00 Rp 23,550.00
30 Rp 5,700.00 Rp 171,000.00
30 Rp 5,200.00 Rp 156,000.00
1000 Rp 110.00 Rp 110,000.00
7 Rp 1,078.00 Rp 7,546.00
129 Rp 4,045.00 Rp 521,805.00

30 Rp 1,400.00 Rp 42,000.00
185 Rp 148.00 Rp 27,380.00
525 Rp 237.00 Rp 124,425.00
7 Rp 10,000.00 Rp 70,000.00
16 Rp 2,550.00 Rp 40,800.00
30 Rp 64.00 Rp 1,920.00
5 Rp 7,800.00 Rp 39,000.00
1089 Rp 62.00 Rp 67,518.00
400 Rp 89.00 Rp 35,600.00
30 Rp 1,350.00 Rp 40,500.00
2470 Rp 112.50 Rp 277,875.00
500 Rp 197.50 Rp 98,750.00
1000 Rp 108.00 Rp 108,000.00
4230 Rp 133.00 Rp 562,590.00
639 Rp 110.00 Rp 70,290.00
2500 Rp 459.00 Rp 1,147,500.00
104 Rp 91.00 Rp 9,464.00

4620 Rp 148.00 Rp 683,760.00
2970 Rp 62.00 Rp 184,140.00
1320 Rp 104.00 Rp 137,280.00
4290 Rp 106.00 Rp 454,740.00
360 Rp 145.00 Rp 52,200.00
300 Rp 330.00 Rp 99,000.00
44 Rp 134,000.00 Rp 5,896,000.00
200 Rp 1,500.00 Rp 300,000.00
720 Rp 44.00 Rp 31,680.00
15 Rp 1,176.00 Rp 17,640.00
1750 Rp 118.00 Rp 206,500.00
97 Rp 3,000.00 Rp 291,000.00
4 Rp 2,204.00 Rp 8,816.00
430 Rp 380.00 Rp 163,400.00
830 Rp 218.00 Rp 180,940.00
126 Rp 88.00 Rp 11,088.00
8560 Rp 63.00 Rp 539,280.00
1300 Rp 59.00 Rp 76,700.00
329 Rp 5,500.00 Rp 1,809,500.00
276 Rp 2,140.00 Rp 590,640.00
1300 Rp 151.00 Rp 196,300.00
15 Rp 14,500.00 Rp 217,500.00
11 Rp 1,845.00 Rp 20,295.00
30 Rp 50,000.00 Rp 1,500,000.00
180 Rp 3,100.00 Rp 558,000.00
49 Rp 2,684.00 Rp 131,516.00
46 Rp 3,250.00 Rp 149,500.00
36 Rp 6,410.00 Rp 230,760.00
400 Rp 108.00 Rp 43,200.00
438 Rp 745.00 Rp 326,310.00
584 Rp 523.00 Rp 305,432.00
8900 Rp 740.00 Rp 6,586,000.00
51 Rp 18,000.00 Rp 918,000.00
113 Rp 10,800.00 Rp 1,220,400.00
2210 Rp 118.00 Rp 260,780.00
1000 Rp 96.00 Rp 96,000.00
80 Rp 41,000.00 Rp 3,280,000.00
59 Rp 1,390.00 Rp 82,010.00
200 Rp 284.00 Rp 56,800.00
232 Rp 7,150.00 Rp 1,658,800.00
136 Rp 1,025.00 Rp 139,400.00
1030 Rp 281.00 Rp 289,430.00
180 Rp 800.00 Rp 144,000.00
1400 Rp 950.00 Rp 1,330,000.00
3560 Rp 115.00 Rp 409,400.00
40 Rp 14,980.00 Rp 599,200.00
90 Rp 296.00 Rp 26,640.00
10 Rp 3,849.00 Rp 38,490.00
300 Rp 91.00 Rp 27,300.00
2000 Rp 110.00 Rp 220,000.00
134 Rp 3,465.00 Rp 464,310.00
3900 Rp 232.00 Rp 904,800.00
179 Rp 4,200.00 Rp 751,800.00
95 Rp 2,924.00 Rp 277,780.00
130 Rp 3,045.00 Rp 395,850.00
34 Rp 2,750.00 Rp 93,500.00
500 Rp 114.00 Rp 57,000.00
2670 Rp 55.00 Rp 146,850.00
1000 Rp 249.00 Rp 249,000.00
280 Rp 349.00 Rp 97,720.00
2000 Rp 145.00 Rp 290,000.00
32400 Rp 352.00 Rp 11,404,800.00
850 Rp 149.00 Rp 126,650.00
79 Rp 1,349.00 Rp 106,571.00
19 Rp 126,500.00 Rp 2,403,500.00
55 Rp 5,800.00 Rp 319,000.00
500 Rp 330.00 Rp 165,000.00
290 Rp 96.00 Rp 27,840.00
3000 Rp 41.00 Rp 123,000.00
40 Rp 12,090.00 Rp 483,600.00
150 Rp 3,000.00 Rp 450,000.00
60 Rp 2,204.00 Rp 132,240.00
462 Rp 730.00 Rp 337,260.00
18 Rp 2,999.70 Rp 53,994.60
665 Rp 695.00 Rp 462,175.00
29 Rp 3,550.00 Rp 102,950.00
64 Rp 8,990.00 Rp 575,360.00
471 Rp 264.00 Rp 124,344.00
914 Rp 245.00 Rp 223,930.00
775 Rp 149.00 Rp 115,475.00
171 Rp 2,650.00 Rp 453,150.00
3695 Rp 105.00 Rp 387,975.00
2200 Rp 127.00 Rp 279,400.00
137 Rp 5,700.00 Rp 780,900.00
500 Rp 90.00 Rp 45,000.00
6 Rp 9,955.00 Rp 59,730.00
610 Rp 68.00 Rp 41,480.00
67 Rp 2,545.00 Rp 170,515.00
770 Rp 280.00 Rp 215,600.00
149 Rp 3,008.00 Rp 448,192.00
51 Rp 1,810.00 Rp 92,310.00
50 Rp 4,700.00 Rp 235,000.00
66 Rp 3,250.00 Rp 214,500.00
8415 Rp 42.00 Rp 353,430.00
72 Rp 14,500.00 Rp 1,044,000.00
64 Rp 860.00 Rp 55,040.00
10 Rp 40,000.00 Rp 400,000.00
745 Rp 125.00 Rp 93,125.00
12 Rp 3,650.00 Rp 43,800.00
835 Rp 150.00 Rp 125,250.00
50 Rp 3,800.00 Rp 190,000.00
1000 Rp 94.00 Rp 94,000.00
1000 Rp 113.00 Rp 113,000.00
247 Rp 32,945.00 Rp 8,137,415.00
930 Rp 159.00 Rp 147,870.00
35 Rp 3,993.00 Rp 139,755.00
45 Rp 1,900.00 Rp 85,500.00
30 Rp 11,868.00 Rp 356,040.00
1285 Rp 160.00 Rp 205,600.00
317 Rp 5,200.00 Rp 1,648,400.00
182 Rp 1,010.00 Rp 183,820.00
11100 Rp 56.00 Rp 621,600.00
30 Rp 2,500.00 Rp 75,000.00
18 Rp 17,999.30 Rp 323,987.40
4840 Rp 98.00 Rp 474,320.00
1725 Rp 83.00 Rp 143,175.00
2890 Rp 131.00 Rp 378,590.00
16 Rp 20,700.00 Rp 331,200.00
30 Rp 6,850.00 Rp 205,500.00
2380 Rp 86.00 Rp 204,680.00
71 Rp 12,155.00 Rp 863,005.00
2000 Rp 115.00 Rp 230,000.00
620 Rp 1,298.00 Rp 804,760.00
50 Rp 4,789.00 Rp 239,450.00
1155 Rp 513.00 Rp 592,515.00
960 Rp 155.00 Rp 148,800.00

86 Rp 5,670.00 Rp 487,620.00
50 Rp 6,500.00 Rp 325,000.00
3340 Rp 191.00 Rp 637,940.00
1700 Rp 95.00 Rp 161,500.00
Rp 82,747,025.50
90 Rp 296.50 Rp 26,685.00
2 Rp 44,605.00 Rp 89,210.00
15 Rp 27,500.00 Rp 412,500.00
10 Rp 27,500.00 Rp 275,000.00
94 Rp 1,542.75 Rp 145,018.50
100 Rp 1,542.75 Rp 154,275.00
6 Rp 20,295.00 Rp 121,770.00
1 Rp 298,760.00 Rp 298,760.00
264 Rp 5,408.33 Rp 1,427,800.00
24 Rp 5,408.33 Rp 129,800.00
253 Rp 5,408.33 Rp 1,368,308.33
36 Rp 108,839.50 Rp 3,918,222.00
200 Rp 1,798.28 Rp 359,656.00
200 Rp 1,798.28 Rp 359,656.00
2 Rp 24,624.60 Rp 49,249.20
200 Rp 24,624.60 Rp 4,924,920.00
24 Rp 48,400.00 Rp 1,161,600.00
82440 Rp 89.84 Rp 7,406,615.70
53 Rp 56,375.00 Rp 2,987,875.00
252 Rp 3,720.75 Rp 937,629.00
100 Rp 3,720.75 Rp 372,075.00
100 Rp 3,720.75 Rp 372,075.00
22700 Rp 14.66 Rp 332,725.25
3000 Rp 37.21 Rp 111,622.50
8000 Rp 23.68 Rp 189,420.00
158 Rp 27,511.00 Rp 4,346,738.00
144 Rp 15,950.00 Rp 2,296,800.00
2 Rp 174,405.00 Rp 348,810.00
4 Rp 8,143.06 Rp 32,572.22
16 Rp 21,500.00 Rp 344,000.00
60 Rp 22,000.00 Rp 1,320,000.00
1500 Rp 583.00 Rp 874,500.00
6 Rp 54,560.00 Rp 327,360.00
180 Rp 5,800.00 Rp 1,044,000.00
66000 Rp 110.00 Rp 7,260,000.00
105000 Rp 93.50 Rp 9,817,500.00
5 Rp 5,500.00 Rp 27,500.00
195 Rp 968.00 Rp 188,760.00

1200 Rp 1,310.00 Rp 1,572,000.00
1 Rp 880,000.00 Rp 880,000.00
2 Rp 330,000.00 Rp 660,000.00
1 Rp 137,500.00 Rp 137,500.00
2 Rp 60,775.00 Rp 121,550.00
1 Rp 28,600.00 Rp 28,600.00
3 Rp 715,000.00 Rp 2,145,000.00
200 Rp 473.00 Rp 94,600.00
100 Rp 17,400.00 Rp 1,740,000.00
160 Rp 17,400.00 Rp 2,784,000.00
76 Rp 8,355.00 Rp 634,980.00
78 Rp 8,355.00 Rp 651,690.00
52 Rp 8,355.00 Rp 434,460.00
5 Rp 28,300.00 Rp 141,500.00
2 Rp 25,300.00 Rp 50,600.00
35 Rp 5,082.00 Rp 177,870.00
2 Rp 176,000.00 Rp 352,000.00
41 Rp 5,720.00 Rp 234,520.00
700 Rp 789.00 Rp 552,300.00

500 Rp 762.00 Rp 381,000.00
700 Rp 160.50 Rp 112,350.00
24 Rp 37,203.00 Rp 892,872.00
24 Rp 37,203.00 Rp 892,872.00
24 Rp 37,203.00 Rp 892,872.00
20 Rp 11,800.00 Rp 236,000.00
20 Rp 11,800.00 Rp 236,000.00
50 Rp 4,700.00 Rp 235,000.00
51 Rp 4,400.00 Rp 224,400.00
71 Rp 6,061.00 Rp 430,331.00
4 Rp 40,999.20 Rp 163,996.80
500 Rp 466.00 Rp 233,000.00
36 Rp 22,000.00 Rp 792,000.00
35 Rp 14,400.00 Rp 504,000.00
43 Rp 21,929.00 Rp 942,947.00
10 Rp 6,400.00 Rp 64,000.00
5 Rp 7,300.00 Rp 36,500.00
24 Rp 35,077.00 Rp 841,848.00
269 Rp 1,590.00 Rp 427,710.00
13866 Rp 1,195.00 Rp 16,569,870.00
1587 Rp 1,640.00 Rp 2,602,680.00
10 Rp 6,900.00 Rp 69,000.00
1 Rp 429,647.00 Rp 429,647.00
1 Rp 29,700.00 Rp 29,700.00
91 Rp 3,920.00 Rp 356,720.00
129 Rp 5,890.00 Rp 759,810.00
400 Rp 4,125.00 Rp 1,650,000.00
5184 Rp 388.89 Rp 2,016,000.00
1700 Rp 1,160.00 Rp 1,972,000.00
5 Rp 89,000.00 Rp 445,000.00
5 Rp 89,000.00 Rp 445,000.00
500 Rp 490.00 Rp 245,000.00
900 Rp 490.00 Rp 441,000.00
1200 Rp 462.00 Rp 554,400.00
110 Rp 1,010.90 Rp 111,199.00
100 Rp 3,685.00 Rp 368,500.00
98 Rp 8,552.00 Rp 838,096.00
1200 Rp 145.64 Rp 174,768.00
16100 Rp 99.99 Rp 1,609,839.00
1 Rp 153,194.00 Rp 153,194.00
18 Rp 572,000.00 Rp 10,296,000.00
4 Rp 1,870,000.00 Rp 7,480,000.00
55 Rp 19,500.00 Rp 1,072,500.00
476 Rp 21,500.00 Rp 10,234,000.00
143 Rp 22,450.00 Rp 3,210,350.00
1 Rp 1,155,000.00 Rp 1,155,000.00
1 Rp 935,000.00 Rp 935,000.00
1319 Rp 839.00 Rp 1,106,641.00
841 Rp 789.00 Rp 663,549.00
5 Rp 770,000.00 Rp 3,850,000.00
5 Rp 1,320,000.00 Rp 6,600,000.00
1 Rp 770,000.00 Rp 770,000.00
5 Rp 401,500.00 Rp 2,007,500.00
2 Rp 770,000.00 Rp 1,540,000.00
2 Rp 770,000.00 Rp 1,540,000.00
1 Rp 2,970,000.00 Rp 2,970,000.00
3 Rp 66,660.00 Rp 199,980.00
3 Rp 66,660.00 Rp 199,980.00
3 Rp 66,660.00 Rp 199,980.00
2 Rp 66,660.00 Rp 133,320.00
2 Rp 66,660.00 Rp 133,320.00
3 Rp 66,660.00 Rp 199,980.00
3 Rp 66,660.00 Rp 199,980.00
3 Rp 66,660.00 Rp 199,980.00
7 Rp 68,200.00 Rp 477,400.00
7 Rp 68,200.00 Rp 477,400.00
7 Rp 92,510.00 Rp 647,570.00
7 Rp 114,070.00 Rp 798,490.00
Rp 169,233,219.51
Rp 536,608,078.01
5 Pcs Rp 16,364.00 Rp 81,820.00 22-Feb-18

5 Pcs Rp 8,636.00 Rp 43,180.00 22-Feb-18
1 Pcs Rp 16,364.00 Rp 16,364.00 22-Feb-18
1 Pcs Rp 8,636.00 Rp 8,636.00 22-Feb-18
4 Box Rp 122,727.00 Rp 490,908.00 22-Feb-18
60 Pcs Rp 3,409.00 Rp 204,540.00 22-Feb-18
Rp 930,000.00
5 Rim Rp 110,000.00 Rp 550,000.00 6-Mar-18

5 Rim Rp 110,000.00 Rp 550,000.00 6-Mar-18
5 Rim Rp 110,000.00 Rp 550,000.00 6-Mar-18
5 Rim Rp 110,000.00 Rp 550,000.00 6-Mar-18
5 Rim Rp 110,000.00 Rp 550,000.00 6-Mar-18
5000 Lembar Rp 600.00 Rp 3,000,000.00 6-Mar-18
1000 Lembar Rp 2,000.00 Rp 2,000,000.00 6-Mar-18
1000 Lembar Rp 2,000.00 Rp 2,000,000.00 6-Mar-18
5 Rim Rp 110,000.00 Rp 550,000.00 6-Mar-18
500 Lembar Rp 4,000.00 Rp 2,000,000.00 6-Mar-18
1000 Lembar Rp 1,000.00 Rp 1,000,000.00 6-Mar-18
10 Rim Rp 170,000.00 Rp 1,700,000.00 6-Mar-18
5 Rim Rp 120,000.00 Rp 600,000.00
2 Rim Rp 120,000.00 Rp 240,000.00 6-Mar-18
2 Rim Rp 125,000.00 Rp 250,000.00 6-Mar-18
2 Rim Rp 110,000.00 Rp 220,000.00 6-Mar-18
10 Rim Rp 120,000.00 Rp 1,200,000.00 6-Mar-18
2 Rim Rp 120,000.00 Rp 240,000.00 6-Mar-18
2 Rim Rp 110,000.00 Rp 220,000.00 6-Mar-18
2 Rim Rp 120,000.00 Rp 240,000.00 6-Mar-18
2 Rim Rp 120,000.00 Rp 240,000.00 6-Mar-18
1000 Lembar Rp 600.00 Rp 600,000.00 6-Mar-18
1000 Lembar Rp 600.00 Rp 600,000.00 6-Mar-18
5 Rim Rp 110,000.00 Rp 550,000.00 6-Mar-18
2 Rim Rp 110,000.00 Rp 220,000.00 6-Mar-18
2 Rim Rp 110,000.00 Rp 220,000.00 6-Mar-18
100 Lembar Rp 15,000.00 Rp 1,500,000.00 6-Mar-18
1000 Lembar Rp 2,000.00 Rp 2,000,000.00 6-Mar-18
1000 Lembar Rp 2,000.00 Rp 2,000,000.00 6-Mar-18
1000 Lembar Rp 2,000.00 Rp 2,000,000.00 6-Mar-18
1000 Lembar Rp 2,000.00 Rp 2,000,000.00 6-Mar-18
1000 Lembar Rp 2,000.00 Rp 2,000,000.00 6-Mar-18
3 Pcs Rp 85,000.00 Rp 255,000.00 6-Mar-18
10 Lembar Rp 20,000.00 Rp 200,000.00 6-Mar-18
5 Lembar Rp 10,000.00 Rp 50,000.00 6-Mar-18
5 Lembar Rp 10,000.00 Rp 50,000.00 6-Mar-18
6 Lembar Rp 10,000.00 Rp 60,000.00 6-Mar-18
Rp 32,755,000.00
3 Buah Rp 50,000.00 Rp 150,000.00 20-Mar-18

3 Buah Rp 50,000.00 Rp 150,000.00 20-Mar-18
1 Buah Rp 500,000.00 Rp 500,000.00 20-Mar-18
Rp 800,000.00
1 Paket Rp 2,500,000.00 Rp 2,500,000.00 20-Mar-18

2 Set Rp 450,000.00 Rp 900,000.00 20-Mar-18
5 Unit Rp 550,000.00 Rp 2,750,000.00 20-Mar-18
2 Buah Rp 850,000.00 Rp 1,700,000.00 20-Mar-18
4 Unit Rp 200,000.00 Rp 800,000.00 20-Mar-18
3 Buah Rp 250,000.00 Rp 750,000.00 20-Mar-18
3 Buah Rp 150,000.00 Rp 450,000.00 20-Mar-18
3 Buah Rp 800,000.00 Rp 2,400,000.00 20-Mar-18
12 Buah Rp 35,000.00 Rp 420,000.00 20-Mar-18
Rp 12,670,000.00
Rp 47,155,000.00
2 Dus Rp 168,000.00 Rp 336,000.00 5-Mar-18

2 Dus Rp 168,000.00 Rp 336,000.00 5-Mar-18
2 Dus Rp 235,000.00 Rp 470,000.00 5-Mar-18
Rp 1,142,000.00
40 Box Rp 12,500.00 Rp 500,000.00 5-Mar-18

15 Pack Rp 30,000.00 Rp 450,000.00 5-Mar-18
Rp 950,000.00
2 Lusin Rp 215,000.00 Rp 430,000.00 6-Mar-18

20 Pcs Rp 13,500.00 Rp 270,000.00 6-Mar-18
5 Lusin Rp 25,000.00 Rp 125,000.00 6-Mar-18
5 Lusin Rp 42,000.00 Rp 210,000.00 6-Mar-18
2 Pcs Rp 190,000.00 Rp 380,000.00 6-Mar-18
4 Pcs Rp 17,500.00 Rp 70,000.00 6-Mar-18
1 Pcs Rp 17,500.00 Rp 17,500.00 6-Mar-18
1 Lusin Rp 95,000.00 Rp 95,000.00 6-Mar-18
2 Lusin Rp 22,500.00 Rp 45,000.00 6-Mar-18
3 Rol Rp 20,000.00 Rp 60,000.00 6-Mar-18
3 Rol Rp 20,000.00 Rp 60,000.00 6-Mar-18
3 Rol Rp 20,000.00 Rp 60,000.00 6-Mar-18
5 Rol Rp 20,000.00 Rp 100,000.00 6-Mar-18
15 Pcs Rp 60,000.00 Rp 900,000.00 6-Mar-18
Rp 2,822,500.00
Rp 4,914,500.00
183,201,244.40 01 Januari-31 Maret 2018
76,661,857.00 01 Januari-31 Maret 2018
42,210,405.00 01 Januari-31 Maret 2018
- 01 Januari-31 Maret 2018
01 Januari-31 Maret 2018
Rp 890,751,084.41
Penanggung Jawab Barang

UPT / Puskesmas Jurang Mangu
Octriana Kemala Sari

PROVINSI : Banten
UPT/PUSKESMAS : Jurang Mangu
BUKU PENGELUARAN BARANG PAKAI HABIS

Tanggal Harga Satuan

No. Pengeluaran Nama Barang/Jenis Barang Banyaknya Satuan Setelah ditambah Jumlah Harga (Rp) Nomor Urut
Honor+Adm (Rp)
1 2 3 4 5 6 7 8
Belanja ATK (Kode Rek: .522.01.01)
1 5-Jan-18 Amplop Polos No.104 'Jaya' 1 Pak 25,000.00 25,000.00
2 23-Feb-18 Amplop Polos No.104 'Jaya' 1 Pak 25,000.00 25,000.00
3 23-Feb-18 Amplop Polos No.104 'Jaya' 1 Pak 25,000.00 25,000.00
4 15-Mar-18 Amplop Polos No.104 'Jaya' 1 Pak 25,000.00 25,000.00
5 23-Feb-18 Amplop Polos No. 90 'Jaya' 1 Pak 29,000.00 29,000.00
6 3-Mar-18 Amplop Polos No. 90 'Jaya' 2 Pak 29,000.00 58,000.00
7 17-Feb-18 Trigonal Klip 2 Kotak 25,000.00 50,000.00
8 2-Mar-18 Trigonal Klip 1 Kotak 25,000.00 25,000.00
9 8-Jan-18 Isi Stapler No.10 1 Kotak 2,000.00 2,000.00
10 3-Feb-18 Isi Stapler No.10 1 Kotak 2,000.00 2,000.00
11 17-Feb-18 Kertas A4 70gr Paperone 1 Rim 35,000.00 40,000.00
12 12-Jan-18 Kertas F4 70gr Paperone 1 Rim 39,000.00 48,000.00
16 7-Feb-18 Kertas F4 70gr Paperone 1 Rim 39,000.00 48,000.00
17 26-Feb-18 Penggaris Besi 1 Buah 14,000.00 6,300.00
18 3-Mar-18 Penggaris Besi 1 Buah 14,000.00 6,300.00
19 3-Feb-18 Spidol Permanent 1 Pcs 11,000.00 11,000.00
20 6-Feb-18 Spidol Permanent 1 Pcs 11,000.00 11,000.00
21 15-Mar-18 Spidol Permanent 1 Pcs 11,000.00 11,000.00
31 29-Mar-18 Lem Stik 1 Pcs 6,200.00 6,200.00
32 15-Jan-18 Label Sticker 103 1 Pcs 4,400.00 4,400.00
33 6-Feb-18 Label Sticker 103 1 Pcs 4,400.00 4,400.00
34 3-Mar-18 Label Sticker 103 1 Pcs 4,400.00 4,400.00
36 15-Jan-18 Box File 'Bindex' 1 Buah 35,000.00 35,000.00
39 2-Feb-18 Box File 'Bindex' 1 Buah 35,000.00 35,000.00
42 3-Mar-18 Box File 'Bindex' 5 Buah 35,000.00 175,000.00
43 14-Mar-18 Box File 'Bindex' 2 Buah 35,000.00 70,000.00
45 15-Jan-18 Paperklip 'Joyko' 1 Pak 25,000.00 25,000.00
46 27-Mar-18 Paperklip 'Joyko' 1 Pak 25,000.00 25,000.00
50 18-Jan-18 Buku Folio 500Lembar 1 Buah 75,000.00 75,000.00
51 3-Feb-18 Buku Folio 500Lembar 1 Buah 75,000.00 75,000.00
59 18-Jan-18 Post it Warna 1 Buah 15,000.00 15,000.00
62 3-Mar-18 Post it Warna 1 Buah 15,000.00 15,000.00
67 27-Feb-18 Kertas F4 70gr 1 Rim 41,000.00 48,000.00
68 27-Feb-18 Kertas F4 70gr 1 Rim 41,000.00 48,000.00
69 17-Feb-18 Spidol Whiteboard 1 Pcs 8,500.00 11,000.00
72 3-Mar-18 Spidol Whiteboard 1 Pcs 8,500.00 11,000.00
Sub Total Pengeluaran (Rp) 1,962,000.00
1 13-Jan-18 Baterai A2 Energizer 1 Buah 25,000.00 25,000.00
4 26-Jan-18 Lampu Jari 2 Buah 55,000.00 110,000.00
5 1-Feb-18 Lampu Jari 1 Buah 55,000.00 55,000.00
6 3-Feb-18 Senter Everready 1 Buah 20,000.00 20,000.00
7 17-Feb-18 Lampu LED 1 Buah 147,000.00 147,000.00
8 17-Feb-18 Lampu LED 1 Buah 147,000.00 147,000.00
9 4-Mar-18 Lampu LED 1 Buah 147,000.00 147,000.00
1 6-Jan-18 Kemoceng Static Duster 1 Buah 20,300.00 20,300.00
2 6-Jan-18 Alat Pel 1 Buah 85,000.00 85,000.00
3 16-Feb-18 Pembersih Kaca 1 Buah 15,000.00 15,000.00
4 6-Mar-18 Pembersih Kaca 1 Buah 15,000.00 15,000.00
5 28-Mar-18 Pembersih Kaca 1 Buah 15,000.00 15,000.00
6 16-Feb-18 Sabun Cuci Piring 1 Buah 15,500.00 15,500.00
7 27-Feb-18 Sabun Cuci Piring 1 Buah 15,500.00 15,500.00
8 3-Mar-18 Sabun Cuci Piring 1 Buah 15,500.00 15,500.00
10 15-Jan-18 Sabun Cuci Piring 1 Buah 15,500.00 15,500.00
13 13-Mar-18 Tissue Kotak Paseo 2 Kotak 12,500.00 25,000.00
21 16-Feb-18 Sabun Colek Ekonomi 1 Buah 3,000.00 3,000.00
22 27-Feb-18 Sabun Colek Ekonomi 1 Buah 3,000.00 3,000.00
23 3-Mar-18 Sabun Colek Ekonomi 1 Buah 3,000.00 3,000.00
25 15-Jan-18 Sabun Colek Ekonomi 1 Buah 3,000.00 3,000.00
28 15-Feb-18 Obat Anti Nyamuk 1 Botol 35,000.00 35,000.00
29 20-Mar-18 Obat Anti Nyamuk 1 Botol 35,000.00 35,000.00
30 7-Jan-18 Hand Soap 1 Galon 127,000.00 127,000.00
31 20-Feb-18 Hand Soap 1 Galon 127,000.00 127,000.00
32 22-Mar-18 Hand Soap 1 Galon 127,000.00 127,000.00
33 7-Jan-18 Swallow Kamper Bulat 2 Buah 20,000.00 40,000.00
34 24-Jan-18 Swallow Kamper Bulat 3 Buah 20,000.00 60,000.00
35 13-Feb-18 Swallow Kamper Bulat 1 Buah 20,000.00 20,000.00
39 8-Jan-18 Plastik Sampah 2 Buah 30,000.00 60,000.00
40 14-Mar-18 Plastik Sampah 2 Buah 30,000.00 60,000.00
43 11-Jan-18 Bayclin 1 Galon 48,635.00 48,635.00
44 11-Jan-18 Bayclin 1 Galon 48,635.00 48,635.00
45 20-Feb-18 Bayclin 1 Galon 48,635.00 48,635.00
CETAK (5.2.2.06.01)
1 8-Jan-18 Cetak Kertas Berkop 1 Rim 90,000.00 90,000.00
2 16-Jan-18 Cetak Surat Rujukan 1 Rim 90,000.00 90,000.00
3 16-Jan-18 Cetak Format Catatan Perkembangan & Instr. Dokter 1 Rim 90,000.00 90,000.00
4 16-Jan-18 Cetak Form Rawat Inap 1 Rim 90,000.00 90,000.00
5 16-Jan-18 Form Kontrol Post Rawat Inap 1 Rim 90,000.00 90,000.00
6 20-Mar-18 Kartu Stock Obat 250 Lembar 600.00 150,000.00
7 20-Mar-18 Kartu Stock Barang 500 Lembar 600.00 300,000.00
sub Total Pengeluaran (Rp) 900,000.00
1 14-Feb-18 Kopi 10 Sachet Rp 2,000 20,000.00
2 22-Feb-18 Kopi 10 Sachet Rp 1,875 18,750.00
3 30 feb 15 Kopi 10 Sachet Rp 2,000 20,000.00
4 4-Mar-18 Kopi 10 Sachet Rp 2,000 20,000.00
8 14-Feb-18 Gula Pasir 1 Kg Rp 18,500 18,500.00
9 22-Feb-18 Gula Pasir 2 Kg Rp 18,500 37,000.00
10 30 feb 15 Gula Pasir 1 Kg Rp 18,500 18,500.00
11 4-Mar-18 Gula Pasir 1 Kg Rp 18,500 18,500.00
15 14-Feb-18 Teh Celup 1 Kotak Rp 8,200 8,200.00
16 22-Feb-18 Teh Celup 1 Kotak Rp 8,200 8,200.00
17 30 feb 15 Teh Celup 1 Kotak Rp 8,200 8,200.00
18 4-Mar-18 Teh Celup 1 Kotak Rp 8,200 8,200.00
22 14-Feb-18 Susu Sachet 5 Sachet Rp 2,800 14,000.00
23 22-Feb-18 Susu Sachet 5 Sachet Rp 2,800 14,000.00
24 30 feb 15 Susu Sachet 7 Sachet Rp 2,800 19,600.00
25 4-Mar-18 Susu Sachet 5 Sachet Rp 2,800 14,000.00
Sub Total Pengeluaran (Rp) 487,420.00
01 Januari-31 Maret 2018 Obat dan Vaksin 227,902,855.00
01 Januari-31 Maret 2018 BMHP 48,828,823.33
01 Januari-31 Maret 2018 Laboratorium 34,666,330.32
01 Januari-31 Maret 2018 PMT 22,582,050.56
01 Januari-31 Maret 2018 ALKON
Total Pengeluaran (Rp) Rp 339,927,184.21
Mengetahui,
Aisah, SKM
NIP. 19660920 198803 2 003
Tanggal
Untuk Penyerahan Ket.
9 10 11
Tata Usaha 5-Jan-18

