LAPORAN TENTANG PENERIMAAN DAN PENGELUARAN BARANG HABIS PAKAI

TAHUN 2017

A. ALAT TULIS KANTOR

Dokumen/ Dasar Bk Penerimaan

No Tanggal Faktur Penerimaan Nama Harga jumlah B.A/Srt No Tanggal Surat Bon Nama Banyak Harga Jumlah Tgl
Dari Banyaknya Ket Untuk Ket
Urut Diterima Barang Satuan harga Penerimaan Urut Dikeluar Barang nya Satuan Harga Penye-

No Jns Srt No No Tgl kan No Tgl rahan

1 2 3 4 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

1 4/3/2017 St. ROBERTUS Tinta Printer Hitam 45 Buah 35,000 1,575,000 - -

4/4/2017 Tata Usaha Tinta Printer Hitam 2 Buah 35,000 70,000 4/4/2017 -

4/4/2017 KIA Tinta Printer Hitam 1 Buah 35,000 35,000 4/4/2017 -

4/6/2017 Apotik Tinta Printer Hitam 1 Buah 35,000 35,000 4/6/2017 -

4/11/2017 P2M Tinta Printer Hitam 1 Buah 35,000 35,000 4/11/2017 -

5/8/2017 Tata Usaha Tinta Printer Hitam 1 Buah 35,000 35,000 5/8/2017 -

5/15/2017 Tata Usaha Tinta Printer Hitam 1 Buah 35,000 35,000 5/15/2017 -

5/24/2017 Imunisasi Tinta Printer Hitam 1 Buah 35,000 35,000 5/24/2017 -

6/5/2017 Tata Usaha Tinta Printer Hitam 1 Buah 35,000 35,000 6/5/2017
7/3/2017 Tata Usaha Tinta Printer Hitam 2 Buah 35,000 70,000 7/3/2017 -

7/12/2017 Imunisasi Tinta Printer Hitam 1 Buah 35,000 35,000 7/12/2017 -

7/26/2017 Tata Usaha Tinta Printer Hitam 2 Buah 35,000 70,000 7/26/2017 -

8/8/2017 Imunisasi Tinta Printer Hitam 1 Buah 35,000 35,000 8/8/2017 -

8/11/2017 Gizi Tinta Printer Hitam 1 Buah 35,000 35,000 8/11/2017 -

8/18/2017 Tata Usaha Tinta Printer Hitam 1 Buah 35,000 35,000 8/18/2017 -

9/4/2017 Sikda Tinta Printer Hitam 1 Buah 35,000 35,000 9/4/2017 -

9/25/2017 Akreditasi Tinta Printer Hitam 1 Buah 35,000 35,000 9/25/2017 -

10/10/2017 Akreditasi Tinta Printer Hitam 1 Buah 35,000 35,000 10/10/2017 -

10/18/2017 Tata Usaha Tinta Printer Hitam 2 Buah 35,000 70,000 10/18/2017 -

10/18/2017 Bendahara barang Tinta Printer Hitam 1 Buah 35,000 35,000 10/18/2017 -

10/19/2017 Akreditasi Tinta Printer Hitam 1 Buah 35,000 35,000 10/19/2017 -

11/6/2017 Akreditasi Tinta Printer Hitam 1 Buah 35,000 35,000 11/6/2017 -

11/7/2017 Akreditasi Tinta Printer Hitam 5 Buah 35,000 175,000 11/7/2017 -

11/8/2017 Akreditasi Tinta Printer Hitam 2 Buah 35,000 70,000 11/8/2017 -

11/11/2017 Akreditasi Tinta Printer Hitam 4 Buah 35,000 140,000 11/11/2017 -

11/12/2017 Akreditasi Tinta Printer Hitam 2 Buah 35,000 70,000 11/12/2017 -

11/19/2017 Akreditasi Tinta Printer Hitam 2 Buah 35,000 70,000 11/19/2017 -

 11/22/2017 Tata Usaha Tinta Printer Hitam 2 Buah 35,000 70,000 11/22/2017 -

11/30/2017 bendahara jkn Tinta Printer Hitam 3 Buah 35,000 105,000 11/30/2017 habis
2 4/3/2017 St. ROBERTUS Tinta print warna 8 Buah 35,000 280,000 - -

