LAMPIRAN :

DAFTAR INVENTARIS PERSEDIAAN ALAT TULIS KANTOR ( ATK ) BULAN JANUARI - DESEMBER
TAHUN 2015
PUSKESMAS : BONE
SALDO AWAL MUTASI
SALDO AKHIR
TAMBAH KURANG
NO JENIS PERSEDIAAN HARGA HARGA
JUMLAH HARGA HARGA HARGA HARGA
PEROLEHAN TOTAL HARGA JUMLAH HARGA JUMLAH
BARANG JUMLAH BARANG PEROLEHA PEROLEHAN PEROLEHA TOTAL
(Rp) (Rp) TOTAL (Rp) BARANG TOTAL (Rp) BARANG
N (Rp) (Rp) N (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Artline BP Gel 1 Pcs 5,500 5,500 1 Pcs 5,500 5,500 -
2 Map Rets pelangi 24 Pcs 8,500 204,000 24 Pcs 8,500 204,000 -
3 Sidu Buku halus 2 Pcs 3,500 7,000 2 Pcs 3,500 7,000 -
4 Kenko Acco 6 Pcs 9,000 54,000 6 Pcs 9,000 54,000 -
5 Artline BP Hitam besar 2 Dos 12,500 25,000 2 Dos 12,500 25,000 -
6 VTEC doc try bso 1 Pak 75,000 75,000 1 Pak 75,000 75,000 -
7 Joyko Postit MMS 1 Dos 5,800 5,800 1 Dos 5,800 5,800 -
8 Snowmen tin per hitam 1 Dos 9,500 9,500 1 Dos 9,500 9,500 -
9 Artline Stab 660 2 Pak 5,500 11,000 2 Pak 5,500 11,000 -
10 Microtop Exp 1 Pak 45,000 45,000 1 Pak 45,000 45,000 -
11 Vanco bisnis 1 Pak 25,000 25,000 1 Pak 25,000 25,000 -
12 Yacatio 85 map file 1 Pak 45,000 45,000 1 Pak 45,000 45,000 -
13 Artline pc rets set 1 Dos 16,500 16,500 1 Dos 16,500 16,500 -
14 Great W staps 1 Pak 13,500 13,500 1 Pak 13,500 13,500 -
15 Kinko Staps 1 Pak 9,350 9,350 1 Pak 9,350 9,350 -
16 Kangaro Star 1 Pak 11,800 11,800 1 Pak 11,800 11,800 -
17 Stationary set sp 1 Dos 17,500 17,500 1 Dos 17,500 17,500 -
18 Shinpo mini cont 1 Pak 45,000 45,000 1 Pak 45,000 45,000 -
19 Kenko GTE SC 1 Dos 12,500 12,500 1 Dos 12,500 12,500 -
20 Lem Home 1 Dos 30,000 30,000 1 Dos 30,000 30,000 -
 SALDO AWAL MUTASI
SALDO AKHIR
TAMBAH KURANG
NO JENIS PERSEDIAAN HARGA HARGA
JUMLAH HARGA HARGA HARGA HARGA
PEROLEHAN TOTAL HARGA JUMLAH HARGA JUMLAH
BARANG JUMLAH BARANG PEROLEHA PEROLEHAN PEROLEHA TOTAL
(Rp) (Rp) TOTAL (Rp) BARANG TOTAL (Rp) BARANG
N (Rp) (Rp) N (Rp) (Rp)

