Contoh Penyusunan Neraca Puskesmas 2017

PEMERINTAH KABUPATEN ASAMBAS
D I NAS K E S E HATAN
PUSKESMAS PIMPINAN
Jl. Pasanda Bakti Desa Pipitteja
LAPORAN PERUBAHAN EKUITAS

Per Tanggal 30 Juni 2017 dan 31 Desember 2016
URAIAN TAHUN 2016 TAHUN 2015

1 2 3
EKUITAS AWAL 3,448,881,229.05 3,570,370,994.64
Surplus/Defisit - LO (1,158,899.55) 139,587,226.26
Dampak Kumulatif Perubahan Kebijakan / (194,125,405.78) (261,076,991.85)
Kesalahan Mendasar
Koreksi Nilai Persediaan
Koreksi Aset Lacar
Koreksi Aset Tetap
Koreksi Aset Lain
Koreksi Investasi
Koreksi Utang
Lain-Lain (194,125,405.78) (261,076,991.85)
EKUITAS AKHIR 3,253,596,923.71 3,448,881,229.05
Sambas, 30 Juni 2017

Kepala Puskesmas Pimpinan
H. MARHAN, S.ST
NIP.19750429 199903 1 006
NERACA KONSOLIDASI PUSKESMAS 2016
BERDASARKAN DATA DINAS KESEHATAN
JUMLAH AUDITED TH
Uraian 2016
ASET
Aset Lancar
Kas Dan Setara Kas 3,245,051.45
Piutang Jasa Layanan 27,370,000.00
Penyisihan Piutang tak tertagih (136,850.00)
Piutang Lainnya -
Beban dibayar dimuka
Persediaan 41,411,598.42
persediaan obat apbd 1 121,254.00
persediaan obat apbd 2 SETELAH KOREKSI 38,793,141.42
persediaan obat blud SETELAH KOREKSI -
Bahan Kimia
reagen
vaksin 2,400,003.00
malaria 97,200.00
selain obat -
jumlah persediaan 41,411,598.42
Jumlah Aset Lancar 71,889,799.87
ASET TETAP
Tanah 205,391,000.00
Peralatan dan Mesin 1,336,352,068.14
Gedung dan Bangunan 3,417,868,874.59
Jalan, Irigasi, dan Jaringan 7,844,646.00
Aset Tetap Lainnya -
Konstruksi Dalam Pengerjaan
Akumulasi Penyusutan (1,565,503,159.56)
Jumlah Aset Tetap 3,401,953,429.17
ASET LAINNYA -
Aset tidak berwujud
Amortisasi
Aset lain-lain
Jumlah Aset lainnya -
TOTAL ASET 3,473,843,229.05
KEWAJIBAN DAN EKUITAS
Kewajiban Jangka Pendek
Hutang Usaha 22,397,000.00
Hutang Jasa 2,565,000.00
Hutang Jangka pendek lain
Jumlah Kewajiban 24,962,000.00
Ekuitas
Ekuitas Awal 3,570,370,994.64
Surplus /Defisit Periode ini/ Tahun Berjalan 50,250,529.09
Koreksi kesalahan (171,740,294.69)
Jumlah Ekuitas 3,448,881,229.05
TOTAL KEWAJIBAN DAN EKUITAS 3,473,843,229.05
-
CEK DATA NERACA DINKES DAN PUSKESMAS
Uraian Pimpinan
PERSEDIAAN
NILAI PERSEDIAAN REKAP 41,180,080.02
PERSEDIAAN NERACA AUDITED 41,411,598.42
PERSEDIAAN NERACA PUSKESMAS 41,314,398.42
SELISIH 97,200.00
KAS
NILAI REKAP 3,245,051.45
NILAI NERACA AUDITED 3,245,051.45
NILAI NERACA PUSKESMAS 3,245,051.45
SELISIH -
PIUTANG
SELISIH -
PENYISIHAN PIUTANG
NILAI REKAP (136,850.00)
NILAI NERACA AUDITED (136,850.00)
NILAI NERACA PUSKESMAS (136,850.00)
SELISIH -
HUTANG
SELISIH -
PEMERINTAH KABUPATEN SAMBAS
DINAS KESEHATAN
PUSKESMAS PIMPINAN
NERACA
Per Tanggal 30 Juni 2017
(Dala
Uraian 30-Jun-17
ASET
Aset Lancar
Kas di Bendahara BLUD -
Piutang Jasa/Usaha 3,195,000.00
Penyisihan Piutang tak tertagih (Jasa/Usaha) (848,250.00)
Persediaan 67,229,148.08
Jumlah Aset Lancar 69,575,898.08
Aset Tetap
Tanah 205,391,000.00
Gedung 1,336,352,068.14
Peralatan dan Mesin 3,417,868,874.59
Jalan, Jaringan dan Instalasi 7,844,646.00
Aset tetap lainnya -
Kontruksi Dalam Pengerjaan. -
Akumulasi Penyusutan Aset Tetap (1,821,653,916.99)
Jumlah Aset Tidak Lancar 3,145,802,671.74
TOTAL ASET 3,215,378,569.81
KEWAJIBAN DAN EKUITAS

Kewajiban Jangka Pendek
Hutang Jasa ( Persalinan BPM Mandiri, Persalinan BPJS) 1,395,000.00
Hutang Usaha 105,000.00
Hutang lain-lain -
Jumlah Kewajiban 1,500,000.00
EKUITAS
Ekuitas Awal 3,448,881,229.05
Surplus (Defisit) Periode Ini/ Tahun Berjalan (1,158,899.55)
Koreksi kesalahan (194,125,405.78)
Jumlah Ekuitas 3,253,596,923.71
TOTAL KEWAJIBAN DAN EKUITAS 3,255,096,923.71
..........................
NIP. ................
EMERINTAH KABUPATEN SAMBAS
DINAS KESEHATAN
PUSKESMAS PIMPINAN
NERACA
Per Tanggal 30 Juni 2017
(Dalam Rupiah)
31-Dec-16
3,245,051.45
27,370,000.00
(136,850.00)
41,411,598.42
71,889,799.87
205,391,000.00
1,336,352,068.14
3,417,868,874.59
7,844,646.00
-
-
(1,565,503,159.56)
3,401,953,429.17
3,473,843,229.05
22,397,000.00
2,565,000.00
-
24,962,000.00
3,570,370,994.64
139,587,226.26
(261,076,991.85)
3,448,881,229.05
3,473,843,229.05
..........................
NIP. ................
NERACA BLUD
KDPER NMPER
1. ASET
1.1. ASET LANCAR
1.1.1. Kas dan Setara Kas
1.1.1.01. Kas di BLUD
1.1.1.01.01. Kas di Bendahara BLUD
1.1.3. Piutang Jasa layanan
1.1.3.02. Piutang LAYANAN PASIEN BPJS
1.1.3.02.10. Piutang BPJS DI PUSKESMAS /POSKESDES
1.1.5. Penyisihan Piutang
1.1.5.01. Penyisihan Piutang Jasa Layanan
1.1.5.01.02. Penyisihan Piutang BPJS
1.1.7. Persediaan
1.1.7.02. Persediaan Bahan/Material
1.1.7.02.04. Persediaan Obat-obatan
1.1.7.02.09. Persediaan Regen
1.1.7.02.11. Persediaan Vaksin
1.1.7.02.12. Persediaan DRT Malaria
1.3. ASET TETAP
1.3.1. Tanah
1.3.1.11. Tanah Untuk Bangunan Gedung
1.3.1.11.04. Tanah Untuk Bangunan Tempat Kerja/Jasa
1.3.2. Peralatan dan Mesin
1.3.2.04. Alat Angkutan Darat Bermotor
1.3.2.04.04. Kendaraan Bermotor Khusus
1.3.2.04.05. Kendaraan Bermotor Beroda Dua
1.3.2.06. Alat Angkut Apung Bermotor
1.3.2.06.03. Alat Angkut Apung Bermotor Khusus
1.3.2.14. Alat Kantor
1.3.2.14.01. Mesin Tik
1.3.2.15. Alat Rumah Tangga
1.3.2.15.01. Meubelair
1.3.2.15.05. Alat Dapur
1.3.2.15.06. Alat Rumah Tangga Lainnya (Home Use)
1.3.2.16. Komputer
1.3.2.16.02. Personal Komputer
1.3.2.16.05. Peralatan Personal Komputer
1.3.2.16.06. Perlatan Jaringan
1.3.2.18. Alat Studio
1.3.2.18.07. Dst………
1.3.2.21. Alat Kedokteran
1.3.2.21.01. Alat Kedokteran Umum
1.3.3. Gedung dan Bangunan
1.3.3.01. Bangunan Gedung Tempat Kerja
1.3.3.01.01. Bangunan Gedung Kantor
1.3.3.02. Bangunan Gedung Tempat Tinggal
1.3.3.02.01. Rumah Negara Golongan I
KDPER NMPER
1.3.3.02.03. Rumah Negara Golongan III
1.3.4. Jalan, Irigasi, dan Jaringan
1.3.4.21. Jaringan Listrik
1.3.4.21.01. Jaringan Transmisi
1.3.7. Akumulasi Penyusutan
1.3.7.01. Akumulasi Penyusutan Peralatan dan Mesin
1.3.7.01.04. Akumulasi Penyusutan Alat Angkutan Darat Bermotor
1.3.7.01.06. Akumulasi Penyusutan Alat Angkut Apung Bermotor
1.3.7.01.14. Akumulasi Penyusutan Alat Kantor
1.3.7.01.15. Akumulasi Penyusutan Alat Rumah Tangga
1.3.7.01.16. Akumulasi Penyusutan Peralatan Komputer
1.3.7.01.18. Akumulasi Penyusutan Alat Studio
1.3.7.01.21. Akumulasi Penyusutan Alat Kedokteran
1.3.7.02. Akumulasi Penyusutan Gedung dan Bangunan
1.3.7.02.01. Akumulasi Penyusutan Bangunan Gedung Tempat Kerj
1.3.7.02.02. Akumulasi Penyusutan Bangunan Gedung Tempat Ting
1.3.7.03. Akumulasi Penyusutan Jalan, Irigasi, dan jaringan
1.3.7.03.21. Akumulasi Penyusutan Jaringan Listrik
2. KEWAJIBAN
2.1. KEWAJIBAN JANGKA PENDEK
2.1.6. Utang Jangka Pendek Lainnya
2.1.6.05. Utang Jangka Pendek Lainnya
2.1.6.05.01. Utang Usaha
2.1.6.05.02. Utang Jasa
3. EKUITAS
3.1. EKUITAS
3.1.1. Ekuitas
3.1.1.01. Ekuitas
3.1.1.01.01. Ekuitas
3.1.1.02. Surplus/Defisit - LO
3.1.1.02.01. Surplus/Defisit - LO
3.1.1.03. Dampak Kumulatif Perubahan Kebijakan/Kesalahan M
3.1.1.03.10. Lain-Lain
HUTANG PUSKESMAS PIMPINAN per 30 JUNI 2017
NO PUSKESMAS JENIS HUTANG HUTANG KEPADA RINCIAN

1 PIMPINAN JASA Rujukan Partus PNC
- Jasa persalinan BPJS bulan Desember 2016

- BPM Nurmila, A.Md.Keb Rp 800,000.00
- Astri Febrianti, A.Md.Keb Rp 255,000.00
- Niken, A.Md.Keb Rp 85,000.00
- Juminah, A.Md.Keb Rp 255,000.00
JUMLAH Rp - Rp 1,395,000.00 Rp -
USAHA
- BHP persalinan BPJS bulan Desember 2016

- Apotik Sahabat, an. Astri Febrianti, A.Md.Keb Rp 45,000.00
- Apotik Sahabat, an. Niken, A.Md.Keb Rp 15,000.00
- Apotik Sahabat, an. Juminah, A.Md.Keb Rp 45,000.00
JUMLAH Rp - Rp 105,000.00 Rp -
JUMLAH TOTAL
H. MARHAN, S.ST
NIP. 19750429 199903 1 006
JUMLAH UANG KETERANGAN
KB
Rp 1,395,000.00
Rp 800,000.00 8 Partus
Rp 255,000.00 3 Partus
Rp 85,000.00 1 Partus
Rp 255,000.00 3 Partus
Rp - Rp 1,395,000.00
Rp 105,000.00
Rp 45,000.00 3 Partus
Rp 15,000.00 1 Partus
Rp 45,000.00 3 Partus
Rp - Rp 105,000.00
Rp 1,500,000.00
uskesmas Pimpinan
50429 199903 1 006

PEMERINTAH K
PUSKESM
DAFTAR ASET DAN
TAH
No Kode Tahun
Nama Aktiva/Uraian Lokasi Volume
Urut Rekening Perolehan
1 2 3 4 5 6
TANAH
1.3.1.11.04. Tanah Bangunan Puskesmas Pembantu Desa Matang Segantar Kec.Tl. Keramat - 300
1.3.1.11.04. Tanah Bangunan Puskesmas Pembantu Desa Pipit Teja Kec Tl Keramat - 162
1.3.1.11.04. Tanah Bangunan Puskesmas Pembantu Desa Samustida Kec Tl Keramat - 100
1.3.1.11.04. Tanah Bangunan Puskesmas Pembantu Desa Kp.Kramat Kec.TL.Keramat - 400
1.3.1.11.04. Tanah Bangunan Puskesmas Pembantu Desa Sabing Ke Teluk Keramat - 400
1.3.1.11.04. Tanah Bangunan Puskesmas Desa Pipit Teja Kec Tl Keramat
1.3.1.11.04. Tanah Polindes Desa Kuala Pkl Keramat Kec.Tl Keramat 2001 120
1.3.1.11.04. Tanah Polindes Desa Matang Segantar Kec.Tl. Keramat 2001 120
1.3.1.11.04. Tanah Polindes Desa Mekar Sekuntum Kec.Tl Keramat 2001 120
1.3.1.11.04. Tanah Polindes Desa Pipit Teja Kec Tl Keramat 2001 120
1.3.1.11.04. Tanah Polindes Desa Samustida Kec Tl Keramat 2001 120
1.3.1.11.04. Tanah Polindes Desa Sayang Sedayu Kec Tl Keramat 2001 120
1.3.1.11.04. Tanah Polindes Desa Sungai Serabek Kec Tl Keramat 2001 120
1.3.1.11.04. Tanah Polindes Desa KP.Keramat Kec. Teluk Keramat 2013
1.3.1.11.04. Tanah Bangunan Puskesmas Pembantu Desa Mekar Sekuntum - 300
1.3.1.11.04. Tanah Bangunan Puskesmas Pembantu Desa Sei Serabek Kec.Tl Keramat 400
1.3.1.11.04. Tanah Polindes Desa Mulia Kec Tl Keramat 2001 120
1.3.1.11.04. Tanah Polindes Desa Teluk Kembang Kec TL Keramat 2001 120
JUMLAH TANAH
PERALATAN DAN MESIN
1.3.2.04.05. Roda Dua Pusk Pimpinan 2005 1
1.3.2.04.04. Toyota Kijang Pusk Pimpinan 2007 1
1.3.2.06.03. Speed Boat Pusling Air Pusk Pimpinan 2007 1
1.3.2.14.01. Mesin tik Pusk Pimpinan 2007 1
10
No Kode Tahun
1 2 3 4 5 6
1.3.2.16.02. Komputer PC Pusk Pimpinan 2013 1
1.3.2.16.06. Jaringan Hot spot Puskesmas Pusk Pimpinan 2014 1
1.3.2.15.01. Meja kerja 1/2 biro Pusk Pimpinan 2014 1
1.3.2.15.05. Perlengkapan dapur ( teko air plastik ) Pusk Pimpinan 2014 1
1.3.2.15.05. Perlengkapan dapur ( ketel air ) Pusk Pimpinan 2014 1
1.3.2.15.05. Meja dapur 3 pintu bawah Pusk Pimpinan 2014 1
1.3.2.15.05. Kompor gas Pusk Pimpinan 2014 1
1.3.2.15.05. Tabung gas dapur 5 kg Pusk Pimpinan 2014 1
1.3.2.15.05. Wall Fan Merk Maspion Pusk Pimpinan 2015 3
1.3.2.15.05. Rak Master Jumbo Pusk Pimpinan 2015 1
1.3.2.15.06. Mesin pompa Air Merk Panasonic Pusk Pimpinan 2015 1
1.3.2.15.01. Meja kantor 1/2 biro Pusk Pimpinan 2015 1
1.3.2.15.01. Meja Kerja 1/2 Biro Pusk Pimpinan 2
1.3.2.15.01. Kursi Kerja Pusk Pimpinan 4
1.3.2.15.01. Pajak PPN 10% Pusk Pimpinan
1.3.2.16.02. Laptop Acer Aspire Pusk Pimpinan 1 Buah
1.3.2.16.02. PC Intel Core 2 duo Pusk Pimpinan 2014 1

1.3.2.16.05. Modem Pusk Pimpinan 2014 1
1.3.2.18.07. INFOCUS IN 112a Pusk Pimpinan 2015 1
- Pengadaan Peralatan Medis ( Pusk. Pimpinan,subah,tekarangPusk Pimpinan 2005 1 Pkt

1.3.2.21.01. - Stetoskop Duplex Dewasa Pusk Pimpinan 2007 1 unit
1.3.2.21.01. - Dacin dan Sarung Timbang Pusk Pimpinan 2007 1 unit
1.3.2.21.01. -Timbangan Bayi dan Anak Pusk Pimpinan 2007 1 unit
1.3.2.21.01. - Alat Ukur Panjang Badan Pusk Pimpinan 2007 1 unit
1.3.2.21.01. - Tensimeter Mercurial Dewasa Pusk Pimpinan 2007 1 unit
1.3.2.21.01. - Refleks Hammer Pusk Pimpinan 2007 1 unit
1.3.2.21.01. - Waskom Stand Pusk Pimpinan 2007 1 unit
1.3.2.21.01. - Food Modal Pusk Pimpinan 2007 1 unit
1.3.2.21.01. - Timbangan Bayi Pusk Pimpinan 2007 1 unit
1.3.2.21.01. - Timbangan Dewasa Pusk Pimpinan 2007 1 unit
1.3.2.21.01. - Pipet Tetes Pusk Pimpinan 2007 1 box
1.3.2.21.01. - Alat Pemasangan IUD Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Alat Pengait IUD Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Gunting Bedah Standar,lurus Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Gunting bedah standar,lurus,ujung tajam/tajam Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Gunting bedah standar,lurus,ujung tumpul/tajam Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Gunting bedah standar,lurus,ujung tumpul/tumpul Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Kateter karet No.10 ( Nelaton) Pusk Pimpinan 2007 5 bh
11
No Kode Tahun
1 2 3 4 5 6
1.3.2.21.01. - Kateter karet No.14( Nelaton) Pusk Pimpinan 2007 5 bh
1.3.2.21.01. - Kateter Logam No.12( Nelaton) Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Klem tampon uterus 25 Cm ( Bozemann) Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Klem /penjepit porsio,25 cm ( Schoeder) Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Korentang lengkung penjepit alat steril 23 Cm( Chectle) Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Korentang penjepit stronge ( Foerter) Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Pinset Anatomis 14,5 cm Pusk Pimpinan 2007 2 bh
1.3.2.21.01. - Pinset Anatomis 18 cm Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Semprit Glyserine Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Sonde Uterus/Penduga Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Steralisator ( Pemanas Alkohol) Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Sarung tangan No.6/2,box of 50 pairs Pusk Pimpinan 2007 2 box
1.3.2.21.01. - Sarung tangan No.7,box of 50 pairs Pusk Pimpinan 2007 2 box
1.3.2.21.01. - Sarung tangan No.7,5,box of 50 pairs Pusk Pimpinan 2007 2 box
1.3.2.21.01. - Baki Logam tempat alat steril Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Mangkok untu larutan Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Hemoglobin meter Pusk Pimpinan 2007 1 unit
1.3.2.21.01. - Hemoglobin Test Cands 4X25 Test Pusk Pimpinan 2007 1 box
1.3.2.21.01. - Silinder Korantang Steril Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Satndar Waskom Single,Steel Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Toples kapas/kaca steril 125X120 MM Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Tornikat karet Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Waskom Bengkok Pusk Pimpinan 2007 1 bh
1.3.2.21.01. - Sphygmomannometer Pusk Pimpinan 2007 1 bh
12
No Kode Tahun
1 2 3 4 5 6
13
No Kode Tahun
1 2 3 4 5 6
1.3.2.21.01. Stethoscope Pusk Pimpinan 2008 1 unit
1.3.2.21.01. Tensimeter Dual Display Pusk Pimpinan 2008 1 unit
1.3.2.21.01. Tensimeter Aneroid 2 in 1 with Stethoscope Pusk Pimpinan 2008 1 unit
1.3.2.21.01. Peralatan Gigi Set Pusk Pimpinan 2008 1 set
1.3.2.21.01. IUD Set Pusk Pimpinan 2008 1 set
1.3.2.21.01. Pustu Set Pusk Pimpinan 2008 1 pkt
1.3.2.21.01. Poskesdes Kit Pusk Pimpinan 2012 1 set
1.3.2.21.01. Tabung Oksigen Pusk Pimpinan 2013 6 Mᶾ
1.3.2.21.01. Tabung Oksigen Pusk Pimpinan 2013 1,5 Mᶾ
1.3.2.21.01. Alkes Pusk PONED (5 Puskesmas) Pusk Pimpinan 2013 1 unit
1.3.2.21.01. Alkes Poskesdes (5 Poskesdes) Pusk Pimpinan 2013 1 unit
1.3.2.21.01. KACA PEMBESAR Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. METERAN Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. STETOSKOP Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. TEMPAT TIDUR PERIKSA DAN PERLENGKAPANNYA Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. TENSI METER AIR RAKSA + MENSET ANAK Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. TERMOMETER KLINIS Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. TIMBANGAN DEWASA Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. GUNTING BEDAH STANDAR LURUS Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. GUNTING PEMBALUT LISTER/GUNTING VERBAND 18Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. JARUM JAHIT LENGKUNG 1/2 LINGKARAN PENAMPAPusk Pimpinan 2014 5 BUAH
1.3.2.21.01. JARUM JAHIT LENGKUNG 1/2 LINGKARAN PENAMPAN
Pusk Pimpinan 2014 5 BUAH
1.3.2.21.01. JARUM SUNTIK,HEPIDERMIS ( NO 18 )/NEEDLE NO. 18Pusk Pimpinan 2014 5 BUAH
1.3.2.21.01. JARUM SUNTIK,HEPIDERMIS ( NO 25)/NEEDLE NO. 25Pusk Pimpinan 2014 5 BUAH
1.3.2.21.01. KATETER KARET NO 10 ( NELATHON ) Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. KATETER LOGAM UNTUK WANITA NO 12 Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. KLEM ARTERY LURUS ( KELLY ) Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. KLEM/PEMEGANG JARUM JAHIT 18 CM (MAYO HEGAR
1.3.2.21.01. KORENTANG,PENJEPIT SPONGE ( FOERSTER ) Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. PINSET ANATOMIS 14 CM Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. PINSET BEDAH 14 CM Pusk Pimpinan 2014 3 BUAH
14
No Kode Tahun
1 2 3 4 5 6
1.3.2.21.01. SIKAT TANGAN Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. SKALPEL MATA PISAU BEDAH ( NO 10 ) Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. SKALPEL TANGKAI PISAU OPERASI Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. STERILISATOR ( PEMANAS ALKOHOL ) Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. DUK BOLONG,SEDANG Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. SARUNG TANGAN NO 6 1/2 Pusk Pimpinan 2014 10 PASANG
1.3.2.21.01. SARUNG TANGAN NO 7 Pusk Pimpinan 2014 10 PASANG
1.3.2.21.01. BAKI LOGAM TMPT ALAT STERIL Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. LEMARI PERALATAN Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. MANGKOK UTK LARUTAN Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. TOPLES KAPAS / KASA STERIL Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. TORNIKET KARET Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. TROMOL KASA / KAIN STERIL Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. WASKOM BENGKOK Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. WASKOM CEKUNG Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. DISPOSABLE SYRINGE, 1 CC Pusk Pimpinan 2014 6 BOX
1.3.2.21.01. PISAU SILET (SURGICAL BLADE) Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. PENYEKAT RUANGAN Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. PISPOT Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. URINAL MALE Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. URINAL FEMALE Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. TERMOMETER FOR INFANT Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. ARI SOUND TIMER Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. READING CARD EDISI B.INDO/KARTU TES PENGLIH Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. TRAIL LENS SET Sph + 10.0 cyl , + 2.0 WITH SAMPEL Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. TONOMETER SCHIOTZ Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. CORONG TELINGA/SPEKULUM TELINGA P.241 U. KECPusk Pimpinan 2014 3 BUAH
1.3.2.21.01. LAMPU SPIRITUS Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. ALIGATOR FOSRCEPS P. 247 Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. Tabung Oksigen Poskesdes (Uk. 2014
Pusk Pimpinan 1 SET
1,5 M3 Set
Tabung Masker)
Oksigen Poskesdes (Uk.
1.3.2.21.01. Pusk Pimpinan 2014 1 SET
1,5 M3 Set
Tabung Masker)
1,5 M3 Set Masker)
1.3.2.21.01. BEIN LURUS BESAR Pusk Pimpinan 2014 1 buah
1.3.2.21.01. BEIN LURUS(DIAMOND
KECIL Pusk Pimpinan 2014 1 buah
BOR INTAN BUR
1.3.2.21.01. ASSORTED) UNTUK AIR JET HAND Pusk Pimpinan 2014 2 buah
1.3.2.21.01. BOR
PIECEINTAN KONTRA
(KECEPATAN ANGLE HAND
TINGGI) 2014
Pusk Pimpinan 1 buah
PIECE KONVENTIONAL (KECEPATAN RENDAH)
1.3.2.21.01. BURNISER BESAR Pusk Pimpinan 2014 1 buah
1.3.2.21.01. BURNISER KECIL Pusk Pimpinan 2014 1 buah
1.3.2.21.01. EKSKAVATOR BERUJUNG DUA (BESAR) Pusk Pimpinan 2014 2 buah
15
No Kode Tahun
1 2 3 4 5 6
1.3.2.21.01. EKSKAVATOR BERUJUNG DUA (KECIL) Pusk Pimpinan 2014 1 buah
1.3.2.21.01. GUNTING OPERASI GUSI (WAGNER) (12 CM) Pusk Pimpinan 2014 1 buah
1.3.2.21.01. PENGUNGKIT AKAR GIGI KANAN MESIAL (CRYER MEPusk Pimpinan 2014 2 buah
1.3.2.21.01. PENGUNGKIT AKAR GIGI KIRI MESIAL (CRYER DISTAPusk Pimpinan 2014 2 buah
1.3.2.21.01. PINSET GIGI Pusk Pimpinan 2014 2 buah
1.3.2.21.01. SKELER STANDAR, BENTUK BULAN SABIT (TYPE SICPusk Pimpinan 2014 1 buah
1.3.2.21.01. SKELER STANDAR, BENTUK 2014
SKELER STANDAR, BENTUK Pusk Pimpinan 1 buah
CANGKUL KANAN (TYPE CHISEL / MESIAL)
1.3.2.21.01. CANGKUL KIRI (TYPE CHISEL / Pusk Pimpinan 2014 1 buah
1.3.2.21.01. DISTAL)
SKELER STANDAR, BENTUK TOMBAK (TYPE HOOK) Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT AKAR GIGI ATAS BENTUK BAYONEPusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT AKAR GIGI BAWAH UNTUK ANAK Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT AKAR GIGI DEPAN ATAS Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM ATAS ANAK Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM ATAS KANAN Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM ATAS KIRI Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM BAWAH KANAN Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM BESAR BAWAH Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM KECIL ATAS Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM KECIL DAN TARIN Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM TERAKHIR ATAS Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM TERAKHIR BAWAHPusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI SERI DAN SISA AKAR BAWAH Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI SERI DAN TARING ATAS ANAKPusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI SERI DAN TARING ATAS Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI SERI DAN TARING BAWAH ANPusk Pimpinan 2014 1 buah
1.3.2.21.01. ART SET Pusk Pimpinan 2014 1 set
1.3.2.21.01. DENTAL UNIT Pusk Pimpinan 2014 1 unit
1.3.2.21.01. BAKI LOGAM TEMPAT ALAT STERIL Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. JARUM SEMPRIT AIR Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. KACA MULUT DATAR NO. 4 TANPA TANGKAI Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. LEMPENG KACA PENGADUK SEMEN, 10 X 7.5 X 1 CM Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. PELINDUNG JARI Pusk Pimpinan 2014 2 Buah
1.3.2.21.01. PEMEGANG MATRIKS (MATRIX HOLDER) Pusk Pimpinan 2014 2 Buah
1.3.2.21.01. PENAHAN LIDAH (Sudip Lidah 2014
Pusk Pimpinan 1 Buah
19cm)
1.3.2.21.01. PENGADUK AMALGAM Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. PENGHEMBUS ANGIN Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. PENUMPAT AMALGAM BERUJUNG DUA (BESAR) Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. PENUMPAT AMALGAM BERUJUNG DUA (KECIL) Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. PENUMPAT PLASTIS Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. PENUMPAT SEMEN BERUJUNG DUA Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. PITA MATRIK (MATRIX BAND) 5 MM X 100 MM Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. RANGKA BODI, UNIT GIGI DENGAN LANDASAN TETAPusk Pimpinan 2014 1 Buah
1.3.2.21.01. SELULOID STRIP Pusk Pimpinan 2014 1 Buah
16
No Kode Tahun
1 2 3 4 5 6
1.3.2.21.01. SONDE LENGKUNG Pusk Pimpinan 2014 2 Buah
1.3.2.21.01. SONDE LURUS Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. SPATULA PENGADUK SEMEN Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. SPATULA PENGADUK SILIKAT / GLASSLONOMER Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. TANG PEMOTONG TULANG UNTUK ANAK (KNABEL TA
Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. TANGKAI UNTUK KACA MULUT Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. JARUM JAHIT, LENGKUNG (NO. 13) Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. JARUM SUNTIK / Needle N0. 23 Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. JARUM SUNTIK / Needle No. 27 Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. KLEM / PEMEGANG JARUM JAHIT (MATHIEU STANDAPusk Pimpinan 2014 1 Buah
1.3.2.21.01. KORENTANG, PENJEPIT SPONGE (FOERSTER) Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. SEMPRIT, HIPODERMIK, TIPE RECORD 2 CC Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. SEMPRIT, AIR Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. SKALPEL, MATA PISAU BEDAH (BESAR) Pusk Pimpinan 2014 2 Buah
1.3.2.21.01. SKALPEL, MATA PISAU BEDAH (KECIL) Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. SKALPEL, TANGKAI PISAU OPERASI Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. STERILISATOR (PEMANAS ALKOHOL) Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. LAMPU SPIRITUS Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. SILINDER KORENTANG STERIL Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. WASKOM BENGKOK Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. MIKROMOTOR DENGAN STRAIGHT 2014
DAN CONTRA ANGLE HAND PIECE (LOW SPEED MICRO MOTOR)
1.3.2.21.01. Spygmomanometer Anak Pusk Pimpinan 2015 1
1.3.2.21.01. Stetoskop Dewasa Pusk Pimpinan 2015 2
1.3.2.21.01. Stetoskop Anak Pusk Pimpinan 2015 1
1.3.2.21.01. Spygmomanometer Dewasa Pusk Pimpinan 2015 2
1.3.2.21.01. Sterilisator Pusk Pimpinan 2015 1
1.3.2.21.01. Tensimeter Spectrum ABN Pusk Pimpinan 2015 2
1.3.2.21.01. Tensi Anaeroid Jan Serenity Pusk Pimpinan 2015 1
1.3.2.21.01. PENGUKUR PANJANG BAYI (ANTROPOMETRI + TAS) Pusk Pimpinan 2016 1
1.3.2.21.01. Nebulyzer Pusk Pimpinan 2016 2
1.3.2.21.01. Resuscitator Adult Manual Pusk Pimpinan 2016 1
1.3.2.21.01. Resuscitator Child Manual Pusk Pimpinan 2016 1
1.3.2.21.01. Resuscitator Infant Manual Pusk Pimpinan 2016 1
1.3.2.21.01. Alat Haemoglobin Meter (+ Haemoglobin Strip) Pusk Pimpinan 2016 1
1.3.2.21.01. Strecher (Brankar) Pusk Pimpinan 2016 1
1.3.2.21.01. Sphygmomanometer untuk dewasa Pusk Pimpinan 2016 6
17
No Kode Tahun
1 2 3 4 5 6
1.3.2.21.01. Sphygmomanometer untuk anak Pusk Pimpinan 2016 6
1.3.2.21.01. Stetoskop untuk dewasa Pusk Pimpinan 2016 6
1.3.2.21.01. Stetoskop untuk anak Pusk Pimpinan 2016 6
1.3.2.21.01. Stetoskop janin/ fetoscope Pusk Pimpinan 2016 6
1.3.2.21.01. GEA Bistos HandheldFetal Dopler Pusk Pimpinan 2016 1
1.3.2.21.01. MAK Gynaecology Examination Table Pusk Pimpinan 2016 2
1.3.2.21.01. MAK Examination Table 34101 Pusk Pimpinan 2016 2
1.3.2.21.01. GEA Bistos Hand Held Fetal Doppler Pusk Pimpinan 2016 4
1.3.2.21.01. Verlos Bed KA 08-12BSS Pusk Pimpinan 2016 3
1.3.2.21.01. Alat Penghisap Lendir/Mucus Extractor Pusk Pimpinan 2016 2
1.3.2.21.01. Bak Instrumen dengan tutup (Besar) Pusk Pimpinan 2016 6
1.3.2.21.01. Bak Logam tempat alat steril tertutup Pusk Pimpinan 2016 4
1.3.2.21.01. Neerbeken kecil 20 cm Pusk Pimpinan 2016 4
1.3.2.21.01. Neerbeken besar 23 cm Pusk Pimpinan 2016 4
1.3.2.21.01. Gunting benang Pusk Pimpinan 2016 4
1.3.2.21.01. Gunting episotomi Pusk Pimpinan 2016 4
1.3.2.21.01. Gunting verband 14 cm Pusk Pimpinan 2016 2
1.3.2.21.01. Gunting tali pusat 16 cm Pusk Pimpinan 2016 4
1.3.2.21.01. Korcher Tang Pusk Pimpinan 2016 4
1.3.2.21.01. 1/2 Klem korcher / pemecah ketuban 14 cm Pusk Pimpinan 2016 4
1.3.2.21.01. Mangkok untuk larutan / iodine cup 8 cm Pusk Pimpinan 2016 4
1.3.2.21.01. Meteran / medline Pusk Pimpinan 2016 4
1.3.2.21.01. Palu refleks Pusk Pimpinan 2016 2
1.3.2.21.01. Penjepit uterus / Kogel tang Pusk Pimpinan 2016 4
1.3.2.21.01. Pelvimeter obsterik Pusk Pimpinan 2016 2
1.3.2.21.01. Pinset anatomi pendek 14 cm Pusk Pimpinan 2016 4
1.3.2.21.01. Pinset anatomi panjang 18 cm Pusk Pimpinan 2016 4
1.3.2.21.01. Pinset Chirurgis 14 cm Pusk Pimpinan 2016 4
1.3.2.21.01. Pita Pengukur LILA Pusk Pimpinan 2016 2
1.3.2.21.01. Stetoskop Janin Pusk Pimpinan 2016 2
1.3.2.21.01. Sudip lidah 14 cm Pusk Pimpinan 2016 2
1.3.2.21.01. Sonde mulut Pusk Pimpinan 2016 2
1.3.2.21.01. Sonde Uterus Pusk Pimpinan 2016 4
1.3.2.21.01. Spekulum Vagina besar Pusk Pimpinan 2016 2
1.3.2.21.01. Spekulum Vagina sedang M Pusk Pimpinan 2016 2
1.3.2.21.01. Spekulum Vagina kecil S Pusk Pimpinan 2016 2
1.3.2.21.01. Silinder korentang steril Pusk Pimpinan 2016 4
1.3.2.21.01. Spekulum Vagina (Sim's) S, ML Pusk Pimpinan 2016 2
1.3.2.21.01. Urine test combur 10/combi 10 Pusk Pimpinan 2016 10
1.3.2.21.01. Tang Tampon Pusk Pimpinan 2016 2
1.3.2.21.01. Thermometer dahi dan telinga Pusk Pimpinan 2016 2
1.3.2.21.01. Thermometer Digital Anak Pusk Pimpinan 2016 2
18
No Kode Tahun
1 2 3 4 5 6
1.3.2.21.01. Thermometer dewasa Pusk Pimpinan 2016 2
1.3.2.21.01. Timbangan Dewasa Pusk Pimpinan 2016 2
1.3.2.21.01. Timbangan bayi Pusk Pimpinan 2016 2
1.3.2.21.01. Tromol kapas Pusk Pimpinan 2016 2
1.3.2.21.01. Tourniket karet Pusk Pimpinan 2016 2
1.3.2.21.01. Waskom Cekung Pusk Pimpinan 2016 2
1.3.2.21.01. Tas Bidan Kit Pusk Pimpinan 2016 2
1.3.2.21.01. Bak Instruments bertutup besar Pusk Pimpinan 2016 2
1.3.2.21.01. Bak Instruments bertutup kecil Pusk Pimpinan 2016 2
1.3.2.21.01. Gunting Iris lengkung Pusk Pimpinan 2016 2
1.3.2.21.01. Gunting Operasi lurus Pusk Pimpinan 2016 2
1.3.2.21.01. Klem Fenster/klem ovum Pusk Pimpinan 2016 2
1.3.2.21.01. Klem kasa (korentang) Pusk Pimpinan 2016 2
1.3.2.21.01. Klem kocher lurus Pusk Pimpinan 2016 2
1.3.2.21.01. Klem linen backhauss Pusk Pimpinan 2016 2
1.3.2.21.01. Klem Mosquito Halsted lengkung Pusk Pimpinan 2016 2
1.3.2.21.01. needle Holder Matheiu 17 cm Pusk Pimpinan 2016 2
1.3.2.21.01. Pinset anatomis 14 cm Pusk Pimpinan 2016 2
1.3.2.21.01. Setengah kocher 14 cm Pusk Pimpinan 2016 2
1.3.2.21.01. Skapel handle no. 3 Pusk Pimpinan 2016 2
1.3.2.21.01. Spekulum (sims) besar Pusk Pimpinan 2016 2
1.3.2.21.01. Spekulum (sims) sedang Pusk Pimpinan 2016 2
1.3.2.21.01. Spekulum (sims) kecil Pusk Pimpinan 2016 2
1.3.2.21.01. Spekulum/cocor bebek grave besar Pusk Pimpinan 2016 2
1.3.2.21.01. Spekulum/cocor bebek grave sedang M Pusk Pimpinan 2016 2
1.3.2.21.01. Spekulum/cocor bebek grave kecil S Pusk Pimpinan 2016 2
1.3.2.21.01. Tabung Oksigen 1 M3 + Isi Pusk Pimpinan 2016 2
1.3.2.21.01. Regulator Oksigen Pusk Pimpinan 2016 2
1.3.2.21.01. Tempat Klem Kasa (korentang) Pusk Pimpinan 2016 2
1.3.2.21.01. Thermometer Dewasa Pusk Pimpinan 2016 2
1.3.2.21.01. Tas Partus set Pusk Pimpinan 2016 2
1.3.2.21.01. Examination Lamp Pusk Pimpinan 2016 1
1.3.2.21.01. Aspel Electrocardiograph Type Mr. Green Pusk Pimpinan 2016 1
1.3.2.21.01. MAK Wheel Chair 31303 Pusk Pimpinan 2016 1
19
No Kode Tahun
1 2 3 4 5 6
1.3.2.21.01. Dragonmed Mikropipet Fix 10ul Pusk Pimpinan 2016 1
1.3.2.21.01. Dragonmed Mikropipet Fix 200ul - 1000ul Pusk Pimpinan 2016 1
1.3.2.21.01. Gemmy Industrial Table Top Centrifuge PLC 05 Pusk Pimpinan 2016 1
1.3.2.21.01. Batang Pengaduk Pusk Pimpinan 2016 3
1.3.2.21.01. Beaker Glass 1 Ltr Pusk Pimpinan 2016 3
1.3.2.21.01. Botol Pencuci /Botol semprot Pusk Pimpinan 2016 1
1.3.2.21.01. Corong kaca 5 cm Pusk Pimpinan 2016 3
1.3.2.21.01. Erlemeyer 1 Ltr Pusk Pimpinan 2016 2
1.3.2.21.01. Hemositometer set/Alat hitung Manual Pusk Pimpinan 2016 1
1.3.2.21.01. Pipet Berskala 1 cc Pusk Pimpinan 2016 2
1.3.2.21.01. Pipet Tetes Pusk Pimpinan 2016 2
1.3.2.21.01. Yellow Tipe Pusk Pimpinan 2016 2
1.3.2.21.01. Blue Tipe Pusk Pimpinan 2016 3
1.3.2.21.01. Tabung hematokrit Pusk Pimpinan 2016 1
1.3.2.21.01. Tabung Reaksi 12 mm Pusk Pimpinan 2016 6
1.3.2.21.01. Tabung Reaksi dengan tutup karet gabus Pusk Pimpinan 2016 12
1.3.2.21.01. Tabung Centrifuge tanpa skala Pusk Pimpinan 2016 6
1.3.2.21.01. Tally Counter Pusk Pimpinan 2016 2
1.3.2.21.01. Termometer 0-50 c Pusk Pimpinan 2016 1
1.3.2.21.01. Westergent Set (Tbg laju endap darah) Tbg Westergent Pusk Pimpinan 2016 3
1.3.2.21.01. Westergent Set (Tbg laju endap darah) Rak Tbg westergent Pusk Pimpinan 2016 3
1.3.2.21.01. Pajak PPN 10 % Pusk Pimpinan 2016
JUMLAH PERALATAN DAN MESIN
GEDUNG DAN BANGUNAN
1.3.3.01.01. Bangunan Puskesmas Pustu Tl. Keramat 2000 1
1.3.3.01.01. Bangunan Puskesmas Pustu Pimpinan 2000 1
20
No Kode Tahun
1 2 3 4 5 6
1.3.3.01.01. Bangunan Puskesmas Rehabilitasi Puskesmas Pembantu Sekabau Desa K 2014 1
1.3.3.01.01. Bangunan Puskesmas Pustu Sekabau 2000 1
1.3.3.01.01. Bangunan Puskesmas Pustu Mekar Sekuntum 2000 1
1.3.3.01.01. Bangunan Puskesmas Pustu Samustida 2000 1
1.3.3.01.01. Bangunan Puskesmas Rehab Total Pustu Samustida ( Pimpinan ) 2008 1
1.3.3.01.01. Bangunan Puskesmas Polindes Kuala Pkl Keramat 2000 1
1.3.3.01.01. Bangunan Puskesmas Polindes Mekar Sekuntum 2000 1
1.3.3.01.01. Bangunan Puskesmas Polindes Teluk Kembang 2000 1
1.3.3.01.01. Bangunan Puskesmas Polindes Sungai Serabek 2000 1
1.3.3.01.01. Bangunan Puskesmas Polindes Sayang Sedayu 2000 1
1.3.3.01.01. Bangunan Puskesmas Polindes Samustida 2000 1
1.3.3.01.01. Bangunan Puskesmas Polindes Pipit Teja 2000 1
1.3.3.01.01. Bangunan Puskesmas Polindes Mulia 2000 1
1.3.3.01.01. Bangunan Puskesmas Polindes Matang Segantar 2000 1
1.3.3.01.01. Bangunan Puskesmas Rehab Total Polindes Mt. Segantar 2005 1
1.3.3.01.01. Bangunan Puskesmas Peningkatan Pustu menjadi Puskesmas Pimpinan 2003 1
1.3.3.01.01. Bangunan Puskesmas Rehab Total Pusk Pimpinan 2008 1
1.3.3.01.01. Bangunan Puskesmas Rehab Pusk. Pimpinan 2013 1
1.3.3.01.01. Bangunan Puskesmas Rehabilitasi Puskesmas Pimpinan 2015 1
1.3.3.01.01. Bangunan Puskesmas Rehab Total Pustu Matang Segantar ( Pimpinan ) 2008 1
1.3.3.01.01. Bangunan Puskesmas Poskesdes Sayang Sedayu 2009 1
1.3.3.01.01. Bangunan Puskesmas Pem. Poskesdes Tlk Kembang, Pimpinan 2012 1
1.3.3.01.01. Bangunan Puskesmas Pembangunan Poskesdes KP. Keramat 2013 1
1.3.3.02.01. Rumah Dokter, Jembatan Jln. Masuk Puskesmas Pimpi Pusk Pimpinan 2003 1
1.3.3.02.03. RD Perawat Pusk.Pimpinan Pusk Pimpinan 2007 1
1.3.3.02.03. Rumdis Paramedis Pusk Pimpinan Pusk Pimpinan 2008 1
JUMLAH BANGUNAN DAN GEDUNG
JALAN, IRIGASI & JARINAGAN
1.3.4.21.01. Daya dan Instalasi Listrik Poskesdes Sei Serambek Pus Pusk Pimpinan 2016 1
JLH JALAN, IRIGASI & JARINAGAN
TOTAL ASET TETAP
21
ERINTAH KABUPATEN SAMBAS
PUSKESMAS PIMPINAN
ASET DAN PENYUSUTAN ASET TETAP
TAHUN 2016
Umur Akumulasi Akumulasi

