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BUKU PENERIMAAN BARANG PERSEDIAAN

SKPD : Puskesmas Ketapang 1

Provinsi : Kalimantan Tengah
Kabupaten / Kota : Kabupaten Kotawaringin Timur

Dokumen Faktur Harga Jumlah

No Tanggal Dari Nama Barang Banyaknya
Nomor Tanggal Satuan Harga
1 2 3 4 5 6 7 8 9
1 01/01/2022 NOTA TGL 7/01/01/2022 0.00 0.00 0.00
2 01/01/2022 pemasukan 01/01/2022
s 0.00 0.00 0.00
3 01/01/2022 pemasukan 01/01/2022
s Infusion set dewasa 350.00 3,360.00 1,176,000.00
4 01/01/2022 pemasukan 01/01/2022
s Masker Oksigen De 240.00 12,705.00 3,049,200.00
5 01/01/2022 pemasukan 01/01/2022
s Kasa Hidrofile 40 y 8.00 110,250.00 882,000.00
6 01/01/2022 pemasukan 01/01/2022
s Plesterin 2,494,800.00
7 01/01/2022 pemasukan 01/01/2022
s Blood Lancet 2,499.00 153.00 382,347.00
8 01/01/2022 pemasukan 01/01/2022
s Blood Lancet 1.00 10.50 10.50
9 01/01/2022 pemasukan 01/01/2022
s Spuit disp. 2,5 ml/3 1,199.00 680.00 815,320.00
10 01/01/2022 pemasukan 01/01/2022
s Spuit disp. 2,5 ml/3 1.00 1,027.41 1,027.41
11 01/01/2022 TGL 1/1/22 01/01/2022 0.00 0.00 0.00
12 01/01/2022 TGL 1/1/22 01/01/2022 Bahan Habis Pakai Lainnya 2,422,000.00
13 01/01/2022 TGL 1/1/22 01/01/2022 Obat Gel/Salep 16,251.00
14 01/01/2022 TGL 1/1/22 01/01/2022 Obat Gel/Salep 1.00 16,250.00 16,250.00
15 18/01/2022 NOTA TGL 1 8/01/2022 0.00 0.00 0.00
16 18/01/2022 NOTA TGL 1 8/01/2022 Stik Kolesterol 5.00 219,900.00 1,099,500.00
17 02/02/2022 NOTA TGL 2 02/02/2022 0.00 0.00 0.00
18 02/02/2022 BENDERA NOTA TGL 2 02/02/2022 Bendera Start 1.00 150,000.00 150,000.00
19 02/02/2022 NOTA TGL 2 02/02/2022 0.00 0.00 0.00
20 02/02/2022 NOTA TGL 2 02/02/2022 0.00 0.00 0.00
21 02/02/2022 NOTA TGL 2 02/02/2022 0.00 0.00 0.00
22 02/02/2022 NOTA TGL 2 02/02/2022 0.00 0.00 0.00
23 02/02/2022 NOTA TGL 0 2/02/2022 0.00 0.00 0.00
24 02/02/2022 NOTA TGL 0 2/02/2022 Blangko Resep Dokt 5.00 120,000.00 600,000.00
25 02/02/2022 NOTA TGL 0 2/02/2022 Kertas HVS F4 ;70 1.00 232,425.00 232,425.00
26 18/02/2022 NOTA BEL 18/02/2022 0.00 0.00 0.00
27 18/02/2022 NOTA BEL 18/02/2022 Ambroxol Syrup 48.00 6,300.00 302,400.00
28 18/02/2022 NOTA BEL 18/02/2022 Asiklovir/Acyclovir/ 2.00 124,000.00 248,000.00
29 18/02/2022 NOTA BEL 18/02/2022 Amlodipin 10 mg 38.00 54,500.00 2,071,000.00
30 18/02/2022 NOTA BEL 18/02/2022 Bedak Salicyl serb. 50.00 7,500.00 375,000.00
31 18/02/2022 NOTA BEL 18/02/2022 Betahistine Mesylat 3.00 114,000.00 342,000.00
32 18/02/2022 NOTA BEL 18/02/2022 Candesartan Cilexet 30.00 68,000.00 2,040,000.00
33 18/02/2022 NOTA BEL 18/02/2022 Dexamethason Tabl 10.00 39,500.00 395,000.00
34 18/02/2022 NOTA BEL 18/02/2022 Asam Folat tablet/k 30.00 34,000.00 1,020,000.00
35 18/02/2022 NOTA BEL 18/02/2022 Furosemid/Furosemid 2.00 5,700.00 11,400.00
36 18/02/2022 NOTA BEL 18/02/2022 Gemfibrozil Kapsul 10.00 87,000.00 870,000.00
37 18/02/2022 NOTA BEL 18/02/2022 Gentamicin Sulfate 100.00 5,900.00 590,000.00
38 18/02/2022 NOTA BEL 18/02/2022 Glimepiride 2 mg 10.00 63,000.00 630,000.00
39 18/02/2022 NOTA BEL 18/02/2022 Ibuprofen 400 mg 20.00 52,000.00 1,040,000.00
40 18/02/2022 NOTA BEL 18/02/2022 Ketokonazol/Ketoko 12.00 7,500.00 90,000.00
41 18/02/2022 NOTA BEL 18/02/2022 Metronidazole 500 10.00 43,450.00 434,500.00
42 18/02/2022 NOTA BEL 18/02/2022 Nifedipin 10 mg 5.00 43,500.00 217,500.00
43 18/02/2022 NOTA BEL 18/02/2022 Hyosine butilbromid 2.00 295,000.00 590,000.00
44 18/02/2022 NOTA BEL 18/02/2022 Thiamin ( B1 ) 50 m 10.00 34,000.00 340,000.00
45 18/02/2022 NOTA BEL B 18/02/2022 0.00 0.00 0.00
46 18/02/2022 NOTA BEL B 18/02/2022 Folley Catheter 2 W 2.00 14,150.00 28,300.00

