Berita Acara Stock Ofname 2018

BERITA ACARA
STOCK OPNAME PERSEDIAAN BARANG

UPT PUSKESMAS CILAWU
Pada hari ini senin tanggal tiga puluh satu bulan desember tahun dua ribu delapan belas yang
bertanda tangan di bawah ini :
Nama : Lina Yuliana

Jabatan : Pengurus barang
Sesuai dengan ketentuan pasal 16 dan 17 Peraturan Bupati Garut Nomor 14 Tahun 2016 tentang
Sistem dan prosedur Pengelolaan Barang Milik Negara Daerah di Lingkungan Pemerintahaan
Kabupaten Garut, kami telah melakukan stock opname persediaan per 31 Agustus 2018
hasil sebagai berikut :
No Nama Barang Jumlah Satuan Harga Perolehan
A Bahan Habis Pakai

1 PERSEDIAAN ALAT TULIS KANTOR
1 amplop besar/pak 14 bok 17,250
2 amplop kecil 3 bok 15,000
3 Kwitansi Biasa Besar 30 pcs 4,000
4 Kwitansi Biasa Kecil 20 pcs 1,300
5 box file jumbo Bindex - pcs 31,700
6 Buku kuarto/Isi 100 17 pcs 8,350
7 Buku polio mrg/Isi 100 5 pcs 14,450
8 catter isi perfo 5 pcs 15,000
9 cd 89 pcs 1,300
10 cd tempat 89 pcs 11,000
11 cuter besar joyko 3 pcs 15,000
12 double tip kecil br (6mm) 20 pcs 1,000
13 double tip sedang 24 mm 7 pcs 8,500
14 gunting kertas 3 pcs 14,450
15 hecter besar 5 pcs 19,500
16 hecterkecil 2 pcs 25,600
17 kertas A4 31 rim 48,800
18 kertas F4 hvs 81 rim 48,600
19 kertas label 123 12 Pak 3,000
20 label harga CP2 45 pak 3,000
21 lem dlukol kertas 5 pcs 7,000
22 map jk/shd diplay Isi 20 - pcs 15,000
23 map karton stop map 165 pcs 480
24 map plastik pembolong ch/Busines Play 30 pcs 3,350
25 map plastik kancing 6 pcs 1,951
26 map plastik tali - pcs 1,958
27 ordner bindex 45 pcs 26,000
28 paku hecter besar neces etona no 3 20 bok 2,700
29 paku hecter kecil neces etona no 10 44 bok 1,200
30 paper cut - pcs 52,000
31 pembolong kertas 1 pcs 15,000

32 penghapus setip std 12 pcs 1,800
33 pita daito plastik mesin tik 2 rol 2,500
34 potlot faber 15 pcs 1,462
35 pulpen 20 pcs 2,500
36 sampul mika buku - pcs 6,000
37 solasiban daimaru 1 pcs 7,500
38 Spidol permanen snow g - pcs 4,900
39 Spidol kecil hitam - pcs 900
40 spidol snow White boart Marker 15 pcs 5,500
41 stampel bak joyko 2 pcs 9,000
42 stampel tanggal - pcs 14,000
43 termal printech 58x25/Kecil 14 rol 5,250
44 tinta cap stp pyramida 4 botol 8,500
45 tinta computer biru brather printec eps 1 botol 22,000
46 tinta computer hitam brather - botol 22,000
47 tinta computer kuning 2 botol 22,000
48 tinta computer merah brather 2 botol 22,000
49 tip ex biasa Kenko 4 pcs 3,500
50 Bak stempel besar - pcs 7,500
51 Bak stempel kecil - pcs 6,700
52 Cap tanggal - pcs 150,000
53 Label nama no 125 10 pcs 3,000
54 Map mika - pcs 5,000
55 Seropon Standar - pcs 9,450
56 Pos it Warna warni - pcs 23,000
57 Mistar 6 pcs 2,500
58 Tip x kenko 2 pcs 8,000
59 Buku neraca - pcs 25,000
60 Pembolong kertas - pcs 11,500
61 Solasiban Kecil/bening 9 pcs 2,600
62 Spidol permanen snowman/kecil 10 pcs 7,250
63 Binder Clip No 107 4 Bok 3,600
64 Binder Clip No 260 6 Bok 42,000
67 Tinta epson BK 5 pcs 91,000
68 Tinta Epson M - pcs 91,000
69 Tinta Epson C/biru - pcs 91,000
70 Tinta Epson Y - pcs 91,000
71 Mouse Vorte - pcs 86,000
72 Triping tool - pcs 60,000
73 Tang Kabel - pcs 75,000
74 Keyboard - pcs 190,000
75 Kabel - pcs 90,000
76 Alas Mouse 8 pcs 8,500
77 Termal printech uk 80x80 Otani - Rol 24,700
78 Debos Trigonal Clip No 3 23 Box 3,000

79 Map Plastik L 180 Pcs 2,000
80 Buku Polio Isi 300 5 Pcs 41,150
83 Map Display Isi 120 - Pcs 9,866
84 Box File Bantex 11 Pcs 30,600
85 Map Display Isi 40 - Pcs 21,000
86 Materai 3000 - Pcs 3,500
87 Materai 6000 - Pcs 6,500
88 Tinta Otomatis 2 pcs 30,000
89 Stiker Note Panci - Pcs 6,000
90 Memo Joyko 6 Pcs 6,500
91 Stiki Play Page/pembatas buku - Pcs 10,500
92 Binder Clip Warna warni 4 Bok 15,000
93 Kertas Polio E-Prin Besar 2 pak 26,500
94 Kertas polio E-Prin Kecil - pak 7,500
95 Pos It Panda - pcs 6,500
96 Lem Stik Uhu 2 pcs 6,700
97 Label Harga No 103 1 Pak 4,500
98 Double Tip Busa Hitam - Pcs 9,450
99 Kalkulator - Pcs 51,200
100 Tempat solasiban 1 Pcs 20,000
101 pulpen Elastis Deboz - Pcs 7,500
102 Map Presiden Jepit 3 Pcs 7,800
103 Pulpen Biru 4 Pcs 2,250
104 Pocket Dokumen Besar/Display - Pcs 23,350
105 Pocket Dokumen Kecil/Display - Pcs 17,800
106 Od Bindek Uk A4 - Pcs 24,500
107 Seropom Besar 3 Pcs 11,100
108 Paku Seropom 2 Box 3,000
109 Box File Bantex Warna 6 Box 28,500
110 Box File Plastik Nikiko - Box 16,700
111 Map Display Pocket 60 - Pcs 30,000
112 Buku Sidu Isi 58 19 pcs 3,000
113 Stabilo 2 pcs 4,150
114 Nota satu play - pcs 5,000
115 Map Display isi 100 1 pcs 150,000
116 Map Display isi 80 - pcs 60,000
117 Kertas pripcar/koran 1 Rim 240,000
118 Pembolong Kertas Besar 1 Pcs 40,000
0 Alat Tulis Kantor ( BOK ) 11,137,150 - -
1 amplop besar/pak 75,000 3 1
2 amplop kecil 90,000 6 2
3 Kwitansi Biasa Besar 35,000 7 1
4 Kwitansi Biasa Kecil - - -
5 box file jumbo Bindex - - -
6 Buku kuarto/Isi 100 - - -

7 Buku polio mrg/Isi 100 - - -
8 catter isi perfo - - -
9 cd - - -
10 cd tempat - - -
11 cuter besar joyko 60,000 4 -
12 double tip kecil br (6mm) - - -
13 double tip sedang 24 mm - - -
14 gunting kertas 28,900 2 -
15 hecter besar 97,500 5 3
16 hecterkecil 204,800 8 -
17 kertas A4 - - -
18 kertas F4 hvs 6,435,000 117 3
19 kertas label 123 - - -
20 label harga CP2 - - -
21 Lem Stik Uhu 98,000 14 2
22 map jk/shd diplay Isi 20 - - -
23 map karton stop map - - -
24 map plastik pembolong ch/Busines Play - - -
25 map plastik kancing 140,000 40 -
26 map plastik tali - - -
27 ordner bindex 600,000 20 -
28 paku hecter besar neces etona no 3 7,000 2 18
29 paku hecter kecil neces etona no 10 40,800 34 6
30 paper cut - - -
31 pembolong kertas 45,000 3 -
32 penghapus setip std - - -
33 pita daito plastik mesin tik - - -
34 potlot faber - - -
35 pulpen 120,000 48 -
36 sampul mika buku - - -
37 solasiban daimaru - - -
38 Spidol permanen snow g 19,600 4 -
39 Spidol kecil hitam - - -
40 spidol snow White boart Marker - - -
41 stampel bak joyko - - -
42 stampel tanggal - - -
43 termal printech 58x25/Kecil - - -
44 tinta cap stp pyramida 68,000 8 2
45 tinta computer biru brather printec eps - - -
46 tinta computer hitam brather - - -
47 tinta computer kuning - - -
48 tinta computer merah brather - - -
49 tip ex biasa Kenko 14,000 4 -
50 Bak stempel besar - - -
51 Bak stempel kecil - - -
52 Cap tanggal - - -
53 Label nama no 125 - - -

54 Map mika - - -
55 Seropon Standar - - -
56 Pos it Warna warni - - -
57 Mistar - - -
58 Tip x kenko - - -
59 Buku neraca - - -
60 Pembolong kertas 46,000 4 -
61 Solasiban Kecil/bening - - -
62 Spidol permanen snowman/kecil 36,250 5 1
63 Binder Clip No 107 - - -
64 Binder Clip No 260 336,000 8 -
67 Tinta epson BK 770,000 7 1
68 Tinta Epson M 330,000 3 1
69 Tinta Epson C/biru 330,000 3 1
70 Tinta Epson Y 330,000 3 1
71 Mouse Vorte - - -
72 Triping tool - - -
73 Tang Kabel - - -
74 Keyboard - - -
75 Kabel - - -
76 Alas Mouse - - -
77 Termal printech uk 80x80 Otani - - -
78 Debos Trigonal Clip No 3 - - -
79 Map Plastik L - - -
80 Buku Polio Isi 300 - - -
83 Map Display Isi 120 - - -
84 Box File Bantex - - -
85 Map Display Isi 40 - - -
86 Materai 3000 17,500 5 5
87 Materai 6000 520,000 80 -
88 Tinta Otomatis - - -
89 Stiker Note Panci - - -
90 Memo Joyko - - -
91 Stiki Play Page/pembatas buku - - -
92 Binder Clip Warna warni - - -
93 Kertas Polio E-Prin Besar - - -
94 Kertas polio E-Prin Kecil - - -
95 Pos It Panda - - -
96 Lem Stik Uhu 93,800 14 2
97 Label Harga No 103 - - -
98 Double Tip Busa Hitam - - -
99 Kalkulator 102,400 2 -
100 Tempat solasiban - - -

101 pulpen Elastis Deboz - - -
102 Map Presiden Jepit - - -
103 Pulpen Biru - - -
104 Pocket Dokumen Besar/Display - - -
105 Pocket Dokumen Kecil/Display - - -
106 Od Bindek Uk A4 - - -
107 Seropom Besar - - -
108 Paku Seropom 30,000 10 -
109 Box File Bantex Warna - - -
110 Box File Plastik Nikiko - - -
111 Map Display Pocket 60 - - -
112 Buku Sidu Isi 58 - - -
113 Stabilo 16,600 4 -
114 Nota satu play - - -
115 Map Display isi 100 - - -
116 Map Display isi 80 - - -
117 Kertas pripcar/koran - - -
118 Pembolong Kertas Besar - - -
2 PERSEDIAAN BARANG CETAKAN - - -
1 Kwitansi 2 Play 175 buku 2,000
2 Kwitansi 3 Play 71 buku 27,875
3 Rekam Medik Ranap Pink 250 Buah 9,478
4 Rekam Medik Ranap Biru 250 Buah 9,478
5 Rekam Medik Rawat Jalan 1,424 Buah 3,903
6 Buku Laboratorium - Buku 15,000
7 Resep - Buku 14,000
8 Leaflet - Buah 1,200
9 Copy Resep 94 Buku 11,000
10 Stiker Rekam Medik Rajal 1,100 Pcs 1,227
11 Buku Register Khohor Bayi isi 100 - Buku 122,650
11 Buku Register Khohor Bayi isi 200 - Buku 245,300
12 Buku Register Khohor ibu isi 100 - Buku 122,650
12 Buku Register Khohor ibu isi 200 - Buku 245,300
13 Retribusi Rawat Jalan 8000 - buku 20,070
14 Retribusi UGD 1000 - buku 20,070
15 Kriket No/Nomer Urut 1 Pcs 1,227
16 Stiker Label Obat kocok dulu - Pcs 279
17 stiker Label Obat syrup Sebelum Makan - Pcs 279
18 Pormat UGD - Pcs -
19 Kartu Kunjungan 3,300 Pcs 279
20 Kwitansi Kasbon - Pcs 28,000
21 Kir Dokter 26 Buku 28,000
22 Buku Visum Kegiatan 2018 - Buku 72,475
23 Buku Register IGD - Buku 144,950
24 Buku Register Rawat Inap - Buku 144,950
25 Rekam Medik Poned - Pcs 4,500
26 Nota Pemeriksaan Rangkap 2 - buku 13,380

27 Status Rekamedik UGD - set 1,784
28 Blangko Obat 1/4 Polio - Buku 9,478
29 Salinan Copy Resp - buku 16,725
30 Blangko Hasil Laboratorium - Buku 20,070
31 Bender Spanduk - Pcs 94,775
32 Register Rujukan Pasien - Buku 144,950
33 kontong kresek obat - pcs 446
34 plastik repet obat lekas sembuh 7x12 cm - pack 25,465
35 plastik repet obat habiskan - pack 30,105
36 plastik repet obat lekas sembuk - pack 30,105
37 Baligo - pcs 836,250
38 Kwitansi biasa - buku 8,920
3 PERSEDIAAN BARANG ELEKTRONIK - - -
1 Lampu Philip - pcs 21,000
2 Lampu Philip Led 16 watt - pcs 66,500
3 Lampu Philip Led 10 watt - pcs 54,500
4 Lampu Philip Led 6,5 watt - pcs 44,500
5 Lampu Philip Led 23 watt 2 pcs 112,000
6 Batu Batre abc kecil jam Dinding - pcs 2,500
7 Batu Batre Abc Besar - pcs -
8 Batu Batre Abc Alkaline Sedang/aaa - pcs 6,750
9 Batu Batre Abc Alkaline Kecil/aa - pcs 6,220
10 Terminal Listrik - pcs 45,000
11 Batu Alkalin Persegi 8 pcs 30,000
4 PERSEDIAAN BARANG LABORATORIUM - - -
1 Cellpack (PK-30L), 20L - Box 1,769,533
2 Cellclean (CL-50), 50 Ml - Botol 1,198,633
3 Eight Check (LNH), 3 x 15mL 1 Serial 948,933
4 Stromatolyser - WH (SWH-200A), 500 mL - Botol 1,172,233
5 Paper Thermal KX Series (roll 0,06m x 30 m) - Roll 39,233
6 Ureum 2 x 100mL - Kit 760,492
7 Creatinin 200 mL 4 Botol 808,045
8 SGOT 8 X 50 mL 1 Kit 2,231,973
9 SGPT 8 x 50 mL 1 Kit 2,231,973
10 Cholesterol 4 x 100 mL 1 Kit 2,303,363
11 Trigycerides 4 x 100 mL 2 Kit 3,323,991
12 HDL Cholesterol (precipitant), 4x80 mL 1 Kit 1,172,013
13 Uric Acid 4 x 100 mL 4 Kit 2,057,726
14 PCCM 1 20 x 5 mL 1 Kit 4,290,000
15 Immersion Oil 20 mL 2 Botol 128,700
16 Tabung Vacuum EDTA 3 mL 2 Pack 192,500
17 Plesterin Bulat Soft 200 pcs/box 1 Box 60,500
18 Stik Urine 3 Parameter, Verify 3 Box 132,000
19 Stik Urine 10 Parameter, Verify 6 Box 192,500
20 Reagen Golongan Darah, fortress - Kit 440,000
21 Kartu Golongan darah - Pack 44,000
22 Test Pack, HCG OneMed - Pack 79,200

23 Aquabidest Pro Injection 500 mL 3 Botol 60,500
24 Blood Lancet 1 Pack 27,500
25 Tips Pipet Kuning 1000 pcs/Pack 1 Pack 110,000
26 Tips Pipet Biru 500 pcs/Pack 1 Pack 110,000
27 USG Gel 250 mL GC 2 Botol 27,500
28 Batang Pengaduk 2 Buah 7,700
29 Tabung LED Kaca 30 cm 120 Buah 49,500
30 Rak Tabung LED Nesco 1 Unit 495,748
31 Timer Digital 1 Unit 100,100
32 Pot 50 mL - Buah 1,100
33 Pot 100 mL - Buah 1,485
34 Ose 5 Buah 21,450
35 Tourniquet 2 Buah 28,600
36 Na. Citrat, 100 mL - Botol 71,500
37 Reagen Widal S. Tiphy H, Fortress 3 Vial 121,000
38 Reagen Widal S. Tiphy AH, Fortress 3 Vial 121,000
39 Reagen Golongan Darah, Glory 3 Vial 440,000
40 Slide Widal Akrilik 40 Hole - Vial 115,500
41 Reagen Widal Salmonela AH, Glory - Vial 115,500
42 Reagen Widal Salmonela AO, Glory 1 Vial 115,500
43 Reagen Widal S.Tiphy O , Fortress 3 Vial 121,000
44 Reagen Widal S.Tiphy AO , Fortress 3 Vial 121,000
45 AccuCheck Performa 100 - Vial 840,000
46 Asam Urat - Botol 432,575
47 Glukosa - Botol 205,700
48 HB 0 Kit 1,320,000
5 PERSEDIAAN BAHAN LINEN - - -
1 Bantal 5 Pcs 25,000
2 Selimut Polos - Pcs 130,000
3 Selimut Salur 3 Pcs 70,000
4 Sepray 3 Pcs 130,000
5 Bendera - Pcs 25,000
6 Sarung Bantal - Pcs 9,800
7 Perlak Karet 3 Pcs 120,000
8 Pigura 9 Buah 22,000
9 Namplet 6 Buah 3,500
10 Mangkok Melamin - Buah 12,000
11 Cangkir Melanin - Buah 9,500
12 Kit Ori 5 Buah 37,000
13 Tampah 2 Buah 20,000
14 Terminal Listrik 1 Pcs 30,000
15 Keranjang Obat - Pcs 5,000
16 Rak sepatu Plastik - Pcs 150,000
17 Kertas lakmus 2 Pak 19,000
18 Corong Kaca Lab 1 Pcs 35,000
19 Celemet Set - Pcs 45,900
20 sendok - Pcs 11,000

21 Kitchen ware/lap Panci 1 Pcs 4,500
22 Keranjang Rol - Pcs 113,000
23 USB Chargerh - Pcs 100,000
24 Panci tutup butreply 1 pcs 46,500
25 centong 1 Pcs 17,500
26 Telenan - Pcs 11,000
27 Keranjang susun - Pcs 51,000
28 Piring Tamu Melamin 6 Pcs 42,000
29 Piring lodor Tamu melamin 3 Pcs 23,000
30 Setrika - Pcs 281,000
31 Meja setrika - Pcs 269,000
32 Tongkat Pasang Lampu 2 Pcs 98,000
33 Bok MDR besar - Pcs 44,900
34 Bok MDR Kecil - Pcs 22,900
35 Lap gantung handuk 1 Pcs 21,000
36 Panci Presto Kecil - Pcs -
37 Wajan Teplon - Pcs -
38 Toples - Pcs -
6 PERSEDIAAN BAHAN PEMBERSIH DADN ALAT KEBERSIHAN - - -
1 bak sampah Besar - Pcs 105,000
2 ember 1 Pcs 40,000
3 sapu lantai 4 Pcs 30,000
4 super mop - Pcs 285,000
5 sapu lidi 3 Pcs 25,000
6 lap 9 Pcs 4,000
7 gayung 2 Pcs 10,000
8 rinso/Daia 8 Pcs 15,500
9 sunligh 1 Pcs 13,900
10 pewangi ruangan/glade - Pcs 8,050
11 sabun cuci tangan/Hand Soap 3 Pcs 7,150
12 pewangi wc - Pcs 16,000
13 tisu 22 Pcs 9,750
14 tisu pengesat 16 Pcs 16,750
15 sandal pasien 2,172 Pcs -
16 Pewangi pakaian 1 Pcs 22,600
17 Isi ulang pewangi ruangan/stela matic 4 Pcs 32,125
18 Antis 3 Pcs 4,550
19 Bayclin 6 Pcs 12,950
20 Tusuk sate 3 Pcs 3,900
21 Tusuk gigi Isi 100 6 Pcs 6,500
22 Soklin Pemutih 2 Pcs 7,750
23 Bayclin - Pcs 12,950
24 Klinpak Cling Warp Reftil/plastik makanan - Rol 15,000
25 Pewangi Wc Stella 6 Pcs 7,700
26 Pewangi Wc swaloww 3 Pcs 20,600
27 HIT anti Nyamuk - Pcs 35,600
28 Pawangi Ruangan Wc Wipol 1 Pcs 13,250

29 Pewangi Ruangan Wc supersol 1 Pcs 10,800
30 Alas Cuci Piring 2 Pcs 5,700
31 Alas Cuci Piring Plitex 3 Pcs 6,100
32 Lap Serbaguna 6 Pcs 5,000
33 Lap Dapur 3 Pcs 5,500
34 Cling Pembersih Kaca 1 Pcs 7,900
35 Stela aero hypo/seprot - Pcs 16,900
36 Stella biasa pewangi ruangan - Pcs 18,700
37 Glade pewangi Ruangan 2 Pcs 20,950
38 Stella biasa pewangi ruangan - Pcs 7,700
39 Kamper Wc 4 Pcs 15,592
40 Mama Lemon - Pcs 13,750
41 Tisu Multi - Pcs 23,750
42 Kanebo Besar 2 Pcs 24,900
43 Kanebo Kecil 3 Pcs 14,900
44 Kesed Karet 2 Pcs 18,000
45 Kesed Kain 1 Pcs 12,000
46 Kesed Handuk 2 Pcs 25,000
47 Hanger Mawar Hit 1 Pcs 14,800
48 Sanitaizer Kompan - Kompan 285,000
49 Sanitaizer Botol Kecil - Botol 4,550
50 Gel EKG/USG 1 Botol 30,000
51 Bak sampah Sedang 1 Pcs 95,000
52 Keranjang Aqua 1 Pcs 30,000
53 Bak Sampah Kecil 1 Pcs 55,000
54 Gel EKG/USG - Kompan 400,000
55 Pengki 4 Pcs 25,500
56 Tisu Gulung 1 Pcs 48,900
57 Sikat Wc 1 Pcs 19,500
58 Pisau Kentang - Pcs 4,000
59 kesed bludru - Pcs 56,000
60 Kesed Karet Panjang 5 - 95,000
7 PERSEDIAAN BAHAN MEDIS HABIS PAKAI - - -
Err:509Err:509 Err:509 Err:509 Err:509
8 PERSEDIAAN BAHAN DAN ALAT RADIOLOGI - - -
1 Kertas EKG 15 Pak 298,767
2 Kertas USG - Pak 362,020
0 0 - - -
9 PERSEDIAAN BAHAN BAKAR - - -

1 Bahan bakar Minyak/Gas 24 liter 7,800
0 0 - - -
10 PERSEDIAAN BAHAN BAKAR DAPUR/PANTRY - - -
1 Pengisian isi tabung gas 1 Tabung 70,000
0 0 - - -
11 PERSEDIAAN BENDA POS DAN PENGIRIMAN - - -
1 Materai 600 1 buah 6,000
2 Materai 600 1 buah 3,000
0 0 - - -
12 PERSEDIAAN BHP RUANGAN DAN OKSIGEN - - -
1 Pengisian Oksigen Tabung Besar 7 Tabung 82,500
2 Pengisian Oksigen Tabung Kecil 6 Tabung 40,000
0 0 - - -
13 PERSEDIAAN OBAT DAN PERBEKALAN KESEHATAN (BARANG PKM)
1 Albendazol Tablet 400 mg - Tablet -
2 Alopurinol Tablet 100 mg - Tablet 90
3 Aminofilin Inj 24 mg/ml-10 ml - Ampul -
4 Aminofilin Tablet 200 mg - Tablet 90
5 Amitriptilina HCl Tablet salut 25 mg 659 Tablet 143
6 Amlodipin Tablet 5 mg - Tablet 85
0 0 4,147 - 70
7 Amoksisilin Kaplet 500 mg - Tablet 232
0 0 9,547 - 286
8 Amoksisilin Sirup Kering 125 mg/5 ml - Botol 1,881
9 Antasida DOEN I Tablet Kunyah - Tablet 62
0 0 51,960 - 54
10 Antasida II Suspensi 60 ml 303 Botol 1,995
11 Anti Hemmoroid DOEN 26 Supp 3,045
12 Antibakteri DOEN - Tube -
13 Antifungi DOEN kombinasi 26 Pot 4,158
14 Antimigren DOEN - Tablet -
15 Aqua Pro Inj steril bebas pirogen- 20 ml 140 Vial 2,295
16 ARV: Efavirenz 600 mg - Tablet -
17 ARV: Lamivudine 150 mg - Tablet -
18 ARV: Lovinapir 200 mg Ronavir - Tablet -
19 ARV: Nevirapine 200 mg - Tablet -
20 ARV: TDF(300) + 3TC(300) + EFV(600) - Tablet -
21 ARV: Tenofovir 300 mg - Tablet -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) - Tablet -
23 ARV: Zidovudine(300) + Lamivudine(150) - Tablet -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) 1,000 Tablet 99
25 Asam Askorbat (VIT C) Tablet 50 mg - Tablet 95
0 0 2,670 - 105
26 Asam Folat Tablet 0,4 mg - Tablet -
27 Asam Mefenamat kaplet 500 mg - Tablet 100
28 Asiklovir Krim 5%/5g - Tube -
29 Asiklovir Tablet 400 mg 860 Tablet 380

30 Atapulgit Tablet 600 mg 6,467 Tablet 136
31 Atropin Sulfat Inj 0,25 mg/ml - Ampul -
32 Azithromisin Tablet 500 mg - Tablet -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial - Vial -
34 Betahistin Tablet 6 mg - Tablet -
35 Betametason Krim 0.1 % 20 Tube 1,380
36 Bisoprolol Tablet 5 mg - Tablet -
37 Bromheksin Tablet 8 mg - Tablet -
38 Clobazam Tablet 10 mg - Tablet -
39 Clozapine Tablet 25 mg - Tablet -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg - Tablet -
41 Deksametason Inj 5 mg/ml-1 ml - Ampul 1,540
0 0 334 - 1,097
42 Deksametason Tablet 0,5 mg - Tablet 41
0 0 9,057 - 32
43 Dekstrometorfan Tablet kombinasi - Tablet -
44 Dektrometorfan Sirup kombinasi - Botol -
45 Devitalisasi Pasta - Botol -
46 Dextrose Inj 40% - Vial -
47 Diazepam Inj 5 mg/ml-2 ml - Ampul -
48 Diazepam Rectal 5 mg/2,5 ml - Tube 11,517
0 0 25 - 12,573
49 Diazepam Tablet 2 mg - Tablet -
50 Difenhidramin Inj 10 mg/ml - Ampul 1,176
0 0 132 - 1,095
51 Digoksin Tablet 0,25 mg - Tablet 105
52 Dimenhidrinat Tablet 50 mg - Tablet -
53 Doksisilin Tablet 100 mg - Tablet -
54 Domperidon Suspensi 5mg/5ml - Botol 3,333
55 Domperidon Tablet 10 mg 4,145 Tablet 95
56 Endometason - Tablet -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % 16 Ampul 1,749
58 Eritromisin Kapsul 250 mg - Kapsul -
59 Eritromisin Kapsul 500 mg - Kapsul -
60 Eritromisin Sirup 200 mg/5 ml - Botol -
61 Etakridin Larutan 0,1 % - Botol 3,000
62 Etanol 70 %- 1000 ml - Botol -
63 Etil Klorida Spray - Botol -
64 Eugenol Cairan - Botol -
65 Fenitoin Natrium Kapsul 100 mg - Kapsul 152
0 0 3,504 - 158
66 Fenobarbital Tablet 30 mg - Tablet -
67 Fenoksimetil Penisilin Tablet 500 mg - Tablet -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg - Tablet 634
0 0 643 - 710
69 Fitomenadion(Vit K1) Inj 2 mg/ml 240 Ampul 3,550
70 Fluconazol Tablet 150 mg - Tablet -

71 Flufenazin Inj im 25 mg/ml (Sikzonoate) - Ampul -
72 Formokresol Cair - Botol -
73 Furosemid Tablet 40 mg - Tablet 78
0 0 1,263 - 77
74 Garam Oralit I Serbuk - Sachet 260
75 Gentamisin Inj 40 mg/ml (Sulfat) - Ampul 3,083
76 Gentamisin Salep Kulit 0,1% - Tube -
77 Glass Ionomer Cement - Botol -
78 Glibenklamid Tablet 5 mg 7,000 Tablet 119
79 Gliseril Guaiakolat Tablet 100 mg - Tablet -
80 Glukosa Larutan Infus 5% steril 60 Botol 6,900
81 Griseofulvin Tablet 125 mg Micronized 64 Botol 219
82 Haloperidol 5 mg 690 Tablet 96
83 Haloperidol Dekanoat Inj 50 mg/ml - Ampul -
84 Haloperidol Inj 5 mg/ml - Ampul -
85 Haloperidol Tablet 1,5 mg - Tablet -
86 Hidrokortison Krim 2,5 % 819 Tube 2,798
87 Hiosina butilbromida tab 10 mg - Tablet -
88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) - Ampul 170,000
0 0 5 - 176,800
89 Ibuprofen Tablet 400 mg 7,009 Tablet 208
90 Isoniazid Tablet 100 mg - Tablet -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg 124 Tablet 88
92 Kalsium glukonat inj 100 mg/ml - Ampul -
93 Kalsium hidroksida pasta - Tube -
94 Kalsium Laktat (Kalk) Tablet 500 mg - Tablet -
95 Kaptropil Tablet 25 mg - Tablet 80
96 Karbamazepin Tablet 200 mg 476 Tablet 228
97 Karbogliserin Tetes Telinga 10 % 83 Botol 2,590
98 Karbon aktif tab 0,5 mg - Tablet -
99 Ketokonazol Tablet 200 mg - Tablet 300
100 Ketoprofen Supp 100 mg - Supp -
101 Kina Inj 26 % 2 ml - Ampul -
102 Kina Tablet 222 mg - Tablet -
103 Klindanmisin Tablet 300 mg - Tablet -
104 Kloramfenikol Kapsul 250 mg - Kapsul -
105 Kloramfenikol Kapsul 500 mg 2,770 Kapsul 1,090
106 Kloramfenikol Salep Kulit 2% - Tube -
107 Kloramfenikol Salep Mata 1 % - Tube 1,600
0 0 251 - 1,881
108 Kloramfenikol Sirup 125 mg/5 ml - Botol -
109 Kloramfenikol Tetes Mata 0.5% - Botol -
110 Kloramfenikol Tetes telinga 3 % - Botol -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg - Tablet 42
112 Klorpropmazin HCl Tablet salut 100 mg - Tablet 162
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml 7 Botol 2,120
0 0 500 - 2,052
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg - Tablet 151
0 0 5,000 - 125
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 ml - Ampul -
116 Lidokain Jelly 2 % - Tube -
117 Lidokain Spray 10 % - Botol -
118 Lisol - Botol 41,000
119 Loratadin Tablet 10 mg - Tablet -
120 Magnesium sulfat Inj (IV) 20 % - Ampul -
121 Magnesium sulfat Inj (IV) 40 % - Ampul -
122 MB Anak - Blister -
123 MB Dewasa - Blister -
124 Metformin HCl Tablet 500 mg 1,919 Tablet 94
125 Metildopa Tablet 250 mg - Tablet -
126 Metilergomatrin Maleat Inj 0,200 mg 190 Ampul 2,684
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut 0,125 m 277 Tablet 210
128 Metilprednisolon Tablet 4 mg 6,072 Tablet 134
129 Metronidazol Tablet 500 mg - Tablet 133
130 Mikonazol Krim/Salep 2% 277 Tube 3,000
131 Mineral Mix - Sachet -
132 Monoklorkamfer mentol cairan - Botol -
133 Multivitamin + DHA + Lysin Sirup - Botol -
134 Multivitamin + Mineral Kaplet - Kaplet -
135 N-asetil sistein kaps 200 mg - Kapsul -
136 Natrium Bikarbonat Tablet 500 mg - Tablet -
137 Natrium Diklofenak Tablet 50 mg 2,992 Tablet 115
138 Natrium Hipoklorit 3% - Botol -
139 Natrium Klorida Larutan Infus 0,9% 100 FLS 6,410
140 Natrium Tiroksin Tablet 100 µg - Tablet -
141 Nipedipin Tablet 10 mg - Tablet -
142 Nistatin Tablet Salut Gula 500.000 IU/g - Tablet -
143 Nistatin Tablet Vaginal 100.000 IU/g - Tablet -
144 OAT FDC Katagori 1 - Blister -
145 OAT FDC Katagori 2 - Blister -
146 OAT FDC Kategori Anak - Blister -
147 OAT FDC Kategori Sisipan - Blister -
148 OAT Kombipak Kat I - Blister -
149 Obat Batuk Hitam (OBH) Cairan - Botol -
150 Oksitosin Inj 10 IU/ml- 1 ml - Ampul -
151 Omeprazol Kapsul 20 mg - Kapsul -
152 Ondansetron Inj 4 mg/2 ml - Ampul 2,400
153 Parasetamol Sirup 120 mg / 5ml 1,652 Botol 1,107
154 Parasetamol Tablet 500 mg 114,860 Tablet 53
155 PB Anak - Blister -
156 PB Dewasa - Blister -
157 Permetrin 5% Krim (Scabimite) - Tube 12,155
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxadin syr) - Botol -
159 Piridoksin HCl (Vit B6) Tablet 10 mg 1,365 Tablet 123

160 Pirimetamin Tablet 25 mg - Tablet -
161 Polikresulen (Albotyl) Botol 5 ml - Botol -
162 Povidon Iodida 10 %-30 ml - Botol -
163 Povidon Iodida 10 %-300 ml 4 Botol 18,000
164 Prednison Tablet 5 mg - Tablet -
165 Primakuin Tablet 15 mg - Tablet -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) - Vial -
167 Propanolol HCl Tablet 40 mg - Tablet 106
168 Propiltiourasil Tablet 100 mg 1,000 Tablet 319
169 Ranitidin Inj 25 mg/ml - Ampul -
170 Ranitidin Tablet 150 mg - Tablet 98
0 0 4,941 - 105
171 Retinol (Vit A) Kapsul 100.000 IU - Kapsul -
172 Retinol (VIT A) Kapsul 200.000 IU - Kapsul -
173 Ringer Laktat Larutan Infus Steril 6,180 FLS 7,150
174 Risperidon Tablet 2 mg - Tablet -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl - Ampul 4,000
176 Salbutamol Tablet 4 mg - Tablet 87
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % 535 POT 2,429
178 Salisil Bedak 2 % 79 Kotak 1,020
179 Sefadroksil Sirup 125 mg/5 ml 195 Botol 4,746
180 Sefadroxil Kapsul 500 mg 5,228 Kapsul 450
181 Sefiksime 200 mg + Azitromisin 500 mg - Paket -
182 Sefotaksim Inj 1 g - Vial 4,282
0 0 110 - 4,200
183 Seftriaxon Inj 1 g - Vial -
184 Semen seng fosfat serbuk cairan - Sachet -
185 Serum Anti Difteri (ADS) - Ampul -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) - Ampul -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I - Vial -
188 Setirizin Sirup 5 mg/5 ml - Botol -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml - Ampul -
190 Simvastatin Tablet 10 mg - Tablet 111
191 Siprofloksasin (HCl) Tablet 500 mg - Tablet 281
0 0 4,252 - 265
192 Tablet Tambah Darah (Camabion) - Tablet -
193 Tablet Tambah Darah Kombinasi - Tablet -
194 Temporary Restorative Material - Tablet -
195 Tetrasiklin Kapsul 500 mg - Kapsul 310
196 Tiamin HCL (Vit B1) Tablet 50 mg 41,216 Tablet 85
197 Triheksifenidil HCl Tablet 2 mg - Tablet -
198 Vaksin BCG + Pelarut - Ampul -
199 Vaksin DPT-Hb-Hib - Ampul -
200 Vaksin DT - Ampul -
201 Vaksin Hb-0 - Ampul -
202 Vaksin IPV 10 ds - Ampul -
203 Vaksin IPV 5 ds - Ampul -

204 Vaksin Measles Rubella (MR) - Ampul -
205 Vaksin Meningitis - Ampul -
206 Vaksin Papillomavirus (HPV) - Ampul -
207 Vaksin Pneumococcus - Ampul -
208 Vaksin Polio 10 ds bopv + Penetes - Ampul -
209 Vaksin Rabies Vero - Ampul -
210 Vaksin Td - Ampul -
211 Vitamin B Kompleks Tablet 36,148 Tablet 83
212 Zinc Tablet 20 mg - Tablet 473
213 BAHAN HABIS PAKAI - - -
214 ADS 0.05 ml - Buah -
215 ADS 0.5 ml - Buah -
216 ADS 5 ml - Buah -
217 Alat Suntik Sekali Pakai 1ml - Set 650
0 0 - - 787
218 Alat Suntik Sekali Pakai 3 ml - Set 827
219 Alat Suntik Sekali Pakai 5 ml - Set 928
220 Alkohol Swab - Buah -
221 Bisturi - Buah -
222 Blood set - Set -
223 Catgut/Benang Bedah No.2/0 dengan jarum bedah - Set 5,583
224 Catgut/Benang Bedah No.3/0 dengan jarum bedah - Set 5,583
225 Folley Catheter No.18 - Kantong 8,240
226 Infusion set anak - - 3,500
0 0 - Kantong 3,605
227 Infusion set dewasa - Kantong 3,296
228 IV Catheter No.18 - Set -
229 IV Catheter No.20 - Set 3,914
232 Jarum kulit - Buah -
233 Jarum otot - Buah -
234 Kaca Slide - Buah -
235 Kantung mayat - Set -
236 Kapas Pembalut/absorben 250 mg - Roll 12,875
237 Kasa Hidrofil 2x80 - Roll 7,700
238 Kasa Hidrofil Steril 16 X 16 - Roll -
239 Kasa Pembalut Hidrofil 4 X 10 cm - Roll 1,500
240 Kasa Pembalut hidrofil 4 x 5 cm - Roll 750
241 Kassa Pembalut elastic 4 inchi - Roll -
242 Masker Tie on - Buah 340
243 Masker N-95 - Buah -
244 Plester 5 yard x 2 inch - Roll 31,265
245 Polybag Medis - Buah -
246 Polybag Nonmedis - Buah -
247 Polybag Ramah Lingkungan - Buah -
248 Pot Dahak - Buah -

249 Safety box - Buah -
250 Sarung Tangan Non Steril Uk.S - Buah -
251 Sarung Tangan Non Steril Uk.M - Buah 367
252 Sarung Tangan Non Steril Uk.L - Buah -
253 Sarung Tangan Steril No.6 - Set -
254 Sarung Tangan Steril No.6,5 - Set 4,305
255 Sarung Tangan Steril No.7 - Set -
256 Sendok Obat - Buah -
257 Silk (Benang Bedah Sutera) No.2/0 Dengan Jarum Bedah - Set 3,147
258 Urin Bag - Set 4,290
259 REAGEN - - -
260 Cybow 10 Reagent Strip - Set -
261 Golongan darah anti A - 10 ml - Botol -
262 Golongan darah anti A-B - 10 ml - Botol -
263 Golongan darah anti B - 10 ml - Botol -
264 Humasens Plus - Set -
265 Humasens Plus Strip Uric Acid - Set -
266 Humasens Strip Glucose - Set -
267 Humasens Strip Kolesterol - Set -
268 Iodin test - Botol -
269 Larutan Asam Asetat 6% 100 ml - Botol -
270 Larutan Benedict 100 ml - Botol -
271 Larutan EDTA 10 % 100 ml - Botol -
272 Larutan HCl 0,1 N 100 ml - Botol -
273 Larutan Natrium Citrat 3,13 % - Botol -
274 Larutan Rees Ecker 100 ml - Botol -
275 Larutan Turk 100 ml - Botol -
276 Larutan Ziehl Neelsen - Botol -
277 Rapid HIV 1/2 Device - Test -
278 Rapid HIV 2 Fokus - Test -
279 Rapid HIV Biomedika - Sachet -
280 Rapid HIV Biomeriux - Sachet -
281 Rapid HIV Intec - Sachet -
282 Rapid HIV Oncoprobe - Sachet -
283 Rapid HIV SD - Sachet -
284 Rapid Malaria - Sachet -
285 Rapid Syphilis SD - Sachet -
286 Reagen CD4 kontrol - Test -
287 Reagen CD4 tipe 1 (Alere Pima CD4) - Test -
288 RPR Syphilis - Sachet -
289 Salmonella Thyphi H - 5 ml - Botol -
290 Salmonella Thyphi O - 5 ml - Botol -
291 Test Kehamilan - Buah -
292 LAIN-LAIN - - -
293 Piracetam tab 1200mg - Tablet -
294 Metoclorpramide 1omg 4,794 Tablet 80
295 Pantoprazole 94 Vial 30,000

296 Piracetam inj 2 Ampul 15,675
297 ID Patien Dewasa blue 1,100 Buah 850
298 ID Patien Dewasa pink 1,100 Buah 850
299 Paracetamol Inf - Botol 30,000
300 Hidroclorotiazid 10mg 900 Tablet 155
301 Metronidazole susp 147 Botol 3,950
302 Turpan drop 226 Botol 7,500
303 Corsaneuron 6,870 Tablet 417
304 NRM Dewasa 19 Buah 25,379
305 NRM Anak 21 Buah 25,379
306 Lansoprazole 1,446 Kapsul 303
307 IV Cath No.26 150 set 4,223
308 Spuit 10 cc 1,846 set 1,128
Garut, 2 J
Mengetahui Yang melaksana

Kepala Sub Bagian Tata Usaha Pengurus Barang
Dedi Koesdiana
NIP. 19630429 198931 1005 NIP. 1986072
Pengguna Barang
Kepala UPT Puskesmas Cilawu
dr. Hj. Nia Soniawaty

