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PUSKESMAS IODIUM TEST DENGUE Ns1 Ag + IgM/IgM Ab

10,000.00 JUMLAH TOTAL 3,826,625.00


PURWODADI 13 130,000.00 130,000.00 1
NONGKOJAJAR 8 80,000.00 80,000.00
SUMBERPITU 4 40,000.00 40,000.00
PUSPO 7 70,000.00 70,000.00
TOSARI 8 80,000.00 80,000.00
LUMBANG 12 120,000.00 120,000.00
PASREPAN 17 170,000.00 170,000.00 1
KEJAYAN 17 170,000.00 170,000.00 1
AMBAL AMBIL 8 80,000.00 80,000.00
WONOREJO 15 150,000.00 150,000.00 1
PURWOSARI 11 110,000.00 110,000.00 1
KARANGREJO 4 40,000.00 40,000.00
PRIGEN 8 80,000.00 80,000.00
BULUKANDANG 6 60,000.00 60,000.00
SUKOREJO 19 190,000.00 190,000.00 1
PANDAAN 12 120,000.00 120,000.00 1
SEBANI 6 60,000.00 60,000.00 1
GEMPOL 9 90,000.00 90,000.00 1
KEPULUNGAN 6 60,000.00 60,000.00 1
BEJI 14 140,000.00 140,000.00 2
BANGIL 7 70,000.00 70,000.00 2
RACI 8 80,000.00 80,000.00 1
REMBANG 17 170,000.00 170,000.00 1
KRATON 12 120,000.00 120,000.00
NGEMPIT 13 130,000.00 130,000.00 1
POHJENTREK 9 90,000.00 90,000.00 1
GONDANGWETAN 20 200,000.00 200,000.00 1
REJOSO 16 160,000.00 160,000.00 1
WINONGAN 18 180,000.00 180,000.00 1
GRATI 9 90,000.00 90,000.00 1
KEDAWUNG WETAN 6 60,000.00 60,000.00 1
LEKOK 11 110,000.00 110,000.00 1
NGULING 15 150,000.00 150,000.00 1
UPTD LAB DINKES - -
POPPK - -
RSUD BANGIL - -
DINKES - -
JUMLAH KUANTITAS 365 3,650,000.00 3,650,000.00 25
JUMLAH HARGA 3,650,000.00 - 3,650,000.00 95,665,625.00
BAHAN KIMIA

NGUE Ns1 Ag + IgM/IgM Ab LEPTOSPIRA IgG/IgM Rapid CHIKUNGUNYA IgM Card

JUMLAH 2,541,000.00 JUMLAH 2,519,000.00 JUMLAH


3,826,625.00 - -
- - -
- - -
- - -
- - -
- - -
3,826,625.00 - -
3,826,625.00 - -
- - -
3,826,625.00 - -
3,826,625.00 - -
- - -
- - -
- - -
3,826,625.00 - -
3,826,625.00 - -
3,826,625.00 - -
3,826,625.00 1 2,541,000.00 -
3,826,625.00 - -
7,653,250.00 1 2,541,000.00 -
7,653,250.00 - -
3,826,625.00 1 2,541,000.00 -
3,826,625.00 - -
- - -
3,826,625.00 - -
3,826,625.00 - -
3,826,625.00 1 2,541,000.00 -
3,826,625.00 1 2,541,000.00 -
3,826,625.00 1 2,541,000.00 -
3,826,625.00 - -
3,826,625.00 1 2,541,000.00 -
3,826,625.00 - -
3,826,625.00 - -
- - -
- - -
- - -
- - 1 2,519,000.00
95,665,625.00 7 17,787,000.00 1 2,519,000.00
- 17,787,000.00 - 2,519,000.00 -
BAHAN KIMIA

ABATE DOMINEX

TOTAL 110,000.00 JUMLAH 350,000.00 JUMLAH


3,826,625.00 25 2,750,000.00 -
- - -
- - -
- - -
- - -
- - -
3,826,625.00 - -
3,826,625.00 25 2,750,000.00 -
- - -
3,826,625.00 - -
3,826,625.00 25 2,750,000.00 -
- - -
- - -
- - -
3,826,625.00 - 20 7,000,000.00
3,826,625.00 - -
3,826,625.00 - -
6,367,625.00 - -
3,826,625.00 - -
10,194,250.00 - -
7,653,250.00 - -
6,367,625.00 - -
3,826,625.00 - -
- - -
3,826,625.00 - -
3,826,625.00 20 2,200,000.00 20 7,000,000.00
6,367,625.00 - -
6,367,625.00 - -
6,367,625.00 - -
3,826,625.00 - -
6,367,625.00 - -
3,826,625.00 - -
3,826,625.00 - -
- - -
- - -
- - -
2,519,000.00 - -
115,971,625.00 95 10,450,000.00 40 14,000,000.00
115,971,625.00 10,450,000.00 - 14,000,000.00 -
ROCHANTION DOMINEX

181,000.00 JUMLAH 333,000.00 JUMLAH TOTAL


- - 2,750,000.00
- - -
- - -
- - -
- - -
- - -
20 3,620,000.00 - 3,620,000.00
- - 2,750,000.00
- - -
10 1,810,000.00 - 1,810,000.00
25 4,525,000.00 - 7,275,000.00
- - -
- - -
- - -
- - 7,000,000.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
20 3,620,000.00 - 3,620,000.00
- - 9,200,000.00
- - -
- - -
15 2,715,000.00 - 2,715,000.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 3 999,000.00 999,000.00
90 16,290,000.00 3 999,000.00 41,739,000.00
16,290,000.00 - 999,000.00 - 41,739,000.00
REAGENT 5 VIAL KARTU INDIKATOR PROTEIN URINE TEST

ALL KIMIA 330,000.00 JUMLAH 35,000.00 JUMLAH 1,650.00


6,706,625.00 5 1,650,000.00 - 446
80,000.00 2 660,000.00 - 233
40,000.00 1 330,000.00 1 35,000.00 115
70,000.00 2 660,000.00 1 35,000.00 183
80,000.00 2 660,000.00 1 35,000.00 123
120,000.00 2 660,000.00 - 223
7,616,625.00 3 990,000.00 - 339
6,746,625.00 3 990,000.00 - 300
80,000.00 2 660,000.00 1 35,000.00 133
5,786,625.00 4 1,320,000.00 - 383
11,211,625.00 5 1,650,000.00 - 393
40,000.00 2 660,000.00 1 35,000.00 140
80,000.00 3 990,000.00 - 555
60,000.00 2 660,000.00 1 35,000.00 479
11,016,625.00 6 1,980,000.00 - 238
3,946,625.00 5 1,650,000.00 - 504
3,886,625.00 2 660,000.00 1 35,000.00 238
6,457,625.00 5 1,650,000.00 - 505
3,886,625.00 3 990,000.00 1 35,000.00 336
10,334,250.00 5 1,650,000.00 - 458
7,723,250.00 3 990,000.00 - 306
6,447,625.00 2 660,000.00 1 35,000.00 267
3,996,625.00 4 1,320,000.00 - 413
120,000.00 3 990,000.00 - 290
7,576,625.00 3 990,000.00 - 315
13,116,625.00 2 660,000.00 - 193
6,567,625.00 4 1,320,000.00 - 359
6,527,625.00 3 990,000.00 - 297
9,262,625.00 3 990,000.00 - 281
3,916,625.00 3 990,000.00 - 302
6,427,625.00 2 660,000.00 1 35,000.00 200
3,936,625.00 5 1,650,000.00 - 477
3,976,625.00 3 990,000.00 - 376
- - -
- - -
- - -
3,518,000.00 - -
161,360,625.00 104 34,320,000 10 350,000 10,400
34,320,000.00 - 350,000.00 - 17,160,000.00
PROTEIN URINE TEST PP TEST STIK HB

JUMLAH 1,380.00 JUMLAH 165,000.00 JUMLAH TOTAL


735,900.00 446 615,480.00 7 1,155,000.00 4,156,380.00
384,450.00 233 321,540.00 7 1,155,000.00 2,520,990.00
189,750.00 115 158,700.00 4 660,000.00 1,373,450.00
301,950.00 183 252,540.00 6 990,000.00 2,239,490.00
202,950.00 123 169,740.00 7 1,155,000.00 2,222,690.00
367,950.00 223 307,740.00 11 1,815,000.00 3,150,690.00
559,350.00 339 467,820.00 16 2,640,000.00 4,657,170.00
495,000.00 300 414,000.00 16 2,640,000.00 4,539,000.00
219,450.00 133 183,540.00 7 1,155,000.00 2,252,990.00
631,950.00 383 528,540.00 14 2,310,000.00 4,790,490.00
648,450.00 393 542,340.00 10 1,650,000.00 4,490,790.00
231,000.00 140 193,200.00 4 660,000.00 1,779,200.00
915,750.00 555 765,900.00 7 1,155,000.00 3,826,650.00
790,350.00 479 661,020.00 6 990,000.00 3,136,370.00
392,700.00 238 328,440.00 18 2,970,000.00 5,671,140.00
831,600.00 504 695,520.00 12 1,980,000.00 5,157,120.00
392,700.00 238 328,440.00 5 825,000.00 2,241,140.00
833,250.00 505 696,900.00 9 1,485,000.00 4,665,150.00
554,400.00 336 463,680.00 6 990,000.00 3,033,080.00
755,700.00 458 632,040.00 13 2,145,000.00 5,182,740.00
504,900.00 306 422,280.00 7 1,155,000.00 3,072,180.00
440,550.00 267 368,460.00 5 825,000.00 2,329,010.00
681,450.00 413 569,940.00 16 2,640,000.00 5,211,390.00
478,500.00 290 400,200.00 11 1,815,000.00 3,683,700.00
519,750.00 315 434,700.00 11 1,815,000.00 3,759,450.00
318,450.00 193 266,340.00 9 1,485,000.00 2,729,790.00
592,350.00 359 495,420.00 19 3,135,000.00 5,542,770.00
490,050.00 297 409,860.00 15 2,475,000.00 4,364,910.00
463,650.00 281 387,780.00 17 2,805,000.00 4,646,430.00
498,300.00 302 416,760.00 6 990,000.00 2,895,060.00
330,000.00 200 276,000.00 5 825,000.00 2,126,000.00
787,050.00 477 658,260.00 11 1,815,000.00 4,910,310.00
620,400.00 376 518,880.00 14 2,310,000.00 4,439,280.00
- - - -
- - - -
- - - -
- - - -
17,160,000 10,400 14,352,000 331 54,615,000 120,797,000
- 14,352,000.00 - 54,615,000.00 -
ALKOHOL 70% 1 Lt TABUNG DARAH 3 cc VENOJECT 5 ml NON EDTA

44,000.00 JUMLAH 3,300.00 JUMLAH 3,300.00


- -
12 528,000.00 150 495,000.00 150
5 220,000.00 50 165,000.00 50
6 264,000.00 100 330,000.00 100
12 528,000.00 150 495,000.00 150
- -
5 220,000.00 50 165,000.00 50
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
40 1,760,000.00 500 1,650,000.00 500
1,760,000.00 - 1,650,000.00 - 1,650,000.00
ENOJECT 5 ml NON EDTA HANDSCOON LATEX KANTONG PLASTIK HITAM BESAR

JUMLAH 50,050.00 JUMLAH 24,200.00 JUMLAH


- - -
495,000.00 20 1,001,000.00 12 290,400.00
165,000.00 5 250,250.00 5 121,000.00
330,000.00 10 500,500.00 6 145,200.00
495,000.00 20 1,001,000.00 12 290,400.00
- - -
165,000.00 5 250,250.00 5 121,000.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
1,650,000.00 60 3,003,000.00 40 968,000.00
- 3,003,000.00 - 968,000.00 -
KAPAS 100 gr KERTAS LABEL TISSU GULUNG

13,200.00 JUMLAH 4,950.00 JUMLAH 2,750.00


- -
20 264,000.00 13 64,350.00 25
5 66,000.00 4 19,800.00 15
10 132,000.00 10 49,500.00 20
20 264,000.00 13 64,350.00 25
- -
5 66,000.00 5 24,750.00 15
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
60 792,000.00 45 222,750.00 100
792,000.00 - 222,750.00 - 275,000.00
TISSU GULUNG MASKER PENGAWET (NACL)

JUMLAH 30,800.00 JUMLAH 7,700.00 JUMLAH


- - -
68,750.00 10 308,000.00 10 77,000.00
41,250.00 3 92,400.00 3 23,100.00
55,000.00 4 123,200.00 4 30,800.00
68,750.00 10 308,000.00 10 77,000.00
- - -
41,250.00 3 92,400.00 3 23,100.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
275,000.00 30 924,000.00 30 231,000.00
- 924,000.00 - 231,000.00 -
ALKES

SABUN CUCI TANGAN BOTOL SERUM SELOTIP

13,200.00 JUMLAH 2,200.00 JUMLAH 5,500.00


- -
15 198,000.00 1250 2,750,000.00 10
5 66,000.00 500 1,100,000.00 5
10 132,000.00 500 1,100,000.00 6
15 198,000.00 1250 2,750,000.00 10
- -
5 66,000.00 500 1,100,000.00 5
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
50 660,000.00 4000 8,800,000.00 36
660,000.00 - 8,800,000.00 - 198,000.00
SELOTIP CARBOL SPUIT 3cc

JUMLAH 19,250.00 JUMLAH 1,650.00 JUMLAH


- - -
55,000.00 3 57,750.00 500 825,000.00
27,500.00 1 19,250.00 150 247,500.00
33,000.00 2 38,500.00 200 330,000.00
55,000.00 3 57,750.00 500 825,000.00
- - -
27,500.00 1 19,250.00 150 247,500.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
198,000.00 10 192,500.00 1500 2,475,000.00
- 192,500.00 - 2,475,000.00 -
DETERGENT BUBUK 900 gr PIPET PLASTIK

