Buku Persediaan Ta. 2021 Semester II

LAPORAN PENERIMAAN DAN PENGELUARAN BARANG PAKAI HABIS
DINAS KESEHATAN KOTA TANGERANG SELATAN

PERIODE 01 JANUARI S/D 31 DESEMBER 2020
1. PENERIMAAN TA.2020 MENURUT LRA SELISIH
BELANJA ALAT TULIS KANTOR Rp 395,511,440.00 395,511,440.00 Rp -
BELANJA ALAT LISTRIK Rp 59,310,000.00 59,310,000.00 Rp -
PERANGKO MATERAI DAN BENDA POS LAINNYA Rp 61,650,000.00 61,650,000.00 Rp -
BELANJA BAHAN PEMBERSIH Rp 148,627,400.00 148,627,400.00 Rp -
BELANJA BAHAN BAKAR MINYAK Rp 225,808,359.00 225,808,359.00 Rp -
PENGISIAN APAR Rp 17,500,000.00 17,500,000.00 Rp -
BELANJA PENGISIAN TABUNG GAS Rp 3,600,000.00 3,600,000.00 Rp -
BELANJA BARANG PAKAI HABIS MEDIS Rp 5,440,781,950.00 5,440,781,950.00 Rp -
BELANJA BAHAN PMT Rp 438,457,600.00 438,457,600.00 Rp -
BELANJA BAHAN PENUNJANG LABORATORIUM Rp 3,944,343,050.00 3,944,343,050.00 Rp -
BELANJA PENGADAAN PLAKAT/SOUVENIR Rp 191,186,000.00 191,186,000.00 Rp -
BELANJA DEKORASI Rp 17,288,000.00 17,288,000.00 Rp -
PERLENGKAPAN PANITIA/PESERTA Rp 59,299,000.00 59,299,000.00 Rp -
BELANJA BAHAN PERCONTOHAN Rp 76,883,100.00 76,883,100.00 Rp -
BELANJA BAHAN PAKAI HABIS NON INVENTARIS Rp 8,270,000.00 8,270,000.00 Rp -
BELANJA BAHAN BAKU BANGUNAN Rp 141,744,000.00 141,744,000.00 Rp -
BELANJA OBAT-OBATAN Rp 7,800,732,272.00 7,800,732,272.00 Rp -
BELANJA BAHAN BAKU MAKANAN Rp 177,600,000 177,600,000 Rp -
BELANJA BAHAN BAKU MAKANAN Rp 5,238,000 5,238,000 Rp -
BELANJA BAHAN BAKTERI PENGURAI LIMBAH CAIR Rp 169,050,000 169,050,000 Rp -
BELANJA CETAK Rp 1,026,139,000 1,026,139,000.00 Rp -
BELANJA CETAK SPANDUK Rp 128,012,500 128,012,500.00 Rp -
BELANJA MAKANAN DAN MINUMAN HARIAN PEGAWAI Rp 162,557,000 162,557,000.00 Rp -
BELANJA MAKANAN DAN MINUMAN PASIEN 158,400,000 158,400,000.00 Rp -
BELANJA PAKAIAN KERJA 42,000,000 42,000,000 Rp -
BELANJA PERLENGKAPAN PAKAIAN KERJA LAPANGAN Rp 173,700,000 173,700,000 Rp -
BELANJA PAKAIAN OLAHRAGA Rp 36,750,000 36,750,000 Rp -
BELANJA HADIAH DAN PENGHARGAAN BERUPA BARANG Rp 8,608,000.00 8,608,000.00 Rp -
BELANJA HADIAH DAN PENGHARGAAN BERUPA BARANG Rp 5,114,887,900.00 5,114,887,900 Rp -
BELANJA BARANG UNTUK DISERAHKAN KEPADA MASYARAKAT Rp 572,053,600 572,053,600 Rp -
BELANJA BTT (BELANJA TAK TERDUGA) COVID 19 Rp 42,443,821,543.00 42,443,821,543.00 Rp -
Page 1 of 288
Penerimaan Pengeluaran Sisa Stok

Kuantitas Harga (Rp) Buku Penerimaan Tanggal Surat Bon /Perintah Kuantitas Harga Jumlah Kuantitas Harga
No. Tanggal Penerimaan Pembelian Nama Barang Total (Rp) B.A/ Serah Terima Pengeluaran Pengeluaran Barang Untuk Satuan Harga Satuan Total (Rp) Ket.
Jml Satuan Satuan Jml Satuan Jml Satuan
No. Tgl. No. Tgl. (Rp) (Rp) (Rp)
1. SALDO AWAL TA. 2020
TOTAL STOCK AWAL TA.2020 Rp 239,184,512.00 Rp 184,527,300.00 Rp 54,657,212.00
2. PENERIMAAN TA.2020
BELANJA ALAT TULIS KANTOR (5.2.2.01.01)
23 januari 2020 Promkesjaor belanja alat tulis kantor 1 paket 900,000 900,000 23 januari 2020 1 paket Rp 900,000 Rp 900,000 0 paket Rp 900,000 Rp -
10 februari 2020 Promkesjaor belanja alat tulis kantor 1 paket 350,000 350,000 1 paket Rp 350,000 Rp 350,000 0 paket Rp 350,000 Rp -
374/APBD/SUB BAGIAN UMUM DAN

13 Juli 2020 Umpeg Reffil Reman Toner HP 78A 21 Pcs 283,000.00 5,943,000.00 Monday, July 13, 2020 21 Pcs Rp 283,000 Rp 5,943,000 0 Pcs Rp 283,000 Rp -
KEPEGAWAIAN/I/2020
13 Juli 2020 Umpeg Reffil Reman Toner HP 83A 32 Pcs 307,000.00 9,824,000.00 32 Pcs Rp 307,000 Rp 9,824,000 0 Pcs Rp 307,000 Rp -
13 Juli 2020 Umpeg Reffil Reman Toner HP 48A (+Chip) 5 Pcs 307,000.00 1,535,000.00 5 Pcs Rp 307,000 Rp 1,535,000 0 Pcs Rp 307,000 Rp -
13 Juli 2020 Umpeg Tinta Epson T664 (BK) 13 Pcs 82,500.00 1,072,500.00 13 Pcs Rp 82,500 Rp 1,072,500 0 Pcs Rp 82,500 Rp -
13 Juli 2020 Umpeg Tinta Epson T664 (C) 9 Pcs 82,500.00 742,500.00 9 Pcs Rp 82,500 Rp 742,500 0 Pcs Rp 82,500 Rp -
13 Juli 2020 Umpeg Tinta Epson T664 (M) 9 Pcs 82,500.00 742,500.00 13 Juli 2020 9 Pcs Rp 82,500 Rp 742,500 0 Pcs Rp 82,500 Rp -
13 Juli 2020 Umpeg Tinta Epson T664 (Y) 9 Pcs 82,500.00 742,500.00 9 Pcs Rp 82,500 Rp 742,500 0 Pcs Rp 82,500 Rp -
13 Juli 2020 Umpeg Tinta Canon 790 (BK) 6 Pcs 99,500.00 597,000.00 6 Pcs Rp 99,500 Rp 597,000 0 Pcs Rp 99,500 Rp -
13 Juli 2020 Umpeg Tinta Canon 790 (C) 3 Pcs 95,000.00 285,000.00 3 Pcs Rp 95,000 Rp 285,000 0 Pcs Rp 95,000 Rp -
13 Juli 2020 Umpeg Tinta Canon 790 (M) 3 Pcs 95,000.00 285,000.00 3 Pcs Rp 95,000 Rp 285,000 0 Pcs Rp 95,000 Rp -
13 Juli 2020 Umpeg Tinta Canon 790 (Y) 3 Pcs 95,000.00 285,000.00 3 Pcs Rp 95,000 Rp 285,000 0 Pcs Rp 95,000 Rp -
14 Februari 2020 Gizi Notebook 30 Buah 7,500.00 225,000.00 231/APBD/SEKSI GIZI/II/2020 Friday, February 14, 2020 2/14/2020 30 Buah Rp 7,500 Rp 225,000 0 Buah Rp 7,500 Rp -
14 Februari 2020 Gizi Kertas Flipchart 2 Gulung 45,000.00 90,000.00 2/14/2020 2 Gulung Rp 45,000 Rp 90,000 0 Gulung Rp 45,000 Rp -
14 Februari 2020 Gizi Map Plastik 3 Lusin 55,000.00 165,000.00 2/14/2020 3 Lusin Rp 55,000 Rp 165,000 0 Lusin Rp 55,000 Rp -
14 Februari 2020 Gizi Kertas Manila 5 Lembar 3,500.00 17,500.00 2/14/2020 5 Lembar Rp 3,500 Rp 17,500 0 Lembar Rp 3,500 Rp -
14 Februari 2020 Gizi Ballpoint 3 Lusin 32,000.00 96,000.00 2/14/2020 3 Lusin Rp 32,000 Rp 96,000 0 Lusin Rp 32,000 Rp -
14 Februari 2020 Gizi Spidol 10 Buah 8,000.00 80,000.00 2/14/2020 10 Buah Rp 8,000 Rp 80,000 0 Buah Rp 8,000 Rp -
10 Februari 2020 PJKM Kertas HVS 5 Rim 50,000 250,000.00 10 Februari 2020 028/0873/P-Brg/2020 10 Februari 2020 5 Rim Rp 50,000 Rp 250,000 0 Rim Rp 50,000 Rp -

10 Maret 2020 Umpeg Reman Toner HP 78A 2 Kali Rp 283,000 566,000.00 10 Maret 2020 2 Kali Rp 283,000 Rp 566,000 0 Kali Rp 283,000 Rp -
KEPEGAWAIAN/I/2020
10 Maret 2020 Umpeg Reman Toner HP 30A Chip 4 Kali Rp 319,000 1,276,000.00 10 Maret 2020 4 Kali Rp 319,000 Rp 1,276,000 0 Kali Rp 319,000 Rp -
10 Maret 2020 Umpeg Reman Toner HP 48A Chip 5 Kali Rp 307,000 1,535,000.00 10 Maret 2020 5 Kali Rp 307,000 Rp 1,535,000 0 Kali Rp 307,000 Rp -
10 Maret 2020 Umpeg Reman Toner HP 83A 4 Kali Rp 307,000 1,228,000.00 10 Maret 2020 4 Kali Rp 307,000 Rp 1,228,000 0 Kali Rp 307,000 Rp -
10 Maret 2020 Umpeg Reman Toner HP 85A 4 Kali Rp 283,000 1,132,000.00 10 Maret 2020 4 Kali Rp 283,000 Rp 1,132,000 0 Kali Rp 283,000 Rp -
10 Maret 2020 Umpeg Tinta Epson T664(BK) 1 Kali Rp 82,500 82,500.00 10 Maret 2020 1 Kali Rp 82,500 Rp 82,500 0 Kali Rp 82,500 Rp -
10 Maret 2020 Umpeg Tinta Epson T664 c 1 Kali Rp 82,500 82,500.00 10 Maret 2020 1 Kali Rp 82,500 Rp 82,500 0 Kali Rp 82,500 Rp -
10 Maret 2020 Umpeg Tinta Epson T664 m 1 Kali Rp 82,500 82,500.00 10 Maret 2020 1 Kali Rp 82,500 Rp 82,500 0 Kali Rp 82,500 Rp -
10 Maret 2020 Umpeg Tinta Epson T664 c 1 Kali Rp 82,500 82,500.00 10 Maret 2020 1 Kali Rp 82,500 Rp 82,500 0 Kali Rp 82,500 Rp -

26 Maret 2020 Umpeg Reffil Ream Toner HP 78A 6 Pcs 283,000.00 1,698,000.00 Thursday, March 26, 2020 26 Maret 2020 6 Pcs Rp 283,000 Rp 1,698,000.00 0 Pcs Rp 283,000 Rp -
KEPEGAWAIAN/I/2020
26 Maret 2020 Umpeg Reffil Ream Toner HP 35A 2 Pcs 283,000.00 566,000.00 Thursday, March 26, 2020 26 Maret 2020 2 Pcs Rp 283,000 Rp 566,000.00 0 Pcs Rp 283,000 Rp -
26 Maret 2020 Umpeg Reffil Ream Toner Canon 83A 6 Pcs 307,000.00 1,842,000.00 Thursday, March 26, 2020 26 Maret 2020 6 Pcs Rp 307,000 Rp 1,842,000.00 0 Pcs Rp 307,000 Rp -
26 Maret 2020 Umpeg Reffil Ream Toner Canon 78A 5 Pcs 283,000.00 1,415,000.00 Thursday, March 26, 2020 26 Maret 2020 5 Pcs Rp 283,000 Rp 1,415,000.00 0 Pcs Rp 283,000 Rp -
26 Maret 2020 Umpeg Tinta Epson 790 BK 4 Pcs 99,500.00 398,000.00 Thursday, March 26, 2020 26 Maret 2020 4 Pcs Rp 99,500 Rp 398,000.00 0 Pcs Rp 99,500 Rp -
26 Maret 2020 Umpeg Tinta Epson 790 C 2 Pcs 95,000.00 190,000.00 Thursday, March 26, 2020 26 Maret 2020 2 Pcs Rp 95,000 Rp 190,000.00 0 Pcs Rp 95,000 Rp -
Page 2 of 288
26 Maret 2020 Umpeg Tinta Epson 790 M 2 Pcs 95,000.00 190,000.00 Thursday, March 26, 2020 26 Maret 2020 2 Pcs Rp 95,000 Rp 190,000.00 0 Pcs Rp 95,000 Rp -
26 Maret 2020 Umpeg Tinta Epson 790 Y 2 Pcs 95,000.00 190,000.00 Thursday, March 26, 2020 26 Maret 2020 2 Pcs Rp 95,000 Rp 190,000.00 0 Pcs Rp 95,000 Rp -
26 Maret 2020 Umpeg Tinta Epson 790 BK 9 Pcs 82,500.00 742,500.00 Thursday, March 26, 2020 26 Maret 2020 9 Pcs Rp 82,500 Rp 742,500.00 0 Pcs Rp 82,500 Rp -
26 Maret 2020 Umpeg Tinta Epson 790 C 2 Pcs 82,500.00 165,000.00 Thursday, March 26, 2020 26 Maret 2020 2 Pcs Rp 82,500 Rp 165,000.00 0 Pcs Rp 82,500 Rp -
26 Maret 2020 Umpeg Tinta Epson 790 M 2 Pcs 82,500.00 165,000.00 Thursday, March 26, 2020 26 Maret 2020 2 Pcs Rp 82,500 Rp 165,000.00 0 Pcs Rp 82,500 Rp -
26 Maret 2020 Umpeg Tinta Epson 790 Y 2 Pcs 82,500.00 165,000.00 Thursday, March 26, 2020 26 Maret 2020 2 Pcs Rp 82,500 Rp 165,000.00 0 Pcs Rp 82,500 Rp -
13 Agustus 2020 Gizi Map Kancing 2 Lusin 55,000.00 110,000.00 892/APBD/SEKSI GIZI/VIII/2020 Thursday, August 13, 2020 13 Agustus 2020 2 Lusin Rp 55,000 Rp 110,000.00 0 Lusin Rp 55,000 Rp -
13 Agustus 2020 Gizi Ballpoint 1 Lusin 41,000.00 41,000.00 Thursday, August 13, 2020 13 Agustus 2020 1 Lusin Rp 41,000 Rp 41,000.00 0 Lusin Rp 41,000 Rp -
13 Agustus 2020 Gizi Ballpoint Baliner 1 Lusin 180,000.00 180,000.00 Thursday, August 13, 2020 13 Agustus 2020 1 Lusin Rp 180,000 Rp 180,000.00 0 Lusin Rp 180,000 Rp -
13 Agustus 2020 Gizi Kertas HVS F4 7 Rim 50,000.00 350,000.00 Thursday, August 13, 2020 13 Agustus 2020 7 Rim Rp 50,000 Rp 350,000.00 0 Rim Rp 50,000 Rp -
13 Agustus 2020 Gizi Post it 2 Pad 9,000.00 18,000.00 Thursday, August 13, 2020 13 Agustus 2020 2 Pad Rp 9,000 Rp 18,000.00 0 Pad Rp 9,000 Rp -

18 Agustus 2020 Umpeg Kertas HVS F4 70gr Bola Dunia 650 Rim Rp 53,900 35,035,000.00 Tuesday, August 18, 2020 18 Agustus 2020 650 Rim Rp 53,900 Rp 35,035,000.00 0 Rim Rp 53,900 Rp -
KEPEGAWAIAN/VIII/2020
18 Agustus 2020 Umpeg Kertas HVS A4 70gr Bola Dunia 80 Rim Rp 48,400 3,872,000.00 18 Agustus 2020 80 Rim Rp 48,400 Rp 3,872,000.00 0 Rim Rp 48,400 Rp -
18 Agustus 2020 Umpeg Kertas HVS F4 80gr Bola Dunia 50 Rim Rp 51,700 2,585,000.00 18 Agustus 2020 50 Rim Rp 51,700 Rp 2,585,000.00 0 Rim Rp 51,700 Rp -
18 Agustus 2020 Umpeg Kertas HVS A4 80gr Bola Dunia 90 Rim Rp 53,900 4,851,000.00 18 Agustus 2020 80 Rim Rp 53,900 Rp 4,312,000.00 10 Rim Rp 53,900 Rp 539,000
18 Agustus 2020 Umpeg Kertas Cont. Form 14 7/8x11 4ply Tricom 15 Box Rp 528,000 7,920,000.00 18 Agustus 2020 15 Box Rp 528,000 Rp 7,920,000.00 0 Box Rp 528,000 Rp -
18 Agustus 2020 Umpeg Amplop Putih 110 Paper Line 100 Pak Rp 27,500 2,750,000.00 18 Agustus 2020 36 Pak Rp 27,500 Rp 990,000.00 64 Pak Rp 27,500 Rp 1,760,000
18 Agustus 2020 Umpeg Amplop Putih 90 Paper Line 50 Pak Rp 31,900 1,595,000.00 18 Agustus 2020 30 Pak Rp 31,900 Rp 957,000.00 20 Pak Rp 31,900 Rp 638,000
18 Agustus 2020 Umpeg Ballpoint Standart AE7 30 Lusin Rp 33,000 990,000.00 18 Agustus 2020 30 Lusin Rp 33,000 Rp 990,000.00 0 Lusin Rp 33,000 Rp -
18 Agustus 2020 Umpeg Ballpoint Boldliner Boliner Standart 3 Lusin Rp 275,000 825,000.00 18 Agustus 2020 3 Lusin Rp 275,000 Rp 825,000.00 0 Lusin Rp 275,000 Rp -
18 Agustus 2020 Umpeg Spidol White Board Snowman 20 Pcs Rp 9,900 198,000.00 18 Agustus 2020 20 Pcs Rp 9,900 Rp 198,000.00 0 Pcs Rp 9,900 Rp -
18 Agustus 2020 Umpeg Spidol Marker Permanet Snowman 50 Pcs Rp 8,800 440,000.00 18 Agustus 2020 50 Pcs Rp 8,800 Rp 440,000.00 0 Pcs Rp 8,800 Rp -
18 Agustus 2020 Umpeg Paper Klip No. 5 Joyko 50 Kotak Rp 5,500 275,000.00 18 Agustus 2020 0 Kotak Rp 5,500 Rp - 50 Kotak Rp 5,500 Rp 275,000
18 Agustus 2020 Umpeg Binder Klip No. 260 Joyko 45 Kotak Rp 26,400 1,188,000.00 18 Agustus 2020 30 Kotak Rp 26,400 Rp 792,000.00 15 Kotak Rp 26,400 Rp 396,000
18 Agustus 2020 Umpeg Map Kertas Biasa Tricom 30 Pak Rp 96,800 2,904,000.00 18 Agustus 2020 30 Pak Rp 96,800 Rp 2,904,000.00 0 Pak Rp 96,800 Rp -
18 Agustus 2020 Umpeg Solasi Kecil Nanko 20 Roll Rp 4,400 88,000.00 18 Agustus 2020 0 Roll Rp 4,400 Rp - 20 Roll Rp 4,400 Rp 88,000
18 Agustus 2020 Umpeg Lakban Bening 2" Nanko 20 Roll Rp 14,300 286,000.00 18 Agustus 2020 6 Roll Rp 14,300 Rp 85,800.00 14 Roll Rp 14,300 Rp 200,200
18 Agustus 2020 Umpeg Lakban Hitam 2"Nanko 30 Roll Rp 24,200 726,000.00 18 Agustus 2020 15 Roll Rp 24,200 Rp 363,000.00 15 Roll Rp 24,200 Rp 363,000
18 Agustus 2020 Umpeg Lem Stik 25gr Joyko 100 Pcs Rp 9,900 990,000.00 18 Agustus 2020 85 Pcs Rp 9,900 Rp 841,500.00 15 Pcs Rp 9,900 Rp 148,500
18 Agustus 2020 Umpeg Tip X Roll 5mmx12m Joyko 50 Pcs Rp 9,900 495,000.00 18 Agustus 2020 50 Pcs Rp 9,900 Rp 495,000.00 0 Pcs Rp 9,900 Rp -
18 Agustus 2020 Umpeg StaflerNo. 10 Max 35 Pcs Rp 22,000 770,000.00 18 Agustus 2020 35 Pcs Rp 22,000 Rp 770,000.00 0 Pcs Rp 22,000 Rp -
18 Agustus 2020 Umpeg Isi Stafler No. 10 Max 50 Pack Rp 73,700 3,685,000.00 18 Agustus 2020 13 Pack Rp 73,700 Rp 958,100.00 37 Pack Rp 73,700 Rp 2,726,900
18 Agustus 2020 Umpeg Penghapus White Board GM 10 Pcs Rp 9,900 99,000.00 18 Agustus 2020 0 Pcs Rp 9,900 Rp - 10 Pcs Rp 9,900 Rp 99,000
18 Agustus 2020 Umpeg Post It Notes Warna Pronto 20 Pcs Rp 13,200 264,000.00 18 Agustus 2020 13 Pcs Rp 13,200 Rp 171,600.00 7 Pcs Rp 13,200 Rp 92,400
18 Agustus 2020 Umpeg Zipper Bag Folio Retseleting Standart 100 Pcs Rp 21,600 2,160,000.00 18 Agustus 2020 18 Pcs Rp 21,600 Rp 388,800.00 82 Pcs Rp 21,600 Rp 1,771,200
18 Agustus 2020 Umpeg Bussinnes File Folder One 100 Pcs Rp 4,400 440,000.00 18 Agustus 2020 24 Pcs Rp 4,400 Rp 105,600.00 76 Pcs Rp 4,400 Rp 334,400
18 Agustus 2020 Umpeg Pensil Faber Castel 2B Faber Castel 50 Lusin Rp 71,500 3,575,000.00 18 Agustus 2020 14 Lusin Rp 71,500 Rp 1,001,000.00 36 Lusin Rp 71,500 Rp 2,574,000
18 Agustus 2020 Umpeg Map Bening F4 Folder One 100 Lusin Rp 28,600 2,860,000.00 18 Agustus 2020 86 Lusin Rp 28,600 Rp 2,459,600.00 14 Lusin Rp 28,600 Rp 400,400
18 Agustus 2020 Umpeg Box File F4 Bandex 100 Pcs Rp 42,900 4,290,000.00 18 Agustus 2020 87 Pcs Rp 42,900 Rp 3,732,300.00 13 Pcs Rp 42,900 Rp 557,700
18 Agustus 2020 Umpeg Clear Holder 40 Lembar F4 Felix 80 Pcs Rp 38,500 3,080,000.00 18 Agustus 2020 80 Pcs Rp 38,500 Rp 3,080,000.00 0 Pcs Rp 38,500 Rp -
18 Agustus 2020 Umpeg Post It Plastik Combo 150 Pcs Rp 13,200 1,980,000.00 18 Agustus 2020 135 Pcs Rp 13,200 Rp 1,782,000.00 15 Pcs Rp 13,200 Rp 198,000
18 Agustus 2020 Umpeg Odner Besar Bindex Folio Bindex 50 Pcs Rp 40,700 2,035,000.00 18 Agustus 2020 39 Pcs Rp 40,700 Rp 1,587,300.00 11 Pcs Rp 40,700 Rp 447,700
18 Agustus 2020 Umpeg Ribbon Printer Epson DFX 9000 Epson 5 Buah Rp 418,000 2,090,000.00 18 Agustus 2020 5 Buah Rp 418,000 Rp 2,090,000.00 0 Buah Rp 418,000 Rp -
Page 3 of 288
18 Agustus 2020 Umpeg Ribbon Printer Epson LQ/LX 310Epson 10 Buah Rp 91,200 912,000.00 18 Agustus 2020 0 Buah Rp 91,200 Rp - 10 Buah Rp 91,200 Rp 912,000
18 Agustus 2020 Umpeg Catried HP 680 Black HP 5 Buah Rp 180,000 900,000.00 18 Agustus 2020 0 Buah Rp 180,000 Rp - 5 Buah Rp 180,000 Rp 900,000
18 Agustus 2020 Umpeg Catried HP 680 Colour HP 5 Buah Rp 172,800 864,000.00 18 Agustus 2020 0 Buah Rp 172,800 Rp - 5 Buah Rp 172,800 Rp 864,000
18 Agustus 2020 Umpeg Catried Canon PG-811 Canon 3 Buah Rp 324,500 973,500.00 18 Agustus 2020 0 Buah Rp 324,500 Rp - 3 Buah Rp 324,500 Rp 973,500
18 Agustus 2020 Umpeg Catried Canon PG-810 Canon 3 Buah Rp 315,600 946,800.00 18 Agustus 2020 0 Buah Rp 315,600 Rp - 3 Buah Rp 315,600 Rp 946,800

18 September 2021 Umpeg Reffil Tinta Toner HP CE 278/35A 5 Buah Rp 295,000 1,475,000.00 18 September 2021 5 Buah Rp 295,000 Rp 1,475,000.00 0 Buah Rp 295,000 Rp -
KEPEGAWAIAN/X/2020
18 September 2021 Umpeg Reffil Tinta Toner HP CF283A 5 Buah Rp 319,000 1,595,000.00 18 September 2021 5 Buah Rp 319,000 Rp 1,595,000.00 0 Buah Rp 319,000 Rp -
18 September 2021 Umpeg Reffil Toner HP CF283A 1 Buah Rp 319,000 319,000.00 18 September 2021 1 Buah Rp 319,000 Rp 319,000.00 0 Buah Rp 319,000 Rp -
18 September 2021 Umpeg Tinta Epson t664 (C) 2 Buah Rp 94,500 189,000.00 18 September 2021 2 Buah Rp 94,500 Rp 189,000.00 0 Buah Rp 94,500 Rp -
18 September 2021 Umpeg Tinta Epson t664 (M) 2 Buah Rp 94,500 189,000.00 18 September 2021 2 Buah Rp 94,500 Rp 189,000.00 0 Buah Rp 94,500 Rp -
18 September 2021 Umpeg Tinta Epson t664 (Y) 2 Buah Rp 94,500 189,000.00 18 September 2021 2 Buah Rp 94,500 Rp 189,000.00 0 Buah Rp 94,500 Rp -
18 September 2021 Umpeg Tinta Epson t664 (BK) 2 Buah Rp 94,500 189,000.00 18 September 2021 2 Buah Rp 94,500 Rp 189,000.00 0 Buah Rp 94,500 Rp -
18 September 2021 Umpeg Tinta Epson t664 (BK) 4 Buah Rp 94,500 378,000.00 18 September 2021 4 Buah Rp 94,500 Rp 378,000.00 0 Buah Rp 94,500 Rp -
18 September 2021 Umpeg Reffil Toner HP 48A (+Chip) 3 Buah Rp 306,800 920,400.00 18 September 2021 3 Buah Rp 306,800 Rp 920,400.00 0 Buah Rp 306,800 Rp -
18 September 2021 Umpeg Reffil Tinta Toner HP CE 278/35A 3 Buah Rp 295,000 885,000.00 18 September 2021 3 Buah Rp 295,000 Rp 885,000.00 0 Buah Rp 295,000 Rp -
18 September 2021 Umpeg Reffil Tinta Toner HP CF283A 3 Buah Rp 319,000 957,000.00 18 September 2021 3 Buah Rp 319,000 Rp 957,000.00 0 Buah Rp 319,000 Rp -
18 September 2021 Umpeg Reffil Toner HP 48A (+Chip) 3 Buah Rp 306,800 920,400.00 18 September 2021 3 Buah Rp 306,800 Rp 920,400.00 0 Buah Rp 306,800 Rp -

25 September 2020 Umpeg Reffil Reman Toner HP CE278/35A 8 Pcs Rp 295,000 2,360,000.00 25 September 2020 8 Pcs Rp 295,000 Rp 2,360,000.00 0 Pcs Rp 295,000 Rp -
KEPEGAWAIAN/IX/2020
25 September 2020 Umpeg Reffil Reman Toner HP CE283A 8 Pcs Rp 319,000 2,552,000.00 25 September 2020 8 Pcs Rp 319,000 Rp 2,552,000.00 0 Pcs Rp 319,000 Rp -
25 September 2020 Umpeg Reffil Reman Toner HP 48A (+Chip) 3 Pcs Rp 306,800 920,400.00 25 September 2020 3 Pcs Rp 306,800 Rp 920,400.00 0 Pcs Rp 306,800 Rp -
25 September 2020 Umpeg Reffil Reman Toner HP CE278/85A 5 Pcs Rp 295,000 1,475,000.00 25 September 2020 5 Pcs Rp 295,000 Rp 1,475,000.00 0 Pcs Rp 295,000 Rp -
25 September 2020 Umpeg Tinta Epson T664 (BK) 10 Pcs Rp 94,500 945,000.00 25 September 2020 10 Pcs Rp 94,500 Rp 945,000.00 0 Pcs Rp 94,500 Rp -

