NAMA BMHP / OBAT/ REAGEN

NO
BMHP (BARANG MEDIS HABIS PAKAI)
1 Gaun Operasi Disposible
2 Kacamata Pelindung (Goggles)
3 Surgical Cap Box@100
4 Apron
5 Masker N95
6 Masker Bedah
7 Desinfektan Pergalon (5liter) SIPPOL
8 Handsanitizer 5liter
9 Alkohol 70%
10 Clorin 1 liter (Bayclin)
11 APD Coverall FULLSET
12 APD Coverall
13 Rebreathing Masker (RM)
14 sarung tangan obgyn
15 Shoe Cover
16 sarung tangan non steril
OBAT-OBATAN
17 Azitromicyn 500mg
18 levofloxacin hemihidrate 750mg
19 Hyloquine 200mg
20 Hepatin
21 Azitromicyn 500mg Injeksi
22 Chloroquin
23 Acetylsystein infus
NO TANGGAL DONATUR

1 Jumat, 27/03/20 PT. BERKAH

2 Sabtu, 04/04/20
Langkah Untuk Kalsel -PDGI

3 4/29/2020
4 Senin, 06/04/2020 TP PKK Kota Bjm
5 Selasa, 07/04/2020
GEREJA HKBP
6 Rabu, 08/04/20
7 kamis, 09/04/20 MAN 2 BANJARMASIN

8 Rabu, 08/04/20 PDAM KOTA BANJARMASIN

9 kamis, 09/04/20 KAT BANJARMASIN

10 kamis, 09/04/20 PARI (Persatuan radiografer indionesia)
11 kamis, 09/04/20 Hamba Allah
12 kamis, 09/04/20 Unlam

13 kamis, 09/04/20 Ikatan Advokat Banjarmasin

Bp. Herris Salim (Pyramid Hotel)

14 Senin, 13/04/20

15 Rabu, 15/04/20 Trio Motor Banjarmasin

 Kamis, 16/04/20 PPK Salimah
16

Kamis, 16/04/20 Wings Group

17

Kamis, 16/04/20 GRUP GERBANG VIHARA

18 DHAMMASOKA
19 Sabtu, 18/04/20 Hamba Allah

20 Sabtu, 18/04/20 Wecare.id

21 Selasa, 21/04/20 Hamba Allah

22 KAMIS, 23/04/20 Bp. Rosdanoor (Mentari)

23 KAMIS, 23/04/20 BANK KALSEL

24 Jumat, 24/04/20 Solidaritas Anak Banua

25 SABTU, 25/04/30 SMA 1 BANJARMASIN (angkatan 2004)

26 Senin, 27/04/20 HKJPP&MARPI

27 Selasa, 28/04/20 Hamba Allah

28 Rabu, 30/04/20 Kalbe Pharma
29 SABTU. 02/05/20 SMK PGRI 1 MARTAPURA

30 SABTU. 02/05/20 ANONIM 1

30 SABTU. 02/05/20 ANONIM 1

31 SABTU. 02/05/20 ANONIM 2

32 Senin, 04/05/20 PT. GEMILANG JAYA ALKESINDO

33 Selasa, 05/05/20 GERAK BS (Bina Bakti)

34 Rabu, 06/05/20 UGM (Universitas Gajah Mada)

35 Rabu, 06/05/20 BANK INDONESIA

36 Rabu, 06/05/20 Anonim 3

37 Jumat, 08/05/20 Hamba Allah

38 Selasa, 12/05/20 Rumah Zakat

39 Rabu, 13/05/20 PT. Bangun Banua

40 Kamis, 14/05/20 PT. Sanbe Farma

41 Kamis, 14/05/20 PT. Kalbe

42 Kamis, 14/05/20 PT. Amanda Medika Alkesindo

42 Kamis, 14/05/20 PT. Amanda Medika Alkesindo

43 Selasa, 26/05/20 PT. Bina Benua Group

PT. PSMTI (paguyuban sosial marga

44 Rabu, 27/05/20
indonesia) Kalsel

45 Rabu, 27/05/20 PT. Exeltis Indonesia

46 SELASA, 02/06/20 Komunitas eMKa

47 Senin, 15/06/20 PT. PEDULI

48 Rabu, 25/06/20 MERATUS
49 KAMIS, 01//07/20 MEDIKA NUTRIMED ASADTEK
50 JUM'AT, 02/07/2020 PT. GLOBAL INTEGRA

51 sabtu, 04/07/20 FK Universitas Hang Tuah

52 SENIN, 06/07/20 SIVALI VISAKHA

53 SENIN, 13/07/20 PT. MEDIKA NUTRIMED ASADTEK

54 Senin, 20/04/20 Mualef Center
55 Senin, 20/04/20 HIPGABI
56 Senin, 20/04/20 Teman dr. Utami (Alumnus Unlam 2012)
57 SENIN, 27/04/20 BAZNAS Banjarmasin
58 Rabu, 10/06/20 Korwil NU
 NAMA BARANG satuan MARET 2020
27 28 29 30 31
Masker N95 3200 3M Pcs 2
Coverall Pcs
Faceshield Pcs
Nursecap Pak
Surgical disposible gown Pcs
Handsanitizer / Handrub @1L Dirjen
Kacamata Goggles Pcs
Masker ear loop BOX @50
Sarung Tangan uk. S (Nitrite) BOX @100
Sarung Tangan uk. M (Nitrite) BOX @100
Masker N95 pcs
Coverall Pcs
Masker Kain pcs
SEPATU BOOT pasang