20,350.00 JUMLAH 16,500.00 JUMLAH TOTAL


- - -
5 101,750.00 5 82,500.00 7,661,500.00
2 40,700.00 2 33,000.00 2,697,750.00
3 61,050.00 3 49,500.00 3,704,250.00
5 101,750.00 5 82,500.00 7,661,500.00
- - -
2 40,700.00 2 33,000.00 2,702,700.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
17 345,950.00 17 280,500.00 24,427,700.00
345,950.00 - 280,500.00 - 24,427,700.00
PAKET ALAT DETEKSI RESIKO PAKET ALAT DETEKSI RESIKO
KEHAMILAN (ADRK) ONEMED KEHAMILAN (ADRK) ANTI A, B, AB & O

522,083.00 JUMLAH 422,980.00 JUMLAH TOTAL


5 2,610,415.00 5 2,114,900.00 4,725,315.00
3 1,566,249.00 3 1,268,940.00 2,835,189.00
1 522,083.00 1 422,980.00 945,063.00
2 1,044,166.00 2 845,960.00 1,890,126.00
2 1,044,166.00 2 845,960.00 1,890,126.00
3 1,566,249.00 3 1,268,940.00 2,835,189.00
4 2,088,332.00 4 1,691,920.00 3,780,252.00
3 1,566,249.00 3 1,268,940.00 2,835,189.00
2 1,044,166.00 2 845,960.00 1,890,126.00
4 2,088,332.00 4 1,691,920.00 3,780,252.00
4 2,088,332.00 4 1,691,920.00 3,780,252.00
1 522,083.00 1 422,980.00 945,063.00
3 1,566,249.00 3 1,268,940.00 2,835,189.00
3 1,566,249.00 3 1,268,940.00 2,835,189.00
5 2,610,415.00 5 2,114,900.00 4,725,315.00
5 2,610,415.00 5 2,114,900.00 4,725,315.00
3 1,566,249.00 3 1,268,940.00 2,835,189.00
5 2,610,415.00 5 2,114,900.00 4,725,315.00
3 1,566,249.00 3 1,268,940.00 2,835,189.00
6 3,132,498.00 6 2,537,880.00 5,670,378.00
3 1,566,249.00 3 1,268,940.00 2,835,189.00
3 1,566,249.00 3 1,268,940.00 2,835,189.00
4 2,088,332.00 4 1,691,920.00 3,780,252.00
3 1,566,249.00 3 1,268,940.00 2,835,189.00
3 1,566,249.00 3 1,268,940.00 2,835,189.00
2 1,044,166.00 2 845,960.00 1,890,126.00
4 2,088,332.00 4 1,691,920.00 3,780,252.00
3 1,566,249.00 3 1,268,940.00 2,835,189.00
3 1,566,249.00 3 1,268,940.00 2,835,189.00
3 1,566,249.00 3 1,268,940.00 2,835,189.00
2 1,044,166.00 2 845,960.00 1,890,126.00
5 2,610,415.00 5 2,114,900.00 4,725,315.00
4 2,088,332.00 4 1,691,920.00 3,780,252.00
- - -
- - -
- - -
- - -
109 56,907,047.00 109 46,104,820.00 103,011,867.00
56,907,047.00 - 46,104,820.00 - 103,011,867.00
PAKET LANSIA KIT GDA STICK URIC ACID STICK

4,179,505.00 JUMLAH
-
-
-
-
-
-
-
1 4,179,505.00
-
-
1 4,179,505.00
-
-
-
-
1 4,179,505.00
-
-
2 8,359,010.00
2 8,359,010.00
-
-
-
-
-
-
-
2 8,359,010.00
-
-
1 4,179,505.00
-
2 8,359,010.00
-
-
-
-
12 50,154,060.00
50,154,060.00 -
URIC ACID STICK GCU (ALAT PEMERIKSAAN GLUCOSE,
BAHAN PRAKTEK

POSYANDU KIT KOMPRESOR+SPRAYER

ALL ALKES 1,450,000.00 JUMLAH 3,630,000.00 JUMLAH


8,881,695.00 3 4,350,000.00 -
13,017,679.00 2 2,900,000.00 1 3,630,000.00
5,016,263.00 2 2,900,000.00 1 3,630,000.00
7,833,866.00 2 2,900,000.00 1 3,630,000.00
11,774,316.00 2 2,900,000.00 1 3,630,000.00
5,985,879.00 2 2,900,000.00 -
11,140,122.00 3 4,350,000.00 1 3,630,000.00
11,553,694.00 2 2,900,000.00 -
4,143,116.00 2 2,900,000.00 -
8,570,742.00 3 4,350,000.00 -
12,450,547.00 3 4,350,000.00 -
2,724,263.00 2 2,900,000.00 -
6,661,839.00 3 4,350,000.00 -
5,971,559.00 2 2,900,000.00 -
10,396,455.00 3 4,350,000.00 -
14,061,940.00 3 4,350,000.00 -
5,076,329.00 2 2,900,000.00 -
9,390,465.00 2 2,900,000.00 -
14,227,279.00 2 2,900,000.00 -
19,212,128.00 3 4,350,000.00 -
5,907,369.00 3 4,350,000.00 -
5,164,199.00 2 2,900,000.00 -
8,991,642.00 3 4,350,000.00 -
6,518,889.00 2 2,900,000.00 -
6,594,639.00 2 2,900,000.00 -
4,619,916.00 3 4,350,000.00 -
9,323,022.00 3 4,350,000.00 -
15,559,109.00 3 4,350,000.00 -
7,481,619.00 3 4,350,000.00 -
5,730,249.00 2 2,900,000.00 -
8,195,631.00 2 2,900,000.00 -
9,635,625.00 3 4,350,000.00 -
16,578,542.00 3 4,350,000.00 -
- - -
- - -
- - -
- 1 1,450,000.00 -
298,390,627.00 83 120,350,000 5 18,150,000.00
120,350,000.00 - 18,150,000.00 -
PERALAT

KANTONG TIKUS JAKET JAS HUJAN

11,000.00 JUMLAH 220,000.00 JUMLAH 137,500.00


- -
100 1,100,000.00 8 1,760,000.00 8.00
25 275,000.00 3 660,000.00 3.00
50 550,000.00 4 880,000.00 4.00
100 1,100,000.00 7 1,540,000.00 7.00
- -
25 275,000.00 3 660,000.00 3.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
300 3,300,000.00 25 5,500,000.00 25
3,300,000.00 - 5,500,000.00 - 3,437,500.00
PERALATAN

JAS HUJAN TAS KERJA EMBER PUTIH

JUMLAH 110,000.00 JUMLAH 93,500.00 JUMLAH


- - -
1,100,000.00 8.00 880,000.00 2.00 187,000.00
412,500.00 3.00 330,000.00 1.00 93,500.00
550,000.00 4.00 440,000.00 1.00 93,500.00
962,500.00 7.00 770,000.00 2.00 187,000.00
- - -
412,500.00 3.00 330,000.00 1.00 93,500.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
3,437,500.00 25 2,750,000.00 7 654,500.00
- 2,750,000.00 - 654,500.00 -
ASPIRATOR RAK TABUNG

110,000.00 JUMLAH 38,500.00 JUMLAH TOTAL


- - -
2.00 220,000.00 2 77,000.00 8,954,000.00
1.00 110,000.00 1 38,500.00 5,549,500.00
1.00 110,000.00 1 38,500.00 6,292,000.00
2.00 220,000.00 2 77,000.00 8,486,500.00
- - -
1.00 110,000.00 1 38,500.00 5,549,500.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
7 770,000.00 7 269,500.00 1,039,500.00
770,000.00 - 269,500.00 - 34,831,500.00
SEMBAKO

NUTRIEN JUNIOR LACTAMIL

123,299.00 JUMLAH 36,168.00 JUMLAH TOTAL


60.00 7,397,940.00 135.00 4,882,680.00 12,280,620.00
60.00 7,397,940.00 135.00 4,882,680.00 12,280,620.00
48.00 5,918,352.00 90.00 3,255,120.00 9,173,472.00
60.00 7,397,940.00 135.00 4,882,680.00 12,280,620.00
48.00 5,918,352.00 135.00 4,882,680.00 10,801,032.00
48.00 5,918,352.00 180.00 6,510,240.00 12,428,592.00
60.00 7,397,940.00 180.00 6,510,240.00 13,908,180.00
60.00 7,397,940.00 135.00 4,882,680.00 12,280,620.00
60.00 7,397,940.00 135.00 4,882,680.00 12,280,620.00
48.00 5,918,352.00 135.00 4,882,680.00 10,801,032.00
60.00 7,397,940.00 180.00 6,510,240.00 13,908,180.00
60.00 7,397,940.00 90.00 3,255,120.00 10,653,060.00
84.00 10,357,116.00 135.00 4,882,680.00 15,239,796.00
60.00 7,397,940.00 135.00 4,882,680.00 12,280,620.00
60.00 7,397,940.00 135.00 4,882,680.00 12,280,620.00
60.00 7,397,940.00 135.00 4,882,680.00 12,280,620.00
60.00 7,397,940.00 135.00 4,882,680.00 12,280,620.00
- - - - -
48.00 5,918,352.00 135.00 4,882,680.00 10,801,032.00
48.00 5,918,352.00 135.00 4,882,680.00 10,801,032.00
60.00 7,397,940.00 135.00 4,882,680.00 12,280,620.00
48.00 5,918,352.00 135.00 4,882,680.00 10,801,032.00
48.00 5,918,352.00 135.00 4,882,680.00 10,801,032.00
60.00 7,397,940.00 135.00 4,882,680.00 12,280,620.00
48.00 5,918,352.00 135.00 4,882,680.00 10,801,032.00
60.00 7,397,940.00 135.00 4,882,680.00 12,280,620.00
84.00 10,357,116.00 180.00 6,510,240.00 16,867,356.00
84.00 10,357,116.00 180.00 6,510,240.00 16,867,356.00
60.00 7,397,940.00 180.00 6,510,240.00 13,908,180.00
84.00 10,357,116.00 135.00 4,882,680.00 15,239,796.00
48.00 5,918,352.00 90.00 3,255,120.00 9,173,472.00
84.00 10,357,116.00 180.00 6,510,240.00 16,867,356.00
60.00 7,397,940.00 135.00 4,882,680.00 12,280,620.00
- - -
- - -
- - -
- - -
1,920 236,734,080 4,500 162,756,000 399,490,080
236,734,080.00 - 162,756,000.00 - 399,490,080.00
TALI ASIH, CINDERAMATA, HADIAH dan PIAGAM

1 PAKET PSG NASIONAL HANDUK & TAS REGISTER KUNJUNGAN BUKU BARANG 9 MODEL

12850 JUMLAH 74,800.00 JUMLAH 564,300.00


40 514,000.00 9 673,200.00 1
- 7 523,600.00 1
20 257,000.00 6 448,800.00 1
- 6 448,800.00 1
20 257,000.00 6 448,800.00 1
- 7 523,600.00 1
20 257,000.00 9 673,200.00 1
20 257,000.00 7 523,600.00 1
- 6 448,800.00 1
40 514,000.00 6 448,800.00 1
- 9 673,200.00 1
20 257,000.00 6 448,800.00 1
20 257,000.00 9 673,200.00 1
20 257,000.00 6 448,800.00 1
20 257,000.00 9 673,200.00 1
40 514,000.00 9 673,200.00 1
- 6 448,800.00 1
40 514,000.00 9 673,200.00 1
20 257,000.00 6 448,800.00 1
20 257,000.00 9 673,200.00 1
20 257,000.00 9 673,200.00 1
20 257,000.00 6 448,800.00 1
20 257,000.00 9 673,200.00 1
20 257,000.00 7 523,600.00 1
20 257,000.00 9 673,200.00 1
20 257,000.00 7 523,600.00 1
20 257,000.00 9 673,200.00 1
20 257,000.00 7 523,600.00 1
- 7 523,600.00 1
40 514,000.00 9 673,200.00 1
- 6 448,800.00 1
20 257,000.00 9 673,200.00 1
20 257,000.00 9 673,200.00 1
- - 1
- -
- -
- -
600 7,710,000 250 18,700,000.00 34
7,710,000.00 - 18,700,000.00 - 19,186,200.00
BUKU PENCATATAN STOK
BUKU BARANG 9 MODEL BUKU PENCATATAN STOK VAKSIN PELARUT VAKSIN

JUMLAH TOTAL 82,500.00 JUMLAH 82,500.00 JUMLAH


564,300.00 1,237,500.00 3 247,500.00 3 247,500.00
564,300.00 1,087,900.00 3 247,500.00 2 165,000.00
564,300.00 1,013,100.00 1 82,500.00 2 165,000.00
564,300.00 1,013,100.00 3 247,500.00 2 165,000.00
564,300.00 1,013,100.00 3 247,500.00 2 165,000.00
564,300.00 1,087,900.00 3 247,500.00 2 165,000.00
564,300.00 1,237,500.00 3 247,500.00 3 247,500.00
564,300.00 1,087,900.00 3 247,500.00 3 247,500.00
564,300.00 1,013,100.00 3 247,500.00 3 247,500.00
564,300.00 1,013,100.00 3 247,500.00 3 247,500.00
564,300.00 1,237,500.00 3 247,500.00 3 247,500.00
564,300.00 1,013,100.00 1 82,500.00 2 165,000.00
564,300.00 1,237,500.00 3 247,500.00 2 165,000.00
564,300.00 1,013,100.00 3 247,500.00 2 165,000.00
564,300.00 1,237,500.00 3 247,500.00 3 247,500.00
564,300.00 1,237,500.00 3 247,500.00 3 247,500.00
564,300.00 1,013,100.00 3 247,500.00 2 165,000.00
564,300.00 1,237,500.00 3 247,500.00 3 247,500.00
564,300.00 1,013,100.00 3 247,500.00 2 165,000.00
564,300.00 1,237,500.00 3 247,500.00 3 247,500.00
564,300.00 1,237,500.00 3 247,500.00 3 247,500.00
564,300.00 1,013,100.00 3 247,500.00 2 165,000.00
564,300.00 1,237,500.00 3 247,500.00 3 247,500.00
564,300.00 1,087,900.00 1 82,500.00 2 165,000.00
564,300.00 1,237,500.00 3 247,500.00 2 165,000.00
564,300.00 1,087,900.00 3 247,500.00 2 165,000.00
564,300.00 1,237,500.00 3 247,500.00 3 247,500.00
564,300.00 1,087,900.00 3 247,500.00 3 247,500.00
564,300.00 1,087,900.00 3 247,500.00 3 247,500.00
564,300.00 1,237,500.00 1 82,500.00 2 165,000.00
564,300.00 1,013,100.00 3 247,500.00 2 165,000.00
564,300.00 1,237,500.00 3 247,500.00 4 330,000.00
564,300.00 1,237,500.00 3 247,500.00 4 330,000.00
564,300.00 564,300.00 - -
- - 3 247,500.00 6 495,000.00
- - 5 412,500.00 4 330,000.00
- - 1 82,500.00 5 412,500.00
19,186,200.00 37,886,200.00 100 8,250,000.00 100 8,250,000.00
- 8,250,000.00 - 8,250,000.00 -
BUKU GRAFIK PENCATATAN STOK BUKU GRAFIK PENCATATAN SERTIFIKAT IDL
SAFETY KABINET SUHU LEMARI ES