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47 18/02/2022 NOTA BEL B
18/02/2022 Folley Catheter 2 W 2.00 14,150.00 28,300.00
48 18/02/2022 NOTA BEL B
18/02/2022 Stik Asam Urat 10.00 132,000.00 1,320,000.00
49 18/02/2022 NOTA BEL B
18/02/2022 Stik Glukosa 20.00 120,400.00 2,408,000.00
50 18/02/2022 NOTA BEL B
18/02/2022 Stik Hemoglobin 5.00 187,800.00 939,000.00
51 18/02/2022 NOTA BEL B
18/02/2022 Stik Kolesterol 5.00 219,000.00 1,095,000.00
52 18/02/2022 NOTA BEL B
18/02/2022 Kasa Steril 16 x 16 50.00 8,300.00 415,000.00
53 18/02/2022 NOTA BEL B
18/02/2022 Bahan Habis Pakai 50.00 5,250.00 262,500.00
54 18/02/2022 NOTA BEL 18/02/2022 Asiklovir 5% salep 25.00 7,550.00 188,750.00
55 08/03/2022 NOTA TGL 8
08/03/2022 0.00 0.00 0.00
56 08/03/2022 NOTA TGL 8
08/03/2022 Refill Tinta Hitam 1.00 55,000.00 55,000.00
57 08/03/2022 NOTA TGL 8
08/03/2022 Refill Tinta Warna 1.00 55,000.00 55,000.00
58 08/03/2022 NOTA TGL 8
08/03/2022 Usb/Flash Disk 1.00 60,000.00 60,000.00
59 08/03/2022 NOTA TGL 8
08/03/2022 Mouse 1.00 50,000.00 50,000.00
60 08/03/2022 NOTA TGL 8
08/03/2022 Tinta Cetak 2.00 38,000.00 76,000.00
61 09/03/2022 NOTA TGL 02
09/03/2022 0.00 0.00 0.00
62 09/03/2022 NOTA TGL 02
09/03/2022 Stop Kontak 2.00 35,000.00 70,000.00
63 09/03/2022 BULAT NOTA TGL 02
09/03/2022 Stop Kontak 2.00 15,000.00 30,000.00
64 09/03/2022 NOTA TGL 02
09/03/2022 Kabel Listrik 14.00 7,000.00 98,000.00
65 09/03/2022 NOTA TGL 02
09/03/2022 Lampu Listrik 4.00 46,750.00 187,000.00
66 09/03/2022 NOTA TGL 02
09/03/2022 Lampu Listrik 6.00 50,500.00 303,000.00
67 09/03/2022 NOTA TGL 02
09/03/2022 Lampu Listrik 1.00 474,000.00 474,000.00
68 09/03/2022 ENERGIZER NOTA TGL 02 09/03/2022 Batu Baterai 10.00 39,000.00 390,000.00
69 09/03/2022 ABC ALKALINENOTA TGL 0209/03/2022 Batu Baterai 7.00 21,000.00 147,000.00
70 09/03/2022 CHARGER ASU NOTA TGL 02
09/03/2022 Bahan Komputer La 1.00 200,000.00 200,000.00
71 09/03/2022 NOTA TGL 02
09/03/2022 Lampu Listrik 5.00 47,700.00 238,500.00
72 09/03/2022 NOTA TGL 02
09/03/2022 Lampu Listrik 1.00 47,500.00 47,500.00
73 15/03/2022 NOTA BEL O
15/03/2022 0.00 0.00 0.00
74 15/03/2022 NOTA BEL O
15/03/2022 Amlodipin 10 mg 90.00 62,375.00 5,613,750.00
75 15/03/2022 NOTA BEL O
15/03/2022 Ambroxol Syrup 48.00 6,500.00 312,000.00
76 15/03/2022 NOTA BEL O
15/03/2022 Candesartan Cilexet 30.00 68,000.00 2,040,000.00
77 15/03/2022 NOTA BEL O
15/03/2022 Gentamicin Sulfate 100.00 5,900.00 590,000.00
78 15/03/2022 NOTA BEL O
15/03/2022 Glimepiride 2 mg 20.00 63,000.00 1,260,000.00
79 15/03/2022 NOTA BEL O
15/03/2022 loratadin 10 mg 15.00 45,000.00 675,000.00
80 15/03/2022 NOTA BEL O
15/03/2022 Permethrin Krim 5% 10.00 70,000.00 700,000.00
81 15/03/2022 NOTA BEL O
15/03/2022 Fitomenadion/Pytome 30.00 21,000.00 630,000.00
82 15/03/2022 RECO TETES NOTA BEL O 15/03/2022 Obat cair lainnya 10.00 23,000.00 230,000.00
83 15/03/2022 NOTA BMHP15/03/2022 0.00 0.00 0.00
84 15/03/2022 NOTA BMHP15/03/2022 Stik Hemoglobin 7.00 205,000.00 1,435,000.00
85 15/03/2022 NOTA BMHP15/03/2022 Ethyl Klorida Sempr 2.00 395,000.00 790,000.00
86 15/03/2022 NOTA BMHP15/03/2022 Povidone Iodine 300 5.00 49,800.00 249,000.00
87 15/03/2022 NOTA BMHP15/03/2022 Povidone Iodine 20.00 64,400.00 1,288,000.00
88 15/03/2022 NOTA BMHP15/03/2022 Stik Asam Urat 10.00 149,500.00 1,495,000.00
89 15/03/2022 NOTA BMHP15/03/2022 Stik Glukosa 10.00 137,500.00 1,375,000.00
90 15/03/2022 NOTA BMHP15/03/2022 Stik Kolesterol 10.00 241,000.00 2,410,000.00
91 26/03/2022 NOTA TGL 15
26/03/2022 0.00 0.00 0.00
92 26/03/2022 NOTA TGL 15
26/03/2022 Spanduk 1.00 90,000.00 90,000.00
93 26/03/2022 NOTA TGL 15
26/03/2022 Perabot Kantor Lain 19.00 110,000.00 2,090,000.00
94 26/03/2022 NOTA TGL 15
26/03/2022 Alat/Bahan Untuk K 2.00 550,000.00 1,100,000.00
95 26/03/2022 thermo gun NOTA TGL 15
26/03/2022 Alat/Bahan Untuk K 2.00 90,000.00 180,000.00
96 26/03/2022 menset anak NOTA TGL 1526/03/2022 Alat/Bahan Untuk K 3.00 65,000.00 195,000.00
97 26/03/2022 timbangan bad NOTA TGL 15
26/03/2022 Alat/Bahan Untuk K 2.00 90,000.00 180,000.00
98 01/04/2022 NOTA TGL 1/
01/04/2022 0.00 0.00 0.00
99 01/04/2022 HANDSHOAP 1NOTA TGL 1/ 01/04/2022 Sabun Cair 1.00 139,200.00 139,200.00
100 01/04/2022 NOTA TGL 1/
01/04/2022 Pembersih Lantai 2.00 12,900.00 25,800.00
101 01/04/2022 SABUN CUCI PNOTA TGL 1/01/04/2022 Sabun Cair 1.00 10,100.00 10,100.00
102 01/04/2022 SABUN CUCI PNOTA TGL 1/01/04/2022 Sabun Cair 2.00 24,700.00 49,400.00
103 01/04/2022 DITERGEN 800NOTA TGL 1/01/04/2022 Sabun Padat 2.00 30,200.00 60,400.00

