Laporan Semester Aset Apbd Tahun 2020

BUKU PENERIMAAN BARANG
PUSKESMAS KOTARATU
Periode : Januari s/d Juni 2020
Nota Pesanan / SPK

Tanggal Tahun
No Dari Nama Barang Merk/Ukuran Banyaknya Harga Satuan
Penerimaan Pembuatan/Perolehan
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10
ALAT TULIS KANTOR
1 3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 HVS F4 70 gram Sidu 2020 8 55,000.00
30/032020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 HVS A4 70 gram Sidu 2020 5 52,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Catridger Hitam Canon 2020 1 250,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Catridger Warna Canon 2020 1 300,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Map Teka Batik Kingco 2020 15 20,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Map Snallhecter Kertas Kiky 2020 900 1,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Box File kiky 2020 16 17,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Buku Folio 100 Lembar Mirage 2020 15 17,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Buku Tulis Panpo 2020 58 6,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Spidol Permanent Snowman 2020 36 8,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Gunting Scissors 2020 2 15,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Pelubang Kertas ZRM 2020 1 40,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Kertas Bufalo Sidu 2020 1 35,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Hecter Kangaro 2020 2 15,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Isi Hecter Great Wall 2020 3 4,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Balpoint Hitam Snowman 2020 20 2,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Mistar Besi Panjang Veota 2020 4 12,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Mistar Besi Pendek Veota 2020 2 7,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Map File 60 Sheat Fprden One 2020 1 25,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Tinta Print Canon 2020 3 60,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Lem Cair Gluvinal 2020 1 8,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Tipe Ex Kenko 2020 6 7,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Spidol Hitam Kecil Snowman 2020 20 2,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Map Snallhecter Plastik 2020 12 5,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Stabilo Faber Castell 2020 3 7,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Flakban Bening Sanko 2020 1 15,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Bantal Stempel Joyko 2020 2 10,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Tinta Stempel Biru Pyramid 2020 1 10,000.00
1 5/14/2020 CV.Maranatha Permai 56/01.AST/NP/PKM.KR/V/2020 5/13/2020 Catridge Hitam Canon 2020 1 300,000.00
5/14/2020 CV.Maranatha Permai 56/01.AST/NP/PKM.KR/V/2020 5/13/2020 Map Teka Kingco 2020 3 20,000.00
1 9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Map Teka Kingco 2020 33 20,000.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Isi Hecter Great Wall 2020 1 40,000.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 HVS F4 70 gram Sidu 2020 20 55,000.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 HVS A4 70 gram Sidu 2020 15 50,000.00
CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Box File kiky 2020 15 17,500.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Amplop Panjng Paperline 2020 3 20,000.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Balpoint Snowman Snowman 2020 20 2,500.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Bantal Stempel Joyko 2020 2 10,000.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Spidol Permanent Snowman 2020 6 8,000.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Tinta E-Print Hitam Canon 2020 6 60,000.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Lem Cair Gluvinal 2020 4 8,000.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Tinta Stempel Biru Pyramid 2020 2 20,000.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Hecter Kangaro 2020 2 15,000.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Flakban Hitam Besar Cloth 2020 2 17,500.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Tipe Ex Kenko 2020 5 7,500.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Tinta E-Print Merah Canon 2020 4 60,000.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Tinta E-Print Kuning Canon 2020 4 60,000.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Tinta E-Print Biru Canon 2020 4 60,000.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Tinta Print EpsonHitam Epson 2020 4 105,000.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Tinta Print Epson Merah Epson 2020 2 105,000.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Tinta Print Epson Biru Epson 2020 2 105,000.00
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Tinta Print Kuning Epson 2020 2 105,000.00
9/30/2020 CV.Maranatha Permai 161/01.AST/NP-ATK/PKM.KR/IX/2020 2909/2020 Lem Cair Gluvinal 2020 2 8,000.00
9/30/2020 CV.Maranatha Permai 161/01.AST/NP-ATK/PKM.KR/IX/2020 2909/2020 Tipe Ex Kenko 2020 1 7,500.00
9/30/2020 CV.Maranatha Permai 161/01.AST/NP-ATK/PKM.KR/IX/2020 2909/2020 Flakban Hitam Besar Cloth 2020 1 17,500.00
1 11/18/2020 CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 HVS F4 70 gram Sidu 2020 12 55,000.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 HVS A4 70 gram Sidu 2020 10 52,000.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Map Snallhecter Plastik Fenia 2020 25 5,000.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Map Teka Kingco 2020 7 20,000.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Buku Folio 100 Lembar Mirage 2020 10 17,500.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Amplop Panjng Paperline 2020 5 20,000.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Hecter Hd 10 Kangaro 2020 10 15,000.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Anak Hecter gw 10 Great Wall 2020 10 4,000.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Aank Hecter gw 369 Great Wall 2020 10 5,000.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Tinta E-Print Hitam Canon 2020 5 60,000.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Tinta E-Print Warna Canon 2020 9 60,000.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Tinta Print EpsonHitam Epson 2020 3 100,000.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Tinta Print Epson Warna Epson 2020 6 100,000.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Papan Ljk 2020 5 17,500.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 File Box kiky 2020 10 17,500.00
\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Lem Cair Besar Gluvinal 2020 12 8,000.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Gunting Besar Joyko 2020 3 17,500.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Flakban Besar Bening Cloth 2020 3 15,000.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Hecter Hd 30 Besar Kangaro 2020 2 33,000.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Buku Tulis 56 lembar Panpo 2020 10 6,000.00
2 11/18/2020 CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 HVS F4 70 gram Sidu 2020 7 55,000.00
CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 HVS A4 70 gram Sidu 2020 5 52,000.00
CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Map Snallhecter Plastik Fenia 2020 10 5,000.00
CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Map Teka Kingco 2020 5 20,000.00
CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Buku Folio 100 Lembar Mirage 2020 5 17,500.00
CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Hecter Hd 10 Kangaro 2020 2 15,000.00
CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Anak Hecter gw 10 Great Wall 2020 5 4,000.00
CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Aank Hecter gw 369 Great Wall 2020 5 5,000.00
CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Tinta E-Print Hitam Canon 2020 2 60,000.00
CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Tinta E-Print Warna Canon 2020 6 60,000.00
CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Tinta Print EpsonHitam Epson 2020 2 100,000.00
CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Tinta Print Epson Warna Epson 2020 3 100,000.00
CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 File Box kiky 2020 10 17,500.00
\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Lem Cair Besar Gluvinal 2020 2 8,000.00
CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Gunting Besar Joyko 2020 1 17,500.00
CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Hecter Hd 30 Besar Kangaro 2020 1 33,000.00
CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Buku Tulis 56 lembar Panpo 2020 10 6,000.00
CV.Maranatha Permai 223/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Balpoint Snowman Snowman 2020 10 4,000.00

ALAT DAN BAHAN PEMBERSIH
1 3/30/2020 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 Tissue Multi 2020 4 42,500.00
3/30/2020 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 Sos Pump Sos 2020 1 17,500.00
3/30/2020 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 Sunlight Sungl 2020 2 15,000.00
3/30/2020 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 Bayclin Bayclin 2020 14 17,500.00
1 5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Tissue Multi 2020 4 42,500.00
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Sos Refil Sos 2020 4 15,000.00
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Sunligth Sunlight 2020 2 12,500.00
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Bayclin Bayclin 2020 4 20,000.00
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Sos Pump Bayclin 2020 6 60,000.00
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Stella Zak Stella 2020 6 14,500.00
1 9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Kresek Merah Besar Bola Api 2020 12 40,000.00
9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Kresek Hitam Besar Bola Api 2020 12 30,000.00
9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Kresek Biru Besar Ultimax 2020 12 15,000.00
9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Rinso 1 kg Rinso 2020 10 21,000.00
9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Bayclin Bayclin 2020 24 20,000.00
9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 So klin So klin 2020 10 17,500.00
9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Tissue Paseo Paseo 2020 12 19,000.00
9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Handshop 400 ml Sos 2020 17 22,500.00
9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Handsanitaizer Nuvo 2020 10 30,000.00
9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Pembersih Wc Vixal 2020 12 17,500.00
9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Sikat Wc Taiwan Star 2020 5 15,000.00
9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Sapu Lantai Nagata 2020 5 45,000.00
9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Serokan Lucky Star 2020 5 32,500.00
9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Tissue Multi 700 gram Multi 2020 12 37,500.00
9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Tissue Roll Nice 2020 12 4,500.00
9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Sunlight Sunlight 2020 10 15,000.00
1 11/18/2020 CV.Maranatha Permai 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020 Tempat Sampah Lucky Star 2020 2 850,000.00
11/18/2020 CV.Maranatha Permai 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020 Tissue Paseo Paseo 2020 12 19,000.00
11/18/2020 CV.Maranatha Permai 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020 Tissue Roll Nice 2020 2 20,000.00
11/18/2020 CV.Maranatha Permai 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020 Sunlight 780 ml Sunlight 2020 5 27,500.00
11/18/2020 CV.Maranatha Permai 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020 Sunlight 400 ml Sunlightl 2020 2 15,000.00
11/18/2020 CV.Maranatha Permai 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020 Handsanitaizer Nuvo 2020 7 30,000.00
11/18/2020 CV.Maranatha Permai 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020 Kemoceng 2020 2 22,500.00
11/18/2020 CV.Maranatha Permai 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020 Rinso 1 kg Rinso 2020 5 21,000.00
11/18/2020 CV.Maranatha Permai 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020 Kresek Merah Besar Bola Api 2020 2 40,000.00
11/18/2020 CV.Maranatha Permai 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020 Kresek Hitam Besar Bola Api 2020 2 30,000.00
11/18/2020 CV.Maranatha Permai 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020 Keset Karet Lubang 2020 2 60,000.00
11/18/2020 CV.Maranatha Permai 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020 Keranjang Sampah 2020 2 35,000.00
ANG
U
020
Bukti Pemeriksaan Bukti Penerimaan

Jumlah Harga Ket. No.
B.A. Pemeriksaan B.A. Penerimaan
Nomor Tanggal Nomor Tanggal
11 12 13 14 15 16 1
440,000 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/30/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 GU `1 1

-
-
-
-
-
-
1,350,000 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/30/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 GU `1 6
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4,876,500
300,000 57/01.AST/BAP/BRGJS-ATK/PKM.KR/V/2020 5/14/2020 58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 5/14/2020 GU 2 39

360,000
5,236,500
660,000 158 / 01.AST/ BAP.ATK / PKM.KR / IX / 2020 9/30/2020 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 GU 6 1
-
-
-
-
-
-
-
40,000 158 / 01.AST/ BAP.ATK / PKM.KR / IX / 2020 9/30/2020 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020
1,100,000 158 / 01.AST/ BAP.ATK / PKM.KR / IX / 2020 9/30/2020 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020
-
-
-
-
-
-
-
-
-
-
-
-
-
-
750,000 158 / 01.AST/ BAP.ATK / PKM.KR / IX / 2020 9/30/2020 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 GU 6
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
5,295,000
16,000 162/ 01.AST/ BAP.ATK / PKM.KR / IX / 2020 9/30/2020 163 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020
41,000
660,000 218/ 01.AST/ BAP.ATK / PKM.KR / IX / 2020 11/18/2020 219/ 01.AST/ BAST.ATK / PKM.KR / IX / 2020 11/18/2020 1
520,000 218/ 01.AST/ BAP.ATK / PKM.KR / IX / 2020 11/18/2020 219/ 01.AST/ BAST.ATK / PKM.KR / IX / 2020 11/18/2020
60,000 218/ 01.AST/ BAP.ATK / PKM.KR / IX / 2020 11/18/2020 219/ 01.AST/ BAST.ATK / PKM.KR / IX / 2020 11/18/2020 GU `1
4,457,000
385,000 221/ 01.AST/ BAP.ATK / PKM.KR / XI / 2020 11/18/2020 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 1
260,000 221/ 01.AST/ BAP.ATK / PKM.KR / XI / 2020 11/18/2020 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020
2,326,500
1,847,500
515,000
390,000
365,000
170,000.00 09/01.AST/BAP/BRGJS-BHP/PKM.KR/III/2020 3/30/2020 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 GU 1
462,500.00
170,000.00 47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/14/2020 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020 5/14/2020 GU 2
60,000.00 47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/14/2020 48/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 5/14/2020 GU 2

782,000.00
1,244,500.00
480,000.00 162 / 01.AST/ BAP.ABP / PKM.KR / IX / 2020 9/30/2020 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/30/2020 GU 5 1
-
-
-
-
-
-
360,000.00 162 / 01.AST/ BAP.ABP / PKM.KR / IX / 2020 9/30/2020 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/30/2020 GU 5
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180,000.00 162 / 01.AST/ BAP.ABP / PKM.KR / IX / 2020 9/30/2020 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/30/2020
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4,122,000.00
1,700,000.00 215 / 01.AST/ BAP.ABP / PKM.KR / XI / 2020 11/18/2020 216 / 01.AST/ BAST.ABP / PKM.KR / XI / 2020 11/18/2020 GU'8
228,000.00 215 / 01.AST/ BAP.ABP / PKM.KR / XI / 2020 11/18/2020 216 / 01.AST/ BAST.ABP / PKM.KR / XI / 2020 11/18/2020
2,825,500.00
BUKU PENGELUARAN BARANG
PUSKESMAS KOTARATU
Surat Penyerahan
Tanggal
Nomor Urut Nama Barang Banyaknya Harga Satuan Jumlah Harga Untuk Ket.
Pengeluaran
Nomor Tanggal
2 3 4 5 6 7 8 9 10 11
0 ALAT TULIS KANTOR 0 - - 0
3/31/2020 1 HVS F4 70 gram 2 55,000.00 110,000.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
HVS F4 70 gram 2 55,000.00 110,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
HVS F4 70 gram 4 55,000.00 220,000.00 PoskesdesGheogoma 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 2 HVS A4 70 gram 2 52,000.00 104,000.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
HVS A4 70 gram 3 52,000.00 156,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 3 Catridger Hitam 1 250,000.00 250,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
3/31/2020 0 Catridger Warna 1 300,000.00 300,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
3/31/2020 0 Map Teka Batik 3 20,000.00 60,000.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
Map Teka Batik 3 20,000.00 60,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
Map Teka Batik 4 20,000.00 80,000.00 PoskesdesGheogoma 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
Map Teka Batik 5 20,000.00 100,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 0 Map Snallhecter Kertas 500 1,500.00 750,000.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
Map Snallhecter Kertas 400 1,500.00 600,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 0 Box File 3 17,500.00 52,500.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
Box File 4 17,500.00 70,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
Box File 6 17,500.00 105,000.00 PoskesdesGheogoma 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
Box File 3 17,500.00 52,500.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 0 Buku Folio 100 Lembar 3 17,500.00 52,500.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
Buku Folio 100 Lembar 10 17,500.00 175,000.00 PoskesdesGheogoma 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
Buku Folio 100 Lembar 2 17,500.00 35,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 0 Buku Tulis 24 6,000.00 144,000.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
Buku Tulis 24 6,000.00 144,000.00 PoskesdesGheogoma 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
Buku Tulis 10 6,000.00 60,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 0 Spidol Permanent 10 8,500.00 85,000.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
Spidol Permanent 10 8,500.00 85,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
Spidol Permanent 10 8,500.00 85,000.00 PoskesdesGheogoma 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
Spidol Permanent 6 8,500.00 51,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 0 Gunting 1 15,000.00 15,000.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
Gunting 1 15,000.00 15,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 0 Pelubang Kertas 1 40,000.00 40,000.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 0 Kertas Bufalo 1 35,000.00 35,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
3/31/2020 0 Hecter 1 15,000.00 15,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
Hecter 1 15,000.00 15,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 0 Isi Hecter 2 4,000.00 8,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
Isi Hecter 1 4,000.00 4,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 0 Balpoint Hitam 10 2,500.00 25,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
Balpoint Hitam 10 2,500.00 25,000.00 Poskesdes Gheogoma 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 0 Mistar Besi Panjang 2 12,500.00 25,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
Mistar Besi Panjang 2 12,500.00 25,000.00 Poskesdes Gheogoma 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 0 Mistar Besi Pendek 2 7,500.00 15,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III.2020 3/31/2020
3/31/2020 0 Map File 60 Sheat 1 25,000.00 25,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 0 Tinta Print 3 60,000.00 180,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
3/31/2020 0 Lem Cair 1 8,000.00 8,000.00 Poskesdes Gheogoma 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 0 Tipe Ex 4 7,500.00 30,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III.2020 3/31/2020
Tipe Ex 2 7,500.00 15,000.00 Poskesdes Gheogoma 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 24 Spidol Hitam Kecil 20 2,500.00 50,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III.2020 3/31/2020
3/31/2020 25 Map Snallhecter Plastik 12 5,000.00 60,000.00 Poskesdes Gheogoma 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 26 Stabilo 3 7,500.00 22,500.00 Poskesdes Gheogoma 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 27 Flakban Bening 1 15,000.00 15,000.00 Poskesdes Gheogoma 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 28 Bantal Stempel 1 10,000.00 10,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III.2020 3/31/2020
Bantal Stempel 1 10,000.00 10,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
3/31/2020 29 Tinta Stempel 1 10,000.00 10,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
5/14/2020 39 Catridge Hitam 1 300,000.00 300,000.00 Bendahara BOK 59/01.AST/SP/PKM.KR/V/2020 5/16/2020

5/14/2020 39 Map Teka 3 20,000.00 60,000.00 Bendahara BOK 59/01.AST/SP/PKM.KR/V/2020 5/16/2020
9/25/2020 1 Map Teka 2 20,000.00 40,000.00 Persalinan 170/01.AST/SP.ATK/PKM.KR/IX/2020 9/28/2020

20 20,000.00 400,000.00 Bendahara BOK 168/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
2 20,000.00 40,000.00 Tata Usaha 164/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
1 20,000.00 20,000.00 Pengelola Promkes 199/01.AST/SP.ATK/PKM.KR/IX/2020 9/29/2020
2 20,000.00 40,000.00 Loket 207/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
2 20,000.00 40,000.00 Apotek 166/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
2 20,000.00 40,000.00 Bendahara Barang 169/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
2 20,000.00 40,000.00 Sikda 211/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
3/31/2020 2 Isi Hecter 1 40,000.00 40,000.00 Apotek 166/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
3/31/2020 3 HVS F4 70 gram 2 55,000.00 110,000.00 Persalinan 170/01.AST/SP.ATK/PKM.KR/IX/2020 9/28/2020
2 55,000.00 110,000.00 Pengelola Kesjaor 173/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
1 55,000.00 55,000.00 Pengelola Keswa 174/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
1 55,000.00 55,000.00 Pengelola Lansia 202/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
1 55,000.00 55,000.00 Pengelola Imunisasi 212/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
1 55,000.00 55,000.00 Pengelola Kecacingan 193/01.AST/SP.ATK/PKM.KR/IX/2020 9/29/2020
1 55,000.00 55,000.00 Pengelola Anak 20001.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
1 55,000.00 55,000.00 Pengelola Pis PK 188/01.AST/SP.ATK/PKM.KR/IX/2020 9/29/2020
1 55,000.00 55,000.00 Pengelola Kesling 203/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
1 55,000.00 55,000.00 Pengelola PKPR 198/01.AST/SP.ATK/PKM.KR/IX/2020 9/29/2020
4 HVS A4 70 gram -
5 Box File 2 17,500.00 35,000.00 Persalinan 170/01.AST/SP.ATK/PKM.KR/IX/2020 9/28/2020
6 Amplop Panjng 3 20,000.00 60,000.00 Tata Usaha 164/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
7 Balpoint Snowman 2 2,500.00 5,000.00 Persalinan 170/01.AST/SP.ATK/PKM.KR/IX/2020 9/28/2020
8 Bantal Stempel 1 10,000.00 10,000.00 Tata Usaha 164/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
9 Spidol Permanent 1 8,000.00 8,000.00 Bendahara BOK 168/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
10 Tinta E-Print Hitam 2 60,000.00 120,000.00 Tata Usaha 164/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
1 60,000.00 60,000.00 Ketua Pokja UKM 209/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
1 60,000.00 60,000.00 Ketua Pokja UKP 210/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
11 Lem Cair 1 8,000.00 8,000.00 Bendahara BOK 168/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
1 8,000.00 8,000.00 Ruangan Tindakan 185/01.AST/SP.ATK/PKM.KR/IX/2020 9/28/2020
12 Tinta Stempel 1 20,000.00 20,000.00 Tata Usaha 164/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
13 Hecter 1 15,000.00 15,000.00 Tata Usaha 164/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
14 Flakban Hitam Besar 2 17,500.00 35,000.00 Tata Usaha 164/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
15 Tipe Ex 1 7,500.00 7,500.00 Pengelola Promkes 199/01.AST/SP.ATK/PKM.KR/IX/2020 9/29/2020
1 7,500.00 7,500.00 Poli Remaja 20601.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
16 Tinta E-Print Merah 1 60,000.00 60,000.00 Bendahara BOK 168/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
17 Tinta E-Print Kuning 1 60,000.00 60,000.00 Bendahara BOK 168/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
18 Tinta E-Print Biru 1 60,000.00 60,000.00 Bendahara BOK 168/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
19 Tinta Print EpsonHitam 1 105,000.00 105,000.00 Tata Usaha 164/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
1 105,000.00 105,000.00 Picare 172/01.AST/SP.ATK/PKM.KR/IX/2020 9/28/2020
20 Tinta Print Epson Merah 1 105,000.00 105,000.00 Bendahara Barang 169/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
21 Tinta Print Epson Biru 1 105,000.00 105,000.00 Bendahara Barang 169/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
22 Tinta Print Kuning 1 105,000.00 105,000.00 Bendahara Barang 169/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
4,545,000.00
9/30/2020 1 Lem Cair 2 8,000.00 16,000.00 Tim Manajemen 197/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
9/30/2020 2 Tipe Ex 1 7,500.00 7,500.00 Tim Manajemen 197/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
9/30/2020 3 Flakban Hitam Besar 1 17,500.00 17,500.00 Tim Manajemen 197/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
1 HVS F4 70 gram 12 55,000.00 660,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020

2 HVS A4 70 gram 10 52,000.00 520,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
3 Map Snallhecter Plastik 25 5,000.00 125,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
4 Map Teka 7 20,000.00 140,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
5 Buku Folio 100 Lembar 10 17,500.00 175,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
7 Amplop Panjng 5 20,000.00 100,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
8 Hecter Hd 10 10 15,000.00 150,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
9 Anak Hecter gw 10 10 4,000.00 40,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
10 Aank Hecter gw 369 10 5,000.00 50,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
11 Tinta E-Print Hitam 5 60,000.00 300,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
12 Tinta E-Print Warna 9 60,000.00 540,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
13 Tinta Print EpsonHitam 3 100,000.00 300,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
14 Tinta Print Epson Warna 6 100,000.00 600,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
15 Papan Ljk 5 17,500.00 87,500.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
16 File Box 10 17,500.00 175,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
17 Lem Cair Besar 12 8,000.00 96,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
18 Gunting Besar 3 17,500.00 52,500.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
19 Flakban Besar Bening 3 15,000.00 45,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
20 Hecter Hd 30 Besar 2 33,000.00 66,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
21 Buku Tulis 56 lembar 10 6,000.00 60,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020
1 HVS F4 70 gram 7 55,000.00 385,000.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020

2 HVS A4 70 gram 5 52,000.00 260,000.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
3 Map Snallhecter Plastik 10 5,000.00 50,000.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
4 Map Teka 5 20,000.00 100,000.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
5 Buku Folio 100 Lembar 5 17,500.00 87,500.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
7 Hecter Hd 10 2 15,000.00 30,000.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
8 Anak Hecter gw 10 5 4,000.00 20,000.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
9 Aank Hecter gw 369 5 5,000.00 25,000.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
10 Tinta E-Print Hitam 2 60,000.00 120,000.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
11 Tinta E-Print Warna 6 60,000.00 360,000.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
12 Tinta Print EpsonHitam 2 100,000.00 200,000.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
13 Tinta Print Epson Warna 3 100,000.00 300,000.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
14 File Box 10 17,500.00 175,000.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
15 Lem Cair Besar 2 8,000.00 16,000.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
16 Gunting Besar 1 17,500.00 17,500.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
17 Hecter Hd 30 Besar 1 33,000.00 33,000.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
18 Buku Tulis 56 lembar 10 6,000.00 60,000.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
1 HVS F4 70 gram 6 55,000.00 330,000.00 Program Kesjaor 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020

2 HVS A4 70 gram 2 52,000.00 104,000.00 Program Kesjaor 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
3 Map Snallhecter Plastik 15 5,000.00 75,000.00 Program Kesjaor 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
4 Map Teka 10 20,000.00 200,000.00 Program Kesjaor 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
5 Buku Folio 100 Lembar 10 17,500.00 175,000.00 Program Kesjaor 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
7 Hecter Hd 10 1 15,000.00 15,000.00 Program Kesjaor 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
8 Anak Hecter gw 10 2 4,000.00 8,000.00 Program Kesjaor 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
9 Tinta E-Print Hitam 3 60,000.00 180,000.00 Program Kesjaor 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
10 Tinta E-Print Warna 6 60,000.00 360,000.00 Program Kesjaor 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
11 File Box 10 17,500.00 175,000.00 Program Kesjaor 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
12 Gunting Besar 2 17,500.00 35,000.00 Program Kesjaor 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
13 Hecter Hd 30 Besar 1 33,000.00 33,000.00 Program Kesjaor 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
14 Buku Tulis 56 lembar 5 6,000.00 30,000.00 Program Kesjaor 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
15 Balpoint Snowman 10 4,000.00 40,000.00 Program Kesjaor 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
1 HVS F4 70 gram 1 55,000.00 55,000.00 Program PTM 239 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020

1 55,000.00 55,000.00 Program Pneumonia 241 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
1 55,000.00 55,000.00 Program Ispa Diare 239 /01.AST/SP.ATK/PKM.KR/XI/2020 11/23/2020
1 20,000.00 20,000.00 Program PTM 239 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
1 20,000.00 20,000.00 Program TB 240/01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
1 20,000.00 20,000.00 Program Ispa Diare 242/01.AST/SP.ATK/PKM.KR/XI/2020 11/23/2020
3 Tinta E-Print Hitam 1 60,000.00 60,000.00 Program PTM 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
4 Tinta E-Print Warna 3 60,000.00 180,000.00 Program PTM 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
5 Buku Tulis 56 lembar 1 6,000.00 6,000.00 Program PTM 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
1 Program Pneumonia 241 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
1 Program Ispa Diare 239 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
1 Program TB 240/01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
1 Program Kusta 243/01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
1 HVS F4 70 gram 2 55,000.00 110,000.00 Program KIA 244 /01.AST/SP.ATK/PKM.KR/XI/2020 11/24/2020

2 Map Teka 2 20,000.00 40,000.00 Program KIA 244 /01.AST/SP.ATK/PKM.KR/XI/2020 11/24/2020
3 Tinta E-Print Hitam 1 60,000.00 60,000.00 Program KIA 244 /01.AST/SP.ATK/PKM.KR/XI/2020 11/24/2020
4 Tinta E-Print Warna 3 60,000.00 180,000.00 Program KIA 244 /01.AST/SP.ATK/PKM.KR/XI/2020 11/24/2020
1 HVS F4 70 gram 5 55,000.00 275,000.00 Program Kesling 245 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020

2 Tinta E-Print Hitam 1 60,000.00 60,000.00 Program Kesling 245 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
3 Buku Tulis 56 lembar 5 6,000.00 30,000.00 Program Kesling 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
3/31/2020 1 Tissue 4 42,500.00 170,000.00 IGD 11/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 Sos Pump 1 17,500.00 17,500.00 IGD 11/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 Sunlight 2 15,000.00 30,000.00 IGD 11/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 Bayclin 2 17,500.00 35,000.00 IGD 11/01.AST/SP/PKM.KR/III/2020 3/31/2020
12 17,500.00 210,000.00 Ruangan KIA 12/01.AST/SP/PKM.KR/III/2020 3/31/2020
5/14/2020 Tissue 2 42,500.00 85,000.00 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020

1 Tata Usaha 49/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 Laboratorium 51/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/14/2020 Sos Refil 1 15,000.00 15,000.00 Tata Usaha 49/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 Ruanagan KIA 54/01.AST/SP/PKM.KR/V/2020 5/16/2020
1 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/14/2020 Sunligth 1 12,500.00 12,500.00 Laboratorium 51/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/14/2020 Bayclin 2 20,000.00 40,000.00 Laboratorium 51/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 Ruangan KIA 54/01.AST/SP/PKM.KR/V/2020 5/16/2020
5/14/2020 Sos Pump 1 60,000.00 60,000.00 Laboratorium 51/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/14/2020 Stella Zak 1 14,500.00 14,500.00 Laboratorium 51/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 Poli Remaja 53/01.AST/SP/PKM.KR/V/2020 5/16/2020
9/25/2020 1 Kresek Merah Besar 3 40,000.00 120,000.00 Ruang Persalinan 171/01.AST/SP.ABP/PKM.KR/IX/2020 9/28/2020
2 40,000.00 80,000.00 Ruang ANC 190/01.AST/SP.ABP/PKM.KR/IX/2020 9/29/2020
1 40,000.00 40,000.00 Laboratorium 191/01.AST/SP.ABP/PKM.KR/IX/2020 9/29/2020
1 40,000.00 40,000.00 Ruangan Tindakan 186/01.AST/SP.ABP/PKM.KR/IX/2020 9/28/2020
2 40,000.00 80,000.00 Tata Usaha 165/01.AST/SP.ABP/PKM.KR/IX/2020 9/26/2020
1 40,000.00 40,000.00 Pustu Roworena 192/01.AST/SP.ABP/PKM.KR/IX/2020 9/29/2020
2 40,000.00 80,000.00 Pemantauan di KLK 187/01.AST/SP.ABP/PKM.KR/IX/2020 9/29/2020
9/25/2020 2 Kresek Hitam Besar 3 30,000.00 90,000.00 Ruang Persalinan 171/01.AST/SP.ABP/PKM.KR/IX/2020 9/28/2020
9/25/2020 3 Kresek Biru Besar 12 15,000.00 180,000.00 Ruang Persalinan 171/01.AST/SP.ABP/PKM.KR/IX/2020 9/28/2020
9/25/2020 4 Rinso 1 kg 2 21,000.00 42,000.00 Ruang Persalinan 171/01.AST/SP.ABP/PKM.KR/IX/2020 9/28/2020
9/25/2020 5 Bayclin 2 20,000.00 40,000.00 Ruang Persalinan 171/01.AST/SP.ABP/PKM.KR/IX/2020 9/28/2020
1 20,000.00 20,000.00 Poli Gigi 189/01.AST/SP.ABP/PKM.KR/IX/2020 9/29/2020
1 20,000.00 20,000.00 Gheoghoma 213/01.AST/SP.ABP/PKM.KR/IX/2020 9/30/2020
1 20,000.00 20,000.00 Borokanda 215/01.AST/SP.ABP/PKM.KR/IX/2020 9/30/2020
9/25/2020 6 So klin 1 17,500.00 17,500.00 Ruang Persalinan 171/01.AST/SP.ABP/PKM.KR/IX/2020 9/28/2020
9/25/2020 7 Tissue Paseo 1 19,000.00 19,000.00 Ruang Persalinan 171/01.AST/SP.ABP/PKM.KR/IX/2020 9/28/2020
1 19,000.00 19,000.00 Poli Umum 214/01.AST/SP.ABP/PKM.KR/IX/2020 9/30/2020
9/25/2020 8 Handshop 400 ml 2 22,500.00 45,000.00 Ruang Persalinan 171/01.AST/SP.ABP/PKM.KR/IX/2020 9/28/2020
9/25/2020 9 Handsanitaizer 1 30,000.00 30,000.00 Ruang Persalinan 171/01.AST/SP.ABP/PKM.KR/IX/2020 9/28/2020
1 30,000.00 30,000.00 Poli Remaja 205/01.AST/SP.ABP/PKM.KR/IX/2020 9/30/2020
1 30,000.00 30,000.00 Poli MTBS 201/01.AST/SP.ABP/PKM.KR/IX/2020 9/30/2020
1 30,000.00 30,000.00 Loket 208/01.AST/SP.ABP/PKM.KR/IX/2020 9/30/2020
9/25/2020 10 Pembersih Wc 2 17,500.00 35,000.00 Ruang Persalinan 171/01.AST/SP.ABP/PKM.KR/IX/2020 9/28/2020
9/25/2020 11 Sikat Wc 1 15,000.00 15,000.00 Ruang ANC 190/01.AST/SP.ABP/PKM.KR/IX/2020 9/29/2020
1 15,000.00 15,000.00 Watusipi 216/01.AST/SP.ABP/PKM.KR/IX/2020 9/30/2020
9/25/2020 12 Sapu Lantai 1 45,000.00 45,000.00 Ruang ANC 190/01.AST/SP.ABP/PKM.KR/IX/2020 9/29/2020
1 45,000.00 45,000.00 Ruang Kesling 204/01.AST/SP.ABP/PKM.KR/IX/2020 9/30/2020
9/25/2020 13 Serokan 1 32,500.00 32,500.00 Ruang ANC 190/01.AST/SP.ABP/PKM.KR/IX/2020 9/29/2020
9/25/2020 14 Tissue Multi 700 gram 3 37,500.00 112,500.00 Ruang Persalinan 171/01.AST/SP.ABP/PKM.KR/IX/2020 9/28/2020
9/25/2020 15 Tissue Roll 2 4,500.00 9,000.00 Ruang Persalinan 171/01.AST/SP.ABP/PKM.KR/IX/2020 9/28/2020
2 4,500.00 9,000.00 Apotek 167/01.AST/SP.ABP/PKM.KR/IX/2020 9/26/2020
9/25/2020 16 Sunlight 2 15,000.00 30,000.00 Ruang Persalinan 171/01.AST/SP.ABP/PKM.KR/IX/2020 9/28/2020
11/18/2020 1 Tempat Sampah 2 32,500.00 65,000.00 Ruang Persalinan 235/01.AST/SP.ABP/PKM.KR/XI/2020 11/19/2020

