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Data Pemakaian / Pengambilan ATK

Bulan Januari 2016

No Tanggal Nama Barang Jumlah Satuan Harga


1 4/1/2016 Trigonal clips 1 Box 15,000

2 4/1/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000


Kertas Fax 210 x 30 1 Roll 20,000

3 5/1/2016 Amplop Logo Mitra Family 1 Box 50,000


Amplop polos putih kecil 1 Box 12,000
Isi Staples Kecil Etona 10 3 Pak 1,250
Kertas HVS A4 70 gr "Natural" 1 Rim 28,000
Odner Bindex Kecil 777 1 pc 1,666

4 5/1/2016 Batu Batery ABC Alkaline AA 4 Pcs 5,000

5 5/1/2016 Isi Staples Kecil Etona 10 2 Pak 1,250

6 5/1/2016 Amplop Coklat F4 1 Pak 30,000


Isi Ballpoint Snowman (Refill) 2 Pcs 666
Ballpoint Standard AE7 Merah 1 pcs 1,416

7 6/1/2016 Buku Kwarto 200 1 Pc 12,000

8 6/1/2016 Double tape 1 " 1 rol 6,500


Stiker Label Tom & Jerry 103 1 Pak 4,000

9 6/1/2016 Batu Batery ABC Alkaline AAA 3 pcs 3,333

10 7/1/2016 Stiker Label Tom & Jerry 127 10 Pak 4,000


Isi Staples Kecil Etona 10 3 Pak 1,250
Post it 2 pak 10,000
Trigonal clips 1 Box 15,000
Binder clips no. 111 1 Box 5,000

11 8/1/2016 Buku Folio 500 lbr 1 pc


Ballpoint Standard AE7 Hitam 2 pcs 1,416

12 8/1/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000

13 8/1/2016 Odner Bindex Besar 717 1 pc 1,666


Staples Kecil "Max" HD -10 1 pcs 15,000
Isi Ballpoint Snowman (Refill) 3 Pcs 666
14 11/1/2016 Stiker Label Tom & Jerry 100 1 Pak 4,000
Isi Staples Kecil Etona 10 4 Pak 1,250
Isi Ballpoint Snowman (Refill) 2 Pcs 666
Tip ex Kenko 1 pc 3,750

15 12/1/2016 Amplop Coklat Kabinet 1 Pak 15,000

16 13/01/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000

17 13/01/2016 Stiker Label Tom & Jerry 127 10 Pak 4,000


Tip ex Kenko 1 pc 3,750

18 13/01/2016 Spidol Hitam Permanent 2 pcs 5,416


Spidol Boardmarker hitam 2 pcs 6,250

19 15/01/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000


Spidol Hitam Permanent 1 pcs 5,416

20 15/01/2016 Continous Form 9 1/2 X 11, 2 ply 1 Dus 210,000


Isi Ballpoint Snowman (Refill) 1 Pcs 666

21 15/01/2016 Isi Ballpoint Snowman (Refill) 3 Pcs 666

22 18/01/2016 Batu Batery ABC Alkaline AA 2 Pcs 5,000

23 20/01/2016 Stiker Label Tom & Jerry 100 10 Pak 4,000


Kertas HVS A4 70 gr "Natural" 1 Rim 28,000
Dokumen / Clear Holder 40 Sheet 1 pcs 20,000
Standard Buku / beesco 10 Set 25,000

24 20/01/2016 Isi Ballpoint Snowman (Refill) 6 Pcs 666


Pen Meja / Neutral Set Pen 3 pc 6,000

25 20/01/2016 Lem / Glue Stick "Kenko" 25 gr 2 pc 7,000


Binder Clips no. 107 1 Dus 4,000
Isi Staples Kecil Etona 10 2 Pak 1,250

26 21/01/2016 Buku 1/2 Folio 1 pc 10,000

27 21/01/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000


Ballpoint Standard AE7 Hitam 2 pcs 1,416
Isi Ballpoint Snowman (Refill) 2 Pcs 666
Spidol Hitam Permanent 1 pcs 5,416
Tip ex Kenko 1 pc 3,750

28 22/01/2016 Skat File A4 1 Pak 25,000


29 22/01/2016 Continous Form 9 1/2 X 11, 2 ply 1 Box 210,000
Continous Form 9 1/2 X 11, 2 ply PRS 1 Box 215,000
Amplop polos putih kecil 1 Box 12,000
Amplop Logo Mitra Family 1 Box 50,000

30 22/01/2016 handboard Kayu 1 Pcs 5,000

31 25/01/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000


Kertas HVS F4 70 gr "Natural" 1 Rim 33,000
Isi Ballpoint Snowman (Refill) 2 Pcs 666
Tip ex Kertas Roll 1 Pc 7,000

32 27/01/2016 Batu Batery ABC Alkaline AA 2 Pcs 5,000

33 27/01/2016 Buku Tulis SIDU 1 pc 2,800

34 27/01/2016 Batery Sony LR41 1,5 V 1 Pcs 10,000

35 28/01/2016 Batu Batery ABC Alkaline AA 2 Pcs 5,000

36 28/01/2016 Amplop Polos Putih panjang 1 Box 15,000


Isi Ballpoint Snowman (Refill) 6 Pcs 666

37 28/01/2016 Amplop polos putih kecil 1 Box 12,000

38 28/01/2016 Stiker Label Tom & Jerry 127 10 Pak 4,000


Spidol Boardmarker hitam 2 pcs 6,250
Gunting 1 pc 5,000

Total

Data Pemakaian / Pengambilan ATK


Bulan Februari 2016

No Tanggal Nama Barang Jumlah Satuan Harga


1 1/2/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000
Buku Folio 300 lbr 1 pc 35,000

2 1/2/2016 Isi Ballpoint Snowman (Refill) 3 Pcs 666


Spidol Hitam Permanent 1 pcs 5,416
Isi Staples Kecil Etona 10 1 Pak 1,250

3 1/2/2016 Spidol Hitam Permanent 1 pcs 5,416


Batu Batery ABC Alkaline AA 2 Pcs 5,000
Amplop Polos Putih panjang 1 Box 15,000

4 1/2/2016 Buku Kwarto 200 1 Pc 12,000

5 2/2/2016 Tip ex Kenko 1 pc 3,750


Isi Ballpoint Snowman (Refill) 2 Pcs 666
Kertas HVS A4 70 gr "Natural" 1 Rim 28,000

6 2/2/2016 Odner Bindex Besar 717 1 pc 1,666


Odner Bindex Kecil 777 1 pc 1,666

7 2/2/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000


Post it 1 pak 10,000
Lem / Glue Stick "Kenko" 25 gr 1 pc 7,000

8 3/2/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000

9 3/2/2016 Stiker Label Tom & Jerry 127 10 Pak 4,000


Isi Staples Kecil Etona 10 3 Pak 1,250
Isolasi Bening 1/2 " 1 Rol 3,000
Buku Kwarto 200 1 Pc 12,000
Continous Form 9 1/2 X 11, 2 ply 1 Box 210,000

10 3/2/2016 Stiker Label Tom & Jerry 103 1 Pak 4,000


Batu Batery ABC Alkaline AA 2 Pcs 5,000

11 3/2/2016 Isi Ballpoint Snowman (Refill) 4 Pcs 666


Isi Staples Kecil Etona 10 4 Pak 1,250
Buku Tulis SIDU 58 1 pc 2,800

12 3/2/2016 Batery ABC Alkaline AAA 2 pcs 3,333

13 5/2/2016 Amplop polos putih kecil 1 Box 12,000


Isi Ballpoint Snowman (Refill) 6 Pcs 666
Trigonal clips 1 Box 15,000

14 5/2/2016 Kertas Fax 210 X 30 1 Rol 20,000


Isolasi Bening 1/2 " 1 Rol 3,000

15 5/2/2016 Buku Kwarto 200 1 Pc 12,000

16 9/2/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000


Isi Ballpoint Snowman (Refill) 4 Pcs 666
Isi Staples Kecil Etona 10 4 Pak 1,250

17 9/2/2016 Buku Folio 300 lbr 2 pc 35,000


Isi Ballpoint Snowman (Refill) 3 Pcs 666
Penggaris 30 cm 1 pc 1,666

18 9/2/2016 Amplop polos putih kecil 1 Box 12,000

19 10/2/2016 Ballpoint Standard AE7 Hitam 2 pcs 1,416

20 10/2/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000


Post it 2 pak 10,000

21 10/2/2016 Stiker Label Tom & Jerry 127 10 Pak 4,000


Gunting 1 pc 5,000
Binder clips no. 111 1 Box 5,000

22 11/2/2016 Spidol Boardmarker hitam 1 pcs 6,250

23 11/2/2016 Trigonal clips 1 Box 15,000

24 11/2/2016 Amplop polos putih kecil 1 Box 12,000


Amplop Polos Putih panjang 1 Box 15,000

25 12/2/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000


Buku Kwarto 200 1 Pc 12,000
Spidol Hitam Permanent 1 pcs 5,416

26 12/2/2016 Batery ABC Alkaline AAA 2 pcs 3,333


Cutter 1 Set 3,750

27 12/2/2016 Post it 2 pak 10,000


Tinta Stempel Yamura 1 pcs 8,500
Trigonal clips 1 Box 15,000
Binder Clips no. 155 1 Dus 7,000
Continous Form 9 1/2 X 11, 2 ply PRS 1 Dus 215,000

28 15/02/2016 Buku Kwarto 200 1 Pc 12,000


Buku 1/2 Folio 1 pc 10,000

29 15/02/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000


Amplop Polos Putih panjang 1 Box 15,000
Isi Ballpoint Snowman (Refill) 2 Pcs 666

Stiker Label Tom & Jerry 127 10 Pak 4,000


Isi Ballpoint Snowman (Refill) 5 Pcs 666
Continous Form 9 1/2 X 11, 3 : 4 J - Plus 1 Dus 410,000

30 15/02/2016 Kertas Fax 210 x 30 1 Roll 20,000

31 15/02/2016 Map kancing 1 Pc 15,000


Album kartu Nama 1 Pc 10,000

32 15/02/2016 Batery ABC Alkaline AAA 2 pcs 3,333

33 15/02/2016 Buku Folio 200 lbr 1 Pcs 30,000

34 16/02/2016 Isi Staples Kecil Etona 10 3 Pak 1,250


Spidol Hitam Permanent 2 pcs 5,416
Spidol Merah Permanent 2 pcs 5,416

35 16/02/2016 Lem / Glue Stick "Kenko" 25 gr 1 pc 7,000

36 16/02/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000


Kertas HVS F4 70 gr "Natural" 1 Rim 33,000
Amplop Coklat F4 1 Pak 30,000

37 17/02/2016 Isi Ballpoint Snowman (Refill) 6 Pcs 666

38 17/02/2016 Skat File A4 1 Pak 25,000

39 18/02/2016 Stiker Label Tom & Jerry 100 1 Pak 4,000

40 18/02/2016 Odner Bindex Besar 717 2 pc 1,666

41 19/02/2016 Map Snelhekter Biru 20 pcs 1,300

42 19/02/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000


Isi Ballpoint Snowman (Refill) 3 Pcs 666
Skat File Folio 1 Pak 28,000

43 19/02/2016 Staples Kecil Max HD - 10 1 Pc 15,000

44 19/02/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000

45 22/02/2016 Isi Ballpoint Snowman (Refill) 4 Pcs 666


Buku Ekspedisi (1/2 Folio) 100 lbr 1 Pcs 8,000
Batery ABC Alkaline AAA 1 pcs 3,333

46 22/02/2016 Ribbon Pack Hp Nylon 2 pcs


Super clean set 1 Set

47 22/02/2016 Buku Kwarto 200 2 Pc 12,000


Isi Staples Kecil Etona 10 3 Pak 1,250
Isi Ballpoint Snowman (Refill) 3 Pcs 666

48 22/02/2016 Kertas Fax 210 x 30 1 Roll 20,000


49 22/02/2016 Amplop Polos Putih panjang 1 Box 15,000
Spidol Boardmarker hitam 1 pcs 6,250
Spidol Hitam Permanent 2 pcs 5,416

50 23/02/2016 Isi Ballpoint Snowman (Refill) 3 Pcs 666


Stiker Label Tom & Jerry 103 1 Pak 4,000
Isi Staples Kecil Etona 10 1 Pak 1,250
Gunting OLL Gunindo 1 pcs 5,000
Tip ex Kenko 1 pc 3,750
Spidol Hitam Permanent 1 pcs 5,416

51 23/02/2016 Binder Clips no. 260 2 pcs 1,250

52 23/02/2016 Cutter 1 Set 3,750


Binder clips no. 111 1 Box 5,000

53 23/02/2016 Amplop Coklat F4 1 Pak 30,000


Trigonal clips 1 Box 15,000

54 23/02/2016 Batery ABC Alkaline AAA 1 pcs 3,333

55 24/02/2016 Isi Ballpoint Snowman (Refill) 4 Pcs 666


Amplop polos putih kecil 1 Box 12,000

56 24/02/2016 Ribbon Pack For LX 310 1 Pcs


Ribbon Data Card 2 Pcs

57 24/02/2016 Gunting OLL Gunindo 1 pcs 5,000

58 25/02/2016 Amplop Coklat Kabinet 1 Pak 15,000

59 26/02/2016 Amplop Polos Putih panjang 1 Box 15,000


Post it 2 pak 10,000

60 26/02/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000


Isi Ballpoint Snowman (Refill) 3 Pcs 666

61 26/02/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000

62 26/02/2016 Isi Ballpoint Snowman (Refill) 6 Pcs 666


Amplop polos putih kecil 1 Box 12,000
Ballpoint Standard AE7 Hitam 8 pcs 1,416

63 29/02/2016 Kertas HVS A4 70 gr "Natural" 1 Rim 28,000


Ballpoint Standard AE7 Hitam 1 pcs 1,416
Lem / Glue Stick "Kenko" 25 gr 1 pc 7,000
64 29/02/2016 Isi Staples Kecil Etona 10 1 Pak 1,250

65 29/02/2016 Isi Staples Kecil Etona 10 3 Pak 1,250


Binder Clips no. 260 2 pcs 1,250

66 29/02/2016 Karton manila Putih 10 lbr 2,000

67 29/02/2016 Stiker Label Tom & Jerry 127 10 Pak 4,000

68 29/02/2016 Isi Staples Kecil Etona 10 1 Pak 1,250

Data Pemakaian / Pengambilan ATK


Bulan Maret 2016

No Tanggal Nama Barang Jumlah Satuan Harga


1 10\3\2016 kertas hvs a4 a4 rim 28,000
kertas hvs f4 rim 33,000
fos it 2 10000
kertas fax 1 rol 20000
17\3\16 bak tinta 1 buah
bak tinta 1 buah
map 5 pc 1300
15\3\16 binder clip no 155 2 dus 7000

penghapus 1 buah
bindex uk kecil 2 buah 1666
17\3\16 isi pulpen 6 pc 666
SPIDOL MARKER 2 BUAH 6250
isi steples 3 kotak 1250
18\3\16 buku folio 1 buah 30000
28\3\16 batu batre 4 buah 3333
pulpen 2 buah 1416
28\3\16 kertas hvs a4 1 rim 28000
kertas hvsf4 1 rim 33000
spdol snowman permanen 1 buah 5416
pulpen 2 buah 1416
28\3\16 kertas hvs a4 1 rim 28000
reppil pulpen 2 pc 666

28\3\16 tom jeri 5 pak 4000


kertas 2 rangkap 1 bok
30\3\16 isi pulpen 3 pc 666
penggaris 1 buah
14\3\2016 buku polio kecil 1 bku 10000

steples 1 buah 15000


31\3\16 kertas fax 1 rol 20000
kertashvs a4 1 rim 28000
30\3\2016 pulpen 2 buah 1416
amplop besar 1 pak 15000
30\3\2016 post it 3 pc 10000
binder klip 2 pak 4000
binder klip 2 pak 4000
isi hekter 3 pc 1250
31\3\2016
ontner besar 5 1666
pulpen hitam 1 buah 1416
otner bindek besar 3 bh 1666
kertas hvs f4 1 rim 28000
kertas hvsa4 1 rim 33000
16\3\2016 amplop besar 1 bok 15,000
amplop 95*152MM 1 BOK 12000
4\3\2016 buku polio 1 bk 30,000
bindek besar 1 buah 1,666
buku besar 1 buah 30,000
buku kcil sidu 1 buah 2,800
4\3\2016 t0m& jery 10 lembar 4000
penyerut pensil 1 buah
4\3\2016 isi bolpoin 5 pcs 666
7\3\2016 isi pulpen 3 pcs 666
7\3\2016 buku obor bintang 1 buah
7\3\2016 kertas a4 1 rim 28000
besko 1 dus
7\3\2016 bindek klip no 155 1 7000
10\3\2016 isi pulpen 2 pcs 666
kertas hvs 1 rim 28000
11\3\2016 tom jery 1 pak 4000

binder clip 1 bok 3000


14\3\2016 amplop p kecil 1 bok 12000
amplop besar 1 bok 15000
14\3\2016 amplop besar 1 bok 15000
spidol bord marker 1 buah 6250
spidol bord markr 1 buah 6250
ampolop kecil 1 bok 12000
14\3\2016 binder clip no 155 1 dus 7000
isi staples 4 pak 1250
tipex 1 buah 3750
kertas a4 1 rim 28000
klip kecil 2 dus 4000
14\3\2016 isi pulpen 3 bk 666
14\4\2016 a4 2 rim 33000
14\3\2016 kertas f4 1 rim 33000
pulpen 1 buah 1416
isi pulpen 2 pcs 666
15\3\2016 bindex odner besar 1 1666
stples 1 buah 15000
penggaris 1 buah 1666
pembolong 1
trigonal klip 1 15000
bindek klip no 155 1
15\3\2016 pulpen 1 buah 1416
tri gonal klip 1 buah 15000
15\3\2016 pulpen 1 buah 1416
isi hektr 2 pak 1250
tpex 1 buah 3750
spidaol permanen 1 buah 6250
15\3\2016 pulpen 4 buah 1416
post it 2 pak 10000
14\3\2016 kertas a4 2 rim 28000
kertas f4 1 rim 33000
isi pulpen 2 pcs 666
isi hekter 2 pak 1250
24\3\2016 kertas hvs f4 2 rim 33000
kertas A4 1 RIM 28000
isi pulpen 3 PCS 666
22\3\2016 tom &jery 1 pak 4000
isi bolpoin 6 pcs 666
spidol markr 2 buah 6250
22\3\16 map pplastik 12
21\3\16 pulpen 3 buak 1416
isi pulpen 6 pcs 666
20\3\16 bk tulis panjang 1 buah 12000
bk tulis besar 1 buah 35000
isi pulpen 3 pcs 666
amlpop kcil 1 pak 12000
21\3\2016 klp besar 5 pak 5000
klip kecil 5 pak 4000
kip paling besar 5 pak 5000
tom&jery 10 pak 4000
31\3\16 batu jam dingding 1 buah 5000

TOTAL
Data Pemakaian / Pengambilan ATK
BULAN APRIL 2016

1NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA


1 1\4\2016 KERTAS HVS A4 1 RIM 28000
2 1\4\2016 BUKU KWTANSI 3 BK 2000
PULPEN 1 BUAH 1416
ISI ULANG PULPEN 5 PCS 666
TRIGONAL KLIP 1 BUAH 15000

3 4/4/2016 ISI ULANG PULPEN 8 PCS 666


SPIDOL BOAR MARKTR 4 BUAH 6250
AMPLOP BESAR 1 PAK 15000
AMPLOP KECIL 1 PAK 12000
ISI STPLES 1 PAK 1250
BUKU KWRTO KECIL 1 BK 12000
SPIDOL PER MANEN 2 BUAH 5416

4 4/4/2016 KERTAS A4 1 RIM 28000

5 4/4\2016 MAP SETATUS 55 PCS 3750


ISI HEKTR 2 PAK 1250
AMPLOP PUTH BESAR 1 PAK 15000
AMLOP COKLAT 1 PAK 15000
ISSI PULPEN 2 PCS 666
PEMBOLONG 1 BUAH 30000

5 5/4/2016 MARK NOTES PLASTIK 2 PAK


CLER HOIDER 1

6 5/4/2016 ROL PLINTER 10 ROL


PULPEN 5 BUAH 1416
BINDEK BESAR 1 BUAH 1666
KARTU STOK 1 PAK 30000
KARTU STOK I PAK 30000

7 5/4\2016 BINDEK BESAR 1 BUAH 1666

8 5\4\2016 KERTAS PIAGAM BUAH 50000

9 6/4/2016 PULPEN 2 BUAH 1416


ISI HEKTR 4 PAK 1250
ISI HEKTER BESAR 2 PAK 1500
TIPEX 1 BUAH 3750
BINDER CLIPS BESAR 260 1 PAK 1250
KERTAS 3 PLAY 10 DUS

10 6/4/2016 CONTINOUS FORM 3 PLAY 1 dus 410000

11 6/4/2016 KERTAS F4 1 RIM 33000

12 6/4/2016 AMPLOP PANJANG 1 BOX 15000


AMPLOP KECIL 1 BOK 12000
PULPEN 1 BUAH 1416

13 6/4\2016 MAP PASIEN 150 PCS 3750

14 7/4/2016 PEMBATAS BUKU 5 PAK 30000


KERTAS A4 1 RIM 28000
ISI PULPEN 3 PCS 666

15 7\4\2016 AMLPLOP BESAR 1 PAK 15000


AMLPOP KECIL 1 PAK 12000

16 7/4/2016 BUKU BESAR 1 BK 30000

17 7\4\2016 GLUE STICK 2 BUAH 7000


STABILO 1 BUAH

18 8/4/2016 KERTAS 3PLY 2 DUS 320000


AMLLOP KECIL 2 PAK 12000
AMLOP LOGO 2 PAK 50000
19 11\4\2016 KERAS GULUNG 3 RANGKAP 20 PCS
TOM &JERY 2 PAK 4000

20 11/4/2016 BUKU KWITANSI 1 BK 2000


POST it 3 10000
Kertas hvs a4 1 rim 28000
BINDE CLIP 1 1250
21 11/4/2016 TIPEX 1 BUAH 3750
SPIDOL PERMANEN 1 BUAH 5414

22 11/4/2016 KERTAS FAX 1 ROL 20000


Thermol paper roll 2 Rol

23 11/4/2016 STPLES 50 1 BUAH 20000


ISI STPLES 1 PAK 1500
TRIGONAL CLIP 1 15000

24/ . KERTAS HVS A4 1 RIM 28000


AMLOP 1 PAK 15000
ISI PULPEN 3 PCS 666
TOM& JERY 1 PAK 4000

25 11/4/2016 ISI PULPEN 3 PCS 666


ISI HEKTER 1 1250
26 12/4/2016 PULPEN 2 BUAH 1416
ISI STEPLES KECIL 3 PAK 1250

28 13/4/2016 TRIGONAL CLIP 1 15000


ISI STEPLES 4 PAK 1250
KERTAS A4 2 RIM 28000
PULPEN 1 BUAH 1416
AMLOP UANG 2 PAK 30000
POST IT 2 BUAH 4000

29 12/4/2016 KERTAS A4 2 RIM 28000


PULPEN 3 BUAH 1416

30 13/4/2016 STAPLES KECIL 1 BUAH 13000


ISI STPLAS 1 PAK 1250
PULPEN 2 BUAH 1416
ALAS MOS 1 BUAH

31 14/4/2016 STEMFLE LOGO BARU 3 BUAH


MAP STATUS 1 RIM

32 7/4/2016 AMLOP KCL 1 PAK 12000

33 15/4/2016 pulpen 1 buah 1416


KLIP BINDER 155 1 PAK 7000
KERTAS HVS A4 1 RIM 28000

34 15/4/2016 KERTAS KWITANSI 20 BK 2000


PULPEN 2 BUAH 1416
PENSIL 2 BUAH
TIPEX 1 BUAH 3750

35 18/4/2016 KERTAS PRIN 3 RANGKAP 20 LEMBAR


ISI STAPLES 2 PAK 1250
PULPEN 5 BUAH 1416
TOM& JERY 5 PAK 4000

36 18/4/2016 ISI PULPEN 3 PCS 666


TOM JERY 1 PAK 4000
ISI PULPEN 8 PCS 666
37 20/4/2016 KERTAS a4 2 rim 28000
PULPEN 2 BUAH 1416

38 19/4/2016 ISI CATER 1 SET 3750


TOM& JERY 1 PAK 4000

39 21/4/2016 OETNER BESAR 6 BUAH 1666

40 21/4/2016 KERTAS ELIFET GULUNG 2


TINTA PLINTER EPSON 1 BUAH

41 21/4/2016 BINDER KLIP 117 1 BOX 7000


BINDER KLIP 111 1 BOX 5000

42 21/4/2016 BUSINES FILLE 5 BUAH 30000

43 21/4/2016 KWITANSI KECIL 3 BK 2000

44 22/4/2016 BESCO/ 1MAX NO7 20 PSNG 7000


PEMBATAS BUKU/STATUS PX 2 PAK 25000
KERTAS PRIN REG FAX 1 ROL 20000

45 25/4/2016 PULPEN 2 BUAH 1416


ISI STAPLES 2 PC 1250

46 23/4/2016 PULPEN 2 BUAH 1416


KERTAS A4 2 RIM 28000

47 25/4/2016 MAP STATUS 100 PCS


ISI STAPLES 2 PAK 1250
BESCO 40 PASANG 7000

48 25/4/2016 ISI PULPEN 6 PCS 666

49 25/4/2016 PULPEN 1 BUAH 1416

50 19/42016 BINDEX 11 BUAH 16666

51 25/4/2016 STEPLES KECIL 1 BUAH 13000


BINDER KLIP 155 1 BOX 7000
ISI STAPLES 1 PAK 1250
BIDER KLIP 111 1 PAX 5000
POST IT BESAR 3 PAK 4000
BINDEX BESAR 3 BUAH 16666
PENGGARIS 1 BUAH
52 25/4/2016 STABILO 1 BUAH

53 26/4/2016 pulpen 2 buah 1416


BINDER CLIP 1 PAK 5000

54 26/4/2016 ISI PULPEN 3 PCS 666

55 27/4/2016 DATA PRIN EPSON BLAK 2 BUAH 30000

56 28/4/2016 KERTAS FAKTUR 3 RANGKAP 20 LEMBAR

57 28/4/2016 KERTAS A4 2 RIM 28000

29/4/2016 ISI PULPEN 6 PCS 666

4/29/2016 LABEL MR

4/29/2016 POSTIT 2 PAK 4000


ISI PULPEN 4 PCS 666
ISI HEKTR KECIL 4 PAK 1250
ISI HEKTR BESAR 2 PAK 1500
KERTAS 3 PLAY 20 LEMBAR
AMLOP BESAR 1 PAK 12000
BINDER KLIP NO 155 2 DUS 5000
BINDER KLIP GEDE 2 DUS 5000

29 KERTASA4 2 RIM 28000


POS IT 2 PAK 4000
PULPEN 2 BIAH 1416

29/4/2016 LABEL /KERTAS 1 ROLL

Data Pemakaian / Pengambilan ATK


BULAN MEI 2016

1NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA


1 2/5/2016 ISI PULPEN 6 PCS 666
ISI HEKTR NO 10 2 PAK 1250
BUSINES FILE 4 BUAH 1750
BUKU KWRTO KECIL 1 BUAH 12000
AMLOP KCIL 1 PAK 12000

2 2/5/2016 KERTAS THERMAL 2


3 2/5/2016 BOK FILE/BINDEK 2 BUAH 20000
POST IT 1 PAK 10,000
TOM &JERI 1 PAK 4000
BUSINES FILE 3 BUAH 1750

4 2/5/2016 BUKU POLIO 200 LEMAR 1 BUAH 30000

5 2/5/2016 HP 802 REPILL KIT BLACK 1 BUAH 40,000


HP 802 REFILL KIT COLOR 1 BUAH 40,000

5 2/5 2016 PEMBOLONG BESAR 1 BUAH 50000

6 2/52016 MAP STATUS 100 BUAH 3750


PEMBATAS BUKU 3 BUAH 25000
BESCO 40 PASANG 7000

7 2/5/2016 TOM&JERY 3 PAK 4000

8 4/5/2016 BRON ENULGE F4 1 PAK


BRON ENULAGE A3 1 PAK

9 6/5/2016 BUKU KWRTO BESAR 2 BK 30000


SPIDOL BODMAKER 1 BUAH 6250

10 9/5/2016 KERTAS A4 1 RIM 28000


ISI STEPLES NO10 4 PAK 1250
BINDER KLIP 155 2 PAK 7916
POSIT 2 PAK 10000
KERTAS 3 RANGKAP 10 ROL
KERTAS BILING 1 ROL
AMLPOP MITRA 1 PAK 50,000
AMLPOP KECIL 1 PAK 12,000
BINDER KLIP 260 2 PAK 1416

11 9/5/2016 TOM&jery 38*100 1 PAK 10000


BUKU BESAR 1 BUAH 30,000

12 9/5/2016 PULPEN 2 BUAH 1416

13 9/5/2016 BUKU KWARTO KECIL 1 BUAH 12000


SPIDOL MARKET PERMANEN 2 BUAH 5414
ISI STEPLES 3 PAK 1250
ISI PULPEN 6 PCS 666
TOM &JERY 1 PAK 4000
MAP LPASTIK/ BUSINES FILE 13 BUAH 1750
14 9/5/2016 SPIDOL PERMANEN 2 BUAH 5414
ISI PULPEN 3 PCS 833

15 9/5/2016 KERTAS A4 2 RIM 28000


KERTAS FAX 1 ROL 20000

16 9/5/2016 KERTAS A4 1 RIM 28000


ROL LABEL NAMA 1 ROL
KERTAS RIBON LABEL 1 ROL

17 9/5/2016 KERTAS TAJ 127 5 100000


KERTAS PRIN 3 RANGKAP 20 ROL KASIH

18 10/5/2016 TOM& JERI 5 PAK 4000

19 9/5/2016 ISI HEKTER 5 PAK 1250


BINDER KLIP NO 11 1 PAK 5000
BINDER KLIP NO 155 1 PAK 7916
GLUE STICK SEDENG 1 BUAH 7000
POS IT 1 PAK 10000
BINDER CLIPS 1 PAK 5000

20 12/5/2016 MAP STATUS 100 LEMBAR 1300


TRIGONAL KLIP 2 PC 1700
ISI STPLES 3 PC 1250

21 12/5/2016 KERTAS A4 1 RIM 28000


KERTAS F4 1 RIM 33000
RIBON /HP 1 BUAH

22 16/5/2016 KLIP BINDER 1 PAK 7916


KERTAS A4 1 RIM 28000

23 16/5/2016 BUKU PANJANG 1 BUAH 15000


BUKU BESAR 1 BUAH 30000

24 16/5/2016 BUKU PANJANG 2 BUAH 15000


PULPEN 2 BUAH 1416
BUKU POLIO 300 LEMBAR/TEBAL 1 BUAH 35000
BUKU POLIO 200LEMBAR 1 BUAH 30000

25 16/5/2016 PULPEN 2 BUAH 1416

26 17/5/2016 POSIT 2 PAK 10000


PULPEN STANDAR 1 BUAH 1416
ISI PULPEN 2 PCS 833
TIPEX 1 BUAH 5000
LAKBAN 1 GULUNG 10000
TRIGONAL KLIP 1 PAK 1700

27 17/5/2016 STEPLES KCIL 2 BUAH 13000


PULPEN HITAM 2 BUAH 1416
PULPEN MERAH 2 BUAH 1416
TIPEX 1 BUAH 5000
STABILO 1 BUAH
PENGHAPUS 1 BUAH 2000
PEMBOLONG 1 BUAH 30000
PENGGARIS 1 BUAH
ISI STEPLES 1 PAK 1250

28 17/5/2016 SPIDOL WIT BOAR 1 BUAH 5414


SPIDOL PERMANEN 1 BUAH 6250
ISI STEPLES 1 PAK 1250

29 17/5/2016 KERTA F4 2 RIM 33000


TRIGONAL KLIP 1 PAK 1700

30 17/5/2016 MAP STATUS 150 BUAH 1300


BINDEK DUDUK 10 BUIAH 20000

31 18/5/2016 CKIP BINDEK N 155 2 PAK 7916


TIPEX 1 BUAH 5000
KERTAS ROL KWITANSI 10 PCS KASIH

32 18/5/2016 CONTINOUS FROM 3 PLAY NCR


9.5*11 1 BOK
CLER HOLDER 5 PCS 2916

33 19/5/2016 ISI STPLES KCIL 10 PAK 1250


KERTAS PRINTON 3 RANGKAP 20 KASIH

34 19/5/2016 KWITANSI KECIL 3 BK 7000

35 19/5/2016 KERTAS THERMAL 2 RIM


KERTAS A4 2 RIM 28000
ISI STEPLES 2 PAK 1250
PULPEN 2 BUAH 1416

36 18/5/2016 ISI PULPEN 4 PCS 833


STEPLES KCIL 1 13000 13000

37 18/5/2016 SPIDOL BOAD MAKER 1 BUAH 5414


MAP PLASTIK 1 BUAH 3500
TOM& JERY 1 PAK 10000
PULPEN 2 BUAH 1416
ISI PULPEN 6 PCS 833

38 19/5/2016 KERTAS A4 2 RIM 28000

39 19/5/2016 ISI STEPLES KECIL 10 PAK 1250


KERTAS PRIN TOUT 3 RANGKAP 20 PAK

40 20/5/2016 BINDEK CLIP 1 BOK 35000


MARK NOTE
BUSSIES FILE 5 PCS 3500

41 20/5/2016 ISI PULPEN 3 PCS 833


SPIDOL PERMANEN 1 BUAH 6250
SPIDOL BOAR MARKER 2 BUAH 5414
ISI HEKTER KECIL 1 PAK 1250

42 20/5/2016 CONTINUS FROM 3 PLAY 1 DUS 320000


KERTAS PRIN 2 PLAY 20 BUAH
BUKU KWRTO KECIL 2 BUAH 12000
ISI PULPEN 4 BUAH 833
BINDEK KLIP GEDE 1 DUS 17000
BINDER KLIP SEDANG 2 PAK 9500

43 20/5/2016 SPIDOL PERMANEN 1 BUAH 6250


ISI HEKTER KECIL 1 PAK 1250
ISIPULPEN 3 PCS 833

44 19/5/2016 AMLOP KECIL 1 PAK 12000


AMLOP BESAR 1 PAK 15000
BUKU KWRTO 1 BK 12000
BUKU POLIO 200 LEMBAR 1 BK 30000

45 20/5/2016 EPSON INK BLACK BOTOL 1 BOTOL 90000

46 24/5/2016 ISI PULPEN 3 PCS 833

47 23/5/2015 AMLOP BESAR 1 PAK 15000


AMLOP KCIL 1 PAK 12000
STABILO MERAH 1 BUAH
STABILO BIRU 1 BUAH
NOT WARNA WARNI 1 PAK 10000
SPIDOL BOARMARKER 1 BUAH 5414
SPIDOL PERMANEN 1 BUAH 6250
P0SIT WARNA WARNI 1 PAK 10000
POS IT 1 PAK 10000
48 23/5/2016 PITA PRINT 2 PCS KASIH

49 25/5/2016 DAICHI FILE /CLER HOLDER A4 2 PCS 2700


DAICHI /CLER HORDER F4 2 PCS

50 18/5/2016 BUKU TULIS BIASA 2 BK 2000

51 24/5/2016 BUSSINES FILE 5 PCS 3500


BUKU KWRTO 1 BK 12000
PULPEN 1 BUAH 1414

52 25/5/2016 KWITANSI MITRA 2 BK 10,000

53 26/5/2016 KERTAS A4 2 RIM 28000

54 30/5/2016 KERTAS FAX 1 GO 15000

55 31/5/2016 KERTAS A4 2 RIM 28000


ISI STAPLES 4 PAK 1250
PULPEN 2 BUAH 1414
STPLES 1 BUAH 13000
PENGGARIS 1 BUAH

56 31/5/2016 KERTAS A4 2 PLAY 1 RIM 40000

57 31/5/2016 ISI PULPEN 3 PCS 833


SPIDOL PERMANEN 1 BUAH 6250
SPIDOL BOADRMAKER 2 BUAH 5414

Data Pemakaian / Pengambilan ATK


BULAN JUNI 2016
1NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 1/6/2016 DAICHI CLER HOLDER 5 PC 2250

2 1/6/2016 ISI ULANG TINTA INK BIRU 1 BUAH 8500


LEM GLU E STIK 1 BUAH
ISI PULPEN 6 PCS 833
MAP BENING /CLER HOLDER 10 PC 2250

3 1/6/2016 KERTAS TOM&JERY 3 PAK 10,000

4 1/6/2016 ISI STAPLES KECIL 3 PAK 1250


AMPLOP KECIL 1 PAK 12,000

5 1/6/2016 PENGGARIS 1 BUAH 2000


ISI PULPEN 2 PC 833

5 3/6/2016 ISI PULPEN 3 PCS 833


SPIDOL PER MANEN 1 BUAH 6250

6 3/6/2016 POSIT 2B 10000


KERTAS A4 2 RIM 28,000
ISI PULPEN 3 PCS 8333

7 2/6/2016 NOTE MARK/WARNA WARNI 2B 10000

8 1/6/2016 AMLOP UK 35*35 50 LEMBAR 400


AMLOP UK 18*24 50 LEMBAR 3000
AMLOP UK 24*30 50 LEMBAR 2000

9 6/6/2016 TRIGONAL CLIPS 1 PAK 1700


SPIDOL PERMANEN 1 BUAH 6250
TIPEX 1 BUAH 7250
PULPEN 1 BUAH 1414
ISI HEKTER KECIL 1 PAK 1250

10 6/6/2016 PULPEN 1 BUAH 1411

11 6/6/2016 KERTAS A4 2 RIM 28000

12 6/6/2016 AMLOP KECIL 1 PAK 12000


BOX FILE ( BINDEK) 2 BUAH 20,000
TAPE DISPENSER 1 BUAH 35000

13 7/6/2016 CLIP KECIL 2 PAK 1250


SOLATIP BENING KECIL 1G 5000

14 7/6/2016 OTNER 4 BUAH 20000


KWRTO KECIL 2 BK 12000

15 MAP MITRA 100 LEMBAR 3000

16 7/6/2016 KWITANSI 1 BK 2000


ISI HEKTER 5 PAK 1250
ISI PULPEN 2 PCS 833
PULPEN MERAH 1 BUAH 1414
PULPEN HITAM 1 BUAH 1414
POST IT 2 PAK 10000
17 8/6/2016 PULPEN HITAM 3 BUAH 1414
PULPEN MERAH 1 BUAH 1414

18 8/6/2016 BINDER CLIPS NO 155 2 PAK 9500

19 7/6/2016 KWITANSI 1 BK 2000


ISI HEKTER 5 PAK 1250
PULPEN MERAH 1 BUAH 1414
POST IT 2 PAK 10000
PULPEN HITAM 1 BUAH 1414

20 10/6/2016 POS IT 2 PAK 10,000


ROLL PAPER 3 PLAY 20
AMPLOP BESAR BERLOGO 1 PAK 15,000
KLIP KECIL 2 PAK 1250
BINDER CLIP NO155 2 PAK 9,500

21 10/6/2016 KERTAS A4 2 RIM 28,000

22 10/6/2016 ISI HEKTER 2 PAK 1,250


TIPEX 1 BUAH 7250
AMLOP KECIL 1 PAK 12,000

23 9/6/2016 KERTAS PIAGAM 1 RIM 30,000


BINDEK DUDUK 10 BUAH 20,000

24 9/6/2016 KWITANSI ROLS 10 G

25 10/6/2016 SPIDOL MARKER 2 BUAH 5414


SPIDOL PERMANEN 2 BUAH 6250
TIPX 1 BUAH 7250

26 10/62016 GLUE STICK 2 BUAH 2500


TRIGONAL 2 PAK 1700

27 10/6/2016 KERTAS ETIKET 2G


TINTA ETIKET 3 8500

28 13/6/2016 tom &JERY 1 PAK 4000

29/ 13/6/2016 BINDEK DUDUK 17 PCS 20000


ISI STPLES KECIL 2 PAK 1250

30 13/6/2016 CATER 1 BUAH 12500


BINDER CLIP 155 1 PAK 9500

31 13/6/2016 BUKU KWRTO KECIL 1 BK 12000


BUKU KWRTO BESAR 4 BK 30000

32 14/6/2016 KARTU STOK 100 LEMBAR 200


KERTAS STNK 3 RANGKAP 20 G
TINTA EPSON TM 4220 2 BUAH 8500

33 14/6/2016 PULPEN 2 BUAH 1414

KARTU NAMA 3 BOK 40,000

34 14/6/2016 TRIGONAL KLIP 2 PAK 1700

35 8/6/2016 AMLPOO KCL 1 PAK 12000


AMLOP BESAR 1 PAK 15000
CLER HOLDER BENING 7 PCS 2250

36 8/6/2016 STEMPEL KRISTAL 1 BUAH 30,000

8/6/2016 STEMPEL KRISTAL 1 BUAH 30000

37 15/6/2016 PULPEN 1 BUAH 1414


ISI PULPEN 6 BUAH 833

38 15/6/2016 BUKU KWRTO 100 2 BK 12000


BINDEK DUDUK 5 BUAH 20000
SPIDOL PERMANEN 2 BUAH 6250
ISI PULPEN 6 PCS 833

39 16/6/2016 KERTAS A4 1 RIM 28000


TINTA PRINTER HITAM 1 BUAH 30,000

39 15/6/2016 KERTAS F4 2 RIM 30000

40 15/6/2016 UONER BESAR 5 BUAH 20000

41 16/6/2016 CLIP TRI GONAL 1 PAK 1700


BINDER CLIP NO 111 2 PAK 9500
42 1 TOM &JERY 1 PAk 10000

42 16/6/2016 BUKU KWRTO KECIL 2 BK 12000

43 16/6/2016 TELSTRUK FAK 2G


RESUM MEDIS 4 BK 20,000

44 17/6/2016 KWITANSI RSIA MF 3 BK 10000


ROL PAPER 10 G
KLIP KECIL 2 PAK 9500
PULPEN HITAM 2 BUAH 1414

45 18/6/2016 KERTAS A4 2 RIM 28000


SPIDOL PERMANEN 2 BUAH 6250
BOADR MARKER 2 BUAH 5414

46 18/6/2016 MAP SNIL 1 PAK 27000


POSIT 2 PAK 10,000
TEMPA T PULPEN 1 BUAH 17000

47 20/6/2016 TOM & JERY 1 PAK 10000


POS IT 2 PAK 10,000

48 22/6/2016 TINTA PRINTER 5 8500


KERTAS 4ETIKET 3

49 22/6/2016 KERTAS HVS 2 RIM 28000

TIPX 1 BUAH 3750


STAMPRAD /TINTA 1 BUAH 8500

50 27/6/2016 TRIGONAL CLIPS 2 PAK 1700


LEM 1 BUAH 3250
PAPER FASTER 1 PAK 5550
PENSIL 1 BUAH 1250

51 24/6/2016 CLER HOLDER 3 PCS 2250


HEKTER 1 BUAH 17000
SERUTAN PENSIL 1 BUAH 3250

52 24/6/2016 PITA PRINTER CARD PASEN 1 BUAH

53 23/6/2016 STRUK FAX 2G

54 22/6/2016 PITA RIBON LABEL 2


KERTAS FAX 1G
PULPEN 1 BUAH 1414

55 23/6/2016 KERTAS 95*11 1 DUS 210,000

56 27/6/2016 STABILO PINK 1 BUAH 7500


STABILO HIJAU 1 BUAH 7500
ISI STAPLES 3 PAK 1250

57 27/6/2016 BUSINES FILE 2 PCS 2250

58 28/6/2016 POSIT 3 PAK 10,000


59 29/6/2016 ISI PULPEN 1 PCS 833

60 28/6/2016 ISI STPLES NO 10 2 PAK 1250

61 28/6/2016 BINDEK DUDUK 5 BUAH 20,000


PEMBATAS BUKU 2 PAK 10,000
ISI STPLES NO 10 3 PAK 1250
KERTAS FAX KECIL EPSON 2 PAK
TIPEX 1 BUAH 3750
PULPEN 3 BUAH 1414

62 30/6/2016 ISI PULPEN 5 PCS 833


SPIDOL PER MANEN 1 BUIAH 6750

63 30/6/2016 PULPEN 2 BUAH 1414


ISI PULPEN 4 PCS 833

64 30/6/2016 PULPEN 2 BUAH 1414


ISI PULPEN 4 PCS 833

KERTAS F 4 2 RIM 30,000


65 KERTASA4 1 RIM 28000

Data Pemakaian / Pengambilan ATK


BULAN JULI 2016
1NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 4/7/2016 FASTENERS 2 PCS
CONTINUOS FROM 1 RIM 320,000

2 4/7/2016 ISI STPLES 5 PAK 1250


TINTA PRINTER 1 BUAH 30000
KERTAS PRIN 3 PLAY 20 G

3 4/7/2016 TIPX 1 BUAH 7250


AMPLOP 2 PAK 12000
MAP FILE TEBAL 1 BUAH 15000

4 4/7/2016 TINTA STEMPEL 1 BUAH 8500


PULPEN 2 BUAH 1414
5 4/7/2016 KERTAS A4 2 RIM 28000

6 1/7/2016 KERTAS A4 1 RIM 28000


KERTAS F4 1 RIM 30000
ISI STPLEWS 4 PAK 1250
PULPEN 2 BUAH 1414

7 2/7/2016 KARTU STOK 20 LEMBAR 200


ISI SPLES 1 PAK 1250

8 1/7/2016 KERTAS ROL 20 ROOOLL


ISI HEKTER 3 PAK 1250
ISI PULPEN 3 PCS 888
BINDER CLIP 155 1 PAK 9500
BON SEMENTARA 5 BK 10000

9 1/7/2016 PULPEN 2 BUAH 1414


LEM KERTAS 1 BUAH 1750
POIS T 1 PAK 10000

10 4/7/2016 ISI PULPEN 12 PCS 888


PULPEN 2 BUAH 1414
SPIDOL PERMANEN 2 BUAH 6750
BUKU BESAR 1 BK 30000
STBILO 2 BUAH 2500

11 13/7/2016 BINDEK DUDUK 5 BUAH 20000


MAP STATUS 100 PCS 3000
FOMOLIR PENDAFTARAN BARU 1 RIM 70000
ISI STPLES 2 PAAK 1250
LABEL NAMA 1 10000
PITA PRIN 1

12 12/7/2016 KARTU NAMA DINI 2 BOX 40000

13 15/7/2016 AMPLOP KECIL 1 BOX 12000

14 13/7/2016 KERTAS HVS 2 RIM 28,000


ISI STPLES 2 PAK 1250

15 12/7/2016 TINTA PRINTER EPSON 1 BUAH 90000


TINTA PRINTER LX 310 1 BUAH 90,000
PULPEN MERAH 1 BUAH 1414
TIPX 1 BUAH 7250

16 14/7/2016 MAP POLOS BIRU 1 DUS 65000


A4 1 RIM 28000
17 16/7/2016 DOKUMEN ISI 100 1 BUAH 50,000

18 16/7/2016 DOKUMEN ISI 100 1 BUAH 50000

19 16/7/2016 DOKUMEN ISI 100 1 BUAH 50000


PEMBOLONG 1 BUAH 50000

20 18/7/2016 BUKU TULIS BESAR 1 BUAH 30000


MAP LPASTIK DAICHI 1O LEMBAR 2250
BINDEK /BOXFALE 2 BUAH 20000

21 19/7/2016 BUKU KWTO KECIL 1 BUAH 12000


BUKU BESAR 1 BUAH 30000

22 19/7/2016 TINTA PRINTER 1 BUAH 90000


KERTAS FAX 1 BUAH
PULPEN 3 BUAH 1414

23 20/7/2016 ISI PULPEN 5 PCS 833


PULPEN 1 1414
BINDEK KLIP 107 2 2,916
BINDER CLIP 111 2 5833
BINDER CLIP 155 1 PAK 7,083
BINDER CLIP 260 4 17000

24 20/7/2016 FRINTER NILON RIBON 1 BUAH 90,000

25 21/7/2015 PULPEN 1 BUAH 1414

26 21/7/2016 STPLES 1 BUAH 15000


BINDEK DUDUK 5 BUAH 20000

27 21/7/2016 KERTAS A4 1 RIM 28000

28 22/7/2016 BOXFILE 3 BUAH 20,000


PULPEN 4 BUAH 1414
MAP BIERU 1 DUS 65,000
BUKU BESAR 1 BUAH 30,000

29 22/7/2016 MAP STATUS 100 LEMBAR 3,000

30 26/7/23016 kertas rol kwtansi 20 rol


KWTANSI MITRA 5 BK 5000

31 26/7/2016 SPIDOL PERMANEN 1 BUAH 6750


TOM &JERY 1 PAK 5000
HEKTER KCL &ISI 1 BUAH 15000
1 PAK 1250
PULPEN 1 BUAH 1414

32 28/7/2016 HVS A4 2 RIM 28,000


ISI STPLES 2 PAK 1250
KERTAS TRACER EPSON 2G
BINDEK DUDUK 5 BUAH 20000
BINDEK BLUE CYBER 2 BUAH 20000

33 28/7/2016 ISI PULPEN 3 PCS 833


PITA RIBON 2G
POS IT 2 PAK 10000
BUSINES FILE 10 PCS 2700
BINDER CLIP 1 DUS 7083

34 28/7/2016 PRIN LABEL 2G


SPIDOL PERMANEN 2 BUAH 6750
POS IT 2 PAK 10,000

35 28/7/2016 PEMBOLONG BESAR 1 BUAH 50000


TIPX 2 BUAH 3750
PULPEN 1 BUAH 1414

36 29/7/216 KWITANSI BIASA 5 BK 2000


ISI PULPEN 4 PCS 833
ROL PAPER 10 G
ISI STPLES KECIL 5 PAK 1250
KWITASI RSIA 5 BK 10000
PENGGARIS 1 BUIAH 2000

37 29/7/2016 NOTE MARK 1 PAK 10000

38 30/7/2016 ISI PULPEN 1 PAK 833


KLIP 155 2 PAK 7083
ISI HEKTER 1 PAK 1250
SERUTAN 1 BUAH 5000

Data Pemakaian / Pengambilan ATK


BULAN AGUSTUS 2016
1NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 1/8/2016 ISI PULPEN 5 PCS 833
BUKU PANJANG1 1 BK 30,000

2 1/8/2016 ISI PULPEN 5 PCS 833


TOM &JERY 1 SET 10000

3 2/8/2016 STEPLES KECIL 1 BUAH 13000


LEM KERTAS 1 BUAH 3750
ISI STPLES 1 PAK 1250

4 5/82016 STEMPEL 1 BUAH 15000


TINTA YAMORA 1 BUAH 8000
PULPEN 1 BUAH 1414

5 3/8/2016 AMPLOP COKLAT 1 PAK


A4 2 RIM 28000

6 1/8/2016 PULPEN 2 BUAH 1414


ISI PULPEN 5 PCS 833
AMLOP KECIL 1 PAK 12000

7 4/8/2016 PULPEN TEMPEL 1 BUAH 6000


KERTAS ETIKET 20 G

8 8/8/2016 KERTAS A4 2 RIM 28000


TINTA CAP 1 BUAH 8000

9 5/8/2016 BUKU BESAR 1 BK 35,000


BUKU PANJANG 1 BK 30000
ISI HEKTER 1 PAK 1250
PULPEN 2 BUAH 1414
PUPEN 1B 1414

10 11/8/2016 BINDEK DUDUK 5 BUAH 20000


BINDEK DIRI 2 BUAH 30000
AMLOP BESAR 1 PAK 15000
PEMBATAS BUKU 1 PAK 12000
MAP STATUS 100 LEMBAR 3000
KERTAS FAX 1
KERTAS A4 2 RIM 28000
KERTAS TRECER 2 BUAH
PULPEN 2 BUAH 1414
ISI STPLES BESAR 1 BUAH 2000
BUKU KWRTO KECIL 1 BK 15000
STABILO 1 BUAH 8000

11 8/8/2016 PULPEN HITAM MEJA 1 BUAH 6000


PULPEN MERAH 1 BUAH 1414

12 8/8/2016 AMLOP KECIL 1 PAK 12000

13 8/8/2016 KERTAS F4 1 RIM 30000


KERTASA4 1 RIM 28000

14 1/8/2016 CONTINUS FROM 1 DUS 320,000


BINDEK BESAR 3 BUAH 30000
KERTASA4 1 RIM 28000
STABILO 1 BUAH 8000
PULPEN 2 BUAH 1414

15 5/8/2016 STABILO 1 BUAH 8000

16 8/8/2016 amlop kecil 1 pak 12000


biling kertas 3 rangkap 1 dus 320,000

17 11/8/2016 KERTAS ROL STRUK KALKULATOR 1 PAK 20000


ISI HEKTR KCIL 3 PAK 1250
PULPEN 2 BUAH 1414
A4 2 RIM 28000

18 12/8/2016 TINTA PRIN EPSON L200 2 BUAH 90000


BUKU PERMINTAA 1 BK 10000

19 10/8/2016 BUKU BESAR TEBAL 1 BK 35000

20 15/8/2016 kertas biling 3 rangkap 1g


hvs 1 rim 28000
kertas kwitansi 3 ranangkap 2 pak
FASTENER 2 pak
KWITANSI MITRA 5 BK 10000

21 16/8/2016 PULPEN 5 BUAH 1414

22 18/8/20167 TRIGONAL KLIP 1 PAK 2500


PULPEN MEJA 2 BUAH 6000

23 19/8/2016 kertas continues from 1 dus 320,000


kertas a4 2 rim 28,000

24 19/8/2016 spidol wit boar 1 buah 5414


pulpeN 1 BUAH 1414
ISI PULPEN 4 PCS 833
BUKU KWRTO BESAR TEBAL 1 bk 35,000

25 18/8/2016 trigonal clip 1 bok 2500


bindek biru kecil 5 buah 20000
bindek besar hitam 10 buah 30000
pppucket +hindok

26 19/8/2016 bindek duduk 5 buah 20-000


map snil 1 dus 65,000

27 22/8/16 pulpen meja 2 BUAH 6000


KERTAS FAX 2G
KERTAS ETIKET 2G
POS IT 2 PAK 10000
LEM 1 BUAH 7500

28 23/8/2016 ISI HEKTER KECIL 5 PAK 2500


TIPX 1 BUAH 4500
BINDER CLIP 107 3 BOK 3500
BINDER CLIP SEDANG 3 BOK 9500
AMPLOP MITRA 1 BOK 15000

29 23/8/2016 STEPLES 1 BUAH 15000

30 23/8/2016 PULPEN MEJA 1 BUAH 6000


ISI STEPLES 10 BOK 2500

31 23/8/2016 PULPEN MEJA 1 BUAH 6000


ISI PULPEN 4 PCS 833
AMLOP KECIL 1 PAK

32 23/8/2016 PULPEN 2 BUAH 1414

33 20/8/2016 BINDEK DUDUK 2 BUAH 20000


CLER SELVER FELIX 5
AMLOP 1 PAK 15000

34 24/8/2016 STEPLES KCL 1 BUAH 15000


TIPEX 1 BUAH 4500

35 25/8/2016 ISI PULPEN 5 PCS 833


SPIDOL PERMANEN 2 BUAH 6750
TIPX 1 BUAH 4500
STABILO 2 BUAH 8000
AMLOP KECIL 1 PAK 12000
36 29/8/2016 KERTAS HVS A4 2 RIM 28000
GENERAL CNSET 1G
KERETAS THERMAL 2

37 26/8/2016 KERTAS A4 1 RIM 28000


KERTAS F4 70GR 1 RIM 30000

38 25/8/2016 BUSINESS 12 BUAH 20000

39 29/8/2016 BINDEK 10 BUAH 20000


KERTAS PRINT REGISTRASI 2G

40 29/8/2016 EVERAGE CONTEK 1 PAK


A4 1 RIM 28000

41 29/8/2016 SPIDOL PERMANEN 1 BUAH 6750

42 30/8/2016 STIKER ETIKET 3G

43 30/8/2016 PULPEN MEJA 7 BUAH 6000


STMP RAD BIRU 1 BUAH 15000
TIPX 1 BUAH 5500
SPIDOL PERMANEN 1 BUAH 6750

44 30/8/2016 STEMPEL RS 1 BUAH 30000


BAK STEMPEL 1 BUAH 25000
TINTA INK 1 BUAH 8500
45 30/8/2016 BUKU SIDU 1 BK 2500

46 30/8/2016 PEMBATAS BUKU 1 PAK 10000


PENGKAIT STEPLES 1 BUAH 10000
SPIDOL PERMANEN 1 BUAH 6750
map status 2 dus 65000

Data Pemakaian / Pengambilan ATK


BULAN SEPTEMBER 2016
1NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 1/9/2016 KERTAS CONTINUS 3 RANGKAP 1 DUS 320000
STABILO 1 BUAH 8000
POS IT 2 PAK 10000
BINDEK CLIP 1 BOK 7500
BINDERR CLIP 111 1 BOK 9500
STEPLES KECIL 1 BUAH 15000
ISI STPLES NO 10 3 PAK 2500
BINDER CLIP 107 1 BOK 3500
HVS A4 2 RIM 28000

2 2/9/2016 STRUK 3 PLAY 10 G

3 2/9/2016 ROOL PAPER 20 G


KWITANSI MF 5 BK 10000

4 5/9/2016 ISI HEKTER 1 PAK 2500


TRIGONAL KLIP 1 PAK 3500

5 5/9/2016 KERTAS PIAGAM 2 PAK 45000


PENCABUT HEKTER 1 BUAH 13000

6 5/9/2016 KERTAS CONTINUS 1 DUS 320000

7 6/9/2016 MAP STATUS 300 LEMBAR 3000


MARK NOTE 1 PAK 10000
PULPEN MEJA 2 BUAH 6000
PULPEN HITAM 2 BUAH 1414

8 7/9/2016 SPIDOL PERMANEN 1 BUAH 6750

9 7/9/2016 isi pulpen 6 BUAH 833

10 7/9/2016 BS 3 BK 7000
STABILO WARNA BIRU 1 BUAH 8000
STABILO WARNA ORENGE 1 BUAH 8000
STABILO WARNA KUNING 1 BUAH 8000

11 1/9/2016 CONTINUOS 1 RIM 320,000

12 16/9/2016 KERTAS PRIN STRUK 10 G


SPIDOL MERAH 1 BUAH 5414
SPIDOL PERMANEN 1 BUAH 6750
SPIDOL BOADMAKER 1 BUAH 5414
KLIP BINDER SEDANG 2 Pak 7083
klip binder kecil 2 pak 3500
klip binder besr 2 pak 8500
13 8/9/2016 ISI STPLS 3 PAK 2500
TIPX 2 BUAH 5500
KERTAS A4 2 RIM 28000

14 15/6/2016 ISI PULPEN 3 PCS 833


AMLOP KECIL 1 PAK 12000
PENGGARIS 1 BUAH 2000
MAP PLASTIK 20 BUAH 2700

15 13/9/2016 BINDER BESAR 4 30000 120,000

16 14/9/2016 AMLOP KECIL 1 PAK 12000


MAP PLASTIK 3 BUAH 2700
ISI PULPEN 5 PCS 833
ISI HEKTER 1 PAK 2500

17 15/9/2016 TRI GONAL KLIP 1 BOX 3500


KERTAS HVS 2 RIM 28000
LEMKERTAS 1 BUAH 5000
POST IT 2 PAK 10000

18 15/9/2016 REFII HP TYPE 802 2 PAK 25000


REFI HP TYPE 802 WARNA 3 PAK 25000

19 14/9/2016 ISI HEKTER 5 PAK 2500


TINTA ETIKET 2 BUAH 25000
TOM &JERY 1 PAK 10000
KERTAS PRINTER 3 RANGKAP 10 G

20 16/9/2016 AMLOP PUTIH BESAR 1 PAK 15000

21 20/6/2016 BUKU TULIS 2 BK 2000


PULPEN 1 BK 1414

22 20/9/2016 KERTAS HVSA4 1 RIM 28000


AMLOP COKLAT 35*24 1 PAK 30000

23 20/9/2016 DATA INK BLAK REFILL 1 BUAH 90000


DATTA INK COLOR REFILL 1 BUAH 90000

24 19/9/2016 PPULPEN 1 BUAH 1414

25 20/9/2019 TOM JERY 1 PAK 10000


NOT MARK 1 PAK 10000

26 21/9/2016 ISI PULPEN 2 PCS 833


HVS A4 2 RIM 28000
BINDEKS 6 BUAH 20000
PEMBATAS BUKU 2 PAK 30000
ISI STPLES 2 PAK 2500

27 22/9/2016 CONTINUS 1 DUS 320000


BINDER KLIP 3 PAK 5000
28 22/ MAP PLASTIK 5 BUAH 2700
PULPEN 2 BUAH 1414
PENSIL 2 BUAH 1000
ISI HEKTER 5 PAK 2500
PENGHAPUS 2 BUAH 2000
HEKTER 1 BUAH 13000
TRIGONAL KLIP 1 PAK 1500
LEM 1 BUAH 5000

29 22/9/2016 KERTAS 3PLY 20 G


ISI HEKTER 5 PAK 2500
KWITANSI MITRA 5 BK 10000
AMLOP KECIL 2 PAK 12000
KWITASI BIASA 5 BK 2000
ISI PULPEN 4 PCS 833

30 23/9/2016 NOTMARK 1 PAK 10000


TOM&JERY 1 PAK 10000

31 23/9/2016 PULPEN 1 BUAH 1414


ISI PULPEN 4 PCS 833

32 23/9/2016 STEMPEL DR DANNIS 1 BUAH 60,000


TEMPEL KRSTAL 1 BUAH 30000

33 26/9/2016 BUSINESS FILE 10 BAUH 2700


BINDEX /BOXFILE 1 BUAH 20000
KERTAS A4 1 RIM 28000

34 26/9/2016 TINTA PRINTER 1 BUAH 90000

35 26/9/2016 POS IT 2 PAK 10000


PITA PRIN LABEL 2 BUAH 15000
KERTAS FAX 2G
BINDEK DUDUK 5 BUAH 20000
PEMBATAS BUKU 2 PAK 30000
MAP PASIEN 100 LEM 3750
SPIDOL PERMANEN 2 BUAH 6750

36 26/9/2016 KERTAS 3PLY 10 G


KERTAS PRIN ETIKET 4G
37 27/9/2016 KERTASA4 1 RIM 28000

38 29/9/2016 POS IT 3 PAK 10000


CONTINUS FROM 3 PLY 1 DUS 320,000
FASTENER 1 DUS
HEKTER 1 BUAH 13000

39 28/9/2016 KERTASHVSA4 2 PAK 28000


ISI STPLES 2 PAK 2500
ISI PULPEN 2 PCS 1414
NOT MARK 1 PAK 10000

40 28/9/2016 AMLOP MITRA 1 PAK 15000

41 29/9/2016 TOM&JERY107 1 PAK 10000

42 29/9/2016 BUKU KWRTO 1 BK 12000


AMLOP KECIL 1 PAK 12000

43 29/9/2016 KERTAS PRIN 3 RANGKAP 20 G


TINTA /HP 2 PCS 25000

44 29/9/2016 MAP PLASTIK 5 PCS 2700


FROMDPJP 1 RIM 70000
PEMBERIAN TERAPI 1 RIM 70000
KERTAS FAX 2G 20000

45 30/9/2016 PRINTER RIBON /HP 2 PCS 25000


TINTA EPSON 1 PCS 90,000

46 30/9/2016 KERTAS A4 1 PAK 28000


KERTAS F4 1 PAK 30000
BLINDER CLIP 1 PAK 7500
BINDER CLIP KECIL 1 PAK 2500
ISI STPLES 1 PAK 2500

47 30/9/2016 amlop kecil 2 pak 12000


Data Pemakaian / Pengambilan ATK
BULAN OKTOBER 2016
1NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 3/10/2016 PENGGARIS 1 BUAH 2000
ISI PULPEN 5 PCS 833

2 4/10/2016 KWITANSI BIASA 1 BK 2000


PENGGARIS 1 BUAH 2000
BINDEK HITAM 5 BUAH 30000

3 4/10/2016 CONTINUOS 2 PLY 1 DUS 215000

4 4/10/2016 ISI PULPEN 1 PAK 13000

5 5/10/2016 MAP STATUS 100 LEBAR 3750


LABEL PASIEN 2G
BINDEK DUDUK 5 BUAH 20000
MAP DAICI 5 BUAH 2700
ISI STPLES4 4 PAK 2500

6 5/10/2016 HP/RIBON 1 BUAH 25000

7 6/10/2016 KERTAS HVS A4 2 RIM 28000


TINTA /INK YAMORA 1 BUAH 8000

8 10/10/2016 P0SIT 1 PAK 10000

9 10/10/2016 STAN PEN 1 BUAH 6000

10 10/10/2016 KERTAS ETIKET FAX 4G 20000


ISI TINTA HP 5 PCS 25000
HEKTER 2 BUAH 13000

11 10/10/2016 MAP STATUS 100 LEMBAR 3000

12 10/10/2016 AMLOP MITRA 1 PAK 50000


KWITANSI MITRA 4 BK 5500
FAXTUR 1 BUAH 20000
POSIT 2 PAK 10000
KERTAS 3 PLAY 30 G 7000

13 10/10/2016 KERTAS F4 1 RIM 30000


KERTAS A4 1 RIM 28000
BINDEK DUDUK 5 BUAH 20000
MAP PLASTIK /DAICI 1 PAK 27000
BUKU KWRTO KECIL 1 BK 8000
14 10/10/2016 KERTAS PRIN 3 RANGKAP 20 G 7000
TINTA PRINTER 1 BUAH 90000

15 10/10/2016 ISI PULPEN 5 PCS 833


PENSIL MERAH BIRU 1 BUAH 2500

16 11/10/2016 A4 1 RIM 28000


PULPEN 1 BUAH 1414
ISI PULPEN 4 PCS 833

17 11/10/2016 A4 1 RIM 28000

18 11/10/2016 BUKUKWRTO KECIL 1 BK 8000


MAP FILE 100/DOKUMEN ISI 1 BK 50000

19 11/10/2016 KERTAS A4 1 RIM 28000


KENKO PUSH PINS/PAKU 1 PAK 7000

20 12/10/2016 KERTASA4 1 RIM 28000


AMLOP PUTIH BESAR 1 PAK 15000
AMLOP KECIL 1 PAK 13000

21 12/10/2016 KERTAS A4 WARNA 1 RIM 45000


PLASTIK CLER SLEVER/DAICI 4 PCS 2700

22 14/102016 KERTAS A4 2 RIM 28000


MAP DAICI 1 PCS 2700

23 18/10/2016 PULPEN 1 BUAH 1414

24 18/10/2016 POS IT 2 PAK 10000


KERTAS A4 2 PAK 28000

25 18/10/2016 TOM JERY 107 1 PAK 10000

26 18/10/2016 KERTAS FAX KECIL 3G


STEPLES 1 BUAH 13000
KARTU PASIEN 500 PCS 2500
KERTAS A4 2 RIM 28000
ISI STPLES 1 PAK 2500
PENGGARIS 1 BUAH 2000
PULPEN MEJA 1 BUAH 6000
PULPEN 2 BUAH 1414

27 18/2016 DUKUMEN ISI 100 1 BUAH


AMLOP COKLAT 2 PAK
PENGHAPUS 1 BUAH 2000
PULPEN 1 BUAH 1414
ISI PULPEN 2 BUAH 833
DOKUMEN ISI 100 2 BUAH

28 20/10/2016 CONTINUS FROM 3 PLY 1 DUS 320000


TINTA RIBONHP 2 BUAH 25000

29 20/10/2016 BUSINES FILE 2 BUAH


BINDEK BESAR 2 BUAH 20000

30 21/10/2016 AMLOP KECIL 1 PAK 12000


KERTAS A4 1 RIM 28000

31 21/10/2016 BINDEK DUDUK 5 BUAH 20000


MAP STATUS 100 B 3000
PENGGARIS 2 BUAH 2000
KERTASF4 2 RIM 30000
PULPEN 2 BUAH 1414
POIST 2 BK 10000
CLER HORDER 4 BUAH 2700
BUKU TULIS 1 BK 2000
BUSINES FILE 4 BUAH 3500
POIST 2 BK 10000

32 21/10/2016 AMLOP KECIL 1 PAK 12000


AMLOP BESAR 1 PAK 15000

33 21/10/2016 PULPEN 3 BUAH 1414


TIPEX 1 BUAH 7500

34 21/10/2016 KARTU NAMA DR FREDY 2 BOX 40000


KARTU NAMA DR DEDY 3 BOX 40000

35 21/10/2016 P0ST IT 3 BK 10000


RIBON PRINTER LX HP 1 BUAH 12000

36 21/10/2016 KERTAS 3PRIN RANGKAP 20 G 70000

37 21/10/2016 BUSINESS FILE A4 40 BUAH 3000

38 25/10/2016 PULPEN 2 BUAH 1414


HVS F4 1 RIM 30000

39 25/10/2016 TRIGONAL KLIP 107 1 PAK 2500


TRIGONAL KLIP 1 PAK 2500
40 26/10/2016 BINDEX 5 BUAH 20000
KERTAS FAX KECIL 4G
MAP STATUS 100 BUAH 3000
SPIDOL PERMANEN 2 BUAH 6750

41 26/10/2016 KERTAS HVS TEBAL 15 BUAH 1500

42 26/10/2016 TINTA PRIN 3G


MAP FILE 5 BUAH 3500
LABEL NAMA 2G
FOMULIR HAK&KEWAJIBAN PASIEN 5 BK 20000
SURAT PERSETUJUAN TINDAKAN 5 BK 20000

43 27/10/2016 BINDEX 1 BUAH 20000


HVSF4 1 RIM 30000
HVSA4 1 RIM 28000
DOKUMEN ISI 100 1 BUAH 50000
PULPEN 2 BUAH 1414
BUKU TULIS 1 BK 2000
CONTINUS FROM 2 PLAY 1 BOX 220000

44 28/102016 BINDEX BESAR 5 BUAH 30000


TEMPAT PENSIL 1 BUAH 7000
MAP PLASTIK FILE 1 BUAH 3500
PENGHAPUS 1 BUAH 2000
BINDER KLIP 2 PAK 2500
PENSIL 1 BUAH 2000
TRIGONAL KLIP 1 PAK 1500

45 28/10/2016 KERTAS ROL 3 PLYA 10 G 7000


FASTENER 2 BUAH 6000

46 31/10/2016 CONTINUS 3FLY 1 DUS 320000

47 31/10/2016 BOX FILE 10 BUAH 20000

48 31/10/2016 BUKU TULIS 1 BK 8000


STPLES 1 BUAH 13000
CLER HOLDER /FILE 2 LUSIN 27000

49 31/10/2016 PULPEN 3 BUAH 1414


SPIDOL PERMANEN 1 BUAH 6750

50 31/102116 PULPEN 4 BUAH 5656


SPIDOL PERMANEN 1 BUAH 6750
TRIGONAL KLIP 1 PAK 2500
Data Pemakaian / Pengambilan ATK
BULAN NOVEMBER 2016
1NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 1/11/2016 TINTA PRIN EPSON 310 1 BUAH 90000

1 1/11/2016 KERTAS A4 1 RIM 28000

3 1/11/2016 TOM JERY 2 PAK 10000


FILE 5 BUAH 3500
4 1/11/2016 AMLOP COLKAT 1 PAK 30000

5 1/112016 TRYGONAL KLIP 1 PAK 2500


PULPEN 1 BUAH 1414

6 1/11/2016 PULPEN 4 BUAH 1414


ISI PULPEN 1 PAK 8330

7 1/112016 RIBON/HP 2 PCS 25000


BUKU BOS 1 BK 8000

8 2/11/2016 MAP STATUS 100 LEMBAR 3000

9 3/11/2016 KERTAS TOM &JERY 3 PAK 10000


BINDEK BESAR 1 BUAH 30000
BINDEK SEDANG 3 BUAH 20000
TIPEX 1 BUAH 5000
PENSIL 1 BUAH 1500
PENGHAPUS 1 BUAH 2000
SERUTAN 1 BUAH 3000

10 3/11/2016 ISI PULPEN 1 PAK 8330


PENSIL RED BIRU 1 BUAH 2500
TIPX 1 BUAH 5000
SPIDOL PERMANEN 1 BUAH 6750
BUKU KWRTO KECIL 1 BK 8000
KLIP 107 1 PAK 2500
11/ 3/11/2016 AMLOP LOGO 1 PAK 50000
AMLOP PUTIH POLOS 1 PAK 15000

12 3/11/2016 PULPEN MEJA 1 BUAH 6000

13 4/11/2016 CLER HOLDER/DAICI 50 LEMBAR 2700


BOX FILE 5 BUAH 20000

14 4/11/2016 KERTAS F4 1 RIM 30000


BINDER KLIP SEDANG 2 PAK 5000
PENGHAPUS 1 BUAH 2000

15 4/11/2016 BINDEX 717 10 BUAH 30000

16 7/11/2016 KERTAS AA4 1 RIM 28000


KERTAS F4 1 RIM 30000
ISI HEKTER 1 PAK 2500
TRIGONAL KLIP 1 PAK 2500

17 7/11/2016 BINDEX DUDUK 2 BUAH 30000

18 7/11/2016 AMLOP KECIL 1 PAK 12000


GLUE STICK 1 BUAH 5000
SPIDOL BOADMARKER 1 BUAH 5500
BUKU KWRTO KECIL 1 BK 8000

19 7/11/2016 SPIDOL PERMANEN 1 BUAH 6750


NOT MARK 2 PAK 10000

20/ 8/11/2016 KERTAS A4 1 RIM 28000


KERTAS F4 1 RIM 30000

21/ 9/11/2016 AMLOP COKLAT 1 PAK 30000


MAP STATUS 200 PCS 3000
KERTAS KOP SURAT 1 RIM KASIH
AMLOP SURAT 1 PAK 50000
BINDEK DUDUK 4 BUAH 20000
22 9/11/2016 LEM STIK 4 BUAH 5000
PENGGARIS 1 BUAH 2000

23 9/11/2016 PULPEEN 1 BUAH 1414


BUSINES FILE 3 BUAH 3500
BUKU KWTO PANJANG 1 BK 15000

24 10/11/2016 KERTAS A4 1 RIM 28000


25 10/11/2016 BUSINES FILE 2 PCS 3500

26 10/11/2016 KERTAS 3 PLY R 10 ROLL 2000


KWITANSI MITRA 5 BK 10000

27 10/11/2016 KERTAS A4 1 RIM 28000


PULPEN 1 BUAH 1411
BUKU KWRTO KECIL 1 BK 8000
TIPEX 1 BUAH 6500
PULPEN MEJA 2 BUAH 6000

28 10/11/2016 BINDEK 24 BUAH 20000


AMLOP COKLAT 1 PAK 30,000

29 10/11/2016 BINDEK 1 BUAH 20,000

30 15/11/2016 BUKU KWRTO PANJANG 1 BK 15000


PULPEN 1 BUAH 1414
ISI PULPEN 2 PCS 833
BUKU KWRTO BESAR 1 BK 20000

31 15/11/2016 PULPEN 1 BUAH 1414


PULPEN MEJA 1 BUAH 6000
32 15/11/2016 TINTA 1 BUAH 90000
PAPER KLIP 1 PAK 2500

33 15/11/2016 TIPEX 1 BUAH 5500

34 15/11/2016 CLER HOLDER 3 PAK 27000


KERTAS FAX 3G KASIH
KERTAS LASER 3G KASIH

35 15/11/2016 KERTAS PRIN EPSON 20 ROOL 2000


ISI HEKTER 2 PAK 2500
TOM &JERY 1 PAK 10000
PULPEN 2 BUAH 1414
PILPEN MERAH 2 BUAH 1414

36 15/11/2016 KERTAS A4 1 RM 28000


KERTAS F4 1 RIM 30000
TINTA EPSON BIRU 1 PCS 90000
POS IT 1 PAK 10000
PENG HAPUS 1 BUAH 2000
SERUTAN PENSIL 1 BUAH 2500
TIPEX 1 BUAH 5500
TRIGONAL KLIP 1 PAK 2500
CONTINUS 1 BOX 330,000
37 15/11/2016 MAP MIKRO KANCING 1 PCS 15000

38 15/11/016 KERTAS FAX 2 RO 2000


POS IT 2 PAK 10000
PULPEN 2 BUAH 1414
KERTAS A4 1 RIM 28000
KERTAS F4 1 RIM 30000

39 15/11/2016 KERTAS A4 1 RIM 28000

40 15/11/2016 ISI PULPEN 6 PCS 833


AMLOP KECIL 1 PAK 12000
TIPEX 1 BUAH 5500

41 15/11/2016 MAP FILE 6 PCS 3500


AMLOP KECIL 1 PAK 12000

42 15/11/2016 PULPEN 2 BUAH 1414

43 15/11/2016 ISI PULPEN 1 PAK 8300


PULPEN 2 BUAH 1416

44 21/11/2016 TINTA PRINTER 1 BUAH 90000


BINDEX DUDUK 10 BUAH 20000
KERTAS A4 WARNA BIRU 1 RIM 50000

45 21/11/2016 MAP PLSTIK FILE 2 PCS 3500

46 22/11/2016 KERTAS A4 2 RIM 28000


POS IT 2 PAK 10000
STABILO 2 BUAH 8000
KALKULATOR 1 BUAH 100000
BUSNIS FILE 2 BUAH 3500

47 22/11/2016 FASTENERS 3 PAK 8500


POS IT 5 PAK 10000
ISI STPLES 5 PAK 2500
ISI STEPLES BESAR 5 PAK 3000
BINDER KLIP KECIL 3 PAK 2500
BINER KLIP SEDANG 3 PAK 5000
BINDER KLIP BESAR 3 PAK 7500
PAPER 3 PLY 10 ROLL 2000
KERTAS CONTINOUS 1 BOX 330000
KLIP 2 PAK 2500

