Professional Documents
Culture Documents
Form Laporan Simsedia
Form Laporan Simsedia
UPTD. ….................................................
PERIODE : 01 Januari S/D 31 Desember 2019
PERSEDIAAN MASUK
Kode Belanja / Kode
Uraian / Nama Persediaan
Kegiatan
Harga / Satuan
Satuan Jumlah ( Rp )
( Rp )
2 3 4 5 6
A. PERSEDIAAN BARANG HABIS PAKAI (BHP) :
5 . 2 . 2 . 01 . 01 BELANJA ALAT TULIS KANTOR :
JKN Lakban kain 3 Rol 15,000.00 45,000.00
Ujung pandaran Lakban Kain 1 Rol 13,000.00 13,000.00
Isi Cutter 1 Bh 6,500.00 6,500.00
Siku Buku 2 Bks 12,000.00 24,000.00
Siku Buku 2 Bks 12,000.00 24,000.00
Lagban Kain 2 Bh 10,000.00 20,000.00
Butallo Warna 4 Lmbr 24,000.00 96,000.00
Butallo Putih 2 Lmbr 22,000.00 44,000.00
Sampul buku clv 1 Pak 7,500.00 7,500.00
Zipper Pocket Resleting a5 Paris 1 Bh 8,250.00 8,250.00
Mistar Besi 30 cm yoeker 1 Bh 2,750.00 2,750.00
Buku Folio Paperline 5 Bh 9,750.00 48,750.00
Pen Kenko Eraso 2 Bh 8,000.00 16,000.00
Pen Kenko ke-16 2 Bh 2,750.00 5,500.00
Bufallo Folio pop 1 1 Pak 22,000.00 22,000.00
Bufallo Folio kingco 4 Pak 27,500.00 110,000.00
Fotocopy 250 Lmbr 166.00 41,500.00
Amplop Samson Pop 1a 2 Bh 14,000.00 28,000.00
Isolasi nachi 1/2x25 1 Bh 9,750.00 9,750.00
Map Plastik interx folder sfx 100f snell 4 Bh 7,000.00 28,000.00
Isolasi disoenser kenjoy no.25 1 Bh 5,500.00 5,500.00
Matte Sticker Eprint 1 Bks 37,000.00 37,000.00
Amplop plastik interfolder dbx 100f kancing 1 2 Lusin 38,500.00 77,000.00
Pen gadjahmada gm01fi aero 5 Lusin 8,000.00 40,000.00
Amplop plastik d'players kancing 1 transparant 3 Pak 30,000.00 90,000.00
Kfc sd 70 gr folio 2 Box 230,000.00 460,000.00
Amplop ppl 104 aps 2 Ktk 15,000.00 30,000.00
Stapler sico sc-10 6 Bh 8,000.00 48,000.00
Map busines file borneo 1 Lusin 27,500.00 27,500.00
Map busines file borneo 10 Bh 3,000.00 30,000.00
Bufallo Folio kingco 2 Pak 29,000.00 58,000.00
Isolasi double tape kingco foam 40mm 1 Bh 15,000.00 15,000.00
Box file funny motif bunga 5 Bh 12,000.00 60,000.00
Kotak pensil magnet xinpinmei 1 Bh 37,500.00 37,500.00
Map kancing plastik 15 Bh 22,000.00 330,000.00
Tip x kertas 1 Bh 60,000.00 60,000.00
Amplop plastik micro star kancing 1 2 Bh 28,000.00 56,000.00
Amplop plastik borneo kancing 1 9 Bh 2,750.00 24,750.00
Amplop plastik micro star kancing 1 10 Bh 3,000.00 30,000.00
Plastik laminating sakurai folio 100 micron 1 Pak 105,000.00 105,000.00
Bc folio olean city 150gr 2 Pak 24,500.00 49,000.00
Box file 30 Biji 1,500.00 45,000.00
Map plastik 3 Pak 22,000.00 66,000.00
Bufalo putih 3 Pak 22,000.00 66,000.00
Staples 2 Bh 15,000.00 30,000.00
Map batik 5 Bh 4,000.00 20,000.00
Spidol permanen 2 Bh 8,000.00 16,000.00
Binder clip 3 Kertas 3,000.00 9,000.00
Data print 1 Kertas 30,000.00 30,000.00
Tumbang Sangai Isi ulang gula darah easy touch 1 Pcs 120,000.00 120,000.00
JKN Isi ulang asam urat easy easy touch 1 Pcs 120,000.00 120,000.00
