BUKU PENGELUARAN BARANG PERSEDIAAN

BULAN : APRIL
TAHUN : 2022

TANGG
SUMBER
AL KODE
NO NO. SBBK NAMA BARANG SATUAN ID BARANG ANGGARA
KELUA BARANG
N
R
2 1 906/BBK-P/4/2022 G116 Vaksin Covid-19 MODERNA Vial @10 DosG116P2022 PROVINSI
25 4 929/BBK-L/4/2022 A15 Antasida Doen tab Tablet A15A2021 APBD
4 929/BBK-L/4/2022 A23 Asam Askorbat tab 50 mg tab Tablet A23D2021 DAK
4 929/BBK-L/4/2022 A26 Asetilsistein 200 mg Tablet A26D2021 DAK
4 929/BBK-L/4/2022 A80 Hidrokortison salep kulit Tube A80D2021 DAK
4 929/BBK-L/4/2022 A82 Ibuprofen tab 200 mg Tablet A82D2021 DAK
4 929/BBK-L/4/2022 A88 Kalsium Laktat tab 500 mg Tablet A88D2021 DAK
4 929/BBK-L/4/2022 A98 Klorafeniramin ( CTM ) tab Tablet A98D2020 DAK
4 929/BBK-L/4/2022 A102 Kloramfenikol tetes telinga Botol A102D2021 DAK
4 929/BBK-L/4/2022 A121 Metilprednisolon 4 Tablet A121D2021 DAK
4 929/BBK-L/4/2022 A122 Metronidazol tab 500 mg Tablet A122D2021 DAK
4 929/BBK-L/4/2022 A155 Parasetamol tab 500 mg Tablet A155A2021 APBD
4 929/BBK-L/4/2022 A161 Prednison tab 5 mg Tablet A161D2021 DAK
4 929/BBK-L/4/2022 D5 Alat suntik 2,5 ml / 3ml Biji D5D2020 DAK
4 929/BBK-L/4/2022 D14 Hand Scoen Biji D14D2021 DAK
4 929/BBK-L/4/2022 G90 Piroksikam tab 20 mg Tablet G90D2021 DAK
4 929/BBK-L/4/2022 G10 Metronodazole Infus 5mg Botol G10P2022 PROVINSI
4 929/BBK-L/4/2022 A41 Diazepam inj. 5mg/2ml Ampul A41P2022 PROVINSI
4 929/BBK-L/4/2022 A146 Oksitocin 10mg/ml inj Ampul A146P2022 PROVINSI
4 929/BBK-L/4/2022 A33 Besi II Sulfat Tablet + asam folat Tablet A33P2022 PROVINSI
4 929/BBK-L/4/2022 A33 Besi II Sulfat Tablet + asam folat Tablet A33P2022 PROVINSI
52 6 956/BBK-P/4/2022 G116 Vaksin Covid-19 MODERNA Vial @10 DosG116P2022 PROVINSI
6 956/BBK-P/4/2022 G97 Vaksin Covid-19 Pfizer Vial @6 DosiG97P2022 PROVINSI
6 956/BBK-P/4/2022 G98 ADS 0,3 ml Biji G98P2022 PROVINSI
6 956/BBK-P/4/2022 G99 Disposable Syringe (ADS) 3 ml Biji G99P2021 PROVINSI
6 956/BBK-P/4/2022 G100 Nacl 0,9% 10 ml Ampul G100P2022 PROVINSI
6 956/BBK-P/4/2022 G56 Alkohol Swab Box G56A32021 APBD
53 6 957/BBK-P/4/2022 F1 BCG + Pelarut Ampul F1P2022 PROVINSI
6 957/BBK-P/4/2022 F3 DPT-HB-Hib Vial F3P2022 PROVINSI
86 11 990/BBK-P/4/2022 G92 Vaksin Covid-19 SINOVAC Vial @2 DosiG92P2022 PROVINSI
11 990/BBK-P/4/2022 G97 Vaksin Covid-19 Pfizer Vial @6 DosiG97P2022 PROVINSI
11 990/BBK-P/4/2022 G98 ADS 0,3 ml Biji G98P2022 PROVINSI
11 990/BBK-P/4/2022 G99 Disposable Syringe (ADS) 3 ml Biji G99P2021 PROVINSI
11 990/BBK-P/4/2022 G100 Nacl 0,9% 10 ml Ampul G100P2022 PROVINSI
11 990/BBK-P/4/2022 G56 Alkohol Swab Box G56A32021 APBD
144 14 1048/BBK-P/4/2022 G97 Vaksin Covid-19 Pfizer Vial @6 DosiG97P2022 PROVINSI
14 1048/BBK-P/4/2022 G98 ADS 0,3 ml Biji G98P2022 PROVINSI
14 1048/BBK-P/4/2022 G99 Disposable Syringe (ADS) 3 ml Biji G99P2021 PROVINSI
14 1048/BBK-P/4/2022 G100 Nacl 0,9% 10 ml Ampul G100P2022 PROVINSI
14 1048/BBK-P/4/2022 G56 Alkohol Swab Box G56A32021 APBD
190 19 1094/BBK-P/4/2022 G121 Vaksin Covid-19 KconecaVac CHAD Vial @10 DosG121P2022 PROVINSI
 19 1094/BBK-P/4/2022 D2 ADS 0,5 ml Biji D2P2022 PROVINSI
19 1094/BBK-P/4/2022 G56 Alkohol Swab Box G56A32021 APBD
230 22 1134/BBK-P/4/2022 G121 Vaksin Covid-19 KconecaVac CHAD Vial @10 DosG121P2022 PROVINSI
22 1134/BBK-P/4/2022 G97 Vaksin Covid-19 Pfizer Vial @6 DosiG97R2022 RETUR
240 25 1144/BBK-P/4/2022 G97 Vaksin Covid-19 Pfizer Vial @6 DosiG97P2022 PROVINSI
25 1144/BBK-P/4/2022 G98 ADS 0,3 ml Biji G98P2022 PROVINSI
25 1144/BBK-P/4/2022 G99 Disposable Syringe (ADS) 3 ml Biji G99P2021 PROVINSI
25 1144/BBK-P/4/2022 G100 Nacl 0,9% 10 ml Ampul G100P2022 PROVINSI
25 1144/BBK-P/4/2022 G56 Alkohol Swab Box G56A32021 APBD
243 25 1147/BBK-P/4/2022 F1 BCG + Pelarut Ampul F1P2022 PROVINSI
25 1147/BBK-P/4/2022 F3 DPT-HB-Hib Vial F3P2022 PROVINSI
25 1147/BBK-P/4/2022 F9 Polio IPV Vial F9P2022 PROVINSI
25 1147/BBK-P/4/2022 F8 Polio bOPV + Dropper Vial F8P2022 PROVINSI
287 28 1191/BBK-P/4/2022 F5 HBIG ( Hiperhep-B ) Syringe @ 0,F5P2021 PROVINSI
KODE TAHUN
HARGA KODE SUB KELUAR TANGGAL JENIS
ANGGARA PEROLEHA JUMLAH JUMLAH HARGA
SATUAN UNIT UNTUK TERIMA BARANG
N N

