RSUD Maluku Tenggara Buku Penerimaan Barang Februari 2010

SKPD : RSUD
KABUPATEN / KOTA : MALUKU TENGGARA

PROPINSI : MALUKU
BUKU PENERIMAAN BARANG
Dokumen Faktur Nama Harga Jumlah Bukti Penerimaan

No Tanggal Dari Barang Banyaknya Satuan Harga B.A. Penerimaan Ket
Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11 12
1 04-01-2010 Rutin 027/404/SPK/ Makanan kering untuk Pasien, dokter 1 Paket 14,240,000 14,240,000 018/10.a/ST/ 25-01-2010
RSUD KS/2010 jaga, Perawat jaga & Petugas jaga RSUD KS/2010
2 06-01-2010 Maspion sapu + serok 1 buah 46,200 46,200
Sapu lantai maspion 24 buah 47,500 1,140,000
Sapu lantai + serok 1 buah 63,650 63,650
Baiclin lt fres pine reff 800 36 buah 9,650 347,400
Sapu 2 macam kipas 10 buah 18,000 180,000
Baiclin pemutih ref 200 ml 48 buah 3,150 151,200
Baiclin pemutih fresh 48 buah 3,150 151,200
Baiclin pemutih lmn 200 ml 48 buah 3,150 151,200
Piala pel cap drat 18 buah 24,650 443,700
mangga sabun cuci tangan 252 buah 1,200 302,400
15-01-2010 Jamkesmas VICRIL USP 1/0 7 BOX 1,350,000 9,450,000
VICRIL USP 3/0 10 BOX 1,350,000 13,500,000
PROLENE USP 5/0 1 BOX 1,710,000 1,710,000
LEUKOPLAST 3" 100 ROL 49,000 4,900,000
SOFRATULE 200 PCS 14,000 2,800,000
XYLOCAIN SPRAY 4 BTL 435,000 1,740,000
ST NON STERIL 7,5 10 DOS 182,000 1,820,000
Wing ext aktif 144 buah 1,900 273,600
3 21-01-2010 Jamkesmas Kertas F4 70 gr 24 Rim 45,000 1,080,000
Kertas A4 70 gr 24 Rim 40,000 960,000
Kertas Print 9 1/2 x 11 3 play 2 Rim 375,000 750,000
Pita Print Epson LQ 300 5 Dos 45,000 225,000
Kertas Dorslag 5 Rim 25,000 125,000
Batrei GP (3X buas) 3 Lsn 11,000 396,000
4 26-01-2010 Jamkesmas Resep Rwt Jln / Rwt Inap 100 Buku 27,500 2,750,000
Resep Rwt Inap Askes sos 50 Buku 27,500 1,375,000
5 30-01-2010 Jamkesmas Identitas Pasien Rwt Jln 50 Buku 55,000 2,750,000
Jamkesmas
JUMLAH 20,203,200 63,821,550
ATASAN LANGSUNG, PENYIMPAN BARANG,
dr. DANNY SALIM, MM Ny. J. CH. NARAHAWARIN

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU

Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11 12
1 09-02-2010 Jamkesmas Laporan Operasi 5 Rim 150,000 750,000
Laporan Anestesi 5 Rim 150,000 750,000
Status UGD 10 Rim 150,000 1,500,000
Resep Rawt inap Askesos 50 Buku 27,500 1,375,000
2 11-02-2010 Askes sos Polibek 30 Pak - -
Plastik obt ukuran 5x8 31 Pak - -
Plastik obt ukuran 8,7x13 11 Pak - -
3 12-02-2010 Askes sos Rehab 2 kereta dorong -
1 paket 600,000
(ganti plat + rangka + cat) -
4 14-02-2010 Rutin 02/CV.NA/II/2010 Makanan kering untuk Pasien, dokter 1 paket 20,226,000 20,226,000
jaga, Perawat jaga & Petugas jaga - -
5 15-02-2010 Askes sos Pasang.Terali 2 + Gembok,Ongkos kerja 2 Buah 35,000 70,000
Gembok 2 buah 35,000 70,000
Flesdis 6 buah - -
6 15-02-2010 Jamkesmas CATGUT CHROMIC USP 2/0 BOX 5 1,450,000 7,250,000
CATGUT PLAIN USP 2/0 BOX 4 1,425,000 5,700,000
CATGUT PLAIN 3/0 BOX 6 1,425,000 8,550,000
SILK USP 3 BOX 3 975,000 2,925,000
SILK USP 3/0 BOX 5 850,000 4,250,000
SILK 3/0 + JARUM SACHET 360 19,000 6,840,000
7 10-02-2010 Jamkesmas ABBOCATH NO 24 PCS 500 24000 12000000
ABBOCATH NO 22 PCS 500 24000 12000000
ABBOCATH NO 20 PCS 500 24000 12000000
BISTURI N0 20 BOX 2 265000 530000
CATGUT PLAIN +JARUM 3/0 SACHET 120 30000 3600000
BLOOD BAG PCS 100 52000 5200000
8 16-02-2010 Jamkesmas Kartu Barang 300 Lmbr 2,500 750,000
Blangko ssp 10 Buku 50,000 500,000
Bukti Pel. Gawat darurat 50 Buku 27,500 1,375,000
Surat Ket melakukan Tindkn 50 Buku 27,500 1,375,000
Kwitansi proyek 10 Buku 20,000 200,000
9 17-02-2010 - Antalgin 750 Vial - -
Neorobion 400 Ampl - -
Papaverin 1000 tab 5 Btl - -
Dexametason 1000 tab 5 Btl - -
Cefotaxin 132 Vial - -
Vasiver 20 Ampl - -
Safriabeon 4 Vial - -
Cefta zidine 3 Vial - -
10 25-02-2010 Jamkesmas 442/33/RSUD/ 10/2/2010 Abbocath vynesitem no 24 500 Pcs 24,000 12,000,000
II/2010 Abbocath vynesitem no 22 500 Pcs 24,000 12,000,000
Abbocath vynesitem no 20 500 Pcs 24,000 12,000,000
Bistuty no 20 2 Box 265,000 530,000
Catgut plain 3/0 with neekle 120 Sasect 30,000 3,600,000
Blood Bag 100 Pcs 52,000 5,200,000
11 23-02-2010 Askes sos Kalkulator 1 buah 250,000 250,000
12 28-02-2010 Askes sos Rantang 4 Susun 1 buah 200,000 200,000
13 30-02-2010 Askes sos Piring ceper 10 AGD 12 Lsn 23,750 285,000
Piring oyal 10 AGD 12 Lsn 39,750 447,000
B. polo 12 Lsn 11,500 138,000
Mangkok 12 Lsn 12,350 148,200
BRT mug F 12 Lsn 18,000 216,000
Bistro sendok BO - 8730 2 Lsn 212,000 425,000
Sendok SDP 3 Pcs 4 Lsn 27,000 108,000
JUMLAH 1,368,350 55,672,200

