LAPORAN MAKAN MINUM PASIEN

DR. Ir. IWAN BOKINGS TAHUN 2021

INSTALASI GIZI

PASIEN PENDAMPING PETUGAS

BULAN APRIL TANGGAL BULAN APRIL TANGGAL BULAN APRIL TANGGAL

NO URAIAN JENIS BAHAN

TOTAL

TOTAL

TOTAL

TOTAL
7 10 12 21 29 SATUAN JUMLAH 7 10 12 21 29 SATUAN JUMLAH 7 10 SATUAN JUMLAH

1 Bawang Merah 0 1 0.5 1.5 Rp 53,000 Rp 79,500 0 1 0.5 1.5 Rp 53,000 Rp 79,500 0 0 Rp 53,000 Rp - ###

2 Bawang Putih 0 0.5 0.5 Rp 46,375 Rp 23,188 0 0.5 0.5 Rp 46,375 Rp 23,188 0 0 Rp 46,375 Rp - ###

3 Batang Bawang 2 1 1 4 Rp 6,625 Rp 26,500 1 1 2 Rp 6,625 Rp 13,250 1 1 Rp 6,625 Rp 6,625 13251

4 Seledri 2 2 2 6 Rp 6,625 Rp 39,750 2 1 1 4 Rp 6,625 Rp 26,500 2 2 Rp 6,625 Rp 13,250 ###

5 Cabe 0 1 1 Rp 53,000 Rp 53,000 0 0 Rp 53,000 Rp - 0 0 Rp 53,000 Rp - ###

Rica 1 0 0 Rp 53,000 Rp - 0 0 Rp 53,000 Rp - 0 0 Rp 53,000 Rp - ###
6
Rica 2 0 0 Rp 122,000 Rp - 0 1 1 Rp 122,000 Rp 122,000 0 0 Rp 122,000 Rp - 1E+05

7 Jeruk Nipis 0 0 Rp 33,125 Rp - 0 0 Rp 33,125 Rp - 0 0 Rp 33,125 Rp - ###

8 Tomat 0 5 4 9 Rp 19,875 Rp 178,875 0 5 3 8 Rp 19,875 Rp 159,000 0 5 5 Rp 19,875 Rp 99,375 1E+05

9 Kunyit Bubuk 0 0 Rp 13,250 Rp - 0 0 Rp 13,250 Rp - 0 0 Rp 13,250 Rp - 1E+04

10 Jahe 0 0 Rp 53,000 Rp - 0 0 Rp 53,000 Rp - 0 0 Rp 53,000 Rp - ###

11 Rempah-Rempah Daun 2 2 2 6 Rp 6,625 Rp 39,750 1 1 1 3 Rp 6,625 Rp 19,875 2 2 Rp 6,625 Rp 13,250 ###

12 Santan Kara 0 0 Rp 11,263 Rp - 0 0 Rp 11,263 Rp - 0 0 Rp 11,263 Rp - 11263

13 Tempe 6 6 5 5 22 Rp 2,650 Rp 58,300 6 6 5 5 22 Rp 2,650 Rp 58,300 10 10 Rp 2,650 Rp 26,500 ###

14 Tahu 1 0.5 1 2.5 Rp 53,000 Rp 132,500 1 0.5 1 2.5 Rp 53,000 Rp 132,500 1 1 Rp 53,000 Rp 53,000 1E+05

15 Jagung Manis Tongkol 0 1 1 Rp 15,000 Rp 15,000 0 1 1 Rp 15,000 Rp 15,000 0 0 Rp 15,000 Rp - ###

16 Kemangi 0 0 Rp 6,625 Rp - 0 0 Rp 6,625 Rp - 0 0 Rp 6,625 Rp - 6625

17 Kol 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - ###

Kentang 1 1 Rp 26,500 Rp 26,500 1 1 Rp 26,500 Rp 26,500 1 1 Rp 26,500 Rp 26,500 ###
18
Kentang 0 Rp 40,000 Rp - 0 0 Rp 40,000 Rp - 0 0 Rp 40,000 Rp - ###
19 Wortel 2 0.5 2.5 Rp 26,500 Rp 66,250 2 2 Rp 26,500 Rp 53,000 2 2 Rp 26,500 Rp 53,000 ###

20 Sayur Campur 3 3 3 9 Rp 6,625 Rp 59,625 2 3 3 8 Rp 6,625 Rp 53,000 5 5 Rp 6,625 Rp 33,125 ###

21 Kacang Panjang 1 2 2 5 Rp 6,625 Rp 33,125 1 1 1 3 Rp 6,625 Rp 19,875 1 1 Rp 6,625 Rp 6,625 13251

22 Tauge 0 0.5 0.5 Rp 26,500 Rp 13,250 0 0.5 0.5 Rp 26,500 Rp 13,250 0 0 Rp 26,500 Rp - ###

23 Sawi 0 5 5 Rp 26,500 Rp 132,500 0 4 4 Rp 26,500 Rp 106,000 0 0 Rp 26,500 Rp - ###

24 Mostor 2 3 5 Rp 6,625 Rp 33,125 2 3 5 Rp 6,625 Rp 33,125 2 2 Rp 6,625 Rp 13,250 ###

25 Ketimun 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - ###

26 Labu Siam 1 1 1 3 Rp 26,500 Rp 79,500 1 1 1 3 Rp 26,500 Rp 79,500 1.5 1.5 Rp 26,500 Rp 39,750 ###

27 Bayam Hijau 0 1 1 Rp 6,625 Rp 6,625 0 1 1 Rp 6,625 Rp 6,625 0 0 Rp 6,625 Rp - 6625

28 Buncis 0.5 0.5 1 Rp 26,500 Rp 26,500 0.5 0.5 Rp 26,500 Rp 13,250 1 1 Rp 26,500 Rp 26,500 ###

29 Pepaya 0 1.5 1.5 Rp 10,600 Rp 15,900 0 1.5 1.5 Rp 10,600 Rp 15,900 0 0 Rp 10,600 Rp - 1E+04

30 Apel 0 0 Rp 75,525 Rp - 0 0 Rp 75,525 Rp - 0 0 Rp 75,525 Rp - ###

31 Semangka 0 3.5 4 7.5 Rp 13,250 Rp 99,375 0 3 4 7 Rp 13,250 Rp 92,750 0 0 Rp 13,250 Rp - 1E+04

32 Pisang 1 1 2 Rp 26,500 Rp 53,000 1 1 2 Rp 26,500 Rp 53,000 1 1 Rp 26,500 Rp 26,500 ###

33 Telur Ayam 0 1 1 Rp 72,875 Rp 72,875 0 0 Rp 72,875 Rp - 0 0 Rp 72,875 Rp - ###

 PASIEN PENDAMPING PETUGAS
BULAN APRIL TANGGAL BULAN APRIL TANGGAL BULAN APRIL TANGGAL

NO URAIAN JENIS BAHAN

TOTAL

TOTAL

TOTAL

TOTAL
7 10 12 21 29 SATUAN JUMLAH 7 10 12 21 29 SATUAN JUMLAH 7 10 SATUAN JUMLAH

34 Ikan Cakalang Besar 0 0 Rp 53,000 Rp - 0 0 Rp 53,000 Rp - 0 0 Rp 53,000 Rp - ###

35 Ikan Mujair 3 3 6 Rp 66,250 Rp 397,500 2 3 5 Rp 66,250 Rp 331,250 2 2 Rp 66,250 Rp 132,500 ###

36 Daging Ayam 0 11 11 Rp 72,875 Rp 801,625 0 10 10 Rp 72,875 Rp 728,750 0 0 Rp 72,875 Rp - ###

37 Telur Puyuh 0 0 Rp 19,875 Rp - 0 0 Rp 19,875 Rp - 0 0 Rp 19,875 Rp - ###

38 Daging Sapi 0 0 Rp 159,000 Rp - 0 0 Rp 159,000 Rp - 0 0 Rp 159,000 Rp - ###

39 Ikan Tuna 0 0 Rp 85,000 Rp - 0 0 Rp 85,000 Rp - 0 0 Rp 85,000 Rp - ###

Ikan Oci 1 3 3 Rp 46,375 Rp 139,125 2 1 1.5 2 6.5 Rp 46,375 Rp 301,438 3 3 Rp 46,375 Rp 139,125 ###
40
Ikan Oci 2 0 6 6 Rp 55,000 Rp 330,000 0 0 Rp 55,000 Rp - 0 0 Rp 55,000 Rp - ###