48 22/11/2016 PULPEN 2 BUAH 1416


49 22/11/2016 PERMANEN 1 BUAH 6750
PENGGARIS 1 BUAH 2000

50 24/11/2016 POST IT 1 PAK 10000


SPIDOL PERMANEN 1 BUAH 6750
PENGGARIS 1 BUAH 2000
ISI STPLES 1 BOX 2500
BUSINES FILE 2 BUAH 3500

51 24/11/2016 BUKU BESAR 1 BK 20000

52 24/11/2016 ISI BINDEK PLASTIK 2 PAK 15000


MAP TEBAL HIJAU 48 B 7000
MAP KANCING 2B 3000

53 24/11/2016 TEMPAT PENSIL KERANJANG 1B 13000

54 24/11/2016 TEMPAT PENSIL KERANJANG 1B 13000

55 24/11/2016 CONTINUS 2PLY 1 BOX 229000

56 24/11/2016 ISI PULPEN 1 PAK 8330


PULPEN 1B 1416

57 24/11/2016 PULPEN 2B 1416

58 24/11/2016 SPIDOL BOAD MAKER 1B 6250


PULPEN BIRU 1B 1416

59 24/11/2016 SPIDOL ORIP 1B 7000

60 24/11/2016 PENGGARIS 1B 2000


ISI PULPEN 6 PCS 1416

61 28/11/2016 KERTAS 4A 2 RIM 28000


KERTAS A4 2 RIM 28000

62 28/11/2016 KERTAS A4 2 RIM 28000


KERTAS F4 2 RIM 30000

63 28/11/2016 BINDEX BOXFILE 10 BUAH 20000

64 28/11/2016 CLER HOLDER /MAF DAICI F4 2 PAK 27000


FILE 1 BUAH 3500
KLIP 107 2 PAK 2500
65 29/11/2016 MAP SPAGUL 100 PCS 8000
PP POKET FOLIO 7 PAK 18000
A4 2 RIM 28000
TRIGONAK KLIP 2 PAK 2500
KLIP107 2 PAK 2500
KLIP 115 1 PAK 3000

Data Pemakaian / Pengambilan ATK


BULAN DESEMBER 2016
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 2/12/2016 AMLOP BESAR 2 PAK 15000

2 2/12/2016 KERTAS F4 4 PAK 30000

3 2/12/2016 CLIP 107 1 PAK 2916


CLIP 111 1 PAK 5833
CLIP 155 1 PAK 7000
TOM &JERY 1 PAK 10000
PULPEN 1 BUAH 1416
ISI PULPEN 1 PAK 10000
POS IT 1 PAK 10000
BUSINES FILE 1 BUAH 3500
BINDEK 1 BUAH 20000
PENSIL RED GLUE 1 BUAH 2000

4 2/12/2016 KERTAS ROL PAPER 3 PLY 10 ROLL 2000


ISI PULPEN 4 PCS 833
TINTA EPSON 1 BUAH 90000
ISI HEKTER 5 PAK 2,900

5 2/12/2016 BUSINES FILE 6 BUAH 3500


MARK N NOTES 1 PAK 10000
SPIDOL MARKER 1 BUAH 6250
6 2/12/2016 PULPEN MEJA 3 BUAH 2000
STABILO 1 BUAH 8000
STEPLES KECIL 1 BUAH 13000
ISI STEPLES 1 PAK 2900
AMLOP BESAR 1 PAK 15000
AMLOP KECIL 1 PAK 12000
MAP SNIL 1 PAK 2700

7 2/12/2016 PULPEN 1 BUAH 1416


ISI PULPEN 1 PAK 10000
BUKU KWRTO PANJANG 2 BK 15000
KLIPP127 1 PAK 4000

8 2/12/2016 PULPEN 2 BUAH 1416


PULPEN MERAH 2 BUAH 2832
BUKU KWRTO 1 BK 8000

9 2/12/2016 BINDER BESAR 1 BUAH 30,000


HEKTER 1 BUAH 13000
ISI HEKTER 5 PAK 2900
BINDER CLIP 127 1 PAK 4000
BINDERCLIP 107 1 PAK 2916
BINDERKLIP 155 1 PAK 7000
MAP FILE ISI 100 1 BUAH 50000
TEMPAT PULPEN 1 BUAH 13000

10 2/12/2016 BINDEK 1 BUAH 20000


STABILO 1 BUAH 8000
KLIP 107 1 PAK 2916

11 6/12/2016 BUKU QUARTO 1 BK 8000

12 6/12/2016 ISI HEKTER 2 PAK 2900

13 6/12/2016 TRI GONAL KLIP 2 PAK 2500


POS IT 2 PAK 10000
BINDER CLIP 111 1 PAK 5833
CONTINUS FROM 3 PLY 1 BOX 320000
PENSI 2 BUAH 2000

14 6/12/201`6 BOX FILE 12 BUAH 20000

### 6/12/2016 KERTAS A4 1 RIM 28000

16 6/12/2016 CLIP 107 1 PAK 2916


CLIP 127 1 PAK 4000
ISI STEPLES 3 PAK 2900
STABILO 1 BUAH 8000

17 8/12/2016 PITA RIBON U PLINTER/KASIH 5G


BINEX DUDUK 5 BUAH 20000
KERTASFAX /KSIH 4G
NOTMART 2 PAK 10000

18 8/12/2016 KERTAS A4 1 RIM 28000


KERTAS F4 1 RIM 30,000
SERUTAN 1 BUAH 3000

19 8/12/2016 KERTAS PRIN 3 RNGKAP 2 PAK 70000

20 9/12/2016 BUKU Q BESAR 1 BK 30000


BUKU Q PANJANG 1 BK 13000

21 9/12/2016 HEKTER 1 BUAH 13000


KERTAS A4 1 RIM 28000
KERTAS F4 1 RIM 30000
TIPX 1 BUAH 5000

22 9/12/2016 PULPEN 1 BUAH 1416


pulpen meja 1 buah 6000

23 9/12/2016 PULPEN MERAH 2 BUAH 1416


TIPX 1 BUAH 5000

24 13/12/2016 STABILO 1 BUAH 8000


AMLOP KECIL 1 PAK 13000
FILE 3 BUAH 3500

25 13/12/2016 Kertas a4 2 rim 28000


AMLOP COKLAT 1 RIM 30000
ISI HEWHTER 1 PAK 2900
BINDER CLIP 111 1 PAK 5833
PENSIL 1 BUAH 2000
STEPLES BESAR 1 BUAH 18000
ISI STPLES BESAR 1 PAK 5000

26 15/12/2016 KERTASF4 2 RIM 30000


PENGGARIS 1 BUAH 2000
P0S IT 2 PAK 10000

27 15/12/2016 SPIDOL 4 BUAH 6250


PULPEN 6 KOTAK 17000
STABILO 2 BUAH 8000
MAP KANCING BIASA 2 BUAH 3000

28 15/12/2016 HEKTER BESAR 1 BUAH 18000


BINDX 10 BUAH 20000
KERTAS FAX KECIL KASIH 3 ROLL
KERTAS A4 2 RIM 28000
STABILO 1 BUAH 8000
PULPEN

29 15/12/2016 TINTA ETIKET 4 PCS 28000


KERTAS ETKET KASIH 4 ROOL

30 16/12/2016 kertas a4 1 rim 28000


penggaris 1 buah 2000
kertas tom jery 1p 10000
pulpe 1 buah 1416

31 17/12/2016 KERTAS A4 1 RIM 28000


KERTAS F4 1 RIM 30000
ISI ETPLES 2 PAK 2500
POS IT 1 PAK 10000
STABILO 3 BUAH 8000
BINDER KLIP 107 1 PAK 2916
BINDER KLIP 111 1 PAK 5833

32 21/12/2016 ISI HEKTER 2 PAK 2500


BUKU TULIS KECIL QUARTO 1 BK 8000
AMLOP KECIL 2 PAK 13000

33 21/12/2016 PULPEN 4 BUAH 1416


ISI PULPEN 4 PCS 833

34 21/12/2016 BUKU KUARTO BESAR 1 BK 32000

17 21/2016 CONTINUS 1 DUS 220000

18 21/12/2016 KERTAS FAX 2G


TINTA 1 PCS 90000
19 21/12/2016 ROL FAFER 3PLY 1 PAK 70,000

20 21/12/2016 TRIGONAL KLIP 1 PAK 2500


PULPEN 3 BUAH 1416
ISI HEKTER 1 PAK 2500

21 22/12/2016 PULPEN MEJA 1 BUAH 6000


KERTAS F4 1 RIM 30000

22 23/12/2016 PULPEN 1 BUAH 1416

23 26/12/2016 BINDEX DUDUK 2 BUAH 20000


STABILO 1 BUAH 8000
POSIT 1 PAK 10000
24 26/12/12 PEMBATAS BUKU 2 PAK 30000
PULPEN 2 BUAH 1416

25 26/12/2016 PEMBATAS BUKU 1 PAK 30000


NOT MARK 1 PAK 10000

26 26/12/2016 CONTINUS 3 PLY 1 DUS 330,000


FESTENER 1 BUAH 10000
KERTAS 3PLY 1 PAK 70,000
ISI HEHTR 5 PAK 2500
TIPX 1 BUAH 5,500

27 26/12/2016 KERTAS A4 2 RIM 28,000


KERTAS F4 1 RIM 30000

28 28/12/2016 TOM &JERY 1 PAK 10000


ISI HEKTER 10 PAK 2500

29 28/12/2016 TINTA PRINTER HITAM 1 PCS 90000


TINTA PRINTER BIRU 1 PCS 90000
TINTA PINK 1 PCS 90000
TINTA KUNING 1 PCS 90000
KERTAS WARNA F4 1 RIM 50000

30 28/12/2016 KERTAS NCR 3 RANGKAP I PAK 70000


PULPEN 2 BUAH 1416
BOARD MARKER 1 BUAH 6000
KARTU STOK 500 LEMBAR 500

31 30/12/2016 A4 2 RIM 28000


F4 2 RIM 30000
A4 1 RIM 28000
F4 1 RIM 30000

Data Pemakaian / Pengambilan ATK


BULAN JANUARY 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 2/1/2017 KERTAS F4 1 RIM 30000
BUKU KUARTO KECIL 1 BK 8000
2 2/1/2017 MAP BUSINES FILE 1 PCS 3700

3 3/1/2016 PULPEN 1 PAK 17000

4 3/1/2017 TRIGONAL KLIP 2 PAK 3500


BINDER KLIP 111 1 PAK 4000
PULPEN 1 BUAH 1416
RAUTAN 1 BUAH 3000

5 3/1/20-17 BINDEX DUDUK 1 BUAH 20000


BUKU PANJANG KWRTO 1 BK 12000
KLIP 260 1 BX 7000

6 3/1/2017 PULPEN 1 BUAH 1416


EPSON HITAM REPILL 1 PCS 90000
DATA INK 1 PCS 30000

7 3/1/2017 POSIT 2 PAK 10000

8 3/1/2017 ISI HEKTER 1 PAK 25000


BINDX DUDUK 2 BUAH 20000
BINDEX BESAR 1 BUAH 30000

9 3/1/2017 AMLOP BESAR LOGO MITRA 2 PAK 50000


ROL PAPER 75* 3PLY 10 ROL 7000
ISI HEKTER 5 PAK 2500
ISI PULPEN 10 PCS 833

10 3/1/2017 KERTAS A4 3 RIM 28000


KERTAS F4 3 RIM 30000
BINDEK DUDUK 13 BUAH 20000

11 5/1/2017 BUKU KUWARTO KECIL 1 BK 8000


BINDERKLIP 107 1 PAK 4000

12 10/1/2017 KERTAS A4 1 RIM 28000


KERTAS F4 1 RIM 30000

13 10/1/2017 CONTINUS FROM 9,5*11 1 DUS 320,000


TRIGONAL KLIP 1 PAK 2500

14 10/1/2017 CONTINUS 3 PLY 1 DUS 320,000


PULPEN 1 BUAH 1416

15 13/1/2017 ISI STEPLES 10 PAK 2500


ISI PULPEN 1 PAK 8330
PULPEN 2 BUAH 1416
AMLOP KECIL 1 PAK 12000
AMLOP BESAR 1 PAK 15000
STABILO 2 BUAH 8000

16 13/1/2016 PEMBATAS BUKU 20 PAK 30000


PEMBATAS ELATIS 9 PAK 30000
BINDEX DUDUK 12 BUAH 20000
TRRAY BESI 1 BUAH 25000

13/1/201 KERTAS PRIN 3 PLY 1 PAK 70000


ISI STEPLES 3 PAK 2500

13/1/2017 BOX FILE BINDEX 50 BUAH 20000


F4 COLOR 1 RIM 50000

13/1/2017 F4 CLOR 1 RIM 50000

13/1/2017 FASTENER 2 BUAH 10000

13/1/2017 TRIGONAL KLIP 1 BUAH 2500


BINDEK 1 BUAH 20000

13/1/2017 kertas a4 2 rim 28000


POS IT 2 PAK 10000
BINEX 1 DUS 20000
BINDER CLIP 111 1 PAK 4000
ISI HEHTER 1 PK 2500
STABILO 1 BUAH 8000

13/1/2013 ISI PULPEN 5 PCS 833


BAK STEMPEL BESAR 1 BUAH 15000

20/1/2017 ODNER BANTEK FOLIO KWITASI 20 PCS 26000


BOX FILE BINDEX 200 BUAH 20000
SKAT FILE 3 PCS 30000
PP POKET POLIO 3 PAK 15000
CONTINUS FROM 2 PLY 1 DUS 220,000

20/1/2017 ROLL PAPER 3 PLY 1 PAK 70000


TIPEX 1 BUAH 5500
CONTINUS FROM 3 PLY 1 DUS 320,000
POSIT 2 PAK 10000
ISI TINTA PREINTER EPSON 2 BUAH 90000
ISI TINTA PRINTER TRESER 3 PLY 3 BUAH

20/1/2017 KERTAS A4 2 RIM 28000


20/1/2017 CLERAR SLEEVES 1 BUAH 15000
BINDEX 717 1 BUAH 30000
POS IT 1 PAK 10000

20/1/2017 PLASTIK POKET BINDEX 3 PAK 15000


BINDEX DUDUK 100 BUAH 20000
BANTEK RANAP 20 BUAH 26000
PEMBATAS BANTEX 2 PAK 15000

20/1/2017 PULPEN 3 BUAH 1416

20/1/2017 PULPEN 2 BUAH 1416

20/1/2017 AMLOP 35*35 100 LEMBAR 30000


TINTA EPSON 1 PCS 90000
ISI PULPEN 5 PCS 833
SPIDOL PERMNEN 1 BUAH 5700
BINDER KLIP 260 1 PAK 1450

20/1/2017 AMLOP COKLAT 1 PAK 30000


ISI HEKTERR 2 PAK 2500
STABILO 1 BUAH 8000

20/1/2017 KERTAS F4 2 RIM 32000


KERTAS A4 2 RIM 28500

27/1/2017 PENGGARIS 1 BUAH 2000


SPIDOL PERMANEN 1 BUAH 6000
PULPEN 2 BUAH 1416
AMLOP KECIL 1 PAK 12000
AMLOP BESAR 1 PAK 15,000

27/1/2017 KERTASA4 2 RIM 28000


ISI HEKTER 5 PAK 2500
PULPEN 3 BUAH 1416
TRIGONAL 2 PAK 2500
BINDER 111 1 PAK 4000
BINDER 107 1 PAK 7500

27/1/2017 A4 2 RIM 28000


BINDEX DUDUK 100 BUAH 20000

31/1/2017 BUKU TULIS 2 bk 2000


Data Pemakaian / Pengambilan ATK
BULAN FEBUARY 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 1/2/2017 KENKO LEM STIK 1 PCS 4000
EPSONTINTA BLAK 2 PCS 90000
EPSON TINTAYELOW 1 PCS 90000
EPSON TINTA MAGETA 1 PCS 90000
KENKO TIPEX 1 PCS 5500
SNOW MAN PERMANEN 1 BUAH 5750
TRIGONAL KLIP 1 PAK 2500
BINDER KLIP 1-07 1 PAK 7500
BINDER KLIP 155 2 PAK 8400
PULPEN MERAH 1 BUAH 1416
PENGHAPUS 1 BUAH 2000
INK ISI TINTA STEMPEL 1 BUAH 9000

2 1/2/2017 KERTAS A4 1 RIM 28000


KERTAS F4 1 RIM 32000
KERTAS F4 2 RIM 32000

3 3/2/2017
KWITANSI BIASA 1 BK 2000
PENGHAPUS 1 BUAH 2000

4 2/2/2017 BUKU KWRTO 4 BK 8000

5 3/2/2017 AMLOP KECIL 1 PAK 12000


PULPEN HITAM 4 BUAH 1416
BUKU TULIS KECIL 1 BK 8000

6 3/2/2017 KERTAS A4 2 RIM 28000

7 3/2/2017 KERTAS PRIN 3 RANGKAP 1 PAK 70000

8 7/2/2017 MAP STATUS 1000 LMBR 3750


ISI STEPLES 3 PAK 2500
SPIDOL PERMANEN 1 BUAH 6000

9 7/2/2017 ISI HEKTER 1 PAK 2500


SPIDOL PERMANEN 1 BUAH 5750
10 7/2/2017 STABILO MERAH 1 BUAH 8000
STABILO BIRU 1 BUAH 8000

11 7/2/2017 KERTAS F4 1 RIM 32000

12 7/1/2017 TINTA HP RIBON 3 PCS 12000


TINTA STRUK KASIH 3

13 8/2/2017 A4 1 RIM 28500

14 11/2/2017 KERTAS F4 1 RIM 30000

15 10/2/2017 SPIDOL PERMANEN 1 BUAH 6750

16 14/2/2017 BINDER CLIP 260 1 PAK 17000


TRI GONAL KILIP 1 PAK 2500

17 14/2/2017 KERATAS A4 1 RIM 28500

18 14/2/2017 KERTAS F4 1 RIM 30000


KERTASA4 1 RIM 28500
POS IT 2 PCS 10000

19 14/2/2017 AMLOP KECIL 2 PAK 12000


RESEP 10 BK 7500
PULPEN 4 1416 5564

20 14/2/2017 AMLOP KECIL 2 PAK 12000


KWTANSI BIASA 4 BK 2000
ISI STEPLES NO 10 5 PAK 2500
BINDER CLIP 155 3 PAK 8400
ISI PULPEN 1 PAK 8330

21 14/2/2017 KERTAS 3 PLY 1 PAK 70000

22 10/2/2017 PULPEN 1 BUAH 1416


STEPLES 1 BUAH 15000
KERTAS A4 1 RIM 28500
ISI STEPLES 3 PAK 2500

23 10/2/2017 PLASTIK POCKET F4 8 PCS 1700

24 10/2/2017 PULPEN 1 BUAH 1416

25 10/2/2017 TINTA T6664 HITAM 1 PCS 95000


TINTA T 6664 MERAH 1 PCS 90000
BUKU KWRTO KECIL 1 BK 8000
MARK NOTE 3 PAK 10000
BINDER KLIP 155 2 PAK 8400
PULPEN 2 BUAH 1416
TRIGONAL KLIP 1 PAK 2500
MARK NOTE

26 KERTAS 3 PLY 1 PAK 70000


FASTENER 2 P CS 10000

27 15/2/2017 PLASTIK BENING FILE F4 3 PCS 1700

28 15/2/2017 KERTAS A4 2 RIM 28500


KERTASF4 1 RIM 30000

29 16/2/2017 BINDEX FILE 2 BUAH 30000


PLASTIK BINDEX 3
30 17/2/2017 PULPENMERAH 1 BUAH 1416
GUNTING 1 BUAH 5000
HEKTER 1 BUAH 3500

31 15/2/2017 PULPEN 2 BUAH 1416

32 16/2/2017 BUKU KUARTO KECIL 1 BUKU 8000


PULPEN 2 BUAH 1416
KERTAS A4 1 RIM 28500
KERTAS F4 1 RIM 30,000

33 17/2/2017 KERTAS A4 1 RIM 28500


KERTASF4 1 RIM 30000
PULPEN 4 BUAH 1416
LABEL KASIH 2G
KERTAS FAX KECIL 8G
KERTAS FAX BESAR 1G

34 18/2/2017 BUKU QUARTO BESAR 1 BUKU 30000


BUKU BIASA 1 BUKU 2000

35 21/2/2017 AMLOP COKLAT 2 PAK 30000


ISI HEKTER 1 PAK 2500
BINDER CLIP 155 1 PAK 8400
HEKTER 1 BUAH 13000

36 20/2/2017 ROL PAPER 3 PLY 1 PAK 70000


CONTINUS FROM 3 PLY 2 DUS 320,000
37 22/2/2017 SEPIDOL PERMANEN 2 BUAH 6750
TOM &JERY 1 PAK 10000
37 P0S IT 2 PAK 10000

38 22/2/2017 PLASTIK POCKET 4 PAK 17000

39 22/2/2017 PLASTIK POCKET 3 PAK 17000

40 22/2/2017 CONTINUS FROM 3 PLY 1 DUS 320000

41 22/2/2017 CONTINUS FROM 2 PLY 1 DUS 220000

42 23/2/2017 AMLOP KECIL 2 PAK 13000


ISI TINTA 1 PCS 9000
LEM GLUE STIC 1 PCS 5500
SPIDOL PERMANEN 1 BUAH 6750
PLASTIK DAICI 1 LUSIN 30000

23 23/2/2017 KERTAS A4 1 RIM 28500


RADIOLOGI 1 RIM 28500
PENGGARIS 1 BUAH 2000
PULPEN 2 BUAH 1416

24 23/2/2017 PLASTIK POKET POLIO 8 PAK 17000


BINDEX DUDUK 5 BUAH 20000
PEMBOLONG BESAR 1 BUAH 50000
SPIDOL PERMANEN 1 BUAH 6750

25 27/2/2017 BUKU KWRTO KECIL 1 BK 10000


SPIDOL 1 BUAH 6750
PENGGARIS 1 BUAH 2000
BINDER KLIP 155 1 PAK 8400
ISI HEKTER 1 PAK 2500
PULPEN 5 BUAH 1416
FALE 3 PCS 2700
PENGBOLONG KECIL 1 BUAH 12000

26 27/2/2017 BINDEX DUDUK 2 BUAH 20000


PP POKET POLIO 3 PAK 17000
PEMBATAS BUKU 6 PAK 30000
CONTINUS 2 PLY 1 DUS 230,000
Data Pemakaian / Pengambilan ATK
BULAN MARET 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 2/3/2017 ROL PAPER 3 PLY 1 PAK 70000
KWITANSI BIASA 5 PAK BK
LEM 1 BUAH 2500
CONTINUS FROM 3 PLY 1 DUS 320000
2 2/3/2017 CALCULATOR 1 BUAH 30000
ISI HEKTER 3 PAK 2500
POSIT 4 PAK 10000
BINDER CLIP 155 1 PAK 8400
BINDER CLIP 260 1 PAK 17000
BINDER CLIP 111 1 PAK 4000
TRIGONAL 1 PAK 2500
KERTAS A4 3 RIM 28500
PULPEN 1 BUAH 1416

3 2/3/2017 POSIT 5 PAK 10000


ROL PAPER 3 PLY 1 PAK 70000
TINTA ETIKET KASIH 3

4 2/3/2017 MAP DAICI 1 PAK 27000


ISI HEKTER 2 PAK 2500

5 2/3/2017 KERTAS A4 2 RIM 28500


KERTASF4 1 RIM 30000
LEM 1 BUAH 2500
ISI STEPLES 4 PAK 2500
ISI PULPEN 5 PCS 4165

6 2/3/2017 BINDER CLIP 155 1 PAK 8400


BINDER CLIP 260 1 PAK 17000

7 2/3/21017 AMLOP UK 35*35 10 PAK 30000

8 2/3/2017 KERTAS A4 1 RIM 28500


PENGGARIS 1 BUAH 2000

9 2/3/2017 BUKU QUATO BESAR 1 BK 30000


PULPEN 2 BUAH 1416
STABILO 2 BUAH 8000

10 3/3/2017 ISI PULPEN 1 PAK 8333


BUKU QUATO PANJANG 1 BUAH 8000
TIPEX 1 BUAH 5500
ISI PULPEN 1 PAK 8333
TIPEX 1 BUAH 5500
PULPEN 2 BUAH 1416

11 3/3/2017 PEMBOLONG BESAR 1 BUAH 50000


PENBATAS BUKU 3 PAK 30000

12 3/3/201`7 RIBON INK LX-310 3 BUAH 30000


DATA INK REFIL WARNA 2 PCS 90000
LEM 1 BUAH 2500
TRIGONAL KLIP 1 PAK 2500
BINDEX BESAR 2 BUAH 30000
PLASTIK BINDEX 2 PAK 17000
TRIGONAL KLIP 1 PAK 2500

13 8/3/2017 BINDEX 10 BUAH 20000


PP POKET 2 PAK 17000
14 8/3/2017 KOP SURAT 1 RIM 50000

15 8/3/2017 BISNIS FILE 6 BUAH 2700

16 8/3/2017 KERTAS F4 1 RIM 28500


KERTAS A4 1 RIM 30000
KERTAS WARNA F4 1 RIM 50000
PEMBATAS BUKU 7 PAK 30000
PLASTIK POKKET 1 PAK 17000
PULPEN 2 BUAH 1416

17 8/3/2017 AMLOPMITRA 1 PAK 30000


PULPEN 2 BUAH 1416

18 9/3/2017 ACO 2 PAK 10000


ISI TINTA PRINTER EPSON 2 PCS 15000
ROOLPAPER 3 PLY 1 PAK 70000
ISI HEKTER 5 PAK 2500
ISI PULPEN 1 PAK 8333

19 9/3/2017 BINDEX DUDUK 6 BUAH 20000


PLASTIK POKKET 3 PAK 17000

20 9/3/2017 AMLOP COKLAT 1 RIM 30000


TRIGONAL KLIP 1 PAK 2500
ISI HEKTER 1 PAK 2,500
PULPEN 1 BUAH 1416

21 9/3/2017 BUKU KWRTO PANJANG 2 BK 12000


KERTAS 3 PLY 1 DUS 320,000
POSIT 1 PAK 10000
TOM &JERY 1 PAK 10000
PULPEN 2 BUAH 1416
BINDEX DUDUK 1 BUAH 20000
TINTA YAMURA 1 BUAH 8000

22 3/3/2017 BINDEX DUDUK 20 BUAH 20000


CLER HODER 2 PAK 27000
ISI STEPLES 5 PAK 2500

23 14/3/2017 ROL PAPER 1 PAK 70000


PITA ETIKET 5
TRIGONAL KLIP 2 PAK 2500
ROL PAPER 1 PAK 70000
KERTAS F4 1 RIM 30000

10/3/2017 KERTAS A4 2 RIM 28500


KERTAS F4 1 RIM 30000
PENGGARIS 1 BUAH 2000

14/3/2017 AMLOP KECIL 2 PAK 12000


PULPEN 1 PAK 8330

14/3/2017 BINER KLI 155 1 PAK 8400


TRIGONAL 1 PAK 2500
KERTAS A4 1 RIM 28500
EPSON TINTA BLAK 664 2 PCS 90000
PULPEN MERAH 1 BUA 1416
LEM 1 BUH 2500
BINDEX 2 BUAH 20000

17/3/2017 MAP PLASTIK DAICI 2 PAK 27000

17/3/2017 KERTAS ROLL PAPER 1 PAK 70000

21/3/2017 KERTAS WARNA BIRU A4 1 RIM 50000


ISI STEPLES 20 PAK 2500

21/3/2017 KERTAS A4 2 RIM 28000


PULPEN 2 BUAH 1416
PENSIL 1 BUAH 3000
HEKTER 1 BUAH 13000
ISI HEKTER 2 PAK 2500
BINDER KLIP 155 1 PAK 8400
PENGGARIS 1 BUAH 2000
BINER KLIP 111 1 PAK 4000

21/3/2017 CONTINUS FROM 3 PLY 1 DUS 320000


FASTENER 1 PCS 10000
P0SIT 3 PAK 10000

21/3/2017 SPIDOL WIT BOAR 1 BUAH 6750

21/3/2017 KERTAS PRINTER 3 PLY 1 PAK 70000


PULPEN ETIKET 1 BUAH 3500
TIPX 1 BUAH 5500

21/3/2017 KERTAS A4 3 RIM 28000


KERTAS F4 3 RIM 30000

21/3/2017 CONTINUS 2 PLY 1 DUS 290000


RIBON BLAK/HP NILION 2 PCS 90000

21/3/2017 BINDEX 3 BUAH 20000


BINDER KLIP 107 1 PAK 8400

21/3/2017 POKET PLSTIK 10 PAK 17000


BINDEX DUDUK 3 BUAH 20000
21/3/2017 ISI HEKTER 5 PAK 2500
KERTAS 2 RANGKAP 1 PAK 65000
PULPEN MEJA 2 BUAH 6000

21/3/2017 AMLOP BESAR 1 PAK 15000


PULPEN 1 BUAH 1416
BUKU PANJANG 1 BK 12000
ISI PULPEN 1 PAK 8330

21/3/2017 BUSINES FILE 1 PAK 27000


SPIDOL PERMANEN 1 BUAH 6750
BUKU QUATO BESAR 1 BK 30000
PULPEN 1 BUAH 1416

27/3/2017 PULPEN HITAM 2 BUAH 1416


KERTAS 2 PLY 1 PAK 65000

27/3/2017 KERTAS 3 PLY 1 PAK 70000


PULPEN 2 BUAH 1416
PULPEN MERAH 2 BUAH 1416
TOM &JERY 1 PAK 10000

27/3/2017 KERTAS A4 2 RIM 28000


F4 1 RIM 30000
ISI PULPEN 1 PAK 8330
PENGGARIS 1 BUAH 2000
ISI STEPLES 2 PAK 2500
27/3/2017 MAP TOP MAP 1 PAK 35000
MAP SNIL 1 PAK 32500
PENGGARIS BESI 1 BUAH 15000

31/3/2017 KERTAS A4 2 RIM 28500


KERATS F4 2 RIM 30-000
TIRAI 3 SUSUN 1 BUAH 75,000
31/3/2017 KERTAS 3 RANGKAP 1 PAK 70000
TINTA PRIN KASIH 5
TINTA ETIKET 5

31/3/2017 KALKULATOR 1 BUAH 50000


PULPEN 2 BUAH 1416
PENSIL 3 BUAH 2000
POSIT 1 PAK 10000
BINDEX 1 DUS 200000
AMLOP MITRA 1 PAK 50000
31/3/2017 TUSUKAN NOTA 2 BUAH 8000
PEN MEJA 2 BUAH 7000
MAP BENING UNGU 20 LEMBAR 2700
31/3/2017 MAP L BENING 20 LEMBAR 2700
KERATAS A4 2 RIM 28000
AMLOP MITRA 1 PAK 50000

31/3/2017 PULPEN MEJA 1 BUAH 7000


PUPEN 1 BUAH 1416

Data Pemakaian / Pengambilan ATK


BULAN APRIL 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 4/4/2017 MAP 1 PAK 32500

2 4/4/2017 PULPEN BIRU 4 BUAH 1416


ISI STEPLES 10 PAK 2500
AMLOP KECIL 2 PAK 13000
AMLOP BESAR 2 PAK 15000
3 4/4/2017 KERTAS A4 1 RIM 28000
KERTAS F4 1 RIM 30000
KERTAS WARNA 1 RIM 50000

4 4/4/2017 BINDEX BERDIRI 4 BUAH 30000


ISI PULPEN 1 PAK 8330

5 4/4/2017 PULPEN 2 BUAH 1416

6 4/4/2017 TOM&jeri 5 pak 10000

7 4/4/2017 KERTAS WARNA 1 RIM 50000


STEPLES 5 PAK 2500

7 4/4/2017 KALKULATOR 1 BUAH 50000

8 4/4/2017 CLER HOLDER 100 PCS 3500


KERTAS F4 2 RIM 30000
KERTAS A4 2 RIM 28000

9 4/4/2017 KERTAS 2 PLY 1 PAK 60000


TRIGONAL KLIP 1 PAK 2500

10 4/4/2017 AMLOP COKLAT 3 PAK 30000

11 7/4/2017 CONTINUS FROM 3 RANGKAP 1 DUS 330,000


BINDER CLIP 101 2 PAK 4800
KERTAS A4 2 RIM 28500
KERTAS F4 1 RIM 30000
ISI HEKTER 2 PAK 2500
PENSIL 1 BUAH 3700

12 7/4/2017 CONTINUOS FROM 2 PLY 1 DUS 220,000


ISI TINTA PRINTER 308/HP 1 PCS 90000

13 7/4/2017 KERTAS STRUK 2 PLY 1 PAK 75000


POS IT 5 PAK 10000
PULPEN ETIKET 1 BUAH 6000
PITA PRINTER KASIH 2

14 7/4/2017 ISI PULPEN 1 PAK 8330

15 7/4/2017 HVS A4 2 RIM 28500


HVS F4 2 RIM 30000

16 10/4/2017 BUKU QUARTO BESAR 1 BK 30000


17 11/4/2017 KERTAS PRIN 2 PLY 2 PAK 60000

18 11/4/2017 KERTAS A4 2 RIM 28500


KERTAS F4 2 RIM 30000
ISI STEPLES 2 PAK 2500
PULPEN 2 BUAH 1416

19 11/4/2017 PULPEN 2 RANAP 1416

20 12/4/2017 BUKU 1 BK 8000


KERTAS STRUK 75*65 2 PLY 2 PAK 60000
TRIGONAL KLIP 2 PAK 2500
BINDER KLIP 155 2 PAK 8400

12 12/4/2017 AMLOP KECIL 1 PAK 12000


AMLOP BESAR 1 PAK 15000
BINDEX 717 3 BUAH 20000

13 11/4/2017 AMLOP COKLAT F4 2 PAK 30000


PENGGARIS 1 BUAH 2000
TRIGONAL KLIP 1 PAK 2500
PENGHAPUS 1 BUAH 2000
PENSIL 1 BUAH 2000

14 17/4/2017 FASTENER 2 PCS 14000


AMLOP KECIL 2 PAK 12000
PULPEN MEJA 1 BUAH 8000

15 17/4/2017 LEM GLU STIK 1 BUAH 3500


PENGSESRUT 1 BUAH 3000

16 17/4/2017 MAP LPSTIK 5 PAK 17000


PLASTIK DAICI 2 PAK 37000
BINDEX BESAR 3 BUAH 20000

17 17/4/2017 CONTINOUS FROM 3 PLY 1 DUS 320,000


BINDER KLIP 155 4 PAK 8400

18 17/4/2017 ISI PULPEN 1 PAK 8333


PULPEN 1 BUAH 1416

19 17/4/2017 ISI HERTER 2 PAK 2500


PULPEN 2 BUAH 1416

20 17/4/2017 AMLOP BESAR 1 PAK 15000


SPIDOL PERMANEN 1 BUAH 6750
PENSIL BLUE REED 1 BUAH 3000

21 17/4/2017 LABEL KASIH 4 GOLONG

22 17/4/2-017 KERTAS t & JERY 10 PAK 10000

23 19/4/2017 TIPEX 1 BUAH 5750


ISI PULPEN 1 PAK 8330

24 19/4/2017 KWITASI 5 BK 2000


POST IT 2 PAK 10000

25 19/4/2017 BINDEX 1 BUAH 20000


BUSINES FILE 1 BUAH 2700
KERTASA4 1 RIM 28500
26 21/4/2017 AMLOP KECIL 2 PAK 15000
STEPLES 1 BUAH 15000
PULPEN BIRU 4 BUAH 1416
BOX FILE 2 BUAH 20000

27 18/4/2017 BINDEX DUDUK 1 PAK 240000


KERTAS A4 3 RIM 28500
KERTAS F4 3 RIM 30000
KERTAS FAX KECIL 5G
AKRIRIK 3 RANGKAP 2 PCS 40000
LABEL 5G

28 25/4/2017 PULPEN MEJA 2 BUAH 8000


PULPEN HITAM 4 BUAH 1416

29 25/4/2017 NOTE MARK 2 PAK 10000


SPIDOL PERMANEN 2 BUAH 5750
KERTAS F4 3 RIM 30000
BINDEX DUDUK 15 BUAH 20000
KERTAS WARNA 2 RIM 50000
STROFOM 1 BUAH 5000

30 25/4/2017 KERTAS PRINTER 3 PLY 2 PAK 70000


PULPEN SNWMAN 1 BUAH 6000
KERTAS KASIH 5G

31 25/4/2017 BINDEX UNGU 5 BUAH 30000


AKRIRIK 3 SUSUN 2 BUAH 75000

32 25/4/2017 AMLOP BESAR LOGO 1 PAK


AMLOP KECI LOGO 1 PAK
SPILDOL PERMANEN 1 BUAH 5750
BUKU BESAR 1 BK 30000
BUKU PANJANG 1 BK 15000

MAP PLASTIK DAICI 1 PAK 27000

Data Pemakaian / Pengambilan ATK


BULAN MEI 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 1/5/2017 KERTAS F4 2 RIM 30000

2 2/5/2017 MAP DAICI 2 PAK 30000


TINTA YAMURA 1 BOTOL 8000
KERTAS A4 1 RIM 30000

3 2/5/2017 KERTAS PRIN 2 PLY 1 PAK 70000

4 2/5/2017 PULPEN 2 BUAH 1416


BUKU KWRTO PANJANG 1 BK 12000
BUKU KWRTO KECIL 1 BK 8000
KERTAS A4 1 RIM 27000
PENGGARIS 1 BUAH 2000
SPIDOL MARKER 1 BUAH 6750
TIPX 1 BUAH 5750
STABILO 1 BUAH 8000

5 2/5/2017 KERTAS A4 6 RIM 27000


KERTASF4 6 RIM 30000
BINDEX DUDUK 20 BUAH 20000

6 3/5/2017 ISI HEKTER NO 10 2 PAK 2500


STABILO 1 BUAH 8000
BINDER KLIP 155 1 PAK 8400
PULPEN 3 BUAH 1416
KERTAS f4 1 RIM 30000
TEMPAT KARTU NAMA 1 BK 70000

7 3/5/2017 SPIDOL PERMANEN 1 BUAH 6750


8 3/5/2017 PULPEN 4 BUAH 1416
STABILO 2 BUAH 8000
AMLOP KECIL 2 PAK 12000
TIPX 1 BUAH 5750
BUKU BESAR 1 BK 30000

9 3/5/2017 BUKU BESAR 3 BK 30000


BUKU KWATO PANJANG 2 BK 12000
PULPEN 3 BUAH 1416

10 3/5/2017 BUKU KWARTO BESAR 1 BK 30000


POSIT 1 PAK 10000
SPIDOL PERMANEN + 1 BUAH 6750
STABILO 1 BUAH 8000
STEROPON BUSA 1 BUAH 10000
PULPEN 2 BUAH 1416
ISI HEKTER 1 PAK 2500
MAP PLASTIK ISI 100 1 BUAH 3000

11 3/5/2017 SPIDOL PERMANEN 1 BUAH 6750


SPIDOL MARKERT 1 BUAH 6750
STABILO 1 BUAH 8000
PULPEN 2 BUAH 1416

12 3/5/2017 CLER HOLDER 1 BUAH 30000


PULPEN 1 BUAH 1416

13 4/5/2017 PULPEN 2 2 BUAH 1416


KETAS A4 1 RIM 27000
KERTAS f4 1 rim 30000
lem 1 BUAH 5000
ISI PULPEN 1 PAK 2888

14 4/5/2017 KERTAS PRIN 1 PAK 70000

15 8/5/2017 TINTA KUNING 1 PCS 90000


LEM 1 BUAH 5000
ISI STEPLES 1 PAK 2500

16 9/5/2017 KERTAS f4 2 RIM 30,000


KERTAS A4 2 RIM 27000

17 9/5/2017 KERTAS KASIR 1 PAK 70000


ISI PRIN EPSON STRUK 2 PCS 90000
ISI PITA EPSON L*310 2 PCS 30000
TIPX 1 BUAH 5750
ISI PULPEN 1 PAK 2888

18 9/5/2017 KERTAS A4 1 RIM 27000


BUSINES FILE 3 BUAH 3500
MAP DAICI 6 BUAH 1700
PPPOKET PLASTIK 20 PAK 17000
BINDX DUDUK 8 BUAH 20000
CLER HOLDER ISI 1 BUAH 30000
NOT MART 3 PAK 10000
POS IT 5 PAK 10000
PEMBATS BUKU 5 PAK 30000

20 9/5/2017 KERTAS A4 4 RIM 27000


KERTASF4 2 RIM 30000
BINDX 2 BUAH 20000

21 11/5/2017 KERTAS f4 1 RIM 30000


PULPEN 1 BUAH 1416
TRIGONAL KLIP 1 PAK 2500

22 12/5/2017 BINDEX DUDUK 1 BUAH 20000


PO SIT 1 PAK 10000
CLERHOLDER ISI 1 BUAH 30000

23 12/5/2017 BUKU TULIS KWRTO KECIL 4 BK 8000


PULPEN ETIKET 1 BUAH 8000
KERTAS PRIN 1 PAK 70000

24 13/5/2017 MAP SEA/MAP KARYAWAN 2 BUAH 8500


KERTAS 4 3 rim 27000
KERTAS F4 3 rim 30000

25 15/5/2017 HEKTER 1 BUAH 12000


LEM 1 BUAH 5000
BINDEX DUDUK 2 BUAH 20000
POKET PLSTIK 1 PAK 17000
PEMBATAS 1 PAK 30000

26 15/5/2017 FASTENER 2 PAK 15000


POSIT 2 PAK 10000
KERTAS A4 1 RIM 27000
KERTAS F4 1 RIM 30000

27 15/5/2017 BINDEX DUDUK 1 BUAH 20000


BUSINES FILE 2 BUAH 3500
28 15/5/2017 BINEDX DUDUK 4 BUAH 20000
TINTA WARNA 4 PCS 90000
BUSINES FILE 1 BUAH 3500
PENGHAPUS 1 BUAH 2000
SPIDOL 1 BUAH 6750

29 15/5/2017 PULPEN 2 BUAH 1416


LEM 1 BUAH 5000
KERTA FAX 2G
ISI HEKTER 4 PAK 2500
KERTAS A4 4 RIM 27000
ISI ULANG PULPEL 1 PAK 2888
POS IT 4 PAK 10000
PULPEN MEJA 2 BUAH 8000
MAP KARYAWAN 6 BUAH 8500
PP POKET 2 PAK 17000

30 15/5/2017 MAP KARYAWN 6 BUAH 8500


PP POCKET 2 PAK 17000

31 15/5/2017 PULPEN 2 BUAH 1416


KERTAS A4 1 RI 27000
KERTAS F4 1 RIM 30000

32 15/5/2017 KERTAS A4 1 RIM 27000

33 15/5/2017 AMLOP KECIL 2 PAK 12000


ISI PULPEN 1 PAK 2888
NOT MART 3 PAK 10000
SPIDOL PERMANEN 1 BUAH 6750
PULPEN MEJA 1 BUAH 8000

34 17/5/2017 KERTAS A4 1 RIM 27000


KERTAS A4 2 RIM 27000
KERTAS F4 2 RIM 30000

35 17/5/2017 BINDEX 1 BUAH 20000

36 17/5/2017 BUKU KWRTO PANJANG 1 BK 12000


PENGGARIS 1 BUAH 2000
PULPEN ETIKET 1 BUAH 8000
MAP KARYAWAN 3 BUAH 8500
PP POKET 2 PAK 17000
37 17/5/2017 KERTAS A4 5 RIM 27000
KERTAS F4 5 RIM 30000
MAP KARYAWAN 6 PAK 85000
PP POCKET 50 PAK 17000

38 18/5/2017 KERTAS A4 2 RIM 27000


KERTAS F4 2 RIM 30000
BINDEK DUDUK 20 BUAH 20000
TINTA WARNA 4 PCS 90000

39 22/5/2017 PEMBOLONG 1 BUAH 50000


LEM 1 BUAH 5000
PENSIL 1 BUAH 2000
PENGHAPUS 1 BUAH 2000
SERUTAN 1 BUAH 2000

40 17/5/2017 MAP DAICI 1 PAK 27000


BUNDEX BESAR 3 BUAH 20000

41 22/5/2017 CONTINUS 2 PLY 1 DUS 220000


ISI STEP ES 2 PAK 2500

42 22/5/2017 PULPEN 5 BUAH 1416


POS IT 3 PAK 10000
TRIGONAL KLIP 2 PAK 2500
BINER KLIP 155 1 PAK 8400
ISI HEKTER 1 PAK 2500

43 24/5/2017 PULPEN 3 BUAH 1416

44 22/5/2017 ISI STEPLES 5 PAK 2500


KERTAS PRINTER 2 RANGKAP 1 PAK 70000
KERTAS HVS A4 1 RIM 27000

45 26/5/2017 CONTINUS FROM 1 RIM 320,000

46 30/5/2017 POSIT 1 PAK 10000


LEM 1 BUAH 5000
PULPEN 2 BUAH 1416

HVS F4 1 RIM 30000


HVS A4 1 RIM 27000

47 31/5/2017 ISI HEKTER 6 PAK 2500


TRIGONAL KLIP 1 PAK 2500
KERTAS A4 2 RIM 27000
KERTAS F4 1 RIM 30000
48 31/5/2017 KERTAS PRIN 1 PAK 70000
ISI STEPLES 5 PAK 2500

49 31/5/2017 KERTAS PRIN 2 PAK 70000


KETRAS ETIKAET 5G
TINTA PITA 3G 30000
TINTASTRUK OBAT 3G 15000

Data Pemakaian / Pengambilan ATK


BULAN JUNI 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 1/JUNI/2017 TRIGONAL KLIP 111 1 PAK 5000
KERTAS A4 2 RIM 27000
KERTAS F4 1 RIM 30000
ISI STEPLES 5 PAK 1250
2 1/JUNI/2017
ISI STEPLES 6 PAK 1250
KERTAS 2 PLY STRUK 1 PAK 60000

3 1/6/2017 KERTAS 2 PLY 2 PAK 60000


KERTAS ETIKET 5 ROLL 10000
TINTA ETIKET 3G
TINTA PRINTER STRUK

4 1/JUNI/2017 PAPAN UJIAN 5 BUAH 5000


MAP PLASTIK DAICI 1 PAK 30000

5 2/JUNI KERTAS F4 2 RIM 30000


KERTAS A4 2 RIM 27000
HEKTER 1 BUAH 13000

6 3/6/2017 ISI PULPEN 1 PAK 8333

4 3/JUNI/2017 TINTA ETIKAET 1G


5 5/6/2017 TINTA EPSON 664 BLAK 2 PCS 95000
TINTA EPSON 664 BIRU 1 PCS 90000
TINTA EPSON 664 KUNING 1 PCS 90000
TINTA EPSON 664 PING 1 PCS 90000

6 5/JUNI/2017 ISI PULPEN 1 PAK 8333

7 5/6/2017 CONTINUS FROM 3 PLY 1 BOX 330,000

8 5/6/2017 KWITASI BIASA 1 BK 2000

9 5/6/2017 KERTAS TOM&JERY 1 PAK 10000

10 6/6/2017 AMLOP KECIL MITRA 2 PAK 28000


STABILO 2 BUAH 8000
SEPIDOL BOTMARKER 1 BUAH 6250

11 7/6/2017 AMLOP COKLAT F4 2 PAK 30000


AMLOP COKLAT UANG 1 PAK 15000
BINDER KLIP NO 155 1 PAK 8400
PULPEN 1 BUAH 1416

12 12/6/2017 KERTAS PRIN 3 RANGKAP 1 PAK 70000

13 12/6/2017 PITA L 2 BUAH 10000

14 12/6/2017 HVS A4/F4 2 RIM 28000


HVSF4 2 RIM 30000
SPIDOL 3 BUAH 6250
PULPEN 2 BUAH 1416

15 13/6/2017 DATA INK BLAK REFILL 1 BUAH 70000

16 13/6/2017 BINDER CLIP 155 1 PAK 8400


BINDER KLIP 111 1 PAK 2500
PULPEN 4 BUAH 1416
17 13/6/2017 KERTAS A4 1 RIM 28000

18 13/6/2017 PULPEN 2 BUAH 1416


AMLOPKECIL 1 PAK 12000
RAK TRAI 1 BUAH 70000

19 14/6/2017 KERTAS FAX 5G


LABEL 3G
PITA LABEL 3G
BINDEX DUDUK 20 BUAH 20000
KERTAS WARNA 1 RIM 50000
20 14/6/2017 CONTINUS 2 PLY 1 BOX 220,000
TIPX 1 BUAH 5000

21 14/6/2017 AMLOP BESAR MITRA 1 PAK 38000


KERTAS 2 PLY 1 PAK 70000
TRIGONAL KLIP 3 PAK 2500
ISI PULPEN 1 PAK 8333

22 14/6/2017 BUSINES FILE 2 BUAH 2500

23 14/6/2017 TINTA EPSON 664 1 PCS 95000

24 14/6/2017 KERTAS PPRIN 1 PAK 70000


PULPEN ETIKET 2 BUAH 7000

25 15/6/2017 KERTAS A4 2 RIM 28000


KERTASFA 2 RIM 30000
PULPEN 2 BUAH 1416
PULPEN MEJA 1 BUAH 8000

26 16/6/2017 LABEL TOM JERY 2 PAK 10000

27 22/6/2017 BUKU QUARTO PANJANG 1 BK 12000


BUKU QUARTO KECIL 1 BK 8000
SPIDOL PERMANEN 2 BUAH 6750

28 22/6/2017 AMLOP KECIL MITRA 1 PAK 28000


TREY 3 SUSUN 2 BUAH 80000

29 23/6/2017 TRIGONAL KLIP 1 PAK 2500


PULPEN 2 BUAH 1416

30 23/6/2017 KERTAS A4 1 RIM 28000


KERTAS F4 1 RIM 30000
KERTAS PRINTER 3G

31 23/6/2017 PAS PANDING FILE 1 PCS 50000

32 22/6/2017 BUKU QUQRTO PANJANG 1 BK 12000


BUKU QUARTO KECIL 1 BK 8000

33 23/6/2017 ACCO PLASTIK FASTENER 2 PAK 15000


POSIT 5 PAK 10000
KERTAS PRIN 2 PAK 60000

34 23/6/2017 KERTAS A4 4 RIM 28000


KERTAS F4 2 RIM 30000
BINDEX UNGU 25 BUAH 20000

35 23/6/2017 BINDEX 717 14 BUAH 30000


PENSIL 1 BUAH 2000
BINDER CLIP 155 1 PAK 5000
BINDER CLIP 127 1 PAK 6000
MAP SEAGULL 1 PAK 20000

36 29/6/2017 BINDEX UNGU 10 BUAH 20000


an ATK

Total Unit MEDIS UMUM


15,000 Lab 15,000.00

28,000 28,000.00
Medrek
20,000 20,000.00

50,000 50,000.00
12,000 12,000.00
3,750 Kasir 3,750.00
28,000 28,000.00
1,666 1,666.00

20,000 Umum 20,000.00

2,500 Bu Nevy 2,500.00

30,000 30,000.00
1,332 Accounting 1,332.00
1,416 1,416.00

12,000 Gizi 12,000.00

6,500 6,500.00
Lab
4,000 4,000.00

9,999 N.S Lt. 1 9,999.00

40,000 40,000.00
3,750 3,750.00
20,000 Apotek 20,000.00
15,000 15,000.00
5,000 5,000.00

VK
2,832 2,832.00

28,000 Medrek 28,000.00

1,666 1,666.00
15,000 Kasir 15,000.00
1,998 1,998.00
4,000 4,000.00
5,000 5,000.00
Medrek
1,332 1,332.00
3,750 3,750.00

15,000 Accounting 15,000.00

28,000 Medrek 28,000.00

40,000 40,000.00
Apotek
3,750 3,750.00

10,832 10,832.00
N.S Lt. 3
12,500 12,500.00

28,000 28,000.00
Lab
5,416 5,416.00

210,000 210,000.00
G. farmasi
666 666.00

1,998 Bu Nevy 1,998.00

10,000 VK 10,000.00

40,000 40,000.00
28,000 28,000.00
Medrek
20,000 20,000.00
250,000 250,000.00

3,996 3,996.00
N.S Lt. 1
18,000 18,000.00

14,000 14,000.00
4,000 Accounting 4,000.00
2,500 2,500.00

10,000 NICU / HCU 10,000.00

28,000 28,000.00
2,832 2,832.00
1,332 Marketing 1,332.00
5,416 5,416.00
3,750 3,750.00

25,000 Accounting 25,000.00


210,000 210,000.00
215,000 215,000.00
Kasir
12,000 12,000.00
50,000 50,000.00

5,000 N.S Lt. 3 5,000.00

28,000 28,000.00
33,000 33,000.00
Medrek
1,332 1,332.00
7,000 7,000.00

10,000 Umum 10,000.00

2,800 Umum / G A 2,800.00

10,000 IGD 10,000.00

10,000 Umum 10,000.00

15,000 15,000.00
N.S Lt. 3
3,996 3,996.00

12,000 N.S Lt. 1 12,000.00

40,000 40,000.00
12,500 Apotek 12,500.00
5,000 5,000.00

1,899,107 1,104,151.00 794,956.00

an ATK

Total Unit MEDIS UMUM


28,000 28,000.00
Medrek
35,000 35,000.00

1,998 1,998.00
5,416 NICU / HCU 5,416.00
1,250 1,250.00

5,416 5,416.00
10,000 VK 10,000.00
VK
15,000 15,000.00

12,000 Radiologi 12,000.00

3,750 3,750.00
1,332 Accounting 1,332.00
28,000 28,000.00

1,666 1,666.00
Bu Nevy
1,666 1,666.00

28,000 28,000.00
10,000 Marketing 10,000.00
7,000 7,000.00

28,000 Medrek 28,000.00

40,000 40,000.00
3,750 3,750.00
3,000 Apotek 3,000.00
12,000 12,000.00
210,000 210,000.00

4,000 4,000.00
N.S Lt. 3
10,000 10,000.00

2,664 2,664.00
5,000 Kasir 5,000.00
2,800 2,800.00

6,666 N.S Lt. 1 6,666.00

12,000 12,000.00
3,996 OKA 3,996.00
15,000 15,000.00

20,000 20,000.00
Medrek
3,000 3,000.00

12,000 Accounting 12,000.00

28,000 28,000.00
2,664 Medrek 2,664.00
5,000 5,000.00

70,000 70,000.00
1,998 NICU / HCU 1,998.00
NICU / HCU
1,666 1,666.00

12,000 Kasir 12,000.00

2,832 N.S Lt. 3 2,832.00

28,000 28,000.00
Medrek
20,000 20,000.00

40,000 40,000.00
5,000 Apotek 5,000.00
5,000 5,000.00

6,250 IGD 6,250.00

15,000 VK 15,000.00

12,000 12,000.00
N.S Lt. 1
15,000 15,000.00

28,000 28,000.00
12,000 Medrek 12,000.00
5,416 5,416.00

6,666 6,666.00
N.S Lt. 3
3,750 3,750.00

20,000 20,000.00
8,500 8,500.00
15,000 Kasir 15,000.00
7,000 7,000.00
215,000 215,000.00

12,000 12,000.00
IGD
10,000 10,000.00

28,000 28,000.00
15,000 Lab 15,000.00
1,332 1,332.00

40,000 40,000.00
3,330 Apotek 3,330.00
410,000 410,000.00

20,000 Medrek 20,000.00

15,000 15,000.00
Marketing
Marketing
10,000 10,000.00

6,666 Umum 6,666.00

30,000 N.S Lt. 3 30,000.00

3,750 3,750.00
10,832 Apotek 10,832.00
10,832 10,832.00

7,000 N.S Lt. 1 7,000.00

28,000 28,000.00
33,000 Medrek 33,000.00
30,000 30,000.00

3,996 N.S Lt. 3 3,996.00

25,000 Accounting 25,000.00

4,000 Radiologi 4,000.00

3,332 Accounting 3,332.00

26,000 N.S Lt. 1 26,000.00

28,000 28,000.00
1,998 Medrek 1,998.00
28,000 28,000.00

15,000 Accounting 15,000.00

28,000 Marketing 28,000.00

2,664 2,664.00
8,000 VK 8,000.00
3,333 3,333.00

IT

24,000 24,000.00
3,750 Kasir 3,750.00
1,998 1,998.00

20,000 Medrek 20,000.00


15,000 15,000.00
6,250 N.S Lt. 3 6,250.00
10,832 10,832.00

1,998 1,998.00
4,000 4,000.00
1,250 1,250.00
NICU / HCU
5,000 5,000.00
3,750 3,750.00
5,416 5,416.00

2,500 Hrd 2,500.00

3,750 3,750.00
Apotek
5,000 5,000.00

30,000 30,000.00
Accounting
15,000 15,000.00

3,333 Umum 3,333.00

2,664 2,664.00
N.S Lt. 1
12,000 12,000.00

IT

5,000 Umum 5,000.00

15,000 Accounting 15,000.00

15,000 15,000.00
kasir
20,000 20,000.00

28,000 28,000.00
Medrek
1,998 1,998.00

28,000 Radiologi 28,000.00

3,996 3,996.00
12,000 N.S Lt. 3 12,000.00
11,328 11,328.00

28,000 28,000.00
1,416 Medrek 1,416.00
7,000 7,000.00
1,250 IGD 1,250.00

3,750 3,750.00
Accounting
2,500 2,500.00

20,000 Umum / GA 20,000.00

40,000 Apotek 40,000.00

1,250 N.S Lt. 3 1,250.00

2,506,156 1,859,949.00 646,207.00

an ATK

Total Unit MEDIS UMUM


28,000.00 28,000.00
medrek
33,000.00 33,000.00
20,000.00 medrek 20,000.00
20,000.00 medrek 20,000.00
marketing
akuntin
6,500.00 marketing 6,500.00
14,000.00 kasir 14,000.00

3,332.00 3,332.00
3,996.00 ranap 3 3,996.00
12,500.00 ranap 3 12,500.00
3,750.00 ranap 3 3,750.00
30,000.00 30,000.00
13,332.00 vk 13,332.00
2,832.00 vk 2,832.00
28,000.00 fo 28,000.00
33,000.00 fo 33,000.00
5,416.00 fo 5,416.00
2,832.00 fo 2,832.00
28,000.00 lab 28,000.00
1,332.00 lab 1,332.00

20,000.00 farmasi 20,000.00


farmasi
1,998.00 nicu 1,998.00
nicu
10,000.00 sekretariat 10,000.00

15,000.00 yanmed 15,000.00


20,000.00 mr 20,000.00
28,000.00 mr\fo 28,000.00
2,832.00 ranap 3 2,832.00
15,000.00 ranap 3
30,000.00 apotek 30,000.00
8,000.00 apotek
8,000.00 apotek
3,750.00 apotek 3,750.00

83,330.00 keuangngan 83,330.00


1,416.00 keuangngan 1,416.00
4,998.00 keuangngan 4,998.00
28,000.00 28,000.00
33,000.00
15,000.00 markerting 15,000.00
12,000.00 MARKETING 12,000.00
30,000.00 radiologi 30,000.00
1,666.00 menkep 1,666.00
30,000.00 menkep 30,000.00
2,800.00 menkep 2,800.00
40,000.00 40,000.00
vk
3,330.00 ranap 3 3,330.00
1,998.00 nicu 1,998.00
fo
28,000.00 mr 28,000.00

7,000.00 kasir 7,000.00


1,332.00 leb 1,332.00
28,000.00 leb 28,000.00
4,000.00

3,000.00 keuangngan 3,000.00


12,000.00 igd 12,000.00
15,000.00 15,000.00
15,000.00 ranap 3 15,000.00
6,250.00 6,250.00
6,250.00 6,250.00
12,000.00 12,000.00
7,000.00 kasir 7,000.00
5,000.00 5,000.00
3,750.00 3,750.00
28,000.00 28,000.00
8,000.00
1,998.00 nicu 1,998.00
66,000.00 66,000.00
33,000.00 33,000.00
1,416.00 1,416.00
1,332.00 1,332.00
1,666.00 Yadmed 1,666.00
15,000.00 15,000.00
1,666.00 1,666.00

15,000.00 15,000.00
7,000.00 7,000.00
1,416.00 r ok 1,416.00
15,000.00 15,000.00
1,416.00 lt 2 vip 1,416.00
2,500.00
3,750.00 3,750.00
6,250.00 6,250.00
5,656.00 farmasi 5,656.00
20,000.00 20,000.00
46,000.00 keuangngan 46,000.00
30,000.00 30,000.00
1,332.00 1,332.00
2,500.00
33,000.00 fo 33,000.00
28,000.00 28,000.00
1,998.00 1,998.00
4,000.00 ranap 3
3,996.00 3,996.00
12,500.00 12,500.00
poli
4,248.00 p0li 4,248.00
3,996.00 3,996.00
12,000.00 vip
35,000.00
1,998.00 1,998.00
12,000.00 12,000.00
25,000.00
20,000.00
25,000.00
40,000.00
5,000.00 vk
an ATK

TOTAL UNIT MEDIS UMUM


28000 MR 28,000
6000 KASIR 6000
1416 1416
3330 3330
15000 15,000

5328 RANAP 3 5328


25000 25,000
15000 15,000
12000 12,000
1250 1250
12000 12,000
10832 10,832

28000 LABORATURIUM 28,000

206250 MR 206,250
2500 2500
15000 15,000
15000 15,000
1332 1332
30000 30,000

FARMASI
7080 7080
1666 1666
30000 30,000
30000 30,000

1666 SEKERTARIS 1666

MR

2832 MR 2832
5000 5000
30000 30000
3750 3750
1250 1250

410000 kasir 410,000

33000 leb 33,000

15000 VK 15,000
12000 12,000
1416 1416

562500 MR 562,500

150000 MR FO 150,000
28000 28,000
1988 1988

15000 VK 15000
12000 12000

30000 IGD 30,000

14000 KEUANGANGAN 14,000

640000 KASIR 64,000


24000 24,000
100000 100,000
FARMASI
8000 8000

2000 KASIR 2000


30000 30,000
28000 28,000
1250 1250
3750 VK 3750
5414 5414

20000 MR /FO 20,000

20000 EDP 20,000


1500 1500
15000 15,000

28000 LABORATORIUM 28,000


15000 15,000
1998 1988
4000 4000

1998 NICU 1988


1250 1250
2832 RANAP 3 2832
3750 3750

15000 KEUANGNGAN 15,000


5000 5000
56000 56,000
1416 SEKERTARIS 1416
60000 60,000
8000 8000

56000 MR 56,000
4248 4248

13000 EDP 13,000


1250 1250
``2828 2828

FO /MR

12000 POLI 12,000

1416 EDP 1416


7000 7000
28000 28,000

40000 KASIR 40,000


2828 2828

3750 3750

FARMASI
2500 2500
7080 7080
20000 20,000

1998 NICU 1988


4000 4000
5328 5328
56000 EDP 56,000
2832 2832

3750 IGD 3750


4000 4000

9996 KEUANGAN 9996

FARMASI

7000 OFICE 7000


5000 5000

150000 UMUM 150,000

6000 KASIR 6000

140000 FO/MR 140,000


50000 50,000
20000 20,000

2832 FO/MR 2832


2500 2500

2823 FO/MR 2823


56000 56,000

MR
2500 2500
280000 28,000

3996 RANAP 3 3996

1416 0K 1416

183326 RANAP 3 183,326

13000 GUDANG FARM 13,000


7000 7000
1250 1250
5000 5000
12000 12,000
49998 49,998
MR

1416 KEUANGAN 1416


5000 5000

1998 NICU 1988

60000 IT 60,000

FARMASI

56000 IT 56,000

3,996 0POLI 3996

8000
8000 KASIR 2664
2664 5000
5000 6000
6000
12000
12000 10000
10000 10000
10000
56000
56000 FO 8000
8000 2832
2832

Pemakaian / Pengambilan ATK


BULAN MEI 2016

TOTAL UNIT MEDIS UMUM


3396 RANAP 3 3,396
1500 1,500
7000 7,000
12000 12,000
12000 12,000

PENDAFTARAN
40000 MENKEP 40,000
10,000 10,000
4000 4000
5250 5250

30000 30,000

40000 IT 40,000
40000 40,000

50,000 MR 50,000

375,000 MR 375,000
75,000 75,000
280,000 280,000

12000 FARMASI 12,000

KEUANGAN

60,000 RANAP 3 60,000


6250 6,250

28,000 KASIR 28,000


5000 5000
15,832 15,832
20,000 20,000

50,000 50,000
12,000 12,000
5,666 5666

10000 POLIKLINIK 10,000


30,000 30,000

2832 VK 2,832

12000 RANAP 3 12,000


10,828 10,828
3750 3,750
3996 3,999
4000 4,000
22750 22,750
10 828 NICU 10,828
2499 2,499

56000 PO 56,000
20000 20,000

28000 MR 28,000

500,000 FARMASI 500,000

20,000 FARMASI 20,000

6250 KEUANGAN 6250


5000 5000
7916 7916
7000 7000
10000 10,000
5000 5000

130,000 MR 130,000
3400 3400
3750 3750

28000 OFFIS 28,000


33000 33,000

7916 MR 7916
28000 28,000

15000 VK 15,000
30000 30,000

30000 VIP /RANAP2 30,000


2832 2,832
35000 35,000
30000 30,000

2832 OK 2,832

20000 MARKETTING 20,000


1416 1416
1666 1666
5000 5000
10000 10000
1700 1700

26000 OFFIS 26,000


2832 2832
2832 2832
5000 5000

4000 4000
30000 30000

1250 1250

5416 IGD 5,416


6250 6,250
1250 1,250

66000 LAB 66000


1700 1700

195,000 MR 195,000
200,000 200,000

15,833 KASIR 15,833


5000 5000

320,000 KEUANGAN 320,000


14,583 14,583

12500 FARMASI 12,500

21000 KASIR 21,000

FO
56000 56,000
2500 2500
2832 2832

3332 MR 3332

5144 RANAP 3 5,414


3500 3,500
10000 10,000
2832 2,832
4998 4,998

56000 MARKETING 56,000

12500 FARMASI 12,500

35000 MENKEP 35,000

17500 17,500

2499 VIP/RANAP 2 2,499


6250 6,250
10828 10,828
1250 1,250

320,000 KASIR 320,000

24000 24,000
3332 3332
17000 17,000
19,000 19,000

6250 NICU 6,250


1250 1,250
2499 2,499

12000 POLI 12,000


15000 15,000
12000 12,000
30000 30,000

90000 IT 90,000

2499 IGD 2,499

15000 RANAP 3 15,000


12000 12,000

10000 10,000
5414 5,414
6250 6,250
10000 10,000
10000 10,000
5400 MARKETING 5400

4000 EDP 4000

17500 MENKEP 17,500


12000 12,000
1414

20,000 KASIR 20,000

56000 EDP 56,000

15000 FO 15,000

56000 FO 56,000
5000 5000
2828 2828
13000 13,000

40000 G FARMASI 40,000

2499 R OK 2,499
6250 6,250
10,828 10,828

3,763,430
695,522

Pemakaian / Pengambilan ATK


BULAN JUNI 2016
TOTAL UNIT MEDIS UMUM
11,250 KEUANGAN 11,250

8500 POLI 8,500


2500 2,500
4,998 4,998
22,500 22,500

30,000 APOTEK 30,000

3,750 VIP 3,750


12,000 12,000

2000 RANAP 3 2,000


1,666 1,666

2,499 NICU 2,499


6250 6,250

20000 FO 20,000
56,000 56,000
2499 2,499

20,000 MR 20,000

200,000 RADIOLOGI 200,000


150,000 150,000
100,00 100,000

1700 VK 1,700
6250 6,250
7250 7,250
1414 1,414
1250 1,250

1414 RANAP 3 1,414

56000 HRD 56,000

12000 POLIKLINIK 12,000


20,000 20,000
35000 35,000

2500 LEB 2,500


10000 10,000

80,000 KEUANGAN 80,000 80,000


12,000 12,000

300,000 MR 300,000

2000 KEUANGAN 2,000


1250 12,500
1666 1,666
1414 1,414
1414 1,414
20,000 20,000
4242 FARMASI 4,242
1414 1,414

19,000 KASIR 19,000

2000 KEUANGAN 2,000


6250 6,250
1414 1,414
20,000 20,000
1414 1,414

20,000 KASIR 20,000

15000 15,000
2,500 2,500
19000 19,000

56,000 FO 56,000

2500 NICU 2,500


7250 7,250
12000 12,000

30,000 MR 30,000
200,000

KASIR KASIH

10828 RANAP 3 10,828


12500 12,500
7250 7,250

5000 KEUANGAN 5,000


3400 3,400

FAMASI
25500 25,500

LEB

340,000 MR 340,000
2500 2,500

12500 VIP 12,500


9500 9,500

12000 POLI 12,000


120,000 120,000

20,000 FARMASI 20,000

17,000 FARM 17,000

2828 MR 2,828

120,000 POLI 120,000

2400 LEB 2,400

12000 MARKETING 12,000


15000 15,000
15,750 BU NEVI 15,750

30,000 MR 30,000

30,000 KASIR 30,000

1414 RANAP 3 1,414


4,998 4,998

24000 MR 24,000
100000 100,000
12500 12 ,500
4998 4,998

28000 FARMASI 28,000


30,000 30,000

60,000 KEUANGAN 60,000

100,000 KEUANGAN 100,000

1700 MARKEING 1,700


19000 19,000
10000 10,000

24,000 P0LIKLINIK 24,000

MR
80000 80,000

30,000 KASR 30,000

19000 19,000
2828 2,828

56,000 EDP 56,000


12500 0K 12,500
10828 10,828

27000 KEUANGAN 27,000


20,000 HRD 20,000
17000 HRD 17,000

10000 APOTEK 10,000


20,000 20,000

42500 FARMASI 42,500

56000 EDP 56,000

3750 IGD 3,750


8500 8,500

3400 KASIR 3,400


3250 3,250
5550 5,550
12150 1,250

6750 VIP 6,750


17000 17,000
3250 3,250

PENDAFTARAN

MR

1414 1414

21`0,000 KASIR 210,000

7500 KEUNGAN 7,500


7500 7,500
3750 3,750

5000 GIZI 5,000

30,000 KASIR 30,000


833 RANAP 3 833

2500 EDP 2,500

100000 MR 100,000
20,000 20,000
3750 3,750

3750 3,750
4242 4,242

4165 NICU 4,165


6750 6,750 2,998,399

2828 VK 2,828
3332 3,332

2828 0K 2,828
3332 3,332

60,000 LAB 60,000


28,000 28,000
657,665
3,086,399

Pemakaian / Pengambilan ATK


BULAN JULI 2016
TOTAL UNIT MEDIS UMUM
KASIR
320,000

6250 FARMASI 6,250


30000 30,000

7250 POLI 7,250


24,000 24,000
15000 15,000

8500 MR 8,500
2828 2,828
56,000 FO 56,000

28000 OFFIS 28,000


30000 30,000
5000 5,000
2828 2,828

4000 IGD 4,000


1250 1250

KASIR
3750 3,750
2664 2,664
9500 9,500
50000 50,000

2828 FO 2,828
1750 1,750
10000 10,000

10566 RANAP 3 10,566


2828 2,828
6750 6,750
30000 30,000
5000 5,000

100000 MR 100,000
300,000 300,000
70000 70,000
2500 2,500
10000 10,000

80,000 MARKETING 80,000

12000 MARKETING 12,000

56,000 FO 56,000
2500 2,500

90000 KASIRE 90,000


90000 90,000
1414 1,414
7250 7,250

65000 MARKETING 65,000


28000 28,000
50000 VIP 50,000

50000 P0LI 50,000

50000 RANAP 3 50,000


50000 50,000

30,000 NICU 30,000


22,500 22,500
40000 40,000 40,000

12000 RANAP 3 12000


30000 30000

90,000 MR 90,000

4232

4165 OFICE 4,165


1414 1,414
5832 5,832
11,666 11,666
7,083 7,083
68,000 68,000

90,000 FARMASI

1414 SECURITI 1414

15000 MR 15000
100,000 100,000

28000 OFIS 28,000

60,000 POLI 60,000

65,000 65,000
30,000 30,000

300,000 MR 300,000

KASIR
25000 25,000

6750 RADIOLOGI 6,750


5000 5,000
15000 15,000
1250 1,250
1414 1,414

56,000 FO 56,000
2500 2,500

100000 100,000
40000 40,000

2499 OFFIS 2,499

20000 20,000
27000 27,000
7083 7,083

13500 MR MR 13,500
20,000 20,000

50,000 KASIR 50,000


7500 7,500
1,414 1,414

10,000 KASIR 10,000


3332 3,332

6250 6,250
50,000 50,000
2000 2,000

10000 MR 10,000

9996 OK 9,996 2,600,628


14,166 14,166
1250 1,250
5000 5,000
626,556

Pengambilan ATK
USTUS 2016
TOTAL UNIT MEDIS UMUM
4165 VIP/LANTAI 2 4,165
30,000 30,000

4165 NICU 4,165


10000 10,000

1`3000 MR 13,000
3750 3,750
1250 1,250

15000 RANAP 3 15,000


8000 8,000
1414 SECURTI 1414

MARKETING
56,000 56,000

2828 P0LI 2,828


4165 4,165
12,000 12,000

6000 KASIR 6,000

56,000 MR 56,000
8000 8,000

35,000 VK 35,000
30000 30,000
1250 1,250
2828 2,828
1414 APOTEK 1414

100000 MR 100,000
60000 60,000
15000 15,000
12000 12,000
300,000 300,000

56000 56,000

2828 2,828
2000 2,000
15000 15,000
8000 8,000

6000 6000
1414 1414

12,000 KASIRE 12,000

30000 FO 30,000
28000 28,000

320,000 OFFIS 320,000


90,000 90,000
28000 MR 28,000
8000 8,000
2828 2,828

8000 RANAP3 8,000

12000 kasir
320,000 320,000

20000 KEUANGAN 20,000


3750 3,750
2828 2,828
56000 56,000

180000 MR 180,000
10,000 10,000

35000 POLI 35,000

kasir
28000 kas 28,000

50000 50,000

7070 FARMASI 7070

10000 KASIR 10,000


12000 12,000

320,000 edp 320,000


56,000 56,000

5414 igd 5,414


1414 1,414
3332 3,332
35,000 35,000

2500 keuangan 2,500


100000 100,000
300,000 300,000

100,000 mr 100,000
65000 65,000

12000 FO 12,000

20,000 20,000
7500 7,500

12500 KASIR 12,500


4500 4,500
10500 10,500
28500 28,500
15000 15,000

15000 FARMASI 15,000

6000 EDP 6,000


25000 25,000

6000 POLI 6,000


3332 3332
12000 12,000

2828 GUDANG OBAT 2828

40000 IGD 40,000

15000 15,000

15000 KASIR 15,000


4500 4,500

4165 NICU 4,165


13500 13,500
4500 4,500
16000 16,000
12000 12,000
56000 F0 56,000

28000 GIZI 28000


30000 30000

240,000 HRD 240,000

200,000 MR 200,000

MARKETING
28000 28,000

6750 GIZI 6,750

APOTEK

35000 POLIKLINIK 35,000


15000 15,000
5500 5,500
6750 6,750

30,000 GUDANG FAR 30,000


25000 25,000
8500 8,500
2500 EDP 2,500
436,308
10000 MR 10,000
10000 10,000
6750 6,750
130,000
3,877,374

Pengambilan ATK
EMBER 2016
TOTAL UNIT MEDIS UMUM
320000 KEUANGAN 320,000
8000 8,000
20,000 20,000
7500 7,500
9500 9,500
15000 15,000
7500 7,500
3500 3,500
56,000 56,000

FARMASI

KASIR
50,000 50,000

2500 VK 2,500
3500 3,500

90000 MR 90,000
13000 13,000

320000 EDP 320,000

900000 MR 900,000
10000 10,000
12000 12,000
2828 2,828

6750 GIZI 6,750

4998 RANAP 3 4,998

21000 KEUANGAN 21,000


8000 8,000
8000 8,000
8000 8,000

320,000 EDP 320,000

farmasi
5141 5,141
6750 6,750
5414 5,414
14166 14,166
7000 7,000
19000 19,000
7500 MR 7,500
11000 11,000
56,000 56,000

1666 POLI 1,666


12000 12,000
2000 2,000
54000 54,000

120,000 MR 120,000

12,000 NICU 12,000


8100 8,100
4,165 4,165
2500 2,500

3500 MR 3,500
56000 56,000
5000 5,000
20000 20,000

50000 IT 50,000
75000 75,000

12500 FARMASI 12,500


50000 50,000
10000 10,000

15000 KEUANGAN 15,000

4000 EDP 4,000


1414 1,414

28000 KEUANGAN 28,000


30000 30,000

90000 IT 90,000
90000 90,000

1414 KASIR 1,414

10000 GIZI 10,000


10000 10,000

1666 MR 1,666
56000 56,000
120,000 120,000
60,000 60,000
5000 5,000

320,000 KEUANGAN 320,000


15,000 OFFIS 15,000
13,500 13,500
2,828 2,828
2,000 2,000
12,500 12,500
4,000 4,000
13,000 13,000
1,500 1,500
5,000 5,000

KASIR
12,500 12,500
50,000 50,000
24,000 24,000
10,000 10,000
3,332 3,332

10,000 GIZI 10,000


10,000 10,000

1,414 VIP 1,414


3,332 3,332

60,000 MR 60,000
30,000 30,000

27,000 HRD 27,000


20,000 20,000
28,000 28,000

90,000 EDP 90,000

20,000 MR 20,000
30000 30,000

100000 100,000
60,000 60,000
375000 375,000
13500 13,500

FARMASI
28000 HRD 28,000

30,000 KASIR 30,000


320,000 320,000

13,000 13,000

56,000 FO 56,000
5000 5,000
2,828 2,828
10,000 10,000

15,000 KASIR 15,000

10000 MARKETING 10,000

12000 POLI 12,000


12,000 12,000

APOTEK
50,000

13500 MR 13,500
70000 70,000
70000 70,000
40000 40,000

50,000 KASIR 50,000


90,000 90,000

28000 OFFIS 28,000


30000 30,000
7500 7,500
2500 2,500
2500 2,500

24000 marketing 24,000


Pengambilan ATK
OBER 2016
TOTAL UNIT MEDIS UMUM
2000 IGD 2,000
4165 4,165

2000 KEUANGAN 2,000


2000 2,000
150,000 150,000

215,000 EDP 215,000

13,000 VK 13,000

375000 MR 375,000

100,000 100,000
13500 13,500
10,000 10,000

25,000 APOTEK 25,000

56,000 KEUANGAN 56,000


8000 8,000

10000 GIZI 10,000

6000 IGD 6,000

80000 APOTEK 80,000


125000 125,000
26000 26,000

300,000 MR 300,000

50,000 KASIR 50,000


22500 22,500
20,000 20,000
20,000 20,000
210,000 210,000

30,000 MR 30,000
28000 28,000
100000 100,000
27000 27,000
8000 8,000
140,000 APOTEK 140,000
90000 90,000

4165 NICU/VICU 4,165


2500 2,500

28000 KASIR 28,000


1414 1,414
3332 3,332

28000 FO 28,000

8000 VK 8000
50,000 50,000

28000 IT 28,000
7000 7000

28000 OFFIS 28,000


15000 15,000
13000 13,000

45000 PAIRMAN/ 45,000


10800 10,800

56000 OFFIS 56,000


2700 27,000

1414 EDP 1,414

20000 FO 20,000
28000 28,000

10000 IT 10,000

MR
13,000 13,000

56000 56,000
2500 2,500
2000 2,000
6000 6,000
2828 2,828

KEUANGAN
1414

SEKERTARIS

320000 KASR 320,000


50000 50,000

40000 VK 40,000

12000 MARKETING 12,000


28000 28,000

100000 FO/MR 100,000


300000 300,000
4000 4,000
60000 60,000
2828 2,828
20000 20,000
10,800 10,800
2000 2,000
14000 14,000
20000 20,000