Coverall Pcs
Surgical disposible gown Pcs

COVERALL Pcs

Sarung Tangan uk. M (Nitrite) BLACK BOX @100

Sarung Tangan uk. L (Nitrite) BLACK BOX @100
MASKER KAIN PCS
HANDsanitizer / Handrub @100ML BOTOL
coverall Pcs
YOU C 1000 BOTOL
Susu Bear Brand KALENG
Sarung Tangan uk. L sensi box @100
Sarung Tangan uk. M sensi box @100
Masker Bedah Tali Sensi Box @ 50

Coverall Pcs

Coverall Pcs
Sepatu BOOT pasang
Susu Bear Brand kaleng
Faceshield Pcs

So Klin Pemutih Botol 250ml

Sabun Batang Nuvo Pcs
So Klin Lantai Dirijen 4liter
Jas Hujan Hijau Pcs
Jas Hujan Bening pcs
Coverall Pcs
Coverall Pcs
Set APD Lengkap SET
Nursecap Pcs
Masker N95 9501V+ 3M Pcs
Masker N95 8210 3M Pcs
Cover shoes Pcs
Sarung tangan Nitril (m) Box
Coverall Pcs
Handsanitizer 20ml Botol
Coverall Pcs
Coverall Pcs
FACEshield Pcs
Coverall Pcs
Shoe Cover Pak
Masker EVO Earloop Box @25
Sarung Tangan uk. M Box @100
Faceshield Pcs
Coverall Pcs

Coverall Pcs

Faceshield Pcs
Kacamata Goggles Pcs
Coverall Pcs
FACEshield PCS

kACAMata bening Pcs

Shoe Cover Pasang

Coverall Pcs
FACEshield Pcs

SARUNG TANGAN STERIL 7,5 PASANG

SARUNG TANGAN uk. M PAK
Coverall Pcs
Coverall Pcs
Handsanitizer / Handrub @500ML Botol 250ml
Coverall Reuse Pcs
Masker Kain Pcs
Masker 3ply Pcs
Masker KN95 Pcs
Thermometer infrared Pcs
Faceshield pcs
COVERALL SET (Sarung tangan+masker
set
3ply)
Coverall Pcs
Masker N95 8210 3M pcs
Masker 3ply pcs
Masker Kain pak
Masker N95 9201 pcs
Coverall Pcs
Sarung Tangan Latex Pasang
Masker N95 8210 3M Pcs
Kacamata Goggles Pcs
Sepatu BOOT Pasang

Coverall Pcs

Masker earloop Box @ 50

Vitamin Becom-zet Tablet

Coverall Pcs
Masker earloop box@50
Sarung tangan latex rubber PAK
Sarung Tangan Nitril (s) Box
Sarung tangan powder Xs Box
Sarung tangan powder L Box
Nursecap BOX @100
Kacamata Goggles pcs
Faceshield Pcs

Coverall Pcs

Masker KN-95 Pcs

Periokin spray BOTOL@40ml

Jas Hujan Bening SET
Pelindung Sepatu pasang
Vitamin Becom-C Tablet
Shoe Cover Pasang
Faceshield Pcs
APD SET (coverall, handskun, faceshield, SET
Masker KN95 PCs
Handsanitizer / Handrub @500ML BOTOL
Coverall PCS
Masker N95 8210 3M Pcs
Masker Bedah Tali onemed Pcs
Coverall Pcs
surgical gown Pcs
Sarung tangan non steril M Box@100
Surgical disposible gown PCS
MASKER KAIN PAK
Coverall PCS
Handsanitizer / Handrub @500ML
BOTOL 500ML
SOBLASS
Coverall Buah
Handsanitizer 25ml BOTOL
Masker Kain Buah
Susu segar botol
Kurma box
Masker KN95 Pcs
 APRIL 2020
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

4
10
1
5
2
5
1
1
2
10

250
6 5

20
10

150

1
2
150
100
3
30
29
3
4
3

120

15
5
30
210

48
72
3
24
12
1
30
5
30
25
20
36
5
15
8
20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6

10
15
100
30
30
1
2
1
6
20

50

90
10
7
45

49

19
49
49

200
2
11
25
12
15
15
15
30
4
30
30
3
2
2
4
13
10
10
36
1
 P
MEI 2020
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
2
5
5
5
5
5

200

20

2500
10
4
1
4
4
1
2
5
18
 PENERIMAAN

23 24 25 26 27 28 29 30 31 1 2 3 4 5 6
400

194

6
1
2
100
50
10
 Juni 2020
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
 10

180
 J
22 23 24 25 26 27 28 29 30 1 2 3 4 5 6
125
23
25
20
100
3
4
2
40
4
20
 TOTAL
JULI 2020 PENERIMAAN
7 8 9 10 11 12 13 14 15 16 17 18
2
4
10
1
5
2
5
1
1
2
10
10
250
11