JUMLAH PASIEN Rp 3,032,763 JUMLAH PENDAMPING Rp 2,576,325 JUMLAH PETUGAS Rp 708,875

BAHAN KERING
Beras 0 0.5 0.5 Rp 728,750 Rp 364,375 0 0.5 0.5 Rp 728,750 Rp 364,375 0 0 Rp 728,750 Rp - ###
1
Kemiri 0 0 Rp 61,875 Rp - 0 0 Rp 61,875 Rp - 0 0 Rp 61,875 Rp - ###
2
Lada Bubuk 0 0 Rp 32,456 Rp - 0 0 Rp 32,456 Rp - 0 0 Rp 32,456 Rp - ###
3
Jintan Bubuk 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - ###
4
Ketumbar Bubuk 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - ###
5
6 Ajinomoto 0 0 Rp 7,500 Rp - 0 0 Rp 7,500 Rp - 0 0 Rp 7,500 Rp - 7500
7 Garam 0 0 Rp 25,825 Rp - 0 0 Rp 25,825 Rp - 0 0 Rp 25,825 Rp - ###
Saus Tiram 0 0 Rp 13,673 Rp - 0 0 Rp 13,673 Rp - 0 0 Rp 13,673 Rp - 1E+04
8
Minyak Kelapa 1 0 0 Rp 344,500 Rp - 0 0 Rp 344,500 Rp - 0 0 Rp 344,500 Rp - ###
9
Minyak Kelapa 2 0 0 Rp 450,000 Rp - 0 0 Rp 450,000 Rp - 0 0 Rp 450,000 Rp - ###
10 Royco 0 0 Rp 298,125 Rp - 0 0 Rp 298,125 Rp - 0 0 Rp 298,125 Rp - ###
11 Kacang Hijau 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - ###
12 Gula Merah 0 0 Rp 14,781 Rp - 0 0 Rp 14,781 Rp - 0 0 Rp 14,781 Rp - 14781
13 Laksa Serimpi 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - ###
14 Terigu 0 0 Rp 199,966 Rp - 0 0 Rp 199,966 Rp - 0 0 Rp 199,966 Rp - ###
15 Ragi 0 0 Rp 14,987 Rp - 0 0 Rp 14,987 Rp - 0 0 Rp 14,987 Rp - 1E+04
16 Kecap 275 ML 0 0 Rp 17,181 Rp - 0 0 Rp 17,181 Rp - 0 0 Rp 17,181 Rp - 17181
17 The Celup Sariwangi 0 0 Rp 103,350 Rp - 0 0 Rp 103,350 Rp - 0 0 Rp 103,350 Rp - 1E+05
18 Susu Kental Manis Coklat 0 0 Rp 14,575 Rp - 0 0 Rp 14,575 Rp - 0 0 Rp 14,575 Rp - 1E+04
19 Biskuit Regal 0 0 Rp 11,072 Rp - 0 0 Rp 11,072 Rp - 0 0 Rp 11,072 Rp - 11072
Cup tempat Puding 1 0 0 Rp 100,000 Rp - 0 0 Rp 100,000 Rp - 0 0 Rp 100,000 Rp - 1E+05
20
Cup tempat Puding 2 0 0 Rp 50,000 Rp - 0 0 Rp 50,000 Rp - 0 0 Rp 50,000 Rp - ###
Cup tempat bubur kacang hijau1 0 0 Rp 100,000 Rp - 0 0 Rp 100,000 Rp - 0 0 Rp 100,000 Rp - 1E+05
21
Cup tempat bubur kacang hijau2 0 0 Rp 50,000 Rp - 0 0 Rp 50,000 Rp - 0 0 Rp 50,000 Rp - ###
22 Plastik wrap 0 6 6 Rp 36,438 Rp 218,628 0 0 Rp 36,438 Rp - 0 0 Rp 36,438 Rp - ###
23 Tas Plastik sedang 0 0 Rp 20,000 Rp - 0 0 Rp 20,000 Rp - 0 0 Rp 20,000 Rp - ###
24 Vanila 0 0 Rp 19,500 Rp - 0 0 Rp 19,500 Rp - 0 0 Rp 19,500 Rp - ###