NIP. 19720417 200312 2 005
ERITA ACARA
ME PERSEDIAAN BARANG
SKESMAS CILAWU
u delapan belas yang
Keterangan
Total
12,796,829.88
241,500.00
45,000.00
120,000.00
26,000.00
-
141,950.00
72,250.00
75,000.00
115,700.00
979,000.00
45,000.00
20,000.00
59,500.00
43,350.00
97,500.00
51,200.00
1,512,800.00
3,936,600.00
36,000.00
135,000.00
35,000.00
-
79,200.00
100,500.00
11,704.98
-
1,170,000.00
54,000.00
52,800.00
-
Keterangan
Total
15,000.00
21,600.00
5,000.00
21,924.90
50,000.00
-
7,500.00
-
-
82,500.00
18,000.00
-
73,500.00
34,000.00
22,000.00
-
44,000.00
44,000.00
14,000.00
-
-
-
30,000.00
-
-
-
15,000.00
16,000.00
-
-
23,400.00
72,500.00
14,400.00
252,000.00
33,000.00
57,000.00
455,000.00
-
-
-
-
-
-
-
-
68,000.00
-
Keterangan
Total
69,000.00
360,000.00
205,750.00
308,000.00
222,000.00
-
336,600.00
-
-
-
60,000.00
-
39,000.00
-
60,000.00
53,000.00
-
-
13,400.00
4,500.00
-
-
20,000.00
-
23,400.00
9,000.00
-
-
-
33,300.00
6,000.00
171,000.00
-
-
57,000.00
8,300.00
-
150,000.00
-
240,000.00
40,000.00
-
75,000.00
180,000.00
35,000.00
-
-
Keterangan
Total
-
-
-
-
-
-
-
-
-
292,500.00
-
-
19,305,000.00
-
-
196,000.00
-
-
-
-
-
-
126,000.00
244,800.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
136,000.00
-
-
-
-
-
-
-
-
Keterangan
Total
-
-
-
-
-
-
-
-
-
36,250.00
-
-
-
-
770,000.00
330,000.00
330,000.00
330,000.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
87,500.00
-
-
-
-
-
-
-
-
-
187,600.00
-
-
-
Keterangan
Total
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
350,000.00
1,979,125.00
2,369,500.00
2,369,500.00
5,557,872.00
-
-
-
1,034,000.00
1,349,700.00
-
-
-
-
-
-
1,227.00
-
-
-
920,700.00
-
728,000.00
-
-
-
-
Keterangan
Total
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
224,000.00
-
-
-
-
-
240,000.00
-
-
-
474,466.50
-
-
-
3,232,180.00
1,115,986.50
2,231,973.00
2,303,363.00
6,647,982.00
1,172,013.00
7,202,041.00
3,646,500.00
257,400.00
385,000.00
60,500.00
396,000.00
1,155,000.00
-
-
Keterangan
Total
-
181,500.00
27,500.00
55,000.00
55,000.00
55,000.00
15,400.00
5,940,000.00
495,748.00
100,100.00
-
-
107,250.00
57,200.00
-
363,000.00
363,000.00
1,320,000.00
-
-
115,500.00
363,000.00
363,000.00
-
-
-
396,000.00
-
125,000.00
-
210,000.00
390,000.00
-
-
360,000.00
198,000.00
21,000.00
-
-
185,000.00
40,000.00
30,000.00
-
-
38,000.00
35,000.00
-
Keterangan
Total
-
4,500.00
-
-
46,500.00
17,500.00
-
-
252,000.00
69,000.00
-
-
196,000.00
-
-
21,000.00
-
-
-
-
-
40,000.00
120,000.00
-
75,000.00
36,000.00
20,000.00
124,000.00
13,900.00
-
21,450.00
-
214,500.00
268,000.00
-
22,600.00
128,500.00
13,650.00
77,700.00
11,700.00
39,000.00
15,500.00
-
-
46,200.00
61,800.00
-
Keterangan
Total
13,250.00
10,800.00
11,400.00
18,300.00
30,000.00
16,500.00
7,900.00
-
-
41,900.00
-
62,366.64
-
-
49,800.00
44,700.00
36,000.00
12,000.00
50,000.00
14,800.00
-
-
30,000.00
95,000.00
30,000.00
55,000.00
-
102,000.00
48,900.00
19,500.00
-
-
475,000.00
-
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
Err:509
-
4,481,505.00
-
-
Keterangan
Total
-
185,000.40
-
-
70,000.00
-
-
6,000.00
3,000.00
-
-
577,500.00
240,000.00
-
)
-
-
-
-
94,237.00
-
290,290.00
-
2,730,442.00
-
-
2,805,840.00
604,485.00
79,170.00
-
108,108.00
-
321,300.00
-
-
-
-
-
-
-
-
99,000.00
-
280,350.00
-
-
-
Keterangan
Total
326,800.00
879,512.00
-
-
-
-
27,600.00
-
-
-
-
-
-
366,398.00
-
289,824.00
-
-
-
-
-
-
314,325.00
-
-
144,540.00
-
-
-
-
393,775.00
-
27,984.00
-
-
-
-
-
-
-
-
553,632.00
-
-
-
456,530.00
852,000.00
Keterangan
Total
-
-
-
-
97,251.00
-
-
-
-
833,000.00
-
414,000.00
14,016.00
66,240.00
-
-
-
2,291,562.00
-
-
884,000.00
1,456,400.11
-
10,912.00
-
-
-
-
108,528.00
214,970.00
-
-
-
-
-
-
-
3,019,300.00
-
-
472,131.00
-
-
-
-
-
14,840.00
Keterangan
Total
1,026,000.00
-
625,000.00
-
-
-
-
-
-
-
-
-
180,386.00
-
509,960.00
58,170.00
813,648.00
-
831,000.00
-
-
-
-
-
-
344,080.00
-
641,000.00
-
-
-
-
-
-
-
-
-
-
-
-
-
1,828,764.00
6,087,580.00
-
-
-
-
Keterangan
Total
167,895.00
-
-
-
72,000.00
-
-
-
-
319,000.00
-
-
518,805.00
-
-
44,187,000.00
-
-
-
1,299,515.00
80,580.00
925,470.00
2,352,600.00
-
-
462,000.00
-
-
-
-
-
-
-
-
-
1,126,780.00
-
-
-
-
3,503,360.00
-
-
-
-
-
-
Keterangan
Total
-
-
-
-
-
-
-
-
3,000,243.33
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Keterangan
Total
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
383,520.00
Keterangan
Total
2,820,000.00
31,350.00
935,000.00
935,000.00
-
139,500.00
580,650.00
1,695,000.00
2,867,881.50
482,204.80
532,963.20
438,138.00
633,450.00
2,082,288.00
Garut, 2 Januari 2019
Yang melaksanakan Stock Opname

Pengurus Barang Pengguna/Pembantu
Lina Yuliana
NIP. 19860728 201704 2 002
Pengguna Barang
UPT Puskesmas Cilawu
Hj. Nia Soniawaty

9720417 200312 2 005
PEMERINTAH KABUPATEN GARUT
DINAS KESEHATAN
Jl. Raya Garut – Tasikmalaya KM 08 Kec. Cilawu Kab. Garut
(0262)2802725 E-mail : puskesmascilawudtp@gmail.com
BERITA ACARA
STOCK OPNAME PERSEDIAAN BARANG
Pada hari ini rabu tanggal dua bulan januari tahun dua ribu sembilan belas yang
bertanda tangan di bawah ini :
Nama : Lina Yuliana

Jabatan : Pengurus barang
Sesuai dengan ketentuan pasal 16 dan 17 Peraturan Bupati Garut Nomor 14 Tahun 2016 tentang
Sistem dan prosedur Pengelolaan Barang Milik Negara Daerah di Lingkungan Pemerintahaan
Kabupaten Garut, kami telah melakukan stock opname persediaan per 31 Agustus 2018
hasil sebagai berikut :
Harga
No Nama Barang Jumlah Perolehan
Terakhir
A Bahan Habis Pakai
1 PERSEDIAAN ALAT TULIS KANTOR 1 15,831,996
2 PERSEDIAAN BARANG CETAKAN 1 16,659,624
3 PERSEDIAAN BARANG ELEKTRONIK 1 464,000
4 PERSEDIAAN BARANG LABORATORIUM 1 40,653,603
5 PERSEDIAAN BAHAN LINEN 2,238,500
6 PERSEDIAAN BAHAN PEMBERSIH DADN ALAT KEBERSIHAN 1 2,624,617
7 PERSEDIAAN BAHAN MEDIS HABIS PAKAI 1 62,411,173

8 PERSEDIAAN BAHAN DAN ALAT RADIOLOGI 1 4,481,505
9 PERSEDIAAN BAHAN BAKAR 1 185,000
10 PERSEDIAAN BAHAN BAKAR DAPUR/PANTRY 1 70,000
11 PERSEDIAAN BARANG BAHAN MAKANAN 1 350,000
12 PERSEDIAAN BHP RUANGAN DAN OKSIGEN 1 817,500
B Bahan/Material
1 Bahan baku bangunan
2 Bahan/bibit tanaman
3 Bibit Ternak
4 Bahan obat-obatan 1 107,461,074
5 Bahan kimia
6 Makanan Pokok
C Barang Lainnya
1 Barang untuk dijual
2 Barang yang akan diserahkan kepada masyarakat
Total Persediaan
Garut, 2 Janua
Mengetahui Yang melaksanakan S

Kepala Sub Bagian Tata Usaha Pengurus Barang Peng
Dedi Koesdiana
NIP. 19630429 198931 1005 NIP. 19860728 20
Pengguna Barang

NIP. 19720417 200312 2 005
ABUPATEN GARUT
ESEHATAN
SMAS CILAWU
a KM 08 Kec. Cilawu Kab. Garut
uskesmascilawudtp@gmail.com
A ACARA
ERSEDIAAN BARANG
SMAS CILAWU
as yang
Total PERSEDIAAN
Keterangan TAHUN 2017
2018
15,831,996 2,973,260
16,659,624 12,870,174
464,000 91,000
40,653,603 18,933,450
-
2,624,617
1,546,000
62,411,173 9,301,449
4,481,505 2,860,000
185,000 117,000
70,000 30,000
350,000 406,000
817,500 122,500
107461073.94 73,618,043
252,010,091 122,868,876
Yang melaksanakan Stock Opname

Pengurus Barang Pengguna/Pembantu
Lina Yuliana
NIP. 19860728 201704 2 002
una Barang
uskesmas Cilawu
ia Soniawaty
17 200312 2 005
Lampiran :
DAFTAR PENERIMAAN
PADA DINAS KES
Saldo Per 31 Desember 2017

SATUAN
No Nama Barang
BARANG
Jml Harga Jml
Barang Satuan Harga
A BAHAN HABIS PAKAI
1 PERSEDIAAN ALAT TULIS KANTOR 2,973,260
1 amplop besar/pak bok 1 15,730 15,730
2 amplop kecil bok 3 11,330 33,990
3 Kwitansi Biasa Besar pcs 5 4,400 22,000
4 Kwitansi Biasa Kecil pcs 0 1,430 -
5 box file jumbo Bindex pcs 0 34,870 -
6 Buku kuarto/Isi 100 pcs 0 6,930 -
7 Buku polio mrg/Isi 100 pcs 0 15,895 -
8 catter isi perfo pcs 5 16,500 82,500
9 cd pcs 100 1,430 143,000
10 cd tempat pcs 100 12,100 1,210,000
11 cuter besar joyko pcs 0 16,500 -
12 double tip kecil br (6mm) pcs 10 1,100 11,000
13 double tip sedang 24 mm pcs 0 9,350 -
14 gunting kertas pcs 0 11,550 -
15 hecter besar pcs 0 21,450 -
16 hecterkecil pcs 0 8,250 -
17 kertas A4 rim 3 53,680 161,040
18 kertas F4 hvs rim 0 53,460 -
19 kertas label 123 Pak 0 3,300 -
20 label harga CP2 pak 0 3,300 -
21 lem dlukol kertas pcs 0 7,700 -
22 map jk/shd diplay Isi 20 pcs 0 16,500 -
23 map karton stop map pcs 0 396 -
24 map plastik pembolong ch/Busines Play pcs 24 3,685 88,440
25 map plastik kancing pcs 12 2,146 25,751
26 map plastik tali pcs 13 2,154 27,999
27 ordner bindex pcs 4 18,700 74,800
28 paku hecter besar neces etona no 3 bok 4 2,970 11,880
29 paku hecter kecil neces etona no 10 bok 24 1,320 31,680
30 paper cut pcs 0 57,200 -
31 pembolong kertas pcs 0 16,500 -
32 penghapus setip std pcs 0 1,980 -
33 pita daito plastik mesin tik rol 1 13,750 13,750
34 potlot faber pcs 0 1,608 -
35 pulpen pcs 1 2,750 2,750
36 sampul mika buku pcs 0 6,600 -
37 solasiban daimaru pcs 0 8,250 -
38 Spidol permanen snow g pcs 4 5,390 21,560
SATUAN
No Nama Barang BARANG
Jml Harga Jml
Barang Satuan Harga
39 Spidol kecil hitam pcs 0 990 -
40 spidol snow White boart Marker pcs 0 6,050 -
41 stampel bak joyko pcs 0 9,900 -
42 stampel tanggal pcs 1 15,400 15,400
43 termal printech 58x25/Kecil rol 0 5,775 -
44 tinta cap stp pyramida botol 0 9,350 -
45 tinta computer biru brather printec eps botol 2 24,200 48,400
46 tinta computer hitam brather botol 2 24,200 48,400
47 tinta computer kuning botol 2 24,200 48,400
48 tinta computer merah brather botol 2 24,200 48,400
49 tip ex biasa Kenko pcs 0 3,850 -
50 Bak stempel besar pcs 0 8,250 -
51 Bak stempel kecil pcs 2 7,370 14,740
52 Cap tanggal pcs 0 - -
53 Label nama no 125 pcs 10 3,300 33,000
54 Map mika pcs 0 - -
55 Seropon Standar pcs 0 10,395 -
56 Pos it Warna warni pcs 0 25,300 -
57 Mistar pcs 5 2,750 13,750
58 Tip x kenko pcs 0 8,800 -
59 Buku neraca pcs 0 - -
60 Pembolong kertas pcs 0 12,650 -
61 Solasiban Kecil/bening pcs 5 2,860 14,300
62 Spidol permanen snowman/kecil pcs 5 7,975 39,875
63 Binder Clip No 107 Bok 0 3,960 -
64 Binder Clip No 260 Bok 0 15,400 -
65 Label nama no 108 pcs 0 3,300 -
66 Label nama no 112 pcs 9 3,300 29,700
67 Tinta epson BK pcs 2 100,100 200,200
68 Tinta Epson M pcs 0 100,100 -
69 Tinta Epson C/biru pcs 0 100,100 -
70 Tinta Epson Y pcs 0 100,100 -
71 Mouse Vorte pcs 0 22,000 -
72 Triping tool pcs 0 66,000 -
73 Tang Kabel pcs 0 82,500 -
74 Keyboard pcs 0 209,000 -
75 Kabel pcs 0 99,000 -
76 Alas Mouse pcs 10 5,500 55,000
77 Termal printech uk 80x80 Otani Rol 0 18,370 -
78 Debos Trigonal Clip No 3 Box 0 - -
79 Map Plastik L Pcs 0 2,200 -
80 Buku Polio Isi 300 Pcs 0 - -
81 Buku Polio Isi 200 Pcs 0 24,750 -
82 Buku Polio Isi 500 Pcs 0 - -
83 Map Display Isi 120 Pcs 0 - -
SATUAN
Jml Harga Jml
Barang Satuan Harga
84 Box File Bantex Pcs 0 33,660 -
85 Map Display Isi 40 Pcs 0 23,100 -
86 Materai 3000 Pcs 0 3,850 -
87 Materai 6000 Pcs 0 7,150 -
88 Tinta Otomatis pcs 0 33,000 -
89 Stiker Note Panci Pcs 0 6,600 -
90 Memo Joyko Pcs 0 7,150 -
91 Stiki Play Page/pembatas buku Pcs 0 11,550 -
92 Binder Clip Warna warni Bok 0 16,500 -
93 Kertas Polio E-Prin Besar pak 0 29,150 -
94 Kertas polio E-Prin Kecil pak 0 8,250 -
95 Pos It Panda pcs 0 7,150 -
96 Lem Stik Uhu pcs 0 7,370 -
97 Label Harga No 103 Pak 0 4,950 -
98 Double Tip Busa Hitam Pcs 0 10,395 -
99 Kalkulator Pcs 0 56,320 -
100 Tempat solasiban Pcs 0 22,000 -
101 pulpen Elastis Deboz Pcs 0 8,250 -
102 Map Presiden Jepit Pcs 0 8,580 -
103 Pulpen Biru Pcs 0 2,475 -
104 Pocket Dokumen Besar/Display Pcs 0 25,685 -
105 Pocket Dokumen Kecil/Display Pcs 0 19,580 -
106 Od Bindek Uk A4 Pcs 0 26,950 -
107 Seropom Besar Pcs 0 12,210 -
108 Paku Seropom Box 0 3,300 -
109 Box File Bantex Warna Box 0 31,350 -
110 Box File Plastik Nikiko Box 0 18,370 -
111 Map Display Pocket 60 Pcs 0 33,000 -
112 Buku Sidu Isi 58 pcs 0 3,300 -
113 Stabilo pcs 0 - -
114 Nota satu play pcs 0 - -
115 Map Display isi 100 pcs 0 - -
116 Map Display isi 80 pcs 0 - -
117 Kertas pripcar/koran Rim 0 - -
118 Pembolong Kertas Besar Pcs 0 - -
Alat Tulis Kantor ( BOK ) 385,825
1 amplop besar/pak bok - 15,730 -
2 amplop kecil bok - 11,330 -
3 Kwitansi Biasa Besar pcs - 4,400 -
4 Kwitansi Biasa Kecil pcs - 1,430 -
5 box file jumbo Bindex pcs - 34,870 -
6 Buku kuarto/Isi 100 pcs - 6,930 -
7 Buku polio mrg/Isi 100 pcs - 15,895 -
8 catter isi perfo pcs - 16,500 -
9 cd pcs - 1,430 -
SATUAN
Jml Harga Jml
Barang Satuan Harga
10 cd tempat pcs - 12,100 -
11 cuter besar joyko pcs - 16,500 -
12 double tip kecil br (6mm) pcs - 1,100 -
13 double tip sedang 24 mm pcs - 9,350 -
14 gunting kertas pcs - 11,550 -
15 hecter besar pcs - 21,450 -
16 hecterkecil pcs - 8,250 -
17 kertas A4 rim - 53,680 -
18 kertas F4 hvs rim - 53,460 -
19 kertas label 123 Pak - 3,300 -
20 label harga CP2 pak - 3,300 -
21 Lem Stik Uhu pcs - 7,700 -
22 map jk/shd diplay Isi 20 pcs - 16,500 -
23 map karton stop map pcs - 396 -
24 map plastik pembolong ch/Busines Play pcs - 3,685 -
25 map plastik kancing pcs - 2,146 -
26 map plastik tali pcs - 2,154 -
27 ordner bindex pcs - 18,700 -
28 paku hecter besar neces etona no 3 bok - 2,970 -
29 paku hecter kecil neces etona no 10 bok - 1,320 -
30 paper cut pcs - 57,200 -
31 pembolong kertas pcs - 16,500 -
32 penghapus setip std pcs - 1,980 -
33 pita daito plastik mesin tik rol - 13,750 -
34 potlot faber pcs - 1,608 -
35 pulpen pcs - 2,750 -
36 sampul mika buku pcs - 6,600 -
37 solasiban daimaru pcs - 8,250 -
38 Spidol permanen snow g pcs - 5,390 -
39 Spidol kecil hitam pcs - 990 -
40 spidol snow White boart Marker pcs - 6,050 -
41 stampel bak joyko pcs - 9,900 -
42 stampel tanggal pcs - 15,400 -
43 termal printech 58x25/Kecil rol - 5,775 -
44 tinta cap stp pyramida botol - 9,350 -
45 tinta computer biru brather printec eps botol - 24,200 -
46 tinta computer hitam brather botol - 24,200 -
47 tinta computer kuning botol - 24,200 -
48 tinta computer merah brather botol - 24,200 -
49 tip ex biasa Kenko pcs - 3,850 -
50 Bak stempel besar pcs - 8,250 -
51 Bak stempel kecil pcs - 7,370 -
52 Cap tanggal pcs - - -
53 Label nama no 125 pcs - 3,300 33,000
54 Map mika pcs - - -
SATUAN
Jml Harga Jml
Barang Satuan Harga
55 Seropon Standar pcs - 10,395 -
56 Pos it Warna warni pcs - 25,300 -
57 Mistar pcs - 2,750 13,750
58 Tip x kenko pcs - 8,800 -
59 Buku neraca pcs - - -
60 Pembolong kertas pcs - 12,650 -
61 Solasiban Kecil/bening pcs - 2,860 14,300
62 Spidol permanen snowman/kecil pcs - 7,975 39,875
63 Binder Clip No 107 Bok - 3,960 -
64 Binder Clip No 260 Bok - 15,400 -
65 Label nama no 108 pcs - 3,300 -
66 Label nama no 112 pcs - 3,300 29,700
67 Tinta epson BK pcs - 100,100 200,200
68 Tinta Epson M pcs - 100,100 -
69 Tinta Epson C/biru pcs - 100,100 -
70 Tinta Epson Y pcs - 100,100 -
71 Mouse Vorte pcs - 22,000 -
72 Triping tool pcs - 66,000 -
73 Tang Kabel pcs - 82,500 -
74 Keyboard pcs - 209,000 -
75 Kabel pcs - 99,000 -
76 Alas Mouse pcs - 5,500 55,000
77 Termal printech uk 80x80 Otani Rol - 18,370 -
78 Debos Trigonal Clip No 3 Box - - -
79 Map Plastik L Pcs - 2,200 -
80 Buku Polio Isi 300 Pcs - - -
81 Buku Polio Isi 200 Pcs - 24,750 -
82 Buku Polio Isi 500 Pcs - - -
83 Map Display Isi 120 Pcs - - -
84 Box File Bantex Pcs - 33,660 -
85 Map Display Isi 40 Pcs - 23,100 -
86 Materai 3000 Pcs - 3,850 -
87 Materai 6000 Pcs - 7,150 -
88 Tinta Otomatis pcs - 33,000 -
89 Stiker Note Panci Pcs - 6,600 -
90 Memo Joyko Pcs - 7,150 -
91 Stiki Play Page/pembatas buku Pcs - 11,550 -
92 Binder Clip Warna warni Bok - 16,500 -
93 Kertas Polio E-Prin Besar pak - 29,150 -
94 Kertas polio E-Prin Kecil pak - 8,250 -
95 Pos It Panda pcs - 7,150 -
96 Lem Stik Uhu pcs - 7,370 -
97 Label Harga No 103 Pak - 4,950 -
98 Double Tip Busa Hitam Pcs - 10,395 -
99 Kalkulator Pcs - 56,320 -
SATUAN
Jml Harga Jml
Barang Satuan Harga
100 Tempat solasiban Pcs - 22,000 -
101 pulpen Elastis Deboz Pcs - 8,250 -
102 Map Presiden Jepit Pcs - 8,580 -
103 Pulpen Biru Pcs - 2,475 -
104 Pocket Dokumen Besar/Display Pcs - 25,685 -
105 Pocket Dokumen Kecil/Display Pcs - 19,580 -
106 Od Bindek Uk A4 Pcs - 26,950 -
107 Seropom Besar Pcs - 12,210 -
108 Paku Seropom Box - 3,300 -
109 Box File Bantex Warna Box - 31,350 -
110 Box File Plastik Nikiko Box - 18,370 -
111 Map Display Pocket 60 Pcs - 33,000 -
112 Buku Sidu Isi 58 pcs - 3,300 -
113 Stabilo pcs - - -
114 Nota satu play pcs - - -
115 Map Display isi 100 pcs - - -
116 Map Display isi 80 pcs - - -
117 Kertas pripcar/koran Rim - - -
118 Pembolong Kertas Besar Pcs - - -
2 PERSEDIAAN BARANG CETAKAN 12,870,174
1 Kwitansi 2 Play buku 175 2,000 350,000
2 Kwitansi 3 Play buku 69 27,875 1,923,375
3 Rekam Medik Ranap Pink Buah 250 9,478 2,369,500
4 Rekam Medik Ranap Biru Buah 250 9,478 2,369,500
5 Rekam Medik Rawat Jalan Buah 324 3,903 1,264,572
6 Buku Laboratorium Buku 10 15,000 150,000
7 Resep Buku 20 14,000 280,000
8 Leaflet Buah 2000 1,200 2,400,000
9 Copy Resep Buku 94 11,000 1,034,000
10 Stiker Rekam Medik Rajal Pcs 0 1,227 -
11 Buku Register Khohor Bayi isi 100 Buku 0 122,650 -
11 Buku Register Khohor Bayi isi 200 Buku 0 245,300 -
12 Buku Register Khohor ibu isi 100 Buku 0 122,650 -
12 Buku Register Khohor ibu isi 200 Buku 0 245,300 -
13 Retribusi Rawat Jalan 8000 buku 0 20,070 -
14 Retribusi UGD 1000 buku 0 20,070 -
15 Kriket No/Nomer Urut Pcs 1 1,227 1,227
16 Stiker Label Obat kocok dulu Pcs 0 279 -
17 stiker Label Obat syrup Sebelum Makan Pcs 0 279 -
18 Pormat UGD Pcs 0 - -
19 Kartu Kunjungan Pcs 0 279 -
20 Kwitansi Kasbon Pcs 0 28,000 -
21 Kir Dokter Buku 26 28,000 728,000
22 Buku Visum Kegiatan 2018 Buku 0 72,475 -
23 Buku Register IGD Buku 0 144,950 -
SATUAN
Jml Harga Jml
Barang Satuan Harga
24 Buku Register Rawat Inap Buku 0 144,950 -
25 Rekam Medik Poned Pcs 0 4,500 -
26 Nota Pemeriksaan Rangkap 2 buku 0 13,380 -
27 Status Rekamedik UGD set 0 1,784 -
28 Blangko Obat 1/4 Polio Buku 0 9,478 -
29 Salinan Copy Resp buku 0 16,725 -
30 Blangko Hasil Laboratorium Buku 0 20,070 -
31 Bender Spanduk Pcs 0 94,775 -
32 Register Rujukan Pasien Buku 0 144,950 -
33 kontong kresek obat pcs 0 446 -
34 plastik repet obat lekas sembuh 7x12 cm pack 0 25,465 -
35 plastik repet obat habiskan pack 0 30,105 -
36 plastik repet obat lekas sembuk pack 0 30,105 -
37 Baligo pcs 0 836,250 -
38 Kwitansi biasa buku 0 8,920 -
3 PERSEDIAAN BARANG ELEKTRONIK 91,000
1 Lampu Philip pcs 2 21,000 42,000
2 Lampu Philip Led 16 watt pcs 66,500 -
4 Lampu Philip Led 6,5 watt pcs 44,500 -
6 Batu Batre abc kecil jam Dinding pcs 2,500 -
7 Batu Batre Abc Besar pcs -
8 Batu Batre Abc Alkaline Sedang/aaa pcs 6,750 -
9 Batu Batre Abc Alkaline Kecil/aa pcs 8 6,125 49,000
10 Terminal Listrik pcs 27,000 -
11 Batu Alkalin Persegi pcs
4 PERSEDIAAN BARANG LABORATORIUM 18,933,450
1 Cellpack (PK-30L), 20L Box 0 1,768,800 -
2 Cellclean (CL-50), 50 Ml Botol 0 1,197,900 -
3 Eight Check (LNH), 3 x 15mL Serial 0 948,200 -
4 Stromatolyser - WH (SWH-200A), 500 mL Botol 0 1,171,500 -
5 Paper Thermal KX Series (roll 0,06m x 30 m) Roll 0 38,500 -
6 Ureum 2 x 100mL Kit 0 759,759 -
7 Creatinin 200 mL Botol 0 807,312 -
8 SGOT 8 X 50 mL Kit 0 2,231,240 -
9 SGPT 8 x 50 mL Kit 0 2,231,240 -
10 Cholesterol 4 x 100 mL Kit 2 440,000 880,000
11 Trigycerides 4 x 100 mL Kit 2 635,250 1,270,500
12 HDL Cholesterol (precipitant), 4x80 mL Kit 2 223,850 447,700
13 Uric Acid 4 x 100 mL Kit 0 2,057,726 -
14 PCCM 1 20 x 5 mL Kit 0 4,290,000 -
15 Immersion Oil 20 mL Botol 0 128,700 -
16 Tabung Vacuum EDTA 3 mL Pack 0 192,500 -
17 Plesterin Bulat Soft 200 pcs/box Box 0 60,500 -
SATUAN
Jml Harga Jml
Barang Satuan Harga
18 Stik Urine 3 Parameter, Verify Box 0 132,000 -
19 Stik Urine 10 Parameter, Verify Box 12 150,000 1,800,000
20 Reagen Golongan Darah, fortress Kit 0 440,000 -
21 Kartu Golongan darah Pack 0 44,000 -
22 Test Pack, HCG OneMed Pack 0 79,200 -
23 Aquabidest Pro Injection 500 mL Botol 0 60,500 -
24 Blood Lancet Pack 0 27,500 -
25 Tips Pipet Kuning 1000 pcs/Pack Pack 0 110,000 -
26 Tips Pipet Biru 500 pcs/Pack Pack 0 110,000 -
27 USG Gel 250 mL GC Botol 0 27,500 -
28 Batang Pengaduk Buah 0 7,700 -
29 Tabung LED Kaca 30 cm Buah 95 49,500 4,702,500
30 Rak Tabung LED Nesco Unit 0 495,000 -
31 Timer Digital Unit 0 100,100 -
32 Pot 50 mL Buah 0 1,100 -
33 Pot 100 mL Buah 0 1,485 -
34 Ose Buah 0 21,450 -
35 Tourniquet Buah 0 28,600 -
36 Na. Citrat, 100 mL Botol 0 71,500 -
37 Reagen Widal S. Tiphy H, Fortress Vial 1 167,500 167,500
38 Reagen Widal S. Tiphy AH, Fortress Vial 5 167,500 837,500
39 Reagen Golongan Darah, Glory Vial 0 400,000 -
40 Slide Widal Akrilik 40 Hole Vial 0 105,000 -
41 Reagen Widal Salmonela AH, Glory Vial 0 105,000 -
42 Reagen Widal Salmonela AO, Glory Vial 0 105,000 -
43 Reagen Widal S.Tiphy O , Fortress Vial 11 167,500 1,842,500
44 Reagen Widal S.Tiphy AO , Fortress Vial 6 167,500 1,005,000
45 AccuCheck Performa 100 PCS 10 420,000 4,200,000
46 Asam Urat Botol 1 393,250 393,250
47 Glukosa Botol 1 187,000 187,000
48 HB Kit 1 1,200,000 1,200,000
5 PERSEDIAAN BAHAN LINEN 75,000
1 Bantal Pcs 3 25000 75000
2 Selimut Polos Pcs 0 130000 0
3 Selimut Salur Pcs 0 70000 0
4 Sepray Pcs 0 130000 0
5 Bendera Pcs 0 25000 0
6 Sarung Bantal Pcs 0 9800 0
7 Perlak Karet Pcs 0 120000 0
8 Pigura Buah 0 22000 0
9 Namplet Buah 0 3500 0
10 Mangkok Melamin Buah 0 12000 0
11 Cangkir Melanin Buah 0 9500 0
12 Kit Ori Buah 0 37000 0
13 Tampah Buah 0 20000 0
SATUAN
Jml Harga Jml
Barang Satuan Harga
14 Terminal Listrik Pcs 0 30000 0
15 Keranjang Obat Pcs 0 5000 0
16 Rak sepatu Plastik Pcs 0 150000 0
17 Kertas lakmus Pak 0 19000 0
18 Corong Kaca Lab Pcs 0 35000 0
19 Celemet Set Pcs 0 45900 0
20 sendok Pcs 0 11000 0
21 Kitchen ware/lap Panci Pcs 0 4500 0
22 Keranjang Rol Pcs 0 113000 0
23 USB Chargerh Pcs 0 100000 0
24 Panci tutup butreply pcs 0 46500 0
25 centong Pcs 0 17500 0
26 Telenan Pcs 0 11000 0
27 Keranjang susun Pcs 0 51000 0
28 Piring Tamu Melamin Pcs 0 42000 0
29 Piring lodor Tamu melamin Pcs 0 23000 0
30 Setrika Pcs 0 281000 0
31 Meja setrika Pcs 0 269000 0
32 Tongkat Pasang Lampu Pcs 0 98000 0
33 Bok MDR besar Pcs 0 44900 0
34 Bok MDR Kecil Pcs 0 22900 0
35 Lap gantung handuk Pcs 0 21000 0
36 Panci Presto Kecil Pcs 0 0 0
37 Wajan Teplon Pcs 0 0 0
38 Toples Pcs 0 0 0
6 PERSEDIAAN BAHAN PEMBERSIH DADN ALAT KEBERSIHAN 1,546,000
1 bak sampah Besar Pcs 1 45,000 45,000
2 ember Pcs - 17,500 -
3 sapu lantai Pcs - 15,000 -
4 super mop Pcs - 15,000 -
5 sapu lidi Pcs - 7,500 -
6 lap Pcs - 5,400 -
7 gayung Pcs - 11,500 -
8 rinso/Daia Pcs - 15,500 -
9 sunligh Pcs - 13,700 -
10 pewangi ruangan/glade Pcs - 8,050 -
11 sabun cuci tangan/Hand Soap Pcs - 7,150 -
12 pewangi wc Pcs - 12,800 -
13 tisu Pcs 8 9,500 76,000
14 tisu pengesat Pcs - 15,000 -
15 sandal pasien Pcs 163 4,000 652,000
16 Pewangi pakaian Pcs - 22,600 -
17 Isi ulang pewangi ruangan/stela matic Pcs - 32,125 -
18 Antis Pcs - 2,600 -
19 Bayclin Pcs - 12,400 -
SATUAN
Jml Harga Jml
Barang Satuan Harga
20 Tusuk sate Pcs - 3,900 -
21 Tusuk gigi Isi 100 Pcs - 6,500 -
22 Soklin Pemutih Pcs - 7,750 -
23 Bayclin Pcs - 12,400 -
24 Klinpak Cling Warp Reftil/plastik makanan Rol - 15,000 -
25 Pewangi Wc Stella Pcs - 7,700 -
26 Pewangi Wc swaloww Pcs - 20,600 -
27 HIT anti Nyamuk Pcs - 35,600 -
28 Pawangi Ruangan Wc Wipol Pcs - 13,250 -
29 Pewangi Ruangan Wc supersol Pcs - 10,800 -
30 Alas Cuci Piring Pcs - 5,700 -
31 Alas Cuci Piring Plitex Pcs - 6,100 -
32 Lap Serbaguna Pcs - 13,000 -
33 Lap Dapur Pcs - 5,500 -
34 Cling Pembersih Kaca Pcs - 7,900 -
35 Stela aero hypo/seprot Pcs - 16,900 -
36 Stella biasa pewangi ruangan Pcs - 18,700 -
37 Glade pewangi Ruangan Pcs - 19,550 -
38 Stella biasa pewangi ruangan Pcs - 7,700 -
39 Kamper Wc Pcs - 15,592 -
40 Mama Lemon Pcs - 13,550 -
41 Tisu Multi Pcs - 23,750 -
42 Kanebo Besar Pcs - 24,900 -
43 Kanebo Kecil Pcs - 14,900 -
44 Kesed Karet Pcs - 18,000 -
45 Kesed Kain Pcs - 12,000 -
46 Kesed Handuk Pcs - 25,000 -
47 Hanger Mawar Hit Pcs - 17,000 -
48 Sanitaizer Kompan Kompan - 97,500 -
49 Sanitaizer Botol Kecil Botol - 70,895 -
50 Gel EKG/USG Botol - 30,000 773,000
51 Bak sampah Sedang Pcs - 95,000 -
52 Keranjang Aqua Pcs - 30,000 -
53 Bak Sampah Kecil Pcs - 55,000 -
54 Gel EKG/USG Kompan - 400,000 -
55 Pengki Pcs - 25,500 -
56 Tisu Gulung Pcs - 48,900 -
57 Sikat Wc Pcs - 19,500 -
58 Pisau Kentang Pcs - 4,000 -
59 kesed bludru Pcs - 56,000 -
60 Kesed Karet Panjang - - 95,000 -
7 PERSEDIAAN BAHAN MEDIS HABIS PAKAI 9,301,449
1 ADS 0.05 ml Buah 0 0 0
2 ADS 0.5 ml Buah 0 0 0
3 ADS 5 ml Buah 0 0 0
SATUAN
Jml Harga Jml
Barang Satuan Harga
4 Alat Suntik Sekali Pakai 1ml Set 170 650 110500
5 0 0 0 0 0
6 Alat Suntik Sekali Pakai 3 ml Set 0 0 0
7 Alat Suntik Sekali Pakai 5 ml Set 0 0 0
8 Alkohol Swab Buah 0 0 0
9 Bisturi Buah 0 0 0
10 Blood set Set 0 0 0
11 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set 195 5583.33 1088749.35
12 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set 138 5583.33 770499.54
13 Folley Catheter No.18 Kantong 0 0 0
14 Infusion set anak 0 1000 3500 3500000
15 0 Kantong 0 0 0
16 Infusion set dewasa Kantong 0 0 0
17 IV Catheter No.18 Set 0 0 0
21 Jarum kulit Buah 0 0 0
22 Jarum otot Buah 0 0 0
23 Kaca Slide Buah 0 0 0
24 Kantung mayat Set 0 0 0
25 Kapas Pembalut/absorben 250 mg Roll 0 0 0
26 Kasa Hidrofil 2x80 Roll 193 7700 1486100
27 Kasa Hidrofil Steril 16 X 16 Roll 0 0 0
28 Kasa Pembalut Hidrofil 4 X 10 cm Roll 90 1500 135000
29 Kasa Pembalut hidrofil 4 x 5 cm Roll 100 750 75000
30 Kassa Pembalut elastic 4 inchi Roll 0 0 0
31 Masker Tie on Buah 0 0 0
32 Masker N-95 Buah 0 0 0
33 Plester 5 yard x 2 inch Roll 0 0 0
34 Polybag Medis Buah 0 0 0
35 Polybag Nonmedis Buah 0 0 0
36 Polybag Ramah Lingkungan Buah 0 0 0
37 Pot Dahak Buah 0 0 0
38 Safety box Buah 0 0 0
39 Sarung Tangan Non Steril Uk.S Buah 0 0 0
40 Sarung Tangan Non Steril Uk.M Buah 0 0 0
41 Sarung Tangan Non Steril Uk.L Buah 0 0 0
42 Sarung Tangan Steril No.6 Set 0 0 0
43 Sarung Tangan Steril No.6,5 Set 0 0 0
44 Sarung Tangan Steril No.7 Set 0 0 0
45 Sendok Obat Buah 0 0 0
46 Silk (Benang Bedah Sutera) No.2/0 Dengan Jarum Bedah Set 0 0 0
47 Urin Bag Set 0 0 0
48 Metoclorpramide 1omg Tablet 0 0 0
SATUAN
Jml Harga Jml
Barang Satuan Harga
49 Pantoprazole Vial 0 0 0
50 Piracetam inj Ampul 0 0 0
51 ID Patien Dewasa blue Buah 0 0 0
52 ID Patien Dewasa pink Buah 0 0 0
53 Paracetamol Inf Botol 0 0 0
54 Hidroclorotiazid 10mg Tablet 0 0 0
55 Metronidazole susp Botol 0 0 0
56 Turpan drop Botol 0 0 0
57 Corsaneuron Tablet 0 0 0
58 NRM Dewasa Buah 0 0 0
59 NRM Anak Buah 0 0 0
60 Lansoprazole Kapsul 0 0 0
61 IV Cath No.26 set 0 0 0
62 Spuit 10 cc set 0 0 0
63 sandal pasien Buah 0 4450 0
64 kantong obat Buah 0 3850 0
65 FALLEY CATETER NO.16 Buah 0 15000 0
66 MASKER KAIN Buah 0 5000 0
67 MICROPOSE I/2 Buah 0 10000 0
68 PLASTER 3/4 Roll 0 60000 0
69 PLASTER GULUNG KECIL Roll 0 5000 0
70 ST. MPM NO. 6 1/2 Buah 0 6000 0
71 Plastik Obat Besar cap Uk 9 x13 buah 0 35 0
72 Plastik Kantong Obat/Putih Cap buah 0 50.95 0
73 Plastik Sampah/putih uk 50x75 Pcs 0 31150 0
74 Plastik sampah/hitam uk 60x100 Pcs 0 27000 0
75 Kantong Plastik Cap anggur uk 24 Pcs 0 5790 0
76 kantong Plastik Cap Daun Kuning Uk 24 Pcs 0 5050 0
77 Kantong Plastik Cap Kelapa uk 30 Pcs 0 9650 0
78 Plastik Obat Kecil Uk 10x7 cm cap Buah 0 32 0
79 Plastik Sampah Kuning Pak 0 3850 0
80 Plastik Obat uk 9X13 Polos Pak 0 3900 0
81 Plastik Obat uk 7X10 Polos Pak 0 3900 0
82 Kantong Plastik Obat Polos Pak 0 5790 0
83 Kantong Plastik Hitam Uk 50 Pak 0 11970 0
8 PERSEDIAAN BAHAN DAN ALAT RADIOLOGI 286,000 2,860,000
1 Kertas EKG Pak 10 286,000 2,860,000
2 Kertas USG Pak - - -
9 PERSEDIAAN BAHAN BAKAR 117,000

1 Bahan bakar Minyak/Gas liter 15 7,800 117,000
10 PERSEDIAAN BAHAN BAKAR DAPUR/PANTRY 30,000

SATUAN
Jml Harga Jml
Barang Satuan Harga
1 Pengisian isi tabung gas Tabung 1 30,000 30,000
11 PERSEDIAAN BENDA POS DAN PENGIRIMAN 9,000

1 Materai 600 buah 1 6,000 6,000
2 Materai 600 buah 1 3,000 3,000
12 PERSEDIAAN BHP RUANGAN DAN OKSIGEN 122,500

1 Pengisian Oksigen Tabung Besar Tabung 1 82,000 82,500
2 Pengisian Oksigen Tabung Kecil Tabung 1 40,000 40,000
13 PERSEDIAAN OBAT DAN PERBEKALAN KESEHATAN (BARANG PKM) 73,618,043

