Anda di halaman 1dari 88

PEMERINTAH KABUPATEN TASIKMALAYA DAFTAR : HASIL PENGADAAN BARANG INVENTARIS

DINAS KESEHATAN TAHUN ANGGARAN 2013

SPK/Perjanjian/Kontrak
DPA/SPM/Kwitansi J U M LAH
NO NAMA JENIS/ MERK DAN SPECIPIKASI BARANG
Banyaknya Harga Satuan
Tanggal Nomor Jumlah Harga
Tanggal Nomor Barang Rp.
1 3 4 5 6 7 8 9 10

1 ALAT PEMERIKSAAN HB 14-Mar-13 027/972/Diskes/2013 1 Unit 17,250,000 17,250,000


a Unit Analizer 1 unit. 10.250.000
b Disposible microcuvette (1@ 200pcs)
2 box 7.000.000

2 CCTV 1-May-13 027/1425/Diskes/2013 1 set 19,500,000 19,500,000


Blower Exhaust 6 Unit 650,000 3,900,000

3 Komputer desktorp + Printer 1-May-13 027/1428/Diskes/2013 1 Set 5,950,000 5,950,000


Laptop (Note Book) 1 Unit 5,700,000 5,700,000

4 TABUNG OXYGEN 2-May-13 027/1445/Diskes 40 set 4,852,000 194,080,000


- Regulator Oxygen -
- Troly Tabung oxygen -
- Nasal Canula -
-
5 Rehabilitasi/Peningkatan PKM Puspahianag 1 331,598,455 331,598,455
(Uang Muka DAK) -
-
Rehabilitasi/Peningkatan PKM Puspahianag 1 33,159,845 33,159,845
(Uang Muka Pendamping DAK)

6 TENSIMETER Aneroid Clock Wail model 29-May-13 027/1725/Diskes 40 Unit 1,380,000 55,200,000
include : Cuff Adult L, Child
1 3 4 5 6 7 8 9 10
7 Masker Respirator 29-May-13 0027/1726/Diskes 2310 Buah 24,100 55,671,000
Masker Bedah 4500 Buah 975 4,387,500
Jas Labolatorium 50 Buah 154,000 7,700,000
Termos 0,8 Liter 1 Buah 1,490,000 1,490,000
Termos 1,35 Liter 1 Buah 3,490,000 3,490,000

8 Lemari Obat 15-May-13 027/1568/Diskes/ 15 Buah 4,825,000 72,375,000


-

9 ALAT PERACIK OBAT 28-May-13 027/1715/Diskes 26 Set 7,350,000 191,100,000


- Medicine Packet 1 Pak -
- Sealing Equipments 1 set -
- Pulverizer 1 set -
- Plastik Spooon 10 Pcs -
-
10 REFRIGERATOR 4/9/2013 442.1/1204/Diskes 2 Unit 59,000,000 118,000,000
Merk : VESTFROST/MK 3004 -
Asal Negara Denmark -
-
VAKSIN CARIER 40 Buah 1,195,000 47,800,000
Merk : ONEMED/Vaccient Carier/Ice Box -
Asal Negara Indonesia -

11 Mesin Absensi 6/26/2013 027/2125.1/Diskes 1 Set 23,870,000 23,870,000


Terdiri dari
Kamera digital
Komputer Program

12 TEMPAT TIDUR PERAWATAN 31 Set 15,620,000 484,220,000


- Tempat Tidur (ranjang) Merk Eccomed Type -
Type ECO 01-11CP -
- Bed Side Cabinet Merk Karixa -
1 3 4 5 6 7 8 9 10
Type KA04-00A -
- Matras Merk DH -
-
13 REFRIGERATOR VAKSIN RCW 50 31-Jul-13 027/2516/Diskes/2013 3 Unit 54,020,000 162,060,000
Merk RCW 50 EG/Dometic -
Asal Negara Spanyol -
-
14 Alat Pemantau Suhu Dingin 16-Oct-13 027/5180/Diskes/2013 22 Unit 1,496,750 32,928,500
Lemari Vaksi -
Merk FRIDGE - TAG -
-
15 Peralatan Makan (alat Dapur) terdiri dari 3-Dec-13 50 Set 39,500 1,975,000
- Piring Besar 1 Bh
- Piring Kecil 1 Bh
- Mangkuk 1 Bh
- Gelas 1 Bh -
Sendok Garpu 1 stel

16 PONED SET -
Dengan Rincian -
1 Alas kaki untuK Perlindungan infeksi ( dada sampai lutut ) 16 Bh 150,000 2,400,000
Lokal / rubber -
2 Arpon untuk perlindungan infeksi( dada sampai lutut) 16 Bh 70,000 1,120,000
Lokal / plastik -
3 Bak instrument Tertutup Medium 8 Bh 875,000 7,000,000
CBM -
4 Bak Instrument Besar untuk Obgsyn 8 Bh 2,500,000 20,000,000
CBM -
5 Benang Chromik 2/0 + Jarum 1 Box of12 8 Box 950,000 7,600,000
Assut/ steril -
6 Endotracheal Tube2.5,3,4 @ 1 buah 24 Set 650,000 15,600,000
Rusch/ standar -
7 Fetal Stetoskocope Pinard / Laenec 8 Bh 75,000 600,000
Lokal / almunium -
1 3 4 5 6 7 8 9 10
8 Gunting Episiotomy 14 cm 32 Bh 850,000 27,200,000
AS Medizintechnik/11 - 139 - 14 -
9 Gunting Tali Pusat 14 cm 32 Bh 725,000 23,200,000
AS Medizintechnik/11 - 147 - 16 -
10 Lampu Halogen Periksa 16 Unit 24,000,000 384,000,000
Famed Tozs/BH 132 -
11 Hemoglobin meter Sahli ( HB Sahli) 8 Set 460,000 3,680,000
Superior/Sahli -
12 Incubator 8 Unit 30,000,000 240,000,000
One Med/ YP 100 -
13 Kacamata / Google untuk pelindung Infeksi 8 Bh 90,000 720,000
Lokal/PPC -
14 Korentang 25 cm 32 Bh 1,250,000 40,000,000
HEBU Medical 6 mbh, SS -
15 Klem Kelly / Klem Kocher lurus 14 cm 48 Bh 470,000 22,560,000
AS Medizintechnik / 15-100-14 -
16 Klem Ovum / FensterKlem 96 Bh 920,000 88,320,000
AS Medizintechnik/ 15-736-25 -
17 Miller Laringoscope Infant 3 Blades 16 Bh 5,250,000 84,000,000
HEBU Medical GmbH/HB 4210 -
18 Masker 3 Ply Ear oop, Box isi 50 8 Box 200,000 1,600,000
3 Ply -
19 Meja Instrumen 2 rak stanless steel 8 Bh 4,500,000 36,000,000
Ply Medical / 036 SS -
20 Meteran / Metline 1,5 m 8 Bh 10,000 80,000
Lokal / Roll Type -
21 Needle Holder 14 cm 80 Bh 630,000 50,400,000
AS Medizintechnik / 17-022-14 -
22 Nelaton Catheter N0. 14 160 Bh 25,000 4,000,000
Lokal / Ruber -
23 Examination Table Series SS 8 Unit 9,700,000 77,600,000
Poly Medical / 033 SS -
24 Penjepit Tali Pusat 800 Bh 1,500 1,200,000
Lokal / Steril -
1 3 4 5 6 7 8 9 10
25 Pincvet Anatomi 14,5 cm 32 Bh 195,000 6,240,000
AS Medizintechnik / 13-000-14 -
26 Pincet Churigis / Bedah 14,5 cm 32 Bh 197,500 6,320,000
AS Medizintechnik / 13-000-14 -
27 Pita Pengukur Lengan Atas 8 Bh 80,000 640,000
AS Medizintechnik / 13-000-14 -
28 Plastik untuk alas tidur 8 Bh 90,000 720,000
Lokal / Plastik -
29 Plester 8 rol 80,000 640,000
BDF/i inch -
30 Pocket Dopler + Heart Rate Monitor (Dopler) 8 Unit 22,500,000 180,000,000
Ultratec/PD + -
31 Resusisator Dewasa 16 Bh 8,250,000 132,000,000
Uzumcu/ 626.0202 -
32 Resusisator Neonatus Bahan Silikon, lengkap dg Facemask Neonatal 16 Bh 8,250,000 132,000,000
Uzumcu/ 626.0206 -
33 Sarungtangan Panjang untuk Manual Plasenta 16 Pasang 90,000 1,440,000
Surgipro/Steril -
34 Alat Pengisap /AC/DC Suction Pum w/ Rechargeable Battery 8 Bh 38,250,000 306,000,000
Uzumcu/PA-IR -
35 Viginal Speculum Grave S 40 Bh 950,000 38,000,000
AS Medizintechnik / 35-007-11 -
36 Viginal Speculum Grave M 40 Bh 950,000 38,000,000
AS Medizintechnik / 35-007-12 -
37 Viginal Speculum Grave L 40 Bh 950,000 38,000,000
AS Medizintechnik / 35-007-12 -
38 SphygmomanometerHG + Manset Bayi Set 8 Bh 370,000 2,960,000
AS Medizintechnik / 35-007-13 -
39 Standart Infus 8 Unit 2,250,000 18,000,000
Sphygmed/Desk -
40 Stetoscope Duplex Bayi / Neonatus 16 Bh 1,950,000 31,200,000
Haselmer/Minor -
41 Stetoscope Duplex Dewasa 16 Bh 250,000 4,000,000
Megro/Duplex -
1 3 4 5 6 7 8 9 10
42 Stilet No 1 untuk pemasangan ETT 16 Bh 425,000 6,800,000
VBM/Medium Size -
43 Thermometer Klinis HG 8 Bh 25,000 200,000
Safety Mercury -
44 Timbangan Bayi 20 Kg + Ba25 8 Bh 4,000,000 32,000,000
Laica/BF-2051 -
45 Timbangan injak dewasa minimum 120 Kg 8 Bh 350,000 2,800,000
Laica/EP-1220 -
46 Waskom SS 40 cm 16 Bh 275,000 4,400,000
CBM -
47 Art timer Standart UNICEF 8 Bh 575,000 4,600,000
Lokal/Std -
-
17 1 Lemari Alat 1/16/1900 6 Buah 2,997,500 17,985,000
VIP Type V-602 -
2 Lemari Obt 6 Buah 2,997,500 17,985,000
VIP Type V-602 -
3 Filling Cabinet 6 Buah 2,491,500 14,949,000
VIP Type V-304 -
4 Meja Kerja Periksa 6 Buah 2,491,500 14,949,000
Brather Type B-801 -
5 Kursi Rapat 30 Buah 499,400 14,982,000
Chitose Type Caesar-N -
6 Kursi Tunggu Alumunium 6 Buah 3,987,500 23,925,000
Frontline Type FPC-410 -
7 Tempat Tidur Periksa 6 Buah 4,977,500 29,865,000
Medik Type EB-PS010 -
-
18 1 Tempat Tidur Perawatan 1/17/1900 80 Set 19,140,000 1,531,200,000
Dharma / BM 25 -
2 Tempat Tidur Periksa 50 Set 6,930,000 346,500,000
Dharma/DHEET0105 -
3 USG Black & White Portable 1 Unit 220,000,000 220,000,000
Esaote/Aquila Pro -
1 3 4 5 6 7 8 9 10
4 Neonatal Photothe Raphy Lamp 2 Unit 96,800,000 193,600,000
Trialptek/Ofn 02 -
5 Emergency Transport Ventilator 1 Unit 187,000,000 187,000,000
Uzumzcu/VA-3L -
6 Portable Suction + Troley 4 Unit 45,100,000 180,400,000
Uzumzcu/VA-25 -
7 Oxygen Set 30 Unit 4,730,000 141,900,000
Poly Medical Poly 040 -
8 Minor Surgery Setr 55 Set 14,135,000 777,425,000
AS Medizintecnik Varios -
9 Stetoscope 80 Unit 390,500 31,240,000
ABN / Clasic -
10 Tensi Meter (Mercurial Sphygmomanometer) 80 Unit 687,500 55,000,000
Sphygmed/Mercury Desk -
11 Oxygen Concentrator 5 Unit 57,750,000 288,750,000
Sequal/Integra EZ -
-
19 Rehabilitasi/Peningkatan PKM Puspahiang 100 % 331,598,455 1 Pkt 884,262,545 884,262,545
20 Rehabilitasi/Peningkatan PKM Puspahiang 100 % 33,159,845 1 Pkt 92,382,155 92,382,155
21 Pembanguan Baru PUSTU Desa Bojongsari Kec. Culamega 891,605,545 1 Pkt 240,347,000 240,347,000
22 Pembanguan Baru PUSTU Desa Kersamaju Kec. Cigalontang 99,720,155 1 Pkt 241,528,000 241,528,000
23 Pembanguan Baru PUSTU Desa Cempakasari Kec. Bojonggambir 1 Pkt 239,404,000 239,404,000
24 Rehabilitasi Rumah Dinas Paramedis PKM Cipatujah 1,356,084,000 1 Pkt 161,735,000 161,735,000
1,341,403,000 -
25 Rehabilitasi Total PUSTU Linggasirna 14,681,000 1 Pkt 150,830,000 150,830,000
26 Rehabilitasi Total PUSTU Banjarwaringin 1 Pkt 150,943,000 150,943,000
27 Rehabilitasi Total PUSTU Kertanegla 1 Pkt 155,100,000 155,100,000
-
28 REHABLITASI PKM PKM Bojongasih 1 Pkt 280,931,000 280,931,000
29 REHABLITASI PKM PKM Culamega 1 Pkt 232,500,000 232,500,000
30 REHABLITASI PKM PKM Sukahening 1 Pkt 414,064,000 414,064,000
-
31 Pembangunan/Pengembangan PKM Culameg 1 Pkt 659,480,000 659,480,000
Menjadi Puskesmas PONED -
1 3 4 5 6 7 8 9 10
-
32 Pembangunan/Pengembangan PKM SODONGHILIR 1 Pkt 1,277,728,000 1,277,728,000
Menjadi Puskesmas PONED (2 Lt) -
-
33 Pembangunan/Pengembangan PKM Salopa 1 Pkt 529,140,000 529,140,000
Menjadi Puskesmas PONED -
-
34 Pembangunan/Pengembangan PKM Sukarame 1 Pkt 1,207,923,000 1,207,923,000
Menjadi Puskesmas PONED (2 Lt) -
-
35 Pembangunan/Pengembangan PKM Sariwangi 1 Pkt 1,077,446,000 1,077,446,000
Menjadi Puskesmas PONED (2 Lt) -
-
36 Pembangunan/Pengembangan PKM Gunungtanjung 1 Pkt 1,102,327,000 1,102,327,000
Menjadi Puskesmas PONED (2 Lt) -
-
37 Pembangunan/Pengembangan PKM Cisayong 1 Pkt 612,500,000 612,500,000
Menjadi Puskesmas PONED -
-
38 Pembangunan/Pengembangan PKM Jatiwaras 1 Pkt 1,068,900,000 1,068,900,000
Menjadi Puskesmas PONED (2 Lt) -
-
39 Pengadaan Konstruksi Jaringan Irigasi 1 44,107,000 44,107,000
(Kirmir Kertasasi ) -
-
40 Pengadaan Tanah Kantor 1 34,950,000 34,950,000
-