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU

Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11 12
1 01-03-2010 Rutin 027/55/SPK/ Makanan kering untuk Pasien, dokter 1 Paket 20,361,500 20,361,500 018/56/BAP/ 15-03-2010
RSUD KS/2010 jaga, Perawat jaga & Petugas jaga RSUD KS/2010
Beras putri salju 18 Krg 197,500 3,555,000
Beras bulog 10 Krg 245,000 2,450,000
Gula pasir 1 Krg 650,000 650,000
Telur ayam 8 Krtn 450,000 3,600,000
Bihun besar 3 Krtn 20,000 660,000
Mie sedap goring 8 Krtn 61,000 488,000
Miwon 250 gr 2 Pak 60,000 160,000
Saus tomat 2 Krtn 210,000 420,000
Makroni spiral @ 1kg 10 Pak 35,000 350,000
Tepung mama suka 4 Pak 50,000 200,000
Maizena jagung 2 Dos 12,000 24,000
Kacang hijau 10 Kg 18,000 180,000
Kacang tanah 12 Kg 17,000 204,000
Blue band 1 kg 3 Klg 55,000 165,000
Jagung biji 1 Krtn 320,000 320,000
Ercis 1 Krtn 320,000 320,000
Selei nenas 6 Btl 16,000 96,000
Susu dancow 3 + 6 Dos 55,000 330,000
Susu Sgm 1 3 Dos 45,000 135,000
Susu Sgm 2 3 Dos 45,000 135,000
Susu lactogen 1+2 12 Dos 55,000 660,000
Bawang merah 20 Kg 22,000 440,000
Bawang putih 20 Kg 22,000 440,000
Bawang Bombay 6 Kg 35,000 210,000
Lada 1 Kg 75,000 75,000
Cocoa van hoten 6 Dos 12,000 72,000
Kacang brenibon 5 Kg 35,000 175,000
Agar agar 10 Kg 25,000 250,000
Jagung halus 5 Kg 10,000 50,000
Asam jawa 1 Pak 15,000 15,000
Krupuk udang 1 Krtn 65,000 65,000
Garam halus 1 Krtn 80,000 80,000
Plastik makanan besar 100 Lmbr 3,500 350,000
Plastik makanan sedang 100 Lmbr 2,500 250,000
Energen coklat 1 Krtn 165,000 165,000
Amanda 5 kg 1 Krtn 85,000 85,000
Bimoli 650 ml 8 Krtn 235,000 1,880,000
Beras ketan putih 5 Kg 15,000 75,000
Corneed beef 1 Krtn 582,000 582,500 Rp. 20.361.500
2 02-03-2010 Jamkesmas O2 34 Tabung -
3 03-03-2010 - Rinso Sasect 6 Kartn 200,000 1,200,000
Portex 1 Ltr 96 Botol 18,750,000 1,800,000
Sabun mangga 504 Buah 3,000 1,512,000
Sabun Extra Aktif 216 Buah 3,000 648,000
Sabun lifeboy 432 Buah 3,000 1,296,000
Clear 36 Botol 18,750 675,000
Buku Folio 100 120 Buah 34,100 4,092,000
Buku kwarto miran 60 Buah 17,000 1,020,000
Buku kwarto swan 60 Buah 17,000 1,020,000
HVS 60 gram 10 Rim 25,000 250,000
Pena Fastel 24 Buah 3,000 72,000
Kertas F4 70 gram 10 Rim 50,000 500,000
4 05-03-2010 Askes Sos 449/92.b/RSUD Penyediaan jas operasi 50 Buah 300,000 15,000,000 800/188.b/BAP/ 25-03-2010
KS/2010 Doek (kain penutup operasi) 90 Buah 117,500 10,575,000 2010
06-03-2010 Askes Sos Perbaikan Instalasi Genset 28,641,250
06-03-2010 Jamkesmas BLOOD BAG 200 PCS 52000 10400000
INFUS ZET DEWASA 900 PCS 12500 11250000
DISPOSIBLE 3CC 4800 PCS 2150 10320000
HANDSCOEN GAMMEX 7,5 480 PCS 14000 6720000
HANDSCOEN GAMMEX 8 480 PCS 14000 6720000
5 09-03-2010 Askes sos Wak fain Maspion 2 Buah 350,000 700,000
6 09-03-2010 Askes sos Neon Philips 18 wat 8 Buah 40,000 320,000
Neon Philip 24 Wat 6 Buah 48,000 288,000
Lampu pijar philips 75 wat 3 Buah 10,000 30,000
Balon Neon philips 20 wat 6 Buah 22,500 135,000
Samar dobel bronco 6 Buah 27,500 165,000
Stop kontak bronco 6 Buah 27,500 165,000
Plak ban bening 3 Buah 15,000 45,000
Karpet 5 meter 5 meter 30,000 150,000
Plastik 10 meter 10,000 100,000
Spidol board marker 12 buah 10,000 120,000
Spidol snowman permanen 12 buah 10,000 120,000
Spidol snowman kecil 24 buah 2,000 48,000
Isi hekter max kecil 40 dos 4,000 160,000
isi hekter max besar 40 dos 6,000 240,000
kain pel 60 buah 15,000 900,000
wipol 450 ml 384 buah 9,000 3,456,000
soklin 450 ml 156 buah 9,000 1,404,000
7 15-03-2010 Kap untuk bidan perawat 73 Buah 46,684,315 3,408,000
8 15-03-2010 APBD 014/CV/III/2010 Kertas HVS 80 Rim 44,550 3,564,000
Buku kiki folio 17 Rim 34,100 579,700
Tinta lazer Jet 2 Tube 1,300,000 2,600,000
Kertas komputer 3 Dos 468,600 1,405,800
Pena fastel 2 Dos 35,000 70,000
9 15-03-2010 APBD Porteks 125 Botol 18,750 2,343,750 018/267/RSUD.
Sos 125 Botol 18,750 2,343,750 KS/2010
Sabun ekstra 62 Buah 17,500 1,085,000
Baiklin 1 ltr 63 Botol 10,100 636,300
Molto 83 Botol 17,500 1,452,500
Densol 120 Buah 18,750 2,250,000
Sabun lifeboy 250 Buah 1,750 437,300
Sabun mangga 300 Buah 3,000 900,000
Sapu ijuk 12 Buah 35,000 420,000
Sapu lidi 8 Lusin 120,000 960,000
Serokan 20 Buah 60,000 1,200,000
Sabun Rinso 22 Kartn 200,000 4,400,000
Kain Pel 240 Lembar 10,000 2,400,000
15-03-2010 SPINOCAN 25 250 PCS 24,500 6,125,000
ST NON STERIL NO 8 10 DOS 182,500 1,820,000
SILK USP 1 5 ROL 975,000 4,875,000
SILK USP 2 5 ROL 975,000 4,875,000
CATETER NO 08 20 PCS 82,500 1,650,000
CATETER NO 10 20 PCS 82,500 1,650,000
CATETER NO 12 50 PCS 24,000 1,200,000
CATETER NO 14 50 PCS 24,000 1,200,000
CATETER NO 16 200 PCS 24,000 4,800,000
CATETER NO 18 250 PCS 24,000 6,000,000
CATETER NO 20 50 PCS 24,000 1,200,000
CATETER NO 24 50 PCS 24,000 1,200,000
10 13-03-2010 APBD 020/183/SPK/ Lampu jari philips 18 watt 83 Buah 35,000 2,905,000 020/266/RSUD
RSUD KS/2010 Lampu jari philips 23 watt 84 Buah 40,000 3,360,000 KS. /2010
Lampu TL 40 watt 84 Buah 75,000 6,300,000
Balon lampu pijar 20 watt 83 Buah 7,500 622,500
Balon Neon 20 watt 33 Buah 15,000 492,000
Saklar (bronco) double 24 Buah 10,000 240,000
11 18-03-2010 Jamkesmas Resep Rwt Jln / Rwt Inap Jamkesmas 50 Buku 27,500 1,375,000
Identitas pasien UGD 50 Buku 55,000 2,750,000
Jamkesmas
12 23-03-2010 Jamkesmas Kartu izin Pegawai 100 Lembar -
Laporan Operasi 2 Rim 150,000 300,000
13 25-03-2010 Jamkesmas 442/49/RSUD/ 6/3/2010 Blood Bag 100 Pcs 150,000 5,200,000
III/2010 Infencet Dewasa 900 Pcs 12,500 11,250,000
Disposible siving 3 cc 4800 Pcs 2,150 10,320,000
Surgical glove steril gamex 480 Pcs 14,000 6,720,000
no 75
NO 8
14 30-03-2010 Balon pijar philip Buah 10,000 100,000
15 31-03-2010 Askes sos Pytogen inj 10 amp 50 box 95,000 4,750,000
Urogravin 76 % 10 amp 96,000 960,000
16 31-03-2010 Jamkesmas HEXAGON HbsAg 58003 2 KIT 3150000 6300000
HEXAGON TB 20' S 5 KIT 2790000 13950000
GOT IFCC 8X50 ML 3 KIT 1950000 5850000
GPT IFCC 8X50 ML 3 KIT 1950000 5850000
HDL CHOLESTEROL 4180 2 KIT 1050000 2100000
GOLDA TULIP 3 KIT 432000 1296000
JUMLAH 97,650,815 297,745,850

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU BUKU PENERIMAAN BARANG
Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11 12
1 03-04-2010 APBD 04/CV N/IV/2010 03-04-2010 Makanan kering untuk Pasien, dokter 1 Paket 25,963,500 25,963,500
jaga, Perawat jaga & Petugas jaga

Beras sumo 18 krg 197,000 3,546,000
Beras sm putih 8 krg 245,000 1,960,000
Jagung halus 2 kg 12,000 24,000
Beras ketan hitam 3 kg 15,000 45,000
Beras ketan putih 5 kg 19,000 95,000
Kacang ijo 10 kg 18,000 180,000
Kacang tanah (merah) 10 kg 20,000 200,000
Bawang putih 20 kg 22,000 440,000
Bawang merah 25 kg 24,000 600,000
Bawang Bombay 5 kg 35,000 175,000
Brenibon 4 kg 35,000 140,000
Makaroni spiral 12 Paket 35,000 420,000
Bihun besar 3 krtn - 660,000
Mie sedap goring 8 krtn 61,000 488,000
Saus tomat 3 krtn 210,000 630,000
Kecap manis ABC 1 krtn 210,000 315,000

Kornet 1 krtn - 582,500
Jagung biji (klg) 1 1 krtn - 360,000
Jagung batang (klg) 1 2 krtn - 360,000
Ercis (klg) 1 3 krtn - 360,000

Jamur (klg) 1 4 krtn - 360,000
Telur ayam 8 5 krtn - 4,800,000
Tepung mama suka 4 Paket 50,000 200,000
Tepung beras ketan (Bunga hijau) 6 bks 8,000 48,000
Miwon 3 Paket 90,000 270,000
Garam 1 krtn 80,000 80,000
Royco 1 krtn - 450,000
Selei kacang 6 btl 20,000 120,000
Meses coklat(seres) kg 15,000 15,000
Meses warna kg 15,000 15,000
Lada 1 kg 75,000 75,000
Agar putih 4 dos 25,000 100,000
Agar coklat 2 dos 25,000 50,000
Agar merah 4 dos 25,000 100,000
Susu dencow sacset coklat 1 krtn - 840,000
Susu dencow saset puti 1 krtn - 615,000
Susu dencow 1 + madu 6 dos 55,000 330,000
Susu sgm 1 4 dos 45,000 180,000
Susu sgm 2 4 dos 45,000 180,000
Susu sgm 3 4 dos 45,000 180,000
Susu laktogen 1 4 dos 55,000 220,000
Susu laktogen 2 4 dos 55,000 220,000
Daun the celup sari wangi 10 dos 7,000 70,000
Jintan kg 30,000 30,000

Kunyit bubuk kg 25,000 25,000
1
Ketumbar kg 25,000 25,000

Sopun krg 180,000 180,000

Bimoli 650 ml krtn 235,000 1,880,000
8
Emping melinjo kg 45,000 90,000
2
Gula pasir kg 650,000 650,000
1
Gula merah bulat 7,000 70,000
10
Abon sapi Paket 60,000 720,000
12
Beras bulog @ 15 kg 105,000 945,000
9
Beras karung kuning krg 250,000 250,000 Rp. 25.963.500
1
2 06-04-2010 Jamkesmas Identitas Pasien Jamkesmas rawat jalan 50 Buku 55,000 2,750,000
3 15-04-2010 Askes sos kertas F4 70 grm 10 Rim 50,000 500,000
HEMOGLOBIN 10 KIT 947,500 9,475,000
GOLONGAN DARAH 4 SET 300,000 1,200,000
CEFADROXIL 500MG TAB 74 BOX 76,364 5,650,000

ASAM MEFENAMAT 500MG TAB 100 BOX 14,395 1,439,500
CEFTRIAXON 1G INJ 100 BOX 104,171 10,417,100
DIFENHIDRAMIN INJ 49 BOX 22,561 1,105,489
PARACETAMOL SYRUP 350 BTL 1,882 658,700
AMOXICILIN SYRUP 600 BTL 3,709 2,225,400
CEFADROXIL SYRUP 300 BTL 7,888 2,366,400
DEXAMETASON 5MG INJ 20 BOX 99,029 1,980,580
4 08-04-2010 STRIP A/C AKTIF 15 BTL 425,000 6,375,000
KERTAS EKG 45 PCS 335,000 15,075,000
SPHYGMOMANOMETER ABN 20 UNIT 475,000 9,500,000
STERIL PANJANG NO 7,5 80 PCS 36,000 2,880,000
AMALGRAM 50 GR 5 BOX 1,100,000 5,500,000
HANSHIM FILM 2 BOX 375,000 750,000
SUPER CEMENT P&L 1 SET 850,000 850,000
DENTORIT 5 BTL 315,000 1,575,000
HG MERCURI PUR 5 BTL 350,000 1,750,000
EUGENOL CIVEX 3 BTL 265,000 795,000
5 08-04-2010 Askes BLOOD BAG 200 PCS 52000 10400000
ABBOCATH 24 500 PCS 24000 12000000
INFUS SET MACRO 800 PCS 12500 10000000
HANDSCOEN GAMMEX 8 480 PCS 14000 6720000
STOMACH TUBE FR 10 100 PCS 22500 2250000
6 21-04-2010 CEFTRIAXONE INJ 200 BOX/10 VIAL 132,000 26,400,000
CEFTAZIDIME 1G INJ 150 BOX/2 VIAL 82,080 12,312,000
CIPROFLOXASIN 500MG TAB 30 BOX/100 TAB 39,600 1,188,000
VIT. C INJ 30 BOX/ 6 AMP 40,200 1,206,000
PAPAVERIN TAB 10 BTL/1000 TAB 68,728 687,280
PIRACETAM INJ 25 BOX/ 5 AMP 34,200 855,000
FUROSEMID INJ 20 BOX/25 AMP 28,229 564,580
7 16-04-2010 Askes sos Buku kas 3 buah 25,000 75,000
Pena fastel 1 dos 45,000 45,000
Buku kwitansi 2 buah 5,000 10,000
Spidol warna 1 pak 13,000 13,000
8 20-04-2010 Askes sos Noval inj 220 amp 12,500 2,750,000
Ciproflaxin 500 mg 50 box 63,100 3,155,000
9 20-04-2010 Ciprofloxacin 500 mg 50 Box 63,100 3,155,000
Pytogin inj 100 Box - -