P 2022 5 0.00 0.00 P16 Puskesmas T 1 VAKSIN

A 2021 1,000 54.00 54,000.00 P16 Puskesmas T 4 OBAT
D 2021 1,000 42.00 42,000.00 P16 Puskesmas T 4 OBAT
D 2021 240 301.00 72,240.00 P16 Puskesmas T 4 OBAT
D 2021 24 2,325.00 55,800.00 P16 Puskesmas T 4 OBAT
D 2021 500 304.00 152,000.00 P16 Puskesmas T 4 OBAT
D 2021 2,000 60.00 120,000.00 P16 Puskesmas T 4 OBAT
D 2020 2,000 23.00 46,000.00 P16 Puskesmas T 4 OBAT
D 2021 25 7,583.00 189,575.00 P16 Puskesmas T 4 OBAT
D 2021 200 102.00 20,400.00 P16 Puskesmas T 4 OBAT
D 2021 500 284.00 142,000.00 P16 Puskesmas T 4 OBAT
A 2021 5,200 198.00 1,029,600.00 P16 Puskesmas T 4 OBAT
D 2021 1,000 68.00 68,000.00 P16 Puskesmas T 4 OBAT
D 2020 200 924.00 184,800.00 P16 Puskesmas T 4 PERBEKES
D 2021 1,000 1,207.60 1,207,600.00 P16 Puskesmas T 4 PERBEKES
D 2021 300 309.00 92,700.00 P16 Puskesmas T 4 OBAT
P 2022 19 5,885.00 111,815.00 P16 Puskesmas T 4 OBAT
P 2022 15 1,545.00 23,175.00 P16 Puskesmas T 4 OBAT
P 2022 62 1,126.00 69,812.00 P16 Puskesmas T 4 OBAT
P 2022 20,490 226.00 4,630,740.00 P16 Puskesmas T 4 OBAT
P 2022 47,500 226.00 10,735,000.00 P16 Puskesmas T 4 OBAT
P 2022 1 0.00 0.00 P16 Puskesmas T 6 VAKSIN
P 2022 10 0.00 0.00 P16 Puskesmas T 6 VAKSIN
P 2022 120 1,255.00 150,600.00 P16 Puskesmas T 6 PERBEKES
P 2021 10 569.00 5,690.00 P16 Puskesmas T 6 PERBEKES
P 2022 10 3,280.00 32,800.00 P16 Puskesmas T 6 OBAT
A3 2021 2 12,600.00 25,200.00 P16 Puskesmas T 6 PERBEKES
P 2022 5 97,780.00 488,900.00 P16 Puskesmas T 6 VAKSIN
P 2022 30 85,103.00 2,553,090.00 P16 Puskesmas T 6 VAKSIN
P 2022 5 0.00 0.00 P16 Puskesmas T 11 VAKSIN
P 2022 10 0.00 0.00 P16 Puskesmas T 11 VAKSIN
P 2022 120 1,255.00 150,600.00 P16 Puskesmas T 11 PERBEKES
P 2021 10 569.00 5,690.00 P16 Puskesmas T 11 PERBEKES
P 2022 10 3,280.00 32,800.00 P16 Puskesmas T 11 OBAT
A3 2021 2 12,600.00 25,200.00 P16 Puskesmas T 11 PERBEKES
P 2022 34 0.00 0.00 P16 Puskesmas T 14 VAKSIN
P 2022 400 1,255.00 502,000.00 P16 Puskesmas T 14 PERBEKES
P 2021 34 569.00 19,346.00 P16 Puskesmas T 14 PERBEKES
P 2022 34 3,280.00 111,520.00 P16 Puskesmas T 14 OBAT
A3 2021 4 12,600.00 50,400.00 P16 Puskesmas T 14 PERBEKES
P 2022 6 0.00 0.00 P16 Puskesmas T 19 VAKSIN
P 2022 100 1,165.00 116,500.00 P16 Puskesmas T 19 PERBEKES
A3 2021 1 12,600.00 12,600.00 P16 Puskesmas T 19 PERBEKES
P 2022 6 0.00 0.00 P16 Puskesmas T 22 VAKSIN
R 2022 10 0.00 0.00 P16 Puskesmas T 22 VAKSIN
P 2022 15 0.00 0.00 P16 Puskesmas T 25 VAKSIN
P 2022 180 1,255.00 225,900.00 P16 Puskesmas T 25 PERBEKES
P 2021 15 569.00 8,535.00 P16 Puskesmas T 25 PERBEKES
P 2022 15 3,280.00 49,200.00 P16 Puskesmas T 25 OBAT
A3 2021 2 12,600.00 25,200.00 P16 Puskesmas T 25 PERBEKES
P 2022 10 97,780.00 977,800.00 P16 Puskesmas T 25 VAKSIN
P 2022 40 85,103.00 3,404,120.00 P16 Puskesmas T 25 VAKSIN
P 2022 40 158,994.00 6,359,760.00 P16 Puskesmas T 25 VAKSIN
P 2022 10 21,494.00 214,940.00 P16 Puskesmas T 25 VAKSIN
P 2021 1 1325000 1,325,000.00 P16 Puskesmas T 28 VAKSIN
35,920,648.00
35,920,648.00
BUKU PENGELUARAN BARANG PERSEDIAAN
BULAN : APRIL
TAHUN : 2022

