Saldo Tahun Lalu

No. TGL Nama Barang

Jumlah Harga Total
1 2 3 4 5 6=4x5
1 16/6/2017 Vaksin carier 0
2 G486073 1 0
3 G485915 1 0
4 G485998 1 0
5 G485968 1 0
6 Vaksin carier 0
7 7086900 1 0
8 1 0
9 8/2/2017 Kursi Unit 4 0
10 Pigura 15 0
0
 LAPORAN ASET JKN
PUSKESMAS NGAMPRAH
TAHUN 2017

Spesifikasi Barang
NO Bahan Tahun Beli
Nama/Jenis Barang Merk/Type N0 Seri
1 2 3 4 6 7
1 Cholesteol Stiprs Easy Touch Easy Touch plastik 2017
2 Glucose Strip Easy Touch Easy Touch plastik 2017
3 Uric Acid Strip Easy Touch Easy Touch plastik 2017
4 stip kolesterol Easy Touch
5 Strip Gula darah Easy Touch
6 Strip Asam urat Easy Touch
7 Strip HB Quickchek
8 Strip Urin veryf
9 Widal S. Typhi O fortress
10 Widal S. Typhi AO fortress
11 Widal S. Typhi BO fortress
12 Widal S. Typhi CO fortress
13 Widal S. Para Typhi H fortress
14 Widal S. Para Typhi AH fortress
15 Widal S. Para Typhi BH fortress
16 Widal S. Para Typhi CH fortress
17 EDTA K 3 fortress
18 Blood lancet fortress

Mengetahui
Penanggung Jawab Ruangan

(Hj. Nuraeni, Amd.Keb, SKM )

NIP. 19680312 199803 2 002

18
 Mengetahui
Penanggung Jawab Ruangan

…………………………………………………)
NIP.
 Satuan Jumlah Harga Satuan Total

8 9 10 14
pcs 15 170,000 2,550,000
pcs 4 80,000 320,000
pcs 7 85,000 595,000
box 40 230,000 9,200,000
box 20 156,000 3,120,000
box 20 156,000 3,120,000
box 2 45,000 90,000
btl 1 137,500 137,500
box 2 129,470 258,940
box 2 129,470 258,940
box 2 129,470 258,940
box 2 129,470 258,940
box 2 129,470 258,940
box 2 129,470 258,940
box 2 129,470 258,940
box 2 129,470 258,940
box 3 115,000 345,000
box 30 26,000 780,000
22,329,034

Bandung Barat, Desember 2016

(Ratna Sandiliana, AMKG )

NIP. 19720515 199303 2 006

2,236,260
Bandung Barat, Desember 2016

(……………………………………………….)
NIP.
 piran surat No. 01.b/S/Interim.LKPD-KBB2016/
DAFTAR PERSEDIAAN BARANG HABIS PAKAI ALAT TULIS KANTOR TAHUN 2017
DINAS KESEHATAN KAB.BANDUNG BARAT