21 Jinjing M Board 1 Pcs 25,000 25,000 1 Pcs 25,000 25,000 -

22 Snowman Spidol 1 Dos 58,500 58,500 1 Dos 58,500 58,500 -
23 Citizen Kalkulator 1 Pcs 45,000 45,000 1 Pcs 45,000 45,000 -
24 Plastik Obat 3 Pak 4,500 13,500 3 Pak 4,500 13,500 -
25 Kertas Stabilo Hijau 2 Pak 20,025 40,050 2 Pak 20,025 40,050 #VALUE!
26 Bulky K-CD C2 2 Rim 26,000 52,000 2 Rim 26,000 52,000 -
27 Borneo Double Tape 1 Roll 4,500 4,500 1 Roll 4,500 4,500 -
28 Kertas HVS F4 1 Dos 210,000 210,000 1 Dos 210,000 210,000 -
29 Stadler Pensil 2B 1 Pak 31,500 31,500 1 Pak 31,500 31,500 -
30 Catrige kode 810 Hitam Canon 1 Pcs 195,000 195,000 1 Pcs 195,000 195,000 -
31 Catrige kode 811 Warna Canon 1 Pcs 230,000 230,000 1 Pcs 230,000 230,000 -
32 Isi Hekter Besar 1 Pak 19,000 19,000 1 Pak 19,000 19,000 -
33 Binder Clip 10 Kotak 9,500 95,000 10 Kotak 9,500 95,000 -
34 Kalkulator Citizen Merah 1 Pcs 85,000 85,000 1 Pcs 85,000 85,000 -
35 Cover Bufalow warna 12 Pak 27,000 324,000 12 Pak 27,000 324,000 -
36 Cover Mika Bening 1 Pak 25,000 25,000 1 Pak 25,000 25,000 -
37 Kwitansi Besar 12 Bk 5,000 60,000 12 Bk 5,000 60,000 -
38 Gunting 12 Pcs 7,500 90,000 12 Pcs 7,500 90,000 -
39 Isi Cutter Kecil 1 Pak 15,000 15,000 1 Pak 15,000 15,000 -
40 Isi Cutter Besar 1 Pak 27,000 27,000 1 Pak 27,000 27,000 -
41 Kertas HVS Legal F4 2 Dos 210,000 420,000 2 Dos 210,000 420,000 -
42 Kertas HVS Kwarto A4 1 Dos 175,000 175,000 1 Dos 175,000 175,000 -
43 Lem Cair 6 Pcs 4,500 27,000 6 Pcs 4,500 27,000 -
44 Lakban Cokelat 6 Pcs 7,500 45,000 6 Pcs 7,500 45,000 -
45 Lakban Hitam 6 Pcs 15,000 90,000 6 Pcs 15,000 90,000 -
46 Lakban Bening 6 Pcs 7,500 45,000 6 Pcs 7,500 45,000 -
 SALDO AWAL MUTASI
SALDO AKHIR
TAMBAH KURANG
NO JENIS PERSEDIAAN HARGA HARGA
JUMLAH HARGA HARGA HARGA HARGA
PEROLEHAN TOTAL HARGA JUMLAH HARGA JUMLAH
BARANG JUMLAH BARANG PEROLEHA PEROLEHAN PEROLEHA TOTAL
(Rp) (Rp) TOTAL (Rp) BARANG TOTAL (Rp) BARANG
N (Rp) (Rp) N (Rp) (Rp)

