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STOCK CETAKAN

NO NAMA BARANG SATUAN STOK AWAL


1 KARTU PENGGUNAAN O2 LEMBAR 1644
2 KARTU BARANG LEMBAR 0
3 PURCHASE ORDER BUAH 0
4 COPY RESEP BUAH 10
5 SURAT PESANAN UMUM BUAH 28
6 RESEP KACA MATA BUAH 10
7 KARTU CATATAN PEMBERIAN OBAT/ ALKES BUAH 52
8 RESEP RAWAT JALAN UMUM BUAH 32
9 RESEP INAP UMUM BUAH 42
10 RESEP RAWAT JALAN BPJS BUAH 109
11 RESEP INAP BPJS BUAH 44
12 MAP RAWAT INAP LEMBAR/PIECE 1200
13 MAP RAWAT JALAN LEMBAR/PIECE 2000
14 CM CURETGE BENDEL 870
15 CM PERINATOLOGY BENDEL 170
16 CM GYNEKOLOGY BENDEL 130
18 CM OBSTETRI BENDEL 280
19 CM IGD BENDEL 700
20 CM OBSTETRI BENDEL 140
21 CM UMUM IRNA ANAK BENDEL 370
22 CM UMUM DEWASA BENDEL 830
23 RONTGEN RKP 3 BUAH 42
24 RONTGEN UMUM BUAH 33
25 MAP RONTGEN KCL LEMBAR/PIECE 600
26 LINEN BESAR 1/2 FOLIO BUAH 19
27 GB SET 1/2 FOLIO BUAH 11
28 BASIC SET 1/2 FOLIO BUAH 0
29 CURETAGE SET 1/2 FOLIO BUAH 0
30 LINE MINOR 1/2 FOLIO BUAH 0
31 GB POLIKLINIK BEDAH 1/2 FOLIO BUAH 0
32 PLASTIK SET 1/2 FOLIO BUAH 0
33 PARTUS SET 1/2 FOLIO BUAH 24
34 HETING SET 1/2 FOLIO BUAH 16
35 SRH TERIMA INSTRUMEN ,NAME SET BUAH 24
36 MINOR SET 1/2 FOLIO BUAH 0
37 UMBILICAL SET 1/2 FOLIO BUAH 0
38 THT SET 1/2 FOLIO BUAH 0
39 PENGANTAR PA BUAH 0
40 BLANKO PEMAKAIAN OBAT /ALKES IBS BUAH 10
41 FORM TINDAKAN FISIOTERAPI BUAH 15
42 FORM KLAIM RAWAT JALAN FISIOTERAPI BUAH 4
43 PELAYANAN FISIOTERAPI BUAH 23
44 PENGADAAN BARANG BARU / PENGGANTI BUAH 16
45 KWITANSI KOP RSI TDK RANGKAP BUAH 9
46 KWITANSI KOP RSI RKP 2 BUAH 17
47 AMPLOP LABORAT BUAH 5
48 PERMINTAAN LABORAT BPJS BUAH 87
49 PERMINTAAN LABORAT UMUM BUAH 33
50 AMPLOP BESAR KOP RSI BOX 10
51 AMPLOP KECIL KOP RSI BOX 10
52 AMPLOP COKLAT KOP RSI BESAR BOX 0
53 AMPLOP COKLAT KOP RSI KECIL BOX 0
54 HVS KOP RSI 80 GRAM RIM 5
55 BUKU REGESTER IGD BUAH 0
56 ASKEB HAMIL BUAH 11
57 ASKEB BAYI BARU LAHIR BUAH 0
58 ASKEB NIFAS FISIOLOGIS BUAH 0
59 ASKEB NIFAS PATOLOGIS BUAH 0
60 ASKEP INTOLERANSI AKTIVITAS BUAH 8
61 ASKEP NYERI BUAH 8
62 DISPOSISI BUAH 11
63 FORM PPI BUAH 18
64 FORM PENGELOMPOKAN 16 VARIABLE BUAH 60
65 SP MELENGKAPI SYARAT BPJS BUAH 27
66 SURAT PERSETUJUAN BUAH 21
67 BLANKO PERMOHONAN TINDAKAN DOKTER/KEPERAWATAN BUAH 41
68 ETIKET DIET 1/6 FOLIO BUAH 40
69 PERMINTAAN DARAH RKP 3 BUAH 11
70 SURAT RUJUKAN RKP 3 BUAH 22
71 SURAT PERINTAH MENDAFTAR BUAH 20
72 USG LEMBAR/PIECE 700
PENGELUARAN STOK AKHIR HARGA SATUAN HARGA TOTAL
102 1542 350.00 539,700.00
0 0 350.00 -
0 0 8,500.00 -
5 5 5,000.00 25,000.00
5 23 15,000.00 345,000.00
0 10 8,000.00 80,000.00
17 35 28,000.00 980,000.00
8 24 10,000.00 240,000.00
2 40 10,000.00 400,000.00
59 50 10,000.00 500,000.00
16 28 10,000.00 280,000.00
900 300 3,500.00 1,050,000.00
1700 300 3,500.00 1,050,000.00
20 850 2,500.00 21,250,000.00
50 120 4,450.00 534,000.00
10 120 5,000.00 600,000.00
130 150 4,500.00 675,000.00
600 100 1,500.00 150,000.00
20 120 5,400.00 648,000.00
130 240 6,000.00 1,440,000.00
550 280 6,000.00 1,680,000.00
13 29 15,000.00 435,000.00
9 24 8,000.00 192,000.00
300 300 2,500.00 750,000.00
1 18 13,500.00 248,400.00
2 9 13,500.00 121,500.00
0 0 13,500.00 -
0 0 13,500.00 -
0 0 13,500.00 -
0 0 13,500.00 -
0 0 13,500.00 -
1 23 13,500.00 310,500.00
1 15 13,500.00 202,500.00
1 23 13,500.00 310,500.00
0 0 13,500.00 -
0 0 40,000.00 -
0 0 10,000.00 -
0 0 30,000.00 -
1 9 30,000.00 270,000.00
2 13 15,000.00 195,000.00
2 2 18,000.00 36,000.00
1 22 2,500.00 55,000.00
1 15 15,000.00 225,000.00
1 8 5,000.00 40,000.00
2 15 7,000.00 105,000.00
4 1 40,000.00 40,000.00
41 46 10,000.00 460,000.00
4 29 8,000.00 232,000.00
5 5 40,000.00 20,000.00
4 6 30,000.00 180,000.00
0 0 1,000.00 -
0 0 500.00 -
1 4 126,000.00 504,000.00
0 0 70,000.00 -
0 0 27,000.00 297,000.00
0 0 20,000.00 -
0 0 20,000.00 -
0 0 20,000.00 -
0 0 20,000.00 160,000.00
2 6 20,000.00 120,000.00
2 9 12,600.00 113,400.00
2 16 18,000.00 288,000.00
20 40 4,500.00 4,500.00
8 19 15,000.00 285,000.00
4 17 15,000.00 255,000.00
21 20 10,000.00 200,000.00
20 20 3,000.00 60,000.00
2 9 30,000.00 27,000.00
4 18 15,000.00 270,000.00
3 17 4,500.00 76,500.00
300 400 1,250.00 500,000.00