41,250.00 JUMLAH 41,250.00 JUMLAH 2,200.00 JUMLAH


3 123,750.00 2 82,500.00 250 550,000.00
2 82,500.00 1 41,250.00 20 44,000.00
2 82,500.00 1 41,250.00 50 110,000.00
2 82,500.00 2 82,500.00 70 154,000.00
2 82,500.00 1 41,250.00 200 440,000.00
2 82,500.00 3 123,750.00 150 330,000.00
3 123,750.00 1 41,250.00 100 220,000.00
3 123,750.00 1 41,250.00 160 352,000.00
3 123,750.00 1 41,250.00 60 132,000.00
3 123,750.00 2 82,500.00 200 440,000.00
3 123,750.00 2 82,500.00 200 440,000.00
2 82,500.00 1 41,250.00 100 220,000.00
2 82,500.00 1 41,250.00 200 440,000.00
2 82,500.00 1 41,250.00 150 330,000.00
3 123,750.00 1 41,250.00 150 330,000.00
3 123,750.00 2 82,500.00 300 660,000.00
2 82,500.00 2 82,500.00 100 220,000.00
3 123,750.00 3 123,750.00 300 660,000.00
2 82,500.00 1 41,250.00 150 330,000.00
3 123,750.00 1 41,250.00 50 110,000.00
3 123,750.00 1 41,250.00 150 330,000.00
2 82,500.00 1 41,250.00 170 374,000.00
3 123,750.00 1 41,250.00 190 418,000.00
2 82,500.00 1 41,250.00 90 198,000.00
2 82,500.00 3 123,750.00 155 341,000.00
2 82,500.00 1 41,250.00 95 209,000.00
3 123,750.00 2 82,500.00 245 539,000.00
3 123,750.00 1 41,250.00 160 352,000.00
3 123,750.00 1 41,250.00 160 352,000.00
2 82,500.00 1 41,250.00 125 275,000.00
2 82,500.00 1 41,250.00 90 198,000.00
4 165,000.00 1 41,250.00 230 506,000.00
4 165,000.00 1 41,250.00 180 396,000.00
- - -
6 247,500.00 10 412,500.00 -
4 165,000.00 3 123,750.00 -
5 206,250.00 1 41,250.00 -
100 4,125,000.00 60 2,475,000.00 5000 11,000,000.00
4,125,000.00 - 2,475,000.00 - 11,000,000.00 -
SOP 1/2 FOLIO SOP 1/4 LEMBAR BALIK TB HIV

7,700.00 JUMLAH 3,300.00 JUMLAH 236,500.00 JUMLAH


1 7,700.00 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
- 3 9,900.00 2 473,000.00
- 3 9,900.00 2 473,000.00
1 7,700.00 3 9,900.00 3 709,500.00
1 7,700.00 3 9,900.00 3 709,500.00
1 7,700.00 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
1 7,700.00 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
1 7,700.00 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
1 7,700.00 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
1 7,700.00 3 9,900.00 3 709,500.00
1 7,700.00 3 9,900.00 3 709,500.00
1 7,700.00 3 9,900.00 3 709,500.00
1 7,700.00 3 9,900.00 3 709,500.00
1 7,700.00 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
- 3 9,900.00 3 709,500.00
- - -
1 7,700.00 5 16,500.00 -
2 15,400.00 3 9,900.00 1 236,500.00
- 3 9,900.00 2 473,000.00
15 115,500.00 110 363,000.00 100 23,650,000.00
115,500.00 - 363,000.00 - 23,650,000.00 -
LEMBAR BALIK DEMAM
LEMBAR BALIK KUSTA LEMBAR BALIK KUSTA
BERDARAH

170,500.00 JUMLAH 159,500.00 JUMLAH TOTAL 81,875.00


1 170,500.00 1 159,500.00 2,308,350.00
1 170,500.00 1 159,500.00 1,629,650.00
1 170,500.00 1 159,500.00 1,530,650.00
1 170,500.00 1 159,500.00 1,544,400.00
1 170,500.00 1 159,500.00 1,789,150.00
1 170,500.00 1 159,500.00 2,005,850.00 1
1 170,500.00 1 159,500.00 1,937,100.00 1
1 170,500.00 1 159,500.00 2,069,100.00 1
1 170,500.00 1 159,500.00 1,841,400.00 1
1 170,500.00 1 159,500.00 2,198,350.00 1
1 170,500.00 1 159,500.00 2,190,650.00
1 170,500.00 1 159,500.00 1,640,650.00
1 170,500.00 1 159,500.00 2,033,350.00
1 170,500.00 1 159,500.00 1,915,650.00
1 170,500.00 1 159,500.00 2,039,400.00 1
1 170,500.00 1 159,500.00 2,418,350.00
1 170,500.00 1 159,500.00 1,846,900.00
1 170,500.00 1 159,500.00 2,451,900.00
1 170,500.00 1 159,500.00 1,915,650.00
1 170,500.00 1 159,500.00 1,827,100.00
1 170,500.00 1 159,500.00 2,047,100.00
1 170,500.00 1 159,500.00 1,967,350.00
1 170,500.00 1 159,500.00 2,135,100.00 1
1 170,500.00 1 159,500.00 1,626,350.00
1 170,500.00 1 159,500.00 2,009,150.00 1
1 170,500.00 1 159,500.00 1,794,650.00 1
1 170,500.00 1 159,500.00 2,289,650.00 1
1 170,500.00 1 159,500.00 2,061,400.00
1 170,500.00 1 159,500.00 2,061,400.00 1
1 170,500.00 1 159,500.00 1,695,650.00 1
1 170,500.00 1 159,500.00 1,783,650.00 1
1 170,500.00 1 159,500.00 2,339,150.00 1
1 170,500.00 1 159,500.00 2,229,150.00 1
- - -
- - 1,426,700.00
- - 1,293,050.00
- - 1,225,400.00 1
33 5,626,500.00 33 5,263,500.00 69,118,500.00 16
5,626,500.00 - 5,263,500.00 - 66,600,050.00 1,310,000.00
LEMBAR BALIK KUSTA SAFETY BOX POSTER FRAMBUSIA POSTER ALGORITMA

JUMLAH 19,800.00 JUMLAH 6,750.00 JUMLAH 4,800.00


- - 7 47,250.00 6
- - 7 47,250.00 6
- - 7 47,250.00 6
- - 7 47,250.00 6
- - 7 47,250.00 6
81,875.00 1 19,800.00 7 47,250.00 6
81,875.00 1 19,800.00 7 47,250.00 6
81,875.00 1 19,800.00 7 47,250.00 6
81,875.00 1 19,800.00 7 47,250.00 6
81,875.00 1 19,800.00 7 47,250.00 6
- - 7 47,250.00 6
- - 7 47,250.00 6
- - 7 47,250.00 6
- - 7 47,250.00 6
81,875.00 1 19,800.00 7 47,250.00 6
- - 7 47,250.00 6
- - 7 47,250.00 6
- - 7 47,250.00 6
- - 7 47,250.00 6
- - 7 47,250.00 6
- - 7 47,250.00 6
- - 7 47,250.00 6
81,875.00 1 19,800.00 7 47,250.00 6
- - 7 47,250.00 6
81,875.00 1 19,800.00 7 47,250.00 6
81,875.00 1 19,800.00 7 47,250.00 6
81,875.00 1 19,800.00 7 47,250.00 6
- - 7 47,250.00 6
81,875.00 1 19,800.00 7 47,250.00 6
81,875.00 1 19,800.00 7 47,250.00 6
81,875.00 1 19,800.00 7 47,250.00 6
81,875.00 1 19,800.00 7 47,250.00 6
81,875.00 1 19,800.00 7 47,250.00 6
- - -
- - -
- - -
81,875.00 1 19,800.00 19 128,250.00 2
1,310,000.00 16 316,800.00 250 1,687,500.00 200
- 316,800.00 - 1,687,500.00 - 960,000.00
POSTER ALGORITMA POSTER PIAGAM LEAFLET FRAMBUSIA SPANDUK KUSTA

JUMLAH 6,875.00 JUMLAH 4,500.00 JUMLAH 138,500.00


28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
28,800.00 6 41,250.00 2
- -
- -
- -
9,600.00 2 13,750.00 40 180,000.00
960,000.00 200 1,375,000.00 40 180,000.00 66
- 1,375,000.00 - 180,000.00 - 9,141,000.00
CETAKAN

SPANDUK KUSTA POSTER ANTI DISKRIMINASI POSTER OYPMK POSTER TANDA DINI KUSTA

JUMLAH 6,875.00 JUMLAH 6,875.00 JUMLAH 6,800.00


277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 - -
277,000.00 - -
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 - -
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
277,000.00 2 13,750.00 1 6,875.00 7
- - -
- - -
- - -
- - - 20
9,141,000.00 60 412,500.00 30 206,250.00 230
- 412,500.00 - 206,250.00 - 1,564,000.00
OSTER TANDA DINI KUSTA BUKU CATIN BUKU KIA

JUMLAH TOTAL 6,450.00 JUMLAH 10,000.00 JUMLAH


47,600.00 462,525.00 154 993,300.00 125 1,250,000.00
- 394,300.00 98 632,100.00 77 770,000.00
- 394,300.00 70 451,500.00 55 550,000.00
47,600.00 462,525.00 98 632,100.00 77 770,000.00
- 394,300.00 98 632,100.00 77 770,000.00
47,600.00 564,200.00 140 903,000.00 120 1,200,000.00
47,600.00 564,200.00 154 993,300.00 132 1,320,000.00
47,600.00 564,200.00 154 993,300.00 132 1,320,000.00
47,600.00 564,200.00 98 632,100.00 77 770,000.00
47,600.00 564,200.00 154 993,300.00 132 1,320,000.00
47,600.00 462,525.00 98 632,100.00 77 770,000.00
47,600.00 462,525.00 70 451,500.00 55 550,000.00
47,600.00 462,525.00 140 903,000.00 120 1,200,000.00
47,600.00 462,525.00 98 632,100.00 77 770,000.00
47,600.00 564,200.00 154 993,300.00 132 1,320,000.00
47,600.00 462,525.00 154 993,300.00 132 1,320,000.00
47,600.00 462,525.00 70 451,500.00 55 550,000.00
47,600.00 462,525.00 154 993,300.00 130 1,300,000.00
47,600.00 462,525.00 98 632,100.00 77 770,000.00
47,600.00 462,525.00 154 993,300.00 130 1,300,000.00
47,600.00 462,525.00 140 903,000.00 120 1,200,000.00
47,600.00 462,525.00 98 632,100.00 77 770,000.00
47,600.00 564,200.00 154 993,300.00 130 1,300,000.00
47,600.00 462,525.00 140 903,000.00 120 1,200,000.00
47,600.00 564,200.00 140 903,000.00 120 1,200,000.00
47,600.00 564,200.00 140 903,000.00 120 1,200,000.00
47,600.00 564,200.00 168 1,083,600.00 143 1,430,000.00
47,600.00 462,525.00 154 993,300.00 130 1,300,000.00
47,600.00 564,200.00 154 993,300.00 130 1,300,000.00
47,600.00 564,200.00 98 632,100.00 76 760,000.00
47,600.00 564,200.00 70 451,500.00 55 550,000.00
47,600.00 564,200.00 168 1,083,600.00 145 1,450,000.00
47,600.00 564,200.00 168 1,083,600.00 145 1,450,000.00
- - - -
- - - -
- - - -
136,000.00 569,275.00 - -
1,564,000.00 17,153,050.00 4200 27,090,000.00 3500 35,000,000.00
- 16,583,775.00 27,090,000.00 - 35,000,000.00 -
BUKU RAPOR SD/MI BUKU RAPOR SMP/MTs

TOTAL 5,097.00 JUMLAH 5,097.00 JUMLAH


2,243,300.00 35 178,395.00 -
1,402,100.00 50 254,850.00 256 1,304,832.00
1,001,500.00 30 152,910.00 56 285,432.00
1,402,100.00 26 132,522.00 -
1,402,100.00 17 86,649.00 58 295,626.00
2,103,000.00 13 66,261.00 94 479,118.00
2,313,300.00 - -
2,313,300.00 68 346,596.00 84 428,148.00
1,402,100.00 98 499,506.00 269 1,371,093.00
2,313,300.00 32 163,104.00 49 249,753.00
1,402,100.00 63 321,111.00 330 1,682,010.00
1,001,500.00 53 270,141.00 57 290,529.00
2,103,000.00 77 392,469.00 17 86,649.00
1,402,100.00 30 152,910.00 35 178,395.00
2,313,300.00 27 137,619.00 42 214,074.00
2,313,300.00 70 356,790.00 414 2,110,158.00
1,001,500.00 74 377,178.00 385 1,962,345.00
2,293,300.00 134 682,998.00 166 846,102.00
1,402,100.00 55 280,335.00 297 1,513,809.00
2,293,300.00 61 310,917.00 262 1,335,414.00
2,103,000.00 80 407,760.00 -
1,402,100.00 99 504,603.00 -
2,293,300.00 65 331,305.00 89 453,633.00
2,103,000.00 98 499,506.00 154 784,938.00
2,103,000.00 34 173,298.00 -
2,103,000.00 88 448,536.00 -
2,513,600.00 47 239,559.00 266 1,355,802.00
2,293,300.00 37 188,589.00 30 152,910.00
2,293,300.00 38 193,686.00 224 1,141,728.00
1,392,100.00 36 183,492.00 -
1,001,500.00 30 152,910.00 269 1,371,093.00
2,533,600.00 54 275,238.00 156 795,132.00
2,533,600.00 54 275,238.00 120 611,640.00
- - -
- - -
- - -
- - -
62,090,000.00 1773 9,036,981.00 4179 21,300,363.00
62,090,000.00 9,036,981.00 - 21,300,363.00 -
BUKU RAPOR SMA/SMK/MA BUKU KIA

