DAFTAR BELANJA MODAL DANA KAPITASI JKN TAHUN 2020

PUSKESMAS : PUSKESMAS MUARA KULAM

NOMOR
TANGGAL TANGGAL UKURAN / JUMLAH
NO NAMA BARANG MERK / TYPE BAHAN KONDISI HARGA SATUAN TOTAL HARGA NO KWITANSI NO ORDER KET
PEMBELIAN PEMBUKUAN CC Pabrik Rangka Mesin Polisi BPKB BARANG

1 Kipas Angin 23/02/2020 23/02/2020 Regency Tornado Baik 450,000 4 1,800,000 6

2 Lemari Pajangan 28/02/2020 28/02/2020 kayu Baik 2,000,000 1 2,000,000 14
3 Alkes/Alat gigi 21/02/2020 21/02/2020 Stainlis Baik 2,000,000 1 2,000,000 4
4 Tensi Darah Aneroid 6/20/2020 29/06/2020 Onemed Baik 120,000 4 480,000 12
5 Lemari Arsip 20/06/2020 22/06/2020 kayu Baik 8,700,000 1 8,700,000 12
6 Printer Epson 6/23/2020 6/23/2020 Epson Type L565 Baik 3,500,000 2 7,000,000 20
8 Sound System 8/23/2020 8/23/2020 KREZT WAS 108B Bluetooth Portable Baik 2,500,000 1 2,500,000 54
9 TV dan Perangkat 8/23/2020 8/23/2020 Samsung 32 inc Full Set Receiver K Vision Baik 2,040,000 1 2,040,000 55
10 Alkes/ Regulator Oksigen 8/25/2020 8/25/2020 GEA YR 869 Baik 500,000 4 2,000,000 58
11 Meja Kerja 1/2 Biro 8/25/2020 8/25/2020 Olimpic Baik 1,500,000 6 9,000,000 59
12 Kursi Kerja 8/25/2020 8/25/2020 Alvaro AVL1B2B Baik 1,000,000 6 6,000,000 59
13 Laptop 8/26/2020 8/26/2020 Asus M409DA ATHLON 3050U 4GB Baik 4,500,000 2 9,000,000 60
14 Laptop 10/22/2020 10/22/2020 Asus E410MA Type x64-based PC Baik 8,000,000 1 8,000,000 70
15 Hardisk 10/24/2020 10/24/2020 Seagate 1 TB Baik 1,000,000 2 2,000,000 77
16 printer 10/26/2020 10/26/2020 Epson Type L360 Baik 2,500,000 1 2,500,000 81
17 Kipas Angin 12/21/2020 12/21/2020 Regency Tornado Baik 500,000 6 3,000,000 88
18 Meja Kerja 1/2 Biro 12/21/2020 12/21/2020 Kayu Baik 1,100,000 5 5,500,000 89
JUMLAH Rp62,520,000

Mengetahui, Muara Kulam, Desember 2020

Ka.UPT Puskesmas Puskesmas Muara Kulam Pengelola Barang Puskesmas Muara Kulam

Ns. Nelly Haryanti, S.Kep Ns. Salman Alfarizi, S.Kep

NIP. 19800416 201101 2 004 NIP. TKST