Isi ulang kolestrol easy touch 1 Pcs 190,000.00 190,000.00
Spekutum uk. M 22 Pcs 15,910.00 350,020.00
Spekutum uk. L 18 Pcs 15,910.00 286,380.00
Kuala Kuayan Nasal oxygen canula dewasa nousmed 10 Pcs 16,800.00 168,000.00
JKN Nasal oxygen canula dewasa onemed 42 Pcs 16,800.00 705,600.00
Nasal canula dewasa 28 Pcs 16,800.00 470,400.00
Paisturi no.13 2 Box 106,000.00 212,000.00
Under pad 5 Pak 52,500.00 262,500.00
Et. Gula 40 Pcs 113,000.00 4,520,000.00
Et. Ua 40 Pcs 128,500.00 5,140,000.00
Et. Kolestrol 25 Pcs 207,400.00 5,185,000.00
Vagion (spekulum) 200 Pcs 13,400.00 2,680,000.00
- - -
Labkesda Cholinesterase 2 Bh 2,074,475.00 4,148,950.00
APBD Cholinesterase 1 Bh 2,298,950.00 2,298,950.00
Microtainer EDTA 15 Box 247,631.00 3,714,465.00
Vaculab citrat 2 Box 143,000.00 286,000.00
Kartu golongan 5 Box 22,757.00 113,785.00
Needle flasback 3 Box 121,000.00 363,000.00
Parafilm 1 Pcs 701,250.00 701,250.00
Rak test tube 3 Pcs 119,543.00 358,629.00
Vacuette visio plus needle 5 Pcs 324,000.00 1,620,000.00
VAC 1 ML 10 Pcs 137,170.00 1,371,700.00
VAC 5 ML 20 Pcs 107,800.00 2,156,000.00
Vacuettte tourniquet 6 Pcs 194,000.00 1,164,000.00
Vacuettte tourniquet 3 Pcs 194,000.00 582,000.00
Sulfuric acid 5 Pcs 600,000.00 3,000,000.00
Hydrochloric acid 3 Pcs 600,000.00 1,800,000.00
Pajak 10% 1 - 480,000.00 480,000.00
- - -
Needle terumo 1 Ktk 90,000.00 90,000.00
Needle terumo 1 Pcs 90,000.00 90,000.00
Hypafix 12 Pcs 67,500.00 810,000.00
- - -
Bapnang Easy touch cholestrol 6 Btl 200,050.00 1,200,300.00
JKN Easy touch glucosa 6 Btl 90,000.00 540,000.00
Handscoon uk m 2 Box 42,000.00 84,000.00
Handscoon uk l 2 Box 42,000.00 84,000.00
Clamp tali pusat 50 Pcs 1,500.00 75,000.00
Aseptan 100 Btl 39,710.00 3,971,000.00
Ultrasonic gel onemed 5 Btl 20,000.00 100,000.00
Easytouch strip 1 Pcs 200,000.00 200,000.00
Vagion 25 Pcs 12,000.00 300,000.00
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5 . 2 . 2 . 01 . 16 BELANJA BAHAN PAKAI HABIS PERLENGKAPAN KOMPUTER dan PRINTER-LRA -
- - -
- - -
-
B. PERSEDIAAN BAHAN / MATERIAL : -
5 . 2 . 2 . 02 . 01 BELANJA BAHAN BAKU BANGUNAN -
- - -
- - -
5 . 2 . 2 . 02 . 02 BELANJA BAHAN / BIBIT TANAMAN -
- - -
- - -
5 . 2 . 2 . 02 . 04 BELANJA BAHAN BAKU OBAT-OBATAN -
Pasir Putih Vitamin c 23 Box 14,000.00 322,000.00
JKN Pyrantel 1 Box 44,000.00 44,000.00
Domperidone 3 Box 32,000.00 96,000.00
Gemfibrozil 3 Box 52,000.00 156,000.00
Methylpredrusolone 5 Box 35,000.00 175,000.00
Laxana 2 Stp 3,000.00 6,000.00
Domperodone 2 Box 32,000.00 64,000.00
Methylpredrusolone 3 Box 35,000.00 105,000.00
Glyceryl guaiacolate 40 Box 12,000.00 480,000.00
Vitamin c 4 Box 14,000.00 56,000.00
Demperidone 1 Box 32,000.00 32,000.00
Laxana 4 Strip 3,000.00 12,000.00
Propylthiouracil 3 Box 51,000.00 153,000.00
Ethylchloride spray 1 Bh 210,000.00 210,000.00
- - -
Sebabi Asam mefenamat 4 Box 33,000.00 132,000.00
JKN Lecozing syr 20 Btl 6,600.00 132,000.00