40,055,500.00
STOCK CETAKAN
BULAN AGUSTUS 2018

NO NAMA BARANG STOK AWAL PENGELUARAN


1 KARTU PENGGUNAAN O2
2 KARTU BARANG
3 PURCHASE ORDER
4 COPY RESEP
5 ETIKET DIET
6 KWITANSI KOP RSI
7 KARTU CATATAN PEMBERIAN OBAT/ ALKES
8 RESEP RAWAT JALAN UMUM
9 RESEP INAP UMUM
10 RESEP RAWAT JALAN BPJS
11 RESEP INAP BPJS
12 MAP RAWAT INAP
13 MAP RAWAT JALAN
14 CM PERINATOLOGI
15 CM BEDAH
16 CM IGD
17 CM OBSTETRI
18 CM UMUM IRNA ANAK
19 CM UMUM IRNA
20 AMLOP KOP RSI BESAR
21 AMLOP KOP RSI KCL
22 RONTGEN RKP 3
23 MAP RONTGEN KECIL
24 REGESTER IGD
25 LINEN BESAR 1/2 FOLIO
26 GB SET 1/2 FOLIO
27 BASIC SET 1/2 FOLIO
28 CURETAGE SET 1/2 FOLIO
29 LINE MINOR 1/2 FOLIO
30 GB POLIKLINIK BEDAH 1/2 FOLIO
31 PLASTIK SET 1/2 FOLIO
32 PARTUS SET 1/2 FOLIO
33 HETING SET 1/2 FOLIO
34 FORM TINDAKAN FISIOTERAPI
35 ASKEP KETIDAK EFEKTIFAN BERSIHAN JLN NAFAS
36 AMLOP LABORAT
37 PERMINTAAN LABORAT JKN
38 RESUME MEDIS
39 DISPOSISI
40 FORM PENGELOMPOKAN 16 VARIABLE
41 SP MELENGKAPI SYARAT BPJS
42 PERMOHONAN TINDAKAN DOKTER / KEPERAWATAN
43 EKG
44 KARTU KONTROL RAWAT JALAN
45 PERMOHONAN CUTI
46 SURAT KETERANGAN KEMATIAN
47 SURAT RUJUKAN
48 SP PENGGUNAAN OBAT PATEN
49 SURAT KETERANGAN SAKIT
19 SURAT KETERANGAN DOKTER
19 SURAT KETERANGAN DOKTER TB/BB
19 SURAT PERINTAH MONDOK KCL
19 USG
STOK AKHIR HARGA SATUAAN HARGA TOTAL
350.00
350.00
8,500.00
5,000.00
3,000.00
5,000.00
28,000.00
10,000.00
10,000.00
10,000.00
10,000.00
3,500.00
3,500.00
5,000.00
4,500.00
1,250.00
5,400.00
4,600.00
5,000.00
40,000.00
30,000.00
15,000.00
2,500.00
70,000.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
18,000.00
40,000.00
10,000.00
25,500.00
8,000.00
4,500.00
8,000.00
10,000.00
1,250.00
8,000.00
8,000.00
15,000.00
15,000.00
8,000.00
8,000.00
8,000.00
8,000.00
4,000.00
1,250.00
STOCK CETAKAN
BULAN SEPTEMBER 2018

NO NAMA BARANG STOK AWAL PENGELUARAN


1 KARTU PENGGUNAAN O2
2 KARTU BARANG
3 PURCHASE ORDER
4 COPY RESEP
5 ETIKET DIET
6 KWITANSI KOP RSI
7 KARTU CATATAN PEMBERIAN OBAT/ ALKES
8 RESEP RAWAT JALAN UMUM
9 RESEP INAP UMUM
10 RESEP RAWAT JALAN BPJS
11 RESEP INAP BPJS
12 MAP RAWAT INAP
13 MAP RAWAT JALAN
14 CM PERINATOLOGI
15 CM BEDAH
16 CM IGD
17 CM OBSTETRI
18 CM UMUM IRNA ANAK
19 CM UMUM IRNA
20 AMLOP KOP RSI BESAR
21 AMLOP KOP RSI KCL
22 RONTGEN RKP 3
23 MAP RONTGEN KECIL
24 REGESTER IGD
25 LINEN BESAR 1/2 FOLIO
26 GB SET 1/2 FOLIO
27 BASIC SET 1/2 FOLIO
28 CURETAGE SET 1/2 FOLIO
29 LINE MINOR 1/2 FOLIO
30 GB POLIKLINIK BEDAH 1/2 FOLIO
31 PLASTIK SET 1/2 FOLIO
32 PARTUS SET 1/2 FOLIO
33 HETING SET 1/2 FOLIO
34 FORM TINDAKAN FISIOTERAPI
35 ASKEP KETIDAK EFEKTIFAN BERSIHAN JLN NAFAS
36 AMLOP LABORAT
37 PERMINTAAN LABORAT JKN
38 RESUME MEDIS
39 DISPOSISI
40 FORM PENGELOMPOKAN 16 VARIABLE
41 SP MELENGKAPI SYARAT BPJS
42 PERMOHONAN TINDAKAN DOKTER / KEPERAWATAN
43 EKG
44 KARTU KONTROL RAWAT JALAN
45 PERMOHONAN CUTI
46 SURAT KETERANGAN KEMATIAN
47 SURAT RUJUKAN
48 SP PENGGUNAAN OBAT PATEN
49 SURAT KETERANGAN SAKIT
50 SURAT KETERANGAN DOKTER
51 SURAT KETERANGAN DOKTER TB/BB
52 SURAT PERINTAH MONDOK KCL
53 USG
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
STOK AKHIR HARGA SATUAAN HARGA TOTAL
350.00
350.00
8,500.00
5,000.00
3,000.00
5,000.00
28,000.00
10,000.00
10,000.00
10,000.00
10,000.00
3,500.00
3,500.00
5,000.00
4,500.00
1,250.00
5,400.00
4,600.00
5,000.00
40,000.00
30,000.00
15,000.00
2,500.00
70,000.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
18,000.00
40,000.00
10,000.00
25,500.00
8,000.00
4,500.00
8,000.00
10,000.00
1,250.00
8,000.00
8,000.00
15,000.00
15,000.00
8,000.00
8,000.00
8,000.00
8,000.00
4,000.00
1,250.00
STOCK CETAKAN
BULAN OKTOBER 2018

NO NAMA BARANG STOK AWAL PENGELUARAN


1 KARTU PENGGUNAAN O2
2 KARTU BARANG
3 PURCHASE ORDER
4 COPY RESEP
5 ETIKET DIET
6 KWITANSI KOP RSI
7 KARTU CATATAN PEMBERIAN OBAT/ ALKES
8 RESEP RAWAT JALAN UMUM
9 RESEP INAP UMUM
10 RESEP RAWAT JALAN BPJS
11 RESEP INAP BPJS
12 MAP RAWAT INAP
13 MAP RAWAT JALAN
14 CM PERINATOLOGI
15 CM BEDAH
16 CM IGD
18 CM OBSTETRI
19 CM UMUM IRNA ANAK
20 CM UMUM IRNA
21 AMLOP KOP RSI BESAR
22 AMLOP KOP RSI KCL
23 RONTGEN RKP 3
24 MAP RONTGEN KECIL
25 REGESTER IGD
26 LINEN BESAR 1/2 FOLIO
27 GB SET 1/2 FOLIO
28 BASIC SET 1/2 FOLIO
29 CURETAGE SET 1/2 FOLIO
30 LINE MINOR 1/2 FOLIO
31 GB POLIKLINIK BEDAH 1/2 FOLIO
32 PLASTIK SET 1/2 FOLIO
33 PARTUS SET 1/2 FOLIO
34 HETING SET 1/2 FOLIO
35 FORM TINDAKAN FISIOTERAPI
36 ASKEP KETIDAK EFEKTIFAN BERSIHAN JLN NAFAS
37 AMLOP LABORAT
38 PERMINTAAN LABORAT JKN
39 RESUME MEDIS
40 DISPOSISI
41 FORM PENGELOMPOKAN 16 VARIABLE
42 SP MELENGKAPI SYARAT BPJS
43 PERMOHONAN TINDAKAN DOKTER / KEPERAWATAN
44 EKG
45 KARTU KONTROL RAWAT JALAN
46 PERMOHONAN CUTI
47 SURAT KETERANGAN KEMATIAN
48 SURAT RUJUKAN
49 SP PENGGUNAAN OBAT PATEN
50 SURAT KETERANGAN SAKIT
51 SURAT KETERANGAN DOKTER
52 SURAT KETERANGAN DOKTER TB/BB
53 SURAT PERINTAH MONDOK KCL
54 USG
55 PERMINTAAN LABORAT JKN
56 RESEP TANPA KOP RSI
57 RESEP RWT JALAN UMUM
58 RESEP RWT INAP UMUM
59 RESEP RWT JALAN BPJS
60 RESEP JKN INAP-
61 MAP RWT INAP
62 MAP RWT JALAN
63 CATATAN PENERIMAAN & PENYERAHAN LINEN
64 EKG
65 KARTU KONTROL RWT JALAN
66 PERMINTAAN DARAH
67 STRUK GAJI
68 PERMOHONAN CUTI
69 RINCIAN VK
70 SURAT KENAL LAHIR
71 SURAT RUJUKAN RKP 3
72 PERSETUJUAN OBAT PATEN
73 SURAT KETERANGAN SAKIT
74 SURAT PERINTAH MONDOK 1/4 FOLIO
75 SURAT PERINTAH MONDOK 1/2 FOLIO
76 TUKAR JAGA
STOK AKHIR HARGA SATUAN HARGA TOTAL
350.00
350.00
8,500.00
5,000.00
3,000.00
5,000.00
28,000.00
10,000.00
10,000.00
10,000.00
10,000.00
3,500.00
3,500.00
5,000.00
4,500.00
1,250.00
5,400.00
4,600.00
5,000.00
40,000.00
30,000.00
15,000.00
2,500.00
70,000.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
18,000.00
40,000.00
10,000.00
25,500.00
8,000.00
4,500.00
8,000.00
10,000.00
1,250.00
8,000.00
8,000.00
15,000.00
15,000.00
8,000.00
8,000.00
8,000.00
8,000.00
4,000.00
1,250.00
STOCK CETAKAN
BULAN NOVEMBER I 2018