47 Penggaris besar 60 cm 2 Pcs 25,000 50,000 2 Pcs 25,000 50,000 -

48 Penggaris plastik 30 cm 12 Pcs 2,500 30,000 12 Pcs 2,500 30,000 -
49 Pensil 2B 1 Lsn 25,000 25,000 1 Lsn 25,000 25,000 -
50 Spidol warna besar 2 Lsn 90,000 180,000 2 Lsn 90,000 180,000 -
51 Spidol Permanen 1 Lsn 45,000 45,000 1 Lsn 45,000 45,000 -
52 Spidol Whiteboard 1 Lsn 75,000 75,000 1 Lsn 75,000 75,000 -
53 Spidol Stabilo 12 Pcs 8,500 102,000 12 Pcs 8,500 102,000 -
54 Tinta Spidol Whiteboard 1 Lsn 140,000 140,000 1 Lsn 140,000 140,000 -
55 Tip X big 12 Pcs 12,000 144,000 12 Pcs 12,000 144,000 -
56 Karton Odner Index 2 Lsn 95,000 190,000 2 Lsn 95,000 190,000 -
57 Papan Clip besar 2 Dos 24,000 48,000 2 Dos 24,000 48,000 -
58 Album Besar 2 Pak 75,000 150,000 2 Pak 75,000 150,000 -
59 Album Kecil 1 Pak 48,000 48,000 1 Pak 48,000 48,000 -
Jumlah Mei 2015 2,750,000 - -
60 Amplop Putih Besar 1 Pak 45,000 45,000 1 Pak 45,000 45,000 -
61 Agenda Surat 2 Pcs 15,000 30,000 2 Pcs 15,000 30,000 -
62 Kartu Stok 10 Pak 15,000 150,000 10 Pak 15,000 150,000 -
63 Papan Softboard 60 x 90 cm 2 Lmbr 125,000 250,000 2 Lmbr 125,000 250,000 -
64 Papan Softboard 90 x 120 cm 1 Lmbr 275,000 275,000 1 Lmbr 275,000 275,000 -
65 Catrigs Canon IP2770 Hitam 1 Pcs 195,000 195,000 1 Pcs 195,000 195,000 -
66 Stip Pensil 1 Pcs 5,000 5,000 1 Pcs 5,000 5,000 -
Jumlah Juni 2015 950,000 - -
67 Catrige Canon Ip2770 Warna 1 Pcs 245,000 245,000 1 Pcs 245,000 245,000 -
68 Tinta Refil Canon Hitam 2 Pcs 45,000 90,000 2 Pcs 45,000 90,000 -
69 Tinta Stempel Biru 3 Pcs 20,000 60,000 3 Pcs 20,000 60,000 -
70 Bak Stempel Sedang 3 Pcs 11,000 33,000 3 Pcs 11,000 33,000 -
 SALDO AWAL MUTASI
SALDO AKHIR
TAMBAH KURANG
NO JENIS PERSEDIAAN HARGA HARGA
JUMLAH HARGA HARGA HARGA HARGA
PEROLEHAN TOTAL HARGA JUMLAH HARGA JUMLAH
BARANG JUMLAH BARANG PEROLEHA PEROLEHAN PEROLEHA TOTAL
(Rp) (Rp) TOTAL (Rp) BARANG TOTAL (Rp) BARANG
N (Rp) (Rp) N (Rp) (Rp)

71 Block Note 27 Pcs 2,600 70,200 27 Pcs 2,600 70,200 -

72 Cutter L-500 12 Pcs 12,500 150,000 12 Pcs 12,500 150,000 -
73 Gunting Besar 12 Pcs 12,000 144,000 12 Pcs 12,000 144,000 -
74 Gunting Kecil 12 Pcs 7,500 90,000 12 Pcs 7,500 90,000 -
75 Isolotip Besar 12 Roll 4,500 54,000 12 Roll 4,500 54,000 -
76 Kalkulator Casio Red 1 Pcs 105,800 105,800 1 Pcs 105,800 105,800 -
77 Kartu Stok Kecil 6 Pak 10,500 63,000 6 Pak 10,500 63,000 -
78 Map Diamon 2 Dos 72,500 145,000 2 Dos 72,500 145,000 -
Jumlah Juli 2015 1,250,000 - -
79 Semar kertas CD/ream 2 Rim Rp 28,200 56,400 2 Rim Rp 28,200 56,400 -
80 Mirage kwarto 300 6 Pcs Rp 20,700 124,200 6 Pcs Rp 20,700 124,200 -
81 Bigboss BK/42-line/PK6 1 Pak Rp 26,900 26,900 1 Pak Rp 26,900 26,900 -
82 Popi Penst 579/679 12 Pcs Rp 10,700 128,400 12 Pcs Rp 10,700 128,400 -
83 Popi Acco /PK 10 Pak Rp 10,700 107,000 10 Pak Rp 10,700 107,000 -
84 Big Boxifile Art 7001 3 Pcs Rp 15,700 47,100 3 Pcs Rp 15,700 47,100 -
85 Gunindo Cut A10/LSN 1 Lsn Rp 45,000 45,000 1 Lsn Rp 45,000 45,000 -
86 Cadwell staps No.10/PK 1 Pak Rp 16,900 16,900 1 Pak Rp 16,900 16,900 -
87 Artline Perm 107R HT/LSN 1 Lsn Rp 153,700 153,700 1 Lsn Rp 153,700 153,700 -
88 Kenko Stapr HD-10 MP 12 Pcs Rp 7,500 90,000 12 Pcs Rp 7,500 90,000 -
89 Artline Pens 2B/LSn 1 Lsn Rp 25,000 25,000 1 Lsn Rp 25,000 25,000 -
90 Vanco Star Pr HD-50B 2 Pcs Rp 18,800 37,600 2 Pcs Rp 18,800 37,600 -
91 Zendi staps 24/6 PK 1 Pak Rp 18,800 18,800 1 Pak Rp 18,800 18,800 -
92 Vivid Cup T17 1 Pcs Rp 15,700 15,700 1 Pcs Rp 15,700 15,700 -
93 Artline BP 8210 HTM 1 Lsn Rp 15,700 15,700 1 Lsn Rp 15,700 15,700 -
94 Artline Corr 7 ML 3 Pcs Rp 7,500 22,500 3 Pcs Rp 7,500 22,500 -
95 Limar Lem Roller 2 Pcs Rp 5,700 11,400 2 Pcs Rp 5,700 11,400 -
 SALDO AWAL MUTASI
SALDO AKHIR
TAMBAH KURANG
NO JENIS PERSEDIAAN HARGA HARGA
JUMLAH HARGA HARGA HARGA HARGA
PEROLEHAN TOTAL HARGA JUMLAH HARGA JUMLAH
BARANG JUMLAH BARANG PEROLEHA PEROLEHAN PEROLEHA TOTAL
(Rp) (Rp) TOTAL (Rp) BARANG TOTAL (Rp) BARANG
N (Rp) (Rp) N (Rp) (Rp)