Kuantit Nilai Residu 5%
Harga Perolehan Ekonomis Penyusutan Tahun Niai Penyusutan Tahun ini Penyusutan s/d
as (Rp.)
(Tahun) sebelumnnya Tahun ini
7 8 9 10 11 12 13
M2 4,000,000.00 - - - - -
M2 2,860,000.00 - - - - -
M2 2,860,000.00 - - - - -
M2 2,860,000.00 - - - - -
M2 20,680,000.00 - - - - -
M2 149,875,000.00 - - - - -
M2 600,000.00 - - - - -
M2 858,000.00 - - - - -
M2 600,000.00 - - - - -
M2 858,000.00 - - - - -
M2 600,000.00 - - - - -
M2 858,000.00 - - - - -
M2 858,000.00 - - - - -
M2 10,104,000.00 - - - - -
M2 2,860,000.00 - - - - -
M2 2,860,000.00 - - - - -
M2 600,000.00 - - - - -
M2 600,000.00 - - - - -
205,391,000.00 - - - - -
unit 8,500,000.00 5 425,000.00 8,075,000.00 - 8,075,000.00

unit 14,279,411.76 5 713,970.59 13,565,441.18 - 13,565,441.18
unit 14,279,411.76 5 713,970.59 13,565,441.18 - 13,565,441.18
unit 13,100,000.00 5 655,000.00 12,445,000.00 - 12,445,000.00
unit 13,100,000.00 5 655,000.00 12,445,000.00 - 12,445,000.00
unit 143,275,000.00 5 7,163,750.00 136,111,250.00 - 136,111,250.00
unit 12,200,000.00 5 610,000.00 11,590,000.00 - 11,590,000.00
unit 12,200,000.00 5 610,000.00 11,590,000.00 - 11,590,000.00
unit 98,917,333.00 5 4,945,866.65 93,971,466.35 - 93,971,466.35
unit 12,400,000.00 5 620,000.00 11,780,000.00 - 11,780,000.00
unit 14,478,000.00 5 723,900.00 13,754,100.00 - 13,754,100.00
unit 14,924,756.55 5 746,237.83 - 1,417,851.87 1,417,851.87
Buah 910,000.00 5 45,500.00 864,500.00 - 864,500.00
22
as (Rp.)
7 8 9 10 11 12 13
Unit 6,075,000.00 5 303,750.00 3,462,750.00 577,125.00 4,039,875.00
paket 1,965,000.00 5 98,250.00 746,700.00 186,675.00 933,375.00
buah 450,000.00 5 22,500.00 171,000.00 42,750.00 213,750.00
buah 24,000.00 5 1,200.00 9,120.00 2,280.00 11,400.00
buah 55,000.00 5 2,750.00 20,900.00 5,225.00 26,125.00
buah 420,000.00 5 21,000.00 159,600.00 39,900.00 199,500.00
Set 310,000.00 5 15,500.00 117,800.00 29,450.00 147,250.00
buah 200,000.00 5 10,000.00 76,000.00 19,000.00 95,000.00
Bh 990,000.00 5 49,500.00 188,100.00 94,050.00 282,150.00
Bh 990,000.00 5 49,500.00 188,100.00 94,050.00 282,150.00
Buah 460,000.00 5 23,000.00 87,400.00 43,700.00 131,100.00
Bh 390,000.00 5 19,500.00 74,100.00 37,050.00 111,150.00
Buah 485,000.00 5 24,250.00 92,150.00 46,075.00 138,225.00
Buah 970,000.00 5 48,500.00 184,300.00 92,150.00 276,450.00
Buah 485,000.00 5 24,250.00 92,150.00 46,075.00 138,225.00
Buah 1,723,199.17 5 86,159.96 1,637,039.21 - 1,637,039.21
Buah 1,937,056.83 5 96,852.84 1,840,203.99 - 1,840,203.99
332,751.00 5 16,637.55 316,113.45 - 316,113.45
1 Buah 4,548,700.00 5 227,435.00 4,321,265.00 - 4,321,265.00
unit 6,300,000.00 10 315,000.00 1,197,000.00 299,250.00 1,496,250.00

unit 300,000.00 10 15,000.00 57,000.00 14,250.00 71,250.00
buah 5,432,000.00 10 271,600.00 516,040.00 258,020.00 774,060.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00

350,000.00 10 17,500.00 299,250.00 16,625.00 315,875.00
2,500,000.00 10 125,000.00 2,137,500.00 118,750.00 2,256,250.00
20,000.00 10 1,000.00 17,100.00 950.00 18,050.00
500,000.00 10 25,000.00 427,500.00 23,750.00 451,250.00
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
700,000.00 10 35,000.00 598,500.00 33,250.00 631,750.00
6,500,000.00 10 325,000.00 5,557,500.00 308,750.00 5,866,250.00
1,400,000.00 10 70,000.00 1,197,000.00 66,500.00 1,263,500.00
125,000.00 10 6,250.00 106,875.00 5,937.50 112,812.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
350,000.00 10 17,500.00 299,250.00 16,625.00 315,875.00
75,000.00 10 3,750.00 64,125.00 3,562.50 67,687.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
12,500.00 10 625.00 10,687.50 593.75 11,281.25
23
as (Rp.)
7 8 9 10 11 12 13
12,500.00 10 625.00 10,687.50 593.75 11,281.25
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
325,000.00 10 16,250.00 277,875.00 15,437.50 293,312.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
45,000.00 10 2,250.00 38,475.00 2,137.50 40,612.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
303,000.00 10 15,150.00 259,065.00 14,392.50 273,457.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
990,000.00 10 49,500.00 846,450.00 47,025.00 893,475.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
445,000.00 10 22,250.00 380,475.00 21,137.50 401,612.50
55,000.00 10 2,750.00 47,025.00 2,612.50 49,637.50
5,500,000.00 10 275,000.00 4,702,500.00 261,250.00 4,963,750.00
2,257,000.00 10 112,850.00 1,929,735.00 107,207.50 2,036,942.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
1,800,000.00 10 90,000.00 1,539,000.00 85,500.00 1,624,500.00
325,000.00 10 16,250.00 277,875.00 15,437.50 293,312.50
60,000.00 10 3,000.00 51,300.00 2,850.00 54,150.00
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
5,850,000.00 10 292,500.00 5,001,750.00 277,875.00 5,279,625.00
1,400,000.00 10 70,000.00 1,197,000.00 66,500.00 1,263,500.00
125,000.00 10 6,250.00 106,875.00 5,937.50 112,812.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
350,000.00 10 17,500.00 299,250.00 16,625.00 315,875.00
75,000.00 10 3,750.00 64,125.00 3,562.50 67,687.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
12,500.00 10 625.00 10,687.50 593.75 11,281.25
12,500.00 10 625.00 10,687.50 593.75 11,281.25
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
325,000.00 10 16,250.00 277,875.00 15,437.50 293,312.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
45,000.00 10 2,250.00 38,475.00 2,137.50 40,612.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
303,000.00 10 15,150.00 259,065.00 14,392.50 273,457.50
24
as (Rp.)
7 8 9 10 11 12 13
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
990,000.00 10 49,500.00 846,450.00 47,025.00 893,475.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
445,000.00 10 22,250.00 380,475.00 21,137.50 401,612.50
55,000.00 10 2,750.00 47,025.00 2,612.50 49,637.50
5,500,000.00 10 275,000.00 4,702,500.00 261,250.00 4,963,750.00
2,257,000.00 10 112,850.00 1,929,735.00 107,207.50 2,036,942.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
1,800,000.00 10 90,000.00 1,539,000.00 85,500.00 1,624,500.00
325,000.00 10 16,250.00 277,875.00 15,437.50 293,312.50
60,000.00 10 3,000.00 51,300.00 2,850.00 54,150.00
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
5,850,000.00 10 292,500.00 5,001,750.00 277,875.00 5,279,625.00
1,400,000.00 10 70,000.00 1,197,000.00 66,500.00 1,263,500.00
125,000.00 10 6,250.00 106,875.00 5,937.50 112,812.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
350,000.00 10 17,500.00 299,250.00 16,625.00 315,875.00
75,000.00 10 3,750.00 64,125.00 3,562.50 67,687.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
12,500.00 10 625.00 10,687.50 593.75 11,281.25
12,500.00 10 625.00 10,687.50 593.75 11,281.25
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
325,000.00 10 16,250.00 277,875.00 15,437.50 293,312.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
45,000.00 10 2,250.00 38,475.00 2,137.50 40,612.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
303,000.00 10 15,150.00 259,065.00 14,392.50 273,457.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
990,000.00 10 49,500.00 846,450.00 47,025.00 893,475.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
445,000.00 10 22,250.00 380,475.00 21,137.50 401,612.50
55,000.00 10 2,750.00 47,025.00 2,612.50 49,637.50
5,500,000.00 10 275,000.00 4,702,500.00 261,250.00 4,963,750.00
2,257,000.00 10 112,850.00 1,929,735.00 107,207.50 2,036,942.50
25
as (Rp.)
7 8 9 10 11 12 13
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
1,800,000.00 10 90,000.00 1,539,000.00 85,500.00 1,624,500.00
325,000.00 10 16,250.00 277,875.00 15,437.50 293,312.50
60,000.00 10 3,000.00 51,300.00 2,850.00 54,150.00
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
5,850,000.00 10 292,500.00 5,001,750.00 277,875.00 5,279,625.00
200,000.00 10 10,000.00 152,000.00 9,500.00 161,500.00
5,900,000.00 10 295,000.00 4,484,000.00 280,250.00 4,764,250.00
3,450,000.00 10 172,500.00 2,622,000.00 163,875.00 2,785,875.00
14,900,000.00 10 745,000.00 11,324,000.00 707,750.00 12,031,750.00
7,400,000.00 10 370,000.00 5,624,000.00 351,500.00 5,975,500.00
30,407,100.00 10 1,520,355.00 23,109,396.00 1,444,337.25 24,553,733.25
30,407,100.00 10 1,520,355.00 23,109,396.00 1,444,337.25 24,553,733.25
60,473,437.50 10 3,023,671.88 22,979,906.25 2,872,488.28 25,852,394.53
4,985,000.00 10 249,250.00 1,420,725.00 236,787.50 1,657,512.50
2,995,000.00 10 149,750.00 853,575.00 142,262.50 995,837.50
164,403,238.38 10 8,220,161.92 46,854,922.94 7,809,153.82 54,664,076.76
70,417,303.98 10 3,520,865.20 20,068,931.63 3,344,821.94 23,413,753.57
54,274.74 10 2,713.74 10,312.20 2,578.05 12,890.25
30,152.63 10 1,507.63 5,729.00 1,432.25 7,161.25
1,005,087.72 10 50,254.39 190,966.67 47,741.67 238,708.33
10,452,912.30 10 522,645.61 1,986,053.34 496,513.33 2,482,566.67
978,955.44 10 48,947.77 186,001.53 46,500.38 232,501.92
49,751.84 10 2,487.59 9,452.85 2,363.21 11,816.06
804,070.18 10 40,203.51 152,773.33 38,193.33 190,966.67
162,824.21 10 8,141.21 30,936.60 7,734.15 38,670.75
211,068.42 10 10,553.42 40,103.00 10,025.75 50,128.75
193,479.39 10 9,673.97 36,761.08 9,190.27 45,951.35
193,479.39 10 9,673.97 36,761.08 9,190.27 45,951.35
193,479.39 10 9,673.97 36,761.08 9,190.27 45,951.35
193,479.39 10 9,673.97 36,761.08 9,190.27 45,951.35
291,475.44 10 14,573.77 55,380.33 13,845.08 69,225.42
291,475.44 10 14,573.77 55,380.33 13,845.08 69,225.42
291,475.44 10 14,573.77 55,380.33 13,845.08 69,225.42
39,198.42 10 1,959.92 7,447.70 1,861.93 9,309.63
39,198.42 10 1,959.92 7,447.70 1,861.93 9,309.63
139,305.16 10 6,965.26 26,467.98 6,617.00 33,084.98
167,347.11 10 8,367.36 31,795.95 7,948.99 39,744.94
236,698.16 10 11,834.91 44,972.65 11,243.16 56,215.81
473,396.32 10 23,669.82 89,945.30 22,486.33 112,431.63
84,427.37 10 4,221.37 16,041.20 4,010.30 20,051.50
117,595.26 10 5,879.76 22,343.10 5,585.78 27,928.88
84,427.37 10 4,221.37 16,041.20 4,010.30 20,051.50
26
as (Rp.)
7 8 9 10 11 12 13
117,595.26 10 5,879.76 22,343.10 5,585.78 27,928.88
33,167.89 10 1,658.39 6,301.90 1,575.48 7,877.38
328,663.68 10 16,433.18 62,446.10 15,611.53 78,057.63
72,366.32 10 3,618.32 13,749.60 3,437.40 17,187.00
703,561.40 10 35,178.07 133,676.67 33,419.17 167,095.83
292,480.53 10 14,624.03 55,571.30 13,892.83 69,464.13
10 PASANG 77,391.75 10 3,869.59 14,704.43 3,676.11 18,380.54
10 PASANG 77,391.75 10 3,869.59 14,704.43 3,676.11 18,380.54
10 PASANG 77,391.75 10 3,869.59 14,704.43 3,676.11 18,380.54
23,217.53 10 1,160.88 4,411.33 1,102.83 5,514.16
10,452,912.30 10 522,645.61 1,986,053.34 496,513.33 2,482,566.67
76,889.21 10 3,844.46 14,608.95 3,652.24 18,261.19
1,990,073.69 10 99,503.68 378,114.00 94,528.50 472,642.50
69,351.05 10 3,467.55 13,176.70 3,294.18 16,470.88
1,990,073.69 10 99,503.68 378,114.00 94,528.50 472,642.50
180,915.79 10 9,045.79 34,374.00 8,593.50 42,967.50
437,213.16 10 21,860.66 83,070.50 20,767.63 103,838.13
2,544,882.11 10 127,244.11 483,527.60 120,881.90 604,409.50
2,207,172.63 10 110,358.63 419,362.80 104,840.70 524,203.50
2,544,882.11 10 127,244.11 483,527.60 120,881.90 604,409.50
328,663.68 10 16,433.18 62,446.10 15,611.53 78,057.63
12,463,087.74 10 623,154.39 2,367,986.67 591,996.67 2,959,983.34
167,950.16 10 8,397.51 31,910.53 7,977.63 39,888.16
2,345,874.74 10 117,293.74 445,716.20 111,429.05 557,145.25
2,680,568.95 10 134,028.45 509,308.10 127,327.03 636,635.13
251,774.47 10 12,588.72 47,837.15 11,959.29 59,796.44
629,285.42 10 31,464.27 119,564.23 29,891.06 149,455.29
66,335.79 10 3,316.79 12,603.80 3,150.95 15,754.75
13,424,956.69 10 671,247.83 2,550,741.77 637,685.44 3,188,427.21
3,474,588.25 10 173,729.41 660,171.77 165,042.94 825,214.71
328,663.68 10 16,433.18 62,446.10 15,611.53 78,057.63
189,961.58 10 9,498.08 36,092.70 9,023.18 45,115.88
1,065,895.53 10 53,294.78 202,520.15 50,630.04 253,150.19
2,484,354.33 10 124,217.72 472,027.32 118,006.83 590,034.15
2,484,354.33 10 124,217.72 472,027.32 118,006.83 590,034.15
2,484,354.33 10 124,217.72 472,027.32 118,006.83 590,034.15
150,517.05 10 7,525.85 28,598.24 7,149.56 35,747.80
150,517.05 10 7,525.85 28,598.24 7,149.56 35,747.80
560,386.54 10 28,019.33 106,473.44 26,618.36 133,091.80
280,193.27 10 14,009.66 53,236.72 13,309.18 66,545.90
65,039.47 10 3,251.97 12,357.50 3,089.37 15,446.87
65,039.47 10 3,251.97 12,357.50 3,089.37 15,446.87
90,209.55 10 4,510.48 17,139.81 4,284.95 21,424.77
27
as (Rp.)
7 8 9 10 11 12 13
45,104.77 10 2,255.24 8,569.91 2,142.48 10,712.38
45,004.09 10 2,250.20 8,550.78 2,137.69 10,688.47
270,024.56 10 13,501.23 51,304.67 12,826.17 64,130.83
270,024.56 10 13,501.23 51,304.67 12,826.17 64,130.83
69,872.13 10 3,493.61 13,275.70 3,318.93 16,594.63
48,024.50 10 2,401.23 9,124.66 2,281.16 11,405.82
235,591.90 10 11,779.59 44,762.46 11,190.62 55,953.08
235,591.90 10 11,779.59 44,762.46 11,190.62 55,953.08
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
1,050,800.28 10 52,540.01 199,652.05 49,913.01 249,565.07
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
950,925.42 10 47,546.27 180,675.83 45,168.96 225,844.79
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
unit 300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
bh 950,925.42 10 47,546.27 180,675.83 45,168.96 225,844.79
bh 300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
bh 300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
bh 1,050,800.28 10 52,540.01 199,652.05 49,913.01 249,565.07
bh 2,401,829.20 10 120,091.46 456,347.55 114,086.89 570,434.44
bh 115,278,941.75 10 5,763,947.09 21,902,998.93 5,475,749.73 27,378,748.67
bh 125,044.93 10 6,252.25 23,758.54 5,939.63 29,698.17
bh 306,571.51 10 15,328.58 58,248.59 14,562.15 72,810.73
bh 23,961.91 10 1,198.10 4,552.76 1,138.19 5,690.95
bh 6,946.94 10 347.35 1,319.92 329.98 1,649.90
bh 270,024.56 10 13,501.23 51,304.67 12,826.17 64,130.83
bh 220,167.68 10 11,008.38 41,831.86 10,457.96 52,289.82
bh 39,970.08 10 1,998.50 7,594.31 1,898.58 9,492.89
bh 110,043.57 10 5,502.18 20,908.28 5,227.07 26,135.35
bh 150,114.33 10 7,505.72 28,521.72 7,130.43 35,652.15
bh 48,024.50 10 2,401.23 9,124.66 2,281.16 11,405.82
bh 48,024.50 10 2,401.23 9,124.66 2,281.16 11,405.82
bh 48,024.50 10 2,401.23 9,124.66 2,281.16 11,405.82
box 48,024.50 10 2,401.23 9,124.66 2,281.16 11,405.82
box 120,010.92 10 6,000.55 22,802.07 5,700.52 28,502.59
box 300,228.65 10 15,011.43 57,043.44 14,260.86 71,304.30
bh 175,083.04 10 8,754.15 33,265.78 8,316.44 41,582.22
28
as (Rp.)
7 8 9 10 11 12 13
bh 96,049.00 10 4,802.45 18,249.31 4,562.33 22,811.64
bh 48,024.50 10 2,401.23 9,124.66 2,281.16 11,405.82
bh 45,004.09 10 2,250.20 8,550.78 2,137.69 10,688.47
bh 10,974.15 10 548.71 2,085.09 521.27 2,606.36
bh 1,701,295.68 10 85,064.78 323,246.18 80,811.54 404,057.72
bh 280,193.27 10 14,009.66 53,236.72 13,309.18 66,545.90
bh 39,970.08 10 1,998.50 7,594.31 1,898.58 9,492.89
bh 39,970.08 10 1,998.50 7,594.31 1,898.58 9,492.89
bh 60,005.46 10 3,000.27 11,401.04 2,850.26 14,251.30
unit 60,005.46 10 3,000.27 11,401.04 2,850.26 14,251.30
unit 170,049.02 10 8,502.45 32,309.31 8,077.33 40,386.64
box 160,081.67 10 8,004.08 30,415.52 7,603.88 38,019.40
bh 241,129.31 10 12,056.47 45,814.57 11,453.64 57,268.21
bh 300,329.33 10 15,016.47 57,062.57 14,265.64 71,328.22
bh 220,087.13 10 11,004.36 41,816.56 10,454.14 52,270.69
bh 110,043.57 10 5,502.18 20,908.28 5,227.07 26,135.35
bh 23,961.91 10 1,198.10 4,552.76 1,138.19 5,690.95
bh 351,877.64 10 17,593.88 66,856.75 16,714.19 83,570.94
bh 63,025.87 10 3,151.29 11,974.91 2,993.73 14,968.64
bh 71,986.41 10 3,599.32 13,677.42 3,419.35 17,096.77
bh 60,005.46 10 3,000.27 11,401.04 2,850.26 14,251.30
bh 9,010,886.71 10 450,544.34 1,712,068.48 428,017.12 2,140,085.59
Unit 632,580.01 10 31,629.00 60,095.10 30,047.55 90,142.65
Unit 447,448.56 10 22,372.43 42,507.61 21,253.81 63,761.42
Unit 223,725.31 10 11,186.27 21,253.90 10,626.95 31,880.86
Unit 1,265,160.01 10 63,258.00 120,190.20 60,095.10 180,285.30
Unit 632,580.01 10 31,629.00 60,095.10 30,047.55 90,142.65
Unit 632,580.01 10 31,629.00 60,095.10 30,047.55 90,142.65
Unit 223,724.28 10 11,186.21 21,253.81 10,626.90 31,880.71
Unit 223,725.31 10 11,186.27 21,253.90 10,626.95 31,880.86
Bh 1,980,000.00 10 99,000.00 188,100.00 94,050.00 282,150.00
Bh 570,000.00 10 28,500.00 54,150.00 27,075.00 81,225.00
Bh 315,000.00 10 15,750.00 29,925.00 14,962.50 44,887.50
Bh 114,000.00 10 5,700.00 10,830.00 5,415.00 16,245.00
Buah 1,983,650.45 10 99,182.52 - 94,223.40 94,223.40
Buah 1,983,650.45 10 99,182.52 - 94,223.40 94,223.40
Buah 1,212,106.38 10 60,605.32 - 57,575.05 57,575.05
Buah 601,044.49 10 30,052.22 - 28,549.61 28,549.61
Buah 601,044.49 10 30,052.22 - 28,549.61 28,549.61
Buah 601,044.49 10 30,052.22 - 28,549.61 28,549.61
Buah 1,707,968.08 10 85,398.40 - 81,128.48 81,128.48
Buah 5,594,339.77 10 279,716.99 - 265,731.14 265,731.14
Buah 3,878,185.46 10 193,909.27 - 184,213.81 184,213.81
29
as (Rp.)
7 8 9 10 11 12 13
Buah 1,029,318.74 10 51,465.94 - 48,892.64 48,892.64
Buah 1,408,175 10 70,408.76 - 66,888.32 66,888.32
Buah 1,408,175 10 70,408.76 - 66,888.32 66,888.32
Buah 1,408,175 10 70,408.76 - 66,888.32 66,888.32
Buah 1,769,475 10 88,473.75 - 84,050.06 84,050.06
Buah 32,832,415.75 10 1,641,620.79 - 1,559,539.75 1,559,539.75
Buah 13,525,626.40 10 676,281.32 - 642,467.25 642,467.25
Buah 7,077,900 10 353,894.99 - 336,200.24 336,200.24
Buah 36,255,003.47 10 1,812,750.17 - 1,722,112.66 1,722,112.66
Buah 60,104.45 10 3,005.22 - 2,854.96 2,854.96
Buah 7,591,191.87 10 379,559.59 - 360,581.61 360,581.61
Buah 942,437.76 10 47,121.89 - 44,765.79 44,765.79
Buah 260,452.61 10 13,022.63 - 12,371.50 12,371.50
Buah 308,936.87 10 15,446.84 - 14,674.50 14,674.50
Buah 444,772.92 10 22,238.65 - 21,126.71 21,126.71
Buah 408,710.25 10 20,435.51 - 19,413.74 19,413.74
Buah 222,787.16 10 11,139.36 - 10,582.39 10,582.39
Buah 408,710.25 10 20,435.51 - 19,413.74 19,413.74
Buah 408,710.25 10 20,435.51 - 19,413.74 19,413.74
Buah 260,452.61 10 13,022.63 - 12,371.50 12,371.50
Buah 552,960.93 10 27,648.05 - 26,265.64 26,265.64
Buah 78,135.78 10 3,906.79 - 3,711.45 3,711.45
Buah 156,872.61 10 7,843.63 - 7,451.45 7,451.45
Buah 1,113,935.78 10 55,696.79 - 52,911.95 52,911.95
Buah 2,885,013.54 10 144,250.68 - 137,038.14 137,038.14
Buah 185,923.09 10 9,296.15 - 8,831.35 8,831.35
Buah 556,967.89 10 27,848.39 - 26,455.97 26,455.97
Buah 185,522.40 10 9,276.12 - 8,812.31 8,812.31
Buah 48,083.56 10 2,404.18 - 2,283.97 2,283.97
Buah 144,250.68 10 7,212.53 - 6,851.91 6,851.91
Buah 118,205.42 10 5,910.27 - 5,614.76 5,614.76
Buah 168,893.50 10 8,444.68 - 8,022.44 8,022.44
Buah 129,825.61 10 6,491.28 - 6,166.72 6,166.72
Buah 482,839.07 10 24,141.95 - 22,934.86 22,934.86
Buah 715,242.94 10 35,762.15 - 33,974.04 33,974.04
Buah 696,209.86 10 34,810.49 - 33,069.97 33,069.97
Buah 677,777.83 10 33,888.89 - 32,194.45 32,194.45
Buah 653,936.40 10 32,696.82 - 31,061.98 31,061.98
Buah 1,670,903.67 10 83,545.18 - 79,367.92 79,367.92
Buah 4,207,311.41 10 210,365.57 - 199,847.29 199,847.29
Buah 556,967.89 10 27,848.39 - 26,455.97 26,455.97
Buah 721,253.38 10 36,062.67 - 34,259.54 34,259.54
Buah 100,975.47 10 5,048.77 - 4,796.34 4,796.34
30
as (Rp.)
7 8 9 10 11 12 13
Buah 60,104.45 10 3,005.22 - 2,854.96 2,854.96
Buah 456,793.81 10 22,839.69 - 21,697.71 21,697.71
Buah 1,490,590.33 10 74,529.52 - 70,803.04 70,803.04
Buah 1,682,924.56 10 84,146.23 - 79,938.92 79,938.92
Buah 180,313.35 10 9,015.67 - 8,564.88 8,564.88
Buah 413,518.61 10 20,675.93 - 19,642.13 19,642.13
Buah 673,169.83 10 33,658.49 - 31,975.57 31,975.57
Buah 2,530,397.29 10 126,519.86 - 120,193.87 120,193.87
Buah 471,218.88 10 23,560.94 - 22,382.90 22,382.90
Buah 222,386.46 10 11,119.32 - 10,563.36 10,563.36
Buah 204,355.13 10 10,217.76 - 9,706.87 9,706.87
Buah 170,496.29 10 8,524.81 - 8,098.57 8,098.57
Buah 122,613.08 10 6,130.65 - 5,824.12 5,824.12
Buah 204,355.13 10 10,217.76 - 9,706.87 9,706.87
Buah 721,253.38 10 36,062.67 - 34,259.54 34,259.54
Buah 742,690.64 10 37,134.53 - 35,277.81 35,277.81
Buah 146,855.20 10 7,342.76 - 6,975.62 6,975.62
Buah 219,581.59 10 10,979.08 - 10,430.13 10,430.13
Buah 201,950.95 10 10,097.55 - 9,592.67 9,592.67
Buah 673,169.83 10 33,658.49 - 31,975.57 31,975.57
Buah 2,885,013.54 10 144,250.68 - 137,038.14 137,038.14
Buah 92,761.20 10 4,638.06 - 4,406.16 4,406.16
Buah 92,961.55 10 4,648.08 - 4,415.67 4,415.67
Buah 130,025.96 10 6,501.30 - 6,176.23 6,176.23
Buah 60,705.49 10 3,035.27 - 2,883.51 2,883.51
Buah 60,705.49 10 3,035.27 - 2,883.51 2,883.51
Buah 556,967.89 10 27,848.39 - 26,455.97 26,455.97
Buah 556,967.89 10 27,848.39 - 26,455.97 26,455.97
Buah 556,967.89 10 27,848.39 - 26,455.97 26,455.97
Buah 715,242.94 10 35,762.15 - 33,974.04 33,974.04
Buah 696,209.86 10 34,810.49 - 33,069.97 33,069.97
Buah 677,777.83 10 33,888.89 - 32,194.45 32,194.45
Buah 144,250.68 10 7,212.53 - 6,851.91 6,851.91
Buah 2,504,352.03 10 125,217.60 - 118,956.72 118,956.72
Buah 1,602,785.30 10 80,139.26 - 76,132.30 76,132.30
Buah 540,940.04 10 27,047.00 - 25,694.65 25,694.65
Buah 60,104.45 10 3,005.22 - 2,854.96 2,854.96
Buah 721,253.38 10 36,062.67 - 34,259.54 34,259.54
Buah 5,454,478.72 10 272,723.94 - 259,087.74 259,087.74
Buah 2,817,588.27 10 140,879.41 - 133,835.44 133,835.44
Buah 18,087,598.39 10 904,379.92 - 859,160.92 859,160.92
Buah 3,252,371.93 10 162,618.60 - 154,487.67 154,487.67
31
as (Rp.)
7 8 9 10 11 12 13
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 577,007.90 10 28,850.40 - 27,407.88 27,407.88
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 9,002,725.74 10 450,136.29 - 427,629.47 427,629.47
Buah 37,565.62 10 1,878.28 - 1,784.37 1,784.37
Buah 470,321.55 10 23,516.08 - 22,340.27 22,340.27
Buah 262,959.33 10 13,147.97 - 12,490.57 12,490.57
Buah 225,393.71 10 11,269.69 - 10,706.20 10,706.20
Buah 210,367.46 10 10,518.37 - 9,992.45 9,992.45
Buah 187,828.09 10 9,391.40 - 8,921.83 8,921.83
Buah 45,078.74 10 2,253.94 - 2,141.24 2,141.24
Buah 187,828.09 10 9,391.40 - 8,921.83 8,921.83
Buah 338,090.57 10 16,904.53 - 16,059.30 16,059.30
Buah 225,393.71 10 11,269.69 - 10,706.20 10,706.20
Buah 200,349.97 10 10,017.50 - 9,516.62 9,516.62
Buah 190,332.47 10 9,516.62 - 9,040.79 9,040.79
Buah 175,306.22 10 8,765.31 - 8,327.05 8,327.05
Buah 1,021,784.83 10 51,089.24 - 48,534.78 48,534.78
Buah 130,227.48 10 6,511.37 - 6,185.81 6,185.81
Buah 225,393.71 10 11,269.69 - 10,706.20 10,706.20
Buah 400,699.93 10 20,035.00 - 19,033.25 19,033.25
Buah 400,699.93 10 20,035.00 - 19,033.25 19,033.25
Buah 601,049.90 10 30,052.49 - 28,549.87 28,549.87
Buah 58,101.49 10 2,905.07 - 2,759.82 2,759.82
Buah 22,539.37 10 1,126.97 - 1,070.62 1,070.62
Buah 90,157.48 10 4,507.87 - 4,282.48 4,282.48
Buah 120,209.98 10 6,010.50 - 5,709.97 5,709.97
Buah 150,262.47 10 7,513.12 - 7,137.47 7,137.47
Buah 57,099.74 10 2,854.99 - 2,712.24 2,712.24
Buah 262,894.00 10 13,144.70 - 12,487.46 12,487.46
Buah 2,123,208.77 10 106,160.44 - 100,852.42 100,852.42
Buah 765,559.00 10 38,277.95 - 36,364.05 36,364.05
1,336,352,068.14 66,817,603.41 627,742,016.54 47,469,835.66 675,211,852.20
Unit 18,000,000.00 25 900,000.00 10,944,000.00 342,000.00 11,286,000.00