Lerzin syr 20 Btl 5,500.00 110,000.00
Lostacef 250 ds 20 Btl 11,500.00 230,000.00
Ondansetron 6 Box 60,000.00 360,000.00
Ranitidin 6 Box 28,000.00 168,000.00
Rhemafar 3 Box 45,000.00 135,000.00
Reverton 20 Btl 4,000.00 80,000.00
Valisanbe 10 Strip 20,000.00 200,000.00
Ventolin nebu 1 Box 389,000.00 389,000.00
Ventolin 1 Box 220,000.00 220,000.00
Ondansentron 5 Box 40,000.00 200,000.00
Ventolin nebu 1 Box 220,000.00 220,000.00
Ethyl clovide 2 Btl 180,000.00 360,000.00
Pehacain inj 1 Box 70,000.00 70,000.00
Ventolin nebu 1 Box 228,500.00 228,500.00
Ondansentron 5 Box 50,000.00 250,000.00
Premaston 2 Box 46,500.00 93,000.00
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Parenggean 2 Primacol 42 Bh 12,000.00 504,000.00
JKN Hufadon 2 Bh 20,000.00 40,000.00
Ranitidin 3 Bh 30,000.00 90,000.00
Ranitidin 2 Bh 30,000.00 60,000.00
Lerzin 10 Box 30,000.00 300,000.00
Primacol 42 Bh 12,000.00 504,000.00
` 2 Bh 20,000.00 40,000.00
Ranitidin 3 Bh 30,000.00 90,000.00
Ranitidin 2 Bh 30,000.00 60,000.00
Lerzin 10 Box 30,000.00 300,000.00
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Baamang 2 Ambroxol sy 69 Btl 5,017.49 346,207.00
JKN Catrimoxazde 100 Btl 8,362.50 836,250.00
Dexametason 60 Box 26,760.00 1,605,600.00
Antasida doen tag 50 Box 16,725.00 836,250.00
Novadian susp 60 ml 100 Btl 5,017.00 501,700.00
Lecozine syr 50 Btl 10,035.00 501,750.00
Metformin 500 20 Box 25,645.00 512,900.00
Paracetamol sg 100 Btl 3,902.50 390,250.00
Methylpred nison 4 mg 15 Box 54,077.50 811,162.50
Nytatin 2 Box 157,772.50 315,545.00
Ondan setron 10 Box 36,237.50 362,375.00
Ventolin nebur 1 Box 254,780.00 254,780.00
Omezolan sirup 50 Bh 7,247.00 362,350.00
Vesperum tablet 5 Box 27,875.00 139,375.00
Anolat 30 Box 22,300.00 669,000.00
Posaba 60 Bh 7,805.00 468,300.00
Parafersa sirup 40 Bh 7,805.00 312,200.00
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Mentaya Sebrang Pisau bedah no.11 1 Pak 100,000.00 100,000.00
JKN Under pad 5 Pak 50,000.00 250,000.00
Kertas puyer 10 Pak 25,000.00 250,000.00
Obh sirup 100 Bh 5,500.00 550,000.00
Chlorpremazine 100 mg 10 Box 35,000.00 350,000.00
Thriheksiprinidil 2 mg 5 Box 30,000.00 150,000.00
Haloperidol 5 mg 5 Box 40,000.00 200,000.00
Amitriptilline 25 mg 3 Box 25,000.00 75,000.00
Chlorpromazine 100 mg 1 Bh 35,000.00 35,000.00
Obat batuk chlorocol 100 Btl 5,500.00 550,000.00
Zink pro sirup 20 Btl 52,808.35 1,056,167.00
Zink pro drop 7 Btl 37,000.00 259,000.00
Lecozine syr 30 Btl 7,500.00 225,000.00
Neo kaominal 20 Btl 6,000.00 120,000.00
Novadiar 30 Btl 5,000.00 150,000.00
Rosidon 27 Btl 5,000.00 135,000.00
GG 10 Box 15,000.00 150,000.00
Chlorocol syr 36 Btl 5,500.00 198,000.00
Neo kaominal 50 Btl 6,000.00 300,000.00
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PUNDU Ethylchloride 5 Klg 180,000.00 900,000.00
JKN Hufadon syrup 60 Btl 5,250.00 315,000.00
Nexitra 5 Box 77,500.00 387,500.00