25 Cocoa Van Houten 90 gr 0 0 Rp 50,000 Rp - 0 0 Rp 50,000 Rp - 0 0 Rp 50,000 Rp - ###

26 Alfa Jell (SP) 0 0 Rp 19,500 Rp - 0 0 Rp 19,500 Rp - 0 0 Rp 19,500 Rp - ###

 PASIEN PENDAMPING PETUGAS
BULAN APRIL TANGGAL BULAN APRIL TANGGAL BULAN APRIL TANGGAL

NO URAIAN JENIS BAHAN

TOTAL

TOTAL

TOTAL

TOTAL
7 10 12 21 29 SATUAN JUMLAH 7 10 12 21 29 SATUAN JUMLAH 7 10 SATUAN JUMLAH

27 Plastik Susu 15x10 0 6 6 19,875 Rp 119,250 0 0 19,875 Rp - 0 0 19,875 Rp - ###

28 Mika Nasi 0 0 Rp 29,150 Rp - 0 0 Rp 29,150 Rp - 0 0 Rp 29,150 Rp - ###

29 Mentega 0 0 Rp 29,813 Rp - 0 0 Rp 29,813 Rp - 0 0 Rp 29,813 Rp - ###

30 Dos Makanan 0 0 Rp 119,250 Rp - 0 0 Rp 119,250 Rp - 0 0 Rp 119,250 Rp - 1E+05

31 Alfa Gell 0 0 Rp 50,000 Rp - 0 0 Rp 50,000 Rp - 0 0 Rp 50,000 Rp - ###

JUMLAH PASIEN Rp 702,253 JUMLAH PENDAMPING Rp 364,375 JUMLAH PETUGAS Rp -

TOTAL BASAH+KERING PASIEN Rp 3,735,016 TOTAL BASAH+KERING PENDAMPING Rp 2,940,700 TOTAL BASAH+KERING PETUGAS Rp 708,875

PASIEN PENDAMPING PETUGAS

BULAN MEI TANGGAL BULAN MEI TANGGAL BULAN MEI TANGGAL
URAIAN JENIS BARANG /
NO

TOTAL

TOTAL

TOTAL

TOTAL
ALAT
5 12 20 23 27 29 30/1 SATUAN JUMLAH 5 12 20 23 27 29 30/1 SATUAN JUMLAH 12 20 23 27 29 30/1 SATUAN JUMLAH

1 Bawang Merah 0 1 1 2 Rp 53,000 Rp 106,000 1 1 2 Rp 53,000 Rp 106,000 2 1 3 Rp 53,000 Rp 159,000 0

2 Bawang Putih 0 1 1 Rp 46,375 Rp 46,375 1 1 Rp 46,375 Rp 46,375 2 2 Rp 46,375 Rp 92,750
3 Batang Bawang 0 1 1 1 3 Rp 6,625 Rp 19,875 1 2 3 Rp 6,625 Rp 19,875 1 1 2 4 Rp 6,625 Rp 26,500
4 Seledri 0 1 1 1 3 Rp 6,625 Rp 19,875 0 Rp 6,625 Rp - 1 1 1 3 Rp 6,625 Rp 19,875
5 Cabe 2 2 4 Rp 53,000 Rp 212,000 1 1 Rp 53,000 Rp 53,000 0 Rp 53,000 Rp -
Rica 1 0 0 Rp 53,000 Rp - 0 Rp 53,000 Rp - 0 Rp 53,000 Rp -
6
rica 2 1 1 2 Rp 122,000 Rp 244,000 2 0.5 1 3.5 Rp 122,000 Rp 427,000 2 1.5 3.5 Rp 122,000 Rp 427,000
7 Jeruk Nipis 0 0 Rp 33,125 Rp - 0 Rp 33,125 Rp - 0 Rp 33,125 Rp -
8 Tomat 0 2 1 2 5 Rp 19,875 Rp 99,375 2 2 3 7 Rp 19,875 Rp 139,125 2 1 2 5 Rp 19,875 Rp 99,375 2
9 Kunyit Bubuk 0 0 Rp 13,250 Rp - 0 Rp 13,250 Rp - 0 Rp 13,250 Rp -
10 Jahe 0 0 Rp 53,000 Rp - 0 Rp 53,000 Rp - 0.5 0.5 Rp 53,000 Rp 26,500
11 Rempah-Rempah Daun 0 1 1 1 1 4 Rp 6,625 Rp 26,500 1 1 Rp 6,625 Rp 6,625 1 1 1 1 4 Rp 6,625 Rp 26,500 1
12 Santan Kara 0 0 Rp 11,263 Rp - 0 Rp 11,263 Rp - 0 Rp 11,263 Rp -
13 Tempe 10 5 4 4 5 3 31 Rp 2,650 Rp 82,150 5 2 2 2 5 2 18 Rp 2,650 Rp 47,700 5 10 4 5 7 31 Rp 2,650 Rp 82,150 7
14 Tahu 2 1 2 1 1 7 Rp 53,000 Rp 371,000 1 1 0.5 0.5 1 4 Rp 53,000 Rp 212,000 2 1 2 1 6 Rp 53,000 Rp 318,000 1
15 Jagung Manis Tongkol 0 1 1 2 Rp 15,000 Rp 30,000 2 2 4 Rp 15,000 Rp 60,000 2 1 3 Rp 15,000 Rp 45,000 1
16 Kemangi 0 0 Rp 6,625 Rp - 0 Rp 6,625 Rp - 0 Rp 6,625 Rp -
17 Kol 0 1 1 Rp 26,500 Rp 26,500 0.5 1 1.5 Rp 26,500 Rp 39,750 2 1 3 Rp 26,500 Rp 79,500 1
Kentang 0 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 0 Rp 26,500 Rp -
18
Kentang 2 1 3 Rp 40,000 Rp 120,000 1 1 2 Rp 40,000 Rp 80,000 0 Rp 40,000 Rp -
19 Wortel 2 1 0.5 3.5 Rp 26,500 Rp 92,750 1 1 1 3 Rp 26,500 Rp 79,500 1 2 3 Rp 26,500 Rp 79,500
20 Sayur Campur 0 2 4 2 8 Rp 6,625 Rp 53,000 2 2 2 6 Rp 6,625 Rp 39,750 4 4 4 12 Rp 6,625 Rp 79,500
21 Kacang Panjang 0 1 1 1 2 1 6 Rp 6,625 Rp 39,750 1 1 1 2 1 6 Rp 6,625 Rp 39,750 2 1 1 2 1 7 Rp 6,625 Rp 46,375 1
22 Tauge 0 1 0.5 1.5 Rp 26,500 Rp 39,750 0 Rp 26,500 Rp - 1 1 2 Rp 26,500 Rp 53,000
23 Sawi 0 2 2 2.5 3 9.5 Rp 26,500 Rp 251,750 2 1 1 4 8 Rp 26,500 Rp 212,000 2 2 2 3 9 Rp 26,500 Rp 238,500 3
24 Mostor 0 3 2 2 1 8 Rp 6,625 Rp 53,000 1 1 2 1 5 Rp 6,625 Rp 33,125 1 1 2 1 5 Rp 6,625 Rp 33,125 1
25 Ketimun 0 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 0 Rp 26,500 Rp -
26 Labu Siam 0 2 2 Rp 26,500 Rp 53,000 1 1 Rp 26,500 Rp 26,500 1 1 Rp 26,500 Rp 26,500 1
27 Bayam Hijau 0 3 1 1 5 Rp 6,625 Rp 33,125 1 1 1 3 Rp 6,625 Rp 19,875 1 1 1 3 Rp 6,625 Rp 19,875 1
28 Buncis 0 1 1 Rp 26,500 Rp 26,500 0 Rp 26,500 Rp - 1 1 Rp 26,500 Rp 26,500
29 Pepaya 0 0 Rp 10,600 Rp - 0 Rp 10,600 Rp - 0 Rp 10,600 Rp -
 PASIEN PENDAMPING PETUGAS
BULAN APRIL TANGGAL BULAN APRIL TANGGAL BULAN APRIL TANGGAL

NO URAIAN JENIS BAHAN

TOTAL

TOTAL

TOTAL

TOTAL
7 10 12 21 29 SATUAN JUMLAH 7 10 12 21 29 SATUAN JUMLAH 7 10 SATUAN JUMLAH

30 Apel 0 0 Rp 75,525 Rp - 0 Rp 75,525 Rp - 0 Rp 75,525 Rp -

31 Semangka 10 3 8 2 23 Rp 13,250 Rp 304,750 3 1 3 2 9 Rp 13,250 Rp 119,250 4 8 2 14 Rp 13,250 Rp 185,500
32 Pisang 0 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 0 Rp 26,500 Rp -
33 Telur Ayam 5 3 2 10 Rp 72,875 Rp 728,750 1 1 Rp 72,875 Rp 72,875 2 1 3 Rp 72,875 Rp 218,625
34 Ikan Cakalang Besar 0 3 3 Rp 53,000 Rp 159,000 1 1 Rp 53,000 Rp 53,000 3 3 Rp 53,000 Rp 159,000
35 Ikan Mujair 0 3 3 6 Rp 66,250 Rp 397,500 2 2 4 Rp 66,250 Rp 265,000 3 4 7 Rp 66,250 Rp 463,750
36 Daging Ayam 0 5 5 5 4 19 Rp 72,875 Rp 1,384,625 3 3 3 4 13 Rp 72,875 Rp 947,375 6 5 5 6 22 Rp 72,875 Rp 1,603,250
37 Telur Puyuh 0 1 1 Rp 19,875 Rp 19,875 1 1 Rp 19,875 Rp 19,875 1 1 Rp 19,875 Rp 19,875
38 Daging Sapi 0 0 Rp 159,000 Rp - 0 Rp 159,000 Rp - 0 Rp 159,000 Rp -
39 Ikan Tuna 0 7 7 Rp 85,000 Rp 595,000 3 3 Rp 85,000 Rp 255,000 7 7 Rp 85,000 Rp 595,000
Ikan Oci 1 0 0 Rp 46,375 Rp - 0 Rp 46,375 Rp - 0 Rp 46,375 Rp -
40
Ikan Oci 2 0 6 0 4 10 Rp 55,000 Rp 550,000 3 4 7 Rp 55,000 Rp 385,000 8 4 12 Rp 55,000 Rp 660,000

JUMLAH PASIEN Rp 6,185,775 JUMLAH PENDAMPING Rp 3,805,325 JUMLAH PETUGAS Rp 5,910,025

BAHAN KERING 22 27 22 27 22 27

1 Beras 0 1 1 Rp 728,750 Rp 728,750 0 1 1 Rp 728,750 Rp 728,750 0 1 1 Rp 728,750 Rp 728,750 1E+06

2 Kemiri 0 0 Rp 61,875 Rp - 0 0 Rp 61,875 Rp - 0 0 Rp 61,875 Rp - ###
3 Lada Bubuk 0 0 Rp 32,456 Rp - 0 0 Rp 32,456 Rp - 0 0 Rp 32,456 Rp - ###
4 Jintan Bubuk 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - ###
5 Ketumbar Bubuk 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - ###
6 Ajinomoto 0 0 Rp 7,500 Rp - 0 0 Rp 7,500 Rp - 0 0 Rp 7,500 Rp - 7500
7 Garam 0 0 Rp 25,825 Rp - 0 0 Rp 25,825 Rp - 0 0 Rp 25,825 Rp - ###
8 Saus Tiram 0 0 Rp 13,673 Rp - 0 0 Rp 13,673 Rp - 0 0 Rp 13,673 Rp - 1E+04
Minyak Kelapa 1 0 0 Rp 344,500 Rp - 0 0 Rp 344,500 Rp - 0 0 Rp 344,500 Rp - ###
9
Minyak Kelapa 2 0 1 1 Rp 450,000 Rp 450,000 0 1 1 Rp 450,000 Rp 450,000 0 1 1 Rp 450,000 Rp 450,000 ###
10 Royco 0 0 Rp 298,125 Rp - 0 0 Rp 298,125 Rp - 0 0 Rp 298,125 Rp - ###
11 Kacang Hijau 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - 0 0 Rp 26,500 Rp - ###
12 Gula Merah 0 0 Rp 14,781 Rp - 0 0 Rp 14,781 Rp - 0 0 Rp 14,781 Rp - 14781
13 Laksa Serimpi 0 2 2 Rp 26,500 Rp 53,000 0 1 1 Rp 26,500 Rp 26,500 0 2 2 Rp 26,500 Rp 53,000 ###
14 Terigu 0 0 Rp 199,966 Rp - 0 0 Rp 199,966 Rp - 0 0 Rp 199,966 Rp - ###
15 Ragi 0 0 Rp 14,987 Rp - 0 0 Rp 14,987 Rp - 0 0 Rp 14,987 Rp - 1E+04
16 Kecap 275 ML 0 0 Rp 17,181 Rp - 0 0 Rp 17,181 Rp - 0 0 Rp 17,181 Rp - 17181
17 The Celup Sariwangi 0 0 Rp 103,350 Rp - 0 0 Rp 103,350 Rp - 0 0 Rp 103,350 Rp - 1E+05
18 Susu Kental Manis Coklat 0 0 Rp 14,575 Rp - 0 0 Rp 14,575 Rp - 0 0 Rp 14,575 Rp - 1E+04
19 Biskuit Regal 0 0 Rp 11,072 Rp - 0 0 Rp 11,072 Rp - 0 0 Rp 11,072 Rp - 11072
Cup tempat Puding 1 0 0 Rp 100,000 Rp - 0 0 Rp 100,000 Rp - 0 0 Rp 100,000 Rp - 1E+05
20
Cup tempat Puding 2 0 2 2 Rp 50,000 Rp 100,000 0 0 Rp 50,000 Rp - 0 3 3 Rp 50,000 Rp 150,000 ###
Cup tempat bubur kacang hijau1 0 0 Rp 100,000 Rp - 0 0 Rp 100,000 Rp - 0 0 Rp 100,000 Rp - 1E+05
21
Cup tempat bubur kacang hijau2 0 0 Rp 50,000 Rp - 0 0 Rp 50,000 Rp - 0 0 Rp 50,000 Rp - ###
22 Plastik wrap 0 6 6 Rp 36,438 Rp 218,628 0 0 Rp 36,438 Rp - 0 2 2 Rp 36,438 Rp 72,876 1E+05
23 Tas Plastik sedang 0 0 Rp 20,000 Rp - 0 0 Rp 20,000 Rp - 0 0 Rp 20,000 Rp - ###
24 Vanila 0 0 Rp 19,500 Rp - 0 0 Rp 19,500 Rp - 0 0 Rp 19,500 Rp - ###