12000 RANAP 3 12,000


15000 15,000

4242 OK 4,242
7500 7,500

80000 POLI 80,000


120000 12,000

30000 OFFIS &IT 30,000


12000 12,000

140,000 FARMASI 140,000

1200000 KOMITE 120,000

2828 FO 2,828
30000 30,000

2500 LEB 2,500


2500 2,500
100000 MR 100,000

300000 300,000
13500 13,500

22500 22,500

17500 RM 17,500

100000 100,000
100000 100,000

20000 FO 20,000
30000 30,000
28000 28,000
50000 50,000
2828 2,828
2000 EDP 2,000
220,000 220,000

150000 OFFIS 150,000


7000 7,000
3500 3,500
2000 2,000
5000 5,000
2000 2,000
1500 1,500

70000 KASIR 70,000


6000 12,000

320,000 GUDANG FARMASI 320,000

200000 OFFIS/KEUANGAN 200,000

8000 MR 8,000
13000 13,000
54000 54,000

4242 NICU 4,242


6750 6,750

5656 VK 5,656
6750 6,750
2500 2,500
5,851,635
247,907

Pengambilan ATK
EMBER 2016
TOTAL UNIT MEDIS UMUM
90000 EDP 90,000

28000 GIZI 28,000

20000 VK 20,000
17500 17,500
30000 KEUANGAN 30,000

2500 MR 2,500
1414 1,414

5,656 APOTEK 5,656


8330 8,333

50000 IT 50,000
8000 8,000

300000 MR 300,000

30,000 APOTEK 30,000


30000 30,000
20000 20,000
5000 5,000
1500 1,500
2000 2,000
3000 3,000

8330 VIP 8,330


25000 2,500
5000 5,000
6750 6,750
8000 8,000
2500 2,500
50000 SEKERTARIAT 50,000
15000 15,000

6000 POLI 6,000

135,000 MR 135,000
100,000 100,000

30,000 KEAUANGAN 30,000


10,000 10,000
2,000 2,000

300,000 AKUNTING 300,000

28,000 HRD 28,000


30,000 30,000
2,500 2,500
2,500 2,500

30,000 GA 30,000

12,000 IGD 12,000


5000 5,000
5,500 5500
8000 8,000

6750 SEKERTARIAT 6,750


20,000 20,000

28,000 HRD 28,000


300,000 30,000

30,000 MR 30,000
600,000 600,000

50,000 50,000
80,000 80,000
20,000 HRD 20,000
2000 2,000

1,414 RANAP 3 1,414


10,500 10,500
15,000 15,000

28,000 SEKERTARIS 28,000


7,000 OK 7,000

20000 KASIR 20,000


50,000 50,000

28,000 FO/EDP 28,000


1414 1,414
8,000 8,000
6500 6,500
12,000 12,000

480,000 HRD 480,000


30,000 30,000

20,000 MARKETING 20,000

15000 MARKETING 15,000


1414 1,414
`1666 1,666
20000 20,000

1414 EDP 1,414


6000 6,000
90000 OFFIS 90,000
2500 2,500

5500 KASIR 5,500

81000 MR 81,000

40000 APOTEJ 40,000


5000 5,000
10000 10,000
2828 2,828
2828 2,828

28000 IT 28,000
30,000 30,000
90,000 90,000
10,000 10,000
2,000 2,000
2,500 2,500
5,500 5,500
2,500 2,500
330,000 330,000
15,000 MARKETING 15,000

4,000 FO 4,000
20000 20,000
2,828 2,828
28000 28,000
30,000 30,000

28,000 LEB/RO 28,000

4,998 POLI 4,998


12000 12,000
5,500 5,500

21,000 RANP 3 21,000


12000 12,000

2828 GIZI

8300 VK 8300
2832 2,832

90000 MR 90,000
200000 200,000
50000 50,000

7000 MARKETING 7,000

56000 KEUANGAN 56,000


20,000 20,000
16000 16,000
100000 100,000
7000 7,000

25500 KASIR 25,500


50000 50,000
12500 12,500
15000 15,000
7500 7,500
15000 15,000
22500 22,500
20000 20,000
330000 330,000
5000 5,000

2832 FARMASI 2,832


6750 RO/LEB 6,750
2000 2,000

10000 GIZI 10,000


6750 6,750
2000 2,000
2500 2,500
7000 7,000

20000 GA 20,000

30000 HRD 30,000


336000 336,000
6000 6,000

13000 OFFIS 13,000

13000 POLI 13,000

229000 EDP 229,000

8330 DR IGD 8,330


1416 1,416

2832 GIZI 2,832

6250 FARMASI 6,250


1416 1,416

7000 KASIR 7,000

2000 RANAP 3 2,000


8,496 8,496

56000 FO 56,000
56000 MR 56,000

56,000 SEKERTARIAT 56,000


60000 60,000

200000 HRD 200,000

54000 MR 54,000
3500 3,500
5000 5,000
800000 HRD 800,000
126,000 126,000
56000 56,000
5000 240,866 5,000
5000 5,000
3000 3,000
7,040,375

Pengambilan ATK
MBER 2016
TOTAL UNIT MEDIS UMUM
30,000 NICU 30,000

60,000 FO/EDP 60,000

2916 VIP 2,916


5833 5,833
7000 7,000
10000 10,000
1416 1,416
10000 10,000
10000 10,000
3500 3,500
20000 20,000
2000 2,000

20000 KASIR 20,000


3332 3,332
90000 90,000
14500 14,500.00

21000 RANAP 3 21,000


10000 10,000
6250 6,250
6000 POLI 6,000
8000 8,000
13000 13,000
2900 2,900
15000 15,000
12000 12,000
2700 2,700

1416 RANAP 3 1416


10000 10,000
30,000 30,000
4000 4,000

2832 FARMASI 2,832


2832 2,832
8000 8,000

30000 GUDANG FARMASI 30,000


13000 13,000
14500 14,500
4000 4,000
2916 2,916
7000 7,000
50,000 50,000
13000 13,000

20,000 GIZI 20,000


8000 8,000
2916 2,916

8000 KASIR 8,000

5800 APOTEK 5,800

5000 HRD 5,000


20000 20,000
5833 5,833
320000 320,000
4000 4,000

240000 GUDANG OBAT 240,000

28000 GIZI 28,000

2916 MR 2,916
4000 4,000
8700 8,700
8000 8,000

MR
100000 100,000
20000 20,000

28000 FO 28,000
30,000 30,000
3000 3,000

140000 APOTEK 140,000

30,000 IGD 30,000


13000 13,000

13000 SEKERTARIAT 13,000


28000 28,000
30000 30,000
5000 5,000

1416 FO 1,416
6000 6,000

2832 KASIR 2,832


5000 5,000
1
8000 RANAP 3 8,000
13000 13,000
10500 10,500

56000 sekertariat 56,000


30000 KEUANGAN 30,000
2900 2,900
5833 5,833
2000 2,000
18000 18,000
5000 5,000

60000 FO 60,000
2000 2,000
20,000 20,000

25,000 MARKETING /MCU


102,000 102,000
16000 16,000
6000 6,000

18,000 MR
200,000
56,000
8000

112000 FARMASI 112,000

28000 sekertariat 28,000


2000 2,000
10000 10,000
1416 1,416

28000 KEUANGAN 28,000


30,000 30,000
5000 5,000
10000 10,000
24000 24,000
2916 2,916
5833 5,833

5000 POLI 5,000


8000 8,000
26000 26,000

5664 FO 5,664
3332 3,332

32000 NICU 32,000

220,000 EDF 220,000

F0
90,000 90,000
70000 KASIR 70,000

2500 VK 2,500
4248 4,248
2500 2,500

6000 KASIR 6,000


30,000 30,000

1416 RANAP 3 1,416

40000 RADIOLOGI 40,000


8000 8,000
10000 10,000
60000 MR 60,000
2832 2,832

30,000 RANAP3 30,000


10000 10,000

330,000 KASIR 330,000


10,000 10,000
70,000 70,000
12,500 12,500
5,500 5,500

56,000 FO 56,000
30,000 30,000

10,000 FARMASI 10,000


25,000 25,000

90,000 FO 90,000
90,000 90,000
90,000 90,000
90,000 90,000
50,000 MR 50,000

70,000 FARMSI 70,000


2,832 2,832
6,000 6,000
25,000 25,000

56,000 SEKERTARIAT 56,000


60,000 60,000
28,000 MARKETING 28,000
30,000 30,000
3,806,883
441,095

Pengambilan ATK
UARY 2017
TOTAL UNIT MEDIS UMUM
30000 MR 30,000
8000 8,000
3700 SEKERTARIAT 3,700

17000 OK 17,000

7000 KEUANGAN 7,000


4000 4,000
1416 1,416
3000 3,000

20000 GIZI 20,000


12000 12,000
7000 7,000

1416 IT 1,416
90000 90,000
30000 30,000

20000 FARMASI 20,000

2500 SEKERTARIS 2,500


40,000 40,000
30000 30,000

50000 KASIR 100,000


70000 70,000
12500 12,500
8330 8,330

84000 MR/ 84,000


90000 90,000
260000 260,000

8000 RANAP 3 8,000


4000 4,000

28000 FO 28,000
30,000 30,000

320,000 KEUANGAN 320,000


2500 25,000

320,000 GUDANG FARMASI 320,000


1416 1,416

25000 POLI 25,000


8330 8,330
2832 2,832
120000 12,000
15000 15,000
16000 16,000

600000 MR 600,000
30000 180,000
240000 240,000
25000 25,000

70,000 FARMASI 70,000


7500 7,500

1,000,000 MR 1,000,000
50000 50,000

50,000 RANAP 3 50,000

20000 KASIR 20,000

2500 MARKETING 2,500


20000 20,000

56000 BACK OFFIS 56,000


20,000 20,000
240000 240,000
4000 4,000
2500 2,500
8000 8,000

4165 RANAP 3 4,165


15000 15,000

520,000 MR 520,000
4,000,000 4,000,000
90000 90,000
45,000 45,000
220,000 FO 220,000S

70,000 KASIR 70,000


5,500 5,500
320,000 320,000
20,000 20,000
180,000 180,000

56,000 OFFIS 56,000


15000 KEUANGAN 15,000
30,000 30,000
10000 10,000

45000 MR 45,000
2000000 2,000,000
520000 520,000
30000 30,000

4248 GUDANG FARMASI 4,248

2832 RANAP 3 2,832

3000000 RADIOLOGI 3,000,000


90000 90,000
4165 4,165
5700 5,700
1450 1,450

30000 OFFIS 30,000


5000 5,000
8000 8,000

64000 FO 64,000
57000 57,000

2000 VIP 2,000


6000 6,000
2832 2,832
12000 12,000
15,000 15,000

56000 OFFIS 56,000


12500 12,500
4248 4,248
5000 5,000
4000 217,991 4,000
7500 7,500

56000 FO 56,000
2000000 2,000,000

4000 EDP 4,000


17,580,089
Pengambilan ATK
UARY 2017
TOTAL UNIT MEDIS UMUM
4000 IT 4,000
180000 180,000
90000 90,000
90000 90,000
5500 5,500
5750 5,750
2500 2,500
7500 7,500
16800 16,800
1416 1,416
2000 2,000
9000 9,000

28000 FO 28,000
32000 32,000
64000 MR 64,000

2000 2,000
2000 2,000

36000 FARMASI 36,000

12000 POLI 12,000


5564 5,564
8000 8,000

56000 GIZI 56,000

70000 FARMASI 70,000

3750000 MR 3,750,000
7500 7,500
6000 6,000

2500 VK 2,500
5750 5,750
8000 RANAP 3 8,000
8000 8,000

32000 IGD 32,000

36000 FARMASI 36,000

28500 GIZI 28,500

30000 FO 30,000

6750 NICU 6,750

17000 KEUANGNGAN 17,000


2500 2,500

28500 MARKETING 28,500

30,000 MR 30,000
28500 28,500
20000 20,000

24,000 POLI 24,000


75000 75,000
5564 5,564

24000 KASIR 24,000


8000 8,000
12500 12,500
25,200 25,200
8330 8,330

70000 FARMASI 70,000

1416 MR 1,416
15000 15,000
28500 28,500
7500 7,500

13600 IT 13,600

1416 FARMASI 1,416 S

95000 KEUANGAN 95,000


90000 90,000
8000 8,000
30000 30,000
16800 16,800
2832 2,832
2500 2,500

70000 KASIR 70,000


20000 20,000

5100 MARKETING 5,100

57000 KEUANGAN 57,000


30000 30,000

60000 MARKETING 60,000

1416 SEKERTARIS 1,416


5000 5,000
3500 3,500

2832 IGD 2,832

8000 FO 8000
2832 2,832
28500 28,500
30,000 30,000

28,500 MR 28,500
30000 30,000
5,664 5,664

30,000 FARMASI 30,000


2000 2,000

60000 KEUANGAN 30,000


2500 2,500
8400 8,400
13000 13,000

70000 KASIR 70,000


320,000 640,000
13400 PANTRY 13,400
10000 10,000
20,000 20,000

68,000 HRD 68,000

51,000 IT 51,000

320,000 KASIR 320,000

220000 EDP 220,000

26000 POLI 26,000


9000 9,000
5500 5,500
6750 6,750
30000 30,000

28500 FO 28,500
28500 LEB 28,500
2000 EDP 2,000
2832 VK 2,832

135,000 IT 135,000
1000000 100,000
50,000 MR 50,000
6750 FARMSI 6,750

10000 OK 10,000
6750 6,750
2000 2,000
8400 8,400
2500 2,500
7080 7,080
8100 RANAP 3 8,100
12000 GIZI 12,000

40,000 MARKETING 40,000


51000 51,000
30,000 MR 30,000
230,000 FARMASI 356,872 230,000
7,711,122
Pengambilan ATK
ARET 2017
TOTAL UNIT MEDIS UMUM
70000 KASIR 70,000
2000 10,000
2500 2,500
320000 320,000
30,000 KEUANGAN 30,000
7500 7,500
40000 40,000
8400 8,400
17000 17,000
4000 4,000
2500 2,500
85500 85,500
1416 1,416

50,000 FARMASI 50,000


70000 70,000

27000 IGD 27,000


5000 5,000

57000 FO 57,000
30000 30,000
2500 2,500
10000 10,000
4165 4,165

8400 MARKETING 8,400


17000 17,000

30000 RADIOLOGI 300,000

28500 IGD 28,500


2000 2,000

30,000 RANAP 3 30,000


2832 2,832
16000 16,000

8333 INTENSIF /NICU 8,333


8000 8,000
5500 5,500
8333 VIP 8,333
5500 5,500
2832 2,832

50,000 MR 50,000
90000 90,000

90,000 IT 90,000
90,000 90,000
2,500 KEUANANGAN 2,500
2,500 2,500
60,000 MARKETING 60,000
34,000 34,000
2,500 2,500

200,000 PPI 200,000


34,000 34,000
50,000 SEKERTARIS 50,000

16,200 RANAP 3 16,200

28,500 MR 28,500
30000 30000
50,000 50,000
21000 21,000
17,000 17,000
2832 2,832

30000 RANAP 3 30,000


2832 RANAP 3 2,832

20000 KASIR 20,000


30000 30,000
70,000 70,000
12500 12,500
8333 8,333

120000 POKJA KPS 12,000


51000 51,000

30000 KEUANGAN 30,000


2500 2,500
2500 2,500
1416 1,416

24000 G FARMASI 24,000


320000 320,000
10000 10,000
10000 10,000
2832 2,832
20,000 20,000
8000 8,000

400000 MR 400,000
54,000 54,000
12500 12,500

70000 FARMASI 70,000

5000 KASIR 5,000


70000 70,000
30,000 30,000

57000 FO 57,000
30000 30,000
2000 2,000

24,000 POLI 24,000


8330

8400 KEUANGAN 8,400


2500 2,500
28,500 38,500
180,000 180,000
1416 1,416
2500 MARKETING 2,500
40000 40,000

54000 R INTENSIF 54000

70000 KASIR 70,000

50000 APOTEK 50,000


50000 50,000

56000 KEUANGAN 56,000


2832 2,832
3000 3,000
13000 13,000
5000 5,000
8400 8,400
2000 2,000
4000 4,000

320,000 KASIR 320,000


10000 10,000
30000 30,000

6750 SEKETARIS 6,750

70000 APOTEK 70,000


3500 3,500
5500 5,500

84000 MR 84,000
90,000 90,000

290000 EDP 290,000


180000 180,000

60000 KEUANGAN 60,000


8400 8,400

170000 HRD 170,000


60000 60,000
12500 FARMASI 12,500
65000 65,000
12000 12,000

15000 RANAP 3 15,000


1416 1,416
12000 12,000
8330 8,330

27000 VIP 27,000


6750 6,750
30000 30,000
1416 1,416

2832 KASIR 2,832


65000 65,000

70000 FARMASI 70,000


2832 2,832
2832 2,832
10000 10,000

56000 FO 56,000
30000 30,000
8330 8,330
2000 2,000
5000 5,000
35000 MARKETING 35,000
32500 SEKERTARIS 32,500
15000 15,000

57000 EDP/FO 57,000


60000 60,000
75,000 75,000
70000 FARMASI 70,000

50000 KEUANGAN 50,000


2832 2,832
6000 6,000
10000 10,000
200,000 200,000
50000 RANAP 3 50,000
16000 FO 16,000
14000 14,000
54000 54,000
54000 54,000
56000 MR 56,000
50000 50,000

7000 KASIR 7,000


1416 1,416

428,774
6,504,066

Pengambilan ATK
PRIL 2017
TOTAL UNIT MEDIS UMUM
32500 SEKERTARIAT 32,500

5664 POLI 5,664


25000 25,000
26000 26,000
30000 30,000
28000 OK 28,000
30000 30,000
50000 50,000

120,000 FO 120,000
8330 8,330

2832 VK 2,832

50000 IT 50,000

50000 MR 50,000
12500 12,500

50,000 KASIR 50,000

350000 MR 350,000
60000 60,000
56000 56,000

60000 KASIR 60,000


2500 2,500

90000 GUDANG FARMSI 90,000

330,000 KEUANGAN 330,000


8600 8,600
57000 5 57,000
30000 30,000
5000 5,000
3700 2,000

220,000 GUDANG FARMASI 220,000


90000 90,000

75000 FARMASI 75,000


50,000 50,000
6000 6,000

8330 VIP 8,330

57000 MR 57,000
60000 60,000

30,000 IGD 30,000


120,000 FARMASI 120,000

57,000 FO 57,000
60,000 60,000
5,000 5,000
2,832 2,832

2,832 RANAP 3 2,832

8,000 KASIR 8,000


120,000 120,000
5,000 5,000
16,800 16,800

12,000 MARKETING 12,000


15,000 15,000
60,000 60,000

60,000 KEUANGAN 60,000


2,000 2,000
2,500 2,500
2,000 2,000
3,700 2,000

28,000 KASIR 28,000


24,000 24,000
8,000 8,000

3,500 SEKERTARIAT 3,500


3,000 3,000

85,000 MARKETING 85,000


64,000 64,000
60,000 60,000

320,000 KASIR 320,000


33,600 33,600

8,333 VK 8333
1,416 1416

5,000 VIP 5,000


2,832 2,832

15,000 RANAP 3 15,000


6,750 6,750
3,000 3,000

100000 APOTEK 100,000

5750 NICU 5,750


8330 8,330

10000 KASIR 10,000


20,000 20,000

20000 MARKETING 20,000


2700 2,700
28500 28,500
30,000 POLI 30,000
15000 15,000
5664 5,664
40000 40,000

240,000 MR 240,000
85500 85,500
90000 90,000

80000 80,000

16000 IGD 16,000


5664 5,664

20000 MR 20,000
15000 15,000
120,000 120,000
300000 300,000
100000 100,000
5000 5,000

140,000 FARMASI 140,000


6000 6,000

150000 FO 150,000
75000 150,000

RANAP 3

5750 5,750
30000 30,000
15000 15,000

27000 R ITENSIF 27,000


482,315 4,797,194

Pengambilan ATK
MEI 2017
TOTAL UNIT MEDIS UMUM
60000 MR 60,000

60000 VIP 60,000


8000 8,000
30000 30,000

70,000 APOTEK 70,000

2832 CSSD 2,832


12000 12,000
8000 8,000
270,000 27,000
2000 2,000
6750 6,750
5750 5,750
8000 8,000

162000 MR 162,000
180000 180,000
400000 400,000

5000 KEUANGAN 5,000


8000 8,000
8400 8,400
4248 4,248
30000 30,000
70000 70,000

6750 VK 6,750
5264 POLI 5,264
16000 16,000
24,000 24,000
5750 5,750
30000 30,000

90000 RANAP 3 90,000


24,000 24,000
4248 4,248

30000 RADIOLOGI 30,000


10,000 10,000
6750 6,750
8000 8,000
10,000 10,000
2832 2,832
2500 2,500
3000 30,000

6750 RANAP 3 6,750


6750 6,750
8000 8,000
2832 2,832

30,000 GUDANG FARMASI 30,000


1416 1,416

2832 FO 2,832
27000 27,000
30,000 30,000
5000 5,000
2888 2,888

70000 FARMASI 70,000

90000 OFFIS/IT 90,000


5000 5,000
2500 2,500

60,000 FO 60,000
54,000 54,000

70,000 KASIR 70,000


180,000 180,000
60,000 60,000
5,750 5,750
2,888 2,888

27,000 POKJA SKP 27,000


10,500 10,500
10,200 10,200
340,000 340,000
160,000 160,000
30,000 30,000
30,000 30,000
50,000 50,000
150,000 150,000

108,000 MR 108,000
60,000 60,000
40,000 40,000

30,000 KEUANGAN 30,000


1,416 1,416
2,500 2,500

20,000 SEKERTARIS 20,000


10,000 10,000
30,000 30,000

32,000 APOTEK 32,000


8,000 8,000
70,000 70,000

17,000 MR 17,000
108,000 108,000
90,000 90,000

12,000 CSSD 12,000


5,000 5,000
40,000 40,000
17,000 17,000
30,000 30,000

30,000 KASIR 30,000


20,000 20,000
27,000 27,000
30,000 30,000

20,000 GIZI 20,000


7,000 7,000
80000 MR 80,000
270000 270,000
3500 3,500
2000 2,000
6750 6,750

2832 FO 2,832
5000 5,000

10000 10,000
108000 108,000
2888 2,888
40,000 40,000
16,000 16,000
51000 51,000
34000 34,000

51000 RANAP 3 51,000


34000 34,000

2832 MR 2,832
27000 27,000
30,000 30,000

27000 FARMASI 27,000

24,000 POLI 24,000


2888 2,888
30000 30,000
6750 6,750
8000 8,000

27000 MR 27,000
54000 FO 54,000
60000 60,000

20000 KPS 20,000

12000 PPI 12,000


2000 2,000
8000 8,000
25500 25,500
54000 54,000
135000 HRD 135,000
150000 150,000
510000 510,000
850,000 850,000

54000 FO 54,000
60000 GA 60,000
400000 MR 400,000
360000 360,000

500,000 FO 50,000
5000 5,000
2000 2,000
2000 2,000
2000 2,000

27000 KPS 27,000


60000 60,000

220,000 EDP 220,000


5000 5,000

7080 HRD 7,080


30,000 30,000
5000 5,000
84000 8,400
2500 2,500

4248 NICU 4,248

12500 MR 12,500
70000 FARMASI 70,000
27000 KASIR 27,000

320,000 GUDANG FARMASI 320,000

10,000 VIP 10,000


5000 5,000
2,832 2,832

30,000 MR 30,000
27,000 27,000

15,000 KEUANGAN 15,000


2,500 2,500
54,000 54,000
30,000 30,000
70,000 KASIR 70,000
12,500 12,500
780,646
140,000 FARMASI 140,000
#VALUE!
90,000 90,000
45000 45,000
8,140,150

Pengambilan ATK
UNI 2017
TOTAL UNIT MEDIS UMUM
5000 KEUANGAN 5,000
54000 54,000
30,000 30,000
6250

7500 KASIR 7,500


60,000 60,000

120,000 FARMSI 120,000


50000 50,000

25000 INSENTIP 25,000


30,000 30,000

60,000 MR 60,000
54,000 54,000
13,000 13,000

8,333 INSENTIP 8,333


190000 IT 190,000
90000 90,000
90000 90,000
90000 90,000

8333 RANAP 3 8,333

330,000 KASIR 330,000

2000 OK 2,000

10000 G FARMASI 10,000

56000 POLI 56,000


16000 16,000
6250 6,250

60000 KEUANGAN 60,000


15000 15,000
8400 8,400
1416 1,416

70,000 FARMSI 70,000

20000 KASIR 20,000

56000 MR 56,000
60000 60,000
6250 6,250
2832 2,832

70000 IT 70,000

84000 KEUANGAN 8,400


2500 2,500
5664 5,664
28000 28,000

2832 POLI 2,832


12000 12,000
70000 70,000

MR

400000 MR 400,000
50000 50,000
220,000 EDP 220,000
5000 5,000

38000 KASIR 38,000


70000 70,000
7500 75,000
8333 8,333

5000 RANAP 3 5,000

95,000 RADIOLOGI 95,000

70000 APOTEK 70,000


14000 14,000

56,000 F0 56,000
60,000 60,000
2832 2,832
8000 8,000

20000 SEKERTARIS 20,000

12,000 RANAP 3 12,000


8000 8,000
13500 13,500

28,000 POLI 28,000


160,000 160,000

2500 VK 2,500
2832 2,832

28000 MR 28,000
30,000 30,000

50,000 KEUANGAN 50,000

12,000 VIP 12,000


8000 8,000

30000 KASIR 30,000


50000 50,000
120000 120,000

112000 FO 112,000
60000 60,000
500000 483,580 500,000

420000 KEUNGAN 420,000


2000 2,000
5000 5,000
6000 6,000
20,000 20,000

200000 FO 200,000
4,498,127
Pemasukan Barang ATK, Umum & Percetakan
Bulan Januari 2016

No Tanggal Nama Barang Jumlah Satuan


1 5/1/2016 Brosur Full Colour 2 Rim

2 5/1/2016 Sabun Cuci Botol "Sleek" 450 ml refill 2 Pouch

3 7/1/2016 Pisau Cukur Gillette Goal II @24 pcs / lbr 1 Lbr

4 7/1/2016 Batery Sony CR 2032 4 Pcs

5 13/01/2016 Softener 20 Ltr


Detergent Cair 20 Ltr

6 13/01/2016 Kertas HVS A4 70 gr "Natural" 10 Rim


Stiker label Tom & Jerry 127 @25 pak / Dus 2 Dus
Stiker label Tom & Jerry 100 @25 pak / Dus 1 Dus
Isi Staples Kecil Etona - 10 @20 pak / box 1 Box
Ballpoint Standard AE7 Hitam 1 lsn
Spidol Hitam Permanent 1 lsn
Amplop Coklat F4 2 Pak
Continous Form 9 1/2 X 11, 2 ply 1 Dus
Tip ex Kertas Roll 1 Pc

7 13/01/2016 Bak / Ember besar 2 Pcs


Box Container Kecil 3 Susun 1 Pc

8 13/01/2016 Bukti Permintaan Barang 20 Buku


Formulir Pemakaian Alat Kesehatan 20 Buku
Laporan Harian Poliklinik 10 Buku

9 18/01/2016 Sabun Cuci Botol "Sleek" 450 ml refill 2 Pouch


Sunlight Lime refill 400 ml 2 Pouch

10 21/01/2016 Amplop Logo Mitra Family 10 Dus


Buku Catatan Kesehatan Ibu & Anak + Lampiran
1000 Buku

11 22/01/2016 Standard Buku 10 set


Continous Form 9 1/2 X 11, 2 ply 1 Box
Continous Form 9 1/2 X 11, 2 ply PRS 1 Box
handboard Kayu 1 Pcs

12 26/01/2016 Kop Surat Mitra Family 2 Rim


Lembar Poliklinik 2 Rim
Surat Keterangan Pelayanan Medis 2 Rim

13 28/01/2016 Gelas LOGO Mitra Family 300 pcs


Paket Kelas III 450 Paket

14 28/01/2016 Permintaan Pemeriksaan Laboratorium 2 Rim


Permintaan Pemeriksaan Patologi 2 Rim
Daftar Visite & Konsul Dokter 20 Buku

Pemasukan Barang ATK, Umum & Percetakan


Bulan Februari 2016

No Tanggal Nama Barang Jumlah Satuan


1 1/2/2016 Kartu Nama dr. dedi Kurniawan Saputra, Sp.A2 Box
Resep 60 Buku
Surat Pernyataan Penolakan Rawat Inap / tind. Medis
2 Rim

2 3/2/2016 Kertas HVS A4 70 gr "Natural" 5 Rim


Continous Form 9 1/2 X 11, 2 ply 1 Box
Batu Batery ABC Alkaline AA isi 2 5 set
Tip Ex Kenko @ 12 pcs / dus 1 Dus
Kertas Fax 210 X 30 1 Roll
Skat File A4 1 Pak

3 3/2/2016 Plastik Kresek Putih HD 24 10 Pak


Plastik Kresek Putih HD 28 10 Pak
Plastik Kresek Putih HD 17 25 Pak

4 9/2/2016 Catatan Perkembangan / Implementasi 2 Rim


5 12/2/2016 Buku Folio 200 lbr 6 Pcs
Buku Kwarto 200 lbr 6 Pcs
Buku Ekspedisi (1/2 Folio) 100 lbr 6 Pcs
Spidol Kecil Hitam 1 Lsn
Isolasi 1" 6 Roll
Isolasi 1/2" 6 Roll
Gunting OLL Gunindo 1 Lsn
Amplop Polos Putih Kecil 10 Box
Skat File Folio 3 Pak
Continous Form 9 1/2 X 11, 2 ply PRS 1 Dus

6 15/02/2016 Continous Form 9 1/2 X 11, 3 : 4 J - Plus 1 Dus


Stiker label Tom & Jerry 127 @25 pak / Dus 1 Dus
Map kancing 1 Pc
Album kartu Nama 1 Pc

7 15/02/2016 Softener 20 Ltr


Detergen Cair 20 Ltr
Pemutih 20 Ltr
Parfum Loundry 5 Ltr

8 15/02/2016 Pisau Cukur Gillette Goal II @24 pcs / lbr 1 Lbr

9 15/02/2016 Sensus Harian Pasien Rawat Inap 10 Buku


PPC Nama Dokter 9 Pcs

10 18/02/2016 Serah Terima Pasien 1 Rim


Pengkajian Keperawatan Rawat Inap 1 Rim

11 21/02/2016 Data Medis Pasien 2 Rim


Amplop Rontgen Besar 100 Lbr
Amplop Rontgen Kecil 100 Lbr
Bukti Bon sementara 30 Buku

12 22/02/2016 Lakban / Isolasi Bening 2" 2 Roll


Kertas Hvs A4 70 gr "Natural" 10 Rim
Kertas Fax 210 X 30 2 Roll
Kertas Hvs F4 70 gr "Natural" 2 Rim
Batery ABC Alkaline AAA @6 pcs / set 3 set
Staples Kecil Max HD - 10 2 Pc
Post it 12 Pc

13 23/02/2016 Sabun Cuci Botol "Sleek" 450 ml refill 2 Pouch

14 26/02/2016 Odner Bindex Besar @12 pcs / dus 1 dus


Karton manila Putih 10 lbr
Spidol Boradmarker Hitam 1 Lsn
Spidol Hitam permanent @12 pcs / box 1 Box

15 26/02/2016 Plastik Klip 7 X 10 ( 43 pak ) 3 Kg


Plastik Klip 13 X 8,7 ( 27 pak ) 3 Kg
Plastik Klip 10 X 15 (21 pak ) 3 Kg

16 26/02/2016 Map Rekam Medis 1000 Lbr

Pemasukan Barang ATK, Umum & Percetakan


BULAN MARET 2016

No Tanggal Nama Barang Jumlah Satuan


1 1\3\2016 standdar ae7 24 pic
isi staples no 10 2 pak
lsi pulpun snoman 1 sdu
klip no 3 1 pak
tabel tom & jery 1 bok
atk polio polos 2 pak
amplop ppi besar 10 pak
atk kabinet 2 pak
pembolong kenko 3 buah

2 3\3\16 resep 60 bk
3 8\3\16 cf k2 pps 1 dus
standar buku 12 set
4 8\3\16 farfum 5 liter
softener 20 liter
deterjen 20 liter

5 10\3\2016 silet goal 24 lbr


11\3\2016 cout[13,8 2 bh
11\3\2016 cf k3 prs 1 dus
kertas fax 3 rim
label 127 1 dus
expanding 1 bk
6 14\3\16 natural a4 10 rim
natral f4 5 rim
bk folio 200 6 buku
bk kwarto 6 buku

7 22\3\2016 natural a4 5 rim


santri label
amplop ppi kecil 5 pak
map sayal helater 1 dus
biswebs filter pi pt 11
gieli tafe 7 bok

8 23\3\2016 towel multi folisol 20

9 29\3\2016 resep no 2 play 1\3 f 60


daftar visit no 2 2 ply 20

10 29\3\16 OQNES BINTEK FA 1 DUS


bolpoin af 7 1 dus
kertas f4 natural 5 dus

11 21\3\2 tisu dus 300 bok

12 30\3\2016 philip 18 wat 24 buah

13 31\3\2016 plastik klip 20 biji

14 31\3\16 softener 10 liter


dettejen 20 litr
stiker tom jeri 5 pc

Pemasukan Barang ATK, Umum & P


BULAN APRIL 2016
BULAN APRIL 2016

NO TANGGAL NAMA BARANG JUMLAH SATAUN


1 4/4/2016 NATURAL A4 5 RIM
CF K3 PVII 2 DUS
AMPLOP PPI BSR 5 DUS
AMLOP PPI KECIL 5 DUS
MAP SNELL B10 2 DUS
A/C POLIO POLOS 1 PAK
PIAGAM 1 PAK
KARTU STK 1 PAK
KERTAS FAX 210X 30 2 RIM
10PC) ALKALINE AZ 5 SET

2 4/4/2016 POST IT 3B
DOCUMEN ISI 100 1B

3 4/4/2016 RESUM MEDIS 10 BK


CATATAN PERKEMBANGAN 2 RIM

4 5/4/2016 SILET GOAL 11 BLUE 1 LEMBAR


12X24

5 7/4/2016 MAP 200 LBR

6 11/4/2016 NATURAR A4 10 RIM


CATER GUNINDOBSR 1 PAK
POST IT 654 10 B
BINDER CLIP 155 1 GROSS
BUKU EXPEDISI 100 3B
STAPLES MAX KECIL 3 BUAH
KWITANSI KCL 5B
STANDAR AE7 1 DUS
SPIDOL PERMANEN 1 DUS

7 4/4/2016 CLIP 10X15 10 PAK


CLIP 13X17 10 PAK
KANTONG PLASTIK 15 B

8 17/4/2016 SERAH TERIMA HVS 2 RIM


SURAT KETERANGAN MEDIS 2 RIM
LAPORAN HARIAN POLIKLINIK P.M.K 10 BK
LEMBAR POLIKLINIK 2 RIM
SURAT PERSETUJUAN TINDAKAN T 10 BK
BUKTI PERMINTAA BARANG 20 BK

9 STEMPEL KRISTAL 3 BH
DAFTAR VISIT & KONSUL DR 20 BK
REKOMENDASI& ADMINISTRASI 20 BK
PESEN PASIEUN PULANG 20 BK
RESEP 60 BK
10 23/4/2016 ODNES BINDEK FLOW 1G
DOBEL TAPE 3M BSR 2 PAK
STEROPOM GUPPY 3 PCS
BOX FILE BINDEK 3 SUSUN 30 PCS
TRUL 3 SUSUN 2 PCS
MAP TRANSPARAN 1G

11 22/4/2016 STANDAR A17 10 SET


ISI SATPLES 1 DUS
ISI STPLES N0 10 1 DUS
KERTAS FAX 2 RIM
STPLES KECIL 1 BUAH
STPLES BESAR 1 BUAH
BINDER KLIP N0 107 1 DUS
ABC 3 BUAH
NATURAL A4 5 RIM

12 22/4/2016 STEMPEL KRISTAL 2 BUAH


STEMPEL 2 WARNA 1 BUAH

13 26/4/2016 GILET 24 BUAH

14 25/4/2016 (100lbr)map b10 sneell 2 dus


Sskat file polio 2 pak
pulpen stndar ae 7 1 pak
standar buku besi 1 set

22/4/2016 DETERJEN 20 LITER


BAYKLIN 20 LITER

4/28/2016 TULIP(KANTONG KRESEK KCIL 5 PAK


TULIP(KANTONG KRESEK SEDANG) 5 PAK

4/28/2016 MATA BOR 1 BUAH


PAKU RIPET 20 BUAH

4/28/2016 RODA HORDENG 20 BIJI


KAWAT HORDENG 1 BUNGKUS

29/4/2016 PAKET MANDI 475 PAKET


TOTAL
Pemasukan Barang ATK, Umum & P
BULAN MEI 2016

NO TANGGAL NAMA BARANG JUMLAH SATAUN


1 2/5/2016 STANDAR BUKU 40 SET
100 LERBAR )MAP SNELL 2 DUS
BINDER KLIP 260 5 DUS
PEMBATAS BUKU 3 PAK
PEMBOLONG KERTAS KENKO NO 85 1 BUAH

2 4/5/2016 100LERBAR ) AMPLOP COLKAT 1 PAK


100 LEMBAR) MAP SNELL 2 DUS

3 9/5/2016 BINDER KLIP NO 155 1 GROS


ETONA NO 10 2 DUS
MAP SNELL B1O 2 DUS
ISI PULPEN SNOWMAN 1 DUS
KERTAS FAX 210*30 2 RIM
BUKU POLIO 200B10/BUKU KWARTO 2 BK
BENANG RAMI KODEK 1 PAK

4 9/5/2016 CATATAN PERKEMBANGAN 2 RIM


FOMULIR PENDAFTARAN PASIEN 2 RIM
TANDA TERIMA FAKTUR TP BM 20 BK
PERMINTAAN UANG MUKA TP B 30 BK
KWINTASI 30 BK

5 12/5/2016 SABUN CUCI BOTOL'' SLEEK'' 3 POCK


SUNLIGHT 3 POCK
ZWITSAL BABY 3 POCK
TOWEL TISU PENGESAT 20 PAK

6 17/5/2016
CF 9.5*11 2PULL/ KERTAS KOMPUTE 1 BOK
STOP MAP/MAP STATUS/MAP SNEL 3 BOK
A4 70GRAM NATURAL/KERTAS NAT 5 RIM
BOK FILE BINDEK 30 PCS
MAP TANPARAN/BUSINES FILE/MAP 2 LUSIN
TIPEX 1 LUSIN
BUKU POLIO 200 LEMBAR 2 PCS
BUKU FOLIO 300 LEMAR 2 PCS
PEMBOLONG TANGGUNG 2 PCS
CUPE NO 3/TRIGONAL KLIP 1 BOK
DOBEL TIP 3 M 1 GROS
BUKU KWRTO 200 LEMBAR 5 PCS
AE7 STANDAR HITAM 2 LUSIN
TRAI 3 SUSUN 1 PCS
BUKU FOLIO200 LEMBAR 2 PCS
BATU ABC KCIL 3 PCS
PENGHAPUS PENSIL 2 PCS

7 17/5/2016 CATATAN PERKEMBANGAN 2 RIM


PERMINTAAN RAWAT INAP 2 RIM
RESUM MEDIS 10 BK
KARTU NAMA 1 BOK
PAPAN NAMA DR 1 BH

8 17/5/2016 DAFTAR VISIT &KONSUL DOKTER 20 BK


GRAFIK 2 RIM
DATA MEDIS PASIEUN 2 RIM
HASIL PEMERIKSAA CTG.EKG.USG 2 RIM
PENGKAJIAN KEPERAWATAN 2 RIM
PERMINTAAN PEMERIKSAAN LEB 3 RIM
CATATAN PERKEMBANGAN DI ISI DR 2 RIM
DOKTER PENANGGUNG JAWAB P 3 RIM

9 11/5/2016 GILET (PISAU CUKUR) 24 BUAH

10 15/52016 SOFTENER
DETER JEN

11 23/5/2016 HAK & KEWJIBAN PASIEN 20 BK


NATURAL POLIO
12 23/5/2016 NATURAL A4 5 RIM
CF K3 PRS 1 DUS
MAP SNIL /STATUS 2 DUS
AMLOP KCIL 5 PAK
KWITANSI KCL 7 PAK
BKU KWRTO 100 BIO 8 BK
TEMPAT PENSIL KERANJANG 3 BK
POSIT PRINTER /WARNA WARNI 5 PAK
STANDAR AE 7/ PULPEN 1 PAK
SPIDOL PER MANEN 1 PAK
BINDER CLIP 111 1 GROS
MAP SNIL PAICHI /MAP BENING 1 PAK
KERTAS A4 5 RIM

31 LAMPU PLILIP 12 BUAH

Pemasukan Barang ATK, Umum & Percetakan


BULAN JUNI 2016

NO TANGGAL NAMA BARANG JUMLAH SATAUN


1 1/6/2016 CV .200 A 1 PACK

2 2/6/2016 TKARTU STOK BARANG 2000 LEMBAR


TANDA TERIMA 30 BK

3 3/6/2016 DETERJEN 10 LITER


SOFTENER 15 LITER

4 3/6/2016 KANTONG KRESEK 20 PAK


KLIP 13*8,7 10 PAK
KLIP 7*10 10 PAK
K KRESEK HITAM 1 PAK

5 3/6/2016 CF 95*11 3PRS 1 BOK


CF 5*11 3 PLAY 1 BOK
A4 70 GRAM NATUR 5 RIM
SPIDOL WB 1 LUSIN
STEPLES MAX NO 10 3 PCS
BAK STEMPEL YAMORA 3 PCS
TINTA STEMPEL YAMORA 2 BTL

6 8/6/2016 RESUM MEDIS 20 BK


FOMULIR PENOLAKAN ANESTESI & 2 RIM
FOMULIR PERSETUJUAN ANESTESI & 2 RIM
PERSARATAN PULANG ATAS PERMIN 2 RIM
FOMLIR PERSETUJUAN TINDAKAN K 2 RIM
FOMULIR PERSETUJUAN UMUM 2 RIM
SURAT PERSETUJUAN TATA LAKSANA 2 RIM

7 8/6/2016 MAP REKAM MEDIS 1000 LMBR


PAPAN NAMA ACRILIC 1 BH

8 9/6/2016 BLANKO PIAGAM ASB 2 PAK


ISOLASI DAIMARU 3R
ALKALINE ISI 6PC 2 SET
KERTAS FAX 210*30 1R
9 10/6/2016 A4 70GRM NATUR 5 RIM
BUKU EKSPEDISI 3 BK
POS IT 65 TNGGUNG 10 PCS
ETONA NO 2 PAK

10 10/6/2016 PIPA WAPIN 4 BTG


KLE 1/2WAPIN 20 BH
KEBI 8 BH

11 10/6/2016 FREON DUPON 1 KG

12 10/6/2016 PAKU RIVET 40 BH

13 10/6/2016 HD 15*24 20 0AK


KLIP 10*15 10 PAK
PP 40*60 1 IKAT
KLIP 12*20 5 PAK

14 8/6/2016 MAP REKAN MEDIS/MAP MITRA 1000 LEMBAR


PAPAN NAMA 1 BH
GENERAL CONSENT 1 RIM
STEMPEL KRISTAL 4 PCS
KARTU NAMA 3 BOK

15 14/6/2016 BOX FILE BINDEK 30 PCS


TRAY 3 SUSUN 1 PCS
AMLOP COKLAT 2 PAK
ISI BULPEN 19 PCS
BUKU POLIO 200 LEMBAR 4 BK
BINDER KLIP NO155 1 BOK
ABC 1 BOK
MAP DAICHI POLIO 1 PCS

16 16/6/2016 SILET GOAL 11 12*24 1 LBR

17 16/6/2016 EPSON L100 BLAK 3 BK


AMLOP PPI KCL 5 DUS
LAKBAN COKLAT 2G
MAP TRANSFARAN 3 PAK
PULPEN AE7 1 DUS
18 16/6/2016 KLIP 12*20 3 PAK
KLIP 17*11 5 PAK
PP 40*60 5 IKAT

19 16/6/2016 STIKER BROCO 2 BH


COLOKAN T BROCO 2 BH
TERMINAL BROCO 1 BH

20 16/6/2016 CAPAR 2 BUAH


NULM 2 BH

21 20/6/2016 PHILIPS ESENTIAL 12 BUAH

22 21/6/2016 BATERRAI 9 V0OLT 5 BUAH


ACCO 1 DUS
BUKU KWRTO 100 B/10 4 BUAH
NATURAL A4 5 RIM
CATER GURINDO 1 PAK

23 20/6/2016 PERSETUJUAN TINDAKAN MEDIS 2 RIM


DATA MEDIS PASIEN 2 RIM
REKOMENDASI ADMINISTRASI PASI 10 BK
COPY RESEP 30 BK
PASEN PULANG 20 BK
KONTROL ISTIMEWAH 1 RIM
AMLOP COKLAT BESAR 100 LEMBAR
AMLOP COKLAT SEDANG 100 LEMBAR
AMLOP COKLAT KECIL 100 LEMBAR

24 20/6/2016 SURAT PESENAN PSIKOTROPIKA 20 BK


SURAT PESENAN NARKOTIKA 20 BK
STEMPEL KRISTAL DR 1 BUAH

25 20/6/2016 DETERJEN 20 LIETR


SOFTENER 20 LITER
BAIKLIN 10 LITER

26 26/8/2016 SOFTENER 20 LITER


DETERJEN 20 LITER
PEMUTIH 20 LITER
27 26/8/2016 KARTU STOK 2000 LEMBAR

Pemasukan Barang ATK, Umum & P


BULAN JULI 2016
NO TANGGAL NAMA BARANG JUMLAH SATAUN
1 1/7/2016 DOKUMEN ISI 100 LEMBAR 1 PCS
SPIDOL PERMANEN HITAM/MERAH 2 PAK
ACCO PUTIH 5 PAK
CLIP NO 1 1 GROS
POS IT 654 TANGGUNG 10 PCS
SERUTAN 2 PCS
CF 9*5*11 3 PRS 2 DUS
SKAT FILEFOLIO 3 PAK
PULPEN A STANDAR 1 LSN
COTRIDE LX 300 HP 2 PCS
REPTIL1*300HP BIRU 5 PCS
PITA GRS 38 10 PAK

2 1/JULI/2016 KARTU NAMA DINI 2 BOK


SURAT KETERANGAN MEDIS 3 RIM
PERMINTAAN RONGSEN 2 RIM
PERMINTAAN RAWAT INAP 2 RIM

3 15/JULI/2016 AMLOP KCIL 10 PAK


MAP SNIL BIO 2 DUS
DOKUMEN ISI 100 3B
TIPX KENKO 1 DUS
ETONA NO 10 2 PAK
PUNCH NO 85 2B

4 19/7/2016 NIP 15*24 25 PAK


KANTONG HITAM 10 PAK
12*20 15 PAK
11*17 15 PAK
13*87 15 PAK
10*7 15 PAK
15*10 15 PAK
KLIP BIRU 15 PAK

5 19/7/2016 BUKTI PERMINTAAN BARANG 40 BK


LAPORAN HARIAN KLINIK 30 BK
SURAT PERMOHONAN PINDAH KLS 2 RIM
PENGKAJIAN KEPERAWATAN 2 RIM
DAFTAR CONTRO ISTIMEWAH 3 RIM
COPI RESEP 30 BK
RESEP 30 BK

6 DETERJEN 20 LITER
SOFTENER 20 LITER
BAYLIN 20 LITER

7 29/72016 SERAH TERIMA PASIEN 2 RIM


PERMINTAAN RAWAT INAP 2 RIM
SURAT KETERANGAN PELAYANANAN 3 RIM
CATATAN PERKEMBANGAN 2 RIM
DATAMEDIS PASIEN 2 RIM
LEMBAR POLIKLINIK 3 RIM
PEMERIKSAAN LABO 2 RIM
FORMULIR PEMBERIAAN TERAPI 3 RIM
PENDELAGASIAN WEWENANG 10 BK

8 29/7/2016 KERTAS FAX210*30 2 RIM


KERTAS A4 15 RIM
TINTA T 664 70GRAM NATUR 2 BOTOL
STEPLES MAX HD 10 4 PCS
TINTA STEMPEL YAMURA 2 BOTOL
BOXFILE BINDEK 30 PCS
BK FOLIO 200LEMBAR 4 PCS
BUKU FOLIO 300 LEMBAR 3 PCS
BUKU EXPEDISI 5 PCS
PULPEN 1 LS
STABILO BOS 8 PCS
MAP SNIL BIO 2 DUS
MAP TRANPARAN 1 LS
BOLPOIN MEJA 2 PCS
Pemasukan Barang ATK, Umum & P
BULAN AGUSTUS 2016
NO TANGGAL NAMA BARANG JUMLAH SATAUN
1 5/8/20P16 TOWEL 7*10950 7 PAK
ZWITSAL BABY 2 PCS
SLEE 450MIL 4 PCS
EVEREADY SENTER 1 BUAH
MITU BABY 4 PCS
SUNLIGHT 2 PCS
SUNLI REFF 200 5 PCS
FASEO 1 PAK
KONICARE 1 BUAH

2 12/8/2016 CF K3 PLL 2 DUS


STRUK 58*118 1 PAK
CF K2 PVLL 2 DUS
TINTA YAMORA 2B
PITA LX HP 10 B
KWITANSI KECIL 3B
BK KWRTO 5B
BK BASTER 200 B 10 1B
PEN MEJA 6B
STANDARAE 1 DUS

3 12/8/2016 RENCANA ASUHASN KEPERAWATAN 3 RIM


SUTRAT PERNYATAAN PERSETUJUAN 3 RIM
DATA MEDIS 3 RIM
FROM PERSETUJUAN 3 RIM
SERAH TERIMA PASIEN 2 RIM
FROM PEMBERIAN TERAFI 2 RIM
RESEP 60 BK
KARTU NAMA DR DEDI 4 BOK
PERMINTAA PEMERIKSAAN LEB 2 RIM

4 16/8/2016 tinta 7 bh
tanggung 10 pcs
map daici 1 lsn
gunting 1 lsn

5 19/8/2016 hd 15*24 40 pak


klip 7*10 20 pak
13*87 20 pak
10*15 20 pak
11*17 20 pak
20*12 20 pak
klip biru 20 pak

6 19/8/2016 ODNER BINDEX FOLIO+KWITANSI 2 DUS


ACCO 3 DUS
PUSH PIN 2B
PP ROCKET BINDEK FOLIO 1 PAK

7 26/8/2016 KARTU STOK 2000 LEMBAR

8 26/8/2016 SOFTENER 20 LITER


DETERJEN 20 LITER
PEMUTIH 20 LITER

9 30/8/2016 A4 70 GRAM 10 RIM


ODNER BINDEK 1 LSN
MAP SNEL 2 DUS
MAP TRANPARAN 1 LSN
BATU BAKAL 9 VOLT ALKALINE 2 SET
BATU A 2 PROMO 3 SET
ETONA 3 PAK
BINDER CLIP NO 127 1 GROS
ISOLASI 1/2 DAIMARU 3G
PEMBUKA STEPLES 1 PCS
BOLPOIN MEJA 10 PCS
Pemasukan Barang ATK, Umum & P
BULAN SEPTEMBER 2016
NO TANGGAL NAMA BARANG JUMLAH SATAUN
1 6/9/2016 DOOR CLOSER 2 BUAH
KACA FILM 5 METER

2 7/9/2016 BEDONG BAYI 1 LUSIN

7/9/2016 SUPER PEL 6 PCS


ZWITSAL5 5 BUAH
TISU TWL MUKTI /TISU PENGESAT 10 PAK
DOMESTOS 500 ML 1 BUAH

7/9/2016 SLEEK 450 ML 5 PCS


SARUNG TANGAN 3 PAK
SUNGLIGHT 10 PCS

17/9/2016 TAS MITRA 900 PCS

15/9/2016 DETOL MS 30 BUAH


DETOLDHS PUMP 24 BUAH
TTP 1

19/9/2016 HDP24/15 40 PAK


60*100/PLASTIK SAMPAH 5 PAK
KLIP 7*10 20 PAK
KLIP BIRU 15 PAK

19/9/2016 NATURAR A4 15 RIM


CF K3 PUULL /CONTINUS 3 RANGKA 1 DUS
CF K2 PULL/CONTINUS 2 RANGKAP 1 DUS
BOX FILE 10 B
AMLOP PPI KECIL 5 PAK
AMLOP BESAR 5 PAK
BLNKO PIAGAM BAMBU 3 PAK
MAP L DAICI F4 2 PAK
MAP DOKUMEN ISI 20 2 BK
BUKU BASTER 100 BIO 1 BK
AMLOP COKLAT 2 PAK
FRC 38 HP 10 BUAH
POST IT 5 PAK
SERUTAN PENSIL 3 BUAH
ALKALIN A3 ISI 6 PC 2 SET
STEPLES HD 10 3 BUAH
TINTA CAP YAMURA 2 BUAH
EPSON L 100 BLAK 3 BUAH
POIS IT 65 KUNING 5 PAK
PULPEN 1 PAK
TINTA SUNTIK BLAK +COLOR 6 BUAH
ACCO/ PENJEPIT SETATUS 4 DUS
20PC LEM STIK 15,9RM 1 BOX
SPIDOL PERMANEN 1 DPAK
ISI PULPEN 12 DUS
SKAT FILE BAMBI F4 5 PK

19/9/2016 LMBR MAP REKAM MEDIS 1000 LEMBAR

23/9/2016 PAKET MANDI 356 PAKET


TISU 500 BOX

22/9/2016 FORMULIR PESETUJUAN 4 RIM


DR PENANGGUNG JAWAB 2 RIM
RESEP 30 BK
CATATAN PERKEMBANGAN 3 RIM
CADOK 3 RIM
LAMPIRAN 3 RIM
STEMPER DR DANNIS 1 BUAH
STEMPEL KRISTAL 1 BUAH
LA MPIRAN UMUM 4 RIM

26/9/2016 PHILIP SITDANG 18 W 12 BUAH

DETERJEN 5 LITER
MOLTO 5 LITER

29/9/2016 SKS (SURAT KETERANGAN SAKIT) 20 BK


DAFTAR PEMESAENAN BAHAN MAK 20 BK
DAFTAR VISIT & KONTROL 20 BK
SURAT PERSETUJUAN TINDAKAN TA 10 BK
KARTU NAMA BB LAMINATING 1 BOX
COPY RESEP 60 BK
CEKLIS PASEIN PULANG 2 RIM

29/9/2016 CONTINOUS FROM K3 PVLL 1 DUS


KERTAS FAX210*30 2R
BATRE ABC 1 DUS
PUSH PIN 2B
LABEL T&JERY 1 BOX
EXPEDADING FILE 1 BOX
STPLES MAXHD 10 2B
POIST 5 PAK
TRIGONAL 1 BOX
CLER HOLDER ISI 40 1 BOX

Pemasukan Barang ATK, Umum & P


BULAN OKTOBER 2016 /PEMB
NO TANGGAL NAMA BARANG JUMLAH SATAUN
1 1/10/2016 MUG LOGO MITRA 200 BUAH

2 5/10/2016 HDP 15*24/PLASTIK KANTONG 40 PAK


KLIP 10*7 20 PAK
KLIP 15*10 20 PAK
KLIP BIRU 20 PAK
KLIP 13*8,7 10 PAK

3 5/10/2016 DETERJEN 5 LITER


SOFTENER 5 LITER
PEMUTIH 5 LITER

4 6/10/2016 CF 9,5*11 3 PLAY 2 BOX


CF9,5*11 2 PLY 2 BOX
KERTAS STRUK 75*65 3 PLAY G 6 PAK
KERTTAS FAX 3R
LAKBAN BENING 2G
ISOLASI 3G
ISOLASI 1/2 5G
KWTANSI BIAS 5 BK
PULPEN MEJA 2 BUAH

5 8/10/2016 AMLOP PUTIH MITRA 5 PAK


LEMBAR POLIKLINIK 2 RIM
RESEP 80 BK
FROMULIR PENDAFTARAA
PASIN BARU 3 BRIM
SURAT PELAYANAN MEDIS 3 RIM
CATATAN PERKEMBANGAN 4 RIM
KWTANSI MITRA 30 BK
COPY RESEP 30 BK

6 10/10/2016 SUNGLAIGT 10 PCS


TISU PENGESAT/MULTI 10 PAK
CONICER 2 BTL
BABY OIL 2 BTL
BLUE SCOUR/SPON CUCI PIRING 2 BUAH
SLEEK 4 PCS
PELAN 1 BUAH
JUITSAL SABUN BAYI 1 BOTOL
SUPER PEL 2 PCS

7 11/10/2016 NATURAL A4 10 PAK


BOX FILE /BINDEK DUDUK 20 BUAH
SILET GOL 24 BUAH
DOKUMEN ISI 100/MAP PLASTIK 1 BUAH
MAP DAICI 4 PAK
MAP A4 2 BUAH
A4 WARNA 1 PAK
AMPLOP KECIL 5 PAK
BUKU KWRTO KECIL 5 BK
EXPADING V -TEC 1 BUAH
KENKO PUSP PINS/PAKU 3G
PULPEN C6 2 BUAH
ALKALIN ISI 2/BATUJAM 4 PAK

8 18/10/2016 NATURAL POLIO 10 RIM


LAKBAN MERAH 1G
CONTRIDGE ERC 10 B
STPLES MAXKCL 2 BUAH
DIT 3M 1/2 1 RIM

9 18/102016 KARTU NAMA DR FREDY 2 BOX


KARTU NAMADR DEDY 3 BOX
SURAT PERSETUJUAN TATA LAK
SANA 2 RIM
SURAT KETERANGA RAWAT INAP 2 RIM
RESEP 60 BK
LEMBAR POLIKLINIK 2 RIM

10 19/10/2016 DOKUMEN ISI 100 5 PCS


AMLOP COKLAT UANG 4 PAK
PENGHAPUS 5 PCS
MAP TRANPARAN 2 LUSIN
AE7 STANDAR 1 LUSIN
PLSTIK 10 CARD 30 PCS

21/10/2016 SOFTENER 10 LITER


BAIKLIN 10 LITER
DETERJEN 10 LITER

21/10/2016 PHILIP STRONG 18 WAT 12 WAT

24/10/2016 NATURAL A4 5 RIM


BUSINES FILE 3 PAK
MAP L DAICI F4 2 PAK
30 STRUK 75*65 3 PLY 3 PAK
PLASTIK NAME TAGE 70 PAK
ALKALIN A3 ISI 6 2 ST
ABC 9 VOLT 2B

31/10/2016 odner bindex 1 lsn


tempat pensil meja 2 pcs
spidol permanen 1 lsn
bk q 100 5 bk
gilet 24 pcs

Pemasukan Barang ATK, Umum & P


BULAN NOPPEMBER 201`
NO TANGGAL NAMA BARANG JUMLAH SATUAN
1 4/11/2016 BAKI PLASTIK 5 BUAH
BASCOM SEKA 3 BUAH
SUNGLIGHT 10 PCS
SARUNG PLASTIK 3 PAK
SIKAT CUCI LEMBUT 3 BUAH
ZUITSAL/SABUN BAYI 3 PCS

TISU PENGESAT 10 PAK


2 9/11/2016 ODNER BINDEK FOLIO 2 PCS
BOX FILE BINDEK 30 BUAH
MAP L DAICI FOLIO 2 LUSIN
AMLOP COLAT FOLIO 2 PAK
PENSIL 2B PBR 1 LUSIN
PULPEN 1 LUSIN
MAP TRANPARAN 2 LUSIN
KERTAS A4 5 RIM
KERTAS F4 5 RIM
CF95*11 1 DUS
PULPEN MEJA 3 BUAH
FASTENER ACO 2 PAK

10 10/11/2016 DETERJEN 10 LITER


MOLTO 10 L
PENGHARUM 5L
BAIKLIN 10 L

11 14/11/2016 KERTAS A4 10 RIM


PUSPIN 2 PCS
BUKU TULIS 32 LEMBAR 1 PAK
MAP MIKRO KANENGA 1 PCS
P.P FOKET POLIO 2 PAK
EXPADING 1 PCS
MAP SPAGUL 1 PCS

12 22/11/2016 HDP 15*24 20 PAK


KLIP BIRU 20 PAK
KLIP 12*20 20 PAK
KLIP 15*10 20 PAK

13 22/11/2016 CF 95*11 3 FLY 1 BOX


KALKULATOR 1 BUAH
POS IT 15 PAK
TIPEX ISI 12 1 PAK
STABILO BOSS 4 BUAH
KERTAS FAX 210*30 2 PAK
TINTA BOTOL 664BIRU 2 BOTOL
RAUTAN PENSIL 2 BUAH
TALI ID CAR 1 PAK
PENGHAPUS 2 BUAH
PULPEN 3 PAK
BINDER KLIP 260 2 PAK
BINDERKLIP 155 1 PAK
ISI HEKTER 1 PAK
FASTENERACO 2 BUAH
BUKU 100 5 BK
KERTAS STRUK 75*65 3 PLY 4G
BUKU BASTER 2 BK

14 22/11/2016 AMLOP LGO 5 PAK

15 24/11/2016 MAP SEA GULLSNELL /MAP TEBAL


HIJAU 48 B
100PC/PPPACKET F4 5 PK
MAP KANCING 2B
SPIDOL WIT BOAR 1 PK
TEMPAT PENSIL KERANJANG 2B
PEN MEJA 3B
ALKALINEA3 ISI 6 1 SET
SEPIDOL ORIP 1B

DETERJEN 5 LITER
SOFTENER 5 LITER

16 29/11/2016 MAP SPAGUL 100 PCS


CF 9.5*11 2 FLY 1 DUS
CF 9.5*113 FLY 1 DUS
TINTA BOTOL T664 3 BOTOL
BATU 9 VOLT ABC 2 SET
ISI PULPEN 1 GROS
P.PPOKET FOLIO 7 PAK
BOX FILE BINDEK 20 PCS

Pemasukan Barang ATK, Umum & P


BULAN DESEMBER 2016
NO TANGGAL NAMA BARANG JUMLAH SATUAN
1 6/12/2016 F4 70GRM NATURAL 10 RIM
A4 70GRM NATURAL 10 RIM
ODNER BINDEK FOLIO 1 LSN
MAP TRANSPARAN 2 LSN
AMLOP BESR 5 PAK
AMLOP KECIL 5 PAK
CLIP TRIGONAL NO 3 1 LSN
BK Q 200 LEMBAR 2 BK
STABILO BOSS 5 BUAH
PEN MEJA 4 PCS
PRONTO 4 PCS
STEPLES MAX HD 10 2 BUAH
POSIT 6 PAK
SKAT FILE 2 PAK

2 6/12/2016 PERMOHONAN IJIN CUTI 20 BK


HASIL PEMERIKSAAN CTG ECG 1 RIM

3 7/12/2016 DETERJEN 10 LITER


SOFTENER 10 LITER
BAIKLIN 10 LITER

4 9/12/2016 GIANT FCL TISU 10 8190


SLEEK 450 MIL 3 PCS
SLEEK 200MIL 2 PCS
SUNGLAIGHT 450MIL 10 PCS
TISU 10 PCS
ZWITSAL BATH 5 PCS

5 9/12/2016 TISU MULTI/TISU PENGESAT 6 PAK


PARKIR 2 KALI

6 14/15/2016 NATURAL A4 5 RIM


MAP KANCING 2 PC
AMLOP COKLAT 2 PAK
STRUK 75*65 3 PAK
ISOLASI 6 ROL
PULPEN 6 PAK
TISU ROLL 5 ROLL
STABILO BOSS 2 BUAH
ISOLASI DAMARU 2R
STEPLES MAX HD 10 3 BUAH
ETONA 2 PAK
GUNTING 1 PAK
CITIZEN 1 BUAH
BAC ARTLIN JUMBO 1 BUAH

7 16/12/2016 HANDUK 35*80+BORDIL 120 PCS


BIAYA KIRIM

8 20/12/2016 PAKET MANDI 250 PAKET

9 20/12/2016 CF 95*11 2PULL 1 DUS


A4 70 GR 5 RIM
BOX FILE BINDEK 30 PCS
JILET 1 LSN
BK 300 LEMBAR 3 BK
BK BASTER 200 2 BK
ABC A2 KECIL 1 BOX
BOLPOIN MEJA 2 BUAH

10 20/12/2016 RESEP 30 BK

11 28/12/2016 STRONG 12 BUAH


STOP KONTAK BROCO 2 BUAH
BATAS PHILIP 3 BUAH
PITING BROCO 2 BUAH

12 28/12/2016 CONTINUS FOR K3 PULL 1 BOX


NATURALFOLIO 5 RIM
HVS WARNA 1 RIM
POIS IT 12 PC
POSIT PRONTO 3 PC
KERTAS FAX 210*30 1 RIM
SPIDOL OTIP 2 BUAH
DOUBEL TAPE 3G

13 30/12/2016 TISU DUS 500 PAK

SEPATU BOT 3 PSANG


14 30/12/2017 BASKOM 11 BUAH
Pemasukan Barang ATK, Umum & P
BULAN JANUARY 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN
1 3/1/2017 STRONG 18 WAT 12 BUAH
STEKER 2 BH

2 3/1/2017 ODNER BINDEX FOLIO 30 PCS


PEMBATAS BUKU 10 PCS
PAPAN UJIAN KAYU 1 BUAH
LABEL TOM &JERY NO 127 1 PAK
TINTA BOTOL T664 H.M.K 6 BOTOL
KERTAS STOKK 75*65 3 PLY 2 PAK
KERTAS A4 5 RIM
HVS WARNA F4 5 RIM
ONDNER BINDEX FOLIO 1 LSN
BINDER KLIP NO 10-7 1 GROS
BINDER KLIP 111 1 GROS
BATU ALKALIN 2 SET

3 3/1/2017 RESUM MEDIS 10 BK


FROM PENDAFTARAN BARU 2 RIM
LEMBAR POLIKLINIK 2 RIM
SALINAN RESEP 2 RIM
HASIL PEMERIKSAAN CTG/ECG/USG 2 RIM
HAK DAN KEWAJIBAN PASIEN 2 RIM
FROM PERSETUJUAN UMUM
GENARAL CONSET 2 RIM
SURAT PERMINTAAN SCON OPIN
ION EKSTERNAL 2 RIM

4 3/1/201Q7 SURAT PERMINTAAN SCOND OPIN


ION INTERNAL 2 RIM
IMPORMASI 2 RIM
RINGKASAN PASEN MASUK 2 RIM
SURAT PERNYATAAN 2 RIM
FROM PENYELESAIAN 2 RIM
GRAFIK VITAL 2 RIM
STEMPEL KRISTAL 2 BUAH

5 9/1/2017 BOX KECIL/ SHOPING BAG 1 BUAH

6 9/1/2017 BOXSEDANG/LS WAGON 1 BUAH


SUNLIGHT 5 PCS
SUNGLIGHT KECIL 5 PCS
PARKIR

7 12/1/2016 AMLOP RONGSEN 100 LMBR


RESEP 30 BK
TINDAKAN POLI KLINIK 60 BK BK
SERAH TERIMA PASIEN 40 BK

8 12/1/2016 LAMPU STRONG 12 BUAH

12/1/2016 HD 15*24 PTBL 40 PAK


KLIP 15*10 20 PAK
KLIP 17*11 20 PAK
KLIP13*8.7 20 PAK
KLIP 10*7 20 PAK

9 12/1/2017 NATURAL FOLIO 5 RIM


NATURAL A4 5 RIM
BOX FILE BINDEX 50 BUAH
TINTA EPSON L100 BLAK 2 BUAH
SPIDOL PERMANEN 1 PAK
RAK 3 SUSUN BESI V TEZ 3 BUAH
SKAT FILE FOLI0 22 PAK
PP POCKET BINDEX F4 3 PAK
ACCO 3 PAK
KLIP NO 3 1 PAK
SERUTAN PENSIL 2 PCS
STABILO BOS 6 BUAH
BATRE ABC 1 BOX

17/1/2017 BINDEX DUDUK 100 PCS


TRESER 3 PLY75*65 4 PAK
ISI STEPLES 2 PAK
STABILO BOS 7 BUAH
BINDER CLIP NO 260 3 LSN
CONER BINDEX KWITANSI 1 LSN
A4 5 RIM
F4 5 RIM
PP POCKET BINDEX F4 3 PAK

19/1/2017 ODNER BANTEX 20 PCS


BOX FILE BINDEX 200 PCS
SKAT FILI 3 PAK
PPPOKET 3 PAK
20/1/2017 CF K2 FULL 1 BOX
CF K3 FULL 1 BOX
BUKU KWRTO 5 BK
PENGHAPUS 2 BUAH
SERUTAN 2 BUAH

20/1/2017 KLIP BIRU 20 PAK

31/1/2017 HD 15*24 KANTONG KRSEK 40 PAK

Pemasukan Barang ATK, Umum & P


BULAN FEBURY 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN
1 1/2/2017 BOX FILE 100 BUAH
NATURAL 5 RIM
AMLOP PPI BESAR 5 PAK
AMLOP KECIL 5 PAK

2 3/2/2017 NAGATA PANCI 6 BUAH


SIKAT WC BULAT 1 BUAH
SUNGLIGT 10 PCS
SLEK 3 PCS
BEDAK BAYI 2 BOTOL
SUPERPEL 3 PCS
TISU BIASA 20 PAK
SPON 3 PCS

3 3/2/2017 TISU PENGESAT 10 PAK


PARKIR 1 KALI

4 9/2/2017 POKET POLIO BINDEK 5 PAK


ISOLASI 3G
I SOLASI 1/2 3G
AE7 1 LSN
ACCA PUTIH 3 PAK
KERTAS STRUK 75*65 3 PLY 3 PAK
KERTAS F4 70GRAM COPY 5 RIM
KETAS A4 5 RIM
CF 95*11 2 FULL SIDU 1 BOX
LAKBAN BENING 6G
LAKBAN KOIN 2 WARNA 2G
POSIT PORONTO 5 PCS
AE STANDAR 2 LSN
TINTA T6664 HITAM 3 BOTOL
TINTA T6664 WARNA 6 BOTOL
POS IT TANGGUNG 1 GROS
STEPLES MAX 10 2 PCS
TINTA YAMURA 3 BTL
BATU A3 ALKALIN 2 SET
BATU 9 VOLT ABC 3 PCS
SPIDOL ORIP 2 PCS
GILET 1 LSN
CATER BESAR 1 LSN
KWITANSI KECIL 5 PCS

5 16/2/2017 PLASTIK PP POCKET POLIO 7 PAK


ISI HEKTER BESAR 1 PAK
BINDER CLIP 155 1 GROSS
BATRE ABC 1 DUS
STABILO 2 PCS
A4 5 RIM
BK KRTO 3 BK
BK KWITANSI 5 BK
DOBLE TAPE 3 PCS
AMLOP KECIL 5 PAK
TINTA KALKULATOR 2 PCS
BUSINES FALE 1 LUSIN
MAP L DAICI 1 LUSIN

6 21/2/2017 STEMPEL T BIRU 5 BUAH


STEMPEL KRISTAL 3 BUAH
CATATAN IMLEMENTASI 2 RIM
CATATAN MEDIS GAWAT DARURAT 2 RIM
CATATAN TERITERGRASI 2 RIM
ASUHAN KEP 2 RIM
DISCARGE PLANING 2 RIM
ASEMEN RAWAT INAP 2 RIM

7 22/2/2017 KERTAS F4 10 RIM


KERTAS A4 10 RIM
KERTAS STRUK 75*65 3PLY 2 PAK
AMLOP COKLAT 2 PAK
CF 95*11 3PLY 1 DUS
PP POKET 4 PAK
BIO FOLIO 200 LEMBAR 2 PCS
LAKBAN HITAM BESAR 2 2G
GILET 1 PAK
SPIDOP ORIP 2 BUAH
BUKU KWITANSI KECIL 3 BK
STABUN BOS 3 PCS

8 24/2/2017 TINDAKAN KEPERAWATAN 2 RIM


RESEP 30 BK
RIWAYAT TUMBUH KEMBANG 2 RIM
RIWAYAT TUMBUH KEMBANG 2 RIM
PENKAJIAN 2 RIM
KARTU NM DR DEDI 2 BOX

9 24/2/2017 BOX FILE BINDEX 50 BUAH


CF 95*11 1 BOX
SKAT FILE 10 PAK
PEMBOLONG BESAR 1 BUAH
PEMBOLONG KECIL 2 BUAH
PULPEN 1 LSN
KERTAS FAX 210*30 2 ROLL
KABEL DATA 1 PCS
P,P POKET FOLIO 10 PAK
AMLOP POLOS 5 PAK
LEBEL TOM &JERY 1 BOX
LAKBAN 2 ROOL

TOTAL

Pemasukan Barang ATK, Umum & P


BULAN MARET 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN
1 6/3/2017 KALKULATOR 1 PCS
CF9.5*11 2FULL SIDU 1 DUS
PULPEN AE 7 STANDAR 1 LSN
BUKU KWITANSI KECIL SIDU 4 PCS
TINTA SUNTIK 2 PCS
REPIL 300 HP 5 PCS
BUKU 100 LEMBAR B10 5 PCS
TRIGONAL KLIP 1 GROS
PENGGARIS 30 CM 1 LSN
PP POKET FOLIO BIDEK 10 PAK
POSIT 12 PAK
A4 5 RIM
BINDER CLIP 260 3 LSN
F4 5 RIM

2 8/3/2017 TOWEL TISU DISKON_ 53400 20 PAK


JAPAN PENYARING 1 BUAH
ZUITSAL BABY SHOP DIS_11375 5 PCS
SUNLIGHT 10 PCS

PARKIR 1 KALI

3 6/3/2017 PAKET MANDI 220 PAKET


TISU 500 PCS

4 13/3/2017 CONTINUS 3 PLY 1 DUS


ISI STEPLES NO 10 2 PAK
ISI PULPEN 1 GROS
PULPEN 1 PAK
MAP COLAT 1 PAK

5 13/3/2017 STEMPEL KRISTAL 4 BUAH


CATATA PERKEMBANGAN 2 RIM

6 10/3/2017 TISU 2 PAK


STELA IN ONE 2 PCS
STELA DAILY 2 PCS

7 14/3/2017 MAP L DAICI 2 PAK


NCR 2 PLY 4 PAK
CONTINUS 3 PLY 1 DUS

8 14/3/2017 STIKANG 6 BUAH


9 14/3/2017 HD 17 40 PAK
KLIP 15*10 20 PAK
KLIP 20*7 20 PAK
KLIP 10*7 10 PAK
KLIP 13*8,7 10 PAK

10 18/3/2017 PENOLAKAN TRANFUSI 2 RIM


PESETUJUAN TINDAKAN 2 RIM
PEMULIR KELUHAN 2 RIM
PENOLAKN TINDAKAN KEDOK 2 RIM
PENOLAKAN PENGOBATAN 2 RIM
PERMINTAAN PULANG 2 RIM
PESETUJUAN PENGOBATAN 2 RIM
NILAI NILAI 2 RIM
PENKAJIAN KEPERAWATAN 2 RIM

PESETJUAN ANATESI 2 RIM


PELAKSANAAN PELAYANAN KE
ROHANIAN 2 RIM
FORMULIR BARANG BERHAGA
PASIEN 2 RIM
ASUHAN KAMAR BEDAH INTRA
OPERASI 2 RIM
ASUHAN KAMAR BEDAH PRE OPRSI 2 RIM
PERSETUJUAN TRANFUSI DARAH 2 RIM
PERMINTAAN PELAYANAN KEROH 2 RIM
FORMULIR PASIEN TERMINAL 2 RIM
PENOLAKAN TINDAKAN 2 RIM

FORMLIR PRIVASI 2 RIM


ASUHAN KEPERAWATAN KAMAR
BEDAH 2 RIM

MAP REKAN MEDIS 1000 LEMBR


STMPEL KRISTAL 1 BUAH

24/3/2017 CONTINUS 1 DUS


BINDEX 50 PCS
PENGGARIS STANLIS 1 BUAH
STRUK 2 PY 5 PAK
FOLIO PAPER 5 RIM,
HVS WARNA 5 RIM,
MAP SNIL BIO 1 BOX
BUKU PLOI 200 5 BK
STABILO BOS 5 BUAH
ETONA NO 10 2 PAK
MAP TRANFARAN 2 PAK

GELAS MUG 150 BUAH

30/3/2017 KALULATOR 2 BUAH


BATRE ALKALINEA2 4 SET
LABEL TOM&JERY 2 DUS
TUSUKAN NOTA 2 BUAH
TINTA CAP PYRANIO 2 BUAH
PEN MEJA 4 BUAH
AMLOP KECIL 10 PAK
MAP L KIKI 4 PAK
STANDAR AE7 2 PAK
COPY PAPER 10 RIM
TRY 3 SUSUN 2 BUAH
PAPANUJIAN 2 BUAH
STRU 75*652PY 5 PAK

31/3/2017 HD 15 20 PAK
HD 24 20 PAK
HD 30 17 PAK
KLIP 10*15 20 PAK
KLIP 13*8.7 20 PAK

Pemasukan Barang ATK, Umum & P


BULAN APRIL 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN
1 3/4/2017 CONTINUOS FORM FULL K3 1 BOX
CONTINUS FROM K3 PRS 1 BOX
CONTINUS K2 FULL 1 BOX
TEMPAT BRUSUR 1 LSN
TEMPAT BRUSOR 2 KAKI 2 BUAH
PULPEN STANDAR 1 PAK
TRAY 3 SUSUN 1 BUAH
A4 COPY PAPER 70GRAM 5 RIM
STRUK 75*65 5 PAK

2 5/4/2017 FROM KUISIONER FULL COLOR 2 RIM

3 6/4/2017 MAP STATUS 500 LEMBAR


4 4/4/2017 KERANJANG BIT MAHABAT 3 BUAH
KRANJANG SALPADOR 3 BUAH
SIKAT BIGGI KUKU 1 BUAH
KERANJANG UNGU 5 BUAH
BOX SINPO OBAT 2 BUAH
KESET BANDUNG 16 BUAH
SARUNG TANGAN PLSTIK 2 PAK