Urografin 76 mg inj 20 Amp - - 12500 220 2750000
Novalgin injeksi 220 Amp 12,500 2,750,000
10 20-04-2010 APBD HVS warna 8 Rim 52,000 416,000
Pena pilot G 207 1 Lusin 125,000 125,000
Pena fastel 2 Lusin 37,000 74,000
Pinsil 2 b 1 Lusin 37,000 37,000
Stip / penghapus 10 Buah 2,500 25,000
Pisau Cater 1 Buah 30,000 30,000
Tipex 2 Dos 7,500 15,000
Mister/ penggarais 2 Buah 17,500 35,000
11 26-04-2010 Blangko UGD 10 Rim 150,000 1,500,000
12 27-04-2010 Calculator Cisi - -
13 30-04-2010 Jamkesmas Observasi 24 jam 10 Rim 150,000 1,500,000
Blangko Pel. Rwt inap 20 Buku 55,000 1,100,000
Blangko Pel. Rwt Rajln 20 Buku 55,000 1,100,000

JUMLAH 7,761,236 190,686,029

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU

Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11 12
1 01-05-2010 APBD 027/290.a/SPK/ Makanan Pasien/dokter jaga & petugas 1 Paket 17,942,000 17,942,000 018/255.a/BAP/ 23-05-2010
Jaga RSUD KS/2010
Beras sumo 16 krg 157,800 3,000,000
Beras AAA. @ 25 kg 12 krg 190,000 2,280,000
Kacang hijau 10 kg 18,000 180,000
Kacang tanah 10 kg 17,000 170,000
Bihun besar 2 krtn 195,000 390,000
Bawang merah 20 kg 220,000 440,000
Bawang putih 20 kg 22,000 440,000
Gula Pasir 1 krg - 650,000
Mie goreng sedap 5 krtn 61,000 305,000
Kecap manis abc krtn - 105,000
Telur ayam 8 krtn 600,000 4,800,000
Mie sedap soto 3 krtn 55,000 165,000
Tepung beras putih 4 bgks 7,000 28,000
Miwon 2 pak 90,000 180,000
Garam kapal krtn - 40,000
Royco ayam krtn - 150,000
Selei nenas 3 buah 14,000 42,000
Lada 1 kg - 70,000
Susu dencow coklat saset 1 krtn - 560,000
Susu dencow putih saset 1 krtn - 410,000
Susu dencow 1+3 madu 8 dos 55,000 440,000
Susu SGM 1 3 dos 45,000 135,000
Susu SGM 2 3 dos 45,000 135,000
Susu laktogen 1 & 2 3 dos 55,000 330,000
Blue band @ 1 kg 3 kg 55,000 165,000
Laksa krg - 180,000
Bimoli 8 krtn 23,500 1,880,000
BLOOD BAG 450 PCS 52000 23400000
DISPOSIBLE 1 CC 3600 PCS 2275 8190000
DISPOSIBLE 5CC 1800 PCS 2275 4095000
KASSA 40x80 cm 50 ROLL 170000 8500000
2 01-05-2010 APBD RSUD KS/2010 Amplop Coklat Besar 2 Dos 75,000 150,000
3 03-05-2010 Kertas komputer 2 Krtn 325,000 650,000
(golden form) - - - -
4 04-05-2010 Jamkesmas Lembar Anamnese UGD 20 Rim 150,000 3,000,000
5 01-05-2010 Askesos Stavol 10 Buah 500,000 5,000,000
Blangko Observasi UGD 10 Rim 150,000 1,500,000
6 08-05-2010 Resep Rwt Jln / Rwt Inap 50 Buku 27,500 1,375,000
7 01-05-2010 APBD Amplop Coklat Besar 2 Dos 75,000 150,000
Amplop Putih Kecil 2 Dos 17,500 35,000
Amplop Putih panjang 2 Dos 22,500 45,000
Pita Mesin ketik 3 Buah 20,000 60,000
Pembuka Hekter 2 Buah 20,000 40,000
Pelobang Kertas besar 1 Buah - 75,000
Cap tanggal 1 Buah - 25,000
Penjepit Besar 3 Dos - 90,000
Penjepit sedang 3 Dos 25,000 75,000
Penjepit Kecil 3 Dos 20,000 60,000
8 12-05-2010 Askes sos Rantang 2 Set 100,000 200,000
Piring 12 RT 1 lusin 7,500 75,000
Sendok 303 2 lusin 20,000 40,000
Gelas 555 7 buah 27,500 192,500
Gembok 5 buah 60,000 300,000
Over Fal 1 buah 2,500,000 2,500,000
9 14-05-2010 Askes sos Dispenser dan galon air 1 Set 765,000 765,000
15-05-2010 FENTANYL INJ 140 AMP 60,060 8,408,400
PROPOFOL LIPURA 1% 40 AMP 167,310 6,692,400
KETOROLAK INJ 48 AMP 38,562 1,850,976
ONDANSENTRON INJ 48 AMP 11,796 566,300
WATER FOR INJ 25ML 80 BTL 3,096 247,680
RINGER LACTAT 160 BTL 8,928 1,428,480
CATAPRES INJ 20 AMP 71,136 1,422,720
SPUIT TERUMO 3CC 40 PCS 2,430 97,200
ST SENSI GLOVES 150 PCS 1,416 212,400
INFUSION SET TERUMO 70 PCS 18,366 1,285,620
BLOOD SET TERUMO 20 PCS 25,902 518,040
MICROPORE 10 PCS 30,642 306,420
IV CANULLA HEVER 24 PCS 29,760 714,240
IV CATETER 24 24 PCS 17,694 424,656
TRIWAY STOP COCK 20 PCS 28,380 567,600
MARCAIN 0,50 % PDF 20 100 AMP 125,472 12,547,200
10 15-05-2010 Askes RINGER LAKTAT 500 ML 2500 BTL 7200 18000000
CEFTRIAXONE INJ 1250 VIAL 21900 27375000
RINGER LAKTAT 500 ML 2500 BTL 7200 18000000
CEFTRIAXONE INJ 1250 VIAL 21900 27375000
11 17-05-2010 442/132.C/RSUD 17-05-2010 Topi OK tali 60 buah 29,000 1,740,000 442/141/RSUD/
V/2010 Topi OK karet 40 buah 29,000 1,160,000 V/2010
Jas Lab lengan pendek 10 buah 275,000 2,750,000
Apron plastik 10 buah 85,000 850,000
Baju OK leher V + Celana 100 stel 385,000 38,500,000
12 19-05-2010 Grendel 2 buah 75,000 150,000
Paku 2 cm 1 kg 20,000 20,000
Paku 5 cm 1 kg 20,000 20,000
Vinilex Fresh Puti 1 - 145,000 145,000
Triplex 1 lembar 45,000 45,000
Bendera Merah Putih 2 Buah 70,000 140,000
13 20-05-2010 Askes sos Rantang susun besar 1 set 200,000 200,000
Rantang 4 susun kecil 1 set 600,000 600,000
Sendal swalow 20 pasng 10,000 200,000
14 26-05-2010 Askes sos AVR 3100 Buah 3,410,000
15 28-05-2011 Askes sos Kuali Besar I 1 buah 1,600,000 1,600,000
Kuali Besar II 1 buah 1,000,000 1,000,000
Kuali Besar III 1 buah 700,000 700,000
Kuali kecil 1 buah - -
Bila - bila 2 buah 200,000 400,000
16 21-05-2010 Askes sos Tali Air 20 Buah - -
Kaos 2 Lusin - -
Celana 16 - - -
Baju 16 - - -
Topi 10 Buah - -
Jas Operasi 100 stel - -
Topi 60 Buah - -
Jas putih 10 Buah - -
17 31-05-2010 Askes sos Stavol 10 Buah 500,000 5,000,000
JUMLAH 31,727,034 283,227,192

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU

Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11 12
1 01-06-2010 Beras putri salju / 2 hati/sumo 18 krg 194,000 3,500,000
Beras bulog 18 krg 250,000 4,500,000
Gula pasir 1 krg - 650,000
Kacang tanah 10 kg 20,000 200,000
Kacang ijo 10 kg 20,000 200,000
Bawang merah 20 kg 25,000 500,000
Bawang putih 20 kg 25,000 500,000
Bawang bombay 5 kg 40,000 200,000
Brenibon 4 kg 35,000 140,000
Makaroni spiral 10 kg 35,000 350,000
Bihun 1 k - 220,000
Mie sedap rasa soto 2 krtn 61,000 122,000
Kecap 1 krtn - 105,500
Jamur kaleng 2 krtn - 740,000
Blue band 2 kg 60,000 120,000
Ercis biji kaleng 1 1/2 krtn - 540,000
Telur ayam 8 krtn 600,000 4,800,000
Tepung mama suka 4 pak 50,000 200,000
Miwon 2 pak 90,000 180,000
garam pak - 40,000
Royko 1 krtn - 450,000
Selei coklat 4 btl 50,000 200,000
Lada kg - 40,000
Jintan kg - 30,000
Ketumbar kg - 30,000
Kunyit bubuk 1 kg - 30,000
Susu dancow saset coklat 1 1/2 krtn - 890,000
Susu dancow saset putih 2 krtn - 820,000
Susu anlene (1 coklat + 2 vanila) 3 dos 50,000 150,000
Susu SGM 1, 2, 3 12 dos 45,000 540,000
Susu Lactogen 2 8 dos 55,000 440,000
Susu dencow 1+, 2+, 3+ 12 dos 55,000 660,000
ABC moca 1 krtn - 150,000
Mentega Amanda 1 krtn - 85,000
Bimoli 8 krtn 235,000 1,880,000
Kerupuk udang 5 kg 25,000 125,000
Kerupuk emping 2 kg 50,000 100,000
Abon sapi 14 pak 60,000 840,000
Saus tomat 1 krtn - 210,000
Daun te sari wangi 5 dos - 60,000 Rp. 26.822.000
2 03-06-2010 APBD Makanan Kering untuk Pasien,Dokter 1 Paket - -
Jaga,Perawat Jaga & Pet. Jaga
07-06-2010 Jamkesmas RINGER LAKTAT 500 ML BTL 2500 7200 18000000
CEFTRIAXONE INJ VIAL 1250 21900 27375000
3 07-06-2010 Abbocath T 24 10 Dos - -
Plain catgut - -
Sensi mask 50 20 Dos - -
Hanscon 40 4 Dos - -
Abbocath - T - -
4 07-06-2010 Askes sos 442/141/RSUD/VI/ 2010 Blood transfusion set 66 Pcs 17,500 1,155,000 442/159.b/RSUD/
Alkohol swab 120 Box 45,000 5,400,000 VI/2010
Disposible syringe 3 cc 4800 pcs 2,150 10,320,000
Disposible infusion set anak 600 pcs 17,500 10,500,000
Disposible infusion set dewasa 600 pcs 12,500 7,500,000
5 14-06-2010 Surat Ket melakukan tindakn 36 Buah - -
6 12-06-2010 Blood transfusion 66 Buah 17,500 1,155,000
15-06-2010 ETT NKK RUSCH 7,0 PCS 1 489,588 489,588
ETT NKK RUSCH 6,5 PCS 4 487,986 1,951,944
ETT NKK PORTEX 7,0 PCS 7 766,836 5,367,852
ETT NKK PORTEX 7,5 PCS 8 766,836 6,134,688
ETT NKK RUSCH 8,0 PCS 4 487,986 1,951,944
ETT PLAIN PORTEX 4,0 PCS 4 148,440 593,760
ETT CLEAR PROFILE PO PCS 4 165,810 663,240
LIDOCAIN 2% INJ AMP 100 1,950 195,000
XILOCAINE SPRAY 50M BTL 1 440,352 440,352
SODA LIME (INTERSOR) BOX 1 797,178 797,178
LEUKOPLAS 4,5 M X 5 ROL 1 38,958 38,958
SUCTION CATH UROPLA PCS 20 10,650 213,000
ISOFLURANE 250ML BTL 6 446,112 2,676,672
TRACTIUM INJ AMP 96 146,620 14,076,288
SURFLO G 20 PCS 24 30,402 729,648
7 16-06-2010 ABBOCATH NO 18 PCS 500 24000 12000000
ABBOCATH NO 20 PCS 500 24000 12000000
ABBOCATH NO 22 PCS 500 24000 12000000
CATGUT PLAIN +JARUM 2/0 PCS 144 35000 5040000
CATGUT PLAIN +JARUM 3/0 PCS 96 35000 3360000
8 21-06-2010 ABBOCATH NO 24 PCS 500 24000 12000000
MASKER KARET BOX 20 60000 1200000
HANDSCOEN GAMMEX 7,5 PCS 480 14000 6720000
HANDSCOEN GAMMEX 8 PCS 480 14000 6720000
STERIL PANJANG NO 7,0 PCS 80 36000 2880000
STERIL PANJANG NO 7,5 PCS 80 36000 2880000
PROLENE 5/0 (12 SACHET) BOX/ 12 SACH 1 1710000 1710000
JARUM G 11 LUSIN 4 65000 260000
JARUM G 13 LUSIN 3 65000 195000
JARUM GR 13 LUSIN 4 65000 260000
JARUM GR 12 LUSIN 4 65000 260000
JARUM GR 10 LUSIN 2 65000 130000
JARUM GR 9 LUSIN 2 65000 130000
JARUM GR 8 LUSIN 2 65000 130000
JARUM GR 6 LUSIN 2 65000 130000
SILK USP 3 ROLL 2 975000 1950000
CATGUT CHROMIC USP 2 ROLL 5 1450000 7250000
Alkohol swab 120 Buah 45,000 5,400,000
9 18-06-2010 Kwitansi proyek 6 Buku 20,000 120,000
SSPP 6 Buku 35,000 210,000
Tinta epson 6 Dos 40,000 240,000
Tinta canon warna 3 Dos 40,000 120,000
Tinta canon hitam 5 Dos 40,000 200,000
Stop map 1 Dos 60,000 60,000
Spidol whiteboard 2 Buah 7,500 15,000
USB / flasdish 4 GB 1 Buah 225,000 225,000
10 19-06-2010 Resep rawat jalan Askesos 40 Buah - -
Rawat inap Askesos 38 Buah - -
Rawat jalan jamkesmas 50 Buah - -
Rawat inap jamkesmas 60 Buah - -
Beras putri salju 4 Karung 165,000 660,000
JUMLAH 11,377,745 178,511,576


NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU

Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11 12
1 01-07-2010 Dinkes Malra 443/27/2010 01-07-2010 Lemari es (sanyo) New Ruby SR-11 180 F 1 Unit
Katalar injeksi 100 mg / ml 9 Vial 450,000 4,050,000
Neurobion 5000 inj 100 Amp 9,500 950,000
Beras putri salju / Sumo 18 krg 227,000 4,080,000
Beras anggrek 18 krg 250,000 4,655,000
Garam 1 krtn - 100,000
Kacang ijo 20 kg 25,000 500,000
Bawang merah 20 kg 50,000 1,000,000
Bawang putih 15 kg 45,000 675,000
Brenibon 6 kg 45,000 270,000
Makaroni spiral 10 pak (10 Kg) 35,000 350,000
Bihun 2 krtn 165,000 330,000
Mie keriting 3 krtn 120,000 360,000
Tisu 3 dos 15,000 45,000
Kecap btl besar 1 krtn - 240,000
Jamur 2 krtn 370,000 740,000
Ercis 1 1/2 krtn 370,000 555,000
Telur ayam 8 krtn 600,000 4,800,000
Miwon 2 pak 90,000 180,000
Selei strobery 4 btl 25,000 100,000
Lada 1 kg - 85,000
Jintan 1 kg - 65,000
Jagung biji 2 krtn 370,000 740,000
Ketumbar 1 kg - 65,000
Susu dancow putih saset 2 krtn 410,000 820,000
Susu dancow coklat saset 2 krtn 432,500 865,000
Susu anlene (1 coklat + 1 putih) 19 th ke ats 14 dos 50,000 700,000
Susu Lactogen 1 & 2 10 dos (5&5) 60,000 600,000
Susu dencow 1+, 2+, 15 dos (5&5&5) 55,000 825,000
Energen coklat 1 krtn - 160,000
Bimoli 620 ml 8 krtn 235,000 1,880,000
Abon sapi 14 (14kg) 60,000 840,000
Daun teh sari wangi 10 dos 12,000 120,000
Susu cap nona 1 krtn - 450,000
Kopi kapal api saset 1 krtn - 200,000
Susu SGM 300 gr 10 dos 65,000 650,000
Maizena 12 dos 10,000 120,000
Kerupuk nuri 3 kg 20,000 60,000
Laksa (sohun) 1 kg - 400,000
Beras ketan (tepung) 6 bgks 10,000 60,000
Agar warna 8 dos 40,000 320,000
Jagung batang 2 krtn 370,000 740,000
Gula merah 16 buah 15,000 240,000
Terigu 2 kg 10,000 30,000
Aqua gelas 4 krtn 65,000 260,000
Aqua botol 2 krtn 60,000 120,000 Rp. 33.659.500
meses 4 klg 70,000 280,000
2 07-07-2010 APBD Ban 185 x 80 R 14 / 208 5 Buah 650,000 3,650,000
3 08-07-2010 Bantuan Depkes Nevirepine 25 Botol - -
Avocomb 21 Botol - -
4 13-07-2010 13-07-2010 Ulsikur 450 Box - -
Nikolin inj 20 Box - -
Transamin inj 100 Box - -
Vitamin k inj 20 Box - -
Dopamin Giolin inj 10 Dos - -
Jamkesmas CHOLESTEROL LIQ 4X100ml KIT 5 2496000 12480000
URIC ACID LIQ 4X100ML KIT 5 2730000 13650000
TRIGLICERID LIQ 5X15 ML KIT 5 1560000 7800000
CREATININ LIQ 200ML KIT 5 600000 3000000
15-07-2010 NICHOLIN INJ BOX/ 5 AMP 20 267,182 5,343,640
PRIMPRAN INJ BOX/ 6 AMP 30 67,320 2,019,600
CEFADROXIL SYRUP BTL 152 11,400 1,732,800
AMBROXOL SYRUP BTL 200 3,102 620,400
DIFENHIDRAMIN INJ BOX/ 30 AMP 50 27,574 1,378,740
EPINEFRIN INJ BOX/ 100 AMP 5 290,136 1,450,680
NEUROBION 5000 INJ BOX/ 20 AMP 20 137,280 2,745,600
AMBROXOL TAB BOX/ 100 TAB 50 13,592 679,620
ANTALGIN INJ BOX/ 30 AMP 10 153,120 1,531,200
TRAMADOL INJ BOX/ 25 AMP 5 207,444 1,037,220
NOVALGIN INJ BOX/ 5 AMP 80 52,688 4,215,072
TRANSAMIN INJ BOX/ 5 AMP 50 99,000 4,950,000
VIT. K INJ BOX/ 100 AMP 20 219,000 4,380,000
AMINOLEBAN BTL 20 201,174 4,023,480
TRAMADOL INJ AMP 48 13,080 627,840
5 16-07-2010 Askes sos 442/991/RSUD/ 16-07-2010 Got Ifcc 8 x 50 ml 3 Kit 1,950,000 5,850,000 442/1110/RSUD
VII/2010 Gpt Ifcc 8 x 50 ml 5 Kit 1,950,000 9,750,000 K.S 2010
Hexagon hbs ag 1 Kit 3,150,000 3,150,000
Syipilis Tpha 100 s 5 Kit 2,010,000 10,050,000
Hexagon Hiv 6 Kit 1,320,000 7,920,000
Golongan darah Tuip 5 Kit 432,000 2,160,000
6 17-07-2010 Jamkesmas Novalgin inj 300 Amp 12,500 3,750,000
Neurobion 100 Amp 9,500 950,000
7 20-07-2010 Jamkesmas Neurobion 5000 inj 500 Amp 9,500 4,750,000
442/101/RSUD KS
8 28-07-2010 Jamkesmas 28-07-2010 Tenso scrape 4 48 Roll 71,000 3,408,000
Langgur/VII/2010
Tenso scrape 6 36 Roll 82,000 2,952,000
Softband 4 36 Roll 33,000 1,188,000
Softband 6 36 Roll 40,000 1,440,000
KASSA 40X80 cm ROLL 50 170000 8500000
GYPSONA 4' ROLL 72 72000 5184000
GYPSONA 6' ROLL 37 92000 3404000
FUJI FILM 30X40 DOS 5 24000 11970000
SPINOCAN 25 PCS 250 2394000 6125000
9 28-07-2010 Askes NAAL HEATING GT 9 LUSIN 5 65000 325000
NAAL HEATING GT 10 LUSIN 5 65000 325000
NAAL HEATING GR 6 LUSIN 5 65000 325000
NAAL HEATING GR 10 LUSIN 5 65000 325000
CUTGUT CHROMIC USP 3 ROLL 5 1450000 7250000
ABBOCATH 18 PCS 500 24000 12000000
ABBOCATH 20 PCS 500 24000 12000000
ABBOCATH 22 PCS 500 24000 12000000
JUMLAH 26,460,592 170,666,392