NO NAMA BARANG STOK AWAL


1 KARTU PENGGUNAAN O2
2 KARTU BARANG
3 PURCHASE ORDER
4 COPY RESEP
5 ETIKET DIET
6 KWITANSI KOP RSI
7 KARTU CATATAN PEMBERIAN OBAT/ ALKES
8 RESEP RAWAT JALAN UMUM
9 RESEP INAP UMUM
10 RESEP RAWAT JALAN BPJS
11 RESEP INAP BPJS
12 MAP RAWAT INAP
13 MAP RAWAT JALAN
14 CM PERINATOLOGI
15 CM BEDAH
16 CM IGD
18 CM OBSTETRI
19 CM UMUM IRNA ANAK
20 CM UMUM IRNA
21 AMLOP KOP RSI BESAR
22 AMLOP KOP RSI KCL
23 RONTGEN RKP 3
24 MAP RONTGEN KECIL
25 REGESTER IGD
26 LINEN BESAR 1/2 FOLIO
27 GB SET 1/2 FOLIO
28 BASIC SET 1/2 FOLIO
29 CURETAGE SET 1/2 FOLIO
30 LINE MINOR 1/2 FOLIO
31 GB POLIKLINIK BEDAH 1/2 FOLIO
32 PLASTIK SET 1/2 FOLIO
33 PARTUS SET 1/2 FOLIO
34 HETING SET 1/2 FOLIO
35 FORM TINDAKAN FISIOTERAPI
36 ASKEP KETIDAK EFEKTIFAN BERSIHAN JLN NAFAS
37 AMLOP LABORAT
38 PERMINTAAN LABORAT JKN
39 RESUME MEDIS
40 DISPOSISI
41 FORM PENGELOMPOKAN 16 VARIABLE
42 SP MELENGKAPI SYARAT BPJS
43 PERMOHONAN TINDAKAN DOKTER / KEPERAWATAN
44 EKG
45 KARTU KONTROL RAWAT JALAN
46 PERMOHONAN CUTI
47 SURAT KETERANGAN KEMATIAN
48 SURAT RUJUKAN
49 SP PENGGUNAAN OBAT PATEN
50 SURAT KETERANGAN SAKIT
51 SURAT KETERANGAN DOKTER
52 SURAT KETERANGAN DOKTER TB/BB
53 SURAT PERINTAH MONDOK KCL
54 USG
55 PERMINTAAN RONTGEN BPJS
56 MAP RONTGEN KCL
57 CM CURETAGE
58 CM PERINATOLOGY
59 CM BEDAH
60 CM INSTALASI GAWAT DARURAT
61 CM OBSTETRI
62 CM IRNA ANAK
63 CM IRNA UMUM
64 MAP RAWAT INAP
65 MAP RAWAT JALAN
66 GB SET RKP 3
67 BLANKO SRH TERIMA INSTRUMEN BASIC SET RKP 3
68 BLANKO SRH TERIMA INSTRUMEN RKP 3
69 BLANKO SRH TERIMA LINEN MINOR RKP 3
70 BLANKO SRH TERIMA INSTRUMEN GB POLIKLINIK BEDAH
71 BLANKO SRH TERIMA INSTRUMEN PARTUS SET RKP 3
72 BLANKO SRH TERIMA INSTRUMEN HETING SET RKP 3
K CETAKAN
OVEMBER I 2018

PENGELUARAN STOK AKHIR HARGA SATUAN HARGA TOTAL


350.00
350.00
8,500.00
5,000.00
3,000.00
5,000.00
28,000.00
10,000.00
10,000.00
10,000.00
10,000.00
3,500.00
3,500.00
5,000.00
4,500.00
1,250.00
5,400.00
4,600.00
5,000.00
40,000.00
30,000.00
15,000.00
2,500.00
70,000.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
18,000.00
40,000.00
10,000.00
25,500.00
8,000.00
4,500.00
8,000.00
10,000.00
1,250.00
8,000.00
8,000.00
15,000.00
15,000.00
8,000.00
8,000.00
8,000.00
8,000.00
4,000.00
1,250.00
STOCK CETAKAN
BULAN DESEMBER 2018

NO NAMA BARANG STOK AWAL PENGELUARAN


1 KARTU PENGGUNAAN O2
2 KARTU BARANG
3 PURCHASE ORDER
4 COPY RESEP
5 ETIKET DIET
6 KWITANSI KOP RSI
7 KARTU CATATAN PEMBERIAN OBAT/ ALKES
8 RESEP RAWAT JALAN UMUM
9 RESEP INAP UMUM
10 RESEP RAWAT JALAN BPJS
11 RESEP INAP BPJS
12 MAP RAWAT INAP
13 MAP RAWAT JALAN
14 CM PERINATOLOGI
15 CM BEDAH
16 CM IGD
18 CM OBSTETRI
19 CM UMUM IRNA ANAK
20 CM UMUM IRNA
21 AMLOP KOP RSI BESAR
22 AMLOP KOP RSI KCL
23 RONTGEN RKP 3
24 MAP RONTGEN KECIL
25 REGESTER IGD
26 LINEN BESAR 1/2 FOLIO
27 GB SET 1/2 FOLIO
28 BASIC SET 1/2 FOLIO
29 CURETAGE SET 1/2 FOLIO
30 LINE MINOR 1/2 FOLIO
31 GB POLIKLINIK BEDAH 1/2 FOLIO
32 PLASTIK SET 1/2 FOLIO
33 PARTUS SET 1/2 FOLIO
34 HETING SET 1/2 FOLIO
35 FORM TINDAKAN FISIOTERAPI
36 ASKEP KETIDAK EFEKTIFAN BERSIHAN JLN NAFAS
37 AMLOP LABORAT
38 PERMINTAAN LABORAT JKN
39 RESUME MEDIS
40 DISPOSISI
41 FORM PENGELOMPOKAN 16 VARIABLE
42 SP MELENGKAPI SYARAT BPJS
43 PERMOHONAN TINDAKAN DOKTER / KEPERAWATAN
44 EKG
45 KARTU KONTROL RAWAT JALAN
46 PERMOHONAN CUTI
47 SURAT KETERANGAN KEMATIAN
48 SURAT RUJUKAN
49 SP PENGGUNAAN OBAT PATEN
50 SURAT KETERANGAN SAKIT
51 SURAT KETERANGAN DOKTER
52 SURAT KETERANGAN DOKTER TB/BB
53 SURAT PERINTAH MONDOK KCL
54 USG
55 CM IGD
56 CM OBSTETRI
57 CM IRNA ANAK
58 CM IRNA UMUM
59 MAP RAWAT INAP
60 MAP RAWAT JALAN
61 AMPLOP KOP RSI BESAR
62 AMPLOP KOP RSI KCL
STOK AKHIR HARGA SATUAN HARGA TOTAL
350.00
350.00
8,500.00
5,000.00
3,000.00
5,000.00
28,000.00
10,000.00
10,000.00
10,000.00
10,000.00
3,500.00
3,500.00
5,000.00
4,500.00
1,250.00
5,400.00
4,600.00
5,000.00
40,000.00
30,000.00
15,000.00
2,500.00
70,000.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
13,500.00
18,000.00
40,000.00
10,000.00
25,500.00
8,000.00
4,500.00
8,000.00
10,000.00
1,250.00
8,000.00
8,000.00
15,000.00
15,000.00
8,000.00
8,000.00
8,000.00
8,000.00
4,000.00
1,250.00
BULAN JANUARI 2018

