LAPORAN STOK AKHIR / STOK OPNAME BAHAN KIMIA RUTIN

TANGGAL 30 BULAN JUNI TAHUN 2021

NAMA PUSKESMAS PANUNGGANGAN

ALAMAT PUSKESMAS KOMPLEK KEL. PANUNGGANGAN, KEC. PINANG

STOK AWAL JUNI PENERIMAAN JUNI PERSEDIAAN JUNI PEMAKAIAN JUNI STOK AKHIR JUNI
SATUAN HARGA
NO. NAMA BAHAN KIMIA NAMA PABRIK / MERK KEMASAN TOTAL TOTAL TOTAL GUDAN TOTAL
TERKECIL SATUAN LAB GUDANG LAB GUDANG LAB GUDANG LAB LAB GUDANG
STOK AWAL PENERIMAAN PERSEDIAAN G PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13 (7+10) 14 (8+11) 15 (9+12) 16 17 18 19 (13-16) 20 (14-17)
GLUKOSA TEST STRIP
1 Accucheck Performa Strip PT. Roche Indonesia 100 strip/box (2 Tube@50 strip) BOX 400000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2 Accucheck Softclix Uno Lancet PT. Roche Indonesia 200 Pcs/box BOX 130000.000 22.00 0.00 22.00 1.00 0.00 1.00 23.00 0.00 23.00 3.00 0.00 3.00 20.00 0.00
3 Alkohol Swab PT.Axion Kotak Kotak 10294.574 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4 Alkohol Swab PT. Jayamas-Onemed 100 Pcs/Kotak PCS 20000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5 Alkohol Swab PT. Jayamas-Onemed 100 Pcs/Kotak PCS .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6 Alkohol Swab PT. Jayamas-Onemed 100 Pcs/Kotak BOX .000 13.00 0.00 13.00 1.00 0.00 1.00 14.00 0.00 14.00 5.00 0.00 5.00 9.00 0.00
REAGENT KIMIA KLINIK
7 Amonium Oxalat (Trombosit AO) Indoreagen 100 ml/ btl Botol 20748.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8 Aquabidest Steril Ikapharmindo 500 ml/btl Botol 30000.000 2.00 0.00 2.00 0.00 0.00 0.00 2.00 0.00 2.00 0.00 0.00 0.00 2.00 0.00
9 Asam Sulfosalisilat Indoreagen Botol/100ml Botol 273600.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 Asam Urat FS TBHBA DSI DSI 5 X 80 ml + 1 X 100 ml KIT 3960000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11 Asam Urat Greiner PT. Greiner 2 x 100 ml Botol 650000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12 Asam Urat NESCO NESCO 25 Test Strip / Botol Test Strip 5727.500 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
13 Asam Urat Rajawali PT. Rajawali Nusindo 4 x 100 ml Botol 510000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
14 Chemistry Control Level 1-Normal Biorad 20 Botol x 5 ml Botol 231000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
15 Cholesterol FS DSI DSI 5X25 ml + 1X3 ml std Botol 189400.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
16 Cholesterol Greiner PT. Greiner 4 x 100 ml Botol 435000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
17 Cholesterol NESCO NESCO 10 Test Strip / Botol Test Strip 27500.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
18 Cholesterol Rajawali PT. Rajawali Nusindo 4 x 100 ml Botol 570900.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
19 Cholesterol Test Strip Humasens PT. HUMAN 20 Test Strip / Box Test Strip 24631.820 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
20 Creatinin FS DSI DSI 4X20 ml + 1X20 ml +1X3 ml KIT 765600.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 Creatinin Rajawali PT. Rajawali Nusindo 2 x 100 ml KIT 800645.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 Creatinine Greiner PT. Greiner R1 1 x 100 ml, R2 1 x 100 ml KIT 710000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
23 Disposible Waastergren Assistant Pak @ 10 pcs PAK 48000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
24 Eosin 2 % Indoreagen Botol 100 ml Botol 176225.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
25 Extran Netral Indoreagen Botol 500 ml Botol 524333.333 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
26 Flasback Neddle 22G PT. BD 50 Pcs/Box PCS 2000.000 350.00 0.00 350.00 300.00 0.00 300.00 650.00 0.00 650.00 200.00 0.00 200.00 450.00 0.00
27 Giemsa Indoreagen Botol 100 ml Botol 356250.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
28 Glucose Greiner PT. Greiner 4 x 100 ml KIT .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
29 Glucose Test Strip Humasens PT. HUMAN 50 Test Strip / Box Test Strip 4541.820 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
