DAFTAR HASIL PEMERIKSAAN FISIK

PUSKESMAS KARANGSAMBUNG
TAHUN 2019

JUMLAH VAKSIN
NO Uraian Satuan KET
FISIK ADM SELISIH

Gluco Protein box@10pcs 10 10 0

UltraOne box@50pcs 2 2 0
Hb Sahli set 1 1 0
HCl 0,1N 100ml box@100m 2 2 0
Blood lancet box@100pc 2 2 0
Autoclick pc 1 1 0
0
0
0
0
0
0
0
0
0
JUMLAH 18 18 0

Bekasi, 26 AGUSTUS 2019

Pengelola vaksin Tim Pemeriksa

1. Taridin ....................................

Eti Rukmawati, Amkeb 2. dr. Nurlitasari ....................................

NIP.19770504 2008 012013
 PEMERINTAH KABUPATEN BEKASI
KARTU PERSEDIAAN
TAHUN ANGGARAN 2018
SKPD : PUSKESMAS KARANGSAMBUNG
NAMA PERSEDIAAN : VAKSIN

Harga Satuan Penerimaan Pengeluaran Saldo akhir 31 DESEMBER 2018

Tanggal No.Bukti Keterangan Satuan Rp Jumlah Harga Rp Jumlah Harga Rp Jumlah harga Rp
Mutasi Qty Qty Qty

1 2 3 4 6 7 8 9 10 11
Vaksin BCG Vial 59,950.00 290 17,385,500.00 250.00 14,987,500.00 75 4,496,250
Vaksin Pentabio Vial 76,285.00 1,130 86,202,050.00 1,115.00 85,057,775.00 15 1,144,275
Vaksin Polio Vial 19,954.00 580 11,573,320.00 535.00 10,675,390.00 45 897,930
Vaksin Campak Vial 28,204.00 - - - - 0 0
Vaksin Td Vial 16,500.00 - - - - 40 660,000
Vaksin HBO Vial 20,900.00 630 13,167,000.00 625.00 13,062,500.00 5 104,500
POLIO ( IPV 0 10.Dosis ) Vial 245,025.00 - - - - 0 0
POLIO ( IPV 0 5.Dosis ) Vial 152,900.00 190 29,051,000.00 182.00 27,827,800.00 14 2,140,600
MR ( Kampanye ) Vial 149,820.00 - - - - 0 0
MR 149,820.00 330 49,440,600.00 270.00 40,451,400.00 60 8,989,200
DT ( Bias ) Vial 17,798.00 300 5,339,400.00 304.00 5,410,592.00 0 0
Td ( Bias ) Vial 16,500.00 1,720 28,380,000.00 1,720.00 28,380,000.00 0 0
DT ( ORI ) Vial 17,798.00 - - - - 0 0
Td (ORI ) Vial 16,500.00 - - - - 0 0
Pentabio ( ORI ) Vial 76,285.00 - - - - 0 0
TOTAL 5,170 240,538,870.00 5,001 225,852,957 254 18,432,755.00

Bekasi, 31 DESEMBER 2018

Bendahara barang Kepala Puskesmas KARANGSAMBUNG

TARIDIN,Am.KG H. SAHRONI,SKM,M.Si
NIP. 19861217 201101 2 002 NIP.19721101 199203 1 003
 DAFTAR PERSEDIAAN
PUSKESMAS KARANGSAMBUNG
Per Tanggal 31 DESEMBER 2018

saldo 31/12/2017 Mutasi Tahun 2018

Saldo Akhir 31 DESEMBER 2018
NO Uraian satuan harga Tambah Kurang
Jumlah Harga
Jumlah harga Jumlah Harga Jumlah Harga
1 VAKSIN
Vaksin BCG Vial 59,950.00 35 2,098,250.00 290 17,385,500.00 250.00 14,987,500.00 75 4,496,250.00
Vaksin Pentabio Vial 76,285.00 0 0.00 1,130 86,202,050.00 1,115.00 85,057,775.00 15 1,144,275.00
Vaksin Polio Vial 19,954.00 0 0.00 580 11,573,320.00 535.00 10,675,390.00 45 897,930.00
Vaksin Campak Vial 28,204.00 0 0.00 - - - - 0 -
Vaksin Td Vial 16,500.00 40 660,000.00 - - - - 40 660,000.00
Vaksin HBO Vial 20,900.00 0 0.00 630 13,167,000.00 625.00 13,062,500.00 5 104,500.00
POLIO ( IPV 0 10.Dosis ) Vial 245,025.00 0 0.00 - - - - 0 -
POLIO ( IPV 0 5.Dosis ) Vial 152,900.00 6 917,400.00 190 29,051,000.00 182.00 27,827,800.00 14 2,140,600.00
MR ( Kampanye ) Vial 149,820.00 0 0.00 - - - - 0 -
MR 149,820.00 330 49,440,600.00 270.00 40,451,400.00 60 8,989,200.00
DT ( Bias ) Vial 17,798.00 4 71,192.00 300 5,339,400.00 304.00 5,410,592.00 0 -
Td ( Bias ) Vial 16,500.00 0 0.00 1,720 28,380,000.00 1,720.00 28,380,000.00 0 -
DT ( ORI ) Vial 17,798.00 0 0.00 - - - - 0 -
Td (ORI ) Vial 16,500.00 0 0.00 - - - - 0 -
Pentabio ( ORI ) Vial 76,285.00 0 0.00 - - - - 0 -
JUMLAH 85 3,746,842.00 5,170 240,538,870.00 5,001 225,852,957.00 254 18,432,755.00

Bekasi, 31 DESEMBER 2018

Bendahara barang Kepala Puskesmas KARANGSAMBUNG

TARIDIN,Am.KG H. SAHRONI,SKM,M.Si
NIP. 19861217 201101 2 002 NIP.19721101 199203 1 003