PEMERINTAH KABUPATEN TANGERANG

PERSEDIAAN
LKPD TA 2019

SATKER : UPT BLUD PUSKESMAS KEMIRI

Nama Pengelola Persediaan : Waesul Qurni
No. HP yang dapat dihubungi : 085716883737
dalam Rupiah
MUTASI TAMBAH *) MUTASI KURANG

NO URAIAN SALDO AKHIR 2018 DISERAHKAN KADALUARSA/

APBD HIBAH/BLUD DIPAKAI
ke MASY **) RUSAK ***)

1 3 4 5 6 7 8

1 Alat Tulis Kantor 44,057,605.00 93,168,626.00 4,749,246.00

Balpoint 344,000.00 - 744,000.00 27,480.00 - -
Pensil 2B 260,000.00 - 460,000.00 28,000.00 - -
Clear Holder 150,000.00 - 150,000.00 90,000.00 - -
Spidol warna warni 150,000.00 - 150,000.00 62,500.00 - -
Clear Holder isi 20 112,000.00 - 112,000.00 28,000.00 - -
Clear Holder isi 40 178,000.00 - 178,000.00 96,800.00 - -
Clear Holder isi 60 320,000.00 - 720,000.00 44,000.00 - -
Clear Sleeves 444,000.00 - 844,000.00 12,400.00 - -
Stabilo 229,000.00 - 229,000.00 98,462.00 - -
Tipe X Cair 130,500.00 - 130,500.00 12,840.00 - -
Spidol Permanen 136,800.00 - 136,800.00 76,200.00 - -
Binder Clip No. 105 180,000.00 - 180,000.00 16,800.00 - -
Buku Double Folio 300 lembar 700,000.00 - 1,500,000.00 - - -
Buku 1/2 Folio 360,000.00 - 360,000.00 28,000.00 - -
Buku Ekspedisi 221,200.00 - 421,200.00 71,200.00 - -
Buku Kwitansi kecil 348,000.00 - 648,000.00 59,800.00 - -
Buku Folio 294,000.00 - 594,000.00 56,520.00 - -
Buku Folio 200 lembar 494,800.00 - 994,800.00 - - -
Tinta stempel otomatis 60,000.00 - 60,000.00 36,000.00 - -
Binder klip No. 200 215,250.00 - 215,250.00 11,325.00 - -
Penghapus pensil 440,625.00 - 840,625.00 75,875.00 - -
Tipe X model roll Merek Joyko 365,000.00 - 365,000.00 29,600.00 - -
Order bindek 279,400.00 - 479,400.00 32,580.00 - -
Map amplop cokelat 330,000.00 - 730,000.00 53,000.00 - -
Map plastik tali 237,600.00 - 537,600.00 18,560.00 - -
Map kancing 255,000.00 - 455,000.00 41,600.00 - -
Map Snell Bufallo 305,000.00 - 305,000.00 30,000.00 - -
Map Bufallo 249,000.00 - 549,000.00 54,000.00 - -
Map clips file 335,000.00 - 335,000.00 33,500.00 - -
Map kertas bufallo bio 174,000.00 - 174,000.00 17,400.00 - -
Map business file - - - - - -
Punch Pocket PP Pocket Polio 800,000.00 - 1,517,000.00 14,054.00 - -
Bok file 371,100.00 - 771,100.00 45,910.00 - -
Spring file 101,000.00 - 101,000.00 43,000.00 - -
Penggaris besi 30 cm 219,000.00 - 419,000.00 59,000.00 - -
Penggaris plastik 30 cm 104,700.00 - 104,700.00 88,200.00 - -
Penggaris plastik 100 cm 195,000.00 - 195,000.00 12,300.00 - -
Punch (Pembolong) No. 40 250,000.00 - 250,000.00 13,300.00 - -
Punch (Pembolong) No. 85 200,000.00 - 200,000.00 50,000.00 - -
Pisau cutter 366,000.00 - 366,000.00 18,600.00 - -
Lakban 151,000.00 - 151,000.00 45,300.00 - -
Lem Stick 170,800.00 - 170,800.00 83,850.00 - -
Staples besar 210,000.00 - 210,000.00 19,650.00 - -
Staples kecil - - - - - -
Isi staples besar 200,000.00 - 400,000.00 40,000.00 - -
Isi staples kecil - - - - - -
Isolasi 144,500.00 - 144,500.00 26,900.00 - -
Stamp Pad (Bak Stempel) 40,000.00 - 40,000.00 13,000.00 - -
Post It 252,000.00 - 252,000.00 25,200.00 - -
Post It kecil 12 mm x 45 mm 700,000.00 - 700,000.00 66,000.00 - -
Post It besar 76 mm x 76 mm 167,000.00 - 167,000.00 21,000.00 - -
Gunting 394,000.00 - 694,000.00 28,900.00 - -
Spidol Whiteboard 200,000.00 - 400,000.00 24,800.00 - -
Trigonal Klip 784,000.00 - 784,000.00 38,400.00 - -
Map Plastik kantong 429,000.00 - 429,000.00 18,500.00 - -
Tinta Stempel Manual 65,000.00 - 65,000.00 29,000.00 - -
Double Tape 750,000.00 - 750,000.00 68,500.00 - -
Rak Surat 750,000.00 - 750,000.00 - - -
Kertas F4 warna warni 800,000.00 - 1,535,000.00 14,930.00 - -
Kertas F4 80gr 900,000.00 - 1,975,000.00 90,120.00 - -
Kertas A4 80gr 308,100.00 - 608,100.00 14,310.00 - -
Amplop panjang 235,500.00 - 435,500.00 40,700.00 - -
Amplop kecil 250,000.00 - 250,000.00 11,000.00 - -
Amplop besar 264,705.00 - 264,705.88 13,970.00 - -
Stick Notes 12,5 x 7,5 mm 60,000.00 - 60,000.00 60,000.00 - -
Penghapus papan tulis 156,020.00 - 156,020.00 15,602.00 - -
Papan Tulis - - - - - -
Catridge Black HP 678 342,000.00 - 342,000.00 17,100.00 - -
Catridge Black HP 46 112,000.00 - 112,000.00 - - -
Tinta Printer Epson Magenta T664 384,000.00 - 384,000.00 56,000.00 - -
Tinta Printer Epson Yellow T664 260,800.00 - 460,800.00 50,800.00 - -
Catridge HP 680 Colour 475,000.00 - 875,000.00 - - -
Catridge Black HP 680 Hitam 125,000.00 - 125,000.00 - - -
Catridge Black HP 745 Hitam 300,000.00 - 300,000.00 - - -
Catridge Black HP 745 warna 508,200.00 - 508,200.00 32,320.00 - -
HP Toner Black CP 1025 CE 310A 305,038.00 - 605,038.00 28,183.00 - -
HP Toner Cyan CP 1025 CE 310A 274,200.00 - 274,200.00 48,000.00 - -
HP Toner Magenta CP 1025 CE 310A 284,782.00 - 284,782.00 15,382.00 - -
HP Toner Yelow CP 1025 CE 310A 205,000.00 - 205,000.00 20,500.00 - -
Tinta Epson Ink Black 664 (CT13T6641 318,600.00 - 618,600.00 26,600.00 - -
Tinta Epson Ink Cyan 664 (CT13T66419 178,000.00 - 178,000.00 55,000.00 - -
Tinta Epson Ink Magenta 664 (CT13T6 178,450.00 - 178,450.00 80,050.00 - -
Tinta Epson Ink Yellow 664 (CT13T664 130,100.00 - 130,100.00 48,100.00 - -
HP Toner Yellow CP 1025 182,800.00 - 182,800.00 88,595.00 - -
HP Toner Magenta CP 130A 149,000.00 - 149,000.00 57,600.00 - -
Tinta Epson Ink Bottle 003 Dye Black 382,500.00 - 782,500.00 37,500.00 - -
Tinta Epson Ink Bottle 003 Dye Magen 382,500.00 - 782,500.00 37,500.00 - -
Tinta Epson Ink Bottle 003 Dye Yellow 782,500.00 - 782,500.00 37,500.00 - -
Tinta Epson Ink Bottle 003 Dye Cyan 248,900.00 - 448,900.00 37,440.00 - -
Tinta HP Toner Catridge 79 A Black 595,080.00 - 995,080.00 97,280.00 - -
Tinta HP Toner Catridge 130 A Cyan 203,405.00 - 203,405.00 38,456.00 - -
Tinta HP Toner Catridge 130 A Magent 204,962.00 - 204,962.00 54,029.00 - -
Tinta HP Toner Catridge 130 A Yellow 286,425.00 - 286,425.00 86,865.00 - -
Tinta HP Toner Catridge 130 A Black 193,560.00 - 193,560.00 54,000.00 - -
Tinta Black Toner HP 126A CE310A 242,400.00 - 242,400.00 22,036.00 - -
Tinta Cyan Toner HP 126A CE311A 179,600.00 - 179,600.00 16,327.00 - -
Tinta Yellow Toner HP 126A CE312A 179,600.00 - 179,600.00 16,327.00 - -
Tinta Magenta Toner HP 126A CE313A 179,600.00 - 179,600.00 16,327.00 - -
Tinta Magenta Original Laser HP Jet T 182,800.00 - 182,800.00 16,618.00 - -
Catridge color hp 678 665,000.00 - 665,000.00 66,500.00 - -
Catridge color hp 46 193,700.00 - 193,700.00 19,370.00 - -
Epson Ink Cartridge T6641 130,560.00 - 130,560.00 13,056.00 - -
Epson Ink Cartridge Cyan T6642 384,000.00 - 384,000.00 38,400.00 - -
Epson Ink Cartridge Magenta T6643 - - - - - -
Epson Ink Cartridge Yellow T6644 - - - - - -
Catridge cannon 745 - - - - - -
Catridge cannon 746 - - - - - -
Hp 680 black ink cartidge (f6v27aa) 109,800.00 - 109,800.00 10,980.00 - -
Cannon colour ink cartidge cl 811 (cl - - - - - -
Cannon black ink cartidge xl pg-810 ( - - - - - -
Hp toner black 79a ( cf279a ) - - - - - -
Whiteboard 90 x 180 muka kaki 129,000.00 - 129,000.00 12,900.00 - -
 Kertas label A4 - - - - - -
Tinta epson hitam - - - - - -
Tinta epson Magenta - - - - - -
Tinta epson Yellow - - - - - -
Tinta epson Cyan - - - - - -
Stick notes - - - - - -
Paper clip 51,250.00 - 51,250.00 51,250.00 - -
Binder no.260 310,400.00 - 310,400.00 31,040.00 - -
Toner HP Laserjet 126 A yellow ce312 - - - - - -
Paper clip N0.155 211,200.00 - 211,200.00 21,120.00 - -
Penghapus board kecil 40,000.00 - 40,000.00 40,000.00 - -
Serutan Pensil 100,000.00 - 100,000.00 10,000.00 - -
Gunting 240,000.00 - 240,000.00 72,377.00 - -
Buku tulis 38 lembar 28,000.00 - 28,000.00 28,000.00 - -
Map pocket - - - - - -
Staples Kecil 228,000.00 - 228,000.00 22,800.00 - -
Remver Staples 324,000.00 - 324,000.00 32,400.00 - -
Map pocket - - - - - -
Paper clip - - - - - -
Logitech wireless mouse 1,483,600.00 - 1,483,600.00 - - -
Plastik klip obat 8x13 5,446,765.00 - 23,530,000.00 - - -
Plastik klip 7x10 5,000,000.00 - 15,000,000.00 - - -
Kantong plastik obat - - - - - -
Flashdisk 420,180.00 - 420,180.00 420,180.00 - -
Binder clip No.105 120,000.00 - 120,000.00 120,000.00 - -
Kertas plip chart 150,000.00 - 150,000.00 150,000.00 - -
Masker Earlop 3 Ply 48,748.00 - 48,748.00 - - -
BMHP - 8,800,785.12 - - -