41 LAPTOP 8/23/2013 027/4720/Diskes 1 11,550,000 11,550,000


-
42 Alat Pemantau Pertumbuhan BALITA 12/13/2013 027/5576/Dinkes/2013 -
- Sikat Sensori 2 Buah 70,000 140,000
- Ultrasoun BBH 1 Buah 6,000,000 6,000,000
1 3 4 5 6 7 8 9 10
- Infrared Philips 2 Nh 750,000 1,500,000
- Bola Bobath 55' 1 Buah 350,000 350,000
- Alat Tumbuh Kembang BALITA 1 Paket 1,950,000 1,950,000
-
43 KAMERA DIGITAL 3/8/2013 027/711.1/Diskes 1 buah 2,500,000 2,500,000
-
44 Kursi Roda 12/3/2013 1 buah 1,975,000 1,975,000
-
45 Alat Kedokteran Umum Penunjang Labolatorium 7/3/2013 027/2183/Diskes
Pot dahak 21500 Bh 2,000 43,000,000
Kaca sediaan 435 Box 22,000 9,570,000
Box Slide 776 Box 51,250 39,770,000
Oli Immersi 24 Btl 329,000 7,896,000
Xilol 120 Btl 31,200 3,744,000
Alat Urin Test dan Carik celup urine 2 set 16,750,000 33,500,000
Alat/bahan kolesterol Test dan Glukosa Test 30 set 940,000 28,200,000

19,137,073,000

MENGETAHUI ; TASIKMALAYA,, 31 Desembe


KEPALA DINAS KESEHATAN Pemegang Baran
KABUPATEN TASIKMALAYA

H. OKI ZULKIFLI, D, dr, M. Epid Rahmat Karsan


NIP. 195810161989111002 NIP. 19630619 198503
Dipergunakanan
KET
pada Unit

11

Seksi Gizi Sumber Dana APBD

Farmasi Sumber Dana APBD

Farmasi Sumber Dana APBD

Seluruh PKM Sumber Dana DHBCT

PKM Puspahiang Sumber Dana DAK

PKM Puspahiang Sumber Dana DAK

Seluruh PKM Sumber Dana DHBCT


11
Bidang P 2 P Sumber Dana DHBCT

15 Puskesmas Sumber Dana DHBCT

26 Puskesmas

PKM Cisayong
PKM Cikalong

Seluruh PKM

UMUM

13 Puskesmas
11

PKM Gunungtanjung
PKM Jatiwaras
PKM Bantarkalong

22 Puskesmas

Puskesmas Tinewati

PKM Sukarame
PKM Cisayong
PKM Culamega
PKM Gunungtanjung
PKM Jatiwaras
PKM Saopa
PKM Sariwangi
PKM Sodonghiir
11
11
11

Poskesdes DS Cikawung Pancatengah


Poskesdes Burujuljaya Parungponteng
Poskesdes Parung Cibalong
Poskesdes Cikawung ading Cipatujah
Poskesdes Citalahab Karangjaya
Poskesdes kertasari Cipatujah
11

976,644,700

PKM Puspahiang DAK


PKM Puspahiang Pendamping DAK
PKM Culamega DAK
PKM Cigalontang DAK
PKM Bojonggambir DAK
PKM Cipatujah DAK

PKm Sariwangi
PKM Salopa
PKM Bojonggambir

PKM Bojongasih BANPROP 2013


PKM Culamega BANPROP 2013
PKM Sukahening BANPROP 2013

PKM Culamega BANPROP 2013


11

PKM Sodonghilir BANPROP 2013

PKM Salopa BANPROP 2013

PKM Sukarame BANPROP 2013

PKM Sariwangi BANPROP 2013

PKM Gfunungtanjung BANPROP 2013

PKM Cisayong BANPROP 2013

PKM Jatiwaras BANPROP 2013

Cipatujah BANPROP 2013

Leuwisari

DKK

PKM TINEWATI
11

Seksi Yandas

PKM TINEWATI

P2P

976,644,700

KMALAYA,, 31 Desember 2013


Pemegang Barang

Rahmat Karsana
NIP. 19630619 198503 1 017
PEMERINTAH KABUPATEN TASIKMALAYA DAFTAR : HASIL PENGADAAN BARANG INVENTARIS
DINAS KESEHATAN TAHUN ANGGARAN 2012

SPK/Perjanjian/Kontrak
NAMA JENIS/ MERK DAN SPECIPIKASI DPA/SPM/Kwitansi J U M LAH
NO TANGGAL
BARANG Harga Satuan
Tanggal Nomor Barang Jumlah Harga
Tanggal Nomor Rp.
1 2 3 4 5 6 7 8 9 10
Alat Analisa Sanitasi Lingkungan
1 6/20/2012 5/31/2012 442/2105/DISKES 3 Unit 32,830,000 98,490,000
(Sanitarian Field Kit) -
SPESIPIKASI -
-
A Sampel Tes Kit -
Apirator dari bahan kaca -
Media sampling dan sampler -
Tabung specimen untuk sample -
Kaca pembesar -
Literatur mengenai larva da nyamuk -
-
B Alat Ukur Lingkungan dan Udara -
layar display 3,5" LCD digit -
Temperatur Operasi 20 sampai 700ͦ dra1at C -
Photo Ditector, Probe Temperatur dan Kelembaban -
Power 9 V baterai Auto power of -
Pengolahan data Pengamatan (EHIS) -
-
C Alat Ukur Kadar Air -
Ammonium, Chlorine, Iron, Nitrat Test -
Calibrasi PH & TDS 3-5 point -
Akurasi ±0.01 PH 1 % -
Temperatur operasi 5 to 55 ⁰ C -
-
D Assesories -
Sofwer Aplikasi Pelaporan Hasil Uji -
Buku Manual -
1 2 3 4 5 6 7 8 9 10
Kartu Garansi -
-
2 7/20/2012 Lemari Obat 6/22/2012 027/2300/Diskes/12 25 Set 3,750,000 93,750,000
-
3 7/24/2012 Alat Peracik Obat terdiri dari : 7/26/2012 2315.A/Diskes/12 14 Ubit 6,710,000 93,940,000
- MEDICINE Packet SI-20-s (14 Box) -
- SEALING EQUIPMENT-S Include Plastik -
(14 set) -
- PULVELIZER-S (14 set) -
-

-
4 8/14/2012 Kursi Tunggu Pasien (Stensless) 8/14/2012 10 Bh 200,000 2,000,000
-
5 8/14/2012 Meja Kerja uk 1mx60cmx80cm 8/14/2012 5 Bh 750,000 3,750,000
-
6 8/23/2012 Tabung Oksigen set terdiri 7/27/2012 442/2574/Diskes/12 20 Set 4,750,000 95,000,000
- Tabung Oksigen -
- Troly Tabung oksigen -
- Nasal Canula -
- Regulator -
-
7 10/22/2012 Nebulizer merk GIMA Corsia CE 0123 80 Unit 3,410,000 272,800,000
Stetoskop merk ABN Classic 80 Unit 440,000 35,200,000
Tensimeter merk ABN Clock Aneroid 95 Unit 1,100,000 104,500,000
-
8 11/20/2012 Tabung Oksigen set terdiri 20 Set 4,700,000 94,000,000
- Tabung Oksigen -
- Troly Tabung oksigen -
- Nasal Canula -
- Regulator -
-
9 11/14/2012 Resusitator 90 Unit 910,000 81,900,000
Suction Pump 15 Unit 6,400,000 96,000,000
1 2 3 4 5 6 7 8 9 10
-
10 11/20/2012 Printer Merk CANON E600 5 Unit 2,000,000 10,000,000
-
-
-
-
-
11 12/3/2012 Server Data Base 1 Unit 34,650,000 34,650,000
Server Web 1 Unit 34,650,000 34,650,000
Layar Penyaji Informasi 5 Unit 9,350,000 46,750,000
-
-
12 12/3/2012 Komputer 45 Unit 4,400,000 198,000,000
-
-
13 12/3/2012 Laptop Merk ASUS A46CM-WX094D 5 Unit 8,800,000 44,000,000
-
-
-
-
-

14 12/6/2012 PUSTU Set 50 Set 21,780,000 1,089,000,000


Suction Pump 22 Unit 42,020,000 924,440,000
Minor Sugery Set 40 Set 17,820,000 712,800,000
Partus Set 42 Set 11,770,000 494,340,000
Lampu Tindakan 15 Unit 76,010,000 1,140,150,000
EKG 21 Unit 19,580,000 411,180,000

15 12/10/2012 Mikroskop Binokuler 2 Unit 18,900,000 37,800,000


Merk Olympus CX 21 -
1 2 3 4 5 6 7 8 9 10

.16 10/27/2012 Rahab Total Gedung Pustu 7/30/2012 602/2608/Diskes/2012 1 Pkt 189,999,000 201,302,750
Cibatuireng Kec Karangnunggal -
-
.17 10/24/2012 Rahab Total Gedung Pustu 7/27/2012 602/2570/Diskes/2012 1 Pkt 132,729,000 144,032,750
Banyuresmi Kec Sukahening -
-
.18 10/27/2012 Rahab Total Gedung Pustu 7/30/2012 602/2611/Diskes/2012 1 Pkt 190,909,000 202,212,750
Kujang Kec karangnunggal -
-
-
.19 12/30/2012 Pembangunan PKM Bjongasih 9/11/2012 602/3114/Diskes/2012 1 Pkt 544,646,000 544,646,000
Menjadi PKM PONED -
-
.20 12/30/2012 Pembangunan PKM Puspahiang 9/11/2012 602/3108/Diskes/2012 1 Pkt 515,432,000 515,432,000
Menjadi PKM PONED -
-
.21 12/30/2012 Pembangunan PKM Pancatengah 9/11/2012 602/31111/Diskes/2012 1 Pkt 539,982,000 539,982,000
Menjadi PKM PONED - -
- -
.22 12/30/2012 Pembangunan PKM Pgerageung 9/11/2012 602/3099/Diskes/2012 1 Pkt 551,244,000 551,244,000
Menjadi PKM PONED - -
- -
.23 12/30/2012 Pembangunan PKM Sukahening 9/11/2012 602/3096/Diskes/2012 1 Pkt 513,394,000 513,394,000
Menjadi PKM PONED - -
- -
.24 12/30/2012 Pembangunan PKM Sukaresik 9/11/2012 602/3093/Diskes/2012 1 Pkt 545,801,000 545,801,000
Menjadi PKM PONED - -
- -
.25 12/18/2012 Pembangunan PKM Sukaratu 10/5/2012 602/3378/Diskes/2012 1 Pkt 513,531,000 513,531,000
Menjadi PKM PONED - -
1 2 3 4 5 6 7 8 9 10
- -
.26 12/30/2012 Pembangunan PKM Cineam 9/11/2012 602/3105/Diskes/2012 1 Pkt 547,547,000 547,547,000
Menjadi PKM PONED - -