Ventolin nebur 3 Box 228,500.00 685,500.00
Otsu mgso4 10 Bh 11,500.00 115,000.00
Dumin supra 4 Box 86,000.00 344,000.00
Domper done tab 10 mg 10 Box 24,000.00 240,000.00
Furosemide 5 Box 28,000.00 140,000.00
Methylpred nison 4 mg 5 Box 50,000.00 250,000.00
Bedak salicyl gajah 50 Box 6,000.00 300,000.00
Haloperidol 5 mg 5 Box 58,500.00 292,500.00
Bentamisin 4 Box 41,000.00 164,000.00
Zing 5 Box 74,500.00 372,500.00
Chlorpromazine 5 Box 60,000.00 300,000.00
Erlamycetin 50 Box 9,000.00 450,000.00
Gemfibrozil 10 Box 75,000.00 750,000.00
Gemfibrozil 5 Box 73,000.00 365,000.00
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5 . 2 . 2 . 02 . 05 BELANJA BAHAN KIMIA dan PUPUK -
Kota besi Kimia pembersih tanaman 4 Bh 63,750.00 255,000.00
APBD Round up 1 liter 1 Bh 85,000.00 85,000.00
Gompur 1/2 liter 1 Bh 40,000.00 40,000.00
Round up 1 liter 1 Bh 85,000.00 85,000.00
Gompur 1/2 liter 1 Bh 40,000.00 40,000.00
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Parenggean EDTA 10% green 100 cc 2 Boe 163,000.00 326,000.00
APBD Salmonella parathypi AO, Glory 3 Botol 159,500.00 478,500.00
Salmonella parathypi H, glory 3 Botol 159,500.00 478,500.00
Salmonella parathypi BO glory 3 Botol 159,500.00 478,500.00
PPN 10 % 1 - 176,150.00 176,150.00
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Samuda Pupuk 6 Bh 68,000.00 408,000.00
APBD Roundaf 7 Bh 80,000.00 560,000.00
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C. PERSEDIAAN SELAIN KODE TERSEBUT DIATAS : -
5 . 2 . 2 . 05 . 03 BELANJA BAHAN BAKAR MINYAK / GAS dan PELUMAS -
Baamang 1 Ganti oli toyota 5 Liter 79,000.00 395,000.00
APBD Pertalite 19 Liter 7,850.00 150,000.00
Pertalite 35 Liter 7,850.00 272,700.00
Pertalite 18 Liter 7,850.00 142,300.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 38 Liter 7,850.00 300,000.00
Pertalite 19 Liter 7,850.00 150,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertalite 32 Liter 7,850.00 250,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 6 Liter 7,850.00 50,000.00
Pertalite 19 Liter 7,850.00 150,000.00
Pertalite 7 Liter 7,850.00 54,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 25 Liter 8,000.00 200,000.00
Pertamax 14 Liter 10,400.00 150,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 6 Liter 7,850.00 50,000.00
Pertalite 6 Liter 7,850.00 50,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertalite 25 Liter 7,850.00 200,000.00
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Baamang 2 Oli sgo 1 Galon 280,000.00 280,000.00
JKN M. Bensin 10 Liter 10,000.00 100,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Oli sgu 1 Galon 280,000.00 280,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 6 Liter 7,850.00 50,000.00
Bensin 10 Liter 10,000.00 100,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertamax 10 Liter 10,050.00 100,000.00
Pertalite 19 Liter 7,850.00 150,000.00