TANG
KODE SUMBER
GAL
NO NO. SBBK BARAN NAMA BARANG SATUAN ID BARANG ANGGARA
KELUA
G N
R
25 4 929/BBK-L/4/2022 A15 Antasida Doen tab Tablet A15A2021 APBD
4 929/BBK-L/4/2022 A23 Asam Askorbat tab 50 mg tab Tablet A23D2021 DAK
4 929/BBK-L/4/2022 A26 Asetilsistein 200 mg Tablet A26D2021 DAK
4 929/BBK-L/4/2022 A80 Hidrokortison salep kulit Tube A80D2021 DAK
4 929/BBK-L/4/2022 A82 Ibuprofen tab 200 mg Tablet A82D2021 DAK
4 929/BBK-L/4/2022 A88 Kalsium Laktat tab 500 mg Tablet A88D2021 DAK
4 929/BBK-L/4/2022 A98 Klorafeniramin ( CTM ) tab Tablet A98D2020 DAK
4 929/BBK-L/4/2022 A102 Kloramfenikol tetes telinga Botol A102D2021 DAK
4 929/BBK-L/4/2022 A121 Metilprednisolon 4 Tablet A121D2021 DAK
4 929/BBK-L/4/2022 A122 Metronidazol tab 500 mg Tablet A122D2021 DAK
4 929/BBK-L/4/2022 A155 Parasetamol tab 500 mg Tablet A155A2021 APBD
4 929/BBK-L/4/2022 A161 Prednison tab 5 mg Tablet A161D2021 DAK
4 929/BBK-L/4/2022 D5 Alat suntik 2,5 ml / 3ml Biji D5D2020 DAK
4 929/BBK-L/4/2022 D14 Hand Scoen Biji D14D2021 DAK
4 929/BBK-L/4/2022 G90 Piroksikam tab 20 mg Tablet G90D2021 DAK
4 929/BBK-L/4/2022 G10 Metronodazole Infus 5mg Botol G10P2022 PROVINSI
4 929/BBK-L/4/2022 A41 Diazepam inj. 5mg/2ml Ampul A41P2022 PROVINSI
4 929/BBK-L/4/2022 A146 Oksitocin 10mg/ml inj Ampul A146P2022 PROVINSI
4 929/BBK-L/4/2022 A33 Besi II Sulfat Tablet + asam folat Tablet A33P2022 PROVINSI
4 929/BBK-L/4/2022 A33 Besi II Sulfat Tablet + asam folat Tablet A33P2022 PROVINSI
KODE TAHUN
HARGA JUMLAH KODE SUB KELUAR TANGGAL JENIS
ANGGARA PEROLEHA JUMLAH
SATUAN HARGA UNIT UNTUK TERIMA BARANG
N N