Unit 18,000,000.00 25 900,000.00 10,944,000.00 342,000.00 11,286,000.00
32
as (Rp.)
7 8 9 10 11 12 13
Unit 264,270,132.25 25 13,213,506.61 20,084,530.05 5,021,132.51 25,105,662.56
Unit 18,000,000.00 25 900,000.00 10,944,000.00 342,000.00 11,286,000.00
Unit 18,000,000.00 25 900,000.00 10,944,000.00 342,000.00 11,286,000.00
Unit 18,000,000.00 25 900,000.00 10,944,000.00 342,000.00 11,286,000.00
Unit 193,090,000.00 25 9,654,500.00 58,699,360.00 3,668,710.00 62,368,070.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 39,240,451.61 25 1,962,022.58 16,402,508.77 745,568.58 17,148,077.35
Unit 150,000,000.00 25 7,500,000.00 74,100,000.00 2,850,000.00 76,950,000.00
Unit 500,010,000.00 25 25,000,500.00 152,003,040.00 9,500,190.00 161,503,230.00
Unit 213,122,301.78 25 10,656,115.09 24,295,942.40 4,049,323.73 28,345,266.14
Unit 495,926,850.00 25 24,796,342.50 18,845,220.30 9,422,610.15 28,267,830.45
Unit 98,948,000.00 25 4,947,400.00 33,840,216.00 1,880,012.00 35,720,228.00
Unit 193,120,000.00 25 9,656,000.00 58,708,480.00 3,669,280.00 62,377,760.00
Unit 137,324,000.00 25 6,866,200.00 36,528,184.00 2,609,156.00 39,137,340.00
Unit 244,335,158.00 25 12,216,757.90 37,138,944.02 4,642,368.00 41,781,312.02
Unit 260,028,980.96 25 13,001,449.05 29,643,303.83 4,940,550.64 34,583,854.47
Unit 127,611,000.00 25 6,380,550.00 63,039,834.00 2,424,609.00 65,464,443.00

Unit 181,227,000.00 25 9,061,350.00 61,979,634.00 3,443,313.00 65,422,947.00
Unit 181,015,000.00 25 9,050,750.00 55,028,560.00 3,439,285.00 58,467,845.00
3,417,868,874.59 170,893,443.73 824,606,557.37 64,939,508.62 889,546,065.99
pt 7,844,646.00 5 392,232.30 - 745,241.37 745,241.37

7,844,646.00 392,232.30 0.00 745,241.37 745,241.37
4,967,456,588.73 238,103,279.44 1,452,348,573.92 113,154,585.64 1,565,503,159.56
33
Nilai Buku Keterangan
14 15
4,000,000.00
2,860,000.00
2,860,000.00
2,860,000.00
20,680,000.00
149,875,000.00
600,000.00
858,000.00
600,000.00
858,000.00
600,000.00
858,000.00
858,000.00
10,104,000.00
2,860,000.00
2,860,000.00
600,000.00
600,000.00
205,391,000.00
425,000.00
713,970.59
713,970.59
655,000.00
655,000.00
7,163,750.00
610,000.00
610,000.00
4,945,866.65
620,000.00
723,900.00
13,506,904.68
45,500.00
34
14 15
2,035,125.00
1,031,625.00
236,250.00
12,600.00
28,875.00
220,500.00
162,750.00
105,000.00
707,850.00
707,850.00
328,900.00
278,850.00
346,775.00
693,550.00
346,775.00
86,159.96
96,852.84
16,637.55
227,435.00
4,803,750.00
228,750.00
4,657,940.00
19,500.00
34,125.00
243,750.00
1,950.00
48,750.00
6,337.50
68,250.00
633,750.00
136,500.00
12,187.50
17,550.00
34,125.00
7,312.50
6,337.50
6,337.50
6,337.50
6,337.50
1,218.75
35
14 15
1,218.75
6,337.50
17,550.00
17,550.00
31,687.50
17,550.00
4,387.50
6,337.50
29,542.50
6,337.50
96,525.00
19,500.00
19,500.00
19,500.00
43,387.50
5,362.50
536,250.00
220,057.50
17,550.00
175,500.00
31,687.50
5,850.00
6,337.50
570,375.00
136,500.00
12,187.50
17,550.00
34,125.00
7,312.50
6,337.50
6,337.50
6,337.50
6,337.50
1,218.75
1,218.75
6,337.50
17,550.00
17,550.00
31,687.50
17,550.00
4,387.50
6,337.50
29,542.50
36
14 15
6,337.50
96,525.00
19,500.00
19,500.00
19,500.00
43,387.50
5,362.50
536,250.00
220,057.50
17,550.00
175,500.00
31,687.50
5,850.00
6,337.50
570,375.00
136,500.00
12,187.50
17,550.00
34,125.00
7,312.50
6,337.50
6,337.50
6,337.50
6,337.50
1,218.75
1,218.75
6,337.50
17,550.00
17,550.00
31,687.50
17,550.00
4,387.50
6,337.50
29,542.50
6,337.50
96,525.00
19,500.00
19,500.00
19,500.00
43,387.50
5,362.50
536,250.00
220,057.50
37
14 15
17,550.00
175,500.00
31,687.50
5,850.00
6,337.50
570,375.00
38,500.00
1,135,750.00
664,125.00
2,868,250.00
1,424,500.00
5,853,366.75
5,853,366.75
34,621,042.97
3,327,487.50
1,999,162.50
109,739,161.62
47,003,550.41
41,384.49
22,991.38
766,379.39
7,970,345.63
746,453.52
37,935.78
613,103.51
124,153.46
160,939.67
147,528.03
147,528.03
147,528.03
147,528.03
222,250.02
222,250.02
222,250.02
29,888.80
29,888.80
106,220.18
127,602.17
180,482.35
360,964.69
64,375.87
89,666.39
64,375.87
38
14 15
89,666.39
25,290.52
250,606.06
55,179.32
536,465.57
223,016.40
59,011.21
59,011.21
59,011.21
17,703.36
7,970,345.63
58,628.02
1,517,431.19
52,880.18
1,517,431.19
137,948.29
333,375.03
1,940,472.61
1,682,969.13
1,940,472.61
250,606.06
9,503,104.40
128,062.00
1,788,729.49
2,043,933.83
191,978.04
479,830.13
50,581.04
10,236,529.47
2,649,373.54
250,606.06
144,845.70
812,745.34
1,894,320.18
1,894,320.18
1,894,320.18
114,769.25
114,769.25
427,294.74
213,647.37
49,592.60
49,592.60
68,784.78
39
14 15
34,392.39
34,315.62
205,893.73
205,893.73
53,277.50
36,618.68
179,638.82
179,638.82
229,154.65
229,154.65
801,235.21
229,154.65
229,154.65
229,154.65
229,154.65
229,154.65
229,154.65
229,154.65
725,080.63
229,154.65
229,154.65
725,080.63
229,154.65
229,154.65
801,235.21
1,831,394.77
87,900,193.08
95,346.76
233,760.78
18,270.96
5,297.04
205,893.73
167,877.85
30,477.18
83,908.22
114,462.17
36,618.68
36,618.68
36,618.68
36,618.68
91,508.32
228,924.35
133,500.82
40
14 15
73,237.37
36,618.68
34,315.62
8,367.79
1,297,237.96
213,647.37
30,477.18
30,477.18
45,754.16
45,754.16
129,662.38
122,062.28
183,861.10
229,001.11
167,816.44
83,908.22
18,270.96
268,306.70
48,057.22
54,889.64
45,754.16
6,870,801.12
542,437.36
383,687.14
191,844.45
1,084,874.71
542,437.36
542,437.36
191,843.57
191,844.45
1,697,850.00
488,775.00
270,112.50
97,755.00
1,889,427.05
1,889,427.05
1,154,531.33
572,494.87
572,494.87
572,494.87
1,626,839.60
5,328,608.63
3,693,971.65
41
14 15
980,426.10
1,341,286.79
1,341,286.79
1,341,286.79
1,685,424.91
31,272,876.00
12,883,159.14
6,741,699.64
34,532,890.81
57,249.49
7,230,610.26
897,671.96
248,081.11
294,262.37
423,646.21
389,296.51
212,204.77
389,296.51
389,296.51
248,081.11
526,695.28
74,424.33
149,421.16
1,061,023.83
2,747,975.40
177,091.75
530,511.92
176,710.08
45,799.59
137,398.77
112,590.66
160,871.06
123,658.89
459,904.22
681,268.90
663,139.90
645,583.39
622,874.42
1,591,535.75
4,007,464.12
530,511.92
686,993.85
96,179.14
42
14 15
57,249.49
435,096.10
1,419,787.29
1,602,985.65
171,748.46
393,876.47
641,194.26
2,410,203.42
448,835.98
211,823.10
194,648.26
162,397.71
116,788.95
194,648.26
686,993.85
707,412.83
139,879.58
209,151.46
192,358.28
641,194.26
2,747,975.40
88,355.04
88,545.87
123,849.72
57,821.98
57,821.98
530,511.92
530,511.92
530,511.92
681,268.90
663,139.90
645,583.39
137,398.77
2,385,395.31
1,526,653.00
515,245.39
57,249.49
686,993.85
5,195,390.98
2,683,752.83
17,228,437.47
3,097,884.26
43
14 15
435,100.02
435,100.02
435,100.02
435,100.02
435,100.02
435,100.02
435,100.02
435,100.02
549,600.03
435,100.02
8,575,096.27
35,781.25
447,981.27
250,468.76
214,687.51
200,375.01
178,906.26
42,937.50
178,906.26
322,031.27
214,687.51
190,833.34
181,291.68
166,979.18
973,250.05
124,041.67
214,687.51
381,666.69
381,666.69
572,500.03
55,341.67
21,468.75
85,875.00
114,500.01
143,125.01
54,387.50
250,406.53
2,022,356.35
729,194.95
661,140,215.94 -
6,714,000.00
6,714,000.00
44
14 15
239,164,469.69
6,714,000.00
6,714,000.00
6,714,000.00
130,721,930.00
2,014,200.00
2,014,200.00
2,014,200.00
2,014,200.00
2,014,200.00
2,014,200.00
2,014,200.00
2,014,200.00
2,014,200.00
22,092,374.26
73,050,000.00
338,506,770.00
184,777,035.64
467,659,019.55
63,227,772.00
130,742,240.00
98,186,660.00
202,553,845.98
225,445,126.49
62,146,557.00
115,804,053.00
122,547,155.00
2,528,322,808.61
7,099,404.63
7,099,404.63
3,401,953,429.17
45
REKAP PENYUSUTAN ASET TETAP
TAHUN 2015
No Kode Umur Akumulasi Penyusutan

Nama Aktiva/Uraian Harga Perolehan
ekonomis Tahun Sebelumnya
Urut Rekening
1 2 3 4 5 6
TANAH
1 1.3.1.11. Tanah Kantor 205,391,000.00 0 -
JUMLAH TANAH 205,391,000.00 - -
I PERALATAN DAN MESIN

1 1.3.2.01. Alat-alat besar Darat - 10 -
2 1.3.2.02. Alat-alat besar Apung - 8 -
3 1.3.2.03. Alat-alat Bantu - 7 -
4 1.3.2.04. Alat Angkutan Darat Bermotor 272,736,580.08 7 244,921,232.35
5 1.3.2.05. Alat Angkutan Berat Tak Bermotor - 2 -
6 1.3.2.06. Alat Angkut Apung Bermotor 98,917,333.00 10 93,971,466.35
7 1.3.2.07. Alat Angkut Apung Tak Bermotor - 3 -
8 1.3.2.08. Alat Angkut Bermotor Udara - 20 -
9 1.3.2.09. Alat Bengkel Bermesin - 10 -
10 1.3.2.10. Alat Bengkel Tak Bermesin - 5 -
11 1.3.2.11. Alat Ukur - 5 -
12 1.3.2.12. Alat Pengolahan Pertanian - 4 -
13 1.3.2.13. Alat Pemeliharaan Tanaman/Alat Penyimpanan Pert - 4 -
14 1.3.2.14. Alat Kantor 910,000.00 5 864,500.00
15 1.3.2.15. Alat Rumah Tangga 10,222,007.00 5 5,254,076.65
16 1.3.2.16. Peralatan Komputer 19,188,700.00 4 9,784,715.00
17 1.3.2.17. Meja Dan Kursi Kerja/Rapat Pejabat - 5 -
18 1.3.2.18. Alat Studio 5,432,000.00 5 516,040.00
19 1.3.2.19. Alat Komunikasi - 5 -
20 1.3.2.20. Peralatan Pemancar - 10 -
21 1.3.2.21. Alat Kedokteran 928,945,448.06 5 272,429,986.19
22 1.3.2.22. Alat Kesehatan - 5 -
23 1.3.2.23. Unit-Unit Laboratorium - 8 -
24 1.3.2.24. Alat Peraga/Praktek Sekolah - 10 -
25 1.3.2.25. Unit Alat Laboratorium Kimia Nuklir - 15 -
26 1.3.2.26. Alat Laboratorium Fisika Nuklir / Elektronika - 15 -
27 1.3.2.27. Alat Proteksi Radiasi / Proteksi Lingkungan - 10 -
28 1.3.2.28. Radiation Aplication and Non Destructive Testing L - 10 -
29 1.3.2.29. Alat Laboratorium Lingkungan Hidup - 7 -
30 1.3.2.30. Peralatan Laboratorium Hidrodinamika - 15 -
46
Urut Rekening
31 1.3.2.31. Senjata Api - 10 -
32 1.3.2.32. Persenjataan Non Senjata Api - 3 -
33 1.3.2.32. Alat Keamanan dan Perlindungan - 5 -
JUMLAH PERALATAN DAN MESIN 1,336,352,068.14 252.00 627,742,016.54
II GEDUNG DAN BANGUNAN

1 1.3.3.01. Bangunan Gedung Tempat Kerja 2,928,015,874.59 50 644,558,529.37
2 1.3.3.02. Bangunan Gedung Tempat Tinggal 489,853,000.00 50 180,048,028.00
3 1.3.3.03. Bangunan Menara - 40 -
4 1.3.3.04. Bangunan Bersejarah - 50 -
5 1.3.3.05. Tugu Peringatan - 50 -
6 1.3.3.06. Candi - 50 -
7 1.3.3.07. Monumen/Bangunan Bersejarah - 50 -
8 1.3.3.08. Tugu Peringatan Lain - 50 -
9 1.3.3.09. Tugu Titik Kontrol/Pasti - 50 -
10 1.3.3.10. Rambu-Rambu - 50 -
11 1.3.3.11. Rambu-Rambu Lalu Lintas Udara - 50 -
JUMLAH GEDUNG DAN BANGUNAN 3,417,868,874.59 540.00 824,606,557.37
III JALAN, IRIGASI DAN JARINGAN

1 1.3.4.01. Jalan - 10 -
2 1.3.4.02. Jembatan - 50 -
3 1.3.4.03. Bangunan Air Irigasi - 50 -
4 1.3.4.04. Bangunan Air Pasang Surut - 50 -
5 1.3.4.05. Bangunan Air Rawa Sungai dan Penaggulangan
Bangunan Pengaman - 25 -
6 1.3.4.06. Bencana Alam - 10 -
7 1.3.4.07. Bangunan Pengembangan Sumber Air dan Air Tanah - 30 -
8 1.3.4.08. Bangunan Air Bersih/Baku - 40 -
9 1.3.4.09. Bangunan Air Kotor - 40 -
10 1.3.4.10. Bangunan Air - 40 -
11 1.3.4.11. Instalasi Air Minum/Air Bersih - 30 -
12 1.3.4.12. Instalasi Air Kotor - 30 -
13 1.3.4.13. Instalasi Pengolahan Sampah - 10 -
14 1.3.4.14. Instalasi Pengolahan Bahan Bangunan - 10 -
15 1.3.4.15. Instalasi Pembangkit Listrik - 40 -
16 1.3.4.16. Instalasi Gardu Listrik - 40 -
17 1.3.4.17. Instalasi Pertahanan - 30 -
18 1.3.4.18. Instalasi Gas - 30 -
19 1.3.4.19. Instalasi Pengaman - 20 -
20 1.3.4.20. Jaringan Air Minum - 30 -
21 1.3.4.21. Jaringan Listrik 7,844,646.00 40 -
22 1.3.4.22. Jaringan Telepon - 20 -
47
Urut Rekening
23 1.3.4.23. Jaringan Gas - 30 -
JUMLAH JALAN, IRIGASI DAN JARINGAN 7,844,646.00 -
IV. ASET TETAP LAINNYA

1 1.3.5.01. Buku - -
2 1.3.5.02. Terbitan - -
3 1.3.5.03. Barang-Barang Perpustakaan - -
4 1.3.5.04. Barang Bercorak Kebudayaan - -
5 1.3.5.05. Alat Olah Raga Lainnya - -
6 1.3.5.06. Hewan - -
7 1.3.5.07. Tanaman - -
8 1.3.5.08. Aset Tetap Renovasi - -
9 1.3.5.09. Aset Lain - -
JUMLAH ASET TETAP LAINNYA - -
TOTAL ASET TETAP 4,967,456,588.73 1,452,348,573.92
48
ATEN SAMBAS
N ASET TETAP
15
Niai Akumulasi
PenyusutanTahun Penyusutan s/d Nilai Buku Keterangan
ini Tahun ini
7 8 9 10
.
- - 205,391,000.00
- - 205,391,000.00
- - -
- - -
- - -
1,417,851.87 246,339,084.23 26,397,495.85
- - -
- 93,971,466.35 4,945,866.65
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 864,500.00 45,500.00
591,755.00 5,845,831.65 4,376,175.35
1,077,300.00 10,862,015.00 8,326,685.00
- - -
258,020.00 774,060.00 4,657,940.00
- - -
- - -
44,124,908.78 316,554,894.97 612,390,553.09
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
49
Niai Akumulasi
ini Tahun ini
- - -
- - -
- - -
47,469,835.66 675,211,852.20 661,140,215.94
55,632,301.62 700,190,830.99 2,227,825,043.61

9,307,207.00 189,355,235.00 300,497,765.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
64,939,508.62 889,546,065.99 2,528,322,808.61
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
745,241.37 745,241.37 7,099,404.63
- - -
50
Niai Akumulasi
ini Tahun ini
- - -
745,241.37 745,241.37 7,099,404.63
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
113,154,585.64 1,565,503,159.56 3,401,953,429.17 0.00
51
No. Bukti : 03/BM/PUSK PIMPINAN-PENYST6/2017
Tanggal : 30 Juni 2017
BUKTI MEMORIAL
Uraian : Jurnal mencatat beban penyusutan semester 1 Tahun 2017
No. URAIAN Kode Rekening
1 2 3
Biaya Penyusutan Alat Angkutan Darat Bermotor 9.1.2.07.04.

Biaya Penyusutan Alat Rumah Tangga 9.1.2.07.15.
Biaya Penyusutan Peralatan Komputer 9.1.2.07.16.
Biaya Penyusutan Alat Studio 9.1.2.07.18.
Biaya Penyusutan Alat Kedokteran 9.1.2.07.21.
Biaya Penyusutan Bangunan Gedung Tempat Tinggal 9.1.2.08.02.
Biaya Penyusutan Bangunan Gedung Tempat Tinggal 9.1.2.08.02.
Biaya Penyusutan Jaringan Listrik 9.1.2.09.21.
Akumulasi Penyusutan Alat Angkutan Darat Bermotor 1.3.7.01.04.
Akumulasi Penyusutan Alat Rumah Tangga 1.3.7.01.15.
Akumulasi Penyusutan Peralatan Komputer 1.3.7.01.16.
Akumulasi Penyusutan Alat Studio 1.3.7.01.18.
Akumulasi Penyusutan Alat Kedokteran 1.3.7.01.21.
Akumulasi Penyusutan Bangunan Gedung Tempat Kerja 1.3.7.02.01.
Akumulasi Penyusutan Bangunan Gedung Tempat Tinggal 1.3.7.02.02.
Akumulasi Penyusutan Jaringan Listrik 1.3.7.03.21.
KEPALA P
..........
N
No. Bukti : 04/BM/PUSK PIMPINAN-KORPENYST6/2017
BUKTI MEMORIAL
Uraian : Jurnal mencatat koreksi akumulasi tahun 2016 kurang catat perubahan kebijakan
1 2 3
Ekuitas 3.1.1.03.10.
Akumulasi Penyusutan Alat Angkutan Darat Bermotor 1.3.7.01.04.
Akumulasi Penyusutan Alat Angkut Apung Bermotor 1.3.7.01.06.
Akumulasi Penyusutan Alat Kantor 1.3.7.01.14.
Akumulasi Penyusutan Alat Rumah Tangga 1.3.7.01.15.
Akumulasi Penyusutan Peralatan Komputer 1.3.7.01.16.
Akumulasi Penyusutan Alat Studio 1.3.7.01.18.
Akumulasi Penyusutan Alat Kedokteran 1.3.7.01.21.
Akumulasi Penyusutan Bangunan Gedung Tempat Kerja 1.3.7.02.01.
Akumulasi Penyusutan Bangunan Gedung Tempat Tinggal 1.3.7.02.02.
Akumulasi Penyusutan Jaringan Listrik 1.3.7.03.21.
KEPALA PUSKESMAS PIMPINAN
............................................
NIP......................
No. Bukti : 05/BM/PUSK PIMPINAN-KOR6/2017
BUKTI MEMORIAL
Uraian : jurnal mencatat koreksi kesalahan penyajian persediaan DRT Malaria tahun 2016
1 2 3
Ekuitas 3.1.1.03.10.
Persediaan DRT Malaria 1.1.7.02.12.
............................................
NIP......................
No. Bukti : 05/BM/PUSK PIMPINAN-PRS6/2017
BUKTI MEMORIAL
Uraian : Jurnal mencatat persediaan obat dari dinas kesehatan semester 1 tahun 2017
1 2 3
1. Persediaan Obat-obatan 1.1.7.02.04.

Persediaan Vaksin 1.1.7.02.11.
Pendapatan dari APBD 4.4.1.
Pendapatan dari APBN 4.4.2.
(mencatat beban penerimaan obat dari dinas kesehatan)
Biaya Obat-obatan - Pelayanan 9.1.1.02.04

Biaya Bahan Vaksin - Pelayanan 9.1.1.05.73.
Persediaan Obat-obatan 1.1.7.02.04.
Persediaan Vaksin 1.1.7.02.11.
............................................
NIP......................
rincian obat :
APBD 1
APBD 2
Vaksin
Reagem
DRT Malaria
No. Bukti : 05/BM/PUSK PIMPINAN-PENYSH6/2017
BUKTI MEMORIAL
Uraian : jurnal mencatat koreksi kesalahan penyajian persediaan DRT Malaria tahun 2016
1 2 3
Biaya Penyisihan Piutang Jasa Layanan 9.1.2.11.01.