2 Alat Listrik dan Elektronik 3,160,000.00 19,212,300.00 2,308,700.00

Lampu LED Philips 13,4 W 1,072,000.00 - 1,472,000.00 136,000.00 - -
Lampu LED Philips 14,4 W 1,127,000.00 - 1,682,000.00 176,000.00 - -
 Lampu Emergency 450,000.00 - 1,850,000.00 130,000.00 - -
Batu Baterai Alkaline A2 104,000.00 - 3,104,000.00 467,000.00 - -
Batu Baterai Alkaline AAA 151,100.00 - 1,951,200.00 25,600.00 - -
Batu Baterai Alkaline ABC ( 9 V) 114,400.00 - 2,114,400.00 387,000.00 - -
Batu Baterai (B) Hijau 141,500.00 - 1,341,500.00 145,500.00 - -
Kabel Roll 1.00 MM x 10 M ( Krisbow) - - 1,409,400.00 422,400.00 - -
Kabel Roll 1.00 MM x 15 M ( Krisbow) - - 2,563,000.00 419,200.00 - -
Stabilizer - - 1,724,800.00 - - -

3 Perangko dan Benda Pos Lain - 72,000.00 2,250,000.00 2,232,000.00 - -

Materai 3000 - - 222,000.00 200,000.00 - -
Materai 6000 - 72,000.00 2,028,000.00 2,032,000.00 - -
- -
Peralatan kebersihan dan bahan pe 9,643,800.00 675,000.00 103,238,190.00 26,352,280.00
Sapu Ijuk 854,000.00 350,000.00 854,000.00 230,000.00 - -
Sapu Ijuk 3M - 1,281,000.00 588,000.00 - -
Sapu lidi 191,400.00 63,800.00 191,400.00 63,800.00 - -
Sabut Spons - 1,055,000.00 313,000.00 - -
Isi ulang kain pel 118,200.00 1,636,800.00 759,000.00 - -
Alat Pendorong Air - 752,700.00 178,900.00 - -
Tempat Sampah Injak - 2,225,800.00 718,000.00 - -
Keset - 271,000.00 48,000.00 - -
Kain pel 484,240.00 - 484,240.00 144,080.00 - -
Mop Pel Daun - 1,119,360.00 111,680.00 - -
Pengki serok sampah bahan karet - 1,868,180.00 884,090.00 - -
Sendok obat dissposible - 1,365,200.00 602,480.00 - -
Kantung sampah Medis 90x120 (kuning 611,440.00 - 611,440.00 172,180.00 - -
Kantung sampah Medis 60x100 (kuning 524,600.00 - 524,600.00 128,760.00 - -
Sarung tangan latex KRISBOW - 1,599,150.00 456,050.00 - -
Kemoceng - 2,205,000.00 605,000.00 - -
Pembersih Kaca 320,000.00 - 320,000.00 15,000.00 - -
Cairan Pembersih Lantai (Wipol) 785,000.00 - 785,000.00 284,000.00 - -
Cairan Pembersih Kaca (Cling) - 900,000.00 - - -
Gagang pel - 172,800.00 - - -
Sarung tangan rumah tangga - 447,000.00 133,000.00 - -
Lap Microfil Pajero (Kanebo) - 1,875,000.00 875,000.00 - -
Kantong plastik putih obat 900,380.00 - 937,380.00 237,640.00 - -
Sarung tangan pelindung Texgrip size XS - 1,800,300.00 816,000.00 - -
Sarung tangan pelindung Texgrip size S - 2,116,500.00 918,000.00 - -
Sarung tangan pelindung Texgrip size M - 2,091,000.00 765,000.00 - -
Sarung tangan pelindung Texgrip size L - 585,000.00 230,000.00 - -
Pembersih lantai SoKlin 143,000.00 803,000.00 330,000.00 - -
Pembersih lantai keramik (Vixal) 309,200.00 - 309,200.00 52,000.00 - -
Refill Handshop (YURI) 1,097,400.00 - 1,097,400.00 345,600.00 - -
Cairan pembunuh serangga (Vape) 477,000.00 - 477,000.00 148,500.00 - -
Baygon - 2,475,000.00 825,000.00 - -
Kemoceng lokal - 525,000.00 147,500.00 - -
Tissue handuk (Krisbow) - 1,206,400.00 48,000.00 - -
Cairan pencuci alat dapur (Sunlight) 565,140.00 - 566,100.00 187,200.00 - -
Carbol Pewangi (Wipol) 274,000.00 - 474,000.00 91,000.00 - -
Waslap - 654,920.00 324,800.00 - -
Refill pengharum ruangan - 1,440,000.00 540,000.00 - -
Selang air - 574,000.00 170,000.00 - -
Kamper kamar mandi (Swallow Colour 400,000.00 - 400,000.00 32,000.00 - -
Sapu pembersih sarang laba-laba (loka 500,000.00 - 500,000.00 - - -
Sapu lidi (lokal) 330,000.00 - 330,000.00 35,000.00 - -
Plastik sampah besar 120x90 cm - 890,000.00 250,000.00 - -
Plastik sampah besar 100x80 cm - 1,570,000.00 340,000.00 - -
Pembersih lantai Soklin 700 ml - 840,000.00 180,000.00 - -
Pembersih lantai Soklin 1600 ml - 1,005,000.00 15,000.00 - -
Kantong sampah Loco merah (40) - 2,133,600.00 595,200.00 - -
Kantong sampah hitam 60x80 cm - 1,943,880.00 350,340.00 - -
Kantong sampah hitam 100x120 cm - 730,000.00 - - -
Kantong sampah hitam 80x100 cm - 800,000.00 100,000.00 - -
 Tissue toilet - 600,000.00 - - -
YURI Prostek pembersih kloset - 270,000.00 60,000.00 - -
YURI Prostek pembersih keramik - - - - - -
Baskom - 360,000.00 - - -
Kantong sampah medis - 9,796,800.00 594,800.00 - -
Sikat lantai - - - - - -
Handuk lap tangan - 180,000.00 60,000.00 - -
Sikat toilet - - - - - -
Keset type handuk - 360,000.00 120,000.00 - -
Sepatu Boot - 1,356,000.00 113,000.00 - -
Pengharum mobil Stella - 1,872,000.00 36,000.00 - -
Yuri Isi Ulang 375 ml - - - - - -
Cairan Pencuci Alat Dapur - 2,880,000.00 240,000.00 - -
Dispenser Tisue - 5,920,000.00 1,760,000.00 - -
Wipol Karbol Wangi Isi Ulang - - - - - -
Tisue - - - - - -
Handuk kecil lap - 5,295,222.00 1,765,074.00 - -
Kertas puyer mediciane packet si 20 s - 13,479,318.00 4,493,106.00 - -
Micropore ( 1,25 cm x 9,1 m ) - - - - - -
Plastik klips 15,5x10 cm - 3,037,500.00 1,012,500.00 - -
Lap. Serbet - - - - - -
Lap. Gantung handuk - 1,092,000.00 364,000.00 - -
Alat pengharum ruangan elektrik - - - - - -
Under Pad - 3,900,000.00 300,000.00 - -
Gelas bening 300,000.00 - 300,000.00 - - -
Piring keramik 410,000.00 - 410,000.00 50,000.00 - -
Mangkok keramik 310,000.00 - 310,000.00 - - -

5 BBM/gas - - - - - -

6 Suku cadang peralatan komputer/printer/jaringan 16,672,800.00 16,672,800.00

USB/ Flashdisk - - - - - -
 VGen 8 GB DDR 3 - - 7,101,800.00 7,101,800.00 - -
VGen 8 GB DDR 4 - - 7,285,000.00 7,285,000.00 - -
Mouse - - - - - -
Mouse Optical Wireless W 55 Thosiba - - 1,143,000.00 1,143,000.00 - -
Keyboard - - 1,143,000.00 1,143,000.00 - -