Tata Usaha 23-Feb-18
BP.Umum 23-Feb-18
BP.Umum 15-Mar-18
Bendahara JKN 3-Mar-18
Nurse Station 2-Mar-18
Loket 8-Jan-18
Tata Usaha 3-Feb-18
Tata Usaha 12-Jan-18
Loket 12-Jan-18
Loket 31-Jan-18
Tata Usaha 7-Feb-18
Loket 26-Feb-18
Apotik 3-Feb-18
Loket 6-Feb-18
Poli Gizi 15-Mar-18
Apotik 15-Mar-18
Loket 29-Mar-18
BP Umum 29-Mar-18
Loket 15-Jan-18
Nurse Station 6-Feb-18
Loket 3-Mar-18
Nurse Station 15-Jan-18
Bidan Desa 28-Jan-18
Poli Gizi 2-Feb-18
BOK 15-Feb-18
IGD 27-Feb-18
Apotek 3-Mar-18
Loket 14-Mar-18
Loket 15-Jan-18
Loket 27-Mar-18
Satpam 18-Jan-18
BP Umum 3-Feb-18
Loket 3-Feb-18
Nurse Station 27-Feb-18
Loket 18-Jan-18
Bendahara OP 26-Jan-18
Bendahara JKN 26-Jan-18
Poli Gizi 3-Mar-18
Loket 27-Feb-18
Loket 17-Feb-18
Apotik 23-Feb-18
KIA 3-Mar-18
Loket 15-Mar-18
Laboratorium 20-Mar-18
BP Umum 27-Mar-18
Laboratorium 13-Jan-18
Jam Dinding R.VK 26-Jan-18
Remote AC Poli Gigi 13-Jan-18
BP Umum 26-Jan-18
IGD 1-Feb-18
BP Umum 3-Feb-18
Apotik 17-Feb-18
Ruang Tunggu 17-Feb-18
Loket 4-Mar-18
Ruang Tunggu 15-Mar-18
Lorong 15-Mar-18
OB 6-Jan-18
OB (Lantai 1) 6-Jan-18
OB 16-Feb-18
OB 6-Mar-18
OB 28-Mar-18
Dapur 16-Feb-18
Dapur 27-Feb-18
Dapur 3-Mar-18
Dapur 14-Mar-18
Dapur 15-Jan-18
Dapur 23-Mar-18
Dapur 27-Mar-18
Poli Umum 13-Mar-18
KIA 13-Mar-18
Aula 13-Mar-18
R.Kapus 13-Mar-18
Poli Gigi 13-Mar-18
LAB 13-Mar-18
APOTIK 13-Mar-18
VK 13-Mar-18
OB 16-Feb-18
OB 27-Feb-18
OB 3-Mar-18
OB 14-Mar-18
OB 15-Jan-18
OB 23-Mar-18
OB 27-Mar-18
Ruang Jaga Dokter 15-Feb-18
Ruang Jaga Dokter 20-Mar-18
OB 7-Jan-18
OB 20-Jan-18
OB 22-Mar-18
OB 7-Jan-18
OB 24-Jan-18
OB 13-Feb-18
OB 27-Feb-18
OB 5-Feb-18
OB 20-Feb-18
OB 8-Jan-18
OB 14-Jan-18
OB 23-Jan-18
OB 28-Jan-18
Laboratorium 11-Jan-18
VK 11-Jan-18
VK 20-Feb-18
Tata usaha 8-Jan-18

BP Umum 16-Jan-18
Apotik 2-Feb-18
Pemegang Barang 2-Feb-18
Dapur 14-Feb-18
Dapur 22-Feb-18
Dapur 30 feb 15
Dapur 4-Mar-18
Dapur 10-Mar-18
Dapur 18-Mar-18
Dapur 25-Mar-18
Dapur 14-Feb-18
Dapur 22-Feb-18
Dapur 30 feb 15
Dapur 4-Mar-18
Dapur 10-Mar-18
Dapur 18-Mar-18
Dapur 25-Mar-18
Dapur 14-Feb-18
Dapur 22-Feb-18
Dapur 30 feb 15
Dapur 4-Mar-18
Dapur 10-Mar-18
Dapur 18-Mar-18
Dapur 25-Mar-18
Dapur 14-Feb-18
Dapur 22-Feb-18
Dapur 30 feb 15
Dapur 4-Mar-18
Dapur 10-Mar-18
Dapur 18-Mar-18
Dapur 25-Mar-18

Tangerang Selatan, 08 April 2018


PROVINSI : Banten
LAPORAN
BUL
Dokumen/Faktur/Kwitansi/Nota Pembelian Dasar Penerimaan

No Tanggal Penerimaan Dari Banyaknya Nama Barang/ Jenis Barang
Nomor Tanggal Jenis Surat No.
1 2 3 4 5 6 7 8 9
ATK (5.2.2.01.01)
1 31-Dec-14 Stock Opname 5 Amplop Polos No.104 'Jaya'
2 31-Dec-14 Stock Opname 4 Amplop Polos No. 90 'Jaya'
3 31-Dec-14 Stock Opname 0 Ballpoint AE7 'Standar'

4 31-Dec-14 Stock Opname 5 Binder Klip 'Joyko'
5 31-Dec-14 Stock Opname 0 Buku Ekspedisi

6 31-Dec-14 Stock Opname 0 Buku Folio 100 Lembar
7 31-Dec-14 Stock Opname 0 Clear Folder F4
8 31-Dec-14 Stock Opname 3 Isi Stapler No.10
9 31-Dec-14 Stock Opname 8 Isi Stapler No. 3

10 31-Dec-14 Stock Opname 1 Kertas A4 70gr Paperone
11 31-Dec-14 Stock Opname 5 Kertas F4 70gr Paperone
12 31-Dec-14 Stock Opname 6 Map Kertas Biasa

13 1-Jan-15 Stock Opname 0 Paperklip
14 31-Dec-14 Stock Opname 8 Penggaris besi
15 31-Dec-14 Stock Opname 8 Pensil 2B Faber Castle

16 31-Dec-14 Stock Opname 5 Spidol Permanent
17 31-Dec-14 Stock Opname 0 Spidol Whiteboard
18 31-Dec-14 Stock Opname 0 Stabilo
19 31-Dec-14 Stock Opname 10 Tinta Stempel
20 31-Dec-14 Stock Opname 5 Tipex
21 31-Dec-14 Stock Opname 6 Lemfox Besar
22 31-Dec-14 Stock Opname 11 Label Sticker 103
23 31-Dec-14 Stock Opname 2 Pembolong Kertas

24 31-Dec-14 Stock Opname 0 Bussines File
25 31-Dec-14 Stock Opname 0 Gunting
26 31-Dec-14 Stock Opname 1 Bak Stempel
27 31-Dec-14 Stock Opname 15 Box File 'Bindex'
28 31-Dec-14 Stock Opname 1 Buku Tulis 'Sidu'

29 31-Dec-14 Stock Opname 2 Catridge 'HP 802' Hitam
30 31-Dec-14 Stock Opname 18 PaperKlip 'Joyko'
31 31-Dec-14 Stock Opname 1 Spidol Permanent 'Snowman'

32 31-Dec-14 Stock Opname 7 Stapler HD-10Max
33 31-Dec-14 Stock Opname 4 Stapler HD-50Max

34 31-Dec-14 Stock Opname 18 Buku Folio 500Lembar
35 31-Dec-14 Stock Opname 17 Bindex 'Bambi'
36 31-Dec-14 Stock Opname 16 Post it Warna
37 31-Dec-14 Stock Opname 0 Penghapus Stadler

38 31-Dec-14 Stock Opname 9 Tinta Refill Hitam
39 31-Dec-14 Stock Opname 9 Tinta Refill Warna

40 14-Feb-15 Belanja Operasional 5 Kertas F4 70gr
41 14-Feb-15 Belanja Operasional 12 Spidol Whiteboard
Sub Total Penerimaan (Rp)

42 31-Dec-14 Stock Opname 8 Baterai A2 Energizer
43 31-Dec-14 Stock Opname 2 Baterai A3 Energizer

44 31-Dec-14 Stock Opname 4 Baterai Besar Alkaline
45 31-Dec-14 Stock Opname 3 Lampu Jari
46 31-Dec-14 Stock Opname 10 Lampu Neon TL 18 Watt Philips

47 31-Dec-14 Stock Opname 5 Senter Everready
48 31-Dec-14 Stock Opname 3 Stop Kontak
49 31-Dec-14 Stock Opname 5 Emergency Lamp Surya L6004

50 31-Dec-14 Stock Opname 1 Emergency Lamp Surya L350
51 31-Dec-14 Stock Opname 1 Raket Nyamuk Luxury
52 31-Dec-14 Stock Opname 2 Roll Kabel Hiro
53 10-Feb-15 Belanja Operasional 3 Baterai Kering A2

54 10-Feb-15 Belanja Operasional 20 Lampu Jari

55 31-Dec-14 Stock Opname 3 Sapu Lantai Panda
56 31-Dec-14 Stock Opname 3 Lap Handuk Gantung
57 31-Dec-14 Stock Opname 2 Kemoceng Static Duster

58 31-Dec-14 Stock Opname 4 Alat Pel
59 31-Dec-14 Stock Opname 0 Tempat Sampah Besar Savel

60 31-Dec-14 Stock Opname 0 Tempat Sampah Kecil
61 31-Dec-14 Stock Opname 0 Tempat Sampah Sedang
62 31-Dec-14 Stock Opname 0 Gunting Rumput
63 31-Dec-14 Stock Opname 3 Pengki Rainbow
64 31-Dec-14 Stock Opname 3 Ember Vk. 5Liter

65 31-Dec-14 Stock Opname 4 Sikat Kamar mandi Bagus
66 31-Dec-14 Stock Opname 7 Keset Kaki
67 31-Dec-14 Stock Opname 4 Lap Tangan
68 31-Dec-14 Stock Opname 0 Pembersih Lantai
69 31-Dec-14 Stock Opname 0 Karbol Kamar Mandi Wipol
70 31-Dec-14 Stock Opname 0 Pengharum Ruangan Stella
71 31-Dec-14 Stock Opname 4 Pembersih Kaca Mr.Muscle
72 31-Dec-14 Stock Opname 0 Cairan Pembersih Bayclin

73 31-Dec-14 Stock Opname 2 Sabun Cuci Piring Mama Lemon
74 31-Dec-14 Stock Opname 2 Detergen Daia
75 31-Dec-14 Stock Opname 6 Tissue Kotak Paseo
76 31-Dec-14 Stock Opname 1 Sabun Colek Ekonomi

77 31-Dec-14 Stock Opname 3 Forstek Yuri
78 31-Dec-14 Stock Opname 0 Alat Pasang Lampu

79 31-Dec-14 Stock Opname 0 Kantong Plastik Sampah Laris
80 31-Dec-14 Stock Opname 5 Obat Anti Nyamuk Hit
81 31-Dec-14 Stock Opname 0 Kamper Dahlia

82 31-Dec-14 Stock Opname 3 Gayung
83 31-Dec-14 Stock Opname 104 Tissue Gulung
84 31-Dec-14 Stock Opname 61 Hand Soap Dettol
85 31-Dec-14 Stock Opname 2 Pengharum Matic

86 31-Dec-14 Stock Opname 9 Shampo Mobil Kit 900ml
87 31-Dec-14 Stock Opname 15 Mama Lemon Pooch 800ml
88 31-Dec-14 Stock Opname 43 Swallow Kamper Bulat
89 31-Dec-14 Stock Opname 44 Glade Car Gel
90 31-Dec-14 Stock Opname 2 Lion Star Wiper Glass Cleanser

91 31-Dec-14 Stock Opname 35 Dettol Hand Sanitaiser
92 31-Dec-14 Stock Opname 46 Refill Matic Spray
93 31-Dec-14 Stock Opname 10 SOS Pembersih Lantai
94 31-Dec-14 Stock Opname 3 Sapu Lidi

95 31-Dec-14 Stock Opname 1 Sapu Lantai Master
96 31-Dec-14 Stock Opname 1 Ember 5Lt
97 31-Dec-14 Stock Opname 119 Plastik Sampah
98 31-Dec-14 Stock Opname 10 Bayclin
99 31-Dec-14 Stock Opname 0 Jemuran Handuk
100 31-Dec-14 Stock Opname 0 Selang
101 14-Feb-15 Belanja Operasional 5 Detergen
102 14-Feb-15 Belanja Operasional 10 Sabun Colek
103 14-Feb-15 Belanja Operasional 10 Anti Nyamuk
104 14-Feb-15 Belanja Operasional 5 Pembersih Lantai
105 14-Feb-15 Belanja Operasional 5 Karbol Kamar Mandi
106 14-Feb-15 Belanja Operasional 5 Pembersih Toilet
BAHAN PEMERIKSAAN PENUNJANG MEDIS (5.2.2.01.16)
107 31-Dec-14 Stock Opname 60 Handscoon Sensigloves
108 31-Dec-14 Stock Opname 50 Masker Remedy

109 31-Dec-14 Stock Opname 60 Plastik Kresek
110 31-Dec-14 Stock Opname 1 Kertas Print USG

111 31-Dec-14 Stock Opname 150 Plastik Klip 7x10
112 31-Dec-14 Stock Opname 100 Plastik Klip 4x5

CETAK (5.2.2.06.01)
113 31-Dec-14 Stock Opname 1 Amplop Surat Berkop
114 31-Dec-14 Stock Opname 1 Cetak Kertas Berkop
115 31-Dec-14 Stock Opname 1 Cetak Surat Rujukan
116 31-Dec-14 Stock Opname 1 Cetak Format Anamnesa
117 31-Dec-14 Stock Opname 1 Cetak Format Catatan Perkembangan & Instr. Dokter
118 31-Dec-14 Stock Opname 1 Cetak Format Konsultasi
119 31-Dec-14 Stock Opname 0 Cetak Form.Inform.Cons
120 31-Dec-14 Stock Opname 1500 Cetak Kartu Berobat Pasien
121 31-Dec-14 Stock Opname 1 Cetak Form Rawat Inap
122 31-Dec-14 Stock Opname 0 Cetak Form Pengantar Laboratorium
123 31-Dec-14 Stock Opname 0 Cetak Form Hasil Lab
124 31-Dec-14 Stock Opname 0 Format Patograf
125 31-Dec-14 Stock Opname 1 Format Stempel Kaki
126 31-Dec-14 Stock Opname 400 Kartu Tafsiran Persalinan
127 31-Dec-14 Stock Opname 1 Format Status Gigi
128 31-Dec-14 Stock Opname 3000 Buku Status Pasien
129 31-Dec-14 Stock Opname 1 Form Kontrol Post Rawat Inap
130 31-Dec-14 Stock Opname 1 Form Keterangan Rawat Inap
131 31-Dec-14 Stock Opname 35 Buku Visum Perjalanan Dinas
132 31-Dec-14 Stock Opname 500 Kartu Stock Obat
133 31-Dec-14 Stock Opname 500 Kartu Stock Barang
134 31-Dec-14 Stock Opname 8 Buku Kartu Kendali Keluar
135 31-Dec-14 Stock Opname 8 Buku Kartu Kendali Masuk
136 31-Dec-14 Stock Opname 19 Buku Disposisi
137 31-Dec-14 Stock Opname 1 Form Pemeriksaan dahak TB
138 31-Dec-14 Stock Opname 500 KMS Balita
139 31-Dec-14 Stock Opname 500 Leaflet Bahan Makanan Penukar
140 31-Dec-14 Stock Opname 500 Kartu Diet Mandiri
141 31-Dec-14 Stock Opname 500 Leaflet Gizi Ibu Hamil
142 31-Dec-14 Stock Opname 500 Leaflet Anjuran Makan Anak
143 11-Feb-15 Belanja Operasional 125 Kopi
144 11-Feb-15 Belanja Operasional 15 Gula Pasir
145 11-Feb-15 Belanja Operasional 12 Teh Celup
146 11-Feb-15 Belanja Operasional 50 Susu Sachet

Total Penerimaan (Rp)
Mengetahui,
Hj. Dyah Indriastuti BU, S.SiT, MM.Kes

NIP. 19630808 198303 2 007
LAPORAN TENTANG PENERIMAAN DAN PENGELUARAN BARANG PAKAI HABIS
BULAN/TAHUN*) TMT TGL. 01 April 2015 S/D TGL. 30 Juni 2015
Buku Penerimaan No. Tanggal Surat Bon/Perintah

Harga Satuan (Rp) B.A/Serah Terima Jumlah Harga (Rp) Ket. Urut Pengeluaran Pengeluaran Barang Untuk Banyaknya
Nomor Tanggal No. Tanggal
10 11 12 13 14 15 16 17 18 19 20
13,000.00 65,000.00 5-Jan-15 5-Jan-15 Tata Usaha 1

23-Feb-15 23-Feb-15 Tata Usaha 1
23-Feb-15 23-Feb-15 BP.Umum 1
15-Mar-15 15-Mar-15 BP.Umum 1
18,500.00 74,000.00 23-Feb-15 23-Feb-15 Tata Usaha 1
3-Mar-15 3-Mar-15 Bendahara JKN 2
18,500.00 0.00
2-Mar-15 2-Mar-15 Nurse Station 1
8,500.00 0.00
14,000.00 0.00
23,600.00 0.00
2,000.00 6,000.00 8-Jan-15 8-Jan-15 Loket 1
4,000.00 32,000.00
12-Jan-15 12-Jan-15 Loket 1
26-Jan-15 26-Jan-15 Tata Usaha 1
31-Jan-15 31-Jan-15 Loket 1
18,000.00 108,000.00
2,000.00 0.00
14,000.00 112,000.00 26-Feb-15 26-Feb-15 Loket 1
42,500.00 340,000.00
6,500.00 32,500.00 3-Feb-15 3-Feb-15 Apotik 1
6-Feb-15 6-Feb-15 Loket 1
15-Mar-15 15-Mar-15 Poli Gizi 1
15-Mar-15 15-Mar-15 Apotik 1
29-Mar-15 29-Mar-15 Loket 1
7,500.00 0.00
35,000.00 0.00
9,000.00 90,000.00 29-Mar-15 29-Mar-15 Loket 1
7,000.00 35,000.00 15-Jan-15 15-Jan-15 BP Umum 1
8,800.00 52,800.00 15-Jan-15 15-Jan-15 BP Umum 1
29-Mar-15 29-Mar-15 BP Umum 1
4,400.00 48,400.00 15-Jan-15 15-Jan-15 Loket 1
6-Feb-15 6-Feb-15 Nurse Station 1
4,500.00 0.00
7,000.00 0.00
8,500.00 8,500.00
25,000.00 375,000.00 15-Jan-15 15-Jan-15 Nurse Station 1
28-Jan-15 28-Jan-15 Bidan Desa 2
2-Feb-15 2-Feb-15 Poli Gizi 1
15-Feb-15 15-Feb-15 BOK 1
27-Feb-15 27-Feb-15 IGD 1
3-Mar-15 3-Mar-15 Apotek 1
32,500.00 32,500.00
20,000.00 360,000.00 15-Jan-15 15-Jan-15 Loket 1
93,000.00 93,000.00
60,000.00 1,080,000.00 18-Jan-15 18-Jan-15 Satpam 1
3-Feb-15 3-Feb-15 BP Umum 1
15-Feb-15 15-Feb-15 BOK 1
3-Mar-15 3-Mar-15 KIA 2
27-Mar-15 27-Mar-15 Tata Usaha 2
15,000.00 240,000.00 18-Jan-15 18-Jan-15 Loket 1
26-Jan-15 26-Jan-15 Bendahara OP 1
26-Jan-15 26-Jan-15 Bendahara JKN 1
2,000.00 0.00
17-Mar-15 17-Mar-15 Tata Usaha 1
41,750.00 208,750.00 27-Feb-15 27-Feb-15 Loket 1
23-Feb-15 23-Feb-15 Apotik 1
3-Mar-15 3-Mar-15 KIA 1
20-Mar-15 20-Mar-15 Laboratorium 1
6,353,450.00
15,000.00 120,000.00 13-Jan-15 13-Jan-15 Laboratorium 1

26-Jan-15 26-Jan-15 Jam Dinding R.VK 1
20,000.00 40,000.00 13-Jan-15 13-Jan-15 Remote AC Poli Gigi 1
29,500.00 118,000.00
27,000.00 81,000.00 26-Jan-15 26-Jan-15 BP Umum 2
1-Feb-15 1-Feb-15 IGD 1
14,500.00 145,000.00 26-Jan-15 26-Jan-15 Lorong lantai 1 dan 2 5
49,500.00 247,500.00 3-Feb-15 3-Feb-15 BP Umum 1
3-Feb-15 3-Feb-15 IGD 1
20-Feb-15 20-Feb-15 VK 1
18,500.00 55,500.00 3-Feb-15 3-Feb-15 Tata usaha 1
250,000.00 1,250,000.00 16-Feb-15 16-Feb-15 Laboratorium 1
16-Feb-15 16-Feb-15 Ruang VK 1
3-Mar-15 3-Mar-15 Dapur 1
185,000.00 185,000.00
75,000.00 75,000.00
60,000.00 120,000.00 12-Mar-15 12-Mar-15 Tata usaha 1
18-Mar-15 18-Mar-15 Poned 1
24,300.00 72,900.00
25,800.00 516,000.00 17-Feb-15 17-Feb-15 Apotik 1
17-Feb-15 17-Feb-15 Laboratorium 1
4-Mar-15 4-Mar-15 Poli Gigi 1
15-Mar-15 15-Mar-15 Toilet lantai 1 3
15-Mar-15 15-Mar-15 Ruang Menyusui 1
3,025,900.00
.05)
15,000.00 45,000.00 6-Jan-15 6-Jan-15 OB 1
10,000.00 30,000.00 16-Jan-15 16-Jan-15 Dapur 1
25-Jan-15 25-Jan-15 IGD 1
25-Jan-15 25-Jan-15 KIA 1
10,000.00 20,000.00 6-Jan-15 6-Jan-15 OB 1
20,000.00 80,000.00 6-Jan-15 6-Jan-15 OB (Lantai 1) 1
6-Jan-15 6-Jan-15 OB (Lantai 2) 1
150,000.00 0.00
25,000.00 0.00
50,000.00 0.00
45,000.00 0.00
15,000.00 45,000.00 12-Jan-15 12-Jan-15 Dapur 1
12-Jan-15 12-Jan-15 OB 1
15,000.00 45,000.00 3-Feb-15 3-Feb-15 OB 2
9,000.00 36,000.00 3-Feb-15 3-Feb-15 OB 2
7,000.00 49,000.00 3-Feb-15 3-Feb-15 OB 4
4,500.00 18,000.00 16-Feb-15 16-Feb-15 Dapur 2
10,000.00 0.00
8,700.00 0.00
24,000.00 0.00
10,000.00 40,000.00 16-Feb-15 16-Feb-15 OB 1
6-Mar-15 6-Mar-15 OB 1
28-Mar-15 28-Mar-15 OB 1
10,000.00 0.00
12,500.00 25,000.00 16-Feb-15 16-Feb-15 Dapur 1
8,000.00 16,000.00
10,500.00 63,000.00 20-Feb-15 20-Feb-15 Poli Umum 1
20-Feb-15 20-Feb-15 KIA 1
20-Feb-15 20-Feb-15 Aula 1
20-Feb-15 20-Feb-15 R.Kapus 1
5,000.00 5,000.00 28-Mar-15 28-Mar-15 OB 1
9,500.00 28,500.00 3-Feb-15 3-Feb-15 OB 1
15-Mar-15 15-Mar-15 OB 1
185,000.00 0.00
23,500.00 0.00
39,500.00 197,500.00 15-Feb-15 15-Feb-15 Ruang Jaga Dokter 1
20-Mar-15 20-Mar-15 Ruang Jaga Dokter 1
15,000.00 0.00
7,500.00 22,500.00
2,750.00 286,000.00 7-Jan-15 7-Jan-15 Poli Gigi 1
7-Jan-15 7-Jan-15 Poli Umum 1
11-Feb-15 11-Feb-15 IGD 1
11-Feb-15 11-Feb-15 KIA 2
25-Feb-15 25-Feb-15 Poli Umum 2
25-Feb-15 25-Feb-15 Poli Gigi 2
3-Mar-15 3-Mar-15 KIA 2
11-Mar-15 11-Mar-15 IGD 2
26-Mar-15 26-Mar-15 KIA 2
26-Mar-15 26-Mar-15 VK 2
18,500.00 1,128,500.00 7-Jan-15 7-Jan-15 OB 10
20-Jan-15 20-Jan-15 OB 7
11-Feb-15 11-Feb-15 OB 10
3-Mar-15 3-Mar-15 OB 10
22-Mar-15 22-Mar-15 OB 10
72,760.00 145,520.00
20,000.00 180,000.00 20-Feb-15 20-Feb-15 Driver 1
22-Mar-15 22-Mar-15 Driver 1
13,500.00 202,500.00 7-Jan-15 7-Jan-15 Dapur 1
20-Jan-15 20-Jan-15 Dapur 1
10-Feb-15 10-Feb-15 Dapur 1
16,500.00 709,500.00 7-Jan-15 7-Jan-15 OB 6
24-Jan-15 24-Jan-15 OB 8
13-Feb-15 13-Feb-15 OB 6
27-Feb-15 27-Feb-15 OB 6
5-Feb-15 5-Feb-15 OB 6
20-Feb-15 20-Feb-15 OB 8
9,500.00 418,000.00 11-Jan-15 11-Jan-15 Ambulance 2
25-Jan-15 25-Jan-15 Ambulance 2
17-Feb-15 17-Feb-15 Ambulance 2
3-Mar-15 3-Mar-15 Ambulance 2
28-Mar-15 28-Mar-15 Ambulance 2
15,000.00 30,000.00
20,000.00 700,000.00 10-Jan-15 10-Jan-15 IGD 1
10-Jan-15 10-Jan-15 BP Umum 1
10-Jan-15 10-Jan-15 KIA 1
10-Jan-15 10-Jan-15 Poli Gigi 1
25-Jan-15 25-Jan-15 VK 1
25-Jan-15 25-Jan-15 Nurse Station 1
3-Feb-15 3-Feb-15 IGD 1
3-Feb-15 3-Feb-15 KIA 1
3-Feb-15 3-Feb-15 BP Umum 1
20-Feb-15 20-Feb-15 VK 1
16-Mar-15 16-Mar-15 KIA 1
16-Mar-15 16-Mar-15 VK 1
16-Mar-15 16-Mar-15 IGD 1
25,000.00 1,150,000.00 7-Jan-15 7-Jan-15 OB 10
25-Jan-15 25-Jan-15 OB 5
15-Feb-15 15-Feb-15 OB 15
10,000.00 100,000.00 7-Jan-15 7-Jan-15 OB 1
21-Jan-15 21-Jan-15 OB 1
3-Feb-15 3-Feb-15 OB 1
17-Feb-15 17-Feb-15 OB 1
26-Feb-15 26-Feb-15 OB 1
4-Mar-15 4-Mar-15 OB 1
22-Mar-15 22-Mar-15 OB 1
20,000.00 60,000.00
15,000.00 15,000.00
20,000.00 20,000.00
25,000.00 2,975,000.00 8-Jan-15 8-Jan-15 OB 2
14-Jan-15 14-Jan-15 OB 2
23-Jan-15 23-Jan-15 OB 2
28-Jan-15 28-Jan-15 OB 2
4-Feb-15 4-Feb-15 OB 3
13-Feb-15 13-Feb-15 OB 2
19-Feb-15 19-Feb-15 OB 2
26-Feb-15 26-Feb-15 OB 2
3-Mar-15 3-Mar-15 OB 2
12-Mar-15 12-Mar-15 OB 2
18-Mar-15 18-Mar-15 OB 3
25-Mar-15 25-Mar-15 OB 2
10,000.00 100,000.00 11-Jan-15 11-Jan-15 Laboratorium 1
11-Jan-15 11-Jan-15 VK 1
20-Feb-15 20-Feb-15 VK 1
15-Mar-15 15-Mar-15 VK 1
15-Mar-15 15-Mar-15 Poli Gigi 1
130,000.00 0.00
15,000.00 0.00
12,450.00 62,250.00
2,150.00 21,500.00
37,100.00 371,000.00
19,500.00 97,500.00
25,300.00 126,500.00
15,600.00 78,000.00
9,742,270.00
16)
45,000.00 2,700,000.00 8-Jan-15 8-Jan-15 VK 1
8-Jan-15 8-Jan-15 KIA 1
8-Jan-15 8-Jan-15 IGD 1
8-Jan-15 8-Jan-15 Laboratorium 1
8-Jan-15 8-Jan-15 Poli TB 1
26-Jan-15 26-Jan-15 VK 1
26-Jan-15 26-Jan-15 KIA 1
26-Jan-15 26-Jan-15 IGD 1
15-Feb-15 15-Feb-15 VK 1
15-Feb-15 15-Feb-15 IGD 1
15-Feb-15 15-Feb-15 Poli GIgi 1
25-Mar-15 25-Mar-15 KIA 1
26-Mar-15 26-Mar-15 VK 1
25,000.00 1,250,000.00 8-Jan-15 8-Jan-15 VK 1
8-Jan-15 8-Jan-15 KIA 1
8-Jan-15 8-Jan-15 IGD 1
8-Jan-15 8-Jan-15 Poli TB 1
26-Jan-15 26-Jan-15 VK 1
26-Jan-15 26-Jan-15 KIA 1
26-Jan-15 26-Jan-15 IGD 1
15-Feb-15 15-Feb-15 VK 1
15-Feb-15 15-Feb-15 IGD 1
15-Feb-15 15-Feb-15 Poli GIgi 1
25-Mar-15 25-Mar-15 KIA 1
26-Mar-15 26-Mar-15 VK 1
10,000.00 600,000.00 7-Jan-15 7-Jan-15 Apotik 1
19-Jan-15 19-Jan-15 Apotik 1
196,000.00 196,000.00
42,000.00 6,300,000.00 7-Jan-15 7-Jan-15 Apotik 2
30,000.00 3,000,000.00 7-Jan-15 7-Jan-15 Apotik 2
14,046,000.00
35,500.00 35,500.00 8-Jan-15 8-Jan-15 Tata usaha 1
77,000.00 77,000.00 8-Jan-15 8-Jan-15 Tata usaha 1
77,000.00 77,000.00 16-Jan-15 16-Jan-15 BP Umum 1
77,000.00 77,000.00
77,000.00 77,000.00
77,000.00 0.00
200.00 300,000.00 22-Jan-15 22-Jan-15 Loket 250
77,000.00 0.00
77,000.00 0.00
77,000.00 0.00
88,000.00 88,000.00
250.00 100,000.00 30-Jan-15 30-Jan-15 KIA 200
88,000.00 88,000.00
2,500.00 7,500,000.00 22-Jan-15 22-Jan-15 Loket 200
77,000.00 77,000.00
6,000.00 210,000.00 30-Jan-15 30-Jan-15 Staf 25
800.00 400,000.00 2-Feb-15 2-Feb-15 Apotik 250
800.00 400,000.00 2-Feb-15 2-Feb-15 Pemegang Barang 500
30,000.00 240,000.00
30,000.00 240,000.00
88,000.00 88,000.00
2,000.00 1,000,000.00
2,000.00 1,000,000.00
2,000.00 1,000,000.00
2,000.00 1,000,000.00
2,000.00 1,000,000.00
15,552,500.00
)
Rp 1,240 155,000.00 14-Feb-15 14-Feb-15 Dapur 10
22-Feb-15 22-Feb-15 Dapur 10
30 feb 15 30 feb 15 Dapur 10
10-Mar-15 10-Mar-15 Dapur 10
18-Mar-15 18-Mar-15 Dapur 10
25-Mar-15 25-Mar-15 Dapur 10
Rp 15,000 225,000.00 14-Feb-15 14-Feb-15 Dapur 1
30 feb 15 30 feb 15 Dapur 1
Rp 6,000 72,000.00 14-Feb-15 14-Feb-15 Dapur 1
Rp 1,500 75,000.00 14-Feb-15 14-Feb-15 Dapur 5
527,000.00
49,247,120.00
Tanggal
Nama Barang/ Jenis Barang Harga Satuan (Rp) Jumlah Harga (Rp) Penyerahan Ket.
21 22 23 24 25
Amplop Polos No.104 'Jaya' 13,000.00 13,000.00 5-Jan-15