A 2021 1,000 54.00 54,000.00 P16 Puskesmas Tano 4 OBAT

D 2021 1,000 42.00 42,000.00 P16 Puskesmas Tano 4 OBAT
D 2021 240 301.00 72,240.00 P16 Puskesmas Tano 4 OBAT
D 2021 24 2,325.00 55,800.00 P16 Puskesmas Tano 4 OBAT
D 2021 500 304.00 152,000.00 P16 Puskesmas Tano 4 OBAT
D 2021 2,000 60.00 120,000.00 P16 Puskesmas Tano 4 OBAT
D 2020 2,000 23.00 46,000.00 P16 Puskesmas Tano 4 OBAT
D 2021 25 7,583.00 189,575.00 P16 Puskesmas Tano 4 OBAT
D 2021 200 102.00 20,400.00 P16 Puskesmas Tano 4 OBAT
D 2021 500 284.00 142,000.00 P16 Puskesmas Tano 4 OBAT
A 2021 5,200 198.00 1,029,600.00 P16 Puskesmas Tano 4 OBAT
D 2021 1,000 68.00 68,000.00 P16 Puskesmas Tano 4 OBAT
D 2020 200 924.00 184,800.00 P16 Puskesmas Tano 4 PERBEKES
D 2021 1,000 1,207.60 1,207,600.00 P16 Puskesmas Tano 4 PERBEKES
D 2021 300 309.00 92,700.00 P16 Puskesmas Tano 4 OBAT
P 2022 19 5,885.00 111,815.00 P16 Puskesmas Tano 4 OBAT
P 2022 15 1,545.00 23,175.00 P16 Puskesmas Tano 4 OBAT
P 2022 62 1,126.00 69,812.00 P16 Puskesmas Tano 4 OBAT
P 2022 20,490 226.00 4,630,740.00 P16 Puskesmas Tano 4 OBAT
P 2022 47,500 226.00 10,735,000.00 P16 Puskesmas Tano 4 OBAT
BUKU PENGELUARAN BARANG PERSEDIAAN
BULAN : APRIL
TAHUN : 2022

I
D
TANGG
KODE BSUMBER KODE TAHUN
AL
NO NO. SBBK BARAN NAMA BARANG SATUAN AANGGARA ANGG PEROLE
KELUA
G RN ARAN HAN
R
A
N
G

2 1 906/BBK-P/4/2022 G116 Vaksin Covid-19 MODERNA Vial @10 DosiG116P2022

PROVINSI P 2022
52 6 956/BBK-P/4/2022 G116 Vaksin Covid-19 MODERNA Vial @10 DosiG116P2022
PROVINSI P 2022
6 956/BBK-P/4/2022 G97 Vaksin Covid-19 Pfizer Vial @6 Dosis G97P2022
PROVINSI P 2022
6 956/BBK-P/4/2022 G98 ADS 0,3 ml Biji G98P2022
PROVINSI P 2022
6 956/BBK-P/4/2022 G99 Disposable Syringe (ADS) 3 ml Biji G99P2021
PROVINSI P 2021
6 956/BBK-P/4/2022 G100 Nacl 0,9% 10 ml Ampul G100P2022
PROVINSI P 2022
6 956/BBK-P/4/2022 G56 Alkohol Swab Box G56A32021
APBD A3 2021
53 6 957/BBK-P/4/2022 F1 BCG + Pelarut Ampul F1P2022
PROVINSI P 2022
6 957/BBK-P/4/2022 F3 DPT-HB-Hib Vial F3P2022
PROVINSI P 2022
86 11 990/BBK-P/4/2022 G92 Vaksin Covid-19 SINOVAC Vial @2 Dosis G92P2022
PROVINSI P 2022
11 990/BBK-P/4/2022 G97 Vaksin Covid-19 Pfizer Vial @6 Dosis G97P2022
PROVINSI P 2022
11 990/BBK-P/4/2022 G98 ADS 0,3 ml Biji G98P2022
PROVINSI P 2022
11 990/BBK-P/4/2022 G99 Disposable Syringe (ADS) 3 ml Biji G99P2021
PROVINSI P 2021
11 990/BBK-P/4/2022 G100 Nacl 0,9% 10 ml Ampul G100P2022
PROVINSI P 2022
11 990/BBK-P/4/2022 G56 Alkohol Swab Box G56A32021
APBD A3 2021
144 14 1048/BBK-P/4/2022 G97 Vaksin Covid-19 Pfizer Vial @6 Dosis G97P2022
PROVINSI P 2022
14 1048/BBK-P/4/2022 G98 ADS 0,3 ml Biji G98P2022
PROVINSI P 2022
14 1048/BBK-P/4/2022 G99 Disposable Syringe (ADS) 3 ml Biji G99P2021
PROVINSI P 2021
14 1048/BBK-P/4/2022 G100 Nacl 0,9% 10 ml Ampul G100P2022
PROVINSI P 2022
14 1048/BBK-P/4/2022 G56 Alkohol Swab Box G56A32021
APBD A3 2021
190 19 1094/BBK-P/4/2022 G121 Vaksin Covid-19 KconecaVac CHADOX1-S Vial @10 DosiG121P2022
PROVINSI P 2022
19 1094/BBK-P/4/2022 D2 ADS 0,5 ml Biji D2P2022
PROVINSI P 2022
19 1094/BBK-P/4/2022 G56 Alkohol Swab Box G56A32021
APBD A3 2021
230 22 1134/BBK-P/4/2022 G121 Vaksin Covid-19 KconecaVac CHADOX1-S Vial @10 DosiG121P2022
PROVINSI P 2022
22 1134/BBK-P/4/2022 G97 Vaksin Covid-19 Pfizer Vial @6 Dosis G97R2022
RETUR R 2022
240 25 1144/BBK-P/4/2022 G97 Vaksin Covid-19 Pfizer Vial @6 Dosis G97P2022
PROVINSI P 2022
25 1144/BBK-P/4/2022 G98 ADS 0,3 ml Biji G98P2022
PROVINSI P 2022
25 1144/BBK-P/4/2022 G99 Disposable Syringe (ADS) 3 ml Biji G99P2021
PROVINSI P 2021
25 1144/BBK-P/4/2022 G100 Nacl 0,9% 10 ml Ampul G100P2022
PROVINSI P 2022
25 1144/BBK-P/4/2022 G56 Alkohol Swab Box G56A32021
APBD A3 2021
243 25 1147/BBK-P/4/2022 F1 BCG + Pelarut Ampul F1P2022
PROVINSI P 2022
25 1147/BBK-P/4/2022 F3 DPT-HB-Hib Vial F3P2022
PROVINSI P 2022
25 1147/BBK-P/4/2022 F9 Polio IPV Vial F9P2022
PROVINSI P 2022
25 1147/BBK-P/4/2022 F8 Polio bOPV + Dropper Vial F8P2022
PROVINSI P 2022
287 28 1191/BBK-P/4/2022 F5 HBIG ( Hiperhep-B ) Syringe @ 0,5F5P2021
PROVINSI P 2021
 TANGG
HARGA JUMLAH JENIS
JUMLAH KELUAR UNTUK AL
SATUAN HARGA BARANG
TERIMA