7 Suku cadang alat bengkel dan pertu - - - - - -

8 Suku cadang alat angkutan - - - - - -

9 Suku cadang alat laboratorium - -

10 Suku cadang alat rumah tangga - - - - - -

11 Suku cadang perlengkapan/peralatan - - - - - -
12 Vandel, plakat, Piala, Medali, Cinde - - - - - -
13 Bahan pakai habis kesehatan / kedok 13,624,932.35 - 62,561,750.00 67,384,896.63 - -
Masker Hijab 572,456.00 - 5,724,560.00 5,289,250.28 - -
- - - - - -
Jarum Synthetic 449,625.00 - 449,625.00 899,250.00 - -
- - - - - -
Chloro tulle 610,000.00 - 6,100,000.00 6,710,000.00 - -
- - - - - -
Popok Dewasa XL 900,000.00 - 900,000.00 1,800,000.00 - -
- - - - - -
Micropore 1/2 inch - 833,106.00 833,106.00 - -
- - - - - -
Infus set 359,700.00 - 35,970.00 395,670.00 - -
Blood Set 173,250.00 - 1,732,500.00 1,905,750.00 - -
IV Catheter 18 G 60,500.00 - 605,000.00 665,500.00 - -
IV Catheter 20 G 60,500.00 - 605,000.00 665,500.00 - -
IV Catheter 24 G 122,100.00 - 122,100.00 244,200.00 - -
IV Catheter 26 G 430,900.00 - 130,900.00 561,800.00 - -
- - - - - -
Jarum Jahit 552,540.00 - 552,540.00 1,105,080.00 - -
- - - - - -
Komposit kit 170,000.00 - 1,700,000.00 1,870,000.00 - -
- - - - - -
Abbocath 16 G 80,000.00 - 800,000.00 880,000.00 - -
- - - - - -
Sarung Tangan non steril size XS,S,M, 370,000.00 - 3,100,000.00 2,470,000.00 - -
- - - - - -
GIC Fuji IX 199,000.00 - 1,990,000.00 1,190,000.00 - -
Semen Biasa 145,000.00 - 1,250,000.00 1,395,000.00 - -
Tusuk Sate 8,600.00 - 86,000.00 94,600.00 - -
Kantung Plastik 360,000.00 - 3,600,000.00 2,582,000.00 - -
Cavit 66,000.00 - 660,000.00 726,000.00 - -
Plastik Klip besar 203,200.00 - 203,200.00 406,400.00 - -
Sendok Obat 126,000.00 - 1,260,000.00 1,386,000.00 - -
Gel Anestesi 135,000.00 - 1,350,000.00 1,485,000.00 - -
Catgut 370,000.00 - 3,700,000.00 3,000,000.00 - -
Cup Sample 1,5 ml 75,000.00 - 750,000.00 825,000.00 - -
Touniquet 225,000.00 - 225,000.00 450,000.00 - -
- - - - - -
Yellow Tips 87,850.35 - 878,500.00 966,350.35 - -
Catgut Plain 163,217.00 - 1,632,179.00 1,795,396.00 - -
- - - - - -
Urine Containe 60 ml 168,800.00 - 1,688,000.00 1,856,800.00 - -
Jayamas Onemed Dermafix S IV 410,400.00 - 410,400.00 820,800.00 - -
Onemed Rivanol 300 cc 150,920.00 - 150,000.00 300,920.00 - -
Onemed Sputum Pot 272,800.00 - 272,800.00 545,600.00 - -
Onemed Dermafix T 10 x 8 cm 210,600.00 - 210,600.00 421,200.00 - -
Onemed Dermafix T 10 x 12 cm 250,360.00 - 252,360.00 502,720.00 - -
Onemed Kasa Hydrofil Steril Uk 16 x 1 160,000.00 - 1,600,000.00 1,760,000.00 - -
Onemed Dermafix T 10 x 20 cm 180,720.00 - 180,720.00 361,440.00 - -
Onemed Safewell Infusion Set 174,520.00 - 1,755,200.00 1,929,720.00 - -
Ac Swab 0,5 % Sachet box/100 50,904.00 - 509,040.00 559,944.00 - -
Onemed Safety box 214,300.00 - 2,143,000.00 1,300,000.00 - -
Onemed Sarung tangan Obgyn Steril ( 77,440.00 - 774,400.00 851,840.00 - -
Onemed Surgical Mask plus 3 ply plus 110,000.00 - 1,100,000.00 1,210,000.00 - -
Onemed Sabun Anti Bakteri 500 ml + d 132,000.00 - 1,320,000.00 1,452,000.00 - -
Onemed Nierbeken disposable 25 cm , 79,200.00 - 792,000.00 871,200.00 - -
Onemed Apron One Plastik 505,120.00 - 505,120.00 1,010,240.00 - -
Onemed Nurse Cap 100,170.00 - 100,170.00 200,340.00 - -
Onemed Softpad ( Underpad) 60 x 90 c 208,120.00 - 2,081,200.00 1,000,000.00 - -
Onemed Kapas 1000 g 136,400.00 - 1,364,000.00 500,000.00 - -
Onemed Plesterin Non Woven Roll 20 396,000.00 - 396,000.00 792,000.00 - -
Onemed Alkohol 70 % 1 L 250,000.00 - 250,000.00 500,000.00 - -
Onemed Kasa Hydrofil Steril Uk 16 x 1 315,000.00 - 315,000.00 630,000.00 - -
Onemed Kasa Supergrade 40 x 80 83,600.00 - 836,000.00 919,600.00 - -
Sabun Antibakteri 5 liter 470,400.00 - 470,400.00 940,800.00 - -
- - - - - -
Selang O2 bayi 110,000.00 - 110,000.00 220,000.00 - -
Selang O2 Dewasa 110,000.00 - 110,000.00 220,000.00 - -
Umbilical Klem 65,000.00 - 65,000.00 130,000.00 - -
Blood Lancet 291,120.00 - 291,120.00 582,240.00 - -
Tabung Centrifuge PP 15 ml 202,440.00 - 202,440.00 404,880.00 - -
- - - - - -
Sendok Obat 100,000.00 - 100,000.00 200,000.00 - -
- - - - - -
Mikrotainer tuber 438,000.00 - 438,000.00 876,000.00 - -
Vacutainer serum blood 74,160.00 - 741,600.00 815,760.00 - -
- - - - - -
Kertas Puyer buram 51,000.00 - 51,000.00 102,000.00 - -
14 Perlengkapan peserta / panitia - - - - - -
15 Perlengkapan pendidikan / pelatihan - - - - - -
16 Peralatan pertanian, perikanan, da - - - - - -
17 Peralatan dapur - - - - - -
18 Bahan pakai habis peralatan olahrag - - - - - -
19 Bahan baku bangunan - - - - - -
20 Bahan / bibit tanaman - - 16,800,000.00 16,800,000.00 - -
Pembelian tanaman dan pembuatan t - - 16,800,000.00 16,800,000.00 - -

21 Obat-obatan 90,732,539.00 - 33,000,000.00 48,253,290.61 - -

Amoxicillyn 125 mg / 60 ml 33,271,000.00 - 3,271,000.00 4,271,000.00 - -
Asam Mefenamat 500 mg 7,500,000.00 - 3,000,000.00 5,253,290.61 - -
Omeprazole 20 mg Kapsul 1,588,000.00 - 358,800.00 1,358,800.00 - -
Dexamethason 0,5 mg 3,944,000.00 - 1,944,000.00 2,944,000.00 - -
Paracetamol tablet 500 mg 10,263,000.00 - 10,263,000.00 17,263,000.00 - -
Captopril 25 mg 227,339.00 - 224,000.00 224,000.00 - -
Multivitamin Syrup 33,939,200.00 - 13,939,200.00 16,939,200.00 - -

22 Bahan Kimia 9,405,590.00 - 151,714,702.00 146,269,393.00 - -

Stik Cholesterol Benecheck - - 15,000,000.00 13,000,000.00 - -
Stik Gula Darah Benecheck - - 640,000.00 640,000.00 - -
- - - - - -
Stik Cholesterol - - 3,300,000.00 3,300,000.00 - -
Stik Gula Darah - - 2,345,000.00 2,345,000.00 - -
Stik Asam Urat - - 2,425,000.00 2,425,000.00 - -
Stik HB - - 5,000,000.00 5,000,000.00 - -
Urine Test - - 714,000.00 714,000.00 - -
Reagen Goldar - - 3,000,000.00 3,000,000.00 - -
Kartu Goldar - - 500,000.00 500,000.00 - -
Reagen Ziel Nelsen - - 2,425,000.00 2,425,000.00 - -
HBSAG - - 4,875,000.00 4,875,000.00 - -
Oil Imersi - - 1,260,000.00 1,260,000.00 - -
Cleanser - - 3,912,000.00 3,912,000.00 - -
Rinse 4,200,000.00 - 4,200,000.00 4,200,000.00 - -
Diluent 3,780,000.00 - 3,980,000.00 3,980,000.00 - -
Lyse 1,425,590.00 - 1,468,000.00 1,468,000.00 - -
Control - - 750,000.00 750,000.00 - -
Probe Cleanser - - 90,000.00 90,000.00 - -
Reagen Widal - - 3,300,000.00 3,300,000.00 - -
Spirtus - - 230,000.00 230,000.00 - -
- - - - - -
Fluitest Chol - - 846,517.00 846,517.00 - -
Fluitest Urea - - 1,693,475.00 1,693,475.00 - -
Fluitest Glu - - 846,517.00 846,517.00 - -
Fluitest Crea - - 781,393.00 781,393.00 - -
- - - - - -
Anti-A Monoclonal Gol Darah Vial 10 m - - 4,340,000.00 4,340,000.00 - -
Anti-D Monoclonal Gol Darah Vial 10 m - - 728,000.00 728,000.00 - -
Anti-AB Monoclonal Gol Darah Vial 10 - - 588,000.00 588,000.00 - -
Anti-B Monoclonal Gol Darah Vial 10 m - - 434,000.00 434,000.00 - -
- - - - - -
Pembelian Bahan Kimia - - - - - -
Trigliseride - - 1,570,000.00 1,570,000.00 - -
HDL PRECIPITAT - - 620,000.00 620,000.00 - -
BILIRUBIN TOTAL - - 1,255,000.00 1,255,000.00 - -
SGPT - - 899,900.00 899,900.00 - -
SGOT - - 899,900.00 899,900.00 - -
CONTROL KIMIA - - 2,800,000.00 2,800,000.00 - -
CALIBRATOR - - 3,100,000.00 3,100,000.00 - -
LED - - 2,700,000.00 2,700,000.00 - -
URINE TEST 3P - - 660,000.00 660,000.00 - -
STIK ASAM URAT - - 2,550,000.00 2,550,000.00 - -
STIK GULA DARAH - - 5,775,000.00 5,775,000.00 - -
 REAGEN WIDAL - - 1,000,000.00 1,000,000.00 - -
CLEANSER - - 8,600,000.00 5,154,691.00 - -
RINSE - - 4,375,000.00 4,375,000.00 - -
DILUENT - - 9,500,000.00 9,500,000.00 - -
LYSE - - 7,000,000.00 7,000,000.00 - -
CONTROL HEMA - - 1,900,000.00 1,900,000.00 - -
PROBE CLEANSER - - 840,000.00 840,000.00 - -
REAGEN TEST E COLI - - 5,775,000.00 5,775,000.00 - -
CHLORINE TEST KIT - - 2,663,000.00 2,663,000.00 - -
IRON BESI TEST KIT - - 1,158,000.00 1,158,000.00 - -
TOTAL HARDNESS TEST KIT - - 1,852,000.00 1,852,000.00 - -
BORAX TEST KIT - - 3,725,000.00 3,725,000.00 - -
RHODAMIN B TEST KIT - - 3,725,000.00 3,725,000.00 - -
METHANYL YELLOW TEST - - 3,550,000.00 3,550,000.00 - -
FORMALDEHYDE TEST KIT - - 3,550,000.00 3,550,000.00 - -