Amplop Polos No.104 'Jaya' 13,000.00 13,000.00 23-Feb-15
Amplop Polos No.104 'Jaya' 13,000.00 13,000.00 23-Feb-15
Amplop Polos No.104 'Jaya' 13,000.00 13,000.00 15-Mar-15
Amplop Polos No. 90 'Jaya' 18,500.00 18,500.00 23-Feb-15
Amplop Polos No. 90 'Jaya' 18,500.00 37,000.00 3-Mar-15
Binder Klip 'Joyko' 18,000.00 36,000.00 17-Feb-15

Binder Klip 'Joyko' 18,000.00 18,000.00 2-Mar-15
Isi Stapler No.10 2,000.00 2,000.00 8-Jan-15

Isi Stapler No.11 2,000.00 2,000.00 3-Feb-15
Kertas A4 70gr Paperone 35,000.00 35,000.00 17-Feb-15

Kertas F4 70gr Paperone 39,000.00 39,000.00 12-Jan-15
Kertas F4 70gr Paperone 39,000.00 39,000.00 7-Feb-15
Penggaris Besi 14,000.00 14,000.00 26-Feb-15

Penggaris Besi 14,000.00 14,000.00 3-Mar-15
Spidol Permanent 6,500.00 6,500.00 3-Feb-15

Spidol Permanent 6,500.00 6,500.00 6-Feb-15
Spidol Permanent 6,500.00 6,500.00 15-Mar-15
Tinta Stempel 9,000.00 9,000.00 29-Mar-15

Tipex 7,000.00 7,000.00 15-Jan-15
Tipex 7,000.00 7,000.00 27-Jan-15
Tipex 7,000.00 7,000.00 6-Feb-15
Tipex 7,000.00 7,000.00 3-Mar-15
Lemfox Besar 8,800.00 8,800.00 15-Jan-15
Lemfox Besar 8,800.00 8,800.00 6-Feb-15
Lemfox Besar 8,800.00 8,800.00 29-Mar-15
Label Sticker 103 4,400.00 4,400.00 15-Jan-15
Label Sticker 103 4,400.00 4,400.00 6-Feb-15
Label Sticker 103 4,400.00 4,400.00 3-Mar-15
Pembolong Kertas 14,000.00 14,000.00 27-Jan-15
Box File 'Bindex' 25,000.00 25,000.00 15-Jan-15

Box File 'Bindex' 25,000.00 25,000.00 2-Feb-15
Box File 'Bindex' 25,000.00 25,000.00 3-Mar-15
Box File 'Bindex' 25,000.00 50,000.00 14-Mar-15
Catridge 'HP 802' Hitam 195,000.00 195,000.00 2-Feb-15

Paperklip 'Joyko' 20,000.00 20,000.00 15-Jan-15
Paperklip 'Joyko' 20,000.00 20,000.00 27-Mar-15
Stapler HD-10Max 15,000.00 15,000.00 15-Jan-15

Stapler HD-10Max 15,000.00 15,000.00 3-Feb-15
Stapler HD-50Max 40,000.00 40,000.00 15-Jan-15
Buku Folio 500Lembar 60,000.00 60,000.00 18-Jan-15
Buku Folio 500Lembar 60,000.00 60,000.00 3-Feb-15
Bindex 'Bambi' 35,000.00 70,000.00 18-Jan-15
Bindex 'Bambi' 35,000.00 35,000.00 15-Feb-15
Bindex 'Bambi' 35,000.00 70,000.00 3-Mar-15
Bindex 'Bambi' 35,000.00 35,000.00 14-Mar-15
Bindex 'Bambi' 35,000.00 70,000.00 27-Mar-15
Post it Warna 15,000.00 15,000.00 18-Jan-15
Post it Warna 15,000.00 15,000.00 26-Jan-15
Post it Warna 15,000.00 15,000.00 26-Jan-15
Post it Warna 15,000.00 15,000.00 3-Mar-15
Tinta Refill Hitam 60,000.00 60,000.00 15-Jan-15

Tinta Refill Hitam 60,000.00 60,000.00 25-Feb-15
Tinta Refill Hitam 60,000.00 60,000.00 17-Mar-15
Tinta Refill Warna 80,000.00 80,000.00 25-Feb-15
Kertas F4 70gr 41,000.00 41,000.00 27-Feb-15
Kertas F4 70gr 41,000.00 41,000.00 27-Feb-15
Spidol Whiteboard 8,500.00 8,500.00 17-Feb-15
Spidol Whiteboard 8,500.00 8,500.00 3-Mar-15
Baterai A2 Energizer 15,000.00 15,000.00 13-Jan-15

Lampu Jari 27,000.00 54,000.00 26-Jan-15

Lampu Jari 27,000.00 27,000.00 1-Feb-15
Lampu Neon TL 18 Watt Philips 14,500.00 72,500.00 26-Jan-15
Senter Everready 49,500.00 49,500.00 3-Feb-15
Stop Kontak 18,500.00 18,500.00 3-Feb-15
Stop Kontak 18,500.00 18,500.00 26-Feb-15
Emergency Lamp Surya L6004 250,000.00 250,000.00 16-Feb-15
Emergency Lamp Surya L6004 250,000.00 250,000.00 16-Feb-15
Emergency Lamp Surya L6004 250,000.00 250,000.00 3-Mar-15
Roll Kabel Hiro 60,000.00 60,000.00 12-Mar-15
Roll Kabel Hiro 60,000.00 60,000.00 18-Mar-15
Lampu Jari 25,800.00 25,800.00 17-Feb-15

Lampu Jari 25,800.00 25,800.00 17-Feb-15
Lampu Jari 25,800.00 51,600.00 4-Mar-15
Lampu Jari 25,800.00 25,800.00 4-Mar-15
Lampu Jari 25,800.00 77,400.00 15-Mar-15
Lampu Jari 25,800.00 25,800.00 15-Mar-15
Lampu Jari 25,800.00 25,800.00 15-Mar-15
Sapu Lantai Panda 15,000.00 15,000.00 6-Jan-15

Lap Handuk Gantung 10,000.00 10,000.00 16-Jan-15
Kemoceng Static Duster 10,000.00 10,000.00 6-Jan-15
Alat Pel 20,000.00 20,000.00 6-Jan-15
Alat Pel 20,000.00 20,000.00 6-Jan-15
Pengki Rainbow 15,000.00 15,000.00 12-Jan-15

Pengki Rainbow 15,000.00 15,000.00 12-Jan-15
Ember Vk 5Liter 15,000.00 30,000.00 3-Feb-15
Sikat Kamar Mandi Bagus 9,000.00 18,000.00 3-Feb-15
Keset Kaki 7,000.00 28,000.00 3-Feb-15
Lap Tangan 4,500.00 9,000.00 16-Feb-15
Pembersih Kaca Mr.Muscle 10,000.00 10,000.00 16-Feb-15

Pembersih Kaca Mr.Muscle 10,000.00 10,000.00 6-Mar-15
Pembersih Kaca Mr.Muscle 10,000.00 10,000.00 28-Mar-15
Sabun Cuci Piring Mama Lemon 12,500.00 12,500.00 16-Feb-15

Tissue Kotak Paseo 10,500.00 10,500.00 20-Feb-15
Sabun Colek Ekonomi 5,000.00 5,000.00 28-Mar-15
Forstek Yuri 9,500.00 9,500.00 3-Feb-15
Forstek Yuri 9,500.00 9,500.00 15-Mar-15
Obat Anti Nyamuk 39,500.00 39,500.00 15-Feb-15

Obat Anti Nyamuk 39,500.00 39,500.00 20-Mar-15
Tissue Gulung 2,750.00 2,750.00 7-Jan-15
Tissue Gulung 2,750.00 2,750.00 7-Jan-15
Tissue Gulung 2,750.00 2,750.00 11-Feb-15
Tissue Gulung 2,750.00 5,500.00 3-Mar-15
Hand Soap 18,500.00 185,000.00 7-Jan-15
Hand Soap 18,500.00 129,500.00 20-Jan-15
Hand Soap 18,500.00 185,000.00 11-Feb-15
Hand Soap 18,500.00 185,000.00 3-Mar-15
Hand Soap 18,500.00 185,000.00 22-Mar-15
Shampo Mobil Kit 900ml 20,000.00 20,000.00 20-Feb-15

Shampo Mobil Kit 900ml 20,000.00 20,000.00 22-Mar-15
Mama Lemon Pooch 800ml 13,500.00 13,500.00 7-Jan-15
Mama Lemon Pooch 800ml 13,500.00 13,500.00 20-Jan-15
Mama Lemon Pooch 800ml 13,500.00 13,500.00 10-Feb-15
Mama Lemon Pooch 800ml 13,500.00 13,500.00 26-Feb-15
Mama Lemon Pooch 800ml 13,500.00 13,500.00 5-Mar-15
Mama Lemon Pooch 800ml 13,500.00 13,500.00 25-Mar-15
Swallow Kamper Bulat 16,500.00 99,000.00 7-Jan-15
Swallow Kamper Bulat 16,500.00 132,000.00 24-Jan-15
Swallow Kamper Bulat 16,500.00 99,000.00 13-Feb-15
Glade Car Gel 9,500.00 19,000.00 11-Jan-15
Glade Car Gel 9,500.00 19,000.00 25-Jan-15
Glade Car Gel 9,500.00 19,000.00 17-Feb-15
Glade Car Gel 9,500.00 19,000.00 3-Mar-15
Glade Car Gel 9,500.00 19,000.00 28-Mar-15
Dettol Hand Sanitaiser 20,000.00 20,000.00 10-Jan-15
Dettol Hand Sanitaiser 20,000.00 20,000.00 3-Feb-15
Dettol Hand Sanitaiser 20,000.00 20,000.00 16-Mar-15
Refill Matic Spray 25,000.00 250,000.00 7-Jan-15
Refill Matic Spray 25,000.00 125,000.00 25-Jan-15
Refill Matic Spray 25,000.00 375,000.00 15-Feb-15
SOS Pembersih Lantai 10,000.00 10,000.00 7-Jan-15
SOS Pembersih Lantai 10,000.00 10,000.00 21-Jan-15
SOS Pembersih Lantai 10,000.00 10,000.00 3-Feb-15
SOS Pembersih Lantai 10,000.00 10,000.00 4-Mar-15
SOS Pembersih Lantai 10,000.00 10,000.00 22-Mar-15
Plastik Sampah 25,000.00 50,000.00 8-Jan-15

Plastik Sampah 25,000.00 75,000.00 4-Feb-15
Plastik Sampah 25,000.00 50,000.00 3-Mar-15
Bayclin 10,000.00 10,000.00 11-Jan-15
Bayclin 10,000.00 10,000.00 11-Jan-15
Bayclin 10,000.00 10,000.00 20-Feb-15
Bayclin 10,000.00 10,000.00 3-Mar-15
Bayclin 10,000.00 10,000.00 15-Mar-15
Bayclin 10,000.00 10,000.00 15-Mar-15
Bayclin 10,000.00 10,000.00 15-Mar-15
Handscoon Sensigloves 45,000.00 45,000.00 8-Jan-15

Handscoon Sensigloves 45,000.00 45,000.00 15-Feb-15
Handscoon Sensigloves 45,000.00 45,000.00 4-Mar-15
Masker Remedy 25,000.00 25,000.00 8-Jan-15
Masker Remedy 25,000.00 25,000.00 15-Feb-15
Masker Remedy 25,000.00 25,000.00 4-Mar-15
Plastik Kresek 10,000.00 10,000.00 7-Jan-15
Plastik Kresek 10,000.00 10,000.00 10-Feb-15
Plastik Kresek 10,000.00 20,000.00 4-Mar-15
Plastik Klip 7x10 42,000.00 84,000.00 7-Jan-15

Plastik Klip 7x10 42,000.00 84,000.00 10-Feb-15
Plastik Klip 7x10 42,000.00 84,000.00 4-Mar-15
Amplop Surat Berkop 35,500.00 35,500.00 8-Jan-15
Cetak Kertas Berkop 77,000.00 77,000.00 8-Jan-15
Cetak Surat Rujukan 77,000.00 77,000.00 16-Jan-15
Cetak Format Catatan Perkembangan & Instr. Dokter 77,000.00 77,000.00 16-Jan-15
Cetak Kartu Berobat Pasien 200.00 50,000.00 22-Jan-15

Cetak Form Rawat Inap 77,000.00 77,000.00 16-Jan-15
Kartu Tafsiran Persalinan 250.00 50,000.00 30-Jan-15
Buku Status Pasien 2,500.00 500,000.00 22-Jan-15

Form Kontrol Post Rawat Inap 77,000.00 77,000.00 16-Jan-15
Buku Visum Perjalanan Dinas 6,000.00 150,000.00 30-Jan-15

Kartu Stock Obat 800.00 200,000.00 2-Feb-15
Kartu Stock Barang 800.00 400,000.00 2-Feb-15
Buku Disposisi 13,000.00 26,000.00 15-Jan-15
Kopi Rp 1,240 12,400.00 14-Feb-15

Kopi Rp 1,240 12,400.00 22-Feb-15
Kopi Rp 1,240 12,400.00 30 feb 15
Kopi Rp 1,240 12,400.00 4-Mar-15
Kopi Rp 1,240 12,400.00 10-Mar-15
Kopi Rp 1,240 12,400.00 18-Mar-15
Kopi Rp 1,240 12,400.00 25-Mar-15
Gula Pasir Rp 15,000 15,000.00 14-Feb-15
Gula Pasir Rp 15,000 30,000.00 22-Feb-15
Gula Pasir Rp 15,000 15,000.00 30 feb 15
Gula Pasir Rp 15,000 15,000.00 4-Mar-15
Gula Pasir Rp 15,000 15,000.00 10-Mar-15
Gula Pasir Rp 15,000 30,000.00 18-Mar-15
Gula Pasir Rp 15,000 30,000.00 25-Mar-15
Teh Celup Rp 6,000 6,000.00 14-Feb-15
Teh Celup Rp 6,000 6,000.00 22-Feb-15
Teh Celup Rp 6,000 6,000.00 30 feb 15
Teh Celup Rp 6,000 6,000.00 4-Mar-15
Teh Celup Rp 6,000 6,000.00 10-Mar-15
Teh Celup Rp 6,000 6,000.00 18-Mar-15
Teh Celup Rp 6,000 6,000.00 25-Mar-15
Susu Sachet Rp 1,500 7,500.00 14-Feb-15
Susu Sachet Rp 1,500 7,500.00 22-Feb-15
Susu Sachet Rp 1,500 10,500.00 30 feb 15
Susu Sachet Rp 1,500 7,500.00 4-Mar-15
Sub Total Pengeluaran (Rp) 337,300.00
Total Pengeluaran (Rp) 12,786,400.00
Tangerang Selatan, 06 Agustus 2015


PROVINSI : Banten
No. Tanggal Penerimaan Dari Nama Barang/ Jenis Barang
Nomor Tanggal
1 2 3 4 5 6