5,097.00 JUMLAH TOTAL 5,203.00 JUMLAH


45 229,365.00 407,760.00 612 3,184,236.00
- 1,559,682.00 324 1,685,772.00
- 438,342.00 162 842,886.00
74 377,178.00 509,700.00 255 1,326,765.00
- 382,275.00 173 900,119.00
- 545,379.00 307 1,597,321.00
- - 467 2,429,801.00
- 774,744.00 398 2,070,794.00
- 1,870,599.00 188 978,164.00
- 412,857.00 527 2,741,981.00
- 2,003,121.00 524 2,726,372.00
- 560,670.00 194 1,009,382.00
- 479,118.00 440 2,289,320.00
- 331,305.00 330 1,716,990.00
66 336,402.00 688,095.00 745 3,876,235.00
- 2,466,948.00 646 3,361,138.00
- 2,339,523.00 328 1,706,584.00
- 1,529,100.00 681 3,543,243.00
- 1,794,144.00 460 2,393,380.00
- 1,646,331.00 722 3,756,566.00
83 423,051.00 830,811.00 421 2,190,463.00
623 3,175,431.00 3,680,034.00 368 1,914,704.00
- 784,938.00 556 2,892,868.00
- 1,284,444.00 400 2,081,200.00
85 433,245.00 606,543.00 433 2,252,899.00
89 453,633.00 902,169.00 266 1,383,998.00
- 1,595,361.00 492 2,559,876.00
- 341,499.00 408 2,122,824.00
- 1,335,414.00 386 2,008,358.00
23 117,231.00 300,723.00 415 2,159,245.00
- 1,524,003.00 276 1,436,028.00
- 1,070,370.00 643 3,345,529.00
- 886,878.00 515 2,679,545.00
- - -
- - -
- - -
- - -
1088 5,545,536.00 26,845,899.00 14062 73,164,586.00
5,545,536.00 - 35,882,880.00 73,164,586.00 -
PAKET KELAS IBU (HAMIL, BALITA) BUKU JUKNIS KS

606,408.00 JUMLAH TOTAL 55,000.00 JUMLAH


- 3,184,236.00 -
- 1,685,772.00 -
- 842,886.00 -
- 1,326,765.00 -
- 900,119.00 -
- 1,597,321.00 -
1 606,408.00 3,036,209.00 -
1 606,408.00 2,677,202.00 2 110,000.00
- 978,164.00 -
- 2,741,981.00 -
- 2,726,372.00 -
- 1,009,382.00 -
1 606,408.00 2,895,728.00 2 110,000.00
- 1,716,990.00 -
- 3,876,235.00 -
- 3,361,138.00 -
- 1,706,584.00 -
- 3,543,243.00 -
- 2,393,380.00 -
- 3,756,566.00 -
- 2,190,463.00 -
- 1,914,704.00 -
1 606,408.00 3,499,276.00 2 110,000.00
1 606,408.00 2,687,608.00 2 110,000.00
- 2,252,899.00 -
- 1,383,998.00 -
- 2,559,876.00 -
- 2,122,824.00 -
- 2,008,358.00 -
- 2,159,245.00 -
- 1,436,028.00 -
- 3,345,529.00 -
- 2,679,545.00 -
- - -
- - -
- - -
1 606,408.00 606,408.00 -
6 3,638,448.00 76,803,034.00 8 440,000.00
3,638,448.00 - 76,196,626.00 440,000.00 -
LEMBAR BALIK STIKER KS PIN KS

55,000.00 JUMLAH 6,600.00 JUMLAH 6,490.00


- -
- -
- -
- -
- -
- -
- -
2 110,000.00 1000 6,600,000.00 1000
- -
- -
- 8 52,800.00 10
- -
2 110,000.00 1000 6,600,000.00 1000
- -
- -
- -
- -
- -
- -
- -
- -
- -
2 110,000.00 1000 6,600,000.00 1000
2 110,000.00 1000 6,600,000.00 1000
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
8 440,000.00 4008 26,452,800.00 4010
440,000.00 - 26,452,800.00 - 26,024,900.00
PIN KS TAS LEMBAR BALIK POSYANDU KIT

JUMLAH TOTAL 72,600.00 JUMLAH 70,400.00


- - -
- - -
- - -
- - -
- - -
- - -
- - 1 72,600.00 1
6,490,000.00 13,310,000.00 1 72,600.00 1
- - -
- - -
64,900.00 117,700.00 -
- - -
6,490,000.00 13,310,000.00 1 72,600.00 1
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
6,490,000.00 13,310,000.00 1 72,600.00 1
6,490,000.00 13,310,000.00 1 72,600.00 1
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
26,024,900.00 53,357,700.00 5 363,000.00 5
- 53,357,700.00 363,000.00 - 352,000.00
BUKU CATATAN HARIAN
MBAR BALIK POSYANDU KIT APE 2 PENGELUARAN OBAT PUSKESMAS

JUMLAH 154,000.00 JUMLAH TOTAL 84,425.00


- - - 11
- - - 11
- - - 10
- - - 10
- - - 10
- - - 10
70,400.00 1 154,000.00 297,000.00 11
70,400.00 1 154,000.00 297,000.00 11
- - - 10
- - - 11
- - - 11
- - - 10
70,400.00 1 154,000.00 297,000.00 11
- - - 10
- - - 11
- - - 11
- - - 10
- - - 11
- - - 10
- - - 11
- - - 11
- - - 10
70,400.00 1 154,000.00 297,000.00 11
70,400.00 1 154,000.00 297,000.00 11
- - - 11
- - - 11
- - - 11
- - - 11
- - - 11
- - - 11
- - - 10
- - - 11
- - - 11
- - -
- - -
- - -
- - -
352,000.00 5 770,000.00 1,122,000.00 352
- 770,000.00 - 1,485,000.00 29,717,600.00
BUKU CATATAN HARIAN
ELUARAN OBAT PUSKESMAS

JUMLAH ALL cetakan


928,675.00 10,772,346.00
928,675.00 8,688,079.00
844,250.00 6,065,028.00
844,250.00 7,102,840.00
844,250.00 6,725,294.00
844,250.00 8,747,900.00
928,675.00 10,313,984.00
928,675.00 24,022,121.00
844,250.00 8,513,813.00
928,675.00 10,172,463.00
928,675.00 11,068,643.00
844,250.00 6,532,077.00
928,675.00 23,746,896.00
844,250.00 7,685,920.00
928,675.00 11,647,405.00
928,675.00 13,188,436.00
844,250.00 9,214,382.00
928,675.00 12,446,243.00
844,250.00 9,825,149.00
928,675.00 12,151,997.00
928,675.00 9,800,074.00
844,250.00 11,284,063.00
928,675.00 25,049,989.00
928,675.00 23,787,502.00
928,675.00 9,701,967.00
928,675.00 8,764,592.00
928,675.00 11,688,862.00
928,675.00 9,298,123.00
928,675.00 10,279,247.00
928,675.00 8,278,093.00
844,250.00 8,166,731.00
928,675.00 12,019,024.00
928,675.00 11,059,548.00
- 564,300.00
- 1,426,700.00
- 1,293,050.00
- 2,401,083.00
29,717,600.00 383,493,964.00
-
DROPPING DARI DINKES KABPAS
BELANJA RINCIAN NO. SURAT TANGGAL
BUKU REGISTER KUNJUNGAN
3 3/13/2017
BUKU BARANG 9 MODEL

KIA
227 8/18/2017
CATIN

CETAKAN BK PCTTN STOK VAKSIN


BK PCTTN STOK PELARUT VAKSIN
BK GRFK PCTTN SUHU LEMARI ES
BK GRFK PCTTN SAFETY KABINET 121 4/25/2017
SERTIFIKAT IDL
STIKER SOP 1/4 IDL
STIKER SOP 1/2 IDL

BELANJA RINCIAN NO. SURAT TANGGAL


BAHAN PRAKTEK POSYANDU KIT 319 1/16/2017

BELANJA RINCIAN NO. SURAT TANGGAL


REAGEN 5 VIAL
GLUKO PROTEIN TEST URINE
PP TEST 120 6/5/2017
STICK HB
KARTU INDIKATOR

ALKOHOL
TABUNG EDTA
VENOJECT
HANDSCOON

KANTONG PLASTIK
ALKES
KAPAS
KERTAS LABEL
TISSU GULUNG 254 10/17/2017
MASKER
PENGAWET (NACL)
SABUN CUCI TANGAN
BOTOL SERUM
SELOTIP
KARBOL
SPUIT 3CC
DETERGENT
PIPET PLASTIK

BELANJA RINCIAN NO. SURAT TANGGAL


SUSU U/ GIZI BURUK (… JUNIOR)
SEMBAKO 229 8/23/2017
SUSU U/ IBU HAMIL (LACTAMIL)

BELANJA RINCIAN NO. SURAT TANGGAL


IODIUM TEST 252 10/11/2017

BAHAN KIMIA DENGUE


LEPTOSPIRA 250 9/27/2017
CHIKUNGUNYA

BELANJA RINCIAN NO. SURAT TANGGAL


KOMPRESSOR + SPRAYER
KANTONG TIKUS
JAKET
JAS HUJAN
PERALATAN 249 9/26/2017
TAS KERJA
EMBER PUTIH
ASPIRATOR
RAK TABUNG
DROPPING DARI DINKES PROV
BELANJA RINCIAN NO. SURAT TANGGAL
LEMBAR BALIK KUSTA
SAFETY BOX
POSTER FRAMBUSIA
POSTER ALGORITMA
CETAKAN POSTER PIAGAM 5566 3/10/2017
SPANDUK KUSTA
POSTER OYPMK
POSTER TANDA DINI KUSTA
POSTER ANTI DISKRIMINASI

BELANJA RINCIAN NO. SURAT TANGGAL


TALIASIH 1 PAKET HANDUK & TAS 338 11/6/2017

DROPPING DARI KEMENKES


BELANJA RINCIAN NO. SURAT TANGGAL
BUKU RAPOR SD/MI
CETAKAN BUKU RAPOR SMP/MTs 233 8/31/2017
BUKU RAPOR SMA/SMK/MA

BELANJA RINCIAN NO. SURAT TANGGAL


PAKET ADRK (ALAT…) 248 9/25/2017

ALKES PAKET ADRK (ANTI...) 251 10/11/2017

PAKET LANSIA KIT 359 11/18/2017

DROPPING DARI DINKES KABPAS


BELANJA RINCIAN NO. SURAT TANGGAL
SESUAI
CETAKAN KARCIS SESUAI BON
BON
No Keterangan

0 Dinkes
1 Purwodadi
2 Nongkojajar
3 Sumberpitu
4 Puspo
5 Tosari
6 Lumbang
7 Pasrepan
8 Kejayan
9 Ambal-Ambil
10 Wonorejo
11 Purwosari
12 Karangrejo
13 Prigen
14 Bulukandang
15 Sukorejo
16 Pandaan
17 Sebani
18 Gempol
19 Kepulungan
20 Beji
21 Bangil
22 Raci
23 Rembang
24 Kraton
25 Ngempit
26 Pohjentrek
27 Gondangwetan
28 Rejoso
29 Winongan
30 Grat
31 Kedawungwetan
32 Lekok
33 Nguling
34 Labkesda
35 POPPK
JUMLAH ###
Saldo Alat Listrik Saldo Alkeb Per Saldo Komp Per Saldo Peralatan Saldo Mat, Jar, Lis & Saldo Cetak &
Saldo ATK Per 31 Per 31 Des 2016 Saldo Materai Per 31 Des 2016 Saldo RT Per 31 Saldo Kimia Per 31 Saldo Praktek Per Per 31 Des 2016 Saldo Sembako Per Saldo Alkes Per 31 Air Per 31 Des 2016 Saldo Taliasih Per 31 Penggandaan Per 31 Saldo Suku Cadang Total Saldo Awal Per
31 Des 2016
Des 2016 (Rp) 31 Des 2016 (Rp) Des 2016 (Rp) Des 2016 (Rp) 31 Des 2016 (Rp) 31 Des 2016 (Rp) Des 2016 (Rp) Des 2016 (Rp) Per 31 Des 2016 (Rp) 31 Des 2016 (Rp)
(Rp) (Rp) (Rp) (Rp) (Rp) Des 2016 (Rp)

152,475,417.00 27,055,300.00 366,000.00 7,194,940.00 - - 481,707,300.00 120,350,000.00 - - - - - 194,391,572.00 - 983,540,529.00


