REKAP STOK BMHP DARI DINAS PERIOD

Stok Awal
No Nama Sumber Dana Satuan Harga Lama Harga Baru
Jml Rp
1 Alat Suntik Sekali pakai 0,5 ml DAK APBN 0 0 - 1,190.00
2 Alat Suntik Sekali pakai 1 ml DAK PCS 1,502.48 73 109,681.39 965.00
3 Alat Suntik Sekali pakai 3 ml DBHCHT PCS 650.00 518 336,700.00 681.00
4 Alat Suntik Sekali pakai 5 ml APBN PCS 390.40 500 195,200.00 1,460.00
5 Alkohol 70% 1000ml DAK BOTOL 22,241.00 117 2,602,197.00 -
6 Alkohol swabs 100PCS/BX APBN PCS 150.00 1200 180,000.00 79.00
7 Aqua Pro Injeksi 25 mL DAU MANDATORY VIAL 2,860.00 170 486,200.00 2,700.00
8 ASEPTIK GEL 5LT DAK GALON 228,000.00 32 7,296,000.00 -
9 ASEPTIK GEL 500 cc DAK BOTOL 60,170.00 49 2,948,330.00 -
Aseptic Gel (Ethyl Alkohol 70%) + Dispenser / cairan DAK BOTOL - 0 - -
10 pembersih tangan
11 BAJU APD (DISPOSABLE PROTECTIVE COVER DANA BANTUAN TIDAK PCS 90,000.00 200 18,000,000.00 -
ALL)/HAZMAT TERDUGA
12 BAYCLIN DAK BOTOL - 0 - -
BRACKET ABS (CANTOLAN HAND SCRUB / ASEPTAN DAK PCS 0 - -
13 GEL) 0
14 CatGut Cromic 2/0+jarum 1/2 GT DAK PCS 5,000.00 72 360,000.00 5,000.00
15 COVID Ag Test APBN KIT 80,337.00 24 1,928,088.00 -
16 FACE SHIELD (MIKA) DAK PCS 0 0 - -
17 FACE SHIELD (HELM) DAK PCS - 0 - -
18 FOLLEY CATHETER 2 WAY NO. 16 DAK PCS - 0 - 9,680.00
19 FOLLEY CATHETER 2 WAY NO. 18 DAK PCS 0 - -
20 (Examination gloves size S)Hand Schoen non Steril Free DAU MANDATORY PCS 0 - 744.00
Powder ukuran S 0
21 (Examination gloves size M)Hand Schoen non Steril DAU MANDATORY PCS - 0 - 744.00
Free Powder ukuran M
(Examination gloves size L) hand schoen non steril free DANA BANTUAN TIDAK PCS - 0 - -
22 powder ukuran L TERDUGA
23 Hand Schoen steril ukuran 6,5 DAK PASANG 0 0 - -
24 Hand Schoen steril ukuran 7 DAK PASANG - 0 - 8,880.00
25 Hand Schoen steril ukuran 7.5 DAK PASANG - 0 - -
26 Hand Schoen ukuran S/M/L DAK PCS 0 0 - -
27 HAND SANITIZER DAK BOTOL 65,340.00 34 2,221,560.00 30,000.00
28 INFUSION SET DEWASA DAK PCS 8,596.00 127 1,091,692.00 8,596.00
29 I.V Catether No.18 DAK PCS - 0 - 6,270.00
30 I.V Catether No.20 GFK PCS 5,500.00 185 1,017,500.00 6,270.00
31 I.V Catether No.22 GFK PCS - 0 - 6,270.00
32 I.V Catether No.24 GFK PCS - 0 - 6,270.00
33 KANTONG JENAZAH GFK PCS 0 0 - -
34 Kapas Berlemak 500 gram GFK ROLL 17,250.00 3 51,750.00 -
35 Kapas Pembalut 250 gram PKD STOK OPNAME ROLL 12,500.00 69 862,500.00 -
36 KARBOL LIQUID DAK PCS 12,500.00 84 1,050,000.00 -
37 Kasa Hidrofil 16x16cm DBHCHT KOTAK 6,200.00 83 514,600.00 4,600.00
38 Kasa Pembalut 40yardx80cm (potong) DAK ROLL 135,000.00 8 1,080,000.00 135,000.00
39 KASA HYDROFIL 4 M X 15 CM GFK ROLL 2100 10 21,000.00 2,100.00
LARUTAN DESINFEKTAN (ALKOHOL CAIRAN HIBAH BOTOL 0 - -
40 0
DESINFECTANT 70%)
41 MASKER KARET (EARLOOP) DAK NON FISIK PCS 717.87643020595 15295 10,979,920.00 -
42 MASKER HIJAB (HEADLOOP) DAK PCS 0 0 - -
43 MASKER (TALI) (TIES ON) DAK PCS - 0 - -
44 MASKER KN95 DAK PCS - 0 - -
45 MASKER N95 APBN PCS 18,717.91 740 13,851,250.00 -
46 Masker Plus (Masker bisa di telinga dan ikat) DAK PCS - 0 - -
47 Nasal CANULA Adult / Dewasa DAK PACK - 0 -
48 Nasal CANULA Child / Anak DAK PACK 5,082.00 15 76,230.00 -
DBHCHT PCS 0 - -
49 0
PLAIN CATGUT WITH NEEDLE SURGICAL SUTURES 2/0
50 PLESTER ADHESIVE NON WOVEN FABRIC 10CM X 5M DAK ROLL 41,360.00 1 41,360.00 41,360.00