23 Bahan percontohan / peraga / prakti - - - - - -

24 Bahan baku makanan - - - - - -
25 Bahan baku pemeliharaan jalan / lalu - - - - - -
26 Barang yang akan diserahkan ke mas - - - - - -
27 Barang cetakan 109,738,600.00 49,041,400.00 97,369,399.00 180,100,299.00 - -
Resume Medis 1,180,000.00 1,180,000.00 1,180,000.00 2,180,000.00 - -
Format Bukti Pelayanan 481,600.00 - 481,690.00 1,481,690.00 - -
Format SOAP 510,000.00 490,000.00 510,000.00 1,510,000.00 - -
Format SOAP HVS 70 gr cetak 1 180,000.00 840,000.00 180,000.00 1,180,000.00 - -
Format Informed Consent KB 200,000.00 800,000.00 200,000.00 1,200,000.00 - -
Buku Resep 5,950,000.00 - 5,950,000.00 10,950,000.00 - -
Kartu Pasien + Plastik 1,750,000.00 - 1,750,000.00 2,750,000.00 - -
Kartu Stok 569,600.00 430,400.00 569,600.00 1,569,600.00 - -
Kartu stock barang 590,000.00 410,000.00 590,000.00 1,590,000.00 - -
Formulir Persetujuan Tindakan Kedokt 1,920,000.00 - 1,920,000.00 2,920,000.00 - -
Format Permintaan Pemeriksaan Labo 2,960,000.00 - 2,960,000.00 4,960,000.00 - -
Format Hasil Pemeriksaan Laboratori 2,000,000.00 - 2,000,000.00 4,000,000.00 - -
Buku Visum 1,000,000.00 - 1,000,000.00 2,000,000.00 - -
Buku status pasien 590,000.00 410,000.00 590,000.00 1,590,000.00 - -
Lembar Bukti Obat Keluar 200,000.00 800,000.00 200,000.00 1,200,000.00 - -
Buku Tanda Terima 600,000.00 400,000.00 600,000.00 1,600,000.00 - -
Etiket Obat Luar 1,400,000.00 - 400,000.00 1,400,000.00 - -
Buku SIP Format 1 1,400,000.00 - 400,000.00 1,400,000.00 - -
Buku SIP Format 2 1,400,000.00 - 400,000.00 1,400,000.00 - -
Buku SIP Format 3 1,400,000.00 - 400,000.00 1,400,000.00 - -
Buku SIP Format 4 1,400,000.00 - 400,000.00 1,400,000.00 - -
Buku SIP Format 5 1,800,000.00 - 800,000.00 1,800,000.00 - -
Lembar Persetujuan Tindakan KB 650,000.00 350,000.00 650,000.00 1,650,000.00 - -
Buku Register Gigi 580,000.00 420,000.00 580,000.00 1,580,000.00 - -
Balok SKDN 1,750,000.00 250,000.00 1,750,000.00 3,750,000.00 - -
Map Puskesmas 1,000,000.00 - 1,000,000.00 2,000,000.00 - -
Map Rekam Medis 1,300,000.00 - 300,000.00 1,300,000.00 - -
Kertas Kop Puskesmas 1,300,000.00 - 300,000.00 1,300,000.00 - -
Buku Register Persalinan 1,300,000.00 - 300,000.00 400,000.00 - -
Etiket Obat Sirup 410,000.00 - 410,000.00 410,000.00 - -
Format Bayi Baru Lahir 590,000.00 - 590,000.00 590,000.00 - -
Format Ibu Nifas 540,000.00 - 540,000.00 400,000.00 - -
Format SBBK 1,480,000.00 - 480,000.00 480,000.00 - -
Isi buku visum 1,480,000.00 - 480,000.00 480,000.00 - -
Format hasil pemeriksaan Lab - - - - - -
Format lab 570,000.00 - 570,000.00 340,900.00 - -
Format SBBK 2 ply tembus - - - - - -
Etiket obat luar - - - - - -
Etiker obat sirup 1,180,000.00 - 180,000.00 180,000.00 - -
Isi Resume Medis 448,000.00 - 448,000.00 448,000.00 - -
Form HIV 448,000.00 - 448,000.00 448,000.00 - -
Form IMS 224,000.00 - 224,000.00 224,000.00 - -
Banner dilarang merokok 150,000.00 - 150,000.00 150,000.00 - -
Form informed consent 800,000.00 - 800,000.00 800,000.00 - -
Surat keterangan sakit 700,000.00 - 700,000.00 700,000.00 - -
Form kartu ibu 800,000.00 - 800,000.00 800,000.00 - -
Form kartu balita 900,000.00 - 900,000.00 900,000.00 - -
Form mtbm kurang dari 2 bulan 700,000.00 - 700,000.00 700,000.00 - -
Form mtbs kurang lebih dari 5 tahun 600,000.00 - 300,000.00 300,000.00 - -
Form kartu bayi 300,000.00 - 300,000.00 300,000.00 - -
Form surat keterangan sehat 400,000.00 - 400,000.00 400,000.00 - -
Buku kohort ibu 734,000.00 - 665,000.00 665,000.00 - -
Buku Kohort KB 760,000.00 - 760,000.00 760,000.00 - -
Buku Kohort bayi 570,300.00 - 570,000.00 570,000.00 - -
Form bukti pelayanan bpjs 600,000.00 - 600,000.00 600,000.00 - -
Kop surat puskesmas 750,000.00 - 750,000.00 750,000.00 - -
Buku kia ping dinkes - - - - - -
Form rujukan maternal 19,500.00 - 19,500.00 19,500.00 - -
Form rujukan neonatal 19,500.00 - 19,500.00 19,500.00 - -
Form partograf - - - - - -
Folder status - - - - - -
Form kontak survey 120,000.00 - 120,000.00 120,000.00 - -
Form surat rujukan 960,000.00 - 960,000.00 960,000.00 - -
Form register ISPA 435,000.00 - 435,000.00 435,000.00 - -
Form rujukan jamkesda 300,000.00 - 300,000.00 300,000.00 - -
Form Rujukan 39,000.00 - 39,000.00 39,000.00 - -
Form lembar verifkasi 374,000.00 - 374,000.00 374,000.00 - -
Form ante natal care 632,500.00 - 632,500.00 632,500.00 - -
Kartu status pasien 450,000.00 - 450,000.00 450,000.00 - -
Form permintaan barang 480,000.00 - 480,000.00 480,000.00 - -
Form pengeluaran barang 480,000.00 - 480,000.00 480,000.00 - -
Map dinas puskesmas 1,300,000.00 - 1,300,000.00 2,300,000.00 - -
Kartu identitas pasien TB Paru 800,000.00 - 800,000.00 800,000.00 - -
Kartu pengobatan pasien TB Paru 900,000.00 - 900,000.00 900,000.00 - -
Register TB Paru 360,000.00 - 360,000.00 360,000.00 - -
 Buku daftar tersangka TB Paru 196,000.00 - 196,000.00 196,000.00 - -
Register TB Paru UPK 360,000.00 - 360,000.00 360,000.00 - -
Formulir permohonan LabTB Paru 98,000.00 - 98,000.00 98,000.00 - -
Register pasien kusta 240,000.00 - 240,000.00 240,000.00 - -
Buku register Lab 196,000.00 - 196,000.00 196,000.00 - -
Form Rujukan Internal 330,000.00 - 330,000.00 330,000.00 - -
Form Rujukan Eksternal 330,000.00 - 330,000.00 330,000.00 - -
Form Penolakan Tindakan Medis 220,000.00 - 220,000.00 220,000.00 - -
Form Pemantauan Pasien Saat Rujuk 220,000.00 - 220,000.00 220,000.00 - -
Banner 1,000,000.00 1,000,000.00 1,000,000.00 2,000,000.00 - -
Form isi rekam medis 2,185,600.00 2,183,000.00 2,185,609.00 4,185,609.00 - -
Folder status 7,000,000.00 3,000,000.00 7,000,000.00 17,000,000.00 - -
120,000.00 120,000.00 120,000.00 - -
Format SOAP HVS 70 gr Cetak 1 6,512,500.00 6,512,500.00 6,512,500.00 12,512,500.00 - -
Cetak Map PIS-PK 9,210,000.00 9,210,000.00 9,210,000.00 18,210,000.00 - -
Cetak Stiker PIS-PK 5,065,500.00 5,065,500.00 5,065,500.00 10,065,500.00 - -
Cetak Formulir Kuisioner PIS-PK KK 7,355,000.00 7,355,000.00 7,355,000.00 14,355,000.00 - -
Cetak Formulir Kuisioner PIS-PK JIWA 7,355,000.00 7,355,000.00 7,355,000.00 14,355,000.00 - -
Kohort nifas 580,000.00 580,000.00 580,000.00 580,000.00 - -
Penggandaan - - - - - -
Spanduk - - - - - -

28 Persediaan Lainnya 50,900,437.50 -

MT-BALITA - - 34,061,775.00 - - -
MT-IBU HAMIL KEK - - 16,838,662.50 - - -

29 Persediaan Pakaian Kerja 55,125,000.00 26,800,000.00 81,925,000.00

Pakaian Dinas Harian (PDH) 42,125,000.00 42,125,000.00
Pakaian KORPRI 13,000,000.00 13,000,000.00
Pakaian Kerja Lapangan 4,400,000.00 4,400,000.00
Pakaian Batik Tradisional 22,400,000.00 22,400,000.00
 JUMLAH 280,363,066.35 104,913,400.00 622,787,767.00 593,047,905.24 - -

Ket:
*) Diisi untuk seluruh Persediaan yang diadakan/dibeli/diterima (hibah) selama 2019, baik untuk stok maupun dari kegiatan yang langsung dipakai habis
Khusus untuk sekolah dan BLUD, persediaan yang diadakan dari Dana BOSNas dan Penerimaan BLUD, dimasukkan pada kolom Hibah.
**) Termasuk pengadaan Barang Modal (Aset Tetap) yang diperuntukkan untuk diberikan ke masyarakat atau pihak lainnya diluar entitas Pemkab Tangerang, lengkapi dengan Berita Acara Serah
***) Lengkapi dengan Surat Pernyataan dari Pimpinan Satker untuk barang kadaluarsa/rusak tersebut disertai alasannya
 dalam Rupiah

SALDO AKHIR 2019

9=3+4+5-6-7-8 ###
132,476,985.00
1,060,520.00
692,000.00
210,000.00
237,500.00
196,000.00
259,200.00
996,000.00
1,275,600.00
359,538.00
248,160.00
197,400.00
343,200.00
2,200,000.00
692,000.00
571,200.00
936,200.00
 831,480.00
1,489,600.00
84,000.00
419,175.00
1,205,375.00
700,400.00
726,220.00
1,007,000.00
756,640.00
668,400.00
580,000.00
744,000.00
636,500.00
330,600.00
-
2,302,946.00
1,096,290.00
159,000.00
579,000.00
121,200.00
377,700.00
486,700.00
350,000.00
713,400.00
256,700.00
257,750.00
400,350.00
-
560,000.00
-
262,100.00
67,000.00
 478,800.00
1,334,000.00
313,000.00
1,059,100.00
575,200.00
1,529,600.00
839,500.00
101,000.00
1,431,500.00
1,500,000.00
2,320,070.00
2,784,880.00
901,890.00
630,300.00
489,000.00
515,440.88
60,000.00
296,438.00
-
666,900.00
224,000.00
712,000.00
670,800.00
1,350,000.00
250,000.00
600,000.00
984,080.00
881,893.00
500,400.00
554,182.00
389,500.00
910,600.00
 301,000.00
276,850.00
212,100.00
277,005.00
240,400.00
1,127,500.00
1,127,500.00
1,527,500.00
660,360.00
1,492,880.00
368,354.00
355,895.00
485,985.00
333,120.00
462,764.00
342,873.00
342,873.00
342,873.00
348,982.00
1,263,500.00
368,030.00
248,064.00
729,600.00
-
-
-
-
208,620.00
-
-
-
245,100.00
 -
-
-
-
-
-
51,250.00
589,760.00
-
401,280.00
40,000.00
190,000.00
407,623.00
28,000.00
-
433,200.00
615,600.00
-
-
2,967,200.00
28,976,765.00
20,000,000.00
-
420,180.00
120,000.00
150,000.00
97,496.00
8,800,785.12
-
20,063,600.00
2,408,000.00 1,200,000.00 136,000.00 1,336,000
2,633,000.00 1,330,000.00 176,000.00 1,506,000
 2,170,000.00 1,590,000.00 130,000.00 1,720,000
2,741,000.00 2,170,000.00 467,000.00 2,637,000
2,076,700.00 1,900,000.00 25,600.00 1,925,600
1,841,800.00 1,340,400.00 387,000.00 1,727,400
1,337,500.00 1,050,500.00 145,500.00 1,196,000
987,000.00 564,600.00 422,400.00 987,000
2,143,800.00 1,724,600.00 419,200.00 2,143,800
1,724,800.00 1,724,800.00 - 1,724,800
-
90,000.00
22,000.00
68,000.00
-
87,204,710.00
1,828,000.00 394,000.00 230,000.00 974,000
693,000.00 105,000.00 588,000.00 693,000
382,800.00 63,800.00 63,800.00 191,400
742,000.00 429,000.00 313,000.00 742,000
996,000.00 118,800.00 759,000.00 996,000
573,800.00 394,900.00 178,900.00 573,800
1,507,800.00 789,800.00 718,000.00 1,507,800
223,000.00 175,000.00 48,000.00 223,000
824,400.00 196,080.00 144,080.00 340,160
1,007,680.00 896,000.00 111,680.00 1,007,680
984,090.00 100,000.00 884,090.00 984,090
762,720.00 160,240.00 602,480.00 762,720
1,050,700.00 267,080.00 172,180.00 439,260
920,440.00 267,080.00 128,760.00 395,840
1,143,100.00 687,050.00 456,050.00 1,143,100
1,600,000.00 995,000.00 605,000.00 1,600,000
625,000.00 290,000.00 15,000.00 305,000
1,286,000.00 217,000.00 284,000.00 501,000
 900,000.00 900,000.00 - 900,000
172,800.00 172,800.00 - 172,800
314,000.00 181,000.00 133,000.00 314,000
1,000,000.00 125,000.00 875,000.00 1,000,000
1,600,120.00 462,100.00 237,640.00 699,740
984,300.00 168,300.00 816,000.00 984,300
1,198,500.00 280,500.00 918,000.00 1,198,500
1,326,000.00 561,000.00 765,000.00 1,326,000
355,000.00 125,000.00 230,000.00 355,000
616,000.00 143,000.00 330,000.00 616,000
566,400.00 205,200.00 52,000.00 257,200
1,849,200.00 406,200.00 345,600.00 751,800
805,500.00 180,000.00 148,500.00 328,500
1,650,000.00 825,000.00 825,000.00 1,650,000
377,500.00 230,000.00 147,500.00 377,500
1,158,400.00 1,110,400.00 48,000.00 1,158,400
944,040.00 191,700.00 187,200.00 378,900
657,000.00 292,000.00 91,000.00 383,000
330,120.00 5,320.00 324,800.00 330,120
900,000.00 360,000.00 540,000.00 900,000
404,000.00 234,000.00 170,000.00 404,000
768,000.00 336,000.00 32,000.00 368,000
1,000,000.00 500,000.00 - 500,000
625,000.00 260,000.00 35,000.00 295,000
640,000.00 390,000.00 250,000.00 640,000
1,230,000.00 890,000.00 340,000.00 1,230,000
660,000.00 480,000.00 180,000.00 660,000
990,000.00 975,000.00 15,000.00 990,000
1,538,400.00 943,200.00 595,200.00 1,538,400
1,593,540.00 1,243,200.00 350,340.00 1,593,540
730,000.00 730,000.00 - 730,000
700,000.00 600,000.00 100,000.00 700,000
 600,000.00 600,000.00 - 600,000
210,000.00 150,000.00 60,000.00 210,000
- - - -
360,000.00 360,000.00 - 360,000
9,202,000.00 8,607,200.00 594,800.00 9,202,000
- - - -
120,000.00 60,000.00 60,000.00 120,000
- - - -
240,000.00 120,000.00 120,000.00 240,000
1,243,000.00 1,130,000.00 113,000.00 1,243,000
1,836,000.00 1,800,000.00 36,000.00 1,836,000
- - - -
2,640,000.00 2,400,000.00 240,000.00 2,640,000
4,160,000.00 2,400,000.00 1,760,000.00 4,160,000
- - - -
- - - -
3,530,148.00 1,765,074.00 1,765,074.00 3,530,148
8,986,212.00 4,493,106.00 4,493,106.00 8,986,212
- - - -
2,025,000.00 1,012,500.00 1,012,500.00 2,025,000
- - - -
728,000.00 364,000.00 364,000.00 728,000
- - - -
3,600,000.00 3,300,000.00 300,000.00 3,600,000
600,000.00 300,000.00 - 300,000
770,000.00 310,000.00 50,000.00 360,000
620,000.00 310,000.00 - 310,000
-
-
-
-
-
 -
-
-
-
-
-
-