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104 01/04/2022 REVIL 1600MLNOTA TGL 1/ 01/04/2022 Pembersih Lantai 3.00 26,300.00 78,900.00
105 01/04/2022 CUCI PIRING 7NOTA TGL 1/ 01/04/2022 Sabun Cair 2.00 20,400.00 40,800.00
106 01/04/2022 REVIL 300 ML NOTA TGL 1/ 01/04/2022 Pembersih Lantai 6.00 10,500.00 63,000.00
107 01/04/2022 DITERGEN 180NOTA TGL 1/ 01/04/2022 Sabun Padat 1.00 47,000.00 47,000.00
108 01/04/2022 HANDSHOAP 1NOTA TGL 1/ 01/04/2022 Sabun Cair 1.00 154,500.00 154,500.00
109 01/04/2022 NOTA TGL 1/ 01/04/2022 Batu Baterai 5.00 35,600.00 178,000.00
110 01/04/2022 HANSHOAP KENOTA TGL 1/ 01/04/2022 Sabun Cair 3.00 19,800.00 59,400.00
111 01/04/2022 OBAT NYAMUKNOTA TGL 1/ 01/04/2022 Pembasmi Serangg 2.00 26,000.00 52,000.00
112 01/04/2022 NOTA TGL 1/ 01/04/2022 Sapu 1.00 41,000.00 41,000.00
113 01/04/2022 900 GR NOTA TGL 1/ 01/04/2022 Tissue 1.00 37,000.00 37,000.00
114 01/04/2022 250 NOTA TGL 1/ 01/04/2022 Tissue 1.00 20,500.00 20,500.00
115 01/04/2022 250 NOTA TGL 1/ 01/04/2022 Tissue 1.00 20,000.00 20,000.00
116 01/04/2022 NOTA TGL 1/ 01/04/2022 Kantong Plastik 5.00 20,000.00 100,000.00
117 01/04/2022 NOTA TGL 1/ 01/04/2022 Kantong Plastik 4.00 24,000.00 96,000.00
118 01/04/2022 NOTA TGL 1/ 01/04/2022 Sapu 2.00 35,000.00 70,000.00
119 01/04/2022 NOTA TGL 1/ 01/04/2022 Alat-Alat Pel Dan L 1.00 100,000.00 100,000.00
120 01/04/2022 1,6 L NOTA TGL 1/ 01/04/2022 Pembersih Lantai 1.00 25,600.00 25,600.00
121 01/04/2022 770 ML NOTA TGL 1/ 01/04/2022 Pembersih Lantai 1.00 16,000.00 16,000.00
122 01/04/2022 840 GR NOTA TGL 1/ 01/04/2022 Sabun Padat 1.00 16,400.00 16,400.00
123 01/04/2022 GELAS NOTA TGL 1/ 01/04/2022 Alat Untuk Makan 4.00 3,750.00 15,000.00
124 01/04/2022 GELAS NOTA TGL 1/ 01/04/2022 Alat Untuk Makan 6.00 3,500.00 21,000.00
125 01/04/2022 NOTA TGL 1/ 01/04/2022 Kantong Plastik 1.00 40,000.00 40,000.00
126 01/04/2022 NOTA TGL 1/ 01/04/2022 Kantong Plastik 2.00 10,000.00 20,000.00
127 01/04/2022 NOTA TGL 1/ 01/04/2022 Kantong Plastik 5.00 10,000.00 50,000.00
128 01/04/2022 NOTA TGL 1/ 01/04/2022 Plastik Sampah 2.00 25,000.00 50,000.00
129 01/04/2022 plastik klip NOTA TGL 1/ 01/04/2022 Kantong Plastik 5.00 20,000.00 100,000.00
130 01/04/2022 NOTA TGL 1/ 01/04/2022 Kantong Plastik 2.00 24,000.00 48,000.00
