LAPORAN PERSEDIAAN BARANG

PERIODE JANUARI 2014

KODE JENIS SALDO AWAL PEMBELIAN PEMAKAIAN SALDO AKHIR

NO
BARANG PERSEDIAAN KUANTITAS Rp Jumlah KUANTITAS Rp Jumlah KUANTITAS Rp Jumlah KUANTITAS Rp

1 0001 Pembersih lantai 0 16,000 - 42 16,000 672,000 27 16,000 432,000 15 15,000

2 0002 Kresek Merah 0 35,000 - 148 35,000 5,180,000 148 35,000 5,180,000 35,000
3 0003 Kresek Hitam 0 35,000 - 148 35,000 5,180,000 148 35,000 5,180,000 35,000
4 0004 Bayclin 1 liter 0 15,000 - 25 15,000 375,000 25 15,000 375,000 15,000
5 0005 Bayclin 4 liter 0 60,000 - 6 60,000 360,000 6 60,000 360,000 60,000
6 006 Daia 1 kg 0 20,000 - 84 20,000 1,680,000 84 20,000 1,680,000 20,000
7 0007 Wipol 0 15,000 - 72 15,000 1,080,000 72 15,000 1,080,000 15,000
8 0008 Sunlight Cuci Piring 0 15,500 - 20 15,500 310,000 20 15,500 310,000 15,500
9 0009 Hand Soap Reffill 0 15,000 - 38 15,000 570,000 38 15,000 570,000 15,000
10 0010 Clear Kaca 0 15,000 - 40 15,000 600,000 40 15,000 600,000 15,000
11 0011 Bayfresh Stella 0 14,000 - 35 14,000 490,000 9 14,000 168,000 26 14,000
12 0012 Bayclin 4 liter 0 55,000 - 12 55,000 660,000 12 55,000 3,245,000 55,000
13 0013 Fixal 0 17,000 - 60 17,000 1,020,000 59 17,000 85,000 1 17,000
14 0014 Hit Aerasal Regular 0 40,000 - 5 40,000 200,000 5 40,000 1,200,000 40,000
15 0015 Tissue Neorilana 0 26,000 - 30 26,000 780,000 30 26,000 3,744,000 26,000
16 0016 Daia Sachet 0 1,250 - 144 1,250 180,000 144 1,250 180,000 1,250
17 0017 Kapur Barus Stella AC 0 13,500 - 50 13,500 675,000 50 13,500 675,000 13,500
18 0018 Molto 0 15,000 - 10 15,000 150,000 0 15,000 - 10 15,000

TOTAL - - 969 20,162,000 917 25,064,000 52

Dompu, 31 Januari 2014

Penyimpan Barang

Suhaeni, BA
NIP. 19781007 200012 2 002
AKHIR
Jumlah

225,000
-
-
-
-
-
-
-
-
-
364,000
-
17,000
-
-
-
-
150,000

756,000

uari 2014
Barang

BA
00012 2 002
 LAPORAN PERSEDIAAN (Alat Kebersihan)
Bulan Februari 2014

Alat Kebersihan KTR RG VIP A VIP B KES. KBD KBD KBD

No. POLI IGD R.M LAB RAD APTK ICU KBR NICU Z.D ZA ZB ISSD IPSRS MSLH O.K GIZI IPAL JMLH
Nama Ruangan LT.3 KLEM KLS KLS LING PELY PERW PENG
1 Pembersih lantai 8 10 6 10 6 1 6 15 4 20 10 15 8 4 20 1 3 5 1 1 1 155
2 Pemutih cucian 4L 12 12
3 Pemutih cucian 1000ml 3 5 10 1 2 1 30 3 55
4 Vixal 6 4 6 3 1 2 10 2 6 3 4 6 2 5 1 1 3 3 1 2 71
5 Tissue refill 4 3 1 4 2 1 15
6 Sunlight 5 2 7
7 Bay fress 250ml 2 4 4 4 2 3 3 2 2 10 3 3 13 3 2 60
8 Bay fress 70 grm 6 4 2 4 6 6 8 18 6 60
9 Baygon fres scen 1 1 1 2 5
10 wipol 2 2 1 2 7
11 Pewangi isi ulang 30 30
12 Sabun cuci 60 gram 6 6 6 12 6 24 6 18 6 6 12 18 12 6 144
13 Sabun cuci 1 Kg 1 72 73
14 Hand soap isi ulang 8 4 8 1 2 3 1 5 2 6 5 2 8 5 2 2 2 66
15 Handy mok 1 1 1 1 1 5
16 Sapu lawa-lawa 0
17 Keset tebal 3 1 3 7 4 10 10 10 2 50
18 Tempat sampah 4 8 8 14 2 36
19 Kain pel handuk 6 2 6 2 4 2 4 6 6 2 2 3 5 50
20 Sapu ijuk 1 3 2 2 4 10 1 1 24
21 Sapu lidi 2 1 1 2 2 1 2 2 1 1 4 1 20
22 Skop sampah 2 1 1 2 1 2 2 2 2 1 1 1 18
23 Kemoceng 1 2 2 2 2 2 2 2 2 2 2 1 1 1 24