20
10

150

1
2
150
100
3
30
29
3
4
3

120

15
5
30
210

48
72
3
24
12
1
30
5
30
25
20
36
5
15
8
15
100
30
30
1
2
1
6
20

50

90
10
7
45

49

19
49
 49

200
2
11
25
12
15
15
15
30
4
30
30
3
2
2
4
2
5
5
5
5
5

200

20

2500
10
4
1
4
4
1
2
5
 18

400

194

6
1
2
100
50
10
10
125
23
25
20
100
3
4
2
40
4
20
99 99
13
10
10
36
1
180
0
0
0
0
0
0
0
0
0
0
0
 MARET 2020 APRIL 2020
27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
2
2
5 5
1

2 3

250
2 7 1

2 6 4
4

3 5 2

2 1
3

5
15
APRIL 2020
17 18 19 20 21 22 23 24 25 26 27 28 29 30 1 2 3

1 7

3 14 2

30
29

1
1

1 20 3 2

30
7 5 1

48
72
3
4
4

4
20 1

5 4

15 15

6
13
10
10
36
1
 PENGELU
MEI 2020
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

10

10 5 7 10

10

6
 4 16

1
10 10 10
7 2
2

5 9

5 1

10 10

6
7 10

4 6 10 10

5 5 20

2 2
20
15 2 10 2 1 5 2 12

100
2

3 4 2 7 1

5
8
PENGELUARAN

22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8

10 12 12 10 5

2 4

1
5 11

6 2

1 10 8

10 2 3
 50

25
4 1 1 2 1

5
1 4

15 10 20 13 4

2
 20 10

20 3
 Juni 2020
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26

10 12 12 6

5 10
 4
1

6
3

9
 50

10 10 14 10 4 40 6

40

2
6 4

5 23 16 17 17

24
10

180
 JULI 2020
27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14

1 8
 1

3 1
 2

4 1

14 22 8

1
2 2
2 1
 14 4 5 5 12 17

16 12 12 12 12 12

9 5

20

2
 TOTAL
SISA
PENGELUARAN
15 16 17 18
2 0 2
4 0 4
10 0 10
1 0 1
0 5
0 2
5 0 5
1 0 1
0 1
1 1 1
10 0 10
10 0 10
250 0 250
11 0 11

20 0 20
10 0 10

150 0 150

0 1
0 2
60 60 90 60
10 90 10
3 0 3
30 0 30
29 0 29
1 2 1
1 3 1
2 1 2

53 67 53

15 0 15
5 0 5
30 0 30
28 182 28

48 0 48
72 0 72
3 0 3
24 0 24
4 8 4
0 1
0 30
3 2 3
30 0 30
25 0 25
6 14 6
25 11 25
1 4 1
15 0 15
0 8
15 0 15
0 100
30 0 30
30 0 30
1 0 1
0 2
0 1
6 0 6
20 0 30

44 6 44

0 90
10 0 10
7 0 7
0 45

49 0 49

19 0 19
29 20 29
49 0 49

200 0 200
2 0 2
0 11
25 0 25
12 0 10
0 15
0 15
0 15
0 30
0 4
4 26 4
0 30
0 3
0 2
0 2
0 4
2 0 2
0 5
0 5
5 0 5
5 0 5
5 0 5

200 0 192

20 0 20

40 2460 40
10 0 10
1 3 1
1 0 1
4 0 4
3 1 3
0 1
2 0 2
5 0 5
 18 0 18

57 343 ???

184 10 136

0 6
0 1
0 2
0 100
47 3 24
10 0 10
0 10
0 125
14 9 14
0 25
20 0 20
0 100
3 0 3
0 4
2 0 2
0 40
0 4
0 20
8 4 12 87
13 0
10 0
10 0
36 0
1 0
180 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 Keterangan

IPSRS (2)
radiologi (2), Ruang PINERE (1), IPSRS (1)
Ruang dekontaminasi (5), IBS (5)
Depo IGD (1)

IBS (2), IGD VK (3)

satpam (1)

POLI JIWA (1)

klinik sanitasi (10)
RUANG IGD (8), IPJ (2)
Manajemen [dipinjam pakai ke pasien] (250)
Radiologi (2), IPSRS (3), KLINIK SANITASI (4),
RUANG PINERE (1), CSSD (1)
Radiologi (2), IPSRS (6) , Ruang PINERE (4), CSSD
(1), IPSRS (7)
IGD VK (4), IGD (6)

Ruang PINERE (3), IBS (5), Pinere (2), Manajemen

(3), CSSD (6), klinik sanitasi (8), Pinere (1),Poli
THT (1), Klinik sanitasi (10), IPJ (5), PINERE (7),
KLINIK SANITASI (10), IGD (10), IPJ (12), IPJ
(12), klinik sanitasi (10), IGD (5), IPSRS (10), IPJ
(12), IPJ (12), IPJ (6).