30 Glukose GOD FS DSI DSI 5X25 ml + 1X3 ml std Botol 120338.400 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
31 Glukose Rajawali PT. Rajawali Nusindo 4 x 100 ml Botol 242612.500 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32 (Atlass) Atlass 4 x 10 ml SET .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
33 Topaz) PT. Rafa Topaz 5 x 10 ml KIT 354322.546 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
34 ( IgM/IgG ) PT. MULTI SARANA MEDI1 Set @ 4 Botol SET 219327.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
35 HCl 0.1 N (Indoreagen) Indoreagen 100 ml/btl Botol 19950.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
36 HCl 0.1 N (Jayamas) PT. Jayamas-Onemed 100 ml/btl Botol 10560.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
37 HDL Cholesterol ( Precipitant ) DSI DSI Botol 250 ml Botol 1470000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
38 Rajawali PT. Rajawali Nusindo 4 x 80 ml Botol 290400.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
39 HDL Cholesterol (Precipitant) Greiner PT. Greiner 2 x 100 ml Botol 465000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
40 Hemoglobin Drabkin Indoreagen Botol 500 ml Botol 38950.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41 Iodine Test 1% Pabrikan Botol 100 ml Botol 126000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
42 Kapiler Hematokrit 100 pcs/tube Tube 71750.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
LDL CHOLESTEROL 2G DIRECT
43 COMBO + CONTROL LDL BOULE - KIT 9360000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
44 Methanol Teknis p.a 100 ml Pabrikan Botol 100 ml Botol .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
45 Methanol Teknis p.a 100 ml Indoreagen Botol 100 ml Botol 362778.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
46 2 mL PT. Jayamas Medica 500 Pcs/Pack PAK 40572.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
47 Na. Sitrat 3.13% Indoreagen 100 ml/btl Botol 19475.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
48 Neddle Holder PT. BD 20 Pcs/Box PCS 1925.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
49 Pewarnaan Gram (Indoreagen) Indoreagen 3 x 100 ml KIT .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
50 Pewarnaan Gram (ST-Reagensia) ST-Reagensia 3 x 100 ml KIT 450000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
51 Plesterin Bulat PT. Jayamas-Onemed Box @ 200 pcs BOX 30800.000 0.00 0.00 0.00 4.00 0.00 4.00 4.00 0.00 4.00 1.00 0.00 1.00 3.00 0.00
52 Pot Feces (Spesimen Container) PT. Jayamas Medica Pcs PCS 1621.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 Pot Urine (Spesimen Container) PT. Jayamas Medica Pcs PCS 1344.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 SGOT FS DSI DSI 5 X 20 ml + 1 X 25 ml KIT 1127250.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
55 SGOT Greiner PT. Greiner R1 5 x 20 ml, R2 2 x 10 ml KIT 1200000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
56 SGOT RAJAWALI PT. Rajawali Nusindo 20 x 5 ml KIT 1506950.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
57 SGPT FS DSI DSI 5 X 20 ml + 1 X 25 ml KIT 1127250.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
58 SGPT Greiner PT. Greiner R1 5 x 20 ml, R2 2 x 10 ml KIT 1200000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
59 SGPT RAJAWALI PT. Rajawali Nusindo 20 x 5 ml KIT 1506950.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
60 Tabung Centrifuge Plastik 15 ml PT. Jayamas Medica PCS PCS 2024.400 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
61 Tabung EDTA K3 ( 3 ML ) ENDO PT. ENDO INDONESIA Pack / 100 Pcs PCS 870.000 0.00 0.00 0.00 200.00 0.00 200.00 200.00 0.00 200.00 50.00 0.00 50.00 150.00 0.00
Tabung EDTA K3 ( 3 ML ) ENDO
62 ( SOFT NEEDLE ) PT. ENDO INDONESIA PAK @ 100 PCS PCS 870.000 201.00 0.00 201.00 0.00 0.00 0.00 201.00 0.00 201.00 201.00 0.00 201.00 0.00 0.00
63 GONGDONG PT. SETIA ANUGRAH ME Pack / 100 Pcs PCS 1005.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