Dompu, 28 Februari 2014

Penyimpan Barang
 Suhaeni
Nip.19781007 200012 2 002
LAPORAN PERSEDIAAN (Alat Kebersihan)
Bulan Februari 2014

Alat Kebersihan KTR RG VIP A VIP B KES. KBD KBD KBD

No. POLI IGD R.M LAB RAD APTK ICU KBR NICU Z.D ZA ZB ISSD IPSRS MSLH O.K GIZI IPAL JMLH
Nama Ruangan LT.3 KLEM KLS KLS LING PELY PERW PENG
24 Kain lap kaca 1 2 2 1 1 2 2 3 2 2 4 1 2 25
25 Gayung 8 10 2 20
26 Sikat kamar mandi 1 1 1 1 1 1 2 2 2 1 1 1 15
27 Sikat cuci 6 2 3 2 2 2 1 18
28 Sikat wc/closet 2 2 2 1 2 3 1 2 2 2 1 20
29 Besi cuci piring/dinding 0
30 Selang 25 25M
31 Pembersih kaca isi ulang 2 2 2 2 3 2 3 2 3 3 2 2 2 30
32 Plastik kresek besar merah 10 2 6 2 5 10 5 40
33 Plastik kresek besar hitam 3 10 5 18
34 Plastik kresek sedang 20 20
35 Plastik kresek kecil 20 20
36
37
38
39
40
41
42
43
44
45
46

Dompu, 28 Februari 2014

Penyimpan Barang
 Suhaeni
Nip.19781007 200012 2 002
 LAPORAN PERSEDIAAN BARANG
PERIODE PEBRUARI 2014

KODE SALDO AWAL PEMBELIAN PEMAKAIAN SALDO AKH

NO JENIS PERSEDIAAN
BARANG KUANTITAS Rp Jumlah KUANTITAS Rp Jumlah KUANTITAS Rp Jumlah KUANTITAS