ATK (5.2.2.01.01)
2016
OPERASIONAL
1 31-Dec-17 Stock Opname 31-Dec-17 Isi Stapler No.10
2 31-Dec-17 Stock Opname 31-Dec-17 Penggaris Besi
2017
JKN
1 31-Dec-17 Stock Opname 31-Dec-17 Bussiness File
2 31-Dec-17 Stock Opname 31-Dec-17 Box File "Bindex"
3 31-Dec-17 Stock Opname 31-Dec-17 Trigonal Klip
4 31-Dec-17 Stock Opname 31-Dec-17 Lakban Hitam
5 31-Dec-17 Stock Opname 31-Dec-17 Penghapus Joyko
6 31-Dec-17 Stock Opname 31-Dec-17 Amplop Jaya Besar
7 31-Dec-17 Stock Opname 31-Dec-17 Amplop Jaya Kecil
8 31-Dec-17 Stock Opname 31-Dec-17 Kertas Termal Antrian
9 31-Dec-17 Stock Opname 31-Dec-17 Label NO.103
12 31-Dec-17 Stock Opname 31-Dec-17 Buku Ekspedisi 1/2Folio
13 31-Dec-17 Stock Opname 31-Dec-17 Buku Tulis
14 31-Dec-17 Stock Opname 31-Dec-17 Spidol Whitebord Snowman
15 31-Dec-17 Stock Opname 31-Dec-17 Post it
16 31-Dec-17 Stock Opname 31-Dec-17 Ballpoint Faster
17 31-Dec-17 Stock Opname 31-Dec-17 Pensil 2B
18 31-Dec-17 Stock Opname 31-Dec-17 Bak Stempel
19 31-Dec-17 Stock Opname 31-Dec-17 Lem Kertas Stik
20 31-Dec-17 Stock Opname 31-Dec-17 Bantex Pocket
21 31-Dec-17 Stock Opname 31-Dec-17 Kertas A4 70gr
22 31-Dec-17 Stock Opname 31-Dec-17 Kertas F4 70gr
Sub Total (Rp)
2016
OPERASIONAL
1 31-Dec-17 Stock Opname 31-Dec-17 Senter Everready
2017
OPERASIONAL
1 31-Dec-17 Stock Opname 31-Dec-17 Baterai Kering "Eveready" AA
2 31-Dec-17 Stock Opname 31-Dec-17 Baterai Kering "Eveready" AAA
3 31-Dec-17 Stock Opname 31-Dec-17 Senter Kepala
4 31-Dec-17 Stock Opname 31-Dec-17 Lampu LED Piliph
5 31-Dec-17 Stock Opname 31-Dec-17 Lampu Jari Piliph
6 31-Dec-17 Stock Opname 31-Dec-17 Baterai Timbangan
Sub Total (Rp)
2016
OPERASIONAL
1 31-Dec-17 Stock Opname 31-Dec-17 Kemoceng
2 31-Dec-17 Stock Opname 31-Dec-17 Cangkul
2017
OPERASIONAL
1 31-Dec-17 Stock Opname 31-Dec-17 Pembersih Kaca "Cling"
2 31-Dec-17 Stock Opname 31-Dec-17 Handsanitizer "Nuvo"
3 31-Dec-17 Stock Opname 31-Dec-17 Pengki Plastik
4 31-Dec-17 Stock Opname 31-Dec-17 Sabun Cuci Piring "Sunlight"
5 31-Dec-17 Stock Opname 31-Dec-17 Hand Soap (galon)
6 31-Dec-17 Stock Opname 31-Dec-17 Sapu Lidi
7 31-Dec-17 Stock Opname 31-Dec-17 Soklin Lantai 1600ml
8 31-Dec-17 Stock Opname 31-Dec-17 Baygon Anti Nyamuk
9 31-Dec-17 Stock Opname 31-Dec-17 Hit Anti Nyamuk
10 31-Dec-17 Stock Opname 31-Dec-17 Glade Reffil pengharum matic
11 31-Dec-17 Stock Opname 31-Dec-17 Porstek
12 31-Dec-17 Stock Opname 31-Dec-17 Hand Sanittizer Galon
13 31-Dec-17 Stock Opname 31-Dec-17 Bayclin Galon
14 31-Dec-17 Stock Opname 31-Dec-17 Loby duster
15 31-Dec-17 Stock Opname 31-Dec-17 Pel Super MOP
16 31-Dec-17 Stock Opname 31-Dec-17 Sabun Colek Ekonomi
17 31-Dec-17 Stock Opname 31-Dec-17 Kamper Bulat
18 31-Dec-17 Stock Opname 31-Dec-17 Kamper Kotak
19 31-Dec-17 Stock Opname 31-Dec-17 Pel Gagang
20 31-Dec-17 Stock Opname 31-Dec-17 Gayung
21 31-Dec-17 Stock Opname 31-Dec-17 Mr.Mscle pembersih kaca
22 31-Dec-17 Stock Opname 31-Dec-17 Sikat Bulat WC
Sub Total (Rp)
BAHAN MAKANAN, MINUMAN DAN PMT
2017
OPERASIONAL
1 31-Dec-17 Stock Opname 31-Dec-17 Teh Celup Tong Tji
2 31-Dec-17 Stock Opname 31-Dec-17 Kopi "White koffie"
3 31-Dec-17 Stock Opname 31-Dec-17 Kopi "ABC SUsu"
4 31-Dec-17 Stock Opname 31-Dec-17 Kopi "Kapal Api"
5 31-Dec-17 Stock Opname 31-Dec-17 Gula Pasir "Rosebrand"
6 31-Dec-17 Stock Opname 31-Dec-17 Susu "Milo"
Sub Total (Rp)
CETAK (5.2.2.06.01)
2017
JKN
1 31-Dec-17 Stock Opname 31-Dec-17 Rujukan
2 31-Dec-17 Stock Opname 31-Dec-17 Anamnesa
3 31-Dec-17 Stock Opname 31-Dec-17 Efek Samping Obat
4 31-Dec-17 Stock Opname 31-Dec-17 Surat Keterangan Dirawat
5 31-Dec-17 Stock Opname 31-Dec-17 Persetujuan Rawat Inap
6 31-Dec-17 Stock Opname 31-Dec-17 Form Hasil USG
7 31-Dec-17 Stock Opname 31-Dec-17 Kertas berKop Puskesmas
8 31-Dec-17 Stock Opname 31-Dec-17 Informed Consent Keluarga Berencana
9 31-Dec-17 Stock Opname 31-Dec-17 Informed Consent ANC
10 31-Dec-17 Stock Opname 31-Dec-17 Informed Consent
11 31-Dec-17 Stock Opname 31-Dec-17 Surat Perintah Rawat Inap
12 31-Dec-17 Stock Opname 31-Dec-17 Bukti Pelayanan
13 31-Dec-17 Stock Opname 31-Dec-17 Perjalanan Penyakit
14 31-Dec-17 Stock Opname 31-Dec-17 Surat Pulang Paksa
15 31-Dec-17 Stock Opname 31-Dec-17 Lembar Konsultasi
16 31-Dec-17 Stock Opname 31-Dec-17 Persetujuan / Penolakan Tindakan
17 31-Dec-17 Stock Opname 31-Dec-17 Format Absensi
18 31-Dec-17 Stock Opname 31-Dec-17 SOAP Kebidanan
19 31-Dec-17 Stock Opname 31-Dec-17 Asuhan Kebidanan
20 31-Dec-17 Stock Opname 31-Dec-17 Follow Up Dokter
21 31-Dec-17 Stock Opname 31-Dec-17 Form Urinalisa
22 31-Dec-17 Stock Opname 31-Dec-17 Pengantar Laboratorium
23 31-Dec-17 Stock Opname 31-Dec-17 Form Hasil Laboratorium
24 31-Dec-17 Stock Opname 31-Dec-17 Catatan Pengobatan Pasien
25 31-Dec-17 Stock Opname 31-Dec-17 Catatan Perkembangan
26 31-Dec-17 Stock Opname 31-Dec-17 Partograf
27 31-Dec-17 Stock Opname 31-Dec-17 Resep
28 31-Dec-17 Stock Opname 31-Dec-17 Resume
29 31-Dec-17 Stock Opname 31-Dec-17 Kartu IBU
30 31-Dec-17 Stock Opname 31-Dec-17 Kontrol Faktor Penyakit Jantung
31 31-Dec-17 Stock Opname 31-Dec-17 Kuesioner Kepuasan Pasien
32 31-Dec-17 Stock Opname 31-Dec-17 Surat Keterangan Dokter
33 31-Dec-17 Stock Opname 31-Dec-17 Surat Keterangan Sakit
34 31-Dec-17 Stock Opname 31-Dec-17 Etiket Obat
35 31-Dec-17 Stock Opname 31-Dec-17 Lembar Kontrol Pasien
Sub Total (Rp)
2017
GIZI
1 31-Dec-17 Stock Opname 31-Dec-17 PMT Pemulihan Balita(Paket)
a. Nutren
b. Biskuit SUN
2 31-Dec-17 Stock Opname 31-Dec-17 PMT Pemulihan Balita
Biskuit Balita (KEMENKES)
3 31-Dec-17 Stock Opname 31-Dec-17 PMT- Ibu hamil
a. Makanan Tambahan Ibu hamil (APBD)
b. Makanan Tambahan Ibu hamil (KEMENKES)
Sub Total (Rp)
Alat Kontrasepsi
2016
BKKBN
1 31-Dec-17 Stock Opname 31-Dec-17 Pil KB 1 Kombinasi
2 31-Dec-17 Stock Opname 31-Dec-17 KB Suntik 3 Bulan
2017
BKKBN
1 31-Dec-17 Stock Opname 31-Dec-17 Kondom
2 31-Dec-17 Stock Opname 31-Dec-17 Implant
3 31-Dec-17 Stock Opname 31-Dec-17 IUD
Sub Total (Rp)
VAKSIN
2017
VAKSIN
1 31-Dec-17 Stock Opname 31-Dec-17 Pentabio
2 31-Dec-17 Stock Opname 31-Dec-17 dT
3 31-Dec-17 Stock Opname 31-Dec-17 Td
4 31-Dec-17 Stock Opname 31-Dec-17 Polio oral
5 31-Dec-17 Stock Opname 31-Dec-17 IPV
6 31-Dec-17 Stock Opname 31-Dec-17 Hb0
7 31-Dec-17 Stock Opname 31-Dec-17 BCG
Sub Total (Rp)
OBAT-OBATAN
2013
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Diazepam Inj 5 mg/ml
2 31-Dec-17 Stock Opname 31-Dec-17 Pirantel tablet 125
3 31-Dec-17 Stock Opname 31-Dec-17 Teofilin Tablet
2014
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Aminofilin inj 24 mg /ml
2 31-Dec-17 Stock Opname 31-Dec-17 Amitriptilin HCl tablet salut 25 mg
3 31-Dec-17 Stock Opname 31-Dec-17 Digoksin tablet 0.25 mg
4 31-Dec-17 Stock Opname 31-Dec-17 Furosemid tab 40 mg
8 31-Dec-17 Stock Opname 31-Dec-17 Sianokobalamin inj 500 mcg/ml-1 ml
2015
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Amoksisilin sirup kering forte 250mg/ml
2 31-Dec-17 Stock Opname 31-Dec-17 Anti Hipertensi Herbal
5 31-Dec-17 Stock Opname 31-Dec-17 Cairan Elektrolit Kombinasi Na, K, Cl, Lactate, Glucose
7 31-Dec-17 Stock Opname 31-Dec-17 Fenobarbital tablet 30 mg
8 31-Dec-17 Stock Opname 31-Dec-17 Kalsium Glukonat injkesi i.v 10% (100mg/ml)
10 31-Dec-17 Stock Opname 31-Dec-17 Loperamid
11 31-Dec-17 Stock Opname 31-Dec-17 Metampiron Injeksi
14 31-Dec-17 Stock Opname 31-Dec-17 Metoklopramide tablet
17 31-Dec-17 Stock Opname 31-Dec-17 Retinol (VIT A) tablet salut 200.000 IU
2016
FARMASI
2 31-Dec-17 Stock Opname 31-Dec-17 Amlodipin 10 mg
3 31-Dec-17 Stock Opname 31-Dec-17 Antasida DOEN tablet
4 31-Dec-17 Stock Opname 31-Dec-17 Asam Askorbat (Vit. C) tablet 50 mg
5 31-Dec-17 Stock Opname 31-Dec-17 Asam Mefenamat Tablet 500 mg
8 31-Dec-17 Stock Opname 31-Dec-17 Cairan Hydroxyethyl Strach (HES) 200/0.5 60 g, Nacl 9 g
9 31-Dec-17 Stock Opname 31-Dec-17 Deksametason injeksi 5 mg/ml
11 31-Dec-17 Stock Opname 31-Dec-17 Difenhidramin inj 10 mg/5ml-1ml
12 31-Dec-17 Stock Opname 31-Dec-17 Domperidon 10mg
15 31-Dec-17 Stock Opname 31-Dec-17 Gemfibrozil kapsul 300 mg
16 31-Dec-17 Stock Opname 31-Dec-17 Glimepirid 1mg
18 31-Dec-17 Stock Opname 31-Dec-17 Kalsium laktat (Kalk) tablet 500 mg
20 31-Dec-17 Stock Opname 31-Dec-17 Kloramfenikol tetes telinga 3 %
21 31-Dec-17 Stock Opname 31-Dec-17 Kotrimoksazol suspensi
22 31-Dec-17 Stock Opname 31-Dec-17 Kotrimosazol tablet. Komb: Sulfametoksazol 400 mg + Trimetoprim 80 mg
24 31-Dec-17 Stock Opname 31-Dec-17 Lidokain Injeksi 2% + Epinefrin
25 31-Dec-17 Stock Opname 31-Dec-17 Methisoprinol 250 mg/5ml
26 31-Dec-17 Stock Opname 31-Dec-17 Methisoprinol 500 mg
27 31-Dec-17 Stock Opname 31-Dec-17 Metilergometrin injeksi 0,200 mg-ml
28 31-Dec-17 Stock Opname 31-Dec-17 Mikonazol cream
29 31-Dec-17 Stock Opname 31-Dec-17 Natrium Klorida larutan infus 0.9 % steril
31 31-Dec-17 Stock Opname 31-Dec-17 Nistatin tablet salut 500.000 IU
32 31-Dec-17 Stock Opname 31-Dec-17 Nistatin tablet vaginal 100.000 IU/g
33 31-Dec-17 Stock Opname 31-Dec-17 Obat Antianemia
34 31-Dec-17 Stock Opname 31-Dec-17 Obat Antifungi Drop
35 31-Dec-17 Stock Opname 31-Dec-17 Obat Flu dan Batuk Sirup
36 31-Dec-17 Stock Opname 31-Dec-17 Piridoksin (Vitamin B6) tablet 10 mg
37 31-Dec-17 Stock Opname 31-Dec-17 Prednison tablet 5 mg
38 31-Dec-17 Stock Opname 31-Dec-17 Ranitidin Hcl Sirup
39 31-Dec-17 Stock Opname 31-Dec-17 Ranitidin injeksi 25mg/ml
40 31-Dec-17 Stock Opname 31-Dec-17 Retinol (VIT A) kapsul 100.000 IU
41 31-Dec-17 Stock Opname 31-Dec-17 Ringer laktat larutan infus steril
42 31-Dec-17 Stock Opname 31-Dec-17 Salisil Bedak 2 %
43 31-Dec-17 Stock Opname 31-Dec-17 Siprofloksasin tablet 500 mg
44 31-Dec-17 Stock Opname 31-Dec-17 Suplemen Ibu Menyusui
45 31-Dec-17 Stock Opname 31-Dec-17 Tiampenikol kapsul 500 mg
2017
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Albendazol 400 mg
2 31-Dec-17 Stock Opname 31-Dec-17 Albendazol suspensi
5 31-Dec-17 Stock Opname 31-Dec-17 Ambroksol Syrup 15 mg / ml
6 31-Dec-17 Stock Opname 31-Dec-17 Amoksisilin kaplet 500 mg
7 31-Dec-17 Stock Opname 31-Dec-17 Antasida DOEN Suspensi
8 31-Dec-17 Stock Opname 31-Dec-17 Anti Bakteri DOEN salep
9 31-Dec-17 Stock Opname 31-Dec-17 Anti Hemmoroid DOEN supp
10 31-Dec-17 Stock Opname 31-Dec-17 Aqua Pro Injeksi 25 ml
12 31-Dec-17 Stock Opname 31-Dec-17 Asam Folat tab 0.4 mg
16 31-Dec-17 Stock Opname 31-Dec-17 Besi II Sulfat 200 mg + As. Folat (Tambah darah)
17 31-Dec-17 Stock Opname 31-Dec-17 Betahistin 6 mg
18 31-Dec-17 Stock Opname 31-Dec-17 Betametason Krim
19 31-Dec-17 Stock Opname 31-Dec-17 BIOSAT 1,5 Serum Antitetanus (A.T.S)
20 31-Dec-17 Stock Opname 31-Dec-17 Bisakodil supp 10 mg
22 31-Dec-17 Stock Opname 31-Dec-17 Cetirizine HCl tablet 10 mg
24 31-Dec-17 Stock Opname 31-Dec-17 Diazepam supp
27 31-Dec-17 Stock Opname 31-Dec-17 Eritromisin kapsul 500 mg
29 31-Dec-17 Stock Opname 31-Dec-17 Fitomenadion (Vit K1) tablet gula 10 mg
30 31-Dec-17 Stock Opname 31-Dec-17 Fitomenadion injeksi 2mg/1ml
31 31-Dec-17 Stock Opname 31-Dec-17 Framisetin Sulfat Tulle 1%
32 31-Dec-17 Stock Opname 31-Dec-17 Garam oralit serbuk kombinasi
33 31-Dec-17 Stock Opname 31-Dec-17 Griseofulvin tablet 125 mg micronized
34 31-Dec-17 Stock Opname 31-Dec-17 Hidroklortiazid (HCT) tablet 25 mg
35 31-Dec-17 Stock Opname 31-Dec-17 Hidrokortison cream 2,5 %
38 31-Dec-17 Stock Opname 31-Dec-17 Ipatropium Br dan Salbutamol Sulphate udv
40 31-Dec-17 Stock Opname 31-Dec-17 Kalsium Glukonat injkesi i.v 10%
41 31-Dec-17 Stock Opname 31-Dec-17 Kaptopril tablet 25 mg
42 31-Dec-17 Stock Opname 31-Dec-17 Ketokonazol krim 2 %
43 31-Dec-17 Stock Opname 31-Dec-17 Ketokonazol tablet 200 mg
44 31-Dec-17 Stock Opname 31-Dec-17 Kloramfenikol salep kulit 2%
45 31-Dec-17 Stock Opname 31-Dec-17 Kloramfenikol salep mata 1 %
46 31-Dec-17 Stock Opname 31-Dec-17 Kloramfenikol suspensi 125mg/5ml
47 31-Dec-17 Stock Opname 31-Dec-17 Kloramfenikol tetes mata 0.5 %
48 31-Dec-17 Stock Opname 31-Dec-17 Klorfeniramin maleat tablet 4 mg
50 31-Dec-17 Stock Opname 31-Dec-17 Lidokain Injeksi 2%
51 31-Dec-17 Stock Opname 31-Dec-17 Lidokain Jeli 2%
52 31-Dec-17 Stock Opname 31-Dec-17 Loratadine 10 mg
53 31-Dec-17 Stock Opname 31-Dec-17 Magnesium sulfat inj 25 ml-40 %
54 31-Dec-17 Stock Opname 31-Dec-17 Metilprednisolon 4 mg
55 31-Dec-17 Stock Opname 31-Dec-17 Metronidazol Sirup 125 mg/5ml
57 31-Dec-17 Stock Opname 31-Dec-17 Metronidazol tablet 500mg
58 31-Dec-17 Stock Opname 31-Dec-17 Multivitamin anak sirup
60 31-Dec-17 Stock Opname 31-Dec-17 Obat Batuk Hitam 100 mL
61 31-Dec-17 Stock Opname 31-Dec-17 Oksitosin injeksi 10 IU/ml
62 31-Dec-17 Stock Opname 31-Dec-17 Omeprazol injeksi 40mg/10ml
63 31-Dec-17 Stock Opname 31-Dec-17 Omeprazol kapsul 20 mg
64 31-Dec-17 Stock Opname 31-Dec-17 Parasetamol drop
65 31-Dec-17 Stock Opname 31-Dec-17 Parasetamol sirup 120 mg / 5 ml
66 31-Dec-17 Stock Opname 31-Dec-17 Parasetamol tablet 500 mg
67 31-Dec-17 Stock Opname 31-Dec-17 Phenol Glycerol 10%
68 31-Dec-17 Stock Opname 31-Dec-17 Povidon iodida larutan 10 % (300 ml)
69 31-Dec-17 Stock Opname 31-Dec-17 Ranitidin tablet 150 mg
70 31-Dec-17 Stock Opname 31-Dec-17 Salbutamol tab 4 mg
71 31-Dec-17 Stock Opname 31-Dec-17 Simvastatin tablet 10 mg
72 31-Dec-17 Stock Opname 31-Dec-17 Sulfadiazin Krim 1%
73 31-Dec-17 Stock Opname 31-Dec-17 Terbutalin cairan ih 2.5 mg/ml
74 31-Dec-17 Stock Opname 31-Dec-17 Tiamin HCL / Nitrat ( Vit B1 )
75 31-Dec-17 Stock Opname 31-Dec-17 Permetrin krim 5% 10 g
77 31-Dec-17 Stock Opname 31-Dec-17 Vitamin Neurotropik
79 31-Dec-17 Stock Opname 31-Dec-17 Zink tablet 20 mg
JKN
1 31-Dec-17 Stock Opname 31-Dec-17 Alupurinol
2 31-Dec-17 Stock Opname 31-Dec-17 Kloramfenikol sy
3 31-Dec-17 Stock Opname 31-Dec-17 Kloramfenikol TT
4 31-Dec-17 Stock Opname 31-Dec-17 Kortimox GITRI
5 31-Dec-17 Stock Opname 31-Dec-17 PCT tab
Sub Total (Rp)
BMHP
TAHUN 2011
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Kasa Pembalut Hidrofil 4 x 5 elastik
TAHUN 2012
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Eugenol cairan
TAHUN 2013
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Jarum Hekting Kulit
2 31-Dec-17 Stock Opname 31-Dec-17 Jarum Hekting Otot
TAHUN 2014
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Aquabidest 500ml
2 31-Dec-17 Stock Opname 31-Dec-17 Articulating paper
6 31-Dec-17 Stock Opname 31-Dec-17 Dressing Fiksasi untuk luka lebar 10 cm x 5 cm
7 31-Dec-17 Stock Opname 31-Dec-17 ID Pasien bayi biru
8 31-Dec-17 Stock Opname 31-Dec-17 ID pasien bayi pink
9 31-Dec-17 Stock Opname 31-Dec-17 IV Catheter No. 22 with injection Port
10 31-Dec-17 Stock Opname 31-Dec-17 IV Chateter No. 18 with injection Port
11 31-Dec-17 Stock Opname 31-Dec-17 Kasa Pembalut Elastic 3 inchi
12 31-Dec-17 Stock Opname 31-Dec-17 Kertas Puyer Cetak (pocket medicine)
20 31-Dec-17 Stock Opname 31-Dec-17 Plester kain 2 x 5y
21 31-Dec-17 Stock Opname 31-Dec-17 Plester roll kertas 1"
22 31-Dec-17 Stock Opname 31-Dec-17 Semen seng fosfat serbuk
TAHUN 2015
FARMASI
1 31-Dec-17 Stock Opname 31-Dec-17 Alkohol 1000 ml
2 31-Dec-17 Stock Opname 31-Dec-17 Aseptic Gel + Dispenser 500 ml
3 31-Dec-17 Stock Opname 31-Dec-17 Handscoon Non Steril S
4 31-Dec-17 Stock Opname 31-Dec-17 Kapas 1 kg
5 31-Dec-17 Stock Opname 31-Dec-17 Kasa Hidrofil steril 16 x 16 (isi 16 lbr)
6 31-Dec-17 Stock Opname 31-Dec-17 Plastik klip 13 x 8,7
TAHUN 2016
FARMASI
3 31-Dec-17 Stock Opname 31-Dec-17 Antiseptik untuk saluran akar
4 31-Dec-17 Stock Opname 31-Dec-17 Bonding
5 31-Dec-17 Stock Opname 31-Dec-17 Etil klorida semprot
6 31-Dec-17 Stock Opname 31-Dec-17 Fletcher Cairan
7 31-Dec-17 Stock Opname 31-Dec-17 Fletcher Serbuk
8 31-Dec-17 Stock Opname 31-Dec-17 Glass Ionomer cement Art
9 31-Dec-17 Stock Opname 31-Dec-17 Handscoon Non Steril L
10 31-Dec-17 Stock Opname 31-Dec-17 Handscoon panjang untuk manual plasenta 6,5
11 31-Dec-17 Stock Opname 31-Dec-17 handscoon panjang untuk manual plasenta 7
16 31-Dec-17 Stock Opname 31-Dec-17 Pasta Iodoform
18 31-Dec-17 Stock Opname 31-Dec-17 Tambal Sementara Untuk Gigi
19 31-Dec-17 Stock Opname 31-Dec-17 Three way stopcock
TAHUN 2017
FARMASI
3 31-Dec-17 Stock Opname 31-Dec-17 Alkohol Swab
9 31-Dec-17 Stock Opname 31-Dec-17 Handscoon (Steril) # 7
10 31-Dec-17 Stock Opname 31-Dec-17 Infus Anak
11 31-Dec-17 Stock Opname 31-Dec-17 Infus set dewasa
12 31-Dec-17 Stock Opname 31-Dec-17 Lisol
13 31-Dec-17 Stock Opname 31-Dec-17 Masker
16 31-Dec-17 Stock Opname 31-Dec-17 Safety box
17 31-Dec-17 Stock Opname 31-Dec-17 Selang O2 anak (nasal oxygen canula- child)
18 31-Dec-17 Stock Opname 31-Dec-17 Selang O2 NEO NATUS
22 31-Dec-17 Stock Opname 31-Dec-17 Spuit 5 cc
23 31-Dec-17 Stock Opname 31-Dec-17 Urine Bag
LABORATORIUM
1 31-Dec-17 Stock Opname 31-Dec-17 EDTA Cair
2 31-Dec-17 Stock Opname 31-Dec-17 Kertas Print
3 31-Dec-17 Stock Opname 31-Dec-17 Pot Feses (Buah)
4 31-Dec-17 Stock Opname 31-Dec-17 Pot Dahak (Buah)
5 31-Dec-17 Stock Opname 31-Dec-17 Stick Haemoglobin (Buah)
6 31-Dec-17 Stock Opname 31-Dec-17 Object Glass (Buah)
7 31-Dec-17 Stock Opname 31-Dec-17 Deck Glass (Buah)
8 31-Dec-17 Stock Opname 31-Dec-17 Yellow Tip (Bag)
9 31-Dec-17 Stock Opname 31-Dec-17 Blue Tip (Bag)
10 31-Dec-17 Stock Opname 31-Dec-17 Coverplast Oval (Buah)
11 31-Dec-17 Stock Opname 31-Dec-17 Coverplast Bulat (Buah)
12 31-Dec-17 Stock Opname 31-Dec-17 Handscoon (Buah)
13 31-Dec-17 Stock Opname 31-Dec-17 Tes Kehamilan (Buah)
14 31-Dec-17 Stock Opname 31-Dec-17 Stick Urin 10 Parameter (Strip)
15 31-Dec-17 Stock Opname 31-Dec-17 Lancet anak (Buah)
16 31-Dec-17 Stock Opname 31-Dec-17 Lancet (Box)
17 31-Dec-17 Stock Opname 31-Dec-17 Alkohol Swab 70% (Buah)
18 31-Dec-17 Stock Opname 31-Dec-17 BTA/Zeihl neelsen (set)
19 31-Dec-17 Stock Opname 31-Dec-17 Poch Pack D (Box)
20 31-Dec-17 Stock Opname 31-Dec-17 Poch Pack L (Box)
21 31-Dec-17 Stock Opname 31-Dec-17 HIV Rapid Vikia (Buah)
22 31-Dec-17 Stock Opname 31-Dec-17 HBsAg Rapid SD Bioline (Buah)
23 31-Dec-17 Stock Opname 31-Dec-17 HIV Rapid Oncoprobe (Buah)
24 31-Dec-17 Stock Opname 31-Dec-17 Cell Clean (Buah)
25 31-Dec-17 Stock Opname 31-Dec-17 Control Sysmex (Serial)
28 31-Dec-17 Stock Opname 31-Dec-17 Cholesterol Total (Kit)
29 31-Dec-17 Stock Opname 31-Dec-17 Trigliserida (Kit)
30 31-Dec-17 Stock Opname 31-Dec-17 Asam Urat (Kit)
31 31-Dec-17 Stock Opname 31-Dec-17 Glukosa (Kit)
32 31-Dec-17 Stock Opname 31-Dec-17 SGOT/AST (Kit)
33 31-Dec-17 Stock Opname 31-Dec-17 SGPT/ALT (Kit)
34 31-Dec-17 Stock Opname 31-Dec-17 HDL-Cholesterol (Kit)
35 31-Dec-17 Stock Opname 31-Dec-17 Salmonella Parathypi H (Vial)
36 31-Dec-17 Stock Opname 31-Dec-17 Salmonella Parathypi AH (Vial)
37 31-Dec-17 Stock Opname 31-Dec-17 Salmonella Parathypi BH (Vial)
38 31-Dec-17 Stock Opname 31-Dec-17 Salmonella Parathypi CH (Vial)
39 31-Dec-17 Stock Opname 31-Dec-17 Salmonella Parathypi O (Vial)
40 31-Dec-17 Stock Opname 31-Dec-17 Salmonella Parathypi AO (Vial)
41 31-Dec-17 Stock Opname 31-Dec-17 Salmonella Parathypi BO (Vial)
42 31-Dec-17 Stock Opname 31-Dec-17 Salmonella Parathypi CO (Vial)
43 31-Dec-17 Stock Opname 31-Dec-17 Gol. Darah Anti A (Vial)
44 31-Dec-17 Stock Opname 31-Dec-17 Gol. Darah Anti B (Vial)
45 31-Dec-17 Stock Opname 31-Dec-17 Gol. Darah Anti AB (Vial)
46 31-Dec-17 Stock Opname 31-Dec-17 Gol. Darah Anti D (Vial)
Sub Total (Rp)
Total Persediaan Awal Tahun 2018 (Rp)
Pembelian Barang Persediaan 2018
Belanja JKN 1 Januari 2018-31 Maret 2018
1 22-Feb-18 Belanja JKN 22-Feb-18 Oxygen Mask Adult NR
2 22-Feb-18 Belanja JKN 22-Feb-18 Cosmomed Oxygen Mask adult
3 22-Feb-18 Belanja JKN 22-Feb-18 Oxygen Mask Child NR
4 22-Feb-18 Belanja JKN 22-Feb-18 Cosmomed Oxygen Mask Child
5 22-Feb-18 Belanja JKN 22-Feb-18 Apron 75x130/050
6 22-Feb-18 Belanja JKN 22-Feb-18 Bio Hazard Bag Color Yelow
Sub Total (Rp)
Belanja Cetak (522.06.01)
1 6-Mar-18 Belanja JKN 6-Mar-18 Form Data Keluarga Pis PK
2 6-Mar-18 Belanja JKN 6-Mar-18 Form Keterangan anggota keluarga
3 6-Mar-18 Belanja JKN 6-Mar-18 Form Keterangan Lanjutan
4 6-Mar-18 Belanja JKN 6-Mar-18 Form Pengenalan Tempat
5 6-Mar-18 Belanja JKN 6-Mar-18 Form Catatan
6 6-Mar-18 Belanja JKN 6-Mar-18 Stiker Pis PK
9 6-Mar-18 Belanja JKN 6-Mar-18 Form Inspeksi sanitasi
10 6-Mar-18 Belanja JKN 6-Mar-18 Map Puskesmas
11 6-Mar-18 Belanja JKN 6-Mar-18 Kartu Golongan Darah
12 6-Mar-18 Belanja JKN 6-Mar-18 Form Pendaftaran Loket bernomor
13 6-Mar-18 Belanja JKN 6-Mar-18 Lembar pemeriksaan kesehatan umum
14 6-Mar-18 Belanja JKN 6-Mar-18 Lembar pemeriksaan Ordontogram
15 6-Mar-18 Belanja JKN 6-Mar-18 Buku Disposisi NCR 2 Rangkap 1/2 Folio
16 6-Mar-18 Belanja JKN 6-Mar-18 Form Rujukan Internal
17 6-Mar-18 Belanja JKN 6-Mar-18 Buku Resep Dalam
18 6-Mar-18 Belanja JKN 6-Mar-18 Buku Resep Luar
19 6-Mar-18 Belanja JKN 6-Mar-18 form pernyataan peserta
20 6-Mar-18 Belanja JKN 6-Mar-18 Form surat keterangan lahir
21 6-Mar-18 Belanja JKN 6-Mar-18 form partograf
22 6-Mar-18 Belanja JKN 6-Mar-18 kartu stok obat
23 6-Mar-18 Belanja JKN 6-Mar-18 kartu stok barang
24 6-Mar-18 Belanja JKN 6-Mar-18 form catatan perkembangan
25 6-Mar-18 Belanja JKN 6-Mar-18 form daftar pemesanan makanan pasien
26 6-Mar-18 Belanja JKN 6-Mar-18 form rekap pemesanan makanan pasien
27 6-Mar-18 Belanja JKN 6-Mar-18 balok SKDN
28 6-Mar-18 Belanja JKN 6-Mar-18 leaflet STBM
29 6-Mar-18 Belanja JKN 6-Mar-18 leaflet DAM
30 6-Mar-18 Belanja JKN 6-Mar-18 leaflet Cuci tangan
31 6-Mar-18 Belanja JKN 6-Mar-18 leaflet diet mandiri
32 6-Mar-18 Belanja JKN 6-Mar-18 leaflet bahan penukar
33 6-Mar-18 Belanja JKN 6-Mar-18 stempel puskesmas
34 6-Mar-18 Belanja JKN 6-Mar-18 stiker dilarang masuk Uk 30x25Cm
35 6-Mar-18 Belanja JKN 6-Mar-18 stiker naik uk.10x10cm
36 6-Mar-18 Belanja JKN 6-Mar-18 stiker turun uk.10x10cm
37 6-Mar-18 Belanja JKN 6-Mar-18 stiker hati-hati tangga uk 10x15cm
Sub Total (Rp)
1 20-Mar-18 Belanja JKN 20-Mar-18 Guedel Ukuran S,M,L
2 20-Mar-18 Belanja JKN 20-Mar-18 Selang NGT S,M,L
3 20-Mar-18 Belanja JKN 20-Mar-18 Amubag/ Resusitasi anak dewasa
Sub Total (Rp)
1 20-Mar-18 Belanja JKN 20-Mar-18 Alkes Gigi
2 20-Mar-18 Belanja JKN 20-Mar-18 Alat Persalinan
3 20-Mar-18 Belanja JKN 20-Mar-18 Timbangan Bayi
4 20-Mar-18 Belanja JKN 20-Mar-18 Thermometer
5 20-Mar-18 Belanja JKN 20-Mar-18 Pispot
6 20-Mar-18 Belanja JKN 20-Mar-18 Helm Partus
7 20-Mar-18 Belanja JKN 20-Mar-18 Korentang
8 20-Mar-18 Belanja JKN 20-Mar-18 Tensimeter
9 20-Mar-18 Belanja JKN 20-Mar-18 Kom
Sub Total (Rp)
Total Pembelian JKN Barang Persediaan Triwulan 1 (Rp)
Belanja Operasional 1 Januari 2018-31 Maret 2018
Belanja Makan Minum Harian Pegawai (522.11.01)
1 5-Mar-18 Belanja Operasional 5-Mar-18 Kopi Kapal Api
2 5-Mar-18 Belanja Operasional 5-Mar-18 Kopi ABC Susu
3 5-Mar-18 Belanja Operasional 5-Mar-18 Luwak White Kofiie
Sub Total (Rp)
Belanja Bahan Pembersih (522.01.05)
1 5-Mar-18 Belanja Operasional 5-Mar-18 Tissue Box
2 5-Mar-18 Belanja Operasional 5-Mar-18 Plastik Sampah
Sub Total (Rp)
Belanja Alat Tulis Kantor (522.01.01)
1 6-Mar-18 Belanja Operasional 6-Mar-18 Pulpen Baliner Hitam+Biru
2 6-Mar-18 Belanja Operasional 6-Mar-18 Lem Stick Besar
3 6-Mar-18 Belanja Operasional 6-Mar-18 Map Bening L
4 6-Mar-18 Belanja Operasional 6-Mar-18 Pulpen Faster Cetek
5 6-Mar-18 Belanja Operasional 6-Mar-18 Rautan Meja Besar
6 6-Mar-18 Belanja Operasional 6-Mar-18 Stempel Tanggal
7 6-Mar-18 Belanja Operasional 6-Mar-18 Stempel Lunas
8 6-Mar-18 Belanja Operasional 6-Mar-18 Spidol Permanent Snowman
9 6-Mar-18 Belanja Operasional 6-Mar-18 Spidol Kecil Snowman
10 6-Mar-18 Belanja Operasional 6-Mar-18 Lakban Besar 2" HItam
11 6-Mar-18 Belanja Operasional 6-Mar-18 Lakban Besar 2" Merah
12 6-Mar-18 Belanja Operasional 6-Mar-18 Lakban Besar 2" Kuning
13 6-Mar-18 Belanja Operasional 6-Mar-18 Lakban Besar 2" Hijau
14 6-Mar-18 Belanja Operasional 6-Mar-18 Desk Organizer
Sub Total (Rp)
Total Pembelian Operasional Barang Persediaan Triwulan 1 (Rp)
01 Januari-31 Maret 2018 01 Januari-31 Maret 2018 Obat dan Vaksin
01 Januari-31 Maret 2018 01 Januari-31 Maret 2018 BMHP
01 Januari-31 Maret 2018 01 Januari-31 Maret 2018 Laboratorium
01 Januari-31 Maret 2018 01 Januari-31 Maret 2018 PMT
01 Januari-31 Maret 2018 01 Januari-31 Maret 2018 ALKON
Total Penerimaan Persediaan Triwulan 1 (Rp)
Mengetahui,
Aisah, SKM
NIP. 19660920 198803 2 003
UN*) TMT TGL. 01 Januari 2018 S/D TGL. 31 Maret 2018