1 Albendazol Tablet 400 mg Tablet - - -
2 Alopurinol Tablet 100 mg Tablet 2,026 90 182,340
3 Aminofilin Inj 24 mg/ml-10 ml Ampul - - -
4 Aminofilin Tablet 200 mg Tablet 500 90 45,000
5 Amitriptilina HCl Tablet salut 25 mg Tablet 847 143 121,121
6 Amlodipin Tablet 5 mg Tablet 3,167 85 269,195
0 0 0 - - -
7 Amoksisilin Kaplet 500 mg Tablet 24,853 232 5,765,896
0 0 0 - - -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol 1,000 1,881 1,881,000
9 Antasida DOEN I Tablet Kunyah Tablet 21,574 62 1,337,588
0 0 0 - - -
10 Antasida II Suspensi 60 ml Botol - - -
11 Anti Hemmoroid DOEN Supp 226 3,045 688,170
12 Antibakteri DOEN Tube - - -
13 Antifungi DOEN kombinasi Pot 172 4,158 715,176
14 Antimigren DOEN Tablet - - -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial - - -
16 ARV: Efavirenz 600 mg Tablet - - -
17 ARV: Lamivudine 150 mg Tablet - - -
18 ARV: Lovinapir 200 mg Ronavir Tablet - - -
19 ARV: Nevirapine 200 mg Tablet - - -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet - - -
21 ARV: Tenofovir 300 mg Tablet - - -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet - - -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet - - -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet - - -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet 2,969 95 282,055
0 0 0 - - -
26 Asam Folat Tablet 0,4 mg Tablet - - -
27 Asam Mefenamat kaplet 500 mg Tablet 6,848 100 684,800
28 Asiklovir Krim 5%/5g Tube - - -
29 Asiklovir Tablet 400 mg Tablet - - -
30 Atapulgit Tablet 600 mg Tablet - - -
SATUAN
Jml Harga Jml
Barang Satuan Harga
31 Atropin Sulfat Inj 0,25 mg/ml Ampul - - -
32 Azithromisin Tablet 500 mg Tablet - - -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial - - -
34 Betahistin Tablet 6 mg Tablet - - -
35 Betametason Krim 0.1 % Tube 2,453 1,380 3,385,140
36 Bisoprolol Tablet 5 mg Tablet - - -
37 Bromheksin Tablet 8 mg Tablet - - -
38 Clobazam Tablet 10 mg Tablet - - -
39 Clozapine Tablet 25 mg Tablet - - -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Tablet - - -
41 Deksametason Inj 5 mg/ml-1 ml Ampul 200 1,540 308,000
0 0 0 - - -
42 Deksametason Tablet 0,5 mg Tablet 2,123 41 87,043
0 0 0 - - -
43 Dekstrometorfan Tablet kombinasi Tablet - - -
44 Dektrometorfan Sirup kombinasi Botol - - -
45 Devitalisasi Pasta Botol - - -
46 Dextrose Inj 40% Vial - - -
47 Diazepam Inj 5 mg/ml-2 ml Ampul - - -
48 Diazepam Rectal 5 mg/2,5 ml Tube 15 11,517 172,755
0 0 0 - - -
49 Diazepam Tablet 2 mg Tablet - - -
50 Difenhidramin Inj 10 mg/ml Ampul 20 1,176 23,520
0 0 0 - - -
51 Digoksin Tablet 0,25 mg Tablet 139 105 14,595
52 Dimenhidrinat Tablet 50 mg Tablet - - -
53 Doksisilin Tablet 100 mg Tablet - - -
54 Domperidon Suspensi 5mg/5ml Botol 259 3,333 863,247
55 Domperidon Tablet 10 mg Tablet 9,664 95 918,080
56 Endometason Tablet - - -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul 100 1,749 174,900
58 Eritromisin Kapsul 250 mg Kapsul - - -
59 Eritromisin Kapsul 500 mg Kapsul - - -
60 Eritromisin Sirup 200 mg/5 ml Botol - - -
61 Etakridin Larutan 0,1 % Botol 12 3,000 36,000
62 Etanol 70 %- 1000 ml Botol - - -
63 Etil Klorida Spray Botol - - -
64 Eugenol Cairan Botol - - -
65 Fenitoin Natrium Kapsul 100 mg Kapsul 643 152 97,736
0 0 0 - - -
66 Fenobarbital Tablet 30 mg Tablet - - -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet - - -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet 707 634 448,238
0 0 0 - - -
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul 240 3,550 852,000
SATUAN
Jml Harga Jml
Barang Satuan Harga
70 Fluconazol Tablet 150 mg Tablet - - -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul - - -
72 Formokresol Cair Botol - - -
73 Furosemid Tablet 40 mg Tablet 391 78 30,498
0 0 0 - - -
74 Garam Oralit I Serbuk Sachet 2,500 260 650,000
75 Gentamisin Inj 40 mg/ml (Sulfat) Ampul 183 3,083 564,189
76 Gentamisin Salep Kulit 0,1% Tube - - -
77 Glass Ionomer Cement Botol - - -
78 Glibenklamid Tablet 5 mg Tablet - - -
79 Gliseril Guaiakolat Tablet 100 mg Tablet - - -
80 Glukosa Larutan Infus 5% steril Botol 80 6,900 552,000
81 Griseofulvin Tablet 125 mg Micronized Botol 231 219 50,589
82 Haloperidol 5 mg Tablet 700 96 67,200
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul - - -
84 Haloperidol Inj 5 mg/ml Ampul - - -
85 Haloperidol Tablet 1,5 mg Tablet - - -
86 Hidrokortison Krim 2,5 % Tube 1,500 2,798 4,197,000
87 Hiosina butilbromida tab 10 mg Tablet - - -
88 Human Tetanus Imunoglobulin Im 250UI (Tetagam) Ampul 9 170,000 1,530,000
0 0 0 - - -
89 Ibuprofen Tablet 400 mg Tablet - - -
90 Isoniazid Tablet 100 mg Tablet - - -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 279 88 24,552
92 Kalsium glukonat inj 100 mg/ml Ampul - - -
93 Kalsium hidroksida pasta Tube - - -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet - - -
95 Kaptropil Tablet 25 mg Tablet 7,164 80 573,120
96 Karbamazepin Tablet 200 mg Tablet 500 228 114,000
97 Karbogliserin Tetes Telinga 10 % Botol - - -
98 Karbon aktif tab 0,5 mg Tablet - - -
99 Ketokonazol Tablet 200 mg Tablet 240 300 72,000
100 Ketoprofen Supp 100 mg Supp - - -
101 Kina Inj 26 % 2 ml Ampul - - -
102 Kina Tablet 222 mg Tablet - - -
103 Klindanmisin Tablet 300 mg Tablet - - -
104 Kloramfenikol Kapsul 250 mg Kapsul - - -
105 Kloramfenikol Kapsul 500 mg Kapsul - - -
106 Kloramfenikol Salep Kulit 2% Tube - - -
107 Kloramfenikol Salep Mata 1 % Tube 71 1,600 113,600
0 0 0 - - -
108 Kloramfenikol Sirup 125 mg/5 ml Botol - - -
109 Kloramfenikol Tetes Mata 0.5% Botol - - -
SATUAN
Jml Harga Jml
Barang Satuan Harga
110 Kloramfenikol Tetes telinga 3 % Botol - - -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet 5,467 42 229,614
112 Klorpropmazin HCl Tablet salut 100 mg Tablet 178 162 28,836
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol 440 2,120 932,800
0 0 0 - - -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet 3,209 151 484,559
0 0 0 - - -
115 Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : 80000-2 ml Ampul - - -
116 Lidokain Jelly 2 % Tube - - -
117 Lidokain Spray 10 % Botol - - -
118 Lisol Botol 9 41,000 369,000
119 Loratadin Tablet 10 mg Tablet - - -
120 Magnesium sulfat Inj (IV) 20 % Ampul - - -
121 Magnesium sulfat Inj (IV) 40 % Ampul - - -
122 MB Anak Blister - - -
123 MB Dewasa Blister - - -
124 Metformin HCl Tablet 500 mg Tablet 6,860 94 644,840
125 Metildopa Tablet 250 mg Tablet - - -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul 475 2,684 1,274,900
127 Metilergometrin Maleat (Metilergometrin) Tablet Salut 0,125 Tablet - - -
128 Metilprednisolon Tablet 4 mg Tablet - - -
129 Metronidazol Tablet 500 mg Tablet 1,545 133 205,485
130 Mikonazol Krim/Salep 2% Tube 582 3,000 1,746,000
131 Mineral Mix Sachet - - -
132 Monoklorkamfer mentol cairan Botol - - -
133 Multivitamin + DHA + Lysin Sirup Botol - - -
134 Multivitamin + Mineral Kaplet Kaplet - - -
135 N-asetil sistein kaps 200 mg Kapsul - - -
136 Natrium Bikarbonat Tablet 500 mg Tablet - - -
137 Natrium Diklofenak Tablet 50 mg Tablet - - -
138 Natrium Hipoklorit 3% Botol - - -
139 Natrium Klorida Larutan Infus 0,9% FLS 200 6,410 1,282,000
140 Natrium Tiroksin Tablet 100 µg Tablet - - -
141 Nipedipin Tablet 10 mg Tablet - - -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet - - -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet - - -
144 OAT FDC Katagori 1 Blister - - -
145 OAT FDC Katagori 2 Blister - - -
146 OAT FDC Kategori Anak Blister - - -
147 OAT FDC Kategori Sisipan Blister - - -
148 OAT Kombipak Kat I Blister - - -
149 Obat Batuk Hitam (OBH) Cairan Botol - - -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul - - -
151 Omeprazol Kapsul 20 mg Kapsul - - -
152 Ondansetron Inj 4 mg/2 ml Ampul 336 2,400 806,400
SATUAN
Jml Harga Jml
Barang Satuan Harga
153 Parasetamol Sirup 120 mg / 5ml Botol - - -
154 Parasetamol Tablet 500 mg Tablet - - -
155 PB Anak Blister - - -
156 PB Dewasa Blister - - -
157 Permetrin 5% Krim (Scabimite) Tube 98 12,155 1,191,190
158 Phenolphtalein, Paraffin Liquidum, Gliserin Sirup (Laxadin syr) Botol - - -
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet - - -
160 Pirimetamin Tablet 25 mg Tablet - - -
161 Polikresulen (Albotyl) Botol 5 ml Botol - - -
162 Povidon Iodida 10 %-30 ml Botol - - -
163 Povidon Iodida 10 %-300 ml Botol 15 18,000 270,000
164 Prednison Tablet 5 mg Tablet - - -
165 Primakuin Tablet 15 mg Tablet - - -
166 Prokain Benzilpenisilin Serb Inj 3 juta UI/vial (i.m.) Vial - - -
167 Propanolol HCl Tablet 40 mg Tablet 1,900 106 201,400
168 Propiltiourasil Tablet 100 mg Tablet 1,500 319 478,500
169 Ranitidin Inj 25 mg/ml Ampul - - -
170 Ranitidin Tablet 150 mg Tablet 1,751 98 171,598
0 0 0 - - -
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul - - -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul - - -
173 Ringer Laktat Larutan Infus Steril FLS 3,180 7,150 22,737,000
174 Risperidon Tablet 2 mg Tablet - - -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul 27 4,000 108,000
176 Salbutamol Tablet 4 mg Tablet 2,000 87 174,000
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % POT 871 2,429 2,115,659
178 Salisil Bedak 2 % Kotak 485 1,020 494,700
179 Sefadroksil Sirup 125 mg/5 ml Botol 563 4,746 2,671,998
180 Sefadroxil Kapsul 500 mg Kapsul 9,513 450 4,280,850
181 Sefiksime 200 mg + Azitromisin 500 mg Paket - - -
182 Sefotaksim Inj 1 g Vial 426 4,282 1,824,132
0 0 0 - - -
183 Seftriaxon Inj 1 g Vial - - -
184 Semen seng fosfat serbuk cairan Sachet - - -
185 Serum Anti Difteri (ADS) Ampul - - -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul - - -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial - - -
188 Setirizin Sirup 5 mg/5 ml Botol - - -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul - - -
190 Simvastatin Tablet 10 mg Tablet 1,980 111 219,780
191 Siprofloksasin (HCl) Tablet 500 mg Tablet 1,599 281 449,319
0 0 0 - - -
192 Tablet Tambah Darah (Camabion) Tablet - - -
193 Tablet Tambah Darah Kombinasi Tablet - - -
194 Temporary Restorative Material Tablet - - -
SATUAN
Jml Harga Jml
Barang Satuan Harga
195 Tetrasiklin Kapsul 500 mg Kapsul 800 310 248,000
196 Tiamin HCL (Vit B1) Tablet 50 mg Tablet - - -
197 Triheksifenidil HCl Tablet 2 mg Tablet - - -
198 Vaksin BCG + Pelarut Ampul - - -
199 Vaksin DPT-Hb-Hib Ampul - - -
200 Vaksin DT Ampul - - -
201 Vaksin Hb-0 Ampul - - -
202 Vaksin IPV 10 ds Ampul - - -
203 Vaksin IPV 5 ds Ampul - - -
204 Vaksin Measles Rubella (MR) Ampul - - -
205 Vaksin Meningitis Ampul - - -
206 Vaksin Papillomavirus (HPV) Ampul - - -
207 Vaksin Pneumococcus Ampul - - -
208 Vaksin Polio 10 ds bopv + Penetes Ampul - - -
209 Vaksin Rabies Vero Ampul - - -
210 Vaksin Td Ampul - - -
211 Vitamin B Kompleks Tablet Tablet - - -
212 Zinc Tablet 20 mg Tablet 180 473 85,140
213 BAHAN HABIS PAKAI 0 - - -
214 ADS 0.05 ml Buah - - -
215 ADS 0.5 ml Buah - - -
216 ADS 5 ml Buah - - -
217 Alat Suntik Sekali Pakai 1ml Set - 650 -
0 0 0 - - -
218 Alat Suntik Sekali Pakai 3 ml Set - - -
219 Alat Suntik Sekali Pakai 5 ml Set - - -
220 Alkohol Swab Buah - - -
221 Bisturi Buah - - -
222 Blood set Set - - -
223 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set - 5,583 -
224 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set - 5,583 -
225 Folley Catheter No.18 Kantong - - -
226 Infusion set anak 0 - 3,500 -
0 0 Kantong - - -
227 Infusion set dewasa Kantong - - -
228 IV Catheter No.18 Set - - -
229 IV Catheter No.20 Set - - -
230 IV Catheter No.22 Set - 3,800 -
231 IV Catheter No.24 Set - 3,800 -
232 Jarum kulit Buah - - -
233 Jarum otot Buah - - -
234 Kaca Slide Buah - - -
235 Kantung mayat Set - - -
236 Kapas Pembalut/absorben 250 mg Roll - - -
237 Kasa Hidrofil 2x80 Roll - 7,700 -
SATUAN
Jml Harga Jml
Barang Satuan Harga
238 Kasa Hidrofil Steril 16 X 16 Roll - - -
239 Kasa Pembalut Hidrofil 4 X 10 cm Roll - 1,500 -
240 Kasa Pembalut hidrofil 4 x 5 cm Roll - 750 -
241 Kassa Pembalut elastic 4 inchi Roll - - -
242 Masker Tie on Buah - - -
243 Masker N-95 Buah - - -
244 Plester 5 yard x 2 inch Roll - - -
245 Polybag Medis Buah - - -
246 Polybag Nonmedis Buah - - -
247 Polybag Ramah Lingkungan Buah - - -
248 Pot Dahak Buah - - -
249 Safety box Buah - - -
250 Sarung Tangan Non Steril Uk.S Buah - - -
251 Sarung Tangan Non Steril Uk.M Buah - - -
252 Sarung Tangan Non Steril Uk.L Buah - - -
253 Sarung Tangan Steril No.6 Set - - -
254 Sarung Tangan Steril No.6,5 Set - - -
255 Sarung Tangan Steril No.7 Set - - -
256 Sendok Obat Buah - - -
257 Silk (Benang Bedah Sutera) No.2/0 Dengan Jarum Bedah Set - - -
258 Urin Bag Set - - -
259 REAGEN 0 - - -
260 Cybow 10 Reagent Strip Set - - -
261 Golongan darah anti A - 10 ml Botol - - -
262 Golongan darah anti A-B - 10 ml Botol - - -
263 Golongan darah anti B - 10 ml Botol - - -
264 Humasens Plus Set - - -
265 Humasens Plus Strip Uric Acid Set - - -
266 Humasens Strip Glucose Set - - -
267 Humasens Strip Kolesterol Set - - -
268 Iodin test Botol - - -
269 Larutan Asam Asetat 6% 100 ml Botol - - -
270 Larutan Benedict 100 ml Botol - - -
271 Larutan EDTA 10 % 100 ml Botol - - -
272 Larutan HCl 0,1 N 100 ml Botol - - -
273 Larutan Natrium Citrat 3,13 % Botol - - -
274 Larutan Rees Ecker 100 ml Botol - - -
275 Larutan Turk 100 ml Botol - - -
276 Larutan Ziehl Neelsen Botol - - -
277 Rapid HIV 1/2 Device Test - - -
278 Rapid HIV 2 Fokus Test - - -
279 Rapid HIV Biomedika Sachet - - -
280 Rapid HIV Biomeriux Sachet - - -
281 Rapid HIV Intec Sachet - - -
282 Rapid HIV Oncoprobe Sachet - - -
SATUAN
Jml Harga Jml
Barang Satuan Harga
283 Rapid HIV SD Sachet - - -
284 Rapid Malaria Sachet - - -
285 Rapid Syphilis SD Sachet - - -
286 Reagen CD4 kontrol Test - - -
287 Reagen CD4 tipe 1 (Alere Pima CD4) Test - - -
288 RPR Syphilis Sachet - - -
289 Salmonella Thyphi H - 5 ml Botol - - -
290 Salmonella Thyphi O - 5 ml Botol - - -
291 Test Kehamilan Buah - - -
292 LAIN-LAIN 0 - - -
293 Piracetam tab 1200mg Tablet - - -
294 Metoclorpramide 1omg Tablet - - -
295 Pantoprazole Vial - - -
296 Piracetam inj Ampul - - -
297 ID Patien Dewasa blue Buah - - -
298 ID Patien Dewasa pink Buah - - -
299 Paracetamol Inf Botol - - -
300 Hidroclorotiazid 10mg Tablet - - -
301 Metronidazole susp Botol - - -
302 Turpan drop Botol - - -
303 Corsaneuron Tablet - - -
304 NRM Dewasa Buah - - -
305 NRM Anak Buah - - -
306 Lansoprazole Kapsul - - -
307 IV Cath No.26 set - - -
308 Spuit 10 cc set - - -
JUMLAH 103,604,426
Mengetahui
Kepala Sub Bagian Tata Usaha
Dedi Koesdiana
NIP. 19630429 198931 1005
PENERIMAAN DAN PENGELUARAN BARANG PERSEDIAAN
DA DINAS KESEHATAN GARUT S/D 31 Desember 2018
Penerimaan Barang Persediaan Pengeluaran Barang Persediaan

Saldo Per 3
Tahun 2018 Tahun 2018
Jml Satuan Harga Nilai Jml Satuan Harga Nilai Jml
Barang Barang Satuan Total Barang Barang Satuan Total Barang
66,698,325 44,331,759
20 bok 17,250 345,000 7 bok 17,250 120,750 14
50 bok 15,000 750,000 50 bok 15,000 750,000 3
40 pcs 4,000 160,000 15 pcs 4,000 60,000 30
20 pcs 1,300 26,000 - pcs 1,300 - 20
124 pcs 31,700 3,930,800 124 pcs 31,700 3,930,800 -
65 pcs 8,350 542,750 48 pcs 8,350 400,800 17
51 pcs 14,450 736,950 46 pcs 14,450 664,700 5
6 pcs 15,000 90,000 6 pcs 15,000 90,000 5
0 pcs 1,300 - 11 pcs 1,300 14,300 89
0 pcs 11,000 - 11 pcs 11,000 121,000 89
10 pcs 15,000 150,000 7 pcs 15,000 105,000 3
10 pcs 1,000 10,000 - pcs 1,000 - 20
22 pcs 8,500 187,000 15 pcs 8,500 127,500 7
14 pcs 14,450 202,300 11 pcs 14,450 158,950 3
8 pcs 19,500 156,000 3 pcs 19,500 58,500 5
17 pcs 25,600 435,200 15 pcs 25,600 384,000 2
80 rim 48,800 3,904,000 52 rim 48,800 2,537,600 31
280 rim 48,600 13,608,000 199 rim 48,600 9,671,400 81
25 Pak 3,000 75,000 13 Pak 3,000 39,000 12
45 pak 3,000 135,000 - pak 3,000 - 45
7 pcs 7,000 49,000 2 pcs 7,000 14,000 5
44 pcs 15,000 660,000 44 pcs 15,000 660,000 -
600 pcs 480 288,000 435 pcs 480 208,800 165
312 pcs 3,350 1,045,200 306 pcs 3,350 1,025,100 30
192 pcs 1,951 374,559 198 pcs 1,951 386,264 6
140 pcs 1,958 274,120 153 pcs 1,958 299,574 -
48 pcs 26,000 1,248,000 7 pcs 26,000 182,000 45
23 bok 2,700 62,100 7 bok 2,700 18,900 20
47 bok 1,200 56,400 27 bok 1,200 32,400 44
10 pcs 52,000 520,000 10 pcs 52,000 520,000 -
3 pcs 15,000 45,000 2 pcs 15,000 30,000 1
18 pcs 1,800 32,400 6 pcs 1,800 10,800 12
1 rol 2,500 2,500 - rol 2,500 - 2
24 pcs 1,462 35,080 9 pcs 1,462 13,155 15
444 pcs 2,500 1,110,000 425 pcs 2,500 1,062,500 20
0 pcs 6,000 - - pcs 6,000 - -
2 pcs 7,500 15,000 1 pcs 7,500 7,500 1
60 pcs 4,900 294,000 64 pcs 4,900 313,600 -
Saldo Per 3
30 pcs 900 27,000 30 pcs 900 27,000 -
40 pcs 5,500 220,000 25 pcs 5,500 137,500 15
5 pcs 9,000 45,000 3 pcs 9,000 27,000 2
0 pcs 14,000 - 1 pcs 14,000 14,000 -
30 rol 5,250 157,500 16 rol 5,250 84,000 14
9 botol 8,500 76,500 5 botol 8,500 42,500 4
0 botol 22,000 - 1 botol 22,000 22,000 1
0 botol 22,000 - 2 botol 22,000 44,000 -
0 botol 22,000 - - botol 22,000 - 2
0 botol 22,000 - - botol 22,000 - 2
24 pcs 3,500 84,000 20 pcs 3,500 70,000 4
10 pcs 7,500 75,000 10 pcs 7,500 75,000 -
0 pcs 6,700 - 2 pcs 6,700 13,400 -
5 pcs 150,000 750,000 5 pcs 150,000 750,000 -
30 pcs 3,000 90,000 30 pcs 3,000 90,000 10
50 pcs 5,000 250,000 50 pcs 5,000 250,000 -
20 pcs 9,450 189,000 20 pcs 9,450 189,000 -
3 pcs 23,000 69,000 3 pcs 23,000 69,000 -
6 pcs 2,500 15,000 5 pcs 2,500 12,500 6
12 pcs 8,000 96,000 10 pcs 8,000 80,000 2
20 pcs 25,000 500,000 20 pcs 25,000 500,000 -
4 pcs 11,500 46,000 4 pcs 11,500 46,000 -
24 pcs 2,600 62,400 20 pcs 2,600 52,000 9
30 pcs 7,250 217,500 25 pcs 7,250 181,250 10
16 Bok 3,600 57,600 12 Bok 3,600 43,200 4
7 Bok 42,000 294,000 1 Bok 42,000 42,000 6
29 pcs 3,000 87,000 18 pcs 3,000 54,000 11
20 pcs 3,000 60,000 10 pcs 3,000 30,000 19
45 pcs 91,000 4,095,000 42 pcs 91,000 3,822,000 5
10 pcs 91,000 910,000 10 pcs 91,000 910,000 -
10 pcs 91,000 910,000 10 pcs 91,000 910,000 -
10 pcs 91,000 910,000 10 pcs 91,000 910,000 -
10 pcs 86,000 860,000 10 pcs 86,000 860,000 -
0 pcs 60,000 - - pcs 60,000 - -
0 pcs 75,000 - - pcs 75,000 - -
5 pcs 190,000 950,000 5 pcs 190,000 950,000 -
0 pcs 90,000 - - pcs 90,000 - -
6 pcs 8,500 51,000 8 pcs 8,500 68,000 8
35 Rol 24,700 864,500 35 Rol 24,700 864,500 -
50 Box 3,000 150,000 27 Box 3,000 81,000 23
420 Pcs 2,000 840,000 240 Pcs 2,000 480,000 180
12 Pcs 41,150 493,800 7 Pcs 41,150 288,050 5
35 Pcs 28,000 980,000 24 Pcs 28,000 672,000 11
7 Pcs 111,000 777,000 5 Pcs 111,000 555,000 2
1 Pcs 9,866 9,866 1 Pcs 9,866 9,866 -
Saldo Per 3
48 Pcs 30,600 1,468,800 37 Pcs 30,600 1,132,200 11
20 Pcs 21,000 420,000 20 Pcs 21,000 420,000 -
1 Pcs 3,500 3,500 1 Pcs 3,500 3,500 -
0 Pcs 6,500 - - Pcs 6,500 - -
4 pcs 30,000 120,000 2 pcs 30,000 60,000 2
1 Pcs 6,000 6,000 1 Pcs 6,000 6,000 -
11 Pcs 6,500 71,500 5 Pcs 6,500 32,500 6
35 Pcs 10,500 367,500 35 Pcs 10,500 367,500 -
15 Bok 15,000 225,000 11 Bok 15,000 165,000 4
8 pak 26,500 212,000 6 pak 26,500 159,000 2
1 pak 7,500 7,500 1 pak 7,500 7,500 -
6 pcs 6,500 39,000 6 pcs 6,500 39,000 -
24 pcs 6,700 160,800 22 pcs 6,700 147,400 2
12 Pak 4,500 54,000 11 Pak 4,500 49,500 1
22 Pcs 9,450 207,900 22 Pcs 9,450 207,900 -
7 Pcs 51,200 358,400 7 Pcs 51,200 358,400 -
2 Pcs 20,000 40,000 1 Pcs 20,000 20,000 1
20 Pcs 7,500 150,000 20 Pcs 7,500 150,000 -
6 Pcs 7,800 46,800 3 Pcs 7,800 23,400 3
12 Pcs 2,250 27,000 8 Pcs 2,250 18,000 4
20 Pcs 23,350 467,000 20 Pcs 23,350 467,000 -
20 Pcs 17,800 356,000 20 Pcs 17,800 356,000 -
6 Pcs 24,500 147,000 6 Pcs 24,500 147,000 -
6 Pcs 11,100 66,600 3 Pcs 11,100 33,300 3
9 Box 3,000 27,000 7 Box 3,000 21,000 2
31 Box 28,500 883,500 25 Box 28,500 712,500 6
15 Box 16,700 250,500 15 Box 16,700 250,500 -
20 Pcs 30,000 600,000 20 Pcs 30,000 600,000 -
30 pcs 3,000 90,000 11 pcs 3,000 33,000 19
3 pcs 4,150 12,450 1 pcs 4,150 4,150 2
12 pcs 5,000 60,000 12 pcs 5,000 60,000 -
10 pcs 150,000 1,500,000 9 pcs 150,000 1,350,000 1
2 pcs 60,000 120,000 2 pcs 60,000 120,000 -
1 Rim 240,000 240,000 - Rim 240,000 - 1
2 Pcs 40,000 80,000 1 Pcs 40,000 40,000 1
12,000,000 - 11,137,150
4 bok 25,000 100,000 10,000 3 bok 25,000 75,000
8 bok 15,000 120,000 12,000 6 bok 15,000 90,000
8 pcs 5,000 40,000 4,000 7 pcs 5,000 35,000
- pcs 1,300 - - - pcs 1,300 -
- pcs 31,700 - - - pcs 31,700 -
- pcs 8,350 - - - pcs 8,350 -
- pcs 14,450 - - - pcs 14,450 -
- pcs 15,000 - - - pcs 15,000 -
- pcs 1,300 - - - pcs 1,300 -
Saldo Per 3
- pcs 11,000 - - - pcs 11,000 -
4 pcs 15,000 60,000 6,000 4 pcs 15,000 60,000
- pcs 1,000 - - - pcs 1,000 -
- pcs 8,500 - - - pcs 8,500 -
2 pcs 14,450 28,900 2,890 2 pcs 14,450 28,900
8 pcs 19,500 156,000 15,600 5 pcs 19,500 97,500
8 pcs 25,600 204,800 20,480 8 pcs 25,600 204,800
- rim 48,800 - - - rim 48,800 -
120 rim 55,000 6,600,000 660,000 117 rim 55,000 6,435,000
- Pak 3,000 - - - Pak 3,000 -
- pak 3,000 - - - pak 3,000 -
16 pcs 7,000 112,000 11,200 14 pcs 7,000 98,000
- pcs 15,000 - - - pcs 15,000 -
- pcs 480 - - - pcs 480 -
- pcs 3,350 - - - pcs 3,350 -
40 pcs 3,500 140,000 14,000 40 pcs 3,500 140,000
- pcs 1,958 - - - pcs 1,958 -
20 pcs 30,000 600,000 60,000 20 pcs 30,000 600,000
20 bok 3,500 70,000 7,000 2 bok 3,500 7,000
40 bok 1,200 48,000 4,800 34 bok 1,200 40,800
- pcs 52,000 - - - pcs 52,000 -
3 pcs 15,000 45,000 4,500 3 pcs 15,000 45,000
- pcs 1,800 - - - pcs 1,800 -
- rol 2,500 - - - rol 2,500 -
- pcs 1,462 - - - pcs 1,462 -
48 pcs 2,500 120,000 12,000 48 pcs 2,500 120,000
- pcs 6,000 - - - pcs 6,000 -
- pcs 7,500 - - - pcs 7,500 -
4 pcs 4,900 19,600 1,960 4 pcs 4,900 19,600
- pcs 900 - - - pcs 900 -
- pcs 5,500 - - - pcs 5,500 -
- pcs 9,000 - - - pcs 9,000 -
- pcs 14,000 - - - pcs 14,000 -
- rol 5,250 - - - rol 5,250 -
10 botol 8,500 85,000 8,500 8 botol 8,500 68,000
- botol 22,000 - - - botol 22,000 -
- botol 22,000 - - - botol 22,000 -
- botol 22,000 - - - botol 22,000 -
- botol 22,000 - - - botol 22,000 -
4 pcs 3,500 14,000 1,400 4 pcs 3,500 14,000
- pcs 7,500 - - - pcs 7,500 -
- pcs 6,700 - - - pcs 6,700 -
- pcs 150,000 - - - pcs 150,000 -
- pcs 3,000 - - - pcs 3,000 -
- pcs 5,000 - - - pcs 5,000 -
Saldo Per 3
- pcs 9,450 - - - pcs 9,450 -
- pcs 23,000 - - - pcs 23,000 -
- pcs 2,500 - - - pcs 2,500 -
- pcs 8,000 - - - pcs 8,000 -
- pcs 25,000 - - - pcs 25,000 -
4 pcs 11,500 46,000 4,600 4 pcs 11,500 46,000
- pcs 2,600 - - - pcs 2,600 -
6 pcs 7,250 43,500 4,350 5 pcs 7,250 36,250
- Bok 3,600 - - - Bok 3,600 -
8 Bok 42,000 336,000 33,600 8 Bok 42,000 336,000
- pcs 3,000 - - - pcs 3,000 -
- pcs 3,000 - - - pcs 3,000 -
8 pcs 110,000 880,000 88,000 7 pcs 110,000 770,000
4 pcs 110,000 440,000 44,000 3 pcs 110,000 330,000
4 pcs 110,000 440,000 44,000 3 pcs 110,000 330,000
4 pcs 110,000 440,000 44,000 3 pcs 110,000 330,000
- pcs 86,000 - - - pcs 86,000 -
- pcs 60,000 - - - pcs 60,000 -
- pcs 75,000 - - - pcs 75,000 -
- pcs 190,000 - - - pcs 190,000 -
- pcs 90,000 - - - pcs 90,000 -
- pcs 8,500 - - - pcs 8,500 -
- Rol 24,700 - - - Rol 24,700 -
- Box 3,000 - - - Box 3,000 -
- Pcs 2,000 - - - Pcs 2,000 -
- Pcs 41,150 - - - Pcs 41,150 -
- Pcs 28,000 - - - Pcs 28,000 -
- Pcs 111,000 - - - Pcs 111,000 -
- Pcs 9,866 - - - Pcs 9,866 -
- Pcs 30,600 - - - Pcs 30,600 -
- Pcs 21,000 - - - Pcs 21,000 -
10 Pcs 3,500 35,000 3,500 5 Pcs 3,500 17,500
80 Pcs 6,500 520,000 52,000 80 Pcs 6,500 520,000
- pcs 30,000 - - - pcs 30,000 -
- Pcs 6,000 - - - Pcs 6,000 -
- Pcs 6,500 - - - Pcs 6,500 -
- Pcs 10,500 - - - Pcs 10,500 -
- Bok 15,000 - - - Bok 15,000 -
- pak 26,500 - - - pak 26,500 -
- pak 7,500 - - - pak 7,500 -
- pcs 6,500 - - - pcs 6,500 -
16 pcs 6,700 107,200 10,720 14 pcs 6,700 93,800
- Pak 4,500 - - - Pak 4,500 -
- Pcs 9,450 - - - Pcs 9,450 -
2 Pcs 51,200 102,400 10,240 2 Pcs 51,200 102,400
Saldo Per 3
- Pcs 20,000 - - - Pcs 20,000 -
- Pcs 7,500 - - - Pcs 7,500 -
- Pcs 7,800 - - - Pcs 7,800 -
- Pcs 2,250 - - - Pcs 2,250 -
- Pcs 23,350 - - - Pcs 23,350 -
- Pcs 17,800 - - - Pcs 17,800 -
- Pcs 24,500 - - - Pcs 24,500 -
- Pcs 11,100 - - - Pcs 11,100 -
10 Box 3,000 30,000 3,000 10 Box 3,000 30,000
- Box 28,500 - - - Box 28,500 -
- Box 16,700 - - - Box 16,700 -
- Pcs 30,000 - - - Pcs 30,000 -
- pcs 3,000 - - - pcs 3,000 -
4 pcs 4,150 16,600 1,660 4 pcs 4,150 16,600
- pcs 5,000 - - - pcs 5,000 -
- pcs 150,000 - - - pcs 150,000 -
- pcs 60,000 - - - pcs 60,000 -
- Rim 240,000 - - - Rim 240,000 -
- Pcs 40,000 - - - Pcs 40,000 -
103,869,880 98,013,242.00
0 buku 2,000 - - buku 2,000 40,000 175
60 buku 27,875 1,672,500 58 buku 27,875 51,500 71
700 Buah 9,478 6,634,600 700 Buah 9,478 475,000 250
700 Buah 9,478 6,634,600 700 Buah 9,478 475,000 250
9800 Buah 3,903 38,249,400 8,700 Buah 3,903 40,000,000 1,424
0 Buku 15,000 - 10 Buku 15,000 30,000 -
0 Buku 14,000 - 20 Buku 14,000 476,000 -
0 Buah 1,200 - 2,000 Buah 1,200 - -
0 Buku 11,000 - - Buku 11,000 - 94
9800 Pcs 1,227 12,024,600 8,700 Pcs 1,227 12,024,600 1,100
12 Buku 122,650 1,471,800 12 Buku 122,650 1,471,800 -
1 Buku 245,300 245,300 1 Buku 245,300 245,300 -
12 Buku 122,650 1,471,800 12 Buku 122,650 1,471,800 -
1 Buku 245,300 245,300 1 Buku 245,300 245,300 -
106 buku 20,070 2,127,420 106 buku 20,070 501,750 -
30 buku 20,070 602,100 30 buku 20,070 40,140 -
0 Pcs 1,227 - - Pcs 1,227 1,227 1
5000 Pcs 279 1,395,000 5,000 Pcs 279 1,500,000 -
5000 Pcs 279 1,395,000 5,000 Pcs 279 1,500,000 -
0 Pcs - - - Pcs - - -
12000 Pcs 279 3,348,000 8,700 Pcs 279 4,500 3,300
0 Pcs 28,000 - - Pcs 28,000 420,000 -
0 Buku 28,000 - - Buku 28,000 280,000 26
54 Buku 72,475 3,913,650 54 Buku 72,475 3,913,650 -
2 Buku 144,950 289,900 2 Buku 144,950 300,000 -
Saldo Per 3
2 Buku 144,950 289,900 2 Buku 144,950 9,000,000 -
0 Pcs 4,500 - - Pcs 4,500 1,350,000 -
60 buku 13,380 802,800 60 buku 13,380 804,000 -
600 set 1,784 1,070,400 600 set 1,784 1,080,000 -
320 Buku 9,478 3,032,960 320 Buku 9,478 3,040,000 -
45 buku 16,725 752,625 45 buku 16,725 752,625 -
80 Buku 20,070 1,605,600 80 Buku 20,070 802,800 -
16 Pcs 94,775 1,516,400 16 Pcs 94,775 1,520,000 -
4 Buku 144,950 579,800 4 Buku 144,950 600,000 -
19500 pcs 446 8,697,000 19,500 pcs 446 9,750,000 -
35 pack 25,465 891,275 35 pack 25,465 910,000 -
25 pack 30,105 752,625 25 pack 30,105 762,500 -
35 pack 30,105 1,053,675 35 pack 30,105 1,067,500 -
1 pcs 836,250 836,250 1 pcs 836,250 836,250 -
30 buku 8,920 267,600 30 buku 8,920 270,000 -
3,823,200 3,150,960
0 pcs 21,000 - 2 pcs 21,000 42,000 -
6 pcs 66,500 399,000 6 pcs 66,500 399,000 -
6 pcs 54,500 327,000 6 pcs 54,500 327,000 -
12 pcs 44,500 534,000 12 pcs 44,500 534,000 -
6 pcs 112,000 672,000 4 pcs 112,000 448,000 2
96 pcs 2,500 240,000 96 pcs 2,500 240,000 -
0 pcs - - - pcs - - -
96 pcs 6,750 648,000 96 pcs 6,750 648,000 -
60 pcs 6,220 373,200 68 pcs 6,220 422,960 -
2 pcs 45,000 90,000 2 pcs 45,000 90,000 -
18 pcs 30,000 540,000 10 pcs 30,000 300,000 8
99,321,435 83,991,834
7 Box 1,769,533 12,386,731 7 Box 1,608,000 11,256,000 -
2 Botol 1,198,633 2,397,266 2 Botol 1,089,000 2,178,000 -
2 Serial 948,933 1,897,866 2 Serial 862,000 1,293,000 1
7 Botol 1,172,233 8,205,631 7 Botol 1,065,000 7,455,000 -
3 Roll 39,233 117,699 3 Roll 35,000 105,000 -
6 Kit 760,492 4,562,952 6 Kit 690,690 4,144,140 -
8 Botol 808,045 6,464,360 4 Botol 733,920 2,935,680 4
2 Kit 2,231,973 4,463,946 2 Kit 2,028,400 3,042,600 1
2 Kit 2,231,973 4,463,946 1 Kit 2,028,400 2,028,400 1
4 Kit 2,303,363 9,213,452 5 Kit 2,093,300 10,466,500 1
3 Kit 3,323,991 9,971,973 3 Kit 3,021,810 9,065,430 2
1 Kit 1,172,013 1,172,013 2 Kit 1,064,800 2,129,600 1
4 Kit 2,057,726 8,230,904 1 Kit 1,870,660 935,330 4
1 Kit 4,290,000 4,290,000 0 Kit 3,900,000 585,000 1
3 Botol 128,700 386,100 1 Botol 117,000 117,000 2
6 Pack 192,500 1,155,000 4 Pack 175,000 700,000 2
6 Box 60,500 363,000 5 Box 55,000 275,000 1
Saldo Per 3
6 Box 132,000 792,000 3 Box 120,000 360,000 3
6 Box 192,500 1,155,000 12 Box 175,000 2,100,000 6
3 Kit 440,000 1,320,000 3 Kit 400,000 1,200,000 -
4 Pack 44,000 176,000 4 Pack 40,000 160,000 -
6 Pack 79,200 475,200 6 Pack 72,000 432,000 -
12 Botol 60,500 726,000 9 Botol 55,000 495,000 3
10 Pack 27,500 275,000 9 Pack 25,000 225,000 1
3 Pack 110,000 330,000 3 Pack 100,000 250,000 1
3 Pack 110,000 330,000 3 Pack 100,000 250,000 1
2 Botol 27,500 55,000 - Botol 25,000 - 2
5 Buah 7,700 38,500 3 Buah 7,000 21,000 2
25 Buah 49,500 1,237,500 - Buah 45,000 - 120
1 Unit 495,748 495,748 - Unit 450,000 - 1
1 Unit 100,100 100,100 - Unit 91,000 - 1
500 Buah 1,100 550,000 500 Buah 1,000 500,000 -
1,000 Buah 1,485 1,485,000 1,000 Buah 1,350 1,350,000 -
5 Buah 21,450 107,250 - Buah 19,500 - 5
3 Buah 28,600 85,800 1 Buah 26,000 26,000 2
4 Botol 71,500 286,000 4 Botol 65,000 260,000 -
14 Vial 121,000 1,694,000 12 Vial 110,000 1,320,000 3
8 Vial 121,000 968,000 10 Vial 110,000 1,100,000 3
4 Vial 440,000 1,760,000 1 Vial 400,000 400,000 3
1 Vial 115,500 115,500 1 Vial 105,000 105,000 -
3 Vial 115,500 346,500 3 Vial 105,000 315,000 -
3 Vial 115,500 346,500 2 Vial 105,000 210,000 1
3 Vial 121,000 363,000 11 Vial 110,000 1,210,000 3
5 Vial 121,000 605,000 8 Vial 110,000 880,000 3
4 PCS 840,000 3,359,998 14 Vial 763,636 10,690,904 -
- Botol 432,575 - 1 Botol 393,250 393,250 -
- Botol 205,700 - 1 Botol 187,000 187,000 -
- Kit 1,320,000 - 1 Kit 1,200,000 840,000 0
8,401,000 6,237,500
11 Pcs 25000 275000 9 Pcs 25000 225000 5
8 Pcs 130000 1040000 8 Pcs 130000 1040000 0
6 Pcs 70000 420000 3 Pcs 70000 210000 3
4 Pcs 130000 520000 1 Pcs 130000 130000 3
1 Pcs 25000 25000 1 Pcs 25000 25000 0
12 Pcs 9800 117600 12 Pcs 9800 117600 0
10 Pcs 120000 1200000 7 Pcs 120000 840000 3
60 Buah 22000 1320000 51 Buah 22000 1122000 9
7 Buah 3500 24500 1 Buah 3500 3500 6
6 Buah 12000 72000 6 Buah 12000 72000 0
4 Buah 9500 38000 4 Buah 9500 38000 0
5 Buah 37000 185000 0 Buah 37000 0 5
2 Buah 20000 40000 0 Buah 20000 0 2
Saldo Per 3
1 Pcs 30000 30000 0 Pcs 30000 0 1
3 Pcs 5000 15000 3 Pcs 5000 15000 0
2 Pcs 150000 300000 2 Pcs 150000 300000 0
2 Pak 19000 38000 0 Pak 19000 0 2
1 Pcs 35000 35000 0 Pcs 35000 0 1
1 Pcs 45900 45900 1 Pcs 45900 45900 0
1 Pcs 11000 11000 1 Pcs 11000 11000 0
2 Pcs 4500 9000 1 Pcs 4500 4500 1
4 Pcs 113000 452000 4 Pcs 113000 452000 0
4 Pcs 100000 400000 4 Pcs 100000 400000 0
2 pcs 46500 93000 1 pcs 46500 46500 1
1 Pcs 17500 17500 0 Pcs 17500 0 1
1 Pcs 11000 11000 1 Pcs 11000 11000 0
7 Pcs 51000 357000 7 Pcs 51000 357000 0
6 Pcs 42000 252000 0 Pcs 42000 0 6
3 Pcs 23000 69000 0 Pcs 23000 0 3
1 Pcs 281000 281000 1 Pcs 281000 281000 0
1 Pcs 269000 269000 1 Pcs 269000 269000 0
2 Pcs 98000 196000 0 Pcs 98000 0 2
2 Pcs 44900 89800 2 Pcs 44900 89800 0
3 Pcs 22900 68700 3 Pcs 22900 68700 0
4 Pcs 21000 84000 3 Pcs 21000 63000 1
0 Pcs 0 0 0 Pcs 0 0 0
0 Pcs 0 0 0 Pcs 0 0 0
0 Pcs 0 0 0 Pcs 0 0 0
23,539,350 21,097,733
10 Pcs 105,000 1,050,000 11 Pcs 105,000 1,155,000 -
6 Pcs 40,000 240,000 5 Pcs 40,000 200,000 1
12 Pcs 30,000 360,000 8 Pcs 30,000 240,000 4
4 Pcs 285,000 1,140,000 4 Pcs 285,000 1,140,000 -
6 Pcs 25,000 150,000 3 Pcs 25,000 75,000 3
12 Pcs 4,000 48,000 3 Pcs 4,000 12,000 9
6 Pcs 10,000 60,000 4 Pcs 10,000 40,000 2
48 Pcs 15,500 744,000 40 Pcs 15,500 620,000 8
24 Pcs 13,900 333,600 23 Pcs 13,900 319,700 1
12 Pcs 8,050 96,600 12 Pcs 8,050 96,600 -
24 Pcs 7,150 171,600 21 Pcs 7,150 150,150 3
12 Pcs 16,000 192,000 12 Pcs 16,000 192,000 -
192 Pcs 9,750 1,872,000 178 Pcs 9,750 1,735,500 22
120 Pcs 16,750 2,010,000 104 Pcs 16,750 1,742,000 16
2,430 Pcs - - 421 Pcs - - 2,172
24 Pcs 22,600 542,400 23 Pcs 22,600 519,800 1
24 Pcs 32,125 771,000 20 Pcs 32,125 642,500 4
24 Pcs 4,550 109,200 21 Pcs 4,550 95,550 3
24 Pcs 12,950 310,800 18 Pcs 12,950 233,100 6
Saldo Per 3
12 Pcs 3,900 46,800 9 Pcs 3,900 35,100 3
6 Pcs 6,500 39,000 0 Pcs 6,500 - 6
24 Pcs 7,750 186,000 22 Pcs 7,750 170,500 2
- Pcs 12,950 - 0 Pcs 12,950 - -
42 Rol 15,000 630,000 42 Rol 15,000 630,000 -
24 Pcs 7,700 184,800 18 Pcs 7,700 138,600 6
24 Pcs 20,600 494,400 21 Pcs 20,600 432,600 3
12 Pcs 35,600 427,200 12 Pcs 35,600 427,200 -
12 Pcs 13,250 159,000 11 Pcs 13,250 145,750 1
12 Pcs 10,800 129,600 11 Pcs 10,800 118,800 1
3 Pcs 5,700 17,100 1 Pcs 5,700 5,700 2
5 Pcs 6,100 30,500 2 Pcs 6,100 12,200 3
13 Pcs 5,000 65,000 7 Pcs 5,000 35,000 6
3 Pcs 5,500 16,500 0 Pcs 5,500 - 3
24 Pcs 7,900 189,600 23 Pcs 7,900 181,700 1
24 Pcs 16,900 405,600 24 Pcs 16,900 405,600 -
12 Pcs 18,700 224,400 12 Pcs 18,700 224,400 -
12 Pcs 20,950 251,400 10 Pcs 20,950 209,500 2
12 Pcs 7,700 92,400 12 Pcs 7,700 92,400 -
12 Pcs 15,592 187,100 8 Pcs 15,592 124,733 4
12 Pcs 13,750 165,000 12 Pcs 13,750 165,000 -
12 Pcs 23,750 285,000 12 Pcs 23,750 285,000 -
4 Pcs 24,900 99,600 2 Pcs 24,900 49,800 2
9 Pcs 14,900 134,100 6 Pcs 14,900 89,400 3
8 Pcs 18,000 144,000 6 Pcs 18,000 108,000 2
2 Pcs 12,000 24,000 1 Pcs 12,000 12,000 1
8 Pcs 25,000 200,000 6 Pcs 25,000 150,000 2
6 Pcs 14,800 88,800 5 Pcs 14,800 74,000 1
6 Kompan 285,000 1,710,000 6 Kompan 285,000 1,710,000 -
3 Botol 4,550 13,650 3 Botol 4,550 13,650 -
13 Botol 30,000 390,000 12 Botol 30,000 360,000 1
6 Pcs 95,000 570,000 5 Pcs 95,000 475,000 1
4 Pcs 30,000 120,000 3 Pcs 30,000 90,000 1
20 Pcs 55,000 1,100,000 19 Pcs 55,000 1,045,000 1
4 Kompan 400,000 1,600,000 4 Kompan 400,000 1,600,000 -
6 Pcs 25,500 153,000 2 Pcs 25,500 51,000 4
4 Pcs 48,900 195,600 3 Pcs 48,900 146,700 1
12 Pcs 19,500 234,000 11 Pcs 19,500 214,500 1
1 Pcs 4,000 4,000 1 Pcs 4,000 4,000 -
6 Pcs 56,000 336,000 6 Pcs 56,000 336,000 -
21 - 95,000 1,995,000 16 - 95,000 1,520,000 5
91,941,395 44,623,389 -
0 Buah 0 0 0 Buah 0 0 0
0 Buah 0 0 0 Buah 0 0 0
0 Buah 0 0 0 Buah 0 0 0
Saldo Per 3
0 Set 0 0 170 Set 650 110500 0
2000 0 787 1574000 0 0 787 0 2000
10000 Set 827 8270000 2309 Set 827 1909543 7691
4000 Set 928 3712000 0 Set 928 0 4000
0 Buah 0 0 0 Buah 0 0 0
0 Buah 0 0 0 Buah 0 0 0
0 Set 0 0 0 Set 0 0 0
0 Set 0 0 123 Set 5583.33 686749.59 72
0 Set 0 0 87 Set 5583.33 485749.71 51
150 Kantong 8240 1236000 21 Kantong 8240 173040 129
0 0 0 0 700 0 3500 2450000 300
500 Kantong 3605 1802500 0 Kantong 3605 0 500
2500 Kantong 3296 8240000 330 Kantong 3296 1087680 2170
0 Set 0 0 0 Set 0 0 0
2000 Set 3914 7828000 250 Set 3914 978500 1750
0 Set 0 0 56 Set 3800 212800 200
0 Set 0 0 156 Set 3800 592800 150
0 Buah 0 0 0 Buah 0 0 0
0 Buah 0 0 0 Buah 0 0 0
0 Buah 0 0 0 Buah 0 0 0
0 Set 0 0 0 Set 0 0 0
24 Roll 12875 309000 6 Roll 12875 77250 18
0 Roll 0 0 177 Roll 7700 1362900 16
0 Roll 0 0 0 Roll 0 0 0
0 Roll 0 0 90 Roll 1500 135000 0
0 Roll 0 0 100 Roll 750 75000 0
0 Roll 0 0 0 Roll 0 0 0
3000 Buah 339.9 1019700 900 Buah 339.9 305910 2100
0 Buah 0 0 0 Buah 0 0 0
10 Roll 31265 312650 10 Roll 31265 312650 0
0 Buah 0 0 0 Buah 0 0 0
0 Buah 0 0 0 Buah 0 0 0
0 Buah 0 0 0 Buah 0 0 0
0 Buah 0 0 0 Buah 0 0 0
0 Buah 0 0 0 Buah 0 0 0
0 Buah 0 0 0 Buah 0 0 0
3000 Buah 366.886 1100658 1400 Buah 366.886 513640.4 1600
0 Buah 0 0 0 Buah 0 0 0
0 Set 0 0 0 Set 0 0 0
100 Set 4305.4 430540 15 Set 4305.4 64581 85
0 Set 0 0 0 Set 0 0 0
0 Buah 0 0 0 Buah 0 0 0
180 Set 3147.2222 566499.996 5 Set 3147.2222 15736.111 175
150 Set 4290 643500 57 Set 4290 244530 93
5000 Tablet 80 400000 206 Tablet 80 16480 4794
Saldo Per 3
100 Vial 30000 3000000 6 Vial 30000 180000 94
30 Ampul 15675 470250 28 Ampul 15675 438900 2
1200 Buah 850 1020000 100 Buah 850 85000 1100
1200 Buah 850 1020000 100 Buah 850 85000 1100
25 Botol 30000 750000 25 Botol 30000 750000 0
1000 Tablet 155 155000 100 Tablet 155 15500 900
150 Botol 3950 592500 3 Botol 3950 11850 147
250 Botol 7500 1875000 24 Botol 7500 180000 226
7200 Tablet 417.45 3005640 330 Tablet 417.45 137758.5 6870
25 Buah 25379.2 634480 6 Buah 25379.2 152275.2 19
25 Buah 25379.2 634480 4 Buah 25379.2 101516.8 21
2000 Kapsul 303 606000 554 Kapsul 303 167862 1446
200 set 4223 844600 50 set 4223 211150 150
2000 set 1128 2256000 154 set 1128 173712 1846
2400 Buah 4450 10680000 421 Buah 4400 1852400 1979
100 Buah 30000 3000000 100 Buah 3850 385000 0
50 Buah 29000 1450000 50 Buah 15000 750000 0
25 Buah 30000 750000 25 Buah 5000 125000 0
1000 Buah 5500 5500000 1000 Buah 10000 10000000 0
150 Roll 9950 1492500 150 Roll 60000 9000000 0
250 Roll 9500 2518402 250 Roll 5000 1250000 0
25 Buah 35379.2 884480 24 Buah 6000 144000 1
36000 buah 35 1260000 20100 buah 35 703500 15900
26700 buah 50.95 1360365 25900 buah 50.95 1319605 800
24 Pcs 31150 747600 13 Pcs 26300 341900 11
2 Pcs 27000 54000 2 Pcs 27000 54000 0
25 Pcs 5790 144750 19 Pcs 5650 107350 6
40 Pcs 5050 202000 32 Pcs 4225 135200 8
35 Pcs 9650 337750 24 Pcs 9650 231600 11
34600 Buah 32 1107200 34600 Buah 32 1107200 0
1000 buah 3850 3850000 300 buah 3850 1155000 700
150 Pak 3900 585000 105 Pak 3900 409500 45
200 Pak 3900 780000 180 Pak 3900 702000 20
150 Pak 5790 868500 54 Pak 5790 312660 96
5 Pak 11970 59850 3 Pak 11970 35910 2
660,787 8,101,705 660,787 -
15 Pak 298,767 4,481,505 10 Pak 298,767 2,987,670 15
10 Pak 362,020 3,620,200 10 Pak 362,020 3,620,200 -
23,000,000 22,932,000
2,949 liter 7,800 23,000,000 2,940 liter 7,800 22,932,000 24
360,000 360,000
Saldo Per 3
12 Tabung 30,000 360,000 12 Tabung 30,000 360,000 1
10,650,000 10,650,000
1250 buah 6,000 7,500,000 1250 buah 6000 7,500,000 1
1050 buah 3,000 3,150,000 1050 buah 3000 3,150,000 1
34,662,500 33,967,500
393 Tabung 82,500 32,422,500 387 Tabung 82,500 31,927,500 7
56 Tabung 40,000 2,240,000 51 Tabung 40,000 2,040,000 6
140,696,540 106,853,509
- Tablet - - - Tablet - - -
- Tablet - - 2,026 Tablet 90 182,340 -
- Ampul - - - Ampul - - -
- Tablet - - 500 Tablet 90 45,000 -
- Tablet 143 - 188 Tablet 143 26,884 659
- Tablet - - 3,167 Tablet 85 269,195 -
9,900 - 70 693,000 5,753 - 70 402,710 4,147
- Tablet - - 24,853 Tablet 232 5,765,896 -
40,000 - 286 11,440,000 30,453 - 286 8,709,558 9,547
- Botol 1,881 - 1,000 Botol 1,881 1,881,000 -
- Tablet - - 21,574 Tablet 62 1,337,588 -
60,000 - 54 3,240,000 8,040 - 54 434,160 51,960
600 Botol 1,995 1,197,000 297 Botol 1,995 592,515 303
- Supp 3,045 - 200 Supp 3,045 609,000 26
- Tube - - - Tube - - -
- Pot 4,158 - 146 Pot 4,158 607,068 26
700 Vial 2,295 1,606,500 560 Vial 2,295 1,285,200 140
1,000 Tablet 99 99,000 - Tablet 99 - 1,000
- Tablet - - 2,969 Tablet 95 282,055 -
10,000 - 105 1,050,000 7,330 - 105 769,650 2,670
- Tablet 100 - 6,848 Tablet 100 684,800 -
- Tube - - - Tube - - -
1,000 Tablet 380 380,000 140 Tablet 380 53,200 860
7,500 Tablet 136 1,020,000 1,033 Tablet 136 140,488 6,467
Saldo Per 3
- Vial - - - Vial - - -
- Tube 1,380 - 2,433 Tube 1,380 3,357,540 20
- Ampul 1,540 - 200 Ampul 1,540 308,000 -
700 - 1,097 767,900 366 - 1,097 401,502 334
- Tablet - - 2,123 Tablet 41 87,043 -
15,000 - 32 480,000 5,943 - 32 190,176 9,057
- Botol - - - Botol - - -
- Vial - - - Vial - - -
- Tube - - 15 Tube 11,517 172,755 -
30 - 12,573 377,190 5 - 12,573 62,865 25
- Ampul - - 20 Ampul 1,176 23,520 -
300 - 1,095 328,500 168 - 1,095 183,960 132
- Tablet 105 - 139 Tablet 105 14,595 -
- Botol 3,333 - 259 Botol 3,333 863,247 -
- Tablet 95 - 5,519 Tablet 95 524,305 4,145
- Ampul 1,749 - 84 Ampul 1,749 146,916 16
- Kapsul - - - Kapsul - - -
- Botol 3,000 - 12 Botol 3,000 36,000 -
- Kapsul - - 643 Kapsul 152 97,736 -
4,000 - 158 632,000 496 - 158 78,368 3,504
- Tablet - - 707 Tablet 634 448,238 -
1,000 - 710 710,000 357 - 710 253,470 643
- Ampul - - - Ampul 3,550 - 240
Saldo Per 3
- Tablet - - 391 Tablet 78 30,498 -
2,000 - 77 154,000 737 - 77 56,749 1,263
- Sachet - - 2,500 Sachet 260 650,000 -
- Ampul - - 183 Ampul 3,083 564,189 -
- Tube - - - Tube - - -
7,000 Tablet 119 833,000 - Tablet 119 - 7,000
- Botol - - 20 Botol 6,900 138,000 60
- Botol - - 167 Botol 219 36,573 64
- Tablet - - 10 Tablet 96 960 690
- Tube - - 681 Tube 2,798 1,905,438 819
- Ampul - - 9 Ampul 170,000 1,530,000 -
5 - 176,800 884,000 - - 176,800 - 5
10,000 Tablet 208 2,077,900 2,991 Tablet 208 621,500 7,009
- Tablet - - 155 Tablet 88 13,640 124
- Tube - - - Tube - - -
- Tablet - - 7,164 Tablet 80 573,120 -
- Tablet - - 24 Tablet 228 5,472 476
100 Botol 2,590 259,000 17 Botol 2,590 44,030 83
- Tablet - - 240 Tablet 300 72,000 -
- Supp - - - Supp - - -
4,500 Kapsul 1,090 4,905,000 1,730 Kapsul 1,090 1,885,700 2,770
- Tube - - - Tube - - -
- Tube - - 71 Tube 1,600 113,600 -
500 - 1,881 940,500 249 - 1,881 468,369 251
Saldo Per 3
- Tablet - - 5,467 Tablet 42 229,614 -
- Tablet - - 178 Tablet 162 28,836 -
- Botol 2,120 - 433 Botol 2,120 917,960 7
500 - 2,052 1,026,000 - - 2,052 - 500
- Tablet - - 3,209 Tablet 151 484,559 -
5,000 - 125 625,000 - - 125 - 5,000
- Tube - - - Tube - - -
- Botol - - 9 Botol 41,000 369,000 -
- Blister - - - Blister - - -
- Tablet 94 - 4,941 Tablet 94 464,454 1,919
- Ampul - - 285 Ampul 2,684 764,940 190
700 Tablet 210 147,000 423 Tablet 210 88,830 277
10,000 Tablet 134 1,340,000 3,928 Tablet 134 526,352 6,072
- Tablet - - 1,545 Tablet 133 205,485 -
- Tube - - 305 Tube 3,000 915,000 277
- Sachet - - - Sachet - - -
- Kaplet - - - Kaplet - - -
6,000 Tablet 115 690,000 3,008 Tablet 115 345,920 2,992
- FLS - - 100 FLS 6,410 641,000 100
- Ampul - - 336 Ampul 2,400 806,400 -
Saldo Per 3
2,000 Botol 1,107 2,214,000 348 Botol 1,107 385,236 1,652
140,000 Tablet 53 7,420,000 25,140 Tablet 53 1,332,420 114,860
- Tube - - 98 Tube 12,155 1,191,190 -
10,000 Tablet 123 1,230,000 8,635 Tablet 123 1,062,105 1,365
- Botol - - 11 Botol 18,000 198,000 4
- Vial - - - Vial - - -
- Tablet - - 1,900 Tablet 106 201,400 -
- Tablet - - 500 Tablet 319 159,500 1,000
- Tablet - - 1,751 Tablet 98 171,598 -
15,000 - 105 1,575,000 10,059 - 105 1,056,195 4,941
8,000 FLS 7,150 57,200,000 5,000 FLS 7,150 35,750,000 6,180
- Ampul - - 27 Ampul 4,000 108,000 -
- Tablet - - 2,000 Tablet 87 174,000 -
- POT - - 336 POT 2,429 816,144 535
- Kotak - - 406 Kotak 1,020 414,120 79
- Botol - - 368 Botol 4,746 1,746,528 195
- Kapsul - - 4,285 Kapsul 450 1,928,250 5,228
- Paket - - - Paket - - -
- Vial - - 426 Vial 4,282 1,824,132 -
1,000 - 4,200 4,200,000 890 - 4,200 3,738,000 110
- Vial - - - Vial - - -
- Vial - - - Vial - - -
- Tablet - - 1,980 Tablet 111 219,780 -
- Tablet - - 1,599 Tablet 281 449,319 -
5,000 - 265 1,325,000 748 - 265 198,220 4,252
Saldo Per 3
- Kapsul - - 800 Kapsul 310 248,000 -
65,000 Tablet 85 5,525,000 23,784 Tablet 85 2,021,640 41,216
58,327 Tablet 83 4,841,100 22,179 Tablet 83 1,840,857 36,148
- Tablet - - 180 Tablet 473 85,140 -
- - - - - - - - -
- Buah - - - Buah - - -
- Buah - - - Buah - - -
- Buah - - - Buah - - -
- Set - - - Set 650 - -
- - 787 - - - 787 - -
- Set 827 - - Set 827 - -
- Set 928 - - Set 928 - -
- Buah - - - Buah - - -
- Buah - - - Buah - - -
- Set - - - Set - - -
- Set - - - Set 5,583 - -
- Set - - - Set 5,583 - -
- Kantong 8,240 - - Kantong 8,240 - -
- - - - - - 3,500 - -
- Kantong 3,605 - - Kantong 3,605 - -
- Kantong 3,296 - - Kantong 3,296 - -
- Set - - - Set - - -
- Set 3,914 - - Set 3,914 - -
- Set - - - Set 3,800 - -
- Set - - - Set 3,800 - -
- Buah - - - Buah - - -
- Buah - - - Buah - - -
- Buah - - - Buah - - -
- Set - - - Set - - -
- Roll - - - Roll 12,875 - -
- Roll - - - Roll 7,700 - -
Saldo Per 3
- Roll - - - Roll - - -
- Roll - - - Roll 1,500 - -
- Roll - - - Roll 750 - -
- Roll - - - Roll - - -
- Buah 340 - - Buah 340 - -
- Buah - - - Buah - - -
- Roll 31,265 - - Roll 31,265 - -
- Buah - - - Buah - - -
- Buah - - - Buah - - -
- Buah - - - Buah - - -
- Buah - - - Buah - - -
- Buah - - - Buah - - -
- Buah - - - Buah - - -
- Buah 367 - - Buah 367 - -
- Buah - - - Buah - - -
- Set - - - Set - - -
- Set 4,305 - - Set 4,305 - -
- Set - - - Set - - -
- Buah - - - Buah - - -
- Set 3,147 - - Set 3,147 - -
- Set 4,290 - - Set 4,290 - -
- - - - - - - - -
- Set - - - Set - - -
- Set - - - Set - - -
- Set - - - Set - - -
- Set - - - Set - - -
- Set - - - Set - - -
- Test - - - Test - - -
- Test - - - Test - - -
Saldo Per 3
- Test - - - Test - - -
- Test - - - Test - - -
- Buah - - - Buah - - -
- - - - - - - - -
5,000 Tablet 80 400,000 206 Tablet 80 16,480 4,794
100 Vial 30,000 3,000,000 6 Vial 30,000 180,000 94
30 Ampul 15,675 470,250 28 Ampul 15,675 438,900 2
1,200 Buah 850 1,020,000 100 Buah 850 85,000 1,100
1,200 Buah 850 1,020,000 100 Buah 850 85,000 1,100
25 Botol 30,000 750,000 25 Botol 30,000 750,000 -
1,000 Tablet 155 155,000 100 Tablet 155 15,500 900
150 Botol 3,950 592,500 3 Botol 3,950 11,850 147
250 Botol 7,500 1,875,000 24 Botol 7,500 180,000 226
7,200 Tablet 417 3,005,640 330 Tablet 417 137,759 6,870
25 Buah 25,379 634,480 6 Buah 25,379 152,275 19
25 Buah 25,379 634,480 4 Buah 25,379 101,517 21
2,000 Kapsul 303 606,000 554 Kapsul 303 167,862 1,446
200 set 4,223 844,600 50 set 4,223 211,150 150
2,000 set 1,128 2,256,000 154 set 1,128 173,712 1,846
505,093,896 - 381,567,593
Yang melaksanakan Stock Opn