96 Butterfly GRS 30 glas 3 Pcs Rp 2,500 7,500 3 Pcs Rp 2,500 7,500 -

97 Gunindo GTG SPN 1 Lsn Rp 50,000 50,000 1 Lsn Rp 50,000 50,000 -
98 Sidu HVS 70/CRT 8 Krt Rp 175,000 1,400,000 8 Krt Rp 175,000 1,400,000 -
99 Syrofoam warna 9 Pcs Rp 10,300 92,700 9 Pcs Rp 10,300 92,700 -
100 Bufalow biasa mix 6 Pak Rp 27,750 166,500 6 Pak Rp 27,750 166,500 -
Jumlah Nopember 2015 2,659,000 - -
JUMLAH #VALUE! 9,201,000 #VALUE!

Mengetahui
Kepala Puskesmas Bone
Kabupaten Bone Bolango

Hj. Yenispa Kadir, SE.MM

Nip. 19760606 199512 2 001
 LAMPIRAN :
DAFTAR INVENTARIS PERSEDIAAN BAHAN HABIS PAKAI MEDIS ( REAGEN ) BULAN JANUARI - DESEMBER
TAHUN 2015
PUSKESMAS : BONE

SALDO AWAL MUTASI

SALDO AKHIR
TAMBAH KURANG
NO JENIS PERSEDIAAN HARGA
JUMLAH HARGA HARGA HARGA HARGA
PEROLEHAN
BARANG TOTAL (Rp) JUMLAH BARANG PEROLEHAN HARGA TOTAL JUMLAH BARANG PEROLEHAN HARGA TOTAL JUMLAH
PEROLEHAN
HARGA
(Rp) (Rp) (Rp) BARANG TOTAL (Rp)
(Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Stik Choleterol C7 2 Botol 175,000 350,000 2 Botol 175,000 350,000