Bensin genset 10 Liter 10,000.00 100,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Premium 31 Liter 6,450.00 200,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertalite 19 Liter 7,850.00 150,000.00
Pertalite 13 Liter 7,850.00 100,166.00
Pertamax 10 Liter 10,050.00 100,000.00
Pertalite 19 Liter 7,850.00 150,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Bensin 15 Liter 10,000.00 150,000.00
Pertalite 20 Liter 10,050.00 200,000.00
Pertalite 38 Liter 7,850.00 300,027.00
Pertalite 13 Liter 7,850.00 100,000.00
Oli prima xp 4 Liter 75,000.00 300,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Bensin 10 Liter 10,000.00 100,000.00
Bensin 10 Liter 10,000.00 100,000.00
Bensin 5 Liter 10,000.00 50,000.00
Pertalite 25 Liter 7,850.00 200,018.00
Pertalite 25 Liter 7,850.00 200,018.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 38 Liter 7,850.00 300,035.00
Pertalite 20 Liter 10,000.00 200,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Bensin 5 Liter 10,000.00 50,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Bensin 10 Liter 10,000.00 100,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Bensin 5 Liter 10,000.00 50,000.00
Pertalite 13 Liter 7,850.00 100,000.00
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Sebabi evalube 1 Liter 20,000.00 20,000.00
APBD Oli deltalube 4 Liter 65,000.00 260,000.00
Filter oli apv 1 Liter 45,000.00 45,000.00
Deltalube 757 4 Liter 70,000.00 280,000.00
Deltalube 590 3 Liter 100,000.00 300,000.00
Deltalube 5.140 3 Liter 100,000.00 300,000.00
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Parenggean 1 BBM 10 Liter 12,000.00 120,000.00
APBD BBM 10 Liter 12,000.00 120,000.00
BBM 20 Liter 12,000.00 240,000.00
BBM 10 Liter 12,000.00 120,000.00
BBM 10 Liter 12,000.00 120,000.00
BBM 10 Liter 12,000.00 120,000.00
BBM 10 Liter 12,000.00 120,000.00
BBM 10 Liter 12,000.00 120,000.00
BBM 20 Liter 12,000.00 240,000.00
BBM 10 Liter 12,000.00 120,000.00
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Parenggean 2 Ganti oli 3 Liter 83,333.33 250,000.00
APBD Ganti filter oli 1 Bh 50,000.00 50,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertamax 20 Liter 10,050.00 200,000.00
Pertamax 17 Liter 12,000.00 200,000.00
Pertamax 17 Liter 12,000.00 200,000.00
Pertamax 17 Liter 12,000.00 200,000.00
BBM 17 Liter 12,000.00 200,000.00
Pertamax 17 Liter 12,000.00 200,000.00
Pertamax 17 Liter 12,000.00 200,000.00
Pertamax 17 Liter 12,000.00 200,000.00
Pertamax 17 Liter 12,000.00 200,000.00
Pertamax 13 Liter 12,000.00 150,000.00
Pertamax 13 Liter 12,000.00 150,000.00
Pertamax 17 Liter 12,000.00 200,000.00
Pertamax 17 Liter 12,000.00 200,000.00
Pertamax 17 Liter 12,000.00 200,000.00
Pertamax 17 Liter 12,000.00 200,000.00
Pertamax 17 Liter 12,000.00 200,000.00
Pertamax 17 Liter 12,000.00 200,000.00
Pertamax 13 Liter 12,000.00 150,000.00
Pertamax 13 Liter 12,000.00 150,000.00