Penyisihan Piutang BPJS 1.1.5.01.02.
............................................
NIP......................
BUKTI MEMORIAL
ster 1 Tahun 2017
Jumlah (Rp)
Debet Kredit
4 5
1,492,475.65
311,450.00
567,000.00
135,800.00
25,044,904.95
29,280,158.75
4,898,530.00
392,232.30
1,492,475.65
311,450.00
567,000.00
135,800.00
25,044,904.95
29,280,158.75
4,898,530.00
392,232.30
-
62,122,551.65 62,122,551.65
............................................
NIP......................
BUKTI MEMORIAL
n 2016 kurang catat perubahan kebijakan
Jumlah (Rp)
Debet Kredit
4 5
194,028,205.78
14,457,690.61
4,945,866.65
45,500.00
930,575.35
1,705,685.00
312,340.00
55,631,268.85
95,412,466.49
19,763,125.00
823,687.83
194,028,205.78 194,028,205.78
............................................
BUKTI MEMORIAL
ajian persediaan DRT Malaria tahun 2016
Jumlah (Rp)
Debet Kredit
4 5
97,200.00
97,200.00
97,200.00 97,200.00
............................................
BUKTI MEMORIAL
nas kesehatan semester 1 tahun 2017
Jumlah (Rp)
Debet Kredit
4 5
121,384,713.92
32,327,540.00
146,970,078.92
6,742,175.00
99,247,831.27
28,549,673.00
99,247,831.27
28,549,673.00
281,509,758.19 281,509,758.19
............................................
6,742,175.00 5,292,229.00
114,642,538.92 93,955,602.27
32,327,540.00 28,549,673.00
- -
- -
153,712,253.92 127,797,504.27
BUKTI MEMORIAL
ajian persediaan DRT Malaria tahun 2016
Jumlah (Rp)
Debet Kredit
4 5
711,400.00
711,400.00
711,400.00 711,400.00
............................................
PEMERINTAH K
PUSKESM
DAFTAR ASET DAN
TAH
No Kode Tahun
1 2 3 4 5 6
1.3.2.04.04. Toyota Kijang Pusk Pimpinan 2007 1
1.3.2.06.03. Speed Boat Pusling Air Pusk Pimpinan 2007 1
1.3.2.14.01. Mesin tik Pusk Pimpinan 2007 1
1.3.2.16.02. Komputer PC Pusk Pimpinan 2013 1
1.3.2.16.06. Jaringan Hot spot Puskesmas Pusk Pimpinan 2014 1
1.3.2.15.01. Meja kerja 1/2 biro Pusk Pimpinan 2014 1
1.3.2.15.05. Perlengkapan dapur ( teko air plastik ) Pusk Pimpinan 2014 1
1.3.2.15.05. Perlengkapan dapur ( ketel air ) Pusk Pimpinan 2014 1
1.3.2.15.05. Meja dapur 3 pintu bawah Pusk Pimpinan 2014 1
1.3.2.15.05. Kompor gas Pusk Pimpinan 2014 1
1.3.2.15.05. Tabung gas dapur 5 kg Pusk Pimpinan 2014 1
1.3.2.15.05. Rak Master Jumbo Pusk Pimpinan 2015 1
1.3.2.15.06. Mesin pompa Air Merk Panasonic Pusk Pimpinan 2015 1
1.3.2.15.01. Meja Kerja 1/2 Biro Pusk Pimpinan 2
1.3.2.15.01. Kursi Kerja Pusk Pimpinan 4
1.3.2.15.01. Pajak PPN 10% Pusk Pimpinan
1.3.2.16.02. Laptop Acer Aspire Pusk Pimpinan 1 Buah
1.3.2.16.02. PC Intel Core 2 duo Pusk Pimpinan 2014 1
1.3.2.16.05. Modem Pusk Pimpinan 2014 1
1.3.2.18.07. INFOCUS IN 112a Pusk Pimpinan 2015 1
62
No Kode Tahun
1 2 3 4 5 6
1.3.2.21.01. - Stetoskop Duplex Dewasa Pusk Pimpinan 2007 1 unit
1.3.2.21.01. - Dacin dan Sarung Timbang Pusk Pimpinan 2007 1 unit
1.3.2.21.01. -Timbangan Bayi dan Anak Pusk Pimpinan 2007 1 unit
1.3.2.21.01. - Alat Ukur Panjang Badan Pusk Pimpinan 2007 1 unit
1.3.2.21.01. - Tensimeter Mercurial Dewasa Pusk Pimpinan 2007 1 unit
1.3.2.21.01. - Refleks Hammer Pusk Pimpinan 2007 1 unit
1.3.2.21.01. - Waskom Stand Pusk Pimpinan 2007 1 unit
1.3.2.21.01. - Food Modal Pusk Pimpinan 2007 1 unit
63
No Kode Tahun
1 2 3 4 5 6
64
No Kode Tahun
1 2 3 4 5 6
1.3.2.21.01. Stethoscope Pusk Pimpinan 2008 1 unit
1.3.2.21.01. Tensimeter Dual Display Pusk Pimpinan 2008 1 unit
1.3.2.21.01. Tensimeter Aneroid 2 in 1 with Stethoscope Pusk Pimpinan 2008 1 unit
1.3.2.21.01. Peralatan Gigi Set Pusk Pimpinan 2008 1 set
1.3.2.21.01. IUD Set Pusk Pimpinan 2008 1 set
1.3.2.21.01. Poskesdes Kit Pusk Pimpinan 2012 1 set
1.3.2.21.01. Tabung Oksigen Pusk Pimpinan 2013 6 Mᶾ
1.3.2.21.01. Tabung Oksigen Pusk Pimpinan 2013 1,5 Mᶾ
1.3.2.21.01. Alkes Pusk PONED (5 Puskesmas) Pusk Pimpinan 2013 1 unit
1.3.2.21.01. Alkes Poskesdes (5 Poskesdes) Pusk Pimpinan 2013 1 unit
1.3.2.21.01. KACA PEMBESAR Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. METERAN Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. STETOSKOP Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. TEMPAT TIDUR PERIKSA DAN PERLENGKAPANNYA Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. TENSI METER AIR RAKSA + MENSET ANAK Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. TERMOMETER KLINIS Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. TIMBANGAN DEWASA Pusk Pimpinan 2014 2 BUAH
65
No Kode Tahun
1 2 3 4 5 6
1.3.2.21.01. GUNTING BEDAH STANDAR LURUS Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. GUNTING PEMBALUT LISTER/GUNTING VERBAND 18Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. JARUM SUNTIK,HEPIDERMIS ( NO 25)/NEEDLE NO. 25Pusk Pimpinan 2014 5 BUAH
1.3.2.21.01. KATETER LOGAM UNTUK WANITA NO 12 Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. KLEM ARTERY LURUS ( KELLY ) Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. KLEM/PEMEGANG JARUM JAHIT 18 CM (MAYO HEGAR
1.3.2.21.01. KORENTANG,PENJEPIT SPONGE ( FOERSTER ) Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. SIKAT TANGAN Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. SKALPEL MATA PISAU BEDAH ( NO 10 ) Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. SKALPEL TANGKAI PISAU OPERASI Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. STERILISATOR ( PEMANAS ALKOHOL ) Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. DUK BOLONG,SEDANG Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. SARUNG TANGAN NO 7 Pusk Pimpinan 2014 10 PASANG
1.3.2.21.01. BAKI LOGAM TMPT ALAT STERIL Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. LEMARI PERALATAN Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. MANGKOK UTK LARUTAN Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. TOPLES KAPAS / KASA STERIL Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. TORNIKET KARET Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. TROMOL KASA / KAIN STERIL Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. WASKOM BENGKOK Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. WASKOM CEKUNG Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. PISAU SILET (SURGICAL BLADE) Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. PENYEKAT RUANGAN Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. PISPOT Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. URINAL MALE Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. URINAL FEMALE Pusk Pimpinan 2014 3 BUAH
66
No Kode Tahun
1 2 3 4 5 6
1.3.2.21.01. TERMOMETER FOR INFANT Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. ARI SOUND TIMER Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. READING CARD EDISI B.INDO/KARTU TES PENGLIH Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. TRAIL LENS SET Sph + 10.0 cyl , + 2.0 WITH SAMPEL Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. TONOMETER SCHIOTZ Pusk Pimpinan 2014 2 BUAH
1.3.2.21.01. CORONG TELINGA/SPEKULUM TELINGA P.241 U. KECPusk Pimpinan 2014 3 BUAH
1.3.2.21.01. LAMPU SPIRITUS Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. ALIGATOR FOSRCEPS P. 247 Pusk Pimpinan 2014 3 BUAH
1.3.2.21.01. Tabung Oksigen Poskesdes (Uk. 2014
Pusk Pimpinan 1 SET
1,5 M3 Set
Tabung Masker)
1,5 M3 Set
Tabung Masker)
1,5 M3 Set Masker)
1.3.2.21.01. BEIN LURUS BESAR Pusk Pimpinan 2014 1 buah
1.3.2.21.01. BEIN LURUS(DIAMOND
KECIL Pusk Pimpinan 2014 1 buah
BOR INTAN BUR
1.3.2.21.01. ASSORTED) UNTUK AIR JET HAND Pusk Pimpinan 2014 2 buah
1.3.2.21.01. BOR
PIECEINTAN KONTRA
(KECEPATAN ANGLE HAND
TINGGI) 2014
Pusk Pimpinan 1 buah
PIECE KONVENTIONAL (KECEPATAN RENDAH)
1.3.2.21.01. BURNISER BESAR Pusk Pimpinan 2014 1 buah
1.3.2.21.01. BURNISER KECIL Pusk Pimpinan 2014 1 buah
1.3.2.21.01. EKSKAVATOR BERUJUNG DUA (BESAR) Pusk Pimpinan 2014 2 buah
1.3.2.21.01. EKSKAVATOR BERUJUNG DUA (KECIL) Pusk Pimpinan 2014 1 buah
1.3.2.21.01. GUNTING OPERASI GUSI (WAGNER) (12 CM) Pusk Pimpinan 2014 1 buah
1.3.2.21.01. PENGUNGKIT AKAR GIGI KANAN MESIAL (CRYER MEPusk Pimpinan 2014 2 buah
1.3.2.21.01. PENGUNGKIT AKAR GIGI KIRI MESIAL (CRYER DISTAPusk Pimpinan 2014 2 buah
1.3.2.21.01. PINSET GIGI Pusk Pimpinan 2014 2 buah
1.3.2.21.01. SKELER STANDAR, BENTUK BULAN SABIT (TYPE SICPusk Pimpinan 2014 1 buah
1.3.2.21.01. SKELER STANDAR, BENTUK 2014
SKELER STANDAR, BENTUK Pusk Pimpinan 1 buah
CANGKUL KANAN (TYPE CHISEL / MESIAL)
1.3.2.21.01. CANGKUL KIRI (TYPE CHISEL / Pusk Pimpinan 2014 1 buah
1.3.2.21.01. DISTAL)
SKELER STANDAR, BENTUK TOMBAK (TYPE HOOK) Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT AKAR GIGI ATAS BENTUK BAYONEPusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT AKAR GIGI BAWAH UNTUK ANAK Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT AKAR GIGI DEPAN ATAS Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM ATAS ANAK Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM ATAS KANAN Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM ATAS KIRI Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM BAWAH KANAN Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM BESAR BAWAH Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM KECIL ATAS Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM KECIL DAN TARIN Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM TERAKHIR ATAS Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI GERAHAM TERAKHIR BAWAHPusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI SERI DAN SISA AKAR BAWAH Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI SERI DAN TARING ATAS ANAKPusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI SERI DAN TARING ATAS Pusk Pimpinan 2014 1 buah
1.3.2.21.01. TANG PENCABUT GIGI SERI DAN TARING BAWAH ANPusk Pimpinan 2014 1 buah
67
No Kode Tahun
1 2 3 4 5 6
1.3.2.21.01. ART SET Pusk Pimpinan 2014 1 set
1.3.2.21.01. DENTAL UNIT Pusk Pimpinan 2014 1 unit
1.3.2.21.01. BAKI LOGAM TEMPAT ALAT STERIL Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. JARUM SEMPRIT AIR Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. KACA MULUT DATAR NO. 4 TANPA TANGKAI Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. LEMPENG KACA PENGADUK SEMEN, 10 X 7.5 X 1 CM Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. PELINDUNG JARI Pusk Pimpinan 2014 2 Buah
1.3.2.21.01. PEMEGANG MATRIKS (MATRIX HOLDER) Pusk Pimpinan 2014 2 Buah
1.3.2.21.01. PENAHAN LIDAH (Sudip Lidah 2014
19cm)
1.3.2.21.01. PENGADUK AMALGAM Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. PENGHEMBUS ANGIN Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. PENUMPAT AMALGAM BERUJUNG DUA (BESAR) Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. PENUMPAT AMALGAM BERUJUNG DUA (KECIL) Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. PENUMPAT PLASTIS Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. PENUMPAT SEMEN BERUJUNG DUA Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. PITA MATRIK (MATRIX BAND) 5 MM X 100 MM Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. RANGKA BODI, UNIT GIGI DENGAN LANDASAN TETAPusk Pimpinan 2014 1 Buah
1.3.2.21.01. SELULOID STRIP Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. SONDE LENGKUNG Pusk Pimpinan 2014 2 Buah
1.3.2.21.01. SONDE LURUS Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. SPATULA PENGADUK SEMEN Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. SPATULA PENGADUK SILIKAT / GLASSLONOMER Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. TANG PEMOTONG TULANG UNTUK ANAK (KNABEL TA
Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. TANGKAI UNTUK KACA MULUT Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. JARUM SUNTIK / Needle N0. 23 Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. JARUM SUNTIK / Needle No. 27 Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. KLEM / PEMEGANG JARUM JAHIT (MATHIEU STANDAPusk Pimpinan 2014 1 Buah
1.3.2.21.01. KORENTANG, PENJEPIT SPONGE (FOERSTER) Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. SEMPRIT, HIPODERMIK, TIPE RECORD 2 CC Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. SEMPRIT, AIR Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. SKALPEL, MATA PISAU BEDAH (BESAR) Pusk Pimpinan 2014 2 Buah
1.3.2.21.01. SKALPEL, MATA PISAU BEDAH (KECIL) Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. SKALPEL, TANGKAI PISAU OPERASI Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. STERILISATOR (PEMANAS ALKOHOL) Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. LAMPU SPIRITUS Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. SILINDER KORENTANG STERIL Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. WASKOM BENGKOK Pusk Pimpinan 2014 1 Buah
1.3.2.21.01. MIKROMOTOR DENGAN STRAIGHT 2014
DAN CONTRA ANGLE HAND PIECE (LOW SPEED MICRO MOTOR)
68
No Kode Tahun
1 2 3 4 5 6
1.3.2.21.01. Sterilisator Pusk Pimpinan 2015 1
1.3.2.21.01. Tensi Anaeroid Jan Serenity Pusk Pimpinan 2015 1
1.3.2.21.01. Nebulyzer Pusk Pimpinan 2016 2
1.3.2.21.01. Resuscitator Adult Manual Pusk Pimpinan 2016 1
1.3.2.21.01. Resuscitator Child Manual Pusk Pimpinan 2016 1
1.3.2.21.01. Resuscitator Infant Manual Pusk Pimpinan 2016 1
1.3.2.21.01. Strecher (Brankar) Pusk Pimpinan 2016 1
1.3.2.21.01. Sphygmomanometer untuk dewasa Pusk Pimpinan 2016 6
1.3.2.21.01. Sphygmomanometer untuk anak Pusk Pimpinan 2016 6
1.3.2.21.01. Stetoskop untuk dewasa Pusk Pimpinan 2016 6
1.3.2.21.01. Stetoskop untuk anak Pusk Pimpinan 2016 6
1.3.2.21.01. Stetoskop janin/ fetoscope Pusk Pimpinan 2016 6
1.3.2.21.01. GEA Bistos HandheldFetal Dopler Pusk Pimpinan 2016 1
1.3.2.21.01. MAK Gynaecology Examination Table Pusk Pimpinan 2016 2
1.3.2.21.01. MAK Examination Table 34101 Pusk Pimpinan 2016 2
1.3.2.21.01. GEA Bistos Hand Held Fetal Doppler Pusk Pimpinan 2016 4
1.3.2.21.01. Verlos Bed KA 08-12BSS Pusk Pimpinan 2016 3
1.3.2.21.01. Alat Penghisap Lendir/Mucus Extractor Pusk Pimpinan 2016 2
1.3.2.21.01. Bak Instrumen dengan tutup (Besar) Pusk Pimpinan 2016 6
1.3.2.21.01. Bak Logam tempat alat steril tertutup Pusk Pimpinan 2016 4
1.3.2.21.01. Neerbeken kecil 20 cm Pusk Pimpinan 2016 4
1.3.2.21.01. Neerbeken besar 23 cm Pusk Pimpinan 2016 4
1.3.2.21.01. Gunting verband 14 cm Pusk Pimpinan 2016 2
1.3.2.21.01. Korcher Tang Pusk Pimpinan 2016 4
1.3.2.21.01. 1/2 Klem korcher / pemecah ketuban 14 cm Pusk Pimpinan 2016 4
1.3.2.21.01. Mangkok untuk larutan / iodine cup 8 cm Pusk Pimpinan 2016 4
1.3.2.21.01. Meteran / medline Pusk Pimpinan 2016 4
1.3.2.21.01. Palu refleks Pusk Pimpinan 2016 2
1.3.2.21.01. Penjepit uterus / Kogel tang Pusk Pimpinan 2016 4
69
No Kode Tahun
1 2 3 4 5 6
1.3.2.21.01. Pinset anatomi pendek 14 cm Pusk Pimpinan 2016 4
1.3.2.21.01. Pinset anatomi panjang 18 cm Pusk Pimpinan 2016 4
1.3.2.21.01. Pita Pengukur LILA Pusk Pimpinan 2016 2
1.3.2.21.01. Sonde mulut Pusk Pimpinan 2016 2
1.3.2.21.01. Sonde Uterus Pusk Pimpinan 2016 4
1.3.2.21.01. Spekulum Vagina besar Pusk Pimpinan 2016 2
1.3.2.21.01. Spekulum Vagina sedang M Pusk Pimpinan 2016 2
1.3.2.21.01. Spekulum Vagina kecil S Pusk Pimpinan 2016 2
1.3.2.21.01. Silinder korentang steril Pusk Pimpinan 2016 4
1.3.2.21.01. Spekulum Vagina (Sim's) S, ML Pusk Pimpinan 2016 2
1.3.2.21.01. Urine test combur 10/combi 10 Pusk Pimpinan 2016 10
1.3.2.21.01. Tang Tampon Pusk Pimpinan 2016 2
1.3.2.21.01. Thermometer dahi dan telinga Pusk Pimpinan 2016 2
1.3.2.21.01. Thermometer Digital Anak Pusk Pimpinan 2016 2
1.3.2.21.01. Thermometer dewasa Pusk Pimpinan 2016 2
1.3.2.21.01. Timbangan Dewasa Pusk Pimpinan 2016 2
1.3.2.21.01. Timbangan bayi Pusk Pimpinan 2016 2
1.3.2.21.01. Tromol kapas Pusk Pimpinan 2016 2
1.3.2.21.01. Tourniket karet Pusk Pimpinan 2016 2
1.3.2.21.01. Waskom Cekung Pusk Pimpinan 2016 2
1.3.2.21.01. Tas Bidan Kit Pusk Pimpinan 2016 2
1.3.2.21.01. Bak Instruments bertutup besar Pusk Pimpinan 2016 2
1.3.2.21.01. Bak Instruments bertutup kecil Pusk Pimpinan 2016 2
1.3.2.21.01. Gunting Iris lengkung Pusk Pimpinan 2016 2
1.3.2.21.01. Gunting Operasi lurus Pusk Pimpinan 2016 2
1.3.2.21.01. Klem Fenster/klem ovum Pusk Pimpinan 2016 2
1.3.2.21.01. Klem kasa (korentang) Pusk Pimpinan 2016 2
1.3.2.21.01. Klem kocher lurus Pusk Pimpinan 2016 2
1.3.2.21.01. Klem linen backhauss Pusk Pimpinan 2016 2
1.3.2.21.01. Klem Mosquito Halsted lengkung Pusk Pimpinan 2016 2
1.3.2.21.01. needle Holder Matheiu 17 cm Pusk Pimpinan 2016 2
1.3.2.21.01. Pinset anatomis 14 cm Pusk Pimpinan 2016 2
1.3.2.21.01. Setengah kocher 14 cm Pusk Pimpinan 2016 2
70
No Kode Tahun
1 2 3 4 5 6
1.3.2.21.01. Spekulum (sims) besar Pusk Pimpinan 2016 2
1.3.2.21.01. Spekulum (sims) sedang Pusk Pimpinan 2016 2
1.3.2.21.01. Spekulum (sims) kecil Pusk Pimpinan 2016 2
1.3.2.21.01. Spekulum/cocor bebek grave besar Pusk Pimpinan 2016 2
1.3.2.21.01. Spekulum/cocor bebek grave sedang M Pusk Pimpinan 2016 2
1.3.2.21.01. Spekulum/cocor bebek grave kecil S Pusk Pimpinan 2016 2
1.3.2.21.01. Tabung Oksigen 1 M3 + Isi Pusk Pimpinan 2016 2
1.3.2.21.01. Regulator Oksigen Pusk Pimpinan 2016 2
1.3.2.21.01. Tempat Klem Kasa (korentang) Pusk Pimpinan 2016 2
1.3.2.21.01. Thermometer Dewasa Pusk Pimpinan 2016 2
1.3.2.21.01. Tas Partus set Pusk Pimpinan 2016 2
1.3.2.21.01. Examination Lamp Pusk Pimpinan 2016 1
1.3.2.21.01. Aspel Electrocardiograph Type Mr. Green Pusk Pimpinan 2016 1
1.3.2.21.01. MAK Wheel Chair 31303 Pusk Pimpinan 2016 1
1.3.2.21.01. Dragonmed Mikropipet Fix 200ul - 1000ul Pusk Pimpinan 2016 1
1.3.2.21.01. Gemmy Industrial Table Top Centrifuge PLC 05 Pusk Pimpinan 2016 1
1.3.2.21.01. Batang Pengaduk Pusk Pimpinan 2016 3
1.3.2.21.01. Botol Pencuci /Botol semprot Pusk Pimpinan 2016 1
1.3.2.21.01. Corong kaca 5 cm Pusk Pimpinan 2016 3
1.3.2.21.01. Hemositometer set/Alat hitung Manual Pusk Pimpinan 2016 1
71
No Kode Tahun
1 2 3 4 5 6
1.3.2.21.01. Pipet Tetes Pusk Pimpinan 2016 2
1.3.2.21.01. Yellow Tipe Pusk Pimpinan 2016 2
1.3.2.21.01. Blue Tipe Pusk Pimpinan 2016 3
1.3.2.21.01. Tabung hematokrit Pusk Pimpinan 2016 1
1.3.2.21.01. Tabung Reaksi 12 mm Pusk Pimpinan 2016 6
1.3.2.21.01. Tabung Reaksi dengan tutup karet gabus Pusk Pimpinan 2016 12
1.3.2.21.01. Tabung Centrifuge tanpa skala Pusk Pimpinan 2016 6
1.3.2.21.01. Tally Counter Pusk Pimpinan 2016 2
1.3.2.21.01. Termometer 0-50 c Pusk Pimpinan 2016 1
1.3.2.21.01. Westergent Set (Tbg laju endap darah) Tbg Westergent Pusk Pimpinan 2016 3
1.3.2.21.01. Westergent Set (Tbg laju endap darah) Rak Tbg westergent Pusk Pimpinan 2016 3
1.3.2.21.01. Pajak PPN 10 % Pusk Pimpinan 2016
JUMLAH PERALATAN DAN MESIN
1.3.3.01.01. Bangunan Puskesmas Pustu Tl. Keramat 2000 1
1.3.3.01.01. Bangunan Puskesmas Pustu Pimpinan 2000 1
1.3.3.01.01. Bangunan Puskesmas Rehabilitasi Puskesmas Pembantu Sekabau Desa K 2014 1
1.3.3.01.01. Bangunan Puskesmas Pustu Sekabau 2000 1
1.3.3.01.01. Bangunan Puskesmas Pustu Mekar Sekuntum 2000 1
1.3.3.01.01. Bangunan Puskesmas Pustu Samustida 2000 1
1.3.3.01.01. Bangunan Puskesmas Rehab Total Pustu Samustida ( Pimpinan ) 2008 1
1.3.3.01.01. Bangunan Puskesmas Polindes Kuala Pkl Keramat 2000 1
1.3.3.01.01. Bangunan Puskesmas Polindes Mekar Sekuntum 2000 1
1.3.3.01.01. Bangunan Puskesmas Polindes Teluk Kembang 2000 1
1.3.3.01.01. Bangunan Puskesmas Polindes Sungai Serabek 2000 1
1.3.3.01.01. Bangunan Puskesmas Polindes Sayang Sedayu 2000 1
1.3.3.01.01. Bangunan Puskesmas Polindes Samustida 2000 1
1.3.3.01.01. Bangunan Puskesmas Polindes Pipit Teja 2000 1
1.3.3.01.01. Bangunan Puskesmas Polindes Matang Segantar 2000 1
1.3.3.01.01. Bangunan Puskesmas Rehab Total Polindes Mt. Segantar 2005 1
1.3.3.01.01. Bangunan Puskesmas Peningkatan Pustu menjadi Puskesmas Pimpinan 2003 1
1.3.3.01.01. Bangunan Puskesmas Rehab Total Pusk Pimpinan 2008 1
1.3.3.01.01. Bangunan Puskesmas Rehab Pusk. Pimpinan 2013 1
1.3.3.01.01. Bangunan Puskesmas Rehabilitasi Puskesmas Pimpinan 2015 1
1.3.3.01.01. Bangunan Puskesmas Rehab Total Pustu Matang Segantar ( Pimpinan ) 2008 1
1.3.3.01.01. Bangunan Puskesmas Poskesdes Sayang Sedayu 2009 1
1.3.3.01.01. Bangunan Puskesmas Pem. Poskesdes Tlk Kembang, Pimpinan 2012 1
1.3.3.01.01. Bangunan Puskesmas Pembangunan Poskesdes KP. Keramat 2013 1
1.3.3.02.01. Rumah Dokter, Jembatan Jln. Masuk Puskesmas Pimpi Pusk Pimpinan 2003 1
1.3.3.02.03. RD Perawat Pusk.Pimpinan Pusk Pimpinan 2007 1
1.3.3.02.03. Rumdis Paramedis Pusk Pimpinan Pusk Pimpinan 2008 1
72
No Kode Tahun
1 2 3 4 5 6
JUMLAH BANGUNAN DAN GEDUNG
1.3.4.21.01. Daya dan Instalasi Listrik Poskesdes Sei Serambek Pus Pusk Pimpinan 2016 1
JLH JALAN, IRIGASI & JARINAGAN
TOTAL ASET TETAP
73
PUSKESMAS PIMPINAN
ASET DAN PENYUSUTAN ASET TETAP
TAHUN 2016