1
 STOK AWAL JUNI PENERIMAAN JUNI PERSEDIAAN JUNI PEMAKAIAN JUNI STOK AKHIR JUNI
64 Tabung NAMA
EDTA-K2/K3 (0.5 ml) PT. BD PABRIK / MERK 50 Pcs/BoxKEMASAN SATUAN
PCS HARGA
2920.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
NO. BAHAN KIMIA NAMA
TERKECIL SATUAN
65 Tabung EDTA-K2/K3 (2 ml) PT. BD 100 Pcs/Pack PCS 1889.711 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
66 Tabung EDTA-K3 (0.5 ml) Sunphoria 100 Pcs/Pack PCS .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Tabung Plain / SST With Gel 3-3,5 ml
67 Vacusera PT. Hospi Medik Indonesia 100 pcs / Pack PCS 1820.000 150.00 0.00 150.00 200.00 0.00 200.00 350.00 0.00 350.00 50.00 0.00 50.00 300.00 0.00
68 Tabung Plain/ SST with gel 3-3,5 ml PT. BD 100 Pcs/ Pack PCS 3290.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
69 Test Kehamilan (Fokus) PT. Fokus Diagnostic Indo 25 Test Strip/Box Test Strip 4300.000 37.00 0.00 37.00 0.00 0.00 0.00 37.00 0.00 37.00 4.00 0.00 4.00 33.00 0.00
70 Test Kehamilan (Jayamas-One Med) PT. Jayamas-Onemed 50 Test Strip / Box Test Strip .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
71 Test Kehamilan (Oncoprobe) Oncoprobe 50 Test Strip / Box Test Strip .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
72 Thypoid Tes (Widal)- 8 Parameter PT. Rafa Topaz 8 x 5 ml/ Pkt SET 523000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
73 Thypoid Tes (Widal)- 8 Parameter PT. MULTI SARANA MEDI8 x 5 ml/ Pkt KIT 552000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
74 Tip Biru PT. Jayamas Medica 500 Pcs/PAK PAK 43512.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
75 Tip Kuning PT. Jayamas Medica 1000 Pcs/Pak PAK 34398.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
76 Tip Putih PT. Jayamas Medica 1000 Pcs/Pak PAK 34398.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
77 Trigliserid Greiner PT. Greiner 4 x 100 ml Botol 755000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
78 Trigliserid Rajawali PT. Rajawali Nusindo 4 x 100 ml Botol 824050.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
79 Trigliserida FS DSI DSI 5X25 ml + 1X3 ml std Botol 326700.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
80 Trulab N (Kontrol Normal) DSI 6 x 5 ml Botol 850000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
81 Turk Indoreagen 100 ml/btl Botol 23750.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
82 Urea FS DSI DSI 4X20 ml + 1X20 ml +1X3 ml KIT 980080.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
83 Urea Greiner PT. Greiner R1a 1 x 100 ml, R1b 1 x 1.6 ml, RKIT 423000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
84 Urea Rajawali PT. Rajawali Nusindo 2 x 100 ml KIT 753450.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
85 Uric Acid Test Strip Humasens PT. HUMAN 25 Test Strip / Box Test Strip 24922.730 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
86 Urine Test Strip 10 Parameter Cybow 100 Strip/ Btl Botol .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
87 Urine Test Strip 3 Parameter Lokal 100 Strip/ Btl Botol 135200.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
88 Wax Hematokrit Pcs PCS .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
89 Wing Needle No. 21 ( BD ) PT. BD 50 pcs / Box PCS 7967.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
90 Wing Needle No. 21 (BD) PT. Anugrah Argon MedicaKotak/50 Pcs PCS 7967.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
HEPATITIS
91 HBsAg Strip PT. Fokus Diagnostic Indo 25 Strip / Box Test Strip 10547.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
92 HBsAg Strip SD - Bioline 100 Strip / Kotak Strip 10547.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
93 HBsAg Strip SD - Bioline 100 Strip / Kotak Strip .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
94 HBsAg Strip (Virocheck) PT. Indec Diagnostics 25 Strip / Box Test Strip 7940.000 90.00 0.00 90.00 50.00 0.00 50.00 140.00 0.00 140.00 20.00 0.00 20.00 120.00 0.00
95 HBsAg WB Strip SD - Bioline 100 Strip / Kotak Strip 7940.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
96 Kertas Lakmus PT. LITMUS Buku Buku 60000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
97 KOH 10% Indoreagen Botol 100 ml Botol 20900.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