11/18/2020 2 Tissue Paseo 12 19,000.00 228,000.00 Ruang Persalinan 235/01.AST/SP.ABP/PKM.KR/XI/2020 11/19/2020
11/18/2020 3 Tissue Roll 2 20,000.00 40,000.00 Ruang Persalinan 235/01.AST/SP.ABP/PKM.KR/XI/2020 11/19/2020
11/18/2020 4 Sunlight 780 ml 5 27,500.00 137,500.00 Ruang Persalinan 235/01.AST/SP.ABP/PKM.KR/XI/2020 11/19/2020
11/18/2020 6 Handsanitaizer 7 30,000.00 210,000.00 Ruang Persalinan 235/01.AST/SP.ABP/PKM.KR/XI/2020 11/19/2020
11/18/2020 7 Kemoceng 2 22,500.00 45,000.00 Ruang Persalinan 235/01.AST/SP.ABP/PKM.KR/XI/2020 11/19/2020
11/18/2020 8 Rinso 1 kg 5 21,000.00 105,000.00 Ruang Persalinan 235/01.AST/SP.ABP/PKM.KR/XI/2020 11/19/2020
11/18/2020 9 Kresek Merah Besar 2 30,000.00 60,000.00 Ruang Persalinan 235/01.AST/SP.ABP/PKM.KR/XI/2020 11/19/2020
11/18/2020 10 Kresek Hitam Besar 2 30,000.00 60,000.00 Ruang Persalinan 235/01.AST/SP.ABP/PKM.KR/XI/2020 11/19/2020
11/18/2020 11 Keset Karet Lubang 2 30,000.00 60,000.00 Ruang Persalinan 235/01.AST/SP.ABP/PKM.KR/XI/2020 11/19/2020
11/18/2020 12 Keranjang Sampah 2 30,000.00 60,000.00 Ruang Persalinan 235/01.AST/SP.ABP/PKM.KR/XI/2020 11/19/2020
BUKU BARANG INVENTARIS
PUSKESMAS KOTARATU
PENERIMAAN PENGELUARAN
No Tahun Tanggal
Tanggal Merk / Jumlah Nota Pesanan/SPK Barita Acara Pemeriksaan
Nama / Jenis Barang Pembuata Dikeluark
Diterima Ukuran Satuan Nomor Tanggal Tanggal Nomor
n an
1 2 3 4 5 6 7 8 9 10 11
BUKU BARANG PAKAI HABI
PUSKESMAS KOTARATU
PENGELUARAN PENERIMAAN
Jumlah Ket. No Tahun
Diserahka Surat Penyerahan Tanggal Merk / Jumlah Nota Pesanan/SPK
Satuan / Nama / Jenis Barang Pembuata
n Kepada Nomor Tanggal Diterima Ukuran Satuan Nomor Tanggal
Barang n
12 13 14 15 16 1 2 3 4 5 6 7 8
ALAT TULIS KANTOR
1 3/30/2020 HVS F4 70 gram Sidu 2020 8 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
30/032020 HVS A4 70 gram Sidu 2020 5 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Catridger Hitam Canon 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Catridger Warna Canon 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Map Teka Batik Kingco 2020 15 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Map Snallhecter Kertas Kiky 2020 900 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Box File Kiky 2020 16 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Buku Folio 100 Lembar 2020 15 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Buku Tulis Panpo 2020 58 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Spidol Permanent Snowman 2020 36 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Gunting Scissors 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Pelubang Kertas ZRM 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Kertas Bufalo Sidu 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Hecter 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Isi Hecter 2020 3 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Balpoint Hitam Snowman 2020 20 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Mistar Besi Panjang Veota 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

2
3/30/2020 Mistar Besi Pendek Veota 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Map File 60 Sheat Folder One 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Tinta Print Canon 2020 3 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Lem Cair Gluvinal 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Tipe Ex Kenko 2020 4 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
Tipe Ex Kenko 2020 2
3/30/2020 Spidol Hitam Kecil Snowman 2020 20 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Map Snallhecter Plastik Businell File 2020 12 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Stabilo Fiber Faster 2020 3 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Flakban Bening Sanko 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Bantal Stempel Joyko 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Tinta Stempel Biru Pyramid 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
1 5/14/2020 Catridge Hitam Canon 2020 1 56/01.AST/NP/PKM.KR/V/2020 5/13/2020

5/14/2020 Map Teka Kingco 2020 3 56/01.AST/NP/PKM.KR/V/2020 5/13/2020
1 9/25/2020 Map Teka Kingco 2020 33 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/25/2020 Isi Hecter 2020 1 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020
9/25/2020 HVS F4 70 gram Sidu 2020 20 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020
9/25/2020 HVS A4 70 gram Sidu 2020 15 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

Box File Kiky 2020 15 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020
9/25/2020
9/25/2020 Balpoint Snowman Snowman 2020 20 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020
9/25/2020 Bantal Stempel Joyko 2020 2 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020
9/25/2020 Spidol Permanent Snowman 2020 6 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/25/2020 Tinta E-Print Hitam Canon 2020 6 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020
9/25/2020 Lem Cair Gluvinal 2020 4 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020
9/25/2020 Tinta Stempel Biru Pyramid 2020 2 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020
9/25/2020 Hecter 2020 2 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020
9/25/2020 Flakban Hitam Besar Sanko 2020 2 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/25/2020 Tipe Ex Kenko 2020 4 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020
9/25/2020 Tinta E-Print Merah Canon 2020 4 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020
9/25/2020 Tinta E-Print Kuning Canon 2020 4 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020
9/25/2020 Tinta E-Print Biru Canon 2020 4 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020
9/25/2020 Tinta Print EpsonHitam Epson 2020 4 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020
9/25/2020 Tinta Print Epson Merah Epson 2020 2 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020
9/25/2020 Tinta Print Epson Biru Epson 2020 2 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/25/2020 Tinta Print Kuning Epson 2020 2 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020
9/30/2020 Lem Cair Gluvinal 2020 2 161/01.AST/NP-ATK/PKM.KR/IX/2020 2909/2020

9/30/2020 Tipe Ex Kenko 2020 1 161/01.AST/NP-ATK/PKM.KR/IX/2020 2909/2020
9/30/2020 Flakban Hitam Besar Sanko 2020 1 161/01.AST/NP-ATK/PKM.KR/IX/2020 2909/2020
1 9/25/2020 HVS F4 70 gram Sidu 2020 12 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020

9/25/2020 HVS A4 70 gram Sidu 2020 10 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
3/30/2020 Map Snallhecter Plastik Fenia 2020 25 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
9/25/2020 Map Teka Kingco 2020 7 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
3/30/2020 Buku Folio 100 Lembar Mirage 2020 10 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
9/25/2020 Amplop Panjng Paperline 2020 5 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
9/25/2020 Hecter Hd 10 Kangaro 2020 10 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
9/25/2020 Anak Hecter gw 10 Great Wall 2020 10 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
9/25/2020 Aank Hecter gw 369 Great Wall 2020 10 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
9/25/2020 Tinta E-Print Hitam Canon 2020 5 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
9/25/2020 Tinta E-Print Warna Canon 2020 9 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
9/25/2020 Tinta Print EpsonHitam Epson 2020 3 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
9/25/2020 Tinta Print Epson Warna Epson 2020 6 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
9/25/2020 Papan Ljk 2020 5 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
File Box kiky 2020 10 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
9/30/2020 Lem Cair Besar Gluvinal 2020 12 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
3/30/2020 Gunting Besar Joyko 2020 3 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
9/30/2020 Flakban Besar Bening Cloth 2020 1 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
9/25/2020 Hecter Hd 30 Besar Kangaro 2020 2 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
3/30/2020 Buku Tulis 56 lembar Panpo 2020 10 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020
2 11/18/2020 HVS F4 70 gram Sidu 2020 7 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020

11/18/2020 HVS A4 70 gram Sidu 2020 5 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
11/18/2020 Map Snallhecter Plastik Fenia 2020 10 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
11/18/2020 Map Teka Kingco 2020 5 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
11/18/2020 Buku Folio 100 Lembar Mirage 2020 5 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
11/18/2020 Hecter Hd 10 Kangaro 2020 2 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
11/18/2020 Anak Hecter gw 10 Great Wall 2020 5 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
11/18/2020 Aank Hecter gw 369 Great Wall 2020 5 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
11/18/2020 Tinta E-Print Hitam Canon 2020 2 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
11/18/2020 Tinta E-Print Warna Canon 2020 6 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
11/18/2020 Tinta Print EpsonHitam Epson 2020 2 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
11/18/2020 Tinta Print Epson Warna Epson 2020 3 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
11/18/2020 File Box kiky 2020 10 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
11/18/2020 Lem Cair Besar Gluvinal 2020 2 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
11/18/2020 Gunting Besar Joyko 2020 1 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
11/18/2020 Hecter Hd 30 Besar Kangaro 2020 1 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
11/18/2020 Buku Tulis 56 lembar Panpo 2020 10 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020

11/18/2020 Balpoint Snowman Panpo 2020 10 223/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020

3 11/18/2020 HVS F4 70 gram Sidu 2020 229/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020

11/18/2020 Map Teka Kingco 2020 229/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
11/18/2020 Tinta E-Print Hitam Canon 2020 229/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
11/18/2020 Tinta E-Print Warna Canon 2020 229/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020

11/18/2020 Buku Tulis 56 lembar Panpo 2020 232/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020
1 3/30/2020 Tissue Multi 2020 4 08/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Sos Pump sos 2020 1 08/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Sunlight Sunlight 2020 2 08/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Bayclin Bayclin 2020 14 08/01.AST/NP/PKM.KR/III/2020 3/28/2020
1 5/14/2020 Tissue Multi 2020 4 46/01.AST/NP/PKM.KR/V/2020 5/13/2020
5/14/2020 Sos Refil sos 2020 4 46/01.AST/NP/PKM.KR/V/2020 5/13/2020
5/14/2020 Sunligth Sunlight 2020 2 46/01.AST/NP/PKM.KR/V/2020 5/13/2020
5/14/2020 Bayclin Bayclin 2020 4 46/01.AST/NP/PKM.KR/V/2020 5/13/2020
5/14/2020 Sos Pump Bayclin 2020 6 46/01.AST/NP/PKM.KR/V/2020 5/13/2020
5/14/2020 Stella Zak Stella 2020 6 46/01.AST/NP/PKM.KR/V/2020 5/13/2020
9/25/2020 Kresek Merah Besar Bola Api 2020 12 161/01.AST/NP-ABP/PKM.KR/IX/2020 5/13/2020
9/25/2020 Kresek Hitam Besar Bola Api 2020 12 161/01.AST/NP-ABP/PKM.KR/IX/2020 5/13/2020

9/25/2020 Kresek Biru Besar Ultimax 2020 12 161/01.AST/NP-ABP/PKM.KR/IX/2020 5/13/2020
9/25/2020 Rinso 1 kg Rinso 2020 10 161/01.AST/NP-ABP/PKM.KR/IX/2020 5/13/2020
9/25/2020 Bayclin Bayclin 2020 24 161/01.AST/NP-ABP/PKM.KR/IX/2020 5/13/2020
9/25/2020 So klin So klin 2020 10 161/01.AST/NP-ABP/PKM.KR/IX/2020 5/13/2020
9/25/2020 Tissue Paseo Paseo 2020 12 161/01.AST/NP-ABP/PKM.KR/IX/2020 5/13/2020
9/25/2020 Handshop 400 ml Sos 2020 17 161/01.AST/NP-ABP/PKM.KR/IX/2020 5/13/2020

9/25/2020 Handsanitaizer Nuvo 2020 10 161/01.AST/NP-ABP/PKM.KR/IX/2020 5/13/2020
9/25/2020 Pembersih Wc Vixal 2020 12 161/01.AST/NP-ABP/PKM.KR/IX/2020 5/13/2020
9/25/2020 Sikat Wc Taiwan Star 2020 5 161/01.AST/NP-ABP/PKM.KR/IX/2020 5/13/2020
9/25/2020 Sapu Lantai Nagata 2020 5 161/01.AST/NP-ABP/PKM.KR/IX/2020 5/13/2020
9/25/2020 Serokan Lucky Star 2020 5 161/01.AST/NP-ABP/PKM.KR/IX/2020 5/13/2020
9/25/2020 Tissue Multi 700 gram Multi 2020 12 161/01.AST/NP-ABP/PKM.KR/IX/2020 5/13/2020

9/25/2020 Tissue Roll Nice 2020 12 161/01.AST/NP-ABP/PKM.KR/IX/2020 5/13/2020
9/25/2020 Sunlight Sunlight 2020 10 161/01.AST/NP-ABP/PKM.KR/IX/2020 5/13/2020
11/18/2020 Tempat Sampah Lucky Star 2020 2 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020

11/18/2020 Tissue Paseo Paseo 2020 12 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020
11/18/2020 Tissue Roll Nice 2020 2 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020
11/18/2020 Sunlight 780 ml Sunlight 2020 5 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020
11/18/2020 Sunlight 400 ml Sunlightl 2020 2 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020
11/18/2020 Handsanitaizer Nuvo 2020 7 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020
11/18/2020 Kemoceng 0 2020 2 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020
11/18/2020 Rinso 1 kg Rinso 2020 5 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020
11/18/2020 Kresek Merah Besar Bola Api 2020 2 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020
11/18/2020 Kresek Hitam Besar Bola Api 2020 2 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020
11/18/2020 Keset Karet Lubang 0 2020 2 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020
11/18/2020 Keranjang Sampah 0 2020 2 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020
BUKU BARANG PAKAI HABIS
PUSKESMAS KOTARATU
PENGELUARAN
Jumlah Ket.
Barita Acara Pemeriksaan Tanggal Surat Penyerahan No. Urut
Diserahkan Kepada Satuan /
Tanggal Nomor Dikeluarkan Nomor Tanggal
Barang
9 10 11 12 13 14 15 16 1
3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Borokanda 2 04/01.AST/SP/PKM.KR/III/2020 3/31/2020

Pustu Roworena 2 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
PoskesdesGheogoma 4 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
Pustu Watusipi 3 07/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Roworena 1 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 43921 Pustu Roworena 1 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
Poskesdes Gheogoma 10 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 Poskesdes Gheogoma 2 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Watusipi 2 07/01.AST/SP/PKM.KR/III.2020 3/31/2020
3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Watusipi 1 07/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Gheogoma 1 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 Pustu Roworena 1 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
5/14/2020 57/01.AST/BAP/BRGJS-ATK/PKM.KR/V/2020 5/15/2020 Bendahara BOK 1 59/01.AST/SP/PKM.KR/V/2020 5/16/2020

9/25/2020 158 / 01.AST/ BAP.ATK / PKM.KR / IX / 2020 9/28/2020 Persalinan 2 170/01.AST/SP.ATK/PKM.KR/IX/2020 9/28/2020
9/26/2020 Bendahara BOK 20 168/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
9/26/2020 Tata Usaha 2 164/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
9/29/2020 Pengelola Promkes 1 199/01.AST/SP.ATK/PKM.KR/IX/2020 9/29/2020
9/30/2020 Loket 2 207/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
9/26/2020 Apotek 2 166/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
9/26/2020 Bendahara Barang 2 169/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
9/30/2020 Sikda 2 211/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
9/25/2020 158 / 01.AST/ BAP.ATK / PKM.KR / IX / 2020 9/26/2020 Apotek 1 166/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
9/30/2020 Pengelola Kesjaor 2 173/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
9/26/2020 Pengelola Keswa 1 174/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
9/30/2020 Pengelola Lansia 1 202/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
9/30/2020 Pengelola Imunisasi 1 212/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
9/29/2020 Pengelola Kecacingan 1 193/01.AST/SP.ATK/PKM.KR/IX/2020 9/29/2020
9/30/2020 Pengelola Anak 1 20001.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
9/29/2020 Pengelola Pis PK 1 188/01.AST/SP.ATK/PKM.KR/IX/2020 9/29/2020
9/30/2020 Pengelola Kesling 1 203/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
9/29/2020 Pengelola PKPR 1 198/01.AST/SP.ATK/PKM.KR/IX/2020 9/29/2020
9/25/2020 158 / 01.AST/ BAP.ATK / PKM.KR / IX / 2020
9/25/2020 158 / 01.AST/ BAP.ATK / PKM.KR / IX / 2020 9/26/2020 Tata Usaha 1 164/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
9/25/2020 158 / 01.AST/ BAP.ATK / PKM.KR / IX / 2020 9/26/2020 Bendahara BOK 1 168/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
9/30/2020 Ketua Pokja UKM 1 209/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
9/30/2020 Ketua Pokja UKP 1 210/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
9/28/2020 Ruangan Tindakan 1 185/01.AST/SP.ATK/PKM.KR/IX/2020 9/28/2020
9/25/2020 158 / 01.AST/ BAP.ATK / PKM.KR / IX / 2020 9/29/2020 Pengelola Promkes 1 199/01.AST/SP.ATK/PKM.KR/IX/2020 9/29/2020
9/30/2020 Poli Remaja 1 20601.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
9/28/2020 Picare 1 172/01.AST/SP.ATK/PKM.KR/IX/2020 9/28/2020
9/25/2020 158 / 01.AST/ BAP.ATK / PKM.KR / IX / 2020 9/26/2020 Bendahara Barang 1 169/01.AST/SP.ATK/PKM.KR/IX/2020 9/26/2020
9/30/2020 162/ 01.AST/ BAP.ATK / PKM.KR / IX / 2020 9/30/2020 Bendahara BOK 2 197/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
9/30/2020 162/ 01.AST/ BAP.ATK / PKM.KR / IX / 2020 9/30/2020 Pengelola Promkes 1 197/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
9/30/2020 162/ 01.AST/ BAP.ATK / PKM.KR / IX / 2020 9/30/2020 Tata Usaha 1 197/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
11/18/2020 218/ 01.AST/ BAP.ATK / PKM.KR / IX / 2020 11/19/2020 Tim Manajemen 12 236/01.AST/NP-ATK/PKM.KR/XI/2020 11/19/2020
11/18/2020 221/ 01.AST/ BAP.ATK / PKM.KR / XI / 2020 11/18/2020 Program Promkes 7 237/01.AST/NP-ATK/PKM.KR/XI/2020 11/20/2020
11/18/2020 224/ 01.AST/ BAP.ATK / PKM.KR / XI / 2020 11/21/2020 Program Kesjaor 6 238/01.AST/NP-ATK/PKM.KR/XI/2020 11/21/2020
11/18/2020 227/ 01.AST/ BAP.ATK / PKM.KR / XI / 2020 11/20/2020 Program PTM 1 239 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
11/21/2020 Program Pneumonia 1 241 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
11/23/2020 Program Ispa Diare 1 239 /01.AST/SP.ATK/PKM.KR/XI/2020 11/23/2020
11/18/2020 227/ 01.AST/ BAP.ATK / PKM.KR / XI / 2020 11/21/2020 Program Kesjaor 1 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020
11/20/2020 Program PTM 1 239 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
11/20/2020 Program TB 1 240/01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020
11/23/2020 Program Ispa Diare 1 242/01.AST/SP.ATK/PKM.KR/XI/2020 11/23/2020
11/18/2020 230/ 01.AST/ BAP.ATK / PKM.KR / XI / 2020 11/24/2020 Program KIA 2 239 /01.AST/SP.ATK/PKM.KR/XI/2020 11/24/2020
11/18/2020 230/ 01.AST/ BAP.ATK / PKM.KR / XI / 2020 11/24/2020 Program KIA 2 238/01.AST/NP-ATK/PKM.KR/XI/2020 11/24/2020
11/18/2020 233/ 01.AST/ BAP.ATK / PKM.KR / XI / 2020 11/24/2020 Program Kesling 5 239 /01.AST/SP.ATK/PKM.KR/XI/2020 11/24/2020
11/18/2020 233/ 01.AST/ BAP.ATK / PKM.KR / XI / 2020 11/24/2020 Program Kesling 1 238/01.AST/NP-ATK/PKM.KR/XI/2020 11/24/2020
3/30/2020 09/01.AST/BAP/BRGJS-BHP/PKM.KR/III/2020 3/31/2020 IGD 4 11/01.AST/SP/PKM.KR/III/2020 3/31/2020
Ruangan KIA 12 12/01.AST/SP/PKM.KR/III/2020 3/31/2020
5/14/2020 47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/15/2020 IGD 2 50/01.AST/SP/PKM.KR/V/2020 5/15/2020

5/15/2020 Tata Usaha 1 49/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/15/2020 Laboratorium 1 51/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/14/2020 47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/15/2020 Tata Usaha 1 49/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/16/2020 Ruanagan KIA 1 54/01.AST/SP/PKM.KR/V/2020 5/16/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/14/2020 47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/15/2020 Laboratorium 1 51/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/16/2020 Ruangan KIA 1 54/01.AST/SP/PKM.KR/V/2020 5/16/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/16/2020 Poli Remaja 1 53/01.AST/SP/PKM.KR/V/2020 5/16/2020
5/14/2020 162 / 01.AST/ BAP.ABP / PKM.KR / IX / 2020 9/28/2020 Ruang Persalinan 3 171/01.AST/SP.ABP/PKM.KR/IX/2020 9/28/2020
9/29/2020 Ruang ANC 2 190/01.AST/SP.ABP/PKM.KR/IX/2020 9/29/2020
9/29/2020 Laboratorium 1 191/01.AST/SP.ABP/PKM.KR/IX/2020 9/29/2020
9/28/2020 Ruangan Tindakan 1 186/01.AST/SP.ABP/PKM.KR/IX/2020 9/28/2020
9/26/2020 Tata Usaha 2 165/01.AST/SP.ABP/PKM.KR/IX/2020 9/26/2020
9/29/2020 Pustu Roworena 1 192/01.AST/SP.ABP/PKM.KR/IX/2020 9/29/2020
9/29/2020 Pemantauan di KLK 2 187/01.AST/SP.ABP/PKM.KR/IX/2020 9/29/2020
9/29/2020 Poli Gigi 1 189/01.AST/SP.ABP/PKM.KR/IX/2020 9/29/2020
9/30/2020 Gheoghoma 1 213/01.AST/SP.ABP/PKM.KR/IX/2020 9/30/2020
9/30/2020 Borokanda 1 215/01.AST/SP.ABP/PKM.KR/IX/2020 9/30/2020
9/30/2020 Poli Umum 1 214/01.AST/SP.ABP/PKM.KR/IX/2020 9/30/2020
9/30/2020 Poli Remaja 1 205/01.AST/SP.ABP/PKM.KR/IX/2020 9/30/2020
9/30/2020 Poli MTBS 1 201/01.AST/SP.ABP/PKM.KR/IX/2020 9/30/2020
9/30/2020 Loket 1 208/01.AST/SP.ABP/PKM.KR/IX/2020 9/30/2020
5/14/2020 162 / 01.AST/ BAP.ABP / PKM.KR / IX / 2020 9/29/2020 Ruang ANC 1 190/01.AST/SP.ABP/PKM.KR/IX/2020 9/29/2020
9/30/2020 Watusipi 1 216/01.AST/SP.ABP/PKM.KR/IX/2020 9/30/2020
9/30/2020 Ruang Kesling 1 204/01.AST/SP.ABP/PKM.KR/IX/2020 9/30/2020
9/26/2020 Apotek 2 167/01.AST/SP.ABP/PKM.KR/IX/2020 9/26/2020
11/18/2020 215 / 01.AST/ BAP.ABP / PKM.KR / XI / 2020 11/19/2020 Ruang Persalinan 2 235/01.AST/SP.ABP/PKM.KR/XI/2020 11/19/2020
LAPORAN SEMESTER TENTANG PENERIMAAN DAN PENGELUARAN BARANG INVENTARIS
PUSKESMAS KOTARATU
Penerimaan Pengeluaran
Dokumen/Faktur Buku Penerimaan Surat Bon
Penerimaan
Terima Banyakny Harga Jumlah B.A. / Srt Pengeluar Banyakny Nama Harga
Dari SPK/Perjanjia Nama Barang Ket No. Urut Untuk
Tgl Nomor Tgl a Satuan Harga Penerimaan an Tgl. Nomor Tanggal a Barang Satuan
n Nomor Tanggal
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
LAPORA
Penerimaan
Tanggal Dokumen/Faktur Dasar Penerimaan
Jumlah
Penyerah Ket No. Urut Terima Tgl Dari
Harga Nomor Tgl Jenis Surat Nomor
an
22 23 24 1 2 3 4 5 6 7
1 3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 BAST 03/01.AST/BAP/BAST-ATK/PKM.KR/III/2020
30/032020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020





3/28/2020
3/30/2020 3/28/2020
3/30/2020 3/28/2020
1 5/14/2020 CV.Maranatha Permai 56/01.AST/NP/PKM.KR/V/2020 5/13/2020 58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020

5/14/2020 CV.Maranatha Permai 56/01.AST/NP/PKM.KR/V/2020 5/13/2020 58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020
1 9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020
9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 03/01.AST/BAP/BAST-ATK/PKM.KR/III/2020
1 11/18/2020 CV.Maranatha Permai 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020 11/18/2020 219/01.AST/BAST.ATK/PKM.KR/XI/2020

9/25/2020 CV.Maranatha Permai 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020 11/18/2020 219/01.AST/BAST.ATK/PKM.KR/XI/2020
217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020 11/18/2020 219/01.AST/BAST.ATK/PKM.KR/XI/2020
2 11/18/2020 CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 11/18/2020 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020
11/18/2020 CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 11/18/2020 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020
1 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020
CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020
1 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020
CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 48/01/AST/BAP/BAST-ATK/PKM.KR/V/2020
CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020
1 9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020
9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020
11/18/2020 CV.Maranatha Permai 214/01.AST/NP-ABP/PKM.KR/XI/2020 11/16/2020 11/18/2020 216 / 01.AST/ BAST.ABP / PKM.KR / XI / 2020
LAPORAN SEMESTER TENTANG PENERIMAAN DAN PENGELUARAN BARANG PAKAI HABIS
PUSKESMAS KOTARATU
imaan Pengeluaran
Surat Bon
Banyakny Buku Penerimaan B.A. / Srt Penerimaan Pengeluaran
Nama Barang Harga Satuan Jumlah Harga Ket No. Urut
a Tgl. Nomor Tanggal
Nomor Tanggal
8 9 10 11 12 13 14 15 16 17 18
ALAT TULIS KANTOR
8 HVS F4 70 gram 55,000.00 440,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
5 HVS A4 70 gram 52,000.00 260,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
1 Catridger Hitam 250,000.00 250,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
1 Catridger Warna 300,000.00 300,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
15 Map Teka Batik 20,000.00 300,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
900 Map Snallhecter Kertas 1,500.00 1,350,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
16 Box File 17,500.00 280,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
15 Buku Folio 100 Lembar 17,500.00 262,500.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
58 Buku Tulis 6,000.00 348,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
36 Spidol Permanent 8,500.00 306,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
2 Gunting 15,000.00 30,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
1 Pelubang Kertas 40,000.00 40,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
1 Kertas Bufalo 35,000.00 35,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
2 Hecter 15,000.00 30,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
3 Isi Hecter 4,000.00 12,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
20 Balpoint Hitam 2,500.00 50,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
4 Mistar Besi Panjang 12,500.00 50,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
2 Mistar Besi Pendek 7,500.00 15,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
1 Map File 60 sheat 25,000.00 25,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3 Tinta Print 60,000.00 180,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
1 Lem Cair 8,000.00 8,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
6 Tipe Ex 7,500.00 45,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
20 Spidol Hitam Kecil 2,500.00 50,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
12 Map Snallhecter Plastik 5,000.00 60,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3 Stabilo 7,500.00 22,500.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
1 Flakban Bening 15,000.00 15,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
2 Bantal Stempel 10,000.00 20,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/31/2020
1 Tinta Stempel 10,000.00 10,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
1 Catridge Hitam 300,000.00 300,000.00 58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 5/14/2020 5/16/2020

3 Map Teka 20,000.00 60,000.00 58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 5/14/2020 5/16/2020
33 Map Teka 20,000.00 660,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/28/2020
9/26/2020
9/26/2020
9/29/2020
9/30/2020
9/26/2020
9/26/2020
9/30/2020
3 Isi Hecter 40,000.00 120,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/26/2020
20 HVS F4 70 gram 55,000.00 1,100,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/28/2020
9/26/2020
9/26/2020
9/29/2020
9/30/2020
9/26/2020
9/26/2020
9/30/2020
9/30/2020
9/30/2020
9/29/2020
9/30/2020
9/29/2020
9/30/2020
9/29/2020
15 HVS A4 70 gram 50,000.00 750,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020
15 Box File 17,500.00 262,500.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/28/2020
9/26/2020
9/29/2020
9/30/2020
9/30/2020
9/30/2020
9/30/2020
9/30/2020 9/26/2020
20 Balpoint Snowman 2,500.00 50,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/28/2020
9/26/2020
9/29/2020
9/30/2020
9/26/2020
9/30/2020
9/30/2020
9/30/2020
9/30/2020
2 Bantal Stempel 10,000.00 20,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/26/2020
9/26/2020
6 Spidol Permanent 8,000.00 48,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/26/2020
9/26/2020
9/30/2020
6 Tinta E-Print Hitam 60,000.00 360,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/26/2020
9/26/2020
9/26/2020
9/30/2020
9/30/2020
4 Lem Cair 8,000.00 32,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/26/2020
9/26/2020
9/29/2020
9/28/2020
2 Tinta Stempel 20,000.00 40,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/26/2020
9/26/2020
2 Hecter 15,000.00 30,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/26/2020
9/29/2020
2 Flakban Hitam Besar 17,500.00 35,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/26/2020
5 Tipe Ex 7,500.00 37,500.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/29/2020
9/26/2020
9/30/2020
9/28/2020
9/30/2020
4 Tinta E-Print Merah 60,000.00 240,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/26/2020
9/26/2020
9/30/2020
9/30/2020
4 Tinta E-Print Kuning 60,000.00 240,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/26/2020
9/26/2020
9/30/2020
9/30/2020
4 Tinta E-Print Biru 60,000.00 240,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/26/2020
9/26/2020
9/30/2020
9/30/2020
4 Tinta Print EpsonHitam 105,000.00 420,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/26/2020
9/30/2020
9/26/2020
9/28/2020
2 Tinta Print Epson Merah 105,000.00 210,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/26/2020
9/28/2020
2 Tinta Print Epson Biru 105,000.00 210,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/26/2020
9/28/2020
2 Tinta Print Kuning 105,000.00 210,000.00 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020 9/30/2020 9/26/2020
9/28/2020
12 HVS F4 70 gram 55,000.00 660,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 9/30/2020 11/19/2020