19 Oktober 2020 Umpeg Reffil Reman Toner HP CE278/35A 12 Rp 295,000 3,540,000.00 19 Oktober 2020 12 0 Rp 295,000 Rp 3,540,000.00 0 0 Rp 295,000 Rp -
KEPEGAWAIAN/IX/2020
19 Oktober 2020 Umpeg Reffil Reman Toner HP CE283A 5 Rp 319,000 1,595,000.00 19 Oktober 2020 5 0 Rp 319,000 Rp 1,595,000.00 0 0 Rp 319,000 Rp -
19 Oktober 2020 Umpeg Reffil Reman Toner HP 48A (+Chip) 8 Rp 319,000 2,552,000.00 19 Oktober 2020 8 0 Rp 319,000 Rp 2,552,000.00 0 0 Rp 319,000 Rp -
19 Oktober 2020 Umpeg Reffil Reman Toner HP CE283A 6 Rp 319,000 1,914,000.00 19 Oktober 2020 6 0 Rp 319,000 Rp 1,914,000.00 0 0 Rp 319,000 Rp -
19 Oktober 2020 Umpeg Tinta Epson T664 (BK) 11 Rp 94,500 1,039,500.00 19 Oktober 2020 11 0 Rp 94,500 Rp 1,039,500.00 0 0 Rp 94,500 Rp -
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 BK) 3 Rp 100,000 300,000.00 19 Oktober 2020 3 0 Rp 100,000 Rp 300,000.00 0 0 Rp 100,000 Rp -
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 C) 3 Rp 100,000 300,000.00 19 Oktober 2020 3 0 Rp 100,000 Rp 300,000.00 0 0 Rp 100,000 Rp -
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 M) 3 Rp 100,000 300,000.00 19 Oktober 2020 3 0 Rp 100,000 Rp 300,000.00 0 0 Rp 100,000 Rp -
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 Y) 3 Rp 100,000 300,000.00 19 Oktober 2020 3 0 Rp 100,000 Rp 300,000.00 0 0 Rp 100,000 Rp -

27 Oktober 2021 Umpeg Reffil /Reman Toner HP CE278/35A 10 Pcs Rp 295,000 2,950,000.00 ### 27 Oktober 2021 10 Pcs Rp 295,000 Rp 2,950,000.00 0 Pcs Rp 295,000 Rp -
KEPEGAWAIAN/III/2020
27 Oktober 2021 Umpeg Reffil /Reman Toner HP CE278/36A 11 Pcs Rp 295,000 3,245,000.00 ### 27 Oktober 2021 Staff 11 Pcs Rp 295,000 Rp 3,245,000.00 0 Pcs Rp 295,000 Rp -
27 Oktober 2021 Umpeg Reffil /Reman Toner HP CF283A 6 Pcs Rp 319,000 1,914,000.00 ### 27 Oktober 2021 6 Pcs Rp 319,000 Rp 1,914,000.00 0 Pcs Rp 319,000 Rp -
27 Oktober 2021 Umpeg Reffil /Reman Toner HP 48A (+Chip) 3 Pcs Rp 306,800 920,400.00 ### 27 Oktober 2021 3 Pcs Rp 306,800 Rp 920,400.00 0 Pcs Rp 306,800 Rp -
27 Oktober 2021 Umpeg Tinta Epson T664 (BK) 5 Pcs Rp 94,500 472,500.00 ### 27 Oktober 2021 5 Pcs Rp 94,500 Rp 472,500.00 0 Pcs Rp 94,500 Rp -
27 Oktober 2021 Umpeg Tinta Epson T664 (C) 5 Pcs Rp 94,500 472,500.00 ### 27 Oktober 2021 5 Pcs Rp 94,500 Rp 472,500.00 0 Pcs Rp 94,500 Rp -
27 Oktober 2021 Umpeg Tinta Epson T664 (M) 5 Pcs Rp 94,500 472,500.00 ### 27 Oktober 2021 5 Pcs Rp 94,500 Rp 472,500.00 0 Pcs Rp 94,500 Rp -
27 Oktober 2021 Umpeg Tinta Epson T664 (Y) 5 Pcs Rp 94,500 472,500.00 ### 27 Oktober 2021 5 Pcs Rp 94,500 Rp 472,500.00 0 Pcs Rp 94,500 Rp -
27 Oktober 2021 Umpeg Tinta Canon 790 (BK) 2 Pcs Rp 100,000 200,000.00 ### 27 Oktober 2021 2 Pcs Rp 100,000 Rp 200,000.00 0 Pcs Rp 100,000 Rp -
27 Oktober 2021 Umpeg Tinta Canon 790 (C) 2 Pcs Rp 100,000 200,000.00 ### 27 Oktober 2021 2 Pcs Rp 100,000 Rp 200,000.00 0 Pcs Rp 100,000 Rp -
27 Oktober 2021 Umpeg Tinta Canon 790 (M) 2 Pcs Rp 100,000 200,000.00 ### 27 Oktober 2021 2 Pcs Rp 100,000 Rp 200,000.00 0 Pcs Rp 100,000 Rp -
27 Oktober 2021 Umpeg Tinta Canon 790 (Y) 2 Pcs Rp 100,000 200,000.00 ### 27 Oktober 2021 2 Pcs Rp 100,000 Rp 200,000.00 0 Pcs Rp 100,000 Rp -
Page 4 of 288
Umpeg Belanja Alat Tulis Kantor 1 Paket Rp 13,969,000 13,969,000.00 ### 30 Desember 1899 1 Paket Rp 13,969,000 Rp 13,969,000.00 0 Paket Rp 13,969,000 Rp -
23/11/20 Pjkm Kertas F4 5 Rim 250,000.00 ### 23 November 2020 5 Rim Rp 50,000 Rp 250,000.00 0 Rim Rp 50,000 Rp -
50,000
Pjkm Kertas A4 5 Rim 250,000.00 ### 30 Desember 1899 5 Rim Rp 50,000 Rp 250,000.00 0 Rim Rp 50,000 Rp -
50,000
03 Februari 2020 Perencanaan Kertas HVS 2 rim 108,000.00 944/APBD/SEKSI PEP/II/2020 03 Februari 2020 03 Februari 2020 2 rim Rp 54,000 Rp 108,000.00 0 rim Rp 54,000 Rp -
54,000
10 Februari 2020 Perencanaan Refill Tinta 1 kali 345,000.00 10 Februari 2020 10 Februari 2020 1 kali Rp 345,000 Rp 345,000.00 0 kali Rp 345,000 Rp -
345,000
947/APBD/SEKSI PEP/II/2020
Perencanaan Kertas HVS 3 rim 162,000.00 ### 30 Desember 1899 3 rim Rp 54,000 Rp 162,000.00 0 rim Rp 54,000 Rp -
54,000
11 Februari 2020 Perencanaan Kertas HVS 5 rim 270,000.00 948/APBD/SEKSI APBD/II/2020 11 Februari 2020 11 Februari 2020 5 rim Rp 54,000 Rp 270,000.00 0 rim Rp 54,000 Rp -
54,000
20 Februari 2020 Perencanaan Refill Tinta 1 kali 345,000.00 20 Februari 2020 20 Februari 2020 1 kali Rp 345,000 Rp 345,000.00 0 kali Rp 345,000 Rp -
345,000
949/APBD/SEKSI APBD/II/2020
54,000
05 Maret 2020 Perencanaan Kertas HVS 2 rim 108,000.00 05 Maret 2020 05 Maret 2020 2 rim Rp 54,000 Rp 108,000.00 0 rim Rp 54,000 Rp -
54,000
946/APBD/ SEKSI PEP/II/2020
Perencanaan Tinta Warna 1 buah 265,000.00 ### 30 Desember 1899 1 buah Rp 265,000 Rp 265,000.00 0 buah Rp 265,000 Rp -
265,000
06 Maret 2020 Perencanaan Kertas HVS 2 rim 108,000.00 06 Maret 2020 06 Maret 2020 2 rim Rp 54,000 Rp 108,000.00 0 rim Rp 54,000 Rp -
54,000
Perencanaan Tinta Warna 1 buah 265,000.00 ### 30 Desember 1899 1 buah Rp 265,000 Rp 265,000.00 0 buah Rp 265,000 Rp -
265,000
11 Maret 2020 Perencanaan Refill Tinta 1 kali 345,000.00 11 Maret 2020 11 Maret 2020 1 kali Rp 345,000 Rp 345,000.00 0 kali Rp 345,000 Rp -
345,000
54,000
17 Maret 2020 Perencanaan Kertas HVS 3 rim 162,000.00 952/APBD/SEKSI PEP/II/2020 17 Maret 2020 17 Maret 2020 3 rim Rp 54,000 Rp 162,000.00 0 rim Rp 54,000 Rp -
54,000
### Perencanaan Refill Tinta 1 kali 345,000.00 ### 05 November 2020 1 kali Rp 345,000 Rp 345,000.00 0 kali Rp 345,000 Rp -
345,000
54,000
### Perencanaan Refill Toner 1 kali 345,000.00 Friday, November 06, 2020 06 November 2020 1 kali Rp 345,000 Rp 345,000.00 0 kali Rp 345,000 Rp -
345,000
1381/APBD/SEKSI PEP/ II/2020
54,000
### Perencanaan Refill Tinta 1 kali 345,000.00 Friday, November 06, 2020 06 November 2020 1 kali Rp 345,000 Rp 345,000.00 0 kali Rp 345,000 Rp -
345,000
54,000
16 November 2020 Perencanaan Cartridge Toner 2 kali Rp 345,000 690,000.00 1440/APBD/SEKSI PEP/ II/2020 ### 16 November 2020 2 kali Rp 345,000 Rp 690,000.00 0 kali Rp 345,000 Rp -
03/12/20 SDMK Pulpen 1 Box 57,500.00 ### 03 Desember 2020 1 Box Rp 57,500 Rp 57,500.00 0 Box Rp 57,500 Rp -
57,500
Umpeg Belanja Alat Tulis Kantor 1 Paket 3,502,500.00 ### 30 Desember 1899 1 Paket Rp 3,502,500 Rp 3,502,500.00 0 Paket Rp 3,502,500 Rp -
3,502,500
03/12/20 SDMK Map Plastikk Kancing 2 Pak 140,000.00 ### 03 Desember 2020 2 Pak Rp 70,000 Rp 140,000.00 0 Pak Rp 70,000 Rp -
70,000
1559/APBD/SUB BAGIAN
25/11/21 Umpeg Kertas HVS F4 70gr Merk Bola Dunia 1250 Rim 50,039 62,548,750.00 UMUM DAN ### 25 November 2021 80 Rim Rp 50,039 Rp 4,003,120.00 1170 Rim Rp 50,039 Rp 58,545,630
KEPEGAWAIAN/XII/2020
25/11/21 Umpeg Kertas HVS A4 70gr Merk Bola Dunia 112 Rim 44,000 4,928,000.00 ### 25 November 2021 0 Rim Rp 44,000 Rp - 112 Rim Rp 44,000 Rp 4,928,000
25/11/21 Umpeg Kertas HVS F4 80gr Merk Bola Dunia 100 Rim 56,595 5,659,500.00 ### 25 November 2021 0 Rim Rp 56,595 Rp - 100 Rim Rp 56,595 Rp 5,659,500
25/11/21 Umpeg Kertas HVS A4 80gr Merk Bola Dunia 100 Rim 49,731 4,973,100.00 ### 25 November 2021 0 Rim Rp 49,731 Rp - 100 Rim Rp 49,731 Rp 4,973,100
25/11/21 Umpeg Toner HP Laser Jet 201A 1 Set (9 Black, Cyan, Yellow, Magenta Orginal) 3 Set 5,818,230 17,454,690.00 ### 25 November 2021 0 Set Rp 5,818,230 Rp - 3 Set Rp 5,818,230 Rp 17,454,690
16/11/21 Umpeg 50,000,000.00 ### 16 November 2021 1,000 Rim Rp 50,000 Rp 50,000,000.00 0 Rim Rp 50,000 Rp -
Kertas HVS F4 70gr 1000 Rim 50,000
16/11/21 Umpeg 2,970,000.00 ### 16 November 2021 66 Rim Rp 45,000 Rp 2,970,000.00 0 Rim Rp 45,000 Rp -
Kertas HVS A4 70gr 66 Rim 45,000
16/11/21 Umpeg 1,400,000.00 ### 16 November 2021 40 Pak Rp 35,000 Rp 1,400,000.00 0 Pak Rp 35,000 Rp -
Amplop putih no. 110 40 Pak 35,000
16/11/21 Umpeg 940,000.00 ### 16 November 2021 20 Lusin Rp 47,000 Rp 940,000.00 0 Lusin Rp 47,000 Rp -
Ballpoint 20 Lusin 47,000
16/11/21 Umpeg 600,000.00 ### 16 November 2021 2 Lusin Rp 300,000 Rp 600,000.00 0 Lusin Rp 300,000 Rp -
Ballpoint Bold Liner 2 Lusin 300,000
16/11/21 Umpeg 90,000.00 ### 16 November 2021 10 Pcs Rp 9,000 Rp 90,000.00 0 Pcs Rp 9,000 Rp -
Spidol White Board 10 Pcs 9,000
Spidol Marker Permanen 10 Pcs 13,500
Stabillo ( Highliner ) 20 Pcs 5,000
Penghapus White Board 10 Pcs 22,600
Page 5 of 288
16/11/21 Umpeg 160,000.00 ### 16 November 2021 80 Kotak Rp 2,000 Rp 160,000.00 0 Kotak Rp 2,000 Rp -
Trigonal Clip No.3 80 Kotak 2,000
Paper Klip No. 5 50 Kotak 6,600
Binder Klip No. 105 50 Kotak 5,600
16/11/21 Umpeg 1,430,000.00 ### 16 November 2021 50 Kotak Rp 28,600 Rp 1,430,000.00 0 Kotak Rp 28,600 Rp -
16/11/21 Umpeg 120,000.00 ### 16 November 2021 10 Buah Rp 12,000 Rp 120,000.00 0 Buah Rp 12,000 Rp -
Gunting 10 Buah 12,000
Cutter L500 20 Buah 12,000
Isi Cutter L500 24 Buah 10,000
Map Kertas Biasa 30 Pak 38,100
16/11/21 Umpeg 438,000.00 ### 16 November 2021 20 Roll Rp 21,900 Rp 438,000.00 0 Roll Rp 21,900 Rp -
Lakban Bening 2' 20 Roll 21,900
16/11/21 Umpeg 564,000.00 ### 16 November 2021 20 Roll Rp 28,200 Rp 564,000.00 0 Roll Rp 28,200 Rp -
Lakban Hitam 2' 20 Roll 28,200
Lem Stick 25 gr Merk Kenko 30 Pcs 15,300
Tip ex roll 5 mm x 12 mm 30 Pcs 10,000
Stapler HD-10 MAX 20 Pcs 29,800
16/11/21 Umpeg 120,000.00 ### 16 November 2021 20 Pak Rp 6,000 Rp 120,000.00 0 Pak Rp 6,000 Rp -
Isi Stapler No. 10 20 Pak 6,000
Sticky Notes Post It (Warna) 40 Pcs 21,600
16/11/21 Umpeg 3,816,000.00 ### 16 November 2021 120 Pcs Rp 31,800 Rp 3,816,000.00 0 Pcs Rp 31,800 Rp -
Post it Plastik Sign Here 120 Pcs 31,800
Zipper Bag Folio Resleting 100 Pcs 30,400
Map Business File 100 Pcs 6,800
16/11/21 Umpeg 4,500,000.00 ### 16 November 2021 100 Lusin Rp 45,000 Rp 4,500,000.00 0 Lusin Rp 45,000 Rp -
Map Bening F4 100 Lusin 45,000
Box File F4 bantex 84 Pcs 45,000
Clear Holder 40 Lembar F4 80 Pcs 64,100
Ordner Besar Bantex Folio 60 Pcs 46,300
16/11/21 Umpeg 2,752,000.00 ### 16 November 2021 40 Lusin Rp 68,800 Rp 2,752,000.00 0 Lusin Rp 68,800 Rp -
Pensil Faber Castle 2B 40 Lusin 68,800
Penghapus Pensil 2B 60 Buah 4,300
Rautan Pensil/ Pencil Sharpener Joyko A-5M 10 Buah 68,500
JUMLAH BELANJA ALAT TULIS KANTOR Rp 395,511,440.00 OK Rp 285,744,820.00 Rp 109,766,620.00
BELANJA ALAT LISTRIK (5.2.2.01.03)
27 Oktober 2021 Umpeg Kabel Roll (15 m Uticion CR-2815) 70 Buah 250,000.00 17,500,000.00 ### 10/27/2021 Kegiatan 70 Buah Rp 250,000 Rp 17,500,000.00 0 Buah Rp 44,496 Rp -
27 Oktober 2021 Umpeg Lampu Philips Tornado 20w E27 170 65,000.00 11,050,000.00 ### 10/27/2021 Kegiatan 170 0 Rp 65,000 Rp 11,050,000.00 0 0 Rp 44,496 Rp -
KEPEGAWAIAN/X/2020
27 Oktober 2021 Umpeg Batterty A2 (ABS Alkaline) 20 90,000.00 1,800,000.00 ### 10/27/2021 Kegiatan 20 0 Rp 90,000 Rp 1,800,000.00 0 0 Rp 44,496 Rp -
27 Oktober 2021 Umpeg Batterty A3 (ABS Alkaline) 60 90,000.00 5,400,000.00 ### 10/27/2021 Kegiatan 60 0 Rp 90,000 Rp 5,400,000.00 0 0 Rp 44,496 Rp -

05 November 2021 Umpeg Kabel roll (5m Uticon CR-2815) 20 Buah 250,000.00 5,000,000.00 Friday, November 05, 2021 11/5/2021 Kegiatan 20 Buah Rp 250,000 Rp 5,000,000.00 0 Buah Rp 44,505 Rp -
KEPEGAWAIAN/XI/2020
Umpeg Belanja Alat Listrik 1 Paket 18,560,000.00 18,560,000.00 Kegiatan 1 Paket Rp 18,560,000 Rp 18,560,000.00 0 Paket Rp - Rp -
JUMLAH BELANJA ALAT LISTRIK Rp 59,310,000.00 ok Rp 59,310,000.00 Rp -
BELANJA PERANGKO, MATERAI DAN BENDA POS LAINNYA

(5.2.2.01.04)
06 Februari 2020 Umpeg Materai 3000 475 Pcs 3,000.00 1,425,000.00 ### 06 Februari 2020 Kegiatan 475 Pcs Rp 3,000 Rp 1,425,000 0 Pcs 3,000.00 Rp -
KEPEGAWAIAN/II/2020
06 Februari 2020 Umpeg Materai 6000 4900 Pcs 6,000.00 29,400,000.00 ### 06 Februari 2020 Kegiatan 4,900 Pcs Rp 6,000 Rp 29,400,000 0 Pcs 6,000.00 Rp -
Page 6 of 288
19 Agustus 2020 Umpeg Materai 3000 475 Pcs 3,000.00 1,425,000.00 ### 19 Agustus 2020 Kegiatan 475 Pcs Rp 3,000 Rp 1,425,000 0 Pcs 3,000.00 Rp -
19 Agustus 2020 Umpeg Materai 6000 4900 Pcs 6,000.00 29,400,000.00 ### 19 Agustus 2020 Kegiatan 4,900 Pcs Rp 6,000 Rp 29,400,000 0 Pcs 6,000.00 Rp -
JUMLAH BELANJA PERANGKO, MATERAI DAN BENDA POS LAINNYA Rp 61,650,000.00 ok Rp 61,650,000.00 Rp -
BELANJA BAHAN PEMBERSIH (5.2.2.01.05)
28 Januari 2020 Umpeg Tisu Toilet Nice 250 Pack 36,960.00 9,240,000 Tuesday, January 28, 2020 28 Januari 2020 200 Pack Rp 36,960 Rp 7,392,000 50 Pack 36,960.00 Rp 1,848,000
28 Januari 2020 Umpeg Tempat Tisu Stainless 30 Buah 124,300.00 3,729,000 Tuesday, January 28, 2020 28 Januari 2020 30 Buah Rp 124,300 Rp 3,729,000 0 Buah 124,300.00 Rp -
28 Januari 2020 Umpeg Facial Tisue Tessa 150 Pack 20,900.00 3,135,000 Tuesday, January 28, 2020 28 Januari 2020 150 Pack Rp 20,900 Rp 3,135,000 0 Pack 20,900.00 Rp -
28 Januari 2020 Umpeg Reffil Pengharum Ruangan Calmic 200 Botol 41,800.00 8,360,000 Tuesday, January 28, 2020 28 Januari 2020 179 Botol Rp 41,800 Rp 7,482,200 21 Botol 41,800.00 Rp 877,800
28 Januari 2020 Umpeg Cairan Pel 100 Pcs 12,870.00 1,287,000 Tuesday, January 28, 2020 28 Januari 2020 100 Pcs Rp 12,870 Rp 1,287,000 0 Pcs 12,870.00 Rp -
28 Januari 2020 Umpeg Prostek 100 Botol 20,790.00 2,079,000 Tuesday, January 28, 2020 28 Januari 2020 76 Botol Rp 20,790 Rp 1,580,040 24 Botol 20,790.00 Rp 498,960
28 Januari 2020 Umpeg Deterjen Rinso 20 Bngks 22,880.00 457,600 Tuesday, January 28, 2020 28 Januari 2020 20 Bngks Rp 22,880 Rp 457,600 0 Bngks 22,880.00 Rp -
28 Januari 2020 Umpeg Sabung Cuci Tangan Sunlight 50 Bngks 17,930.00 896,500 Tuesday, January 28, 2020 28 Januari 2020 50 Bngks Rp 17,930 Rp 896,500 0 Bngks 17,930.00 Rp -
28 Januari 2020 Umpeg Kanebo 20 Buah 46,200.00 924,000 Tuesday, January 28, 2020 28 Januari 2020 20 Buah Rp 46,200 Rp 924,000 0 Buah 46,200.00 Rp -
28 Januari 2020 Umpeg Kamper Gantung 200 Pcs 13,750.00 2,750,000 375/APBD/SUB BAGIAN UMUM DAN Tuesday, January 28, 2020 28 Januari 2020 200 Pcs Rp 13,750 Rp 2,750,000 0 Pcs 13,750.00 Rp -
KEPEGAWAIAN/II/2020
28 Januari 2020 Umpeg Kantong Sampah Extra Besar 100x120cm 200 Pack 39,600.00 7,920,000 Tuesday, January 28, 2020 28 Januari 2020 200 Pack Rp 39,600 Rp 7,920,000 0 Pack 39,600.00 Rp -
28 Januari 2020 Umpeg Reffil Hand Soap 4-5 Lt 50 Derigen 50,600.00 2,530,000 Tuesday, January 28, 2020 28 Januari 2020 50 Derigen Rp 50,600 Rp 2,530,000 0 Derigen 50,600.00 Rp -
28 Januari 2020 Umpeg Anti Nyamuk 50 Kaleng 44,330.00 2,216,500 Tuesday, January 28, 2020 28 Januari 2020 50 Kaleng Rp 44,330 Rp 2,216,500 0 Kaleng 44,330.00 Rp -
28 Januari 2020 Umpeg Sabun Cuci 5 Dus 62,700.00 313,500 Tuesday, January 28, 2020 28 Januari 2020 5 Dus Rp 62,700 Rp 313,500 0 Dus 62,700.00 Rp -
28 Januari 2020 Umpeg Keset Bahan 20 Buah 74,800.00 1,496,000 Tuesday, January 28, 2020 28 Januari 2020 20 Buah Rp 74,800 Rp 1,496,000 0 Buah 74,800.00 Rp -
28 Januari 2020 Umpeg Lap Kotak Kotak 100 Pcs 7,590.00 759,000 Tuesday, January 28, 2020 28 Januari 2020 100 Pcs Rp 7,590 Rp 759,000 0 Pcs 7,590.00 Rp -
28 Januari 2020 Umpeg Spoon Cuci Piring 6 Buah 3,850.00 23,100 Tuesday, January 28, 2020 28 Januari 2020 6 Buah Rp 3,850 Rp 23,100 0 Buah 3,850.00 Rp -
28 Januari 2020 Umpeg Serokan Air 8 Pcs 64,900.00 519,200 Tuesday, January 28, 2020 28 Januari 2020 8 Pcs Rp 64,900 Rp 519,200 0 Pcs 64,900.00 Rp -
Alat Kebersihan 1 Paket 49,994,000.00 49,994,000 1 Paket Rp 49,994,000 Rp 49,994,000 0 Pcs 64,901.00 Rp -
27 Oktober 2021 Umpeg Paseo Elegent Toilet Roll Tisue isi 12 rol x 300's 80 Pack 85,000.00 6,800,000 ### 27 Oktober 2021 0 Pack Rp 85,000 Rp - 80 Pcs 64,900.00 Rp 6,800,000
27 Oktober 2021 Umpeg Tessa Facial Tisue 260 Pcs 80 Kotak 25,500.00 2,040,000 ### 27 Oktober 2021 49 Kotak Rp 25,500 Rp 1,249,500 31 Pcs 64,900.00 Rp 790,500
27 Oktober 2021 Umpeg Klin Pack Kantong Sampah Extra Besar 100X120cm 300 Pack 48,500.00 14,550,000 ### 27 Oktober 2021 62 Pack Rp 48,500 Rp 3,007,000 238 Pcs 64,900.00 Rp 11,543,000
27 Oktober 2021 Umpeg Soklin Lantai 4Lt 30 Drigen 72,000.00 2,160,000 ### 27 Oktober 2021 27 Drigen Rp 72,000 Rp 1,944,000 3 Pcs 64,900.00 Rp 216,000
27 Oktober 2021 Umpeg Pembersih Keramik Porslen Prostek 1Lt 80 Botol 27,000.00 2,160,000 ### 27 Oktober 2021 0 Botol Rp 27,000 Rp - 80 Pcs 64,900.00 Rp 2,160,000
27 Oktober 2021 Umpeg Kamper Gantung Dahlia 80gr 80 Pcs 19,500.00 1,560,000 ### 27 Oktober 2021 25 Pcs Rp 19,500 Rp 487,500 55 Pcs 64,900.00 Rp 1,072,500
27 Oktober 2021 Umpeg Sunlight Botol 750ml 30 Botol 32,000.00 960,000 ### 27 Oktober 2021 30 Botol Rp 32,000 Rp 960,000 0 Pcs 64,900.00 Rp -
27 Oktober 2021 Umpeg Reffil Pengharum Ruangan 50 Botol 42,000.00 2,100,000 ### 27 Oktober 2021 2 Botol Rp 42,000 Rp 84,000 48 Pcs 64,900.00 Rp 2,016,000
27 Oktober 2021 Umpeg Deterjen Rinso Bubuk Anti Noda 770gr 20 Bungkus 35,000.00 700,000 ### 27 Oktober 2021 12 Bungkus Rp 35,000 Rp 420,000 8 Pcs 64,900.00 Rp 280,000
27 Oktober 2021 Umpeg Handsoap Sabun Cuci Tangan Drigen 5Lt 30 Drigen 75,000.00 2,250,000 ### 27 Oktober 2021 1 Drigen Rp 75,000 Rp 75,000 29 Pcs 64,900.00 Rp 2,175,000
27 Oktober 2021 Umpeg Sabun Colek Ekonomi 500k (1 Dus isi 30 Pcs) 6 Dus 82,000.00 492,000 ### 27 Oktober 2021 1 Dus Rp 82,000 Rp 82,000 5 Pcs 64,900.00 Rp 410,000
KEPEGAWAIAN/IX/2020
27 Oktober 2021 Umpeg Cairan Pembersih Kaca Clink Wings 400ml 40 Botol 24,000.00 960,000 ### 27 Oktober 2021 0 Botol Rp 24,000 Rp - 40 Pcs 64,900.00 Rp 960,000
27 Oktober 2021 Umpeg Super Mop Bolde M-169 X Plus 14 Buah 250,000.00 3,500,000 ### 27 Oktober 2021 7 Buah Rp 250,000 Rp 1,750,000 7 Pcs 64,900.00 Rp 1,750,000
27 Oktober 2021 Umpeg Sikat Closet 14 Buah 50,000.00 700,000 ### 27 Oktober 2021 11 Buah Rp 50,000 Rp 550,000 3 Pcs 64,900.00 Rp 150,000
27 Oktober 2021 Umpeg Sikat Kamar Mandi Gagang Panjang 14 Buah 80,000.00 1,120,000 ### 27 Oktober 2021 0 Buah Rp 80,000 Rp - 14 Pcs 64,900.00 Rp 1,120,000
27 Oktober 2021 Umpeg Sapu Ijuk 14 Buah 60,000.00 840,000 ### 27 Oktober 2021 8 Buah Rp 60,000 Rp 480,000 6 Pcs 64,900.00 Rp 360,000
27 Oktober 2021 Umpeg Sapu Lidi 14 Buah 60,000.00 840,000 ### 27 Oktober 2021 1 Buah Rp 60,000 Rp 60,000 13 Pcs 64,900.00 Rp 780,000
27 Oktober 2021 Umpeg Pengki Sigma Lion Star 14 Buah 60,000.00 840,000 ### 27 Oktober 2021 2 Buah Rp 60,000 Rp 120,000 12 Pcs 64,900.00 Rp 720,000
27 Oktober 2021 Umpeg Kemoceng 14 Buah 55,000.00 770,000 ### 27 Oktober 2021 9 Buah Rp 55,000 Rp 495,000 5 Pcs 64,900.00 Rp 275,000
27 Oktober 2021 Umpeg Lap Kotak Kotak 96 Pcs 7,500.00 720,000 ### 27 Oktober 2021 24 Pcs Rp 7,500 Rp 180,000 72 Pcs 64,900.00 Rp 540,000
27 Oktober 2021 Umpeg Anti Nyamuk Kaleng 48 Kaleng 44,500.00 2,136,000 ### 27 Oktober 2021 8 Kaleng Rp 44,500 Rp 356,000 40 Pcs 64,900.00 Rp 1,780,000
27 Oktober 2021 Umpeg Lap Kanebo Aion 20 Buah 90,000.00 1,800,000 ### 27 Oktober 2021 2 Buah Rp 90,000 Rp 180,000 18 Pcs 64,900.00 Rp 1,620,000
Page 7 of 288
JUMLAH BELANJA BAHAN PEMBERSIH Rp 148,627,400.00 ok Rp 107,884,640.00 Rp 40,742,760.00
Belanja Bahan Bakar Minyak/Gas (522.01.06)
14/02/2020 P2M Bahan Bakar Minyak/Gas 1 Paket Rp 3,926,500 Rp 3,926,500 14/02/2020 14/02/2020 14/02/2020 1 Paket Rp 3,926,500 Rp 3,926,500 0 Buah Rp 3,926,500 Rp -
JUMLAH BELANJA PENGISIAN APAR Rp 225,808,359.00 ok Rp 225,808,359.00 Rp -
BELANJA PENGISIAN APAR (522.01.07)
12 Agustus 2021 Umpeg Reffil Apar 50 Tabung Rp 350,000 Rp 17,500,000 Thursday, August 12, 2021 Thursday, August 12, 2021 12 Agustus 2021 50 Tabung Rp 350,000 Rp 17,500,000 0 Buah Rp 350,000 Rp -
BELANJA PENGISIAN TABUNG GAS (522.01.08)
16 November 2020 Rujukan Pengisian Tabung Gas 1 Paket Rp 3,600,000 Rp 3,600,000 Monday, November 16, 2020 ### 16 November 2020 1 Paket Rp 3,600,000 Rp 3,600,000 0 Buah Rp 3,600,000 Rp -
Belanja Barang Pakai Habis Medis (522.01.09)
26 Maret 2020 SIMPK Pot Urine 500 Buah Rp 1,949 Rp 974,500 310/APBD/SEKSI SIMPK/III/2020 Thursday, March 26, 2020 26 Maret 2020 Progm 500 Buah Rp 1,949 Rp 974,500 0 Buah Rp 1,949 Rp -
29 September 2020 SIMPK HGC Strip 500 Buah Rp 4,300 Rp 2,150,000 1100/APBD/SEKSI SIMPK/X/2020 ### 29 September 2020 Progm 500 Buah Rp 4,300 Rp 2,150,000 0 Test Rp 259,175 Rp -
24/03/20 P2PTM Humasen 2.0 Plus Glukose 610 Box 152,378,000.00 Tuesday, March 24, 2020 24 Maret 2020 Progm 610 Box Rp 249,800 Rp 152,378,000 0 Test Rp 259,175 Rp -
249,800
24/03/20 P2PTM ACCU CHECK Pro Uno 20 154 Box 20,020,000.00 Tuesday, March 24, 2020 24 Maret 2020 Progm 154 Box Rp 130,000 Rp 20,020,000 0 Test Rp 259,175 Rp -
130,000
24/03/20 P2PTM Akohol Swab Remidi 305 Box 3,751,500.00 Tuesday, March 24, 2020 24 Maret 2020 Progm 305 Box Rp 12,300 Rp 3,751,500 0 Test Rp 259,175 Rp -
12,300
24/03/20 P2PTM Stardec Nitrilie Examination Gloves-S 200 Box 12,540,000.00 Tuesday, March 24, 2020 24 Maret 2020 Progm 200 Box Rp 62,700 Rp 12,540,000 0 Test Rp 259,175 Rp -
62,700
24/03/20 P2PTM Stardec Nitrilie Examination Gloves-S 130 Box 8,151,000.00 Tuesday, March 24, 2020 24 Maret 2020 Progm 130 Box Rp 62,700 Rp 8,151,000 0 Test Rp 259,175 Rp -
62,700
Promkesjaor bahan medis habis pakai 1 Paket 9,330,000.00 ### 30 Desember 1899 Progm 1 Paket Rp 9,330,000 Rp 9,330,000 0 Test Rp 259,175 Rp -
9,330,000
Promkesjaor bahan medis habis pakai 1 Paket 60,653,900.00 ### 30 Desember 1899 Progm 1 Paket Rp 60,653,900 Rp 60,653,900 0 Test Rp 259,175 Rp -
60,653,900
1482/APBD/Seksi
06/11/20 Capp Micro Centrifuges tubes 2,0 ml 2 Pack Rp 7,115,900.00 Rp 14,231,800.00 Farmalkes/XI/2020
### 25 Juni 2020 020/……./SBBK/IV/2020
25 Juni 2020 Seksi P2P 2 Pack Rp7,115,900 Rp 14,231,800 0 Test Rp 259,175 Rp - -
1480/APBD/Seksi
16/11/20 K3E K3EDTA 234612 285 Box Rp 129,000.00 Rp 36,765,000.00 Farmalkes/XI/2020
### 19 Juni 2020 020/1361/SBBK/IV/2020
19 Juni 2020 Seksi PTM 285 Box Rp129,000 Rp 36,765,000 0 Test Rp 259,175 Rp - -
1480/APBD/Seksi
16/11/20 Z Serum Gel and Clot Activator 234303 520 Box Rp 182,000.00 Rp 94,640,000.00 Farmalkes/XI/2020
### 19 Juni 2020 020/1361/SBBK/IV/2020
19 Juni 2020 Seksi PTM 520 Box Rp182,000 Rp 94,640,000 0 Test Rp 259,175 Rp - -
678/APBD/Seksi
14/07/20 Medical Sample Container (Pot Uriner) 5000 Botol Rp 1,856.00 Rp 9,280,000.00 Farmalkes/XI/2020
Tuesday, July 14, 2020 25 Agustus 2020020/1359/SBBK/IV/2020
25 Agustus 2020 Seksi P2P 5000 Botol Rp1,856 Rp 9,280,000 0 Test Rp 259,175 Rp - -
1479/APBD/Seksi
16/11/20 Accu-Chek Safe T Pro Uno 400 Box Rp 130,000.00 Rp 52,000,000.00 Farmalkes/IX/2020
### 020/……../SBBK/IX/2020
11 September 2020 11 September 2020Seksi PTM 400 Box Rp130,000 Rp 52,000,000 0 Test Rp 259,175 Rp - -
1478/APBD/Seksi
13/11/20 Vacutainer Flashback Blood Collection Needle 35000 Pcs Rp 1,700.00 Rp 59,500,000.00 Farmalkes/IX/2020
### 020/……../SBBK/IX/2020
11 September 2020 11 September 2020Seksi PTM 35000 Pcs Rp1,700 Rp 59,500,000 0 Test Rp 259,175 Rp - -
1478/APBD/Seksi
Microtainer Tubes with K2E(K2EDTA) 8200 Pcs Rp 2,920.00 Rp 23,944,000.00 Farmalkes/IX/2020 ### 020/……../SBBK/IX/2020
1478/APBD/Seksi
Vacutainer PrecisionGlide Multiple Sample Needle 30000 Pcs Rp 1,287.00 Rp 38,610,000.00 Farmalkes/IX/2020
### 020/……../SBBK/IX/2020
Page 8 of 288
BD BBL Culture Swab Plus Amies withaout charcoal, single 1478/APBD/Seksi

