Pembagian Denah Alkes

B3
VOLUME SEDANG / BOX / BERNOMOR
VOLUME KECIL
VOLUME BESAR
CSSD / REAGEN
ICU
NO NAMA ALKES SATUAN STOK

AKHIR
1 ABOCATH 14 PCS 100
2 ABOCATH 16 PCS 50
3 ABOCATH 18 PCS 2,550
4 ABOCATH 20 PCS 2,450
5 ABOCATH 22 (1) PCS 1,600
6 ABOCATH 22 (2) PCS 500
11 ALKACIDE 1 LTR BOTOL 114
12 ALKAZYME SACHET 51
13 ALKOHOL 1 LTR BOTOL 272
14 ALKOHOL SWAB @200 BOX 408
15 AMBUBAG ANAK / CHILD SET 1
16 AMBUBAG BAYI / INFANT SET -
17 AMBUBAG DEWASA / ADULT SET 1
18 ANIOSGEL 5 LTR / HANDRUB DRIGEN 92
19 ANIOSGEL 500 ML BOTOL -
20 APRON PLASTIK (1) PCS 4,300
21 APRON PLASTIK (2) PCS 700
22 ARGENTUM NITRAT BOTOL -
23 ARM SLING COMFORT (L) PCS 30
24 ARM SLING COMFORT (M) PCS -
25 ARM SLING COMFORT (S) PCS 39
26 ASAM ASETAT KG 1
27 ASAM SALISILAT KG -
28 ASKINA FOAM PCS -
29 BARIUM SULFAT POWDER KG -
30 BENANG ADVANTIME 2/0 TAPER @36 PCS 36
31 BENANG ASSUCRYL 1 TAPER @12 (1) PCS 48
32 BENANG ASSUCRYL 1 TAPER @12 (2) PCS 144
33 BENANG CATGUT CHROMIC 2 @12 PCS 12
34 BENANG CATGUT CHROMIC 2/0 @12 PCS 156
35 BENANG CATGUT CHROMIC 3/0 @12 PCS 180
36 BENANG COROLENE 0 CUTTING @36 PCS 144
37 BENANG COROLENE 2/0 CUTTING @36 PCS 756
38 BENANG COROLENE 2/0 TAPER @36 PCS 72
39 BENANG COROLENE 2/0 TAPER @36 PCS 180
AKHIR
42 BENANG COROLENE 5/0 CUTTING @36 PCS -
43 BENANG COROLENE 5/0 TAPERCUTTING @36 PCS -
44 BENANG NYLON-10 @12 PCS 60
45 BENANG OPTIME 1 /0TAPER @36 PCS 180
46 BENANG OPTIME 2/0 TAPER 26 MM @36 PCS -
47 BENANG OPTIME 2/0 TAPER 40 MM @36 (1) PCS 36
48 BENANG OPTIME 2/0 TAPER 40 MM @36 (2) PCS 360
49 BENANG OPTIME 3/0 CUTTING @36 (1) PCS 36
50 BENANG OPTIME 3/0 CUTTING @36 (2) PCS 180
51 BENANG OPTIME 3/0 TAPER @36 PCS 612
52 BENANG OPTIME 4/0 CUTTING @36 PCS 1,044
53 BENANG OPTIME 4/0 TAPER @36 PCS 144
54 BENANG OPTIME R 2/0 @36 PCS 504
55 BENANG SILK 1/0 CUTTING @36 PCS 324
56 BENANG SILK 1/0 TAPER @12 PCS 204
62 BENANG T-MONO 3/0 @12 PCS 24
63 BETADINE 1 LITER BOTOL 63
64 BETADINE KUMUR 190 ML BOTOL 312
65 BIO SANITIZER LITER -
66 BISTURI NO. 10 PCS 200
68 BISTURI NO. 12 PCS -
71 BLOOD SET DEWASA (1) PCS 380
72 BLOOD SET DEWASA (2) PCS 1,200
73 BOOTS COVER PCS 300
74 BOTOL TETES COKLAT PCS 350
75 BRACKET ANIOSGEL PCS 9
76 BREATHING CIRCUIT ANAK CORRUGATED PCS 12
77 BREATHING CIRCUIT COAXIAL PCS 15
78 BREATHING CIRCUIT DUO-LIMB DEWASA (1) PCS 11
79 BREATHING CIRCUIT DUO-LIMB DEWASA (2) PCS 20
80 BREATHING CIRCUIT FILTER HMEF PCS 35
81 BREATHING CURCUIT HEATED ADULT PCS 30
82 CACO3 (KALSIUM KARBONAT) POWDER 1 KG KG 16
83 CAUTERY TIP CLEANER PCS 70
84 CLOSED SUCTION ENDOTRACHEAL NO 12 (1) PCS 4
85 CLOSED SUCTION ENDOTRACHEAL NO 12 (2) PCS 50
86 COVERALL 5XL PCS 290
87 COVERALL TYVEX PCS -
88 CSSD : AQUADEST 20 LITER DRIGEN 30
89 CSSD : DRAEGERSORB / SODA LIME DRIGEN 5
90 CSSD : INDIKATOR 3-LINE LABEL ROLL 2
91 CSSD : INDIKATOR BIOLOGI MINI BIO PLUS BOX 8
92 CSSD : INDIKATOR PACKAGE MONITORING / TIPE 6 BOX 10
93 CSSD : INDIKATOR STRIP GLOPACK (INTERNAL) BOX 26
94 CSSD : INDIKATOR STRIP STERICLIN (INTERNAL) BOX -
95 CSSD : INDIKATOR TAPES ADHESIVE (EXTERNAL) PCS 26
96 CSSD : POUCHES 10 CM x 200 (1) ROLL 6
AKHIR
98 CSSD : POUCHES 15 CM x 200 ROLL 5
105 CSSD : POUCHES 7,5 CM x 200 ROLL 17
106 CSSD : POUCHES SATUAN (200X320) PCS 200
107 CSSD : POUCHES SATUAN (305X430) PCS 200
108 CSSD : STEAM STERILIZATION BOWIE DICK (1) BOX 1
109 CSSD : STEAM STERILIZATION BOWIE DICK (2) BOX 2
110 DECONEX LUBE SPRAY (B3) BOTOL 3
111 DINKES DKI : BOOTS PCS 20
112 DINKES DKI : COVERALL PCS 400
113 DINKES DKI : COVERALL PCS 132
114 DINKES DKI : COVERALL KAS KURNIA PCS -
115 DINKES DKI : COVERALL MNG PCS 5,416
116 DINKES DKI : FACE SHIELD PCS 480
117 DINKES DKI : GLOVE LATEX BOX@100 BOX 200
118 DINKES DKI : GLOVE LATEX SUPERGARD BOX@100 BOX 820
119 DINKES DKI : GLOVE NITRIL BOX@100 BOX 80
120 DINKES DKI : GLOVE NITRIL SUPERGARD BOX@100 BOX 300
121 DINKES DKI : GOWN PCS 400
122 DINKES DKI : HANDSCOEN NON STERIL BOX 100
123 DINKES DKI : HANDSCOEN STERIL PASANG 1,900
124 DINKES DKI : MASKER BEDAH 3M BOX@50 BOX 168
125 DINKES DKI : MASKER KN95 PCS 150
126 DINKES DKI : MASKER KN95 RESPOKARE PCS 200
127 DINKES DKI : MASKER N95 PCS 350
128 DINKES DKI : MASKER N95 PCS 300
129 DINKES DKI : MASKER N95 TAWADA PCS 300
130 DRAEGER WATERLOCK PCS 24
131 DUODERM PCS 25
132 ECG ELECTRODE ADULT / EKG ELEKTRODA DEWASA PCS 6,660
133 ECG ELECTRODE CHILD / EKG ELEKTRODA ANAK PCS 1,140
134 ELASTIC BANDAGE / POLICREPE (7.5 X 4.55) ROLL 168
135 ELECTROSURGICAL PAD PCS 150
136 ELECTROSURGICAL PENCIL / PENSIL COTTER PCS 475
137 ETIL KLORIDA SPRAY BOTOL 20
138 ETT INTUBATING STYLET 3.0 PCS 20
148 ETT INTUBATING STYLET 8.0 PCS -
149 ETT NO. 2.0 PCS 70
150 ETT NO. 2.5 PCS 50
151 ETT NO. 3.0 PCS 260
AKHIR
152 ETT NO. 3.5 PCS 90
153 ETT NO. 4.0 PCS 99
154 ETT NO. 4.5 PCS 20
155 ETT NO. 5.0 PCS 30
156 ETT NO. 5.5 PCS 30
157 ETT NO. 6.0 PCS -
158 ETT NO. 6.5 PCS -
159 ETT NO. 7.0 (1) PCS 60
160 ETT NO. 7.0 (2) PCS 80
161 ETT NO. 7.5 PCS 20
162 ETT NO. 8.0 PCS 20
163 EXTENSION TUBE / PERFUSOR (1) PCS 200
164 EXTENSION TUBE / PERFUSOR (2) PCS 25
165 EYE PROTECTOR BAYI (1) PCS 200
166 EYE PROTECTOR BAYI (2) PCS 80
167 FEEDING / STOMACH TUBE NO. 10 PCS 80
170 FEEDING / STOMACH TUBE NO. 16 (1) PCS -
171 FEEDING / STOMACH TUBE NO. 16 (2) PCS 200
173 FEEDING / STOMACH TUBE NO. 3.5 PCS 100
174 FEEDING / STOMACH TUBE NO. 5 (100 CM) PCS 100
175 FEEDING / STOMACH TUBE NO. 5 (40 CM) PCS 100
178 FOLEY CATH NO. 10 (1) PCS 30
180 FOLEY CATH NO. 12 PCS 100
182 FOLEY CATH NO. 16 (1) PCS -
190 FORMALIN 37 % 10 LITER DRIGEN 2
191 GUDEL NO. 0 (60 MM) HITAM PCS 49
192 GUDEL NO. 00 (50 MM) BIRU PCS 49
193 GUDEL NO. 000 (40 MM)PINK PCS 40
194 GUDEL NO. 1 (70 MM) PUTIH PCS 50
195 GUDEL NO. 2 (80 MM) HIJAU PCS 18
196 GUDEL NO. 3 (100 MM) MERAH PCS 46
197 GUDEL NO. 3 (90 MM) PCS -
198 GUDEL NO. 4 (110 MM) MERAH PCS -
199 GUDEL NO. 6 (120 MM) UNGU PCS -
200 H2O2 / HIDROGEN PEROKSIDA 1 LITER BOTOL 83
201 HANDSCOEN BIRU L (NON POWDER) BOX 4
202 HANDSCOEN BIRU M (NON POWDER) BOX -
203 HANDSCOEN BIRU S (NON POWDER) BOX -
204 HANDSCOEN OBGYN 6.5 PASANG 50
205 HANDSCOEN OBGYN 7.0 PASANG 300
206 HANDSCOEN OBGYN 7.5 (1) PASANG 125
AKHIR
207 HANDSCOEN OBGYN 7.5 (2) PASANG 600
208 HANDSCOEN OBGYN L PASANG 4
209 HANDSCOEN STERIL NO. 6 PASANG 1,000
210 HANDSCOEN STERIL NO. 6.5 (1) PASANG 200
213 HANDSCOEN STERIL NO. 7 (1) PASANG 300
214 HANDSCOEN STERIL NO. 7 (2) PASANG 2,000
217 HANDSCOEN STERIL NO. 8 PASANG 150
218 HANDSCOEN UKURAN L (1) BOX 20
219 HANDSCOEN UKURAN L (2) BOX 10
220 HANDSCOEN UKURAN M (1) BOX 200
221 HANDSCOEN UKURAN M (2) BOX 58
222 HANDSCOEN UKURAN S (1) BOX -
223 HANDSCOEN UKURAN S (2) BOX 70
224 HANDSCOEN UKURAN XS (1) BOX 76
225 HANDSCOEN UKURAN XS (2) BOX 10
226 HERNIA MESH PCS 24
227 HERNIA MESH PCS 24
228 HUMIDIFICATION CHAMBER DEWASA PCS 30
229 HYPAFIX / PHARMAFIX 10X5 ROLL 92
230 HYPAFIX / PHARMAFIX 5X5 ROLL 30
231 ID BAND ANAK / CHILD BIRU PCS 1,200
232 ID BAND ANAK / CHILD PINK PCS 800
233 ID BAND DEWASA / ADULT BIRU PCS 1,200
234 ID BAND DEWASA / ADULT PINK PCS 1,500
235 INFUSET MACRO PCS 2,000
236 INFUSET MICRO PCS -
237 INTUBATING STYLET LARGE 14FR PCS -
238 INTUBATING STYLET MEDIUM 10FR PCS -
239 INTUBATING STYLET SMALL 6FR PCS -
240 IV DRESSING / CANOFIX 6 x 8 PCS 600
241 JARUM AKUPUNTUR 0.18 X 15 BOX -
242 JARUM AKUPUNTUR 0.25 X 25 BOX 95
243 JARUM AKUPUNTUR 0.25 X 40 BOX 85
244 KACAMATA GOGGLE PCS -
245 KAIN NON WOVEN BIRU BOX 4
246 KAIN NON WOVEN HIJAU BOX 3
247 KAPAS PUTIH 500 GRAM PCS 24
248 KAPSUL NO. 0 PACK 25
249 KAPSUL NO. 00 PACK 11
250 KASA BULAT / DEPER PCS 600
251 KASA HIDROFIL / GULUNG 4 x 10 ROLL 700
252 KASA HIDROFIL / GULUNG BESAR 36 x 80 ROLL 31
253 KASA NON X-RAY PACK 1,000
254 KASA X-RAY PCS 400
255 KEMKES : KONDOM SUTERA PCS 1,440
256 KEMKES : LUBRICANT SUTERA SACHET -
257 KEMKES : POT DAHAK PCS -
258 KEMKES : REAGEN ZIEHL NEELSEN BOX 20
259 KERTAS CTG PACK 28
260 KERTAS CTG (RB) PCS -
261 KERTAS ECG / EKG PENDEK : 50 MM X 30 M ROLL 14
AKHIR
262 KERTAS EKG ESAOTE P8000 BOX -
263 KERTAS EKG PANJANG : 210 MM X 30 M FUKUDA ROLL 70
264 KERTAS RECORDING PAPER FUKUDA 110 X 140 PACK 24
265 KERTAS USG ROLL 50
266 KLY LUBRICANT JELL TUBE 96
267 KOH 10 % 100 ML BOTOL 45
268 KONDOM ARTIKA @12 BOX 15
269 KONDOM KATETER PCS 200
270 LAKMUS MERAH NESCO @100 PACK 2
271 LAMINARIA L PCS 50
272 LAMINARIA M PCS 50
273 LAMINARIA S PCS 25
274 LARINGEAL MASK AIRWAY NO 1.0 (1) PCS 3
278 LARINGEAL MASK AIRWAY NO 2.0 PCS 3
285 LARINGEAL MASK AIRWAY NO 5.0 PCS 10
286 LARINGOSKOP BLADE SIZE 2 PCS 3
289 MASKER ANESTESI (SIZE 2.0 ) PCS 21
292 MASKER BEDAH EARLOOP (1) BOX 40
293 MASKER BEDAH EARLOOP (2) BOX 120
294 MASKER BEDAH EARLOOP (3) BOX -
295 MASKER BEDAH TIE ON (1) BOX 80
296 MASKER BEDAH TIE ON (2) BOX 40
297 MASKER N95 TIPE 1860 (1) PCS 460
298 MASKER N95 TIPE 1860 (2) PCS 500
299 MASKER N95 TIPE 8210 (1) PCS -
300 MASKER N95 TIPE 8210 (2) PCS 1,800
301 MASKER N95 TIPE KN95 (1) PCS 275
302 MASKER N95 TIPE KN95 (2) PCS 56
303 MASKER NEBU ANAK PCS 542
304 MASKER NEBU DEWASA PCS 600
305 MASKER NON-REBREATHER ANAK PCS 100
306 MASKER NON-REBREATHER DEWASA PCS 159
307 MASKER OKSIGEN ANAK PCS 141
308 MASKER OKSIGEN DEWASA PCS 128
309 MASKER REBREATHER ANAK (NON RESERVOIR) PCS 200
310 MASKER REBREATHER DEWASA (NON RESERVOIR) PCS 190
311 MASKER TIPE NEB PCS 175
312 MCGRATH HANDLE PCS -
313 MECONIUM ASPIRATOR PCS 8
314 MICROPORE 0.5 INCH PCS -
315 MICROPORE 1 INCH PCS 852
316 MICROPORE 2 INCH PCS 456
AKHIR
317 MUCUS EXTRACTOR PCS -
318 NACL POWDER 1 KG KG -
319 NASAL CANUL ANAK PCS 338
320 NASAL CANUL BAYI PCS 460
321 NASAL CANUL DEWASA PCS 1,044
322 NASAL DRESSING PCS 250
323 NEEDLE 23 PCS 300
324 NEEDLE 24 PCS 500
325 NURSE CAP @100 (1) BOX 200
326 NURSE CAP @100 (2) BOX 100
327 OCTENIC WASH GLOVE PCS 360
328 OKSIGEN TUBING PCS 80
329 ORO TRACHEAL TUBE 2.5 MM PCS 1
330 ORO TRACHEAL TUBE 4 MM PCS 4
331 ORO TRACHEAL TUBE 6 MM PCS 4
332 PARAFILM ROLL 1
333 PEN NEEDLE UNGU PCS 1,200
334 PISAU CUKUR PCS 12
335 POLI GIGI : AH-PLUS PCS -
336 POLI GIGI : CAVIT G BOX -
337 POLI GIGI : CAVITON WHITE BOX 5
338 POLI GIGI : CELLULOSE STRIP PACK -
339 POLI GIGI : COTTON ROLL / KAPAS GULUNG PACK 6
340 POLI GIGI : DYCAL BOX 1
341 POLI GIGI : EUGENOL BOTOL -
342 POLI GIGI : GUTTA PERCHA 0,6% NO. 20 BOX 5
346 POLI GIGI : JARUM CITOJECT 16 BOX 1
347 POLI GIGI : JARUM CITOJECT 21 BOX 3
348 POLI GIGI : JARUM RETAFLEX PCS -
349 POLI GIGI : K FILE 10 NO 21 STRIP 10
353 POLI GIGI : K FILE 8 NO 21 STRIP -
354 POLI GIGI : K FILE 8 NO 25 STRIP -
355 POLI GIGI : PAPER POINT UK 25 BOX 7
357 POLI GIGI : PAPER POINT UK 35 BOX -
360 POLI GIGI : POLIBIBS TOWEL / TISU PACK 9
361 POLI GIGI : SALIVA EJECTOR @100 PACK 9
362 POLI GIGI : VITAPAN PACK 1
363 POSTOFIX / DERMAFIX / TEGADERM 10 x 10 PCS 900
366 POT URIN 30CC PCS -
367 POT URIN 50CC PCS 3,500
368 PRONTOSAN CAIR / SOLUTION BOTOL 13
369 PRONTOSAN GEL TUBE 25
370 PROTAPER NEXT 21MM X1 PCS -
AKHIR
379 RAD : DENTAL X RAY FILM PCS -
380 RAD : FILM RONTGEN UKURAN L (35X43) BOX -
381 RAD : FILM RONTGEN UKURAN M (28X35) BOX 16
382 RAD : FILM RONTGEN UKURAN S (20X25) BOX 20
383 RAD : KONTRAS IOPAMIRO BOTOL -
384 RAD : PHOSPOR SCREEN BOX 1
385 RESPIRATORY BACTERIAL FILTER BSF 103 PCS 100
386 SABUN CUCI TANGAN OPERASI / E CARE DRIGEN 5
387 SAFETY BOX PCS 225
388 SAKARUM LAKTIS 1 KG KG -
389 SANISWISS MULTIPURPOSE 20 LITER DRIGEN 4
390 SEPTALKAN 500 ML BOTOL 24
391 SHOE COVER PCS 7,500
392 SIKAT OPERASI / SURGICAL BRUSH PCS 432
393 SODIUM BICARBONAT 1 KG KG 4
394 SODIUM BICARBONAT 1 KG KG 9
395 SOFRATULE / DARYANTULE / URGOTULE PCS 470
396 SPALK INFUSAN ANAK PCS -
397 SPALK KAYU PCS 38
398 SPINOCAN 25 PCS -
399 SPINOCAN 26 PCS 500
400 SPINOCAN 27 (1) PCS 25
401 SPINOCAN 27 (2) PCS 200
402 SPIRTUS 1 LITER BOTOL 3
403 SPONGESTAN / GELITA SPONS PCS -
404 SPUIT 1 (1) PCS 1,500
405 SPUIT 1 (2) PCS 8,600
406 SPUIT 10 (1) PCS -
407 SPUIT 10 (2) PCS 11,400
408 SPUIT 20 PCS 1,500
409 SPUIT 3 PCS 1,800
410 SPUIT 5 (1) PCS 1,200
411 SPUIT 5 (2) PCS 12,700
412 SPUIT 50 ML CATHETHER TIP PCS 25
413 SPUIT 50 WITH NEEDLE PCS -
414 SUCTION CATHETHER NO. 10 PCS 500
419 SUCTION CATHETHER NO. 8 (1) PCS 100
420 SUCTION CATHETHER NO. 8 (2) PCS 300
421 SUCTION CONNECTING BIRU / YANKAUER (1) PCS 90
422 SUCTION CONNECTING BIRU / YANKAUER (2) PCS 270
423 SUCTION CONNECTING KUNING / HEXAGON PCS 62
424 SUDIN JAKUT : COVERALL KALTECH PCS 130
425 SUDIN JAKUT : RDT PCS -
426 SUDIN JAKUT : REAGEN HIV SD BIOLINE KIT 3,750
AKHIR
427 SURGICAL GOWN HOGY PCS 285
428 SURGICEL / SURGICAL HAEMOSTATE PCS 6
429 TCCA 90% TABLET BESAR BOTOL -
430 THREE WAY (3 WAY) PCS 200
431 THREE WAY (3 WAY) WITH TUBE PCS 100
432 TONGUE SPATEL / SPATEL KAYU @100 BOX 2
433 TONGUE SPATEL / SPATEL KAYU @50 BOX 100
434 TORNIQUETE ANAK PCS 2
435 TORNIQUETE DEWASA PCS 6
436 TRANSOFIX PCS 750
437 UMBILICAL CORD KLEM (1) PCS 500
438 UMBILICAL CORD KLEM (2) PCS 600
439 UNDERPAD (1) PCS 200
440 UNDERPAD (2) PCS 1,430
441 URIN COLLECTOR PEDIATRIC PCS 100
442 URINBAG (1) PCS -
443 URINBAG (2) PCS 70
444 USG GEL 5 LITER DRIGEN 18
445 VASELIN PUTIH 1 KG KG 30
446 VASELIN PUTIH 15 KG DRIGEN -
447 WING NEEDLE 25 (1) PCS -
448 WING NEEDLE 25 (2) PCS 200
Mengetahui
Kepala Instalasi Farmasi

RSUD Tugu Koja
Nurhayati, S.Si., Apt.

NIP. 197902112007012011
LAPORAN PERSEDIAAN GUDANG ALKES DESEMBER 2020
NO NAMA ALKES SATUAN STOK AWAL Rupiah Stok awal Tanggal Merk Penerimaan Harga Satuan + PPN Distributor Persediaan PENGELUARAN Rupiah Pengeluaran EXP. DATE
1 ABOCATH 14 PCS 100 Rp 1,700,000 100 Rp - - Rp - 100 Jun-21 Rp 17,000 Rp 1,700,000