5 4/4/2017 VIP FACIAL TISU 200. 10 PAK


TOWEL MULTI150 10 PAK
MAMA LEMON 5 PCS
SUNLIGHT 6 PCS
KERANJANG JAPAN 2 BUAH

6 4/4/2017 NICE SOFTPAK 2 PCS


SLEEK B NPL CLN 4 PCS
CASSONS LQ CLNS 2 PCS

7 7/4/2017 PLSTIK KUNING 5 PK

8 7/4/2017 PLASTIK HITAM 5 PAK

9 11/4/2017 BATRE ALKALINE A3 2 SET


BATRE ALKALINE A2 4 SET
BATRE ABC A2 BIRU 1 BOX
ODNER BINDEX 717 1 BOX
BOX FILE 1 BOX
MAP L DAICI F4 10 PAK
FABER CASTEL 1 PAK
POIST 10 PAK
ISOLASI 4 ROL
COPY PAPER A4 10 RIM
CONTINUS FROM 2 PLY 1 BOX
CONTINUS FROM 3 PLY 1 BOX
AMLOP COKLAT POLIO 2 PAK

10 11/4/2017 TINDAKAN POLI SPOG 30 BK


TINDAKAN POLI SPA 30 BK
CATATN PERSALINAN 2 RIM
SENSUS HARIAN PASIEN 30 BK
LAPORAN HARIAN POLI KLINIK 20 BK
AMLOP RONSEN 100 LEMBAR
CATATAN BAYI BARU LAHIR 2 RIM
BERITA ACARA 20 BK

11 12/4/2017 75*65 2PY STRUK 4 PAK

12 13/4/2017 LEOFLET BPJS 4 RIM


LEOFLET JADWAL DR 4 RIM
KARTU ANTRI 200 PCS

13 13/4/2017 PERCETAKAN KEDOKTERAN 2 RIM


PERTUJUAN KEDOKTERAN 3 RIM
PENOLAKAN ANA TESI 3 RIM
PENGKAJIAN KEPERAWATAN 9 RIM
LEMBAR POLI KLINIK 3 RIM

14 13/4/2017 BUKTI P BARANG 20 BK


RESUM MEDIS 30 BK
TINDAKAN SPOG 30 BK
TINDAKAN SPA 30 BK

15 13/4/2017 MAP REKAM MEDIS 1000 PCS

16 13/4/2017 BUKU QUARTO 200 L 5 BK


GILET 2 PAK
AMLOP POLOS BESAR 5 PAK
AMLOP KECIL 5 PAK
LABEL TOM &jery 2 box
TINTA EFSON BLAK 5 PAK
CAT TRIGO ERC38 6 BUAH

17 19/4/2017 KERANJANG OBAT ALKES 10 BUAH


TONG SAMPAH 1 BUAH

18 19/4/2017 TISU PENGESAT 10 PAK


KERANJANG SEDANG 2 BUAH
PARKI 2 KALI

20 19/4/2017 BOX CONTENER 1 BUAH

21 19/4/2017 KERANJANG MASAK 1 BUAH


22 21/4/2017 BOX CONTENER 1 BUAH
BOX CONTENER KECIL 1 BUAH
KERANJANG OBAT 8 BUAH

23 18/4/2017 ACRYLIK EMERGENCY 6 PCS


ACRYLIK TITIK KUMPUL 1 PCS

24 18/4/2017 SERAH TERIMA PASIEN 40 BK


BUKTI BON SEMENTARA 30 BK
RESEP 60 BK
CATATAN PERKEMBANGAN 4 RIM
CPPT 4 RIM

25 21/4/2017 HDP12/5 40 PAK


KLIP 10*7 20 PAK
KLIP 8*5 20 PAK
KLIP 13*8,7 20 PAK
KLIP20*12 20 PAK
KLIP BIRU 10 PAK

26 25/4/2017 PEN DEBOS SPIRAL 4 BUAH


ALKALINE 9 VOLT 5 BUAH
PULPEN STANDAR AE7 1 PAK
SPIDOL OTIP 3 BUAH
STORUFOOM 3 BUAH
CF K2 FLY 2 BOX
CF K3 FLY 1 BOX
COPY PAPER A4 10 RIM
COPY PAPER F4 10 RIM
SERUTAN 2 BUAH
BOX FILE BINDEX 20 BUAH

27 25/4/2017 PAKET MANDI 500 PCS


SARUNG BANTAL 30 PCS

28 25/4/2017 ASUHAN KEPERAWATAN 3 RIM


FROM PENGKAJIAN 3 RIM
GAWAT DARURAT 3 RIM
RIWAYAT PERSALINANAN 3 RIM
PERMINTAAN RAWAT INAP 3 RIM
TINDAKAN KEPERAWATAN 3 RIM
FROM PENJELASAN 4 RIM
BESI PAPAN UMBUL 2 BANER 4 PCS

KWITANSI 30 BK 2 RIM
SURAT CONTROL 40 BK 2 RIM
COPY RESEP 30 BK
PESEN PASIN PULANG 20 BK
SURAT RUJUKAN 20 BK

MAP REKAM MEDIS 1000 PCS


SPANDUK BPJS 1 PCS
AMLOP KECIL LOGO 9 BOX
AMLOP BESAR LOGO 9 BOX

20/4/2017 ONDER BINDEX UNGU 15 PCS


TEMPAT BROSUR 3 SUSUN 4 PCS
A4 COPY 10 RIM
FA 10 RIM
TINTA EPSON 664 BLK 5 PCS
BATRE ALKALINE A3 4 ST
BUKU POLIO200 BIO 5 BK
PAPAN UJIAN 2 BK
TUSUKAN NOTA 2 BUAH
TINTA CAP YAMORA 3 BUAH
TRAY 3 SUSUN 1 BUAH
HVS WARNA F4 5 RIM

KERTAS KASIR 2PLY 4 PAK

LAPORAN PEMBELIAN BULAN MEI 2017


TANGGAL KETERANGAN NOMINAL
25/04/2017 Beli bensin untuk mobil ambulance 203,000
Transport antar bu Lidia ke Jakarta 35,000
28/04/2017 Pembelian kawat gordeng 100,000
27/04/2017 Pembelian pintu kamar mandi office 1,153,000
Parkir ke toko baru 2,000
Parkir toko agung 2,000
Pembelian bensin untuk mobil avan 203,000
28/04/2017 Retribusi pengangkutan sampah bln 900,000
Cek uji kualitas air IPAL RS 257,000
Pembelian braso untuk membersihka 18,000
Beli bensin untuk pembakaran berk 20,000
02/05/2017 Perpanjang pajak STNK mobil ambu 1,803,000
Parkir perpanjang pajak STNK 4,000
Pembelian bensin untuk mobil avan 203,000
04/05/2017 Pembelian bensin untuk motor oper 23,000
Parkir untuk pembelian kertas 2,000
07/05/2017 Pembelian bahan triplek 725,000
08/05/2017 Pembelian kertas struk untuk kasir 248,000
Pembelian white board & helm 4 w 956,602
Pembelian keperluan CSSD (akredita 146,000
Pembelian kabel dak, semen putih ut 830,000
Pembelian tempat tissue & bracket 1,553,300
Tera timbangan RS sebanyak 4 unit 900,000
Beli kertas A4 (akreditasi) 400,000
Pembelian peralatan untuk perbai 627,500
10/05/2017 Las rolling tangga ram rs 180,000
11/05/2017 Pembelian braso untuk trolly 56,000
Pembelian bensin untuk mobil avan 203,000
12/05/2017 Pembelian freon untuk R302 100,000
13/05/2017 Pembayaran cuci mobil, tambal ban & 318,000
Pembelian freon utk pendaftaran, g 300,000
15/05/2017 Pembelian semen, stop kran, keni, fi 289,000
16/05/2017 Pembelian ikan untuk indikator IPAL 10,000
Pembelian APAR sebanyak 2 unit 800,000
Pembelian breket utk ruangan 703,000
Parkir pembelian breket 4,000
Pembelian brasso 19,900
Pembelian cat utk pantry, pipa, keni 1,112,000
17/05/2017 Pembelian bensin mobil avanza 203,000
Pembelian bensin untuk mobil amb 252,000
Pembelian lemari OK /kamar operasi 4,858,500
Pembelian cat untuk ruangan OK, & 269,000
Pembelian wastafel panrty shock,kn 847,000
Pembelian kantung plastik kecil,se 1,462,000
Pembelian kabel power , stop konta 417,000
18/05/2017 Pembuangan sampah + papan & ka 700,000
Pembelian bensin motor inventaris 23,000
Pembelian bensin untuk mobil avan 252,000
Pembayaran tol ke RS siloam 5,000
Pengecatan & perbaikan pipa salura 900,000
Pembelian keni, keset, karpet karet 1,418,000
19/05/2017 Pembelian bensin untuk mobil amb 203,000
21/05/2017 Pembelian bensin mobil avanza 203,000
22/05/2017 Perjalanan dinas luar & biaya perja 643,000
23/05/2017 Pembelian fleksibel 80,000
Pembelian freon & kapasitor 280,000
Pembelian bensin untuk mobil amb 203,000

LAPORAN PEMBELIAN BULAN JUNI 2017


Pemasukan Barang ATK, Umum & Percet
BULAN JUNI 2017
NO TANGGAL NAMA BARANG JUMLAH SATUAN
1 6/6/2017 TINTA EPSON HITAM 6 BUAH
PP POKET FOLIO 20 PAK
HVS WARNA SIDU POLIO 5 RIM
PAPAN UJIAN 4 BUAH
MAP L DAICI 20 PAK
CONTINUS FORM K3 FULL 2 BOX
CONTINUS FORM K2 FULL 2 BOX
BUKU BASTER 5 BK
BUKU KWRTO300 5 BK
LEM STIK 12 B
SPIDOL WHIT BOAR 1 PAK
STRUK 2 PLY 5 PAK
ETONA 3 PAK
PITA LX 300BCL 10 BUAH
GILET 1 PAK
BISNIS FILE 5 PAK
A4 10 RIM
F4 10 RIM
MAP SEA GULL SNELL 5 BOX
BINDER KLIP 111 12 DUS
PULPEN AE7 2 PAK

2 8/6/2017 BINGKAI UKURAN 22*60 1 BUAH

3 8/6/2017 WAIK UNGU+TAMBAH CANGKOK 2 BUAH


LITROS INPOR(HORDENG
4 8/6/2017 LAKBAN LANGBAL POLICE LINE 1G
(6TAPE)
SENTER 1 BUAH

5 9/6/2017 LAKBAN POLICE LINE 2 BUAH

6 7/6/2017 LAMINATING 2 LEMBAR

7 6/6/2017 SLEEK 2 PCS


ZUITSAL BOTOL 2 BOTOL
ZUITSAL ISI ULANG 5 PCS
SUNGLIT 2 PCS

6/6/2017
8 SUNGLIT 10 PCS
TISU BIASA 10 PAK

9 6/7/2017
TISU PENGESAT 10 PAK
PARKIR 3 KALI

10 15/6/2017
DAFTAR VISIT DR 20 BK
HAK DAN KEWAJIBAN 10 BK
RESEP 60 BK
CLIS PASIN BARU 3 RIM
ASEMEN DAN CATATAN B/B 3 RIM
PENOLAKAN PENGOBATAN 3 RIM
PERNYATAAN PULANG 3 RIM
KARTU LEBARAN 100 PCS
DPJP 3 RIM
CATATAN PERKEMBANGAN 4 RIM
SURAT PELAYANAN MEDIS 3 RIM
KARTU STOK BARANG 1000 PCS
AMLOP KECIL MITRA 8 BOX

11 14/6/2017
HD15/24 40 PAK
KLIP 10*15 20 PAK

12 14/6/2017
CLIP NO3 1 PAK
ISOLASI 5 ROL
ISOLASI DAMARU 5 ROLL
LAKBAN BENING 5 ROOL
SPIDOL PERMANEN 1 PAK
STEPLES NO 10 3 BUAH
ODNER BINEX 50 BUAH
DOUBEL TIP 1/2 3 ROOL
DOUBEL TIP 1/2 1 ROOL
PENGHAPUS 3 PCS
TINTA EPSON T 664 HITAM 4 PCS

13 20/6/2017 TRAY 3 SUSUN 4 BUAH


HVS A4 10 RIM
HVS F4 10 RIM
ODNER BINDEX UNGU 2 DUS
AMLOP COKLAT 4 PAK
KERTAS STOK 75*65 6 PAK
PAS PANDING FILE 1 PCS
CF95*11 3 PLY 2 DUS
SIDUF4 WARNA BIRU 1 DUS
CF 95*11 2PLY 1 DUS

14 29/6/2017 TUSUKAN NOTA 2 BUAH


TINTA PIRAMID 2 BUAH
PEN MEJA 4 BUAH
AMLOP KECIL PPI 5 PAK
MAP L KIKI 4 PAK
PULPEN 1 PAK
KERTAS A4 10 RIM
KERTAS F4 10 RIM
TRAY 3 SUSUN 2 BUAH
PAPAN UJIAN 2 BUAH

15 29/6/2017 BUKU BASTR 3000 5 BK


BUKU BASTER 200 5 BK
COPY A4 10 RIM
COPY F4 10 RIM
ODNER BIO FOLIO 24 BUAH
STRUK 75*65 6 PAK
CF95*11 2FLY 2 BOX
BINDEX ORNER 30 PCS
TK, Umum & Percetakan
nuari 2016

Harga Total Supplier Ket MEDIS


300,000 600,000 Percetakan Arie Medrek 600,000

25,500 51,000 Indomaret NICU / HCU 51,000

120,000 120,000 Apotek 120,000

15,000 60,000 Toko Jam SONO 60,000

12,000 240,000
Loundry
15,000 300,000
540,000

28,000 280,000
100,000 200,000
100,000 100,000
25,000 25,000
17,000 17,000 toko Agung
60,000 60,000
30,000 60,000
210,000 210,000 G. Farmasi
7,000 7,000 Medrek
959,000 959,000

50,000 100,000 Loundry


Toko Laris
70,000 70,000 Apotek 70,000
170,000

15,000 300,000
10,000 200,000 Percetakan Arie OKA
20,000 200,000 N.S Lt. 1
700,000 700,000

21,900 43,800
Indomaret
8,800 17,600
61,400

50,000 500,000
Percetakan Arie
5,000 5,000,000
5,500,000

25,000 250,000 Medrek 250,000


toko Agung
210,000 210,000
toko Agung Kasir
215,000 215,000
5,000 5,000 N.S Lt.3 5,000
680,000

120,000 240,000 Sekretariat


70,000 140,000 Percetakan Arie 140,000
Medrek
70,000 140,000 140,000
520,000

12,500 3,750,000
CV. Mitra Amanah
9,000 4,050,000
7,800,000

70000 140,000
70000 140,000 Percetakan Arie OKA
10000 200,000
480,000 480,000

18,241,400 3,575,000.00

TK, Umum & Percetakan


bruari 2016

Harga Total Supplier Ket MEDIS


40,000 80,000
7,000 420,000 Percetakan Arie
70,000 140,000
640,000 640,000.00

28,000 140,000
210,000 210,000 Apotek
10,000 50,000
toko Agung
50,000 50,000
20,000 20,000
25,000 25,000 Medrek
495,000 495,000.00

15,000 150,000
15,000 150,000 Toko Plastik "TIGA JAYA"
16,000 400,000
700,000 700,000.00

70,000 140,000 Percetakan Arie 140,000.00


30,000 180,000
12,000 72,000
8,000 48,000
12,000 12,000
5,000 30,000
Toko Agung
3,000 18,000
60,000 60,000
12,000 120,000
28,000 84,000
215,000 215,000 Kasir
839,000

410,000 410,000 Apotek 410,000.00


100,000 100,000 100,000.00
Toko Agung
15,000 15,000
Accounting
10,000 10,000
535,000

12,000 240,000
15,000 300,000
Loundry
8,000 160,000
22,000 110,000
810,000

120,000 120,000 Apotek 120,000.00

20,000 200,000
Percetakan Arie
20,000 180,000
380,000 380,000.00

70,000 70,000
Percetakan Arie
70,000 70,000
140,000 140,000.00

70,000 140,000 140,000.00


2,500 250,000 250,000.00
Percetakan Arie
1,500 150,000 150,000.00
7,000 210,000
750,000

10,000 20,000
28,000 280,000
20,000 40,000
30,000 60,000 Toko Agung
20,000 60,000
Toko Agung

15,000 30,000
10,000 120,000
610,000

25,500 51,000 Indomaret 51,000.00

200,000 200,000
2,000 20,000 Umum /GA
Toko Agung
75,000 75,000
60,000 60,000
355,000

40,000 120,000
40,000 120,000 Toko Plastik "TIGA JAYA"
40,000 120,000
360,000 360,000.00

3750 3,750,000 Percetakan Arie Medrek 3,750,000.00

10,675,000 7,826,000.00

TK, Umum & Percetakan


MARET 2016

Harga Total Supplier Unit MEDIS


708 17,000
25,000 50,000
120,000
20000
100000
30000 60000
15000 150000
g
un

15000 30000
ag
ko

30000 90000
to

7000 420000 percetakan arie


215000
25000 300000 toko agung
22000 110000
12000 240000
15000 300000

1,382,400 115200 shop Sales


26000 52000 toko setuju
330000
20000 60000
100000
20000 toko agung
28000 280000
30000 150000
30000 180000
12000 72000 toko agung

28000 140000
100000
12000 60000
65000
30000
7000 49000 toko agung

219000 tecnok mart

7000 420000
10000 200000 percetakan ari

200000
17000
30000 150000 toko agung

3500 1,050,000 cv mitra amanah

32000 768000 lancar eginci

32000

12000 120000
15000 300000
30000
7,531,200

n Barang ATK, Umum & Percetakan


BULAN APRIL 2016

HARGA TOTAL SUPLAYER UNIT MEDIS


28000 140000
320000 640000
15000 75000
12000 60000
65000 130000 TOKO AGUNG
30000 30000
50000 50000
15000 15000
40000 40000
50000 50000

3OOOO 30000 TOKO AGUNG


50000 50000

20000 200000 PERCETAKAN ARIE


70000 140000

SALES SHOP
1,620,000 135000

3750 750000 PERCETAKAN ARIE

28000 280000 TOKO AGUNG


45000 45000
10000 100000
95000 95000
8000 24000
13000 39000
2000 100000
17000 17000
60000 60000

75000 75000
60000 60000
225000

70000 140000 PERCETAKAN ARIE


70000 140000
40000 400000
70000 140000
20000 200000
10000 200000

30000 PERCETETAKAN ARIE


10000 200000
7000 140000
10000 200000
7000 420000
1,050,000
200000 200000 TOKO AGUNG
45000 90000
5000 15000
20000 600000
75000 150000
35000 35000
1,090,000

25000 25000 TOKO AGUNG


55000 55000
25000 25000
20000 40000
13000 13000
20000 20000
35000 35000
10000 30000
28000 140000
608000

30000 60000 PERCETAKAN ARIE


70000 70000

65000 156000

65000 130000
30000 60000
17000 17000
25000 25000
232000

15000 300000
12000 240000

16000 80000 ANEKA JAYA


16000 80000

35000 35000
500 10000

200 4000
10000 10000 TOKO ABC

8100 3.847.000 CV MITRA AMANAH


n Barang ATK, Umum & Percetakan
BULAN MEI 2016

HARGA TOTAL SUPLAYER UNIT MEDIS


25000 1,000,000 TOKO AGUNG
65000 130,000
17000 85,000
30000 90,000
50000 50000
1,355,000
65000 65,000
65000 130,000
195,000 TOKO AGUNG
95000 95,000
25000 50,000
65000 130,000
10000 10,000
20000 40,000
30000 60,000
50000 50,000
435,000 PERCETAKAN ARIE
70000 140,000
70000 140,000
10000 200,000
7000 210,000
7000 210,000 TECNOMAR
900,000
29900 89,700
15000 45,000
22500 67,500
219,000 T
421,000 TOKO AGUNG

210,000
65000 195,000
28000 140,000
20000 600,000
35000 70,000
60,000
30000 60,000
35000 70,000
30000 60,000
17,000
45,000
12000 60,000
17000 34,000
75,000
30000 60,000
7000 21,000
2000 4,000
0
1,781,000
PERCETAKAN ARIE
70000 140,000
70000 140,000
20000 200,000
40000 40,000
2 0000 20,000
540,000
PERCETAKAN ARIE
10,000 200,000
70000 140,000
70000 140,000
70000 140,000
70000 140,000
70000 210,000
70000 140,000
70000 210,000
1,320,000

65000 156,000

100,000
100,000
200,000

20000 400,000 PERCETAKAn arie

30000 150,000 TOKO AGUNG


32500 325,000
65000 130,000
12000 60,000
2000 14,000
8000 64,000
12000 36,000
10000 50,000
17000 17,000
60,000 60,000
70,000 70,000
27000 27,000
28000 140,000
1,143,000
30000 360,000 BINTANG JAYA

TK, Umum & Percetakan


JUNI 2016

HARGA TOTAL SUPLAYER UNIT MEDIS


20000 20000 BINTANG JAYA

200 400,000 PERCETAKAN ARIE


7000 210,000
610,000
15000 180,000
12000 150,000
330,000
15000 15,000 TK PLASTIK 3 JAYA
6000 60,000
5000 50,000
6500 6,500
416,500

325,000 325,000 TOKO AGUNG


315,000 315,000
28,000 140,000
75,000 75,000
13,000 13,000
25,000 75,000
8500 8,500
986,000
20,000 400,000 PERCETAKAN ARIE
70,000 140,000
70,000 140,000
70,000 140,000
70,000 140,000
70,000 140,000
70,000 140,000
1,380,000
3,000 3,000,000
20,000 20,000
3,020,000 TOKO AGUNG
30,000 60,000
5000 15,000
20,000 40,000
20,000 20,000
135,000
28000 140,000 TOKO AGUNG
8000 24,000
10000 100,000
25,000 50,000
314,000

80,000 80,000 SIG


28,000 28,000
40,000 40,000
148,000
150,000 150,000

10,000 10,000 DANESTA YON

15000 300,000 TIGA JAYA


7500 75,000
15000 15,000
14,000 70,000
460,000

3000 3,000,000 PERCETAKAN ARIE


20,000 20,000
70000 70,000
30,000 120,000
40,000 120,000
3,330,000

20000 600,000 TOKO AGUNG


75000 75,000
30000 60,000
120,000
30000 120,000
85,000 85,000
45,000
27,000
1,131,000

115,200 115,200

90,000 270,000 TOKO AGUNG


12000 60,000
8500 17,000
35000 105,000
17000 17,000
469,000
14000 42,000 TIGA JAYA
15000 75,000
15000 75,000
192,000

15000 30,000 TOKO ELEK TRO


20,000 40,000
45,000 45,000
115,000
20000 20,000 TAUFIQ COPY CENTER
20000 20,000

30,000 160,000 NIGA PHOTENIX


160,000

10,000 50,000 TOKO AGUNG


10,000 10,000
8,000 32,000
28,000 140,000
3,750 45,000
277,000

70,000 140,000 PERCETAKAN ARIE


70,000 140,000
7,000 70,000
7,000 210,000
10,000 200,000
70,000 70,000
4,000 400,000
3,000 300,000
2,000 200,000
1 ,730,000

15,000 300,000
20,000 400,000
30,000 30,000
730,000

15,000 300,000
12,000 240,000
8,000 80,000
620,000

12,000 240,000
15,000 300,000
8000 160,000
700,000

500 1,000,000

n Barang ATK, Umum & Percetakan


BULAN JULI 2016
HARGA TOTAL SUPLAYER UNIT MEDIS
50000 50000 TOKO AGUNG
60000 120000
10000 50,000
20000 20000
10000 100000
2500 5000
325000 650000
30000 90000
17000 17000
25000 50000
10000 50000
30000 300000
1,542,000

40000 40000
70,000 210,000
70000 140,000
70000 140,000
780,000

12000 120,000 TOKO AGUNG


65,000 130,000
50000 150,000
55,000 55,000
25,000 50,000
40,000 80,000
585,000

15000 375,000 TOKO PLASTIK


12,000 120,000
14,000 210,000
15,000 225,000
6000 90,000
5000 75,000
7500 112 ,500
16000 240,000
1,447,500

15000 600,000 PERCETAKAN ARIE


40,000 1,200,000
70,000 140,000
70,000 140,000
70,000 210,000
7,000 210,000
7,000 210,000
2,710,000
15,000 300,000 TOKO DETERJEN
12,000 240,000
8,000 160,000
700,000

70,000 140,000 PERCETAKAN ARIE


70,000 140,000
70,000 140,000
70,000 140,000
70,000 140,000
70,000 210,000
70,000 140,000
70,000 210,000
20,000 200,000
1,530,000

20,000 40,000 TOKO AGUNG


28,000 420,000
90,000 180,000
13,000 52,000
8,500 17,000
20,000 600,000
30,000 120,000
35,000 105,000
8,000 40,000
17,000
8,000 64,000
65,000 130,000
35,000
6,000 12,000
1,832,000
n Barang ATK, Umum & Percetakan
BULAN AGUSTUS 2016
HARGA TOTAL SUPLAYER UNIT MEDIS
10950 76,650 TECNOMAR
28 100 56,200
29900 119,600
53900 53,900
21,300 85,200
14,750 29,500
4925 24,625
17 775 17,775
21,280 21,280
484,930

320,000 640,000 TOKO AGUNG


20,000 20,000
215,000 430,000
8,500 17,000
12,000 120,000
2,000 6,000
12,000 60,000
16,000 16,000
6,000 36,000
17,000 17,000
1,362,000

70000 210,000 PERCETAKAN ARIE


70000 210,000
70000 210,000
70000 210,000
70000 140,000
70,000 140,000
7000 420,000
40,000 160,000
70000 140,000
1,840,000

90000 630,000 TOKO AGUNG


10000 100,000
27000 27,000
60000 60,000
817,000

15000 600,000 TIGA JAYA


5000 100,000
6000 120,000
7500 150,000
10000 200,000
14000 280,000
16000 320,000
1,770,000

200000 400,000 TOKO AGUNG


10000 30,000
5000 10,000
18000 18,000
458,000

500 1,000,000

12000 240,000
15000 300,000
8000 160,000
700,000

30000 300,000 TOKO AGUNG


200000 200,000
65000 130,000
35000 35,000
25000 50,000
20000 60,000
25000 75,000
48000 48,000
3000 9,000
10000 20,000
6000 60,000
1,004,000
n Barang ATK, Umum & Percetakan
BULAN SEPTEMBER 2016
HARGA TOTAL SUPLAYER UNIT MEDIS
250,000 500,000
100000 500,000

210,000 210,000 KASIH IBU

10800 64,800 CARREPOR


29,450 147,250
9600 96,000
16500 16,500

29900 149,500 TEKNO MART


31900 95,700
14750 147,500

PT INDAH LOGISTIK

PT RBI/DETOL

15000 600000 TIGA JAYA


16000 80,000
5000 100,000
16000 240,000

28000 420,000 TOKO AGUNG


320000 320,000
215000 215,000
20000 200,000
12000 60,000
15000 15,000
45000 135,000
27000 54,000
15000 30,000
10000 10,000
30000 60,000
25000 250,000
10000 50,000
3000 9,000
20000 40,000
13000 39,000
8500 17,000
90000 270,000
10000 50,000
17000 17,000
25000 150,000
10000 40,000
5000 100,000
60000 60,000
10000 120,000
30000 150,000

3750 3,750,000 PERCETAKAN ARIE

14500 5,162,000 CV MITRA AMANAH


4000 2,000,000

70000 260,000 PERCETAKAN ARIE


70000 140,000
7000 210,000
70000 210,000
70000 210,000
70000 210,000
60,000 60,000
30000 30,000
70000 280,000

28000 336,000 TOKO ELEKTRO

15000 75,000
12000 60,000

10000 200,000 PERCETAKAN ARIE


15000 300,000
15000 300,000
20000 200,000
120000 120,000
7000 420,000
70000 140,000

320000 320,000 TOKO AGUNG


20000 40,000
45000 45,000
5000 10,000
100000 100,000
20000 20,000
13000 26,000
10000 50,000
20000 20,000
20000 20,000
21,152,250

n Barang ATK, Umum & Percetakan


AN OKTOBER 2016 /PEMBELIAN
HARGA TOTAL SUPLAYER UNIT MEDIS
15000 3,000,000 CV

15000 600,000 TOKO PLASTIK TG JAYA


5000 100,000
7500 150,000
16000 320,000
7500 75,000
1,245,000
15000 75,000
12000 60,000
8000 40,000
175,000
320,000 650,000 TOKO AGUNG
220,000 440,000
70000 420,000
20000 60,000
8500 17,000
5000 15,000
3000 15,000
2000 10,000
6000 12,000
1,639,000
50000 250,000 PERCETAKAN ARIE
70000 140,000
7000 420,000

70000 210,000
70000 210,000
70000 280,000
5500 165,000
7000 210,000
1,885,000
14750 147,500 TOSERBA BARU
15000 150,000
19100 38,200
20000 40,000
6000 12,000
29900 119,600
50000 50,000
16000 16,000
10800 21,600
594,900

28000 280,000 TOKO AGUNG


20000 400,000
4000 96,000
50000 50,000
27000 108,000
25000 50,000
45000 45,000
13000 65,000
8000 40,000
20000 20,000
7000 21,000
2500 5,000
10000 40,000
1,220,000

30000 300,000 TOKO ABUNG


10000 10,000
30000 300,000
13000 26,000
40000 40,000
676,000

40000 80,000 PERCETAKAN


40000 120,000

70000 140,000
70000 140,000
7000 420,000
70000 140,000
1,040,000

50000 250,000
16000 64,000
2000 10,000
35000 70,000
17000 17,000
1000 30,000
441,000

12000 120,000
8000 80,000
15000 150,000
350,000
28000 336,000 TOKO ELEKTRO

28000 140,000 TOKO AGUNG


35000 105,000
27000 54,000
70000 210,000
1000 70,000
20000 40,000
10000 20,000
639,000

200000 200,000
20000 40,000
60000 60,000
8000 40,000
4000 96,000
436,000

n Barang ATK, Umum & Percetakan


BULAN NOPPEMBER 201`6
HARGA TOTAL SUPLAYER UNIT MEDIS
5000 30000 TOSERBA BARU
18000 54,000
15000 150,000
30000 90,000
3000 9,000
29900 89,700
422,700

29900 299,000 ACE


200000 400,000 TOKO AGUNG
20000 600,000
27000 54,000
30,000 30,000
37000 37,000
17000 17,000
35000 35,000
28000 140,000
30000 150,000
330,000 330,000
6000 18,000
8500 17,000
1,893,000
15000 150,000
12000 120,000
21000 110,000
8,000 80,000
460,000

28000 280,000 TOKO AGUNG


5000 10,000
16000 16,000
15000 15,000
15000 30,000
50,000 50,000
8000 8,000
409,000
15000 300,000 TOKO PLASTIK
16000 320,000
14000 280,000
7500 150,000
1,050,000

330,000 330,000 TOKO AGUNG


100000 100,000
10000 150,000
60000 60,000
8000 32,000
20000 40,000
90000 180,000
3000 6,000
8000 8,000
2000 4,000
17000 51,000
17000 34,000
84000 84,000
25000 25,000
10000 20,000
8000 40,000
70000 280,000
10000 20,000
1,464,000
50000 250,000 PERCETAKAN ARIE

7000 336,000 TOKO AGUNG


17000 85,000
3000 6,000
75000 75,000
13000 26,000
6000 18,000
20,000 20,000
7000 7,000
573,000

15000 75,000
12000 60,000

8000 800,000 TOKO AGUNG


220,000 220,000
330,000 330,000
90000 270,000
10000 20,000
120,000 120,000
18000 126,000
20000 400,000
2,286,000

n Barang ATK, Umum & Percetakan


BULAN DESEMBER 2016
HARGA TOTAL SUPLAYER UNIT MEDIS
30000 300000 TOKO AGUNG
28000 280,000
200000 200,000
35000 70,000
16000 80,000
13000 65,000
17000 17,000
13,000 26,000
8000 40,000
2000 8,000
10000 40,000
13000 26,000
10000 60,000
30,000 60,000
1,288,000

10000 200,000
70000 70,000

150000
120000
80000
350,000

81900 81,900 PT HERO SUPERMAKET


32890 98,670
22890 45,780
18,190 181,900
9290 92,900
24690 123,450
624,600

29,900 179,400 ACE /TEKNOMART


2000 4,000

28,000 140,000 TOKO AGUNG


3000 6,000
30000 60,000
70000 210,000
5000 30,000
17000 102,000
4000 20,000
8000 16,000
3000 6,000
13000 39,000
25000 50,000
55000 55,000
100000 100,000
50,000 50,000
884,000

19000 2,280,000
75000 75,000
2,355,000

14500 3,625,000

220,000 220,000
28000 140,000
20000 600,000
60000 60,000
35000 105,000
16000 32,000
45000 45,000
6000 12,000
1,214,000

7000 210,000

28000 336,000
80000 80,000
37000 111,000
10000 20,000
547,000

330,000 330,000
30000 150,000
50000 50,000
10000 120,000
10000 30,000
20000 20,000
7000 14,000
5000 15,000
729,000

4000 2,000,000

85000 255,000 SLG


26000 226,000
n Barang ATK, Umum & Percetakan
BULAN JANUARY 2017
HARGA TOTAL SUPLAYER UNIT MEDIS
28000 336,000 NIGA PHOENIK
10000 20,000
356,000

26000 780,000 TOKO AGUNG


30000 300,000
4000 4,000
10000 100,000
90000 90,000
70000 70,000
28,000 140,000
50000 250,000
200,000
48,000
60,000
20000 40,000
2,602,000

20000 200,000 PERCETAKAN ARIE


70000 140,000
70000 140,000
70000 140,000
70000 140,000
70000 140,000

70000 140,000

70000 140,000
1,180,000

PERCETAKAN ARIE
70000 140,000
70000 140,000
70000 140,000
70000 140,000
70000 140,000
70000 140,000
35000 70,000
910,000
69,900 69,900 ACE

129,000 129,000 TEKNO MART


15,175 75,875
5,000 25,000
3,000 3,000
232,875

3,000 300,000 PERCETAKAN ARIE


7,500 225,000
3,750 225,000
11,000 440,000
1,190,000

28,000 336,000 TOKO NIGA PHOTENIX

15000 600,000 TIGA JAYA


7500 150,000
10000 200,000
6000 120,000
5000 100,000
1,170,000
32000 160,000 TOKO AGUNG
28500 142,000
20000 1,000,000
90000 180,000
5000 60,000
25000 75,000
30000 660,000
17000 51,000
10000 30,000
17,000
2000 4,000
8000 48,000
45,000
2,472,000
20000 2,000,000 TOKO AGUNG
70000 280,000
25000 50,000
8000 56,000
17000 51,000
220,000
28500 142,500
32000 32,000
18000 54,000
2,885,500
26000 520,000 TOKO AGUNG
20000 4,000,000
30000 90,000
15000 45,000
4,655,000
220,000 220,000 TOKO AGUNG
330,000 330,000
13000 65,000
2000 4,000
2000 4,000

16000 320,000 TOKO PLASTIK

15000 600,000 TIGA JAYA

n Barang ATK, Umum & Percetakan


BULAN FEBURY 2017
HARGA TOTAL SUPLAYER UNIT MEDIS
20000 2,000,000 TOKO AGUNG
28500 142,500
16000 80,000
13000 65,000
2,287,500

29000 174,000 TOKO BARU


10,000 10,000
15000 150,000
29000 87,000
25000 50,000
15000 45,000
6000 120,000
4000 12,000
648,000

299000 299,000 ACCE


2000 2000

17000 85,000 toko agung


5000 15,000
3000 9000
17000 17000
10000 30000
70000 210000
30000 150,000
28500 28500
220,000 220,000
8500 51000
15000 30,000
10000 50,000
17000 34,000
95000 285,000
90000 540,000
120,000 120,000
13000 26,000
8500 25,500
20000 40,000
10000 30,000
7000 14,000
65000 65,000
40000 40,000
2000 10,000
2,239,000
17000 119,000 TOKO AGUNG
50000 50,000
85000 85,000
45,000 45,000
8000 16,000
28500 142,500
10000 30,000
2000 10,000
3000 9,000
13000 65,000
15000 30,000
35,000 35,000
30000 30,000
666,500

60000 60,000 PERCETAKAN ARIE


30000 90,000
70000 140,000
70000 140,000
70000 140,000
70000 140,000
70000 140,000
70000 140,000
1,230,000

30000 300,000 TOKO AGUNG


28500 285,000
70000 140,000
30000 60,000
330,000 330,000
17000 68,000
30000 60,000
15000 30,000
70000 70,000
8000 16,000
2000 6,000
8000 24,000
1,389,000

70000 140,000 PERCETAKAN ARIE


7500 225,000
70000 140,000
70000 70,000
70000 70,000
40,000 80,000
865,000

20000 1,000,000 TOKO AGUNG


220,000 220,000
30,000 300,000
50,000 50,000
12,000 24,000
25,000 25,000
20,000 40,000
7,000 7,000
30,000 300,000
15,000 30,000
100,000 100,000
8,500 8,500
2,018,000

11,644,000

n Barang ATK, Umum & Percetakan


BULAN MARET 2017
HARGA TOTAL SUPLAYER UNIT MEDIS
100000 100,000 TOKO AGUNG
220,000 220,000
17000 17,000
2000 8,000
25000 50,000
12000 60,000
8000 40,000
17000 17,000
20000 20,000
17000 170,000
12000 12,000
27000 135,000
17000 51,000
30000 150,000
1,158,000

8900 124,600 HIPERMART


33900 33,900
22,750 102,375
15,000 155,000
415,000
4000 4,000

14500 3,190,000 CV AMANAH


4000 200,000
5,196,000

330000 330,000 TOKO AGUNG


25000 50,000
120000 120,000
17000 17,000
30000 30,000
547,000

35000 140,000 PERCETAKAN ARIE


70000 140,000
280,000

26200 52,400 INDOMARET


10200 20,400
14900 25,800
98,600

30000 60,000 TOKO AGUNG


60000 240,000
330000 330,000
630,000

29000 174,000 TOKO ELEKTRONIK


15000 600,000 TOKO PALTIK
7500 150,000
14000 280,000
5000 50,000
6000 60,000
1,140,000

70000 140,000 PERCETAKAN


70000 140,000
70000 140,000
70000 140,000
70000 140,000
70000 140,000
70000 140,000
70000 140,000
70000 140,000
1,280,000

70000 140,000 PERCETAKAN ARIE

70000 140,000

70000 140,000

70000 140,000
70000 140,000
70000 140,000
70000 140,000
70000 140,000
70000 140,000
1,260,000

70000 140,000 PERCETAKAN ARIE

70000 140,000
280,000

3750 3,750,000 PERCETAKAN ARIE


30000 30,000
3,780,000

315000 315,000 TOKO AGUNG


20000 1,000,000
15000 15,000
40000 200,000
35000 175,000
50000 250,000
65000 65,000
30000 150,000
8000 40,000
2500 5,000
35000 70,000
2,330,000

15000 2,250,000 CV AMNAH

100000 200,000 TOKO AGUNG


20000 80,000
105000 210,000
8000 16,000
8000 16,000
7000 28,000
13000 130,000
15000 60,000
34000 34,000
27000 270,000
75,000 150,000
5000 10,000
40000 200,000
1,754,000
15000 300,000 TOKO PLASTIK 3 JAYA
15000 300,000
15000 225,000
7500 150,000
6000 120,000
1,095,000
n Barang ATK, Umum & Percetakan
BULAN APRIL 2017
HARGA TOTAL SUPLAYER UNIT MEDIS
330000 330,000 TOKO AGUNG
335,000 335,000
220,000 220,000
60000 60,000
70000 140,000
17000 17,000
75000 75,000
27000 135,000
40000 200,000
1 ,512,000

200000 400,000 PERCETAKAN ARIE

PERCETAKAN BEKASI
30000 90,000 TOKO KEMBAR JAYA
20000 60,000
10000 10,000
20000 100,000
35000 70,000
10000 160,000
20000 40,000
530,000

8000 80,000 TEKNO MART


11500 115,000
11700 41,950
15500 93,000
4490 89,800
419,750

10500 21,000 ALFA


28300 113,200
16800 33,600
167,800

80000 80,000 TOKO PLSTIK

175000 175,000 TOKO PASTIK KEMBANG

20000 40,000 TOKO AGUNG


20000 80,000
45000 45,000
220,000 220,000
1 1,000,000
30000 300,000
37000 37,000
120000 120,000
5000 20,000
27000 270,000
220,000 220,000
330,000 330,000
30000 60,000
2,742,000

3750 112,500 PECETAKAN ARIE


3750 112,500
70000 140,000
22,000 660,000
44,000 880,000
3000 300,000
70000 140,000
15,000 300,000
2,785,000

60500 242,000 TOKO HOSANA

500000 2,000,000 PERCETAKAN BEKASI


500000 2,000,000
10000 2,000,000
6,000,000

70000 140,000 PERCETAKAN BEKASI


70000 210,000
70000 210,000
70000 630,000
70000 210,000
1,200,000

10000 200,000 PERCETAKAN BEKASI


20000 500,000
3750 112,500
3750 112,500
925,000
2800 2,800,000

13,000 65,000 TOKO AGUNG


75000 150,000
16,000 80,000
13000 65,000
105,000 210,000
95000 475,000
30,000 180,000
1,275,000

30000 300,000 TEKNO MART/HIPERMART


150000 150,000
450,000

299000 299,000 ACE


46000 92000
4000 4000
395,000

151 200 151,200 ACE

30000 30000 PASAR TUPAREV


151 200 151,200 HIPER MART/TEKNOMART
70000 70,000
28500 228,000
449,200

40000 240,000 PERCETAKAN BEKASI


350,000 350,000
590,000

5500 220,000 PERCETAKAN BEKASI


7000 210,000
7000 420,000
70000 280,000
70000 280,000

15000 600,000 TIGA JAYA


5000 100,000
5000 100,000
6000 120,000
14000 280,000
16000 160,000
1,360,000

7000 28,000 TOKO AGUNG


25000 125,000
17000 17,000
7000 21,000
5000 15,000
220000 220,000
330,000 330,000
27000 270,000
35000 350,000
3000 6,000
20000 400,000
2,002,000
14500 7,250,000 MITRA AMANAH
55000 1,650,000

70000 210,000 PERCETAKAN BEKASI


70000 210,000
70000 210,000
70000 210,000
70000 210,000
70000 210,000
70000 280,000
1,540,000

900000 3,600,000 PERCETAKAN BEKASI

70000 140,000 PERCETAKAN BEKSI


70000 140,000
7000 210,000
10000 200,000
10000 200,000
890,000

2800 2,800,000 PERCETAKAN BEKASI


250000 250,000
25000 225,000
30000 270,000

26000 390,000 TOKO AGUNG


130000 520,000
27000 270,000
35000 350,000
95000 475,000
20000 80,000
30000 150,000
10000 20,000
8000 16,000
8000 24,000
75000 75,000
50000 250,000
2,620,000

248000 248,000 HOSANA


rang ATK, Umum & Percetakan
BULAN JUNI 2017
HARGA TOTAL SUPLAYER UNIT MEDIS
95000 370,000 TOKO AGUNG
17000 170,000
50000 250,000
5000 20,000
30000 600,000
330,000 660,000
220,000 440,000
10000 50,000
35,000 175,000
7,000 84,000
75,000 75,000
60,000 300,000
25,000 75,000
10,000 100,000
70,000 70,000
25,000 125,000
27,000 270,000
30,000 300,000
85,000 425,000
5,000 60,000
17,000 34,000
4,653,000

100,000 100,000 TOKO ARMAN

350000 350,000 PUTRA GORDYN,,


100000 100,000 BUANA STATIONERY

35000 35,000

100000 200,000 BUANA STATIONERY

10000 20,000 POTO COPY

29900 59,800 TECNO MART


30000 60,000
29900 149,500
15500 31,000
300,300

15500 155,000 TOKO BARU


10000 100,000

29900 299,000 ACE


2000 6,000

10000 200,000 SEMAR JAYA


20000 200,000
7000 420,000
70000 210,000
70000 210,000
70000 210,000
70000 210,000
200000 200,000
70000 210,000
70000 280,000
70000 21,000
500 500,000
30000 240,000
3,111,000

15000 600,000 TOKO PLSTIK


7500 150,000
750,000

30000 30,000 TOKO AGUNG


3000 15,000
5000 25,000
8500 42,000
60000 60,000
13000 52,000
20000 1,000,000
35,000 105,000
40000 40,000
2000 6,000
95000 380,000
1,745,000

80000 320,000 TOKO AGUNG


28,000 280,000
30000 300,000
390,000 780,000
30000 120,000
60,000 360,000
50000 50,000
330,000 660,000
50000 50,000
220,000 220,000
3,330,000

8000 16,000 TOKO AGUNG


8000 16,000
7000 28,000
13000 65,000
15000 60,000
17000 17,000
27000 270,000
35000 350,000
75000 150,000
5000 10,000
980,000

35000 175,000 TOKO AGUNG


15000 80,000
27000 270,000
30000 300,000
20000 480,000
60000 120,000
220,000 440,000
20000 600,000
2,705,000
UMUM

540,000

100,000

61,400

5,500,000
210,000
215,000

240,000

7,800,000

14,666,400.00

UMUM
839,000.00

15,000.00
10,000.00

810,000.00

210,000.00
610,000.00

355,000.00

2,849,000.00

UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
UMUM
Data Pemakaian / Pengambilan Formulir / Cetakan
Bulan Januari 2016

No Tanggal Nama Barang Jumlah Satuan Harga


1 5/1/2016 Resep 2 Buku 6,000

2 5/1/2016 Catatan Perkembangan / Implementasi 50 Lbr 140


Pengkajian Keperawatan R I 50 Lbr 140
Form. Rencana Asuhan Keperawatan 50 Lbr 120

3 5/1/2016 Brosur Full Colour 2 Rim 300,000

4 6/1/2016 Permintaan Pemeriksaan Laboratorium 20 Lbr 140

5 8/1/2016 Papan Nama Bayi Baru lahir 28 Lbr


Buku Catatan kesehatan + Lampiran 20 Buku 4,250
Permintaan Pemeriksaan Laboratorium 30 Lbr 140

6 11/1/2016 Permintaan Pemeriksaan Laboratorium 50 Lbr 140


Form Serah Terima Pasien 50 Lbr 140
Surat Pernyataan Persetujuan Tindakan Medis 50 Lbr 120

7 12/1/2016 Resep 8 Buku 6,000

8 13/01/2016 Surat Ket Pelayanan Medis 1 Rim 70,000

9 13/01/2016 Catatan Perkembangan / Implementasi 50 Lbr 140


Permintaan Pemeriksaan Laboratorium 50 Lbr 140

10 15/01/2016 Bukti Permintaan Barang 2 Buku 9,000


Surat Pernyataan Persetujuan Tindakan Medis 30 Lbr 120
Resep 2 Buku 6,000
Catatan Perkembangan / Implementasi 50 Lbr 140
Permintaan Pemeriksaan Laboratorium 30 Lbr 140

11 18/01/2016 Catatan Perkembangan / Implementasi 30 Lbr 140


Surat Pernyataan Persetujuan Tindakan Medis 30 Lbr 120
Daftar Visite & Konsul Dokter 1 Buku 10,000
Resep 1 Buku 6,000

12 20/01/2016 Resep 2 Buku 6,000


Permintaan Rawat Inap 1 Buku 14,000

13 20/01/2016 Catatan Perkembangan / Implementasi 50 Lbr 140


Resep 5 Buku 6,000
Daftar Visite & Konsul Dokter 2 Buku 10,000

14 20/01/2016 Laporan Harian Poliklinik 3 Buku 20,000


Bukti Permintaan Barang 2 Buku 15,000
Buku Catatan kesehatan + Lampiran 19 Buku 4,250

15 21/01/2016 Bukti Permintaan Barang 1 Buku 15,000


Resep 2 Buku 6,000

16 25/01/2016 Bukti Permintaan Barang 1 Buku 15,000


Amplop Rontgen uk. 24 X 30 1 Pak

17 27/01/2016 Surat Keterangan Sakit 1 Buku 10,000

18 27/01/2016 Resep 2 Buku 6,000


Daftar Visite & Konsul Dokter 1 Buku 10,000

19 28/01/2016 Formulir Pemakaian Alat Kesehatan 2 Buku 10,000

20 28/01/2016 Catatan Perkembangan / Implementasi 50 Lbr 140


Surat Keterangan Rawat Inap 30 Lbr 120
Pesan Pasien Pulang & Surat Kontrol 2 Buku 9,000
Rekomendasi Administrasi Pasien Pulang Rawat Inap
2 Buku 7,000
Resep 2 Buku 6,000

21 28/01/2016 Buku Catatan kesehatan + Lampiran 40 Buku 4,250

Total
BULAN APRIL

ian / Pengambilan28/01/2016
Formulir /Catatan
CetakanPerkembangan / Implementasi 50 Lbr 140
Bulan Februari 2016 12/4/2016 B18B 14089 Lbr 120
19/4/2016 B18B14259 1 Btl
No 26/4/2016 B18B 1 BTL
1 Resep 2 Buku 6,000

2 1/2/2016 Sensus Harian Pasien Rawat Inap 2 Buku 18,000


Resep 1 Buku 6,000
Pesan Pasien Pulang & Surat Kontrol 2 Buku 9,000
Form. Rencana Asuhan Keperawatan 50 Lbr 120
BULAN APRIL Catatan Perkembangan / Implementasi 50 Lbr 140

3
Tanggal Nama Barang Jumlah Satuan Harga
1/3/1900 26/4/2016 B18B 14432 1 BTL

Pesan Pasien Pulang & Surat Kontrol 1 Buku 9,000


Sensus Harian Pasien Rawat Inap 1 Buku 18,000
Buku Catatan kesehatan + Lampiran 30 Buku 5,000
Papan Nama Bayi Baru lahir 30 Lbr

4 2/2/2016 Bukti Permintaan Barang 1 Buku 15,000

5 2/2/2016 Resep 8 Buku 6,000


Kartu Nama dr. dedi Kurniawan Saputra, Sp.A 2 Box 40,000
Surat Pernyataan Penolakan Rawat Inap / tind. Medis
100 Lbr 140

6 3/2/2016
Surat Pesanan Obat Mengandung Prekursor Farmasi (PT.AAM)
1 Buku 20,000

7 3/2/2016 Catatan Perkembangan / Implementasi 50 Lbr 140


Pengkajian Keperawatan R I 50 Lbr 140
Form. Rencana Asuhan Keperawatan 50 Lbr 120

8 4/2/2016 Resep 2 Buku 6,000


Permintaan Rawat Inap 1 Buku 14,000
Permintaan Pemeriksaan Laboratorium 50 Lbr 140

9 5/2/2016 Permintaan Pemeriksaan Patologi 1 Rim 70,000


Bukti Permintaan Barang 1 Buku 15,000
Daftar Visite & Konsul Dokter 1 Buku 10,000
Resep 2 Buku 6,000

10 5/2/2016 Form Serah Terima Pasien 50 Lbr 140


Surat Pernyataan Persetujuan Tindakan Medis 50 Lbr 120

11 9/2/2016 Lembar Poliklinik 1 Rim 70,000

12 9/2/2016 Catatan Perkembangan / Implementasi 30 Lbr 140


Permintaan Pemeriksaan Laboratorium 50 Lbr 140
Rekomendasi Administrasi Pasien Pulang Rawat Inap
2 Buku 7,000
Daftar Visite & Konsul Dokter 2 Buku 10,000
Resep 2 Buku 6,000

13 9/2/2016 Catatan Perkembangan / Implementasi 50 Lbr 140


Resep 3 Buku 6,000
Daftar Visite & Konsul Dokter 2 Buku 10,000
Pesan Pasien Pulang & Surat Kontrol 2 Buku 9,000
Rekomendasi Administrasi Pasien Pulang Rawat Inap
2 Buku 7,000

14 11/2/2016 Resep 2 Buku 6,000


15 11/2/2016 Catatan Perkembangan / Implementasi 30 Lbr 140
Surat Pernyataan Persetujuan Tindakan Medis 30 Lbr 120
Daftar Visite & Konsul Dokter 1 Buku 10,000

16 11/2/2016 Resep 8 Buku 6,000


Permintaan Pemeriksaan Laboratorium 100 Lbr 140
Permintaan Rawat Inap 1 Buku 14,000
Surat Keterangan Sakit 4 Buku 10,000
Surat Keterangan sehat 2 Buku 8,000

17 12/2/2016 Catatan Perkembangan / Implementasi 50 Lbr 140


Permintaan Pemeriksaan Laboratorium 20 Lbr 140
Resep 2 Buku 6,000

18 15/02/2013 Bukti Permintaan Barang 1 Buku 15,000

19 15/02/2013 Laporan Harian Poliklinik 2 Buku 20,000


PPC Nama Dokter 9 Pcs 20,000

20 15/02/2013 Catatan Perkembangan / Implementasi 50 Lbr 140


Permintaan Pemeriksaan Laboratorium 20 Lbr 140

21 17/02/2016 Catatan Perkembangan / Implementasi 100 Lbr 140


Surat Keterangan Rawat Inap 20 Lbr 120
Permintaan Pemeriksaan Laboratorium 20 Lbr 140
Resep 3 Buku 6,000

22 18/02/2016 Resep 3 Buku 6,000

23 18/02/2016 Form Serah Terima Pasien 50 Lbr 140


Surat Pernyataan Persetujuan Tindakan Medis 50 Lbr 120

24 19/02/2016 Permintaan Pemeriksaan Laboratorium 50 Lbr 140


Resep 3 Buku 6,000

25 19/02/2016 Catatan Perkembangan / Implementasi 100 Lbr 140


Daftar Visite & Konsul Dokter 2 Buku 10,000

26 22/02/2016 Catatan Perkembangan / Implementasi 30 Lbr 140


Surat Pernyataan Persetujuan Tindakan Medis 30 Lbr 120
Daftar Visite & Konsul Dokter 1 Buku 10,000
Surat Keterangan Rawat Inap 30 Lbr 120

27 22/02/2016
Surat Pernyataan Persetujuan Tindakan Tanpa Jaminan
2 Buku 20,000

28 22/02/2016 Amplop Rontgen Besar 100 Lbr 2,500


Amplop Rontgen Kecil 100 Lbr 1,500

29 22/02/2016 Catatan Perkembangan / Implementasi 100 Lbr 140


Surat Pernyataan Persetujuan Tindakan Medis 20 Lbr 120
Surat Pernyataan Penolakan Rawat Inap / tind. Medis
20 Lbr 140
Form. Rencana Asuhan Keperawatan 30 Lbr 120
Permintaan Pemeriksaan Laboratorium 20 Lbr 140
Pengkajian Keperawatan R I 30 Lbr 140
Resep 4 Buku 6,000

30 22/02/2016
Surat Pesanan Obat Mengandung Prekursor Farmasi2 Buku 20,000

31 23/02/2016 Resep 4 Buku 6,000


Catatan Perkembangan / Implementasi 30 Lbr 140

32 23/02/2016 Form Serah Terima Pasien 50 Lbr 140


Surat Pernyataan Persetujuan Tindakan Medis 30 Lbr 120

33 23/02/2016 Resep 3 Buku 6,000


Daftar Visite & Konsul Dokter 3 Buku 10,000

34 24/02/2016 Form Serah Terima Pasien 100 Lbr 140


Surat Pernyataan Persetujuan Tindakan Medis 10 Lbr 120

35 25/02/2016 Permintaan Pemeriksaan Laboratorium 50 Lbr 140


Permintaan Rawat Inap 1 Buku 14,000
Resep 2 Buku 6,000
Surat Keterangan Sakit 1 Buku 10,000
Surat Keterangan sehat 1 Buku 8,000
Permintaan Pemeriksaan Rontgen 50 Lbr 140
Form Serah Terima Pasien 50 Lbr 140

36 25/02/2016 Catatan Perkembangan / Implementasi 100 Lbr 140


Surat Keterangan Rawat Inap 20 Lbr 120
Resep 2 Buku 6,000

37 26/02/2016 Amplop Logo Mitra Family 1 Box 50,000

38 26/02/2016 Map Rekam Medis 1000 Lbr 3750

39 26/02/2016 Surat Keterangan Rawat Inap 30 Lbr 120


Catatan Perkembangan / Implementasi 50 Lbr 140
Resep 2 Buku 6,000

40 29/02/2016 Resep 2 Buku 6,000

41 29/02/2016 Resep 3 Buku 6,000


42 29/02/2016 Permintaan Pemeriksaan Laboratorium 20 Lbr 140
Catatan Perkembangan / Implementasi 50 Lbr 140

43 29/02/2016 Tanda Terima 3 Buku 10,000


Bukti Permintaan Barang 1 Buku 15,000

Data Pemakaian / Pengambilan Formulir / Cetakan


Bulan Maret 2016

No Tanggal Nama Barang Jumlah Satuan Harga


1 10\3\16
17\3\16 form implementasi 50 lbr 140
resep 2 bk 6000
Tanda terima 2 bk 10000
17\3\16 resep DR 2 BK 6000
bak tinta 1 pc
map 5
18\3\16 from laboratorium 20 lembar 140
from rawat inap 20 lembar 140
resep 2 bk 6000
18\3\16 resep 3 buku 6000
permintaan pemeriksaan lab 24 lembar 140
28\3\16 resep 1 bk 6000
daftar vist dan konsul doktr 1 rim 10000
catatan perkembangan 30 lembar 140
ceklis pasien pulang 30 lembar 120
persetujuan anatesi 30 lembar 120
28\3\16 resep 4 bk 6000
from persetujuan pembiusan 50 lembar 120
28\3\16 kartu berobat 2 pak 1400
pembatas status 2 pak
28\3\16 resep umum 5 bk 6000
30\3\16 from lab 30 lembar 140
resep 3 bk 6000
persetujuan tindakan 20 lembar 120
visit dr 2 bk 10000
from lembar konsul 20 lembar 140
sensus kunjungan 1
30\3\16 forit visite dr 3 rim 10000
resep 3 bk 6000
tanda terima 3 bk 10000
tanda terima 3 bk 10000
21\3\2016 resep 3 bk 6000
5\3\2016 from serah terima pasien 100 lembar 140
from persetujuan tindakan medis 100 lembar 140
from pengajian keperawatan 100 lembar 140
7\3\2016 resep 1 bk 6000
daftar vist dan konsul doktr 1 bk 10000
catatan perkembangan 30 lembar 120
4\3\2016 catatan perkembangan 50 lembar 120
from laboratorium 30 lembar 140
resep 5 bk 6000
visit dr 2 bk 10000
7\3\2016 resep 2 bk 6000
7\3\2016 catatan perkembangan 50 lembar 120

11\3\2016 resep 2 bk 6000


from laboratorium 50 lembar 140
surat terima pasien 50 lembar 140
8\3\2016 persetujuan tindaka medis 30 lembar 140
ceklis pasien pulang 30 lembar 120
pembangngan daftar bayi 30 lembar 140
akrilik bayi 30 lembar
buku catatan kesehatan ibu bayi 30 bk 4250
11\3\2016 from laboratorium 20 lembar 140
daftar vist dan konsul doktr 3 bk 10000
resep 4 bk 6000
surat kontol 3 bk
from implementasi 100 lembar 140
14\3\2016 from laboratorium 30 lembar 140
surat keteranngan sakit 1 buku 10000
surat keteranngan sehat 1 buku 8000
daftar vist dan konsul doktr 1 buku 10000
resep dr 2 buku 6000
from catatan perkembangan 30 lembar 120

serah terima 50 lembar 140


14\3\16 from implementasi 150 lembar 140
rencana asuhan keper 20 lembar 120
14\3\2016 resep 3 bk 6000
from lab 50 lembar 140
implementasi 12 lembar 140
14\3\2016 lembar polikinik 1 rim 20000

fomulir visit 1 bk 10000


reep 2 bk 6000
15\3\2016 from pengajian ri 30 lembar 140
ceklis pasien pulang 30 lembar 3600120
daftar vist dan konsul doktr 1 bk 10000
resep 2 bk 6000
rencana asuhan keper 50 lembar 120
surat keterangngan rawt inap 50 lembar 140
15\3\2016 resep dr 3 bk 6000
22\3\2016 daftar vist dan konsul doktr 3 bk 10000
resep dr 2 bk 6000
from laboratorium 20 lembar 140
22\3\16 bukucatatan kesehatan 100 lembar 5000
map mcu warna biru 10 buah
21\3\16 resep 5 bk 6000

from lab 100 lembar 140


from serah terima pasien 50 lembar 140
from pengajian keperawatan 100 lembar 120
from persetujuan tindakan medis 100 lembar 120

TOTAL

Data Pemakaian / Pengambilan Formulir / Cetakan


BULAN APRIL 2016
BULAN APRIL 2016

NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA


1 1\4\2016 BUKTI PERMINTAAN BARANG 1 BK 15000

2 1/4/2016 COPY RESEP 6 BK 6000

3 4/4/2016 RESEO OBAT 5 BK 6000


FROM LABORATORIUM 20 LEMBAR 140
SURAT CONTROL 2 BK 9000
BUKTI PERMINTAAN BARANG 2 BK 15000

4 4/4/2016 RESP DR 5 BK 6000


FROM LABORATORIUM 50 LEMBAR 140
FROM PENGANTAR RAWAT INAP 100 LEMBAR 140

5 4/4/2016 FROM PENDAFTARAN 1 RIM 70000


SURAT KONTROL 1 BK 9000

6 5/4/2016 FROM PERMINTAAN BARANG 1 BK 15000


7 5\4\2016 RESUM 3 BK 20000

8 6\4206 from leb 20 lembar 140

9 6/4/2016 CATATAN PERKEMBANGNGAN 1 RIM 70000

10 6/4/2016 DAFTAR VISIT DAN KONSUL DR 1 BK 10000


FROM LABORATURIUM 30 LEMBAR 140
RESEP 1 BK 6000
SURAT KONTROL 1 BK 9000
BUKTI PERMINTAA BARANG 1 BK 15000

11 7/4/2016 SURAT PERSETUJUAN TAMPA JANINAN 2 BK 20000

12 7/4/2016 RESEP 2 BK 6000

13 8/4/2016 PERMITAAN pemeriksaan leb 100 lemar 140


PERMINTAA RAWAT INAP 50 LEMBAR 120
Surat pernyataan tindakan medis 50 lembar 120
Resep 5 bk 6000

14 11/4/2016 BUKU catatan kesehatan 40 lembar 140


kartu identitas bayi 30 bk 10000

15 11/4/2016 RESEP 3 BK 6000


IMLEMENTASI 50 LEMBAR 140
REKOMENDASI PULANG 2 BK 7000
SURAT KONTROL 2 BK 9000

16 12/3/2016 RESEP 5 BK 6000


SURAT KONTROL 3 BK 9000
SURAT KETERANGAN RAWAT INAP 30 LEMBAR 140
FROM LABORATURIM 30 LEMBAR 140
DAFTAR VISIT & KONSUL 5 BK 10000
FROM REKOMENDASI 2 BK 7000
17 14/ 4 2016 FROM POLIKLINIK 1 RIM 70000
FROM RESUM 2 BK 20000

14/4/2016 Catatan perkerbangann 30 LEMBAR 120

19 14/4/2016 CATATAN PERKEMBANGAN 60 LEMBAR 120


PERSETUJUAN TINDAKAN 30 LEMBAR 140
LEB 30 LEMBAR 140
SURAT RAWAT INAP 30 LEMBAR 120
RESEP 1 BK 6000
DAFTAR VISIT DR 1 BK 10000
20 7/4/2016 RESEP 10 BK 6000

21 18/4/2016 LEMBAR POLIKLINIK 2 RIM 70000


PERSETUJUAN TINDAKAN TANPA JAMIN 2 rim 20000

22 19/4/2016 SERAH TERIMA PASIEN 100 LEMBAR 140


RESEP DR 2 BK 6000

23 18/4/2016 RESEP 5 BK 6000


DAFTAR VISIT DAN CONTROL 5 BK 10000
FROM LABORATORIUM 30 LEMBAR 140
FROM PERSETUJUAN 30 LEMBAR 140
FROM KETERANGNGAN RAWAT INAP 20 LEMBAR 120

24 18/4/2016 FROM LAB 30 LEMBAR 140


CATATAN PERKEMBANGAN PERAWAT 30 LEMBAR 120
CATATAN PERKEMBANGNGAN DOKTER 30 LEMBAR 120
PERSETUJUAN TINDAKAN MEDIS 30 LEMBAR 140
REKOMENDASI PASIEIN PULANG 1 BK 10000
DAFTAR VISIT DR 1 BK 10000
RESEP 1 BK 6000
SURAT CONTROL 1 BK 10000

25 18/4/2016 RESEP 2 BK 6000


IMLEMENTASI 50 LEMBAR 120
SURAT KETERANGAN RAWAT INAP 20 LEMBAR 140
TINDAKAN RAWAT MEDIS 20 LEMBAR 140

26 20/4/2016 FROM CATATAN PERKEMBANGAN 100 LEMBAR 120

27 22/4/2016 FROM PENDAFTARAN 1 RIM 70000


27
28 23/4/2016 FROM LABORATORIUM 100 LEM BAR 140

29 25/4/2016 RESEP 5 BK 7000


CATATAN PERKEMBANGAN 200 LEMBAR 120
FROM REKOMENDASI 3 BK 10000
FROM SURAT CONTROL 3 BK 10000

30 25/4/2016 RESEP 2 BK 7000


FOMULIR PEMAKAIAN ALAT KESEHATAN 2 BK 10000

31 25/4/2016 BUKTI PENERIMAA BARANG 1 BK 10000

32 26/4/2016 DAFTAR VISIT DR DAN KONSUL 2 BK 10000


RESEP 2 BK 6000
FROM PEMAKAIN BNP 2 BK 20000
PERSETUJUAN TINDAKAN MEDIS 60 LEMBAR 140
PERMINTAA RAWAT INAP 60 LEMBAR 140

26/ 4 /2016 RESEP 3 BK 7000


FROM ROUTGEN 30 LEMBAR 140
CATATAN PERKEMBANGAN DOKTER 30 LEMBAR 140
RENCANA ASUHAN KEPERAWATAN 30 LEMBAR 140
PENGKAJIAN PERWAT DEWASA 30 LEMBAR 140
DAFTAR KONTROL ISTIMEWAH 50 LEMBAR 120
28/4/2016 FROM LEB 100 LEMBAR 140

29/4/2016 FROM HARIAN KLINIK 6 BK 20000


RESEP 10 BK 7000
FROM SURAT KETEANGAN SAKIT 2 BK 10000

29/4/2016 FOMULIR PEMBERIAN THERAPI 1 RIM 70000


FOM RESUM 2 BK 1000

Data Pemakaian / Pengambilan Formulir / Ceta


BULAN MEI 2016
NO TANGGAL NAMA BARANG JUMLAH SATUAN HARGA
1 2/5/2016 PERSETUJUAN ANASTESI 20 LEMBAR 140
IMLEMENTASI 50 LEMBAR 120
RESEP 4 BK 7000
FROM ,EB 40 LEMBAR 140

2 2/5/2016 CEKLIS PASEN PULANG 30 LEMBAR 120


PERSETUJUAN TINDAKAN MEDIS 30 LEMBAR 140
BUKU CATATAN KESEHATAN IBU 37 BK 5000
BUKU CATATAN KESEHATAN ANAK 37 BK 4250

3 2/5/2016 RESEP DR 5 BK 7000


FROM SERAH TERIMA PASIEN 100 LEMBAR 140
FROM PENGKAJIAN KEPERAWATAN 100 LEMBAR 140
FROM PERSETUJUAN TINDAKAN MEDIS 100 LEMBAR 120

4 9/5/2016 BUKU PERMINTAAN BARANG 2 BK 15000

5 9/5/2016 FROM HASIL EKG /CTG 40 LERBAR 1000


FROM LEB 500 LEMBAR 140
FROM KETERANGAN SAKIT 4 BK 10000
FROM PERMINTAAN RAWAT INAP 30 LEMBAR 120
FROM PENOLAKAN RAWAT INAP 200 LEMBAR 120
FROM SERAH TERIMA PASIEN 200 LEMBAR 140
FROM PENGKAJIAN KEPERAWATAN 200 LEMBAR 140
FROM PERSETUJUAN TINDAKAN MEDIS 50 LEMBAR 140
RESEP UMUM 6 BK 7000

6 9/5/2016 RESEP 3 BK 7000


SURAT KONTROL 3 BK 10000
SURAT PENOLAKAN TINDAKAN MEDIS 20 LEM BAR 140
RENCANA ASUHAN KEPERAWATAN 20 LEM BAR 120
DATA INDETITAS 30 LEM BAR
CATATAN DR 50 LEM BAR 140

7 9/5/2016 CATATAN PERKEMBANGAN PERAWAT 30 LEMBAR 120


DAFTAR VISIT &KONSUL DR 2 BK 10000
CEKLIS PASEN PULANG 30 LEMBAR 120

9/5/2016 RESEP 3 BK 7000


FROM PERKEMBANGAN 50 LEM BAR 120
SURAT REKOMENDASI 3 BK 10000
DAFRTAR VISI &KONSUL DR 3 BK 10000
FROM LEB 20 LEM BAR 140

8 9/5/2016 CATATAN PERAWAT 40 LEMBAR 120


RESEP 3 BK 7000
FROM LEB 20 LEMBAR 140
FROM RONGSEN 20 LEMBAR 140
VISIT DR 2 BK 10000
DAFTAR CNTROL ISTIMEWA 50 LEMBAR 120

9 9/5/2016 COPY RESEP 5 PAK 7000

10 9/5/2016 PERMINTAAN LABORATORIUM 100 LEMBAR 140


PERMINTAAN RAWATINAP 100 LEMBAR 120

11 12/5/2016 MAP SETATUS 100 LEMBAR 65000

12 14/5/2016 RESEP DR 5 BK 7000


SURAT KETERANGAN SAKIT 2 BK 10000
SURAT KETERANGAN SEHAT 2 BK 10000
SERAH TERIMA FASEN 100 LEMBAR 120
PERSETUJUAN TINDAKAN MEDIS 100 LEMBAR 140
PENGKAJIAN KEPERAWATAN 100 LEMBAR 140

13 14/5/2016 RESEP 2 BK 7000


14 16/5/2015 RESEP 2 BK 7000
FROM LAB 45 LEMBAR 140
CATATAN PERKEMBANGAN 50 LERBAR 120

15 16/5/2016 CATATAN PERKEMBANGAN /IMLEMEN TA 100 LEMBAR 120


RESEP DOKTER 10 BK 7000

16 16/5/2016 KERTAS PRINTER KECIL 3 RANGKAP 20 PCS

17 16/5/2016 POMULIR PERMINTAAN BARANG 2 BK 10000


RESEP 3 BK 7000

18 17/5/2016 KARTU NAMA 1 BOK


PAPAN NAMA 1 BUAH

19 18/5/2016 CTG USG.FOMULIR 1 RIM 70000


DPJP 1 RIM 70000

20 21/5/2016 FROM LABORATORIUM 50 LEMBAR 140


FROM RADIOLOGI 50 LEMBAR 140
DAFTAR VISIT DOKTER 2 BK 10000

21 20/5/21016 IMLEMENTASI 50 LEMBAR 140


RESEP 3 BK 7000
FROM LAB 40 LEMBAR 140
FROM PERMOHONAN PINDAH KELAS 30 LEMBAR 140
FROM SURAT KETERANGAN RAWAT INA 30 LEMBAR 140

22 19/5/2016 RESEP UMUM 10 BK 7000

23 23/5/2016 BUKU PERMINTAAN BARANG 1 BK 10000


SURAT KET PELAYANAN MEDIS 1 RIM 70000

24 23/5/2016 TANDA TERIMA 2 BK 10000

25 24/5/2016 MAP SETATUS 100 PCS 65000

26 23/5/2016 IMPLENTASI 200 LEMBAR 140


FROM LAB 50 LEMBAR 140
RESEP DR 3 BK 7000
DAFTAR VISIT & CONSUL DR 1 BK 10000

27 24/5/2016 DATA MEDIS 1 RIM 70,000

28 26/5/2016 CATATATAN PERKEMBABNGAN 100 LEMBAR 140


ASUHAN KEPERAWATAN 100 LEMBAR 140
CEKLIS PULANG 50 LEMBAR 140
CATATATAN DR 50 LEMBAR 140
IDENTITAS 50 LEMBAR 140

29 26/5/2016 HP 1 BUAH 25000

30 31/52016 RESEP 2 BK 7000


FROM DAFTAR V ISIT +KONSUL 2 BK 10000

31 31/5/2016 CATATAN PERKEMBANGAN 60 LEMBAR 140


RESEP 2 BK 7000
DAFTAR VISIT DAN CONSUL DR 2 BK 10000
BUKU IBU 30 BK 10000
BUKU BAYI 30 BK 4250

32 31/5/2016 RESEP DR 3 BK 7000


FROM PERSETUJUAN TINDKAN MEDIS 50 LEMBAR 140
SERAH TERIMA PASIEN 50 LEMBAR 140

Data Pemakaian / Pengambilan Formulir / Cetakan


Bulan Januari 2016

No Tanggal Nama Barang Jumlah Satuan Harga


1 1/6/2016 BUKTI PERMINTAAN BARANG 1 BK 10000

2 1/6/2016 RESEP DOKTER 3 BK 7000


DAFTAR VISIT & CONSUL DR 3 BK 10,000
CATATAN PERKEMBABGAN/IMLEMENTAS 150 EMBAR 140

3 1/6/2016 FROM LAB 1 RIM 70,000


FROM PERMINTAAN BARANG 1 BK 10,000

4 1/6/2016 KERTAS 3 PRIN RANGKAP 30 BINDEL KASIH

5 3/6/2016 RESUM MEDIS 1 BK 10000

6 2/6/2016 KERTAS STRUK 3 RANGKAP 30 BINDEL KASIH


KERTAS ETIKET PRIN 1 BGULUNG

7 3/6/2016 RENACANA ASUHAN KEPERAWTAA 50 LEMBAR 140


IMLEMENTASI 50 LEMBAR 140
RESEP 2 BK 7000

8 6/6/2016 FROM PENGKAJIAN KEPERAWATAN 1 RIM 70,000

9 6/6/2016 CATATAN PERKEMBANGAN 40 LEMBAR 140

10 6/6/2016 IMPLEMENTASI 100 LEMBAR 140


RESEP DR 2 BK 7000
DAFTAR VISIT DAN KONSUL DR 3 BK 10,000

11 6/6/2016 RESEP 10 BK 7000


12 7/6/2016 BUKU PERMINTAAN BARANG 1 BK 10,000

13 7/6/2016 SERAH TERIMA PASIEN 1 RIM 70,000

14 8/6/2016 MAP PASIEN 200 LEMBAR 3,000


PERSETUJUAN TATA LAKSANA RI 1 RIM 70,000
PULANG ATAS PERMINTAAN SENDIRI 1 RIM 70,000
GENERAL CONSER 1 RIM 70,000

15 7/6/2016 CLIP KECIL N0 155 2 PAK 9,500

16 7/6/2016 LEMBAR CONTROL ISTIMEWAH 50 LEMBAR 140


FROM PERSETUJUAN MEDIS 50 LEMBAR 140
CATATSN DR 20 LEMBAR 140
RESEP 3 BK 7000
IMLEMENTASI 50 LEMBAR 140
BUKU PERMINTAAN BARANG 2 BK 10,000
SURAT KETERANGAN RAWAT INAP 15 LEMBAR 140
17 9/6/2016 FROM PELAYANAAN MEDIS 1 RIM 70000
FROM HAK DAN KEWJIBAN 3 BK 10,000

18 10/6/2016 RESEP DR 6 BK 7000


FROM LEB 50 LEMAR 140
SURAT KONTROL 5 BK 10000

19 11/6/2016 LAPORAN HARIAN POLIKINIK 1 BK 20,000

20 13/6/2016 CATATAN PERKEMBANGAN 100 LEMBAR 140

21 13/6/2016 FROM LAPOORAN HARIAN 6 BK 20,000


FROM PERMINTAA RAWAT INAP 2 RIM 70,000

22 14/6/2016 KERTAS LABEL NAMAPX 2 ROL


CM 023 30 LEMBAR 140
23 CM 23A 30 LEMBAR 140
CM 22 30 LEMBAR 140
CM 022A 30 LEMBAR 140

24 15/6/2016 IMLEMENTASI 100 LEMBAR 140


RESEP DR 3 BK 7000
FROM LABORATORIUM 20 LEMBAR 140

25 16/6/2016 FOMULIR PENOLAKAN TINDAKAN KEDO 50 LEMBAR 140


FOMULIRPERSETUJUAN TINDAKAN KED 50 LEMBAR 140

26 16/6/2016 RESEP 2 BK 7000

27 16/6/2016 KERTAS A4 2 RIM 28,000

28 16/6/2016 PERSETUJUAN TINDAKAN MEDIS 60 LEMBAR 140


RESEP 1 BK 7000
DAFTAR VISIT DAN CONSUL DR 2 BK 10000
CATATAN PERKEMBANGAN 60 LEMBAR 140
DPJP 60 LEMBAR 140
BUKU CATATAN IBU 30 BK 10000
BUKU CATATANBAYI 30 BK 4250

29 20/6/2016 FROM LABORATORIUM 20 LEMBAR 140


CATATAN PERKEMBANGAN 50 LEMBAR 140
RESEP 5 BK 7000
AMLOP KECIL 1 PAK 12000
FROM PENOLAKAN 20 LEMBAR 140
FROM CATATAN DR 10 LEMBAR 140

30 20/6/2016 FROM PERMINTAAN BARANG 2 BK 10000

31 21/6/2016 FOMULIR PELAYANAN MEDIS 1 RIM 70,000


CATATAN PERKEMBANGAN DR 1 RIM 70,000
FROM PEMBERIAN TERAPI 1 RIM 70,000
FROM DATA MEDIS 1 RIM 70,000

32 24/6/2016 SURAT REKOMENDASI PULANG 3 BK 10000


PEMBERIAN TERAPI 100 LEMBAR 140

33 24/6/2016 STATUS RM 100 LEMAR 3000

34 22/6/2016 SURAT PERSETUJUAN TINDAKAN MEDIS 2 RIM 70,000

35 23/6/2016 TANDA TERIMA 5 BK 10000

36 27/6/2016 BUKTI BON SEMENTARA 3 BK 10000

37 30/6/2016 IMPLEMENTASI 100 LEMBAR 140


DAFTAR CONTROL ISTIMEWAH 100 LEMBAR 140
FROM LAB 50 LEMBAR 140
CATATAN DR 50 LEMBAR 140
SENSUS PASIEN 2 BK 20000
RESEP 3 BK 7000
SURAT KONTROL 2 BK 10000