131 01/04/2022 NOTA TGL 1/ 01/04/2022 Kantong Plastik 3.00 38,000.00 114,000.00
132 01/04/2022 NOTA TGL 1/ 01/04/2022 Tissue 10.00 10,000.00 100,000.00
133 01/04/2022 NOTA TGL 1/ 01/04/2022 Plastik Sampah 5.00 18,000.00 90,000.00
134 01/04/2022 NOTA TGL 1/ 01/04/2022 Kantong Plastik 5.00 20,000.00 100,000.00
135 01/04/2022 NOTA TGL 1/ 01/04/2022 Tissue 1.00 20,700.00 20,700.00
136 01/04/2022 NOTA TGL 1/ 01/04/2022 Plastik Sampah 2.00 25,000.00 50,000.00
137 01/04/2022 ukuran sedang NOTA TGL 1/ 01/04/2022 Kantong Plastik 2.00 18,000.00 36,000.00
138 01/04/2022 plastik klip NOTA TGL 1/ 01/04/2022 Kantong Plastik 5.00 20,000.00 100,000.00
139 01/04/2022 NOTA TGL 1/ 01/04/2022 Kantong Plastik 10.00 10,000.00 100,000.00
140 01/04/2022 NOTA TGL 1/ 01/04/2022 Tissue 10.00 9,600.00 96,000.00
141 01/04/2022 NOTA TGL 1/ 01/04/2022 Tissue 2.00 20,000.00 40,000.00
142 01/04/2022 NOTA TGL 1/ 01/04/2022 Pembersih Lantai 1.00 100,000.00 100,000.00
143 01/04/2022 NOTA TGL 1/ 01/04/2022 Alat-Alat Pel Dan L 2.00 80,000.00 160,000.00
144 01/04/2022 NOTA TGL 1/ 01/04/2022 Sapu 3.00 50,000.00 150,000.00
145 01/04/2022 gayung NOTA TGL 1/ 01/04/2022 Ember, Slang, Dan 2.00 25,000.00 50,000.00
146 01/04/2022 ember NOTA TGL 1/ 01/04/2022 Ember, Slang, Dan 2.00 75,000.00 150,000.00
147 01/04/2022 NOTA TGL 1/ 01/04/2022 Tissue 40.00 16,000.00 640,000.00
148 01/04/2022 NOTA TGL 1/ 01/04/2022 Keset 2.00 175,000.00 350,000.00
149 04/04/2022 Nota Tgl 4/404/04/2022 0.00 0.00 0.00
150 04/04/2022 Nota Tgl 4/404/04/2022 Sabun Cair 5.00 22,000.00 110,000.00
151 04/04/2022 Nota Tgl 4/404/04/2022 Pembersih Kaca 5.00 13,400.00 67,000.00
152 05/05/2022 NOTA 21/2/2 05/05/2022 0.00 0.00 0.00
153 05/05/2022 NOTA 21/2/2 05/05/2022 Amplop Coklat 10.00 21,000.00 210,000.00
154 05/05/2022 NOTA 21/2/2 05/05/2022 Kertas HVS A4 ;70 4.00 225,000.00 900,000.00
155 05/05/2022 NOTA 21/2/2 05/05/2022 Amplop Plastik 1.00 44,000.00 44,000.00
156 05/05/2022 NOTA 21/2/2 05/05/2022 Kertas HVS F4 ;70 2.00 235,000.00 470,000.00
157 05/05/2022 NOTA 21/2/2 05/05/2022 Amplop Coklat Foli 10.00 27,000.00 270,000.00
158 05/05/2022 NOTA 21/2/2 05/05/2022 Spanduk 4.00 100,000.00 400,000.00
159 05/05/2022 NOTA 21/2/2 05/05/2022 Kertas HVS F4 ;80 290.00 300.00 87,000.00
160 05/05/2022 NOTA 21/2/2 05/05/2022 Map Plastik Zipper 2.00 25,000.00 50,000.00