5 0.00 0.00 Puskesmas Tanon 1 1 VAKSIN

1 0.00 0.00 Puskesmas Tanon 1 6 VAKSIN
10 0.00 0.00 Puskesmas Tanon 1 6 VAKSIN
120 1,255.00 150,600.00 Puskesmas Tanon 1 6 PERBEKES
10 569.00 5,690.00 Puskesmas Tanon 1 6 PERBEKES
10 3,280.00 32,800.00 Puskesmas Tanon 1 6 OBAT
2 12,600.00 25,200.00 Puskesmas Tanon 1 6 PERBEKES
5 97,780.00 488,900.00 Puskesmas Tanon 1 6 VAKSIN
30 85,103.00 2,553,090.00 Puskesmas Tanon 1 6 VAKSIN
5 0.00 0.00 Puskesmas Tanon 1 11 VAKSIN
10 0.00 0.00 Puskesmas Tanon 1 11 VAKSIN
120 1,255.00 150,600.00 Puskesmas Tanon 1 11 PERBEKES
10 569.00 5,690.00 Puskesmas Tanon 1 11 PERBEKES
10 3,280.00 32,800.00 Puskesmas Tanon 1 11 OBAT
2 12,600.00 25,200.00 Puskesmas Tanon 1 11 PERBEKES
34 0.00 0.00 Puskesmas Tanon 1 14 VAKSIN
400 1,255.00 502,000.00 Puskesmas Tanon 1 14 PERBEKES
34 569.00 19,346.00 Puskesmas Tanon 1 14 PERBEKES
34 3,280.00 111,520.00 Puskesmas Tanon 1 14 OBAT
4 12,600.00 50,400.00 Puskesmas Tanon 1 14 PERBEKES
6 0.00 0.00 Puskesmas Tanon 1 19 VAKSIN
100 1,165.00 116,500.00 Puskesmas Tanon 1 19 PERBEKES
1 12,600.00 12,600.00 Puskesmas Tanon 1 19 PERBEKES
6 0.00 0.00 Puskesmas Tanon 1 22 VAKSIN
10 0.00 0.00 Puskesmas Tanon 1 22 VAKSIN
15 0.00 0.00 Puskesmas Tanon 1 25 VAKSIN
180 1,255.00 225,900.00 Puskesmas Tanon 1 25 PERBEKES
15 569.00 8,535.00 Puskesmas Tanon 1 25 PERBEKES
15 3,280.00 49,200.00 Puskesmas Tanon 1 25 OBAT
2 12,600.00 25,200.00 Puskesmas Tanon 1 25 PERBEKES
10 97,780.00 977,800.00 Puskesmas Tanon 1 25 VAKSIN
40 85,103.00 3,404,120.00 Puskesmas Tanon 1 25 VAKSIN
40 158,994.00 6,359,760.00 Puskesmas Tanon 1 25 VAKSIN
10 21,494.00 214,940.00 Puskesmas Tanon 1 25 VAKSIN
1 1,325,000.00 1,325,000.00 Puskesmas Tanon 1 28 VAKSIN
BUKU PENGELUARAN BARANG PERSEDIAAN
BULAN : MEI
TAHUN : 2022