50 Dus Rp 418,094.00 Rp 20,904,700.00 ### 06/11/20 UPT Farmasi 50 Dus Rp 418,094.00 Rp 20,904,700.00 0 Dus Rp 418,094.00 Rp -
applicator Farmalkes/IX/2020
1476/APBD/Seksi
3-Nov-20 Aquadest 131 Dirigen Rp 153,000.00 Rp 20,043,000.00 Farmalkes/XII/2020 ### 16/11/20 UPT Farmasi 131 Dirigen Rp 153,000.00 Rp 20,043,000.00 0 Dirigen Rp 153,000.00 Rp -
1476/APBD/Seksi
Cuvet Mindray BS-120 25 box Rp 1,974,500.00 Rp 49,362,500.00 Farmalkes/XII/2020
### UPT Farmasi 25 box Rp 1,974,500.00 Rp 49,362,500.00 0 box Rp 1,974,500.00 Rp -
1476/APBD/Seksi
CD-80 Detergent 2 L 20 Dirigen Rp 1,342,000.00 Rp 26,840,000.00 Farmalkes/XII/2020
### 14/07/20 UPT Farmasi 20 Dirigen Rp 1,342,000.00 Rp 26,840,000.00 0 Dirigen Rp 1,342,000.00 Rp -
1476/APBD/Seksi
Cuvet Cobas 22 Box Rp 2,857,800.00 Rp 62,871,600.00 Farmalkes/XII/2020 ### UPT Farmasi 22 Box Rp 2,857,800.00 Rp 62,871,600.00 0 Box Rp 2,857,800.00 Rp -
1476/APBD/Seksi
Integra Microcuvet 1 Box Rp 9,784,500.00 Rp 9,784,500.00 Farmalkes/XII/2020
### 13/11/20 UPT Farmasi 1 Box Rp 9,784,500.00 Rp 9,784,500.00 0 Box Rp 9,784,500.00 Rp -
1476/APBD/Seksi
Sample Cup 1 Box Rp 2,482,700.00 Rp 2,482,700.00 Farmalkes/XII/2020
### UPT Farmasi 1 Box Rp 2,482,700.00 Rp 2,482,700.00 0 Box Rp 2,482,700.00 Rp -
1476/APBD/Seksi
1 Pack Rp 726,000.00 Rp 726,000.00 Farmalkes/XII/2020
### UPT Farmasi 1 Pack Rp 726,000.00 Rp 726,000.00 0 Pack Rp 726,000.00 Rp -
Autoclave bag
1870/APBD/Seksi
14 Desember 2020 Rapid test Antigen 60 box Rp 3,272,500.00 Rp 196,350,000.00 Farmalkes/XII/2020 14 Desember 2020 UPT Farmasi 60 box Rp 3,272,500.00 Rp 196,350,000.00 0 box Rp 3,272,500.00 Rp -
### ANIOSGEL 85 500 ml 500 Botol Rp 82,000 Rp 41,000,000 ### UPT Farmasi 500 Botol Rp 82,000.00 Rp 41,000,000.00 0 Botol Rp 82,000.00 Rp -
DERMANIOS CHLORHEXIDINE 4% 500 ml 2,000 Botol Rp 104,000 Rp 208,000,000 ### 3-Nov-20 UPT Farmasi 2000 Botol Rp 104,000.00 Rp 208,000,000.00 0 Botol Rp 104,000.00 Rp -
IV CATHETER 20G X 1 1/2 INCH 3,000 Pcs Rp 5,480 Rp 16,440,000 ### UPT Farmasi 3000 Pcs Rp 5,480.00 Rp 16,440,000.00 0 Pcs Rp 5,480.00 Rp -
POLYWIN SAFETY SAFETY IV CANNULA 18G 1,000 Pcs Rp 11,660 Rp 11,660,000 ### UPT Farmasi 1000 Pcs Rp 11,660.00 Rp 11,660,000.00 0 Pcs Rp 11,660.00 Rp -
UNDERPAD 60X90 15,000 Pcs Rp 4,620 Rp 69,300,000 ### UPT Farmasi 15000 Pcs Rp 4,620.00 Rp 69,300,000.00 0 Pcs Rp 4,620.00 Rp -
DERMANIOS CHLORHEXIDINE 4% 500 ml 200 Botol Rp 104,000 Rp 20,800,000 ### UPT Farmasi 200 Botol Rp 104,000.00 Rp 20,800,000.00 0 Botol Rp 104,000.00 Rp -
ANIOSGEL 85 500 ml 1,800 Botol Rp 82,000 Rp 147,600,000 ### ### 020/6324225/SBBK/XI/2020### UPT Farmasi 1800 Botol Rp 82,000.00 Rp 147,600,000.00 0 Botol Rp 82,000.00 Rp -
ANIOSGEL 85 5 L 442 Galon Rp 500,000 Rp 221,000,000 ### UPT Farmasi 442 Galon Rp 500,000.00 Rp 221,000,000.00 0 Galon Rp 500,000.00 Rp -
SEMILAS Infusion SetY 5,000 Pcs Rp 5,800 Rp 29,000,000 ### UPT Farmasi 5000 Pcs Rp 5,800.00 Rp 29,000,000.00 0 Pcs Rp 5,800.00 Rp -
Nasal Oxygen Cannula- White Tubing, Adult 3,000 Pcs Rp 6,400 Rp 19,200,000 ### UPT Farmasi 3000 Pcs Rp 6,400.00 Rp 19,200,000.00 0 Pcs Rp 6,400.00 Rp -
Gammex Latex Powder Free Surgical Gloves 7,5 5,000 Pair Rp 11,000 Rp 55,000,000 ### UPT Farmasi 5000 Pair Rp 11,000.00 Rp 55,000,000.00 0 Pair Rp 11,000.00 Rp -
Gammex Latex Powder Free Surgical Gloves 7 5,000 Pair Rp 11,000 Rp 55,000,000 ### UPT Farmasi 5000 Pair Rp 11,000.00 Rp 55,000,000.00 0 Pair Rp 11,000.00 Rp -
Silk Black 3/0 HR 26 MM Braided nonabsorbable surgical suture 960 Sachet Rp 19,700 Rp 18,912,000 ### UPT Farmasi 960 Sachet Rp 19,700.00 Rp 18,912,000.00 0 Sachet Rp 19,700.00 Rp -
Catgut Plain 3/0 HR 26 MM Absorbable surgical suture 360 Sachet Rp 34,300 Rp 12,348,000 ### UPT Farmasi 360 Sachet Rp 34,300.00 Rp 12,348,000.00 0 Sachet Rp 34,300.00 Rp -
Catgut Chromic 3/0 HR 26 MM Absorbable surgical suture 480 Sachet Rp 32,800 Rp 15,744,000 ### UPT Farmasi 480 Sachet Rp 32,800.00 Rp 15,744,000.00 0 Sachet Rp 32,800.00 Rp -
Catgut Plain 2/0 HR 26 MM Absorbable surgical suture 360 Sachet Rp 34,300 Rp 12,348,000 ### UPT Farmasi 360 Sachet Rp 34,300.00 Rp 12,348,000.00 0 Sachet Rp 34,300.00 Rp -
Catgut Chromic 2/0 HR 26 MM Absorbable surgical suture 480 Sachet Rp 32,800 Rp 15,744,000 ### UPT Farmasi 480 Sachet Rp 32,800.00 Rp 15,744,000.00 0 Sachet Rp 32,800.00 Rp -
Kasa Hidrofil Steril 16 cm x 16 cm 10,000 Box Rp 5,950 Rp 59,500,000 ### UPT Farmasi 10000 Box Rp 5,950.00 Rp 59,500,000.00 0 Box Rp 5,950.00 Rp -
APD Set 250 Set Rp 2,650,000 Rp 662,500,000 ### UPT Farmasi 250 Set Rp 2,650,000.00 Rp 662,500,000.00 0 Set Rp 2,650,000.00 Rp -
Masker N95- 3M 2,040 Pcs Rp 173,000 Rp 352,920,000 ### UPT Farmasi 2040 Pcs Rp 173,000.00 Rp 352,920,000.00 0 Pcs Rp 173,000.00 Rp -
Handsanitizer FC Clean 5 Liter 200 Galon Rp 800,000 Rp 160,000,000 ### UPT Farmasi 200 Galon Rp 800,000.00 Rp 160,000,000.00 0 Galon Rp 800,000.00 Rp -
Desinfektan Ruangan (Airbone) / ASEPTANIOS TERMINAL