10 HVS A4 70 gram 52,000.00 520,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 9/30/2020 11/19/2020
25 Map Snallhecter Plastik 5,000.00 125,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 3/30/2020 11/19/2020
7 Map Teka 20,000.00 140,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 9/30/2020 11/19/2020
10 Buku Folio 100 Lembar 17,500.00 175,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 3/30/2020 11/19/2020
5 Amplop Panjng Paperline 20,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 9/30/2020 11/19/2020
10 Hecter Hd 10 15,000.00 150,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 9/30/2020 11/19/2020
10 Anak Hecter gw 10 4,000.00 40,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 9/30/2020 11/19/2020
10 Aank Hecter gw 369 5,000.00 50,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 9/30/2020 11/19/2020
5 Tinta E-Print Hitam 60,000.00 300,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 9/30/2020 11/19/2020
9 Tinta E-Print Warna 60,000.00 540,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 9/30/2020 11/19/2020
3 Tinta Print EpsonHitam 100,000.00 300,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 9/30/2020 11/19/2020
6 Tinta Print Epson Warna 100,000.00 600,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 9/30/2020 11/19/2020
5 Papan Ljk 17,500.00 87,500.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 9/30/2020 11/19/2020
10 File Box 17,500.00 175,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 9/30/2020 11/19/2020
12 Lem Cair Besar 8,000.00 96,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 9/30/2020 11/19/2020
3 Gunting Besar 17,500.00 52,500.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 3/30/2020 11/19/2020
3 Flakban Besar Bening 15,000.00 45,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 9/30/2020 11/19/2020
2 Hecter Hd 30 Besar 33,000.00 66,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 9/30/2020 11/19/2020
10 Buku Tulis 56 lembar 6,000.00 60,000.00 219/01.AST/BAST.ATK/PKM.KR/XI/2020 3/30/2020 11/19/2020
7 HVS F4 70 gram 55,000.00 385,000.00 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/20/2020
5 HVS A4 70 gram 52,000.00 260,000.00 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/20/2020
10 Map Snallhecter Plastik 5,000.00 50,000.00 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/20/2020
5 Map Teka 20,000.00 100,000.00 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/20/2020
5 Buku Folio 100 Lembar 17,500.00 87,500.00 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/20/2020
2 Hecter Hd 10 15,000.00 30,000.00 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/20/2020
10 Anak Hecter gw 10 4,000.00 40,000.00 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/20/2020
10 Aank Hecter gw 369 5,000.00 50,000.00 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/20/2020
2 Tinta E-Print Hitam 60,000.00 120,000.00 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/20/2020
6 Tinta E-Print Warna 60,000.00 360,000.00 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/20/2020
2 Tinta Print EpsonHitam 100,000.00 200,000.00 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/20/2020
3 Tinta Print Epson Warna 100,000.00 300,000.00 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/20/2020
10 File Box 17,500.00 175,000.00 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/20/2020
2 Lem Cair Besar 8,000.00 16,000.00 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/20/2020
1 Gunting Besar 17,500.00 17,500.00 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/20/2020
1 Hecter Hd 30 Besar 33,000.00 33,000.00 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/20/2020
10 Buku Tulis 56 lembar 6,000.00 60,000.00 222/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/20/2020
10 Balpoint Snowman 4,000.00 40,000.00 225/ 01.AST/ BAST.ATK / PKM.KR / XI / 2020 11/18/2020 11/21/2020
4 Tissue 42,500.00 170,000.00 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020
1 Sos Pump 17,500.00 17,500.00 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020
2 Sunlight 15,000.00 30,000.00 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020
14 Bayclin 17,500.00 245,000.00 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020
4 Tissue 42,500.00 170,000.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020
4 Sos Refil 15,000.00 60,000.00 48/01/AST/BAP/BAST-ATK/PKM.KR/V/2020
2 Sunligth 12,500.00 25,000.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020
4 Bayclin 20,000.00 80,000.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020
6 Sos Pump 60,000.00 360,000.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020
6 Stella Zak 14,500.00 87,000.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020
12 Kresek Merah Besar 40,000.00 480,000.00 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/25/2020 9/28/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
12 Kresek Hitam Besar 30,000.00 360,000.00 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/25/2020 9/28/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
12 Kresek Biru Besar 15,000.00 180,000.00 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/25/2020 9/28/2020
10 Rinso 1 kg 21,000.00 210,000.00 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/25/2020 9/28/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
24 Bayclin 20,000.00 480,000.00 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/25/2020 9/28/2020
9/29/2020
9/29/2020
9/28/2020
9/29/2020
9/29/2020
9/30/2020
9/30/2020
10 So klin 17,500.00 175,000.00 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/25/2020 9/28/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/30/2020
12 Tissue Paseo 19,000.00 228,000.00 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/25/2020 9/28/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/30/2020
17 Handshop 400 ml 22,500.00 382,500.00 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/25/2020 9/28/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/30/2020
9/30/2020
10 Handsanitaizer 30,000.00 300,000.00 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/25/2020 9/28/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/30/2020
9/30/2020
9/30/2020
9/30/2020
12 Pembersih Wc 17,500.00 210,000.00 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/25/2020 9/28/2020
9/29/2020
9/26/2020
9/29/2020
9/30/2020
5 Sikat Wc 15,000.00 75,000.00 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/25/2020 9/29/2020
9/29/2020
9/30/2020
9/30/2020
9/30/2020
5 Sapu Lantai 45,000.00 225,000.00 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/25/2020 9/29/2020
9/26/2020
9/29/2020
9/30/2020
9/30/2020
5 Serokan 32,500.00 162,500.00 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/25/2020 9/29/2020
9/26/2020
9/29/2020
9/30/2020
9/30/2020
12 Tissue Multi 700 gram 37,500.00 450,000.00 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/25/2020 9/28/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
12 Tissue Roll 4,500.00 54,000.00 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/25/2020 9/28/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/26/2020
10 Sunlight 15,000.00 150,000.00 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020 9/25/2020 9/28/2020
9/29/2020
2 Tempat Sampah 850,000.00 1,700,000.00 216 / 01.AST/ BAST.ABP / PKM.KR / XI / 2020 11/18/2020 11/19/2020
12 Tissue Paseo 19,000.00 228,000.00 216 / 01.AST/ BAST.ABP / PKM.KR / XI / 2020 11/18/2020 11/19/2020
2 Tissue Roll 20,000.00 40,000.00 216 / 01.AST/ BAST.ABP / PKM.KR / XI / 2020 11/18/2020 11/19/2020
5 Sunlight 780 ml 27,500.00 137,500.00 216 / 01.AST/ BAST.ABP / PKM.KR / XI / 2020 11/18/2020 11/19/2020
7 Handsanitaizer 30,000.00 210,000.00 216 / 01.AST/ BAST.ABP / PKM.KR / XI / 2020 11/18/2020 11/19/2020
2 Kemoceng 22,500.00 45,000.00 216 / 01.AST/ BAST.ABP / PKM.KR / XI / 2020 11/18/2020 11/19/2020
5 Rinso 1 kg 21,000.00 105,000.00 216 / 01.AST/ BAST.ABP / PKM.KR / XI / 2020 11/18/2020 11/19/2020
2 Kresek Merah Besar 40,000.00 80,000.00 216 / 01.AST/ BAST.ABP / PKM.KR / XI / 2020 11/18/2020 11/19/2020
2 Kresek Hitam Besar 30,000.00 60,000.00 216 / 01.AST/ BAST.ABP / PKM.KR / XI / 2020 11/18/2020 11/19/2020
2 Keset Karet Lubang 60,000.00 120,000.00 216 / 01.AST/ BAST.ABP / PKM.KR / XI / 2020 11/18/2020 11/19/2020
2 Keranjang Sampah 35,000.00 70,000.00 216 / 01.AST/ BAST.ABP / PKM.KR / XI / 2020 9/25/2020 11/19/2020
Pengeluaran
Tanggal
Untuk Banyaknya Nama Barang Harga Satuan Jumlah Harga Ket
Penyerahan
19 20 21 22 23 24 25
- -
Poskesdes Borokanda 2 HVS F4 70 gram 55,000.00 110,000.00 3/31/2020
Pustu Roworena 2 HVS F4 70 gram 55,000.00 110,000.00 3/31/2020
PoskesdesGheogoma 4 HVS F4 70 gram 55,000.00 220,000.00 3/31/2020
Poskesdes Borokanda 2 HVS A4 70 gram 52,000.00 104,000.00 3/31/2020
Pustu Watusipi 3 HVS A4 70 gram 52,000.00 156,000.00 3/31/2020
Pustu Roworena 1 Catridger Hitam 250,000.00 250,000.00 3/31/2020
Pustu Roworena 1 Catridger Warna 300,000.00 300,000.00 3/31/2020
Poskesdes Borokanda 3 Map Teka Batik 20,000.00 60,000.00 3/31/2020
Pustu Roworena 3 Map Teka Batik 20,000.00 60,000.00 3/31/2020
PoskesdesGheogoma 4 Map Teka Batik 20,000.00 80,000.00 3/31/2020
Pustu Watusipi 5 Map Teka Batik 20,000.00 100,000.00 3/31/2020
Poskesdes Borokanda 500 Map Snallhecter Kertas 1,500.00 750,000.00 3/31/2020
Pustu Watusipi 400 Map Snallhecter Kertas 1,500.00 600,000.00 3/31/2020
Poskesdes Borokanda 3 Box File 17,500.00 52,500.00 3/31/2020
Pustu Roworena 4 Box File 17,500.00 70,000.00 3/31/2020
PoskesdesGheogoma 6 Box File 17,500.00 105,000.00 3/31/2020
Pustu Watusipi 3 Box File 17,500.00 52,500.00 3/31/2020
Poskesdes Borokanda 3 Buku Folio 100 Lembar 17,500.00 52,500.00 3/31/2020
PoskesdesGheogoma 10 Buku Folio 100 Lembar 17,500.00 175,000.00 3/31/2020
Pustu Watusipi 2 Buku Folio 100 Lembar 17,500.00 35,000.00 3/31/2020
Poskesdes Borokanda 24 Buku Tulis 6,000.00 144,000.00 3/31/2020
PoskesdesGheogoma 24 Buku Tulis 6,000.00 144,000.00 3/31/2020
Pustu Watusipi 10 Buku Tulis 6,000.00 60,000.00 3/31/2020
Poskesdes Borokanda 10 Spidol Permanent 8,500.00 85,000.00 3/31/2020
Pustu Roworena 10 Spidol Permanent 8,500.00 85,000.00 3/31/2020
PoskesdesGheogoma 10 Spidol Permanent 8,500.00 85,000.00 3/31/2020
Pustu Watusipi 6 Spidol Permanent 8,500.00 51,000.00 3/31/2020
Poskesdes Borokanda 1 Gunting 15,000.00 15,000.00 3/31/2020
Pustu Watusipi 1 Gunting 15,000.00 15,000.00 3/31/2020
Poskesdes Borokanda 1 Pelubang Kertas 40,000.00 40,000.00 3/31/2020
Pustu Roworena 1 Kertas Bufalo 35,000.00 35,000.00 3/31/2020
Pustu Roworena 1 Hecter 15,000.00 15,000.00 3/31/2020
Pustu Watusipi 1 Hecter 15,000.00 15,000.00 3/31/2020
Pustu Roworena 2 Isi Hecter 4,000.00 8,000.00 3/31/2020
Pustu Watusipi 1 Isi Hecter 4,000.00 4,000.00 3/31/2020
Pustu Roworena 10 Balpoint Hitam 2,500.00 25,000.00 3/31/2020
Poskesdes Gheogoma 10 Balpoint Hitam 2,500.00 25,000.00 3/31/2020
Pustu Roworena 2 Mistar Besi Panjang 12,500.00 25,000.00 3/31/2020
Poskesdes Gheogoma 2 Mistar Besi Panjang 12,500.00 25,000.00 3/31/2020
Pustu Watusipi 2 Mistar Besi Pendek 7,500.00 15,000.00 3/31/2020
Pustu Watusipi 1 Map File 60 Sheat 25,000.00 25,000.00 3/31/2020
Pustu Roworena 3 Tinta Print 60,000.00 180,000.00 3/31/2020
Poskesdes Gheogoma 1 Lem Cair 8,000.00 8,000.00 3/31/2020
Pustu Watusipi 4 Tipe Ex 7,500.00 30,000.00 3/31/2020
Poskesdes Gheogoma 2 Tipe Ex 7,500.00 15,000.00 3/31/2020
Pustu Watusipi 20 Spidol Hitam Kecil 2,500.00 50,000.00 3/31/2020
Poskesdes Gheogoma 12 Map Snallhecter Plastik 5,000.00 60,000.00 3/31/2020
Poskesdes Gheogoma 3 Stabilo 7,500.00 22,500.00 3/31/2020
Poskesdes Gheogoma 1 Flakban Bening 15,000.00 15,000.00 3/31/2020
Pustu Watusipi 1 Bantal Stempel 10,000.00 10,000.00 3/31/2020
Pustu Roworena 1 Bantal Stempel 10,000.00 10,000.00 3/31/2020
Pustu Roworena 1 Tinta Stempel 10,000.00 10,000.00 3/31/2020
Bendahara BOK 1 Catridge Hitam 300,000.00 300,000.00 5/16/2020

Bendahara BOK 3 Map Teka 20,000.00 60,000.00 5/16/2020
Persalinan 2 Map Teka 20,000.00 40,000.00 9/28/2020 GU'6

Bendahara BOK 20 20,000.00 400,000.00 9/26/2020
Tata Usaha 2 20,000.00 40,000.00 9/26/2020
Pengelola Promkes 1 20,000.00 20,000.00 9/29/2020
Loket 2 20,000.00 40,000.00 9/30/2020
Apotek 2 20,000.00 40,000.00 9/26/2020
Bendahara Barang 2 20,000.00 40,000.00 9/26/2020
Sikda 2 20,000.00 40,000.00 9/30/2020
Apotek 1 Isi Hecter 40,000.00 40,000.00 9/26/2020
Persalinan 2 HVS F4 70 gram 55,000.00 110,000.00 9/28/2020
Bendahara BOK 1 55,000.00 55,000.00 9/26/2020
Tata Usaha 2 55,000.00 110,000.00 9/26/2020
Pengelola Kesjaor 2 55,000.00 110,000.00 9/30/2020
Pengelola Keswa 1 55,000.00 55,000.00 9/26/2020
Sikda 2 55,000.00 110,000.00 9/30/2020
Pengelola Lansia 1 55,000.00 55,000.00 9/30/2020
Pengelola Imunisasi 1 55,000.00 55,000.00 9/30/2020
Pengelola Kecacingan 1 55,000.00 55,000.00 9/29/2020
Pengelola Anak 1 55,000.00 55,000.00 9/30/2020
Pengelola Pis PK 1 55,000.00 55,000.00 9/29/2020
Pengelola Kesling 1 55,000.00 55,000.00 9/30/2020
Pengelola PKPR 1 55,000.00 55,000.00 9/29/2020
HVS A4 70 gram -
Persalinan 2 Box File 17,500.00 35,000.00 9/28/2020
Bendahara BOK 3 17,500.00 52,500.00 9/26/2020
Pengelola Anak 2 17,500.00 35,000.00 9/30/2020
Tata Usaha 3 20,000.00 60,000.00 9/26/2020
Persalinan 2 Balpoint Snowman 2,500.00 5,000.00 9/28/2020
Tata Usaha 2 2,500.00 5,000.00 9/26/2020
Loket 3 2,500.00 7,500.00 9/30/2020
Apotek 2 2,500.00 5,000.00 9/26/2020
Sikda 2 2,500.00 5,000.00 9/30/2020
Pengelola Anak 2 2,500.00 5,000.00 9/30/2020
Tata Usaha 1 Bantal Stempel 10,000.00 10,000.00 9/26/2020
Apotek 1 10,000.00 10,000.00 9/26/2020
Bendahara BOK 1 Spidol Permanent 8,000.00 8,000.00 9/26/2020
Tata Usaha 2 8,000.00 16,000.00 9/26/2020
Loket 3 8,000.00 24,000.00 9/30/2020
Tata Usaha 2 Tinta E-Print Hitam 60,000.00 120,000.00 9/26/2020
Apotek 1 60,000.00 60,000.00 9/26/2020
Bendahara BOK 1 60,000.00 60,000.00 9/26/2020
Ketua Pokja UKM 1 60,000.00 60,000.00 9/30/2020
Ketua Pokja UKP 1 60,000.00 60,000.00 9/30/2020
Bendahara BOK 1 Lem Cair 8,000.00 8,000.00 9/26/2020
Tata Usaha 1 8,000.00 8,000.00 9/26/2020
Ruangan Tindakan 1 8,000.00 8,000.00 9/28/2020
Tata Usaha 1 Tinta Stempel 20,000.00 20,000.00 9/26/2020
Apotek 1 20,000.00 20,000.00 9/26/2020
Tata Usaha 1 Hecter 15,000.00 15,000.00 9/26/2020
Tata Usaha 2 Flakban Hitam Besar 17,500.00 35,000.00 9/26/2020
Pengelola Promkes 1 Tipe Ex 7,500.00 7,500.00 9/29/2020
Apotek 1 7,500.00 7,500.00 9/26/2020
Poli Remaja 1 7,500.00 7,500.00 9/30/2020
Bendahara BOK 1 Tinta E-Print Merah 60,000.00 60,000.00 9/26/2020
Tata Usaha 1 60,000.00 60,000.00 9/26/2020
Ketua Pokja UKM 1 60,000.00 60,000.00 9/30/2020
Ketua Pokja UKP 1 60,000.00 60,000.00 9/30/2020
Bendahara BOK 1 Tinta E-Print Kuning 60,000.00 60,000.00 9/26/2020
Tata Usaha 1 60,000.00 60,000.00 9/26/2020
Ketua Pokja UKM 1 60,000.00 60,000.00 9/30/2020
Ketua Pokja UKP 1 60,000.00 60,000.00 9/30/2020
Bendahara BOK 1 Tinta E-Print Biru 60,000.00 60,000.00 9/26/2020
Tata Usaha 1 60,000.00 60,000.00 9/26/2020
Ketua Pokja UKM 1 60,000.00 60,000.00 9/30/2020
Ketua Pokja UKP 1 60,000.00 60,000.00 9/30/2020
Tata Usaha 1 Tinta Print EpsonHitam 105,000.00 105,000.00 9/26/2020
Sikda 1 105,000.00 105,000.00 9/30/2020
Picare 1 105,000.00 105,000.00 9/28/2020
Bendahara Barang 1 Tinta Print Epson Merah 105,000.00 105,000.00 9/26/2020
Picare 1 105,000.00 105,000.00 9/28/2020
Bendahara Barang 1 Tinta Print Epson Biru 105,000.00 105,000.00 9/26/2020
Picare 1 105,000.00 105,000.00 9/28/2020
Bendahara Barang 1 Tinta Print Kuning 105,000.00 105,000.00 9/26/2020
Picare 1 105,000.00 105,000.00 9/28/2020
Tim Manajemen 2 Lem Cair 8,000.00 16,000.00 9/30/2020

Tim Manajemen 1 Tipe Ex 7,500.00 7,500.00 9/30/2020
Tim Manajemen 1 Flakban Hitam Besar 17,500.00 17,500.00 9/30/2020
Tim Manajemen 12 HVS F4 70 gram 55,000.00 660,000.00 11/19/2020

Tim Manajemen 10 HVS A4 70 gram 52,000.00 520,000.00 11/19/2020
Tim Manajemen 25 Map Snallhecter Plastik 5,000.00 125,000.00 11/19/2020
Tim Manajemen 7 Map Teka 20,000.00 140,000.00 11/19/2020
Tim Manajemen 10 Buku Folio 100 Lembar 17,500.00 175,000.00 11/19/2020
Tim Manajemen 5 Amplop Panjang 20,000.00 100,000.00 11/19/2020
Tim Manajemen 10 Hecter Hd 10 15,000.00 150,000.00 11/19/2020
Tim Manajemen 10 Anak Hecter gw 10 4,000.00 40,000.00 11/19/2020
Tim Manajemen 10 Aank Hecter gw 369 5,000.00 50,000.00 11/19/2020
Tim Manajemen 5 Tinta E-Print Hitam 60,000.00 300,000.00 11/19/2020
Tim Manajemen 9 Tinta E-Print Warna 60,000.00 540,000.00 11/19/2020
Tim Manajemen 3 Tinta Print EpsonHitam 100,000.00 300,000.00 11/19/2020
Tim Manajemen 6 Tinta Print Epson Warna 100,000.00 600,000.00 11/19/2020
Tim Manajemen 5 Papan Ljk 17,500.00 87,500.00 11/19/2020
Tim Manajemen 10 File Box 17,500.00 175,000.00 11/19/2020
Tim Manajemen 12 Lem Cair Besar 8,000.00 96,000.00 11/19/2020
Tim Manajemen 3 Gunting Besar 17,500.00 52,500.00 11/19/2020
Tim Manajemen 3 Flakban Besar Bening 17,500.00 52,500.00 11/19/2020
Tim Manajemen 2 Hecter Hd 30 Besar 15,000.00 30,000.00 11/19/2020
Tim Manajemen 10 Buku Tulis 56 lembar 6,000.00 60,000.00 11/19/2020
Program Promkes 7 HVS F4 70 gram 55,000.00 385,000.00 11/20/2020

Program Promkes 5 HVS A4 70 gram 52,000.00 260,000.00 11/20/2020
Program Promkes 10 Map Snallhecter Plastik 5,000.00 50,000.00 11/20/2020
Program Promkes 5 Map Teka 20,000.00 100,000.00 11/20/2020
Program Promkes 5 Buku Folio 100 Lembar 17,500.00 87,500.00 11/20/2020
Program Promkes 2 Hecter Hd 10 15,000.00 30,000.00 11/20/2020
Program Promkes 5 Anak Hecter gw 10 4,000.00 20,000.00 11/20/2020
Program Promkes 5 Aank Hecter gw 369 5,000.00 25,000.00 11/20/2020
Program Promkes 2 Tinta E-Print Hitam 60,000.00 120,000.00 11/20/2020
Program Promkes 6 Tinta E-Print Warna 60,000.00 360,000.00 11/20/2020
Program Promkes 2 Tinta Print EpsonHitam 100,000.00 200,000.00 11/20/2020
Program Promkes 3 Tinta Print Epson Warna 100,000.00 300,000.00 11/20/2020
Program Promkes 10 File Box 17,500.00 175,000.00 11/20/2020
Program Promkes 2 Lem Cair Besar 8,000.00 16,000.00 11/20/2020
Program Promkes 1 Gunting Besar 17,500.00 17,500.00 11/20/2020
Program Promkes 1 Hecter Hd 30 Besar 33,000.00 33,000.00 11/20/2020
Program Promkes 10 Buku Tulis 56 lembar 6,000.00 60,000.00 11/20/2020
Program Kesjaor 7 HVS F4 70 gram 55,000.00 385,000.00 11/21/2020

Program Kesjaor 5 HVS A4 70 gram 52,000.00 260,000.00 11/21/2020
Program Kesjaor 10 Map Snallhecter Plastik 5,000.00 50,000.00 11/21/2020
Program Kesjaor 5 Map Teka 20,000.00 100,000.00 11/21/2020
Program Kesjaor 5 Buku Folio 100 Lembar 17,500.00 87,500.00 11/21/2020
Program Kesjaor 2 Hecter Hd 10 15,000.00 30,000.00 11/21/2020
Program Kesjaor 5 Anak Hecter gw 10 4,000.00 20,000.00 11/21/2020
Program Kesjaor 2 Tinta E-Print Hitam 60,000.00 120,000.00 11/21/2020
Program Kesjaor 6 Tinta E-Print Warna 60,000.00 360,000.00 11/21/2020
Program Kesjaor 10 File Box 17,500.00 175,000.00 11/21/2020
Program Kesjaor 1 Gunting Besar 17,500.00 17,500.00 11/21/2020
Program Kesjaor 1 Hecter Hd 30 Besar 33,000.00 33,000.00 11/21/2020
Program Kesjaor 5 Buku Tulis 56 lembar 6,000.00 30,000.00 11/21/2020
Program Kesjaor 10 Balpoint Snowman 4,000.00 40,000.00 11/21/2020
Program PTM 1 HVS F4 70 gram 55,000.00 55,000.00 11/21/2020

Program Pneumonia 1
Program Ispa Diare 1
Program PTM 1
Program TB 1
Program PTM 1 Tinta E-Print Hitam 60,000.00 60,000.00 11/21/2020
Program PTM 3 Tinta E-Print Warna 60,000.00 180,000.00 11/21/2020
Program PTM 1 Buku Tulis 56 lembar 6,000.00 6,000.00 11/21/2020
Program Pneumonia 1
Program TB 1
1

IGD 4 Tissue 42,500.00 170,000.00 3/31/2020
IGD 1 Sos Pump 17,500.00 17,500.00 3/31/2020
IGD 2 Sunlight 15,000.00 30,000.00 3/31/2020
IGD 2 Bayclin 17,500.00 35,000.00 3/31/2020
Ruangan KIA 12 Bayclin 17,500.00 210,000.00 3/31/2020
IGD 2 Tissue 42,500.00 85,000.00 5/15/2020

Tata Usaha 1 5/15/2020
Laboratorium 1 5/15/2020
Tata Usaha 1 Sos Refil 15,000.00 15,000.00 5/15/2020
Ruanagan KIA 5/16/2020
IGD 5/15/2020
Laboratorium 5/15/2020
Laboratorium 1 Sunligth 12,500.00 12,500.00 5/15/2020
IGD 5/15/2020
Laboratorium 2 Bayclin 20,000.00 40,000.00 5/15/2020
IGD 5/15/2020
Ruangan KIA 5/16/2020
Laboratorium 1 Sos Pump 60,000.00 60,000.00 5/15/2020
IGD 5/15/2020
Tata Usaha 5/15/2020
Laboratorium 1 Stella Zak 14,500.00 14,500.00 5/15/2020
IGD 5/15/2020
Poli Remaja 5/16/2020
Ruang Persalinan 3 Kresek Merah Besar 40,000.00 120,000.00 9/28/2020

Ruang ANC 2 40,000.00 80,000.00 9/29/2020
Laboratorium 1 40,000.00 40,000.00 9/29/2020
Tata Usaha 2 40,000.00 80,000.00 9/26/2020
Pustu Roworena 1 40,000.00 40,000.00 9/29/2020
Pemantauan di KLK 2 40,000.00 80,000.00 9/29/2020
Ruang Persalinan 3 Kresek Hitam Besar 30,000.00 90,000.00 9/28/2020
Ruang ANC 2 30,000.00 60,000.00 9/29/2020
Laboratorium 1 30,000.00 30,000.00 9/29/2020
Tata Usaha 2 30,000.00 60,000.00 9/26/2020
Pustu Roworena 1 30,000.00 30,000.00 9/29/2020
Ruang Persalinan 12 Kresek Biru Besar 15,000.00 180,000.00 9/28/2020
Ruang Persalinan 2 Rinso 1 kg 21,000.00 42,000.00 9/28/2020
Ruang ANC 2 21,000.00 42,000.00 9/29/2020
Laboratorium 1 21,000.00 21,000.00 9/29/2020
Tata Usaha 1 21,000.00 21,000.00 9/26/2020
Pustu Roworena 1 21,000.00 21,000.00 9/29/2020
Ruang Persalinan 2 Bayclin 20,000.00 40,000.00 9/28/2020
Ruang ANC 2 20,000.00 40,000.00 9/29/2020
Laboratorium 1 20,000.00 20,000.00 9/29/2020
Pustu Roworena 1 20,000.00 20,000.00 9/29/2020
Poli Gigi 1 20,000.00 20,000.00 9/29/2020
Gheoghoma 1 20,000.00 20,000.00 9/30/2020
Borokanda 1 20,000.00 20,000.00 9/30/2020
Ruang Persalinan 1 So klin 17,500.00 17,500.00 9/28/2020
Ruang ANC 1 17,500.00 17,500.00 9/29/2020
Laboratorium 1 17,500.00 17,500.00 9/29/2020
Tata Usaha 3 17,500.00 52,500.00 9/26/2020
Pustu Roworena 1 17,500.00 17,500.00 9/29/2020
Poli Gigi 1 17,500.00 17,500.00 9/29/2020
Gheoghoma 1 17,500.00 17,500.00 9/30/2020
Ruang Persalinan 1 Tissue Paseo 19,000.00 19,000.00 9/28/2020
Ruang ANC 1 19,000.00 19,000.00 9/29/2020
Laboratorium 2 19,000.00 38,000.00 9/29/2020
Tata Usaha 4 19,000.00 76,000.00 9/26/2020
Poli Gigi 1 19,000.00 19,000.00 9/29/2020
Poli Umum 1 19,000.00 19,000.00 9/30/2020
Ruang Persalinan 2 Handshop 400 ml 22,500.00 45,000.00 9/28/2020
Ruang ANC 2 22,500.00 45,000.00 9/29/2020
Laboratorium 1 22,500.00 22,500.00 9/29/2020
Tata Usaha 6 22,500.00 135,000.00 9/26/2020
Pustu Roworena 1 22,500.00 22,500.00 9/29/2020
Poli Gigi 1 22,500.00 22,500.00 9/29/2020
Gheoghoma 1 22,500.00 22,500.00 9/30/2020
Poli Umum 1 22,500.00 22,500.00 9/30/2020
Ruang Persalinan 1 Handsanitaizer 30,000.00 30,000.00 9/28/2020
Ruang ANC 1 30,000.00 30,000.00 9/29/2020
Laboratorium 1 30,000.00 30,000.00 9/29/2020
Tata Usaha 1 30,000.00 30,000.00 9/26/2020
Pustu Roworena 1 30,000.00 30,000.00 9/29/2020
Poli Umum 1 30,000.00 30,000.00 9/30/2020
Poli Remaja 1 30,000.00 30,000.00 9/30/2020
Poli MTBS 1 30,000.00 30,000.00 9/30/2020
Loket 1 30,000.00 30,000.00 9/30/2020
Ruang Persalinan 2 Pembersih Wc 17,500.00 35,000.00 9/28/2020
Ruang ANC 2 17,500.00 35,000.00 9/29/2020
Tata Usaha 2 17,500.00 35,000.00 9/26/2020
Pustu Roworena 1 17,500.00 17,500.00 9/29/2020
Gheoghoma 1 17,500.00 17,500.00 9/30/2020
Ruang ANC 1 Sikat Wc 15,000.00 15,000.00 9/29/2020
Pustu Roworena 1 15,000.00 15,000.00 9/29/2020
Gheoghoma 1 15,000.00 15,000.00 9/30/2020
Watusipi 1 15,000.00 15,000.00 9/30/2020
Borokanda 1 15,000.00 15,000.00 9/30/2020
Ruang ANC 1 Sapu Lantai 45,000.00 45,000.00 9/29/2020
Tata Usaha 1 45,000.00 45,000.00 9/26/2020
Pustu Roworena 1 45,000.00 45,000.00 9/29/2020
Gheoghoma 1 45,000.00 45,000.00 9/30/2020
Ruang Kesling 1 45,000.00 45,000.00 9/30/2020
Ruang ANC 1 Serokan 32,500.00 32,500.00 9/29/2020
Tata Usaha 1 32,500.00 32,500.00 9/26/2020
Pustu Roworena 1 32,500.00 32,500.00 9/29/2020
Gheoghoma 1 32,500.00 32,500.00 9/30/2020
Ruang Kesling 1 32,500.00 32,500.00 9/30/2020
Ruang Persalinan 3 Tissue Multi 700 gram 37,500.00 112,500.00 9/28/2020
Ruang ANC 3 37,500.00 112,500.00 9/29/2020
Laboratorium 2 37,500.00 75,000.00 9/29/2020
Tata Usaha 2 37,500.00 75,000.00 9/26/2020
Ruang Persalinan 2 Tissue Roll 4,500.00 9,000.00 9/28/2020
Ruang ANC 2 4,500.00 9,000.00 9/29/2020
Laboratorium 2 4,500.00 9,000.00 9/29/2020
Tata Usaha 2 4,500.00 9,000.00 9/26/2020
Apotek 2 4,500.00 9,000.00 9/26/2020
Ruang Persalinan 2 Sunlight 15,000.00 30,000.00 9/28/2020
Ruang ANC 2 15,000.00 30,000.00 9/29/2020
Ruang Persalinan 2 Tempat Sampah 32,500.00 65,000.00 11/19/2020