Banyaknya Satuan Satuan Fisik Barang Honor+adm Jumlah Harga (Rp) Berita Acara Penerimaan Ket.
7 8 9 10 (7x9) 11 12 (10+11) 13 14 15
10 Pack Rp 42,500.00 Rp 425,000.00

6 Buah Rp 6,300.00 Rp 37,800.00
17 Pack Rp 55,000.00 Rp 935,000.00

47 Buah Rp 35,000.00 Rp 1,645,000.00
9 Pack Rp 25,000.00 Rp 225,000.00
4 Buah Rp 25,000.00 Rp 100,000.00
120 Buah Rp 1,125.00 Rp 135,000.00
17 Pack Rp 29,000.00 Rp 493,000.00
24 Pack Rp 25,000.00 Rp 600,000.00
43 Roll Rp 16,000.00 Rp 688,000.00
5 Pack Rp 102,500.00 Rp 512,500.00
26 Buah Rp 25,000.00 Rp 650,000.00
10 Buah Rp 75,000.00 Rp 750,000.00
12 Buah Rp 12,000.00 Rp 144,000.00
11 Buah Rp 4,000.00 Rp 44,000.00
23 Buah Rp 11,000.00 Rp 253,000.00
16 Pack Rp 15,000.00 Rp 240,000.00
4 Lusin Rp 40,000.00 Rp 160,000.00
2 Lusin Rp 17,500.00 Rp 35,000.00
4 Buah Rp 5,800.00 Rp 23,200.00
1 Buah Rp 6,200.00 Rp 6,200.00
5 Pack Rp 125,000.00 Rp 625,000.00
29 Rim Rp 40,000.00 Rp 1,160,000.00
80 Rim Rp 48,000.00 Rp 3,840,000.00
Rp 13,726,700.00
1 Buah Rp 20,000.00 Rp 20,000.00
8 Pack Rp 25,000.00 Rp 200,000.00

8 Pack Rp 31,000.00 Rp 248,000.00
1 Buah Rp 75,000.00 Rp 75,000.00
20 Buah Rp 147,000.00 Rp 2,940,000.00
6 Buah Rp 55,000.00 Rp 330,000.00
18 Buah Rp 30,000.00 Rp 540,000.00
Rp 4,353,000.00
1 Buah Rp 20,300.00 Rp 20,300.00

2 Buah Rp 45,000.00 Rp 90,000.00
9 Buah Rp 14,000.00 Rp 126,000.00
4 Buah Rp 12,990.00 Rp 51,960.00
5 Buah Rp 21,000.00 Rp 105,000.00
17 Buah Rp 15,500.00 Rp 263,500.00
9 Galon Rp 127,000.00 Rp 1,143,000.00
7 Buah Rp 20,000.00 Rp 140,000.00
17 Buah Rp 25,200.00 Rp 428,400.00
8 Kaleng Rp 35,000.00 Rp 280,000.00
6 Kaleng Rp 35,000.00 Rp 210,000.00
8 Buah Rp 35,000.00 Rp 280,000.00
8 Buah Rp 16,900.00 Rp 135,200.00
3 Galon Rp 185,000.00 Rp 555,000.00
3 Galon Rp 48,635.00 Rp 145,905.00
5 Buah Rp 200,000.00 Rp 1,000,000.00
2 Buah Rp 179,000.00 Rp 358,000.00
14 Buah Rp 3,000.00 Rp 42,000.00
14 Buah Rp 20,000.00 Rp 280,000.00
4 Buah Rp 20,000.00 Rp 80,000.00
2 Buah Rp 85,000.00 Rp 170,000.00
3 Buah Rp 5,000.00 Rp 15,000.00
15 Buah Rp 15,000.00 Rp 225,000.00
7 Buah Rp 9,000.00 Rp 63,000.00
Rp 6,207,265.00
15 Kotak Rp 8,200.00 Rp 123,000.00

100 Sachet Rp 2,000.00 Rp 200,000.00
140 Sachet Rp 1,916.00 Rp 268,240.00
40 Sachet Rp 1,875.00 Rp 75,000.00
23 Kg Rp 18,500.00 Rp 425,500.00
200 Sachet Rp 2,800.00 Rp 560,000.00
Rp 1,651,740.00
7 Rim Rp 90,000.00 Rp 630,000.00

10 Rim Rp 90,000.00 Rp 900,000.00
1 Rim Rp 90,000.00 Rp 90,000.00
5 Rim Rp 90,000.00 Rp 450,000.00
11 Rim Rp 90,000.00 Rp 990,000.00
1 Rim Rp 95,000.00 Rp 95,000.00
3 Rim Rp 90,000.00 Rp 270,000.00
1 Rim Rp 90,000.00 Rp 90,000.00
1 Rim Rp 90,000.00 Rp 90,000.00
2 Rim Rp 90,000.00 Rp 180,000.00
3 Rim Rp 90,000.00 Rp 270,000.00
3 Rim Rp 90,000.00 Rp 270,000.00
11 Rim Rp 90,000.00 Rp 990,000.00
5 Rim Rp 90,000.00 Rp 450,000.00
12 Rim Rp 90,000.00 Rp 1,080,000.00
4 Rim Rp 90,000.00 Rp 360,000.00
4 Rim Rp 95,000.00 Rp 380,000.00
7 Rim Rp 90,000.00 Rp 630,000.00
4 Rim Rp 90,000.00 Rp 360,000.00
6 Rim Rp 90,000.00 Rp 540,000.00
7 Rim Rp 90,000.00 Rp 630,000.00
4 Rim Rp 95,000.00 Rp 380,000.00
1 Rim Rp 95,000.00 Rp 95,000.00
1 Rim Rp 90,000.00 Rp 90,000.00
4 Rim Rp 90,000.00 Rp 360,000.00
2 Rim Rp 90,000.00 Rp 180,000.00
2 Rim Rp 95,000.00 Rp 190,000.00
3 Rim Rp 90,000.00 Rp 270,000.00
2 Rim Rp 90,000.00 Rp 180,000.00
1 Rim Rp 90,000.00 Rp 90,000.00
1 Rim Rp 95,000.00 Rp 95,000.00
2 Rim Rp 95,000.00 Rp 190,000.00
3 Rim Rp 95,000.00 Rp 285,000.00
1 Rim Rp 90,000.00 Rp 90,000.00
4 Rim Rp 90,000.00 Rp 360,000.00
Rp 12,600,000.00
61 Rp 121,660.00 Rp 7,421,260.00
324 Rp 54,648.00 Rp 17,705,952.00
156 Rp 51,340.00 Rp 8,009,040.00

90 Rp 69,162.00 Rp 6,224,580.00
Rp 39,360,832.00
2984 Rp 1,518.00 Rp 4,529,712.00
3580 Rp 6,090.00 Rp 21,802,200.00
949 Rp 96,000.00 Rp 91,104,000.00

60 Rp 257,500.00 Rp 15,450,000.00
86 Rp 11,800.00 Rp 1,014,800.00
Rp 133,900,712.00
534 Rp 76,285.00 Rp 40,736,190.00

722 Rp 16,412.00 Rp 11,849,464.00
593 Rp 16,500.00 Rp 9,784,500.00
133 Rp 42,300.00 Rp 5,625,900.00
8 Rp 137,610.00 Rp 1,100,880.00
124 Rp 20,900.00 Rp 2,591,600.00
19 Rp 59,950.00 Rp 1,139,050.00
Rp 72,827,584.00
27 Rp 2,344.00 Rp 63,288.00
88 Rp 311.00 Rp 27,368.00
190 Rp 2,213.75 Rp 420,612.50
29 Rp 3,822.00 Rp 110,838.00
100 Rp 112.00 Rp 11,200.00
100 Rp 97.00 Rp 9,700.00
314 Rp 75.00 Rp 23,550.00
30 Rp 5,700.00 Rp 171,000.00
30 Rp 5,200.00 Rp 156,000.00
1000 Rp 110.00 Rp 110,000.00
7 Rp 1,078.00 Rp 7,546.00
129 Rp 4,045.00 Rp 521,805.00

30 Rp 1,400.00 Rp 42,000.00
185 Rp 148.00 Rp 27,380.00
525 Rp 237.00 Rp 124,425.00
7 Rp 10,000.00 Rp 70,000.00
16 Rp 2,550.00 Rp 40,800.00
30 Rp 64.00 Rp 1,920.00
5 Rp 7,800.00 Rp 39,000.00
1089 Rp 62.00 Rp 67,518.00
400 Rp 89.00 Rp 35,600.00
30 Rp 1,350.00 Rp 40,500.00
2470 Rp 112.50 Rp 277,875.00
500 Rp 197.50 Rp 98,750.00
1000 Rp 108.00 Rp 108,000.00
4230 Rp 133.00 Rp 562,590.00
639 Rp 110.00 Rp 70,290.00
2500 Rp 459.00 Rp 1,147,500.00
104 Rp 91.00 Rp 9,464.00

4620 Rp 148.00 Rp 683,760.00
2970 Rp 62.00 Rp 184,140.00
1320 Rp 104.00 Rp 137,280.00
4290 Rp 106.00 Rp 454,740.00
360 Rp 145.00 Rp 52,200.00
300 Rp 330.00 Rp 99,000.00
44 Rp 134,000.00 Rp 5,896,000.00
200 Rp 1,500.00 Rp 300,000.00
720 Rp 44.00 Rp 31,680.00
15 Rp 1,176.00 Rp 17,640.00
1750 Rp 118.00 Rp 206,500.00
97 Rp 3,000.00 Rp 291,000.00
4 Rp 2,204.00 Rp 8,816.00
430 Rp 380.00 Rp 163,400.00
830 Rp 218.00 Rp 180,940.00
126 Rp 88.00 Rp 11,088.00
8560 Rp 63.00 Rp 539,280.00
1300 Rp 59.00 Rp 76,700.00
329 Rp 5,500.00 Rp 1,809,500.00
276 Rp 2,140.00 Rp 590,640.00
1300 Rp 151.00 Rp 196,300.00
15 Rp 14,500.00 Rp 217,500.00
11 Rp 1,845.00 Rp 20,295.00
30 Rp 50,000.00 Rp 1,500,000.00
180 Rp 3,100.00 Rp 558,000.00
49 Rp 2,684.00 Rp 131,516.00
46 Rp 3,250.00 Rp 149,500.00
36 Rp 6,410.00 Rp 230,760.00
400 Rp 108.00 Rp 43,200.00
438 Rp 745.00 Rp 326,310.00
584 Rp 523.00 Rp 305,432.00
8900 Rp 740.00 Rp 6,586,000.00
51 Rp 18,000.00 Rp 918,000.00
113 Rp 10,800.00 Rp 1,220,400.00
2210 Rp 118.00 Rp 260,780.00
1000 Rp 96.00 Rp 96,000.00
80 Rp 41,000.00 Rp 3,280,000.00
59 Rp 1,390.00 Rp 82,010.00
200 Rp 284.00 Rp 56,800.00
232 Rp 7,150.00 Rp 1,658,800.00
136 Rp 1,025.00 Rp 139,400.00
1030 Rp 281.00 Rp 289,430.00
180 Rp 800.00 Rp 144,000.00
1400 Rp 950.00 Rp 1,330,000.00
3560 Rp 115.00 Rp 409,400.00
40 Rp 14,980.00 Rp 599,200.00
90 Rp 296.00 Rp 26,640.00
10 Rp 3,849.00 Rp 38,490.00
300 Rp 91.00 Rp 27,300.00
2000 Rp 110.00 Rp 220,000.00
134 Rp 3,465.00 Rp 464,310.00
3900 Rp 232.00 Rp 904,800.00
179 Rp 4,200.00 Rp 751,800.00
95 Rp 2,924.00 Rp 277,780.00
130 Rp 3,045.00 Rp 395,850.00
34 Rp 2,750.00 Rp 93,500.00
500 Rp 114.00 Rp 57,000.00
2670 Rp 55.00 Rp 146,850.00
1000 Rp 249.00 Rp 249,000.00
280 Rp 349.00 Rp 97,720.00
2000 Rp 145.00 Rp 290,000.00
32400 Rp 352.00 Rp 11,404,800.00
850 Rp 149.00 Rp 126,650.00
79 Rp 1,349.00 Rp 106,571.00
19 Rp 126,500.00 Rp 2,403,500.00
55 Rp 5,800.00 Rp 319,000.00
500 Rp 330.00 Rp 165,000.00
290 Rp 96.00 Rp 27,840.00
3000 Rp 41.00 Rp 123,000.00
40 Rp 12,090.00 Rp 483,600.00
150 Rp 3,000.00 Rp 450,000.00
60 Rp 2,204.00 Rp 132,240.00
462 Rp 730.00 Rp 337,260.00
18 Rp 2,999.70 Rp 53,994.60
665 Rp 695.00 Rp 462,175.00
29 Rp 3,550.00 Rp 102,950.00
64 Rp 8,990.00 Rp 575,360.00
471 Rp 264.00 Rp 124,344.00
914 Rp 245.00 Rp 223,930.00
775 Rp 149.00 Rp 115,475.00
171 Rp 2,650.00 Rp 453,150.00
3695 Rp 105.00 Rp 387,975.00
2200 Rp 127.00 Rp 279,400.00
137 Rp 5,700.00 Rp 780,900.00
500 Rp 90.00 Rp 45,000.00
6 Rp 9,955.00 Rp 59,730.00
610 Rp 68.00 Rp 41,480.00
67 Rp 2,545.00 Rp 170,515.00
770 Rp 280.00 Rp 215,600.00
149 Rp 3,008.00 Rp 448,192.00
51 Rp 1,810.00 Rp 92,310.00
50 Rp 4,700.00 Rp 235,000.00
66 Rp 3,250.00 Rp 214,500.00
8415 Rp 42.00 Rp 353,430.00
72 Rp 14,500.00 Rp 1,044,000.00
64 Rp 860.00 Rp 55,040.00
10 Rp 40,000.00 Rp 400,000.00
745 Rp 125.00 Rp 93,125.00
12 Rp 3,650.00 Rp 43,800.00
835 Rp 150.00 Rp 125,250.00
50 Rp 3,800.00 Rp 190,000.00
1000 Rp 94.00 Rp 94,000.00
1000 Rp 113.00 Rp 113,000.00
247 Rp 32,945.00 Rp 8,137,415.00
930 Rp 159.00 Rp 147,870.00
35 Rp 3,993.00 Rp 139,755.00
45 Rp 1,900.00 Rp 85,500.00
30 Rp 11,868.00 Rp 356,040.00
1285 Rp 160.00 Rp 205,600.00
317 Rp 5,200.00 Rp 1,648,400.00
182 Rp 1,010.00 Rp 183,820.00
11100 Rp 56.00 Rp 621,600.00
30 Rp 2,500.00 Rp 75,000.00
18 Rp 17,999.30 Rp 323,987.40
4840 Rp 98.00 Rp 474,320.00
1725 Rp 83.00 Rp 143,175.00
2890 Rp 131.00 Rp 378,590.00
16 Rp 20,700.00 Rp 331,200.00
30 Rp 6,850.00 Rp 205,500.00
2380 Rp 86.00 Rp 204,680.00
71 Rp 12,155.00 Rp 863,005.00
2000 Rp 115.00 Rp 230,000.00
620 Rp 1,298.00 Rp 804,760.00
50 Rp 4,789.00 Rp 239,450.00
1155 Rp 513.00 Rp 592,515.00
960 Rp 155.00 Rp 148,800.00

86 Rp 5,670.00 Rp 487,620.00
50 Rp 6,500.00 Rp 325,000.00
3340 Rp 191.00 Rp 637,940.00
1700 Rp 95.00 Rp 161,500.00
Rp 82,747,025.50
90 Rp 296.50 Rp 26,685.00
2 Rp 44,605.00 Rp 89,210.00
15 Rp 27,500.00 Rp 412,500.00
10 Rp 27,500.00 Rp 275,000.00
94 Rp 1,542.75 Rp 145,018.50
100 Rp 1,542.75 Rp 154,275.00
6 Rp 20,295.00 Rp 121,770.00
1 Rp 298,760.00 Rp 298,760.00
264 Rp 5,408.33 Rp 1,427,800.00
24 Rp 5,408.33 Rp 129,800.00
253 Rp 5,408.33 Rp 1,368,308.33
36 Rp 108,839.50 Rp 3,918,222.00
200 Rp 1,798.28 Rp 359,656.00
200 Rp 1,798.28 Rp 359,656.00
2 Rp 24,624.60 Rp 49,249.20
200 Rp 24,624.60 Rp 4,924,920.00
24 Rp 48,400.00 Rp 1,161,600.00
82440 Rp 89.84 Rp 7,406,615.70
53 Rp 56,375.00 Rp 2,987,875.00
252 Rp 3,720.75 Rp 937,629.00
100 Rp 3,720.75 Rp 372,075.00
100 Rp 3,720.75 Rp 372,075.00
22700 Rp 14.66 Rp 332,725.25
3000 Rp 37.21 Rp 111,622.50
8000 Rp 23.68 Rp 189,420.00
158 Rp 27,511.00 Rp 4,346,738.00
144 Rp 15,950.00 Rp 2,296,800.00
2 Rp 174,405.00 Rp 348,810.00
4 Rp 8,143.06 Rp 32,572.22
16 Rp 21,500.00 Rp 344,000.00
60 Rp 22,000.00 Rp 1,320,000.00
1500 Rp 583.00 Rp 874,500.00
6 Rp 54,560.00 Rp 327,360.00
180 Rp 5,800.00 Rp 1,044,000.00
66000 Rp 110.00 Rp 7,260,000.00
105000 Rp 93.50 Rp 9,817,500.00
5 Rp 5,500.00 Rp 27,500.00
195 Rp 968.00 Rp 188,760.00

1200 Rp 1,310.00 Rp 1,572,000.00
1 Rp 880,000.00 Rp 880,000.00
2 Rp 330,000.00 Rp 660,000.00
1 Rp 137,500.00 Rp 137,500.00
2 Rp 60,775.00 Rp 121,550.00
1 Rp 28,600.00 Rp 28,600.00
3 Rp 715,000.00 Rp 2,145,000.00
200 Rp 473.00 Rp 94,600.00
100 Rp 17,400.00 Rp 1,740,000.00
160 Rp 17,400.00 Rp 2,784,000.00
76 Rp 8,355.00 Rp 634,980.00
78 Rp 8,355.00 Rp 651,690.00
52 Rp 8,355.00 Rp 434,460.00
5 Rp 28,300.00 Rp 141,500.00
2 Rp 25,300.00 Rp 50,600.00
35 Rp 5,082.00 Rp 177,870.00
2 Rp 176,000.00 Rp 352,000.00
41 Rp 5,720.00 Rp 234,520.00
700 Rp 789.00 Rp 552,300.00

500 Rp 762.00 Rp 381,000.00
700 Rp 160.50 Rp 112,350.00
24 Rp 37,203.00 Rp 892,872.00
24 Rp 37,203.00 Rp 892,872.00
24 Rp 37,203.00 Rp 892,872.00
20 Rp 11,800.00 Rp 236,000.00
20 Rp 11,800.00 Rp 236,000.00
50 Rp 4,700.00 Rp 235,000.00
51 Rp 4,400.00 Rp 224,400.00
71 Rp 6,061.00 Rp 430,331.00
4 Rp 40,999.20 Rp 163,996.80
500 Rp 466.00 Rp 233,000.00
36 Rp 22,000.00 Rp 792,000.00
35 Rp 14,400.00 Rp 504,000.00
43 Rp 21,929.00 Rp 942,947.00
10 Rp 6,400.00 Rp 64,000.00
5 Rp 7,300.00 Rp 36,500.00
24 Rp 35,077.00 Rp 841,848.00
269 Rp 1,590.00 Rp 427,710.00
13866 Rp 1,195.00 Rp 16,569,870.00
1587 Rp 1,640.00 Rp 2,602,680.00
10 Rp 6,900.00 Rp 69,000.00
1 Rp 429,647.00 Rp 429,647.00
1 Rp 29,700.00 Rp 29,700.00
91 Rp 3,920.00 Rp 356,720.00
129 Rp 5,890.00 Rp 759,810.00
400 Rp 4,125.00 Rp 1,650,000.00
5184 Rp 388.89 Rp 2,016,000.00
1700 Rp 1,160.00 Rp 1,972,000.00
5 Rp 89,000.00 Rp 445,000.00
5 Rp 89,000.00 Rp 445,000.00
500 Rp 490.00 Rp 245,000.00
900 Rp 490.00 Rp 441,000.00
1200 Rp 462.00 Rp 554,400.00
110 Rp 1,010.90 Rp 111,199.00
100 Rp 3,685.00 Rp 368,500.00
98 Rp 8,552.00 Rp 838,096.00
1200 Rp 145.64 Rp 174,768.00
16100 Rp 99.99 Rp 1,609,839.00
1 Rp 153,194.00 Rp 153,194.00
18 Rp 572,000.00 Rp 10,296,000.00
4 Rp 1,870,000.00 Rp 7,480,000.00
55 Rp 19,500.00 Rp 1,072,500.00
476 Rp 21,500.00 Rp 10,234,000.00
143 Rp 22,450.00 Rp 3,210,350.00
1 Rp 1,155,000.00 Rp 1,155,000.00
1 Rp 935,000.00 Rp 935,000.00
1319 Rp 839.00 Rp 1,106,641.00
841 Rp 789.00 Rp 663,549.00
5 Rp 770,000.00 Rp 3,850,000.00
5 Rp 1,320,000.00 Rp 6,600,000.00
1 Rp 770,000.00 Rp 770,000.00
5 Rp 401,500.00 Rp 2,007,500.00
2 Rp 770,000.00 Rp 1,540,000.00
2 Rp 770,000.00 Rp 1,540,000.00
1 Rp 2,970,000.00 Rp 2,970,000.00
3 Rp 66,660.00 Rp 199,980.00
3 Rp 66,660.00 Rp 199,980.00
3 Rp 66,660.00 Rp 199,980.00
2 Rp 66,660.00 Rp 133,320.00
2 Rp 66,660.00 Rp 133,320.00
3 Rp 66,660.00 Rp 199,980.00
3 Rp 66,660.00 Rp 199,980.00
3 Rp 66,660.00 Rp 199,980.00
7 Rp 68,200.00 Rp 477,400.00
7 Rp 68,200.00 Rp 477,400.00
7 Rp 92,510.00 Rp 647,570.00
7 Rp 114,070.00 Rp 798,490.00
Rp 169,233,219.51
Rp 536,608,078.01
5 Pcs Rp 16,364.00 Rp 81,820.00 22-Feb-18

5 Pcs Rp 8,636.00 Rp 43,180.00 22-Feb-18
1 Pcs Rp 16,364.00 Rp 16,364.00 22-Feb-18
1 Pcs Rp 8,636.00 Rp 8,636.00 22-Feb-18
4 Box Rp 122,727.00 Rp 490,908.00 22-Feb-18
60 Pcs Rp 3,409.00 Rp 204,540.00 22-Feb-18
Rp 930,000.00
5 Rim Rp 110,000.00 Rp 550,000.00 6-Mar-18

5 Rim Rp 110,000.00 Rp 550,000.00 6-Mar-18
5 Rim Rp 110,000.00 Rp 550,000.00 6-Mar-18
5 Rim Rp 110,000.00 Rp 550,000.00 6-Mar-18
5 Rim Rp 110,000.00 Rp 550,000.00 6-Mar-18
5000 Lembar Rp 600.00 Rp 3,000,000.00 6-Mar-18
1000 Lembar Rp 2,000.00 Rp 2,000,000.00 6-Mar-18
1000 Lembar Rp 2,000.00 Rp 2,000,000.00 6-Mar-18
5 Rim Rp 110,000.00 Rp 550,000.00 6-Mar-18
500 Lembar Rp 4,000.00 Rp 2,000,000.00 6-Mar-18
1000 Lembar Rp 1,000.00 Rp 1,000,000.00 6-Mar-18
10 Rim Rp 170,000.00 Rp 1,700,000.00 6-Mar-18
5 Rim Rp 120,000.00 Rp 600,000.00
2 Rim Rp 120,000.00 Rp 240,000.00 6-Mar-18
2 Rim Rp 125,000.00 Rp 250,000.00 6-Mar-18
2 Rim Rp 110,000.00 Rp 220,000.00 6-Mar-18
10 Rim Rp 120,000.00 Rp 1,200,000.00 6-Mar-18
2 Rim Rp 120,000.00 Rp 240,000.00 6-Mar-18
2 Rim Rp 110,000.00 Rp 220,000.00 6-Mar-18
2 Rim Rp 120,000.00 Rp 240,000.00 6-Mar-18
2 Rim Rp 120,000.00 Rp 240,000.00 6-Mar-18
1000 Lembar Rp 600.00 Rp 600,000.00 6-Mar-18
1000 Lembar Rp 600.00 Rp 600,000.00 6-Mar-18
5 Rim Rp 110,000.00 Rp 550,000.00 6-Mar-18
2 Rim Rp 110,000.00 Rp 220,000.00 6-Mar-18
2 Rim Rp 110,000.00 Rp 220,000.00 6-Mar-18
100 Lembar Rp 15,000.00 Rp 1,500,000.00 6-Mar-18
1000 Lembar Rp 2,000.00 Rp 2,000,000.00 6-Mar-18
1000 Lembar Rp 2,000.00 Rp 2,000,000.00 6-Mar-18
1000 Lembar Rp 2,000.00 Rp 2,000,000.00 6-Mar-18
1000 Lembar Rp 2,000.00 Rp 2,000,000.00 6-Mar-18
1000 Lembar Rp 2,000.00 Rp 2,000,000.00 6-Mar-18
3 Pcs Rp 85,000.00 Rp 255,000.00 6-Mar-18
10 Lembar Rp 20,000.00 Rp 200,000.00 6-Mar-18
5 Lembar Rp 10,000.00 Rp 50,000.00 6-Mar-18
5 Lembar Rp 10,000.00 Rp 50,000.00 6-Mar-18
6 Lembar Rp 10,000.00 Rp 60,000.00 6-Mar-18
Rp 32,755,000.00
3 Buah Rp 50,000.00 Rp 150,000.00 20-Mar-18

3 Buah Rp 50,000.00 Rp 150,000.00 20-Mar-18
1 Buah Rp 500,000.00 Rp 500,000.00 20-Mar-18
Rp 800,000.00
1 Paket Rp 2,500,000.00 Rp 2,500,000.00 20-Mar-18

2 Set Rp 450,000.00 Rp 900,000.00 20-Mar-18
5 Unit Rp 550,000.00 Rp 2,750,000.00 20-Mar-18
2 Buah Rp 850,000.00 Rp 1,700,000.00 20-Mar-18
4 Unit Rp 200,000.00 Rp 800,000.00 20-Mar-18
3 Buah Rp 250,000.00 Rp 750,000.00 20-Mar-18
3 Buah Rp 150,000.00 Rp 450,000.00 20-Mar-18
3 Buah Rp 800,000.00 Rp 2,400,000.00 20-Mar-18
12 Buah Rp 35,000.00 Rp 420,000.00 20-Mar-18
Rp 12,670,000.00
Rp 47,155,000.00
2 Dus Rp 168,000.00 Rp 336,000.00 5-Mar-18

2 Dus Rp 168,000.00 Rp 336,000.00 5-Mar-18
2 Dus Rp 235,000.00 Rp 470,000.00 5-Mar-18
Rp 1,142,000.00
40 Box Rp 12,500.00 Rp 500,000.00 5-Mar-18

15 Pack Rp 30,000.00 Rp 450,000.00 5-Mar-18
Rp 950,000.00
2 Lusin Rp 215,000.00 Rp 430,000.00 6-Mar-18

20 Pcs Rp 13,500.00 Rp 270,000.00 6-Mar-18
5 Lusin Rp 25,000.00 Rp 125,000.00 6-Mar-18
5 Lusin Rp 42,000.00 Rp 210,000.00 6-Mar-18
2 Pcs Rp 190,000.00 Rp 380,000.00 6-Mar-18
4 Pcs Rp 17,500.00 Rp 70,000.00 6-Mar-18
1 Pcs Rp 17,500.00 Rp 17,500.00 6-Mar-18
1 Lusin Rp 95,000.00 Rp 95,000.00 6-Mar-18
2 Lusin Rp 22,500.00 Rp 45,000.00 6-Mar-18
3 Rol Rp 20,000.00 Rp 60,000.00 6-Mar-18
3 Rol Rp 20,000.00 Rp 60,000.00 6-Mar-18
3 Rol Rp 20,000.00 Rp 60,000.00 6-Mar-18
5 Rol Rp 20,000.00 Rp 100,000.00 6-Mar-18
15 Pcs Rp 60,000.00 Rp 900,000.00 6-Mar-18
Rp 2,822,500.00
Rp 4,914,500.00
183,201,244.40 01 Januari-31 Maret 2018
76,661,857.00 01 Januari-31 Maret 2018
42,210,405.00 01 Januari-31 Maret 2018
- 01 Januari-31 Maret 2018
Rp 890,751,084.41