98 Pedophilin Tincture Pabrikan Botol Botol 200000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
99 Bioline ) SD - Bioline Box @ 25 Test Strip Test Strip 450000.000 796.00 0.00 796.00 0.00 0.00 0.00 796.00 0.00 796.00 10.00 0.00 10.00 786.00 0.00
100 Rapid Tes HIV 1 ( Virocheck ) PT. Indec Diagnostics 25 Card Test / Box Card/Device 36379.200 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
101 Rapid Tes HIV 1 (Answer) Answer 40 Card-Device / Box Card/Device 11500.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
102 Rapid Tes HIV 1 (SD-BIOLINE) SD - Bioline Box Card/Device 11975.000 14.00 0.00 14.00 30.00 0.00 30.00 44.00 0.00 44.00 0.00 0.00 0.00 44.00 0.00
Rapid Tes HIV 1 3.0 ( SD Bioline ) @
103 30 Card/Device PT. Alere Health Box @ 30 Card/Device Card/Device 28666.670 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
104 Rapid Tes HIV 2 (FOKUS) PT. Fokus Diagnostic Indo Card-Device / Box Card/Device 13235.000 32.00 0.00 32.00 0.00 0.00 0.00 32.00 0.00 32.00 0.00 0.00 0.00 32.00 0.00
105 Rapid Tes HIV 2 (INTEC) INTEC 100 Card-Device / Box Card/Device 13005.941 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
106 Rapid Tes HIV 3 Biocare 25 Card-Device / Box Card/Device 12919.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
107 Rapid Tes HIV 3 (Biomerieux) Biomeriux - Vikia 25 Card-Device / Box Card/Device 12527.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
108 Rapid Tes Syphilis PT. Sali Polapa Bersama 20 Test/Kit Test 19495.048 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
109 Rapid Tes Syphilis SD - Biosensor Box Test 20400.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
110 Rapid Tes Syphilis PT. Fokus Diagnostic Indo 25 Test / Box Test 20400.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
111 Rapid Tes Syphilis ( RAPIDAN ) PT. CAKRA MEDIKA UTA BOX @ 50 TEST Test Strip 13900.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
112 Reagen CD4 Mobile PT. Alere Health Box Test 4370.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
113 Reaggen CD4 Control PT. Alere Health Box Test 158400.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
114 RPR Test PT. Sali Polapa Bersama 100 Test / Kit KIT 543290.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
115 RPR TEST (FOKUS) PT. Fokus Diagnostic Indo 100 Test / Kit KIT 412000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
BAHAN KIMIA DBD
116 Abate BASF 50 Sachet@10 gr / Box Sachet .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Bacillus Thuringiensi Var.Isra
117 Serotype H-14/BACTIVEC PT.Mahakam Beta Farma Botol 30 ml Botol 26173.121 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
118 d,d-Trans - Sifenotrin (GOKILATH) Sumitomo Chemical Botol 1 Liter Botol 600000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
119 Modular EAV RNA Extraction Control PT. TIB Molbiol 1 Pak PAK .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Rapid Tes DBD Dengue Duo ( NS1Ag
120 + Ab Combo ) SD - Bioline Box @ 25 Test Strip Test Strip 63800.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
121 Rapid Test Covid-19 Ag PT. Liming Bio 25 Test/Kotak Test 99937.148 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
REAGENT TB PARU
122 Box Slide PT. Jayamas Medica Box PCS 75436.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
123 Catrige (Gene Xpert) MTB/Rif PT. CEPHEID 50 Pcs/Box Paket 259175.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
124 Deck Glass/Cover Glass PT. Jayamas-Onemed 100 Pcs/Kotak Kotak 12574.390 0.00 0.00 0.00 2.00 0.00 2.00 2.00 0.00 2.00 0.00 0.00 0.00 2.00 0.00
125 Eter Alkohol Botol 100 ml Indoreagen 100 ml/Btl Botol 85000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
126 Immersion Oil Indoreagen 100 ml/btl Botol 367650.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
127 Object Glass/ Slide Kotak Kotak 20000.000 2.00 0.00 2.00 1.00 0.00 1.00 3.00 0.00 3.00 0.00 0.00 0.00 3.00 0.00
128 Pot Dahak Pcs PCS 2728.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
129 Pot Dahak Steril 200 Box/Pcs PCS 5890.000 200.00 0.00 200.00 0.00 0.00 0.00 200.00 0.00 200.00 0.00 0.00 0.00 200.00 0.00
130 Spiritus Botol 1 Liter Lokal 1 Ltr/ btl Botol 54000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
131 Tissue Lensa Kimtech Kotak Kotak 32010.870 1.00 0.00 1.00 3.00 0.00 3.00 4.00 0.00 4.00 0.00 0.00 0.00 4.00 0.00