-
-
-
8,801,785.72
1,007,765.72
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
-
-
-
-
-
1,000,000.00
-
999,000.00
-
-
1,378,000.00
-
-
-
-
1,070,000.00
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
1,057,300.00
-
-
-
-
-
-
1,289,320.00
1,000,400.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
-
-
-

75,479,248.39
32,271,000.00
5,246,709.39
588,000.00
2,944,000.00
3,263,000.00
227,339.00
30,939,200.00

14,850,899.00
2,000,000.00
-
-
-
-
-
-
-
-
-
-
-
 -
-
4,200,000.00
3,780,000.00
1,425,590.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
3,445,309.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
76,049,100.00
1,360,000.00
- 518,400.00
-
20,000.00
-
950,000.00
750,000.00
-
-
920,000.00
960,000.00
 -
-
-
-
-
400,000.00
400,000.00
400,000.00
400,000.00
400,000.00
800,000.00
-
-
-
-
300,000.00
300,000.00
1,200,000.00
410,000.00
590,000.00
680,000.00
1,480,000.00
1,480,000.00
-
799,100.00
-
-
1,180,000.00
448,000.00
448,000.00
224,000.00
150,000.00
800,000.00
700,000.00
800,000.00
900,000.00
700,000.00
600,000.00
300,000.00
400,000.00
734,000.00
760,000.00
570,300.00
600,000.00
750,000.00
-
19,500.00
19,500.00
-
-
120,000.00
960,000.00
435,000.00
300,000.00
39,000.00
374,000.00
632,500.00
450,000.00
480,000.00
480,000.00
300,000.00
800,000.00
900,000.00
360,000.00
 196,000.00
360,000.00
98,000.00
240,000.00
196,000.00
330,000.00
330,000.00
220,000.00
220,000.00
1,000,000.00
2,368,600.00
-
120,000.00
7,025,000.00
9,420,000.00
5,131,000.00
7,710,000.00
7,710,000.00
1,160,000.00
-