PROVINSI : Banten
BULAN/TAHUN*) TMT TGL. 01 April 2018 S/D TGL. 31 Juni 2018
No. Tanggal Penerimaan Dari Nama Barang/ Jenis Barang Banyaknya
Nomor Tanggal
1 2 3 4 5 6 7
APBD 1 Albendazol 400 mg -

APBD 1 Albendazol suspensi -
2017 Albendazol suspensi 20
2016 Alopurinol tablet 100 mg -
APBD 1 Alopurinol tablet 100 mg -
2017 Alopurinol tablet 100 mg 3,900
2016 Ambroksol Syrup 15 mg / ml -
2017 Ambroksol Syrup 15 mg / ml -
2014 Aminofilin inj 24 mg /ml 30
2017 Aminofilin inj 24 mg /ml -
2014 Amitriptilin HCl tablet salut 25 mg -
2015 Amitriptilin HCl tablet salut 25 mg -
2016 Amlodipin 10 mg 4,050
2017 Amlodipin 10 mg -
2017 Amlodipin 5 mg -
2017 Amoksisilin kaplet 500 mg 6,000
2017 Amoksisilin sirup kering forte 125mg/ml -
2015 Amoksisilin sirup kering forte 250mg/ml 250
2016 Amoksisilin sirup kering forte 250mg/ml -
2016 Antasida DOEN Suspensi -
2017 Antasida DOEN Suspensi 100
2016 Antasida DOEN tablet -
2017 Antasida DOEN tablet 4,500
2017 Anti Bakteri DOEN salep 250
2016 Anti Hemmoroid DOEN supp -
2017 Anti Hemmoroid DOEN supp 50
2015 Anti Hipertensi Herbal -
2016 Anti Hipertensi Herbal -
2013 Antikonstipasi Anak dan Ibu Hamil -
2017 Antispasmodik kombinasi 100
2017 Aqua Pro Injeksi 25 ml 60
2014 Aqua Pro Injeksi steril @ 20 -
2015 Asam Asetilsalisilat 80 mg -
2017 Asam Asetilsalisilat 80 mg -
2016 Asam Askorbat (Vit. C) tablet 50 mg -
2017 Asam Askorbat (Vit. C) tablet 50 mg 7,600
2016 Asam Folat tab 1 mg -
2017 Asam Folat tab 0.4 mg 300
2016 Asam Mefenamat Tablet 500 mg 100
2017 Asam Mefenamat Tablet 500 mg 1,400
2017 Asiklovir krim 5% 20
2015 Asiklovir Tablet 200 mg -
2016 Atapulgit -
2017 Atapulgit -
2015 Atropin Injeksi 0.25 mg/ml-1 ml -
2016 Atropin Injeksi 0.25 mg/ml-1 ml -
2014 Atropin sulfat tablet 0.5 mg 100
Besi II Sulfat 200 mg + As. Folat (Tambah
2017 darah) -
2016 Betahistin 6 mg -
2017 Betahistin 6 mg 1,050
2017 Betametason Krim 200
2017 BIOSAT 1,5 Serum Antitetanus (A.T.S) -
2016 Bisakodil supp 10 mg -
2017 Bisakodil supp 10 mg 10
2016 Bisoprolol tab 5 mg -
2017 Bisoprolol tab 5 mg 300
Cairan Elektrolit Kombinasi Na, K, Cl, Lactate,
2015 Glucose -
2015 Cairan Elektrolit Kombinasi Na, K, Cl,Ca,Asetat
-
Cairan Hydroxyethyl Strach (HES )200/0.5 60 g,
2015 Nacl 9 g -
Cairan Hydroxyethyl Strach (HES) 200/0.5 60 g,
2016 Nacl 9 g -
2017 Nacl 9 g -
2017 Cetirizine HCl tablet 10 mg 4,700
2013 Deksametason injeksi 5 mg/ml -
2016 Deksametason tablet 0.5 mg -
2017 Deksametason tablet 0.5 mg 10,000
2013 Diazepam Inj 5 mg/ml -
2016 Diazepam supp -
2017 Diazepam supp 20
2016 Difenhidramin inj 10 mg/5ml-1ml -
2017 Difenhidramin inj 10 mg/5ml-1ml -
2014 Digoksin tablet 0.25 mg -
2015 Digoksin tablet 0.25 mg -
2016 Domperidon 10mg 1,200
2016 Domperidon suspensi 5 mg/5ml -
2017 Domperidon suspensi 5 mg/5ml 150
2016 Epinefrin / Adrenalin inj 0.1 % -
2017 Epinefrin / Adrenalin inj 0.1 % -
2017 Eritromisin kapsul 500 mg -
2015 Eritromisin sirup 200mg/5 ml -
2015 Etakridin larutan 0,1 % (Rivanol) -
2017 Etakridin larutan 0,1 % (Rivanol) 10
2015 Fenobarbital tablet 30 mg -
2017 Fenoterol nebules solution -
2015 Fitomenadion (Vit K1) tablet gula 10 mg -
2016 Fitomenadion (Vit K1) tablet gula 10 mg -
2017 Fitomenadion (Vit K1) tablet gula 10 mg 300
2017 Fitomenadion injeksi 2mg/1ml 150
2017 Framisetin Sulfat Tulle 1% -
2014 Furosemid tab 40 mg -
2017 Furosemid tab 40 mg 900
2017 Garam oralit serbuk kombinasi 800
2016 Gemfibrozil kapsul 300 mg -
2014 Gentamisin inj 40 mg/ml -
2015 Gentamisin inj 40 mg/ml -
2017 Gentamisin salep kulit 0.1 % -
2014 Gentian Violet larutan 1 % -
2017 Gentian Violet larutan 1 % 48
2014 Glibenklamid tablet 5 mg -
2016 Glimepirid 1mg -
2015 Glimepirid 2mg -
2017 Glimepirid 2mg 900
2016 Gliseril Guaiakolat tablet 100 mg -
2014 Glukosa larutan infus 10% -
2014 Griseofulvin tablet 125 mg micronized -
2016 Hidroklortiazid (HCT) tablet 25 mg -
2017 Hidroklortiazid (HCT) tablet 25 mg -
2016 Hidrokortison cream 2,5 % -
2017 Hidrokortison cream 2,5 % 192
2016 Ibuprofen Suppositoria -
2017 Ibuprofen Suppositoria 50
2014 Ibuprofen tablet 200 mg -
2017 Ibuprofen tablet 200 mg 2,200
2017 Ibuprofen tablet 400 mg 200
2017 Ipatropium Br dan Salbutamol Sulphate udv
40
2014 Isorbid dinitrat tablet sublingual 5 mg -
2016 Isorbid dinitrat tablet sublingual 5 mg -
2017 Isorbid dinitrat tablet sublingual 5 mg 200
2016 Kalium Diklofenak 50 mg -
2017 Kalium Diklofenak 50 mg 700
2017 Kalsium Glukonat injkesi i.v 10% -
2015 Kalsium Glukonat injkesi i.v 10% (100mg/ml)
-
2016 Kalsium laktat (Kalk) tablet 500 mg 11,500
2017 Kalsium laktat (Kalk) tablet 500 mg -
2015 Kaptopril tablet 12,5 mg -
2016 Kaptopril tablet 12,5 mg 10,000
2017 Kaptopril tablet 25 mg 900
2014 Ketokonazol krim 2 % -
2017 Ketokonazol krim 2 % 75
2017 Ketokonazol tablet 200 mg 100
2017 Kloramfenikol salep kulit 2% 240
2017 Kloramfenikol salep mata 1 % 72
2016 Kloramfenikol suspensi 125mg/5ml -
2017 Kloramfenikol suspensi 125mg/5ml -
2017 Kloramfenikol tetes mata 0.5 % 130
2016 Kloramfenikol tetes telinga 3 % -
2013 Klordiazepoksid dan Kidinium Br tablet -
2017 Klorfeniramin maleat tablet 4 mg 5,000
2015 Kotrimoksazol suspensi -
2016 Kotrimoksazol suspensi -
Kotrimosazol tablet. Komb: Sulfametoksazol
2015 400 mg + Trimetoprim 80 mg
-
-
-
2016 Lactulose Sirup -
2017 Lactulose Sirup 48
2015 Lidokain Injeksi 2% -
2016 Lidokain Injeksi 2% -
2017 Lidokain Injeksi 2% 40
2016 Lidokain Injeksi 2% + Epinefrin -
2017 Lidokain Injeksi 2% + Epinefrin -
2017 Lidokain Jeli 2% 100
2015 Loperamid -
2017 Loratadine 10 mg 800
2017 Magnesium sulfat inj 25 ml-40 % -
2016 Meloksikam 7,5 mg -
2017 Meloksikam 7,5 mg 4,700
2015 Metampiron Injeksi 60
2014 Metampiron tablet 500 mg -
2016 Metampiron tablet 500 mg -
2015 Metformin HCL tablet 500 mg -
2016 Metformin HCl tablet 500 mg -
2017 Metformin HCL tablet 500 mg 300
2016 Methisoprinol 250 mg/5ml -
2017 Methisoprinol 250 mg/5ml -
2016 Methisoprinol 500 mg -
2017 Methisoprinol 500 mg -
2014 Metilergometrin injeksi 0,200 mg-ml -
2013 Metilergometrin tablet salut 0,125 mg -
2015 Metilergometrin tablet salut 0,125 mg -
2016 Metilprednisolon 4 mg -
2017 Metilprednisolon 4 mg 3,300
2013 Metoklopramide tablet -
2015 Metoklopramide tablet -
2017 Metronidazol Sirup 125 mg/5ml -
2014 Metronidazol tablet 250 mg -
2017 Metronidazol tablet 500mg -
2015 Mikonazol cream -
2016 Mikonazol cream -
2017 Mikonazol cream 72
2017 Mineral mix, kombinasi -
2016 Multivitamin anak sirup -
2017 Multivitamin anak sirup -
2016 Multivitamin dewasa -
2017 Multivitamin dewasa 2,400
2015 Natrium Diklofenak tablet 25 mg -
2017 Natrium Diklofenak tablet 50 mg 100
2014 Natrium Klorida larutan infus 0.9 % steril -
2014 Nifedipin tablet 10 mg -
2016 Nifedipin tablet 10 mg 1,600
2013 Nistatin tablet salut 500.000 IU -
2013 Nistatin tablet vaginal 100.000 IU/g -
2015 Obat Antianemia -
2016 Obat Antianemia -
2015 Obat Antifungi Drop -
2017 Obat Batuk Hitam 100 mL 150
2016 Obat Flu Batuk Tablet -
2016 Obat Flu dan Batuk Sirup -
2017 Obat Flu Sirup -
2017 Obat Flu Tablet 3,150
2016 Obat luka bakar -
2017 Obat luka bakar 80
2017 Obat Pencahar Sirup -
2014 Oksitosin injeksi 10 IU/ml -
2017 Oksitosin injeksi 10 IU/ml -
2017 Omeprazol injeksi 40mg/10ml 20
2016 Omeprazol kapsul 20 mg -
2017 Omeprazol kapsul 20 mg 210
2017 Parasetamol drop 168
2017 Parasetamol sirup 120 mg / 5 ml 600
2016 Parasetamol tablet 500 mg -
2017 Parasetamol tablet 500 mg 14,000
2016 Permetrin krim 5% 10 g -
2017 Permetrin krim 5% 10 g 120
2017 Phenol Glycerol 10% 48
2013 Pirantel tablet 125 -
2017 Pirantel tablet 125 -
2016 Piridoksin (Vitamin B6) tablet 10 mg 2,600
2017 Piridoksin (Vitamin B6) tablet 10 mg -
Policresulen (Produk kondensasi dari asam
2015 metakresolsufonat dan Methanal) -
2014 Povidon iodida larutan 10 % (30 ml) -
2017 Povidon iodida larutan 10 % (30 ml) 20
2017 Povidon iodida larutan 10 % (300 ml) 10
2011 Prednison tablet 5 mg -
2016 Prednison tablet 5 mg -
2017 Prednison tablet 5 mg 300
2017 Propanolol tablet 10 mg -
2017 Pseudoefedrin Hcl Drop 10
2014 Ramipril 5 mg -
2016 Ranitidin Hcl Sirup -
2017 Ranitidin Hcl Sirup -
2016 Ranitidin injeksi 25mg/ml 70
2017 Ranitidin injeksi 25mg/ml -
2016 Ranitidin tablet 150 mg -
2017 Ranitidin tablet 150 mg 200
2014 Retinol (VIT A) kapsul 100.000 IU -
2015 Retinol (VIT A) tablet salut 200.000 IU -
2017 Retinol (VIT A) tablet salut 200.000 IU -
2014 Ringer laktat larutan infus steril -
2016 Ringer laktat larutan infus steril 140
2017 Ringer laktat larutan infus steril -
2015 Salbutamol tab 4 mg -
2017 Salbutamol tab 4 mg 3,200
2015 Salisil Bedak 2 % -
2016 Salisil Bedak 2 % -
2017 Salisil Bedak 2 % 300
2014 Sianokobalamin inj 500 mcg/ml-1 ml -
2017 Simvastatin tablet 10 mg 3,000
2016 Siprofloksasin tablet 500 mg -
2017 Siprofloksasin tablet 500 mg 3,300
2017 Sulfacetamida Natrium tetes mata 72
2017 Sulfadiazin Krim 1% 81
2014 Suplemen Ibu Menyusui -
2017 Suplemen Ibu Menyusui 720
2016 Tambah Darah Neo -
2013 Teofilin Tablet -
2017 Terbutalin cairan ih 2.5 mg/ml -
2016 Tiamin HCL / Nitrat ( Vit B1 ) -
2017 Tiamin HCL / Nitrat ( Vit B1 ) -
2016 Tiampenikol kapsul 500 mg -
2017 Tiampenikol kapsul 500 mg -
2014 Tramadol inj 50 mg/ml -
2014 Tramadol kapsul 50 mg -
2016 Triamcinolon Acetonide 1 mg krim -
2017 Triamcinolon Acetonide 1 mg krim 30
2014 Triheksifenidil tab 2 mg -
2016 Vitamin B Komplek -
2017 Vitamin B Komplek 7,200
2016 Vitamin Neurotropik -
2017 Vitamin Neurotropik 960
Vitamin Neurotropik inj. Kombinasi (vit B1+
2017 B6+ B12) -
2016 Zink sirup -
2017 Zink sirup -
2017 Zink sirup 98
2017 Zink tablet 20 mg 1,300
2018 Acetyl cysteine 200 mg 6,000
2018 Glibenklamid 5 mg 500
2018 Parasetamol drops 100 mg/ml (60 mg/0,6 ml)
50
2017 Pentabio ORI -
2017 Pentabio rutin 140
2017 dT -
2017 Td ORI -
2017 Td Rutin -
2017 Polio oral 40
2017 Polio inj 20
2017 Hb0 50
2017 BCG 32
2014 Alat Suntik 10 cc -
2017 Alat Suntik 3 cc 200
2016 Alat Suntik sekali pakai 1 ml -
2017 Alat suntik sekali pakai 1 ml -
2015 Alkohol 1000 ml 10
2014 Alkohol Swab -
2017 Alkohol Swab 1,000
2016 Anios -
2014 Aquabidest 500ml -
2015 Aseptic Gel + Dispenser 500 ml -
2017 Aseptic Gel + Dispenser 500 ml -
2014 Blood transfusion set -
2017 Blood transfusion set -
2014 Catgut 2/0 Chromic -
2014 Catgut 2/0 Plain -
2017 Catgut 3/0 Plain 48
2016 Cuticell -
2016 Dermavix -
2014 Dressing Fiksasi untuk luka lebar 10 cm x 5 cm
-
-
Dressing transparant untuk pemasang i.v
2014 catheter -
2017 catheter Anak -
2017 catheter Dewasa -
2017 catheter Dewasa 20
2016 Etil klorida semprot
-
2016 Foley Catheter No. 16 -
2017 Foley Catheter No. 16 50
2016 Foley Catheter No. 18 -
2017 Foley Catheter No. 18 10
2014 H2O2 3% -
2014 Handscoon (Steril) # 6.5 -
2016 Handscoon (Steril) # 6.5 -
2017 Handscoon (Steril) # 6.5 800
2017 Handscoon (Steril) # 6,5 -
2014 Handscoon (Steril) # 7 -
2017 Handscoon (Steril) # 7 1,000
2017 Handscoon (Steril) # 7 700
2016 Handscoon Non Steril L -
2016 Handscoon Non Steril M -
2017 Handscoon Non Steril M 2,500
2015 Handscoon Non Steril S -
2017 Handscoon Non Steril S -
2014 Handscoon panjang untuk manual plasenta
-
-
Handscoon panjang untuk manual plasenta
2016 6,5 -
2016 Handscoon panjang untuk manual plasenta 7
-
2014 ID Pasien bayi biru -
2014 ID pasien bayi pink -
2017 Infus Anak -
2016 Infus set dewasa -
2017 Infus set dewasa -
2017 IV Catheter 18 -
2017 IV Catheter 20 100
2017 IV Catheter No. 16 with safety wings -
2014 IV Catheter No. 18 with injection Port -
2016 IV Catheter No. 26 with injection port -
2017 IV Catheter No. 26 with injection port -
2013 Jarum Hekting Kulit -
2015 Jarum Hekting Kulit -
2013 Jarum Hekting Otot -
2015 Jarum Hekting Otot 2
2014 Jelly USG -
2015 Kapas 1 kg -
2015 Kapas pembalut 250 mg 30
2016 Kasa Hidrofil 36 m x 80 cm -
2014 Kasa Hidrofil 40 y x 80 cm -
2017 Kasa Hidrofil 40 y x 80 cm -
2015 Kasa Hidrofil steril 16 x 16 (isi 16 lbr) 300
2016 Kasa Hidrofil Steril 18 x22 (isi 22 lbr) -
2017 Kasa Hidrofil Steril 18 x22 (isi 22 lbr) -
2014 Kasa Pembalut Elastic 3 inchi -
2011 Kasa Pembalut Hidrofil 4 x 5 elastik -
2014 Kertas Puyer Cetak (pocket medicine) -
2015 Kertas Puyer Cetak (pocket medicine) -
2015 Lisol -
2016 Lisol -
2017 Lisol -
2017 Masker 3,000
2014 Masker Nebulizer Anak -
2014 Masker Nebulizer Dewasa -
2017 Masker Nebulizer Dewasa -
2017 Masker Oksigen Anak (oxygen Mask - child)
-
2017 Masker Oksigen Dewasa (oxygen mask - adult)
-
2016 Micropore 1 inch -
2014 Mucus Ekstractor -
2013 Pembalut Gips 3 Inchi -
2014 Pisau Bisturi 10 -
2015 Plastik klip 13 x 8,7 -
2014 Plastik klip 4 x 6 -
2014 Plester kain 2 x 5y -
2017 Plester kertas 1 Inch -
2014 Plester roll kertas 1" -
2014 Selang O2 anak (nasal oxygen canula- child)
-
-
20
-
Selang O2 Dewasa (nasal oxygen canula-
2014 adult) -
2015 adult) -
2016 adult) -
2017 adult) -
2017 Selang O2 NEO NATUS -
2017 Selang O2 NEO NATUS -
2016 Silk Benang Bedah 3/0 -
2013 Suction Catheter Canul 10 -
2016 Three way stopcock -
2017 Three way stopcock -
2014 Three way stopcock with 10 cm tube -
2014 Umbilical Klem -
2017 Umbilical Klem -
2014 Underpad 60 x 90 -
2017 Underpad 60 x 90 100
2014 Urine Bag -
2017 Urine Bag 40
2014 Articulating paper -
2016 Antiseptik untuk saluran akar -
2017 Antiseptik untuk saluran akar 3
2016 Bonding -
Cairan desinfektan untuk perendaman
2016 instrumen gigi -
Cairan desinfektan untuk sistem penyedotan
2015 pd alat dental -
2016 pd alat dental -
2015 Cairan Pembersih Gigi -
2016 Cairan Pembersih Gigi -
2017 Cairan Pembersih Gigi 2
Cairan untuk desinfektan dan pembersih
2016 permukaan -
2014 Cresophen -
2014 Devitalisasi pasta non arsen -
2016 Devitalisasi pasta non arsen -
2017 Devitalisasi pasta non arsen 3
2015 Etching -
2016 Etching -
2012 Eugenol Cairan 4
2014 Fletcher Cairan -
2016 Fletcher Cairan -
2014 Fletcher Serbuk -
2016 Fletcher Serbuk -
2012 Fletcher serbuk dan cairan -
2015 Glass Ionomer cement Art -
2014 Kalsium Hidroksida pasta -
2017 Kalsium Hidroksida pasta -
2017 Kombinasi Bonding dan Etching 2
2014 Mata bor diamond fissur -
2015 Mata bor diamond fissur -
2013 Mata bor diamond high speed -
2014 Mata bor diamond inverted -
2015 Mata bor diamond inverted -
2015 Mata bor diamond rounded -
2014 Mata bor diamond tapered -
2014 Mata bor poles composite pear -
2014 Mata bor poles composite flame -
2014 Mata bor tulang gigi -
2015 Mata bor tulang gigi -
2014 Metronidazol Gel untuk Peridonitis -
2012 Monoklorkamfer Mentol cairan (CHKM) -
2014 Mummifying pasta -
2014 OCO -
2016 Pasta Iodoform -
2014 Pulperyl -
2014 Semen seng fosfat serbuk -
2015 Tambal Sementara Untuk Gigi -
2016 Tambal Sementara Untuk Gigi -
2017 Tambal Sementara Untuk Gigi 6
2015 Tambal Sinar Warna A2 -
2017 Tambal Sinar Warna A2 1
2017 Tambal Sinar Warna A3 1
2015 Tambal Sinar Warna A3,5 -
2016 Tambal Sinar Warna A3,5 -
2014 Trikresol Formalin -
2016 Wipes Desinfektan -
2018 Acetyl cysteine 200 mg 6,000
2018 Glibenklamid 5 mg 500
50
Natrium Klorida larutan infus 0.9 % steril 500
2018 ml -
2018 ANIOS ANIOSGEL 85 500 ml -
2018 ANIOS ANIOSYME DLT PLUS 5 L -
2018 IV Catheter 22
2018 Handscoon Non Steril M -
2018 Handscoon Non Steril S
Transparent Medical Tape 5x500 (Dressing
2018 Luka Lebar) 20
2018 Transparent IV Dressing 4.4x4.4 100
2018 3D Semillas Infusion Set-Y (Infuset Dewasa)
200
2017 Spuit 0,5
2017 Spuit 0,05
2017 Spuit 5 cc
2017 Safety box 30
N BARANG HABIS PAKAI
01 April 2018 S/D TGL. 31 Juni 2018