- -
.27 20--12-12 Pembangunan PKM Bantarkalong 9/11/2012 602/2605/Diskes/2012 1 Pkt 550,000,000 550,000,000
Menjadi PKM PONED - -
- -
- -
.28 12/30/2012 Lanjutan Pembangunan DTP 9/12/2012 602/3090/Diskes/2012 1 Pkt 1,683,405,000 1,688,320,600
PKM MANONJAYA - -
-
- -
.29 11/28/2012 Lanjutan Pembangunan DTP 7/30/2012 602/2602/Diskes/2012 1 Pkt 386,010,000 390,925,600
PKM KARANGNUNGGAL - -
-
- -
.30 11/28/2012 Lanjutan Pembangunan DTP 7/30/2012 602/2593/Diskes/2012 1 Pkt 401,360,000 406,275,600
PKM CISAYONG - -
-
- -
.31 12/22/2012 Pengembangan dan Pembangunan 9/24/2012 602/ /Diskes/2012 1 Pkt 760,001,000 764,916,600
PKM CINEAM - -
-
- -
.32 10/27/2012 Pembangunan POSKESDES 7/30/2012 602/2596/Diskes/2012 1 Pkt 214,567,000 219,482,600
DS CIKAWUNG Kec Pancatengah - -
-
- -
.33 10/24/2012 Pembangunan POSKESDES 7/27/2012 602/2567/Diskes/2012 1 Pkt 210,946,000 215,861,600
DS BURUJULJAYA Kec Parungponteng - -
-
.34 12/18/2012 Pembangunan POSKESDES 10/5/2012 602/3377/Diskes/2012 1 Pkt 214,999,000 219,914,600
DS PARUNG Kec Cibalong -
1 2 3 4 5 6 7 8 9 10
-
.35 10/27/2012 Pembangunan POSKESDES 7/30/2012 602/2599/Diskes/2012 1 Pkt 213,123,000 218,038,600
DS CIKAWUNGADING Kec Cipatujah - -
-
.36 10/27/2012 Pengembangan POSKESDES 7/30/2012 602/2605/Diskes/2012 1 Pkt 215,568,000 220,483,600
DS CITALAHAB Kec Karangjaya - -
-
.37 10/27/2012 Pembangunan POSKESDES 7/30/2012 602/2614/Diskes/2012 1 Pkt 214,444,000 219,359,600
DS Kertasari Kec. Cpatujah - -
-
-
-
.38 12/27/2012 Pematangan Lahan Pembangunan 1 Pkt 243,814,000 243,814,000
Rumah Sakit Type D -
Kec. Cikatomas -
-
.39 12/18/2012 Rehabilitasi PUSTU DS Setiawaras 1 Pkt 110,849,000 122,152,750
Kec Cibalong

.40 12/4/2012 Paket Klinik TFC 11/30/2012 027/4043/Diskes/2012 1 Pkt 12,850,000 12,850,000
-

16,560,611,000

TASIKMALAYA, 31 Desember 2
KEPALA DINAS KESEHA

H. OKI ZULKIFLI, D, dr, M.


NIP. 1958101619891110
KET

11

PKM Karangtnunggal
PKM Singaparna
Bidang Kesling
11

25 Puskesmas

14 PKM

PKM Singaparna

PKM Singaparna

20 Pkm

40 Puskesmas

20 Pkm

40 PKM
15 PKM
11

Subag Umum
Keuangan
Program
Bid Kesling
Bidang Yankes

Subag Program

40 Puskesmas
5 DKK

DKK
Sekdis
UPTD Farmasi
Subag Program
UPTD Lab
Subag Keuangan

PUSKESMAS

PKM Sukaresik
PKM Sodonghilir
11
11
11

ASIKMALAYA, 31 Desember 2012


KEPALA DINAS KESEHATAN

H. OKI ZULKIFLI, D, dr, M. Epid


NIP. 195810161989111002
PEMERINTAH KABUPATEN TASIKMALAYA DAFTAR : HASIL PENERIMAAN BARANG INVENTARIS
DINAS KESEHATAN TAHUN ANGGARAN 2011

SPK/Perjanjian/Kontrak
NAMA JENIS/ MERK DAN SPECIPIKASI DPA/SPM/Kwitansi J U M LAH
NO TANGGAL
BARANG Harga Satuan
Tanggal Nomor Barang
Tanggal Nomor Rp.
1 2 3 4 5 6 7

1 3/14/2011 Instalasi Listrik 14-2-2011 027/282/Diskes/2011 1 Pkt 7,350,000


2 Instalasi Listrik 14-2-2011 027/282.a/Diskes/2011 1 Pkt 14,000,000
3 Instalasi Listrik 14-2-2011 027/282.b/Diskes/2011 1 Pkt 10,230,000
4 Instalasi Listrik 10/3/2011 027/452/Diskes/2011 1 Pkt 14,400,000
5 7/20/2011 Pengadaan dan pemasangan Instalasi Listrik 11/1/2011 603/2405/DISKES/2011 1 Pkt 7,280,000
6 7/20/2011 Pengadaan dan pemasangan Instalasi Listrik 11/1/2011 603/2405/DISKES/2011 1 Pkt 21,734,460

7 6/16/2011 Personal Komputer Merk Advance 13-6-2011 027/1351.1/DISKES/2011 10 Unit 5,375,000


Printer+Infus Merk FIXMA 10 Unit 1,300,000

8 11/2/2011 Elektrolite Analyzer 1 Unit 188,800,000


Merk I - Sent
Type I - Smart

9 22-7-2011 Loker Perawat 15-7-2011 027/1572.1/DISKES/2011 2 set 9,000,000

10 22-7-2011 Kursi Kerja Pegawai 7/21/2011 027/1612.1/DISKES/2011 50 set 438,000


Kursi Tunggu 20 set 2,986,000

11 9/6/2011 Microscope Binokuler 8/25/2011 442/1856/DISKES/2011 6 unit 16,265,000

12 28-9-2011 Fetal Dopler 6/10/2011 027/1722/DISKES/2011 100 Unit 5,720,000


Timbangan Bayi Dacin 25 Kg 150 Unit 770,000
Timbangan Bayi 20 Kg 350 Unit 418,000
Microtois 270 Unit 49,500
Timbangan Badan Injak 2,130 Unit 132,000
HB Sahil (Haemometer) 50 Unit 374,000
1 2 3 4 5 6 7

13 26-10-11 Multi Gas Ditector (Analisa Kualitas Udara) 9/27/2011 442/2044.2/diskes/2011 1 unit 69,475,000

14 11/10/2011 Timbangan Digital Seca 11/1/2011 027/2412/Diskes/2011 10 unit 2,950,000

15 15-11-2011 Electro Cardio Graph (ECG) 10/20/2011 442/2302.1/DISKES/2011 4 Unit 45,237,500

16 23-12-2011 Tempat Tidur Perawatan 11/25/2011 027/2633/DISKES/2011 100 Unit 9,350,000


Bed`Side Cabinet 100 Unit 2,860,000
Meja Mayo 100 Unit 2,860,000
IGD set 5 Set 283,800,000
Suction 5 Set 37,950,000
Resusisator set 5 Set 18,920,000
Suturing set 5 Set 14,740,000
Partus Set 25 Set 5,500,000
Circumsisi set 5 Set 23,320,000
Minor Sugery 5 Set 13,200,000
USG 10 Unit 31,900,000
EKG 10 Unit 24,530,000
Catarak set 5 Set 128,700,000

17 19-12-2011 Komputer 3 Unit 5,437,500


Printer Laser Jet HP112 3 Unit 1,187,500
Printer Epson LQ - 2190 1 Unit 8,375,000
Laptop 4 Set 10,187,500

18 11/26/2011 Pembangunan Poned PKM Rajapolah 200 m 521,102,000


1 2 3 4 5 6 7
19 11/26/2011 Pembangunan Poned PKMSukaraja 200 m 593,253,000

1 Pkt

1 Pkt

20 11/26/2011 Pembangunan Poned PKM Cikalong 200 m 532,702,000

21 11/28/2011 Gordeng Tebal 11/16/2011 027/2525/Diskes/2011 165 M2 78,350


Gordeng Tipis 47 M2 37,400
Gordeng Vertikal 81 M2 197,600
Gordeng Tebal 214 M2 78,350
Gordeng Tipis 78 M2 37,400
Gordeng Vertikal 17 M2 197,600

22 11/29/2011 Lemari Arsip 11/17/2011 027/2536/Diskes/2011 5 Buah 3,225,000


Lemari Alat 5 Buah 3,200,000
Rak Obat 1 Buah 4,850,000

23 11/30/2011 Troley Makan 11/18/2011 027/2549/Diskes/2011 2 Buah 3,650,000

24 12/2/2011 Meja 1/2 biro 11/21/2011 027/2562/Diskes/2011 35 Buah 489,000


Meja Bar Sudut 2 Buah 2,933,000
Lemari Etalase Panjang 1 Buah 2,900,000

25 12/23/2011 Genset 4 Slinder 1500 rpm 12/15/2011 027/2799/Diskes/2011 1 Unit 159,000,000


AMF-ATS 1 Unit 40,000,000
1 2 3 4 5 6 7
26 12/25/2011 Peningkatan PKM Manonjaya 1 1,292,996,675

27 12/25/2011 Peningkatan PKM Cisayong 1 527,691,749

28 12/25/2011 Peningkatan PKM Karangnunggal 1 966,665,000

29 10/22/2011 Biaya Perencanaan Pembangunan 3 PKM 1 192,570,950


(Manonjaya, Cisayong dan
Karangnunggal)

.30 12/25/2011 Biaya Pengawasan Pembangunan 3 PKM 1 49,423,000


(Manonjaya, Cisayong dan
Karangnunggal)

31 12/29/2011 Tempat Tidur Perawatan 20 Unit 5,445,000


Tempat Tidur Periksa 4 Unit 4,455,000
TempatTidur Periksa Mobile 7 Unit 15,345,000
Lampu Sorot 4 Unit 2,375,000
Meja Ginekologi 2 Unit 5,445,000
Pasien Monitor 1 Unit 91,000,000
EKG Ghanel dengan Interprestasi 1 Unit 28,000,000
Tiang Infus 20 Unit 600,000
Blangkar Ambulance 2 Unit 9,900,000
Lampu Pembaca Film Rontgen 1 Unit 500,000
Bak Instrumen Kecil 3 Unit 40,000
Bak Instrumen Besar 3 Unit 55,000
Kom Kapas 2 Unit 35,000
Resusisator 1 Unit 1,200,000
Spatle Tongue 2 Unit 15,000
Timbangan Dewasa 2 Unit 120,000
Timbangan Bayi 1 Unit 300,000
Pengukur Tinggi Badan Dewasa 1 Unit 25,000
Nebulizer 1 Unit 950,000
Stetoscope 2 Unit 900,000
Tensi meter Air Raksa 5 Unit 1,200,000
Tensimeter jarum 5 Unit 800,000
1 2 3 4 5 6 7
Thermometer badan 5 Unit 35,000
Replex Hamer 1 Unit 15,000
Kursi Roda 1 Unit 2,500,000
Minor set 4 Unit 450,000
Suction Pump 1 Unit 3,000,000
Autoclave kecil 2 Unit 7,000,000
Nierbeken 10 Unit 25,000
Tabung oksigen set 6 kibik 10 Unit 5,000,000