NO NAMA BARANG STOK AWAL PENGELUARAN STOK AKHIR


1 AMPLOP LABORAT 7 4 3
2 PERMINTAAN LABORAT BPJS 70 48 22
3 KARTU CATATAN PEMBERIAN OBAT/ALKES 21 14 7
4 RESEP INAP UMUM 56 14 42
5 RESEP RAWAT JALAN BPJS 71 51 20
6 RESEP RAWAT INAP BPJS 102 19 83
7 KARTU PENGGUNAAN O2 967 90 877
8 PURCHASE ORDER 7 7 0
9 COPY RESEP / SALINAN RESEP 10 2 8
10 PERMINTAAN RONTGEN RKP 3 9 2 7
11 MAP RONTGEN KECIL 1000 300 700
12 BLANKO SRH TERIMA INSTRUMEN LINEN BSR 1/2 F 26 1 25
13 BLANKO SRH TERIMA INSTRUMEN BASIC SET 1/2 F 26 1 25
14 BLANKO SRH TERIMA INSTRUMEN KOSONGAN 26 0 0
15 BLANKO SRH TERIMA LINEN MINOR 1/2 F 8 1 7
16 BLANKO SRH TERIMA INSTRUMEN GB POLIKLINIK BDH 1/2 F 26 2 24
18 BLANKO SRH TERIMA INSTRUMEN PARTUS SET 1/2 F 8 1 7
19 BLANKO SRH TERIMA INSTRUMEN HETING SET 1/2 F 24 0 0
20 BLANKO SRH TERIMA INSTRUMEN MINOR SET 1/2 F 8 1 7
21 MAP RAWAT INAP 1021 821 200
22 MAP RAWAT JALAN 1300 1200 100
23 ASKEP DIARE 10 3 7
24 ASKEP GANGGUAN POLA TIDUR 7 1 6
25 ASKEP HIPERTERMIA 13 1 12
26 ASKEP INTOLERANSI AKTIVITAS 7 1 6
27 ASKEP KETDK EFEKTIFAN BERSIHAN JLN NAFAS 8 1 7
28 ASKEP KELEBIHAN VOLUME CAIRAN 9 1 8
29 ASKEP NYERI 11 2 9
30 ASKEP NAUSEA 8 3 5
31 ASKEP RESIKO GANNGUAN INTEGRITAS KULIT 11 1 10
32 BUKU REGESTER IGD 8 3 5
33 FORM TINDAKAN FISIOTERAPI 1/2 F 9 2 7
34 FORM KLAIM RAWAT JALAN FISIOTERAPY 12 2 10
35 AMPLOP KOP RSI BESAR 15 5 10
36 AMPLOP KOP RSI KECIL 6 2 4
37 AMPLOP COKLAT KOP RSI KCL 500 100 400
38 HVS KOP RSI 70 GSM 7 1 6
39 BK BON HABIS PAKAI IBS /PEMAKAIAN ALKES 10 1 9
40 CHEK LIST SERAH TERIMA BAYI 4 1 3
41 PENGANTAR PA 9 1 8
42 CM PERINATOLOGY 194 30 164
43 CM BEDAH 538 70 468
44 CM IGD 1010 900 110
45 CM OBSTETRI 102 102 0
46 CM UMUM IRNA ANAK 290 180 110
47 CM UMUM IRNA 750 680 70
HARGA SATUAN HARGA TOTAL
40,000.00 120,000.00
10,000.00 220,000.00
27,000.00 189,000.00
10,000.00 420,000.00
10,000.00 10,000.00
10,000.00 830,000.00
350.00 306,950.00
- -
5,000.00 40,000.00
15,000.00 105,000.00
2,500.00 1,750,000.00
13,500.00 337,000.00
13,500.00 337,000.00
13,500.00 351,000.00
13,500.00 94,500.00
13,500.00 324,000.00
13,500.00 94,500.00
13,500.00 324,000.00
13,500.00 94,500.00
3,500.00 700,000.00
3,500.00 350,000.00
17,000.00 119,000.00
17,000.00 102,000.00
17,000.00 204,000.00
17,000.00 102,000.00
17,000.00 119,000.00
17,000.00 136,000.00
17,000.00 153,000.00
17,000.00 85,000.00
17,000.00 170,000.00
70,000.00 350,000.00
15,000.00 105,000.00
17,500.00 175,000.00
40,000.00 400,000.00
35,000.00 140,000.00
500.00 200,000.00
126,000.00 756,000.00
30,000.00 270,000.00
16,000.00 48,000.00
27,000.00 216,000.00
5,000.00 820,000.00
4,500.00 2,106,000.00
1,250.00 137,500.00
- -
4,600.00 506,000.00
4,600.00 322,000.00
STOCK CETAKAN
BULAN FEBUARI 2018

NO NAMA BARANG STOK AWAL PENGELUARAN


1 KARTU PENGGUNAAN O2 877 110
2 KARTU BARANG 2000 500
3 PURCHASE ORDER 20 0
4 COPY RESEP 23 0
5 ETIKET DIET 37 26
6 KWITANSI KOP RSI 16 2
7 KARTU CATATAN PEMBERIAN OBAT/ ALKES 67 30
8 RESEP RAWAT JALAN UMUM 35 25
9 RESEP INAP UMUM 42 8
10 RESEP RAWAT JALAN BPJS 80 64
11 RESEP INAP BPJS 83 64
12 MAP RAWAT INAP 1200 800
13 MAP RAWAT JALAN 1400 1100
14 CM PERINATOLOGI 164 20
15 CM BEDAH 468 80
16 CM IGD 1080 580
18 CM OBSTETRI 250 80
19 CM UMUM IRNA ANAK 410 130
20 CM UMUM IRNA 720 420
21 AMLOP KOP RSI BESAR 10 5
22 AMLOP KOP RSI KCL 14 6
23 RONTGEN RKP 3 40 11
24 MAP RONTGEN KECIL 700 200
25 REGESTER IGD 5 1
26 LINEN BESAR 1/2 FOLIO 25 1
27 GB SET 1/2 FOLIO 21 4
28 BASIC SET 1/2 FOLIO 25 2
29 CURETAGE SET 1/2 FOLIO 8 1
30 LINE MINOR 1/2 FOLIO 7 1
31 GB POLIKLINIK BEDAH 1/2 FOLIO 24 2
32 PLASTIK SET 1/2 FOLIO 8 1
33 PARTUS SET 1/2 FOLIO 7 1
34 HETING SET 1/2 FOLIO 24 2
35 FORM TINDAKAN FISIOTERAPI 24 3
36 ASKEP KETIDAK EFEKTIFAN BERSIHAN JLN NAFAS 7 1
37 AMLOP LABORAT 8 2
38 PERMINTAAN LABORAT JKN 82 41
39 RESUME MEDIS 8 2
40 DISPOSISI 7 2
41 FORM PENGELOMPOKAN 16 VARIABLE 51 30
42 SP MELENGKAPI SYARAT BPJS 16 9
43 PERMOHONAN TINDAKAN DOKTER / KEPERAWATAN 40 27
44 EKG 1005 925
45 KARTU KONTROL RAWAT JALAN 35 35
46 PERMOHONAN CUTI 17 1
47 SURAT KETERANGAN KEMATIAN 14 1
48 SURAT RUJUKAN 28 7
49 SP PENGGUNAAN OBAT PATEN 11 1
50 SURAT KETERANGAN SAKIT 23 3
51 SURAT KETERANGAN DOKTER 21 5
52 SURAT KETERANGAN DOKTER TB/BB 11 7
53 SURAT PERINTAH MONDOK KCL 29 10
54 USG 909 300
STOK AKHIR HARGA SATUAN HARGA TOTAL
767 350.00 268,450.00
1500 350.00 525,000.00
20 8,500.00 170,000.00
0 5,000.00 115,000.00
11 3,000.00 33,000.00
14 5,000.00 70,000.00
37 28,000.00 1,036,000.00
10 10,000.00 100,000.00
34 10,000.00 340,000.00
16 10,000.00 160,000.00
19 10,000.00 190,000.00
400 3,500.00 1,400,000.00
300 3,500.00 1,050,000.00
144 5,000.00 720,000.00
388 4,500.00 1,746,000.00
500 1,250.00 625,000.00
170 5,400.00 918,000.00
280 4,600.00 1,288,000.00
300 5,000.00 1,500,000.00
5 40,000.00 200,000.00
8 30,000.00 240,000.00
29 15,000.00 435,000.00
500 2,500.00 1,250,000.00
4 70,000.00 280,000.00
24 13,500.00 324,000.00
17 13,500.00 229,500.00
23 13,500.00 310,500.00
7 13,500.00 94,500.00
6 13,500.00 81,000.00
22 13,500.00 297,000.00
7 13,500.00 94,500.00
6 13,500.00 81,000.00
22 13,500.00 297,000.00
21 13,500.00 283,500.00
6 18,000.00 108,000.00
6 40,000.00 240,000.00
41 10,000.00 410,000.00
6 25,500.00 153,000.00
5 8,000.00 40,000.00
21 4,500.00 94,500.00
7 8,000.00 56,000.00
13 10,000.00 130,000.00
130 1,250.00 162,500.00
0 8,000.00 -
16 8,000.00 128,000.00
13 15,000.00 195,000.00
21 15,000.00 315,000.00
10 8,000.00 80,000.00
20 8,000.00 160,000.00
16 8,000.00 128,000.00
4 8,000.00 32,000.00
19 4,000.00 76,000.00
609 1,250.00 761,250.00
20,021,200.00
STOCK CETAKAN
BULAN MARET 2018