50,900,437.50
34,061,775.00
16,838,662.50

-
-
 465,916,765.61

ang, lengkapi dengan Berita Acara Serah Terima

1 Alat Tulis Kantor 44,057,605.00 93,168,626.00
44,057,605.00 93,168,626.00
Balpoint 344,000.00 744,000.00
Pensil 2B 260,000.00 460,000.00
Clear Holder 150,000.00 150,000.00
Spidol warna warni 150,000.00 150,000.00
Clear Holder isi 20 112,000.00 112,000.00
Clear Holder isi 40 178,000.00 178,000.00
Clear Holder isi 60 320,000.00 720,000.00
Clear Sleeves 444,000.00 844,000.00
Stabilo 229,000.00 229,000.00
Tipe X Cair 130,500.00 130,500.00
Spidol Permanen 136,800.00 136,800.00
Binder Clip No. 105 180,000.00 180,000.00
Buku Double Folio 300 lembar 700,000.00 1,500,000.00
Buku 1/2 Folio 360,000.00 360,000.00
Buku Ekspedisi 221,200.00 421,200.00
Buku Kwitansi kecil 348,000.00 648,000.00
Buku Folio 294,000.00 594,000.00
Buku Folio 200 lembar 494,800.00 994,800.00
Tinta stempel otomatis 60,000.00 60,000.00
Binder klip No. 200 215,250.00 215,250.00
Penghapus pensil 440,625.00 840,625.00
Tipe X model roll Merek Joyko 365,000.00 365,000.00
Order bindek 279,400.00 479,400.00
Map amplop cokelat 330,000.00 730,000.00
Map plastik tali 237,600.00 537,600.00
Map kancing 255,000.00 455,000.00
Map Snell Bufallo 305,000.00 305,000.00
Map Bufallo 249,000.00 549,000.00
Map clips file 335,000.00 335,000.00
Map kertas bufallo bio 174,000.00 174,000.00
Map business file - -
Punch Pocket PP Pocket Polio 800,000.00 1,517,000.00
Bok file 371,100.00 771,100.00
Spring file 101,000.00 101,000.00
Penggaris besi 30 cm 219,000.00 419,000.00
Penggaris plastik 30 cm 104,700.00 104,700.00
Penggaris plastik 100 cm 195,000.00 195,000.00
Punch (Pembolong) No. 40 250,000.00 250,000.00
Punch (Pembolong) No. 85 200,000.00 200,000.00
Pisau cutter 366,000.00 366,000.00
Lakban 151,000.00 151,000.00
Lem Stick 170,800.00 170,800.00
Staples besar 210,000.00 210,000.00
Staples kecil - -
Isi staples besar 200,000.00 400,000.00
Isi staples kecil - -
Isolasi 144,500.00 144,500.00
Stamp Pad (Bak Stempel) 40,000.00 40,000.00
Post It 252,000.00 252,000.00
Post It kecil 12 mm x 45 mm 700,000.00 700,000.00
Post It besar 76 mm x 76 mm 167,000.00 167,000.00
Gunting 394,000.00 694,000.00
Spidol Whiteboard 200,000.00 400,000.00
Trigonal Klip 784,000.00 784,000.00
Map Plastik kantong 429,000.00 429,000.00
Tinta Stempel Manual 65,000.00 65,000.00
Double Tape 750,000.00 750,000.00
Rak Surat 750,000.00 750,000.00
Kertas F4 warna warni 800,000.00 1,535,000.00
Kertas F4 80gr 900,000.00 1,975,000.00
Kertas A4 80gr 308,100.00 608,100.00
Amplop panjang 235,500.00 435,500.00
Amplop kecil 250,000.00 250,000.00
Amplop besar 264,705.00 264,705.88
Stick Notes 12,5 x 7,5 mm 60,000.00 60,000.00
Penghapus papan tulis 156,020.00 156,020.00
Papan Tulis - -
Catridge Black HP 678 342,000.00 342,000.00
Catridge Black HP 46 112,000.00 112,000.00
Tinta Printer Epson Magenta T664 384,000.00 384,000.00
Tinta Printer Epson Yellow T664 260,800.00 460,800.00
Catridge HP 680 Colour 475,000.00 875,000.00
Catridge Black HP 680 Hitam 125,000.00 125,000.00
Catridge Black HP 745 Hitam 300,000.00 300,000.00
Catridge Black HP 745 warna 508,200.00 508,200.00
HP Toner Black CP 1025 CE 310A 305,038.00 605,038.00
HP Toner Cyan CP 1025 CE 310A 274,200.00 274,200.00
HP Toner Magenta CP 1025 CE 310A 284,782.00 284,782.00
HP Toner Yelow CP 1025 CE 310A 205,000.00 205,000.00
Tinta Epson Ink Black 664 (CT13T664199) 318,600.00 618,600.00
Tinta Epson Ink Cyan 664 (CT13T664199) 178,000.00 178,000.00
Tinta Epson Ink Magenta 664 (CT13T664199) 178,450.00 178,450.00
Tinta Epson Ink Yellow 664 (CT13T664199) 130,100.00 130,100.00
HP Toner Yellow CP 1025 182,800.00 182,800.00
HP Toner Magenta CP 130A 149,000.00 149,000.00
Tinta Epson Ink Bottle 003 Dye Black 382,500.00 782,500.00
Tinta Epson Ink Bottle 003 Dye Magenta 382,500.00 782,500.00
Tinta Epson Ink Bottle 003 Dye Yellow 782,500.00 782,500.00
Tinta Epson Ink Bottle 003 Dye Cyan 248,900.00 448,900.00
Tinta HP Toner Catridge 79 A Black 595,080.00 995,080.00
Tinta HP Toner Catridge 130 A Cyan 203,405.00 203,405.00
Tinta HP Toner Catridge 130 A Magenta 204,962.00 204,962.00
Tinta HP Toner Catridge 130 A Yellow 286,425.00 286,425.00
Tinta HP Toner Catridge 130 A Black 193,560.00 193,560.00
Tinta Black Toner HP 126A CE310A 242,400.00 242,400.00
Tinta Cyan Toner HP 126A CE311A 179,600.00 179,600.00
Tinta Yellow Toner HP 126A CE312A 179,600.00 179,600.00
Tinta Magenta Toner HP 126A CE313A 179,600.00 179,600.00
Tinta Magenta Original Laser HP Jet Toner 182,800.00 182,800.00
Catridge color hp 678 665,000.00 665,000.00
Catridge color hp 46 193,700.00 193,700.00
Epson Ink Cartridge T6641 130,560.00 130,560.00
Epson Ink Cartridge Cyan T6642 384,000.00 384,000.00
Epson Ink Cartridge Magenta T6643 - -
Epson Ink Cartridge Yellow T6644 - -
Catridge cannon 745 - -
Catridge cannon 746 - -
Hp 680 black ink cartidge (f6v27aa) 109,800.00 109,800.00
Cannon colour ink cartidge cl 811 (cl 811) - -
Cannon black ink cartidge xl pg-810 (pg810xl) - -
Hp toner black 79a ( cf279a ) - -
Whiteboard 90 x 180 muka kaki 129,000.00 129,000.00
Kertas label A4 - -
Tinta epson hitam - -
Tinta epson Magenta - -
Tinta epson Yellow - -
Tinta epson Cyan - -
Stick notes - -
Paper clip 51,250.00 51,250.00
Binder no.260 310,400.00 310,400.00
Toner HP Laserjet 126 A yellow ce312 a - -
Paper clip N0.155 211,200.00 211,200.00
Penghapus board kecil 40,000.00 40,000.00
Serutan Pensil 100,000.00 100,000.00
Gunting 240,000.00 240,000.00
Buku tulis 38 lembar 28,000.00 28,000.00
Map pocket - -
Staples Kecil 228,000.00 228,000.00
Remver Staples 324,000.00 324,000.00
Map pocket - -
Paper clip - -
Logitech wireless mouse 1,483,600.00 1,483,600.00
Plastik klip obat 8x13 5,446,765.00 23,530,000.00
Plastik klip 7x10 5,000,000.00 15,000,000.00
Kantong plastik obat - -
Flashdisk 420,180.00 420,180.00
Binder clip No.105 120,000.00 120,000.00
Kertas plip chart 150,000.00 150,000.00
Masker Earlop 3 Ply 48,748.00 48,748.00
BMHP 8,800,785.12
4,749,246.00 132,476,985.00
4,749,246.00 132,476,985.00
27,480.00 1,060,520.00
28,000.00 692,000.00
90,000.00 210,000.00
62,500.00 237,500.00
28,000.00 196,000.00
96,800.00 259,200.00
44,000.00 996,000.00
12,400.00 1,275,600.00
98,462.00 359,538.00
12,840.00 248,160.00
76,200.00 197,400.00
16,800.00 343,200.00
- 2,200,000.00
28,000.00 692,000.00
71,200.00 571,200.00
59,800.00 936,200.00
56,520.00 831,480.00
- 1,489,600.00
36,000.00 84,000.00
11,325.00 419,175.00
75,875.00 1,205,375.00
29,600.00 700,400.00
32,580.00 726,220.00
53,000.00 1,007,000.00
18,560.00 756,640.00
41,600.00 668,400.00
30,000.00 580,000.00
54,000.00 744,000.00
33,500.00 636,500.00
17,400.00 330,600.00
- -
14,054.00 2,302,946.00
45,910.00 1,096,290.00
43,000.00 159,000.00
59,000.00 579,000.00
88,200.00 121,200.00
12,300.00 377,700.00
13,300.00 486,700.00
50,000.00 350,000.00
18,600.00 713,400.00
45,300.00 256,700.00
83,850.00 257,750.00
19,650.00 400,350.00
 - -
40,000.00 560,000.00
- -
26,900.00 262,100.00
13,000.00 67,000.00
25,200.00 478,800.00
66,000.00 1,334,000.00
21,000.00 313,000.00
28,900.00 1,059,100.00
24,800.00 575,200.00
38,400.00 1,529,600.00
18,500.00 839,500.00
29,000.00 101,000.00
68,500.00 1,431,500.00
- 1,500,000.00
14,930.00 2,320,070.00
90,120.00 2,784,880.00
14,310.00 901,890.00
40,700.00 630,300.00
11,000.00 489,000.00
13,970.00 515,440.88
60,000.00 60,000.00
15,602.00 296,438.00
- -
17,100.00 666,900.00
- 224,000.00
56,000.00 712,000.00
50,800.00 670,800.00
- 1,350,000.00
- 250,000.00
- 600,000.00
32,320.00 984,080.00
28,183.00 881,893.00
48,000.00 500,400.00
15,382.00 554,182.00
20,500.00 389,500.00
26,600.00 910,600.00
55,000.00 301,000.00
80,050.00 276,850.00
48,100.00 212,100.00
88,595.00 277,005.00
57,600.00 240,400.00
37,500.00 1,127,500.00
37,500.00 1,127,500.00
37,500.00 1,527,500.00
37,440.00 660,360.00
97,280.00 1,492,880.00
38,456.00 368,354.00
54,029.00 355,895.00
86,865.00 485,985.00
54,000.00 333,120.00
22,036.00 462,764.00
16,327.00 342,873.00
16,327.00 342,873.00
16,327.00 342,873.00
16,618.00 348,982.00
66,500.00 1,263,500.00
19,370.00 368,030.00
13,056.00 248,064.00
38,400.00 729,600.00
- -
- -
- -
- -
10,980.00 208,620.00
- -
- -
- -
12,900.00 245,100.00 -
- -
- -
- -
- -
- -
- -
51,250.00 51,250.00
31,040.00 589,760.00
- -
21,120.00 401,280.00
40,000.00 40,000.00
10,000.00 190,000.00
72,377.00 407,623.00
28,000.00 28,000.00
- -
22,800.00 433,200.00
32,400.00 615,600.00
- -
- -
2,967,200.00
28,976,765.00
 20,000,000.00
- -
420,180.00 420,180.00
120,000.00 120,000.00
150,000.00 150,000.00
- 97,496.00
- 8,800,785.12
- -
2 Alat Listrik dan Elektronik 3,160,000.00 19,212,300.00 2,308,700.00
3,160,000.00 - 19,212,300.00 2,308,700.00 - -
Lampu LED Philips 13,4 W 1,072,000.00 1,472,000.00 136,000.00
Lampu LED Philips 14,4 W 1,127,000.00 1,682,000.00 176,000.00
Lampu Emergency 450,000.00 1,850,000.00 130,000.00
Batu Baterai Alkaline A2 104,000.00 3,104,000.00 467,000.00
Batu Baterai Alkaline AAA 151,100.00 1,951,200.00 25,600.00
Batu Baterai Alkaline ABC ( 9 V) 114,400.00 2,114,400.00 387,000.00
Batu Baterai (B) Hijau 141,500.00 1,341,500.00 145,500.00
Kabel Roll 1.00 MM x 10 M ( Krisbow) 1,409,400.00 422,400.00
Kabel Roll 1.00 MM x 15 M ( Krisbow) 2,563,000.00 419,200.00
Stabilizer 1,724,800.00 -
20,063,600.00
20,063,600.00
2,408,000.00
2,633,000.00
2,170,000.00
2,741,000.00
2,076,700.00
1,841,800.00
1,337,500.00
987,000.00
2,143,800.00
1,724,800.00
3 Perangko dan Benda Pos Lain 72,000.00 2,250,000.00 2,232,000.00
- 72,000.00 2,250,000.00 2,232,000.00 -