25 Cocoa Van Houten 90 gr 0 0 Rp 50,000 Rp - 0 0 Rp 50,000 Rp - 0 0 Rp 50,000 Rp - ###

26 Alfa Jell (SP) 0 0 Rp 19,500 Rp - 0 0 Rp 19,500 Rp - 0 0 Rp 19,500 Rp - ###

 PASIEN PENDAMPING PETUGAS
BULAN APRIL TANGGAL BULAN APRIL TANGGAL BULAN APRIL TANGGAL

NO URAIAN JENIS BAHAN

TOTAL

TOTAL

TOTAL

TOTAL
7 10 12 21 29 SATUAN JUMLAH 7 10 12 21 29 SATUAN JUMLAH 7 10 SATUAN JUMLAH

27 Plastik Susu 15x10 0 0 19,875 Rp - 0 0 19,875 Rp - 0 0 19,875 Rp - ###

28 Mika Nasi 0 2 2 Rp 29,150 Rp 58,300 0 0 Rp 29,150 Rp - 0 6 6 Rp 29,150 Rp 174,900 ###

29 Mentega 0 0 Rp 29,813 Rp - 0 0 Rp 29,813 Rp - 0 0 Rp 29,813 Rp - ###

30 Dos Makanan 0 2 2 Rp 119,250 Rp 238,500 0 0 Rp 119,250 Rp - 0 6 6 Rp 119,250 Rp 715,500 ###

31 Alfa Gell 0 0 Rp 50,000 Rp - 0 0 Rp 50,000 Rp - 0 0 Rp 50,000 Rp - ###

JUMLAH PASIEN Rp 1,847,178 JUMLAH PENDAMPING Rp 1,205,250 JUMLAH PETUGAS Rp 2,345,026

TOTAL BASAH+KERING PASIEN Rp 8,032,953 TOTAL BASAH+KERING PENDAMPING Rp 5,010,575 TOTAL BASAH+KERING PETUGAS Rp 8,255,051

PASIEN PENDAMPING PETUGAS

BULAN JUNI TANGGAL BULAN JUNI TANGGAL BULAN JUNI TANGGAL
URAIAN JENIS BARANG /
NO

TOTAL

TOTAL

TOTAL

TOTAL
ALAT
SATUAN JUMLAH SATUAN JUMLAH SATUAN JUMLAH

1 Bawang Merah 0 Rp 53,000 Rp - 0 Rp 53,000 Rp - 0 Rp 53,000 Rp - 0

2 Bawang Putih 0 Rp 46,375 Rp - 0 Rp 46,375 Rp - 0 Rp 46,375 Rp -
3 Batang Bawang 0 Rp 6,625 Rp - 0 Rp 6,625 Rp - 0 Rp 6,625 Rp -
4 Seledri 0 Rp 6,625 Rp - 0 Rp 6,625 Rp - 0 Rp 6,625 Rp -
5 Cabe 0 Rp 53,000 Rp - 0 Rp 53,000 Rp - 0 Rp 53,000 Rp -
Rica 1 0 Rp 53,000 Rp - 0 Rp 53,000 Rp - 0 Rp 53,000 Rp -
6
rica 2 0 Rp 122,000 Rp - 0 Rp 122,000 Rp - 0 Rp 122,000 Rp -
7 Jeruk Nipis 0 Rp 33,125 Rp - 0 Rp 33,125 Rp - 0 Rp 33,125 Rp -
8 Tomat 0 Rp 19,875 Rp - 0 Rp 19,875 Rp - 0 Rp 19,875 Rp - 2
9 Kunyit Bubuk 0 Rp 13,250 Rp - 0 Rp 13,250 Rp - 0 Rp 13,250 Rp -
10 Jahe 0 Rp 53,000 Rp - 0 Rp 53,000 Rp - 0 Rp 53,000 Rp -
11 Rempah-Rempah Daun 0 Rp 6,625 Rp - 0 Rp 6,625 Rp - 0 Rp 6,625 Rp - 1
12 Santan Kara 0 Rp 11,263 Rp - 0 Rp 11,263 Rp - 0 Rp 11,263 Rp -
13 Tempe 0 Rp 2,650 Rp - 0 Rp 2,650 Rp - 0 Rp 2,650 Rp - 7
14 Tahu 0 Rp 53,000 Rp - 0 Rp 53,000 Rp - 0 Rp 53,000 Rp - 1
15 Jagung Manis Tongkol 0 Rp 15,000 Rp - 0 Rp 15,000 Rp - 0 Rp 15,000 Rp - 1
16 Kemangi 0 Rp 6,625 Rp - 0 Rp 6,625 Rp - 0 Rp 6,625 Rp -
17 Kol 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 1
Kentang 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 0 Rp 26,500 Rp -
18
Kentang 0 Rp 40,000 Rp - 0 Rp 40,000 Rp - 0 Rp 40,000 Rp -
19 Wortel 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 0 Rp 26,500 Rp -
20 Sayur Campur 0 Rp 6,625 Rp - 0 Rp 6,625 Rp - 0 Rp 6,625 Rp -
21 Kacang Panjang 0 Rp 6,625 Rp - 0 Rp 6,625 Rp - 0 Rp 6,625 Rp - 1
22 Tauge 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 0 Rp 26,500 Rp -
23 Sawi 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 3
24 Mostor 0 Rp 6,625 Rp - 0 Rp 6,625 Rp - 0 Rp 6,625 Rp - 1
25 Ketimun 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 0 Rp 26,500 Rp -
26 Labu Siam 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 1
27 Bayam Hijau 0 Rp 6,625 Rp - 0 Rp 6,625 Rp - 0 Rp 6,625 Rp - 1
 PASIEN PENDAMPING PETUGAS
BULAN APRIL TANGGAL BULAN APRIL TANGGAL BULAN APRIL TANGGAL

NO URAIAN JENIS BAHAN

TOTAL

TOTAL

TOTAL

TOTAL
7 10 12 21 29 SATUAN JUMLAH 7 10 12 21 29 SATUAN JUMLAH 7 10 SATUAN JUMLAH

28 Buncis 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 0 Rp 26,500 Rp -

29 Pepaya 0 Rp 10,600 Rp - 0 Rp 10,600 Rp - 0 Rp 10,600 Rp -
30 Apel 0 Rp 75,525 Rp - 0 Rp 75,525 Rp - 0 Rp 75,525 Rp -
31 Semangka 0 Rp 13,250 Rp - 0 Rp 13,250 Rp - 0 Rp 13,250 Rp -
32 Pisang 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 0 Rp 26,500 Rp -
33 Telur Ayam 0 Rp 72,875 Rp - 0 Rp 72,875 Rp - 0 Rp 72,875 Rp -
34 Ikan Cakalang Besar 0 Rp 53,000 Rp - 0 Rp 53,000 Rp - 0 Rp 53,000 Rp -
35 Ikan Mujair 0 Rp 66,250 Rp - 0 Rp 66,250 Rp - 0 Rp 66,250 Rp -
36 Daging Ayam 0 Rp 72,875 Rp - 0 Rp 72,875 Rp - 0 Rp 72,875 Rp -
37 Telur Puyuh 0 Rp 19,875 Rp - 0 Rp 19,875 Rp - 0 Rp 19,875 Rp -
38 Daging Sapi 0 Rp 159,000 Rp - 0 Rp 159,000 Rp - 0 Rp 159,000 Rp -
39 Ikan Tuna 0 Rp 85,000 Rp - 0 Rp 85,000 Rp - 0 Rp 85,000 Rp -
Ikan Oci 1 0 Rp 46,375 Rp - 0 Rp 46,375 Rp - 0 Rp 46,375 Rp -
40
Ikan Oci 2 0 Rp 55,000 Rp - 0 Rp 55,000 Rp - 0 Rp 55,000 Rp -