12,662,700.00 320,000.00 - 453,000.00 2,460,000.00 - - - - 1,765,577.59 - 17,661,277.59
1,119,000.00 500,000.00 - 202,500.00 - - 2,645,560.00 - - 4,082,763.43 - 8,549,823.43
- - - - - - 5,939,000.00 14,918,400.00 - 100,799.77 - 20,958,199.77
12,422,500.00 - - 1,421,000.00 - - 9,259,500.00 - - 22,996,555.43 - 46,099,555.43
2,975,000.00 - - - - - - - - 122,770.41 - 3,097,770.41
- - - - - - - - - 141,596.83 - 141,596.83
4,600,750.00 - - 3,736,000.00 - - - - - 22,711,231.77 - 31,047,981.77
34,719,775.75 2,963,000.00 - 1,140,000.00 - - 16,360,080.00 - - 105,239.58 - 55,288,095.33
6,914,000.00 - - 1,544,000.00 - - - 1,500,000.00 - 3,645,068.05 - 13,603,068.05
- - - - - - 87,101,000.00 56,659,600.00 - 176,708.04 - 143,937,308.04
13,689,000.00 - - 9,801,500.00 - - 1,600,000.00 13,800,000.00 - 23,275,784.02 - 62,166,284.02
5,169,000.00 1,608,000.00 - 81,000.00 - - 31,202,500.00 - - 87,153.08 - 38,147,653.08
16,379,000.00 1,248,800.00 - 358,000.00 - 285,000.00 3,177,000.00 35,442,223.00 - 2,010,722.30 - 58,900,745.30
20,201,300.00 - - - - 600,000.00 - 23,690,000.00 - 19,621,991.03 - 64,113,291.03
- - - - - - - - - 290,928.98 - 290,928.98
10,890,000.00 723,000.00 - 7,014,000.00 - 1,540,000.00 100,000.00 26,070,949.01 - 9,357,170.15 - 55,695,119.16
- - - - - - - - - 1,367,866.75 - 1,367,866.75
- - - - - - - 45,371,250.00 - 525,653.65 - 45,896,903.65
- 525,000.00 - - - - - 11,080,000.00 - 727,845.23 - 12,332,845.23
1,596,000.00 - - - - - 18,450,000.00 108,746,775.91 - 259,326.50 - 129,052,102.41
1,375,150.00 200,000.00 - 117,437.50 - - 12,882,675.00 592,500.00 - 1,515,893.10 - 16,683,655.60
21,298,950.00 375,000.00 138,000.00 594,000.00 - - 6,141,000.00 13,479,000.00 - 19,751,918.07 - 61,777,868.07
218,000.00 525,000.00 - - - 3,875,000.00 30,382,000.00 28,268,750.00 - 407,498.19 - 63,676,248.19
14,469,800.00 - - - - - 16,810,000.00 46,936,500.00 - 1,874,001.44 - 80,090,301.44
4,588,200.00 1,505,000.00 - 90,000.00 - - 22,467,088.00 54,413,615.00 - 165,289.08 - 83,229,192.08
19,414,000.00 1,925,500.00 - 2,309,700.00 - 568,571.47 18,648,600.00 44,547,650.00 - 14,546,309.54 - 101,960,331.01
3,820,000.00 - - 906,300.00 - - 49,224,500.00 - - 286,261.54 - 54,237,061.54
1,827,250.00 362,500.00 - 1,460,500.00 - - - 3,912,650.00 - 8,913,749.24 - 16,476,649.24
20,524,825.00 3,000,000.00 - 4,093,020.00 - - 30,604,200.00 66,508,525.00 - 55,265,194.85 - 179,995,764.85
20,848,833.25 475,500.00 - 10,172,200.00 - 2,479,765.98 33,331,685.76 - 800,000.00 45,168,595.75 - 113,276,580.74
14,895,348.00 850,000.00 120,000.00 545,000.00 900,000.00 907,500.00 14,758,800.00 250,000.00 - 6,454,180.64 - 39,680,828.64
23,117,069.00 3,477,500.00 408,000.00 5,098,000.00 - 150,000.00 99,594,140.00 40,289,858.00 - 54,633,174.27 20,050,000.00 246,817,741.27
30,396,400.00 - - 2,857,000.00 - - 67,433,560.00 63,774,176.48 - 18,647,303.26 - 183,108,439.74
2,197,505.00 - - 1,052,300.00 - - 39,001,937.46 1,138,620.00 - 686,493.21 - 44,076,855.67
- - - - - - - - - - - -
474,804,773.00 47,639,100.00 1,032,000.00 62,241,397.50 3,360,000.00 10,405,837.45 1,098,822,126.22 120,350,000.00 - - 701,391,042.40 800,000.00 - 536,080,186.77 20,050,000.00 3,076,976,463.34
PKM GABUNGAN 1-34
SALDO AWAL TAHUN 2017 BERTAMBAH
NO JENIS BARANG JUMLAH PER HARGA JUMLAH JUMLAH PER HARGA JUMLAH
LEMBAR SATUAN HARGA LEMBAR SATUAN HARGA

1 Karcis 2.000 24,650.00 24.00 591,600.00 15,000.00 24.00 360,000.00


2 Karcis 2.500 19,398.00 24.00 465,552.00 5,500.00 24.00 132,000.00
3 Karcis 2.500 - 25.00 - 13,800.00 25.00 345,000.00
4 Karcis 2.500 9,934.00 20.00 198,680.00 5,900.00 20.00 118,000.00

5 Karcis 3.000 2,580.00 25.00 64,500.00 3,500.00 25.00 87,500.00


6 Karcis 3.000 15,002.00 29.70 445,559.40 13,200.00 29.70 392,040.00
7 Karcis 3.000 15,973.00 24.00 383,352.00 200.00 24.00 4,800.00

8 Karcis 5.000 9,358.00 24.18 226,276.44 22,700.00 24.18 548,886.00


9 Karcis 5.000 33,119.00 25.00 827,975.00 107,801.00 25.00 2,695,025.00
10 Karcis 5.000 21,629.00 29.70 642,381.30 9,000.00 29.70 267,300.00

11 Karcis 7.500 7,482.00 20.00 149,640.00 8,500.00 20.00 170,000.00

12 Karcis 10.000 3,481.00 20.00 69,620.00 8.00 20.00 160.00


13 Karcis 10.000 2,133.00 25.00 53,325.00 - 25.00 -

14 Karcis 15.000 2,287.00 20.00 45,740.00 2,000.00 20.00 40,000.00

16 Karcis 20.000 9,282.00 24.18 224,438.76 4,100.00 24.18 99,138.00


17 Karcis 20.000 7,770.00 20.00 155,400.00 1,800.00 20.00 36,000.00
18 Karcis 20.000 7,799.00 24.65 192,245.35 3,900.00 24.65 96,135.00

19 Karcis 25.000 18,916.00 24.65 466,279.40 8,900.00 24.65 219,385.00

20 Karcis 50.000 18,147.00 20.00 362,940.00 3,008.00 20.00 60,160.00

21 Karcis 100.000 280.00 20.00 5,600.00 1,500.00 20.00 30,000.00


22 Karcis 100.000 1,862.00 24.00 44,688.00 300.00 24.00 7,200.00
23 Karcis 100.000 1,166.00 24.18 28,193.88 - 24.18 -
24 Karcis 100.000 9,913.00 24.65 244,355.45 600.00 24.65 14,790.00

27 Perawatan 183.00 96.78 17,710.74 - 96.78 -


28 Perawatan 9,266.00 100.00 926,600.00 9,450.00 100.00 945,000.00
29 Perawatan 719.00 156.00 112,164.00 - 156.00 -

25 Ambulance 5,460.00 96.78 528,418.80 700.00 96.78 67,746.00


26 Ambulance 1,089.00 156.00 169,884.00 600.00 156.00 93,600.00

30 CPW 5,091.00 49.40 251,495.40 1,400.00 49.40 69,160.00


JUMLAH 263,969.00 7,894,614.92 243,367.00 6,899,025.00
BERKURANG SALDO PER 30 JUNI 2017
JUMLAH
JUMLAH PER HARGA JUMLAH HARGA JUMLAH
PER
LEMBAR SATUAN HARGA SATUAN HARGA
LEMBAR

10,178.00 24.00 244,272.00 29,472.00 24.00 707,328.00


8,917.00 24.00 214,008.00 15,981.00 24.00 383,544.00
4,381.00 25.00 109,525.00 9,419.00 25.00 235,475.00
8,753.00 20.00 175,060.00 7,081.00 20.00 141,620.00

845.00 25.00 21,125.00 5,235.00 25.00 130,875.00


12,518.00 29.70 371,784.60 15,684.00 29.70 465,814.80
1,800.00 24.00 43,200.00 14,373.00 24.00 344,952.00

26,139.00 24.18 632,041.02 5,919.00 24.18 143,121.42


100,585.00 25.00 2,514,625.00 40,335.00 25.00 1,008,375.00
16,053.00 29.70 476,774.10 14,576.00 29.70 432,907.20

9,062.00 20.00 181,240.00 6,920.00 20.00 138,400.00

2,200.00 20.00 44,000.00 1,289.00 20.00 25,780.00


483.00 25.00 12,075.00 1,650.00 25.00 41,250.00

1,532.00 20.00 30,640.00 2,755.00 20.00 55,100.00

5,370.00 24.18 129,846.60 8,012.00 24.18 193,730.16


2,602.00 20.00 52,040.00 6,968.00 20.00 139,360.00
3,763.00 24.65 92,757.95 7,936.00 24.65 195,622.40

7,082.00 24.65 174,571.30 20,734.00 24.65 511,093.10

3,226.00 20.00 64,520.00 17,929.00 20.00 358,580.00

480.00 20.00 9,600.00 1,300.00 20.00 26,000.00


190.00 24.00 4,560.00 1,972.00 24.00 47,328.00
201.00 24.18 4,860.18 965.00 24.18 23,333.70
1,873.00 24.65 46,169.45 8,640.00 24.65 212,976.00

- 96.78 - 183.00 96.78 17,710.74


10,874.00 100.00 1,087,400.00 7,842.00 100.00 784,200.00
102.00 156.00 15,912.00 617.00 156.00 96,252.00

1,163.00 96.78 112,555.14 4,997.00 96.78 483,609.66


21.00 156.00 3,276.00 1,668.00 156.00 260,208.00

1,189.00 49.40 58,736.60 5,302.00 49.40 261,918.80


241,582.00 6,927,174.94 265,754.00 7,866,464.98
JANUARI TOTAL MUTAS
JUMLAH JUMLAH
HARGA JUMLAH PER HARGA JUMLAH
PER PER
SATUAN LEMBAR SATUAN HARGA
LEMBAR LEMBAR
100
Karcis Retribusi 2.000,- 18.00 2,400.00 1,800.00 24.00 43,200.00 135.00
Karcis Retribusi 2.500,- 74.00 2,000.00 7,400.00 20.00 148,000.00 74.00
Karcis Retribusi 2.500,- 1.00 2,500.00 100.00 25.00 2,500.00 134.00
Karcis Retribusi 2.500,- - 2,970.00 - 29.70 - -
Karcis Retribusi 2.500,- - 4,000.00 - 40.00 - -
Karcis Retribusi 3.000,- 56.00 2,970.00 5,600.00 29.70 166,320.00 149.00
Karcis Retribusi 3.000,- - 4,000.00 - 40.00 - -

Karcis Retribusi 5.000,- 260.00 2,500.00 26,000.00 25.00 650,000.00 1,190.00


Karcis Retribusi 5.000,- - 2,970.00 - 29.70 - -

Karcis Retribusi 7.500,- 10.00 2,000.00 1,000.00 20.00 20,000.00 85.00

Karcis Retribusi 10.000,- - 2,500.00 - 25.00 - -


Karcis Retribusi 10.000,- - 2,970.00 - 29.70 - -
Karcis Retribusi 10.000,- - 4,000.00 - 40.00 - -

Karcis Retribusi 15.000,- 5.00 2,000.00 500.00 20.00 10,000.00 20.00

Karcis Retribusi 20.000,- - 2,000.00 - 20.00 - 106.00


Karcis Retribusi 20.000,- - 2,500.00 - 25.00 - -
Karcis Retribusi 20.000,- - 2,970.00 - 29.70 - -
Karcis Retribusi 20.000,- - 4,000.00 - 40.00 - -

Karcis Retribusi 25.000,- 15.00 2,465.00 1,500.00 24.65 36,975.00 82.00


Karcis Retribusi 25.000,- - 2,418.00 - 24.18 - -
Karcis Retribusi 25.000,- - 2,400.00 - 24.00 - -
Karcis Retribusi 25.000,- - 2,000.00 - 20.00 - -
Karcis Retribusi 25.000,- - 2,500.00 - 25.00 - -
Karcis Retribusi 25.000,- - 2,970.00 - 29.70 - -
Karcis Retribusi 25.000,- - 4,000.00 - 40.00 - -
Karcis Retribusi 50.000,- 1.00 2,000.00 100.00 20.00 2,000.00 28.00
Karcis Retribusi 50.000,- - 2,500.00 - 25.00 - -
Karcis Retribusi 50.000,- - 2,970.00 - 29.70 - -
Karcis Retribusi 50.000,- - 4,000.00 - 40.00 - -

Karcis Retribusi 100.000,- - 2,000.00 - 20.00 - 21.00


Karcis Retribusi 100.000,- - 2,500.00 - 25.00 - -
Karcis Retribusi 100.000,- - 2,970.00 - 29.70 - -
Karcis Retribusi 100.000,- - 4,000.00 - 40.00 - -

Kwitansi Perawatan 20.00 5,000.00 2,000.00 100.00 100,000.00 177.00


Kwitansi Perawatan - 22,000.00 - 440.00 - -
Kwitansi Perawatan - 20,000.00 - 400.00 - -

Kwitansi Ambulance - 7,800.00 - 156.00 - 4.00


Kwitansi Ambulance - 12,000.00 - 240.00 - 20.00
Kwitansi Ambulance - 4,900.00 - 98.00 - -
Kwitansi Ambulance - 22,000.00 - 440.00 - -
Kwitansi Ambulance - 20,000.00 - 400.00 - -

Keterangan CPW 7.00 4,940.00 700.00 49.40 34,580.00 16.00


Keterangan CPW - 5,000.00 - 50.00 - -
Keterangan CPW - 6,900.00 - 69.00 - -
Keterangan CPW - 14,850.00 - 148.50 - -
TOTAL MUTASI KELUAR DINKES

HARGA JUMLAH PER HARGA JUMLAH


SATUAN LEMBAR SATUAN HARGA

100
2,400.00 13,500.00 24.00 43,200.00
2,000.00 7,400.00 20.00 148,000.00
2,500.00 13,400.00 25.00 2,500.00
2,970.00 - 29.70 -
4,000.00 - 40.00 -
2,970.00 14,900.00 29.70 166,320.00
4,000.00 - 40.00 -