32 Pembangunan IGD Rumah Sakit 1 Pkt 2,375,000,000


Umum Kabupaten Tahap II

33 Lanjutan Pembangunan Hall RSU 1 Pkt 908,035,000


Kabupaten

34 Rehab GEDUNG MEDREK RSU 1 Pkt 192,902,000


Kabupatan

35 12/29/2011 Pembangunan Rumah GENSET RSUD 1 Pkt 66,402,150

36 12/29/2011 Referensi 5 % Pembangunan 1 Pkt 3,494,850


Rumah GENSET RSU

37 12/30/2011 Kendaraan Roda 4 (Ambulance) 1 Unit 195,813,176


SUZUKI APV GC 415V DLX ( B 1264 SHX)

38 12/30/2011 Kendaraan Roda 4 (Ambulance) 1 UNIT 172,450,000


SUZUKI APV STD MT ( Z9950N)

MENGETAHUI ; TASIKMALAYA,, 5 Januari 2012


KEPALA DINAS KESEHATAN Pemegang Barang
KABUPATEN TASIKMALAYA
1 2 3 4 5 6 7
H. TANTO RACHMANTO, dr, M Kes Rahmat Karsana
NIP. 195706141989111001 NIP. 19630619 198503 1 017
J U M LAH KET
Jumlah Harga
8 9

7,350,000 RUMAH SAKIT


14,000,000 RUMAH SAKIT
10,230,000 RUMAH SAKIT
14,400,000 RUMAH SAKIT
7,280,000 RUMAH SAKIT
21,734,460 RUMAH SAKIT

53,750,000 RUMAH SAKIT


13,000,000

188,800,000 Propinsi/Rumah Sakit


-
-
-
18,000,000 CV Tri Mitra
- Sejahtera/RSU
-
21,900,000 CV Dwi Mitra
59,720,000 Sentosa/RSU
-
-
97,590,000 CV. Mgatama
- Biogen
-
572,000,000 CV. INTAN
115,500,000
146,300,000
13,365,000
281,160,000
18,700,000
8 9
-
69,475,000 CV Dharma
- Agung
-
29,500,000 CV Juni Rahman

180,950,000 PT TRISPRIMA
- USAHAJAYA
-
935,000,000 CV PERKASA
286,000,000 BAKTI UTAMA
286,000,000
1,419,000,000
189,750,000
94,600,000
73,700,000
137,500,000
116,600,000
66,000,000
319,000,000
245,300,000
643,500,000
-
16,312,500 MULTITEC
3,562,500
8,375,000
40,750,000
-
-
521,102,000 CV Utama
- Bakti
-

-
8 9
593,253,000 CV. Gunung
- Melati
-

-
-
532,702,000 CV Bina
- Aditama Raya
-

12,927,750 CV Laksana
1,757,800 Gema
16,005,600
16,766,900
2,917,200
3,438,240
-
16,125,000 CV Tri Mitra
16,000,000 Sejahtera
4,850,000
-
7,300,000 CV Satria
- Utama
-
17,115,000 CV Dwi Mitra
5,866,000 Sentosa
2,900,000
-
159,000,000 CV Kinayungan
40,000,000 Sinar Pasundan
8 9
1,292,996,675 CV Tiara Mulya
- Sejahtera
-
527,691,749 CV Tiga VIllar
- Utama
-
966,665,000 CV Mitra Karya
-
192,570,950 CV Gatric
- Engineering
-
-
49,423,000 CV Tribentang
-
-
-
108,900,000 CV. BINA GUNA
17,820,000 RSU
107,415,000
9,500,000
10,890,000
91,000,000
28,000,000
12,000,000
19,800,000
500,000
120,000
165,000
70,000
1,200,000
30,000
240,000
300,000
25,000
950,000
1,800,000
6,000,000
4,000,000
8 9
175,000
15,000
2,500,000
1,800,000
3,000,000
14,000,000
250,000
50,000,000
-
2,375,000,000 PT TELAGA
- PASIR PUTRA
-
908,035,000 CV KARTIKA BUMI
-
-
192,902,000 CV KUJANG
- CAKRA BUANA
-
66,402,150 CV Panabungan
-
3,494,850 CV Panabungan

195,813,176 Milik Pusat

172,450,000 Hibah BRI

16,241,590,500

TASIKMALAYA,, 5 Januari 2012


Pemegang Barang
8 9
Rahmat Karsana
NIP. 19630619 198503 1 017
LAPORAN : PENERIMAAN DAN PENGELUARAN BARANG INVENTARIS
SEMESTER KEII TAHUN 2010
Terima Dari Dasar Penerimaan Nama Barang Harga Jumlah
Tanggal Jenis Nomor Tanggal Banyaknya Satuan Harga KETERANGAN
Surat
1 2 3 4 5 6 7 8 9 10 11

1 18-8-2010 CV CAKAR BA 18-8-2010 12 Unit Speda Motor Merk HONDA Supra X 125 FGM 16,975,000 203,700,000 Banprop
BUMI PERKASA dengan aksesoris AL :
- BOX Merk KMI
- MP 3 Player Merk MGC
- Pengeras Suara Type MOCC

BA Buah
2 22-11-2010 PT Inti Hasil 447/6466/DISKES 22-11-2010 1 EKG 39,750,000 39,750,000 PKM Sukaraja
Medicatama 20 Rol Kertas EKG 155,000 3,100,000
20 Btl Gel EKG 85,000 1,700,000

3 24-11-2010 24-11-2010 3 Pak Electronic Pipette Controler 7,799,000 23,397,000 Lab Kesga
3 Pak Micro Pipet 2,5 mL 3,125,000 9,375,000
3 Bh Micro Pipet, 5 m L 2,455,000 7,365,000
4 Bh Micro Pipet 10 m L 2,455,000 9,820,000
3 Bh Micro Pipet 20 m L 2,455,000 7,365,000
2 Bh Micro Pipet 25 m L 2,455,000 4,910,000
5 Bh Micro Pipet 50 m L 2,455,000 12,275,000
2 Dus Micro Pipet 100 m L 2,455,000 4,910,000
2 Dus Micro Pipet 200 m L 2,455,000 4,910,000
3 Bh Micro Pipet 500 m L 2,455,000 7,365,000
1 2 3 4 5 6 7 8 9 10 11
2 Bh Micro Pipet 1000 m L 2,455,000 4,910,000

040/ABT-
Surat unit
4 30-11-2010 Bantuan Pusat SJ/KS/XI/ 30-11-2010 5 Back Pack (Ransel) - Seksi Kesus
Jalan 2,010 5 unit Sleeping Bag -
10 unit M<atras -
Perlengkapan Masak Portable -
5 unit Kompor -
5 unit Tempat Masak -
5 Pasang Sepatu Boot -
5 unit Ponco -
5 unit Raincoat -
10 Pasang Sarung Tangan -
5 Buah Beanies (Kupluk) -
5 unit Pisau Lipat -
5 unit Global Positioning System (GPS) -
5 unit Lampu Kepala -
5 unit Senter -
-
5 17-12-2010 CV Panti Karya BA 2 Buah 19,700,000 RSU Kab
027/6807/DISKES 17-12-2010 Brankas 9,850,000
2 Set Personal Komputer 5,000,000 10,000,000 Tasikmalaya
2 Set Printer 850,000 1,700,000

6 17-12-2010 CV Dwi Mitra Nota 080/CV.DMS/XI/20 17-12-2010 5 Set Tabung Gas 1,500,000 7,500,000 RSU Kab
Sentosa 5 Buah Kompor 3,000,000 15,000,000 Tasikmalaya
1 Buah Lemari Makan 1,000,000 1,000,000
1 2 3 4 5 6 7 8 9 10 11
5 Buah Dispenser 500,000 2,500,000
3 Buah Kulkas Kecil 1,500,000 4,500,000
2 Buah Rak Piring 500,000 1,000,000
1 Paket Alat Dapur terdiri dari : -
15 Lusin Piring 195,000 2,925,000
15 Lusin Mangkok 195,000 2,925,000
15 Lusin Gelas 30,000 450,000
15 Lusin Cangkir set 175,000 2,625,000
15 Lusin Sendok 43,000 645,000
15 Lusin Garfu 43,000 645,000
21 Buah Pisau 45,000 945,000
-
7 17-12-2010 CV Dwi Mitra ba 027/6814/DISKES 17-12-2010 5 Buah Meja Kerja 500,000 2,500,000 RSU Kab
Sentosa 1 Buah Meja Lobi 5,000,000 5,000,000 Tasikmalaya
1 Buah Meja Racik 1,850,000 1,850,000
1 Buah Meja Rapat Keperawatan 1,000,000 1,000,000
3 Buah Meja Rapat Pegawai RSU 500,000 1,500,000
3 Buah Kursi Tunggu 2,000,000 6,000,000
5 Buah Kursi Kerja Pegawai 500,000 2,500,000
10 Buah Kursi Rapat Pegawai RSU 500,000 5,000,000
1 Set Sofa Tamu 7,800,000 7,800,000
1 Buah Lemari Arsip 5,000,000 5,000,000
1 Buah Lemari Alat 4,000,000 4,000,000
1 Buah Rak Obat 3,000,000 3,000,000
1 Buah Lemari Narkotika dan Psikotopika 1,000,000 1,000,000
1 Buah Rak Kartu 2,000,000 2,000,000
-
1 2 3 4 5 6 7 8 9 10 11
8 17-12-2010 CV Budi BA 027/6804/DISKES 17-12-2010 1 Set Alat Saturisasi Oxygen 19,500,000 19,500,000 RSU Kab
Farma 1 Set Laringeal Mask Airway (LMA) 500,000 500,000 Tasikmalaya
2 Set Endo Tracheal Tube Kingking 1,250,000 2,500,000
1 Set Jacksonris 8,250,000 8,250,000
1 Set UPS 11,500,000 11,500,000
-
9 21-12-2010 Koperasi BA 027/6785/DISKES 21-12-2010 1 Paket Pemasangan Baru Telepon dan Instalas 13,695,000 13,695,000 RSU Kab
Citra sebanyak 5 Line dan Pemasangan Aiphone - Tasikmalaya
Caraka Emas sebanyak 11 Line -
-
10 28-12-2010 Bantuan NOTA 28-12-2010 2 Unit Emergensi Kit MERK Weinmann/Various - Bidang
Pusat Yankesfar

11 26-10-2010 PT Naratas BA 020/6108/Diskes/26-10-2010 1 Pkt Sofware Manajemen Kepegawaian 46,696,227 46,696,227 Subag Program
Teman Sejati Web-Base dan Sofware Manajemen
Keuangan Web Base

12 26-10-2010 CV Teknologi Total 020/6105/Diskes 26-10-2010 5 Unit Wierles Outdoos 802.11a/b/g 2,500,000 12,500,000 Subag Program
Solution BA AP/Client Bridge -
4 Unit 2.4GHZ Wireles 108Mbps Indoor 1,250,000 5,000,000
Access Point -
10 Unit 108 Mbps Wireless PCI Adapter 750,000 7,500,000
4 Unit 17 dBi 120 º Sector Panel WLAN Antene 2,500,000 10,000,000
3 Unit Antena Grid 2.4 GHz 1,000,000 3,000,000
8 Buah Pigtail Cable 125,000 1,000,000
1 Buah Kabel UTP 1,500,000 1,500,000
2 Buah RJ 45 300,000 600,000
1 2 3 4 5 6 7 8 9 10 11
5 Buah Hub 16 port 500,000 2,500,000
8 Buah Power Over Ethernet (POE) 187,500 1,500,000
8 Buah Anti Petir 250,000 2,000,000

13 4145 m2 Tanah dan Bangunan Politehnik Kesehatan 690,414,735


14 1,640 m2 Tanah dan Bangunan Politehnik Kesehatan 277,904,520

15 150 m2 Rehab. Total R. Perawatan Pusk.DTP Bojonggambir 318,145,000

16 70 m2 Rehab. Total R. KIA Puskesmas Salawu 188,055,000

17 70 m2 Pengemangan Ruang PONED Ciawi 188,005,000

18 1 Pkt Pengerasan Jalan Masuk RSU Kab, Tasikmalaya 46,460,000

19 1 Pkt Lanjutan Pembangunan IGD RSU Kab. Tasikmalaya 1,888,185,000

4,213,972,482

MENGETAHUI ; TASIKMALAYA,, 5 Januari 2011


KEPALA DINAS KESEHATAN Pemegang Barang
KABUPATEN TASIKMALAYA

H. Oki Zulkifli, D, dr, M Epid Rahmat Karsana


NIP. 195810161989111002 NIP. 19630619 198503 1 017
LAPORAN TRIWULAN : PENERIMAAN DAN PENGELUARAN BARANG I
TRIWULAN KE : IV TAHUN ANGGARAN
sudah masuk kib
Terima Dari Dokumen/Faktur Dasar Penerimaan Nama Barang Harga Jumlah Bukti Penerimaan Ket. No.
Tanggal Nomor Tanggal Jenis Nomor Tanggal Banyaknya Satuan Harga Berita Acara/Surat Penerimaan Urut
Surat
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