SPORE
27 galon Rp 3,080,000 Rp 83,160,000 ### UPT Farmasi 27 galon Rp 3,080,000.00 Rp 83,160,000.00 0 galon Rp 3,080,000.00 Rp -
Desinfektan Lantai/SURFANIOS PREMIUM 400 galon Rp 1,296,900 Rp 518,760,000 ### UPT Farmasi 400 galon Rp 1,296,900.00 Rp 518,760,000.00 0 galon Rp 1,296,900.00 Rp -
Masker 3 Ply REMEDI 3,000 box Rp 150,000 Rp 450,000,000 ### UPT Farmasi 3000 box Rp 150,000.00 Rp 450,000,000.00 0 box Rp 150,000.00 Rp -
Masker kain batik 25,000 pcs Rp 7,000 Rp 175,000,000 ### UPT Farmasi 25000 pcs Rp 7,000.00 Rp 175,000,000.00 0 pcs Rp 7,000.00 Rp -
25 Juni 2020 Catridge TCM (CEPHEID/ CEPHEID XPERT MTB/RIF ASSAY KIT) 2350 Test Rp 259,175 Rp 609,061,250 749/APBD/FARMALKES/IV/2020 25 Juni 2020 UPT Farmasi 2350 Test Rp 259,175.00 Rp 609,061,250.00 0 Test Rp 259,175.00 Rp -
Page 9 of 288
25 Agustus 2020 RDT DBD Combo (NS1 + IgG/ IgM) 438 Test Rp 630,000 Rp 275,940,0001359/APBD/FARMALKES/VIII/2020 25 Agustus 2020 UPT Farmasi 438 Test Rp 630,000.00 Rp 275,940,000.00 0 Test Rp 630,000.00 Rp -
JUMLAH BELANJA BARANG PAKAI HABIS MEDIS Rp 5,440,781,950.00 ok Rp 5,440,781,950.00 Rp -
1. BELANJA BAHAN PMT (5.2.2.01.10)
15-Oct-20 Gizi PMT Anak Sekolah 36,000 Buah 2,900 104,400,000 1155/APBD/SEKSI GIZI/X/2020 Thursday, October 15, 2020 15 Oktober 2020 Progm 0 Buah Rp 2,900 Rp - 36,000 Buah 2,900 Rp 104,400,000
14-Oct-20 Gizi PMT Pemulihan Balita Kurang Gizi (Nutren) 2,400 Buah 134,399 322,557,600 ### 14 Oktober 2020 Progm 2,400 Buah Rp 134,399 Rp 322,557,600 0 Buah 134,399 Rp -
P2M Susu Bear Brand 189 ML 1000 Kaleng 11,500.00 11,500,000.00 020/BA/ /P2PM/2020 1,000 Kaleng Rp 11,500 Rp 11,500,000 0 Kaleng 11,500 Rp -
JUMLAH BELANJA BAHAN PMT Rp 438,457,600.00 OK Rp 334,057,600.00 Rp 104,400,000.00
1. BELANJA BAHAN PENUNJANG LABORATORIUM (5.2.2.01.11)
561/APBD/SEKSIFARMALKES/IV/202
27 April 2020 Farmalkes Cell Dyn Easy Cleaner 8 Rp 2,953,368 Rp 23,626,944.00 Monday, April 27, 2020 27 April 2020 Puskesmas 8 - Rp 2,953,368 Rp 23,626,944 0 0 Rp 2,953,368 Rp -
0
27 April 2020 Farmalkes Cell Dyn Emerald 22 Dilluent Reagen 8 Rp 3,626,489 Rp 29,011,912.00 Monday, April 27, 2020 27 April 2020 Puskesmas 8 - Rp 3,626,489 Rp 29,011,912 0 0 Rp 3,626,489 Rp -
27 April 2020 Farmalkes Cell Dyn Emerald 22 Lyse Reagen 8 Rp 4,799,223 Rp 38,393,784.00 Monday, April 27, 2020 27 April 2020 Puskesmas 8 - Rp 4,799,223 Rp 38,393,784 0 0 Rp 4,799,223 Rp -
27 April 2020 Farmalkes Cell Dyn 22 Plus Control 4 Rp 1,506,215 Rp 6,024,860.00 Monday, April 27, 2020 27 April 2020 Puskesmas 4 - Rp 1,506,215 Rp 6,024,860 0 0 Rp 1,506,215 Rp -
714/APBD/SEKSI
07 Juli 2020 Farmalkes ABX Miniclean 7 Botol Rp 2,415,600 Rp 16,909,200.00 Tuesday, July 07, 2020 07 Juli 2020 Puskesmas 7 Botol Rp 2,415,600 Rp 16,909,200 0 Botol Rp 2,415,600 Rp -
FARMALKES/VII/2020
07 Juli 2020 Farmalkes ABX Minilyse LMG 7 Botol Rp 7,246,800 Rp 50,727,600.00 Tuesday, July 07, 2020 07 Juli 2020 Puskesmas 7 Botol Rp 7,246,800 Rp 50,727,600 0 Botol Rp 7,246,800 Rp -
07 Juli 2020 Farmalkes ABX Minidil LNG 6 Box Rp 3,382,500 Rp 20,295,000.00 Tuesday, July 07, 2020 07 Juli 2020 Puskesmas 6 Box Rp 3,382,500 Rp 20,295,000 0 Box Rp 3,382,500 Rp -
07 Juli 2020 Farmalkes ABX Miniclair 6 Botol Rp 1,226,500 Rp 7,359,000.00 Tuesday, July 07, 2020 07 Juli 2020 Puskesmas 6 Botol Rp 1,226,500 Rp 7,359,000 0 Botol Rp 1,226,500 Rp -
07 Juli 2020 Farmalkes Minotrol 16 Twin-Pack (2N) 3 Pack Rp 1,533,400 Rp 4,600,200.00 Tuesday, July 07, 2020 07 Juli 2020 Puskesmas 3 Pack Rp 1,533,400 Rp 4,600,200 0 Pack Rp 1,533,400 Rp -
1036/APBD/SEKSI
24 Juli 2020 Farmalkes DS HIV 1/2 One Step Rapid Test (GCHIV-402A) 889 Pcs Rp 12,527 Rp 11,136,503.00 Friday, July 24, 2020 24 Juli 2020 Puskesmas 889 Pcs Rp 12,527 Rp 11,136,503 0 Pcs Rp 12,527 Rp -
FARMALKES/VII/2020
24 Juli 2020 Farmalkes DS HIV 1/2 One Step Rapid Test (GCHIV-402A) 1 Pcs Rp 12,497 Rp 12,497.00 Friday, July 24, 2020 24 Juli 2020 Puskesmas 1 Pcs Rp 12,497 Rp 12,497 0 Pcs Rp 12,497 Rp -
1039/APBD/SEKSI
11 Agustus 2020 Farmalkes SD Bioline HIV 1/2 3.0 24 Kit Rp 860,000 Rp 20,640,000.00 Tuesday, August 11, 2020 11 Agustus 2020 Puskesmas 24 Kit Rp 860,000 Rp 20,640,000 0 Kit Rp 860,000 Rp -
FARMALKES/VII/2020
1035/APBD/SEKSI
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi BH Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020 11 Agustus 2020 Puskesmas 68 Kit Rp 61,000 Rp 4,148,000 0 Kit Rp 61,000 Rp -
FARMALKES/VII/2020
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi CH Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020 11 Agustus 2020 Puskesmas 68 Kit Rp 61,000 Rp 4,148,000 0 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi CO Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020 11 Agustus 2020 Puskesmas 68 Kit Rp 61,000 Rp 4,148,000 0 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi H Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020 11 Agustus 2020 Puskesmas 68 Kit Rp 61,000 Rp 4,148,000 0 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi AO Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020 11 Agustus 2020 Puskesmas 68 Kit Rp 61,000 Rp 4,148,000 0 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi AH Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020 11 Agustus 2020 Puskesmas 68 Kit Rp 61,000 Rp 4,148,000 0 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi O Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020 11 Agustus 2020 Puskesmas 68 Kit Rp 61,000 Rp 4,148,000 0 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi BO Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020 11 Agustus 2020 Puskesmas 68 Kit Rp 61,000 Rp 4,148,000 0 Kit Rp 61,000 Rp -
1040/APBD/SEKSI
25 Agustus 2020 Farmalkes Urine Reagen Strip 19 Kit Rp 512,500 Rp 9,737,500.00 Tuesday, August 25, 2020 25 Agustus 2020 Puskesmas 19 Kit Rp 512,500 Rp 9,737,500 0 Kit Rp 512,500 Rp -
FARMALKES/VII/2020
Page 10 of 288
1037/APBD/SEKSI
25 Agustus 2020 Farmalkes HBSAg Strip 1,900 Test Rp 10,547 Rp 20,039,300.00 Tuesday, August 25, 2020 25 Agustus 2020 Puskesmas 1,900 Test Rp 10,547 Rp 20,039,300 0 Test Rp 10,547 Rp -
FARMALKES/VII/2020
1034/APBD/SEKSI
28 Agustus 2020 Farmalkes Pathromtin SL 1 Kit Rp 1,133,000 Rp 1,133,000.00 Friday, August 28, 2020 28 Agustus 2020 Puskesmas 1 Kit Rp 1,133,000 Rp 1,133,000 0 Kit Rp 1,133,000 Rp -
FARMALKES/VII/2020
28 Agustus 2020 Farmalkes Multifibren 1 Kit Rp 3,362,700 Rp 3,362,700.00 Friday, August 28, 2020 28 Agustus 2020 Puskesmas 1 Kit Rp 3,362,700 Rp 3,362,700 0 Kit Rp 3,362,700 Rp -
28 Agustus 2020 Farmalkes Control Plasma N 1 Kit Rp 2,224,200 Rp 2,224,200.00 Friday, August 28, 2020 28 Agustus 2020 Puskesmas 1 Kit Rp 2,224,200 Rp 2,224,200 0 Kit Rp 2,224,200 Rp -
28 Agustus 2020 Farmalkes Innovin 1 Kit Rp 2,382,600 Rp 2,382,600.00 Friday, August 28, 2020 28 Agustus 2020 Upt Farmasi 1 Kit Rp 2,382,600 Rp 2,382,600 0 Kit Rp 2,382,600 Rp -
1038/APBD/SEKSI
28 Agustus 2020 Farmalkes Diagnostic Kit For HIV (1+2) Antibody (Colloidal Gold)v2 67 Kit Rp 660,000 Rp 44,220,000.00 Friday, August 28, 2020 28 Agustus 2020 Upt Farmasi 67 Kit Rp 660,000 Rp 44,220,000 0 Kit Rp 660,000 Rp -
FARMALKES/VII/2020
957/APBD/Seksi
14 Agustus 2020 Farmalkes Reagen HB Hemokrom 45 Kit Rp 3,300,000.00 Rp 148,500,000.00 Farmalkes/VIII/2020 14 Agustus 2020 14 Agustus 2020 Upt Farmasi 45 Kit Rp 3,300,000 Rp 148,500,000 0 Kit Rp 3,300,000 Rp -
1157/APBD/Seksi
11 Oktober 2020 Farmalkes Trepocheck Syphillis 147 Kit Rp 225,000.00 Rp 33,075,000.00 Farmalkes/IX/2020 11 Oktober 2020 11 Oktober 2020 Upt Farmasi 147 Kit Rp 225,000 Rp 33,075,000 0 Kit Rp 225,000 Rp -
1158/APBD/Seksi
17/09/20 Farmalkes Reagen Hba1C 1 Kit Rp 20,750,000.00 Rp 20,750,000.00 Farmalkes/VIII/2020 ### 17 September 2020 Upt Farmasi 1 Kit Rp 20,750,000 Rp 20,750,000 0 Kit Rp 20,750,000 Rp -
1158/APBD/Seksi
17/09/20 Farmalkes Lypocheck Diabetes Control Bilevel 1 Kit Rp 5,403,750.00 Rp 5,403,750.00 Farmalkes/VIII/2020 ### 17 September 2020 Upt Farmasi 1 Kit Rp 5,403,750 Rp 5,403,750 0 Kit Rp 5,403,750 Rp -
1158/APBD/Seksi
17/09/20 Farmalkes Lypocheck Hemoglobin A2 Control Bilevel 1 Kit Rp 18,026,250.00 Rp 18,026,250.00 Farmalkes/VIII/2020 ### 17 September 2020 Upt Farmasi 1 Kit Rp 18,026,250 Rp 18,026,250 0 Kit Rp 18,026,250 Rp -
1158/APBD/Seksi
17/09/20 Farmalkes D10 Thermal Printer paper 2 Pack Rp 1,140,000.00 Rp 2,280,000.00 Farmalkes/VIII/2020 ### 17 September 2020 Upt Farmasi 2 Pack Rp 1,140,000 Rp 2,280,000 0 Pack Rp 1,140,000 Rp -
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Glukosa Kit (GOD-POD) 56 Kit Rp 529,430.00 Rp 29,648,080.00 Farmalkes/X/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 56 Kit Rp 529,430 Rp 29,648,080 0 Kit Rp 529,430 Rp -
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Total Cholesterol Kit 55 Kit Rp 1,006,852.00 Rp 55,376,860.00 Farmalkes/X/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 55 Kit Rp 1,006,852 Rp 55,376,860 0 Kit Rp 1,006,852 Rp -
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Total Tryglicerides Kit 18 Kit Rp 1,806,550.00 Rp 32,517,900.00 Farmalkes/X/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 18 Kit Rp 1,806,550 Rp 32,517,900 0 Kit Rp 1,806,550 Rp -
1262/APBD/Seksi
27 Oktober 2020 Farmalkes HDL Cholesterol 32 Kit Rp 3,912,225.00 Rp 125,191,200.00 Farmalkes/X/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 32 Kit Rp 3,912,225 Rp 125,191,200 0 Kit Rp 3,912,225 Rp -
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Uric Acid Kit 55 Kit Rp 1,006,852.00 Rp 55,376,860.00 Farmalkes/X/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 55 Kit Rp 1,006,852 Rp 55,376,860 0 Kit Rp 1,006,852 Rp -
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Urea Kit 16 Kit Rp 612,920.00 Rp 9,806,720.00 Farmalkes/X/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 16 Kit Rp 612,920 Rp 9,806,720 0 Kit Rp 612,920 Rp -
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Creatinin Kit (Sarcosine) 16 Kit Rp 3,606,955.00 Rp 57,711,280.00 Farmalkes/X/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 16 Kit Rp 3,606,955 Rp 57,711,280 0 Kit Rp 3,606,955 Rp -
1262/APBD/Seksi
27 Oktober 2020 Farmalkes ALT Kit (SGPT) 25 Kit Rp 1,064,538.00 Rp 26,613,450.00 Farmalkes/X/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 25 Kit Rp 1,064,538 Rp 26,613,450 0 Kit Rp 1,064,538 Rp -
1262/APBD/Seksi
27 Oktober 2020 Farmalkes AST Kit (SOPT) 25 Kit Rp 1,064,538.00 Rp 26,613,450.00 Farmalkes/X/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 25 Kit Rp 1,064,538 Rp 26,613,450 0 Kit Rp 1,064,538 Rp -
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Multi Sera Calibrator (10x3ml) 16 Kit Rp 5,975,614.50 Rp 95,609,832.00 Farmalkes/X/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 16 Kit Rp 5,975,615 Rp 95,609,832 0 Kit Rp 5,975,615 Rp -
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Lipids Calibrator 16 Kit Rp 4,904,404.00 Rp 78,470,464.00 Farmalkes/X/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 16 Kit Rp 4,904,404 Rp 78,470,464 0 Kit Rp 4,904,404 Rp -
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Multi Control Level 1 15 Kit Rp 10,347,949.50 Rp 155,219,242.50 Farmalkes/X/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 15 Kit Rp 10,347,950 Rp 155,219,243 0 Kit Rp 10,347,950 Rp -
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Multi Control Level 1 1 Kit Rp 10,347,861.50 Rp 10,347,861.50 Farmalkes/X/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 1 Kit Rp 10,347,862 Rp 10,347,862 0 Kit Rp 10,347,862 Rp -
1263/APBD/Seksi
27 Oktober 2020 Farmalkes Dif Diluent 12 Botol Rp 1,669,250.00 Rp 20,031,000.00 Farmalkes/IX/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 12 Botol Rp 1,669,250 Rp 20,031,000 0 Botol Rp 1,669,250 Rp -
1263/APBD/Seksi
27 Oktober 2020 Farmalkes Dif Lyse 12 Botol Rp 2,020,480.00 Rp 24,245,760.00 Farmalkes/IX/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 12 Botol Rp 2,020,480 Rp 24,245,760 0 Botol Rp 2,020,480 Rp -
1263/APBD/Seksi
27 Oktober 2020 Farmalkes Probe Cleanser 12 Botol Rp 92,290.00 Rp 1,107,480.00 Farmalkes/IX/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 12 Botol Rp 92,290 Rp 1,107,480 0 Botol Rp 92,290 Rp -
1263/APBD/Seksi
27 Oktober 2020 Farmalkes Blood Control BC-20S 3 diff@3,0ml (1L,1N,1H) 6 Set Rp 1,831,720.00 Rp 10,990,320.00 Farmalkes/IX/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 6 Set Rp 1,831,720 Rp 10,990,320 0 Set Rp 1,831,720 Rp -
1263/APBD/Seksi
27 Oktober 2020 Farmalkes Blood Control BC-20S 3 diff@3,0ml (1L,1N,1H) 1 Set Rp 1,831,640.00 Rp 1,831,640.00 Farmalkes/IX/2020 27 Oktober 2020 27 Oktober 2020 Upt Farmasi 1 Set Rp 1,831,640 Rp 1,831,640 0 Set Rp 1,831,640 Rp -
Page 11 of 288
1871/APBD/Seksi
30/11/20 Farmalkes HIV Duo Ultra 1 Kit Rp 6,583,500.00 Rp 6,583,500.00 Farmalkes/IX/2020 ### 30 November 2020 Upt Farmasi 1 Kit Rp 6,583,500 Rp 6,583,500 0 Kit Rp 6,583,500 Rp -
1871/APBD/Seksi
30/11/20 Farmalkes Anti HBS Total II 1 Kit Rp 7,771,500.00 Rp 7,771,500.00 Farmalkes/IX/2020 ### 30 November 2020 Upt Farmasi 1 Kit Rp 7,771,500 Rp 7,771,500 0 Kit Rp 7,771,500 Rp -
1871/APBD/Seksi
30/11/20 Farmalkes CMV IgG 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 Farmalkes/IX/2020 ### 30 November 2020 Upt Farmasi 1 Kit Rp 5,098,500 Rp 5,098,500 0 Kit Rp 5,098,500 Rp -
1871/APBD/Seksi
30/11/20 Farmalkes CMV IgM 1 Kit Rp 3,910,500.00 Rp 3,910,500.00 Farmalkes/IX/2020 ### 30 November 2020 Upt Farmasi 1 Kit Rp 3,910,500 Rp 3,910,500 0 Kit Rp 3,910,500 Rp -
1871/APBD/Seksi
30/11/20 Farmalkes HbsAg Ultra 1 Kit Rp 3,618,450.00 Rp 3,618,450.00 Farmalkes/IX/2020 ### 30 November 2020 Upt Farmasi 1 Kit Rp 3,618,450 Rp 3,618,450 0 Kit Rp 3,618,450 Rp -
1871/APBD/Seksi
30/11/20 Farmalkes Rubella IgG II 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 Farmalkes/IX/2020 ### 30 November 2020 Upt Farmasi 1 Kit Rp 5,098,500 Rp 5,098,500 0 Kit Rp 5,098,500 Rp -
1871/APBD/Seksi
30/11/20 Farmalkes Rubella IgM 1 Kit Rp 4,851,000.00 Rp 4,851,000.00 Farmalkes/IX/2020 ### 30 November 2020 Upt Farmasi 1 Kit Rp 4,851,000 Rp 4,851,000 0 Kit Rp 4,851,000 Rp -
1871/APBD/Seksi
30/11/20 Farmalkes T3 1 Kit Rp 4,133,250.00 Rp 4,133,250.00 Farmalkes/IX/2020 ### 30 November 2020 Upt Farmasi 1 Kit Rp 4,133,250 Rp 4,133,250 0 Kit Rp 4,133,250 Rp -
1871/APBD/Seksi
30/11/20 Farmalkes T4 1 Kit Rp 4,232,250.00 Rp 4,232,250.00 Farmalkes/IX/2020 ### 30 November 2020 Upt Farmasi 1 Kit Rp 4,232,250 Rp 4,232,250 0 Kit Rp 4,232,250 Rp -
1871/APBD/Seksi
30/11/20 Farmalkes Toxo IgG II 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 Farmalkes/IX/2020 ### 30 November 2020 Upt Farmasi 1 Kit Rp 5,098,500 Rp 5,098,500 0 Kit Rp 5,098,500 Rp -
1871/APBD/Seksi
30/11/20 Farmalkes Toxo IgM 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 Farmalkes/IX/2020 ### 30 November 2020 Upt Farmasi 1 Kit Rp 5,098,500 Rp 5,098,500 0 Kit Rp 5,098,500 Rp -
1871/APBD/Seksi
30/11/20 Farmalkes FT3 1 Kit Rp 6,212,250.00 Rp 6,212,250.00 Farmalkes/IX/2020 ### 30 November 2020 Upt Farmasi 1 Kit Rp 6,212,250 Rp 6,212,250 0 Kit Rp 6,212,250 Rp -
1871/APBD/Seksi
30/11/20 Farmalkes TSH3 1 Kit Rp 7,078,500.00 Rp 7,078,500.00 Farmalkes/IX/2020 ### 30 November 2020 Upt Farmasi 1 Kit Rp 7,078,500 Rp 7,078,500 0 Kit Rp 7,078,500 Rp -
1871/APBD/Seksi
30/11/20 Farmalkes Anti Hav IgM 2 Kit Rp 5,197,500.00 Rp 10,395,000.00 Farmalkes/IX/2020 ### 30 November 2020 Upt Farmasi 2 Kit Rp 5,197,500 Rp 10,395,000 0 Kit Rp 5,197,500 Rp -
1350/APBD/Seksi
01 Oktober 2020 Farmalkes Humasen 2.0 Plus Glucose Test Strips Blue 600 Dus Rp 249,800.00 Rp 149,880,000.00 Farmalkes/X/2020 01 Oktober 2020 01 Oktober 2020 Upt Farmasi 600 Dus Rp 249,800 Rp 149,880,000 0 Dus Rp 249,800 Rp -
1350/APBD/Seksi
1 Oktober 2020 Farmalkes Humasen 2.0 Plus Total Cholesterol Test Strips 600 Dus Rp 541,900.00 Rp 325,140,000.00 Farmalkes/X/2020 1 Oktober 2020 1 Oktober 2020 Upt Farmasi 600 Dus Rp 541,900 Rp 325,140,000 0 Dus Rp 541,900 Rp -
1350/APBD/Seksi
1 Oktober 2020 Farmalkes Humasens 2.0 Plus Uric Acid Test Strips 600 Dus Rp 548,300.00 Rp 328,980,000.00 Farmalkes/X/2020 1 Oktober 2020 1 Oktober 2020 Upt Farmasi 600 Dus Rp 548,300 Rp 328,980,000 0 Dus Rp 548,300 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Alanine Transaminase IFCC (ALTL) 8 Kit Rp 1,276,000.00 Rp 10,208,000.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 8 Kit Rp 1,276,000 Rp 10,208,000 0 Kit Rp 1,276,000 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Albumin Gen 2 9 kit Rp 291,500.00 Rp 2,623,500.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 9 kit Rp 291,500 Rp 2,623,500 0 kit Rp 291,500 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Alkaline Phosphatase IFCC (ALP) 7 kit Rp 430,100.00 Rp 3,010,700.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 7 kit Rp 430,100 Rp 3,010,700 0 kit Rp 430,100 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Transaminase (ASTL) 8 kit Rp 1,276,000.00 Rp 10,208,000.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 8 kit Rp 1,276,000 Rp 10,208,000 0 kit Rp 1,276,000 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Bilirbin Direk Gen.2 8 kit Rp 420,200.00 Rp 3,361,600.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 8 kit Rp 420,200 Rp 3,361,600 0 kit Rp 420,200 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Bilirubin Total Gen.3 8 kit Rp 960,300.00 Rp 7,682,400.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 8 kit Rp 960,300 Rp 7,682,400 0 kit Rp 960,300 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Calcium Gen 2 7 kit Rp 580,800.00 Rp 4,065,600.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 7 kit Rp 580,800 Rp 4,065,600 0 kit Rp 580,800 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Cholesterol Gen 2 30 kit Rp 1,340,900.00 Rp 40,227,000.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 30 kit Rp 1,340,900 Rp 40,227,000 0 kit Rp 1,340,900 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Creatinine Plus vers 2 20 kit Rp 1,551,000.00 Rp 31,020,000.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 20 kit Rp 1,551,000 Rp 31,020,000 0 kit Rp 1,551,000 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Gamma Glutamyl Tranferase vers 2 8 kit Rp 1,023,000.00 Rp 8,184,000.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 8 kit Rp 1,023,000 Rp 8,184,000 0 kit Rp 1,023,000 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Glukose HK 65 kit Rp 447,700.00 Rp 29,100,500.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 65 kit Rp 447,700 Rp 29,100,500 0 kit Rp 447,700 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes HDL-Cholesterol Plus Gen 4 26 kit Rp 6,220,500.00 Rp 161,733,000.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 26 kit Rp 6,220,500 Rp 161,733,000 0 kit Rp 6,220,500 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes LDL-Cholesterol Gen 3 26 kit Rp 4,865,300.00 Rp 126,497,800.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 26 kit Rp 4,865,300 Rp 126,497,800 0 kit Rp 4,865,300 Rp -
Page 12 of 288
1481/APBD/Seksi
27/11/20 Farmalkes Total Protein 8 kit Rp 513,700.00 Rp 4,109,600.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 8 kit Rp 513,700 Rp 4,109,600 0 kit Rp 513,700 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Triglyceride GPO 40 kit Rp 840,400.00 Rp 33,616,000.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 40 kit Rp 840,400 Rp 33,616,000 0 kit Rp 840,400 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Urea/BUN 8 kit Rp 1,944,800.00 Rp 15,558,400.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 8 kit Rp 1,944,800 Rp 15,558,400 0 kit Rp 1,944,800 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Uric Acid Vers.2 30 kit Rp 827,200.00 Rp 24,816,000.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 30 kit Rp 827,200 Rp 24,816,000 0 kit Rp 827,200 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Cleaner 35 botol Rp 1,403,600.00 Rp 49,126,000.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 35 botol Rp 1,403,600 Rp 49,126,000 0 botol Rp 1,403,600 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes ISE Deproteinizer cobas Integra 5 box Rp 886,600.00 Rp 4,433,000.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 5 box Rp 886,600 Rp 4,433,000 0 box Rp 886,600 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes C.f.a.s (Calibrator for automated system) 4 box Rp 1,217,700.00 Rp 4,870,800.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 4 box Rp 1,217,700 Rp 4,870,800 0 box Rp 1,217,700 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes C.f.a.s Lipids 4 box Rp 829,400.00 Rp 3,317,600.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 4 box Rp 829,400 Rp 3,317,600 0 box Rp 829,400 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Precicontrol Clinchem Multi 2QCS 3 box Rp 4,158,000.00 Rp 12,474,000.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 3 box Rp 4,158,000 Rp 12,474,000 0 box Rp 4,158,000 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Activator 3 kit Rp 2,616,900.00 Rp 7,850,700.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 3 kit Rp 2,616,900 Rp 7,850,700 0 kit Rp 2,616,900 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Iron Gen 2 3 kit Rp 470,800.00 Rp 1,412,400.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 3 kit Rp 470,800 Rp 1,412,400 0 kit Rp 470,800 Rp -
1481/APBD/Seksi
27/11/20 Farmalkes Iron Gen 2 1 kit Rp 470,400.00 Rp 470,400.00 Farmalkes/XI2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 1 kit Rp 470,400 Rp 470,400 0 kit Rp 470,400 Rp -
1492/APBD/Seksi
09/11/20 Farmalkes Reagen Nitrat, TNT 1 Pack Rp 2,255,200.00 Rp 2,255,200.00 Farmalkes/XI/2020 ### 09 November 2020 Upt Farmasi 1 Pack Rp 2,255,200 Rp 2,255,200 0 Pack Rp 2,255,200 Rp -
1492/APBD/Seksi
09/11/20 Farmalkes Reagen Nitrit 1 Pack Rp 935,000.00 Rp 935,000.00 Farmalkes/XI/2020 ### 09 November 2020 Upt Farmasi 1 Pack Rp 935,000 Rp 935,000 0 Pack Rp 935,000 Rp -
1492/APBD/Seksi
09/11/20 Farmalkes Reagen Sulfat 1 Pack Rp 777,500.00 Rp 777,500.00 Farmalkes/XI/2020 ### 09 November 2020 Upt Farmasi 1 Pack Rp 777,500 Rp 777,500 0 Pack Rp 777,500 Rp -
1492/APBD/Seksi
09/11/20 Farmalkes Reagen Besi 1 Pack Rp 567,500.00 Rp 567,500.00 Farmalkes/XI/2020 ### 09 November 2020 Upt Farmasi 1 Pack Rp 567,500 Rp 567,500 0 Pack Rp 567,500 Rp -
1492/APBD/Seksi
09/11/20 Farmalkes Reagen Cromium,heksavalent 1 Pack Rp 819,500.00 Rp 819,500.00 Farmalkes/XI/2020 ### 09 November 2020 Upt Farmasi 1 Pack Rp 819,500 Rp 819,500 0 Pack Rp 819,500 Rp -
1492/APBD/Seksi
09/11/20 Farmalkes Reagen Mangan HR 1 Pack Rp 1,575,800.00 Rp 1,575,800.00 Farmalkes/XI/2020 ### 09 November 2020 Upt Farmasi 1 Pack Rp 1,575,800 Rp 1,575,800 0 Pack Rp 1,575,800 Rp -
1492/APBD/Seksi
09/11/20 Farmalkes Reagen Mangan LR 1 Pack Rp 1,334,200.00 Rp 1,334,200.00 Farmalkes/XI/2020 ### 09 November 2020 Upt Farmasi 1 Pack Rp 1,334,200 Rp 1,334,200 0 Pack Rp 1,334,200 Rp -
1492/APBD/Seksi
09/11/20 Farmalkes Reagen Kesadahan 1 Pack Rp 1,722,900.00 Rp 1,722,900.00 Farmalkes/XI/2020 ### 09 November 2020 Upt Farmasi 1 Pack Rp 1,722,900 Rp 1,722,900 0 Pack Rp 1,722,900 Rp -
1493/APBD/Seksi
26/11/20 Farmalkes Isetrol Electrolyte Control 3 Box Rp 1,404,700.00 Rp 4,214,100.00 Farmalkes/XI/2020 ### 26 November 2020 Upt Farmasi 3 Box Rp 1,404,700 Rp 4,214,100 0 Box Rp 1,404,700 Rp -
1493/APBD/Seksi
26/11/20 Farmalkes Snappak 2 Box Rp 2,127,400.00 Rp 4,254,800.00 Farmalkes/XI/2020 ### 26 November 2020 Upt Farmasi 2 Box Rp 2,127,400 Rp 4,254,800 0 Box Rp 2,127,400 Rp -
1493/APBD/Seksi
26/11/20 Farmalkes Cleaning Solution 2 botol Rp 588,500.00 Rp 1,177,000.00 Farmalkes/XI/2020 ### 26 November 2020 Upt Farmasi 2 botol Rp 588,500 Rp 1,177,000 0 botol Rp 588,500 Rp -
1611/APBD/Seksi
07 Desember 2020 Farmalkes Reagen PCR 2732 test Rp 237,000.00 Rp 647,484,000.00 Farmalkes/X/2020 07 Desember 2020 07 Desember 2020 Upt Farmasi 2,732 test Rp 237,000 Rp 647,484,000 0 test Rp 237,000 Rp -
1477/APBD/Seksi
27/11/20 Farmalkes Uric Acid 50 Kit Rp 644,600.00 Rp 32,230,000.00 Farmalkes/XI/2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 50 Kit Rp 644,600 Rp 32,230,000 0 Kit Rp 644,600 Rp -
1477/APBD/Seksi
27/11/20 Farmalkes Cholesterol 80 Kit Rp 686,400.00 Rp 54,912,000.00 Farmalkes/XI/2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 80 Kit Rp 686,400 Rp 54,912,000 0 Kit Rp 686,400 Rp -
1477/APBD/Seksi
27/11/20 Farmalkes Creatinin Plus 30 Kit Rp 645,700.00 Rp 19,371,000.00 Farmalkes/XI/2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 30 Kit Rp 645,700 Rp 19,371,000 0 Kit Rp 645,700 Rp -
1477/APBD/Seksi
27/11/20 Farmalkes Glukose HK 40 Kit Rp 484,000.00 Rp 19,360,000.00 Farmalkes/XI/2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 40 Kit Rp 484,000 Rp 19,360,000 0 Kit Rp 484,000 Rp -
1477/APBD/Seksi
27/11/20 Farmalkes Triglyceride 30 Kit Rp 464,200.00 Rp 13,926,000.00 Farmalkes/XI/2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 30 Kit Rp 464,200 Rp 13,926,000 0 Kit Rp 464,200 Rp -
1477/APBD/Seksi
27/11/20 Farmalkes Urea 15 Kit Rp 812,900.00 Rp 12,193,500.00 Farmalkes/XI/2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 15 Kit Rp 812,900 Rp 12,193,500 0 Kit Rp 812,900 Rp -
Page 13 of 288
1477/APBD/Seksi
27/11/20 Farmalkes c.f.a.s (calibrator for automated) 14 Kit Rp 1,217,700.00 Rp 17,047,800.00 Farmalkes/XI/2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 14 Kit Rp 1,217,700 Rp 17,047,800 0 Kit Rp 1,217,700 Rp -
1477/APBD/Seksi
27/11/20 Farmalkes Precicontrol clinchem multi 1 QCS 14 Kit Rp 4,158,000.00 Rp 58,212,000.00 Farmalkes/XI/2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 14 Kit Rp 4,158,000 Rp 58,212,000 0 Kit Rp 4,158,000 Rp -
1477/APBD/Seksi
27/11/20 Farmalkes c.f.a.s (lipid) 14 Kit Rp 829,400.00 Rp 11,611,600.00 Farmalkes/XI/2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 14 Kit Rp 829,400 Rp 11,611,600 0 Kit Rp 829,400 Rp -
1477/APBD/Seksi
27/11/20 Farmalkes ISE deproteinizer 42 Kit Rp 171,600.00 Rp 7,207,200.00 Farmalkes/XI/2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 42 Kit Rp 171,600 Rp 7,207,200 0 Kit Rp 171,600 Rp -
1477/APBD/Seksi
27/11/20 Farmalkes Cleaner 30 Kit Rp 1,403,600.00 Rp 42,108,000.00 Farmalkes/XI/2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 30 Kit Rp 1,403,600 Rp 42,108,000 0 Kit Rp 1,403,600 Rp -
1477/APBD/Seksi
27/11/20 Farmalkes Diluent (NaCl 9%) 30 Kit Rp 511,500.00 Rp 15,345,000.00 Farmalkes/XI/2020 Friday, November 27, 2020 27 November 2020 Upt Farmasi 30 Kit Rp 511,500 Rp 15,345,000 0 Kit Rp 511,500 Rp -
1869/APBD/Seksi
16/11/20 Farmalkes Humasens 2.0 Plus Glucose Test Strips 67 Dus Rp 249,800.00 Rp 16,736,600.00 Farmalkes/X/2020 ### 16 November 2020 Upt Farmasi 67 Dus Rp 249,800 Rp 16,736,600 0 Dus Rp 249,800 Rp -
1869/APBD/Seksi
16/11/20 Farmalkes Humasens 2.0 Plus Parameter system 3 in 1 Glu Chol UA dan Accesories 15 Dus Rp 805,950.00 Rp 12,089,250.00 Farmalkes/X/2021 ### 16 November 2020 Upt Farmasi 15 Dus Rp 805,950 Rp 12,089,250 0 Dus Rp 805,950 Rp -
1869/APBD/Seksi
16/11/20 Farmalkes Humasens 2.0 Plus Uric Acid Test Strips 66 Dus Rp 548,300.00 Rp 36,187,800.00 Farmalkes/X/2022 ### 16 November 2020 Upt Farmasi 66 Dus Rp 548,300 Rp 36,187,800 0 Dus Rp 548,300 Rp -
1869/APBD/Seksi
16/11/20 Farmalkes Humasens 2.0 Plus Total Cholesterol test strips 66 Dus Rp 541,900.00 Rp 35,765,400.00 Farmalkes/X/2023 ### 16 November 2020 Upt Farmasi 66 Dus Rp 541,900 Rp 35,765,400 0 Dus Rp 541,900 Rp -
JUMLAH BELANJA BAHAN PENUNJANG LABORATORIUM Rp 3,944,343,050.00 OK Rp 3,944,343,050.00 Rp -
BELANJA PENGADAAN PLAKAT/SOUVENIR (5.2.2.01.12)
Belanja media informasi kesehatan dimasa pandemi covid-19 (hampers

new normal kit) (tumbles/botol minum, sedotan stainles + brush, sendok 1813/APBD/PROMKESLINGKESJAO
18 desember 2020 Promkesjaor 250 paket Rp 180,000 45,000,000 18 desember 2020 18 desember 2020 250 paket Rp 180,000 Rp 45,000,000 0 paket Rp 180,000 Rp -
dan garpu stainless, masker kain, corona finger, hand sanitizer, hand R/XII/2020
soap, kartu kesan kesehatan, dan pouch)
23 januari 2020 Promkesjaor souvenir botol minum tuperware bahan plastik uk, 1000 ml 100 pcs 98,000 9,800,000 23 januari 2020 23 januari 2020 100 pcs Rp 98,000 Rp 9,800,000 0 pcs Rp 98,000 Rp -
30 januari 2020 Promkesjaor souvenir botol minum tuperware bahan plastik uk, 1000 ml 100 pcs 98,000 9,800,000 30 januari 2020 30 januari 2020 100 pcs Rp 98,000 Rp 9,800,000 0 pcs Rp 98,000 Rp -
25 februari 2020 Promkesjaor Thumbler botol air minum tupperware plastik uk 1000 ml 120 pcs 93,000 11,160,000 25 februari 2020 25 februari 2020 120 pcs Rp 93,000 Rp 11,160,000 0 pcs Rp 93,000 Rp -
5 maret 2020 Promkesjaor Payung 100 buah Rp 75,000 7,500,000 5 maret 2020 5 maret 2020 100 buah Rp 75,000 Rp 7,500,000 0 buah Rp 75,000 Rp -
5 maret 2020 Promkesjaor Mug gelas 100 buah Rp 35,000 3,500,000 5 maret 2020 5 maret 2020 100 buah Rp 35,000 Rp 3,500,000 0 buah Rp 35,000 Rp -
5 maret 2020 Promkesjaor Tas goody bag 100 buah Rp 25,000 2,500,000 5 maret 2020 5 maret 2020 100 buah Rp 25,000 Rp 2,500,000 0 buah Rp 25,000 Rp -
14-Apr-20 Promkesjaor Payung lipat ,Tas goodibag,mug 60 paket Rp 98,000 5,880,000 Tuesday, April 14, 2020 14 April 2020 60 paket Rp 98,000 Rp 5,880,000 0 paket Rp 98,000 Rp -
11 maret 2020 Promkesjaor Belanja Payung Lipat 150 pcs Rp 48,000 Rp 7,200,000 11 maret 2020 11 maret 2020 150 pcs Rp 48,000 Rp 7,200,000 0 pcs Rp 48,000 Rp -
11 maret 2020 Promkesjaor Belanja tas gody bag logo Dinkes 150 pcs Rp 15,000 Rp 2,250,000 11 maret 2020 11 maret 2020 150 pcs Rp 15,000 Rp 2,250,000 0 pcs Rp 15,000 Rp -
11 maret 2020 Promkesjaor Belanja Mug Bergambar 150 pcs Rp 35,000 Rp 5,250,000 11 maret 2020 11 maret 2020 150 pcs Rp 35,000 Rp 5,250,000 0 pcs Rp 35,000 Rp -
Promkesjaor Pengadaan Plakat/Souvenir/Cinderamata 1 Paket Rp 11,760,000 Rp 11,760,000 ### 30 Desember 1899 1 Paket Rp 11,760,000 Rp 11,760,000 0 Paket Rp 11,760,000 Rp -
10 Maret 2020 Gizi Bahan Kontak Untuk Kunjungan Balita Kurang Gizi 97 Paket 238,000.00 Rp 23,086,000 311/APBD/SEKSI GIZI/III/2020 Tuesday, March 10, 2020 10 Maret 2020 97 Paket Rp 238,000 Rp 23,086,000 0 Paket Rp 238,000 Rp -

02 November 2021 Umpeg Plakat 100 Buah 450,000.00 Rp 45,000,000 ### 02 November 2021 100 Buah Rp 450,000 Rp 45,000,000 0 Buah Rp 450,000 Rp -
KEPEGAWAIAN/II/2020
23 Desember 2020 Mutu Peningkatan Mutu Pelayanan Kesehatan Dasar 1 Paket 1,500,000 Rp 1,500,000 ### 23 Desember 2020 1 Paket Rp 1,500,000 Rp 1,500,000 0 Paket Rp 1,500,000 Rp -
JUMLAH BELANJA PENGADAAN PLAKAT/SOUVENIR Rp 191,186,000.00 OK Rp 191,186,000.00 Rp -
BELANJA DEKORASI (5.2.2.01.13)
07 September 2021 Umpeg Dekorasi Ruangan 1 Unit 4,500,000.00 Rp 4,500,000 ### 07 September 2021 Dinkes 1 Unit Rp 4,500,000 Rp 4,500,000 0 Unit Rp 4,500,000 Rp -
KEPEGAWAIAN/II/2020
Page 14 of 288