NO NAMA BARANG STOK AWAL


1 KARTU PENGGUNAAN O2 1267
2 KARTU BARANG 1500
3 PURCHASE ORDER 0
4 COPY RESEP 23
5 ETIKET DIET 0
6 KWITANSI KOP RSI 0
7 KARTU CATATAN PEMBERIAN OBAT/ ALKES 37
8 RESEP RAWAT JALAN UMUM 70
9 RESEP INAP UMUM 34
10 RESEP RAWAT JALAN BPJS 88
11 RESEP INAP BPJS 49
12 MAP RAWAT INAP 1700
13 MAP RAWAT JALAN 1600
14 CM PERINATOLOGI 144
15 CM BEDAH 388
16 CM IGD 1000
18 CM OBSTETRI 170
19 CM UMUM IRNA ANAK 280
20 CM UMUM IRNA 600
21 AMLOP KOP RSI BESAR 10
22 AMLOP KOP RSI KCL 13
23 RONTGEN RKP 3 29
24 MAP RONTGEN KECIL 500
25 REGESTER IGD 0
26 LINEN BESAR 1/2 FOLIO 24
27 GB SET 1/2 FOLIO 17
28 LINEN MINOR 1/2 FOLIO 6
29 GB POLIKLINIK BEDAH 1/2 FOLIO 22
30 CURETAGE SET 1/2 FOLIO 0
31 HETING SET 1/2 FOLIO 22
32 PLASTIK SET 1/2 FOLIO 0
33 PARTUS SET 1/2 FOLIO 6
34 UMBILICAL SET 1/2 FOLIO 8
35 THT SET 1/2 FOLIO 9
36 ASKEP HIPERTERMIA 12
37 ASKEP KELEBIHAN VOLUME CAIRAN 8
38 ASKEP NYERI 9
39 ASKEP NAUSEA 5
40 ASKEP RESIKO GANGGUAN INTEGRITAS KULIT 10
41 ASKEP KETIDAK EFEKTIFAN POLA NAFAS 5
42 AMPLOP LABORAT 6
43 PEMINTAAN LABORAT BPJS 81
44 REGESTER RAWAT INAP LABORAT 5
45 REGESTER RAWAT JALAN LABORAT 7
46 PERMOHONAN CUTI 16
47 SURAT KETERANGAN KEMATIAN 0
48 SURAT RUJUKAN 21
49 SP PENGGUNAAN OBAT PATEN 0
50 SURAT KETERANGAN SAKIT 20
51 SURAT KETERANGAN DOKTER 16
52 SURAT KETERANGAN DOKTER TB/BB 14
53 SURAT PERINTAH MONDOK 1/3 FOLIO 39
54 SURAT PERINTAH MONDOK 1/2 FOLIO 33
55 STIKER ANGKA RM 30
55 EKG 630
56 USG 609
57 FORM PELAYANAN AMBULANCE 15
57 KARTU KONTROL RAWAT JALAN 25
58 PERMINTAAN DARAH 16
59 SURAT KENAL LAHIR 15
60 SURAT PERNYATAAN PENGGUNAAN OBAT PATEN 10
61 SURAT KETERANGAN KAMAR PENUH 16
62 FORM TINDAKAN FISIOTERAPI 21
63 FORM KLAIM RAWAT JALAN FISIOTERAPI 10
64 BK BON HABIS PAKAI IBS/PEMAKAIAN ALKES 19
65 DAFTAR HARIAN STOK INSTRUMEN 5
66 RESUME MEDIS 16
67 BK HABIS PAKAI BPJS 11
68 DISPOSISI 15
69 FORM PPI 16
70 FORM PENGELOMPOKAN 16 FARIABLE 81
71 RUJUK BALIK 7
72 SURAT PERNYATAAN MELENGKAPI SYARAT BPJS 27
73 BLANKO PERMOHONAN TINDAKAN DR/KEPERWATAN 33
CK CETAKAN
N MARET 2018

PENGELUARAN STOK AKHIR HARGA SATUAN HARGA TOTAL


190 1077 350.00 376,950.00
1000 500 350.00 175,000.00
0 0 8,500.00 -
8 15 5,000.00 75,000.00
0 0 3,000.00 -
0 0 5,000.00 -
22 15 28,000.00 420,000.00
11 59 10,000.00 590,000.00
8 26 10,000.00 260,000.00
64 24 10,000.00 240,000.00
11 38 10,000.00 380,000.00
1100 600 3,500.00 2,100,000.00
800 800 3,500.00 2,800,000.00
64 80 5,000.00 400,000.00
180 208 4,500.00 936,000.00
600 400 1,500.00 600,000.00
20 150 5,400.00 810,000.00
160 120 4,600.00 552,000.00
430 170 5,000.00 850,000.00
7 3 40,000.00 120,000.00
10 3 30,000.00 90,000.00
10 19 15,000.00 285,000.00
300 200 2,500.00 500,000.00
0 0 70,000.00 -
2 22 13,500.00 297,000.00
2 15 13,500.00 202,500.00
2 4 13,500.00 54,000.00
2 20 13,500.00 270,000.00
0 0 13,500.00 -
2 20 13,500.00 270,000.00
0 0 13,500.00 -
1 5 13,500.00 67,500.00
1 7 13,500.00 94,500.00
1 8 13,500.00 108,000.00
4 8 18,000.00 144,000.00
1 7 18,000.00 126,000.00
3 6 18,000.00 108,000.00
1 4 18,000.00 72,000.00
1 9 18,000.00 162,000.00
2 3 18,000.00 54,000.00
2 4 8,000.00 32,000.00
41 40 10,000.00 40,000.00
1 4 12,000.00 48,000.00
1 6 12,000.00 72,000.00
3 13 8,000.00 104,000.00
0 0 15,000.00 -
8 13 15,000.00 195,000.00
0 0 8,000.00 -
1 19 8,000.00 152,000.00
2 14 8,000.00 112,000.00
3 11 8,000.00 88,000.00
10 29 4,500.00 130,500.00
8 25 8,000.00 200000
30 0 25,000.00 0
110 520 1,250.00 650,000.00
100 509 1,250.00 636,250.00
2 13 7,000.00 91,000.00
20 5 9,000.00 45,000.00
6 10 27,000.00 270,000.00
2 13 9,000.00 117,000.00
4 6 8,500.00 51,000.00
0 0 8,000.00 0
2 19 13,500.00 256,500.00
2 8 17,500.00 140,000.00
6 `13 30,000.00 390,000.00
0 0 2,000.00 0
5 11 30,000.00 330,000.00
2 9 27,000.00 330,000.00
0 0 12,600.00 189,000.00
11 5 10,000.00 50,000.00
41 40 4,500.00 180,000.00
6 1 8,000.00 8,000.00
14 13 9,000.00 117,000.00
5 28 10,000.00 280,000.00