Materai 3000 222,000.00 200,000.00
Materai 6000 72,000.00 2,028,000.00 2,032,000.00
 90,000.00
- 90,000.00
22,000.00
68,000.00
4 Peralatan kebersihan dan bahan pembersih 9,643,800.00 675,000.00 103,238,190.00
9,643,800.00 675,000.00 103,238,190.00
Sapu Ijuk 854,000.00 350,000.00 854,000.00
Sapu Ijuk 3M 1,281,000.00
Sapu lidi 191,400.00 63,800.00 191,400.00
Sabut Spons 1,055,000.00
Isi ulang kain pel 118,200.00 1,636,800.00
Alat Pendorong Air 752,700.00
Tempat Sampah Injak 2,225,800.00
Keset 271,000.00
Kain pel 484,240.00 484,240.00
Mop Pel Daun 1,119,360.00
Pengki serok sampah bahan karet 1,868,180.00
Sendok obat dissposible 1,365,200.00
Kantung sampah Medis 90x120 (kuning) 611,440.00 611,440.00
Kantung sampah Medis 60x100 (kuning) 524,600.00 524,600.00
Sarung tangan latex KRISBOW 1,599,150.00
Kemoceng 2,205,000.00
Pembersih Kaca 320,000.00 320,000.00
Cairan Pembersih Lantai (Wipol) 785,000.00 785,000.00
Cairan Pembersih Kaca (Cling) 900,000.00
Gagang pel 172,800.00
Sarung tangan rumah tangga 447,000.00
Lap Microfil Pajero (Kanebo) 1,875,000.00
Kantong plastik putih obat 900,380.00 937,380.00
Sarung tangan pelindung Texgrip size XS 1,800,300.00
Sarung tangan pelindung Texgrip size S 2,116,500.00
Sarung tangan pelindung Texgrip size M 2,091,000.00
Sarung tangan pelindung Texgrip size L 585,000.00
Pembersih lantai SoKlin 143,000.00 803,000.00
Pembersih lantai keramik (Vixal) 309,200.00 309,200.00
Refill Handshop (YURI) 1,097,400.00 1,097,400.00
Cairan pembunuh serangga (Vape) 477,000.00 477,000.00
Baygon 2,475,000.00
Kemoceng lokal 525,000.00
Tissue handuk (Krisbow) 1,206,400.00
Cairan pencuci alat dapur (Sunlight) 565,140.00 566,100.00
Carbol Pewangi (Wipol) 274,000.00 474,000.00
Waslap 654,920.00
Refill pengharum ruangan 1,440,000.00
Selang air 574,000.00
Kamper kamar mandi (Swallow Colour Ball) 400,000.00 400,000.00
Sapu pembersih sarang laba-laba (lokal) 500,000.00 500,000.00
Sapu lidi (lokal) 330,000.00 330,000.00
Plastik sampah besar 120x90 cm 890,000.00
Plastik sampah besar 100x80 cm 1,570,000.00
Pembersih lantai Soklin 700 ml 840,000.00
Pembersih lantai Soklin 1600 ml 1,005,000.00
Kantong sampah Loco merah (40) 2,133,600.00
Kantong sampah hitam 60x80 cm 1,943,880.00
Kantong sampah hitam 100x120 cm 730,000.00
Kantong sampah hitam 80x100 cm 800,000.00
Tissue toilet 600,000.00
YURI Prostek pembersih kloset 270,000.00
YURI Prostek pembersih keramik - -
Baskom 360,000.00
Kantong sampah medis 9,796,800.00
Sikat lantai - -
Handuk lap tangan 180,000.00
Sikat toilet - -
Keset type handuk 360,000.00
Sepatu Boot 1,356,000.00
Pengharum mobil Stella 1,872,000.00
Yuri Isi Ulang 375 ml - -
Cairan Pencuci Alat Dapur 2,880,000.00
Dispenser Tisue 5,920,000.00
Wipol Karbol Wangi Isi Ulang - -
Tisue - -
Handuk kecil lap 5,295,222.00
Kertas puyer mediciane packet si 20 s 13,479,318.00
Micropore ( 1,25 cm x 9,1 m ) - -
Plastik klips 15,5x10 cm 3,037,500.00
Lap. Serbet - -
Lap. Gantung handuk 1,092,000.00
Alat pengharum ruangan elektrik - -
Under Pad 3,900,000.00
Gelas bening 300,000.00 300,000.00
Piring keramik 410,000.00 410,000.00
Mangkok keramik 310,000.00 310,000.00
26,352,280.00 87,204,710.00
26,352,280.00 - - 87,204,710.00
230,000.00 1,828,000.00
588,000.00 693,000.00
63,800.00 382,800.00
313,000.00 742,000.00
759,000.00 996,000.00
178,900.00 573,800.00
718,000.00 1,507,800.00
48,000.00 223,000.00
144,080.00 824,400.00
111,680.00 1,007,680.00
884,090.00 984,090.00
602,480.00 762,720.00
172,180.00 1,050,700.00
128,760.00 920,440.00
456,050.00 1,143,100.00
605,000.00 1,600,000.00
15,000.00 625,000.00
284,000.00 1,286,000.00
- 900,000.00
- 172,800.00
133,000.00 314,000.00
875,000.00 1,000,000.00
237,640.00 1,600,120.00
816,000.00 984,300.00
918,000.00 1,198,500.00
765,000.00 1,326,000.00
230,000.00 355,000.00
330,000.00 616,000.00
52,000.00 566,400.00
345,600.00 1,849,200.00
148,500.00 805,500.00
825,000.00 1,650,000.00
147,500.00 377,500.00
48,000.00 1,158,400.00
187,200.00 944,040.00
91,000.00 657,000.00
324,800.00 330,120.00
540,000.00 900,000.00
170,000.00 404,000.00
32,000.00 768,000.00
- 1,000,000.00
35,000.00 625,000.00
250,000.00 640,000.00
 340,000.00 1,230,000.00
180,000.00 660,000.00
15,000.00 990,000.00
595,200.00 1,538,400.00
350,340.00 1,593,540.00
- 730,000.00
100,000.00 700,000.00
- 600,000.00
60,000.00 210,000.00
- -
- 360,000.00
594,800.00 9,202,000.00
- -
60,000.00 120,000.00
- -
120,000.00 240,000.00
113,000.00 1,243,000.00
36,000.00 1,836,000.00
- -
240,000.00 2,640,000.00
1,760,000.00 4,160,000.00
- -
- -
1,765,074.00 3,530,148.00
4,493,106.00 8,986,212.00
- -
1,012,500.00 2,025,000.00
- -
364,000.00 728,000.00
- -
300,000.00 3,600,000.00
- 600,000.00
50,000.00 770,000.00
- 620,000.00
-
6 Suku cadang peralatan komputer/printer/jaringan 16,672,800.00
16,672,800.00
USB/ Flashdisk
VGen 8 GB DDR 3 7,101,800.00
VGen 8 GB DDR 4 7,285,000.00
Mouse -
Mouse Optical Wireless W 55 Thosiba Blue 1,143,000.00
Keyboard 1,143,000.00
16,672,800.00 -
16,672,800.00
-
7,101,800.00 -
7,285,000.00 -
- -
1,143,000.00 -
1,143,000.00 -
13 Bahan pakai habis kesehatan / kedokteran / lab 13,624,932.35 62,561,750.00
13,624,932.35 62,561,750.00
Masker Hijab 572,456.00 5,724,560.00
- -
Jarum Synthetic 449,625.00 449,625.00
- -
Chloro tulle 610,000.00 6,100,000.00
- -
Popok Dewasa XL 900,000.00 900,000.00
- -
Micropore 1/2 inch 833,106.00
- -
Infus set 359,700.00 35,970.00
Blood Set 173,250.00 1,732,500.00
IV Catheter 18 G 60,500.00 605,000.00
IV Catheter 20 G 60,500.00 605,000.00
IV Catheter 24 G 122,100.00 122,100.00
IV Catheter 26 G 430,900.00 130,900.00
- -
Jarum Jahit 552,540.00 552,540.00
- -
Komposit kit 170,000.00 1,700,000.00
- -
Abbocath 16 G 80,000.00 800,000.00
- -
Sarung Tangan non steril size XS,S,M,L 370,000.00 3,100,000.00
- -
GIC Fuji IX 199,000.00 1,990,000.00
Semen Biasa 145,000.00 1,250,000.00
Tusuk Sate 8,600.00 86,000.00
Kantung Plastik 360,000.00 3,600,000.00
Cavit 66,000.00 660,000.00
Plastik Klip besar 203,200.00 203,200.00
Sendok Obat 126,000.00 1,260,000.00
Gel Anestesi 135,000.00 1,350,000.00
Catgut 370,000.00 3,700,000.00
Cup Sample 1,5 ml 75,000.00 750,000.00
Touniquet 225,000.00 225,000.00
- -
Yellow Tips 87,850.35 878,500.00
Catgut Plain 163,217.00 1,632,179.00
- -
Urine Containe 60 ml 168,800.00 1,688,000.00
Jayamas Onemed Dermafix S IV 410,400.00 410,400.00
Onemed Rivanol 300 cc 150,920.00 150,000.00
Onemed Sputum Pot 272,800.00 272,800.00
Onemed Dermafix T 10 x 8 cm 210,600.00 210,600.00
Onemed Dermafix T 10 x 12 cm 250,360.00 252,360.00
Onemed Kasa Hydrofil Steril Uk 16 x 16 160,000.00 1,600,000.00
Onemed Dermafix T 10 x 20 cm 180,720.00 180,720.00
Onemed Safewell Infusion Set 174,520.00 1,755,200.00
Ac Swab 0,5 % Sachet box/100 50,904.00 509,040.00
Onemed Safety box 214,300.00 2,143,000.00
Onemed Sarung tangan Obgyn Steril ( Obgyn glove ) 77,440.00 774,400.00
Onemed Surgical Mask plus 3 ply plus earloop 110,000.00 1,100,000.00
Onemed Sabun Anti Bakteri 500 ml + disp 132,000.00 1,320,000.00
Onemed Nierbeken disposable 25 cm , pak/10 pcs 79,200.00 792,000.00
Onemed Apron One Plastik 505,120.00 505,120.00
Onemed Nurse Cap 100,170.00 100,170.00
Onemed Softpad ( Underpad) 60 x 90 cm non steril 208,120.00 2,081,200.00
Onemed Kapas 1000 g 136,400.00 1,364,000.00
Onemed Plesterin Non Woven Roll 20 cm x 5 m 396,000.00 396,000.00
Onemed Alkohol 70 % 1 L 250,000.00 250,000.00
Onemed Kasa Hydrofil Steril Uk 16 x 16 315,000.00 315,000.00
Onemed Kasa Supergrade 40 x 80 83,600.00 836,000.00
Sabun Antibakteri 5 liter 470,400.00 470,400.00
- -
Selang O2 bayi 110,000.00 110,000.00
Selang O2 Dewasa 110,000.00 110,000.00
Umbilical Klem 65,000.00 65,000.00
Blood Lancet 291,120.00 291,120.00
Tabung Centrifuge PP 15 ml 202,440.00 202,440.00
- -
Sendok Obat 100,000.00 100,000.00
- -
Mikrotainer tuber 438,000.00 438,000.00
Vacutainer serum blood 74,160.00 741,600.00
- -
Kertas Puyer buram 51,000.00 51,000.00
67,384,896.63 8,801,785.72
67,384,896.63 8,801,785.72
5,289,250.28 1,007,765.72 -
- -
899,250.00 -
- -
6,710,000.00 -
- -
1,800,000.00 -
- -
833,106.00 -
- -
395,670.00 -
1,905,750.00 -
665,500.00 -
665,500.00 -
244,200.00 -
561,800.00 -
- -
1,105,080.00 -
- -
1,870,000.00 -
- -
880,000.00 -
- -
2,470,000.00 1,000,000.00
- -
1,190,000.00 999,000.00
1,395,000.00 -
94,600.00 -
2,582,000.00 1,378,000.00
726,000.00 -
406,400.00 -
1,386,000.00 -
1,485,000.00 -
3,000,000.00 1,070,000.00
825,000.00 -
450,000.00 -
- -
966,350.35 -
1,795,396.00 -
- -
1,856,800.00 -
820,800.00 -
300,920.00 -
 545,600.00 -
421,200.00 -
502,720.00 -
1,760,000.00 -
361,440.00 -
1,929,720.00 -
559,944.00 -
1,300,000.00 1,057,300.00
851,840.00 -
1,210,000.00 -
1,452,000.00 -
871,200.00 -
1,010,240.00 -
200,340.00 -
1,000,000.00 1,289,320.00
500,000.00 1,000,400.00
792,000.00 -
500,000.00 -
630,000.00 -
919,600.00 -
940,800.00 -
- -
220,000.00 -
220,000.00 -
130,000.00 -
582,240.00 -
404,880.00 -
- -
200,000.00 -
- -
876,000.00 -
815,760.00 -
- -
102,000.00 -
21 Obat-obatan 90,732,539.00 33,000,000.00 48,253,290.61
90,732,539.00 33,000,000.00 48,253,290.61
Amoxicillyn 125 mg / 60 ml 33,271,000.00 3,271,000.00 4,271,000.00
Asam Mefenamat 500 mg 7,500,000.00 3,000,000.00 5,253,290.61
Omeprazole 20 mg Kapsul 1,588,000.00 358,800.00 1,358,800.00
Dexamethason 0,5 mg 3,944,000.00 1,944,000.00 2,944,000.00
Paracetamol tablet 500 mg 10,263,000.00 10,263,000.00 17,263,000.00
Captopril 25 mg 227,339.00 224,000.00 224,000.00
Multivitamin Syrup 33,939,200.00 13,939,200.00 16,939,200.00
75,479,248.39