2 ABOCATH 16 PCS 50 Rp 550,000 50 Rp - - Rp - 50 May-23 Rp 11,000 Rp 550,000
3 ABOCATH 18 PCS 2,650 Rp 61,215,000 2,650 Rp - 100 Rp 2,310,000 2,550 Mar-23 Rp 23,100 Rp 58,905,000
4 ABOCATH 20 PCS 2,550 Rp 33,902,250 2,550 Rp - 100 Rp 1,329,500 2,450 Jun-23 Rp 13,295 Rp 32,572,750
5 ABOCATH 22 (1) PCS 1,700 Rp 39,270,000 1,700 Rp - 100 Rp 2,310,000 1,600 Jun-23 Rp 23,100 Rp 36,960,000
6 ABOCATH 22 (2) PCS 500 Rp 7,312,500 500 Rp - - Rp - 500 Dec-24 Rp 14,625 Rp 7,312,500
7 ABOCATH 24 (1) PCS 400 Rp 9,240,000 400 Rp - 150 Rp 3,465,000 250 Mar-22 Rp 23,100 Rp 5,775,000
8 ABOCATH 24 (2) PCS 300 Rp 4,387,500 300 Rp - - Rp - 300 Jul-24 Rp 14,625 Rp 4,387,500
9 ABOCATH 26 (1) PCS 850 Rp 27,956,500 850 Rp - 150 Rp 4,933,500 700 Jul-22 Rp 32,890 Rp 23,023,000
11 ALKACIDE 1 LTR BOTOL 114 Rp 308,181,159 114 Rp - - Rp - 114 Jul-21 Rp 2,703,344 Rp 308,181,159
12 ALKAZYME SACHET 51 Rp 48,246,000 51 Rp - - Rp - 51 Jan-21 Rp 946,000 Rp 48,246,000
13 ALKOHOL 1 LTR BOTOL 272 Rp 9,792,000 272 Rp - - Rp - 272 Apr-24 Rp 36,000 Rp 9,792,000
14 ALKOHOL SWAB @200 BOX 256 Rp 7,424,000 17-Nov-20 GP CARE 200 Rp 29,000 Jul-25 GLOBAL PHARMA 456 Rp 5,800,000 48 Rp 1,392,000 408 Jul-25 Rp 29,000 Rp 11,832,000
15 AMBUBAG ANAK / CHILD SET 1 Rp - 1 Rp - - Rp - 1 N/A Rp - Rp -
16 AMBUBAG BAYI / INFANT SET - Rp - - Rp - - Rp - - - Rp - Rp -
17 AMBUBAG DEWASA / ADULT SET 1 Rp - 1 Rp - - Rp - 1 N/A Rp - Rp -
18 ANIOSGEL 5 LTR / HANDRUB DRIGEN 124 Rp 62,000,000 124 Rp - 32 Rp 16,000,000 92 Feb-23 Rp 500,000 Rp 46,000,000
19 ANIOSGEL 500 ML BOTOL 23 Rp 1,886,000 23 Rp - 23 Rp 1,886,000 - - Rp 82,000 Rp -
20 APRON PLASTIK (1) PCS 300 Rp 1,204,500 17-Nov-20 COSMOMED 4,000 Rp 4,015 N/A GLOBAL PHARMA 4,300 Rp 16,060,000 - Rp - 4,300 N/A Rp 4,015 Rp 17,264,500
21 APRON PLASTIK (2) PCS 1,050 Rp 3,097,500 1,050 Rp - 350 Rp 1,032,500 700 N/A Rp 2,950 Rp 2,065,000
22 ARGENTUM NITRAT BOTOL - Rp - - Rp - - Rp - - - Rp - Rp -
23 ARM SLING COMFORT (L) PCS 30 Rp 555,000 30 Rp - - Rp - 30 N/A Rp 18,500 Rp 555,000
24 ARM SLING COMFORT (M) PCS - Rp - - Rp - - Rp - - - Rp 15,840 Rp -
25 ARM SLING COMFORT (S) PCS 39 Rp 721,500 39 Rp - - Rp - 39 N/A Rp 18,500 Rp 721,500
26 ASAM ASETAT KG 1 Rp 1,200,000 1 Rp - - Rp - 1 N/A Rp 1,200,000 Rp 1,200,000
27 ASAM SALISILAT KG - Rp - - Rp - - Rp - - - Rp 1,045,000 Rp -
28 ASKINA FOAM PCS - Rp - - Rp - - Rp - - - Rp 613,640 Rp -
29 BARIUM SULFAT POWDER KG - Rp - - Rp - - Rp - - - Rp 978,000 Rp -
30 BENANG ADVANTIME 2/0 TAPER @36 PCS 36 Rp 2,937,600 36 Rp - - Rp - 36 Jul-24 Rp 81,600 Rp 2,937,600
31 BENANG ASSUCRYL 1 TAPER @12 (1) PCS 48 Rp 2,951,616 48 Rp - - Rp - 48 Apr-24 Rp 61,492 Rp 2,951,616
32 BENANG ASSUCRYL 1 TAPER @12 (2) PCS 144 Rp 9,740,304 144 Rp - - Rp - 144 Mar-25 Rp 67,641 Rp 9,740,304
33 BENANG CATGUT CHROMIC 2 @12 PCS 12 Rp 510,204 12 Rp - - Rp - 12 Jun-21 Rp 42,517 Rp 510,204
34 BENANG CATGUT CHROMIC 2/0 @12 PCS 156 Rp 9,016,800 156 Rp - - Rp - 156 Oct-24 Rp 57,800 Rp 9,016,800
35 BENANG CATGUT CHROMIC 3/0 @12 PCS - Rp - 26-Nov-20 TRITON 180 Rp 58,700 MPI 180 Rp 10,566,000 - Rp - 180 Rp 58,700 Rp 10,566,000
36 BENANG COROLENE 0 CUTTING @36 PCS 144 Rp 8,308,365 144 Rp - - Rp - 144 Oct-22 Rp 57,697 Rp 8,308,365
37 BENANG COROLENE 2/0 CUTTING @36 PCS 756 Rp 78,170,400 756 Rp - - Rp - 756 Oct-22 Rp 103,400 Rp 78,170,400
38 BENANG COROLENE 2/0 TAPER @36 PCS 72 Rp - 72 Rp - - Rp - 72 Jun-23 Rp - Rp -
39 BENANG COROLENE 2/0 TAPER @36 PCS - Rp - 30-Oct-20 PETERS 180 Rp 70,000 Sep-24 PARIT PADANG 180 Rp 12,600,000 - Rp - 180 Sep-24 Rp 70,000 Rp 12,600,000
40 BENANG COROLENE 3/0 CUTTING @36 PCS 216 Rp 25,272,000 216 Rp - - Rp - 216 Apr-21 Rp 117,000 Rp 25,272,000
41 BENANG COROLENE 4/0 CUTTING @36 PCS 180 Rp 15,025,140 180 Rp - - Rp - 180 Jun-23 Rp 83,473 Rp 15,025,140
42 BENANG COROLENE 5/0 CUTTING @36 PCS - Rp - - Rp - - Rp - - - Rp 83,473 Rp -
43 BENANG COROLENE 5/0 TAPERCUTTING @36 PCS - Rp - - Rp - - Rp - - - Rp 83,473 Rp -
44 BENANG NYLON-10 @12 PCS 60 Rp 9,870,000 60 Rp - - Rp - 60 Jun-22 Rp 164,500 Rp 9,870,000
45 BENANG OPTIME 1 /0TAPER @36 PCS 180 Rp 11,160,000 180 Rp - - Rp - 180 Aug-24 Rp 62,000 Rp 11,160,000
46 BENANG OPTIME 2/0 TAPER 26 MM @36 PCS - Rp - - Rp - - Rp - - - Rp - Rp -
47 BENANG OPTIME 2/0 TAPER 40 MM @36 (1) PCS 36 Rp 2,504,196 36 Rp - - Rp - 36 May-23 Rp 69,561 Rp 2,504,196
48 BENANG OPTIME 2/0 TAPER 40 MM @36 (2) PCS 180 Rp 9,900,000 30-Oct-20 PETERS 180 Rp 55,000 Sep-24 PARIT PADANG 360 Rp 9,900,000 - Rp - 360 Sep-24 Rp 55,000 Rp 19,800,000
49 BENANG OPTIME 3/0 CUTTING @36 (1) PCS 36 Rp 3,267,000 36 Rp - - Rp - 36 Aug-21 Rp 90,750 Rp 3,267,000
50 BENANG OPTIME 3/0 CUTTING @36 (2) PCS - Rp - 30-Oct-20 PETERS 180 Rp 65,300 Nov-24 PARIT PADANG 180 Rp 11,754,000 - Rp - 180 Nov-24 Rp 65,300 Rp 11,754,000
51 BENANG OPTIME 3/0 TAPER @36 PCS 612 Rp 41,880,996 612 Rp - - Rp - 612 Jun-22 Rp 68,433 Rp 41,880,996
52 BENANG OPTIME 4/0 CUTTING @36 PCS 1,044 Rp 69,873,876 1,044 Rp - - Rp - 1,044 Dec-23 Rp 66,929 Rp 69,873,876
53 BENANG OPTIME 4/0 TAPER @36 PCS 144 Rp 9,637,776 144 Rp - - Rp - 144 Sep-23 Rp 66,929 Rp 9,637,776
54 BENANG OPTIME R 2/0 @36 PCS 504 Rp 22,176,000 504 Rp - - Rp - 504 Apr-23 Rp 44,000 Rp 22,176,000
55 BENANG SILK 1/0 CUTTING @36 PCS 324 Rp 21,562,200 324 Rp - - Rp - 324 Jan-23 Rp 66,550 Rp 21,562,200
56 BENANG SILK 1/0 TAPER @12 PCS 204 Rp 7,885,008 204 Rp - - Rp - 204 Jun-23 Rp 38,652 Rp 7,885,008
57 BENANG SILK 2/0 CUTTING @36 PCS 252 Rp 12,806,640 252 Rp - - Rp - 252 Feb-23 Rp 50,820 Rp 12,806,640
58 BENANG SILK 2/0 TAPER @36 PCS 180 Rp 7,105,860 180 Rp - - Rp - 180 Feb-21 Rp 39,477 Rp 7,105,860
59 BENANG SILK 3/0 CUTTING @36 PCS 504 Rp 23,284,800 504 Rp - - Rp - 504 Jun-22 Rp 46,200 Rp 23,284,800
60 BENANG SILK 3/0 TAPER @36 PCS 684 Rp 38,071,440 684 Rp - - Rp - 684 Oct-22 Rp 55,660 Rp 38,071,440
61 BENANG SILK 4/0 CUTTING @36 PCS 612 Rp 37,026,000 612 Rp - - Rp - 612 Jul-22 Rp 60,500 Rp 37,026,000
62 BENANG T-MONO 3/0 @12 PCS 24 Rp 2,352,000 24 Rp - - Rp - 24 Aug-22 Rp 98,000 Rp 2,352,000
63 BETADINE 1 LITER BOTOL 68 Rp 10,404,000 68 Rp - 5 Rp 765,000 63 Nov-22 Rp 153,000 Rp 9,639,000
64 BETADINE KUMUR 190 ML BOTOL 324 Rp 8,735,364 324 Rp - 12 Rp 323,532 312 May-23 Rp 26,961 Rp 8,411,832
65 BIO SANITIZER LITER 1 Rp 18,940,625 1 Rp - 1 Rp 18,940,625 - - Rp 18,940,625 Rp -
66 BISTURI NO. 10 PCS 300 Rp - 300 Rp - 100 Rp - 200 Aug-21 Rp - Rp -
67 BISTURI NO. 11 PCS 400 Rp 1,227,600 400 Rp - 100 Rp 306,900 300 Dec-24 Rp 3,069 Rp 920,700
68 BISTURI NO. 12 PCS - Rp - - Rp - - Rp - - - Rp - Rp -
69 BISTURI NO. 15 PCS 200 Rp 613,800 200 Rp - 100 Rp 306,900 100 Aug-24 Rp 3,069 Rp 306,900
70 BISTURI NO. 21 PCS 200 Rp 613,800 200 Rp - 100 Rp 306,900 100 Dec-24 Rp 3,069 Rp 306,900
71 BLOOD SET DEWASA (1) PCS 380 Rp 7,649,400 380 Rp - - Rp - 380 Oct-24 Rp 20,130 Rp 7,649,400
72 BLOOD SET DEWASA (2) PCS 1,200 Rp 9,900,000 1,200 Rp - - Rp - 1,200 May-23 Rp 8,250 Rp 9,900,000
73 BOOTS COVER PCS - Rp - 25-Nov-20 PROCARE 300 Rp 30,000 N/A INTISUMBER 300 Rp 9,000,000 - Rp - 300 N/A Rp 30,000 Rp 9,000,000
74 BOTOL TETES COKLAT PCS 400 Rp 1,200,000 400 Rp - 50 Rp 150,000 350 N/A Rp 3,000 Rp 1,050,000
75 BRACKET ANIOSGEL PCS 9 Rp - 9 Rp - - Rp - 9 N/A Rp - Rp -
76 BREATHING CIRCUIT ANAK CORRUGATED PCS 12 Rp 7,200,000 12 Rp - - Rp - 12 Mar-23 Rp 600,000 Rp 7,200,000
77 BREATHING CIRCUIT COAXIAL PCS 15 Rp 2,165,625 15 Rp - - Rp - 15 Mar-23 Rp 144,375 Rp 2,165,625
78 BREATHING CIRCUIT DUO-LIMB DEWASA (1) PCS 12 Rp 1,930,500 12 Rp - 1 Rp 160,875 11 Apr-21 Rp 160,875 Rp 1,769,625
79 BREATHING CIRCUIT DUO-LIMB DEWASA (2) PCS - Rp - 10-Nov-20 WORK 20 Rp 86,500 Jun-25 DWIASRI 20 Rp 1,730,000 - Rp - 20 Jun-25 Rp 86,500 Rp 1,730,000
80 BREATHING CIRCUIT FILTER HMEF PCS 41 Rp 1,860,375 41 Rp - 6 Rp 272,250 35 Sep-23 Rp 45,375 Rp 1,588,125
81 BREATHING CURCUIT HEATED ADULT PCS 10 Rp 1,844,700 18-Nov-20 30 Rp 184,470 Apr-23 TOTAL MEDIKA 40 Rp 5,534,100 10 Rp 1,844,700 30 Apr-23 Rp 184,470 Rp 5,534,100
82 CACO3 (KALSIUM KARBONAT) POWDER 1 KG KG 17 Rp 4,450,600 17 Rp - 1 Rp 261,800 16 Aug-22 Rp 261,800 Rp 4,188,800
83 CAUTERY TIP CLEANER PCS 70 Rp - 70 Rp - - Rp - 70 Mar-21 Rp - Rp -
84 CLOSED SUCTION ENDOTRACHEAL NO 12 (1) PCS 13 Rp 1,604,460 13 Rp - 9 Rp 1,110,780 4 Apr-23 Rp 123,420 Rp 493,680
85 CLOSED SUCTION ENDOTRACHEAL NO 12 (2) PCS - Rp - 23-Nov-20 C-BONA 50 Rp 123,420 TOTAL MEDIKA 50 Rp 6,171,000 - Rp - 50 Rp 123,420 Rp 6,171,000
86 COVERALL 5XL PCS - Rp - 17-Nov-20 PROCARE 300 Rp 145,000 N/A JAYADI 300 Rp 43,500,000 10 Rp 1,450,000 290 N/A Rp 145,000 Rp 42,050,000
87 COVERALL TYVEX PCS 50 Rp 16,500,000 50 Rp - 50 Rp 16,500,000 - - Rp 330,000 Rp -
88 CSSD : AQUADEST 20 LITER DRIGEN 36 Rp 2,880,000 36 Rp - 6 Rp 480,000 30 N/A Rp 80,000 Rp 2,400,000
89 CSSD : DRAEGERSORB / SODA LIME DRIGEN 5 Rp - 5 Rp - - Rp - 5 Jan-23 Rp - Rp -
90 CSSD : INDIKATOR 3-LINE LABEL ROLL 2 Rp 14,725,232 2 Rp - - Rp - 2 Feb-23 Rp 7,362,616 Rp 14,725,232
91 CSSD : INDIKATOR BIOLOGI MINI BIO PLUS BOX 8 Rp - 8 Rp - - Rp - 8 Jan-21 Rp - Rp -
92 CSSD : INDIKATOR PACKAGE MONITORING / TIPE 6 BOX 10 Rp 20,570,000 10 Rp - - Rp - 10 Oct-22 Rp 2,057,000 Rp 20,570,000
93 CSSD : INDIKATOR STRIP GLOPACK (INTERNAL) BOX 26 Rp 7,893,600 26 Rp - - Rp - 26 Jan-21 Rp 303,600 Rp 7,893,600
94 CSSD : INDIKATOR STRIP STERICLIN (INTERNAL) BOX - Rp - - Rp - - Rp - - - Rp 136,500 Rp -
95 CSSD : INDIKATOR TAPES ADHESIVE (EXTERNAL) PCS 26 Rp 1,680,848 26 Rp - - Rp - 26 N/A Rp 64,648 Rp 1,680,848
96 CSSD : POUCHES 10 CM x 200 (1) ROLL 6 Rp 5,370,000 6 Rp - - Rp - 6 Jun-24 Rp 895,000 Rp 5,370,000
98 CSSD : POUCHES 15 CM x 200 ROLL 5 Rp 6,330,000 5 Rp - - Rp - 5 N/A Rp 1,266,000 Rp 6,330,000
99 CSSD : POUCHES 25 CM x 200 (1) ROLL 1 Rp 652,727 1 Rp - - Rp - 1 May-22 Rp 652,727 Rp 652,727
100 CSSD : POUCHES 25 CM x 200 (2) ROLL 5 Rp 9,570,000 5 Rp - - Rp - 5 N/A Rp 1,914,000 Rp 9,570,000
101 CSSD : POUCHES 38 CM x 200 ROLL 7 Rp 21,455,000 7 Rp - - Rp - 7 May-22 Rp 3,065,000 Rp 21,455,000
103 CSSD : POUCHES 5 CM x 200 (1) ROLL 2 Rp 1,010,000 2 Rp - - Rp - 2 Sep-23 Rp 505,000 Rp 1,010,000
105 CSSD : POUCHES 7,5 CM x 200 ROLL 17 Rp 12,835,000 17 Rp - - Rp - 17 N/A Rp 755,000 Rp 12,835,000
106 CSSD : POUCHES SATUAN (200X320) PCS 200 Rp 1,000,000 200 Rp - - Rp - 200 May-22 Rp 5,000 Rp 1,000,000
107 CSSD : POUCHES SATUAN (305X430) PCS - Rp - GLOPACK 200 Rp 4,125 N/A GLOMED 200 Rp 825,000 - Rp - 200 N/A Rp 4,125 Rp 825,000
108 CSSD : STEAM STERILIZATION BOWIE DICK (1) BOX 1 Rp - 1 Rp - - Rp - 1 Jan-21 Rp - Rp -
109 CSSD : STEAM STERILIZATION BOWIE DICK (2) BOX - Rp - 20-Nov-20 STERICLIN 2 Rp 1,950,000 Sep-21 PARIT PADANG 2 Rp 3,900,000 - Rp - 2 Sep-21 Rp 1,950,000 Rp 3,900,000
110 DECONEX LUBE SPRAY (B3) BOTOL 3 Rp 1,695,000 3 Rp - - Rp - 3 Nov-21 Rp 565,000 Rp 1,695,000
111 DINKES DKI : BOOTS PCS 20 Rp 2,156,000 20 Rp - - Rp - 20 N/A Rp 107,800 Rp 2,156,000
112 DINKES DKI : COVERALL PCS 400 Rp 79,200,000 400 Rp - - Rp - 400 N/A Rp 198,000 Rp 79,200,000
113 DINKES DKI : COVERALL PCS 132 Rp 90,750,000 132 Rp - - Rp - 132 - Rp 687,500 Rp 90,750,000
114 DINKES DKI : COVERALL KAS KURNIA PCS - Rp - 09-Nov-20 KAS KURNIA 1800 Rp 170,500 N/A DINKES 1,800 Rp 306,900,000 1,800 Rp 306,900,000 - N/A Rp 170,500 Rp -
115 DINKES DKI : COVERALL MNG PCS - Rp - 01-Dec-20 MNG METALIZER 5780 Rp 165,000 N/A DINKES 5,780 Rp 953,700,000 364 Rp 60,060,000 5,416 N/A Rp 165,000 Rp 893,640,000
116 DINKES DKI : FACE SHIELD PCS - Rp - 09-Nov-20 640 Rp 11,000 N/A DINKES 640 Rp 7,040,000 160 Rp 1,760,000 480 N/A Rp 11,000 Rp 5,280,000
117 DINKES DKI : GLOVE LATEX BOX@100 BOX - Rp - 27-Oct-20 200 Rp 192,500 N/A DINKES 200 Rp 38,500,000 - Rp - 200 N/A Rp 192,500 Rp 38,500,000
118 DINKES DKI : GLOVE LATEX SUPERGARD BOX@100 BOX - Rp - 02-Dec-20 SUPERGARD 820 Rp 176,000 N/A DINKES (UNOLAB) 820 Rp 144,320,000 - Rp - 820 N/A Rp 176,000 Rp 144,320,000
119 DINKES DKI : GLOVE NITRIL BOX@100 BOX - Rp - 27-Oct-20 80 Rp 242,000 N/A DINKES 80 Rp 19,360,000 - Rp - 80 N/A Rp 242,000 Rp 19,360,000
120 DINKES DKI : GLOVE NITRIL SUPERGARD BOX@100 BOX - Rp - 02-Dec-20 SUPERGARD 300 Rp 196,000 N/A DINKES (UNOLAB) 300 Rp 58,800,000 - Rp - 300 N/A Rp 196,000 Rp 58,800,000
121 DINKES DKI : GOWN PCS 400 Rp 17,600,000 400 Rp - - Rp - 400 N/A Rp 44,000 Rp 17,600,000
122 DINKES DKI : HANDSCOEN NON STERIL BOX 100 Rp 19,250,000 100 Rp - - Rp - 100 N/A Rp 192,500 Rp 19,250,000
123 DINKES DKI : HANDSCOEN STERIL PASANG - Rp - 25-Nov-20 1900 Rp 8,800 N/A DINKES 1,900 Rp 16,720,000 - Rp - 1,900 N/A Rp 8,800 Rp 16,720,000
124 DINKES DKI : MASKER BEDAH 3M BOX@50 BOX - Rp - 02-Dec-20 3M 168 Rp 70,050 N/A DINKES 168 Rp 11,768,400 - Rp - 168 N/A Rp 70,050 Rp 11,768,400
125 DINKES DKI : MASKER KN95 PCS - Rp - 13-Nov-20 150 Rp 11,500 N/A DINKES 150 Rp 1,725,000 - Rp - 150 N/A Rp 11,500 Rp 1,725,000
126 DINKES DKI : MASKER KN95 RESPOKARE PCS - Rp - 09-Nov-20 RESPOKARE 200 Rp 66,000 N/A DINKES 200 Rp 13,200,000 - Rp - 200 N/A Rp 66,000 Rp 13,200,000
127 DINKES DKI : MASKER N95 PCS - Rp - 13-Nov-20 350 Rp 66,000 N/A DINKES 350 Rp 23,100,000 - Rp - 350 N/A Rp 66,000 Rp 23,100,000
128 DINKES DKI : MASKER N95 PCS 300 Rp 19,800,000 300 Rp - - Rp - 300 N/A Rp 66,000 Rp 19,800,000
129 DINKES DKI : MASKER N95 TAWADA PCS - Rp - 09-Nov-20 TAWADA 300 Rp 33,000 N/A DINKES 300 Rp 9,900,000 - Rp - 300 N/A Rp 33,000 Rp 9,900,000
130 DRAEGER WATERLOCK PCS 24 Rp - 24 Rp - - Rp - 24 Feb-23 Rp - Rp -
131 DUODERM PCS 30 Rp 2,640,000 30 Rp - 5 Rp 440,000 25 Nov-23 Rp 88,000 Rp 2,200,000
132 ECG ELECTRODE ADULT / EKG ELEKTRODA DEWASA PCS 6,810 Rp 14,972,693 6,810 Rp - 150 Rp 329,795 6,660 Mar-22 Rp 2,199 Rp 14,642,898
133 ECG ELECTRODE CHILD / EKG ELEKTRODA ANAK PCS 1,140 Rp 3,341,910 1,140 Rp - - Rp - 1,140 Mar-22 Rp 2,932 Rp 3,341,910
134 ELASTIC BANDAGE / POLICREPE (7.5 X 4.55) ROLL 168 Rp 4,216,800 168 Rp - - Rp - 168 May-24 Rp 25,100 Rp 4,216,800
135 ELECTROSURGICAL PAD PCS 150 Rp 2,700,000 150 Rp - - Rp - 150 Jan-21 Rp 18,000 Rp 2,700,000
136 ELECTROSURGICAL PENCIL / PENSIL COTTER PCS 475 Rp 11,875,000 475 Rp - - Rp - 475 Jul-22 Rp 25,000 Rp 11,875,000
137 ETIL KLORIDA SPRAY BOTOL 30 Rp 4,950,000 30 Rp - 10 Rp 1,650,000 20 Jul-22 Rp 165,000 Rp 3,300,000
138 ETT INTUBATING STYLET 3.0 PCS 20 Rp 2,760,000 20 Rp - - Rp - 20 - Rp 138,000 Rp 2,760,000
139 ETT INTUBATING STYLET 3.5 PCS 19 Rp 2,622,000 19 Rp - - Rp - 19 Jun-23 Rp 138,000 Rp 2,622,000
140 ETT INTUBATING STYLET 4.0 PCS 26 Rp 3,588,000 26 Rp - - Rp - 26 Mar-23 Rp 138,000 Rp 3,588,000
141 ETT INTUBATING STYLET 4.5 PCS 19 Rp 2,622,000 19 Rp - - Rp - 19 Oct-24 Rp 138,000 Rp 2,622,000
142 ETT INTUBATING STYLET 5.0 PCS 38 Rp 5,244,000 38 Rp - - Rp - 38 Dec-23 Rp 138,000 Rp 5,244,000
145 ETT INTUBATING STYLET 6.5 PCS 11 Rp 1,518,000 11 Rp - - Rp - 11 Sep-24 Rp 138,000 Rp 1,518,000
147 ETT INTUBATING STYLET 7.5 PCS 50 Rp 6,900,000 50 Rp - - Rp - 50 Apr-24 Rp 138,000 Rp 6,900,000
148 ETT INTUBATING STYLET 8.0 PCS - Rp - - Rp - - Rp - - - Rp 138,000 Rp -
149 ETT NO. 2.0 PCS 70 Rp 224,000 70 Rp
Exp.Date Nilai STOK HARGA HARGA
NO NAMA ALKES SATUAN STOK AWAL Rupiah Stok awal Tanggal Merk Penerimaan Harga Satuan + PPN Penerimaan Distributor Persediaan Penerimaan PENGELUARAN Rupiah Pengeluaran AKHIR EXP. DATE SATUAN TOTAL
167 FEEDING / STOMACH TUBE NO. 10 PCS 80 Rp 642,400 80 Rp - - Rp - 80 May-25 Rp 8,030 Rp 642,400
168 FEEDING / STOMACH TUBE NO. 12 PCS 100 Rp 4,400,000 100 Rp - - Rp - 100 Jan-21 Rp 44,000 Rp 4,400,000
169 FEEDING / STOMACH TUBE NO. 14 PCS 80 Rp 672,560 80 Rp - - Rp - 80 Jan-25 Rp 8,407 Rp 672,560
170 FEEDING / STOMACH TUBE NO. 16 (1) PCS 44 Rp 369,908 44 Rp - 44 Rp 369,908 - - Rp 8,407 Rp -
171 FEEDING / STOMACH TUBE NO. 16 (2) PCS - Rp - 20-Nov-20 TERUMO 200 Rp 12,430 Apr-25 MBS 200 Rp 2,486,000 - Rp - 200 Apr-25 Rp 12,430 Rp 2,486,000
172 FEEDING / STOMACH TUBE NO. 18 PCS 30 Rp 1,320,000 30 Rp - - Rp - 30 Aug-24 Rp 44,000 Rp 1,320,000
173 FEEDING / STOMACH TUBE NO. 3.5 PCS 100 Rp 594,200 100 Rp - - Rp - 100 May-23 Rp 5,942 Rp 594,200
174 FEEDING / STOMACH TUBE NO. 5 (100 CM) PCS 100 Rp 260,700 100 Rp - - Rp - 100 Sep-24 Rp 2,607 Rp 260,700
175 FEEDING / STOMACH TUBE NO. 5 (40 CM) PCS 100 Rp 4,400,000 100 Rp - - Rp - 100 Apr-21 Rp 44,000 Rp 4,400,000
178 FOLEY CATH NO. 10 (1) PCS 30 Rp 81,810 30 Rp - - Rp - 30 Aug-22 Rp 2,727 Rp 81,810
180 FOLEY CATH NO. 12 PCS 100 Rp 1,380,000 100 Rp - - Rp - 100 Jul-23 Rp 13,800 Rp 1,380,000
181 FOLEY CATH NO. 14 PCS 30 Rp 357,000 30 Rp - - Rp - 30 Jun-22 Rp 11,900 Rp 357,000
182 FOLEY CATH NO. 16 (1) PCS - Rp - - Rp - - Rp - - - Rp 10,340 Rp -
183 FOLEY CATH NO. 16 (2) PCS 590 Rp 5,428,000 590 Rp - - Rp - 590 Sep-23 Rp 9,200 Rp 5,428,000
184 FOLEY CATH NO. 18 (1) PCS 10 Rp 108,900 10 Rp - - Rp - 10 Jul-24 Rp 10,890 Rp 108,900
185 FOLEY CATH NO. 18 (2) PCS 300 Rp 2,760,000 300 Rp - - Rp - 300 Apr-25 Rp 9,200 Rp 2,760,000
186 FOLEY CATH NO. 20 PCS 60 Rp 436,320 60 Rp - - Rp - 60 Jan-22 Rp 7,272 Rp 436,320
187 FOLEY CATH NO. 6 PCS 200 Rp 1,454,400 200 Rp - - Rp - 200 Feb-21 Rp 7,272 Rp 1,454,400
188 FOLEY CATH NO. 8 (1) PCS 40 Rp 1,200,000 40 Rp - - Rp - 40 Jul-21 Rp 30,000 Rp 1,200,000
190 FORMALIN 37 % 10 LITER DRIGEN 2 Rp 1,000,000 2 Rp - - Rp - 2 N/A Rp 500,000 Rp 1,000,000
191 GUDEL NO. 0 (60 MM) HITAM PCS 49 Rp 576,632 49 Rp - - Rp - 49 Mar-24 Rp 11,768 Rp 576,632
192 GUDEL NO. 00 (50 MM) BIRU PCS 49 Rp 576,632 49 Rp - - Rp - 49 Mar-24 Rp 11,768 Rp 576,632
193 GUDEL NO. 000 (40 MM)PINK PCS 40 Rp 470,720 40 Rp - - Rp - 40 Mar-24 Rp 11,768 Rp 470,720
194 GUDEL NO. 1 (70 MM) PUTIH PCS 50 Rp 588,400 50 Rp - - Rp - 50 Mar-24 Rp 11,768 Rp 588,400
195 GUDEL NO. 2 (80 MM) HIJAU PCS 18 Rp 211,824 18 Rp - - Rp - 18 Mar-24 Rp 11,768 Rp 211,824
196 GUDEL NO. 3 (100 MM) MERAH PCS 46 Rp 541,328 46 Rp - - Rp - 46 Mar-24 Rp 11,768 Rp 541,328
197 GUDEL NO. 3 (90 MM) PCS - Rp - - Rp - - Rp - - - Rp 11,768 Rp -
198 GUDEL NO. 4 (110 MM) MERAH PCS - Rp - - Rp - - Rp - - - Rp 11,768 Rp -
199 GUDEL NO. 6 (120 MM) UNGU PCS - Rp - - Rp - - Rp - - - Rp 11,768 Rp -
200 H2O2 / HIDROGEN PEROKSIDA 1 LITER BOTOL 83 Rp 12,782,000 83 Rp - - Rp - 83 N/A Rp 154,000 Rp 12,782,000
201 HANDSCOEN BIRU L (NON POWDER) BOX 4 Rp 208,000 4 Rp - - Rp - 4 N/A Rp 52,000 Rp 208,000
202 HANDSCOEN BIRU M (NON POWDER) BOX - Rp - - Rp - - Rp - - - Rp 52,000 Rp -
203 HANDSCOEN BIRU S (NON POWDER) BOX - Rp - - Rp - - Rp - - - Rp 52,000 Rp -
204 HANDSCOEN OBGYN 6.5 PASANG 50 Rp 2,036,650 50 Rp - - Rp - 50 Jun-25 Rp 40,733 Rp 2,036,650
205 HANDSCOEN OBGYN 7.0 PASANG - Rp - 5-Nov-20 REMEDI 300 Rp 38,830 DUTA AFIAT 300 Rp 11,649,000 - Rp - 300 Rp 38,830 Rp 11,649,000
206 HANDSCOEN OBGYN 7.5 (1) PASANG 150 Rp 6,098,400 150 Rp - 25 Rp 1,016,400 125 Jun-25 Rp 40,656 Rp 5,082,000
207 HANDSCOEN OBGYN 7.5 (2) PASANG - Rp - 5-Nov-20 REMEDI 600 Rp 38,830 DUTA AFIAT 600 Rp 23,298,000 - Rp - 600 Rp 38,830 Rp 23,298,000
208 HANDSCOEN OBGYN L PASANG 4 Rp 200,000 4 Rp - - Rp - 4 N/A Rp 50,000 Rp 200,000
209 HANDSCOEN STERIL NO. 6 PASANG 1,000 Rp 6,325,000 1,000 Rp - - Rp - 1,000 Jan-22 Rp 6,325 Rp 6,325,000
210 HANDSCOEN STERIL NO. 6.5 (1) PASANG 200 Rp 1,540,000 200 Rp - - Rp - 200 May-24 Rp 7,700 Rp 1,540,000
211 HANDSCOEN STERIL NO. 6.5 (2) PASANG 500 Rp 3,500,000 500 Rp - - Rp - 500 Mar-25 Rp 7,000 Rp 3,500,000
212 HANDSCOEN STERIL NO. 6.5 (3) PASANG 500 Rp 3,297,500 500 Rp - - Rp - 500 Jun-24 Rp 6,595 Rp 3,297,500
213 HANDSCOEN STERIL NO. 7 (1) PASANG 300 Rp 1,897,500 300 Rp - - Rp - 300 Jul-23 Rp 6,325 Rp 1,897,500
214 HANDSCOEN STERIL NO. 7 (2) PASANG - Rp - 02-Nov-20 MEDIC-DENT 2000 Rp 6,160 MMP 2,000 Rp 12,320,000 - Rp - 2,000 Rp 6,160 Rp 12,320,000
215 HANDSCOEN STERIL NO. 7.5 (1) PASANG 350 Rp 2,450,000 350 Rp - 100 Rp 700,000 250 May-25 Rp 7,000 Rp 1,750,000
217 HANDSCOEN STERIL NO. 8 PASANG 150 Rp 948,750 150 Rp - - Rp - 150 Apr-22 Rp 6,325 Rp 948,750
218 HANDSCOEN UKURAN L (1) BOX 20 Rp 1,250,000 20 Rp - - Rp - 20 N/A Rp 62,500 Rp 1,250,000
220 HANDSCOEN UKURAN M (1) BOX 200 Rp 26,000,000 200 Rp - - Rp - 200 N/A Rp 130,000 Rp 26,000,000
221 HANDSCOEN UKURAN M (2) BOX 80 Rp 7,040,000 80 Rp - 22 Rp 1,936,000 58 N/A Rp 88,000 Rp 5,104,000
222 HANDSCOEN UKURAN S (1) BOX 80 Rp 5,800,000 80 Rp - 80 Rp 5,800,000 - - Rp 72,500 Rp -
223 HANDSCOEN UKURAN S (2) BOX 300 Rp 39,000,000 300 Rp - 230 Rp 29,900,000 70 N/A Rp 130,000 Rp 9,100,000
224 HANDSCOEN UKURAN XS (1) BOX 76 Rp 4,750,000 76 Rp - - Rp - 76 N/A Rp 62,500 Rp 4,750,000
226 HERNIA MESH PCS 24 Rp 5,776,080 24 Rp - - Rp - 24 Apr-25 Rp 240,670 Rp 5,776,080
227 HERNIA MESH PCS 24 Rp 6,153,600 24 Rp - - Rp - 24 Nov-23 Rp 256,400 Rp 6,153,600
228 HUMIDIFICATION CHAMBER DEWASA PCS 5 Rp 425,425 18-Nov-20 30 Rp 85,085 Mar-23 TOTAL MEDIKA 35 Rp 2,552,550 5 Rp 425,425 30 Mar-23 Rp 85,085 Rp 2,552,550
229 HYPAFIX / PHARMAFIX 10X5 ROLL 100 Rp 3,200,000 100 Rp - 8 Rp 256,000 92 Jan-23 Rp 32,000 Rp 2,944,000
230 HYPAFIX / PHARMAFIX 5X5 ROLL 112 Rp 1,848,000 112 Rp - 82 Rp 1,353,000 30 Jul-24 Rp 16,500 Rp 495,000
231 ID BAND ANAK / CHILD BIRU PCS 1,200 Rp 1,200,000 1,200 Rp - - Rp - 1,200 N/A Rp 1,000 Rp 1,200,000
232 ID BAND ANAK / CHILD PINK PCS 800 Rp 862,400 800 Rp - - Rp - 800 N/A Rp 1,078 Rp 862,400
233 ID BAND DEWASA / ADULT BIRU PCS 1,200 Rp 1,200,000 1,200 Rp - - Rp - 1,200 N/A Rp 1,000 Rp 1,200,000
234 ID BAND DEWASA / ADULT PINK PCS 1,500 Rp 1,617,000 1,500 Rp - - Rp - 1,500 N/A Rp 1,078 Rp 1,617,000
235 INFUSET MACRO PCS 2,000 Rp 13,200,000 2,000 Rp - - Rp - 2,000 Jun-24 Rp 6,600 Rp 13,200,000
236 INFUSET MICRO PCS 540 Rp 4,849,740 540 Rp - 540 Rp 4,849,740 - - Rp 8,981 Rp -
237 INTUBATING STYLET LARGE 14FR PCS - Rp - - Rp - - Rp - - - Rp 61,000 Rp -
238 INTUBATING STYLET MEDIUM 10FR PCS - Rp - - Rp - - Rp - - - Rp 62,000 Rp -
239 INTUBATING STYLET SMALL 6FR PCS - Rp - - Rp - - Rp - - - Rp 59,000 Rp -
240 IV DRESSING / CANOFIX 6 x 8 PCS 600 Rp 4,620,000 600 Rp - - Rp - 600 Aug-23 Rp 7,700 Rp 4,620,000
241 JARUM AKUPUNTUR 0.18 X 15 BOX - Rp - - Rp - - Rp - - - Rp 41,000 Rp -
242 JARUM AKUPUNTUR 0.25 X 25 BOX 95 Rp 3,895,000 95 Rp - - Rp - 95 Dec-22 Rp 41,000 Rp 3,895,000
244 KACAMATA GOGGLE PCS - Rp - - Rp - - Rp - - - Rp 220,000 Rp -
245 KAIN NON WOVEN BIRU BOX 4 Rp - 4 Rp - - Rp - 4 Jun-24 Rp - Rp -
246 KAIN NON WOVEN HIJAU BOX 3 Rp 4,507,500 3 Rp - - Rp - 3 Apr-24 Rp 1,502,500 Rp 4,507,500
247 KAPAS PUTIH 500 GRAM PCS 24 Rp 1,309,440 24 Rp - - Rp - 24 N/A Rp 54,560 Rp 1,309,440
248 KAPSUL NO. 0 PACK 30 Rp 1,290,000 30 Rp - 5 Rp 215,000 25 N/A Rp 43,000 Rp 1,075,000
249 KAPSUL NO. 00 PACK 12 Rp 840,000 12 Rp - 1 Rp 70,000 11 N/A Rp 70,000 Rp 770,000
250 KASA BULAT / DEPER PCS 600 Rp 600,000 600 Rp - - Rp - 600 N/A Rp 1,000 Rp 600,000
251 KASA HIDROFIL / GULUNG 4 x 10 ROLL 800 Rp - 800 Rp - 100 Rp - 700 N/A Rp - Rp -
252 KASA HIDROFIL / GULUNG BESAR 36 x 80 ROLL 31 Rp 5,533,500 31 Rp - - Rp - 31 N/A Rp 178,500 Rp 5,533,500
253 KASA NON X-RAY PACK 500 Rp 12,028,500 16-Nov-20 PROKASA 700 Rp 24,057 N/A JAYADI 1,200 Rp 16,839,900 200 Rp 4,811,400 1,000 N/A Rp 24,057 Rp 24,057,000
254 KASA X-RAY PCS 400 Rp 12,100,000 400 Rp - - Rp - 400 N/A Rp 30,250 Rp 12,100,000
255 KEMKES : KONDOM SUTERA PCS 1,440 Rp 515,520 1,440 Rp - - Rp - 1,440 Nov-21 Rp 358 Rp 515,520
256 KEMKES : LUBRICANT SUTERA SACHET - Rp - - Rp - - Rp - - - Rp 486 Rp -
257 KEMKES : POT DAHAK PCS - Rp - - Rp - - Rp - - - Rp - Rp -
258 KEMKES : REAGEN ZIEHL NEELSEN BOX 20 Rp - 20 Rp - - Rp - 20 Jun-21 Rp - Rp -
259 KERTAS CTG PACK 28 Rp 3,080,000 28 Rp - - Rp - 28 N/A Rp 110,000 Rp 3,080,000
260 KERTAS CTG (RB) PCS - Rp - - Rp - - Rp - - - Rp 325,000 Rp -
261 KERTAS ECG / EKG PENDEK : 50 MM X 30 M ROLL 14 Rp 3,920,000 14 Rp - - Rp - 14 N/A Rp 280,000 Rp 3,920,000
262 KERTAS EKG ESAOTE P8000 BOX - Rp - - Rp - - Rp - - - Rp 247,500 Rp -
263 KERTAS EKG PANJANG : 210 MM X 30 M FUKUDA ROLL 80 Rp 15,011,440 80 Rp - 10 Rp 1,876,430 70 N/A Rp 187,643 Rp 13,135,010
264 KERTAS RECORDING PAPER FUKUDA 110 X 140 PACK 24 Rp - 24 Rp - - Rp - 24 N/A Rp - Rp -
265 KERTAS USG ROLL 50 Rp 10,000,000 50 Rp - - Rp - 50 N/A Rp 200,000 Rp 10,000,000
266 KLY LUBRICANT JELL TUBE 96 Rp 1,603,200 96 Rp - - Rp - 96 Feb-22 Rp 16,700 Rp 1,603,200
267 KOH 10 % 100 ML BOTOL 45 Rp 2,340,000 45 Rp - - Rp - 45 Sep-21 Rp 52,000 Rp 2,340,000
268 KONDOM ARTIKA @12 BOX 15 Rp 1,309,080 15 Rp - - Rp - 15 Oct-22 Rp 87,272 Rp 1,309,080
269 KONDOM KATETER PCS 200 Rp 2,017,000 200 Rp - - Rp - 200 Jun-22 Rp 10,085 Rp 2,017,000
270 LAKMUS MERAH NESCO @100 PACK 2 Rp 250,000 2 Rp - - Rp - 2 N/A Rp 125,000 Rp 250,000
271 LAMINARIA L PCS 50 Rp 7,370,000 50 Rp - - Rp - 50 Apr-25 Rp 147,400 Rp 7,370,000
272 LAMINARIA M PCS 50 Rp 7,370,000 50 Rp - - Rp - 50 Apr-25 Rp 147,400 Rp 7,370,000
273 LAMINARIA S PCS 25 Rp 3,685,000 25 Rp - - Rp - 25 Apr-25 Rp 147,400 Rp 3,685,000
274 LARINGEAL MASK AIRWAY NO 1.0 (1) PCS 3 Rp - 3 Rp - - Rp - 3 Mar-24 Rp - Rp -
275 LARINGEAL MASK AIRWAY NO 1.0 (2) PCS - Rp - 10-Nov-20 WORK 10 Rp 124,000 Dec-24 DWIASRI 10 Rp 1,240,000 - Rp - 10 Mar-24 Rp 124,000 Rp 1,240,000
278 LARINGEAL MASK AIRWAY NO 2.0 PCS 3 Rp - 3 Rp - - Rp - 3 Mar-24 Rp - Rp -
282 LARINGEAL MASK AIRWAY NO 3.0 (2) PCS - Rp - 27-Nov-20 RUSCH 15 Rp 202,863 Aug-22 PARIT PADANG 15 Rp 3,042,945 - Rp - 15 Aug-22 Rp 202,863 Rp 3,042,945
284 LARINGEAL MASK AIRWAY NO 4.0 (2) PCS - Rp - 10-Nov-20 WORK 15 Rp 124,000 May-24 DWIASRI 15 Rp 1,860,000 - Rp - 15 Mar-24 Rp 124,000 Rp 1,860,000
285 LARINGEAL MASK AIRWAY NO 5.0 PCS - Rp - 10-Nov-20 WORK 10 Rp 124,000 May-24 DWIASRI 10 Rp 1,240,000 - Rp - 10 Mar-24 Rp 124,000 Rp 1,240,000
286 LARINGOSKOP BLADE SIZE 2 PCS 10 Rp 269,500 10 Rp - 7 Rp 188,650 3 Jan-22 Rp 26,950 Rp 80,850
287 LARINGOSKOP BLADE SIZE 3 PCS 30 Rp 1,212,750 30 Rp - 7 Rp 282,975 23 Jan-22 Rp 40,425 Rp 929,775
289 MASKER ANESTESI (SIZE 2.0 ) PCS 21 Rp 669,900 21 Rp - - Rp - 21 Jan-21 Rp 31,900 Rp 669,900
292 MASKER BEDAH EARLOOP (1) BOX 80 Rp 13,310,880 80 Rp - 40 Rp 6,655,440 40 N/A Rp 166,386 Rp 6,655,440
293 MASKER BEDAH EARLOOP (2) BOX - Rp - 27-Oct-20 MAS 150 Rp 55,000 N/A MMP 150 Rp 8,250,000 30 Rp 1,650,000 120 N/A Rp 55,000 Rp 6,600,000
294 MASKER BEDAH EARLOOP (3) BOX - Rp - 02-Nov-20 MAS 150 Rp 55,000 N/A MMP 150 Rp 8,250,000 150 Rp 8,250,000 - - Rp 55,000 Rp -
295 MASKER BEDAH TIE ON (1) BOX - Rp - 02-Nov-20 MAS 100 Rp 55,000 N/A MMP 100 Rp 5,500,000 20 Rp 1,100,000 80 N/A Rp 55,000 Rp 4,400,000
296 MASKER BEDAH TIE ON (2) BOX 40 Rp 6,655,440 40 Rp - - Rp - 40 N/A Rp 166,386 Rp 6,655,440
297 MASKER N95 TIPE 1860 (1) PCS 460 Rp 30,360,000 460 Rp - - Rp - 460 N/A Rp 66,000 Rp 30,360,000
298 MASKER N95 TIPE 1860 (2) PCS - Rp - 25-Nov-20 3M 500 Rp 44,000 N/A JAYADI 500 Rp 22,000,000 - Rp - 500 N/A Rp 44,000 Rp 22,000,000
299 MASKER N95 TIPE 8210 (1) PCS 1,400 Rp 18,200,000 1,400 Rp - 1,400 Rp 18,200,000 - - Rp 13,000 Rp -
300 MASKER N95 TIPE 8210 (2) PCS - Rp - 12-Nov-20 3M 2,000 Rp 13,000 N/A MANDIRI PANCA 2,000 Rp 26,000,000 200 Rp 2,600,000 1,800 N/A Rp 13,000 Rp 23,400,000
301 MASKER N95 TIPE KN95 (1) PCS 450 Rp 9,828,225 450 Rp - 175 Rp 3,822,088 275 N/A Rp 21,841 Rp 6,006,138
303 MASKER NEBU ANAK PCS 542 Rp 4,986,400 542 Rp - - Rp - 542 Jan-24 Rp 9,200 Rp 4,986,400
304 MASKER NEBU DEWASA PCS 600 Rp 6,204,000 600 Rp - - Rp - 600 Jan-24 Rp 10,340 Rp 6,204,000
305 MASKER NON-REBREATHER ANAK PCS 100 Rp 1,570,000 100 Rp - - Rp - 100 Sep-21 Rp 15,700 Rp 1,570,000
306 MASKER NON-REBREATHER DEWASA PCS 178 Rp 2,794,600 178 Rp - 19 Rp 298,300 159 May-22 Rp 15,700 Rp 2,496,300
307 MASKER OKSIGEN ANAK PCS 162 Rp 1,036,800 162 Rp - 21 Rp 134,400 141 May-22 Rp 6,400 Rp 902,400
308 MASKER OKSIGEN DEWASA PCS 128 Rp 819,200 128 Rp - - Rp - 128 Aug-22 Rp 6,400 Rp 819,200
309 MASKER REBREATHER ANAK (NON RESERVOIR) PCS 200 Rp 3,140,000 200 Rp - - Rp - 200 Jan-21 Rp 15,700 Rp 3,140,000
310 MASKER REBREATHER DEWASA (NON RESERVOIR) PCS 190 Rp 2,983,000 190 Rp - - Rp - 190 Jan-21 Rp 15,700 Rp 2,983,000
311 MASKER TIPE NEB PCS 175 Rp 1,400,000 175 Rp - - Rp - 175 N/A Rp 8,000 Rp 1,400,000
312 MCGRATH HANDLE PCS 1 Rp 21,303,900 1 Rp - 1 Rp 21,303,900 - - Rp 21,303,900 Rp -
313 MECONIUM ASPIRATOR PCS 8 Rp - 8 Rp - - Rp - 8 N/A Rp - Rp -
314 MICROPORE 0.5 INCH PCS - Rp - - Rp - - Rp - - - Rp 4,157 Rp -
315 MICROPORE 1 INCH PCS 972 Rp 6,729,156 972 Rp - 120 Rp 830,760 852 Mar-24 Rp 6,923 Rp 5,898,396
316 MICROPORE 2 INCH PCS 504 Rp 23,284,800
@
@
W
335 POLI GIGI : AH-PLUS PCS - Rp - - Rp - - Rp - - - Rp 30,000 Rp -
336 POLI GIGI : CAVIT G BOX - Rp - - Rp - - Rp - - - Rp 135,300 Rp -
337 POLI GIGI : CAVITON WHITE BOX 5 Rp 1,435,500 5 Rp - - Rp - 5 Feb-21 Rp 287,100 Rp 1,435,500
338 POLI GIGI : CELLULOSE STRIP PACK - Rp - 23-Nov-20 DENTORAMA 1 Rp 151,000 N/A COBRA DENTAL 1 Rp 151,000 1 Rp 151,000 - - Rp 151,000 Rp -
339 POLI GIGI : COTTON ROLL / KAPAS GULUNG PACK 6 Rp 510,000 6 Rp - - Rp - 6 Apr-22 Rp 85,000 Rp 510,000
340 POLI GIGI : DYCAL BOX 1 Rp 658,900 1 Rp - - Rp - 1 Feb-22 Rp 658,900 Rp 658,900
341 POLI GIGI : EUGENOL BOTOL - Rp - - Rp - - Rp - - - Rp 30,000 Rp -
342 POLI GIGI : GUTTA PERCHA 0,6% NO. 20 BOX 5 Rp 3,877,500 5 Rp - - Rp - 5 Dec-21 Rp 775,500 Rp 3,877,500
346 POLI GIGI : JARUM CITOJECT 16 BOX 1 Rp 825,000 1 Rp - - Rp - 1 Dec-21 Rp 825,000 Rp 825,000
347 POLI GIGI : JARUM CITOJECT 21 BOX 3 Rp 2,475,000 3 Rp - - Rp - 3 Dec-21 Rp 825,000 Rp 2,475,000
348 POLI GIGI : JARUM RETAFLEX PCS - Rp - 23-Nov-20 BIODINAMIKA 1 Rp 140,000 N/A COBRA DENTAL 1 Rp 140,000 1 Rp 140,000 - - Rp 140,000 Rp -
349 POLI GIGI : K FILE 10 NO 21 STRIP 10 Rp 2,288,000 10 Rp - - Rp - 10 N/A Rp 228,800 Rp 2,288,000
353 POLI GIGI : K FILE 8 NO 21 STRIP - Rp - - Rp - - Rp - - - Rp 228,800 Rp -
355 POLI GIGI : PAPER POINT UK 25 BOX 7 Rp 418,880 7 Rp - - Rp - 7 N/A Rp 59,840 Rp 418,880
357 POLI GIGI : PAPER POINT UK 35 BOX - Rp - - Rp - - Rp - - - Rp 59,840 Rp -
360 POLI GIGI : POLIBIBS TOWEL / TISU PACK 9 Rp 1,089,000 9 Rp - - Rp - 9 N/A Rp 121,000 Rp 1,089,000
361 POLI GIGI : SALIVA EJECTOR @100 PACK 9 Rp - 9 Rp - - Rp - 9 N/A Rp - Rp -
362 POLI GIGI : VITAPAN PACK 1 Rp - 1 Rp - - Rp - 1 N/A Rp - Rp -
363 POSTOFIX / DERMAFIX / TEGADERM 10 x 10 PCS 900 Rp 12,413,573 900 Rp - - Rp - 900 Aug-22 Rp 13,793 Rp 12,413,573
365 POSTOFIX / DERMAFIX / TEGADERM 10 x 25 PCS 240 Rp 7,050,960 240 Rp - - Rp - 240 Jan-25 Rp 29,379 Rp 7,050,960
366 POT URIN 30CC PCS - Rp - - Rp - - Rp - - - Rp 825 Rp -
367 POT URIN 50CC PCS 3,500 Rp 3,657,500 3,500 Rp - - Rp - 3,500 N/A Rp 1,045 Rp 3,657,500
368 PRONTOSAN CAIR / SOLUTION BOTOL 13 Rp 1,970,800 13 Rp - - Rp - 13 Apr-21 Rp 151,600 Rp 1,970,800
369 PRONTOSAN GEL TUBE 25 Rp 13,902,488 25 Rp - - Rp - 25 Dec-21 Rp 556,100 Rp 13,902,488
370 PROTAPER NEXT 21MM X1 PCS - Rp - - Rp - - Rp - - - Rp 945,000 Rp -
379 RAD : DENTAL X RAY FILM PCS - Rp - - Rp - - Rp - - - Rp - Rp -
380 RAD : FILM RONTGEN UKURAN L (35X43) BOX - Rp - - Rp - - Rp - - - Rp - Rp -
381 RAD : FILM RONTGEN UKURAN M (28X35) BOX 16 Rp 44,000,000 16 Rp - - Rp - 16 Jun-21 Rp 2,750,000 Rp 44,000,000
382 RAD : FILM RONTGEN UKURAN S (20X25) BOX 1 Rp 1,419,000 20-Nov-20 DVE 20 Rp 1,419,000 TRIPUTRA 21 Rp 28,380,000 1 Rp 1,419,000 20 Rp 1,419,000 Rp 28,380,000
383 RAD : KONTRAS IOPAMIRO BOTOL - Rp - - Rp - - Rp - - - Rp - Rp -
384 RAD : PHOSPOR SCREEN BOX 1 Rp 9,000,000 1 Rp - - Rp - 1 - Rp 9,000,000 Rp 9,000,000
385 RESPIRATORY BACTERIAL FILTER BSF 103 PCS 15 Rp 194,700 18-Nov-20 100 Rp 12,980 May-23 TOTAL MEDIKA 115 Rp 1,298,000 15 Rp 194,700 100 May-23 Rp 12,980 Rp 1,298,000
386 SABUN CUCI TANGAN OPERASI / E CARE DRIGEN 5 Rp 2,636,365 5 Rp - - Rp - 5 May-22 Rp 527,273 Rp 2,636,365
387 SAFETY BOX PCS 225 Rp 2,598,750 225 Rp - - Rp - 225 N/A Rp 11,550 Rp 2,598,750
388 SAKARUM LAKTIS 1 KG KG - Rp - - Rp - - Rp - - - Rp 627,000 Rp -
389 SANISWISS MULTIPURPOSE 20 LITER DRIGEN 4 Rp 13,300,000 4 Rp - - Rp - 4 N/A Rp 3,325,000 Rp 13,300,000
390 SEPTALKAN 500 ML BOTOL 27 Rp 4,482,432 27 Rp - 3 Rp 498,048 24 Mar-23 Rp 166,016 Rp 3,984,384
391 SHOE COVER PCS 8,000 Rp 7,920,000 8,000 Rp - 500 Rp 495,000 7,500 N/A Rp 990 Rp 7,425,000
392 SIKAT OPERASI / SURGICAL BRUSH PCS 432 Rp 2,315,520 432 Rp - - Rp - 432 Jun-24 Rp 5,360 Rp 2,315,520
393 SODIUM BICARBONAT 1 KG KG 4 Rp 204,000 4 Rp - - Rp - 4 Mar-22 Rp 51,000 Rp 204,000
394 SODIUM BICARBONAT 1 KG KG 12 Rp 600,000 12 Rp - 3 Rp 150,000 9 Feb-23 Rp 50,000 Rp 450,000
395 SOFRATULE / DARYANTULE / URGOTULE PCS 620 Rp 12,020,250 620 Rp - 150 Rp 2,908,125 470 Aug-22 Rp 19,388 Rp 9,112,125
396 SPALK INFUSAN ANAK PCS - Rp - - Rp - - Rp - - - Rp - Rp -
397 SPALK KAYU PCS 38 Rp - 38 Rp - - Rp - 38 N/A Rp - Rp -
398 SPINOCAN 25 PCS - Rp - - Rp - - Rp - - - Rp 47,300 Rp -
399 SPINOCAN 26 PCS - Rp - 25-Nov-20 BBRAUN 500 Rp 31,300 May-25 PARIT PADANG 500 Rp 15,650,000 - Rp - 500 May-25 Rp 31,300 Rp 15,650,000
400 SPINOCAN 27 (1) PCS 25 Rp 1,390,125 25 Rp - - Rp - 25 Jan-25 Rp 55,605 Rp 1,390,125
401 SPINOCAN 27 (2) PCS - Rp - 25-Nov-20 BBRAUN 200 Rp 38,300 Jul-25 PARIT PADANG 200 Rp 7,660,000 - Rp - 200 Jul-25 Rp 38,300 Rp 7,660,000
402 SPIRTUS 1 LITER BOTOL 3 Rp 84,000 3 Rp - - Rp - 3 N/A Rp 28,000 Rp 84,000
403 SPONGESTAN / GELITA SPONS PCS - Rp - - Rp - - Rp - - - Rp 115,500 Rp -
404 SPUIT 1 (1) PCS 1,800 Rp 1,584,648 1,800 Rp - 300 Rp 264,108 1,500 May-24 Rp 880 Rp 1,320,540
405 SPUIT 1 (2) PCS 8,600 Rp 5,934,000 8,600 Rp - - Rp - 8,600 - Rp 690 Rp 5,934,000
406 SPUIT 10 (1) PCS 500 Rp 731,500 500 Rp - 500 Rp 731,500 - - Rp 1,463 Rp -
407 SPUIT 10 (2) PCS 12,000 Rp 13,860,000 12,000 Rp - 600 Rp 693,000 11,400 Sep-24 Rp 1,155 Rp 13,167,000
408 SPUIT 20 PCS 1,500 Rp 19,050,000 1,500 Rp - - Rp - 1,500 Apr-21 Rp 12,700 Rp 19,050,000
409 SPUIT 3 PCS 8,700 Rp 5,829,000 8,700 Rp - 6,900 Rp 4,623,000 1,800 Nov-24 Rp 670 Rp 1,206,000
410 SPUIT 5 (1) PCS 1,200 Rp 1,181,064 1,200 Rp - - Rp - 1,200 Sep-24 Rp 984 Rp 1,181,064
411 SPUIT 5 (2) PCS 14,200 Rp 11,431,000 14,200 Rp - 1,500 Rp 1,207,500 12,700 Feb-25 Rp 805 Rp 10,223,500
412 SPUIT 50 ML CATHETHER TIP PCS 25 Rp 97,500 25 Rp - - Rp - 25 Jan-24 Rp 3,900 Rp 97,500
413 SPUIT 50 WITH NEEDLE PCS - Rp - - Rp - - Rp - - - Rp 4,620 Rp -
414 SUCTION CATHETHER NO. 10 PCS 500 Rp 1,303,500 500 Rp - - Rp - 500 Dec-24 Rp 2,607 Rp 1,303,500
415 SUCTION CATHETHER NO. 12 PCS 230 Rp 809,600 230 Rp - - Rp - 230 Jan-22 Rp 3,520 Rp 809,600
416 SUCTION CATHETHER NO. 14 PCS 100 Rp 359,700 100 Rp - - Rp - 100 Nov-24 Rp 3,597 Rp 359,700
417 SUCTION CATHETHER NO. 16 PCS 80 Rp 774,400 80 Rp - - Rp - 80 Apr-23 Rp 9,680 Rp 774,400
418 SUCTION CATHETHER NO. 6 PCS 50 Rp 118,500 50 Rp - - Rp - 50 Sep-24 Rp 2,370 Rp 118,500
419 SUCTION CATHETHER NO. 8 (1) PCS 100 Rp 359,700 100 Rp - - Rp - 100 May-24 Rp 3,597 Rp 359,700
421 SUCTION CONNECTING BIRU / YANKAUER (1) PCS 90 Rp 3,069,818 90 Rp - - Rp - 90 Oct-23 Rp 34,109 Rp 3,069,818
422 SUCTION CONNECTING BIRU / YANKAUER (2) PCS 315 Rp 7,765,065 315 Rp - 45 Rp 1,109,295 270 Nov-24 Rp 24,651 Rp 6,655,770
423 SUCTION CONNECTING KUNING / HEXAGON PCS 62 Rp 1,152,580 62 Rp - - Rp - 62 Nov-24 Rp 18,590 Rp 1,152,580
424 SUDIN JAKUT : COVERALL KALTECH PCS - Rp - 09-Nov-20 KALTECH 150 Rp 400,000 N/A SUDIN 150 Rp 60,000,000 20 Rp 8,000,000 130 N/A Rp 400,000 Rp 52,000,000
425 SUDIN JAKUT : RDT PCS - Rp - 01-Dec-20 150 Rp 108,060 Jul-22 SUDIN 150 Rp 16,209,000 150 Rp 16,209,000 - Jul-22 Rp 108,060 Rp -
426 SUDIN JAKUT : REAGEN HIV SD BIOLINE KIT 3,750 Rp 44,906,250 3,750 Rp - - Rp - 3,750 Jun-21 Rp 11,975 Rp 44,906,250
427 SURGICAL GOWN HOGY PCS 300 Rp 16,473,600 300 Rp - 15 Rp 823,680 285 N/A Rp 54,912 Rp 15,649,920
428 SURGICEL / SURGICAL HAEMOSTATE PCS 6 Rp 1,264,800 6 Rp - - Rp - 6 Oct-22 Rp 210,800 Rp 1,264,800
429 TCCA 90% TABLET BESAR BOTOL - Rp - - Rp - - Rp - - - Rp - Rp -
430 THREE WAY (3 WAY) PCS 200 Rp 3,000,000 200 Rp - - Rp - 200 Jul-23 Rp 15,000 Rp 3,000,000
431 THREE WAY (3 WAY) WITH TUBE PCS 100 Rp 1,402,500 100 Rp - - Rp - 100 Mar-22 Rp 14,025 Rp 1,402,500
432 TONGUE SPATEL / SPATEL KAYU @100 BOX 2 Rp - 2 Rp - - Rp - 2 N/A Rp - Rp -
433 TONGUE SPATEL / SPATEL KAYU @50 BOX 100 Rp 1,950,000 100 Rp - - Rp - 100 N/A Rp 19,500 Rp 1,950,000
434 TORNIQUETE ANAK PCS 2 Rp 330,000 2 Rp - - Rp - 2 N/A Rp 165,000 Rp 330,000
435 TORNIQUETE DEWASA PCS 6 Rp 990,000 6 Rp - - Rp - 6 N/A Rp 165,000 Rp 990,000
436 TRANSOFIX PCS 800 Rp 2,720,080 800 Rp - 50 Rp 170,005 750 Dec-24 Rp 3,400 Rp 2,550,075
437 UMBILICAL CORD KLEM (1) PCS 500 Rp 1,375,000 500 Rp - - Rp - 500 May-24 Rp 2,750 Rp 1,375,000
438 UMBILICAL CORD KLEM (2) PCS - Rp - 22-Nov-20 ONEMED 600 Rp 1,300 INTISUMBER 600 Rp 780,000 - Rp - 600 Rp 1,300 Rp 780,000
439 UNDERPAD (1) PCS 200 Rp 924,000 200 Rp - - Rp - 200 N/A Rp 4,620 Rp 924,000
440 UNDERPAD (2) PCS 1,710 Rp 6,669,000 1,710 Rp - 280 Rp 1,092,000 1,430 N/A Rp 3,900 Rp 5,577,000
441 URIN COLLECTOR PEDIATRIC PCS - Rp - 22-Nov-20 ONEMED 100 Rp 2,898 INTISUMBER 100 Rp 289,800 - Rp - 100 Rp 2,898 Rp 289,800
442 URINBAG (1) PCS - Rp - - Rp - - Rp - - - Rp 8,070 Rp -
443 URINBAG (2) PCS 120 Rp 968,400 120 Rp - 50 Rp 403,500 70 Dec-24 Rp 8,070 Rp 564,900
444 USG GEL 5 LITER DRIGEN 18 Rp 2,819,520 18 Rp - - Rp - 18 May-23 Rp 156,640 Rp 2,819,520
445 VASELIN PUTIH 1 KG KG 30 Rp 2,850,000 30 Rp - - Rp - 30 N/A Rp 95,000 Rp 2,850,000
446 VASELIN PUTIH 15 KG DRIGEN 1 Rp 1,250,000 1 Rp - 1 Rp 1,250,000 - - Rp 1,250,000 Rp -
447 WING NEEDLE 25 (1) PCS 100 Rp 1,320,000 100 Rp - 100 Rp 1,320,000 - - Rp 13,200 Rp -
448 WING NEEDLE 25 (2) PCS 200 Rp 1,128,600 200 Rp - - Rp - 200 Sep-22 Rp 5,643 Rp 1,128,600
Rp 2,584,239,920 Rp 2,040,809,075 Rp 625,340,265 Rp 3,999,708,731
Mengetahui Mengetahui Mengetahui
Kepala Instalasi Farmasi Kasie Penunjang Medis Direktur RSUD Tugu Koja
RSUD Tugu Koja
Nurhayati, S.Si., Apt. Deden Muliadi, S.Si., Apt. drg. Yeni Restuti, MPH
NIP. 197902112007012011 NIP. 197801112008011012 NIP. 1967121919920321001
STOK OPNAME ALKES JANUARI 2020
NO NAMA ALKES SATUAN Stok Rupiah Stok awal Tanggal Merk Penerimaan Harga Satuan Exp.Date Distributor Persediaan Nilai Pengeluaran Rupiah STOK EXP. DATE HARGA HARGA
Awal + PPN Penerimaan Penerimaan Pengeluaran AKHIR SATUAN TOTAL
2 ABOCATH 16 PCS 100 Rp 1,100,000 100 Rp - - Rp - 100 May-23 Rp 11,000 Rp 1,100,000
7 ABOCATH 26 PCS 2,600 Rp 85,514,000 2,600 Rp - 450 Rp 14,800,500 2,150 Jul-22 Rp 32,890 Rp 70,713,500
8 ALKACIDE 1 LTR BOTOL 130 Rp 351,434,655 130 Rp - 1 Rp 2,703,344 129 Jul-21 Rp 2,703,344 Rp 348,731,312
9 ALKAZYME 25 GRAM SACHET 93 Rp 87,978,000 93 Rp - - Rp - 93 Jan-21 Rp 946,000 Rp 87,978,000
10 ALKOHOL 1 LTR BOTOL 33 Rp 825,000 33 Rp - 3 Rp 75,000 30 Apr-20 Rp 25,000 Rp 750,000
11 ALKOHOL 100 ML BOTOL 7,425 Rp 16,877,025 7,425 Rp - 25 Rp 56,825 7,400 Apr-20 Rp 2,273 Rp 16,820,200
12 ALKOHOL SWAB @200 BOTOL 150 Rp 2,700,000 150 Rp - 50 Rp 900,000 100 May-23 Rp 18,000 Rp 1,800,000
16 ANIOSGEL 5 LTR DRIGEN 12 Rp 6,960,000 12 Rp - 10 Rp 5,800,000 2 Sep-21 Rp 580,000 Rp 1,160,000
17 ANIOSGEL 500 ML BOTOL 6 Rp 492,000 6 Rp - - Rp - 6 May-22 Rp 82,000 Rp 492,000
18 APRON PLASTIK @10 PACK 48 Rp 1,212,288 48 Rp - 18 Rp 454,608 30 N/A Rp 25,256 Rp 757,680
20 ARM SLING COMFORT (L) PCS - Rp - - Rp - - Rp - - - Rp 15,840 Rp -
22 ARM SLING COMFORT (S) PCS - Rp - - Rp - - Rp - - - Rp 15,840 Rp -
23 ASAM ASETAT DRIGEN 1 Rp 1,200,000 1 Rp - - Rp - 1 N/A Rp 1,200,000 Rp 1,200,000
24 ASAM SALISILAT BOTOL - Rp - - Rp - - Rp - - - Rp - Rp -
25 ASKINA FOAM BOTOL Rp - - Rp - - Rp - - - Rp 613,640 Rp -
26 BENANG ADVANTIME 2 TAPER PCS 144 Rp 11,750,400 144 Rp - 36 Rp 2,937,600 108 Jul-24 Rp 81,600 Rp 8,812,800
27 BENANG ASSUCRYL 1 TAPER @12 PCS 240 Rp 14,758,080 240 Rp - 48 Rp 2,951,616 192 Apr-24 Rp 61,492 Rp 11,806,464
29 BENANG CATGUT CHROMIC 2/0 DR STELA @36 PCS 72 Rp 2,094,552 72 Rp - 72 Rp 2,094,552 - - Rp 29,091 Rp -
31 BENANG COROLENE 2 TAPER @36 PCS 72 Rp - 72 Rp - - Rp - 72 Jun-23 Rp - Rp -
33 BENANG COROLENE 3/0 CUTTING @36 PCS 432 Rp 50,544,000 432 Rp - 72 Rp 8,424,000 360 Apr-21 Rp 117,000 Rp 42,120,000
34 BENANG COROLENE 4/0 CUTTING @36 PCS 216 Rp 18,030,168 216 Rp - 36 Rp 3,005,028 180 Dec-20 Rp 83,473 Rp 15,025,140
36 BENANG COROLENE 5/0 TAPERCUTTING @36 PCS 36 Rp 3,005,028 36 Rp - - Rp - 36 Aug-20 Rp 83,473 Rp 3,005,028
37 BENANG NYLON-10 PCS 72 Rp 11,844,000 72 Rp - - Rp - 72 Jun-22 Rp 164,500 Rp 11,844,000
38 BENANG OPTIME 1 TAPER @36 PCS 288 Rp 24,292,224 288 Rp - 36 Rp 3,036,528 252 Jun-23 Rp 84,348 Rp 21,255,696
39 BENANG OPTIME 2 TAPER @36 PCS 180 Rp 12,520,980 180 Rp - 72 Rp 5,008,392 108 May-23 Rp 69,561 Rp 7,512,588
40 BENANG OPTIME 3 CUTTING @36 PCS 504 Rp 45,738,000 504 Rp - 72 Rp 6,534,000 432 Aug-21 Rp 90,750 Rp 39,204,000
42 BENANG OPTIME 4 CUTTING @36 PCS 1,044 Rp 69,873,876 1,044 Rp - - Rp - 1,044 Dec-23 Rp 66,929 Rp 69,873,876
43 BENANG OPTIME 4 TAPER @36 PCS 216 Rp 14,456,664 216 Rp - 72 Rp 4,818,888 144 Sep-23 Rp 66,929 Rp 9,637,776
44 BENANG OPTIME R 2/0 PCS 1,224 Rp 53,856,000 1,224 Rp - 144 Rp 6,336,000 1,080 Apr-23 Rp 44,000 Rp 47,520,000
45 BENANG SILK 1 CUTTING @36 PCS 468 Rp 31,145,400 468 Rp - - Rp - 468 Jan-23 Rp 66,550 Rp 31,145,400
46 BENANG SILK 1 TAPER @12 PCS 240 Rp 9,276,480 240 Rp - 24 Rp 927,648 216 Jun-23 Rp 38,652 Rp 8,348,832
47 BENANG SILK 2 CUTTING @36 PCS 432 Rp 21,954,240 432 Rp - - Rp - 432 Feb-23 Rp 50,820 Rp 21,954,240
48 BENANG SILK 2 TAPER @36 PCS 252 Rp 9,948,204 252 Rp - 72 Rp 2,842,344 180 Feb-21 Rp 39,477 Rp 7,105,860
49 BENANG SILK 3 CUTTING @36 PCS 720 Rp 33,264,000 720 Rp - - Rp - 720 Jun-22 Rp 46,200 Rp 33,264,000
50 BENANG SILK 3 TAPER @36 PCS 828 Rp 46,086,480 828 Rp - 72 Rp 4,007,520 756 Oct-22 Rp 55,660 Rp 42,078,960
51 BENANG SILK 4 CUTTING @36 PCS 684 Rp 41,382,000 684 Rp - - Rp - 684 Jul-22 Rp 60,500 Rp 41,382,000
52 BETADINE 1 LITER (1) BOTOL 15 Rp 2,625,000 15 Rp - 14 Rp 2,450,000 1 Nov-22 Rp 175,000 Rp 175,000
53 BETADINE 1 LITER (2) BOTOL - Rp - 23-Jan-20 BETADINE 50 Rp 153,000 Nov-22 MBS 50 Rp 7,650,000 - Rp - 50 Nov-22 Rp 153,000 Rp 7,650,000
54 BETADINE 60 ML BOTOL - Rp - - Rp - - Rp - - - Rp 29,500 Rp -
55 BIO SANITIZER DRIGEN 1 Rp 1,500,000 1 Rp - 1 Rp 1,500,000 - - Rp 1,500,000 Rp -
56 BISTURI NO. 10 PCS 400 Rp - 400 Rp - - Rp - 400 Aug-21 Rp - Rp -
57 BISTURI NO. 11 PCS 100 Rp - 100 Rp - 100 Rp - - - Rp - Rp -
60 BISTURI NO. 21 PCS 200 Rp - 200 Rp - - Rp - 200 Nov-20 Rp - Rp -
61 BLOOD SET DEWASA PCS 600 Rp 6,300,000 600 Rp - 320 Rp 3,360,000 280 Sep-23 Rp 10,500 Rp 2,940,000
65 BREATHING CIRCUIT COAXIAL PCS 18 Rp 2,598,750 18 Rp - 1 Rp 144,375 17 Mar-23 Rp 144,375 Rp 2,454,375
66 BREATHING CIRCUIT DUO-LIMB DEWASA PCS 31 Rp 4,987,125 31 Rp - 6 Rp 965,250 25 Apr-21 Rp 160,875 Rp 4,021,875
67 BREATHING CIRCUIT FILTER PCS 48 Rp 2,178,000 48 Rp - - Rp - 48 Sep-23 Rp 45,375 Rp 2,178,000
68 CAIRAN LYSOL / LISOL KONSENTRAT PACK - Rp - - Rp - - Rp - - - Rp 37,270 Rp -
69 CAUTERY TIP CLEANER PCS 110 Rp - 110 Rp - 30 Rp - 80 Mar-21 Rp - Rp -
70 CSSD : AQUADEST 5 LITER DRIGEN 2 Rp - 2 Rp - - Rp - 2 N/A Rp - Rp -
71 CSSD : DRAEGERSORB DRIGEN 5 Rp - 5 Rp - - Rp - 5 Jan-23 Rp - Rp -
72 CSSD : INDIKATOR 3-LINE LABEL ROLL 12 Rp 6,693,288 12 Rp - - Rp - 12 Feb-22 Rp 557,774 Rp 6,693,288
73 CSSD : INDIKATOR BIOLOGI MINI BIO PLUS BOTOL 8 Rp - 8 Rp - - Rp - 8 Jan-21 Rp - Rp -
74 CSSD : INDIKATOR PACKAGE MONITORING PACK - Rp - - Rp - - Rp - - - Rp - Rp -
75 CSSD : INDIKATOR STRIP GLOPACK (INTERNAL) BOTOL 3 Rp - 3 Rp - - Rp - 3 Jan-21 Rp - Rp -
76 CSSD : INDIKATOR STRIP STERICLIN (INTERNAL) BOTOL 8 Rp 1,092,000 8 Rp - - Rp - 8 Oct-22 Rp 136,500 Rp 1,092,000
77 CSSD : INDIKATOR TAPES ADHESIVE (EXTERNAL) PCS 5 Rp 323,240 5 Rp - - Rp - 5 N/A Rp 64,648 Rp 323,240
78 CSSD : POUCHES 10 CM x 200 ROLL 8 Rp 7,160,000 8 Rp - - Rp - 8 N/A Rp 895,000 Rp 7,160,000
79 CSSD : POUCHES 15 CM x 200 (1) ROLL 3 Rp 4,065,000 3 Rp - - Rp - 3 May-22 Rp 1,355,000 Rp 4,065,000
80 CSSD : POUCHES 15 CM x 200 (2) ROLL - Rp - 31-Jan-20 STERICLIN 4 Rp 1,265,435 May-22 PPG 4 Rp 5,061,738 - Rp - 4 May-22 Rp 1,265,435 Rp 5,061,738
81 CSSD : POUCHES 25 CM x 200 ROLL 7 Rp 4,569,089 7 Rp - - Rp - 7 May-22 Rp 652,727 Rp 4,569,089
88 CSSD : STEAM STERILIZATION BOWIE DICK BOTOL 3 Rp - 3 Rp - - Rp - 3 Jan-21 Rp - Rp -
90 DRAGER WATERLOCK PCS 24 Rp - 24 Rp - - Rp - 24 Feb-23 Rp - Rp -
94 ELECTROSURGICAL PAD PCS - Rp - - Rp - - Rp - - - Rp 15,822 Rp -
95 ELECTROSURGICAL PENCIL / PENSIL COTTER PCS 50 Rp 1,500,000 50 Rp - 50 Rp 1,500,000 - - Rp 30,000 Rp -
96 ETIL KLORIDA SPRAY BOTOL 8 Rp - 8 Rp - - Rp - 8 Jul-21 Rp - Rp -
108 ETT NO. 2.0 PCS 70 Rp 224,000 70 Rp - - Rp - 70 Oct-21 Rp 3,200 Rp 224,000
110 ETT NO. 3.0 PCS 260 Rp 832,000 260 Rp - - Rp - 260 May-23 Rp 3,200 Rp 832,000
111 ETT NO. 3.5 PCS 90 Rp 288,000 90 Rp - - Rp - 90 Jan-21 Rp 3,200 Rp 288,000
112 ETT NO. 4.0 PCS 99 Rp 217,800 99 Rp - - Rp - 99 Jul-22 Rp 2,200 Rp 217,800
116 ETT NO. 6.0 PCS - Rp - - Rp - - Rp - - - Rp 2,200 Rp -
118 ETT NO. 7.0 (1) PCS 60 Rp 132,000 60 Rp - - Rp - 60 Jul-22 Rp 2,200 Rp 132,000
119 ETT NO. 7.0 (2) PCS 80 Rp 1,643,600 80 Rp - - Rp - 80 Jan-21 Rp 20,545 Rp 1,643,600
120 ETT NO. 7.5 PCS 20 Rp 44,000 20 Rp - - Rp - 20 Mar-22 Rp 2,200 Rp 44,000
121 ETT NO. 8.0 PCS 40 Rp 128,000 40 Rp - - Rp - 40 Aug-21 Rp 3,200 Rp 128,000
122 EXTENSION TUBE / PERFUSOR PCS - Rp - - Rp - - Rp - - - Rp 42,500 Rp -
123 EYE PROTECTOR POSEY PCS 24 Rp 1,440,000 24 Rp - 12 Rp 720,000 12 N/A Rp 60,000 Rp 720,000
124 FEEDING / STOMACH TUBE NO. 10 PCS 220 Rp 847,000 220 Rp - - Rp - 220 Sep-21 Rp 3,850 Rp 847,000
126 FEEDING / STOMACH TUBE NO. 14 PCS 7 Rp 26,950 7 Rp - - Rp - 7 Dec-21 Rp 3,850 Rp 26,950
128 FEEDING / STOMACH TUBE NO. 18 PCS - Rp - - Rp - - Rp - - - Rp 3,850 Rp -
129 FEEDING / STOMACH TUBE NO. 3.5 PCS 100 Rp 3,850,000 100 Rp - - Rp - 100 Sep-20 Rp 38,500 Rp 3,850,000
130 FEEDING / STOMACH TUBE NO. 5 PCS 100 Rp 1,736,700 100 Rp - - Rp - 100 Apr-21 Rp 17,367 Rp 1,736,700
132 FEEDING / STOMACH TUBE NO. 8 PCS 80 Rp 308,000 80 Rp - 30 Rp 115,500 50 Sep-24 Rp 3,850 Rp 192,500
133 FOLEY CATH NO. 10 PCS 110 Rp 299,970 110 Rp - 10 Rp 27,270 100 Aug-22 Rp 2,727 Rp 272,700
134 FOLEY CATH NO. 12 PCS 20 Rp 250,000 20 Rp - 10 Rp 125,000 10 Jun-22 Rp 12,500 Rp 125,000
136 FOLEY CATH NO. 16 PCS 150 Rp 1,551,000 21-Jan-20 MAS 600 10,340 Sep-23 MMP 750 Rp 6,204,000 130 Rp 1,344,200 620 Sep-23 Rp 10,340 Rp 6,410,800
137 FOLEY CATH NO. 18 (1) PCS 20 Rp 160,000 20 Rp - 20 Rp 160,000 - - Rp 8,000 Rp -
138 FOLEY CATH NO. 18 (2) PCS - Rp - 21-Jan-20 MAS 211 Rp 10,890 Jul-22 MMP 211 Rp 2,297,790 1 Rp 10,890 210 Jul-22 Rp 10,890 Rp 2,286,900
141 FOLEY CATH NO. 8 PCS 70 Rp 2,100,000 70 Rp - - Rp - 70 Mar-22 Rp 30,000 Rp 2,100,000
143 GUDEL BIRU (50 MM) PCS 4 Rp 45,728 4 Rp - - Rp - 4 Jan-22 Rp 11,432 Rp 45,728
144 GUDEL BIRU MUDA (110 MM) PCS 4 Rp - 4 Rp - - Rp - 4 Jan-22 Rp - Rp -
145 GUDEL HIJAU (80 MM) PCS 4 Rp 45,728 4 Rp - - Rp - 4 Jan-22 Rp 11,432 Rp 45,728
146 GUDEL HITAM (60 MM) PCS 4 Rp 50,296 4 Rp - - Rp - 4 Jan-22 Rp 12,574 Rp 50,296
147 GUDEL KUNING (90 MM) PCS 4 Rp 45,728 4 Rp - - Rp - 4 Jan-22 Rp 11,432 Rp 45,728
148 GUDEL MERAH (100 MM) PCS 4 Rp 45,728 4 Rp - - Rp - 4 Jan-22 Rp 11,432 Rp 45,728
149 GUDEL ORANGE (120 MM) PCS 4 Rp 45,728 4 Rp - - Rp - 4 Jan-22 Rp 11,432 Rp 45,728
150 GUDEL PINK (40 MM) PCS 4 Rp 45,728 4 Rp - - Rp - 4 Jan-22 Rp 11,432 Rp 45,728
151 GUDEL PUTIH (70 MM) PCS 4 Rp 50,296 4 Rp - - Rp - 4 Jan-22 Rp 12,574 Rp 50,296
152 GUDEL UNGU PCS 4 Rp 45,728 4 Rp - - Rp - 4 Jan-22 Rp 11,432 Rp 45,728
153 H2O2 / HIDROGEN PEROKSIDA BOTOL 1 Rp - 1 Rp - - Rp - 1 N/A Rp - Rp -
154 HANDSCOEN BIRU L (NON POWDER) BOTOL 9 Rp 468,000 9 Rp - - Rp - 9 N/A Rp 52,000 Rp 468,000
155 HANDSCOEN BIRU M (NON POWDER) BOTOL - Rp - - Rp - - Rp - - - Rp 52,000 Rp -
157 HANDSCOEN OBGYN / GYNAECOLOGICAL PCS 250 Rp 11,200,000 250 Rp - 25 Rp 1,120,000 225 Sep-21 Rp 44,800 Rp 10,080,000
158 HANDSCOEN STERIL NO. 6 PCS 1,000 Rp 6,325,000 1,000 Rp - - Rp - 1,000 Jan-22 Rp 6,325 Rp 6,325,000
159 HANDSCOEN STERIL NO. 6.5 (1) PCS 250 Rp 1,498,750 250 Rp - 150 Rp 899,250 100 May-24 Rp 5,995 Rp 599,500
160 HANDSCOEN STERIL NO. 6.5 (2) PCS - Rp - 31-Jan-20 TROGE 500 7,255 May-24 PPG 500 Rp 3,627,250 - Rp - 500 May-24 Rp 7,255 Rp 3,627,250
161 HANDSCOEN STERIL NO. 7 PCS 2,350 Rp 14,863,750 2,350 Rp - 150 Rp 948,750 2,200 Jul-23 Rp 6,325 Rp 13,915,000
162 HANDSCOEN STERIL NO. 7.5 PCS 400 Rp 2,530,000 400 Rp - 200 Rp 1,265,000 200 Apr-22 Rp 6,325 Rp 1,265,000
163 HANDSCOEN STERIL NO. 8 PCS 500 Rp 3,162,500 500 Rp - - Rp - 500 Apr-22 Rp 6,325 Rp 3,162,500
164 HANDSCOEN UKURAN L BOTOL 58 Rp 2,679,600 58 Rp - 2 Rp 92,400 56 Apr-22 Rp 46,200 Rp 2,587,200
165 HANDSCOEN UKURAN M BOX - Rp - 21-Jan-20 MAS 200 Rp 52,206 N/A MMP 200 Rp 10,441,200 20 Rp 1,044,120 180 N/A Rp 52,206 Rp 9,397,080
166 HANDSCOEN UKURAN S (1) BOTOL 170 Rp 7,140,000 170 Rp - 170 Rp 7,140,000 - - Rp 42,000 Rp -
167 HANDSCOEN UKURAN S (2) BOX - Rp - 21-Jan-20 MAS 300 Rp 52,206 N/A MMP 300 Rp 15,661,800 10 Rp 522,060 290 N/A Rp 52,206 Rp 15,139,740
168 HANDSCOEN UKURAN XS BOTOL 40 Rp 1,680,000 40 Rp - - Rp - 40 Jul-23 Rp 42,000 Rp 1,680,000
169 HANDUK DEWASA DISPO / WASLAP OCTENIC GLOVE PCS 196 Rp 2,240,672 196 Rp - 94 Rp 1,074,608 102 May-21 Rp 11,432 Rp 1,166,064
170 HERNIA MESH PCS 72 Rp 17,328,240 72 Rp - 12 Rp 2,888,040 60 Aug-20 Rp 240,670 Rp 14,440,200
171 HYPAFIX / PHARMAFIX 10X5 (1) ROLL 11 Rp 852,500 11 Rp - - Rp - 11 Jul-24 Rp 77,500 Rp 852,500
172 HYPAFIX / PHARMAFIX 10X5 (2) ROLL - Rp - 31-Jan-20 100 Rp 33,000 Aug-24 PPG 100 Rp 3,300,000 - Rp - 100 Aug-24 Rp 33,000 Rp 3,300,000
PHARMAFIX
173 HYPAFIX / PHARMAFIX 5X5 ROLL 86 Rp 3,500,200 86 Rp - 86 Rp 3,500,200 - - Rp 40,700 Rp -
174 ID BAND ANAK / CHILD BIRU PCS 1,000 Rp 1,200,000 1,000 Rp - - Rp - 1,000 Jul-23 Rp 1,200 Rp 1,200,000
175 ID BAND ANAK / CHILD PINK PCS 800 Rp 784,000 800 Rp - - Rp - 800 Sep-22 Rp 980 Rp 784,000
176 ID BAND DEWASA / ADULT BIRU PCS 1,300 Rp 1,690,000 1,300 Rp - 300 Rp 390,000 1,000 Jul-21 Rp 1,300 Rp 1,300,000
177 ID BAND DEWASA / ADULT PINK PCS 1,200 Rp 1,176,000 1,200 Rp - 300 Rp 294,000 900 Sep-22 Rp 980 Rp 882,000
178 INFUSET MACRO PCS 2,200 Rp 11,899,800 2,200 Rp - 850 Rp 4,597,650 1,350 Jul-23 Rp 5,409 Rp 7,302,150
179 INFUSET MICRO PCS 710 Rp 6,376,510 710 Rp - - Rp - 710 Oct-20 Rp 8,981 Rp 6,376,510
181 INTUBATING STYLET MEDIUM 10FR PCS 14 Rp 868,000 14 Rp - - Rp - 14 Apr-23 Rp 62,000 Rp 868,000
182 INTUBATING STYLET SMALL 6FR PCS 10 Rp 590,000 10 Rp - - Rp - 10 Apr-23 Rp 59,000 Rp 590,000
184 JARUM AKUPUNTUR 0.18 X 15 BOTOL 10 Rp 410,000 10 Rp - - Rp - 10 Dec-22 Rp 41,000 Rp 410,000
185 JARUM AKUPUNTUR 0.25 X 25 BOTOL 105 Rp 4,305,000 105 Rp - - Rp - 105 Dec-22 Rp 41,000 Rp 4,305,000
187 KAIN NON WOVEN BIRU BOTOL 4 Rp - 4 Rp - - Rp - 4 Jun-24 Rp - Rp -
188 KAIN NON WOVEN HIJAU BOTOL 4 Rp 6,010,000 4 Rp - - Rp - 4 Apr-24 Rp 1,502,500 Rp 6,010,000
192 KASA BULAT PCS 1,000 Rp 1,000,000 1,000 Rp - - Rp - 1,000 N/A Rp 1,000 Rp 1,000,000
193 KASA HIDROFIL / GULUNG 4 x 10 ROLL 3,050 Rp - 3,050 Rp - 300 Rp - 2,750 N/A Rp - Rp -
194 KASA HIDROFIL / GULUNG BESAR 36 x 80 ROLL 50 Rp 8,925,000 50 Rp - 2 Rp 357,000 48 N/A Rp 178,500 Rp 8,568,000
195 KASA NON X-RAY PCS 150 Rp 3,608,550 16-Jan-20 PRO-KASA 750 Rp 24,057 May-23 JAYADI 900 Rp 18,042,750 400 Rp 9,622,800 500 May-23 Rp 24,057 Rp 12,028,500
196 KASA STERIL 10 X 10 PCS 385 Rp 3,629,395 385 Rp - 135 Rp 1,272,645 250 Nov-23 Rp 9,427 Rp 2,356,750
197 KASA STERIL 16 X 16 BOTOL - Rp - - Rp - - Rp - - - Rp 8,000 Rp -
198 KASA X-RAY PCS 240 Rp 7,260,000 16-Jan-20 PRO-KASA 750 Rp 30,250 May-23 JAYADI 990 Rp 22,687,500 470 Rp 14,217,500 520 May-23 Rp 30,250 Rp 15,730,000
200 KEMKES : LUBRICANT SUTERA SACHET 180 Rp 87,480 180 Rp - - Rp - 180 Mar-20 Rp 486 Rp 87,480
201 KEMKES : POT DAHAK POT 200 Rp - 200 Rp - 200 Rp - - - Rp - Rp -
202 KEMKES : REAGEN ZIEHL NEELSEN BOTOL 40 Rp - 40 Rp - - Rp - 40 Jun-21 Rp - Rp -
205 KERTAS EKG PANJANG : 210 MM X 30 M FUKUDA ROLL 30 Rp 3,450,000 30 Rp - - Rp - 30 N/A Rp 115,000 Rp 3,450,000
207 KERTAS USG ROLL 120 Rp 24,000,000 120 Rp - 2 Rp 400,000 118 N/A Rp 200,000 Rp 23,600,000
208 KLY LUBRICANT JELL TUBE 186 Rp 3,106,200 186 Rp - 6 Rp 100,200 180 Feb-22 Rp 16,700 Rp 3,006,000
210 KONDOM ARTIKA @12 PACK 22 Rp 1,919,984 22 Rp - - Rp - 22 Oct-22 Rp 87,272 Rp 1,919,984
212 LAMINARIA L PCS - Rp - - Rp - - Rp - - - Rp - Rp -
213 LAMINARIA M PCS - Rp - - Rp - - Rp - - - Rp - Rp -
214 LAMINARIA S PCS - Rp - - Rp - - Rp - - - Rp 140,000 Rp -
224 MASKER EARLOOP / KARET (1) BOX 71 Rp 2,343,000 71 Rp - 71 Rp 2,343,000 - - Rp 33,000 Rp -
225 MASKER EARLOOP / KARET (2) BOX - Rp - 24-Jan-20 300 Rp 27,507 N/A BINA SUKSES 300 Rp 8,252,200 - Rp - 300 N/A Rp 27,507 Rp 8,252,200
226 MASKER N95 BOTOL 36 Rp 1,080,000 36 Rp - - Rp - 36 N/A Rp 30,000 Rp 1,080,000
227 MASKER NEBU ANAK PCS 501 Rp 4,609,200 501 Rp - - Rp - 501 Dec-22 Rp 9,200 Rp 4,609,200
228 MASKER NEBU DEWASA (1) PCS 155 Rp 1,426,000 155 Rp - 124 Rp 1,140,800 31 Apr-24 Rp 9,200 Rp 285,200
229 MASKER NEBU DEWASA (2) PCS - Rp - 29-Jan-20 REMEDI 300 Rp 10,340 Apr-24 DUTA AFIAT 300 Rp 3,102,000 - Rp - 300 Apr-24 Rp 10,340 Rp 3,102,000
231 MASKER NON-REBREATHER DEWASA PCS 125 Rp 1,962,500 125 Rp - - Rp - 125 May-22 Rp 15,700 Rp 1,962,500
232 MASKER OKSIGEN ANAK PCS 188 Rp 1,203,200 188 Rp - - Rp - 188 May-22 Rp 6,400 Rp 1,203,200
236 MASKER TALI / TIE ON BOTOL - Rp - - Rp - - Rp - - - Rp 37,290 Rp -
239 MICROPORE 0.5 INCH PCS 1,788 Rp 7,432,716 1,788 Rp - 120 Rp 498,840 1,668 Jul-20 Rp 4,157 Rp 6,933,876
240 MICROPORE 1 INCH PCS 2,040 Rp 14,122,920 2,040 Rp - 48 Rp 332,304 1,992 Jul-20 Rp 6,923 Rp 13,790,616
241 MICROPORE 2 INCH PCS 381 Rp 17,602,200 381 Rp - - Rp - 381 Mar-24 Rp 46,200 Rp 17,602,200
242 MUCUS EXTRACTOR PCS 22 Rp 140,800 22 Rp - - Rp - 22 Dec-20 Rp 6,400 Rp 140,800
243 MY JELLY LUBRICANT TUBE 3 Rp 88,647 3 Rp - - Rp - 3 Jul-22 Rp 29,549 Rp 88,647
244 NASAL CANUL ANAK PCS 325 Rp 1,300,000 325 Rp - 45 Rp 180,000 280 Apr-22 Rp 4,000 Rp 1,120,000
245 NASAL CANUL BAYI PCS 164 Rp 656,000 164 Rp - 10 Rp 40,000 154 Dec-22 Rp 4,000 Rp 616,000
246 NASAL CANUL DEWASA PCS 1,231 Rp 4,924,000 1,231 Rp - 421 Rp 1,684,000 810 Mar-23 Rp 4,000 Rp 3,240,000
247 NASAL DRESSING PCS 270 Rp 35,100,000 270 Rp - 10 Rp 1,300,000 260 Dec-21 Rp 130,000 Rp 33,800,000
248 NEEDLE 23 PCS 300 Rp 93,300 300 Rp - - Rp - 300 Mar-23 Rp 311 Rp 93,300
249 NEEDLE 24 PCS 800 Rp 248,800 800 Rp - - Rp - 800 Oct-21 Rp 311 Rp 248,800
250 NURSE CAP BOTOL 89 Rp 2,971,710 89 Rp - 7 Rp 233,730 82 N/A Rp 33,390 Rp 2,737,980
251 ORO TRACHEAL TUBE 2.5 MM PCS 1 Rp - 1 Rp - - Rp - 1 May-22 Rp - Rp -
252 ORO TRACHEAL TUBE 4 MM PCS 4 Rp - 4 Rp - - Rp - 4 Oct-23 Rp - Rp -
253 ORO TRACHEAL TUBE 6 MM PCS 4 Rp - 4 Rp - - Rp - 4 May-23 Rp - Rp -
254 PARAFILM (1) ROLL 1 Rp - 1 Rp - 1 Rp - - - Rp - Rp -
BINA
255 PARAFILM (2) ROLL - Rp - 10-Jan-20 PARAFILM 1 Rp 594,000 N/A SEJAHTERA 1 Rp 594,000 - Rp - 1 N/A Rp 594,000 Rp 594,000
256 PEN NEEDLE UNGU PCS - Rp - - Rp - - Rp - - - Rp 1,913 Rp -
257 PISAU CUKUR PCS 72 Rp 158,400 72 Rp - 24 Rp 52,800 48 N/A Rp 2,200 Rp 105,600
259 POLI GIGI : CAVIT G PCS 7 Rp 947,100 7 Rp - - Rp - 7 Jan-20 Rp 135,300 Rp 947,100
260 POLI GIGI : CAVITON WHITE (1) BOTOL 1 Rp 30,000 1 Rp - - Rp - 1 Mar-20 Rp 30,000 Rp 30,000
261 POLI GIGI : CAVITON WHITE (2) BOTOL - Rp - 28-Jan-20 CAVITON 5 Rp 287,100 Feb-21 DITA MITRA 5 Rp 1,435,500 - Rp - 5 Feb-21 Rp 287,100 Rp 1,435,500
263 POLI GIGI : DYCAL PCS - Rp - 28-Jan-20 DYCAL 1 Rp 658,900 Feb-22 DITA MITRA 1 Rp 658,900 - Rp - 1 Feb-22 Rp 658,900 Rp 658,900
264 POLI GIGI : EUGENOL PCS - Rp - - Rp - - Rp - - - Rp 30,000 Rp -
265 POLI GIGI : GUTTA PERCHA 0,6% NO. 20 BOX - Rp - 28-Jan-20 - 5 775,500 Dec-21 DITA MITRA 5 Rp 3,877,500 - Rp - 5 Dec-21 Rp 775,500 Rp 3,877,500
269 POLI GIGI : JARUM CITOJECT 16 BOX - Rp - 28-Jan-20 - 2 825,000 Dec-21 DITA MITRA 2 Rp 1,650,000 - Rp - 2 Dec-21 Rp 825,000 Rp 1,650,000
270 POLI GIGI : JARUM CITOJECT 21 BOX - Rp - 28-Jan-20 - 3 825,000 Dec-21 DITA MITRA 3 Rp 2,475,000 - Rp - 3 Dec-21 Rp 825,000 Rp 2,475,000
271 POLI GIGI : NEEDLE PHOENIX 21G BOTOL - Rp - - Rp - - Rp - - - Rp - Rp -
272 POLI GIGI : POLYBIBS TOWEL / TISU PCS 9 Rp 1,089,000 9 Rp - - Rp - 9 N/A Rp 121,000 Rp 1,089,000
277 POSTOFIX / DERMAFIX / TEGADERM 10 x 25 (1) PCS 40 Rp 1,240,000 40 Rp - 40 Rp 1,240,000 - - Rp 31,000 Rp -
278 POSTOFIX / DERMAFIX / TEGADERM 10 x 25 (2) PCS - Rp - 31-Jan-20 POSTOFIX 240 29,377 Jul-24 PPG 240 Rp 7,050,538 - Rp - 240 Jul-24 Rp 29,377 Rp 7,050,538
279 POT URIN 30CC BOTOL 600 Rp 495,000 600 Rp - 100 Rp 82,500 500 Jan-21 Rp 825 Rp 412,500
280 POT URIN 50CC (1) PCS 2,100 Rp 1,732,500 2,100 Rp - 600 Rp 495,000 1,500 Jan-21 Rp 825 Rp 1,237,500
281 POT URIN 50CC (2) PCS - Rp - 14-Jan-20 N/A 8,000 Rp 1,045 N/A BINA 8,000 Rp 8,360,000 - Rp - 8,000 N/A Rp 1,045 Rp 8,360,000
SEJAHTERA
283 PRONTOSAN GEL TUBE - Rp - - Rp - - Rp - - - Rp 556,099 Rp -
284 RAD : DENTAL X RAY FILM PCS 200 Rp - 200 Rp - - Rp - 200 Apr-20 Rp - Rp -
285 RAD : FILM RONTGEN UKURAN L (35X43) PCS 2 Rp - 2 Rp - - Rp - 2 May-20 Rp - Rp -
286 RAD : FILM RONTGEN UKURAN M (28X35) PCS 2 Rp 5,500,000 29-Jan-20 DVE 8 Rp 2,750,000 Nov-21 TRIPUTRA 10 Rp 22,000,000 2 Rp 5,500,000 8 Jun-21 Rp 2,750,000 Rp 22,000,000
287 RAD : FILM RONTGEN UKURAN S (20X25) PCS 1 Rp 1,419,000 29-Jan-20 DVE 10 Rp 1,419,000 Nov-21 TRIPUTRA 11 Rp 14,190,000 1 Rp 1,419,000 10 Oct-20 Rp 1,419,000 Rp 14,190,000
288 SABUN CUCI TANGAN OPERASI / E CARE DRIGEN 7 Rp 3,690,911 7 Rp - 1 Rp 527,273 6 May-22 Rp 527,273 Rp 3,163,638
289 SAFETY BOX PCS 425 Rp 10,464,350 425 Rp - 75 Rp 1,846,650 350 N/A Rp 24,622 Rp 8,617,700
290 SEPTALKAN 500 ML BOTOL 71 Rp 6,185,520 71 Rp - - Rp - 71 Mar-22 Rp 87,120 Rp 6,185,520
291 SIKAT OPERASI / SURGICAL BRUSH PACK 1,238 Rp 6,635,680 1,238 Rp - 48 Rp 257,280 1,190 Jun-24 Rp 5,360 Rp 6,378,400
292 SOFRATULE / DARYANTULE / URGOTULE PCS - Rp - 10-Jan-20 URGOTUL 500 Rp 19,388 May-22 DMA 500 Rp 9,693,750 180 Rp 3,489,750 320 May-22 Rp 19,388 Rp 6,204,000
295 SPINOCAN 25 BOTOL 7 Rp 5,442,500 7 Rp - 1 Rp 777,500 6 Feb-24 Rp 777,500 Rp 4,665,000
296 SPINOCAN 26 BOTOL - Rp - - Rp - - Rp - - - Rp 782,500 Rp -
297 SPINOCAN 27 PCS 50 Rp 1,900,000 50 Rp - 25 Rp 950,000 25 Nov-23 Rp 38,000 Rp 950,000
299 SPONGESTAN / GELITA SPONS PCS 60 Rp 6,930,000 60 Rp - 20 Rp 2,310,000 40 Oct-22 Rp 115,500 Rp 4,620,000
300 SPUIT 1 PCS 8,100 Rp 12,741,300 8,100 Rp - 1,600 Rp 2,516,800 6,500 Jul-24 Rp 1,573 Rp 10,224,500
301 SPUIT 10 PCS 4,000 Rp 29,200,000 4,000 Rp - 2,700 Rp 19,710,000 1,300 Oct-23 Rp 7,300 Rp 9,490,000
304 SPUIT 5 PCS 4,700 Rp 26,320,000 4,700 Rp - 2,900 Rp 16,240,000 1,800 Jun-23 Rp 5,600 Rp 10,080,000
305 SPUIT 50 ML CATHETHER TIP PCS 75 Rp 2,625,000 75 Rp - - Rp - 75 May-21 Rp 35,000 Rp 2,625,000
306 SPUIT 50 WITH NEEDLE PCS 90 Rp 9,842,670 90 Rp - 30 Rp 3,280,890 60 May-21 Rp 109,363 Rp 6,561,780
307 SUCTION CATHETHER NO. 10 PCS 100 Rp 352,000 100 Rp - 100 Rp 352,000 - - Rp 3,520 Rp -
309 SUCTION CATHETHER NO. 14 PCS 50 Rp 176,000 50 Rp - - Rp - 50 Mar-22 Rp 3,520 Rp 176,000
310 SUCTION CATHETHER NO. 16 PCS 190 Rp 1,839,200 190 Rp - - Rp - 190 Apr-23 Rp 9,680 Rp 1,839,200
312 SUCTION CATHETHER NO. 8 PCS 100 Rp 237,000 100 Rp - - Rp - 100 Jul-23 Rp 2,370 Rp 237,000
313 SUCTION CONNECTING BIRU / YANKAUER (1) PCS 105 Rp 2,353,050 105 Rp - 96 Rp 2,151,360 9 Oct-23 Rp 22,410 Rp 201,690
314 SUCTION CONNECTING BIRU / YANKAUER (2) PCS - Rp - 24-Jan-20 - 300 Rp 34,109 Oct-23 BINA SUKSES 300 Rp 10,232,728 - Rp - 300 Oct-23 Rp 34,109 Rp 10,232,728
315 SUCTION CONNECTING KUNING / HEXAGON (1) PCS 25 Rp 375,000 25 Rp - 11 Rp 165,000 14 Jun-24 Rp 15,000 Rp 210,000
316 SUCTION CONNECTING KUNING / HEXAGON (2) PCS - Rp - 24-Jan-20 - 75 Rp 23,675 Jun-24 BINA SUKSES 75 Rp 1,775,642 - Rp - 75 Jun-24 Rp 23,675 Rp 1,775,642
317 SURGICEL / SURGICAL HAEMOSTATE (2) PCS 20 Rp 4,216,000 20 Rp - 14 Rp 2,951,200 6 Oct-22 Rp 210,800 Rp 1,264,800
318 TCCA 90% TABLET BESAR BOTOL 3 Rp - 3 Rp - - Rp - 3 Sep-21 Rp - Rp -
321 TONGUE SPATEL / SPATEL KAYU BOTOL 2 Rp - 2 Rp - 1 Rp - 1 N/A Rp - Rp -
323 TORNIQUETE DEWASA PCS 20 Rp 3,300,000 20 Rp - - Rp - 20 N/A Rp 165,000 Rp 3,300,000
324 TRANSOFIX PCS - Rp - - Rp - - Rp - - - Rp 3,091 Rp -
325 UMBILICAL CORD KLEM PCS 500 Rp 650,000 500 Rp - 150 Rp 195,000 350 Apr-24 Rp 1,300 Rp 455,000
326 UNDERPAD PACK 950 Rp 6,583,500 950 Rp - 430 Rp 2,979,900 520 May-23 Rp 6,930 Rp 3,603,600
327 URINBAG PCS 540 Rp 6,664,680 540 Rp - 120 Rp 1,481,040 420 Jan-23 Rp 12,342 Rp 5,183,640
328 USG GEL 5 LITER DRIGEN 29 Rp 4,542,560 29 Rp - 3 Rp 469,920 26 May-23 Rp 156,640 Rp 4,072,640
329 VASELIN PUTIH BOTOL - Rp - - Rp - - Rp - - - Rp 990,909 Rp -
330 WING NEEDLE 21 PCS - Rp - - Rp - - Rp - - - Rp 1,400 Rp -
333 XYLOCAIN GEL TUBE - Rp - - Rp - - Rp - - - Rp 41,600 Rp -
334 XYLOCAIN SPRAY BOTOL - Rp - - Rp - - Rp - - - Rp 279,370 Rp -
Rp 2,306,398,356 Rp 201,954,286 Rp 263,879,234 Rp 2,244,473,409
RSUD Tugu Koja
NIP. 197902112007012011 NIP. 197801112008011012 NIP. 1967121919920321001
balancing
Rp 2,244,473,409 Rp -
LAPORAN PERSEDIAAN GUDANG ALKES FEBRUARI 2020
NO NAMA ALKES SATUAN STOK Rupiah Stok awal Tanggal Merk Penerimaan Harga Satuan Exp.Date Distributor Persediaan Nilai Pengeluaran Rupiah STOK EXP. DATE HARGA HARGA
AWAL + PPN Penerimaan Penerimaan Pengeluaran AKHIR SATUAN TOTAL
2 ABOCATH 16 PCS 100 Rp 1,100,000 100 Rp - 20 Rp 220,000 80 May-23 Rp 11,000 Rp 880,000
9 ALKAZYME SACHET 93 Rp 87,978,000 93 Rp - 7 Rp 6,622,000 86 Jan-21 Rp 946,000 Rp 81,356,000
10 ALKOHOL 1 LTR BOTOL 30 Rp 750,000 30 Rp - - Rp - 30 Apr-20 Rp 25,000 Rp 750,000
11 ALKOHOL 100 ML BOTOL 7,400 Rp 16,820,200 7,400 Rp - - Rp - 7,400 Apr-20 Rp 2,273 Rp 16,820,200
12 ALKOHOL SWAB @200 BOTOL 100 Rp 1,800,000 100 Rp - 62 Rp 1,116,000 38 May-23 Rp 18,000 Rp 684,000
16 ANIOSGEL 5 LTR DRIGEN 2 Rp 1,160,000 2 Rp - 2 Rp 1,160,000 - - Rp 580,000 Rp -
17 ANIOSGEL 500 ML BOTOL 6 Rp 492,000 6 Rp - - Rp - 6 May-22 Rp 82,000 Rp 492,000
18 APRON PLASTIK @10 PACK 30 Rp 757,680 30 Rp - 12 Rp 303,072 18 N/A Rp 25,256 Rp 454,608
20 ARM SLING COMFORT (L) PCS - Rp - - Rp - - Rp - - - Rp 15,840 Rp -
22 ARM SLING COMFORT (S) PCS - Rp - - Rp - - Rp - - - Rp 15,840 Rp -
23 ASAM ASETAT DRIGEN 1 Rp 1,200,000 1 Rp - - Rp - 1 N/A Rp 1,200,000 Rp 1,200,000
25 ASKINA FOAM BOTOL - Rp - - Rp - - Rp - - - Rp 613,640 Rp -
26 BENANG ADVANTIME 2 TAPER PCS 108 Rp 8,812,800 108 Rp - - Rp - 108 Jul-24 Rp 81,600 Rp 8,812,800
27 BENANG ASSUCRYL 1 TAPER @12 PCS 192 Rp 11,806,464 192 Rp - - Rp - 192 Apr-24 Rp 61,492 Rp 11,806,464
29 BENANG CATGUT CHROMIC 2/0 DR STELA @36 PCS - Rp - - Rp - - Rp - - - Rp 29,091 Rp -
32 BENANG COROLENE 2/0 CUTTING @36 PCS 900 Rp 93,060,000 900 Rp - 36 Rp 3,722,400 864 Oct-22 Rp 103,400 Rp 89,337,600
38 BENANG OPTIME 1 TAPER @36 PCS 252 Rp 21,255,696 252 Rp - - Rp - 252 Jun-23 Rp 84,348 Rp 21,255,696
39 BENANG OPTIME 2 TAPER @36 PCS 108 Rp 7,512,588 108 Rp - 36 Rp 2,504,196 72 May-23 Rp 69,561 Rp 5,008,392
43 BENANG OPTIME 4 TAPER @36 PCS 144 Rp 9,637,776 144 Rp - - Rp - 144 Sep-23 Rp 66,929 Rp 9,637,776
44 BENANG OPTIME R 2/0 PCS 1,080 Rp 47,520,000 1,080 Rp - 72 Rp 3,168,000 1,008 Apr-23 Rp 44,000 Rp 44,352,000
45 BENANG SILK 1 CUTTING @36 PCS 468 Rp 31,145,400 468 Rp - 36 Rp 2,395,800 432 Jan-23 Rp 66,550 Rp 28,749,600
46 BENANG SILK 1 TAPER @12 PCS 216 Rp 8,348,832 216 Rp - - Rp - 216 Jun-23 Rp 38,652 Rp 8,348,832
47 BENANG SILK 2 CUTTING @36 PCS 432 Rp 21,954,240 432 Rp - 36 Rp 1,829,520 396 Feb-23 Rp 50,820 Rp 20,124,720
48 BENANG SILK 2 TAPER @36 PCS 180 Rp 7,105,860 180 Rp - - Rp - 180 Feb-21 Rp 39,477 Rp 7,105,860
49 BENANG SILK 3 CUTTING @36 PCS 720 Rp 33,264,000 720 Rp - 36 Rp 1,663,200 684 Jun-22 Rp 46,200 Rp 31,600,800
50 BENANG SILK 3 TAPER @36 PCS 756 Rp 42,078,960 756 Rp - - Rp - 756 Oct-22 Rp 55,660 Rp 42,078,960
52 BETADINE 1 LITER (1) BOTOL 1 Rp 175,000 1 Rp - 1 Rp 175,000 - - Rp 175,000 Rp -
53 BETADINE 1 LITER (2) BOTOL 50 Rp 7,650,000 50 Rp - 9 Rp 1,377,000 41 Nov-22 Rp 153,000 Rp 6,273,000
55 BIO SANITIZER LITER - Rp - 02-Jun-20 BIO SANITIZER 20 947,031 Jan-22 HARVESTIA 20 Rp 18,940,625 1 Rp 947,031 19 Jan-22 Rp 947,031 Rp 17,993,594
MULYA
60 BISTURI NO. 21 PCS 200 Rp - 200 Rp - - Rp - 200 Nov-20 Rp - Rp -
61 BLOOD SET DEWASA PCS 280 Rp 2,940,000 280 Rp - 140 Rp 1,470,000 140 Sep-23 Rp 10,500 Rp 1,470,000
62 BOTOL TETES COKLAT PCS 450 Rp 1,350,000 450 Rp - - Rp - 450 N/A Rp 3,000 Rp 1,350,000
66 BREATHING CIRCUIT DUO-LIMB DEWASA PCS 25 Rp 4,021,875 25 Rp - - Rp - 25 Apr-21 Rp 160,875 Rp 4,021,875
68 CAIRAN LYSOL / LISOL KONSENTRAT PACK - Rp - - Rp - - Rp - - - Rp 37,270 Rp -
70 CSSD : AQUADEST 5 LITER DRIGEN 2 Rp - 2 Rp - - Rp - 2 N/A Rp - Rp -
72 CSSD : INDIKATOR 3-LINE LABEL ROLL 12 Rp 6,693,288 12 Rp - 12 Rp 6,693,288 - - Rp 557,774 Rp -
73 CSSD : INDIKATOR BIOLOGI MINI BIO PLUS BOTOL 8 Rp - 8 Rp - - Rp - 8 Jan-21 Rp - Rp -
PARIT PADANG
74 CSSD : INDIKATOR PACKAGE MONITORING / TIPE 6 PACK - Rp - 03-Feb-20 STERICLIN 1,000 2,057 Jan-22 GLOBAL 1,000 Rp 2,057,000 - Rp - 1,000 Jan-22 Rp 2,057 Rp 2,057,000
75 CSSD : INDIKATOR STRIP GLOPACK (INTERNAL) BOTOL 3 Rp - 3 Rp - - Rp - 3 Jan-21 Rp - Rp -
76 CSSD : INDIKATOR STRIP STERICLIN (INTERNAL) BOTOL 8 Rp 1,092,000 8 Rp - - Rp - 8 Oct-22 Rp 136,500 Rp 1,092,000
77 CSSD : INDIKATOR TAPES ADHESIVE (EXTERNAL) PCS 5 Rp 323,240 31-Jan-20 STERICLIN 30 64,648 Aug-20 PARIT PADANG 35 Rp 1,939,440 - Rp - 35 Aug-20 Rp 64,648 Rp 2,262,680
GLOBAL
79 CSSD : POUCHES 10 CM x 200 (2) ROLL - Rp - 30-Nov-20 STERICLIN 20 902,149 Jun-24 PARIT PADANG 20 Rp 18,042,970 - Rp - 20 Jun-24 902,149 Rp 18,042,970
GLOBAL
86 CSSD : POUCHES 5 CM x 200 (2) ROLL - Rp - 03-Feb-20 STERICLIN 20 459,399 Sep-23 PARIT PADANG 20 Rp 9,187,970 - Rp - 20 Sep-23 459,399 Rp 9,187,970
GLOBAL
90 CSSD : STEAM STERILIZATION BOWIE DICK BOTOL 3 Rp - 3 Rp - - Rp - 3 Jan-21 Rp - Rp -
93 ECG ELECTRODE ADULT / EKG ELEKTRODA DEWASA PCS 8,340 Rp 18,336,602 8,340 Rp - 690 Rp 1,517,057 7,650 Mar-22 Rp 2,199 Rp 16,819,545
94 ECG ELECTRODE CHILD / EKG ELEKTRODA ANAK PCS 1,740 Rp 5,100,810 1,740 Rp - 150 Rp 439,725 1,590 Mar-22 Rp 2,932 Rp 4,661,085
95 ELASTIC BANDAGE / POLICREPE (7.5 X 4.55) ROLL 264 Rp 6,626,400 264 Rp - 24 Rp 602,400 240 May-24 Rp 25,100 Rp 6,024,000
96 ELECTROSURGICAL PAD PCS - Rp - 28-Feb-20 EVERSHINE 100 18,000 Jan-21 PRIMA HEALTH 100 Rp 1,800,040 50 Rp 900,020 50 Jan-21 Rp 18,000 Rp 900,020
CARE
97 ELECTROSURGICAL PENCIL / PENSIL COTTER PCS - Rp - - Rp - - Rp - - - Rp 30,000 Rp -
98 ETIL KLORIDA SPRAY BOTOL 8 Rp - 8 Rp - 2 Rp - 6 Jul-21 Rp - Rp -
101 ETT INTUBATING STYLET 4.0 PCS 10 Rp 1,380,000 10 Rp - 4 Rp 552,000 6 Mar-23 Rp 138,000 Rp 828,000
106 ETT INTUBATING STYLET 6.5 PCS 12 Rp 1,656,000 12 Rp - 1 Rp 138,000 11 Jun-23 Rp 138,000 Rp 1,518,000
107 ETT INTUBATING STYLET 7.0 PCS 40 Rp 5,520,000 40 Rp - 10 Rp 1,380,000 30 Mar-23 Rp 138,000 Rp 4,140,000
123 ETT NO. 8.0 PCS 40 Rp 128,000 40 Rp - 20 Rp 64,000 20 Aug-21 Rp 3,200 Rp 64,000
124 EXTENSION TUBE / PERFUSOR PCS - Rp - 07-Feb-20 PERFUSOR 100 37,000 Jan-24 DOS NI ROHA 100 Rp 3,699,960 75 Rp 2,774,970 25 Jan-24 Rp 37,000 Rp 924,990
125 EYE PROTECTOR BAYI (POSEY) PCS 12 Rp 720,000 12 Rp - - Rp - 12 N/A Rp 60,000 Rp 720,000
128 FEEDING / STOMACH TUBE NO. 14 PCS 7 Rp 26,950 7 Rp - - Rp - 7 Dec-21 Rp 3,850 Rp 26,950
129 FEEDING / STOMACH TUBE NO. 16 PCS 23 Rp 88,550 23 Rp - 20 Rp 77,000 3 May-20 Rp 3,850 Rp 11,550
132 FEEDING / STOMACH TUBE NO. 5 PCS 100 Rp 1,736,700 100 Rp - - Rp - 100 Apr-21 Rp 17,367 Rp 1,736,700
136 FOLEY CATH NO. 12 PCS 10 Rp 125,000 10 Rp - 10 Rp 125,000 - - Rp 12,500 Rp -
138 FOLEY CATH NO. 16 PCS 620 Rp 6,410,800 620 Rp - 60 Rp 620,400 560 Sep-23 Rp 10,340 Rp 5,790,400
139 FOLEY CATH NO. 18 PCS 210 Rp 2,286,900 210 Rp - 20 Rp 217,800 190 Jul-22 Rp 10,890 Rp 2,069,100
144 GUDEL BIRU (50 MM) PCS 4 Rp 45,728 4 Rp - 4 Rp 45,728 - - Rp 11,432 Rp -
145 GUDEL BIRU MUDA (110 MM) PCS 4 Rp - 4 Rp - 4 Rp - - - Rp - Rp -
146 GUDEL HIJAU (80 MM) PCS 4 Rp 45,728 4 Rp - 4 Rp 45,728 - - Rp 11,432 Rp -
147 GUDEL HITAM (60 MM) PCS 4 Rp 50,296 4 Rp - 4 Rp 50,296 - - Rp 12,574 Rp -
148 GUDEL KUNING (90 MM) PCS 4 Rp 45,728 4 Rp - 4 Rp 45,728 - - Rp 11,432 Rp -
149 GUDEL MERAH (100 MM) PCS 4 Rp 45,728 4 Rp - 4 Rp 45,728 - - Rp 11,432 Rp -
150 GUDEL ORANGE (120 MM) PCS 4 Rp 45,728 4 Rp - 4 Rp 45,728 - - Rp 11,432 Rp -
151 GUDEL PINK (40 MM) PCS 4 Rp 45,728 4 Rp - 4 Rp 45,728 - - Rp 11,432 Rp -
152 GUDEL PUTIH (70 MM) PCS 4 Rp 50,296 4 Rp - 4 Rp 50,296 - - Rp 12,574 Rp -
153 GUDEL UNGU PCS 4 Rp 45,728 4 Rp - 4 Rp 45,728 - - Rp 11,432 Rp -
154 H2O2 / HIDROGEN PEROKSIDA BOTOL 1 Rp - 1 Rp - - Rp - 1 N/A Rp - Rp -
155 HANDSCOEN BIRU L (NON POWDER) BOTOL 9 Rp 468,000 9 Rp - 3 Rp 156,000 6 N/A Rp 52,000 Rp 312,000
156 HANDSCOEN BIRU M (NON POWDER) BOTOL - Rp - - Rp - - Rp - - - Rp 52,000 Rp -
160 HANDSCOEN STERIL NO. 6.5 (1) PCS 100 Rp 599,500 100 Rp - - Rp - 100 May-24 Rp 5,995 Rp 599,500
161 HANDSCOEN STERIL NO. 6.5 (2) PCS 500 Rp 3,627,250 500 Rp - - Rp - 500 May-24 Rp 7,255 Rp 3,627,250
162 HANDSCOEN STERIL NO. 7 PCS 2,200 Rp 13,915,000 2,200 Rp - - Rp - 2,200 Jul-23 Rp 6,325 Rp 13,915,000
163 HANDSCOEN STERIL NO. 7.5 PCS 200 Rp 1,265,000 200 Rp - - Rp - 200 Apr-22 Rp 6,325 Rp 1,265,000
165 HANDSCOEN UKURAN L BOTOL 56 Rp 2,587,200 56 Rp - 30 Rp 1,386,000 26 Apr-22 Rp 46,200 Rp 1,201,200
166 HANDSCOEN UKURAN M BOX 180 Rp 9,397,080 180 Rp - 74 Rp 3,863,244 106 N/A Rp 52,206 Rp 5,533,836
167 HANDSCOEN UKURAN S BOX 290 Rp 15,139,740 290 Rp - 75 Rp 3,915,450 215 N/A Rp 52,206 Rp 11,224,290
168 HANDSCOEN UKURAN XS BOTOL 40 Rp 1,680,000 40 Rp - 40 Rp 1,680,000 - - Rp 42,000 Rp -
169 HANDUK DEWASA DISPO / OCTENIC GLOVE PCS 102 Rp 1,166,064 102 Rp - 30 Rp 342,960 72 May-21 Rp 11,432 Rp 823,104
170 HERNIA MESH PCS 60 Rp 14,440,200 60 Rp - - Rp - 60 Aug-20 Rp 240,670 Rp 14,440,200
171 HYPAFIX / PHARMAFIX 10X5 (1) ROLL 11 Rp 852,500 11 Rp - - Rp - 11 Jul-24 Rp 77,500 Rp 852,500
172 HYPAFIX / PHARMAFIX 10X5 (2) ROLL 100 Rp 3,300,000 100 Rp - - Rp - 100 Aug-24 Rp 33,000 Rp 3,300,000
173 HYPAFIX / PHARMAFIX 5X5 ROLL - Rp - - Rp - - Rp - - - Rp 40,700 Rp -
174 ID BAND ANAK / CHILD BIRU PCS 1,000 Rp 1,200,000 1,000 Rp - - Rp - 1,000 Jul-23 Rp 1,200 Rp 1,200,000
175 ID BAND ANAK / CHILD PINK PCS 800 Rp 784,000 800 Rp - 100 Rp 98,000 700 Sep-22 Rp 980 Rp 686,000
176 ID BAND DEWASA / ADULT BIRU PCS 1,000 Rp 1,300,000 1,000 Rp - - Rp - 1,000 Jul-21 Rp 1,300 Rp 1,300,000
177 ID BAND DEWASA / ADULT PINK PCS 900 Rp 882,000 900 Rp - 100 Rp 98,000 800 Sep-22 Rp 980 Rp 784,000
178 INFUSET MACRO PCS 1,350 Rp 7,302,150 1,350 Rp - 510 Rp 2,758,590 840 Jul-23 Rp 5,409 Rp 4,543,560
179 INFUSET MICRO PCS 710 Rp 6,376,510 710 Rp - 20 Rp 179,620 690 Oct-20 Rp 8,981 Rp 6,196,890
181 INTUBATING STYLET MEDIUM 10FR PCS 14 Rp 868,000 14 Rp - 14 Rp 868,000 - - Rp 62,000 Rp -
182 INTUBATING STYLET SMALL 6FR PCS 10 Rp 590,000 10 Rp - 10 Rp 590,000 - - Rp 59,000 Rp -
184 JARUM AKUPUNTUR 0.18 X 15 BOTOL 10 Rp 410,000 10 Rp - - Rp - 10 Dec-22 Rp 41,000 Rp 410,000
187 KAIN NON WOVEN BIRU BOTOL 4 Rp - 4 Rp - - Rp - 4 Jun-24 Rp - Rp -
188 KAIN NON WOVEN HIJAU BOTOL 4 Rp 6,010,000 4 Rp - - Rp - 4 Apr-24 Rp 1,502,500 Rp 6,010,000
192 KASA BULAT / DEPER PCS 1,000 Rp 1,000,000 1,000 Rp - 200 Rp 200,000 800 N/A Rp 1,000 Rp 800,000
195 KASA NON X-RAY PCS 500 Rp 12,028,500 500 Rp - - Rp - 500 May-23 Rp 24,057 Rp 12,028,500
196 KASA STERIL 10 X 10 PCS 250 Rp 2,356,750 250 Rp - 150 Rp 1,414,050 100 Nov-23 Rp 9,427 Rp 942,700
197 KASA STERIL 16 X 16 BOX - Rp - - Rp - - Rp - - - Rp 8,000 Rp -
198 KASA X-RAY PCS 520 Rp 15,730,000 520 Rp - 40 Rp 1,210,000 480 May-23 Rp 30,250 Rp 14,520,000
201 KEMKES : POT DAHAK POT - Rp - - Rp - - Rp - - - Rp - Rp -
202 KEMKES : REAGEN ZIEHL NEELSEN BOTOL 40 Rp - 40 Rp - - Rp - 40 Jun-21 Rp - Rp -
203 KERTAS CTG PACK 15 Rp 4,200,000 15 Rp - 10 Rp 2,800,000 5 N/A Rp 280,000 Rp 1,400,000
210 KONDOM ARTIKA @12 PACK 22 Rp 1,919,984 22 Rp - - Rp - 22 Oct-22 Rp 87,272 Rp 1,919,984
212 LAMINARIA L PCS - Rp - 06-Feb-20 MEDGYN 30 115,500 Aug-24 DITA MITRA 30 Rp 3,465,000 - Rp - 30 Aug-24 Rp 115,500 Rp 3,465,000
MEDIKA
DITA MITRA
213 LAMINARIA M PCS - Rp - 06-Feb-20 MEDGYN 30 115,500 Aug-24 30 Rp 3,465,000 - Rp - 30 Aug-24 Rp 115,500 Rp 3,465,000
MEDIKA
224 MASKER EARLOOP / KARET BOX 300 Rp 8,252,200 300 Rp - 123 Rp 3,383,402 177 N/A Rp 27,507 Rp 4,868,798
225 MASKER N95 BOTOL 36 Rp 1,080,000 36 Rp - 1 Rp 30,000 35 N/A Rp 30,000 Rp 1,050,000
226 MASKER NEBU ANAK PCS 501 Rp 4,609,200 501 Rp - 241 Rp 2,217,200 260 Dec-22 Rp 9,200 Rp 2,392,000
227 MASKER NEBU DEWASA (1) PCS 31 Rp 285,200 31 Rp - 31 Rp 285,200 - - Rp 9,200 Rp -
228 MASKER NEBU DEWASA (2) PCS 300 Rp 3,102,000 300 Rp - 161 Rp 1,664,740 139 Apr-24 Rp 10,340 Rp 1,437,260
235 MASKER TALI / TIE ON BOTOL - Rp - - Rp - - Rp - - - Rp 37,290 Rp -
238 MICROPORE 0.5 INCH PCS 1,668 Rp 6,933,876 1,668 Rp - - Rp - 1,668 Jul-20 Rp 4,157 Rp 6,933,876
239 MICROPORE 1 INCH PCS 1,992 Rp 13,790,616 1,992 Rp - 252 Rp 1,744,596 1,740 Jul-20 Rp 6,923 Rp 12,046,020
240 MICROPORE 2 INCH PCS 381 Rp 17,602,200 SMILEPLUS 600 KASIH KARUNIA 981 Rp 27,720,000 300 Rp 13,860,000 681 Mar-24 Rp 46,200 Rp 31,462,200
KEKAL
242 MY JELLY LUBRICANT TUBE 3 Rp 88,647 3 Rp - - Rp - 3 Jul-22 Rp 29,549 Rp 88,647
243 NASAL CANUL ANAK PCS 280 Rp 1,120,000 280 Rp - 112 Rp 448,000 168 Apr-22 Rp 4,000 Rp 672,000
244 NASAL CANUL BAYI PCS 154 Rp 616,000 154 Rp - 45 Rp 180,000 109 Dec-22 Rp 4,000 Rp 436,000
245 NASAL CANUL DEWASA PCS 810 Rp 3,240,000 810 Rp - - Rp - 810 Mar-23 Rp 4,000 Rp 3,240,000
246 NASAL DRESSING PCS 260 Rp 33,800,000 260 Rp - - Rp - 260 Dec-21 Rp 130,000 Rp 33,800,000
248 NEEDLE 24 PCS 800 Rp 248,800 800 Rp - 200 Rp 62,200 600 Oct-21 Rp 311 Rp 186,600
249 NURSE CAP BOTOL 82 Rp 2,737,980 82 Rp - 2 Rp 66,780 80 N/A Rp 33,390 Rp 2,671,200
253 PARAFILM ROLL 1 Rp 594,000 1 Rp - - Rp - 1 N/A Rp 594,000 Rp 594,000
254 PEN NEEDLE UNGU PCS - Rp - - Rp - - Rp - - - Rp 1,913 Rp -
257 POLI GIGI : CAVIT G PCS 7 Rp 947,100 7 Rp - - Rp - 7 Jan-20 Rp 135,300 Rp 947,100
258 POLI GIGI : CAVITON WHITE (1) BOTOL 1 Rp 30,000 1 Rp - - Rp - 1 Mar-20 Rp 30,000 Rp 30,000
259 POLI GIGI : CAVITON WHITE (2) BOTOL 5 Rp 1,435,500 5 Rp - - Rp - 5 Feb-21 Rp 287,100 Rp 1,435,500
261 POLI GIGI : DYCAL PCS 1 Rp 658,900 1 Rp - - Rp - 1 Feb-22 Rp 658,900 Rp 658,900
262 POLI GIGI : EUGENOL PCS - Rp - - Rp - - Rp - - - Rp 30,000 Rp -
267 POLI GIGI : JARUM CITOJECT 16 BOX 2 Rp 1,650,000 2 Rp - 1 Rp 825,000 1 Dec-21 Rp 825,000 Rp 825,000
269 POLI GIGI : NEEDLE PHOENIX 21G BOX - Rp - - Rp - - Rp - - - Rp - Rp -
270 POLI GIGI : POLIBIBS TOWEL / TISU PCS 9 Rp 1,089,000 9 Rp - - Rp - 9 N/A Rp 121,000 Rp 1,089,000
271 POLI GIGI : SALIVA EJECTOR @100 PACK 10 Rp - 10 Rp - 1 Rp - 9 N/A Rp - Rp -
275 POSTOFIX / DERMAFIX / TEGADERM 10 x 25 PCS 240 Rp 7,050,538 240 Rp - - Rp - 240 Jul-24 Rp 29,377 Rp 7,050,538
276 POT URIN 30CC BOTOL 500 Rp 412,500 500 Rp - - Rp - 500 Jan-21 Rp 825 Rp 412,500
277 POT URIN 50CC (1) PCS 1,500 Rp 1,237,500 1,500 Rp - 1,000 Rp 825,000 500 Jan-21 Rp 825 Rp 412,500
278 POT URIN 50CC (2) PCS 8,000 Rp 8,360,000 8,000 Rp - - Rp - 8,000 N/A Rp 1,045 Rp 8,360,000
280 PRONTOSAN GEL TUBE - Rp - 07-Feb-20 PRONTOSAN 50 556,100 Dec-21 DOS NI ROHA 50 Rp 27,804,975 1 Rp 556,100 49 Dec-21 Rp 556,100 Rp 27,248,876
282 RAD : FILM RONTGEN UKURAN L (35X43) PCS 2 Rp - 2 Rp - 1 Rp - 1 May-20 Rp - Rp -
283 RAD : FILM RONTGEN UKURAN M (28X35) PCS 8 Rp 22,000,000 8 Rp - 2 Rp 5,500,000 6 Jun-21 Rp 2,750,000 Rp 16,500,000
284 RAD : FILM RONTGEN UKURAN S (20X25) PCS 10 Rp 14,190,000 10 Rp - 3 Rp 4,257,000 7 Oct-20 Rp 1,419,000 Rp 9,933,000
285 SABUN CUCI TANGAN OPERASI / E CARE DRIGEN 6 Rp 3,163,638 6 Rp - 1 Rp 527,273 5 May-22 Rp 527,273 Rp 2,636,365
287 SEPTALKAN 500 ML BOTOL 71 Rp 6,185,520 71 Rp - - Rp - 71 Mar-22 Rp 87,120 Rp 6,185,520
288 SIKAT OPERASI / SURGICAL BRUSH PACK 1,190 Rp 6,378,400 1,190 Rp - 48 Rp 257,280 1,142 Jun-24 Rp 5,360 Rp 6,121,120
289 SOFRATULE / DARYANTULE / URGOTULE PCS 320 Rp 6,204,000 320 Rp - 70 Rp 1,357,125 250 May-22 Rp 19,388 Rp 4,846,875
292 SPINOCAN 25 BOX 6 Rp 4,665,000 6 Rp - - Rp - 6 Feb-24 Rp 777,500 Rp 4,665,000
293 SPINOCAN 26 BOX - Rp - - Rp - - Rp - - - Rp 782,500 Rp -
294 SPINOCAN 27 PCS 25 Rp 950,000 25 Rp - - Rp - 25 Nov-23 Rp 38,000 Rp 950,000
296 SPONGESTAN / GELITA SPONS PCS 40 Rp 4,620,000 40 Rp - - Rp - 40 Oct-22 Rp 115,500 Rp 4,620,000
298 SPUIT 10 PCS 1,300 Rp 9,490,000 1,300 Rp - 1,300 Rp 9,490,000 - - Rp 7,300 Rp -
301 SPUIT 5 PCS 1,800 Rp 10,080,000 1,800 Rp - 1,800 Rp 10,080,000 - - Rp 5,600 Rp -
302 SPUIT 50 ML CATHETHER TIP PCS 75 Rp 2,625,000 75 Rp - 25 Rp 875,000 50 May-21 Rp 35,000 Rp 1,750,000
303 SPUIT 50 WITH NEEDLE PCS 60 Rp 6,561,780 60 Rp - - Rp - 60 May-21 Rp 109,363 Rp 6,561,780
304 SUCTION CATHETHER NO. 10 PCS - Rp - - Rp - - Rp - - - Rp 3,520 Rp -
306 SUCTION CATHETHER NO. 14 PCS 50 Rp 176,000 50 Rp - - Rp - 50 Mar-22 Rp 3,520 Rp 176,000
307 SUCTION CATHETHER NO. 16 PCS 190 Rp 1,839,200 190 Rp - - Rp - 190 Apr-23 Rp 9,680 Rp 1,839,200
309 SUCTION CATHETHER NO. 8 PCS 100 Rp 237,000 100 Rp - 50 Rp 118,500 50 Jul-23 Rp 2,370 Rp 118,500
310 SUCTION CONNECTING BIRU / YANKAUER (1) PCS 9 Rp 201,690 9 Rp - 9 Rp 201,690 - - Rp 22,410 Rp -
312 SUCTION CONNECTING KUNING / HEXAGON (1) PCS 14 Rp 210,000 14 Rp - 14 Rp 210,000 - - Rp 15,000 Rp -
313 SUCTION CONNECTING KUNING / HEXAGON (2) PCS 75 Rp 1,775,642 75 Rp - 11 Rp 260,427 64 Jun-24 Rp 23,675 Rp 1,515,215
314 SURGICEL / SURGICAL HAEMOSTATE (2) PCS 6 Rp 1,264,800 6 Rp - - Rp - 6 Oct-22 Rp 210,800 Rp 1,264,800
316 THREE WAY (3 WAY) PCS 600 Rp 9,000,000 600 Rp - 50 Rp 750,000 550 Jul-23 Rp 15,000 Rp 8,250,000
318 TONGUE SPATEL / SPATEL KAYU BOTOL 1 Rp - 1 Rp - 1 Rp - - - Rp - Rp -
321 TRANSOFIX PCS - Rp - 07-Feb-20 TRANSOFIX 600 3,400 Jan-24 DOS NI ROHA 600 Rp 2,040,060 300 Rp 1,020,030 300 Jan-24 Rp 3,400 Rp 1,020,030
323 UNDERPAD PACK 520 Rp 3,603,600 520 Rp - 220 Rp 1,524,600 300 May-23 Rp 6,930 Rp 2,079,000
324 URINBAG PCS 420 Rp 5,183,640 420 Rp - 110 Rp 1,357,620 310 Jan-23 Rp 12,342 Rp 3,826,020
326 VASELIN PUTIH BOTOL - Rp - - Rp - - Rp - - - Rp 990,909 Rp -
Rp 2,244,473,409 Rp 120,163,040 Rp 215,387,969 Rp 2,149,248,479
RSUD Tugu Koja
NIP. 197902112007012011 NIP. 197801112008011012 NIP. 1967121919920321001
Rp 2,244,473,409
Rp -
LAPORAN PERSEDIAAN GUDANG ALKES MARET 2020
NO NAMA ALKES SATUAN STOK Rupiah Stok awal Tanggal Merk Penerimaan Harga Satuan + Exp.Date Distributor Persediaan Nilai PENGELUARAN Rupiah Pengeluaran STOK AKHIR EXP. DATE HARGA HARGA
AWAL PPN Penerimaan Penerimaan SATUAN TOTAL
3 ABOCATH 18 PCS 3,950 Rp 91,245,000 3,950 Rp - - Rp - 3,950 Mar-23 Rp 23,100 Rp 91,245,000
11 ALKOHOL 100 ML BOTOL 7,400 Rp 16,820,200 7,400 Rp - 2,300 Rp 5,227,900 5,100 Apr-20 Rp 2,273 Rp 11,592,300
12 ALKOHOL SWAB @200 (1) BOX 38 Rp 684,000 38 Rp - 38 Rp 684,000 - - Rp 18,000 Rp -
13 ALKOHOL SWAB @200 (2) BOX - Rp - 23-Mar-20 COSMOMED 200 Rp 29,000 Jul-24 GLOBAL PHARMA 200 Rp 5,800,000 20 Rp 580,000 180 Jul-24 Rp 29,000 Rp 5,220,000
17 ANIOSGEL 5 LTR (1) DRIGEN - Rp - - Rp - - Rp - - - Rp 580,000 Rp -
18 ANIOSGEL 5 LTR (2) DRIGEN - Rp - 05-Mar-20 ANIOSGEL 30 Rp 500,000 Mar-22 PRIMA ALKESINDO 30 Rp 15,000,000 30 Rp 15,000,000 - Mar-22 Rp 500,000 Rp -
19 ANIOSGEL 500 ML BOTOL 6 Rp 492,000 05-Mar-20 ANIOSGEL 30 Rp 82,000 May-22 PRIMA ALKESINDO 36 Rp 2,460,000 12 Rp 984,000 24 May-22 Rp 82,000 Rp 1,968,000
20 APRON PLASTIK @10 (1) PACK 18 Rp 454,608 18 Rp - 18 Rp 454,608 - N/A Rp 25,256 Rp -
21 APRON PLASTIK @10 (2) PCS - Rp - 23-Mar-20 ONEMED 500 Rp 2,950 N/A JAYAMAS 500 Rp 1,475,000 70 Rp 206,500 430 N/A Rp 2,950 Rp 1,268,500
23 ARM SLING COMFORT (L) PCS - Rp - 23-Mar-20 ONEMED 40 Rp 18,500 N/A JAYAMAS 40 Rp 740,000 - Rp - 40 - Rp 18,500 Rp 740,000
25 ARM SLING COMFORT (S) PCS - Rp - 23-Mar-20 ONEMED 40 Rp 18,500 N/A JAYAMAS 40 Rp 740,000 - Rp - 40 - Rp 18,500 Rp 740,000
30 BENANG ASSUCRYL 1 TAPER @12 PCS 192 Rp 11,806,464 192 Rp - 12 Rp 737,904 180 Apr-24 Rp 61,492 Rp 11,068,560
32 BENANG CATGUT CHROMIC 2/0 DR STELA @36 PCS - Rp - - Rp - - Rp - - - Rp 29,091 Rp -
42 BENANG OPTIME 2 TAPER @36 PCS 72 Rp 5,008,392 72 Rp - - Rp - 72 May-23 Rp 69,561 Rp 5,008,392
43 BENANG OPTIME 3 CUTTING @36 PCS 402 Rp 36,481,500 402 Rp - - Rp - 402 Aug-21 Rp 90,750 Rp 36,481,500
47 BENANG OPTIME R 2/0 PCS 1,008 Rp 44,352,000 1,008 Rp - 36 Rp 1,584,000 972 Apr-23 Rp 44,000 Rp 42,768,000
55 BETADINE 1 LITER BOTOL 41 Rp 6,273,000 41 Rp - 12 Rp 1,836,000 29 Nov-22 Rp 153,000 Rp 4,437,000
57 BIO SANITIZER LITER 19 Rp 17,993,594 19 Rp - 19 Rp 17,993,594 - Jan-22 Rp 947,031 Rp -
62 BISTURI NO. 21 PCS 200 Rp - 200 Rp - 100 Rp - 100 Nov-20 Rp - Rp -
63 BLOOD SET DEWASA PCS 140 Rp 1,470,000 140 Rp - 20 Rp 210,000 120 Sep-23 Rp 10,500 Rp 1,260,000
67 BREATHING CIRCUIT COAXIAL PCS 17 Rp 2,454,375 17 Rp - 2 Rp 288,750 15 Mar-23 Rp 144,375 Rp 2,165,625
70 CAIRAN LYSOL / LISOL KONSENTRAT BOTOL - Rp - - Rp - - Rp - - - Rp 37,270 Rp -
72 CSSD : AQUADEST 5 LITER DRIGEN 2 Rp - 2 Rp - 2 Rp - - N/A Rp - Rp -
74 CSSD : INDIKATOR 3-LINE LABEL ROLL - Rp - - Rp - - Rp - - - Rp 557,774 Rp -
76 CSSD : INDIKATOR PACKAGE MONITORING / TIPE 6 BOX 1,000 Rp 2,057,000 1,000 Rp - - Rp - 1,000 Jan-22 Rp 2,057 Rp 2,057,000
77 CSSD : INDIKATOR STRIP GLOPACK (INTERNAL) BOX 3 Rp - 3 Rp - - Rp - 3 Jan-21 Rp - Rp -
78 CSSD : INDIKATOR STRIP STERICLIN (INTERNAL) BOX 8 Rp 1,092,000 8 Rp - - Rp - 8 Oct-22 Rp 136,500 Rp 1,092,000
79 CSSD : INDIKATOR TAPES ADHESIVE (EXTERNAL) PCS 35 Rp 2,262,680 35 Rp - - Rp - 35 Aug-20 Rp 64,648 Rp 2,262,680
81 CSSD : POUCHES 10 CM x 200 (2) ROLL 20 Rp 18,042,970 20 Rp - - Rp - 20 Jun-24 902,149 Rp 18,042,970
88 CSSD : POUCHES 5 CM x 200 (2) ROLL 20 Rp 9,187,970 20 Rp - - Rp - 20 Sep-23 459,399 Rp 9,187,970
92 CSSD : STEAM STERILIZATION BOWIE DICK BOX 3 Rp - 3 Rp - - Rp - 3 Jan-21 Rp - Rp -
97 ELASTIC BANDAGE / POLICREPE (7.5 X 4.55) ROLL 240 Rp 6,024,000 240 Rp - 24 Rp 602,400 216 May-24 Rp 25,100 Rp 5,421,600
98 ELECTROSURGICAL PAD PCS 50 Rp 900,020 50 Rp - - Rp - 50 Jan-21 Rp 18,000 Rp 900,020
99 ELECTROSURGICAL PENCIL / PENSIL COTTER PCS - Rp - 01-Mar-20 SOMETECH 150 Rp 46,259 Aug-21 SOMETECH 150 Rp 6,938,850 74 Rp 3,423,166 76 Aug-21 Rp 46,259 Rp 3,515,684
100 ETIL KLORIDA SPRAY BOTOL 6 Rp - 6 Rp - 6 Rp - - Jul-21 Rp - Rp -
103 ETT INTUBATING STYLET 4.0 PCS 6 Rp 828,000 6 Rp - - Rp - 6 Mar-23 Rp 138,000 Rp 828,000
104 ETT INTUBATING STYLET 4.5 PCS - Rp - 03-Mar-20 REINFORCED 9 Rp 138,000 Oct-24 DWIASRI GRAHA 9 Rp 1,242,000 - Rp - 9 Oct-24 Rp 138,000 Rp 1,242,000
105 ETT INTUBATING STYLET 5.0 PCS - Rp - 03-Mar-20 REINFORCED 18 Rp 138,000 Dec-23 DWIASRI GRAHA 18 Rp 2,484,000 - Rp - 18 Dec-23 Rp 138,000 Rp 2,484,000
108 ETT INTUBATING STYLET 6.5 PCS 11 Rp 1,518,000 03-Mar-20 REINFORCED 4 IDR 138,000 Sep-24 DWIASRI GRAHA 15 Rp 552,000 4 Rp 552,000 11 Sep-24 Rp 138,000 Rp 1,518,000
126 EXTENSION TUBE / PERFUSOR PCS 25 Rp 924,990 25 Rp - - Rp - 25 Jan-24 Rp 37,000 Rp 924,990
127 EYE PROTECTOR BAYI (1) PCS 12 Rp 720,000 12 Rp - - Rp - 12 N/A Rp 60,000 Rp 720,000
128 EYE PROTECTOR BAYI (2) PCS - Rp - 23-Mar-20 ONEMED 50 Rp 37,000 N/A JAYAMAS 50 Rp 1,850,000 - Rp - 50 N/A Rp 37,000 Rp 1,850,000
130 FEEDING / STOMACH TUBE NO. 12 PCS 10 Rp 33,800 10 Rp - 4 Rp 13,520 6 Jan-21 Rp 3,380 Rp 20,280
131 FEEDING / STOMACH TUBE NO. 14 PCS 7 Rp 26,950 7 Rp - 7 Rp 26,950 - Dec-21 Rp 3,850 Rp -
132 FEEDING / STOMACH TUBE NO. 16 PCS 3 Rp 11,550 3 Rp - 3 Rp 11,550 - May-20 Rp 3,850 Rp -
134 FEEDING / STOMACH TUBE NO. 3.5 PCS 100 Rp 3,850,000 100 Rp - 2 Rp 77,000 98 Sep-20 Rp 38,500 Rp 3,773,000
135 FEEDING / STOMACH TUBE NO. 5 PCS 100 Rp 1,736,700 100 Rp - 50 Rp 868,350 50 Apr-21 Rp 17,367 Rp 868,350
139 FOLEY CATH NO. 12 PCS - Rp - - Rp - - Rp - - - Rp 12,500 Rp -
141 FOLEY CATH NO. 16 PCS 560 Rp 5,790,400 560 Rp - 40 Rp 413,600 520 Sep-23 Rp 10,340 Rp 5,376,800
147 GUDEL NO. 0 (60 MM) HITAM PCS - Rp - 12-Mar-20 ROMSONS 50 Rp 11,768 Mar-24 ROMSONS 50 Rp 588,400 - Rp - 50 - 11,768 Rp 588,400
148 GUDEL NO. 00 (50 MM) BIRU PCS - Rp - 12-Mar-20 ROMSONS 50 Rp 11,768 Mar-24 ROMSONS 50 Rp 588,400 - Rp - 50 - 11,768 Rp 588,400
149 GUDEL NO. 000 (40 MM)PINK PCS - Rp - 12-Mar-20 ROMSONS 40 Rp 11,768 Mar-24 ROMSONS 40 Rp 470,720 - Rp - 40 - 11,768 Rp 470,720
150 GUDEL NO. 1 (70 MM) PUTIH PCS - Rp - 12-Mar-20 ROMSONS 50 Rp 11,768 Mar-24 ROMSONS 50 Rp 588,400 - Rp - 50 - 11,768 Rp 588,400
151 GUDEL NO. 2 (80 MM) HIJAU PCS - Rp - - Rp - - Rp - - - 11,768 Rp -
152 GUDEL NO. 3 (90 MM) KUNING PCS - Rp - 12-Mar-20 ROMSONS 55 Rp 11,768 Mar-24 ROMSONS 55 Rp 647,240 - Rp - 55 - 11,768 Rp 647,240
153 GUDEL NO. 4 (100 MM) MERAH PCS - Rp - 12-Mar-20 ROMSONS 70 Rp 11,768 Mar-24 ROMSONS 70 Rp 823,760 - Rp - 70 - 11,768 Rp 823,760
154 GUDEL NO. 5 (110 MM) ORANGE PCS - Rp - 12-Mar-20 ROMSONS 70 Rp 11,768 Mar-24 ROMSONS 70 Rp 823,760 - Rp - 70 - 11,768 Rp 823,760
155 GUDEL NO. 6 (120 MM) UNGU PCS - Rp - - Rp - - Rp - - - 11,768 Rp -
156 H2O2 / HIDROGEN PEROKSIDA DRIGEN 1 Rp - 1 Rp - 1 Rp - - N/A Rp - Rp -
157 HANDSCOEN BIRU L (NON POWDER) BOX 6 Rp 312,000 6 Rp - 2 Rp 104,000 4 N/A Rp 52,000 Rp 208,000
162 HANDSCOEN STERIL NO. 6.5 (1) PCS 100 Rp 599,500 100 Rp - 100 Rp 599,500 - May-24 Rp 5,995 Rp -
163 HANDSCOEN STERIL NO. 6.5 (2) PCS 500 Rp 3,627,250 500 Rp - 200 Rp 1,450,900 300 May-24 Rp 7,255 Rp 2,176,350
164 HANDSCOEN STERIL NO. 7 PCS 2,200 Rp 13,915,000 2,200 Rp - 200 Rp 1,265,000 2,000 Jul-23 Rp 6,325 Rp 12,650,000
165 HANDSCOEN STERIL NO. 7.5 PCS 200 Rp 1,265,000 200 Rp - 150 Rp 948,750 50 Apr-22 Rp 6,325 Rp 316,250
167 HANDSCOEN UKURAN L BOX 26 Rp 1,201,200 26 Rp - 11 Rp 508,200 15 Apr-22 Rp 46,200 Rp 693,000
168 HANDSCOEN UKURAN M BOX 106 Rp 5,533,836 106 Rp - 92 Rp 4,802,952 14 N/A Rp 52,206 Rp 730,884
170 HANDSCOEN UKURAN XS BOX - Rp - - Rp - - Rp - - - Rp 42,000 Rp -
171 HANDUK DEWASA DISPO / OCTENIC GLOVE PCS 72 Rp 823,104 72 Rp - 72 Rp 823,104 - May-21 Rp 11,432 Rp -
173 HYPAFIX / PHARMAFIX 10X5 (1) ROLL 11 Rp 852,500 11 Rp - 11 Rp 852,500 - Jul-24 Rp 77,500 Rp -
174 HYPAFIX / PHARMAFIX 10X5 (2) ROLL 100 Rp 3,300,000 100 Rp - 38 Rp 1,254,000 62 Aug-24 Rp 33,000 Rp 2,046,000
176 ID BAND ANAK / CHILD BIRU PCS 1,000 Rp 1,200,000 1,000 Rp - 100 Rp 120,000 900 Jul-23 Rp 1,200 Rp 1,080,000
177 ID BAND ANAK / CHILD PINK (1) PCS 700 Rp 686,000 700 Rp - 700 Rp 686,000 - - Rp 980 Rp -
178 ID BAND ANAK / CHILD PINK (2) PCS - Rp - 11-Mar-20 WRIST 1,400 Rp 1,078 N/A SENTRA ASIA GEMILANG 1,400 Rp 1,509,200 - Rp - 1,400 N/A Rp 1,078 Rp 1,509,200
179 ID BAND DEWASA / ADULT BIRU PCS 1,000 Rp 1,300,000 1,000 Rp - 300 Rp 390,000 700 Jul-21 Rp 1,300 Rp 910,000
180 ID BAND DEWASA / ADULT PINK (1) PCS 800 Rp 784,000 800 Rp - 800 Rp 784,000 - - Rp 980 Rp -
181 ID BAND DEWASA / ADULT PINK (2) PCS - Rp - 11-Mar-20 WRIST 3,600 Rp 1,078 N/A SENTRA ASIA GEMILANG 3,600 Rp 3,880,800 - Rp - 3,600 N/A Rp 1,078 Rp 3,880,800
182 INFUSET MACRO PCS 840 Rp 4,543,560 840 Rp - 480 Rp 2,596,320 360 Jul-23 Rp 5,409 Rp 1,947,240
187 IV DRESSING / CANOFIX 6 x 8 PCS 650 Rp 5,005,000 650 Rp - 50 Rp 385,000 600 Aug-23 Rp 7,700 Rp 4,620,000
188 JARUM AKUPUNTUR 0.18 X 15 BOX 10 Rp 410,000 10 Rp - - Rp - 10 Dec-22 Rp 41,000 Rp 410,000
193 KAPAS PUTIH 500 GRAM PCS 31 Rp 1,691,360 31 Rp - 2 Rp 109,120 29 N/A Rp 54,560 Rp 1,582,240
194 KAPSUL NO. 0 PACK 1 Rp 40,000 26-Mar-20 BRATACO 27 Rp 40,000 N/A BRATACO 28 Rp 1,080,000 2 Rp 80,000 26 N/A Rp 40,000 Rp 1,040,000
195 KAPSUL NO. 00 PACK 3 Rp 210,000 26-Mar-20 BRATACO 36 Rp 70,000 N/A BRATACO 39 Rp 2,520,000 3 Rp 210,000 36 N/A Rp 70,000 Rp 2,520,000
199 KASA NON X-RAY PCS 500 Rp 12,028,500 500 Rp - 200 Rp 4,811,400 300 May-23 Rp 24,057 Rp 7,217,100
200 KASA STERIL 10 X 10 PCS 100 Rp 942,700 100 Rp - 100 Rp 942,700 - Nov-23 Rp 9,427 Rp -
202 KASA X-RAY PCS 480 Rp 14,520,000 480 Rp - 80 Rp 2,420,000 400 May-23 Rp 30,250 Rp 12,100,000
206 KEMKES : REAGEN ZIEHL NEELSEN BOX 40 Rp - 40 Rp - 20 Rp - 20 Jun-21 Rp - Rp -
210 KERTAS RECORDING PAPER FUKUDA 110 X 140 PACK 47 Rp - 47 Rp - 6 Rp - 41 N/A Rp - Rp -
211 KERTAS USG ROLL 118 Rp 23,600,000 118 Rp - 8 Rp 1,600,000 110 N/A Rp 200,000 Rp 22,000,000
215 LAKMUS MERAH NESCO @100 PACK 5 Rp 625,000 5 Rp - 1 Rp 125,000 4 N/A Rp 125,000 Rp 500,000
216 LAMINARIA L PCS 30 Rp 3,465,000 30 Rp - 5 Rp 577,500 25 Aug-24 Rp 115,500 Rp 2,887,500
217 LAMINARIA M PCS 30 Rp 3,465,000 30 Rp - 5 Rp 577,500 25 Aug-24 Rp 115,500 Rp 2,887,500
228 MASKER EARLOOP / KARET BOX 177 Rp 4,868,798 177 Rp - 51 Rp 1,402,874 126 N/A Rp 27,507 Rp 3,465,924
229 MASKER JILBAB (1) BOX - Rp - 23-Mar-20 GP CARE 10 Rp 25,000 N/A GLOBAL PHARMA 10 Rp 250,000 10 Rp 250,000 - - Rp 25,000 Rp -
230 MASKER JILBAB (2) BOX - Rp - 23-Mar-20 FIT U 41 Rp 99,000 N/A MITRA BLESSINDO 41 Rp 4,059,000 41 Rp 4,059,000 - - Rp 99,000 Rp -
231 MASKER N95 BOX 35 Rp 1,050,000 35 Rp - 10 Rp 300,000 25 N/A Rp 30,000 Rp 750,000
232 MASKER NEBU ANAK PCS 260 Rp 2,392,000 260 Rp - 160 Rp 1,472,000 100 Dec-22 Rp 9,200 Rp 920,000
233 MASKER NEBU DEWASA PCS 139 Rp 1,437,260 139 Rp - 100 Rp 1,034,000 39 Apr-24 Rp 10,340 Rp 403,260
240 MASKER TALI / TIE ON BOX - Rp - - Rp - - Rp - - - Rp 37,290 Rp -
244 MICROPORE 1 INCH PCS 1,740 Rp 12,046,020 1,740 Rp - - Rp - 1,740 Jul-20 Rp 6,923 Rp 12,046,020
247 MY JELLY LUBRICANT TUBE 3 Rp 88,647 3 Rp - 3 Rp 88,647 - Jul-22 Rp 29,549 Rp -
248 NASAL CANUL ANAK PCS 168 Rp 672,000 168 Rp - 68 Rp 272,000 100 Apr-22 Rp 4,000 Rp 400,000
249 NASAL CANUL BAYI PCS 109 Rp 436,000 109 Rp - - Rp - 109 Dec-22 Rp 4,000 Rp 436,000
250 NASAL CANUL DEWASA PCS 810 Rp 3,240,000 810 Rp - 60 Rp 240,000 750 Mar-23 Rp 4,000 Rp 3,000,000
254 NURSE CAP BOX 80 Rp 2,671,200 80 Rp - 17 Rp 567,630 63 N/A Rp 33,390 Rp 2,103,570
259 PEN NEEDLE UNGU (1) PCS - Rp - - Rp - - Rp - - - Rp 1,913 Rp -
260 PEN NEEDLE UNGU (2) PCS - Rp - 13-Mar-20 BD 2,000 Rp 1,678 Dec-23 AAM 2,000 Rp 3,356,000 300 Rp 503,400 1,700 Dec-23 Rp 1,678 Rp 2,852,600
261 PISAU CUKUR PCS 24 Rp 52,800 18-Mar-20 N/A 56 Rp 2,200 N/A GUDANG UMUM 80 Rp 123,200 32 Rp 70,400 48 N/A Rp 2,200 Rp 105,600
263 POLI GIGI : CAVIT G BOX 7 Rp 947,100 7 Rp - - Rp - 7 Jan-20 Rp 135,300 Rp 947,100
264 POLI GIGI : CAVITON WHITE (1) BOX 1 Rp 30,000 1 Rp - - Rp - 1 Mar-20 Rp 30,000 Rp 30,000
265 POLI GIGI : CAVITON WHITE (2) BOX 5 Rp 1,435,500 5 Rp - - Rp - 5 Feb-21 Rp 287,100 Rp 1,435,500
281 POSTOFIX / DERMAFIX / TEGADERM 10 x 25 PCS 240 Rp 7,050,538 240 Rp - 40 Rp 1,175,090 200 Jul-24 Rp 29,377 Rp 5,875,448
282 POT URIN 30CC PCS 500 Rp 412,500 500 Rp - - Rp - 500 Jan-21 Rp 825 Rp 412,500
283 POT URIN 50CC (1) PCS 500 Rp 412,500 500 Rp - 500 Rp 412,500 - Jan-21 Rp 825 Rp -
284 POT URIN 50CC (2) PCS 8,000 Rp 8,360,000 8,000 Rp - 1,000 Rp 1,045,000 7,000 N/A Rp 1,045 Rp 7,315,000
286 PRONTOSAN GEL TUBE 49 Rp 27,248,876 49 Rp - 3 Rp 1,668,299 46 Dec-21 Rp 556,100 Rp 25,580,577
288 RAD : FILM RONTGEN UKURAN L (35X43) BOX 1 Rp - 1 Rp - - Rp - 1 May-20 Rp - Rp -
289 RAD : FILM RONTGEN UKURAN M (28X35) BOX 6 Rp 16,500,000 6 Rp - 2 Rp 5,500,000 4 Jun-21 Rp 2,750,000 Rp 11,000,000
290 RAD : FILM RONTGEN UKURAN S (20X25) BOX 7 Rp 9,933,000 7 Rp - 4 Rp 5,676,000 3 Oct-20 Rp 1,419,000 Rp 4,257,000
293 SEPTALKAN 500 ML BOTOL 71 Rp 6,185,520 71 Rp - 43 Rp 3,746,160 28 Mar-22 Rp 87,120 Rp 2,439,360
294 SHOE COVER PCS - Rp - 23-Mar-20 ONEMED 100 Rp 1,672 N/A JAYAMAS 100 Rp 167,200 100 Rp 167,200 - - Rp 1,672 Rp -
295 SIKAT OPERASI / SURGICAL BRUSH PCS 1,142 Rp 6,121,120 1,142 Rp - 86 Rp 460,960 1,056 Jun-24 Rp 5,360 Rp 5,660,160
296 SODIUM BICARBONAT KG - Rp - 26-Mar-20 BRATACO 3 Rp 51,000 Mar-22 BRATACO 3 Rp 153,000 - Rp - 3 Mar-22 Rp 51,000 Rp 153,000
297 SOFRATULE / DARYANTULE / URGOTULE PCS 250 Rp 4,846,875 250 Rp - 130 Rp 2,520,375 120 May-22 Rp 19,388 Rp 2,326,500
299 SPALK KAYU PCS 48 Rp - 48 Rp - 5 Rp - 43 N/A Rp - Rp -
300 SPINOCAN 25 BOX 6 Rp 4,665,000 6 Rp - 1 Rp 777,500 5 Feb-24 Rp 777,500 Rp 3,887,500
302 SPINOCAN 27 PCS 25 Rp 950,000 25 Rp - - Rp - 25 Nov-23 Rp 38,000 Rp 950,000
305 SPUIT 1 (1) PCS 4,800 Rp 7,550,400 4,800 Rp - 1,600 Rp 2,516,800 3,200 Jul-24 Rp 1,573 Rp 5,033,600
306 SPUIT 1 (2) PCS - Rp - 06-Mar-20 AXIMED 6,000 Rp 880 May-24 PRIMAJAYA PUTRA 6,000 Rp 5,282,160 - Rp - 6,000 May-24 Rp 880 Rp 5,282,160
307 SPUIT 10 PCS - Rp - 06-Mar-20 NIPRO 12,000 Rp 1,463 Sep-24 SINAR RODA UTAMA 12,000 Rp 17,556,000 1,700 Rp 2,487,100 10,300 Sep-24 Rp 1,463 Rp 15,068,900
309 SPUIT 3 (1) PCS 3,100 Rp 14,260,000 3,100 Rp - 3,100 Rp 14,260,000 - Jul-24 Rp 4,600 Rp -
310 SPUIT 3 (2) PCS - 06-Mar-20 AXIMED 12,000 Rp 888 Sep-24 PRIMAJAYA PUTRA 12,000 Rp 10,653,360 1,300 Rp 1,154,114 10,700 Sep-24 Rp 888 Rp 9,499,246
311 SPUIT 5 PCS - Rp - 06-Mar-20 AXIMED 12,000 Rp 984 Sep-24 PRIMAJAYA PUTRA 12,000 Rp 11,810,640 4,000 Rp 3,936,880 8,000 Sep-24 Rp 984 Rp 7,873,760
312 SPUIT 50 ML CATHETHER TIP PCS 50 Rp 1,750,000 50 Rp - - Rp - 50 May-21 Rp 35,000 Rp 1,750,000
313 SPUIT 50 WITH NEEDLE PCS 60 Rp 6,561,780 60 Rp - 60 Rp 6,561,780 - May-21 Rp 109,363 Rp -
314 SUCTION CATHETHER NO. 10 PCS - Rp - 04-Mar-20 HOSPITECH 300 Rp 3,597 Feb-24 SENTRA ASIA GEMILANG 300 Rp 1,079,100 200 Rp 719,400 100 - Rp 3,597 Rp 359,700
315 SUCTION CATHETHER NO. 12 PCS 240 Rp 844,800 240 Rp - 10 Rp 35,200 230 Jan-22 Rp 3,520 Rp 809,600
316 SUCTION CATHETHER NO. 14 PCS 50 Rp 176,000 50 Rp - 30 Rp 105,600 20 Mar-22 Rp 3,520 Rp 70,400
317 SUCTION CATHETHER NO. 16 PCS 190 Rp 1,839,200 190 Rp - 110 Rp 1,064,800 80 Apr-23 Rp 9,680 Rp 774,400
318 SUCTION CATHETHER NO. 6 PCS 100 Rp 237,000 100 Rp - 50 Rp 118,500 50 Sep-24 Rp 2,370 Rp 118,500
319 SUCTION CATHETHER NO. 8 PCS 50 Rp 118,500 50 Rp - 50 Rp 118,500 - Jul-23 Rp 2,370 Rp -
320 SUCTION CONNECTING BIRU / YANKAUER PCS 300 Rp 10,232,728 300 Rp - 135 Rp 4,604,728 165 Oct-23 Rp 34,109 Rp 5,628,000
321 SUCTION CONNECTING KUNING / HEXAGON PCS 64 Rp 1,515,215 64 Rp - 24 Rp 568,205 40 Jun-24 Rp 23,675 Rp 947,009
322 SURGICAL GOWN PCS - Rp - 23-Mar-20 ONEMED 2 Rp 33,000 N/A JAYAMAS 2 Rp 66,000 - Rp - 2 N/A Rp 33,000 Rp 66,000
327 TONGUE SPATEL / SPATEL KAYU BOX - Rp - 30-Mar-20 N/A 40 IDR - N/A 40 Rp - 25 Rp - 15 - Rp - Rp -
330 TRANSOFIX PCS 300 Rp 1,020,030 300 Rp - 50 Rp 170,005 250 Jan-24 Rp 3,400 Rp 850,025
332 UNDERPAD (1) PCS 300 Rp 2,079,000 300 Rp - 300 Rp 2,079,000 - May-23 Rp 6,930 Rp -
333 UNDERPAD (2) PCS - Rp - 23-Mar-20 ONEMED 500 Rp 4,162 N/A JAYAMAS 500 Rp 2,081,200 - Rp - 500 N/A Rp 4,162 Rp 2,081,200
334 URINBAG PCS 310 Rp 3,826,020 310 Rp - 60 Rp 740,520 250 Jan-23 Rp 12,342 Rp 3,085,500
336 VASELIN PUTIH 15 KG DRIGEN - Rp - 26-Mar-20 BRATACO 2 Rp 1,250,000 Jun-22 BRATACO 2 Rp 2,500,000 - Rp - 2 Jun-22 Rp 1,250,000 Rp 2,500,000
Rp 2,149,248,479 Rp 111,939,390 Rp 185,823,648 Rp 2,075,364,221
RSUD Tugu Koja
NIP. 197902112007012011 NIP. 197801112008011012 NIP. 1967121919920321001
Rp 2,149,248,479
Rp - Rp 2,075,364,221 Rp -
LAPORAN PERSEDIAAN GUDANG ALKES APRIL 2020
NO NAMA ALKES SATUAN STOK Rupiah Stok awal Tanggal Merk Penerimaan Harga Satuan + Exp.Date Distributor Persediaan Nilai PENGELUARAN Rupiah STOK EXP. DATE HARGA HARGA
AWAL PPN Penerimaan Penerimaan Pengeluaran AKHIR SATUAN TOTAL
11 ALKOHOL 100 ML BOTOL 5,100 Rp 11,592,300 5,100 Rp - 4,600 Rp 10,455,800 500 Apr-20 Rp 2,273 Rp 1,136,500
12 ALKOHOL SWAB @200 BOX 180 Rp 5,220,000 27-Apr-20 COSMOMED 500 Rp29,000 Jul-24 GLOBAL PHARMA 680 Rp 14,500,000 21 Rp 609,000 659 Jul-24 Rp 29,000 Rp 19,111,000
INDONESIA
16 ANIOSGEL 5 LTR / HANDRUB DRIGEN - Rp - 03-Apr-20 GP CARE 100 Rp850,000 Mar-24 GLOBAL PHARMA 100 Rp 85,000,000 31 Rp 26,350,000 69 Mar-24 Rp 850,000 Rp 58,650,000
IND
17 ANIOSGEL 500 ML BOTOL 24 Rp 1,968,000 24 Rp - 1 Rp 82,000 23 May-22 Rp 82,000 Rp 1,886,000
18 APRON PLASTIK @10 (1) PACK - Rp - 07-Apr-20 COSMOMED 3,000 Rp4,015 N/A GLOBAL PHARMA 3,000 Rp 12,045,000 500 Rp 2,007,500 2,500 N/A Rp 4,015 Rp 10,037,500
IND
19 APRON PLASTIK @10 (2) PCS 430 Rp 1,268,500 430 Rp - 430 Rp 1,268,500 - N/A Rp 2,950 Rp -
21 ARM SLING COMFORT (L) PCS 40 Rp 740,000 40 Rp - - Rp - 40 - Rp 18,500 Rp 740,000
23 ARM SLING COMFORT (S) PCS 40 Rp 740,000 40 Rp - - Rp - 40 - Rp 18,500 Rp 740,000
28 BENANG ASSUCRYL 1 TAPER @12 PCS 180 Rp 11,068,560 180 Rp - - Rp - 180 Apr-24 Rp 61,492 Rp 11,068,560
30 BENANG CATGUT CHROMIC 2/0 DR STELA @36 PCS - Rp - 15-Apr-20 TRITON 300 Rp57,800 Oct-24 MPI 300 Rp 17,340,000 48 Rp 2,774,400 252 Oct-24 Rp 57,800 Rp 14,565,600
41 BENANG OPTIME 3 CUTTING @36 PCS 402 Rp 36,481,500 402 Rp - 6 Rp 544,500 396 Aug-21 Rp 90,750 Rp 35,937,000
45 BENANG OPTIME R 2/0 PCS 972 Rp 42,768,000 972 Rp - 252 Rp 11,088,000 720 Apr-23 Rp 44,000 Rp 31,680,000
55 BIO SANITIZER LITER - Rp - - Rp - - Rp - - Jan-22 Rp 947,031 Rp -
60 BISTURI NO. 21 PCS 100 Rp - 100 Rp - 100 Rp - - Nov-20 Rp - Rp -
61 BLOOD SET DEWASA (1) PCS 120 Rp 1,260,000 120 Rp - 80 Rp 840,000 40 Sep-23 Rp 10,500 Rp 420,000
62 BLOOD SET DEWASA (2) PCS - Rp - 07-Apr-20 TROGE 1,000 Rp20,130 Oct-24 PARIT PADANG 1,000 Rp 20,130,000 - Rp - 1,000 Oct-24 IDR 20,130 Rp 20,130,000
64 BRACKET ANIOSGEL PCS 20 Rp - 20 Rp - 1 Rp - 19 N/A Rp - Rp -
68 BREATHING CIRCUIT FILTER PCS 48 Rp 2,178,000 48 Rp - 1 Rp 45,375 47 Sep-23 Rp 45,375 Rp 2,132,625
70 CAUTERY TIP CLEANER PCS 80 Rp - 80 Rp - 10 Rp - 70 Mar-21 Rp - Rp -
PT. TIGAER
71 COVERALL BAJU ANTIVIRUS PCS - Rp - 17-Mar-20 3R 200 Rp330,000 N/A INDONESIA 200 Rp 66,000,000 147 Rp 48,510,000 53 N/A Rp 330,000 Rp 17,490,000
72 CSSD : AQUADEST 5 LITER DRIGEN - Rp - - Rp - - Rp - - N/A Rp - Rp -
74 CSSD : INDIKATOR 3-LINE LABEL ROLL - Rp - - Rp - - Rp - - - Rp 557,774 Rp -
76 CSSD : INDIKATOR PACKAGE MONITORING / TIPE 6 BOX 1,000 Rp 2,057,000 1,000 Rp - 1,000 Rp 2,057,000 - Jan-22 Rp 2,057 Rp -
77 CSSD : INDIKATOR STRIP GLOPACK (INTERNAL) BOX 3 Rp - 3 Rp - 3 Rp - - Jan-21 Rp - Rp -
78 CSSD : INDIKATOR STRIP STERICLIN (INTERNAL) BOX 8 Rp 1,092,000 8 Rp - 8 Rp 1,092,000 - Oct-22 Rp 136,500 Rp -
95 ECG ELECTRODE ADULT / EKG ELEKTRODA DEWASA PCS 7,560 Rp 16,621,668 7,560 Rp - - Rp - 7,560 Mar-22 Rp 2,199 Rp 16,621,668
98 ELECTROSURGICAL PAD PCS 50 Rp 900,020 50 Rp - - Rp - 50 Jan-21 Rp 18,000 Rp 900,020
99 ELECTROSURGICAL PENCIL / PENSIL COTTER (1) PCS 76 Rp 3,515,684 76 Rp - 76 Rp 3,515,684 - - Rp 46,259 Rp -
100 ELECTROSURGICAL PENCIL / PENSIL COTTER (2) PCS - Rp - 21-Apr-20 ALPHAMED 300 Rp25,000 Jul-22 CIPTA MEDIKA 300 Rp 7,500,000 - Rp - 300 Jul-22 Rp 25,000 Rp 7,500,000
101 ETIL KLORIDA SPRAY BOTOL - Rp - 22-Apr-20 N/A 20 Rp165,000 Jan-23 SURYA PELANGI 20 Rp - 10 Rp - 10 Jul-21 Rp - Rp -
MERENDA
127 EXTENSION TUBE / PERFUSOR PCS 25 Rp 924,990 25 Rp - 25 Rp 924,990 - Jan-24 Rp 37,000 Rp -
128 EYE PROTECTOR BAYI (1) PCS 12 Rp 720,000 12 Rp - 12 Rp 720,000 - N/A Rp 60,000 Rp -
129 EYE PROTECTOR BAYI (2) PCS 50 Rp 1,850,000 50 Rp - 10 Rp 370,000 40 N/A Rp 37,000 Rp 1,480,000
131 FEEDING / STOMACH TUBE NO. 12 PCS 6 Rp 20,280 6 Rp - 6 Rp 20,280 - Jan-21 Rp 3,380 Rp -
132 FEEDING / STOMACH TUBE NO. 14 PCS - Rp - 01-Apr-20 MAS 100 Rp2,750 Jun-20 MEGAH MEDIKA 100 Rp 275,000 25 Rp 68,750 75 Jun-20 Rp 2,750 Rp 206,250
133 FEEDING / STOMACH TUBE NO. 16 PCS - Rp - - Rp - - Rp - - May-20 Rp 3,850 Rp -
136 FEEDING / STOMACH TUBE NO. 5 PCS 50 Rp 868,350 50 Rp - 50 Rp 868,350 - Apr-21 Rp 17,367 Rp -
137 FEEDING / STOMACH TUBE NO. 6 (1) PCS 83 Rp 319,550 83 Rp - 78 Rp 300,300 5 Jan-24 Rp 3,850 Rp 19,250
138 FEEDING / STOMACH TUBE NO. 6 (2) PCS - Rp - 01-Apr-20 MAS 50 Rp2,705 May-24 MEGAH MEDIKA 50 Rp 135,250 - Rp - 50 May-24 Rp 2,705 Rp 135,250
139 FEEDING / STOMACH TUBE NO. 8 (1) PCS 38 Rp 146,300 38 Rp - - Rp - 38 Sep-24 Rp 3,850 Rp 146,300
140 FEEDING / STOMACH TUBE NO. 8 (2) PCS - Rp - 01-Apr-20 MAS 100 Rp2,607 May-24 MEGAH MEDIKA 100 Rp 260,700 - Rp - 100 May-24 Rp 2,607 Rp 260,700
141 FOLEY CATH NO. 10 PCS 70 Rp 190,890 70 Rp - - Rp - 70 Aug-22 Rp 2,727 Rp 190,890
142 FOLEY CATH NO. 12 PCS - Rp - - Rp - - Rp - - - Rp 12,500 Rp -
144 FOLEY CATH NO. 16 PCS 520 Rp 5,376,800 520 Rp - 120 Rp 1,240,800 400 Sep-23 Rp 10,340 Rp 4,136,000
150 GUDEL NO. 0 (60 MM) HITAM PCS 50 Rp 588,400 50 Rp - 1 Rp 11,768 49 - 11,768 Rp 576,632
151 GUDEL NO. 00 (50 MM) BIRU PCS 50 Rp 588,400 50 Rp - 1 Rp 11,768 49 - 11,768 Rp 576,632
152 GUDEL NO. 000 (40 MM)PINK PCS 40 Rp 470,720 40 Rp - - Rp - 40 - 11,768 Rp 470,720
153 GUDEL NO. 1 (70 MM) PUTIH PCS 50 Rp 588,400 50 Rp - - Rp - 50 - 11,768 Rp 588,400
154 GUDEL NO. 2 (80 MM) HIJAU PCS 55 Rp 647,240 55 Rp - 6 Rp 70,608 49 - 11,768 Rp 576,632
155 GUDEL NO. 3 (90 MM) KUNING PCS - Rp - - Rp - - Rp - - - 11,768 Rp -
156 GUDEL NO. 4 (100 MM) MERAH PCS 70 Rp 823,760 70 Rp - 24 Rp 282,432 46 - 11,768 Rp 541,328
157 GUDEL NO. 5 (110 MM) ORANGE PCS 70 Rp 823,760 70 Rp - 28 Rp 329,504 42 - 11,768 Rp 494,256
158 GUDEL NO. 6 (120 MM) UNGU PCS - Rp - - Rp - - Rp - - - 11,768 Rp -
159 H2O2 / HIDROGEN PEROKSIDA DRIGEN - Rp - - Rp - - Rp - - N/A Rp - Rp -
165 HANDSCOEN STERIL NO. 6.5 (1) PCS - Rp - - Rp - - Rp - - May-24 Rp 5,995 Rp -
166 HANDSCOEN STERIL NO. 6.5 (2) PCS 300 Rp 2,176,350 300 Rp - 100 Rp 725,450 200 May-24 Rp 7,255 Rp 1,450,900
167 HANDSCOEN STERIL NO. 7 PCS 2,000 Rp 12,650,000 2,000 Rp - 400 Rp 2,530,000 1,600 Jul-23 Rp 6,325 Rp 10,120,000
168 HANDSCOEN STERIL NO. 7.5 (1) PCS 50 Rp 316,250 50 Rp - - Rp - 50 Apr-22 Rp 6,325 Rp 316,250
169 HANDSCOEN STERIL NO. 7.5 (2) PCS - Rp - 01-Apr-20 MAS 400 Rp8,888 Jul-24 MEGAH MEDIKA 400 Rp 3,555,200 - Rp - 400 Rp 8,888 Rp 3,555,200
170 HANDSCOEN STERIL NO. 8 PCS 500 Rp 3,162,500 500 Rp - 100 Rp 632,500 400 Apr-22 Rp 6,325 Rp 2,530,000
171 HANDSCOEN UKURAN L (1) BOX 15 Rp 693,000 15 Rp - 15 Rp 693,000 - Apr-22 Rp 46,200 Rp -
172 HANDSCOEN UKURAN L (2) - Rp - 14-Apr-20 MAS 11 Rp52,206 N/A MEGAH MEDIKA 11 Rp 574,266 - Rp - 11 N/A IDR 52,206 Rp 574,266
173 HANDSCOEN UKURAN M BOX 14 Rp 730,884 01-Apr-20 MAS 200 Rp52,206 N/A MEGAH MEDIKA 214 Rp 10,441,200 106 Rp 5,533,836 108 N/A Rp 52,206 Rp 5,638,248
174 HANDSCOEN UKURAN S BOX 73 Rp 3,811,038 73 Rp - 73 Rp 3,811,038 - N/A Rp 52,206 Rp -
176 HANDUK DEWASA DISPO / OCTENIC GLOVE PCS - Rp - - Rp - - Rp - - May-21 Rp 11,432 Rp -
178 HYPAFIX / PHARMAFIX 10X5 (1) ROLL - Rp - - Rp - - Rp - - Jul-24 Rp 77,500 Rp -
179 HYPAFIX / PHARMAFIX 10X5 (2) ROLL 62 Rp 2,046,000 62 Rp - 46 Rp 1,518,000 16 Aug-24 Rp 33,000 Rp 528,000
181 ID BAND ANAK / CHILD BIRU PCS 900 Rp 1,080,000 900 Rp - 700 Rp 840,000 200 Jul-23 Rp 1,200 Rp 240,000
182 ID BAND ANAK / CHILD PINK PCS 1,400 Rp 1,509,200 1,400 Rp - 500 Rp 539,000 900 N/A Rp 1,078 Rp 970,200
183 ID BAND DEWASA / ADULT BIRU PCS 700 Rp 910,000 700 Rp - 400 Rp 520,000 300 Jul-21 Rp 1,300 Rp 390,000
185 INFUSET MACRO (1) PCS 360 Rp 1,947,240 360 Rp - 360 Rp 1,947,240 - Jul-23 Rp 5,409 Rp -
186 INFUSET MACRO (2) PCS - Rp - 21-Apr-20 POLYFUSION 2,000 Rp6,600 Jun-24 MEGAH MEDIKA 2,000 Rp 13,200,000 - Rp - 2,000 Jun-24 Rp 6,600 Rp 13,200,000
192 JARUM AKUPUNTUR 0.18 X 15 BOX 10 Rp 410,000 10 Rp - 10 Rp 410,000 - Dec-22 Rp 41,000 Rp -
193 JARUM AKUPUNTUR 0.25 X 25 BOX 105 Rp 4,305,000 105 Rp - 10 Rp 410,000 95 Dec-22 Rp 41,000 Rp 3,895,000
195 KACAMATA GOGGLE PCS - Rp - 17-Mar-20 3M 50 Rp220,000 N/A PT. TIGAER 50 Rp 11,000,000 50 Rp 11,000,000 - N/A Rp 220,000 Rp -
INDONESIA
199 KAPSUL NO. 0 PACK 26 Rp 1,040,000 26 Rp - 6 Rp 240,000 20 N/A Rp 40,000 Rp 800,000
204 KASA NON X-RAY PCS 300 Rp 7,217,100 14-Apr-20 PRO KASA 750 Rp24,057 N/A JAYADI MITRA 1,050 Rp 18,042,750 540 Rp 12,990,780 510 N/A Rp 24,057 Rp 12,269,070
205 KASA STERIL 10 X 10 PCS - Rp - - Rp - - Rp - - Nov-23 Rp 9,427 Rp -
207 KASA X-RAY PCS 400 Rp 12,100,000 14-Apr-20 PRO KASA 750 Rp30,250 N/A JAYADI MITRA 1,150 Rp 22,687,500 - Rp - 1,150 N/A Rp 30,250 Rp 34,787,500
212 KERTAS CTG (1) PACK 5 Rp 1,400,000 5 Rp - 5 Rp 1,400,000 - N/A Rp 280,000 Rp -
213 KERTAS CTG (2) PACK - Rp - 23-Apr-20 ENDO 20 Rp110,000 N/A ENDO INDONESIA 20 Rp 2,200,000 10 Rp 1,100,000 10 N/A Rp 110,000 Rp 1,100,000
215 KERTAS EKG PANJANG : 210 MM X 30 M FUKUDA ROLL 10 Rp 1,150,000 10 Rp - 10 Rp 1,150,000 - N/A Rp 115,000 Rp -
222 LAMINARIA L PCS 25 Rp 2,887,500 25 Rp - 7 Rp 808,500 18 Aug-24 Rp 115,500 Rp 2,079,000
223 LAMINARIA M PCS 25 Rp 2,887,500 25 Rp - 6 Rp 693,000 19 Aug-24 Rp 115,500 Rp 2,194,500
234 MASKER EARLOOP / KARET (1) BOX 126 Rp 3,465,924 126 Rp - 126 Rp 3,465,924 - N/A Rp 27,507 Rp -
235 MASKER EARLOOP / KARET (2) BOX - Rp - 20-Apr-20 PRO CARE 100 Rp302,500 N/A JAYADI MITRA 100 Rp 30,250,000 21 Rp 6,352,500 79 N/A Rp 302,500 Rp 23,897,500
236 MASKER EARLOOP / KARET (3) BOX - Rp - 07-Apr-20 38 Rp200,000 N/A BUANA INTIPRIMA 38 Rp 7,600,000 38 Rp 7,600,000 - N/A Rp 200,000 Rp -
EVOPLUSMED
237 MASKER N95 BOX 25 Rp 750,000 25 Rp - 25 Rp 750,000 - N/A Rp 30,000 Rp -
238 MASKER N95 TIPE KN95 PCS - Rp - 18-Apr-20 N/A 500 Rp60,000 N/A CIPTA MEDIKA 500 Rp 30,000,000 165 Rp 9,900,000 335 N/A Rp 60,000 Rp 20,100,000
239 MASKER NEBU ANAK PCS 100 Rp 920,000 31-Mar-20 DELVICARE 800 Rp16,000 Jan-24 SAFIRA DWI PHARMA 900 Rp 7,360,000 80 Rp 736,000 820 Jan-24 Rp 9,200 Rp 7,544,000
240 MASKER NEBU DEWASA PCS 39 Rp 403,260 31-Mar-20 DELVICARE 1,000 Rp9,200 Jan-24 SAFIRA DWI PHARMA 1,039 Rp 10,340,000 65 Rp 672,100 974 Jan-24 Rp 10,340 Rp 10,071,160
242 MASKER NON-REBREATHER DEWASA PCS 75 Rp 1,177,500 01-Apr-20 REMEDI 300 Rp15,700 May-22 DUTA AFIAT 375 Rp 4,710,000 - Rp - 375 May-22 Rp 15,700 Rp 5,887,500
247 MASKER TALI / TIE ON BOX - Rp - 06-Apr-20 E CARE 20 Rp162,800 N/A ENSEVAL 20 Rp 3,256,000 1 Rp 162,800 19 N/A Rp 162,800 Rp 3,093,200
254 MY JELLY LUBRICANT TUBE - Rp - - Rp - - Rp - - Jul-22 Rp 29,549 Rp -
255 NASAL CANUL ANAK (1) PCS 100 Rp 400,000 100 Rp - 22 Rp 88,000 78 Apr-22 Rp 4,000 Rp 312,000
256 NASAL CANUL ANAK (2) PCS - Rp - 27-Apr-20 REMEDI 500 Rp6,400 May-23 DUTA AFIAT 500 Rp 3,200,000 - Rp - 500 May-23 Rp 6,400 Rp 3,200,000
257 NASAL CANUL BAYI (1) PCS 109 Rp 436,000 109 Rp - 28 Rp 112,000 81 Dec-22 Rp 4,000 Rp 324,000
258 NASAL CANUL BAYI (2) PCS - Rp - 27-Apr-20 REMEDI 500 Rp7,300 May-23 DUTA AFIAT 500 Rp 3,650,000 - Rp - 500 May-23 Rp 7,300 Rp 3,650,000
263 NURSE CAP BOX 63 Rp 2,103,570 63 Rp - 3 Rp 100,170 60 N/A Rp 33,390 Rp 2,003,400
268 PEN NEEDLE UNGU PCS 1,700 Rp 2,852,600 1,700 Rp - - Rp - 1,700 Dec-23 Rp 1,678 Rp 2,852,600
269 PISAU CUKUR PCS 48 Rp 105,600 21-Apr-20 N/A 200 Rp2,200 N/A GUDANG UMUM 248 Rp 440,000 32 Rp 70,400 216 N/A Rp 2,200 Rp 475,200
283 POLI GIGI : K FILE 10 NO 21 STRIP - Rp - 3-Feb-20 ANTAEOS 10 Rp228,800 N/A THOMASONG 10 Rp 2,288,000 - Rp - 10 N/A Rp228,800 Rp 2,288,000
290 POLI GIGI : PAPER POINT UK 25 BOX - Rp - 3-Feb-20 DIADENT 7 Rp59,840 N/A THOMASONG 7 Rp 418,880 - Rp - 7 N/A Rp59,840 Rp 418,880
312 SHOE COVER PCS - Rp - - Rp - - Rp - - - Rp 1,672 Rp -
313 SIKAT OPERASI / SURGICAL BRUSH PCS 1,056 Rp 5,660,160 1,056 Rp - 68 Rp 364,480 988 Jun-24 Rp 5,360 Rp 5,295,680
314 SODIUM BICARBONAT KG 3 Rp 153,000 3 Rp - 2 Rp 102,000 1 Mar-22 Rp 51,000 Rp 51,000
315 SOFRATULE / DARYANTULE / URGOTULE PCS 120 Rp 2,326,500 120 Rp - 50 Rp 969,375 70 May-22 Rp 19,388 Rp 1,357,125
318 SPINOCAN 25 BOX 5 Rp 3,887,500 5 Rp - 1 Rp 777,500 4 Feb-24 Rp 777,500 Rp 3,110,000
320 SPINOCAN 27 PCS 25 Rp 950,000 25 Rp - 25 Rp 950,000 - Nov-23 Rp 38,000 Rp -
323 SPUIT 1 (1) PCS 3,200 Rp 5,033,600 3,200 Rp - 3,200 Rp 5,033,600 - Jul-24 Rp 1,573 Rp -
324 SPUIT 1 (2) PCS 6,000 Rp 5,282,160 6,000 Rp - - Rp - 6,000 May-24 Rp 880 Rp 5,282,160
325 SPUIT 10 PCS 10,300 Rp 15,068,900 10,300 Rp - 1,900 Rp 2,779,700 8,400 Sep-24 Rp 1,463 Rp 12,289,200
327 SPUIT 3 PCS 10,700 Rp 9,499,246 10,700 Rp - 2,300 Rp 2,041,894 8,400 Sep-24 Rp 888 Rp 7,457,352
328 SPUIT 5 PCS 8,000 Rp 7,873,760 8,000 Rp - - Rp - 8,000 Sep-24 Rp 984 Rp 7,873,760
329 SPUIT 50 ML CATHETHER TIP PCS 50 Rp 1,750,000 50 Rp - 25 Rp 875,000 25 May-21 Rp 35,000 Rp 875,000
330 SPUIT 50 WITH NEEDLE PCS - Rp - 16-Apr-20 NIPRO 200 Rp4,620 Oct-24 SINAR RODA UTAMA 200 Rp 924,000 - Rp - 200 Oct-24 Rp 4,620 Rp 924,000
331 SUCTION CATHETHER NO. 10 PCS 100 Rp 359,700 100 Rp - 100 Rp 359,700 - - Rp 3,597 Rp -
333 SUCTION CATHETHER NO. 14 (1) PCS 20 Rp 70,400 20 Rp - - Rp - 20 Mar-22 Rp 3,520 Rp 70,400
334 SUCTION CATHETHER NO. 14 (2) PCS - Rp - 29-Apr-20 HOSPITECH 100 Rp3,597 Nov-24 SENTRA ASIA 100 Rp 359,700 - Rp - 100 Nov-24 Rp 3,597 Rp 359,700
GEMILANG
337 SUCTION CATHETHER NO. 8 (1) PCS - Rp - - Rp - - Rp - - Jul-23 Rp 2,370 Rp -
338 SUCTION CATHETHER NO. 8 (2) PCS - Rp - 29-Apr-20 HOSPITECH 200 Rp3,597 May-24 SENTRA ASIA 200 Rp 719,400 - Rp - 200 May-24 Rp 3,597 Rp 719,400
GEMILANG
339 SUCTION CONNECTING BIRU / YANKAUER PCS 165 Rp 5,628,000 165 Rp - 15 Rp 511,636 150 Oct-23 Rp 34,109 Rp 5,116,364
340 SUCTION CONNECTING KUNING / HEXAGON PCS 40 Rp 947,009 40 Rp - - Rp - 40 Jun-24 Rp 23,675 Rp 947,009
341 SURGICAL GOWN PCS 2 Rp 66,000 2 Rp - 2 Rp 66,000 - N/A Rp 33,000 Rp -
346 TONGUE SPATEL / SPATEL KAYU BOX 15 Rp - 15 Rp - 11 Rp - 4 - Rp - Rp -
349 TRANSOFIX PCS 250 Rp 850,025 250 Rp - - Rp - 250 Jan-24 Rp 3,400 Rp 850,025
351 UNDERPAD (1) PCS - Rp - 28-Apr-20 NICE CARE 1,000 Rp4,620 N/A SENTRA ASIA 1,000 Rp 4,620,000 - Rp - 1,000 N/A Rp 4,620 Rp 4,620,000
GEMILANG
352 UNDERPAD (2) PCS 500 Rp 2,081,200 500 Rp - 250 Rp 1,040,600 250 N/A Rp 4,162 Rp 1,040,600
353 UNDERPAD (3) PCS - Rp - 27-Apr-20 COSMOMED 1,000 Rp7,900 N/A GLOBAL PHARMA 1,000 Rp 7,900,000 - Rp - 1,000 N/A Rp 7,900 Rp 7,900,000
354 URINBAG (1) PCS 250 Rp 3,085,500 250 Rp - 140 Rp 1,727,880 110 Jan-23 Rp 12,342 Rp 1,357,620
355 URINBAG (2) PCS - Rp - 07-Apr-20 TROGE 400 Rp8,070 May-23 PARIT PADANG 400 Rp 3,228,000 - Rp - 400 May-23 Rp 8,070 Rp 3,228,000
357 VASELIN PUTIH 15 KG DRIGEN 2 Rp 2,500,000 2 Rp - - Rp - 2 Jun-22 Rp 1,250,000 Rp 2,500,000
Rp 2,075,364,221 Rp 439,027,006 Rp 265,237,030 Rp 2,249,154,197
RSUD Tugu Koja
NIP. 197902112007012011 NIP. 197801112008011012 NIP. 1967121919920321001
Rp 2,075,364,221
Rp - Rp 2,249,154,197 Rp -
LAPORAN PERSEDIAAN GUDANG ALKES MEI 2020
NO NAMA ALKES SATUAN STOK AWAL Rupiah Stok awal Tanggal Merk Penerimaan Harga Satuan + PPN Distributor Persediaan PENGELUARAN Rupiah Pengeluaran STOK AKHIR EXP. DATE