Ruang Persalinan 5 Sunlight 780 ml 15,000.00 75,000.00 11/19/2020
Ruang Persalinan 2 Kemoceng 19,000.00 38,000.00 11/19/2020
Ruang Persalinan 2 Keset Karet Lubang 30,000.00 60,000.00 11/19/2020
Ruang Persalinan 2 Keranjang Sampah 30,000.00 60,000.00 11/19/2020
PUSKESMAS KOTARATU
TRIWULAN I TAHUN 2020
Nota Pesanan / SPK Tahun

Tanggal Merk /
No Dari Nama Barang Pembuatan/P Banyaknya Jumlah Harga
Penerimaan Ukuran
Nomor Tanggal erolehan
1 2 3 4 5 6 7 8 9 10 11
ALAT TULIS KANTOR
1 3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 HVS F4 70 gram Sidu 2020 8 55,000.00 440,000.00
-
-
30/032020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 HVS A4 70 gram Sidu 2020 5 52,000.00 260,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Catridger Hitam Canon 2020 1 250,000.00 250,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Catridger Warna Canon 2020 1 300,000.00 300,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Map Teka Batik Kingco 2020 15 20,000.00 300,000.00
-
-
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Map Snallhecter Kertas Kiky 2020 900 1,500.00 1,350,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Box File kiky 2020 16 17,500.00 280,000.00
-
-
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Buku Folio 100 Lembar Mirage 2020 15 17,500.00 262,500.00
-
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Buku Folio 200 Lembar 2020 3 27,500.00 82,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Buku Tulis Panpo 2020 58 6,000.00 348,000.00
-
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Spidol Permanent Snowman 2020 36 8,500.00 306,000.00
-
-
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Gunting Scissors 2020 2 15,000.00 30,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Pelubang Kertas ZRM 2020 1 40,000.00 40,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Kertas Bufalo Sidu 2020 1 35,000.00 35,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Hecter Kangaro 2020 2 15,000.00 30,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Isi Hecter Great Wall 2020 3 4,000.00 12,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Balpoint Hitam Snowman 2020 20 2,500.00 50,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Mistar Besi Panjang Veota 2020 4 12,500.00 50,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Mistar Besi Pendek Veota 2020 2 7,500.00 15,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Map File 60 Sheat Fprden One 2020 1 25,000.00 25,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Tinta Print Canon 2020 3 60,000.00 180,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Lem Cair Gluvinal 2020 1 8,000.00 8,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Tipe Ex Kenko 2020 6 7,500.00 45,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Spidol Hitam Kecil Snowman 2020 20 2,500.00 50,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Map Snallhecter Plastik 2020 12 5,000.00 60,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Stabilo Faber Castell 2020 3 7,500.00 22,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Flakban Bening Sanko 2020 1 15,000.00 15,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Bantal Stempel Joyko 2020 2 10,000.00 20,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Tinta Stempel Biru Pyramid 2020 1 10,000.00 10,000.00

1 3/30/2020 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 Tissue Multi 2020 4 42,500.00 170,000.00
3/30/2020 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 Sos Pump Sos 2020 1 17,500.00 17,500.00
3/30/2020 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 Sunlight Sungl 2020 2 15,000.00 30,000.00
3/30/2020 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 Bayclin Bayclin 2020 14 17,500.00 245,000.00
-
Mengetahui ;
Plt. Kepala Puskesmas Kotaratu
dr. Fatimah Arubusman

Nip. 19650904 200003 2 003
G

Tanggal
Ket. No.
B.A. Pemeriksaan B.A. Penerimaan Pengeluaran
12 13 14 15 16 1 2
02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/30/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 1 3/31/2020
02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/30/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020





09/01.AST/BAP/BRGJS-BHP/PKM.KR/III/2020 3/30/2020 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 1 3/31/2020

09/01.AST/BAP/BRGJS-BHP/PKM.KR/III/2020 3/30/2020 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
Ende, 30 Maret 2020
Pengurus Barang Pembantu
Nurjanah
Nip. 19870425 201101 2 013
PUSKESMAS KOTARATU
Surat Penyerahan
Nomor Tanggal
3 4 5 6 7 8 9 10 11
1 HVS F4 70 gram 2 55,000.00 110,000.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
HVS A4 70 gram 2 52,000.00 104,000.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
Catridger Hitam 1 250,000.00 250,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
Catridger Warna 1 300,000.00 300,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
Map Teka Batik 3 20,000.00 60,000.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
Map Snallhecter Kertas 500 1,500.00 750,000.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
Box File 3 17,500.00 52,500.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
Buku Folio 100 Lembar 3 17,500.00 52,500.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
Buku Folio 200 Lembar 3 27,500.00 82,500.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
Buku Tulis 24 6,000.00 144,000.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
Spidol Permanent 10 8,500.00 85,000.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
Gunting 1 15,000.00 15,000.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
Pelubang Kertas 1 40,000.00 40,000.00 Poskesdes Borokanda 04/01.AST/SP/PKM.KR/III/2020 3/31/2020
Kertas Bufalo 1 35,000.00 35,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
Hecter 1 15,000.00 15,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
Isi Hecter 2 4,000.00 8,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
Balpoint Hitam 10 2,500.00 25,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
Mistar Besi Panjang 2 12,500.00 25,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
Mistar Besi Pendek 2 7,500.00 15,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III.2020 3/31/2020
Map File 60 Sheat 1 25,000.00 25,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III/2020 3/31/2020
Tinta Print 3 60,000.00 180,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
Lem Cair 1 8,000.00 8,000.00 Poskesdes Gheogoma 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
Tipe Ex 4 7,500.00 30,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III.2020 3/31/2020
Spidol Hitam Kecil 20 2,500.00 50,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III.2020 3/31/2020
Map Snallhecter Plastik 12 5,000.00 60,000.00 Poskesdes Gheogoma 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
Stabilo 3 7,500.00 22,500.00 Poskesdes Gheogoma 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
Flakban Bening 1 15,000.00 15,000.00 Poskesdes Gheogoma 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
Bantal Stempel 1 10,000.00 10,000.00 Pustu Watusipi 07/01.AST/SP/PKM.KR/III.2020 3/31/2020
Tinta Stempel 1 10,000.00 10,000.00 Pustu Roworena 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
1 Tissue 4 42,500.00 170,000.00 IGD 11/01.AST/SP/PKM.KR/III/2020 3/31/2020

Sos Pump 1 17,500.00 17,500.00 IGD 11/01.AST/SP/PKM.KR/III/2020 3/31/2020
Sunlight 2 15,000.00 30,000.00 IGD 11/01.AST/SP/PKM.KR/III/2020 3/31/2020
Bayclin 2 17,500.00 35,000.00 IGD 11/01.AST/SP/PKM.KR/III/2020 3/31/2020
Ende, 30 Maret 2020

Mengetahui ;
Plt. Kepala Puskesmas Kotaratu Pengurus Barang Pembantu
dr. Fatimah Arubusman Nurjanah

Nip. 19650904 200003 2 003 Nip. 19870425 201101 2 013
PUSKESMAS KOTARATU
PENERIMAAN
No Tahun
Tanggal Merk / Jumlah Nota Pesanan/SPK Barita Acara Pemeriksaa
Nama / Jenis Barang Pembuata
Diterima Ukuran Satuan Nomor Tanggal Tanggal
n
1 2 3 4 5 6 7 8 9
NIHIL
Mengetahui ;

Nip. 19650904 200003 2 003
NTARIS
ARATU
N 2020
PENGELUARAN
Tanggal Jumlah Ket. No
Barita Acara Pemeriksaan Diserahka Surat Penyerahan Tanggal
Dikeluark Satuan / Nama / Jenis Barang
Nomor n Kepada Nomor Tanggal Diterima
an Barang
10 11 12 13 14 15 16 1 2 3
ALAT TULIS KANTOR
1 3/30/2020 HVS F4 70 gram
30/032020 HVS A4 70 gram
3/30/2020 Catridger Hitam

3/30/2020 Catridger Warna
3/30/2020 Map Teka Batik
3/30/2020 Map Snallhecter Kertas
3/30/2020 Box File
IL 3/30/2020 Buku Folio 100 Lembar
3/30/2020 Buku Folio 200 Lembar

3/30/2020 Buku Tulis
3/30/2020 Spidol Permanent
3/30/2020 Gunting
3/30/2020 Pelubang Kertas

3/30/2020 Kertas Bufalo
3/30/2020 Hecter
3/30/2020 Isi Hecter
3/30/2020 Balpoint Hitam
3/30/2020 Mistar Besi Panjang
3/30/2020 Mistar Besi Pendek

3/30/2020 Map File 60 Sheat
3/30/2020 Tinta Print
3/30/2020 Lem Cair
3/30/2020 Tipe Ex
Tipe Ex
3/30/2020 Spidol Hitam Kecil
3/30/2020 Map Snallhecter Plastik
3/30/2020 Stabilo
3/30/2020 Flakban Bening
3/30/2020 Bantal Stempel
3/30/2020 Tinta Stempel
1 3/30/2020 Tissue
3/30/2020 Sos Pump
3/30/2020 Sunlight
3/30/2020 Bayclin
Ende, 30 Maret 2020
Nurjanah
Nip. 19870425 201101 2 013
PUSKESMAS KOTARATU
Tahun Jumlah
Merk / Jumlah Nota Pesanan/SPK Barita Acara Pemeriksaan Tanggal
Pembuata Diserahkan Kepada Satuan /
Ukuran Satuan Nomor Tanggal Tanggal Nomor Dikeluarkan
n Barang
4 5 6 7 8 9 10 11 12 13
Sidu 2020 8 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Borokanda 2

Pustu Roworena 2
PoskesdesGheogoma 4
Sidu 2020 5 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Borokanda 2
Pustu Watusipi 3
Canon 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Roworena 1
Canon 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 43921 Pustu Roworena 1
Kingco 2020 15 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Borokanda 3
Pustu Roworena 3
PoskesdesGheogoma 4
Pustu Watusipi 5
Kiky 2020 900 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Borokanda 500
Pustu Watusipi 400
Kiky 2020 16 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Borokanda 3
Pustu Roworena 4
PoskesdesGheogoma 6
Pustu Watusipi 3
2020 15 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Borokanda 3
PoskesdesGheogoma 10
Pustu Watusipi 2
2020 3 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Borokanda 3
Panpo 2020 58 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Borokanda 24
Pustu Watusipi 10
Snowman 2020 36 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Borokanda 10
Pustu Roworena 10
Pustu Watusipi 6
Scissors 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Borokanda 1
Pustu Watusipi 1
ZRM 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Borokanda 1
Sidu 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Roworena 1
2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Roworena 1
Pustu Watusipi 1
2020 3 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Roworena 2
Pustu Watusipi 1
Snowman 2020 20 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Roworena 10
Poskesdes Gheogoma 10
Veota 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Roworena 2
2 3/31/2020 Poskesdes Gheogoma 2
Veota 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Watusipi 2
Folder One 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Watusipi 1
Canon 2020 3 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Roworena 3
Gluvinal 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Gheogoma 1
Kenko 2020 4 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Watusipi 4
Kenko 2020 2 3/31/2020 Poskesdes Gheogoma 2
Snowman 2020 20 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Watusipi 20
Businell File 2020 12 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Gheogoma 12
Fiber Faster 2020 3 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Gheogoma 3
Sanko 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Gheogoma 1
Joyko 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Watusipi 1
3/31/2020 Pustu Roworena 1
Biru Pyramid 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Roworena 1
Multi 2020 4 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 09/01.AST/BAP/BRGJS-BHP/PKM.KR/III/2020 3/31/2020 IGD 4

sos 2020 1 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 09/01.AST/BAP/BRGJS-BHP/PKM.KR/III/2020 3/31/2020 IGD 1
Sunlight 2020 2 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 09/01.AST/BAP/BRGJS-BHP/PKM.KR/III/2020 3/31/2020 IGD 2
Bayclin 2020 14 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020 09/01.AST/BAP/BRGJS-BHP/PKM.KR/III/2020 3/31/2020 IGD 2
Ruangan KIA 12
Mengetahui ;

Nip. 19650904 200003 2 003
LAPORAN SEMESTER TENTANG PENERIMAAN D
PUSKESMAS KO
TRIWULAN I TAH
Penerimaan
ENGELUARAN Buku Penerimaan
Penerimaan Dokumen/Faktur
Ket. Terima Banyakny Harga Jumlah B.A. / Srt
Surat Penyerahan No. Urut Dari SPK/Perjanjia Nama Barang
Tgl Nomor Tgl a Satuan Harga Penerimaan
Nomor Tanggal n Nomor
14 15 16 1 2 3 4 5 6 7 8 9 10 11
04/01.AST/SP/PKM.KR/III/2020 3/31/2020
05/01.AST/SP/PKM.KR/III.2020 3/31/2020
06/01.AST/SP/PKM.KR/III/2020 3/31/2020
04/01.AST/SP/PKM.KR/III/2020 3/31/2020
07/01.AST/SP/PKM.KR/III/2020 3/31/2020
05/01.AST/SP/PKM.KR/III.2020 3/31/2020
05/01.AST/SP/PKM.KR/III.2020 3/31/2020
04/01.AST/SP/PKM.KR/III/2020 3/31/2020
05/01.AST/SP/PKM.KR/III.2020 3/31/2020
06/01.AST/SP/PKM.KR/III/2020 3/31/2020
07/01.AST/SP/PKM.KR/III/2020 3/31/2020
04/01.AST/SP/PKM.KR/III/2020 3/31/2020
07/01.AST/SP/PKM.KR/III/2020 3/31/2020
04/01.AST/SP/PKM.KR/III/2020 3/31/2020
NIH
05/01.AST/SP/PKM.KR/III.2020 3/31/2020
06/01.AST/SP/PKM.KR/III/2020 3/31/2020
07/01.AST/SP/PKM.KR/III/2020 3/31/2020
04/01.AST/SP/PKM.KR/III/2020 3/31/2020
06/01.AST/SP/PKM.KR/III/2020 3/31/2020
07/01.AST/SP/PKM.KR/III/2020 3/31/2020
04/01.AST/SP/PKM.KR/III/2020 3/31/2020
04/01.AST/SP/PKM.KR/III/2020 3/31/2020
06/01.AST/SP/PKM.KR/III/2020 3/31/2020
07/01.AST/SP/PKM.KR/III/2020 3/31/2020
04/01.AST/SP/PKM.KR/III/2020 3/31/2020
05/01.AST/SP/PKM.KR/III.2020 3/31/2020
06/01.AST/SP/PKM.KR/III/2020 3/31/2020
07/01.AST/SP/PKM.KR/III/2020 3/31/2020
04/01.AST/SP/PKM.KR/III/2020 3/31/2020
07/01.AST/SP/PKM.KR/III/2020 3/31/2020
04/01.AST/SP/PKM.KR/III/2020 3/31/2020
05/01.AST/SP/PKM.KR/III.2020 3/31/2020
05/01.AST/SP/PKM.KR/III.2020 3/31/2020
07/01.AST/SP/PKM.KR/III/2020 3/31/2020
05/01.AST/SP/PKM.KR/III.2020 3/31/2020
07/01.AST/SP/PKM.KR/III/2020 3/31/2020
05/01.AST/SP/PKM.KR/III.2020 3/31/2020
06/01.AST/SP/PKM.KR/III/2020 3/31/2020
05/01.AST/SP/PKM.KR/III.2020 3/31/2020
06/01.AST/SP/PKM.KR/III/2020 3/31/2020
07/01.AST/SP/PKM.KR/III.2020 3/31/2020
07/01.AST/SP/PKM.KR/III/2020 3/31/2020
05/01.AST/SP/PKM.KR/III.2020 3/31/2020
06/01.AST/SP/PKM.KR/III/2020 3/31/2020
07/01.AST/SP/PKM.KR/III.2020 3/31/2020
06/01.AST/SP/PKM.KR/III/2020 3/31/2020
07/01.AST/SP/PKM.KR/III.2020 3/31/2020
06/01.AST/SP/PKM.KR/III/2020 3/31/2020
06/01.AST/SP/PKM.KR/III/2020 3/31/2020
06/01.AST/SP/PKM.KR/III/2020 3/31/2020
07/01.AST/SP/PKM.KR/III.2020 3/31/2020
05/01.AST/SP/PKM.KR/III.2020 3/31/2020
05/01.AST/SP/PKM.KR/III.2020 3/31/2020
11/01.AST/SP/PKM.KR/III/2020 3/31/2020
11/01.AST/SP/PKM.KR/III/2020 3/31/2020
11/01.AST/SP/PKM.KR/III/2020 3/31/2020
11/01.AST/SP/PKM.KR/III/2020 3/31/2020
12/01.AST/SP/PKM.KR/III/2020 3/31/2020
Ende, 30 Maret 2020

Mengetahui ;
Pengurus Barang Pembantu Plt. Kepala Puskesmas Kotaratu
Nurjanah dr. Fatimah Arubusman

Nip. 19870425 201101 2 013 Nip. 19650904 200003 2 003
G PENERIMAAN DAN PENGELUARAN BARANG INVENTARIS
PUSKESMAS KOTARATU
Pengeluaran
Buku Penerimaan Surat Bon Tanggal
B.A. / Srt Pengeluar Banyakny Nama Harga Jumlah No.
Ket No. Urut Untuk Penyerah Ket Terima Tgl Dari
Penerimaan an Tgl. Nomor Tanggal a Barang Satuan Harga Urut
Tanggal an
12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3
1 3/30/2020 CV.Maranatha Permai
30/032020 CV.Maranatha Permai
3/30/2020 CV.Maranatha Permai

NIHIL 3/30/2020 CV.Maranatha Permai



3/30/2020
3/30/2020

Ende, 30 Maret 2020
Nurjanah
Nip. 19870425 201101 2 013
LAPORAN SEMESTER TENTANG PENERIMAAN DAN PEN
PUSKESMAS KOTARATU
Penerimaan
Dokumen/Faktur Dasar Penerimaan
Banyakn
Jenis Nama Barang Harga Satuan Jumlah Harga
Nomor Tgl Nomor ya
Surat
4 5 6 7 8 9 10 11
ALAT TULIS KANTOR
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 BAST 03/01.AST/BAP/BAST-ATK/PKM.KR/III/2020 8 HVS F4 70 gram 55,000.00 440,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 5 HVS A4 70 gram 52,000.00 260,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Catridger Hitam 250,000.00 250,000.00

01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Catridger Warna 300,000.00 300,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 15 Map Teka Batik 20,000.00 300,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 900 Map Snallhecter Kertas 1,500.00 1,350,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 16 Box File 17,500.00 280,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 15 Buku Folio 100 Lembar 17,500.00 262,500.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3 Buku Folio 200 Lembar 27,500.00 82,500.00

01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 58 Buku Tulis 6,000.00 348,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 36 Spidol Permanent 8,500.00 306,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 2 Gunting 15,000.00 30,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Pelubang Kertas 40,000.00 40,000.00

01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Kertas Bufalo 35,000.00 35,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 2 Hecter 15,000.00 30,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3 Isi Hecter 4,000.00 12,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 20 Balpoint Hitam 2,500.00 50,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 4 Mistar Besi Panjang 12,500.00 50,000.00

3/28/2020
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 2 Mistar Besi Pendek 7,500.00 15,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Map File 60 sheat 25,000.00 25,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3 Tinta Print 60,000.00 180,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Lem Cair 8,000.00 8,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 6 Tipe Ex 7,500.00 45,000.00
3/28/2020
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 20 Spidol Hitam Kecil 2,500.00 50,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 12 Map Snallhecter Plastik 5,000.00 60,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3 Stabilo 7,500.00 22,500.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Flakban Bening 15,000.00 15,000.00
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 2 Bantal Stempel 10,000.00 20,000.00
3/28/2020
01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Tinta Stempel 10,000.00 10,000.00
4,876,500.00
08/01.AST/NP/PKM.KR/III/2020 3/28/2020 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 4 Tissue 42,500.00 170,000.00

08/01.AST/NP/PKM.KR/III/2020 3/28/2020 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Sos Pump 17,500.00 17,500.00
08/01.AST/NP/PKM.KR/III/2020 3/28/2020 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 2 Sunlight 15,000.00 30,000.00
08/01.AST/NP/PKM.KR/III/2020 3/28/2020 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 14 Bayclin 17,500.00 245,000.00
Mengetahui ;

Nip. 19650904 200003 2 003
TANG PENERIMAAN DAN PENGELUARAN BARANG PAKAI HABIS
PUSKESMAS KOTARATU
Pengeluaran
Surat Bon
Buku Penerimaan B.A. / Srt Penerimaan Pengeluaran Banyakny
Ket No. Urut Untuk
Tgl. Nomor Tanggal a
Nomor Tanggal
12 13 14 15 16 17 18 19 20
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 1 3/31/2020 Poskesdes Borokanda 2

3/30/2020 3/31/2020 Pustu Roworena 2
3/30/2020 3/31/2020 PoskesdesGheogoma 4
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020 Poskesdes Borokanda 2
3/30/2020 3/31/2020 Pustu Watusipi 3
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020 Pustu Roworena 1
3/30/2020 3/31/2020 Pustu Roworena 3
3/30/2020 3/31/2020 Pustu Watusipi 5
3/30/2020 3/31/2020 Pustu Watusipi 400
3/30/2020 3/31/2020 Pustu Roworena 4
3/30/2020 3/31/2020 Pustu Watusipi 3
3/30/2020 3/31/2020 Pustu Watusipi 2
3/30/2020 3/31/2020 Pustu Watusipi 10
3/30/2020 3/31/2020 Pustu Roworena 10
3/30/2020 3/31/2020 Pustu Watusipi 6
3/30/2020 3/31/2020 Pustu Watusipi 1
3/30/2020 3/31/2020 Pustu Watusipi 1
3/30/2020 3/31/2020 Pustu Watusipi 1
3/30/2020 3/31/2020 Poskesdes Gheogoma 10
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020 Pustu Watusipi 2
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020 Poskesdes Gheogoma 1
3/31/2020 Pustu Roworena 1
10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 1 3/31/2020 IGD 4

10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020 IGD 1
Ruangan KIA 12
Nip. 19870425 201101 2 013

eluaran
Tanggal
Nama Barang Harga Satuan Jumlah Harga Ket
Penyerahan
21 22 23 24 25
- -
HVS F4 70 gram 55,000.00 110,000.00 3/31/2020
HVS F4 70 gram 55,000.00 110,000.00 3/31/2020
HVS F4 70 gram 55,000.00 220,000.00 3/31/2020
HVS A4 70 gram 52,000.00 104,000.00 3/31/2020
HVS A4 70 gram 52,000.00 156,000.00 3/31/2020
Catridger Hitam 250,000.00 250,000.00 3/31/2020
Catridger Warna 300,000.00 300,000.00 3/31/2020
Map Teka Batik 20,000.00 60,000.00 3/31/2020
Map Teka Batik 20,000.00 60,000.00 3/31/2020
Map Teka Batik 20,000.00 80,000.00 3/31/2020
Map Teka Batik 20,000.00 100,000.00 3/31/2020
Map Snallhecter Kertas 1,500.00 750,000.00 3/31/2020
Map Snallhecter Kertas 1,500.00 600,000.00 3/31/2020
Box File 17,500.00 52,500.00 3/31/2020
Box File 17,500.00 70,000.00 3/31/2020
Box File 17,500.00 105,000.00 3/31/2020
Box File 17,500.00 52,500.00 3/31/2020
Buku Folio 100 Lembar 17,500.00 52,500.00 3/31/2020
Buku Tulis 6,000.00 144,000.00 3/31/2020
Buku Tulis 6,000.00 144,000.00 3/31/2020
Buku Tulis 6,000.00 60,000.00 3/31/2020
Spidol Permanent 8,500.00 85,000.00 3/31/2020
Gunting 15,000.00 15,000.00 3/31/2020
Gunting 15,000.00 15,000.00 3/31/2020
Pelubang Kertas 40,000.00 40,000.00 3/31/2020
Kertas Bufalo 35,000.00 35,000.00 3/31/2020
Hecter 15,000.00 15,000.00 3/31/2020
Hecter 15,000.00 15,000.00 3/31/2020
Isi Hecter 4,000.00 8,000.00 3/31/2020
Isi Hecter 4,000.00 4,000.00 3/31/2020
Balpoint Hitam 2,500.00 25,000.00 3/31/2020
Balpoint Hitam 2,500.00 25,000.00 3/31/2020
Mistar Besi Panjang 12,500.00 25,000.00 3/31/2020
Mistar Besi Panjang 12,500.00 25,000.00 3/31/2020
Mistar Besi Pendek 7,500.00 15,000.00 3/31/2020
Map File 60 Sheat 25,000.00 25,000.00 3/31/2020
Tinta Print 60,000.00 180,000.00 3/31/2020
Lem Cair 8,000.00 8,000.00 3/31/2020
Tipe Ex 7,500.00 30,000.00 3/31/2020
Tipe Ex 7,500.00 15,000.00 3/31/2020
Spidol Hitam Kecil 2,500.00 50,000.00 3/31/2020
Map Snallhecter Plastik 5,000.00 60,000.00 3/31/2020
Stabilo 7,500.00 22,500.00 3/31/2020
Flakban Bening 15,000.00 15,000.00 3/31/2020
Bantal Stempel 10,000.00 10,000.00 3/31/2020
Bantal Stempel 10,000.00 10,000.00 3/31/2020
Tinta Stempel 10,000.00 10,000.00 3/31/2020
Tissue 42,500.00 170,000.00 3/31/2020

Sos Pump 17,500.00 17,500.00 3/31/2020
Sunlight 15,000.00 30,000.00 3/31/2020
Bayclin 17,500.00 35,000.00 3/31/2020
17,500.00 210,000.00 3/31/2020
Ende, 30 Maret 2020
Nurjanah
Nip. 19870425 201101 2 013
LAPORAN MUTASI BARANG INVENTARIS
PUSKESMAS KOTARATU
SKPD : PUSKESMAS KOTARATU

KOTA : ENDE KODE LOKASI :
PROVINSI : NUSA TENGGARA TIMUR
NOMOR SPESIFIKASI BARANG Jumlah (Awal) Mutasi/Perubahan Jumlah (Akhir)

No. Sertifikat Ukuran Kondisi Berkurang Bertambah
Asal/Cara Tahun
No. Pabrik Barang/K Bangunan
No. Kode Nama/Jenis Merk/ Peroleha Beli/Pero Satuan Ket
Register Bahan onstruksi (B, KB, Barang Harga Jumlah Jumlah Jumlah Jumlah Barang Harga
Urut Barang Barang Type No. n Barang lehan
(P,SP,D) RB) Barang Harga Barang Harga
Chasis/Mesin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
N I H I L
Mengetahui : Ende, 30 Maret 2020

NIP. 19650904 200003 2 003 NIP. 19870425 201101 2 013
LAPORAN MUTASI BARANG PAKAI HABIS
PUSKESMAS KOTARATU

KOTA : ENDE
MUTASI BULAN JANUARI S/D MARET 2020 SALDO AKHIR BULAN MARET 2020
SO AWAL Bulan Januari
NO NAMA BARANG Harga Beli Terakhir Keterangan
2020 (Unit/bh/set) Tambah (unit/bh/set) Digunakan (unit/bh/set) unit/bh/set Jumlah
(Rp)
1 2 3 4 5 6=(3+4)-5 7 8=6x7 9
1 ALAT TULIS KANTOR
HVS F4 70 gram 0 8 Rim 8 Rim 0 Rim 55,000 0
HVS A4 70 gram 0 5 Rim 5 Rim 0 Rim 52,000 0
Catridger Hitam 0 1 Buah 1 Buah 0 Buah 250,000 0
Catridger Warna 0 1 Buah 1 Buah 0 Buah 300,000 0
Map Teka Batik 0 15 Buah 15 Buah 0 Buah 20,000 0
Map Snallhecter Kertas 0 900 Buah 900 Buah 0 Buah 1,500 0
Box File 0 16 Buah 16 Buah 0 Buah 17,500 0
Buku Folio 100 Lembar 0 15 Buah 15 Buah 0 Buah 17,500 0
Buku Tulis 0 58 Buah 58 Buah 0 Buah 6,000 0
Spidol Permanent 0 36 Buah 36 Buah 0 Buah 8,500 0
Gunting 0 2 Buah 2 Buah 0 Buah 15,000 0
Pelubang Kertas 0 1 Buah 1 Buah 0 Buah 40,000 0
Kertas Bufalo 0 1 Buah 1 Buah 0 Buah 35,000 0
Hecter 0 2 Buah 2 Buah 0 Buah 15,000 0
Isi Hecter 0 3 Buah 3 Buah 0 Buah 4,000 0
Balpoint Hitam 0 20 Buah 20 Buah 0 Buah 2,500 0
Mistar Besi Panjang 0 4 Buah 4 Buah 0 Buah 12,500 0
Mistar Besi Pendek 0 2 Buah 2 Buah 0 Buah 7,500 0
Map File 60 Sheat 0 1 Buah 1 Buah 0 Buah 25,000 0
Tinta Print 0 3 Buah 3 Buah 0 Buah 60,000 0
Lem Cair 0 1 Botol 1 Botol 0 Botol 8,000 0
Tipe Ex 0 6 Buah 6 Buah 0 Buah 7,500 0
Spidol Hitam Kecil 0 20 Buah 20 Buah 0 Buah 2,500 0
Map Snallhecter Plastik 0 12 Buah 12 Buah 0 Buah 5,000 0
Stabilo 0 3 Buah 3 Buah 0 Buah 7,500 0
Flakban Bening 0 1 Buah 1 Buah 0 Buah 15,000 0
Bantal Stempel 0 2 Buah 2 Buah 0 Buah 10,000 0
Tinta Stempel 0 1 Botol 1 Botol 0 Botol 10,000 0
BAHAN DAN ALAT KEBERSIHAN
Tissue 0 4 Buah 4 Buah 0 Buah 42,500 0
Sos Pump 0 1 Buah 1 Buah 0 Buah 17,500 0
Sunlight 0 2 Botol 2 Botol 0 Botol 15,000 0
Bayclin 0 14 Botol 14 Botol 0 Botol 17,500 0
JUMLAH
Mengetahui : Ende, 30 Maret 2020

NIP. 19650904 200003 2 003 NIP. 19870425 201101 2 013
Catatan :
TIDAK DIBUAT LAGI PER BULAN, TAPI PER SEMESTER
PEMERINTAH KABUPATEN ENDE
PUSKESMAS KOTARATU
Alamat : Jl. Kesehatan No.02
BERITA ACARA OPNAME FISIK (STOCK OPNAME) PERSEDIAAN

Per 30 Maret 2020
Pada hari ini Rabu tanggal Tiga Puluh bulan Maret tahun Dua Ribu Dua Puluh, kami yang bertanda tangan di bawah ini :
1. Nama dr. Fatimah Arubusman

Jabatan Kuasa Pengguna Anggaran
NIP 19650904 200003 2 003
2. Nama Nurjanah
Jabatan Pengurus Barang Pembantu
NIP 19870425 201101 2 013
Menyatakan bahwa telah melakukan Stock Opname barang persediaan per tanggal 30 Maret 2020 dengan hasil sebagai berikut :
NO JENIS PERSEDIAAN MERK JUMLAH HARGA SATUAN