Pertamax 8 Liter 12,000.00 100,000.00
Pertamax 8 Liter 12,000.00 100,000.00
Pertamax 8 Liter 12,000.00 100,000.00
Pertamax 8 Liter 12,000.00 100,000.00
Pertamax 13 Liter 12,000.00 150,000.00
Pertamax 13 Liter 12,000.00 150,000.00
Pertamax 17 Liter 12,000.00 200,000.00
Pertamax 25 Liter 12,000.00 300,000.00
Pertamax 25 Liter 12,000.00 300,000.00
Pertamax 25 Liter 12,000.00 300,000.00
Pertamax 8 Liter 12,000.00 100,000.00
Pertamax 15 Liter 12,000.00 179,000.00
Pertamax 13 Liter 12,000.00 150,000.00
Pertamax 13 Liter 12,000.00 150,000.00
Pertamax 17 Liter 12,000.00 200,000.00
Pertamax 17 Liter 12,000.00 200,000.00
Pertamax 17 Liter 12,000.00 200,000.00
Pertamax 17 Liter 12,000.00 200,000.00
Pertamax 13 Liter 12,000.00 150,000.00
Pertamax 8 Liter 12,000.00 100,000.00
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Rs Parenggean Prima xp 4 Liter 37,500.00 150,000.00
APBD Filter oli 1 Bh 60,000.00 60,000.00
Wiper 2 Bh 67,500.00 135,000.00
Angin nitrogen 2 Bh 20,000.00 40,000.00
Prima xp 4 Bh 37,500.00 150,000.00
Filtr oli 1 Bh 85,000.00 85,000.00
Oli prima xp 4 Liter 43,750.00 175,000.00
Filter oli 1 Bh 60,000.00 60,000.00
Oli prima xp 4 Liter 37,500.00 150,000.00
Filter oli 1 Bh 60,000.00 60,000.00
Angin nitrogen 4 Bh 20,000.00 80,000.00
B. Ban 2 Bh 35,000.00 70,000.00
Prima xp 4 Liter 43,750.00 175,000.00
Filter oli 1 Bh 60,000.00 60,000.00
Oli prima xp 4 Bh 56,250.00 225,000.00
Filter oli 1 Bh 60,000.00 60,000.00
Ganti angin 5 Ban 5,000.00 25,000.00
Semprot injeksi 1 Bh 20,000.00 20,000.00
Prima xp 4 Liter 43,750.00 175,000.00
Filter oli 1 Bh 60,000.00 60,000.00
Oli prima xp 4 Bh 56,250.00 225,000.00
Filter oli 1 Bh 60,000.00 60,000.00
Ganti angin 5 Ban 5,000.00 25,000.00
Semprot injeksi 1 Bh 20,000.00 20,000.00
Oli prima xp 4 Liter 37,500.00 150,000.00
Olil apv 1 Bh 155,000.00 155,000.00
Ganti angin nitrogen 4 Bh 20,000.00 80,000.00
Balik ban 2 Bh 20,000.00 40,000.00
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Pasir Putih Pertalite 6 liter 7,850.00 50,005.00
APBD Solar 19 liter 5,150.00 100,000.00
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Ketapang 1 Pertalite 25 Liter 7,850.00 200,000.00
JKN Pertamax 20 Liter 10,050.00 200,000.00
Pertamax 35 Liter 10,050.00 350,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertamax 30 Liter 10,050.00 300,000.00
Pertamax 30 Liter 10,050.00 300,000.00
Pertamax 20 Liter 10,050.00 200,000.00
Petalite 25 Liter 7,850.00 200,000.00
Petalite 19 Liter 7,850.00 150,000.00
Petalite 19 Liter 7,850.00 150,000.00
Petalite 38 Liter 7,850.00 300,106.00
Petalite 13 Liter 7,850.00 100,000.00
Petalite 13 Liter 7,850.00 100,000.00
Pertamax 30 Liter 10,050.00 300,000.00
Petalite 13 Liter 7,850.00 100,000.00
Petalite 10 Liter 7,850.00 81,012.00
Petalite 25 Liter 7,850.00 200,000.00
Pertamax 20 Liter 10,050.00 200,096.00
Pertamax 20 Liter 10,050.00 200,000.00
Pertamax 25 Liter 10,050.00 250,000.00