2
 STOK AWAL JUNI PENERIMAAN JUNI PERSEDIAAN JUNI PEMAKAIAN JUNI STOK AKHIR JUNI
132 Xylol/ Xylene SATUAN HARGA
NO. NAMA100 ml/ BtlKIMIA
BAHAN NAMA PABRIK / MERK 100 ml/ btl KEMASAN Botol 135000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
TERKECIL SATUAN
133 Xylol/ Xylene 500 ml/ Btl PT. ST. REAGENSIA 500 ml/ Btl Botol 161000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
134 Ziehl Nielsen Indoreagen Set KIT 219143.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
REAGENT TAMBAHAN
135 Covid-19 PT. Genolution 1 Kit KIT 7725000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
136 Ad Plate PT. Roche Indonesia 1 KIT .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
137 AD-Plate 0,3 ml MWP & Seal Film 50 PT. Roche Indonesia 1 Pak PAK 8708000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
138 Backer Glass Pyrex uk 50 ml PCS 29235.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
139 Batang Pengaduk Lokal Pcs PCS 7544.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
140 Blood Lancet General Care 200 Pcs/Box BOX .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
141 Botol Semprot Lokal Pcs PCS 11317.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
142 Corong Kaca Diameter 10cm Lokal Pcs PCS 27500.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
143 DBS Collection PT. Labmate - KIT .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
144 DNA/RNA Extraction Kit PT. Intron Biotechnology 100 Pcs/Kotak PCS 80000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
145 Gelas Ukur 100ml Pyrex Uk 100 ml PCS 27000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
146 Karet Penghisap Lokal - PCS 107000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
147 Kartu Golongan Darah PT. MULTI SARANA MEDIPak @100 lembar PAK .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
148 Lampu Spirtus/Bunsen Lokal Pcs PCS 36309.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
149 Master PT. Roche Indonesia 1 Botol Botol 4730000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
150 530 PT. TIB Molbiol 1 Pak PAK 5720000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
151 530 PT. TIB Molbiol 1 Pak PAK 5720000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
MiREXES Fortitude Kit Covid-19
152 Realtime RT-PCR Test (200) Qiagen 1 Kit KIT 72263906.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
153 Modular EAV RNA Extraction Control PT. TIB Molbiol 1 Pak PAK 4290000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
154 Ose Bulat Lokal Pcs PCS 4500.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
155 Penjepit Tabung Lokal Pcs PCS 4000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
156 Pipet Skala 10 ml Pyrex Pcs PCS 43382.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
157 Pipet Tips Filter 96 Tips/ Rack 200 ui PT. Inti Mitra Sejahtera - PAK 450000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
158 Plat Widal PT. MULTI SARANA MEDIPcs PCS .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
159 QIAamp Viral RNA Mini Kit (250) Qiagen 1 Kit KIT 39026900.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
160 Rak Pewarnaan Akrilik Lokal Box PCS 179187.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
161 Rak Tabung Kaca Lokal Pcs PCS 78250.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
162 Rapid Tes HIV 3 Triline PT. Intec 40 Card Test / Box Card Test 13000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
163 Rapid Tes Syphilis (Trepo Check) PT. Indec Diagnostics 25 Test/Box Test 9500.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
164 RDT COVID-19 SD - Biosensor Box Test 97102.429 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
165 Reagen CD4 Control PT. Alere Health 1 Test 660000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
166 Reagen PCR Merk Liferiver PT. Shanghai ZJ Bio-Tech 25 Test/Box Test .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
167 nCoV) PT. Sansure Biotech 1 Kotak 8400000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
168 Real-Q 2019 n-Cov Detection Kit PT. Biosewoom - KIT 21000000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
169 Real-Time RT-PCR Kit PT. Lilif Diagnostics 50 Pcs/Kotak PCS 180000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
170 Sikat Tabung Lokal Pcs PCS 4500.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
171 Swab Double (Covid-19) PT. Han-Chang - PCS .000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
172 Swab Nasofaring (Covid-19) PT. Ningbo Ez Medical Pcs PCS 11000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
173 Swab Oropharynx (Covid-19) PT. Ningbo Ez Medical Pcs PCS 13897.321 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
174 Tabung Reaksi 4ml Pyrex - PCS 4200.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
175 Tabung Reaksi 7ml Pyrex Pcs PCS 8500.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
176 Tong Spatel PT. Jayamas-Onemed 100 Pcs/Kotak PCS 14850.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
177 Touriniquet Lokal Pcs PCS 13500.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Universal Tips 10 uL, 960 tips in 10
racks, presterilized, filter, RT-10F
178 (RT-UNV-A-10uL-/960/10) PT. Eppendorf 1 Kit KIT 3179000.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Universal Tips 100 uL, 960 tips in 10
racks, presterilized, filter, RT-100F
179 (RT-UNV-A-100uL-/960/10) PT. Eppendorf 1 Kit KIT 3085500.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Universal Tips 1000 uL, 960 tips in 8
racks, presterilized, filter, RT-1000F
180 (RT-UNV-A-1000uL-/760/10) Qiagen 1 Kit KIT 2655400.000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
181 Viral Transport Medium (VTM) PT. Human Run Mei Pcs PCS 15990.608 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
JUMLAH 1910.00 0.00 1910.00 792.00 0.00 792.00 2702.00 0.00 2702.00 544.00 0.00 544.00 2158.00 0.00