Pengurus Barang Pengguna/Pem
Lina Yuliana
NIP. 19860728 201704 2 002
Pengguna Barang
Saldo Per 3

NIP. 19720417 200312 2 005
Harga Nilai
Satuan Total
15,831,996 56,710,775
17,250 241,500 14 17250 241500
15,000 45,000 9,987,550 3 15000 45000
4,000 120,000 30 4000 120000
1,300 26,000 20 1300 26000
31,700 - 0 31700 0
8,350 141,950 17 8350 141950
14,450 72,250 5 14450 72250
15,000 75,000 5 15000 75000
1,300 115,700 89 1300 115700
11,000 979,000 89 11000 979000
15,000 45,000 3 15000 45000
1,000 20,000 20 1000 20000
8,500 59,500 7 8500 59500
14,450 43,350 3 14450 43350
19,500 97,500 5 19500 97500
25,600 51,200 2 25600 51200
48,800 1,512,800 31 48800 1512800
48,600 3,936,600 81 48600 3936600
3,000 36,000 12 3000 36000
3,000 135,000 45 3000 135000
7,000 35,000 5 7000 35000
15,000 - 0 15000 0
480 79,200 165 480 79200
3,350 100,500 30 3350 100500
1,951 11,705 6 1950.83 11704.98
1,958 - 0 1958 0
26,000 1,170,000 45 26000 1170000
2,700 54,000 20 2700 54000
1,200 52,800 44 1200 52800
52,000 - 0 52000 0
15,000 15,000 1 15000 15000
1,800 21,600 12 1800 21600
2,500 5,000 2 2500 5000
1,462 21,925 15 1461.66 21924.9
2,500 50,000 20 2500 50000
6,000 - 0 6000 0
7,500 7,500 1 7500 7500
4,900 - 0 4900 0
Harga Nilai
Satuan Total
900 - 0 900 0
5,500 82,500 15 5500 82500
9,000 18,000 2 9000 18000
14,000 - 0 14000 0
5,250 73,500 14 5250 73500
8,500 34,000 4 8500 34000
22,000 22,000 1 22000 22000
22,000 - 0 22000 0
22,000 44,000 2 22000 44000
22,000 44,000 2 22000 44000
3,500 14,000 4 3500 14000
7,500 - 0 7500 0
6,700 - 0 6700 0
150,000 - 30 0 150000 0
3,000 30,000 12 10 3000 30000
5,000 - 360 0 5000 0
9,450 - 0 9450 0
23,000 - 0 23000 0
2,500 15,000 6 2500 15000
8,000 16,000 2 8000 16000
25,000 - 0 25000 0
11,500 - 0 11500 0
2,600 23,400 9 2600 23400
7,250 72,500 10 7250 72500
3,600 14,400 4 3600 14400
42,000 252,000 6 42000 252000
3,000 33,000 11 3000 33000
3,000 57,000 19 3000 57000
91,000 455,000 5 91000 455000
91,000 - 0 91000 0
91,000 - 0 91000 0
91,000 - 0 91000 0
86,000 - 0 86000 0
60,000 - 0 60000 0
75,000 - 0 75000 0
190,000 - 0 190000 0
90,000 - 0 90000 0
8,500 68,000 8 8500 68000
24,700 - 0 24700 0
3,000 69,000 23 3000 69000
2,000 360,000 180 2000 360000
41,150 205,750 5 41150 205750
28,000 308,000 11 28000 308000
111,000 222,000 2 111000 222000
9,866 - 0 9866 0
Harga Nilai
Satuan Total
30,600 336,600 11 30600 336600
21,000 - 0 21000 0
3,500 - 0 3500 0
6,500 - 0 6500 0
30,000 60,000 2 30000 60000
6,000 - 0 6000 0
6,500 39,000 6 6500 39000
10,500 - 0 10500 0
15,000 60,000 4 15000 60000
26,500 53,000 2 26500 53000
7,500 - 0 7500 0
6,500 - 0 6500 0
6,700 13,400 2 6700 13400
4,500 4,500 1 4500 4500
9,450 - 0 9450 0
51,200 - 0 51200 0
20,000 20,000 1 20000 20000
7,500 - 0 7500 0
7,800 23,400 3 7800 23400
2,250 9,000 4 2250 9000
23,350 - 0 23350 0
17,800 - 0 17800 0
24,500 - 0 24500 0
11,100 33,300 3 11100 33300
3,000 6,000 2 3000 6000
28,500 171,000 6 28500 171000
16,700 - 0 16700 0
30,000 - 0 30000 0
3,000 57,000 19 3000 57000
4,150 8,300 2 4150 8300
5,000 - 0 5000 0
150,000 150,000 1 150000 150000
60,000 - 0 60000 0
240,000 240,000 1 240000 240000
40,000 40,000 1 40000 40000
3,035,166
1 25,000
2 15,000
1 5,000
- 1,300
- 31,700
- 8,350
- 14,450
- 15,000
- 1,300
Harga Nilai
Satuan Total
- 11,000
- 15,000
- 1,000
- 8,500
- 14,450
3 19,500
- 25,600
- 48,800
3 55,000
- 3,000
- 3,000
2 7,000
- 15,000
- 480
- 3,350
- 3,500
- 1,958
- 30,000
18 3,500
6 1,200
- 52,000
- 15,000
- 1,800
- 2,500
- 1,462
- 2,500
- 6,000
- 7,500
- 4,900
- 900
- 5,500
- 9,000
- 14,000
- 5,250
2 8,500
- 22,000
- 22,000
- 22,000
- 22,000
- 3,500
- 7,500
- 6,700
- 150,000
- 3,000
- 5,000
Harga Nilai
Satuan Total
- 9,450
- 23,000
- 2,500
- 8,000
- 25,000
- 11,500
- 2,600
1 7,250
- 3,600
- 42,000
- 3,000
- 3,000
1 110,000
1 110,000
1 110,000
1 110,000
- 86,000
- 60,000
- 75,000
- 190,000
- 90,000
- 8,500
- 24,700
- 3,000
- 2,000
- 41,150
- 28,000
- 111,000
- 9,866
- 30,600
- 21,000
5 3,500
- 6,500
- 30,000
- 6,000
- 6,500
- 10,500
- 15,000
- 26,500
- 7,500
- 6,500
2 6,700
- 4,500
- 9,450
- 51,200
Harga Nilai
Satuan Total
- 20,000
- 7,500
- 7,800
- 2,250
- 23,350
- 17,800
- 24,500
- 11,100
- 3,000
- 28,500
- 16,700
- 30,000
- 3,000
- 4,150
- 5,000
- 150,000
- 60,000
- 240,000
- 40,000
16,659,624 103,860,000
2,000 350,000 (350,000)
27,875 1,979,125 (1,979,125)
9,478 2,369,500 (2,369,500)
9,478 2,369,500 (2,369,500)
3,903 5,557,872 (5,557,872)
15,000 - -
14,000 - -
1,200 - -
11,000 1,034,000 (1,034,000)
1,227 1,349,700 (1,349,700)
122,650 - -
245,300 - -
122,650 - -
245,300 - -
20,070 - -
20,070 - -
1,227 1,227 (1,227)
279 - -
279 - -
- - -
279 920,700 (920,700)
28,000 - -
28,000 728,000 (728,000)
72,475 - -
144,950 - -
Harga Nilai
Satuan Total
144,950 - -
4,500 - -
13,380 - -
1,784 - -
9,478 - -
16,725 - -
20,070 - -
94,775 - -
144,950 - -
446 - -
25,465 - -
30,105 - -
30,105 - -
836,250 - -
8,920 - -
464,000 3,914,200
21,000 -
66,500 -
54,500 -
44,500 -
112,000 224,000
2,500 -
- -
6,750 -
6,220 -
45,000 -
30,000 240,000
40,653,603 99,321,435
1,769,533 -
1,198,633 -
948,933 474,467
1,172,233 -
39,233 -
760,492 -
808,045 3,232,180
2,231,973 1,115,987
2,231,973 2,231,973
2,303,363 2,303,363
3,323,991 6,647,982
1,172,013 1,172,013
2,057,726 7,202,041
4,290,000 3,646,500
128,700 257,400
192,500 385,000
60,500 60,500
Harga Nilai
Satuan Total
132,000 396,000
192,500 1,155,000
440,000 -
44,000 -
79,200 -
60,500 181,500
27,500 27,500
110,000 55,000
110,000 55,000
27,500 55,000
7,700 15,400
49,500 5,940,000
495,748 495,748
100,100 100,100
1,100 -
1,485 -
21,450 107,250
28,600 57,200
71,500 -
121,000 363,000
121,000 363,000
440,000 1,320,000 420000
115,500 -
115,500 -
115,500 115,500
121,000 363,000
121,000 363,000
840,000 -
432,575 -
205,700 -
1,320,000 396,000
2,238,500 8,401,000
25000 125000
130000 0
70000 210000
130000 390000
25000 0
9800 0
120000 360000
22000 198000
3500 21000
12000 0
9500 0
37000 185000
20000 40000
Harga Nilai
Satuan Total
30000 30000
5000 0
150000 0
19000 38000
35000 35000
45900 0
11000 0
4500 4500
113000 0
100000 0
46500 46500
17500 17500
11000 0
51000 0
42000 252000
23000 69000
281000 0
269000 0
98000 196000
44900 0
22900 0
21000 21000
0 0
0 0
0 0
2,624,617 21,911,507
105,000 -
40,000 40,000
30,000 120,000
285,000 -
25,000 75,000
4,000 36,000
10,000 20,000
15,500 124,000
13,900 13,900
8,050 -
7,150 21,450
16,000 -
9,750 214,500
16,750 268,000
- -
22,600 22,600
32,125 128,500
4,550 13,650
12,950 77,700
Harga Nilai
Satuan Total
3,900 11,700
6,500 39,000
7,750 15,500
12,950 -
15,000 -
7,700 46,200
20,600 61,800
35,600 -
13,250 13,250
10,800 10,800
5,700 11,400
6,100 18,300
5,000 30,000
5,500 16,500
7,900 7,900
16,900 -
18,700 -
20,950 41,900
7,700 -
15,592 62,367
13,750 -
23,750 -
24,900 49,800
14,900 44,700
18,000 36,000
12,000 12,000
25,000 50,000
14,800 14,800
285,000 -
4,550 -
30,000 30,000
95,000 95,000
30,000 30,000
55,000 55,000 15 261000 175000 4,090,000
400,000 -
25,500 102,000
48,900 48,900
19,500 19,500
4,000 -
56,000 -
95,000 475,000 261000
62,411,173 26,100
0 0
0 0
0 0
Harga Nilai
Satuan Total
650 0
787 1574000
827 6360457
928 3712000
0 0
0 0
0 0
5583.33 401999.76
5583.33 284749.83
8240 1062960
3500 1050000
3605 1802500
3296 7152320
0 0
3914 6849500
3800 760000
3800 570000
0 0
0 0
0 0
0 0
12875 231750
7700 123200
0 0
1500 0
750 0
0 0
339.9 713790
0 0
31265 0
0 0
0 0
0 0
0 0
0 0
0 0
366.886 587017.6
0 0
0 0
4305.4 365959
0 0
0 0
3147.2222 550763.885
4290 398970
80 383520
Harga Nilai
Satuan Total
30000 2820000
15675 31350
850 935000
850 935000
30000 0
155 139500
3950 580650
7500 1695000
417.45 2867881.5
25379.2 482204.8
25379.2 532963.2
303 438138
4223 633450
1128 2082288
4400 8707600
3850 0
15000 0
5000 0
10000 0
60000 0
5000 0
6000 6000
35 556500
50.95 40760
26300 289300
27000 0
5650 33900
4225 33800
9650 106150
32 0
3850 2695000
3900 175500
3900 78000
5790 555840
11970 23940
4,481,505 8,101,700
298,767 4,481,505 261000
362,020 - 175000
185,000
7,800 185,000
70,000
Harga Nilai
Satuan Total
70,000 70,000
9,000
6,000 6,000
3,000 3,000
817,500
82,500 577,500
40,000 240,000
107,461,074
- -
90 -
- -
90 -
143 94,237
85 -
70 290,290
232 -
286 2,730,442
1,881 -
62 -
54 2,805,840
1,995 604,485
3,045 79,170
- -
4,158 108,108
- -
2,295 321,300
- -
- -
- -
- -
- -
- -
- -
- -
99 99,000
95 -
105 280,350
- -
100 -
- -
380 326,800
136 879,512
Harga Nilai
Satuan Total
- -
- -
- -
- -
1,380 27,600
- -
- -
- -
- -
- -
1,540 -
1,097 366,398
41 -
32 289,824
- -
- -
- -
- -
- -
11,517 -
12,573 314,325
- -
1,176 -
1,095 144,540
105 -
- -
- -
3,333 -
95 393,775
- -
1,749 27,984
- -
- -
- -
3,000 -
- -
- -
- -
152 -
158 553,632
- -
- -
634 -
710 456,530
3,550 852,000
Harga Nilai
Satuan Total
- -
- -
- -
78 -
77 97,251
260 -
3,083 -
- -
- -
119 833,000
- -
6,900 414,000
219 14,016
96 66,240
- -
- -
- -
2,798 2,291,562
- -
170,000 -
176,800 884,000
208 1,456,400
- -
88 10,912
- -
- -
- -
80 -
228 108,528
2,590 214,970
- -
300 -
- -
- -
- -
- -
- -
1,090 3,019,300
- -
1,600 -
1,881 472,131
- -
- -
Harga Nilai
Satuan Total
- -
42 -
162 -
2,120 14,840
2,052 1,026,000
151 -
125 625,000
- -
- -
- -
41,000 -
- -
- -
- -
- -
- -
94 180,386
- -
2,684 509,960
210 58,170
134 813,648
133 -
3,000 831,000
- -
- -
- -
- -
- -
- -
115 344,080
- -
6,410 641,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2,400 -
Harga Nilai
Satuan Total
1,107 1,828,764
53 6,087,580
- -
- -
12,155 -
- -
123 167,895
- -
- -
- -
18,000 72,000
- -
- -
- -
106 -
319 319,000
- -
98 -
105 518,805
- -
- -
7,150 44,187,000
- -
4,000 -
87 -
2,429 1,299,515
1,020 80,580
4,746 925,470
450 2,352,600
- -
4,282 -
4,200 462,000
- -
- -
- -
- -
- -
- -
- -
111 -
281 -
265 1,126,780
- -
- -
- -
Harga Nilai
Satuan Total
310 -
85 3,503,360
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
83 3,000,243
473 -
- -
- -
- -
- -
650 -
787 -
827 -
928 -
- -
- -
- -
5,583 -
5,583 -
8,240 -
3,500 -
3,605 -
3,296 -
- -
3,914 -
3,800 -
3,800 -
- -
- -
- -
- -
12,875 -
7,700 -
Harga Nilai
Satuan Total
- -
1,500 -
750 -
- -
340 -
- -
31,265 -
- -
- -
- -
- -
- -
- -
367 -
- -
- -
4,305 -
- -
- -
3,147 -
4,290 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
Harga Nilai
Satuan Total
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
80 383,520
30,000 2,820,000
15,675 31,350
850 935,000
850 935,000
30,000 -
155 139,500
3,950 580,650
7,500 1,695,000
417 2,867,882
25,379 482,205
25,379 532,963
303 438,138
4,223 633,450
1,128 2,082,288
436000
213,244,988
i 2019
Stock Opname
gguna/Pembantu
a
704 2 002
Demikian Berita Acara Stock Opname Persediaan ini dibuat dengan sesungguhnya untuk dijadikan
bahan lebih lanjut.
Mengetahui Yang melaksanakan Stock Opname

Pengguna/Kuasa Pengguna Barang Pengurus Barang Pengguna/Pembantu
(tanda tangan) (tanda tangan)
0 Lina Yuliana
0 NIP. 19860728 201704 2 002
Lampiran :
DAFTAR PENERIMAAN DAN PENGELUARAN BARANG PERSEDIAAN

PADA DINAS KESEHATAN GARUT S/D 31 Agustus 2018
1 PERSEDIAAN ALAT TULIS KANTOR
No Nama Barang Satuan Saldo Per 31 Penerimaan Barang Persediaan
Desember 2017 Tahun 2018
Jml Harga Jml Jml Satuan
Barang Satuan Harga Barang Barang
1 amplop besar/pak bok 1 15,730 15,730 20 bok
2 amplop kecil bok 3 11,330 33,990 50 bok
3 Kwitansi Biasa Besar pcs 5 4,400 22,000 40 pcs
4 Kwitansi Biasa Kecil pcs - 1,430 - 20 pcs
5 box file jumbo Bindex pcs - 34,870 - 124 pcs
6 Buku kuarto/Isi 100 pcs - 6,930 - 65 pcs
7 Buku polio mrg/Isi 100 pcs - 15,895 - 51 pcs
8 catter isi perfo pcs 5 16,500 82,500 6 pcs
9 cd pcs 100 1,430 143,000 - pcs
10 cd tempat pcs 100 12,100 1,210,000 - pcs
11 cuter besar joyko pcs - 16,500 - 10 pcs
12 double tip kecil br (6mm) pcs 10 1,100 11,000 10 pcs
13 double tip sedang 24 mm pcs - 9,350 - 22 pcs
14 gunting kertas pcs - 11,550 - 14 pcs
15 hecter besar pcs - 21,450 - 8 pcs
16 hecterkecil pcs - 8,250 - 17 pcs
17 kertas A4 rim 3 53,680 161,040 80 rim
18 kertas F4 hvs rim - 53,460 - 280 rim
19 kertas label 123 Pak - 3,300 - 25 Pak
20 label harga CP2 pak - 3,300 - 45 pak
21 lem dlukol kertas pcs - 7,700 - 7 pcs
22 map jk/shd diplay Isi 20 pcs - 16,500 - 44 pcs
23 map karton stop map pcs - 396 - 600 pcs
24 map plastik pembolong ch/Busines P pcs 24 3,685 88,440 312 pcs
25 map plastik kancing pcs 12 2,146 25,751 192 pcs
26 map plastik tali pcs 13 2,154 27,999 140 pcs
27 ordner bindex pcs 4 18,700 74,800 48 pcs
28 paku hecter besar neces etona no 3 bok 4 2,970 11,880 23 bok
29 paku hecter kecil neces etona no 10 bok 24 1,320 31,680 47 bok
30 paper cut pcs - 57,200 - 10 pcs
31 pembolong kertas pcs - 16,500 - 3 pcs
32 penghapus setip std pcs - 1,980 - 18 pcs
33 pita daito plastik mesin tik rol 1 13,750 13,750 1 rol
34 potlot faber pcs - 1,608 - 24 pcs
35 pulpen pcs 1 2,750 2,750 444 pcs
36 sampul mika buku pcs - 6,600 - - pcs
37 solasiban daimaru pcs - 8,250 - 2 pcs
38 Spidol permanen snow g pcs 4 5,390 21,560 60 pcs
39 Spidol kecil hitam pcs - 990 - 30 pcs
40 spidol snow White boart Marker pcs - 6,050 - 40 pcs
41 stampel bak joyko pcs - 9,900 - 5 pcs
42 stampel tanggal pcs 1 15,400 15,400 - pcs
43 termal printech 58x25/Kecil rol - 5,775 - 30 rol
44 tinta cap stp pyramida botol - 9,350 - 9 botol
45 tinta computer biru brather printec botol 2 24,200 48,400 - botol
46 tinta computer hitam brather botol 2 24,200 48,400 - botol
47 tinta computer kuning botol 2 24,200 48,400 - botol
48 tinta computer merah brather botol 2 24,200 48,400 - botol
49 tip ex biasa Kenko pcs - 3,850 - 24 pcs
50 Bak stempel besar pcs - 8,250 - 10 pcs
51 Bak stempel kecil pcs 2 7,370 14,740 - pcs
52 Cap tanggal pcs - - - 5 pcs
53 Label nama no 125 pcs 10 3,300 33,000 30 pcs
54 Map mika pcs - - - 50 pcs
55 Seropon Standar pcs - 10,395 - 20 pcs
56 Pos it Warna warni pcs - 25,300 - 3 pcs
57 Mistar pcs 5 2,750 13,750 6 pcs
58 Tip x kenko pcs - 8,800 - 12 pcs
59 Buku neraca pcs - - - 20 pcs
60 Pembolong kertas pcs - 12,650 - 4 pcs
61 Solasiban Kecil/bening pcs 5 2,860 14,300 24 pcs
62 Spidol permanen snowman/kecil pcs 5 7,975 39,875 30 pcs
63 Binder Clip No 107 Bok - 3,960 - 16 Bok
65 Label nama no 108 pcs - 3,300 - 29 pcs
66 Label nama no 112 pcs 9 3,300 29,700 20 pcs
67 Tinta epson BK pcs 2 100,100 200,200 45 pcs
68 Tinta Epson M pcs - 100,100 - 10 pcs
69 Tinta Epson C/biru pcs - 100,100 - 10 pcs
70 Tinta Epson Y pcs - 100,100 - 10 pcs
71 Mouse Vorte pcs - 22,000 - 10 pcs
72 Triping tool pcs - 66,000 - - pcs
73 Tang Kabel pcs - 82,500 - - pcs
74 Keyboard pcs - 209,000 - 5 pcs
75 Kabel pcs - 99,000 - - pcs
76 Alas Mouse pcs 10 5,500 55,000 6 pcs
77 Termal printech uk 80x80 Otani Rol - 18,370 - 35 Rol
78 Debos Trigonal Clip No 3 Box - - - 50 Box
79 Map Plastik L Pcs - 2,200 - 420 Pcs
80 Buku Polio Isi 300 Pcs - - - 12 Pcs
81 Buku Polio Isi 200 Pcs - 24,750 - 35 Pcs
82 Buku Polio Isi 500 Pcs - - - 7 Pcs
83 Map Display Isi 120 Pcs - - - 1 Pcs
84 Box File Bantex Pcs - 33,660 - 48 Pcs
85 Map Display Isi 40 Pcs - 23,100 - 20 Pcs
86 Materai 3000 Pcs - 3,850 - 1 Pcs
87 Materai 6000 Pcs - 7,150 - - Pcs
88 Tinta Otomatis pcs - 33,000 - 4 pcs
89 Stiker Note Panci Pcs - 6,600 - 1 Pcs
90 Memo Joyko Pcs - 7,150 - 11 Pcs
91 Stiki Play Page/pembatas buku Pcs - 11,550 - 35 Pcs
92 Binder Clip Warna warni Bok - 16,500 - 15 Bok
93 Kertas Polio E-Prin Besar pak - 29,150 - 8 pak
94 Kertas polio E-Prin Kecil pak - 8,250 - 1 pak
95 Pos It Panda pcs - 7,150 - 6 pcs
96 Lem Stik Uhu pcs - 7,370 - 24 pcs
97 Label Harga No 103 Pak - 4,950 - 12 Pak
98 Double Tip Busa Hitam Pcs - 10,395 - 22 Pcs
99 Kalkulator Pcs - 56,320 - 7 Pcs
100 Tempat solasiban Pcs - 22,000 - 2 Pcs
101 pulpen Elastis Deboz Pcs - 8,250 - 20 Pcs
102 Map Presiden Jepit Pcs - 8,580 - 6 Pcs
103 Pulpen Biru Pcs - 2,475 - 12 Pcs
104 Pocket Dokumen Besar/Display Pcs - 25,685 - 20 Pcs
105 Pocket Dokumen Kecil/Display Pcs - 19,580 - 20 Pcs
106 Od Bindek Uk A4 Pcs - 26,950 - 6 Pcs
107 Seropom Besar Pcs - 12,210 - 6 Pcs
108 Paku Seropom Box - 3,300 - 9 Box
109 Box File Bantex Warna Box - 31,350 - 31 Box
110 Box File Plastik Nikiko Box - 18,370 - 15 Box
111 Map Display Pocket 60 Pcs - 33,000 - 20 Pcs
112 Buku Sidu Isi 58 pcs - 3,300 - 30 pcs
113 Stabilo pcs - 3 pcs
114 Nota satu play pcs - 12 pcs
115 Map Display isi 100 pcs - 10 pcs
116 Map Display isi 80 pcs - 2 pcs
117 Kertas pripcar/koran Rim - 1 Rim
118 Pembolong Kertas Besar Pcs - 2 Pcs
JUMLAH 2,587,435
ang Persediaan Pengeluaran Barang Persediaan Saldo Per 31 Agustus 2018
Tahun 2018
Harga Nilai Jml Satuan Harga Nilai Jml Harga Nilai
Satuan Total Barang Barang Satuan Total Barang Satuan Total
17,250 345,000 7 bok 17,250 120,750 14 17,250 241,500
15,000 750,000 50 bok 15,000 750,000 3 15,000 45,000
4,000 160,000 15 pcs 4,000 60,000 30 4,000 120,000
1,300 26,000 - pcs 1,300 - 20 1,300 26,000
31,700 3,930,800 124 pcs 31,700 3,930,800 - 31,700 -
8,350 542,750 48 pcs 8,350 400,800 17 8,350 141,950
14,450 736,950 46 pcs 14,450 664,700 5 14,450 72,250
15,000 90,000 6 pcs 15,000 90,000 5 15,000 75,000
1,300 - 11 pcs 1,300 14,300 89 1,300 115,700
11,000 - 11 pcs 11,000 121,000 89 11,000 979,000
15,000 150,000 7 pcs 15,000 105,000 3 15,000 45,000
1,000 10,000 - pcs 1,000 - 20 1,000 20,000
8,500 187,000 15 pcs 8,500 127,500 7 8,500 59,500
14,450 202,300 11 pcs 14,450 158,950 3 14,450 43,350
19,500 156,000 3 pcs 19,500 58,500 5 19,500 97,500
25,600 435,200 15 pcs 25,600 384,000 2 25,600 51,200
48,800 3,904,000 52 rim 48,800 2,537,600 31 48,800 1,512,800
48,600 13,608,000 199 rim 48,600 9,671,400 81 48,600 3,936,600
3,000 75,000 13 Pak 3,000 39,000 12 3,000 36,000
3,000 135,000 - pak 3,000 - 45 3,000 135,000
7,000 49,000 2 pcs 7,000 14,000 5 7,000 35,000
15,000 660,000 44 pcs 15,000 660,000 - 15,000 -
480 288,000 435 pcs 480 208,800 165 480 79,200
3,350 1,045,200 306 pcs 3,350 1,025,100 30 3,350 100,500
1,951 374,559 198 pcs 1,951 386,264 6 1,951 11,705
1,958 274,120 153 pcs 1,958 299,574 - 1,958 -
26,000 1,248,000 7 pcs 26,000 182,000 45 26,000 1,170,000
2,700 62,100 7 bok 2,700 18,900 20 2,700 54,000
1,200 56,400 27 bok 1,200 32,400 44 1,200 52,800
52,000 520,000 10 pcs 52,000 520,000 - 52,000 -
15,000 45,000 2 pcs 15,000 30,000 1 15,000 15,000
1,800 32,400 6 pcs 1,800 10,800 12 1,800 21,600
2,500 2,500 - rol 2,500 - 2 2,500 5,000
1,462 35,080 9 pcs 1,462 13,155 15 1,462 21,925
2,500 1,110,000 425 pcs 2,500 1,062,500 20 2,500 50,000
6,000 - - pcs 6,000 - - 6,000 -
7,500 15,000 1 pcs 7,500 7,500 1 7,500 7,500
4,900 294,000 64 pcs 4,900 313,600 - 4,900 -
900 27,000 30 pcs 900 27,000 - 900 -
5,500 220,000 25 pcs 5,500 137,500 15 5,500 82,500
9,000 45,000 3 pcs 9,000 27,000 2 9,000 18,000
14,000 - 1 pcs 14,000 14,000 - 14,000 -
5,250 157,500 16 rol 5,250 84,000 14 5,250 73,500
8,500 76,500 5 botol 8,500 42,500 4 8,500 34,000
22,000 - 1 botol 22,000 22,000 1 22,000 22,000
22,000 - 2 botol 22,000 44,000 - 22,000 -
22,000 - - botol 22,000 - 2 22,000 44,000
22,000 - - botol 22,000 - 2 22,000 44,000
3,500 84,000 20 pcs 3,500 70,000 4 3,500 14,000
7,500 75,000 10 pcs 7,500 75,000 - 7,500 -
6,700 - 2 pcs 6,700 13,400 - 6,700 -
150,000 750,000 5 pcs 150,000 750,000 - 150,000 -
3,000 90,000 30 pcs 3,000 90,000 10 3,000 30,000
5,000 250,000 50 pcs 5,000 250,000 - 5,000 -
9,450 189,000 20 pcs 9,450 189,000 - 9,450 -
23,000 69,000 3 pcs 23,000 69,000 - 23,000 -
2,500 15,000 5 pcs 2,500 12,500 6 2,500 15,000
8,000 96,000 10 pcs 8,000 80,000 2 8,000 16,000
25,000 500,000 20 pcs 25,000 500,000 - 25,000 -
11,500 46,000 4 pcs 11,500 46,000 - 11,500 -
2,600 62,400 20 pcs 2,600 52,000 9 2,600 23,400
7,250 217,500 25 pcs 7,250 181,250 10 7,250 72,500
3,600 57,600 12 Bok 3,600 43,200 4 3,600 14,400
42,000 294,000 1 Bok 42,000 42,000 6 42,000 252,000
3,000 87,000 18 pcs 3,000 54,000 11 3,000 33,000
3,000 60,000 10 pcs 3,000 30,000 19 3,000 57,000
91,000 4,095,000 42 pcs 91,000 3,822,000 5 91,000 455,000
91,000 910,000 10 pcs 91,000 910,000 - 91,000 -
91,000 910,000 10 pcs 91,000 910,000 - 91,000 -
91,000 910,000 10 pcs 91,000 910,000 - 91,000 -
86,000 860,000 10 pcs 86,000 860,000 - 86,000 -
60,000 - - pcs 60,000 - - 60,000 -
75,000 - - pcs 75,000 - - 75,000 -
190,000 950,000 5 pcs 190,000 950,000 - 190,000 -
90,000 - - pcs 90,000 - - 90,000 -
8,500 51,000 8 pcs 8,500 68,000 8 8,500 68,000
24,700 864,500 35 Rol 24,700 864,500 - 24,700 -
3,000 150,000 27 Box 3,000 81,000 23 3,000 69,000
2,000 840,000 240 Pcs 2,000 480,000 180 2,000 360,000
41,150 493,800 7 Pcs 41,150 288,050 5 41,150 205,750
28,000 980,000 24 Pcs 28,000 672,000 11 28,000 308,000
111,000 777,000 5 Pcs 111,000 555,000 2 111,000 222,000
9,866 9,866 1 Pcs 9,866 9,866 - 9,866 -
30,600 1,468,800 37 Pcs 30,600 1,132,200 11 30,600 336,600
21,000 420,000 20 Pcs 21,000 420,000 - 21,000 -
3,500 3,500 1 Pcs 3,500 3,500 - 3,500 -
6,500 - - Pcs 6,500 - - 6,500 -
30,000 120,000 2 pcs 30,000 60,000 2 30,000 60,000
6,000 6,000 1 Pcs 6,000 6,000 - 6,000 -
6,500 71,500 5 Pcs 6,500 32,500 6 6,500 39,000
10,500 367,500 35 Pcs 10,500 367,500 - 10,500 -
15,000 225,000 11 Bok 15,000 165,000 4 15,000 60,000
26,500 212,000 6 pak 26,500 159,000 2 26,500 53,000
7,500 7,500 1 pak 7,500 7,500 - 7,500 -
6,500 39,000 6 pcs 6,500 39,000 - 6,500 -
6,700 160,800 22 pcs 6,700 147,400 2 6,700 13,400
4,500 54,000 11 Pak 4,500 49,500 1 4,500 4,500
9,450 207,900 22 Pcs 9,450 207,900 - 9,450 -
51,200 358,400 7 Pcs 51,200 358,400 - 51,200 -
20,000 40,000 1 Pcs 20,000 20,000 1 20,000 20,000
7,500 150,000 20 Pcs 7,500 150,000 - 7,500 -
7,800 46,800 3 Pcs 7,800 23,400 3 7,800 23,400
2,250 27,000 8 Pcs 2,250 18,000 4 2,250 9,000
23,350 467,000 20 Pcs 23,350 467,000 - 23,350 -
17,800 356,000 20 Pcs 17,800 356,000 - 17,800 -
24,500 147,000 6 Pcs 24,500 147,000 - 24,500 -
11,100 66,600 3 Pcs 11,100 33,300 3 11,100 33,300
3,000 27,000 7 Box 3,000 21,000 2 3,000 6,000
28,500 883,500 25 Box 28,500 712,500 6 28,500 171,000
16,700 250,500 15 Box 16,700 250,500 - 16,700 -
30,000 600,000 20 Pcs 30,000 600,000 - 30,000 -
3,000 90,000 11 pcs 3,000 33,000 19 3,000 57,000
4,150 12,450 1 pcs 4,150 4,150 2 4,150 8,300
5,000 60,000 12 pcs 5,000 60,000 - 5,000 -
150,000 1,500,000 9 pcs 150,000 1,350,000 1 150,000 150,000
60,000 120,000 2 pcs 60,000 120,000 - 60,000 -
240,000 240,000 - Rim 240,000 - 1 240,000 240,000
40,000 80,000 1 Pcs 40,000 40,000 1 40,000 40,000
54,698,325 ### 17,376,173 13,235,130