4/4/2017 Tata usaha Tinta print warna 2 Buah 35,000 70,000 4/4/2017
4/4/2017 KIA Tinta print warna 1 Buah 35,000 35,000 4/4/2017
5/22/2017 Tata usaha Tinta print warna 2 Buah 35,000 70,000 5/22/2017
6/5/2017 Tata usaha Tinta print warna 1 Buah 35,000 35,000 6/5/2017
7/30/2017 Tata usaha Tinta print warna 1 Buah 35,000 35,000 7/30/2017
8/18/2017 Tata usaha Tinta print warna 1 Buah 35,000 35,000 8/18/2017 Habis

3 4/3/2017 St. ROBERTUS Spidol 2 dos 85,000 170,000 - -

4/5/2017 Petugas desa Spidol 1 Buah 85,000 85,000 4/5/2017

6/5/2017 Pengelolah program Spidol 1 Buah 85,000 85,000 6/5/2017 habis

4 4/3/2017 St. ROBERTUS Kertas HVS F 4 50 Buah 50,000 2,500,000 - -

4/4/2017 Tata usaha Kertas HVS F 4 4 Buah 50,000 200,000 4/4/2017

4/6/2017 Apotik Kertas HVS F 4 1 Buah 50,000 50,000 4/6/2017

4/6/2017 KIA Kertas HVS F 4 1 Buah 50,000 50,000 4/6/2017

5/8/2017 Tata usaha Kertas HVS F 4 2 Buah 50,000 100,000 5/8/2017

5/15/2017 Imunisasi Kertas HVS F 4 1 Buah 50,000 50,000 5/15/2017

5/22/2017 Tata usaha Kertas HVS F 4 2 Buah 50,000 100,000 5/22/2017

6/5/2017 Tata usaha Kertas HVS F 4 7 Buah 50,000 350,000 6/5/2017

7/24/2017 Apotik Kertas HVS F 4 1 Rim 50,000 50,000 7/24/2017
7/26/2017 Tata usaha Kertas HVS F 4 2 Rim 50,000 100,000 7/26/2017
7/30/2017 Tata usaha Kertas HVS F 4 2 Rim 50,000 100,000 7/30/2017
8/8/2017 Imunisasi Kertas HVS F 4 1 Rim 50,000 50,000 8/8/2017
8/11/2017 Tata usaha Kertas HVS F 4 1 Rim 50,000 50,000 8/11/2017
9/4/2017 Sikda Kertas HVS F 4 1 Rim 50,000 50,000 9/4/2017
9/27/2017 Perencanaan Kertas HVS F 4 2 Rim 50,000 100,000 9/27/2017
10/10/2017 Akreditasi Kertas HVS F 4 1 Rim 50,000 50,000 10/10/2017
10/18/2017 Bendahara Barang Kertas HVS F 4 1 Rim 50,000 50,000 10/18/2017
10/19/2017 Akreditasi Kertas HVS F 4 5 Rim 50,000 250,000 10/19/2017
11/6/2017 Akreditasi Kertas HVS F 4 6 Rim 50,000 300,000 11/6/2017
11/7/2017 Akreditasi Kertas HVS F 4 2 Rim 50,000 100,000 11/7/2017
11/8/2017 Akreditasi Kertas HVS F 4 3 Rim 50,000 150,000 11/8/2017
11/11/2017 Akreditasi Kertas HVS F 4 3 Rim 50,000 150,000 11/11/2017
11/19/2017 Tata usaha Kertas HVS F 4 1 Rim 50,000 50,000 11/19/2017 Habis