2 Stik Urid Acid C7 2 Botol 125,000 250,000 2 Botol 125,000 250,000

3 Stik Gula Darah C7 1 Botol 100,000 100,000 1 Botol 100,000 100,000

4 Stik Urid Acid E7 2 Botol 125,000 250,000 2 Botol 125,000 250,000

5 Stik Gula Darah E7 3 Botol 100,000 300,000 3 Botol 100,000 300,000

6 Stik Choleterol 2 Botol 185,000 370,000 2 Botol 185,000 370,000 -

7 Stik Glucosa 4 Botol 135,000 540,000 4 Botol 135,000 540,000 -

8 Stik Hemoglobin 3 Botol 185,000 555,000 3 Botol 185,000 555,000 -

9 Stik Urid Acid 3 Botol 135,000 405,000 3 Botol 135,000 405,000 -

10 Kain kasa Roll besar 80/40 Yard 2 Roll 220,000 440,000 2 Roll 220,000 440,000 -

11 Alkohol 1 Liter 6 Botol 40,000 240,000 6 Botol 40,000 240,000 -

12 Plester Besar 10 Roll 30,000 300,000 10 Roll 30,000 300,000 -

13 Iodine Povidon 300 Ml 6 Botol 75,000 450,000 6 Botol 75,000 450,000 -

14 Blood Lanct 6 Botol 45,000 270,000 6 Botol 45,000 270,000 -

15 Plastik Obat 7x10 10 Pak 8,000 80,000 10 Pak 8,000 80,000 -

16 Kertas Puyer 5 Rim 35,000 175,000 5 Rim 35,000 175,000 -

17 Handscoon Steril 50 Pcs 8,000 400,000 50 Pcs 8,000 400,000 -

18 Nedel No. 236 50 Pcs 500 25,000 50 Pcs 500 25,000 -

 SALDO AWAL MUTASI
SALDO AKHIR
TAMBAH KURANG
NO JENIS PERSEDIAAN HARGA
JUMLAH HARGA HARGA HARGA HARGA
PEROLEHAN
BARANG TOTAL (Rp) JUMLAH BARANG PEROLEHAN HARGA TOTAL JUMLAH BARANG PEROLEHAN HARGA TOTAL JUMLAH
PEROLEHAN
HARGA
(Rp) (Rp) (Rp) BARANG TOTAL (Rp)
(Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
17 Stik Glucosa 2 Botol 135,000 270,000 2 Botol 135,000 270,000 -

18 Stik Urid Acid 2 Botol 135,000 270,000 2 Botol 135,000 270,000 -

19 Stik Choleterol 2 Botol 185,000 370,000 2 Botol 185,000 370,000 -

20 Blood Lanct 2 Botol 45,000 90,000 2 Botol 45,000 90,000 -

21 Catgout 20 Saset 35,000 700,000 20 Saset 35,000 700,000 -

22 Plester Roll Besar 10 Roll 30,000 300,000 10 Roll 30,000 300,000 -

23 Dispesibel 3 cc 5 Box 100,000 500,000 5 Box 100,000 500,000 -

24 Nedel No. 236 500 Pcs 500 250,000 500 Pcs 500 250,000 -

25 Stik Glucosa 3 Botol 135,000 405,000 3 Botol 135,000 405,000 -

26 Stik Urid Acid 2 Botol 135,000 270,000 2 Botol 135,000 270,000 -

27 Stik Cholesterol 2 Botol 185,000 370,000 2 Botol 185,000 370,000 -

28 Kain Kasa Steril 5 Dos 5,000 25,000 5 Dos 5,000 25,000 -

29 Umbilical Cleam 50 Pcs 5,000 250,000 50 Pcs 5,000 250,000 -

30 Plester Roll Besar 15 Roll 30,000 450,000 15 Roll 30,000 450,000 -

31 Handscoon Steril 50 Pcs 8,000 400,000 50 Pcs 8,000 400,000 -

32 Plastik Obat 7x10 20 Pak 8,000 160,000 20 Pak 8,000 160,000 -

33 Stik Cholesterol 3 Botol 185,000 555,000 3 Botol 185,000 555,000 -

34 Stik Hemoglobin 3 Botol 185,000 555,000 3 Botol 185,000 555,000 -

35 Stik Urid Acid 2 Botol 135,000 270,000 2 Botol 135,000 270,000 -

36 Stik Glucosa 2 Botol 135,000 270,000 2 Botol 135,000 270,000 -

37 Iodine Povidon 300 Ml 6 Botol 75,000 450,000 6 Botol 75,000 450,000 -

 SALDO AWAL MUTASI
SALDO AKHIR
TAMBAH KURANG
NO JENIS PERSEDIAAN HARGA
JUMLAH HARGA HARGA HARGA HARGA
PEROLEHAN
BARANG TOTAL (Rp) JUMLAH BARANG PEROLEHAN HARGA TOTAL JUMLAH BARANG PEROLEHAN HARGA TOTAL JUMLAH
PEROLEHAN
HARGA
(Rp) (Rp) (Rp) BARANG TOTAL (Rp)
(Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
38 Kain Kasa Steril 50 Pcs 5,000 250,000 50 Pcs 5,000 250,000 -