57,285,761 ###
14 241,500 -
3 45,000 -
30 120,000 -
20 26,000 -
- - -
17 141,950 -
5 72,250 -
5 75,000 -
89 115,700 -
89 979,000 -
3 45,000 -
20 20,000 -
7 59,500 -
3 43,350 -
5 97,500 -
2 51,200 -
31 1,512,800 -
81 3,936,600 -
12 36,000 -
45 135,000 -
5 35,000 -
- - -
165 79,200 -
30 100,500 -
6 11,705 -
- - -
45 1,170,000 -
20 54,000 -
44 52,800 -
- - -
1 15,000 -
12 21,600 -
2 5,000 -
15 21,925 -
20 50,000 -
- - -
1 7,500 -
- - -
- - -
15 82,500 -
2 18,000 -
- - -
14 73,500 -
4 34,000 -
1 22,000 -
- - -
2 44,000 -
2 44,000 -
4 14,000 -
- - -
- - -
- - -
10 30,000 -
- - -
- - -
- - -
6 15,000 -
2 16,000 -
- - -
- - -
9 23,400 -
10 72,500 -
4 14,400 -
6 252,000 -
11 33,000 -
19 57,000 -
5 455,000 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
8 68,000 -
- - -
23 69,000 -
180 360,000 -
5 205,750 -
11 308,000 -
2 222,000 -
- - -
11 336,600 -
- - -
- - -
- - -
2 60,000 -
- - -
6 39,000 -
- - -
4 60,000 -
2 53,000 -
- - -
- - -
2 13,400 -
1 4,500 -
- - -
- - -
1 20,000 -
- - -
3 23,400 -
4 9,000 -
- - -
- - -
- - -
3 33,300 -
2 6,000 -
6 171,000 -
- - -
- - -
19 57,000 -
2 8,300 -
- - -
1 150,000 -
- - -
1 240,000 -
1 40,000 -
13,235,130
Harga Perolehan
No Nama Barang Jumlah
Terakhir
A Bahan Habis Pakai
1 Alat Tulis Kantor 1 15,831,996
2 Alat listirk dan elektronik 1 464,000
3 Perangko/Materai/Benda Pos Lainnya 1 9,000
4 Peralatan kebersihan dan bahan pembersih 1 2,624,617
5 Bahan bakar Minyak/Gas 1 185,000
6 Pengisian tabung Pemadam Kebakaran 1
7 Barang cetakan (formulir/blanko) 1 16,659,624
8 Pengisian isi tabung gas 1 817,500
B Bahan/Material
3 Bibit Ternak
4 Bahan obat-obatan 1 107,461,074
5 Bahan kimia
6 Makanan Pokok
C Barang Lainnya
Total Persediaan
Total Keterangan
15,831,996
464,000
9,000
2,624,617
185,000
-
16,659,624
817,500
107461073.94
144,052,811
Lampiran :

No Nama Barang Satuan Saldo Per 31 Desember 2017 Penerimaan Barang Persediaan
Tahun 2018
Jml Harga Jml Jml Satuan
Barang Satuan Harga Barang Barang
1 amplop besar/pak bok - 15,730 - 4 bok
2 amplop kecil bok - 11,330 - 8 bok
3 Kwitansi Biasa Besar pcs - 4,400 - 8 pcs
4 Kwitansi Biasa Kecil pcs - 1,430 - - pcs
5 box file jumbo Bindex pcs - 34,870 - - pcs
6 Buku kuarto/Isi 100 pcs - 6,930 - - pcs
7 Buku polio mrg/Isi 100 pcs - 15,895 - - pcs
8 catter isi perfo pcs - 16,500 - - pcs
9 cd pcs - 1,430 - - pcs
10 cd tempat pcs - 12,100 - - pcs
11 cuter besar joyko pcs - 16,500 - 4 pcs
12 double tip kecil br (6mm) pcs - 1,100 - - pcs
13 double tip sedang 24 mm pcs - 9,350 - - pcs
14 gunting kertas pcs - 11,550 - 2 pcs
15 hecter besar pcs - 21,450 - 8 pcs
16 hecterkecil pcs - 8,250 - 8 pcs
17 kertas A4 rim - 53,680 - - rim
18 kertas F4 hvs rim - 53,460 - 120 rim
19 kertas label 123 Pak - 3,300 - - Pak
20 label harga CP2 pak - 3,300 - - pak
22 map jk/shd diplay Isi 20 pcs - 16,500 - - pcs
23 map karton stop map pcs - 396 - - pcs
24 map plastik pembolong ch/Busines Ppcs - 3,685 - - pcs
25 map plastik kancing pcs - 2,146 - 40 pcs
26 map plastik tali pcs - 2,154 - - pcs
27 ordner bindex pcs - 18,700 - 20 pcs
28 paku hecter besar neces etona no 3 bok - 2,970 - 20 bok
29 paku hecter kecil neces etona no 10 bok - 1,320 - 40 bok
30 paper cut pcs - 57,200 - - pcs
31 pembolong kertas pcs - 16,500 - 3 pcs
32 penghapus setip std pcs - 1,980 - - pcs
33 pita daito plastik mesin tik rol - 13,750 - - rol
34 potlot faber pcs - 1,608 - - pcs
35 pulpen pcs - 2,750 - 48 pcs
36 sampul mika buku pcs - 6,600 - - pcs
37 solasiban daimaru pcs - 8,250 - - pcs
38 Spidol permanen snow g pcs - 5,390 - 4 pcs
39 Spidol kecil hitam pcs - 990 - - pcs
40 spidol snow White boart Marker pcs - 6,050 - - pcs
41 stampel bak joyko pcs - 9,900 - - pcs
42 stampel tanggal pcs - 15,400 - - pcs
43 termal printech 58x25/Kecil rol - 5,775 - - rol
44 tinta cap stp pyramida botol - 9,350 - 10 botol
45 tinta computer biru brather printec botol - 24,200 - - botol
46 tinta computer hitam brather botol - 24,200 - - botol
47 tinta computer kuning botol - 24,200 - - botol
48 tinta computer merah brather botol - 24,200 - - botol
49 tip ex biasa Kenko pcs - 3,850 - 4 pcs
50 Bak stempel besar pcs - 8,250 - - pcs
51 Bak stempel kecil pcs - 7,370 - - pcs
52 Cap tanggal pcs - - - - pcs
53 Label nama no 125 pcs - 3,300 33,000 - pcs
54 Map mika pcs - - - - pcs
55 Seropon Standar pcs - 10,395 - - pcs
56 Pos it Warna warni pcs - 25,300 - - pcs
57 Mistar pcs - 2,750 13,750 - pcs
58 Tip x kenko pcs - 8,800 - - pcs
59 Buku neraca pcs - - - - pcs
60 Pembolong kertas pcs - 12,650 - 4 pcs
61 Solasiban Kecil/bening pcs - 2,860 14,300 - pcs
62 Spidol permanen snowman/kecil pcs - 7,975 39,875 6 pcs
63 Binder Clip No 107 Bok - 3,960 - - Bok
65 Label nama no 108 pcs - 3,300 - - pcs
66 Label nama no 112 pcs - 3,300 29,700 - pcs
67 Tinta epson BK pcs - 100,100 200,200 8 pcs
68 Tinta Epson M pcs - 100,100 - 4 pcs
69 Tinta Epson C/biru pcs - 100,100 - 4 pcs
70 Tinta Epson Y pcs - 100,100 - 4 pcs
71 Mouse Vorte pcs - 22,000 - - pcs
72 Triping tool pcs - 66,000 - - pcs
73 Tang Kabel pcs - 82,500 - - pcs
74 Keyboard pcs - 209,000 - - pcs
75 Kabel pcs - 99,000 - - pcs
76 Alas Mouse pcs - 5,500 55,000 - pcs
77 Termal printech uk 80x80 Otani Rol - 18,370 - - Rol
78 Debos Trigonal Clip No 3 Box - - - - Box
79 Map Plastik L Pcs - 2,200 - - Pcs
80 Buku Polio Isi 300 Pcs - - - - Pcs
81 Buku Polio Isi 200 Pcs - 24,750 - - Pcs
82 Buku Polio Isi 500 Pcs - - - - Pcs
83 Map Display Isi 120 Pcs - - - - Pcs
84 Box File Bantex Pcs - 33,660 - - Pcs
85 Map Display Isi 40 Pcs - 23,100 - - Pcs
86 Materai 3000 Pcs - 3,850 - 10 Pcs
87 Materai 6000 Pcs - 7,150 - 80 Pcs
88 Tinta Otomatis pcs - 33,000 - - pcs
89 Stiker Note Panci Pcs - 6,600 - - Pcs
90 Memo Joyko Pcs - 7,150 - - Pcs
91 Stiki Play Page/pembatas buku Pcs - 11,550 - - Pcs
92 Binder Clip Warna warni Bok - 16,500 - - Bok
93 Kertas Polio E-Prin Besar pak - 29,150 - - pak
94 Kertas polio E-Prin Kecil pak - 8,250 - - pak
95 Pos It Panda pcs - 7,150 - - pcs
97 Label Harga No 103 Pak - 4,950 - - Pak
98 Double Tip Busa Hitam Pcs - 10,395 - - Pcs
99 Kalkulator Pcs - 56,320 - 2 Pcs
100 Tempat solasiban Pcs - 22,000 - - Pcs
101 pulpen Elastis Deboz Pcs - 8,250 - - Pcs
102 Map Presiden Jepit Pcs - 8,580 - - Pcs
103 Pulpen Biru Pcs - 2,475 - - Pcs
104 Pocket Dokumen Besar/Display Pcs - 25,685 - - Pcs
105 Pocket Dokumen Kecil/Display Pcs - 19,580 - - Pcs
106 Od Bindek Uk A4 Pcs - 26,950 - - Pcs
107 Seropom Besar Pcs - 12,210 - - Pcs
108 Paku Seropom Box - 3,300 - 10 Box
109 Box File Bantex Warna Box - 31,350 - - Box
110 Box File Plastik Nikiko Box - 18,370 - - Box
111 Map Display Pocket 60 Pcs - 33,000 - - Pcs
112 Buku Sidu Isi 58 pcs - 3,300 - - pcs
113 Stabilo pcs - 4 pcs
114 Nota satu play pcs - - pcs
115 Map Display isi 100 pcs - - pcs
116 Map Display isi 80 pcs - - pcs
117 Kertas pripcar/koran Rim - - Rim
118 Pembolong Kertas Besar Pcs - Pcs
JUMLAH 527 -
an Barang Persediaan Pengeluaran Barang Persediaan Saldo Per 31 Agustus 2018
Tahun 2018
potongan
Harga Nilai pajak PPn Jml Satuan Harga Nilai Jml
Satuan Total 10% Barang Barang Satuan Total Barang
25,000 100,000 10,000 3 bok 25,000 75,000 1
15,000 120,000 12,000 6 bok 15,000 90,000 2
5,000 40,000 4,000 7 pcs 5,000 35,000 1
1,300 - - - pcs 1,300 - -
31,700 - - - pcs 31,700 - -
8,350 - - - pcs 8,350 - -
14,450 - - - pcs 14,450 - -
15,000 - - - pcs 15,000 - -
1,300 - - - pcs 1,300 - -
11,000 - - - pcs 11,000 - -
15,000 60,000 6,000 4 pcs 15,000 60,000 -
1,000 - - - pcs 1,000 - -
8,500 - - - pcs 8,500 - -
14,450 28,900 2,890 2 pcs 14,450 28,900 -
19,500 156,000 15,600 5 pcs 19,500 97,500 3
25,600 204,800 20,480 8 pcs 25,600 204,800 -
48,800 - - - rim 48,800 - -
55,000 6,600,000 660,000 117 rim 55,000 6,435,000 3
3,000 - - - Pak 3,000 - -
3,000 - - - pak 3,000 - -
7,000 112,000 11,200 14 pcs 7,000 98,000 2
15,000 - - - pcs 15,000 - -
480 - - - pcs 480 - -
3,350 - - - pcs 3,350 - -
3,500 140,000 14,000 40 pcs 3,500 140,000 -
1,958 - - - pcs 1,958 - -
30,000 600,000 60,000 20 pcs 30,000 600,000 -
3,500 70,000 7,000 2 bok 3,500 7,000 18
1,200 48,000 4,800 34 bok 1,200 40,800 6
52,000 - - - pcs 52,000 - -
15,000 45,000 4,500 3 pcs 15,000 45,000 -
1,800 - - - pcs 1,800 - -
2,500 - - - rol 2,500 - -
1,462 - - - pcs 1,462 - -
2,500 120,000 12,000 48 pcs 2,500 120,000 -
6,000 - - - pcs 6,000 - -
7,500 - - - pcs 7,500 - -
4,900 19,600 1,960 4 pcs 4,900 19,600 -
900 - - - pcs 900 - -
5,500 - - - pcs 5,500 - -
9,000 - - - pcs 9,000 - -
14,000 - - - pcs 14,000 - -
5,250 - - - rol 5,250 - -
8,500 85,000 8,500 8 botol 8,500 68,000 2
22,000 - - - botol 22,000 - -
22,000 - - - botol 22,000 - -
22,000 - - - botol 22,000 - -
22,000 - - - botol 22,000 - -
3,500 14,000 1,400 4 pcs 3,500 14,000 -
7,500 - - - pcs 7,500 - -
6,700 - - - pcs 6,700 - -
150,000 - - - pcs 150,000 - -
3,000 - - - pcs 3,000 - -
5,000 - - - pcs 5,000 - -
9,450 - - - pcs 9,450 - -
23,000 - - - pcs 23,000 - -
2,500 - - - pcs 2,500 - -
8,000 - - - pcs 8,000 - -
25,000 - - - pcs 25,000 - -
11,500 46,000 4,600 4 pcs 11,500 46,000 -
2,600 - - - pcs 2,600 - -
7,250 43,500 4,350 5 pcs 7,250 36,250 1
3,600 - - - Bok 3,600 - -
42,000 336,000 33,600 8 Bok 42,000 336,000 -
3,000 - - - pcs 3,000 - -
3,000 - - - pcs 3,000 - -
110,000 880,000 88,000 7 pcs 110,000 770,000 1
110,000 440,000 44,000 3 pcs 110,000 330,000 1
110,000 440,000 44,000 3 pcs 110,000 330,000 1
110,000 440,000 44,000 3 pcs 110,000 330,000 1
86,000 - - - pcs 86,000 - -
60,000 - - - pcs 60,000 - -
75,000 - - - pcs 75,000 - -
190,000 - - - pcs 190,000 - -
90,000 - - - pcs 90,000 - -
8,500 - - - pcs 8,500 - -
24,700 - - - Rol 24,700 - -
3,000 - - - Box 3,000 - -
2,000 - - - Pcs 2,000 - -
41,150 - - Pcs 41,150 - -
28,000 - - Pcs 28,000 - -
111,000 - - Pcs 111,000 - -
9,866 - - Pcs 9,866 - -
30,600 - - Pcs 30,600 - -
21,000 - - Pcs 21,000 - -
3,500 35,000 3,500 5 Pcs 3,500 17,500 5
6,500 520,000 52,000 80 Pcs 6,500 520,000 -
30,000 - - pcs 30,000 - -
6,000 - - Pcs 6,000 - -
6,500 - - Pcs 6,500 - -
10,500 - - Pcs 10,500 - -
15,000 - - Bok 15,000 - -
26,500 - - pak 26,500 - -
7,500 - - pak 7,500 - -
6,500 - - pcs 6,500 - -
6,700 107,200 10,720 14 pcs 6,700 93,800 2
4,500 - - Pak 4,500 - -
9,450 - - Pcs 9,450 - -
51,200 102,400 10,240 2 Pcs 51,200 102,400 -
20,000 - - Pcs 20,000 - -
7,500 - - Pcs 7,500 - -
7,800 - - Pcs 7,800 - -
2,250 - - Pcs 2,250 - -
23,350 - - Pcs 23,350 - -
17,800 - - Pcs 17,800 - -
24,500 - - Pcs 24,500 - -
11,100 - - Pcs 11,100 - -
3,000 30,000 3,000 10 Box 3,000 30,000 -
28,500 - - Box 28,500 - -
16,700 - - Box 16,700 - -
30,000 - - Pcs 30,000 - -
3,000 - - pcs 3,000 - -
4,150 16,600 1,660 4 pcs 4,150 16,600 -
5,000 - - pcs 5,000 - -
150,000 - - pcs 150,000 - -
60,000 - - pcs 60,000 - -
240,000 - - Rim 240,000 - -
40,000 - - Pcs 40,000 - -
-
-
-
12,000,000 1,200,000 477 - 11,137,150 50
Saldo Per 31 Agustus 2018
Harga Nilai
Satuan Total
25,000 25,000
15,000 30,000
5,000 5,000
1,300 -
31,700 -
8,350 -
14,450 -
15,000 -
1,300 -
11,000 -
15,000 -
1,000 -
8,500 -
14,450 -
19,500 58,500
25,600 -
48,800 -
55,000 165,000
3,000 -
3,000 -
7,000 14,000
15,000 -
480 -
3,350 -
3,500 -
1,958 -
30,000 -
3,500 63,000
1,200 7,200
52,000 -
15,000 -
1,800 -
2,500 -
1,462 -
2,500 -
6,000 -
7,500 -
4,900 -
900 -
5,500 -
9,000 -
14,000 -
5,250 -
8,500 17,000
22,000 -
22,000 -
22,000 -
22,000 -
3,500 -
7,500 -
6,700 -
150,000 -
3,000 -
5,000 -
9,450 -
23,000 -
2,500 -
8,000 -
25,000 -
11,500 -
2,600 -
7,250 7,250
3,600 -
42,000 -
3,000 -
3,000 -
110,000 110,000
110,000 110,000
110,000 110,000
110,000 110,000
86,000 -
60,000 -
75,000 -
190,000 -
90,000 -
8,500 -
24,700 -
3,000 -
2,000 -
41,150 -
28,000 -
111,000 -
9,866 -
30,600 -
21,000 -
3,500 17,500
6,500 -
30,000 -
6,000 -
6,500 -
10,500 -
15,000 -
26,500 -
7,500 -
6,500 -
6,700 13,400
4,500 -
9,450 -
51,200 -
20,000 -
7,500 -
7,800 -
2,250 -
23,350 -
17,800 -
24,500 -
11,100 -
3,000 -
28,500 -
16,700 -
30,000 -
3,000 -
4,150 -
5,000 -
150,000 -
60,000 -
240,000 -
40,000 -
862,850
Lampiran :

PADA DINAS KESEHATAN GARUT S/D 31 JUNI 2018
2 PERSEDIAAN BARANG CETAKAN
Penerimaan Barang
Tahun 201
No Nama Barang Satuan
Jml Harga Jml Jml
Barang Satuan Harga Barang
1 Kwitansi 2 Play buku 175 2,000 350,000 0
2 Kwitansi 3 Play buku 69 27,875 1,923,375 60
3 Rekam Medik Ranap Pink Buah 250 9,478 2,369,500 700
4 Rekam Medik Ranap Biru Buah 250 9,478 2,369,500 700
5 Rekam Medik Rawat Jalan Buah 324 3,903 1,264,572 9800
6 Buku Laboratorium Buku 10 15,000 150,000 0
7 Resep Buku 20 14,000 280,000 0
8 Leaflet Buah 2000 1,200 2,400,000 0
9 Copy Resep Buku 94 11,000 1,034,000 0
10 Stiker Rekam Medik Rajal Pcs 0 1,227 - 9800
11 Buku Register Khohor Bayi isi 100 Buku 0 122,650 - 12
11 Buku Register Khohor Bayi isi 200 Buku 0 245,300 - 1
12 Buku Register Khohor ibu isi 100 Buku 0 122,650 - 12
12 Buku Register Khohor ibu isi 200 Buku 0 245,300 - 1
13 Retribusi Rawat Jalan 8000 buku 0 20,070 - 106
14 Retribusi UGD 1000 buku 0 20,070 - 30
15 Kriket No/Nomer Urut Pcs 1 1,227 1,227 0
16 Stiker Label Obat kocok dulu Pcs 0 279 - 5000
17 stiker Label Obat syrup Sebelum Makan Pcs 0 279 - 5000
18 Pormat UGD Pcs 0 - - 0
19 Kartu Kunjungan Pcs 0 279 - 12000
20 Kwitansi Kasbon Pcs 0 28,000 - 0
21 Kir Dokter Buku 26 28,000 728,000 0
22 Buku Visum Kegiatan 2018 Buku 0 72,475 - 54
23 Buku Register IGD Buku 0 144,950 - 2
24 Buku Register Rawat Inap Buku 0 144,950 - 2
25 Rekam Medik Poned Pcs 0 4,500 - 0
26 Nota Pemeriksaan Rangkap 2 buku 0 13,380 - 60
27 Status Rekamedik UGD set 0 1,784 - 600
28 Blangko Obat 1/4 Polio Buku 0 9,478 - 320
29 Salinan Copy Resp buku 0 16,725 - 45
30 Blangko Hasil Laboratorium Buku 0 20,070 - 80
31 Bender Spanduk Pcs 0 94,775 - 16
32 Register Rujukan Pasien Buku 0 144,950 - 4
33 kontong kresek obat pcs 0 446 - 19500
34 plastik repet obat lekas sembuh 7x12 cm pack 0 25,465 - 35
35 plastik repet obat habiskan pack 0 30,105 - 25
36 plastik repet obat lekas sembuk pack 0 30,105 - 35
37 Baligo pcs 0 836,250 - 1
38 Kwitansi biasa buku 0 8,920 - 30
JUMLAH 12,870,174
JUMLAH
Satuan Harga Nilai Jml Satuan Harga Nilai Jml Harga
Barang Satuan Total Barang Barang Satuan Total Barang Satuan
buku 2,000 - 0 buku 2,000 - 175 2,000
buku 27,875 1,672,500 58 buku 27,875 55,750 71 27,875
Buah 9,478 6,634,600 700 Buah 9,478 6,634,600 250 9,478
Buah 9,478 6,634,600 700 Buah 9,478 6,634,600 250 9,478
Buah 3,903 38,249,400 8700 Buah 3,903 38,249,400 1424 3,903
Buku 15,000 - 10 Buku 15,000 - 0 15,000
Buku 14,000 - 20 Buku 14,000 - 0 14,000
Buah 1,200 - 2000 Buah 1,200 - 0 1,200
Buku 11,000 - 0 Buku 11,000 - 94 11,000
Pcs 1,227 12,024,600 8700 Pcs 1,227 12,024,600 1100 1,227
Buku 122,650 1,471,800 12 Buku 122,650 1,471,800 0 122,650
Buku 245,300 245,300 1 Buku 245,300 245,300 0 245,300
Buku 122,650 1,471,800 12 Buku 122,650 1,471,800 0 122,650
Buku 245,300 245,300 1 Buku 245,300 245,300 0 245,300
buku 20,070 2,127,420 106 buku 20,070 2,127,420 0 20,070
buku 20,070 602,100 30 buku 20,070 602,100 0 20,070
Pcs 1,227 - 0 Pcs 1,227 - 1 1,227
Pcs 279 1,395,000 5000 Pcs 279 1,395,000 0 279
Pcs 279 1,395,000 5000 Pcs 279 1,395,000 0 279
Pcs - - 0 Pcs - - 0 -
Pcs 279 3,348,000 8700 Pcs 279 558 3300 279
Pcs 28,000 - 0 Pcs 28,000 - 0 28,000
Buku 28,000 - 0 Buku 28,000 - 26 28,000
Buku 72,475 3,913,650 54 Buku 72,475 3,913,650 0 72,475
Buku 144,950 289,900 2 Buku 144,950 289,900 0 144,950
Buku 144,950 289,900 2 Buku 144,950 289,900 0 144,950
Pcs 4,500 - 0 Pcs 4,500 - 0 4,500
buku 13,380 802,800 60 buku 13,380 802,800 0 13,380
set 1,784 1,070,400 600 set 1,784 1,070,400 0 1,784
Buku 9,478 3,032,960 320 Buku 9,478 3,032,960 0 9,478
buku 16,725 752,625 45 buku 16,725 752,625 0 16,725
Buku 20,070 1,605,600 80 Buku 20,070 1,605,600 0 20,070
Pcs 94,775 1,516,400 16 Pcs 94,775 1,516,400 0 94,775
Buku 144,950 579,800 4 Buku 144,950 579,800 0 144,950
pcs 446 8,697,000 19500 pcs 446 8,697,000 0 446
pack 25,465 891,275 35 pack 25,465 891,275 0 25,465
pack 30,105 752,625 25 pack 30,105 752,625 0 30,105
pack 30,105 1,053,675 35 pack 30,105 1,053,675 0 30,105
pcs 836,250 836,250 1 pcs 836,250 836,250 0 836,250
buku 8,920 267,600 30 buku 8,920 267,600 0 8,920
103,869,880 98,905,688
103,869,880 98,905,688
116,740,054
o Per 31 Agustus 2018
Nilai
Total
350,000
1,979,125
2,369,500
2,369,500
5,557,872
-
-
-
1,034,000
1,349,700
-
-
-
-
-
-
1,227
-
-
-
920,700
-
728,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
16,659,624
116,740,054
Lampiran :

PADA DINAS KESEHATAN GARUT S/D 31DESEMBER 2018
3 PERSEDIAAN BARANG ELEKTRONIK
Saldo Per 31 Desember 2017 Penerimaan Barang Persediaan
Tahun 2018
Jml Harga Jml Jml
1 Lampu Philip pcs 2 21000 42000 0
2 Lampu Philip Led 16 watt pcs 66500 0 6
4 Lampu Philip Led 6,5 watt pcs 44500 0 12
6 Batu Batre abc kecil jam Dinding pcs 2500 0 96
7 Batu Batre Abc Besar pcs 0 0
8 Batu Batre Abc Alkaline Sedang/aaa pcs 6750 0 96
9 Batu Batre Abc Alkaline Kecil/aa pcs 8 6125 49000 60
10 Terminal Listrik pcs 27000 0 2
Batu Alkalin Persegi pcs 18
JUMLAH 91,000
Satuan Harga Nilai Jml Satuan Harga Nilai Jml Harga Nilai
Barang Satuan Total Barang Barang Satuan Total Barang Satuan Total
pcs 21000 - 2 pcs 21000 42000 0 21000 0
pcs 66500 399,000 6 pcs 66500 399000 0 66500 0
pcs 54500 327,000 6 pcs 54500 327000 0 54500 0
pcs 44500 534,000 12 pcs 44500 534000 0 44500 0
pcs 112000 672,000 4 pcs 112000 448000 2 112000 224000
pcs 2500 240,000 96 pcs 2500 240000 0 2500 0
pcs 0 - 0 pcs 0 0 0 0 0
pcs 6750 648,000 96 pcs 6750 648000 0 6750 0
pcs 6220 373,200 68 pcs 6220 422960 0 6220 0
pcs 45000 90,000 2 pcs 45000 90000 0 45000 0
pcs 30000 540,000 10 pcs 30000 300000 8 30000 240000
3,283,200 3,818,400 2,173,750 464,000

3,374,200 444,200
LAMPIRAN BERITA ACARA SERAH TERIMA BARANG
Nomor : / /PKM/2018
Tanggal : 01 JANUARI 2019 4
Paket Pekerjaan : PERSEDIAAN BAHAN DAN AKLAT LABORATORIUM
Penerimaan Baran
Tahun 2
Jumlah Harga Jumlah Harga Jumlah Satuan
Barang Satuan Barang
1 Cellpack (PK-30L), 20L Box 1,768,800 - 7 Box
2 Cellclean (CL-50), 50 Ml Botol 1,197,900 - 2 Botol
3 Eight Check (LNH), 3 x 15mL Serial 948,200 - 2 Serial
4 Stromatolyser - WH (SWH-200A), 500 mL Botol 1,171,500 - 7 Botol
5 Paper Thermal KX Series (roll 0,06m x 30 m) Roll 38,500 - 3 Roll
6 Ureum 2 x 100mL Kit 759,759 - 6 Kit
7 Creatinin 200 mL Botol 807,312 - 8 Botol
8 SGOT 8 X 50 mL Kit 2,231,240 - 2 Kit
9 SGPT 8 x 50 mL Kit 2,231,240 - 2 Kit
10 Cholesterol 4 x 100 mL Kit 2 440,000 880,000 4 Kit
11 Trigycerides 4 x 100 mL Kit 2 635,250 1,270,500 3 Kit
12 HDL Cholesterol (precipitant), 4x80 mL Kit 2 223,850 447,700 1 Kit
13 Uric Acid 4 x 100 mL Kit 2,057,726 - 4 Kit
14 PCCM 1 20 x 5 mL Kit 4,290,000 - 1 Kit
15 Immersion Oil 20 mL Botol 128,700 - 3 Botol
16 Tabung Vacuum EDTA 3 mL Pack 192,500 - 6 Pack
17 Plesterin Bulat Soft 200 pcs/box Box 60,500 - 6 Box
18 Stik Urine 3 Parameter, Verify Box 132,000 - 6 Box
19 Stik Urine 10 Parameter, Verify Box 12 150,000 1,800,000 6 Box
20 Reagen Golongan Darah, fortress Kit 440,000 - 3 Kit
21 Kartu Golongan darah Pack 44,000 - 4 Pack
22 Test Pack, HCG OneMed Pack 79,200 - 6 Pack
23 Aquabidest Pro Injection 500 mL Botol 60,500 - 12 Botol
24 Blood Lancet Pack 27,500 - 10 Pack
25 Tips Pipet Kuning 1000 pcs/Pack Pack 110,000 - 3 Pack
26 Tips Pipet Biru 500 pcs/Pack Pack 110,000 - 3 Pack
27 USG Gel 250 mL GC Botol 27,500 - 2 Botol
28 Batang Pengaduk Buah 7,700 - 5 Buah
29 Tabung LED Kaca 30 cm Buah 95 49,500 4,702,500 25 Buah
30 Rak Tabung LED Nesco Unit 495,000 - 1 Unit
31 Timer Digital Unit 100,100 - 1 Unit
32 Pot 50 mL Buah 1,100 - 500 Buah
33 Pot 100 mL Buah 1,485 - 1000 Buah
34 Ose Buah 21,450 - 5 Buah
35 Tourniquet Buah 28,600 - 3 Buah
36 Na. Citrat, 100 mL Botol 71,500 - 4 Botol
37 Reagen Widal S. Tiphy H, Fortress Vial 1 167,500 167,500 14 Vial
38 Reagen Widal S. Tiphy AH, Fortress Vial 5 167,500 837,500 8 Vial
39 Reagen Golongan Darah, Glory Vial 400,000 - 4 Vial
40 Slide Widal Akrilik 40 Hole Vial 105,000 - 1 Vial
41 Reagen Widal Salmonela AH, Glory Vial 105,000 - 3 Vial
42 Reagen Widal Salmonela AO, Glory Vial 105,000 - 3 Vial
43 Reagen Widal S.Tiphy O , Fortress Vial 11 167,500 1,842,500 3 Vial
44 Reagen Widal S.Tiphy AO , Fortress Vial 6 167,500 1,005,000 5 Vial
45 AccuCheck Performa 100 PCS 10 420,000 4,200,000 4 PCS
46 Asam Urat Botol 1 393,250 393,250 Botol
47 Glukosa Botol 1 187,000 187,000 Botol
48 HB Kit 1 1,200,000 1,200,000 Kit
18,933,450
maan Barang Persediaan Pengeluaran Barang Persediaan
Jumlah Harga Jumlah Satuan Harga Jumlah Harga Jumlah Satuan Jumlah Harga
Harga Satuan Barang Satuan Barang Harga Satuan
1,769,533 12,386,731 7 Box 1,608,000 11,256,000 0 Box 1,769,533 -
1,198,633 2,397,266 2 Botol 1,089,000 2,178,000 0 Botol 1,198,633 -
948,933 1,897,866 1.5 Serial 862,000 1,293,000 0.5 Serial 948,933 474,467
1,172,233 8,205,631 7 Botol 1,065,000 7,455,000 0 Botol 1,172,233 -
39,233 117,699 3 Roll 35,000 105,000 0 Roll 39,233 -
760,492 4,562,952 6 Kit 690,690 4,144,140 0 Kit 760,492 -
808,045 6,464,360 4 Botol 733,920 2,935,680 4 Botol 808,045 3,232,180
2,231,973 4,463,946 1.5 Kit 2,028,400 3,042,600 0.5 Kit 2,231,973 1,115,987
2,231,973 4,463,946 1 Kit 2,028,400 2,028,400 1 Kit 2,231,973 2,231,973
2,303,363 9,213,452 5 Kit 2,093,300 10,466,500 1 Kit 2,303,363 2,303,363
3,323,991 9,971,973 3 Kit 3,021,810 9,065,430 2 Kit 3,323,991 6,647,982
1,172,013 1,172,013 2 Kit 1,064,800 2,129,600 1 Kit 1,172,013 1,172,013
2,057,726 8,230,904 0.5 Kit 1,870,660 935,330 3.5 Kit 2,057,726 7,202,041
4,290,000 4,290,000 0.15 Kit 3,900,000 585,000 0.85 Kit 4,290,000 3,646,500
128,700 386,100 1 Botol 117,000 117,000 2 Botol 128,700 257,400
192,500 1,155,000 4 Pack 175,000 700,000 2 Pack 192,500 385,000
60,500 363,000 5 Box 55,000 275,000 1 Box 60,500 60,500
132,000 792,000 3 Box 120,000 360,000 3 Box 132,000 396,000
192,500 1,155,000 12 Box 175,000 2,100,000 6 Box 192,500 1,155,000
440,000 1,320,000 3 Kit 400,000 1,200,000 0 Kit 440,000 -
44,000 176,000 4 Pack 40,000 160,000 0 Pack 44,000 -
79,200 475,200 6 Pack 72,000 432,000 0 Pack 79,200 -
60,500 726,000 9 Botol 55,000 495,000 3 Botol 60,500 181,500
27,500 275,000 9 Pack 25,000 225,000 1 Pack 27,500 27,500
110,000 330,000 2.5 Pack 100,000 250,000 0.5 Pack 110,000 55,000
110,000 330,000 2.5 Pack 100,000 250,000 0.5 Pack 110,000 55,000
27,500 55,000 Botol 25,000 - 2 Botol 27,500 55,000
7,700 38,500 3 Buah 7,000 21,000 2 Buah 7,700 15,400
49,500 1,237,500 Buah 45,000 - 120 Buah 49,500 5,940,000
495,748 495,748 Unit 450,000 - 1 Unit 495,748 495,748
100,100 100,100 Unit 91,000 - 1 Unit 100,100 100,100
1,100 550,000 500 Buah 1,000 500,000 0 Buah 1,100 -
1,485 1,485,000 1000 Buah 1,350 1,350,000 0 Buah 1,485 -
21,450 107,250 Buah 19,500 - 5 Buah 21,450 107,250
28,600 85,800 1 Buah 26,000 26,000 2 Buah 28,600 57,200
71,500 286,000 4 Botol 65,000 260,000 0 Botol 71,500 -
121,000 1,694,000 12 Vial 110,000 1,320,000 3 Vial 121,000 363,000
121,000 968,000 10 Vial 110,000 1,100,000 3 Vial 121,000 363,000
440,000 1,760,000 1 Vial 400,000 400,000 3 Vial 440,000 1,320,000
115,500 115,500 1 Vial 105,000 105,000 0 Vial 115,500 -
115,500 346,500 3 Vial 105,000 315,000 0 Vial 115,500 -
115,500 346,500 2 Vial 105,000 210,000 1 Vial 115,500 115,500
121,000 363,000 11 Vial 110,000 1,210,000 3 Vial 121,000 363,000
121,000 605,000 8 Vial 110,000 880,000 3 Vial 121,000 363,000
840,000 3,359,998 14 Vial 763,636 10,690,904 0 Vial 840,000 -
432,575 - 1 Botol 393,250 393,250 0 Botol 432,575 -
205,700 - 1 Botol 187,000 187,000 0 Botol 205,700 -
1,320,000 - 0.7 Kit 1,200,000 840,000 0.3 Kit 1,320,000 396,000
99,321,435 83,991,834 40,653,603
Lampiran :
DAFTAR PENERIMAAN DAN PENGELUARAN BARA