2,500.00 119,000.00 25.00 650,000.00


2,970.00 - 29.70 -

2,000.00 8,500.00 20.00 20,000.00

2,500.00 - 25.00 -
2,970.00 - 29.70 -
4,000.00 - 40.00 -

2,000.00 2,000.00 20.00 10,000.00

2,000.00 10,600.00 20.00 -


2,500.00 - 25.00 -
2,970.00 - 29.70 -
4,000.00 - 40.00 -

2,465.00 8,200.00 24.65 36,975.00


2,418.00 - 24.18 -
2,400.00 - 24.00 -
2,000.00 - 20.00 -
2,500.00 - 25.00 -
2,970.00 - 29.70 -
4,000.00 - 40.00 -
2,000.00 2,800.00 20.00 2,000.00
2,500.00 - 25.00 -
2,970.00 - 29.70 -
4,000.00 - 40.00 -

2,000.00 2,100.00 20.00 -


2,500.00 - 25.00 -
2,970.00 - 29.70 -
4,000.00 - 40.00 -

5,000.00 17,700.00 100.00 100,000.00


22,000.00 - 440.00 -
20,000.00 - 400.00 -

7,800.00 400.00 156.00 -


12,000.00 2,000.00 240.00 -
4,900.00 - 98.00 -
22,000.00 - 440.00 -
20,000.00 - 400.00 -

4,940.00 1,600.00 49.40 34,580.00


5,000.00 - 50.00 -
6,900.00 - 69.00 -
14,850.00 - 148.50 -
PKM KEJAYAN
SALDO AWAL TAHUN 2017 BERTAMBAH BERKURANG SALDO PER 30 JUNI 2017
NO JENIS BARANG JUMLAH JUMLAH
JUMLAH PER HARGA JUMLAH HARGA JUMLAH HARGA JUMLAH JUMLAH PER HARGA JUMLAH
PER PER
LEMBAR SATUAN HARGA SATUAN HARGA SATUAN HARGA LEMBAR SATUAN HARGA
LEMBAR LEMBAR

1 Karcis 2.000 179.00 24.00 4,296.00 1,500.00 24.00 36,000.00 690.00 24.00 16,560.00 989.00 24.00 23,736.00
2 Karcis 2.500 119.00 24.00 2,856.00 24.00 - 59.00 24.00 1,416.00 60.00 24.00 1,440.00
3 Karcis 2.500 25.00 - 25.00 - 25.00 - - 25.00 -
4 Karcis 2.500 20.00 - 20.00 - 20.00 - - 20.00 -
5 Karcis 3.000 693.00 25.00 17,325.00 25.00 - 477.00 25.00 11,925.00 216.00 25.00 5,400.00
6 Karcis 3.000 29.70 - 29.70 - 29.70 - - 29.70 -
7 Karcis 3.000 24.00 - 24.00 - 24.00 - - 24.00 -
8 Karcis 5.000 24.18 - 24.18 - 24.18 - - 24.18 -
9 Karcis 5.000 807.00 25.00 20,175.00 4,000.00 25.00 100,000.00 3,833.00 25.00 95,825.00 974.00 25.00 24,350.00
10 Karcis 5.000 29.70 - 29.70 - 29.70 - - 29.70 -
11 Karcis 7.500 20.00 - 20.00 - 20.00 - - 20.00 -
12 Karcis 10.000 20.00 - 20.00 - 20.00 - - 20.00 -
13 Karcis 10.000 25.00 - 25.00 - 25.00 - - 25.00 -
14 Karcis 15.000 20.00 - 20.00 - 20.00 - - 20.00 -
15 Karcis 20.000 24.00 - 24.00 - 24.00 - - 24.00 -
16 Karcis 20.000 951.00 24.18 22,995.18 24.18 - 427.00 24.18 10,324.86 524.00 24.18 12,670.32
17 Karcis 20.000 20.00 - 20.00 - 20.00 - - 20.00 -
18 Karcis 20.000 24.65 - 24.65 - 24.65 - - 24.65 -
19 Karcis 25.000 526.00 24.65 12,965.90 24.65 - 360.00 24.65 8,874.00 166.00 24.65 4,091.90
20 Karcis 50.000 233.00 20.00 4,660.00 20.00 - 17.00 20.00 340.00 216.00 20.00 4,320.00
21 Karcis 100.000 20.00 - 500.00 20.00 10,000.00 45.00 20.00 900.00 455.00 20.00 9,100.00
22 Karcis 100.000 24.00 - 24.00 - 24.00 - - 24.00 -
23 Karcis 100.000 24.18 - 24.18 - 24.18 - - 24.18 -
24 Karcis 100.000 134.00 24.65 3,303.10 24.65 - 134.00 24.65 3,303.10 - 24.65 -
25 Ambulance 96.78 - 96.78 - 96.78 - - 96.78 -
26 Ambulance 60.00 156.00 9,360.00 156.00 - 15.00 156.00 2,340.00 45.00 156.00 7,020.00
27 Ambulance 240.00 - 240.00 - 240.00 - - 240.00 -
28 Perawatan 96.78 - 96.78 - 96.78 - - 96.78 -
29 Perawatan 100.00 - 100.00 - 100.00 - - 100.00 -
30 Perawatan 18.00 156.00 2,808.00 156.00 - 1.00 156.00 156.00 17.00 156.00 2,652.00
31 CPW 91.00 49.40 4,495.40 49.40 - 16.00 49.40 790.40 75.00 49.40 3,705.00
JUMLAH 3,811.00 105,239.58 6,000.00 146,000.00 6,074.00 152,754.36 3,737.00 98,485.22
105,239.58 146,000.00 152,754.34 98,485.22
PKM GABUNGAN 1-34
SALDO AWAL TAHUN 2017 BERTAMBAH
NO JENIS BARANG JUMLAH PER HARGA JUMLAH JUMLAH PER HARGA JUMLAH
LEMBAR SATUAN HARGA LEMBAR SATUAN HARGA

1 Karcis 2.000 24,650.00 24.00 591,600.00 14,500.00 24.00 348,000.00


2 Karcis 2.500 19,398.00 24.00 465,552.00 - 24.00 -
3 Karcis 2.500 - 25.00 - 17,400.00 25.00 435,000.00
4 Karcis 2.500 9,934.00 20.00 198,680.00 7,400.00 20.00 148,000.00
5 Karcis 3.000 2,580.00 25.00 64,500.00 - 25.00 -
6 Karcis 3.000 15,002.00 29.70 445,559.40 15,900.00 29.70 472,230.00
7 Karcis 3.000 15,973.00 24.00 383,352.00 - 24.00 -
8 Karcis 5.000 9,358.00 24.18 226,276.44 - 24.18 -
9 Karcis 5.000 33,119.00 25.00 827,975.00 134,001.00 25.00 3,350,025.00
10 Karcis 5.000 21,629.00 29.70 642,381.30 28.00 29.70 831.60
11 Karcis 7.500 7,482.00 20.00 149,640.00 8,500.00 20.00 170,000.00
12 Karcis 10.000 3,481.00 20.00 69,620.00 8.00 20.00 160.00
13 Karcis 10.000 2,133.00 25.00 53,325.00 - 25.00 -
14 Karcis 15.000 2,287.00 20.00 45,740.00 2,000.00 20.00 40,000.00
16 Karcis 20.000 9,282.00 24.18 224,438.76 - 24.18 -
17 Karcis 20.000 7,770.00 20.00 155,400.00 10,800.00 20.00 216,000.00
18 Karcis 20.000 7,799.00 24.65 192,245.35 - 24.65 -
19 Karcis 25.000 18,916.00 24.65 466,279.40 8,900.00 24.65 219,385.00
20 Karcis 50.000 18,147.00 20.00 362,940.00 3,008.00 20.00 60,160.00
21 Karcis 100.000 280.00 20.00 5,600.00 2,400.00 20.00 48,000.00
22 Karcis 100.000 1,862.00 24.00 44,688.00 - 24.00 -
23 Karcis 100.000 1,166.00 24.18 28,193.88 - 24.18 -
24 Karcis 100.000 9,913.00 24.65 244,355.45 - 24.65 -
25 Ambulance 5,460.00 96.78 528,418.80 - 96.78 -
26 Ambulance 1,089.00 156.00 169,884.00 200.00 156.00 31,200.00
27 Ambulance - 240.00 - 1,000.00 240.00 240,000.00
28 Perawatan 183.00 96.78 17,710.74 - 96.78 -
29 Perawatan 9,266.00 100.00 926,600.00 10,350.00 100.00 1,035,000.00
30 Perawatan 719.00 156.00 112,164.00 - 156.00 -
31 CPW 5,091.00 49.40 251,495.40 1,600.00 49.40 79,040.00
JUMLAH 263,969.00 7,894,614.92 237,995.00 6,893,031.60
BERKURANG SALDO PER 30 JUNI 2017
JUMLAH
JUMLAH PER HARGA JUMLAH HARGA JUMLAH
PER
LEMBAR SATUAN HARGA SATUAN HARGA
LEMBAR

10,346.00 24.00 248,304.00 28,804.00 24.00 691,296.00


6,531.00 24.00 156,744.00 12,867.00 24.00 308,808.00
4,647.00 25.00 116,175.00 12,753.00 25.00 318,825.00
10,862.00 20.00 217,240.00 6,472.00 20.00 129,440.00
845.00 25.00 21,125.00 1,735.00 25.00 43,375.00
12,495.00 29.70 371,101.50 18,407.00 29.70 546,687.90
1,863.00 24.00 44,712.00 14,110.00 24.00 338,640.00
8,884.00 24.18 214,815.12 474.00 24.18 11,461.32
123,329.00 25.00 3,083,225.00 43,791.00 25.00 1,094,775.00
12,404.00 29.70 368,398.80 9,253.00 29.70 274,814.10
9,062.00 20.00 181,240.00 6,920.00 20.00 138,400.00
2,200.00 20.00 44,000.00 1,289.00 20.00 25,780.00
695.00 25.00 17,375.00 1,438.00 25.00 35,950.00
1,532.00 20.00 30,640.00 2,755.00 20.00 55,100.00
4,693.00 24.18 113,476.74 4,589.00 24.18 110,962.02
3,501.00 20.00 70,020.00 15,069.00 20.00 301,380.00
3,698.00 24.65 91,155.70 4,101.00 24.65 101,089.65
7,155.00 24.65 176,370.75 20,661.00 24.65 509,293.65
3,175.00 20.00 63,500.00 17,980.00 20.00 359,600.00
564.00 20.00 11,280.00 2,116.00 20.00 42,320.00
190.00 24.00 4,560.00 1,672.00 24.00 40,128.00
201.00 24.18 4,860.18 965.00 24.18 23,333.70
1,890.00 24.65 46,588.50 8,023.00 24.65 197,766.95
1,174.00 96.78 113,619.72 4,286.00 96.78 414,799.08
21.00 156.00 3,276.00 1,268.00 156.00 197,808.00
4.00 240.00 960.00 996.00 240.00 239,040.00
- 96.78 - 183.00 96.78 17,710.74
10,874.00 100.00 1,087,400.00 8,742.00 100.00 874,200.00
122.00 156.00 19,032.00 597.00 156.00 93,132.00
1,194.00 49.40 58,983.60 5,497.00 49.40 271,551.80
244,151.00 6,980,178.61 257,813.00 7,807,467.91
2,000 2,500 3,000
NO. NAMA UNIT
24.00 20.00 25.00 29.70 40.00 29.70
0 DINKES 1,800 7,400 100 5,600
1 Purwodadi 2,000 2,000
2 Nongkojajar
3 Sumberpitu
4 Puspo
5 Tosari
6 Lumbang
7 Pasrepan 400 100
8 Kejayan
9 Ambal-Ambil 28
10 Wonorejo 1,000 1,000
11 Purwosari 500 400
12 Karangrejo 300 1,000 200
13 Prigen
14 Bulukandang
15 Sukorejo 3,000
16 Pandaan
17 Sebani
18 Gempol
19 Kepulungan
20 Beji
21 Bangil
22 Raci
23 Rembang
24 Kraton
25 Ngempit 1,000
26 Pohjentrek
27 Gondangwetan 1,000
28 Rejoso
29 Winongan
30 Grat 1,000
31 Kedawungwetan
32 Lekok
33 Nguling
34 Labkesda
JUMLAH 1,800 7,400 100 28 - 5,600
SELISIH - - - (28.00) - -
TOTAL HARGA 43,200.00 148,000.00 2,500.00 831.60 - 166,320.00
3,000 5,000 7,500 10,000 15,000
40.00 25.00 29.70 20.00 25.00 29.70 40.00 20.00
26,000 1,000 500
4,000

1,000

3,000
2,000 1,000
1,000
2,000

3,000
3,000

2,001

500

2,000

3,000

- 26,001 - 1,000 - - - 500


- (1.00) - - - - - -
- 650,025.00 - 20,000.00 - - - 10,000.00
20,000
20.00 25.00 29.70 40.00 24.65 24.18 24.00 20.00 25.00
1,500

500

1,000

- - - - 1,500 - - - -
- - - - - - - - -
- - - - 36,975.00 - - - -
25,000 50,000 100,000
29.70 40.00 20.00 25.00 29.70 40.00 20.00 25.00 29.70
100

100

- - 108 - - - - - -
- - (8.00) - - - - - -
- - 2,160.00 - - - - - -
100,000 PERAWATAN AMBULANCE
40.00 100.00 440.00 400.00 156.00 240.00 98.00 440.00 400.00
1,000
250