JUMLAH PASIEN Rp - JUMLAH PENDAMPING Rp - JUMLAH PETUGAS Rp -

BAHAN KERING 22 27 22 27 22 27

1 Beras 0 Rp 728,750 Rp - 0 Rp 728,750 Rp - 0 Rp 728,750 Rp - ###

2 Kemiri 0 Rp 61,875 Rp - 0 Rp 61,875 Rp - 0 Rp 61,875 Rp - ###
3 Lada Bubuk 0 Rp 32,456 Rp - 0 Rp 32,456 Rp - 0 Rp 32,456 Rp - ###
4 Jintan Bubuk 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - ###
5 Ketumbar Bubuk 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - ###
6 Ajinomoto 0 Rp 7,500 Rp - 0 Rp 7,500 Rp - 0 Rp 7,500 Rp - 7500
7 Garam 0 Rp 25,825 Rp - 0 Rp 25,825 Rp - 0 Rp 25,825 Rp - ###
8 Saus Tiram 0 Rp 13,673 Rp - 0 Rp 13,673 Rp - 0 Rp 13,673 Rp - 1E+04
Minyak Kelapa 1 0 Rp 344,500 Rp - 0 Rp 344,500 Rp - 0 Rp 344,500 Rp - ###
9
Minyak Kelapa 2 0 Rp 450,000 Rp - 0 Rp 450,000 Rp - 0 Rp 450,000 Rp - ###
10 Royco 0 Rp 298,125 Rp - 0 Rp 298,125 Rp - 0 Rp 298,125 Rp - ###
11 Kacang Hijau 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - ###
12 Gula Merah 0 Rp 14,781 Rp - 0 Rp 14,781 Rp - 0 Rp 14,781 Rp - 14781
13 Laksa Serimpi 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - 0 Rp 26,500 Rp - ###
14 Terigu 0 Rp 199,966 Rp - 0 Rp 199,966 Rp - 0 Rp 199,966 Rp - ###
15 Ragi 0 Rp 14,987 Rp - 0 Rp 14,987 Rp - 0 Rp 14,987 Rp - 1E+04
16 Kecap 275 ML 0 Rp 17,181 Rp - 0 Rp 17,181 Rp - 0 Rp 17,181 Rp - 17181
17 The Celup Sariwangi 0 Rp 103,350 Rp - 0 Rp 103,350 Rp - 0 Rp 103,350 Rp - 1E+05
18 Susu Kental Manis Coklat 0 Rp 14,575 Rp - 0 Rp 14,575 Rp - 0 Rp 14,575 Rp - 1E+04
19 Biskuit Regal 0 Rp 11,072 Rp - 0 Rp 11,072 Rp - 0 Rp 11,072 Rp - 11072
Cup tempat Puding 1 0 Rp 100,000 Rp - 0 Rp 100,000 Rp - 0 Rp 100,000 Rp - 1E+05
20
Cup tempat Puding 2 0 Rp 50,000 Rp - 0 Rp 50,000 Rp - 0 Rp 50,000 Rp - ###
Cup tempat bubur kacang hijau1 0 Rp 100,000 Rp - 0 Rp 100,000 Rp - 0 Rp 100,000 Rp - 1E+05
21
Cup tempat bubur kacang hijau2 0 Rp 50,000 Rp - 0 Rp 50,000 Rp - 0 Rp 50,000 Rp - ###
22 Plastik wrap 0 Rp 36,438 Rp - 0 Rp 36,438 Rp - 0 Rp 36,438 Rp - ###
23 Tas Plastik sedang 0 Rp 20,000 Rp - 0 Rp 20,000 Rp - 0 Rp 20,000 Rp - ###
24 Vanila 0 Rp 19,500 Rp - 0 Rp 19,500 Rp - 0 Rp 19,500 Rp - ###

25 Cocoa Van Houten 90 gr 0 Rp 50,000 Rp - 0 Rp 50,000 Rp - 0 Rp 50,000 Rp - ###

 PASIEN PENDAMPING PETUGAS
BULAN APRIL TANGGAL BULAN APRIL TANGGAL BULAN APRIL TANGGAL

NO URAIAN JENIS BAHAN

TOTAL

TOTAL

TOTAL

TOTAL
7 10 12 21 29 SATUAN JUMLAH 7 10 12 21 29 SATUAN JUMLAH 7 10 SATUAN JUMLAH

26 Alfa Jell (SP) 0 Rp 19,500 Rp - 0 Rp 19,500 Rp - 0 Rp 19,500 Rp - ###

27 Plastik Susu 15x10 0 19,875 Rp - 0 19,875 Rp - 0 19,875 Rp - ###

28 Mika Nasi 0 Rp 29,150 Rp - 0 Rp 29,150 Rp - 0 Rp 29,150 Rp - ###

29 Mentega 0 Rp 29,813 Rp - 0 Rp 29,813 Rp - 0 Rp 29,813 Rp - ###

30 Dos Makanan 0 Rp 119,250 Rp - 0 Rp 119,250 Rp - 0 Rp 119,250 Rp - 1E+05

31 Alfa Gell 0 Rp 50,000 Rp - 0 Rp 50,000 Rp - 0 Rp 50,000 Rp - ###

JUMLAH PASIEN Rp - JUMLAH PENDAMPING Rp - JUMLAH PETUGAS Rp -

TOTAL BASAH+KERING PASIEN Rp - TOTAL BASAH+KERING PENDAMPING Rp - TOTAL BASAH+KERING PETUGAS Rp -

 SATUAN JUMLAH

Rp 53,000 ###
Rp 46,375 ###
Rp 6,625 Rp 87,787,875
Rp 6,625 Rp 131,685,125
Rp 53,000 ###

Rp 53,000 ###

Rp 122,000 ###

Rp 33,125 ###

Rp 19,875 ###
Rp 13,250 ###
Rp 53,000 ###
Rp 6,625 Rp 131,685,125
Rp 11,263 Rp126,855,169
Rp 2,650 Rp 77,274,000
Rp 53,000 ###
Rp 15,000 ###
Rp 6,625 Rp 43,890,625
Rp 26,500 ###
Rp 26,500 ###
Rp 40,000 ###
Rp 26,500 ###
Rp 6,625 ###
Rp 6,625 Rp 87,787,875

Rp 26,500 ###

Rp 26,500 ###
Rp 6,625 Rp 131,685,125
Rp 26,500 ###
Rp 26,500 ###
Rp 6,625 Rp 43,890,625
Rp 26,500 ###
Rp 10,600 Rp112,360,000
Rp 75,525 ###
Rp 13,250 ###
Rp 26,500 ###
Rp 72,875 ###
 SATUAN JUMLAH

Rp 53,000 ###
Rp 66,250 ###
Rp 72,875 ###
Rp 19,875 ###
Rp 159,000 ###
Rp 85,000 ###

Rp 46,375 ###

Rp 55,000 ###

###

Rp 728,750 ###
Rp 61,875 ###
Rp 32,456 ###
Rp 26,500 ###
Rp 26,500 ###
Rp 7,500 Rp 56,250,000
Rp 25,825 ###
Rp 13,673 ###
Rp 344,500 ###
Rp 450,000 ###
Rp 298,125 ###
Rp 26,500 ###
Rp 14,781 Rp218,477,961
Rp 26,500 ###
Rp 199,966 ###
Rp 14,987 ###
Rp 17,181 Rp295,186,761
Rp 103,350 ###
Rp 14,575 ###
Rp 11,072 Rp122,589,184
Rp 100,000 ###
Rp 50,000 ###
Rp 100,000 ###
Rp 50,000 ###
Rp 36,438 ###
Rp 20,000 ###
Rp 19,500 ###

Rp 50,000 ###

Rp 19,500 ###
 SATUAN JUMLAH

19,875 ###

Rp 29,150 ###

Rp 29,813 ###
Rp 119,250 ###
Rp 50,000 ###

###

###

SATUAN JUMLAH

Rp 53,000 Rp -
Rp 46,375 Rp -
Rp 6,625 Rp -
Rp 6,625 Rp -
Rp 53,000 Rp -
Rp 53,000 Rp -
Rp 122,000 Rp -
Rp 33,125 Rp -
Rp 19,875 Rp 39,750
Rp 13,250 Rp -
Rp 53,000 Rp -
Rp 6,625 Rp 6,625
Rp 11,263 Rp -
Rp 2,650 Rp 18,550
Rp 53,000 Rp 53,000
Rp 15,000 Rp 15,000
Rp 6,625 Rp -
Rp 26,500 Rp 26,500
Rp 26,500 Rp -
Rp 40,000 Rp -
Rp 26,500 Rp -
Rp 6,625 Rp -
Rp 6,625 Rp 6,625
Rp 26,500 Rp -
Rp 26,500 Rp 79,500
Rp 6,625 Rp 6,625
Rp 26,500 Rp -
Rp 26,500 Rp 26,500
Rp 6,625 Rp 6,625
Rp 26,500 Rp -
Rp 10,600 Rp -
 SATUAN JUMLAH