4 ABOCATH 20 PCS 5,500 Rp 73,122,500 5,500 Rp - - Rp - 5,500 Jun-23 Rp 13,295 Rp 73,122,500
6 ABOCATH 24 PCS 1,000 Rp 23,100,000 1,000 Rp - 250 Rp 5,775,000 750 Mar-22 Rp 23,100 Rp 17,325,000
7 ABOCATH 26 PCS 1,550 Rp 50,979,500 1,550 Rp - - Rp - 1,550 Jul-22 Rp 32,890 Rp 50,979,500
10 ALKOHOL 1 LTR BOTOL 30 Rp 750,000 30 Rp - 22 Rp 550,000 8 Apr-20 Rp 25,000 Rp 200,000
11 ALKOHOL 100 ML BOTOL 500 Rp 1,136,500 500 Rp - 500 Rp 1,136,500 - - Rp 2,273 Rp -
12 ALKOHOL SWAB @200 BOX 659 Rp 19,111,000 659 Rp - 185 Rp 5,365,000 474 Jul-24 Rp 29,000 Rp 13,746,000
16 ANIOSGEL 5 LTR / HANDRUB DRIGEN 69 Rp 58,650,000 69 Rp - 39 Rp 33,150,000 30 Mar-24 Rp 850,000 Rp 25,500,000
18 APRON PLASTIK @10 (1) PACK 2,500 Rp 10,037,500 2,500 Rp - 800 Rp 3,212,000 1,700 N/A Rp 4,015 Rp 6,825,500
19 APRON PLASTIK @10 (2) PCS - Rp - - Rp - - Rp - - - Rp 2,950 Rp -
30 BENANG CATGUT CHROMIC 2/0 DR STELA @36 PCS 252 Rp 14,565,600 252 Rp - 48 Rp 2,774,400 204 Oct-24 Rp 57,800 Rp 11,791,200
53 BETADINE 1 LITER BOTOL 21 Rp 3,213,000 30-Apr-20 BETADINE 50 Rp 153,000 N/A PARIT PADANG 71 Rp 7,650,000 15 Rp 2,295,000 56 Nov-22 Rp 153,000 Rp 8,568,000
55 BIO SANITIZER LITER - Rp - - Rp - - Rp - - - Rp 947,031 Rp -
61 BLOOD SET DEWASA (1) PCS 40 Rp 420,000 40 Rp - 40 Rp 420,000 - - Rp 10,500 Rp -
62 BLOOD SET DEWASA (2) PCS 1,000 Rp 20,130,000 1,000 Rp - 40 Rp 805,200 960 Oct-24 IDR 20,130 Rp 19,324,800
71 COVERALL BAJU ANTIVIRUS PCS 53 Rp 17,490,000 53 Rp - 3 Rp 990,000 50 N/A Rp 330,000 Rp 16,500,000
72 CSSD : AQUADEST 5 LITER DRIGEN - Rp - - Rp - - Rp - - - Rp - Rp -
74 CSSD : INDIKATOR 3-LINE LABEL ROLL - Rp - 15-May-20 GKE 2 Rp 7,362,616 Feb-23 BINA SUKSES 2 Rp 14,725,232 - Rp - 2 Feb-23 Rp 7,362,616 Rp 14,725,232
76 BOX - Rp - - Rp - - Rp - - - Rp 2,057 Rp -
77 CSSD : INDIKATOR STRIP GLOPACK (INTERNAL) BOX - Rp - 14-May-20 GLOPACK 30 Rp 303,600 Jan-21 GLOMED 30 Rp 9,108,000 - Rp - 30 Jan-21 Rp 303,600 Rp 9,108,000
79 CSSD : INDIKATOR TAPES ADHESIVE (EXTERNAL) PCS 35 Rp 2,262,680 35 Rp - 3 Rp 193,944 32 Aug-20 Rp 64,648 Rp 2,068,736
91 CSSD : POUCHES SATUAN (305X430) PCS 200 Rp 1,000,000 200 Rp - 200 Rp 1,000,000 - - Rp 5,000 Rp -
95 PCS 7,560 Rp 16,621,668 7,560 Rp - 60 Rp 131,918 7,500 Mar-22 Rp 2,199 Rp 16,489,750
W
98 ELECTROSURGICAL PAD PCS 50 Rp 900,020 50 Rp - 50 Rp 900,020 - - Rp 18,000 Rp -
99 ELECTROSURGICAL PENCIL / PENSIL COTTER (1) PCS - Rp - - Rp - - Rp - - - Rp 46,259 Rp -
100 ELECTROSURGICAL PENCIL / PENSIL COTTER (2) PCS 300 Rp 7,500,000 300 Rp - - Rp - 300 Jul-22 Rp 25,000 Rp 7,500,000
101 ETIL KLORIDA SPRAY BOTOL 10 Rp - 10 Rp - - Rp - 10 Jul-21 Rp - Rp -
127 EXTENSION TUBE / PERFUSOR PCS - Rp - - Rp - - Rp - - - Rp 37,000 Rp -
128 EYE PROTECTOR BAYI (1) PCS - Rp - - Rp - - Rp - - - Rp 60,000 Rp -
129 EYE PROTECTOR BAYI (2) PCS 40 Rp 1,480,000 40 Rp - 30 Rp 1,110,000 10 N/A Rp 37,000 Rp 370,000
131 FEEDING / STOMACH TUBE NO. 12 PCS - Rp - 12-May-20 TERUMO 100 Rp 44,000 Jan-21 JAYADI 100 Rp 4,400,000 - Rp - 100 Jan-21 Rp 44,000 Rp 4,400,000
132 FEEDING / STOMACH TUBE NO. 14 PCS 75 Rp 206,250 75 Rp - 75 Rp 206,250 - - Rp 2,750 Rp -
134 FEEDING / STOMACH TUBE NO. 16 PCS - Rp - 12-May-20 TERUMO 50 Rp 44,000 Aug-24 JAYADI 50 Rp 2,200,000 10 Rp 440,000 40 Aug-24 Rp 44,000 Rp 1,760,000
133 FEEDING / STOMACH TUBE NO. 16 PCS - Rp - 14-May-20 ROMSON 100 Rp 8,407 Nov-24 ENDO INDONESIA 100 Rp 840,700 - Rp - 100 May-20 Rp 8,407 Rp 840,700
135 FEEDING / STOMACH TUBE NO. 18 PCS - Rp - 12-May-20 TERUMO 100 Rp 44,000 Aug-24 JAYADI 100 Rp 4,400,000 10 Rp 440,000 90 Aug-24 Rp 44,000 Rp 3,960,000
137 FEEDING / STOMACH TUBE NO. 5 (40 CM) PCS - Rp - 12-May-20 TERUMO 100 Rp 44,000 Apr-21 JAYADI 100 Rp 4,400,000 - Rp - 100 Apr-21 Rp 44,000 Rp 4,400,000
138 FEEDING / STOMACH TUBE NO. 6 (1) PCS 5 Rp 19,250 5 Rp - - Rp - 5 Jan-24 Rp 3,850 Rp 19,250
139 FEEDING / STOMACH TUBE NO. 6 (2) PCS 50 Rp 135,250 50 Rp - - Rp - 50 May-24 Rp 2,705 Rp 135,250
140 FEEDING / STOMACH TUBE NO. 8 (1) PCS 38 Rp 146,300 38 Rp - - Rp - 38 Sep-24 Rp 3,850 Rp 146,300
143 FOLEY CATH NO. 12 PCS - Rp - 13-May-20 COSMOMED 100 Rp 13,800 Jul-23 GLOBAL PHARMA 100 Rp 1,380,000 - Rp - 100 Jul-23 Rp 13,800 Rp 1,380,000
145 FOLEY CATH NO. 16 PCS 400 R
W
W
W
NO NAMA ALKES SATUAN STOK AWAL Rupiah Stok awal Tanggal Merk Penerimaan Harga Satuan + PPN Exp.Date Distributor Persediaan Nilai PENGELUARAN Rupiah Pengeluaran STOK AKHIR EXP. DATE HARGA HARGA
Penerimaan Penerimaan SATUAN TOTAL
167 HANDSCOEN STERIL NO. 6.5 (2) PCS 200 Rp 1,450,900 200 Rp - 100 Rp 725,450 100 May-24 Rp 7,255 Rp 725,450
168 HANDSCOEN STERIL NO. 7 PCS 1,600 Rp 10,120,000 1,600 Rp - 100 Rp 632,500 1,500 Jul-23 Rp 6,325 Rp 9,487,500
169 HANDSCOEN STERIL NO. 7.5 (1) PCS 50 Rp 316,250 50 Rp - 50 Rp 316,250 - - Rp 6,325 Rp -
170 HANDSCOEN STERIL NO. 7.5 (2) PCS 400 Rp 3,555,200 400 Rp - 350 Rp 3,110,800 50 May-25 Rp 8,888 Rp 444,400
172 HANDSCOEN UKURAN L BOX 11 Rp 574,266 11 Rp - 11 Rp 574,266 - - IDR 52,206 Rp -
173 HANDSCOEN UKURAN M BOX 108 Rp 5,638,248 108 Rp - 108 Rp 5,638,248 - - Rp 52,206 Rp -
174 HANDSCOEN UKURAN S BOX - Rp - 14-May-20 GP CARE 500 Rp 62,500 N/A GLOBAL PHARMA 500 Rp 31,250,000 40 Rp 2,500,000 460 N/A Rp 62,500 Rp 28,750,000
176 HANDUK DEWASA DISPO / OCTENIC GLOVE PCS - Rp - 30-Apr-20 OCTENIC 720 Rp 14,438 Feb-22 DMA 720 Rp 10,395,360 72 Rp 1,039,536 648 May-21 Rp 14,438 Rp 9,355,824
178 HYPAFIX / PHARMAFIX 10X5 (1) ROLL - Rp - - Rp - - Rp - - - Rp 77,500 Rp -
179 HYPAFIX / PHARMAFIX 10X5 (2) ROLL 16 Rp 528,000 16 Rp - 15 Rp 495,000 1 Aug-24 Rp 33,000 Rp 33,000
181 ID BAND ANAK / CHILD BIRU PCS 200 Rp 240,000 200 Rp - - Rp - 200 Jul-23 Rp 1,200 Rp 240,000
183 ID BAND DEWASA / ADULT BIRU PCS 300 Rp 390,000 300 Rp - - Rp - 300 Jul-21 Rp 1,300 Rp 390,000
184 ID BAND DEWASA / ADULT PINK PCS 3,600 Rp 3,880,800 3,600 Rp - 700 Rp 754,600 2,900 N/A Rp 1,078 Rp 3,126,200
185 INFUSET MACRO (1) PCS - Rp - - Rp - - Rp - - - Rp 5,409 Rp -
186 INFUSET MACRO (2) PCS 2,000 Rp 13,200,000 2,000 Rp - 520 Rp 3,432,000 1,480 Jun-24 Rp 6,600 Rp 9,768,000
204 KASA NON X-RAY PCS 510 Rp 12,269,070 510 Rp - 10 Rp 240,570 500 N/A Rp 24,057 Rp 12,028,500
205 KASA STERIL 10 X 10 PCS - Rp - - Rp - - Rp - - - Rp 9,427 Rp -
207 KASA X-RAY PCS 1,150 Rp 34,787,500 1,150 Rp - 350 Rp 10,587,500 800 N/A Rp 30,250 Rp 24,200,000
212 KERTAS CTG (1) PACK - Rp - - Rp - - Rp - - - Rp 280,000 Rp -
213 KERTAS CTG (2) PACK 10 Rp 1,100,000 10 Rp - - Rp - 10 N/A Rp 110,000 Rp 1,100,000
215 ROLL - Rp - - Rp - - Rp - - - Rp 115,000 Rp -
221 KONDOM KATETER PCS 0 Rp - 15-May-20 ROMSONS 300 Rp 10,085 Jun-22 RAJAWALI 300 Rp 3,025,500 50 Rp 504,250 250 Jun-22 Rp 10,085 Rp 2,521,250
223 LAMINARIA L PCS 18 Rp 2,079,000 18 Rp - 9 Rp 1,039,500 9 Aug-24 Rp 115,500 Rp 1,039,500
224 LAMINARIA M PCS 19 Rp 2,194,500 19 Rp - - Rp - 19 Aug-24 Rp 115,500 Rp 2,194,500
235 MASKER EARLOOP / KARET (1) BOX - Rp - - Rp - - Rp - - - Rp 27,507 Rp -
236 MASKER EARLOOP / KARET (2) BOX 79 Rp 23,897,500 79 Rp - 25 Rp 7,562,500 54 N/A Rp 302,500 Rp 16,335,000
237 MASKER EARLOOP / KARET (3) BOX - Rp - - Rp - - Rp - - - Rp 200,000 Rp -
238 MASKER N95 BOX - Rp - - Rp - - Rp - - - Rp 30,000 Rp -
239 MASKER N95 TIPE KN95 PCS 335 Rp 20,100,000 335 Rp - 335 Rp 20,100,000 - - Rp 60,000 Rp -
240 MASKER NEBU ANAK PCS 820 Rp 7,544,000 820 Rp - 20 Rp 184,000 800 Jan-24 Rp 9,200 Rp 7,360,000
241 MASKER NEBU DEWASA PCS 974 Rp 10,071,160 974 Rp - 31 Rp 320,540 943 Jan-24 Rp 10,340 Rp 9,750,620
W
247 PCS 190 Rp 2,983,000 190 Rp - - Rp - 190 Jan-21 Rp 15,700 Rp 2,983,000
248 MASKER TALI / TIE ON BOX 19 Rp 3,093,200 30-Apr-20 E CARE 30 Rp 162,800 N/A ENSEVAL 49 Rp 4,884,000 11 Rp 1,790,800 38 N/A Rp 162,800 Rp 6,186,400
251 MICROPORE 0.5 INCH PCS 1,428 Rp 5,936,196 1,428 Rp - 252 Rp 1,047,564 1,176 Jul-20 Rp 4,157 Rp 4,888,632
253 MICROPORE 2 INCH PCS 681 Rp 31,462,200 681 Rp - 81 Rp 3,742,200 600 Mar-24 Rp 46,200 Rp 27,720,000
255 MY JELLY LUBRICANT TUBE - Rp - - Rp - - Rp - - - Rp 29,549 Rp -
257 NASAL CANUL ANAK (2) PCS 500 Rp 3,200,000 500 Rp - - Rp - 500 May-23 Rp 6,400 Rp 3,200,000
259 NASAL CANUL BAYI (2) PCS 500 Rp 3,650,000 500 Rp - - Rp - 500 May-23 Rp 7,300 Rp 3,650,000
264 NURSE CAP BOX 60 Rp 2,003,400 60 Rp - 60 Rp 2,003,400 - - Rp 33,390 Rp -
269 PEN NEEDLE UNGU PCS 1,700 Rp 2,852,600 1,700 Rp - 100 Rp 167,800 1,600 Dec-23 Rp 1,678 Rp 2,684,800
284 POLI GIGI : K FILE 10 NO 21 STRIP 10 Rp 2,288,000 10 Rp - - Rp - 10 N/A Rp228,800 Rp 2,288,000
288 POLI GIGI : K FILE 8 NO 21 STRIP 10 Rp 2,288,000 10 Rp - 10 Rp 2,288,000 - - Rp228,800 Rp -
289 POLI GIGI : K FILE 8 NO 25 STRIP 10 Rp 2,288,000 10 Rp - 10 Rp 2,288,000 - - Rp228,800 Rp -
291 POLI GIGI : PAPER POINT UK 25 BOX 7 Rp 418,880 7 Rp - - Rp - 7 N/A Rp59,840 Rp 418,880
293 POLI GIGI : PAPER POINT UK 35 BOX 7 Rp 418,880 7 Rp - 7 Rp 418,880 - - Rp59,840 Rp -
301 POSTOFIX / DERMAFIX / TEGADERM 10 x 25 PCS 120 Rp 3,525,269 120 Rp - - Rp - 120 Jul-24 Rp 29,377 Rp 3,525,269
303 POT URIN 50CC PCS 7,000 Rp 7,315,000 7,000 Rp - 2,000 Rp 2,090,000 5,000 N/A Rp 1,045 Rp 5,225,000
304 PRONTOSAN CAIR / SOLUTION BOTOL 20 Rp 3,032,000 20 Rp - 1 Rp 151,600 19 Apr-21 Rp 151,600 Rp 2,880,400
305 PRONTOSAN GEL TUBE 43 Rp 23,912,279 43 Rp - 1 Rp 556,100 42 Dec-21 Rp 556,100 Rp 23,356,179
308 RAD : FILM RONTGEN UKURAN M (28X35) BOX 4 Rp 11,000,000 19-May-20 DVE 5 Rp 2,750,000 Jun-21 TRIPTURA 9 Rp 13,750,000 4 Rp 11,000,000 5 Jun-21 Rp 2,750,000 Rp 13,750,000
309 RAD : FILM RONTGEN UKURAN S (20X25) BOX 1 Rp 1,419,000 19-May-20 DVE 15 Rp 1,419,000 Oct-20 TRIPTURA 16 Rp 21,285,000 1 Rp 1,419,000 15 Oct-20 Rp 1,419,000 Rp 21,285,000
311 SAFETY BOX PCS 175 Rp 4,308,850 175 Rp - 50 Rp 1,231,100 125 N/A Rp 24,622 Rp
W
NO NAMA ALKES SATUAN STOK AWAL Rupiah Stok awal Tanggal Merk Penerimaan Harga Satuan + PPN Exp.Date Distributor Persediaan Nilai PENGELUARAN Rupiah Pengeluaran STOK AKHIR EXP. DATE HARGA HARGA
Penerimaan Penerimaan SATUAN TOTAL
334 SUCTION CATHETHER NO. 14 (1) PCS 20 Rp 70,400 20 Rp - 20 Rp 70,400 - - Rp 3,520 Rp -

