BUKU BARANG HABIS PAKAI BULAN MARET TAHUN 2017

SKPD : DINAS KESEHATAN

KAB/KOTA : ACEH BARAT
PROV : ACEH
UPTD : UPTD PUSKESMAS SUAK RIBEE
NAMA BARANG : ATK

PENERIMAAN PENGELUARAN
Berita Acara
NO Harga Pemeriksaan
Tanggal Tgl/No.Sura Harga Total Tanggal Diserahkan
Jenis/Nama Barang Merk/Ukuran Jumlah Satuan Satuan
diterima t Pesanan (Rp) dikeluarkan Kepada
(Rp) Tanggal Nomor

1 2 3 4 5 6 10 11 12
1 14/03/2017 - Amplop Linen 3 23,625 70,875 16/03/2017 TU
Viva 3/13/2017 ktk
2 14/03/2017 - Alat Penjilid Sedang Max.10 6 19,300 115,800 16/03/2017 TU/KIA
Max 3/13/2017 bh
3 14/03/2017 - Anak Penjilid Sedang Max.NO.10 21 3,150 66,150 16/03/2017 TU/KIA
Kangaro 3/13/2017 ktk
4 14/03/2017 - Amplop Linen Kecil 3 23,625 70,875 16/03/2017 TU
Viva 3/13/2017 ktk
5 14/03/2017 - Baterai Kecil Alkaline 24 13,850 332,400 16/03/2017 TU/P.lansia
Alkaline 3/13/2017 bh
6 14/03/2017 - Baterai Wireless DNS 6 11,550 69,300 16/03/2017 TU
Panasonic 3/13/2017 bh
7 14/03/2017 - Binder Clip Nomor 107 15 5,250 78,750 16/03/2017 Imunisasi/TU
Joyco 3/13/2017 ktk
8 14/03/2017 - Binder Clip Nomor 111 12 6,825 81,900 16/03/2017 Gizi/TU
Joyco 3/13/2017 ktk
9 14/03/2017 - Binder Clip Nomor 155 9 10,500 94,500 16/03/2017 P.Umum/TU
Joyco 3/13/2017 ktk
10 14/03/2017 - Binder Clip Nomor 200 6 14,700 88,200 16/03/2017 R.Kartu
Combo 3/13/2017 ktk
11 14/03/2017 - Binder Clip Nomor 260 3 21,000 63,000 16/03/2017 Apotik
Combo 3/13/2017 ktk
12 14/03/2017 - Buku Agenda Folio Isi 200 Lbr 6 44,625 267,750 16/03/2017 KB/KIA
Carda 3/13/2017 bh
13 14/03/2017 - Buku Folio 100 lbr 12 19,800 237,600 16/03/2017 R.Kartu/Rujukan
Carda 3/13/2017 bh
14 14/03/2017 - Correction Tipp Ex-30 ml 9 12,300 110,700 16/03/2017 R.Kartu/Rujukan
kenko 3/13/2017 bh
15 14/03/2017 - Kertas Dorslag 28 Gram 12 54,300 651,600 16/03/2017 Apotik
cap badak 3/13/2017 rim
16 14/03/2017 - Kertas HVS Paper One F4 70 Gram 30 47,250 1,417,500 16/03/2017 TU/Imunisasi
Paper one 3/13/2017 rim
17 14/03/2017 - Kertas HVS Paper One A4 70 Gram 24 46,200 1,108,800 16/03/2017 TU
Paper one 3/13/2017 rim
18 14/03/2017 - Lem Acme Ukuran Besar 3 12,100 36,300 16/03/2017 R.Kartu
Fox 3/13/2017 bh
19 14/03/2017 - Map Gunyu 3 21,350 64,050 16/03/2017 TU
pakar 3/13/2017 bh
20 14/03/2017 - Map Lucky Folio 9 15,225 137,025 16/03/2017 KIA
Lucky 3/13/2017 bh
21 14/03/2017 --Map Plastik Kancing 36 3,675 132,300 16/03/2017 TU
Hombo 3/13/2017 bh
22 14/03/2017 - Pensil 2 B 9 4,830 43,470 16/03/2017 TU
Faber Castel 3/13/2017 btg
23 14/03/2017 - Pulen BPT.P 36 3,150 113,400 16/03/2017 Apotik/P.Umum
Pilot 3/13/2017 bh
24 14/03/2017 - Pulpen G-2,7 6 17,325 103,950 16/03/2017 P.Umum/P.lansia
pilot 3/13/2017 bh
25 14/03/2017 - Spidol White Board Snowman 16 7,800 124,800 16/03/2017 KIA/IGD/R.Kartu
Snowman 3/13/2017 bh
26 14/03/2017 - Tinta Stempel Tellen 3 47,250 141,750 16/03/2017 Apotik/Imunisasi
Yamura 3/13/2017 btl
27 14/03/2017 - Rol Plastik Butterfly 60 Cm 6 12,100 72,600 16/03/2017 P.Gigi/Lab
Butterfly 3/13/2017 bh
28 14/03/2017 - Reffil / Tinta Suntik,Data Print Black 3 35,000 105,000 16/03/2017 Rujukan/TU
Epson 3/13/2017 btl
29 14/03/2017 - Reffil / Tinta Suntik,Data Print Warna 6 35,000 210,000 16/03/2017 Kartu/TU
Epson 3/13/2017 btl
30 14/03/2017 - Catrik Black 3 200,000 600,000 16/03/2017 TU/Rujukan
canon 3/13/2017 bh
31 14/03/2017 - Catrik collor 3 220,000 660,000 16/03/2017 Rujukan/TU
canon 3/13/2017 bh
32 14/03/2017 6 7,750 46,500 16/03/2017 Apotik/TU
- Spidol Market Snowman 3/13/2017 btg
33 14/03/2017 30 4,200 126,000 16/03/2017 TU/Apotik
- Trigonaln Clip V-gen 3/13/2017 ktk
JUMLAH 7,642,845