as (Rp.)
7 8 9 10 11 12 13
unit 8,500,000.00 5 425,000.00 8,075,000.00 - 8,075,000.00
unit 14,279,411.76 5 713,970.59 13,565,441.18 - 13,565,441.18
unit 14,279,411.76 5 713,970.59 13,565,441.18 - 13,565,441.18
unit 13,100,000.00 5 655,000.00 12,445,000.00 - 12,445,000.00
unit 13,100,000.00 5 655,000.00 12,445,000.00 - 12,445,000.00
unit 143,275,000.00 5 7,163,750.00 136,111,250.00 - 136,111,250.00
unit 12,200,000.00 5 610,000.00 11,590,000.00 - 11,590,000.00
unit 12,200,000.00 5 610,000.00 11,590,000.00 - 11,590,000.00
unit 98,917,333.00 5 4,945,866.65 93,971,466.35 - 93,971,466.35
unit 12,400,000.00 5 620,000.00 11,780,000.00 - 11,780,000.00
unit 14,478,000.00 5 723,900.00 13,754,100.00 - 13,754,100.00
unit 14,924,756.55 5 746,237.83 - 1,417,851.87 1,417,851.87
Buah 910,000.00 5 45,500.00 864,500.00 - 864,500.00
Unit 6,075,000.00 5 303,750.00 3,462,750.00 577,125.00 4,039,875.00
paket 1,965,000.00 5 98,250.00 746,700.00 186,675.00 933,375.00
buah 450,000.00 5 22,500.00 171,000.00 42,750.00 213,750.00
buah 24,000.00 5 1,200.00 9,120.00 2,280.00 11,400.00
buah 55,000.00 5 2,750.00 20,900.00 5,225.00 26,125.00
buah 420,000.00 5 21,000.00 159,600.00 39,900.00 199,500.00
Set 310,000.00 5 15,500.00 117,800.00 29,450.00 147,250.00
buah 200,000.00 5 10,000.00 76,000.00 19,000.00 95,000.00
Bh 990,000.00 5 49,500.00 188,100.00 94,050.00 282,150.00
Bh 990,000.00 5 49,500.00 188,100.00 94,050.00 282,150.00
Buah 460,000.00 5 23,000.00 87,400.00 43,700.00 131,100.00
Bh 390,000.00 5 19,500.00 74,100.00 37,050.00 111,150.00
Buah 485,000.00 5 24,250.00 92,150.00 46,075.00 138,225.00
Buah 970,000.00 5 48,500.00 184,300.00 92,150.00 276,450.00
Buah 485,000.00 5 24,250.00 92,150.00 46,075.00 138,225.00
Buah 1,723,199.17 5 86,159.96 1,637,039.21 - 1,637,039.21
Buah 1,937,056.83 5 96,852.84 1,840,203.99 - 1,840,203.99
332,751.00 5 16,637.55 316,113.45 - 316,113.45
1 Buah 4,548,700.00 5 227,435.00 4,321,265.00 - 4,321,265.00
unit 6,300,000.00 10 315,000.00 1,197,000.00 299,250.00 1,496,250.00
unit 300,000.00 10 15,000.00 57,000.00 14,250.00 71,250.00
buah 5,432,000.00 10 271,600.00 516,040.00 258,020.00 774,060.00
74
as (Rp.)
7 8 9 10 11 12 13
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
350,000.00 10 17,500.00 299,250.00 16,625.00 315,875.00
2,500,000.00 10 125,000.00 2,137,500.00 118,750.00 2,256,250.00
20,000.00 10 1,000.00 17,100.00 950.00 18,050.00
500,000.00 10 25,000.00 427,500.00 23,750.00 451,250.00
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
700,000.00 10 35,000.00 598,500.00 33,250.00 631,750.00
6,500,000.00 10 325,000.00 5,557,500.00 308,750.00 5,866,250.00
1,400,000.00 10 70,000.00 1,197,000.00 66,500.00 1,263,500.00
125,000.00 10 6,250.00 106,875.00 5,937.50 112,812.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
350,000.00 10 17,500.00 299,250.00 16,625.00 315,875.00
75,000.00 10 3,750.00 64,125.00 3,562.50 67,687.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
12,500.00 10 625.00 10,687.50 593.75 11,281.25
12,500.00 10 625.00 10,687.50 593.75 11,281.25
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
325,000.00 10 16,250.00 277,875.00 15,437.50 293,312.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
45,000.00 10 2,250.00 38,475.00 2,137.50 40,612.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
303,000.00 10 15,150.00 259,065.00 14,392.50 273,457.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
990,000.00 10 49,500.00 846,450.00 47,025.00 893,475.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
445,000.00 10 22,250.00 380,475.00 21,137.50 401,612.50
55,000.00 10 2,750.00 47,025.00 2,612.50 49,637.50
5,500,000.00 10 275,000.00 4,702,500.00 261,250.00 4,963,750.00
2,257,000.00 10 112,850.00 1,929,735.00 107,207.50 2,036,942.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
1,800,000.00 10 90,000.00 1,539,000.00 85,500.00 1,624,500.00
325,000.00 10 16,250.00 277,875.00 15,437.50 293,312.50
60,000.00 10 3,000.00 51,300.00 2,850.00 54,150.00
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
5,850,000.00 10 292,500.00 5,001,750.00 277,875.00 5,279,625.00
1,400,000.00 10 70,000.00 1,197,000.00 66,500.00 1,263,500.00
75
as (Rp.)
7 8 9 10 11 12 13
125,000.00 10 6,250.00 106,875.00 5,937.50 112,812.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
350,000.00 10 17,500.00 299,250.00 16,625.00 315,875.00
75,000.00 10 3,750.00 64,125.00 3,562.50 67,687.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
12,500.00 10 625.00 10,687.50 593.75 11,281.25
12,500.00 10 625.00 10,687.50 593.75 11,281.25
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
325,000.00 10 16,250.00 277,875.00 15,437.50 293,312.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
45,000.00 10 2,250.00 38,475.00 2,137.50 40,612.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
303,000.00 10 15,150.00 259,065.00 14,392.50 273,457.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
990,000.00 10 49,500.00 846,450.00 47,025.00 893,475.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
445,000.00 10 22,250.00 380,475.00 21,137.50 401,612.50
55,000.00 10 2,750.00 47,025.00 2,612.50 49,637.50
5,500,000.00 10 275,000.00 4,702,500.00 261,250.00 4,963,750.00
2,257,000.00 10 112,850.00 1,929,735.00 107,207.50 2,036,942.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
1,800,000.00 10 90,000.00 1,539,000.00 85,500.00 1,624,500.00
325,000.00 10 16,250.00 277,875.00 15,437.50 293,312.50
60,000.00 10 3,000.00 51,300.00 2,850.00 54,150.00
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
5,850,000.00 10 292,500.00 5,001,750.00 277,875.00 5,279,625.00
1,400,000.00 10 70,000.00 1,197,000.00 66,500.00 1,263,500.00
125,000.00 10 6,250.00 106,875.00 5,937.50 112,812.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
350,000.00 10 17,500.00 299,250.00 16,625.00 315,875.00
75,000.00 10 3,750.00 64,125.00 3,562.50 67,687.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
12,500.00 10 625.00 10,687.50 593.75 11,281.25
76
as (Rp.)
7 8 9 10 11 12 13
12,500.00 10 625.00 10,687.50 593.75 11,281.25
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
325,000.00 10 16,250.00 277,875.00 15,437.50 293,312.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
45,000.00 10 2,250.00 38,475.00 2,137.50 40,612.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
303,000.00 10 15,150.00 259,065.00 14,392.50 273,457.50
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
990,000.00 10 49,500.00 846,450.00 47,025.00 893,475.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00
445,000.00 10 22,250.00 380,475.00 21,137.50 401,612.50
55,000.00 10 2,750.00 47,025.00 2,612.50 49,637.50
5,500,000.00 10 275,000.00 4,702,500.00 261,250.00 4,963,750.00
2,257,000.00 10 112,850.00 1,929,735.00 107,207.50 2,036,942.50
180,000.00 10 9,000.00 153,900.00 8,550.00 162,450.00
1,800,000.00 10 90,000.00 1,539,000.00 85,500.00 1,624,500.00
325,000.00 10 16,250.00 277,875.00 15,437.50 293,312.50
60,000.00 10 3,000.00 51,300.00 2,850.00 54,150.00
65,000.00 10 3,250.00 55,575.00 3,087.50 58,662.50
5,850,000.00 10 292,500.00 5,001,750.00 277,875.00 5,279,625.00
200,000.00 10 10,000.00 152,000.00 9,500.00 161,500.00
5,900,000.00 10 295,000.00 4,484,000.00 280,250.00 4,764,250.00
3,450,000.00 10 172,500.00 2,622,000.00 163,875.00 2,785,875.00
14,900,000.00 10 745,000.00 11,324,000.00 707,750.00 12,031,750.00
7,400,000.00 10 370,000.00 5,624,000.00 351,500.00 5,975,500.00
30,407,100.00 10 1,520,355.00 23,109,396.00 1,444,337.25 24,553,733.25
30,407,100.00 10 1,520,355.00 23,109,396.00 1,444,337.25 24,553,733.25
60,473,437.50 10 3,023,671.88 22,979,906.25 2,872,488.28 25,852,394.53
4,985,000.00 10 249,250.00 1,420,725.00 236,787.50 1,657,512.50
2,995,000.00 10 149,750.00 853,575.00 142,262.50 995,837.50
164,403,238.38 10 8,220,161.92 46,854,922.94 7,809,153.82 54,664,076.76
70,417,303.98 10 3,520,865.20 20,068,931.63 3,344,821.94 23,413,753.57
54,274.74 10 2,713.74 10,312.20 2,578.05 12,890.25
30,152.63 10 1,507.63 5,729.00 1,432.25 7,161.25
1,005,087.72 10 50,254.39 190,966.67 47,741.67 238,708.33
10,452,912.30 10 522,645.61 1,986,053.34 496,513.33 2,482,566.67
978,955.44 10 48,947.77 186,001.53 46,500.38 232,501.92
49,751.84 10 2,487.59 9,452.85 2,363.21 11,816.06
804,070.18 10 40,203.51 152,773.33 38,193.33 190,966.67
77
as (Rp.)
7 8 9 10 11 12 13
162,824.21 10 8,141.21 30,936.60 7,734.15 38,670.75
211,068.42 10 10,553.42 40,103.00 10,025.75 50,128.75
193,479.39 10 9,673.97 36,761.08 9,190.27 45,951.35
193,479.39 10 9,673.97 36,761.08 9,190.27 45,951.35
193,479.39 10 9,673.97 36,761.08 9,190.27 45,951.35
193,479.39 10 9,673.97 36,761.08 9,190.27 45,951.35
291,475.44 10 14,573.77 55,380.33 13,845.08 69,225.42
291,475.44 10 14,573.77 55,380.33 13,845.08 69,225.42
291,475.44 10 14,573.77 55,380.33 13,845.08 69,225.42
39,198.42 10 1,959.92 7,447.70 1,861.93 9,309.63
39,198.42 10 1,959.92 7,447.70 1,861.93 9,309.63
139,305.16 10 6,965.26 26,467.98 6,617.00 33,084.98
167,347.11 10 8,367.36 31,795.95 7,948.99 39,744.94
236,698.16 10 11,834.91 44,972.65 11,243.16 56,215.81
473,396.32 10 23,669.82 89,945.30 22,486.33 112,431.63
84,427.37 10 4,221.37 16,041.20 4,010.30 20,051.50
117,595.26 10 5,879.76 22,343.10 5,585.78 27,928.88
84,427.37 10 4,221.37 16,041.20 4,010.30 20,051.50
117,595.26 10 5,879.76 22,343.10 5,585.78 27,928.88
33,167.89 10 1,658.39 6,301.90 1,575.48 7,877.38
328,663.68 10 16,433.18 62,446.10 15,611.53 78,057.63
72,366.32 10 3,618.32 13,749.60 3,437.40 17,187.00
703,561.40 10 35,178.07 133,676.67 33,419.17 167,095.83
292,480.53 10 14,624.03 55,571.30 13,892.83 69,464.13
10 PASANG 77,391.75 10 3,869.59 14,704.43 3,676.11 18,380.54
10 PASANG 77,391.75 10 3,869.59 14,704.43 3,676.11 18,380.54
10 PASANG 77,391.75 10 3,869.59 14,704.43 3,676.11 18,380.54
23,217.53 10 1,160.88 4,411.33 1,102.83 5,514.16
10,452,912.30 10 522,645.61 1,986,053.34 496,513.33 2,482,566.67
76,889.21 10 3,844.46 14,608.95 3,652.24 18,261.19
1,990,073.69 10 99,503.68 378,114.00 94,528.50 472,642.50
69,351.05 10 3,467.55 13,176.70 3,294.18 16,470.88
1,990,073.69 10 99,503.68 378,114.00 94,528.50 472,642.50
180,915.79 10 9,045.79 34,374.00 8,593.50 42,967.50
437,213.16 10 21,860.66 83,070.50 20,767.63 103,838.13
2,544,882.11 10 127,244.11 483,527.60 120,881.90 604,409.50
2,207,172.63 10 110,358.63 419,362.80 104,840.70 524,203.50
2,544,882.11 10 127,244.11 483,527.60 120,881.90 604,409.50
328,663.68 10 16,433.18 62,446.10 15,611.53 78,057.63
12,463,087.74 10 623,154.39 2,367,986.67 591,996.67 2,959,983.34
167,950.16 10 8,397.51 31,910.53 7,977.63 39,888.16
2,345,874.74 10 117,293.74 445,716.20 111,429.05 557,145.25
2,680,568.95 10 134,028.45 509,308.10 127,327.03 636,635.13
78
as (Rp.)
7 8 9 10 11 12 13
251,774.47 10 12,588.72 47,837.15 11,959.29 59,796.44
629,285.42 10 31,464.27 119,564.23 29,891.06 149,455.29
66,335.79 10 3,316.79 12,603.80 3,150.95 15,754.75
13,424,956.69 10 671,247.83 2,550,741.77 637,685.44 3,188,427.21
3,474,588.25 10 173,729.41 660,171.77 165,042.94 825,214.71
328,663.68 10 16,433.18 62,446.10 15,611.53 78,057.63
189,961.58 10 9,498.08 36,092.70 9,023.18 45,115.88
1,065,895.53 10 53,294.78 202,520.15 50,630.04 253,150.19
2,484,354.33 10 124,217.72 472,027.32 118,006.83 590,034.15
2,484,354.33 10 124,217.72 472,027.32 118,006.83 590,034.15
2,484,354.33 10 124,217.72 472,027.32 118,006.83 590,034.15
150,517.05 10 7,525.85 28,598.24 7,149.56 35,747.80
150,517.05 10 7,525.85 28,598.24 7,149.56 35,747.80
560,386.54 10 28,019.33 106,473.44 26,618.36 133,091.80
280,193.27 10 14,009.66 53,236.72 13,309.18 66,545.90
65,039.47 10 3,251.97 12,357.50 3,089.37 15,446.87
65,039.47 10 3,251.97 12,357.50 3,089.37 15,446.87
90,209.55 10 4,510.48 17,139.81 4,284.95 21,424.77
45,104.77 10 2,255.24 8,569.91 2,142.48 10,712.38
45,004.09 10 2,250.20 8,550.78 2,137.69 10,688.47
270,024.56 10 13,501.23 51,304.67 12,826.17 64,130.83
270,024.56 10 13,501.23 51,304.67 12,826.17 64,130.83
69,872.13 10 3,493.61 13,275.70 3,318.93 16,594.63
48,024.50 10 2,401.23 9,124.66 2,281.16 11,405.82
235,591.90 10 11,779.59 44,762.46 11,190.62 55,953.08
235,591.90 10 11,779.59 44,762.46 11,190.62 55,953.08
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
1,050,800.28 10 52,540.01 199,652.05 49,913.01 249,565.07
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
950,925.42 10 47,546.27 180,675.83 45,168.96 225,844.79
300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
unit 300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
bh 950,925.42 10 47,546.27 180,675.83 45,168.96 225,844.79
bh 300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
bh 300,530.69 10 15,026.53 57,100.83 14,275.21 71,376.04
bh 1,050,800.28 10 52,540.01 199,652.05 49,913.01 249,565.07
79
as (Rp.)
7 8 9 10 11 12 13
bh 2,401,829.20 10 120,091.46 456,347.55 114,086.89 570,434.44
bh 115,278,941.75 10 5,763,947.09 21,902,998.93 5,475,749.73 27,378,748.67
bh 125,044.93 10 6,252.25 23,758.54 5,939.63 29,698.17
bh 306,571.51 10 15,328.58 58,248.59 14,562.15 72,810.73
bh 23,961.91 10 1,198.10 4,552.76 1,138.19 5,690.95
bh 6,946.94 10 347.35 1,319.92 329.98 1,649.90
bh 270,024.56 10 13,501.23 51,304.67 12,826.17 64,130.83
bh 220,167.68 10 11,008.38 41,831.86 10,457.96 52,289.82
bh 39,970.08 10 1,998.50 7,594.31 1,898.58 9,492.89
bh 110,043.57 10 5,502.18 20,908.28 5,227.07 26,135.35
bh 150,114.33 10 7,505.72 28,521.72 7,130.43 35,652.15
bh 48,024.50 10 2,401.23 9,124.66 2,281.16 11,405.82
bh 48,024.50 10 2,401.23 9,124.66 2,281.16 11,405.82
bh 48,024.50 10 2,401.23 9,124.66 2,281.16 11,405.82
box 48,024.50 10 2,401.23 9,124.66 2,281.16 11,405.82
box 120,010.92 10 6,000.55 22,802.07 5,700.52 28,502.59
box 300,228.65 10 15,011.43 57,043.44 14,260.86 71,304.30
bh 175,083.04 10 8,754.15 33,265.78 8,316.44 41,582.22
bh 96,049.00 10 4,802.45 18,249.31 4,562.33 22,811.64
bh 48,024.50 10 2,401.23 9,124.66 2,281.16 11,405.82
bh 45,004.09 10 2,250.20 8,550.78 2,137.69 10,688.47
bh 10,974.15 10 548.71 2,085.09 521.27 2,606.36
bh 1,701,295.68 10 85,064.78 323,246.18 80,811.54 404,057.72
bh 280,193.27 10 14,009.66 53,236.72 13,309.18 66,545.90
bh 39,970.08 10 1,998.50 7,594.31 1,898.58 9,492.89
bh 39,970.08 10 1,998.50 7,594.31 1,898.58 9,492.89
bh 60,005.46 10 3,000.27 11,401.04 2,850.26 14,251.30
unit 60,005.46 10 3,000.27 11,401.04 2,850.26 14,251.30
unit 170,049.02 10 8,502.45 32,309.31 8,077.33 40,386.64
box 160,081.67 10 8,004.08 30,415.52 7,603.88 38,019.40
bh 241,129.31 10 12,056.47 45,814.57 11,453.64 57,268.21
bh 300,329.33 10 15,016.47 57,062.57 14,265.64 71,328.22
bh 220,087.13 10 11,004.36 41,816.56 10,454.14 52,270.69
bh 110,043.57 10 5,502.18 20,908.28 5,227.07 26,135.35
bh 23,961.91 10 1,198.10 4,552.76 1,138.19 5,690.95
bh 351,877.64 10 17,593.88 66,856.75 16,714.19 83,570.94
bh 63,025.87 10 3,151.29 11,974.91 2,993.73 14,968.64
bh 71,986.41 10 3,599.32 13,677.42 3,419.35 17,096.77
bh 60,005.46 10 3,000.27 11,401.04 2,850.26 14,251.30
bh 9,010,886.71 10 450,544.34 1,712,068.48 428,017.12 2,140,085.59
Unit 632,580.01 10 31,629.00 60,095.10 30,047.55 90,142.65
Unit 447,448.56 10 22,372.43 42,507.61 21,253.81 63,761.42
Unit 223,725.31 10 11,186.27 21,253.90 10,626.95 31,880.86
80
as (Rp.)
7 8 9 10 11 12 13
Unit 1,265,160.01 10 63,258.00 120,190.20 60,095.10 180,285.30
Unit 632,580.01 10 31,629.00 60,095.10 30,047.55 90,142.65
Unit 632,580.01 10 31,629.00 60,095.10 30,047.55 90,142.65
Unit 223,724.28 10 11,186.21 21,253.81 10,626.90 31,880.71
Unit 223,725.31 10 11,186.27 21,253.90 10,626.95 31,880.86
Bh 1,980,000.00 10 99,000.00 188,100.00 94,050.00 282,150.00
Bh 570,000.00 10 28,500.00 54,150.00 27,075.00 81,225.00
Bh 315,000.00 10 15,750.00 29,925.00 14,962.50 44,887.50
Bh 114,000.00 10 5,700.00 10,830.00 5,415.00 16,245.00
Buah 1,983,650.45 10 99,182.52 - 94,223.40 94,223.40
Buah 1,983,650.45 10 99,182.52 - 94,223.40 94,223.40
Buah 1,212,106.38 10 60,605.32 - 57,575.05 57,575.05
Buah 601,044.49 10 30,052.22 - 28,549.61 28,549.61
Buah 601,044.49 10 30,052.22 - 28,549.61 28,549.61
Buah 601,044.49 10 30,052.22 - 28,549.61 28,549.61
Buah 1,707,968.08 10 85,398.40 - 81,128.48 81,128.48
Buah 5,594,339.77 10 279,716.99 - 265,731.14 265,731.14
Buah 3,878,185.46 10 193,909.27 - 184,213.81 184,213.81
Buah 1,029,318.74 10 51,465.94 - 48,892.64 48,892.64
Buah 1,408,175 10 70,408.76 - 66,888.32 66,888.32
Buah 1,408,175 10 70,408.76 - 66,888.32 66,888.32
Buah 1,408,175 10 70,408.76 - 66,888.32 66,888.32
Buah 1,769,475 10 88,473.75 - 84,050.06 84,050.06
Buah 32,832,415.75 10 1,641,620.79 - 1,559,539.75 1,559,539.75
Buah 13,525,626.40 10 676,281.32 - 642,467.25 642,467.25
Buah 7,077,900 10 353,894.99 - 336,200.24 336,200.24
Buah 36,255,003.47 10 1,812,750.17 - 1,722,112.66 1,722,112.66
Buah 60,104.45 10 3,005.22 - 2,854.96 2,854.96
Buah 7,591,191.87 10 379,559.59 - 360,581.61 360,581.61
Buah 942,437.76 10 47,121.89 - 44,765.79 44,765.79
Buah 260,452.61 10 13,022.63 - 12,371.50 12,371.50
Buah 308,936.87 10 15,446.84 - 14,674.50 14,674.50
Buah 444,772.92 10 22,238.65 - 21,126.71 21,126.71
Buah 408,710.25 10 20,435.51 - 19,413.74 19,413.74
Buah 222,787.16 10 11,139.36 - 10,582.39 10,582.39
Buah 408,710.25 10 20,435.51 - 19,413.74 19,413.74
Buah 408,710.25 10 20,435.51 - 19,413.74 19,413.74
Buah 260,452.61 10 13,022.63 - 12,371.50 12,371.50
Buah 552,960.93 10 27,648.05 - 26,265.64 26,265.64
Buah 78,135.78 10 3,906.79 - 3,711.45 3,711.45
Buah 156,872.61 10 7,843.63 - 7,451.45 7,451.45
Buah 1,113,935.78 10 55,696.79 - 52,911.95 52,911.95
Buah 2,885,013.54 10 144,250.68 - 137,038.14 137,038.14
81
as (Rp.)
7 8 9 10 11 12 13
Buah 185,923.09 10 9,296.15 - 8,831.35 8,831.35
Buah 556,967.89 10 27,848.39 - 26,455.97 26,455.97
Buah 185,522.40 10 9,276.12 - 8,812.31 8,812.31
Buah 48,083.56 10 2,404.18 - 2,283.97 2,283.97
Buah 144,250.68 10 7,212.53 - 6,851.91 6,851.91
Buah 118,205.42 10 5,910.27 - 5,614.76 5,614.76
Buah 168,893.50 10 8,444.68 - 8,022.44 8,022.44
Buah 129,825.61 10 6,491.28 - 6,166.72 6,166.72
Buah 482,839.07 10 24,141.95 - 22,934.86 22,934.86
Buah 715,242.94 10 35,762.15 - 33,974.04 33,974.04
Buah 696,209.86 10 34,810.49 - 33,069.97 33,069.97
Buah 677,777.83 10 33,888.89 - 32,194.45 32,194.45
Buah 653,936.40 10 32,696.82 - 31,061.98 31,061.98
Buah 1,670,903.67 10 83,545.18 - 79,367.92 79,367.92
Buah 4,207,311.41 10 210,365.57 - 199,847.29 199,847.29
Buah 556,967.89 10 27,848.39 - 26,455.97 26,455.97
Buah 721,253.38 10 36,062.67 - 34,259.54 34,259.54
Buah 100,975.47 10 5,048.77 - 4,796.34 4,796.34
Buah 60,104.45 10 3,005.22 - 2,854.96 2,854.96
Buah 456,793.81 10 22,839.69 - 21,697.71 21,697.71
Buah 1,490,590.33 10 74,529.52 - 70,803.04 70,803.04
Buah 1,682,924.56 10 84,146.23 - 79,938.92 79,938.92
Buah 180,313.35 10 9,015.67 - 8,564.88 8,564.88
Buah 413,518.61 10 20,675.93 - 19,642.13 19,642.13
Buah 673,169.83 10 33,658.49 - 31,975.57 31,975.57
Buah 2,530,397.29 10 126,519.86 - 120,193.87 120,193.87
Buah 471,218.88 10 23,560.94 - 22,382.90 22,382.90
Buah 222,386.46 10 11,119.32 - 10,563.36 10,563.36
Buah 204,355.13 10 10,217.76 - 9,706.87 9,706.87
Buah 170,496.29 10 8,524.81 - 8,098.57 8,098.57
Buah 122,613.08 10 6,130.65 - 5,824.12 5,824.12
Buah 204,355.13 10 10,217.76 - 9,706.87 9,706.87
Buah 721,253.38 10 36,062.67 - 34,259.54 34,259.54
Buah 742,690.64 10 37,134.53 - 35,277.81 35,277.81
Buah 146,855.20 10 7,342.76 - 6,975.62 6,975.62
Buah 219,581.59 10 10,979.08 - 10,430.13 10,430.13
Buah 201,950.95 10 10,097.55 - 9,592.67 9,592.67
Buah 673,169.83 10 33,658.49 - 31,975.57 31,975.57
Buah 2,885,013.54 10 144,250.68 - 137,038.14 137,038.14
Buah 92,761.20 10 4,638.06 - 4,406.16 4,406.16
Buah 92,961.55 10 4,648.08 - 4,415.67 4,415.67
Buah 130,025.96 10 6,501.30 - 6,176.23 6,176.23
Buah 60,705.49 10 3,035.27 - 2,883.51 2,883.51
82
as (Rp.)
7 8 9 10 11 12 13
Buah 60,705.49 10 3,035.27 - 2,883.51 2,883.51
Buah 556,967.89 10 27,848.39 - 26,455.97 26,455.97
Buah 556,967.89 10 27,848.39 - 26,455.97 26,455.97
Buah 556,967.89 10 27,848.39 - 26,455.97 26,455.97
Buah 715,242.94 10 35,762.15 - 33,974.04 33,974.04
Buah 696,209.86 10 34,810.49 - 33,069.97 33,069.97
Buah 677,777.83 10 33,888.89 - 32,194.45 32,194.45
Buah 144,250.68 10 7,212.53 - 6,851.91 6,851.91
Buah 2,504,352.03 10 125,217.60 - 118,956.72 118,956.72
Buah 1,602,785.30 10 80,139.26 - 76,132.30 76,132.30
Buah 540,940.04 10 27,047.00 - 25,694.65 25,694.65
Buah 60,104.45 10 3,005.22 - 2,854.96 2,854.96
Buah 721,253.38 10 36,062.67 - 34,259.54 34,259.54
Buah 5,454,478.72 10 272,723.94 - 259,087.74 259,087.74
Buah 2,817,588.27 10 140,879.41 - 133,835.44 133,835.44
Buah 18,087,598.39 10 904,379.92 - 859,160.92 859,160.92
Buah 3,252,371.93 10 162,618.60 - 154,487.67 154,487.67
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 577,007.90 10 28,850.40 - 27,407.88 27,407.88
Buah 456,797.92 10 22,839.90 - 21,697.90 21,697.90
Buah 9,002,725.74 10 450,136.29 - 427,629.47 427,629.47
Buah 37,565.62 10 1,878.28 - 1,784.37 1,784.37
Buah 470,321.55 10 23,516.08 - 22,340.27 22,340.27
Buah 262,959.33 10 13,147.97 - 12,490.57 12,490.57
Buah 225,393.71 10 11,269.69 - 10,706.20 10,706.20
Buah 210,367.46 10 10,518.37 - 9,992.45 9,992.45
Buah 187,828.09 10 9,391.40 - 8,921.83 8,921.83
Buah 45,078.74 10 2,253.94 - 2,141.24 2,141.24
Buah 187,828.09 10 9,391.40 - 8,921.83 8,921.83
Buah 338,090.57 10 16,904.53 - 16,059.30 16,059.30
Buah 225,393.71 10 11,269.69 - 10,706.20 10,706.20
Buah 200,349.97 10 10,017.50 - 9,516.62 9,516.62
Buah 190,332.47 10 9,516.62 - 9,040.79 9,040.79
Buah 175,306.22 10 8,765.31 - 8,327.05 8,327.05
Buah 1,021,784.83 10 51,089.24 - 48,534.78 48,534.78
Buah 130,227.48 10 6,511.37 - 6,185.81 6,185.81
83
as (Rp.)
7 8 9 10 11 12 13
Buah 225,393.71 10 11,269.69 - 10,706.20 10,706.20
Buah 400,699.93 10 20,035.00 - 19,033.25 19,033.25
Buah 400,699.93 10 20,035.00 - 19,033.25 19,033.25
Buah 601,049.90 10 30,052.49 - 28,549.87 28,549.87
Buah 58,101.49 10 2,905.07 - 2,759.82 2,759.82
Buah 22,539.37 10 1,126.97 - 1,070.62 1,070.62
Buah 90,157.48 10 4,507.87 - 4,282.48 4,282.48
Buah 120,209.98 10 6,010.50 - 5,709.97 5,709.97
Buah 150,262.47 10 7,513.12 - 7,137.47 7,137.47
Buah 57,099.74 10 2,854.99 - 2,712.24 2,712.24
Buah 262,894.00 10 13,144.70 - 12,487.46 12,487.46
Buah 2,123,208.77 10 106,160.44 - 100,852.42 100,852.42
Buah 765,559.00 10 38,277.95 - 36,364.05 36,364.05
1,336,352,068.14 66,817,603.41 627,742,016.54 47,469,835.66 675,211,852.20
Unit 18,000,000.00 25 900,000.00 10,944,000.00 342,000.00 11,286,000.00
Unit 18,000,000.00 25 900,000.00 10,944,000.00 342,000.00 11,286,000.00
Unit 264,270,132.25 25 13,213,506.61 20,084,530.05 5,021,132.51 25,105,662.56
Unit 18,000,000.00 25 900,000.00 10,944,000.00 342,000.00 11,286,000.00
Unit 18,000,000.00 25 900,000.00 10,944,000.00 342,000.00 11,286,000.00
Unit 18,000,000.00 25 900,000.00 10,944,000.00 342,000.00 11,286,000.00
Unit 193,090,000.00 25 9,654,500.00 58,699,360.00 3,668,710.00 62,368,070.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 5,400,000.00 25 270,000.00 3,283,200.00 102,600.00 3,385,800.00
Unit 39,240,451.61 25 1,962,022.58 16,402,508.77 745,568.58 17,148,077.35
Unit 150,000,000.00 25 7,500,000.00 74,100,000.00 2,850,000.00 76,950,000.00
Unit 500,010,000.00 25 25,000,500.00 152,003,040.00 9,500,190.00 161,503,230.00
Unit 213,122,301.78 25 10,656,115.09 24,295,942.40 4,049,323.73 28,345,266.14
Unit 495,926,850.00 25 24,796,342.50 18,845,220.30 9,422,610.15 28,267,830.45
Unit 98,948,000.00 25 4,947,400.00 33,840,216.00 1,880,012.00 35,720,228.00
Unit 193,120,000.00 25 9,656,000.00 58,708,480.00 3,669,280.00 62,377,760.00
Unit 137,324,000.00 25 6,866,200.00 36,528,184.00 2,609,156.00 39,137,340.00
Unit 244,335,158.00 25 12,216,757.90 37,138,944.02 4,642,368.00 41,781,312.02
Unit 260,028,980.96 25 13,001,449.05 29,643,303.83 4,940,550.64 34,583,854.47
Unit 127,611,000.00 25 6,380,550.00 63,039,834.00 2,424,609.00 65,464,443.00
Unit 181,227,000.00 25 9,061,350.00 61,979,634.00 3,443,313.00 65,422,947.00
Unit 181,015,000.00 25 9,050,750.00 55,028,560.00 3,439,285.00 58,467,845.00
84
as (Rp.)
7 8 9 10 11 12 13
3,417,868,874.59 170,893,443.73 824,606,557.37 64,939,508.62 889,546,065.99
pt 7,844,646.00 5 392,232.30 - 745,241.37 745,241.37
7,844,646.00 392,232.30 0.00 745,241.37 745,241.37
4,967,456,588.73 238,103,279.44 1,452,348,573.92 113,154,585.64 1,565,503,159.56
85
14 15
425,000.00
713,970.59
713,970.59
655,000.00
655,000.00
7,163,750.00
610,000.00
610,000.00
4,945,866.65
620,000.00
723,900.00
13,506,904.68
45,500.00
2,035,125.00
1,031,625.00
236,250.00
12,600.00
28,875.00
220,500.00
162,750.00
105,000.00
707,850.00
707,850.00
328,900.00
278,850.00
346,775.00
693,550.00
346,775.00
86,159.96
96,852.84
16,637.55
227,435.00
4,803,750.00
228,750.00
4,657,940.00
86
14 15
19,500.00
34,125.00
243,750.00
1,950.00
48,750.00
6,337.50
68,250.00
633,750.00
136,500.00
12,187.50
17,550.00
34,125.00
7,312.50
6,337.50
6,337.50
6,337.50
6,337.50
1,218.75
1,218.75
6,337.50
17,550.00
17,550.00
31,687.50
17,550.00
4,387.50
6,337.50
29,542.50
6,337.50
96,525.00
19,500.00
19,500.00
19,500.00
43,387.50
5,362.50
536,250.00
220,057.50
17,550.00
175,500.00
31,687.50
5,850.00
6,337.50
570,375.00
136,500.00
87
14 15
12,187.50
17,550.00
34,125.00
7,312.50
6,337.50
6,337.50
6,337.50
6,337.50
1,218.75
1,218.75
6,337.50
17,550.00
17,550.00
31,687.50
17,550.00
4,387.50
6,337.50
29,542.50
6,337.50
96,525.00
19,500.00
19,500.00
19,500.00
43,387.50
5,362.50
536,250.00
220,057.50
17,550.00
175,500.00
31,687.50
5,850.00
6,337.50
570,375.00
136,500.00
12,187.50
17,550.00
34,125.00
7,312.50
6,337.50
6,337.50
6,337.50
6,337.50
1,218.75
88
14 15
1,218.75
6,337.50
17,550.00
17,550.00
31,687.50
17,550.00
4,387.50
6,337.50
29,542.50
6,337.50
96,525.00
19,500.00
19,500.00
19,500.00
43,387.50
5,362.50
536,250.00
220,057.50
17,550.00
175,500.00
31,687.50
5,850.00
6,337.50
570,375.00
38,500.00
1,135,750.00
664,125.00
2,868,250.00
1,424,500.00
5,853,366.75
5,853,366.75
34,621,042.97
3,327,487.50
1,999,162.50
109,739,161.62
47,003,550.41
41,384.49
22,991.38
766,379.39
7,970,345.63
746,453.52
37,935.78
613,103.51
89
14 15
124,153.46
160,939.67
147,528.03
147,528.03
147,528.03
147,528.03
222,250.02
222,250.02
222,250.02
29,888.80
29,888.80
106,220.18
127,602.17
180,482.35
360,964.69
64,375.87
89,666.39
64,375.87
89,666.39
25,290.52
250,606.06
55,179.32
536,465.57
223,016.40
59,011.21
59,011.21
59,011.21
17,703.36
7,970,345.63
58,628.02
1,517,431.19
52,880.18
1,517,431.19
137,948.29
333,375.03
1,940,472.61
1,682,969.13
1,940,472.61
250,606.06
9,503,104.40
128,062.00
1,788,729.49
2,043,933.83
90
14 15
191,978.04
479,830.13
50,581.04
10,236,529.47
2,649,373.54
250,606.06
144,845.70
812,745.34
1,894,320.18
1,894,320.18
1,894,320.18
114,769.25
114,769.25
427,294.74
213,647.37
49,592.60
49,592.60
68,784.78
34,392.39
34,315.62
205,893.73
205,893.73
53,277.50
36,618.68
179,638.82
179,638.82
229,154.65
229,154.65
801,235.21
229,154.65
229,154.65
229,154.65
229,154.65
229,154.65
229,154.65
229,154.65
725,080.63
229,154.65
229,154.65
725,080.63
229,154.65
229,154.65
801,235.21
91
14 15
1,831,394.77
87,900,193.08
95,346.76
233,760.78
18,270.96
5,297.04
205,893.73
167,877.85
30,477.18
83,908.22
114,462.17
36,618.68
36,618.68
36,618.68
36,618.68
91,508.32
228,924.35
133,500.82
73,237.37
36,618.68
34,315.62
8,367.79
1,297,237.96
213,647.37
30,477.18
30,477.18
45,754.16
45,754.16
129,662.38
122,062.28
183,861.10
229,001.11
167,816.44
83,908.22
18,270.96
268,306.70
48,057.22
54,889.64
45,754.16
6,870,801.12
542,437.36
383,687.14
191,844.45
92
14 15
1,084,874.71
542,437.36
542,437.36
191,843.57
191,844.45
1,697,850.00
488,775.00
270,112.50
97,755.00
1,889,427.05
1,889,427.05
1,154,531.33
572,494.87
572,494.87
572,494.87
1,626,839.60
5,328,608.63
3,693,971.65
980,426.10
1,341,286.79
1,341,286.79
1,341,286.79
1,685,424.91
31,272,876.00
12,883,159.14
6,741,699.64
34,532,890.81
57,249.49
7,230,610.26
897,671.96
248,081.11
294,262.37
423,646.21
389,296.51
212,204.77
389,296.51
389,296.51
248,081.11
526,695.28
74,424.33
149,421.16
1,061,023.83
2,747,975.40
93
14 15
177,091.75
530,511.92
176,710.08
45,799.59
137,398.77
112,590.66
160,871.06
123,658.89
459,904.22
681,268.90
663,139.90
645,583.39
622,874.42
1,591,535.75
4,007,464.12
530,511.92
686,993.85
96,179.14
57,249.49
435,096.10
1,419,787.29
1,602,985.65
171,748.46
393,876.47
641,194.26
2,410,203.42
448,835.98
211,823.10
194,648.26
162,397.71
116,788.95
194,648.26
686,993.85
707,412.83
139,879.58
209,151.46
192,358.28
641,194.26
2,747,975.40
88,355.04
88,545.87
123,849.72
57,821.98
94
14 15
57,821.98
530,511.92
530,511.92
530,511.92
681,268.90
663,139.90
645,583.39
137,398.77
2,385,395.31
1,526,653.00
515,245.39
57,249.49
686,993.85
5,195,390.98
2,683,752.83
17,228,437.47
3,097,884.26
435,100.02
435,100.02
435,100.02
435,100.02
435,100.02
435,100.02
435,100.02
435,100.02
549,600.03
435,100.02
8,575,096.27
35,781.25
447,981.27
250,468.76
214,687.51
200,375.01
178,906.26
42,937.50
178,906.26
322,031.27
214,687.51
190,833.34
181,291.68
166,979.18
973,250.05
124,041.67
95
14 15
214,687.51
381,666.69
381,666.69
572,500.03
55,341.67
21,468.75
85,875.00
114,500.01
143,125.01
54,387.50
250,406.53
2,022,356.35
729,194.95
661,140,215.94 -
6,714,000.00
6,714,000.00
239,164,469.69
6,714,000.00
6,714,000.00
6,714,000.00
130,721,930.00
2,014,200.00
2,014,200.00
2,014,200.00
2,014,200.00
2,014,200.00
2,014,200.00
2,014,200.00
2,014,200.00
2,014,200.00
22,092,374.26
73,050,000.00
338,506,770.00
184,777,035.64
467,659,019.55
63,227,772.00
130,742,240.00
98,186,660.00
202,553,845.98
225,445,126.49
62,146,557.00
115,804,053.00
122,547,155.00
96
14 15
2,528,322,808.61
7,099,404.63
7,099,404.63
3,401,953,429.17
97
REKAP PENYUSUTAN ASET TETAP
TAHUN 2017

Urut Rekening
1 2 3 4 5 6
TANAH
1 1.3.1.11. Tanah Kantor 205,391,000.00 0 -
JUMLAH TANAH 205,391,000.00 - -
I PERALATAN DAN MESIN

1 1.3.2.01. Alat-alat besar Darat - 10 -
2 1.3.2.02. Alat-alat besar Apung - 8 -
3 1.3.2.03. Alat-alat Bantu - 7 -
4 1.3.2.04. Alat Angkutan Darat Bermotor 272,736,580.08 7 260,796,774.84
5 1.3.2.05. Alat Angkutan Berat Tak Bermotor - 2 -
6 1.3.2.06. Alat Angkut Apung Bermotor 98,917,333.00 10 98,917,333.00
7 1.3.2.07. Alat Angkut Apung Tak Bermotor - 3 -
8 1.3.2.08. Alat Angkut Bermotor Udara - 20 -
9 1.3.2.09. Alat Bengkel Bermesin - 10 -
10 1.3.2.10. Alat Bengkel Tak Bermesin - 5 -
11 1.3.2.11. Alat Ukur - 5 -
12 1.3.2.12. Alat Pengolahan Pertanian - 4 -
13 1.3.2.13. Alat Pemeliharaan Tanaman/Alat Penyimpanan Pert - 4 -
14 1.3.2.14. Alat Kantor 910,000.00 5 910,000.00
15 1.3.2.15. Alat Rumah Tangga 10,222,007.00 5 6,776,407.00
16 1.3.2.16. Peralatan Komputer 19,188,700.00 4 12,567,700.00
17 1.3.2.17. Meja Dan Kursi Kerja/Rapat Pejabat - 5 -
18 1.3.2.18. Alat Studio 5,432,000.00 5 1,086,400.00
19 1.3.2.19. Alat Komunikasi - 5 -
20 1.3.2.20. Peralatan Pemancar - 10 -
21 1.3.2.21. Alat Kedokteran 928,945,448.06 5 372,186,163.82
22 1.3.2.22. Alat Kesehatan - 5 -
23 1.3.2.23. Unit-Unit Laboratorium - 8 -
24 1.3.2.24. Alat Peraga/Praktek Sekolah - 10 -
25 1.3.2.25. Unit Alat Laboratorium Kimia Nuklir - 15 -
26 1.3.2.26. Alat Laboratorium Fisika Nuklir / Elektronika - 15 -
27 1.3.2.27. Alat Proteksi Radiasi / Proteksi Lingkungan - 10 -
28 1.3.2.28. Radiation Aplication and Non Destructive Testing L - 10 -
29 1.3.2.29. Alat Laboratorium Lingkungan Hidup - 7 -
30 1.3.2.30. Peralatan Laboratorium Hidrodinamika - 15 -
98
Urut Rekening
31 1.3.2.31. Senjata Api - 10 -
32 1.3.2.32. Persenjataan Non Senjata Api - 3 -
33 1.3.2.33. Alat Keamanan dan Perlindungan - 5 -
JUMLAH PERALATAN DAN MESIN 1,336,352,068.14 252.00 753,240,778.66
II GEDUNG DAN BANGUNAN

1 1.3.3.01. Bangunan Gedung Tempat Kerja 2,928,015,874.59 50 795,603,297.48
2 1.3.3.02. Bangunan Gedung Tempat Tinggal 489,853,000.00 50 209,118,360.00
3 1.3.3.03. Bangunan Menara - 40 -
4 1.3.3.04. Bangunan Bersejarah - 50 -
5 1.3.3.05. Tugu Peringatan - 50 -
6 1.3.3.06. Candi - 50 -
7 1.3.3.07. Monumen/Bangunan Bersejarah - 50 -
8 1.3.3.08. Tugu Peringatan Lain - 50 -
9 1.3.3.09. Tugu Titik Kontrol/Pasti - 50 -
10 1.3.3.10. Rambu-Rambu - 50 -
11 1.3.3.11. Rambu-Rambu Lalu Lintas Udara - 50 -
JUMLAH GEDUNG DAN BANGUNAN 3,417,868,874.59 540.00 1,004,721,657.48
III JALAN, IRIGASI DAN JARINGAN

1 1.3.4.01. Jalan - 10 -
2 1.3.4.02. Jembatan - 50 -
3 1.3.4.03. Bangunan Air Irigasi - 50 -
4 1.3.4.04. Bangunan Air Pasang Surut - 50 -
5 1.3.4.05. Bangunan Air Rawa Sungai dan Penaggulangan
Bangunan Pengaman - 25 -
6 1.3.4.06. Bencana Alam - 10 -
7 1.3.4.07. Bangunan Pengembangan Sumber Air dan Air Tanah - 30 -
8 1.3.4.08. Bangunan Air Bersih/Baku - 40 -
9 1.3.4.09. Bangunan Air Kotor - 40 -
10 1.3.4.10. Bangunan Air - 40 -
11 1.3.4.11. Instalasi Air Minum/Air Bersih - 30 -
12 1.3.4.12. Instalasi Air Kotor - 30 -
13 1.3.4.13. Instalasi Pengolahan Sampah - 10 -
14 1.3.4.14. Instalasi Pengolahan Bahan Bangunan - 10 -
15 1.3.4.15. Instalasi Pembangkit Listrik - 40 -
16 1.3.4.16. Instalasi Gardu Listrik - 40 -
17 1.3.4.17. Instalasi Pertahanan - 30 -
18 1.3.4.18. Instalasi Gas - 30 -
19 1.3.4.19. Instalasi Pengaman - 20 -
20 1.3.4.20. Jaringan Air Minum - 30 -
21 1.3.4.21. Jaringan Listrik 7,844,646.00 40 1,568,929.20
22 1.3.4.22. Jaringan Telepon - 20 -
99
Urut Rekening
23 1.3.4.23. Jaringan Gas - 30 -
JUMLAH JALAN, IRIGASI DAN JARINGAN 7,844,646.00 1,568,929.20
IV. ASET TETAP LAINNYA

1 1.3.5.01. Buku
2 1.3.5.02. Terbitan
3 1.3.5.03. Barang-Barang Perpustakaan
4 1.3.5.04. Barang Bercorak Kebudayaan
5 1.3.5.05. Alat Olah Raga Lainnya
6 1.3.5.06. Hewan
7 1.3.5.07. Tanaman
8 1.3.5.08. Aset Tetap Renovasi
9 1.3.5.09. Aset Lain
JUMLAH ASET TETAP LAINNYA - -
TOTAL ASET TETAP 4,967,456,588.73 1,759,531,365.34
100
ATEN SAMBAS
N ASET TETAP
17
Niai Akumulasi
ini Tahun ini
7 8 9 10
- - 205,391,000.00
- - 205,391,000.00
- - -
- - -
- - -
1,492,475.65 262,289,250.49 10,447,329.58
- - -
- 98,917,333.00 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 910,000.00 -
311,450.00 7,087,857.00 3,134,150.00
567,000.00 13,134,700.00 6,054,000.00
- - -
135,800.00 1,222,200.00 4,209,800.00
- - -
- - -
25,044,904.95 397,231,068.77 531,714,379.29
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
101
Niai Akumulasi
ini Tahun ini
- - -
- - -
- - -
27,551,630.61 780,792,409.27 555,559,658.87
29,280,158.75 824,883,456.23 2,103,132,418.37

4,898,530.00 214,016,890.00 275,836,110.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
34,178,688.75 1,038,900,346.23 2,378,968,528.37
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
392,232.30 1,961,161.50 5,883,484.50
- - -
102
Niai Akumulasi
ini Tahun ini
- - -
392,232.30 1,961,161.50 5,883,484.50
- - -
62,122,551.65 1,821,653,916.99 3,145,802,671.74 0.00
103
LAPORAN STOK OPNAME VAKSIN per 30 JUNI 20
PUSKESMAS PIMPINAN
STOK AWAL TAHUN PENERIMAAN per