335 SUCTION CATHETHER NO. 14 (2) PCS 100 Rp 359,700 100 Rp - - Rp - 100 Nov-24 Rp 3,597 Rp 359,700
338 SUCTION CATHETHER NO. 8 (1) PCS - Rp - - Rp - - Rp - - - Rp 2,370 Rp -
339 SUCTION CATHETHER NO. 8 (2) PCS 200 Rp 719,400 200 Rp - 100 Rp 359,700 100 May-24 Rp 3,597 Rp 359,700
340 SUCTION CONNECTING BIRU / YANKAUER PCS 150 Rp 5,116,364 150 Rp - 30 Rp 1,023,273 120 Oct-23 Rp 34,109 Rp 4,093,091
341 SUCTION CONNECTING KUNING / HEXAGON (1) PCS 40 Rp 947,009 40 Rp - - Rp - 40 Jun-24 Rp 23,675 Rp 947,009
342 SUCTION CONNECTING KUNING / HEXAGON (2) PCS - Rp - 27-May-20 MAS 100 Rp 18,590 Nov-24 MEGAH MEDIKA 100 Rp 1,859,000 - Rp - 100 Nov-24 Rp 18,590 Rp 1,859,000
343 SURGICAL GOWN PCS - Rp - - Rp - - Rp - - - Rp 33,000 Rp -
348 TONGUE SPATEL / SPATEL KAYU BOX 4 Rp - 4 Rp - 1 Rp - 3 N/A Rp - Rp -
351 TRANSOFIX PCS 250 Rp 850,025 250 Rp - - Rp - 250 Jan-24 Rp 3,400 Rp 850,025
352 UMBILICAL CORD KLEM (1) PCS 150 Rp 195,000 150 Rp - 150 Rp 195,000 - - Rp 1,300 Rp -
353 UMBILICAL CORD KLEM (2) PCS - Rp - 14-May-20 HOSPITECH 600 Rp 2,750 May-24 SENTRA ASIA 600 Rp 1,650,000 50 Rp 137,500 550 May-24 Rp 2,750 Rp 1,512,500
354 UNDERPAD (1) PCS 1,000 Rp 4,620,000 1,000 Rp - - Rp - 1,000 N/A Rp 4,620 Rp 4,620,000
355 UNDERPAD (2) PCS 250 Rp 1,040,600 250 Rp - 250 Rp 1,040,600 - - Rp 4,162 Rp -
356 UNDERPAD (3) PCS 1,000 Rp 7,900,000 1,000 Rp - 50 Rp 395,000 950 N/A Rp 7,900 Rp 7,505,000
357 URINBAG (1) PCS 110 Rp 1,357,620 110 Rp - 110 Rp 1,357,620 - - Rp 12,342 Rp -
358 URINBAG (2) PCS 400 Rp 3,228,000 400 Rp - - Rp - 400 May-23 Rp 8,070 Rp 3,228,000
363 WING NEEDLE 25 PCS - Rp - 12-May-20 TERUMO 500 Rp 13,200 Sep-22 JAYADI 500 Rp 6,600,000 50 Rp 660,000 450 Sep-22 Rp 13,200 Rp 5,940,000
Rp 2,249,154,197 Rp 153,496,542 Rp 204,863,891 Rp 2,197,786,848
RSUD Tugu Koja
NIP. 197902112007012011 NIP. 197801112008011012 NIP. 1967121919920321001
LAPORAN PERSEDIAAN GUDANG ALKES JUNI 2020
NO NAMA ALKES SATUAN W Rupiah Stok awal Tanggal Merk Penerimaan Distributor Persediaan PENGELUARAN Rupiah Pengeluaran EXP. DATE