PADA DINAS KESEHATAN GARUT S/D 31 DES
5 PERSEDIAAN BAHAN LINEN
Penerimaan Barang Persediaan
Tahun 2018
NO NAMA BARANG SATUAN
Jumlah Jumlah Jumlah Satuan
Barang Harga Satuan Harga Barang
1 Bantal Pcs 3 25,000 75,000 11 Pcs
2 Selimut Polos Pcs 0 130,000 - 8 Pcs
3 Selimut Salur Pcs 0 70,000 - 6 Pcs
4 Sepray Pcs 0 130,000 - 4 Pcs
5 Bendera Pcs 0 25,000 - 1 Pcs
6 Sarung Bantal Pcs 0 9,800 - 12 Pcs
7 Perlak Karet Pcs 0 120,000 - 10 Pcs
8 Pigura Buah 0 22,000 - 60 Buah
9 Namplet Buah 0 3,500 - 7 Buah
10 Mangkok Melamin Buah 0 12,000 - 6 Buah
11 Cangkir Melanin Buah 0 9,500 - 4 Buah
12 Kit Ori Buah 0 37,000 - 5 Buah
13 Tampah Buah 0 20,000 - 2 Buah
14 Terminal Listrik Pcs 0 30,000 - 1 Pcs
15 Keranjang Obat Pcs 0 5,000 - 3 Pcs
16 Rak sepatu Plastik Pcs 0 150,000 - 2 Pcs
17 Kertas lakmus Pak 0 19,000 - 2 Pak
18 Corong Kaca Lab Pcs 0 35,000 - 1 Pcs
19 Celemet Set Pcs 0 45,900 - 1 Pcs
20 sendok Pcs 0 11,000 - 1 Pcs
21 Kitchen ware/lap Panci Pcs 0 4,500 - 2 Pcs
22 Keranjang Rol Pcs 0 113,000 - 4 Pcs
23 USB Chargerh Pcs 0 100,000 - 4 Pcs
24 Panci tutup butreply pcs 0 46,500 - 2 pcs
25 centong Pcs 0 17,500 - 1 Pcs
26 Telenan Pcs 0 11,000 - 1 Pcs
27 Keranjang susun Pcs 0 51,000 - 7 Pcs
28 Piring Tamu Melamin Pcs 0 42,000 - 6 Pcs
29 Piring lodor Tamu melamin Pcs 0 23,000 - 3 Pcs
30 Setrika Pcs 0 281,000 - 1 Pcs
31 Meja setrika Pcs 0 269,000 - 1 Pcs
32 Tongkat Pasang Lampu Pcs 0 98,000 - 2 Pcs
33 Bok MDR besar Pcs 0 44,900 - 2 Pcs
34 Bok MDR Kecil Pcs 0 22,900 - 3 Pcs
35 Lap gantung handuk Pcs 0 21,000 - 4 Pcs
36 Panci Presto Kecil Pcs 0 - - 0 Pcs
37 Wajan Teplon Pcs 0 - - 0 Pcs
38 Toples Pcs - - Pcs
JUMLAH TOTAL 75,000 -
AAN DAN PENGELUARAN BARANG PERSEDIAAN
KESEHATAN GARUT S/D 31 DESEMBER 2018
enerimaan Barang Persediaan Pengeluaran Barang Persediaan

Jumlah Jumlah Harga Jumlah
Satuan Jumlah Harga
Harga Satuan Harga Barang Satuan Barang Harga Satuan
25,000 275,000 9 Pcs 25,000 225,000 5 25,000
130,000 1,040,000 8 Pcs 130,000 1,040,000 0 130,000
70,000 420,000 3 Pcs 70,000 210,000 3 70,000
130,000 520,000 1 Pcs 130,000 130,000 3 130,000
25,000 25,000 1 Pcs 25,000 25,000 0 25,000
9,800 117,600 12 Pcs 9,800 117,600 0 9,800
120,000 1,200,000 7 Pcs 120,000 840,000 3 120,000
22,000 1,320,000 51 Buah 22,000 1,122,000 9 22,000
3,500 24,500 1 Buah 3,500 3,500 6 3,500
12,000 72,000 6 Buah 12,000 72,000 0 12,000
9,500 38,000 4 Buah 9,500 38,000 0 9,500
37,000 185,000 0 Buah 37,000 - 5 37,000
20,000 40,000 0 Buah 20,000 - 2 20,000
30,000 30,000 0 Pcs 30,000 - 1 30,000
5,000 15,000 3 Pcs 5,000 15,000 0 5,000
150,000 300,000 2 Pcs 150,000 300,000 0 150,000
19,000 38,000 0 Pak 19,000 - 2 19,000
35,000 35,000 0 Pcs 35,000 - 1 35,000
45,900 45,900 1 Pcs 45,900 45,900 0 45,900
11,000 11,000 1 Pcs 11,000 11,000 0 11,000
4,500 9,000 1 Pcs 4,500 4,500 1 4,500
113,000 452,000 4 Pcs 113,000 452,000 0 113,000
100,000 400,000 4 Pcs 100,000 400,000 0 100,000
46,500 93,000 1 pcs 46,500 46,500 1 46,500
17,500 17,500 0 Pcs 17,500 - 1 17,500
11,000 11,000 1 Pcs 11,000 11,000 0 11,000
51,000 357,000 7 Pcs 51,000 357,000 0 51,000
42,000 252,000 0 Pcs 42,000 - 6 42,000
23,000 69,000 0 Pcs 23,000 - 3 23,000
281,000 281,000 1 Pcs 281,000 281,000 0 281,000
269,000 269,000 1 Pcs 269,000 269,000 0 269,000
98,000 196,000 0 Pcs 98,000 - 2 98,000
44,900 89,800 2 Pcs 44,900 89,800 0 44,900
22,900 68,700 3 Pcs 22,900 68,700 0 22,900
21,000 84,000 3 Pcs 21,000 63,000 1 21,000
- - 0 Pcs - - 0 -
- - 0 Pcs - - 0 -
- - Pcs - - -
8,401,000 - 6,237,500
er 31 Agustus 2018
Jumlah
Harga
125,000
-
210,000
390,000
-
-
360,000
198,000
21,000
-
-
185,000
40,000
30,000
-
-
38,000
35,000
-
-
4,500
-
-
46,500
17,500
-
-
252,000
69,000
-
-
196,000
-
-
21,000
-
-
-
2,238,500
Lampiran : alat pembersih
DAFTAR PENERIMAAN DAN PENGELUARAN BARAN

PADA DINAS KESEHATAN GARUT S/D 31 Dese
6 PERSEDIAAN BAHAN PEMBERSIH DADN ALAT KEBERSIHAN
No Nama Barang Satuan Saldo Per 31 Desember 2017 Penerimaan Barang Persedia
Tahun 2018
Jml Harga Jml Jml Satuan Harga
Barang Satuan Harga Barang Barang Satuan
1 bak sampah Besar Pcs 1 45,000 45000 10 Pcs 105,000
2 ember Pcs 0 17,500 0 6 Pcs 40,000
3 sapu lantai Pcs 0 15,000 0 12 Pcs 30,000
4 super mop Pcs 0 15,000 0 4 Pcs 285,000
5 sapu lidi Pcs 0 7,500 0 6 Pcs 25,000
6 lap Pcs 0 5,400 0 12 Pcs 4,000
7 gayung Pcs 0 11,500 0 6 Pcs 10,000
8 rinso/Daia Pcs 0 15,500 0 48 Pcs 15,500
9 sunligh Pcs 0 13,700 0 24 Pcs 13,900
10 pewangi ruangan/glade Pcs 0 8,050 0 12 Pcs 8,050
11 sabun cuci tangan/Hand Soap Pcs 0 7,150 0 24 Pcs 7,150
12 pewangi wc Pcs 0 12,800 0 12 Pcs 16,000
13 tisu Pcs 8 9,500 76000 192 Pcs 9,750
14 tisu pengesat Pcs 0 15,000 0 120 Pcs 16,750
15 sandal pasien Pcs 163 4,000 652000 2430 Pcs -
16 Pewangi pakaian Pcs 0 22,600 0 24 Pcs 22,600
17 Isi ulang pewangi ruangan/stela matic Pcs 0 32,125 0 24 Pcs 32,125
18 Antis Pcs 0 2,600 0 24 Pcs 4,550
19 Bayclin Pcs 0 12,400 0 24 Pcs 12,950
20 Tusuk sate Pcs 0 3,900 0 12 Pcs 3,900
21 Tusuk gigi Isi 100 Pcs 0 6,500 0 6 Pcs 6,500
22 Soklin Pemutih Pcs 0 7,750 0 24 Pcs 7,750
23 Bayclin Pcs 0 12,400 0 0 Pcs 12,950
24 Klinpak Cling Warp Reftil/plastik makanan Rol 0 15,000 0 42 Rol 15,000
25 Pewangi Wc Stella Pcs 0 7,700 0 24 Pcs 7,700
26 Pewangi Wc swaloww Pcs 0 20,600 0 24 Pcs 20,600
27 HIT anti Nyamuk Pcs 0 35,600 0 12 Pcs 35,600
28 Pawangi Ruangan Wc Wipol Pcs 0 13,250 0 12 Pcs 13,250
29 Pewangi Ruangan Wc supersol Pcs 0 10,800 0 12 Pcs 10,800
30 Alas Cuci Piring Pcs 0 5,700 0 3 Pcs 5,700
31 Alas Cuci Piring Plitex Pcs 0 6,100 0 5 Pcs 6,100
32 Lap Serbaguna Pcs 0 13,000 0 13 Pcs 5,000
33 Lap Dapur Pcs 0 5,500 0 3 Pcs 5,500
34 Cling Pembersih Kaca Pcs 0 7,900 0 24 Pcs 7,900
35 Stela aero hypo/seprot Pcs 0 16,900 0 24 Pcs 16,900
36 Stella biasa pewangi ruangan Pcs 0 18,700 0 12 Pcs 18,700
37 Glade pewangi Ruangan Pcs 0 19,550 0 12 Pcs 20,950
38 Stella biasa pewangi ruangan Pcs 0 7,700 0 12 Pcs 7,700
39 Kamper Wc Pcs 0 15,592 0 12 Pcs 15,592
40 Mama Lemon Pcs 0 13,550 0 12 Pcs 13,750
Tahun 2018
41 Tisu Multi Pcs 0 23,750 0 12 Pcs 23,750
42 Kanebo Besar Pcs 0 24,900 0 4 Pcs 24,900
43 Kanebo Kecil Pcs 0 14,900 0 9 Pcs 14,900
44 Kesed Karet Pcs 0 18,000 0 8 Pcs 18,000
45 Kesed Kain Pcs 0 12,000 0 2 Pcs 12,000
46 Kesed Handuk Pcs 0 25,000 0 8 Pcs 25,000
47 Hanger Mawar Hit Pcs 0 17,000 0 6 Pcs 14,800
48 Sanitaizer Kompan Kompan 0 97,500 0 6 Kompan 285,000
49 Sanitaizer Botol Kecil Botol 0 70,895 0 3 Botol 4,550
50 Gel EKG/USG Botol 0 30,000 773,000 13 Botol 30000
PENGELUARAN BARANG PERSEDIAAN
AN GARUT S/D 31 Desember 2018
maan Barang Persediaan Pengeluaran Barang Persediaan Saldo Per 31 Agustus 2018
Tahun 2018
Nilai Jml Satuan Harga Nilai Jml Harga Nilai
Total Barang Barang Satuan Total Barang Satuan Total
1,050,000 11 Pcs 105,000 1,155,000 0 105,000 -
240,000 5 Pcs 40,000 200,000 1 40,000 40,000
360,000 8 Pcs 30,000 240,000 4 30,000 120,000
1,140,000 4 Pcs 285,000 1,140,000 0 285,000 -
150,000 3 Pcs 25,000 75,000 3 25,000 75,000
48,000 3 Pcs 4,000 12,000 9 4,000 36,000
60,000 4 Pcs 10,000 40,000 2 10,000 20,000
744,000 40 Pcs 15,500 620,000 8 15,500 124,000
333,600 23 Pcs 13,900 319,700 1 13,900 13,900
96,600 12 Pcs 8,050 96,600 0 8,050 -
171,600 21 Pcs 7,150 150,150 3 7,150 21,450
192,000 12 Pcs 16,000 192,000 0 16,000 -
1,872,000 178 Pcs 9,750 1,735,500 22 9,750 214,500
2,010,000 104 Pcs 16,750 1,742,000 16 16,750 268,000
- 421 Pcs - - 2172 - -
542,400 23 Pcs 22,600 519,800 1 22,600 22,600
771,000 20 Pcs 32,125 642,500 4 32,125 128,500
109,200 21 Pcs 4,550 95,550 3 4,550 13,650
310,800 18 Pcs 12,950 233,100 6 12,950 77,700
46,800 9 Pcs 3,900 35,100 3 3,900 11,700
39,000 0 Pcs 6,500 - 6 6,500 39,000
186,000 22 Pcs 7,750 170,500 2 7,750 15,500
- 0 Pcs 12,950 - 0 12,950 -
630,000 42 Rol 15,000 630,000 0 15,000 -
184,800 18 Pcs 7,700 138,600 6 7,700 46,200
494,400 21 Pcs 20,600 432,600 3 20,600 61,800
427,200 12 Pcs 35,600 427,200 0 35,600 -
159,000 11 Pcs 13,250 145,750 1 13,250 13,250
129,600 11 Pcs 10,800 118,800 1 10,800 10,800
17,100 1 Pcs 5,700 5,700 2 5,700 11,400
30,500 2 Pcs 6,100 12,200 3 6,100 18,300
65,000 7 Pcs 5,000 35,000 6 5,000 30,000
16,500 0 Pcs 5,500 - 3 5,500 16,500
189,600 23 Pcs 7,900 181,700 1 7,900 7,900
405,600 24 Pcs 16,900 405,600 0 16,900 -
224,400 12 Pcs 18,700 224,400 0 18,700 -
251,400 10 Pcs 20,950 209,500 2 20,950 41,900
92,400 12 Pcs 7,700 92,400 0 7,700 -
187,100 8 Pcs 15,592 124,733 4 15,592 62,367
165,000 12 Pcs 13,750 165,000 0 13,750 -
Tahun 2018
285,000 12 Pcs 23,750 285,000 0 23,750 -
99,600 2 Pcs 24,900 49,800 2 24,900 49,800
134,100 6 Pcs 14,900 89,400 3 14,900 44,700
144,000 6 Pcs 18,000 108,000 2 18,000 36,000
24,000 1 Pcs 12,000 12,000 1 12,000 12,000
200,000 6 Pcs 25,000 150,000 2 25,000 50,000
88,800 5 Pcs 14,800 74,000 1 14,800 14,800
1,710,000 6 Kompan 285,000 1,710,000 0 285,000 -
13,650 3 Botol 4,550 13,650 0 4,550 -
390,000 12 Botol 30,000 360,000 1 30,000 30,000
7 PERSEDIAAN BAHAN MEDIS HABIS PAKAI
Penerimaan Barang Persediaan
SATUAN Tahun 2018
1 ADS 0.05 ml Buah - Buah

2 ADS 0.5 ml Buah - Buah
3 ADS 5 ml Buah - Buah
4 Alat Suntik Sekali Pakai 1ml Set 170 650.00 110,500.00 Set
5 - 2,000 - 787.00
6 Alat Suntik Sekali Pakai 3 ml Set - 10,000 Set 827.00
7 Alat Suntik Sekali Pakai 5 ml Set - 4,000 Set 928.00
8 Alkohol Swab Buah - Buah
9 Bisturi Buah - Buah
10 Blood set Set - Set
11 Catgut/Benang Bedah No.2/0 dengan jarum bedah Set 195 5,583.33 1,088,749.35 Set
12 Catgut/Benang Bedah No.3/0 dengan jarum bedah Set 138 5,583.33 770,499.54 Set
13 Folley Catheter No.18 Kantong - 150 Kantong 8,240.00
14 Infusion set anak 1,000 3,500.00 3,500,000.00 -
15 Kantong - 500 Kantong 3,605.00
16 Infusion set dewasa Kantong - 2,500 Kantong 3,296.00
17 IV Catheter No.18 Set - Set
18 IV Catheter No.20 Set - 2,000 Set 3,914.00
19 IV Catheter No.22 Set 256 3,800.00 972,800.00 Set
20 IV Catheter No.24 Set 306 3,800.00 1,162,800.00 Set
21 Jarum kulit Buah - Buah
22 Jarum otot Buah - Buah
23 Kaca Slide Buah - Buah
24 Kantung mayat Set - Set
25 Kapas Pembalut/absorben 250 mg Roll - 24 Roll 12,875.00
26 Kasa Hidrofil 2x80 Roll 193 7,700.00 1,486,100.00 Roll
27 Kasa Hidrofil Steril 16 X 16 Roll - Roll
28 Kasa Pembalut Hidrofil 4 X 10 cm Roll 90 1,500.00 135,000.00 Roll
29 Kasa Pembalut hidrofil 4 x 5 cm Roll 100 750.00 75,000.00 Roll
30 Kassa Pembalut elastic 4 inchi Roll - Roll
31 Masker Tie on Buah - 3,000 Buah 339.90
32 Masker N-95 Buah - Buah
33 Plester 5 yard x 2 inch Roll - 10 Roll 31,265.00
34 Polybag Medis Buah - Buah
35 Polybag Nonmedis Buah - Buah
36 Polybag Ramah Lingkungan Buah - Buah
37 Pot Dahak Buah - Buah
38 Safety box Buah - Buah
39 Sarung Tangan Non Steril Uk.S Buah - Buah
40 Sarung Tangan Non Steril Uk.M Buah - 3,000 Buah 366.89
41 Sarung Tangan Non Steril Uk.L Buah - Buah
42 Sarung Tangan Steril No.6 Set - Set
43 Sarung Tangan Steril No.6,5 Set - 100 Set 4,305.40
44 Sarung Tangan Steril No.7 Set - Set
45 Sendok Obat Buah - Buah
46 Silk (Benang Bedah Sutera) No.2/0 Dengan Jarum Bedah Set - 180 Set 3,147.22
47 Urin Bag Set - 150 Set 4,290.00
48 Metoclorpramide 1omg Tablet - 5,000 Tablet 80.00
49 Pantoprazole Vial - 100 Vial 30,000.00
50 Piracetam inj Ampul - 30 Ampul 15,675.00
51 ID Patien Dewasa blue Buah - 1,200 Buah 850.00
52 ID Patien Dewasa pink Buah - 1,200 Buah 850.00
53 Paracetamol Inf Botol - 25 Botol 30,000.00
54 Hidroclorotiazid 10mg Tablet - 1,000 Tablet 155.00
55 Metronidazole susp Botol - 150 Botol 3,950.00
56 Turpan drop Botol - 250 Botol 7,500.00
57 Corsaneuron Tablet - 7,200 Tablet 417.45
58 NRM Dewasa Buah - 25 Buah 25,379.20
59 NRM Anak Buah - 25 Buah 25,379.20
60 Lansoprazole Kapsul - 2,000 Kapsul 303.00
61 IV Cath No.26 set - 200 set 4,223.00
62 Spuit 10 cc set - 2,000 set 1,128.00
63 sandal pasien Buah 4,450.00 - 2,400 Buah 4,450.00
64 kantong obat Buah 3,850.00 - 100 Buah 30,000.00
65 FALLEY CATETER NO.16 Buah 15,000 - 50 Buah 29,000
66 MASKER KAIN Buah 5,000 - 25 Buah 30,000
67 MICROPOSE I/2 Buah 10,000 - 1,000 Buah 5,500
68 PLASTER 3/4 Roll 60,000 - 150 Roll 9,950
69 PLASTER GULUNG KECIL Roll 5,000 - 250 Roll 9,500
70 ST. MPM NO. 6 1/2 Buah 6,000 - 25 Buah 35,379
71 Plastik Obat Besar cap Uk 9 x13 buah 35 - 36,000 buah 35
72 Plastik Kantong Obat/Putih Cap buah 51 - 26,700 buah 51
73 Plastik Sampah/putih uk 50x75 Pcs 31,150 - 24 Pcs 31,150
74 Plastik sampah/hitam uk 60x100 Pcs 27,000 - 2 Pcs 27,000
75 Kantong Plastik Cap anggur uk 24 Pcs 5,790 - 25 Pcs 5,790
76 kantong Plastik Cap Daun Kuning Uk 24 Pcs 5,050 - 40 Pcs 5,050
77 Kantong Plastik Cap Kelapa uk 30 Pcs 9,650 - 35 Pcs 9,650
78 Plastik Obat Kecil Uk 10x7 cm cap Buah 32 - 34,600 Buah 32
79 Plastik Sampah Kuning Pak 3,850 - 1,000 buah 3,850
80 Plastik Obat uk 9X13 Polos Pak 3,900 150 Pak 3,900
81 Plastik Obat uk 7X10 Polos Pak 3,900 200 Pak 3,900
82 Kantong Plastik Obat Polos Pak 5,790 150 Pak 5,790
83 Kantong Plastik Hitam Uk 50 Pak 11,970 5 Pak 11,970
75 0 -
76 -
77 -
78 9,301,448.89 -
`
arang Persediaan Pengeluaran Barang Persediaan
n 2018 Tahun 2018
- - Buah - - - - -
- - Buah - - - - -
- - Buah - - - - -
- 170 Set 650.00 110,500.00 - 650.00 -
1,574,000.00 - - 787.00 - 2,000 787.00 1,574,000.00
8,270,000.00 2,309 Set 827.00 1,909,543.00 7,691 827.00 6,360,457.00
3,712,000.00 - Set 928.00 - 4,000 928.00 3,712,000.00
- - Buah - - - - -
- - Buah - - - - -
- - Set - - - - -
- 123 Set 5,583.33 686,749.59 72 5,583.33 401,999.76
- 87 Set 5,583.33 485,749.71 51 5,583.33 284,749.83
1,236,000.00 21 Kantong 8,240.00 173,040.00 129 8,240.00 1,062,960.00
- 700 - 3,500.00 2,450,000.00 300 3,500.00 1,050,000.00
1,802,500.00 - Kantong 3,605.00 - 500 3,605.00 1,802,500.00
8,240,000.00 330 Kantong 3,296.00 1,087,680.00 2,170 3,296.00 7,152,320.00
- - Set - - - - -
7,828,000.00 250 Set 3,914.00 978,500.00 1,750 3,914.00 6,849,500.00
- 56 Set 3,800.00 212,800.00 200 3,800.00 760,000.00
- 156 Set 3,800.00 592,800.00 150 3,800.00 570,000.00
- - Buah - - - - -
- - Buah - - - - -
- - Buah - - - - -
- - Set - - - - -
309,000.00 6 Roll 12,875.00 77,250.00 18 12,875.00 231,750.00
- 177 Roll 7,700.00 1,362,900.00 16 7,700.00 123,200.00
- - Roll - - - - -
- 90 Roll 1,500.00 135,000.00 - 1,500.00 -
- 100 Roll 750.00 75,000.00 - 750.00 -
- - Roll - - - - -
1,019,700.00 900 Buah 339.90 305,910.00 2,100 339.90 713,790.00
- - Buah - - - - -
312,650.00 10 Roll 31,265.00 312,650.00 - 31,265.00 -
- - Buah - - - - -
- - Buah - - - - -
- - Buah - - - - -
- - Buah - - - - -
- - Buah - - - - -
- - Buah - - - - -
1,100,658.00 1,400 Buah 366.89 513,640.40 1,600 366.89 587,017.60
- - Buah - - - - -
- - Set - - - - -
430,540.00 15 Set 4,305.40 64,581.00 85 4,305.40 365,959.00
- - Set - - - - -
- - Buah - - - - -
566,500.00 5 Set 3,147.22 15,736.11 175 3,147.22 550,763.89
643,500.00 57 Set 4,290.00 244,530.00 93 4,290.00 398,970.00
400,000.00 206 Tablet 80.00 16,480.00 4,794 80.00 383,520.00
3,000,000.00 6 Vial 30,000.00 180,000.00 94 30,000.00 2,820,000.00
470,250.00 28 Ampul 15,675.00 438,900.00 2 15,675.00 31,350.00
1,020,000.00 100 Buah 850.00 85,000.00 1,100 850.00 935,000.00
1,020,000.00 100 Buah 850.00 85,000.00 1,100 850.00 935,000.00
750,000.00 25 Botol 30,000.00 750,000.00 - 30,000.00 -
155,000.00 100 Tablet 155.00 15,500.00 900 155.00 139,500.00
592,500.00 3 Botol 3,950.00 11,850.00 147 3,950.00 580,650.00
1,875,000.00 24 Botol 7,500.00 180,000.00 226 7,500.00 1,695,000.00
3,005,640.00 330 Tablet 417.45 137,758.50 6,870 417.45 2,867,881.50
634,480.00 6 Buah 25,379.20 152,275.20 19 25,379.20 482,204.80
634,480.00 4 Buah 25,379.20 101,516.80 21 25,379.20 532,963.20
606,000.00 554 Kapsul 303.00 167,862.00 1,446 303.00 438,138.00
844,600.00 50 set 4,223.00 211,150.00 150 4,223.00 633,450.00
2,256,000.00 154 set 1,128.00 173,712.00 1,846 1,128.00 2,082,288.00 49,108,883
10,680,000.00 421 Buah 4,400.00 1,852,400.00 1,979 4,400.00 8,707,600.00
3,000,000.00 100 Buah 3,850.00 385,000.00 - 3,850.00 -
1,450,000.00 50 Buah 15,000 750,000.00 - 15,000 -
750,000.00 25 Buah 5,000 125,000.00 - 5,000 -
5,500,000.00 1,000 Buah 10,000 10,000,000.00 - 10,000 -
1,492,500.00 150 Roll 60,000 9,000,000.00 - 60,000 -
2,518,402.00 250 Roll 5,000 1,250,000.00 - 5,000 -
884,480.00 24 Buah 6,000 144,000.00 1 6,000 6,000.00
1,260,000 20,100 buah 35 703,500.00 15,900 35 556,500.00 20,100
1,360,365 25,900 buah 51 1,319,605.00 800 51 40,760.00
747,600 13 Pcs 26,300 341,900.00 11 26,300 289,300.00
54,000 2 Pcs 27,000 54,000.00 - 27,000 -
144,750 19 Pcs 5,650 107,350.00 6 5,650 33,900.00
202,000 32 Pcs 4,225 135,200.00 8 4,225 33,800.00
337,750 24 Pcs 9,650 231,600.00 11 9,650 106,150.00
1,107,200 34,600 Buah 32 1,107,200.00 - 32 -
3,850,000 300 buah 3,850 1,155,000.00 700 3,850 2,695,000.00
585,000 105 Pak 3,900 409,500.00 45 3,900 175,500.00
780,000 180 Pak 3,900 702,000.00 20 3,900 78,000.00
868,500 54 Pak 5,790 312,660.00 96 5,790 555,840.00
59,850 3 Pak 11,970 35,910.00 2 11,970 23,940.00
-
-
-
91,941,395.00 - 44,623,389.31 62,411,172.58
468,545.87 468,545.87
91,941,395
91,941,395
0.00
0.00
Lampiran :

8 PERSEDIAAN BAHAN DAN ALAT RADIOLOGI
No Nama Barang SATUAN BARANG
Saldo Per 31 Desember 2017 Penerimaan Barang Per
Tahun 2018
Jml Harga Jml
Barang Satuan Harga
2 Kertas USG Pak 10 286,000 2,860,000
3 Kertas USG Pak
Penerimaan Barang Persediaan Pengeluaran Barang Persediaan Saldo Per 31 Agustus 2018
15 Pak 298,767 4,481,505 10 Pak 298,767 2,987,670 15
10 Pak 362,020 3,620,200 10 Pak 362,020 3,620,200 -
261,000 3,620,200 362,020

175000 4,481,500 298,767
436,000 8,101,700
27 298,767 8,066,700
er 31 Agustus 2018
Harga Nilai
Satuan Total
298,767 4,481,505
362,020 -

9 PERSEDIAAN BAHAN BAKAR
Tahun 2018
1 Bahan bakar Minyak/Gas liter 15 7,800 117000 2948.718 liter 7,800
Tahun 2018
23,000,000 2940 liter 7,800 22,932,000 23.718 7,800 185,000

10 PERSEDIAAN BAHAN BAKAR DAPUR/PANTRY
Tahun 2018
1 Pengisian isi tabung gas Tabung 1 30,000 30000 12 Tabung 30,000
Tahun 2018
360,000 12 Tabung 30,000 360,000 1 70,000 70,000
Lampiran : Benda Pos dan Pengiriman

11 PERSEDIAAN BENDA POS DAN PENGIRIMAN
Tahun 2018
1 Materai 600 buah 1 6,000 6000 1250 buah 6,000
Tahun 2018
7,500,000 1250 buah 6,000 7,500,000 1 6,000 6,000
Lampiran : Pengisian bhp dan Oksigen
DAFTAR PENERIMAAN DAN PENGELUARAN BAR

PADA DINAS KESEHATAN GARUT S/D 31 D
12 PERSEDIAAN BHP RUANGAN DAN OKSIGEN
Tahun 2018
1 Pengisian Oksigen Tabung Besar Tabung 1 82,000 82,500 393 Tabung 82,500

Tahun 2018
32,422,500 387 Tabung 82,500 31,927,500 7 82,500 577,500
LAMPIRAN BERITA ACARA STOK OPNAME
PERSEDIAAN OBAT DAN PERBEKALAN KESEHATAN (BARANG PKM)
TAHUN 2018
13
PERSEDIAAN AWAL PENERIMAAN PENYALURAN SISA STOK
NO NAMA OBAT SATUAN
HARGA HARGA
VOLUME JUMLAH HARGA VOLUME JUMLAH HARGA VOLUME HARGA SATUAN JUMLAH HARGA VOLUME HARGA SATUAN JUMLAH HARGA
SATUAN SATUAN
1 Albendazol Tablet 400 mg Tablet - - - - -

2 Alopurinol Tablet 100 mg Tablet 2,026 90.00 182,340.00 - 2,026 90.00 182,340.00 - 90.00 -
3 Aminofilin Inj 24 mg/ml-10 ml Ampul - - - - -
4 Aminofilin Tablet 200 mg Tablet 500 90.00 45,000.00 - 500 90.00 45,000.00 - 90.00 -
5 Amitriptilina HCl Tablet salut 25 mg Tablet 847 143.00 121,121.00 143.00 - 188 143.00 26,884.00 659 143.00 94,237.00
Tablet 3,167 85.00 269,195.00 - 3,167 85.00 269,195.00 - 85.00 -

6 Amlodipin Tablet 5 mg
- 9,900 70.00 693,000.00 5,753 70.00 402,710.00 4,147 70.00 290,290.00
Tablet 24,853 232.00 5,765,896.00 - 24,853 232.00 5,765,896.00 - 232.00 -
7 Amoksisilin Kaplet 500 mg
- 40,000 286.00 11,440,000.00 30,453 286.00 8,709,558.00 9,547 286.00 2,730,442.00
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol 1,000 1,881.00 1,881,000.00 1,881.00 - 1,000 1,881.00 1,881,000.00 - 1,881.00 -
Tablet 21,574 62.00 1,337,588.00 - 21,574 62.00 1,337,588.00 - 62.00 -
9 Antasida DOEN I Tablet Kunyah
- 60,000 54.00 3,240,000.00 8,040 54.00 434,160.00 51,960 54.00 2,805,840.00
10 Antasida II Suspensi 60 ml Botol - 600 1,995.00 1,197,000.00 297 1,995.00 592,515.00 303 1,995.00 604,485.00
11 Anti Hemmoroid DOEN Supp 226 3,045.00 688,170.00 3,045.00 - 200 3,045.00 609,000.00 26 3,045.00 79,170.00
12 Antibakteri DOEN Tube - - - - -
13 Antifungi DOEN kombinasi Pot 172 4,158.00 715,176.00 4,158.00 - 146 4,158.00 607,068.00 26 4,158.00 108,108.00
14 Antimigren DOEN Tablet - - - - -
15 Aqua Pro Inj steril bebas pirogen- 20 ml Vial - 700 2,295.00 1,606,500.00 560 2,295.00 1,285,200.00 140 2,295.00 321,300.00
16 ARV: Efavirenz 600 mg Tablet - - - - -
17 ARV: Lamivudine 150 mg Tablet - - - - -
18 ARV: Lovinapir 200 mg Ronavir Tablet - - - - -
19 ARV: Nevirapine 200 mg Tablet - - - - -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet - - - - -
21 ARV: Tenofovir 300 mg Tablet - - - - -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet - - - - -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet - - - - -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal) Tablet - 1,000 99.00 99,000.00 99.00 - 1,000 99.00 99,000.00
Tablet 2,969 95.00 282,055.00 - 2,969 95.00 282,055.00 - 95.00 -
25 Asam Askorbat (VIT C) Tablet 50 mg
- 10,000 105.00 1,050,000.00 7,330 105.00 769,650.00 2,670 105.00 280,350.00
26 Asam Folat Tablet 0,4 mg Tablet - - - - -
27 Asam Mefenamat kaplet 500 mg Tablet 6,848 100.00 684,800.00 100.00 - 6,848 100.00 684,800.00 - 100.00 -
28 Asiklovir Krim 5%/5g Tube - - - - -
29 Asiklovir Tablet 400 mg Tablet - 1,000 380.00 380,000.00 140 380.00 53,200.00 860 380.00 326,800.00
30 Atapulgit Tablet 600 mg Tablet - 7,500 136.00 1,020,000.00 1,033 136.00 140,488.00 6,467 136.00 879,512.00
31 Atropin Sulfat Inj 0,25 mg/ml Ampul - - - - -
32 Azithromisin Tablet 500 mg Tablet - - - - -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial - - - - -
34 Betahistin Tablet 6 mg Tablet - - - - -
35 Betametason Krim 0.1 % Tube 2,453 1,380.00 3,385,140.00 1,380.00 - 2,433 1,380.00 3,357,540.00 20 1,380.00 27,600.00
36 Bisoprolol Tablet 5 mg Tablet - - - - -
37 Bromheksin Tablet 8 mg Tablet - - - - -
38 Clobazam Tablet 10 mg Tablet - - - - -
39 Clozapine Tablet 25 mg Tablet - - - - -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Tablet - - - - -
Ampul 200 1,540.00 308,000.00 1,540.00 - 200 1,540.00 308,000.00 - 1,540.00 -
41 Deksametason Inj 5 mg/ml-1 ml
- 700 1,097.00 767,900.00 366 1,097.00 401,502.00 334 1,097.00 366,398.00
Tablet 2,123 41.00 87,043.00 - 2,123 41.00 87,043.00 - 41.00 -
42 Deksametason Tablet 0,5 mg
- 15,000 32.00 480,000.00 5,943 32.00 190,176.00 9,057 32.00 289,824.00
43 Dekstrometorfan Tablet kombinasi Tablet - - - - -
44 Dektrometorfan Sirup kombinasi Botol - - - - -
45 Devitalisasi Pasta Botol - - - - -
46 Dextrose Inj 40% Vial - - - - -
47 Diazepam Inj 5 mg/ml-2 ml Ampul - - - - -
Tube 15 11,517.00 172,755.00 - 15 11,517.00 172,755.00 - 11,517.00 -
48 Diazepam Rectal 5 mg/2,5 ml
- 30 12,573.00 377,190.00 5 12,573.00 62,865.00 25 12,573.00 314,325.00
49 Diazepam Tablet 2 mg Tablet - - - - -
Ampul 20 1,176.00 23,520.00 - 20 1,176.00 23,520.00 - 1,176.00 -
50 Difenhidramin Inj 10 mg/ml
- 300 1,095.00 328,500.00 168 1,095.00 183,960.00 132 1,095.00 144,540.00
51 Digoksin Tablet 0,25 mg Tablet 139 105.00 14,595.00 105.00 - 139 105.00 14,595.00 - 105.00 -
52 Dimenhidrinat Tablet 50 mg Tablet - - - - -
53 Doksisilin Tablet 100 mg Tablet - - - - -
54 Domperidon Suspensi 5mg/5ml Botol 259 3,333.00 863,247.00 3,333.00 - 259 3,333.00 863,247.00 - 3,333.00 -
55 Domperidon Tablet 10 mg Tablet 9,664 95.00 918,080.00 95.00 - 5,519 95.00 524,305.00 4,145 95.00 393,775.00
56 Endometason Tablet - - - - -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul 100 1,749.00 174,900.00 1,749.00 - 84 1,749.00 146,916.00 16 1,749.00 27,984.00
58 Eritromisin Kapsul 250 mg Kapsul - - - - -
60 Eritromisin Sirup 200 mg/5 ml Botol - - - - -
61 Etakridin Larutan 0,1 % Botol 12 3,000.00 36,000.00 3,000.00 - 12 3,000.00 36,000.00 - 3,000.00 -
62 Etanol 70 %- 1000 ml Botol - - - - -
63 Etil Klorida Spray Botol - - - - -
64 Eugenol Cairan Botol - - - - -
643 152.00 97,736.00 - 643 152.00 97,736.00 - 152.00 -
65 Fenitoin Natrium Kapsul 100 mg Kapsul
- 4,000 158.00 632,000.00 496 158.00 78,368.00 3,504 158.00 553,632.00
66 Fenobarbital Tablet 30 mg Tablet - - - - -
67 Fenoksimetil Penisilin Tablet 500 mg Tablet - - - - -
707 634.00 448,238.00 - 707 634.00 448,238.00 - 634.00 -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet
- 1,000 710.00 710,000.00 357 710.00 253,470.00 643 710.00 456,530.00
69 Fitomenadion(Vit K1) Inj 2 mg/ml Ampul 240 3,550.00 852,000.00 - 3,550.00 - 240 3,550.00 852,000.00
70 Fluconazol Tablet 150 mg Tablet - - - - -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul - - - - -
72 Formokresol Cair Botol - - - - -
391 78.00 30,498.00 - 391 78.00 30,498.00 - 78.00 -
73 Furosemid Tablet 40 mg Tablet
- 2,000 77.00 154,000.00 737 77.00 56,749.00 1,263 77.00 97,251.00
74 Garam Oralit I Serbuk Sachet 2,500 260.00 650,000.00 - 2,500 260.00 650,000.00 - 260.00 -
75 Gentamisin Inj 40 mg/ml (Sulfat) Ampul 183 3,083.00 564,189.00 - 183 3,083.00 564,189.00 - 3,083.00 -
76 Gentamisin Salep Kulit 0,1% Tube - - - - -
77 Glass Ionomer Cement Botol - - - - -
78 Glibenklamid Tablet 5 mg Tablet - 7,000 119.00 833,000.00 119.00 - 7,000 119.00 833,000.00
79 Gliseril Guaiakolat Tablet 100 mg Tablet - - - - -
80 Glukosa Larutan Infus 5% steril Botol 80 6,900.00 552,000.00 - 20 6,900.00 138,000.00 60 6,900.00 414,000.00
81 Griseofulvin Tablet 125 mg Micronized Botol 231 219.00 50,589.00 - 167 219.00 36,573.00 64 219.00 14,016.00
82 Haloperidol 5 mg Tablet 700 96.00 67,200.00 - 10 96.00 960.00 690 96.00 66,240.00
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul - - - - -
84 Haloperidol Inj 5 mg/ml Ampul - - - - -
85 Haloperidol Tablet 1,5 mg Tablet - - - - -
86 Hidrokortison Krim 2,5 % Tube 1,500 2,798.00 4,197,000.00 - 681 2,798.00 1,905,438.00 819 2,798.00 2,291,562.00
87 Hiosina butilbromida tab 10 mg Tablet - - - - -
Human Tetanus Imunoglobulin Im 250UI 9 170,000.00 1,530,000.00 - 9 170,000.00 1,530,000.00 - 170,000.00 -

88 Ampul
(Tetagam)
- 5 176,800.00 884,000.00 176,800.00 - 5 176,800.00 884,000.00
89 Ibuprofen Tablet 400 mg Tablet - 10,000 207.79 2,077,900.00 2,991 207.79 621,499.89 7,009 207.79 1,456,400.11
90 Isoniazid Tablet 100 mg Tablet - - - - -
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 279 88.00 24,552.00 - 155 88.00 13,640.00 124 88.00 10,912.00
92 Kalsium glukonat inj 100 mg/ml Ampul - - - - -
93 Kalsium hidroksida pasta Tube - - - - -
94 Kalsium Laktat (Kalk) Tablet 500 mg Tablet - - - - -
95 Kaptropil Tablet 25 mg Tablet 7,164 80.00 573,120.00 - 7,164 80.00 573,120.00 - 80.00 -
96 Karbamazepin Tablet 200 mg Tablet 500 228.00 114,000.00 - 24 228.00 5,472.00 476 228.00 108,528.00
97 Karbogliserin Tetes Telinga 10 % Botol - 100 2,590.00 259,000.00 17 2,590.00 44,030.00 83 2,590.00 214,970.00
98 Karbon aktif tab 0,5 mg Tablet - - - - -
99 Ketokonazol Tablet 200 mg Tablet 240 300.00 72,000.00 - 240 300.00 72,000.00 - 300.00 -
100 Ketoprofen Supp 100 mg Supp - - - - -
101 Kina Inj 26 % 2 ml Ampul - - - - -
102 Kina Tablet 222 mg Tablet - - - - -
103 Klindanmisin Tablet 300 mg Tablet - - - - -
104 Kloramfenikol Kapsul 250 mg Kapsul - - - - -
105 Kloramfenikol Kapsul 500 mg Kapsul - 4,500 1,090.00 4,905,000.00 1,730 1,090.00 1,885,700.00 2,770 1,090.00 3,019,300.00
106 Kloramfenikol Salep Kulit 2% Tube - - - - -
Tube 71 1,600.00 113,600.00 - 71 1,600.00 113,600.00 - 1,600.00 -
107 Kloramfenikol Salep Mata 1 %
- 500 1,881.00 940,500.00 249 1,881.00 468,369.00 251 1,881.00 472,131.00
108 Kloramfenikol Sirup 125 mg/5 ml Botol - - - - -
NO NAMA OBAT SATUAN