38 30/6/2016 CATATAN PERKERMBANGAN 60 LEMBAR 140


PERSETUJUAN ANATESI 60 LEMBAR 140
RESP 3 BK 7000
CEKLIS PULANG 60 LEMBAR 140

Data Pemakaian / Pengambilan Formulir / Cetakan


BULAN JULI 2016

No Tanggal Nama Barang Jumlah Satuan Harga


1 4/7/2016 FROM HIJAU HASIL EKG 20 LEMBAR 500
RESEP 10 BK 7000
BUKU KESEHATAN IBU 50 BK 10000
B UKU KESEHATAN BAYI 50 BK 4250
FROM PELAYANAN MEDIS 1 RIM 70000

2 4/7/2016 RESUM MEDIS 4 RIM 70,000


PELAYANAN MEDIS 1 RIM 70000

3 15/7/2016 PROM LEB 100 LEMBAR 140

4 16/7/2016 LAPORAN HARIAN POLI KLINIK 10 BK 40000

5 18/7/2016 RESEP 3 BK 7000


FROM TINDAKAN VISIT 2 BK 10000

6 19/7/2016 RESEP 3 BK 7000


FROM LEB 20 LEMBAR 140

7 20/7/2016 RESEP DR 7 BK 7000

8 21/7/2016 FROM SERAH TERIMA 20 LEMBAR 140


FROM PERSETUJUAN TINDAKAN MEDIS 30 LEMBAR 140
SURAT RUJUKAN 4 BK 10000
RESEP 10 BK 7000
9 22/7/2016 TANDA TERIMA 4 BK 7000

10 24/7/2016 COPY RESEP 3 BK 7000


RESEP 1 bk 7000

11 25/7/2016 FROM PEMERIKSA LEB 100 LEMBAR 140


DATA MEDIS PASIEN 1 RIM 70000

12 28/7/2016 HAK DAN KEWAJIBAN 3 BK 10000


PERSETUJUAN JAMINAN RAWAT INA 1 RIM 70,000
GENERAL CONSET 1 RIM 70000

13 28/6/2016 KARTU BAYI 60 BK 4250

Data Pemakaian / Pengambilan Formulir / Cetakan


BULAN AGUSTUS 2016

No Tanggal Nama Barang Jumlah Satuan Harga


1 1/8/2016 CATATAN DOKTER 50 LEMBAR 140
CATATAN PERKEMBANGAN 50 LEMBAR 140
IDENTITAS 50 LEMBAR 140
RENCANA ASUHAN 50 LEMBAR 140
LEMBAR POLIKLINIK 1 RIM 70000

2 1/8/2016 IMLEMENTASI 50 LEMBAR 140


RENCANA ASKEP 50 LEMBAR 140
FROM LAB 50 LEMBAR 140
DAFTAR CONTROL ISTIMEWAH 50 LEMBAR 140
VISIT DR 2 BK 10000
SERAH TERIMA PASIEN 50 LEMBAR 140
SURAT KET RAWAT INAP 50 LEMBAR 140
SURAT KET PINDAH KELAS 50 LEMBAR 140
FROM SURAT CONTROL 2 BK 10000
RESEP 2 BK 7000

3 1/8/2016 RESEP 3 BK 7000

4 1/8/2016 CATATAN PERKEMBANGAN 1 RIM 70000


FROM LEB 50 LEMBAR 140
RESEP 5 BK 7000

5 2/8/2016 COPY RESEP 7 BK 7000

6 5/8/2016 SURAT CONTROL 2 BK 10000


KMS IBU 40 BK 10000
KMS BAYI 40 BK 4250
PERMINTAAN RAWAT INAP 60 LEMBAR 140
PERSETUJUAN TINDAKAN 60 LEMBAR 140
PERSETUJAUAN ANATESI 60 LEMBAR 140
CATATAN KEPERAWATAN 60 LEMBAR 140
PAPAN NAMA BAYI

7 8/8/2016 LEMBAR CTG 1 RIM 70000


RESUM MEDIS 2 BK
DAFTAR CONTROL 1 RIM 70000
PELAYANANA MEDIS 1 RIM 70000
MAP STATUS 100 LEMBAR 3000

8 4/8/2016 FROM PERSETUJUAAN ANATESI 100 LEMBAR 140


FROM SERAH TERIMA PASIEN 1 RIM 70000
FROM RUJUKAN 4 BK 10000

9 2/8/2016 RESEP 5 BK 7000


LEMBAR POLI KLINIK 1 RIM 70000

10 11/8/2016 RESEP 5 BUAH 7000


RENCANA ASUHAN 20 LEMBAR 140
INDENTITAS 60 LEMBAR 140

11 11/8/2016 LEMBAR POLIKLINIK 1 RM 70000

12 18/8/2016 copy resep 2 bk 7000

13 18/8/20-16 resap 6 bk 7000

14 18/8/2016 resep 4 bk 7000


visit dr 1 bk 10000
surat keterangan sakit 4 bk 10000
15 18/8/2016 resep 10 bk 7000

19/8/21016 from permintaan rawat inap 1 rim 70000


12 data medis 1 rim 70000

13 19/8/2016 hak dan kewjiban 1 rim 70000

14 25/8/2016 FROM LAB 50 LEMBAR 140


RESEP 3 BK 7000
IMLEMENTASI 40 LEMBAR 140
BUKTI VISIT DR 2 BK 10000
REKOMENDASI PLUANG 2 BK 7000
SURAT CONTROL 2 BK 10000

15 25/8/2016 CANDOK 60 LEMBAR 140

16 25/8/2016 FORMULIR PASIEN BARU 1 RIM 70000


FOM HAK DAN KEWAJIBAN 2 BK 40000
TINDAKAN TANPA JAMINAN 2 BK 40000

17 24/8/2016 FROM LABORATORIUM 60 LEMBAR 140


BUKU PERMINTAAN BARANG 1 BK 15,000

18 23/8/2016 CATATAN PERKEMBANGAN 60 LEMBAR 140


BUKU PERMINTAA BARANG 1 BK 15000
PERSETUJUAN TINDAKAN MEDIS 1 RIM 70,000
RESEP 2 BK 7000
DAFTAR VISIT DAN COSUL DR 2 BK 1000

19 258/2016 SENSUS HARIAN POLIKLINIK 3 BK 40000

20 28/8/2016 LEMBAR DBP 1 RIM 70000


RESUM RAWAT INAP 3 BK
PELAYANAN MEDIS 1 RIM 70000

21 29/8/2016 LEMBAR POLIKLINIK 1 RIM 70000

22/ 30/8/2016 SURAT PERNYATAAN PERSETUJUAN 1 RIM 70000

23
Data Pemakaian / Pengambilan Formulir / Cetakan
BULAN SEPTEMBER 2016

No Tanggal Nama Barang Jumlah Satuan Harga


1 1/9/2016 PERMINTAAN LAB 1 RIM 70000

2 5/9/2016 CEKLIS PASIEN PULANG 30 LEMBAR 140


RESEP 3 BK 7000
REKOMENDASI PULANG 3 BK 10000

3 5/9/2016 GREAFIK 1 RIM 70000


RESUM MEDIS 2 BK 10000
LABEL 2G
KERTAS A4 1 RIM 28000
KERTAS PIAGAM 2 PAK 20000

4 6/9/2016 SURAT CONTROL 1 BK 10000


RESEP 5 BK 7000
CATATAN PERKEMBANGAN 150 LEMBAR 140
RESEP DR 5 BK 7000
5 FROM LEB 30 LEMBAR 140
SURAT KT RAWAT INAP 30 LEMBAR 140

6 14/6/2016 IMLEMENTASI 50 LEMBAR 140


RESEP 2 BK 7000

7 15/9/2016 RESUM MEDIS 2 BK 20000


FROM PEMBERIAN TERAPI 1 RIM 70000

8 15/9/2016 CEKLIS PULANG 100 LEMBAR 140


CAPER 100 LEMBAR 140

9 20/9/2016 COPY RESEP 6 BK 7000

10 21/9/2016 PELAYANAN MEDIS 1 RIM 70000

11 22/9/2016 PERMINTAAN BARANG 2 BK 10000

12 22/9/2016 BS 5 BK 7000

13 26/9/2016 FOMULIR PENDAFTARAN 1 RIM 70000


FOMULIR GENERAL CONSET 1 RIM 70000
SURAT PERSETUJUAN TINDAKAN TNPA 2 BK 20000
HAK& KEWAJIBAN 2 BK 20000
14 26/9/2016 CATATAN PERKEMBANGAN 1 RIM 70000
RESEP 4 BK 7000
FROM LAB 60 LEMBAR 140

15 26/9/2016 RESEP DR 6 BK 7000

17 26/9/2016 IMPLEMENTASI 1 RIM 70000


FROM LAB 60 LEMAR 140
PERSETUJUAN TINDAKAN MEDIS 60 LMBAR 140

18 29/9/2016 FROM LAPORAN HARIAN POLI 10 BK 40000


RESEP 10 BK 7000

29/9/2016 FROM PEMESANAN BARANG 2 BK 10000

Data Pemakaian / Pengambilan Formulir / Cetakan


BULAN OKTOBER 2016

No Tanggal Nama Barang Jumlah Satuan Harga


1 4/10/216 FROM PERMINTAAN BARANG 1 BK 10000

2 4/10/2016 RIWAYAT PERSALINAN 60 LEMBAR 140


PASIEN CEKLIS PULANG 60 LEMBAR 140
KMS IBU 40 BK 10000
BUKU BAYI 40 BK 4750
SURAT CONTROL 2 BK 10000
PAPAN NAMA BAYI 60 LEMBAR
DAFTAR VISIT & CONSUL 2 BK 15000
IMLEMENTASI 60 LEMBAR 140
RESEP 2 BK 7000
FROM LAB 60 LEMBAR 140
PERSETUJUAN TINDAKAN MEDIS 60 LEMBAR 140
DPJP 60 LEMBAR 140

3 4/10/2016 RESEP 6 BK 7000

4 10/10/2016 IMLEMENTASI 100 LEMBAR 140


DAFTAR CONTROL ISTIMEWAH 100 LEMBAR 140
RESEP 2 BK 7000
5 10/10/2016 RESEP 4 BK 7000

6 10/10/2016 LEMBAR POLI KLINIK 1 RIM 70000

7 12/10/2016 BUKU SENSUS HARIAN 3 VK

8 15/10/2016 RESEP 4 BK 7000


REKOMENDASI 2 BK 10000
SURAT KONTROL 2 BK 10000
LEMBAR VISIT 2 BK 10000
IMLEMENTASI 1 RIM 70000

9 20/10/2016 KERTAS BS 3 BK 10000

10 20/10/2016 KERTAS BS 2 BK 10000

11 20/10/2016 RESEP 6 BK 7000


REKOMENDASI 1 RIM 70000
SURAT KONTROR 2 BK 10000
LEMBAR VISIT &KONTROL 2 BK 10000

12 21/10/2016 RESEP 6 BK 7000


PERMINTAAN BARANG 1 BK 10000
DAFTAR VISIT DR 1 BK 10000

13 25/10/2016 SURAT PERSETUJUAN TINDAKAN TANPA 2 BK 20000


HAK DAN KEWAJIBAN 2 BK 20000

14 28/10/2016 IMLEMENTASI 1 RIM 70000


FROMLEB 1 RIM 70000

15 31/10/2016 SURAT KONTROL 3 BK 10000


RESEP 2 BK 7000
DAFTARVISIT DANCONTROL DOKTER 2 BK 10000
CEKLIS PASIEN PULAN 30 LEMBAR 140
DPJP 30 LEMBAR 140
IMLEMENTASI 1 RIM 70000
Data Pemakaian / Pengambilan Formulir / Cetakan
BULAN NOVEMBER 2016

No Tanggal Nama Barang Jumlah Satuan Harga


1 1/11/2016 RESEP 10 BK 7000

2 3/11/2016 SURAT KETERANGAN MEDIS 1 RIM 70000

3 6/11/2016 RESEP 4 BK 7000

4 7/11/2016 FORMULIR DPJP 2 RIM 70000

5 8/11/2016 IMLEMENTASI 1 RIM 70000


SURAT KONTROL 2 BK 10000

6 9/11/2016 EKG/CTG 1 RIM 70000

7 9/11/2016 SENSUS 1 BK 20000


PERSETUJUAN TINDAKAN ANATESI 1 RIM 70000
PERSETUJUAN TINDAKAN KEDOKTERAN 1 RIM 70000

8 15/11/2016 RESEP 3 BK 7000


CEKLIS PULANG 30 EMBAR 140
IMLEMENTASI 30 LEMBAR 140

9 15/11/2016 LAPORAN HARIAN 2 BK 40000

10 15/11/2016 RESEP 10 BK 7000


FROM TINDAKAN POLI KLINIK 1 RIM 70000
AMLOP KECIL 1 PAK 12000

11 15/11/2016 IMLEMENTASI 1 RIM 70000

12 15/11/2016 LEMBAR RESUM MEDIS 2 RIM 70000

13 15/11/2016 PERMINTAAN RAWAT INAP 50 LEMAR 140

14 21/11/2016 RESEP 5 BK 7000

15 22/11/2016 PENGKAJIAN KEPERAWATAN 1 RIM 70000

16 24/11/2016 RESEP 4 BK 7000


RUJUKAN 1 BK 10000
Data Pemakaian / Pengambilan Formulir / Cetakan
BULAN DESEMBER 2016

No Tanggal Nama Barang Jumlah Satuan Harga


1 2/12/2016 CATATAN PERKEMBANGAN 30 LEMBAR 140
CATATAN PERKEMBANGAN
PASIEN TERINTRIGRASI 30 LEMBAR 140
CATATAN BAYI BARU LAHIR 30 LEMBAR 140
RESEP 4 BK 7000

2 2/12/2016 CATATAN PERKEMBANGAN PA


SIEN TERINTEGRASI 30 LEMBAR 140
CATATAN PERKEMBANGAN PA 30 LEMBAR 140

3 2/12/2016 RESEP 6 BK 7000


SURAT KONTROL 1 BK 10000
SURAT PENELOKAN RAWAT 1 RIM 70000
INAP/MEDIS
RESEP 10 BK 7000
BUKU KESEHATAN IBU 100 BK 10000
BUKUKESHATAN BAYI 100 BUAH 4750
FROM LAB 1 RIM 70000

2/12/2016 PENDELEGASAN WEWENANG 1 BK 20000


4 RESEP 5 BK 7000
SERAH TERIMA PASIEN 1 RIM 70000

5 2/12/2016 COPI RESEP 3 BK 7000


5 BK PERMINTAAN BARANG 1 BK 10000

6 6/12/2016 LEMBAR POLI KLINIK 1 RIM 70000


SURAT PELAYANAN MEWDIS 1 RIM 70000
DATA MEDIS PASIEN 1 RIM 70000
CTG/ 1 RIM 70,000

7 6/12/2016 PROM CUTI 5 BK 10000

8 13/12/2016 IMLEMENTASI 1 RIM 70,000

9 13/12/2016 TANDA TERIMA 1 BK 7000


10 13/12/2016 FORM PERMINTAAN RAWT INAP 1 RIM 70000
SURAT KET SAKIT 3 BK 10000

11 16/12/2016 SENSUS PASIEN 1 BK 20000

12 21/12/2016 RESEP 15 BK 7000


BUKU KESEHATAN 100 BK 10000

13 21/12/2016 RESEP 3 BK 7000

14 21/12/2016 BUKU PANJANG 1 BK 12000


SURAT KONTROL 3 BK 10000
IMLEMENTASI 200 LEMBAR 140

15 21/12/2016 BS 3 BK 7000

16 21/12/2016 BUKU SENSUS PASIEN 1 BK 20000


RESEP 1 BK 7000

17 21/2016 LEMBAR EKG 40 LEMBAR 1500

18 21/12/2016 PERSETUJUAN TINDAKAN 60 LEMBAR 140


RESEP 2 BK 7000
19 21/12/2016 IMLEMENTASI 60 LEMBAR 140
DAFTR VIISIT &KONSUL 2 BK 10000
RESEP 6 PAK 7000

Data Pemakaian / Pengambilan Formulir / Cetakan


BULan january 2017

No Tanggal Nama Barang Jumlah Satuan


1 6/1/2017 CATATAN 2 RIM
GRAFIK VIT 2 RIM

2 6/1/2017 BUKU PER 1 BK

3 6/1/2017 RESEP 1 BK
RESEP 3 BK
4 13/1/2016 FROM TIND 10 BK
FROM TIN 10 BK
FROM SURT 4 BK
FROM HARI 1 BK

5 13/1/2017 DATA MEDI 1 RIM

6 13/1/2017 SALINAN R 1 RIM


CTG 1 RIM

7 20/1/2017 RESEP 3 BUKU


CPPT 60 LEMBAR

8 27/1/2017 SURAT CO 2 BUKU


RESEP 2 BUKU
SURAT KET 1 BUKU
CATATAN 100 LEMBAR
RENCANA 50 LEMBAR
LEMBAR P 50 LEMBAR

Data Pemakaian / Pengambilan Formulir / Cetakan


BULAN FEBUARY 2017

No Tanggal Nama Barang Jumlah Satuan Harga


1 3/2/2017 BON SEMENTARA 2 BK 10000

2 3/2/2017 RESEP 10 BK 7500


BUKU LAPORAN HARIAN 1 RIM 40000

3 6/2/2017 PERSETUJUAN ANATESI 60 LEMBAR 140


PERSETUJUAN TINDAKAN DR 60 LEMBAR 140
CPPT 60 LEMBAR 140
CATATAN IMLEMENTASI 60 LEMBAR 140
BUKU IBU 30 BUKU 10000
BUKU BAYI 30 BK 4000

4 7/2/2017 RESEP 4 BK 7500

5 7/2/2017 RESEP 5 BK 7500


6 10/2/2017 FROM LAB 60 LEMBAR 140
DAFTAR CONTROL ISTIME 60 LEMBAR 140
CPPT 60 LEMBAR 140
RENCANA ASKEP 60 LEMBAR 140

7 14/2/2017 TINDAKAN SPOG 8 BK 3750


TINDAKAN SPA 10 BK 3750

8 13/2/2017 KWTANSI MITRA 5 BK 10000

9 13/2/2017 TANDA TREIMA 2 BK 10000

10 15/2/2017 RESEP 2 BUKU 7500

11 15/2/2017 RESEP 4 BUKU 7500


RESEP 4 BUKU 7500
RESEP 4 BUKU 7500
RESEP 11 BUKU 7500

12 16/2/2017 CPPT 60 LEMBAR 140


PERSETUJUAN TINDAKAN 60 LEMBAR 140
IMLEMENTASI 60 LEMBAR 140
RESEP 2 BUKU 7500

13 17/2/2017 RESUM MEDIS ISI 5 5 BK 20000


MAP STATUS 1000 LEMBAR 3750
14 17/2/2017 TANDA TERIMA 3 BUKU 10000

15 18/2/2017 VISIT DOKTER 2 BUKU 10000


PASEN PULANG 2 BUKU 10000
IMLEMENTASI 1 RIM 70000

16 23/2/2017 FROM TINDAKAN DR SP.A 3 BK 3750


FROM TINDAKAN DR SP.OG 9 BK 3750
RESEP 6 BK 7500
FROM TINDAKAN POLI 1 RIM 70000

17 23/2/2017 RESUM MEDIS 5 BK 20000


PELAYANAN MEDIS 1 RIM 70000
LEMBAR POLI 1 RIM 70000
KARTU BEROBAT 500 PCS

18 27/2/2017 GAWAT DARURAT 1 RIM 70000


TINDAKAN 1 RIM 70,000
IMLEMENTASI 1 RIM 70000
RESEP 3 BK 7500
BUKU PERMINTAA BARANG 1 BK 10000
KARTU NAMA DR DEDI 2 BOX 40000
SALINAN RESEP 1 RIM 70000
CTG 1 RIM 70000

Data Pemakaian / Pengambilan Formulir / Cetakan


BULAN MARET 2017

No Tanggal Nama Barang Jumlah Satuan Harga


1 3/3/2017 RENCANA ASKEP 50 LEMBAR 140
CPPT 50 LEMBAR 140
RESEP 3 BK 7500

2 3/3/2017 RESEP 4 BK 7500


SURAT CONTROL 2 BK 10000
DR VISIT 2 BK 10000
CATATAN IMLEMENTASI 1 RIM 70000

3 4/3/2017 RESEP 10 BK 7500


SPA 10 BK 3750
SPOG 10 BK 3750

4 1/3/2017 BS 3 BK 7000

5 4/3/2017 ASUHAN KEP 1 RIM 70000


CATATAN MEDIS GAWAT 1 RIM 70000

6 4/3/2017 TANDA TERIMA 5 BK 7000

8 4/3/2017 RESEP 5 BK 7500


FOMULIR KESEHATAN 2 BK 40000
RESEP 4 BK 7500
FROM SERAH TERIMA 50 LEMBAR 140

7 9/3/2017 TANDA TERIMA 2 BK 10000


CPPT 1 RIM 70000

8 14/3/2017 IMLEMENTAS 50 LEMBAR 140


CPPT 50 LEMBAR 140
REKOMENDASI 1 BK 20000
VISIT DR 1 BK 20000
FROM LEB 50 LEMBAR 140
SKRI 50 LEMBAR 140
SURAT KONTROL 1 BK 20000
RENCANA ASUHAN 50 LEMBAR 140

9 14/3/2017 RESEP 10 BK 7500

10 17/3/2017 CATATAN PERSALINAN 100 LEMBAR 140


BAYI BARU LAHIR 100 LEMBAR 140
REKOMENDASI PULANG 2 BK 10000
SURAT KONTROL 2 BK 10000
RESEP 2 BK 7500
PERSETUJUAN TINDAKAN 100 LEMBAR 140
DAFTAR DAN VISIT DR 2W BK 10000
IMLEMENTASI 100 LEMBAR 140

11 21/3/2017 MAP STATUS 400 LEMBAR 3500

21/3/2017 LEMBAR KONTROL 100 LEMBAR 140


RESEP 3 BK 7500
IMLEMENTASI 100 LEMBAR 140
VIST DR 2 BK 10000
PERSETUJUAN TINDAKAN 100 LEMBAR 140
PESETUJUAN TRANFUSI 100 LEMBAR 140
PENOLAKAN 100 LEMBAR 140
BUKU PERMINTAAN BARANG 2 BK 10000
27/3/2017 IMLEMENTASI 100 LEMBAR 140
RESEP 3 BK 7500
DAFTAR VISIT 3 BK 10000
REKOMENDASI 2 BK 10000
RAWAT INAP 3 RIM 70000

27/3/2017 PERMINTAAN BARANG 2 BK 10000

27/3/2017 MAP TRANFARAN 2 PAK 35000

COPY RESEP 5 BK 7000


PERMINTAANBARANG 5 BK 10000
SALINAN RESEP 1 RIM 70000
CPPT 1 RIM 70000
IMLEMENTASI 1 RIM 70000
RESEP 5 BK 7000
SURAT CONTROL 2 BK 10000
PENGKAJIAN RAWAT INAP 3 RIM 70000
31/3/2017 BUKU TANPA JAMINAN 1 BK 40000

Data Pemakaian / Pengambilan Formulir / Cetakan


BULAN APRIL 2017

No Tanggal Nama Barang Jumlah Satuan Harga


1 4/4/2017 FOMULIR ALKES 2 BK 40000

2 4/4/2017 SURAT PERSETUJUAN TIN 2 BK 40000


DAKAN TANPA JAMINAN

3 7/4/2017 IMLEMENTASI 50 LEMBAR 140


RESEP 2 BK 7500

4 10/4/2017 SURAT SKIT 3 BK 10000


FOMULIR KELUHAN PELANG 50 LEMBAR 140

5 12/4/2017 BS 3 BK 7500

6 12/4/2017 BS 3 BK 7500

7 12/4/2017 IMLEMEMTASI 1 RIM 70000


RESEP 4 BK 7500
8 19/4/2017 CPPT 100 LEMBAR 140

EMBAR CONTROL ISTIMEWA 100 LEMBAR 140


RESEP 3 BK 7500
FROM LAB 100 LEMBAR 140

9 18/4/2017 RESUM 10 BK 20000


CPPT 1 RIM 70000
GRAFIK 1 RIM 70000
FROMUGD 1 RIM 70000
TINDAKAN TANPA JAMINAN 2 BK 20000

10 25/4/2017 GENRAL CONSET 1 RIM 70000


FOMULIR PASEN TERMINAL 1 RIM 70000
PENOLAKAN TINDAKAN
KEDOKTERAN 1 RIM 70000
PERSETUJUAN PEMBERIAN
TRANFUSI DARAH 1 RIM 70000
IMPORMASI PENUNDAAN
PELAYANAN 1 RIM 70000
SURAT PERMINTAAN SECOND
OPINION 1 RIM 70000
FORMULIR PENYIMPANAN
BARANG 1 RIM 70000
FORMULIR PERMINTAAN
PRIVASI 1 RIM 70000

PERMINTAAN PELAYANAN
KEROHANIAN 1 RIM 70000
FORMULIR PELAKSANA
PELAYANAN KEROHHANIAN 1 RIM 70000
FORMULIRKELUHAN PELANG
GAN 1 RIM 70000
CPPT 2 RIM 70000
MAP STATUS 1000 LEMBAR
PEMBERIAN TERAPI 1 RIM 70000
CTG/USG 1 RIM 70000

11 27/4/2017 RESEP 6 BK 7000

12 27/4/2017 IMLEMENTASI 100 LEMBAR 140


CPPT 100 LEMBAR 140
RESEP 3 BK 7000
SURAT CONTROL 2 BK 10000

Data Pemakaian / Pengambilan Formulir / Cetakan


BULAN MEI 2017

No Tanggal Nama Barang Jumlah Satuan Harga


) 2/5/2017 CEKLIS PULANG 100 LEMBAR 140
RESEEP 3 BK 7500

2 3/5/2017 PROM LEB 100 LEMBAR 140


RESEP 2 BK 7500

3 3/5/2017 RESEP 20 BK 7500


POM PENGKAJIAN 1 RIM 70000
RAWAT JALN 1 RIM 7000

4 3/5/2017 HAK DAN KEWAJIBAN 1 BK 40000


GENERAL CONSEN 1 BK 40000
SURAT PERSETUJUAN RAWAT
INAP 1 RIM 70000
RINGKASAN KELUAR 1 RIM 70000
POMULIR PENDAFTARAN
PASEN BARU 1 RIM 70000
JADWAL PRAKTEK DR 1 RIM 80000
DAFTRA PASEN BARU 1 RIM 70000

5 8/5/2017 KOP SURAT 1 RIM 60000


BUKU PERMINTAAN BRNG 3 BK 10000
TANDA TERIMA 2 BK 7000

6 13/5/2017 HASIL PEMERIKASAAN CTG 1 RIM 70000


BUKU PERMINTAAN BRNG 1 BK 10000

7 15/5/2017 HAK DAN KEWAJIBAN 1 BK 40000


CPPT 2 RIM 70000
DISCHARGE PLNING 2 RIM 70000
PM 2 RIM 70000

8 15/5/2017 RESEP 3 BK 7500


RESEP 10 BK 7500

8 22/5/2017 HAK DAN KEWAJIBAN 2 BK 40000


SURAT PESERTUJUAN TIN
DKA TANPA JAMINAN 1 BK 40000

9 22/5/2017 CPPT 100 LEMBAR 140


LEMBAR VISIT DR 2 BK 10000
RESEP 3 BK 7500
REKOMEDSI PULNG 2 BK 10000

10 22/5/2017 PATUGRAF 100 LEMBAR 140


IMLEMENTASI 100 LEMBAR 140
PERSETUJUAN TINDAKAN
KEDOKTERAN 100 LEMBAR 140
PESETUJUAN PENGOBATAN 100 LEMBAR 140
PESETUJUAN ANATESI DAN
SEDASI 100 LEMBAR 140
POMULIR PEMBERIAN SUSU 100 LEMBAR 140

11 22/5/2017 SALINAN RESEP 1 RIM 70000


KOP SURAT 1 RIM 60000
CTG/EKG 1 RIM 70000

12 22/5/2017 CPPT 100 LEMBAR 140


RESEP 3 BK 7500
IMLEMENTASI 100 LEMBAR 140
SURAT CONTROL 2 BK 10000
ASEMEN RAWAT INAP 1 2 3 100 LEMBAR 140

13 24/5/2017 FROM CPPT 100 LEMBAR 140


IMLEMENTASI 100 LEMBAR 140
FROM RONGSEN 100 LEMBAR 140
FROM LEB 100 LEMBAR 140
TANDA TERIM 1 BK 7000

14 29/5/2017 CPPT 20 LEMBAR 140


IMLEMENTASI 20 LEMBAR 140
PENOLAKAN DR 20 LEMBAR 140

15 29/5/2017 CPPT 50 LEMBAR 140


IMLEMENTASI 50 LEMBAR 140
SURAT CONTROL 2 BK 10000
REKOMENDASI 2 BK 10000
VISIT DR 2 BK 10000

16 30/5/2017 RESEP 10 BK 7000


IMLEMENTASI 100 LEMBAR 140

17 30/5/2017 RESEP 8 BK 7000


FOM TINDAKAN SPA 10 BK 3500
FOM TINDAKAN SPOG 10 BK 3500
KARTU NAMA DR DEDI SPA 6 PAK 80000
KARTU NAMADR FREDI 4 PAK 80000

18 31/5/2017 BS 2 BK 7000
FROM PERSETUJUAN SUSU 50 LEMBAR 140
Data Pemakaian / Pengambilan Formulir / Cetakan
BULAN JUNI 2017

No Tanggal Nama Barang Jumlah Satuan Harga


1 1/6/2017 BS 2 BK 7000

2 1/JUNI 2017 PERSETUJUAN SUSU FORMLA 50 LEMBAR 140


RESEP 3 BK 7000
CPPT 50 LEMBAR 140
IMLEMENTASI 50 LEMBAR 140

3 2/JUNI/2017 RESEP 6 BK 7000


SENSUS PASIN RAWAT 1 BK 40000

4 5/6/2017 KWITANSI 3 BK 5000


BS 2 BK 7000
P BARANG 2 BK 10000

5 5/6/2017 BS 2 BK 7000

6 6/6/2017 LEMBAR PENGKAJIAN 1 RIM 70000


RESEP 20 BK 7000

7 7/6/2017 KARTU STOK 500 LEMBAR 1000


PLASTIK KLIP 3 PAK 8400

8 6/6/2017 SALINAN RESEP 1 RIM 70000


MAP STATUS 200 LEMBAR 3500

9 7/6/2017 PULPEN 3 BUAH 1416

10 7/6/2017 TANDA TERIMA 2 BUAH 7000

11 13/6/2017 FOM LEMBAR POLI 1 RIM 70000


FOM PESETUJUAN TINDAKAN 1 RIM 70000
ANATESI DAN SEDASI 1 RIM 70000

12 13/6/2017 IMLEMENTASI 50 LEMBAR 140


CPPT 50 LEMBAR 140
13 14/6/2017 CPPT 50 LEMBAR 140
RESEP 3 BK 7000
IMLEMENTASI 50 LEMBAR 140

14 15/6/2017 HAK DAN KEWAJIBAN 2 BK 20000


TINDAKAN TANPA JAMINAN 2 BK 20000
S PERMINTAAN RAWAT INAP 1 RIM 70000
S GENARAL CONSET 1 RIM 70000
PSIN BARU 1 RIM 70000
BUKTI PERMINTAAN BARANG 1 BK 10000

15 15/6/2017 CPPT 50 LEMBAR 140


IMLEMENTASI 50 LEMBAR 140
SURAT KETERANGAN RAWAT INAP 50 LEMBAR 140
VISIT DR 1 BK 10000

16 15/6/2017 CPPT 50 LEMBAR 140


IMLEMENTASI 50 LEMBAR 140
RESEP 3 BK 7000
VISI DR 1 BK 10000

17 20/6/2017 FROM CUTI 2 BK 10000


LABEL BIRU 5G

18 22/2/2017 CPPT 100 LEMBAR 140


IMLEMENTASI 100 LEMBAR 140
RENCANA KEPERAWATAN 100 LEMBAR 140
ASUHAN RAWAT INAP 1,2,3 150 LEMBAR 140

19 22/6/2017 RESEP 5 BK 7000


VISIT DR 2 BK 10000
SURAT CONTROL 2 BK 10000
RENCANA KEPERAWATAN 50 LEMBAR 140
PASIN BARU 50 LEMBAR 140
IMLEMENTASI 50 LEMBAR 140
CPPT 50 LEMBAR 140
DAFTAR CONTROL ISTIMEWAH 50 LEMBAR 140

20 22/3/2017 RESEP 10 BK 7000


TINDAKAN SPA 10 BK 3500
TINDAKAN SPOG 10 BK 3500
FROMLAB 1 RIM 70000
SURAT KONTROL 10 BK 7000

21 23/6/2017 PERSETUJUAN DR 100 LEMBAR 140


IMLEMENTASI 100 LEMBAR 140
RESEP 3 BK 7000
DAFTR VISIT DR 2 BK 10000
CPPT 100 LEMBAR 140
CATATAN PERSALINAN 100 LEMBAR 140
RIWAYAT PERSALINAN 100 LEMBAR 140
CATATAN BAYI BARU 100 LEMBAR 140
POTOGRAF 100 LEMBAR 140

22 23/6/2017 KARTU STOK 500 LEMBAR 500

23 23/6/2017 AMLOP MITRA 1 PAK 38000


Cetakan

Total Unit MEDIS UMUM


12,000 IGD 12,000.00

7,000 7,000.00
7,000 N.S Lt. 3 7,000.00
6,000 6,000.00

600,000 Medrek 600,000.00

2,800 Lab 2,800.00

85,000 VK 85,000.00
4,200 4,200.00

7,000 7,000.00
7,000 IGD 7,000.00
6,000 6,000.00

48,000 N.S Lt. 1 48,000.00

70,000 Medrek 70,000.00

7,000 7,000.00
N.S Lt. 3
7,000 7,000.00

18,000 18,000.00
3,600 3,600.00
12,000 NICU / HCU 12,000.00
7,000 7,000.00
4,200 4,200.00

4,200 4,200.00
3,600 3,600.00
VK
10,000 10,000.00
6,000 6,000.00

12,000 12,000.00
IGD
14,000 14,000.00

7,000 7,000.00
N.S Lt. 3
30,000 N.S Lt. 3 30,000.00
20,000 20,000.00

60,000 60,000.00
30,000 N.S Lt. 1 30,000.00
80,750 80,750.00

15,000 15,000.00
NICU / HCU
12,000 12,000.00

15,000 15,000.00
Radiologi

10,000 IGD 10,000.00

12,000 12,000.00
OKA
10,000 10,000.00

20,000 OKA 20,000.00

7,000 7,000.00
3,600 3,600.00
18,000 N.S Lt. 3 18,000.00
14,000 14,000.00
12,000 12,000.00

170,000 N.S Lt. 1 170,000.00

1,516,950 1,516,950.00

7,000
3,600
30,000 N.S Lt. 3
30,000 MEDIS UMUM
12,000 700,000.00

36,000 36,000.00
6,000 6,000.00
18,000 NICU / HCU 18,000.00
6,000 6,000.00
7,000 7,000.00

4,200.00
3,600.00
3,600.00
Total Unit 4,200.00
30,000 30000 6,000.00
7,000.00
9,000 9,000.00
18,000 18,000.00
150,000 150,000.00

15,000 Accounting 15,000.00

48,000 48,000.00
80,000 N.S Lt. 1 80,000.00
14,000 14,000.00

20,000 Apotek 20,000.00

7,000 7,000.00
7,000 N.S Lt. 3 7,000.00
6,000 6,000.00

12,000 12,000.00
14,000 IGD 14,000.00
7,000 7,000.00

70,000 70,000.00
15,000 15,000.00
OKA
10,000 10,000.00
12,000 12,000.00

7,000 7,000.00
IGD
6,000 6,000.00

70,000 Medrek 70,000.00

4,200 4,200.00
7,000 7,000.00
14,000 NICU / HCU 14,000.00
20,000 20,000.00
12,000 12,000.00

7,000 7,000.00
18,000 18,000.00
20,000 N.S Lt. 3 20,000.00
18,000 18,000.00
14,000 14,000.00

12,000 IGD 12,000.00


4,200 4,200.00
3,600 VK 3,600.00
10,000 10,000.00

48,000 48,000.00
14,000 14,000.00
14,000 N.S Lt. 1 14,000.00
40,000 40,000.00
16,000 16,000.00

7,000 7,000.00
2,800 N.S Lt. 3 2,800.00
12,000 12,000.00

15,000 Apotek 15,000.00

40,000 40,000.00
N.S Lt. 1
180,000 180,000.00

7,000 7,000.00
N.S Lt. 3
2,800 2,800.00

14,000 14,000.00
2,400 2,400.00
N.S Lt. 3
2,800 2,800.00
18,000 18,000.00

18,000 N.S Lt. 1 18,000.00

7,000 7,000.00
IGD
6,000 6,000.00

7,000 7,000.00
IGD
18,000 18,000.00

14,000 14,000.00
N.S Lt. 3
20,000 20,000.00

4,200 4,200.00
3,600 3,600.00
VK
10,000 10,000.00
3,600 3,600.00

40,000 Medrek 40,000.00

250,000 250,000.00
Radiologi
Radiologi
150,000 150,000.00

14,000 14,000.00
2,400 2,400.00
2,800 2,800.00
3,600 N.S Lt. 3 3,600.00
2,800 2,800.00
4,200 4,200.00
24,000 24,000.00

40,000 Apotek 40,000.00

24,000 24,000.00
NICU / HCU
4,200 4,200.00

7,000 7,000.00
IGD
3,600 3,600.00

18,000 18,000.00
N.S Lt. 3
30,000 30,000.00

14,000 14,000.00
N.S Lt. 1
1,200 1,200.00

7,000 7,000.00
14,000 14,000.00
12,000 12,000.00
10,000 IGD 10,000.00
8,000 8,000.00
7,000 7,000.00
7,000 7,000.00

14,000 14,000.00
2,400 N.S Lt. 3 2,400.00
12,000 12,000.00

50,000 Kasir 50,000.00

3,750,000 Medrek 3,750,000.00

3,600 3,600.00
7,000 N.S Lt. 3 7,000.00
12,000 12,000.00

12,000 IGD 12,000.00

18,000 N.S Lt. 1 18,000.00


2,800 2,800.00
N.S Lt. 3
7,000 7,000.00

30,000 30,000.00
Accounting
15,000 15,000.00

5,974,800 6,636,400.00 110,000.00

Cetakan

Total Unit Medis Umum

7,000.00 7,000.00
12,000.00 12,000.00
20,000.00 kasir 20,000.00
12,000.00 marketing 12,000.00
akunting

2,800.00 ranap3 2,800.00


2,800.00 ranap3 2,800.00
12,000.00 ranap3 12,000.00
18,000.00 igd 18,000.00
33,360.00 igd 33,360.00
6,000.00 vk 6,000.00
10,000.00 vk 10,000.00
4,200.00 vk 4,200.00
3,600.00 vk 3,600.00
3,600.00 vk 3,600.00
24,000.00 igd 24,000.00
6,000.00 igd 6,000.00
2,800.00 fo 2,800.00
fo
30,000.00 poliklinik 30,000.00
4,200.00 nicu 4,200.00
18,000.00 nicu 18,000.00
2,400.00 nicu 2,400.00
20,000.00 nicu 20,000.00
2,800.00 nicu 2,800.00

10,000.00 ranap 3 10,000.00


18,000.00 ranap 3 18,000.00
30,000.00 bu nevi 30,000.00
30,000.00 keuangngan 30,000.00
18,000.00 ranap 3 18,000.00
1,400.00 igd 1,400.00
1,400.00 igd 1,400.00
1,400.00 igd 1,400.00
6,000.00 vk 6,000.00
10,000.00 vk 10,000.00
3,600.00 vk 3,600.00
6,000.00 n-s ranap3 6,000.00
4,200.00 ranap 3 4,200.00
30,000.00 ranap3 30,000.00
20,000.00 ranap3 20,000.00
12,000.00 nicu 12,000.00
6,000.00 nicu 6,000.00

12,000.00 igd 12,000.00


7,000.00 igd 7,000.00
7,000.00 igd 7,000.00
4,200.00 4,200.00
3,600.00 3,600.00
4,200.00 4,200.00
vk
127,500.00 vk 127,500.00
2,800.00 2,800.00
30,000.00 30,000.00
24,000.00 24,000.00

14,000.00 ranap 3 14,000.00


4,200.00 4,200.00
10,000.00 10,000.00
8,000.00 8,000.00
10,000.00 10,000.00
12,000.00 12,000.00
3,600.00 3,600.00

7,000.00 igd 7,000.00


21,000.00 ranap 21,000.00
2,400.00 2,400.00
18,000.00 nicu 18,000.00
7,000.00 7,000.00
1,600.00 1,600.00
20,000.00 20,000.00

10,000.00 10,000.00
12,000.00 12,000.00
4,200.00 lt 2 vip 4,200.00
3,600.00 3,600.00
10,000.00 10,000.00
12,000.00 12,000.00
6,000.00 6,000.00
7,000.00 7,000.00
18,000.00 ranap3 18,000.00
30,000.00 ranap 3 30,000.00
12,000.00 12,000.00
2,800.00 2,800.00
500,000.00 p0liklinik 500,000.00

30,000.00 poliklinik 30,000.00

1,400.00 1,400.00
7,000.00 7,000.00
12,000.00 12,000.00
12,000.00 12,000.00

1,402,860.00 113,800.00

Formulir / Cetakan
016

TOTAL UNIT MEDIS UMUM


15000 KASIR 15000

36000 FARMASI 36000

30000 RANAP 3 30000


2800 2800
18000 18000
30000 30000

30000 IGD 30000


7000 7000
14000 14000

70000 70000
9000 9000

15000 SKERTARIS 15000


60000 MR 60000

2800 leb 2800

70000 70000

10000 VK 10000
4200 4200
6000 6000
9000 9000
15000 15000

40000 40000

12000 OK 12000

1400 IGD 1400


6000 6000
6000 6000
30000 30000

5600 5600
30000 30000

18000 NICU 18000


7000 7000
14000 14000
18000 18000

30000 RANAP3 30000


27000 27000
4200 4200
4200 4200
50000 50000
14000 14000
70000 KASIR 70000
40000 40000

3600 VIP LT 2 3600

7200 VK 7200
4200 4200
4200 4200
3600 3600
12000 12000
10000 10000
60000 POLI 60000

140000 MR 140000
40000 40000

1400 IGD 1400


12000 12000

30000 RANAP 3 30000


50000 50000
4200 4200
4200 4200
2400 2400

4200 VK 4200
3600 3600
3600 3600
4200 4200
10000 10000
10000 10000
6000 6000
10000 10000

12000 NICU 12000


6000 6000
2800 2800
2800 2800

12000 RANAP 3 12000

70000 FO /MR 70000

1400 POLI 1400

35000 RANAP 3 35000


24000 24000
30000 30000
30000 30000

14000 R OK 14000
20000 20000

10000 10000

20000 VK 20000
12000 12000
40000 40000
8400 8400
8400 8400

21000 NICU 21000


4200 4200
4200 4200
4200 VIP 4200
4200 4200
3600 NICU 3600
14000 RANAP 3 14000

120000 P0LI 120000


70000 70000
20000 20000
70000
70000 MR 20000
20000
.508.800

1.527.200

Pengambilan Formulir / Cetakan


ULAN MEI 2016
TOTAL UNIT MEDIS UMUM
2800 RANAP 3 2,800
6000 6,000
28,000 28,000
5600 5,600

3600 VK 3,600
4200 4,200
185,000 185,000
157,250 157,000

35,000 IGD 35,000


14,000 14,000
14,000 14,000
12,000 12,000

30,000 KASIR 30,000

40,000 POLIKLINIK 40,000


70,000 70,000
40,000 40,000
3600 3,600
24000 24,000
28,000 28,000
28,000 28,000
7000 7,000
42,000 42,000

21,000 VIP LANTAI 2 21,000


30,000 30,000
2800 2,800
2400 2,400

7000 7,000

3600 VK 3,600
20,000 20,000
3600 3,600

21000 RANAP 3 21,000


6000 6,000
30000 30,000
30000 30,000
2800 2,800

4800 NICU 4,800


21000 21,000
2800 2,800
2800 2,800
20000 20,000
6000 6,000

35000 FARMASI 35,000

14000 IGD 14,000


12000 12,000

130,000 MR 130,000

35000 1GD 35,000


20000 20,000
20000 20,000
12000 12,000
14000 14,000
14000 14,000

14000 RANAP 3 14,000


14000 VK 14,000
6300 6,300
6000 6,000

12000 RANAP 3 12,000


70,000 70,000

APOTEK

20000 VIP/RANAP 2 20,000


21000 21,000

40,000 P0LI 40,000


20000 20,000

70000 MR 70,000
70000 70,000

7000 IGD 7,000


7000 7,000
20000 20,000

7000 NICU 7,000


21000 21,000
5600 5,600
4200 4,200
4200 4,200

70000 POLI 70,000

10000 MR 10,000
70000 70,000

20000 MARKETING 20,000

130000 MR 130,000

2800 RANAP 3 2,800


7000 7,000
21000 21,000
10000 10,000

70,000 MR 70,000

14000 VIP/RANAP 2 14,000


14000 14,000
7000 7,000
7000 7,000
7000 7,000

25000 IT 25,000

14000 R OK 14,000
20000 20,000

8400 VK 8,400
14000 14,000
20000 20,000
300,000 300,000
127,500 127,500

21,000 IGD 21,000


7000 7,000
7,000 7,000 660000
2,126,400

Cetakan

Total Unit MEDIS UMUM


10,000 KEUANGNGAN 10,000

21,000 RANAP 3 21,000


30,000 30,000
21,000 21,000

70,000 POLI 70,000


10,000 10,000

APOTEK

10000 MR 10,000

APOTEK

7000 NICU 7,000


7000 7,000
14000 14,000

70,000 IGD 70,000

5600 VK 5,600

14,000 RANAP3 14,000


14000 14,000
30,000 30,000

70,000 POLI 70,000


10,000 KEUANGAN 10,000

70,000 IGD 70,000

600,000 MR 600,000
70,000 70,000
70,000 70,000
70,000 70,000

19,000 LEB 19,000

7000 NICU 7,000


7000 7,000
2800 2,800
21000 21,000
7000 7,000
10,000 10,000
2100 2,100
70000 MR 70,000
30000 30,000

42000 RANAP 3 42,000


7000 7,000
50,000 50,000

20,000 20,000

14,000 VIP 14,000

160,000 POLI 160,000


140,000 140,000

MR
4200 MR 4,200
4200 4,200
4200 4,200
4200 4,200

14000 RANAP 3 14,000


21000 21,000
2800 2,800

7000 IGD 7,000


7000 7,000

14000 RANAP 3 14,000

56,000 MARKETING 56,000

8400 VK 8,400
7000 7,000
20000 20,000
8400 8,400
84000 8,400
300,000 300,000
127500 127,500

2800 RANAP 3 2,800


7000 7,000
35000 35,000
12000 12,000
2800 2,800
1400 1,400

20,000 APOTEK 20,000

70,000 MR 70,000
70,000 70,000
70,000 70,000
70,000

30000 VIP 30,000


14000 14,000

300000 MR 300,000

140,000 MR 140,000

50,000 KASIR 50,000

30000 KEUANGAN 30,000

14000 NICU 14,000


14000 14,000 1,771,800
7000 7,000
7000 7,000
40,000 40,000
21000 21,000
20,000 20,000

8,400 VK 8,400
8400 8,400
21,000 21,000
8,400 8,400
1,773,200

Cetakan

Total Unit MEDIS UMUM


10,000 P0LI 10,000
70,000 70,000
50,000 50,000
42,500 42,500
70,000 70,000

280,000 MR 280,000
70,000 70,000

14,000 RANAP3 14,000

400,000 POLI 400,000

21000 NICU 21,000


20,000 20,000

21,000 RANAP 3 21,000


2,800 2,800

49,000 IGD 49,000

2,800 POLI 2,800


4200 4,200
40000 40,000
70,000 70,000
28000 MARKETING 887,300 28,000

21,000 FARMASI 21,000


7000 7000

IGD
70000 IG 70,000

30,000 FO 30,000
70,000 70,000
70,000 70,000

255,000 POLI 255,000


901,000

Cetakan

Total Unit MEDIS UMUM


7000 VIP[ LANTAI 2 7,000
7000 7,000
7000 7,000
7000 7,000
70,000 70,000

7000 NICU 7,000


7000 7,000
7000 7,000
7000 7,000
20000 20,000
7000 7,000
7000 7,000
7000 7,000
20000 20,000
14000 14,000

21000 IGD 21,000

70000 RANAP 3 70,000


7000 7,000
35000 35,000

49000 APOTEK 49,000

20,000 VK 20,000
400,000 400,000
170,000 170,000
8,400 8,400
8,400 8,400
8,400 8,400
8,400 8,400

70,000 MR 70,000

70000 70,000
70000 70,000
300000 300,000

14000 POLI 14,000


70000 70,000
40000 40,000

35000 RANAP 3 35,000


70000 70,000

35000 RANAP 3 35,000


2800 2,800
8400 8,400

70,000 MR 70,000

14000 farmasi 14,000

49,000 ranap 3 49,000

28,000 igd 28,000


10,000 10,000
40,000 40,000
7,000 poli 70,000

70,000 igd 70,000


70,000 70,000

70,000 mr 70,000

7,000 NICU 7,000


21,000 21,000
5,600 5,600
20,000 20,000
14,000 14,000
20,000 20,000

8,000 RANAP 3 8,000

70,000 MR 70,000
80,000 80,000
80,000 80,000

8,000 KASIR 8,000


15,000 10,000

8,000 VK 8,000
15,000 15,000
70,000 70,000
14,000 14,000
20,000 20,000

120,000 IGD 120,000

70,000 MR 70,000

70000 70,000

70000 MR 70,000

70000 POLI 70,000 1,031,000

2,122,400
Cetakan

Total Unit MEDIS UMUM


70000 1GD 70,000

4200 VK 4,200
21000 21,000
30,000 30,000

70000 MR 70,000
20,000 20,000

28000 28,000
40000 40,000

10000 RANAP 3 10,000


35,000 35,000
21,000 21,000
35,000 35,000
4,200 4,200
4,200 4,200

7,000 NICU 7,000


14,000 14,000

40,000 MR 40,000
70,000 70,000

14,000 VIP 14,000


14,000 14,000

42,000 IGD 42,000

70000 MR 70,000

20000 KEUANGAN 20,000

35000 KASR 35,000

70000 MR 70,000
70000 70,000
40,000 40,000
40000 40,000
70000 RANAP 3 70,000
28000 28,000
8400 8,400

42000 IGD 42,000

70000 RANAP 3 70,000


8400 8,400
8400 8,400

400000 POLI 400,000


70000 70,000

20,000 GIZI 20,000

Cetakan

Total Unit MEDIS UMUM


10000 IT 10,000

8400 VK 8,400
8400 8,400
400,000 400,000
190,000 190,000
20000 20,000

30,000 30,000
8,400 8,400
14,000 14,000
8,400 8,400
8,400 8,400
84,000 8,400

42,000 RANAP 3 42,000

14,000 NICU 14,000


14,000 14,000
14,000 14,000
28,000 RANAP 3 28,000

70,000 MR 70,000

28000 RANAP 3 28,000


20000 20,000
20000 20,000
20000 20,000
70000 70,000

30000 KEUANGAN 30,000

20000 KASIR 20,000

42000 RANAP 3 42,000


70000 70,000
20000 20,000
20,000 20,000

42000 IGD 42,000


10000 10,000
10000 10,000

40000 FO 40,000
40000 40,000

70000 RANAP 3 70,000


70000 70,000

30000 VK 30,000
14000 14,000
20000 20,000
42000 4,200
42000 42,000
70000 70,000
1,708,600 10,000
Cetakan

Total Unit MEDIS UMUM


7000 POLI 70,000

70000 MR 70,000

28000 RANAP 3 28,000

140000 MR 140,000

70000 RANAP 3 70,000


20,000 20,000

70,000 MR 70,000

20,000 RANAP 3 20,000


70,000 70,000
70,000 70,000

21,000 VIP 21,000


4,200 4,200
4,200 4,200

80,000 IGD 80,000

70,000 POLI 70,000


70000 70,000
12,000 12,000
0
70,000 RANAP 3 70,000

140,000 MR 140,000
0
7000 VK 7,000
420,000
35,000 RANAP 3 35,000

70000 IGD 70,000

28000 IGD 28,000


10000 10,000
829,400
Cetakan

Total Unit MEDIS UMUM


4200 VK 4,200

4,200 4,200
4,200 4,200
28000 28,000

4200 NICU 4,200


4200 4,200

42000 RANAP 3 42,000


10,000 10,000
70,000 POLI 70,000

70000 70,000
100,000 100,000
47,500 47,500
70,000 70,000

20,000 IGD 20,000


35,000 35,000
70,000 70,000

21,000 VIP 21,000


10,000 10,000

70,000 MR 70,000
70,000 70,000
70,000 70,000
70,000 70,000

50,000 HRD 50,000

70,000 RANAP 3 70,000

7000 KEUANGAN 7,000


70000 POLI 70,000
30,000 30,000

20000 RANAP 3 20,000

105000 P0LI 105,000


400000 400,000

21000 RANAP 3 21,000

12000 IGD 12,000


30,000 30,000
28,000 28,000

21000 OFFIS 21,000

20,000 NICU 20,000


7000 7,000

60,000 EDF 60,000

8400 VK 8,400
14,000 14,000 418,000
8400 8,400
20,000 20,000
28000 RANAP 3 28,000
1,506,300

Formulir / Cetakan
2017

Harga Total Unit MEDIS UMUM


70000 140000 MR 140,000
70000 140,000 140,000

10000 10000 IT 10,000

7000 7000 IGD 7000


7000 21000 RANAP 3 21,000
3750 37500 POLI 37,500
3750 37500 37,500
10000 40000 40,000
40000 40,000 40,000

70000 70,000 IGD 70,000

70000 70,000 MR 70,000


70000 70,000 70,000

7000 21,000 VK 21,000


140 2,400 2,400

10000 20,000 VIP 20,000


7500 15,000 15,000
10000 10,000 10,000
140 14,000 14,000
140 7,000 7,000 430,000
140 7,000 7,000
349,400

Cetakan

Total Unit MEDIS UMUM


20000 KEUNGAN 20,000

75000 POLI 75,000


480000 480,000

8400 VK 8,400
8400 8,400
8400 8,400
8400 8,400
300000 300,000
120000 120,000

30000 IGD 30,000

37500 ranap 3 37,500


8400 NICU 8,400
8400 8,400
8400 8,400
8400 8,400

30000 POLI 30,000


37500 POLI 37,500

50,000 KASIR 50,000

10000 KEUANGAN 20,000

15000 IGD 15,000

30,000 RANAP 3 30,000


30,000 VIP 30,000
30000 NICU 30,000
90000 POLI 90,000

8400 VK 8,400
8400 8,400
8400 8,400
15000 15,000

100000 MR 100,000
3,750,000 3,750,000
30,000 KASIR 30,000

20000 RANAP 3 20,000


20000 20,000
70000 70,000

11250 POLI 11,250


33750 33,750
45,000 45,000
70,000 70,000

100,000 MR 100,000
70,000 70,000
70,000 70,000

70,000 IGD 70,000


70,000 70,000
70,000 RANAP 3 70,000
22,500 OK 22,500
10,000 10,000
80,000 POLI 80,000
70,000 MR 2,054,900 70,000
70,000 70,000
4,300,000

Cetakan

Total Unit MEDIS UMUM


7000 INSENTIP 7,000
7000 7,000
22,500 22,500

30000 RANAP 3 30,000


20000 20,000
20000 20,000
70000 70,000

75000 POLI 75,000


37500 37,500
3750 37,500

21000 KEUANGAN 7,000

70000 IGD 70,000


70000 70,000

30000 KASIR 30,000

37500 OK 37,500
80000 80,000
30000 VIP 30,000
7000 RANAP 3 7,000

20000 KEUANGAN 20,000


70000 MR 70,000

7000 VIP 7,000


7000 7,000
20000 20,000
20000 20,000
7000 7,000
7000 7,000
20000 20,000
7000 7,000

75000 POLI 75,000

14000 VK 14,000
14000 14,000
20000 20,000
20000 20,000
15000 15,000
14000 14,000
20000 20,000
14000 14,000

1400000 MR 1,400,000

14000 INSENTIP 14,000


22500 22,500
14000 14,000
20000 20,000
14000 14,000
14000 14,000
14000 14,000
20000 20,000
14000 RANAP 3 14,000
22500 22,500
30000
20000 20,000
210000 210,000

20000 FARMASI 20,000

70000 MARKETING 70,000

35000 FARMASI 35,000


50000 50,000
70000 MR 70,000
70000 RANAP 3 70,000
70000 70,000
35000 35,000
20000 20,000
210000 210,000
40000 FO 40,000
1,726,000
1,812,000

Cetakan

Total Unit MEDIS UMUM


80000 OK 80,000

80000 FO 80,000

1400 VIP 1400


15,000 15,000

30,000 IGD 30,000


1400 14,000

22500 KASIR 22,500

22500 KEUANGAN 22,500

70000 RANAP 3 70,000


30000 30,000
14000 NICU 14,000

14000 14,000
22500 22,500
14000 14,000

400000 MR 400,000
70000 70,000
70000 70,000
70000 70,000
40000 40,000

70000 MR 70,000
70000 70,000
70000 70,000

70000 70,000

70000 70,000

70000 70,000

7000 70,000

70000 70,000

70000 70,000

70000 70,000

70000 70,000
140,000 140,000

70000 70,000
70000 70,000

42000 IGD 42,000

14000 RANAP 3 14,000


14000 14,000
21000 304,900 21,000
20000 20,000
1,936,000

Cetakan

Total Unit MEDIS UMUM


14000 VIP 14,000
22500 22,500

14000 VK 14,000
15000 15,000

150000 POLI 150,000


70000 70,000
70,000 70,000

40,000 FO 40,000
40,000 40,000

70,000 70,000
70,000 70,000

70,000 70,000
80,000 80,000
70,000 MR 70,000

60,000 SEKERTARIAT 60,000


30,000 30,000
14,000 14,000

70,000 MR 70,000
10,000 GIJI 10,000

40,000 FO FO 40,000
140,000 MR MR 140,000
140,000 140,000
140,000 140,000

22,500 APOTEK 22,500


75,000 75,000

80,000 FO 80,000

40,000 40,000

14000 RANAP 3 14,000


20,000 20,000
22500 22,500
20000 20,000

14,000 VK 14,000
14,000 14,000

14,000 14,000
14,000 14,000

14,000 14,000
14,000 14,000

70,000 MR 70,000
60,000 60,000
700,000 70,000

14,000 VIP 14,000


22,500 22,500
14,000 14,000
20,000 20,000
14000 14,000

14,000 R NICU 14,000


14,000 14,000
14,000 14,000
14,000 14,000
7,000 MR 7,000

2,800 VIP 2,800


2,800 2,800
2,800 2,800

7,000 RANAP 3 7,000


7,000 7,000
20,000 20,000
20,000 20,000
20,000 20,000

70,000 VIP 70,000


14,000 14,000

56,000 POLI 56,000


35,000 35,000
35,000 35,000
480,000 480,000
320,000 320,000

14,000 KASIR 14,000


7,000 INSENTIP 7,000 1,447,500
1,830,900
Cetakan

Total Unit MEDIS UMUM


14,000 KASIR 14,000

7000 INSENTIP 7,000


21000 21,000
7000 7,000
7000 7,000

42,000 RANAP 3 42,000


40000 40,000

15000 KASIR 15,000


14000 14,000
20000 20,000

14,000 OK 7,000

70,000 POLI 70,000


140,000 140,000

500,000 FARMASI 500,000


25,200 25,200

70,000 MR 70,000
700,000 700,000

4,248 1GD 4,248

14,000 KEUANGAN 14,000

70000 POLI 70,000


70000 70,000
70000 70,000

7000 VIP 7,000


7000 7,000
7000 RANAP 3 70,000
21000 21,000
7000 7,000

40,000 FO 40,000
40,000 40,000
70,000 70,000
70,000 70,000
70,000 70,000
10,000 10,000

7,000 RANAP 3 7,000


7,000 7,000
7,000 7,000
10,000 10,000

7,000 NICU 7,000


7,000 7,000
21,000 21,000
10,000 10,000

20,000 OFFIS 20,000

14000 VIP 14,000


14000 14,000
14000 14,000
21,000 21,000

35000 RANAP 3 35,000


20,000 20,000
20000 20,000
7000 7,000
7000 7,000
7000 7,000
7000 7,000
7000 7,000

70000 POLI 70,000


35000 35,000
35000 35,000
70000 70,000
70000 70,000

14000 VK 14,000
14000 14,000
21000 21,000
20000 20,000
14000 14,000
14000 14,000
14000 14,000
14000 14,000
14,000 14,000
1,335,248
250,000 APOTEK 250,000

38,000 MR 38,000
1,980,200
Data Pemakaian / Pengambilan Barang Umum
Bulan Januari 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total


1 4/1/2016 Baby Bath 2 in 1 Hair & Body "Zwitsal" 1
Dettol Antiseptik Desinfektan 2
Sabun Cuci Botol "Sleek" 450 ml refill 1 Pouch 25,400 25,400

2 5/1/2016 Tisu Pengesat " Value Plus " 4 pak 15,000 60,000

3 5/1/2016 Dettol Hand Soap Refill 4 Pouch


Dettol Hand Sanitizer 3 Btl

4 7/1/2016 Dettol Hand Sanitizer 4 Btl


Dettol Hand Soap Refill 7 Pouch

5 7/1/2016 Plastik Kresek Putih uk.15 5 Pak 15,000 75,000


Plastik Klip uk. 13 X 8,7 3 Pak
Plastik Klip uk. 15 X 10 5 Pak
Pisau Cukur Gillette Goal II (24 pcs / lbr) 1 Lbr 120,000 120,000

6 7/1/2016 Dettol Hand Soap 2 Btl

7 13/01/2016 Softener 20 Ltr 12,000 240,000


Detergent Cair 20 Ltr 15,000 300,000

8 13/01/2016 Box Container Kecil 3 Susun 1 Pc 70,000 70,000

9 13/01/2016 Dettol Hand Soap Refill 3 Pouch

10 13/01/2016 Tisu Pengesat " Value Plus " 1 pak 15,000 15,000
Dettol Hand Soap 1 Btl

11 15/01/2016 Sabun Cuci Botol "Sleek" 450 ml refill 1 Pouch 25,400 25,400
Dettol Hand Sanitizer 1 Btl
Baby Bath 2 in 1 Hair & Body "Zwitsal" 1 Pouch

12 15/01/2016 Dettol Hand Soap Refill 1 Pouch

13 18/01/2016 Sabun Cuci Botol "Sleek" 450 ml refill 1 Pouch 21,900 21,900
Sunlight Lime refill 400 ml 1 Pouch 8,800 8,800
Baby Bath 2 in 1 Hair & Body "Zwitsal" 1 Pouch

14 20/01/2016 Bak / Ember besar 2 Pcs 50,000 100,000


15 20/01/2016 Tisu Pengesat " Value Plus " 3 pak 15,000 45,000

16 21/01/2016 Plastik Kresek Putih uk.15 10 Pak 15,000 150,000


Plastik Kresek Putih uk.24 5 Pak 15,000 75,000
Plastik Kresek Putih uk.28 5 Pak 15,000 75,000
Plastik Klip uk. 13 X 8,7 5 Pak
Plastik Klip uk. 15 X 10 5 Pak
Plastik Klip uk. 20 X 12 5 Pak

17 21/01/2016 Dettol Antiseptik Desinfektan 3 Btl


Dettol Hand Sanitizer 2 Btl
Dettol Hand Soap 2 Btl

18 27/01/2016 Plastik Kresek Putih uk.24 1 Pak 15,000 15,000

19 27/01/2016 Dettol Hand Soap Refill 10 Pouch


Dettol Hand Sanitizer 10 Btl

20 28/01/2016 Sunlight Lime refill 400 ml 1 Pouch 8,800 8,800


Tisu Pengesat " Value Plus " 1 pak 15,000 15,000

21 Dettol Hand Soap Refill 6 Pouch


Dettol Hand Sanitizer 4 Btl

22 28/01/2016 Dettol Paket 10 Paket

Total 1,445,300

Data Pemakaian / Pengambilan Barang Umum


Bulan Februari 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total


1 1/2/2016 Baby Bath 2 in 1 Hair & Body "Zwitsal" 1 pouch
Bedak Bayi / Baby Powder Zwitsal 1 pc

2 3/2/2016 Plastik Kresek Putih uk.24 5 Pak 15,000 75,000


Plastik Kresek Putih uk. 17 5 Pak 16,000 80,000

3 3/2/2016 Tisu Pengesat " Value Plus " 3 pak 15,000 45,000

4 9/2/2016 Plastik Kresek Putih uk.24 2 pak 15,000 30,000


Plastik Kresek Putih uk.28 2 pak 15,000 30,000

5 9/2/2016 Sabun Cuci Botol "Sleek" 450 ml refill 1 Pouch 25,500 25,500
6 10/2/2016 Dettol Hand Sanitizer 4 Btl
Dettol Hand Soap Refill 17 Pouch

7 15/02/2016 Dettol Hand Soap Refill 1 Pouch

8 15/02/2016 Dettol Antiseptik Desinfektan 2 Btl

9 15/02/2016Pisau Cukur Gillette Goal II (24 pcs / lbr) 1 Lbr 120,000 120,000

10 15/02/2016 Softener 20 Ltr 12,000 240,000


Detergen Cair 20 Ltr 15,000 300,000
Pemutih 20 Ltr 8,000 160,000
Parfum Loundry 5 Ltr 22,000 110,000

11 16/02/2016 Plastik Klip uk. 10 X 7 5 pak


Plastik Klip uk. 13 X 8,7 5 pak
Plastik Klip uk. 15 X 10 5 pak

12 19/02/2016Dettol ID Mother Sampling (Paket Dettol) 67 pcs


Dettol Hand Soap Pump 24 Btl
Dettol Hand Sanitizer 48 Btl

13 19/02/2016 Dettol Hand Soap Refill 16 Pouch


Dettol Hand Soap Pump 4 Btl
Dettol Hand Sanitizer 1 Btl

14 19/02/2016 Dettol Hand Soap Refill 1 Pouch


Dettol Hand Soap Pump 1 Btl
Dettol Hand Sanitizer 2 Btl

15 22/02/2016 Baby Bath 2 in 1 Hair & Body "Zwitsal" 1 pouch


Sabun Cuci Botol "Sleek" 450 ml refill 2 Pouch 25,500

16 22/02/2016 Dettol Hand Sanitizer 1 Btl

17 22/02/2016 Dettol Hand Soap Refill 2 Pouch

18 23/02/2016 Dettol Hand Sanitizer 2 Btl


Plastik Klip uk. 10 X 7 1 pak
Plastik Klip uk. 8 X 5 1 pak

19 23/02/2016 Plastik Kresek Putih uk. 17 10 Pak 16,000 160,000


Plastik Klip uk. 10 X 7 4 pak
Plastik Klip uk. 13 X 8,7 5 pak
Plastik Klip uk. 15 X 10 5 pak

20 24/02/2016 Dettol Hand Soap Refill 9 Pouch


Dettol Hand Sanitizer 4 Btl
Dettol Hand Soap Pump 1 Btl

21 24/02/2016 Tisu Pengesat " Value Plus " 3 pak 15,000 45,000

22 25/02/2016 Dettol Hand Soap Refill 1 Pouch

23 29/02/2016 Tisu Pengesat " Value Plus " 3 pak 15,000 45,000

1,465,500

Data Pemakaian / Pengambilan Barang Umum


Bulan Maret 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total


28\3\16 sleek 1 buah 25,500 25,500.00
sabun mandi cair 1 buah
detol hand sanitizer 1 buah
sabun sanlai cuci piring 1 buah 8800 8,800.00
spon cuci pring 1 buah
28\3\16 refil hansop 1 buah
30\3\16 klip obat 15x10 1 pak
detol hand sanitizer 2 buah
slek sabun botol 1 buah 25500 25,500.00
detol gel 2 buah
klip obat kecil 1 pak
klip obat 15*10 1 pak
31\3\16 kantong plastik 5 pak 16000 80,000.00
31\3\2016 tisu besar 1 pak 15000 15,000.00
30\3\2016 kantong plastik kecil 10 pak 16000
plastik besar 10 pak 16000 160,000.00
klip plastik 5 pak
klip plastik besar 5 pak
klip plastik bir 5 pak
sabun cucu tangan 1 buah
detol hand sanitizer 1 buah
16\3\2016 detol hand sanitizer 1 buah
4\3\2016 plastik klip besar 20*12 2 pak
plastik klip sedang 5 pak
7\3\16 detol hand sanitizer 1 botol
7\3\16 deol hand sanitilizer 1 pcs
10\3 refil hansop 1 pcs
tisu besar 1 pak 15000 15,000.00
11\3\2016 plastik obat kip besar 1 pak
plastik obat klip kecil 1 pak
14\3\2016 rak sepatu 1 buah
teko listrik 1 buah 50000 5,000.00
14\3\2016 zwitsal sabun 1 pcs
15\3\2016 tisu pengesat 1 pak 15000 15,000.00
plastik klip 1 pak
20\3\2016 box +tutup dingding[keranjang] 2 buah

22\3\16 tisu pengesat 2 pk 15000 30,000.00


20\3\16 detol 2
kresek kecil 5 pak 16000 80,000.00
kresek besar 5 pak 16000 80,000.00
TOTAL 539,800.00

Data Pemakaian / Pengambilan Barang Umum


BULAN APRIL 2016

NO TNGGAL NAMA BARANG JUMLAH SATUAN HARGA


1 1/4/2016 SANTILIZER 10 PCS
HANSOP ISI ULANG 10 PCS

2 5/4/2016 PLASTIK SEDANG 1 PAK


BENANG KASUR 1 G0LONG

3 6/4/2016 TISU KASR 2 PAK 15000 30000


DETOL 1 PCS
4 8\4\2016 PLASTIK KECIL 15 PAK 15000 225000

5 11\4\2016 KRESEK KECIL 10 PAK 15000 15000


KLIP obat sedang 5 pak
klip obat kecil 2 pak
0 Klip obat besar 5 pak
Kresek putih sedang 5 pak 16000 80000

6 11/4/2016 TISU PENGESAT 1 PAK 15000 15000


TISU MITRA 6 DUS 3500 21000
SUNGLIGH 1 POUCS 8800 8800

7 11\42016 SUNGLIGH 1 PC 8800


TISU 3 BOK 3500 10500
8 11/4/2016 TISU KASAR 1 PAK 15000 15000
DETOL HANSOP 3 PCS

9 7/4/2016 TISU KESAT 3 PAK 15000 45000


18/4/2016 BEDAK BAYI 1 BUAH
DETOL 1 BUAH
TISU KOTAK 5 PAK 3500 17500
SPON

10 18/4/2016 KLIP PLASTIS KECIL 5 PAK


KLIP PLSTK SEDANG 5 PAK
KRESEK PUTIH 5 PAK 16000

11 22/4/2016 MUSHOLA GANTI LAMPU PHILIP 1 BUAH 32000 32000


LAMPU PHILIP 1 BUAH 32000 32000
LAMPU PHILIP 4 32000 128000

LAMPU PHILIP 1 BUAH 32000 32000

LAMPU PHILIP 2 BUAH 32000 64000


LAMPU PHILIP 1 BUAH 32000 32000

LAMPU PHILIP 2 BUAH 32000 64000

LAMPU PHILIP 1 BUAH 32000 32000


LAMPU PHILIP 2 BUAH 32000 64000
LAMPU PHILIP 4 BUAH 32000 128000
LAMPU PHILIP 1 BUAH 32000 32000
LAMPU PHILIP 2 BUAH 32000 64000
LAMPU PHILIP 2 BUAH 32000 64000
LAMPU PHILIP 2 BUAH 32000 64000
LAMPU PHILIP 1 BUAH 32000 32000

21/4/2016 KLIP OBAT 1 PAK

25/4/2016 TISU PENGESAT 2 PAK 15000 30000


TALI NILON/ BENANG RAMI 1 GULUNG

19/4/2016 BOX FILE 3 SUSUN 1 BUAH 70000 70000

25/4 2016 KRESEK BESAR 1 PAK 16000 16000


KRESEH BESAR 1 1PAK 16000 16000
KRESEK SEDANG 1 PAK 15000 15000
KRESK KECIL 1 PAK 15000 15000
GUNTING 1 BUAH 6000 6000

26/4/2016 BATU BATRE 2 BUAH 2000 4000

26/4/2016 DETOL CUCI TANGAN 2 BOTL


SLEEK CUCI BOTOL 1 BUAH 25 500 25500
DETOL ANTI BAKTERIAL 2 BOTL
ZWITSAL SABUN 1 BOTL
KLIP OBAT 3 PAK

25/4/2016 GITLET CUKUR 24 PCS 65000 156000

27/4/2016 PLASTIK KLIP 5 PAK


KANTONG PLASTIK BESAR 5 PAK 16000 80000
PLASTIK KLIP BIRU 5 PAK 17000 17000
28/4/2016 PLASTIK KRESEK BESAR 4 PAK 16000 64000
TISU 5 PAK 3500 17500
LAKBAN BENING 1 BUAH 10000 10,000
SELOTIP 1 BUAH 5000 5000

29/4/2016 TISU KOTAK 8 PAK 3500 5328


HANSOP 4 BOTL
TISU PENGESAT 3 PAK 15000 15000

29/4/2016 TOILET SET 10 PAK 8100 81000


TISU 10 PAK 3500 35000

Data Pemakaian / Pengambilan Barang Umum


BULAN MEI 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total


1 2/5/2016 SANTILIJER DETOL 8 BUAH
HANSOP 8 BUAH

2 2/5/2016 PLASTIK KLIP 3 PAK

3 9/5/2016 HANSOP 4 PCS


HANSOP 1 BOTOL
TISU PENGESAT 3 PAK 15000 45000
TISU KOTAK 6 PAK 3750 22,500

4 9/5/2016 SABUN MANDI 1 PCS


CAIR /ZUITSAL
SLEEK 1 PCS 25000 25000
BATU BATRE 2 BUAH 2000 4000

5 9/5/2016 TISU KOTAK 6 PAK 3750 22,500

6 10/5/2016 K PLSTIK KCIL 10 PAK 16000 160,000


K PLSTIK SEDANG 5 PAK 16000 80000
TISU KOTAK 5 KOTAK 3750 18750

7 12/5/2016 KLIP PLASTIK 5 PAK


KLIP PLASTIK
OBAT BIRU

8 13/5/2016 BATERAI A3 2 PC 2000 4000

9 16/5/2016 TISU KOTAK 4 KOTAK 3750 15000

10 16/5/2016 TISU KOTAK 5 KOTAK 3750 18750

11 16/52016 TISU KOTAK 8 KOTAK 3750 30000

12 16/5/201`6 TISU KOTAK 8 KOTAK 3750 30000

13 16/5/2016 TISU KOTAK 4 KOTAK 3750 15000


LAKBAN 1 GOLONG 10000 10000

14 17/6/2016 ELEGAN TRAY 1 BUAH 75,000

15 17/5/2016 HANSOP 1 BOTOL

16 17/5/2016 SANTILIJER 3 BOTL


HANSOP 10 BOTL

17 17/5/2016 TRAI 3 SUSUN 1 PCS 75000

18 19/5/216 KRESEK KECIL 10 PAK 16000 160000


KRESEK SEDANG 5 PAK 16000 80000

19 20/5/2016 SLEEK 1 PCS 25000 25000


DETOL SABUN C
CUCCI TANGAN 1 PCS

20 19/5/2016 TISU PENGESAT 3 PAK 15000 45000


DETOL SANITILEJER 4 BOTOL

21 11/5/2016 GILET CUKUR 24 BUAH 65000 156000

22 24/5/2016 WADAH PENSIL 2 BUAH 12000 24000

23/ 24/5/2016 GUNTING 1 BUAH

24 31/5/2016 TISU DOKTER 6 PAK 3250 19500


TISU PENGESAT 2 PAK 15000 30000
BENANG KASUR 2 GOLONG 5000 10000
HANSOAP 2 BOTOL
25 31/5/2016 SANGLAI 1 PCS 8800 8800

30/5/2016 SANTILIJER 20 BTL

Data Pemakaian / Pengambilan Barang Umum


BULAN JUNI

No Tanggal Nama Barang Jumlah Satuan Harga Total


1 1/6/2016 STAM P RAD 1 BUAH 25000 25,000
CATER GURIDDO 1 BUAH 12000 12,000

2 1/6/2016 TISU PENGESAT 3 PAH 15000 45,000

3 1/6/2016 PLASTIK KLIP 4 PAK 6000 24,000


KANTONG PLASTIK BESAR 5 PAK 16,000 80,000
KANTONG PLASTIK KECIL 5 PAK 16000 80,000
CATER 1 BUAH 12000 12,000
MAMA LEMON 1 BUAH 8800 8,800
SPON U CUCI PIRING 1 BUAH 1500 1,500

4 1/6/2016 BATU JAM DINGDING 4 BUAH 2000 8,000


BATUR REMOT TV 6 BUAH 2000 12,000

5 2/6/2016 PLASTIK KLIP KECIL 4 PAK 7500 30,000


KLIP SEDANG 4 PAK 7500 30,000
TISU 5 BOK 3750 18 750

6 2/6/2016 STAMP RAD 1 BUAH 25000 25,000

7 3/6/2016 SOFTENER 15 LITER 12000 180,000


DETERJEN CAIR 10 LITER 15,000 150,000

8 1/6/2016 CV 200 A 1 PAK 20,000 20000

9 6/6/2016 BATU BATERAI REMOT AC 4 BUAH 2000 8000


TAPE DISPENSER 1 BUAH 35,000 35,000
SOLASI BENING 1 GOLONG 10,000 10,000

10 7/6/2016 DETOL SANTILIZER 1 BTL

12 7/6/2016 KAPUR BAGUS 1 PCS


13 8/6/2016 KLIP OBAT BESAR 5 PAK 7500 37,500
PLASTIK PUTIH KCL 10 PAK 15000 150,000
PLASTIK PUTIH SEDANG 10 PAK 15000 150,000