TANGGAL KODE
NO NO. SBBK NAMA BARANG SATUAN ID BARANG
KELUAR BARANG

15 10 1220/BBK-L/5/2022 A10 Amoksisilin kab 500 mg Tablet A10D2021

10 1220/BBK-L/5/2022 A15 Antasida Doen tab Tablet A15A2021
10 1220/BBK-L/5/2022 A23 Asam Askorbat tab 50 mg tab Tablet A23D2021
10 1220/BBK-L/5/2022 A24 Asam Mefenamat kap 500 mg Kaplet A24D2021
10 1220/BBK-L/5/2022 A26 Asetilsistein 200 mg Tablet A26D2021
10 1220/BBK-L/5/2022 A71 Glibenklamide tab 5 mg Tablet A71D2021
10 1220/BBK-L/5/2022 A80 Hidrokortison salep kulit Tube A80D2021
10 1220/BBK-L/5/2022 A88 Kalsium Laktat tab 500 mg Tablet A88D2021
10 1220/BBK-L/5/2022 A90 Karbamazepin tab 200 mg Tablet A90D2021
10 1220/BBK-L/5/2022 A98 Klorafeniramin ( CTM ) tab Tablet A98D2020
10 1220/BBK-L/5/2022 A155 Parasetamol tab 500 mg Tablet A155A202
10 1220/BBK-L/5/2022 A161 Prednison tab 5 mg Tablet A161D202
10 1220/BBK-L/5/2022 A173 Ringer Laktat Infus Flabot A173D202
10 1220/BBK-L/5/2022 A182 Serum ATS 1.500 iu inj Ampul A182D202
10 1220/BBK-L/5/2022 D5 Alat suntik 2,5 ml / 3ml Biji D5D2020
10 1220/BBK-L/5/2022 D14 Hand Scoen Biji D14D2021
10 1220/BBK-L/5/2022 D26 Kasa panjang 40 yard x 80 cm Roll D26A2020
10 1220/BBK-L/5/2022 D31 Masker Biji D31A2021
10 1220/BBK-L/5/2022 G44 Nurse Cup Biji G44A2021
10 1220/BBK-L/5/2022 G57 Plesterin Bulat Non Woven Box G57A2021
10 1220/BBK-L/5/2022 G61 Face Sheild Anak Buah G61P2021
10 1220/BBK-L/5/2022 G43 Apron Medis Biji G43A2021
10 1220/BBK-L/5/2022 G20 Masker Kain Buah G20P2021
10 1220/BBK-L/5/2022 D32 Masker N 95 1860 Biji D32D2021
10 1220/BBK-L/5/2022 G32 Masker KN-95 Biji G32P32021
10 1220/BBK-L/5/2022 D15 Hand Scoen Steril Pasang D15A2021
10 1220/BBK-L/5/2022 D15 Hand Scoen Steril Pasang D15D2021
10 1220/BBK-L/5/2022 G56 Alkohol Swab Box G56A3202
27 11 1232/BBK-P/5/2022 G121 Vaksin Covid-19 KconecaVac CHADOXVial @10 DG121P2022
11 1232/BBK-P/5/2022 D2 ADS 0,5 ml Biji D2P2022
11 1232/BBK-P/5/2022 G56 Alkohol Swab Box G56A3202
11 1232/BBK-P/5/2022 G116 Vaksin Covid-19 MODERNA Vial @10 DG116P2022
60 12 1265/BBK-T/5/2022 B21 Tablet Tambah Darah + Vitamin Tablet B21A2021
82 17 1287/BBK-P/5/2022 G116 Vaksin Covid-19 MODERNA Vial @10 DG116P2022
17 1287/BBK-P/5/2022 D2 ADS 0,5 ml Biji D2P12021
17 1287/BBK-P/5/2022 G56 Alkohol Swab Box G56A3202
174 24 1379/BBK-P/5/2022 D3 ADS 5 ml Biji D3P32019
SUMBER KODE TAHUN
HARGA KODE SUB KELUAR TANGGAL
ANGGARA ANGGARA PEROLEHA JUMLAH JUMLAH HARGA
SATUAN UNIT UNTUK TERIMA
N N N
DAK D 2021 2000 201.00 402,000.00 P16 Puskesmas 10
APBD A 2021 1000 54.00 54,000.00 P16 Puskesmas 10
DAK D 2021 1000 42.00 42,000.00 P16 Puskesmas 10
DAK D 2021 500 111.00 55,500.00 P16 Puskesmas 10
DAK D 2021 1200 301.00 361,200.00 P16 Puskesmas 10
DAK D 2021 500 83.00 41,500.00 P16 Puskesmas 10
DAK D 2021 24 2,325.00 55,800.00 P16 Puskesmas 10
DAK D 2021 2000 60.00 120,000.00 P16 Puskesmas 10
DAK D 2021 400 189.00 75,600.00 P16 Puskesmas 10
DAK D 2020 3000 23.00 69,000.00 P16 Puskesmas 10
APBD A 2021 10400 198.00 2,059,200.00 P16 Puskesmas 10
DAK D 2021 5000 68.00 340,000.00 P16 Puskesmas 10
DAK D 2020 100 7,630.00 762,999.60 P16 Puskesmas 10
DAK D 2021 10 156,705.00 1,567,050.00 P16 Puskesmas 10
DAK D 2020 200 924.00 184,800.00 P16 Puskesmas 10
DAK D 2021 1000 1,207.60 1,207,600.00 P16 Puskesmas 10
APBD A 2020 4 108,500.00 433,999.98 P16 Puskesmas 10
APBD A 2021 500 820.00 410,000.00 P16 Puskesmas 10
APBD A 2021 100 335.00 33,500.00 P16 Puskesmas 10
APBD A 2021 10 34,500.00 345,000.00 P16 Puskesmas 10
PROVINSI P 2021 10 50,000.00 500,000.00 P16 Puskesmas 10
APBD A 2021 50 3,300.00 165,000.00 P16 Puskesmas 10
PROVINSI P 2021 40 3,500.00 140,000.00 P16 Puskesmas 10
DAK D 2021 200 17,500.00 3,500,000.00 P16 Puskesmas 10
PROVINSI P3 2021 20 40,000.00 800,000.00 P16 Puskesmas 10
APBD A 2021 100 4,120.00 412,000.00 P16 Puskesmas 10
DAK D 2021 200 6,899.99 1,379,998.39 P16 Puskesmas 10
APBD A3 2021 164 12,600.00 2,066,400.00 P16 Puskesmas 10
PROVINSI P 2022 5 0 0 P16 Puskesmas 11
PROVINSI P 2022 200 1165 233000 P16 Puskesmas 11
APBD A3 2021 2 12600 25200 P16 Puskesmas 11
PROVINSI P 2022 1 0 0 P16 Puskesmas 11
APBD A 2021 2000 850.00 1,700,000.00 P16 Puskesmas 12
PROVINSI P 2022 25 0 0 P16 Puskesmas 17
PROVINSI P1 2021 500 1165 582500 P16 Puskesmas 17
APBD A3 2021 5 12600 63000 P16 Puskesmas 17
PROVINSI P3 2019 100 1500 150000 P16 Puskesmas 24
20,337,847.97
JENIS BULAN
BARANG