1 2/11/2009 CV Surya Agung Nota 2/11/2009 5 Bh Alat Resusitasi Pompa 500,000 2,500,000 1
20 Bh Pengisap Lendir 25,000 500,000

2 13-11-2009 PT Patmasari 027/2463/DISKES 13-11-2009 4 SET MESIN FOGING 22,850,000 91,400,000 13-11-2009 027/2464/DISKES 2
Farma BA Pemeriksaan Dimension L x W x H in cm 137.5x27x34
Fuel Consumption Approx 1.5 1/h
Flow Rate, approx 10-42 1/h
Pengapian 4x 1,5 V
Kapasitas Tangki 1,2 L
Kapasitas Tangki Obat 6 L
Tekanan dalam tangki Obat 0,25 bar

3 16-11-2009 CV. MK.JAYA 027/2477/DISKES 16-11-2009 6 Unit Sepeda Motor 11,290,000 67,740,000 16-11-2009 027/2484/DISKES 3
BA Pemeriksaan Merk HONDA
TYPE ABSOLUT REVO 110 CC
TAHUN 2009

4 16-11-2009 PT INTI HASIL 027/2473/DISKES 16-11-2009 1 Unit EKG 39,750,000 39,750,000 16-11-2009 027/2474/DISKES 4
MEDICATAMA BA Pemeriksaan Merk Bionet Cardio Care 2000

5 20-11-2009 CV. PELITA 027/2523/DISKES 1,035 Buah ALAT UKUR PANJANG BADAN 93,775 97,057,125 20-11-2009 027/2524/DISKES 5
PRATAMA BA Pemeriksaan Alat untu mengukur panjang badan Balita -
di bawah 2 Tahun -
1,035 Buah MICROTOICE 45,100 46,678,500
Alat ukur Tinggi Badan -

6 30-11-2009 CV SEPADAN 30-11-2009 2 Buah BLOWER 1,000,000 2,000,000 30-11-2009 6


NOTA Merk Panasonic Type EV 40 AFU -

7 30-11-2009 CV ARMALA 027/2613/DISKES 30-11-2009 4 Unit Microscope Binokuler 14,625,000 58,500,000 30-11-2009 027/2614/DISKES 7
PUTRA BA Pemeriksaan 2 Set Contra Angel Hand Piece 2,193,750 4,387,500

1 Unit Kursi Roda 1,950,000 1,950,000


4 Set Oxygen Set 6 MP 3,315,000 13,260,000
1 Set Resusitator 975,000 975,000
1 Set Lampu UV Sterilisasi Ruangan 11,212,500 11,212,500
2 Set Cryogun dengan Probe 44,440,500 88,881,000
2 Set N2O set 6 MP 8,775,000 17,550,000
8 10/12/2009 pt Inti 027/2711/DISKES 10/12/2009 6 Unit Phantom Zoo 3,400,000 20,400,000 10/12/2009 027/2712/DISKES 8
Hasil Medicatama BA Pemeriksaan 6 Set APN Set 2,500,000 15,000,000
-
9 14-12-2009 DINKES NOTA 0325/PL/BY/XII/09 10/12/2009 1 SET ULTRASONOGRAFHY (USG) 200,000,000 200,000,000 9
JABAR Merk ALOKA JAPAN -
Model SSD-500
KOMPOSISI :
1 Main Unit
1 Convex sector probe ust-934n-3,5
1 B/W Printer Unit UP - 897 md
1 Voltage Stabilizer FR - 350
1 TROLEY

KEPALA D
KABUPAT

Drs, Herdis K
NIP. 1953
ARANG INVENTARIS
GGARAN 2009
Terima Surat Bon Harga Jumlah Tanggal Ket.
Tanggal Nomor Tanggal Untuk Banyaknya Nama Barang Satuan Harga Penyerahan

17 18 19 20 21 22 23 24 25 26

2/11/2009 Bidang Binkesmas 5 Bh Alat Resusitasi Pompa 500,000 2,500,000 2/11/2009


Pengisap Lendir

13-11-2009 BIDANG P 2 M 4 SET MESIN FOGING 22,850,000 91,400,000 13-11-2009


Dimension L x W x H in cm 137.5x27x34
Fuel Consumption Approx 1.5 1/h
Flow Rate, approx 10-42 1/h
Pengapian 4x 1,5 V
Kapasitas Tangki 1,2 L
Kapasitas Tangki Obat 6 L
Tekanan dalam tangki Obat 0,25 bar

16-11-2009 DKK 6 Unit Sepeda Motor 11,290,000 67,740,000 16-11-2009


Merk HONDA
TYPE ABSOLUT REVO 110 CC
TAHUN 2009

16-11-2009 PKM TARAJU 1 Unit EKG 39,750,000 39,750,000 16-11-2009


Merk Bionet Cardio Care 2000

20-11-2009 BIDANG 1035 Buah ALAT UKUR PANJANG BADAN 93,775 97,057,125 20-11-2009
BINKESMAS Alat untu mengukur panjang badan Balita
di bawah 2 Tahun
1035 Buah MICROTOICE 45,100 46,678,500
Alat ukur Tinggi Badan

30-11-2009 UPTD FARMASI 2 Buah BLOWER 1,000,000 2,000,000 30-11-2009


Merk Panasonic Type EV 40 AFU

30-11-2009 PUSKESMAS 4 Unit Microscope Binokuler 14,625,000 58,500,000 30-11-2009


2 Set Contra Angel Hand Piece 2,193,750 4,387,500

1 Unit Kursi Roda 1,950,000 1,950,000 133,828,500


4 Set Oxygen Set 6 MP 3,315,000 13,260,000
1 Set Resusitator 975,000 975,000
1 Set Lampu UV Sterilisasi Ruangan 11,212,500 11,212,500
2 Set Cryogun dengan Probe 44,440,500 88,881,000
2 Set N2O set 6 MP 8,775,000 17,550,000
10/12/2009 Bidang Binkesmas 6 Unit Phantom Zoo 3,400,000 20,400,000 10/12/2009
dan Bidang P2M 6 Set APN Set 2,500,000 15,000,000
- -
14-12-2009 UPTD PKM 1 SET ULTRASONOGRAFHY (USG) 200,000,000 200,000,000
KARANGNUNGGAL Merk ALOKA JAPAN -
Model SSD-500 -
KOMPOSISI :
1 Main Unit
1 Convex sector probe ust-934n-3,5
1 B/W Printer Unit UP - 897 md
1 Voltage Stabilizer FR - 350
1 TROLEY

Tasikmalaya, 8 Oktober 2009


KEPALA DINAS KESEHATAN
KABUPATEN TASIKMALAYA PEMEGANG BARANG

Drs, Herdis Kiswa, Apt, Mpd, M Kes Rahmat Karsana


NIP. 19531012 198311 1 008 NIP. 19630619 198503 1 017
LAPORAN : PENERIMAAN DAN PENGELUARAN BARANG INVENTARIS
TRIWULAN KE : I TAHUN ANGGARAN 2008
Terima Dari Dasar Penerimaan Nama Barang Harga
Tanggal Jenis Nomor Tanggal Banyaknya Satuan
Surat
1 2 3 4 5 6 7 8 9 10

2 25-6-2008 cv Gunung BA 25-6-2008 12 Buah Lemari Obat 1,999,500


Melati Pemeriksaan 12 Buah Filling Cabinet Besi 4 pintu 2,485,000
24 Buah Meja Kerja 1/2 biro 849,800
24 Buah Kursi Kerja 1,729,502
24 Buah Kursi Tunggu 476,850

19-5-2008 CV Amymas Jaya 3 Unit CAMERA 1,975,000

1 pkt ALAT PEMBAGI GAMBAR DAN 6,950,000


PEREKAM

PENYIMPAN DATA

1 unit TV MONITOR 21 " 1,900,000


Merk Sharp

1 13-8-2008 CV Evi Wulansari Nota 058/I-EWS/ 13-8-2008 1 Unit Camera CANON PS A 650 4,900,000
VIII/08 1 Unit Handycam JVC GZ M 6330 9,950,000
3 Unit Projector ACER 1160Z + 13,970,000
Lampu Projector ACER 1160
1 2 3 4 5 6 7 8 9 10
2 22-8-2004 PT. Trikarya BA 027/1883/ 22-8-2004 14 Unit AMBULANCE 169,400,000
Abadi Prima Diskes/2008 Suzuki APV GE 2008
Warna Silver + Exterior & Interior
Modificacion + Automatic Strcher
+ Alat Kesehatan

3 22-8-2008 CV Asta Brhata BA 22-8-2008 36 Unit KOMPUTER 6,650,000


Jabar Pemeriksaan ♦ Intel Core Duo Procecor E2180
♦ 512 MB DDR2 Memory (PC5300)
♦ 80 GB Hard Disk SATA
♦ DVD RW
♦ 56 K Internal Fax/Modem
♦ VGA Integrated 10/100/1000 Mbps
♦ LAN Integrated Intel 128 MB
♦ Speaker+Suboper 3000 PMPO
♦ LCD 15 ION
♦ Windows XP Propesional SP2 (OEM)
♦ Surat Jaminan Dukungan Distributor
(Garansi)
♦ ION/L3000-DC/Thn 2008
5 Buah Note Book (Laptop) 9,925,000
♦ Intel Core 2 Duo Procecor T5550
♦ 1 GB DDR2 Memory (PC5300)
♦ VGA Intel GMA X3100 256 MB (Shared)
♦ 160 GB Hard Drive
♦ DVD + RW
♦ LAN NIC 10/100 Mbps Intergrated
♦ 56 K Internal Modem
♦ WIFI tipe b/g
1 2 3 4 5 6 7 8 9 10
♦ Camera Web 1,3 MP
♦ 12,1" WXGA
♦ Windows XP Propesional SP2 (OEM)
♦ Surat Jaminan Dukungan Distributor
(Garansi)
ION/P4500HI/2008
46 Buah Printer 450,000
♦ A4, 4800 x 1200 dpi, 17,9 ppm, USB
♦ LEXMARK/ Z645/Tahun 52008
46 Buah Modem Internal 125,000
♦ 56 KBPS, PCI, Fax Modem
♦ DLINK/DFM 5921 S/ Tahun 2008

4 5/9/2008 CV Amarta BA 001/MRKT- 5/9/2008 45 Unit Kendaraan Roda 2 10,810,000


Dwi Perkasa AMT/IX/08 Merk HONDA Type REVO
std / NF 100 TD tahun 2008
Warna Silver

5 18-9-2008 PT. Utama BA 027/1994/Diskes 18-9-2008 I Paket Alat Kedokteran Umum


Sarana Pemeriksaan I.I Paket Penunjang Kesehatan Dasar
Medika 5 Bh I.1.3 Refrigrator 11,000,000
5 Bh I.1.4 Freezer 8,500,000
100 Bh I.1.5 Objek Glass 18,000
40 Bh I.1.6 Thermos Vaksin 300,000
100 Bh I.1.7 Slide 50,000
80 Bh I.1.8 Rak Pewarnaan Aluminium 75,000
36 Bh I.1.12Tensimeter Dorong 2,200,000
1 2 3 4 5 6 7 8 9 10
40 Bh I.1.14Bed Perawatan Dewasa 7,000,000
40 Bh I.1.15Bed Pemeriksaan 3,000,000
1 Bh I.1.16Lemari Es 3,500,000

I.2 Paket Alat Kesehatan Bencana Alam


1 Bh I.2.4 Tenda Peleton 6,600,000
1 Bh I.2.5 Tenda Regu 5,700,000
10 Bh I.2.7 Sepatu Boot 120,000
10 Bh I.2.8 Jas Hujan 40,000
10 Bh I.2.9 Lampu Senter (dengan charger) 150,000
10 Bh I.2.10Jaket Gawat darurat 150,000
10 Bh I.2.11Rompi Gawat darurat 125,000
10 Bh I.2.12Topi Gawat darurat 70,000
10 Bh I.2.14Sarung tangan hangat 25,000
10 Bh I.2.15Selimut 70,000