Satuan Satuan Jumlah Harga (Rp)
Fisik Barang Honor+adm Berita Acara Penerimaan Ket.
8 9 10 (7x9) 11 12 (10+11) 13 14 15
Tablet 296.00 0 0
Botol 3,849.00 0 0
Botol 3,849.00 76980 76980
Tablet 91.00 0 0
Tablet 91.00 0 0
Tablet 110.00 429000 429000
Botol 3,000.00 0 0
Botol 3,465.00 0 0
Ampul 3,822.00 114660 114660
Ampul 3,345.00 0 0
Tablet 112.00 0 0
Tablet 112.00 0 0
Tablet 148.00 599400 599400
Tablet 104.00 0 0
Tablet 85.00 0 0
Tablet 232.00 1392000 1392000
Botol 1,881.00 0 0
botol 4,045.00 1011250 1011250
botol 3,984.00 0 0
Botol 2,025.00 0 0
Botol 4,200.00 420000 420000
Tablet 62.00 0 0
Tablet 62.00 279000 279000
Tube 2,924.00 731000 731000
Tablet 3,045.00 0 0
Tablet 3,045.00 152250 152250
Tablet 1,400.00 0 0
Kapsul 1,166.00 0 0
Tube 16,500.00 0 0
Tablet 1,386.00 138600 138600
Ampul 2,750.00 165000 165000
Vial 4,624.70 0 0
Tablet 148.00 0 0
Tablet 114.00 0 0
Tablet 104.00 0 0
Tablet 104.00 790400 790400
Tablet 63.00 0 0
Tablet 55.00 16500 16500
Tablet 106.00 10600 10600
Tablet 106.00 148400 148400
Tube 4,400.00 88000 88000
Tablet 237.00 0 0
Tablet 249.00 0 0
Tablet 249.00 0 0
Tablet 339.00 0 0
Tablet 349.00 0 0
Tablet 145.00 0 0
Tablet 145.00 0 0
Ampul 1,300.00 0 0
Ampul 1,672.00 0 0
Tablet 74.00 7400 7400
Tablet
352.00 0 0
Tablet 149.00 0 0
Tablet 149.00 156450 156450
Tube 1,349.00 269800 269800
Ampul 126,500.00 0 0
Suppos 5,800.00 0 0
suppos 5,800.00 58000 58000
Tablet 330.00 0 0
Tablet 330.00 99000 99000
Botol
10,000.00 0 0
Botol
9,000.00 0 0
Botol
172,079.00 0 0
botol
134,000.00 0 0
Soft Bag
166,980.00 0 0
Tablet 96.00 451200 451200
Ampul 1,500.00 0 0
Ampul 1,500.00 0 0
Ampul 1,500.00 0 0
Tablet 44.00 0 0
Tablet 41.00 410000 410000
Ampul 2,344.00 0 0
Suppos 11,517.00 0 0
Tablet 12,090.00 241800 241800
Ampul 1,176.00 0 0
Ampul 1,060.00 0 0
Tablet 97.00 0 0
Tablet 97.00 0 0
Tablet 118.00 141600 141600
Botol 3,000.00 0 0
Botol 3,000.00 450000 450000
Ampul 2,204.00 0 0
Ampul 2,204.00 0 0
Tablet 730.00 0 0
Botol 7,700.00 0 0
Botol 6,700.00 0 0
Botol 6,700.00 0 0
Botol 2,550.00 0 0
Botol 2,999.70 29997 29997
Tablet 64.00 0 0
Botol 125,750.00 0 0
Tablet 634.00 0 0
Tablet 695.00 0 0
Tablet 695.00 208500 208500
Ampul 3,550.00 532500 532500
Pcs 8,990.00 0 0
Tablet 75.00 0 0
Tablet 80.00 72000 72000
Bungkus 264.00 211200 211200
Kapsul 380.00 0 0
Ampul 3,399.00 0 0
Ampul 3,399.00 0 0
Tube 2,849.00 0 0
Botol 1,525.00 0 0
Botol 2,244.00 107712 107712
Tablet 56.00 0 0
Tablet 218.00 0 0
Tablet 436.00 0 0
Tablet 289.00 260100 260100
Tablet 90.00 0 0
Botol 5,700.00 0 0
Botol 5,200.00 0 0
Botol 5,200.00 0 0
botol 6,900.00 0 0
Tablet 219.00 0 0
Tablet 219.00 0 0
Tablet 245.00 0 0
Tablet 1,705.00 0 0
Tablet 149.00 0 0
Tablet 149.00 0 0
Tube 2,650.00 0 0
Tube 2,650.00 508800 508800
suppos 5,100.00 0 0
Suppos 5,170.00 258500 258500
Tablet 115.50 0 0
Tablet 105.00 0 0
Tablet 105.00 231000 231000
Tablet 127.00 0 0
Tablet 127.00 25400 25400
Pcs
5,700.00 228000 228000
Tablet 88.00 0 0
Tablet 88.00 0 0
Tablet 90.00 18000 18000
Tablet 560.00 0 0
Tablet 838.00 586600 586600
Ampul 9,955.00 0 0
Tablet
7,800.00 0 0
Tablet 63.00 724500 724500
Tablet 63.00 0 0
Tablet 62.00 0 0
Tablet 59.00 590000 590000
Tablet 68.00 61200 61200
Tube 2,569.00 0 0
Tube 2,545.00 190875 190875
Tablet 280.00 28000 28000
Tube 3,008.00 721920 721920
Tube 1,810.00 130320 130320
Botol 3,955.00 0 0
botol 4,700.00 0 0
Botol 3,250.00 422500 422500
Botol 5,500.00 0 0
Tablet 875.00 0 0
Tablet 42.00 210000 210000
Botol 2,145.00 0 0
botol 2,140.00 0 0
Tablet
138.00 0 0
Tablet
151.00 0 0
Tablet
151.00 0 0
Botol 14,500.00 0 0
Botol 14,500.00 696000 696000
Botol 839.00 0 0
Ampul 860.00 0 0
Ampul 860.00 34400 34400
Ampul 1,845.00 0 0
Ampul 1,937.00 0 0
Syringe 40,000.00 4000000 4000000
Tablet 89.00 0 0
Tablet 125.00 100000 100000
Ampul 3,650.00 0 0
Tablet 240.00 0 0
Tablet 594.00 2791800 2791800
Ampul 1,350.00 81000 81000
Tablet 148.85 0 0
Tablet 140.00 0 0
Tablet 112.50 0 0
Tablet 100.00 0 0
Tablet 94.00 28200 28200
Botol 197.50 0 0
Tablet 156.00 0 0
Botol 50,000.00 0 0
Botol 55,000.00 0 0
Tablet 3,100.00 0 0
Tablet 3,300.00 0 0
Ampul 2,300.00 0 0
Ampul 2,684.00 0 0
Ampul 2,849.00 0 0
Tablet 121.00 0 0
Tablet 154.00 0 0
Tablet 194.00 0 0
Tablet 150.00 495000 495000
Tablet 89.00 0 0
Tablet 108.00 0 0
botol 3,800.00 0 0
Tablet 110.00 0 0
Tablet 94.00 0 0
Tablet 94.00 0 0
Tablet 133.00 0 0
Tablet 113.00 0 0
Tube 3,000.00 0 0
Tube 3,250.00 0 0
Tube 3,250.00 234000 234000
Sachet 2,550.00 0 0
Botol 18,900.00 0 0
Botol 32,945.00 0 0
Tablet 1,140.00 0 0
Tablet 677.00 1624800 1624800
Tablet 133.00 0 0
Tablet 159.00 15900 15900
Botol 4,700.00 0 0
Botol 4,700.00 0 0
Botol 6,410.00 0 0
Botol 6,410.00 0 0
Tablet 110.00 0 0
Tablet 110.00 0 0
Tablet 108.00 172800 172800
Tablet 99.00 0 0
Tablet 640.00 0 0
Tablet 745.00 0 0
Tablet 745.00 0 0
Tablet 407.00 0 0
Tablet 523.00 0 0
Tablet 523.00 0 0
Tablet 740.00 0 0
Tablet 740.00 0 0
Botol 29,500.00 0 0
Botol 18,000.00 0 0
botol 31,713.00 0 0
Botol 3,993.00 598950 598950
Tablet 770.00 0 0
Botol 10,800.00 0 0
Botol 8,690.00 0 0
Tablet 627.00 1975050 1975050
Tube 9,800.00 0 0
Tube 12,980.00 1038400 1038400
Botol 7,700.00 0 0
Ampul 6,875.00 0 0
Ampul 1,900.00 0 0
Vial 11,868.00 237360 237360
Kapsul 160.00 0 0
Kapsul 160.00 33600 33600
Botol 5,200.00 873600 873600
Botol 1,010.00 606000 606000
Tablet 56.00 0 0
Tablet 56.00 784000 784000
Tube 12,155.00 0 0
Tube 12,155.00 1458600 1458600
Botol 2,500.00 120000 120000
Tablet 311.00 0 0
Tablet 269.00 0 0
Tablet 118.00 306800 306800
Tablet 118.00 0 0
Botol
17,393.00 0 0
Botol 2,163.00 0 0
Botol 2,899.60 57992 57992
Botol 17,999.30 179993 179993
Tablet 57.50 0 0
Tablet 96.00 0 0
Tablet 76.00 22800 22800
Tablet 52.00 0 0
Botol 51,000.00 510000 510000
Tablet 580.00 0 0
Botol 41,000.00 0 0
Botol 51,425.00 0 0
Ampul 1,390.00 97300 97300
Ampul 1,458.00 0 0
Tablet 105.00 0 0
Tablet 98.00 19600 19600
Kapsul 260.00 0 0
kapsul 284.00 0 0
Kapsul 284.00 0 0
Kapsul 459.00 0 0
Kapsul 505.00 0 0
Botol 5,200.00 0 0
Botol 7,150.00 1001000 1001000
Botol 7,150.00 0 0
Tablet 89.00 0 0
Tablet 83.00 265600 265600
Kotak 1,250.00 0 0
Kotak 1,025.00 0 0
Kotak 1,020.00 306000 306000
Ampul 1,078.00 0 0
Tablet 131.00 393000 393000
Tablet 281.00 0 0
Tablet 281.00 927300 927300
Botol 3,212.00 231264 231264
Tube 20,700.00 1676700 1676700
Tablet 1,166.67 0 0
Tablet 1,200.00 0 0
Tablet 800.00 0 0
Tablet 1,947.00 1401840 1401840
Tablet 400.00 0 0
Tablet 2,213.75 0 0
Ampul 6,850.00 0 0
tablet 86.00 0 0
Tablet 86.00 0 0
Tablet 950.00 0 0
Kapsul 792.00 0 0
Ampul 2,395.00 0 0
Kapsul 324.56 0 0
Tube 15,800.00 0 0
Tube 16,445.00 493350 493350
Tablet 41.25 0 0
Tablet 115.00 0 0
Tablet 115.00 828000 828000
Tablet 310.00 0 0
Tablet 1,298.00 1246080 1246080
Ampul
5,159.00 0 0
Botol 14,980.00 0 0
Botol 14,980.00 0 0
Botol 4,789.00 469322 469322
Tablet 513.00 666900 666900
Kapsul 358.00 2148000 2148000
Kaplet 119.00 59500 59500
Botol
6,649.00 332450 332450
Vial 71810 0 0
Vial 71810 10053400 10053400
Vial 16360 0 0
Vial 15450 0 0
Vial 15450 0 0
Vial 18140 725600 725600
Vial 153730 3074600 3074600
pcs 20900 1045000 1045000
Vial 59950 1918400 1918400
Pcs 4,566.10 0 0
Pcs 1,257.00 0 0
Pcs 968.00 0 0
Pcs 789.00 157800 157800
Pcs 1,694.00 0 0
Pcs 762.00 0 0
Pcs 1,010.15 0 0
Pcs 1,310.00 0 0
Pcs 839.00 0 0
Botol 21,500.00 215000 215000
Pcs 97.90 0 0
Pcs 160.50 160500 160500
Botol 82,000.00 0 0
Botol 20,295.00 0 0
Botol 22,000.00 0 0
Botol 22,000.00 0 0
Pcs 21,197.00 0 0
Pcs 6,700.00 0 0
Pcs 5,408.33 0 0
Pcs 32,800.00 0 0
Pcs 37,203.00 0 0
Pcs 5,408.33 0 0
Pcs 34,300.00 0 0
Pcs 5,408.33 0 0
Pcs 32,800.00 0 0
Pcs 37,203.00 0 0
Pcs 5,408.33 0 0
Pcs 34,300.00 0 0
Pcs 37,203.00 1785744 1785744
Pcs 5,198.00 0 0
Blister 2,052.54 0 0
Roll
108,839.50 0 0
Roll
30,030.00 0 0
Pcs
5,374.80 0 0
Pcs
1,925.00 0 0
Pcs
2,310.00 0 0
Pcs
6,850.00 137000 137000
Kaleng
100ml 137,500.00 0 0
Pcs 11,275.00 0 0
Pcs 11,800.00 590000 590000
Pcs 11,275.00 0 0
Pcs 11,800.00 118000 118000
Botol 21,010.00 0 0
Pcs 12,966.25 0 0
Pasang 8,283.00 0 0
Pasang 4,700.00 3760000 3760000
Pasang 4,100.00 0 0
Pcs 12,966.25 0 0
Pcs 4,558.00 0 0
Pasang 8,283.00 0 0
Pasang 4,700.00 4700000 4700000
Pasang 4,100.00 2870000 2870000
Pcs 476.00 0 0
Pcs 473.00 0 0
Pcs 499.00 0 0
Pcs 473.00 0 0
Pcs 499.00 1247500 1247500
Pcs 583.00 0 0
Pcs 499.00 0 0
Pasang
16,431.25 0 0
Pasang
22,000.00 0 0
Pcs
17,400.00 0 0
Pcs
17,400.00 0 0
Pcs 1,798.28 0 0
Pcs 1,798.28 0 0
Pcs 4,400.00 0 0
Pcs 5,709.00 0 0
Pcs 6,061.00 0 0
Pcs 7,700.00 0 0
Pcs 8,355.00 0 0
Pcs 8,355.00 0 0
Pcs 7,700.00 770000 770000
Pcs 8,355.00 0 0
Pcs 8,355.00 0 0
Pcs 7,700.00 1155000 1155000
Pcs 8,355.00 0 0
Pcs 8,355.00 0 0
Pcs 7,700.00 385000 385000
Pcs 4,700.00 0 0
Pcs 24,624.60 0 0
Pcs 24,624.60 0 0
Pcs 24,624.60 0 0
Pcs 24,624.60 0 0
Pcs 25,080.00 0 0
Pcs 21,065.00 0 0
Pcs 4,700.00 0 0
Lusin 27,500.00 0 0
Kotak 132,000.00 0 0
Lusin 27,500.00 0 0
Kotak 132,000.00 264000 264000
Botol 33,110.00 0 0
Roll 54,560.00 0 0
Pcs 12,500.00 375000 375000
Roll 130,000.00 0 0
Roll 102,300.00 0 0
Roll 167,200.00 0 0
Kotak 5,800.00 1740000 1740000
Pcs 7,500.00 0 0
Kotak 7,491.00 0 0
Pcs 48,400.00 0 0
Roll 296.50 0 0
Pcs 89.84 0 0
Pcs 82.50 0 0
Botol 41,000.00 0 0
botol 41,000.00 0 0
Botol 40,999.20 0 0
Pcs 466.00 1398000 1398000
Pcs 56,375.00 0 0
Pcs 28,300.00 0 0
Pcs 22,000.00 0 0
Pcs 56,375.00 0 0
Pcs 14,400.00 0 0
Pcs
9,500.00 0 0
Pcs
9,500.00 0 0
Pcs 18,085.67 0 0
Pcs 12,402.50 0 0
roll 23,500.40 0 0
roll 32,499.50 0 0
roll 42,000.22 0 0
Pcs 3,720.75 0 0
Pcs 3,720.75 0 0
Pcs 3,720.75 0 0
Pcs 1,542.75 0 0
Pcs 1,542.75 0 0
Pcs 110.00 0 0
Pcs 14.66 0 0
Pcs 37.21 0 0
Pcs 93.50 0 0
Pcs 23.68 0 0
Pcs 27,511.00 0 0
Pcs 18,085.67 0 0
Roll 15,950.00 0 0
Pcs
16,912.50 0 0
pcs
5,082.00 0 0
Pcs
6,400.00 128000 128000
Pcs
5,900.00 0 0
Pcs
16,912.50 0 0
Pcs
5,500.00 0 0
pcs
5,082.00 0 0
Pcs
5,900.00 0 0
Pcs 7,300.00 0 0
Pcs 5,900.00 0 0
Pcs 22,400.00 0 0
Pcs 8,143.06 0 0
Pcs 35,077.00 0 0
Pcs 7,700.00 0 0
Pcs 7,700.00 0 0
Pcs 7,700.00 0 0
Pcs 7,700.00 0 0
Pcs 7,700.00 0 0
Pcs 5,720.00 0 0
Pcs 2,900.00 0 0
Pcs 17,501.00 0 0
Pcs 3,100.64 0 0
Pcs 1,299.98 0 0
Pcs 4,961.00 0 0
Pcs 7,800.00 780000 780000
Pcs 7,329.30 0 0
Pcs 6,900.00 276000 276000
Kotak 298,760.00 0 0
Botol 880,000.00 0 0
Botol 360,000.00 1080000 1080000
Botol 330,000.00 0 0
Botol
665,665.00 0 0
Botol
### 0 0
Galon 2.5
liter ### 0 0
Botol 157,300.00 0 0
Botol 163,020.00 0 0
Pot 170,000.00 340000 340000
Botol
516,230.00 0 0
Botol 588,000.00 0 0
Kotak 304,500.00 0 0
Kotak 238,095.00 0 0
Pot 266,200.00 798600 798600
Pcs 356,950.00 0 0
Pcs 447,700.00 0 0
Botol 44,605.00 178420 178420
Botol 25,200.00 0 0
Botol 60,775.00 0 0
Botol 25,200.00 0 0
Pot 28,600.00 0 0
Botol 33,085.00 0 0
Set 456,500.00 0 0
Set 715,000.00 0 0
Set 756,000.00 0 0
Set 283,500.00 0 0
Set 194,590.00 0 0
Botol ### 2047020 2047020
Pcs 10,335.60 0 0
Pcs 55,000.00 0 0
Set 184,905.66 0 0
Pcs 10,303.33 0 0
Pcs 55,000.00 0 0
Pcs 55,000.00 0 0
Pcs 10,303.33 0 0
Pcs 10,303.33 0 0
Pcs 10,303.33 0 0
Pcs 50,600.00 0 0
Pcs 283,800.00 0 0
Tube 202,125.00 0 0
Botol 53,520.00 0 0
Set 446,250.00 0 0
Botol 157,500.00 0 0
Pcs 25,300.00 0 0
Botol 341,241.00 0 0
Set 174,405.00 0 0
Set 157,300.00 0 0
Set 201,300.00 0 0
Botol 357,500.00 0 0
Pcs 176,000.00 0 0
Botol 183,260.00 1099560 1099560
Syringe 254,100.00 0 0
Syringe 283,140.00 0 0
Kantong 615,250.00 615250 615250
Syringe 303,765.00 0 0
Syringe 283,140.00 0 0
Kantong 615,250.00 615250 615250
Syringe 254,100.00 0 0
Syringe 283,140.00 0 0
Kantong 615,250.00 0 0
Botol 118,125.00 0 0
Botol 271,700.00 0 0
Kapsul 0 0
Kaplet 0 0
Botol
0 0
Botol
0 0
Botol 0 0
Botol 0 0
Pcs 0 0
Pcs 0 0
Pcs 0 0
Pcs 0 0
roll
84,700.00 1694000 1694000
Pcs 1,925.00 192500 192500
Pcs
6,061.00 1212200 1212200
Pcs 1185 0 0
Pcs 1590 0 0
Pcs 1640 0 0
Pcs 22433 672990 672990
PROVINSI : Banten
UPT/PUSKESMAS : Jurang Mangu
BUKU PENGELUARAN BARANG PAKAI HABIS