Pertamax 10 Liter 10,050.00 100,000.00
Premium 37 Liter 6,450.00 240,050.00
Petalite 34 Liter 7,850.00 265,095.00
Pertamax 20 Liter 10,050.00 200,000.00
Pertamax 15 Liter 10,050.00 150,000.00
Petalite 38 Liter 7,850.00 300,184.00
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Ketapang 2 Jumbo jtx 15-50 4 Liter 55,000.00 220,000.00
JKN Filter oli suzuki 1 liter 80,000.00 80,000.00
Petalite 6 liter 7,850.00 50,000.00
Petalite 25 liter 7,850.00 200,000.00
Pertamax 15 liter 10,050.00 150,000.00
Pertalite 25 liter 7,850.00 200,000.00
Delite 10 liter 10,100.00 100,000.00
Premium 16 liter 6,450.00 100,000.00
Pertalite 13 liter 7,850.00 100,000.00
Pertalite 13 liter 7,850.00 100,000.00
Pertalite 13 liter 7,850.00 100,000.00
Pertalite 13 liter 7,850.00 100,088.00
Pertalite 25 liter 7,850.00 200,000.00
Pertalite 25 liter 7,850.00 200,000.00
Pertalite 25 liter 7,850.00 200,000.00
Pertalite 25 liter 7,850.00 200,000.00
Solar 19 liter 5,150.00 100,000.00
Jumbo jtx 4 Liter 43,750.00 175,000.00
Pertalite 6 Liter 7,850.00 50,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 6 Liter 7,850.00 50,000.00
Pertalite 13 Liter 7,850.00 100,000.00
Pertalite 19 Liter 7,850.00 150,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Solar 19 Liter 5,150.00 100,000.00
Solar 31 Liter 5,150.00 160,000.00
Dexlite 4 Liter 10,400.00 40,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 25 Liter 7,850.00 200,000.00
Pertalite 32 Liter 7,850.00 250,000.00
Pertalite 32 Liter 7,850.00 250,000.00
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5 . 2 . 2 . 14 . 06 BELANJA PAKAIAN SERAGAM HITAM PUTIH -
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5 . 2 . 2 . 28 . 01 BELANJA PERALATAN / PERLENKAPAN KANTOR NON KAPITASI : -
Pasir Putih Tong cabut gigi dewasa no.1 1 Bh 350,000.00 350,000.00
JKN Tong cabut gigi dewasa no.79 1 Bh 350,000.00 350,000.00
Tong cabut gigi dewasa no. 18 1 Bh 350,000.00 350,000.00
Tong cabut gigi dewasa no. 30 1 Bh 350,000.00 350,000.00
Tong cabut gigi dewasa no.17 1 Bh 350,000.00 350,000.00
Tong cabut gigi dewasa no. 7 1 Bh 350,000.00 350,000.00
Tong cabut gigi dewasa no.22 1 Bh 350,000.00 350,000.00
Tong cabut gigi dewasa no. 31 1 Bh 350,000.00 350,000.00
Tong cabut gigi dewasa no. 13 1 Bh 350,000.00 350,000.00
Tong cabut gigi dewasa no. 51 1 Bh 350,000.00 350,000.00
Tong gigi anak anterior 1 Bh 666,666.00 666,666.00
Tong gigi anak premolar atas 1 Bh 666,666.00 666,666.00
Tong gigi anak premolar bawah 1 Bh 666,667.00 666,667.00
Tong gigi anak molar atas 1 Bh 666,667.00 666,667.00
Tong gigi anak molar bawah 1 Bh 666,667.00 666,667.00
Tong gigi anak radik 1 Bh 666,667.00 666,667.00
Gorden L:1.98 T:1,97 1 Bh 1,365,000.00 1,365,000.00
Goeden L:21 M 1 Bh 4,200,000.00 4,200,000.00
Bapinang Pengukur suhu 2 Bh 130,000.00 260,000.00
JKN Baterai 1 Set 5,000.00 5,000.00
Timbangan badan br2016 onemed 4 Pcs 85,000.00 340,000.00