14 7/6/2016 DOBELTIP 1G 10,000 10,000


SOLASI BENING 1G 10000 10,000
DETOL CUCI TNGAN 2 BTL

15 10/6/2016 KLIP OBAT 2 PAK 7500 15,000


SLEEK BOTOL CUCI BTL 1 PCS 29900

16 10/6/2016 ELEGAN TRAY 1 75000 75,000

17 10/6/2016 KLIP OBAT BESAR 10 PAK 6000 60000


KLIP OBAT 10*15 5 PAK 7500 37,500

18 13/6/2016 GUNTING 1 BUAH 12000 12000


CATER 1 BUAH 1500 12500
PLASTIK 1 IKAT 15000 15000

19 13/6/2016 BATU BATTRE JAM 4 BUAH 2000 8000


TISU PENGESAT 3 BUAH 15000 15,000
20 TISU KOTAK 6 PAK 3000 18,000

20 13/6/2016 RESEP 2 BK 7000 14,000

21 13/6/2016 AMLOP COKLAT 1 RIM

22 14/6/2016 RESEP DR 7 BK 7000 49,000

23 14/6/2016 PLASTIK KLIP BIRU 5 PAK 6000 30,000


PLASTIK KLIP PUTIH 17*17 5 PAK 6000 30,000
PLASTIKK KLIP PUTIH 15 2 PAK 6000 12,000
GILLETE 1 LBR 115,200
TISU 5 PAK 3000 15,000
HAND SOAP 1 BTL

24 14/6/2016 BATU KOTAK 2 BUAH

25 14/6/2016 PLASTIK HITAM 1 PAK 6500 65000


detol anti septi 1 botol

26 8/6/2016 LAMPU PHILIP(RANAP 3) 1 BUAH 30000 30000


LAMPU PHILIP(RANAP 3) 1 BUAH 30000 30000
LAMPU PHILIP 2 BUAH 30000 60000
LAMPU PHILIP 1 BUAH 30000 30000
LAMPU PHILIP 1 BUAH 30000 30000
AMPU PHILIP 3 BUAH 30000 90000
LAMPU PHLIP 1 BUAH 30000 30000
LAMPU PHILIP 1 BUAH 30000 30000
LAMPU PHLIP 1 BUAH 30000 30000
LAMPU PHLIILP 2 BUAH 30000 60000
LAMPU PHLILIP 1 BUAH 30000 30000
LAMPU PHLILIP 2 BUAH 30000 60000
LAMPU PHLILIP 2 BUAH 30000 60000
LAMPU PHLILIP 2 BUAH 30000 60000
LAMPUPLILIP 1 BUAH 30000 30000

27 20/6/2016 PLASTIK K KECIL 10 PAK 15000 150,000


CATER 1 BUAH 12000 12000
PLASTIK KLIP OBAT

28 20/6/2016 BATRE TIMBANGAN BAYI 1 PAK

29 20/6/2016 DETOL ANTI SEPTI 2 BTL

30 20/6/2016 L T 1 LAMPU PILIP 5 BUAH 30,000 150,000


LAMPU PILIP 3 BUAH 30000 90,000
LAMPU PLILIP 1 BUAH 30000 30,000
LAMPU PILIP 3 BUAH 30000 90,000

31 22/6/2016 TISU KOTAK 5 BOK 3250 16,250


GUNTING 1 BUAH 7500 7,500
G
32 24/6/2016 SOLATIP 1G 10000 1`0000
DOBELTIP 1G 10000 10000

33 23/6/2016 HAND SOAP 8 PCS

34 30/6/2016 GUNTING 1 BUAH 7500 7500


ZWITSAL SABUN 1 PC 22500 22500
SLEEK 1 PC 29900 29900
DETOL 2
DETOL SANTILIJER 1
DETOL ANTI SEPTIK 1

35 28/6/2016 PLASTIK KLIP 20*12 5 PAK 6000 30,000


PLASTIK KLIP 17*11 5 PAK 6000 30,000
PLASTIK KLIP 15*10 5 PAK 6000 30,000
PLASTIK KLIP*15*10 5 PAK 5000 25,000
PLASTIKKLIP 10*7 5 PAK 5000 25,000
36 30/6/201`6 GUNTING 1 BUAH 7500 7,500
DETOL 1
BATU BATRE 4 BUAH 2000 8,000
GUNTING 1 BUAH 7500 7500

Data Pemakaian / Pengambilan Barang Umum


BULAN JULI 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total


1 4/7/2016 TISU 10 PAK 3500 35000
PLASTIK KLIP 10 PAK 6000 60000

2 12/7/2016 PLASTIK PUTIH 1 PAK 16000 16000


BENANG RAMI 2 GOLONG 10,000 20,000
TISU PENGESAT 2 PAK 15000 30,000
TISU DR 6 PAK 3500 21,000
DETOL CUCI TANGAN 1 PC

3 14/7/2016 LAMPU PHILIP 2 BUAH 30000 60,000


LAMPU PHILIP 2 BUAH 30000 60,000
LAMPU PHILIP 2 BUAH 30000 60,000
LAMPU PHILIP 2 BUAH 30000 60,000

LAMPU PHILIP 1 BUAH 30,000 30,000


LAMPU PHILIP 1 BUAH 30,000 30,000

4 13/7/2016 TISU 2 PAK 3500 7,000

5 18/7/2016 KRESEK 5 PAK 16000 80,000


KRSEK KECIL 10 PAK 15000 150,000
PLASTIK KLIP OBAT 5 PAK 15000 75,000
PLASTIK OBAT SEDANG 13*8,7 10 PAK 6000 60,000
PLASTIKL OBAT KECIL 7*10 5 PAK 5000 25,000
TISU 5 PAK 3500 17,500
KANTONG PLASTIK 6 PAK 12000 72,000
PLASTIK OBAT 10 PAK 7500 75,000

6 18/7/2016 DETOL SABUN CUCI 2 PCS


ZWITSAL SABUN MANDI 1 PCS
SLEEK CUCI BOTOL 1 PCS

7 19/7/2016 TISU 2 PAK 3500 7000


DETOL 2 PCS
DETOL 1 PCS
BATU BATRE 4 BUAH 2000 8000
DETOL 2

8 22/7/2016 TISUK KOTAK 6 PAK 3500


TISU PENGESAT 2 PAK 15000 30000

9 22/7/2016 PLASTIK SEDANG 20 PAK 15000 300000


STIKER ETIKET 10 PCS 5000 50000
STIKER 3PLY 20 PCS 10000 200,000

10 26/7/2016 BATU BATRE 2 BUAH 2000 4000

11 28/7/2016 TISU 5 PAK 3750 18750


DETOL
BATU BATRE 2 BUAH 2000 4000
BATU BATRE 2 BUAH 2000 4000

12 28/7/2016 REKSEL KECIL 1 BUAH 15000 15000


TISU 1 PAK 3750 3750
BATRE AC 2 BUAH 2000 4000
TISU 5 PAK 3750 18750

Data Pemakaian / Pengambilan Barang Umum


BULAN AGUSTUS 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total


1 2/8/2016 TISU KOTAK 5 PAK 3750 18750
PLASTIK KRESEK 2 PAK 16000 32000

2 4/8/2016 GUNTING 1 BUAH


SENTER 1 BUAH

3 4/8/2016 gilet 12*24 1 lembar 115200 115200


TISU 10 PAK 3750 3750

4 1/8/2016 TISU 1 PAK 3750 3750


DETOL 1 BUAH
SLEEK

5 8/8/2016 PLSTIK KLIP BIRU 10 PAK 16000 160000


PLASTIK KLIP PUTIH 5 PAK 15000 75000
SEDAng 15*1-0 5 pak 7500 37500
agak besar17*11 5 PAK 15000 75000
besar 10*20 5 PAK 14000 70000

6 BATU BATRE TIMBANGAN 1 BUAH 5000 5000


TISU PENGESAT 2 PAK 15000 30,000
TISUKOTAK 6 PAK 3750 22500

7 12/8/2016 PLASTIK KRESEK KECI 6 PAK 15000 90000


PLSTI KLIP KLIP SEDANG 6 PAK 7500 45000
PLSTI KLIP KLIP SEDANG 6 PAK 7500 45000

8 16/8/2016 PLASTIK KECIL PUTIH 10 PAK 15000 150,000


CLER SLEEVC 1 PAK 25,000 25,000
TISU 5 PAK 3750 18750
9 18/8/2016 TISU 2 DUS 3750 7000
STEROFOM 1 DUS 15000 15000
PAKU SKIROKOM 1 DUS 5000 5000

10 18/8/2016 PLASTIK KLIP OBAT 10*7 3 PAK 5000 15000


PLSTIK KLIP OBAT 13*8,7 3 PAK 6000 18,000
PLASTIK KLIP OBAT 15*10 3 PAK 7500 22500
SOLATIP 1G 10000 10000
PLASTIK KRESEK 10 PAK 15000 150000

tisu 1 pak 3750 3750


11 25/8/2016 KANTONG KRESEK 10 PAK 15000 15000

12 25/8/2016 BEDAK 1 BUAH 27500 27500


SUNLIGH 1 PCS 14750 14750
SLEEK 2 PCS 29900 59800
MITU BABY 2 PCS 23900 47800
DETOL
BATU BATRE 4 4BUAH 2000 8000

13 29/8/2016 DETOL 2 PCS


TISU 2 KOTAK 3750 7500

14 26/8/2016 LAMPU 2 BUAH 30000 60000


LAMPU 2 BUAH 30000 60000
LAMPU 1 BUAH 30000 30000
LAMPU 1 BUAH 30000 30000
LAMPU 1 BUAH 30000 30000
LAMPU 1 BUAH 30000 30000
LAMPU 4 BUAH 30000 120,000
LAMPU 1 BUAH 30000 30000
LAMPU 2 BUAH 30,000 60,000
LAMPU 1 BUAH 30000 30000
LAMPU 2 BUAH 30,000 60,000
LAMPU 2 BUAH 30,000 60,000
LAMPU 2 BUAH 30,000 60,000
LAMPU 1 BUAH 30,000 30,000

15 30/8/2016 PLASTIK KLIP 15*10 5 PAK 7,500 37,500


PLASTIK KLIP 10*7 5 PAK 5,000 25,000
17*11 5 PAK 15,000 75,000
TISU 10 PAK 3,750 37,500
PLASTIK PUTIH KECIL 10 PAK 15,000 150,000

16 30/8/2016 SOLATIP BENING 1G 10,000 10,000

Data Pemakaian / Pengambilan Barang Umum


BULAN SEPTEMBER 2016
No Tanggal Nama Barang Jumlah Satuan Harga Total
1 2/9/2016 LAMPU PLILIP 1 BUAH 30000 30000
LAMPU PLILIP 3 BUAH 30000 90000
LAMPU PLILIP 2 BUAH 30000 60000
LAMPU PLILIP 1 BUAH 30000 30000

2 2/9/2016 KLIP BIRU 10 PAK 16000 160,000


KRESEK PUTIH 10 PAK 15000 150000
KRESEK SEDANG 10 PAK 15000 150000

3 5/9/2016 BATU BATRE 4 BUAH 2000 8000


SOLATIP 1G 10000 10000
PLASTIK HITAM 2 PAK 15000 30,000

4 5/9/2016 SUNLAI 2 PCS 15000 30000


TISU 2 BOK 3750 7500

5 7/9/2016 SUNLIGHT 1 PCS 15000 15,000


SUPERPER 2 PCS 11000 22,000
SARUNG TANGAN PLASTIK 2 PAK 31,900 62800
TISU 1 PAK 3750

6 16/9/2016 KLIP OBAT KECIL 5 PAK 5000 25000

7 15/9/2016 SLEEK 1 PCS 29900 29900


TISUKOTAK 6 PAK 3750 22,500
DETOL 3 BUAH
TISU PENGESAT 2 PAK 15000 30000

8 14/9/2016 SLEEK 1 PCS 29900 29900


DETOL 2 PCS
SABUN MANDI BAYI 1 PCS 21300 21300

9 15/9/2016 PLASTIK KLIP BESAR 3 PAK 16000 48000


KLIP KECIL 1 PAK 5000 5000
klip 17*11 3 pak 15000 15000

10 8/9/2016 KLIP BIRU 5 PAK 16000 80000

11 14/9/2016 KANTONG PLSTIK 10 PAK 16000 160,000


KNTONG PLASTIK SEDANG 5 PAK 16000 160000
SUNLIGHT 1 PCS 15000 15000
KLIP BIRU 10 PAK 16000 160000
PLASTIK KLIP 7*10 10 PAK 5000 50000
TISU 10 PAK 3750 37500

12 16/9/2016 LAMPU PHILIP 1 BUAH 28000 28000


LAMPU PHILIP 2 BUAH 28000 56000
LAMPU PHILIP 4 BUAH 28000 112000
LAMPU PHILIP 3 BUAH 28000 84000
LAMPU PHILIP 2 BUAH 28000 56000

13 16/9/2016 BATU REMOT AC 2 BUAH 2000 4000

14 16/9/2016 SUNGLIGT 1 PCS 15000 15000

15 19/9/2016 TISU 4 PAK 4000 16000

16 19/9/2016 TISU PENGESAT 4 PAK 15000 60000

17 19/9/2016 SUNGLIGT 1 PCS 15000 15000

18 22/9/2016 BATU JAM 2 BUAH 2000 4000

19 23/9/2016 SUNLIGT 1 PCS 15000 15000

20 23/9/2016 SUNGLIT 1 PCS 15000 15000

21/ 26/9/2016 KANTONG PLASTIK 5 PAK 15000 75000

22 26/9/2016 GELAS MF 70 BUAH 12500 875,000


TAS 5 BUAH

23 26/9/2019 SUNLIGHT 1 PCS 15000 15000


PAKU 1 PAK 10000 10000
KLIP OBAT10*7 1 PAK 5000 5000
BATU JAM 4 4 BUAH 2000 8000

24 29/9/2016 HANSOP 5 PCS


TISU KOTAK 6 PAK 3750 22500
TISU PENGESAT 2 PAK 15000 30000

25 29/9/2016 PLASTIK OBAT KECIL 6 PAK 5000 30,000


PLASTIK KRESEK 6 PAK 6000 30,000
KLIP OBAT BIRU 3 PAK 16000 48000
PLSTIK OBAT SEDANG 10 PAK 6000 60,000
SOLATIP 2G 10000 20,000
Data Pemakaian / Pengambilan Barang Umum
BULAN OKTOBER 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total


1 2/10/2016 BATU JAM 4 BUAH 2000 8000
SELOTIP 1G 10000 10000
TRAS BAG /PLASTIK SAMPAH 1 PAK 16000 16000
SUNLIGHT 2 PCS 15000 30,000
SUPERPEL 2 PCS 11000 22000
DETOL 1 BOTOL
SARUNG TANGAN PLASTIK 1 PAK 32000 32000

2 3/10/2016 BATU TIMBANGAN 1 BUAH 15000 15000

3 4/10/2016 BATU AAA 2 BUAH 2000 4000

4 5/10/2016 TISU 2 PAK 4000 8000

5 5/10/2016 TISU 5 PAK 4000 20000


KLIP OBAT 10*7 10 PAK 5000 50000
KLIP OBAT 15*10 10 PAK 7500 75000
KANTONG PLASTIK KECIL 10 PAK 15000 150000
KLIP BIRU 10 PAK 16000 160000

6 6/10/2016 SOLATIP 1G 10000 10000

7 10/10/2016 SELOTIP 1G 10000 10000


DETOL HANDSANITILIJER 2 BOTL
TISU 20 PAK 4000 80000
DETOL CAIR 2 BOTL

8 10/10/2016 GILET 24 BUAH 4000 96000


TISU 5 PAK 4000 20000
KLIP BIRU 5 PAK 16000 80000
KANTONG PLASTIK KECIL 5 PAK 15000 15000

9 10/10/2016 PELAN 1 BUAH 50000 50000


SUNGLIGT 2 BUAH 15000 30000
KNTENER DISPENSER/
BUAT LAKBAN 1 BUAH 45000 45000
LAKBAN 1 BUAH 5000 50000

10 15/10/2016 SUNGLIGT 2 PCS 15000 30000

11 18/10/2016 TISU 2 PAK 4000 8000


12 18/10/2016 PLASTIK SAMBAL KLIP 1 PAK 5000 5000
SUPER PEL 1 PCS 11000 11000

12 18/10/2016 TISU 2 PAK 4000 8000


DETOL 1 BUAH

13 18/10/2016 KANTONG PLASTIK 6 PAK 16000


K PLSTIK SEDANG 6 PAK 16000
KLIP OBAT SEDANG 10 PAK 7000 70000
TISU 4 PAK 4000 16000

14 18/10/2016 LAKBAN MERAH 1G

15 20/16/2016 TISU 2 PAK 4000 8000


TISU PENGESAT 1 PAK 15000 15000

16 21/10/2016 BATU ABC KECIL 3 BUAH 2000 6000

17 21/10/2016 BATU ALKALIN KECIL 6 BUAH

17 21/2016 SUNGLAGHT 1 PCS 15000 15000


DETOL CAIR 1
DETOL SANTILIJER 1

17 21/10/2016 DETOL SANTILIJER 1 BOTOL


DETOL SANTILIJER 1 BOTOL
DETOL SANTILIJER 1 BOTOL
DETOL SANTILIJER 1 BOTOL
SABUN CUCITANGAN 1 PCS
SABUN CUCITANGAN 1 PCS
SABUN CUCITANGAN 1 PCS
SABUN CUCITANGAN 1 PCS
SABUN CUCITANGAN 1 PCS
SABUN CUCITANGAN 1 PCS
SABUN CUCITANGAN 1 PCS
SABUN CUCITANGAN 1 PCS
SABUN CUCITANGAN 1 PCS

18 24/10/2016 KANTONG PLASTIK KECIL 5 PAK 16000 80000


TISU 4 PAK 4000 16000

21 21/10/201`6 LAMPU PHILIP 3 BUAH 28000 84000


LAMPU PHILIP 2 BUAH 28000 56000
LAMPU PHILIP 3 BUAH 28000 84000
LAMPU PHILIP 2 BUAH 28000 56000
LAMPU PHILIP 2 BUAH 28000 56000
22 24/10/2016 SABUN BAYI 2 BOTOL 29450 58900

PLASTI K 10 CARD 30 PCS 1000 30000

23 27/10/2016 TISU/MULTI 2 PAK 15000 30000

24 27/10/2016 TISUKOTAK 6 PAK 4000 24000


TISU PENGESAT 4 PAK 15000 60000

25 28/10/2016 PLASTIK KLIP 8*5 5 PAK 7500 37500


PLASTIKKLIP 10*7 5 PAK 5000 25000
KANTONG PLASTIK 5 PAK 16000 80000
KLIP BIRU 5 PAK 16000 80000

26 28/10/2016 SUNGLIGHT 1 PCS 15000 15000


DETOL ANTI SEPTIK 1 BOTOL
PLASTIK SAMPAH 1 PAK 16000 16000
TEMPAT PENSIL 1 BUAH 20000 20000

27 31/10/2016 PLASTIK KRESEK 10 PAK 16000 160000


KLIP BIRU 10 PAK 16000 160000
KLIP 15*10 10 PAK
KLIP11*7 10 PAK
KRESEK SEDANG 10 PAK 16000 160000

28 31/10/2016 STOROPONG BOR 1 BUAH 15000 15000


TISU PENGESAT 2 PAK 15000 30000

29 31/10/2016 GILET 24 PCS 4000 96000


TEMPAT PENSIL 1 PCS 20000 20000

30 31/10/2016 SLEEK 1 PCS 29900 29900


DETOL CUCI 2 BOTOL
ZUITSAL 1 PCS 29900 29900

31 31/10/2016 GELAS MITRA 4 BUAH 15000 60000


TAS MITRA 4 BUAH
Data Pemakaian / Pengambilan Barang Umum
BULAN NOVEMBER 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total


### 1/11/2016 TISU KOTAK 10 PAK 4000 40000

2 1/11/2016 SUNGLAGT 1 PCS 15000 15000


DETOL 1 BOTL

3 3/11/2016 SUNGLAIGT 1 PCS 15000 15000

4 3/11/2016 TISU KOTAK 6 PAK 4000 24000


TISU PENGESAT 1 PAK 29900 29900

5 5/11/2016 TISU PENGESAT 1 PAK 29900 29900


SIKAT LEMBUT 2 BUAH 3000 6000

6 7/11/2016 KERTAS HVS A4 1 RIM 28000 28000


KERTAS HVS F4 1 RIM 30,000 30,000

PLSTIK NAME TAG 67 PCS 1000 67000

BATU ALKALIN ISI 6 1 SET 20000 20000


BATU ABC 2 BUAH 2000 4000
BATU ABC 4 BUAH 2000 8000

7 8/10/2016 SUNGLIGT 2 PCS 15000 30,000

8 16/11/2016 SUNGLIGT 2 PCS 15000 30000

9 10/11/2016 TISU 6 PAK 4000 24000

10/ 10/11/2016 TISU 4 PAK 4000 16,000

11 10/11/2016 TISU 5 PAK 4000 20,000

12 15/11/2016 PLASTIK KLIP 20*12 5 PAK 14000 70000


PLASTIK KLIP 15*10 12 PAK 7500 90,000
PLASTIK KLIP 18*8,5 10 PAK 12000 120000
PLASTIK 10*7 5 PAK 5000 25000
TISU PENGESAT 1 PAK 29900 29900
DETOL
13 15/11/2016 KATER 2 BUAH 5000 5000

14 15/11/2016 PAKU PUSPIN 1 PAK 5000 5000


PAPAN STROPOM 1 BUAH 15000 15000

15 15/11/2016 KANTON KRESEK KECIL 5 PAK 16000 16000

16 15/11/2016 SUNGLIGHT 1 PCS 15000 15000


HANSOP 6 PCS

17 21/11/2016 BATU ALKALINE 2 BUAH 4000 8000


BATU ABC 1 BUAH 2000 2000
_,,_ 1 BUAH 2000 2000
_,,- 1 BUAH 2000 2000
_,_, 1 BUAH 2000 2000

BATU TIMBANGAN 1 BUAH 10000 10000

18 22/11/2016 KANTONG PLSTIK KECIL 10 PAK 15000 150,000


KLIP 15*10 10 PAK 7500 75000
KLIP 20*12 10 PAK 14000 140,000
KLIP BIRU 10 PAK 16000 160,000
TISU 3 PAK 4000 12,000

19 22/11/2016 TISU PENGESAT 1 PAK 29900 29,900

20 23/11/2016 SUNGLAIGT 2 PCS 15000 30,000


DETO CAIR 1 BOTOL

21 23/11/20126 DETOL SANTILIJER 10 BOTOL

22 23/11/2016 TALI BENANG 61 BUAH 500 30,500

23 24/11/2016 KERANJANG BUAT OBAT 1 BUAH 5000 5000

24 28/11/201`6 SUNGLAIGT 2 PCS 15000 30000

25 29/1`1/2016 BATU JAM KOTAK 2 BUAH 10000 20000

26 28/11/2016 KLIP 13*8.7 2 PAK 7500 15,000


KLIP 10*7 2 PAK 7500 15000
Data Pemakaian / Pengambilan Barang Umum
BULAN DESEMBER 2016

No Tanggal Nama Barang Jumlah Satuan Harga Total


1 2/12/2016 SOLASI 1G 10000 10000

2 2/12/2016 SLEK 2 PCS 29900 59800


MITU BABY SABUN 1 PCS 29900 29900

3 2/12/2016 SOLASI 1G 10000 10000


SUNGLIGHT 1 PCS 15000 15000
DETOL HANSOP 1 PCS
DETOL SANTILIJER 1 BTL

4 2/12/2016 BATU BATRE ABC 1 BUAH 2000 2000

5 5/12/2016 DETOL SANTI LIJER 2B


HANSOP DETOL 3 PCS
TISU PENGESAT 1 PAK 29900 29900

6 7/12/2016 KRESEK KECIL 6 PAK 16000 96000


KRESEK SEDANG 6 PAK 16000 96000
KLIP PLASTIK BIRU 5 PAK 16000 80000
KERANJANG /BAKI BESAR 3 BUAH 9000 27000
7 9/12/2016 TISU BIASA 3 PAK 8190 24570

8 15/12/2016 KANTONG PLASTIK KECIL 10 PAK 16000 160,000


KANTONG PLASTIK BESAR 10 PAK 16000 160000
PLASTIK OBAT 15*10 10 PAK 7500 75000
PLSTIK OBAT 10*7 10 PAK 7500 75,000
TISU 3 PAK 9290 27,870
KLIP BIRU 10 PAK 16000 160,000

9 15/12/2016 GUNTING 2 BUAH 4600 9200


TISU GULUNG 5 R00LL 4000 20000
SELOTIP 3G 5000 15000
10 15/12/2016 SUNGLAIGT 2 PCS 18190 36,380
DETOL CUCI TANGAN 5 BOTOL
SANTILIJER 5 BOTOL

11 21/12/2016 GUNTING 1 BUAH 5500 5500

12 21/12/2016 SUNGLIAT 1 PCS 15000 15000


BARTE ABC 4 BUAH 2000 8000
HANSOP 1 BOTOL

13 26/12/2016 SUNGLIGT 2 PCS 15000 30,000


DETOL 1 BOTOL

14 28/12/2016 RAK SUSUN 1 BUAH 45000 45000


BAKI 1 BUAH 5000 5000

15 28/12/2016 KLIP 10*2 5 PAK 5000 25000


KLIP 13*8.7 20 PAK 7500 150000
KLIP 15*10 10 PAK 7500 75000
TISU 3 PAK 15000 45000
KLIP 17*11 5 PAK 10000 50000
KANTONG PLASTIK BESAR 5 PAK 16000
KANTONG PLASTIK SEDANG 5 PAK 16000

Data Pemakaian / Pengambilan Barang Umum


BULAN JANUARY 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total


1 2/1/2017 BASKOM 11 BUAH 20000 22000
SEPATU BOT 3 PASANG 85000 255,000
TISU PENGESAT 1 PAK 29900 29900
DETOL CUCI TANGAN 2 BOTOL
TISU KOTAK 5 PAK 4000 20000
SUNGLAI 1 PCS 15000 15000
PAPAN UJIAN 1 BUAH 4000 4000

2 2/1/2017 SUNGLAIT 2 PCS 15000 30000

LAMPU RUANGAN 1 BUAH 28000 28000


SOLATIP 1G 10000 10000

LAMPU 2 BUAH 28000 56000


LAMPU 2 BUAH 28000 56000
LAMPU 2 BUAH 28000 56000
LAMPU 2 BUAH 28000 56000
LAMPU 4 BUAH 28000 112000
LAMPU 2 BUAH 28000 56000
LAMPU 2 BUAH 28000 56000
LAMPU 3 BUAH 28000
LAMPU 1 BUAH 28000 28000

BATRE ABC 4 BUAH 2000 8000

BATU BATREAAA I SET 10000 10000


BATU BATREAA 2 BUAH 2000 4000

GELAS MITRA 4 BUAH


TAS MITRA 4 BUAH

TISU KOTAK 4 PAK 4000 16000


KARET GELANG 1 IKAT

9/1/2017 BOX CONTENER SEDANG 1 BUAH 129000 129000


BOX CONTERNER KECIL 1 BUAH 69000 67000

9/1/2017 LAMPU 5 BUAH 28000 140000


LAMPU 1 BUAH 28000 28000
LAMPU 5 BUAH 28000 140,000
LAMPU 1 BUAH 28000 28000

9/1/2017 LAMPU 1 BUAH 28000 28000


LAMPU 1 BUAH 28000 28000
LAMPU 1 BUAH 28000 28000
LAMPU 2 BUAH 28000 56,000
LAMPU 2 BUAH 28000 56,000
LAMPU 3 BUAH 28000 84000
LAMPU 2 BUAH 28000 56000

13/1/2017 TISU KOTAK 6 PAK 4000 24000


TISU PENGESAT 1 PK 29900 29900
DETOL SANTILIJER 2 BOTOL

113/1/2017 TISU 5 PAK 4000 20000


KLIP 17*11 8 PAK 10000 80000
KLIP 10*7 6 PAK 5000 30,000
KLIP15*10 10 PAK 7500 150,000

13/1/2017 TISU PENGESAT 1 PAK 29900 29900


HAND SEKRUG 2 PCS
SANTILIJER 1 BOTOL
20/1/2017 KLIP BIRU 10 PAK 16000 160,000
TISU 3 PAK 4000 12000
KLIP 15*10 5 PAK 7500 37500
KLIP10*7 5 PAK 5000 25000
KANTONG 5 PAK 16000 80000
KANTONG PRASTIK 5 PAK 16000 80,000

27/1/2017 TISU PENGESAT 2 PAK 29000 58000


GUNTING 1 BUAH 5000 5000

27/1/2017 TISU 5 PAK 4000 20000


DETOL 2
SUNGLIGHT 1 PCS 15500 15,500
KANTONG PLASTIK SEDANG 5 PAK 16000 80000
KANTONG PLSTIK KECIL 5 PAK 16000 80000
GILET 1 PAK 56000 56000
31/1/2017 plastik klip 13*8,7 5 pak 6000 30000
plstik klip 10*7 5 pak 5000 25000
plstik klip 15*10 10 pak 7500 75000
plstik klip 20*17 10 pak 8500 85000
plstik hd 10 pak 15000 150000
plstik sedang 10 pak 15000 150,000
tisu 5 pak 4000 20,000
detol 1

Data Pemakaian / Pengambilan Barang Umum


BULAN FEBUARY 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total


1 1/2/2017 BATERA ALKALINE 1 PAK 20000 20000

2 3/2/2017 TISU BIASA 5 PAK 4000 20000


TISU PENGESAT 6 PCS 7500 45000

3 2/2/2017 SUNGLIGT 3 PCS 15000 45000


SUPERPEL 1 PCS 15000 15000
DETOL 2 BOTOL
4 4/2/2017 BASKOM 6 VIP 29000 174000
TISU 1 PAK 29900 29900

5 4/2/2017 KANTONG PLASTIK 5 PAK 16000 80000


KLIP 10*7 5 PAK 4000 20,000

6 6/2/2017 TISU PENGESAT 1 PAK 29900 29900

7 6/2/2017 TISU PENGESAT 1 PAK 29900 29900

8 6/2/2017 DETOL CAIR 1 BTL


SUNGLIGHT 3 PCS 15000 45,000
SUPERPEL 1 PCS 15000 15000

9 14/2/2017 TISU PENGESAT 1 PAK 29900 29900


SUNGLIHT 1 PCS 15000 15000

10 13/2/2017 BATU BATRE ISI 6 1 PAK 20000 20,000

11 14/2/2017 KANTONG PLASTIK 10 PAK 16000 160,000


TISU 5 PAK 6000 30,000

12 13/2/2017 LAKBAN MERAH 1G 15000 15,000

13 2/2/2017 TAS 10 BUAH 2800 28,000


GELAS 10 BUAH 15000 150000

14 16/2/2017 BATU BATRE 4 BUAH 2000 8000


BATU BATRE AA ISI 6 1 PAK 20000 20,000

15 17/2/2017 DETOL 2 TOL

16 18/2/2017 TISU 5 PAK 6000 30,000


KANTONG PLASTIK 5 PAK 16000 80000
PLASTIK KLIP 13*87 5 PAK 6000 6000
DETOL 2 BOTOL
SPON 1 PCS 5000 5000
GILET 1 PAK 60000 60,000

17 20/2/2017 DETOL 1 BOTOL


SLEEK 1 PCS 29900 29900

18 22/2/2017 SUNGLIGHT 3 PCS 15000 45000

19 22/2/2017 GELAS 20 BUAH 15000 300000


TAS 20 BUAH 28000 56000
20 22/3/2017 SARUNG TANGAN PLASTIK 2 PAK 29000 58000

21 22/2/2017 BATU ABC 4 BUAH 2000 8000


DETOL 1
SLEEK 2 PCS 29900 59800
DETOL 1
TISU PENGESAT 1 PAK 29900 29900
KANTONG PLASTIK 15 PAK 16000 16,000
TISU BIASA 6 PAK 6000 36,000
PLASTIK KLIP 17*11 15 PAK 10000 150,000

22 28/2/2017 SUNGLAIGHT 2 PCS 15000 30,000


PLASTIK SEDANG 1 PAK 16000 16,000
KLIP 17*11 1 PAK 10000 10,000

Data Pemakaian / Pengambilan Barang Umum


BULAN MARET 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total


1 3/3/2017 TISU 1 PAK 29900 29900
DETOL 1 BOTOL
SLEEK 1 PCS 29900 29900

2 4/3/2017 TISU 10 PAK 8900 8900


DETOL SANTILIJER 1 BOTOL
SOLASI 2G 10000 20000
TISU 1 PAK 29900 29900
KLIP 13*87 10 PAK 6000 6000

3 3-Mar GELAS MITRA 9 BUAH


TAS MITRA 9 BUAH
BATRE 4 BUAH 2000 8000

4 6/3/2017 SUNGLIGHT 1 PCS 15000 15000


KLIP OBAT 13*8 5 PAK 6000 6000
SARINGAN 1 BUAH
BATRE 4 BUAH 2000 8000
UNTUK REMOT TI &AC

5 9/3/2017 SUNGLIGT 3 PCS 15500 46500


SOLASI 2G 5000 10000
DETOL 2

6 14/3/2017 KLIP OBAT 13*87 15 PAK 6000 90000


KANTONG PLASTIK KECIL 15 PAK 16000 240,000
KLIP 15*10 10 PAK 7500 75000

7 14/3/2017 RIBON 5G
TELESSTRUK LASER 3G
TERSTRUK FAX 3G

8 13/3/2016 KLIP 13*8,7 5 PAK 6000 30000


KLIP 10*7 5 PAK 4000 20000
KLIP 20*17 10 PAK 14000 140,000
KLIP 15*10 10 PAK 7500 75000
PLASTIK BSAR 3 PAK 16000 48000

9 17/3/201`7 SUNGLIGT 1 PCS 15500 15500


SPON 1 PCS 3000 3000

10 21/3/2017 KANTONG PLSTIK 10 PAK 16000 16000


KLIP 13*8,7 10 PAK 6000 60000
TISU 3 PAK 8300 24900

21/3/2017 DETOL 2 BOTOL


SLEK 2 PCS 29900 59800
TISU 1 PAK 8300 8300

21/3/2017 GILET 1 PAK 56000 56000


KARET 1 PAK 5000 5000
16/3/2017 SUNGLIGT 2 PCS 15500 31000
15/3/2017 GELAS 16 BUAH 15000 240,000
TAS 16 BUAH 5000 80000

PLSTIK OBAT 10 PAK 4000 40000


KANTONG PLSTIK 4 PAK 16000 64000
K PLSTIK SEDANG 5 PAK 16000 80000
GUNTING 2 BUAH 2500 5000
TAS MITRA 20 BUAH 5000 100000

31/3/2017 SLEEK 2 PCS 29900 59 800


TISU BIASA 2 PAK 8500 17000

31/3/2017 KANTONG PASTIK 15 PAK 16000 240000


KANTONG BESAR 10 PAK 16000 16000
KLIP 15*10 15 PAK 7500 112500
Data Pemakaian / Pengambilan Barang Umum
BULAN MEI 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total


1 4/4/2017 SUNGLIGHT 1 PCS 15500 15500
KERANJANG BESAR 2 BUAH 44900 89800
KERANJANG KECIL 5 BUAH 20000 100000

2 4/4/2017 SIKAT KUKU 1 BUAH 10000 10000

3 4/4/2017 KERANJANG 5 BUAH 20000 100000


BOX OBAT 2 BUAH 30000 60000
KESET 11 BUAH 10000 110,000

4 4/4/2017 KESET 5 BUAH 10000 50,000


SUNGLIGHT 5 PCS 15500 77500
5 4/4/2017 TISU KOTAK 6 PAK 8000 48,000
TISU PENGESAT 2 PAK 29900 59800

6 4/4/2017 TAS MITRA 7 BUAH 4000 28,000

7 7/4/2017 TISU 2 PAK 8500 17000

8 7/4/2017 TISU 2 PAK 8500 17000


KATER 1 BUAH 5000 5000

9 11/4/2017 PLSTIK KECIL 15 PAK 15000 225000


KLIP OBAT 10*7 15 PAK 4000 60000
KLIP 13*8.7 15 PAK 6000 90000

### 11/4/2017 SUNGLIGT 2 PCS 15500 31000

11 19/4/21017 KERANJANG OBAT ALKES 14 BUAH 30000 420000


TONG SAMPAH 1 BUAH 150000 150,000
KERANJANG SAYUR 4 BUAH 30000 120,000
BOX CONTENER 1 BUAH 151200 151,200

12 19/4/2017 TISU PENGESAT 1 PAK 29900 29900


13 21/4/2017 KERANJANG OBAT 8 BUAH 28500 228,000
BOX KECIL 1 BUAH 70000 70,000
BOX CONTENER 1 BUAH 151 200 151,200

14 21/4/2017 SABUN BAYI ZUITSAL 2 PCS 29900 59,800


GUNTING 1 BUAH 5500 5,500
BATU BATRE A3 1 PAK 24000 24,000

15 21/4/2017 TISU PENGESAT 1 PAK 29900 29,900

16 26/4/2017 PLSTIK KUNING 2 PAK 30000 60,000


PLASTIK HITAM 2 PAK 30000 60,000

21/4/2017 KLIP 10*7 20 PAK 5000 100,000


KLIP 8*5 20 PAK 5000 100,000
KLIP 13*8,7 20 PAK 6000 120,000
KLIP BIRU 10 PAK 16000 160,000
KLIP 20*12 20 PAK 14000 280,000
KANTONG PLASTIK KECIL 20 PAK 15000 300,000
KANTONG PLASTIK SEDANG 20 PAK 15000 300,000
GILET 1 PAK 75000 75,000

Data Pemakaian / Pengambilan Barang Umum


BULAN MEI 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total


1 2/5/2017 GUNTING 1 BUAH 5000 5000
BAKI 1 BUAH 20000 20000
TOPLES 1 BUAH 25000 25,000

2 2/5/2017 KANTONG PLASTIK SEDANG 10 PAK 16000 160000


KANTONG PLASTIK KECIL 10 PAK 16000 160000
KLIP BIRU 5 PAK 1600 80000
KLIP 13*8,7 5 PAK 6000 30000
KLIP 15*10 5 PAK 7500 37500

3 2/5/20127 CATER 1 BUAH 5000 5000


GUNTING 1 BUAH 5000 5000
ISI CATER 1 PAK 15000 15,000

4 2/5/2017 TISU PENGESAT 1 PAK 29900 29900

5 3/5/2017 LAKBAN 1G 10000 10000


GUNTING 1 BUAH 5000 5000

6 4/5/2017 TISU 3 PAK 10000 30000


LAKBAN MERAH 2G 10000 20000
LAKBAN HITAM 1G 10000 10000

7 11/5//2017 BATUBATRE ISI 6 1 PAK 16000 16000

8 12/5/2017 KANTONG PLASTIK K 5 PAK 16000 80000


KLIP 13*87 3 PAK 6000 18000
TISU 5 PAK 10000 50000

9 12/5/2017 PIGURA 2 BUAH 30000 60000


SEMPROT ALKOHOL 1 BUAH 15000 15000
BOTOL KECAP 2 BUAH 10000 20000

10 15/5/2017 SUNLIGHT 6 PCS 15500 93000


SARUNG TANGAN 1 PAK 30000 30000
KESET 2 BUAH 15000 30000

11 15/5/2017 TISU KOTAK 6 PAK 4500 27000


TISU PENGESAT 1 PAK 29900 29900
PISAU CATER 1 BUAH 5000 5000
DOBEL TIP 1 BUAH 10000 10000

12 16/5/2017 KANTONG PLASTIK KECIL 15 PAK 16000 240,000


KANTONG PLSTIK SEDANG 15 PAK 16000 240000
KLIP 15*10 15 PAK 7500 112500
LAKBAN BENING 1G 10000 10000

13 22/5/2017 PLSTIK KLIP 13*87 5 PAK 6000 30000


PLSTIK KLIP 15*10 5 PAK 7500 37500
KANTONG PASTIK KECIL 5 PAK 16000 80000
LAKBAN BENING 2G 10000 20,000
TISU 4 PAK 10000 40000

14 17/5/2017 DOBELTIP 5G 10000 50000


LAKBAN MERAH KUNING 4G 10000 40000

15 24/5/2017 SLEEK 1 PCS 29900 29900


16 22/5/2017 LACI 1 BUAH 70000 70000

17 24/'5/2017 KANTONG PLASTIK B 1 PAK 16000 16,000


KANTONG PLASTIK S 13 PAK 16000 208000
KANTONG PLASTIK K 15 PAK 16000 240,000
PLSTIK KLIP 10*7 15 PAK 5000 75000
SUNLIGT 1 PCS 15500 15,500

18 23/5/2017 GELAS MITRA 15 BUAH 15000 225,000


TAS MITR 15 BUAH 2800 42000

19 29/5/2017 GUNTING 1 BUAH 5000 5000


SOLASIBAN 1 BUAH 10000 10000

GUNTING 1 BUAH 5000 5000

GUNTING 1 BUAH 5000 5000


CATER 1 BUAH 5000 5,000
SUNGLAIT 2 PCS 15500 31,000

20 30/5/2017 DOBEL TIP 1G 10000 10000


PLSTIK KLIP 8*5 1 PAK 5000 5000
PLSTIK KLIP 15*10 1 PAK 7500 7500

21 31/5/2017 PLASTIK KECIL 15 PAK 16000 240000


BATRE ALKALINE 2 BUAH 2000 4000
ZHUITSAL 1 PCS 29900 29900

Data Pemakaian / Pengambilan Barang Umum


BULANJUNI 2017

No Tanggal Nama Barang Jumlah Satuan Harga Total


1 1/6/2017 KANTONG PLSTIK 15 PAK 16000 240000

2 2/6/2017 BATRE ALKALINE 2 BUAH 2000 4000


3 3/6/2017 ZUITSAL 2 PCS 29900 29900

4 2/6/2017 SABUN MANDI ZUITSAL 1 PCS 29900 29900


BENANG RAMI 1G 5000 5000
CATER 1 BUAH 5000 5000
ISI CATER 1 PAK 8000 8000
TISU PENGESAT 1 PAK 29900 299000

5 3/JUNI/2017 GILET 1 PAK 70000 70000


TISU BIASA 5 PAK 10000 50000

6 5/JUNI/2017 PLASTK 1 PAK 16000 16000

7/ 6/JUNI/2017 BINGKA PANJANG 1 BUAH 100000 100000

8 7/6/2017 TISU PENGESAT 1 PAK 29900 29900

9 7/6/2017 SENTER 1 BUAH 35,000 35,000

10 8/6/2017 HODENG 1 BUAH 175000 17500

11 9/6/2017 SUNGLIGHT 3 PCS 15500 46500


SUPER PEL 2 PCS 15500 30500
LAKBAN 2G 10000 20000

12 12/6/2017 TISU 5 PAK 10000 10000

13 13/6/2017 TISU KOTAK 6 PAK 4800 28800


TISU PENGESAT 1 PAK 29900 29,900
BATU BATRE JAM 4 BUAH 2000 8000

14 14/6/2017 KRESEK KECIL 5 PAK 16000 80000


KLIP 0BAT 20*5 5 PAK 14000 70000
KLIP OBAT 15*10 10 PAK 7500 75000
KLIP OBAT13**8,7 5 PAK 6000 30000
KLIP OBAT 10*7 5 PAK 5000 25000
KANTONG PLASTIK BESAR 3 PAK 16000 48000
KANTONG PLSTIK SEDANG 5 PAK 16000 80000
KANTONG PLASTIKKECIL 10 PAK 16000 160,000
KERTAS PRIN 1 PAK 70000 70000
PLASTI KLI BIRU 2 PAK 16000 32000
TISU BIASA 5 PAK 10000 50000
SOLASI 1G 10000 10000
TISU PENGESAT 1 PAK 29900 29900
GILET 1 PAK 75000 75,000
15 23/6/2017 PLSTIK KLIP 13*8,7 10 PAK 6000 60,000
PLSTIK KLIP 10*7 10 PAK 5000 50000
16 22/6/2017 PLASTIK KLIP 15*10 1`0 PAK 7500 75000
PLASTIK KLI 8*5 10 PAK 5000 50,000
PASTIK KLIP 20*12 10 PAK 16000 160,000
KANTONG PASTIK BESAR 10 PAK 16000 160,000
KANTONG PLASTIK KECIL 15 PAK 16000 240,000
m

Unit MEDIS UMUM

VK 25,400.00

60,000.00
N.S Lt. 1

Umum

Umum

75,000.00

Apotek
120,000.00

Umum

240,000.00
Loundry
300,000.00

Apotek 70,000.00

Umum

15,000.00
Office

25,400.00
NICU / HCU

Lab

21,900.00
VK 8,800.00

Loundry 100,000.00
N.S Lt. 1 45,000.00

150,000.00
75,000.00
75,000.00
Apotek

NICU / HCU

Gudang Farmasi 15,000.00

Umum

8,800.00
OKA
15,000.00

N.S Lt. 1

Umum / G A (Bu Lia)

790,300.00 655,000.00

Unit MEDIS UMUM


VK

75,000.00
Apotek
80,000.00

N.S Lt. 1 45,000.00

30,000.00
G. Farmasi
30,000.00

NICU / HCU 25,500.00


Umum

Lab

Umum

Apotek 120,000.00

240,000.00
300,000.00
Loundry
160,000.00
110,000.00

Apotek

Kasir

Umum

Umum

VK

Kasir

Umum

NICU / HCU

160,000.00
Apotek

Umum
Umum

N.S Lt. 1 45,000.00

Umum

N.S Lt. 1 45,000.00

655,500.00 810,000.00

Unit medis umum


25,500.00
vk

vk
vk 8,800.00
vk
lab
nicu
nicu
nicu 25,500.00
nicu
vk
vk
farmasi 80,000.00
lab 15,000.00
apotek
apotek 160,000.00
apotek
apotek
apotek

MARKETING

vk
nicu
leb
leb 15,000.00
ranap 3
5,000.00
nicu
r ok 15,000.00

lab

poli 30,000.00
nicu
farmasi 80,000.00
80,000.00
539,800.00

ng Umum

MEDIS UMUM
UMUM

OK

LEB 30,000

FARMASI 225,000

FARMASI 150,000

80,000

POLI 15,000 15,000


21,000 2
8800

OK 8800
10500
15,000

POLIKLINIK 45,000
VK
17,500

FARMASI

8000

MUSHOLAH 32000
R.303 32,000
R 310 32,000

RANAP 2 32,000
DEPAN LIP 32,000
R VK 64,000
R PEMULIHAN 32,000

LANTAI 1 64,000
KASIR
APOTEK 32,000
GUDANG OBAT 64,000
R AULA 128,000
R PANTRI 32,000
R LAB 64,000
KMR MANDI UMUM 64,000
R RONGSEN 64,000
S RUANG RONGSEN 32,000

FARMASI

R OK 30,000

RANP 3 70,000

G FARMASI 16,000
16,000
15,000
15,000
6000

VK 4000

NICU
25,500
FARMASI 156,000

FARMASI
80,000
17,000
64,000
17,500
10,000
5000

P0LI 5328

15000

RANAP 3 81000
35000
1,501,502
631,428

ambilan Barang Umum


MEI 2016

Unit medis umum


UMUM

FARMASI

POLIKLINIK

45,000
22,500

VK

25,000
4,000

22,500

FARMASI 160,000
80,000
18,750

FARMASI

NICU 4,000

GUDNG FARMASI 15,000

POLIKKLINIK 18,750

VK 30,000

VIP/NICU 30,000

APOTEK 15,000
10,000

KEUANGAN 75,000

LAB

UMUM

OFFIS 75,000

FARMASI 160,000
80,000

NICU 25,000

POLI 45,000

FARMASI 156,000

KEUANGAN 24,000

MENKEP

R OK 19,500
30,000
10,000
VK 8,800

UMUM 868,750
340,050

ambilan Barang Umum


JUNI

Unit medis umum


IGD 25,000
12,000

0POLI 45,000

APOTEK 24,000
80,000
80,000
12,000
8,800
1,500

VIP 8,000
12,000

APOTEK 30,000
30,000
18,750

MARKETING 25,000

LONDRY 180,000
150,000

TEKNISI 20,000

POLI 8,000
35,000
10,000

LEB

PA IRMAN
FARMASI 37,500
150,000
150,000

LEB 10,000
10,000

NICU 15,000
29,900

MR 75,000

FARMASI 60,000
37,500

VIP 12,000
12,500
15,000

POLI 8,000
15,000
18,000

RANAP 3 14,000

IGD

FARMASI 30,000
30,000
12,000
115,200
15,000

PA IRMAN

OK 6,500

RANAP 3 30,000
BELAKANG RANAP 30,000
R 307 60,000
R 301 30,000
R 303 30,000
R 310 90,000
R 306 30,000
DEPAN KAMAR 302 30,000
RANAP LT 2 30,000
R 202 60,000
DIBELAKANG RANAP1 30,000
DI R NICU 60,000
TEMPAT LOKER 60,000
PINTU MASUK 60,000
KASIR 30,000

APOTEK 150,00
12,000

POLI

VK

LT 1 150,000
R DR DEDI 90,000
APOTEK 30,000
NICU 90,000

APOTEK 16,250
7,500

VIP 10,000
10,000

NICU 7,500
22,500
NICU 29,900

AP0TEK 30,000
30,000
30,000
25,000
25,000
VK 7,500

8,000
OK 7,500

2,594,500

397,300

ambilan Barang Umum


ULI 2016

Unit medis umum


FARMASI 35,000
60,000

OK 16,000
20,000
30,000
21,000

RANP 3 60,000
301 60,000
302 60,000
303 60,000

RANAP 2/NICU 30,000


APOTEK 30,000

FO 7,000

FARMASI 70,000
150,000
75,000
60,000
25,000
17,500
72,000
75,000

NICU

MR 7,000

IGD
VK 8,000

POLI
30,000

FARMASI 300,000
50,000
200,000

MR 4,000

FO 18,750

POLI 4,000
PA YANTO /UMUM 4,000

KASIR 15,000
3,750
OK 4,000 1,279,000
18,750
421,750

ambilan Barang Umum


STUS 2016

Unit medis umum


APOTEK 18,750
32,000

KASIR
POLI

FARMASI 115,200
37,500

NICU 3750

farmasi 160,000
75,000
37,500
75,000
70,000

POLI 5000
30,000
22,500

FARMASI 90,000
45,000
45,000

FARMASI 150,000
25,000
18,750
KASIR 7,000
15,000
5,000

farmsi 15,000
18,000
22,500
10,000
150,000

edp 3,750
APOTEK 150,000

NICU 27,500
14,750
59,800
47,800
VK 8,000

FO
7,500

R MR 60,000
R IGD 60,000
KMR MANDI LT 1 30,000
KMR MANDI DR UMUM 30,000
R 302 30,000
LOKER 30,000
D P ANAK 120,000
NICU 30,000
KMR MANDI NICU 60,000
R 203 30,000
TANGA DRURAT 60,000
R 203 60,000
R 303 60,000
R VK 30,000

APOTEK 37,500
25,000
75,000
37,500
150,000

POLI 10,000

ambilan Barang Umum


MBER 2016
Unit medis umum
LT1 DPN POLI 30,000
IGD 90,000
PANTRY 60,000
R 306 30000

FARMASI 160,000
150,000
150,000

VK 8,000
10,000
30,000

PANTRY/GIZI 30,000
EDP 7,500

PANTRY/ GIZI 15,000


22,000
62,800
3,750

APOTEK 25,000

POLI 29,900
22,500

30,000

NICU 29,900
21,300
21,300

VIP 48,000
5,000
15,000

APOTEK 80,000

FARMASI 160,000
160,000
15,000
160,000
50,000
37,500

R SERVER 28,000
R NICU 56,000
R 310 112,000
R311 84,000
RAULA 56,000

IT 4,000

GIZI/PANTRY 15,000

KASIR 16,000

OK 60,000

PANTRY 15,000

RANAP 3 4,000

PANTRY 15,000

APOTEK 15,000

FARMASI 75,000

MARKETING 875,000

INST GIZI 15,000


10,000
5,000
8,000

POLI
22,500
30,000

APOTEK 30,000
30,000
48,000
60,000
20,000
2,748,550
729,400
ambilan Barang Umum
OBER 2016

Unit medis umum


PANTRY 8,000
10,000
16,000
30,000
22,000

32,000

POLI 15,000

IT 4,000

MR 8000

APOTEK 20,000
50,000
75,000
150,000
160,000

RANAP 3 10,000

NICU 10,000

80,000

96,000
FARMASI 20,000
80,000
75,000

GIZI/PANTR 50,000
GIZI/PANTR 30,000

GIZI/PANTR 45,000
5,000

PANTRY 30,000

EDP 8,000
PANTRY 5,000
11,000

FO 8,000

APOTEK

70,000
16,000

VK 8,000
15,000

RANAP 3 6000

IT

PANTRY 15,000

RANAAP 3/307
RANNAP 3/310
RANAP3/311
RANAP/306
307
310
311
309
308
309
304
303
30-2

FARMASI 80,000
16,000

VK 84,000
RANAP 2 VIP 56,000
R STERIL 84,000
R BAYI 56,000
R EVAKUASI 56,000
VK 58,900

PA IRMAN 30,000

EDP 30,000

POLI 24,000
60,000

APOTEK 37,500
25,000
80,000
80,000

INTST GIZI 15,000

16,000
20,000

APOTEK 160,000
160,000

160,000

OK 15,000
30,000

APOTEK 96,000
OFFIS 20,000

NICU 29,000

29,900

MARKETING 681,800 60,000


2,279,500
ambilan Barang Umum
MBER 2016

Unit medis umum


APOTEK 40,000

PANTRY 15,000

APOTEK 15,000

POLI 24,000
29,900

OK 29,900
6,000

HRD 28,000
30,000

GA

RANAP 3 20,000
R 201 4,000
KEUANGAN 8,000

INTS GIZI 30,000

GIZI 30,000

KASR 24,000

EDP/FO 16,000

KASIR 20,000

APOTEK 70,000
90,000
120,000
MARKETING 10,000

HRD 5,000
15,000

APOTEK 16,000

POLI 15,000

R COSTUMER 8,000
R 307 2,000
R 201 2,000
R 309 2,000
304 2,000

POLI 10000

FARMASI 150,000
75,000
140,000
160,000
12,000

POLI 29,900

GIZI 30,000
172,700

UMUM

GA 30,500

FARMASI 5,000

GIJI 30,000

GA 20,000

GIZI 15,000
15,000
1,276,500
ambilan Barang Umum
MBER 2016

Unit medis umum


VIP 10,000

NICU 59,800
29,900

FARMASI 10,000
15,000

GA 2000

IGD

29,900

APOTEK 96,000
96,000
80,000
27,000
24,570

FARMASI 160,000
160,000
75,000
75,000
27,870
160,000

MARKETING/MCU 9,200
20,000
15,000
GIZI 36,380

KASIR 5,500

VK 15,000
8,000

GIZI 30,000
FO

MR 45,000
5,000

FARMASI 25,000
150,000
75,000
152,600 45,000
50,000
1,519,520

ambilan Barang Umum


UARY 2017

Unit medis umum


RANAP 3 220,000
OK 255,000
29,900

20,000
15,000
RANAP 3 4,000

PANTRY 30,000

FARMASI 28,000
10,000

VK 56,000
R PRASION 56,000
DEPAN LIP 56,000
R PEMULIHAN 56,000
POLI 112,000
308 56,000
304 56,000
PANTYR
WC UMUM 28,000

1GD 8,000

KEUANGAN 10,000
4,000

MARKETING

FARMASI 16,000

VK 129,000
RANAP 3 97,000

R 305 140,000
MUSHOLA 28,000
POLI ANAK 140,000
PANTRY 28,000

R GUADNG OBAT 28,000


APOTEK 28,000
R COSTUMER SERVIS 28,000
R 302 56,000
R NATIONS RANAP 3 56,000
R IGD 84,000
R 310 56,000

POLI 24,000
29,900

FARMASI 20,000
80,000
30,000
150,000

IGD 29,900
FARMASI 160,000
12,000
37,500
25,000
80,000
80,000

VIP 59,800
5,000

FARMASI 20,000
1,906,500
15,500
80,000
80,000
56,000
farmasi 30,000
25,000
75,000
85,000
150,000
150,000
20,000
1,727,000

ambilan Barang Umum


UARY 2017

Unit medis umum


IT 20,000

POLI 20,000
45,000

PANTRY 45,000
15,000
VIP 174,000
29,900

FARMASI 80,000
20,000

VK 29,900

OK 29,900

PANTRY 45,000
15,000

POLI 29,900
15,000

KEUANGAN 20,000

FARMASI 16,000
30,000

FARMASI 15,000

MARKETING 2,800
150,000

VK 8,000
RANAP 3 20,000

MR

FARMASI 25,000
80,000
30,000

5,000
60,000

NICU
29,900

PANTRY 45,000

MARKETING 300,000
56,000
PANTRY 58,000

VK 8,000

INTENSIF 59,800

29,900
FARMASI 529,200 16,000
36,000
150,000

PANTRY 30,000
FARMAASI 16,000
10,000
1,390,800

ambilan Barang Umum


RET 2017

Unit medis umum


INTENSIF 29,900

29,900

FARMASI 44,500

FANTRY 20,000
IGD 29,900
FARMASI 6,000

MARKETING

VK 8,000

FARMASI 15,000
30,000

UMUM 8,000

PANTRY 46,500
10,000
FARMASI 60,000
240,000
75,000

MR

FARMASI 30,000
20,000
140,000
75,000
48,000

VK 15,500
3,000

APOTEK 160,000
60,000
24,900

INSETIP 59,800
8,300

APOTEK 56,000
5,000
PANTRY 31,000
MARKETING 240,000
80,000

FARMASI 40,000
64,000
80,000
5,000
100,000

INSENTIP 59,800
17,000

FARMASI 240,000
160,000
112,500
261,100
2,326,400
ambilan Barang Umum
MEI 2017

Unit medis umum


FARMASI 15,500
89,800
100,000

OK 10,000

RANAP 3 100,000
60,000
110,000

VIP 50,000
PANTRY 77,500
POLI 48,000
59,800

MARKETING 28,000

FARMASI 17,000

VIP 17,000
5,000

FARMASI 225,000
60,000
90,000

PANTRY

APOTEK 420,000
PANTRY 150,000
120,000
MR 151,200

POLI 29,900
RANAP 3 228,000
70,000
151,200

NICU 59,800
5,500
24,000

IGD 29,900

PPI 60,000
60,000

FARMASI 100,000
100,000
120,000
160,000
280,000
300,000
300,000
1,178,100 75,000
2,979,000

ambilan Barang Umum


MEI 2017

Unit medis umum


VIP 5,000
20,000
25,000

APOTEK 160,000
160,000
80,000
30,000
37,500

CSSD 5,000
5,000
15,000

POLI 29,900

RADIOLOGI 10,000
RANP 3 5,000

APOTEK 30,000
20,000
10,000

KEUANGAN 16,000

APOTEK 80,000
18,000
50,000

IGD 60,000
15,000
20,000

GIJI 93,000
30,000
30,000

POLI 27,000
29,900
5,000
10,000

APOTEK 240,000
240,000
112,500
10,000

APOTEK 30,000
37,500
80,000
20,000
40,000

PPI 50,000
OK 40,000

NICU/HCU 29,900
MR 70,000

FARMASI 16,000
208,000
240,000
75,000
15,500

MARKETING 225,000
42,000

VIP 5,000
10,000

NICU 5,000

GIZI 5,000
5,000
31,000

VIP 10,000
5,000
7,500

FARMASI 240,000
MARKEWTING 4,000
INSENTIP 29,900 2,841,000
469,100

ambilan Barang Umum


NI 2017

Unit medis umum


FARMASI 240,000

MARKETING 4,000
INSENTIF 59,800

VK 29,900
5,000
5,000
8,000
29,900

FARMASI 70,000
50,000

OK 16,000

POLI 100,000

IGD 29,900

POLI 35,000

RADIOLOGI 175,000

GIZI 46,500
30,500
20,000

FARMASI 10,000

POLI 28,800
29,900
8,000
369,200
APOTEK 80,000
70,000
75,000
30,000
25,000
48,000
80,000
160,000
70,000
32,000
50,000
20,000
29,900
75,000
APOTEK 60,000
50,000
75,000
50,000
160,000
160,000
240,000
2,301,900
Data Pengiriman Oksigen 6 m3
Bulan Januari 2016

No Tanggal No SJ Jumlah Satuan Harga Total


1 7/1/2016 B18B 011386 15 Btl 43,000 645,000
2 13/01/2016 B18B 011771 10 Btl 43,000 430,000
3 21/01/2016 B18B 011933 15 Btl 43,000 645,000
4 26/01/2016 B18B 012099 15 Btl 43,000 645,000

55 675,000

Data Pengiriman Oksigen 2,5 m3


Bulan Januari 2016

No Tanggal No SJ Jumlah Satuan Harga Total


1 13/01/2016 B18B 011771 1 Btl 30,000 30,000

Data Pengiriman Oksigen 6 m3


Bulan Februari 2016

No Tanggal No SJ Jumlah Satuan Harga Total


1 2/2/2016 B18B 012278 20 Btl 43,000 860,000
2 6/2/2016 B18B 012398 15 Btl 43,000 645,000
3 11/2/2016 B18B 012517 10 Btl 43,000 430,000
4 18/02/2016 B18B 012703 10 Btl 43,000 430,000
5 24/02/2016 B18B 012864 15 Btl 43,000 645,000
6 29/02/2016 B18B 012969 10 Btl 43,000 430,000
80 675,000

Data Pengiriman Oksigen 2,5 m3


Bulan Februari 2016

No Tanggal No SJ Jumlah Satuan Harga Total


1 6/2/2016 B18B 012398 2 Btl 30,000 60,000
2 18/02/2016 B18B 012703 1 Btl 30,000 30,000
3 29/02/2016 B18B 012969 1 Btl 30,000 30,000
4 120,000

Data Pengiriman Oksigen 6 m3


Bulan Maret 2016

No Tanggal No SJ Jumlah Satuan Harga Total


1 1/3/2016 B18B 012997 10 Btl 43,000 430,000
2 4/3/2016 B18B 013081 15 Btl 43,000 645,000
3 8/3/2016 B18B 013162 10 Btl 43,000 430,000
4 11/3/2016 B18B 013239 10 Btl 43,000 430,000
5 16\3\2016 B18B 013369 10 Btl 43,000 430,000
6 24\3\2016 B18B 01355 10 Btl 43,000 430,000
65 2,795,000

Data Pengiriman Oksigen 2,5 m3


Bulan Maret 2016

No Tanggal No SJ Jumlah Satuan Harga Total


1 16\3\2016 B18B O13369 1 Btl 30,000 30,000
2 -
3 -
1 30,000

Data Pengiriman Oksigen 2,5 m3


BULAN APRIL

No Tanggal No SJ Jumlah Satuan Harga Total


1 12/4/2016 B18B 14089 1 Btl 30,000 30,000
2 19/4/2016 B18B14259 1 Btl 30,000 30,000
3 26/4/2016 B18B 1 BTL 30,000 30,000
3 90,000

Data Pengiriman Oksigen 6 m3


BULAN APRIL

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 5/4/2016 B18B 013911 15 BTL 43000 645000
2 12/4/2016 B18B 14089 15 BTL 43000 645000
3 19/4/2016 B18B 14259 15 BTL 43000 645000
4 26/4/2016 B18B 14432 15 BTL 43000 645000
60 2.580.000

Data Pengiriman Oksigen 2,5 m3


BULAN MEI 2016

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 4/5/2016 B18B 14609 2 BTL 30,000 60,000
2 10/5/2016 B18B 14694 1 BTL 30,000 30,000
3 13/5/2016 BI8B 14796 1 BTL 30,000 30,000
120,000
0

Data Pengiriman Oksigen 6 m3


BULAN MEI 2016

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 4/5 2016 BI8B 15 BTL 43000 645,000
2 10/5/2016 B1 8B 14694 15 BTL 43000 645,000
3 13/5/2016 BI 14796 15 BTL 43000 645,000
4 18/5/2016 BI8B 14936 15 BTL 43000 645,000
5 25/05/2016 B18B 015166 15 BTL 43000 645,000
3,225,000

Data Pengiriman Oksigen 2,5 m3


BULAN JUNI

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1
2 8/6/2016 15493 1 BTL 30,000 30,000

30,000
Data Pengiriman Oksigen 6 m3
BULAN JUNI

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 1/6/2016 15325 15 BTL 43000 645,000
2 8/6/2016 15493 10 BTL 43000 430,000
3 18/6/2016 10 BTL 43000 430,000
4 25/6/2016 15971 10 BTL 43000 430,000
5 30/6/2016 016090/4 10 BTL 43000 430,000
2,365,000

Data Pengiriman Oksigen 2,5 m3


BULAN JULI 2016

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 1/7/2016 16138 1 BTL 30000 30,000
2

30,000

Data Pengiriman Oksigen 6 m3


JULI

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 1/7/2016 16138 10 BTL 43000 430,000
2 14/7/2016 16266 10 BTL 43000 430,000
3 19/7/2016 16376 10 BTL 43000 430,000
4 28/7/2017 16632 9 BTL 43000 387,000
BTL
1,677,000
Data Pengiriman Oksigen 2,5 m3
BULAN ABUSTUS

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 1/8/2016 16138 1 BTL 30000 30,000
2

30,000

Data Pengiriman Oksigen 6 m3


BULAN AGUSTUS 2016

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 10/8/2016 16921 15 BTL 43000 645,000
2 24/8/2016 17240 15 BTL 43000 645,000
3 BTL 43000
4 BTL 43000
BTL
1,290,000

Data Pengiriman Oksigen 2,5 m3


BULAN SEPTEMBER

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 21/9/2016 1 BTL 30000 30,000
2

30,000

Data Pengiriman Oksigen 6 m3


SEPTEMBER

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 8/11/2016 1787 15 BTL 43000 258,000
2 15/11/2016 19294 14 BTL 43000 602,000
3 21/11/2016 19427 15 BTL 43000 645,000
4 25/11/2016 19553 15 BTL 43000 645,000
28/11/2016 19623 15 BTL 43000 645,000
2,795,000

Data Pengiriman Oksigen 2,5 m3


BULAN OKTOBER 2016

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 13/10/2016 18474 2 BTL 30000 60,000
2 22/10/2016 18710 1 BTL 30,000 30,000

60,000

Data Pengiriman Oksigen 6 m3


BULAN OKTOBER

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 4/10/2016 18227 9 BTL 43000 387,000
2 13/10/2016 18474 6 BTL 258,000
3 18/10/2016 18574 10 BTL 43000 430,000
4 22/10/2016 18710 15 BTL 43000 645,000
5 31/10/2016 18912 15 BTL 43000 645,000
2,365,000

Data Pengiriman Oksigen 2,5 m3


BULAN NOVEMBER 2016

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 8/11/2016 1 BTL 30000 30,000
2 BTL

30,000

Data Pengiriman Oksigen 6 m3


BULAN NOVEMBER

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 8/11/2016 1787 15 BTL 43000 645,000
2 1511/2016 19294 14 BTL 43000 602,000
3 21/11/2016 19427 15 BTL 43000 645,000
4 25/11/2016 19553 15 BTL 43000 645,000

2,537,000

Data Pengiriman Oksigen 2,5 m3


BULAN DESEMBER 2016

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 15/12/2016 20023 2 BTL 30000 60,000
2 BTL

60,000

Data Pengiriman Oksigen 6 m3


BULAN DESEMBER

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 15/12/2016 20023 10 BTL 43000 430,000
2 20/12/2016 20149 15 BTL 43000 640,000
3 30/12/2016 2049 10 BTL 43000 430,000

1,500,000
Data Pengiriman Oksigen 2,5 m3
BULAN JANUARI 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 10/1/2017 20608 2 BTL 30000 60,000
2 31/1/2017 21121 1 BTL 30,000 30,000

90,000

Data Pengiriman Oksigen 6 m3


BULAN JANUARY 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 10/1/2017 206080 15 BTL 43000 645,000
2 18/1/2017 20821 15 BTL 43000 645,000
3 26/1/2017 21025 20 BTL 43000 860,000
4 31/1/2017 21121 20 BTL 43000 860,000

3,010,000

Data Pengiriman Oksigen 2,5 m3


BULAN FEBUARY

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


Data Pengiriman Oksigen 6 m3
BULAN FEBUARY 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 14/2/2017 21551 15 BTL 43000 645,000
2 7/2/2017 21293 15 BTL 43000 645,000
3 22/2/2017 21736 15 BTL 43000 645,000
4

1,935,000

Data Pengiriman Oksigen 6 m3


BULAN MARET 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 15/3/2017 22312 15 BTL 43000 645,000
2 22/3/2017 22540 10 BTL 43000 430,000
3 23/3/2017 22540 10 BTL 43000 430,000
4 30/3/2017 22715 15 BTL 43000 645,000

2,150,000

Data Pengiriman Oksigen 2,5 m3


BULAN APRIL 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 5/4/2017 22864 1 BTL 30000 30,000
Data Pengiriman Oksigen 6 m3
BULAN APRIL 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 5/4/2017 22864 19 BTL 43000 817,000
2 8/4/2017 22962 18 BTL 43000 774,000
3 11/4/2017 23029 10 BTL 43000 430,000
4 18/4/2017 23188 10 BTL 43000 430,000
5 21/4/2017 23268 15 BTL 43000 645,000
6 27/4/2017 23406 10 BTL 43000 430,000
3,096,000

Data Pengiriman Oksigen 2,5 m3


BULAN APRIL 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 11/4/2017 23029 1 BTL 30000 30,000

10000
Data Pengiriman Oksigen 6 m3
BULAN MEI 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 9/5/2017 23645 20 BTL 43000 860,000
2 2/5/2017 23480 15 BTL 43000 645,000
3 22/5/2017 454 10 BTL 43000 430,000
4 29/5/2017 60 15 BTL 43000 645,000
5
6 2,580,000

Data Pengiriman Oksigen 2,5 m3


BULAN MEI 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 21/6/2017 1213 2 BTL 30000 60,000

30,000

6000 12000

Data Pengiriman Oksigen 6 m3


BULAN JUNI 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 7/6/2017 912 20 BTL 43000 860,000
2 22/6/2017 12 15 BTL 43000 645,000
3 15/6/2017 109 20 BTL 43000 860,000
4 21/6/2017 1213 30 BTL 43000 1,290,000
5
6 3,655,000

Data Pengiriman Oksigen 2,5 m3


BULAN JUNI 2017

NO TANGGAL NO SJ JUMLAH SATUAN HARGA TOTAL


1 2/6/2017 23480 1 BTL 30000 30,000

0 30,000
Pemasukan Air Galon Prima
Bulan Januari 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 15/01/2016 59 Gln 21007 11,000 649,000
2 22/01/2016 13 Gln 21643 11,000 143,000

72 792,000

Pemasukan Air Galon Cleo


Bulan Januari 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

Pemasukan Air Galon Prima


Bulan Februari 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 4/2/2016 32 Gln 21222 11,000 352,000
2 12/00/2016 29 Gln 21309 11,000 319,000
3 19/02/2016 30 Gln 21426 11,000 330,000
4 26/02/2016 27 Gln 21931 11,000 297,000
1,298,000

Pemasukan Air Galon Cleo


Bulan Februari 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 12/2/2016 38 Gln JAF- 005056 9,000 342,000
342,000

Pemasukan Air Galon Prima


Bulan Maret 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 4/3/2016 34 Gln 00507 11,000 374,000
2 Gln 11,000 -

34 374,000

Pemasukan Air Galon Cleo


Bulan Maret 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total

Pemasukan Air Galon Prima


BULAN APRIL 2016
No Tanggal Jumlah Satuan No. Faktur Harga Total
1 4/13/2016 44 Gln 315 11,000 484,000
2 4/22/2016 31 Gln 476 11,000 341,000
3 29/4/2016 28 Gln 722 11,000 308,000

75 1,133,000

Pemasukan Air Galon Cleo


BULAN APRIL 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 22/4/2016 22 GALON 9,000 225,000

Pemasukan Air Galon Prima


BULAN MEI 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 11/5/2016 42 GALON 499 11000 462,000
2 20/5/2016 35 GALON 147 11000 385,000
847,000

Pemasukan Air Galon Cleo


BULAN MEI 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 25/5/2016 32 GALON 9,000 288,000

Pemasukan Air Galon Prima


BULAN JUNI

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 07/06/ 36 GALON 321 11000 396,000
2 17/6/2016 31 GALON 435 11000 341,000

737,000
Pemasukan Air Galon Cleo
BULAN JUNI 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 22/6/2016 17 GALON 21792 9,000 153,000

Pemasukan Air Galon Prima


BULAN JULI 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 15/7/2016 25 GALON 474 11000 275,000
2 28/7/2016 28 GALON 139 11000 300,000

575,000

Pemasukan Air Galon Cleo


BULAN JULI 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 10/8/2016 25 GALON 5852 9,000 225,000
2 18/8/2016 26 GALON 21430 9,000 234,000
3 24/8/2016 17 GALON 21525 9,000 153,000

Pemasukan Air Galon Prima


BULAN AGUSTUS 2016
No Tanggal Jumlah Satuan No. Faktur Harga Total
1 10/8/2016 20 GALON 4 11000 220,000
2 28/7/2016 28 GALON 139 11000 300,000

520,000

Pemasukan Air Galon Cleo


BULAN AGUSTUS

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 10/8/2016 25 GALON 5852 9,000 225,000
2 18/8/2016 26 GALON 21430 9,000 234,000
3 24/8/2016 17 GALON 21525 9,000 153,000
4 26/8/2016 14 GALON 21535 9,000 126,000

Pemasukan Air Galon Prima


BULAN SEPTEMBER 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 5/9/2016 50 GALON 285 11000 550,000
2 24/09/2016 43 GALON 344 11000 473,000

1,023,000

Pemasukan Air Galon Cleo


BULAN SEPTEMBER 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 5/9/2016 15 GALON 20551 9,000 135,000
2 20/9/2016 22 GALON 26592 9,000 198,000
3 30/9/2016 22 GALON 26197 9,000 198,000
4 GALON 9,000
531,000

Pemasukan Air Galon Prima


BULAN OKTEBER 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 12/10/2016 27 GALON 11708 11000 297,000
2 21/10/2016 15 GALON 1 11000 165,000

462,000

Pemasukan Air Galon Cleo


BULAN OKTEBER 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 10/10/2016 20 GALON 26753 9,000 180,000
2 14/10/2016 11 GALON 26779 9,000 99,000
3 20/10/2016 12 GALON 24712 9,000 108,000
4 25/10/2016 11 GALON 9,000 99,000
486,000

Pemasukan Air Galon Prima


BULAN NOVEMBER 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 18/11/2016 27 GALON 1280 11000 297,000
2 28/11/2016 28 GALON 1433 11000 308,000
605,000

Pemasukan Air Galon Cleo


BULAN NOVEMBER 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 5/11/2016 21 GALON 24198 9,000 189,000
2 18/11/2016 19 GALON 25190 9,000 171,000
3 24/11/2016 15 GALON 25529 9,000 135,000
4
495,000

Pemasukan Air Galon Prima


BULAN DESEMBER 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 28/12/2016 23 GALON 946 11000 253,000

253,000

Pemasukan Air Galon Cleo


BULAN DESEMBER 2016

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 10/12/2016 18 GALON 24198 9,000 162,000
2 13/12/2016 15 GALON 74269 9,000 135,000
3 26/12/2016 16 GALON 74538 9,000 144,000
4
441,000
Pemasukan Air Galon Prima
BULAN JANUARY

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 17/1/2017 34 GALON 800 11000 374,000

374,000

Pemasukan Air Galon Cleo


BULAN JANUARY 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 14/2/2017 18 GALON 78285 9,000 162,000
2 GALON 9,000
3
4
162,000

Pemasukan Air Galon Prima


BULAN FEBUARY 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 14/2/2016 38 GALON 1151 11000 456,000

456,000
Pemasukan Air Galon Cleo
BULAN FEBUARI 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 14/3/2017 37 GALON 82758 9,000 333,000
2 30/3/2017 23 GALON 83809 9,000 207,000
3
4
540,000

Pemasukan Air Galon Prima


BULAN MARET 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 10/3/2017 35 GALON 1388 11000 420,000

420,000

Pemasukan Air Galon Cleo


BULAN APRIL 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 13/4/2017 22 GALON 80705 9,000 198,000
2 GALON 9,000
3
4
198,000

Pemasukan Air Galon Prima


BULAN APRIL 2017
No Tanggal Jumlah Satuan No. Faktur Harga Total
1 7/4/2017 31 GALON 11399 11000 372,000

372,000

10000

Pemasukan Air Galon Cleo


BULAN MEI 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 16/5/2017 34 GALON 84104 9,000 306,000
2 30/5/2017 14 GALON 83809 9,000 126,000
3
4
432,000

Pemasukan Air Galon Prima


BULAN MEI 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 19/05/2017 54 GALON 2153 11000 648,000

648,000
Pemasukan Air Galon Cleo
BULAN JUNI 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total