51 PLESTER ADHESIVE NON WOVEN FABRIC 5CM X 5M DAK ROLL - 0 - -

 Stok Awal
No Nama Sumber Dana Satuan Harga Lama Harga Baru
Jml Rp
52 POVIDONE IODINE 10% 300ML DAU MANDATORY BOTOL 0 0 - 76,794.00
53 POVIDONE IODINE 10% 30ML DBHCHT BOTOL 2,800.00 6 16,800.00 3,200.00
54 DAK PCS 826.00 600 495,600.00 826.00
POWDERED EXAMINATION GLOVES SIZE L
55 SAFETY BOX 5 LITER APBN PCS - 0 56.00 11,289.00
56 SEPATU BOOT GFK PASANG - 0 - -
57 STYROFOAM GFK PCS - 0 - -
58 UNDERPAD GFK PCS 3,300.00 190 627,000.00 -
68,441,214.39

MENGETAHUI
KEPALA PUSKESMAS

dr. RETNOWULAN PRAWITOSARI

NIP 19691002 200212 2 002
DINAS PERIODE 01-01-2023 s/d 31-12-2023

Pengeluaran
Penerimaan Stok Akhir
Lama Baru Total
Jml Rp Jml Rp Jml Rp Jml Rp Jml Rp
800 952,000.00 0 - 800 952,000.00 800 952,000.00 0 -
400 386,000.00 73 109,681.39 243 234,495.00 316 344,176.39 157 151,505.00
6200 4,222,200.00 518 336,700.00 5800 3,949,800.00 6318 4,286,500.00 400 272,400.00
6300 9,198,000.00 500 195,200.00 5600 8,176,000.00 6100 8,371,200.00 700 1,022,000.00
0 - 41 911,881.00 0 - 41 911,881.00 76 1,690,316.00
6600 521,400.00 1200 180,000.00 3800 300,200.00 5000 480,200.00 2800 221,200.00
698 1,884,600.00 170 486,200.00 683 1,844,100.00 853 2,330,300.00 15 40,500.00
0 - 4 912,000.00 0 - 4 912,000.00 28 6,384,000.00
0 - 49 2,948,330.00 0 - 49 2,948,330.00 0 -
0 - 0 - 0 - 0 - 0 -

0 - 0 - 0 - 0 - 200 18,000,000.00

0 - 0 - 0 - 0 - 0 -
0 - 0 - 0 - 0 - 0 -

48 240,000.00 72 360,000.00 0 - 72 360,000.00 48 240,000.00

0 - 24 1,928,088.00 0 - 24 1,928,088.00 0 -
0 - 0 - 0 - 0 - 0 -
0 - 0 - 0 - 0 - 0 -
90 871,200.00 0 - 71 687,280.00 71 687,280.00 19 183,920.00
0 - 0 - 0 - 0 - 0 -
5000 3,720,000.00 0 - 3900 2,901,600.00 3900 2,901,600.00 1100 818,400.00