250

500

- 1,000 - - - - - - -
- - - - - - - - -
- 100,000.00 - - - - - - -
CPW
KOREKSI
49.40 50.00 69.00 148.50
700

200

8
500

700 - - - 8
- - - - (8.00)
34,580.00 - - -
2,000 2,500 3,000
NO. NAMA UNIT
24.00 20.00 25.00 29.70 40.00 29.70
0 DINKES 2,200 3,400 1,300
1 Purwodadi
2 Nongkojajar
3 Sumberpitu
4 Puspo
5 Tosari
6 Lumbang
7 Pasrepan
8 Kejayan 500
9 Ambal-Ambil
10 Wonorejo
11 Purwosari
12 Karangrejo
13 Prigen
14 Bulukandang
15 Sukorejo
16 Pandaan
17 Sebani
18 Gempol 1,000 1,000 1,000
19 Kepulungan
20 Beji
21 Bangil
22 Raci
23 Rembang
24 Kraton
25 Ngempit 1,000
26 Pohjentrek
27 Gondangwetan
28 Rejoso 500 500
29 Winongan 500
30 Grat
31 Kedawungwetan 400
32 Lekok
33 Nguling
34 Labkesda 200 300
JUMLAH 2,200 - 3,400 - - 1,300
SELISIH - - - - - -
TOTAL HARGA 52,800.00 - 85,000.00 - - 38,610.00
3,000 5,000 7,500 10,000 15,000
40.00 25.00 29.70 20.00 25.00 29.70 40.00 20.00
25,000 2,000 1,000

1,000

1,000

3,000
1,000

3,000 1,000 1,000

800

1,000
3,000

1,000
2,000
7,500
500

1,000
200
- 25,000 - 2,000 - - - 1,000
- - - - - - - -
- 625,000.00 - 40,000.00 - - - 20,000.00
20,000
20.00 25.00 29.70 40.00 24.65 24.18 24.00 20.00 25.00
3,500 3,200
500

500

1,000 1,000
500

600

1,000

1,000

400 200
3,500 - - - 3,200 - - - -
- - - - - - - - -
70,000.00 - - - 78,880.00 - - - -
25,000 50,000 100,000
29.70 40.00 20.00 25.00 29.70 40.00 20.00 25.00 29.70
1,800 1,500
500

100

200
1,000 1,500
- - 1,800 - - - 1,500 - -
- - - - - - - - -
- - 36,000.00 - - - 30,000.00 - -
100,000 PERAWATAN AMBULANCE
40.00 100.00 440.00 400.00 156.00 240.00 98.00 440.00
3,000 200 50
500

500

500

250

250 200 50
500
500

- 3,000 - - 200 50 - -
- - - - - - - -
- 300,000.00 - - 31,200.00 12,000.00 - -
CPW
KOREKSI
400.00 49.40 50.00 69.00 148.50

- - - - - -
- - - - - -
- - - - - -
2,000 2,500 3,000
NO. NAMA UNIT
24.00 20.00 25.00 29.70 40.00 29.70
0 DINKES 2,000 3,000
1 Purwodadi 1,000 2,000
2 Nongkojajar
3 Sumberpitu
4 Puspo
5 Tosari
6 Lumbang
7 Pasrepan
8 Kejayan
9 Ambal-Ambil
10 Wonorejo
11 Purwosari
12 Karangrejo
13 Prigen
14 Bulukandang
15 Sukorejo
16 Pandaan 1,000
17 Sebani
18 Gempol
19 Kepulungan
20 Beji
21 Bangil
22 Raci 500
23 Rembang
24 Kraton
25 Ngempit
26 Pohjentrek
27 Gondangwetan
28 Rejoso
29 Winongan
30 Grat 500
31 Kedawungwetan
32 Lekok
33 Nguling
34 Labkesda
JUMLAH - - 2,000 - - 3,000
SELISIH - - - - - -
TOTAL HARGA - - 50,000.00 - - 89,100.00
3,000 5,000 7,500 10,000 15,000
40.00 25.00 29.70 20.00 25.00 29.70 40.00 20.00
17,000
4,000

1,000
2,000

2,000

2,000
1,000

3,000

1,000

1,000

- 17,000 - - - - - -
- - - - - - - -
- 425,000.00 - - - - - -
20,000
20.00 25.00 29.70 40.00 24.65 24.18 24.00 20.00 25.00
800 200

300

500

200

800 - - - 200 - - - -
- - - - - - - - -
16,000.00 - - - 4,930.00 - - - -
25,000 50,000 100,000
29.70 40.00 20.00 25.00 29.70 40.00 20.00 25.00 29.70
500 100

100

500

- - 500 - - - 100 - -
- - - - - - - - -
- - 10,000.00 - - - 2,000.00 - -
100,000 PERAWATAN AMBULANCE
40.00 100.00 440.00 400.00 156.00 240.00 98.00 440.00 400.00
1,300

200

500

100

500

- 1,300 - - - - - - -
- - - - - - - - -
- 130,000.00 - - - - - - -
CPW
KOREKSI
49.40 50.00 69.00 148.50
200

200

200 - - - -
- - - - -
9,880.00 - - - -
2,000 2,500 3,000
NO. NAMA UNIT
24.00 20.00 25.00 29.70 40.00 29.70
0 DINKES 6,000 4,700 3,000
1 Purwodadi 1,000 1,000
2 Nongkojajar
3 Sumberpitu
4 Puspo
5 Tosari
6 Lumbang
7 Pasrepan 500 500
8 Kejayan
9 Ambal-Ambil
10 Wonorejo
11 Purwosari
12 Karangrejo
13 Prigen 3,000
14 Bulukandang
15 Sukorejo 2,000
16 Pandaan
17 Sebani
18 Gempol
19 Kepulungan
20 Beji 2,000
21 Bangil
22 Raci
23 Rembang 1,000
24 Kraton
25 Ngempit 1,000
26 Pohjentrek
27 Gondangwetan
28 Rejoso 200
29 Winongan 500
30 Grat
31 Kedawungwetan
32 Lekok 500 500
33 Nguling
34 Labkesda
JUMLAH 6,000 - 4,700 - - 3,000
SELISIH - - - - - -
TOTAL HARGA 144,000.00 - 117,500.00 - - 89,100.00
3,000 5,000 7,500 10,000 15,000
40.00 25.00 29.70 20.00 25.00 29.70 40.00 20.00
26,000 1,500

3,000
2,000 1,000

3,000

3,000

6,000

1,000
2,000
4,000

2,000 500

- 26,000 - 1,500 - - - -
- - - - - - - -
- 650,000.00 - 30,000.00 - - - -
20,000
20.00 25.00 29.70 40.00 24.65 24.18 24.00 20.00
5,800 2,200

500

1,000

2,000

1,000 1,000

300
500 200
1,000

500

5,800 - - - 2,200 - - -
- - - - - - - -
116,000.00 - - - 54,230.00 - - -
25,000 50,000 10
25.00 29.70 40.00 20.00 25.00 29.70 40.00 20.00 25.00
200

200

- - - 200 - - - - -
- - - - - - - - -
- - - 4,000.00 - - - - -
100,000 PERAWATAN AMBULANCE
29.70 40.00 100.00 440.00 400.00 156.00 240.00 98.00 440.00
2,050 850
500

100

250 100

500 250

200

500 500

- - 2,050 - - - 850 - -
- - - - - - - - -
- - 205,000.00 - - - 204,000.00 - -
CPW
KOREKSI
400.00 49.40 50.00 69.00 148.50
100

100

- 100 - - - -
- - - - - -
- 4,940.00 - - - -
2,000 2,500 3,000
NO. NAMA UNIT
24.00 20.00 25.00 29.70 40.00 29.70
0 DINKES 3,500 3,500 2,000
1 Purwodadi 1,000 1,000
2 Nongkojajar
3 Sumberpitu 400
4 Puspo
5 Tosari
6 Lumbang
7 Pasrepan
8 Kejayan
9 Ambal-Ambil
10 Wonorejo
11 Purwosari 500
12 Karangrejo
13 Prigen
14 Bulukandang
15 Sukorejo
16 Pandaan
17 Sebani 100
18 Gempol
19 Kepulungan
20 Beji
21 Bangil 500 1,000
22 Raci
23 Rembang
24 Kraton 500
25 Ngempit
26 Pohjentrek
27 Gondangwetan 2,000
28 Rejoso
29 Winongan
30 Grat 500 1,000
31 Kedawungwetan 500
32 Lekok
33 Nguling
34 Labkesda
JUMLAH 3,500 - 3,500 - - 2,000
SELISIH - - - - - -
TOTAL HARGA 84,000.00 - 87,500.00 - - 59,400.00
3,000 5,000 7,500 10,000 15,000
40.00 25.00 29.70 20.00 25.00 29.70 40.00 20.00
25,000 4,000 500
2,000

500

500
1,000

3,000
1,000
1,000

3,000 3,000

5,000

2,000 500

2,000

3,000
1,000

1,000

- 25,000 - 4,000 - - - 500


- - - - - - - -
- 625,000.00 - 80,000.00 - - - 10,000.00
20,000
20.00 25.00 29.70 40.00 24.65 24.18 24.00 20.00 25.00
500 1,100

300

500 500

300

500 - - - 1,100 - - - -
- - - - - - - - -
10,000.00 - - - 27,115.00 - - - -
25,000 50,000 100,000
29.70 40.00 20.00 25.00 29.70 40.00 20.00 25.00 29.70
200 500

500

200

- - 200 - - - 500 - -
- - - - - - - - -
- - 4,000.00 - - - 10,000.00 - -
100,000 PERAWATAN AMBULANCE
40.00 100.00 440.00 400.00 156.00 240.00 98.00 440.00 400.00
2,000 100

100

500

1,000

500

- 2,000 - - - 100 - - -
- - - - - - - - -
- 200,000.00 - - - 24,000.00 - - -
CPW
KOREKSI
49.40 50.00 69.00 148.50
600

300

200

100

600 - - - -
- - - - -
29,640.00 - - - -
2,000 2,500 3,000
NO. NAMA UNIT
24.00 20.00 25.00 29.70 40.00 29.70
0 DINKES 1,000 3,700 1,000
1 Purwodadi 1,000 1,000
2 Nongkojajar
3 Sumberpitu
4 Puspo
5 Tosari
6 Lumbang
7 Pasrepan
8 Kejayan 1,000
9 Ambal-Ambil
10 Wonorejo
11 Purwosari
12 Karangrejo
13 Prigen
14 Bulukandang
15 Sukorejo
16 Pandaan
17 Sebani 200
18 Gempol
19 Kepulungan
20 Beji 2,000
21 Bangil
22 Raci 500
23 Rembang
24 Kraton
25 Ngempit
26 Pohjentrek
27 Gondangwetan
28 Rejoso
29 Winongan
30 Grat
31 Kedawungwetan
32 Lekok
33 Nguling
34 Labkesda
JUMLAH 1,000 - 3,700 - - 1,000
SELISIH - - - - - -
TOTAL HARGA 24,000.00 - 92,500.00 - - 29,700.00
3,000 5,000 7,500 10,000 15,000
40.00 25.00 29.70 20.00 25.00 29.70 40.00 20.00
15,000
2,000
1,000

2,000

3,000

1,000
3,000

3,000

- 15,000 - - - - - -
- - - - - - - -
- 375,000.00 - - - - - -
20,000
20.00 25.00 29.70 40.00 24.65 24.18 24.00 20.00 25.00
200 700

700

200

200 - - - 700 - - - -
- - - - - - - - -
4,000.00 - - - 17,255.00 - - - -
25,000 50,000 100,000
29.70 40.00 20.00 25.00 29.70 40.00 20.00 25.00 29.70
200 300

200

300

- - 200 - - - 300 - -
- - - - - - - - -
- - 4,000.00 - - - 6,000.00 - -
100,000 PERAWATAN AMBULANCE
40.00 100.00 440.00 400.00 156.00 240.00 98.00 440.00 400.00
1,000
500

500

- 1,000 - - - - - - -
- - - - - - - - -
- 100,000.00 - - - - - - -
CPW
KOREKSI
49.40 50.00 69.00 148.50

- - - - -
- - - - -
- - - - -
2,000 2,500 3,000
NO. NAMA UNIT
24.00 20.00 25.00 29.70 40.00 29.70
0 DINKES 800 6,300 5,000
1 Purwodadi 1,000 1,000
2 Nongkojajar
3 Sumberpitu
4 Puspo
5 Tosari
6 Lumbang
7 Pasrepan
8 Kejayan
9 Ambal-Ambil
10 Wonorejo
11 Purwosari 1,000
12 Karangrejo
13 Prigen
14 Bulukandang
15 Sukorejo 2,000
16 Pandaan 3,000
17 Sebani
18 Gempol
19 Kepulungan
20 Beji
21 Bangil
22 Raci
23 Rembang
24 Kraton 500
25 Ngempit 1,000
26 Pohjentrek
27 Gondangwetan
28 Rejoso
29 Winongan 300 800
30 Grat 500 1,000
31 Kedawungwetan
32 Lekok
33 Nguling
34 Labkesda
JUMLAH 800 - 6,300 - - 5,000
SELISIH - - - - - -
3,000 5,000 7,500 10,000 15,000
40.00 25.00 29.70 20.00 25.00 29.70 40.00 20.00 20.00
16,900 17,100 1,000 500 1,300
2,000 2,000

1,000

3,000
1,000

3,000 500
3,000

5,000

1,000 500
3,000
1,000

900 100 500


2,000 2,000 300
3,000

2,000

- 16,900 17,100 1,000 - - - 500 1,300


- - - - - - - - -
20,000 25,000
25.00 29.70 40.00 24.65 24.18 24.00 20.00 25.00 29.70
400
200

200

- - - 400 - - - - -
- - - - - - - - -
25,000 50,000 100,000
40.00 20.00 25.00 29.70 40.00 20.00 25.00 29.70 40.00
1,700 1,500
200 200

500

1,000

300 300
500

200

- 1,700 - - - 1,500 - - -
- - - - - - - - -
PERAWATAN AMBULANCE CPW
100.00 440.00 400.00 156.00 240.00 98.00 440.00 400.00 49.40
3,300 250 700