KEPEGAWAIAN/II/2020
07 September 2021 Umpeg Pembuatan Video 1 Unit 1,200,000.00 Rp 1,200,000 ### 07 September 2021 Dinkes 1 Unit Rp 1,200,000 Rp 1,200,000 0 Unit Rp 1,200,000 Rp -
Umpeg dekorasi 1 Unit 9,788,000.00 Rp 9,788,000 ### 30 Desember 1899 Dinkes 1 Unit Rp 9,788,000 Rp 9,788,000 0 Unit Rp 9,788,000 Rp -
Promkesjaor dekorasi 1 Unit 1,800,000.00 Rp 1,800,000 ### 30 Desember 1899 Dinkes 1 Unit Rp 1,800,000 Rp 1,800,000 0 Unit Rp 1,800,000 Rp -
JUMLAH BELANJA PENGADAAN PLAKAT/SOUVENIR Rp 17,288,000.00 ok Rp 17,288,000.00 Rp -
BELANJA PERLENGKAPAN PANITIA/PESERTA (5.2.2.01.15)
25 Februari 2020 PJKM Map Plastik Kancing 25 Lusin Rp 48,000 Rp 1,200,000 045/APBD/PJKM/II/2020 Tuesday, February 25, 2020 25 Februari 2020 25 Lusin Rp 48,000 Rp 1,200,000 0 Lusin Rp 48,000 Rp -
25 Februari 2020 PJKM Ballpoint 25 Lusin Rp 40,000 Rp 1,000,000 Tuesday, February 25, 2020 25 Februari 2020 25 Lusin Rp 40,000 Rp 1,000,000 0 Lusin Rp 40,000 Rp -
25 Februari 2020 PJKM Notebook 300 Buah Rp 13,000 Rp 3,900,000 Tuesday, February 25, 2020 25 Februari 2020 300 Buah Rp 13,000 Rp 3,900,000 0 Buah Rp 13,000 Rp -
07 Februari 2020 P2PT/KESWA Notebook 120 Buah Rp 5,000 Rp 600,000 126/APBD/P2PT&KESWA/II/2020 Friday, February 07, 2020 07 Februari 2020 120 Buah Rp 5,000 Rp 600,000 0 Buah Rp 5,000 Rp -
07 Februari 2020 P2PT/KESWA Pulpen 120 Buah Rp 5,000 Rp 600,000 Friday, February 07, 2020 07 Februari 2020 120 Buah Rp 5,000 Rp 600,000 0 Buah Rp 5,000 Rp -
07 Februari 2020 P2PT/KESWA Zipper Map 120 Buah Rp 15,000 Rp 1,800,000 Friday, February 07, 2020 07 Februari 2020 120 Buah Rp 15,000 Rp 1,800,000 0 Buah Rp 15,000 Rp -
1814/APBD/PROMKESLINGKESJAO
9-Nov-20 Promkejaor belanja tas parasut )resleting ketika dilipat & custom logo) 70 Pcs Rp 43,500 Rp 3,045,000 09 November 2020 70 Pcs Rp 43,500 Rp 3,045,000 0 Pcs Rp 43,500 Rp -
R/XI/2020
9-Nov-20 Promkejaor belanja ballpoint custom ( tali & custom logo) 70 Pcs Rp 27,500 Rp 1,925,000 09 November 2020 70 Pcs Rp 27,500 Rp 1,925,000 0 Pcs Rp 27,500 Rp -
R/XI/2020
9-Nov-20 Promkejaor Belanja hand sanitizer ( 6 ml & custom logo) 70 Pcs Rp 24,500 Rp 1,715,000 09 November 2020 70 Pcs Rp 24,500 Rp 1,715,000 0 Pcs Rp 24,500 Rp -
R/XI/2020
9-Nov-20 Promkejaor Belanja note book (ukuran 15X21 cm, art paper board/art carton, full colou 70 Pcs Rp 48,500 Rp 3,395,000 09 November 2020 70 Pcs Rp 48,500 Rp 3,395,000 0 Pcs Rp 48,500 Rp -
R/XI/2020
28 februari 2020 Promkejaor Rompi tim satgas KTR 2 muka plus bordir 50 pcs Rp 348,000 Rp 17,400,000 28 februari 2020 50 pcs Rp 348,000 Rp 17,400,000 0 pcs Rp 348,000 Rp -
28 februari 2020 Promkejaor Ban lengan/ handbadge 50 pcs Rp 83,000 Rp 4,150,000 28 februari 2020 50 pcs Rp 83,000 Rp 4,150,000 0 pcs Rp 83,000 Rp -
28 februari 2020 Promkejaor Topi satgas KTR bordir 50 pcs Rp 98,000 Rp 4,900,000 28 februari 2020 50 pcs Rp 98,000 Rp 4,900,000 0 pcs Rp 98,000 Rp -
Promkejaor PERLENGKAPAN PANITIA 1 Paket Rp 3,200,000 Rp 3,200,000 30 Desember 1899 1 Paket Rp 3,200,000 Rp 3,200,000 0 Paket Rp 3,200,000 Rp -
13 Maret 2020 PJKM Map Plastik Kancing 25 Lusin Rp 48,000 Rp 1,200,000 179/APBD/PJKM/II/2020 Friday, March 13, 2020 13 Maret 2020 25 Lusin Rp 48,000 Rp 1,200,000 0 Lusin Rp 48,000 Rp -
13 Maret 2020 PJKM Ballpoint 25 Lusin Rp 40,000 Rp 1,000,000 Friday, March 13, 2020 13 Maret 2020 25 Lusin Rp 40,000 Rp 1,000,000 0 Lusin Rp 40,000 Rp -
13 Maret 2020 PJKM Notebook 300 Buah Rp 13,000 Rp 3,900,000 Friday, March 13, 2020 13 Maret 2020 300 Buah Rp 13,000 Rp 3,900,000 0 Buah Rp 13,000 Rp -
Umpeg Perlengkapan panitia 1 Paket Rp 742,000 Rp 742,000 30 Desember 1899 1 Paket Rp 742,000 Rp 742,000 0 Paket Rp 742,000 Rp -
13 Maret 2020 perencanaan Balpoint 13 Lusin Rp 54,000 Rp 702,000 586/APBD/SUBBAG PEP/2020 Friday, March 13, 2020 13 Maret 2020 13 Lusin Rp 54,000 Rp 702,000 0 Lusin Rp 54,000 Rp -
13 Maret 2020 perencanaan Map Plastik 150 Buah Rp 19,500 Rp 2,925,000 Friday, March 13, 2020 13 Maret 2020 150 Buah Rp 19,500 Rp 2,925,000 0 Buah Rp 19,500 Rp -
JUMLAH BELANJA PERLENGKAPAN PANITIA/PESERTA Rp 59,299,000.00 ok Rp 59,299,000.00 Rp -
BELANJA BAHAN PERCONTOHAN (5.2.2.01.17)
30-Dec-99 Kesga Belanja APE KIT 65 buah 760,500 Rp 49,432,500 1416 30 Desember 1899 Program 0 buah Rp 760,500 Rp - 65 buah Rp 760,500 Rp 49,432,500
Promkes Belanja Percontohan 1 Paket 18,600,000 Rp 18,600,000 30 Desember 1899 Program 0 Paket Rp 18,600,000 Rp - 1 Paket Rp 18,600,000 Rp 18,600,000
30-Dec-99 Kesga Belanja APE KIT 30 paket 295,020 Rp 8,850,600 1461 30 Desember 1899 Program 0 paket Rp 295,020 Rp - 30 paket Rp 295,020 Rp 8,850,600
JUMLAH BELANJA BAHAN PERCONTOHAN Rp 76,883,100.00 ok Rp - Rp 76,883,100.00
BELANJA BAHAN PAKAI HABIS NON INVENTARIS (5.2.2.01.20)
25 November 2020 Epapor NON INVENTARIS 1 Paket 4,770,000.00 4,770,000.00 12/11/1903 ### 25 November 2020 Staff 1 Paket Rp 4,770,000 Rp 4,770,000 0 Paket Rp 4,770,000 Rp -
16 November 2020 Rujukan Box Container Plastik 10 Buah 350,000.00 3,500,000.00 12/11/1903 ### 16 November 2020 Staff 10 Buah Rp 350,000 Rp 3,500,000 0 Buah Rp 350,000 Rp -
JUMLAH BELANJA BAHAN PAKAI HABIS NON INVENTARIS Rp 8,270,000.00 ok Rp 8,270,000.00 Rp -
BELANJA BAHAN BAKU BANGUNAN (5.2.2.02.01)
21 Februari 2020 Umpeg Pipa 4' 4 Batang 380,000.00 Rp 1,520,000 21 Februari 2020 gedung 4 Batang Rp 380,000 Rp 1,520,000 0 Batang Rp 380,000 Rp -
21 Februari 2020 Umpeg Pipa 3' 4 Batang 240,000.00 Rp 960,000 21 Februari 2020 gedung 4 Batang Rp 240,000 Rp 960,000 0 Batang Rp 240,000 Rp -
21 Februari 2020 Umpeg Keramik 60x60 8 Dus 280,000.00 Rp 2,240,000 21 Februari 2020 gedung 8 Dus Rp 280,000 Rp 2,240,000 0 Dus Rp 280,000 Rp -
Page 15 of 288
21 Februari 2020 Umpeg Pasir 1 Truk 750,000.00 Rp 750,000 21 Februari 2020 gedung 1 Truk Rp 750,000 Rp 750,000 0 Truk Rp 750,000 Rp -
21 Februari 2020 Umpeg Semen 21 Sak 75,000.00 Rp 1,575,000 21 Februari 2020 gedung 21 Sak Rp 75,000 Rp 1,575,000 0 Sak Rp 75,000 Rp -
21 Februari 2020 Umpeg Semen Sica 4 Sak 295,000.00 Rp 1,180,000 21 Februari 2020 gedung 4 Sak Rp 295,000 Rp 1,180,000 0 Sak Rp 295,000 Rp -
21 Februari 2020 Umpeg Weirmesh 1 Lbr 950,000.00 Rp 950,000 21 Februari 2020 gedung 1 Lbr Rp 950,000 Rp 950,000 0 Lbr Rp 950,000 Rp -
21 Februari 2020 Umpeg Plapon Gipsum 4 Lbr 105,000.00 Rp 420,000 21 Februari 2020 gedung 4 Lbr Rp 105,000 Rp 420,000 0 Lbr Rp 105,000 Rp -

21 Februari 2020 Umpeg Kompon 2 Sak 86,000.00 Rp 172,000 Friday, February 21, 2020 21 Februari 2020 gedung 2 Sak Rp 86,000 Rp 172,000 0 Sak Rp 86,000 Rp -
KEPEGAWAIAN/II/2020
21 Februari 2020 Umpeg Nat Keramik 4 Kg 25,000.00 Rp 100,000 21 Februari 2020 gedung 4 Kg Rp 25,000 Rp 100,000 0 Kg Rp 25,000 Rp -
21 Februari 2020 Umpeg Aqua Prof 5 Galon 206,000.00 Rp 1,030,000 21 Februari 2020 gedung 5 Galon Rp 206,000 Rp 1,030,000 0 Galon Rp 206,000 Rp -
21 Februari 2020 Umpeg Sewa Mesin Tembak Air 1 Paket 1,500,000.00 Rp 1,500,000 21 Februari 2020 gedung 1 Paket Rp 1,500,000 Rp 1,500,000 0 Paket Rp 1,500,000 Rp -
21 Februari 2020 Umpeg Sedot WC 1 Paket 500,000.00 Rp 500,000 21 Februari 2020 gedung 1 Paket Rp 500,000 Rp 500,000 0 Paket Rp 500,000 Rp -
21 Februari 2020 Umpeg Ember 4 Buah 25,000.00 Rp 100,000 21 Februari 2020 gedung 4 Buah Rp 25,000 Rp 100,000 0 Buah Rp 25,000 Rp -
21 Februari 2020 Umpeg Sendok Semen 4 Buah 25,000.00 Rp 100,000 21 Februari 2020 gedung 4 Buah Rp 25,000 Rp 100,000 0 Buah Rp 25,000 Rp -
21 Februari 2020 Umpeg Benang 5 Buah 3,000.00 Rp 15,000 21 Februari 2020 gedung 5 Buah Rp 3,000 Rp 15,000 0 Buah Rp 3,000 Rp -
21 Februari 2020 Umpeg Hebel 1 M³ 750,000.00 Rp 750,000 21 Februari 2020 gedung 1 M³ Rp 750,000 Rp 750,000 0 M³ Rp 750,000 Rp -

24 Maret 2020 Umpeg Perbaikan Flafon gedung dinkes Bahan Material 1 Paket 17,470,000.00 Rp 17,470,000 Tuesday, March 24, 2020 24 Maret 2020 gedung 1 Paket Rp 17,470,000 Rp 17,470,000 0 Paket Rp 17,470,000 Rp -

17 Juli 2020 Umpeg Perbaikan Atap Selara dan Rooftop Atap 1 Paket 32,835,000.00 Rp 32,835,000 Friday, July 17, 2020 17 Juli 2020 gedung 1 Paket Rp 32,835,000 Rp 32,835,000 0 Paket Rp 32,835,000 Rp -
KEPEGAWAIAN/II/2020
Perbaikan Closet dan Flapon Kantor Dinas Kesehatan Kota Tangerang 1598/APBD/SUB BAGIAN UMUM DAN
07 September 2021 Umpeg 1 Paket 34,300,000.00 Rp 34,300,000 07 September 2021 gedung 1 Paket Rp 34,300,000 Rp 34,300,000 0 Paket Rp 34,300,000 Rp -
Selatan KEPEGAWAIAN/VII/2021

18 September 2021 Umpeg Bongkar Pasang Flapon 1 Paket 43,277,000.00 Rp 43,277,000 18 September 2021 gedung 1 Paket Rp 43,277,000 Rp 43,277,000 0 Paket Rp 43,277,000 Rp -
KEPEGAWAIAN/VII/2022
JUMLAH BELANJA BAHAN BAKU BANGUNAN Rp 141,744,000.00 ok Rp 141,744,000.00 Rp -
BELANJA OBAT-OBATAN (5.2.2.02.04)
Farmalkes Parasetamol tablet 500 mg 914,000 Kaplet Rp 152 Rp 138,928,000 ### 30 Desember 1899 Farmasi 914,000 Kaplet Rp 152 Rp 138,928,000 0 Kaplet Rp 152 Rp -
Farmalkes Oxytocin/ Oksitosin inj 10 IU/ml 3,000 Ampul Rp 1,199 Rp 3,597,000 ### 30 Desember 1899 Farmasi 3,000 Ampul Rp 1,199 Rp 3,597,000 0 Ampul Rp 1,199 Rp -
Farmalkes Atropin/Atropine inj 0,25 mg/ml (i.m./i.v./s.k ) 200 Ampul Rp 1,639 Rp 327,800 ### 30 Desember 1899 Farmasi 200 Ampul Rp 1,639 Rp 327,800 0 Ampul Rp 1,639 Rp -
Betahistin/betahistine mesylate/betahistine mesylate tablet 6

Farmalkes 200,000 Tablet Rp 110 Rp 22,000,000 ### 30 Desember 1899 Farmasi 200,000 Tablet Rp 110 Rp 22,000,000 0 Tablet Rp 110 Rp -
mg
Farmalkes Asam askorbat (vitamin C) tab 50 mg 2,000,000 Tablet Rp 105 Rp 210,000,000 ### 30 Desember 1899 Farmasi 2,000,000 Tablet Rp 105 Rp 210,000,000 0 Tablet Rp 105 Rp -
Fitomenadion/ Phytomenadion (Vitamin K1) injeksi 2

Farmalkes 3,000 Ampul Rp 3,682 Rp 11,046,000 ### 30 Desember 1899 Farmasi 3,000 Ampul Rp 3,682 Rp 11,046,000 0 Ampul Rp 3,682 Rp -
mg/ml (i.m)
Farmalkes Asam askorbat (vitamin C) tab 50 mg 3,000,000 Tablet Rp 105 Rp 315,000,000 ### 30 Desember 1899 Farmasi 3,000,000 Tablet Rp 105 Rp 315,000,000 0 Tablet Rp 105 Rp -
Hidroxyl ethyl starch inf 6%/ koloid HES BM 130.000 lar. Inf
Farmalkes 300 Botol Rp 21,780 Rp 6,534,000 ### 30 Desember 1899 Farmasi 300 Botol Rp 21,780 Rp 6,534,000 0 Botol Rp 21,780 Rp -
6%/ Poly (0-2 hydroxyethyl) starch, sodium chloride
Page 16 of 288
Farmalkes Epinefrin/ Epinephrine (Adrenalin) Injeksi 0,1% (i.v/s.k/i.m) 400 Ampul Rp 1,408 Rp 563,200 ### 30 Desember 1899 Farmasi 400 Ampul Rp 1,408 Rp 563,200 0 Ampul Rp 1,408 Rp -
Farmalkes Alopurinol tablet/kapsul/kaplet 100 mg 300,000 Tablet Rp 105 Rp 31,500,000 ### 30 Desember 1899 Farmasi 300,000 Tablet Rp 105 Rp 31,500,000 0 Tablet Rp 105 Rp -
Farmalkes Omeprazol/ Omeprazole serb Injeksi 40 mg 1,000 Vial Rp 10,393 Rp 10,393,000 ### 30 Desember 1899 Farmasi 1,000 Vial Rp 10,393 Rp 10,393,000 0 Vial Rp 10,393 Rp -
Farmalkes Parasetamol tablet 500 mg 300,000 Kaplet Rp 152 Rp 45,600,000 ### 30 Desember 1899 Farmasi 300,000 Kaplet Rp 152 Rp 45,600,000 0 Kaplet Rp 152 Rp -
Farmalkes Ambroksol Syrup 15 mg / ml 15,000 Botol Rp 3,100 Rp 46,500,000 ### 30 Desember 1899 Farmasi 15,000 Botol Rp 3,100 Rp 46,500,000 0 Botol Rp 3,100 Rp -
Farmalkes Antispasmodik 20,000 tablet Rp 1,000 Rp 20,000,000 ### 30 Desember 1899 Farmasi 20,000 tablet Rp 1,000 Rp 20,000,000 0 tablet Rp 1,000 Rp -
Farmalkes Asiklovir krim 5 % 2,000 Tube Rp 3,125 Rp 6,250,000 ### 30 Desember 1899 Farmasi 2,000 Tube Rp 3,125 Rp 6,250,000 0 Tube Rp 3,125 Rp -
Farmalkes Bedak Salisil 2% 3,000 Pot Rp 6,400 Rp 19,200,000 ### 30 Desember 1899 Farmasi 3,000 Pot Rp 6,400 Rp 19,200,000 0 Pot Rp 6,400 Rp -
Farmalkes Guanfenesin tablet 100 mg 500,000 tablet Rp 120 Rp 60,000,000 ### 30 Desember 1899 Farmasi 500,000 tablet Rp 120 Rp 60,000,000 0 tablet Rp 120 Rp -
Farmalkes Kalium Diklofenak 50 mg 10,000 Tablet Rp 725 Rp 7,250,000 ### 30 Desember 1899 Farmasi 10,000 Tablet Rp 725 Rp 7,250,000 0 Tablet Rp 725 Rp -
Farmalkes Kloramfenikol tetes mata 0.5 % 4,100 Botol Rp 7,800 Rp 31,980,000 ### 30 Desember 1899 Farmasi 4,100 Botol Rp 7,800 Rp 31,980,000 0 Botol Rp 7,800 Rp -
Farmalkes Kloramfenikol tetes telinga 3 % 1,000 Botol Rp 7,100 Rp 7,100,000 ### 30 Desember 1899 Farmasi 1,000 Botol Rp 7,100 Rp 7,100,000 0 Botol Rp 7,100 Rp -
Farmalkes Lactobasillus 40,000 sachet Rp 12,400 Rp 496,000,000 ### 30 Desember 1899 Farmasi 40,000 sachet Rp 12,400 Rp 496,000,000 0 sachet Rp 12,400 Rp -
Farmalkes Methisoprinol 250 mg/5ml 1,000 Botol Rp 53,625 Rp 53,625,000 ### 30 Desember 1899 Farmasi 1,000 Botol Rp 53,625 Rp 53,625,000 0 Botol Rp 53,625 Rp -
Farmalkes Methisoprinol 500 mg 10,000 Tablet Rp 3,215 Rp 32,150,000 ### 30 Desember 1899 Farmasi 10,000 Tablet Rp 3,215 Rp 32,150,000 0 Tablet Rp 3,215 Rp -
Farmalkes Multivitamin anak sirup 25,000 Botol Rp 35,300 Rp 882,500,000 ### 30 Desember 1899 Farmasi 25,000 Botol Rp 35,300 Rp 882,500,000 0 Botol Rp 35,300 Rp -
1 Farmalkes Multivitamin dewasa 200,000 Kaplet Rp 1,650 Rp 330,000,000 ### 30 Desember 1899 Farmasi 200,000 Kaplet Rp 1,650 Rp 330,000,000 0 Kaplet Rp 1,650 Rp -
2 Farmalkes Obat Antianemia Drop 1,000 botol Rp 36,400 Rp 36,400,000 ### 30 Desember 1899 Farmasi 1,000 botol Rp 36,400 Rp 36,400,000 0 botol Rp 36,400 Rp -
3 Farmalkes Obat Antifungi Drop 1,000 Botol Rp 33,530 Rp 33,530,000 ### 30 Desember 1899 Farmasi 1,000 Botol Rp 33,530 Rp 33,530,000 0 Botol Rp 33,530 Rp -
1 Farmalkes Obat batuk hitam 100 ml 5,000 botol Rp 7,788 Rp 38,940,000 ### 30 Desember 1899 Farmasi 5,000 botol Rp 7,788 Rp 38,940,000 0 botol Rp 7,788 Rp -
2 Farmalkes Obat Dekongestan tablet 10,000 tablet Rp 1,600 Rp 16,000,000 ### 30 Desember 1899 Farmasi 10,000 tablet Rp 1,600 Rp 16,000,000 0 tablet Rp 1,600 Rp -
3 Farmalkes Obat Flu dan Batuk Sirup 12,000 Botol Rp 11,500 Rp 138,000,000 ### 30 Desember 1899 Farmasi 12,000 Botol Rp 11,500 Rp 138,000,000 0 Botol Rp 11,500 Rp -
4 Farmalkes Obat Flu dan Batuk Tablet 200,000 Kaplet Rp 750 Rp 150,000,000 ### 30 Desember 1899 Farmasi 200,000 Kaplet Rp 750 Rp 150,000,000 0 Kaplet Rp 750 Rp -
5 Farmalkes Oksitetrasiklin HCl salep kulit 3% 2,000 Tube Rp 2,200 Rp 4,400,000 ### 30 Desember 1899 Farmasi 2,000 Tube Rp 2,200 Rp 4,400,000 0 Tube Rp 2,200 Rp -
6 Farmalkes Parasetamol supp 2,000 Suppositoria Rp 8,100 Rp 16,200,000 ### 30 Desember 1899 Farmasi 2,000 Suppositoria Rp 8,100 Rp 16,200,000 0 Suppositoria Rp 8,100 Rp -
7 Farmalkes Pseudoefedrin Hcl Drop 1,000 Botol Rp 23,000 Rp 23,000,000 ### 30 Desember 1899 Farmasi 1,000 Botol Rp 23,000 Rp 23,000,000 0 Botol Rp 23,000 Rp -
Page 17 of 288
8 Farmalkes Ranitidin Hcl Sirup 5,000 Botol Rp 55,000 Rp 275,000,000 ### 30 Desember 1899 Farmasi 5,000 Botol Rp 55,000 Rp 275,000,000 0 Botol Rp 55,000 Rp -
9 Farmalkes Siprofloksasin 500 mg tablet 50,000 Tablet Rp 500 Rp 25,000,000 ### 30 Desember 1899 Farmasi 50,000 Tablet Rp 500 Rp 25,000,000 0 Tablet Rp 500 Rp -
10 Farmalkes Suplemen Ibu Menyusui 15,000 Kapsul Rp 1,500 Rp 22,500,000 ### 30 Desember 1899 Farmasi 15,000 Kapsul Rp 1,500 Rp 22,500,000 0 Kapsul Rp 1,500 Rp -
11 Farmalkes Vitamin Neurotopik 50,700 Kaplet Rp 3,085 Rp 156,409,500 ### 30 Desember 1899 Farmasi 50,700 Kaplet Rp 3,085 Rp 156,409,500 0 Kaplet Rp 3,085 Rp -
12 Farmalkes Vitamin Neurotopik Injeksi 2,000 ampul Rp 5,400 Rp 10,800,000 ### 30 Desember 1899 Farmasi 2,000 ampul Rp 5,400 Rp 10,800,000 0 ampul Rp 5,400 Rp -
Kombinasi : Ferro fumarat 60 mg + as. Folat 0,4 mg tablet salut Tablet salut
13 ### Farmalkes 4,742,400 Rp 354 Rp 1,678,809,600 Wednesday, May 27, 2020 27 Mei 2020 Farmasi 4,742,400 Tablet salut gula Rp 354 Rp 1,678,809,600 0 Tablet salut gula Rp 354 Rp -
gula (tablet tambah darah) gula
14 ### Farmalkes Retinol (vitamin A) kapsul lunak 100.000 IU 36,100 Soft kapsul Rp 306 Rp 11,046,600 Thursday, June 04, 2020 04 Juni 2020 Farmasi 36,100 Soft kapsul Rp 306 Rp 11,046,600 0 Soft kapsul Rp 306 Rp -
15 ### Farmalkes Retinol acetate/retinol (vitamin A) kapsul lunak 200.000 IU 397,550 Soft kapsul Rp 552 Rp 219,447,600 Thursday, June 04, 2020 04 Juni 2020 Farmasi 397,550 Soft kapsul Rp 552 Rp 219,447,600 0 Soft kapsul Rp 552 Rp -
### Farmalkes Glukosa Larutan infus 5% 500 ml 500 Botol Rp 7,363 Rp 3,681,500 Thursday, July 02, 2020 02 Juli 2020 Farmasi 500 Botol Rp 7,363 Rp 3,681,500 0 Botol Rp 7,363 Rp -
### Farmalkes NaCl 0,9%/ Sodium Chloride 0,9% 500 mL 8,000 Botol Rp 6,840 Rp 54,720,000 Thursday, July 02, 2020 02 Juli 2020 Farmasi 8,000 Botol Rp 6,840 Rp 54,720,000 0 Botol Rp 6,840 Rp -
### Farmalkes Ringer Laktat/Ringer Lactate, 500 mL 20,000 Botol Rp 7,630 Rp 152,600,000 Thursday, July 02, 2020 02 Juli 2020 Farmasi 20,000 Botol Rp 7,630 Rp 152,600,000 0 Botol Rp 7,630 Rp -
### Farmalkes Glimepiride tablet 2 mg 160,000 Tablet Rp 207 Rp 33,120,000 Thursday, July 02, 2020 02 Juli 2020 Farmasi 160,000 Tablet Rp 207 Rp 33,120,000 0 Tablet Rp 207 Rp -
Monday, July 06, 2020 Farmalkes Amlodipin/Amlodipine/Amlodipine Besilat tablet 10 mg 750,000 Tablet Rp 99 Rp 74,250,000 Monday, July 06, 2020 06 Juli 2020 Farmasi 750,000 Tablet Rp 99 Rp 74,250,000 0 Tablet Rp 99 Rp -
Monday, July 06, 2020 Farmalkes Amlodipin/Amlodipine/Amlodipine Besilat tablet 5 mg 1,200,000 Tablet Rp 75 Rp 90,000,000 Monday, July 06, 2020 06 Juli 2020 Farmasi 1,200,000 Tablet Rp 75 Rp 90,000,000 0 Tablet Rp 75 Rp -
Monday, July 06, 2020 Farmalkes Zinc Sulfat/Zinc sulfate monohydrate/zink sir 20 mg/5ml 15,000 Botol Rp 3,171 Rp 47,565,000 Monday, July 06, 2020 06 Juli 2020 Farmasi 15,000 Botol Rp 3,171 Rp 47,565,000 0 Botol Rp 3,171 Rp -
Ipratropium bromide monohydrate ⁓ ipratropium bromide 0,5

### Farmalkes mg + Salbutamol sulphate ⁓ Salbutamol 2,5 mg/ kombinasi : 9,000 Vial Rp 4,550 Rp 40,950,000 Wednesday, July 22, 2020 22 Juli 2020 Farmasi 9,000 Vial Rp 4,550 Rp 40,950,000 0 Vial Rp 4,550 Rp -
Ipratropium bromide inhalasi 0,5 mg salbutamol 2,5 mg
Tuesday, July 28, 2020 Farmalkes Prednison/Prednisone tablet 5 mg 1,080,000 Tablet Rp 73 Rp 78,840,000 Tuesday, July 28, 2020 28 Juli 2020 Farmasi 1,080,000 Tablet Rp 73 Rp 78,840,000 0 Tablet Rp 73 Rp -
### Farmalkes Serum antitetanus (A.T.S) inj 1500 IU/mL (i.m) 1,800 Vial Rp 130,999 Rp 235,798,200 Friday, August 07, 2020 07 Agustus 2020 Farmasi 1,800 Vial Rp 130,999 Rp 235,798,200 0 Vial Rp 130,999 Rp -
Antasida suspensi, kombinasi: Aluminium Hidroksida 200 mg +

### Farmalkes 80,000 Botol Rp 2,129 Rp 170,320,000 Friday, August 07, 2020 07 Agustus 2020 Farmasi 80,000 Botol Rp 2,129 Rp 170,320,000 0 Botol Rp 2,129 Rp -
Magnesium Hidroksida 200 mg
### Farmalkes Atapulgit tablet 630 mg 80,000 Tablet Rp 162 Rp 12,960,000 Monday, August 10, 2020 10 Agustus 2020 Farmasi 80,000 Tablet Rp 162 Rp 12,960,000 0 Tablet Rp 162 Rp -
### Farmalkes Permethrin/ Permetrin Krim 5%, kemasan tube 6,000 Tube Rp 11,825 Rp 70,950,000 Thursday, August 13, 2020 13 Agustus 2020 Farmasi 6,000 Tube Rp 11,825 Rp 70,950,000 0 Tube Rp 11,825 Rp -
### Farmalkes Diazepam enema 5 mg/2,5 mL 2,200 Tube Rp 12,573 Rp 27,660,600 ### 01 September 2020 Farmasi 2,200 Tube Rp 12,573 Rp 27,660,600 0 Tube Rp 12,573 Rp -
Cotrimoxazole/Cotrimoksazole/Kotrimoksazol (dewasa)
### Farmalkes kombinasi : sulfametoksazol 400 mg + trimetroprim 80 mg (tab 120,000 Tablet Rp 133 Rp 15,960,000 ### 03 September 2020 Farmasi 120,000 Tablet Rp 133 Rp 15,960,000 0 Tablet Rp 133 Rp -
480 mg)
Antasida Tablet Kunyah, kombinasi : Aluminium Hidroksida 200