2 ABOCATH 16 PCS 80 Rp 880,000 80 Rp - 10 Rp 110,000 70 May-23 Rp 11,000 Rp 770,000
5 ABOCATH 22 PCS 2,550 Rp 58,905,000 2,550 Rp - - Rp - 2,550 Jun-23 Rp 23,100 Rp 58,905,000
6 ABOCATH 24 PCS 750 Rp 17,325,000 750 Rp - - Rp - 750 Mar-22 Rp 23,100 Rp 17,325,000
10 ALKOHOL 1 LTR (1) BOTOL 8 Rp 200,000 8 Rp - 8 Rp 200,000 - - Rp 25,000 Rp -
11 ALKOHOL 1 LTR (2) BOTOL - Rp - 22-Jun-20 GP CARE 100 Rp 36,000 Apr-24 GLOBAL PHARMA 100 Rp 3,600,000 1 Rp 36,000 99 Apr-24 Rp 36,000 Rp 3,564,000
12 ALKOHOL 100 ML BOTOL - Rp - - Rp - - Rp - - - Rp 2,273 Rp -
13 ALKOHOL SWAB @200 BOX 474 Rp 13,746,000 474 Rp - - Rp - 474 Jul-24 Rp 29,000 Rp 13,746,000
17 ANIOSGEL 5 LTR / HANDRUB (1) DRIGEN 30 Rp 25,500,000 30 Rp - 14 Rp 11,900,000 16 Mar-24 Rp 850,000 Rp 13,600,000
18 ANIOSGEL 5 LTR / HANDRUB (2) DRIGEN - Rp - 29-Jun-20 ANIOS 100 Rp 500,000 Jan-23 PRIMA ALKESINDO 100 Rp 50,000,000 - Rp - 100 Jan-23 Rp 500,000 Rp 50,000,000
19 ANIOSGEL 500 ML BOTOL 19 Rp 1,558,000 29-Jun-20 ANIOS 50 Rp 82,000 May-22 PRIMA ALKESINDO 69 Rp 4,100,000 3 Rp 246,000 66 May-22 Rp 82,000 Rp 5,412,000
20 APRON PLASTIK PCS 1,700 Rp 6,825,500 1,700 Rp - 450 Rp 1,806,750 1,250 N/A Rp 4,015 Rp 5,018,750
22 ARM SLING COMFORT (L) PCS 40 Rp 740,000 40 Rp - 5 Rp 92,500 35 N/A Rp 18,500 Rp 647,500
26 ASAM SALISILAT KG - Rp - 05-Jun-20 N/A 1 Rp 1,045,000 May-22 DUA SURYA 1 Rp 1,045,000 1 Rp 1,045,000 - - Rp 1,045,000 Rp -
41 BENANG OPTIME 2 TAPER 26 MM @36 PCS - Rp - - Rp - - Rp - - - Rp - Rp -
42 BENANG OPTIME 2 TAPER 40 MM @36 PCS 72 Rp 5,008,392 72 Rp - - Rp - 72 May-23 Rp 69,561 Rp 5,008,392
57 BETADINE KUMUR 190 ML BOTOL - Rp - - Rp - - Rp - - - Rp 26,961 Rp -
64 BLOOD SET DEWASA PCS 960 Rp 19,324,800 960 Rp - 220 Rp 4,428,600 740 Oct-24 IDR 20,130 Rp 14,896,200
72 COVERALL BAJU ANTIVIRUS PCS 50 Rp 16,500,000 50 Rp - - Rp - 50 N/A Rp 330,000 Rp 16,500,000
73 CSSD : AQUADEST 20 LITER DRIGEN - Rp - 30-Apr-20 BRATACO 20 Rp 85,000 N/A BRATACO 20 Rp 1,700,000 16 Rp 1,360,000 4 N/A Rp 85,000 Rp 340,000
77 CSSD : INDIKATOR PACKAGE MONITORING / TIPE 6 BOX - Rp - 29-Jun-20 STERICLIN 10 Rp 2,057,000 Oct-22 PARIT PADANG 10 Rp 20,570,000 - Rp - 10 Oct-22 Rp 2,057,000 Rp 20,570,000
80 CSSD : INDIKATOR TAPES ADHESIVE (EXTERNAL) PCS 32 Rp 2,068,736 32 Rp - 4 Rp 258,592 28 Aug-20 Rp 64,648 Rp 1,810,144
83 CSSD : POUCHES 15 CM x 200 (1) ROLL 3 Rp 4,065,000 3 Rp - 3 Rp 4,065,000 - - Rp 1,355,000 Rp -
84 CSSD : POUCHES 15 CM x 200 (2) ROLL 4 Rp 5,061,738 4 Rp - 4 Rp 5,061,738 - - Rp 1,265,435 Rp -
85 CSSD : POUCHES 25 CM x 200 ROLL 7 Rp 4,569,089 7 Rp - 4 Rp 2,610,908 3 May-22 Rp 652,727 Rp 1,958,181
92 CSSD : POUCHES SATUAN (305X430) PCS - Rp - - Rp - - Rp - - - Rp 5,000 Rp -
93 CSSD : STEAM STERILIZATION BOWIE DICK BOX 3 Rp - 3 Rp - 1 Rp - 2 Jan-21 Rp - Rp -
95 DINKES DKI : COVERALL BAJU ANTIVIRUS PCS - Rp - 09-Jun-20 N/A 400 Rp 687,500 N/A DINKES DKI 400 Rp 275,000,000 - Rp - 400 N/A Rp 687,500 Rp 275,000,000
96 DINKES DKI : HANDSCOEN STERIL NO. 7.5 PASANG - Rp - 26-Jun-20 N/A 150 Rp 8,000 Jan-24 DINKES DKI 150 Rp 1,200,000 - Rp - 150 Jan-24 Rp 8,000 Rp 1,200,000
97 DINKES DKI : HANDSCOEN UKURAN M BOX - Rp - 26-Jun-20 REMEDI 21 Rp 80,000 N/A DINKES DKI 21 Rp 1,680,000 - Rp - 21 N/A Rp 80,000 Rp 1,680,000
98 DINKES DKI : MASKER N95 PCS - Rp - 26-Jun-20 3M 40 Rp 26,350 N/A DINKES DKI 40 Rp 1,054,000 - Rp - 40 N/A Rp 26,350 Rp 1,054,000
99 DINKES DKI : MASKER TIPE KN95 (1) PCS - Rp - 09-Jun-20 N/A 300 Rp 64,900 N/A DINKES DKI 300 Rp 19,470,000 250 Rp 16,225,000 50 N/A Rp 64,900 Rp 3,245,000
100 DINKES DKI : MASKER TIPE KN95 (2) PCS - Rp - 26-Jun-20 N/A 200 Rp 64,900 N/A DINKES DKI 200 Rp 12,980,000 - Rp - 200 N/A Rp 64,900 Rp 12,980,000
102 PCS 7,500 Rp 16,489,750 7,500 Rp - - Rp - 7,500 Mar-22 Rp 2,199 Rp 16,489,750
W
105 ELECTROSURGICAL PAD PCS - Rp - 10-Jun-20 EVERSHINE 300 Rp 18,000 Jan-21 PRIMA HEALTH CARE 300 Rp 5,400,000 - Rp - 300 Jan-21 Rp 18,000 Rp 5,400,000
106 ELECTROSURGICAL PENCIL / PENSIL COTTER (1) PCS - Rp - - Rp - - Rp - - - Rp 46,259 Rp -
107 ELECTROSURGICAL PENCIL / PENSIL COTTER (2) PCS 300 Rp 7,500,000 300 Rp - 75 Rp 1,875,000 225 Jul-22 Rp 25,000 Rp 5,625,000
108 ETIL KLORIDA SPRAY (1) BOTOL 10 Rp - 10 Rp - - Rp - 10 Jul-21 Rp - Rp -
109 ETIL KLORIDA SPRAY (2) BOTOL - Rp - 05-Jun-20 N/A 40 Rp 165,000 Jul-22 JAYADI 40 Rp 6,600,000 - Rp - 40 Jul-22 Rp 165,000 Rp 6,600,000
135 EXTENSION TUBE / PERFUSOR PCS - Rp - 15-Jun-20 BBRAUN 300 Rp 52,800 Jul-22 ZALFA 300 Rp 15,840,000 75 Rp 3,960,000 225 Jul-22 Rp 52,800 Rp 11,880,000
136 EYE PROTECTOR BAYI PCS 10 Rp 370,000 10 Rp - - Rp - 10 N/A Rp 37,000 Rp 370,000
140 FEEDING / STOMACH TUBE NO. 16 PCS 40 Rp 1,760,000 40 Rp - 15 Rp 660,000 25 Aug-24 Rp 44,000 Rp 1,100,000
143 FEEDING / STOMACH TUBE NO. 3.5 PCS 98 Rp 3,773,000 98 Rp - 48 Rp 1,848,000 50 Sep-20 Rp 38,500 Rp 1,925,000
144 FEEDING / STOMACH TUBE NO. 5 (100 CM) PCS - Rp - - Rp - - Rp - - - Rp - Rp -
150 FOLEY CATH NO. 10 PCS 30 Rp 81,810 30 Rp - - Rp - 30 Aug-22 Rp 2,727 Rp 81,810
152 FOLEY CATH NO. 14 PCS 50 Rp
NO NAMA ALKES SATUAN STOK Rupiah Stok awal Tanggal Merk Penerimaan Harga Satuan + Exp.Date Distributor Persediaan Nilai PENGELUARAN Rupiah Pengeluaran STOK EXP. DATE HARGA HARGA
AWAL PPN Penerimaan Penerimaan AKHIR SATUAN TOTAL
164 GUDEL NO. 3 (90 MM) KUNING PCS - Rp - - Rp - - Rp - - - Rp 11,768 Rp -
168 H2O2 / HIDROGEN PEROKSIDA 1 LITER BOTOL - Rp - 05-Jun-20 N/A 20 Rp 154,000 N/A DUA SURYA 20 Rp 3,080,000 20 Rp 3,080,000 - - Rp 154,000 Rp -
172 HANDSCOEN OBGYN / GYNAECOLOGICAL PCS - Rp - 05-Jun-20 N/A 100 Rp 50,000 N/A JAYADI 100 Rp 5,000,000 1 Rp 50,000 99 N/A Rp 50,000 Rp 4,950,000
174 HANDSCOEN STERIL NO. 6.5 (1) PASANG 100 Rp 725,450 100 Rp - - Rp - 100 May-24 Rp 7,255 Rp 725,450
175 HANDSCOEN STERIL NO. 6.5 (2) PASANG - Rp - 05-Jun-20 N/A 500 Rp 7,700 May-24 JAYADI 500 Rp 3,850,000 100 Rp 770,000 400 May-24 Rp 7,700 Rp 3,080,000
176 HANDSCOEN STERIL NO. 7 PASANG 1,500 Rp 9,487,500 1,500 Rp - 100 Rp 632,500 1,400 Jul-23 Rp 6,325 Rp 8,855,000
177 HANDSCOEN STERIL NO. 7.5 (1) PASANG 50 Rp 444,400 50 Rp - 50 Rp 444,400 - - Rp 8,888 Rp -
178 HANDSCOEN STERIL NO. 7.5 (2) PASANG - Rp - 05-Jun-20 N/A 500 Rp 7,700 May-25 JAYADI 500 Rp 3,850,000 50 Rp 385,000 450 May-25 Rp 7,700 Rp 3,465,000
179 HANDSCOEN STERIL NO. 8 PASANG 400 Rp 2,530,000 400 Rp - 250 Rp 1,581,250 150 Apr-22 Rp 6,325 Rp 948,750
180 HANDSCOEN UKURAN L BOX - Rp - 23-Jun-20 GP CARE 100 Rp 62,500 N/A GLOBAL PHARMA 100 Rp 6,250,000 10 Rp 625,000 90 N/A Rp 62,500 Rp 5,625,000
181 HANDSCOEN UKURAN M BOX - Rp - 23-Jun-20 GP CARE 500 Rp 62,500 N/A GLOBAL PHARMA 500 Rp 31,250,000 120 Rp 7,500,000 380 N/A Rp 62,500 Rp 23,750,000
183 HANDSCOEN UKURAN XS BOX - Rp - 23-Jun-20 GP CARE 300 Rp 62,500 N/A GLOBAL PHARMA 300 Rp 18,750,000 30 Rp 1,875,000 270 N/A Rp 62,500 Rp 16,875,000
184 HANDUK DEWASA DISPO / OCTENIC GLOVE PCS 648 Rp 9,355,824 648 Rp - 112 Rp 1,617,056 536 May-21 Rp 14,438 Rp 7,738,768
186 HYPAFIX / PHARMAFIX 10X5 (1) ROLL 1 Rp 33,000 1 Rp - 1 Rp 33,000 - - Rp 33,000 Rp -
187 HYPAFIX / PHARMAFIX 10X5 (2) ROLL - Rp - 23-Jun-20 SMILEPLUS 200 Rp 32,000 Jan-23 KASIH KARUNIA 200 Rp 6,400,000 - Rp - 200 Jan-23 Rp 32,000 Rp 6,400,000
188 HYPAFIX / PHARMAFIX 5X5 ROLL - Rp - 23-Jun-20 PHARMAFIX 200 Rp 16,500 Jul-24 GLOBAL DISPO 200 Rp 3,300,000 - Rp - 200 Jul-24 Rp 16,500 Rp 3,300,000
189 ID BAND ANAK / CHILD BIRU (1) PCS 200 Rp 240,000 200 Rp - - Rp - 200 Jul-23 Rp 1,200 Rp 240,000
190 ID BAND ANAK / CHILD BIRU (2) PCS - Rp - 11-Jun-20 WRIST 1500 Rp 1,000 N/A SENTRA ASIA 1,500 Rp 1,500,000 - Rp - 1,500 N/A Rp 1,000 Rp 1,500,000
192 ID BAND DEWASA / ADULT BIRU (1) PCS 300 Rp 390,000 300 Rp - - Rp - 300 Jul-21 Rp 1,300 Rp 390,000
193 ID BAND DEWASA / ADULT BIRU (2) PCS - Rp - 11-Jun-20 WRIST 1500 Rp 1,000 N/A SENTRA ASIA 1,500 Rp 1,500,000 - Rp - 1,500 N/A Rp 1,000 Rp 1,500,000
195 INFUSET MACRO PCS 1,480 Rp 9,768,000 1,480 Rp - 280 Rp 1,848,000 1,200 Jun-24 Rp 6,600 Rp 7,920,000
206 KAIN NON WOVEN HIJAU BOX 4 Rp 6,010,000 4 Rp - 1 Rp 1,502,500 3 Apr-24 Rp 1,502,500 Rp 4,507,500
208 KAPSUL NO. 0 PACK 19 Rp 760,000 19 Rp - - Rp - 19 N/A Rp 40,000 Rp 760,000
213 KASA NON X-RAY PCS 500 Rp 12,028,500 500 Rp - 480 Rp 11,547,360 20 N/A Rp 24,057 Rp 481,140
216 KASA X-RAY PCS 800 Rp 24,200,000 800 Rp - 40 Rp 1,210,000 760 N/A Rp 30,250 Rp 22,990,000
221 KERTAS CTG PACK 10 Rp 1,100,000 23-Apr-20 ENDO 40 Rp 110,000 N/A RAJAWALI 50 Rp 4,400,000 22 Rp 2,420,000 28 N/A Rp 110,000 Rp 3,080,000
223 KERTAS EKG PANJANG : 210 MM X 30 M FUKUDA ROLL - Rp - 29-Jun-20 FUKUDA 100 Rp 187,643 N/A BERSEDA 100 Rp 18,764,300 15 Rp 2,814,645 85 N/A Rp 187,643 Rp 15,949,655
229 KONDOM KATETER PCS 250 Rp 2,521,250 250 Rp - 50 Rp 504,250 200 Jun-22 Rp 10,085 Rp 2,017,000
231 LAMINARIA L PCS 9 Rp 1,039,500 9 Rp - - Rp - 9 Aug-24 Rp 115,500 Rp 1,039,500
239 LARINGEAL MASK AIRWAY NO 4.0 PCS 9 Rp - 9 Rp - 1 Rp - 8 Mar-24 Rp - Rp -
244 MASKER EARLOOP / KARET (2) BOX - Rp - 22-Jun-20 TOP POINT 200 Rp 150,000 N/A SINAR IRAWATI 200 Rp 30,000,000 20 Rp 3,000,000 180 N/A Rp 150,000 Rp 27,000,000
245 MASKER EARLOOP / KARET (3) BOX - Rp - 26-Jun-20 MAS 30 Rp 128,700 N/A MEGAH MEDIKA 30 Rp 3,861,000 - Rp - 30 N/A Rp 128,700 Rp 3,861,000
246 MASKER N95 PCS - Rp - - Rp - - Rp - - - Rp 30,000 Rp -
247 MASKER N95 TIPE KN95 PCS - Rp - 05-Jun-20 N/A 300 Rp 44,000 N/A JAYADI 300 Rp 13,200,000 200 Rp 8,800,000 100 N/A Rp 44,000 Rp 4,400,000
256 MASKER TALI / TIE ON BOX 38 Rp 6,186,400 38 Rp - 6 Rp 976,800 32 N/A Rp 162,800 Rp 5,209,600
260 MICROPORE 1 INCH PCS 1,500 Rp 10,384,500 1,500 Rp - - Rp - 1,500 Jul-20 Rp 6,923 Rp 10,384,500
264 NASAL CANUL ANAK (2) PCS 500 Rp 3,200,000 500 Rp - - Rp - 500 May-23 Rp 6,400 Rp 3,200,000
267 NASAL CANUL DEWASA PCS 400 Rp 1,600,000 400 Rp - 250 Rp 1,000,000 150 Mar-23 Rp 4,000 Rp 600,000
271 NURSE CAP @50 BOX - Rp - 30-Jun-20 REMEDI 100 Rp 38,830 N/A DUTA AFIAT 100 Rp 3,883,000 5 Rp 194,150 95 N/A Rp 38,830 Rp 3,688,850
295 POLI GIGI : K FILE 8 NO 21 STRIP - Rp - - Rp - - Rp - - - Rp228,800 Rp -
296 POLI GIGI : K FILE 8 NO 25 STRIP - Rp - - Rp - - Rp - - - Rp228,800 Rp -
299 POLI GIGI : PAPER POINT UK 35 BOX - Rp - - Rp - - Rp - - - Rp59,840 Rp -
308 POT URIN 30CC PCS 500 Rp 412,500 500 Rp - 200 Rp 165,000 300 Jan-21 Rp 825 Rp 247,500
311 PRONTOSAN GEL TUBE 42 Rp 23,356,179 42 Rp - 1 Rp
NO NAMA ALKES SATUAN STOK Rupiah Stok awal Tanggal Merk Penerimaan Harga Satuan + Exp.Date Distributor Persediaan Nilai PENGELUARAN Rupiah Pengeluaran STOK EXP. DATE HARGA HARGA
AWAL PPN Penerimaan Penerimaan AKHIR SATUAN TOTAL
323 SODIUM BICARBONAT 1 KG KG - Rp - 02-Jun-20 BRATACO 10 Rp 51,000 Mar-22 BRATACO 10 Rp 510,000 3 Rp 153,000 7 Mar-22 Rp 51,000 Rp 357,000
324 SOFRATULE / DARYANTULE / URGOTULE PCS 410 Rp 7,948,875 30-Jun-20 URGOTUL 600 Rp 19,388 Aug-22 DMA 1,010 Rp 11,632,500 220 Rp 4,265,250 790 Aug-22 Rp 19,388 Rp 15,316,125
327 SPINOCAN 25 (1) BOX 2 Rp 1,555,000 2 Rp - 2 Rp 1,555,000 - - Rp 777,500 Rp -
328 SPINOCAN 25 (2) PCS - Rp - 18-Jun-20 BBRAUN 75 Rp 47,300 Nov-24 ZALFA 75 Rp 3,547,500 - Rp - 75 Nov-24 Rp 47,300 Rp 3,547,500
329 SPINOCAN 26 PCS - Rp - 18-Jun-20 BBRAUN 200 Rp 47,300 May-24 ZALFA 200 Rp 9,460,000 - Rp - 200 May-24 Rp 47,300 Rp 9,460,000
330 SPINOCAN 27 PCS - Rp - 27-Jun-20 BBRAUN 25 Rp 55,605 Jan-25 ZALFA 25 Rp 1,390,125 - Rp - 25 Jan-25 Rp 55,605 Rp 1,390,125
332 SPONGESTAN / GELITA SPONS PCS 40 Rp 4,620,000 40 Rp - 20 Rp 2,310,000 20 Oct-22 Rp 115,500 Rp 2,310,000
333 SPUIT 1 PCS 3,700 Rp 3,257,332 3,700 Rp - - Rp - 3,700 May-24 Rp 880 Rp 3,257,332
334 SPUIT 10 PCS 8,400 Rp 12,289,200 8,400 Rp - 900 Rp 1,316,700 7,500 Sep-24 Rp 1,463 Rp 10,972,500
336 SPUIT 3 (1) PCS 5,500 Rp 4,882,790 5,500 Rp - 3,100 Rp 2,752,118 2,400 Sep-24 Rp 888 Rp 2,130,672
337 SPUIT 3 (2) PCS - Rp - 23-Jun-20 KIMSMED 12000 Rp 670 Nov-24 BINTANG ANAM 12,000 Rp 8,040,000 200 Rp 134,000 11,800 Nov-24 Rp 670 Rp 7,906,000
339 SPUIT 5 (2) PCS - Rp - 23-Jun-20 KIMSMED 12000 Rp 805 Feb-25 BINTANG ANAM 12,000 Rp 9,660,000 - Rp - 12,000 Feb-25 Rp 805 Rp 9,660,000
340 SPUIT 50 ML CATHETHER TIP (1) PCS 25 Rp 875,000 25 Rp - 25 Rp 875,000 - - Rp 35,000 Rp -
341 SPUIT 50 ML CATHETHER TIP (2) PCS - Rp - 23-Jun-20 KIMSMED 150 Rp 3,900 Jan-24 BINTANG ANAM 150 Rp 585,000 - Rp - 150 Jan-24 Rp 3,900 Rp 585,000
342 SPUIT 50 WITH NEEDLE PCS 200 Rp 924,000 200 Rp - 100 Rp 462,000 100 Oct-24 Rp 4,620 Rp 462,000
343 SUCTION CATHETHER NO. 10 PCS - Rp - - Rp - - Rp - - - Rp 3,597 Rp -
348 SUCTION CATHETHER NO. 8 PCS 100 Rp 359,700 100 Rp - - Rp - 100 May-24 Rp 3,597 Rp 359,700
349 SUCTION CONNECTING BIRU / YANKAUER PCS 120 Rp 4,093,091 120 Rp - - Rp - 120 Oct-23 Rp 34,109 Rp 4,093,091
350 SUCTION CONNECTING KUNING / HEXAGON (1) PCS 40 Rp 947,009 40 Rp - 30 Rp 710,257 10 Jun-24 Rp 23,675 Rp 236,752
351 SUCTION CONNECTING KUNING / HEXAGON (2) PCS 100 Rp 1,859,000 100 Rp - - Rp - 100 Nov-24 Rp 18,590 Rp 1,859,000
352 SUDIN JAKUT : MASKER BEDAH BOX - Rp - 24-Jun-20 EKOMED 100 Rp 19,305 N/A SUDIN JAKUT 100 Rp 1,930,500 20 Rp 386,100 80 N/A Rp 19,305 Rp 1,544,400
353 SURGICAL GOWN PCS - Rp - - Rp - - Rp - - - Rp 33,000 Rp -
356 THREE WAY (3 WAY) PCS 500 Rp 7,500,000 500 Rp - 150 Rp 2,250,000 350 Jul-23 Rp 15,000 Rp 5,250,000
359 TONGUE SPATEL / SPATEL KAYU @50 BOX - Rp - 06-May-20 N/A 100 Rp 19,500 N/A JAYADI 100 Rp 1,950,000 - Rp - 100 N/A Rp 19,500 Rp 1,950,000
362 TRANSOFIX PCS 250 Rp 850,025 250 Rp - 50 Rp 170,005 200 Jan-24 Rp 3,400 Rp 680,020
363 UMBILICAL CORD KLEM PCS 550 Rp 1,512,500 550 Rp - 250 Rp 687,500 300 May-24 Rp 2,750 Rp 825,000
365 UNDERPAD (2) PCS 950 Rp 7,505,000 950 Rp - 830 Rp 6,557,000 120 N/A Rp 7,900 Rp 948,000
366 URINBAG PCS 400 Rp 3,228,000 400 Rp - 50 Rp 403,500 350 May-23 Rp 8,070 Rp 2,824,500
368 VASELIN PUTIH 15 KG DRIGEN 2 Rp 2,500,000 2 Rp - 1 Rp 1,250,000 1 Jun-22 Rp 1,250,000 Rp 1,250,000
371 WING NEEDLE 25 PCS 450 Rp 5,940,000 450 Rp - 50 Rp 660,000 400 Sep-22 Rp 13,200 Rp 5,280,000
Rp 2,197,786,848 Rp 641,858,725 Rp 233,461,957 Rp 2,606,183,616
RSUD Tugu Koja
NIP. 197902112007012011 NIP. 197801112008011012 NIP. 1967121919920321001
LAPORAN PERSEDIAAN GUDANG ALKES JULI 2020
NO NAMA ALKES SATUAN Rupiah Stok awal Tanggal Merk Penerimaan Distributor Persediaan PENGELUARAN Rupiah Pengeluaran EXP. DATE
W