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU

Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11 12
Beras putri salju / agung 18 krg 227,000 4.080.000
Beras bulog anggrek 18 krg 250,000 4.655.000
Gula pasir 1 krg 830.00
Beras ketan hitam 10 kg 25,000 250.00
Beras ketan putih 15 kg 25,000 375.00
Garam 1 krtn - 100.00
Kacang ijo 20 kg 25,000 500.00
Bawang merah 20 kg 50,000 1.000.000
Bawang putih 15 kg 45,000 675.00
Brenibon 6 kg 45,000 270.00
Makaroni spiral 10 (10 kg) 35,000 350.00
Bihun 2 krtn 165,000 330.00
Mie keriting & mie kuda 4 krtn 120,000 480.00
Mie goreng sedap 4 krtn 61,000 244.00
Sagu mutiara 4 pak 60,000 240.00
Kornet 1 krtn - 582.50
Kecap botl 1 krtn - 240.00
Jamur 2 krtn 370,000 740.00
Ercis 2 krtn 370,000 740.00
Telur ayam 8 krtn 600,000 4.800.000
Tepung mama suka 4 pak 50,000 200.00
Miwon 2 pak 90,000 180.00
Royko 1 krtn - 450.00
selei coklat 4 btl 35,000 140.00
Lada 1 kg - 85.00
Jintan 1 kg - 65.00
Jagung biji 2 krtn 370,000 740.00
Ketumbar 1 kg - 65.00
Kunyit bubuk 1 kg - 30.00
Susu dancow putih saset 2 krtn 410,000 820.00
Susu dancow coklat saset 2 krtn 432,500 865.00
Susu anlene 6 dos 50,000 300.00
Susu Lactogen 1 & 2 10 dos (5&5) 60,000 600.00
Susu dencow 1+, 2+, 3+ 15 dos (5&5&5) 55,000 825.00
Energen coklat 1 dos - 160.00
Bimoli 8 krtn 235,000 1.880.000
Cuka maya 1 krtn - 250,000
Abon sapi 14 pak (14Kg) 60,000 840,000
Selei kacang 4 botol 45,000 180,000
Kacang tanah 15 kg 25,000 615,000
Susu SGM 10 dos 65,000 650,000
Saus Tomat 3 krtn 220,000 660,000
Maizena 10 dos 10,000 100,000
Sambal botol ABC 1 krtn - 230,000
Tepung beras Rosa brand 6 bgks 10,000 60,000
Korek Api gas 1 pak - 60,000
Jagung Batang 2 krtn 370,000 740,000
Sirup ABC 1 krtn - 280,000
Pala, Cengkeh 6 bgks 5,000 30,000
Buah Nes & Kismis 4 bgks 10,000 40,000
Meses Gota ( merah & kuning) 4 kg 20,000 80,000
Meses Gota (Orange & Coklat ) 4 kg 20,000 80,000
Plastik Bening kue besar 4 pak 40,000 160,000
Plastik Bening kue kecil 4 pak 40,000 160,000
Plastik mangkuk puding 4 renteng 30,000 90,000
Minyak Tanah 3 drem 60,000 180,000 Rp. 34.371.500
1 02-08-2010 Jamkesmas Map atr mail 310 1 pak 12,000 12,000
Bl api 2 kg 1 ikat 24,000 24,000
2 06-08-2010 Askes sos Pikkel 1 buah 50,000

Olie 1 buah 40,000
Busi 2 buah 30,000 60,000
10-08-2010 Jamkesmas USG JELLY PARKER GALON 2 955000 1910000
DISPOSIBLE 3 CC PCS 4800 2150 10320000
DISPOSIBLE 5CC PCS 3600 2275 8190000
DISPOSIBLE 10CC PCS 2400 3960 9504000
SCALP VI SET 25 PCS 50 18500 925000
SCALP VI SET 27 PCS 50 18500 925000
3 18-08-2010 Accu toyoda NS yoz 1 buah 475,000 475,000
Flah zlish 46 B 3 buah 450,000 1,350,000
Calculator citizen 16 digit 2 buah 200,000 400,000
Catrike canon 830 1 buah 320,000 320,000
Catrike canon 831 1 buah 350,000 350,000
4 03-08-2010 APBD Makanan Kering untuk Pasien,Dokter 1 paket
2010 Jaga,Perawat Jaga & Pet. Jaga
5 14-08-2010 ASKESOS Flesdis 3 buah 450,000 1,350,000
Calculator citizen 16 digit 2 buah 200,000 400,000
Tetrik canon 830 1 buah 320,000 320,000
Tetrik canon 831 1 buah 350,000 350,000
16-08-2010 DOPAMIN GIULINI INJ BOX/ 5 AMP 10 253.220 3.038.640
ULCUMET INJ BOX/ 5 AMP 468 44.880 21.003.840
MARCAIN INJ BTL 60 125.472 7.528.320
GELOFUSIN 500 ML BTL 12 371.022 4.452.264
EPINEFRIN INJ AMP 50 3.888 194.400
IV CATH VIGO 18 PCS 35 41.202 1.648.080
442/1025/RSUD KS
6 10-08-2010 Jamkesmas 10-08-2010 USG jely 2 Gen 955,000 1,910,000
Langgur /VIII /2010
ST Steril Gamex 7 480 pasang 14,000 6,720,000
ST Steril Gamex 7,5 480 pasang 14,000 6,720,000
Spuit dis 3 cc 4800 pcs 2,150 10,320,000
Spuit dis 5 cc 3600 pcs 2,275 8,190,000
Spuit dis 10 cc 2400 pcs 3,960 9,504,000
Scalp V1 set 25 50 pcs 18,500 925,000
Scalp V1 set 27 50 pcs 18,500 925,000
7 26-08-2010 Catring Laser Jet 1 buah 900,000 900,000
JUMLAH 6,228,610 96,739,194

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU

No Tanggal Dari Barang Banyaknya Satuan Harga B.A. Penerimaan
Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
1 04-01-2010 APBD 027/404/SPK/ MAKANAN KERING UNTUK PASIEN,DOKTER 1 Paket - 018/10.a/ST/ 25-01-2010
2010 RSUD KS/2010 JAGA,PERAWAT JAGA & PET. JAGA RSUD KS/2010
BERAS PUTRI SALJU 4 krg 165,000 660,000
BERAS KARUNG KUNING 2 krg 210,000 420,000
GULA PASIR 10 kg 11,000 110,000
SANI 2 LTR 1 krtn 140,000
TELUR AYAM 1 krtn 360,000
BIHUN AAA BESAR 9 bgks 12,000 108,000
MIE SEDAP GORENG 1 krtn 56,000
KACANG TANAH 10 kg 16,000 160,000
KACANG IJO 10 kg 17,000 170,000
SAUS TOMAT ABC 1 krtn 195,000
KECAP MANIS ABC 2 krtn 190,000
TEPUNG BUMBU MAMA SUKA 2 pak 35,000 70,000
BAWANG MERAH 5 kg 18,000 90,000
BAWANG PUTIH 5 kg 19,000 95,000
DANCOW PUTIH 4 rentg 21,000 84,000
DANCOW COKLAT 4 rentg 24,000 96,000
ROYCO AYAM 5 rentg 5,000 20,000
THE CELUP SARIWANGI 10 dos 5,000 50,000
JAGUNG BIJI 1 krtn 265,000
JAGUNG BATANG 1 krtn 205,000
MAKARONI SPIRAL TELLA 6 bgks 3,000 18,000
SUSU CAP NONA 12 klg 7,000 84,000
TEPUNG MAIZENA 5 dos 5,000 25,000
GULA MERAH 10 bgks 4,000 40,000
TEPUNG BERAS 10 bgks 5,000 50,000
LADA 1 kg 70,000
WELCO NENAS 4 btl 14,000 56,000
GARAM CAP KAPAL 1 krtn 60,000
KOREK API CAP AGOGO 2 pak 30,000 60,000
ABON SAPI 1 pak 45,000
BERAS PUTRI SALJU 4 krg 165,000 660,000
GULA PASIR 10 kg 12,000 120,000
SANIA 2 LTR 1 krtn 140,000
TELUR AYAM 1 krtn 360,000
BIHUN BESAR 9 bgks 12,000 108,000
MIE SEDAP GORENG 1 krtn 56,000
BAWANG MERAH 5 kg 18,000 90,000
BAWANG PUTIH 5 kg 19,000 95,000
SUSU DANCOW PUTIH 4 rentg 21,000 84,000
SUSU DANCOW COKLAT 5 rentg 24,000 96,000
SUSU CAP NONA PUTIH 12 klg 7,000 84,000
BERAS PUTRI SALJU 8 krg 175,000 1,400,000
GULA PASIR 20 kg 12,000 240,000
SANIA 2 LTR 2 ltr 140,000 280,000
TELUR AYAM 2 ltr 370,000 740,000
BIHUN BESAR 1 krtn 185,000
MIE SEDAP GORENG 2 krtn 56,000 112,000
ABON SAPI 2 pak 45,000 90,000
BAWANG MERAH 10 kg 18,000 180,000
BAWANG PUTIH 10 kg 19,000 190,000
DANCOW PUTIH 8 rentg 21,000 168,000
DANCOW COKLAT 8 rentg 24,000 192,000
SUSU CAP NONA 24 klg 7,000 168,000
MAKARONI STELLA 20 bgks 3,000 60,000
TELUR 1 krtn 370,000
ROYCO 6 rentg 5,000 30,000
GULA PASIR 10 kg 12,000 120,000
SANI 2 LTR 1 krtn 140,000
JUMLAH 12,208,000

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU

Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
1 14-02-2010 APBD 02/CV.NA/II/2010 MAKANAN KERING UNTUK PASIEN,DOKTER 1 paket -
2010 JAGA,PERAWAT JAGA & PET. JAGA
BERAS BULOG 6 krg 235,000 1,410,000
GULA PASIR 1 krg 600,000
BIMOLI 620 5 krtn 210,000 1,050,000
TELUR AYAM 6 krtn 390,000 2,340,000
BIHUN BESAR 2 krtn 190,000 380,000
KACANG HIJAU 10 kg 17,000 170,000
BAWANG MERAH 20 kg 18,000 360,000
BAWANG PUTIH 20 kg 20,000 400,000
SUSU DANCOW PUTIH 2 krtn 336,000 672,000
SUSU DANCOW COKLAT 2 krtn 460,000 920,000
ROYCO AYAM BESAR 1 krtn 300,000
TEH SARI WANGI 10 dos 6,000 60,000
MAKARONI SPIRAL @ 1 KG 6 paket 25,000 150,000
SUSU CAP NONA PUTIH 1 krtn 350,000
ABON SAPI 10 paket 45,000 450,000
KACANG TANAH 10 kg 16,000 160,000
SAUS TOMAT 1 krtn 195,000
GULA MERAH BULAT 10 buah 6,000 60,000
TEPUNG BERAS PUTIH 10 bgks 6,000 60,000
SELEI NENAS 4 buah 14,000 56,000
GARAM KAPAL 1 krtn 70,000
KOREK API GOGO 2 paket 30,000 60,000
KECAP ABC 1 krtn 195,000
TEPUNG MAIZENA JAGUNG 5 dos 10,000 50,000
TEPUNG MAMA SUKA 2 paket 40,000 80,000
LADA 1 kg 70,000
LAKSA BESAR 1 krg 335,000
CUKA MAYA 1 krtn 135,000
SODA KUE 1 paket 30,000
CORNED BEEF 1 krtn 482,500
MIWON 1 paket 3,500 35,000
SUSU DANCOW BALITA MADU +1 5 dos 45,000 225,000
SUSU DANCOW BALITA MADU +3 5 dos 45,000 225,000
LACTOGEN 1 5 dos TDK MASUK
LACTOGEN 2 BESAR 5 dos 45,000 225,000
ANLENE 5 dos 45,000 225,000
SUSU SGM 2 5 dos 35,000 175,000
KACANG BRENIBON 5 kg 30,000 150,000
BISKUIT REGAL BESAR 1 klg 105,000
POCARI SWEAT 1 krtn 110,000
PERMEN 2 paket 10,000
AIR AQUA 600 ML 3 krtn 38,000 114,000
AIR GELAS 2 krtn 28,000 56,000
442/1010/RSUD KS
28-02-2010 ASKESOS 28-10-2010 Nalheating GT 9 5 Lusin 65,000 325,000
Langgur/VIII/2010
JUMLAH 17,349,500