1 2 3 4 5
1 Alat Tulis Kantor
NIHIL
2 Alat Kebersihan
NIHIL
Jumlah
Demikian Berita Acara Stock Opname Persediaan ini dibuat untuk dipergunakan sebagaimana mestinya
Mengetahui :
Plt.Kepala Puskesmas Kotaratu

NIP. 19650904 200003 2 003
N ENDE
RATU
o.02
PNAME) PERSEDIAAN
erikut :
KONDISI
TOTAL HARGA KETERANGAN
B RR RB
6 7 8 9 10
NIHIL
NIHIL
Ende, 30 Maret 2020
Nurjanah
NIP. 19870425 201101 2 013
DINAS KESEHATAN
KABUPATEN ENDE
Jln. Melati No. Telp. (0381) - Ende - Flores - NTT
BERITA ACARA REKONSILIASI BARANG MILIK DAERAH DAN KEUANGAN

PUSKESMAS KOTARATU
PER 30 MARET 2020
Pada hari ini Selasa Tanggal Tiga Puluh Bulan Maret Tahun Dua Ribu Dua Puluh, bertempat di Aset Keuangan Dinas
Kesehatan Kabupaten Ende, kami yang bertanda tangan dibawah ini :
1. Nama : Nurjanah
NIP : 19870425 201101 2 013
Jabatan : Pengurus Barang Pembantu Puskesmas Kotaratu
1. Nama : V.E.Sisilia Mbulu, S.Sos

NIP : 19750708 199903 2 002
### Jabatan : Pengurus Barang Pengguna Dinas Kesehatan Kabupaten Ende
Dengan ini menyatakan dalam rangka penyusunan Laporan Keuangan dan Laporan Barang Milik Daerah Pada Dinas Kesehatan
Tahun 2020 Triwulan I dan II telah melaksanakan rekonsiliasi data aset tetap menurut KIB dan Neraca Dinas Kesehatan per 30
Juni 2020, dengan hasil sebagai berikut:
Saldo Awal Jumlah Mutasi Jumlah Mutasi Saldo Akhir
No. Kategori 2
Tambah Kurang 17 Juni 2020
Januari 2020
1 2 3 4 5 6=3+4-5
A. ASET LANCAR
1. Persediaan
Alat Tulis Kantor 4,876,500.00 4,876,500.00 -
Peralatan Kebersihan dan Bahan Pembersih - 462,500.00 462,500.00 -
JUMLAH ASET LANCAR - 5,339,000.00 5,339,000.00 -
Untuk selanjutnya sebagai bagian yang tidak terpisahkan dari Berita Acara Rekonsiliasi ini dilampirkan Format 7.1 sampai 7.6.
Demikian Berita Acara ini dibuat untuk dipergunakan sebagaimana mestinya, dan apabila dikemudian hari terdapat kekeliruan akan
dilakukan perbaikan sebagaimana mestinya.
Ende , 30 Maret 2020
1. : Nurjanah Pengurus Barang Pembantu .....................................
2. : V.E.Sisilia Mbulu, S.Sos Pengurus Barang Pengguna .....................................
Mengetahui :

19650904 200003 2 003
BUKU PENER
PUSKESM
TRIWULAN
Nota Pesanan / SPK

No Tanggal Dari Nama Barang Merk / Ukuran
Penerimaan
Nomor Tanggal
1 2 3 4 5 6 7
ALAT TULIS KANTOR
1 5/14/2020 CV.Maranatha Permai 56/01.AST/NP/PKM.KR/V/2020 5/13/2020 Catridge Hitam Canon
5/14/2020 CV.Maranatha Permai 56/01.AST/NP/PKM.KR/V/2020 5/13/2020 Map Teka Kingco

1 5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Tissue Multi
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Sos Refil Sos
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Sunligth Sunlight
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Bayclin Bayclin
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Sos Pump Sos
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Stella Zak Stella
Mengetahui;

Nip. 19650904 200003 2 003
PUSKESMAS KOTARATU
TRIWULAN II TAHUN 2020
Tahun Bukti Pemeriksaan Bukti Penerimaan

Pembuatan/Perole Banyaknya Harga Satuan Jumlah Harga
han B.A. Pemeriksaan B.A. Penerimaan
Nomor Tanggal Nomor
8 9 10 11 12 13 14
2020 1 300,000.00 300,000.00

57/01.AST/BAP/BRGJS-ATK/PKM.KR/V/2020
5/14/2020
58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020
2020 3 20,000.00 57/01.AST/BAP/BRGJS-ATK/PKM.KR/V/2020
60,000.00 5/14/2020
2020 4 42,500.00 170,000.00

47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020
5/14/2020
48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020
2020 4 15,000.00 47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020

60,000.00 5/14/2020

25,000.00 5/14/2020

80,000.00 5/14/2020
2020 6 60,000.00 360,000.00

5/14/2020

87,000.00 5/14/2020
782,000.00
Ende, 30 Juni 2020

Nurjanah
Nip. 19870425 201101 2 013
Bukti Penerimaan
Ket.
B.A. Penerimaan
Tanggal
15 16
5/14/2020
5/14/2020
5/14/2020
5/14/2020
5/14/2020
5/14/2020
5/14/2020
5/14/2020
engurus Barang Pembantu
p. 19870425 201101 2 013

PUSKESMAS KOTARATU
No. Tanggal Nomor Urut Nama Barang Banyaknya Harga Satuan Jumlah Harga
Pengeluaran
1 2 3 4 5 6 7
- -
1 5/14/2020 1 Catridge Hitam 1 300,000.00 300,000.00
5/14/2020 Map Teka 3 20,000.00 60,000.00
1 5/14/2020 1 Tissue 2 42,500.00 85,000.00

1
1
5/14/2020 Sos Refil 1 15,000.00 15,000.00
1
1
1
5/14/2020 Sunligth 1 12,500.00 12,500.00
1
5/14/2020 Bayclin 2 20,000.00 40,000.00
1
1
5/14/2020 Sos Pump 1 60,000.00 60,000.00
1
3
1
5/14/2020 Stella Zak 1 14,500.00 14,500.00
1
1
1
1
1
1
Mengetahui;

Nip. 19650904 200003 2 003
ARANG
ATU
2020
Surat Penyerahan
Untuk Ket.
Nomor Tanggal
8 9 10 11
0
Bendahara BOK
59/01.AST/SP/PKM.KR/V/20205/16/2020
Bendahara BOK
59/01.AST/SP/PKM.KR/V/20205/16/2020
IGD 50/01.AST/SP/PKM.KR/V/20205/15/2020
Tata Usaha49/01.AST/SP/PKM.KR/V/20205/15/2020
Laboratorium51/01.AST/SP/PKM.KR/V/20205/15/2020
Ruanagan KIA54/01.AST/SP/PKM.KR/V/20205/16/2020
IGD 50/01.AST/SP/PKM.KR/V/20205/15/2020
IGD 50/01.AST/SP/PKM.KR/V/20205/15/2020
IGD 50/01.AST/SP/PKM.KR/V/20205/15/2020
Ruangan KIA 54/01.AST/SP/PKM.KR/V/20205/16/2020
IGD 50/01.AST/SP/PKM.KR/V/20205/15/2020
Ruangan KIA 54/01.AST/SP/PKM.KR/V/20205/16/2020
IGD 50/01.AST/SP/PKM.KR/V/20205/15/2020
Poli Remaja53/01.AST/SP/PKM.KR/V/20205/16/2020
Poli Umum52/01.AST/SP/PKM.KR/V/20205/15/2020
MTBS 55/01.AST/SP/PKM.KR/V/20205/16/2020
MTBS 55/01.AST/SP/PKM.KR/V/20205/16/2020
Ende, 30 Juni 2020

Nurjanah
Nip. 19870425 201101 2 013
PENERIMAAN
No
Nama / Jenis
Tanggal Diterima Merk / Ukuran Tahun Pembuatan Jumlah Satuan
Barang
1 2 3 4 5 6
Mengetahui;

Nip. 19650904 200003 2 003
PUSKESMAS KOTARATU
Nota Pesanan/SPK Barita Acara Pemeriksaan Tanggal Jumlah Satuan /
Diserahkan Kepada
Nomor Tanggal Tanggal Nomor Dikeluarkan Barang
7 8 9 10 11 12 13
N I H I L
Ende, 30 Juni 2020

Nurjanah
Nip. 19870425 201101 2 013
PENGELUARAN
Ket. No
Surat Penyerahan
Nomor Tanggal
14 15 16 1
1
PUSKESMAS KOTARATU
PENERIMAAN
Nama / Jenis Nota Pesanan/SPK

Tanggal Diterima Merk / Ukuran Tahun Pembuatan Jumlah Satuan
Barang Nomor Tanggal
2 3 4 5 6 7 8
ALAT TULIS KANTOR
5/14/2020 Catridge Hitam Canon 2020 1 56/01.AST/NP/PKM.KR/V/20205/13/2020
5/14/2020 Map Teka Kingco 2020 3 56/01.AST/NP/PKM.KR/V/20205/13/2020
5/14/2020 Tissue Multi 2020 4 46/01.AST/NP/PKM.KR/V/20205/13/2020
5/14/2020 Sos Refil sos 2020 4 46/01.AST/NP/PKM.KR/V/20205/13/2020
5/14/2020 Sunligth Sunlight 2020 2 46/01.AST/NP/PKM.KR/V/20205/13/2020
5/14/2020 Bayclin Bayclin 2020 4 46/01.AST/NP/PKM.KR/V/20205/13/2020
5/14/2020 Sos Pump Sos 2020 6 46/01.AST/NP/PKM.KR/V/20205/13/2020
5/14/2020 Stella Zak Stella 2020 6 46/01.AST/NP/PKM.KR/V/20205/13/2020
Mengetahui;

Nip. 19650904 200003 2 003
PUSKESMAS KOTARATU
PENGELUARAN
Barita Acara Pemeriksaan Tanggal Jumlah Satuan / Surat Penyerahan
Diserahkan Kepada
Tanggal Nomor Dikeluarkan Barang Nomor Tanggal
9 10 11 12 13 14 15
5/14/2020
5/15/2020 Bendahara BOK 1 59/01.AST/SP/PKM.KR/V/20205/16/2020
5/14/2020
5/15/2020 Bendahara BOK 1 59/01.AST/SP/PKM.KR/V/20205/16/2020
5/14/2020
5/15/2020 IGD 2 50/01.AST/SP/PKM.KR/V/20205/15/2020
5/15/2020 Tata Usaha 1 49/01.AST/SP/PKM.KR/V/20205/15/2020
5/15/2020 Laboratorium 1 51/01.AST/SP/PKM.KR/V/20205/15/2020
5/14/2020
5/16/2020 Ruanagan KIA 1 54/01.AST/SP/PKM.KR/V/20205/16/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/20205/15/2020
5/14/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/20205/15/2020
5/14/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/20205/15/2020
5/16/2020 Ruangan KIA 1 54/01.AST/SP/PKM.KR/V/20205/16/2020
5/14/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/20205/15/2020
5/16/2020 Ruangan KIA 1 54/01.AST/SP/PKM.KR/V/20205/16/2020
5/14/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/20205/15/2020
5/16/2020 Poli Remaja 1 53/01.AST/SP/PKM.KR/V/20205/16/2020
5/15/2020 Poli Umum 1 52/01.AST/SP/PKM.KR/V/20205/15/2020
5/16/2020 MTBS 1 55/01.AST/SP/PKM.KR/V/20205/16/2020
5/16/2020 MTBS 1 55/01.AST/SP/PKM.KR/V/20205/16/2020
Ende, 30 Juni 2020

Nurjanah
Nip. 19870425 201101 2 013
Dokumen/Faktur
Ket. Penerimaan
No. Urut Terima Tgl Dari SPK/Perjanjian Nomor
16 1 2 3 4 5
Mengetahui;

Nip. 19650904 200003 2 003
LAPORAN SEMESTER TENTANG PENERIMAAN DAN PENGELUA
PUSKESMAS KOTARATU
Penerimaan
Dokumen/Faktur Buku Penerimaan B.A. / Srt
Banyaknya Nama Barang Harga Satuan Jumlah Harga Penerimaan
Tgl
Nomor Tanggal
6 7 8 9 10 11 12
NIHIL
Kepala Puskesmas Kotaratu

p. 19650904 200003 2 003
ENTANG PENERIMAAN DAN PENGELUARAN BARANG INVENTARIS
PUSKESMAS KOTARATU
Pengeluaran
Surat Bon
Ket No. Urut Pengeluaran Tgl. Untuk Banyaknya
Nomor Tanggal
13 14 15 16 17 18 19
NIHIL
Pengurus Barang Pem
Nip. 19870425 201101

Pengeluaran
Tanggal
Nama Barang Harga Satuan Jumlah Harga Penyerahan Ket
20 21 22 23 24
Ende, 30 Juni 2020

Nurjanah
Nip. 19870425 201101 2 013
Pen
Dokumen/Faktur Dasar Penerimaan
No. Urut Terima Tgl Dari
Nomor Tgl Jenis Surat
1 2 3 4 5 6

56/01.AST/NP/PKM.KR/V/20205/13/2020 58/01/AST/BAP/BAST-ATK/PK

46/01.AST/NP/PKM.KR/V/20205/13/2020 48/01/AST/BAP/BAST-BHP/PK





Mengetahui;

Nip. 19650904 200003 2 003
PUSKESMAS KOTARATU
Penerimaan
Dasar Penerimaan Buku Penerimaan B.A. / Srt
Banyaknya Nama Barang Harga Satuan Jumlah Harga Penerimaan
Nomor
Nomor Tanggal
7 8 9 10 11 12 13
ALAT TULIS KANTOR
1 Catridge Hitam 300,000.00 300,000.00
5/14/2020
3 Map Teka 20,000.00 58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020
60,000.00 5/14/2020
4 Tissue 42,500.00 170,000.00
5/14/2020
4 Sos Refil 15,000.00 48/01/AST/BAP/BAST-ATK/PKM.KR/V/2020
60,000.00 5/14/2020
2 Sunligth 12,500.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020
25,000.00 5/14/2020
4 Bayclin 20,000.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020
80,000.00 5/14/2020
6 Sos Pump 60,000.00 360,000.00
5/14/2020
6 Stella Zak 14,500.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020
87,000.00 5/14/2020
AS KOTARATU
II TAHUN 2020
Pengeluaran
Surat Bon
Ket No. Urut Pengeluaran Tgl. Untuk Banyaknya
Nomor Tanggal
14 15 16 17 18 19 20
1 5/16/2020 Bendahara BOK 1

0 5/16/2020 Bendahara BOK 3
1 5/15/2020 IGD 2
Tata Usaha 1
Laboratorium 1
0 5/15/2020 Tata Usaha 1
Ruanagan KIA
IGD
Laboratorium
0 5/15/2020 Laboratorium 1
IGD
IGD
Ruangan KIA
IGD
Tata Usaha
Ruangan KIA
IGD
Poli Remaja
Poli Umum
Tata Usaha
MTBS
MTBS
Pengeluaran
Tanggal
Nama Barang Harga Satuan Jumlah Harga Penyerahan Ket
21 22 23 24 25
- -
Catridge Hitam 300,000.00 300,000.00 5/16/2020
Map Teka 20,000.00 60,000.00 5/16/2020
Tissue 42,500.00 85,000.00 5/15/2020

5/15/2020
5/15/2020
Sos Refil 15,000.00 15,000.00 5/15/2020
5/16/2020
5/15/2020
5/15/2020
Sunligth 12,500.00 12,500.00 5/15/2020
5/15/2020
Bayclin 20,000.00 40,000.00 5/15/2020
5/15/2020
5/16/2020
Sos Pump 60,000.00 60,000.00 5/15/2020
5/15/2020
5/15/2020
5/16/2020
Stella Zak 14,500.00 14,500.00 5/15/2020
5/15/2020
5/16/2020
5/15/2020
5/15/2020
5/16/2020
5/16/2020
Ende, 30 Juni 2020

Nurjanah
Nip. 19870425 201101 2 013
PUSKESMAS KOTARATU
SKPD : Puskesmas Kotaratu


Asal/Cara Tahun
Chasis/Mesin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
N I H I L
Mengetahui : Ende, 30 Juni 2020

NIP. 19650904 200003 2 003 NIP. 19870425 201101 2 013
PUSKESMAS KOTARATU
SKPD Puskesmas Kotaratu

Kabupaten Ende
Provinsi Nusa Tenggara Timur
SO AWAL Bulan MUTASI BULAN JANUARI S/D MARET 2020 SALDO AKHIR BULAN MARET 2020
NO NAMA BARANG Januari 2020 Harga Beli Terakhir Keterangan
(Unit/bh/set) Tambah (unit/bh/set) Digunakan (unit/bh/set) unit/bh/set Jumlah
(Rp)
1 2 3 4 5 6=(3+4)-5 7 8=6x7 9
1 ALAT TULIS KANTOR
Catridge Hitam 1 Buah 1 Buah 0 Buah 300,000.00 0

Map Teka 3 Buah 3 Buah 0 Buah 20,000.00 0

Sos Refil 0 4 Buah 4 Buah 0 Buah 15,000 0
Sunligth 0 2 Botol 2 Botol 0 Botol 15,000 0
Sos Pump Besar 0 6 Botol 6 Botol 0 Botol 60,000 0
Stella Zak 0 6 Buah 6 Buah 0 Buah 14,500 0
JUMLAH

NIP. 19650904 200003 2 003 NIP. 19870425 201101 2 013
Catatan :

PUSKESMAS KOTARATU

Per 30 Juni 2020
Pada hari ini Selasa tanggal Tiga Puluh bulan Juni tahun Dua Ribu Dua Puluh, kami yang bertanda tangan di bawah ini :
1. Nama : dr. Fatimah Arubusman

Jabatan : Kuasa Pengguuna Anggaran
NIP : 19650904 200003 2 003
2. Nama : Nurjanah
Jabatan : Pengurus Barang Pembantu
NIP : 19870425 201101 2 013
Menyatakan bahwa telah melakukan Stock Opname barang persediaan per tanggal 30 Juni 2020 dengan hasil sebagai berikut :

1 2 3 4 5
1 Alat Tulis Kantor
N I H I
2 Alat Kebersihan
N I H I
Jumlah
Mengetahui :

NIP. 19650904 200003 2 003
TEN ENDE
ARATU
No.02
OPNAME) PERSEDIAAN
0
ni :
ai berikut :
KONDISI
B RR RB
6 7 8 9 10
I H I L
I H I L
Ende, 30 Juni 2020
Nurjanah
NIP. 19870425 201101 2 013
DINAS KESEHATAN
KABUPATEN ENDE

PUSKESMAS KOTARATU
PER 30 JUNI 2020
Pada hari ini Selasa Tanggal Tiga Puluh Bulan Juni Tahun Dua Ribu Dua Puluh, bertempat di Aset Dinas Kesehatan Kabupaten
Ende, kami yang bertanda tangan dibawah ini :
1. Nama : Nurjanah
NIP : 19870425 201101 2 013
1. Nama : V.E.Sisilia Mbulu, S.Sos

NIP : 19750708 199903 2 002
No. Kategori 2
Januari 2020
1 2 3 4 5 6=3+4-5
A. ASET LANCAR
1. Persediaan
Alat Tulis Kantor 360,000.00 360,000.00 -
Peralatan Kebersihan dan Bahan Pembersih - 782,000.00 782,000.00 -
Ende , 30 Juni 2020
Mengetahui :

19650904 200003 2 003
PUSKESMAS KOTARATU
Nota Pesanan / SPK Tahun

Tanggal Merk/ Harga
No Penerimaan Dari Nama Barang Pembuatan/ Banyaknya Jumlah Harga
Ukuran Satuan
Nomor Tanggal Perolehan
1 2 3 4 5 6 7 8 9 10 11
ALAT TULIS KANTOR
1 3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 HVS F4 70 gram Sidu 2020 8 55,000.00 440,000.00
-
-
30/032020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 HVS A4 70 gram Sidu 2020 5 52,000.00 260,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Catridger Hitam Canon 2020 1 250,000.00 250,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Catridger Warna Canon 2020 1 300,000.00 300,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Map Teka Batik Kingco 2020 15 20,000.00 300,000.00
-
-
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Map Snallhecter Kertas Kiky 2020 900 1,500.00 1,350,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Box File kiky 2020 16 17,500.00 280,000.00
-
-
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Buku Folio 100 Lembar Mirage 2020 15 17,500.00 262,500.00
-
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Buku Folio 200 Lembar 2020 3 27,500.00 82,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Buku Tulis Panpo 2020 58 6,000.00 348,000.00
-
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Spidol Permanent Snowman 2020 36 8,500.00 306,000.00
-
-
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Gunting Scissors 2020 2 15,000.00 30,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Pelubang Kertas ZRM 2020 1 40,000.00 40,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Kertas Bufalo Sidu 2020 1 35,000.00 35,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Hecter Kangaro 2020 2 15,000.00 30,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Isi Hecter Great Wall 2020 3 4,000.00 12,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Balpoint Hitam Snowman 2020 20 2,500.00 50,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Mistar Besi Panjang Veota 2020 4 12,500.00 50,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Mistar Besi Pendek Veota 2020 2 7,500.00 15,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Map File 60 Sheat Fprden One 2020 1 25,000.00 25,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Tinta Print Canon 2020 3 60,000.00 180,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Lem Cair Gluvinal 2020 1 8,000.00 8,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Tipe Ex Kenko 2020 6 7,500.00 45,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Spidol Hitam Kecil Snowman 2020 20 2,500.00 50,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Map Snallhecter Plastik 2020 12 5,000.00 60,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Stabilo Faber Castell 2020 3 7,500.00 22,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Flakban Bening Sanko 2020 1 15,000.00 15,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Bantal Stempel Joyko 2020 2 10,000.00 20,000.00
-
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Tinta Stempel Biru Pyramid 2020 1 10,000.00 10,000.00
1 5/14/2020 CV.Maranatha Permai 56/01.AST/NP/PKM.KR/V/2020 5/13/2020 Catridge Hitam Canon 2020 1 300,000.00 300,000.00
5/14/2020 CV.Maranatha Permai 56/01.AST/NP/PKM.KR/V/2020 5/13/2020 Map Teka Kingco 2020 3 20,000.00 60,000.00
1 3/30/2020 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 Tissue Multi 2020 4 42,500.00 170,000.00
3/30/2020 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 Sos Pump Sos 2020 1 17,500.00 17,500.00
3/30/2020 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 Sunlight Sungl 2020 2 15,000.00 30,000.00
3/30/2020 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 Bayclin Bayclin 2020 14 17,500.00 245,000.00
1 5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Tissue Multi 2020 4 42,500.00 170,000.00
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Sos Refil Sos 2020 4 15,000.00 60,000.00
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Sunligth Sunlight 2020 2 12,500.00 25,000.00
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Bayclin Bayclin 2020 4 20,000.00 80,000.00
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Sos Pump Bayclin 2020 6 60,000.00 360,000.00
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Stella Zak Stella 2020 6 14,500.00 87,000.00
Mengetahui :

NIP. 19650904 200003 2 003
AN BARANG
OTARATU
/d Juni 2020

Ket. No.
12 13 14 15 16 1
02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/30/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 1





57/01.AST/BAP/BRGJS-ATK/PKM.KR/V/2020 5/14/2020 58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 5/14/2020 39

57/01.AST/BAP/BRGJS-ATK/PKM.KR/V/2020 5/14/2020 58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 5/14/2020 40
09/01.AST/BAP/BRGJS-BHP/PKM.KR/III/2020 3/30/2020 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 30
47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/14/2020 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020 5/14/2020 34
47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/14/2020 48/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 5/14/2020 35
Ende, 30 Junit 2020
Nurjanah
NIP. 19870425 201101 2 013
PUSKESMAS KOTARATU
Surat Penyerahan
Tanggal
Nomor Urut Nama Barang Banyaknya Harga Satuan Jumlah Harga Untuk
Pengeluaran
Nomor Tanggal
2 3 4 5 6 7 8 9 10

3/31/2020 0 Sos Pump 1 17,500.00 17,500.00 IGD 11/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 0 Sunlight 2 15,000.00 30,000.00 IGD 11/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 0 Bayclin 2 17,500.00 35,000.00 IGD 11/01.AST/SP/PKM.KR/III/2020 3/31/2020
5/14/2020 1 Tissue 2 42,500.00 85,000.00 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020

5/14/2020 35 Sos Refil 1 15,000.00 15,000.00 Tata Usaha 49/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/14/2020 36 Sunligth 1 12,500.00 12,500.00 Laboratorium 51/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/14/2020 37 Bayclin 2 20,000.00 40,000.00 Laboratorium 51/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/14/2020 38 Sos Pump 1 60,000.00 60,000.00 Laboratorium 51/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/14/2020 39 Stella Zak 1 14,500.00 14,500.00 Laboratorium 51/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 Poli Umum 52/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 MTBS 55/01.AST/SP/PKM.KR/V/2020 5/16/2020
1 MTBS 55/01.AST/SP/PKM.KR/V/2020 5/16/2020
Mengetahui : Ende, 30 Junit 2020

NIP. 19650904 200003 2 003 NIP. 19870425 201101 2 013
BU
P
Per
PENERIMAAN
Ket. No Tahun
Jumlah
Tanggal Diterima Nama / Jenis Barang Merk / Ukuran Pembuata
Satuan
n
11 1 2 3 4 5 6
Mengetahui :

NIP. 19650904 200003 2 003
Ende, 30 Junit 2020
Nurjanah
NIP. 19870425 201101 2 013
PUSKESMAS KOTARATU
Tanggal Jumlah Ket.
Nota Pesanan/SPK Barita Acara Pemeriksaan Diserahka Surat Penyerahan
Dikeluark Satuan /
Nomor Tanggal Tanggal Nomor n Kepada Nomor Tanggal
an Barang
7 8 9 10 11 12 13 14 15 16
N I H I L
Ende, 30 Juni 2020
Nurjanah
NIP. 19870425 201101 2 013
PUSKESMAS KOTARATU
PENERIMAAN
No Tahun
Nama / Jenis Barang Pembuata
Diterima Ukuran Satuan Nomor Tanggal Tanggal
n
1 2 3 4 5 6 7 8 9
ALAT TULIS KANTOR
1 3/30/2020 HVS F4 70 gram Sidu 2020 8 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
30/032020 HVS A4 70 gram Sidu 2020 5 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Catridger Hitam Canon 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020

3/30/2020 Catridger Warna Canon 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Map Teka Batik Kingco 2020 15 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Map Snallhecter Kertas Kiky 2020 900 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Box File Kiky 2020 16 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Buku Folio 100 Lembar 2020 15 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Buku Folio 200 Lembar 2020 3 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020

3/30/2020 Buku Tulis Panpo 2020 58 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Spidol Permanent Snowman 2020 36 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Gunting Scissors 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Pelubang Kertas ZRM 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020

3/30/2020 Kertas Bufalo Sidu 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Hecter 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Isi Hecter 2020 3 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Balpoint Hitam Snowman 2020 20 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Mistar Besi Panjang Veota 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020

2
3/30/2020 Mistar Besi Pendek Veota 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Map File 60 Sheat Folder One 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Tinta Print Canon 2020 3 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Lem Cair Gluvinal 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Tipe Ex Kenko 2020 4 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Spidol Hitam Kecil Snowman 2020 20 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Map Snallhecter Plastik Businell File 2020 12 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Stabilo Fiber Faster 2020 3 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Flakban Bening Sanko 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Bantal Stempel Joyko 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Tinta Stempel Biru Pyramid 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
1 5/14/2020 Catridge Hitam Canon 2020 1 56/01.AST/NP/PKM.KR/V/2020 5/13/2020 5/14/2020

5/14/2020 Map Teka Kingco 2020 3 56/01.AST/NP/PKM.KR/V/2020 5/13/2020 5/14/2020
1 3/30/2020 Tissue Multi 2020 4 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Sos Pump sos 2020 1 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Sunlight Sunlight 2020 2 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
3/30/2020 Bayclin Bayclin 2020 14 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 3/30/2020
1 5/14/2020 Tissue Multi 2020 4 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 5/14/2020
5/14/2020 Sos Refil sos 2020 4 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 5/14/2020
5/14/2020 Sunligth Sunlight 2020 2 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 5/14/2020
5/14/2020 Bayclin Bayclin 2020 4 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 5/14/2020
5/14/2020 Sos Pump Bayclin 2020 6 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 5/14/2020
5/14/2020 Stella Zak Stella 2020 6 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 5/14/2020
Mengetahui :

NIP. 19650904 200003 2 003
PUSKESMAS KOTARATU
PENGELUARAN
Jumlah Ket. Terima
Diserahkan Kepada Satuan / Tgl
Nomor Dikeluarkan Nomor Tanggal
Barang
10 11 12 13 14 15 16 1 2
02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Borokanda 2 04/01.AST/SP/PKM.KR/III/2020 3/31/2020

02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Roworena 1 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Watusipi 2 07/01.AST/SP/PKM.KR/III.2020 3/31/2020
02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Watusipi 1 07/01.AST/SP/PKM.KR/III/2020 3/31/2020
02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Poskesdes Gheogoma 1 06/01.AST/SP/PKM.KR/III/2020 3/31/2020
57/01.AST/BAP/BRGJS-ATK/PKM.KR/V/2020 5/15/2020 Bendahara BOK 1 59/01.AST/SP/PKM.KR/V/2020 5/16/2020

57/01.AST/BAP/BRGJS-ATK/PKM.KR/V/2020 5/15/2020 Bendahara BOK 1 59/01.AST/SP/PKM.KR/V/2020 5/16/2020
09/01.AST/BAP/BRGJS-BHP/PKM.KR/III/2020 3/31/2020 IGD 4 11/01.AST/SP/PKM.KR/III/2020 3/31/2020
47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/15/2020 IGD 2 50/01.AST/SP/PKM.KR/V/2020 5/15/2020

47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/15/2020 Tata Usaha 1 49/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/15/2020 Laboratorium 1 51/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/15/2020 Poli Umum 1 52/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/16/2020 MTBS 1 55/01.AST/SP/PKM.KR/V/2020 5/16/2020
5/16/2020 MTBS 1 55/01.AST/SP/PKM.KR/V/2020 5/16/2020
Ende, 30 Junit 2020
Nurjanah
NIP. 19870425 201101 2 013
PUSKESMAS KOTARATU
Penerimaan
Banyakny Harga Jumlah B.A. / Srt Pengeluar
Nomor Tgl a Satuan Harga Penerimaan an Tgl. Nomor Tanggal
n Nomor Tanggal
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N I H I L
Mengetahui :

NIP. 19650904 200003 2 003
Mengetahui :

NIP. 19650904 200003 2 003
TARIS
Pengeluaran
Tanggal Dokumen/Faktur Dasar Pen
Banyakny Nama Harga Jumlah
a Barang Satuan Harga Nomor Tgl Jenis Surat
an
19 20 21 22 23 24 1 2 3 4 5 6
1 3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 BAST
30/032020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020


Ende, 30 Junit 2020 3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

Pengurus Barang Pembantu 3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

Nurjanah
NIP. 19870425 201101 2 013 3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/28/2020
3/30/2020 3/28/2020
3/30/2020 3/28/2020
1 5/14/2020 CV.Maranatha Permai 56/01.AST/NP/PKM.KR/V/2020 5/13/2020

5/14/2020 CV.Maranatha Permai 56/01.AST/NP/PKM.KR/V/2020 5/13/2020
1 3/30/2020 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 3/28/2020
1 5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020
Ende, 30 Junit 2020 Mengetahui :
Pengurus Barang Pembantu Plt. Kepala Puskesmas Kotaratu
Nurjanah dr. Fatimah Arubusman