I.3 Paket Puskesmas Pembantu Set


58 Bh I.3.2 Bed Pemeriksaan 3,000,000
58 Bh I.3.3 Alat untuk mengeluarkan benda asing 250,000
58 Bh I.3.4 Needle Holder 270,000
58 Bh I.3.10Gunting benang 250,000
58 Bh I.3.11Gunting verban 250,000
58 Bh I.3.12Gunting jaringan tumpul/tumpul 250,000
58 Bh I.3.13Gunting jaringan tajam/tumpul 250,000
58 Bh I.3.19Thermometer badan 50,000
58 Bh I.3.20Timbangan badan dewasa 75,000
58 Bh I.3.21Timbangan badan bayi 400,000
58 Bh I.3.22Pengukur tinggi badan 25,000
58 Bh I.3.23Sterilisator listrik 500,000
58 Bh I.3.24Bak instrumen tertutup 200,000
1 2 3 4 5 6 7 8 9 10
58 Bh I.3.25Lemari instrument 4,500,000

I.4 IV. Paket Polindes


15 Set I.4.1 Bidan Kit 8,000,000
15 Bh I.4.3 Tempat Tidur Pemeriksaan 3,000,000
11 Bh I.4.6 Sterilisator Kalakat 300,000
25 Bh I.4.11Lemari Es 2,000,000

I.5 V. Paket Peralatan UGD


Terdiri dari :
3 Bh I.5.1 scalpel mata pisau bedah-bedah besar 150,000
3 Bh I.5.2 scalpel mata pisau bedah-bedah kecil 150,000
3 Bh I.5.4 Buli-buli panas dingin 50,000
3 Bh I.5.5 Gunting bedah standar lengkung ujung tajam/tajam 250,000
3 Bh I.5.6 Gunting bedah standar lengkung ujung tajam/tumpul 250,000
3 Bh I.5.7 Gunting bedah standar lengkung ujung tumpul/tumpul 250,000
3 Bh I.5.8 Gunting bedah standar lurus ujung tajam/tajam 250,000
3 Bh I.5.9 Gunting bedah standar lurus ujung tajam/tumpul 250,000
3 Bh I.5.10Gunting bedah standar lurus ujung tumpul/tumpul 250,000
3 Bh I.5.11Jarum jahit lengkung 1/2 lingkaran penampang bulat 12,000
3 Bh I.5.13Jarum jahit lengkung 3/8 lingkaran penampang bulat 12,000
3 Bh I.5.14Jarum jahit Lengkung 3/8 lingkaran penampang segitiga 12,000
3 Bh I.5.16Kateter logam perempuan no. 12 300,000
3 Bh I.5.25Lampu senter 42,000
3 Bh I.5.26Mangkok untuk larutan 90,000
1 Bh I.5.28Meja Tindakan 3,000,000
3 Bh I.5.29Meja operasi sederhana 3,300,000
3 Bh I.5.35Pompa payudara untuk ASI 9,000
3 Bh I.5.36Selang karet untuk anus 130,000
3 Bh I.5.37Semprit gliserin 80,000
1 2 3 4 5 6 7 8 9 10
3 Bh I.5.38Semprit karet untuk mengeringkan telinga 50,000
3 Bh I.5.39Semprit untuk mengeringkan telinga dan luka 50,000
3 Bh I.5.40Standar infus 800,000
3 Bh I.5.41Sterilisator listrik 2,000,000
3 Bh I.5.43Tempat tidur pemeriksaan 3,000,000
3 Bh I.5.46Termometer badan digital 50,000
3 Bh I.5.47Toples kapas kasa steril 40,000
3 Bh I.5.49Waskom bengkok 23 cm 90,000

I.6 Paket pos Sentinel HIV/AIDS KEL RISTI PENASUN


Rincian Per Paket :
3 Bh I.6.1 Meja Pemeriksaaan 1,500,000
15 Bh I.6.2 Kursi Pemeriksaan 290,000
3 Bh I.6.4 Lemari Alkes dan Medical Record 5,625,000
3 Bh I.6.5 Stetoskop 300,000
3 Bh I.6.6 Termometer 50,000
3 Bh I.6.8 Timbangan Badan 75,000
15 Set I.6.14Jas Lab 40,000
6 Bh I.6.15Masker 35,000

II Belanja Modal Pengadaan Alat-alat kedokteran Gigi


10 Unit II.1 Dental unit 63,000,000

III Belanja Modal Pengadaan Alat-alat Kebidanan


dan Penyakit Kandungan
20 Bh III.2 Doppler 11,000,000
100 Bh III.3 Alat resusitasi 500,000
15 Set III.4 Bidan Kit 8,000,000
100 Bh III.5 Timbangan dewasa 75,000
95 Bh III.6 Timbangan bayi 400,000
1 2 3 4 5 6 7 8 9 10

IV Belanja Modal Pengadaan Alat-alat Farmasi


22 Set IV.1 Lemari obat 2,750,000
250 Pcs IV.3 Glas ukur 100 ml 50,000

V Belanja Modal Pengadaan Alat-alat Laboratorium Umum


1 Set V.1 Spectrophotometer 264,000,000
1 Set V.3 Fume Cupboards 50,000,000
2 Unit V.4 Hotplate Stirrer 11,000,000
1 Unit V.5 Electric Balance With Automatic Internal Calibration 20,000,000
5 Bh V.8 Labu takar 100ml 100,000
5 Bh V.9 Labu takar 50 ml 90,000
1 Bh V.10Mikropipet 1000 mikroliter 1,500,000
1 Bh V.11 Mikropipet 500 mikroliter 1,500,000
1 Bh V.12Mikropipet 200 mikroliter 1,500,000
1 Bh V.13Mikropipet 100 mikroliter 1,500,000
1 Bh V.14Urine Analiser 65,000,000
5 Bh V.15Labu takar 250 ml 170,000
3 Bh V.16Pipet Volumetrik 25 mL 70,000
3 Bh V.17Pipet Volumetrik 10 mL 60,000
3 Bh V.18Pipet Volumetrik 5 mL 50,000
3 Bh V.20Buret 50 ml 1,000,000
1 Unit V.27Furmace/Tanur 45,000,000
10 Kit V.29Glucosa Chod PAP 4x100 700,000
3 Kit V.30Cholesterol Chod PAP 4x100 1,900,000
3 Kit V.31Trigliserida 4x100 1,600,000
3 Kit V.32HDL Cholesterol 1,200,000
3 Kit V.33Uric Acid 4x100 1,700,000
1 Kit V.34SGOT 8x50 2,100,000
1 2 3 4 5 6 7 8 9 10
1 Kit V.35SGPT 8x50 2,100,000
5 Kit V.36Urium Berthelot 600,000
5 Kit V.37Creatinine 600,000
5 Dos V.51Lancet (DOS @ 200 buah) 70,000
5 Ltr V.53alkohol 40,000
1 Btl V.55Nacl (PA) (Botol@500gr) 730,000
1 Btl V.56EDTA (PA) (Botol@250gr) 1,600,000
1 Btl V.59HNO3 Pekat (Pro Analyst)(Botol 2.500ml) 385,000
1 Btl V.62KCNS (PA) (Botol@500gr) 1,800,000
3 Dos V.64Parafilm (@10buah) 1,150,000
1 Btl V.65K2CrO4 (Botol@250gr) 1,340,000

1 11/11/2008 PT Utama BA 027/2255/Diskes 11/11/2008 10 Bh Mikroskop Binoculer 10,500,000


Sarana 50 Bh Aspirator Nyamuk 40,000
Medika 3 Bh Thermometer ruangan 800,000
3 Bh Hygrometer 2,500,000
15 Pkt Paket Laboratorium Malaria (Gymsa & Anisol) 650,000
4 Bh Tensimeter Dorong 2,200,000
41 Bh Stethoscope 300,000
2 Bh Incenerator 130,000,000

Paket Alat Kesehatan Bencana Alam


20 Bh Vel Bed 750,000
2 Bh Tandu Lipat 1,500,000
2 Bh Tandu Spine 1,500,000
5 Bh Handy Talky (dengan charger) 1,300,000
1 Set UGD Set Lapangan 38,450,000

Paket Puskesmas Pembantu Set


1 2 3 4 5 6 7 8 9 10
58 Set Diagnostik Set 2,700,000
58 Bh Arteri klem bengkok 250,000
58 Bh Arteri klem lurus 250,000
ciga Bh Koher 250,000
58 Bh Pinset cirurgis 150,000
58 Bh Pinset anatomis 150,000
58 Bh Gunting jaringan tajam/tajam 250,000
58 Bh Lampu senter(diagnostic pen light) 30,000
58 Bh Lampu sorot 1,300,000
58 Bh Stetoskop 300,000
58 Bh Tensimeter 750,000
0 -
IV. Paket Polindes -
15 Bh Oksigen set 1 m3 2,200,000
45 Bh Tempat Tidur Perawatan 7,000,000
15 Bh Meja Ginekologi 5,000,000
15 Bh Lampu Sorot 1,300,000
4 Bh Sterilisator Kalakat 300,000
15 Bh Lemari Obat 4,500,000
15 Bh Troley alat 2,750,000
15 Bh Box bayi 4,000,000

V. Paket Peralatan UGD


Terdiri dari :
3 Bh Instrument Tray 120,000
3 Bh Jarum jahit Lengkung 3/8 lingkaran penampang segitiga 12,000
3 Bh Jarum jahituntuk operasi mata 1/2 lingkaran 12,000
3 Bh Klem arteri (Koecher) 250,000
3 Bh Klem arteri lengkung dengan gigi 250,000
1 2 3 4 5 6 7 8 9 10
3 Bh Klem arteri lengkung tanpa gigi 250,000
3 Bh Klem arteri lurus (Kelly) 250,000
3 Bh Klem arteri lurus dengan gigi 300,000
3 Bh Klem arteri lurus tanpa gigi 300,000
3 Bh Klem Mayo hegar (pemegang jarum) 400,000
3 Bh Lampu operasi 10,500,000
3 Bh Meja instrumen 2,750,000
2 Bh Meja Tindakan 3,000,000
3 Bh Oksigen set 3,300,000
3 Bh Thumb Forceps Standard 150,000
3 Bh Tissue Forceps 1x2 teeth 150,000
3 Bh Forceps DESMARRES fg. 2 150,000
3 Bh Iris Forceps GRAEFE 150,000
3 Bh Tandu lipat 1,500,000
3 Bh Tempat tidur perawatan 7,000,000
3 Bh Tensimeter air raksa 750,000
3 Bh Brankar (ambulance stretcher) 19,000,000
3 Bh Waskom cuci 40 cm 90,000

Paket pos Sentinel HIV/AIDS KEL RISTI PENASUN


Rincian Per Paket :
3 Bh Bed/Tempat tidur Pemeriksaan 3,000,000
3 Bh Tensimeter 750,000
3 Bh Waskom + Dudukan 100,000
9 Bh Jarum Venoject 200,000
3,000 Bh Cry cup 1,500
9 Bh Tabung Venoject 250,000
3 Bh Centrifuge 2,500,000
1 2 3 4 5 6 7 8 9 10
VII. Paket Pemeriksaan TB BTA
5 Bh Mikroskop Binoculer 10,500,000
450 Bh Object Glass 18,000
40 Bh Box Slide 50,000
73,750 Bh Pot Dahak 1,600
450 Bh Ose 10,000
50 Bh Tissue lensa 30,000
50 Bh Kertas saring 45,000
100 Bh Emerzing oil 100cc 320,000
100 Bh Ziehl-Neelsen 100 ml 180,000
0 -
Belanja Modal Pengadaan Alat-alat kedokteran Gigi -
Instrumen dasar : -
40 Bh a. Kaca Mulut 30,000
40 Bh b. Sonde 30,000
40 Bh c. Pinset 30,000
40 Bh d. Eksavator 30,000
Mata Bor diamond : -
20 Bh a. Bor Bundar 50,000
20 Bh b. Bor Lurus 50,000
20 Bh c. Bor Inverted 50,000
20 Bh Bein Lurus 600,000
10 Bh Citoject 3,000,000
10 Bh Jarum Citoject 100,000
1 Bh Ultra Scaller 2,600,000
1 Bh UV Sterilisator 10,000,000
1 Bh Light Curing Vivadent + Bahan Tambal LC 6,000,000