75,479,248.39
32,271,000.00
5,246,709.39
588,000.00
2,944,000.00
3,263,000.00
227,339.00
30,939,200.00
22 Bahan Kimia 9,405,590.00 151,714,702.00 146,269,393.00
9,405,590.00 151,714,702.00 146,269,393.00
Stik Cholesterol Benecheck 15,000,000.00 13,000,000.00
Stik Gula Darah Benecheck 640,000.00 640,000.00
- -
Stik Cholesterol 3,300,000.00 3,300,000.00
Stik Gula Darah 2,345,000.00 2,345,000.00
Stik Asam Urat 2,425,000.00 2,425,000.00
Stik HB 5,000,000.00 5,000,000.00
Urine Test 714,000.00 714,000.00
Reagen Goldar 3,000,000.00 3,000,000.00
Kartu Goldar 500,000.00 500,000.00
Reagen Ziel Nelsen 2,425,000.00 2,425,000.00
HBSAG 4,875,000.00 4,875,000.00
Oil Imersi 1,260,000.00 1,260,000.00
Cleanser 3,912,000.00 3,912,000.00
Rinse 4,200,000.00 4,200,000.00 4,200,000.00
Diluent 3,780,000.00 3,980,000.00 3,980,000.00
Lyse 1,425,590.00 1,468,000.00 1,468,000.00
Control 750,000.00 750,000.00
Probe Cleanser 90,000.00 90,000.00
Reagen Widal 3,300,000.00 3,300,000.00
Spirtus 230,000.00 230,000.00
- -
Fluitest Chol 846,517.00 846,517.00
Fluitest Urea 1,693,475.00 1,693,475.00
Fluitest Glu 846,517.00 846,517.00
Fluitest Crea 781,393.00 781,393.00
- -
Anti-A Monoclonal Gol Darah Vial 10 ml 4,340,000.00 4,340,000.00
Anti-D Monoclonal Gol Darah Vial 10 ml 728,000.00 728,000.00
Anti-AB Monoclonal Gol Darah Vial 10 ml 588,000.00 588,000.00
Anti-B Monoclonal Gol Darah Vial 10 ml 434,000.00 434,000.00
- -
Pembelian Bahan Kimia - -
Trigliseride 1,570,000.00 1,570,000.00
HDL PRECIPITAT 620,000.00 620,000.00
BILIRUBIN TOTAL 1,255,000.00 1,255,000.00
SGPT 899,900.00 899,900.00
SGOT 899,900.00 899,900.00
CONTROL KIMIA 2,800,000.00 2,800,000.00
CALIBRATOR 3,100,000.00 3,100,000.00
LED 2,700,000.00 2,700,000.00
URINE TEST 3P 660,000.00 660,000.00
STIK ASAM URAT 2,550,000.00 2,550,000.00
STIK GULA DARAH 5,775,000.00 5,775,000.00
REAGEN WIDAL 1,000,000.00 1,000,000.00
CLEANSER 8,600,000.00 5,154,691.00
RINSE 4,375,000.00 4,375,000.00
DILUENT 9,500,000.00 9,500,000.00
LYSE 7,000,000.00 7,000,000.00
CONTROL HEMA 1,900,000.00 1,900,000.00
PROBE CLEANSER 840,000.00 840,000.00
REAGEN TEST E COLI 5,775,000.00 5,775,000.00
CHLORINE TEST KIT 2,663,000.00 2,663,000.00
IRON BESI TEST KIT 1,158,000.00 1,158,000.00
TOTAL HARDNESS TEST KIT 1,852,000.00 1,852,000.00
BORAX TEST KIT 3,725,000.00 3,725,000.00
RHODAMIN B TEST KIT 3,725,000.00 3,725,000.00
METHANYL YELLOW TEST 3,550,000.00 3,550,000.00
FORMALDEHYDE TEST KIT 3,550,000.00 3,550,000.00
14,850,899.00
14,850,899.00
2,000,000.00
-
-
-
-
-
-
-
-
-
-
-
-
-
4,200,000.00
3,780,000.00
1,425,590.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
3,445,309.00
-
-
-
-
-
-
-
-
-
-
-
-
-
27 Barang cetakan 109,738,600.00 49,041,400.00 97,369,399.00
109,738,600.00 49,041,400.00 97,369,399.00
Resume Medis 1,180,000.00 1,180,000.00 1,180,000.00
Format Bukti Pelayanan 481,600.00 481,690.00
Format SOAP 510,000.00 490,000.00 510,000.00
Format SOAP HVS 70 gr cetak 1 180,000.00 840,000.00 180,000.00
Format Informed Consent KB 200,000.00 800,000.00 200,000.00
Buku Resep 5,950,000.00 5,950,000.00
Kartu Pasien + Plastik 1,750,000.00 1,750,000.00
Kartu Stok 569,600.00 430,400.00 569,600.00
Kartu stock barang 590,000.00 410,000.00 590,000.00
Formulir Persetujuan Tindakan Kedokteran 1,920,000.00 1,920,000.00
Format Permintaan Pemeriksaan Laboratorium 2,960,000.00 2,960,000.00
Format Hasil Pemeriksaan Laboratorium 2,000,000.00 2,000,000.00
Buku Visum 1,000,000.00 1,000,000.00
Buku status pasien 590,000.00 410,000.00 590,000.00
Lembar Bukti Obat Keluar 200,000.00 800,000.00 200,000.00
Buku Tanda Terima 600,000.00 400,000.00 600,000.00
Etiket Obat Luar 1,400,000.00 400,000.00
Buku SIP Format 1 1,400,000.00 400,000.00
Buku SIP Format 2 1,400,000.00 400,000.00
Buku SIP Format 3 1,400,000.00 400,000.00
Buku SIP Format 4 1,400,000.00 400,000.00
Buku SIP Format 5 1,800,000.00 800,000.00
Lembar Persetujuan Tindakan KB 650,000.00 350,000.00 650,000.00
Buku Register Gigi 580,000.00 420,000.00 580,000.00
Balok SKDN 1,750,000.00 250,000.00 1,750,000.00
Map Puskesmas 1,000,000.00 1,000,000.00
Map Rekam Medis 1,300,000.00 300,000.00
Kertas Kop Puskesmas 1,300,000.00 300,000.00
Buku Register Persalinan 1,300,000.00 300,000.00
Etiket Obat Sirup 410,000.00 410,000.00
Format Bayi Baru Lahir 590,000.00 590,000.00
Format Ibu Nifas 540,000.00 540,000.00
Format SBBK 1,480,000.00 480,000.00
Isi buku visum 1,480,000.00 480,000.00
Format hasil pemeriksaan Lab - -
Format lab 570,000.00 570,000.00
Format SBBK 2 ply tembus - -
Etiket obat luar - -
Etiker obat sirup 1,180,000.00 180,000.00
Isi Resume Medis 448,000.00 448,000.00
Form HIV 448,000.00 448,000.00
Form IMS 224,000.00 224,000.00
Banner dilarang merokok 150,000.00 150,000.00
Form informed consent 800,000.00 800,000.00
Surat keterangan sakit 700,000.00 700,000.00
Form kartu ibu 800,000.00 800,000.00
Form kartu balita 900,000.00 900,000.00
Form mtbm kurang dari 2 bulan 700,000.00 700,000.00
Form mtbs kurang lebih dari 5 tahun 600,000.00 300,000.00
Form kartu bayi 300,000.00 300,000.00
Form surat keterangan sehat 400,000.00 400,000.00
Buku kohort ibu 734,000.00 665,000.00
Buku Kohort KB 760,000.00 760,000.00
Buku Kohort bayi 570,300.00 570,000.00
Form bukti pelayanan bpjs 600,000.00 600,000.00
Kop surat puskesmas 750,000.00 750,000.00
Buku kia ping dinkes - -
Form rujukan maternal 19,500.00 19,500.00
Form rujukan neonatal 19,500.00 19,500.00
Form partograf - -
Folder status - -
Form kontak survey 120,000.00 120,000.00
Form surat rujukan 960,000.00 960,000.00
Form register ISPA 435,000.00 435,000.00
Form rujukan jamkesda 300,000.00 300,000.00
Form Rujukan 39,000.00 39,000.00
Form lembar verifkasi 374,000.00 374,000.00
Form ante natal care 632,500.00 632,500.00
Kartu status pasien 450,000.00 450,000.00
Form permintaan barang 480,000.00 480,000.00
Form pengeluaran barang 480,000.00 480,000.00
Map dinas puskesmas 1,300,000.00 1,300,000.00
Kartu identitas pasien TB Paru 800,000.00 800,000.00
Kartu pengobatan pasien TB Paru 900,000.00 900,000.00
Register TB Paru 360,000.00 360,000.00
Buku daftar tersangka TB Paru 196,000.00 196,000.00
Register TB Paru UPK 360,000.00 360,000.00
Formulir permohonan LabTB Paru 98,000.00 98,000.00
Register pasien kusta 240,000.00 240,000.00
Buku register Lab 196,000.00 196,000.00
Form Rujukan Internal 330,000.00 330,000.00
Form Rujukan Eksternal 330,000.00 330,000.00
Form Penolakan Tindakan Medis 220,000.00 220,000.00
Form Pemantauan Pasien Saat Rujukan 220,000.00 220,000.00
Banner 1,000,000.00 1,000,000.00 1,000,000.00
Form isi rekam medis 2,185,600.00 2,183,000.00 2,185,609.00
Folder status 7,000,000.00 3,000,000.00 7,000,000.00
120,000.00 120,000.00
Format SOAP HVS 70 gr Cetak 1 6,512,500.00 6,512,500.00 6,512,500.00
Cetak Map PIS-PK 9,210,000.00 9,210,000.00 9,210,000.00
Cetak Stiker PIS-PK 5,065,500.00 5,065,500.00 5,065,500.00
Cetak Formulir Kuisioner PIS-PK KK 7,355,000.00 7,355,000.00 7,355,000.00
Cetak Formulir Kuisioner PIS-PK JIWA 7,355,000.00 7,355,000.00 7,355,000.00
Kohort nifas 580,000.00 580,000.00 580,000.00
Penggandaan
Spanduk
180,100,299.00 76,049,100.00
180,100,299.00 - - 76,049,100.00
2,180,000.00 1,360,000.00
1,481,690.00 - 518,400.00
1,510,000.00 -
1,180,000.00 20,000.00
1,200,000.00 -
10,950,000.00 950,000.00
2,750,000.00 750,000.00
1,569,600.00 -
1,590,000.00 -
2,920,000.00 920,000.00
4,960,000.00 960,000.00
4,000,000.00 -
2,000,000.00 -
1,590,000.00 -
1,200,000.00 -
1,600,000.00 -
1,400,000.00 400,000.00
1,400,000.00 400,000.00
1,400,000.00 400,000.00
1,400,000.00 400,000.00
1,400,000.00 400,000.00
1,800,000.00 800,000.00
1,650,000.00 -
1,580,000.00 -
3,750,000.00 -
2,000,000.00 -
1,300,000.00 300,000.00
1,300,000.00 300,000.00
400,000.00 1,200,000.00
410,000.00 410,000.00
590,000.00 590,000.00
400,000.00 680,000.00
480,000.00 1,480,000.00
480,000.00 1,480,000.00
- -
340,900.00 799,100.00
- -
- -
180,000.00 1,180,000.00
448,000.00 448,000.00
448,000.00 448,000.00
224,000.00 224,000.00
150,000.00 150,000.00
 800,000.00 800,000.00
700,000.00 700,000.00
800,000.00 800,000.00
900,000.00 900,000.00
700,000.00 700,000.00
300,000.00 600,000.00
300,000.00 300,000.00
400,000.00 400,000.00
665,000.00 734,000.00
760,000.00 760,000.00
570,000.00 570,300.00
600,000.00 600,000.00
750,000.00 750,000.00
- -
19,500.00 19,500.00
19,500.00 19,500.00
- -
- -
120,000.00 120,000.00
960,000.00 960,000.00
435,000.00 435,000.00
300,000.00 300,000.00
39,000.00 39,000.00
374,000.00 374,000.00
632,500.00 632,500.00
450,000.00 450,000.00
480,000.00 480,000.00
480,000.00 480,000.00
2,300,000.00 300,000.00
800,000.00 800,000.00
900,000.00 900,000.00
360,000.00 360,000.00
196,000.00 196,000.00
360,000.00 360,000.00
98,000.00 98,000.00
240,000.00 240,000.00
196,000.00 196,000.00
330,000.00 330,000.00
330,000.00 330,000.00
220,000.00 220,000.00
220,000.00 220,000.00
2,000,000.00 1,000,000.00
4,185,609.00 2,368,600.00
17,000,000.00 -
120,000.00 120,000.00
12,512,500.00 7,025,000.00
18,210,000.00 9,420,000.00
10,065,500.00 5,131,000.00
14,355,000.00 7,710,000.00
14,355,000.00 7,710,000.00
580,000.00 1,160,000.00
-
28 Persediaan Lainnya 50,900,437.50 -
50,900,437.50
MT-BALITA 34,061,775.00 -
MT-IBU HAMIL KEK 16,838,662.50 -

Persediaan Bahan/Material
Bahan baku bangunan
Bahan Obat-obatan
Bahan Kimia
Persediaan Peralatan Kesehatan
50,900,437.50
50,900,437.50
34,061,775.00
16,838,662.50
-
-
-
-
-
-
20 Bahan / bibit tanaman - - 16,800,000.00 16,800,000.00
Pembelian tanaman dan pembuatan taman kantor - - 16,800,000.00 16,800,000.00
- - -
- - -