HARGA HARGA
SATUAN SATUAN
109 Kloramfenikol Tetes Mata 0.5% Botol - - - - -

110 Kloramfenikol Tetes telinga 3 % Botol - - - - -
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet 5,467 42.00 229,614.00 - 5,467 42.00 229,614.00 - 42.00 -
112 Klorpropmazin HCl Tablet salut 100 mg Tablet 178 162.00 28,836.00 - 178 162.00 28,836.00 - 162.00 -
Botol 440 2,120.00 932,800.00 2,120.00 - 433 2,120.00 917,960.00 7 2,120.00 14,840.00
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml
- 500 2,052.00 1,026,000.00 2,052.00 - 500 2,052.00 1,026,000.00
Tablet 3,209 151.00 484,559.00 - 3,209 151.00 484,559.00 - 151.00 -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg
- 5,000 125.00 625,000.00 125.00 - 5,000 125.00 625,000.00
Lidokain Inj Komp : Lidokain %+ Epinefrin 1 :
115 Ampul - - - - -
80000-2 ml
116 Lidokain Jelly 2 % Tube - - - - -
117 Lidokain Spray 10 % Botol - - - - -
118 Lisol Botol 9 41,000.00 369,000.00 - 9 41,000.00 369,000.00 - 41,000.00 -
119 Loratadin Tablet 10 mg Tablet - - - - -
120 Magnesium sulfat Inj (IV) 20 % Ampul - - - - -
121 Magnesium sulfat Inj (IV) 40 % Ampul - - - - -
122 MB Anak Blister - - - - -
123 MB Dewasa Blister - - - - -
124 Metformin HCl Tablet 500 mg Tablet 6,860 94.00 644,840.00 94.00 - 4,941 94.00 464,454.00 1,919 94.00 180,386.00
125 Metildopa Tablet 250 mg Tablet - - - - -
126 Metilergomatrin Maleat Inj 0,200 mg Ampul 475 2,684.00 1,274,900.00 - 285 2,684.00 764,940.00 190 2,684.00 509,960.00
Metilergometrin Maleat (Metilergometrin) Tablet
127 Tablet - 700 210.00 147,000.00 423 210.00 88,830.00 277 210.00 58,170.00
Salut 0,125 mg
128 Metilprednisolon Tablet 4 mg Tablet - 10,000 134.00 1,340,000.00 3,928 134.00 526,352.00 6,072 134.00 813,648.00
129 Metronidazol Tablet 500 mg Tablet 1,545 133.00 205,485.00 - 1,545 133.00 205,485.00 - 133.00 -
130 Mikonazol Krim/Salep 2% Tube 582 3,000.00 1,746,000.00 - 305 3,000.00 915,000.00 277 3,000.00 831,000.00
131 Mineral Mix Sachet - - - - -
132 Monoklorkamfer mentol cairan Botol - - - - -
133 Multivitamin + DHA + Lysin Sirup Botol - - - - -
134 Multivitamin + Mineral Kaplet Kaplet - - - - -
135 N-asetil sistein kaps 200 mg Kapsul - - - - -
136 Natrium Bikarbonat Tablet 500 mg Tablet - - - - -
137 Natrium Diklofenak Tablet 50 mg Tablet - 6,000 115.00 690,000.00 3,008 115.00 345,920.00 2,992 115.00 344,080.00
138 Natrium Hipoklorit 3% Botol - - - - -
139 Natrium Klorida Larutan Infus 0,9% FLS 200 6,410.00 1,282,000.00 - 100 6,410.00 641,000.00 100 6,410.00 641,000.00
140 Natrium Tiroksin Tablet 100 µg Tablet - - - - -
141 Nipedipin Tablet 10 mg Tablet - - - - -
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet - - - - -
143 Nistatin Tablet Vaginal 100.000 IU/g Tablet - - - - -
144 OAT FDC Katagori 1 Blister - - - - -
145 OAT FDC Katagori 2 Blister - - - - -
146 OAT FDC Kategori Anak Blister - - - - -
147 OAT FDC Kategori Sisipan Blister - - - - -
148 OAT Kombipak Kat I Blister - - - - -
149 Obat Batuk Hitam (OBH) Cairan Botol - - - - -
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul - - - - -
151 Omeprazol Kapsul 20 mg Kapsul - - - - -
152 Ondansetron Inj 4 mg/2 ml Ampul 336 2,400.00 806,400.00 - 336 2,400.00 806,400.00 - 2,400.00 -
153 Parasetamol Sirup 120 mg / 5ml Botol - 2,000 1,107.00 2,214,000.00 348 1,107.00 385,236.00 1,652 1,107.00 1,828,764.00
154 Parasetamol Tablet 500 mg Tablet - 140,000 53.00 7,420,000.00 25,140 53.00 1,332,420.00 114,860 53.00 6,087,580.00
155 PB Anak Blister - - - - -
156 PB Dewasa Blister - - - - -
157 Permetrin 5% Krim (Scabimite) Tube 98 12,155.00 1,191,190.00 - 98 12,155.00 1,191,190.00 - 12,155.00 -
Phenolphtalein, Paraffin Liquidum, Gliserin Sirup
158 Botol - - - - -
(Laxadin syr)
159 Piridoksin HCl (Vit B6) Tablet 10 mg Tablet - 10,000 123.00 1,230,000.00 8,635 123.00 1,062,105.00 1,365 123.00 167,895.00
160 Pirimetamin Tablet 25 mg Tablet - - - - -
161 Polikresulen (Albotyl) Botol 5 ml Botol - - - - -
162 Povidon Iodida 10 %-30 ml Botol - - - - -
163 Povidon Iodida 10 %-300 ml Botol 15 18,000.00 270,000.00 - 11 18,000.00 198,000.00 4 18,000.00 72,000.00
164 Prednison Tablet 5 mg Tablet - - - - -
165 Primakuin Tablet 15 mg Tablet - - - - -
Prokain Benzilpenisilin Serb Inj 3 juta UI/vial
166 Vial - - - - -
(i.m.)
167 Propanolol HCl Tablet 40 mg Tablet 1,900 106.00 201,400.00 - 1,900 106.00 201,400.00 - 106.00 -
168 Propiltiourasil Tablet 100 mg Tablet 1,500 319.00 478,500.00 - 500 319.00 159,500.00 1,000 319.00 319,000.00
169 Ranitidin Inj 25 mg/ml Ampul - - - - -
Tablet 1,751 98.00 171,598.00 - 1,751 98.00 171,598.00 - 98.00 -
170 Ranitidin Tablet 150 mg
- 15,000 105.00 1,575,000.00 10,059 105.00 1,056,195.00 4,941 105.00 518,805.00
171 Retinol (Vit A) Kapsul 100.000 IU Kapsul - - - - -
172 Retinol (VIT A) Kapsul 200.000 IU Kapsul - - - - -
173 Ringer Laktat Larutan Infus Steril FLS 3,180 7,150.00 22,737,000.00 8,000 7,150.00 57,200,000.00 5,000 7,150.00 35,750,000.00 6,180 7,150.00 44,187,000.00
174 Risperidon Tablet 2 mg Tablet - - - - -
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul 27 4,000.00 108,000.00 - 27 4,000.00 108,000.00 - 4,000.00 -
176 Salbutamol Tablet 4 mg Tablet 2,000 87.00 174,000.00 - 2,000 87.00 174,000.00 - 87.00 -
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % POT 871 2,429.00 2,115,659.00 - 336 2,429.00 816,144.00 535 2,429.00 1,299,515.00
178 Salisil Bedak 2 % Kotak 485 1,020.00 494,700.00 - 406 1,020.00 414,120.00 79 1,020.00 80,580.00
179 Sefadroksil Sirup 125 mg/5 ml Botol 563 4,746.00 2,671,998.00 - 368 4,746.00 1,746,528.00 195 4,746.00 925,470.00
180 Sefadroxil Kapsul 500 mg Kapsul 9,513 450.00 4,280,850.00 - 4,285 450.00 1,928,250.00 5,228 450.00 2,352,600.00
181 Sefiksime 200 mg + Azitromisin 500 mg Paket - - - - -
Vial 426 4,282.00 1,824,132.00 - 426 4,282.00 1,824,132.00 - 4,282.00 -
182 Sefotaksim Inj 1 g
- 1,000 4,200.00 4,200,000.00 890 4,200.00 3,738,000.00 110 4,200.00 462,000.00
183 Seftriaxon Inj 1 g Vial - - - - -
184 Semen seng fosfat serbuk cairan Sachet - - - - -
185 Serum Anti Difteri (ADS) Ampul - - - - -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul - - - - -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial - - - - -
188 Setirizin Sirup 5 mg/5 ml Botol - - - - -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml Ampul - - - - -
190 Simvastatin Tablet 10 mg Tablet 1,980 111.00 219,780.00 - 1,980 111.00 219,780.00 - 111.00 -
Tablet 1,599 281.00 449,319.00 - 1,599 281.00 449,319.00 - 281.00 -
191 Siprofloksasin (HCl) Tablet 500 mg
- 5,000 265.00 1,325,000.00 748 265.00 198,220.00 4,252 265.00 1,126,780.00
192 Tablet Tambah Darah (Camabion) Tablet - - - - -
193 Tablet Tambah Darah Kombinasi Tablet - - - - -
194 Temporary Restorative Material Tablet - - - - -
195 Tetrasiklin Kapsul 500 mg Kapsul 800 310.00 248,000.00 - 800 310.00 248,000.00 - 310.00 -
196 Tiamin HCL (Vit B1) Tablet 50 mg Tablet - 65,000 85.00 5,525,000.00 23,784 85.00 2,021,640.00 41,216 85.00 3,503,360.00
197 Triheksifenidil HCl Tablet 2 mg Tablet - - - - -
198 Vaksin BCG + Pelarut Ampul - - - - -
199 Vaksin DPT-Hb-Hib Ampul - - - - -
200 Vaksin DT Ampul - - - - -
201 Vaksin Hb-0 Ampul - - - - -
202 Vaksin IPV 10 ds Ampul - - - - -
203 Vaksin IPV 5 ds Ampul - - - - -
204 Vaksin Measles Rubella (MR) Ampul - - - - -
205 Vaksin Meningitis Ampul - - - - -
206 Vaksin Papillomavirus (HPV) Ampul - - - - -
207 Vaksin Pneumococcus Ampul - - - - -
208 Vaksin Polio 10 ds bopv + Penetes Ampul - - - - -
209 Vaksin Rabies Vero Ampul - - - - -
210 Vaksin Td Ampul - - - - -
211 Vitamin B Kompleks Tablet Tablet - 58,327 83.00 4,841,100.33 22,179 83.00 1,840,857.00 36,148 83.00 3,000,243.33
212 Zinc Tablet 20 mg Tablet 180 473.00 85,140.00 - 180 473.00 85,140.00 - 473.00 -
213 BAHAN HABIS PAKAI - - - - -
214 ADS 0.05 ml Buah - - - - -
215 ADS 0.5 ml Buah - - - - -
216 ADS 5 ml Buah - - - - -
Set 650.00 - - 650.00 - - 650.00 -
217 Alat Suntik Sekali Pakai 1ml
- 787.00 - 787.00 - - 787.00 -
218 Alat Suntik Sekali Pakai 3 ml Set - 827.00 - 827.00 - - 827.00 -
219 Alat Suntik Sekali Pakai 5 ml Set - 928.00 - 928.00 - - 928.00 -
220 Alkohol Swab Buah - - - - -
221 Bisturi Buah - - - - -
222 Blood set Set - - - - -
Catgut/Benang Bedah No.2/0 dengan jarum
223 Set 5,583.33 - - 5,583.33 - - 5,583.33 -
bedah
Catgut/Benang Bedah No.3/0 dengan jarum
224 Set 5,583.33 - - 5,583.33 - - 5,583.33 -
bedah
225 Folley Catheter No.18 Kantong - 8,240.00 - 8,240.00 - - 8,240.00 -
3,500.00 - - 3,500.00 - - 3,500.00 -
226 Infusion set anak
Kantong - 3,605.00 - 3,605.00 - - 3,605.00 -
227 Infusion set dewasa Kantong - 3,296.00 - 3,296.00 - - 3,296.00 -
228 IV Catheter No.18 Set - - - - -
NO NAMA OBAT SATUAN

HARGA HARGA
SATUAN SATUAN
229 IV Catheter No.20 Set - 3,914.00 - 3,914.00 - - 3,914.00 -

230 IV Catheter No.22 Set 3,800.00 - - 3,800.00 - - 3,800.00 -
231 IV Catheter No.24 Set 3,800.00 - - 3,800.00 - - 3,800.00 -
232 Jarum kulit Buah - - - - -
233 Jarum otot Buah - - - - -
234 Kaca Slide Buah - - - - -
235 Kantung mayat Set - - - - -
236 Kapas Pembalut/absorben 250 mg Roll - - 12,875.00 - - 12,875.00 -
237 Kasa Hidrofil 2x80 Roll 7,700.00 - - 7,700.00 - - 7,700.00 -
238 Kasa Hidrofil Steril 16 X 16 Roll - - - - -
239 Kasa Pembalut Hidrofil 4 X 10 cm Roll 1,500.00 - - 1,500.00 - - 1,500.00 -
240 Kasa Pembalut hidrofil 4 x 5 cm Roll 750.00 - - 750.00 - - 750.00 -
241 Kassa Pembalut elastic 4 inchi Roll - - - - -
242 Masker Tie on Buah - 339.90 - 339.90 - - 339.90 -
243 Masker N-95 Buah - - - - -
244 Plester 5 yard x 2 inch Roll - 31,265.00 - 31,265.00 - - 31,265.00 -
245 Polybag Medis Buah - - - - -
246 Polybag Nonmedis Buah - - - - -
247 Polybag Ramah Lingkungan Buah - - - - -
248 Pot Dahak Buah - - - - -
249 Safety box Buah - - - - -
250 Sarung Tangan Non Steril Uk.S Buah - - - - -
251 Sarung Tangan Non Steril Uk.M Buah - 366.89 - 366.89 - - 366.89 -
252 Sarung Tangan Non Steril Uk.L Buah - - - - -
253 Sarung Tangan Steril No.6 Set - - - - -
254 Sarung Tangan Steril No.6,5 Set - 4,305.40 - 4,305.40 - - 4,305.40 -
256 Sendok Obat Buah - - - - -
Silk (Benang Bedah Sutera) No.2/0 Dengan Jarum
257 Set - 3,147.22 - 3,147.22 - - 3,147.22 -
Bedah
258 Urin Bag Set - 4,290.00 - 4,290.00 - - 4,290.00 -
259 REAGEN - - - - -
260 Cybow 10 Reagent Strip Set - - - - -
261 Golongan darah anti A - 10 ml Botol - - - - -
262 Golongan darah anti A-B - 10 ml Botol - - - - -
263 Golongan darah anti B - 10 ml Botol - - - - -
264 Humasens Plus Set - - - - -
265 Humasens Plus Strip Uric Acid Set - - - - -
266 Humasens Strip Glucose Set - - - - -
267 Humasens Strip Kolesterol Set - - - - -
268 Iodin test Botol - - - - -
269 Larutan Asam Asetat 6% 100 ml Botol - - - - -
270 Larutan Benedict 100 ml Botol - - - - -
271 Larutan EDTA 10 % 100 ml Botol - - - - -
272 Larutan HCl 0,1 N 100 ml Botol - - - - -
273 Larutan Natrium Citrat 3,13 % Botol - - - - -
274 Larutan Rees Ecker 100 ml Botol - - - - -
275 Larutan Turk 100 ml Botol - - - - -
276 Larutan Ziehl Neelsen Botol - - - - -
277 Rapid HIV 1/2 Device Test - - - - -
278 Rapid HIV 2 Fokus Test - - - - -
279 Rapid HIV Biomedika Sachet - - - - -
280 Rapid HIV Biomeriux Sachet - - - - -
281 Rapid HIV Intec Sachet - - - - -
282 Rapid HIV Oncoprobe Sachet - - - - -
283 Rapid HIV SD Sachet - - - - -
284 Rapid Malaria Sachet - - - - -
285 Rapid Syphilis SD Sachet - - - - -
286 Reagen CD4 kontrol Test - - - - -
287 Reagen CD4 tipe 1 (Alere Pima CD4) Test - - - - -
288 RPR Syphilis Sachet - - - - -
289 Salmonella Thyphi H - 5 ml Botol - - - - -
290 Salmonella Thyphi O - 5 ml Botol - - - - -
291 Test Kehamilan Buah - - - - -
292 LAIN-LAIN - - - - -
293 Piracetam tab 1200mg Tablet - - - - -
294 Metoclorpramide 1omg Tablet - 5,000 80.00 400,000.00 206 80.00 16,480.00 4,794 80.00 383,520.00
295 Pantoprazole Vial - 100 30,000.00 3,000,000.00 6 30,000.00 180,000.00 94 30,000.00 2,820,000.00
296 Piracetam inj Ampul - 30 15,675.00 470,250.00 28 15,675.00 438,900.00 2 15,675.00 31,350.00
297 ID Patien Dewasa blue Buah - 1,200 850.00 1,020,000.00 100 850.00 85,000.00 1,100 850.00 935,000.00
298 ID Patien Dewasa pink Buah - 1,200 850.00 1,020,000.00 100 850.00 85,000.00 1,100 850.00 935,000.00
299 Paracetamol Inf Botol - 25 30,000.00 750,000.00 25 30,000.00 750,000.00 - 30,000.00 -
300 Hidroclorotiazid 10mg Tablet - 1,000 155.00 155,000.00 100 155.00 15,500.00 900 155.00 139,500.00
301 Metronidazole susp Botol - 150 3,950.00 592,500.00 3 3,950.00 11,850.00 147 3,950.00 580,650.00
302 Turpan drop Botol - 250 7,500.00 1,875,000.00 24 7,500.00 180,000.00 226 7,500.00 1,695,000.00
303 Corsaneuron Tablet - 7,200 417.45 3,005,640.00 330 417.45 137,758.50 6,870 417.45 2,867,881.50
304 NRM Dewasa Buah - 25 25,379.20 634,480.00 6 25,379.20 152,275.20 19 25,379.20 482,204.80
305 NRM Anak Buah - 25 25,379.20 634,480.00 4 25,379.20 101,516.80 21 25,379.20 532,963.20
306 Lansoprazole Kapsul - 2,000 303.00 606,000.00 554 303.00 167,862.00 1,446 303.00 438,138.00
307 IV Cath No.26 set - 200 4,223.00 844,600.00 50 4,223.00 211,150.00 150 4,223.00 633,450.00
308 Spuit 10 cc set - 2,000 1,128.00 2,256,000.00 154 1,128.00 173,712.00 1,846 1,128.00 2,082,288.00
305 - - - - -
306 - - - - -
307 - - - - -
308 - - - - -
309 - - - - -
310 - - - - -
311 - - - - -
312 - - - - -
313 - - - - -
314 - - - - -
315 - - - - -
316 - - - - -
317 - - - - -
318 - - - - -
319 - - - - -
320 - - - - -
321 - - - - -
322 - - - - -
323 - - - - -
324 - - - - -
325 - - - - -
326 - - - - -
327 - - - - -
328 - - - - -
329 - - - - -
330 - - - - -
331 - - - - -
332 - - - - -
333 - - - - -
334 - - - - -
335 - - - - -
336 - - - - -
337 - - - - -
338 - - - - -
339 - - - - -
340 - - - - -
341 - - - - -
342 - - - - -
343 - - - - -
344 - - - - -
345 - - - - -
346 - - - - -
347 - - - - -
348 - - - - -
349 - - - - -
350 - - - - -
JUMLAH 73,618,043.00 140,696,540.33 106,853,509.39 107,461,073.94
Garut, 31 Desember 2018

NO NAMA OBAT SATUAN

HARGA HARGA
SATUAN SATUAN

Dinas Kesehatan Kabupaten Garut
dr.Hj.Nia Soniawaty
NIP .197204172003122005
LAMPIRAN BERITA ACARA STOK OPNAME
PERSEDIAAN OBAT DAN PERBEKALAN KESEHATAN (BARANG DINKES)
TAHUN 2018
NO NAMA OBAT SATUAN

HARGA
VOLUME HARGA SATUAN JUMLAH HARGA VOLUME JUMLAH HARGA VOLUME HARGA SATUAN JUMLAH HARGA VOLUME HARGA SATUAN JUMLAH HARGA
SATUAN
Tablet 8,869 390.00 3,458,910.00 390.00 - 8,869 390.00 3,458,910.00 - 390.00 -

1 Albendazol Tablet 400 mg
Tablet - 28,000 403.00 11,284,000.00 28,000 403.00 11,284,000.00 - 403.00 -
2 Alopurinol Tablet 100 mg Tablet - 1,200 99.00 118,800.00 650 99.00 64,350.00 550 99.00 54,450.00
3 Aminofilin Inj 24 mg/ml-10 ml Ampul - - - - -
4 Aminofilin Tablet 200 mg Tablet 634 90.00 57,060.00 - 634 90.00 57,060.00 - 90.00 -
5 Amitriptilina HCl Tablet salut 25 mg Tablet 300 178.20 53,460.00 178.20 - 178.20 - 300 178.20 53,460.00
6 Amlodipin Tablet 5 mg Tablet - 6,960 85.00 591,600.00 6,960 85.00 591,600.00 - 85.00 -
7 Amoksisilin Kaplet 500 mg Tablet - 5,000 233.00 1,165,000.00 5,000 233.00 1,165,000.00 - 233.00 -
8 Amoksisilin Sirup Kering 125 mg/5 ml Botol 119 1,881.00 223,839.00 350 1,881.00 658,350.00 350 1,881.00 658,350.00 119 1,881.00 223,839.00
9 Antasida DOEN I Tablet Kunyah Tablet - - 40,600 54.00 2,192,400.00 95 54.00 5,130.00 40,505 54.00 2,187,270.00
Botol 95 2,025.00 192,375.00 - 2,025.00 - 95 2,025.00 192,375.00
10 Antasida II Suspensi 60 ml
- 460 1,995.00 917,700.00 460 1,995.00 917,700.00 - 1,995.00 -
11 Anti Hemmoroid DOEN supp - - 50 3,167.00 158,350.00 3,167.00 - 50 3,167.00 158,350.00
12 Antibakteri DOEN tube 43 2,924.00 125,732.00 400 2,924.00 1,169,600.00 405 2,924.00 1,184,220.00 38 2,924.00 111,112.00
13 Antifungi DOEN kombinasi pot - - - - - -
14 Antimigren DOEN Tablet 300 167.00 50,100.00 167.00 - 60 167.00 10,020.00 240 167.00 40,080.00
Vial 212 2,000.00 424,000.00 - 212 2,000.00 424,000.00 - 2,000.00 -
15 Aqua Pro Inj steril bebas pirogen- 20 ml
Vial - 559 2,295.00 1,282,905.00 559 2,295.00 1,282,905.00 - 2,295.00 -
16 ARV: Efavirenz 600 mg Tablet - - - - -
17 ARV: Lamivudine 150 mg Tablet - - - - -
18 ARV: Lovinapir 200 mg Ronavir Tablet - - - - -
19 ARV: Nevirapine 200 mg Tablet - - - - -
20 ARV: TDF(300) + 3TC(300) + EFV(600) Tablet - - - - -
21 ARV: Tenofovir 300 mg Tablet - - - - -
22 ARV: Zdvdn(60) + Lmvdn(30) + Nvrpn(50) Tablet - - - - -
23 ARV: Zidovudine(300) + Lamivudine(150) Tablet - - - - -
Tablet 76 114.00 8,664.00 - 76 114.00 8,664.00 - 114.00 -
24 Asam Asetilsalisilat Tablet 80 mg (Asetosal)
Tablet - 300 99.00 29,700.00 300 99.00 29,700.00 - 99.00 -
25 Asam Askorbat (VIT C) Tablet 50 mg Tablet - 2,700 105.00 283,500.00 2,700 105.00 283,500.00 - 105.00 -
26 Asam Folat Tablet 0,4 mg Vial - - 21,000 55.00 1,155,000.00 270 55.00 14,850.00 20,730 55.00 1,140,150.00
27 Asam Mefenamat kaplet 500 mg Tablet - 7,900 103.00 813,700.00 6,027 103.00 620,781.00 1,873 103.00 192,919.00
Tube 16 2,650.00 42,400.00 - 2,650.00 - 16 2,650.00 42,400.00
28 Asiklovir Krim 5%/5g
- 138 3,599.20 496,689.60 99 3,599.20 356,320.80 39 3,599.20 140,368.80
Tablet 150 349.00 52,350.00 - - 349.00 - 150 349.00 52,350.00
29 Asiklovir Tablet 400 mg
Tablet - 300 380.00 114,000.00 300 380.00 114,000.00 - 380.00 -
30 Atapulgit Tablet 600 mg Tablet 2,723 145.00 394,835.00 5,400 145.00 783,000.00 5,400 145.00 783,000.00 2,723 145.00 394,835.00
31 Atropin Sulfat Inj 0,25 mg/ml Ampul 29 1,672.00 48,488.00 1,672.00 - 1,672.00 - 29 1,672.00 48,488.00
32 Azithromisin Tablet 500 mg Tablet - - 246,400.00 - - -
33 Benzatin Benzil Penisilin Inj 2,4 juta IU/vial Vial - - 14,524.00 - - -
34 Betahistin Tablet 6 mg Tablet - 960 149.00 143,040.00 836 149.00 124,564.00 124 149.00 18,476.00
35 Betametason Krim 0.1 % Tube - - 16,748.00 - - -
36 Bisoprolol Tablet 5 mg Tablet - - 12,090.00 - - -
Tablet 79 100.00 7,900.00 - 79 100.00 7,900.00 - 100.00 -
37 Bromheksin Tablet 8 mg
- 8,900 199.10 1,771,990.00 8,327 199.10 1,657,905.70 573 199.10 114,084.30
38 Clobazam Tablet 10 mg Tablet - - 1,060.00 - - -
39 Clozapine Tablet 25 mg Tablet - - 104.00 - - -
40 Dehidroartemisin 40 mg + Piperaquin 320 mg Tablet - - 99.00 - - -
41 Deksametason Inj 5 mg/ml-1 ml Ampul - 250 1,097.00 274,250.00 250 1,097.00 274,250.00 - 1,097.00 -
42 Deksametason Tablet 0,5 mg Tablet - 11,500 41.00 471,500.00 11,500 41.00 471,500.00 - 41.00 -
Tablet 272 540.80 147,097.60 - 272 540.80 147,097.60 - 540.80 -
43 Dekstrometorfan Tablet kombinasi
- 2,550 682.00 1,739,100.00 2,075 682.00 1,415,150.00 475 682.00 323,950.00
Botol 108 9,845.00 1,063,260.00 - 9,845.00 - 108 9,845.00 1,063,260.00
44 Dektrometorfan Sirup kombinasi
Botol - 160 11,999.90 1,919,984.00 135 11,999.90 1,619,986.50 25 11,999.90 299,997.50
45 Devitalisasi Pasta Botol - - 2,204.00 - - -
46 Dextrose Inj 40% Vial - - - - -
Ampul 23 4,180.00 96,140.00 - 16 4,180.00 66,880.00 7 4,180.00 29,260.00
47 Diazepam Inj 5 mg/ml-2 ml
Ampul - 20 1,735.00 34,700.00 1,735.00 - 20 1,735.00 34,700.00
48 Diazepam Rectal 5 mg/2,5 ml tube - 15 12,573.00 188,595.00 15 12,573.00 188,595.00 - 12,573.00 -
Tablet 106 45.00 4,770.00 - 106 45.00 4,770.00 - 45.00 -
49 Diazepam Tablet 2 mg
Tablet - 300 86.00 25,800.00 244 86.00 20,984.00 56 86.00 4,816.00
Ampul 300 1,054.00 316,200.00 - 1,054.00 - 300 1,054.00 316,200.00 - 1,054.00 -
50 Difenhidramin Inj 10 mg/ml
Ampul - - 210 1,095.00 229,950.00 210 1,095.00 229,950.00 - 1,095.00 -
51 Digoksin Tablet 0,25 mg Tablet - 300 104.00 31,200.00 25 104.00 2,600.00 275 104.00 28,600.00
52 Dimenhidrinat Tablet 50 mg Tablet 85 99.00 8,415.00 400 99.00 39,600.00 286 99.00 28,314.00 199 99.00 19,701.00
53 Doksisilin Tablet 100 mg Tablet - - 165.00 - - -
54 Domperidon Suspensi 5mg/5ml Botol - 50 3,000.00 150,000.00 32 3,000.00 96,000.00 18 3,000.00 54,000.00
55 Domperidon Tablet 10 mg Tablet - - - - -
56 Endometason Tablet - - - - -
57 Epinefrina HCl/Bitartrat (Adrenalin) Inj 0,1 % Ampul - 30 1,408.00 42,240.00 30 1,408.00 42,240.00 - 1,408.00 -
Kapsul 37 557.00 20,609.00 - - 37 557.00 20,609.00 - 557.00 -
58 Eritromisin Kapsul 250 mg
Kapsul - 300 546.00 163,800.00 95 546.00 51,870.00 205 546.00 111,930.00
60 Eritromisin Sirup 200 mg/5 ml Botol - - - - -
61 Etakridin Larutan 0,1 % Botol - 5 3,150.00 15,750.00 5 3,150.00 15,750.00 - 3,150.00 -
62 Etanol 70 %- 1000 ml Botol 4 26,250.00 105,000.00 35 26,250.00 918,750.00 39 26,250.00 1,023,750.00 - 26,250.00 -
63 Etil Klorida Spray Botol 3 99,000.00 297,000.00 99,000.00 - 3 99,000.00 297,000.00 - 99,000.00 -
64 Eugenol Cairan Botol - 1 18,824.00 18,824.00 1 18,824.00 18,824.00 - 18,824.00 -
65 Fenitoin Natrium Kapsul 100 mg Kapsul - 1,000 158.00 158,000.00 1,000 158.00 158,000.00 - 158.00 -
66 Fenobarbital Tablet 30 mg Tablet 9 165.00 1,485.00 1,900 165.00 313,500.00 1,671 165.00 275,715.00 238 165.00 39,270.00
67 Fenoksimetil Penisilin Tablet 500 mg Tablet - - - - -
68 Fitomenadion (Vit K1) Tablet Salut Gula 10 mg Tablet - 1,700 710.00 1,207,000.00 1,700 710.00 1,207,000.00 - 710.00 -
Ampul 14 3,550.00 49,700.00 - - - 14 3,550.00 49,700.00 - 3,550.00 -

69 Fitomenadion(Vit K1) Inj 2 mg/ml
Ampul - 300 3,682.00 1,104,600.00 217 3,682.00 798,994.00 83 3,682.00 305,606.00
70 Fluconazol Tablet 150 mg Tablet - - 75.00 - - -
71 Flufenazin Inj im 25 mg/ml (Sikzonoate) Ampul - - 61.00 - - -
72 Formokresol Cair Botol - 1 61,490.00 61,490.00 61,490.00 - 1 61,490.00 61,490.00
73 Furosemid Tablet 40 mg Tablet - 700 77.00 53,900.00 700 77.00 53,900.00 - 77.00 -
74 Garam Oralit I Serbuk Sachet 277 260.00 72,020.00 1,600 260.00 416,000.00 1,877 260.00 488,020.00 - 260.00 -
75 Gentamisin Inj 40 mg/ml (Sulfat) Ampul - 30 3,509.00 105,270.00 28 3,509.00 98,252.00 2 3,509.00 7,018.00
Tube 49 2,090.00 102,410.00 - 49 2,090.00 102,410.00 - 2,090.00 -
76 Gentamisin Salep Kulit 0,1%
Tube - 402 2,499.20 1,004,678.40 350 2,499.20 874,720.00 52 2,499.20 129,958.40
77 Glass Ionomer Cement Botol - - 90.00 - - -
Tablet 223 104.50 23,303.50 104.50 - 223 104.50 23,303.50 - 104.50 -
78 Glibenklamid Tablet 5 mg
Tablet - - - 1,400 119.00 166,600.00 1,342 119.00 159,698.00 58 119.00 6,902.00
79 Gliseril Guaiakolat Tablet 100 mg Tablet 4,905 82.50 404,662.50 35,700 82.50 2,945,250.00 40,605 82.50 3,349,912.50 - 82.50 -
80 Glukosa Larutan Infus 5% steril Botol - 140 6,900.00 966,000.00 80 6,900.00 552,000.00 60 6,900.00 414,000.00
81 Griseofulvin Tablet 125 mg Micronized Botol - 200 210.00 42,000.00 210.00 - 200 210.00 42,000.00
82 Haloperidol 5 mg Tablet - 75.00 - - - -
83 Haloperidol Dekanoat Inj 50 mg/ml Ampul - - - - -
84 Haloperidol Inj 5 mg/ml Ampul - 30 6,250.00 187,500.00 6,250.00 - 30 6,250.00 187,500.00
85 Haloperidol Tablet 1,5 mg Tablet 478 61.00 29,158.00 61.00 - 315 61.00 19,215.00 163 61.00 9,943.00
86 Hidrokortison Krim 2,5 % Tube - - - - -
87 Hiosina butilbromida tab 10 mg Tablet - 1,200 1,100.00 1,320,000.00 1,030 1,100.00 1,133,000.00 170 1,100.00 187,000.00
Human Tetanus Imunoglobulin Im 250UI
88 Vial - - - - - -
(Tetagam)
89 Ibuprofen Tablet 400 mg Tablet 1,844 111.00 204,684.00 9,400 111.00 1,043,400.00 11,244 111.00 1,248,084.00 - 111.00 -
90 Isoniazid Tablet 100 mg Tablet - 500 74.00 37,000.00 74.00 - 500 74.00 37,000.00
91 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet - - - - -
92 Kalsium glukonat inj 100 mg/ml Ampul - 12 9,955.00 119,460.00 9,955.00 - 12 9,955.00 119,460.00
93 Kalsium hidroksida pasta Tube 9 137,500.00 1,237,500.00 137,500.00 - 137,500.00 - 9 137,500.00 1,237,500.00
Tablet 1,433 56.00 80,248.00 - 1,433 56.00 80,248.00 - 56.00 -
94 Kalsium Laktat (Kalk) Tablet 500 mg
Tablet - 14,100 59.00 831,900.00 12,946 59.00 763,814.00 1,154 59.00 68,086.00
95 Kaptropil Tablet 25 mg Tablet - 14,500 75.00 1,087,500.00 10,760 75.00 807,000.00 3,740 75.00 280,500.00
96 Karbamazepin Tablet 200 mg Tablet 381 270.00 102,870.00 270.00 - 270.00 - 381 270.00 102,870.00
Botol 57 2,500.00 142,500.00 - - - 57 2,500.00 142,500.00 - 2,500.00 -
97 Karbogliserin Tetes Telinga 10 %
Botol - - - 48 2,590.00 124,320.00 48 2,590.00 124,320.00 - 2,590.00 -
98 Karbon aktif tab 0,5 mg Tablet - - - - -
99 Ketokonazol Tablet 200 mg Tablet - 100 270.00 27,000.00 40 270.00 10,800.00 60 270.00 16,200.00
100 Ketoprofen Supp 100 mg Supp - - - - -
101 Kina Inj 26 % 2 ml Ampul - - - - -
102 Kina Tablet 222 mg Tablet - - - - -
103 Klindanmisin Tablet 300 mg Tablet - - - - -
104 Kloramfenikol Kapsul 250 mg Kapsul - - - - -
Kapsul 796 1,048.00 834,208.00 - - - 796 1,048.00 834,208.00 - 1,048.00 -
105 Kloramfenikol Kapsul 500 mg
Kapsul - - - 2,700 1,090.00 2,943,000.00 2,700 1,090.00 2,943,000.00 - 1,090.00 -
106 Kloramfenikol Salep Kulit 2% Tube 20 3,091.00 61,820.00 360 3,091.00 1,112,760.00 365 3,091.00 1,128,215.00 15 3,091.00 46,365.00
107 Kloramfenikol Salep Mata 1 % Tube - 232 1,881.00 436,392.00 232 1,881.00 436,392.00 - 1,881.00 -
108 Kloramfenikol Sirup 125 mg/5 ml Botol - - - - -
Botol 32 3,250.00 104,000.00 - 32 3,250.00 104,000.00 - 3,250.00 -
109 Kloramfenikol Tetes Mata 0.5%
Botol - 774 7,260.00 5,619,240.00 647 7,260.00 4,697,220.00 127 7,260.00 922,020.00
110 Kloramfenikol Tetes telinga 3 % Botol 10 6,600.00 66,000.00 226 6,600.00 1,491,600.00 178 6,600.00 1,174,800.00 58 6,600.00 382,800.00
111 Klorfenarimin Maleat (CTM) Tablet 4 mg Tablet - 56,100 22.00 1,234,200.00 50,707 22.00 1,115,554.00 5,393 22.00 118,646.00
Tablet 100 162.00 16,200.00 - 100 162.00 16,200.00 - 162.00 -
112 Klorpropmazin HCl Tablet salut 100 mg
Tablet - 300 147.00 44,100.00 80 147.00 11,760.00 220 147.00 32,340.00
113 Kotrimoksazol Susp:Sulf 200+Trim 40 mg/5 ml Botol - - - - -
114 Kotrimoksazol Tab Dws:Sulf 400+Trim 80 mg Tablet - 3,100 125.00 387,500.00 2,737 125.00 342,125.00 363 125.00 45,375.00
Lidokain Inj Komp : Lidokain %+ Epinefrin 1 : Ampul 70 1,937.00 135,590.00 - 70 1,937.00 135,590.00 - 1,937.00 -
115
80000-2 ml
Ampul - 810 1,152.00 933,120.00 730 1,152.00 840,960.00 80 1,152.00 92,160.00
116 Lidokain Jelly 2 % Tube - 4 40,000.00 160,000.00 4 40,000.00 160,000.00 - 40,000.00 -
117 Lidokain Spray 10 % Botol - 2 170,400.00 340,800.00 2 170,400.00 340,800.00 - 170,400.00 -
NO NAMA OBAT SATUAN
HARGA
SATUAN
118 Lisol Botol - 2 43,050.00 86,100.00 2 43,050.00 86,100.00 - 43,050.00 -

119 Loratadin Tablet 10 mg Tablet 368 134.00 49,312.00 2,500 134.00 335,000.00 2,483 134.00 332,722.00 385 134.00 51,590.00
120 Magnesium sulfat Inj (IV) 20 % Ampul - - - - - -
121 Magnesium sulfat Inj (IV) 40 % Ampul 165 3,650.00 602,250.00 3,650.00 - 165 3,650.00 602,250.00 - 3,650.00 -
122 MB Anak Blister - - - - - - -
123 MB Dewasa Blister - 6 31,760.00 190,560.00 6 31,760.00 190,560.00 - 31,760.00 -
124 Metformin HCl Tablet 500 mg Tablet - - - - -
125 Metildopa Tablet 250 mg Tablet 116 911.00 105,676.00 1,300 911.00 1,184,300.00 891 911.00 811,701.00 525 911.00 478,275.00
126 Metilergomatrin Maleat Inj 0,200 mg Ampul - - - - - -
Metilergometrin Maleat (Metilergometrin) Tablet Tablet 107 327.80 35,074.60 - - - 107 327.80 35,074.60 - 327.80 -
127
Salut 0,125 mg
Tablet - - - 300 210.00 63,000.00 300 210.00 63,000.00 - 210.00 -
128 Metilprednisolon Tablet 4 mg Tablet - - - - -
129 Metronidazol Tablet 500 mg Tablet - 3,500 113.00 395,500.00 3,500 113.00 395,500.00 - 113.00 -
130 Mikonazol Krim/Salep 2% Tube - - - - -
131 Mineral Mix Sachet - - - - -
132 Monoklorkamfer mentol cairan Botol - - - - -
Botol 35 10,725.00 375,375.00 - 35 10,725.00 375,375.00 - 10,725.00 -
133 Multivitamin + DHA + Lysin Sirup
Botol - 305 9,999.00 3,049,695.00 288 9,999.00 2,879,712.00 17 9,999.00 169,983.00
Kaplet 333 946.00 315,018.00 - 333 946.00 315,018.00 - 946.00 -
134 Multivitamin + Mineral Kaplet
- 1,600 605.00 968,000.00 1,290 605.00 780,450.00 310 605.00 187,550.00
Kapsul 430 426.00 183,180.00 - 430 426.00 183,180.00 - 426.00 -
135 N-asetil sistein kaps 200 mg
Kapsul - 1,260 358.00 451,080.00 850 358.00 304,300.00 410 358.00 146,780.00
Tablet 746 38.50 28,721.00 - 746 38.50 28,721.00 - 38.50 -
136 Natrium Bikarbonat Tablet 500 mg
Tablet - 8,600 66.00 567,600.00 8,123 66.00 536,118.00 477 66.00 31,482.00
Tablet 491 159.00 78,069.00 - 491 159.00 78,069.00 - 159.00 -
137 Natrium Diklofenak Tablet 50 mg
Tablet - 4,000 115.00 460,000.00 4,000 115.00 460,000.00 - 115.00 -
138 Natrium Hipoklorit 3% Botol - - - - -
139 Natrium Klorida Larutan Infus 0,9% FLS - 140 6,410.00 897,400.00 40 6,410.00 256,400.00 100 6,410.00 641,000.00
140 Natrium Tiroksin Tablet 100 µg Tablet - - - - -
141 Nipedipin Tablet 10 mg Tablet - 1,000 99.00 99,000.00 723 99.00 71,577.00 277 99.00 27,423.00
142 Nistatin Tablet Salut Gula 500.000 IU/g Tablet - - - - -
Tablet 262 523.00 137,026.00 - 262 523.00 137,026.00 - 523.00 -
143 Nistatin Tablet Vaginal 100.000 IU/g
Tablet - 80 545.00 43,600.00 65 545.00 35,425.00 15 545.00 8,175.00
Blister 5 374,379.00 1,871,895.00 - 5 374,379.00 1,871,895.00 - 374,379.00 -
144 OAT FDC Katagori 1
Blister - 40 389,344.00 15,573,760.00 37 389,344.00 14,405,728.00 3 389,344.00 1,168,032.00
Blister 3 1,247,984.00 3,743,952.00 - 3 1,247,984.00 3,743,952.00 - 1,247,984.00 -
145 OAT FDC Katagori 2
Blister - 8 1,199,985.00 9,599,880.00 8 1,199,985.00 9,599,880.00 - 1,199,985.00 -
Blister 3 223,583.00 670,749.00 - 3 223,583.00 670,749.00 - 223,583.00 -
146 OAT FDC Kategori Anak
Blister - 11 214,985.00 2,364,835.00 10 214,985.00 2,149,850.00 1 214,985.00 214,985.00
147 OAT FDC Kategori Sisipan Blister - - - - -
148 OAT Kombipak Kat I Blister - - - - -
Botol 79 3,657.50 288,942.50 - 79 3,657.50 288,942.50 - 3,657.50 -
149 Obat Batuk Hitam (OBH) Cairan
Botol - 1,410 3,999.60 5,639,436.00 1,344 3,999.60 5,375,462.40 66 3,999.60 263,973.60
150 Oksitosin Inj 10 IU/ml- 1 ml Ampul 1,489 2,000.00 2,978,000.00 - 442 2,000.00 884,000.00 1,047 2,000.00 2,094,000.00
Kapsul 746 160.00 119,360.00 - 746 160.00 119,360.00 - 160.00 -
151 Omeprazol Kapsul 20 mg
Kapsul - 3,090 130.00 401,700.00 2,725 130.00 354,250.00 365 130.00 47,450.00
152 Ondansetron Inj 4 mg/2 ml Ampul - 190 1,070.00 203,300.00 110 1,070.00 117,700.00 80 1,070.00 85,600.00
Botol 212 1,010.00 214,120.00 - 212 1,010.00 214,120.00 - 1,010.00 -
153 Parasetamol Sirup 120 mg / 5ml
Botol - 4,400 1,107.00 4,870,800.00 4,400 1,107.00 4,870,800.00 - 1,107.00 -
Tablet 13,980 50.00 699,000.00 - 13,980 50.00 699,000.00 - 50.00 -
154 Parasetamol Tablet 500 mg
- 141,800 53.00 7,515,400.00 141,800 53.00 7,515,400.00 - 53.00 -
155 PB Anak Blister - - - - -
156 PB Dewasa Blister - - - - -
Tube 60 12,200.00 732,000.00 - 60 12,200.00 732,000.00 - 12,200.00 -
157 Permetrin 5% Krim (Scabimite)
- 190 11,825.00 2,246,750.00 161 11,825.00 1,903,825.00 29 11,825.00 342,925.00
Phenolphtalein, Paraffin Liquidum, Gliserin Sirup Botol
158 - 53 7,700.00 408,100.00 3 7,700.00 23,100.00 50 7,700.00 385,000.00
(Laxadin syr)
Tablet 1,523 125.00 190,375.00 - 1,523 125.00 190,375.00 - 125.00 -
159 Piridoksin HCl (Vit B6) Tablet 10 mg
Tablet - 6,000 123.00 738,000.00 6,000 123.00 738,000.00 - 123.00 -
160 Pirimetamin Tablet 25 mg Tablet - - - - -
161 Polikresulen (Albotyl) Botol 5 ml Botol - 3 22,445.50 67,336.50 3 22,445.50 67,336.50 - 22,445.50 -
Botol 10 3,100.00 31,000.00 - 10 3,100.00 31,000.00 - 3,100.00 -
162 Povidon Iodida 10 %-30 ml
- 8 3,045.00 24,360.00 3,045.00 8 3,045.00 24,360.00
163 Povidon Iodida 10 %-300 ml Botol - 4 18,900.00 75,600.00 18,900.00 - 4 18,900.00 75,600.00
164 Prednison Tablet 5 mg Tablet - 100 96.00 9,600.00 100 96.00 9,600.00 - 96.00 -
165 Primakuin Tablet 15 mg Tablet - - - - -
Prokain Benzilpenisilin Serb Inj 3 juta UI/vial Vial
166 - - - - -
(i.m.)
167 Propanolol HCl Tablet 40 mg Tablet - 900 76.00 68,400.00 600 76.00 45,600.00 300 76.00 22,800.00
168 Propiltiourasil Tablet 100 mg Tablet - - - - -
Ampul 129 1,500.00 193,500.00 - 129 1,500.00 193,500.00 - 1,500.00 -
169 Ranitidin Inj 25 mg/ml
Ampul - 2,420 1,155.00 2,795,100.00 2,182 1,155.00 2,520,210.00 238 1,155.00 274,890.00
170 Ranitidin Tablet 150 mg Tablet - 12,700 105.00 1,333,500.00 12,700 105.00 1,333,500.00 - 105.00 -
Kapsul 142 284.00 40,328.00 - 142 284.00 40,328.00 - 284.00 -
171 Retinol (Vit A) Kapsul 100.000 IU
Kapsul - 1,250 288.00 360,000.00 1,175 288.00 338,400.00 75 288.00 21,600.00
Kapsul 655 510.00 334,050.00 - 655 510.00 334,050.00 - 510.00 -
172 Retinol (VIT A) Kapsul 200.000 IU
- 13,750 517.00 7,108,750.00 13,750 517.00 7,108,750.00 - 517.00 -
173 Ringer Laktat Larutan Infus Steril FLS - 1,800 7,150.00 12,870,000.00 1,800 7,150.00 12,870,000.00 - 7,150.00 -
Tablet 136 495.00 67,320.00 - 136 495.00 67,320.00 - 495.00 -
174 Risperidon Tablet 2 mg
Tablet - 100 273.00 27,300.00 82 273.00 22,386.00 18 273.00 4,914.00
175 Salbutamol Nebu 2,5 mg/2,5 ml NaCl Ampul - 290 4,550.00 1,319,500.00 241 4,550.00 1,096,550.00 49 4,550.00 222,950.00
Tablet 78 100.00 7,800.00 - 78 100.00 7,800.00 - 100.00 -
176 Salbutamol Tablet 4 mg
- 2,100 70.00 147,000.00 1,984 70.00 138,880.00 116 70.00 8,120.00
177 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % POT - - - - -
178 Salisil Bedak 2 % Kotak - - - - -
179 Sefadroksil Sirup 125 mg/5 ml Botol - - - - -
180 Sefadroxil Kapsul 500 mg Kapsul - - - - -
181 Sefiksime 200 mg + Azitromisin 500 mg Paket - - - - -
182 Sefotaksim Inj 1 g Vial - 500 4,200.00 2,100,000.00 400 4,200.00 1,680,000.00 100 4,200.00 420,000.00
Vial 138 10,000.00 1,380,000.00 - 138 10,000.00 1,380,000.00 - 10,000.00 -
183 Seftriaxon Inj 1 g
- 1,730 9,900.00 17,127,000.00 1,431 9,900.00 14,166,900.00 299 9,900.00 2,960,100.00
184 Semen seng fosfat serbuk cairan Sachet - - - - - - -
185 Serum Anti Difteri (ADS) Ampul - - - - - - -
186 Serum anti tetanus Inj 1500 IU/vial (ATS) Ampul - 2 130,999.00 261,998.00 2 130,999.00 261,998.00 - 130,999.00 -
187 Serum antibisa ular Polivalen Inj 5 ml (SABU) I Vial - 3 462,000.00 1,386,000.00 3 462,000.00 1,386,000.00 - 462,000.00 -
188 Setirizin Sirup 5 mg/5 ml Botol - 185 3,150.00 582,750.00 31 3,150.00 97,650.00 154 3,150.00 485,100.00
Ampul 14 1,025.00 14,350.00 - 14 1,025.00 14,350.00 - 1,025.00 -
189 Sianokobalamin (Vit B12 ) Inj 500 mcg/ml
Ampul - 620 1,035.00 641,700.00 567 1,035.00 586,845.00 53 1,035.00 54,855.00
Tablet 174 145.00 25,230.00 - 147 145.00 21,315.00 27 145.00 3,915.00
190 Simvastatin Tablet 10 mg
Tablet - 990 110.00 108,900.00 780 110.00 85,800.00 210 110.00 23,100.00
191 Siprofloksasin (HCl) Tablet 500 mg Tablet - 1,600 265.00 424,000.00 1,600 265.00 424,000.00 - 265.00 -
192 Tablet Tambah Darah (Camabion) Tablet - - - - -
193 Tablet Tambah Darah Kombinasi Tablet 1,618 350.00 566,300.00 168,000 350.00 58,800,000.00 136,168 350.00 47,658,800.00 33,450 350.00 11,707,500.00
194 Temporary Restorative Material Tablet - - - - -
195 Tetrasiklin Kapsul 500 mg Kapsul - 800 303.00 242,400.00 303.00 - 800 303.00 242,400.00
196 Tiamin HCL (Vit B1) Tablet 50 mg Tablet 12,910 82.00 1,058,620.00 33,000 82.00 2,706,000.00 45,910 82.00 3,764,620.00 - 82.00 -
Tablet 39 88.00 3,432.00 - - 39 88.00 3,432.00 - 88.00 -
197 Triheksifenidil HCl Tablet 2 mg
Tablet - 200 85.00 17,000.00 130 85.00 11,050.00 70 85.00 5,950.00
198 Vaksin BCG + Pelarut Ampul - - 490 61,996.00 30,378,040.00 490 61,996.00 30,378,040.00 - 61,996.00 -
Ampul 35 76,285.00 2,669,975.00 - 35 76,285.00 2,669,975.00 - 76,285.00 -
199 Vaksin DPT-Hb-Hib
Ampul - 2,675 78,991.00 211,300,925.00 2,675 78,991.00 211,300,925.00 - 78,991.00 -
200 Vaksin DT Ampul - 340 17,996.00 6,118,640.00 340 17,996.00 6,118,640.00 - 17,996.00 -
Ampul 20 20,995.00 419,900.00 - 20 20,995.00 419,900.00 - 20,995.00 -
201 Vaksin Hb-0
Ampul - 690 20,900.00 14,421,000.00 690 20,900.00 14,421,000.00 - 20,900.00 -
202 Vaksin IPV 10 ds Ampul - 230 34,815.00 8,007,450.00 230 34,815.00 8,007,450.00 - 34,815.00 -
203 Vaksin IPV 5 ds Ampul - 300 158,994.00 47,698,200.00 300 158,994.00 47,698,200.00 - 158,994.00 -
Ampul 8 28,220.00 225,760.00 - 8 28,220.00 225,760.00 - 28,220.00 -
204 Vaksin Measles Rubella (MR)
Ampul - 380 155,813.00 59,208,940.00 365 155,813.00 56,871,745.00 15 155,813.00 2,337,195.00
205 Vaksin Meningitis Ampul - - - - -
206 Vaksin Papillomavirus (HPV) Ampul - - - - -
207 Vaksin Pneumococcus Ampul - - - - -
Ampul 10 19,900.00 199,000.00 - 10 19,900.00 199,000.00 - 19,900.00 -
208 Vaksin Polio 10 ds bopv + Penetes
- 580 19,954.00 11,573,320.00 580 19,954.00 11,573,320.00 - 19,954.00 -
209 Vaksin Rabies Vero Ampul - - - - -
210 Vaksin Td Ampul - 2,310 16,995.00 39,258,450.00 2,310 16,995.00 39,258,450.00 - 16,995.00 -
Tablet 4,474 150.00 671,100.00 - 4,474 150.00 671,100.00 - 150.00 -
211 Vitamin B Kompleks Tablet
Tablet - 21,000 83.00 1,743,000.00 21,000 83.00 1,743,000.00 - 83.00 -
Tablet 500 511.00 255,500.00 - 500 511.00 255,500.00 - 511.00 -
212 Zinc Tablet 20 mg
- 4,200 508.00 2,133,600.00 1,282 508.00 651,256.00 2,918 508.00 1,482,344.00
213 BAHAN HABIS PAKAI - - - - -
214 ADS 0.05 ml Buah - 1,395.00 - 1,395.00 - - 1,395.00 -
215 ADS 0.5 ml Buah - 45,000 1,185.00 53,325,000.00 45,000 1,185.00 53,325,000.00 - 1,185.00 -
216 ADS 5 ml Buah - 140 1,640.00 229,600.00 140 1,640.00 229,600.00 - 1,640.00 -
217 Alat Suntik Sekali Pakai 1ml set - 1,900 787.00 1,495,300.00 1,775 787.00 1,396,925.00 125 787.00 98,375.00
set 980 835.00 818,300.00 - 980 835.00 818,300.00 - 835.00 -
218 Alat Suntik Sekali Pakai 3 ml
- 7,700 827.00 6,367,900.00 7,700 827.00 6,367,900.00 - 827.00 -
set 145 950.00 137,750.00 - 145 950.00 137,750.00 - 950.00 -
219 Alat Suntik Sekali Pakai 5 ml
set - 3,500 928.00 3,248,000.00 2,867 928.00 2,660,576.00 633 928.00 587,424.00
220 Alkohol Swab Buah - 26,400 103.00 2,719,200.00 26,400 103.00 2,719,200.00 - 103.00 -
Buah 25 320.00 8,000.00 - 25 320.00 8,000.00 - 320.00 -
221 Bisturi
Buah - 10 770.00 7,700.00 770.00 - 10 770.00 7,700.00
222 Blood set Set - - - - -
Catgut/Benang Bedah No.2/0 dengan jarum Set
223 - - - - -
bedah
Catgut/Benang Bedah No.3/0 dengan jarum Set
224 - 100 5,750.83 575,083.00 100 5,750.83 575,083.00 - 5,750.83 -
bedah
225 Folley Catheter No.18 Kantong - 60 7,787.88 467,272.80 60 7,787.88 467,272.80 - 7,787.88 -
226 Infusion set anak Kantong - - - - -
Kantong 150 4,995.00 749,250.00 - 150 4,995.00 749,250.00 - 4,995.00 -
227 Infusion set dewasa
Kantong - 1,300 5,246.83 6,820,879.00 1,300 5,246.83 6,820,879.00 - 5,246.83 -
NO NAMA OBAT SATUAN
HARGA
SATUAN