300
200

500

500

500
500

500 250
500

500

3,300 - - - 250 - - - 700


- - - - - - - - -
CPW
KOREKSI
50.00 69.00 148.50

- - - -
- - - -
2,000 2,500 3,000
NO. NAMA UNIT
24.00 20.00 25.00 29.70 40.00 29.70
0 DINKES 1,500 500 2,300
1 Purwodadi
2 Nongkojajar
3 Sumberpitu 300
4 Puspo
5 Tosari
6 Lumbang
7 Pasrepan
8 Kejayan 1,000
9 Ambal-Ambil
10 Wonorejo
11 Purwosari
12 Karangrejo
13 Prigen
14 Bulukandang 1,000
15 Sukorejo
16 Pandaan
17 Sebani
18 Gempol
19 Kepulungan
20 Beji
21 Bangil
22 Raci 500 500 500
23 Rembang
24 Kraton
25 Ngempit
26 Pohjentrek
27 Gondangwetan
28 Rejoso
29 Winongan
30 Grat 500
31 Kedawungwetan
32 Lekok
33 Nguling
34 Labkesda
JUMLAH 1,500 - 500 - - 2,300
SELISIH - - - - - -
3,000 5,000 7,500 10,000 15,000
40.00 25.00 29.70 20.00 25.00 29.70 40.00 20.00 20.00
15,500 1,000 900

2,000
500 400

1,000

5,000 1,000

1,000

500

1,000

4,000

1,000

- - 15,500 1,000 - - - - 900


- - - - - - - - -
20,000 25,000
25.00 29.70 40.00 24.65 24.18 24.00 20.00 25.00 29.70

- - - - - - - - -
- - - - - - - - -
25,000 50,000 100,000
40.00 20.00 25.00 29.70 40.00 20.00 25.00 29.70 40.00
600

100

500

- - - - - 600 - - -
- - - - - - - - -
PERAWATAN AMBULANCE CPW
100.00 440.00 400.00 156.00 240.00 98.00 440.00 400.00 49.40
1,700 300 100
500 250

200

1,000 100

50

1,700 - - - 300 - - - 100


- - - - - - - - -
CPW
KOREKSI
50.00 69.00 148.50

- - - -
- - - -
2,000 2,500 3,000
NO. NAMA UNIT
24.00 20.00 25.00 29.70 40.00 29.70
0 DINKES 2,000 2,200 5,500
1 Purwodadi 1,000 1,000 1,000
2 Nongkojajar
3 Sumberpitu
4 Puspo
5 Tosari
6 Lumbang
7 Pasrepan
8 Kejayan
9 Ambal-Ambil 300 500
10 Wonorejo
11 Purwosari
12 Karangrejo
13 Prigen
14 Bulukandang
15 Sukorejo 3,000
16 Pandaan
17 Sebani
18 Gempol
19 Kepulungan
20 Beji
21 Bangil
22 Raci
23 Rembang
24 Kraton
25 Ngempit 1,000 500 1,000
26 Pohjentrek
27 Gondangwetan
28 Rejoso 400
29 Winongan
30 Grat
31 Kedawungwetan
32 Lekok
33 Nguling
34 Labkesda
JUMLAH 2,000 - 2,200 - - 5,500
SELISIH - - - - - -
3,000 5,000 7,500 10,000 15,000
40.00 25.00 29.70 20.00 25.00 29.70 40.00 20.00 20.00
29,000 4,000 500
2,000

1,000

1,000

5,000
1,000 500

2,000

4,000

3,000 3,000

2,000

3,000

2,000
1,000

3,000

- - 29,000 4,000 - - - - 500


- - - - - - - - -
20,000 25,000
25.00 29.70 40.00 24.65 24.18 24.00 20.00 25.00 29.70
1,000

500

500

- - - 1,000 - - - - -
- - - - - - - - -
25,000 50,000 100,000
40.00 20.00 25.00 29.70 40.00 20.00 25.00 29.70 40.00

- - - - - - - - -
- - - - - - - - -
PERAWATAN AMBULANCE CPW
100.00 440.00 400.00 156.00 240.00 98.00 440.00 400.00 49.40
100 250 500

100

250

500

100 - - - 250 - - - 500


- - - - - - - - -
CPW
KOREKSI
50.00 69.00 148.50

- - - -
- - - -
2,000 2,500 3,000
NO. NAMA UNIT
24.00 20.00 25.00 29.70 40.00 29.70
0 DINKES 2,900 3,600 2,400 1,500
1 Purwodadi 1,000
2 Nongkojajar
3 Sumberpitu
4 Puspo
5 Tosari
6 Lumbang
7 Pasrepan
8 Kejayan
9 Ambal-Ambil 500 200 400 500
10 Wonorejo 500
11 Purwosari
12 Karangrejo
13 Prigen
14 Bulukandang
15 Sukorejo
16 Pandaan
17 Sebani
18 Gempol
19 Kepulungan 500
20 Beji 2,000
21 Bangil 500 1,000
22 Raci
23 Rembang
24 Kraton 400
25 Ngempit 1,000
26 Pohjentrek
27 Gondangwetan
28 Rejoso
29 Winongan 500 400
30 Grat 1,000
31 Kedawungwetan
32 Lekok
33 Nguling
34 Labkesda
JUMLAH 2,900 - 3,600 2,400 - 1,500
SELISIH - - - - - -
3,000 5,000 7,500 10,000 15,000
40.00 25.00 29.70 20.00 25.00 29.70 40.00 20.00 20.00
37,500 300 2,000
2,000

2,000

2,000

2,000
3,000

500
5,000
3,000

4,000
1,000 300
3,000
3,000 2,000

2,000
3,000

2,000

- - 37,500 - - - - 300 2,000


- - - - - - - - -
20,000 25,000
25.00 29.70 40.00 24.65 24.18 24.00 20.00 25.00 29.70
2,300 200
300

500

200

1,000

500

- - - 2,300 200 - - - -
- - - - - - - - -
25,000 50,000 100,000
40.00 20.00 25.00 29.70 40.00 20.00 25.00 29.70 40.00
700
200

500

- 700 - - - - - - -
- - - - - - - - -
PERAWATAN AMBULANCE CPW
100.00 440.00 400.00 156.00 240.00 98.00 440.00 400.00 49.40
2,000 400

500

500 200

200
500

500

2,000 - - - - - - - 400
- - - - - - - - -
CPW
KOREKSI
50.00 69.00 148.50

- - - -
- - - -
2,000 2,500 3,000
NO. NAMA UNIT
24.00 20.00 25.00 29.70 40.00 29.70
0 DINKES 1,000 4,000 2,000
1 Purwodadi 1,000 2,000
2 Nongkojajar 500
3 Sumberpitu
4 Puspo
5 Tosari
6 Lumbang
7 Pasrepan
8 Kejayan
9 Ambal-Ambil
10 Wonorejo
11 Purwosari 500
12 Karangrejo
13 Prigen 1,000
14 Bulukandang
15 Sukorejo
16 Pandaan 1,000
17 Sebani
18 Gempol
19 Kepulungan
20 Beji
21 Bangil
22 Raci
23 Rembang
24 Kraton
25 Ngempit
26 Pohjentrek
27 Gondangwetan
28 Rejoso
29 Winongan
30 Grat 1,000
31 Kedawungwetan
32 Lekok
33 Nguling
34 Labkesda
JUMLAH 1,000 - - 4,000 - 2,000
SELISIH - - - - - -
3,000 5,000 7,500 10,000 15,000
40.00 25.00 29.70 20.00 25.00 29.70 40.00 20.00 20.00
15,000 3,000 2,500
5,000
500

1,000 500
1,000
1,000

3,000 2,000

1,000

1,000 500

4,000

- - 15,000 3,000 - - - - 2,500


- - - - - - - - -
20,000 25,000
25.00 29.70 40.00 24.65 24.18 24.00 20.00 25.00 29.70

- - - - - - - - -
- - - - - - - - -
25,000 50,000 100,000
40.00 20.00 25.00 29.70 40.00 20.00 25.00 29.70 40.00
700 200
200 200
500

- 700 - - - 200 - - -
- - - - - - - - -
PERAWATAN AMBULANCE CPW
100.00 440.00 400.00 156.00 240.00 98.00 440.00 400.00 49.40
1,850 500 100
500
500

100

100

250

500 500

1,850 - - - 500 - - - 100


- - - - - - - - -
CPW
KOREKSI
50.00 69.00 148.50

- - - -
- - - -
2,000 2,500 3,000
NO. NAMA UNIT
24.00 20.00 25.00 29.70 40.00 29.70
0 DINKES 500 3,500 800
1 Purwodadi 500 500
2 Nongkojajar
3 Sumberpitu
4 Puspo
5 Tosari
6 Lumbang
7 Pasrepan 500
8 Kejayan
9 Ambal-Ambil
10 Wonorejo
11 Purwosari
12 Karangrejo
13 Prigen
14 Bulukandang
15 Sukorejo
16 Pandaan
17 Sebani
18 Gempol
19 Kepulungan
20 Beji
21 Bangil
22 Raci
23 Rembang
24 Kraton
25 Ngempit 1,000
26 Pohjentrek
27 Gondangwetan
28 Rejoso
29 Winongan 500 300
30 Grat 500 1,000
31 Kedawungwetan
32 Lekok
33 Nguling
34 Labkesda
JUMLAH 500 - - 3,500 - 800
SELISIH - - - - - -
3,000 5,000 7,500 10,000 15,000
40.00 25.00 29.70 20.00 25.00 29.70 40.00 20.00 20.00
19,500 1,000 1,000 1,800

500 500
500

6,000
1,000 500

2,000

1,000

3,000

1,000 500

300
3,000 500

2,000 1,000

- - 19,500 1,000 - - - 1,000 1,800


- - - - - - - - -
20,000 25,000
25.00 29.70 40.00 24.65 24.18 24.00 20.00 25.00 29.70
500

500

- - - - 500 - - - -
- - - - - - - - -
25,000 50,000 100,000
40.00 20.00 25.00 29.70 40.00 20.00 25.00 29.70 40.00
1,000

1,000

- - - - - 1,000 - - -
- - - - - - - - -
PERAWATAN AMBULANCE CPW
100.00 440.00 400.00 156.00 240.00 98.00 440.00 400.00 49.40
2,100 500

500

500 500
1,100

2,100 - - - 500 - - - -
- - - - - - - - -
CPW
KOREKSI
50.00 69.00 148.50

- - - -
- - - -
DINKES 983,540,529.00 983,540,529.00
PURWODADI 17,661,277.59 17,661,277.59
NONGKOJAJAR 8,549,823.43 8,549,823.43
SUMBERPITU 20,958,199.77 20,958,199.77
PUSPO 46,099,555.43 46,099,555.43
TOSARI 3,097,770.41 3,097,770.41
LUMBANG 141,596.83 141,596.83
PASREPAN 31,047,981.77 31,047,981.77
KEJAYAN 55,288,095.33 55,288,095.33
AMBAL AMBIL 13,603,068.05 13,603,068.05
WONOREJO 143,937,308.04 143,937,308.04
PURWOSARI 62,166,284.02 62,166,284.02
KARANGREJO 38,147,653.08 38,147,653.08
PRIGEN 58,900,745.30 58,900,745.30
BULUKANDANG 64,113,291.03 64,113,291.03
SUKOREJO 290,928.98 290,928.98
PANDAAN 55,695,119.16 55,695,119.16
SEBANI 1,367,866.75 1,367,866.75
GEMPOL 45,896,903.65 45,896,903.65
KEPULUNGAN 12,332,845.23 12,332,845.23
BEJI 129,052,102.41 129,052,102.42
BANGIL 16,683,655.60 16,683,655.60
RACI 61,777,868.07 61,777,868.07
REMBANG 63,676,248.19 63,676,248.19
KRATON 80,090,301.44 80,090,301.44
NGEMPIT 83,229,192.08 83,229,192.08
POHJENTREK 101,960,331.01 101,960,330.97
GONDANGWETAN 54,237,061.54 54,237,061.54
REJOSO 16,476,649.24 16,476,649.24
WINONGAN 179,995,764.85 179,995,764.85
GRATI 113,276,580.74 113,276,580.76
KEDAWUNG WETAN 39,680,828.64 39,680,828.64
LEKOK 246,817,741.27 246,817,741.27
NGULING 183,108,439.74 183,108,439.90
LABKESDA 44,076,855.67 44,076,855.67
POPPK - -
saldo awal saldo awal

NAMA PKM NAMA PKM


saldo awal audited saldo awal pkm saldo awal audited saldo awal pkm

DINKES 983,540,529.00 983,540,529.00 GEMPOL 45,896,903.65 45,896,903.65


PURWODADI 17,661,277.59 17,661,277.59 KEPULUNGAN 12,332,845.23 12,332,845.23
NONGKOJAJAR 8,549,823.43 8,549,823.43 BEJI 129,052,102.41 129,052,102.42
SUMBERPITU 20,958,199.77 20,958,199.77 BANGIL 16,683,655.60 16,683,655.60
PUSPO 46,099,555.43 46,099,555.43 RACI 61,777,868.07 61,777,868.07
TOSARI 3,097,770.41 3,097,770.41 REMBANG 63,676,248.19 63,676,248.19
LUMBANG 141,596.83 141,596.83 KRATON 80,090,301.44 80,090,301.44
PASREPAN 31,047,981.77 31,047,981.77 NGEMPIT 83,229,192.08 83,229,192.08
KEJAYAN 55,288,095.33 55,288,095.33 POHJENTREK 101,960,331.01 101,960,330.97
AMBAL AMBIL 13,603,068.05 13,603,068.05 GONDANGWETAN 54,237,061.54 54,237,061.54
WONOREJO 143,937,308.04 143,937,308.04 REJOSO 16,476,649.24 16,476,649.24
PURWOSARI 62,166,284.02 62,166,284.02 WINONGAN 179,995,764.85 179,995,764.85
KARANGREJO 38,147,653.08 38,147,653.08 GRATI 113,276,580.74 113,276,580.76
PRIGEN 58,900,745.30 58,900,745.30 KEDAWUNG WETAN 39,680,828.64 39,680,828.64
BULUKANDANG 64,113,291.03 64,113,291.03 LEKOK 246,817,741.27 246,817,741.27
SUKOREJO 290,928.98 290,928.98 NGULING 183,108,439.74 183,108,439.90
PANDAAN 55,695,119.16 55,695,119.16 LABKESDA 44,076,855.67 44,076,855.67
SEBANI 1,367,866.75 1,367,866.75 POPPK - -
JUMLAH 1,604,607,093.97 1,604,607,093.97 JUMLAH 1,472,369,369.37 1,472,369,369.52