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161 05/05/2022 NOTA 21/2/2
05/05/2022 Map Plastik Zipper 1.00 23,000.00 23,000.00
162 07/05/2022 NOTA BEL 07/05/2022 0.00 0.00 0.00
163 07/05/2022 NOTA BEL 07/05/2022 Betahistine Mesylat 3.00 151,200.00 453,600.00
164 07/05/2022 NOTA BEL 07/05/2022 Asam Folat tablet/k 10.00 37,000.00 370,000.00
165 07/05/2022 NOTA BEL 07/05/2022 Glimepiride 2 mg 35.00 53,000.00 1,855,000.00
166 07/05/2022 NOTA BEL 07/05/2022 Ibuprofen 400 mg 10.00 46,000.00 460,000.00
167 07/05/2022 NOTA BEL 07/05/2022 Gentamicin Sulfate 20.00 16,000.00 320,000.00
168 07/05/2022 BIOPLACENTONOTA BEL 07/05/2022 Obat Gel/Salep 1.00 34,000.00 34,000.00
169 07/05/2022 NOTA BEL 07/05/2022 Lidocaine Hydrochlor 30.00 3,200.00 96,000.00
170 07/05/2022 NOTA BEL 07/05/2022 Cotrimoxazole/Cotri 5.00 8,000.00 40,000.00
171 07/05/2022 NOTA BEL 07/05/2022 Magnesium sulphat 2.00 8,500.00 17,000.00
172 07/05/2022 NOTA BEL 07/05/2022 Asiklovir/Acyclovir/ 2.00 121,000.00 242,000.00
173 07/05/2022 NOTA BEL 07/05/2022 Candesartan Cilexet 50.00 69,000.00 3,450,000.00
174 07/05/2022 NOTA BEL 07/05/2022 Thiamin ( B1 ) 50 m 10.00 24,000.00 240,000.00
175 07/05/2022 NOTA BEL 07/05/2022 Gentamicin Sulfate 50.00 12,000.00 600,000.00
176 07/05/2022 NOTA BEL 07/05/2022 Alopurinol/Allopurin 5.00 64,000.00 320,000.00
177 07/05/2022 NOTA BEL 07/05/2022 Cetirizine hydroclor 50.00 7,500.00 375,000.00
178 07/05/2022 NOTA BEL 07/05/2022 GG/Guafenesin tab 10.00 32,200.00 322,000.00
179 07/05/2022 BISOPROLOL NOTA BEL 07/05/2022 Obat padat lainnya 5.00 113,000.00 565,000.00
180 07/05/2022 NOTA BEL 07/05/2022 Cefadroxil monohydr 20.00 112,500.00 2,250,000.00
181 07/05/2022 LAXANA BISAKNOTA BEL 07/05/2022 Obat padat lainnya 1.00 34,000.00 34,000.00
182 07/05/2022 NOTA BMHP 07/05/2022 0.00 0.00 0.00
183 07/05/2022 NOTA BMHP 07/05/2022 Plesterin 3.00 23,500.00 70,500.00
184 07/05/2022 NOTA BMHP 07/05/2022 Povidone Iodine 20.00 53,095.00 1,061,900.00
185 07/05/2022 NOTA BMHP 07/05/2022 Kasa Steril 16 x 16 30.00 11,000.00 330,000.00
186 07/05/2022 NOTA BMHP 07/05/2022 Stik Asam Urat 16.00 139,000.00 2,224,000.00
187 07/05/2022 NOTA BMHP 07/05/2022 Stik Glukosa 20.00 123,000.00 2,460,000.00
188 07/05/2022 NOTA BMHP 07/05/2022 Stik Hemoglobin 5.00 198,000.00 990,000.00
189 07/05/2022 NOTA BMHP 07/05/2022 Stik Kolesterol 20.00 231,000.00 4,620,000.00
190 16/05/2022 NOTA TGL 1 6/05/2022 0.00 0.00 0.00
191 16/05/2022 NOTA TGL 1 6/05/2022 Materai 27.00 10,000.00 270,000.00
192 16/05/2022 NOTA TGL 1 6/05/2022 0.00 0.00 0.00
193 16/05/2022 NOTA TGL 1 6/05/2022 0.00 0.00 0.00
194 16/05/2022 NOTA TGL 1 6/05/2022 Materai 30.00 10,000.00 300,000.00
195 20/05/2022 NOTA TGL 120/05/2022 0.00 0.00 0.00
196 20/05/2022 TABUNG BESANOTA TGL 1 20/05/2022 Isi Tabung Gas Oks 2.00 200,000.00 400,000.00
197 20/05/2022 TABUNG KECINOTA TGL 1 20/05/2022 Isi Tabung Gas Oks 2.00 150,000.00 300,000.00
198 20/05/2022 TABUNG BESANOTA TGL 1 20/05/2022 Isi Tabung Gas Oks 1.00 250,000.00 250,000.00
199 20/05/2022 TABUNG KECINOTA TGL 1 20/05/2022 Isi Tabung Gas Oks 1.00 150,000.00 150,000.00
200 30/05/2022 NOTA TGL 7/
30/05/2022 0.00 0.00 0.00
201 30/05/2022 MERK BOSTY NOTA TGL 7/30/05/2022 Lakban Hitam Besa 10.00 18,500.00 185,000.00
202 30/05/2022 NOTA TGL 7/
30/05/2022 Ordner Plastik 20.00 22,000.00 440,000.00
203 30/05/2022 NOTA TGL 7/
30/05/2022 Spidol Permanent 3.00 71,000.00 213,000.00
204 30/05/2022 NOTA TGL 7/
30/05/2022 Ballpoint Biasa 10.00 25,000.00 250,000.00
205 30/05/2022 NOTA TGL 7/
30/05/2022 Correction Tape 10.00 18,000.00 180,000.00
206 30/05/2022 NOTA TGL 7/
30/05/2022 Gunting 1.00 180,000.00 180,000.00
207 30/05/2022 MERK BALLIN NOTA TGL 7/
30/05/2022 Ballpoint Gel 1.00 165,670.00 165,670.00
208 30/05/2022 NOTA TGL 7/
30/05/2022 Ballpoint Biasa 10.00 28,000.00 280,000.00
209 30/05/2022 HARGA KOTAKNOTA TGL 7/30/05/2022 Correction Tape 2.00 65,000.00 130,000.00
210 30/05/2022 HARGA KOTAKNOTA TGL 7/30/05/2022 Spidol Permanent 2.00 105,000.00 210,000.00
211 30/05/2022 NOTA TGL 7/
30/05/2022 Ordner Plastik 10.00 25,000.00 250,000.00
212 30/05/2022 NOTA TGL 7/
30/05/2022 Buku Folio 300 10.00 25,000.00 250,000.00
213 30/05/2022 NOTA TGL 7/
30/05/2022 Buku Folio 500 10.00 35,000.00 350,000.00
214 30/05/2022 NOTA TGL 7/
30/05/2022 Jepitan Kertas (Bin 5.00 28,743.00 143,715.00
215 06/06/2022 NOTA TGL 1/
06/06/2022 0.00 0.00 0.00
216 06/06/2022 NOTA TGL 1/
06/06/2022 Map Plastik Kancing 10.00 10,000.00 100,000.00
217 06/06/2022 FOLIO KECIL NOTA TGL 1/
06/06/2022 Buku Folio 300 14.00 16,000.00 224,000.00