6 ABOCATH 24 PCS 750 Rp 17,325,000 750 Rp - - Rp - 750 Mar-22 Rp 23,100 Rp 17,325,000
10 ALKOHOL 1 LTR BOTOL 99 Rp 3,564,000 99 Rp - 35 Rp 1,260,000 64 Apr-24 Rp 36,000 Rp 2,304,000
11 ALKOHOL SWAB @200 BOX 474 Rp 13,746,000 474 Rp - - Rp - 474 Jul-24 Rp 29,000 Rp 13,746,000
15 ANIOSGEL 5 LTR / HANDRUB (1) DRIGEN 16 Rp 13,600,000 16 Rp - 16 Rp 13,600,000 - - Rp 850,000 Rp -
16 ANIOSGEL 5 LTR / HANDRUB (2) DRIGEN 100 Rp 50,000,000 100 Rp - 6 Rp 3,000,000 94 Jan-23 Rp 500,000 Rp 47,000,000
18 APRON PLASTIK PCS 1,250 Rp 5,018,750 1,250 Rp - 900 Rp 3,613,500 350 N/A Rp 4,015 Rp 1,405,250
20 ARM SLING COMFORT (L) PCS 35 Rp 647,500 35 Rp - 5 Rp 92,500 30 N/A Rp 18,500 Rp 555,000
22 ARM SLING COMFORT (S) PCS 40 Rp 740,000 40 Rp - 1 Rp 18,500 39 N/A Rp 18,500 Rp 721,500
26 BENANG ADVANTIME 2 TAPER PCS 108 Rp 8,812,800 108 Rp - 72 Rp 5,875,200 36 Jul-24 Rp 81,600 Rp 2,937,600
27 BENANG ASSUCRYL 1 TAPER @12 (1) PCS 120 Rp 7,379,040 120 Rp - 24 Rp 1,475,808 96 Apr-24 Rp 61,492 Rp 5,903,232
28 BENANG ASSUCRYL 1 TAPER @12 (2) PCS - Rp - 14-Jul-20 ASSUT 168 Rp 67,641 Mar-25 BINTANG SHAFWAN 168 Rp 11,363,688 - Rp - 168 Mar-25 Rp 67,641 Rp 11,363,688
30 BENANG CATGUT CHROMIC 2/0 DR STELA @36 PCS 132 Rp 7,629,600 20-Jul-20 TRITON 180 Rp 57,800 Jan-25 MPI 312 Rp 10,404,000 60 Rp 3,468,000 252 Oct-24 Rp 57,800 Rp 14,565,600
41 BENANG OPTIME 2 TAPER 40 MM @36 (1) PCS 72 Rp 5,008,392 72 Rp - - Rp - 72 May-23 Rp 69,561 Rp 5,008,392
42 BENANG OPTIME 2 TAPER 40 MM @36 (2) PCS - Rp - 10-Jul-20 PETERS 180 Rp 55,000 May-23 PARIT PADANG 180 Rp 9,900,000 - Rp - 180 May-23 Rp 55,000 Rp 9,900,000
47 BENANG OPTIME R 2/0 PCS 540 Rp 23,760,000 10-Jul-20 PETERS 360 Rp 44,000 Apr-23 PARIT PADANG 900 Rp 15,840,000 72 Rp 3,168,000 828 Apr-23 Rp 44,000 Rp 36,432,000
54 BENANG SILK 4 CUTTING @36 PCS 684 Rp 41,382,000 684 Rp - 72 Rp 4,356,000 612 Jul-22 Rp 60,500 Rp 37,026,000
55 BENANG T-MONO 3/0 PCS - Rp - 20-Jul-20 TRITON 24 Rp 98,000 Aug-22 MPI 24 Rp 2,352,000 - Rp - 24 Aug-22 Rp 98,000 Rp 2,352,000
58 BETADINE KUMUR 190 ML (1) BOTOL - Rp - 17-Jul-20 BETADINE 350 Rp 26,961 May-23 PARIT PADANG 350 Rp 9,436,350 - Rp - 350 May-23 Rp 26,961 Rp 9,436,350
59 BETADINE KUMUR 190 ML (2) BOTOL - Rp - 20-Jul-20 BETADINE 100 Rp 26,961 May-23 PARIT PADANG 100 Rp 2,696,100 30 Rp 808,830 70 May-23 Rp 26,961 Rp 1,887,270
66 BLOOD SET DEWASA (1) PCS 740 Rp 14,896,200 740 Rp - 120 Rp 2,415,600 620 Oct-24 IDR 20,130 Rp 12,480,600
67 BLOOD SET DEWASA (2) PCS - Rp - 17-Jul-20 MAS 1200 IDR 8,250 May-23 MEGAH MEDIKA 1,200 Rp 9,900,000 - Rp - 1,200 May-23 IDR 8,250 Rp 9,900,000
70 BREATHING CIRCUIT ANAK CORRUGATED PCS 13 Rp 7,800,000 13 Rp - 1 Rp 600,000 12 Mar-23 Rp 600,000 Rp 7,200,000
72 BREATHING CIRCUIT DUO-LIMB DEWASA PCS 21 Rp 3,378,375 21 Rp - 7 Rp 1,126,125 14 Apr-21 Rp 160,875 Rp 2,252,250
73 BREATHING CIRCUIT FILTER PCS 47 Rp 2,132,625 47 Rp - 6 Rp 272,250 41 Sep-23 Rp 45,375 Rp 1,860,375
74 BREATHING CURCUIT SINGLE LIMB DEWASA PCS - Rp - 21-Jul-20 10 Rp 184,470 Jul-22 TOTAL MEDIKA 10 Rp 1,844,700 - Rp - 10 Jul-22 Rp 184,470 Rp 1,844,700
75 CACO3 (KALSIUM KARBONAT) POWDER 1 KG KG - Rp - 08-Jul-20 N/A 20 Rp 261,800 Aug-22 DUA SURYA 20 Rp 5,236,000 2 Rp 523,600 18 Aug-22 Rp 261,800 Rp 4,712,400
77 CLOSED SUCTION ENDOTRACHEAL NO 12 PCS - Rp - 21-Jul-20 20 Rp 123,420 Apr-23 TOTAL MEDIKA 20 Rp 2,468,400 - Rp - 20 Apr-23 Rp 123,420 Rp 2,468,400
79 CSSD : AQUADEST 20 LITER (1) DRIGEN 4 Rp 340,000 4 Rp - 4 Rp 340,000 - - Rp 85,000 Rp -
80 CSSD : AQUADEST 20 LITER (2) DRIGEN - Rp - 27-Jul-20 N/A 60 Rp 80,000 N/A MUSTIKA DIPA 60 Rp 4,800,000 4 Rp 320,000 56 N/A Rp 80,000 Rp 4,480,000
84 BOX 10 Rp 20,570,000 10 Rp - - Rp - 10 Oct-22 Rp 2,057,000 Rp 20,570,000
90 CSSD : POUCHES 15 CM x 200 ROLL - Rp - 10-Jul-20 STERICLIN 5 Rp 1,266,000 N/A PARIT PADANG 5 Rp 6,330,000 - Rp - 5 N/A Rp 1,266,000 Rp 6,330,000
91 CSSD : POUCHES 25 CM x 200 (1) ROLL 3 Rp 1,958,181 3 Rp - - Rp - 3 May-22 Rp 652,727 Rp 1,958,181
92 CSSD : POUCHES 25 CM x 200 (2) ROLL - Rp - 10-Jul-20 STERICLIN 5 Rp 1,914,000 N/A PARIT PADANG 5 Rp 9,570,000 - Rp - 5 N/A Rp 1,914,000 Rp 9,570,000
102 DINKES DKI : COVERALL BAJU ANTIVIRUS PCS 400 Rp 275,000,000 400 Rp - - Rp - 400 N/A Rp 687,500 Rp 275,000,000
103 DINKES DKI : HANDSCOEN STERIL NO. 7.5 PASANG 150 Rp 1,200,000 150 Rp - 150 Rp 1,200,000 - - Rp 8,000 Rp -
104 DINKES DKI : HANDSCOEN UKURAN M BOX 21 Rp 1,680,000 21 Rp - 21 Rp 1,680,000 - - Rp 80,000 Rp -
105 DINKES DKI : MASKER N95 PCS 40 Rp 1,054,000 40 Rp - 40 Rp 1,054,000 - - Rp 26,350 Rp -
106 DINKES DKI : MASKER TIPE KN95 (1) PCS 50 Rp 3,245,000 50 Rp - 50 Rp 3,245,000 - - Rp 64,900 Rp -
107 DINKES DKI : MASKER TIPE KN95 (2) PCS 200 Rp 12,980,000 200 Rp - 200 Rp 12,980,000 - - Rp 64,900 Rp -
W
112 ELECTROSURGICAL PAD PCS 300 Rp 5,400,000 300 Rp - 50 Rp 900,000 250 Jan-21 Rp 18,000 Rp 4,500,000
113 ELECTROSURGICAL PENCIL / PENSIL COTTER PCS 225 Rp 5,625,000 225 Rp - 50 Rp 1,250,000 175 Jul-22 Rp 25,000 Rp 4,375,000
114 ETIL KLORIDA SPRAY (1) BOTOL 10 Rp - 10 Rp - 5 Rp - 5 Jul-21 Rp - Rp -
115 ETIL KLORIDA SPRAY (2) BOTOL 40 Rp 6,600,000 40 Rp - - Rp - 40 Jul-22 Rp 165,000 Rp 6,600,000
141 EXTENSION TUBE / PERFUSOR PCS 225 Rp 11,880,000 225 Rp - - Rp - 225 Jul-22 Rp 52,800 Rp 11,880,000
142 EYE PROTECTOR BAYI PCS 10 Rp 370,000 10 Rp - - Rp - 10 N/A Rp 37,000 Rp 370,000
146 FEEDING / STOMACH TUBE NO. 16 PCS 25 Rp 1,100,000 25 Rp - 25 Rp 1,100,000 - - Rp 44,000 Rp -
148 FEEDING / STOMACH TUBE NO. 18 PCS 90 Rp 3,960,000 90 Rp - 56 Rp 2,464,000 34 Aug-24 Rp 44,000 Rp 1,496,000
149 FEEDING / STOMACH TUBE NO. 3.5 PCS 50 Rp 1,925,000 50 Rp - - Rp
STOK Harga Satuan + Exp.Date Nilai STOK HARGA HARGA
NO NAMA ALKES SATUAN AWAL Rupiah Stok awal Tanggal Merk Penerimaan PPN Penerimaan Distributor Persediaan Penerimaan PENGELUARAN Rupiah Pengeluaran AKHIR EXP. DATE SATUAN TOTAL
161 FOLEY CATH NO. 16 (2) PCS - Rp - 16-Jul-20 REMEDI 800 Rp 9,200 Sep-23 DUTA AFIAT 800 Rp 7,360,000 - Rp - 800 Sep-23 Rp 9,200 Rp 7,360,000
162 FOLEY CATH NO. 18 (1) PCS 30 Rp 326,700 30 Rp - 20 Rp 217,800 10 Jul-24 Rp 10,890 Rp 108,900
163 FOLEY CATH NO. 18 (2) PCS - Rp - 16-Jul-20 REMEDI 300 Rp 9,200 Apr-25 DUTA AFIAT 300 Rp 2,760,000 - Rp - 300 Apr-25 Rp 9,200 Rp 2,760,000
165 FOLEY CATH NO. 6 PCS 230 Rp 1,672,560 230 Rp - 30 Rp 218,160 200 Feb-21 Rp 7,272 Rp 1,454,400
166 FOLEY CATH NO. 8 (1) PCS 70 Rp 2,100,000 70 Rp - - Rp - 70 Mar-22 Rp 30,000 Rp 2,100,000
167 FOLEY CATH NO. 8 (2) PCS - Rp - 16-Jul-20 REMEDI 30 Rp 10,400 Jul-21 DUTA AFIAT 30 Rp 312,000 - Rp - 30 Jul-21 Rp 10,400 Rp 312,000
173 GUDEL NO. 2 (80 MM) HIJAU PCS 44 Rp 517,792 44 Rp - 6 Rp 70,608 38 Mar-24 Rp 11,768 Rp 447,184
176 GUDEL NO. 5 (110 MM) MERAH PCS 42 Rp 494,256 42 Rp - 42 Rp 494,256 - - Rp 11,768 Rp -
178 H2O2 / HIDROGEN PEROKSIDA 1 LITER BOTOL - Rp - 08-Jul-20 N/A 160 Rp 154,000 N/A DUA SURYA 160 Rp 24,640,000 11 Rp 1,694,000 149 N/A Rp 154,000 Rp 22,946,000
182 HANDSCOEN OBGYN / GYNAECOLOGICAL PCS 99 Rp 4,950,000 99 Rp - 52 Rp 2,600,000 47 N/A Rp 50,000 Rp 2,350,000
184 HANDSCOEN STERIL NO. 6.5 (1) PASANG 100 Rp 725,450 100 Rp - - Rp - 100 May-24 Rp 7,255 Rp 725,450
186 HANDSCOEN STERIL NO. 6.5 (3) PASANG - Rp - 29-Jul-20 MPM 500 Rp 7,000 Mar-25 JAYADI 500 Rp 3,500,000 - Rp - 500 Mar-25 Rp 7,000 Rp 3,500,000
187 HANDSCOEN STERIL NO. 7 PASANG 1,400 Rp 8,855,000 1,400 Rp - 200 Rp 1,265,000 1,200 Jul-23 Rp 6,325 Rp 7,590,000
189 HANDSCOEN STERIL NO. 7.5 (2) PASANG - Rp - 29-Jul-20 MPM 400 Rp 7,000 May-25 JAYADI 400 Rp 2,800,000 - Rp - 400 May-25 Rp 7,000 Rp 2,800,000
191 HANDSCOEN UKURAN L BOX 90 Rp 5,625,000 90 Rp - - Rp - 90 N/A Rp 62,500 Rp 5,625,000
194 HANDSCOEN UKURAN XS BOX 270 Rp 16,875,000 270 Rp - 20 Rp 1,250,000 250 N/A Rp 62,500 Rp 15,625,000
197 HUMIDIFICATION CHAMBER DEWASA PCS - Rp - 21-Jul-20 5 Rp 85,085 Aug-22 TOTAL MEDIKA 5 Rp 425,425 - Rp - 5 Aug-22 Rp 85,085 Rp 425,425
199 HYPAFIX / PHARMAFIX 5X5 ROLL 200 Rp 3,300,000 200 Rp - 10 Rp 165,000 190 Jul-24 Rp 16,500 Rp 3,135,000
201 ID BAND ANAK / CHILD BIRU (2) PCS 1,500 Rp 1,500,000 1,500 Rp - - Rp - 1,500 N/A Rp 1,000 Rp 1,500,000
203 ID BAND DEWASA / ADULT BIRU (1) PCS 300 Rp 390,000 300 Rp - - Rp - 300 Jul-21 Rp 1,300 Rp 390,000
204 ID BAND DEWASA / ADULT BIRU (2) PCS 1,500 Rp 1,500,000 1,500 Rp - - Rp - 1,500 N/A Rp 1,000 Rp 1,500,000
206 INFUSET MACRO PCS 1,200 Rp 7,920,000 17-Jul-20 MAS 2500 Rp 6,600 Jun-24 MEGAH MEDIKA 3,700 Rp 16,500,000 320 Rp 2,112,000 3,380 Jun-24 Rp 6,600 Rp 22,308,000
219 KAPSUL NO. 0 (1) PACK 19 Rp 760,000 19 Rp - 3 Rp 120,000 16 N/A Rp 40,000 Rp 640,000
220 KAPSUL NO. 0 (2) PACK - Rp - 27-Jul-20 N/A 30 Rp 43,000 N/A MUSTIKA DIPA 30 Rp 1,290,000 - Rp - 30 N/A Rp 43,000 Rp 1,290,000
225 KASA NON X-RAY PCS 20 Rp 481,140 28-Jul-20 PRO KASSA 1000 Rp 24,057 N/A JAYADI MITRA 1,020 Rp 24,057,000 20 Rp 481,140 1,000 N/A Rp 24,057 Rp 24,057,000
228 KASA X-RAY PCS 760 Rp 22,990,000 28-Jul-20 PRO KASSA 300 Rp 30,250 N/A JAYADI MITRA 1,060 Rp 9,075,000 100 Rp 3,025,000 960 N/A Rp 30,250 Rp 29,040,000
235 ROLL 85 Rp 15,949,655 85 Rp - - Rp - 85 N/A Rp 187,643 Rp 15,949,655
243 LAMINARIA L PCS 9 Rp 1,039,500 9 Rp - 9 Rp 1,039,500 - - Rp 115,500 Rp -
255 MASKER EARLOOP / KARET (1) BOX - Rp - 27-Jul-20 3M 300 Rp 166,386 N/A MENSA BINA SUKSES 300 Rp 49,915,800 - Rp - 300 N/A Rp 166,386 Rp 49,915,800
256 MASKER EARLOOP / KARET (2) BOX 180 Rp 27,000,000 180 Rp - - Rp - 180 N/A Rp 150,000 Rp 27,000,000
257 MASKER EARLOOP / KARET (3) BOX 30 Rp 3,861,000 08-Jul-20 MAS 170 Rp 128,700 N/A MEGAH MEDIKA 200 Rp 21,879,000 117 Rp 15,057,900 83 N/A Rp 128,700 Rp 10,682,100
258 MASKER N95 (1) PCS - Rp - - Rp - - Rp - - - Rp 30,000 Rp -
259 MASKER N95 (2) PCS - Rp - 27-Jul-20 3M 800 Rp 26,216 N/A MENSA BINA SUKSES 800 Rp 20,972,800 240 Rp 6,291,840 560 N/A Rp 26,216 Rp 14,680,960
260 MASKER N95 TIPE KN95 PCS 100 Rp 4,400,000 100 Rp - 100 Rp 4,400,000 - - Rp 44,000 Rp -
262 MASKER NEBU DEWASA PCS 895 Rp 9,254,300 895 Rp - 124 Rp 1,282,160 771 Jan-24 Rp 10,340 Rp 7,972,140
W
268 PCS 190 Rp 2,983,000 190 Rp - - Rp - 190 Jan-21 Rp 15,700 Rp 2,983,000
269 MASKER TALI / TIE ON (1) BOX 32 Rp 5,209,600 32 Rp - 2 Rp 325,600 30 N/A Rp 162,800 Rp 4,884,000
270 MASKER TALI / TIE ON (2) BOX - Rp - 27-Jul-20 3M 100 Rp 166,386 N/A MENSA BINA SUKSES 100 Rp 16,638,600 - Rp - 100 N/A Rp 166,386 Rp 16,638,600
277 NACL POWDER 1 KG KG - Rp - 08-Jul-20 N/A 1 Rp 103,400 Jul-22 DUA SURYA 1 Rp 103,400 - Rp - 1 Jul-22 Rp 103,400 Rp 103,400
278 NASAL CANUL ANAK (1) PCS 10 Rp 40,000 10 Rp - 10 Rp 40,000 - - Rp 4,000 Rp -
279 NASAL CANUL ANAK (2) PCS 500 Rp 3,200,000 500 Rp - 10 Rp 64,000 490 May-23 Rp 6,400 Rp 3,136,000
280 NASAL CANUL BAYI (1) PCS 38 Rp 152,000 38 Rp - 38 Rp 152,000 - - Rp 4,000 Rp -
281 NASAL CANUL BAYI (2) PCS 500 Rp 3,650,000 500 Rp - 10 Rp 73,000 490 May-23 Rp 7,300 Rp 3,577,000
282 NASAL CANUL DEWASA (1) PCS 150 Rp 600,000 150 Rp - 150 Rp 600,000 - - Rp 4,000 Rp -
283 NASAL CANUL DEWASA (2) PCS - Rp - 16-Jul-20 REMEDI 1500 Rp 6,400 Feb-25 DUTA AFIAT 1,500 Rp 9,600,000 100 Rp 640,000 1,400 Feb-25 Rp 6,400 Rp 8,960,000
284 NASAL DRESSING PCS 260 Rp 33,800,000 260 Rp - 10 Rp 1,300,000 250 Dec-21 Rp 130,000 Rp 32,500,000
287 NURSE CAP @50 BOX 95 Rp 3,688,850 95 Rp - 35 Rp 1,359,050 60 N/A Rp 38,830 Rp 2,329,800
293 PISAU CUKUR PCS 156 Rp 343,200 156 Rp - - Rp - 156 N/A Rp 2,200 Rp 343,200
295 POLI GIGI : CAVIT G BOX 7 Rp 947,100 7 Rp - - Rp - 7 Nov-20 Rp 135,300 Rp 947,100
309 POLI GIGI : K FILE 15 NO 21 STRIP 10 Rp 2,288,000
W
@
STOK Harga Satuan + Exp.Date Nilai STOK HARGA HARGA
NO NAMA ALKES SATUAN AWAL Rupiah Stok awal Tanggal Merk Penerimaan PPN Penerimaan Distributor Persediaan Penerimaan PENGELUARAN Rupiah Pengeluaran AKHIR EXP. DATE SATUAN TOTAL
323 POSTOFIX / DERMAFIX / TEGADERM 10 x 25 (1) PCS 80 Rp 2,350,179 80 Rp - 80 Rp 2,350,179 - - Rp 29,377 Rp -

324 POSTOFIX / DERMAFIX / TEGADERM 10 x 25 (2) PCS - Rp - 10-Jul-20 POSTOFIX 400 Rp 29,379 Jan-25 PARIT PADANG 400 Rp 11,751,600 - Rp - 400 Jan-25 Rp 29,379 Rp 11,751,600
331 RAD : FILM RONTGEN UKURAN M (28X35) BOX 3 Rp 8,250,000 15-Jul-20 DVE 19 Rp 2,750,000 Feb-22 TRIPUTRA AMAN 22 Rp 52,250,000 2 Rp 5,500,000 20 Jun-21 Rp 2,750,000 Rp 55,000,000
333 RESPIRATORY FILTER BSF 103 PCS - Rp - 21-Jul-20 20 Rp 12,980 Apr-23 TOTAL MEDIKA 20 Rp 259,600 - Rp - 20 Apr-23 Rp 12,980 Rp 259,600
335 SAFETY BOX (1) PCS 25 Rp 615,550 25 Rp - 25 Rp 615,550 - - Rp 24,622 Rp -
336 SAFETY BOX (2) PCS 500 Rp 5,775,000 500 Rp - - Rp - 500 N/A Rp 11,550 Rp 5,775,000
337 SAKARUM LAKTIS 1 KG KG - Rp - 08-Jul-20 N/A 1 Rp 627,000 Oct-22 DUA SURYA 1 Rp 627,000 - Rp - 1 Oct-22 Rp 627,000 Rp 627,000
338 SEPTALKAN 500 ML (1) BOTOL 12 Rp 1,045,440 12 Rp - 5 Rp 435,600 7 Mar-22 Rp 87,120 Rp 609,840
339 SEPTALKAN 500 ML (2) BOTOL 50 Rp 8,300,800 50 Rp - - Rp - 50 Mar-23 Rp 166,016 Rp 8,300,800
341 SIKAT OPERASI / SURGICAL BRUSH PCS 914 Rp 4,899,040 914 Rp - 50 Rp 268,000 864 Jun-24 Rp 5,360 Rp 4,631,040
342 SODIUM BICARBONAT 1 KG KG - Rp - 27-Jul-20 N/A 13 Rp 50,000 Feb-21 MUSTIKA DIPA 13 Rp 650,000 - Rp - 13 Feb-21 Rp 50,000 Rp 650,000
343 SODIUM BICARBONAT 1 KG KG 7 Rp 357,000 7 Rp - 2 Rp 102,000 5 Mar-22 Rp 51,000 Rp 255,000
347 SPINOCAN 25 (1) BOX - Rp - - Rp - - Rp - - - Rp 777,500 Rp -
348 SPINOCAN 25 (2) PCS 75 Rp 3,547,500 75 Rp - 50 Rp 2,365,000 25 Nov-24 Rp 47,300 Rp 1,182,500
349 SPINOCAN 26 PCS 200 Rp 9,460,000 200 Rp - 75 Rp 3,547,500 125 May-24 Rp 47,300 Rp 5,912,500
350 SPINOCAN 27 PCS 25 Rp 1,390,125 25 Rp - - Rp - 25 Jan-25 Rp 55,605 Rp 1,390,125
356 SPUIT 3 (1) PCS 2,400 Rp 2,130,672 2,400 Rp - 2,400 Rp 2,130,672 - - Rp 888 Rp -
357 SPUIT 3 (2) PCS 11,800 Rp 7,906,000 11,800 Rp - 100 Rp 67,000 11,700 Nov-24 Rp 670 Rp 7,839,000
360 SPUIT 50 ML CATHETHER TIP (1) PCS - Rp - - Rp - - Rp - - - Rp 35,000 Rp -
361 SPUIT 50 ML CATHETHER TIP (2) PCS 150 Rp 585,000 150 Rp - - Rp - 150 Jan-24 Rp 3,900 Rp 585,000
362 SPUIT 50 WITH NEEDLE PCS 100 Rp 462,000 100 Rp - - Rp - 100 Oct-24 Rp 4,620 Rp 462,000
364 SUCTION CATHETHER NO. 10 (2) PCS - Rp - 17-Jul-20 MAS 500 Rp 2,607 Dec-24 MEGAH MEDIKA 500 Rp 1,303,500 - Rp - 500 Dec-24 Rp 2,607 Rp 1,303,500
370 SUCTION CATHETHER NO. 8 (2) PCS - Rp - 17-Jul-20 MAS 300 Rp 2,607 Mar-25 MEGAH MEDIKA 300 Rp 782,100 - Rp - 300 May-24 Rp 2,607 Rp 782,100
371 SUCTION CONNECTING BIRU / YANKAUER (1) PCS 120 Rp 4,093,091 120 Rp - 10 Rp 341,091 110 Oct-23 Rp 34,109 Rp 3,752,000
372 SUCTION CONNECTING BIRU / YANKAUER (2) PCS - Rp - 17-Jul-20 MAS 400 Rp 24,651 Nov-24 MEGAH MEDIKA 400 Rp 9,860,400 - Rp - 400 Nov-24 Rp 24,651 Rp 9,860,400
373 SUCTION CONNECTING KUNING / HEXAGON (1) PCS 10 Rp 236,752 10 Rp - 10 Rp 236,752 - - Rp 23,675 Rp -
374 SUCTION CONNECTING KUNING / HEXAGON (2) PCS 100 Rp 1,859,000 17-Jul-20 MAS 50 Rp 18,590 Nov-24 MEGAH MEDIKA 150 Rp 929,500 10 Rp 185,900 140 Nov-24 Rp 18,590 Rp 2,602,600
375 SUDIN JAKUT : MASKER BEDAH BOX 80 Rp 1,544,400 80 Rp - 80 Rp 1,544,400 - - Rp 19,305 Rp -
376 SURGICAL GOWN PCS - Rp - 29-Jul-20 HOGY 45 Rp 54,912 N/A MERAPI UTAMA 45 Rp 2,471,040 - Rp - 45 N/A Rp 54,912 Rp 2,471,040
385 TRANSOFIX PCS 200 Rp 680,020 200 Rp - 50 Rp 170,005 150 Jan-24 Rp 3,400 Rp 510,015
386 UMBILICAL CORD KLEM PCS 300 Rp 825,000 300 Rp - 100 Rp 275,000 200 May-24 Rp 2,750 Rp 550,000
387 UNDERPAD (1) PCS 1,000 Rp 4,620,000 1,000 Rp - 120 Rp 554,400 880 N/A Rp 4,620 Rp 4,065,600
389 URINBAG PCS 350 Rp 2,824,500 350 Rp - 30 Rp 242,100 320 May-23 Rp 8,070 Rp 2,582,400
391 VASELIN PUTIH 1 KG KG - Rp - 27-Jul-20 N/A 30 Rp 95,000 N/A MUSTIKA DIPA 30 Rp 2,850,000 - Rp - 30 N/A Rp 95,000 Rp 2,850,000
395 WING NEEDLE 25 PCS 400 Rp 5,280,000 400 Rp - 100 Rp 1,320,000 300 Sep-22 Rp 13,200 Rp 3,960,000
Rp 2,606,183,616 Rp 398,485,703 Rp 248,469,895 Rp 2,756,199,424
RSUD Tugu Koja
NIP. 197902112007012011 NIP. 197801112008011012 NIP. 1967121919920321001
LAPORAN PERSEDIAAN GUDANG ALKES AGUSTUS 2020
1 ABOCATH 14 PCS 150 Rp 2,550,000 150 Rp - 50 Rp 850,000 100 Jun-21 Rp 17,000 Rp 1,700,000
6 ABOCATH 24 PCS 750 Rp 17,325,000 750 Rp - 100 Rp 2,310,000 650 Mar-22 Rp 23,100 Rp 15,015,000
15 ANIOSGEL 5 LTR / HANDRUB (1) DRIGEN - Rp - - Rp - - Rp - - - Rp 850,000 Rp -
16 ANIOSGEL 5 LTR / HANDRUB (2) DRIGEN 94 Rp 47,000,000 94 Rp - 50 Rp 25,000,000 44 Jan-23 Rp 500,000 Rp 22,000,000
17 ANIOSGEL 500 ML BOTOL 61 Rp 5,002,000 61 Rp - - Rp - 61 May-22 Rp 82,000 Rp 5,002,000
18 APRON PLASTIK PCS 350 Rp 1,405,250 03-Aug-20 GP CARE 3000 Rp 4,015 N/A GLOBAL PHARMA 3,350 Rp 12,045,000 1,250 Rp 5,018,750 2,100 N/A Rp 4,015 Rp 8,431,500
26 BARIUM SULFAT POWDER KG - Rp - 24-Aug-20 BRATACO 1 Rp 978,000 Apr-21 BRATACO 1 Rp 978,000 1 Rp 978,000 - - Rp 978,000 Rp -
29 BENANG ASSUCRYL 1 TAPER @12 (2) PCS 168 Rp 11,363,688 168 Rp - 24 Rp 1,623,384 144 Mar-25 Rp 67,641 Rp 9,740,304
31 BENANG CATGUT CHROMIC 2/0 DR STELA @36 PCS 252 Rp 14,565,600 252 Rp - 12 Rp 693,600 240 Oct-24 Rp 57,800 Rp 13,872,000
38 BENANG COROLENE 5/0 TAPERCUTTING @36 PCS 36 Rp 3,005,028 36 Rp - 36 Rp 3,005,028 - - Rp 83,473 Rp -
56 BENANG T-MONO 3/0 PCS 24 Rp 2,352,000 24 Rp - - Rp - 24 Aug-22 Rp 98,000 Rp 2,352,000
57 BETADINE 1 LITER BOTOL 18 Rp 2,754,000 18 Rp - 12 Rp 1,836,000 6 Nov-22 Rp 153,000 Rp 918,000
59 BETADINE KUMUR 190 ML (1) BOTOL 350 Rp 9,436,350 350 Rp - 2 Rp 53,922 348 May-23 Rp 26,961 Rp 9,382,428
60 BETADINE KUMUR 190 ML (2) BOTOL 70 Rp 1,887,270 70 Rp - 70 Rp 1,887,270 - - Rp 26,961 Rp -
67 BLOOD SET DEWASA (1) PCS 620 Rp 12,480,600 620 Rp - 100 Rp 2,013,000 520 Oct-24 Rp 20,130 Rp 10,467,600
75 BREATHING CURCUIT SINGLE LIMB DEWASA PCS 10 Rp 1,844,700 10 Rp - - Rp - 10 Jul-22 Rp 184,470 Rp 1,844,700
78 CLOSED SUCTION ENDOTRACHEAL NO 12 PCS 20 Rp 2,468,400 20 Rp - - Rp - 20 Apr-23 Rp 123,420 Rp 2,468,400
88 CSSD : POUCHES 10 CM x 200 (1) ROLL 8 Rp 7,160,000 8 Rp - 2 Rp 1,790,000 6 Jun-24 Rp 895,000 Rp 5,370,000
91 CSSD : POUCHES 25 CM x 200 (1) ROLL 3 Rp 1,958,181 3 Rp - 2 Rp 1,305,454 1 May-22 Rp 652,727 Rp 652,727
95 CSSD : POUCHES 5 CM x 200 (1) ROLL 4 Rp 2,020,000 4 Rp - 2 Rp 1,010,000 2 Sep-23 Rp 505,000 Rp 1,010,000
97 CSSD : POUCHES 7,5 CM x 200 ROLL 19 Rp 14,345,000 19 Rp - 2 Rp 1,510,000 17 N/A Rp 755,000 Rp 12,835,000
102 DINKES DKI : COVERALL PCS 400 Rp 275,000,000 400 Rp - 400 Rp 275,000,000 - - Rp 687,500 Rp -
103 DINKES DKI : COVERALL PCS - Rp - 28-Aug-20 AE ATAKA 300 Rp 1,000,000 N/A DINKES DKI 300 Rp 300,000,000 50 Rp 50,000,000 250 N/A Rp 1,000,000 Rp 250,000,000
104 DINKES DKI : HANDSCOEN STERIL NO. 7.5 PASANG - Rp - - Rp - - Rp - - - Rp 8,000 Rp -
105 DINKES DKI : HANDSCOEN UKURAN M BOX - Rp - - Rp - - Rp - - - Rp 80,000 Rp -
106 DINKES DKI : MASKER N95 PCS - Rp - - Rp - - Rp - - - Rp 26,350 Rp -
107 DINKES DKI : MASKER TIPE KN95 (1) PCS - Rp - - Rp - - Rp - - - Rp 64,900 Rp -
108 DINKES DKI : MASKER TIPE KN95 (2) PCS - Rp - - Rp - - Rp - - - Rp 64,900 Rp -
W
112 ELASTIC BANDAGE / POLICREPE (7.5 X 4.55) ROLL 216 Rp 5,421,600 216 Rp - 48 Rp 1,204,800 168 May-24 Rp 25,100 Rp 4,216,800
114 ELECTROSURGICAL PENCIL / PENSIL COTTER PCS 175 Rp 4,375,000 175 Rp - 125 Rp 3,125,000 50 Jul-22 Rp 25,000 Rp 1,250,000
115 ETIL KLORIDA SPRAY (1) BOTOL 5 Rp - 5 Rp - 5 Rp - - - Rp - Rp -
116 ETIL KLORIDA SPRAY (2) BOTOL 40 Rp 6,600,000 40 Rp - - Rp - 40 Jul-22 Rp 165,000 Rp 6,600,000
137 ETT NO. 6.5 PCS 40 Rp 88,000 40 Rp - 40 Rp 88,000 - - Rp 2,200 Rp -
142 EXTENSION TUBE / PERFUSOR PCS 225 Rp 11,880,000 225 Rp - 25 Rp 1,320,000 200 Jul-22 Rp 52,800 Rp 10,560,000
143 EYE PROTECTOR BAYI (1) PCS 10 Rp 370,000 10 Rp - 10 Rp 370,000 - - Rp 37,000 Rp -
144 EYE PROTECTOR BAYI (2) PCS - Rp - 03-Aug-20 POSEY 50 Rp 47,500 N/A CITRA VITA BUANA 50 Rp 2,375,000 14 Rp 665,000 36 N/A Rp 47,500 Rp 1,710,000
148 FEEDING / STOMACH TUBE NO. 16 PCS 100 Rp 840,700 100 Rp - 14 Rp 117,698 86 May-24 Rp 8,407 Rp 723,002
151 FEEDING / STOMACH TUBE NO. 3.5 PCS 50 Rp 1,925,000 50 Rp - 50 Rp
NO NAMA ALKES SATUAN STOK AWAL Rupiah Stok awal Tanggal Merk Penerimaan Harga Satuan + PPN Exp.Date Distributor Persediaan Nilai PENGELUARAN Rupiah Pengeluaran STOK EXP. DATE HARGA HARGA
Penerimaan Penerimaan AKHIR SATUAN TOTAL
162 FOLEY CATH NO. 16 (1) PCS 90 Rp 930,600 90 Rp - 50 Rp 517,000 40 Sep-23 Rp 10,340 Rp 413,600
163 FOLEY CATH NO. 16 (2) PCS 800 Rp 7,360,000 800 Rp - 10 Rp 92,000 790 Sep-23 Rp 9,200 Rp 7,268,000
168 FOLEY CATH NO. 8 (1) PCS 70 Rp 2,100,000 70 Rp - 30 Rp 900,000 40 Jul-21 Rp 30,000 Rp 1,200,000
180 H2O2 / HIDROGEN PEROKSIDA 1 LITER BOTOL 149 Rp 22,946,000 149 Rp - 44 Rp 6,776,000 105 N/A Rp 154,000 Rp 16,170,000
184 HANDSCOEN OBGYN / GYNAECOLOGICAL PCS 47 Rp 2,350,000 47 Rp - 3 Rp 150,000 44 N/A Rp 50,000 Rp 2,200,000
189 HANDSCOEN STERIL NO. 7 PASANG 1,200 Rp 7,590,000 1,200 Rp - 200 Rp 1,265,000 1,000 Jul-23 Rp 6,325 Rp 6,325,000
190 HANDSCOEN STERIL NO. 7.5 (1) PASANG 350 Rp 2,695,000 350 Rp - 150 Rp 1,155,000 200 May-25 Rp 7,700 Rp 1,540,000
193 HANDSCOEN UKURAN L BOX 90 Rp 5,625,000 90 Rp - 51 Rp 3,187,500 39 N/A Rp 62,500 Rp 2,437,500
196 HANDSCOEN UKURAN S BOX 240 Rp 15,000,000 240 Rp - 240 Rp 15,000,000 - - Rp 62,500 Rp -
195 HANDSCOEN UKURAN S BOX - Rp - 26-Aug-20 GP CARE 490 Rp 72,500 N/A GLOBAL PHARMA 490 Rp 35,525,000 30 Rp 2,175,000 460 N/A Rp 72,500 Rp 33,350,000
197 HANDSCOEN UKURAN XS BOX 250 Rp 15,625,000 250 Rp - - Rp - 250 N/A Rp 62,500 Rp 15,625,000
199 HERNIA MESH PCS - Rp - 13-Aug-20 TRITON 24 Rp 256,400 Nov-23 MPI 24 Rp 6,153,600 - Rp - 24 Nov-23 Rp 256,400 Rp 6,153,600
201 HUMIDIFICATION CHAMBER DEWASA PCS 5 Rp 425,425 5 Rp - - Rp - 5 Aug-22 Rp 85,085 Rp 425,425
202 HYPAFIX / PHARMAFIX 10X5 ROLL 180 Rp 5,760,000 180 Rp - 43 Rp 1,376,000 137 Jan-23 Rp 32,000 Rp 4,384,000
205 ID BAND ANAK / CHILD BIRU (2) PCS 1,500 Rp 1,500,000 1,500 Rp - - Rp - 1,500 N/A Rp 1,000 Rp 1,500,000
207 ID BAND DEWASA / ADULT BIRU (1) PCS 300 Rp 390,000 300 Rp - 100 Rp 130,000 200 Jul-21 Rp 1,300 Rp 260,000
208 ID BAND DEWASA / ADULT BIRU (2) PCS 1,500 Rp 1,500,000 1,500 Rp - - Rp - 1,500 N/A Rp 1,000 Rp 1,500,000
211 INFUSET MICRO PCS 640 Rp 5,747,840 640 Rp - 20 Rp 179,620 620 Dec-20 Rp 8,981 Rp 5,568,220
224 KAPSUL NO. 0 (2) PACK 30 Rp 1,290,000 30 Rp - - Rp - 30 N/A Rp 43,000 Rp 1,290,000
225 KAPSUL NO. 00 PACK 15 Rp 1,050,000 15 Rp - 2 Rp 140,000 13 N/A Rp 70,000 Rp 910,000
229 KASA NON X-RAY PCS 1,000 Rp 24,057,000 1,000 Rp - 300 Rp 7,217,100 700 N/A Rp 24,057 Rp 16,839,900
232 KASA X-RAY PCS 960 Rp 29,040,000 960 Rp - 560 Rp 16,940,000 400 N/A Rp 30,250 Rp 12,100,000
234 KEMKES : LUBRICANT SUTERA SACHET 180 Rp 87,480 180 Rp - 180 Rp 87,480 - - Rp 486 Rp -
239 KERTAS EKG ESAOTE P8000 BOX - Rp - 31-Aug-20 ESAOTE 5 Rp 247,500 N/A MAJAPAHIT 5 Rp 1,237,500 5 Rp 1,237,500 - - Rp 247,500 Rp -
240 ROLL 85 Rp 15,949,655 85 Rp - 5 Rp 938,215 80 N/A Rp 187,643 Rp 15,011,440
248 LAMINARIA L PCS - Rp - 28-Aug-20 MEDGYN 50 Rp 147,400 Apr-25 JOSUA AGUNG 50 Rp 7,370,000 - Rp - 50 Apr-25 Rp 147,400 Rp 7,370,000
249 LAMINARIA M (1) PCS 19 Rp 2,194,500 19 Rp - - Rp - 19 Aug-24 Rp 115,500 Rp 2,194,500
250 LAMINARIA M (2) PCS - Rp - 28-Aug-20 MEDGYN 50 Rp 147,400 Apr-25 JOSUA AGUNG 50 Rp 7,370,000 - Rp - 50 Apr-25 Rp 147,400 Rp 7,370,000
251 LAMINARIA S PCS - Rp - 28-Aug-20 MEDGYN 25 Rp 147,400 Apr-25 JOSUA AGUNG 25 Rp 3,685,000 - Rp - 25 Apr-25 Rp 147,400 Rp 3,685,000
264 MASKER N95 (1) PCS - Rp - - Rp - - Rp - - - Rp 30,000 Rp -
265 MASKER N95 (2) PCS 560 Rp 14,680,960 560 Rp - - Rp - 560 N/A Rp 26,216 Rp 14,680,960
266 MASKER N95 TIPE KN95 PCS - Rp - - Rp - - Rp - - - Rp 44,000 Rp -
267 MASKER NEBU ANAK PCS 658 Rp 6,053,600 658 Rp - 116 Rp 1,067,200 542 Jan-24 Rp 9,200 Rp 4,986,400
268 MASKER NEBU DEWASA PCS 771 Rp 7,972,140 771 Rp - 120 Rp 1,240,800 651 Jan-24 Rp 10,340 Rp 6,731,340
269 MASKER NON-REBREATHER ANAK PCS 195 Rp 3,061,500 195 Rp - 10 Rp 157,000 185 Sep-21 Rp 15,700 Rp 2,904,500
274 W PCS 190 Rp 2,983,000 190 Rp - - Rp - 190 Jan-21 Rp 15,700 Rp 2,983,000
275 MASKER TALI / TIE ON (1) BOX 30 Rp 4,884,000 30 Rp - 11 Rp 1,790,800 19 N/A Rp 162,800 Rp 3,093,200
276 MASKER TALI / TIE ON (2) BOX 100 Rp 16,638,600 100 Rp - - Rp - 100 N/A Rp 166,386 Rp 16,638,600
279 MICROPORE 0.5 INCH PCS 1,080 Rp 4,489,560 1,080 Rp - 1,080 Rp 4,489,560 - - Rp 4,157 Rp -
280 MICROPORE 1 INCH PCS 1,380 Rp 9,553,740 1,380 Rp - 312 Rp 2,159,976 1,068 Mar-24 Rp 6,923 Rp 7,393,764
283 NACL POWDER 1 KG KG 1 Rp 103,400 1 Rp - 1 Rp 103,400 - - Rp 103,400 Rp -
284 NASAL CANUL ANAK (1) PCS - Rp - - Rp - - Rp - - - Rp 4,000 Rp -
285 NASAL CANUL ANAK (2) PCS 490 Rp 3,136,000 490 Rp - 8 Rp 51,200 482 May-23 Rp 6,400 Rp 3,084,800
286 NASAL CANUL BAYI (1) PCS - Rp - - Rp - - Rp - - - Rp 4,000 Rp -
288 NASAL CANUL DEWASA (1) PCS - Rp - - Rp - - Rp - - - Rp 4,000 Rp -
289 NASAL CANUL DEWASA (2) PCS 1,400 Rp 8,960,000 1,400 Rp - 66 Rp 422,400 1,334 Feb-25 Rp 6,400 Rp 8,537,600
292 NEEDLE 24 PCS 600 Rp 186,600 600 Rp - 100 Rp 31,100 500 Oct-21 Rp 311 Rp 155,500
293 NURSE CAP @50 BOX 60 Rp 2,329,800 60 Rp - 20 Rp 776,600 40 N/A Rp 38,830 Rp 1,553,200
302 POLI GIGI : CAVITON WHITE (1) BOX 1 Rp 30,000 1 Rp - 1 Rp 30,000 - - Rp 30,000 Rp -
312 POLI GIGI : JARUM CITOJECT 21 BOX 3 Rp 2,475,000 3 Rp
W
329 POSTOFIX / DERMAFIX / TEGADERM 10 x 25 (1) PCS - Rp - - Rp - - Rp - - - Rp 29,377 Rp -
330 POSTOFIX / DERMAFIX / TEGADERM 10 x 25 (2) PCS 400 Rp 11,751,600 400 Rp - 40 Rp 1,175,160 360 Jan-25 Rp 29,379 Rp 10,576,440
335 RAD : DENTAL X RAY FILM PCS 200 Rp - 200 Rp - 200 Rp - - - Rp - Rp -
336 RAD : FILM RONTGEN UKURAN L (35X43) BOX 1 Rp - 1 Rp - 1 Rp - - - Rp - Rp -
338 RAD : FILM RONTGEN UKURAN S (20X25) BOX 10 Rp 14,190,000 10 Rp - 4 Rp 5,676,000 6 Mar-22 Rp 1,419,000 Rp 8,514,000
339 RESPIRATORY FILTER BSF 103 PCS 20 Rp 259,600 20 Rp - - Rp - 20 Apr-23 Rp 12,980 Rp 259,600
341 SAFETY BOX PCS 500 Rp 5,775,000 500 Rp - 50 Rp 577,500 450 N/A Rp 11,550 Rp 5,197,500
342 SAKARUM LAKTIS 1 KG KG 1 Rp 627,000 1 Rp - - Rp - 1 Oct-22 Rp 627,000 Rp 627,000
343 SEPTALKAN 500 ML (1) BOTOL 7 Rp 609,840 7 Rp - - Rp - 7 Mar-22 Rp 87,120 Rp 609,840
344 SEPTALKAN 500 ML (2) BOTOL 50 Rp 8,300,800 50 Rp - - Rp - 50 Mar-23 Rp 166,016 Rp 8,300,800
346 SIKAT OPERASI / SURGICAL BRUSH PCS 864 Rp 4,631,040 864 Rp - 264 Rp 1,415,040 600 Jun-24 Rp 5,360 Rp 3,216,000
347 SODIUM BICARBONAT 1 KG KG 13 Rp 650,000 13 Rp - - Rp - 13 Feb-21 Rp 50,000 Rp 650,000
353 SPINOCAN 25 (2) PCS 25 Rp 1,182,500 25 Rp - - Rp - 25 Nov-24 Rp 47,300 Rp 1,182,500
354 SPINOCAN 26 PCS 125 Rp 5,912,500 125 Rp - 75 Rp 3,547,500 50 May-24 Rp 47,300 Rp 2,365,000
357 SPONGESTAN / GELITA SPONS PCS 20 Rp 2,310,000 20 Rp - 20 Rp 2,310,000 - - Rp 115,500 Rp -
361 SPUIT 3 (1) PCS - Rp - - Rp - - Rp - - - Rp 888 Rp -
362 SPUIT 3 (2) PCS 11,700 Rp 7,839,000 11,700 Rp - 2,000 Rp 1,340,000 9,700 Nov-24 Rp 670 Rp 6,499,000
364 SPUIT 5 (2) PCS 9,600 Rp 7,728,000 9,600 Rp - - Rp - 9,600 Feb-25 Rp 805 Rp 7,728,000
365 SPUIT 50 ML CATHETHER TIP (1) PCS - Rp - - Rp - - Rp - - - Rp 35,000 Rp -
366 SPUIT 50 ML CATHETHER TIP (2) PCS 150 Rp 585,000 150 Rp - 50 Rp 195,000 100 Jan-24 Rp 3,900 Rp 390,000
367 SPUIT 50 WITH NEEDLE PCS 100 Rp 462,000 100 Rp - 50 Rp 231,000 50 Oct-24 Rp 4,620 Rp 231,000
369 SUCTION CATHETHER NO. 10 (2) PCS 500 Rp 1,303,500 500 Rp - - Rp - 500 Dec-24 Rp 2,607 Rp 1,303,500
377 SUCTION CONNECTING BIRU / YANKAUER (2) PCS 400 Rp 9,860,400 400 Rp - 40 Rp 986,040 360 Nov-24 Rp 24,651 Rp 8,874,360
378 SUCTION CONNECTING KUNING / HEXAGON (1) PCS - Rp - - Rp - - Rp - - - Rp 23,675 Rp -
379 SUCTION CONNECTING KUNING / HEXAGON (2) PCS 140 Rp 2,602,600 140 Rp - 20 Rp 371,800 120 Nov-24 Rp 18,590 Rp 2,230,800
380 SUDIN JAKUT : MASKER BEDAH BOX - Rp - 18-Aug-20 SUPAMED 241 Rp 114,500 Jun-25 SUDINKES JAKUT 241 Rp 4,652,505 107 Rp 2,065,635 134 Jun-25 Rp 19,305 Rp 2,586,870
381 SUDIN JAKUT : RDT 2 HIV (KHB DIAGNOSTIC) KIT - Rp - 03-Jul-20 KHB 100 Rp 12,500 5/21 SUDINKES JAKUT 100 Rp 1,250,000 100 Rp 1,250,000 - - Rp 12,500 Rp -
382 SUDIN JAKUT : RDT 3 HIV (DIAGNOSTAR) KIT - Rp - 03-Jul-20 DIAGNOSTAR 100 Rp 12,500 7/21 SUDINKES JAKUT 100 Rp 1,265,800 100 Rp 1,265,800 - - Rp 12,658 Rp -
383 SUDIN JAKUT : REAGEN HIV SD BIOLINE KIT - Rp - 24-Jul-20 SD 3750 Rp 11,975 6/21 SUDINKES JAKUT 3,750 Rp 44,906,250 - Rp - 3,750 Jun-21 Rp 11,975 Rp 44,906,250
384 SURGICAL GOWN PCS 45 Rp 2,471,040 45 Rp - - Rp - 45 N/A Rp 54,912 Rp 2,471,040
386 TCCA 90% TABLET BESAR BOTOL 3 Rp - 3 Rp - 3 Rp - - - Rp - Rp -
393 TRANSOFIX PCS 150 Rp 510,015 150 Rp - 150 Rp 510,015 - - Rp 3,400 Rp -
394 UMBILICAL CORD KLEM PCS 200 Rp 550,000 200 Rp - - Rp - 200 May-24 Rp 2,750 Rp 550,000
395 UNDERPAD (1) PCS 880 Rp 4,065,600 880 Rp - 380 Rp 1,755,600 500 N/A Rp 4,620 Rp 2,310,000
396 UNDERPAD (2) PCS 120 Rp 948,000 120 Rp - 120 Rp 948,000 - - Rp 7,900 Rp -
397 URINBAG PCS 320 Rp 2,582,400 320 Rp - 230 Rp 1,856,100 90 May-23 Rp 8,070 Rp 726,300
403 WING NEEDLE 25 PCS 300 Rp 3,960,000 300 Rp - 50 Rp 660,000 250 Sep-22 Rp 13,200 Rp 3,300,000
Rp 2,756,199,424 Rp 428,813,655 Rp 588,522,653 Rp 2,596,490,426
RSUD Tugu Koja
NIP. 197902112007012011 NIP. 197801112008011012 NIP. 1967121919920321001
LAPORAN PERSEDIAAN GUDANG ALKES SEPTEMBER 2020