SATPAM (60)
Ruang PINERE (2), IPSRS(1),PINERE (1) PINERE
swab (2), IPJ (2), PINERE (2)
radiologi (3)
INSTALASI GIZI (30) Sisa tgl 2/04/2020 yg diserahkan oleh bu ayu
INSTALASI GIZI (29) Sisa tgl 2/04/2020 yg diserahkan oleh bu ayu
Gudang Farmasi (1) Sisa tgl 2/04/2020 yg diserahkan oleh bu ayu
IGD (1) Sisa tgl 2/04/2020 yg diserahkan oleh bu ayu
IPSRS (1), poli jiwa (1) Sisa tgl 2/04/2020 yg diserahkan oleh bu ayu

Ruang PINERE (2), Manajemen (1), IGD (20), Poli

THT (3), IGD (2), PSC (10), IGD (5) , PINERE (10)
IPSRS (2), IPJ (4), CSSD (1), IPJ(8)
LAUNDRY (5)
INSTALASI INSTALASI GIZI (30)
CSSD (5), LAUNDRY (10), IFRS (5), RM(2),
Radiologi (2), DEPO Rajal (1), ruang PINERE (1),
IPJ (1), PINERE (1)
CSSD (48)
KESLING (72)
KESLING (3)
IPJ (4), IPJ (4), IPJ (16)
IPJ (4)

Manajemen (1), IPJ (1), Pinere Swab (1)

IFRS (10), PINERE (10), POLI PARU (10)
IGD (5), Poli Paru (2), Poli jiwa (2), RANAP
DEWASA (5), IPJ (11)
poli jiwa (4), IPSRS (2)
Ruang PINERE (20), IPJ (1), IPSRS (4)
Poli THT (1)
IGD(1), PINERE (5), PINERE SWAB (8), POLI
THT (1)

IPSRS (5), RUANG PINERE (4), PINERE Swab

(5), satpam (1)

DEPO IGD (15), IFRS (1), VK NIFAS (14)

Klinik sanitasi (10), IPSRS (10), IPJ (6), IPSRS (4)

klinik sanitasi (1)

ruang PINERE (6)

IGD (7), KLINIK SANITASI (10), IPSRS (3)
IBS (6), IPSRS (4), PINERE (4), IPJ (2), PINERE
(10), IGD (10) , RANAP DEWASA (6), VK NIFAS
(2)

RUANG IGD (4), Ruang PINERE (6)

IPSRS (3), IPSRS (3), IPSRS (1)

Ranap Dewasa (5),PINERE (5),PINERE (10),

Laboratorium (10), Manajemen (1), PINERE (10),
IFRS (6) Ruang PINERE (2)
PINERE Swab (2), PINERE (2), PINERE (10),
PINERE (2), IPJ (3)
PINERE SWAB (20) ,IPSRS (9)
klinik sanitasi (10), IPJ (5), Depo IGD (2) , IPJ (10),
Pemeriksaan swab (2), Poli kulit kelamin (1),
PINERE (5), IFRS (2), PINERE (12)
PINERE (100), PINERE (50), PINERE (50)
IPSRS (1), POLI jiwa (1)

IGD (25)
IFRS (1), PINERE (4), Depo IGD (1), IGD (1), POLI
BEDAH (2), Poli gigI (1), Poli bedah (2)

Satpam (4)

IGD (2)

PINERE (5)
PINERE Swab (1) , Pnere swab (4)
IPSRS (4), PINERE (1)

IGD VK (15), PINERE (10), IGD (20), IPSRS (9),

Radiologi (4), radiologi (4), Pinere (10), IGD (10)
radiologi (4), igd (10), LABORATORIUM
(10),radiologi (4), lab (20), IGD (10), radiologi (4),
ICU (6),IPJ (6) , IPSRS (5),IFRS (9), IGD (10), IPJ
(12), IPSRS(4), RADIOLOGI(4)
IPSRS (1), Satpam (2), KLINIK SANITASI (4),ICU
(2), Ranap Dewasa (1),IPSRS (1), TPPRI (2), RM (1)
PINERE (2), CSSD (1), SATPAM (2), KLINIK
SANITASI (1)
CLEANING SERVICE (40)
IPJ (8), RUANG IGD (2)
INSTALASI GIZI (1)
IPSRS (1)
REHAB MEDIK (2), PINERE (2)
poli gigi (2), IFRS (1)

PINERE (2)
PINERE SWAB (5)
PINERE (8), RM (6), IPJ (4)
IPJ (12), IPSRS (2), IGD (4), LABORATORIUM
(5), Ruang IGD (5), IPJ (12), IPJ (12), RUANG IGD
(5) Ruang IGD

klinik sanitasi (10), IGD (10), IGD (10), RM (5), IPJ

(12), RM (6), RM (5), IGD (8),poli Penyakit dalam
(8), IPSRS, IPJ (12), IGD (5), icu (5), CSSD (12), IPJ
(12), Cssd (4), IPJ (12), IPJ (12), IPJ (12), (12), (12)

PINERE (20), PINERE swab (3), PINERE (24)

RUANG IGD (10)

PINERE (8), IFRS (1) , Gudang Farmasi (5)

Poli anak (20)

IPJ (3)

Poli anak (2)

Pinere (2), Ranap Dewasa (3), PINERE (5) , IGD (4)

Ruang IGD (13)
Ruang IGD (10)
Ruang IGD (36)
INSTALASI GIZI (36)
INSTALASI GIZI (1)
PINERE (180)
an oleh bu ayu
an oleh bu ayu
an oleh bu ayu
an oleh bu ayu
an oleh bu ayu
NO NAMA BARANG satuan MARET 2020
27 28 29 30 31 1 2 3 4