NO NAMA VAKSIN HARGA SATUAN HARGA STOK AWAL
2017 30 JUNI 2017
1 HBO 19,096 8 152,768.00 100

2 BCG 50,460 29 1,463,340.00 65
3 POLIO IPV 137,610 0 - 25
4 POLIO 17,270 12 207,240.00 0
5 POLIO BOPV 18,370 0 - 90
6 DPT-HB-Hib 63,930 0 - 0
7 PENTABIO 63,930 0 - 240
8 CAMPAK 25,641 5 128,205.00 90
9 Td 14,710 20 294,200.00 20
10 DT 15,550 0 - 0
11 TT 12,910 0 - 0
12 SPUIT 0,05 CC 3,085 0 - 400
13 SPUIT 0,5 CC 3,085 50 154,250.00 800
14 SPUIT 5 CC 3,974 0 - 100
JUMLAH 2,400,003.00
30,949,676.00
228466981
Mengetahui
H. MARHAN, S.ST
NIP: 19750429 199903 1 006
AKSIN per 30 JUNI 2017
PIMPINAN
PENGELUARAN
per 30 JUNI HARGA PENGELURAN SISA30
STOK AKHIR per
HARGA PENERIMAAN HARGA SISA STOK
JUNI 2017
2017
1,909,600 77 1,470,392.00 31 591,976.00
3,279,900 69 3,481,740.00 25 1,261,500.00
3,440,250 25 3,440,250.00 0 -
- 12 207,240.00 0 -
1,653,300 90 1,653,300.00 0 -
- 0 - 0 -
15,343,200 195 12,466,350.00 45 2,876,850.00
2,307,690 51 1,307,691.00 44 1,128,204.00
294,200 36 529,560.00 4 58,840.00
- 0 - 0 -
- 0 - 0 -
1,234,000 372 1,147,620.00 28 86,380.00
2,468,000 800 2,468,000.00 50 154,250.00
397,400 95 377,530.00 5 19,870.00
32,327,540.00 28,549,673.00 6,177,870.00
259,416,657.00
Pipitteja, 30 Juni 2017
Pengelola Program Imunisasi
SUDARNIK
PERSEDIAAN AWAL
BEBAN PERSEDIAAN
152,768.00 1,909,600.00 1,470,392
1,463,340.00 3,279,900.00 3,481,740
- 3,440,250.00 3,440,250
207,240.00 - 207,240
- 1,653,300.00 1,653,300
- - -
- 15,343,200.00 12,466,350
128,205.00 2,307,690.00 1,307,691
294,200.00 294,200.00 529,560
- - -
- - -
- 1,234,000.00 1,147,620
154,250.00 2,468,000.00 2,468,000
- 397,400.00 377,530
2,400,003.00 32,327,540.00 28,549,673.00
LAPORAN STOK OPNAME OBAT
PER 30 JUNI TAHUN 20
PUSKESMAS:
HARGA
NO NAMA OBAT SATUAN SUMBER
PEROLEHAN
1 2 3 4 9
1 Alat suntik sekali pakai 1 ml set Buffer prov.prog.2016 920.00
2 Alat suntik sekali pakai 5 ml set Buffer prov.prog.2016 1,041.00
3 Ampisilin caplet 500 mg kaplet Buffer Prov.2014 419.10
4 Ambroxol sirup 15 mg/ml btl Buffer prov.prog.2016 3,297.00
5 Anti malaria (DHP) tablet Buffer prov.prog.2016 1,100.00
6 Anti malaria (DHP) tablet Buffer Prog.Prov.2017 3,498.00
7 Anti malaria (DHP) tablet Buffer Prog.Prov.2015 3,959.00
8 Artemeter injeksi,1 ml: 80 mg ampul Buffer Prog.Prov.2014 4,064.00
9 Artesunate injeksi Vial Buffer Prog.Prov.2017 42,900.00
14 Alat suntik sekali pakai 1 ml set Buffer Prov.2015 1,201.75
15 Albendazol tablet 400 mg tablet Buffer Prog.Prov.2015 166.98
16 Albendazol tablet 400 mg tablet Buffer Prog.Pusat2016 258.74
17 Albendazol tablet 400 mg tablet Buffer Prog.Pusat2013 193.76
18 Albendazol tablet 400 mg tablet Buffer prov.prog.2016 166.98
19 Alopurinol tablet 100 mg tablet Buffer Provinsi 2013 132.00
20 Alopurinol tablet 100 mg tablet Buffer prov.prog.2016 90.00
21 Amoksisilin sirup kering 125 mg/5 ml btl Buffer Prov.2015 2,560.00
22 Amoksisilin sirup kering 125 mg/5 ml btl Buffer prov.prog.2016 2,560.00
23 Amoksisilin kapsul 500 mg kapsul Buffer prov.prog.2016 279.00
24 Amlodipin 10 mg Tablet Buffer Prov.2017 1,692.00
25 Ampisilin serbuk injeksi 1000 mg Vial Buffer Prog.Prov 2013 5,904.80
26 Ampisilin serbuk injeksi 1000 mg Vial Buffer Prog.Prov 2014 4,700.00
Anti Bakteri DOEN salep kombinasi:
Pot
27 Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Buffer Prov.2017 2,767.00
Antifungi DOEN kombinasi :
Asam Benzoat 6 % + Asam Pot
28 Buffer Provinsi 2013 1,154.17
Salisilat 3 %
Antimigren DOEN tablet kombinasi :
tablet
29 Ergotamin Tartrat 1 mg + Kofein 50 mg Buffer Pusat 2017 201.00
Antasida DOEN tablet kunyah,kombinasi:
tab
Mg-Hidroksida 200 mg + Al. Hidroksida. 200
30 mg Buffer prov.prog.2016 78.00
tube
31 Basitrasin 500 IU/g + Polimiksin 10.000 IU/g Buffer prov.prog.2016 2,767.00
32 Atapulgit tablet 600 mg(Pularex) tab Buffer prov.prog.2016 220.00
33 Arco tablet Buffer prog. Provinsi 2013
34 Asam Mefenamat 500 mg tab Buffer Prov.2014 114.84
35 Asam Askorbat (Vit C) tablet 50 mg tablet Buffer Provinsi 2013 32.50
36 Asetosal 100 mg tab Buffer Pusat 2017 385.00
37 Asetosal 80 mg (milispi) tab Buffer Prov.2017 123.00
38 Benzatin Benzil penisilin Vial Buffer Prog.Prov.2014 9,829.00
39 Betametason krim 0,1 o/o tube Buffer Prov.2015 2,052.60
Besi II Sulfat 200 mg + Asam Folat 0,25 mg
tablet
40 tablet (tablet tambah darah kombinasi) Buffer Prog.Prov 2017 367.00
tablet
tablet
tablet
43 tablet (tablet tambah darah kombinasi) Buffer prov.prog.2016 45.00
44 Berlison N tube Buffer Prov.2017 11,000.00
45 Cetirizine tablet 10 mg Tablet Buffer Prov.2017 154.00
46 Deksametason injeksi 5 mg/ml - 1 ml ampul Buffer Provinsi 2013 2,202.20
HARGA
47 Deksametason injeksi 5 mg/ml - 1 ml ampul Buffer Prov.2014 PEROLEHAN
1,850.00
48 Diazepam injeksi 5mg/ml ampul Buffer Prog.Prov 2013 2,368.10
50 Diazepam injeksi 5mg/ml ampul Buffer pusat 2009 872.57
52 Dietilkarbamazin Sitrat tablet 100 mg tablet Buffer Prog.Prov 2017 135.00
53 Dietilkarbamazin Sitrat tablet 100 mg tablet Buffer prov.prog.2016 135.00
54 Dietilkarbamazin Sitrat tablet 100 mg tablet Buffer pusat.prog.2016 258.74
55 Digoksin tablet 0,25 mg tab Buffer Prov.2015 103.00
56 Domperidon sirup botol Buffer Prov.2015 3,490.00
57 Domperidon suspensi/sirup 5 mg/5 ml btl Buffer prov.prog.2016 3,490.00
58 Metoklopramid sirup btl Buffer prov.prog.2016 2,900.00
59 Efinefrin injeksi ampul Buffer Prov.2015 345.00
60 Ekstrak Belladona tablet Buffer Provinsi 2013 3.17
61 Ezitirox 100 mg tablet Buffer Prog.Prov 2017 944.00
62 Fenobarbital injeksi i.m/i.v. 50 mg/ml ampul Buffer Pusat 2017 2,265.00
63 Fenobarbital injeksi i.m/i.v. 50 mg/ml ampul Buffer Prog.Prov 2017 2,265.00
67 Fitomenadion (Vit K) injeksi 10 mg/ml ampul Buffer Prov.Prog.2017 4,083.00
68 Fitomenadion (Vit K) injeksi 10 mg/ml ampul Buffer Prog.Prov 2012 1,914.00
69 Fitomenadion (Vit K) injeksi 10 mg/ml ampul Buffer Prog.Prov 2014 1,723.00
70 Fitomenadion (Vit K) injeksi 10 mg/ml ampul Buffer prov.prog.2016 3,754.00
71 Furosemid tablet 40 mg tablet Buffer Provinsi 2013 111.10
72 Furosemid tablet 40 mg tab Buffer prov.prog.2016 96.00
73 Garam Oralit serbuk,kombinasi sachet Buffer Prog.Prov.2014 475.00
74 Garam Oralit serbuk,kombinasi sachet Buffer Prog.Prov.2015 317.00
75 Gentamisin injeksi 40 mg/2 ml ampul Buffer Prog.Prov.2017 3,739.00
76 Gentamisin injeksi 40 mg/2 ml ampul Buffer Prog.Prov.2015 4,113.00
77 Gentamisin injeksi 40 mg/2 ml ampul Buffer prov.prog.2016 4,113.00
78 Gentamicin sk 0,1 % tube Buffer prov.prog.2013 4,590.00
79 Gentamicin TM 0,3 % btl Buffer Prov.2015 3,513.00
80 Glibenklamid tablet 5 mg tab Buffer Prov.2015 79.20
81 Glukonas Kalsikus 10 % ampul Buffer Prog.Prov.2015 7,800.00
82 Glukonas Kalsikus 1 gr ampul Buffer Prog.Prov 2017 9,955.00
83 Glukosa larutan infus 5 o/o Botol Buffer Prov.2015 5,844.00
84 Glukosa larutan infus 5 o/o Botol Buffer Prov.2016 5,720.00
85 Handschoon ( Sarung Tangan ) steril 7,5 set Buffer prov.prog.2016 8,524.00
86 Hidroklortiazida 25 mg tablet Buffer Provinsi 2013 39.93
87 Isosorbit Dinitrat tablet sublingual 5 mg tab Buffer Prov.2015 98.00
88 Infusion set anak (Micro) set Buffer Pusat 2017 3,688.00
89 Infusion set dewasa (Macro) set Buffer prov.prog.2016 5,500.00
90 Ibuprofen tablet 200 mg tab Buffer Provinsi 2017 111.00
91 Ibuprofen tablet 400 mg Tablet Buffer Pusat 2017 133.00
92 Kloramfenikol tetes telinga 3 % Botol Buffer Provinsi 2017 8,800.00
93 Kina Injeksi 25%-2ml ampul Buffer Prog.Prov 2015 4,853.00
94 Klorpromazin 25 mg tab Buffer Prov.2015 163.90
95 Klorpromazin HCI injeksi 5 mg/ml-2 ml ampul Buffer Provinsi 2013 795.67
Kotrimoksazol DOEN I (Dewasa) kombinasi :
Sulfametoksazol 400 mg + tablet
96 Trimetoprim 80 mg Buffer Provinsi 2017 158.00
Kotrimoksazol DOEN I (Dewasa) kombinasi :
Sulfametoksazol 400 mg + tablet Buffer Provinsi 2014
97 Trimetoprim 80 mg 160.15
98 Kotrimoksazol DOEN II (Anak) kombinasi tablet Buffer Provinsi 2013 83.40
Lidokain Komp.injeksi, Kombinasi :
Lidokain HCL 12 % + Epinefrin Ampul
99 1 : 80.000 - 2 ml Buffer Prov.2015 2,646.00
100 Lisol Botol Buffer Prov.2013 49,862.00
HARGA
101 Lisol Botol Buffer Prov.2014 PEROLEHAN
49,862.00
102 Loperamid tab Buffer Provinsi 2015 97.00
103 Loperamid tab Buffer prov.prog.2016 97.00
104 Magnesium Sulfat inj (IV) 20%/ml Botol Buffer Prog.Prov.2015 5,500.00
105 Magnesium Sulfat inj (IV) 40%/ml Botol Buffer Prog.Prov 2017 3,650.00
106 Metformin 400 mg tab Buffer prov.prog.2016 119.00
107 Multivitamin tablet tab Buffer prov.prog.2016 494.45
108 Multivitamin sirup btl Buffer prov.prog.2016 8,910.00
109 Metilergometrin Maleat (Metilergometrin) injek tablet Buffer Prog.Prov.2017 2,684.00
110 Metilergometrin Maleat (Metilergometrin) table tablet Buffer Prog.Prov 2012 133.10
111 Metilergometrin Maleat (Metilergometrin) table tablet Buffer Prov 2014 133.10
112 Metoklopramid tablet Buffer Provinsi 2013 121.00
113 Mineral Mix sachet Buffer Prog.Prov.2015 2,541.00
114 Mineral Mix sachet Buffer Prog.Prov.2017 2,727.00
115 Natrium Klorida larutan infus 0,9 % Steril btl Buffer Prov.2016 5,720.00
116 Natrim Diklofenak 50 mg tab tab Buffer prov.prog.2016 386.00
117 Nystatin drop Botol Buffer Prov 2017 38,500.00
118 Nistatin tablet salut 500.000 UI/g tablet Buffer Provinsi 2013 600.00
119 Nistatin tablet salut 500.000 UI/g tablet Buffer Prov.2014 704.00
120 Nistatin vaginal tablet 100.000 IU/ g supp Buffer Prov.2014 448.00
121 Obat Batuk Hitam ( O.B.H ) btl Buffer prov.prog.2016 3,012.00
122 OAT FDC Kategori 1 Dewasa paket Buffer Prog.Prov.2016 413,984.00
123 OAT FDC Kategori 1 Dewasa paket Buffer Prog.Prov.2015 395,990.00
124 OAT FDC Kategori 1 Dewasa paket APBN 2017 413,984.00
125 OAT FDC Kategori II Dewasa paket APBN 2016 1,379,984.00
126 OAT Kategori Anak paket APBN 2017
127 OAT FDC Kategori Sisipan Dewasa Paket Buffer Prog.Prov 2012 176,000.00
128 OAT FDC Kategori Sisipan Dewasa Paket Buffer Prog.Prov 2015 175,990.00
129 Oksitetrasiklin HCI salep mata 1 % Tube Buffer Prog.Prov 2012 2,310.00
130 Oksitetrasiklin HCI salep mata 1 % Tube Buffer Prog.Prov 2014 1,640.00
131 Oksitosin injeksi 10 IU / ml - ml ampul Buffer Prov.Prog.2017 1,900.00
132 Oksitetrasiklin HCI salep kulit 3 % tube Buffer prov.prog.2016 1,649.00
133 Omeprazole kapsul kapsul Buffer prov.prog.2016 221.00
134 Omeprazole kapsul kapsul Buffer Prov 2014 265.00
135 Parasetamol sirup 120 mg / 5 ml btl Buffer Prov 2014 1,725.00
136 Parasetamol sirup 120 mg / 5 ml btl Buffer prov.prog.2016 2,900.00
137 Parasetamol drop btl Buffer prov.prog.2016
138 Parasetamol tablet 500 mg tab Buffer Prov 2015 88.00
139 Parasetamol tablet 500 mg tab Buffer Prov 2017 174.00
140 Pyrimethamin 25 mg tablet Buffer Prog.Prov 2017 -
141 Prednison tablet 5 mg tab Buffer Prog.Prov.2014 57.00
142 Primakuin tablet 15 mg tab Buffer prov.prog.2016 125.00
143 Prokain Benzil Penisilin injeksi 3 juta IU/Vial Vial Buffer Prog.Prov 2017 9,908.00
146 Prokain Benzil Penisilin injeksi 3 juta IU/Vial Vial Buffer prov.prog.2016 9,768.00
147 Propanolol 40 mg tablet Buffer Provinsi 2015 114.00
148 Proiltiourasil tablet 100 mg tab Buffer prov.prog.2016 351.00
149 Quinin sulphat 222 mg ampul Buffer Prog.Prov 2017 737.00
150 Quinin injeksi 250 mg tab Buffer Prog.Prov 2017 6,820.00
151 Ranitidin Injeksi 25 mg/ 2 ml ampul Buffer prov.prog.2016 1,340.00
152 Retinol ( Vitamin A ) 200.000 IU kapsul lunak Kapsul Buffer Prog.Prov 2017 519.00
155 Retinol ( Vitamin A ) 100.000 IU kapsul lunak kapsul Buffer Prov 2014 386.10
157 Ringer laktat larutan infus btl Buffer Prov 2017 7,150.00
158 Ringer laktat larutan infus btl Buffer prov.prog.2016 5,720.00
HARGA
NO NAMA :OBAT
Salep 2 - 4, Kombinasi SATUAN SUMBER
PEROLEHAN
Asam Salisilat 2 % + Belerang pot
159 Buffer prov.prog.2016
Endap 4 %
160 Salisil Bedak 2 % ktk Buffer prov.prog.2016 40,056.00
161 Salbutamol tablet 4 mg tab Buffer Prov 2015 91.00
162 Sefadroksil kapsul 500 mg kapsul Buffer Prov 2015 529.00
163 Siprofloxasin 500 mg Tablet Buffer Prov 2017 298.00
Sianokobalamin (Vit.B12) injeksi 500 mcg/ml
ampul
164 - 1ml Buffer Provinsi 2013 1,140.70
165 Simvastatin 10 mg tablet Buffer Provinsi 2015 177.00
Sonigen (Betametason 1 %+Gentamicin
tube
166 sulfat 1 mg) Buffer prov.prog.2016 16,500.00
Tiamin HCI ( Vit.B1 injeksi 100 mg/ml - 1 ml ) ampul
167 Buffer Provinsi 2013 766.67
168 Tramadol tablet 50 mg tab Buffer Prov 2014 355.80
169 Zink tab 20 mg tablet Buffer Prog.Prov.2017 592.00
170 Zink tab 20 mg tablet Buffer Provinsi 2015 521.00
171 Zink tab 20 mg tablet Buffer prov.prog.2015 521.00
OBAT DAN BMPH LAIN-LAIN
1
2
3
4
5
6
7
8
9
10
Mengetahui
Kepala Puskesmas
H.MARHAN, S.ST
NIP : 19750429 199903 1 006
LAPORAN STOK OPNAME OBAT DAN PERBEKALAN KESEHATAN
PER 30 JUNI TAHUN 2017 SUMBER APBD I
PUSKESMAS: PIMPINAN
STOK AWAL PER 01 PENERIMAAN JAN PENGELUARAN JAN SISA STOK 3O JUNI 2017
JAN 2017 S/D JUNI 2017 S/D JUNI 2017 GUDANG APOTEK
6 7 8 9=(6+7-8) 10
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 25 25 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 7,200 3,000 4,200
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
JAN 2017 - S/D JUNI 2017 - S/D JUNI 2017 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1 - 1 -
- - - -
- - - -
- - - -
100 - 100 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
15 - 15 -
- - - -
- - - -
- - - -
- - - -
- - - -
- 100 100 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 10 10 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
JAN 2017 S/D JUNI 2017 S/D JUNI 2017
- - - -
- - - -
- - - -
- - - -
- 200 100 100
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
TOTAL R
Petugas Pengelola Obat

Puskesmas
WIDEA PURWANTY PRATAMA PUTRI, A.Md.Far

NIP: 19890128 201001 2 005
O JUNI 2017
TOTAL HARGA
TOTAL penerimaan beban
11=(9+10) 12(9X11)
- - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - 69,175.00 69175
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
4,200 1,541,400.00 - 2,642,400.00 1101000
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
O JUNI 2017
TOTAL HARGA
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - 3,754.00 - 3754
- - - - 0
- - - - 0
- - - - 0
- - 31,700.00 - 31700
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - 85,800.00 - 85800
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - 11,100.00 11100
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
O JUNI 2017
TOTAL HARGA
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - 3,959,900.00 3959900
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
O JUNI 2017
TOTAL HARGA
- - - - 0
- - - - 0
- - - - 0
- - - - 0
100 29,800.00 - 59,600.00 29800
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- - - 0
- -
TOTAL RP. 1,571,200.00 121,254.00 6,742,175.00 5,292,229.00
gelola Obat
TAMA PUTRI, A.Md.Far