4 ABOCATH 20 PCS 4,100 Rp 54,509,500 4,100 Rp - 1,100 Rp 14,624,500 3,000 Jun-23 Rp 13,295 Rp 39,885,000
6 ABOCATH 22 (2) PCS - Rp - 22-Sep-20 TROGE 500 Rp 14,625 Dec-24 PARIT PADANG 500 Rp 7,312,500 - Rp - 500 Dec-24 Rp 14,625 Rp 7,312,500
8 ABOCATH 24 (2) PCS - Rp - 22-Sep-20 TROGE 300 Rp 14,625 Jul-24 PARIT PADANG 300 Rp 4,387,500 - Rp - 300 Jul-24 Rp 14,625 Rp 4,387,500
9 ABOCATH 26 (1) PCS 1,050 Rp 34,534,500 1,050 Rp - 100 Rp 3,289,000 950 Jul-22 Rp 32,890 Rp 31,245,500
10 ABOCATH 26 (2) PCS - Rp - 30-Sep-20 TROGE 500 Rp 11,700 Jul-24 PARIT PADANG 500 Rp 5,850,000 - Rp - 500 Jul-24 Rp 11,700 Rp 5,850,000
13 ALKOHOL 1 LTR BOTOL 36 Rp 1,296,000 11-Sep-20 GP CARE 300 Rp 36,000 GLOBAL PHARMA 336 Rp 10,800,000 36 Rp 1,296,000 300 Rp 36,000 Rp 10,800,000
18 ANIOSGEL 5 LTR / HANDRUB DRIGEN 44 Rp 22,000,000 15-Sep-20 ANIOSGEL 100 Rp 500,000 PRIMA ALKESINDO 144 Rp 50,000,000 - Rp - 144 Rp 500,000 Rp 72,000,000
19 ANIOSGEL 500 ML BOTOL 61 Rp 5,002,000 61 Rp - 20 Rp 1,640,000 41 May-22 Rp 82,000 Rp 3,362,000
20 APRON PLASTIK (1) PCS 2,100 Rp 8,431,500 2,100 Rp - 1,700 Rp 6,825,500 400 N/A Rp 4,015 Rp 1,606,000
21 APRON PLASTIK (2) PCS - Rp - 11-Sep-20 ONEMED 3,500 Rp 2,950 N/A INTISUMBER 3,500 Rp 10,325,000 1,000 Rp 2,950,000 2,500 N/A Rp 2,950 Rp 7,375,000
31 BENANG ASSUCRYL 1 TAPER @12 (1) PCS 96 Rp 5,903,232 96 Rp - 36 Rp 2,213,712 60 Apr-24 Rp 61,492 Rp 3,689,520
43 BENANG OPTIME 1 TAPER @36 PCS 108 Rp 9,109,584 108 Rp - 108 Rp 9,109,584 - - Rp 84,348 Rp -
45 BENANG OPTIME 2 TAPER 40 MM @36 (1) PCS 72 Rp 5,008,392 72 Rp - 36 Rp 2,504,196 36 May-23 Rp 69,561 Rp 2,504,196
51 BENANG OPTIME R 2/0 PCS 792 Rp 34,848,000 792 Rp - - Rp - 792 Apr-23 Rp 44,000 Rp 34,848,000
53 BENANG SILK 1 TAPER @12 PCS 216 Rp 8,348,832 216 Rp - 12 Rp 463,824 204 Jun-23 Rp 38,652 Rp 7,885,008
60 BETADINE 1 LITER BOTOL 6 Rp 918,000 31-Aug-20 BETADINE 100 Rp 153,000 PARIT PADANG 106 Rp 15,300,000 16 Rp 2,448,000 90 Nov-22 Rp 153,000 Rp 13,770,000
62 BETADINE KUMUR 190 ML (1) BOTOL 348 Rp 9,382,428 348 Rp - 12 Rp 323,532 336 May-23 Rp 26,961 Rp 9,058,896
63 BETADINE KUMUR 190 ML (2) BOTOL - Rp - - Rp - - Rp - - - Rp 26,961 Rp -
66 BISTURI NO. 11 PCS - Rp - 16-Sep-20 BBRAUN 400 Rp 3,069 Dec-24 PARIT PADANG 400 Rp 1,227,600 - Rp - 400 Dec-24 Rp 3,069 Rp 1,227,600
68 BISTURI NO. 15 PCS - Rp - 16-Sep-20 BBRAUN 300 Rp 3,069 Aug-24 PARIT PADANG 300 Rp 920,700 100 Rp 306,900 200 Aug-24 Rp 3,069 Rp 613,800
69 BISTURI NO. 21 PCS - Rp - 16-Sep-20 BBRAUN 400 Rp 3,069 Dec-24 PARIT PADANG 400 Rp 1,227,600 200 Rp 613,800 200 Dec-24 Rp 3,069 Rp 613,800
70 BLOOD SET DEWASA (1) PCS 520 Rp 10,467,600 520 Rp - 120 Rp 2,415,600 400 Oct-24 Rp 20,130 Rp 8,052,000
73 BRACKET ANIOSGEL PCS 19 Rp - 19 Rp - 10 Rp - 9 N/A Rp - Rp -
79 CACO3 (KALSIUM KARBONAT) POWDER 1 KG KG 17 Rp 4,450,600 17 Rp - - Rp - 17 Aug-22 Rp 261,800 Rp 4,450,600
81 CLOSED SUCTION ENDOTRACHEAL NO 12 PCS 20 Rp 2,468,400 20 Rp - 3 Rp 370,260 17 Apr-23 Rp 123,420 Rp 2,098,140
90 CSSD : INDIKATOR TAPES ADHESIVE (EXTERNAL) PCS 28 Rp 1,810,144 28 Rp - 2 Rp 129,296 26 N/A Rp 64,648 Rp 1,680,848
102 CSSD : POUCHES SATUAN (305X430) PCS - Rp - 21-Sep-20 GLOPACK 200 Rp 4,125 200 Rp 825,000 200 Rp 825,000 - - Rp 4,125 Rp -
103 CSSD : STEAM STERILIZATION BOWIE DICK BOX 2 Rp - 2 Rp - 1 Rp - 1 Jan-21 Rp - Rp -
105 DINKES DKI : COVERALL PCS - Rp - 23-Sep-20 858 Rp 215,600 DINKES 858 Rp 589,875,000 726 Rp 499,125,000 132 - Rp 687,500 Rp 90,750,000
106 DINKES DKI : COVERALL PCS 250 Rp 250,000,000 250 Rp - 250 Rp 250,000,000 - - Rp 1,000,000 Rp -
107 DINKES DKI : HANDSCOEN STERIL NO. 7.5 PASANG - Rp - - Rp - - Rp - - - Rp 8,000 Rp -
108 DINKES DKI : HANDSCOEN UKURAN M BOX - Rp - - Rp - - Rp - - - Rp 80,000 Rp -
109 DINKES DKI : MASKER N95 PCS - Rp - - Rp - - Rp - - - Rp 26,350 Rp -
110 DINKES DKI : MASKER TIPE KN95 PCS - Rp - 23-Sep-20 RESPOKARE 120 Rp 77,000 DINKES 120 Rp 7,788,000 120 Rp 7,788,000 - - Rp 64,900 Rp -
W
115 ELECTROSURGICAL PAD PCS 250 Rp 4,500,000 250 Rp - 100 Rp 1,800,000 150 Jan-21 Rp 18,000 Rp 2,700,000
116 ELECTROSURGICAL PENCIL / PENSIL COTTER PCS 50 Rp 1,250,000 23-Sep-20 ALPHAMED 450 Rp 25,000 Aug-23 CIPTA MEDIKA 500 Rp 11,250,000 - Rp - 500 Jul-22 Rp 25,000 Rp 12,500,000
117 ETIL KLORIDA SPRAY (1) BOTOL - Rp - - Rp - - Rp - - - Rp - Rp -
118 ETIL KLORIDA SPRAY (2) BOTOL 40 Rp 6,600,000 40 Rp - 10 Rp 1,650,000 30 Jul-22 Rp 165,000 Rp 4,950,000
119 ETT INTUBATING STYLET 3.0 PCS - Rp - 14-Sep-20 WORK 20 Rp 138,000 DWIASRI GRAHA 20 Rp 2,760,000 - Rp - 20 - Rp 138,000 Rp 2,760,000
120 ETT INTUBATING STYLET 3.5 PCS 9 Rp 1,242,000 14-Sep-20 WORK 10 Rp 138,000 DWIASRI GRAHA 19 Rp 1,380,000 - Rp - 19 Jun-23 Rp 138,000 Rp 2,622,000
121 ETT INTUBATING STYLET 4.0 PCS 6 Rp 828,000 14-Sep-20 WORK 20 Rp 138,000 DWIASRI GRAHA 26 Rp 2,760,000 - Rp - 26 Mar-23 Rp 138,000 Rp 3,588,000
122 ETT INTUBATING STYLET 4.5 PCS 9 Rp 1,242,000 14-Sep-20 WORK 10 Rp 138,000 DWIASRI GRAHA 19 Rp 1,380,000 - Rp - 19 Oct-24 Rp 138,000 Rp 2,622,000
123 ETT INTUBATING STYLET 5.0 PCS 18 Rp 2,484,000 14-Sep-20 WORK 20 Rp 138,000 DWIASRI GRAHA 38 Rp 2,760,000 - Rp - 38 Dec-23 Rp 138,000 Rp 5,244,000
127 ETT INTUBATING STYLET 7.0 PCS 30 Rp 4,140,000 14-Sep-20 WORK 20 Rp 138,000 DWIASRI GRAHA 50 Rp 2,760,000 - Rp - 50 Mar-23 Rp 138,000 Rp 6,900,000
128 ETT INTUBATING STYLET 7.5 PCS 30 Rp 4,140,000 14-Sep-20 WORK 20 Rp 138,000 DWIASRI GRAHA 50 Rp 2,760,000 - Rp - 50 Apr-24 Rp 138,000 Rp 6,900,000
144 EXTENSION TUBE / PERFUSOR (1) PCS 200 Rp 10,560,000 200 Rp - 150 Rp 7,920,000 50 Jul-22 Rp 52,800 Rp 2,640,000
145 EXTENSION TUBE / PERFUSOR (2) PCS - Rp - 17-Sep-20 PERFUSOR 200 Rp 37,000 Mar-25 DOS NI ROHA 200 Rp 7,399,920 - Rp - 200 Mar-25 Rp 37,000 Rp 7,399,920
146 EXTENSION TUBE / PERFUSOR (3) PCS - Rp - 09-Sep-20 PERFUSOR 100 Rp 37,000 Mar-25 DOS NI ROHA 100 Rp 3,699,960 - Rp - 100 Mar-25 Rp 37,000 Rp 3,699,960
147 EYE PROTECTOR BAYI PCS 36 Rp 1,710,000 36 Rp - 24 Rp 1,140,000
162 FOLEY CATH NO. 16 (1) PCS 40 Rp 413,600 40 Rp - 40 Rp 413,600 - - Rp 10,340 Rp -
163 FOLEY CATH NO. 16 (2) PCS 790 Rp 7,268,000 790 Rp - 150 Rp 1,380,000 640 Sep-23 Rp 9,200 Rp 5,888,000
175 GUDEL NO. 2 (80 MM) HIJAU PCS 38 Rp 447,184 38 Rp - 20 Rp 235,360 18 Mar-24 Rp 11,768 Rp 211,824
184 HANDSCOEN OBGYN 7.5 PCS - Rp - 17-Sep-20 TROGE 500 Rp 40,656 Jun-25 PARIT PADANG 500 Rp 20,328,000 - Rp - 500 Jun-25 Rp 40,656 Rp 20,328,000
185 HANDSCOEN OBGYN L PCS 44 Rp 2,200,000 44 Rp - 40 Rp 2,000,000 4 N/A Rp 50,000 Rp 200,000
189 HANDSCOEN STERIL NO. 7 PASANG 1,000 Rp 6,325,000 1,000 Rp - 500 Rp 3,162,500 500 Jul-23 Rp 6,325 Rp 3,162,500
190 HANDSCOEN STERIL NO. 7.5 (1) PASANG 200 Rp 1,540,000 200 Rp - 150 Rp 1,155,000 50 May-25 Rp 7,700 Rp 385,000
193 HANDSCOEN UKURAN L BOX 39 Rp 2,437,500 39 Rp - 2 Rp 125,000 37 N/A Rp 62,500 Rp 2,312,500
194 HANDSCOEN UKURAN M (1) BOX 62 Rp 3,875,000 62 Rp - 62 Rp 3,875,000 - - Rp 62,500 Rp -
195 HANDSCOEN UKURAN M (2) BOX - Rp - 09-Sep-20 MAS 300 Rp 88,000 N/A MEGAH MEDIKA 300 Rp 26,400,000 92 Rp 8,096,000 208 N/A Rp 88,000 Rp 18,304,000
197 HANDSCOEN UKURAN XS BOX 250 Rp 15,625,000 250 Rp - 124 Rp 7,750,000 126 N/A Rp 62,500 Rp 7,875,000
204 ID BAND ANAK / CHILD BIRU (1) PCS 200 Rp 240,000 200 Rp - 200 Rp 240,000 - - Rp 1,200 Rp -
205 ID BAND ANAK / CHILD BIRU (2) PCS 1,500 Rp 1,500,000 1,500 Rp - 300 Rp 300,000 1,200 N/A Rp 1,000 Rp 1,200,000
206 ID BAND ANAK / CHILD PINK PCS 900 Rp 970,200 900 Rp - 100 Rp 107,800 800 N/A Rp 1,078 Rp 862,400
207 ID BAND DEWASA / ADULT BIRU (1) PCS 200 Rp 260,000 200 Rp - 200 Rp 260,000 - - Rp 1,300 Rp -
208 ID BAND DEWASA / ADULT BIRU (2) PCS 1,500 Rp 1,500,000 1,500 Rp - 300 Rp 300,000 1,200 N/A Rp 1,000 Rp 1,200,000
209 ID BAND DEWASA / ADULT PINK PCS 2,500 Rp 2,695,000 2,500 Rp - 1,000 Rp 1,078,000 1,500 N/A Rp 1,078 Rp 1,617,000
226 KASA BULAT / DEPER PCS 800 Rp 800,000 800 Rp - 200 Rp 200,000 600 N/A Rp 1,000 Rp 600,000
227 KASA HIDROFIL / GULUNG 4 x 10 ROLL 1,450 Rp - 1,450 Rp - 550 Rp - 900 N/A Rp - Rp -
229 KASA NON X-RAY PACK 700 Rp 16,839,900 26-Sep-20 PRO KASA 500 Rp 24,057 N/A JAYADI 1,200 Rp 12,028,500 500 Rp 12,028,500 700 N/A Rp 24,057 Rp 16,839,900
240 ROLL 80 Rp 15,011,440 80 Rp - - Rp - 80 N/A Rp 187,643 Rp 15,011,440
245 KONDOM ARTIKA @12 BOX 22 Rp 1,919,984 22 Rp - 3 Rp 261,816 19 Oct-22 Rp 87,272 Rp 1,658,168
247 LAKMUS MERAH NESCO @100 PACK 4 Rp 500,000 4 Rp - 2 Rp 250,000 2 N/A Rp 125,000 Rp 250,000
249 LAMINARIA M (1) PCS 19 Rp 2,194,500 19 Rp - 19 Rp 2,194,500 - - Rp 115,500 Rp -
250 LAMINARIA M (2) PCS 50 Rp 7,370,000 50 Rp - - Rp - 50 Apr-25 Rp 147,400 Rp 7,370,000
264 MASKER N95 TIPE 1860 (1) PCS - Rp - 26-Sep-20 3M 500 Rp 66,000 N/A JAYADI 500 Rp 33,000,000 40 Rp 2,640,000 460 N/A Rp 66,000 Rp 30,360,000
265 MASKER N95 TIPE 1860 (2) PCS 560 Rp 14,680,960 560 Rp - 560 Rp 14,680,960 - - Rp 26,216 Rp -
266 MASKER N95 TIPE 8210 PCS - Rp - 28-Sep-20 3M 1,000 Rp 13,000 N/A 1,000 Rp 13,000,000 100 Rp 1,300,000 900 N/A Rp 13,000 Rp 11,700,000
267 MASKER N95 TIPE KN95 (1) PCS - Rp - 18-Sep-20 WORK 500 Rp 21,841 N/A DWIASRI GRAHA 500 Rp 10,920,250 50 Rp 1,092,025 450 N/A Rp 21,841 Rp 9,828,225
268 MASKER N95 TIPE KN95 (2) PCS - Rp - 18-Sep-20 FORSCH 500 Rp 35,200 N/A DWIASRI GRAHA 500 Rp 17,600,000 300 Rp 10,560,000 200 N/A Rp 35,200 Rp 7,040,000
271 MASKER NON-REBREATHER ANAK PCS 185 Rp 2,904,500 185 Rp - 85 Rp 1,334,500 100 Sep-21 Rp 15,700 Rp 1,570,000
272 MASKER NON-REBREATHER DEWASA PCS 286 Rp 4,490,200 286 Rp - 72 Rp 1,130,400 214 May-22 Rp 15,700 Rp 3,359,800
273 MASKER OKSIGEN ANAK PCS 188 Rp 1,203,200 188 Rp - 26 Rp 166,400 162 May-22 Rp 6,400 Rp 1,036,800
276 W PCS 190 Rp 2,983,000 190 Rp - - Rp - 190 Jan-21 Rp 15,700 Rp 2,983,000
277 MASKER TALI / TIE ON (1) BOX 19 Rp 3,093,200 19 Rp - 5 Rp 814,000 14 N/A Rp 162,800 Rp 2,279,200
278 MASKER TALI / TIE ON (2) BOX 100 Rp 16,638,600 100 Rp - - Rp - 100 N/A Rp 166,386 Rp 16,638,600
282 MICROPORE 1 INCH PCS 1,068 Rp 7,393,764 1,068 Rp - - Rp - 1,068 Mar-24 Rp 6,923 Rp 7,393,764
283 MICROPORE 2 INCH PCS 600 Rp 27,720,000 600 Rp - 96 Rp 4,435,200 504 Mar-24 Rp 46,200 Rp 23,284,800
285 NACL POWDER 1 KG KG - Rp - - Rp - - Rp - - - Rp 103,400 Rp -
286 NASAL CANUL ANAK PCS 482 Rp 3,084,800 482 Rp - 72 Rp 460,800 410 May-23 Rp 6,400 Rp 2,624,000
287 NASAL CANUL BAYI PCS 490 Rp 3,577,000 490 Rp - - Rp - 490 May-23 Rp 7,300 Rp 3,577,000
288 NASAL CANUL DEWASA PCS 1,334 Rp 8,537,600 1,334 Rp - 130 Rp 832,000 1,204 Feb-25 Rp 6,400 Rp 7,705,600
293 NURSE CAP @50 BOX 40 Rp 1,553,200 40 Rp - 40 Rp 1,553,200 - - Rp 38,830 Rp -
292 NURSE CAP @50 BOX - Rp - 08-Sep-20 MEDITECH 100 Rp 66,400 N/A 100 Rp 6,640,000 40 Rp 2,656,000 60 N/A Rp 66,400 Rp 3,984,000
312 POLI GIGI : K FILE 10 NO 21 STRIP
W
@
327 POSTOFIX / DERMAFIX / TEGADERM 10 x 15 PCS 650 Rp 11,438,561 650 Rp - 100 Rp 1,759,779 550 Aug-23 Rp 17,598 Rp 9,678,782
328 POSTOFIX / DERMAFIX / TEGADERM 10 x 25 (1) PCS - Rp - - Rp - - Rp - - - Rp 29,377 Rp -
329 POSTOFIX / DERMAFIX / TEGADERM 10 x 25 (2) PCS 360 Rp 10,576,440 360 Rp - 80 Rp 2,350,320 280 Jan-25 Rp 29,379 Rp 8,226,120
330 POT URIN 30CC PCS 300 Rp 247,500 300 Rp - 100 Rp 82,500 200 N/A Rp 825 Rp 165,000
331 POT URIN 50CC PCS 5,000 Rp 5,225,000 5,000 Rp - 1,000 Rp 1,045,000 4,000 N/A Rp 1,045 Rp 4,180,000
339 RAD : PHOSPOR SCREEN BOX - Rp - 10-Sep-20 N/A TAWADA HEALTH
2 Rp 9,000,000
CARE
2 Rp 18,000,000 - Rp - 2 - Rp 9,000,000 Rp 18,000,000
340 RESPIRATORY FILTER BSF 103 PCS 20 Rp 259,600 20 Rp - - Rp - 20 Apr-23 Rp 12,980 Rp 259,600
343 SAKARUM LAKTIS 1 KG KG 1 Rp 627,000 1 Rp - 1 Rp 627,000 - - Rp 627,000 Rp -
344 SEPTALKAN 500 ML (1) BOTOL 7 Rp 609,840 7 Rp - 7 Rp 609,840 - - Rp 87,120 Rp -
345 SEPTALKAN 500 ML (2) BOTOL 50 Rp 8,300,800 50 Rp - 14 Rp 2,324,224 36 Mar-23 Rp 166,016 Rp 5,976,576
346 SHOE COVER PCS - Rp - 24-Sep-20 N/A 10,000 Rp 990 N/A JAYADI 10,000 Rp 9,900,000 1,000 Rp 990,000 9,000 N/A Rp 990 Rp 8,910,000
347 SIKAT OPERASI / SURGICAL BRUSH PCS 600 Rp 3,216,000 600 Rp - 168 Rp 900,480 432 Jun-24 Rp 5,360 Rp 2,315,520
348 SODIUM BICARBONAT 1 KG KG 5 Rp 255,000 5 Rp - 1 Rp 51,000 4 Mar-22 Rp 51,000 Rp 204,000
350 SOFRATULE / DARYANTULE / URGOTULE PCS 350 Rp 6,785,625 17-Sep-20 URGOTUL 300 Rp 19,388 Aug-22 DMA 650 Rp 5,816,250 - Rp - 650 Aug-22 Rp 19,388 Rp 12,601,875
354 SPINOCAN 25 (2) PCS 25 Rp 1,182,500 25 Rp - 25 Rp 1,182,500 - - Rp 47,300 Rp -
355 SPINOCAN 26 PCS 50 Rp 2,365,000 50 Rp - 50 Rp 2,365,000 - - Rp 47,300 Rp -
359 SPUIT 1 PCS 3,700 Rp 3,257,332 3,700 Rp - 300 Rp 264,108 3,400 May-24 Rp 880 Rp 2,993,224
364 SPUIT 5 (2) PCS 9,600 Rp 7,728,000 9,600 Rp - - Rp - 9,600 Feb-25 Rp 805 Rp 7,728,000
366 SPUIT 50 WITH NEEDLE PCS 50 Rp 231,000 14-Sep-20 NIPRO 200 Rp 4,620 SINAR RODA UTAMA 250 Rp 924,000 150 Rp 693,000 100 Oct-24 Rp 4,620 Rp 462,000
368 SUCTION CATHETHER NO. 10 (2) PCS 500 Rp 1,303,500 500 Rp - - Rp - 500 Dec-24 Rp 2,607 Rp 1,303,500
378 SUDIN JAKUT : COVERALL PCS - Rp - 25-Sep-20 KALTECH 150 Rp 400,000 SUDINKES 150 Rp 2,895,750 150 Rp 2,895,750 - - Rp 19,305 Rp -
379 SUDIN JAKUT : MASKER BEDAH BOX 134 Rp 2,586,870 134 Rp - 134 Rp 2,586,870 - - Rp 19,305 Rp -
380 SUDIN JAKUT : RDT 2 HIV (KHB DIAGNOSTIC) KIT - Rp - - Rp - - Rp - - - Rp 12,500 Rp -
381 SUDIN JAKUT : RDT 3 HIV (DIAGNOSTAR) KIT - Rp - - Rp - - Rp - - - Rp 12,658 Rp -
383 SURGICAL GOWN PCS 45 Rp 2,471,040 45 Rp - - Rp - 45 N/A Rp 54,912 Rp 2,471,040
386 THREE WAY (3 WAY) PCS 350 Rp 5,250,000 350 Rp - 100 Rp 1,500,000 250 Jul-23 Rp 15,000 Rp 3,750,000
388 TONGUE SPATEL / SPATEL KAYU @100 BOX 3 Rp - 3 Rp - 1 Rp - 2 N/A Rp - Rp -
392 TRANSOFIX PCS - Rp - 23-Sep-20 TRANSOFIX 800 Rp 3,400 DOS NI ROHA 800 Rp 2,720,080 - Rp - 800 Rp 3,400 Rp 2,720,080
393 UMBILICAL CORD KLEM PCS 200 Rp 550,000 17-Sep-20 HOSPITECH SENTRA ASIA
500 Rp 2,750 May-24 GEMILANG
700 Rp 1,375,000 200 Rp 550,000 500 May-24 Rp 2,750 Rp 1,375,000
394 UNDERPAD (1) PCS 500 Rp 2,310,000 500 Rp - 200 Rp 924,000 300 N/A Rp 4,620 Rp 1,386,000
395 UNDERPAD (2) PCS - Rp - 14-Sep-20 DELVICARE 2,000 Rp 3,900 N/A SAFIRA DWI PHARMA 2,000 Rp 7,800,000 290 Rp 1,131,000 1,710 N/A Rp 3,900 Rp 6,669,000
396 URINBAG PCS 90 Rp 726,300 30-Sep-20 TROGE 50 Rp 8,070 Dec-24 PARIT PADANG 140 Rp 403,500 110 Rp 887,700 30 Dec-24 Rp 8,070 Rp 242,100
402 WING NEEDLE 25 PCS 250 Rp 3,300,000 250 Rp - 100 Rp 1,320,000 150 Sep-22 Rp 13,200 Rp 1,980,000
Rp 2,596,490,426 Rp 942,780,110 Rp 1,070,987,826 Rp 2,468,282,710
RSUD Tugu Koja
NIP. 197902112007012011 NIP. 197801112008011012 NIP. 1967121919920321001
LAPORAN PERSEDIAAN GUDANG ALKES OKTOBER 2020

7 ABOCATH 24 (1) PCS 400 Rp 9,240,000 400 Rp - - Rp - 400 Mar-22 Rp 23,100 Rp 9,240,000
14 ALKOHOL SWAB @200 BOX 288 Rp 8,352,000 288 Rp - 32 Rp 928,000 256 Jul-24 Rp 29,000 Rp 7,424,000
19 ANIOSGEL 500 ML BOTOL 41 Rp 3,362,000 41 Rp - 18 Rp 1,476,000 23 May-22 Rp 82,000 Rp 1,886,000
20 APRON PLASTIK (1) PCS 400 Rp 1,606,000 400 Rp - 100 Rp 401,500 300 N/A Rp 4,015 Rp 1,204,500
21 APRON PLASTIK (2) PCS 2,500 Rp 7,375,000 2,500 Rp - 1,450 Rp 4,277,500 1,050 N/A Rp 2,950 Rp 3,097,500
31 BENANG ASSUCRYL 1 TAPER @12 (1) PCS 60 Rp 3,689,520 60 Rp - 12 Rp 737,904 48 Apr-24 Rp 61,492 Rp 2,951,616
34 BENANG CATGUT CHROMIC 2/0 DR STELA @36 PCS 168 Rp 9,710,400 168 Rp - 12 Rp 693,600 156 Oct-24 Rp 57,800 Rp 9,016,800
35 BENANG COROLENE 0 CUTTING @36 PCS 252 Rp 14,539,639 252 Rp - 108 Rp 6,231,274 144 Oct-22 Rp 57,697 Rp 8,308,365
42 BENANG NYLON-10 PCS 72 Rp 11,844,000 72 Rp - 12 Rp 1,974,000 60 Jun-22 Rp 164,500 Rp 9,870,000
43 BENANG OPTIME 1 TAPER @36 PCS - Rp - 16-Oct-20 PETERS 180 Rp 62,000 Aug-24 PARIT PADANG 180 Rp 11,160,000 - Rp - 180 Aug-24 Rp 62,000 Rp 11,160,000
57 BENANG SILK 3 TAPER @36 PCS 756 Rp 42,078,960 756 Rp - 72 Rp 4,007,520 684 Oct-22 Rp 55,660 Rp 38,071,440
62 BIO SANITIZER LITER - Rp - 19-Oct-20 SANISWISS 1 Rp 18,940,625 N/A HARVESTIA 1 Rp 18,940,625 - Rp - 1 N/A Rp 18,940,625 Rp 18,940,625
64 BISTURI NO. 11 PCS 400 Rp 1,227,600 400 Rp - - Rp - 400 Dec-24 Rp 3,069 Rp 1,227,600
66 BISTURI NO. 15 PCS 200 Rp 613,800 200 Rp - - Rp - 200 Aug-24 Rp 3,069 Rp 613,800
67 BISTURI NO. 21 PCS 200 Rp 613,800 200 Rp - - Rp - 200 Dec-24 Rp 3,069 Rp 613,800
68 BLOOD SET DEWASA (1) PCS 400 Rp 8,052,000 400 Rp - 20 Rp 402,600 380 Oct-24 Rp 20,130 Rp 7,649,400
77 CACO3 (KALSIUM KARBONAT) POWDER 1 KG KG 17 Rp 4,450,600 17 Rp - - Rp - 17 Aug-22 Rp 261,800 Rp 4,450,600
79 CLOSED SUCTION ENDOTRACHEAL NO 12 PCS 17 Rp 2,098,140 17 Rp - 4 Rp 493,680 13 Apr-23 Rp 123,420 Rp 1,604,460
86 CSSD : INDIKATOR STRIP GLOPACK (INTERNAL) BOX 30 Rp 9,108,000 30 Rp - 4 Rp 1,214,400 26 Jan-21 Rp 303,600 Rp 7,893,600
103 DINKES DKI : BOOTS PCS - Rp - 13-Oct-20 KRISBOW 20 Rp 107,800 N/A DINKES 20 Rp 2,156,000 - Rp - 20 N/A Rp 107,800 Rp 2,156,000
104 DINKES DKI : COVERALL PCS - Rp - 05-Oct-20 92 Rp 176,000 N/A DINKES 92 Rp 16,192,000 92 Rp 16,192,000 - - Rp 176,000 Rp -
105 DINKES DKI : COVERALL PCS - Rp - 05-Oct-20 AE ATAKA 1908 Rp 400,000 N/A DINKES 1,908 Rp 763,200,000 1,908 Rp 763,200,000 - - Rp 400,000 Rp -
106 DINKES DKI : COVERALL PCS - Rp - 20-Oct-20 KAS 800 Rp 167,200 N/A DINKES 800 Rp 133,760,000 800 Rp 133,760,000 - - Rp 167,200 Rp -
108 DINKES DKI : COVERALL PCS - Rp - 13-Oct-20 MNG 800 Rp 198,000 N/A DINKES 800 Rp 158,400,000 400 Rp 79,200,000 400 N/A Rp 198,000 Rp 79,200,000
109 DINKES DKI : GLOVES PCS - Rp - 13-Oct-20 REMEDI 10 Rp 110,000 N/A DINKES 10 Rp 1,100,000 10 Rp 1,100,000 - - Rp 110,000 Rp -
110 DINKES DKI : GOWN PCS - Rp - 13-Oct-20 MNG 400 Rp 44,000 N/A DINKES 400 Rp 17,600,000 - Rp - 400 N/A Rp 44,000 Rp 17,600,000
111 DINKES DKI : HANDSCOEN NON STERIL LATEX BOX - Rp - 20-Oct-20 SHAMROCK 100 Rp 192,500 N/A DINKES 100 Rp 19,250,000 - Rp - 100 N/A Rp 192,500 Rp 19,250,000
112 DINKES DKI : RESPIRATOR MEDIS N95 PCS - Rp - 13-Oct-20 RESPOKARE 300 Rp 66,000 N/A DINKES 300 Rp 19,800,000 - Rp - 300 N/A Rp 66,000 Rp 19,800,000
114 DUODERM PCS - Rp - 6-Oct-20 DUODERM 30 Rp 88,000 Nov-23 JAYADI 30 Rp 2,640,000 - Rp - 30 Nov-23 Rp 88,000 Rp 2,640,000
115 ECG ELECTRODE ADULT / EKG ELEKTRODA DEWASA PCS 6,810 Rp 14,972,693 6,810 Rp - - Rp - 6,810 Mar-22 Rp 2,199 Rp 14,972,693
119 ELECTROSURGICAL PENCIL / PENSIL COTTER PCS 500 Rp 12,500,000 500 Rp - 25 Rp 625,000 475 Jul-22 Rp 25,000 Rp 11,875,000
120 ETIL KLORIDA SPRAY BOTOL 30 Rp 4,950,000 30 Rp - - Rp - 30 Jul-22 Rp 165,000 Rp 4,950,000
146 EXTENSION TUBE / PERFUSOR (1) PCS 50 Rp 2,640,000 50 Rp - 50 Rp 2,640,000 - - Rp 52,800 Rp -
147 EXTENSION TUBE / PERFUSOR (2) PCS 200 Rp 7,399,920 200 Rp - - Rp - 200 Mar-25 Rp 37,000 Rp 7,399,920
148 EXTENSION TUBE / PERFUSOR (3) PCS 100 Rp 3,699,960 100 Rp - 25 Rp 924,990 75 Mar-25 Rp 37,000 Rp 2,774,970
149 EYE PROTECTOR BAYI (1) PCS 12 Rp 570,000 12 Rp - 12 Rp 570,000 - - Rp 47,500 Rp -
150 EYE PROTECTOR BAYI (2) PCS - Rp - 20-Oct-20 ONEMED 100 Rp 37,000 N/A INTISUMBER 100 Rp 3,700,000 20 Rp 740,000 80 N/A Rp 37,000 Rp 2,960,000
151 FEEDING / STOMACH TUBE NO. 10 PCS - Rp - 21-Oct-20 AXIMED 100 Rp 8,030 May-25 PRIMAJAYA PUTRA 100 Rp 803,000 20 Rp 160,600 80 May-25 Rp 8,030 Rp
W
187 HANDSCOEN OBGYN 6.5 PCS - Rp - 15-Oct-20 TROGE 50 Rp 40,733 Jun-25 PARIT PADANG 50 Rp 2,036,650 - Rp - 50 Jun-25 Rp 40,733 Rp 2,036,650
188 HANDSCOEN OBGYN 7.5 PCS 500 Rp 20,328,000 500 Rp - 350 Rp 14,229,600 150 Jun-25 Rp 40,656 Rp 6,098,400
189 HANDSCOEN OBGYN L PCS 4 Rp 200,000 4 Rp - - Rp - 4 N/A Rp 50,000 Rp 200,000
193 HANDSCOEN STERIL NO. 6.5 (3) PASANG - Rp - 15-Oct-20 TROGE 500 Rp 6,595 Jun-24 PARIT PADANG 500 Rp 3,297,500 - Rp - 500 Jun-24 Rp 6,595 Rp 3,297,500
194 HANDSCOEN STERIL NO. 7 PASANG 500 Rp 3,162,500 500 Rp - 200 Rp 1,265,000 300 Jul-23 Rp 6,325 Rp 1,897,500
197 HANDSCOEN STERIL NO. 7.5 (3) PASANG - Rp - 15-Oct-20 TROGE 500 Rp 6,595 Mar-24 PARIT PADANG 500 Rp 3,297,500 - Rp - 500 Mar-24 Rp 6,595 Rp 3,297,500
199 HANDSCOEN UKURAN L (1) BOX 37 Rp 2,312,500 37 Rp - 17 Rp 1,062,500 20 N/A Rp 62,500 Rp 1,250,000
200 HANDSCOEN UKURAN L (2) BOX - Rp - 19-Oct-20 GP CARE 10 Rp 130,000 N/A GLOBAL PHARMA 10 Rp 1,300,000 - Rp - 10 N/A Rp 130,000 Rp 1,300,000
201 HANDSCOEN UKURAN M (1) BOX - Rp - 19-Oct-20 GP CARE 200 Rp 130,000 N/A GLOBAL PHARMA 200 Rp 26,000,000 - Rp - 200 N/A Rp 130,000 Rp 26,000,000
204 HANDSCOEN UKURAN S (2) BOX - Rp - 19-Oct-20 GP CARE 300 Rp 130,000 N/A GLOBAL PHARMA 300 Rp 39,000,000 - Rp - 300 N/A Rp 130,000 Rp 39,000,000
205 HANDSCOEN UKURAN XS (1) BOX 126 Rp 7,875,000 126 Rp - 50 Rp 3,125,000 76 N/A Rp 62,500 Rp 4,750,000
206 HANDSCOEN UKURAN XS (2) BOX - Rp - 19-Oct-20 GP CARE 10 Rp 130,000 N/A GLOBAL PHARMA 10 Rp 1,300,000 - Rp - 10 N/A Rp 130,000 Rp 1,300,000
230 KAPSUL NO. 0 (1) PACK 6 Rp 240,000 6 Rp - 6 Rp 240,000 - - Rp 40,000 Rp -
232 KAPSUL NO. 00 PACK 2 Rp 140,000 12-Oct-20 BRATACO 20 Rp 70,000 N/A BRATACO 22 Rp 1,400,000 10 Rp 700,000 12 N/A Rp 70,000 Rp 840,000
236 KASA NON X-RAY PACK 700 Rp 16,839,900 700 Rp - 200 Rp 4,811,400 500 N/A Rp 24,057 Rp 12,028,500
245 KERTAS CTG (RB) PCS - Rp - 6-Oct-20 N/A 2 Rp 325,000 N/A MULTIGUNA CIPTA 2 Rp 650,000 2 Rp 650,000 - - Rp 325,000 Rp -
248 KERTAS EKG PANJANG : 210 MM X 30 M FUKUDA ROLL 80 Rp 15,011,440 80 Rp - - Rp - 80 N/A Rp 187,643 Rp 15,011,440
253 KONDOM ARTIKA @12 BOX 19 Rp 1,658,168 19 Rp - 4 Rp 349,088 15 Oct-22 Rp 87,272 Rp 1,309,080
265 LARINGOSKOP BLADE SIZE 2 PCS - Rp - 26-Oct-20 MCGRATH 10 Rp 26,950 Jan-22 10 Rp 269,500 - Rp - 10 Jan-22 Rp 26,950 Rp 269,500
266 LARINGOSKOP BLADE SIZE 3 PCS - Rp - 26-Oct-20 MCGRATH 30 Rp 40,425 Jan-22 30 Rp 1,212,750 - Rp - 30 Jan-22 Rp 40,425 Rp 1,212,750
267 LARINGOSKOP BLADE SIZE 4 PCS - Rp - 26-Oct-20 MCGRATH 30 Rp 40,425 Jan-22 30 Rp 1,212,750 - Rp - 30 Jan-22 Rp 40,425 Rp 1,212,750
273 MASKER N95 TIPE 1860 PCS 460 Rp 30,360,000 460 Rp - - Rp - 460 N/A Rp 66,000 Rp 30,360,000
274 MASKER N95 TIPE 8210 PCS 900 Rp 11,700,000 5-Oct-20 3M 2,000 Rp 13,000 N/A 2,900 Rp 26,000,000 1,500 Rp 19,500,000 1,400 N/A Rp 13,000 Rp 18,200,000
275 MASKER N95 TIPE KN95 (1) PCS 450 Rp 9,828,225 450 Rp - - Rp - 450 N/A Rp 21,841 Rp 9,828,225
276 MASKER N95 TIPE KN95 (2) PCS 200 Rp 7,040,000 200 Rp - - Rp - 200 N/A Rp 35,200 Rp 7,040,000
285 MASKER TALI / TIE ON (1) BOX 14 Rp 2,279,200 14 Rp - 14 Rp 2,279,200 - - Rp 162,800 Rp -
286 MASKER TALI / TIE ON (2) BOX 100 Rp 16,638,600 100 Rp - 60 Rp 9,983,160 40 N/A Rp 166,386 Rp 6,655,440
288 MCGRATH HANDLE PCS - Rp - 26-Oct-20 MCGRATH 1 Rp 21,303,900 Jan-22 1 Rp 21,303,900 - Rp - 1 Jan-22 Rp 21,303,900 Rp 21,303,900
289 MECONIUM ASPIRATOR PCS 9 Rp - 9 Rp - 1 Rp - 8 N/A Rp - Rp -
291 MICROPORE 1 INCH PCS 1,068 Rp 7,393,764 1,068 Rp - 96 Rp 664,608 972 Mar-24 Rp 6,923 Rp 6,729,156
294 NACL POWDER 1 KG KG - Rp - - Rp - - Rp - - - Rp 103,400 Rp -
295 NASAL CANUL ANAK PCS 410 Rp 2,624,000 410 Rp - 72 Rp 460,800 338 May-23 Rp 6,400 Rp 2,163,200
296 NASAL CANUL BAYI PCS 490 Rp 3,577,000 490 Rp - 14 Rp 102,200 476 May-23 Rp 7,300 Rp 3,474,800
297 NASAL CANUL DEWASA PCS 1,204 Rp 7,705,600 1,204 Rp - 84 Rp 537,600 1,120 Feb-25 Rp 6,400 Rp 7,168,000
301 NURSE CAP @100 BOX 60 Rp 3,984,000 6-Oct-20 MEDITECH 200 Rp 66,400 N/A MEDITECH 260 Rp 13,280,000 27 Rp 1,792,800 233 N/A Rp 66,400 Rp 15,471,200
307 PISAU CUKUR PCS 36 Rp 79,200 36 Rp - - Rp - 36 N/A Rp 2,200 Rp 79,200
309 POLI GIGI : CAVIT G BOX 7 Rp 947,100 7 Rp - 7 Rp 947,100 - - Rp 135,300 Rp -
316 POLI GIGI : GUTTA PERCHA 0,6% NO. 30 BOX 5 Rp 3,877,500 5 Rp - - Rp -
W
@
336 POSTOFIX / DERMAFIX / TEGADERM 10 x 25 PCS 280 Rp 8,226,120 280 Rp - 40 Rp 1,175,160 240 Jan-25 Rp 29,379 Rp 7,050,960
337 POT URIN 30CC PCS 200 Rp 165,000 200 Rp - 200 Rp 165,000 - - Rp 825 Rp -
338 POT URIN 50CC PCS 4,000 Rp 4,180,000 4,000 Rp - 500 Rp 522,500 3,500 N/A Rp 1,045 Rp 3,657,500
341 PROTAPER NEXT 21MM X1 PCS - Rp - 6-Oct-20 DENTSPLY 4 Rp 945,000 N/A ARDIA PERDANA 4 Rp 3,780,000 4 Rp 3,780,000 - - Rp 945,000 Rp -
355 RAD : PHOSPOR SCREEN BOX 2 Rp 18,000,000 2 Rp - 1 Rp 9,000,000 1 - Rp 9,000,000 Rp 9,000,000
356 RESPIRATORY FILTER BSF 103 PCS 20 Rp 259,600 20 Rp - 5 Rp 64,900 15 Apr-23 Rp 12,980 Rp 194,700
360 SANISWISS MULTIPURPOSE 20 LITER DRIGEN - Rp - 19-Oct-20 SANISWISS 5 Rp 3,325,000 HARVESTIA 5 Rp 16,625,000 1 Rp 3,325,000 4 N/A Rp 3,325,000 Rp 13,300,000
361 SEPTALKAN 500 ML BOTOL 36 Rp 5,976,576 36 Rp - 9 Rp 1,494,144 27 Mar-23 Rp 166,016 Rp 4,482,432
362 SHOE COVER PCS 9,000 Rp 8,910,000 9,000 Rp - 1,000 Rp 990,000 8,000 N/A Rp 990 Rp 7,920,000
365 SODIUM BICARBONAT 1 KG KG 12 Rp 600,000 12 Rp - - Rp - 12 Feb-21 Rp 50,000 Rp 600,000
366 SOFRATULE / DARYANTULE / URGOTULE PCS 650 Rp 12,601,875 650 Rp - 30 Rp 581,625 620 Aug-22 Rp 19,388 Rp 12,020,250
374 SPUIT 1 (1) PCS 3,400 Rp 2,993,224 3,400 Rp - 1,600 Rp 1,408,576 1,800 May-24 Rp 880 Rp 1,584,648
375 SPUIT 1 (2) PCS - Rp - 12-Oct-20 KIMSMED 8,600 Rp 690 BINTANG ANAM 8,600 Rp 5,934,000 - Rp - 8,600 - Rp 690 Rp 5,934,000
376 SPUIT 10 (1) PCS 2,200 Rp 3,218,600 2,200 Rp - 1,700 Rp 2,487,100 500 Sep-24 Rp 1,463 Rp 731,500
377 SPUIT 10 (2) PCS - Rp - 12-Oct-20 KIMSMED 12,000 Rp 1,155 BINTANG ANAM 12,000 Rp 13,860,000 - Rp - 12,000 Sep-24 Rp 1,155 Rp 13,860,000
379 SPUIT 3 PCS 4,700 Rp 3,149,000 12-Oct-20 KIMSMED 6,000 Rp 670 BINTANG ANAM 10,700 Rp 4,020,000 2,000 Rp 1,340,000 8,700 Nov-24 Rp 670 Rp 5,829,000
381 SPUIT 5 (2) PCS 9,600 Rp 7,728,000 12-Oct-20 KIMSMED 6,000 Rp 805 BINTANG ANAM 15,600 Rp 4,830,000 1,400 Rp 1,127,000 14,200 Feb-25 Rp 805 Rp 11,431,000
382 SPUIT 50 ML CATHETHER TIP PCS 100 Rp 390,000 100 Rp - 75 Rp 292,500 25 Jan-24 Rp 3,900 Rp 97,500
383 SPUIT 50 WITH NEEDLE PCS 100 Rp 462,000 100 Rp - 100 Rp 462,000 - - Rp 4,620 Rp -
393 SUCTION CONNECTING KUNING / HEXAGON PCS 120 Rp 2,230,800 120 Rp - 58 Rp 1,078,220 62 Nov-24 Rp 18,590 Rp 1,152,580
395 SURGICAL GOWN HOGY PCS 45 Rp 2,471,040 22-Oct-20 HOGY 300 Rp 54,912 N/A MERAPI 345 Rp 16,473,600 45 Rp 2,471,040 300 N/A Rp 54,912 Rp 16,473,600
403 TORNIQUETE DEWASA PCS 20 Rp 3,300,000 20 Rp - 14 Rp 2,310,000 6 N/A Rp 165,000 Rp 990,000
404 TRANSOFIX PCS 800 Rp 2,720,080 800 Rp - - Rp - 800 Dec-24 Rp 3,400 Rp 2,720,080
405 UMBILICAL CORD KLEM PCS 500 Rp 1,375,000 500 Rp - - Rp - 500 May-24 Rp 2,750 Rp 1,375,000
406 UNDERPAD (1) PCS 300 Rp 1,386,000 300 Rp - 100 Rp 462,000 200 N/A Rp 4,620 Rp 924,000
408 URINBAG (1) PCS 30 Rp 242,100 30-Sep-20 TROGE 50 Rp 8,070 Dec-24 PARIT PADANG 80 Rp 403,500 80 Rp 645,600 - - Rp 8,070 Rp -
409 URINBAG (2) PCS - Rp - 23-Oct-20 TROGE 170 Rp 8,070 Dec-24 PARIT PADANG 170 Rp 1,371,900 50 Rp 403,500 120 Dec-24 Rp 8,070 Rp 968,400
413 WING NEEDLE 25 (1) PCS 150 Rp 1,980,000 150 Rp - 50 Rp 660,000 100 Sep-22 Rp 13,200 Rp 1,320,000
414 WING NEEDLE 25 (2) PCS - Rp - 25-Oct-20 TERUMO 200 Rp 5,643 Mar-23 MBS 200 Rp 1,128,600 - Rp - 200 Sep-22 Rp 5,643 Rp 1,128,600
Rp 2,468,282,710 Rp 1,402,803,675 Rp 1,286,846,465 Rp 2,584,239,920
RSUD Tugu Koja
NIP. 197902112007012011 NIP. 197801112008011012 NIP. 1967121919920321001
LAPORAN PERSEDIAAN GUDANG ALKES NOVEMBER 2020