1 Osetalmivir 400mg tablet 300

2 Cloroquine phospat 150mg tablet 100

3 Coverall Pcs

4 Aerosol Box Pcs

 APRIL 2020
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

100

50
 MEI 2020
26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

200

200
 PENERIMAAN
MEI 2020
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4

200 120

4
 Juni 2020
5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

400
 JULI 2020
25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14
 TOTAL
MARET 2020
PENERIMAAN
15 16 17 18 27 28 29 30 31 1 2 3 4 5 6 7 8 9

600 80

100

970

4
 APRIL 2020
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27

100 100

100

1 10 10 6
 MEI
28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13

100 100

2 10 2 24 40 2 15
 PENGELUARAN
MEI 2020
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

100

29 5 50 5
 Juni 2020
30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14

20

30 4 10 5 2

2
Juni 2020
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

20 6 10 14 5
 JULI 2020
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

5 25 15 21 5 5
 TOTAL
SISA Keterangan
PENGELUARAN
17 18

Puskes Terminal (20), PUSKESMAS

pekauman (20), PUSKESMAS Sungai Jingah
600 0
(40), Depo IGD (100), DEPO igd (100), DEPO
IGD (100), DEPO IGD (100)

100 0 IGD (100)

Manajemen (1), PINERE (10),PINERE (10),

PINERE (6), PINERE (2), IGD (10), PINERE
(2), PINERE (24), IGD (10), PINERE (30),
3 2 398 572 PINERE (2) PINERE (15), PINERE (20), IGD
(9), IGD (5), IGD (40), IBS (10), IGD (5),
IGD (10), PINERE (20), PINERE swab (4),Vk
Nifas (8), PINERE (2),IGD (5),PINERE (2),
PINERE (6), IBS (8), PINERE (6), PSC
rujukan (6), PINERE (10), PINERE (14),
PINERE (5), (5), PINERE (25), PINERE
(10),IGD(5),PINERE (6), PINERE (15), IGD
(5), PINERE (5), PINERE (3), IBS (2)
2 2 IPSRS (2)
 NAMA BMHP/ OBAT/ REAGEN satuan Maret 2020
NO 28 29 30 31 1 2
BMHP ( BARANG MEDIS HABIS PAKAI)
1 Gaun Operasi Disposible pcs 5
2 Kacamata Pelindung (Goggles) pcs 5
3 Rubysta Pcs
4 Alkohol 96% Jerr @20L
6 Handsanitizer botol 1 L
21 Non Rebreathing mask dewasa pcs
22 Nasal Canula dewasa pcs
20 Rebreathing mask dewasa pcs
24 bayclin botol 1 L
9 MASKER N95 8210 PCS
25 NURSE CAP PCS
26 APD COVERALL FULLSET Pcs 125
OBAT-OBATAN
11 Primunox Kapsul
12 Prove D3-1000mg Tablet
13 Levofloxacin 750 Tablet
14 Hydroxychloroquine Sulfat TAblet
15 Azitromicyn 500mg Tablet
16 Osetalmivir 75mg Tablet
17 Betadin Nasal Spray Botol
18 Betadin Kumur 100ml Botol
19 LARCE 1000 (ASCORBIC ACID) AMPUL
8 HEPATIN KAPSUL
27 VITAMIN C 250MG TABLEt
7 ACETYLSISTEIN INFUS BOTOL
5 Stimuno Kapsul
REAGEN
23 VTM pcs
10 Rapid Test pcs
 APRIL 2020
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

24
1
1

300

500
26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14

60

600

100 200 100

50
480

28 50

25
 PENER
MEI 2020
15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

900 8100
300

500
500
50 100
10 40
50
150 100
 PENERIMAAN
Juni
2020
30 31 1 2 3 4 5 6 7 8 9 10 11

48
33
42

30

30
100 200
15

500
50

50
80
12 13 14 15 16 17 18 19 20 21 22 23 24

42

600

10
 JULI 2020
25 26 27 28 29 30 1 2 3 4 5 6 7

20

200

60
 TOTAL
JULI 2020 MARET
PENERIMAAN
8 9 10 11 12 13 14 15 16 17 23 24

5
5 1
24
2
1
48
53
42
42
60
200
125

9000
330
600
500
530
1750
65
60
300
480
500
128
500
0
110
105
 MARET 2020 APRIL 2020
25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

1 1 1 1
24

125

40 40 ###
2020
19 20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12

120

### 100 100

10 10 15 10 5

20 8
100
 MEI 2020
13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

30 14 5 11

6920 40 200 40
30 60 60
60 30 90
100 100

120 100
5 8
5 5 5 8
25 10 30 20 10

12 5 10 20 3
270

25
 PENGELUARAN

29 30 31 1 2 3 4 5 6 7 8 9 10

1
5
5 5 5

20
30 30

100 100

100 100 70
5 5 5 10 4
15 5 7
20 25
120 120
200 200
 Juni 2020
11 12 13 14 15 16 17 18 19 20 21 22 23