Rp 75,525 Rp -
Rp 13,250 Rp -
Rp 26,500 Rp -
Rp 72,875 Rp -
Rp 53,000 Rp -
Rp 66,250 Rp -
Rp 72,875 Rp -
Rp 19,875 Rp -
Rp 159,000 Rp -
Rp 85,000 Rp -

Rp 46,375 Rp -

Rp 55,000 Rp -

Rp 285,300

Rp 728,750 ###
Rp 61,875 ###
Rp 32,456 ###
Rp 26,500 ###
Rp 26,500 ###
Rp 7,500 Rp 56,250,000
Rp 25,825 ###
Rp 13,673 ###
Rp 344,500 ###
Rp 450,000 ###
Rp 298,125 ###
Rp 26,500 ###
Rp 14,781 Rp218,477,961
Rp 26,500 ###
Rp 199,966 ###
Rp 14,987 ###
Rp 17,181 Rp295,186,761
Rp 103,350 ###
Rp 14,575 ###
Rp 11,072 Rp122,589,184
Rp 100,000 ###
Rp 50,000 ###
Rp 100,000 ###
Rp 50,000 ###
Rp 36,438 ###
Rp 20,000 ###
Rp 19,500 ###

Rp 50,000 ###

Rp 19,500 ###
 SATUAN JUMLAH

19,875 ###

Rp 29,150 ###

Rp 29,813 ###
Rp 119,250 ###
Rp 50,000 ###

###

###

SATUAN JUMLAH

Rp 53,000 Rp -
Rp 46,375 Rp -
Rp 6,625 Rp -
Rp 6,625 Rp -
Rp 53,000 Rp -
Rp 53,000 Rp -
Rp 122,000 Rp -
Rp 33,125 Rp -
Rp 19,875 Rp 39,750
Rp 13,250 Rp -
Rp 53,000 Rp -
Rp 6,625 Rp 6,625
Rp 11,263 Rp -
Rp 2,650 Rp 18,550
Rp 53,000 Rp 53,000
Rp 15,000 Rp 15,000
Rp 6,625 Rp -
Rp 26,500 Rp 26,500
Rp 26,500 Rp -
Rp 40,000 Rp -
Rp 26,500 Rp -
Rp 6,625 Rp -
Rp 6,625 Rp 6,625
Rp 26,500 Rp -
Rp 26,500 Rp 79,500
Rp 6,625 Rp 6,625
Rp 26,500 Rp -
Rp 26,500 Rp 26,500
Rp 6,625 Rp 6,625
 SATUAN JUMLAH

Rp 26,500 Rp -
Rp 10,600 Rp -
Rp 75,525 Rp -
Rp 13,250 Rp -
Rp 26,500 Rp -
Rp 72,875 Rp -
Rp 53,000 Rp -
Rp 66,250 Rp -
Rp 72,875 Rp -
Rp 19,875 Rp -
Rp 159,000 Rp -
Rp 85,000 Rp -

Rp 46,375 Rp -

Rp 55,000 Rp -

Rp 285,300

Rp 728,750 ###
Rp 61,875 ###
Rp 32,456 ###
Rp 26,500 ###
Rp 26,500 ###
Rp 7,500 Rp 56,250,000
Rp 25,825 ###
Rp 13,673 ###
Rp 344,500 ###
Rp 450,000 ###
Rp 298,125 ###
Rp 26,500 ###
Rp 14,781 Rp218,477,961
Rp 26,500 ###
Rp 199,966 ###
Rp 14,987 ###
Rp 17,181 Rp295,186,761
Rp 103,350 ###
Rp 14,575 ###
Rp 11,072 Rp122,589,184
Rp 100,000 ###
Rp 50,000 ###
Rp 100,000 ###
Rp 50,000 ###
Rp 36,438 ###
Rp 20,000 ###
Rp 19,500 ###

Rp 50,000 ###
 SATUAN JUMLAH

Rp 19,500 ###

19,875 ###

Rp 29,150 ###

Rp 29,813 ###
Rp 119,250 ###
Rp 50,000 ###

###

###
 LAPORAN MAKAN MINUM PASIEN
DR. Ir. IWAN BOKINGS TAHUN 2021
INSTALASI GIZI

HARGA

PENDAMPING

PETUGAS
PASIEN

TOTAL
URAIAN JENIS BARANG /
NO
ALAT SATUAN JUMLAH

1 Bawang Merah 3.5 3.5 3 10 Rp 53,000 Rp 530,000

2 Bawang Putih 1.5 1.5 2 5 Rp 46,375 Rp 231,875
3 Batang Bawang 7 5 5 17 Rp 6,625 Rp 112,625
4 Seledri 9 4 5 18 Rp 6,625 Rp 119,250
5 Cabe 5 1 0 6 Rp 53,000 Rp 318,000
Rica 1 0 0 0 0 Rp 53,000 Rp -
6
rica 2 2 4.5 3.5 10 Rp 122,000 Rp 1,220,000
7 Jeruk Nipis 0 0 0 0 Rp 33,125 Rp -
8 Tomat 14 15 10 39 Rp 19,875 Rp 775,125
9 Kunyit Bubuk 0 0 0 0 Rp 13,250 Rp -
10 Jahe 0 0 0.5 0.5 Rp 53,000 Rp 26,500
11 Rempah-Rempah Daun 10 4 6 20 Rp 6,625 Rp 132,500
12 Santan Kara 0 0 0 0 Rp 11,263 Rp -
13 Tempe 53 40 41 134 Rp 2,650 Rp 355,100
14 Tahu 9.5 6.5 7 23 Rp 53,000 Rp 1,219,000
15 Jagung Manis Tongkol 3 5 3 11 Rp 15,000 Rp 165,000
16 Kemangi 0 0 0 0 Rp 6,625 Rp -
17 Kol 1 1.5 3 5.5 Rp 26,500 Rp 145,750
Kentang1 1 1 1 3 Rp 26,500 Rp 79,500
18
Kentang2 3 2 0 5 Rp 40,000 Rp 200,000
19 Wortel 6 5 5 16 Rp 26,500 Rp 424,000
20 Sayur Campur 17 14 17 48 Rp 6,625 Rp 318,000
21 Kacang Panjang 11 9 8 28 Rp 6,625 Rp 185,500
22 Tauge 2 0.5 2 4.5 Rp 26,500 Rp 119,250
23 Sawi 14.5 12 9 35.5 Rp 26,500 Rp 940,750
24 Mostor 13 10 7 30 Rp 6,625 Rp 198,750
25 Ketimun 0 0 0 0 Rp 26,500 Rp -
26 Labu Siam 5 4 2.5 11.5 Rp 26,500 Rp 304,750
27 Bayam Hijau 6 4 3 13 Rp 6,625 Rp 86,125
28 Buncis 2 0.5 2 4.5 Rp 26,500 Rp 119,250
29 Pepaya 1.5 1.5 0 3 Rp 10,600 Rp 31,800
30 Apel 0 0 0 0 Rp 75,525 Rp -
31 Semangka 30.5 16 14 60.5 Rp 13,250 Rp 801,625
32 Pisang 2 2 1 5 Rp 26,500 Rp 132,500
33 Telur Ayam 11 1 3 15 Rp 72,875 Rp 1,093,125
34 Ikan Cakalang Besar 3 1 3 7 Rp 53,000 Rp 371,000
35 Ikan Mujair 12 9 9 30 Rp 66,250 Rp 1,987,500
36 Daging Ayam 30 23 22 75 Rp 72,875 Rp 5,465,625
37 Telur Puyuh 1 1 1 3 Rp 19,875 Rp 59,625
38 Daging Sapi 0 0 0 0 Rp 159,000 Rp -
39 Ikan Tuna 7 3 7 17 Rp 85,000 Rp 1,445,000
Ikan Oci1 3 6.5 3 12.5 Rp 46,375 Rp 579,688
40
Ikan Oci2 16 7 12 35 Rp 55,000 Rp 1,925,000