39 Kapas 500 gr 5 Pcs 38,000 190,000 5 Pcs 38,000 190,000 -

40 Stik Glucosa 2 Botol 135,000 270,000 2 Botol 135,000 270,000 -

41 Stik Urid Acid 2 Botol 135,000 270,000 2 Botol 135,000 270,000 -

42 Stik Cholesterol 2 Botol 185,000 370,000 2 Botol 185,000 370,000 -

43 Alkohol 1 Liter 10 Botol 40,000 400,000 10 Botol 40,000 400,000 -

44 Kain Kasa Steril 5 Pcs 38,000 190,000 5 Pcs 38,000 190,000 -

JUMLAH 14,620,000 14,620,000 -

Mengetahui
Kepala Puskesmas Bone
Kabupaten Bone Bolango

Hj. Yenispa Kadir, SE.MM

Nip. 19760606 199512 2 001
 DAFTAR
DAFTAR INVENTARIS OBAT-OBATAN BULAN JANUARI - DESEMBER
TAHUN 2015

PUSKESMAS : BONE
SALDO AWAL MUTASI
SALDO AKHIR
TAMBAH KURANG
NO JENIS PERSEDIAAN HARGA HARGA
JUMLAH HARGA HARGA HARGA HARGA
PEROLEHAN TOTAL JUMLAH HARGA TOTAL JUMLAH HARGA JUMLAH
BARANG PEROLEHA PEROLEHAN PEROLEHAN TOTAL
(Rp) (Rp) BARANG (Rp) BARANG TOTAL (Rp) BARANG
N (Rp) (Rp) (Rp) (Rp)
1 Ibupropen 5 Box 30,000 150,000 5 Box 30,000 150,000 -
2 Piroxicam 5 Box 30,000 150,000 5 Box 30,000 150,000 -
3 Dexametason 10 Box 20,000 200,000 10 Box 20,000 200,000 -
4 Cefadroxil 5 Box 120,000 600,000 5 Box 120,000 600,000 -
5 Ciprolaxin 3 Box 50,000 150,000 3 Box 50,000 150,000 -
6 Loken 10 Box 50,000 500,000 10 Box 50,000 500,000 -
7 Amoxicilin 11 Box 50,000 550,000 11 Box 50,000 550,000 -
8 Tifatrim Tablet 10 Box 60,000 600,000 10 Box 60,000 600,000 -
9 Fasiperm 400 mg 5 Box 80,000 400,000 5 Box 80,000 400,000 -
10 Amoxicilin Syrp 50 Botol 5,000 250,000 50 Botol 5,000 250,000 -
11 Grantusif 6 Box 60,000 360,000 6 Box 60,000 360,000 -
12 Calvera 12 Box 70,000 840,000 12 Box 70,000 840,000 -
13 Amolidipin 10 Box 40,000 400,000 10 Box 40,000 400,000 -
14 Captopril 10 Box 25,000 250,000 10 Box 25,000 250,000 -
15 Metformin 10 Box 25,000 250,000 10 Box 25,000 250,000 -
16 Amoxicilin 5 Box 50,000 250,000 5 Box 50,000 250,000 -
17 Yusimox Syrp 50 Botol 10,000 500,000 50 Box 10,000 500,000 -
18 Tifatrim Tablet 10 Box 60,000 600,000 10 Box 60,000 600,000 -
19 Amoxicilin Tab 10 Box 50,000 500,000 10 Box 50,000 500,000 -
20 Zantifar Tablet 5 Box 40,000 200,000 5 Box 40,000 200,000 -
21 Cefadroxil 10 Box 120,000 1,200,000 10 Box 120,000 1,200,000 -
22 Lostacef Sirup 30 Botol 15,000 450,000 30 Botol 15,000 450,000 -