13 ALKOHOL 1 LTR BOTOL 272 Rp 9,792,000 272 Rp - - Rp - 272 Apr-24 Rp 36,000 Rp 9,792,000
14 ALKOHOL SWAB @200 BOX 256 Rp 7,424,000 17-Nov-20 GP CARE 200 Rp 29,000 Jul-25 GLOBAL PHARMA 456 Rp 5,800,000 48 Rp 1,392,000 408 Jul-25 Rp 29,000 Rp 11,832,000
19 ANIOSGEL 500 ML BOTOL 23 Rp 1,886,000 23 Rp - 23 Rp 1,886,000 - - Rp 82,000 Rp -
20 APRON PLASTIK (1) PCS 300 Rp 1,204,500 17-Nov-20 COSMOMED 4,000 Rp 4,015 N/A GLOBAL PHARMA 4,300 Rp 16,060,000 - Rp - 4,300 N/A Rp 4,015 Rp 17,264,500
21 APRON PLASTIK (2) PCS 1,050 Rp 3,097,500 1,050 Rp - 350 Rp 1,032,500 700 N/A Rp 2,950 Rp 2,065,000
30 BENANG ADVANTIME 2/0 TAPER @36 PCS 36 Rp 2,937,600 36 Rp - - Rp - 36 Jul-24 Rp 81,600 Rp 2,937,600
34 BENANG CATGUT CHROMIC 2/0 @12 PCS 156 Rp 9,016,800 156 Rp - - Rp - 156 Oct-24 Rp 57,800 Rp 9,016,800
35 BENANG CATGUT CHROMIC 3/0 @12 PCS - Rp - 26-Nov-20 TRITON 180 Rp 58,700 MPI 180 Rp 10,566,000 - Rp - 180 Rp 58,700 Rp 10,566,000
38 BENANG COROLENE 2/0 TAPER @36 PCS 72 Rp - 72 Rp - - Rp - 72 Jun-23 Rp - Rp -
39 BENANG COROLENE 2/0 TAPER @36 PCS - Rp - 30-Oct-20 PETERS 180 Rp 70,000 Sep-24 PARIT PADANG 180 Rp 12,600,000 - Rp - 180 Sep-24 Rp 70,000 Rp 12,600,000
44 BENANG NYLON-10 @12 PCS 60 Rp 9,870,000 60 Rp - - Rp - 60 Jun-22 Rp 164,500 Rp 9,870,000
45 BENANG OPTIME 1 /0TAPER @36 PCS 180 Rp 11,160,000 180 Rp - - Rp - 180 Aug-24 Rp 62,000 Rp 11,160,000
46 BENANG OPTIME 2/0 TAPER 26 MM @36 PCS - Rp - - Rp - - Rp - - - Rp - Rp -
47 BENANG OPTIME 2/0 TAPER 40 MM @36 (1) PCS 36 Rp 2,504,196 36 Rp - - Rp - 36 May-23 Rp 69,561 Rp 2,504,196
48 BENANG OPTIME 2/0 TAPER 40 MM @36 (2) PCS 180 Rp 9,900,000 30-Oct-20 PETERS 180 Rp 55,000 Sep-24 PARIT PADANG 360 Rp 9,900,000 - Rp - 360 Sep-24 Rp 55,000 Rp 19,800,000
49 BENANG OPTIME 3/0 CUTTING @36 (1) PCS 36 Rp 3,267,000 36 Rp - - Rp - 36 Aug-21 Rp 90,750 Rp 3,267,000
50 BENANG OPTIME 3/0 CUTTING @36 (2) PCS - Rp - 30-Oct-20 PETERS 180 Rp 65,300 Nov-24 PARIT PADANG 180 Rp 11,754,000 - Rp - 180 Nov-24 Rp 65,300 Rp 11,754,000
51 BENANG OPTIME 3/0 TAPER @36 PCS 612 Rp 41,880,996 612 Rp - - Rp - 612 Jun-22 Rp 68,433 Rp 41,880,996
52 BENANG OPTIME 4/0 CUTTING @36 PCS 1,044 Rp 69,873,876 1,044 Rp - - Rp - 1,044 Dec-23 Rp 66,929 Rp 69,873,876
53 BENANG OPTIME 4/0 TAPER @36 PCS 144 Rp 9,637,776 144 Rp - - Rp - 144 Sep-23 Rp 66,929 Rp 9,637,776
54 BENANG OPTIME R 2/0 @36 PCS 504 Rp 22,176,000 504 Rp - - Rp - 504 Apr-23 Rp 44,000 Rp 22,176,000
55 BENANG SILK 1/0 CUTTING @36 PCS 324 Rp 21,562,200 324 Rp - - Rp - 324 Jan-23 Rp 66,550 Rp 21,562,200
56 BENANG SILK 1/0 TAPER @12 PCS 204 Rp 7,885,008 204 Rp - - Rp - 204 Jun-23 Rp 38,652 Rp 7,885,008
57 BENANG SILK 2/0 CUTTING @36 PCS 252 Rp 12,806,640 252 Rp - - Rp - 252 Feb-23 Rp 50,820 Rp 12,806,640
58 BENANG SILK 2/0 TAPER @36 PCS 180 Rp 7,105,860 180 Rp - - Rp - 180 Feb-21 Rp 39,477 Rp 7,105,860
59 BENANG SILK 3/0 CUTTING @36 PCS 504 Rp 23,284,800 504 Rp - - Rp - 504 Jun-22 Rp 46,200 Rp 23,284,800
60 BENANG SILK 3/0 TAPER @36 PCS 684 Rp 38,071,440 684 Rp - - Rp - 684 Oct-22 Rp 55,660 Rp 38,071,440
61 BENANG SILK 4/0 CUTTING @36 PCS 612 Rp 37,026,000 612 Rp - - Rp - 612 Jul-22 Rp 60,500 Rp 37,026,000
62 BENANG T-MONO 3/0 @12 PCS 24 Rp 2,352,000 24 Rp - - Rp - 24 Aug-22 Rp 98,000 Rp 2,352,000
63 BETADINE 1 LITER BOTOL 68 Rp 10,404,000 68 Rp - 5 Rp 765,000 63 Nov-22 Rp 153,000 Rp 9,639,000
65 BIO SANITIZER LITER 1 Rp 18,940,625 1 Rp - 1 Rp 18,940,625 - - Rp 18,940,625 Rp -
67 BISTURI NO. 11 PCS 400 Rp 1,227,600 400 Rp - 100 Rp 306,900 300 Dec-24 Rp 3,069 Rp 920,700
69 BISTURI NO. 15 PCS 200 Rp 613,800 200 Rp - 100 Rp 306,900 100 Aug-24 Rp 3,069 Rp 306,900
70 BISTURI NO. 21 PCS 200 Rp 613,800 200 Rp - 100 Rp 306,900 100 Dec-24 Rp 3,069 Rp 306,900
71 BLOOD SET DEWASA (1) PCS 380 Rp 7,649,400 380 Rp - - Rp - 380 Oct-24 Rp 20,130 Rp 7,649,400
73 BOOTS COVER PCS - Rp - 25-Nov-20 PROCARE 300 Rp 30,000 N/A INTISUMBER 300 Rp 9,000,000 - Rp - 300 N/A Rp 30,000 Rp 9,000,000
78 BREATHING CIRCUIT DUO-LIMB DEWASA (1) PCS 12 Rp 1,930,500 12 Rp - 1 Rp 160,875 11 Apr-21 Rp 160,875 Rp 1,769,625
79 BREATHING CIRCUIT DUO-LIMB DEWASA (2) PCS - Rp - 10-Nov-20 WORK 20 Rp 86,500 Jun-25 DWIASRI 20 Rp 1,730,000 - Rp - 20 Jun-25 Rp 86,500 Rp 1,730,000
80 BREATHING CIRCUIT FILTER HMEF PCS 41 Rp 1,860,375 41 Rp - 6 Rp 272,250 35 Sep-23 Rp 45,375 Rp 1,588,125
81 BREATHING CURCUIT HEATED ADULT PCS 10 Rp 1,844,700 18-Nov-20 30 Rp 184,470 Apr-23 TOTAL MEDIKA 40 Rp 5,534,100 10 Rp 1,844,700 30 Apr-23 Rp 184,470 Rp 5,534,100
84 CLOSED SUCTION ENDOTRACHEAL NO 12 (1) PCS 13 Rp 1,604,460 13 Rp - 9 Rp 1,110,780 4 Apr-23 Rp 123,420 Rp 493,680
85 CLOSED SUCTION ENDOTRACHEAL NO 12 (2) PCS - Rp - 23-Nov-20 C-BONA 50 Rp 123,420 TOTAL MEDIKA 50 Rp 6,171,000 - Rp - 50 Rp 123,420 Rp 6,171,000
86 COVERALL 5XL PCS - Rp - 17-Nov-20 PROCARE 300 Rp 145,000 N/A JAYADI 300 Rp 43,500,000 10 Rp 1,450,000 290 N/A Rp 145,000 Rp 42,050,000
87 COVERALL TYVEX PCS 50 Rp 16,500,000 50 Rp - 50 Rp 16,500,000 - - Rp 330,000 Rp -
107 CSSD : POUCHES SATUAN (305X430) PCS - Rp - GLOPACK 200 Rp 4,125 N/A GLOMED 200 Rp 825,000 - Rp - 200 N/A Rp 4,125 Rp 825,000
108 CSSD : STEAM STERILIZATION BOWIE DICK (1) BOX 1 Rp - 1 Rp - - Rp - 1 Jan-21 Rp - Rp -
109 CSSD : STEAM STERILIZATION BOWIE DICK (2) BOX - Rp - 20-Nov-20 STERICLIN 2 Rp 1,950,000 Sep-21 PARIT PADANG 2 Rp 3,900,000 - Rp - 2 Sep-21 Rp 1,950,000 Rp 3,900,000
111 DINKES DKI : BOOTS PCS 20 Rp 2,156,000 20 Rp - - Rp - 20 N/A Rp 107,800 Rp 2,156,000
112 DINKES DKI : COVERALL PCS 400 Rp 79,200,000 400 Rp - - Rp - 400 N/A Rp 198,000 Rp 79,200,000
114 DINKES DKI : COVERALL KAS KURNIA PCS - Rp - 09-Nov-20 KAS KURNIA 1800 Rp 170,500 N/A DINKES 1,800 Rp 306,900,000 1,800 Rp 306,900,000 - N/A Rp 170,500 Rp -
115 DINKES DKI : COVERALL MNG PCS - Rp - 01-Dec-20 MNG METALIZER 5780 Rp 165,000 N/A DINKES 5,780 Rp 953,700,000 364 Rp 60,060,000 5,416 N/A Rp 165,000 Rp 893,640,000
116 DINKES DKI : FACE SHIELD PCS - Rp - 09-Nov-20 640 Rp 11,000 N/A DINKES 640 Rp 7,040,000 160 Rp 1,760,000 480 N/A Rp 11,000 Rp 5,280,000
117 DINKES DKI : GLOVE LATEX BOX@100 BOX - Rp - 27-Oct-20 200 Rp 192,500 N/A DINKES 200 Rp 38,500,000 - Rp - 200 N/A Rp 192,500 Rp 38,500,000
118 DINKES DKI : GLOVE LATEX SUPERGARD BOX@100 BOX - Rp - 02-Dec-20 SUPERGARD 820 Rp 176,000 N/A DINKES (UNOLAB) 820 Rp 144,320,000 - Rp - 820 N/A Rp 176,000 Rp 144,320,000
119 DINKES DKI : GLOVE NITRIL BOX@100 BOX - Rp - 27-Oct-20 80 Rp 242,000 N/A DINKES 80 Rp 19,360,000 - Rp - 80 N/A Rp 242,000 Rp 19,360,000
120 DINKES DKI : GLOVE NITRIL SUPERGARD BOX@100 BOX - Rp - 02-Dec-20 SUPERGARD 300 Rp 196,000 N/A DINKES (UNOLAB) 300 Rp 58,800,000 - Rp - 300 N/A Rp 196,000 Rp 58,800,000
121 DINKES DKI : GOWN PCS 400 Rp 17,600,000 400 Rp - - Rp - 400 N/A Rp 44,000 Rp 17,600,000
122 DINKES DKI : HANDSCOEN NON STERIL BOX 100 Rp 19,250,000 100 Rp - - Rp - 100 N/A Rp 192,500 Rp 19,250,000
123 DINKES DKI : HANDSCOEN STERIL PASANG - Rp - 25-Nov-20 1900 Rp 8,800 N/A DINKES 1,900 Rp 16,720,000 - Rp - 1,900 N/A Rp 8,800 Rp 16,720,000
124 DINKES DKI : MASKER BEDAH 3M BOX@50 BOX - Rp - 02-Dec-20 3M 168 Rp 70,050 N/A DINKES 168 Rp 11,768,400 - Rp - 168 N/A Rp 70,050 Rp 11,768,400
125 DINKES DKI : MASKER KN95 PCS - Rp - 13-Nov-20 150 Rp 11,500 N/A DINKES 150 Rp 1,725,000 - Rp - 150 N/A Rp 11,500 Rp 1,725,000
126 DINKES DKI : MASKER KN95 RESPOKARE PCS - Rp - 09-Nov-20 RESPOKARE 200 Rp 66,000 N/A DINKES 200 Rp 13,200,000 - Rp - 200 N/A Rp 66,000 Rp 13,200,000
127 DINKES DKI : MASKER N95 PCS - Rp - 13-Nov-20 350 Rp 66,000 N/A DINKES 350 Rp 23,100,000 - Rp - 350 N/A Rp 66,000 Rp 23,100,000
128 DINKES DKI : MASKER N95 PCS 300 Rp 19,800,000 300 Rp - - Rp - 300 N/A Rp 66,000 Rp 19,800,000
129 DINKES DKI : MASKER N95 TAWADA PCS - Rp - 09-Nov-20 TAWADA 300 Rp 33,000 N/A DINKES 300 Rp 9,900,000 - Rp - 300 N/A Rp 33,000 Rp 9,900,000
131 DUODERM PCS 30 Rp 2,640,000 30 Rp - 5 Rp 440,000 25 Nov-23 Rp 88,000 Rp 2,200,000
136 ELECTROSURGICAL PENCIL / PENSIL COTTER PCS 475 Rp 11,875,000 475 Rp - - Rp - 475 Jul-22 Rp 25,000 Rp 11,875,000
137 ETIL KLORIDA SPRAY BOTOL 30 Rp 4,950,000 30 Rp - 10 Rp 1,650,000 20 Jul-22 Rp 165,000 Rp 3,300,000
149 ETT NO. 2.0 PCS 70 Rp 224,000 70 Rp
171 FEEDING / STOMACH TUBE NO. 16 (2) PCS - Rp - 20-Nov-20 TERUMO 200 Rp 12,430 Apr-25 MBS 200 Rp 2,486,000 - Rp - 200 Apr-25 Rp 12,430 Rp 2,486,000
173 FEEDING / STOMACH TUBE NO. 3.5 PCS 100 Rp 594,200 100 Rp - - Rp - 100 May-23 Rp 5,942 Rp 594,200
174 FEEDING / STOMACH TUBE NO. 5 (100 CM) PCS 100 Rp 260,700 100 Rp - - Rp - 100 Sep-24 Rp 2,607 Rp 260,700
182 FOLEY CATH NO. 16 (1) PCS - Rp - - Rp - - Rp - - - Rp 10,340 Rp -
183 FOLEY CATH NO. 16 (2) PCS 590 Rp 5,428,000 590 Rp - - Rp - 590 Sep-23 Rp 9,200 Rp 5,428,000
200 H2O2 / HIDROGEN PEROKSIDA 1 LITER BOTOL 83 Rp 12,782,000 83 Rp - - Rp - 83 N/A Rp 154,000 Rp 12,782,000
204 HANDSCOEN OBGYN 6.5 PASANG 50 Rp 2,036,650 50 Rp - - Rp - 50 Jun-25 Rp 40,733 Rp 2,036,650
205 HANDSCOEN OBGYN 7.0 PASANG - Rp - 5-Nov-20 REMEDI 300 Rp 38,830 DUTA AFIAT 300 Rp 11,649,000 - Rp - 300 Rp 38,830 Rp 11,649,000
206 HANDSCOEN OBGYN 7.5 (1) PASANG 150 Rp 6,098,400 150 Rp - 25 Rp 1,016,400 125 Jun-25 Rp 40,656 Rp 5,082,000
207 HANDSCOEN OBGYN 7.5 (2) PASANG - Rp - 5-Nov-20 REMEDI 600 Rp 38,830 DUTA AFIAT 600 Rp 23,298,000 - Rp - 600 Rp 38,830 Rp 23,298,000
208 HANDSCOEN OBGYN L PASANG 4 Rp 200,000 4 Rp - - Rp - 4 N/A Rp 50,000 Rp 200,000
212 HANDSCOEN STERIL NO. 6.5 (3) PASANG 500 Rp 3,297,500 500 Rp - - Rp - 500 Jun-24 Rp 6,595 Rp 3,297,500
213 HANDSCOEN STERIL NO. 7 (1) PASANG 300 Rp 1,897,500 300 Rp - - Rp - 300 Jul-23 Rp 6,325 Rp 1,897,500
214 HANDSCOEN STERIL NO. 7 (2) PASANG - Rp - 02-Nov-20 MEDIC-DENT 2000 Rp 6,160 MMP 2,000 Rp 12,320,000 - Rp - 2,000 Rp 6,160 Rp 12,320,000
220 HANDSCOEN UKURAN M (1) BOX 200 Rp 26,000,000 200 Rp - - Rp - 200 N/A Rp 130,000 Rp 26,000,000
222 HANDSCOEN UKURAN S (1) BOX 80 Rp 5,800,000 80 Rp - 80 Rp 5,800,000 - - Rp 72,500 Rp -
228 HUMIDIFICATION CHAMBER DEWASA PCS 5 Rp 425,425 18-Nov-20 30 Rp 85,085 Mar-23 TOTAL MEDIKA 35 Rp 2,552,550 5 Rp 425,425 30 Mar-23 Rp 85,085 Rp 2,552,550
230 HYPAFIX / PHARMAFIX 5X5 ROLL 112 Rp 1,848,000 112 Rp - 82 Rp 1,353,000 30 Jul-24 Rp 16,500 Rp 495,000
235 INFUSET MACRO PCS 2,000 Rp 13,200,000 2,000 Rp - - Rp - 2,000 Jun-24 Rp 6,600 Rp 13,200,000
236 INFUSET MICRO PCS 540 Rp 4,849,740 540 Rp - 540 Rp 4,849,740 - - Rp 8,981 Rp -
253 KASA NON X-RAY PACK 500 Rp 12,028,500 16-Nov-20 PROKASA 700 Rp 24,057 N/A JAYADI 1,200 Rp 16,839,900 200 Rp 4,811,400 1,000 N/A Rp 24,057 Rp 24,057,000
260 KERTAS CTG (RB) PCS - Rp - - Rp - - Rp - - - Rp 325,000 Rp -
282 LARINGEAL MASK AIRWAY NO 3.0 (2) PCS - Rp - 27-Nov-20 RUSCH 15 Rp 202,863 Aug-22 PARIT PADANG 15 Rp 3,042,945 - Rp - 15 Aug-22 Rp 202,863 Rp 3,042,945
284 LARINGEAL MASK AIRWAY NO 4.0 (2) PCS - Rp - 10-Nov-20 WORK 15 Rp 124,000 May-24 DWIASRI 15 Rp 1,860,000 - Rp - 15 Mar-24 Rp 124,000 Rp 1,860,000
285 LARINGEAL MASK AIRWAY NO 5.0 PCS - Rp - 10-Nov-20 WORK 10 Rp 124,000 May-24 DWIASRI 10 Rp 1,240,000 - Rp - 10 Mar-24 Rp 124,000 Rp 1,240,000
286 LARINGOSKOP BLADE SIZE 2 PCS 10 Rp 269,500 10 Rp - 7 Rp 188,650 3 Jan-22 Rp 26,950 Rp 80,850
292 MASKER BEDAH EARLOOP (1) BOX 80 Rp 13,310,880 80 Rp - 40 Rp 6,655,440 40 N/A Rp 166,386 Rp 6,655,440
293 MASKER BEDAH EARLOOP (2) BOX - Rp - 27-Oct-20 MAS 150 Rp 55,000 N/A MMP 150 Rp 8,250,000 30 Rp 1,650,000 120 N/A Rp 55,000 Rp 6,600,000
294 MASKER BEDAH EARLOOP (3) BOX - Rp - 02-Nov-20 MAS 150 Rp 55,000 N/A MMP 150 Rp 8,250,000 150 Rp 8,250,000 - - Rp 55,000 Rp -
295 MASKER BEDAH TIE ON (1) BOX - Rp - 02-Nov-20 MAS 100 Rp 55,000 N/A MMP 100 Rp 5,500,000 20 Rp 1,100,000 80 N/A Rp 55,000 Rp 4,400,000
296 MASKER BEDAH TIE ON (2) BOX 40 Rp 6,655,440 40 Rp - - Rp - 40 N/A Rp 166,386 Rp 6,655,440
297 MASKER N95 TIPE 1860 (1) PCS 460 Rp 30,360,000 460 Rp - - Rp - 460 N/A Rp 66,000 Rp 30,360,000
298 MASKER N95 TIPE 1860 (2) PCS - Rp - 25-Nov-20 3M 500 Rp 44,000 N/A JAYADI 500 Rp 22,000,000 - Rp - 500 N/A Rp 44,000 Rp 22,000,000
299 MASKER N95 TIPE 8210 (1) PCS 1,400 Rp 18,200,000 1,400 Rp - 1,400 Rp 18,200,000 - - Rp 13,000 Rp -
300 MASKER N95 TIPE 8210 (2) PCS - Rp - 12-Nov-20 3M 2,000 Rp 13,000 N/A MANDIRI PANCA 2,000 Rp 26,000,000 200 Rp 2,600,000 1,800 N/A Rp 13,000 Rp 23,400,000
307 MASKER OKSIGEN ANAK PCS 162 Rp 1,036,800 162 Rp - 21 Rp 134,400 141 May-22 Rp 6,400 Rp 902,400
312 MCGRATH HANDLE PCS 1 Rp 21,303,900 1 Rp - 1 Rp 21,303,900 - - Rp 21,303,900 Rp -
315 MICROPORE 1 INCH PCS 972 Rp 6,729,156 972 Rp - 120 Rp 830,760 852 Mar-24 Rp 6,923 Rp 5,898,396
316 MICROPORE 2 INCH PCS 504 Rp 23,284,800
@
@
W
336 POLI GIGI : CAVIT G BOX - Rp - - Rp - - Rp - - - Rp 135,300 Rp -
338 POLI GIGI : CELLULOSE STRIP PACK - Rp - 23-Nov-20 DENTORAMA 1 Rp 151,000 N/A COBRA DENTAL 1 Rp 151,000 1 Rp 151,000 - - Rp 151,000 Rp -
348 POLI GIGI : JARUM RETAFLEX PCS - Rp - 23-Nov-20 BIODINAMIKA 1 Rp 140,000 N/A COBRA DENTAL 1 Rp 140,000 1 Rp 140,000 - - Rp 140,000 Rp -
357 POLI GIGI : PAPER POINT UK 35 BOX - Rp - - Rp - - Rp - - - Rp 59,840 Rp -
365 POSTOFIX / DERMAFIX / TEGADERM 10 x 25 PCS 240 Rp 7,050,960 240 Rp - - Rp - 240 Jan-25 Rp 29,379 Rp 7,050,960
366 POT URIN 30CC PCS - Rp - - Rp - - Rp - - - Rp 825 Rp -
369 PRONTOSAN GEL TUBE 25 Rp 13,902,488 25 Rp - - Rp - 25 Dec-21 Rp 556,100 Rp 13,902,488
382 RAD : FILM RONTGEN UKURAN S (20X25) BOX 1 Rp 1,419,000 20-Nov-20 DVE 20 Rp 1,419,000 TRIPUTRA 21 Rp 28,380,000 1 Rp 1,419,000 20 Rp 1,419,000 Rp 28,380,000
384 RAD : PHOSPOR SCREEN BOX 1 Rp 9,000,000 1 Rp - - Rp - 1 - Rp 9,000,000 Rp 9,000,000
385 RESPIRATORY BACTERIAL FILTER BSF 103 PCS 15 Rp 194,700 18-Nov-20 100 Rp 12,980 May-23 TOTAL MEDIKA 115 Rp 1,298,000 15 Rp 194,700 100 May-23 Rp 12,980 Rp 1,298,000
387 SAFETY BOX PCS 225 Rp 2,598,750 225 Rp - - Rp - 225 N/A Rp 11,550 Rp 2,598,750
389 SANISWISS MULTIPURPOSE 20 LITER DRIGEN 4 Rp 13,300,000 4 Rp - - Rp - 4 N/A Rp 3,325,000 Rp 13,300,000
391 SHOE COVER PCS 8,000 Rp 7,920,000 8,000 Rp - 500 Rp 495,000 7,500 N/A Rp 990 Rp 7,425,000
399 SPINOCAN 26 PCS - Rp - 25-Nov-20 BBRAUN 500 Rp 31,300 May-25 PARIT PADANG 500 Rp 15,650,000 - Rp - 500 May-25 Rp 31,300 Rp 15,650,000
400 SPINOCAN 27 (1) PCS 25 Rp 1,390,125 25 Rp - - Rp - 25 Jan-25 Rp 55,605 Rp 1,390,125
401 SPINOCAN 27 (2) PCS - Rp - 25-Nov-20 BBRAUN 200 Rp 38,300 Jul-25 PARIT PADANG 200 Rp 7,660,000 - Rp - 200 Jul-25 Rp 38,300 Rp 7,660,000
404 SPUIT 1 (1) PCS 1,800 Rp 1,584,648 1,800 Rp - 300 Rp 264,108 1,500 May-24 Rp 880 Rp 1,320,540
405 SPUIT 1 (2) PCS 8,600 Rp 5,934,000 8,600 Rp - - Rp - 8,600 - Rp 690 Rp 5,934,000
406 SPUIT 10 (1) PCS 500 Rp 731,500 500 Rp - 500 Rp 731,500 - - Rp 1,463 Rp -
407 SPUIT 10 (2) PCS 12,000 Rp 13,860,000 12,000 Rp - 600 Rp 693,000 11,400 Sep-24 Rp 1,155 Rp 13,167,000
413 SPUIT 50 WITH NEEDLE PCS - Rp - - Rp - - Rp - - - Rp 4,620 Rp -
422 SUCTION CONNECTING BIRU / YANKAUER (2) PCS 315 Rp 7,765,065 315 Rp - 45 Rp 1,109,295 270 Nov-24 Rp 24,651 Rp 6,655,770
424 SUDIN JAKUT : COVERALL KALTECH PCS - Rp - 09-Nov-20 KALTECH 150 Rp 400,000 N/A SUDIN 150 Rp 60,000,000 20 Rp 8,000,000 130 N/A Rp 400,000 Rp 52,000,000
425 SUDIN JAKUT : RDT PCS - Rp - 01-Dec-20 150 Rp 108,060 Jul-22 SUDIN 150 Rp 16,209,000 150 Rp 16,209,000 - Jul-22 Rp 108,060 Rp -
427 SURGICAL GOWN HOGY PCS 300 Rp 16,473,600 300 Rp - 15 Rp 823,680 285 N/A Rp 54,912 Rp 15,649,920
435 TORNIQUETE DEWASA PCS 6 Rp 990,000 6 Rp - - Rp - 6 N/A Rp 165,000 Rp 990,000
436 TRANSOFIX PCS 800 Rp 2,720,080 800 Rp - 50 Rp 170,005 750 Dec-24 Rp 3,400 Rp 2,550,075
437 UMBILICAL CORD KLEM (1) PCS 500 Rp 1,375,000 500 Rp - - Rp - 500 May-24 Rp 2,750 Rp 1,375,000
438 UMBILICAL CORD KLEM (2) PCS - Rp - 22-Nov-20 ONEMED 600 Rp 1,300 INTISUMBER 600 Rp 780,000 - Rp - 600 Rp 1,300 Rp 780,000
440 UNDERPAD (2) PCS 1,710 Rp 6,669,000 1,710 Rp - 280 Rp 1,092,000 1,430 N/A Rp 3,900 Rp 5,577,000
441 URIN COLLECTOR PEDIATRIC PCS - Rp - 22-Nov-20 ONEMED 100 Rp 2,898 INTISUMBER 100 Rp 289,800 - Rp - 100 Rp 2,898 Rp 289,800
442 URINBAG (1) PCS - Rp - - Rp - - Rp - - - Rp 8,070 Rp -
443 URINBAG (2) PCS 120 Rp 968,400 120 Rp - 50 Rp 403,500 70 Dec-24 Rp 8,070 Rp 564,900
446 VASELIN PUTIH 15 KG DRIGEN 1 Rp 1,250,000 1 Rp - 1 Rp 1,250,000 - - Rp 1,250,000 Rp -
447 WING NEEDLE 25 (1) PCS 100 Rp 1,320,000 100 Rp - 100 Rp 1,320,000 - - Rp 13,200 Rp -
448 WING NEEDLE 25 (2) PCS 200 Rp 1,128,600 200 Rp - - Rp - 200 Sep-22 Rp 5,643 Rp 1,128,600
Rp 2,584,239,920 Rp 2,040,809,075 Rp 625,340,265 Rp 3,999,708,731
RSUD Tugu Koja
NIP. 197902112007012011 NIP. 197801112008011012 NIP. 1967121919920321001
No. Nama Alkes Satuan Jumlah Expired Harga Satuan
1 CAVIT G Pcs 7 Nov-20 Rp 135,300
2 KEMKES : LUBRICANT SUTERA Pcs 180 Mar-20 Rp 486
3 CAVITON WHITE Pcs 1 Mar-20 Rp 30,000
4 RAD : DENTAL X RAY FILM Pcs 200 Apr-20 Rp -
5 ETT NO. 6.5 Pcs 40 May-20 Rp 2,200
6 FEEDING / STOMACH TUBE NO. 3.5 Pcs 50 Sep-20 Rp 38,500
7 INFUSET MICRO Pcs 540 Dec-20 Rp 8,981
8 MUCUS EXTRACTOR Pcs 22 Dec-20 Rp 6,400
BULAN RUPIAH STOK AWAL RUPIAH PENERIMAAN RUPIAH PENGELUARAN
JANUARI 2306398356.01 201954286 263879234
FEBRUARI 2244473408.51 120163040 215387969
MARET 2149248479.26667 111939390 185823647.956667
APRIL 2075364221.31 439027006 265237030
MEI 2249154197.07667 153496542 204863891
JUNI 2197786847.77667 641858725 233461956.966667
JULI 2606183615.81 398485703 248469895.033333
AGUSTUS 2756199423.77667 428813655 588522653
SEPTEMBER 2596490425.77667 942780110 1070987825.51333
OKTOBER 2468282709.86333 1402803675 1286846464.57333
NOVEMBER 2584239920.29 2040809075 625340265
RUPIAH STOK AKHIR BALANCING
2244473408.51 0
2149248479.26667 0
2075364221.31 0
2249154197.07667 0
2197786847.77667 0
2606183615.81 0
2756199423.77667 0
2596490425.77667 0
2468282709.86333 0
2584239920.29 0
3999708730.79 0
Tanggal Jumlah Sudah Datang / Jumlah
No. Nama Alkes Satuan
Permintaan Permintaan Pending / Batal Datang
1 7/1/20 Urgotul Pcs 500 Sudah Datang 500

2 7/1/20 Kasa non x-ray Pcs 750 Sudah Datang 750
3 7/1/20 Kasa x-ray Pcs 750 Sudah Datang 750
4 7/1/20 Foley catheter no. 16 Pcs 600 Sudah Datang 600
6 7/1/20 Handscoen M Box 200 Sudah Datang 200
7 7/1/20 Handscoen S Box 300 Sudah Datang 300
8 7/1/20 Betadine 1 liter Botol 50 Sudah Datang 50
9 7/1/20 Masker bedah Box 300 Sudah Datang 300
10 7/1/20 Suction conecting biru Pcs 300 Sudah Datang 300
11 7/1/20 Suction conecting kuning Pcs 75 Sudah Datang 75
12 7/1/20 Caviton white Pcs 5 Sudah Datang 5
13 7/1/20 Dycal Botol 1 Sudah Datang 1
14 7/1/20 Gutta percha no. 20 Box 5 Sudah Datang 5
18 7/1/20 Jarum citoject no. 16 Box 2 Sudah Datang 2
19 7/1/20 Jarum citoject no. 21 Box 2 Sudah Datang 2
20 7/1/20 Masker nebu dewasa Pcs 300 Sudah Datang 300
21 7/1/20 Pouches 15 cm Roll 4 Sudah Datang 4
22 7/1/20 Handscoen no. 6,5 Pcs 500 Sudah Datang 500
23 7/1/20 Film rontgen 28 cm (M) Box 8 Sudah Datang 8
24 7/1/20 Film rontgen 20 cm (S) Box 10 Sudah Datang 10
25 7/1/20 Pharmafix 10x5 Pcs 100 Sudah Datang 100
26 7/1/20 Postofix 10x25 Pcs 240 Sudah Datang 240
27 7/1/20 Bio sanitizer 20 liter Drigen 1 Sudah Datang 1
28 7/1/20 Pouches 5 cm Roll 20 Sudah Datang 20
29 7/1/20 Indikator adhesive tapes Roll 30 Sudah Datang 30
30 7/1/20 Laminaria L Pcs 30 Sudah Datang 30
31 7/1/20 Laminaria M Pcs 30 Sudah Datang 30
32 7/1/20 Prontosan gel 250 gr Botol 50 Sudah Datang 50
33 7/1/20 Perfusor Pcs 100 Sudah Datang 100
34 7/1/20 Transofix Pcs 600 Sudah Datang 600
35 7/1/20 Indikator tipe 6 Roll 1,000 Sudah Datang 1000
36 7/1/20 Kasa x-ray Pcs 2,000 Sudah Datang 2000
37 7/1/20 Kasa deper Pcs 1,000 Sudah Datang 1000
38 7/1/20 K-file 21, 25 no. 8, 10, 15 Box 60 Sudah Datang 60
39 7/1/20 Paper point no. 25,30,35,40,45 Box 31 Sudah Datang 31
40 7/1/20 Pen needle Pcs 2,000 Sudah Datang 2000
1 28/1/20 Coverall Pcs 100 Sudah Datang 2
2 28/1/20 Gown Pcs 100 Sudah Datang 2
3 28/1/20 Goggle Pcs 50 Sudah Datang 2
4 28/1/20 Shoe cover Box 30 Sudah Datang 2
5 28/1/20 Apron Pcs 50 Sudah Datang 500
1 12/2/20 Electrosurgical pad Pcs 100 Sudah Datang 100
1 12/2/20 Paket operasi fako Paket Sudah Datang
1 13/2/20 Pencil coter Pcs 300 Sudah Datang 150

2 13/2/20 Eye protector Pcs 43 Sudah Datang 50
3 13/2/20 Spuit 10 Pcs 12,000 Sudah Datang 12000
7 13/2/20 Suction catheter no. 10 Pcs 300 Sudah Datang 300
8 13/2/20 Aniosgel 5 liter Drigen 30 Sudah Datang 30
9 13/2/20 Aniosgel 500 ml Botol 30 Sudah Datang 30
10 13/2/20 Underpad Pcs 1,500 Sudah Datang 1000
Underpad Pcs Sudah Datang 1000
11 13/2/20 ID band dewasa pink Box 3,600 Sudah Datang 3600
12 13/2/20 ID band anak pink Box 1,400 Sudah Datang 1400
13 13/2/20 Bloodset Pcs 1,000 Sudah Datang 1000
14 13/2/20 Feeding tube no. 16 Pcs 85 Sudah Datang 50
15 13/2/20 Alkohol swab Box 400 Sudah Datang 200
16 13/2/20 Bisturi no. 11 Pcs 100 Pending
18 13/2/20 Gudel Set 55 Sudah Datang 385
19 13/2/20 ETT NKK 4,5 Pcs 9 Sudah Datang 9
20 13/2/20 ETT NKK 5 Pcs 18 Sudah Datang 18
21 13/2/20 ETT NKK 6,5 Pcs 4 Sudah Datang 4
22 13/2/20 Tongue spatel Box 40 Sudah Datang 40
23 13/2/20 Urinbag Pcs 400 Sudah Datang 400
24 13/2/20 Arm sling L Pcs 40 Sudah Datang 40
25 13/2/20 Arm sling S Pcs 40 Sudah Datang 40
26 13/2/20 Kapsul no. 0 Pack 27 Sudah Datang 27
27 13/2/20 Kapsul no. 00 Pack 36 Sudah Datang 36
28 13/2/20 Asam salisilat Kg 1 Sudah Datang 1
29 13/2/20 Wing needle no. 21 Pcs 200 Batal Batal
31 13/2/20 Indikator glopack Box 20 Batal Batal
32 13/2/20 Pen needle Pcs 1,000 Batal Batal
1 3/3/20 Kertas ekg Roll 100 Sudah Datang 100

2 3/3/20 Masker bedah tali Box 500 Sudah Datang 50
3 3/3/20 Masker bedah karet Box 500 Sudah Datang 41
4 3/3/20 Kertas ctg Pack 10 Batal Batal
5 3/3/20 Masker nebu anak Pcs 800 Sudah Datang 800
6 3/3/20 Feeding tube no. 16 Pcs 50 Batal Batal
7 3/3/20 Octenic wash glove Pcs 720 Sudah Datang 720
8 3/3/20 Catgut chromic 2/0 Pcs 300 Sudah Datang 300
9 3/3/20 Apron Pcs 3,000 Sudah Datang 3000
10 3/3/20 Infuset macro Pcs 2,000 Sudah Datang 2000
12 3/3/20 Pisau cukur Pcs 56 Sudah Datang 56
13 3/3/20 Handscoen L Box 40 Batal Batal
14 3/3/20 Handscoen S Box 500 Sudah Datang 500
15 3/3/20 Kasa steril Pcs 250 Batal Batal
16 3/3/20 Xylocain gel Tube 100
17 3/3/20 Handscoen XS Box 260 Batal Batal
18 3/3/20 Etil klorida Botol 22 Sudah Datang 20
19 3/3/20 Vaselin Kg 47 Sudah Datang 30
20 3/3/20 Aquadest 5 liter Drigen 12 Batal Batal
21 3/3/20 Spirtus 1 liter Botol 10 Batal Batal
22 3/3/20 Indikator label Box 24 Sudah Datang 24
23 3/3/20 Hypafix 5x5 Roll 200 Sudah Datang 200
24 3/3/20 Formalin 10 liter Drigen 3 Batal Batal
25 3/3/20 Natrium bicarbonat powder Kg 3 Sudah Datang 3
26 3/3/20 Masker nebu dewasa Pcs 1,000 Sudah Datang 1000
27 3/3/20 NRM dewasa Pcs 300 Sudah Datang 300
28 3/3/20 Spuit 50 Pcs 200 Sudah Datang 200
1 Film rontgen 28 cm (M) Box 5 Sudah Datang 5

2 Film rontgen 20 cm (S) Box 15 Sudah Datang 15
1 Film rontgen 28 cm (M) Box 19 Sudah Datang 19
1 9/3/20 Circuit dipos avea dewasa Pcs 5

2 9/3/20 Circuit puritan bannet dws Pcs 5
3 9/3/20 Arteri line Pcs 5
4 9/3/20 Needle krikodotiroid Pcs 5
5 9/3/20 Botol dispo drain thorax Pcs 3
6 9/3/20 Spirometer Pcs 5
7 9/3/20 Nasopharingeal tube Set 2
8 9/3/20 CVC (central venous cath) Pcs 10
15 9/3/20 Feeding tube no. 5 40 cm Pcs 100 Sudah Datang 100
16 9/3/20 Selang nebu ventilator Pcs 50
17 9/3/20 Jarum intrasseus Pcs 100
18 9/3/20 Kondom kateter S Pcs 100 Sudah Datang 100
19 9/3/20 Kondom kateter M Pcs 100 Sudah Datang 100
20 9/3/20 Kondom kateter L Pcs 100 Sudah Datang 100
21 9/3/20 Kasa deper 3 cm Pcs 500
22 9/3/20 Sofratule Pcs 100 Batal Batal
23 9/3/20 Kunci trolley emergensi Pcs 1,000 Sudah Datang 1000
1 11/3/20 Etanol 96 % 20 liter Drigen 1 Sudah Datang 1

2 11/3/20 Gliserol 20 liter Drigen 1 Sudah Datang 1
3 11/3/20 Aquadest 20 liter Drigen 1 Sudah Datang 1
4 11/3/20 Pewangi Botol 1 Sudah Datang 1
5 11/3/20 Botol 100 ml Pcs 300 Sudah Datang 300
6 11/3/20 Plastik klip 15x10 Pcs 180,000 Sudah Datang
7 11/3/20 Plastik klip 13x8,7 Pcs 180,000 Sudah Datang
8 11/3/20 Plastik klip 20x12 Pcs 75,000 Sudah Datang
9 11/3/20 Gelas ukur 1000 ml (plastik) Pcs 1 Sudah Datang 1
10 11/3/20 Beaker glass Pcs 1 Sudah Datang 1
11 11/3/20 Gelas ukur 50 ml Pcs 1 Sudah Datang 1
12 11/3/20 Gelas ukur 25 ml Pcs 1 Sudah Datang 1
13 11/3/20 Batang pengaduk Pcs 1 Sudah Datang 1
14 11/3/20 Botol kaca 1 liter Pcs 1 Sudah Datang 1
1 17/3/20 Botol semprot 500 ml Botol 20 Batal Batal

2 17/3/20 Masker N95 Pcs 2,000 Sudah Datang 500
3 17/3/20 Aniosgel 5 liter / Handrub Drigen 100 Sudah Datang 100
4 17/3/20 Etanol 96 % 20 liter Drigen 3 Batal Batal
5 17/3/20 Pewangi Botol 6 Batal Batal
6 17/3/20 Aquadest 20 liter Drigen 3 Batal Batal
7 17/3/20 Botol 100 ml Pcs 300 Batal Batal
8 17/3/20 Coverall Pcs 200 Sudah Datang 200
9 17/3/20 Gown Pcs 200 Batal Batal
10 17/3/20 Goggle Pcs 50 Sudah Datang 50
11 17/3/20 Shoes cover Box 100 Batal Batal
12 17/3/20 Handscoen obgyn Pcs 500 Pending
13 17/3/20 Alkohol 70 % 1 liter Botol 100 Sudah Datang 100
1 23/3/20 Bio sanitizer 20 liter Drigen 3 Batal Batal

2 23/3/20 H2O2 20 liter Drigen 5 Batal Batal
3 23/3/20 Aquadest 20 liter Drigen 20 Sudah Datang 20
4 23/3/20 Goggle Pcs 200 Batal Batal
5 23/3/20 Face shield Pcs 200 Batal Batal
6 23/3/20 Shoe cover Pcs 500 Batal Batal
7 23/3/20 Boots Pcs 50 Batal Batal
8 23/3/20 Septalkan Botol 50 Sudah Datang 50
9 23/3/20 Kertas ctg Pack 50 Sudah Datang 50
10 23/3/20 Kasa x-ray Pcs 750 Sudah Datang 750
11 23/3/20 Kasa non x-ray Pcs 750 Sudah Datang 750
12 23/3/20 Handscoen nitrile L Box 100
13 23/3/20 Handscoen M Box 200 Sudah Datang 200
1 1/4/20 Paket operasi fako Paket 4 Sudah Datang 4

2 1/4/20 Pengisian tabung oksigen Tube 92 Sudah Datang 92
1 16/4/20 Spinocan 25 Pcs 300 Batal Batal

5 16/4/20 Underpad Pcs 1,000 Sudah Datang 1,000
6 16/4/20 ETT NKK no. 5,5 (salah klik no 5) Pcs 20 Pending 20
7 16/4/20 ETT NKK no. 3 Pcs 20 Pending 20
8 16/4/20 Spuit 3 Pcs 12,000 Sudah Datang 12,000
9 16/4/20 Spuit 5 Pcs 12,000 Sudah Datang 12,000
10 16/4/20 Urgotul Pcs 500 Sudah Datang 500
11 16/4/20 Umbilical cord Pcs 600 Sudah Datang 600
12 16/4/20 IV cath no. 22 Pcs 500
13 16/4/20 Alkohol 1 liter Botol 20 Batal Batal
14 16/4/20 Alkohol swab Box 500 Sudah Datang 500
15 16/4/20 ----- ----- ----- -----
16 16/4/20 Aniosgel 500 ml Botol 20 Batal Batal
17 16/4/20 Apron Pack 350 Pending
18 16/4/20 Corolene 2 taper Pcs 360
19 16/4/20 Betadine 1 liter Botol 50 Sudah Datang 50
20 16/4/20 Electrosurgical pad Pcs 100 Batal Batal
21 16/4/20 Pencil coter Pcs 300 Sudah Datang 300
22 16/4/20 ETT NKK no. 4 Pcs 20 Pending
23 16/4/20 Perfusor Pcs 100 Pending
26 16/4/20 Pharmafix 10x5 Roll 200 Sudah Datang 200
27 16/4/20 Pharmafix 5x5 Roll 200 Sudah Datang 200
28 16/4/20 Kertas USG Roll 130
29 16/4/20 Masker bedah karet Box 30 Sudah Datang 30
30 16/4/20 Masker bedah tali Box 20 Sudah Datang 38
31 16/4/20 Masker lab / gas Pcs 20
32 16/4/20 Nasal canul anak Pcs 500 Sudah Datang 500
33 16/4/20 Nasal canul bayi Pcs 500 Sudah Datang 500
34 16/4/20 Pisau cukur Pcs 200 Sudah Datang 200
36 16/4/20 Shoe cover Pcs 1,000
37 16/4/20 Spinocan 26 Pcs 200 Pending
38 16/4/20 Spinocan 27 Pcs 200 Pending
39 16/4/20 Spirtus 1 liter Botol 10
40 16/4/20 Suction catheter no. 10 Pcs 60 Batal Batal
41 16/4/20 Suction conecting biru Pcs 280 Batal Batal
42 16/4/20 Suction conecting kuning Pcs 100 Sudah Datang 100
43 16/4/20 Wing needle no. 25 Pcs 100 Batal Batal
44 16/4/20 Masker N95 Pcs 500 Sudah Datang 300
45 16/4/20 Masker bedah earloop Box 150 Sudah Datang
46 16/4/20 Masker bedah tie on Box 20 Sudah Datang
Indikator label
Indikator glopack
Indikator tipe 6
Tongue spatel
ID band anak laki-laki
Nurse cap Box 100 Pending
Eye protector Pcs 100 Pending
1 29/6/20 Betadine 1 liter Botol 100 Sudah Datang

2 29/6/20 Urgotul Pcs 600 Sudah Datang
3 29/6/20 Wound dressing silicon Pcs 100
29/6/20 Indikator bowie dick Box 2
29/6/20 Alkohol 1 liter Botol 150
29/6/20 Klip plastik 8x5 Pcs 30,000
29/6/20 Lugol tiroid Botol 2
29/6/20 CaCO3 Kg 20 Sudah Datang
29/6/20 H2O2 1 liter Botol 160 Sudah Datang
29/6/20 Sakarum lactis Kg 1 Sudah Datang
29/6/20 T-mono Pcs 36 Sudah Datang 24
29/6/20 Spongestan Pcs 50
29/6/20 Surgicel Pcs 10
29/6/20 Iv cath 24 Pcs 300
29/6/20 Laminaria S Pcs 25 Sudah Datang
29/6/20 Laminaria M Pcs 50 Sudah Datang
29/6/20 Laminaria L Pcs 50 Sudah Datang
29/6/20 Catgut chromic 2/0 Pcs 180 Sudah Datang
29/6/20 Assucryl 1 taper Pcs 168 Sudah Datang
29/6/20 Optime R Pcs 360 Sudah Datang
29/6/20 Optime 2 taper Pcs 180 Sudah Datang
29/6/20 Bloodset Pcs 1,200 Sudah Datang
29/6/20 Handrub 5 liter Drigen 100
29/6/20 Masker bedah tie on Box 100 Sudah Datang
29/6/20 Masker bedah earloop Box 300 Sudah Datang
29/6/20 Indikator label Box 12
29/6/20 Pencil coter Pcs 450
29/6/20 Eye protector Pcs 50 Sudah Datang
29/6/20 Pouches 25 cm Roll 5 Sudah Datang
29/6/20 Pouches 15 cm Roll 5 Sudah Datang
29/6/20 ETT NKK no. 3 Pcs 10
29/6/20 ETT NKK no. 3,5 Pcs 10
29/6/20 ETT NKK no. 4 Pcs 10
29/6/20 ETT NKK no. 4,5 Pcs 10
29/6/20 ETT NKK no. 5 Pcs 20
29/6/20 ETT NKK no. 5,5 Pcs 30
29/6/20 ETT NKK no. 6 Pcs 30
29/6/20 ETT NKK no. 7 Pcs 20
29/6/20 ETT NKK no. 7,5 Pcs 20
29/6/20 Foley catheter no. 16 Pcs 800 Sudah Datang
29/6/20 Infuset macro Pcs 2,500 Sudah Datang
29/6/20 Spuit 1 Pcs 8,600
29/6/20 Spuit 3 Pcs 6,000
29/6/20 Spuit 5 Pcs 6,000
29/6/20 Spuit 10 Pcs 12,000
29/6/20 Spuit 50 Pcs 200 Sudah Datang
29/6/20 Gudel merah Pcs 50
29/6/20 Gudel orange Pcs 50
29/6/20 Gudel hijau Pcs 50
29/6/20 Handscoen S Box 500 Sudah Datang
29/6/20 Handscoen 6,5 Pcs 800 Sudah Datang
29/6/20 Handscoen 7,5 Pcs 500 Sudah Datang
29/6/20 Natrium bicarbonat powder Kg 15 Sudah Datang
29/6/20 Sakarum lactis Kg 1 Sudah Datang
29/6/20 Kapsul no. 0 Pack 30 Sudah Datang
29/6/20 Intubating stylet S Pcs 5
29/6/20 Intubating stylet M Pcs 10
29/6/20 Intubating stylet L Pcs 10
29/6/20 Kasa non x ray Pack 1,000 Sudah Datang
29/6/20 Sabun e-care klorhexidine Drigen 3
29/6/20 Bio sanitizer 20 liter Drigen 1
29/6/20 Sanitizer spray 20 liter Drigen 5
29/6/20 Suction catheter no. 8 Pcs 300 Sudah Datang
29/6/20 Suction catheter no. 10 Pcs 500 Sudah Datang
29/6/20 Iv cath no. 26 Pcs 500
29/6/20 Alkohol swab Box 200
29/6/20 Apron Pcs 3,000 Sudah Datang
29/6/20 Masker KN95 (N95) Pcs 1,000 Sudah Datang
29/6/20 Masker N95 Pcs 800 Sudah Datang
29/6/20 Breathing circuit dewasa Pcs 20
29/6/20 Nurse cap Box 100
29/6/20 Feeding tube no. 6 Pcs 100
29/6/20 Feeding tube no. 14 Pcs 100
29/6/20 H2O2 20 liter Drigen 5
29/6/20 Handscoen nitrile Box 50
29/6/20 Hernia mesh Pcs 24 Sudah Datang
29/6/20 ID band anak pink Box 10
29/6/20 ID band dewasa pink Box 20
29/6/20 Kondom kateter Pcs 200
29/6/20 Pisau cukur Pcs 300
29/6/20 Underpad Pcs 700
29/6/20 Askina foam Pcs 20
29/6/20 Kasa x ray Pack 300 Sudah Datang
29/6/20 Bisturi no. 11 Pcs 500
29/6/20 Aquadest 20 liter Drigen 60 Sudah Datang
29/6/20 Indikator tipe 4 Box 3
29/6/20 Indikator adhesive tapes Roll 20
29/6/20 Perfusor Pcs 200
29/6/20 Octenic wash glove Pcs 1,000
29/6/20 Suction conecting biru Pcs 400 Sudah Datang
29/6/20 Suction conecting kuning Pcs 50 Sudah Datang
29/6/20 Transofix Pcs 800
29/6/20 Umbilical cord Pcs 500
29/6/20 Urinbag Pcs 200
29/6/20 Vaselin 15 kg Drigen 2 Sudah Datang
29/6/20 Betadine kumur Botol 350 Sudah Datang
29/6/20 Wing needle no. 25 Pcs 200
29/6/20 Benang optime 2 taper Pcs 180 Sudah Datang
29/6/20 Masker bedah Box 170 Sudah Datang
29/6/20 Pouches 5 cm Roll 6
29/6/20 Baju hogy Pcs 50 Sudah Datang 45
29/6/20 Handscoen M Box 500
29/6/20 Underpad Pcs 2,000
Belum Permintaan Harga
E-Katalog / SP Belum
Distributor Alasan Pending (Perencanaan s.d Satuan +
Reguler Dibuat akhir tahun) PPN (Rp)
Daya muda agung Reguler
Jayadi Reguler
Jayadi Reguler
Megah medika E-kat
Megah medika E-kat
Megah medika E-kat
Megah medika E-kat
Parit padang Reguler
Bina sukses E-kat
Bina sukses E-kat
Bina sukses E-kat
Dita mitra Reguler
Dita mitra Reguler
Dita mitra Reguler
Dita mitra Reguler
Dita mitra Reguler
Dita mitra Reguler
Dita mitra Reguler
Dita mitra Reguler
Duta afiat E-kat
Parit padang E-kat
Parit padang E-kat
Triputra Reguler
Triputra Reguler
Parit padang E-kat
Parit padang E-kat
Harvestia Reguler
Parit padang E-kat
Parit padang E-kat
Dita mitra Reguler
Dita mitra Reguler
Parit padang E-kat
Dos ni roha E-kat
Parit padang E-kat
Kastara Reguler
Kastara Reguler
Thomasong Reguler
Thomasong Reguler
AMS E-kat
Megah medika Reguler
Tigaer Reguler
Jayamas E-kat
Cobas perkakas Reguler
Jayamas E-kat
Jayamas E-kat
Prima health Reguler
Adiwarna Reguler
Sometech E-kat
Jayamas E-kat
Sinar roda utama E-kat
Primajaya putra E-kat
Sentra asia E-kat
Prima alkesindo E-kat
Prima alkesindo E-kat
Sentra asia E-kat
Global pharma E-kat
Sentra asia E-kat
Sentra asia E-kat
Parit padang E-kat
Jayadi Reguler
Global pharma E-kat
Parit padang E-kat Menunggu barang ready 2,790
Parit padang E-kat Menunggu barang ready 2,790
Rajawali E-kat
Dwiasri E-kat
Dwiasri E-kat
Dwiasri E-kat
Gudang umum Reguler
Parit padang E-kat
Jayamas E-kat
Jayamas E-kat
Brataco Reguler
Brataco Reguler
Dua surya Reguler
Batal Batal
Parit padang Menunggu barang ready 2,790
Batal Batal
Batal Batal
Global pharma E-kat
Berseda E-kat
Enseval Reguler
Mitra blessindo Reguler
Batal Batal
Safira dwi pharma Reguler
Batal Batal
MPI E-kat
Global pharma E-kat
Megah medika E-kat
Megah medika E-kat
Gudang umum Reguler
Batal Batal
Global pharma Reguler
Batal Batal
Belum 41,600
Batal Batal
Surya pelangi Reguler
Brataco Reguler
Batal Batal
Batal Batal
Bina sukses Reguler
Parit padang E-kat
Batal Batal
Brataco Reguler
Safira dwi pharma Reguler
Duta afiat Reguler
Sinar roda E-kat
Triputra E-kat
Triputra E-kat
Triputra E-kat
Belum 500,000
Belum 1,000,000
Belum 150,000
Belum 50,000
Belum 300,000
Belum 300,000
Belum 1,000,000
Belum 150,000
Jayadi Reguler
Megah medika E-kat
Jayadi Reguler
Jayadi Reguler
Megah medika E-kat
Megah medika E-kat
Jayadi Reguler
Belum 100,000
Belum 50,000
Rajawali E-kat
Rajawali E-kat
Rajawali E-kat
Belum 2,000
Batal Batal
Gudang umum Reguler
Gudang umum Reguler

Gudang umum Reguler
Gudang umum Reguler
Gudang umum Reguler
Gudang umum Reguler
Gudang umum Reguler
Gudang umum Reguler
Gudang umum Reguler
Gudang umum Reguler
Gudang umum Reguler
Gudang umum Reguler
Gudang umum Reguler
Gudang umum Reguler
Gudang umum Reguler
Batal Batal
Cipta medika Reguler
Batal Batal
Batal Batal
Batal Batal
Batal Batal
Tigaer Reguler
Batal Batal
Tigaer Reguler
Batal Batal
Parit padang E-kat Barang kosong di distributor 40,000
Batal Batal
Batal Batal
Brataco Reguler
Batal Batal
Batal Batal
Batal Batal
Batal Batal
Parit padang E-kat
Rajawali E-kat
Jayadi Reguler
Jayadi Reguler
Belum 120,000
Megah medika E-kat
Batal Batal
Adiwarna Reguler
Eramedika Reguler
Batal Batal
Global pharma E-kat
Sentra asia E-kat
Sentra asia E-kat
Sentra asia E-kat
Dwiasri E-kat Barang kosong 138,000
Bintang anam E-kat
Bintang anam E-kat
Sentra asia E-kat
Belum
Batal Batal
Global pharma E-kat
----- -----
Batal Batal
Jayamas E-kat Lock pembayaran 2,900
Belum
Batal Batal
Cipta medika E-kat
Dos ni roha E-kat Lock pembayaran 37,000
Jayadi Reguler
Jayadi Reguler
Kasih karunia E-kat
Parit padang E-kat
Belum
Megah medika Reguler
Buana intiprima Reguler
Belum
Duta afiat E-kat
Duta afiat E-kat
Gudang umum Reguler
Batal Batal
Belum
Parit padang E-kat Lock pembayaran 31,300
Parit padang E-kat Lock pembayaran 38,300
Belum 28,000
Batal Batal
Batal Batal
Megah medika E-kat
Batal Batal
Jayadi Reguler
Harga Total
No. ID Paket Pending
(Rp)
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
279,000 AKN-P2003-2407846
558,000 AKN-P2003-2407846
0
0
0
0
0
0
0
0
0
0
0
0
279,000 AKN-P2003-2407846
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4,160,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2,500,000
5,000,000
750,000
250,000
900,000
1,500,000
2,000,000
1,500,000
0
0
0
0
0
0
0
5,000,000
5,000,000
0
0
0
1,000,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20,000,000 AKS-P2004-2687617
0
0
0
0
0
0
0
0
0
0
0
0
0
12,000,000
0
0
0
0
0
0
0
0
0
0
0
2,760,000 AKN-P2004-2679029
2,760,000 AKN-P2004-2679029
0
0
0
0
0
0
0
0
0
1,015,000 AKN-P2005-2831329
0
0
0
0
2,760,000 AKN-P2004-2679029
3,700,000 AKN-P2004-2682060
0
0
0
0
0
0
0
0
0
0
0
0
0
6,260,000 AKN-P2004-2679306
7,660,000
280,000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3,339,000 AKN-P2006-2987340
3,700,000 AKN-P2006-2902754
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NAMA ALKES SATUAN TANGGAL Merk Masuk HARGA SATUAN Exp.Date
FAKTUR + PPN Penerimaan
ANIOSGEL / HANDRUB 5 LTR DRIGEN 3 Apr 2020 GP CARE 100 Rp 850,000 Mar-24
ANIOSGEL / HANDRUB 5 LTR (2) DRIGEN 5 Mar 2020 ANIOSGEL 30 Rp 500,000 Mar-22
ANIOSGEL 500 ML BOTOL 5 Mar 2020 ANIOSGEL 30 Rp 82,000 May-22
APRON PLASTIK @10 (1) PACK 7 Apr 2020 COSMOMED 3,000 Rp 4,015 N/A
APRON PLASTIK @10 (2) PCS 23 Mar 2020 ONEMED 500 Rp 2,950 N/A
BIO SANITIZER LITER 6 Feb 2020 BIO SANITIZER 20 Rp 947,031 Jan-22
COVERALL BAJU ANTIVIRUS PCS 21 Apr 2020 3R 2 Rp 330,000 N/A
COVERALL BAJU ANTIVIRUS PCS 17 Mar 2020 3R 200 Rp 330,000 N/A
HANDSCOEN UKURAN L (2) BOX 14 Apr 2020 MAS 11 Rp 52,206
HANDSCOEN UKURAN M BOX 21 Jan 2020 MAS 200 Rp 52,206 N/A
HANDSCOEN UKURAN M BOX 1 Apr 2020 MAS 200 Rp 52,206
HANDSCOEN UKURAN S (2) BOX 21 Jan 2020 MAS 300 Rp 52,206 N/A
KACAMATA GOGGLE PCS 17 Mar 2020 3M 50 Rp 220,000 N/A
KACAMATA GOGGLE PCS 13 Mar 2020 - 2 Rp 61,000 N/A
MASKER EARLOOP / KARET (2) BOX 24 Jan 2020 MEDIA 300 Rp 27,507 N/A
MASKER EARLOOP / KARET (2) BOX 20 Apr 2020 PRO CARE 100 Rp 302,500 N/A
MASKER EARLOOP / KARET (3) BOX 7 Apr 2020 EVOPLUSMED 38 Rp 200,000 N/A
MASKER EARLOOP / KARET JILBAB (1) BOX 23 Mar 2020 GP CARE 10 Rp 25,000 N/A
MASKER EARLOOP / KARET JILBAB (2) BOX 23 Mar 2020 FIT U 41 Rp 99,000 N/A
MASKER N95 TIPE KN95 PCS 18 Apr 2020 N/A 500 Rp 60,000 N/A
MASKER TALI / TIE ON BOX 23 Jan 2020 MAS 20 Rp 41,019 N/A
MASKER TALI / TIE ON BOX 6 Apr 2020 E CARE 20 Rp 162,800 N/A
MASKER TALI / TIE ON BOX 30 Apr 2020 E CARE 30 Rp 162,800 N/A
SHOE COVER PCS 23 Mar 2020 ONEMED 100 Rp 1,672 N/A
SURGICAL GOWN PCS 23 Mar 2020 ONEMED 2 Rp 33,000 N/A
Harga Belum
Distributor Harga Total
PPN
GLOBAL PHARMA IND Rp 85,000,000 Rp 772,727
PRIMA ALKESINDO Rp 15,000,000 Rp 454,545
PRIMA ALKESINDO Rp 2,460,000 Rp 74,545
GLOBAL PHARMA IND Rp 12,045,000 Rp 3,650
JAYAMAS Rp 1,475,000 Rp 2,682
HARVESTIA MULYA Rp 18,940,625 Rp 860,938
PT. TIGAER INDONESIA Rp 660,000 Rp 300,000
PT. TIGAER INDONESIA Rp 66,000,000 Rp 300,000
MEGAH MEDIKA Rp 574,266 Rp 47,460
MMP Rp 10,441,200 Rp 47,460
MEGAH MEDIKA Rp 10,441,200 Rp 47,460
MMP Rp 15,661,800 Rp 47,460
PT. TIGAER INDONESIA Rp 11,000,000 Rp 200,000
COBAS PERKAKAS JAYA Rp 122,000 Rp 55,455
BINA SUKSES Rp 8,252,200 Rp 25,007
JAYADI MITRA Rp 30,250,000 Rp 275,000
BUANA INTIPRIMA Rp 7,600,000 Rp 181,818
GLOBAL PHARMA Rp 250,000 Rp 22,727
MITRA BLESSINDO Rp 4,059,000 Rp 90,000
CIPTA MEDIKA Rp 30,000,000 Rp 54,545
MMP Rp 820,380 Rp 37,290
ENSEVAL Rp 3,256,000 Rp 148,000
ENSEVAL Rp 4,884,000 Rp 148,000
JAYAMAS Rp 167,200 Rp 1,520
JAYAMAS Rp 66,000 Rp 30,000

Pembagian Denah Alkes

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Pembagian Denah Alkes

Uploaded by

Copyright:

Available Formats

B3

VOLUME SEDANG / BOX / BERNOMOR

NO NAMA ALKES SATUAN STOK

Kepala Instalasi Farmasi

Nurhayati, S.Si., Apt.

1 ABOCATH 14 PCS 100 Rp 1,700,000 100 Rp - - Rp - 100 Jun-21 Rp 17,000 Rp 1,700,000

Mengetahui Mengetahui Mengetahui

Mengetahui Mengetahui Mengetahui

Mengetahui Mengetahui Mengetahui

Mengetahui Mengetahui Mengetahui

Mengetahui Mengetahui Mengetahui

1 ABOCATH 14 PCS 150 Rp 2,550,000 150 Rp - - Rp - 150 Jun-21 Rp 17,000 Rp 2,550,000

334 SUCTION CATHETHER NO. 14 (1) PCS 20 Rp 70,400 20 Rp - 20 Rp 70,400 - - Rp 3,520 Rp -

Mengetahui Mengetahui Mengetahui

1 ABOCATH 14 PCS 150 Rp 2,550,000 150 Rp - - Rp - 150 Jun-21 Rp 17,000 Rp 2,550,000

Mengetahui Mengetahui Mengetahui

1 ABOCATH 14 PCS 150 Rp 2,550,000 150 Rp - - Rp - 150 Jun-21 Rp 17,000 Rp 2,550,000

323 POSTOFIX / DERMAFIX / TEGADERM 10 x 25 (1) PCS 80 Rp 2,350,179 80 Rp - 80 Rp 2,350,179 - - Rp 29,377 Rp -

Mengetahui Mengetahui Mengetahui

Mengetahui Mengetahui Mengetahui

1 ABOCATH 14 PCS 100 Rp 1,700,000 100 Rp - - Rp - 100 Jun-21 Rp 17,000 Rp 1,700,000

Mengetahui Mengetahui Mengetahui

1 ABOCATH 14 PCS 100 Rp 1,700,000 100 Rp - - Rp - 100 Jun-21 Rp 17,000 Rp 1,700,000

Mengetahui Mengetahui Mengetahui

1 ABOCATH 14 PCS 100 Rp 1,700,000 100 Rp - - Rp - 100 Jun-21 Rp 17,000 Rp 1,700,000

Mengetahui Mengetahui Mengetahui

1 7/1/20 Urgotul Pcs 500 Sudah Datang 500

1 12/2/20 Electrosurgical pad Pcs 100 Sudah Datang 100

1 12/2/20 Paket operasi fako Paket Sudah Datang

1 13/2/20 Pencil coter Pcs 300 Sudah Datang 150

1 3/3/20 Kertas ekg Roll 100 Sudah Datang 100

1 Film rontgen 28 cm (M) Box 5 Sudah Datang 5

1 Film rontgen 28 cm (M) Box 19 Sudah Datang 19

1 9/3/20 Circuit dipos avea dewasa Pcs 5

1 11/3/20 Etanol 96 % 20 liter Drigen 1 Sudah Datang 1

1 17/3/20 Botol semprot 500 ml Botol 20 Batal Batal

1 23/3/20 Bio sanitizer 20 liter Drigen 3 Batal Batal

1 1/4/20 Paket operasi fako Paket 4 Sudah Datang 4

1 16/4/20 Spinocan 25 Pcs 300 Batal Batal

1 29/6/20 Betadine 1 liter Botol 100 Sudah Datang

Prima health Reguler

Gudang umum Reguler

You might also like