JUMLAH Rp 22,219,088
BAHAN KERING
1 Beras 1.5 1.5 1 4 Rp 728,750 Rp 2,915,000
2 Kemiri 0 0 0 0 Rp 61,875 Rp -
3 Lada Bubuk 0 0 0 0 Rp 32,456 Rp -
4 Jintan Bubuk 0 0 0 0 Rp 26,500 Rp -
5 Ketumbar Bubuk 0 0 0 0 Rp 26,500 Rp -
6 Ajinomoto 0 0 0 0 Rp 7,500 Rp -
7 Garam 0 0 0 0 Rp 25,825 Rp -
8 Saus Tiram 0 0 0 0 Rp 13,673 Rp -
Minyak Kelapa1 0 0 0 0 Rp 344,500 Rp -
9
Minyak Kelapa2 1 1 1 3 Rp 450,000 Rp 1,350,000
10 Royco 0 0 0 0 Rp 298,125 Rp -
11 Kacang Hijau 0 0 0 0 Rp 26,500 Rp -
12 Gula Merah 0 0 0 0 Rp 14,781 Rp -
13 Laksa Serimpi 2 1 2 5 Rp 26,500 Rp 132,500
14 Terigu 0 0 0 0 Rp 199,966 Rp -
15 Ragi 0 0 0 0 Rp 14,987 Rp -
16 Kecap 275 ML 0 0 0 0 Rp 17,181 Rp -
17 The Celup Sariwangi 0 0 0 0 Rp 103,350 Rp -
18 Susu Kental Manis Coklat 0 0 0 0 Rp 14,575 Rp -
19 Biskuit Regal 0 0 0 0 Rp 11,072 Rp -
Cup tempat Puding 0 0 0 0 Rp 100,000 Rp -
20
Cup tempat Puding 2 0 3 5 Rp 50,000 Rp 250,000
Cup tempat bubur kacang hijau1 0 0 0 0 Rp 100,000 Rp -
21
Cup tempat bubur kacang hijau2 0 0 0 0 Rp 50,000 Rp -
22 Plastik wrap 12 0 2 14 Rp 36,438 Rp 510,132
23 Tas Plastik sedang 0 0 0 0 Rp 20,000 Rp -
24 Vanila 0 0 0 0 Rp 19,500 Rp -

25 Cocoa Van Houten 90 gr 0 0 0 0 Rp 50,000 Rp -

26 Alfa Jell (SP) 0 0 0 0 Rp 19,500 Rp -
27 Plastik Susu 15x10 6 0 0 6 19,875 Rp 119,250
28 Mika Nasi 2 0 6 8 Rp 29,150 Rp 233,200
29 Mentega 0 0 0 0 Rp 29,813 Rp -
30 Dos Makanan 2 0 6 8 Rp 119,250 Rp 954,000
31 Alfa Gell 0 0 0 0 Rp 50,000 Rp -
JUMLAH Rp 6,464,082
JUMLAH TOTAL BASAH+KERING Rp 28,683,170

MENEGETAHUI Paguyaman, Januari 2021

KASIE PENUNJANG MEDIK PJ INSTALASI GIZI

RUSLI BADU, SKM Yuyan Rosa, S.ST

NIP. 19730611 200501 1 006 NIP.19810420 200604 1 013
TAGIHAN AP_MEI selisih
Rp 28,311,685 Rp 371,485
 LAPORAN MAKAN MINUM PASIEN
DR. Ir. IWAN BOKINGS TAHUN 2021
INSTALASI GIZI

HARGA

PENDAMPING

PETUGAS
PASIEN

TOTAL
URAIAN JENIS BARANG /
NO
ALAT SATUAN JUMLAH

1 Bawang Merah 3.5 3.5 3 10 Rp 53,000 Rp 530,000

2 Bawang Putih 1.5 1.5 2 5 Rp 46,375 Rp 231,875
3 Batang Bawang 7 5 5 17 Rp 6,625 Rp 112,625
4 Seledri 9 4 5 18 Rp 6,625 Rp 119,250
5 Cabe 5 1 0 6 Rp 53,000 Rp 318,000
Rica 1 0 0 0 0 Rp 53,000 Rp -
6
rica 2 2 4.5 3.5 10 Rp 122,000 Rp 1,220,000
7 Jeruk Nipis 0 0 0 0 Rp 33,125 Rp -
8 Tomat 14 15 10 39 Rp 19,875 Rp 775,125
9 Kunyit Bubuk 1 0 0 1 Rp 12,190 Rp 12,190
10 Jahe 0 0 0.5 0.5 Rp 53,000 Rp 26,500
11 Rempah-Rempah Daun 10 5 6 21 Rp 6,625 Rp 139,125
12 Santan Kara 0 0 0 0 Rp 11,263 Rp -
13 Tempe 53 40 41 134 Rp 2,650 Rp 355,100
14 Tahu 9.5 6.5 7 23 Rp 53,000 Rp 1,219,000
15 Jagung Manis Tongkol 3 5 3 11 Rp 15,000 Rp 165,000
16 Kemangi 0 0 0 0 Rp 6,625 Rp -
17 Kol 1 1.5 3 5.5 Rp 26,500 Rp 145,750
Kentang1 1 1 1 3 Rp 26,500 Rp 79,500
18
Kentang2 3 2 0 5 Rp 40,000 Rp 200,000
19 Wortel 6 5 5 16 Rp 26,500 Rp 424,000
20 Sayur Campur 17 14 17 48 Rp 6,625 Rp 318,000
21 Kacang Panjang 11 9 8 28 Rp 6,625 Rp 185,500
22 Tauge 2 0.5 2 4.5 Rp 26,500 Rp 119,250
23 Sawi 14.5 12 9 35.5 Rp 26,500 Rp 940,750
24 Mostor 13 10 7 30 Rp 6,625 Rp 198,750
25 Ketimun 0 0 0 0 Rp 26,500 Rp -
26 Labu Siam 5 4 2.5 11.5 Rp 26,500 Rp 304,750
27 Bayam Hijau 6 4 3 13 Rp 6,625 Rp 86,125
28 Buncis 2 0.5 2 4.5 Rp 26,500 Rp 119,250
29 Pepaya 1.5 1.5 0 3 Rp 10,600 Rp 31,800
30 Apel 0 0 0 0 Rp 75,525 Rp -
31 Semangka 30.5 16 14 60.5 Rp 13,250 Rp 801,625
32 Pisang 2 2 1 5 Rp 26,500 Rp 132,500
33 Telur Ayam 11 1 3 15 Rp 72,875 Rp 1,093,125
34 Ikan Cakalang Besar 3 1 3 7 Rp 53,000 Rp 371,000
35 Ikan Mujair 12 9 9 30 Rp 66,250 Rp 1,987,500
36 Daging Ayam 29 23 22 74 Rp 72,875 Rp 5,392,750
37 Telur Puyuh 1 1 1 3 Rp 19,875 Rp 59,625
38 Daging Sapi 0 0 0 0 Rp 159,000 Rp -
39 Ikan Tuna 7 3 7 17 Rp 85,000 Rp 1,445,000
Ikan Oci1 3 6.5 3 12.5 Rp 46,375 Rp 579,688
40
Ikan Oci2 16 7 12 35 Rp 55,000 Rp 1,925,000
JUMLAH
BAHAN KERING
1 Beras 1.5 1.5 1 4 Rp 728,750 Rp 2,915,000
2 Kemiri 0 0 0 0 Rp 61,875 Rp -
3 Lada Bubuk 0 0 0 0 Rp 32,456 Rp -
4 Jintan Bubuk 0 0 0 0 Rp 26,500 Rp -
5 Ketumbar Bubuk 0 0 0 0 Rp 26,500 Rp -
6 Ajinomoto 0 0 0 0 Rp 7,500 Rp -
7 Garam 0 0 0 0 Rp 25,825 Rp -
8 Saus Tiram 0 0 0 0 Rp 13,673 Rp -
Minyak Kelapa1 0 0 0 0 Rp 344,500 Rp -
9
Minyak Kelapa2 1 1 1 3 Rp 450,000 Rp 1,350,000
10 Royco 0 0 0 0 Rp 298,125 Rp -
11 Kacang Hijau 0 0 0 0 Rp 26,500 Rp -
12 Gula Merah 0 0 0 0 Rp 14,781 Rp -
13 Laksa Serimpi 2 1 2 5 Rp 26,500 Rp 132,500
14 Terigu 0 0 0 0 Rp 199,966 Rp -
15 Ragi 0 0 0 0 Rp 14,987 Rp -
16 Kecap 275 ML 0 0 0 0 Rp 17,181 Rp -
17 The Celup Sariwangi 0 0 0 0 Rp 103,350 Rp -
18 Susu Kental Manis Coklat 0 0 0 0 Rp 14,575 Rp -
19 Biskuit Regal 0 0 0 0 Rp 11,072 Rp -
Cup tempat Puding 0 0 0 0 Rp 100,000 Rp -
20
Cup tempat Puding 2 0 2 4 Rp 50,000 Rp 200,000
Cup tempat bubur kacang hijau1 0 0 0 0 Rp 100,000 Rp -
21
Cup tempat bubur kacang hijau2 0 0 0 0 Rp 50,000 Rp -
22 Plastik wrap 12 0 2 14 Rp 36,438 Rp 510,132
23 Tas Plastik sedang 0 0 0 0 Rp 20,000 Rp -
Vanila 0 0 0 0 Rp 19,500 Rp -
24
Vanila 1 1 Rp 19,041 Rp 19,041