Page 4
 Sheet1
218 06/06/2022 FOLIO BESAR NOTA TGL 1/
06/06/2022 Buku Folio 500 12.00 34,500.00 414,000.00
219 06/06/2022 NOTA TGL 1/
06/06/2022 Buku Agenda 2.00 21,000.00 42,000.00
220 06/06/2022 NOTA TGL 1/
06/06/2022 Buku Kwitansi Panj 2.00 20,000.00 40,000.00
221 06/06/2022 MERK BALLIN NOTA TGL 1/
06/06/2022 Ballpoint Gel 1.00 190,000.00 190,000.00
222 06/06/2022 NOTA TGL 1/
06/06/2022 Buku Folio 500 2.00 20,500.00 41,000.00
223 06/06/2022 NOTA TGL 1/
06/06/2022 Map Snail Hecter 1.00 36,000.00 36,000.00
224 06/06/2022 NOTA TGL 1/
06/06/2022 Spanduk 1.00 115,000.00 115,000.00
225 06/06/2022 NOTA TGL 1/
06/06/2022 Refill Tinta Hitam 4.00 38,500.00 154,000.00
226 06/06/2022 KAIN NACHI 1 NOTA TGL 1/
06/06/2022 Lakban kain 7.00 10,000.00 70,000.00
227 06/06/2022 KENKO CT-80 NOTA TGL 1/
06/06/2022 Correction Tape 5.00 5,500.00 27,500.00
228 06/06/2022 KENKO CT-634NOTA TGL 1/
06/06/2022 Correction Tape 4.00 5,500.00 22,000.00
229 06/06/2022 24 MM NOTA TGL 1/
06/06/2022 Double Tape 7.00 5,500.00 38,500.00
230 06/06/2022 NOTA TGL 1/
06/06/2022 Kertas HVS F4 ;70 6.00 230,000.00 1,380,000.00
231 06/06/2022 3X2 NOTA TGL 1/
06/06/2022 Spanduk 1.00 220,000.00 220,000.00
232 06/06/2022 3X2 NOTA TGL 1/
06/06/2022 Spanduk 1.00 220,000.00 220,000.00
233 06/06/2022 3X4 NOTA TGL 1/
06/06/2022 Spanduk 1.00 290,000.00 290,000.00
234 06/06/2022 1.2 X 2.4 NOTA TGL 1/
06/06/2022 Spanduk 1.00 135,000.00 135,000.00
235 06/06/2022 gLOSSY sPECT NOTA TGL 1/
06/06/2022 Kertas Foto Kwarto 1.00 60,000.00 60,000.00
236 06/06/2022 NOTA TGL 1/
06/06/2022 Blangko Resep Dokt 3.00 120,000.00 360,000.00
237 06/06/2022 BROSUR CATIN NOTA TGL 1/
06/06/2022 Kertas HVS F4 ;80 100.00 3,500.00 350,000.00
238 06/06/2022 BROSUR CATIN NOTA TGL 1/
06/06/2022 Kertas HVS F4 ;80 100.00 2,750.00 275,000.00
239 06/06/2022 DATA PASIEN NOTA TGL 1/
06/06/2022 Kertas HVS F4 ;60 1.00 120,000.00 120,000.00
240 06/06/2022 ETIKET OBAT NOTA TGL 1/
06/06/2022 Kertas HVS F4 ;80 400.00 250.00 100,000.00
241 06/06/2022 RUJUKAN INT NOTA TGL 1/
06/06/2022 Kertas HVS F4 ;60 5.00 120,000.00 600,000.00
242 06/06/2022 RUJUKAN LABNOTA TGL 1/06/06/2022 Kertas HVS F4 ;60 5.00 120,000.00 600,000.00
243 06/06/2022 ORDNER COKNOTA TGL 1/ 06/06/2022 Ordner Dan Map 30.00 24,000.00 720,000.00
244 06/06/2022 MAP REKAM MNOTA TGL 1/06/06/2022 Map Dinas 500.00 5,500.00 2,750,000.00
245 06/06/2022 NOTA TGL 1/
06/06/2022 Kertas HVS F4 ;70 5.00 255,000.00 1,275,000.00
246 06/06/2022 NOTA TGL 1/
06/06/2022 Ballpoint Biasa 2.00 25,818.00 51,636.00
247 06/06/2022 NOTA TGL 1/
06/06/2022 Kertas HVS F4 ;70 5.00 325,000.00 1,625,000.00
248 06/06/2022 NOTA TGL 1/
06/06/2022 Ballpoint Biasa 20.00 25,000.00 500,000.00
249 06/06/2022 NOTA TGL 1/
06/06/2022 Amplop Coklat 20.00 20,000.00 400,000.00
250 06/06/2022 NOTA TGL 1/
06/06/2022 Map Plastik Kancing 20.00 45,000.00 900,000.00
251 06/06/2022 NOTA TGL 1/
06/06/2022 Gunting 2.00 78,000.00 156,000.00
252 06/06/2022 NOTA TGL 1/
06/06/2022 Cutter (Alat Tulis Ka 24.00 5,000.00 120,000.00
253 06/06/2022 NOTA TGL 1/
06/06/2022 Lakban Hitam Besa 10.00 10,000.00 100,000.00
254 06/06/2022 NOTA TGL 1/
06/06/2022 Lakban Bening Bes 10.00 13,000.00 130,000.00
255 06/06/2022 NOTA TGL 1/
06/06/2022 Staples 10.00 8,500.00 85,000.00
256 06/06/2022 NOTA TGL 1/
06/06/2022 Spidol Permanent 3.00 80,000.00 240,000.00
257 06/06/2022 NOTA TGL 1/
06/06/2022 Ordner Dan Map 10.00 24,400.00 244,000.00
258 06/06/2022 NOTA TGL 1/
06/06/2022 Correction Tape 20.00 7,000.00 140,000.00
259 30/06/2022 NOTA TGL 1
30/06/2022 0.00 0.00 0.00
260 30/06/2022 TGL 31/1/22 NOTA TGL 130/06/2022 Spanduk 1.00 1,758,700.00 1,758,700.00
261 30/06/2022 TGL 26/2/22 NOTA TGL 130/06/2022 Spanduk 1.00 2,717,500.00 2,717,500.00
262 30/06/2022 TGL 31/3/22 NOTA TGL 130/06/2022 Spanduk 1.00 3,597,500.00 3,597,500.00
263 30/06/2022 TGL 30/4/22 NOTA TGL 130/06/2022 Spanduk 1.00 2,060,000.00 2,060,000.00
264 30/06/2022 TGL 31/5/22 NOTA TGL 130/06/2022 Spanduk 1.00 5,527,300.00 5,527,300.00
265 30/06/2022 TGL 30/6/22 NOTA TGL 130/06/2022 Spanduk 1.00 ### ###
266 30/06/2022 NOTA TGL 2/
30/06/2022 0.00 0.00 0.00
267 30/06/2022 NOTA TGL 2/
30/06/2022 Pertalite 437.00 7,770.00 3,395,490.00
268 30/06/2022 NOTA TGL 2/
30/06/2022 Pertalite 1.00 7,544.00 7,544.00
269 30/06/2022 NOTA TGL 2/
30/06/2022 Pertamax 626.00 10,446.00 6,539,196.00
270 30/06/2022 NOTA TGL 2/
30/06/2022 Pertamax 1.00 13,804.00 13,804.00
271 30/06/2022 NOTA BBM 30/06/2022
T Pertalite 0.63 7,770.00 4,895.10
TOTAL ###