Saldo Tahun 2017 Masuk Keluar Sisa Per 31/12/2017

No. Nama Barang
Jumlah Harga Total Jumlah Harga Total Jumlah Harga Total Jumlah Harga Total
1 2 3 4 5=3x4 9 10 11 = 9 x 10 12 13 14 = 12 x 13
1 Penghapus Pinsil 5 2,500 12,500
2 Tip Ex 10 7,000 70,000
3 Gunting Kecil 2 8,500 17,000
4 Tinta stempel Biru 2 7,500 15,000
5 Penghapus White board 1 7,500 7,500
6 Buku Polio 100 Lembar 3 15,000 45,000
7 Perforator sedang 8 23,100 184,800
8 Post it 2 15,800 31,600
9 Stabilo 10 10,000 100,000
10 Penjepit besi 20 1,000 20,000
11 Sterofoam 6 9,800 58,800
12 Buku Campus 6 5,000 30,000
13 Buku Polio 200 lembar 34 34,990 1,189,660
14 Buku Kas Polio 2 28,000 56,000
15 Kwitansi Besar 10 4,995 49,950
16 Catride Printer canon 3 270,000 810,000
17 Kertas HVS 70gr 15 43,100 646,500
18 Kertas HVS A4 16 38,200 611,200
19 Paper clips 3 15,000 45,000
20 Penggaris 4 25,000 100,000
21 Pensil 2 B 12 2,000 24,000
22 Spidol Kecil 24 1,000 24,000
23 Tinta Canon 10 40,000 400,000
24 Penjepit Besi Untuk kertas 48 9,990 479,520
25 Buku Tulis 59 25,000 1,475,000
26 Pita Tik 4 23,350 93,400
27 Pembatas Stike Note 2 15,350 30,700
28 CDR 2 154,000 308,000
29 Kenko Glue 2 6,500 13,000
30 Amplop putih no 90 30 15,000 450,000 30 15,000 450,000 0 15,000 0
31 Amplop putih no 110 30 13,500 405,000 10 13,500 135,000 20 13,500 270,000
32 Bolpoin 200 4,000 800,000 200 4,000 800,000 0 4,000 0
33 spidol marker 5 150,000 750,000 5 150,000 750,000 0 150,000 0
34 tempat pisil 10 7,000 70,000 2 7,000 14,000 8 7,000 56,000
35 buku ekspedisi 200 lbr 2 13,000 26,000 1 13,000 13,000 1 13,000 13,000
36 buku kuetansi besar 30 6,500 195,000 30 6,500 195,000 0 6,500 0
37 kertas HVS F4 70 gr 90 47,000 4,230,000 33 47,000 1,551,000 57 47,000 2,679,000
38 batu batrei 3 15,500 46,500 3 15,500 46,500 0 15,500 0
39 batu batrei sedang 30 9,000 270,000 30 9,000 270,000 0 9,000 0
40 bak stemp 3 17,000 51,000 1 17,000 17,000 2 17,000 34,000
41 cap stempel date 2 22,500 45,000 1 22,500 22,500 1 22,500 22,500
42 tinta stamp warna ungu 10 7,000 70,000 6 7,000 42,000 4 7,000 28,000
43 hekter kecil 5 12,000 60,000 5 12,000 60,000 0 12,000 0
44 hekter besar 5 23,000 115,000 3 23,000 69,000 2 23,000 46,000
45 map kertas biasa 10 40,000 400,000 7 40,000 280,000 3 40,000 120,000
46 map plastik kancing 5 56,000 280,000 5 56,000 280,000 0 56,000 0
47 map plastik tali 5 56,000 280,000 5 56,000 280,000 0 56,000 0
48 penghapus 20 3,000 60,000 5 3,000 15,000 15 3,000 45,000
49 dobletape 5 15,000 75,000 4 15,000 60,000 1 15,000 15,000
50 map arsip 10 190,000 1,900,000 10 190,000 1,900,000 0 190,000 0
51 tinta printer magenta warna merah 7 100,000 700,000 0 100,000 0 7 100,000 700,000
52 tinta printer Cyan (biru) 7 100,000 700,000 1 100,000 100,000 6 100,000 600,000
53 tinta printer yellow 7 100,000 700,000 1 100,000 100,000 6 100,000 600,000
54 tinta printer black 15 100,000 1,500,000 10 100,000 1,000,000 5 100,000 500,000
55 Materai 50 6,000 300,000 50 6,000 300,000 0 100,001 0

TOTAL 14,478,500 8,750,000 5,728,500

Ngamprah, Desember 2017

Pengurus Barang
Puskesmas Ngamprah Kab. Bandun

Entis Sutisna, SKM, MM

NIP 197012301993031002
KPD-KBB2016/2017

Keterangan

15
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
Stock Habis
 Stock Habis
Stock Habis
Stock Habis
Stock Habis

Stock Habis
Stock Habis

Stock Habis

Stock Habis
Stock Habis

Stock Habis

Stock Habis
Stock Habis

Stock Habis

Stock Habis
 piran surat No. 01.b/S/Interim.LKPD
DAFTAR PERSEDIAAN BARANG HABIS PAKAI KEBERSIHAN TAHUN 2018
DINAS KESEHATAN KAB.BANDUNG BARAT