23 Farispen 400 mg 10 Box 75,000 750,000 10 Box 75,000 750,000 -
24 Laxana 10 Box 100,000 1,000,000 10 Box 100,000 1,000,000 -
25 Selvim 20 mg 10 Box 75,000 750,000 10 Box 75,000 750,000 -
26 Loken 9 Box 50,000 450,000 9 Box 50,000 450,000 -
27 Amoxicilin 12 Box 50,000 600,000 12 Box 50,000 600,000 -
28 Betamol 20 Box 30,000 600,000 20 Box 30,000 600,000 -
29 Tifatrim Tablet 20 Box 60,000 1,200,000 20 Box 60,000 1,200,000 -
30 Captopril 20 Box 25,000 500,000 20 Box 25,000 500,000 -
31 Metformin 20 Box 25,000 500,000 20 Box 25,000 500,000 -
32 Zepask 50 mg 10 Box 50,000 500,000 10 Box 50,000 500,000 -
33 Calvera 10 Box 70,000 700,000 10 Box 70,000 700,000 -
34 Zantifar Tablet 10 Box 40,000 400,000 10 Box 40,000 400,000 -
 SALDO AWAL MUTASI
SALDO AKHIR
TAMBAH KURANG
NO JENIS PERSEDIAAN HARGA HARGA
JUMLAH HARGA HARGA HARGA HARGA
PEROLEHAN TOTAL JUMLAH HARGA TOTAL JUMLAH HARGA JUMLAH
BARANG PEROLEHA PEROLEHAN PEROLEHAN TOTAL
(Rp) (Rp) BARANG (Rp) BARANG TOTAL (Rp) BARANG
N (Rp) (Rp) (Rp) (Rp)
35 Amilodipin 10 Box 40,000 400,000 10 Box 40,000 400,000 -
36 Amoxicilin Syrp 35 Botol 5,000 175,000 35 Botol 5,000 175,000 -
37 Lidox 200 Ampl 5,000 1,000,000 200 Ampl 5,000 1,000,000 -
38 Farispen 400 mg 10 Box 80,000 800,000 10 Box 80,000 800,000 -
39 Loken 3 Box 50,000 150,000 3 Box 50,000 150,000
40 Amoxicilin 15 Box 50,000 750,000 15 Box 50,000 750,000
41 Vitamin B comples 4 Klng 50,000 200,000 4 Klng 50,000 200,000
42 Kadiditc 10 Box 50,000 500,000 10 Box 50,000 500,000
43 Frozavit 5 Box 100,000 500,000 5 Box 100,000 500,000
44 Pehalain 6 Box 100,000 600,000 6 Box 100,000 600,000
- - -
- - -
JUMLAH 22,375,000 22,375,000 -

Mengetahui
Kepala Puskesmas Bone
Kabupaten Bone Bolango

Hj. Yenispa Kadir, SE.MM

NIP. 19760606 199512 2 001
 LAMPIRAN :
DAFTAR INVENTARIS PERALATAN KESEHATAN ( ALKES ) BULAN JANUARI - DESEMBER
TAHUN 2015

PUSKESMAS : BONE

NOMOR KONDISI BARANG

TAHUN
NOMOR UKURAN ASAL HARGA
NO JENIS BARANG/NAMA BARANG MERK/TYPE BAHAN PEMBELIA PABRI RANG MESI HARGA TOTAL KET
REGISTER CC POLISI BPKB USUL SATUAN BAIK RR RB H
N K KA N

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Dopler set 4 2015 Dana JKN 950,000 3,800,000 V
2 Tensi Air Raksa 2 2015 Dana JKN 350,000 700,000 V
1 Minor Set 1 2015 Dana JKN 450,000 450,000 V