Belanja Modal Pengadaan Alat-alat Kebidanan


1 2 3 4 5 6 7 8 9 10
dan Penyakit Kandungan
2 Bh Panggul Zoo 11,000,000

Belanja Modal Pengadaan Alat-alat Farmasi


18 Set Lemari obat 2,750,000
250 Bh Stamper dan Mortir 80,000
40 Bh Rak Obat 1,400,000
-
Belanja Modal Pengadaan Alat-alat Laboratorium Umum -
5 Bh Photometer (Semi Auto Chemistry Analyzer) 90,000,000
1 Bh Electrocardiografh 37,000,000
1 Bh Cooler Storage Medium Size 40,810,000
1 Bh Kompor Induksi 4,000,000
1 Bh Buret Kran teflon 1,000,000
1 Bh Alat Refluks dengan pendingin 5,000,000
1 Bh Vacuum + Rotary evaporator 45,000,000
1 Bh Autoclave listrik 24 Liter 65,000,000
1 Bh Clinical Chemistry 160,000,000
1 Bh Homogenizer 35,000,000
1 Bh Tabung Oksigen +Regulator 2,200,000
2 Bh Rapid test Narkoba (5 parameter) 1,500,000
15 Bh Benedict 90,000
5 Bh Asam Sulfosalisilat 20%(Botol@500cc) 2,600,000
10 Bh Urac (Dos@500cc) 300,000
1 Bh Rapid test HIV-1/2 3.0 4,500,000
1 Bh Rapid test Determine HIV 1/2 4,500,000
1 Bh Rapid test HIV Tridote 4,500,000
2 Bh Pewarnaan Gram 350,000
1 2 3 4 5 6 7 8 9 10
2 Bh Pemeriksaan Sypulls(TPHA) isi 40 600,000
1 Bh Kertas EKG(Dos=5roll) 160,000
2 Bh Jelly EKG 40,000
5 Bh Spuit 3cc (Dos @ 100buah) 130,000
1 Bh Spuit 5cc (Dos @ 100buah) 170,000
2 Bh Deck Glass 20x20 mm(Dos@20pack) 770,000
5 Bh Spiritus 15,000
2 Bh Kertas Saring No.100(@unit) 160,000
1 Btl Larutan Yodium 1% (Botol@100cc) 150,000
1 Btl Kalium Ferrosodisulfat (PA) (Botol 500gr) 1,350,000
1 Btl Asam Sulfat pekat(PA) (Botol@1ltr) 560,000
1 Btl Ortotolidin (Botol@250 ml) 1,540,000

2 28-11-2008 CV Trio Nota - 28-11-2008 1 Bh Kamera Digital Mer Sonny 3,960,000


DSC W 120.7.2 Mega Pxel

4 3/12/2008 PT Budi Nota - 3/12/2008 1 Bh Kulkas Vaksin 46,700,000


Farmas Merk Elektrolux FCW 300
Jumlah
Harga

11

23,994,000
29,820,000
20,395,200
41,508,048
11,444,400
camera
5,925,000 5,925,000 3,960,000 4,900,000
-
6,950,000 5,925,000
- 4,900,000
- 3,960,000
-
-
1,900,000

23,635,000 kib
4,900,000 4,900,000 23,635,000
9,950,000 9,950,000
41,910,000
11
2,371,600,000

239,400,000 289,025,000
263,340,000
23,940,000 selisih di kib

40

49,625,000 54,587,500 catatan di kib


4,962,500 selisih
11

20,700,000

5,750,000

486,450,000

55,000,000 3,551,326,100 3,376,863,000 (174,463,100)


42,500,000
1,800,000
12,000,000
5,000,000 cigalontang
6,000,000 cigalontang
79,200,000
11
280,000,000 7000000
120,000,000 cigalontang
3,500,000 605,000,000

6,600,000
5,700,000
1,200,000
400,000
1,500,000
1,500,000
1,250,000
700,000
250,000
700,000 19,800,000

174,000,000 cigalontang
14,500,000
15,660,000 cigalontang
14,500,000
14,500,000
14,500,000
14,500,000
2,900,000
4,350,000 cigalontang
23,200,000
1,450,000
29,000,000 cigalontang
11,600,000
11
261,000,000
595,660,000

120,000,000
45,000,000 cigalontang
3,300,000
50,000,000 218,300,000

450,000
450,000
150,000
750,000 cigalontang
750,000 cigalontang
750,000 cigalontang
750,000 cigalontang
750,000 cigalontang
750,000 cigalontang
36,000
36,000
36,000
900,000
126,000
270,000
3,000,000
9,900,000
27,000
390,000
240,000
11
150,000
150,000
2,400,000
6,000,000
9,000,000 cigalontang
150,000
120,000
270,000
38,751,000

4,500,000
4,350,000
16,875,000
900,000
150,000
225,000
600,000
210,000 27,810,000

630,000,000 630,000,000

220,000,000
50,000,000
120,000,000 cigalontang
7,500,000
38,000,000 435,500,000
11
-
-
-
60,500,000
12,500,000
- 73,000,000 125,500,000 198,500,000

264,000,000
50,000,000
22,000,000
20,000,000
500,000
450,000
1,500,000
1,500,000
1,500,000
1,500,000
65,000,000
850,000
210,000
180,000
150,000
3,000,000
45,000,000
7,000,000
5,700,000
4,800,000
3,600,000
5,100,000
2,100,000
11
2,100,000
3,000,000
3,000,000
350,000
200,000
730,000
1,600,000
385,000
1,800,000
3,450,000
1,340,000 523,595,000

10,500,000
40,000
800,000
2,500,000
650,000
2,200,000
300,000
130,000,000
146,990,000

750,000
1,500,000
1,500,000
1,300,000
38,450,000
43,500,000
11
2,700,000 cigalontang
250,000 cigalontang
250,000 cigalontang
250,000
150,000
150,000
250,000
30,000
1,300,000
300,000
750,000 6,380,000
-
-
2,200,000
7,000,000
5,000,000
1,300,000
300,000 cigalontang
4,500,000
2,750,000
4,000,000
27,050,000

120,000
12,000
12,000
250,000 cigalontang
250,000 cigalontang
11
250,000 cigalontang
250,000 cigalontang
300,000
300,000
400,000
10,500,000
2,750,000
3,000,000 cigalontang
3,300,000
150,000
150,000
150,000
150,000
1,500,000
7,000,000
750,000
19,000,000
90,000 50,634,000

3,000,000 cigalontang
750,000
100,000
200,000
1,500
250,000
2,500,000
6,801,500
11

10,500,000
18,000
50,000
1,600
10,000
30,000
45,000
320,000
180,000 cigalontang 6
- 11,154,600
-
-
1,200,000
1,200,000 IV 69,400,000
1,200,000 III 630,000,000
1,200,000 Jumlah 699,400,000
-
1,000,000 KIB 699,400,000.00
1,000,000
1,000,000
12,000,000
30,000,000
1,000,000
2,600,000
10,000,000
6,000,000
-
-
11
-
22,000,000
-
-
-
49,500,000
20,000,000
56,000,000
- 125,500,000
-
90,000,000
37,000,000
40,810,000
4,000,000
1,000,000
5,000,000
45,000,000
65,000,000
160,000,000
35,000,000
2,200,000
1,500,000
90,000
2,600,000
300,000
4,500,000
4,500,000
4,500,000
350,000
11
600,000
160,000
40,000
130,000
170,000
770,000
15,000
160,000
150,000
1,350,000
560,000
1,540,000
508,995,000
3,960,000 3,960,000

46,700,000

7,608,702,748 24,735,000

23,623,000
1,112,000
PERALATAN GIGI 379,252,170
2 Extracing forcet insisor 97,020 194,040
2 Amalgam Piston 276,210 552,420
2 Amagam pluger, double ended (besar) 20,790 41,580
2 Amalgam pluger, double ended (kecil) 20,790 41,580
2 Bein Small 69,300 138,600
2 Bein wide 69,300 138,600
2 Bone files 181,170 362,340
2 Bumisher, single ended (besar) 16,830 33,660
2 Bumisher, single ended (kecil) 16,830 33,660
2 Cement pluger double ended 20,790 41,580
2 Chisel stelle/Bone Chisel 101,970 203,940
2 Cryer (destal) 118,800 237,600
2 Cryer (mesail) 118,800 237,600
2 Excapator double ended besar-white 19,800 39,600
2 Excapator double ended Kecil-white 19,800 39,600
2 Explorel lengkung 12,870 25,740
2 Extracting forcet lower becusped an caninuss 96,030 192,060
2 Extracting forcet for lowe molar 96,030 192,060
2 Extracting forcet for ower root 96,030 192,060
2 Extracting foecet for upper molar, right patten 96,030 192,060
2 extraacting forcet for upper molar. Left side 96,030 192,060
2 extraacting forcet for upper root bayonet patte 96,030 192,060
2 extraacting forcet for upper root becusped/pr 96,030 192,060
2 Extracting foecet for upper visdom 96,030 192,060
2 Gum Scissor 34,650 69,300
2 Knable porcet 176,220 352,440
240 Mata bor 14,850 3,564,000
2 Mauth mroro, handle 23,760 47,520
2 Maouth mirror pane 23,760 47,520
2 Needle holder mayo hegar 20,790 41,580
2 Plastik pilling insstrumen, double ended 13,860 27,720
2 Reflex hamer 26,730 53,460
2 Scaplel blades 990 1,980
2 Scaplel blades 990 1,980
2 Scaplel hendle 7,920 15,840
2 Spatula for cemen 19,800 39,600
2 Spatula plastic 19,800 39,600
2 Tweezer spring + canula 26,730 53,460
2 Water Syringe + canula 154,440 308,880
5 Sitoject dengan jarum 3,332,340 16,661,700
5 Dental chair mounted unit 70,805,394 354,026,970
LAPORAN TRIWULAN : PENERIMAAN DAN PENGELUARAN BARANG IN
TRIWULAN KE : I TAHUN ANGG
Terima Dari Dokumen/Faktur Dasar Penerimaan Nama Barang Harga Jumlah Bukti Penerimaan Ket.
Tanggal Nomor Tanggal Jenis Nomor Tanggal Banyaknya Satuan Harga Berita Acara/Surat Penerimaan
Surat
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 10/10/2006 CV. Studio' 39 Faktur 10/10/2006 60 Buah Dacin 200,000 12,000,000 BA Pemeriksaan 10/10/2006
80 Buah Alat Ukur Panjang Badan 150,000 12,000,000 Barang
80 Buah Microtoise 50,000 4,000,000
1 Buah Alat Pemeriksa Mata 250,000 250,000
1 Buah Tripod 250,000 250,000 28,500,000
-
2 11/16/2006 CV Tiara Medika Faktur 11/16/2006 30 Set Diagnostik set Lengkap 3,878,000 116,340,000 BA Pemeriksaan 11/16/2006
Merk. Gowland Barang
100 Buah Setetoskop 218,000 21,800,000
Merk. Doppelkopf Megro
60 Buah Tempat Tidur 4,100,000 246,000,000
Merk. Back Raise KHI
95 Buah Tempat Tidur Periksa 4,100,000 389,500,000
Merk. KHI
109 Buah Tensi Meter Air Raksa 440,000 47,960,000
Merk. Baskarol
100 Buah Tensi Meter Tanpa Air Raksa 297,000 29,700,000
Merk. Bascarol
20 Buah Lampu Operasi Sederhana 2,380,000 47,600,000
Merk. Reitz 898,900,000
Belanja Modal Kedokteran Gigi
13 Set Dental Yunit 70,000,000 910,000,000 910,000,000
Olimpic G-natus

Belanja Modal Alat Kedokteran Bedah


2 Set Lampu Operasi 34,000,000 68,000,000
Merk. Sturdy
21 Buah Sterilisator Listrik 8,700,000 182,700,000
Merk. CMB 250,700,000

Belanja Modal Kedokteran Bedah


dan Penyakit Kandungan
30 Set APN Set 11,700,000 351,000,000
Merk. Hermann Butsch Gmbh - Germany -
30 Set IUD Kit 4,950,000 148,500,000
Merk. CBM Italy -
10 Set Inkubator Bayi 11,300,000 113,000,000
Merk. - -
40 Set Meja Ginekologi 4,300,000 172,000,000
Merk.- -
20 Set Oksigen Set 1M3 3,300,000 66,000,000
Merk. Sharap Jepang -
75 Buah Stetoskop Janin aluminium 48,000 3,600,000
Merk. Indonesia - 1,444,400,000
10 Buah Fetal Pocket Doppler with F.H.R. Display 12,100,000 121,000,000
Merk. PD1+ -
100 Buah Timbangan Bayi 643,000 64,300,000
Merk. Baby Love -
3 Set USG Set 135,000,000 405,000,000
Merk. Loging 100 Progeneral Electric 1,444,400,000

Belanja Modal Poliklinik Set


10 Buah Sentrivus Listrik 8 Tabung x 15 ml 3,800,000 38,000,000
Merk. HC1180T
32 Buah Sentrivus Manual 4 Tabung 375,000 12,000,000 198,400,000
Merk. -
20 Buah Termos Vaksin 7,420,000 148,400,000
Merk. -RCW-4 Dometic