Suak Ribee, 31 Maret 2017

KEPALA SKPK PENGURUS BARANG
 dr.Hj.Siti Hawani Eka Kamal
Nip. 19640707 200003 2 004 Nip. 19750416 200604 2 008
 Ket

Jumlah Sisa
Tgl/No.Surat
Satuan/Bara
Penyerahan
ng

13 14 15
3 17/03/2017 0
6 17/03/2017 0
21 17/03/2017 0
3 17/03/2017 0
24 17/03/2017 0
6 17/03/2017 0
15 17/03/2017 0
12 17/03/2017 0
9 17/03/2017 0
6 17/03/2017 0
3 17/03/2017 0
6 17/03/2017 0
12 17/03/2017 0
9 17/03/2017 0
 12 17/03/2017 0
30 17/03/2017 0
24 17/03/2017 0
3 17/03/2017 0
3 17/03/2017 0
9 17/03/2017 0
36 17/03/2017 0
9 17/03/2017 0
36 17/03/2017 0
6 17/03/2017 0
16 17/03/2017 0
3 17/03/2017 0
6 17/03/2017 0
3 17/03/2017 0
6 17/03/2017 0
3 17/03/2017 0
3 17/03/2017 0
6 17/03/2017 0
30 17/03/2017 0

Maret 2017
BARANG
00604 2 008
- Amplop Linen 18 23,625.00 425,250.00 3

- Alat Penjilid Sedang Max.10 36 19,300.00 694,800.00 6

- Anak Penjilid Sedang Max.NO.10 120 3,150.00 378,000.00 21

- Amplop Linen Kecil 12 23,625.00 283,500.00 3

- Baterai Kecil Alkaline 120 13,850.00 1,662,000.00 24

- Baterai Wireless DNS 24 11,550.00 277,200.00 6

- Binder Clip Nomor 107 72 5,250.00 378,000.00 15

- Binder Clip Nomor 111 72 6,825.00 491,400.00 12

- Binder Clip Nomor 155 48 10,500.00 504,000.00 9

- Binder Clip Nomor 200 48 14,700.00 705,600.00 6

- Binder Clip Nomor 260 48 21,000.00 1,008,000.00 3

- Buku Agenda Folio Isi 200 Lbr 24 44,625.00 1,071,000.00 6

- Buku Folio 100 lbr 60 19,800.00 1,188,000.00 12

- Correction Tipp Ex-30 ml 60 12,300.00 738,000.00 9

- Kertas Dorslag 28 Gram 48 54,300.00 2,606,400.00 12

- Kertas HVS Paper One F4 70 Gram 120 47,250.00 5,670,000.00 30

- Kertas HVS Paper One A4 70 Gram 96 46,200.00 4,435,200.00 24

- Lem Acme Ukuran Besar 6 12,100.00 72,600.00 3

24 21,350.00 512,400.00 3
-Map Gunyu
- Map Lucky Folio 36 15,225.00 548,100.00 9

204 3,675.00 749,700.00 36

--Map Plastik Kancing
- Pensil 2 B 72 4,830.00 347,760.00 9

- Pulen BPT.P 156 3,150.00 491,400.00 36

- Pulpen G-2,7 24 17,325.00 415,800.00 6

- Spidol White Board Snowman 84 7,800.00 655,200.00 16

- Tinta Stempel Tellen 6 47,250.00 283,500.00 3

- Rol Plastik Butterfly 60 Cm 24 12,100.00 290,400.00 6

- Reffil / Tinta Suntik,Data Print Black 22 35,000.00 770,000.00 3

- Reffil / Tinta Suntik,Data Print Warna 20 35,000.00 700,000.00 6

- Catrik Black 18 200,000.00 3,600,000.00 3

- Catrik collor 12 220,000.00 2,640,000.00 3

48 7,750.00 372,000.00 6
- Spidol Market
120 4,200.00 504,000.00 30
- Trigonaln Clip
 BUKU BARANG HABIS PAKAI BULAN MARET TAHUN 2017

SKPD : DINAS KESEHATAN

KAB/KOTA : ACEH BARAT
PROV : ACEH
UPTD : UPTD PUSKESMAS SUAK RIBEE
NAMA BARANG : BARANG CETAKAN

PENERIMAAN PENGELUARAN
Berita Acara
NO Harga Pemeriksaan
Tgl/No.Surat Jumlah/S Harga Total Tanggal Diserahkan
Tanggal diterima Jenis/Nama Barang Merk/Ukuran Satuan
Pesanan atuan (Rp) dikeluarkan Kepada
(Rp) Tanggal Nomor

1 2 3 4 5 6 7 8 9 10 11 12
3 Cetak Buku Imunisasi 20 35,000 700,000

Cetak Brosur Akreditasi Puskesmas 1000 3,000 3,000,000

Cetak Liflet Promkes 2000 2,000 4,000,000

JUMLAH 7,700,000

KEPALA SKPK PENGURUS

dr.Hj.Siti Hawani Eka Ka

Nip. 19640707 200003 2 004 Nip. 19750416 2
NGELUARAN

Jumlah Ket
Tgl/No.Surat
Satuan/
Penyerahan
Barang

13 14 15

PENGURUS BARANG

Eka Kamal
Nip. 19750416 200604 2 008