10 5 10 10 1
18
2
8 10

20

120 60 120
100
100
80 400 200
8 15
10
30 30 10 10 30
120 120
100
20 30

50
80
 JU
24 25 26 27 28 29 30 1 2 3 4 5 6

10 10
6 18

100

60
 JULI 2020
7 8 9 10 11 12 13 14 15 16 17 18

7
10 10

100 100

100 30 60
100
 TOTAL
SISA KET
PENGELUARAN

5 0 BINATU (2)
5 0
24 0
1 1
1 0
48 0
53 0
22 20
42 0
60 0
200 0
125 0
0
7240 1760
330 0
480 120
500 0
390 140
1750 0
65 0
60 0
300 0
480 0
500 0
128 0
370 130
0 0
110 0
105 0
 NAMA BMHP / OBAT Satuan stok awal
NO 15 16
BMHP ( BARANG MEDIS HABIS PAKAI)
1 Desinfektan Pergalon (5liter) sterald 30 Jerr 5L
2 Apron KALICA Lembar
3 Surgical Gown Pcs
4 Masker Hijab pcs 16600
5 Masker Earloop pcs 19150
6 Masker Tali pcs 1250
7 Masker N95 1860 pcs 976
8 Apron lembar 2320
9 Nurse Cap pcs 7600
10 Masker N95 8210 pcs
11 Cetride 5L jerr 5L
12 MASKER N95 1870 pcs 320
13 Viorex 500ml botol 500ml
14 Viorex 5L jerr 5L
15 Aseptan 500ml botol 500ml 98
16 Oxygen Mask Dewasa pcs 1352
17 Oxygen Mask Anak pcs 1018
18 Alkohol 70% pcs 56
19 Stericide 500ml botol 500ml
20 Stericide 5L jerr 5L
OBAT OBATAN
21 Azitromicyn 500mg tablet 140
22 levofloxacin hemihidrate 500mg tablet tablet 1650
23 levofloxacin 750mg Kapsul Kapsul
24 Hepatin tablet
25 resfar infus Botol
26 ulvice injeksi Ampul
27 Hydroksikloroquin Tablet
28 Levofloxacin Infus 500mg Botol 253
29 Prove-D Tablet
30 Ranitidin Injeksi 25mg/ml Ampul 180
31 Fartison Injeksi Vial
32 Sucralfat syr Botol 753
33 Omeprazole Injeksi Vial 1740
34 Betadin Kumur 100ml Botol
35 Betadin Kumur 190 ml Botol
36 Betadin spray Botol
37 Sanbe-C tablet
38 Lanturol-400 kapsul
39 Santa-E kaplet
40 Prove-C Injeksi Ampul
41 Cefoperazon sodium injeksi 1 GR Ampul
 Maret 2020
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1

1
350
20

250

100

100

100
 APRIL 2020
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

73

50
10
120

6000
 Peneri
MEI 2020
24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

50

100
10

180

20

1000

900
25

50 100 3

100
 Penerimaan
MEI 2020
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6

75 100
120 80
500
100 3
1500
300
100

66
38
 Juni 2020
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

2500

1000
4000

60

20
10

100

200 72 500

300

300

9600
1000 200
1000
 JULI 2020
23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9

30 70

200

1000

600
1140 1500

600 800
500

776
100

250
200
 TOTAL
JULI 2020 Mar
PENERIMAAN
10 11 12 13 14 15 16 17 15 16 17 18 19 20

1
350
243
2500 700 600 450 150 350
0 350 50 250 200 150
250
200 80 60 60 20
1000 20
4000 9000
100
10
0
150
10
360 7 7 6 4 3
0
0
20 1
20
10

1000
0
600
3540
400 5 5 5
200
1900
328 1856
1500
700
200
0 10 5 25
6000 750
66
1114
100
9600
1200
1000
250
200
 Maret 2020
21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6

1
10 10 50 30 60 10
5 5
300 500 200 600 250 450 50 350 150 300 500 250 300
150 700 150 200 250
150
80 13 24 21 31 20 20 30 10
60 130 150 220 100
500 200 700 700 300

5 2 1 1
10 10
10 5
5 6 5 1 1 1

500

10

10 10 10 5

40 20 20

10 5 10 20 15
60 450 90
 APRIL 2020
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

20 10 20 10 50 10 10 30 10
5
300 300 100 200 150 100 600 100 300 100 100 250 250 250

100 50
14 12 11 27 5 10 17 28 53 16 12

6 1 2 2 3 1 2 2

20 20
100 50

10 6 10 10

10 10 10 24 10 12

20 10 30

20 5 5 20
60 300 30 90 600
24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9 10

10
5
50
100 50 50 450 50 50 250
100 100 200 50
20 5 26 6 20 13 49 28 4 54 49 5
10 30 10 10 30 70 20 30 40
200 140 100

5 2 4 3 1 4
10 10
2
8 1 5 1 1 3 2

60 40

10 15

12 10 15 5 20 15 15

20
4 5 5 5 15 3
70 90
 Pengeluaran
MEI 2020
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

50 250 100 50
100 150 100 50
23
100 20 50 40 10 80 20 70 90 50 120 30 20
320 260 100 200 300 60 200 180 180 320 140 280 200 100
5 10 44 11
1
20 40 40 20 40 60 60 40

6 7 2 4 2 3 2 4 1 6 2
10

1 1 3 1 3

100 150

150 60
7

20 15 15 20 25 40 5 5 15

20 20 40 20 30
10 20
10 7 10 10 10 10 6 5
50 30
 Ju
29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13