201001 2 005
LAPORAN STOK OPNAME OBAT
PER 30 JUNI TAHUN 2
PUSKESMAS
NO NAMA OBAT SATUAN SUMBER HARGA PEROLEHAN
1 2 3 4 9
I OBAT GENERIK
1 Akarbose tablet/kaplet 50 mg Tablet DAK 2016 657.00
2 Alopurinol tablet 100 mg Tablet DAK 2016 95.00
5 Alprazolam 0,5 mg Tablet DAK 2015 185.00
8 Ambroxol sirup 15 mg/ml Botol 60 ml DAK 2016 3,627.00
10 Ambroxol tablet 30 mg Tablet DAK 2017 985.00
14 Aminofilina injeksi 24 mg/ml - 10 ml Ampul 10 ml DAK 2017 3,080.00
Aminofilina tablet 200 mg
17 Tablet DAK 2016 124.94
18 Tablet salut selaput DAK 2017 97.00
19 Tablet DAK 2015 86.00
20 Amitriptilin HCl tablet salut 25 mg Tablet DAK 2015 123.00
23 Amlodipin 5 mg Tablet DAK 2017 91.00
24 Amlodipin 5 mg Tablet DAK 2016 1,333.33
25 Amlodipin 5 mg Tablet DAK 2015 197.00
Amoksisilin kapsul/kaplet/tablet scored
Kaptab
26 500 mg DAK 2017 191.00
Kaplet
27 500 mg DAK 2016 233.00
Kaplet
28 500 mg DAK 2015 279.00
29 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml DAK 2017 1,920.00
Amoksisilin sirup kering forte 250 mg/5
Botol 60 ml
32 ml DAK 2017 3,797.00
Botol 60 ml
33 ml DAK 2015 4,730.00
Botol 60 ml
34 ml DAK 2016 4,147.00
35 Antalgin injeksi 250 mg/ml - 2 ml Ampul DAK 2013 1,500.74
36 Antasida DOEN suspensi Botol 60 ml DAK 2016 2,106.00
37 Antasida DOEN suspensi Botol 60 ml ABT 2015 2,300.00
Antasida DOEN tablet
kunyah,kombinasi:
Mg-Hidroksida 200 mg + Al. Hidroksida. Tablet
40 200 mg DAK 2015 78.00
kunyah,kombinasi:
Mg-Hidroksida 200 mg + Al. Hidroksida. Tablet
41 200 mg DAK 2017 59.00
kunyah,kombinasi:
Mg-Hidroksida 200 mg + Al. Hidroksida. Tablet kunyah
42 200 mg DAK 2016 64.00
Basitrasin 500 IU/g + Polimiksin 10.000 Tube 5 gram
43 IU/g DAK 2015 2,767.00
Basitrasin 500 IU/g + Polimiksin 10.000 Tube 5 gram
44 IU/g DAK 2017 3,365.00
Anti Diare Kombinasi Kaolin 986
Botol 60 ml
45 mg+Pektin 40 mg DAK 2016 8,000.00
Anti Diare Kombinasi Kaolin 986
Botol 60 ml
46 mg+Pektin 40 mg DAK 2017 6,190.00
Asam Benzoat 6 % + pot plastik 30 gram
47 Asam Salisilat 3 % DAK 2017 4,972.00
Asam Benzoat 6 % + pot plastik 30 gram
48 Asam Salisilat 3 % DAK 2016 4,782.00
Anti Hemoroid DOEN kombinasi :
Bismuth subgalat supp
49 150 mg + Heksaklorofen 2,5 mg DAK 2015 3,350.00
Antimigren DOEN tablet kombinasi :
Tablet
52 Ergotamin Tartrat 1 mg + Kofein 50 mg DAK 2017 204.00
Antimigren + Paracetamol 400 mg,
Tablet
53 Acetosal 250 mg, Caffeine 65 mg DAK 2016 605.00
54 Aqua pro Injeksi steril, bebas pirogen Ampul 25 ml DAK 2015 2,200.00
55 Air untuk Injeksi 25 ml Ampul 25 ml DAK 2017 2,750.00
OTSU SWI 25 ML - Air untuk Injeksi 25
Ampul 25 ml
56 ml DAK 2016 2,750.00
ACT (Artesunate tablet 50 mg +
Tablet
57 Amodiaquine anhydrida tablet 200 mg) DAK 2015 1,409.00
58 Asam Askorbat (Vit C) tablet 50 mg Tablet DAK 2016 120.00
Asam askorbat (vitamin C)
Tablet
59 tablet/kapsul/kaplet 250 mg DAK 2017 118.00
60 Asam Askorbat (Vit C) tablet 50 mg Tablet DAK 2017 120.00
Asam Folat tablet/kapsul/kaplet 0,4 Tablet
61 mg(Afolat) DAK 2015 140.00
Asam Folat tablet/kapsul/kaplet 0,4 Tablet
62 mg(Afolat) DAK 2016 68.00
63 Asam Mefenamat 500 mg Kaptap Salut Selaput DAK 2017 102.00
64 Asam Mefenamat 500 mg Tablet DAK 2016 113.00
65 Asam Traneksamat 500 mg Tablet DAK 2017 1,540.00
66 Asam Traneksamat 500 mg Tablet DAK 2016 1,540.00
67 Asam traneksamat injeksi 100 mg/ml Ampul 5 ml DAK 2016 2,789.00
68 Asam traneksamat injeksi 100 mg/ml Ampul 5 ml DAK 2017 2,530.00
69 Asetosal 100 mg Tablet DAK 2015 127.00
70 Asetosal 100 mg Tablet DAK 2016 153.00
Asam asetilsalisilat (asetosal)
Tablet
72 Asiklovir krim 5 % Tube 5 gram DAK 2016 2,997.00
73 Asiklovir krim 5 % Tube 5 gram DAK 2017 9,550.00
74 Asiklovir tablet 400 mg Tablet DAK 2015 354.00
75 Asiklovir tablet 400 mg Tablet DAK 2016 368.00
76 Asiklovir tablet/kapsul/kaplet 400 mg Tablet DAK 2017 415.00
NEW ANTIDES - Attapulgite 600 mg
Tablet
77 tablet DAK 2016 173.00
78 Atapulgit tablet 600 mg (Pularex) Tablet DAK 2015 220.00
79 Atropin inj 0,25 mg / ml Ampul 1 ml DAK 2016 1,672.00
80 Azitromisin tablet 500 mg Tablet DAK 2016 1,900.00
kombinasi: ferro fumarat 60 mg + as.
Folat 0,4 mg tablet salut gula (tablet Tablet Salut Gula
81 tambah darah) DAK 2017 410.00
(Tablet Tambah Darah Kombinasi) :
Ferrous Fumarate 250 mg, Manganese
Sulfate 0,2 mg, Cupric Sulfate 0,2 mg, Tablet
Folic Acid 4 mg, Cyanocobalamin 7,5
82 mg DAK 2016 660.00
Plastik-Dus-serbuk 50
Bedak salisil serbuk 2%
83 gram DAK 2017 1,071.00
BEROTEC SOLUTION - Fenoterol HBr
Botol
84 solution 0,1% DAK 2016 125,750.00
85 Betahistin tablet/kapsul/kaplet 6 mg Tablet DAK 2017 151.00
86 Betahistin tablet/kapsul/kaplet 6 mg Tablet DAK 2016 170.00
87 Bisoprolol tablet/kapsul/kaplet 5 mg Tablet salut selaput DAK 2017 298.00
88 Bisoprolol tablet 5 mg Tablet DAK 2016 399.00
Betametason krim0,1% (Sebagai
Tube 5 gram
89 Valerat) DAK 2016 1,435.00
90 Betametason krim 0,1 o/o Tube 5 gram DAK 2015 1,558.00
Betametason krim0,1% (Sebagai
Tube 5 gram
91 Valerat) DAK 2017 1,450.00
92 Bisakodil suppositoria 10mg Supp DAK 2017 5,800.00
Bisakodil suppositoria 10 mg(Stolax
Supp
93 supp) DAK 2015 6,045.00
Bisakodil suppositoria 10 mg(keluar e-
Supp
94 catalog) DAK 2015 6,040.00
DULCOLAX SUPP ADULT 10MG
Supp
95 Bisakodil suppositoria 10mg DAK 2016 5,800.00
DULCOLAX SUPP INFANT - Bisakodil
Supp
96 suppositoria 5 mg DAK 2016 5,670.00
97 Bisakodil suppositoria 5 mg Supp DAK 2017 5,800.00
98 Bisakodil tablet/kapsul/kaplet 5 mg Tablet salut enterik DAK 2017 317.00
99 Cetirizine tablet 10 mg Tablet DAK 2015 190.00
100 Cetirizine tablet 10 mg Tablet salut selaput DAK 2017 115.00
101 Cetirizine tablet 10 mg Tablet DAK 2016 154.00
102 Cetirizin sirup 5 mg/5 ml Botol 60 ml DAK 2016 2,950.00
105 Deksametason injeksi 5 mg/ml - 1 ml Ampul 1 ml DAK 2016 1,745.00
109 Deksametason tablet 0,5 mg Tablet DAK 2016 120.00
Dekstrometorfan sirup 10 mg/5
Botol 60 ml
112 ml(calortusin ) DAK 2014 3,609.00
Dekstrometorfan sirup 10 mg/5
Botol 60 ml
113 ml(calortusin ) DAK 2015 3,608.00
Dektromethorphan tablet 15mg
Tablet
114 ( Ramaflu ) DAK 2015 275.00
Dektromethorphan tablet 15mg
Tablet
115 ( Ramaflu ) DAK 2014 275.00
DEPAKENE - Valproat sirup 250 mg/5
Botol
116 ml DAK 2016 41,800.00
DEPAKOTE TAB 250 MG - Valproat
Tablet
117 tablet salut 250 mg DAK 2016 1,750.00
118 Diazepam tablet 2 mg Tablet DAK 2015 46.00
119 Diazepam tablet 2 mg Tablet DAK 2014 125.40
120 Diazepam inj 5 mg/ml (i.v./i.m.) Ampul DAK 2017 15,600.00
Diazepam larutan rectal 10 mg/ 2,5 ml
Tube
121 (STESOLID) DAK 2015 18,461.00
Diazepam larutan rectal 10 mg/ 2,5 ml
Tube
122 (STESOLID) DAK 2016 18,458.00
123 Diazepam enema 10 mg/2,5 mL Allubag DAK 2017 19,378.00
Diazepam larutan rectal 5 mg/ 2,5
Tube
124 ml(STESOLID) DAK 2015 12,751.00
Diazepam larutan rectal 5 mg/ 2,5
Tube
125 ml(STESOLID) DAK 2016 12,749.00
126 Diazepam enema 5 mg/2,5 mL Allubag DAK 2017 13,384.00
127 Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1 ml DAK 2017 1,222.00
131 Digoksin tablet/kapsul/kaplet 0,25 mg Tablet DAK 2017 109.00
132 Digoksin tablet 0,25 mg Tablet DAK 2016 108.00
133 Digoksin tablet 0,25 mg Tablet DAK 2015 103.00
134 Doksisiklin tablet/kapsul/kaplet 100 mg kapsul DAK 2017 299.00
135 Doksisiklin tab 100 mg Tablet DAK 2016 309.00
136 Domperidon 10 mg Tablet DAK 2015 174.00
137 Domperidon tablet/kapsul/kaplet 10 mg Tablet DAK 2014 110.00
138 Domperidon 10 mg Tablet DAK 2016 118.00
139 Domperidon suspensi/sirup 5 mg/5 ml Botol 60 ml DAK 2015 3,490.00
140 Domperidon suspensi 5 mg/5 ml Botol 60 ml DAK 2017 17,000.00
141 Domperidon suspensi 5 mg/5 ml Botol 60 ml DAK 2016 3,180.00
DOPAMET - Metildopa tablet salut 250
Tablet
142 mg DAK 2016 1,001.00
DOPAMET - Metildopa tablet salut 250
Tablet
143 mg DAK 2017 1,050.00
Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1
Ampul
144 mg/ml DAK 2015 8,910.00
Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1
Ampul
145 mg/ml DAK 2016 2,354.00
146 Eritromisin kaplet 500mg Kaplet DAK 2016 766.00
147 Eritromisin tablet/kapsul/kaplet 500 mg Kaptab DAK 2017 766.00
148 Eritromisin sirup kering 200 mg/ 5 ml Botol 60 ml DAK 2017 6,461.00
149 Eritromisin sirup kering 200 mg/ 5 ml Botol 60 ml DAK 2016 7,039.00
150 Ethambutol 500 mg Tab Tablet DAK 2016 688.00
151 Etakridin ( Rivanol ) larutan 0,1 o/o Botol DAK 2013 2,354.22
154 Etanol 70 % Botol DAK 2014 2,625.00
155 Etil Klorida semprot Botol DAK 2017 110,000.00
158 Eugenol cairan Botol DAK 2014 18,333.00
159 FARNORMIN - Atenolol 50 mg Tablet DAK 2016 330.00
160 Fenitoin Kapsul/Kaplet 100 mg Kaplet DAK 2016 154.00
Fenitoin injeksi 50 mg/ml (100 mg/2 ml)
161 DAK 2017 6,231.00
162 Fenobarbital tablet 30 mg Tablet DAK 2015 70.10
163 Fenobarbital tablet 30 mg Tablet DAK 2017 132.00
164 Fenol Gliserol tetes telinga 10% Botol Plastik 5 ml DAK 2017 2,500.00
165 Fenol Gliserol tetes telinga 10% Botol Plastik 5 ml DAK 2015 1,108.79
Fitomenadion (Vitamin K1) injeksi i.m. 2
Ampul 1 ml
166 mg/ml DAK 2014 4,356.00
Ampul 1 ml
167 mg/ml DAK 2015 3,754.00
Ampul 1 ml
168 mg/ml DAK 2016 4,083.00
Fitomenodion (Vit.K1) tablet salut gula
Tablet Salut Gula
169 10 mg DAK 2017 790.00
Fitomenodion (Vit.K1) tablet salut gula
Tablet
170 10 mg DAK 2016 796.00
FLIXOTIDE NBULES - Flutikason
Nebules 2 ml
171 Propionat nebules 0,5 mg DAK 2016 14,500.00
Flutikason propionat (micronized) 0,5
mg/dosis (Flutikason propionat nebules Nebules 2 ml
172 0,5 mg) DAK 2017 14,500.00
173 Furosemid tablet 40 mg Tablet DAK 2015 96.00
176 Furosemid injeksi i.v./i.m. 10 mg/ml Ampul DAK 2017 2,058.00
177 Furosemid injeksi Ampul DAK 2015 2,012.00
178 Furosemid injeksi i.v./i.m. 10 mg/ml Ampul DAK 2016 -
179 Gabapentin 300 mg Kaplet DAK 2016 1,639.00
180 Gabapentin tablet/kapsul/kaplet 300 mg kapsul DAK 2017 1,254.00
Garam oralit kombinasi : natrium klorida
0,52 g + kalium klorida 0,30 g +
Sachet 4,26 gram
trinatrium sitrat 0,58 g + glukosa
181 anhidrat 2,7 g DAK 2016 274.00
Garam Oralit I serbuk, kombinasi:
Natrium klorida 0,52 g + kalium klorida
Sachet
0,30 g + Trinatrium sitrat dihidrat 0,58 g
182 + Glukosa Anhidrat 2,70 g DAK 2017 273.00
183 Garam Oralit serbuk,kombinasi Sachet DAK 2015 317.00
184 Gemfibrozil kapsul/kaplet 300 mg Tablet DAK 2015 318.00
185 Gemfibrozil tablet/kapsul/kaplet 300 mg Tablet DAK 2016 436.00
186 Gentamicin 0,1 % Salep Kulit Tube 5 gram DAK 2016 1,835.16
187 Gentamicin 0,1 % Salep Kulit Tube 5 gram DAK 2017 7,180.00
188 Gentamicin TM 0,3 % Botol 5 ml DAK 2016 4,600.00
189 Gentamicin TM 0,3 % Botol 5 ml DAK 2015 3,513.00
190 Gentamisin tetes mata 0,3% Botol 5 ml DAK 2017 4,800.00
191 Gentian violet 1 o/o Botol 10 ml DAK 2015 2,189.00
194 Glass Ionomer Cement (Fuji IX) Set DAK 2016 919,300.00
195 Glass Ionomer Cement (Fuji VII) Set DAK 2016 1,225,700.00
196 Glass Ionomer Cement (Fuji VII) Set DAK 2017 617,798.00
197 Glass Ionomer Cement (GC IX) Set DAK 2015 434,460.00
198 Glibenklamid tablet 5 mg Tablet DAK 2016 108.00
Glibenklamid tablet 5 mg (keluar e-
Tablet
201 catalog) DAK 2015 60.00
202 GLICAB - Gliklazid tab 80 mg Tablet DAK 2016 245.00
203 Gliklazid tablet/kapsul/kaplet 80 mg Tablet DAK 2017 218.00
204 Glimepiride tablet/kapsul/kaplet 2 mg Tablet DAK 2017 231.00
205 Glimepiride tablet 2 mg Tablet DAK 2016 296.00
206 Gliseril Guaiakolat tablet 100 mg Tablet DAK 2016 36.52
207 Gliseril Guaiakolat tablet 100 mg Tablet DAK 2017 108.00
208 Glukosa larutan infus 10% Botol plastik 500 ml DAK 2016 7,500.00
209 Glukosa larutan infus 5 % steril Botol plastik 500 ml DAK 2016 6,900.00
210 Glukosa larutan infus 5 o/o Botol plastik 500 ml DAK 2017 6,900.00
211 Glukosa larutan infus 5 o/o Botol plastik 500 ml DAK 2015 5,720.00
212 Griseofulvin tablet 125 mg, micronized Tablet DAK 2016 264.00
215 Haloperidol 1.5 mg Tablet DAK 2015 76.00
HALDOL DECANOAS - Haloperidol inj
Ampul 1 ml
218 50 mg/ml DAK 2016 97,500.00
219 Haloperidol inj 50 mg/mL Ampul 1 ml DAK 2017 97,500.00
LODOMER DROPS - Haloperidol tts 2
Botol 15 ml
220 mg/mL DAK 2016 18,499.00
221 Haloperidol tts 2 mg/mL Botol 15 ml DAK 2017 18,100.00
Dus, 1 syringe @ 0,5
Hepatitis B imunoglobullin
222 ml DAK 2017 1,300,000.00
223 Hidroklorotiazid tab 25 mg Tablet DAK 2017 171.00
224 Hidrokortison krim 2,5 o/o Tube 5 gram DAK 2016 2,712.00
227 Hyosine N-Butilbromide tab 10 mg Tablet DAK 2017 1,760.00
228 Hyosine N-Butilbromide tab 10 mg Tablet DAK 2016 2,745.00
229 Ibuprofen tablet 200 mg Tablet DAK 2017 108.00
230 Ibuprofen tablet/kapsul/kaplet 200 mg Tablet DAK 2016 111.00
233 Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml DAK 2017 2,560.00
234 Ibuprofen Suspensi 100 mg/5 ml Botol 60 ml DAK 2016 2,560.00
235 Isoniazid tablet/kapsul/kaplet 100 mg Tablet DAK 2017 85.00
236 Isoniazid tablet/kapsul/kaplet 300 mg Tablet DAK 2017 182.00
237 Isosorbit Dinitrat tablet sublingual 5 mg Tablet DAK 2015 98.00
240 KALIPAR - Kalium aspartat tab 300 mg Tablet DAK 2016 690.00
Kalium aspartat tablet/kapsul/kaplet 300
Kaptab salut selaput
241 mg DAK 2017 682.00
Kalsium Laktat (Kalk)
Tablet
Tablet
Tablet
245 Kaptopril 25 mg Tablet DAK 2016 72.00
246 Kaptopril tablet/kaplet scored 25 mg Tablet DAK 2017 86.00
247 Kaptopril 25 mg Tablet DAK 2015 97.00
248 Kandesartan tab 8 mg Tablet DAK 2016 4,015.00
249 Kandesartan tablet/kapsul/kaplet 8 mg Tablet DAK 2017 770.00
Karbamazepin tablet/kapsul/kaplet 200
Tablet
250 mg DAK 2016 306.00
251 Karbamazepin tablet 200 mg Tablet DAK 2015 269.00
252 Ketoprofen supositoria 100 mg Supp DAK 2017 2,640.00
253 Ketokonazol krim 2% Tube 10 gram DAK 2016 2,605.00
254 Ketokonazol krim 2% Tube 10 gram DAK 2017 2,790.00
255 Ketokonazol tablet 200 mg Tablet DAK 2016 292.00
Ketokonazol tablet/kapsul/kaplet 200
Tablet
256 mg DAK 2017 297.00
257 Ketokonazol tablet 200 mg Tablet DAK 2015 320.00
258 Ketorolak inj 30 mg/ml Ampul 1 ml DAK 2017 1,320.00
259 Ketorolac injeksi 30 mg Ampul 1 ml DAK 2014 2,665.00
260 Ketorolak inj 30 mg/ml Ampul 1 ml DAK 2016 1,383.00
Klindamisin tablet/kapsul/kaplet 300 mg kapsul
261 DAK 2016 660.00
Klindamisin tablet/kapsul/kaplet 300 mg kapsul
262 DAK 2017 589.00
263 Klopidogrel tablet 75 mg Tablet DAK 2016 2,100.00
264 Klopidogrel tablet/kapsul/kaplet 75 mg Tablet salut selaput DAK 2017 1,799.00
CHLORAMEX - Kloramfenikol kapsul
Kapsul
265 500 mg DAK 2016 1,155.00
Kloramfenikol tablet/kapsul/kaplet 250
Kapsul
266 mg DAK 2017 502.29
267 Kloramfenikol kapsul 250 mg Kapsul DAK 2010 198.92
268 Kloramfenikol salep mata 1 % Tube 5 gram DAK 2017 1,850.00
269 Kloramfenikol salep mata 1 % Tube 5 gram DAK 2016 1,850.00
270 Kloramfenikol suspensi 125 mg/ml Botol 60 ml DAK 2017 4,982.00
271 Kloramfenikol suspensi 125 mg/ml Botol 60 ml DAK 2016 4,000.00
272 Kloramfenikol tetes mata 0,5 % Botol plastik 10 ml DAK 2017 3,850.00
Kloramfenikol tetes mata 0,5 % (Reco
Botol plastik 10 ml
273 TM) DAK 2016 7,125.00
Kloramfenikol tetes telinga 3 % (Reco
Botol plastik 10 ml
274 TT) DAK 2016 7,125.00
Kloramfenikol tetes telinga 3 % (Reco
Botol plastik 10 ml
275 TT) DAK 2017 7,370.00
276 Kloramfenikol tetes telinga 3 % Botol plastik 10 ml DAK 2015 5,060.00
Klorfeniramina Maleat (CTM)
Tablet
Klorfeniramina Maleat (CTM)
Tablet
Klorfeniramina Maleat (CTM) tablet 4
Tablet
279 mg DAK 2014 100.10
Klorpromazin injeksi i.m. 25 mg/ml Ampul 1 ml
280 (HCl) DAK 2016 1,425.00
Klorpromazin injeksi i.m. 25 mg/ml Ampul 1 ml
281 (HCl) DAK 2017 1,349.00
282 Klorpromazin tablet salut 25 mg (HCl) Tablet DAK 2016 170.00
283 Klorpromazin tablet salut 100 mg (HCl) Tablet DAK 2015 153.00
284 Klozapin 25 mg Tablet DAK 2016 1,550.00
285 Kodein tablet/kapsul/kaplet 10 mg Tablet DAK 2017 632.00
Kotrimoksazol Suspensi , kombinasi :
Sulfametoksazol Botol 60 ml
286 200 mg + Trimetoprim 40 mg/ 5 Ml DAK 2016 2,225.00
kotrimoksazol (anak) kombinasi tiap 5
ml suspensi: sulfametoksazol 200 mg + Botol 60 ml
287 trimetoprim 40 mg DAK 2017 2,462.00
288 200 mg + Trimetoprim 40 mg/ 5 Ml DAK 2015 2,298.00
289 200 mg + Trimetoprim 40 mg/ 5 Ml ABT 2015 2,298.00
Kotrimoksazol forte kombinasi:
sulfametoksazol 800 mg + trimetoprim Kaptab
290 160 mg DAK 2017 327.00
kotrimoksazol forte
kombinasi:sulfametoksazol 800 mg + Tablet
291 trimetoprim 160 mg DAK 2015 420.00
Kotrimoksazol forte kombinasi:
sulfametoksazol 800 mg trimetoprim Tablet
292 160 mg DAK 2016 344.00
293 Laktulosa sir 3,335 g/5 mL Botol DAK 2016 14,500.00
Larutan mengandung Elektrolit (KA-EN
Plabott, 500 ml
294 3A injection) DAK 2017 10,285.00
Larutan mengandung Elektrolit (KA-EN
Plabott, 500 ml
295 3B injection) DAK 2017 10,285.00
296 Lidokain jelli 2%(Xylocaine Jelly 2%) syringe DAK 2015 40,000.00
297 Lidokain jelli 2%(Xylocaine Jelly 2%) syringe DAK 2016 40,000.00
298 Lidokain jelli 2% syringe 10 gram DAK 2017 40,000.00
Lidokain Komp.injeksi, Kombinasi :
Lidokain HCL 12 % Ampul 2 ml
299 + Epinefrin 1 : 80.000 - 2 ml DAK 2015 1,499.00
300 Lidokain injeksi 2% (HCL) Ampul DAK 2016 875.00
Lidokain injeksi 2% (HCl) + Epinefrin 1:
Ampul 2 ml
301 80.000 - 2 mL DAK 2016 2,122.00
Lidokain injeksi 2% (HCl) + Epinefrin 1:
Ampul 2 ml
302 80.000 - 2 mL DAK 2017 2,227.00
303 Lisinopril tablet/kapsul/kaplet 5 mg Tablet DAK 2016 410.00
304 Loperamid Tablet DAK 2017 85.00
305 Loperamid tablet 2 mg Tablet DAK 2016 90.00
306 Loratadin tablet/kapsul/kaplet 10 mg Tablet DAK 2016 149.00
307 Loratadin tablet/kapsul/kaplet 10 mg Kaptab DAK 2017 134.00
OTSU-MGSO4 40 - Magnesium sulfat
Ampul 25 ml
308 injeksi 40% DAK 2016 3,650.00
309 Magnesium sulfat injeksi 40% Ampul 25 ml DAK 2017 3,650.00
310 Metamizol injeksi 500 mg/ml Ampul 2 ml DAK 2017 3,050.00
311 Metil prednisolon tab 4 mg Tablet DAK 2016 209.00
Metilprednisolon tablet/kapsul/kaplet 4
Tablet
312 mg DAK 2017 165.00
313 Metilprednisolon inj 125 mg/2 mL Dus DAK 2015 22,000.00
314 Metilprednisolon inj 125 mg/2 mL Dus DAK 2016 14,750.00
Metilergametrin (Maleat) tablet salut
Tablet
315 0,125 mg DAK 2016 222.20
Metilergametrin (Maleat) tablet salut
Tablet Salut
316 0,125 mg DAK 2017 270.60
Metilergametrin Maleat inj 0,200 mg - 1
Ampul
317 ml DAK 2015 2,750.00
318 ml Ampul DAK 2014 4,917.00
319 ml Ampul DAK 2016 2,684.00
320 Metoclopramide tablet 10 mg Tablet DAK 2016 100.00
Metoklopramide tablet/kapsul/kaplet 10
321 mg Tablet DAK 2017 93.00
322 Metoclopramide injeksi 5 mg/ml Ampul 2 ml DAK 2017 3,904.00
323 Metoclopramide injeksi 5 mg/ml Ampul 2 ml DAK 2016 4,395.00
LEXAPRAM SIRUP - Metoklopramide
324 sirup 5 mg/ 5 ml Botol 60 ml DAK 2016 2,750.00
325 Metoklopramide sirup 5 mg/ 5 ml Botol 60 ml DAK 2017 2,950.00
326 Metformin 400 mg Tablet DAK 2016 108.00
Metformin HCl tablet/kapsul/kaplet 500
Kaptap ss
327 mg DAK 2017 103.00
328 Metronidazol infus 5 mg/ ml Botol @100 mL DAK 2017 9,680.00
329 Metronidazole infus Botol @100 mL DAK 2010 21,759.00
Metronidazol tablet/kapsul/kaplet 500
Tablet
330 mg DAK 2017 115.00
331 Metronidazol tablet 500 mg Tablet DAK 2016 750.00
332 Metronidazole sirup 125mg/ 5ml Botol 60 ml DAK 2016 3,800.00
333 Metronidazol sirup 125 mg/5 ml Botol 60 ml DAK 2017 3,800.00
334 Miconazole krim 2% (Nitrat) Tube 10 gram DAK 2016 3,737.00
337 Natrium Bikarbonat tablet 500 mg Tablet DAK 2016 22.00
338 Natrim Diklofenak 50 mg tab Tablet DAK 2016 161.00
Natrium diklofenak tablet/kapsul/kaplet
Tablet salut enterik
339 50 mg DAK 2017 135.00
340 Natrim Diklofenak 50 mg tab Tablet DAK 2015 193.00
Natrium Klorida larutan infus 0,9 %
Botol plastik 500 ml
341 Steril DAK 2017 6,410.00
342 Steril DAK 2015 5,170.00
343 Steril DAK 2016 6,410.00
344 Nifedipin tablet/kapsul/kaplet 10 mg Tablet salut selaput DAK 2017 110.00
345 Nifedipin tablet 10 mg Tablet DAK 2015 110.00
346 Nifedipin tablet 10 mg Tablet DAK 2016 123.00
347 Nistatin vaginal tablet 100.000 IU/ g Tablet Vaginal DAK 2017 627.00
348 Nistatin vaginal tablet 100.000 IU/ g Supp DAK 2016 602.00
349 Nistatin tablet/kaplet salut 500.000 IU/ g Tablet Salut Gula DAK 2017 881.00
350 Nistatin tablet salut 500.000 UI/g Tablet DAK 2015 704.00
351 Nistatin tablet/kaplet salut 500.000 IU/ g Tablet DAK 2016 857.00
352 Nystatin drop Botol 12 ml DAK 2016 38,425.00
353 Nystatin drop Botol 12 ml DAK 2017 24,198.00
354 Obat Anti Tuberculosis FDC Kategori I Paket DAK 2017 430,538.00
355 OAT FDC Kategori 1 Dewasa Paket DAK 2013 395,900.00
356 OAT FDC Kategori 2 Dewasa Paket DAK 2016 1,379,984.00
357 Obat Anti Tuberculosis FDC Kategori II Paket DAK 2017 1,435,178.00
Obat Antituberkulosis Kategori 1
Paket
358 dewasa DAK 2014 317,015.00
Obat Anti Tuberculosis FDC Kategori
Paket
359 Sisipan DAK 2016 183,984.00
"Dus, 12 blister @ 28
Obat Anti Tuberculosis FDC Kategori tablet dispersibel Dus, 6
Anak blister @ 28 tablet
360 dispersibel" DAK 2017 257,125.00
Obat Anti Tuberculosis FDC Kategori
Paket
361 Anak DAK 2016 247,234.00
362 Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml DAK 2016 7,149.00
363 Obat Batuk Hitam ( O.B.H ) sirup Botol 100 ml DAK 2017 6,000.00
Obat batuk Antitusif sirup Kombinasi
Botol 60 ml
364 Dextromethorphan HBr DAK 2016 9,875.00
Obat batuk Antitusif tablet Kombinasi
Tablet
365 Dextromethorphan HBr DAK 2016 548.00
Obat batuk sirup Kombinasi
Botol 60 ml
366 Dextromethorphan HBr DAK 2017 11,800.00
Obat batuk tablet Kombinasi
Tablet
367 Dextromethorphan HBr DAK 2017 704.00
368 Ofloksasin tab 400 mg Tablet DAK 2010 960.00
369 Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram DAK 2016 1,649.36
370 Oksitetrasiklin HCI salep kulit 3 % Tube 5 gram DAK 2017 1,640.00
371 Oksitetrasiklin HCI salep mata 1 % Tube 3,5 gram DAK 2017 2,772.00
372 Oksitetrasiklin HCI salep mata 1 % Tube DAK 2015 2,772.00
373 Oksitetrasiklin HCI salep mata 1 % Tube DAK 2016 2,772.00
374 Oksitosin injeksi 10 IU/ml(Tiacinon) Ampul DAK 2015 1,900.00
375 Oksitosin injeksi 10 IU / ml - ml Ampul DAK 2014 5,890.50
OXYTOCIN INJLQ 10 IU Oksitosin inj
Ampul
376 10 UI/ml DAK 2016 1,900.00
377 Omeprazole Injeksi 40mg / 10ml Vial DAK 2016 18,537.00
378 Omeprazol injeksi 40 mg/ 10 ml Vial DAK 2017 14,924.00
379 Omeprazole kapsul Kapsul DAK 2016 164.00
380 Omeprazole kapsul Kapsul DAK 2015 221.00
381 Omeprazol tablet/kapsul/kaplet 20 mg Kapsul DAK 2017 148.00
382 Ondansetron tablet/kapsul/kaplet 4 mg Tablet DAK 2016 542.00
383 Ondansetron tablet/kapsul/kaplet 4 mg Tablet salut selaput DAK 2017 523.00
384 Ondansetron inj 2 mg/ml (4 mg/ 2 mL) Ampul 2 ml DAK 2017 1,254.00
Ondansetron Injeksi 2 mg/ ml (4 mg/ 2
Ampul 2 ml
385 ml) DAK 2016 1,650.00
386 Ondansetron inj 4 mg/ 2 mL Ampul 2 ml DAK 2015 2,400.00
387 PANTOCAIN 0.5% Botol DAK 2016 11,500.00
388 Parasetamol infus Dus, Botol @ 1000 mg DAK 2016 27,225.00
Parasetamol drips (infus) 1000 mg/100
Dus, Botol @ 1000 mg
389 mL DAK 2017 12,939.00
390 Parasetamol sirup 120 mg / 5 ml Botol Plastik @ 60 Ml DAK 2017 1,013.00
391 Parasetamol sirup 120 mg/ 5ml Botol Plastik @ 60 Ml DAK 2016 1,119.00
392 Parasetamol drop Botol Plastik @ 60 Ml DAK 2015 5,720.00
Parasetamol drop 100 mg/ml btl @15ml
Botol 15 ml
393 (60mg/0,6ml) (G) DAK 2017 6,850.00
Parasetamol drop 100 mg/ml btl @15ml
Botol 15 ml
394 (60mg/0,6ml) (G) DAK 2016 5,980.00
395 Parasetamol tablet 100 mg Tablet DAK 2016 106.59
Parasetamol tablet/kapsul/kaplet 500
Tablet
398 mg DAK 2017 51.00
400 Perak sulfadiazin krim 1% tube 35 g DAK 2017 20,700.00
Petidin injeksi i.m/s.k/i.v lambat 50
Ampul
401 mg/ml (HCl) DAK 2015 15,950.00
402 Piracetam 400 mg Tablet DAK 2016 541.24
403 Piracetam Inj 1 g/5 ml Ampul DAK 2016 15,840.00
404 Piracetam Inj 1 g/5 ml Ampul DAK 2017 6,600.00
405 Pirantel tablet 125 mg Tablet DAK 2014 318.00
406 Pirantel tablet score (base) 125 mg Tablet DAK 2016 318.00
407 Pirazinamid 500 mg Tablet DAK 2017 238.00
408 Piridoksin HCI (Vit. B6 ) tablet 10 mg Tablet DAK 2015 148.00
Piridoksin (Vitamin B6) tab/kap/kapl 10
Tablet
409 mg (HCl) DAK 2017 136.00
410 Piridoksin HCI (Vit. B6 ) tablet 10 mg Tablet DAK 2016 136.00
411 Piroksikam 20 mg Tablet DAK 2016 213.95
414 Povidon lodida larutan 10 % Botol 300 ml DAK 2013 14,350.00
417 Prednison tablet/kapsul/kaplet 5 mg Tablet DAK 2016 102.00
420 Prednison tablet/kapsul/kaplet 5 mg Tablet ABT 2015 125.00
421 Primakuin tablet 15 mg Tablet DAK 2015 205.00
422 Propranolol HCI tablet 10 mg Tablet DAK 2016 69.00
423 Propranolol tablet/kapsul/kaplet 10 mg Tablet DAK 2017 59.00
424 Propranolol HCI tablet 10 mg Tablet DAK 2015 80.00
425 Proiltiourasil tablet 100 mg Tablet DAK 2014 299.27
426 Proiltiourasil tablet 100 mg Tablet DAK 2015 351.00
Propiltiourasil tablet/kapsul/kaplet 100
Tablet
427 mg DAK 2016 320.00
428 Vaksin rabies Vial DAK 2017 174,500.00
429 Ranitidin tablet 150 mg Tablet DAK 2015 128.00
430 Ranitidin tablet/kapsul/kaplet 150 mg Tablet salut selaput DAK 2017 110.00
431 Ranitidin tablet 150 mg Tablet DAK 2016 119.00
432 Ranitidin injeksi 25 mg/ml Ampul 2 ml DAK 2016 1,595.18
433 Ranitidin injeksi 25 mg/ml Ampul 2 ml DAK 2017 1,677.00
434 Ranitidin Injeksi 25 mg/ml Ampul 2 ml DAK 2015 3,960.00
Retinol ( Vitamin A ) 100.000 IU kapsul
Kapsul
435 lunak DAK 2016 327.00
Kapsul
436 lunak DAK 2015 286.00
Kapsul lunak
437 lunak DAK 2017 585.00
Kapsul
438 lunak ABT 2015 505.00
Kapsul
439 lunak DAK 2016 536.00
440 Rifampisin tablet/kapsul/kaplet 600 mg Kaptap ss DAK 2017 1,274.00
441 Ringer laktat larutan infus Botol plastik 500 ml DAK 2015 5,720.00
442 Ringer laktat larutan infus Botol plastik 500 ml DAK 2017 7,150.00
443 Ringer Laktat Botol DAK 2016 7,150.00
444 Risperidon 2 mg Tablet DAK 2016 495.00
Salbutamol tablet/kapsul/kaplet 4 mg
Tablet
445 (sebagai Sulfat) DAK 2017 86.00
446 Salbutamol tablet 2 mg Tablet DAK 2015 65.00
Salbutamol tablet 4 mg (sebagai Sulfat) Tablet
447 DAK 2016 84.00
448 Salbutamol sirup Dus, botol @ 100 ml DAK 2016 5,463.00
449 Salbutamol sirup Dus, botol @ 100 ml DAK 2017 4,916.00
Salbutamol cairan ih 0,1%(Ventolin
Nebules
450 Nebules) DAK 2017 14,124.00
VENTOLIN NEBULES - Salbutamol
Nebules
451 cairan ih 0,1% DAK 2016 4,000.00
Salep 2 - 4, Kombinasi :
Asam Salisilat 2 % + Pot 30 gram
452 Belerang Endap 4 % DAK 2017 2,907.00
Salep 2 - 4, Kombinasi :
Asam Salisilat 2 % + Pot 30 gram
453 Belerang Endap 4 % DAK 2016 2,797.00
454 Salisil Bedak 2 % Kotak DAK 2016 1,066.00
455 Salisil Bedak 2 % Kotak DAK 2015 4,000.00
SCABIMITE CREAM 10 - Permetrin
Tube @ 10 g
456 krim 5% DAK 2016 12,155.00
457 Permetrin Krim 5% Tube @ 10 g DAK 2017 12,155.00
458 Sefiksim sirup kering 100 mg/ 5 ml Botol DAK 2015 9,400.00
459 Sefiksim sirup kering 100 mg/5 ml Botol DAK 2016 7,690.00
460 Sefiksim kapsul/kaplet 100 mg Kapsul DAK 2016 649.00
461 Sefiksim kapsul/kaplet 100 mg Kapsul DAK 2015 899.00
462 Sefadroksil sirup kering 125 mg/5ml Dus, botol @ 60 ml DAK 2016 9,840.00
463 Sefadroksil sirup kering 125 mg/5ml Dus, botol @ 60 ml DAK 2017 4,133.00
464 Sefadroksil sirup kering 125 mg/5ml Dus, botol @ 60 ml ABT 2015 5,286.00
465 Sefadroksil kapsul/kaplet 500 mg Kapsul DAK 2016 557.00
466 Sefadroksil tablet/kapsul/kaplet 500 mg Kapsul DAK 2017 455.00
467 Sefadroksil kapsul 500 mg Kapsul DAK 2015 525.00
468 Seftriaksone Injeksi 1 g Vial DAK 2016 27,500.00
469 Seftriaksone Injeksi 1 g Vial DAK 2017 11,650.00
470 Sefotaksim Injeksi 1 g Vial DAK 2016 5,884.00
471 Sianocobalamin (Vit.B12) tablet 50 mg Tablet DAK 2016 126.50
Sianokobalamin (vitamin B12)
Tablet
472 tablet/kapsul/kaplet 50 mcg DAK 2017 55.00
Tablet
473 tablet/kapsul/kaplet 50 mcg DAK 2015 63.00
Tablet
474 tablet/kapsul/kaplet 50 mcg ABT 2015 63.00
Sianokobalamin (vitamin B12) injeksi
Ampul 1 ml
475 500 mcg DAK 2017 1,117.00
Sianokobalamin (Vit.B12) injeksi 500
Ampul 1 ml
476 mcg/ml - 1ml DAK 2016 1,226.00
Sianokobalamin (Vit.B12) injeksi 500
Ampul 1 ml
477 mcg/ml - 1ml DAK 2015 1,050.00
478 Simvastatin scored tablet 10 mg Tablet DAK 2016 135.00
479 Simvastatin tablet/kaplet/salut 10 mg Tablet salut selaput DAK 2017 113.00
480 Simvastatin 10 mg Tablet DAK 2015 320.00
481 Siprofloksasin tab scored 500 mg Tablet salut selaput DAK 2017 254.00
482 Siprofloksasin tab scored 500 mg Tablet DAK 2016 298.00
483 Spironolactone 25 mg Tablet DAK 2016 314.00
Spironolakton tablet/kapsul/kaplet 25
Tablet
484 mg DAK 2017 277.00
485 Serum BioSAVE (ABU I) Dus, 1 Vial @ 5 ml DAK 2016 591,250.00
Serum anti bisa ular (A.B.U) I cairan inj
Dus, 1 Vial @ 5 ml
486 (i.m./i.v) DAK 2017 462,000.00
Serum Anti Bisa Ular Polivalen injeksi 5
Dus, 1 Vial @ 5 ml
487 ml ( ABU I ) DAK 2015 472,000.00
488 Serum BioSAT-1.5 (ATS 1500 UI) Ampul 1 ml DAK 2016 158,125.00
Serum antitetanus (A.T.S) cairan inj
Ampul 1 ml
489 1500 IU/amp (i.m) DAK 2017 126,500.00
Serum Anti Tetanus injeksi 1.500
Ampul 1 ml
490 IU/ampul ( A.T.S ) DAK 2015 125,000.00
STREPTOMISIN SERBUK INJ IV 1000
Vial
491 mg/ml DAK 2016 5,750.00
492 Sukralfat susp 500 mg / 5 ml, 100 ml Botol 100 ml DAK 2016 10,100.00
493 Sukralfat susp 500 mg/5 mL, 100 ml Botol 100 ml DAK 2017 9,192.00
494 Sukralfat tablet/kapsul/kaplet 500 mg Tablet DAK 2017 296.00
495 ULSIDEX - Sukralfat tab 500 mg Tablet DAK 2016 368.00
SUPRAFENID Ketoprofen supositoria
Supp
496 100 mg DAK 2016 2,789.00
497 Teofilin tablet/kapsul/kaplet 150 mg Tablet DAK 2017 328.00
498 Teofilin tablet 150 mg(Bronsolvan) Tablet DAK 2016 310.00
499 Tetrasiklin tablet/kapsul/kaplet 500 mg Tablet DAK 2016 329.00
500 Tetrasiklin tablet/kapsul/kaplet 500 mg Tablet DAK 2015 325.00
501 Thiamphenicol 500 mg kaps Kapsul DAK 2016 984.51
502 Thiamphenicol 500 mg kaps Kapsul DAK 2017 865.00
503 Thiamphenicol 125 mg/5 ml Syr Botol 60 ml DAK 2016 21,950.00
504 Thiamphenicol 125 mg/5 ml Syr Botol 60 ml DAK 2017 6,500.00
Tiamin HCI ( Vit.B1 injeksi 100 mg/ml -
Ampul
505 1 ml ) DAK 2013 750.00
Tiamin HCI/Mononitrat (Vit.B1) tablet 50
Tablet
506 mg DAK 2015 37.00
Tiamin (Vitamin B1) tablet/kapsul/kaplet
Tablet
507 50 mg (HCl/ Nitrat) DAK 2017 87.00
Tiamin HCI/Mononitrat (Vit.B1) tablet
Tablet
508 100 mg DAK 2016 91.00
509 Tramadol tablet 50 mg Tablet DAK 2016 329.68
510 Tramadol tablet 50 mg Tablet DAK 2015 320.00
511 Tramadol tablet/ Kapsul 50 mg Tablet DAK 2017 325.00
512 Tramadol injeksi 50 mg/ml Ampul 2 ml DAK 2016 1,984.00
513 Tramadol injeksi 50 mg/ml Ampul 2 ml DAK 2017 1,720.00
514 Trifluoperazine 5mg Tablet DAK 2016 786.00
515 Triheksifenidil tablet/kapsul/kaplet 2 mg Tablet DAK 2017 80.00
516 Triheksifenidil tablet 2 mg Tablet DAK 2015 600.00
517 Triheksifenidil tablet 2 mg Tablet DAK 2016 498.30
518 Valproat sirup 250 mg/5 ml Dus, Botol @ 100 mL DAK 2017 26,987.00
519 Valsartan tab 80 mg Tablet DAK 2016 1,800.00
520 Vitamin B Kompleks tablet Tablet DAK 2016 132.00
523 Vitamin B Kompleks tablet Tablet ABT 2015 168.00
524 Zinc sir 20 mg/5 ml Dus, Botol @ 60 ml DAK 2017 4,959.00
525 Zinc sir 20 mg/5 Ml( Zircum Kid Sirup) Dus, Botol @ 60 ml DAK 2016 6,500.00
526 Zinc tablet dispersible20 mg Tablet DAK 2016 592.00
527 Zink Tablet DAK 2015 521.00
528 Zinc tablet dispersible 20 mg Tablet dispersible DAK 2017 586.00
529 Truvit sirup Dus, Botol @ 60 ml DAU 2016 10,890.00
B ALAT KESEHATAN
I BAHAN MEDIS HABIS PAKAI
1 Alat suntik sekali pakai 1 ml Piece DAK 2016 1,012.60
3 Alat suntik sekali pakai 2,5 ml Piece DAK 2014 1,141.80
Auto Disable Syringe / Alat Suntik
Sekali Pakai Otomatis Rusak 0.5 ml Piece
11 24GX1" DAK 2017 1,240.00
12 26 GX3/8" DAK 2017 1,650.00
13 23GX1" DAK 2016 1,240.00
14 27GX3/8" DAK 2016 1,650.00
15 Alkohol Swab 4-ply Piece DAK 2016 244.00
16 Bioplasenton Tulle 10 x 10 (CBPCD) Sachet DAK 2016 10,950.00
17 Blood Lancet (21,26,28 G) Piece DAK 2016 160.23
18 Blood Transfusion Set Piece DAK 2017 17,513.10
Benang Bedah SMI
Sachet
19 CATGUT PLAIN SMI 2/0 HR 26 MM DAK 2015 26,583.00
CATGUT CHROMIC SMI 2/0 HR 26
Sachet
20 MM DAK 2016 33,785.00
21 CATGUT PLAIN SMI 2/0 HR 26 MM Sachet DAK 2016 35,285.00
Sachet
22 MM DAK 2017 33,785.00
Sachet
24 MM DAK 2017 33,785.00
Benang Bedah SMI
Sachet
26 CATGUT PLAIN SMI 3/0 HR 26 MM DAK 2015 26,583.00
Sachet
27 MM DAK 2016 33,785.00
Catgut / Benang bedah No.3/0 dengan
Sachet
29 jarum bedah DAK 2012 27,041.67
30 Folley Catheter 2 Way no. 22 Piece DAK 2016 10,000.00
31 Foley Catheter No.16 Piece DAK 2013 9,300.00
FOLEYCATH, 2 way latex foley cath,
Piece
33 no. 16 DAK 2016 13,420.00
FOLEYCATH, 2 way latex foley cath,
Piece
34 no. 18 DAK 2016 13,420.00
37 FEMALE CATHETER, no. 18 Piece DAK 2016 6,978.40
38 EXAMINATION GLOVES, size M Piece DAK 2017 563.64
39 EXAMINATION GLOVES, size S Piece DAK 2017 563.64
40 EXAMINATION GLOVES, size M Piece DAK 2016 563.64
41 CHIRURGIC GLOVES, size 7.5 Piece DAK 2016 9,272.00
Sarung Tangan Obgyn Steril ( Obgyn
pasang
42 glove ) DAK 2017 24,200.00
43 Infusion set anak (Micro) Piece DAK 2014 4,400.00
Infus Set Anak PEDIATRIC SET (60
Piece
44 drops/ml) DAK 2017 6,222.00
Infusion Set Pediatric (60 drops/ml)
Bbraun Intrafix Primeline with Piece
45 Microdropper DAK 2015 20,320.50
Infus Set Anak PEDIATRIC SET (60
Piece
46 drops/ml) DAK 2016 6,222.00
Infus Set Dewasa INFUSET (20
drops/ml) Piece
47 DAK 2016 5,856.00
Infus Set Dewasa INFUSET (20
drops/ml) Piece
48 DAK 2017 5,856.00
49 IV Catheter 16 G x 2" Piece DAK 2017 9,158.00
50 IV-CATH WP, with wings & port, no. 18 Piece DAK 2016 8,540.00
I.V Catheter (with port) VASOFIX IV
Piece
51 G18 X 45 MM Green DAK 2015 10,062.50
52 IV-Cath NP, pen type, no. 18 Piece DAK 2017 7,320.00
Piece
54 G20 X 33 MM Pink DAK 2015 10,062.50
Piece
55 G22 X 25 MM Blue DAK 2015 10,062.50
Piece
58 G24 X 0.75 " DAK 2015 10,062.50
62 Kapas Pembalut Hidrofil DRC 250gr Roll DAK 2017 28,745.25
63 Kapas pembalut / Absorben 250 gram Roll DAK 2015 28,452.86
64 Kapas Pembalut Hidrofil DRC 250gr Roll DAK 2016 28,750.00
65 Kasa 36 x 80 Roll DAK 2015 142,376.60
66 Kasa Hidrofil DRC 36m x 80cm Roll DAK 2016 141,400.00
67 Kasa 36 x 80 Roll DAK 2014 60,720.00
Kasa Steril DRC 16cm x 16cm (16
Box
68 pads) DAK 2016 8,650.50
Kasa Steril DRC 16cm x 16cm (16
Box
69 pads) DAK 2017 8,650.36
70 Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs DAK 2016 7,375.00
71 Kasa Hydrophil Steril Uk. 18 x 22 Kotak @ 12 pcs DAK 2017 9,000.00
Kasa Pembalut Hidrofil DRC 4m x
Roll
72 10cm DAK 2017 2,475.75
73 kasa 4 x 10 cm Roll DAK 2015 2,439.24
Kasa Pembalut Hidrofil DRC 4m x
Roll
74 10cm DAK 2016 2,475.43
75 Surgical Mask Tie On Piece DAK 2017 412.50
76 Masker Piece ABT 2015 574.20
77 Surgical Mask Plus 3 Ply Plus Earloop Piece DAK 2016 550.00
78 Surgical Mask Plus 3 Ply Plus Earloop Piece DAK 2017 550.00
NGT
Terumo SAFEED Feeding Tube 3.5 (35 Piece
79 cm) DAK 2015 8,841.00
NGT
Terumo SAFEED Feeding Tube 5 fr (40 Piece
80 cm) DAK 2015 8,841.00
NGT
Terumo SAFEED Stomach Tube 14 fr Piece
81 (125 cm) DAK 2015 10,010.00
NGT
82 (125 cm) DAK 2015 10,010.00
NGT
83 (125 cm) DAK 2015 10,010.00
84 Oxyflow nasal oxygen bayi Piece DAK 2015 6,050.00
85 Oxyflow nasal oxygen anak Piece DAK 2015 6,050.00
86 NASAL OXYGEN, O2 cannula, size S Piece DAK 2016 8,052.00
87 NASAL OXYGEN, O2 cannula, size S Piece DAK 2017 8,052.00
88 NASAL OXYGEN, O2 cannula, size M Piece DAK 2016 8,052.00
89 NASAL OXYGEN, O2 cannula, size M Piece DAK 2017 8,052.00
90 NASAL OXYGEN, O2 cannula, size L Piece DAK 2016 8,052.00
91 NASAL OXYGEN, O2 cannula, size L Piece DAK 2017 8,052.00
Plester Leukoplast Hospital 7.50 cm x
Roll
92 4.5 m DAK 2016 35,532.00
93 Plester Polifix 10 cm x 5 m Roll DAK 2017 76,314.14
94 Pembalut Elastis 10 cm x 4,55 m Roll DAK 2017 45,507.00
95 Scalpel Blades Nomor 10 Piece DAK 2017 3,300.00
96 SILK BLACK 3/0 HR 26 MM Sachet DAK 2016 20,685.00
Benang Bedah SMI
Sachet
97 SILK BLACK 3/0 DS 24 MM DAK 2015 18,364.00
98 Onemed U Pad Steril 60 x 90 cm Blister DAK 2016 9,533.15
99 Onemed U Pad Steril 60 x 90 cm Blister DAK 2017 9,533.15
Onemed Umbilical Cord Klem Steril
Piece
100 Nylon DAK 2016 1,250.00
101 Urine Bag Piece DAK 2015 3,915.00
URINE DRAINAGE BAG, T valve, with
Piece
102 hanger DAK 2016 6,710.00
103 Alkohol 70% Botol 1 L DAK 2016 27,950.00
104 Alkohol 70% Botol 100 ml DAK 2017 8,300.00
105 My Jelly 82 gram Tube @ 82 gr DAK 2016 36,936.83
106 Lysol 1 liter Botol 1 L DAK 2016 53,300.00
107 Povidone Iodine 300 ml Botol @ 300 ml DAK 2016 23,400.00
108 Povidone Iodine 300 ml Botol @ 300 ml DAK 2017 23,400.00
109 Rivanol 300 cc Botol @ 300 ml DAK 2017 3,750.00
110 Rivanol 300 cc Botol @ 300 ml DAK 2016 3,315.00
Cairan Antiseptika pencuci alat
Botol 1 Liter
111 instrumen DAK 2017 141,406.33
Cairan Antiseptika pencuci tangan
Botol 500 ml
112 tanpa dibilas DAK 2017 83,027.33
Cairan Antispetika pencuci tangan
Botol 500 ml
113 dengan dibilas DAK 2017 64,769.00
B REAGENSIA Strip DAK 2016
1 Total Cholesterol Test Strip 10's Strip DAK 2016 23,354.00
2 Uric Test Strip 25's Strip DAK 2016 5,154.00
3 Glucose Test Strip 50's Strip DAK 2017 3,093.34
4 Total Cholesterol Test Strip 10's Strip DAK 2017 23,566.00
5 Uric Test Strip 25's Strip DAK 2017 5,238.80
6 Glucose Test Strip 50's Vial 10 ml DAK 2016 3,188.24
Anti-A Monoclonal Golongan Darah
Vial 10 ml
7 (Vial 10 ml) DAK 2016 80,825.00
Anti-A,B Monoclonal Golongan Darah
Vial 10 ml
8 (Vial 10 ml) DAK 2016 105,135.00
Anti-B Monoclonal Golongan Darah
Vial 10 ml
9 (Vial 10 ml) DAK 2016 80,825.00
Anti-D Duoclone Golongan Darah (Vial
Vial 10 ml
10 10 ml) DAK 2017 126,695.00
Anti-A Monoclonal Golongan Darah
Vial 10 ml
11 (Vial 10 ml) DAK 2017 74,512.50
Anti-A,B Monoclonal Golongan Darah
Vial 10 ml
12 (Vial 10 ml) DAK 2017 98,822.50
Anti-B Monoclonal Golongan Darah
Vial 10 ml
13 (Vial 10 ml) DAK 2017 74,512.50
Anti-D Duoclone Golongan Darah (Vial
Kit
14 10 ml) DAK 2016 120,382.50
15 Rapid test Vikia HIV 1/2 each DAK 2017 519,750.00
16 Anti HIV 1/2 Cassette Piece DAK 2017 15,297.00
17 Gluco Protein tes Piece DAK 2016 1,150.00
18 Gluco Protein Piece DAK 2016 1,150.00
19 Ultra One Test Hamil each DAK 2017 2,133.00
20 HCG Strip each DAK 2017 7,181.00
21 Malaria Pf & Pv Cassette Tes DAK 2017 53,180.00
22 Hb strip Dr Family test each DAK 2017 24,200.00
23 HBsAg Strip Gallon 5 L DAK 2017 10,967.00
24 R.Detergent urit (urit 3000 plus) Gallon 20 L DAK 2017 278,300.00
25 R.Dilluen urit (urit 3000 plus) Botol 1 L DAK 2017 1,012,000.00
26 R.Lytic urit (urit 3000 plus) Tes DAK 2017 1,113,200.00
27 Rapid tes Dengue (IgG-IgM) Device Botol 100 ml DAK 2017 124,100.00
28 Hayem 1x100mL Botol 1 Liter DAK 2017 29,450.00
29 Aquadest Botol 100 ml DAK 2017 19,448.00
30 Asam Asetat 6 % Botol 100 ml DAK 2017 29,000.00
31 Asam Sulfosalisilat 20% 1x100mL Botol 100 ml DAK 2017 328,700.00
32 EDTA 10% 1x100mL Botol 100 ml DAK 2017 74,100.00
33 Eosin 2% 1x100mL Botol 100 ml DAK 2017 176,225.00
34 HCl 0,1N 1x100mL Botol 50 ml DAK 2017 19,950.00
35 Immersion Oil 1x100mL Botol 100 ml DAK 2017 367,650.00
36 KOH 10% 1x100mL Botol 100 ml DAK 2017 20,900.00
37 Methanol PA Botol 100 ml DAK 2017 94,000.00
38 Na Citrate 3,13% 1x100mL Botol 100 ml DAK 2017 19,475.00
39 Rees Ecker 1x100mL Botol 100 ml DAK 2017 46,550.00
40 Turk 1x100mL Vial 5 ml DAK 2017 23,750.00
41 Salmonella Typhi H Widal Test Vial 5 ml DAK 2017 72,972.50
42 Salmonella Typhi O Widal Test Vial 5 ml DAK 2017 72,972.50
43 Salmonella Paratyphi AH Widal Test Vial 5 ml DAK 2017 72,972.50
44 Salmonella Paratyphi AO Widal Test Vial 5 ml DAK 2017 72,972.50
45 Salmonella Paratyphi BH Widal Test Vial 5 ml DAK 2017 72,972.50
46 Salmonella Paratyphi BO Widal Test Vial 5 ml DAK 2017 72,972.50
47 Salmonella Paratyphi CH Widal Test Vial 5 ml DAK 2017 72,972.50
48 Salmonella Paratyphi CO Widal Test 72,972.50
C OBAT DAN BMPH LAIN-LAIN
1 Digoksin tablet 0,25 mg 103.00
2 Doksisiklin tab 100 mg 250.00
3 Nistatin tablet salut 500.000 UI/g 704.00
Bisakodil suppo 5 mg (dulkolax supp
4 inflant) 4,990.00
5 Digoksin tablet 0,25 mg 96.48
6
7
8
9
Mengetahui
Kepala Puskesmas
H.MARHAN, S.ST
NIP : 19750429 199903 1 006
PER 30 JUNI TAHUN 2017 SUMBER APBD II
PUSKESMAS: PIMPINAN
JAN 2017 S/D JUNI 2017 S/D JUNI 2017 GUDANG APOTEK
6 7 8 9=(6+7-8) 10
- - - -
500 3,000 3,200 300
- - - -
- - - -
- - - -
- 300 11 289
- - - -
30 360 239 151
- - - -
- 5,000 - 5,000
2,600 7,000 7,000 2,600
- - - -
- - - -
- - - -
- - - -
- - - -
800 - 500 300
- - - -
- - - -
- - - -
90 200 16 274
- - - -
- - - -
- 1,500 1,500 -
300 300 300 300
- - - -
6,500 19,000 23,470 2,030
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
150 300 335 115