NIP. 19870425 201101 2 013 NIP. 19650904 200003 2 003
PUSKESMAS KOTARATU
Penerimaan
Dasar Penerimaan
Banyakny Buku Penerimaan B.A. / Srt Penerimaan
Nama Barang Harga Satuan Jumlah Harga Ket
Nomor a
Nomor Tanggal
7 8 9 10 11 12 13 14
ALAT TULIS KANTOR
03/01.AST/BAP/BAST-ATK/PKM.KR/III/2020 8 HVS F4 70 gram 55,000.00 440,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
3/30/2020
3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 5 HVS A4 70 gram 52,000.00 260,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Catridger Hitam 250,000.00 250,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Catridger Warna 300,000.00 300,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 15 Map Teka Batik 20,000.00 300,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
3/30/2020
3/30/2020
3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 900 Map Snallhecter Kertas 1,500.00 1,350,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 16 Box File 17,500.00 280,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
3/30/2020
3/30/2020
3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 15 Buku Folio 100 Lembar 17,500.00 262,500.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
3/30/2020
3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3 Buku Folio 200 Lembar 27,500.00 82,500.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 58 Buku Tulis 6,000.00 348,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
3/30/2020
3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 36 Spidol Permanent 8,500.00 306,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
3/30/2020
3/30/2020
3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 2 Gunting 15,000.00 30,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Pelubang Kertas 40,000.00 40,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Kertas Bufalo 35,000.00 35,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 2 Hecter 15,000.00 30,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3 Isi Hecter 4,000.00 12,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 20 Balpoint Hitam 2,500.00 50,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 4 Mistar Besi Panjang 12,500.00 50,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 2 Mistar Besi Pendek 7,500.00 15,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Map File 60 sheat 25,000.00 25,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3 Tinta Print 60,000.00 180,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Lem Cair 8,000.00 8,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 6 Tipe Ex 7,500.00 45,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 20 Spidol Hitam Kecil 2,500.00 50,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 12 Map Snallhecter Plastik 5,000.00 60,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3 Stabilo 7,500.00 22,500.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Flakban Bening 15,000.00 15,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 2 Bantal Stempel 10,000.00 20,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Tinta Stempel 10,000.00 10,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 1 Catridge Hitam 300,000.00 300,000.00 58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 5/14/2020

58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 3 Map Teka 20,000.00 60,000.00 58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 5/14/2020
10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 4 Tissue 42,500.00 170,000.00 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 1 Sos Pump 17,500.00 17,500.00 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 2 Sunlight 15,000.00 30,000.00 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 14 Bayclin 17,500.00 245,000.00 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020
48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020 4 Tissue 42,500.00 170,000.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020 5/14/2020
48/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 4 Sos Refil 15,000.00 60,000.00 48/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 5/14/2020
48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020 2 Sunligth 12,500.00 25,000.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020 5/14/2020
48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020 4 Bayclin 20,000.00 80,000.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020 5/14/2020
48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020 6 Sos Pump 60,000.00 360,000.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020 5/14/2020
48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020 6 Stella Zak 14,500.00 87,000.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020 5/14/2020

NG PAKAI HABIS
Pengeluaran
Surat Bon
Pengeluaran Banyakny Tanggal
No. Urut Untuk Nama Barang Harga Satuan Jumlah Harga
Tgl. Nomor Tanggal a Penyerahan
15 16 17 18 19 20 21 22 23 24
- -
1 3/31/2020 Poskesdes Borokanda 2 HVS F4 70 gram 55,000.00 110,000.00 3/31/2020
3/31/2020 Pustu Roworena 2 HVS F4 70 gram 55,000.00 110,000.00 3/31/2020
3/31/2020 PoskesdesGheogoma 4 HVS F4 70 gram 55,000.00 220,000.00 3/31/2020
0 3/31/2020 Poskesdes Borokanda 2 HVS A4 70 gram 52,000.00 104,000.00 3/31/2020
3/31/2020 Pustu Watusipi 3 HVS A4 70 gram 52,000.00 156,000.00 3/31/2020
0 3/31/2020 Pustu Roworena 1 Catridger Hitam 250,000.00 250,000.00 3/31/2020
0 3/31/2020 Pustu Roworena 1 Catridger Warna 300,000.00 300,000.00 3/31/2020
0 3/31/2020 Poskesdes Borokanda 3 Map Teka Batik 20,000.00 60,000.00 3/31/2020
3/31/2020 Pustu Roworena 3 Map Teka Batik 20,000.00 60,000.00 3/31/2020
3/31/2020 PoskesdesGheogoma 4 Map Teka Batik 20,000.00 80,000.00 3/31/2020
3/31/2020 Pustu Watusipi 5 Map Teka Batik 20,000.00 100,000.00 3/31/2020
0 3/31/2020 Poskesdes Borokanda 500 Map Snallhecter Kertas 1,500.00 750,000.00 3/31/2020
3/31/2020 Pustu Watusipi 400 Map Snallhecter Kertas 1,500.00 600,000.00 3/31/2020
0 3/31/2020 Poskesdes Borokanda 3 Box File 17,500.00 52,500.00 3/31/2020
3/31/2020 Pustu Roworena 4 Box File 17,500.00 70,000.00 3/31/2020
3/31/2020 PoskesdesGheogoma 6 Box File 17,500.00 105,000.00 3/31/2020
3/31/2020 Pustu Watusipi 3 Box File 17,500.00 52,500.00 3/31/2020
0 3/31/2020 Poskesdes Borokanda 3 Buku Folio 100 Lembar 17,500.00 52,500.00 3/31/2020
3/31/2020 PoskesdesGheogoma 10 Buku Folio 100 Lembar 17,500.00 175,000.00 3/31/2020
3/31/2020 Pustu Watusipi 2 Buku Folio 100 Lembar 17,500.00 35,000.00 3/31/2020
0 3/31/2020 Poskesdes Borokanda 3 Buku Folio 200 Lembar 27,500.00 82,500.00 3/31/2020
0 3/31/2020 Poskesdes Borokanda 24 Buku Tulis 6,000.00 144,000.00 3/31/2020
3/31/2020 PoskesdesGheogoma 24 Buku Tulis 6,000.00 144,000.00 3/31/2020
3/31/2020 Pustu Watusipi 10 Buku Tulis 6,000.00 60,000.00 3/31/2020
11 3/31/2020 Poskesdes Borokanda 10 Spidol Permanent 8,500.00 85,000.00 3/31/2020
3/31/2020 Pustu Roworena 10 Spidol Permanent 8,500.00 85,000.00 3/31/2020
3/31/2020 PoskesdesGheogoma 10 Spidol Permanent 8,500.00 85,000.00 3/31/2020
3/31/2020 Pustu Watusipi 6 Spidol Permanent 8,500.00 51,000.00 3/31/2020
0 3/31/2020 Poskesdes Borokanda 1 Gunting 15,000.00 15,000.00 3/31/2020
3/31/2020 Pustu Watusipi 1 Gunting 15,000.00 15,000.00 3/31/2020
0 3/31/2020 Poskesdes Borokanda 1 Pelubang Kertas 40,000.00 40,000.00 3/31/2020
0 3/31/2020 Pustu Roworena 1 Kertas Bufalo 35,000.00 35,000.00 3/31/2020
0 3/31/2020 Pustu Roworena 1 Hecter 15,000.00 15,000.00 3/31/2020
3/31/2020 Pustu Watusipi 1 Hecter 15,000.00 15,000.00 3/31/2020
0 3/31/2020 Pustu Roworena 2 Isi Hecter 4,000.00 8,000.00 3/31/2020
3/31/2020 Pustu Watusipi 1 Isi Hecter 4,000.00 4,000.00 3/31/2020
0 3/31/2020 Pustu Roworena 10 Balpoint Hitam 2,500.00 25,000.00 3/31/2020
3/31/2020 Poskesdes Gheogoma 10 Balpoint Hitam 2,500.00 25,000.00 3/31/2020
0 3/31/2020 Pustu Roworena 2 Mistar Besi Panjang 12,500.00 25,000.00 3/31/2020
3/31/2020 Poskesdes Gheogoma 2 Mistar Besi Panjang 12,500.00 25,000.00 3/31/2020
0 3/31/2020 Pustu Watusipi 2 Mistar Besi Pendek 7,500.00 15,000.00 3/31/2020
0 3/31/2020 Pustu Watusipi 1 Map File 60 Sheat 25,000.00 25,000.00 3/31/2020
0 3/31/2020 Pustu Roworena 3 Tinta Print 60,000.00 180,000.00 3/31/2020
0 3/31/2020 Poskesdes Gheogoma 1 Lem Cair 8,000.00 8,000.00 3/31/2020
0 3/31/2020 Pustu Watusipi 4 Tipe Ex 7,500.00 30,000.00 3/31/2020
3/31/2020 Poskesdes Gheogoma 2 Tipe Ex 7,500.00 15,000.00 3/31/2020
0 3/31/2020 Pustu Watusipi 20 Spidol Hitam Kecil 2,500.00 50,000.00 3/31/2020
0 3/31/2020 Poskesdes Gheogoma 12 Map Snallhecter Plastik 5,000.00 60,000.00 3/31/2020
0 3/31/2020 Poskesdes Gheogoma 3 Stabilo 7,500.00 22,500.00 3/31/2020
0 3/31/2020 Poskesdes Gheogoma 1 Flakban Bening 15,000.00 15,000.00 3/31/2020
0 3/31/2020 Pustu Watusipi 1 Bantal Stempel 10,000.00 10,000.00 3/31/2020
3/31/2020 Pustu Roworena 1 Bantal Stempel 10,000.00 10,000.00 3/31/2020
0 3/31/2020 Pustu Roworena 1 Tinta Stempel 10,000.00 10,000.00 3/31/2020
1 5/16/2020 Bendahara BOK 1 Catridge Hitam 300,000.00 300,000.00 5/16/2020

0 5/16/2020 Bendahara BOK 3 Map Teka 20,000.00 60,000.00 5/16/2020
1 3/31/2020 IGD 4 Tissue 42,500.00 170,000.00 3/31/2020
0 3/31/2020 IGD 1 Sos Pump 17,500.00 17,500.00 3/31/2020
0 3/31/2020 IGD 2 Sunlight 15,000.00 30,000.00 3/31/2020
0 3/31/2020 IGD 2 Bayclin 17,500.00 35,000.00 3/31/2020
1 5/15/2020 IGD 2 Tissue 42,500.00 85,000.00 5/15/2020

0 5/15/2020 Tata Usaha 1 Sos Refil 15,000.00 15,000.00 5/15/2020
IGD 5/15/2020
0 5/15/2020 Laboratorium 1 Sunligth 12,500.00 12,500.00 5/15/2020
IGD 5/15/2020
0 5/15/2020 Laboratorium 2 Bayclin 20,000.00 40,000.00 5/15/2020
IGD 5/15/2020
0 5/15/2020 Laboratorium 1 Sos Pump 60,000.00 60,000.00 5/15/2020
IGD 5/15/2020
0 5/15/2020 Laboratorium 1 Stella Zak 14,500.00 14,500.00 5/15/2020
IGD 5/15/2020
Poli Umum 5/15/2020
MTBS 5/16/2020
MTBS 5/16/2020
Ende, 30 Juni 2020
Nurjanah
NIP. 19870425 201101 2 013
Pengeluaran
Ket
25
PUSKESMAS KOTARATU
SKPD : Puskesmas Kotaratu


Asal/Cara Tahun
Chasis/Mesin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
N I H I L

NIP. 19650904 200003 2 003 NIP. 19870425 201101 2 013
PUSKESMAS KOTARATU

Kabupaten Ende
MUTASI BULAN JANUARI S/D MARET 2020 SALDO AKHIR BULAN MARET 2020
NO NAMA BARANG Harga Beli Terakhir Keterangan
2020 (Unit/bh/set) Tambah (unit/bh/set) Digunakan (unit/bh/set) unit/bh/set Jumlah
(Rp)
1 2 3 4 5 6=(3+4)-5 7 8=6x7 9
1 ALAT TULIS KANTOR
Catridger Hitam 0 2 Buah 2 Buah 0 Buah 300,000 0
Catridger Warna 0 1 Buah 1 Buah 0 Buah 300,000 0
Map Teka Batik 0 18 Buah 18 Buah 0 Buah 20,000 0
Gunting 0 2 Buah 2 Buah 0 Buah 15,000 0
Kertas Bufalo 0 1 Buah 1 Buah 0 Buah 35,000 0
Isi Hecter 0 3 Buah 3 Buah 0 Buah 4,000 0
Mistar Besi Panjang 0 4 Buah 4 Buah 0 Buah 12,500 0
Map File 60 Sheat 0 1 Buah 1 Buah 0 Buah 25,000 0
Tinta Print 0 3 Buah 3 Buah 0 Buah 60,000 0
Lem Cair 0 1 Botol 1 Botol 0 Botol 8,000 0
Tipe Ex 0 6 Buah 6 Buah 0 Buah 7,500 0
Spidol Hitam Kecil 0 20 Buah 20 Buah 0 Buah 2,500 0
Flakban Bening 0 1 Buah 1 Buah 0 Buah 15,000 0
Sunlight 0 2 Botol 2 Botol 0 Botol 15,000 0
Sos Refil 0 4 Buah 4 Buah 0 Buah 15,000 0
Sunligth 0 2 Botol 2 Botol 0 Botol 12,500 0
Bayclin 0 4 Buah 4 Buah 0 Buah 20,000 0
Sos Pump 0 6 Botol 6 Botol 0 Botol 60,000 0
JUMLAH

NIP. 19650904 200003 2 003 NIP. 19870425 201101 2 013
Catatan :
PUSKESMAS KOTARATU

Per 30 Juni 2020

Jabatan : Kuasa Pengguna Anggaran
NIP : 19650904 200003 2 003
2. Nama : Nurjanah
NIP : 19870425 201101 2 013

1 2 3 4 5
1 Alat Tulis Kantor
N IH I L
*
2 Alat Kebersihan
N I H I L
Jumlah
Mengetahui :

NIP. 19650904 200003 2 003
N ENDE
RATU
o.02
PNAME) PERSEDIAAN
rikut :
KONDISI
B RR RB
6 7 8 9 10
I L
I L
Ende, 30 Juni 2020
Nurjanah
NIP. 19870425 201101 2 013
DINAS KESEHATAN
KABUPATEN ENDE

PUSKESMAS KOTARATU
PER 30 JUNI 2020
Pada hari ini Selasa Tanggal Tiga Puluh Bulan Juni Tahun Dua Ribu Dua Puluh, bertempat di Aset Keuangan Dinas Kesehatan
Kabupaten Ende, kami yang bertanda tangan dibawah ini :
1. Nama : Nurjanah
NIP : 19870425 201101 2 013
2 Nama : V.E.Sisilia Mbulu, S.Sos

NIP : 19750708 199903 2 002
No. Kategori 2
Januari 2020
1 2 3 4 5 6=3+4-5
A. ASET LANCAR
1. Persediaan
Peralatan Kebersihan dan Bahan Pembersih - 1,244,500.00 1,244,500.00 -
Ende , 30 Juni 2020
Mengetahui :

NIP. 19650904 200003 2 003
PUSKESMAS KOTARATU
Nota Pesanan / SPK

Tanggal Tahun
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10
ALAT TULIS KANTOR
Isi Hecter Great Wall 2020 1 40,000.00

HVS F4 70 gram Sidu 2020 20 55,000.00
HVS A4 70 gram Sidu 2020 15 50,000.00

Box File kiky 2020 15 17,500.00
Amplop Panjng Paperline 2020 3 20,000.00

Balpoint Snowman Snowman 2020 20 2,500.00
Bantal Stempel Joyko 2020 2 10,000.00
Spidol Permanent Snowman 2020 6 8,000.00
Tinta E-Print Hitam Canon 2020 6 60,000.00
Lem Cair Gluvinal 2020 4 8,000.00
Tinta Stempel Biru Pyramid 2020 2 20,000.00
Hecter Kangaro 2020 2 15,000.00

Flakban Hitam Besar Cloth 2020 2 17,500.00
Tipe Ex Kenko 2020 5 7,500.00
Tinta E-Print Merah Canon 2020 4 60,000.00
Tinta E-Print Kuning Canon 2020 4 60,000.00
Tinta E-Print Biru Canon 2020 4 60,000.00
Tinta Print EpsonHitam Epson 2020 4 105,000.00
Tinta Print Epson Merah Epson 2020 2 105,000.00
Tinta Print Epson Biru Epson 2020 2 105,000.00
Tinta Print Kuning Epson 2020 2 105,000.00
1 9/30/2020 CV.Maranatha Permai 161/01.AST/NP-ATK/PKM.KR/IX/2020 2909/2020 Lem Cair Gluvinal 2020 2 8,000.00
Tipe Ex Kenko 2020 1 7,500.00
Flakban Hitam Besar Cloth 2020 1 17,500.00
964,000.00
161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 So klin So klin 2020 10 17,500.00

161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Tissue Paseo Paseo 2020 12 19,000.00
161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Handshop 400 ml Sos 2020 17 22,500.00
161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Handsanitaizer Nuvo 2020 10 30,000.00
161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Pembersih Wc Vixal 2020 12 17,500.00

161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Sikat Wc Taiwan Star 2020 5 15,000.00
161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Sapu Lantai Nagata 2020 5 45,000.00
161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Serokan Lucky Star 2020 5 32,500.00
161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Tissue Multi 700 gram Multi 2020 12 37,500.00
161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Tissue Roll Nice 2020 12 4,500.00
161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Sunlight Sunlight 2020 10 15,000.00

ANG
U
020

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5,295,000
41,000
5,336,000
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4,122,000.00
PUSKESMAS KOTARATU
Surat Penyerahan
Tanggal
Pengeluaran
Nomor Tanggal
2 3 4 5 6 7 8 9 10 11
4 HVS A4 70 gram 3 50,000.00 150,000.00 Sikda 211/01.AST/SP.ATK/PKM.KR/IX/2020 9/30/2020
4,635,000.00
41,000.00
480,000.00
360,000.00
210,000.00
480,000.00
175,000.00
228,000.00
382,500.00
300,000.00
210,000.00
75,000.00
225,000.00
162,500.00
450,000.00
54,000.00
150,000.00
3,942,000.00
4,122,000.00
PUSKESMAS KOTARATU
No Tahun Tanggal
n an
1 2 3 4 5 6 7 8 9 10 11
PUSKESMAS KOTARATU
Barang n
12 13 14 15 16 1 2 3 4 5 6 7 8
ALAT TULIS KANTOR
9/25/2020 Isi Hecter 2020 1 0 9/23/2020

9/25/2020 HVS F4 70 gram Sidu 2020 20 0 9/23/2020
9/25/2020 HVS A4 70 gram Sidu 2020 15 0 9/23/2020

Box File Kiky 2020 15 0 9/23/2020
9/25/2020
9/25/2020 Balpoint Snowman Snowman 2020 20 0 9/23/2020
9/25/2020 Bantal Stempel Joyko 2020 2 0 9/23/2020
9/25/2020 Spidol Permanent Snowman 2020 6 0 9/23/2020
9/25/2020 Tinta E-Print Hitam Canon 2020 6 0 9/23/2020
9/25/2020 Lem Cair Gluvinal 2020 4 0 9/23/2020
9/25/2020 Tinta Stempel Biru Pyramid 2020 2 0 9/23/2020
9/25/2020 Hecter 2020 2 0 9/23/2020

9/25/2020 Flakban Hitam Besar Sanko 2020 2 0 9/23/2020
9/25/2020 Tipe Ex Kenko 2020 4 0 9/23/2020
9/25/2020 Tinta E-Print Merah Canon 2020 4 0 9/23/2020
9/25/2020 Tinta E-Print Kuning Canon 2020 4 0 9/23/2020
9/25/2020 Tinta E-Print Biru Canon 2020 4 0 9/23/2020
9/25/2020 Tinta Print EpsonHitam Epson 2020 4 0 9/23/2020
9/25/2020 Tinta Print Epson Merah Epson 2020 2 0 9/23/2020
9/25/2020 Tinta Print Epson Biru Epson 2020 2 0 9/23/2020
9/25/2020 Tinta Print Kuning Epson 2020 2 0 9/23/2020

9/30/2020 Tipe Ex Kenko 2020 1 0 2909/2020
9/30/2020 Flakban Hitam Besar Sanko 2020 1 0 2909/2020




PUSKESMAS KOTARATU
PENGELUARAN
Jumlah Ket.
Barang
9 10 11 12 13 14 15 16 1
PUSKESMAS KOTARATU
Penerimaan
n Nomor Tanggal
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
LAPORA
Penerimaan
Jumlah
an
22 23 24 1 2 3 4 5 6 7
9/25/2020 0 0 9/23/2020 159 / 01.AST/ BAST.ATK / PKM.KR / IX / 2020

9/25/2020 0 0 9/23/2020 03/01.AST/BAP/BAST-ATK/PKM.KR/III/2020


9/25/2020 0 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 163 / 01.AST/ BAST.ABP / PKM.KR / IX / 2020



PUSKESMAS KOTARATU
imaan Pengeluaran
Surat Bon
Nomor Tanggal
8 9 10 11 12 13 14 15 16 17 18
ALAT TULIS KANTOR
9/26/2020
9/26/2020
9/29/2020
9/30/2020
9/26/2020
9/26/2020
9/30/2020
9/26/2020
9/26/2020
9/29/2020
9/30/2020
9/26/2020
9/26/2020
9/30/2020
9/30/2020
9/30/2020
9/29/2020
9/30/2020
9/29/2020
9/30/2020
9/29/2020
9/26/2020
9/29/2020
9/30/2020
9/30/2020
9/30/2020
9/30/2020
9/30/2020 9/26/2020
9/26/2020
9/29/2020
9/30/2020
9/26/2020
9/30/2020
9/30/2020
9/30/2020
9/30/2020
9/26/2020
9/26/2020
9/30/2020
9/26/2020
9/26/2020
9/30/2020
9/30/2020
9/26/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/26/2020
9/30/2020
9/28/2020
9/30/2020
9/26/2020
9/30/2020
9/30/2020
9/26/2020
9/30/2020
9/30/2020
9/26/2020
9/30/2020
9/30/2020
9/30/2020
9/26/2020
9/28/2020
9/28/2020
9/28/2020
9/28/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/29/2020
9/29/2020
9/28/2020
9/29/2020
9/29/2020
9/30/2020
9/30/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/30/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/30/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/30/2020
9/30/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/30/2020
9/30/2020
9/30/2020
9/30/2020
9/29/2020
9/26/2020
9/29/2020
9/30/2020
9/29/2020
9/30/2020
9/30/2020
9/30/2020
9/26/2020
9/29/2020
9/30/2020
9/30/2020
9/26/2020
9/29/2020
9/30/2020
9/30/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/26/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
Pengeluaran
Tanggal
Penyerahan
19 20 21 22 23 24 25
- -
Bendahara BOK 20 20,000.00 400,000.00 9/26/2020
Tata Usaha 2 20,000.00 40,000.00 9/26/2020
Loket 2 20,000.00 40,000.00 9/30/2020
Apotek 2 20,000.00 40,000.00 9/26/2020
Sikda 2 20,000.00 40,000.00 9/30/2020
Bendahara BOK 1 55,000.00 55,000.00 9/26/2020
Tata Usaha 2 55,000.00 110,000.00 9/26/2020
Pengelola Keswa 1 55,000.00 55,000.00 9/26/2020
Sikda 2 55,000.00 110,000.00 9/30/2020
Pengelola Anak 1 55,000.00 55,000.00 9/30/2020
Pengelola Pis PK 1 55,000.00 55,000.00 9/29/2020
Pengelola PKPR 1 55,000.00 55,000.00 9/29/2020
HVS A4 70 gram -
Bendahara BOK 3 17,500.00 52,500.00 9/26/2020
Pengelola Anak 2 17,500.00 35,000.00 9/30/2020
Tata Usaha 3 20,000.00 60,000.00 9/26/2020
Tata Usaha 2 2,500.00 5,000.00 9/26/2020
Loket 3 2,500.00 7,500.00 9/30/2020
Apotek 2 2,500.00 5,000.00 9/26/2020
Sikda 2 2,500.00 5,000.00 9/30/2020
Pengelola Anak 2 2,500.00 5,000.00 9/30/2020
Apotek 1 10,000.00 10,000.00 9/26/2020
Tata Usaha 2 8,000.00 16,000.00 9/26/2020
Loket 3 8,000.00 24,000.00 9/30/2020
Apotek 1 60,000.00 60,000.00 9/26/2020
Bendahara BOK 1 60,000.00 60,000.00 9/26/2020
Ketua Pokja UKM 1 60,000.00 60,000.00 9/30/2020
Ketua Pokja UKP 1 60,000.00 60,000.00 9/30/2020
Tata Usaha 1 8,000.00 8,000.00 9/26/2020
Apotek 1 20,000.00 20,000.00 9/26/2020
Apotek 1 7,500.00 7,500.00 9/26/2020
Poli Remaja 1 7,500.00 7,500.00 9/30/2020
Tata Usaha 1 60,000.00 60,000.00 9/26/2020
Ketua Pokja UKM 1 60,000.00 60,000.00 9/30/2020
Ketua Pokja UKP 1 60,000.00 60,000.00 9/30/2020
Tata Usaha 1 60,000.00 60,000.00 9/26/2020
Ketua Pokja UKM 1 60,000.00 60,000.00 9/30/2020
Ketua Pokja UKP 1 60,000.00 60,000.00 9/30/2020
Tata Usaha 1 60,000.00 60,000.00 9/26/2020
Ketua Pokja UKM 1 60,000.00 60,000.00 9/30/2020
Ketua Pokja UKP 1 60,000.00 60,000.00 9/30/2020
Sikda 1 105,000.00 105,000.00 9/30/2020
Picare 1 105,000.00 105,000.00 9/28/2020
Picare 1 105,000.00 105,000.00 9/28/2020
Picare 1 105,000.00 105,000.00 9/28/2020
Picare 1 105,000.00 105,000.00 9/28/2020

Ruang ANC 2 40,000.00 80,000.00 9/29/2020
Laboratorium 1 40,000.00 40,000.00 9/29/2020
Tata Usaha 2 40,000.00 80,000.00 9/26/2020
Pustu Roworena 1 40,000.00 40,000.00 9/29/2020

Ruang ANC 2 30,000.00 60,000.00 9/29/2020
Laboratorium 1 30,000.00 30,000.00 9/29/2020
Tata Usaha 2 30,000.00 60,000.00 9/26/2020
Pustu Roworena 1 30,000.00 30,000.00 9/29/2020

Ruang ANC 2 21,000.00 42,000.00 9/29/2020
Laboratorium 1 21,000.00 21,000.00 9/29/2020
Tata Usaha 1 21,000.00 21,000.00 9/26/2020
Pustu Roworena 1 21,000.00 21,000.00 9/29/2020

Ruang ANC 2 20,000.00 40,000.00 9/29/2020
Laboratorium 1 20,000.00 20,000.00 9/29/2020
Pustu Roworena 1 20,000.00 20,000.00 9/29/2020
Poli Gigi 1 20,000.00 20,000.00 9/29/2020
Gheoghoma 1 20,000.00 20,000.00 9/30/2020
Borokanda 1 20,000.00 20,000.00 9/30/2020

Ruang ANC 1 17,500.00 17,500.00 9/29/2020
Laboratorium 1 17,500.00 17,500.00 9/29/2020
Tata Usaha 3 17,500.00 52,500.00 9/26/2020
Pustu Roworena 1 17,500.00 17,500.00 9/29/2020
Poli Gigi 1 17,500.00 17,500.00 9/29/2020
Gheoghoma 1 17,500.00 17,500.00 9/30/2020

Ruang ANC 1 19,000.00 19,000.00 9/29/2020
Laboratorium 2 19,000.00 38,000.00 9/29/2020
Tata Usaha 4 19,000.00 76,000.00 9/26/2020
Poli Gigi 1 19,000.00 19,000.00 9/29/2020
Poli Umum 1 19,000.00 19,000.00 9/30/2020

Ruang ANC 2 22,500.00 45,000.00 9/29/2020
Laboratorium 1 22,500.00 22,500.00 9/29/2020
Tata Usaha 6 22,500.00 135,000.00 9/26/2020
Pustu Roworena 1 22,500.00 22,500.00 9/29/2020
Poli Gigi 1 22,500.00 22,500.00 9/29/2020
Gheoghoma 1 22,500.00 22,500.00 9/30/2020
Poli Umum 1 22,500.00 22,500.00 9/30/2020

Ruang ANC 1 30,000.00 30,000.00 9/29/2020
Laboratorium 1 30,000.00 30,000.00 9/29/2020
Tata Usaha 1 30,000.00 30,000.00 9/26/2020
Pustu Roworena 1 30,000.00 30,000.00 9/29/2020
Poli Umum 1 30,000.00 30,000.00 9/30/2020
Poli Remaja 1 30,000.00 30,000.00 9/30/2020
Poli MTBS 1 30,000.00 30,000.00 9/30/2020
Loket 1 30,000.00 30,000.00 9/30/2020

Ruang ANC 2 17,500.00 35,000.00 9/29/2020
Tata Usaha 2 17,500.00 35,000.00 9/26/2020
Pustu Roworena 1 17,500.00 17,500.00 9/29/2020
Gheoghoma 1 17,500.00 17,500.00 9/30/2020

Pustu Roworena 1 15,000.00 15,000.00 9/29/2020
Gheoghoma 1 15,000.00 15,000.00 9/30/2020
Watusipi 1 15,000.00 15,000.00 9/30/2020
Borokanda 1 15,000.00 15,000.00 9/30/2020

Tata Usaha 1 45,000.00 45,000.00 9/26/2020
Pustu Roworena 1 45,000.00 45,000.00 9/29/2020
Gheoghoma 1 45,000.00 45,000.00 9/30/2020
Ruang Kesling 1 45,000.00 45,000.00 9/30/2020

Tata Usaha 1 32,500.00 32,500.00 9/26/2020
Pustu Roworena 1 32,500.00 32,500.00 9/29/2020
Gheoghoma 1 32,500.00 32,500.00 9/30/2020
Ruang Kesling 1 32,500.00 32,500.00 9/30/2020

Ruang ANC 3 37,500.00 112,500.00 9/29/2020
Laboratorium 2 37,500.00 75,000.00 9/29/2020
Tata Usaha 2 37,500.00 75,000.00 9/26/2020

Ruang ANC 2 4,500.00 9,000.00 9/29/2020
Laboratorium 2 4,500.00 9,000.00 9/29/2020
Tata Usaha 2 4,500.00 9,000.00 9/26/2020
Apotek 2 4,500.00 9,000.00 9/26/2020

Ruang ANC 2 15,000.00 30,000.00 9/29/2020
Tata Usaha 3 15,000.00 45,000.00 9/26/2020
Laboratorium 2 15,000.00 30,000.00 9/29/2020
PUSKESMAS KOTARATU
TRIWULAN III TAHUN 2020


Asal/Cara Tahun
Chasis/Mesin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
N I H I L
Mengetahui : Ende, 30 September 2020