250
150

20 100 30 10 20 40 40 40
60 300 480 140 100 120 40 120 240 140 60 440

1 3

2 7 9 13 11 1 9 12 9
10 5

5 7 1 3 3

10 10 20 20 10 10 10

10 20 10 15 25 10 20 36
150
20

10 5 3 8 5
50 100
17 5 30 4
 Juni 2020
14 15 16 17 18 19 20 21 22 23 24 25 26 27

20 10 60 20
260 20 200 40 20 100 260 20 100 320 320 240
10 15 5

10 5 8 8 7

1
3 2 2

80

90 150 60 150
10
30 30
100 200 100 100
36 114 24 50 72 4 50
120 90 90

10
3 5 10
30 140 40 50 50 30 50

38 48 10
10
80 80 80 80
200 100 100 100
 JULI 2020
28 29 30 1 2 3 4 5 6 7 8 9 10 11

260 120 60 40 300 400

2 4 10 2 8

120 120 150 150 150

20 20 30
100 100
50 50 50
300
10
10 10 10
3 6 10
50 50 30 30 50 50 30
5
12

80 80 240
100 100 100

20
 TOTAL SISA
20
PENGELUARAN STOK
12 13 14 15 16 17 18

1 0
350 0
20 223
9600 9500
4150 15000
1300 200
976 200
40 2080 1240
300 160 300 11760 4840
100 0
5 5
320 0
0 150
0 10
3 8 261 197
65 1287
18 1000
76 0
0 20
0 10
0
40 260 880
900 750
0 600
1350 2190
193 207
50 180 20
700 1200
48 48 1105 1004
750 750
300 580
10 100 100
10 5 338 415
50 30 20 3600 4140
61 5
108 1006
10 90
80 800 8800
100 200 1100 100
0 1000
0 250
50 70 130
NO NAMA BARANG satuan
1 2 3 4 5 6 7 8 9 10
1 Coverall Pcs
 APRIL 2020
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
 MEI 2020
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
200 200
 Penerimaan

20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8
 Juni 2020
9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28
 JULI 2020
29 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
 TOTAL
APRIL 2020
PENERIMAAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
400
APRIL 2020
18 19 20 21 22 23 24 25 26 27 28 29 30 1 2
 MEI 2020
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
 aPRIL 2020
20
19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3
 Juni 2020
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5
 JULI 2020
6 7 8 9 10 11 12 13 14 15 16 17 18
 TOTAL
SISA Keterangan
PENGELUARAN

0 400 Ruang Pinere, Ruang IGD

 NAMA BMHP / OBAT USULAN SATUAN MAR
NO 23 24 25

1 Faceshield 215 pcs

2 Aerosol Box 5 Pcs

 MARET 2020
26 27 28 29 30 31 1 2 3
4 5 6 7 8 9 10 11 12
 APRIL 2020
13 14 15 16 17 18 19 20 21
22 23 24 25 26 27 28 29 30
1 2 3 4 5 6 7 8 9
 PENER
Mei 2020
10 11 12 13 14 15 16 17 18

215
 PENERIMAAN

19 20 21 22 23 24 25 26 27
28 29 30 31 1 2 3 4 5
 Juni 2020
6 7 8 9 10 11 12 13 14
 Juni 2020
15 16 17 18 19 20 21 22 23

5
24 25 26 27 28 29 30 1 2
 JULI 2020
3 4 5 6 7 8 9 10 11
 TOTAL
PENERIMAAN
12 13 14 15 16 17 18

215

5
 MARET 2020
23 24 25 26 27 28 29 30 31
1 2 3 4 5 6 7 8 9
 APRIL 2020
10 11 12 13 14 15 16 17 18
19 20 21 22 23 24 25 26 27
28 29 30 1 2 3 4 5 6
 Mei 2020
7 8 9 10 11 12 13 14 15

4 7
 PENGELUARAN
Mei 2020
16 17 18 19 20 21 22 23 24

8 2
25 26 27 28 29 30 31 1 2

7 5 20 20
3 4 5 6 7 8 9 10 11 12

10 2 4 3 5 16 8
 Juni 2020
13 14 15 16 17 18 19 20 21

20 9

5
22 23 24 25 26 27 28 29 30

15 8 6 4
 JULI 2020
1 2 3 4 5 6 7 8 9

2 1 5 12 4
JULI 2020
10 11 12 13 14 15 16 17

2 2
 TOTAL
SISA KET
PENGELUARAN

POLI SYARAF(4), POLI BEDAH (7), RANAP DEWASA (8), POLI

PENYAKIT DALAM (2) , POLI OBGYN ( 4), POLI JIWA (3),
RUANG IGD (5), LABORATORIUM (10), ICU (10),PINERE
(20), IPJ (10),MANAJEMEN (2), DEPO RAWAT JALAN (4),
IFRS (3), IGD VK (5), RUANG IGD (10), POLI GIGI (6),
211 4 SATPAM(2), POLI MCU(4), MANAJEMEN(2), LAUNDRY (6),
PINERE (10), SATPAM (4), RUANG ICU (9), IPJ (15), POLI
GIGI(8), DEPO IGD (6), IFRS (1), LAUNDRY (3), POLI
JIWA(2), VK NIFAS (5),RANAP ANAK(10), POLI KULIT
KELAMIN (2), IPSRS (4), KLINIK SANITASI(2), POLI PENYAKIT
DALAM (2)

