REALISASI BELANAJA MODAL JKN TAHUN 2019 PUSKESMAS PULAU PANDAN

No
Urut Kode Barang
Tgl Berita Acara Tgl Kontrak/
Tgl Serah Terima Barang Nama barang No seri Barang Bahan Warna
Register No SPK Pembayaran Pesanan Barang

1 5.3.29.01 1 027/33/PKM PL /Printer PK 3/23/2019 027/BA-PB/Diskes/2018 19-Mar-19 Printer Epson L3110 Fiber Hitam
27-Mar-19
2 5.3.29.01 2 027/34/PKM PL /Laptop PK 3/23/2019 028/BA-PB/Diskes/2018 19-Mar-19 Laptop Acer A314-41 Fiber Hitam
27-Mar-19
3 5.2.3.28.01 3 027/52/PL/KMB PKM PP/20 4/23/2019 031/BA-PB/Diskes/2019 22-Apr-19 Kursi Mini Bar DO-76 Stanles Stell Merah
29-Apr-19
4 5.2.3.28.06 4 027/51/PL/Kasur Springbed 4/23/2018 030/BA-PB/Diskes/2019 22-Apr-19 Kasur Springbed Olimpic Busa Biru
29-Apr-19
5 5.2.3.28.06 5 027/51/PL/BantalPKM PP/2 4/23/2018 029/BA-PB/Diskes/2019 22-Apr-19 Bantal Marbella Busa Putih
29-Apr-19
6 5.2.3.29.01 6 027/73/PL/Komputer PKM P 5/23/2019 032/BA-PB/Diskes/2019 20-May-19 Komputert All In OnPc Lenovo Fiber HITAM
27-May-19
8 5.2.3.28.04 8 027/110/PL/ AC PKM PP/20 6/21/2019 064/BA-PB/Diskes/2019 17-Jun-19 AC gree I pk DAN 1/GREE GWC09LWS/I Fiber PUTIH
27-May-19 GREE GWC05LWS/I
9 5.2.3.28.06 9 027/111/PL/DT PKM PP/201 6/21/2019 065/BA-PB/Diskes/2019 17-Jun-19 dispenser Tinggi Miyako WDP-300 Putih
27-May-19
10 5.2.3.28.01 10 027/112/PL/KTH PKM PP/2 6/21/2019 066/BA-PB/Diskes/2019 17-Jun-19 Kursi Tamu Horizon 3:02:01 Kulit Hitam
27-May-19
11 5.2.3.29.05 11 027/116/PL/Wifi dan 6/25/2019 066/BA-PB/Diskes/2019 13-Jun-19 Pemasangan Tower
Jaringan PKM PP/2019 27-May-19 wifi dan jrngan

Mengetahui, Pulau Pandan, Juli 2019

Kepala Puskesmas Pulau Pandan
 Bendahara BPJS Kesehatan
Puskesmas Pulau Pandan

MUSMULYADI, SKM
NIP. 19760304 199503 1 002 RITA HARTATI, Skep
NIP. 19890407 201101 2 007
 Rincian

Volume Satuan Tarif/ Harga

2 Unit 4,972,000

1 Unit 5,965,250

3 Unit 2,985,225

1 Buah 1,498,500

5 Buah 500,000

1 unit 8,989,470

4 Unit 18,720,000

1 Unit 1,000,000

1 Set 7,731,000

1 Paket 19,963,000

72,324,445

Pandan, Juli 2019

ara BPJS Kesehatan
mas Pulau Pandan

HARTATI, Skep
90407 201101 2 007
 REALISASI BELANAJA MODAL JKN TAHUN 2018 PUSKESMAS PULAU PANDAN
\ :

No
Urut Kode Barang
Tgl Berita Acara Tgl Kontrak/
Tgl Serah Terima Barang Nama barang No seri Barang Bahan Warna
Register No SPK Pembayaran Pesanan Barang

1 5.3.29.01 1 027/14/PKM PL PP/2018 3/21/2018 183/BA-PB/Diskes/2018 19-Mar-18 Laptop HP 14 Fiber Hitam