- - - -
63 100 163 -
- - - -
- - - -
- - - -
- - - -
- - - -
2,300 27,000 20,800 8,500
- - - -
- - - -
- - - -
- - - -
- - - -
20 24 16 28
- - - -
20 - - 20
- - - -
- - - -
- - - -
10 - 5 5
- - - -
- - - -
- - - -
1,500 18,000 13,100 6,400
- - - -
- - - -
- - - -
- - - -
- - - -
1,300 8,000 6,800 2,500
- - - -
- - - -
- - - -
- - - -
- - - -
- 100 - 100
- - - -
20 175 100 95
- - - -
- - - -
200 1,500 500 1,200
- - - -
- - - -
100 - 100 -
- - - -
- - - -
- - - -
8,500 - 8,500 -
- - - -
- - - -
- - - -
900 - 480 420
- - - -
- - - -
10 96 92 14
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
800 1,000 1,800 -
- - - -
- - - -
- - - -
- - - -
- - - -
98 - 76 22
- - - -
1,000 16,000 6,500 10,500
- - - -
1,100 - 1,100 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
47 100 11 136
- - - -
- - - -
5 - 5 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
36 - 4 32
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,200 - 1,200 -
- - - -
- 1,400 900 500
- - - -
- - - -
- - - -
- - - -
- - - -
10 - - 10
- 10 - 10
300 - - 300
- - - -
- - - -
50 - 8 42
- - - -
- - - -
3 - 3 -
- - - -
9 - 9 -
- - - -
1 - 1 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
60 300 240 120
- - - -
300 1,300 1,200 400
- - - -
- - - -
200 - 200 -
- - - -
JAN 2017 - S/D JUNI 2017
3,000 S/D JUNI 2017
2,200 800
- - - -
- - - -
- - - -
- - - -
- - - -
500 500 800 200
- - - -
- - - -
- - - -
900 - - 900
- - - -
- - - -
11 144 111 44
- - - -
- - - -
- - - -
- - - -
14 168 123 59
- - - -
- - - -
- - - -
- - - -
- 1,000 - 1,000
- - - -
- - - -
- - - -
300 600 100 800
- - - -
- - - -
300 700 500 500
- 7,000 5,000 2,000
- - - -
10 - - 10
- 40 4 36
- - - -
- - - -
200 500 700 -
- - - -
- - - -
100 - 100 -
- - - -
- 2,500 747 1,753
- - - -
- - - -
- 1 - 1
- - - -
- - - -
- - - -
- 168 140 28
- - - -
JAN 2017 48 S/D JUNI 2017 - S/D JUNI 2017 48 -
- - - -
- - - -
- - - -
- 1,400 1,400 -
- - - -
- - - -
- - - -
50 - 50 -
- - - -
- - - -
400 - - 400
- - - -
- - - -
- - - -
- - - -
- 10,000 5,900 4,100
- - - -
- - - -
2,800 12,000 8,800 6,000
- - - -
- - - -
- - - -
- - - -
- 500 50 450
- - - -
- - - -
- 50 26 24
- - - -
300 500 600 200
- - - -
- - - -
- - - -
- - - -
- - - -
400 - 50 350
- - - -
60 - - 60
- - - -
- - - -
- - - -
- - - -
- - - -
18 48 61 5
- - - -
63 50 96 17
- - - -
10 50 60 -
8 100 90 18
- - - -
5,000 27,800 8,000 24,800
76 - 76 -
- - - -
- - - -
- - - -
- 2,000 60 1,940
- - - -
- 4,500 - 4,500
- - - -
60 250 158 152
- - - -
- - - -
- - - -
- - - -
- - - -
500 1,100 1,400 200

- - - -
- - - -
- - - -
- - - -
3 10 13 -
- - - -
- 270 210 60
- 40 40 -
- - - -
- - - -
- - - -
- - - -
- 300 100 200
900 - 200 700
- - - -
24 - - 24
- - - -
- - - -
300 1,200 1,000 500
- - - -
- - - -
- - - -
500 200 430 270

- - - -
- - - -
- - - -
200 100 100 200

200 700 300 600
- - - -
- - - -
- - - -
21 - 3 18
- - - -
- 5,500 2,800 2,700
- - - -
- - - -
- - - -
- - - -
- - - -
50 - 50 -
- - - -
5 72 77 -
- - - -
- - - -
- 200 100 100
1,150 4,800 3,700 2,250
- - - -
- - - -
- - - -
- - - -
18 140 59 99
- - - -
- - - -
200 2,400 2,100 500
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 2 2 -
- - - -
- - - -
- - - -
- - - -
- - - -
38 72 110 -
84 248 255 77
1,500 9,000 7,100 3,400
- - - -
- - - -
- - - -
- 150 132 18
- - - -
- - - -
20 - 20 -
- 100 70 30
- - - -
- - - -
72 300 202 170

- - - -
- - - -
300 6,300 4,590 2,010
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
109 500 374 235
- - - -
- - - -
- 112 79 33
- - - -
- - - -
3,800 24,000 20,700 7,100
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
300 500 680 120
- - - -
- 1,000 1,000 -
- - - -
- 9,000 5,000 4,000
4,000 - 4,000 -
- - - -
- - - -
- - - -
- - - -
- 5,000 2,700 2,300
- - - -
200 - 200 -
- - - -
- - - -
- 2,500 1,200 1,300
- - - -
200 - 200 -
- - - -
- - - -
400 2,000 1,500 900

- - - -
- - - -
- - - -
4,000 10,000 10,500 3,500
- - - -
- - - -
- - - -
- - - -
- 300 300 -
- - - -
- 1,800 1,800 -
- 1,600 1,600 -
- - - -
- - - -
- - - -
15 160 105 70
- 3,800 320 3,480
- - - -
- - - -
500 2,200 1,900 800

- 49 49 -
- - - -
- - - -
- - - -
- - - -
40 24 62 2
5 60 53 12
- - - -
14 - 9 5
- - - -
- - - -
- 48 48 -
300 - 300 -
- - - -
- - - -
- - - -
100 3,000 3,100 -
- - - -
- - - -
- - - -
- - - -
- - - -
- 8,000 4,400 3,600
- - - -
- - - -
- 2,000 2,000 -
- - - -
- 200 200 -
100 - 100 -
300 2,400 1,710 990
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1 - - 1
- - - -
- - - -
1 - - 1
- - - -
- - - -
- - - -
- - - -
500 - 200 300
- - - -
- - - -
100 100 100 100
200 - - 200
- - - -
200 500 700 -
- - - -
55 - 55 -
- - - -
- - - -
- - - -
- - - -
- 12,000 7,000 5,000

- - - -
- - - -
- - - -
- - - -
100 3,000 246 2,854
- - - -
- - - -
100 1,500 807 793
- - - -
- - - -
300 14,000 10,800 3,500
- - - -
- - - -
- - - -
- - - -
8 75 32 51
200 1,500 1,200 500
- - - -
- - - -
400 - 29 371
- - - -
- - - -
400 - 400 -
- - - -
- - - -
100 700 700 100
- - - -
400 - 145 255
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,100 - 1,100 -
- 800 700 100
10 20 10 20
- 100 100 -
- - - -
- - - -
- 48 36 12
35 - 28 7
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 12 12 -
- - - -
3 20 8 15
- - - -
6 - 6 -
- 20 3 17
- 20 8 12
- - - -
- - - -
- - - -
- - - -
- - - -
- 1,500 1,500 -
25 150 85 90
- - - -
- - - -
- - - -
10 - 10 -
- - - -
5 150 58 97
- - - -
- - - -
- - - -
- - - -
- - - -
- 50 18 32
11 - 11 -
- - - -
39 50 83 6
- - - -
25 - 25 -
- 50 23 27
- - - -
- - - -
- - - -
3 5 8 -
- 15 6 9
4 - 4 -
1 10 2 9
- - - -
49 170 170 49
- - - -
- 100 100 -
- - - -
- - - -
10 - 10 -
20 200 100 120

- - - -
- 3,500 2,100 1,400
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 33 19 14
- - - -
- - - -
- - - -
18 24 26 16
8 - 8 -
48 40 69 19
- - - -
62 800 592 270

- - - -
14 - 5 9
- 17 12 5
- - - -
13 - 4 9
- 7 7 -
2 18 15 5
- - - -
- - - -
- 5 1 4
- - - -
- - - -
- - - -
- - - -
50 200 110 140
50 200 125 125
50 200 150 100
- - - -
- - - -
- 50 20 30
- 6 6 -
- 6 6 -
- 6 6 -
- 6 6 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100 - - 100
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100 - - 100
100 - - 100
50 - 50 -
3 - - 3
30 - - 30
- - - -
- - - -
- - - -
-
TOTAL R
Petugas Pengelola Obat

Puskesmas
WIDEA PURWANTY PRATAMA PUTRI, A.Md.Far

NIP: 19890128 201001 2 005
O JUNI 2017
TOTAL HARGA
TOTAL
11=(9+10) 12(9X11) penerimaan beban
- - 0 0 0
300 28,500.00 47500 285000 304000
- - 0 0 0
- - 0 0 0
- - 0 0 0
289 41,616.00 0 43200 1584
- - 0 0 0
151 547,677.00 108810 1305720 866853
- - 0 0 0
5,000 4,925,000.00 0 4925000 0
2,600 373,568.00 373568 1005760 1005760
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
300 37,482.00 99952 0 62470
- - 0 0 0
- - 0 0 0
- - 0 0 0
274 45,210.00 14850 33000 2640
- - 0 0 0
- - 0 0 0
- - 0 2000000 2000000
300 59,100.00 59100 59100 59100
- - 0 0 0
2,030 472,990.00 1514500 4427000 5468510
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
115 476,905.00 622050 1244100 1389245

- - 0 0 0
- - 132678 210600 343278
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
O JUNI 2017
TOTAL HARGA
8,500 544,000.00 147200 1728000 1331200
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
28 133,896.00 95640 114768 76512
- - 0 0 0
20 70,040.00 70040 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
5 11,000.00 22000 0 11000
- - 0 0 0
- - 0 0 0
- - 0 0 0
6,400 768,000.00 180000 2160000 1572000
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
2,500 282,500.00 146900 904000 768400
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
100 15,300.00 0 15300 0
- - 0 0 0
95 284,715.00 59940 524475 299700
- - 0 0 0
- - 0 0 0
1,200 441,600.00 73600 552000 184000
- - 0 0 0
- - 0 0 0
- - 22000 0 22000
- - 0 0 0
- - 0 0 0
O JUNI 2017
TOTAL HARGA
- - 0 0 0
- - 5610000 0 5610000
- - 0 0 0
- - 0 0 0
- - 0 0 0
420 71,400.00 153000 0 81600
- - 0 0 0
- - 0 0 0
14 20,090.00 14350 137760 132020

- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 123200 154000 277200
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
22 33,968.00 151312 0 117344
- - 0 0 0
10,500 1,260,000.00 120000 1920000 780000
- - 0 0 0
- - 74800 0 74800
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
136 6,256.00 2162 4600 506
- - 0 0 0
- - 0 0 0
- - 92305 0 92305
- - 0 0 0
- - 0 0 0
- - 0 0 0
O JUNI 2017
TOTAL HARGA
- - 0 0 0
- - 0 0 0
- - 0 0 0
32 36,992.00 41616 0 4624
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 208800 0 208800
- - 0 0 0
500 59,000.00 0 165200 106200
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
10 89,100.00 89100 0 0
10 23,540.00 0 23540 0
300 229,800.00 229800 0 0
- - 0 0 0
- - 0 0 0
42 295,638.00 351950 0 56312
- - 0 0 0
- - 0 0 0
- - 9983.25 0 9983.25
- - 0 0 0
- - 23625 0 23625
- - 0 0 0
- - 115000 0 115000
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
120 489,960.00 244980 1224900 979920
- - 0 0 0
400 318,400.00 238800 1034800 955200
- - 0 0 0
- - 0 0 0
- - 19200 0 19200
- - 0 0 0
O JUNI 2017
TOTAL HARGA
800 145,384.00 0 545190 399806
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
200 54,800.00 137000 137000 219200
- - 0 0 0
- - 0 0 0
- - 0 0 0
900 392,400.00 392400 0 0
- - 0 0 0
- - 0 0 0
44 202,400.00 50600 662400 510600
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
59 172,575.00 40950 491400 359775
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
1,000 108,000.00 0 108000 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
800 196,000.00 73500 147000 24500
- - 0 0 0
- - 0 0 0
500 148,000.00 88800 207200 148000
2,000 73,040.00 0 255640 182600
- - 0 0 0
10 75,000.00 75000 0 0
36 248,400.00 0 276000 27600
- - 0 0 0
- - 0 0 0
- - 52800 132000 184800
- - 0 0 0
- - 0 0 0
- - 7600 0 7600
- - 0 0 0
1,753 129,722.00 0 185000 55278
- - 0 0 0
- - 0 0 0
1 18,499.00 0 18499 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
28 75,936.00 0 455616 379680
- - 0 0 0
O JUNI 2017
TOTAL HARGA
- - 137664 0 137664
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 155400 155400
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 128000 0 128000
- - 0 0 0
- - 0 0 0
400 39,200.00 39200 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
4,100 282,900.00 0 690000 407100
- - 0 0 0
- - 0 0 0
6,000 432,000.00 201600 864000 633600
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
450 137,700.00 0 153000 15300

- - 0 0 0
- - 0 0 0
24 62,520.00 0 130250 67730
- - 0 0 0
200 58,400.00 87600 146000 175200
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
350 231,000.00 264000 0 33000
- - 0 0 0
60 126,000.00 126000 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
5 9,250.00 33300 88800 112850
- - 0 0 0
17 68,000.00 252000 200000 384000
- - 0 0 0
- - 71250 356250 427500
18 128,250.00 57000 712500 641250
- - 0 0 0
O JUNI 2017
TOTAL HARGA
- - 0 0 0
24,800 1,116,000.00 225000 1251000 360000
- - 4028 0 4028
- - 0 0 0
- - 0 0 0
- - 0 0 0
1,940 329,800.00 0 340000 10200
- - 0 0 0
4,500 6,975,000.00 0 6975000 0
- - 0 0 0
152 338,200.00 133500 556250 351550
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
200 68,800.00 172000 378400 481600

- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 120000 400000 520000
- - 0 0 0
60 89,940.00 0 404730 314790

- - 0 35000 35000
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
200 18,000.00 0 27000 9000
700 104,300.00 134100 0 29800
- - 0 0 0
24 87,600.00 87600 0 0
- - 0 0 0
- - 0 0 0
500 104,500.00 62700 250800 209000
- - 0 0 0
- - 0 0 0
- - 0 0 0
270 59,994.00 111100 44440 95546

O JUNI 2017
TOTAL HARGA
- - 0 0 0
- - 0 0 0
- - 0 0 0
200 536,800.00 536800 268400 268400

600 60,000.00 20000 70000 30000
- - 0 0 0
- - 0 0 0
- - 0 0 0
18 49,500.00 57750 0 8250

- - 0 0 0
2,700 291,600.00 0 594000 302400
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 190000 0 190000
- - 0 0 0
- - 18685 269064 287749
- - 0 0 0
- - 0 0 0
100 2,200.00 0 4400 2200
2,250 362,250.00 185150 772800 595700
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
99 634,590.00 115380 897400 378190

- - 0 0 0
- - 0 0 0
500 61,500.00 24600 295200 258300
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 2759968 2759968
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 271662 514728 786390
O JUNI 2017
TOTAL HARGA
- - 0 0 0
77 760,375.00 829500 2449000 2518125
3,400 1,863,200.00 822000 4932000 3890800
- - 0 0 0
- - 0 0 0
- - 0 0 0
18 29,688.48 0 247404 217715.52
- - 0 0 0
- - 0 0 0
- - 55440 0 55440
30 83,160.00 0 277200 194040
- - 0 0 0
- - 0 0 0
170 323,000.00 136800 570000 383800

- - 0 0 0
- - 0 0 0
2,010 329,640.00 49200 1033200 752760
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
235 262,965.00 121971 559500 418506
- - 0 0 0
- - 0 0 0
33 197,340.00 0 669760 472420

- - 0 0 0
- - 0 0 0
7,100 1,235,400.00 661200 4176000 3601800
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
120 38,160.00 95400 159000 216240
- - 0 0 0
- - 0 148000 148000
- - 0 0 0
4,000 544,000.00 0 1224000 680000
- - 855800 0 855800
- - 0 0 0
- - 0 0 0
O JUNI 2017
TOTAL HARGA
- - 0 0 0
- - 0 0 0
- - 0 0 0
2,300 234,600.00 0 510000 275400
- - 0 0 0
- - 25000 0 25000
- - 0 0 0
- - 0 0 0
1,300 89,700.00 0 172500 82800
- - 0 0 0
- - 16000 0 16000
- - 0 0 0
- - 0 0 0
900 288,000.00 128000 640000 480000

- - 0 0 0
- - 0 0 0
- - 0 0 0
3,500 416,500.00 476000 1190000 1249500
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 85800 85800
- - 0 0 0
- - 0 909000 909000
- - 0 857600 857600
- - 0 0 0
- - 0 0 0
- - 0 0 0
70 500,500.00 107250 1144000 750750
3,480 1,722,600.00 0 1881000 158400
- - 0 0 0
- - 0 0 0
800 67,200.00 42000 184800 159600

- - 0 267687 267687
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
2 5,594.00 111880 67128 173414

12 12,792.00 5330 63960 56498
- - 0 0 0
5 60,775.00 170170 0 109395

- - 0 0 0
- - 0 0 0
- - 0 369120 369120
- - 194700 0 194700
- - 0 0 0
- - 0 0 0
O JUNI 2017
TOTAL HARGA
- - 0 0 0
- - 0 0 0
- - 55700 1671000 1726700
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
3,600 455,400.00 0 1012000 556600
- - 0 0 0
- - 0 0 0
- - 0 126000 126000
- - 0 0 0
- - 0 245200 245200
- - 105000 0 105000
990 133,650.00 40500 324000 230850
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
1 472,000.00 472000 0 0
- - 0 0 0
- - 0 0 0
1 125,000.00 125000 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
300 110,400.00 184000 0 73600
- - 0 0 0
- - 0 0 0
100 31,000.00 31000 31000 31000
200 65,800.00 65800 0 0
- - 0 0 0
- - 196902 492255 689157
- - 0 0 0
- - 1207250 0 1207250
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
5,000 455,000.00 0 1092000 637000

- - 0 0 0
- - 0 0 0
O JUNI 2017
TOTAL HARGA
- - 0 0 0
- - 0 0 0
- - 0 0 0
2,854 2,243,244.00 78600 2358000 193356
- - 0 0 0
- - 0 0 0
793 395,151.90 49830 747450 402128.1
- - 0 0 0
- - 0 0 0
3,500 462,000.00 39600 1848000 1425600
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
51 331,500.00 52000 487500 208000
500 296,000.00 118400 888000 710400
- - 0 0 0
- - 0 0 0
371 4,040,190.00 4356000 0 315810
- - 0 0 0
- - 0 0 0
- - 405040 0 405040
- - 0 0 0
- - 0 0 0
100 100,650.00 100650 704550 704550
- - 0 0 0
255 288,700.80 452864 0 164163.2
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 1815000 0 1815000
100 24,400.00 0 195200 170800
20 219,000.00 109500 219000 109500
- - 0 16023 16023
- - 0 0 0
- - 0 0 0
12 405,420.00 0 1621680 1216260

7 246,995.00 1234975 0 987980
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 423420 423420
O JUNI 2017
TOTAL HARGA
- - 0 0 0
15 150,000.00 30000 200000 80000
- - 0 0 0
- - 62640 0 62640
17 228,140.00 0 268400 40260
12 161,040.00 0 268400 107360

- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 845460 845460
90 834,480.00 231800 1390800 788120
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 203205 0 203205
- - 0 0 0
97 568,032.00 29280 878400 339648
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
32 273,280.00 0 427000 153720
- - 110687.5 0 110687.5
- - 0 0 0
6 51,240.00 333060 427000 708820
- - 0 0 0
- - 251562.5 0 251562.5
27 230,580.00 0 427000 196420
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 85358.58 142264.3 227622.88
9 258,750.00 0 431250 172500
- - 569506.4 0 569506.4
9 1,272,600.00 141400 1414000 282800
- - 0 0 0
49 423,874.50 423874.5 1470585 1470585
- - 0 0 0
- - 0 737500 737500
- - 0 0 0
- - 0 0 0
- - 24392.4 0 24392.4
120 297,052.00 49508.6666666667 495086.66666667 247543.33333333

O JUNI 2017
TOTAL HARGA
- - 0 0 0
- - 0 0 0
1,400 770,000.00 0 1925000 1155000
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
14 497,448.00 0 1172556 675108

- - 0 0 0
- - 0 0 0
- - 0 0 0
16 330,960.00 372330 496440 537810
- - 146912 0 146912
19 181,129.85 457591.2 381326 657787.35
- - 0 0 0
270 337,500.00 77500 1000000 740000

- - 0 0 0
9 60,390.00 93940 0 33550

5 139,750.00 0 475150 335400
- - 0 0 0
9 332,431.47 480178.79 0 147747.32
- - 0 373100 373100
5 117,000.00 46800 421200 351000
- - 0 0 0
- - 0 0 0
4 13,260.00 0 16575 3315
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
140 3,269,560.00 1167700 4670800 2568940
125 644,250.00 257700 1030800 644250
100 309,334.48 154667.238095238 618668.95238095 464001.71428571
- - 0 0 0
- - 0 0 0
30 95,647.20 0 159412 63764.8
O JUNI 2017
TOTAL HARGA
- - 0 484950 484950
- - 0 630810 630810
- - 0 484950 484950
- - 0 760170 760170
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
100 213,300.00 213300 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
100 10,300.00 10300 0 0
100 25,000.00 25000 0 0
- - 35200 0 35200
3 14,970.00 14970 0 0
30 2,894.40 2894.4 0 0
- - 0 0 0
- - 0 0 0
- - 0 0 0
0 0 0
TOTAL RP. 59,480,078.08 38,793,141.42 114,642,538.92 93,955,602.27
O JUNI 2017
TOTAL HARGA
gelola Obat
TAMA PUTRI, A.Md.Far

201001 2 005
LAPORAN STOCK OPNAME BAHAN HABIS PAKAI PUSKESMAS PIMPINAN
PERSEDIAAN SELAIN OBAT
PERIODE JANUARI-JUNI 2017
STOCK AWAL PENERIMAAN PENGELUARA

HARGA SISA STOCK
NO URAIAN SATUAN SUMBER PER 1 JANUARI JANUARI-JUNI N JANUARI- TOTAL HARGA
PEROLEHAN 30 JUNI 2017
2017 2017 JUNI 2017
1 Handscoon kotak BLUD 50,000 0 3 3 - -
2 Alat suntik sekali pakai 3 cc buah BLUD 900 0 104 104 - -
3 Alat suntik sekali pakai 5 cc buah BLUD 1,000 0 62 62 - -
4 Alat suntik sekali pakai 10 cc buah BLUD 1,200 0 51 51 - -
5 Pembalut Elastis buah BLUD 33,000 0 69 69 - -
6 Kapas 250 gr bungkus BLUD 20,000 0 6 6 - -
7 Plester rol BLUD 35,000 0 9 9 - -
8 Kasa Steril kotak BLUD 6,000 0 42 42 - -
9
Benang Bedah SMI Catgut cloromic BLUD 0 13 - -
kotak 28,400
0 HR 40 MM 13
10
Benang Bedah SMI Silk Black 2/0 BLUD 0 36 - -
kotak 14,000
HR 20 MM 36
11 Underpad pc BLUD 50,000 0 38 38 - -
12 Masker isi 50 bb kotak BLUD 26,000 0 2 2 - -
JUMLAH -
PER 30 JUNI 2017 SUMBER BLUD
PUSKESMAS: PIMPINAN
HARGA STOK AWAL PER PENERIMAAN per PENGELUARAN per SISA STOK per 30 JUNI
NO NAMA OBAT SATUAN SUMBER 01 JAN 2017 30 JUNI 2017 30 JUNI 2017 2017
PEROLEHAN
1 2 3 4 5 6 7 8 9=(6+7-8)
1
2 NIHIL
3
4
5
6
7
8
7
8
9
10
11
10
11
12
13
13 - - - -
14 - - - -
15 - - - -
16 - - - -
17 - - - -
18 - - - -
19 - - - -
HARGA STOK AWAL PER PENERIMAAN per PENGELUARAN per SISA STOK per 30 JUNI
NO NAMA OBAT SATUAN SUMBER 01 JAN 2017 30 JUNI 2017 30 JUNI 2017 2017
PEROLEHAN
1 2 3 4 5 6 7 8 9=(6+7-8)
20 - - - -
21 - - - -
22 - - - -
23 - - - -
24 - - - -
25 - - - -
TOTAL HARGA (Rp)
Mengetahui
Kepala UPT Puskesmas Pimpinan
H. Marhan, S.ST
NIP. 19750429 199903 1 006
N PERBEKALAN KESEHATAN
MBER BLUD
MPINAN
TOTAL HARGA Tanggal Penerimaan Diterima dari
10=(5X9) 11 12
-
-
-
-
-
-
-
TOTAL HARGA Tanggal Penerimaan Diterima dari
10=(5X9) 11 12
-
-
-
-
-
-
-
DINAS KESEHATAN
R PIUTANG PUSKESMAS PIMPINAN
UN BERAKHIR per 30 JUNI 2017
Umur
Jenis Kualitas
NO Debitur BUKTI TRANSAKSI Jumlah Piutang Piutang
Piutang Piutang
( Tahun )
Bukti transaksi Tanggal Jumlah Tagihan

1 2 3 4 5 6 7 8 9
1. BPJS Piutang jasa SPJ Klim RITP BPJS Januari Rp 1,500,000.00 Rp 1,500,000.00 < 1 Thn Lancar
pelayanan Desember 2016 2016
persalinan BPJS
2 Jamkesda Sisa Jamkesda Rp 1,695,000.00 Rp 1,695,000.00 > 1 Thn Diragukan

2013
JUMLAH Rp 3,195,000.00 Rp 3,195,000.00
H. MARHAN, S.ST
NIP. 19750429 199903 1 006
Jumlah
Taksiran Piutang Taksiran
Tak Tertagih (%) Piutang Tak
tertagih
10 11 ( 7x10 )
0.05 Rp 750.00
50.00 Rp 847,500.00
Rp 848,250.00

Contoh Penyusunan Neraca Puskesmas 2017

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Contoh Penyusunan Neraca Puskesmas 2017

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PEMERINTAH KABUPATEN ASAMBAS

LAPORAN PERUBAHAN EKUITAS

URAIAN TAHUN 2016 TAHUN 2015

EKUITAS AKHIR 3,253,596,923.71 3,448,881,229.05

Sambas, 30 Juni 2017

TOTAL ASET 3,215,378,569.81

KEWAJIBAN DAN EKUITAS

TOTAL KEWAJIBAN DAN EKUITAS 3,255,096,923.71

Sambas, 30 Juni 2017

Kepala Puskesmas Pimpinan

Sambas, 30 Juni 2017

Kepala Puskesmas Pimpinan

NO PUSKESMAS JENIS HUTANG HUTANG KEPADA RINCIAN

- Jasa persalinan BPJS bulan Desember 2016

- BHP persalinan BPJS bulan Desember 2016

Kepala Puskesmas Pimpinan

50429 199903 1 006

1.3.2.14.01. Mesin tik Pusk Pimpinan 2007 1

1.3.2.16.02. PC Intel Core 2 duo Pusk Pimpinan 2014 1

- Pengadaan Peralatan Medis ( Pusk. Pimpinan,subah,tekarangPusk Pimpinan 2005 1 Pkt

TOTAL ASET TETAP

Umur Akumulasi Akumulasi

unit 8,500,000.00 5 425,000.00 8,075,000.00 - 8,075,000.00

Buah 910,000.00 5 45,500.00 864,500.00 - 864,500.00

unit 6,300,000.00 10 315,000.00 1,197,000.00 299,250.00 1,496,250.00

200,000.00 10 10,000.00 171,000.00 9,500.00 180,500.00

Unit 18,000,000.00 25 900,000.00 10,944,000.00 342,000.00 11,286,000.00

Unit 127,611,000.00 25 6,380,550.00 63,039,834.00 2,424,609.00 65,464,443.00

pt 7,844,646.00 5 392,232.30 - 745,241.37 745,241.37

4,967,456,588.73 238,103,279.44 1,452,348,573.92 113,154,585.64 1,565,503,159.56

No Kode Umur Akumulasi Penyusutan

I PERALATAN DAN MESIN

JUMLAH PERALATAN DAN MESIN 1,336,352,068.14 252.00 627,742,016.54

II GEDUNG DAN BANGUNAN

III JALAN, IRIGASI DAN JARINGAN

IV. ASET TETAP LAINNYA

TOTAL ASET TETAP 4,967,456,588.73 1,452,348,573.92

47,469,835.66 675,211,852.20 661,140,215.94

55,632,301.62 700,190,830.99 2,227,825,043.61

113,154,585.64 1,565,503,159.56 3,401,953,429.17 0.00

Tanggal : 30 Juni 2017

No. URAIAN Kode Rekening

Biaya Penyusutan Alat Angkutan Darat Bermotor 9.1.2.07.04.

Tanggal : 30 Juni 2017

No. URAIAN Kode Rekening

KEPALA PUSKESMAS PIMPINAN

Tanggal : 30 Juni 2017

No. URAIAN Kode Rekening

KEPALA PUSKESMAS PIMPINAN

Tanggal : 30 Juni 2017

No. URAIAN Kode Rekening

1. Persediaan Obat-obatan 1.1.7.02.04.

Biaya Obat-obatan - Pelayanan 9.1.1.02.04

KEPALA PUSKESMAS PIMPINAN

Tanggal : 30 Juni 2017

No. URAIAN Kode Rekening

Biaya Penyisihan Piutang Jasa Layanan 9.1.2.11.01.

KEPALA PUSKESMAS PIMPINAN

KEPALA PUSKESMAS PIMPINAN

KEPALA PUSKESMAS PIMPINAN

KEPALA PUSKESMAS PIMPINAN

KEPALA PUSKESMAS PIMPINAN

KEPALA PUSKESMAS PIMPINAN

Umur Akumulasi Akumulasi