5 4/3/2017 St. ROBERTUS Catridge Hitam 10 DOS 350,000 3,500,000 - -

 4/4/2017 Tata usaha Catridge Hitam 2 DOS 350,000 700,000 4/4/2017

4/4/2017 KIA Catridge Hitam 1 DOS 350,000 350,000 4/4/2017

7/12/2017 Tata usaha Catridge Hitam 1 DOS 350,000 350,000 7/12/2017

9/11/2017 Perencanaan Catridge Hitam 1 DOS 350,000 350,000 9/11/2017
9/25/2017 Akreditasi Catridge Hitam 1 DOS 350,000 350,000 9/25/2017
9/27/2017 Tata usaha Catridge Hitam 1 DOS 350,000 350,000 9/27/2017
10/11/2017 Tata usaha Catridge Hitam 1 DOS 350,000 350,000 10/11/2017
10/19/2017 Akreditasi Catridge Hitam 1 DOS 350,000 350,000 10/19/2017
11/19/2017 KIA Catridge Hitam 1 DOS 350,000 350,000 11/19/2017 Habis

6 4/3/2017 St. ROBERTUS Catridge Warna 5 DOS 335,000 1,675,000 -

4/4/2017 Tata usaha Catridge Warna 2 DOS 335,000 670,000 4/4/2017

4/4/2017 KIA Catridge Warna 1 DOS 335,000 335,000 4/4/2017

7/12/2017 Tata usaha Catridge Warna 1 DOS 335,000 335,000 7/12/2017

9/5/2017 KIA Catridge Warna 1 DOS 335,000 335,000 9/5/2017 Habis

7 4/3/2017 St. ROBERTUS Map Teka 15 Buah 27,000 405,000 - -

4/11/2017 Program Gizi Map Teka 2 Buah 27,000 54,000 4/11/2017

4/11/2017 KIA Map Teka 2 Buah 27,000 54,000 4/11/2017

7/3/2017 Tata usaha Map Teka 3 Buah 27,000 81,000 7/3/2017

7/12/2017 Imunisasi Map Teka 1 Buah 27,000 27,000 7/12/2017
7/24/2017 Apotik Map Teka 1 Buah 27,000 27,000 7/24/2017
8/11/2017 Gizi Map Teka 1 Buah 27,000 27,000 8/11/2017
10/19/2017 Akreditasi Map Teka 5 Buah 27,000 135,000 10/19/2017 Habis

8 4/3/2017 St. ROBERTUS Pervarator 1 Buah 50,000 50,000 - -

4/11/2017 Program Kesling Pervarator 1 Buah 50,000 50,000 4/11/2017 habis

9 4/3/2017 St. ROBERTUS Map Biasa 275 Buah 1,000 275,000 - -

4/5/2014 Pengelolah Program Map Biasa 35 Buah 1,000 35,000 4/5/2014

4/6/2017 Petugas desa Map Biasa 80 Buah 1,000 80,000 4/6/2017

4/6/2017 Loket Map Biasa 100 Buah 1,000 100,000 4/6/2017

10/19/2017 Loket Map Biasa 60 Buah 1,000 60,000 10/19/2017 habis

10 4/3/2017 St. ROBERTUS Hekter Besar 10 Buah 35,000 350,000 - -

4/4/2017 Tata usaha Hekter Besar 1 Buah 35,000 35,000 4/4/2017

5/8/2017 Program Kesling Hekter Besar 1 Buah 35,000 35,000 5/8/2017

5/8/2017 P2M Hekter Besar 1 Buah 35,000 35,000 5/8/2017

 6/15/2017 Loket Hekter Besar 1 Buah 35,000 35,000 6/15/2017

6/15/2017 Bendahara Barang Hekter Besar 1 Buah 35,000 35,000 6/15/2017

6/15/2017 Polindes Turekisa Hekter Besar 1 Buah 35,000 35,000 6/15/2017

7/12/2017 Gizi Hekter Besar 1 Buah 35,000 35,000 7/12/2017

7/30/2017 Kesling Hekter Besar 1 Buah 35,000 35,000 7/30/2017
9/11/2017 Perencanaan Hekter Besar 1 Buah 35,000 35,000 9/11/2017
9/27/2017 Kapus Hekter Besar 1 Buah 35,000 35,000 9/27/2017 Habis