14000 10,416,000.00 0 - 13200 9,820,800.00 13200 9,820,800.00 800 595,200.00

0 - 0 - 0 - 0 - 0 -

0 - 0 - 0 - 0 - 0 -
600 5,328,000.00 0 - 550 4,884,000.00 550 4,884,000.00 50 444,000.00
0 - 0 - 0 - 0 - 0 -
0 - 0 - 0 - 0 - 0 -
20 600,000.00 34 2,221,560.00 8 240,000.00 42 2,461,560.00 12 360,000.00
634 5,449,864.00 127 1,091,692.00 520 4,469,920.00 647 5,561,612.00 114 979,944.00
300 1,881,000.00 0 - 80 501,600.00 80 501,600.00 220 1,379,400.00
50 313,500.00 150 825,000.00 0 - 150 825,000.00 85 506,000.00
268 1,680,360.00 0 - 118 739,860.00 118 739,860.00 150 940,500.00
250 1,567,500.00 0 - 200 1,254,000.00 200 1,254,000.00 50 313,500.00
0 - 0 - 0 - 0 - 0 -
0 - 0 - 0 - 0 - 3 51,750.00
0 - 45 562,500.00 0 - 45 562,500.00 24 300,000.00
0 - 29 362,500.00 0 - 29 362,500.00 55 687,500.00
150 690,000.00 83 514,600.00 133 611,800.00 216 1,126,400.00 17 78,200.00
1 135,000.00 7 945,000.00 0 - 7 945,000.00 2 270,000.00
70 147,000.00 10 21,000.00 24 50,400.00 34 71,400.00 46 96,600.00
0 - 0 - 0 - 0 - 0 -

0 - 3595 2,580,765.77 0 - 3595 2,580,765.77 11700 8,399,154.23

0 - 0 - 0 - 0 - 0 -
0 - 0 - 0 - 0 - 0 -
0 - 0 - 0 - 0 - 0 -
0 - 300 5,615,371.62 0 - 300 5,615,371.62 440 8,235,878.38
0 - 0 - 0 - 0 - 0 -
- - - 0 - 0 -
0 - 0 - 0 - 0 - 15 76,230.00
0 - 0 - 0 - 0 - 0 -

70 2,895,200.00 1 41,360.00 44 1,819,840.00 45 1,861,200.00 26 1,075,360.00

0 - 0 - 0 - 0 - 0 -
 Pengeluaran
Penerimaan Stok Akhir
Lama Baru Total
Jml Rp Jml Rp Jml Rp Jml Rp Jml Rp
21 1,612,674.00 0 - 15 1,151,910.00 15 1,151,910.00 6 460,764.00
50 160,000.00 6 16,800.00 50 160,000.00 56 176,800.00 0 -
1000 826,000.00 600 495,600.00 1000 826,000.00 1600 1,321,600.00 0 -

177 1,998,153.00 0 - 114 1,286,946.00 114 1,286,946.00 63 711,263.00

0 - 0 - 0 - 0 - 0 -
0 - 0 - 0 - 0 - 0 -
0 - 110 363,000.00 0 - 110 363,000.00 80 264,000.00
57,695,651.00 70,887,380.78 55,249,484.61

Madiun, 31 Desember 2023

Pelaksana Stok Opname

1. Nama : DEWI PERMANASARI,S.Farm.,Apt ………………….

NIP : 19920801 202012 2 012

3. Nama : MARTINI, A.Md.Farm

NIP : 19770409 200501 2 010 …………………..

…………………..
 DAFTAR MUTASI PERSEDIAAN BMHP DINAS KESEH
UPT PUSKESMAS BALEREJO

Saldo
Penambahan 2022 ( Rp ) Jumlah ( Rp )
31 Desember 2021 (Rp)
68,441,214.39 57,695,651.00 126,136,865.39

MENGETAHUI
KEPALA PUSKESMAS

dr. RETNOWULAN PRAWITOSARI

NIP 19691002 200212 2 002
PERSEDIAAN BMHP DINAS KESEHATAN
T PUSKESMAS BALEREJO

Saldo
Pengurangan ( Rp )
30 November 2022 (Rp)
70,887,380.78 55,249,484.61

PENYUSUN LAPORAN

DEWI PERMANASARI,S.Farm.,Apt
NIP 19920801 202012 2 012