229 IV Catheter No.20 Set 400 6,000.00 2,400,000.00 1,050 6,000.00 6,300,000.00 1,450 6,000.00 8,700,000.00 - 6,000.00 -
Buah 12 2,290.42 27,485.06 - 12 2,290.42 27,485.06 - 2,290.42 -
232 Jarum kulit
Buah - 84 2,291.67 192,500.28 60 2,291.67 137,500.20 24 2,291.67 55,000.08
233 Jarum otot Buah - - - - -
234 Kaca Slide Buah - 216 296.49 64,041.84 216 296.49 64,041.84 - 296.49 -
235 Kantung mayat Set - - - - -
Roll 2 12,800.00 25,600.00 - 2 12,800.00 25,600.00 - 12,800.00 -
236 Kapas Pembalut/absorben 250 mg
Roll - 25 24,000.00 600,000.00 25 24,000.00 600,000.00 - 24,000.00 -
237 Kasa Hidrofil 2x80 Roll - - - - - -
Roll 128 500.00 64,000.00 - 128 500.00 64,000.00 - 500.00 -
238 Kasa Hidrofil Steril 16 X 16
Roll - 192 493.75 94,800.00 192 493.75 94,800.00 - 493.75 -
239 Kasa Pembalut Hidrofil 4 X 10 cm Roll 80 2,300.00 184,000.00 75 2,300.00 172,500.00 150 2,300.00 345,000.00 5 2,300.00 11,500.00
240 Kasa Pembalut hidrofil 4 x 5 cm Roll - 70 1,100.00 77,000.00 55 1,100.00 60,500.00 15 1,100.00 16,500.00
241 Kassa Pembalut elastic 4 inchi Roll - 180 10,450.00 1,881,000.00 158 10,450.00 1,651,100.00 22 10,450.00 229,900.00
Buah 450 485.00 218,250.00 - 450 485.00 218,250.00 - 485.00 -
242 Masker Tie on
Buah - 2,400 379.48 910,752.00 2,400 379.48 910,752.00 - 379.48 -
243 Masker N-95 Buah - - - - - - -
Roll 3 31,255.00 93,765.00 - 3 31,255.00 93,765.00 - 31,255.00 -
244 Plester 5 yard x 2 inch
Roll - 55 35,532.00 1,954,260.00 55 35,532.00 1,954,260.00 - 35,532.00 -
245 Polybag Medis Buah - - - - -
246 Polybag Nonmedis Buah - - - - - - -
247 Polybag Ramah Lingkungan Buah - - - - - - -
248 Pot Dahak Buah - 300 5,800.00 1,740,000.00 300 5,800.00 1,740,000.00 - 5,800.00 -
249 Safety box Buah - 106 22,433.00 2,377,898.00 106 22,433.00 2,377,898.00 - 22,433.00 -
Sarung Tangan Non Steril Uk.S Buah 500 475.56 237,780.00 - 500 475.56 237,780.00 - 475.56 -
250
Buah - 4,600 466.62 2,146,452.00 4,600 466.62 2,146,452.00 - 466.62 -
251 Sarung Tangan Non Steril Uk.M Buah - 2,900 466.62 1,353,198.00 2,900 466.62 1,353,198.00 - 466.62 -
252 Sarung Tangan Non Steril Uk.L Buah - 900 466.62 419,958.00 900 466.62 419,958.00 - 466.62 -
Set 30 6,945.00 208,350.00 - 30 6,945.00 208,350.00 - 6,945.00 -
254 Sarung Tangan Steril No.6,5
Set - 80 6,930.00 554,400.00 50 6,930.00 346,500.00 30 6,930.00 207,900.00
256 Sendok Obat Buah - 2,400 250.00 600,000.00 2,100 250.00 525,000.00 300 250.00 75,000.00
Silk (Benang Bedah Sutera) No.2/0 Dengan Jarum Set
257 - 130 3,147.22 409,138.60 130 3,147.22 409,138.60 - 3,147.22 -
Bedah
258 Urin Bag Set - 40 4,418.70 176,748.00 40 4,418.70 176,748.00 - 4,418.70 -
259 REAGEN - - - - -
260 Cybow 10 Reagent Strip Set - - - - - - -
261 Golongan darah anti A - 10 ml Botol - - - - -
262 Golongan darah anti A-B - 10 ml Botol - - - - -
263 Golongan darah anti B - 10 ml Botol - - - - -
264 Humasens Plus Set - - - - -
265 Humasens Plus Strip Uric Acid Set - 2 550,800.00 1,101,600.00 2 550,800.00 1,101,600.00 - 550,800.00 -
266 Humasens Strip Glucose Set - 3 252,300.00 756,900.00 3 252,300.00 756,900.00 - 252,300.00 -
267 Humasens Strip Kolesterol Set - 3 544,400.00 1,633,200.00 3 544,400.00 1,633,200.00 - 544,400.00 -
268 Iodin test Botol - - 5,806.00 - 5,806.00 - - 5,806.00 -
269 Larutan Asam Asetat 6% 100 ml Botol - - - - -
270 Larutan Benedict 100 ml Botol - - - - -
271 Larutan EDTA 10 % 100 ml Botol - 1 74,100.00 74,100.00 1 74,100.00 74,100.00 - 74,100.00 -
272 Larutan HCl 0,1 N 100 ml Botol - 2 19,950.00 39,900.00 2 19,950.00 39,900.00 - 19,950.00 -
273 Larutan Natrium Citrat 3,13 % Botol - 1 19,475.00 19,475.00 1 19,475.00 19,475.00 - 19,475.00 -
274 Larutan Rees Ecker 100 ml Botol - 1 48,802.08 48,802.08 1 48,802.08 48,802.08 - 48,802.08 -
275 Larutan Turk 100 ml Botol - 1 26,387.00 26,387.00 1 26,387.00 26,387.00 - 26,387.00 -
276 Larutan Ziehl Neelsen Botol - 20 276,500.00 5,530,000.00 20 276,500.00 5,530,000.00 - 276,500.00 -
277 Rapid HIV 1/2 Device Test - - - - -
278 Rapid HIV 2 Fokus Test - - - - -
279 Rapid HIV Biomedika Sachet - - - - -
280 Rapid HIV Biomeriux Sachet - - - - -
281 Rapid HIV Intec Sachet - - - - -
282 Rapid HIV Oncoprobe Sachet - - - - -
283 Rapid HIV SD Sachet - - 14,340.00 - 14,340.00 - - 14,340.00 -
284 Rapid Malaria Sachet - - - - -
285 Rapid Syphilis SD Sachet - 27,710.00 - 27,710.00 - - 27,710.00 -
286 Reagen CD4 kontrol Test - - - - -
287 Reagen CD4 tipe 1 (Alere Pima CD4) Test - - - - -
288 RPR Syphilis Sachet - - - - -
289 Salmonella Thyphi H - 5 ml Botol - - - - -
290 Salmonella Thyphi O - 5 ml Botol - - - - -
291 Test Kehamilan Buah - 25 6,911.00 172,775.00 25 6,911.00 172,775.00 - 6,911.00 -
292 LAIN-LAIN - - - - - -
293 Piracetam tab 1200mg Tablet - - - - -
294 Metoclorpramide 1omg Tablet - - - - -
295 Pantoprazole Vial - - - - -
296 Piracetam inj Ampul - - - - -
297 ID Patien Dewasa blue Buah - - - - -
298 ID Patien Dewasa pink Buah - - - - -
299 Paracetamol Inf Botol - - - - -
300 Hidroclorotiazid 10mg Tablet - - - - -
301 Metronidazole susp Botol - - - - -
302 Turpan drop Botol - - - - -
303 Corsaneuron Tablet - - - - -
304 NRM Dewasa Buah - - - - -
305 NRM Anak Buah - - - - -
306 Lansoprazole Kapsul - - - - -
307 IV Cath No.26 set - - - - -
308 Spuit 10 cc set - - - - -
305 Rapid HbSag Sachet - 242 9,870.00 2,388,540.00 242 9,870.00 2,388,540.00 - 9,870.00 -
306 0 - - - - -
307 0 - - - - -
308 0 - - - - -
309 0 - - - - -
310 0 - - - - -
311 0 - - - - -
312 0 - - - - -
313 0 - - - - -
314 0 - - - - -
315 0 - - - - -
316 0 - - - - -
317 0 - - - - -
318 0 - - - - -
319 0 - - - - -
320 0 - - - - -
321 0 - - - - -
322 0 - - - - -
323 0 - - - - -
324 0 - - - - -
325 0 - - - - -
326 0 - - - - -
327 0 - - - - -
328 0 - - - - -
329 0 - - - - -
330 0 - - - - -
331 0 - - - - -
332 0 - - - - -
333 0 - - - - -
334 0 - - - - -
335 0 - - - - -
336 0 - - - - -
337 0 - - - - -
338 0 - - - - -
339 0 - - - - -
340 0 - - - - -
341 0 - - - - -
342 0 - - - - -
343 0 - - - - -
344 0 - - - - -
345 0 - - - - -
346 0 - - - - -
347 0 - - - - -
348 0 - - - - -
349 0 - - - - -
350 0 - - - - -
JUMLAH 37,620,753.76 769,289,264.10 766,871,571.18 - 40,038,446.68
Garut, 31 Desember 2018

Dinas Kesehatan Kabupaten Garut
dr.Hj.Nia Soniawaty
NIP .197204172003122005
NAMA
NO SATUAN PERSEDIAAN AWAL
OBAT
ADS 0.05 ml Buah
ADS 0.5 ml Buah
ADS 5 ml Buah
Alat Suntik Sekali Pakai 1ml set
Alat Suntik Sekali Pakai 3 ml set 980 835.00
Alat Suntik Sekali Pakai 5 ml set 145 950.00

set
Alkohol Swab Buah
Bisturi Buah 25 320.00
Buah
Blood set Set
Catgut/Benang Bedah No.2/0 dengan jarum bedah Set
Folley Catheter No.18 Kantong
Infusion set anak Kantong
Infusion set dewasa Kantong 150 4,995.00
Kantong
IV Catheter No.18 Set
IV Catheter No.20 Set 400 6,000.00
Jarum kulit Buah 12 2,290.42
Jarum kulit Buah
Jarum otot Buah
Kaca Slide Buah
Kantung mayat Set
Kapas Pembalut/absorben 250 mg Roll 2 12,800.00
Kapas Pembalut/absorben 250 mg Roll
Kasa Hidrofil 2x80 Roll
Kasa Hidrofil Steril 16 X 16 Roll 128 500.00
Kasa Hidrofil Steril 16 X 17 Roll
Kasa Pembalut Hidrofil 4 X 10 cm Roll 80 2,300.00
Kasa Pembalut hidrofil 4 x 5 cm Roll
Kassa Pembalut elastic 4 inchi Roll
Masker Tie on Buah 450 485.00
Masker Tie on Buah
Masker N-95 Buah
Plester 5 yard x 2 inch Roll 3 31,255.00
Plester 5 yard x 2 inch Roll
Polybag Medis Buah
Polybag Nonmedis Buah
Polybag Ramah Lingkungan Buah
Pot Dahak Buah
Safety box Buah
Sarung Tangan Non Steril Uk.S Buah 500 475.56
Sarung Tangan Non Steril Uk.S Buah
Sarung Tangan Non Steril Uk.M Buah
Sarung Tangan Non Steril Uk.L Buah
Sarung Tangan Steril No.6 Set
Sarung Tangan Steril No.6,5 Set 30 6,945.00
Sarung Tangan Steril No.6,6 Set
Sendok Obat Buah
Silk (Benang Bedah Sutera) No.2/0 Dengan Jarum Bedah Set
Urin Bag Set
PERSEDIAAN AWAL PENERIMAAN PENYALURAN
- 1,395.00 - 1,395.00 -
- 45,000 1,185.00 53,325,000.00 45,000 1,185.00 53,325,000.00
- 140 1,640.00 229,600.00 140 1,640.00 229,600.00
- 1,900 787.00 1,495,300.00 1,775 787.00 1,396,925.00
818,300.00 - 980 835.00 818,300.00
- 7,700 827.00 6,367,900.00 7,700 827.00 6,367,900.00
137,750.00 - 145 950.00 137,750.00
- 3,500 928.00 3,248,000.00 2,867 928.00 2,660,576.00
- 26,400 103.00 2,719,200.00 26,400 103.00 2,719,200.00
8,000.00 - 25 320.00 8,000.00
- 10 770.00 7,700.00 770.00 -
- - -
- - -
- 100 5,750.83 575,083.00 100 5,750.83 575,083.00
- 60 7,787.88 467,272.80 60 7,787.88 467,272.80
- - -
749,250.00 - 150 4,995.00 749,250.00
- 1,300 5,246.83 6,820,879.00 1,300 5,246.83 6,820,879.00
- - -
2,400,000.00 1,050 6,000.00 6,300,000.00 1,450 6,000.00 8,700,000.00
- - -
- - -
27,485.06 - 12 2,290.42 27,485.06
- 84 2,291.67 192,500.28 60 2,291.67 137,500.20
- - -
- 216 296.49 64,041.84 216 296.49 64,041.84
- - -
25,600.00 - 2 12,800.00 25,600.00
- 25 24,000.00 600,000.00 25 24,000.00 600,000.00
- - - -
64,000.00 - 128 500.00 64,000.00
- 192 493.75 94,800.00 192 493.75 94,800.00
184,000.00 75 2,300.00 172,500.00 150 2,300.00 345,000.00
- 70 1,100.00 77,000.00 55 1,100.00 60,500.00
- 180 10,450.00 1,881,000.00 158 10,450.00 1,651,100.00
218,250.00 - 450 485.00 218,250.00
- 2,400 379.48 910,752.00 2,400 379.48 910,752.00
- - - -
93,765.00 - 3 31,255.00 93,765.00
- 55 35,532.00 1,954,260.00 55 35,532.00 1,954,260.00
- - -
- - - -
- - - -
- 300 5,800.00 1,740,000.00 300 5,800.00 1,740,000.00
- 106 22,433.00 2,377,898.00 106 22,433.00 2,377,898.00
237,780.00 - 500 475.56 237,780.00
- 4,600 466.62 2,146,452.00 4,600 466.62 2,146,452.00
- 2,900 466.62 1,353,198.00 2,900 466.62 1,353,198.00
- 900 466.62 419,958.00 900 466.62 419,958.00
- - -
208,350.00 - 30 6,945.00 208,350.00
- 80 6,930.00 554,400.00 50 6,930.00 346,500.00
- - -
- 2,400 250.00 600,000.00 2,100 250.00 525,000.00
- 130 3,147.22 409,138.60 130 3,147.22 409,138.60
- 40 4,418.70 176,748.00 40 4,418.70 176,748.00
5,172,530.06 97,280,581.52 101,163,812.50
LURAN SISA STOK
- 1,395.00 - -
- 1,185.00 - 53,325,000.00
- 1,640.00 - 229,600.00
125 787.00 98,375.00 1,495,300.00
- 835.00 - 818,300.00
- 827.00 - 6,367,900.00
- 950.00 - 137,750.00
633 928.00 587,424.00 3,248,000.00
- 103.00 - 2,719,200.00
- 320.00 - 8,000.00
10 770.00 7,700.00 7,700.00
- - -
- - -
- 5,750.83 - 575,083.00
- 7,787.88 - 467,272.80
- - -
- 4,995.00 - 749,250.00
- 5,246.83 - 6,820,879.00
- - -
- 6,000.00 - 8,700,000.00
- - -
- - -
- 2,290.42 - 27,485.06
24 2,291.67 55,000.08 192,500.28
- - -
- 296.49 - 64,041.84
- - -
- 12,800.00 - 25,600.00
- 24,000.00 - 600,000.00
- - -
- 500.00 - 64,000.00
- 493.75 - 94,800.00
5 2,300.00 11,500.00 356,500.00
15 1,100.00 16,500.00 77,000.00
22 10,450.00 229,900.00 1,881,000.00
- 485.00 - 218,250.00
- 379.48 - 910,752.00
- - - -
- 31,255.00 - 93,765.00
- 35,532.00 - 1,954,260.00
- - -
- - - -
- - - -
- 5,800.00 - 1,740,000.00
- 22,433.00 - 2,377,898.00
- 475.56 - 237,780.00
- 466.62 - 2,146,452.00
- 466.62 - 1,353,198.00
- 466.62 - 419,958.00
- - -
- 6,945.00 - 208,350.00
30 6,930.00 207,900.00 554,400.00
- - -
300 250.00 75,000.00 600,000.00
- 3,147.22 - 409,138.60
- 4,418.70 - 176,748.00
102,453,111.58
ADS 0.05 ml Buah
ADS 0.5 ml Buah
ADS 5 ml Buah
Alat Suntik Sekali Pakai 1ml set
Alat Suntik Sekali Pakai 3 ml set
Alat Suntik Sekali Pakai 5 ml set

set
Alkohol Swab Buah
Bisturi Buah
Buah
Blood set Set
Kanton
Folley Catheter No.18 g
Kanton
Infusion set anak g
Kanton
Infusion set dewasa g
Kanton
g
Jarum kulit Buah
Buah
Jarum otot Buah
Kaca Slide Buah
Kantung mayat Set
Kapas Pembalut/absorben 250 mg Roll
Roll
Kasa Hidrofil 2x80 Roll
Kasa Hidrofil Steril 16 X 16 Roll
Roll
Kasa Pembalut Hidrofil 4 X 10 cm Roll
Kasa Pembalut hidrofil 4 x 5 cm Roll
Kassa Pembalut elastic 4 inchi Roll
Masker Tie on Buah
Buah
Masker N-95 Buah
Plester 5 yard x 2 inch Roll
Roll
Polybag Medis Buah
Polybag Nonmedis Buah
Polybag Ramah Lingkungan Buah
Pot Dahak Buah
Safety box Buah
Sarung Tangan Non Steril Uk.S Buah
Buah
Sarung Tangan Non Steril Uk.M Buah
Sarung Tangan Non Steril Uk.L Buah
Sarung Tangan Steril No.6,5 Set
Set
Sendok Obat Buah
Silk (Benang Bedah Sutera) No.2/0 Dengan Jarum Bedah Set
Urin Bag Set
No Nama Barang Jumlah
A Bahan Habis Pakai
1 Alat Tulis Kantor
2 Alat listirk dan elektronik
3 Perangko/Materai/Benda Pos Lainnya
4 Peralatan kebersihan dan bahan pembersih
5 Bahan bakar Minyak/Gas
6 Pengisian tabung Pemadam Kebakaran
7 Barang cetakan (formulir/blanko)
8 Pengisian isi tabung gas
B Bahan/Material
3 Bibit Ternak
4 Bahan obat-obatan
5 Bahan kimia
6 Makanan Pokok
C Barang Lainnya
Total Persediaan
Harga Perolehan
Total Keterangan
Terakhir
Lampiran :
AAN DAN PENGELUARAN BARANG PERSEDIAAN

KESEHATAN GARUT S/D 31 Agustus 2018
Satuan Saldo Per 31 Desember 2017 Penerimaan Bar

Tahun
No Nama Barang
Jml Harga Jml Jml
1 Plastik Obat Besar cap Uk 9 x13 Kg 3,000 35 105,000 36,000
2 Plastik Kantong Obat/Putih Cap Kg - 51 - 26,700
3 Plastik Sampah/putih uk 50x75 Pcs - 31,150 - 24
4 Plastik sampah/hitam uk 60x100 Pcs - 27,000 - 2
5 Kantong Plastik Cap anggur uk 24 Pcs - 5,790 - 25
6 kantong Plastik Cap Daun Kuning Uk 24 Pcs - 5,050 - 40
7 Kantong Plastik Cap Kelapa uk 30 Pcs - 9,650 - 35
8 Plastik Obat Kecil Uk 10x7 cm cap Pak - 32 - 34,600
9 Plastik Sampah Kuning Pak - 5,250 - 20
10 Plastik Obat uk 9X13 Polos Pak - 3,900 - 150
11 Plastik Obat uk 7X10 Polos Pak - 3,900 - 200
12 Kantong Plastik Obat Polos Pak - 5,790 - 150
13 Kantong Plastik Hitam Uk 50 Pak - 11,970 - 5
105,000
Penerimaan Barang Persediaan Pengeluaran Barang Persediaan Saldo Per 31 Agustus 2018
Tahun 2018 Tahun 2018 Tahun 2018
Satuan Harga Nilai Jml Satuan Harga Nilai Jml
Barang Satuan Total Barang Barang Satuan Total Barang
Kg 35 1,260,000 20,100 Kg 35 35 18,900
Kg 51 1,360,365 25,900 Kg 51 51 800
Pcs 31,150 747,600 13 Pcs 26,300 31,150 11
Pcs 27,000 54,000 2 Pcs 27,000 27,000 -
Pcs 5,790 144,750 19 Pcs 5,650 5,790 6
Pcs 5,050 202,000 32 Pcs 4,225 5,050 8
Pcs 9,650 337,750 24 Pcs 9,650 9,650 11
Pak 32 1,107,200 34,600 Pak 32 32 -
Pak 5,250 4 Pak - 5,250 16
Pak 3,900 585,000 105 Pak 3,900 3,900 45
Pak 3,900 780,000 180 Pak 3,900 3,900 20
Pak 5,790 868,500 54 Pak 5,790 5,790 96
Pak 11,970 59,850 3 Pak 11,970 11,970 2
7,512,265 109,568
Tahun 2018
Harga Nilai
Satuan Total
35 661,500
51 40,760
26,300 289,300
27,000 -
5,650 33,900
4,225 33,800
9,650 106,150
32 -
5,250 84,000
3,900 175,500
3,900 78,000
5,790 555,840
11,970 23,940
2,082,690
JENIS ANGGARAN TAHUN 2019
Total
No JENIS BIAYA Belanja Belanja Pegawai Belanja
Barang & Jasa
5 BIAYA OPERASIONAL PELAYANAN
5:01 BIAYA PELAYANAN
5:01:01 Biaya Pegawai
5.1.1.01 Gaji & Tunjangan Non PNS - -
5.1.1.02 Lembur - -
5.1.1.03 Honorarium Pelayanan 29,410,000 30,300,000
5.1.1.04 Dinas Malam - -
5.1.1.05 Piket Idul Fitri 30,900,000 30,900,000
5:01:02 Biaya Bahan
5.1.2.01 Biaya Obat-obatan 140,696,540 1,800,000 140,733,405
5.1.2.02 Biaya Bahan Medis Habis Pakai 91,941,395 1,000,000 92,142,187
5.1.2.03 Biaya Alkes - 500,000 -
5.1.2.04 Biaya Bahan dan Alat Laboratorium 99,321,435 2,000,000 100,483,141
5.1.2.05 Biaya Bahan dan Alat Radiologi 8,101,700 1,000,000 8,235,000
5.1.2.06 Biaya Bahan Makan Pasien 48,835,421 6,300,000 48,960,000
5.1.2.07 Biaya Bahan Bakar Dapur Pasien 230,000 500,000 245,000
5.1.2.08 BHP Ruangan & Oksigen 34,452,750 35,640,000
5:01:03 Biaya Jasa Pelayanan
5.1.3.01 Biaya Jasa Pelayanan Pegawai 1,633,058,000 1,764,434,832
5.1.3.02 Biaya Jasa Pelayanan Medis Akrual - -
5.1.3.03 Biaya Jasa Pelayanan Hari Raya 86,511,000 86,589,650
5.1.3.04 Biaya Jasa Insentif - -
5.1.3.05 Biaya Jasa Pembinaan - -
5.1.3.06 Hutang Jasa Pelayanan 230,316,000 230,316,000
5:01:04 Biaya Pemeliharaan
5.1.4.01 Biaya Pemeliharaan Alat Kedokteran 4,926,000 5,800,000
5.1.4.02 Biaya Pemeliharaan Alat Transportasi - -
5.1.4.03 Biaya Pemeliharaan Perlengkapan Kantor 21,249,470 22,200,000
5:01:05 Biaya Barang dan Jasa
5.1.5.01 Biaya Linen 8,401,000 8,407,400
5.1.5.02 Biaya Cetakan 103,860,000 104,128,300
Biaya Makanan dan Minuman Pelayanan
5.1.5.03 Lainnya - -
5.1.5.04 Biaya perlengkapan ruang pasien 23,351,200 23,353,000
5:01:06 Biaya Penyusutan - -
5:01:07 Biaya Pelayanan Lain-lain
5.1.7.01 Biaya Pasien Jamkesmas, PKMS, Jamkesda, dll - -

5.1.7.02 Biaya Pemulasaran - -
5.1.7.03 Biaya Pasien TB - -
5.1.7.04 Biaya Perjalanan Dinas Pelayanan 6,720,000 7,040,000
5.1.7.05 Biaya pelayanan Lainnya - -
6 BIAYA OPERASIONAL ADMINISTRASI DAN
UMUM
6:01 BIAYA ADMINISTRASI DAN UMUM

6:01:01 Biaya Pegawai
6.1.1.01 Biaya Gaji dan Tunjangan PNS 120,600,000 136,800,000
6.1.1.02 Biaya Lembur - -
6.1.1.03 Biaya Honorarium Panitia 22,050,000 31,100,000
6:01:02 Biaya Administrasi Kantor
6.1.2.01 Biaya Benda Pos dan Pengiriman 10,697,000 11,592,000
6.1.2.02 Biaya ATK 56,710,775 59,013,261
6.1.2.03 Biaya Cetakan & Penggandaan 40,621,450 41,760,000
6.1.2.04 Biaya Pakaian Dinas / Kerja 16,777,200 16,830,000
6.1.2.05 Biaya Makan Minum Tamu 10,882,000 10,928,800
6.1.2.06 Biaya Jasa Langganan Listrik, Air, Telp, Internet 59,109,324 59,115,312
Biaya Jasa Langganan Media, Surat Kabar ,
6.1.2.07 Majalah - -
6:01:03 Biaya Pemeliharaan Adm dan UM
6.1.3.01 Biaya Pemeliharaan Gedung & Bangunan 136,818,000 169,075,000
6.1.3.02 Biaya Pemeliharaan Instalasi/Jaringan 31,416,950 31,470,000
6.1.3.03 Biaya Pemeliharaan Alat Transportasi 10,740,700 11,020,000
6.1.3.04 Biaya Pemeliharaan Sarpras Lainnya - -
6.1.3.05 Biaya Pemeliharaan Alat Kantor dan RT 37,697,200 37,772,200
6:01:04 Biaya Barang dan Jasa
6.1.4.01 Biaya Bahan dan Alat Sanitasi - -
6.1.4.02 Biaya Bahan Pembersih dan Alat Kebersihan 21,911,507 23,539,350
6.1.4.03 Biaya Bahan Bakar 23,000,000 23,100,000
6.1.4.04 Biaya Bahan Gas - -
6.1.4.05 Biaya Dapur/Pantry 1,539,500 1,540,000
6.1.4.06 Biaya Pengisian Tabung Pemadam Kebakaran - -
6.1.4.07 Biaya Jasa Konsultan dan Pihak Ketiga Lainnya 106,820,800 111,617,880
6.1.4.08 Biaya Makanan dan Minuman Kantor 27,248,333 30,422,000
6.1.4.09 Biaya Pengembangan SIM dan TI - -
6.1.4.10 Biaya Langganan Media - -
6.1.4.11 Biaya Jasa Kebersihan 68,000,000 68,000,000
6.1.4.12 Biaya Persediaan Alat Listrik dan Elektronik 3,823,200 3,833,300
6.1.4.13 Biaya Peralatan dan Bahan Pustaka 8,364,000 8,400,000
6.1.4.14 Biaya Sewa - -
6.1.4.15 Biaya Representasi / Perjalanan Dinas 69,207,311 74,820,000
6.1.4.16 Biaya Pelatihan / Seminar 48,000,005 48,500,000
6.1.4.17 Biaya Instruktur/Narasumber/Pemateri - -
6.1.4.18 Biaya Bahan Bangunan - -
6:01:05 Biaya Promosi
6.1.5.01 Biaya Pemasaran dan Publikasi - -
6.1.5.02 Biaya Komunikasi Cepat dan Media Massa - -
6.1.5.03 Biaya pakaian prolanis - -
6.1.5.04 Biaya represing prolanis - -
6:01:06 Biaya Penyusutan & Amortisasi
6.1.6.01 Biaya Penyusutan -
6.1.6.02 Biaya Amortisasi -
6:01:07 Biaya Administrasi Umum dan Lain-Lain

6.1.7.01 Biaya Premi Asuransi dan Kesehatan - -
6.1.7.02 Biaya Kerugian Piutang - -
Biaya Kerugian Penghapusan Aset Tetap dan
6.1.7.03 Piutang - -
6.1.7.04 Biaya Aset Extracomtable -
6.1.7.05 Biaya Perijinan, Legalisasi, dan Akreditasi 16,462,300 16,484,000
6.1.7.06 Biaya Keamanan dan Ketertiban / Sosial
6.1.7.06.71 Biaya Keamanan dan Ketertiban / Sosial - -
9 BIAYA NON OPERASIONAL
9:01 BIAYA NON OPERASIONAL
9:01:01 Biaya Bunga
9.1.1.01 Biaya Bunga - -
9:01:02 Biaya Administrasi Bank
9.1.2.01 Biaya Administrasi Bank 320,000 320,000
9:01:03 Biaya Kerugian Penjualan Aset Tetap - -
9:01:04 Biaya Kerugian Penurunan Nilai - -
9:01:05 Biaya Non Operasional Lain-lain
9.1.5.01 Biaya Non Operasional Lainnya - -
7 BIAYA INVESTASI
7:03 BIAYA INVESTASI
7:03:01 Tanah
7.3.1.01 Tanah -
7:03:02 Gedung dan Bangunan
7.3.2.01 Gedung dan Bangunan -
7:03:03 Peralatan dan Mesin
7.3.3.01 Alat Berat -
7.3.3.02 Alat Angkutan Darat Bermotor -
7.3.3.03 Alat Bengkel -
7.3.3.04 Alat Kantor & RT 200,241,491
7.3.3.05 Perlengkapan Kantor 75,002,915
7.3.3.06 Komputer -
7.3.3.07 Alat Studio -
7.3.3.08 Alat Kedokteran 77,714,776
7.3.3.09 Alat Laboratorium 3,760,000
7:03:04 Kendaraan
7.3.4.01 Kendaraan -
7:03:05 Perlengkapan dan Peralatan Kantor -
7:03:06 Jalan, Irigasi dan Jaringan
7.3.6.01 Konstruksi Jalan -
7.3.6.02 Jaringan Air -
7.3.6.03 Instalasi Listrik -
7:03:07 Aset Tetap Lainnya
7.3.7.01 Koleksi Buku/Perusahaan -
7.3.7.02 Barang Bercorak Kesenian, Kebudayaan -
JUMLAH 3,907,818,648 242,200,000 3,537,861,018
Jumlah Belanja Kepegawaian
% Belanja Kepegawaian
Anggaran Murni
Silpa 2018
Selisih
Jumlah Belanja P
RAN TAHUN 2019 Sisa Belanja Dari Pagu
Belanja Modal
-
-
890,000
-
-
1,836,865
1,200,792
500,000
3,161,706
1,133,300
6,424,579
515,000 34,452,750
1,187,250
1,994,750,832 2,126,127,664
-
78,650
-
-
-
874,000
-
950,530
6,400
268,300
-
1,800
-
-
-
-
320,000
-
16,200,000
-
9,050,000
895,000
2,302,486
1,138,550
52,800
46,800
5,988
-
-
32,257,000
53,050
279,300
-
75,000
-
1,627,843
100,000 7,800 2948.718
-
500
- 128,292
4,797,080
3,173,667
-
-
-
10,100
36,000
-
5,612,689
499,995
-
-
-
-
-
-
- -
- -
-
-
-
- -
21,700
-
-
-
- -
- -
- -
- -
- -
208,976,490 8,734,999
76,267,915 1,265,000
- -
- -
77,714,776 -
3,760,000 -
- -
- -
- -
- -
- -
- -
- -
2,361,470,013 6,141,531,031
3,797,589,000
344,891,334
1,922,529,000
2,096,642,122
174,113,122 4,133
4,133,530,191
2,008,000,840

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BERITA ACARA

STOCK OPNAME PERSEDIAAN BARANG

Nama : Lina Yuliana

No Nama Barang Jumlah Satuan Harga Perolehan

A Bahan Habis Pakai

31 pembolong kertas 1 pcs 15,000

78 Debos Trigonal Clip No 3 23 Box 3,000

6 Buku kuarto/Isi 100 - - -

53 Label nama no 125 - - -

100 Tempat solasiban - - -

26 Nota Pemeriksaan Rangkap 2 - buku 13,380

22 Test Pack, HCG OneMed - Pack 79,200

20 sendok - Pcs 11,000

28 Pawangi Ruangan Wc Wipol 1 Pcs 13,250

9 PERSEDIAAN BAHAN BAKAR - - -

29 Asiklovir Tablet 400 mg 860 Tablet 380

70 Fluconazol Tablet 150 mg - Tablet -

159 Piridoksin HCl (Vit B6) Tablet 10 mg 1,365 Tablet 123

203 Vaksin IPV 5 ds - Ampul -

248 Pot Dahak - Buah -

295 Pantoprazole 94 Vial 30,000

Mengetahui Yang melaksana

dr. Hj. Nia Soniawaty

Garut, 2 Januari 2019

Yang melaksanakan Stock Opname

Hj. Nia Soniawaty

Nama : Lina Yuliana

6 PERSEDIAAN BAHAN PEMBERSIH DADN ALAT KEBERSIHAN 1 2,624,617

7 PERSEDIAAN BAHAN MEDIS HABIS PAKAI 1 62,411,173

Mengetahui Yang melaksanakan S

dr. Hj. Nia Soniawaty

Garut, 2 Januari 2019

Yang melaksanakan Stock Opname

Saldo Per 31 Desember 2017

9 PERSEDIAAN BAHAN BAKAR 117,000

10 PERSEDIAAN BAHAN BAKAR DAPUR/PANTRY 30,000

11 PERSEDIAAN BENDA POS DAN PENGIRIMAN 9,000

12 PERSEDIAAN BHP RUANGAN DAN OKSIGEN 122,500

13 PERSEDIAAN OBAT DAN PERBEKALAN KESEHATAN (BARANG PKM) 73,618,043

Penerimaan Barang Persediaan Pengeluaran Barang Persediaan

Garut, 2 Januari 2019

Yang melaksanakan Stock Opn

dr. Hj. Nia Soniawaty

Garut, 2 Januari 2019

Mengetahui Yang melaksanakan Stock Opname

(tanda tangan) (tanda tangan)

DAFTAR PENERIMAAN DAN PENGELUARAN BARANG PERSEDIAAN

54,698,325 ### 17,376,173 13,235,130

DAFTAR PENERIMAAN DAN PENGELUARAN BARANG PERSEDIAAN

DAFTAR PENERIMAAN DAN PENGELUARAN BARANG PERSEDIAAN

DAFTAR PENERIMAAN DAN PENGELUARAN BARANG PERSEDIAAN

3,283,200 3,818,400 2,173,750 464,000

DAFTAR PENERIMAAN DAN PENGELUARAN BARA

enerimaan Barang Persediaan Pengeluaran Barang Persediaan

DAFTAR PENERIMAAN DAN PENGELUARAN BARAN

1 ADS 0.05 ml Buah - Buah

DAFTAR PENERIMAAN DAN PENGELUARAN BARANG PERSEDIAAN

261,000 3,620,200 362,020

DAFTAR PENERIMAAN DAN PENGELUARAN BARAN

DAFTAR PENERIMAAN DAN PENGELUARAN BARAN

DAFTAR PENERIMAAN DAN PENGELUARAN BARAN

DAFTAR PENERIMAAN DAN PENGELUARAN BAR

an Barang Persediaan Pengeluaran Barang Persediaan Saldo Per 31 Agustus 2018

1 Albendazol Tablet 400 mg Tablet - - - - -