Saldo Tahun Lalu Masuk Keluar Sisa Per 31/12/2017

No. Nama Barang
Jumlah Harga Total Jumlah Harga Total Jumlah Harga Total Jumlah Harga
1 2 3 4 5=3x4 3 4 5=3x4 9 10 11 = 9 x 10 12 13
1 Alat pel jenis MOP 2 250,000 500,000 2 250,000 500,000 0 250,000
2 Antiseptic gel 20 50,000 1,000,000 20 50,000 1,000,000 0 50,000
3 handuk wastapel 20 30,000 600,000 19 30,000 570,000 1 30,000
4 kanebo 5 17,000 85,000 2 17,000 34,000 3 17,000
5 kantong kresek putih kecil 50 27,000 1,350,000 46 27,000 1,242,000 4 27,000
6 kantong sampah 30 76,000 2,280,000 6 76,000 456,000 24 76,000
7 pembersih kaca cling 35 17,000 595,000 15 17,000 255,000 20 17,000
8 pembersih lantai jenis karbol 35 15,500 542,500 25 15,500 387,500 10 15,500
9 pembersih lantai 40 8,000 320,000 34 8,000 272,000 6 8,000
10 pengki plastik 5 32,500 162,500 3 32,500 97,500 2 32,500
11 sabun cuci tangan 50 8,900 445,000 30 8,900 267,000 20 8,900
12 sapu injuk 10 1,100 11,000 6 1,100 6,600 4 1,100
13 sapu lidi 10 11,000 110,000 5 11,000 55,000 5 11,000
14 tissu basah 20 15,600 312,000 4 15,600 62,400 16 15,600
15 tissu gulung polos 50 3,160 158,000 23 3,160 72,680 27 3,160
16 detergen 20 18,500 370,000 15 18,500 277,500 5 18,500
17 kapur barus 15 33,000 495,000 7 33,000 231,000 8 33,000
18 spon pembersih cuci piring 2 7,750 15,500 2 7,750 15,500 0 7,750
19 kored 1 52,500 52,500 1 52,500 52,500 0 52,500
20 golok 1 45,600 45,600 1 45,600 45,600 0 45,600
21 pacul 1 70,000 70,000 1 70,000 70,000 0 70,000
22 londry bok L 4 79,900 319,600 4 79,900 319,600 0 79,900
23 rak jemuran 1 166,300 166,300 1 166,300 166,300 0 166,300
24 tempat tisu 1 19,700 19,700 1 19,700 19,700 0 19,700
25 kaca cermin 1 17,700 17,700 1 17,700 17,700 0 17,700
26 tempat sikat gigi 1 24,200 24,200 1 24,200 24,200 0 24,200
27 sunlight 800 ml 6 13,800 82,800 6 13,800 82,800 0 13,800
28 keset handuk 1 28,500 28,500 1 28,500 28,500 0 28,500
29 keset handuk 3 29,500 88,500 3 29,500 88,500 0 29,500
30 keset handuk 1 22,500 22,500 1 22,500 22,500 0 22,500
31 kantong plastik 40 1 38,000 38,000 1 38,000 38,000 0 38,000
32 lap tabung power 1 12,950 12,950 1 12,950 12,950 0 12,950
33 logo boma c buds 9 9,500 85,500 9 9,500 85,500 0 9,500
34 sapu 1 45,750 45,750 1 45,750 45,750 0 45,750
35 hw sapu ayana 1 25,250 25,250 1 25,250 25,250 0 25,250
36 sapu lidi halaman 1 13,950 13,950 1 13,950 13,950 0 13,950
37 stella matic orange 17 27,350 464,950 17 27,350 464,950 0 27,350
38 SOS pembersih lantai 11 7,900 86,900 8 7,900 63,200 3 7,900
39 kresek ukuran 35 3 19,750 59,250 3 19,750 59,250 0 19,750

1,785,900 9,336,000 7,548,380

Ngamprah, Desember 2017

Pengurus Barang
Dinas Kesehatan Kabupaten Bandun
l

Entis Sutisna, SKM, MM

NIP 197012301993031002
t No. 01.b/S/Interim.LKPD-KBB2016/2017

sa Per 31/12/2017
Keterangan
Total
14 = 12 x 13 15
0 Stock Habis
0 Stock Habis
30,000
51,000
108,000
1,824,000
340,000
155,000
48,000
65,000
178,000
4,400
55,000
249,600
85,320
92,500
264,000
0 Stock Habis
0 Stock Habis
0 Stock Habis
0 Stock Habis
0 Stock Habis
0 Stock Habis
0 Stock Habis
0 Stock Habis
 0 Stock Habis
0 Stock Habis
0 Stock Habis
0 Stock Habis
0 Stock Habis
0 Stock Habis
0 Stock Habis
0 Stock Habis
0 Stock Habis
0 Stock Habis
0 Stock Habis
0 Stock Habis
23,700
0 Stock Habis