Belanja Modal Kedokteran Gawat Darurat


2 Paket UGD Set 106,000,000 212,000,000
Merk. Baskarol - Italy
10 Set Oksigen Set 6M3 5,450,000 54,500,000
Merk. Various
5 Buah Blankar AMBULANCE 13,600,000 68,000,000
Merk. KHI
10 Buah Resusitator 3,500,000 35,000,000 369,500,000
Merk. Mark III Ambu

Belanja Modal Alat Laboratorium 144,100,000


11 Buah Mikroskop Binokuler 13,100,000 144,100,000 4,216,000,000
Merk. W30632 3B Scientific - 4,761,500,000
-
3 12/6/2006 DepkesRI Faktur Faktur 12/6/2006 1 Buah Oxygen Concentrator Refill System - BA Penyerahan 12/6/2006
PT.Caraka Jaya Sentosa Merk. CHAD THERAPEUTICS -
-
4 12/7/2006 Depkes RI Faktur 12/7/2006 10 Unit SUZUKI THUNDER BA. Penyerahan 12/7/2006

5 12/1/2006 Depkes RI PL.02.03.2.02.3668 Faktur 12/1/2006 19 Unit HONDA -


PT. Wahana Makmur Sejati Supra fiit -
-
-
6 12/14/2006 Dinkes Prop BA Serah Terima 12/14/2006 16 Unit HONDA - BA Penerimaan 12/14/2006
Honda Karisma X 125D Tahun 2006 -
Warna Hitam -
-
7 10/16/2006 Pemda Kab Tasikmalaya 10/16/2006 6 Unit Kendaraan Roda 4 ex camat -
1 Unit Kendaraan Roda 4 ex KPP -
-

8 11/20/2006 CV Ardhan Mandiri Faktur 11/20/2006 6 Unit Kendaraan Roda 4 Ambulance 143,666,000 861,996,000 BA Pemeriksaan 11/20/2006

9 12/23/2006 Pusat Nota 12/23/2006 29 set PHN Kit 0 0 BA Penerimaan 12/23/2006

10 12/23/2006 Bantuan UNFA Nota 12/23/2006 40 Set APN


ANG INVENTARIS
ANGGARAN 2006
No. Terima Surat Bon Harga Jumlah Tanggal Ket.
Urut Tanggal Surat Bon Untuk Banyaknya Nama Barang Satuan Harga Penyerahan

16 17 18 19 20 21 22 23 24 25 26
- - 0 - -
1 10/10/2006 Bidang 60 Buah Dacin 200,000 12,000,000
Binkesmas 80 Buah Alat Ukur Panjang Badan 150,000 12,000,000
80 Buah Microtoise 50,000 4,000,000
1 Buah Alat Pemeriksa Mata 250,000 250,000
1 Buah Tripod 250,000 250,000
- - 0 - - 28,500,000
2 UPTD Farmasi 30 Set Diagnostik set Lengkap 3,878,000 116,340,000
- - Merk. Gowland - -
100 Buah Setetoskop 218,000 21,800,000
- - Merk. Doppelkopf Megro - -
60 Buah Tempat Tidur 4,100,000 246,000,000
- - Merk. Back Raise KHI - -
95 Buah Tempat Tidur Periksa 4,100,000 389,500,000
- - Merk. KHI - -
109 Buah Tensi Meter Air Raksa 440,000 47,960,000
- - Merk. Baskarol - -
100 Buah Tensi Meter Tanpa Air Raksa 297,000 29,700,000
- - Merk. Bascarol - -
20 Buah Lampu Operasi Sederhana 2,380,000 47,600,000
- - Merk. Reitz - - 898,900,000 SDUAH MASUK KIB KIB BARANG TERINCI SBBK BELUM
- - Belanja Modal Kedokteran Gigi - -
13 Set Dental Yunit 70,000,000 910,000,000
- - Olimpic G-natus - -
910,000,000 SUDAH MASUK KE KIB
- - Belanja Modal Alat Kedokteran Bedah - -
2 Set Lampu Operasi 34,000,000 68,000,000
Merk. Sturdy - -
21 Buah Sterilisator Listrik 8,700,000 182,700,000 NILAI INI ADA DI KIB
- - Merk. CMB - -
250,700,000 SDUAH MASUK KIB KIB BARANG TERINCI SBBK BELUM
- - Belanja Modal Kedokteran Bedah - -
- - dan Penyakit Kandungan - - 1,444,400,000
30 Set APN Set 11,700,000 351,000,000
- - Merk. Hermann Butsch Gmbh - Germany - -
30 - IUD Kit 4,950,000 148,500,000
Set Merk. CBM Italy - -
10 Set Inkubator Bayi 11,300,000 113,000,000
- - Merk. - - -
40 Set Meja Ginekologi 4,300,000 172,000,000
- - Merk.- - -
20 Set Oksigen Set 1M3 3,300,000 66,000,000
- - Merk. Sharap Jepang - -
75 Buah Stetoskop Janin aluminium 48,000 3,600,000
- - Merk. Indonesia - -
10 Buah Fetal Pocket Doppler with F.H.R. Display 12,100,000 121,000,000
- - Merk. PD1+ - -
100 Buah Timbangan Bayi 643,000 64,300,000
- - Merk. Baby Love - -
3 Set USG Set 135,000,000 405,000,000 1,444,400,000
- - Merk. Loging 100 Progeneral Electric - - 1,444,400,000.00
-
- - Belanja Modal Poliklinik Set - -
10 Buah Sentrivus Listrik 8 Tabung x 15 ml 3,800,000 38,000,000
- - Merk. HC1180T - -
32 Buah Sentrivus Manual 4 Tabung 375,000 12,000,000
- - Merk. - - -
20 Buah Termos Vaksin 7,420,000 148,400,000 198,400,000 SDUAH MASUK KIB KIB BARANG TERINCI SBBK BELUM
- - Merk. -RCW-4 Dometic - -

- - Belanja Modal Kedokteran Gawat Darurat - -


2 Paket UGD Set 106,000,000 212,000,000
- - Merk. Baskarol - Italy - -
10 Set Oksigen Set 6M3 5,450,000 54,500,000
- - Merk. Various - -
5 Buah Blankar AMBULANCE 13,600,000 68,000,000
- - Merk. KHI - -
10 Buah Resusitator 3,500,000 35,000,000
- - Merk. Mark III Ambu - - 369,500,000 SUDAH TERINCI MASUK KIB

- - Belanja Modal Alat Laboratorium - -


11 Buah Mikroskop Binokuler 13,100,000 144,100,000 144,100,000 BELUM TERINCI MASUK KIB
- - Merk. W30632 3B Scientific - - 4,216,000,000
- - 0 - - 144,100,000
3 12/6/2006 PKM Cikalong 1 Buah Oxygen Concentrator Refill System - -
- - Merk. CHAD THERAPEUTICS - -

4 PKM 10 Unit SUZUKI THUNDER - -


- - 0 - -

Puskesmas 19 Unit HONDA - -


- - Supra fiit - -
- - 0 - -
- - 0 - -
Bidan Desa 16 Unit HONDA - -
- - Honda Karisma X 125D Tahun 2006 - -
Warna Hitam - -
0 - -
DKK/PKM 6 Unit Kendaraan Roda 4 ex camat - -
1 Unit Kendaraan Roda 4 ex KPP - -
- - 0 - -
- - 0 - -
- - 0 - -
7 11/20/2006 Puskesmas 6 Unit Kendaraan Roda 4 Ambulance 143,666,000 861,996,000

8 12/23/2006 Bidang Yankes 29 set PHN Kit - - Pusat

Bidang 40 Set APN - - Bantuan UNFA


Binkesmas - - 0 - -
- - 0 - -
- - 0 - -

TASIKMALAYA,, JULI 2006


KEPALA DINAS KESEHATAN
KABUPATEN TASIKMALAYA PEMEGANG BARANG

H. RUSTAM SADELI, dr. M.Kes RAHMAT KARSANA


Pembina Tk I Penata Muda
Nip. 140100871 Nip. 140170548
K BELUM TERINCI

K BELUM TERINCI
K BELUM TERINCI
60 Set Bidan kit
50 Bh Daptone/Doppler
150 Bh Kalakat 24cm ( Manual Steilizer)
60 Bh Pelvimeter Obstertik Untuk Pengukur Panggul
80 Bh Pengukur Tinggi Badan
40 Bh Pengukur waktu (Timer)
40 Bh Pengukur Waktu yang dapat diatur (Stop Watch)
34 Bh Sepekulum hidung (Lempert / Haretman)
100 Bh Timbangan Injak (Dewasa)
80 Bh Gunting episiotomi (Braun-Stadler) (14,5cm)
40 Bh Gunting pembuka jahitan, lurus
40 Bh Head lamp / Kaca kepaa
40 Bh Kateter ogam untuk wanita no.12ss
40 Bh Tang jaringan pasenta/abortus, 32cm (Kelly)
300 Bh Alat Ukur Panjang bayi
40 Bh Baki Instrumen bertutup
100 Bh I.1.7
80 Bh I.1.8
40 Bh I.1.15
58 Bh I.3.2
58 Bh I.3.4
58 Bh I.3.20
58 Bh I.3.23
15 Bh I.4.3
3 Bh I.5.5
3 Bh I.5.6
3 Bh I.5.7
3 Bh I.5.8
3 Bh I.5.9
3 Bh I.5.10
3 Bh I.5.43
15 Set III.4
58 Set Diagnostik Set
58 Bh Arteri klem bengkok
58 Bh Arteri klem lurus
ciga Bh Koher
4 Bh Sterilisator Kalakat
3 Bh Klem arteri (Koecher)
3 Bh Klem arteri lengkung dengan gigi
3 Bh Klem arteri lengkung tanpa gigi
2 Bh Meja Tindakan
3 Bh Bed/Tempat tidur Pemeriksaan
100 Bh Ziehl-Neelsen 100 ml
Timbangan Badan Injak
6,260,738 375,644,280 UPTD Farmasi DAK
10,794,375 539,718,750
345,420 51,813,000
423,140 25,388,400
77,720 6,217,600
103,626 4,145,040
518,130 20,725,200
196,889 6,694,226
86,355 8,635,500
77,720 6,217,600
88,082 3,523,280
388,598 15,543,920
17,271 690,840
172,710 6,908,400
129,533 38,859,900
259,065 10,362,600
Slide 50,000 5,000,000 cigalontang
Rak Pewarnaan Aluminium 75,000 6,000,000 cigalontang
Bed Pemeriksaan 3,000,000 120,000,000 cigalontang
Bed Pemeriksaan 3,000,000 174,000,000 cigalontang
Needle Holder 270,000 15,660,000 cigalontang
Timbangan badan dewasa 75,000 4,350,000 cigalontang
Sterilisator listrik 500,000 29,000,000 cigalontang
Tempat Tidur Pemeriksaan 3,000,000 45,000,000 cigalontang
Gunting bedah standar lengkung ujung tajam/tajam 250,000 750,000 cigalontang
Gunting bedah standar lengkung ujung tajam/tumpul 250,000 750,000 cigalontang
Gunting bedah standar lengkung ujung tumpul/tumpu 250,000 750,000 cigalontang
Gunting bedah standar lurus ujung tajam/tajam 250,000 750,000 cigalontang
Gunting bedah standar lurus ujung tajam/tumpul 250,000 750,000 cigalontang
Gunting bedah standar lurus ujung tumpul/tumpul 250,000 750,000 cigalontang
Tempat tidur pemeriksaan 3,000,000 9,000,000 cigalontang
Bidan Kit 8,000,000 120,000,000 cigalontang
2,700,000 2,700,000 cigalontang
250,000 250,000 cigalontang
250,000 250,000 cigalontang
250,000 250,000
300,000 300,000 cigalontang
250,000 250,000 cigalontang
250,000 250,000 cigalontang
250,000 250,000 cigalontang
3,000,000 3,000,000 cigalontang
3,000,000 3,000,000 cigalontang
180,000 180,000 cigalontang 6
cigalontang 2007
cigalontang 2007
cigalontang 2007
cigalontang 2007
cigalontang 2007
cigalontang 2007
Cigalontang 2007
Ciglontang 2007
cigalontang 2007
cigalontang 2007
cigalontang 2007
cigalontang 2007
Cigalontang 2007
Cigalontang 2007
Cigalontang 2007
Cigalontang 2007
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2008
2,130 Unit 132,000 281,160,000 2011

Anda mungkin juga menyukai