1 0001 Pembersih lantai 15 15,000 225,000 140 15,000 2,100,000 155 15,000 2,325,000 0
2 0002 Pemutih cucian 4 L 60,000 - 18 60,000 1,080,000 12 60,000 720,000 6
3 0003 Pemutih cucian 1000 L 15,000 - 60 15,000 900,000 55 15,000 825,000 5
4 0004 Vixal 1 17,000 17,000 70 17,000 1,190,000 71 17,000 1,207,000 0
5 0005 Tissue refill 26,000 - 20 26,000 520,000 15 26,000 390,000 5
6 006 Sunlight 15,500 - 20 15,500 310,000 7 15,500 108,500 13
7 0007 Bay Fres 250 ml 16,000 - 86 16,000 1,376,000 60 16,000 960,000 26
8 0008 Bay Fres 70 grm 26 14,000 364,000 46 14,000 644,000 60 14,000 840,000 12
9 0009 Baygon fres scen 40,000 - 11 40,000 440,000 5 40,000 200,000 6
10 0010 Pembunuh kuman 15,000 - 10 15,000 150,000 7 15,000 105,000 3
11 0011 Pewangi isi ulang soklin 10 15,000 150,000 20 15,000 300,000 30 15,000 450,000 0
12 0012 Sabun cuci Daian 60 gram 1,250 - 244 1,250 305,000 144 1,250 180,000 100
13 0013 Sabun cuci Daian 1 Kg 20,000 - 100 20,000 2,000,000 73 20,000 1,460,000 27
14 0014 Hand soap isi ulang 300 ml 15,000 - 68 15,000 1,020,000 66 15,000 990,000 2
15 0015 Handy mop 40,000 - 10 40,000 400,000 5 40,000 200,000 5
16 0016 Sapu lawa lawa 30,000 - 30,000 - 0 30,000 - 0
17 0017 Keset yang tebal 25,000 - 50 25,000 1,250,000 50 25,000 1,250,000 0
18 0018 Tempat sampah kecil 25,000 - 36 25,000 900,000 36 25,000 900,000 0
19 0019 Kain pel handuk 35,000 - 50 35,000 1,750,000 50 35,000 1,750,000 0
20 0020 Sapu ijuk 25,000 - 24 25,000 600,000 24 25,000 600,000 0
21 0021 Sapu lidi 0 7,500 - 46 7,500 345,000 26 7,500 195,000 20
0022 Sapu lidi kawat 18,000 25 18,000 450,000 18,000 - 25
22 0023 Skop sampah 17,500 - 34 17,500 595,000 18 17,500 315,000 16
23 0024 Kemoceng 25,000 - 24 25,000 600,000 24 25,000 600,000 0
24 0025 Kain lap kaca 21,000 - 34 21,000 714,000 25 21,000 525,000 9
25 0026 Gayung 10,000 - 24 10,000 240,000 20 10,000 200,000 4
26 0027 Sikat kamar mandi 35,000 - 20 35,000 700,000 15 35,000 525,000 5
27 0028 Sikat cuci 13,000 - 24 13,000 312,000 18 13,000 234,000 6
28 0029 Sikat wc kloset 15,000 - 30 15,000 450,000 20 15,000 300,000 10
29 0030 Besi cuci piring/dinding 2,500 - 36 2,500 90,000 0 2,500 - 36
30 0031 Selang 2,500 - 200 2,500 500,000 25 2,500 62,500 175
0032 Molto 14,000 35 14,000 490,000 14,000 - 35
31 0033 Pembersih kaca 15,000 - 30 15,000 450,000 30 15,000 450,000 0
0034 Stella Gantung 16,000 30 16,000 480,000 30
TOTAL 52 756,000 1,675 23,651,000 1,146 18,867,000 581

Dompu, 28 Pebruari 2014

PEMBANTU PENYIMPAN BARANG

SUHAENI
NIP.197810072000122002
SALDO AKHIR
Rp Jumlah

15,000 -
60,000 360,000
15,000 75,000
17,000 -
26,000 130,000
15,500 201,500
16,000 416,000
14,000 168,000
40,000 240,000
15,000 45,000
15,000 -
1,250 125,000
20,000 540,000
15,000 30,000
40,000 200,000
30,000 -
25,000 -
25,000 -
35,000 -
25,000 -
7,500 150,000
18,000 450,000
17,500 280,000
25,000 -
21,000 189,000
10,000 40,000
35,000 175,000
13,000 78,000
15,000 150,000
2,500 90,000
 2,500 437,500
14,000 490,000
15,000 -
16,000 480,000
5,540,000
 LAPORAN PERSEDIAAN (Alat Kebersihan)
Bulan Maret 2014

Alat Kebersihan KTR RG VIP A VIP B KES. KBD KBD KBD KEUA VERI
No. POLI IGD R.M LAB RAD APTK ICU KBR NICU Z.D ZA ZB ISSD IPRS MSLH O.K GIZI IPAL JMLH
Nama Ruangan LT.3 KLEM KLS KLS LING PELY PERW PENG NGAN FIKASI