31 28/6/2017 14 GALON 86313 9,000 126,000
2 GALON 9,000
3
4
126,000

Pemasukan Air Galon Prima


BULAN JUNI 2017

No Tanggal Jumlah Satuan No. Faktur Harga Total


1 30/6/2017 33 GALON 2537 12000 396,000

396,000
[
0
NO No RM Nama Pasien Tgl Masuk Dokter g/Kelas M .BAB
1 10802 DINAR PURBATHIN, 1-Apr-16 Dr. Irwin, Sp. 303/I
2 10803 LISNAWATI BIN BENI, 1-Apr-16 Dr. Irwin, Sp. 304/II
3 10805 DEMAS ARIF SATRIA 1-Apr-16 Dr. Dedi Kurn 305/I
4 10808 ICHA PUSPITASARI, 1-Apr-16 Dr. Tripni Pri 304/II
5 9569 ROSMAYANTI 1-Apr-16 Dr. Widya Pra 310/III 1
6 10818 MAISYAROH AZKA, 1-Apr-16 Dr. Dedi KurnPERINA
7 9499 HANINDYA AUNI NA 1-Apr-16 Dr. Widya Pra 310/III 1
8 10819 DZHAKY ALMAIR JAM 1-Apr-16 Dr. Dedi KurnPERINA
9 8610 AL HUSNA R.H 1-Apr-16 Dr. Irwin, Sp. 311/III
10 10816 DZAKY ARDHANIHAI 1-Apr-16 Dr. Dwi Haryad 206/VIP
11 5140 BY NY MAISYAROH 1-Apr-16 Dr. Dedi Kurn02 /VIP
12 7893 IKA ASTARI, NY 2-Apr-16 Dr. Irwin, Sp. 311/III
13 10832 BY NY ROSMAYANTI 2-Apr-16 Dr. Dedi Kurn 307/III
14 10833 RESTU, NY 2-Apr-16 Dr. Fredy Lis 310/III 1
15 10840 IPAH HASBIAH, NY 2-Apr-16 Dr. Dedi KurnPERINA
16 7782 BY NY RESTU 2-Apr-16 Dr. Widya Pra 304/II
17 10821 BY NY IPAH 2-Apr-16 Dr. Tripni Pri PERINA
18 10820 ANIQ AINUL MARDI 2-Apr-16 Dr. Tripni Pri 307/III
19 10822 TRI AYU ASRIANI , N 2-Apr-16 Dr. Dedi Kurn NICU
20 8578 SYEIKHA NUR AULIY 2-Apr-16 Dr. Dedi Kurn301/VIP
21 10823 TRI UTAMI 2-Apr-16 Dr. Dedi Kurn 304/II
22 10829 ARI FATRIANSA 2-Apr-16 Dr. Irwin, Sp.201/VIP
23 10834 DUWI ARIYANTI, NY 2-Apr-16 Dr. Dedi Kurn205/VIP
24 10828 IIS SUSILAH 2-Apr-16 Dr. Dedi Kurn 305/I
25 10842 TRI UTAMI, NY, BY 3-Apr-16 Dr. Dedi Kurn301/VIP
26 9380 DUWI ARIYANTI, NY, 3-Apr-16 Dr. Dedi Kurn HCU
27 10847 IIS SUSILAH 1, NY, B 3-Apr-16 Dr. Irwin, Sp. 303/I
28 10810 IIS SUSILAH 2, NY, B 3-Apr-16 Dr. Widya Pra 310/III 1
29 10849 TITIN SUPRIATIN 3-Apr-16 Dr. Dwi Haryad304/II
30 10850 KEZIA ZAVIER AIHDI 3-Apr-16 Dr. Dedi Kurn 307/III
31 10851 KHOTIMATUN KHAS 3-Apr-16 Dr. Dedi Kurn 307/III
32 7603 TITIN BY NY 3-Apr-16 Dr. Dedi Kurn 305/I
33 10860 SITI HARTINI 3-Apr-16 Dr. Irwin, Sp. 304/II
34 10858 ANDYA NABILA ARA 3-Apr-16 Dr. Dedi Kurn 306/I
35 10859 IRMA YUNITA, NY 3-Apr-16 Dr. Dedi Kurn 306/I
36 7541 ZAHRATIKA RAMADY 3-Apr-16 Dr. Widya Pra 304/II
37 7431 VERA ROSANTI, NY 4-Apr-16 Dr. Widya Pra 304/II
38 10862 ANEU MAYASARI 4-Apr-16 Dr. Dedi KurnPERINA
39 10865 BY NY VERA 4-Apr-16 Dr. Dedi KurnPERINA
40 10814 DAMAR PRASETYA, 4-Apr-16 Dr. Dedi Kurn 304/II
41 10867 BY NY ANEU 4-Apr-16 Dr. Irwin, Sp. 311/III
42 9441 VIVI ANDRIANTI 4-Apr-16 Dr. Dedi Kurn04/SVIP
43 10872 VIVI ANDRIANTI, BY 4-Apr-16 Dr. Dedi Kurn03/SVIP
44 4081 AHMAD FAHMI ROS 4-Apr-16 Dr. Dedi Kurn206/VIP
45 10875 RAFALDY GIBRAN, A 4-Apr-16 Dr. Dedi KurnPERINA
46 10877 QUEENISA AL JANNA 4-Apr-16 Dr. RR. Danis 307/III
47 8077 HAFIZA KHAIRA LU 4-Apr-16 Dr. Widya Pra 304/II
48 10886 NURBAETI , NY 4-Apr-16 Dr. Dedi KurnPERINA
49 10887 ALIF NAUFAL ZAKI, 4-Apr-16 Dr. Dedi Kurn 304/II
50 10683 ASSYFATU HAFFIZA 5-Apr-16 Dr. Dwi Haryad HCU
51 10890 KARINA AZZAHRA, 5-Apr-16 Dr. Dedi KurnCU-HCU
52 10891 RATU AVIA EKA PERT 5-Apr-16 Dr. RR. Danis 307/III
53 10905 AFIF APRILIO FIRDA 5-Apr-16 Dr. Dedi KurnPERINA
54 10906 NORMAN ALAIK, TN 5-Apr-16 Dr. Dedi Kurn HCU
55 2555 M. NURKHOLIS MAJI 5-Apr-16 Dr. Dedi Kurn301/VIP
56 10915 HATTA WIJAYA 6-Apr-16 Dr. RR. Danis201/VIP
57 10917 HAFIZA KHAIRA LUB 6-Apr-16 Dr. RR. Danis205/VIP
58 10919 DINAR NOVANINDAR 6-Apr-16 Dr. Dwi Haryad304/II
59 10852 BY NY DINAR NOVA 6-Apr-16 Dr. Dwi Haryad304/II
60 10920 ANITA SARI, NY 6-Apr-16 Dr. Irwin, Sp.206/VIP
61 10922 SYIFA USSAADAH, B 6-Apr-16 Dr. RR. Danis 307/III
62 10921 RENA APRIYANTI, N 6-Apr-16 Dr. RR. Danis 307/III
63 10931 ISMIATI 6-Apr-16 Dr. RR. Danis 304/II
64 2314 NITRA LEGIARTI, NY 6-Apr-16 Dr. Dedi Kurn 305/I
65 10923 NITRA LEGIARTI, BY 7-Apr-16 Dr. Irwin, Sp.206/VIP
66 10538 IVAH HALIPAH, NY 7-Apr-16 Dr. RR. Danis302/VIP
67 10940 HANNAN ABDURRO 7-Apr-16 Dr. Irwin, Sp. 309/I
68 10941 ALFIA ZAHRA, AN 7-Apr-16 Dr. Dwi Haryad304/II
69 10945 RAFA RASDIONO,AN 7-Apr-16 Dr. Dwi Haryad307/III
70 9615 INA KURNIA SARI 7-Apr-16 Dr. Dwi Haryadi, Sp. A., M. Kes
71 10951 BY NY INA KURNIA 7-Apr-16 Dr. Dedi Kurn307 / III
72 8075 ADLI DZIL IKRAM 7-Apr-16 Dr. Dedi Kurn 304/II
73 10863 ALESA ZAHRA, BY 7-Apr-16 Dr. Dedi Kurn HCU
74 10956 NORA NURIANY GIR 7-Apr-16 Dr. Dwi Haryad306/I
75 7622 RITVIK,AN 8-Apr-16 Dr. Widya Pra206/VIP 1
76 10957 SITI ISMAYA ,NY 8-Apr-16 Dr. RR. Danis PERINA
77 10958 ARSYAD RIZQI TAU 8-Apr-16 Dr. RR. Danis PERINA
78 10960 SITI ISMAYA, BY NY 8-Apr-16 Dr. Dedi Kurn 306/I
79 10257 DEWI NURJANAH, N 8-Apr-16 Dr. Dedi Kurn 307/III
80 4155 ONENG, NY 8-Apr-16 Dr. Dedi Kurn 304/II
81 77 BY NY ONENG 8-Apr-16 Dr. Dedi Kurn03/SVIP
82 2787 KEENAN DEFA CAHYA 8-Apr-16 Dr. Irwin, Sp. 304/II
83 9803 AGUSTINA KRISTIANI 9-Apr-16 Dr. Widya Pra205/VIP 1
84 10978 AQILA HUMAIRA MA 9-Apr-16 Dr. Dedi KurnPERINA
85 10984 ALVIN ANDREA JUNI 9-Apr-16 Dr. Dedi Kurn NICU
86 10986 SANTI SISDARWATI, 9-Apr-16 Dr. Irwin, Sp. 304/II
87 10985 SANTI SISDARWATI, 9-Apr-16 Dr. Fredy Lis 308/I
88 10977 AUDY MEYDIANA PU 9-Apr-16 Dr. Fredy Lis 310/III 1
89 10994 ARYA VIKO VALIAN, 9-Apr-16 Dr. Widya Pra 310/III 1
90 10999 FITRI ENDAH LESTAR 9-Apr-16 Dr. RR. Danis 307/III
91 8666 DZAKY FAIZ KHAIRU 9-Apr-16 Dr. Fredy Lis 310/III 1
92 10989 NAWFAL AQIS IZZ GI 9-Apr-16 Dr. RR. Danis 304/II
93 10997 NURMA JAYANTI, NY 9-Apr-16 Dr. RR. Danis302/VIP
94 11000 BY NY HJ.NEA 9-Apr-16 Dr. RR. Danis PERINA
95 11001 AINAYYA FATHIYYAT 9-Apr-16 Dr. Dedi KurnPERINA
96 11003 TIA LATIFATU SADIY 9-Apr-16 Dr. Dedi KurnPERINA
97 11002 NURMA JAYANTI, NY, 10-Apr-16 Dr. Fredy Lis 310/III 1
98 11002 DEPI NURMAWATI 10-Apr-16 Dr. Dwi Haryad304/II
99 11004 TIA LATIFATU SADIYA 10-Apr-16 Dr. Dedi Kurn NICU
100 11005 HABIBIE AZIO HAMIZ 10-Apr-16 Dr. Fredy Lis 310/III 1
101 11006 HANIFA SRI ISNAINI 10-Apr-16 Dr. Farid, Sp. 303/I 1
102 11008 KARINA HERNA NUG 10-Apr-16 Dr. Dedi KurnPERINA
103 11009 KARINA HERNA NUG 10-Apr-16 Dr. Dedi KurnPERINA
104 11007 JANE ASTARINA 10-Apr-16 Dr. Fredy Lis 310/III 1
105 11015 AL HUSNA R.H 10-Apr-16 Dr. Irwin, Sp. 311/III
M.GILANG PUTRA
106 11015 RUSDIYANTO, AN 10-Apr-16 Dr. Dwi Haryad307/III
RAVA PUTRA
107 11026 FAUZIYANA, AN 10-Apr-16 Dr. RR. Danis 307/III
108 11027 AHMAD KHAFA, AN 11-Apr-16 Dr. Widya Pra 310/III 1
JANE ASTARINA , BY,
109 11034 NY 11-Apr-16 Dr. Dedi Kurn 307/III
ALESHA SHEZA
110 11019 PERMANA 11-Apr-16 Dr. RR. Danis 304/II
111 11035 TRI SUSANTI , NN 11-Apr-16 Dr. Dedi Kurn 307/III
112 11038 NURJANAH,NY 11-Apr-16 Dr. Dedi KurnPERINA
ARJUNA PANJI
113 3123 KURNIAWAN, AN 11-Apr-16 Dr. Widya Pra 304/II
114 11045 ABDUL HALIM, TN 11-Apr-16 Dr. Dedi KurnPERINA
HUMAIRA BILQIST AL-
115 11047 RIDWAN, AN 12-Apr-16 Dr. Rithza Ha 304
ANGGA ZYAHRUL
116 11049 ROMADHON, TN 12-Apr-16 Dr. Dedi Kurn 304
117 11050 MILDA SYIFA, AN 12-Apr-16 Dr. Dedi Kurn 304
AFRILLIA CEARTINA
118 11059 ISKANDAR 12-Apr-16 Dr. Widya Pra 201 1
MUHAMMAD AL
HAFIDZ SHAUQI
119 11063 IRAWAN 12-Apr-16 Dr. Rithza Ha 305
AFRILLIA CEARTINE
120 11064 ISKANDAR, NY, BY 12-Apr-16 Dr. Dedi KurnPERINA
TOTOK MARYONO, TN
121 11065 12-Apr-16 Dr. Dedi Kurn 304
BY NY ERPIYANTI
122 11066 PASARIBU 12-Apr-16 Dr. Rithza Ha 304
KHANZA ANINDIYA
123 8770 RIZVIE 12-Apr-16 Dr. Widya Pra 205 1
NETTI ANA
124 11068 RACHMAYANTI 13-Apr-16 Dr Farid 310 1
DIINA PURNAMASARI,
125 8953 NY 13-Apr-16 Dr Dedi 3o8
126 11070 WILLYA HARYATI 13-Apr-16 Dr RR DANI 304
SEPTIAN DWI CAHYO,
127 7144 TN 13-Apr-16 Dr dedi 307
128 11076 SUCI FEBRIANTI,NY 13-Apr-16 Dr Dedi 307
129 11079 SRI JULIANI, NY 13-Apr-16 Dr Dedi PERINA
130 11078 ASTIANA YULIA 13-Apr-16 DR RITHZA 311
131 11081 PONIRAH 13-Apr-16 Dr Dedi PERINA
ASTIANA YULIA, BY
132 11082 NY 13-Apr-16 DR WIDIA 310 1
133 11084 HENI EKOWATI 13-Apr-16 DR WIDIA 310 1
134 11083 BY NY RESTU 14-Apr-16 Dr Dedi NICU
135 11085 BY NY IPAH 14-Apr-16 Dr Dedi PERINA
136 11090 ANIQ AINUL MARDI 14-Apr-16 Dr Dedi PERINA
1317 11091 TRI AYU ASRIANI , N 14-Apr-16 DR RITHZA 204
138 5362 SYEIKHA NUR AULIY 14-Apr-16 DR RRDANNIS 308
139 8858 TRI UTAMI 14-Apr-16 DR WIDIA 310 1
140 4778 ARI FATRIANSA 14-Apr-16 DR RITHZA 201
141 9500 DUWI ARIYANTI, NY 14-Apr-16 dr widia 306
142 9064 IIS SUSILAH 14-Apr-16 DR WIDIA 310 1
143 11102 TRI UTAMI, NY, BY 14-Apr-16 Dr Dedi Perina
144 11103 DUWI ARIYANTI, NY, 14-Apr-16 Dr Dedi perina
145 11104 IIS SUSILAH 1, NY, B 14-Apr-16 Dr Dedi perina
146 11105 IIS SUSILAH 2, NY, B 14-Apr-16 Dr Dedi PERINA
147 1641 TITIN SUPRIATIN 15-Apr-16 DR WIDIA 205/VIP 1
148 11107 KEZIA ZAVIER AIHDI 15-Apr-16 Dr Dedi 302/VIP
149 2438 KHOTIMATUN KHAS 15-Apr-16 DR RITHZA 206/vip
150 11111 TITIN BY NY 15-Apr-16 DR DEDI PERINA
151 11112 SITI HARTINI 15-Apr-16 DR RITHZA ISOLASI
152 11031 ANDYA NABILA ARA 15-Apr-16 DR DEDI 304
153 1308 IRMA YUNITA, NY 15-Apr-16 DR RITHZA 309
154 11120 ZAHRATIKA RAMADY 16-Apr-16 DR FREDY 203/VIP 1
155 11123 VERA ROSANTI, NY 16-Apr-16 Dr Farid 310 1
156 11122 ANEU MAYASARI 16-Apr-16 Dr Farid 310 1
157 11131 BY NY VERA 16-Apr-16 Dr Dedi PERINA
158 11130 DAMAR PRASETYA, 16-Apr-16 Dr Dedi HCU
159 11133 BY NY ANEU 16-Apr-16 Dr Dedi NICU
160 9723 VIVI ANDRIANTI 16-Apr-16 DR WIDIA 201/VIP 1
161 11149 VIVI ANDRIANTI, BY 16-Apr-16 Dr Dedi PERINA
162 5087 AHMAD FAHMI ROS 17-Apr-16 DR DEDI 307
163 11154 RAFALDY GIBRAN, A 17-Apr-16 DR SUHITO 307
164 5869 QUEENISA AL JANNA 17-Apr-16 Dr Dedi 304/II
165 4615 HAFIZA KHAIRA LU 17-Apr-16 Dr Dedi 307
167 11160 NURBAETI , NY 17-Apr-16 DR RITHZA 310 1
168 11162 ALIF NAUFAL ZAKI, 17-Apr-16 Dr Dedi 307
169 9325 ASSYFATU HAFFIZA 17-Apr-16 Dr Dedi 307
170 KARINA AN 18-Apr-16 Dr Dedi
171 Nnorman DR RITHZA 305 1
172 M NURKHOLIS MAJID DR RITHZA 305 1
173 11175 HATTA WIJAYA Dr Dedi 304 1
174 5282 HAFIZA KHAIRA LUBNA Dr Dedi 304 1
175 11185 DINAR NOVANINDAR,NY DR WIDIA 205/VIP 1
176 11186 BY NY NINDAR NOVNINDAR Dr RR DANI PERINA
177 11190 ANITA SARI,NY DR WIDIA 308 1
178 11188 SYIFA USSADAH,BY 26-Apr-16 Dr Dedi APS
179 11191 RENA APRIYANTI NY 21-Apr-16 DR RITHZA APS
180 11193 ISMIATI 25-Apr-16 DR RITHZA BLPL
181 4813 NITRA LEGIART,NY 25-Apr-16 DR WIDIA BLPL 1
182 11194 BY, NY NITRA 25-Apr-16 Dr RR DANI BLPL
183 11195 IVAH HALIPAH ,NY 25-Apr-16 DR RITHZA BLPL
184 11196 HANNAN ABDUROH 25-Apr-16 Dr RR DANI
185 3530 ALFIA ZHRA DR DANNIS HCU
186 11200 RAFA RASDIONO 22-Apr-16 DR DANNIS BLPL
187 11202 INA KURNIA SARI 25-Apr-16 DR WIDIA BLPL 1
188 8056 BY NY INA 26-Apr-16 DR DANNIS BLPL
189 11213 ADLI DZIL IKRAM DR DANNIS BLPL
190 7798 ALESA ZAHRA BY Dr Dedi NICU
191 11216 NORA NURIAYANI GIRSANG,NY DR RITHZA
192 11218 RITVI AN 26-Apr-16 Dr Dedi BLPL
193 7992 SITI ISMAYA,NY 25-Apr-16 DR WIDIA BLPL 1
194 5384 ARSYAD RIZQI TAU 25-Apr-16 DR DANNIS 301
195 11226 BY NY ISMAYA 26-Apr-16 Dr Dedi BLPL
1996 11230 DEWI NURJANAH,N 25-Apr-16 Dr Farid BLPL 1
197 11231 ONENG,NY 26-Apr-16 DR BUDI S 1
199 11234 BY NY, ONENG Dr Dedi BLPL
200 11235 KEENAN DEFA CAHY 25-Apr-16 Dr Dedi APS
201 9886 AGUSTINA KRISTIAN 26-Apr-16 DR SARAH BLPL 1
202 11238 AQILA HUMAIRA M 26-Apr-16 Dr Dedi BLPL
203 4204 ALVIN ANDERA JUNI 26-Apr-16 Dr Dedi BLPL
204 11240 SANTI SISDARWATI 25-Apr-16 DR WIDIA BLPL 1
205 8750 BY NY SANTI 26-Apr-16 Dr Dedi BLPL
206 11247 AUDY MEYDIANA PU 26-Apr-16 Dr Dedi BLPL
207 11245 ARYA VIKO VALIAN 26-Apr-16 Dr Dedi BLPL
208 10779 FITRY ENDAH LESTARI DR BUDI S 1
209 11254 DZAKY FAIS KHAIRU 26-Apr-16 Dr Dedi BLPL
210 8020 NALWA AQIS DR RR DANIS
211 11271 NURMA JAYANTI ,NY DR WIDIA 1
12 5810 BY NY HJ NEA 26-Apr-16 DR DANNIS BLPL
213 11266 AINAYYA FATHIYYATURAHMAN Dr Dedi
214 11267 TIA LATIFATU SADIYAH DR FARID 1
215 11268 BY NY JAYANTI Dr Dedi
216 11270 DEPI NURMAWATI DR WIDIA 1
217 8914 TIA LATIFATU SADIYAH Dr Dedi PERINA
218 11272 HABIBIE AZIO HAMIZAN Dr Dedi
219 11273 HANIFA SRI ISNAINI DR RR DANIS
220 11274 KARINA HERNA NUGRAHA DR WIDIA 1
221 11276 BY NY KARINA Dr Dedi
222 11280 JANE ASTRARINA DR WIDIA 308 1
223 10596 AL HUSNA R.H DR RR DANIS
224 7144 M GILANG PUTRA R Dr Dedi ISOLASI
225 RAVA PUTRA DR RR DANIS
226 AHMA KHAFA Dr Dedi 205
227 JANE ASTRARINA Dr Dedi
228 ALESSA SHEZA Dr Dedi
229 TRI SUSANTI DR RITHZA 304
230 NURJANAH DR WIDIA 311 1
231 00011145 ARJUNA PANJI Dr Dedi 304
232 00011307 ABDUL HALI DR RITHZA
233 00011309 HUMAIRA DRDEDI
234 00000684 ANGGA TN DR RITHZA
235 00011310 AN M ALFAJID Dr Dedi
236 AN MILDA DR DANNIS
237 NY AFRILIA DR WIDIA
238 DINA.PURNAMA SARI DR FREDY 304 1
239 WILYA HARYATI DR FREDY 304
240 SEPTIAN DWI DR RITHZA 304
241 SUCI 206
242 SRI DR 304 1
243 ASTRIANA 304 1
244 PONIRAH DR RITHZA 304
246 BY ASTRAINA PERINA
247 HENI 304

JUMLAH PASIEN
RAWAT INAP /VIP
/SVIP=187
5-Jul-00
TOILET SET=187
HANDUK=55
TAS=55
SANDAL=40
GELAS 40

PENGELUARAN
SOFFENIR/NAMA
PASIEN
BULAN MEI 2016

NO No RM Nama Pasien Tgl Masuk Dokter g/Kelas M .BAB


1 00011385 IIN TARMINI, NY 1-May-16 Dr. Budi, Sp. 311 1
2 00011386 IIN TARMINI, BY NY 1-May-16 Dr. Dedi KurnPERINA
00011387 NEVI 1-May-16
3 KRISTINANINGSIH, NY Dr. Rithza Ha 304
00011388 ALDRIC ARSAKHA 1-May-16
4 PRANAJA Dr. Suhito Ary201
00009117 AIMANUN TSAQIB 1-May-16
5 ILYASA LUKMAN , AN Dr. Dedi KurnISOLASI
00002739 HENI EKOWATI , BY 2-May-16
6 NY Dr. Dedi KurnPERINA
7 00011401 NURHAYATI , NY 2-May-16 Dr. Budi, Sp. 311 1
8 00009395 NURAHAYATI, BY NY 2-May-16 Dr. Dedi KurnHCU
00011280 FAJAR NUR TAUFIQ, 2-May-16
9 TN Dr. Rithza Ha 310
00011412 DAFA WAHYU 2-May-16
10 WICAKSONO, AN Dr. Dedi Kurn304
00011416 KIAN MUAZZAM 2-May-16
11 BACHTIAR BY Dr. Dedi KurnHCU
00011414 NAYLA SHAFIYAH , AN 2-May-16
12 Dr. RR. Danis 307
00011417 AZAM MAULANA 2-May-16
13 PUTRA GUNARDI , AN Dr. RR. Danis 304
14 00011418 FRESTI YULIANA, NY 2-May-16 Dr.
Widya Pra201 1
15 00011419 WENDY WISNU WAR 2-May-16 Dr. FREDY LI 304 1
16 00010405 FRESTI YULIANA, N 3-May-16 Dr. Dedi KurnPERINA
00011426 NABILA NUR AZAHRA,
17 AN 3-May-16 Dr. RR. Danis 304
18 00011442 AGUSTIN WIDOWATI 3-May-16 Dr. FREDY LI 309 1
19 00011422 AGUSTIN WIDOWATI ### Dr. DEDI KU PERINA
20 00011443 SITI NUR AZIZAH , ### Dr. FREDY LI 311 1
00011445 AHMAD ZAIN NUR ###
21 HABIBI , AN Dr. Dedi Kurn307
00011447 FREDELLA SHELBY ###
22 SHAKILA Dr. Dedi Kurn304
23 00011460 TASEM TASMARA, ### Dr. FREDY LI 311
24 00007805 ABDUL LATIF, BY ### Dr. Dedi Kurn307
25 00011468 TASEM TASMARA,B ### Dr. Dedi KurnPERINA
26 00011429 AINUN SHAUMI ### Dr. DEDI KU 302
27 00010761 JUMAIRA HUSNAYAI ### Dr. RR. Danis 307
28 00011475 ALESHA LAVINA DA ### Dr. Sally Palit 307
29 00011472 MUHAMMAD ICIRO ### Dr. RR. Danis 301
30 00002983 ATI MARYATI, NY ### Dr. Budi, Sp. 311 1
31 00002801 AL GHAZALI PUTR ### Dr. Dedi Kurn304
32 00011476 AHMAD SARNUBIH ### Dr. Rithza Ha 310
33 00011477 ALIYAH KURNIA, N ### Dr. Budi, Sp. 311 1
34 00011478 ATI, BY NY ### Dr. Dedi KurnPERINA
35 00011280 TIARA RISKI,NY ### Dr. Budi, Sp. 311 1
36 00011479 TIARA RISKI, NY, B ### Dr. Sally Palit PERINA
37 00011480 ALIYAH, BY NY ### Dr. Sally Palit PERINA
38 00010717 DESTI DELHI INDI ### Dr. FREDY LI 304
39 00011481 MUNIAH WIYANI, N ### Dr. FREDY LI 304 1
40 00011482 MUNIAH, BY NY ### PERINA
41 00011484 NELLY NILAWATY ### Dr. M Farid Gh206 1
42 00011485 NELLY NILAWATY, ### Dr. Sally Palit PERINA
43 00011490 YULI JULFATUL HA ### Dr. Irwin, Sp. 304
44 00001286 FABIAN ADDI CHAK ### Dr. RR. Danis 205
00011494 MARTINA PUSPO RINI, ###
45 NY Dr. FREDY LI 308 1
46 00011499 ABDUL KARIM, AN ### Dr. Dedi Kurn304
47 00011500 ALVI FADRIAN, AN ### Dr. RR. Danis 304
48 00011503 DIKI PUTRA PRATA ### Dr. Dedi Kurn307
49 00011502 NELLY MARTINI, NY 7-May-16 Dr. Rithza Ha 309
50 00011504 NAURA GEA NOVA 7-May-16 Dr. RR. Danis 304
00006729 HABIBI ALLUBNAN, AN
51 7-May-16 Dr. RR. Danis 304
52 00011505 PERAWATI 7-May-16 Dr. Rithza Ha 310
00001513 DAFFA ROMANSYAH,
53 AN 7-May-16 Dr. Dedi Kurn307
00011514 SITI ANNISA KASTURI
54 FIRDAUS, BY 7-May-16 Dr. Dedi KurnHCU
00011515 HUSNA MUMTAZA
55 SYARIFATUNNISA, AN 7-May-16 Dr. Dedi KurnISOLASI
00010762 RD. FEERZHAL
ABYANSYAH PUTRA,
56 AN 7-May-16 Dr. Dedi Kurn201
00011281 RAYHAN RASSYA
57 GUNAWAN 8-May-16 Dr. Dedi Kurn304
00006313 MUWAHHID AL ARKAN
58 SIBARANI 8-May-16 Dr. Dedi Kurn308
59 00008822 NUR , BY NY 8-May-16 Dr. Dedi KurnPERINA
00011230 ARY TEGUH
60 SANTOSO 8-May-16 Dr. Rithza Ha 304
00011521 AZALEA PUTRI AIKO,
61 AN 8-May-16 Dr. Dedi Kurn308
00001418 SHOFIYYAH HALWA
62 AZ-ZAHRA 9-May-16 Dr. RR. Danis 304
00005132 WANTO SUWANTO,
63 TN 9-May-16 Dr. Rithza Ha 206
00009137 MUEZAMMI AMAR AL-
64 HAFIDZH , AN 9-May-16 Dr. RR. Danis 308
00011527 CENDEKIA SHOFIA
65 ABIDIN 9-May-16 Dr. Dedi Kurn302
66 00011526 NUR , NY 9-May-16 Dr. Sarah Alat311 1
00011530 AMIRA NEURIS
67 RAHMADANI 9-May-16 Dr. Dedi Kurn205
00009955 DAUD ABDILLAH
68 ELYARA MAGHFIRAH 9-May-16 Dr. Sally Palit 306
00008479 MOHAMAD TSABIT
69 QEIS RAMAZAN, BY 9-May-16 Dr. Dedi KurnHCU
00011532 TAFRIKHUL WILDAN Dr. Dedi 307
NOVANDI Kurniawan
Saputra, Sp.
A
70 9-May-16
00008411 SYNTIA GUSTIANA, BY
71 NY 9-May-16 Dr. RR. Danis PERINA
00011270 SHAKILA KHANZA
72 NUR AZZAHRA 9-May-16 Dr. RR. Danis 304
00011542 ADIBA SHAKILA 10-May-2016
73 KHANSA Dr. Dedi Kurn304
00011544 EZIO AZKA KAMA 10-May-2016
74 YAKUTA Dr. Dedi Kurn304
00010961 MATTHEW ETHAN 10-May-2016 205
75 PURNAMA, AN Dr. Dedi Kurn
00007089 ACHMAD ZAKA , TN 10-May-2016 Dr. Rithza 310
Harun, Sp.
PD
76
SYIFAA DIAN Dr. Dedi 301
FIRDAUSY, AN Kurniawan
Saputra, Sp.
A
77 00011552 11-May-16
78 00005096 STAVERO JAVAS ARV 11-May-16 Dr. RR. Danis 201
79 00009080 SYNTIA GUSTIANA 11-May-16 Dr. Sarah Alat305
00011567 MUHAMMAD
80 HARADA , AN 11-May-16 Dr. RR. Danis 304
00011568 ZAHRATIKA
81 RAMADYANI, NY 11-May-16 Dr. Rithza Ha 206
00011569 REGI PEBRIANSYAH
82 RUDIA, BY 11-May-16 Dr. Dedi Kurn307
00006393 NI MADE GILDA
83 GIASMITA PUTRI, AN 11-May-16 Dr. Dedi Kurn306
00011570 ALEESHA HASNA
84 RICITA PUTRI , AN 11-May-16 Dr. RR. Danis 308
00011575 QINAYA AUFARIN , AN
85 11-May-16 Dr. RR. Danis 302
ALISYA ALKA ADIA
86 LAVANI , AN 11-May-16 Dr. Dedi KurnHCU
ALARIQ AIDAN Dr. Dedi
RAMDHANI Kurniawan
Saputra, Sp.
A
87 11-May-16 204
RAFKA ABDUL
88 RACHMAN , AN 11-May-16 Dr. RR. Danis 307
89 ZULFA RININTA , NY 11-May-16 Dr. Farid, Sp. 304
90 ZULFA , BY NY 11-May-16 Dr. Sally Palit PERINA
91 SRI WULAN , NY 11-May-16 Dr. Sarah Alat305 1
92 SRI WULAN, BY, NY 11-May-16 Dr. Dedi KurnPERINA
93 ISTIQOMAH , BY 11-May-16 Dr. RR. Danis HCU
94 LISA SUNARAH 11-May-16 Dr. Widya Pra305
95 LISA , BY NY 12-May-16 Dr. Dedi KurnPERINA
IKHSAN DIMAS
96 FADHILLAH, AN 12-May-16 Dr. Dedi Kurn304
HAISTA CANTIKA
97 NANIRA , AN 12-May-16 Dr. RR. Danis 307
98 SYIFA AULIA , AN 12-May-16 Dr. Dedi Kurn307
EVAN BENJAMIN
99 PUTRA MEYDEA , BY 13-May-16 Dr. RR. Danis HCU
ALFAN KHOIR FAJRI,
100 BY 13-May-16 Dr. Dedi Kurn304
ALVIRA BALQIS
101 KHAIRUNNISA 13-May-16 Dr. Dedi Kurn304
102 SITI RUBAYA, NY 13-May-16 Dr. Widya Pra205
103 SUSI SUSILAWATI 13-May-16 Dr. Sarah Alat310 1
104 RAMA RAMDHANI, AN 13-May-16 Dr. Dedi KurnHCU-304
105 KIAN MUAZZAM BA 13-May-16 Dr. Dedi KurnNICU
106 SUTRISNI, NY 13-May-16 Dr. Farid, Sp. 310 1
107 OYOK, NY 13-May-16 Dr. Budi, Sp. 310 1
108 BY. NY. OYOK 13-May-16 Dr. RR. Danis PERINA
ROS DEWI NASUTION,
109 NY 13-May-16 Dr. Widya Pra311 1
110 ROS DEWI , BY NY 13-May-16 Dr. Dedi KurnPERINA
ALFIAN RIZKY MUTHA,
111 AN 14-May-16 Dr. Dedi Kurn302
112 DEDI PERMANA, BY 14-May-16 Dr. Dedi KurnHCU
WIDA FITRIANA , BY
113 NY 14-May-16 Dr. Dedi KurnPERINA
114 TURMININGSIH , NY 14-May-16 Dr. Rithza Ha 308
ALISHA KHAIRA
115 WILDA, AN 14-May-16 Dr. RR. Danis 307
ULY FADIL PRATAMA,
116 AN 14-May-16 Dr. Dedi Kurn307
117 WIDA FITRIANA 14-May-16 Dr. Farid, Sp. 304
SYAHLA HANAN
118 PRAMUDIA, AN 14-May-16 Dr. Dedi Kurn307
TEGUH RIZKIA
120 PERMANA , AN 14-May-16 Dr. RR. Danis 307
NASYWA SYIFA
121 FADILAH 14-May-16 Dr. Dedi Kurn306
KASYIFA DZIKRA
122 RAMADHANI , AN 15-May-16 Dr. Dedi Kurn307
123 ADE SRI WAHYUNI 15-May-16 Dr. Fredy Lis 311 1
ADE SRI WAHYUNI ,
124 BY NY 15-May-16 Dr. Dedi KurnPERINA
125 ABDILLAH HASAN, AN 15-May-16 Dr. Dedi Kurn306
HESTINA TRI
126 SETYOWATI , NY 15-May-16 Dr. Sarah Alat304
ALMAS MUSTIKAWATI
KUSUMAH , AN
127 15-May-16 Dr. RR. Danis 304
HESTINA TRI
128 SETYOWATI, BY, NY 16-May-16 Dr. Sally Palit PERINA
NURUL AZZAHRA
129 JAELANI, AN 16-May-16 Dr. Sally Palit ISOLASI
AXSEL EVERAD
130 SANTOSO, AN 16-May-16 Dr. Sally Palit 205
BALQIS RATIFAH
131 SAPUTRA, AN 16-May-16 Dr. Dedi Kurn304
132 MARIA ULFA , NY 16-May-16 Dr. Budi, Sp. 204 1
SHAFA ALISHA
133 KHAIRA WILDA , AN 16-May-16 Dr. Dedi Kurn304
134 MARIA ULFA , BY NY 16-May-16 Dr. Sally Palit PERINA
MARIYAH RISNAWATI
135 NY 16-May-16 Dr. Rithza Ha 308
136 TUTI ALAWIYAH, NY 16-May-16 Dr. Widya Pra311
DINDA PERMATA SARI
137 16-May-16 Dr. Widya Pra311
140 DINDA , BY NY 16-May-16 Dr. RR. Danis PERINA
TUTI ALAWIYAH, BY
141 NY 16-May-16 Dr. Dedi KurnNICU
142 ADINDA PUTIK. NY 16-May-16 Dr. Widya Pra311
143 ERMIWATI GUTO, NY 17-May-16 Dr. Rithza Ha 310
MUHAMMAD IRHAM
144 MAULANA, AN 17-May-16 Dr. Sally Palit HCU
AISYAH ZAHIDA
145 AURORA , BY 17-May-16 Dr. Dedi KurnHCU
146 ENTIS TISNAWATI, NY 17-May-16 Dr. Widya Pra311
147 ENTIS, BY NY 17-May-16 Dr. Sally Palit PERINA
BADRYAH NUR SIFA,
148 AN 17-May-16 Dr. Dedi Kurn307
149 NURBAITI , NY 17-May-16 Dr. Rithza Ha 206
150 ARDI NAUFAL FAKHRI 17-May-16 Dr. RR. Danis 307
151 SITI FATIMAH 17-May-16 Dr. Rithza Ha 310
AQUEEN ORYZA
152 SATIVA, AN 17-May-16 Dr. Dedi KurnHCU
MUTHIA APRILIA
153 AZARI , AN 17-May-16 Dr. Dedi KurnHCU
154 DEDEH SURYATI, NY 17-May-16 Dr. Rithza Ha 201
155 HUSNA SALMA 17-May-16 Dr. Dedi Kurn304
156 HENI HIMAWAN , NY 18-May-16 Dr. Farid, Sp. 203 1
157 HENI , BY NY 18-May-16 Dr. RR. Danis PERINA
RAINA NIDA EL
158 ROSYID , AN 18-May-16 Dr. RR. Danis 307
M.KHOERUL AZMY AL-
159 BADRY , AN 18-May-16 Dr. RR. Danis 307
RADJATA NAROTAMA
160 DANAPATI, BY 18-May-16 Dr. Dedi KurnHCU
161 M.CHIO FIRDAUS , AN 18-May-16 Dr. Dedi KurnISOLASI
162 ARTHA ULY , NY 18-May-16 Dr. Rithza Ha 305
163 ADINDA PUTIK. BY NY 18-May-16 Dr. Dedi KurnNICU
165 KHOERUL AZAM , AN 18-May-16 Dr. Dedi Kurn307
166 M. RAFI HUDA , AN 18-May-16 Dr. Dedi Kurn306
167 M.ARIFIN ILHAM , AN 18-May-16 Dr. Sally Palit 307
MUHAMMAD KENZIE
168 PURNAMA, AN 19-May-16 Dr. RR. Danis 304
ARJUNA CANDRA
169 PRADIPTA , AN 19-May-16 Dr. Dedi Kurn304
170 SITI KULSUM, NY 19-May-16 Dr. Fredy Lis 311
171 SITI KULSUM , BY NY 19-May-16 Dr. Dedi KurnPERINA
172 HJ.ALISAH 19-May-16 Dr. Rithza Ha 309
173 ARUM INDRIYANI, NN 19-May-16 Dr. Rithza Ha 305
174 00011737 KAYSA SYAHIDAH, AN
20-May-16 Dr. RR. Danis 304
175 00011738 PRISCILLA ZAHRA
LARASATI, AN 20-May-16 Dr. Dedi Kurn306
176 00011735 IBNU REZA BANGKIT,
AN 20-May-16 Dr. RR. Danis 304
177 00011739 GHAZI MUHAMMAD ,
AN 20-May-16 Dr. Sally Palit 308
178 00011740 SABIAN YASIR AKBAR,
AN 20-May-16 Dr. Dedi Kurn203
179 00011742 JAISYU MUHAMMAD,
AN 20-May-16 Dr. Sally Palit 308
180 00011512 MUTIARA DWI
FAUZIYYAH, AN 21-May-16 Dr. Sally Palit 307
181 00011744 NUNUNG NURHAYATI,
NY 21-May-16 Dr. Sarah Alat204 1
182 00011745 NUNUNG NURHAYATI ,
BY NY 21-May-16 Dr. Dedi KurnPERINA
183 00011747 LIE FUI JIU, NY 21-May-16 Dr. Budi, Sp. 311 1
184 00011749 LIE FUI JIU, BY NY 21-May-16 Dr. Dedi KurnPERINA
185 00011751 ARJUNA KENZIE
HAIDAR RAKHMAN 21-May-16 Dr. Dedi Kurn302
186 00011754 TALITHA YASMINE , AN
21-May-16 Dr. RR. Danis 308
187 00011755 YUNITA ANA MARIA 22-May-16 Dr. Rithza Ha 310
188 00011757 DINA ARUM DEWI
PERTIWI , NY 22-May-16 Dr. Fredy Lis 205 1
189 00011758 DINA ARUM DEWI
PERTIWI , BY NY 22-May-16 Dr. Sally Palit PERINA
190 00008373 KENZIE MUHAMMAD
AL KHALIFI HANDOKO 23-May-16 Dr. Dedi Kurn304
191 00011764 ADEEVA AFSHEEN
MEYSHA , BY 23-May-16 Dr. Dedi KurnHCU-308
192 00011768 MUHAMMAD RAFIF
FAQIH HIDAYAT , AN 23-May-16 Dr. RR. Danis 206
193 00006939 LINA HERNANI , NY 23-May-16 Dr. Sarah Alat311
194 00011772 LUSYEANA NUR
FEBIYANTI 23-May-16 Dr. RR. Danis 306
195 00011775 YENI MAYANTI, NY 24-May-16 Dr. Rithza Ha 310
196 00011777 MUHAMMAD YAZID
SIDIK, AN 24-May-16 Dr. Dedi Kurn307
197 00011780 PRISTA AYU ANINDYA
HAKIM, AN 24-May-16 Dr. Dedi Kurn304
198 00011782 MITA AYU LESTARI ,
NN 24-May-16 Dr. Dedi Kurn306
199 00004952 DIKA RAMADANI , AN 24-May-16 Dr. Dedi Kurn305
200 00011794 MUHAMMAD
FARINDRA PUTRA 24-May-16 Dr. Dedi Kurn304
201 00011774 RIJAL 25-May-16 Dr. Dedi KurnHCU
202 00011800 MAHARDIKA
PRASETYA 25-May-16 Dr. RR. Danis 304
203 00005530 MUHAMMAD
SULTHON TABATABAI
SARIEF , AN
25-May-16 Dr. RR. Danis 308
204 00002443 MALIKA ALYA QANITA,
AN 25-May-16 Dr. Dedi Kurn307
205 00011804 DION DWI RAMADHAN
, AN 25-May-16 Dr. Dedi KurnHCU
206 00011805 YUTAKA AKHWILANDI 25-May-16 Dr. RR. Danis 304
207 00011806 IFTINA ASSABIYYA
RAFIFA , BY 25-May-16 Dr. Sally Palit 201
208 00011807 FRIDA RIA NANDA , AN
25-May-16 Dr. Rithza Ha 204
209 00002176 MAYSUN PRIHATI
NINGSIH 25-May-16 Dr. Suhito Ary307
210 00007574 KHUURIN SAFITRI, AN 25-May-16 Dr. Dedi Kurn307
211 00011814 DWI WAHYUNI 25-May-16 Dr. Widya Pra309 1
12 00011815 KEYSHA SHANUM
AZALIA AHMAD , AN 26-May-16 Dr. Sally Palit 308 1
213 00011773 PUTRI WIDI ASTUTI 26-May-16 Dr. Widya Pra309 1
214 00011443 RAFASYAH AZKA
PUTRA GUNAWAN ,
BY 26-May-16 Dr. Dedi KurnPERINA
215 00011819 SITI HARDIYANTI 26-May-16 Dr. Widya Pra311 1
216 00011832 JAVIER AKTAM AL
FATIH 26-May-16 Dr. RR. Danis 304
217 00011603 ELINA ANINDYA
MULYA 26-May-16 Dr. Dedi Kurn307
218 00011833 MUHAMMAD MALDINI
ROMADHONA 26-May-16 Dr. Dedi Kurn307
SYAHLA ALYA
219 00005403 RAMADHANI , AN 27-May-16 Dr. RR. Danis 205
SYABIL SAFARAZ
220 00011835 PUTRA 27-May-16 Dr. RR. Danis 205
221 GAVIN RAYKA
ALFAROQ , BY 27/5/2016 Dr. Dedi KurnPERINA
222 LUSIANA , BY NY 28/5/2016 Dr. Sally Palit NICU
CINDY FEBRIANTHY ,
223 NY 29/5 2016 Dr. Widya Pra305 1
ANNISA NUR AIDA, AN
224 30/5/2016 Dr. Dedi Kurn302
SHAFIRA PUTRI H , AN
225 30/5/2016 Dr. Dedi KurnISOLASI
AISYAH NUR HAYATI ,
226 NY 27/52016 Dr. Widya Pra310 1
227 DWI PRAMAYANTI 27/5/201`6 Dr. Widya Pra206
BY. NY AISYAH
228 NURHAYATI 28/5/209 Dr. Dedi KurnPERINA
BY. NY. DWI
229 PRAMAYANTI 28/5/2016 Dr. Dedi KurnPERINA
230
CAREM , BY ,NY Dr. Dedi KurnNICU
231 SYIFA AULIA , AN Dr. RR. Danis 307
BANYU PARADUTA
232 NARARYA , BY Dr. Dedi KurnHCU
233 ZHAPIRA OKTAVINA Dr. Dedi Kurn301
234 ARSENIO AHMAD, BY Dr. Dedi Kurn304
SYABIL ATHAILAH
235 ANGGORO , AN Dr. Dedi Kurn307
236 DESI HERYANTI , NY Dr. Rithza Ha 311
ADELIA PUTRI
237 PRATIWI, AN Dr. Dedi KurnHCU
DIINA PURNAMASARI,
238 NY 253 Dr. Fredy Lis 304
239 HARRA WIJAYA , AN Dr. RR. Danis 307
240 MIMI MARYANI , NY Dr. Rithza Ha 311
FATHIYYAH NUR
241 SALMA CAISAR , AN Dr. Dedi Kurn201
ARDIAN FAKHRY
242 YUDHA. AN Dr. Dedi Kurn304
ARDIAN FAKHRY
243 YUDHA. AN DR DEDI 304
30

SOFFENIR /PKET MANDI


BULAN JUNI 2016
NO No RM Nama Pasien Tgl Masuk Dokter g/Kelas M .BAB
1 00011932 RIYANTI, NY 1-Jun-16 Dr. Widya Pra310 1
2 00011929 ULYA AMJADILLA 1-Jun-16 Dr. RR. Danis 305
00011916 FARIDA RIKKI JUNIA
3 ,NY 2-Jun-16 Dr. Dedi Kurn304
4 00011933 KARWIAH , NY 2-Jun-16 Dr. Sarah Alat304 1
5 00011938 KARWIAH , BY NY 2-Jun-16 Dr. Dedi KurnPERINA
00011939 QUEENY HABIBAH
6 NUR RACHMA , AN 2-Jun-16 Dr. Dedi KurnHCU
00006669 LINTANG GUMINTANG
7 , AN 2-Jun-16 Dr. Dedi Kurn304
00011306 MUHAMMAD GANJAR
8 PARAMAYOGA , BY 2-Jun-16 Dr. Dedi KurnHCU
9 00000414 MALIK MAHIR 2-Jun-16 Dr. Sally Palit 304
10 00011948 BY, NY SITI 2-Jun-16 Dr. Dedi KurnNICU
11 00011969 ALVIS KHAIRI SYABAN ,3-Jun-16 Dr. Dedi Kurni 302
12 00011950 WIS YELLY SUSETYASTY 3-Jun-16 Dr. Fredy Lisna 1 1
13 00011956 RAISA MIKA NADHIFA , 3-Jun-16 Dr. Dedi Kurni PERINA
14 00011957 LUQMAN NUR IHSAN 3-Jun-16 Dr. Dedi Kurni 307
15 00011962 AQILLA , AN 3-Jun-16 Dr. Sally Palit, NICU
16 00011973 NURBAETI SUSILAW
4-Jun-16 Dr. Fredy Lisna 310 1
17 00011980 NURBAETI , BY NY4-Jun-16 Dr. Dedi Kurni PERINA
18 00006850 4-Jun-16 Dr. Widya Pra305 1
19 00011995 HANIF , BY 4-Jun-16 Dr. Dedi KurnPERINA
20 00005860 MEISYA ANEIRA NA4-Jun-16 Dr. Dedi Kurni 304
21 00011981 M.AKMAL , BY 4-Jun-16 Dr. Dedi Kurni 307
22 00008269 EVA ROSIDAH 4-Jun-16 Dr. Widya Pra304 1
23 00011975 FANISA ALIYA PUTR4-Jun-16 Dr. Dedi Kurn304
24 00008123 ELIA , NY 4-Jun-16 Dr. Rithza Ha 201
25 00011994 RAMA FAIZ AL FARIZ
4-Jun-16 Dr. Dedi KurnPERINA
26 00003552 EPITA PEBRIYANTI4-Jun-16 Dr. Rithza Ha 304
27 00011988 RAMADITYA JUNIYA 4-Jun-16 Dr. Dedi Kurn304
28 00011996 DANZIKI RAMZAN, 5-Jun-16 Dr. Dedi Kurn307
29 00011997 ALYA SITI NURJAN 5-Jun-16 Dr. Dedi KurnHCU-303
30 00012000 WAHYUDIN , TN 5-Jun-16 Dr. Rithza Ha 205
31 00004140 NELLY OKTAPRIYA5-Jun-16 Dr. Widya Pra310 1
32 00011863 APRILYANI HUSNA5-Jun-16 Dr. Dedi Kurn302
00012001 SYAFIRA AZZAHRA ,
33 BY 6-Jun-16 Dr. Dedi Kurn304
00012002 BY, NY, NELLY
34 OKTAPRIYANTI 6-Jun-16 Dr. Dedi KurnPERINA
35 00010504 VERLINDAWATI, NY 6-Jun-16 Dr. Fredy Lis 204 1
36 00010903 SRI JULIANI, NY 6-Jun-16 Dr. Widya Pra306 1
00012007 BY, NY VERLINDAWATI
37 6-Jun-16 Dr. Dedi KurnHCU
38 00012009 SYARI ATUSIPAH, AN 6-Jun-16 Dr. Sally Palit 304
39 00012012 SRI JULIANI, BY NY 6-Jun-16 Dr. Sally Palit PERINA
40 00008831 SISKAWATI 6-Jun-16 Dr. Widya Pra308
41 00012006 NAURA , AN 6-Jun-16 Dr. Dedi Kurn307
42 00012018 SISKAWATI , BY NY 6-Jun-16 Dr. Dedi KurnPERINA
00012017 OKI REGIA RABBANI ,
43 NY 6-Jun-16 Dr. Sarah Alat305 1
44 00011724 SITI KHOLISOH , NY 7-Jun-16 Dr. Widya Pra304 1
00007647 MUHAMMAD ALMEER
45 ATHAILAH 7-Jun-16 Dr. Dedi KurnISOLASI/I
00012023 SYAKIRA AINUN
46 NISSA, AN 7-Jun-16 Dr. Dedi Kurn202
00011423 IKHSAN DIMAS
47 FADHILLAH, AN 7-Jun-16 Dr. Dedi Kurn307
48 00012025 ANGGUN NURANIE 7-Jun-16 Dr. Fredy Lis 306 1
00012028 OKALINA ANESKA
49 PUTRI, AN 7-Jun-16 Dr. Dedi Kurn303
00012030 ALULA AFSHEEN
50 MYESHA , BY 8-Jun-16 Dr. Dedi Kurn307 ~
00012032 AGUS SUPRIYATNA ,
51 AN 8-Jun-16 Dr. Dedi Kurn307
00011971 NURMAULINAWATI,
52 NY 8-Jun-16 Dr. Fredy Lis 305 1
00012033 NAFISHA ATANIA
53 SUSANTO , BY 8-Jun-16 Dr. Dedi Kurn304
00012037 AQILA ANINDYA
54 FAIKAL 8-Jun-16 Dr. Sally Palit 201
00012039 AWALIA IZZATUNNISA,
55 BY 8-Jun-16 Dr. Sally Palit PERINA
00007974 NADA LATISHA ANJANI
56 8-Jun-16 Dr. Dedi Kurn307
00012041 GISELA AISYAH
57 MARYATI, AN 9-Jun-16 Dr. Sally Palit 304
00012042 DIAH AZMI NIHAYATI,
58 NY 9-Jun-16 Dr. Rithza Ha 204
59 00012045 RISNA MULYONO 9-Jun-16 Dr. Rithza Ha 311
60 00007285 NIKO ALFARENDRA 9-Jun-16 Dr. Sally Palit 304
61 00012054 SUSI LASTUTI 9-Jun-16 Dr. Widya Pra308 1
62 00012057 BY, NY SUSI LASTUTI 9-Jun-16 Dr. Sally Palit PERINA
00008806 RAFFASYA ARKAN
63 SONJAYA 10-Jun-16 Dr. Dedi KurnISOLASI/I
00012001 SYAFIRA AZZAHRA ,
64 BY 10-Jun-16 Dr. Dedi Kurn304
65 00012065 SINDY ARDIANTI. NY 10-Jun-16 Dr. Sarah Alat308/I
66 00012077 SIRIN KHOYAROH ,BY 10-Jun-16 Dr. Dedi KurnHCU
00012078 BY, NY SINDY
67 ARDIANTI 11-Jun-16 Dr. Dedi KurnPERINA
68 00009132 ELFITA SEPTININGSIH 11-Jun-16 Dr. Widya Pra308
00012079 BY, NY ELFITA
69 SEPTININGSIH 11-Jun-16 Dr. Dedi KurnNICU
70 00010908 IBRAHIM, AN 11-Jun-16 Dr. Dedi Kurn307
71 00011846 YULI EKA DIANTI , NY 11-Jun-16 Dr. Fredy Lis 205
00011900 BY. NY AISYAH
72 NURHAYATI 11-Jun-16 Dr. Dedi Kurn307
00002481 ANNISA ZAHRA
73 YULIANT,AN 11-Jun-16 Dr. Sally Palit 303
74 00012087 YENI YUNIARTI , NY 11-Jun-16 Dr. Fredy Lis 306 1
00012096 YENI YUNIARTI , BY
75 NY 11-Jun-16 Dr. Sally Palit PERINA
76 00012097 HJ TATI HARTATI 11-Jun-16 Dr. Widya Pra202 1
00012098 YULI EKA DIATI, BY NY
77 12-Jun-16 Dr. Dedi KurnPERINA
78 00012099 SANTI SUSILAWATI 12-Jun-16 Dr. Fredy Lis 311 1
79 00012100 RAIHANUN, AN 12-Jun-16 Dr. Dedi Kurn303 (Isolasi )
80 00012101 PUTRI SABRINA, AN 12-Jun-16 Dr. Dedi Kurn307
00012102 SANTI SUSILAWATI,
81 BY NY 12-Jun-16 Dr. Dedi KurnPERINA
82 00012103 AFIQAH KALILA R, AN 12-Jun-16 Dr. Sally Palit HCU-ISOLASI
00012104 GADIZA LOVANY
83 DIRA, AN 12-Jun-16 Dr. Sally Palit 305
84 00012107 HJ.TATI , BY NY 12-Jun-16 Dr. Sally Palit PERINA
00012113 MUHAMMAD DZIKRI
85 AZHAR, AN 13-Jun-16 Dr. Dedi Kurn305
00012114 IJLAL SEPTIAN
86 HERMAWAN, AN 13-Jun-16 Dr. Dedi Kurn305
00012116 MUHAMMAD ALFIN AL
87 VHARO , AN 13-Jun-16 Dr. Dedi KurnISOLASI/I
00012127 EARLYTA ARSYFA
88 SALSABILA. AN 14-Jun-16 Dr. Dedi Kurn304
00012128 AFIFA N KHUMAIRA .
89 AN 14-Jun-16 Dr. Dedi Kurn307
90 00012130 HAIKAL HAFIZH. AN 14-Jun-16 Dr. Dedi Kurn304
00009707 YUMNAA DHIA
91 ALTHAFUNNISA 14-Jun-16 Dr. Dedi Kurn201
92 00012134 M. RIZIQ HAMZAH. AN 14-Jun-16 Dr. Dedi Kurn304
93 00012137 YUSEFRILLA, BY NY 14-Jun-16 Dr. Dedi KurnNICU
94 00012138 NOVITASARI, NY 14-Jun-16 Dr. Fredy Lis 311
00012140 ZANA SAHYA LOCITA ,
95 AN 15-Jun-16 Dr. Dedi Kurn205
00012141 IRNA PURNAMA SARI ,
96 NY 15-Jun-16 Dr. Widya Pra304 1
00012144 AL ASHARI ASOBARI,
97 AN 15-Jun-16 Dr. Dedi Kurn304
98 00012146 BY. NY. NOVITASARI 15-Jun-16 Dr. Dedi KurnPERINA
99 00012149 IRNA. BY 15-Jun-16 Dr. Dedi KurnPERINA
100 00012129 LENA SITI NURUL. NY 15-Jun-16 Dr. Fredy Lis 309 1
00012147 SOFYAN AL MALIKI.
101 AN 15-Jun-16 Dr. Dedi KurnHCU
00012150 RAFFATAR
102 RAMADHAN, BY 15-Jun-16 Dr. Dedi KurnNICU
00012152 MUHAMMAD AZKA
ALVIAN PRATAMA, AN
103 15-Jun-16 Dr. Sally Palit 307
00012154 KAIRA ANANDA
104 SYAHBANI, AN 15-Jun-16 Dr. Sally Palit 307
105 00012155 NOVI INDRAWATI , NY 15-Jun-16 Dr. Widya Pra206 1
106 00012156 AKMAL , AN 16-Jun-16 Dr. Sally Palit 303
00012161 DESVIA AG
107 PRASANDA , AN 16-Jun-16 Dr. Dedi Kurn308
00012162 NAYSILA AZAHRA , AN
108 16-Jun-16 Dr. Dedi Kurn307
109 00009492 NIAWATI 17-Jun-16 Dr. Rithza Ha 310
00012167 MUHAMMAD ALDHI
110 ALFARIZY , AN 17-Jun-16 Dr. Dedi Kurn307
111 00012169 CASRIYATI 17-Jun-16 Dr. Sarah Alat205 1
00012170 MUHAMMAD FADLI
112 HILMANI , BY 17-Jun-16 Dr. Dedi Kurn307
113 00012172 CASRIYATI, BY NY 17-Jun-16 Dr. Sally Palit PERINA
114 00008480 APRIYANTI 17-Jun-16 Dr. Widya Pra304
00011171 NAFIZA RAMADHINA
115 KUSUMAH, AN 17-Jun-16 Dr. Sally Palit 304
00012175 DEBY GITA SHAVIRA ,
116 AN 17-Jun-16 Dr. Dedi Kurn303/ISOLASI
117 00012176 BY, NY APRIYANTI 17-Jun-16 Dr. Sally Palit PERINA
00010642 REYNAND BIMA
118 ABINAYA 17-Jun-16 Dr. Dedi Kurn305
00011748 MUHAMMAD RAFFA
119 FIRDAUS 17-Jun-16 Dr. Dedi Kurn304
120 00012185 ILHAM RAMDAN , AN 18-Jun-16 Dr. Sally Palit 304
00000060 MUHAMMAD
121 UNFAWAN 19-Jun-16 Dr. Dedi Kurn304
00012188 ZIDAN KHAIRUL
122 KHALIK , AN 19-Jun-16 Dr. Dedi Kurn307
123 00012189 TASYA SAFIRA , AN 19-Jun-16 Dr. Dedi KurnHCU
00006669 LINTANG GUMINTANG
124 , AN 19-Jun-16 Dr. Dedi Kurn307
125 00010482 DELISYA ABILQIS, BY 20-Jun-16 Dr. Dedi Kurn201
00012195 ANNISA FAKHRIYAH.
126 AN 20-Jun-16 Dr. Dedi Kurn307
00009705 FAIREL ATHARS
127 CHALIEF 20-Jun-16 Dr. Dedi Kurn304
128 00012200 NUROHMAN , TN 20-Jun-16 Dr. Rithza Ha 311
00007968 SALSABILA
129 AZRINULATI 20-Jun-16 Dr. Dedi Kurn303
130 00012201 LALITHA VEGA , AN 20-Jun-16 Dr. Dedi Kurn307
00012202 DYAH WULAN SARI ,
131 NY 21-Jun-16 Dr. Sarah Alat306 1
00012203 DYAH WULAN SARI ,
132 BY NY 21-Jun-16 Dr. Dedi KurnPERINA
133 00012205 DIAN ISLAMIATI, NY 21-Jun-16 Dr. Fredy Lis 310
00012210 JULIANA SETIAWATI ,
134 NY 22-Jun-16 Dr. Rithza Ha 310
00012209 ADEEVA RAHMAH
135 AROANI ,BY 22-Jun-16 Dr. Sally Palit 307
136 00008107 SUHENDAH 22-Jun-16 Dr. Rithza Ha 310
137 00012218 NURHIDAYATI . NY 22-Jun-16 Dr. Rithza Ha 308
138 00008913 GINA AYUDIA 22-Jun-16 Dr. Rithza Ha 205
00012224 RIZA MUHAMMAD , AN
139 23-Jun-16 Dr. Sally Palit 305
00012225 LIDIAWATY RAHMAT ,
140 BY NY 23-Jun-16 Dr. Dedi KurnNICU
00005641 SRI
141 WAHYUNINGSIH,NY 23-Jun-16 Dr. Alam, Sp. 311
142 00012227 NANDITA INDAH . AN 23-Jun-16 Dr. Dedi Kurn307
00012231 NOVITA KUSUMAH
143 WULANDARI. NY 23-Jun-16 Dr. Widya Pra311
00012233 NOVITA KUSUMAH
144 WULANDARI. BY NY 23-Jun-16 Dr. Sally Palit PERINA
145 00012234 IKA SOLIHAH, NY 23-Jun-16 Dr. Widya Pra306
146 00012236 IKA SOLIHAH , BY NY 23-Jun-16 Dr. Dedi KurnPERINA
00007015 SYANALA KANIA
1476 SALBILA . AN 24-Jun-16 Dr. Dedi Kurn304
00012241 MUHAMMAD ARFAN
148 RAMADHAN . AN 24-Jun-16 Dr. Dedi Kurn303/ISOLASI
149 00012252 ROSI NOVIANTI, NN 24-Jun-16 Dr. Rithza Ha 309
150 00012255 SITI SUMIYATI, NY 25-Jun-16
00012254 NABILA HAYATUN
151 NUPUS 25-Jun-16 Dr. Dedi Kurn307
00006052 HAIKAL RIZKY KHAIRI
152 ALHAKIM 25-Jun-16 Dr. Dedi Kurn308
00012257 ANGGITA NABILAH
153 PUSPARINI 25-Jun-16 Dr. Dedi Kurn206
154 00011740 KHOERUL AZAM , AN 26-Jun-16 Dr. Dedi Kurn304
00011751 PRISCILLA ZAHRA
155 LARASATI, AN 27-Jun-16 Dr. Dedi Kurn305
00012272 AL HISYAM NOFAN
156 ADHIATAMA . AN 27-Jun-16 Dr. Sally Palit 304
00007624 AXSEL EVERAD
157 SANTOSO, AN 27-Jun-16 Dr. Sally Palit 303
00012275 RIZAL MAULANA
158 IBRAHIM , AN 27-Jun-16 Dr. Dedi Kurn303
159 NY SARI 29-Jun-16 DR SARAH SP310
160 NY SUNARTI 29/-JUNI-16 310 1
161 NY KURNIASIH 29-JUNI-16 310 1
162 AN FIRTRI 29-JUNI-16 HCU
163 AN ABIAN 29-JUNI-16 307
164 AN NALIZA 29-JUNI-16 304
165 HJ NUNUNG 29-JUNI-16 205 1
166 25
NO No RM Nama Pasien Tgl Masuk Dokter g/Kelas M .BAB
1 00012393 SOFIYA SAIDAH, AN 11-Jul-16 Dr. RR. Danis 303
2 00012398 SUKAESIH , NY 12-Jul-16 Dr. Fredy Lis 311
00012438 QISTHY RAHMAH
3 CHAIRANI , NN 14-Jul-16 Dr. Rithza Ha 311
4 00012446 ROMLAH , NY 15-Jul-16 Dr. Rithza Ha 311
5 00011219 DWI YULYANTI, NY 15-Jul-16 Dr. Rithza Ha 311
6 00012496 NURYATI, NY 18-Jul-16 Dr. Rithza Ha 311
7 00001535 PUTRI SRI RAHAYU 19-Jul-16 Dr. Rithza Ha 311
8 00012595 SITI KODARIAH , NY 27-Jul-16 Dr. Rithza Ha 311
9 00012315 IKA KURNIANTARI, NY 01-Jul-2016 Dr. Fredy Lis 310 1
10 00012344 ASRI YUNIAR , NY 5-Jul-16 Dr. Fredy Lis 310 1
11 00012348 WARNI ASIH 6-Jul-16 Dr. Fredy Lis 310 1
12 00012359 SITI NURYANAH , NY 7-Jul-16 Dr. Fredy Lis 310 1
13 00012361 HARYATI , NY 7-Jul-16 Dr. Fredy Lis 310 1
14 00012370 IMAHWATI , NY 8-Jul-16 Dr. Fredy Lis 310 1
15 00008541 SRI MULYANINGSIH 10-Jul-16 Dr. Fredy Lis 310 1
16 00012395 UMUL HAKAM, NY 11-Jul-16 Dr. Widya Pra310 1
17 00012419 SITI HABIBAH , NY 13-Jul-16 Dr. Fredy Lis 310 1
18 00012430 EUIS SUSANTI , NY 13-Jul-16 Dr. Fredy Lis 310 1
00012442 EDAH KOMARIAH , NY
19 14-Jul-16 Dr. Fredy Lis 310 1
20 00012551 DEDI SUYANDI , TN 23-Jul-16 Dr. Rithza Ha 310
21 00004907 HERNI HERIYANI 16-Jul-16 Dr. Fredy Lis 309 1
22 00004659 DEWI KOMALA SARI 27-Jul-16 Dr. Widya Pra309 1
00008992 WINDY JUNITA
23 NINGSIH , NY 28-Jul-16 Dr. Sarah Alat309
24 00012448 NIA KURNIA , NY 15-Jul-16 Dr. Rithza Ha 308
25 00002262 ELYANA CANDRA 23-Jul-16 Dr. Rithza Ha 308
26 00012317 NAILA RAMANDA , AN 02-Jul-2016 Dr. Dedi Kurn307

27 00012321 NIZAR PRATAMA PUTRA 02-Jul-2016 Dr. Dedi Kurn307

28 00012320 DIANI LATIFAH . AN 02-Jul-2016 Dr. Dedi Kurn307

29 00010085 GAYATRI MEGARIADI 13-Jul-16 Dr. Suhito Ary307


30 00012465 YUDA PRAYUGO 19-Jul-16 Dr. Rithza Ha 307
00012501 SHAREEFA JEHAN
31 AMIRA, BY 21-Jul-16 Dr. Sally Palit 307
32 61500051 KHOERUL AZAM , AN 23-Jul-16 Dr. Dedi Kurn307
33 00012553 NAZRIL ADLANI, AN 24-Jul-16 Dr. Dedi Kurn307
00012572 MUHAMMAD NAZRIL
34 HADI SUPRIYADI , AN 25-Jul-16 Dr. Dedi Kurn307
35 00012573 TAMI , AN 25-Jul-16 Dr. Dedi Kurn307
00012584 SYAFIRA WANDA
36 ERYANTI ,AN 26-Jul-16 Dr. Dedi Kurn307
00008461 ZENGI BAYEZID
37 MAKAYASA 27-Jul-16 Dr. Dedi Kurn307
00012604 RIFA ALIYAH
38 SALSABILA ,AN 27-Jul-16 Dr. Dedi Kurn307
00012613 REZA NUR FITRAH
39 ISLAMY , AN 28-Jul-16 Dr. Dedi Kurn307
00012433 ARIS SUPRIYATNO ,
40 TN 14-Jul-16 Dr. Rithza Ha 306
00012484 AKUNG PURWITO AJI ,
41 TN 18-Jul-16 Dr. Rithza Ha 306
42 00012525 RIKI YUDIANTO , TN 25-Jul-16 Dr. Rithza Ha 306
00011551 NANDITA ZAHRA
43 PRASTIYO , AN 10-Jul-16 Dr. Sally Palit 305
44 00010154 LISNA AYU 13-Jul-16 Dr. Fredy Lis 305
45 00002398 ZAHROTUL HELFI 14-Jul-16 Dr. Sally Palit 305
46 00012533 NURSIMAH, NY 22-Jul-16 Dr. Fredy Lis 305
00009131 RIKA RAHMAWATI , NY
47 23-Jul-16 Dr. Fredy Lis 305
00000288 CORALIFIA SYIFANA
48 QOLBII ABIDIN 23-Jul-16 Dr. Dedi Kurn305
00012549 FATHINAH NUR
49 JALILLAH , AN 23-Jul-16 Dr. RR. Danis 305
00006011 ANDHITA HADIF
50 ADZKIA 25-Jul-16 Dr. Dedi Kurn305
51 00012578 FAISAL BAHTIAR R 26-Jul-16 Dr. RR. Danis 305
52 00012325 ROSNAWATI ,NY 02-Jul-2016 Dr. Fredy Lis 304 1
53 00012327 DUTHA ADYA YUDHO AT 02-Jul-2016 Dr. Sally Palit 304

54 00010925 NURLELA, NY 03-Jul-2016 Dr. Fredy Lis 304 1


55 00012372 DAVID HAIKAL GI , AN 9-Jul-16 Dr. Sally Palit 304
00006074 AMARA LABIBAH AZRA
56 , AN 12-Jul-16 Dr. Sally Palit 304
57 00011415 MUTIARA , NY 13-Jul-16 Dr. Fredy Lis 304 1
00006570 REZA THORIQ AL AZIB
58 13-Jul-16 Dr. RR. Danis 304
59 00010989 AISYAH NABILA 14-Jul-16 Dr. Sally Palit 304 1
00008133 DIINA PURNAMASARI,
60 NY 14-Jul-16 Dr. Fredy Lis 304 1
61 00008416 CHANDA ZACHARY 15-Jul-16 Dr. Sally Palit 304
00008293 FADHLIKAL AZHIM
62 KHAIRI 16-Jul-16 Dr. RR. Danis 304
00012474 OPI PURNAMASARI ,
63 NY 17-Jul-16 Dr. Sarah Alat304 1
64 00012253 SETIYO RINI ,NY 18-Jul-16 Dr. Fredy Lis 304 1
65 00012495 BUNGA SAHARA ,AN 18-Jul-16 Dr. Sally Palit 304
66 00009514 AHSAN ABDU TAMZIZ 18-Jul-16 Dr. RR. Danis 304
67 00012475 YUSSI ELFIZA , NY 19-Jul-16 Dr. Fredy Lis 304 1
00010787 MARIYAH RISNAWATI
68 NY 20-Jul-16 Dr. Fredy Lis 304 1
69 00012238 YURI ARYANI .NY 21-Jul-16 Dr. Fredy Lis 304 1
70 00006261 YUDI , TN 22-Jul-16 Dr. Rithza Ha 304
00012538 HANIFAH AZARIA , AN
71 22-Jul-16 Dr. Dedi Kurn304
72 00012539 M IBNI NAVIS , AN 23-Jul-16 Dr. RR. Danis 304
00012546 ARKAN RADINKA
73 MASKA, BY 23-Jul-16 Dr. Dedi Kurn304
00012547 GHANI MUBAROK
74 FIRDAUS , AN 23-Jul-16 Dr. Dedi Kurn304
75 00006022 ADHYASTA AZKA S 24-Jul-16 Dr. Dedi Kurn304
00009481 NAUFAL
76 ABDURRAHMAN 25-Jul-16 Dr. Dedi Kurn304
77 00009565 JASMIN AULIA 25-Jul-16 Dr. Dedi Kurn304
78 00009491 MELA MELATI SARI 26-Jul-16 Dr. Fredy Lis 304 1
00012588 IBNU SAKHI ZAIDAN ,
79 AN 27-Jul-16 Dr. Dedi Kurn304
80 00008431 AHMAD HERIYAWAN 27-Jul-16 Dr. Dedi Kurn304
81 00012305 REHAN AHZA MARDIKA 02-Jul-2016 Dr. Dedi Kurn303

82 00012436 NURSYARIFAH , AN 14-Jul-16 Dr. Sally Palit 303


00012443 RENDY HARYANTO ,
83 AN 14-Jul-16 Dr. Sally Palit 303
00012609 KORNELIUS
84 WIDJAYA ,AN 28-Jul-16 Dr. RR. Danis 303 1
VIP /SVIP
VIP /SVIP
VIP /SVIP
VIP /SVIP
VIP /SVIP
VIP /SVIP
VIP /SVIP 1
VIP /SVIP
VIP /SVIP
VIP /SVIP
VIP /SVIP 1
RANAP 3