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU

Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
1 01-03-2010 APBD 027/55/SPK/ MAKANAN KERING UNTUK PASIEN,DOKTER 1 Paket 018/56/BAP/ 15-03-2010
2010 RSUD KS/2010 JAGA,PERAWAT JAGA & PET. JAGA RSUD KS/2010
BERAS BULOG 10 krg 235,000 2,350,000
TELUR AYAM 8 krtn 360,000 2,880,000
MIWON 250 GR 2 pak 65,000 130,000
SAUS TOMAT 2 krtn 195,000 390,000
MAKARONI SPIRAL @ 1 KG 10 pak 25,000 250,000
TEPUNG MAMA SUKA 4 pak 40,000 160,000
MAIZENA JAGUNG 2 dos 10,000 20,000
KACANG HIJAU 10 kg 17,000 170,000
KACANG TANAH 12 kg 17,000 204,000
BLUE BAND 1 KG 3 klg 45,000 135,000
ERCIS 1 krtn 295,000
SELEI NENAS 6 btl 14,000 84,000
SUSU DANCOW 3 + 6 dos 45,000 270,000
SUSU SGM 1 3 dos 35,000 105,000
SUSU SGM 2 3 dos 35,000 105,000
SUSU LACTOGEN 1 & 2 12 dos 45,000 540,000
BAWANG MERAH 20 kg 20,000 400,000
BAWANG PUTIH 20 kg 18,000 360,000
BAWANG BOMBAY 6 kg 25,000 150,000
LADA 1 kg 70,000
COCOA VAN HOUTEN 6 dos 8,000 48,000
AGAR-AGAR 10 dos 20,000 200,000
JAGUNG HALUS 5 kg 8,000 30,000
ASAM JAWA 1 pak 12,000
KRUPUK UDANG @ 5 KG 1 krtn 55,000
GARAM HALUS 1 krtn 60,000
PLASTIK MAKNAN BESAR 100 lembr 250,000
PLASTIK MAKANAN SEDANG 100 lembr 150,000
ENERGEN COKLAT 1 krtn 125,000
AMANDA 5 KG 1 krtn 55,000
BIMOLI 620 8 krtn 210,000 1,680,000
TEPUNG KETAN 8 kg 8,000 65,000
CORNED BEEF 1 krtn 482,500
2 15-03-2010 APBD 014/CV/III/2010 Kertas HVS 80 Rim 44,550 3,564,000
Buku kiki folio 17 Rim 34,100 579,700
Tinta lazer Jet 2 Tube 1,300,000 2,600,000
Kertas komputer 3 Dos 468,600 1,405,800
Pena fastel 2 Dos 35,000 70,000
3 15-03-2010 APBD Porteks 125 Botol 18,750 2,343,750 018/267/RSUD.
Sos 125 Botol 18,750 2,343,750 KS/2010
Sabun ekstra 62 Buah 17,500 1,085,000
Baiklin 1 ltr 63 Botol 10,100 636,300
Molto 83 Botol 17,500 1,452,500
Densol 120 Buah 18,750 2,250,000
Sabun lifeboy 250 Buah 1,750 437,300
Sabun mangga 300 Buah 3,000 900,000
Sapu ijuk 12 Buah 35,000 420,000
Sapu lidi 8 Lusin 120,000 960,000
Serokan 20 Buah 60,000 1,200,000
Sabun Rinso 22 Kartn 200,000 4,400,000
Kain Pel 240 Lembar 10,000 2,400,000
4 13-03-2010 APBD 020/183/SPK/ Lampu jari philips 18 watt 83 Buah 35,000 2,905,000 020/266/RSUD
RSUD KS/2010 Lampu jari philips 23 watt 84 Buah 40,000 3,360,000 KS. /2010
Lampu TL 40 watt 84 Buah 75,000 6,300,000
Balon lampu pijar 20 watt 83 Buah 7,500 622,500
Saklar (bronco) double 24 Buah 10,000 240,000
5 15-03-2010 APBD Porteks 125 buah 18,750 2,343,750
SOS 125 buah 18,750 2,343,750
Sabun Ekstra 62 buah 17,500 1,085,000
Bayklin 1 Liter 63 buah 10,100 636,300
Molto 83 buah 17,500 1,452,500
Densol 120 buah 18,750 2,250,000
Sabun Lefeboy 250 buah 1,750 437,300
Sabun Mangga 300 buah 3,000 900,000
Sapu Ijuk 12 buah 35,000 420,000
Sapu Lidi 8 buah 120,000 960,000
Serokan 20 buah 60,000 1,200,000
Sabun Rinso 22 buah 200,000 4,400,000
Kain Pel 240 buah 10,000 2,400,000
JUMLAH 82,137,700

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU
Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
1 03-04-2010 APBD 04/CV N/IV/2010 03-04-2010 MAKANAN KERING UNTUK PASIEN,DOKTER 1 Paket -
2010 JAGA,PERAWAT JAGA & PET. JAGA
BERAS BULOG @ 15 KG 9 krg 56,000 864,000
BERAS KUNING 1 krg 240,000 240,000
BERAS SUMO @ 25 KG 2 krg 188,000 376,000
BERAS KETAN PUTIH 3 kg 13,000 39,000
BERAS KETAN HITAM 5 kg 16,000 80,000
BERAS SM PUTIH 8 krg 235,000 1,880,000
BERAS SUMO 16 krg 192,000 3,072,000
SUSU DANCOW SASET COKLAT 1 1/2 krtn 667,500
SUSU DANCOW SASET PUTIH 1 1/2 krtn 562,500
SUSU DANCOW 1 + 6 dos 40,000 240,000
SUSU SGM 1,2,3 12 dos 35,000 420,000
THE SARIWANGI 10 dos 6,000 60,000
JINTAN 1/2 kg 25,000
KUNYIT BUBUK 1 kg 20,000
KETUMBAR 1/2 kg 20,000
SOHUN/LAKSA BESAR 1/2 kg 130,000
BIMOLI 620 ML 8 krtn 210,000 1,680,000
EMPING MELINJO 2 kg 40,000 80,000
GULA MERAH BULAT 10 buah 6,000 60,000
ABON SAPI 12 pak 55,000 660,000
CORNED BEEF 1 krg 482,500
JAGUNG HALUS 2 krg 10,000 20,000
KACANG HIJAU 10 kg 17,000 170,000
KACANGTANAH 10 kg 18,000 180,000
BAWANG PUTIH 20 kg 20,000 400,000
BAWANG MERAH 25 kg 22,000 550,000
BAWANG BOMBAY 5 kg 25,000 125,000
MACARONI SPIRAL 12 pak 25,000 300,000
SAUS TOMAT 3 krtn 195,000 585,000
KECAP MANIS ABC 1 1/2 krtn 195,000 292,500
ERCIS 1 krtn 320,000
JANUR KALENG 1 krtn 265,000
TELUR AYAM 8 krtn 500,000 4,000,000
TEPUNG MAMA SUKA 4 pak 40,000 160,000
TEPUNG BERAS KETAN 6 bgks 7,000 42,000
MIWON 250 3 pak 75,000 225,000
GARAM KAPAL 1 krtn 65,000
ROYCO AYAM 1 krtn 300,000
SELEI KACANG 6 buah 18,000 108,000
MESES COKLAT 1/2 kg 10,000
MESES WARNA 1/2 kg 10,000
LADA 1 kg 70,000
AGAR'' PUTIH 4 dos 20,000 80,000
AGAR'' COKLAT 2 dos 20,000 40,000
AGAR'' MERAH 4 dos 20,000 80,000
2 20-04-2010 APBD HVS warna 8 Rim 52,000 416,000
Pena pilot G 207 1 Lusin
Pena fastel 2 Lusin
Pinsil 2 b 1 Lusin
Stip / penghapus 10 Buah
Pisau Cater 1 Buah
Tipex 2 Dos
Mister/ penggarais 2 Buah
JUMLAH 23,248,000

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU

Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
1 01-05-2010 APBD 027/290.a/SPK/ MAKANAN KERING UNTUK PASIEN,DOKTER 1 Paket 018/255.a/BAP/ 23-05-2010
2010 JAGA,PERAWAT JAGA & PET. JAGA RSUD KS/2010
BERAS SUMO 16 krg 157,800 3,000,000
BERAS AAA @ 25 KG 12 krg 190,000 2,280,000
BERAS PULUT (KETAN) 3 kg 15,000 45,000
KACANG HIJAU 10 kg 18,000 180,000
KACANG TANAH 10 kg 17,000 170,000
BAWANG MERAH 20 kg 24,000 480,000
BAWANG PUTIH 20 kg 22,000 440,000
KECAP MANIS ABC 1/2 krtn - 105,000
TELUR AYAM 8 krtn 600,000 4,800,000
MIE SEDAP COTTO 3 krtn 55,000 165,000
TEPUNG BERAS PUTIH 4 bgks 7,000 28,000
MIWON 250 GR 2 pak 90,000 180,000
GARAM KAPAL 1/2 krtn - 40,000
ROYCO AYAM 1/2 krtn - 225,000
SELEI NENAS 3 btl 16,000 48,000
LADA 1 kg - 75,000
SUSU DANCOW SASET COKLAT 1 krtn 560,000 560,000
SUSU DANCOW SASET PUTIH 1 krtn - 410,000
SUSU DANCOW BALITA MADU 1,+,3 8 dos 55,000 440,000
SUSU SGM 1 3 dos 45,000 135,000
SUSU SGM 2 3 dos 45,000 135,000
BERAS KETAN HITAM 3 kg 17,000 51,000
BLUE BAND @ 1 KG 3 dos 55,000 165,000
LAKSA / SOHUN 1/2 krg - 180,000
BIMOLI 620 ML 8 krtn 23,500 1,880,000
GULA PASIR 1 krg - 650,000
2 01-05-2010 APBD RSUD KS/2010 Amplop Coklat Besar 2 Dos 75,000 150,000
3 01-05-2010 APBD Amplop Coklat Besar 2 Dos 75,000 150,000
Amplop Putih Kecil 2 Dos 17,500 35,000
Amplop Putih panjang 2 Dos 22,500 45,000
Pita Mesin ketik 3 Buah 20,000 60,000
Pembuka Hekter 2 Buah 20,000 40,000
Pelobang Kertas besar 1 Buah 75,000
Cap tanggal 1 Buah 25,000
Penjepit Besar 3 Dos 90,000
Penjepit sedang 3 Dos 25,000 75,000
Penjepit Kecil 3 Dos 20,000 60,000
JUMLAH 18,747,000

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU
Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
1 03-06-2010 APBD Makanan Kering untuk Pasien,Dokter
Beras putri salju / 2 hati/sumo 18 krg 194,000 3,500,000
Beras bulog 18 krg 250,000 4,500,000
Kacang tanah 10 kg 20,000 200,000
Kacang ijo 10 kg 20,000 200,000
Bawang merah 20 kg 25,000 500,000
Bawang putih 20 kg 25,000 500,000
Brenibon 4 kg 35,000 140,000
Makaroni spiral 10 kg 35,000 350,000
Bihun 1 krtn - 220,000
Mie sedap rasa soto 2 krtn 61,000 122,000
Kecap 1 krtn - 105,500
Jamur kaleng 2 krtn - 740,000
Blue band 2 kg 60,000 120,000
Ercis biji kaleng 1 1/2 krtn - 540,000
Telur ayam 8 krtn 600,000 4,800,000
Miwon 2 pak 90,000 180,000
garam 1/2 pak - 40,000
Selei coklat 4 btl 50,000 200,000
Lada 1/2 kg - 40,000
Jintan 1/2 kg - 30,000
Ketumbar 1/2 kg - 30,000
Susu dancow saset coklat 1/2 krtn - 890,000
Susu dancow saset putih 2 krtn - 820,000
Susu anlene (1 coklat + 2 vanila) 3 dos 50,000 150,000
Susu SGM 1, 2, 3 12 dos 45,000 540,000
Susu Lactogen 2 8 dos 55,000 440,000
Susu dencow 1+, 2+, 3+ 12 dos 55,000 660,000
ABC moca 1 krtn - 150,000
Mentega Amanda 1 krtn - 85,000
Bimoli 8 krtn 235,000 1,880,000
Kerupuk udang 5 kg 25,000 125,000
Abon sapi 14 pak 60,000 840,000
Saus tomat 1 krtn - 210,000
Daun te sari wangi 5 dos - 60,000
JUMLAH 26,822,000