1 Pembersih lantai 3 6 10 7 10 3 5 6 20 4 20 7 16 4 5 5 1 132

2 Pemutih cucian 4L 23 23
3 Pemutih cucian 1000ml 8 1 20 2 2 33
4 Vixal 2 6 4 2 2 15 2 20 3 5 3 3 4 2 1 1 75
5 Tissue refill 6 2 2 2 2 1 3 5 2 2 1 2 30
6 Sunlight 1 8 9
7 Bay fress 250ml 2 6 6 1 4 2 2 2 2 5 3 5 6 1 1 2 50
8 Bay fress 70 grm 6 4 3 3 8 24
9 Baygon fres scen 1 1
10 wipol 0
11 Pewangi isi ulang 30 30
12 Sabun cuci 60 gram 24 6 12 6 12 6 24 12 6 12 12 6 138
13 Sabun cuci 1 Kg 2 2 72 76
14 Hand soap isi ulang 3 6 8 6 2 3 7 2 10 6 5 6 3 2 5 2 1 1 78
15 Handy mok 1 1
16 Sapu lawa-lawa 0
17 Keset tebal 3 5 3 10 4 1 2 28
18 Tempat sampah 5 2 2 4 1 2 3 2 1 2 24
19 Kain pel handuk 4 2 2 2 3 6 1 20
20 Sapu ijuk 1 1 3 1 1 1 2 10
21 Sapu lidi 2 2 4 8
22 Skop sampah 1 2 2 1 6
23 Kemoceng 0

Dompu, 26 Maret 2014

Penyimpan Barang
 Suhaeni
Nip.19781007 200012 2 002
LAPORAN PERSEDIAAN (Alat Kebersihan)
Bulan Maret 2014

Alat Kebersihan KTR RG VIP A VIP B KES. KBD KBD KBD Verifi Keua
No. POLI IGD R.M LAB RAD APTK ICU KBR NICU Z.D ZA ZB ISSD IPSRSMSLH O.K GIZI Ipal JMLH
Nama Ruangan LT.3 KLEM KLS KLS LING PELY PERW PENG kasi ngan
24 Kain lap kaca 0
25 Gayung 1 1 1 3
26 Sikat kamar mandi 1 1
27 Sikat cuci 2 2
28 Sikat wc/closet 1 1 3 1 3 1 1 11
29 Besi cuci piring/dinding 2 4 6
30 Selang 0
31 Pembersih kaca isi ulang 4 4 2 1 2 2 8 3 2 2 30
32 Plastik kresek besar M 6 6 6 2 5 5 4 3 2 39
33 Plastik kresek besar H 6 1 3 6 6 2 10 4 3 41
34 Plastik kresek sedang 0
35 Plastik kresek kecil 0
36 Plastik bungkus makanan 100 100
37 Handuk kecil 0
38 Handscone tebal 1 1 2 4
39 Plastik klip kecil 10 10
40
41
42
43
44
45
46

Dompu, 26 Maret 2014

Penyimpan Barang
 Suhaeni
Nip.19781007 200012 2 002
 LAPORAN PERSEDIAAN BARANG
PERIODE MARET 2014

KODE SALDO AWAL PEMBELIAN PEMAKAIAN SALDO A

NO JENIS PERSEDIAAN
BARANG KUANTITAS Rp Jumlah KUANTITAS Rp Jumlah KUANTITAS Rp Jumlah KUANTITAS