Thermometer digital 1 Pcs 35,000.00 35,000.00
Thermometer mc-245 1 Pcs 45,000.00 45,000.00
Medune kupu-kupu 1 Pcs 3,500.00 3,500.00
Cempaka Mulia Horden polos 20 Pcs 35,000.00 700,000.00
JKN Rh klining motif 1 Pcs 852,000.00 852,000.00
Selimut lureng 5 Pcs 85,000.00 425,000.00
Sprei bonita no.1 2 Pcs 140,000.00 280,000.00
Pipa mp 1 4 Pcs 92,000.00 368,000.00
Pipa mp 2 2 Pcs 186,000.00 372,000.00
Ring 1 8 Pcs 3,000.00 24,000.00
Ring 2 4 Pcs 4,500.00 18,000.00
Elbow 2 4 Pcs 17,000.00 68,000.00
Apar 1 Pcs 600,000.00 600,000.00
Besi 4 meter 1 Pcs 100,000.00 100,000.00
Kaki 2 1 Pcs 25,000.00 25,000.00
Cincin 2 bungkus 2 Bungkus 25,000.00 50,000.00
Kawat 100 Biji 250.00 25,000.00
Kain butek 40 1 Pcs 920,000.00 920,000.00
Upah jahit horden 1 Pcs 370,000.00 370,000.00
Tensi abn 1 Bh 420,000.00 420,000.00
Tensi android 1 Bh 210,000.00 210,000.00
Kasur merek diamont 1 Bh 1,850,000.00 1,850,000.00
Kain sprei 40 Bh 55,000.00 2,200,000.00
Karet 1 Rol 250,000.00 250,000.00
Ls box liv 2 Bh 11,500.00 23,000.00
Tangga sd 1 Bh 675,000.00 675,000.00
Alat pel deluxt 2 Bh 266,000.00 532,000.00
Cermin seed 1 Bh 114,000.00 114,000.00
Celemek 3 Bh 42,000.00 126,000.00
Papan tulis 2 Bh 98,000.00 196,000.00
Papan tulis 60x90 1 Bh 150,000.00 150,000.00
Atasan Langsung,
Kepala UPTD …...................................
N A M A
NIP. ….................................
z LAPORAN RINCIAN BA
DINAS KESEHATAN KABUPATE
PERIODE : 01 Januari S/
2 3
A. PERSEDIAAN BARANG HABIS PAKAI (BHP) :
5 . 2 . 02 . 01 . 01 BELANJA ALAT TULIS KANTOR :
5.1.02.01.01.0026 Penjilidan
DINAS KESEHATAN (APBD) Fotocopy
Penjilidan
Fotocopy
Fotocopy
N A M A
NIP. ….................................
LAPORAN RINCIAN BARANG PERSEDIAAN
NAS KESEHATAN KABUPATEN KOTAWARINGIN TIMUR
PERIODE : 01 Januari S/D 31 Desember 2019
PERSEDIAAN MASUK
4 5
26 Buku 20,000.00
1,186 Lembar 250.00
3 Buku 20,000.00
620 Lembar 200.00
2,600 Lembar 300.00
2 Dus 93,000.00
2 Galon 30,000.00
4 Dus 74,000.00
4 Dus 24,000.00
1 Pcs 53,300.00
2 Pcs 63,600.00
2 Pcs 71,100.00
2 Dus 49,000.00
2 Dus 26,000.00
5 Dus 22,000.00
2 Dus 69,500.00
70 kotak 35,000.00
65 kotak 35,000.00
15 kotak 35,000.00
60 kotak 35,000.00
30 kotak 35,000.00
50 kotak 35,000.00
80 kotak 35,000.00
A M A
...........................
Jumlah ( Rp )
520,000.00
296,500.00
60,000.00
124,000.00
780,000.00
186,000.00
60,000.00
296,000.00
96,000.00
53,300.00
127,200.00
142,200.00
98,000.00
52,000.00
110,000.00
139,000.00
2,450,000.00
2,275,000.00
525,000.00
2,100,000.00
1,050,000.00
1,750,000.00
2,800,000.00
4,830,000.00
8,050,000.00
8,050,000.00
2,576,000.00
2,576,000.00
2,576,000.00
2,730,000.00
4,550,000.00
4,550,000.00
1,456,000.00
1,456,000.00
1,456,000.00
5,000,000.00
1,050,000.00
2,450,000.00
1,400,000.00
1,225,000.00
525,000.00
1,050,000.00
1,050,000.00
1,050,000.00
700,000.00
300,000.00
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