OBAT 5
OBAT 5
OBAT 5
OBAT 5
OBAT 5
OBAT 5
OBAT 5
OBAT 5
OBAT 5
OBAT 5
OBAT 5
OBAT 5
OBAT 5
OBAT 5
PERBEKES 5
PERBEKES 5
PERBEKES 5
PERBEKES 5
PERBEKES 5
PERBEKES 5
PERBEKES 5
PERBEKES 5
PERBEKES 5
PERBEKES 5
PERBEKES 5
PERBEKES 5
PERBEKES 5
PERBEKES 5
VAKSIN 5
PERBEKES 5
PERBEKES 5
VAKSIN 5
OBAT 5
VAKSIN 5
PERBEKES 5
PERBEKES 5
PERBEKES 5
BUKU PENGELUARAN BARANG PERSEDIAAN
BULAN : MEI
TAHUN : 2022

SUMBER
TANGGAL KODE
NO NO. SBBK NAMA BARANG SATUAN ID BARANG ANGGARA
KELUAR BARANG
N
15 10 1220/BBK-A10 Amoksisilin kab 500 mg Tablet A10D2021 DAK
10 1220/BBK-A15 Antasida Doen tab Tablet A15A2021 APBD
10 1220/BBK-A23 Asam Askorbat tab 50 mg tab Tablet A23D2021 DAK
10 1220/BBK-A24 Asam Mefenamat kap 500 mg Kaplet A24D2021 DAK
10 1220/BBK-A26 Asetilsistein 200 mg Tablet A26D2021 DAK
10 1220/BBK-A71 Glibenklamide tab 5 mg Tablet A71D2021 DAK
10 1220/BBK-A80 Hidrokortison salep kulit Tube A80D2021 DAK
10 1220/BBK-A88 Kalsium Laktat tab 500 mg Tablet A88D2021 DAK
10 1220/BBK-A90 Karbamazepin tab 200 mg Tablet A90D2021 DAK
10 1220/BBK-A98 Klorafeniramin ( CTM ) tab Tablet A98D2020 DAK
10 1220/BBK-A155 Parasetamol tab 500 mg Tablet A155A202 APBD
10 1220/BBK-A161 Prednison tab 5 mg Tablet A161D202 DAK
10 1220/BBK-A173 Ringer Laktat Infus Flabot A173D202 DAK
10 1220/BBK-A182 Serum ATS 1.500 iu inj Ampul A182D202 DAK
10 1220/BBK-D5 Alat suntik 2,5 ml / 3ml Biji D5D2020 DAK
10 1220/BBK-D14 Hand Scoen Biji D14D2021DAK
10 1220/BBK-D26 Kasa panjang 40 yard x 80 cm Roll D26A2020 APBD
10 1220/BBK-D31 Masker Biji D31A2021 APBD
10 1220/BBK-G44 Nurse Cup Biji G44A2021 APBD
10 1220/BBK-G57 Plesterin Bulat Non Woven Box G57A2021 APBD
10 1220/BBK-G61 Face Sheild Anak Buah G61P2021 PROVINSI
10 1220/BBK-G43 Apron Medis Biji G43A2021 APBD
10 1220/BBK-G20 Masker Kain Buah G20P2021 PROVINSI
10 1220/BBK-D32 Masker N 95 1860 Biji D32D2021DAK
10 1220/BBK-G32 Masker KN-95 Biji G32P32021PROVINSI
10 1220/BBK-D15 Hand Scoen Steril Pasang D15A2021 APBD
10 1220/BBK-D15 Hand Scoen Steril Pasang D15D2021DAK
10 1220/BBK-G56 Alkohol Swab Box G56A3202 APBD
60 12 1265/BBK-B21 Tablet Tambah Darah + Vitamin Tablet B21A2021 APBD
KODE TAHUN
HARGA JUMLAH KODE SUB KELUAR TANGGAL JENIS BULAN
ANGGARA PEROLEHA JUMLAH
SATUAN HARGA UNIT UNTUK TERIMA BARANG
N N
D 2021 2000 201.00 402,000.00 P16 Puskesmas 10 OBAT 5
A 2021 1000 54.00 54,000.00 P16 Puskesmas 10 OBAT 5
D 2021 1000 42.00 42,000.00 P16 Puskesmas 10 OBAT 5
D 2021 500 111.00 55,500.00 P16 Puskesmas 10 OBAT 5
D 2021 1200 301.00 361,200.00 P16 Puskesmas 10 OBAT 5
D 2021 500 83.00 41,500.00 P16 Puskesmas 10 OBAT 5