11 4/3/2017 St. ROBERTUS Peluru Hekter 50 Buah 5,000 250,000 - -

4/4/2017 Tata usaha Peluru Hekter 10 Buah 5,000 50,000 4/4/2017

5/8/2017 Program Kesling Peluru Hekter 5 Buah 5,000 25,000 5/8/2017

5/8/2017 P2M Peluru Hekter 5 Buah 5,000 25,000 5/8/2017

6/15/2017 Loket Peluru Hekter 5 Buah 5,000 25,000 6/15/2017

6/15/2017 Bendahara Barang Peluru Hekter 5 Buah 5,000 25,000 6/15/2017

6/15/2017 Polindes Turekisa Peluru Hekter 10 Buah 5,000 50,000 6/15/2017

7/12/2017 Tata usaha Peluru Hekter 2 Buah 5,000 10,000 7/12/2017

7/26/2017 Program Kesling Peluru Hekter 4 Buah 5,000 20,000 7/26/2017
7/30/2017 P2M Peluru Hekter 2 Buah 5,000 10,000 7/30/2017
8/8/2017 Loket Peluru Hekter 2 Buah 5,000 10,000 8/8/2017 Habis

12 4/3/2017 St. ROBERTUS Buku Register 20 Buah 20,000 400,000 - -

4/5/2014 Pengelolh Program Buku Register 7 Buah 20,000 140,000 4/5/2014

4/6/2017 Petugas Desa Buku Register 8 Buah 20,000 160,000 4/6/2017

4/11/2017 Program Kesling Buku Register 2 Buah 20,000 40,000 4/11/2017

6/5/2017 Tata usaha Buku Register 2 Buah 20,000 40,000 6/5/2017

7/13/2017 Promkes Buku Register 1 Buah 20,000 20,000 7/13/2017 Habis

13 4/3/2017 St. ROBERTUS Map Snelhekter Plastik 20 Buah 9,000 180,000 - -

5/8/2017 Program Kesling Map Snelhekter Plastik 2 Buah 9,000 18,000 5/8/2017

5/8/2017 Loket Map Snelhekter Plastik 2 Buah 9,000 18,000 5/8/2017

5/15/2017 Bendahara JKN Map Snelhekter Plastik 4 Buah 9,000 36,000 5/15/2017

8/11/2017 Gizi Map Snelhekter Plastik 4 Buah 9,000 36,000 8/11/2017

8/22/2017 Bendahara JKN Map Snelhekter Plastik 2 Buah 9,000 18,000 8/22/2017
9/27/2017 Tata usaha Map Snelhekter Plastik 3 Buah 9,000 27,000 9/27/2017
10/13/2017 Akreitasi Map Snelhekter Plastik 3 9,000 27,000 10/13/2017 Habis

14 4/3/2017 St. ROBERTUS Tip X 15 Buah 10,000 150,000 - -

4/5/2017 Petuga desa Tip X 8 Buah 10,000 80,000 17/02/2017

4/5/2017 Pengelolah Program Tip X 7 Buah 10,000 70,000 07/03/2017 habis

15 4/3/2017 St. ROBERTUS Amplop Putih Panjang 8 Dos 30,000 240,000 - -

4/5/2017 Petugas desa Amplop Putih Panjang 1 dos 30,000 30,000 4/5/2017

4/11/2017 Tata Usaha Amplop Putih Panjang 1 dos 30,000 30,000 4/11/2017

7/13/2017 Promkes Amplop Putih Panjang 1 dos 30,000 30,000 7/13/2017

7/26/2017 Tata usaha Amplop Putih Panjang 2 dos 30,000 60,000 7/26/2017
8/24/2017 Tata usaha Amplop Putih Panjang 1 dos 30,000 30,000 8/24/2017
11/21/2017 Tata usaha Amplop Putih Panjang 2 dos 30,000 60,000 11/21/2017 habis