NIP. 19650904 200003 2 003 NIP. 19870425 201101 2 013
PUSKESMAS KOTARATU
TRIWULAN III TAHUN 2020

Kabupaten Ende
MUTASI BULAN JULI S/D SEPTEMBER 2020 SALDO AKHIR BULAN SEPTEMBER 2020
NO NAMA BARANG 2020 (Unit/bh/set) Harga Beli Terakhir Keterangan
Tambah (unit/bh/set) Digunakan (unit/bh/set) unit/bh/set Jumlah
(Rp)
1 2 3 4 5 6=(3+4)-5 7 8=6x7 9
1 ALAT TULIS KANTOR
Isi Hecter 0 1 Buah 1 Buah 0 Rim 40,000 0
HVS A4 70 gram 0 15 Rim 15 Rim 0 Buah 50,000 0
Amplop Panjng 0 3 Buah 3 Buah 0 Buah 20,000 0
Balpoint Snowman 0 20 Buah 20 Buah 0 Buah 2,500 0
Tinta E-Print Hitam 0 6 Botol 6 Botol 0 Buah 60,000 0
Lem Cair 0 6 Botol 4 Botol 0 Buah 8,000 0
Tinta Stempel 0 2 Botol 2 Botol 0 Buah 20,000 0
Flakban Hitam Besar 0 3 Buah 2 Buah 0 Buah 17,500 0
Tipe Ex 0 6 Botol 5 Botol 0 Buah 7,500 0
Tinta E-Print Merah 0 4 Botol 4 Botol 0 Buah 60,000 0
Tinta E-Print Kuning 0 4 Botol 4 Botol 0 Buah 60,000 0
Tinta E-Print Biru 0 4 Botol 4 Botol 0 Buah 60,000 0
Tinta Print EpsonHitam 0 4 Botol 4 Botol 0 Buah 105,000 0
Tinta Print Epson Merah 0 2 Botol 2 Botol 0 Buah 105,000 0
Tinta Print Epson Biru 0 2 Botol 2 Botol 0 Buah 105,000 0
Tinta Print Kuning 0 2 Botol 2 Botol 0 Botol 105,000 0
2. PERALATAN KEBERSIHAN DAN BAHAN PEMBERSIH
Kresek Merah Besar 0 12 Buah 12 Buah 0 Buah 40,000 0
Kresek Hitam Besar 0 12 Buah 12 Buah 0 Buah 30,000 0
Kresek Biru Besar 0 12 Rim 12 Rim 0 Rim 15,000 0
Rinso 1 kg 0 10 Rim 10 Rim 0 Rim 21,000 0
Bayclin Besar 0 24 Buah 24 Buah 0 Buah 20,000 0
Soklin Lantai Besar 0 10 Buah 10 Buah 0 Buah 17,500 0
Tissue Paseo 0 12 Buah 12 Buah 0 Buah 19,000 0
Handshop 400 ml 0 17 Buah 17 Buah 0 Buah 22,500 0
Handsanitaizer 0 10 Buah 10 Buah 0 Buah 30,000 0
Vixal Besar 0 12 Botol 12 Botol 0 Botol 17,500 0
Sikat WC 0 5 Botol 5 Botol 0 Botol 15,000 0
Sapu Plastik 0 5 Botol 5 Botol 0 Botol 45,000 0
Serokan 0 5 Botol 5 Botol 0 Botol 32,500 0
Tissue Multi 700 gram 0 12 Buah 12 Buah 0 Buah 37,500 0
Tissue Nice 0 12 Botol 12 Botol 0 Botol 4,500 0
Sunlight Besar 0 10 Botol 10 Botol 0 Botol 15,000 0
JUMLAH
Mengetahui : Ende, 30 September 2020

NIP. 19650904 200003 2 003 NIP. 19870425 201101 2 013
Catatan :
PUSKESMAS KOTARATU

PER 30 SEPTEMBER TAHUN 2020
Pada hari ini Rabu tanggal Tiga Puluh bulan September tahun Dua Ribu Dua Puluh, kami yang bertanda tangan di bawah ini :
NIP : 19650904 200003 2 003
2. Nama : Nurjanah
NIP : 19870425 201101 2 013
Menyatakan bahwa telah melakukan Stock Opname barang persediaan per tanggal 30 September 2020 dengan hasil sebagai berikut :

1 2 3 4 5
1 Alat Tulis Kantor
N IH I L
*
2 Peralatan Kebersihan dan Bahan Pembersih
N I H I L
Jumlah
Mengetahui :

NIP. 19650904 200003 2 003
MERINTAH KABUPATEN ENDE
PUSKESMAS KOTARATU
OPNAME FISIK (STOCK OPNAME) PERSEDIAAN

ER 30 SEPTEMBER TAHUN 2020
mi yang bertanda tangan di bawah ini :

Kuasa Pengguna Anggaran
19650904 200003 2 003
Nurjanah
19870425 201101 2 013
September 2020 dengan hasil sebagai berikut :
KONDISI
B RR RB
6 7 8 9 10
N IH I L
N I H I L
imana mestinya
Ende, 30 September 2020

Nurjanah
NIP. 19870425 201101 2 013
DINAS KESEHATAN
KABUPATEN ENDE

PUSKESMAS KOTARATU
PER 30 SEPTEMBER 2020
Pada hari ini Rabu Tanggal Tiga Puluh Bulan September Tahun Dua Ribu Dua Puluh, bertempat di Aset Keuangan Dinas
1. Nama : Nurjanah
NIP : 19870425 201101 2 013

NIP : 19750708 199903 2 002
Jabatan : Pengurus Barang Pengguna Dinas Kesehatan Kabupaten Ende
Tahun 2020 Triwulan I dan II telah melaksanakan rekonsiliasi data aset tetap menurut KIB dan Neraca Dinas Kesehatan per 30 Juni
2020, dengan hasil sebagai berikut:
Saldo Awal Jumlah Mutasi Jumlah Mutasi
No. Kategori 2 Saldo Akhir
Januari 2020 Tambah Kurang 30 September 2020
1 2 3 4 5 6=3+4-5
A. ASET LANCAR
1. Persediaan
Demikian Berita Acara ini dibuat untuk dipergunakan sebagaimana mestinya, dan apabila dikemudian hari terdapat kekeliruan
akan dilakukan perbaikan sebagaimana mestinya.
Ende , 30 September 2020
1. Nurjanah Pengurus Barang Pembantu .....................................
2. V.E.Sisilia Mbulu, S.Sos Pengurus Barang Pengguna .....................................
Mengetahui :

NIP. 19650904 200003 2 003
PUSKESMAS KOTARATU
TRIWULAN IV TAHUN 2020
Nota Pesanan / SPK

Tanggal Tahun
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10
ALAT TULIS KANTOR
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Papan Ljk Kiky 2020 5 17,500.00
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Lem Cair Besar Gluvinal 2020 12 8,000.00
CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Lem Cair Besar Gluvinal 2020 2 8,000.00


ANG
U
20

11 12 13 14 15 16 1
4,457,000
2,326,500
1,847,500
515,000
390,000
365,000
2,825,500.00
PUSKESMAS KOTARATU
Surat Penyerahan
Tanggal
Pengeluaran
Nomor Tanggal
2 3 4 5 6 7 8 9 10 11






PUSKESMAS KOTARATU
No Tahun Tanggal
n an
1 2 3 4 5 6 7 8 9 10 11
PUSKESMAS KOTARATU
Barang n
12 13 14 15 16 1 2 3 4 5 6 7 8
ALAT TULIS KANTOR






PUSKESMAS KOTARATU
PENGELUARAN
Jumlah Ket.
Barang
9 10 11 12 13 14 15 16 1
PUSKESMAS KOTARATU
Penerimaan
n Nomor Tanggal
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
LAPORA
Penerimaan
Jumlah
an
22 23 24 1 2 3 4 5 6 7

PUSKESMAS KOTARATU
imaan Pengeluaran
Surat Bon
Nomor Tanggal
8 9 10 11 12 13 14 15 16 17 18
ALAT TULIS KANTOR
Pengeluaran
Tanggal
Penyerahan
19 20 21 22 23 24 25
- -



Program Pneumonia 1
Program PTM 1
Program TB 1
Program Pneumonia 1
Program TB 1
1


PUSKESMAS KOTARATU


Asal/Cara Tahun
Chasis/Mesin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
N I H I L
Mengetahui : Ende, 30 Desember 2020

NIP. 19650904 200003 2 003 NIP. 19870425 201101 2 013
PUSKESMAS KOTARATU

Kabupaten Ende
SO AWAL Bulan September MUTASI BULAN OKTOBER S/D DESEMBER 2020 SALDO AKHIR BULAN DESEMBER 2020
NO NAMA BARANG Keterangan
2020 (Unit/bh/set) Tambah (unit/bh/set) Digunakan (unit/bh/set) unit/bh/set Harga Beli Terakhir (Rp) Jumlah
1 2 3 4 5 6=(3+4)-5 7 8=6x7 9
1 ALAT TULIS KANTOR
Map Teka 0 28 Buah 28 Buah 0 Buah 20,000 0
Hecter Hd 10 0 13 Buah 13 Buah 0 Buah 15,000 0
Anak Hecter gw 10 0 17 Buah 17 Buah 0 Buah 4,000 0
Aank Hecter gw 369 0 15 Buah 15 Buah 0 Buah 5,000 0
Tinta E-Print Hitam 0 13 Botol 13 Botol 0 Botol 60,000 0
Tinta E-Print Warna 0 27 Botol 27 Botol 0 Botol 60,000 0
Tinta Print EpsonHitam 0 5 Botol 5 Botol 0 Botol 100,000 0
Tinta Print Epson Warna 0 9 Botol 9 Botol 0 Botol 100,000 0
Papan Ljk 0 5 Buah 5 Buah 0 Buah 17,500 0
File Box 0 30 Buah 30 Buah 0 Buah 17,500 0
Lem Cair Besar 0 14 Botol 14 Botol 0 Botol 8,000 0
Gunting Besar 0 6 Buah 6 Buah 0 Buah 17,500 0
Flakban Besar Bening 0 3 Buah 3 Buah 0 Buah 15,000 0
Hecter Hd 30 Besar 0 4 Buah 4 Buah 0 Buah 33,000 0
Buku Tulis 56 lembar 0 35 Buah 35 Buah 0 Buah 6,000 0
2. PERALATAN KEBERSIHAN DAN BAHAN PEMBERSIH

Tempat Sampah 0 2 Buah 2 Buah 0 Buah 850,000 0
Tissue Roll 0 2 Buah 2 Buah 0 Buah 20,000 0
Sunlight 780 ml 0 5 Botol 5 Botol 0 Botol 27,500 0
Handsanitaizer 0 7 Botol 7 Botol 0 Botol 30,000 0
Kemoceng 0 2 Buah 2 Buah 0 Buah 22,500 0
Rinso 1 kg 0 5 Buah 5 Buah 0 Buah 21,000 0
Kresek Merah Besar 0 2 Botol 2 Botol 0 Botol 40,000 0
Keset Karet Lubang 0 2 Buah 2 Buah 0 Buah 60,000 0
Keranjang Sampah 0 2 Buah 2 Buah 0 Buah 35,000 0
JUMLAH


NIP. 19650904 200003 2 003 NIP. 19870425 201101 2 013
Catatan :
PUSKESMAS KOTARATU

PER 30 DESEMBER TAHUN 2020
Pada hari ini Rabu tanggal Tiga Puluh bulan Desember tahun Dua Ribu Dua Puluh, kami yang bertanda tangan di bawah ini :

NIP : 19650904 200003 2 003
2. Nama : Nurjanah
NIP : 19870425 201101 2 013
Menyatakan bahwa telah melakukan Stock Opname barang persediaan per tanggal 30 Desember 2020 dengan hasil sebagai berikut :

1 2 3 4 5
1 Alat Tulis Kantor
N IH I L
2 Peralatan Kebersihan dan Bahan Pembersih
N I H I L
Jumlah
Mengetahui :

NIP. 19650904 200003 2 003
ENDE
TU
02
NAME) PERSEDIAAN
2020
wah ini :
ebagai berikut :
KONDISI
B RR RB
6 7 8 9 10
Ende, 30 Desember 2020

Nurjanah
NIP. 19870425 201101 2 013
DINAS KESEHATAN
KABUPATEN ENDE

PUSKESMAS KOTARATU
Pada hari ini Rabu Tanggal Tiga Puluh Bulan Desember Tahun Dua Ribu Dua Puluh, bertempat di Aset Keuangan Dinas Kesehatan
Kabupaten Ende, Yang Bertanda Tangan Di Bawah ini :
1. Nama : Nurjanah
NIP : 19870425 201101 2 013

NIP : 19750708 199903 2 002
Januari 2020 Tambah Kurang 30 Desember 2020
1 2 3 4 5 6=3+4-5
A. ASET LANCAR
1. Persediaan
Ende , 30 Desember 2020
Mengetahui :

NIP. 19650904 200003 2 003
PUSKESMAS KOTARATU
Nota Pesanan / SPK

Tanggal Tahun
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10
ALAT TULIS KANTOR
CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Lem Cair Besar Gluvinal 2020 12 8,000.00
CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Lem Cair Besar Gluvinal 2020 2 8,000.00



ANG
U
020

11 12 13 14 15 16 1
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
5,295,000
41,000
5,336,000
4,457,000
2,326,500
1,847,500
515,000
390,000
365,000
9,901,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4,122,000.00
2,825,500.00
PUSKESMAS KOTARATU
Surat Penyerahan
Tanggal
Pengeluaran
Nomor Tanggal
2 3 4 5 6 7 8 9 10 11
4 HVS A4 70 gram -
4,545,000.00






PUSKESMAS KOTARATU
No Tahun Tanggal
n an
1 2 3 4 5 6 7 8 9 10 11
PUSKESMAS KOTARATU
Barang n
12 13 14 15 16 1 2 3 4 5 6 7 8
ALAT TULIS KANTOR


9/25/2020












PUSKESMAS KOTARATU
PENGELUARAN
Jumlah Ket.
Barang
9 10 11 12 13 14 15 16 1
PUSKESMAS KOTARATU
Penerimaan
n Nomor Tanggal
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
LAPORA
Penerimaan
Jumlah
an
22 23 24 1 2 3 4 5 6 7

PUSKESMAS KOTARATU
imaan Pengeluaran
Surat Bon
Nomor Tanggal
8 9 10 11 12 13 14 15 16 17 18
ALAT TULIS KANTOR
9/26/2020
9/26/2020
9/29/2020
9/30/2020
9/26/2020
9/26/2020
9/30/2020
9/26/2020
9/26/2020
9/29/2020
9/30/2020
9/26/2020
9/26/2020
9/30/2020
9/30/2020
9/30/2020
9/29/2020
9/30/2020
9/29/2020
9/30/2020
9/29/2020
9/26/2020
9/29/2020
9/30/2020
9/30/2020
9/30/2020
9/30/2020
9/30/2020 9/26/2020
9/26/2020
9/29/2020
9/30/2020
9/26/2020
9/30/2020
9/30/2020
9/30/2020
9/30/2020
9/26/2020
9/26/2020
9/30/2020
9/26/2020
9/26/2020
9/30/2020
9/30/2020
9/26/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/26/2020
9/30/2020
9/28/2020
9/30/2020
9/26/2020
9/30/2020
9/30/2020
9/26/2020
9/30/2020
9/30/2020
9/26/2020
9/30/2020
9/30/2020
9/30/2020
9/26/2020
9/28/2020
9/28/2020
9/28/2020
9/28/2020

9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/29/2020
9/29/2020
9/28/2020
9/29/2020
9/29/2020
9/30/2020
9/30/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/30/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/30/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/30/2020
9/30/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/30/2020
9/30/2020
9/30/2020
9/30/2020
9/29/2020
9/26/2020
9/29/2020
9/30/2020
9/29/2020
9/30/2020
9/30/2020
9/30/2020
9/26/2020
9/29/2020
9/30/2020
9/30/2020
9/26/2020
9/29/2020
9/30/2020
9/30/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/26/2020
9/29/2020
Pengeluaran
Tanggal
Penyerahan
19 20 21 22 23 24 25
- -
Bendahara BOK 20 20,000.00 400,000.00 9/26/2020
Tata Usaha 2 20,000.00 40,000.00 9/26/2020
Loket 2 20,000.00 40,000.00 9/30/2020
Apotek 2 20,000.00 40,000.00 9/26/2020
Sikda 2 20,000.00 40,000.00 9/30/2020
Bendahara BOK 1 55,000.00 55,000.00 9/26/2020
Tata Usaha 2 55,000.00 110,000.00 9/26/2020
Pengelola Keswa 1 55,000.00 55,000.00 9/26/2020
Sikda 2 55,000.00 110,000.00 9/30/2020
Pengelola Anak 1 55,000.00 55,000.00 9/30/2020
Pengelola Pis PK 1 55,000.00 55,000.00 9/29/2020
Pengelola PKPR 1 55,000.00 55,000.00 9/29/2020
HVS A4 70 gram -
Bendahara BOK 3 17,500.00 52,500.00 9/26/2020
Pengelola Anak 2 17,500.00 35,000.00 9/30/2020
Tata Usaha 3 20,000.00 60,000.00 9/26/2020
Tata Usaha 2 2,500.00 5,000.00 9/26/2020
Loket 3 2,500.00 7,500.00 9/30/2020
Apotek 2 2,500.00 5,000.00 9/26/2020
Sikda 2 2,500.00 5,000.00 9/30/2020
Pengelola Anak 2 2,500.00 5,000.00 9/30/2020
Apotek 1 10,000.00 10,000.00 9/26/2020
Tata Usaha 2 8,000.00 16,000.00 9/26/2020
Loket 3 8,000.00 24,000.00 9/30/2020
Apotek 1 60,000.00 60,000.00 9/26/2020
Bendahara BOK 1 60,000.00 60,000.00 9/26/2020
Ketua Pokja UKM 1 60,000.00 60,000.00 9/30/2020
Ketua Pokja UKP 1 60,000.00 60,000.00 9/30/2020
Tata Usaha 1 8,000.00 8,000.00 9/26/2020
Apotek 1 20,000.00 20,000.00 9/26/2020
Apotek 1 7,500.00 7,500.00 9/26/2020
Poli Remaja 1 7,500.00 7,500.00 9/30/2020
Tata Usaha 1 60,000.00 60,000.00 9/26/2020
Ketua Pokja UKM 1 60,000.00 60,000.00 9/30/2020
Ketua Pokja UKP 1 60,000.00 60,000.00 9/30/2020
Tata Usaha 1 60,000.00 60,000.00 9/26/2020
Ketua Pokja UKM 1 60,000.00 60,000.00 9/30/2020
Ketua Pokja UKP 1 60,000.00 60,000.00 9/30/2020
Tata Usaha 1 60,000.00 60,000.00 9/26/2020
Ketua Pokja UKM 1 60,000.00 60,000.00 9/30/2020
Ketua Pokja UKP 1 60,000.00 60,000.00 9/30/2020
Sikda 1 105,000.00 105,000.00 9/30/2020
Picare 1 105,000.00 105,000.00 9/28/2020
Picare 1 105,000.00 105,000.00 9/28/2020
Picare 1 105,000.00 105,000.00 9/28/2020
Picare 1 105,000.00 105,000.00 9/28/2020





Program Pneumonia 1
Program PTM 1
Program TB 1
Program Pneumonia 1
Program TB 1
1

Ruang ANC 2 40,000.00 80,000.00 9/29/2020
Laboratorium 1 40,000.00 40,000.00 9/29/2020
Tata Usaha 2 40,000.00 80,000.00 9/26/2020
Pustu Roworena 1 40,000.00 40,000.00 9/29/2020
Ruang ANC 2 30,000.00 60,000.00 9/29/2020
Laboratorium 1 30,000.00 30,000.00 9/29/2020
Tata Usaha 2 30,000.00 60,000.00 9/26/2020
Pustu Roworena 1 30,000.00 30,000.00 9/29/2020
Ruang ANC 2 21,000.00 42,000.00 9/29/2020
Laboratorium 1 21,000.00 21,000.00 9/29/2020
Tata Usaha 1 21,000.00 21,000.00 9/26/2020
Pustu Roworena 1 21,000.00 21,000.00 9/29/2020
Ruang ANC 2 20,000.00 40,000.00 9/29/2020
Laboratorium 1 20,000.00 20,000.00 9/29/2020
Pustu Roworena 1 20,000.00 20,000.00 9/29/2020
Poli Gigi 1 20,000.00 20,000.00 9/29/2020
Gheoghoma 1 20,000.00 20,000.00 9/30/2020
Borokanda 1 20,000.00 20,000.00 9/30/2020
Ruang ANC 1 17,500.00 17,500.00 9/29/2020
Laboratorium 1 17,500.00 17,500.00 9/29/2020
Tata Usaha 3 17,500.00 52,500.00 9/26/2020
Pustu Roworena 1 17,500.00 17,500.00 9/29/2020
Poli Gigi 1 17,500.00 17,500.00 9/29/2020
Gheoghoma 1 17,500.00 17,500.00 9/30/2020
Ruang ANC 1 19,000.00 19,000.00 9/29/2020
Laboratorium 2 19,000.00 38,000.00 9/29/2020
Tata Usaha 4 19,000.00 76,000.00 9/26/2020
Poli Gigi 1 19,000.00 19,000.00 9/29/2020
Poli Umum 1 19,000.00 19,000.00 9/30/2020
Ruang ANC 2 22,500.00 45,000.00 9/29/2020
Laboratorium 1 22,500.00 22,500.00 9/29/2020
Tata Usaha 6 22,500.00 135,000.00 9/26/2020
Pustu Roworena 1 22,500.00 22,500.00 9/29/2020
Poli Gigi 1 22,500.00 22,500.00 9/29/2020
Gheoghoma 1 22,500.00 22,500.00 9/30/2020
Poli Umum 1 22,500.00 22,500.00 9/30/2020
Ruang ANC 1 30,000.00 30,000.00 9/29/2020
Laboratorium 1 30,000.00 30,000.00 9/29/2020
Tata Usaha 1 30,000.00 30,000.00 9/26/2020
Pustu Roworena 1 30,000.00 30,000.00 9/29/2020
Poli Umum 1 30,000.00 30,000.00 9/30/2020
Poli Remaja 1 30,000.00 30,000.00 9/30/2020
Poli MTBS 1 30,000.00 30,000.00 9/30/2020
Loket 1 30,000.00 30,000.00 9/30/2020
Ruang ANC 2 17,500.00 35,000.00 9/29/2020
Tata Usaha 2 17,500.00 35,000.00 9/26/2020
Pustu Roworena 1 17,500.00 17,500.00 9/29/2020
Gheoghoma 1 17,500.00 17,500.00 9/30/2020
Pustu Roworena 1 15,000.00 15,000.00 9/29/2020
Gheoghoma 1 15,000.00 15,000.00 9/30/2020
Watusipi 1 15,000.00 15,000.00 9/30/2020
Borokanda 1 15,000.00 15,000.00 9/30/2020
Tata Usaha 1 45,000.00 45,000.00 9/26/2020
Pustu Roworena 1 45,000.00 45,000.00 9/29/2020
Gheoghoma 1 45,000.00 45,000.00 9/30/2020
Ruang Kesling 1 45,000.00 45,000.00 9/30/2020
Tata Usaha 1 32,500.00 32,500.00 9/26/2020
Pustu Roworena 1 32,500.00 32,500.00 9/29/2020
Gheoghoma 1 32,500.00 32,500.00 9/30/2020
Ruang Kesling 1 32,500.00 32,500.00 9/30/2020
Ruang ANC 3 37,500.00 112,500.00 9/29/2020
Laboratorium 2 37,500.00 75,000.00 9/29/2020
Tata Usaha 2 37,500.00 75,000.00 9/26/2020
Ruang ANC 2 4,500.00 9,000.00 9/29/2020
Laboratorium 2 4,500.00 9,000.00 9/29/2020
Tata Usaha 2 4,500.00 9,000.00 9/26/2020
Apotek 2 4,500.00 9,000.00 9/26/2020
Ruang ANC 2 15,000.00 30,000.00 9/29/2020

PUSKESMAS KOTARATU
Periode : JULI s/d DESEMBER TAHUN 2020


No. Sertifikat Ukuran Berkurang Bertambah
Asal/Cara Tahun Kondisi
Kode Nama/Jenis No. Pabrik Perolehan Beli/Perole Barang/Kon Satuan Bangunan Ket
No. Urut Register Merk/Type Bahan struksi Barang Harga Jumlah Jumlah Jumlah Jumlah Barang Harga
Barang Barang Barang han (P,SP,D) (B, KB, RB)
No. Chasis/Mesin Barang Harga Barang Harga
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
N I H I L

NIP. 19650904 200003 2 003 NIP. 19870425 201101 2 013
PUSKESMAS KOTARATU
Periode : JULI s/d DESEMBER TAHUN 2020
Kabupaten Ende
SO AWAL Bulan Januari MUTASI BULAN JANUARI S/D DESEMBER 2020 SALDO AKHIR BULAN DESEMBER 2020
NO NAMA BARANG 2020 (Unit/bh/set) Harga Beli Terakhir Keterangan
Tambah (unit/bh/set) Digunakan (unit/bh/set) unit/bh/set Jumlah
(Rp)
1 2 3 4 5 6=(3+4)-5 7 8=6x7 9
1 ALAT TULIS KANTOR
Bantal Stempel 0 2 Botol 2 Botol 0 Botol 10,000 0
Tip-Ex 0 6 Botol 6 Botol 0 Botol 7,500 0
Tinta E-Print Merah 0 4 Botol 4 Botol 0 Botol 60,000 0
Tinta E-Print Kuning 0 4 Botol 4 Botol 0 Botol 60,000 0
Tinta E-Print Biru 0 4 Botol 4 Botol 0 Botol 60,000 0
Tinta Print Epson Merah 0 2 Botol 2 Botol 0 Botol 105,000 0
Tinta Print Epson Kuning 0 2 Botol 2 Botol 0 Botol 105,000 0
Tinta Print Epson Biru 0 2 Botol 2 Botol 0 Botol 105,000 0
2.
PERALATAN KEBERSIHAN DAN BAHAN PEMBERSIH
2 Tempat Sampah 0 2 Buah 2 Buah 0 Buah 850,000 0
Kresek Biru Besar 0 12 Buah 12 Buah 0 Buah 15,000 0
Bayclin Besar 0 24 Botol 24 Botol 0 Botol 20,000 0
Soklin Lantai Besar 0 10 Botol 10 Botol 0 Botol 17,500 0
Handshop 400 ml 0 17 Botol 17 Botol 0 Botol 22,500 0
Sikat WC 0 5 Buah 5 Buah 0 Buah 15,000 0
Sapu Plastik 0 5 Buah 5 Buah 0 Buah 45,000 0
Serokan 0 5 Buah 5 Buah 0 Buah 32,500 0
Tissue Nice 0 12 Buah 12 Buah 0 Buah 4,500 0
JUMLAH

NIP. 19650904 200003 2 003 NIP. 19870425 201101 2 013
Catatan :
PUSKESMAS KOTARATU

NIP : 19650904 200003 2 003
2. Nama : Nurjanah
NIP : 19870425 201101 2 013

1 2 3 4 5
1 Alat Tulis Kantor
N IH I L
2 Peralatan Kebersihan dan Bahan Pe,bersih
N I H I L
JUMLAH
Mengetahui :

NIP. 19650904 200003 2 003
NDE
02
AME) PERSEDIAAN
020
ini :
ai berikut :
KONDISI
B RR RB
6 7 8 9 10
Nurjanah
NIP. 19870425 201101 2 013
DINAS KESEHATAN
KABUPATEN ENDE

PUSKESMAS KOTARATU
Pada hari ini Rabu Tanggal Tiga Puluh Bulan Desember Tahun Dua Ribu Dua Puluh, bertempat di Aset Keuangan Dinas
1. Nama : Nurjanah
NIP : 19870425 201101 2 013

NIP : 19750708 199903 2 002
No. Kategori 2
Tambah Kurang 30 Desember 2020
Januari 2020
1 2 3 4 5 6=3+4-5
A. ASET LANCAR
1. Persediaan
Mengetahui :

NIP. 19650904 200003 2 003
PUSKESMAS KOTARATU
Nota Pesanan / SPK

Tanggal Tahun
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10
ALAT TULIS KANTOR
1 3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 HVS F4 70 gram Sidu 2020 8 55,000.00
30/032020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 HVS A4 70 gram Sidu 2020 5 52,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Catridger Hitam Canon 2020 1 250,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Catridger Warna Canon 2020 1 300,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Map Teka Batik Kingco 2020 15 20,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Map Snallhecter Kertas Kiky 2020 900 1,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Box File kiky 2020 16 17,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Buku Tulis Panpo 2020 58 6,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Spidol Permanent Snowman 2020 36 8,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Gunting Scissors 2020 2 15,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Pelubang Kertas ZRM 2020 1 40,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Kertas Bufalo Sidu 2020 1 35,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Hecter Kangaro 2020 2 15,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Isi Hecter Great Wall 2020 3 4,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Balpoint Hitam Snowman 2020 20 2,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Mistar Besi Panjang Veota 2020 4 12,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Mistar Besi Pendek Veota 2020 2 7,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Map File 60 Sheat Fprden One 2020 1 25,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Tinta Print Canon 2020 3 60,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Lem Cair Gluvinal 2020 1 8,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Tipe Ex Kenko 2020 6 7,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Spidol Hitam Kecil Snowman 2020 20 2,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Map Snallhecter Plastik 2020 12 5,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Stabilo Faber Castell 2020 3 7,500.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Flakban Bening Sanko 2020 1 15,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Bantal Stempel Joyko 2020 2 10,000.00
3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 Tinta Stempel Biru Pyramid 2020 1 10,000.00
1 5/14/2020 CV.Maranatha Permai 56/01.AST/NP/PKM.KR/V/2020 5/13/2020 Catridge Hitam Canon 2020 1 300,000.00
5/14/2020 CV.Maranatha Permai 56/01.AST/NP/PKM.KR/V/2020 5/13/2020 Map Teka Kingco 2020 3 20,000.00
\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ CV.Maranatha Permai 21701.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Lem Cair Besar Gluvinal 2020 12 8,000.00
\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\ CV.Maranatha Permai 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Lem Cair Besar Gluvinal 2020 2 8,000.00

1 3/30/2020 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 Tissue Multi 2020 4 42,500.00
3/30/2020 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 Sos Pump Sos 2020 1 17,500.00
3/30/2020 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 Sunlight Sungl 2020 2 15,000.00
3/30/2020 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 3/28/2020 Bayclin Bayclin 2020 14 17,500.00
1 5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Tissue Multi 2020 4 42,500.00
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Sos Refil Sos 2020 4 15,000.00
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Sunligth Sunlight 2020 2 12,500.00
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Bayclin Bayclin 2020 4 20,000.00
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Sos Pump Bayclin 2020 6 60,000.00
5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Stella Zak Stella 2020 6 14,500.00
ANG
U
020

11 12 13 14 15 16 1

-
-
-
-
-
-
1,350,000 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/30/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 GU `1 6
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4,876,500

360,000
5,236,500
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
5,295,000
41,000
5,336,000
4,457,000
2,326,500
1,847,500
515,000
390,000
365,000
9,901,000
462,500.00
60,000.00 47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/14/2020 48/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 5/14/2020 GU 2

782,000.00
1,244,500.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
4,122,000.00
2,825,500.00
PUSKESMAS KOTARATU
Surat Penyerahan
Tanggal
Pengeluaran
Nomor Tanggal
2 3 4 5 6 7 8 9 10 11


4 HVS A4 70 gram -
4,545,000.00






3/31/2020 Sos Pump 1 17,500.00 17,500.00 IGD 11/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 Sunlight 2 15,000.00 30,000.00 IGD 11/01.AST/SP/PKM.KR/III/2020 3/31/2020
3/31/2020 Bayclin 2 17,500.00 35,000.00 IGD 11/01.AST/SP/PKM.KR/III/2020 3/31/2020
5/14/2020 Tissue 2 42,500.00 85,000.00 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020

5/14/2020 Sos Refil 1 15,000.00 15,000.00 Tata Usaha 49/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/14/2020 Sunligth 1 12,500.00 12,500.00 Laboratorium 51/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/14/2020 Bayclin 2 20,000.00 40,000.00 Laboratorium 51/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/14/2020 Sos Pump 1 60,000.00 60,000.00 Laboratorium 51/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/14/2020 Stella Zak 1 14,500.00 14,500.00 Laboratorium 51/01.AST/SP/PKM.KR/V/2020 5/15/2020
1 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020

PUSKESMAS KOTARATU
No Tahun Tanggal
n an
1 2 3 4 5 6 7 8 9 10 11
PUSKESMAS KOTARATU
Barang n
12 13 14 15 16 1 2 3 4 5 6 7 8
ALAT TULIS KANTOR
1 3/30/2020 HVS F4 70 gram Sidu 2020 8 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
30/032020 HVS A4 70 gram Sidu 2020 5 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Catridger Hitam Canon 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Catridger Warna Canon 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Map Teka Batik Kingco 2020 15 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Map Snallhecter Kertas Kiky 2020 900 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Box File Kiky 2020 16 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Buku Tulis Panpo 2020 58 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Spidol Permanent Snowman 2020 36 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Gunting Scissors 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Pelubang Kertas ZRM 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Kertas Bufalo Sidu 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Hecter 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Isi Hecter 2020 3 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Balpoint Hitam Snowman 2020 20 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Mistar Besi Panjang Veota 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