### Farmalkes 2,000,000 Tablet Rp 58 Rp 116,000,000 ### 03 September 2020 Farmasi 2,000,000 Tablet Rp 58 Rp 116,000,000 0 Tablet Rp 58 Rp -
mg + Magnesium Hidroksida 200 mg
Cotrimoxazole/Cotrimoksazole/Kotrimoksazol (anak) kombinasi

### Farmalkes tiap 5ml suspensi : sulfametoksazol 200 mg + trimetroprim 40 mg 5,000 Botol Rp 2,190 Rp 10,950,000 ### 03 September 2020 Farmasi 5,000 Botol Rp 2,190 Rp 10,950,000 0 Botol Rp 2,190 Rp -
(Susp 240 mg)
### Farmalkes Kalsium Laktat /Calcium lactate (Kalk) Tablet 500 mg 630,000 Tablet Rp 63 Rp 39,690,000 ### 03 September 2020 Farmasi 630,000 Tablet Rp 63 Rp 39,690,000 0 Tablet Rp 63 Rp -
Page 18 of 288
### Farmalkes MINIASPI 80 Asam Asetilsalisilat (asetosal) tablet 80 m 200,000 Tablet Rp 105 Rp 21,000,000 ### 03 September 2020 Farmasi 200,000 Tablet Rp 105 Rp 21,000,000 0 Tablet Rp 105 Rp -
### Farmalkes Kaptopril/Captopril tablet 12,5 mg 100,000 Tablet Rp 66 Rp 6,600,000 ### 14 September 2020 Farmasi 100,000 Tablet Rp 66 Rp 6,600,000 0 Tablet Rp 66 Rp -
### Farmalkes Miconazole nitrate/ Miconazole/ Mikonazol krim 2% 10,008 Tube Rp 3,414 Rp 34,167,312 ### 14 September 2020 Farmasi 10,008 Tube Rp 3,414 Rp 34,167,312 0 Tube Rp 3,414 Rp -
### Farmalkes Pyridoxine/Piridoksin (Vitamin B6) Tablet 10 mg 400,000 Tablet Rp 131 Rp 52,400,000 ### 14 September 2020 Farmasi 400,000 Tablet Rp 131 Rp 52,400,000 0 Tablet Rp 131 Rp -
### Farmalkes Cetirizine hydrochloride(HCl) sirup 5 mg/5ml 20,000 Botol Rp 2,915 Rp 58,300,000 ### 14 September 2020 Farmasi 20,000 Botol Rp 2,915 Rp 58,300,000 0 Botol Rp 2,915 Rp -
### Farmalkes Acetyl cysteine/N-asetil sistein kaplet 200 mg 499,980 Kaplet Rp 382 Rp 190,992,360 Tuesday, October 13, 2020 13 Oktober 2020 Farmasi 499,980 Kaplet Rp 382 Rp 190,992,360 0 Kaplet Rp 382 Rp -
### Farmalkes Glibenklamid/Glibenclamide tablet 5 mg 100,000 Tablet Rp 119 Rp 11,900,000 Tuesday, October 13, 2020 13 Oktober 2020 Farmasi 100,000 Tablet Rp 119 Rp 11,900,000 0 Tablet Rp 119 Rp -
16 ### Farmalkes Parasetamol drops 100 mg botol @15 ml (60 mg/0,6 ml) 50,000 Botol Rp 6,649 Rp 332,450,000 Tuesday, October 13, 2020 13 Oktober 2020 Farmasi 50,000 Botol Rp 6,649 Rp 332,450,000 0 Botol Rp 6,649 Rp -
Diclofenac sodium/ Natrium diklofenak tablet/kapsul/kaplet salut

17 ### Farmalkes 50,000 Tablet Rp 137 Rp 6,850,000 ### 21 Oktober 2020 Farmasi 50,000 Tablet Rp 137 Rp 6,850,000 0 Tablet Rp 137 Rp -
enterik 25 mg

18 ### Farmalkes 650,000 Tablet Rp 123 Rp 79,950,000 ### 21 Oktober 2020 Farmasi 650,000 Tablet Rp 123 Rp 79,950,000 0 Tablet Rp 123 Rp -
enterik 50 mg
19 ### Farmalkes Nystatin/ Nistatin vaginal tablet 100.000 IU 15,000 Tablet Rp 598 Rp 8,970,000 ### 21 Oktober 2020 Farmasi 15,000 Tablet Rp 598 Rp 8,970,000 0 Tablet Rp 598 Rp -
Tablet salut
20 ### Farmalkes Nystatin/ Nistatin tablet/kaplet salut gula 500.000 IU 20,000 Rp 843 Rp 16,860,000 ### 21 Oktober 2020 Farmasi 20,000 Tablet salut gula Rp 843 Rp 16,860,000 0 Tablet salut gula Rp 843 Rp -
gula
21 ### Farmalkes Asiklovir/Acyclovir tablet/kapsul/kaplet 400 mg 150,000 Tablet Rp 405 Rp 60,750,000 ### 21 Oktober 2020 Farmasi 150,000 Tablet Rp 405 Rp 60,750,000 0 Tablet Rp 405 Rp -
JUMLAH BELANJA OBAT-OBATAN Rp 7,800,732,272.00 ok Rp 7,800,732,272.00 Rp -
BELANJA BAHAN KIMIA/PUPUK OBAT FOOGING (5.2.2.02.05)
01/08/20 P2M Obat Fooging JOLF 25 EC 500ML 1,480 botol 120,000 Rp 177,600,000 01 Agustus 2020 8/1/2020 Program 1,480 botol Rp 120,000 Rp 177,600,000 0 botol Rp 120,000 Rp -
JUMLAH BELANJA BAHAN BAKU MAKANAN Rp 177,600,000 ok Rp 177,600,000 Rp -
BELANJA BAHAN BAKU MAKANAN (5.2.2.02.06)
14 Februari 2020 Gizi Bahan Makanan Untuk Praktek 1 Paket Rp 278,000 278,000 233/APBD/SEKSI GIZI/II/2020 14 Februari 2020 2/14/2020 Program 1 Paket Rp 278,000 Rp 278,000 0 Paket Rp 43,875 Rp -
06 Oktober 2020 Gizi Bahan Food Lokal Untuk Pos Gizi 20 Paket Rp 248,000 4,960,000 1099/APBD/SEKSI GIZI/X/2020 06 Oktober 2020 10/6/2020 Program 20 Paket Rp 248,000 Rp 4,960,000 0 Paket Rp 44,110 Rp -
JUMLAH BELANJA BAHAN BAKU MAKANAN Rp 5,238,000.00 ok Rp 5,238,000.00 Rp -
Belanja Bahan bakteri pengurai limbah cair (522.02.07)
22 Oktober 2020 P2M Larvasida Cair 6900 Botol 24,500.00 169,050,000.00 020/BA/1424/P2PM/2020 22 Oktober 2020 10/22/2020 Program 6,900 Botol Rp 24,500 Rp 169,050,000 0 Botol Rp 24,500 Rp -
JUMLAH Bahan bakteri pengurai limbah cair Rp 169,050,000.00 ok Rp 169,050,000.00 Rp -
BELANJA CETAK (5.2.2.06.01)
Promkesjaor cetak 1 unit 3,700,000 3,700,000 Program 1 unit Rp 3,700,000 Rp 3,700,000 0 unit Rp 3,700,000 Rp -
23-Nov-20 Promkesjaor belanja cetak kalender 2021 50 buah Rp 60,000 3,000,000 Program 50 buah Rp 60,000 Rp 3,000,000 0 buah Rp 60,000 Rp -
R/XI/2020
1815/APBD/PROMKESLIGKESJAOR/
18 desember 2020 Promkesjaor Belanja poster 30 Pcs Rp 124,000 3,720,000 Program 30 Pcs Rp 124,000 Rp 3,720,000 0 Pcs Rp 124,000 Rp -
XII/2020
18 desember 2020 Promkesjaor Belanja akrilik 30 Pcs Rp 785,500 23,565,000 Program 30 Pcs Rp 785,500 Rp 23,565,000 0 Pcs Rp 785,500 Rp -
XII/2020
18 desember 2020 Promkesjaor belanja flayer 5 Rim Rp 497,800 2,489,000 Program 5 Rim Rp 497,800 Rp 2,489,000 0 Rim Rp 497,800 Rp -
XII/2020
Page 19 of 288
18 desember 2020 Promkesjaor belanja stiker 5 Rim Rp 493,000 2,465,000 Program 5 Rim Rp 493,000 Rp 2,465,000 0 Rim Rp 493,000 Rp -
XII/2020
18 desember 2020 Promkesjaor belanja buku tanya jawab 100 eks Rp 99,500 9,950,000 Program 100 eks Rp 99,500 Rp 9,950,000 0 eks Rp 99,500 Rp -
XII/2020
18 desember 2020 Promkesjaor belanja PIN 50 Pcs Rp 7,800 390,000 Program 50 Pcs Rp 7,800 Rp 390,000 0 Pcs Rp 7,800 Rp -
XII/2020
18 desember 2020 Promkesjaor belanja notebook 87 Eks Rp 48,000 4,176,000 Program 87 Eks Rp 48,000 Rp 4,176,000 0 Eks Rp 48,000 Rp -
XII/2020
23-Nov-20 Promkesjaor belanja bakdrop 1 buah Rp 6,000,000 6,000,000 Program 1 buah Rp 6,000,000 Rp 6,000,000 0 buah Rp 6,000,000 Rp -
R/XI/2020
23-Nov-20 Promkesjaor belanja poster 80 x 60 cm 20 buah Rp 275,000 5,500,000 Program 20 buah Rp 275,000 Rp 5,500,000 0 buah Rp 275,000 Rp -
R/XI/2020
23-Nov-20 Promkesjaor belanja poster 80 x 105 cm 2 buah Rp 450,000 900,000 Program 2 buah Rp 450,000 Rp 900,000 0 buah Rp 450,000 Rp -
R/XI/2020
23-Nov-20 Promkesjaor belanja roll up banner 2 buah Rp 1,350,000 2,700,000 Program 2 buah Rp 1,350,000 Rp 2,700,000 0 buah Rp 1,350,000 Rp -
R/XI/2020
23-Nov-20 Promkesjaor belanja stiker lift 1 buah Rp 3,800,000 3,800,000 Program 1 buah Rp 3,800,000 Rp 3,800,000 0 buah Rp 3,800,000 Rp -
R/XI/2020
23-Nov-20 Promkesjaor belanja stiker lantai 30 buah Rp 155,000 4,650,000 Program 30 buah Rp 155,000 Rp 4,650,000 0 buah Rp 155,000 Rp -
R/XI/2020
23-Nov-20 Promkesjaor belanja blocknote 300 buah Rp 70,000 21,000,000 Program 300 buah Rp 70,000 Rp 21,000,000 0 buah Rp 70,000 Rp -
R/XI/2020
30 maret 2020 Promkesjaor Flyer 8 rim Rp 575,000 4,600,000 Program 8 rim Rp 575,000 Rp 4,600,000 0 rim Rp 575,000 Rp -
30 maret 2020 Promkesjaor Roll up Banner 2 buah Rp 600,000 1,200,000 Program 2 buah Rp 600,000 Rp 1,200,000 0 buah Rp 600,000 Rp -
30 maret 2020 Promkesjaor Sticker 4 rim Rp 1,000,000 4,000,000 Program 4 rim Rp 1,000,000 Rp 4,000,000 0 rim Rp 1,000,000 Rp -
15-Apr-20 Promkesjaor Rollup Baner Uk.85X200CM,Albatros,Desain Materi,Cetak FC 12 pcs Rp 891,000 10,692,000 Program 12 pcs Rp 891,000 Rp 10,692,000 0 pcs Rp 891,000 Rp -
15-Apr-20 Promkesjaor Sticker A6,Uk A6,Vynil 150 gsm,Laminating,Desain Materi,Cetak FC 1 rim Rp 1,808,000 1,808,000 Program 1 rim Rp 1,808,000 Rp 1,808,000 0 rim Rp 1,808,000 Rp -
15-Apr-20 Promkesjaor Sticker A4 UkA4,(21X29 cm),vynil 150-210gsm,Laminating doff,Desain Mat 4 rim Rp 3,300,000 13,200,000 Program 4 rim Rp 3,300,000 Rp 13,200,000 0 rim Rp 3,300,000 Rp -
15-Apr-20 Promkesjaor Poster B2 UkB2,Artpapper,150-210 gsm,Desain Materi,Cetak FC 1 sisi 30 rim Rp 165,000 4,950,000 Program 30 rim Rp 165,000 Rp 4,950,000 0 rim Rp 165,000 Rp -
15-Apr-20 Promkesjaor Poster A3 UkA3,Artpapper,150-210 gsm,Desain Materi,Cetak FC 1 sisi 30 rim Rp 55,000 1,650,000 Program 30 rim Rp 55,000 Rp 1,650,000 0 rim Rp 55,000 Rp -
Promkesjaor cetak buku narkora untuk kelurahan Paku Alam (F1 Musrembang) 1 Paket Rp 3,700,000 3,700,000 Program 1 Paket Rp 3,700,000 Rp 3,700,000 0 Paket Rp 3,700,000 Rp -
10 maret 2020 Promkesjaor Form PHBS Kader Lapis 3 Ncr 100 buku Rp 70,000 7,000,000 Program 100 buku Rp 70,000 Rp 7,000,000 0 buku Rp 70,000 Rp -
10 maret 2020 Promkesjaor Form PHBS Ketua Pos Yandu Lapis 3 Ncr 15 buku Rp 85,000 1,275,000 Program 15 buku Rp 85,000 Rp 1,275,000 0 buku Rp 85,000 Rp -
10 maret 2020 Promkesjaor Form PHBS Koord. Kelurahan Lapis 3 Ncr 10 buku Rp 85,000 850,000 Program 10 buku Rp 85,000 Rp 850,000 0 buku Rp 85,000 Rp -
10 maret 2020 Promkesjaor Form UKGMD 15 buku Rp 60,000 900,000 Program 15 buku Rp 60,000 Rp 900,000 0 buku Rp 60,000 Rp -
10 maret 2020 Promkesjaor Flayer Corona 5 rim Rp 800,000 4,000,000 Program 5 rim Rp 800,000 Rp 4,000,000 0 rim Rp 800,000 Rp -
10 maret 2020 Promkesjaor Leaflet KMB Test Kebugaran 8 rim Rp 1,050,000 8,400,000 Program 8 rim Rp 1,050,000 Rp 8,400,000 0 rim Rp 1,050,000 Rp -
10 maret 2020 Promkesjaor Flayer Novel Corona Virus A 4 rim Rp 850,000 3,400,000 10 maret 2020 Program 4 rim Rp 850,000 Rp 3,400,000 0 rim Rp 850,000 Rp -
10 maret 2020 Promkesjaor Flayer Novel Corona Virus B 5 rim Rp 800,000 4,000,000 10 maret 2020 Program 5 rim Rp 800,000 Rp 4,000,000 0 rim Rp 800,000 Rp -
10 maret 2020 Promkesjaor Flayer Memakai Masker 4 rim Rp 850,000 3,400,000 10 maret 2020 Program 4 rim Rp 850,000 Rp 3,400,000 0 rim Rp 850,000 Rp -
10 maret 2020 Promkesjaor Flayer Pencegahan Corona 6 rim Rp 750,000 4,500,000 10 maret 2020 Program 6 rim Rp 750,000 Rp 4,500,000 0 rim Rp 750,000 Rp -
25-Nov-20 Kesga Cetak Kohort 460 buah 64,200 29,532,000 25 November 2020 Program 0 buah Rp 64,200 Rp - 460 buah Rp 64,200 Rp 29,532,000
25-Nov-20 Kesga Cetak Buku Bagan MTBS 42 buah 350,000 14,700,000 Program 0 buah Rp 350,000 Rp - 42 buah Rp 350,000 Rp 14,700,000
25-Nov-20 Kesga Cetak Format MTBM dan MTBS 100 rim 125,000 12,500,000 Program 0 rim Rp 125,000 Rp - 100 rim Rp 125,000 Rp 12,500,000
25-Nov-20 Kesga Cetak Bagan Dinding 30 set 650,000 19,500,000 Program 0 set Rp 650,000 Rp - 30 set Rp 650,000 Rp 19,500,000
25-Nov-20 Kesga Cetak Lembar Balik 83 buah 520,000 43,160,000 Program 0 buah Rp 520,000 Rp - 83 buah Rp 520,000 Rp 43,160,000
Page 20 of 288
25-Nov-20 Kesga Cetak Leaflet 6 rim 1,240,000 7,440,000 Program 0 rim Rp 1,240,000 Rp - 6 rim Rp 1,240,000 Rp 7,440,000
25-Nov-20 Kesga Cetak Banner 63 buah 450,000 28,350,000 Program 0 buah Rp 450,000 Rp - 63 buah Rp 450,000 Rp 28,350,000
18-Mar-20 Kesga Cetak Buku MTPKR di Faskes Tk. Pertama 30 buah 235,000 7,050,000 Program 0 buah Rp 235,000 Rp - 30 buah Rp 235,000 Rp 7,050,000
18-Mar-20 Kesga Cetak Register PKPR 160 buah 39,000 6,240,000 Program 0 buah Rp 39,000 Rp - 160 buah Rp 39,000 Rp 6,240,000
10-Dec-20 Kesga Cetak Buku Pedoman Posyandu Remaja 112 buah 74,000 8,288,000 Program 0 buah Rp 74,000 Rp - 112 buah Rp 74,000 Rp 8,288,000
10-Dec-20 Kesga Cetak Raport Kesehatanku SMP/SMA 300 paket 120,000 36,000,000 Program 0 paket Rp 120,000 Rp - 300 paket Rp 120,000 Rp 36,000,000
10-Dec-20 Kesga Cetak Register Kohort Usia Reproduksi 64 buah 55,000 3,520,000 Program 0 buah Rp 55,000 Rp - 64 buah Rp 55,000 Rp 3,520,000
10-Dec-20 Kesga Cetak Sertifikat dengan bingkai 112 buah 50,000 5,600,000 Program 0 buah Rp 50,000 Rp - 112 buah Rp 50,000 Rp 5,600,000
30-Dec-99 Kesga Cetak KMS lansia 29 rim 1,100,000 31,900,000 Program 0 rim Rp 1,100,000 Rp - 29 rim Rp 1,100,000 Rp 31,900,000
10-Dec-20 Kesga Cetak Lembar Balik Lansia 32 buah 500,000 16,000,000 Program 0 buah Rp 500,000 Rp - 32 buah Rp 500,000 Rp 16,000,000
10-Dec-20 Kesga Cetak Buku Lansia 1,104 buku 35,000 38,640,000 Program 0 buku Rp 35,000 Rp - 1,104 buku Rp 35,000 Rp 38,640,000
10-Dec-20 Kesga Cetak Banner Lansia 29 buah 425,000 12,325,000 Program 0 buah Rp 425,000 Rp - 29 buah Rp 425,000 Rp 12,325,000
10-Dec-20 Kesga Cetak Format F1 61 buah 45,000 2,745,000 Program 0 buah Rp 45,000 Rp - 61 buah Rp 45,000 Rp 2,745,000
10-Dec-20 Kesga Cetak Kohort Lansia Puskesmas 61 buah 45,000 2,745,000 Program 0 buah Rp 45,000 Rp - 61 buah Rp 45,000 Rp 2,745,000
10-Dec-20 Kesga Cetak Raport Kesehatanku SD/MI 332 paket 110,000 36,520,000 Program 0 paket Rp 110,000 Rp - 332 paket Rp 110,000 Rp 36,520,000
10-Dec-20 Kesga Cetak Poster Pencegahan Covid di Sekolah 2,878 lembar 4,000 11,512,000 Program 0 lembar Rp 4,000 Rp - 2,878 lembar Rp 4,000 Rp 11,512,000
10-Dec-20 Kesga Cetak Banner 62 buah 425,000 26,350,000 Program 0 buah Rp 425,000 Rp - 62 buah Rp 425,000 Rp 26,350,000
24 Februari 2020 P2PTM Khohort 60 Dus Rp 100,000 6,000,000 354/APBD/P2PTM&KESWA/III/2020 Monday, February 24, 2020 24 Februari 2020 Program 60 Dus Rp 100,000 Rp 6,000,000 0 Dus Rp 100,000 Rp -
24 Februari 2020 P2PTM Buku Bantu Skrining 30 Dus Rp 100,000 3,000,000 Monday, February 24, 2020 24 Februari 2020 Program 30 Dus Rp 100,000 Rp 3,000,000 0 Dus Rp 100,000 Rp -
24 Februari 2020 P2PTM Buku Pedoman 60 Dus Rp 100,000 6,000,000 Monday, February 24, 2020 24 Februari 2020 Program 60 Dus Rp 100,000 Rp 6,000,000 0 Dus Rp 100,000 Rp -

04 Februari 2020 Umpeg Amplop Surat Dinas 90gr (Samson B-W) 100 Rp 52,000 5,200,000 Tuesday, February 04, 2020 04 Februari 2020 operasional 0 - Rp 52,000 Rp - 100 - Rp 43,865 Rp 5,200,000
KEPEGAWAIAN/II/2020
04 Februari 2020 Umpeg Map Biasa Art Karton 310gr (Laminasi Draff) 1,000 Rp 9,500 9,500,000 Tuesday, February 04, 2020 04 Februari 2020 operasional 1,000 - Rp 9,500 Rp 9,500,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Kop Surat Dinas Uk. 70gr HVS 10 Rp 195,000 1,950,000 Tuesday, February 04, 2020 04 Februari 2020 operasional 0 - Rp 195,000 Rp - 10 - Rp 43,865 Rp 1,950,000
04 Februari 2020 Umpeg Lembar Diposisi NCR (B-W) 129 Rp 22,000 2,838,000 Tuesday, February 04, 2020 04 Februari 2020 operasional 0 - Rp 22,000 Rp - 129 - Rp 43,865 Rp 2,838,000
04 Februari 2020 Umpeg Formulir Capa 1 Rp 185,000 185,000 Tuesday, February 04, 2020 04 Februari 2020 operasional 1 - Rp 185,000 Rp 185,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Formulir Pemeriksaan Toko Obat 1,500 Rp 2,275 3,412,500 Tuesday, February 04, 2020 04 Februari 2020 operasional 1,500 - Rp 2,275 Rp 3,412,500 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Surat Pernyataan 500 Rp 2,150 1,075,000 Tuesday, February 04, 2020 04 Februari 2020 operasional 500 - Rp 2,150 Rp 1,075,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Lembar Langkah Pembinaan dan Pengawasan 3,000 Rp 2,275 6,825,000 Tuesday, February 04, 2020 04 Februari 2020 operasional 3,000 - Rp 2,275 Rp 6,825,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Lembar Langkah Pembinaan dan Pengawasan Apotik 3,000 Rp 2,275 6,825,000 Tuesday, February 04, 2020 04 Februari 2020 operasional 3,000 - Rp 2,275 Rp 6,825,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Berita Acara Pemeriksaan Apotik 3,000 Rp 2,300 6,900,000 Tuesday, February 04, 2020 04 Februari 2020 operasional 3,000 - Rp 2,300 Rp 6,900,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Lembar Verifikasi 2,500 Rp 1,950 4,875,000 Tuesday, February 04, 2020 04 Februari 2020 operasional 0 - Rp 1,950 Rp - 2,500 - Rp 43,865 Rp 4,875,000

02 November 2020 Umpeg Amplop Puskesmas 100 Rim Rp 49,500 4,950,000 ### 02 November 2020 operasional 100 Rim Rp 49,500 Rp 4,950,000 0 Rim Rp 44,137 Rp -
KEPEGAWAIAN/XI/2020
02 November 2020 Umpeg Map Puskesmas 1,500 Buah Rp 11,000 16,500,000 ### 02 November 2020 operasional 1,500 Buah Rp 11,000 Rp 16,500,000 0 Buah Rp 44,137 Rp -
02 November 2020 Umpeg Kop Surat 10 Rim Rp 198,000 1,980,000 ### 02 November 2020 operasional 10 Rim Rp 198,000 Rp 1,980,000 0 Rim Rp 44,137 Rp -
02 November 2020 Umpeg Lembar Disposisi 20 Buku Rp 22,000 440,000 ### 02 November 2020 operasional 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Resep Dokter 30 Buku Rp 22,000 660,000 ### 02 November 2020 operasional 30 Buku Rp 22,000 Rp 660,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Keterangan Dokter 20 Buku Rp 22,000 440,000 ### 02 November 2020 operasional 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Rujukan 20 Buku Rp 22,000 440,000 ### 02 November 2020 operasional 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Rujuk Balik 20 Buku Rp 22,000 440,000 ### 02 November 2020 operasional 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Bukti Barang Keluar (SBBK) 20 Buku Rp 22,000 440,000 ### 02 November 2020 operasional 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Diagnosa Keterangan Klinik 20 Buku Rp 22,000 440,000 ### 02 November 2020 operasional 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Keterangan Klinik 20 Buku Rp 22,000 440,000 ### 02 November 2020 operasional 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Kartu Stok 2,000 Buku Rp 1,100 2,200,000 ### 02 November 2020 operasional 2,000 Buku Rp 1,100 Rp 2,200,000 0 Buku Rp 44,137 Rp -
Page 21 of 288
02 November 2020 Umpeg Surat Tanda Berobat 4,000 Buku Rp 880 3,520,000 ### 02 November 2020 operasional 4,000 Buku Rp 880 Rp 3,520,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Keterangan Sakit 40 Buku Rp 22,000 880,000 ### 02 November 2020 operasional 40 Buku Rp 22,000 Rp 880,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Pemeriksaan Kesehatan Umum 20 Buku Rp 27,500 550,000 ### 02 November 2020 operasional 20 Buku Rp 27,500 Rp 550,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Pemeriksaan Kesehatan Gigi 20 Buku Rp 27,500 550,000 ### 02 November 2020 operasional 20 Buku Rp 27,500 Rp 550,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Persetujuan/Penolakan 20 Buku Rp 27,500 550,000 ### 02 November 2020 operasional 20 Buku Rp 27,500 Rp 550,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Permohonan Pemeriksaan Bakteriologi 20 Buku Rp 27,500 550,000 ### 02 November 2020 operasional 20 Buku Rp 27,500 Rp 550,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Registrasi Gigi 20 Buku Rp 27,500 550,000 ### 02 November 2020 operasional 20 Buku Rp 27,500 Rp 550,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Format Monitoring Pengguna Obat Sryup 4 Rim Rp 143,000 572,000 ### 02 November 2020 operasional 4 Rim Rp 143,000 Rp 572,000 0 Rim Rp 44,137 Rp -
02 November 2020 Umpeg Format Monitoring Pengguna Obat Tablet 4 Rim Rp 143,000 572,000 ### 02 November 2020 operasional 4 Rim Rp 143,000 Rp 572,000 0 Rim Rp 44,137 Rp -
02 November 2020 Umpeg Daftar Kunjungan Pasien 20 Buku Rp 55,000 1,100,000 ### 02 November 2020 operasional 20 Buku Rp 55,000 Rp 1,100,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Daftar Kunjungan Pasien 20 Buku Rp 55,000 1,100,000 ### 02 November 2020 operasional 20 Buku Rp 55,000 Rp 1,100,000 0 Buku Rp 44,137 Rp -
12-Mar-20 Gizi Cetak Buku Kohort Ibu 220 Buku 57,500 12,650,000 154/APBD/SEKSI GIZI/III/2020 Thursday, March 12, 2020 12 Maret 2020 Program 220 Buku Rp 57,500 Rp 12,650,000 0 Buku Rp 43,902 Rp -
26-Mar-20 Gizi Cetak Roll Baner 29 Buah 440,000 12,760,000 232/APBD/SEKSI GIZI/III/2020 Program 29 Buah Rp 440,000 Rp 12,760,000 0 Buah Rp - Rp -
Gizi Cetak Lembar Balik 29 Buah 450,000 13,050,000 ### 30 Desember 1899 Program 29 Buah Rp 450,000 Rp 13,050,000 0 Buah Rp - Rp -
13-Nov-20 Gizi Cetak Cakram Status Gizi 400 Paket 98,000 39,200,000 1436/APBD/SEKSI GIZI/XI/2020 Friday, November 13, 2020 13 November 2020 Program 400 Paket Rp 98,000 Rp 39,200,000 0 Paket Rp 44,148 Rp -
12-Nov-20 Gizi Cetak Format E-PPGBM Ibu Hamil 845 Buku 44,000 37,180,000 1437/APBD/SEKSI GIZI/XI/2020 ### 12 November 2020 Program 845 Buku Rp 44,000 Rp 37,180,000 0 Buku Rp 44,147 Rp -
Gizi Cetak Format Anamnesa Gizi 37 Buku 47,500 1,757,500 Thursday, March 26, 2020 30 Desember 1899 Program 37 Buku Rp 47,500 Rp 1,757,500 0 Buku Rp - Rp -
12-Nov-20 Gizi Cetak Format Pos Gizi 32 Buku 34,500 1,104,000 1435/APBD/SEKSI GIZI/XI/2020 ### 12 November 2020 Program 32 Buku Rp 34,500 Rp 1,104,000 0 Buku Rp 44,147 Rp -
Gizi Cetak Leaflet 1 Rim 1,200,000 1,200,000 ### 30 Desember 1899 Program 1 Rim Rp 1,200,000 Rp 1,200,000 0 Rim Rp - Rp -
24-Nov-20 Gizi Cetak Format 3A 850 Buku 46,000 39,100,000 1534/APBD/SEKSI GIZI/XI/2020 ### 24 November 2020 Program 850 Buku Rp 46,000 Rp 39,100,000 0 Buku Rp 44,159 Rp -
Gizi Cetak Format 3B 850 Buku 46,000 39,100,000 ### 30 Desember 1899 Program 850 Buku Rp 46,000 Rp 39,100,000 0 Buku Rp - Rp -
Gizi Cetak Format 5 849 Buku 25,647 21,774,303 ### 30 Desember 1899 Program 849 Buku Rp 25,647 Rp 21,774,303 0 Buku Rp - Rp -
Gizi Cetak Format 5 1 Buku 25,697 25,697 ### 30 Desember 1899 Program 1 Buku Rp 25,697 Rp 25,697 0 Buku Rp - Rp -
Cetak Buku Panduan Pelaksanaan Program Indonesia Sehat dengan