31/01/2017 SPBU Turekisa - - - SOLAR 44.69 LITER 5,150 230,200 - - - - - - - -

1 31/01/2017 - - SOPIR AMBULANCE SOLAR 45.69 LITER 5,151 230,200 31/01/2017
- - - - -
2 2/9/2017 SPBU Turekisa SOLAR 38.83 LITER 5,150 200,000 -
- - - 2/9/2017 SOPIR AMBULANCE SOLAR 39.83 LITER 5,151 200,000 2/9/2017
-
3 3/1/2017 SPBU Turekisa - - - BENSIN 31 LITER 6,450 200,000 - - -
3/1/2017 - - SOPIR AMBULANCE BENSIN 32 LITER 6,451 200,000 3/1/2017
- - -
4 3/20/2017 SPBU Turekisa SOLAR 29.12 LITER 5,150 150,000 - - -
- - - 3/20/2017 - - SOPIR AMBULANCE SOLAR 30.12 LITER 5,151 150,000 3/20/2017
- -
5 4/23/2017 SPBU Turekisa - - - SOLAR 58.25 LITER 5,150 300,000 - - -
4/23/2017 - - SOPIR AMBULANCE SOLAR 59.25 LITER 5,151 300,000 4/23/2017
- -
6 5/18/2017 SPBU Turekisa SOLAR 29.12 LITER 5,150 150,000 - - -
- - - 5/18/2017 - - SOPIR AMBULANCE SOLAR 150,000 5/18/2017
- -
7 5/19/2017 SPBU Turekisa - - - BENSIN 15.50 LITER 6,450 100,000 - - - - - - -
5/19/2017 - - SOPIR AMBULANCE BENSIN 15.50 LITER 6,450 100,000 5/19/2017
- -
8 6/4/2017 SPBU Turekisa SOLAR 38.83 LITER 5,150 200,000 -
6/4/2017 - - SOPIR AMBULANCE SOLAR 38.83 LITER 5,150 200,000 6/4/2017
9 7/12/2017 SPBU Turekisa - - - SOLAR 58.25 LITER 5,150 300,000 - - - - - - - -
7/12/2017 - - SOPIR AMBULANCE SOLAR 58.25 LITER 5,151 300,000 7/12/2017

10 7/20/2017 SPBU Turekisa Bensin 10.85 LITER 6,450 70,000

7/20/2017 SOPIR AMBULANCE BENSIN 10.85 LITER 6,450 70,000 7/20/2017
- - - - -
11 8/16/2017 SPBU Turekisa SOLAR 52.39 LITER 5,150 269,800 -
- - - 8/16/2017 SOPIR AMBULANCE SOLAR 52.39 LITER 5,151 269,800 8/16/2017

12 9/11/2017 SPBU Turekisa BENSIN 35.65 LITER 6,450 230,000

9/11/2017 SOPIR AMBULANCE BENSIN 35.65 LITER 6,450 230,000 9/11/2017

13 9/27/2017 SPBU Turekisa - - - SOLAR 56.55 LITER 6,450 300,000 - - -

9/27/2017 - - SOPIR AMBULANCE BENSIN 56.55 LITER 6,451 300,000 9/27/2017
- - -
14 10/20/2017 SPBU Turekisa SOLAR 67.96 LITER 5,150 350,000 - - -
- - - 10/20/2017 - - SOPIR AMBULANCE SOLAR 67.96 LITER 5,151 350,000 10/20/2017
 - -
15 11/14/2017 SPBU Turekisa - - - SOLAR 29.12 LITER 5,150 150,000 - - -
11/14/2017 - - SOPIR AMBULANCE SOLAR 29.12 LITER 5,151 150,000 11/14/2017

1 3/30/2017 Pos & Giro - - - Meterai 3000 10 Lbr 3,000 30,000 - - - - - - - - -

4/3/2017 - - Bendahara JKN Meterai 3.000 10 Lbr 3,000 30,000 4/3/2017 Habis

2 3/30/2017 Pos & Giro Meterai 6000 30 Lbr 6,000 180,000

4/3/2017 Bendahara JKN Meterai 6000 30 Lbr 6,000 180,000 4/3/2017 Habis

1 11/20/2017 Apotik MM Farma - - - 1300 buah 3,000 3,900,000 - - - - - - - - -

11/26/2017 - - Pengelolah Imunisasi Dispo 0,5 ml 1300 buah 3,000 3,900,000 11/26/2017 Habis