2 Baby style 2 2015 Dana JKN 650,000 1,300,000 V

3 Blender Obat 1 2015 Dana JKN 350,000 350,000 V

4 HB Sahli 4 2015 Dana JKN 150,000 600,000 V

5 Tensi Air Raksa 2 2015 Dana JKN 350,000 700,000 V

6 Regulator 2 2015 Dana JKN 175,000 350,000 V

7 Heacting Set 2 2015 Dana JKN 250,000 500,000 V

8 Tromol 18 cm 2 2015 Dana JKN 250,000 500,000 V

9 Noth Forceps Adult 2 2015 Dana JKN 250,000 500,000 V

10 Tang Atas 2 2015 Dana JKN 250,000 500,000 V

11 Sche Jest 2 2015 Dana JKN 350,000 700,000 V

12 Citocet Syringe Inbox 4 2015 Dana JKN 650,000 2,600,000 V

13 Nerbekeng 2 2015 Dana JKN 150,000 300,000 V

14 Pincet Cringis 1 2015 Dana JKN 75,000 75,000 V

15 Dopler set 5 2015 Dana JKN 950,000 4,750,000 V

16 Thermometer digital 2 2015 Dana JKN 50,000 100,000 V

19 Alat pemeriksaan GUHB 6 2015 Dana JKN 650,000 3,900,000 V

20 GUGC 4 650,000 2,600,000

 NOMOR KONDISI BARANG
TAHUN
NOMOR UKURAN ASAL HARGA
NO JENIS BARANG/NAMA BARANG MERK/TYPE BAHAN PEMBELIA PABRI RANG MESI HARGA TOTAL KET
REGISTER CC POLISI BPKB USUL SATUAN BAIK RR RB H
N K KA N

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
21 Steteskop 2 150,000 300,000

22 Pencucui alat stainles set 1 1,625,000 1,625,000 V

23 Timbangan Dacin 4 450,000 1,800,000 V

24 Timbangan berdiri 4 250,000 1,000,000 V

J U M LAH 30,000,000

Mengetahui
Kepala Puskesmas Bone
Kabupaten Bone Bolango

Hj. Yenispa Kadir, SE.MM

NIP. 19760606 199512 2 001
 KIB B (PERALATAN DAN MESIN)
DINAS PENDAPATAN PENGELOLAAN KEUANGAN DAN ASET DAERAH
JANUARI S/D DESEMBER 2015

PUSKESMAS : BONE
NOMOR KONDISI BARANG
TAHUN
JENIS BARANG/NAMA NOMOR UKURAN ASAL HARGA HARGA
NO MERK/TYPE BAHAN PEMBELIA RANG MESI BPK KET
BARANG REGISTER CC PABRIK POLISI USUL SATUAN TOTAL BAIK RR RB H
N KA N B

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Samsung Galaxy E5 1 Samsung/358631061302683 2015 358631061302683 Dana JKN 4,000,000 4,000,000
2 Televisi 23 Inch 1 LED TV LG 2015 32LB550A Dana JKN 5,000,000 5,000,000 V
3 Laptop 1 Lenovo 17 2015 wb11198992 Dana JKN 5,000,000 5,000,000 V
4 Komputer 1 Simbada/ V-2912 2015 SB38015015009 Dana JKN 10,000,000 10,000,000 V
5 Printer+ Infus 1 Canon IP2770 2015 QC3-5062 Dana JKN 950,000 950,000 V
6 Printer+ Infus 1 Epson L120 2015 TP2K054968 Dana JKN 2,550,000 2,550,000 V
7 Radio Warless 2 2015 Dana JKN 700,000 1,400,000 V
8 LCD Projektor + Layar 1 2015 Dana JKN 7,500,000 7,500,000 V
9 Warless 1 2015 Dana JKN 4,900,000 4,900,000 V
10 Microfhon 1 2015 Dana JKN 200,000 200,000 V
11 Laptop 1 Lenova 17 2015 Dana JKN 5,000,000 5,000,000 V
Total 46,500,000

Mengetahui
Kepala Puskesmas Bone
Kabupaten Bone Bolango

Hj. Yenispa Kadir, SE.MM

NIP. 19760606 199512 2 001