### Primer Pendekatan Keluarga (PIS-PK)
100 buah Rp 97,000 9,700,000 1572/APBD/PRIMER/XI/2020 Friday, November 27, 2020 27 November 2020 operasional 100 buah Rp 97,000 Rp 9,700,000 0 buah Rp 97,000 Rp -
30 November 2020 Farmalkes cetak kegiatan 1 Paket 210,000 210,000 1498 ### 30 November 2020 operasional 1 Paket Rp 210,000 Rp 210,000 0 Paket Rp 210,000 Rp -
Farmalkes Cetak Pemantauan Kesehatan Tempat Penelolah Makanan 1 Paket 210,000 210,000 1147 ### 30 Desember 1899 operasional 1 Paket Rp 210,000 Rp 210,000 0 Paket Rp 210,000 Rp -
P2M Cetak 1 Paket 572,000 572,000 operasional 1 Paket Rp 572,000 Rp 572,000 0 Rp 572,000 Rp -
17 November 2020 P2M Format 1 rumah 1 Jumantik 10000 Lmbr 3,000 30,000,000 020/BA/1566/P2PM/2020 ### 17 November 2020 Program 10000 Lmbr 3,000 Rp 30,000,000 0 0 Rp 3,000 Rp - Rp -
Surimun N PENINGKATAN IMUNISASI 1 Paket 31,080,000 31,080,000 ### 30 Desember 1899 Program 1 Paket 31,080,000 Rp 31,080,000 0 0 Rp 31,080,000 Rp - Rp -
perencannan Cetak 1 Paket 12,000,000 12,000,000 ### 30 Desember 1899 operasional 1 Paket 12,000,000 Rp 12,000,000 0 0 Rp 12,000,000 Rp - Rp -
ptm Cetak 1 Paket 4,590,000 4,590,000 ### 30 Desember 1899 Program 1 Paket 4,590,000 Rp 4,590,000 0 0 Rp 4,590,000 Rp - Rp -
Mutu Cetak Buku peningkatan Mutu Pelayanan Kesehatan Dasar 47 buah Rp 255,000 11,985,000 027/5537225/BSTHP/PPKO ### 30 Desember 1899 - PKM 47 buah 255,000 Rp 11,985,000 0 0 Rp 255,000 Rp - Rp -
Mutu Cetak Buku peningkatan Mutu Pelayanan Kesehatan Dasar 70 buah Rp 111,300 7,791,000 027/5537225/BSTHP/PPKO ### 30 Desember 1899 PKM 70 buah 111,300 Rp 7,791,000 0 0 Rp 111,300 Rp - Rp -
Mutu Cetak Buku peningkatan Mutu Pelayanan Kesehatan Dasar 50 buah Rp 250,060 12,503,000 027/5537225/BSTHP/PPKO ### 30 Desember 1899 PKM 50 buah 250,060 Rp 12,503,000 0 0 Rp 250,060 Rp - Rp -
JUMLAH BELANJA CETAK Rp 1,026,139,000.00 OK Rp 610,659,000.00 Rp 415,480,000.00
BELANJA CETAK SPANDUK (5.2.2.06.03)
23 November 2020 Primer Spanduk 25 Meter Rp 35,000 Rp 875,000 1573/APBD/PRIMER/XI/2020 ### 23 November 2020 kegiatan 25 Meter 35,000 Rp 875,000 0 Meter Rp 35,000 Rp -
27 Agustus 2020 Mutu Spanduk 15 Meter Rp 35,000 Rp 525,000 /APBD/PRIMER/IX/2020 Thursday, August 27, 2020 27 Agustus 2020 kegiatan 15 Meter 35,000 Rp 525,000 0 Meter Rp 35,000 Rp -
11 November 2020 Mutu Spanduk 30 Meter Rp 35,000 Rp 1,050,000 /APBD/PRIMER/IX/2020 ### 11 November 2020 kegiatan 30 Meter 35,000 Rp 1,050,000 0 Meter Rp 35,000 Rp -
30-Jan-20 KESGA Cetak Spanduk 4 meter 35,000 Rp 140,000 072 Thursday, January 30, 2020 30 Januari 2020 kegiatan 4 meter 35,000 Rp 140,000 0 meter Rp 35,000 Rp -
9-Mar-20 KESGA Cetak Spanduk 4 meter 35,000 Rp 140,000 305 Monday, March 09, 2020 09 Maret 2020 kegiatan 4 meter 35,000 Rp 140,000 0 meter Rp 35,000 Rp -
Page 22 of 288
11-Feb-20 KESGA Cetak Spanduk 3 meter 35,000 Rp 105,000 193 Tuesday, February 11, 2020 11 Februari 2020 kegiatan 3 meter 35,000 Rp 105,000 0 meter Rp 35,000 Rp -
11-Feb-20 KESGA Cetak Spanduk 4 meter 35,000 Rp 140,000 1415 Tuesday, February 11, 2020 11 Februari 2020 kegiatan 4 meter 35,000 Rp 140,000 0 meter Rp 35,000 Rp -
6-Feb-20 KESGA Cetak Spanduk 4 meter 35,000 Rp 140,000 071 ### 06 Februari 2020 kegiatan 4 meter 35,000 Rp 140,000 0 meter Rp 35,000 Rp -
24 Februari 2020 Rujukan

Belanja Cetak Spanduk Pertemuan (2 Spanduk (satu 6 Meter Rp 35,000 Rp 210,000 025 24 Februari 2020 24 Februari 2020 kegiatan 6 Meter 35,000 Rp 210,000 0 Meter Rp 35,000 Rp -
spanduk 3 m x 1 m)
spanduk 3 m x 1 m)
spanduk 3 m x 1 m)
spanduk 3 m x 1 m)
10/03/20 Rujukan
Belanja Cetak Spanduk Pertemuan (2 Spanduk (satu 6 Meter Rp 35,000 Rp 210,000 184 Tuesday, March 10, 2020 10 Maret 2020 kegiatan 6 Meter 35,000 Rp 210,000 0 Meter Rp 35,000 Rp -
spanduk 3 m x 1 m)
Belanja Cetak Spanduk Pertemuan (2 Spanduk (satu
23/07/20 Rujukan 6 Meter Rp 35,000 Rp 210,000 185 Thursday, July 23, 2020 23 Juli 2020 kegiatan 6 Meter 35,000 Rp 210,000 0 Meter Rp 35,000 Rp -
spanduk 3 m x 1 m)
01/09/20 Rujukan 6 Meter Rp 35,000 Rp 210,000 186 ### 01 September 2020 kegiatan 6 Meter 35,000 Rp 210,000 0 Meter Rp 35,000 Rp -
spanduk 3 m x 1 m)
08/10/20 Rujukan 12 Meter Rp 35,000 Rp 420,000 799 Thursday, October 08, 2020 08 Oktober 2020 kegiatan 12 Meter 35,000 Rp 420,000 0 Meter Rp 35,000 Rp -
spanduk 3 m x 1 m)
Rujukan 12 Meter Rp 35,000 Rp 420,000 923 ### 30 Desember 1899 kegiatan 12 Meter 35,000 Rp 420,000 0 Meter Rp 35,000 Rp -
spanduk 3 m x 1 m)
Rujukan 30 Meter Rp 35,000 Rp 1,050,000 1125 ### 30 Desember 1899 kegiatan 30 Meter 35,000 Rp 1,050,000 0 Meter Rp 35,000 Rp -
spanduk 3 m x 1 m)
10/11/20 Rujukan
Belanja Cetak Spanduk Pertemuan (8 Spanduk (satu 24 Meter Rp 35,000 Rp 840,000 1293 ### 10 November 2020 kegiatan 24 Meter 35,000 Rp 840,000 0 Meter Rp 35,000 Rp -
spanduk 3 m x 1 m)
10/11/20 Rujukan
Belanja Cetak Spanduk Pertemuan (20 Spanduk (satu 60 Meter Rp 35,000 Rp 2,100,000 ### 10 November 2020 kegiatan 60 Meter 35,000 Rp 2,100,000 0 Meter Rp 35,000 Rp -
spanduk 3 m x 1 m)
18/02/20 Ptm Belanja Cetak Spanduk 1 Buah Rp 140,000 Tuesday, February 18, 2020 18 Februari 2020 kegiatan 1 Buah 140,000 Rp 140,000 0 Buah Rp 140,000 Rp -
140,000
03/03/20 Ptm Belanja Cetak Spanduk 1 Buah Rp 140,000 Tuesday, March 03, 2020 03 Maret 2020 kegiatan 1 Buah 140,000 Rp 140,000 0 Buah Rp 140,000 Rp -
140,000
13/02/20 Ptm Belanja Cetak Spanduk 3 Buah Rp 315,000 ### 13 Februari 2020 kegiatan 3 Buah 105,000 Rp 315,000 0 Buah Rp 105,000 Rp -
105,000
21/02/20 Ptm Belanja Cetak Spanduk 3 Buah Rp 315,000 Friday, February 21, 2020 21 Februari 2020 kegiatan 3 Buah 105,000 Rp 315,000 0 Buah Rp 105,000 Rp -
105,000
11/11/20 Ptm Belanja Cetak Spanduk 1 Buah Rp 105,000 ### 11 November 2020 kegiatan 1 Buah 105,000 Rp 105,000 0 Buah Rp 105,000 Rp -
105,000
04/11/20 Ptm Belanja Cetak Spanduk 7 Buah Rp 980,000 ### 04 November 2020 kegiatan 7 Buah 140,000 Rp 980,000 0 Buah Rp 140,000 Rp -
140,000
Ptm Belanja Cetak Spanduk 2 Buah Rp 280,000 ### 30 Desember 1899 kegiatan 2 Buah 140,000 Rp 280,000 0 Buah Rp 140,000 Rp -
140,000
7-Feb-20 Gizi Cetak Spanduk 4 Meter 30,000 Rp 120,000 155/APBD/SEKSI GIZI/II/2020 Friday, February 07, 2020 07 Februari 2020 kegiatan 4 Meter 30,000 Rp 120,000 0 Meter Rp 30,000 Rp -
17-Feb-20 Gizi Cetak Spanduk 4 Meter 30,000 Rp 120,000 153/APBD/SEKSI GIZI/II/2020 Monday, February 17, 2020 17 Februari 2020 kegiatan 4 Meter 30,000 Rp 120,000 0 Meter Rp 30,000 Rp -
21-Feb-20 Gizi Cetak Spanduk 4 Meter 30,000 Rp 120,000 152/APBD/SEKSI GIZI/II/2020 Friday, February 21, 2020 21 Februari 2020 kegiatan 4 Meter 30,000 Rp 120,000 0 Meter Rp 30,000 Rp -
24-Feb-20 Gizi Cetak Spanduk 4 Meter 30,000 Rp 120,000 156/APBD/SEKSI GIZI/II/2020 Monday, February 24, 2020 24 Februari 2020 kegiatan 4 Meter 30,000 Rp 120,000 0 Meter Rp 30,000 Rp -
21-Aug-20 Gizi Cetak Spanduk 4 Meter 30,000 Rp 120,000 1010/APBD/SEKSI GIZI/VIII/2020 Friday, August 21, 2020 21 Agustus 2020 kegiatan 4 Meter 30,000 Rp 120,000 0 Meter Rp 30,000 Rp -
24-Aug-20 Gizi Cetak Spanduk 4 Meter 30,000 Rp 120,000 1014/APBD/SEKSI GIZI/VIII/2020 Monday, August 24, 2020 24 Agustus 2020 kegiatan 4 Meter 30,000 Rp 120,000 0 Meter Rp 30,000 Rp -
25-Aug-20 Gizi Cetak Spanduk 4 Meter 30,000 Rp 120,000 1011/APBD/SEKSI GIZI/VIII/2020 Tuesday, August 25, 2020 25 Agustus 2020 kegiatan 4 Meter 30,000 Rp 120,000 0 Meter Rp 30,000 Rp -
1-Sep-20 Gizi Cetak Spanduk 4 Meter 30,000 Rp 120,000 1012/APBD/SEKSI GIZI/IX/2020 ### 01 September 2020 kegiatan 4 Meter 30,000 Rp 120,000 0 Meter Rp 30,000 Rp -
4-Sep-20 Gizi Cetak Spanduk 4 Meter 30,000 Rp 120,000 1013/APBD/SEKSI GIZI/IX/2020 Friday, September 04, 2020 04 September 2020 kegiatan 4 Meter 30,000 Rp 120,000 0 Meter Rp 30,000 Rp -
Page 23 of 288
20-Feb-20 Gizi Cetak Spanduk 8 Meter 30,000 Rp 240,000 157/APBD/SEKSI GIZI/II/2020 ### 20 Februari 2020 kegiatan 8 Meter 30,000 Rp 240,000 0 Meter Rp 30,000 Rp -
2-Mar-20 Gizi Cetak Spanduk 4 Meter 30,000 Rp 120,000 158/APBD/SEKSI GIZI/III/2020 Monday, March 02, 2020 02 Maret 2020 kegiatan 4 Meter 30,000 Rp 120,000 0 Meter Rp 30,000 Rp -
6-Mar-20 Gizi Cetak Spanduk 4 Meter 30,000 Rp 120,000 312/APBD/SEKSI GIZI/III/2020 Friday, March 06, 2020 06 Maret 2020 kegiatan 4 Meter 30,000 Rp 120,000 0 Meter Rp 30,000 Rp -
2-Nov-20 Gizi Cetak Spanduk 5 Meter 30,000 Rp 150,000 1438/APBD/SEKSI GIZI/XI/2020 ### 02 November 2020 kegiatan 5 Meter 30,000 Rp 150,000 0 Meter Rp 30,000 Rp -
7-Oct-20 Gizi Cetak Spanduk 40 Meter 30,000 Rp 1,200,000 1149/APBD/SEKSI GIZI/X/2020 ### 07 Oktober 2020 kegiatan 40 Meter 30,000 Rp 1,200,000 0 Meter Rp 30,000 Rp -
6-Nov-20 Gizi Cetak Spanduk 3 Meter 30,000 Rp 90,000 1439/APBD/SEKSI GIZI/XI/2020 Friday, November 06, 2020 06 November 2020 kegiatan 3 Meter 30,000 Rp 90,000 0 Meter Rp 30,000 Rp -
Gizi Cetak Spanduk 4 Meter 30,000 Rp 120,000 ### 30 Desember 1899 kegiatan 4 Meter 30,000 Rp 120,000 0 Meter Rp 30,000 Rp -
Spanduk Selamat Datang Peserta Pertemuan Manajemen Khusus Untuk

25 Februari 2020 PJKM 3 M Rp 30,000 Rp 90,000 180//APBD/PJKM/II/2020 Tuesday, February 25, 2020 25 Februari 2020 kegiatan 3 M 30,000 Rp 90,000 0 M Rp 30,000 Rp -
Lokus AKI-AKN TA. 2020
Spanduk Rakor Fasilitasi Pelayanan Kesehatan Tingkat Pertama
06 Maret 2020 PJKM 3 M Rp 30,000 Rp 90,000 181//APBD/PJKM/II/2021 Friday, March 06, 2020 06 Maret 2020 kegiatan 3 M 30,000 Rp 90,000 0 M Rp 30,000 Rp -
(Puskesmas)
10 Maret 2020 Umpeg Spanduk MTQ (uk.1mX4m) 2 Buah Rp 120,000 Rp 240,000 Tuesday, March 10, 2020 10 Maret 2020 kegiatan 2 Buah 120,000 Rp 240,000 0 Buah Rp 120,000 Rp -
10 Maret 2020 Umpeg Spanduk MTQ (uk.1mX2m) 1 Buah Rp 60,000 Rp 60,000 Tuesday, March 10, 2020 10 Maret 2020 kegiatan 1 Buah 60,000 Rp 60,000 0 Buah Rp 60,000 Rp -
Umpeg Cetak Spanduk 1 Paket Rp 750,000 Rp 750,000 ### 30 Desember 1899 kegiatan 1 Paket 750,000 Rp 750,000 0 Paket Rp 750,000 Rp -

05 Agustus 2021 Umpeg Spanduk Dirgahayu RI Ke-75 (uk. 1.5mX5m) 3 Pcs Rp 225,000 Rp 675,000 Thursday, August 05, 2021 05 Agustus 2021 kegiatan 3 Pcs 225,000 Rp 675,000 0 Pcs Rp 225,000 Rp -
KEPEGAWAIAN/XI/2020
21 Februari 2020 Umpeg Spanduk Peresmian PKM Cirendeu uk.4mX1m 2 Buah Rp 120,000 Rp 240,000 Friday, February 21, 2020 21 Februari 2020 kegiatan 2 Buah 120,000 Rp 240,000 0 Buah Rp 120,000 Rp -
21 Februari 2020 Umpeg Spanduk Peresmian PKM Pamulang Timur uk.4mX1m 2 Buah Rp 120,000 Rp 240,000 Friday, February 21, 2020 21 Februari 2020 kegiatan 2 Buah 120,000 Rp 240,000 0 Buah Rp 120,000 Rp -
Umpeg Spanduk 1 Buah Rp 120,000 Rp 120,000 ### 30 Desember 1899 kegiatan 1 Buah 120,000 Rp 120,000 0 Buah Rp 120,000 Rp -
26 Februari 2020 SIMPK Spanduk Kegiatan Koordinasi Kesiap dan Kesiagaan 4 M Rp 30,000 Rp 120,000 118/APBD/SEKSI SIMPK/II/2020 ### 26 Februari 2020 kegiatan 4 M 30,000 Rp 120,000 0 M Rp 30,000 Rp -
Yankes Spanduk 3 M Rp 30,000 Rp 90,000 ### 30 Desember 1899 kegiatan 3 M 30,000 Rp 90,000 0 M Rp 30,000 Rp -
22 juli 2020 Promkesjaor Cetak sepanduk,back drop,umbul umbul bahan flexi 736 meter Rp 35,000 Rp 25,760,000 22 juli 2020 22 juli 2020 kegiatan 736 meter 35,000 Rp 25,760,000 0 meter Rp 35,000 Rp -
17 maret 2020 Promkesjaor Cetak sepanduk,back drop,umbul umbul bahan flexi 779 meter Rp 35,000 Rp 27,265,000 17 maret 2020 17 maret 2020 kegiatan 779 meter 35,000 Rp 27,265,000 0 meter Rp 35,000 Rp -
9 oktober 2020 Promkesjaor Cetak sepanduk,back drop,umbul umbul bahan flexi 1 meter Rp 27,282,500 Rp 27,282,500 9 oktober 2020 9 oktober 2020 kegiatan 1 meter 27,282,500 Rp 27,282,500 0 meter Rp 27,282,500 Rp -
25-Nov-20 Promkesjaor belanja cetak spanduk 966 meter Rp 30,000 Rp 28,980,000 ### 25 November 2020 kegiatan 966 meter 30,000 Rp 28,980,000 0 meter Rp 30,000 Rp -
JUMLAH BELANJA CETAK SPANDUK Rp 128,012,500.00 OK Rp 128,012,500.00 Rp -
BELANJA MAKANAN DAN MINUMAN HARIAN PEGAWAI (5.2.2.11.01)

26 April 2020 Umpeg Air Mineral 208 Galon 20,000.00 Rp 4,160,000 26 April 2020 Staff 208 Galon 20,000.00 Rp 4,160,000 0 Galon 20,000.00 Rp -
KEPEGAWAIAN/II/2020
26 April 2020 Umpeg Aqua Mini 3 Dus 47,000.00 Rp 141,000 26 April 2020 Staff 3 Dus 47,000.00 Rp 141,000 0 Dus 47,000.00 Rp -
26 April 2020 Umpeg Aqua Gelas 5 Karton 37,000.00 Rp 185,000 26 April 2020 Staff 5 Karton 37,000.00 Rp 185,000 0 Karton 37,000.00 Rp -

08 Juni 2020 Umpeg Reffil Aqua Galon 100 Galon 20,000.00 Rp 2,000,000 08 Juni 2020 Staff 100 Galon 20,000.00 Rp 2,000,000 0 Galon 20,000.00 Rp -
KEPEGAWAIAN/II/2020
08 Juni 2020 Umpeg Aqua Gelas 40 Dus 38,000.00 Rp 1,520,000 08 Juni 2020 Staff 40 Dus 38,000.00 Rp 1,520,000 0 Dus 38,000.00 Rp -

20 Mei 2020 Umpeg Aqua Galon 109 Galon 20,000.00 Rp 2,180,000 20 Mei 2020 Staff 109 Galon 20,000.00 Rp 2,180,000 0 Galon 20,000.00 Rp -
KEPEGAWAIAN/II/2020
20 Mei 2020 Umpeg Aqua Mini 1 Dus 47,000.00 Rp 47,000 20 Mei 2020 Staff 1 Dus 47,000.00 Rp 47,000 0 Dus 47,000.00 Rp -

08 Juli 2020 Umpeg Aqua Galon 40 Galon 20,000.00 Rp 800,000 08 Juli 2020 Staff 40 Galon 20,000.00 Rp 800,000 0 Galon 20,000.00 Rp -
KEPEGAWAIAN/II/2020
08 Juli 2020 Umpeg Aqua Mini 10 Dus 45,000.00 Rp 450,000 08 Juli 2020 Staff 10 Dus 45,000.00 Rp 450,000 0 Dus 45,000.00 Rp -
Page 24 of 288
08 Juli 2020 Umpeg Aqua Gelas 15 Dus 38,000.00 Rp 570,000 08 Juli 2020 Staff 15 Dus 38,000.00 Rp 570,000 0 Dus 38,000.00 Rp -

05 Agustus 2021 Umpeg Aqua Galon 120 Galon 20,000.00 Rp 2,400,000 05 Agustus 2021 05 Agustus 2021 Staff 120 Galon 20,000.00 Rp 2,400,000 0 Galon 20,000.00 Rp -
05 Agustus 2021 Umpeg Aqua Mini 10 Dus 48,000.00 Rp 480,000 05 Agustus 2021 05 Agustus 2021 Staff 10 Dus 48,000.00 Rp 480,000 0 Dus 48,000.00 Rp -
05 Agustus 2021 Umpeg Aqua Gelas 50 Dus 38,000.00 Rp 1,900,000 05 Agustus 2021 05 Agustus 2021 Staff 50 Dus 38,000.00 Rp 1,900,000 0 Dus 38,000.00 Rp -
Umpeg Makmin Pegawai 1 Paket 7,740,000.00 Rp 7,740,000 30 Desember 1899 Staff 1 Paket 7,740,000.00 Rp 7,740,000 0 Paket 7,740,000.00 Rp -

11 Agustus 2020 Umpeg Kopi Kapal Api 80 Karton 175,000.00 Rp 14,000,000 11 Agustus 2020 Staff 80 Karton 175,000.00 Rp 14,000,000 0 Karton 175,000.00 Rp -
11 Agustus 2020 Umpeg Kopi uwak White Coffe 20 Karton 342,000.00 Rp 6,840,000 11 Agustus 2020 Staff 20 Karton 342,000.00 Rp 6,840,000 0 Karton 342,000.00 Rp -
11 Agustus 2020 Umpeg The Sari Wangi Kotak 3 Karton 406,000.00 Rp 1,218,000 11 Agustus 2020 Staff 3 Karton 406,000.00 Rp 1,218,000 0 Karton 406,000.00 Rp -
11 Agustus 2020 Umpeg Gula Lokal 100 Kg 30,000.00 Rp 3,000,000 11 Agustus 2020 Staff 100 Kg 30,000.00 Rp 3,000,000 0 Kg 30,000.00 Rp -
11 Agustus 2020 Umpeg Mie Instan 2,000 Pcs 5,000.00 Rp 10,000,000 11 Agustus 2020 Staff 2,000 Pcs 5,000.00 Rp 10,000,000 0 Pcs 5,000.00 Rp -
11 Agustus 2020 Umpeg Saus Sambal 115 Botol 28,000.00 Rp 3,220,000 11 Agustus 2020 Staff 115 Botol 28,000.00 Rp 3,220,000 0 Botol 28,000.00 Rp -

17 September 2021 Umpeg Reffil Aqua Galon 25 Galon 20,000 Rp 500,000 17 September 2021 17 September 2021 Staff 25 Galon 20,000.00 Rp 500,000 0 Galon 20,000.00 Rp -
KEPEGAWAIAN/XI/2020
17 September 2021 Umpeg Aqua Gelas 20 Dus 38,000 Rp 760,000 17 September 2021 17 September 2021 Staff 20 Dus 38,000.00 Rp 760,000 0 Dus 38,000.00 Rp -
17 September 2021 Umpeg Aqua Galon 6 Galon 60,000 Rp 360,000 17 September 2021 17 September 2021 Staff 6 Galon 60,000.00 Rp 360,000 0 Galon 60,000.00 Rp -
17 September 2021 Umpeg Reffil Tabung Gas Elpiji 1 Tabung 150,000 Rp 150,000 17 September 2021 17 September 2021 Staff 1 Tabung 150,000.00 Rp 150,000 0 Tabung 150,000.00 Rp -
17 September 2021 Umpeg Aqua Botol 5 Dus 47,000 Rp 235,000 17 September 2021 17 September 2021 Staff 5 Dus 47,000.00 Rp 235,000 0 Dus 47,000.00 Rp -

27 Oktober 2021 Umpeg Kopi Kapal Api Spesial 300gr (1 Karton 9 bungkus) 18 Karton 174,000 Rp 3,132,000 27 Oktober 2021 27 Oktober 2021 Staff 18 Karton 174,000.00 Rp 3,132,000 0 Karton 174,000.00 Rp -
KEPEGAWAIAN/II/2020
27 Oktober 2021 Umpeg Kopi Kapal Api Spesial Mix 25gr (1 Karton 12 Pak) 10 Karton 282,000 Rp 2,820,000 27 Oktober 2021 27 Oktober 2021 Staff 10 Karton 282,000.00 Rp 2,820,000 0 Karton 282,000.00 Rp -
27 Oktober 2021 Umpeg Kopi Luwak White coffie ( 1 karton 20 Renceng) 6 Karton 341,000 Rp 2,046,000 27 Oktober 2021 27 Oktober 2021 Staff 6 Karton 341,000.00 Rp 2,046,000 0 Karton 341,000.00 Rp -
27 Oktober 2021 Umpeg The Sari Wangi Kotak 25"S ( 1 Karton 48 Dus) 2 Karton 408,000 Rp 816,000 27 Oktober 2021 27 Oktober 2021 Staff 2 Karton 408,000.00 Rp 816,000 0 Karton 408,000.00 Rp -
27 Oktober 2021 Umpeg Gula Lokal 100 kG 29,000 Rp 2,900,000 27 Oktober 2021 27 Oktober 2021 Staff 100 kG 29,000.00 Rp 2,900,000 0 kG 29,000.00 Rp -
27 Oktober 2021 Umpeg Mie Instan 1,000 Pcs 5,500.00 Rp 5,500,000 27 Oktober 2021 27 Oktober 2021 Staff 1,000 Pcs 5,500.00 Rp 5,500,000 0 Pcs 5,500.00 Rp -
27 Oktober 2021 Umpeg Saus Sambal (355 ml) 80 Botol 29,000.00 Rp 2,320,000 27 Oktober 2021 27 Oktober 2021 Staff 80 Botol 29,000.00 Rp 2,320,000 0 Botol 29,000.00 Rp -
27 Oktober 2021 Umpeg Air Mineral Gelas 100 Karton 45,000.00 Rp 4,500,000 27 Oktober 2021 27 Oktober 2021 Staff 100 Karton 45,000.00 Rp 4,500,000 0 Karton 45,000.00 Rp -
27 Oktober 2021 Umpeg Air Mineral Botol Mini (330 ml 24 Botol) 50 Karton 55,000.00 Rp 2,750,000 27 Oktober 2021 27 Oktober 2021 Staff 50 Karton 55,000.00 Rp 2,750,000 0 Karton 55,000.00 Rp -
Page 25 of 288
27 Oktober 2021 Umpeg Air Mineral Botol Tanggung (600 ml 24 Botol) 50 Karton 59,000.00 Rp 2,950,000 27 Oktober 2021 27 Oktober 2021 Staff 50 Karton 59,000.00 Rp 2,950,000 0 Karton 59,000.00 Rp -
1168//APBD/SUB BAGIAN UMUM

26 Oktober 2021 Umpeg Air Mineral Reffil 140 Galon 20,000.00 Rp 2,800,000 26 Oktober 2021 26 Oktober 2021 Staff 140 Galon 20,000.00 Rp 2,800,000 0 Galon 20,000.00 Rp -
DAN KEPEGAWAIAN/II/2020
26 Oktober 2021 Umpeg Air Mineral Gelas 70 Dus 38,000.00 Rp 2,660,000 26 Oktober 2021 26 Oktober 2021 Staff 70 Dus 38,000.00 Rp 2,660,000 0 Dus 38,000.00 Rp -
Umpeg Makmin Pegawai 1 Paket 4,956,000.00 Rp 4,956,000 30 Desember 1899 Staff 1 Paket 4,956,000.00 Rp 4,956,000 0 Paket 4,956,000.00 Rp -
Umpeg Makmin Pegawai 1 Paket 7,226,000.00 Rp 7,226,000 30 Desember 1899 30 Desember 1899 Staff 1 Paket 7,226,000.00 Rp 7,226,000 0 Paket 7,226,000.00 Rp -
31 Januari, 28 Februari, 31 31 Januari, 28 Februari,