19,893,700.00
STOCK CETAKAN
BULAN APRIL 2018

NO NAMA BARANG STOK AWAL PENGELUARAN


1 KARTU PENGGUNAAN O2 1077 140
2 KARTU BARANG 0 0
3 PURCHASE ORDER 0 0
4 COPY RESEP 15 5
5 ETIKET DIET 41 11
6 EKG 520 100
7 KARTU CATATAN PEMBERIAN OBAT/ ALKES 35 21
8 RESEP RAWAT JALAN UMUM 59 22
9 RESEP INAP UMUM 26 2
10 RESEP RAWAT JALAN BPJS 114 47
11 RESEP INAP BPJS 38 12
12 MAP RAWAT INAP 1300 1100
13 MAP RAWAT JALAN 1600 1000
14 CM PERINATOLOGI 330 70
15 CM BEDAH 458 268
16 CM IGD 900 700
18 CM OBSTETRI 400 130
19 CM UMUM IRNA ANAK 420 240
20 CM UMUM IRNA 770 580
21 AMLOP KOP RSI BESAR 13 1
22 AMLOP KOP RSI KCL 13 4
23 HVS KOP RSI 6 1
24 PERMINTAAN RONTGEN RKP 3 19 7
25 MAP RONTGEN KCL 700 400
26 LINEN BESAR 1/2 FOLIO 22 1
27 GB SET 1/2 FOLIO 0 0
28 BASIC SET 1/2 FOLIO 23 1
29 CURETAGE SET 1/2 FOLIO 27 0
30 BLANKO SERAH TERIMA INSTRUMEN KOSONGAN 26 1
31 GB POLIKLINIK BEDAH 1/2 FOLIO 0 0
32 PLASTIK SET 1/2 FOLIO 27 1
33 PARTUS SET 1/2 FOLIO 25 0
34 HETING SET 1/2 FOLIO 0 0
35 LINEN MINOR 1/2 FOLIO 24 1
36 MINOR SET 1/2 FOLIO 7 1
37 ASKEP HIPERTERMIA 8 1
38 ASKEP KETIDAK EFEKTIFAN BERSIHAN JLN NAFAS 6 1
39 ASKEP KETIDAK EFEKTIFAN POLA NAFAS 3 2
40 ASKEP DEFISIT PERAWATAN DARI MAKAN 5 2
41 ASKEP GANGGUAN PERTUKARAN GAS 5 2
42 ASKEP HARGA DIRI RENDAH SITUASIONAL 5 2
43 ASKEP KETIDAK EFEKTIFAN KOPING 5 2
44 ASKEP PENURUNAN CURAH JANTUNG 5 1
45 ASKEP KONSTIPASI 5 2
46 ASKEP PERUBAHAN SENTORI/PERSEPSI 5 1
47 ASKEP DEFISIT PENGETAHUAN DEFINISI 5 2
48 ASKEP KTDK EFEKTIFAN PERFUSI JARINGAN CEREBRAL 5 2
49 ASKEP DEFISIT PENGETAHUAN 5 0
50 ASKEP RESIKO CIDERA 5 2
51 ASKEP GANGGUAN MENELAN 5 2
52 ASKEP HAMBATAN KOMUNIKASI VERBAL 5 2
53 ASKEP RESIKO INFEKSI 5 2
54 ASKEP HIPORTERMIA 5 2
55 FORM TINDAKAN FISIOTERAPY 1/2 FOLIO 19 2
56 BK JADWAL PASIEN OPERASI 7 2
57 DAFTAR HARIAN STOK INSTRUMEN 5 1
58 PENGANTAR PA 8 2
59 BLANKO PEMAKAIAN OBAT/ALKES IBS 8 3
60 RESUME MEDIS 11 3
61 BON PERMINTAAN/PEMELIHARAAN PERBAIKAN BARANG 23 1
62 KWITANSI KOP RSI 14 2
63 BK REGESTER MATERNAL 3 1
64 AMPLOP LABORAT 9 2
65 PERMINTAAN LABORAT BPJS 120 50
66 FORM PPI 11 4
67 FORM PENGELOMPOKAN 16 VARIABLE 60 40
68 RUJUK BALIK 21 9
69 SP MELENGKAPI SYARAT BPJS 33 8
70 BLANKO PERMOHONAN TINDAKAN DOKTER/KEPERWATAN 68 29
71 KARTU KONTROL RAWAT JALAN 45 30
72 PERMINTAAN DARAH 10 1
73 PERMOHONAN CUTI 13 1
74 REKAP PERMINTAAN MAKANAN PASIEN BARU 5 0
75 SURAT KETERANGAN KEMATIAN 13 2
76 SURAT RUJUKAN RKP 3 33 4
77 SURAT KETERANGAN SAKIT 19 2
78 SP PENGGUNAAN AMBULANCE 6 1
79 SURAT PERINTAH MONDOK 1/3 FOLIO 29 7
80 SURAT PERINTAH MONDOK 1/2 FOLIO 25 6
STOK AKHIR HARGA SATUAN HARGA TOTAL
937 350.00 327,950.00
0 350.00 -
0 8,500.00 -
10 5,000.00 50,000.00
30 3,000.00 90,000.00
420 1,250.00 525,000.00
14 28,000.00 392,000.00
37 10,000.00 370,000.00
24 10,000.00 240,000.00
67 10,000.00 670,000.00
26 10,000.00 260,000.00
200 3,500.00 700,000.00
600 3,500.00 2,100,000.00
260 5,000.00 1,300,000.00
190 4,500.00 855,000.00
200 1,500.00 300,000.00
270 5,400.00 1,458,000.00
180 6,000.00 1,080,000.00
190 6,000.00 1,140,000.00
12 40,000.00 480,000.00
9 30,000.00 270,000.00
5 126,000.00 630,000.00
12 15,000.00 180,000.00
300 2,500.00 750,000.00
21 13,500.00 283,500.00
0 13,500.00 -
22 13,500.00 297,000.00
0 13,500.00 364,000.00
25 13,500.00 337,500.00
0 13,500.00 -
26 13,500.00 351,000.00
0 13,500.00 337,500.00
0 13,500.00 -
23 13,500.00 310,500.00
6 13,500.00 81,000.00
7 18,000.00 126,000.00
5 18,000.00 90,000.00
1 18,000.00 18,000.00
3 18,000.00 54,000.00
3 18,000.00 54,000.00
3 18,000.00 54,000.00
3 18,000.00 54,000.00
4 18,000.00 72,000.00
3 18,000.00 54,000.00
4 18,000.00 72,000.00
3 18,000.00 54,000.00
3 18,000.00 54,000.00
0 18,000.00 90,000.00
3 18,000.00 54,000.00
3 18,000.00 54,000.00
3 18,000.00 54,000.00
3 18,000.00 54,000.00
3 18,000.00 54,000.00
17 15,000.00 255,000.00
5 25,000.00 125,000.00
4 20,000.00 80,000.00
6 30,000.00 180,000.00
5 30,000.00 150,000.00
8 30,000.00 240,000.00
22 15,000.00 330000
12 5,000.00 60,000.00
2 70,000.00 140,000.00
7 40,000.00 280,000.00
70 10,000.00 700,000.00
7 10,000.00 70,000.00
20 4,500.00 90,000.00
12 8,000.00 96,000.00
25 9,000.00 225,000.00
39 10,000.00 390,000.00
15 10,000.00 150,000.00
9 30,000.00 270,000.00
12 8,000.00 96,000.00
0 15,000.00 75,000.00
11 15,000.00 165,000.00
29 15,000.00 435,000.00
17 8,000.00 136,000.00
5 8,000.00 40,000.00
22 4,000.00 88,000.00
19 8,000.00 152,000.00