1 0001 Pembersih lantai 0 15,000 - 170 15,000 2,550,000 132 15,000 1,980,000 46
2 0002 Pemutih cucian 4 L 6 60,000 360,000 30 60,000 1,800,000 23 60,000 1,380,000 7
3 0003 Pemutih cucian 1000 ml 5 15,000 75,000 100 15,000 1,500,000 33 15,000 495,000 67
4 0004 Vixal 0 17,000 - 80 17,000 1,360,000 75 17,000 1,275,000 18
5 0005 Tissue refill 5 26,000 130,000 30 26,000 780,000 30 26,000 780,000 0
6 006 Sunlight 13 15,500 201,500 10 15,500 155,000 9 15,500 139,500 4
7 0007 Bay Fres 250 ml 26 16,000 416,000 80 16,000 1,280,000 50 16,000 800,000 30
8 0008 Bay Fres 70 grm 12 14,000 168,000 30 14,000 420,000 24 14,000 336,000 6
9 0009 Baygon fres scen 6 40,000 240,000 0 40,000 - 1 40,000 40,000 0
10 0010 Pembunuh kuman 3 15,000 45,000 0 15,000 - 0 15,000 - 5
11 0011 Pewangi isi ulang soklin 0 15,000 - 30 15,000 450,000 30 15,000 450,000 5
12 0012 Sabun cuci Daian 60 gram 100 1,250 125,000 144 1,250 180,000 138 1,250 172,500 6
13 0013 Sabun cuci Daian 1 Kg 27 20,000 540,000 75 20,000 1,500,000 76 20,000 1,520,000 10
14 0014 Hand soap isi ulang 300 ml 2 15,000 30,000 80 15,000 1,200,000 78 15,000 1,170,000 2
15 0015 Handy mop 5 40,000 200,000 5 40,000 200,000 1 40,000 40,000 4
16 0016 Sapu lawa lawa 0 30,000 - 0 30,000 - 0 30,000 - 0
17 0017 Keset yang tebal 0 25,000 - 30 25,000 750,000 28 25,000 700,000 2
18 0018 Tempat sampah kecil 0 25,000 - 30 25,000 750,000 24 25,000 600,000 6
19 0019 Kain pel handuk 0 35,000 - 20 35,000 700,000 20 35,000 700,000 0
20 0020 Sapu ijuk 0 25,000 - 20 25,000 500,000 10 25,000 250,000 10
21 0021 Sapu lidi 20 7,500 150,000 0 7,500 - 8 7,500 60,000 12
Sapu lidi kawat 25 18,000 450,000
22 0022 Skop sampah 16 17,500 280,000 0 17,500 - 6 17,500 105,000 0
23 0023 Kemoceng 0 25,000 - 0 25,000 - 0 25,000 - 0
24 0024 Kain lap kaca 9 21,000 189,000 0 21,000 - 0 21,000 - 0
25 0025 Gayung 4 10,000 40,000 50 10,000 500,000 3 10,000 30,000 47
26 0026 Sikat kamar mandi 5 35,000 175,000 0 35,000 - 1 35,000 35,000 4
 KODE SALDO AWAL PEMBELIAN PEMAKAIAN SALDO A
NO JENIS PERSEDIAAN
BARANG KUANTITAS Rp Jumlah KUANTITAS Rp Jumlah KUANTITAS Rp Jumlah KUANTITAS
27 0027 Sikat cuci 6 13,000 78,000 0 13,000 - 2 13,000 26,000 0
28 0028 Sikat wc kloset 10 15,000 150,000 20 15,000 300,000 11 15,000 165,000 9
29 0029 Besi cuci piring/dinding 36 2,500 90,000 0 2,500 - 6 2,500 15,000 30
30 0030 Selang 175 2,500 437,500 0 2,500 - 0 2,500 - 75
31 0031 Molto 35 14,000 490,000
32 0032 Pembersih kaca 0 15,000 - 50 15,000 750,000 30 15,000 450,000 20
33 0033 Stella Gantung 30 16,000 480,000
34 0034 Plastik merah 0 35,000 - 125 35,000 4,375,000 39 35,000 1,365,000 46
35 0035 Plastik hitam 0 35,000 - 60 35,000 2,100,000 41 35,000 1,435,000 1
36 0036 Plastik sedang 0 7,000 - 200 7,000 1,400,000 0 7,000 - 0
37 0037 Plastik kecil 0 6,000 - 200 6,000 1,200,000 0 6,000 - 0
38 0038 Plastik bungkus makanan 0 35,000 - 100 35,000 3,500,000 100 35,000 3,500,000 0
39 0039 Handuk kecil 0 30,000 - 5 30,000 150,000 0 30,000 - 0
40 0040 Handscone tebal 0 50,000 - 20 50,000 1,000,000 4 50,000 200,000 16
41 0041 Plastik klip kecil 0 - 10 - - 10 - - 0
Jumlah 581 874,750 5,540,000 1,804 826,750 31,350,000 1,043 826,750 20,214,000 488

Dompu, 31 Maret 2014

PEMBANTU PENYIMPAN BARANG

SUHAENI
NIP.197810072000122002
SALDO AKHIR
Rp Jumlah

15,000 690,000
60,000 420,000
15,000 1,005,000
17,000 306,000
26,000 -
15,500 62,000
16,000 480,000
14,000 84,000
40,000 -
15,000 75,000
15,000 75,000
1,250 7,500
20,000 200,000
15,000 30,000
40,000 160,000
30,000 -
25,000 50,000
25,000 150,000
35,000 -
25,000 250,000
7,500 90,000

17,500 -
25,000 -
21,000 -
10,000 470,000
35,000 140,000
SALDO AKHIR
Rp Jumlah
13,000 -
15,000 135,000
2,500 75,000
2,500 187,500

15,000 300,000

35,000 1,610,000
35,000 35,000
7,000 -
6,000 -
35,000 -
30,000 -
50,000 800,000
- -
826,750 7,887,000