KOTA TANGERANG, 30 Juni 2021

Mengetahui / Menyetujui, Mengetahui / Menerima, Mengetahui / Menyerahkan, Mengetahui, Yang Membuat,

Kepala Dinas Kesehatan Kepala UPT Instalasi Farmasi Kepala PUSKESMAS PANUNGGANGAN Pengurus Barang Pembantu Pengelola Bahan Kimia

dr. Hj. Liza Puspadewi, M. Kes Ratna Sumirat, S.Si, M.Farm, Apt dr.Hj. Yumelda Ismawir Fadli Fadilah,AMF Yaya Jaya
NIP. 196107131989112001 NIP. 197805101997022001 NIP. 197503232006042023 NIP. 198109172009011003 NIP. 198901122011011001

3
STOK AKHIR JUNI TOTAL
HARGA
TOTAL STOK KET
STOK
AKHIR AKHIR (Rp)
21 (15-18) 22 (6*21) 23

0.00 0.00
20.00 2600000.00
0.00 0.00
0.00 0.00
0.00 0.00
9.00 0.00

0.00 0.00
2.00 60000.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
450.00 900000.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00

0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
3.00 92400.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
150.00 130500.00

0.00 0.00
0.00 0.00

4
STOK AKHIR JUNI TOTAL
0.00 HARGA 0.00 KET
STOK
0.00 0.00
AKHIR (Rp)
0.00 0.00

300.00 546000.00
0.00 0.00
33.00 141900.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00

0.00 0.00
0.00 0.00
0.00 0.00
120.00 952800.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
786.00 ###
0.00 0.00
0.00 0.00
44.00 526900.00

0.00 0.00
32.00 423520.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00

0.00 0.00

0.00 0.00
0.00 0.00
0.00 0.00

0.00 0.00
0.00 0.00

0.00 0.00
0.00 0.00
2.00 25148.78
0.00 0.00
0.00 0.00
3.00 60000.00
0.00 0.00
200.00 1178000.00
0.00 0.00
4.00 128043.48

5
STOK AKHIR JUNI TOTAL
0.00 HARGA 0.00 KET
STOK
0.00 0.00
AKHIR (Rp)
0.00 0.00

0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00

0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00

0.00 0.00

0.00 0.00

0.00 0.00
0.00 0.00
2158.00 ###