25 Cocoa Van Houten 90 gr 0 0 0 0 Rp 50,000 Rp -

26 Alfa Jell (SP) 0 0 0 0 Rp 19,500 Rp -
27 Plastik Susu 15x10 6 0 0 6 19,875 Rp 119,250
28 Mika Nasi 2 0 5 7 Rp 29,150 Rp 204,050
29 Mentega 0 0 0 0 Rp 29,813 Rp -
30 Dos Makanan 2 0 4 6 Rp 119,250 Rp 715,500
31 Alfa Gell 0 0 0 0 Rp 50,000 Rp -
JUMLAH Rp 28,330,500
JUMLAH TOTAL BASAH+KERING Rp 28,330,500

Rp 28,330,500

MENEGETAHUI Paguyaman, Januari 2021

KASIE PENUNJANG MEDIK PJ INSTALASI GIZI

RUSLI BADU, SKM Yuyan Rosa, S.ST

NIP. 19730611 200501 1 006 NIP.19810420 200604 1 013
TAGIHAN AP_MEI selisih
Rp 28,330,500 Rp -
 Daftar Lampiran : Bahan Makan Minum PETUGAS (Bahan Basah)
No. Nota Pesanan :
Tanggal :

HARGA

PENDAMPING

PETUGAS
PASIEN

TOTAL
URAIAN JENIS BARANG / KE
NO
ALAT SATUAN JUMLAH T.

1 Bawang Merah 4.75 6.25 9.5 20.5 Rp 53,000 Rp 1,086,500

2 Bawang Putih 2 2.5 3.5 8 Rp 46,375 Rp 371,000
3 Batang Bawang 6.5 7 6 19.5 Rp 6,625 Rp 129,188
4 Seledri 7 11.5 12.5 31 Rp 6,625 Rp 205,375
5 Cabe 5.5 2 0 7.5 Rp 53,000 Rp 397,500
6 Rica 1 0 4.5 10 14.5 Rp 53,000 Rp 768,500
rica 2 0 3 4.5 7.5 Rp 122,000 Rp 915,000
7 Jeruk Nipis 1.3 1.5 Rp 1 3.8 33,125 Rp 125,875
8 Tomat 11 10.25 19.5 40.75 Rp 19,875 Rp 809,906
9 Kunyit Bubuk 0.5 0 0.5 1 Rp 13,250 Rp 13,250
10 Jahe 1 0.25 0.5 1.75 Rp 53,000 Rp 92,750
11 Rempah-Rempah Daun 5 6.5 5.5 17 Rp 6,625 Rp 112,625
12 Santan Kara 1 0 5 6 Rp 11,263 Rp 67,578
13 Tempe 57 54 77 Rp
188 2,650 Rp 498,200
14 Tahu 12 7.5 17 Rp
36.5 53,000 Rp 1,934,500
15 Jagung Manis Tongkol 8 1 2 11 Rp 15,000 Rp 165,000
16 Kemangi 4 2.5 2 8.5 Rp 6,625 Rp 56,313
17 Kol 1 5 5 11 Rp 26,500 Rp 291,500
18 Kentang 7.5 6 5.25 18.75 Rp 26,500 Rp 496,875
19 Wortel 14 12.75 14.5 41.25 Rp 26,500 Rp 1,093,125
20 Sayur Campur 37.5 40 51 128.5 Rp 6,625 Rp 851,313
21 Kacang Panjang 12.5 11.5 11.5 35.5 Rp 6,625 Rp 235,188
22 Tauge 17.5 11.75 13 42.25 Rp 26,500 Rp 1,119,625
23 Sawi 18 21.5 19.25 58.75 Rp 26,500 Rp 1,556,875
24 Mostor 27 21 28 76 Rp 6,625 Rp 503,500
25 Ketimun 2.3 3 3 8.3 Rp 26,500 Rp 219,950
26 Labu Siam 7.5 6.5 9 23 Rp 26,500 Rp 609,500
27 Bayam Hijau 43 4.5 10.5 58 Rp 6,625 Rp 384,250
28 Buncis 4.5 4 5 13.5 Rp 26,500 Rp 357,750
29 Pepaya 10.5 4 7 21.5 Rp 10,600 Rp 227,900
30 Apel 16 0 55.5 71.5 Rp 75,525 Rp 5,400,038
31 Semangka 14.5 17 31.5 63 Rp 13,250 Rp 834,750
32 Pisang 9.5 10.5 11.5 31.5 Rp 26,500 Rp 834,750
33 Telur Ayam 5 3 27 35 Rp 72,875 Rp 2,550,625
34 Ikan Cakalang Besar 6 6 8 20 Rp 53,000 Rp 1,060,000
35 Ikan Mujair 14 11 21.5 46.5 Rp 66,250 Rp 3,080,625
36 Daging Ayam 15.5 14 35 64.5 Rp 72,875 Rp 4,700,438
37 Telur Puyuh 8 4 4 16 Rp 19,875 Rp 318,000
38 Daging Sapi 1 0 9.2 10.2 Rp 159,000 Rp 1,621,800
39 Ikan Tuna 23 17 41 81 Rp 85,000 Rp 6,885,000
40 Ikan Oci 0 2 2 4 Rp 55,000 Rp 220,000
0
BAHAN KERING 0
1 Beras 0 0 0 0 Rp 728,750 Rp -
2 Kemiri 0 0 1 1 Rp 61,875 Rp 61,875
3 Lada Bubuk 0 0 1 1 Rp 32,456 Rp 32,456
4 Jintan Bubuk 0 0 0.5 0.5 Rp 26,500 Rp 13,250
5 Ketumbar Bubuk 0 1 0 1 Rp 26,500 Rp 26,500
6 Ajinomoto 4 2 4 10 Rp 7,500 Rp 75,000
7 Garam 0 1 0 1 Rp 25,825 Rp 25,825
8 Saus Tiram 0 0 1 1 Rp 13,673 Rp 13,673
9 Minyak Kelapa 1 0 1 2 Rp 344,500 Rp 689,000
10 Royco 0 0 0 0 Rp 298,125 Rp -
11 Kacang Hijau 0 1 0 1 Rp 26,500 Rp 26,500
12 Gula Merah 0 1 0 1 Rp 14,781 Rp 14,781
13 Laksa Serimpi 0 1 0 1 Rp 26,500 Rp 26,500
14 Terigu 1 0 0 1 Rp 199,966 Rp 199,966
15 Ragi 0 0 1 1 Rp 14,987 Rp 14,987
16 Kecap 275 ML 1 0 1 2 Rp 17,181 Rp 34,362
17 The Celup Sariwangi 0 0 0 0 Rp 103,350 Rp -
18 Susu Kental Manis Coklat 0 0 1 1 Rp 14,575 Rp 14,575
19 Biskuit Regal 0 1 0 1 Rp 11,072 Rp 11,072
20 Cup tempat Puding 3.5 0 2.5 6 Rp 100,000 Rp 600,000
21 Cup tempat bubur kacang hijau 2.5 0 2.5 5 Rp 100,000 Rp 500,000
22 Plastik wrap 11 0 0 11 Rp 36,438 Rp 400,818
23 Tas Plastik sedang 3 2 3 8 Rp 20,000 Rp 160,000
24 Vanila 1 0 3 4 Rp 19,500 Rp 78,000

25 Cocoa Van Houten 90 gr 1 0 1 2 Rp 50,000 Rp 100,000

26 Alfa Jell (SP) 1 1 0 2 Rp 19,500 Rp 39,000

27 Plastik Susu 15x10 2 1 0 3 19,875 Rp 59,625

28 Mika Nasi 6 0 23 29 Rp 29,150 Rp 845,350

29 Mentega 10 1 1 12 Rp 29,813 Rp 357,756

30 Dos Makanan 0 0 0 Rp 119,250 Rp -

31 Alfa Gell 2 2 Rp 50,000 Rp 100,000

Rp 47,723,305

MENEGETAHUI Paguyaman, Januari 2021

 KASIE PENUNJANG MEDIK PJ INSTALASI GIZI

RUSLI BADU, SKM Yuyan Rosa, S.ST

NIP. 19730611 200501 1 006 NIP.19810420 200604 1 013