2
3/30/2020 Mistar Besi Pendek Veota 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Map File 60 Sheat Folder One 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Tinta Print Canon 2020 3 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Lem Cair Gluvinal 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Tipe Ex Kenko 2020 4 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Spidol Hitam Kecil Snowman 2020 20 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Map Snallhecter Plastik Businell File 2020 12 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Stabilo Fiber Faster 2020 3 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Flakban Bening Sanko 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Bantal Stempel Joyko 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Tinta Stempel Biru Pyramid 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020
1 5/14/2020 Catridge Hitam Canon 2020 1 56/01.AST/NP/PKM.KR/V/2020 5/13/2020

5/14/2020 Map Teka Kingco 2020 3 56/01.AST/NP/PKM.KR/V/2020 5/13/2020


9/25/2020










1 3/30/2020 Tissue Multi 2020 4 08/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Sos Pump sos 2020 1 08/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Sunlight Sunlight 2020 2 08/01.AST/NP/PKM.KR/III/2020 3/28/2020
3/30/2020 Bayclin Bayclin 2020 14 08/01.AST/NP/PKM.KR/III/2020 3/28/2020
1 5/14/2020 Tissue Multi 2020 4 46/01.AST/NP/PKM.KR/V/2020 5/13/2020
5/14/2020 Sos Refil sos 2020 4 46/01.AST/NP/PKM.KR/V/2020 5/13/2020
5/14/2020 Sunligth Sunlight 2020 2 46/01.AST/NP/PKM.KR/V/2020 5/13/2020
5/14/2020 Bayclin Bayclin 2020 4 46/01.AST/NP/PKM.KR/V/2020 5/13/2020
5/14/2020 Sos Pump Bayclin 2020 6 46/01.AST/NP/PKM.KR/V/2020 5/13/2020
5/14/2020 Stella Zak Stella 2020 6 46/01.AST/NP/PKM.KR/V/2020 5/13/2020




PUSKESMAS KOTARATU
PENGELUARAN
Jumlah Ket.
Barang
9 10 11 12 13 14 15 16 1

3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 43921 Pustu Roworena 1 05/01.AST/SP/PKM.KR/III.2020 3/31/2020
3/30/2020 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/31/2020 Pustu Watusipi 1 07/01.AST/SP/PKM.KR/III/2020 3/31/2020

5/14/2020 47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/15/2020 IGD 2 50/01.AST/SP/PKM.KR/V/2020 5/15/2020

5/14/2020 47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/15/2020 Tata Usaha 1 49/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
5/15/2020 IGD 1 50/01.AST/SP/PKM.KR/V/2020 5/15/2020
PUSKESMAS KOTARATU
Penerimaan
n Nomor Tanggal
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
LAPORA
Penerimaan
Jumlah
an
22 23 24 1 2 3 4 5 6 7
1 3/30/2020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 BAST 03/01.AST/BAP/BAST-ATK/PKM.KR/III/2020
30/032020 CV.Maranatha Permai 01/01.AST/NP/PKM.KR/III/2020 3/28/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020





3/28/2020
3/30/2020 3/28/2020
3/30/2020 3/28/2020
1 5/14/2020 CV.Maranatha Permai 56/01.AST/NP/PKM.KR/V/2020 5/13/2020 58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020

5/14/2020 CV.Maranatha Permai 56/01.AST/NP/PKM.KR/V/2020 5/13/2020 58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020

1 CV.Maranatha Permai 08/01.AST/NP/PKM.KR/III/2020 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020
1 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020
CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 48/01/AST/BAP/BAST-ATK/PKM.KR/V/2020
PUSKESMAS KOTARATU
imaan Pengeluaran
Surat Bon
Nomor Tanggal
8 9 10 11 12 13 14 15 16 17 18
ALAT TULIS KANTOR
8 HVS F4 70 gram 55,000.00 440,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
5 HVS A4 70 gram 52,000.00 260,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
1 Catridger Hitam 250,000.00 250,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
1 Catridger Warna 300,000.00 300,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
15 Map Teka Batik 20,000.00 300,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
900 Map Snallhecter Kertas 1,500.00 1,350,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
16 Box File 17,500.00 280,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
58 Buku Tulis 6,000.00 348,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
36 Spidol Permanent 8,500.00 306,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
3/30/2020 3/31/2020
2 Gunting 15,000.00 30,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
1 Pelubang Kertas 40,000.00 40,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
1 Kertas Bufalo 35,000.00 35,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
2 Hecter 15,000.00 30,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
3 Isi Hecter 4,000.00 12,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
20 Balpoint Hitam 2,500.00 50,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
4 Mistar Besi Panjang 12,500.00 50,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
2 Mistar Besi Pendek 7,500.00 15,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
1 Map File 60 sheat 25,000.00 25,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3 Tinta Print 60,000.00 180,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
1 Lem Cair 8,000.00 8,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
6 Tipe Ex 7,500.00 45,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/30/2020 3/31/2020
20 Spidol Hitam Kecil 2,500.00 50,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
12 Map Snallhecter Plastik 5,000.00 60,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3 Stabilo 7,500.00 22,500.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
1 Flakban Bening 15,000.00 15,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
2 Bantal Stempel 10,000.00 20,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
3/31/2020
1 Tinta Stempel 10,000.00 10,000.00 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 3/31/2020
1 Catridge Hitam 300,000.00 300,000.00 58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 5/14/2020 5/16/2020

3 Map Teka 20,000.00 60,000.00 58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 5/14/2020 5/16/2020
9/26/2020
9/26/2020
9/29/2020
9/30/2020
9/26/2020
9/26/2020
9/30/2020
9/26/2020
9/26/2020
9/29/2020
9/30/2020
9/26/2020
9/26/2020
9/30/2020
9/30/2020
9/30/2020
9/29/2020
9/30/2020
9/29/2020
9/30/2020
9/29/2020
9/26/2020
9/29/2020
9/30/2020
9/30/2020
9/30/2020
9/30/2020
9/30/2020 9/26/2020
9/26/2020
9/29/2020
9/30/2020
9/26/2020
9/30/2020
9/30/2020
9/30/2020
9/30/2020
9/26/2020
9/26/2020
9/30/2020
9/26/2020
9/26/2020
9/30/2020
9/30/2020
9/26/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/26/2020
9/30/2020
9/28/2020
9/30/2020
9/26/2020
9/30/2020
9/30/2020
9/26/2020
9/30/2020
9/30/2020
9/26/2020
9/30/2020
9/30/2020
9/30/2020
9/26/2020
9/28/2020
9/28/2020
9/28/2020
9/28/2020

4 Tissue 42,500.00 170,000.00 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020
1 Sos Pump 17,500.00 17,500.00 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020
2 Sunlight 15,000.00 30,000.00 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020
14 Bayclin 17,500.00 245,000.00 10/01/AST/BAP/BAST-ATK/PKM.KR/III/2020
4 Tissue 42,500.00 170,000.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020
4 Sos Refil 15,000.00 60,000.00 48/01/AST/BAP/BAST-ATK/PKM.KR/V/2020
2 Sunligth 12,500.00 25,000.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020
4 Bayclin 20,000.00 80,000.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020
6 Sos Pump 60,000.00 360,000.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020
6 Stella Zak 14,500.00 87,000.00 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/29/2020
9/29/2020
9/28/2020
9/29/2020
9/29/2020
9/30/2020
9/30/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/30/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/30/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/30/2020
9/30/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/30/2020
9/30/2020
9/30/2020
9/30/2020
9/29/2020
9/26/2020
9/29/2020
9/30/2020
9/29/2020
9/30/2020
9/30/2020
9/30/2020
9/26/2020
9/29/2020
9/30/2020
9/30/2020
9/26/2020
9/29/2020
9/30/2020
9/30/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/29/2020
9/29/2020
9/28/2020
9/26/2020
9/26/2020
9/29/2020
Pengeluaran
Tanggal
Penyerahan
19 20 21 22 23 24 25
- -
Poskesdes Borokanda 2 HVS F4 70 gram 55,000.00 110,000.00 3/31/2020
Pustu Roworena 2 HVS F4 70 gram 55,000.00 110,000.00 3/31/2020
PoskesdesGheogoma 4 HVS F4 70 gram 55,000.00 220,000.00 3/31/2020
Poskesdes Borokanda 2 HVS A4 70 gram 52,000.00 104,000.00 3/31/2020
Pustu Watusipi 3 HVS A4 70 gram 52,000.00 156,000.00 3/31/2020
Pustu Roworena 1 Catridger Hitam 250,000.00 250,000.00 3/31/2020
Pustu Roworena 1 Catridger Warna 300,000.00 300,000.00 3/31/2020
Poskesdes Borokanda 3 Map Teka Batik 20,000.00 60,000.00 3/31/2020
Pustu Roworena 3 Map Teka Batik 20,000.00 60,000.00 3/31/2020
PoskesdesGheogoma 4 Map Teka Batik 20,000.00 80,000.00 3/31/2020
Pustu Watusipi 5 Map Teka Batik 20,000.00 100,000.00 3/31/2020
Poskesdes Borokanda 500 Map Snallhecter Kertas 1,500.00 750,000.00 3/31/2020
Pustu Watusipi 400 Map Snallhecter Kertas 1,500.00 600,000.00 3/31/2020
Poskesdes Borokanda 3 Box File 17,500.00 52,500.00 3/31/2020
Pustu Roworena 4 Box File 17,500.00 70,000.00 3/31/2020
PoskesdesGheogoma 6 Box File 17,500.00 105,000.00 3/31/2020
Pustu Watusipi 3 Box File 17,500.00 52,500.00 3/31/2020
PoskesdesGheogoma 10 Buku Folio 100 Lembar 17,500.00 175,000.00 3/31/2020
Pustu Watusipi 2 Buku Folio 100 Lembar 17,500.00 35,000.00 3/31/2020
Poskesdes Borokanda 24 Buku Tulis 6,000.00 144,000.00 3/31/2020
PoskesdesGheogoma 24 Buku Tulis 6,000.00 144,000.00 3/31/2020
Pustu Watusipi 10 Buku Tulis 6,000.00 60,000.00 3/31/2020
Poskesdes Borokanda 10 Spidol Permanent 8,500.00 85,000.00 3/31/2020
Pustu Roworena 10 Spidol Permanent 8,500.00 85,000.00 3/31/2020
PoskesdesGheogoma 10 Spidol Permanent 8,500.00 85,000.00 3/31/2020
Pustu Watusipi 6 Spidol Permanent 8,500.00 51,000.00 3/31/2020
Poskesdes Borokanda 1 Gunting 15,000.00 15,000.00 3/31/2020
Pustu Watusipi 1 Gunting 15,000.00 15,000.00 3/31/2020
Poskesdes Borokanda 1 Pelubang Kertas 40,000.00 40,000.00 3/31/2020
Pustu Roworena 1 Kertas Bufalo 35,000.00 35,000.00 3/31/2020
Pustu Roworena 1 Hecter 15,000.00 15,000.00 3/31/2020
Pustu Watusipi 1 Hecter 15,000.00 15,000.00 3/31/2020
Pustu Roworena 2 Isi Hecter 4,000.00 8,000.00 3/31/2020
Pustu Watusipi 1 Isi Hecter 4,000.00 4,000.00 3/31/2020
Pustu Roworena 10 Balpoint Hitam 2,500.00 25,000.00 3/31/2020
Poskesdes Gheogoma 10 Balpoint Hitam 2,500.00 25,000.00 3/31/2020
Pustu Roworena 2 Mistar Besi Panjang 12,500.00 25,000.00 3/31/2020
Poskesdes Gheogoma 2 Mistar Besi Panjang 12,500.00 25,000.00 3/31/2020
Pustu Watusipi 2 Mistar Besi Pendek 7,500.00 15,000.00 3/31/2020
Pustu Watusipi 1 Map File 60 Sheat 25,000.00 25,000.00 3/31/2020
Pustu Roworena 3 Tinta Print 60,000.00 180,000.00 3/31/2020
Poskesdes Gheogoma 1 Lem Cair 8,000.00 8,000.00 3/31/2020
Pustu Watusipi 4 Tipe Ex 7,500.00 30,000.00 3/31/2020
Poskesdes Gheogoma 2 Tipe Ex 7,500.00 15,000.00 3/31/2020
Pustu Watusipi 20 Spidol Hitam Kecil 2,500.00 50,000.00 3/31/2020
Poskesdes Gheogoma 12 Map Snallhecter Plastik 5,000.00 60,000.00 3/31/2020
Poskesdes Gheogoma 3 Stabilo 7,500.00 22,500.00 3/31/2020
Poskesdes Gheogoma 1 Flakban Bening 15,000.00 15,000.00 3/31/2020
Pustu Watusipi 1 Bantal Stempel 10,000.00 10,000.00 3/31/2020
Pustu Roworena 1 Bantal Stempel 10,000.00 10,000.00 3/31/2020
Pustu Roworena 1 Tinta Stempel 10,000.00 10,000.00 3/31/2020
Bendahara BOK 1 Catridge Hitam 300,000.00 300,000.00 5/16/2020

Bendahara BOK 3 Map Teka 20,000.00 60,000.00 5/16/2020

Bendahara BOK 20 20,000.00 400,000.00 9/26/2020
Tata Usaha 2 20,000.00 40,000.00 9/26/2020
Loket 2 20,000.00 40,000.00 9/30/2020
Apotek 2 20,000.00 40,000.00 9/26/2020
Sikda 2 20,000.00 40,000.00 9/30/2020
Bendahara BOK 1 55,000.00 55,000.00 9/26/2020
Tata Usaha 2 55,000.00 110,000.00 9/26/2020
Pengelola Keswa 1 55,000.00 55,000.00 9/26/2020
Sikda 2 55,000.00 110,000.00 9/30/2020
Pengelola Anak 1 55,000.00 55,000.00 9/30/2020
Pengelola Pis PK 1 55,000.00 55,000.00 9/29/2020
Pengelola PKPR 1 55,000.00 55,000.00 9/29/2020
HVS A4 70 gram -
Bendahara BOK 3 17,500.00 52,500.00 9/26/2020
Pengelola Anak 2 17,500.00 35,000.00 9/30/2020
Tata Usaha 3 20,000.00 60,000.00 9/26/2020
Tata Usaha 2 2,500.00 5,000.00 9/26/2020
Loket 3 2,500.00 7,500.00 9/30/2020
Apotek 2 2,500.00 5,000.00 9/26/2020
Sikda 2 2,500.00 5,000.00 9/30/2020
Pengelola Anak 2 2,500.00 5,000.00 9/30/2020
Apotek 1 10,000.00 10,000.00 9/26/2020
Tata Usaha 2 8,000.00 16,000.00 9/26/2020
Loket 3 8,000.00 24,000.00 9/30/2020
Apotek 1 60,000.00 60,000.00 9/26/2020
Bendahara BOK 1 60,000.00 60,000.00 9/26/2020
Ketua Pokja UKM 1 60,000.00 60,000.00 9/30/2020
Ketua Pokja UKP 1 60,000.00 60,000.00 9/30/2020
Tata Usaha 1 8,000.00 8,000.00 9/26/2020
Apotek 1 20,000.00 20,000.00 9/26/2020
Apotek 1 7,500.00 7,500.00 9/26/2020
Poli Remaja 1 7,500.00 7,500.00 9/30/2020
Tata Usaha 1 60,000.00 60,000.00 9/26/2020
Ketua Pokja UKM 1 60,000.00 60,000.00 9/30/2020
Ketua Pokja UKP 1 60,000.00 60,000.00 9/30/2020
Tata Usaha 1 60,000.00 60,000.00 9/26/2020
Ketua Pokja UKM 1 60,000.00 60,000.00 9/30/2020
Ketua Pokja UKP 1 60,000.00 60,000.00 9/30/2020
Tata Usaha 1 60,000.00 60,000.00 9/26/2020
Ketua Pokja UKM 1 60,000.00 60,000.00 9/30/2020
Ketua Pokja UKP 1 60,000.00 60,000.00 9/30/2020
Sikda 1 105,000.00 105,000.00 9/30/2020
Picare 1 105,000.00 105,000.00 9/28/2020
Picare 1 105,000.00 105,000.00 9/28/2020
Picare 1 105,000.00 105,000.00 9/28/2020
Picare 1 105,000.00 105,000.00 9/28/2020





Program Pneumonia 1
Program PTM 1
Program TB 1
Program Pneumonia 1
Program TB 1
1

IGD 4 Tissue 42,500.00 170,000.00 3/31/2020
IGD 1 Sos Pump 17,500.00 17,500.00 3/31/2020
IGD 2 Sunlight 15,000.00 30,000.00 3/31/2020
IGD 2 Bayclin 17,500.00 35,000.00 3/31/2020
IGD 2 Tissue 42,500.00 85,000.00 5/15/2020

Tata Usaha 1 Sos Refil 15,000.00 15,000.00 5/15/2020
IGD 5/15/2020
Laboratorium 1 Sunligth 12,500.00 12,500.00 5/15/2020
IGD 5/15/2020
Laboratorium 2 Bayclin 20,000.00 40,000.00 5/15/2020
IGD 5/15/2020
Laboratorium 1 Sos Pump 60,000.00 60,000.00 5/15/2020
IGD 5/15/2020
Laboratorium 1 Stella Zak 14,500.00 14,500.00 5/15/2020
IGD 5/15/2020

Ruang ANC 2 40,000.00 80,000.00 9/29/2020
Laboratorium 1 40,000.00 40,000.00 9/29/2020
Tata Usaha 2 40,000.00 80,000.00 9/26/2020
Pustu Roworena 1 40,000.00 40,000.00 9/29/2020
Ruang ANC 2 30,000.00 60,000.00 9/29/2020
Laboratorium 1 30,000.00 30,000.00 9/29/2020
Tata Usaha 2 30,000.00 60,000.00 9/26/2020
Pustu Roworena 1 30,000.00 30,000.00 9/29/2020
Ruang ANC 2 21,000.00 42,000.00 9/29/2020
Laboratorium 1 21,000.00 21,000.00 9/29/2020
Tata Usaha 1 21,000.00 21,000.00 9/26/2020
Pustu Roworena 1 21,000.00 21,000.00 9/29/2020
Ruang ANC 2 20,000.00 40,000.00 9/29/2020
Laboratorium 1 20,000.00 20,000.00 9/29/2020
Pustu Roworena 1 20,000.00 20,000.00 9/29/2020
Poli Gigi 1 20,000.00 20,000.00 9/29/2020
Gheoghoma 1 20,000.00 20,000.00 9/30/2020
Borokanda 1 20,000.00 20,000.00 9/30/2020
Ruang ANC 1 17,500.00 17,500.00 9/29/2020
Laboratorium 1 17,500.00 17,500.00 9/29/2020
Tata Usaha 3 17,500.00 52,500.00 9/26/2020
Pustu Roworena 1 17,500.00 17,500.00 9/29/2020
Poli Gigi 1 17,500.00 17,500.00 9/29/2020
Gheoghoma 1 17,500.00 17,500.00 9/30/2020
Ruang ANC 1 19,000.00 19,000.00 9/29/2020
Laboratorium 2 19,000.00 38,000.00 9/29/2020
Tata Usaha 4 19,000.00 76,000.00 9/26/2020
Poli Gigi 1 19,000.00 19,000.00 9/29/2020
Poli Umum 1 19,000.00 19,000.00 9/30/2020
Ruang ANC 2 22,500.00 45,000.00 9/29/2020
Laboratorium 1 22,500.00 22,500.00 9/29/2020
Tata Usaha 6 22,500.00 135,000.00 9/26/2020
Pustu Roworena 1 22,500.00 22,500.00 9/29/2020
Poli Gigi 1 22,500.00 22,500.00 9/29/2020
Gheoghoma 1 22,500.00 22,500.00 9/30/2020
Poli Umum 1 22,500.00 22,500.00 9/30/2020
Ruang ANC 1 30,000.00 30,000.00 9/29/2020
Laboratorium 1 30,000.00 30,000.00 9/29/2020
Tata Usaha 1 30,000.00 30,000.00 9/26/2020
Pustu Roworena 1 30,000.00 30,000.00 9/29/2020
Poli Umum 1 30,000.00 30,000.00 9/30/2020
Poli Remaja 1 30,000.00 30,000.00 9/30/2020
Poli MTBS 1 30,000.00 30,000.00 9/30/2020
Loket 1 30,000.00 30,000.00 9/30/2020
Ruang ANC 2 17,500.00 35,000.00 9/29/2020
Tata Usaha 2 17,500.00 35,000.00 9/26/2020
Pustu Roworena 1 17,500.00 17,500.00 9/29/2020
Gheoghoma 1 17,500.00 17,500.00 9/30/2020
Pustu Roworena 1 15,000.00 15,000.00 9/29/2020
Gheoghoma 1 15,000.00 15,000.00 9/30/2020
Watusipi 1 15,000.00 15,000.00 9/30/2020
Borokanda 1 15,000.00 15,000.00 9/30/2020
Tata Usaha 1 45,000.00 45,000.00 9/26/2020
Pustu Roworena 1 45,000.00 45,000.00 9/29/2020
Gheoghoma 1 45,000.00 45,000.00 9/30/2020
Ruang Kesling 1 45,000.00 45,000.00 9/30/2020
Tata Usaha 1 32,500.00 32,500.00 9/26/2020
Pustu Roworena 1 32,500.00 32,500.00 9/29/2020
Gheoghoma 1 32,500.00 32,500.00 9/30/2020
Ruang Kesling 1 32,500.00 32,500.00 9/30/2020
Ruang ANC 3 37,500.00 112,500.00 9/29/2020
Laboratorium 2 37,500.00 75,000.00 9/29/2020
Tata Usaha 2 37,500.00 75,000.00 9/26/2020
Ruang ANC 2 4,500.00 9,000.00 9/29/2020
Laboratorium 2 4,500.00 9,000.00 9/29/2020
Tata Usaha 2 4,500.00 9,000.00 9/26/2020
Apotek 2 4,500.00 9,000.00 9/26/2020
Ruang ANC 2 15,000.00 30,000.00 9/29/2020

PUSKESMAS KOTARATU
Periode : JANUARI s/d DESEMBER TAHUN 2020


Asal/Cara Tahun
Chasis/Mesin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
N I H I L

NIP. 19650904 200003 2 003 NIP. 19870425 201101 2 013
PUSKESMAS KOTARATU
Periode : JANUARI s/d DESEMBER TAHUN 2020

Kabupaten Ende
SO AWAL Bulan Januari MUTASI BULAN JANUARI S/D DESEMBER 2020 SALDO AKHIR BULAN DESEMBER 2020
NO NAMA BARANG Keterangan
2020 (Unit/bh/set) Tambah (unit/bh/set) Digunakan (unit/bh/set) unit/bh/set Harga Beli Terakhir (Rp) Jumlah
1 2 3 4 5 6=(3+4)-5 7 8=6x7 9
1 ALAT TULIS KANTOR
Bantal Stempel 0 4 Botol 2 Botol 0 Botol 10,000 0
Tip-Ex 0 12 Botol 6 Botol 0 Botol 7,500 0
Tinta E-Print Merah 0 4 Botol 4 Botol 0 Botol 60,000 0
Tinta E-Print Kuning 0 4 Botol 4 Botol 0 Botol 60,000 0
Tinta E-Print Biru 0 4 Botol 4 Botol 0 Botol 60,000 0
Tinta Print Epson Merah 0 2 Botol 2 Botol 0 Botol 105,000 0
Tinta Print Epson Kuning 0 2 Botol 2 Botol 0 Botol 105,000 0
Tinta Print Epson Biru 0 2 Botol 2 Botol 0 Botol 105,000 0
Catridge Hitam 0 1 Buah 1 Buah 0 Buah 250,000 0
Catridge Warna 0 2 Buah 2 Buah 0 Buah 300,000 0
Kertas Buffalo 0 1 Buah 1 Buah 0 Buah 35,000 0
Mistar Besi Panjang 0 4 Buh 4 Buh 0 Buh 12,500 0
Map File 0 1 Buah 1 Buah 0 Buah 25,000 0
Spidol Tinta Kecil 0 20 Buah 20 Buah 0 Buah 2,500 0
2 PERALATAN KEBERSIHAN DAN BAHAN PEMBERSIH

Tempat Sampah 0 2 Buah 2 Buah 0 Buah 850,000 0
Kresek Biru Besar 0 12 Buah 12 Buah 0 Buah 15,000 0
Bayclin Besar 0 42 Botol 24 Botol 0 Botol 20,000 0
Soklin Lantai Besar 0 10 Botol 10 Botol 0 Botol 17,500 0
Handshop 400 ml 0 17 Botol 17 Botol 0 Botol 22,500 0
Sikat WC 0 5 Buah 5 Buah 0 Buah 15,000 0
Sapu Plastik 0 5 Buah 5 Buah 0 Buah 45,000 0
Serokan 0 5 Buah 5 Buah 0 Buah 32,500 0
Tissue Nice 0 12 Buah 12 Buah 0 Buah 4,500 0
Sos Refiil 0 4 Buah 4 Buah 0 Buah 15,000 0
Sos Pump Besar 0 6 Botol 6 Botol 0 Botol 60,000 0
JUMLAH

NIP. 19650904 200003 2 003 NIP. 19870425 201101 2 013
Catatan :
PUSKESMAS KOTARATU
NIP : 19650904 200003 2 003
2. Nama : Nurjanah
NIP : 19870425 201101 2 013

1 2 3 4 5
1 Alat Tulis Kantor
N IH I L
2 Peralatan Kebersihan dan Bahan Pe,bersih
N I H I L
JUMLAH
Mengetahui :

NIP. 19650904 200003 2 003
ENDE
TU
o.02
AME) PERSEDIAAN
020
ini :
ai berikut :
KONDISI
B RR RB
6 7 8 9 10
Nurjanah
NIP. 19870425 201101 2 013
DINAS KESEHATAN
KABUPATEN ENDE

PUSKESMAS KOTARATU
Pada hari ini Rabu Tanggal Tiga Puluh Bulan Desember Tahun Dua Ribu Dua Puluh, bertempat di Aset Keuangan Dinas
1. Nama : Nurjanah
NIP : 19870425 201101 2 013

NIP : 19750708 199903 2 002
Januari 2020 Tambah Kurang 30 Desember 2020
1 2 3 4 5 6=3+4-5
A. ASET LANCAR
1. Persediaan
1. Nurjanah Pengurus Barang Pembantu .....................................
2. V.E.Sisilia Mbulu, S.Sos Pengurus Barang Pengguna .....................................
Mengetahui :

NIP. 19650904 200003 2 003

Laporan Semester Aset Apbd Tahun 2020

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BUKU PENERIMAAN BARANG

Nota Pesanan / SPK

9/25/2020 CV.Maranatha Permai 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020 Hecter Kangaro 2020 2 15,000.00

CV.Maranatha Permai 226/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020 Map Teka Kingco 2020 4 20,000.00

1 5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Tissue Multi 2020 4 42,500.00

5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Sunligth Sunlight 2020 2 12,500.00

5/14/2020 CV.Maranatha Permai 46/01.AST/NP/PKM.KR/V/2020 5/13/2020 Bayclin Bayclin 2020 4 20,000.00

9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Bayclin Bayclin 2020 24 20,000.00

9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 So klin So klin 2020 10 17,500.00

9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Pembersih Wc Vixal 2020 12 17,500.00

9/25/2020 CV.Maranatha Permai 161/01.AST/NP-ABP/PKM.KR/IX/2020 9/23/2020 Sunlight Sunlight 2020 10 15,000.00

Bukti Pemeriksaan Bukti Penerimaan

440,000 02/01.AST/BAP/BRGJS-ATK/PKM.KR/III/2020 3/30/2020 03/01/AST/BAP/BAST-ATK/PKM.KR/III/2020 3/30/2020 GU `1 1

300,000 57/01.AST/BAP/BRGJS-ATK/PKM.KR/V/2020 5/14/2020 58/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 5/14/2020 GU 2 39

170,000.00 47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/14/2020 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020 5/14/2020 GU 2

60,000.00 47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/14/2020 48/01/AST/BAP/BAST-ATK/PKM.KR/V/2020 5/14/2020 GU 2

25,000.00 47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/14/2020 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020 5/14/2020 GU 2

80,000.00 47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/14/2020 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020 5/14/2020 GU 2

360,000.00 47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/14/2020 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020 5/14/2020 GU 2

87,000.00 47/01.AST/BAP/BRGJS-BHP/PKM.KR/V/2020 5/14/2020 48/01/AST/BAP/BAST-BHP/PKM.KR/V/2020 5/14/2020 GU 2

5/14/2020 39 Catridge Hitam 1 300,000.00 300,000.00 Bendahara BOK 59/01.AST/SP/PKM.KR/V/2020 5/16/2020

9/25/2020 1 Map Teka 2 20,000.00 40,000.00 Persalinan 170/01.AST/SP.ATK/PKM.KR/IX/2020 9/28/2020

1 HVS F4 70 gram 12 55,000.00 660,000.00 Tim Manajemen 236 /01.AST/SP.ATK/PKM.KR/XI/2020 11/19/2020

1 HVS F4 70 gram 7 55,000.00 385,000.00 Program Promkes 237 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020

1 HVS F4 70 gram 6 55,000.00 330,000.00 Program Kesjaor 238 /01.AST/SP.ATK/PKM.KR/XI/2020 11/21/2020

1 HVS F4 70 gram 1 55,000.00 55,000.00 Program PTM 239 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020

1 HVS F4 70 gram 2 55,000.00 110,000.00 Program KIA 244 /01.AST/SP.ATK/PKM.KR/XI/2020 11/24/2020

1 HVS F4 70 gram 5 55,000.00 275,000.00 Program Kesling 245 /01.AST/SP.ATK/PKM.KR/XI/2020 11/20/2020

5/14/2020 Tissue 2 42,500.00 85,000.00 IGD 50/01.AST/SP/PKM.KR/V/2020 5/15/2020

11/18/2020 1 Tempat Sampah 2 32,500.00 65,000.00 Ruang Persalinan 235/01.AST/SP.ABP/PKM.KR/XI/2020 11/19/2020

30/032020 HVS A4 70 gram Sidu 2020 5 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Catridger Hitam Canon 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Map Snallhecter Kertas Kiky 2020 900 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Box File Kiky 2020 16 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Buku Folio 100 Lembar 2020 15 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Buku Folio 200 Lembar 2020 3 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Spidol Permanent Snowman 2020 36 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Pelubang Kertas ZRM 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Isi Hecter 2020 3 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Balpoint Hitam Snowman 2020 20 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Mistar Besi Panjang Veota 2020 2 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

3/30/2020 Tinta Stempel Biru Pyramid 2020 1 01/01.AST/NP/PKM.KR/III/2020 3/28/2020

1 5/14/2020 Catridge Hitam Canon 2020 1 56/01.AST/NP/PKM.KR/V/2020 5/13/2020

1 9/25/2020 Map Teka Kingco 2020 33 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/25/2020 HVS A4 70 gram Sidu 2020 15 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/25/2020 Bantal Stempel Joyko 2020 2 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/25/2020 Spidol Permanent Snowman 2020 6 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/25/2020 Lem Cair Gluvinal 2020 4 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/25/2020 Tinta Stempel Biru Pyramid 2020 2 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/25/2020 Hecter 2020 2 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/25/2020 Flakban Hitam Besar Sanko 2020 2 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/25/2020 Tinta E-Print Merah Canon 2020 4 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/25/2020 Tinta E-Print Kuning Canon 2020 4 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/25/2020 Tinta E-Print Biru Canon 2020 4 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/25/2020 Tinta Print EpsonHitam Epson 2020 4 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/25/2020 Tinta Print Epson Merah Epson 2020 2 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/25/2020 Tinta Print Epson Biru Epson 2020 2 158/01.AST/NP-ATK/PKM.KR/IX/2020 9/23/2020

9/30/2020 Lem Cair Gluvinal 2020 2 161/01.AST/NP-ATK/PKM.KR/IX/2020 2909/2020

1 9/25/2020 HVS F4 70 gram Sidu 2020 12 217/01.AST/NP-ATK/PKK.KR/2020 11/16/2020

2 11/18/2020 HVS F4 70 gram Sidu 2020 7 220/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020

3 11/18/2020 HVS F4 70 gram Sidu 2020 6 223/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020

3 11/18/2020 HVS F4 70 gram Sidu 2020 3 226/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020

11/18/2020 Map Teka Kingco 2020 4 226/01.AST/NP-ATK/PKM.KR/XI/2020 11/16/2020