Kabupaten Kotawarin

Page 5
 Sheet1
Mengetahui
An Pengguna / Kuasa Pengguna Barang Pengurus Barang Pembantu Pengurus
Pejabat Penatausahaan Pengguna Barang

(ELMI MULYANI, S. Kep., M.Mkes) …………………………………… (YANI, A.Md Farm)

NIP. 196602161987032008 NIP ……………………………… NIP. 1996033020190

Page 6
 Sheet1
N

B.A Penerimaan
Ket
Nomor Tanggal
10 11 12
NOTA TGL 7 01/01/2022
pemasukan 01/01/2022
pemasukan 01/01/2022
pemasukan 01/01/2022
pemasukan 01/01/2022
pemasukan 01/01/2022
pemasukan 01/01/2022
pemasukan 01/01/2022
pemasukan 01/01/2022
pemasukan 01/01/2022
TGL 1/1/22 01/01/2022
TGL 1/1/22 01/01/2022
TGL 1/1/22 01/01/2022
TGL 1/1/22 01/01/2022
NOTA TGL 18/01/2022
NOTA TGL 18/01/2022
NOTA TGL 2 02/02/2022
NOTA TGL 2 02/02/2022 BENDERA
NOTA TGL 2 02/02/2022
NOTA TGL 2 02/02/2022
NOTA TGL 2 02/02/2022
NOTA TGL 2 02/02/2022
NOTA TGL 0 2/02/2022
NOTA TGL 0 2/02/2022
NOTA TGL 0 2/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022

Page 7
 Sheet1
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA BEL 18/02/2022
NOTA TGL 8
08/03/2022
NOTA TGL 8
08/03/2022
NOTA TGL 8
08/03/2022
NOTA TGL 8
08/03/2022
NOTA TGL 8
08/03/2022
NOTA TGL 8
08/03/2022
NOTA TGL 0 9/03/2022
NOTA TGL 0 9/03/2022
NOTA TGL 0 9/03/2022 BULAT
NOTA TGL 0 9/03/2022
NOTA TGL 0 9/03/2022
NOTA TGL 0 9/03/2022
NOTA TGL 0 9/03/2022
NOTA TGL 0 9/03/2022 ENERGIZER
NOTA TGL 0 9/03/2022 ABC ALKALINE
NOTA TGL 0 9/03/2022 CHARGER ASUS 19V
NOTA TGL 0 9/03/2022
NOTA TGL 0 9/03/2022
NOTA BEL 15/03/2022
NOTA BEL 15/03/2022
NOTA BEL 15/03/2022
NOTA BEL 15/03/2022
NOTA BEL 15/03/2022
NOTA BEL 15/03/2022
NOTA BEL 15/03/2022
NOTA BEL 15/03/2022
NOTA BEL 15/03/2022
NOTA BEL 15/03/2022 RECO TETES TELINGA
NOTA BMHP15/03/2022
NOTA BMHP15/03/2022
NOTA BMHP15/03/2022
NOTA BMHP15/03/2022
NOTA BMHP15/03/2022
NOTA BMHP15/03/2022
NOTA BMHP15/03/2022
NOTA BMHP15/03/2022
NOTA TGL 1
26/03/2022
NOTA TGL 1
26/03/2022
NOTA TGL 1
26/03/2022
NOTA TGL 1
26/03/2022
NOTA TGL 1
26/03/2022 thermo gun
NOTA TGL 1
26/03/2022 menset anak
NOTA TGL 1
26/03/2022 timbangan badan
NOTA TGL 1
01/04/2022
NOTA TGL 1
01/04/2022 HANDSHOAP 1 GERIGEN
NOTA TGL 1
01/04/2022
NOTA TGL 1
01/04/2022 SABUN CUCI PIRING REVIL KECIL
NOTA TGL 1
01/04/2022 SABUN CUCI PIRING REVIL BESAR
NOTA TGL 1
01/04/2022 DITERGEN 800 GR