22,663,950.00
STOCK CETAKAN
BULAN MEI 2018

NO NAMA BARANG STOK AWAL


1 KARTU PENGGUNAAN O2 937
2 KARTU BARANG 500
3 PURCHASE ORDER 20
4 COPY RESEP 25
5 SP NARKOTIKA 19
6 STIKER DOUBLE CEK 0
7 KARTU CATATAN PEMBERIAN OBAT/ ALKES 44
8 RESEP RAWAT JALAN UMUM 37
9 RESEP INAP UMUM 24
10 RESEP RAWAT JALAN BPJS 127
11 RESEP INAP BPJS 26
12 RESEP TANPA KOP 31
13 MAP RAWAT JALAN 2000
14 MAP RAWAT INAP 800
15 CM BEDAH 440
16 CM IGD 700
18 CM OBSTETRI 270
19 CM UMUM IRNA ANAK 220
20 CM UMUM IRNA 890
21 CM PERINATOLOGI 260
22 CM GYNECOLOGY 150
23 RONTGEN RKP 3 32
24 MAP RONTGEN KECIL 1100
25 REGESTER IGD 4
26 KWITANSI KOP RSI TDK RKP 12
27 KWITANSIKOP RSI RKP 2 17
28 BASIC SET 1/2 FOLIO 22
29 CURETAGE SET 1/2 FOLIO 27
30 LINEN MINOR 1/2 FOLIO 23
31 GB POLIKLINIK BEDAH 1/2 FOLIO 20
32 PLASTIK SET 1/2 FOLIO 26
33 PARTUS SET 1/2 FOLIO 25
34 HETING SET 1/2 FOLIO 20
35 ASKEP KETIDAKEFEKTIFAN POLA NAFAS 6
36 ASKEP DEFISIT PERAWATAN DARI MAKAN 8
37 ASKEP GANGGUAN PERTUKARAN GAS 8
38 ASKEP HARGA DIRI RENDAH SITUASIONAL 8
39 ASKEP KETIDAK EFEKTIFAN KOPING 8
40 ASKEP PENURUNAN CURAH JANTUNG 9
41 ASKEP KONSTIPASI 8
42 ASKEP PERUBAHAN SENTORI/PERSEPSI 9
43 ASKEP DEFISIT PENGETAHUAN DEFINISI 8
44 ASKEP KTDKEFEKTIFAN PERFUSI JARINGAN CEREBRAL 8
45 ASKEP RESIKO CIDERA 8
46 ASKEP GANGGUAN MENELAN 8
47 ASKEP HAMBATAN KOMUNIKASI VERBAL 8
48 ASKEP RESIKO INFEKSI 8
49 ASKEP HIPORTERMIA 8
50 ASKEP CEMAS 5
51 ASKEP DIARE 7
52 ASKEP GANGGUAN POLA TIDUR 6
53 ASKEP GANGGUAN ELIMINASI URINE 5
54 ASKEP INTOLERANSI AKTIVITAS 6
55 ASKEP KTDK EFEKTIFAN BERSIHAN JALAN NAFAS 5
56 ASKEP KTDK SEIMBANGAN NUTRISI KRG DARI KEBUTUHAN TBH 4
57 ASKEP KELEBIHAN VOLUME CAIRAN 7
58 ASKEP NYERI 6
59 ASKEP RESIKO GANGGUAN INTEGRITAS KULIT 9
60 ASKEP RESIKO ASPIRASI FAKTOR RESIKO 7
61 ASKEB HAMIL 2
62 ASKEB BAYI BARU LAHIR 4
63 ASKEB NIFAS FISIOLOGIS 6
54 ASKEB NIFAS PATOLOGIS 6
55 PENGANTAR PA 16
56 BLANKO PEMAKAIAN OBAT / ALKES IBS 15
57 AMPLOP KOP LABORAT 7
58 PERMINTAAN LABORAT BPJS 70
59 BK REGESTER RAWAT INAP LABORAT 9
60 AMPLOP BESAR KOP RSI 12
61 AMPLOP KOP RSI KCL 14
62 AMPLOP COKLAT KOP RSI BSR 300
63 AMPLOP COKLAT KOP RSI KCL 400
64 DISPOSISI 15
65 FORM PPI 22
66 FORM PENGELOMPOKAN 16 VARIABLE 60
67 SP MELENGKAPI SYARAT BPJS 30
68 BLANKO PERMOHONAN TIND,DOKTER /KEPERAWATAN 39
69 ETIKET DIET 30
70 EKG 420
71 KARTU KONTROL RAWAT JALAN 35
72 PERMINTAAN DARAH 19
73 PERMOHONAN CUTI 12
74 RINCIAN GIZI 10
75 RINCIAN VK 11
76 SURAT KENAL LAHIR 13
77 SURAT RUJUKAN RKP 3 29
78 SURAT PERINTAH MONDOK KCL 22
79 SURAT PERINTAH MONDOK BSR 19
80 SURAT PERINTAH MENDAFTAR 20
81 USG 509
CK CETAKAN
AN MEI 2018

PENGELUARAN STOK AKHIR HARGA SATUAN HARGA TOTAL


165 772 350.00 270,200.00
0 0 350.00 175,000.00
0 0 8,500.00 170,000.00
10 15 5,000.00 75,000.00
1 18 18,000.00 324,000.00
0 0 25,000.00 0
25 19 28,000.00 532,000.00
8 29 10,000.00 290,000.00
2 22 10,000.00 220,000.00
65 62 10,000.00 620,000.00
14 12 10,000.00 120,000.00
8 23 4,000.00 92,000.00
1100 900 3,500.00 3,150,000.00
600 200 3,500.00 700,000.00
90 350 4,500.00 1,575,000.00
600 100 1,500.00 150,000.00
70 200 5,400.00 1,080,000.00
100 120 6,000.00 720,000.00
460 430 6,000.00 2,580,000.00
30 230 4,450.00 1,023,500.00
20 30 5,000.00 150,000.00
4 28 15,000.00 420,000.00
300 800 2,500.00 2,000,000.00
1 3 70,000.00 210,000.00
3 9 5,000.00 45,000.00
0 0 7,000.00 119,000.00
0 0 13,500.00 297,000.00
1 26 13,500.00 351,000.00
0 0 13,500.00 310,500.00
1 19 13,500.00 256,500.00
0 0 13,500.00 351,000.00
1 24 13,500.00 324,000.00
2 18 13,500.00 243,000.00
0 0 18,000.00 108,000.00
0 0 18,000.00 144,000.00
0 0 18,000.00 144,000.00
0 0 18,000.00 144,000.00
0 0 18,000.00 144,000.00
0 0 18,000.00 162,000.00
0 0 18,000.00 144,000.00
0 0 18,000.00 162,000.00
0 0 18,000.00 144,000.00
0 0 18,000.00 144,000.00
0 0 18,000.00 144,000.00
0 0 18,000.00 144,000.00
0 0 18,000.00 144,000.00
0 0 18,000.00 144,000.00
0 0 18,000.00 144,000.00
1 4 18,000.00 72,000.00
1 6 18,000.00 108,000.00
1 5 18,000.00 90,000.00
1 4 18,000.00 72,000.00
2 4 18,000.00 72,000.00
1 4 18,000.00 72,000.00
1 3 18,000.00 54,000.00
1 6 18,000.00 108,000.00
1 5 18,000.00 90,000.00
1 8 18,000.00 144,000.00
1 6 18,000.00 108,000.00
0 0 18,000.00 36,000.00
0 0 18,000.00 72,000.00
0 0 18,000.00 108,000.00
1 5 18,000.00 90,000.00
0 0 30,000.00 480,000.00
2 13 30,000.00 390,000.00
2 5 40,000.00 200,000.00
55 15 10,000.00 150,000.00
0 0 12,000.00 108,000.00
7 5 40,000.00 200,000.00
3 11 35,000.00 385,000.00
0 0 1,000.00 300,000.00
100 300 500.00 150,000.00
2 13 12,600.00 163,800.00
3 19 18,000.00 342,000.00
30 30 4,500.00 135,000.00
15 15 9,000.00 135,000.00
19 20 10,000.00 200,000.00
15 15 3,000.00 45,000.00
30 390 1,250.00 487,500.00
0 0 10,000.00 350,000.00
5 15 30,000.00 450,000.00
1 11 8,000.00 88,000.00
1 9 3,000.00 27,000.00
1 10 8,000.00 80,000.00
1 12 8,000.00 96,000.00
1 28 15,000.00 420,000.00
10 12 4,500.00 54,000.00
3 16 8,000.00 128,000.00
0 0 4,500.00 90,000.00
100 409 1,250.00 511,250.00