D 2021 24 2,325.00 55,800.00 P16 Puskesmas 10 OBAT 5
D 2021 2000 60.00 120,000.00 P16 Puskesmas 10 OBAT 5
D 2021 400 189.00 75,600.00 P16 Puskesmas 10 OBAT 5
D 2020 3000 23.00 69,000.00 P16 Puskesmas 10 OBAT 5
A 2021 10400 198.00 2,059,200.00 P16 Puskesmas 10 OBAT 5
D 2021 5000 68.00 340,000.00 P16 Puskesmas 10 OBAT 5
D 2020 100 7,630.00 762,999.60 P16 Puskesmas 10 OBAT 5
D 2021 10 156,705.00 1,567,050.00 P16 Puskesmas 10 OBAT 5
D 2020 200 924.00 184,800.00 P16 Puskesmas 10 PERBEKES 5
D 2021 1000 1,207.60 1,207,600.00 P16 Puskesmas 10 PERBEKES 5
A 2020 4 108,500.00 433,999.98 P16 Puskesmas 10 PERBEKES 5
A 2021 500 820.00 410,000.00 P16 Puskesmas 10 PERBEKES 5
A 2021 100 335.00 33,500.00 P16 Puskesmas 10 PERBEKES 5
A 2021 10 34,500.00 345,000.00 P16 Puskesmas 10 PERBEKES 5
P 2021 10 50,000.00 500,000.00 P16 Puskesmas 10 PERBEKES 5
A 2021 50 3,300.00 165,000.00 P16 Puskesmas 10 PERBEKES 5
P 2021 40 3,500.00 140,000.00 P16 Puskesmas 10 PERBEKES 5
D 2021 200 17,500.00 3,500,000.00 P16 Puskesmas 10 PERBEKES 5
P3 2021 20 40,000.00 800,000.00 P16 Puskesmas 10 PERBEKES 5
A 2021 100 4,120.00 412,000.00 P16 Puskesmas 10 PERBEKES 5
D 2021 200 6,899.99 1,379,998.39 P16 Puskesmas 10 PERBEKES 5
A3 2021 164 12,600.00 2,066,400.00 P16 Puskesmas 10 PERBEKES 5
A 2021 2000 850.00 1,700,000.00 P16 Puskesmas 12 OBAT 5
BUKU PENGELUARAN BARANG PERSEDIAAN
BULAN : MEI
TAHUN : 2022
I
D
TANG
KODE BSUMBER KODE TAHUN
GAL
NO NO. SBBK BARAN NAMA BARANG SATUAN AANGGARA ANGG PEROLE
KELU
G RN ARAN HAN
AR
A
N
27 11 1232/BBK-P/5/2022 G121 Vaksin Covid-19 KconecaVac CHADOX1-S G
Vial @10 DG121P2022
PROVINSI P 2022
11 1232/BBK-P/5/2022 D2 ADS 0,5 ml Biji D2P2022
PROVINSI P 2022
11 1232/BBK-P/5/2022 G56 Alkohol Swab Box G56A32021
APBD A3 2021
11 1232/BBK-P/5/2022 G116 Vaksin Covid-19 MODERNA Vial @10 DG116P2022
PROVINSI P 2022
82 17 1287/BBK-P/5/2022 G116 Vaksin Covid-19 MODERNA Vial @10 DG116P2022
PROVINSI P 2022
17 1287/BBK-P/5/2022 D2 ADS 0,5 ml Biji D2P12021
PROVINSI P1 2021
17 1287/BBK-P/5/2022 G56 Alkohol Swab Box G56A32021
APBD A3 2021
174 24 1379/BBK-P/5/2022 D3 ADS 5 ml Biji D3P32019
PROVINSI P3 2019
 TANG
HARGA JUMLAH GAL JENIS BULAN
JUMLAH KELUAR UNTUK
SATUAN HARGA TERIM BARANG
A

5 0.00 0.00 Puskesmas Tanon 1 11 VAKSIN 5

200 1,165.00 233,000.00 Puskesmas Tanon 1 11 PERBEKES 5
2 12,600.00 25,200.00 Puskesmas Tanon 1 11 PERBEKES 5
1 0.00 0.00 Puskesmas Tanon 1 11 VAKSIN 5
25 0.00 0.00 Puskesmas Tanon 1 17 VAKSIN 5
500 1,165.00 582,500.00 Puskesmas Tanon 1 17 PERBEKES 5
5 12,600.00 63,000.00 Puskesmas Tanon 1 17 PERBEKES 5
100 1,500.00 150,000.00 Puskesmas Tanon 1 24 PERBEKES 5