2 2 027/14/PKM PL PP/2018 3/21/2018 27-Mar-18 19-Mar-18 Printer Canon G.2000 Fiber Hitam
3 5.2.3.28.04 3 027/15/PKM PL PP/2018 3/21/2018 187/BA-PB/Diskes/2018 19-Mar-18 AC LG 2 PK S18NLA N51 Fiber Putih
28-Mar-18
4 5.2.3.28.01 4 027/27/PKM PL PP/2018 4/16/2018 185/BA-PB/Diskes/2018 12-Apr-18 Meja 1/2 Biro MTO 120 Kayu Coklat dan Hitam
24-Apr
5 5.2.3.28.04 5 027/42/PKM PL PP/2018 6/26/2018 189/BA-PB/Diskes/2018 25-Jun-18 AC Panasonic 2 PK CS-PN!*SKP Fiber Putih
3-Jul-18
6 5.2.3.28.04 6 027/43/PKM PL PP/2018 6/26/2018 191/BA-PB/Diskes/2018 25-Jun-18 AC LG 1/2 PK Fiber Putih
7 5.2.3.28.04 7 027/43/PKM PL PP/2018 6/26/2018 2-Jul-18 25-Jun-18 AC SHARP 1/2 PK Fiber Putih
8 5.2.3.28.01 8 027/62/PKM PL PP/2018 8/27/2018 349/BA-PB/Diskes/2018 3-Sep-18 Kursi Lipat Chitose Type 541 Stanles Stell Merah
30-Aug-18
9 5.2.3.28.01 9 027/69/PKM PL PP/2018 9/12/2018 351/BA-PB/Diskes/2018 10-Sep-18 Kursi Lipat Chitose Type 541 Stanles Stell Merah
17-Sep-18
10 5.2.3.28.04 10 027/74/PKM PL PP/2018 9/29/2018 353/BA-PB/Diskes/2018 25-Sep-18 AC Polytron 1/2 PK Fiber Putih
4-Oct-18
11 5.2.3.28.06 11 027/75/PKM PL PP/2018 9/29/2018 445/BA-PB/Diskes/2018 20-Sep-18 Gorden Lasenza, Tille Hijau, Perak
4-Oct-18
12 5.2.3.28.04 12 027/93/PKM PL PP/2018 10/20/2018 449/BA-PB/Diskes/2018 20-Oct-18 AC SHARP 1/2 PK Fiber Putih
25-Oct-18
13 5.2.3.28.04 13 027/93/PKM PL PP/2018 10/20/2018 447/BA-PB/Diskes/2018 20-Oct-18 Kulkas Mini Bar RS 06DR Fiber Cream
25-Oct-18 GEA
14 5.2.3.28.04 14 027/116/PKM PL PP/2018 11/21/2018 453/BA-PB/Diskes/2018 11/21/2018 AC SHARP 1/2 PK Fiber Putih
11/26/2018
Kursi Direktur
15 5.2.3.28.01 027/117/PKM PL PP/2018 11/21/2018 451/BA-PB/Diskes/2018 11/21/2018 Wonderful BR 106 AH Hitam
 Wonderful
11/26/2018 Brotherl
14 5.2.3.28.04 15 027/127/PKM PL PP/2018 12/7/2018 455/BA-PB/Diskes/2018 11/21/2018 AC SHARP 1/2 PK Fiber Putih
12/12/2018

Mengetahui, Pulau Pandan, 30 Januari 2018

Kepala Puskesmas Pulau Pandan
Bendahara BPJS Kesehatan
Puskesmas Pulau Pandan

MUSMULYADI, SKM
NIP. 19760304 199503 1 002 RITA HARTATI, Skep
NIP. 19890407 201101 2 007
 Rincian

Volume Satuan Tarif/ Harga

1 Unit 6,000,000
2 Unit 5,000,000
1 Unit 8,600,000

10 Buah 9,500,000

1 Unit 8,599,995

1 unit 4,000,000
1 Unit 4,000,000
31 Unit 10,023,850

30 Unit 9,700,500

1 Unit 3,947,100

1 Paket 5,479,110

1 Unit 3,947,100

2 Unit 3,478,800

1 Unit 3,947,100

3 Unit 2,997,120
 1 Unit 3,947,100

93,167,775

dan, 30 Januari 2018

ara BPJS Kesehatan

mas Pulau Pandan

HARTATI, Skep
90407 201101 2 007