28,565,250.00
STOCK CETAKAN
BULAN JUNI 2018

NO NAMA BARANG STOK AWAL


1 KARTU PENGGUNAAN O2 1772
2 KARTU BARANG 0
3 PURCHASE ORDER 0
4 COPY RESEP 0
5 SURAT PESANAN UMUM 0
6 RESEP TANPA KOP RSI 0
7 KARTU CATATAN PEMBERIAN OBAT/ ALKES 49
8 RESEP RAWAT JALAN UMUM 32
9 RESEP INAP UMUM 52
10 RESEP RAWAT JALAN BPJS 92
11 RESEP INAP BPJS 53
12 MAP RAWAT INAP 1200
13 MAP RAWAT JALAN 1200
14 CM CURETAGE 0
15 CM PERINATOLOGI 230
16 CM GYNEKOLOGI 0
18 CM BEDAH 350
19 CM IGD 600
20 CM OBSTETRI 200
21 CM UMUM IRNA ANAK 420
22 CM UMUM IRNA UMUM DWS 430
23 RONTGEN RKP 3 28
24 MAP RONTGEN KECIL 800
25 BUKU REGESTER IGD 3
26 LINEN BESAR 1/2 FOLIO 21
27 GB SET 1/2 FOLIO 15
28 BASIC SET 1/2 FOLIO 22
29 CURETAGE SET 1/2 FOLIO 27
30 NAME SET /KOSONG 1/2 FOLIO 25
31 GB POLIKLINIK BEDAH 1/2 FOLIO 19
32 PLASTIK SET 1/2 FOLIO 0
33 PARTUS SET 1/2 FOLIO 25
34 HETING SET 1/2 FOLIO 18
35 FORM TINDAKAN FISIOTERAPI 17
36 FORM KLAIM RAWAT JALAN FISIOTERAPI 8
37 PEMERIKSAAN FISIOTERAPI 1/3 F 15
38 AMLOP LABORAT 5
39 PERMINTAAN LABORAT RKP 2 75
40 DISPOSISI 13
41 FORM PPI 19
42 SP MELENGKAPI SYARAT BPJS 35
43 FORM PENGELOMPOKAN 16 VARIABLE 30
44 BLANKO PERMOHONAN TINDAKAN DOKTER/PERAWAT 40
45 ETIKET DIET 1/6 FOLIO 15
46 EKG 890
47 PERMINTAAN DARAH 15
48 STRUK GAJI 31
49 PERMOHONAN CUTI 11
50 SURAT KENAL LAHIR 12
51 SURAT RUJUKAN RKP 3 28
52 SURAT KETERANGAN SAKIT 17
53 SURAT KETERANGAN DOKTER 14
54 SURAT PERINTAH MONDOK 1/4 FOLIO 15
55 SURAT PERINTAH MONDOK 1/2 FOLIO 16
56 USG 909
57 ASKEB HAMIL 2
58 ASKEB BBL 4
59 ASKEB NIFAS FISIOLOGIS 6
60 ASKEB NIFAS PATOLOGIS 6
61 ASKEP CEMAS 0
62 ASKEP DIARE 0
63 ASKEP GANGGUAN POLA TIDUR 0
64 ASKEP GANGGUAN ELIMINASI URINE 0
65 ASKEP HIPERTERMIA 7
66 ASKEP MOBILITAS FISIK 0
67 ASKEP INTOLERANSI AKTIVITAS 4
68 ASKEP KETIDAK EFEKTIFAN BERSIHAN JALAN NAFAs 0
69 ASKEP KETDK SEIMBANGAN NUTRISI KRG DR KEBUTUHAN TUBUH 0
70 ASKEP KELEBIHAN VOLUME CAIRAN 0
71 ASKEP NYERI 5
72 ASKEP NAUSEA 0
73 ASKEP PERUBAHAN NUTRISI LEBIH DR KEBUUTHAN 0
74 ASKEP RESIKO GANGGUAN INTEGRITAS KULIT 0
75 ASKEP RESIKO ASPIRASI FAKTOR RESIKO 0
76 ASKEP KETIDAK EFEKTIFAN POLA NAFAS 0
77 ASKEP DEFISIT PERAWATAN DARI MAKAN 0
78 ASKEP GANGGUAN PERTUKARAN GAS 0
79 ASKEP HARGA DIRI RENDAH SITUASIONAL 0
80 ASKEP KETIDAK EFEKTIFAN KOPING 0
81 ASKEP PENURUNAN CURAH JANTUNG 0
82 ASKEP KONSTIPASI 0
83 ASKEP PERUBAHAN SENTORI / PERSEPSI 0
84 ASKEP DEFISIT PENGETAHUAN DEFINISI 0
85 ASKEP KETIDAK EFEKTIFAN PERFUSI JARINGAN CEREBRAL 0
86 ASKEP RESIKO CIDERA 0
87 ASKEP GANGGUAN MENELAN 0
88 ASKEP HAMBATAN KOMUNIKASI VERBAL 0
89 ASKEP RESIKO INFEKSI 0
90 ASKEP HIPERTERMIA 0
91 AMLOP KOP RSI BESAR 7
92 AMPLOP KOP RSI KECIL 11
93 AMPLOP COKLAT KOP RSI 0
94 LABEL / STIKER ANGKA RM 10
95 HVS KOP RSI 80 GSM 0
TAKAN
NI 2018

PENGELUARAN STOK AKHIR HARGA SATUAN HARGA TOTAL


128 1644 350.00 575,400.00
0 0 350.00 -
0 0 8,500.00 -
0 0 5,000.00 -
0 0 3,000.00 -
0 0 4,000.00 -
27 22 28,000.00 616,000.00
30 2 10,000.00 20,000.00
10 42 10,000.00 420,000.00
43 49 10,000.00 490,000.00
20 33 10,000.00 330,000.00
700 500 3,500.00 1,750,000.00
900 300 3,500.00 1,050,000.00
0 0 2,500.00 -
60 170 4,450.00 756,500.00
0 0 5,000.00 -
70 280 5,400.00 1,512,000.00
400 200 1,500.00 300,000.00
60 140 5,400.00 756,000.00
50 370 6,000.00 2,220,000.00
430 0 6,000.00 -
6 22 15,000.00 330,000.00
200 600 2,500.00 1,500,000.00
3 0 75,000.00 -
2 19 13,500.00 256,500.00
4 11 13,500.00 148,500.00
2 20 13,500.00 270,000.00
1 26 13,500.00 351,000.00
1 24 13,500.00 324,000.00
2 17 13,500.00 229,500.00
0 0 13,500.00 -
1 24 13,500.00 324,000.00
2 16 13,500.00 216,000.00
2 15 13,500.00 202,500.00
4 4 17,500.00 70,000.00
5 10 5,000.00 50,000.00
2 3 40,000.00 120,000.00
28 47 10,000.00 470,000.00
2 11 12,600.00 138,600.00
1 18 18,000.00 324,000.00
8 27 10,000.00 270,000.00
20 10 4,500.00 45,000.00
19 21 10,000.00 210,000.00
5 10 3,000.00 30,000.00
100 790 1,250.00 987,500.00
4 11 30,000.00 330,000.00
10 21 3,000.00 63,000.00
1 10 8,000.00 80,000.00
2 10 8,000.00 80,000.00
6 22 15,000.00 330,000.00
3 14 8,000.00 112,000.00
2 12 8,000.00 96,000.00
12 3 4,500.00 13,500.00
9 7 8,000.00 56,000.00
209 700 1,250.00 875,000.00
1 1 18,000.00 18,000.00
1 3 18,000.00 54,000.00
1 5 18,000.00 90,000.00
1 5 18,000.00 90,000.00
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
1 6 18,000.00 108,000.00
0 0 18,000.00 0
1 3 18,000.00 54,000.00
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
2 3 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
0 0 18,000.00 0
4 3 40,000.00 120,000.00
4 7 30,000.00 210,000.00
0 0 1,000.00 -
10 0 25,000.00 -
0 0 126,000.00 0

20,442,500.00