5 0
NO TANGGAL DONATUR

1 Senin, 20/04/20 Mualef Center

2 Senin, 20/04/20 HIPGABI
3 Senin, 20/04/20 Teman dr. Utami (Alumnus Unlam 2012)
5 SENIN, 27/04/20 BAZNAS Banjarmasin
6 Rabu, 10/06/20 Korwil NU
 NAMA BARANG satuan MARET 2020
27 28 29 30 31
Coverall Buah
Handsanitizer 25ml BOTOL
Masker Kain Buah
Susu segar botol
Kurma box
Masker KN95 Pcs
 APRIL 2020
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
20 21 22 23 24 25 26 27 28 29 30 1 2 3 4 5 6
13
10
10
36
1
 PENERIMAAN
Mei 2020
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
AAN

25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11

180
 Juni 2020
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
 JULI 2020
30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
 TOTAL
PENERIMAAN MARET 2020
18 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11
13
10
10
36
1
180
0
0
0
0
0
0
0
 APRIL 2020
12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
13
10
10
36
1
 Mei 2020
30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
 PENGELUARAN
Mei 2020
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3
 Juni 2020
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
 JULI 2020
22 23 24 25 26 27 28 29 30 1 2 3 4 5 6 7 8 9
 TOTAL
JULI 2020 SISA
PENGELUARAN
10 11 12 13 14 15 16 17 18
13 0
10 0
10 0
36 0
1 0
0 180
0 0
0 0
0 0
0 0
0 0
0 0
0 0
 Keterangan

IGD
IGD
IGD

Ruang Pinere
 DONATUR DALAM RANGKA COVID-19

NAMA / INSTANSI
NO TANGGAL MATERI
PENYUMBANG
1 Masker Bedah
Kamis,
Ikatan Advokat Banjarmasin Hands Gloves M/L
02/04/20
Vitacimin
2 Kamis, Susu Bear Brand @30 Klng
Hamba Allah
02/04/20 U.C 1000 @30 Botol
3 Kamis, Ultramilk (utk satpam)
Unlam
02/04/20 Susu Bear Brand @30 Klng

4 Coverall

Faceshield
Nursecap
Surgical disposible gown
Handsanitizer / Handrub @1L
Sabtu, 04/04/20 Langkah Untuk Kalsel - PDGI
Kacamata Google
Masker ear lop
Sarung Tangan uk. S (Nitrite)
Sarung Tangan uk. M (Nitrite)
Masker N95

5 Senin, TP PKK Kota Bjm Masker Kain

06/04/2020
6 Selasa, SEPATU BOOT
GEREJA HKBP
07/04/2020
7 Masker N95 3200 3M
Jumat, 27/03/20 PT. BERKAH

8 coverall
Rabu, 08/04/20 MAN 2 BANJARMASIN

9 COVERALL
Rabu, 08/04/20
Sarung Tangan uk. M (Nitrite
PDAM KOTA BANJARMASIN
Sarung Tangan uk. L (Nitrite
MASKER KAIN
10 PARI (Perhimpunan Radiografer Coverall
kamis, 09/04/20
Indonesia)
11 MAN 2 BANJARMASIN surgical disposible gown
kamis, 09/04/20

12 KAT BANJARMASIN HANDsanitizer / Handrub @1

kamis, 09/04/20

13 Coverall
Senin, 13/04/20 Bp. Herris Salim

Selasa, 14/04/20 Coverall

14 Sabtu, 04/04/20 DINKES PROVINSI Osetalmivir 400mg
Sabtu, 04/04/20 Cloroquine phospat 150mg
Coverall
Rabu,
15 Trio Motor Banjarmasin Sepatu BOOT
15/04/20
Susu Bear Brand
PINDAH KE SHEET REKAP BARAN
OVID-19

JUMLAH SATUAN SISA

4 Kotak 2 Kotak
7 Kotak 7 Kotak
24 Biji -
4 Pak -
4 Doz 1 Doz
1 Box -
1 Pak 29 btl

4 bUAH 2

10 Pcs 0
1 Pak 0
5 BUAH
2 Dirjen
5 Pcs 3
1 Pak
1 Box
2 Box
10 pcs

250 pcs

11 Pasang 2

2 PCS 0

20 Pcs 12

150 PCS 142

1 BOX 1
2 BOX 2
150 PCS 150
 3 buah 0

10 Buah 6

100 botol 98

120 buah

50 BUAH 50
300 tablet 120
100 tablet 0
15 buah 15
5 pasang 5
30 kaleng 30
DAH KE SHEET REKAP BARANG DONASI
4/16/2020
jam 09.00
 KET

IGD, IPSRS

IGD
IGD
IGD
SATPAM

Radiologi

Ruang dekontaminasi, IBS

Depo IGD

GF
IBS

Radiologi, IPSRS, KLINIK SANITASI GF

IPSRS GF

GF

Ruang Pinere, IBS GF

 radiologi

Radiologi GF

GF

GF
Puskes Terminal 20, pekauman 20, Sungai Jingah 40, Depo IGD 100
IGD

G DONASI