27

BULAN AGUSTUS 2016


NO No RM Nama Pasien Tgl Masuk Dokter g/Kelas M .BAB
1 12655 HAFIZA INAYATUS S 1-Aug-16 Dr. Dedi Kurn 205
2 12085 AGUNG MUHAMMAD 1-Aug-16 Dr. Dedi Kurn 304
3 12664 AFIFA TALITA ZAHRA 1-Aug-16 Dr. Sally Palit 305
4 12666 RUZAIN BAKHTIAR, 1-Aug-16 Dr. Dedi Kurn 303
5 7842 RAKA ABDULLAH AI 1-Aug-16 Dr. Dedi Kurn 204
6 12667 DEVANIA LAOLI , AN 1-Aug-16 Dr. Dedi Kurn 304
7 12669 NAURA HASNA ANNI 2-Aug-16 Dr. Dedi Kurn 304
8 12654 DINDA SMARADHAH 2-Aug-16 Dr. Dedi Kurn 201
9 12118 ARYANTI , NY 2-Aug-16 Dr. Widya Pra 206 1
10 1158 ARZACHEL ATHARIZ 2-Aug-16 Dr. RR. Danis 305
11 12665 LETISYA AZ'ZHAFIRA 2-Aug-16 Dr. Dedi Kurn 304
12 12675 ARYANTI, BY NY 2-Aug-16 Dr. Dedi KurnPERINADr. Ded
13 12678 SEKAR ANANDA ,BY 3-Aug-16 Dr. Dedi KurnNICU Dr. Ded
14 12680 SHANDY KELANA P,K 3-Aug-16 Dr. Dedi Kurn 303
15 12679 MUHAMMAD AZAM A 3-Aug-16 Dr. Dedi Kurn 306
16 12411 DEVI LUINITA . NY 3-Aug-16 Dr. Fredy Lis 309 1
17 12682 DEVI LUNITA ,BY NY 3-Aug-16 Dr. Dedi KurnPERINA
18 12683 SABINA LENITA ZAHI 3-Aug-16 Dr. RR. Danis 304
19 9122 KEISHA AMALIA RA 3-Aug-16 Dr. RR. Danis 304
20 12692 FARIS FIRDAUS PRA 3-Aug-16 Dr. Dedi Kurn 305
21 12693 ANIH YUNITA SARI, 4-Aug-16 Dr. Fredy Lis 310 1
22 12695 ANIH YUNITA SARI, 4-Aug-16 Dr. Dedi KurnPERINA
23 12696 MUHAMMAD FACHR 4-Aug-16 Dr. Dedi Kurn 307
24 12691 BRILLIANT AIDANO, 4-Aug-16 Dr. RR. Danis 201
25 12697 MUHAMMAD RAFA A 4-Aug-16 Dr. Dedi Kurn 307
26 12698 ALZENA HUMAIRAH 4-Aug-16 Dr. RR. Danis 307
27 9481 NAUFAL ABDURRA 4-Aug-16 Dr. Sally Palit 304
28 12707 ADINDA ZAHRA, AN 4-Aug-16 Dr. Dedi Kurn 203
29 12713 NAURA KHAZNA ANN 5-Aug-16 Dr. Dedi Kurn 304
30 12714 AFFAN ALEXIPRATAM 5-Aug-16 Dr. Sally Palit 305
31 2041 ALYA RAHMAH KHAI 5-Aug-16 Dr. Dedi Kurn 205
32 9383 YULI SITI MASITOH , 6-Aug-16 Dr. Fredy Lis 308 1
33 12729 YULI SITI MASITOH , 6-Aug-16 Dr. Sally Palit PERINA
34 12732 NURI SHEILA NUGRA 6-Aug-16 Dr. Dedi KurnHCU
35 12734 KAILI RAZIQ HANAN 7-Aug-16 Dr. Dedi Kurn 305
36 12735 RIZA DEWI, NY 7-Aug-16 Dr. Fredy Lis 310 1
37 12738 RIZA DEWI , BY NY 7-Aug-16 Dr. Dedi KurnPERINA
38 12699 ALISYA NURUL ZAHR 7-Aug-16 Dr. Dedi Kurn 304
39 1453 NABILA HAURA SAKH 7-Aug-16 Dr. Dedi Kurn 304
40 12740 TAZKA IDWAR PRAT 8-Aug-16 Dr. RR. Danis 307
41 12612 ARSHAKA NAUVAL AL 8-Aug-16 Dr. Dedi KurnHCU
42 11058 YULI YANTI, NY 8-Aug-16 Dr. Widya Pra 309 1
43 12343 HERAWATI , NY 8-Aug-16 Dr. Fredy Lis 309 1
44 12746 YULI YANTI , BY NY 8-Aug-16 Dr. Sally Palit PERINA
45 12747 DAIRENZO NATAPRA 8-Aug-16 Dr. Dedi Kurn 201
46 12748 SULASTRI , BY NY 9-Aug-16 Dr. Dedi KurnNICU
47 9545 INDRIYANTI, NY 9-Aug-16 Dr. Sarah Alat 309 1
48 10046 ALYA PUTRI JASMINE 9-Aug-16 Dr. Dedi Kurn 304
49 12756 INDRIYANTI, BY NY 9-Aug-16 Dr. Dedi KurnPERINA
50 2096 DESSY ERMALINA, N 9-Aug-16 Dr. Rithza Ha 205
51 12766 HANI OCTAVIANI, A 9-Aug-16 Dr. Dedi Kurn 307
52 12772 DEBY CAROLINE , A 10-Aug-16 Dr. RR. Danis 307
53 7133 LIA TRESNA KARTINI 10-Aug-16 Dr. Sarah Alat 203 1
54 11807 LINA HERNANI , NY 10-Aug-16 Dr. Sarah Alat 310 1
55 12770 SITI MUTMAINAH , 10-Aug-16 Dr. Sarah Alat 306 1
56 12777 MUHAMMAD HABIBI 10-Aug-16 Dr. Dedi Kurn 304
57 12778 LIA TRESNA KARTINI 10-Aug-16 Dr. Dedi KurnPERINA
58 12779 AYUNINGSIH, AN 10-Aug-16 Dr. RR. Danis 305
59 12780 LINA HERNANI, BY N 10-Aug-16 Dr. Dedi KurnPERINA
60 12786 SITI MUTMAINAH, B 10-Aug-16 Dr. RR. Danis PERINA
61 12784 NAYLA FARA AZZAHR 10-Aug-16 Dr. RR. Danis 304
62 12789 MUHAMMAD ALFAHR11-Aug-16 Dr. Dedi Kurn 303
63 12792 ZIO ALFARIDZI TRI 11-Aug-16 Dr. Dedi Kurn 304
64 12795 HURI MARYAM YOHA 11-Aug-16 Dr. Widya Pra 309 1
65 12797 AZMI ATHIFA NOVIA 11-Aug-16 Dr. Dedi Kurn 307
66 12799 HURI MARYAM, BY 11-Aug-16 Dr. Dedi KurnPERINA
67 12801 CINDY SEPTIAN 12-Aug-16 Dr. Fredy Lis 310 1
68 12803 APRILIA HASNA LATI 12-Aug-16 Dr. RR. Danis 304
69 12805 M RAFKA PUTRA AD 12-Aug-16 Dr. Dedi Kurn 304
70 12807 CINDY SEPTIAN ,BY 12-Aug-16 Dr. Dedi KurnPERINA
71 12810 AHMAD HARI AL-FAT 12-Aug-16 Dr. Dedi Kurn 205
72 12811 MUHAMMAD AL FATI 12-Aug-16 Dr. Dedi Kurn 307
73 5153 FATIH ALFARIZKY SU 12-Aug-16 Dr. Dedi Kurn 303
74 12812 HELVINA RIZKIYA, A 12-Aug-16 Dr. Dedi Kurn 304
75 12813 FADHIL ABDUL HAKI 13-Aug-16 Dr. RR. Danis 308
76 12814 RAFLI ADITYA JONDR 13-Aug-16 Dr. Dedi Kurn 307
77 12818 AYESHA RADDIN MA 13-Aug-16 Dr. RR. Danis 305
78 12830 SIDQI MUBAROK 13-Aug-16 Dr. RR. Danis 307
79 12829 GAMA ABDILLA RA 13-Aug-16 Dr. RR. Danis 307
80 12835 KHAYLA ALMIRA M 14-Aug-16 Dr. Dedi Kurn 307
81 12839 UJANG WIJAYA , AN 14-Aug-16 Dr. Dedi KurnHCU
82 12840 AYUDIA INARA HANA 14-Aug-16 Dr. Dedi Kurn 305
83 12843 INDAH KIRANA ,AN 14-Aug-16 Dr. Dedi Kurn 307
84 9472 NAUFFAL AFKAR NU 14-Aug-16 Dr. Dedi Kurn 306
85 5530 ARJUNA KENZIE HA 15-Aug-16 Dr. Dedi Kurn 201
86 10046 ALYA PUTRI JASMINE 15-Aug-16 Dr. Dedi Kurn 303
87 10523 SYAUQI AHMAD K 15-Aug-16 Dr. Dedi Kurn 303
88 12853 SALBIAN ADITYA JO 15-Aug-16 Dr. RR. Danis 304
89 12856 AL ZAIDAN FAEYZA 15-Aug-16 Dr. Dedi Kurn 202
90 12857 ALIF MUSLIAHADI V 15-Aug-16 Dr. RR. Danis 206
91 12858 EUIS JULITA PRATIWI 15-Aug-16 Dr. Widya Pra 310 1
92 12016 FAISA KISYA ANINDY 15-Aug-16 Dr. Sally Palit 307
93 12861 REIKY AZKA PUTRA A 16-Aug-16 Dr. Dedi Kurn 204
94 9328 AULIA FEBRIANY 16-Aug-16 Dr. Fredy Lis 304 1
95 12865 ADRIKNI AULIA AZ- 16-Aug-16 Dr. Dedi Kurn 303
96 928 LIA MULIANI 16-Aug-16 Dr. Sarah Alat 304 1
97 12868 FIRDAUS ALFA REZQ 16-Aug-16 Dr. RR. Danis 304
98 12874 AULIA FEBRIANY , B 16-Aug-16 Dr. Sally Palit HCU 1
99 12872 INAYAH NUR ASIFA , 16-Aug-16 Dr. Sally Palit 304
100 12878 LIA MULIANI , BY NY 16-Aug-16 Dr. Sally Palit PERINA
101 12593 LISNAYATI 16-Aug-16 Dr. Fredy Lis 205 1
102 12884 BY NY LISNAYATI 17-Aug-16 Dr. Dedi KurnPERINA
103 12887 ZHAVINA ULHAQ KA 17-Aug-16 Dr. RR. Danis 204
104 12890 M. RIZQI PRATAMA, 17-Aug-16 Dr. Dedi Kurn 307
105 12893 NOEMI MALAIKA ANA17-Aug-16 Dr. RR. Danis 302
106 12894 FAJAR HARIZ SETIAJ 17-Aug-16 Dr. RR. Danis 304
107 12898 DHEZAN MAULIDAN 17-Aug-16 Dr. Dedi Kurn 305
108 12899 ALIFIA SEPTIANI AZ 18-Aug-16 Dr. Sally Palit 307
109 9311 ALVIRA BALQIS KHA 18-Aug-16 Dr. Sally Palit 304
110 8349 ATIQAH HUMAIRA FI 18-Aug-16 Dr. Dedi Kurn 304
111 12572 MUHAMMAD NAZRIL 18-Aug-16 Dr. Dedi Kurn 303
112 12909 JAMILURROHMAN HU18-Aug-16 Dr. RR. Danis 303
113 12911 MARIYATI , NY 19-Aug-16 Dr. Widya Pra 304 1
114 12914 MIYUKI NAIMATUL A 19-Aug-16 Dr. Dedi Kurn 304
115 12915 YASMIN YOHANA, A 19-Aug-16 Dr. RR. Danis 306
116 12916 PRIMA JAYUSRINA 19-Aug-16 Dr. Widya Pra 205 1
117 12917 MARYATI ,BY NY 19-Aug-16 Dr. Dedi KurnPERINA
118 12918 WATI ,BY NY 19-Aug-16 Dr. Sally Palit HCU
119 11761 SAVIRA ALESYA , AN 19-Aug-16 Dr. Sally Palit 306
120 12923 RIKA ,NY 19-Aug-16 Dr. Fredy Lis 310 1
121 8888 RISTI ALYA PUTRI 19-Aug-16 Dr. Dedi Kurn 304
122 11252 MIKHAYLA VINDI AL 19-Aug-16 Dr. Sally Palit 202
123 12925 PRIMA JAYUSRINA D 20-Aug-16 Dr. Dedi KurnPERINA
124 12926 RIKA, BY NY 20-Aug-16 Dr. Dedi KurnPERINA
125 12927 YOSIKAH ISMIYANTI, 20-Aug-16 Dr. Fredy Lis 310 1
126 12928 YOSIKAH ISMIYANTI, 20-Aug-16 Dr. Dedi KurnPERINA
127 12933 MUHAMMAD AZKA Y 20-Aug-16 Dr. RR. Danis 305
128 12934 MUHAMMAD ALIF A 20-Aug-16 Dr. RR. Danis 205
129 12935 SUSILAWATI ,NY 20-Aug-16 Dr. Widya Pra 310 1
130 12944 PRILI VHARISYA PRI 20-Aug-16 Dr. RR. Danis 307
131 12945 SUSILAWATI ,BY NY 20-Aug-16 Dr. Dedi KurnPERINA
132 12900 PRIYANKA RAMADHA 21-Aug-16 Dr. Dedi Kurn 307
133 12947 AGNIA SOLIHAT , AN 21-Aug-16 Dr. RR. Danis 307
134 12949 MUHAMMAD ALFIN 21-Aug-16 Dr. RR. Danis 304
135 12953 ANINDYA NAPRIKA , 21-Aug-16 Dr. RR. Danis 307
136 12956 M YUSUF ALFAIZAL 22-Aug-16 Dr. RR. Danis 307
137 12959 KOKOM , NY 22-Aug-16 Dr. Fredy Lis 310 1
138 8485 ARLENE ADFEEYAH Z 22-Aug-16 Dr. Dedi Kurn 304
139 8181 RAFARDHAN ATTALLA22-Aug-16 Dr. Dedi Kurn 307
140 1656 EUIS MULYANI 22-Aug-16 Dr. Widya Pra 310 1
141 12967 EUIS MULYANI , BY 22-Aug-16 Dr. Sally Palit PERINA
142 12973 KOKOM , BY NY 22-Aug-16 Dr. Dedi KurnPERINA
143 12975 ELIS YUTIKA , NY 22-Aug-16 Dr. Widya Pra 309 1
144 12028 OKALINA ANESKA PU 22-Aug-16 Dr. Dedi Kurn 201
145 3000 NUR HIDAYAH 23-Aug-16 Dr. Widya Pra 304 1
146 12976 NUR HIDAYAH, BY N 23-Aug-16 Dr. Dedi KurnPERINA
147 12978 ELIS YUTIKA , BY NY 23-Aug-16 Dr. Dedi KurnPERINA
148 12981 ALULA NOVIA NINDY 23-Aug-16 Dr. Dedi Kurn 304
149 12984 ELNINO ALJANNATI 23-Aug-16 Dr. Dedi Kurn 305 1
150 12983 REVAN KHAIRI NAS 23-Aug-16 Dr. Dedi Kurn 304
151 9697 KHIAR FAJAR RAMA 23-Aug-16 Dr. RR. Danis 311
152 4090 ALIGIBRAN HAMIBA 23-Aug-16 Dr. Dedi Kurn 205
153 12985 KANAYA KANSA HUM 23-Aug-16 Dr. RR. Danis 311
154 12986 PAJRIATUNISA , BY 23-Aug-16 Dr. Dedi KurnNICU Dr. Ded
155 9668 KAISA ALTHOFUNNI 23-Aug-16 Dr. RR. Danis 311
156 12546 ARKAN RADINKA MA 23-Aug-16 Dr. Dedi Kurn 304
157 9724 ANUGERAH TAQIYUDI23-Aug-16 Dr. Dedi Kurn 204
158 12929 MAHESA JOHAN ZANE23-Aug-16 Dr. Dedi Kurn 303
159 12988 VIA RUKMAYANTI , 23-Aug-16 Dr. Fredy Lis 310 1
160 12989 VIA RUKMAYANTI , B 24-Aug-16 Dr. Dedi KurnPERINA
161 11638 AQILLA AZZAHRA W 24-Aug-16 Dr. Dedi Kurn 304
162 2210 DWI ASTUTI 24-Aug-16 Dr. Fredy Lis 309 1
163 12084 ALIFIANDRA NAUFA 24-Aug-16 Dr. Dedi Kurn 305
164 12994 DWI ASTUTI, BY NY 24-Aug-16 Dr. Dedi KurnHCU
165 12996 AZKA AL AKBAR, AN 24-Aug-16 Dr. RR. Danis 304
166 13000 AL-BERTAN 24-Aug-16 Dr. Dedi Kurn 201
167 13010 ALMIRA DELIA HUS 25-Aug-16 Dr. Dedi Kurn 303
168 13021 ELMI, NY 26-Aug-16 Dr. Fredy Lis 309 1
169 10881 KHAYLA ADIA PRAST 26-Aug-16 Dr. Sally Palit 304
170 13029 DAANIA NAZMA ALM 26-Aug-16 Dr. Dedi KurnHCU
171 10959 IBRAHIM AMHAR W 27-Aug-16 Dr. Dedi Kurn 205
172 13035 AUFA RIZAL AHMAD 27-Aug-16 Dr. RR. Danis 202
173 4604 SHAQUELL KEN WI 27-Aug-16 Dr. Dedi Kurn 305
174 13046 MUHAMMAD RAZKA 27-Aug-16 Dr. Dedi KurnHCU
175 7318 MAELATUL AZIZAH , 28-Aug-16 Dr. Fredy Lis 304 1
176 13048 MAELATUL AZIZAH, 28-Aug-16 Dr. Dedi KurnPERINA
177 13049 ADNAN KHIAR RAMD 28-Aug-16 Dr. RR. Danis 303
178 13052 RAISHA PUTRI WARD 28-Aug-16 Dr. Dedi Kurn 303
179 13053 DIMAS DWI INDATO, 29-Aug-16 Dr. Dedi Kurn 304
180 13064 GERALD PUTAMA AD 29-Aug-16 Dr. RR. Danis 306
181 13061 RAISYANADIEN NASY 29-Aug-16 Dr. Dedi Kurn 305
182 13066 HAMZAH MUHAMMAD 29-Aug-16 Dr. RR. Danis 307
183 7471 MUHAMMAD DZAKY 29-Aug-16 Dr. Dedi Kurn 304
184 12738 KENRICK FRISTIAN, 29-Aug-16 Dr. Dedi KurnHCU
185 13067 RANGGA MAHARDIKA29-Aug-16 Dr. RR. Danis 309
186 3703 AZZAM ARROSYID I 29-Aug-16 Dr. Dedi Kurn 309
187 13016 GEDE KEENAN ALVA 29-Aug-16 Dr. Dedi Kurn 206
188 13065 SOPHIE CARISSA SIH 29-Aug-16 Dr. Dedi Kurn 204
32

BULAN SEPTEMBER 2016


NO No RM Nama Pasien Tgl Masuk Dokter g/Kelas M .BAB
00013095 ADAM FIRMASYAH ,
1 AN 1-Sep-16 Dr. RR. Danis 305
00012286 ANINDITA MAHARANI
2 KUNTADI, BY 1-Sep-16 Dr. Dedi Kurn304
00010650 HANINDYA KEISHA
3 AZZAHRA 1-Sep-16 Dr. Dedi Kurn304
4 00009976 EARLYTA ARSYFA S 1-Sep-16 Dr. Dedi Kurn304
5 00008486 NURUL HIDAYAH 1-Sep-16 Dr. Rithza Ha 311
6 00003515 SEPTIANI TRIRAHAYU 1-Sep-16 Dr. Widya Pra306 1
00008547 ALBIANSYAH
7 KHAIDAR 1-Sep-16 Dr. Dedi Kurn307
00013105 DHIRGAM YUSLI
8 PRAMUDYA , AN 1-Sep-16 Dr. Dedi Kurn304
00006907 MUHAMMAD AL FATIH
IMAM ALKHALIFI
9 1-Sep-16 Dr. Dedi Kurn305
10 00002594 YANTI YULINDASARI 2-Sep-16 Dr. Sarah Alat304
11 00013106 MIRAWATI , NY 2-Sep-16 Dr. Widya Pra206 1
00013107 ANASTASYA DENIA
12 PUTRI 2-Sep-16 Dr. RR. Danis 304
00013108 QARIRA ZAFKA
13 RAYSALIMA,AN 2-Sep-16 Dr. RR. Danis 309
00013111 FARHANA NAJMA
14 ULYA ,BY 2-Sep-16 Dr. Dedi KurnPERINA
15 00013117 MIRAWATI, BY,NY 2-Sep-16 Dr. Dedi KurnPERINA
00013096 FATHUR GIBRAN AL
16 GHIFARI , AN 2-Sep-16 Dr. Dedi Kurn303
00013121 ABYAN ALDEBARAN,
17 AN 2-Sep-16 Dr. Dedi Kurn307
18 00013090 ALYA HAYATI , AN 2-Sep-16 Dr. Dedi Kurn309
00013123 MUHAMMAD RAFLI ,
19 AN 2-Sep-16 Dr. Dedi Kurn308
00012610 MUHAMMAD AL
20 HABSYI, AN 3-Sep-16 Dr. Dedi Kurn307
21 00009496 ENENG IMAS TUTI 3-Sep-16 Dr. Fredy Lis 310 1
22 00007006 QONITAH AS SALIMY 3-Sep-16 Dr. Dedi Kurn303
00004390 DHIMAS MICHAEL
23 KURNIAWAN 3-Sep-16 Dr. Dedi Kurn307
00013131 PUTRA KURNIASYAH
24 M 3-Sep-16 Dr. RR. Danis 205
00013132 ENENG IMAS TUTI ,BY
25 NY 3-Sep-16 Dr. Dedi KurnPERINA
00013133 AHMAD YASIN
26 ABDULLAH, AN 3-Sep-16 Dr. RR. Danis 308
00007358 ADITYA PUTRA
27 KUSMANA, AN 3-Sep-16 Dr. Dedi Kurn304
00010970 ADIYASTA KAMYA
28 MAHANI PUNA 3-Sep-16 Dr. RR. Danis 307
29 00007129 SHOFIYYAH 4-Sep-16 Dr. Dedi Kurn303
00013140 ZABDAN GHANI
30 ABGARY , AN 4-Sep-16 Dr. Dedi Kurn308
31 00013141 LESTARI , BY NY 4-Sep-16 Dr. Dedi KurnNICU
00006961 KENTA ADDIEN AL-
32 KAMIL DIANANTO 4-Sep-16 Dr. Dedi Kurn305
00013149 UFAIRA RAMADHANI
33 SYAPUTRI, AN 4-Sep-16 Dr. Dedi Kurn201
34 00013150 ADE KOSASIH , H 5-Sep-16 Dr. Rithza Ha 202
35 00001435 RATTANIA SHUPI 5-Sep-16 Dr. Fredy Lis 304 1
00013156 M. RAFKA PRATAMA
36 HAMBALI, AN 5-Sep-16 Dr. RR. Danis 305
00006177 LUTHFI
37 ABDURRAHMAN 5-Sep-16 Dr. RR. Danis 309
38 00002544 MUHAMMAD FATHIR 5-Sep-16 Dr. Dedi Kurn307
39 00013021 ELMI, NY 5-Sep-16 Dr. Fredy Lis 304 1
00012085 AGUNG MUHAMMAD
40 ADHA , AN 6-Sep-16 Dr. Dedi Kurn304
00013166 VELDAN DIMAS
41 ALFATIH , AN 6-Sep-16 Dr. Dedi Kurn304
42 00013167 ARLIN 6-Sep-16 Dr. Widya Pra308 1
00006907 MUHAMMAD AL FATIH
IMAM ALKHALIFI
43 6-Sep-16 Dr. Dedi Kurn309
00011500 FABIAN ADDI
44 CHAKRA, AM 7-Sep-16 Dr. RR. Danis 202
45 00013182 TRI WAHYUNI, NY 7-Sep-16 Dr. Widya Pra310 1
00013183 QAIREEN BATRISYA,
46 AN 7-Sep-16 Dr. RR. Danis 304
47 00013185 TRI WAHYUNI , BY NY 7-Sep-16 Dr. Dedi KurnPERINA
00013180 GHINA RIZQI
48 AGUSLINA , NY 8-Sep-16 Dr. Sarah Alat310 1
00013201 ALYA NURHAFIZAH,
49 AN 8-Sep-16 Dr. RR. Danis 201
00013202 NADIA MUTIARA
50 HAFIZH, AN 8-Sep-16 Dr. RR. Danis 205
00013204 DZULFA
51 KHAIRUNNISA , AN 8-Sep-16 Dr. Dedi Kurn304
00013213 AI RIYAN NUR SITI ,
52 NY 8-Sep-16 Dr. Widya Pra310 1
53 00009777 LIA KAMELIA 9-Sep-16 Dr. Widya Pra310 1
54 00009964 CUCU SETIANINGSIH 9-Sep-16 Dr. Widya Pra308 1
00013214 YUSI AZKADINI
55 NURDIN, BY 9-Sep-16 Dr. Dedi KurnPERINA
00013218 NINA MAYASARI, BY
56 NY 9-Sep-16 Dr. Dedi KurnNICU
57 00013221 LIA KAMELIA, BY NY 9-Sep-16 Dr. Dedi KurnPERINA
58 00013227 LINDA LESMANA , NY 9-Sep-16 Dr. Fredy Lis 310 1
00013203 MUHAMAD ALIF
59 BADRANI, M, AN 9-Sep-16 Dr. Dedi Kurn305
00013228 RANI BUNGA
60 LESTARI , AN 9-Sep-16 Dr. Dedi Kurn304
00013229 LINDA LESMANA , BY
61 NY 9-Sep-16 Dr. Dedi KurnPERINA
00005087 AHMAD FAHMI
62 ROSYID 10-Sep-16 Dr. Dedi Kurn307
00010668 YUNITA RACHMI
63 AZHARI 10-Sep-16 Dr. Fredy Lis VIP 1
00013235 YUNITA RACHMI , BY
64 NY 10-Sep-16 Dr. Dedi KurnPERINA
00013237 SUHAILA ILMA NAFLA
65 DWI PURNAMA 11-Sep-16 Dr. RR. Danis 201
00013238 ANINDITA KEISHA
66 ZAHRA, BY 11-Sep-16 Dr. Dedi Kurn305
00006905 ATHALLAH FARRAS
67 FARIZAL 12-Sep-16 Dr. Dedi Kurn304
00013247 ALEXANDER FIAN AL
68 HADI 12-Sep-16 Dr. Dedi Kurn304
00013248 FAUZAN RAKA
69 GARNIDA, AN 12-Sep-16 Dr. RR. Danis 304
00013251 FAHRI MOHAMMADIN
70 NAYA , AN 13-Sep-16 Dr. Dedi Kurn305
71 00010127 IMAS ROSIDAH 13-Sep-16 Dr. Widya Pra310 1
00013257 MUHAMMAD YUSUF
72 AL GHAJALI , BY 13-Sep-16 Dr. Dedi Kurn307
73 00012847 M.RIZKI AZKA F, AN 13-Sep-16 Dr. Dedi Kurn304
00013258 AZKA ADITYA PUTRA
74 HANDOKO , AN 13-Sep-16 Dr. Dedi Kurn304
00001670 SYAILA NAURATU
75 JANNAH 13-Sep-16 Dr. Dedi Kurn307
00013260 RISKA NUR
76 OKTAVIANI, AN 13-Sep-16 Dr. Dedi Kurn303-HCU
00013261 IMAS ROSIDAH ,BY NY
77 13-Sep-16 Dr. Dedi KurnPERINA
78 00013268 ARIF MUSTOFA ,AN 13-Sep-16 Dr. Dedi Kurn305
00009751 RAFFASYA MALIK A ,
79 AN 14-Sep-16 Dr. Dedi Kurn303
80 00013271 MASLIA , NY 14-Sep-16 Dr. Sarah Alat310 1
00007871 EARLYTA QUEISHA
81 ANYA 14-Sep-16 Dr. Dedi Kurn304
00013270 RATU SHAQUEELA
KEIRAFARA SUYUDI,
82 AN 14-Sep-16 Dr. Dedi Kurn201
83 00013275 MASLIA , BY NY 14-Sep-16 Dr. Dedi KurnPERINA
00005153 FATIH ALFARIZKY
84 SUCIPTO , AN 14-Sep-16 Dr. Dedi Kurn304
00013276 JASMINE HANANIA
85 KEISYA SABILA, BY 14-Sep-16 Dr. Dedi KurnHCU
00012104 GADIZA LOVANY
86 DIRA, AN 14-Sep-16 Dr. Dedi Kurn306
87 00004519 DEWANI DANISWARA 14-Sep-16 Dr. RR. Danis 306
00005652 NABILAH
88 ALIFATUNNISA 15-Sep-16 Dr. RR. Danis 205
00013283 SHIREN NURPUTRI
89 RAMADHANI 15-Sep-16 Dr. RR. Danis 305
90 00013288 UNIH KURNIA , NY 15-Sep-16 Dr. Sarah Alat310
91 00013295 UNIH KURNIA , BY NY 15-Sep-16 Dr. Dedi KurnPERINA
00013294 NENI YUNIIAWATI , NY
92 15-Sep-16 Dr. Rithza Ha 304
00013296 SITI FATIMAH
93 AZZAHRA, AN 15-Sep-16 Dr. Dedi Kurn307
00010346 RAISSA ELYSIA
94 NURSADIRA 15-Sep-16 Dr. RR. Danis 305
00012691 BRILLIANT AIDANO,
95 AN 15-Sep-16 Dr. RR. Danis 202
00012924 MOCH RIFALQI
96 RASYID 15-Sep-16 Dr. Dedi Kurn205
97 00010272 KHAIRUL SUKMAWAN 15-Sep-16 Dr. Dedi KurnHCU
00013299 NOVITA LIA DWI
98 ASTUTI 16-Sep-16 Dr. Widya Pra310 1
00004906 FAKHRY ABI
99 AFRIANSYAH , AN 16-Sep-16 Dr. Dedi Kurn308
00013317 MUHAMMAD RIZQI
100 SAPTA WISESA , AN 16-Sep-16 Dr. Dedi Kurn202
00013321 NADINE THAFANA
101 NARESWARI, AN 17-Sep-16 Dr. Dedi KurnNICU
00013327 DIYA SHAKILA
102 SUPRIADIN, AN 17-Sep-16 Dr. Dedi Kurn201
00009407 MUHAMMAD RAIHAN ,
103 AN 17-Sep-16 Dr. Dedi Kurn305
104 00012335 IRNA SARI . NY 17-Sep-16 Dr. Widya Pra310 1
00013332 TRIA PERMANAWATI,
105 NY 17-Sep-16 Dr. Widya Pra205 1
00013334 FAHIRA SYAHWA
106 HAFIZAHAH , AN 17-Sep-16 Dr. Dedi Kurn303
00013335 HERI RUDIANSYAH ,
107 TN 18-Sep-16 Dr. Rithza Ha 206
00013336 MUHAMMAD THAHER
108 RIZKY ALWI ,AN 18-Sep-16 Dr. Dedi Kurn305
109 00013338 IRNA SARI ,BY NY 18-Sep-16 Dr. Dedi KurnPERINA
00013339 CHARLISA ANINDIA
110 PUTRI ,AN 18-Sep-16 Dr. Dedi Kurn307
00013340 ZYAIN MALIK AL
111 JABBAR 18-Sep-16 Dr. Dedi KurnPERINA
00004913 ILMI FASTABIQUL
112 AFLAH 18-Sep-16 Dr. Dedi Kurn304
00003585 KARINDRA
113 LUTHFIYAH RAHMAN 18-Sep-16 Dr. Dedi Kurn306
00012987 ALESHA NAUFALYN
114 CALISTA PUTRI , AN 19-Sep-16 Dr. Dedi Kurn303
115 00006215 EVA OKTASIVA 19-Sep-16 Dr. Fredy Lis 304 1
00007055 CAHAYA AOSORA
116 WIDODO 19-Sep-16 Dr. Dedi Kurn304
00004441 KHOIRRO ATHAILLAH
117 ANNAS, AN 19-Sep-16 Dr. Dedi Kurn303
00011429 ALESHA LAVINA DANA
118 MAGNIFY, BY 19-Sep-16 Dr. Dedi Kurn307
119 00013300 ROSITA NINGRUM, NY 19-Sep-16 Dr. Widya Pra202 1
120 00013358 RAFFA HAMZAH , AN 20-Sep-16 Dr. Dedi Kurn305
00013362 JIHAN NAURA PUTRI
121 KURNIAWAN, BY 20-Sep-16 Dr. Dedi KurnPERINA
00013361 NAZEEHA FARA
122 AZZAHRA , AN 20-Sep-16 Dr. Dedi Kurn307
00008301 ALYSSA AYUDYA
123 PUTRI 20-Sep-16 Dr. Dedi Kurn304
124 00003901 NADIA AQILA RISYA 20-Sep-16 Dr. Dedi Kurn306
00011734 PRICILLIA OLIVIA
125 ILONA MARIS , BY 20-Sep-16 Dr. Dedi Kurn305
00013350 ALVARO NAUFAL
126 MAHERWARA ,AN 21-Sep-16 Dr. Dedi Kurn305
00013359 KHANSA ALIFATUS S ,
127 AN 21-Sep-16 Dr. Dedi Kurn304
128 00013377 DESRIYANTI , NY 21-Sep-16 Dr. Fredy Lis 310 1
00013379 YAYUK SRI RAHAYU ,
129 NY 21-Sep-16 Dr. Fredy Lis 308 1
00013382 PELANGI ANINDYA ,AN
130 21-Sep-16 Dr. RR. Danis 204
00013384 YAYUK SRI RAHAYU
131 ,BY NY 21-Sep-16 Dr. Dedi KurnPERINA
132 00013385 RATNA SURYANI ,NY 21-Sep-16 Dr. Fredy Lis 308 1
00013399 DESRIYANTI 1 BY, NY,
133 22-Sep-16 Dr. Dedi KurnNICU
00013400 DESRIYANTI 2 , BY
134 NY 22-Sep-16 Dr. Dedi KurnNICU
00013401 MUHAMAD HAFIF
135 ESTIAWAN 22-Sep-16 Dr. Dedi Kurn304
00013410 AHMAD FAWWAZ , AN
136 23-Sep-16 Dr. Dedi Kurn305
00009970 AQILLA TAZKIATUL
137 NAFSI , AN 23-Sep-16 Dr. Dedi Kurn201
00005479 VIENDRA INDRA
PERMANA SIDIQ
138 HALDIA 23-Sep-16 Dr. Dedi Kurn304
00007127 MUHAMAD NADIR
139 RAFASSYA , AN 23-Sep-16 Dr. Suhito Ary306
140 00013419 DESY MARZUKI, NN 23-Sep-16 Dr. Widya Pra310 1
141 00013426 ROHAYANI, NY 23-Sep-16 Dr. Fredy Lis 310 1
142 00013427 LINDA LESTARI , NY 23-Sep-16 Dr. Widya Pra310 1
143 00013428 ROHAYANI , BY NY 24-Sep-16 Dr. Dedi KurnPERINA
00013429 LINDA LESTARI, BY NY
144 24-Sep-16 Dr. Dedi KurnPERINA
00009699 JUNITA PATMAWATI.
145 NY 24-Sep-16 Dr. Fredy Lis 308 1
146 00013164 RANDI PERMANA, AN 24-Sep-16 Dr. Dedi Kurn307
147 00013433 AHMAD FARIS, AN 24-Sep-16 Dr. Dedi Kurn306
00013441 JUNITA PATMAWATI ,
148 BY NY 24-Sep-16 Dr. Dedi KurnPERINA
00013092 KEISYA DUHITA 26-Sep-2016 Dr.
Fredy 308
HAYUNING TYAS , NY Lisnan, Sp.
OG
149 1
00013445 KEISYA DUHITA 26-Sep-2016 Dr.Dedi PERIN
HAYUNING TYAS , BY Kurniawan A
NY
Saputra, Sp.
A
150
00013446 AHMAD ALFATIH ,AN 26-Sep-2016 Dr.RR. Danis 304
Widyastuti,
Sp. A

151
00013452 RAKA ANWAR, AN 26-Sep-2016 Dr.Dedi 304
Kurniawan
Saputra, Sp.
A
152
00013447 FATHAN AL MAISAZ 26-Sep-2016 Dr.Dedi 303
ZAFAR Kurniawan
Saputra, Sp.
A
153
00013456 FARREL FAHREZA 26-Sep-2016 Dr.Dedi HCU
ALFARIZIE, BY Kurniawan
Saputra, Sp.
A
154
155 00009437 IVANA DEANGELA 27-Sep-2016 Dr. Dedi Kurn307
156 00012968 NENGSIH, HJ , NY 27-Sep-2016 Dr. Widya Pra311
157 00013462 ADHYASTHA EL DANISH 27-Sep-2016 Dr. Dedi Kurn305

158 00013465 ROMAULI PASARIBU, N 27-Sep-2016 Dr. Fredy Lis 308

159 00011619 DIAN ALAMTARI, NY 27-Sep-2016 Dr. Widya Pra310 1


160 00008412 IBRAHIM MOVIK 27-Sep-2016 Dr. RR. Danis 304

161 00013466 ROMAULI PASARIBU, B 27-Sep-2016 Dr. Dedi KurnPERINA

162 00012568 DIAN ANJASARI , NY 27-Sep-2016 Dr. Widya Pra304 1


163 00009296 ALMYR JAMIL ALFARIZI 27-Sep-2016 Dr. Dedi Kurn307

164 00013354 NURHASANAH, NY 27-Sep-2016 Dr. Widya Pra309 1


165 00007671 NASYTHA SHIFRA ABDU 27-Sep-2016 Dr. Dedi Kurn304

166 00007245 IDZHAR HAMKA 27-Sep-2016 Dr. Dedi Kurn305

167 00013472 DIAN ALAMTARI, BY NY 27-Sep-2016 Dr. Dedi KurnPERINA

168 00013471 SITI NURBAETI 27-Sep-2016 Dr. Fredy Lis 310 1


169 00013473 DIAN ANJASARI , BY NY 27-Sep-2016 Dr. Dedi KurnPERINA
00013474 MUHAMMAD NAUFAL
170 HANIF ALNINO , AN 28-Sep-16 Dr. RR. Danis 305
00013478 IRSYAD ADITYA
171 PERMANA, AN 28-Sep-16 Dr. Dedi Kurn303
00013482 SITI NURBAETI, BY NY
172 28-Sep-16 Dr. Dedi KurnPERINA
00013496 NURHASANAH ,BY NY
173 28-Sep-16 Dr. Dedi KurnPERINA
174 00007625 TIA APRIYANI 29-Sep-16 Dr. Rithza Ha 311
175 00013501 PUTRI ANJANI, NY 29-Sep-16 Dr. Fredy Lis 308 1
00013503 HANINDYA PUTRI
176 YUSUP, BY 29-Sep-16 Dr. Dedi KurnPERINA
177 00013504 JUNITA , NY 29-Sep-16 Dr. Fredy Lis 310 1
178 00013508 PUTRI KANIYA ,BY NY 29-Sep-16 Dr. Dedi KurnPERINA
00012056 RAFAEYZA ALVARO
179 KEVAN , AN 30-Sep-16 Dr. Dedi Kurn304
00013510 ATHAYA DEVAN
180 REFANDRA , AN 30-Sep-16 Dr. Dedi Kurn304
34

BULAN OKTOBER 2016


Dokter Ruang/Kelas
NO REG ID No RM Nama Pasien
SVIP VIP
1 REG/1610/00002 00001261 ARKAAN KAIVDr. Dedi Kurniawan Saputra, Sp. A
2 REG/1610/00004 00013522 TRIANA SUHADr. Fredy Lisnan, Sp. OG
3 REG/1610/00014 00013524 QONITA , BY Dr. Dedi Kurniawan Saputra, Sp. A
4 REG/1610/00022 00013526 PRISMA MAULDr. Dedi Kurniawan Saputra, Sp. A
5 REG/1610/00039 00007373 MUHAMMAD FA
Dr. Dedi Kurniawan Saputra, Sp. A
6 REG/1610/00070 00013530 MIKHAYLA FI Dr. RR. Danis Widyastuti, Sp. A
7 REG/1610/00072 00012835 KHAYLA ALMIDr. Dedi Kurniawan Saputra, Sp. A
0 0

REG/1610/00080 00012971 ALVIS FADHIL


AIDIN
8 RAHMAN , AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00088 00013251 FAHRI
MOHAMMADI
9 N NAYA , AN Dr. Dedi Kurniawan Saputra, Sp. A
0 0

REG/1610/00113 00013544 KHANZA


AZZAHRA
10 IZATUNISA Dr. Dedi Kurniawan Saputra, Sp. A
11 REG/1610/00116 00000746 IIN PRIHATIN Dr. Sarah Alatas, Sp. OG., M. Kes

REG/1610/00133 00013552 NUR


SAHADAH, NY
12 Dr. Widya Prawitasari, Sp. OG
REG/1610/00135 00007923 TEUNGKU
MUHAMMAD
BILAL
13 SYA'BAN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00137 00013554 NUR
SAHADAH ,BY
14 NY
REG/1610/00147 00013555 FATIMAH
AZZAHRA
KHOIRUNNIS
15 AH Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00148 00013276 JASMINE
HANANIA
KEISYA
16 SABILA, BY 1
17 REG/1610/00151 00013558 SUHENI , NY Dr. Widya Prawitasari, Sp 1
REG/1610/00166 00006145 VARRANT
ROUSIHAN
18 EL-BARKIE Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00179 00013565 SETIANA
INDAH
19 PERTIWI, NN Dr. rithza sp.pd
REG/1610/00180 00013566 ASSYRAF
MUZARAR
20 FIRDAUS, BY Dr. Dedi Kurniawan Saputra, Sp. A
0 2

REG/1610/00183 00013568 PATRIASIH ,


21 NY Dr. Fredy Lisnan, Sp. OG
REG/1610/00185 00013543 ARI NURANI,
22 NY Dr. Sarah Alatas, Sp. OG., M. Kes
REG/1610/00195 00013570 PATRIASIH
23 ,BY NY Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00199 00013572 SHALIHA
NURJANAH
24 ,NN Dr. Rithza Harun, Sp. PD
REG/1610/00202 00013571 IRMINA
DELSY
25 NATALITA ,NY Dr. Sarah Alatas, Sp. OG., 1
REG/1610/00221 00013581 AYSE
NADHEERA
KHOIRULAN,
26 AN Dr. RR. Danis Widyastuti, Sp. A
REG/1610/00230 00012111 NUR YANTI.
27 NY Dr. Sarah Alatas, Sp. OG., M. Kes
0 1

REG/1610/00235 00010514 FATHIA


SYAKILA
28 MUMTAZAH Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00239 00013330 ANI SULASTRI
29 , NY Dr. widya prawitasari, Sp.OG
REG/1610/00253 00013586 ISVARA
MALAIKA
30 WIYOKO, BY Dr. Dedi Kurniawan Saputra, Sp. A
0 0
IGD
VK

REG/1610/00289 00011781 ARKAN


31 SHIDQI, AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00298 00007340 ADRIAN AZKA
32 IRAWAN Dr. Dedi Kurniawan Saputr 1
REG/1610/00299 00013595 ZAIN SYABIL
AL
WIRATAMA,
33 AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00306 00013597 VITO DWI
CAHYANTO ,
34 AN Dr. RR. Danis Widyastuti, Sp. A
REG/1610/00330 00013416 SUSAN
35 JULIANTI, NY Dr. Fredy Lisnan, Sp. OG
REG/1610/00331 00013609 CLEO
OKTAVIA
36 TEGUH, BY Dr. Dedi Kurniawan Saputra, Sp. A
0 1

REG/1610/00354 00013525 KRISTINANI ,


37 NY Dr. Fredy Lisnan, Sp. OG
REG/1610/00357 00006215 EVA
OKTASIVA ,
38 NY Dr. Fredy Lisnan, Sp. OG
0 0
1
1

REG/1610/00384 00013621 NAILA


39 AMALIAH Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00393 00013623 SHAFIRA
40 AULIA N , AN Dr. RR. Danis Widyastuti, Sp. A
REG/1610/00401 00012778 DEVINA
RAFANI NALIA
41 , BY Dr. Dedi Kurniawan Saputra, Sp. A

REG/1610/00423 00011734 PRICILLIA


OLIVIA ILONA
42 MARIS , BY Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00431 00006145 VARRANT
ROUSIHAN
43 EL-BARKIE Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00459 00011710 ARKANA AL-
FATIH
RAMADHAN ,
44 AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00463 00013410 AHMAD
FAWWAZ , AN
45 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00464 00013433 AHMAD
46 FARIS, AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00466 00012182 MICHAEL
CHRISTIAN
47 MILLARD , AN Dr. Dedi Kurniaw 1
1 0
5
1
6

REG/1610/00469 00013635 NAIRA


ALMAHYRA
PUTRI, AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00472 00013636 GUSFIAN
AHMAD
SUGITO, AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00476 00003560 VIKA
AGUSTIN, NY Dr. Fredy Lisnan, Sp. OG
REG/1610/00493 00013642 NAURA
NOVIYANTI,
BY Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00495 00013640 SITI HAPSOH,
BY NY Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00505 00010787 MARIYAH
RISNAWATI
NY Dr. Fredy Lisnan, Sp. OG
REG/1610/00519 00013649 FAIZ FAJAR
IBRAHIM , BY Dr. Dedi Kurniawan Saputra, Sp. A
0 0

5
2
7

REG/1610/00532 00013643 TEGUH IQBAL


MAULANA ,
AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00541 00013651 DWI EKA
SARTIKA ,NY Dr. Fredy Lisnan, Sp. OG
REG/1610/00542 00012237 M. DZAKI
ADESTYA . AN
Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00545 00013658 AFRYLIA
SAFITRI Dr. Widya Prawitasari, Sp. OG
REG/1610/00550 00013659 DWI EKA
SARTIKA BY
NY Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00564 00013662 HAIDAR
ABGORI
NURTIANTO Dr. Dedi Kurniawan Saputra, Sp. A
0 0
Register Nama Pasien Tanggal
REG/1610/00576 00004243 IDKHAL AL SURDr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00578 00012413 IKA SUARTIKA ,DR FREDY SP.OG
REG/1610/00579 00013479 MUHAMMAD ARD
Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00595 00011098 SHINTA DEWI dr. WIDYA Sp.OG
REG/1610/00601 00002495 REGINA SAFITRI

5
0
0
5

REG/1610/00607 00013672 KEN ZADA


HASNASAKHI
, AN dr. rr dannis sp.A
REG/1610/00620 00009869 SHALLI
SHALLIHAH DR. FREDY LISNAN SP.OG
REG/1610/00627 00013677 KIREY INARA
PUTRI
SETIAWAN DR. DEDI SP.A
REG/1610/00629 00007131 MUHAMMAD
NAZRIEL R dr. RR. DANNIS Sp.A
REG/1610/00634 00013679 BIMA
ADIRAJADA ,
AN Dr. Dedi Kurniawan Saputr 1
0 1

REG/1610/00672 00013690 GAIZKA


QIANA
OKTARI Dr. Dedi Kurniawan Saputra, Sp. A

REG/1610/00706 00010028 JUJU


JUMAROH Dr. Fredy Lisnan, Sp. OG
REG/1610/00708 00010542 LUSPITASARI,
HJ Dr. Fredy Lisnan, Sp. OG
REG/1610/00709 00013703 LUSPITASARI,
BY NY Dr. Dedi Kurniawan Saputra, Sp. A
0 0
2
1

REG/1610/00726 00013707 AULIYA NUR


AZZUHRO ,
AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00754 00013613 ERNI
SUPRIYANI ,
NY Dr. Widya Prawitasari, Sp. OG
REG/1610/00755 00010014 LINA ULFAH Dr. Widya Prawitasari, Sp. OG
REG/1610/00756 00002544 MUHAMMAD
FATHIR , AN Dr. Suhito Aryo P., Sp. B
0 0

REG/1610/00761 00013712 ERNI SUPRIYAN


Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00766 00013713 LINA ULFAH, B Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00774 00012874 KHADZIYA ANNIDr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00780 00013717 DIANA MEIHILDDr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00791 00013723 DEDE LUTFHI RDr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00796 00013726 EVA ROVANIE, Dr. Fredy Lisnan, Sp. OG
REG/1610/00797 00013725 RINA NURAENIDr. Fredy Lisnan, Sp. OG

0 0

REG/1610/00798 00013727 RINA


NURAENI , BY
NY Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00816 00013728 MUHAMMAD
ALFARUQI ,
AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00819 00013731 ZAVIER
ASRAF
MAULANA ,
BY Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00821 00013296 SITI FATIMAH
AZZAHRA, AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00825 00013210 NURUL
NUBUWWATI
MUKARROMA
H , NY Dr. Widya Prawitasari, Sp. OG
REG/1610/00826 00004130 NIA KURNIATI Dr. Fredy Lisnan, Sp. OG 1
REG/1610/00830 00013734 AISAH, NY Dr. Fredy Lisnan, Sp. OG
REG/1610/00831 00008677 RAISHA
KHAYLA
NAEEMA
GHANI Dr. Dedi Kurniawan Saputr 1
REG/1610/00832 00013735 NIA
KURNIATI , BY Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00834 00012760 NY
DEWA ABDUL
GHOFUR Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00836 00013736 AISAH , BY NY
Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00856 00013164 RANDI
PERMANA, AN
Dr. Dedi Kurniawan Saputra, Sp. A
0 2

REG/1610/00900 00013754 MUHAMMAD


JIBRIL AL
FATIH , BY Dr. Dedi Kurniawan Saputra, Sp. A

REG/1610/00905 00013313 IRMA


SURYANI, NY Dr. Sarah Alatas, Sp. OG., M. Kes
REG/1610/00909 00012761 MUHAMMAD
KHALID AL-
KAUTSAR, AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00916 00013758 FILLIO
ARZHATA
AVERROES Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00918 00004656 TSURAYA
AZZANADA
KANAYA ,AN Dr. Dedi Kurniawan Saputra, Sp. A
0 0

2
1
1
4

REG/1610/00949 00013764 NURUL,NY Dr. Fredy Lisnan, Sp. OG


REG/1610/00967 00013771 NURUL BY, NY
Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00973 00008339 GRISELLA
HASNA RISTI Dr. Dedi Kurniawan Saputr 1
REG/1610/00986 00013775 RAYSSETA
DZAKY
ALKHALIFI Dr. Dedi Kurniawan Saputra, Sp. A
0 1
REG/1610/00989 00013618 NURI
ZULAIKHA
RAMADHANI,
AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/00998 00011825 AINUN PUTRI
RAMADANI ,
AN Dr. Dedi Kurniawan Saputr 1
REG/1610/01005 00012441 DION CESA
PRATAMA,AN Dr. Dedi Kurniawan Saputra, Sp. A
0 1
1
1
2

REG/1610/01009 00005112 MUHAMMAD


RIZQIE AL
FATHAN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/01016 00011706 SRI NURAENI.
NY Dr. Fredy Lisnan, Sp. OG 1
REG/1610/01037 00013788 ALYA NADIVA
ADISTIA , AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/01050 00001778 MARIA ULFA Dr. Widya Prawitasari, Sp. OG
REG/1610/01052 00013792 RINA
OKTAVIANI,
NY Dr. Widya Prawitasari, Sp. OG
REG/1610/01061 00013795 ZAINAB
HUSNA
HAFIZAH, AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/01063 00013796 RINA
OKTAVIANI
,BY NY Dr. Dedi Kurniawan Saputra, Sp. A
0 1
1
1
5
7

REG/1610/01083 00013804 CUCUN


CUNAYAH, NY
Dr. Fredy Lisnan, Sp. OG
REG/1610/01110 00013815 NIA SUMIATI,
NY Dr. Fredy Lisnan, Sp. OG
REG/1610/01112 00013818 NIA BY NY Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/01113 00013819 LEO
SAPUTRA, BY Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/01114 00013807 WIJAYA
FAUZAN
FATIHIN, AN Dr. Dedi Kurniawan Saputra, Sp. A
0 0

REG/1610/01175 00013833 SAFRIYANTI,


NY Dr. Fredy Lisnan, Sp. OG
REG/1610/01177 00013532 FITRA SUCI
WINARTI , NY Dr. Fredy Lisnan, Sp. OG
REG/1610/01179 00013835 ARSYAD AL
KHALIF, BY Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/01183 00013836 SHAFITRI
HANDAYANI,
AN Dr. Dedi Kurniawan Saputra, Sp. A
0 0
1
3
4

REG/1610/01207 00013845 MARIA ULFA ,


NY Dr. Fredy Lisnan, Sp. OG
REG/1610/01210 00013846 DARULLA
RIHADATUL
HAWA , AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/01213 00013848 CHIKA
MEILANI , AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/01220 00010472 HARLINA Dr. Sarah Alatas, Sp. OG., M. Kes
REG/1610/01226 00013851 BY NY MARIA
ULFA Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/01228 00013853 HARLINA, BY
NY Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/01231 00013478 IRSYAD
ADITYA
PERMANA, AN
Dr. RR. Danis Widyastuti, Sp. A
REG/1610/01238 00010544 EKA
SEPTIANTI ,
NY Dr. Widya Prawitasari, Sp. OG
0 0

5
1
2
8

REG/1610/01239 00013856 EKA


SEPTIANTI ,
BY NY Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/01262 00013861 NINING
SARININGSIH
,NY Dr. Fredy Lisnan, Sp. OG
REG/1610/01274 00013864 SYAHRANI
YUMNA
SALSABILLA Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/01276 00013863 MUHAMMMAD
ZIKRI
HAMZAH ,AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/01277 00013866 NINING
SARININGSIH
, BY NY Dr. Dedi Kurniawan Saputra, Sp. A
0 0
2
2
1
5
REG/1610/01288 00013871 RAFI AMAR
FADHLI, AN Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/01291 00013873 MARYAM, BY
NY Dr. Dedi Kurniawan Saputra, Sp. A
REG/1610/01292 00013872 WIWIN
WINDARI, NY Dr. Widya Prawitasari, Sp. OG
REG/1610/01299 00012745 ALYSSA
MUTIA
ALFAH , AN Dr. Dedi Kurniawan Saputra, Sp. A
0 0
2
1
1
4

BULAN NOVEMBER 2016


No RM Nama Pasien Tgl Masuk NAMA DR
SVIP VIP
00010623 KIANDRA ABRISAM 1-Nov-16 DR DANNIS WIDYASTUTI SPA
00010764 YAYU PURNAMA , 2-Nov-16 Dr. Fredy Lisnan, Sp. OG
00013503 HANINDYA PUTRI Y 2-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
00013901 ABDILLAH RAYYAN 2-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00088 HATTA WIJAYA 03-Nov-2016 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00097 MAYA DAMAYANTI 03-Nov-2016 Dr. Widya Prawitasari, Sp. O
REG/1611/00104 ALPIANI NUR JANAH 03-Nov-2016 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00107 WIWIN WINDARI, NY 03-Nov-2016 Dr. Widya Prawitasari, Sp. OG
REG/1611/00088 HATTA WIJAYA 03-Nov-2016 Dr. Dedi Kurniawan Saputra,
REG/1611/00097 MAYA DAMAYANTI 03-Nov-2016 Dr. Widya Pra 1
REG/1611/00104 ALPIANI NUR JANAH 03-Nov-2016 Dr. Dedi Kurniawan Saputra,
REG/1611/00107 WIWIN WINDARI, NY 03-Nov-2016 Dr. Widya Prawitasari, Sp. O
REG/1611/00138 MAYA DAMAYANTI , BY 03-Nov-2016 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00143 ROSTIANAH , NY 04-Nov-2016 Dr. Widya Prawit 1
REG/1611/00147 ROSTIANAH , BY NY 04-Nov-2016 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00157 ADEEVA SHAQILA SOFY 04-Nov-2016 Dr. Dedi Kurniaw 1
REG/1611/00164 TAZKIA, AN 04-Nov-2016 Dr. Dedi Kurniaw 1
REG/1611/00172 AQILAH SILMI GHANIYA 05-Nov-2016 Dr. Dedi Kurniaw 1
REG/1611/00173 SALSABILA 05-Nov-2016 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00190 GAIZKA QIANA OKTARI 05-Nov-2016 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00202 PEPY LILYANA NURVALI 05-Nov-2016 Dr. Dedi Kurniaw 1
REG/1611/00215 ATIK SUHARNI 06-Nov-2016 DR SARAH 1
REG/1611/00217 MARTINA PUSPO RINI, 06-Nov-2016 Dr. fresy lisnan sp.oG 1
REG/1611/00218 ATIK SUHARNI , BY NY 7-Nov-16 Dr. Sarah Alatas, Sp. OG., M. Kes
REG/1611/00233 FREYA ALENA DEWI 7-Nov-16 Dr. Dedi Kurniaw 1
REG/1611/00257 LARAS LESTARI 7-Nov-16 Dr. Fredy Lisnan, Sp. OG
REG/1611/00258 ALKHALIFI RAJENDRA 7-Nov-16 Dr. Dedi Kurniaw 1
REG/1611/00263 LARAS LESTARI ,BY
NY 7-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00292 MUHAMMAD SAMI
HIBATULLAH 8-Nov-16 Dr. Dedi Kurniaw 1
REG/1611/00293 SYAKIRA NAYLA
SALSABILA 8-Nov-16 Dr. Dedi Kurniaw 1
REG/1611/00299 KARINA MAHARANI ,
AN 8-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00304 JALILAH JAYA
HARAHAP, NY 8-Nov-16 Dr. Fredy Lisnan, Sp. OG
REG/1611/00326 SINDY SILVIANI
ALFIYAH , AN 9-Nov-16 Dr. Dedi Kurniaw 1
REG/1611/00328 ISWARA
ESTININGTYAS 9-Nov-16 Dr. Dedi Kurniawan Saputr 1
REG/1611/00331 ERIKA PUTRI
WAHYUNI , NY 9-Nov-16 Dr. Sarah Alatas, Sp. OG., M. Kes
REG/1611/00340 NAURAH SHABIRAH
LUTHFIYAH, AN 9-Nov-16 Dr. Dedi Kurniawan Saputr 1
REG/1611/00345 ERIKA , BY NY 9-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00392 ARBI MAULANA ILHAM 10-Nov-2016 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00397 JUAN MAKHIS AL KAFF, 10-Nov-2016 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00399 ANDRI , BY 10-Nov-2016 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00411 NISMARA KAMILIA KAW 10-Nov-2016 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00415 ARYA FADILLAH 11-Nov-2016 Dr. Dedi Kurniaw 1
REG/1611/00425 ANI SURYANI, NY 11-Nov-2016 Dr. Sarah Alatas, Sp. OG., M. Kes
REG/1611/00426 RISA NASIDATUL 11-Nov-2016
HUSNAH , NY Dr. Fredy Lisnan 1
REG/1611/00435 ZIYAD ATHAYA 11-Nov-2016 Dr. RR. Danis Wid 1
REG/1611/00436 CERIA NAYSILA 11-Nov-2016
HASAN , BY Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00438 SALSHABILA EKA AYU 11-Nov-2016
Dr. Dedi Kurniaw 1
REG/1611/00441 PETY PRATIWI, NY 11-Nov-2016 Dr. Fredy Lisnan 1
REG/1611/00450 DEWI, BY NY 11-Nov-2016 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00468 MAYA ULFA, NY 12-Nov-16 Dr. Fredy Lisnan 1
REG/1611/00488 EZRA AR-RAFIF , BY 12-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00489 KHAYLA ALMIRA M 12-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00494 KIENNAN ABRIZAM
AZZAHDI, AN 12-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00522 ISMA NURWULAN . NY
12-Nov-16 Dr. Sarah Alatas, Sp. OG., M. Kes
REG/1611/00524 HARIS BIN ABDUL
BASIT 12-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00529 GENDIS KINAR HASNA 13-Nov-2016 Dr. Dedi Kurniaw 1
REG/1611/00538 ABDUL AZHAR FATHURR 13-Nov-2016 DR
REG/1611/00540 WIDYA ADHE WINITA 13-Nov-2016 Dr. Sarah Alatas, Sp. OG., M. Kes
REG/1611/00543 ARIQ ADZANI
BACHTIAR ,AN 14-Nov-16 Dr. Dedi Kurniaw 1
REG/1611/00558 INDAH
DARMANINGSIH 14-Nov-16 Dr. Widya Prawitasari, Sp. OG
REG/1611/00568 LIES INDRIATI 14-Nov-16 Dr. Sarah Alatas, 1
REG/1611/00574 DESI HASITA NURAINI,
AN 14-Nov-16 Dr. Dedi Kurniaw 1
REG/1611/00577 NAUFAL AL ZARQA
YULIANTO, BY 14-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00583 KHALIS AZITA
CIPTAGHATI 14-Nov-16 Dr. Dedi Kurniaw 1
REG/1611/00590 INDAH PUSPASARI ,
NY 14-Nov-16 Dr. Fredy Lisnan, Sp. OG
REG/1611/00592 ASIH , BY NY 14-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00593 RAKADARU NATA
NUGRAHA, BY 15-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00605 SITI UMAYAH 15-Nov-16 Dr. Fredy Lisnan 1
REG/1611/00610 RAHMA RANJANI,AN 15-Nov-16 Dr. Dedi Kurniaw 1
REG/1611/00616 ANDINI S. ZAHRA 15-Nov-16 Dr. Dedi Kurniaw 1
REG/1611/00618 M. RAFKA PRATAMA
HAMBALI, AN 15-Nov-16 Dr. RR. Danis Widyastuti, Sp. A
REG/1611/00621 RAKA APTA DARMA
,AN 15-Nov-16 Dr. Dedi Kurniaw 1
REG/1611/00643 ALESHA NAUFALYN
CALISTA PUTRI , AN 15-Nov-16 Dr. Dedi Kurniaw 1
REG/1611/00645 SRI MARYATI 15-Nov-16 Dr. Widya Prawit 1
REG/1611/00658 SUHERNI, NY 16-Nov-16 Dr. Sarah Alatas, 1
REG/1611/00662 SUHERNI BY NY 16-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00664 CICI RATNASARI, NY 16-Nov-16 Dr. Sarah Alatas, Sp. OG., M. Kes
REG/1611/00668 CICI RATNASARI, BY
NY 16-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00670 SRI MARYATI, BY NY 16-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00685 KHAYLA
KHOIRUNNISA ,AN 16-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00689 MIKHAILA ALMIRA
MARITZA 16-Nov-16 Dr. RR. Danis Widyastuti, 1
REG/1611/00697 INDIRA ARIS TANASYA
,AN 16-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00701 HAFIZH ADYARIZKY,
AN 16-Nov-16 Dr. RR. Danis Widyastuti, Sp. A
REG/1611/00726 HESTI
MEILATRIANTI ,NY 18-Nov-16 Dr. Sarah Alatas, Sp. OG., M. Kes
REG/1611/00734 HESTI
MEILATRIANTI ,BY NY 18-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00752 DIAN NOVITA, NY 18-Nov-16 Dr. Widya Prawitasari, Sp. OG
REG/1611/00768 SITA NURAIDA
FERDIANTI ,NY 19-Nov-16 Dr. Dedi Kurniaw 1
REG/1611/00775 ALESHA LAVINA DANA
MAGNIFY, BY 19-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00776 RAISYA AMELIA
RAMLAN 19-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00785 NADYA AMIRA
KHAIRUNNISA,AN 19-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00809 MAIZA RIMSHA
SOPIAN 19-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00836 M. RAFA SAEPULLAH,
AN 19-Nov-16 Dr. Dedi Kurniawan Saputr 1
REG/1611/00838 IXIA ZHAFIRA DEFARA 19-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00839 AZIZA MAKAILA
PUTRI, AN 19-Nov-16
REG/1611/00843 BILAL ZAHEER
GIBRAN 20-Nov-16 Dr. RR. Danis Widyastuti, 1
REG/1611/00845 RAFAEL YEEHEZKIEL
HERYANTO 20-Nov-16 Dr. RR. Danis Widyastuti, Sp. A
REG/1611/00847 DAISAH , NY 20-Nov-16 Dr. Fredy Lisnan, Sp. OG
REG/1611/00852 DIAZ ALZAHY
PRATAMA, AN 20-Nov-16 Dr. RR. Danis Widyastuti, Sp. A
REG/1611/00867 QIRAN OKTAVIA
ARDIANSYAH 21-Nov-16 Dr. RR. Danis Widyastuti, Sp. A
REG/1611/00876 BILQIS FITRIYANA 21-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00884 AL ZIKRI FIRDAUS .
AN 21-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00890 FADHILAH
SALSABILA, AN 21-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00898 EVA OKTASIVA , NY 21-Nov-16 Dr. Fredy Lisnan, Sp. OG 1
REG/1611/00912 SITI NUR ASSHYFA
AULIA 21-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00918 NURJANAH,NY 22-Nov-16 Dr. Widya Prawitasari, Sp. OG
REG/1611/00932 FATHAN PRATAMA
HIDAYAT ,AN 22-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00933 FEBY SALSABILLAH
,AN 22-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00937 M. ALFA RIZQY 22-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00955 M. FIRDAUS
SUSANTO, AN 23-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00960 RAHMA ASSYFA, AN 23-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00961 RISTIANI DEWI, NY 23-Nov-16 Dr. Sarah Alatas, Sp. OG., M. Kes
REG/1611/00970 ASYRAF
GATHANAUFAL, BY 23-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00974 MALIKA HIMAWARI
GHAISANI, BY 23-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00979 MUHAMMAD AMZAR
FAIRUZ, AN 23-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/00980 MARTINA PUSPO RINI,
NY 23-Nov-16 Dr. Fredy Lisnan, Sp. OG
REG/1611/00986 LISNAWATI, NY 23-Nov-16 Dr. Widya Prawitasari, Sp 1
REG/1611/00989 KEENAND ATHAYA
ISMAIL ,AN 23-Nov-16 Dr. RR. Danis Widyastuti, Sp. A
REG/1611/00993 TAZKA ZULQARNAIN
ZULMI ,BY 23-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/01007 FAZRI PAMUNGKAS
,AN 23-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/01009 GINASTRIA HERDIAT,
NN 23-Nov-16 dr Dwiana 1
REG/1611/01038 INDAH NURUL RAMADH 24-Nov-2016 Dr. Dedi Kurniawan Saputr 1

REG/1611/01046 ANINDYA FAUZIAH 25-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A


REG/1611/01065 REYNAND VIRENDRA E 25-Nov-16 Dr. Dedi Kurniawan Saputr 1
REG/1611/01070 VERA SAFITRI HIDAYAT 25-Nov-16 Dr. Sarah Alatas, Sp. OG., M. Kes
REG/1611/01073 ALSYAQIRI WISASTRO 25-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/01074 YASMIN NUR ASSYIFA 25-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/01080 PUTRIANA SARI , NY 25-Nov-16 Dr. Fredy Lisnan, Sp. OG
REG/1611/01081 DZAKY ARDHANI , AN 25-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/01082 ANANTA YUNAN IBRAH 25-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/01083 PUTRIANA SARI , BY N 25-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/01084 KANAYA ALESHA SAIRA, 25-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/01088 AKBAR CAESAR NURDA 25-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/01091 ADYARA SITI KHAIRANI 25-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/01101 IRA RAHMAWATI ,NY 25-Nov-16 Dr. Widya Prawitasari, Sp. OG
REG/1611/01103 KARSIH . NY 26-Nov-16 Dr. Widya Prawitasari, Sp. OG
REG/1611/01104 KARSIH ,BY NY 26-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/01106 YANTI WIJAYANTI 26-Nov-16 Dr. Fredy Lisnan, Sp. OG
REG/1611/01127 NELLY HARDIANTI, NY
26-Nov-16 Dr. Fredy Lisnan, Sp. OG 1
REG/1611/01135 YANTI WIJAYANTI, BY
NY 26-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/01143 NELLY HARDIANTI, BY
NY 26-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/01171 KARTEM , NY 26-Nov-16 Dr. Fredy Lisnan, Sp. OG
REG/1611/01173 NURINDAH
NANDAYANTI
HIBATULLAH , NY 26-Nov-16 Dr. Fredy Lisnan, Sp. OG
REG/1611/01175 NURINDAH
NANDAYANTI
HIBATULLAH ,BY NY 26-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/01176 KARTEM ,BY NY 26-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/01178 CUNAYAH, NY 27-Nov-16 Dr. Widya Prawitasari, Sp. OG
REG/1611/01179 CUNAYAH ,BY NY 27-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/01185 HANNAN MUHAMMAD
SHAFIN , BY 27-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
REG/1611/01186 ARYA DWI PUTRA , AN
27-Nov-16 Dr. Dedi Kurniawan Saputra, Sp. A
AN MIAMAR 28_NOV-16 DR DEDI
1 NY AZIZAH 28-Nov-16 DR FEDRI
AN DION 28-Nov-16 DR DEDI
AN MALIKA 28-Nov-16 DR DEDI
AN TIARA 28-Nov-16 DR DEDI
AN MITA 29-Nov-16 DR DEDI
AN BADRIAH 29-Nov DR DEDI
ATI 30-Nov-16 DR FERDY
TRINA 30-Nov-16 DR FERDY
30 13

BULAN DESEMBER 2016


No RM Nama Pasien Tgl Masuk NAMA DR
SVIP VIP I
1 NY WULAN 1/12/2016 PREDY
2 AN ANANDITA 2/12/2016 DR DEDI 1
3 AN M LUTHFI 2/12/2016 DR DEDI
4 AN AZIZAH 2/12/2016 DR DEDI
5 AN M ADIB 2/12/2016 DR DEDI
6 AN NATASYA 3/12/2016 DR DEDI 1
7 AN M IBNU 3/12/2016 DR DEDI 1
8 AN KLALAF 4/12/2016 DR DEDI 1
9 NY IRA 4/12/2016 DR FREDY 1
10 AN NAZWA 4/12/2016 DR DEDI
11 AN M ZHAHRA 4/12/2016 DR DEDI 1
12 AN ALFARIL 5/12/2016 DR DEDI 1
13 AN MARVELLA 1/12/2016 DR DEDI 1
14 NY NENG NOVI 1/12/2-016 DR WIDIYA 1
15 AN IRSAN 2/12/2016 DR DEDI 1
16 AN GRACELA 5/12/2016 DR SALY 1
17 AN ALFARIL 5/12/2016 DR DEDI 1
18 AN SYIFA 5/12/2016 DR DEDI 1
19 AN ZIDANE 6/12/2016 DR DANNIS 1
20 AN DINI 6/12/2016 DR DEDI 1
21 AN ADELIO 6/12/2016 DR DEDI
22 NY MIA 6/12/2016 DR FREDY
23/ AN VERONIKA 7/12/2016 DR DEDI 1
24 AN BILQIS 7/12/2016 DR DANNIS
25 AN MIKAILA 7/12/2016 DR SELY
26 NY EVA 7/12/2016 DR FERDY
29 AN INARA 7/12/2016 DR SALY
30 AN LANANG 8/12/2016 DR 1
31 AN MIHSAN 8/12/2016 DR 1
32 AN ZAHRA 8/12/2016 DR
33 AN ABI 8/12/2016 DR
34 AN ALIVAH 8/12/2016 DR 1
35 AN ABIL 8/12/2016 DR
36 AN M ZIDAN 8/12/2016 DR
37 AN TANIA 8/12/2016 DR 1
38 AN KARIN OLIP VIA 8/12/2016 DR 1
39 NY NURI 9/12/2016 DR FERDY 1
40 AN M ALBI 9/12/2016 DR DEDI 1
41 AN DERINA 9/12/2016 DR DEDI
42 AN BILQIS 10/12/2016 DR SELY
43 ABYAAN 10/12/2016 DR DEDI
44 STENI 11/12/2016 DR SELY
45 AN ROBY 11/12/2016 DR DEDI
46 AN KENZIE 11/12/2016 DRDEDI
47 AN JESIKA 12/12/2016 DR DEDI
48 AN ALVIRA 13/12/2016 DR SELY
49 AN ASHA AL 13/12/2016 DR DANIS
50 AN ANANDA 13/12/2016 DRDEDI
51 AN GAZIA 13/12/2016 DR SELI
52 NY RISA 13/12/2016 DR WIDIA 1
53 AN NAJLA 14/12/2016 DR DEDI 1
54 AN NADIAH 10/12/2016 DR DEDI 1
55 AN PRATIWI 11/12/2016 DR DEDI 1
56 AN M MUROB SALI 13/12/2016 DR SELY 1
57 AN CLARA 14/13/2016 DR DEDI 1
58 AN RAISA 14/12/2016 DR DEDI 1
59 BY MUHAMAD MUROBY 14/12/2016 DR DEDI 1
60 AN NAJLA 14/12/2016 DR SELY 1
61 AN RIFA 14/12/2016 DR DEDI
62 AN AFANDI 14/12/2016 DR DANIS 1
63 AN ALASYAFIN 14/12/2016 DR DEDI 1
64 NENG SELFI 14/12/2016 DR SELY 1
65 AN RAFI AZAM 15/12/2016 DR DEDI 1
66 AAN HAFSA 16/12/2016 DR SELI
67 AN HIFAHELL 16/12/2016 DR WIDIA 1
68 NY YANTI 16/12/2016 DR WIDIA 1
69 NY SILVIA 17/12/2016 DR FERDY
70 AN ROYAN 17/12/2016 DR DEDI
71 NY ANI 18/12/2016 DR FERDY
72 NY SITI ROMLAH 19/12/2016 DR WIDIA 1
73 AN ZUHUDIAR 19/12/2016 DR DEDI
74 AN SABRINA 19/12/2016 DR DEDI
75 NY ENENG 20/12/2016 DR FERDY
76 NY AGUNG 20/12/2016 DR DEDI
77 NY MEGA 21/12/2016 DR FREDY
78 AN ALYA 21/12/2016 DR DEDI
79 AN M MUROBI 18/12/2016 DR DEDI 1
80 AN STEVEN 19/12/2016 DR DEDI 1
81 AN GEORGE 26/12/2016 DR DEDI 1
82 AN SHAKILA 26/12/2016 DR DEDI 1
83 NY WIWIN 26/12/12 DR WIDIA 1
84 AN ASKA DINI 22/12/2016 DR DEDI
85 AN HILWA 22/12/2016 DR DEDI
86 AN UMAR 22/12/2016 DR DEDI 1
87 AN M RAFI 22/12/2016 DR DEDI
88 AN ANISA 22/12/2016 DR DEDI
89 AN BELVANIA 22/12/2016 DRDEDI
90 NY SITI ROMLAH 23/12/2016 DR FERDY
91 AN ALBERT 23/12/2016 DR DEDI
92 AN NAJWA 24/12/2016 DR DEDI
93 AN ABYA 24/12/2016 DR DEDI
94 AN JAKI HILMI 24/12/2016 DRDEDI 1
95 AN DAFIT 25/12/2016 DR DEDI
96 ANGHISNAN 25/12/2016 DR DEDI
97 AN SYAHIRA 25/12/2016 DR DEDI
98 AN FAEYA 26/12/2016 DR DEDI 1
99 AN BILAL 26/12/2016 DR DEDI
100 TN CAHYA 26/12/2016 DR SUHITO
101 NY YETI 26/12/2016 DR WIDIA 1
102 AN DHAFA 27/12/2016 DR DEDI
103 KENJO 28/12/2016 DRDEDI
104 AN NAIRA 28/123/2016 DR DEDI
105 AN REYCHAL 30/12/2-016 DR DEDI
106 NY KUN KONAAH 30/12/2016 DR WIDIA
107 AN NAIRA 31/12/2016 DR DEDI
108 AN YUNI 31/12/2016 DR DEDI
0 21 27
BULAN JANUARY 2017 SOFFENIR PASIEN
No RM Nama Pasien Tgl Masuk NAMA DR
SVIP VIP I
2 AN ALINA 1/1/2017 DR DEDI 1
3 NY NINA 1/1/2017 DR FEDRY
4 AN ENITA 1/1/2016 DRDEDI 1
5 AN RAYAN 1/1/2017 DR SELY
6 AN ALFARIZKI 1/1/2016 DR DEDI
7 AN AMARA 2/1/2017 DR DEDI
8 AN CLARA 2/1/2017 DR DEDI 1
9 AN INARA 3/1/2016 DR DEDI
10 NY DONA 3/1/2016 DR FREDY
11 AN ANTA 3/1/2016 DR DEDI
12 AN DESI 3/1/2016 DR DEDI 1
13 NY SITI 3/1/2016 DR WIDIA
14 AN RIFAN 4/1/2017
15 AN GAITSA 4/1/2017
16 AN KAUTSAR 5/1/2017
17 AN GHANI 5/1/2017
18 NY SITI NUR 5/1/2017
19 NY KIKI 5/1/2017
20 AN ZASKIAH 7/1/2017
21 AN DESI 6/1/2017 1
22 AN NOVIANTI 8/1/2017
23 AN ALPARISKI 8/1/2017
24 AN ISMATUL 8/1/2017
25 AN ADWA 9/1/2017
26 NY MEI RAHAYU 9/1/2017 1
27 AN DINI 9/1/20917
28 AN DAFADLAN 9/1/2017
29 AN SURAYA 9/1/2017
30 AN HANI 9/1/2017
31 AN KHAIRA 9/1/2017 1
32 NY INTAN 10/1/2017
33 AN AIDAN 10/1/2017
34 AN HANUNG 10/1/2017
35 AN DILA 10/1/217
36 AN TRIYA 10/1/2017
37 AN NAUFAL 11/1/2017
38 BY RIJA 11/1/2017
39 AN AZMI 11/1/2017 1
40 AN FAUZA 11/1/2017
41 AN HERLANI 11//2017 1
42 AN ISHAK 12/1/2017 1
43 AN MAKDAN 12/1/2017 1
44 AN SINTIA 12/1/2017 1
45 AN TIKA 12/1/2017 1
46 NY ROBIYAH 14/1/2017
47 NY SITI F 14/1/2017
48 AN SINTIA 14/1/2017 1
49 AN FIKA 14/1/2017 1
50 AN ELJA 15/1/2017 1
51 NY IMAS 15/1/2017
52 AN FIGNA 16/1/2017
53 NY PUTRI 16/1/2017
54 AN M HAFIS 16/1/2017
55 NY ANIH 16/1/2017
56 NY RAHAYU 16/1/2017
57 NY S NOFA 16/1/2017 1
58 NY NOVITA 17/1/2017
59 NY SITI NUR 17/1/2017
60 NY FITRI 17/1/2017
61 AN SALSA 17/1/2017
62 AN ZAHRA 17/1/2017
63 AN TRIA 17/1/2017 1
64 NY EUIS 18/1/2017 1
65 AN NUHMA 18/1/2017
66 AN KHANIA 18/1/2017 1
67 NY MAMIH 18/1/2017 1
68 AN FANI 19/1/2017
69 AN HANIF 19/1/2017
70 AN HABIYAN 20/1/2017
71 AN M MAULANA 21/1/2017
72 AN M ZAFRAN 21/1/2017
73 AN M FATIH 22/1/2017
74 AN ALYA 22/1/2017 1
74 NY NURHASANAH 23/1/2017
75 NY ASW 23/1/2017
76 NY METIA 23/1/2017 1
77 AN M HARIS 23/1/2017
78 AN SHAHIRA 23/1/2017
79 AN ILHAM 23/1/2017 1
80by BY JIADAT 24/1/2017 1
81 NY INA HEDINA 25/1/2017 1
82 AN LUTFI 25/1/2017
83 AN SHAIRA 25/1/2017
84 NY ATIKA 25/1/2017 1
85 AN TEGUH 25/1/2017
86 NY NATINI 26/1/2017 1
87 NY YUNI 26/1/2017
88 AN RENDRA 26/1/2017
89 NY EEN 26/1/2017
90 NY FITRI 27/1/2017
91 NY TETI 28/1/2017 1
92 NY FEYOLA 29/1/2017 1
93 NY MUMUN 29/1/2017
94 AN FATHIA 30/1/2017 1
95 AN GHITA 2/1/2017 1
96 AN FAUJIAH 4/1/2017 1
97 AN TIARA 5/1/2017 1
98 AN ANDIRA 7/1/2017 1
99 AN BIMA 8/1/2017 1
100 AN AZMI 13/1/2017 1
101 AN M FADIYANSAH 16/1/2017 1
102 AN M BINTAN 19/1/2017 1
103 NY DINI 20/1/2017 1
104 AN YASINTIA 23/1/2017 1
105 AN AL KHALIFI 24/1/2017
106 AN HAMZAN 25/1/2017
107 AN KHAILA 27/1/2017
108 AN JESSLYNE 29/1/2017 1
109 AN FATHIA 30/1/2017 1
110 NY ERNA 30/1/2017 1
111 NY SITI 30/1/2017
112 NY KARTIKA 30/1/2017
113 AN YOHANES 30/1/2017 1
114 AN FARISHA 30/1/2017 1
115 AN REHAN 30/1/2017 1
116 NY ALAMIYAH 31/1/2017
117 AN HANA 31/1/2017 1
118 NY MEI RAHAYU 31/1/2017 1
119 NY ANGGRAENI 31/1/2017 1
120 AN M YUSUP 31/1/2017 1
121 NY MEI FERONIKA 31/1/2017
122 NY SETIA 31/1/2017
123 NY ENENG 31/1/2017
10 41
BULAN FEBUARY 2017
No RM Nama Pasien Tgl Masuk NAMA DR
SVIP VIP I
1 NY SANTI 1/2/2017 DR
2 AN GERA VANDRA 1/2/2017 DR
3 AN AL KHAFI 1/2/2017 DR
4 AN HILWA 2/2/2017 DR
5 AN NURKAMILA 2/2/2017 DR
6 AN ARKIANDA 2/2/2017 DR
7 AN SITI 2/2/2017
8 AN SOPI 2/2/2017
9 NY RARAN 3/2/2017 DR 1
10 NY MEI 3/2/2017 DR 1
11 NY ROHKANAH 3/2/2017 DR 1
12 AN ARUMI 4/2/2017 DR 1
13 AN SAEPULOH 4/2/2017 DR 1
14 AN SULTAN 5/2/2017 DR
15 AN SHILOH 5/2/2017 DR
16 AN FATIMAH 5/2/2017
17 AN RM AIR 6/2/2017 DR
18 NY IIS 6/2/2017 DR
19 NY NUNIK 6/2/2017 DR 1
20 AN RANGGA 6/7/2017 DR
21 AN GAUN 6/2/2017
22 AN FAIS 6/2/2017
23 NY NURJANAH 6/2/2017
24 AN ARALEA 6/2/2017
25 AN RAHIHAN 7/2/2017 1
26 AN M GIBRAN 7/2/2017 1
27 NY MUJAHIRAH 7/2/2017 1
28 M CANDRA 7/2/2017
29 AN ADNAN 8/2/2017
30 NY AWANA 9/2/2017 1
31 AN RAFI 9/2/2017
32 AN ASKA 9/2/2017
33 AN GAVIN 9/2/2017
34 NY MIRA 10/2/2017
35 AN M AZHAR 10/2/2017
36 AN ADITIA 11/2/2017
37 AN NAUFAL 11/2/2017 1
38 AN ASYIFA 11/2/2017 1
39 AN M TAWAS 12/2/2017
40 AN M RAFLI 12/2/2017
41 NY SITI ROBIYAH 12/2/2017
42 AN KENZA 12/2/2017 1
43 AN ZHEPFA 12/2/2017 1
44 AN ALIFAH 12/2/2017
45 AN ANAUFAL 12/2/2017
46 AN INDAH 12/2/2017
47 AN M AZAM 12/2/2017
48 AN SYAFIRA 13/2/2017 1
49 AN KIREN NA 13/2/2017 1
50 AN MEYVITA 13/2/2017
51 AN SIGY 13/2/2017
52 SARAH 13/2/2017 1
53 AN ALKAUTSAR 13/2/2017
54 AN AKMAL 14/2/2017 1
55 NY WIWIN 14/2/2017 1
56 NY SUKANAH 14/2/2017
57 AN NADIRA 15/2/2017
58 AN SYAPIQ 15/2/2017 1
59 NY TARWATI 15/2/2017 1
60 NY DIANA 15/2/2017 1
61 NY TRI 16/2/2017
62 AN AYASNA 16/2/2017
63 AN ARASELA 16/2/2017
64 NY SELVIA 17/2/2017 1
65 NY TENI 17/2/2017 1
66 NY LIP IDRIANI 17/2/2017 1
67 AN MUTIARA 17/2/2017 1
68 NY ENUY 17/2/2017 1
69 AN AKMAL 18/2/2017
70 AN DESTA 18/2/2017
71 NY ELNERA 18/2/2017
72 NY AISAH 20/2/2017
73 AN BUNGA 20/2/2017
74 AN ALIFA 20/2/2017 1
75 AN KHNSA 21/2/2017 1
76 AN QUEEN 21/2/2017 1
78 AN RANI 21/2/2017
79 AN ALMAR 21/2/2017
80 AN DINA 21/2/2017 1
81 AN DINI 21/2/2017 1
82 AN DAFA 23/2/2017
83 AN PUYTRI 23/2/2017
84 NY ANDRIANI 23/2/2017
85 NY IDA 23/2/2017
86 AN BAGAS 23/2/2017
89 NY SRI FTRIANI 24/2/2017
90 NY YUSTIN 24/2/2017
91 NY MUTIA 24/2/2017
92 AN NOVITA YANTI 243/2/2017 1
93 NY ADELIA 25/2/2017
94 NY FIRTIYANI 25/2/2017
95 NY IDAH 25/2/2017
96 NY KARTINI 26/2/2017
97 AN RAFANDRA 26/2/2017
98 AN RAFLI 26/2/2017
99 AN SHASHI 27/2/2017 1
100 NY UNI 27/2/2017 1
101 AN ZAHRA 27/2/2017
10