Page 8
 Sheet1
NOTA TGL 1 01/04/2022 REVIL 1600ML
NOTA TGL 1 01/04/2022 CUCI PIRING 755 ML
NOTA TGL 1 01/04/2022 REVIL 300 ML
NOTA TGL 1 01/04/2022 DITERGEN 1800 GR
NOTA TGL 1 01/04/2022 HANDSHOAP 1 GERIGEN
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022 HANSHOAP KECIL NOSY
NOTA TGL 1 01/04/2022 OBAT NYAMUK SEMPROT
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022 900 GR
NOTA TGL 1 01/04/2022 250
NOTA TGL 1 01/04/2022 250
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022 1,6 L
NOTA TGL 1 01/04/2022 770 ML
NOTA TGL 1 01/04/2022 840 GR
NOTA TGL 1 01/04/2022 GELAS
NOTA TGL 1 01/04/2022 GELAS
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022 plastik klip
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022 ukuran sedang
NOTA TGL 1 01/04/2022 plastik klip
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022 gayung
NOTA TGL 1 01/04/2022 ember
NOTA TGL 1 01/04/2022
NOTA TGL 1 01/04/2022
Nota Tgl 4/ 04/04/2022
Nota Tgl 4/ 04/04/2022
Nota Tgl 4/ 04/04/2022
NOTA 21/2/05/05/2022
NOTA 21/2/05/05/2022
NOTA 21/2/05/05/2022
NOTA 21/2/05/05/2022
NOTA 21/2/05/05/2022
NOTA 21/2/05/05/2022
NOTA 21/2/05/05/2022
NOTA 21/2/05/05/2022
NOTA 21/2/05/05/2022

Page 9
 Sheet1
NOTA 21/2/05/05/2022
NOTA BEL 07/05/2022
NOTA BEL 07/05/2022
NOTA BEL 07/05/2022
NOTA BEL 07/05/2022
NOTA BEL 07/05/2022
NOTA BEL 07/05/2022
NOTA BEL 07/05/2022 BIOPLACENTON
NOTA BEL 07/05/2022
NOTA BEL 07/05/2022
NOTA BEL 07/05/2022
NOTA BEL 07/05/2022
NOTA BEL 07/05/2022
NOTA BEL 07/05/2022
NOTA BEL 07/05/2022
NOTA BEL 07/05/2022
NOTA BEL 07/05/2022
NOTA BEL 07/05/2022
NOTA BEL 07/05/2022 BISOPROLOL 5 MG
NOTA BEL 07/05/2022
NOTA BEL 07/05/2022 LAXANA BISAKODIL
NOTA BMHP 07/05/2022
NOTA BMHP 07/05/2022
NOTA BMHP 07/05/2022
NOTA BMHP 07/05/2022
NOTA BMHP 07/05/2022
NOTA BMHP 07/05/2022
NOTA BMHP 07/05/2022
NOTA BMHP 07/05/2022
NOTA TGL 1 6/05/2022
NOTA TGL 1 6/05/2022
NOTA TGL 1 6/05/2022
NOTA TGL 1 6/05/2022
NOTA TGL 1 6/05/2022
NOTA TGL 120/05/2022
NOTA TGL 120/05/2022 TABUNG BESAR
NOTA TGL 120/05/2022 TABUNG KECIL
NOTA TGL 120/05/2022 TABUNG BESAR
NOTA TGL 120/05/2022 TABUNG KECIL
NOTA TGL 730/05/2022
NOTA TGL 730/05/2022 MERK BOSTY
NOTA TGL 730/05/2022
NOTA TGL 730/05/2022
NOTA TGL 730/05/2022
NOTA TGL 730/05/2022
NOTA TGL 730/05/2022
NOTA TGL 730/05/2022 MERK BALLINE
NOTA TGL 730/05/2022
NOTA TGL 730/05/2022 HARGA KOTAK
NOTA TGL 730/05/2022 HARGA KOTAK
NOTA TGL 730/05/2022
NOTA TGL 730/05/2022
NOTA TGL 730/05/2022
NOTA TGL 730/05/2022
NOTA TGL 106/06/2022
NOTA TGL 106/06/2022
NOTA TGL 106/06/2022 FOLIO KECIL

Page 10
 Sheet1
NOTA TGL 1
06/06/2022 FOLIO BESAR
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022 MERK BALLINER
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022 KAIN NACHI 1 1/2 INCH
NOTA TGL 1
06/06/2022 KENKO CT-802N
NOTA TGL 1
06/06/2022 KENKO CT-634
NOTA TGL 1
06/06/2022 24 MM
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022 3X2
NOTA TGL 1
06/06/2022 3X2
NOTA TGL 1
06/06/2022 3X4
NOTA TGL 1
06/06/2022 1.2 X 2.4
NOTA TGL 1
06/06/2022 gLOSSY sPECTRA 260
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022 BROSUR CATIN BB LAMINASI
NOTA TGL 1
06/06/2022 BROSUR CATIN BB LAMINASI
NOTA TGL 1
06/06/2022 DATA PASIEN
NOTA TGL 1
06/06/2022 ETIKET OBAT
NOTA TGL 1
06/06/2022 RUJUKAN INTERNAL
NOTA TGL 1
06/06/2022 RUJUKAN LAB
NOTA TGL 1
06/06/2022 ORDNER COKLAT
NOTA TGL 1
06/06/2022 MAP REKAM MEDIS
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022
NOTA TGL 1
06/06/2022
NOTA TGL 1
30/06/2022
NOTA TGL 1
30/06/2022 TGL 31/1/22
NOTA TGL 1
30/06/2022 TGL 26/2/22
NOTA TGL 1
30/06/2022 TGL 31/3/22
NOTA TGL 1
30/06/2022 TGL 30/4/22
NOTA TGL 1
30/06/2022 TGL 31/5/22
NOTA TGL 1
30/06/2022 TGL 30/6/22
NOTA TGL 2
30/06/2022
NOTA TGL 2
30/06/2022
NOTA TGL 2
30/06/2022
NOTA TGL 2
30/06/2022
NOTA TGL 2
30/06/2022
NOTA BBM 30/06/2022
T

paten Kotawaringin Timur, 31-12-2022

Page 11
 Sheet1

antu Pengurus Barang

, A.Md Farm)
199603302019031001

Page 12