3,573,520

, Desember 2017
Barang
hatan Kabupaten Bandung Barat

na, SKM, MM
2301993031002
 Saldo Tahun Lalu
No. TGL Nama Barang
Jumlah Harga Total
1 2 3 4 5 6=4x5
1 12/6/2017 kursi lipat chitose 30 375,000 11,250,000
2 palet kayu 10 100,000 1,000,000
3 7/7/2017 Kursi Kantor Pegasus 5 871,395 4,356,975
4 Meja Orbit GST 3 1,214,430 3,643,290
5 Rak Grace OLM 3 1,450,000 4,350,000
6 9/8/2017 Lemari buku MRS 10 1,463,490 14,634,900
7 14/8/2017 Ausus AIO Y2211cuk BA035D 1 7,270,000 7,270,000
8 Ausus Netbook EllPC E2025A 1 3,180,000 3,180,000
9 0/8/2017 Mesin Antrian Micro Matik 1 19,000,000 19,000,000
10 Mesin Penghancur Kertas 1 2,058,945 2,058,945
11 Paper Shredder Tori 0
12 2017 DVD Player 1 437,500 437,500
13 wirless 1 923,800 923,800
14 mic 1 388,800 388,800
15 Ban Mobil ambulance 4 904,000 3,616,000
76,110,210
 piran surat No. 01.b/S/Interim.LKPD-KBB201
DAFTAR PERSEDIAAN BARANG HABIS PAKAI KEBERSIHAN TAHUN 2018
DINAS KESEHATAN KAB.BANDUNG BARAT

Saldo Tahun Lalu Masuk Keluar Sisa Per 31/12/2017

No. Nama Barang
Jumlah Harga Total Jumlah Harga Total Jumlah Harga Total Jumlah Harga
1 2 3 4 5=3x4 3 4 5=3x4 9 10 11 = 9 x 10 12 13
1 Cholesteol Stiprs Easy Touch 15 170,000 2,550,000 15 170,000 2,550,000 15 170,000 2,550,000 0
2 Glucose Strip Easy Touch 4 80,000 320,000 4 80,000 320,000 4 80,000 320,000 0
3 Uric Acid Strip Easy Touch 7 85,000 595,000 7 85,000 595,000 7 85,000 595,000 0
4 stip kolesterol 40 230,000 9,200,000 40 230,000 9,200,000 21 230,000 4,830,000 19 230,000
5 Strip Gula darah 20 156,000 3,120,000 20 156,000 3,120,000 16 156,000 2,496,000 4 156,000
6 Strip Asam urat 20 156,000 3,120,000 20 156,000 3,120,000 0 156,000 0 20 156,000
7 Strip HB 2 45,000 90,000 2 45,000 90,000 1 45,000 45,000 1 45,000
8 Strip Urin 1 137,500 137,500 1 137,500 137,500 1 137,500 137,500 0 137,500
9 Widal S. Typhi O 2 129,470 258,940 2 129,470 258,940 0 129,470 0 2 129,470
10 Widal S. Typhi AO 2 129,470 258,940 2 129,470 258,940 0 129,470 0 2 129,470
11 Widal S. Typhi BO 2 129,470 258,940 2 129,470 258,940 0 129,470 0 2 129,470
12 Widal S. Typhi CO 2 129,470 258,940 2 129,470 258,940 0 129,470 0 2 129,470
13 Widal S. Para Typhi H 2 129,470 258,940 2 129,470 258,940 0 129,470 0 2 129,470
14 Widal S. Para Typhi AH 2 129,470 258,940 2 129,470 258,940 0 129,470 0 2 129,470
15 Widal S. Para Typhi BH 2 129,470 258,940 2 129,470 258,940 0 129,470 0 2 129,470
16 Widal S. Para Typhi CH 2 129,470 258,940 2 129,470 258,940 0 129,470 0 2 129,470
17 EDTA K 3 3 115,000 345,000 3 115,000 345,000 0 115,000 0 3 115,000
18 Blood lancet 30 26,000 780,000 30 26,000 780,000 13 26,000 338,000 17 26,000
22,329,020 22,329,020 11,311,500

Ngamprah, Desember 2017

Pengurus Barang
Dinas Kesehatan Kabupaten Bandung Barat
l
Entis Sutisna, SKM, MM
NIP 197012301993031002
t No. 01.b/S/Interim.LKPD-KBB2016/2017

sa Per 31/12/2017
Keterangan
Total
14 = 12 x 13 15
0 Stock Habis
0 Stock Habis
0
4,370,000
624,000
3,120,000
45,000
0
258,940
258,940
258,940
258,940
258,940
258,940
258,940
258,940
345,000
442,000
11,017,520

, Desember 2017
Barang
hatan Kabupaten Bandung Barat
na, SKM, MM
2301993031002