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU
Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
Beras putri salju / Sumo 18 krg 227,000 4,080,000
Beras anggrek 18 krg 250,000 4,655,000
Gula pasir 1 krg 830,000
Garam 1 krtn 100,000
Kacang ijo 20 kg 25,000 500,000
Bawang merah 20 kg 50,000 1,000,000
Bawang putih 15 kg 45,000 675,000
Brenibon 6 kg 45,000 270,000
Makaroni spiral 10 pak 35,000 350,000
Bihun 2 krtn 165,000 330,000
Mie keriting 3 krtn 120,000 360,000
Tisu 3 dos 15,000 45,000
Kornet 1 krtn 582,500
Kecap btl besar 1 krtn 240,000
Jamur 2 krtn 370,000 740,000
Ercis 11/2 krtn 370,000 555,000
Telur ayam 8 krtn 600,000 4,800,000
Miwon 2 pak 90,000 180,000
Royko 1 krtn 450,000
Selei strobery 4 btl 25,000 100,000
Lada 1 kg 85,000
Jintan 1 kg 65,000
Ketumbar 1 kg 65,000
Kunyit bubuk 1 kg 30,000
Susu anlene (1 coklat + 1 putih) 19 th ke ats 14 dos 50,000 700,000
Susu Lactogen 1 & 2 10 dos 60,000 600,000
Susu dencow 1+, 2+, 15 dos 55,000 825,000
Energen coklat 1 krtn 160,000
Bimoli 620 ml 8 krtn 235,000 1,880,000
Abon sapi 14 pak 60,000 840,000
Daun teh sari wangi 10 dos 12,000 120,000
Susu cap nona 1 krtn 450,000
Kopi kapal api saset 1 krtn 200,000
Susu SGM 300 gr 10 dos 65,000 650,000
Maizena 12 dos 10,000 120,000
Kerupuk nuri 3 kg 20,000 60,000
Laksa (sohun) 1 kg 400,000
Beras ketan (tepung) 6 bgks 10,000 60,000
Agar warna 8 dos 40,000 320,000
Jagung batang 2 krtn 370,000 740,000
Gula merah 16 bh 15,000 240,000
Terigu 3 kg 10,000 30,000
Aqua gelas 4 krtn 65,000 260,000
Aqua botol 2 krtn 60,000 120,000
meses 4 klg 70,000 280,000
2 07-07-2010 APBD Ban 185 x 80 R 14 / 208 5 Buah 650,000 3,650,000
JUMLAH 37,309,500

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU
Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
Beras putri salju / agung 18 krg 227,000 4,080,000
Beras bulog anggrek 18 krg 250,000 4,655,000
Gula pasir 1 krg 830,000
Garam 1 krtn 100,000
Kacang ijo 20 kg 25,000 500,000
Bawang merah 20 kg 50,000 1,000,000
Bawang putih 15 kg 45,000 675,000
Brenibon 6 kg 45,000 270,000
Makaroni spiral 10 pak 35,000 350,000
Bihun 2 krtn 165,000 330,000
Mie keriting & mie kuda 4 krtn 120,000 480,000
Sagu mutiara 4 pak 60,000 240,000
Kornet 1 krtn 582,500
Kecap botl 1 krtn 240,000
Jamur 2 krtn 370,000 740,000
Ercis 2 krtn 370,000 740,000
Telur ayam 8 krtn 600,000 4,800,000
Miwon 2 pak 90,000 180,000
Royko 1 krtn 450,000
selei coklat 4 btl 35,000 140,000
Lada 1 kg 85,000
Jintan 1 kg 65,000
Ketumbar 1 kg 65,000
Kunyit bubuk 1 kg 30,000
Susu anlene 6 dos 50,000 300,000
Susu Lactogen 1 & 2 10 dos 60,000 600,000
Susu dencow 1+, 2+, 3+ 15 dos 55,000 825,000
Energen coklat 1 dos 160,000
Bimoli 8 krtn 235,000 1,880,000
Cuka maya 1 krtn 250,000
Abon sapi 14 pak 60,000 840,000
Kacang tanah 15 kg 25,000 615,000
Susu SGM 10 dos 65,000 650,000
Saus Tomat 3 krtn 220,000 660,000
Maizena 10 dos 10,000 100,000
Sambal botol ABC 1 krtn 230,000
Tepung beras Rosa brand 6 bgks 10,000 60,000
Korek Api gas 1 pak 60,000
Jagung Batang 2 krtn 370,000 740,000
Sirup ABC 1 krtn 280,000
Pala, Cengkeh 6 bgks 5,000 30,000
Buah Nes & Kismis 4 bgks 10,000 40,000
Meses Gota ( merah & kuning) 4 kg 20,000 80,000
Meses Gota (Orange & Coklat ) 4 kg 20,000 80,000
Plastik Bening kue besar 4 pak 40,000 160,000
Plastik Bening kue kecil 4 pak 40,000 160,000
Plastik mangkuk puding 4 rentg 30,000 90,000
blue band 3 kg 60,000 180,000
JUMLAH 34,371,500

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU

Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
1 02-03-2010 Jamkesmas O2 34 Tabung -
Jamkesmas
Identitas pasien UGD 50 Buku 55,000 2,750,000
Jamkesmas
3 23-03-2010 Jamkesmas Kartu izin Pegawai 100 Lembar -
4 25-03-2010 Jamkesmas 442/49/RSUD/ 6/3/2010 Blood Bag 100 Pcs 150,000 5,200,000
III/2010 Infencet Dewasa 900 Pcs 12,500 11,250,000
Disposible siving 3 cc 4800 Pcs 2,150 10,320,000
no 75
NO 8
5 30-03-2010 Balon pijar philip Buah 10,000 100,000
JUMLAH 585,150 45,185,000

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU
Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
1 06-04-2010 Jamkesmas Identitas Pasien Jamkesmas 50 Buku 55,000 2,750,000
rawat jalan
2 30-04-2010 Jamkesmas Observasi 24 jam 10 Rim 150,000 1,500,000
Blangko Pel. Rwt inap 20 Buku 55,000 1,100,000
Blangko Pel. Rwt Rajln 20 Buku 55,000 1,100,000
JUMLAH 315,000 6,450,000

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU
Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
1 04-05-2010 Jamkesmas Lembar Anamnese UGD 20 Rim 150,000 3,000,000
Blangko Observasi UGD 10 Rim 150,000 1,500,000
JUMLAH 327,500 5,875,000

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU
Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
1 17-07-2010 Jamkesmas Novalgin inj 300 Amp 12,500 3,750,000
Neurobion 100 Amp 9,500 950,000
2 20-07-2010 Jamkesmas Neurobion 5000 inj 500 Amp 9,500 4,750,000
JUMLAH 31,500 9,450,000

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU

Nomor Tanggal
No Tanggal Dari Banyaknya
Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
1 11-02-2010 Askes sos Polibek 30 Pak -
Plastik obt ukuran 5x8 31 Pak -
Plastik obt ukuran 8,7x13 11 Pak -
2 12-02-2010 Askes sos Rehab 2 kereta dorong 1 paket 600,000
(ganti plat + rangka + cat)
3 15-02-2010 Askes sos Pintu terkali rumah pompa + ongkos 1 paket
kerja
Gembok 2 buah 35,000 70,000
Flesdis 6 buah
4 23-02-2010 Askes sos Kalkulator 1 buah 250,000 250,000
5 28-02-2010 Askes sos Rantang 4 Susun 1 buah 200,000 200,000
6 30-02-2010 Askes sos Piring ceper 10 AGD 12 Lsn 23,750 285,000
B. polo 12 Lsn 11,500 138,000
Mangkok 12 Lsn 12,350 148,200
BRT mug F 12 Lsn 18,000 216,000
JUMLAH 1,368,350 55,672,200

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU
Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
1 05-03-2010 Askes Sos 449/92.b/RSUD Penyediaan jas operasi 50 Buah 300,000 15,000,000 800/188.b/BAP/ 25-03-2010
KS/2010 Doek (kain penutup operasi) 90 Buah 117,500 10,575,000 2010
06-03-2010 Askes Sos Perbaikan Instalasi 1,484,500
Perbaikan panel output generator 415,000
Pembersihan radiator Ruangan 1,525,000
Pendingin blok selinator mesin
Perbaikan mesin induk + panel 7,185,000
control mesin
Pekerjaan atap (perbaikan dak bocor) M2 6,000,000
Pembersihan ruangan udara M2 282,000
& perbaikan saluran
2 09-03-2010 Askes sos Wak fain Maspion 2 Buah 350,000 700,000
3 09-03-2010 Askes sos Neon Philips 18 wat 8 Buah 40,000 320,000
Neon Philip 24 Wat 6 Buah 48,000 288,000
Samar dobel bronco 6 Buah 27,500 165,000
Stop kontak bronco 6 Buah 27,500 165,000
Plak ban bening 3 Buah 15,000 45,000
Karpet 5 meter 5 meter 30,000 150,000
Plastik 10 meter 10,000 100,000
Spidol board marker 12 buah 10,000 120,000
Spidol snowman permanen 12 buah 10,000 120,000
Spidol snowman kecil 24 buah 2,000 48,000
Isi hekter max kecil 40 dos 4,000 160,000
isi hekter max besar 40 dos 6,000 240,000
kain pel 60 buah 15,000 900,000
wipol 450 ml 384 buah 9,000 3,456,000
soklin 450 ml 156 buah 9,000 1,404,000
4 14-03-2010 Askes sos Pytogen inj 10 amp 50 box 95,000 4,750,000
Urogravin 76 % 10 amp 96,000 960,000
JUMLAH 1,299,000 56,962,500

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU
No Tanggal Dari Banyaknya
Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
1 15-04-2010 Askes sos kertas F4 70 grm 10 Rim 50,000 500,000
2 16-04-2010 Askes sos Buku kas 3 buah 25,000 75,000
Pena fastel 1 dos 45,000 45,000
Buku kwitansi 2 buah 5,000 10,000
Spidol warna 1 pak 13,000 13,000
3 20-04-2010 Askes sos Noval inj 220 amp 12,500 2,750,000
Ciproflaxin 500 mg 50 box 63,100 3,155,000
JUMLAH 213,600 6,548,000

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU
SKPD : RSUD
PROPINSI : MALUKU

Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
1 12-05-2010 Askes sos Rantang 2 Set 100,000 200,000
Piring 12 RT 1 lusin 7,500 75,000
Sendok 303 2 lusin 20,000 40,000
Gelas 555 7 buah 27,500 192,500
Gembok 5 buah 60,000 300,000
Over Fal 1 buah 2,500,000 2,500,000
2 14-05-2010 Askes sos Dispenser dan galon air
3 17-05-2010 442/132.C/RSUD 17-05-2010 Topi OK tali 60 buah 29,000 1,740,000 442/141/RSUD/
V/2010 Topi OK karet 40 buah 29,000 1,160,000 V/2010
Jas Lab lengan pendek 10 buah 275,000 2,750,000
Apron plastik 10 buah 85,000 850,000
Baju OK leher V + Celana 100 stel 385,000 38,500,000
4 19-05-2010 Grendel 2 buah 75,000 150,000
Paku 2 cm 1 kg 20,000 20,000
Paku 5 cm 1 kg 20,000 20,000
Vinilex Fresh Puti 1 145,000 145,000
Triplex 1 lembar 45,000 45,000
5 20-05-2010 Askes sos Rantang susun besar 1 set 200,000 200,000
Rantang 4 susun kecil 1 set 600,000 600,000
Sendal swalow 20 pasng 200,000
6 26-05-2010 Askes sos AVR 3,410,000
7 28-05-2011 Askes sos Kuali Besar I 1 buah 1,600,000 1,600,000
Kuali Besar II 1 buah 1,000,000 1,000,000
Kuali Besar III 1 buah 700,000 700,000
Kuali kecil 1 buah -
Bila - bila 2 buah 200,000 400,000
-
-
-
8 21-05-2010 Askes sos Tali Air 20 Buah -
Kaos 2 Lusin -
Celana 16 -
Baju 16 -
Topi 10 Buah -
Jas Operasi 100 stel -
Topi 60 Buah -
Jas putih 10 Buah -
9 31-05-2010 Askes sos Stavol 10 Buah 500,000 5,000,000
JUMLAH 8,623,000 61,797,500

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU
SKPD : RSUD
PROPINSI : MALUKU
Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
1 07-06-2010 Askes sos 442/141/RSUD/VI/ Blood transfusion set 66 Pcs 17,500 1,155,000 442/159.b/RSUD/
2010 Alkohol swab 120 Box 45,000 5,400,000 VI/2010
Disposible infusion set anak 600 pcs 17,500 10,500,000
Disposible infusion set dewasa 600 pcs 12,500 7,500,000
J UMLAH 96,925 43,065,000

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
SKPD : RSUD
PROPINSI : MALUKU
Nomor Tanggal
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
1 16-07-2010 Askes sos 442/991/RSUD/ 16-07-2010 Got Ifcc 8 x 50 ml 3 Kit 1,950,000 5,850,000 442/1110/RSUD
VII/2010 Gpt Ifcc 8 x 50 ml 5 Kit 1,950,000 9,750,000 K.S 2010
Hexagon hbs ag 1 Kit 3,150,000 3,150,000
Syipilis Tpha 100 s 5 Kit 2,010,000 10,050,000
Hexagon Hiv 6 Kit 1,320,000 7,920,000
Golongan darah Tuip 5 Kit 432,000 2,160,000
J UMLAH 10,812,000 38,880,000

NIP.19590826 199010 1 002 NIP. 19700712 199303 2 013
Ket
12
Ket
12
Ket
12
Ket
12
Ket
12
Ket
12
Ket
12
Ket
12
Ket
12
Ket
12
Ket
12
Ket
12
Ket
Ket
12
Ket
12
Ket
Ket
12
Ket
12
Ket
12
Ket
12
BUKU PENGELUARAN BARANG
NO HARGA JUMLAH TANGGAL

NO TANGGAL NAMA BARANG BANYAKNYA UNTUK KETERANGAN
URUT SATUAN HARGA PENYERAHAN
1 2 3 4 5 6 7 8 9 10
1 09-02-2010
Status UGD 10 Rim 150,000 1,500,000
Resep Rawt inap Askesos 50 Buku 27,500 1,375,000
Polibek 30 Pak -
2 11-02-2010 Plastik obt ukuran 7x8 17 Pak -
Plastik obt ukuran 8,7x13 11 Pak -
Rehab 2 kereta dorong
3 12-02-2010 1 paket 600,000
(ganti plat + rangka + cat)
Makanan kering untuk Pasien, dokter 1 paket 20,226,000 -
4 14-02-2010
Pasang.Terali 2 + Gembok,Ongkos kerja 2 Buah 35,000 70,000
5 15-02-2010
Gembok 2 buah 35,000 70,000
Flesdis 6 buah
Kartu Barang 300 Lmbr 2,500 750,000
Blangko ssp 10 Buku 50,000 500,000
6 16-02-2010 Bukti Pel. Gawat darurat 50 Buku 27,500 1,375,000
Surat Ket melakukan Tindkn 50 Buku 27,500 1,375,000
Kwitansi proyek 10 Buku 20,000 200,000
Antalgin 750 Vial -
Neorobion 400 Ampl -
Papaverin 1000 tab 5 Btl -
Dexametason 1000 tab 5 Btl -
7 17-02-2010
Cefotaxin 132 Vial -
Vasiver 20 Ampl -
Safriabeon 4 Vial -
Cefta zidine 3 Vial -
8 25-02-2010
8 25-02-2010
Bistuty no 20 2 Box 265,000 530,000
Catgut plain 3/0 with neekle 120 Sasect 30,000 3,600,000
Blood Bag 100 Pcs 52,000 5,200,000
9 23-02-2010 Kalkulator 1 buah 250,000 250,000
10 28-02-2010 Rantang 4 Susun 1 buah 200,000 200,000
Piring ceper 10 AGD 12 Lsn 23,750 285,000
B. polo 12 Lsn 11,500 138,000
11 30-02-2010 Mangkok 12 Lsn 12,350 148,200
BRT mug F 12 Lsn 18,000 216,000
ATASAN LANGSUNG PENYIMPAN BARANG
dr.DANNY SALIM.MM NY.J.CH.NARAHAWARIN

19590826 199010 1 002 NIP.19700712 199303 2 013
BUKU PENGELUARAN BARANG
NO
TANGGAL NAMA BARANG BANYAKNYA HARGA SATUAN
URUT
2 3 4 5 6
1 Makanan kering untuk Pasien, dokter 1 Paket
2 Maspion sapu + serok 1 buah
Sapu lantai maspion 24 buah
Sapu lantai + serok 1 buah
Baiclin lt fres pine reff 800 36 buah
Sapu 2 macam kipas 10 buah
Baiclin pemutih ref 200 ml 48 buah
Baiclin pemutih fresh 48 buah
Baiclin pemutih lmn 200 ml 48 buah
Piala pel cap drat 18 buah
mangga sabun cuci tangan 252 buah
Wing ext aktif 144 buah
3 Kertas F4 70 gr 24 Rim
Kertas A4 70 gr 24 Rim
Kertas Print 9 1/2 x 11 3 play 2 Rim
Pita Print Epson LQ 300 5 Dos
Kertas Dorslag 5 Rim
Batrei GP (3X buas) 3 Lsn
4 Resep Rwt Jln / Rwt Inap 100 Buku
Resep Rwt Inap Askes sos 50 Buku
5 Identitas Pasien Rwt Jln 50 Buku
Jamkesmas
ATASAN LANGSUNG PENYIMPAN BARANG
dr.DANNY SALIM.MM NY.J.CH.NARAHAWAR

19590826 199010 1 002 NIP.19700712 199303 2
RANG
JUMLAH TANGGAL
UNTUK KETERANGAN
HARGA PENYERAHAN
7 8 9 10
14,240,000
46,200
47,500
63,650
9,650
18,000
3,150
3,150
3,150
24,650
1,200
1,900
45,000
40,000
375,000
45,000
25,000
11,000
27,500
27,500
55,000
PENYIMPAN BARANG
NY.J.CH.NARAHAWARIN
NIP.19700712 199303 2 013

RSUD Maluku Tenggara Buku Penerimaan Barang Februari 2010

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SKPD : RSUD

KABUPATEN / KOTA : MALUKU TENGGARA

Dokumen Faktur Nama Harga Jumlah Bukti Penerimaan

ATASAN LANGSUNG, PENYIMPAN BARANG,

dr. DANNY SALIM, MM Ny. J. CH. NARAHAWARIN

BUKU PENERIMAAN BARANG

Dokumen Faktur Nama Harga Jumlah Bukti Penerimaan

ATASAN LANGSUNG, PENYIMPAN BARANG,

dr. DANNY SALIM, MM Ny. J. CH. NARAHAWARIN

BUKU PENERIMAAN BARANG

Dokumen Faktur Nama Harga Jumlah Bukti Penerimaan

JUMLAH 97,650,815 297,745,850

ATASAN LANGSUNG, PENYIMPAN BARANG,

dr. DANNY SALIM, MM Ny. J. CH. NARAHAWARIN

jaga, Perawat jaga & Petugas jaga

Beras sm putih 8 krg 245,000 1,960,000

Jagung halus 2 kg 12,000 24,000

Beras ketan hitam 3 kg 15,000 45,000

Beras ketan putih 5 kg 19,000 95,000

Kacang ijo 10 kg 18,000 180,000

Kacang tanah (merah) 10 kg 20,000 200,000

Bawang putih 20 kg 22,000 440,000

Bawang merah 25 kg 24,000 600,000

Bawang Bombay 5 kg 35,000 175,000

Brenibon 4 kg 35,000 140,000

Makaroni spiral 12 Paket 35,000 420,000

Bihun besar 3 krtn - 660,000

Mie sedap goring 8 krtn 61,000 488,000

Saus tomat 3 krtn 210,000 630,000

Kecap manis ABC 1 krtn 210,000 315,000

Jagung biji (klg) 1 1 krtn - 360,000

Jagung batang (klg) 1 2 krtn - 360,000

Ercis (klg) 1 3 krtn - 360,000

Telur ayam 8 5 krtn - 4,800,000

Tepung mama suka 4 Paket 50,000 200,000

Tepung beras ketan (Bunga hijau) 6 bks 8,000 48,000

Miwon 3 Paket 90,000 270,000

Garam 1 krtn 80,000 80,000

Royco 1 krtn - 450,000

Selei kacang 6 btl 20,000 120,000

Meses coklat(seres) kg 15,000 15,000

Meses warna kg 15,000 15,000

Lada 1 kg 75,000 75,000

Agar putih 4 dos 25,000 100,000

Agar coklat 2 dos 25,000 50,000

Agar merah 4 dos 25,000 100,000

Susu dencow sacset coklat 1 krtn - 840,000

Susu dencow saset puti 1 krtn - 615,000

Susu dencow 1 + madu 6 dos 55,000 330,000

Susu sgm 1 4 dos 45,000 180,000

Susu sgm 2 4 dos 45,000 180,000

Susu sgm 3 4 dos 45,000 180,000

Susu laktogen 1 4 dos 55,000 220,000

Susu laktogen 2 4 dos 55,000 220,000

Daun the celup sari wangi 10 dos 7,000 70,000

Jintan kg 30,000 30,000

3 15-04-2010 Askes sos kertas F4 70 grm 10 Rim 50,000 500,000

HEMOGLOBIN 10 KIT 947,500 9,475,000

GOLONGAN DARAH 4 SET 300,000 1,200,000

CEFADROXIL 500MG TAB 74 BOX 76,364 5,650,000

CEFTRIAXON 1G INJ 100 BOX 104,171 10,417,100

DIFENHIDRAMIN INJ 49 BOX 22,561 1,105,489

PARACETAMOL SYRUP 350 BTL 1,882 658,700