2 11/20/2017 Apotik MM Farma 50 Lbr 2,000 100,000

11/26/2017 Apotik Masker 50 Lbr 2,000 100,000 11/26/2017 Habis

1 11/20/2017 Apotik MM Farma amoxicilin syrup 25 botol 7,000 175,000 - - -

11/26/2017 apotik amoxicilin syrup 2 botol 7,000 14,000 11/26/2017 -

12/31/2017 apotik amoxicilin syrup 17 botol 7,000 119,000 12/31/2017 -

133,000 42,000
- -

2 11/20/2017 Apotik MM Farma Paracetamol syrup 25 botol 6,000 150,000 -

11/26/2017 apotik Paracetamol syrup 6 botol 6,000 36,000 11/26/2017 -

12/31/2017 apotik Paracetamol syrup 17 botol 6,000 102,000 12/31/2017 -

138,000 12,000
- -

3 11/20/2017 Apotik MM Farma Asam mefenamat 3,000 tablet 270 810,000

11/26/2017 apotek Asam mefenamat 435 tablet 270 117,450 11/26/2017 -

12/29/2017 watunay Asam mefenamat 50 tablet 270 13,500 12/29/2017 -

12/29/2017 bethopadhi Asam mefenamat 50 tablet 270 13,500 12/29/2017 -

12/29/2017 Rakateda I Asam mefenamat 40 tablet 270 10,800 12/29/2017 -

12/29/2017 Rakateda II Asam mefenamat 50 tablet 270 13,500 12/29/2017 -

12/29/2017 Turekisa Asam mefenamat 20 tablet 270 5,400 12/29/2017 -

12/29/2017 Late Asam mefenamat 80 tablet 270 21,600 12/29/2017 -

12/29/2017 Zeu Asam mefenamat 45 tablet 270 12,150 12/29/2017 -

12/29/2017 KIA Asam mefenamat 170 tablet 270 45,900 12/29/2017 -

12/31/2017 apotek Asam mefenamat 460 tablet 270 124,200 12/31/2017 -

378,000 432,000
- -

4 11/20/2017 Apotik MM Farma Captopril 500 tablet 240 120,000 -

11/26/2017 apotik Captopril 65 tablet 240 15,600 11/26/2017 -

 12/31/2017 apotik Captopril 55 tablet 240 13,200 12/31/2017 -
28,800 91,200
- -

5 11/20/2017 Apotik MM Farma Kalk 1,000 tablet 240 240,000 -

12/31/2017 Rakateda II Kalk 40 tablet 240 9,600 12/31/2017 -

12/31/2017 Apotik Kalk 40 tablet 240 9,600 12/31/2017 -

19,200 220,800
- -

6 11/20/2017 Apotik MM Farma Parasetamol 500 mg 3,000 tablet 200 600,000 -

11/26/2017 Apotik Parasetamol 500 mg 651 tablet 200 130,200 11/26/2017

12/31/2017 Watunay Parasetamol 500 mg 100 tablet 200 20,000 12/31/2017
12/31/2017 Bethopadhi Parasetamol 500 mg 80 tablet 200 16,000 12/31/2017
12/31/2017 Rakateda I Parasetamol 500 mg 50 tablet 200 10,000 12/31/2017
12/31/2017 Late Parasetamol 500 mg 90 tablet 200 18,000 12/31/2017
12/31/2017 Zeu Parasetamol 500 mg 58 tablet 200 11,600 12/31/2017
12/31/2017 KIA Parasetamol 500 mg 30 tablet 200 6,000 12/31/2017
12/31/2017 Apotik Parasetamol 500 mg 741 tablet 200 148,200 12/31/2017
360,000 240,000
1,038,000