BULAN/TAHUN*) TMT TGL. 01 April2018 S/D TGL. 31 Juni 2018
Tanggal Harga Satuan

No. Pengeluaran Nama Barang/Jenis Barang Banyaknya Satuan Setelah ditambah
Honor+Adm (Rp)
1 2 3 4 5 6
Belanja ATK (Kode Rek: .522.01.01)
APBD 1 Albendazol 400 mg - Tablet 296.00
APBD 1 Albendazol suspensi 1 Botol 3,849.00
2017 Albendazol suspensi - Botol 3,849.00
2016 Alopurinol tablet 100 mg 4 Tablet 91.00
APBD 1 Alopurinol tablet 100 mg - Tablet 91.00
2017 Alopurinol tablet 100 mg 1,490 Tablet 110.00
2016 Ambroksol Syrup 15 mg / ml - Botol 3,000.00
2017 Ambroksol Syrup 15 mg / ml - Botol 3,465.00
2014 Aminofilin inj 24 mg /ml 11 Ampul 3,822.00
2017 Aminofilin inj 24 mg /ml - Ampul 3,345.00
2014 Amitriptilin HCl tablet salut 25 mg 80 Tablet 112.00
2015 Amitriptilin HCl tablet salut 25 mg - Tablet 112.00
2016 Amlodipin 10 mg 3,905 Tablet 148.00
2017 Amlodipin 10 mg - Tablet 104.00
2017 Amlodipin 5 mg - Tablet 85.00
2017 Amoksisilin kaplet 500 mg 5,935 Tablet 232.00
2017 Amoksisilin sirup kering forte 125mg/ml - Botol 1,881.00
2015 Amoksisilin sirup kering forte 250mg/ml 204 botol 4,045.00
2016 Amoksisilin sirup kering forte 250mg/ml - botol 3,984.00
2016 Antasida DOEN Suspensi - Botol 2,025.00
2017 Antasida DOEN Suspensi 64 Botol 4,200.00
2016 Antasida DOEN tablet 540 Tablet 62.00
2017 Antasida DOEN tablet 1,900 Tablet 62.00
2017 Anti Bakteri DOEN salep 116 Tube 2,924.00
2016 Anti Hemmoroid DOEN supp - Tablet 3,045.00
2017 Anti Hemmoroid DOEN supp 40 Tablet 3,045.00
2015 Anti Hipertensi Herbal 30 Tablet 1,400.00
2016 Anti Hipertensi Herbal - Kapsul 1,166.00
2013 Antikonstipasi Anak dan Ibu Hamil - Tube 16,500.00
2017 Antispasmodik kombinasi 375 Tablet 1,386.00
2017 Aqua Pro Injeksi 25 ml 18 Ampul 2,750.00
2014 Aqua Pro Injeksi steril @ 20 - Vial 4,624.70
2015 Asam Asetilsalisilat 80 mg - Tablet 148.00
2017 Asam Asetilsalisilat 80 mg 255 Tablet 114.00
2016 Asam Askorbat (Vit. C) tablet 50 mg - Tablet 104.00
2017 Asam Askorbat (Vit. C) tablet 50 mg 5,505 Tablet 104.00
2016 Asam Folat tab 1 mg - Tablet 63.00
2017 Asam Folat tab 0.4 mg 930 Tablet 55.00
2016 Asam Mefenamat Tablet 500 mg 3,875 Tablet 106.00
2017 Asam Mefenamat Tablet 500 mg 1,020 Tablet 106.00
2017 Asiklovir krim 5% 64 Tube 4,400.00
2015 Asiklovir Tablet 200 mg - Tablet 237.00
2017 Asiklovir Tablet 200 mg 930 Tablet 249.00
2017 Asiklovir Tablet 400 mg 20 Tablet 349.00
2016 Atapulgit - Tablet 145.00
2017 Atapulgit 875 Tablet 145.00
2015 Atropin Injeksi 0.25 mg/ml-1 ml - Ampul 1,300.00
2016 Atropin Injeksi 0.25 mg/ml-1 ml 1 Ampul 1,672.00
2014 Atropin sulfat tablet 0.5 mg - Tablet 74.00
Besi II Sulfat 200 mg + As. Folat (Tambah
2017 darah) - Tablet 352.00
2016 Betahistin 6 mg - Tablet 149.00
2017 Betahistin 6 mg 540 Tablet 149.00
2017 Betametason Krim 128 Tube 1,349.00
2017 BIOSAT 1,5 Serum Antitetanus (A.T.S) 2 Ampul 126,500.00
2016 Bisakodil supp 10 mg - Suppos 5,800.00
2017 Bisakodil supp 10 mg 23 suppos 5,800.00
2016 Bisoprolol tab 5 mg 55 Tablet 330.00
2017 Bisoprolol tab 5 mg - Tablet 330.00
Cairan Elektrolit Kombinasi Na, K, Cl, Lactate,
2015 Glucose 5 Botol 10,000.00
2015 Cairan Elektrolit Kombinasi Na, K, Cl,Ca,Asetat
- Botol 9,000.00
Cairan Hydroxyethyl Strach (HES )200/0.5 60 g,
2015 Nacl 9 g - Botol 172,079.00
2016 Nacl 9 g 3 botol 134,000.00
2017 Nacl 9 g - Soft Bag 166,980.00
2017 Cetirizine HCl tablet 10 mg 3,545 Tablet 96.00
2013 Deksametason injeksi 5 mg/ml - Ampul 1,500.00
2016 Deksametason injeksi 5 mg/ml 9 Ampul 1,500.00
2017 Deksametason injeksi 5 mg/ml - Ampul 1,500.00
2016 Deksametason tablet 0.5 mg - Tablet 44.00
2017 Deksametason tablet 0.5 mg 6,485 Tablet 41.00
2013 Diazepam Inj 5 mg/ml 27 Ampul 2,344.00
2016 Diazepam supp - Suppos 11,517.00
2017 Diazepam supp 21 Tablet 12,090.00
2016 Difenhidramin inj 10 mg/5ml-1ml - Ampul 1,176.00
2017 Difenhidramin inj 10 mg/5ml-1ml - Ampul 1,060.00
2014 Digoksin tablet 0.25 mg 100 Tablet 97.00
2015 Digoksin tablet 0.25 mg - Tablet 97.00
2016 Domperidon 10mg 1,070 Tablet 118.00
2016 Domperidon suspensi 5 mg/5ml - Botol 3,000.00
2017 Domperidon suspensi 5 mg/5ml 92 Botol 3,000.00
2016 Epinefrin / Adrenalin inj 0.1 % 4 Ampul 2,204.00
2017 Epinefrin / Adrenalin inj 0.1 % 1 Ampul 2,204.00
2017 Eritromisin kapsul 500 mg 95 Tablet 730.00
2015 Eritromisin sirup 200mg/5 ml - Botol 7,700.00
2015 Etakridin larutan 0,1 % (Rivanol) 2 Botol 2,550.00
2017 Etakridin larutan 0,1 % (Rivanol) - Botol 2,999.70
2015 Fenobarbital tablet 30 mg 10 Tablet 64.00
2017 Fenoterol nebules solution - Botol 125,750.00
2015 Fitomenadion (Vit K1) tablet gula 10 mg - Tablet 634.00
2016 Fitomenadion (Vit K1) tablet gula 10 mg - Tablet 695.00
2017 Fitomenadion (Vit K1) tablet gula 10 mg 305 Tablet 695.00
2017 Fitomenadion injeksi 2mg/1ml 36 Ampul 3,550.00
2017 Framisetin Sulfat Tulle 1% 46 Pcs 8,990.00
2014 Furosemid tab 40 mg 89 Tablet 75.00
2017 Furosemid tab 40 mg - Tablet 80.00
2017 Garam oralit serbuk kombinasi 499 Bungkus 264.00
2016 Gemfibrozil kapsul 300 mg 290 Kapsul 380.00
2014 Gentamisin inj 40 mg/ml - Ampul 3,399.00
2015 Gentamisin inj 40 mg/ml - Ampul 3,399.00
2017 Gentamisin salep kulit 0.1 % - Tube 2,849.00
2014 Gentian Violet larutan 1 % - Botol 1,525.00
2017 Gentian Violet larutan 1 % 6 Botol 2,244.00
2014 Glibenklamid tablet 5 mg - Tablet 56.00
2016 Glimepirid 1mg 110 Tablet 218.00
2015 Glimepirid 2mg - Tablet 436.00
2017 Glimepirid 2mg 10 Tablet 289.00
2016 Gliseril Guaiakolat tablet 100 mg - Tablet 90.00
2014 Glukosa larutan infus 10% - Botol 5,700.00
2017 Glukosa larutan infus 5% - botol 6,900.00
2014 Griseofulvin tablet 125 mg micronized - Tablet 219.00
2015 Griseofulvin tablet 125 mg micronized - Tablet 219.00
2017 Griseofulvin tablet 125 mg micronized 44 Tablet 245.00
2017 Griseofulvin tablet 250 mg micronized - Tablet 1,705.00
2016 Hidroklortiazid (HCT) tablet 25 mg - Tablet 149.00
2017 Hidroklortiazid (HCT) tablet 25 mg 60 Tablet 149.00
2016 Hidrokortison cream 2,5 % - Tube 2,650.00
2017 Hidrokortison cream 2,5 % 128 Tube 2,650.00
2016 Ibuprofen Suppositoria - suppos 5,100.00
2017 Ibuprofen Suppositoria 26 Suppos 5,170.00
2014 Ibuprofen tablet 200 mg - Tablet 115.50
2017 Ibuprofen tablet 200 mg 2,700 Tablet 105.00
2017 Ibuprofen tablet 400 mg 500 Tablet 127.00
2017 Ipatropium Br dan Salbutamol Sulphate udv
108 Pcs 5,700.00
2014 Isorbid dinitrat tablet sublingual 5 mg - Tablet 88.00
2016 Isorbid dinitrat tablet sublingual 5 mg 34 Tablet 88.00
2017 Isorbid dinitrat tablet sublingual 5 mg 76 Tablet 90.00
2016 Kalium Diklofenak 50 mg - Tablet 560.00
2017 Kalium Diklofenak 50 mg 100 Tablet 838.00
2017 Kalsium Glukonat injkesi i.v 10% 3 Ampul 9,955.00
2015 Kalsium Glukonat injkesi i.v 10% (100mg/ml)
- Tablet 7,800.00
2016 Kalsium laktat (Kalk) tablet 500 mg 9,490 Tablet 63.00
2017 Kalsium laktat (Kalk) tablet 500 mg - Tablet 63.00
2015 Kaptopril tablet 12,5 mg 919 Tablet 62.00
2016 Kaptopril tablet 12,5 mg 1,430 Tablet 59.00
2017 Kaptopril tablet 25 mg 540 Tablet 68.00
2014 Ketokonazol krim 2 % - Tube 2,569.00
2017 Ketokonazol krim 2 % 58 Tube 2,545.00
2017 Ketokonazol tablet 200 mg 200 Tablet 280.00
2017 Kloramfenikol salep kulit 2% 107 Tube 3,008.00
2017 Kloramfenikol salep mata 1 % 31 Tube 1,810.00
2016 Kloramfenikol suspensi 125mg/5ml - Botol 3,955.00
2017 Kloramfenikol suspensi 125mg/5ml - botol 4,700.00
2017 Kloramfenikol tetes mata 0.5 % 76 Botol 3,250.00
2016 Kloramfenikol tetes telinga 3 % 24 Botol 5,500.00
2013 Klordiazepoksid dan Kidinium Br tablet - Tablet 875.00
2017 Klorfeniramin maleat tablet 4 mg 3,570 Tablet 42.00
2015 Kotrimoksazol suspensi - Botol 2,145.00
2016 Kotrimoksazol suspensi 31 botol 2,140.00
- Tablet 138.00
- Tablet 151.00
- Tablet 151.00
2016 Lactulose Sirup - Botol 14,500.00
2017 Lactulose Sirup 13 Botol 14,500.00
2015 Lidokain Injeksi 2% - Botol 839.00
2016 Lidokain Injeksi 2% - Ampul 860.00
2017 Lidokain Injeksi 2% 8 Ampul 860.00
2016 Lidokain Injeksi 2% + Epinefrin - Ampul 1,845.00
2017 Lidokain Injeksi 2% + Epinefrin 44 Ampul 1,937.00
2017 Lidokain Jeli 2% 97 Syringe 40,000.00
2015 Loperamid 65 Tablet 89.00
2017 Loratadine 10 mg 925 Tablet 125.00
2017 Magnesium sulfat inj 25 ml-40 % 5 Ampul 3,650.00
2016 Meloksikam 7,5 mg - Tablet 240.00
2017 Meloksikam 7,5 mg 5,035 Tablet 594.00
2015 Metampiron Injeksi 2 Ampul 1,350.00
2014 Metampiron tablet 500 mg - Tablet 148.85
2016 Metampiron tablet 500 mg - Tablet 140.00
2015 Metformin HCL tablet 500 mg - Tablet 112.50
2016 Metformin HCl tablet 500 mg - Tablet 100.00
2017 Metformin HCL tablet 500 mg 2,610 Tablet 94.00
2015 Metformin HCL tablet 850 mg 500 Botol 197.50
2017 Metformin HCL tablet 850 mg - Tablet 156.00
2016 Methisoprinol 250 mg/5ml 28 Botol 50,000.00
2017 Methisoprinol 250 mg/5ml - Botol 55,000.00
2016 Methisoprinol 500 mg 170 Tablet 3,100.00
2017 Methisoprinol 500 mg - Tablet 3,300.00
2014 Metilergometrin injeksi 0,200 mg-ml - Ampul 2,300.00
2016 Metilergometrin injeksi 0,200 mg-ml 7 Ampul 2,684.00
2017 Metilergometrin injeksi 0,200 mg-ml - Ampul 2,849.00
2013 Metilergometrin tablet salut 0,125 mg - Tablet 121.00
2015 Metilergometrin tablet salut 0,125 mg - Tablet 154.00
2016 Metilprednisolon 4 mg - Tablet 194.00
2017 Metilprednisolon 4 mg 2,615 Tablet 150.00
2013 Metoklopramide tablet - Tablet 89.00
2015 Metoklopramide tablet 30 Tablet 108.00
2017 Metronidazol Sirup 125 mg/5ml - botol 3,800.00
2014 Metronidazol tablet 250 mg 470 Tablet 110.00
2016 Metronidazol tablet 250 mg - Tablet 94.00
2017 Metronidazol tablet 500mg 10 Tablet 113.00
2015 Mikonazol cream - Tube 3,000.00
2016 Mikonazol cream 4 Tube 3,250.00
2017 Mikonazol cream 23 Tube 3,250.00
2017 Mineral mix, kombinasi - Sachet 2,550.00
2016 Multivitamin anak sirup - Botol 18,900.00
2017 Multivitamin anak sirup - Botol 32,945.00
2016 Multivitamin dewasa - Tablet 1,140.00
2017 Multivitamin dewasa 2,425 Tablet 677.00
2015 Natrium Diklofenak tablet 25 mg 50 Tablet 133.00
2017 Natrium Diklofenak tablet 50 mg 2,115 Tablet 159.00
2014 Natrium Klorida larutan infus 0.9 % steril - Botol 4,700.00
2016 Natrium Klorida larutan infus 0.9 % steril 7 Botol 6,410.00
2014 Nifedipin tablet 10 mg - Tablet 110.00
2015 Nifedipin tablet 10 mg 239 Tablet 110.00
2013 Nistatin tablet salut 500.000 IU - Tablet 640.00
2016 Nistatin tablet salut 500.000 IU 22 Tablet 745.00
2017 Nistatin tablet salut 500.000 IU - Tablet 745.00
2013 Nistatin tablet vaginal 100.000 IU/g - Tablet 407.00
2016 Nistatin tablet vaginal 100.000 IU/g 20 Tablet 523.00
2017 Nistatin tablet vaginal 100.000 IU/g - Tablet 523.00
2015 Obat Antianemia - Tablet 740.00
2016 Obat Antianemia 100 Tablet 740.00
2015 Obat Antifungi Drop - Botol 29,500.00
2016 Obat Antifungi Drop - Botol 18,000.00
2017 Obat Antifungi Drop 42 botol 31,713.00
2017 Obat Batuk Hitam 100 mL 150 Botol 3,993.00
2016 Obat Flu Batuk Tablet - Tablet 770.00
2016 Obat Flu dan Batuk Sirup - Botol 10,800.00
2017 Obat Flu Sirup 173 Botol 8,690.00
2017 Obat Flu Tablet 4,210 Tablet 627.00
2016 Obat luka bakar - Tube 9,800.00
2017 Obat luka bakar 32 Tube 12,980.00
2017 Obat Pencahar Sirup - Botol 7,700.00
2014 Oksitosin injeksi 10 IU/ml - Ampul 6,875.00
2017 Oksitosin injeksi 10 IU/ml 50 Ampul 1,900.00
2017 Omeprazol injeksi 40mg/10ml 8 Vial 11,868.00
2016 Omeprazol kapsul 20 mg - Kapsul 160.00
2017 Omeprazol kapsul 20 mg 210 Kapsul 160.00
2017 Parasetamol drop 244 Botol 5,200.00
2017 Parasetamol sirup 120 mg / 5 ml 441 Botol 1,010.00
2016 Parasetamol tablet 500 mg - Tablet 56.00
2017 Parasetamol tablet 500 mg 8,915 Tablet 56.00
2016 Permetrin krim 5% 10 g - Tube 12,155.00
2017 Permetrin krim 5% 10 g 49 Tube 12,155.00
2017 Phenol Glycerol 10% 10 Botol 2,500.00
2013 Pirantel tablet 125 - Tablet 311.00
2017 Pirantel tablet 125 - Tablet 269.00
2016 Piridoksin (Vitamin B6) tablet 10 mg 2,080 Tablet 118.00
2017 Piridoksin (Vitamin B6) tablet 10 mg - Tablet 118.00
Policresulen (Produk kondensasi dari asam
2015 metakresolsufonat dan Methanal) - Botol 17,393.00
2014 Povidon iodida larutan 10 % (30 ml) - Botol 2,163.00
2017 Povidon iodida larutan 10 % (30 ml) - Botol 2,899.60
2017 Povidon iodida larutan 10 % (300 ml) 5 Botol 17,999.30
2011 Prednison tablet 5 mg - Tablet 57.50
2016 Prednison tablet 5 mg 810 Tablet 96.00
2017 Prednison tablet 5 mg - Tablet 76.00
2017 Propanolol tablet 10 mg - Tablet 52.00
2017 Pseudoefedrin Hcl Drop 40 Botol 51,000.00
2014 Ramipril 5 mg - Tablet 580.00
2016 Ranitidin Hcl Sirup 80 Botol 41,000.00
2017 Ranitidin Hcl Sirup - Botol 51,425.00
2016 Ranitidin injeksi 25mg/ml 28 Ampul 1,390.00
2017 Ranitidin injeksi 25mg/ml - Ampul 1,458.00
2016 Ranitidin tablet 150 mg - Tablet 105.00
2017 Ranitidin tablet 150 mg 3,865 Tablet 98.00
2014 Retinol (VIT A) kapsul 100.000 IU - Kapsul 260.00
2016 Retinol (VIT A) kapsul 100.000 IU - kapsul 284.00
2017 Retinol (VIT A) kapsul 100.000 IU - Kapsul 284.00
2015 Retinol (VIT A) tablet salut 200.000 IU - Kapsul 459.00
2017 Retinol (VIT A) tablet salut 200.000 IU 1,550 Kapsul 505.00
2014 Ringer laktat larutan infus steril - Botol 5,200.00
2016 Ringer laktat larutan infus steril 226 Botol 7,150.00
2017 Ringer laktat larutan infus steril - Botol 7,150.00
2015 Salbutamol tab 4 mg - Tablet 89.00
2017 Salbutamol tab 4 mg 1,855 Tablet 83.00
2015 Salisil Bedak 2 % - Kotak 1,250.00
2016 Salisil Bedak 2 % 50 Kotak 1,025.00
2017 Salisil Bedak 2 % 49 Kotak 1,020.00
2014 Sianokobalamin inj 500 mcg/ml-1 ml 1 Ampul 1,078.00
2017 Simvastatin tablet 10 mg 3,080 Tablet 131.00
2016 Siprofloksasin tablet 500 mg - Tablet 281.00
2017 Siprofloksasin tablet 500 mg 1,505 Tablet 281.00
2017 Sulfacetamida Natrium tetes mata 3 Botol 3,212.00
2017 Sulfadiazin Krim 1% 8 Tube 20,700.00
2014 Suplemen Ibu Menyusui - Tablet 1,166.67
2015 Suplemen Ibu Menyusui - Tablet 1,200.00
2016 Suplemen Ibu Menyusui - Tablet 800.00
2017 Suplemen Ibu Menyusui 530 Tablet 1,947.00
2016 Tambah Darah Neo - Tablet 400.00
2013 Teofilin Tablet - Tablet 2,213.75
2017 Terbutalin cairan ih 2.5 mg/ml 15 Ampul 6,850.00
2016 Tiamin HCL / Nitrat ( Vit B1 ) - tablet 86.00
2017 Tiamin HCL / Nitrat ( Vit B1 ) - Tablet 86.00
2016 Tiampenikol kapsul 500 mg 10 Tablet 950.00
2017 Tiampenikol kapsul 500 mg - Kapsul 792.00
2014 Tramadol inj 50 mg/ml - Ampul 2,395.00
2014 Tramadol kapsul 50 mg - Kapsul 324.56
2016 Triamcinolon Acetonide 1 mg krim - Tube 15,800.00
2017 Triamcinolon Acetonide 1 mg krim 3 Tube 16,445.00
2014 Triheksifenidil tab 2 mg - Tablet 41.25
2016 Vitamin B Komplek - Tablet 115.00
2017 Vitamin B Komplek 7,590 Tablet 115.00
2016 Vitamin Neurotropik - Tablet 310.00
2017 Vitamin Neurotropik 960 Tablet 1,298.00
Vitamin Neurotropik inj. Kombinasi (vit B1+
2017 B6+ B12) 9 Ampul 5,159.00
2016 Zink sirup - Botol 14,980.00
2017 Zink sirup - Botol 14,980.00
2017 Zink sirup 75 Botol 4,789.00
2017 Zink tablet 20 mg 1,220 Tablet 513.00
2018 Acetyl cysteine 200 mg 1,860 Kapsul 358.00
2018 Glibenklamid 5 mg - Kaplet 119.00
50 Botol 6,649.00
2017 Pentabio ORI 13 Vial 71810
2017 Pentabio rutin 172 Vial 71810
2017 dT - Vial 16360
2017 Td ORI 80 Vial 15450
2017 Td Rutin - Vial 15450
2017 Polio oral 122 Vial 18140
2017 Polio inj 27 Vial 153730
2017 Hb0 99 pcs 20900
2017 BCG 39 Vial 59950
2014 Alat Suntik 10 cc - Pcs 4,566.10
2017 Alat Suntik 10 cc 143 Pcs 1,257.00
2016 Alat Suntik 3 cc 100 Pcs 968.00
2017 Alat Suntik 3 cc 207 Pcs 789.00
2016 Alat Suntik sekali pakai 1 ml - Pcs 1,694.00
2017 Alat suntik sekali pakai 1 ml 71 Pcs 762.00
2012 Alat suntik sekali pakai 5 ml - Pcs 1,010.15
2016 Alat suntik sekali pakai 5 ml 22 Pcs 1,310.00
2017 Alat suntik sekali pakai 5 ml - Pcs 839.00
2015 Alkohol 1000 ml 1 Botol 21,500.00
2014 Alkohol Swab - Pcs 97.90
2017 Alkohol Swab 200 Pcs 160.50
2016 Anios - Botol 82,000.00
2014 Aquabidest 500ml - Botol 20,295.00
2015 Aseptic Gel + Dispenser 500 ml - Botol 22,000.00
2017 Aseptic Gel + Dispenser 500 ml - Botol 22,000.00
2014 Blood transfusion set - Pcs 21,197.00
2017 Blood transfusion set - Pcs 6,700.00
2014 Catgut 2/0 Chromic - Pcs 5,408.33
2014 Catgut 2/0 Plain 264 Pcs 5,408.33
2016 Catgut 2/0 Plain - Pcs 34,300.00
2014 Catgut 3/0 Plain 6 Pcs 5,408.33
2016 Catgut 3/0 Plain - Pcs 34,300.00
2017 Catgut 3/0 Plain 48 Pcs 37,203.00
2016 Cuticell - Pcs 5,198.00
2016 Dermavix - Blister 2,052.54
7 Roll 108,839.50
- Roll 30,030.00
2014 catheter - Pcs 5,374.80
2017 catheter Anak - Pcs 1,925.00
2017 catheter Dewasa - Pcs 2,310.00
2017 catheter Dewasa 20 Pcs 6,850.00
2016 Etil klorida semprot - Kaleng 10 137,500.00
2016 Foley Catheter No. 16 - Pcs 11,275.00
2017 Foley Catheter No. 16 14 Pcs 11,800.00
2016 Foley Catheter No. 18 - Pcs 11,275.00
2017 Foley Catheter No. 18 10 Pcs 11,800.00
2014 H2O2 3% - Botol 21,010.00
2014 Handscoon (Steril) # 6.5 - Pcs 12,966.25
2016 Handscoon (Steril) # 6.5 - Pasang 8,283.00
2017 Handscoon (Steril) # 6.5 450 Pasang 4,700.00
2017 Handscoon (Steril) # 6,5 - Pasang 4,100.00
2014 Handscoon (Steril) # 7 - Pcs 12,966.25
2015 Handscoon (Steril) # 7 - Pcs 4,558.00
2016 Handscoon (Steril) # 7 - Pasang 8,283.00
2017 Handscoon (Steril) # 7 400 Pasang 4,700.00
2017 Handscoon (Steril) # 7 200 Pasang 4,100.00
2016 Handscoon Non Steril L - Pcs 476.00
2016 Handscoon Non Steril M - Pcs 473.00
2017 Handscoon Non Steril M 1,500 Pcs 499.00
2015 Handscoon Non Steril S 700 Pcs 583.00
2017 Handscoon Non Steril S - Pcs 499.00
- Pasang 16,431.25
- Pasang 22,000.00
2016 Handscoon panjang untuk manual plasenta 6,5
- Pcs 17,400.00
2016 Handscoon panjang untuk manual plasenta 7
- Pcs 17,400.00
2014 ID Pasien bayi biru 50 Pcs 1,798.28
2014 ID pasien bayi pink 50 Pcs 1,798.28
2017 Infus Anak 2 Pcs 4,400.00
2016 Infus set dewasa - Pcs 5,709.00
2017 Infus set dewasa 120 Pcs 6,061.00
2017 IV Catheter 18 - Pcs 7,700.00
2015 IV Catheter 20 - Pcs 8,355.00
2016 IV Catheter 20 38 Pcs 8,355.00
2017 IV Catheter 20 - Pcs 7,700.00
2015 IV Catheter 22 - Pcs 8,355.00
2016 IV Catheter 22 38 Pcs 8,355.00
2017 IV Catheter 22 4 Pcs 7,700.00
2015 IV Catheter 24 - Pcs 8,355.00
2016 IV Catheter 24 26 Pcs 8,355.00
2017 IV Catheter 24 - Pcs 7,700.00
2017 IV Catheter No. 16 with safety wings - Pcs 4,700.00
2014 IV Catheter No. 18 with injection Port 42 Pcs 24,624.60
2014 IV Catheter No. 20 with injection Port - Pcs 24,624.60
2016 IV Catheter No. 26 with injection port - Pcs 21,065.00
2017 IV Catheter No. 26 with injection port - Pcs 4,700.00
2013 Jarum Hekting Kulit 1 Lusin 27,500.00
2015 Jarum Hekting Kulit - Kotak 132,000.00
2013 Jarum Hekting Otot 3 Lusin 27,500.00
2015 Jarum Hekting Otot - Kotak 132,000.00
2014 Jelly USG - Botol 33,110.00
2015 Kapas 1 kg - Roll 54,560.00
2015 Kapas pembalut 250 mg 3 Pcs 12,500.00
2016 Kasa Hidrofil 36 m x 80 cm - Roll 130,000.00
2014 Kasa Hidrofil 40 y x 80 cm - Roll 102,300.00
2017 Kasa Hidrofil 40 y x 80 cm 1 Roll 167,200.00
2015 Kasa Hidrofil steril 16 x 16 (isi 16 lbr) 165 Kotak 5,800.00
2016 Kasa Hidrofil Steril 18 x22 (isi 22 lbr) - Pcs 7,500.00
2017 Kasa Hidrofil Steril 18 x22 (isi 22 lbr) 6 Kotak 7,491.00
2014 Kasa Pembalut Elastic 3 inchi - Pcs 48,400.00
2011 Kasa Pembalut Hidrofil 4 x 5 elastik - Roll 296.50
2014 Kertas Puyer Cetak (pocket medicine) 1,000 Pcs 89.84
2015 Kertas Puyer Cetak (pocket medicine) - Pcs 82.50
2015 Lisol - Botol 41,000.00
2016 Lisol - botol 41,000.00
2017 Lisol - Botol 40,999.20
2017 Masker 2,650 Pcs 466.00
2014 Masker Nebulizer Anak - Pcs 56,375.00
2016 Masker Nebulizer Anak - Pcs 28,300.00
2017 Masker Nebulizer Anak 9 Pcs 22,000.00
2014 Masker Nebulizer Dewasa 9 Pcs 56,375.00
2017 Masker Nebulizer Dewasa 5 Pcs 14,400.00
2017 Masker Oksigen Anak (oxygen Mask - child)
6 Pcs 9,500.00
2017 Masker Oksigen Dewasa (oxygen mask - adult)
10 Pcs 9,500.00
2016 Micropore 1 inch - Pcs 18,085.67
2014 Mucus Ekstractor - Pcs 12,402.50
2013 Pembalut Gips 3 Inchi - roll 23,500.40
2014 Pisau Bisturi 10 62 Pcs 3,720.75
2014 Pisau Bisturi 11 100 Pcs 3,720.75
2014 Pisau Bisturi 15 - Pcs 3,720.75
2015 Plastik klip 13 x 8,7 36,000 Pcs 110.00
2014 Plastik klip 4 x 6 - Pcs 14.66
2014 Plester kain 2 x 5y - Pcs 27,511.00
2017 Plester kertas 1 Inch 4 Pcs 18,085.67
2014 Plester roll kertas 1" 66 Roll 15,950.00
- Pcs 16,912.50
- pcs 5,082.00
5 Pcs 6,400.00
- Pcs 5,900.00
2014 Selang O2 Dewasa (nasal oxygen canula- adult)
- Pcs 16,912.50
1 Pcs 5,500.00
5 pcs 5,082.00
- Pcs 5,900.00
2017 Selang O2 NEO NATUS 1 Pcs 7,300.00
2017 Selang O2 NEO NATUS - Pcs 5,900.00
2016 Silk Benang Bedah 3/0 - Pcs 22,400.00
2014 Silk Benang Bedah 3/0 - Pcs 8,143.06
2017 Silk Benang Bedah 3/0 64 Pcs 35,077.00
2013 Suction Catheter Canul 10 - Pcs 7,700.00
2016 Three way stopcock - Pcs 5,720.00
2017 Three way stopcock - Pcs 2,900.00
2014 Three way stopcock with 10 cm tube - Pcs 17,501.00
2014 Umbilical Klem - Pcs 3,100.64
2017 Umbilical Klem 22 Pcs 1,299.98
2014 Underpad 60 x 90 - Pcs 4,961.00
2017 Underpad 60 x 90 30 Pcs 7,800.00
2014 Urine Bag - Pcs 7,329.30
2017 Urine Bag 14 Pcs 6,900.00
2014 Articulating paper - Kotak 298,760.00
2016 Antiseptik untuk saluran akar - Botol 880,000.00
2017 Antiseptik untuk saluran akar 5 Botol 360,000.00
2016 Bonding - Botol 330,000.00
Cairan desinfektan untuk perendaman
2016 instrumen gigi - Botol 665,665.00
2015 pd alat dental - Botol 2,200,000.00
2016 pd alat dental - Galon 2.5 l 1,496,000.00
2015 Cairan Pembersih Gigi - Botol 157,300.00
2016 Cairan Pembersih Gigi - Botol 163,020.00
2017 Cairan Pembersih Gigi 3 Pot 170,000.00
Cairan untuk desinfektan dan pembersih
2016 permukaan - Botol 516,230.00
2014 Cresophen - Botol 588,000.00
2014 Devitalisasi pasta non arsen - Kotak 304,500.00
2016 Devitalisasi pasta non arsen - Kotak 238,095.00
2017 Devitalisasi pasta non arsen 5 Pot 266,200.00
2015 Etching - Pcs 356,950.00
2016 Etching - Pcs 447,700.00
2012 Eugenol Cairan 6 Botol 44,605.00
2014 Fletcher Cairan - Botol 25,200.00
2016 Fletcher Cairan - Botol 60,775.00
2014 Fletcher Serbuk - Botol 25,200.00
2016 Fletcher Serbuk - Pot 28,600.00
2012 Fletcher serbuk dan cairan - Botol 33,085.00
2015 Glass Ionomer cement Art - Set 456,500.00
2016 Glass Ionomer cement Art - Set 715,000.00
2017 Glass Ionomer cement Art 5 Set 756,000.00
2014 Kalsium Hidroksida pasta - Set 283,500.00
2017 Kalsium Hidroksida pasta - Set 194,590.00
2017 Kombinasi Bonding dan Etching 3 Botol 1,023,510.00
2014 Mata bor diamond fissur - Pcs 10,335.60
2015 Mata bor diamond fissur - Pcs 55,000.00
2013 Mata bor diamond high speed - Set 184,905.66
2014 Mata bor diamond inverted - Pcs 10,303.33
2015 Mata bor diamond inverted - Pcs 55,000.00
2015 Mata bor diamond rounded - Pcs 55,000.00
2014 Mata bor diamond tapered - Pcs 10,303.33
2014 Mata bor poles composite pear - Pcs 10,303.33
2014 Mata bor poles composite flame - Pcs 10,303.33
2014 Mata bor tulang gigi - Pcs 50,600.00
2015 Mata bor tulang gigi - Pcs 283,800.00
2014 Metronidazol Gel untuk Peridonitis - Tube 202,125.00
2012 Monoklorkamfer Mentol cairan (CHKM) - Botol 53,520.00
2014 Mummifying pasta - Set 446,250.00
2014 OCO - Botol 157,500.00
2016 Pasta Iodoform 1 Pcs 25,300.00
2014 Pulperyl - Botol 341,241.00
2014 Semen seng fosfat serbuk 1 Set 174,405.00
2016 Semen seng fosfat serbuk - Set 157,300.00
2017 Semen seng fosfat serbuk - Set 201,300.00
2015 Tambal Sementara Untuk Gigi - Botol 357,500.00
2016 Tambal Sementara Untuk Gigi - Pcs 176,000.00
2017 Tambal Sementara Untuk Gigi 9 Botol 183,260.00
2015 Tambal Sinar Warna A2 - Syringe 254,100.00
2017 Tambal Sinar Warna A2 2 Kantong 615,250.00
2017 Tambal Sinar Warna A3 2 Kantong 615,250.00
2015 Tambal Sinar Warna A3,5 - Syringe 254,100.00
2016 Tambal Sinar Warna A3,5 - Syringe 283,140.00
2017 Tambal Sinar Warna A4 - Kantong 615,250.00
2014 Trikresol Formalin - Botol 118,125.00
2016 Wipes Desinfektan - Botol 271,700.00
2018 Acetyl cysteine 200 mg 1,860 Kapsul 358.00
2018 Glibenklamid 5 mg - Kaplet 119.00
50 Botol 6,649.00
Natrium Klorida larutan infus 0.9 % steril 500
2018 ml - Botol
2018 ANIOS ANIOSGEL 85 500 ml - Botol
2018 ANIOS ANIOSYME DLT PLUS 5 L - Botol
2018 IV Catheter 18 - Pcs
2018 IV Catheter 22 Pcs
2018 Handscoon Non Steril M - Pcs
2018 Handscoon Non Steril S - Pcs
Transparent Medical Tape 5x500 (Dressing
2018 Luka Lebar) 3 roll 84,700.00
2018 Transparent IV Dressing 4.4x4.4 - Pcs 1,925.00
2018 3D Semillas Infusion Set-Y (Infuset Dewasa)
- Pcs 6,061.00
2017 Spuit 0,5 2,322 Pcs 1185
2017 Spuit 0,05 146 Pcs 1590
2017 Spuit 5 cc 66 Pcs 1640
2017 Safety box 10 Pcs 22433
KAI HABIS
D TGL. 31 Juni 2018
Tanggal
Jumlah Harga (Rp) Nomor Urut Untuk Penyerahan Ket.
7 8 9 10 11
0
3849
0
364
0
163900
0
0
42042
0
8960
0
577940
0
0
1376920
0
825180
0
0
268800
33480
117800
339184
0
121800
42000
0
0
519750
49500
0
0
29070
0
572520
0
51150
410750
108120
281600
0
0
231570
0
6980
0
126875
0
1672
0
0
0
80460
172672
253000
0
133400
18150
0
50000
402000
0
340320
0
13500
0
0
265885
63288
0
253890
0
0
9700
0
126260
0
276000
8816
2204
69350
0
0
0
5100
0
640
0
0
0
211975
127800
413540
6675
0
131736
110200
0
0
0
0
13464
0
23980
0
2890
0
0
0
0
0
0
0
10780
0
0
8940
0
339200
0
134420
0
0
283500
0
63500
615600
0
2992
6840
0
83800
29865
0
597870
0
56978
84370
36720
0
147610
56000
321856
56110
0
0
247000
132000
0
149940
0
66340
0
0
0
188500
0
0
6880
0
85228
3880000
5785
115625
18250
0
2990790
2700
0
0
0
0
245340
98750
0
1400000
0
527000
0
0
18788
0
0
0
0
392250
0
3240
0
51700
0
0
0
1130
0
13000
74750
0
0
0
0
1641725
6650
336285
0
0
44870
0
0
26290
0
0
0
16390
0
0
10460
0
0
74000
0
0
1331946
598950
0
0
1503370
2639670
0
415360
0
0
95000
94944
0
33600
1268800
445410
0
499240
0
595595
25000
0
0
245440
0
0
0
0
89996.5
0
77760
0
0
2040000
0
3280000
0
38920
0
0
378770
0
0
0
0
782750
0
1615900
0
0
153965
0
51250
49980
1078
403480
0
422905
9636
165600
0
0
0
1031910
0
0
102750
0
0
9500
0
0
0
0
49335
0
0
872850
0
1246080
46431
0
0
359175
625860
665880
0
332450
933530
12351320
0
1236000
0
2213080
4150710
2069100
2338050
0
179751
96800
163323
0
54102
0
28820
0
21500
0
32100
0
0
0
0
0
0
0
0
0
1427800
0
0
0
0
32450
0
1785744
0
0
761876.5
137000
0
0
165200
0
118000
0
0
0
2115000
0
0
0
0
1880000
820000
0
0
0
0
748500
408100
0
0
89914
89914
8800
0
727320
0
0
317490
0
0
317490
30800
0
217230
0
0
1034233.2
0
0
0
0
0
0
27500
0
82500
0
0
0
37500
0
0
167200
957000
0
44946
0
0
89842.5
0
0
0
0
1234900
0
0
198000
507375
72000
57000
95000
0
0
0
0
0
230686.5
372075
0
0
0
3960000
0
0
0
0
0
72342.6666664
1052700
32000
0
5500
25410
0
7300
0
0
0
2244928
0
0
0
0
0
0
0
0
0
28599.56
0
234000
0
96600
0
0
1800000
0
0
0
0
510000
0
0
0
0
1331000
0
0
267630
0
0
0
0
0
0
0
3780000
0
0
3070530
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
25300
0
174405
0
0
0
0
1649340
0
0
1230500
0
0
1230500
0
0
0
0
0
665880
0
332450
0
0
0
0
0
0
0
254100
0
0
2751570
232140
108240
224330

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SKPD : Dinas Kesehatan

KOTA : Kota Tangerang Selatan

Persediaan Akhir 31 Desember 2017

Harga Bukti Pembayaran

10 Pack Rp 42,500.00 Rp 425,000.00

17 Pack Rp 55,000.00 Rp 935,000.00

1 Buah Rp 20,000.00 Rp 20,000.00

8 Pack Rp 25,000.00 Rp 200,000.00

1 Buah Rp 20,300.00 Rp 20,300.00

15 Kotak Rp 8,200.00 Rp 123,000.00

7 Rim Rp 90,000.00 Rp 630,000.00

324 Rp 54,648.00 Rp 17,705,952.00

156 Rp 51,340.00 Rp 8,009,040.00

949 Rp 96,000.00 Rp 91,104,000.00

534 Rp 76,285.00 Rp 40,736,190.00

129 Rp 4,045.00 Rp 521,805.00

104 Rp 91.00 Rp 9,464.00

960 Rp 155.00 Rp 148,800.00

195 Rp 968.00 Rp 188,760.00

700 Rp 789.00 Rp 552,300.00

5 Pcs Rp 16,364.00 Rp 81,820.00 22-Feb-18

5 Rim Rp 110,000.00 Rp 550,000.00 6-Mar-18

3 Buah Rp 50,000.00 Rp 150,000.00 20-Mar-18

1 Paket Rp 2,500,000.00 Rp 2,500,000.00 20-Mar-18

2 Dus Rp 168,000.00 Rp 336,000.00 5-Mar-18

40 Box Rp 12,500.00 Rp 500,000.00 5-Mar-18

2 Lusin Rp 215,000.00 Rp 430,000.00 6-Mar-18

Penanggung Jawab Barang

Octriana Kemala Sari

BUKU PENGELUARAN BARANG PAKAI HABIS

Tanggal Harga Satuan

Tata Usaha 5-Jan-18

Tata usaha 8-Jan-18

01 Januari-31 Maret 2018

Tangerang Selatan, 08 April 2018

Penanggung Jawab Barang

Octriana Kemala Sari

Dokumen/Faktur/Kwitansi/Nota Pembelian Dasar Penerimaan

2 31-Dec-14 Stock Opname 4 Amplop Polos No. 90 'Jaya'

3 31-Dec-14 Stock Opname 0 Ballpoint AE7 'Standar'

5 31-Dec-14 Stock Opname 0 Buku Ekspedisi

9 31-Dec-14 Stock Opname 8 Isi Stapler No. 3

12 31-Dec-14 Stock Opname 6 Map Kertas Biasa

15 31-Dec-14 Stock Opname 8 Pensil 2B Faber Castle

21 31-Dec-14 Stock Opname 6 Lemfox Besar

22 31-Dec-14 Stock Opname 11 Label Sticker 103

23 31-Dec-14 Stock Opname 2 Pembolong Kertas

28 31-Dec-14 Stock Opname 1 Buku Tulis 'Sidu'

31 31-Dec-14 Stock Opname 1 Spidol Permanent 'Snowman'

33 31-Dec-14 Stock Opname 4 Stapler HD-50Max

37 31-Dec-14 Stock Opname 0 Penghapus Stadler

39 31-Dec-14 Stock Opname 9 Tinta Refill Warna

41 14-Feb-15 Belanja Operasional 12 Spidol Whiteboard

Sub Total Penerimaan (Rp)

43 31-Dec-14 Stock Opname 2 Baterai A3 Energizer

46 31-Dec-14 Stock Opname 10 Lampu Neon TL 18 Watt Philips

48 31-Dec-14 Stock Opname 3 Stop Kontak

49 31-Dec-14 Stock Opname 5 Emergency Lamp Surya L6004

53 10-Feb-15 Belanja Operasional 3 Baterai Kering A2

Sub Total Penerimaan (Rp)

57 31-Dec-14 Stock Opname 2 Kemoceng Static Duster

59 31-Dec-14 Stock Opname 0 Tempat Sampah Besar Savel

64 31-Dec-14 Stock Opname 3 Ember Vk. 5Liter

72 31-Dec-14 Stock Opname 0 Cairan Pembersih Bayclin