Rujukan Makan Standar Lauk Pauk dan Buah 357 Kotak 32,500.00 Rp 11,602,500 Staff 357 Kotak 32,500.00 Rp 11,602,500 0 Kotak 32,500.00 Rp -
Maret 2020 31 Maret 2020
30 April 2020, 30 Mei

30 April 2020, 30 Mei 2020.
Rujukan Makan Standar Lauk Pauk dan Buah 489 Kotak 32,500.00 Rp 15,892,500 2020. 30 Juni 2020. 30 Staff 489 Kotak 32,500.00 Rp 15,892,500 0 Kotak 32,500.00 Rp -
30 Juni 2020. 30 Juli 2020
Juli 2020
31 Agustus 2020 Rujukan Makan Standar Lauk Pauk dan Buah 129 Kotak 32,500.00 Rp 4,192,500 31 Agustus 2020 Staff 129 Kotak 32,500.00 Rp 4,192,500 0 Kotak 32,500.00 Rp -
23 November 2020 Rujukan Makan Standar Lauk Pauk dan Buah 360 Kotak 32,500.00 Rp 11,700,000 23 November 2020 Staff 360 Kotak 32,500.00 Rp 11,700,000 0 Kotak 32,500.00 Rp -
08 Desember 2020 Rujukan Makan Standar Lauk Pauk dan Buah 1 Paket 3,607,500.00 Rp 3,607,500 08 Desember 2020 Staff 1 Paket 3,607,500.00 Rp 3,607,500 0 Paket 3,607,500.00 Rp -
JUMLAH BELANJA MAKANAN DAN MINUMAN HARIAN PEGAWAI Rp 162,557,000.00 ok Rp 162,557,000.00 Rp -
BELANJA MAKANAN DAN MINUMAN Pasien Kegiatan Tatalaksana

Balita Gizi Buruk (5.2.2.11.03)
11 Mei 2020 Gizi 21,419 Buah 7,394.958 158,392,605 619/APBD/SEKSI GIZI/V/2020 11 Mei 2020 Program 21,419 Buah 7,394.958 Rp 158,392,605 0 Buah 7,395 Rp -
Formula Gizi Buruk (Formula 100 Plus Mineral Mox)
11 Mei 2020 Gizi 1 Buah 7,394.598 7,395 11 Mei 2020 Program 1 Buah 7,394.598 Rp 7,395 0 Buah 7,395 Rp -
JUMLAH BELANJA MAKANAN DAN MINUMAN Pasien Kegiatan Tatalaksana Balita Gizi Buruk 158,400,000 ok 158,400,000 -
Belanja Pakaian Kerja (522.13.01)
17 November 2020 P2PM Belanja Pakaian Kerja Jumantik 500 Pcs Rp 84,000 42,000,000 17 November 2020 Program 500 Pcs 84,000 Rp 42,000,000 0 Pcs 24 Desember 2129 Rp -
Belanja Perlengkapan Pakaian Kerja Lapangan 42,000,000 OK 42,000,000 -
Belanja Perlengkapan Pakaian Kerja Lapangan (522.13.02)
14/10/20 P2PM Tas Jumantik 360 Buah 46,080,000 14 Oktober 2020 Program 360 Buah 128,000 Rp 46,080,000 0 Buah 128,000 Rp -
128,000
P2PM Rompi Jumantik 360 Buah 60,120,000 30 Desember 1899 Program 360 Buah 167,000 Rp 60,120,000 0 Buah 167,000 Rp -
167,000
P2PM Topi 360 Buah 14,220,000 30 Desember 1899 Program 360 Buah 39,500 Rp 14,220,000 0 Buah 39,500 Rp -
39,500
P2PM Handuk 360 Buah 10,620,000 30 Desember 1899 Program 360 Buah 29,500 Rp 10,620,000 0 Buah 29,500 Rp -
29,500
P2PM Payung 360 Buah 18,540,000 30 Desember 1899 Program 360 Buah 51,500 Rp 18,540,000 0 Buah 51,500 Rp -
51,500
P2PM Kartu Jumantik 360 Lmbr 540,000 30 Desember 1899 Program 360 Buah 1,500 Rp 540,000 0 Buah 1,500 Rp -
1,500
P2PM Senter 360 Buah 19,260,000 30 Desember 1899 Program 360 Buah 53,500 Rp 19,260,000 0 Buah 53,500 Rp -
53,500
P2PM Pipet 360 Buah 720,000 30 Desember 1899 Program 360 Buah 2,000 Rp 720,000 0 Buah 2,000 Rp -
2,000
P2PM Plastik Klip 360 Pak 3,600,000 30 Desember 1899 Program 360 Buah 10,000 Rp 3,600,000 0 Buah 10,000 Rp -
10,000
JUMLAH Belanja Perlengkapan Pakaian Kerja Lapangan Rp 173,700,000 ok Rp 173,700,000 Rp -
BELANJA PAKAIAN OLAHRAGA (522.14.04)
11-Nov-20 Promkesjaor belanja kaos atau baju HKN 250 buah Rp 147,000 Rp 36,750,000 ;1426 11 November 2020 Kegiatan 250 buah 147,000.000 Rp 36,750,000 0 buah 147,000 Rp -
JUMLAH BELANJA PAKAIAN OLAHRAGA Rp 36,750,000 ok Rp 36,750,000 Rp -
BELANJA HADIAH DAN PENGHARGAAN BERUPA BARANG

(5.2.2.20.01)
24-Nov-20 Promkejaor piala juara 1 1 pcs Rp 500,000 500,000 24 November 2020 Kegiatan 1 Pcs 500,000.00 Rp 500,000 0 Pcs 150,000.00 Rp -
Page 26 of 288
24-Nov-20 Promkejaor piala juara harapan 1 1 pcs Rp 150,000 150,000 24 November 2020 Kegiatan 1 Pcs 150,000.00 Rp 150,000 0 Pcs 150,000.00 Rp -
30-Dec-99 Kesga belanja Piala 4 paket 1,727,000 6,908,000 30 Desember 1899 Kegiatan 4 Pcs 1,727,000.00 Rp 6,908,000 0 Pcs 150,000.00 Rp -
JUMLAH BELANJA HADIAH DAN PENGHARGAAN BERUPA BARANG Rp 8,608,000.00 ok Rp 8,608,000.00 Rp -
Belanja Hibah Barang kepada Badan/Lembaga (522.31.02)
27-Oct-20 Farmalkes Nucleid Acid Testing (NAT)/ Panther System and Accessories 1 Unit Rp 5,039,412,875 Rp 5,039,412,875 1358/APBD/FARMALKES/X/2020 27 Oktober 2020 Kegiatan 1 Pcs 5,039,412,875 Rp 5,039,412,875 0 Pcs 150,000 Rp -
27-Oct-20 Farmalkes Sealer Tube lapangan 2 Unit Rp 37,737,552 Rp 75,475,104 1358/APBD/FARMALKES/X/2020 27 Oktober 2020 Kegiatan 2 Pcs 37,737,552 Rp 75,475,104 0 Pcs 150,000 Rp -
JUMLAH Belanja Hibah Barang kepada Badan/Lembaga Rp 5,114,887,900 ok Rp 5,114,887,900 Rp -
BELANJA BARANG UNTUK DISERAHKAN KEPADA MASYARAKAT

(5.2.2.39.01)
12 Maret 2020 Gizi Wajan 10 Buah Rp 206,400 Rp 2,064,000 Thursday, March 12, 2020 12 Maret 2020 Kegiatan 10 Buah Rp 206,400 Rp 2,064,000 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Panci 10 Buah Rp 409,920 Rp 4,099,200 Thursday, March 12, 2020 12 Maret 2020 Kegiatan 10 Buah Rp 409,920 Rp 4,099,200 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Kompor Gas 2Tungku 10 Buah Rp 417,600 Rp 4,176,000 Thursday, March 12, 2020 12 Maret 2020 Kegiatan 10 Buah Rp 417,600 Rp 4,176,000 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Selang 10 Buah Rp 148,800 Rp 1,488,000 Thursday, March 12, 2020 12 Maret 2020 Kegiatan 10 Buah Rp 148,800 Rp 1,488,000 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Tabung Gas LPG 3Kg 10 Buah Rp 240,000 Rp 2,400,000 Thursday, March 12, 2020 12 Maret 2020 Kegiatan 10 Buah Rp 240,000 Rp 2,400,000 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Piring 20 Lusin Rp 144,000 Rp 2,880,000 Thursday, March 12, 2020 12 Maret 2020 Kegiatan 20 Lusin Rp 144,000 Rp 2,880,000 0 Lusin Rp 43,902 Rp -
12 Maret 2020 Gizi Gelas 20 Lusin Rp 96,000 Rp 1,920,000 Thursday, March 12, 2020 12 Maret 2020 Kegiatan 20 Lusin Rp 96,000 Rp 1,920,000 0 Lusin Rp 43,902 Rp -
12 Maret 2020 Gizi Sendok Sayur 10 Buah Rp 28,800 Rp 288,000 Thursday, March 12, 2020 12 Maret 2020 Kegiatan 10 Buah Rp 28,800 Rp 288,000 0 Buah Rp 43,902 Rp -
159/APBD/SEKSI GIZI/III/2020
12 Maret 2020 Gizi Sodet 10 Buah Rp 28,800 Rp 288,000 Thursday, March 12, 2020 12 Maret 2020 Kegiatan 10 Buah Rp 28,800 Rp 288,000 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Ballpoint 20 Lusin Rp 48,000 Rp 960,000 Thursday, March 12, 2020 12 Maret 2020 Kegiatan 20 Lusin Rp 48,000 Rp 960,000 0 Lusin Rp 43,902 Rp -
12 Maret 2020 Gizi Buku Tulis 20 Pak Rp 40,320 Rp 806,400 Thursday, March 12, 2020 12 Maret 2020 Kegiatan 20 Pak Rp 40,320 Rp 806,400 0 Pak Rp 43,902 Rp -
12 Maret 2020 Gizi Spidol Warna 20 Set Rp 19,200 Rp 384,000 Thursday, March 12, 2020 12 Maret 2020 Kegiatan 20 Set Rp 19,200 Rp 384,000 0 Set Rp 43,902 Rp -
12 Maret 2020 Gizi Spidol Permanen 40 Pcs Rp 9,600 Rp 384,000 Thursday, March 12, 2020 12 Maret 2020 Kegiatan 40 Pcs Rp 9,600 Rp 384,000 0 Pcs Rp 43,902 Rp -
12 Maret 2020 Gizi Kertas Manila 140 Lembar Rp 3,840 Rp 537,600 Thursday, March 12, 2020 12 Maret 2020 Kegiatan 140 Lembar Rp 3,840 Rp 537,600 0 Lembar Rp 43,902 Rp -
12 Maret 2020 Gizi Kertas Orogami 60 Pak Rp 18,240 Rp 1,094,400 Thursday, March 12, 2020 12 Maret 2020 Kegiatan 60 Pak Rp 18,240 Rp 1,094,400 0 Pak Rp 43,902 Rp -
12 Maret 2020 Gizi Gunting 20 Pcs Rp 19,200 Rp 384,000 Thursday, March 12, 2020 12 Maret 2020 Kegiatan 20 Pcs Rp 19,200 Rp 384,000 0 Pcs Rp 43,902 Rp -
14 oktober 2020 Promkejaor piala juara 1 2 pcs Rp 500,000 1,000,000 14 oktober 2020 Kegiatan 2 pcs Rp 500,000 Rp 1,000,000 0 pcs 14 oktober 2020 Rp -
14 oktober 2020 Promkejaor piala juara 2 2 pcs Rp 400,000 800,000 14 oktober 2020 Kegiatan 2 pcs Rp 400,000 Rp 800,000 0 pcs 14 oktober 2020 Rp -
14 oktober 2020 Promkejaor piala juara 3 2 pcs Rp 350,000 700,000 14 oktober 2020 Kegiatan 2 pcs Rp 350,000 Rp 700,000 0 pcs 14 oktober 2020 Rp -
14 oktober 2020 Promkejaor piala juara harapan 1 2 pcs Rp 150,000 300,000 14 oktober 2020 Kegiatan 2 pcs Rp 150,000 Rp 300,000 0 pcs 14 oktober 2020 Rp -
392/APBD/SEKSI
13 April 2020 Promkesjaor Wastafel+Instalasi 3 Unit Rp 2,200,000 Rp 6,600,000 Monday, April 13, 2020 13 April 2020 Kegiatan 3 Unit Rp 2,200,000 Rp 6,600,000 0 Unit Rp 43,934 Rp -
PROMKESLINGKESJAOR/IV/2020
393/APBD/SEKSI
394/APBD/SEKSI
3 maret 2020 Promkesjaor piala dalam rangka jambore kader kesehatan tingkat kelurahan Cilenggan 1 paket Rp 1,600,000 1,600,000 3 maret 2020 Kegiatan 1 paket Rp 1,600,000 Rp 1,600,000 0 paket 3 maret 2020 Rp -
Page 27 of 288
Tempat Sampah Terpisah Bentuk Oval Dengan 3 Pilah (Tiang Bisa

Geser,Material Fiberglass, Dimensi Tong : P. 40cmxLebar 30cm/Tempat
30 September 2020 Promkesjaor 50 Unit Rp 1,949,490 Rp 97,474,500 ### 30 September 2020 Kegiatan 50 Unit Rp 1,949,490 Rp 97,474,500 0 Unit Rp 44,104 Rp -
Sampah : Tutup 60cmx50L/Dimensi Tiang : Tinggi Tiang 89cmxLebar
115cm Bisa Digeser)
1148/APBD/SEKSI
Geser,Material Fiberglass, Dimensi Tong : Dimensi Atas :45cm, Dimensi
30 September 2020 Promkesjaor 49 Unit Rp 1,949,500 Rp 95,525,500 ### 30 September 2020 Kegiatan 49 Unit Rp 1,949,500 Rp 95,525,500 0 Unit Rp 44,104 Rp -
Bawah 45cm, Tempat Sampah Tutup 55cm, Volume :50LDimensi
Tiang : Tinggi Tiang 70cmxLebar 140cm Bisa Digeser)
23-Sep-20 Promkesjaor gajebo pojok rokok 13 unit Rp 12,000,000 Rp 156,000,000 23 September 2020 Kegiatan 13 unit Rp 12,000,000 Rp 156,000,000 0 unit Rp 44,097 Rp -
Umpeg Barang Untuk Diserahkan Kepada Masyarakat 1 Paket Rp 10,000,000 Rp 10,000,000 30 Desember 1899 Kegiatan 1 Paket Rp 10,000,000 Rp 10,000,000 0 Paket Rp - Rp -
1812/APBD/SUB BAGIAN UMUM

14 Desember 2021 Umpeg Tong Sampah 2 in 1 100 Unit Rp 1,465,000 Rp 146,500,000 ### 14 Desember 2021 Kegiatan 100 Unit Rp 1,465,000 Rp 146,500,000 0 Unit Rp 44,544 Rp -
JUMLAH BELANJA BARANG UNTUK DISERAHKAN KEPADA MASYARAKAT Rp 572,053,600 ok Rp 572,053,600 Rp -
BELANJA BAHAN PAKAI HABIS LAINNYA (BTT)
JUMLAH BELANJA BTT (BELANJA TAK TERDUGA) COVID 19 Rp 42,443,821,543.00 Rp 29,618,162,811.13 Rp 12,825,658,731.87
1. SALDO AWAL = Rp 239,184,512.00 1. KELUAR SALDO AWAL = Rp 184,527,300.00 1. SISA SALDO AWAL Rp 54,657,212.00
2. PENERIMAAN 01 JAN - 31 JANUARI 2020 = Rp 69,249,809,714.00 2. PENGELUARAN 01 JAN - 31 JANUARI 2020 = Rp 55,676,878,502.13 2. SISA PENGELUARAN 01 JAN - 31 JANUARI 2020 Rp 13,572,931,211.87
3. TOTAL PENERIMAAN 2020 = Rp 69,488,994,226.00 3. TOTAL PENGELUARAN 2020 (1+2) = Rp 55,861,405,802.13 3. SALDO AKHIR 2020 (1+2) Rp 13,627,588,423.87
4. TOTAL PENERIMAAN 2020 Rp 69,488,994,226.00
Tangerang Selatan, Desember 2020
Mengetahui, Pengurus Barang Dinas Kesehatan

PLT. Kepala Dinas Kesehatan Kota Tangerang Selatan Kota Tangerang Selatan
Deden Deni, SE, MM Dedy Tisna Amijaya, SKM

NIP. 19741220 200112 1 004 NIP. 19840406 201001 1 009
Page 28 of 288
Penerimaan
Kuantitas Harga (Rp) Buku Penerimaan
No. Tanggal Penerimaan Pembelian Nama Barang Total (Rp) B.A/ Serah Terima
Jml Satuan Satuan
No. Tgl.
23 januari 2020 Promkesjaor belanja alat tulis kantor 1 paket 900,000 900,000
10 februari 2020 Promkesjaor belanja alat tulis kantor 1 paket 350,000 350,000

13 Juli 2020 Umpeg Reffil Reman Toner HP 78A 21 Pcs 283,000.00 5,943,000.00 Monday, July 13, 2020
KEPEGAWAIAN/I/2020
13 Juli 2020 Umpeg Reffil Reman Toner HP 83A 32 Pcs 307,000.00 9,824,000.00
13 Juli 2020 Umpeg Reffil Reman Toner HP 48A (+Chip) 5 Pcs 307,000.00 1,535,000.00
13 Juli 2020 Umpeg Tinta Epson T664 (BK) 13 Pcs 82,500.00 1,072,500.00
13 Juli 2020 Umpeg Tinta Epson T664 (C) 9 Pcs 82,500.00 742,500.00
13 Juli 2020 Umpeg Tinta Epson T664 (M) 9 Pcs 82,500.00 742,500.00
13 Juli 2020 Umpeg Tinta Epson T664 (Y) 9 Pcs 82,500.00 742,500.00
13 Juli 2020 Umpeg Tinta Canon 790 (BK) 6 Pcs 99,500.00 597,000.00
13 Juli 2020 Umpeg Tinta Canon 790 (C) 3 Pcs 95,000.00 285,000.00
13 Juli 2020 Umpeg Tinta Canon 790 (M) 3 Pcs 95,000.00 285,000.00
13 Juli 2020 Umpeg Tinta Canon 790 (Y) 3 Pcs 95,000.00 285,000.00
14 Februari 2020 Gizi Notebook 30 Buah 7,500.00 225,000.00 231/APBD/SEKSI GIZI/II/2020 Friday, February 14, 2020
14 Februari 2020 Gizi Kertas Flipchart 2 Gulung 45,000.00 90,000.00
14 Februari 2020 Gizi Map Plastik 3 Lusin 55,000.00 165,000.00
14 Februari 2020 Gizi Kertas Manila 5 Lembar 3,500.00 17,500.00
14 Februari 2020 Gizi Ballpoint 3 Lusin 32,000.00 96,000.00
14 Februari 2020 Gizi Spidol 10 Buah 8,000.00 80,000.00
10 Februari 2020 PJKM Kertas HVS 5 Rim 50,000 250,000.00 10 Februari 2020 028/0873/P-Brg/2020

10 Maret 2020 Umpeg Reman Toner HP 78A 2 Kali Rp 283,000 566,000.00
KEPEGAWAIAN/I/2020
10 Maret 2020 Umpeg Reman Toner HP 30A Chip 4 Kali Rp 319,000 1,276,000.00
10 Maret 2020 Umpeg Reman Toner HP 83A 4 Kali Rp 307,000 1,228,000.00
10 Maret 2020 Umpeg Tinta Epson T664(BK) 1 Kali Rp 82,500 82,500.00
10 Maret 2020 Umpeg Tinta Epson T664 c 1 Kali Rp 82,500 82,500.00
10 Maret 2020 Umpeg Tinta Epson T664 m 1 Kali Rp 82,500 82,500.00

26 Maret 2020 Umpeg Reffil Ream Toner HP 78A 6 Pcs 283,000.00 1,698,000.00 Thursday, March 26, 2020
KEPEGAWAIAN/I/2020
26 Maret 2020 Umpeg Reffil Ream Toner HP 35A 2 Pcs 283,000.00 566,000.00 Thursday, March 26, 2020
26 Maret 2020 Umpeg Reffil Ream Toner Canon 83A 6 Pcs 307,000.00 1,842,000.00 Thursday, March 26, 2020
Page 29 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
26 Maret 2020 Umpeg Tinta Epson 790 BK 4 Pcs 99,500.00 398,000.00 Thursday, March 26, 2020
26 Maret 2020 Umpeg Tinta Epson 790 C 2 Pcs 95,000.00 190,000.00 Thursday, March 26, 2020
26 Maret 2020 Umpeg Tinta Epson 790 M 2 Pcs 95,000.00 190,000.00 Thursday, March 26, 2020
26 Maret 2020 Umpeg Tinta Epson 790 Y 2 Pcs 95,000.00 190,000.00 Thursday, March 26, 2020
13 Agustus 2020 Gizi Map Kancing 2 Lusin 55,000.00 110,000.00 892/APBD/SEKSI GIZI/VIII/2020 Thursday, August 13, 2020
13 Agustus 2020 Gizi Ballpoint 1 Lusin 41,000.00 41,000.00 Thursday, August 13, 2020
13 Agustus 2020 Gizi Ballpoint Baliner 1 Lusin 180,000.00 180,000.00 Thursday, August 13, 2020
13 Agustus 2020 Gizi Kertas HVS F4 7 Rim 50,000.00 350,000.00 Thursday, August 13, 2020
13 Agustus 2020 Gizi Post it 2 Pad 9,000.00 18,000.00 Thursday, August 13, 2020

18 Agustus 2020 Umpeg Kertas HVS F4 70gr Bola Dunia 650 Rim Rp 53,900 35,035,000.00 Tuesday, August 18, 2020
18 Agustus 2020 Umpeg Kertas HVS A4 70gr Bola Dunia 80 Rim Rp 48,400 3,872,000.00
18 Agustus 2020 Umpeg Kertas HVS F4 80gr Bola Dunia 50 Rim Rp 51,700 2,585,000.00
18 Agustus 2020 Umpeg Kertas Cont. Form 14 7/8x11 4ply Tricom 15 Box Rp 528,000 7,920,000.00
18 Agustus 2020 Umpeg Amplop Putih 110 Paper Line 100 Pak Rp 27,500 2,750,000.00
18 Agustus 2020 Umpeg Ballpoint Standart AE7 30 Lusin Rp 33,000 990,000.00
18 Agustus 2020 Umpeg Ballpoint Boldliner Boliner Standart 3 Lusin Rp 275,000 825,000.00
18 Agustus 2020 Umpeg Spidol White Board Snowman 20 Pcs Rp 9,900 198,000.00
18 Agustus 2020 Umpeg Spidol Marker Permanet Snowman 50 Pcs Rp 8,800 440,000.00
18 Agustus 2020 Umpeg Paper Klip No. 5 Joyko 50 Kotak Rp 5,500 275,000.00
18 Agustus 2020 Umpeg Binder Klip No. 260 Joyko 45 Kotak Rp 26,400 1,188,000.00
18 Agustus 2020 Umpeg Map Kertas Biasa Tricom 30 Pak Rp 96,800 2,904,000.00
18 Agustus 2020 Umpeg Solasi Kecil Nanko 20 Roll Rp 4,400 88,000.00
18 Agustus 2020 Umpeg Lakban Bening 2" Nanko 20 Roll Rp 14,300 286,000.00
18 Agustus 2020 Umpeg Lakban Hitam 2"Nanko 30 Roll Rp 24,200 726,000.00
18 Agustus 2020 Umpeg Lem Stik 25gr Joyko 100 Pcs Rp 9,900 990,000.00
18 Agustus 2020 Umpeg Tip X Roll 5mmx12m Joyko 50 Pcs Rp 9,900 495,000.00
18 Agustus 2020 Umpeg StaflerNo. 10 Max 35 Pcs Rp 22,000 770,000.00
18 Agustus 2020 Umpeg Isi Stafler No. 10 Max 50 Pack Rp 73,700 3,685,000.00
18 Agustus 2020 Umpeg Penghapus White Board GM 10 Pcs Rp 9,900 99,000.00
18 Agustus 2020 Umpeg Post It Notes Warna Pronto 20 Pcs Rp 13,200 264,000.00
18 Agustus 2020 Umpeg Zipper Bag Folio Retseleting Standart 100 Pcs Rp 21,600 2,160,000.00
18 Agustus 2020 Umpeg Bussinnes File Folder One 100 Pcs Rp 4,400 440,000.00
Page 30 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
18 Agustus 2020 Umpeg Pensil Faber Castel 2B Faber Castel 50 Lusin Rp 71,500 3,575,000.00
18 Agustus 2020 Umpeg Map Bening F4 Folder One 100 Lusin Rp 28,600 2,860,000.00
18 Agustus 2020 Umpeg Box File F4 Bandex 100 Pcs Rp 42,900 4,290,000.00
18 Agustus 2020 Umpeg Clear Holder 40 Lembar F4 Felix 80 Pcs Rp 38,500 3,080,000.00
18 Agustus 2020 Umpeg Post It Plastik Combo 150 Pcs Rp 13,200 1,980,000.00
18 Agustus 2020 Umpeg Odner Besar Bindex Folio Bindex 50 Pcs Rp 40,700 2,035,000.00
18 Agustus 2020 Umpeg Ribbon Printer Epson DFX 9000 Epson 5 Buah Rp 418,000 2,090,000.00
18 Agustus 2020 Umpeg Ribbon Printer Epson LQ/LX 310Epson 10 Buah Rp 91,200 912,000.00
18 Agustus 2020 Umpeg Catried HP 680 Black HP 5 Buah Rp 180,000 900,000.00
18 Agustus 2020 Umpeg Catried HP 680 Colour HP 5 Buah Rp 172,800 864,000.00
18 Agustus 2020 Umpeg Catried Canon PG-811 Canon 3 Buah Rp 324,500 973,500.00

18 September 2021 Umpeg Reffil Tinta Toner HP CE 278/35A 5 Buah Rp 295,000 1,475,000.00
KEPEGAWAIAN/X/2020
18 September 2021 Umpeg Reffil Tinta Toner HP CF283A 5 Buah Rp 319,000 1,595,000.00
18 September 2021 Umpeg Reffil Toner HP CF283A 1 Buah Rp 319,000 319,000.00
18 September 2021 Umpeg Tinta Epson t664 (C) 2 Buah Rp 94,500 189,000.00
18 September 2021 Umpeg Tinta Epson t664 (M) 2 Buah Rp 94,500 189,000.00
18 September 2021 Umpeg Tinta Epson t664 (Y) 2 Buah Rp 94,500 189,000.00
18 September 2021 Umpeg Tinta Epson t664 (BK) 2 Buah Rp 94,500 189,000.00
18 September 2021 Umpeg Reffil Toner HP 48A (+Chip) 3 Buah Rp 306,800 920,400.00
18 September 2021 Umpeg Reffil Tinta Toner HP CE 278/35A 3 Buah Rp 295,000 885,000.00
18 September 2021 Umpeg Reffil Tinta Toner HP CF283A 3 Buah Rp 319,000 957,000.00

25 September 2020 Umpeg Reffil Reman Toner HP CE278/35A 8 Pcs Rp 295,000 2,360,000.00
KEPEGAWAIAN/IX/2020
25 September 2020 Umpeg Reffil Reman Toner HP CE283A 8 Pcs Rp 319,000 2,552,000.00
25 September 2020 Umpeg Reffil Reman Toner HP 48A (+Chip) 3 Pcs Rp 306,800 920,400.00
25 September 2020 Umpeg Tinta Epson T664 (BK) 10 Pcs Rp 94,500 945,000.00

19 Oktober 2020 Umpeg Reffil Reman Toner HP CE278/35A 12 Rp 295,000 3,540,000.00
KEPEGAWAIAN/IX/2020
19 Oktober 2020 Umpeg Reffil Reman Toner HP CE283A 5 Rp 319,000 1,595,000.00
19 Oktober 2020 Umpeg Reffil Reman Toner HP 48A (+Chip) 8 Rp 319,000 2,552,000.00
19 Oktober 2020 Umpeg Tinta Epson T664 (BK) 11 Rp 94,500 1,039,500.00
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 BK) 3 Rp 100,000 300,000.00
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 C) 3 Rp 100,000 300,000.00
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 M) 3 Rp 100,000 300,000.00
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 Y) 3 Rp 100,000 300,000.00
Page 31 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.

27 Oktober 2021 Umpeg Reffil /Reman Toner HP CE278/35A 10 Pcs Rp 295,000 2,950,000.00 ###
27 Oktober 2021 Umpeg Reffil /Reman Toner HP CF283A 6 Pcs Rp 319,000 1,914,000.00 ###
27 Oktober 2021 Umpeg Reffil /Reman Toner HP 48A (+Chip) 3 Pcs Rp 306,800 920,400.00 ###
27 Oktober 2021 Umpeg Tinta Epson T664 (BK) 5 Pcs Rp 94,500 472,500.00 ###
27 Oktober 2021 Umpeg Tinta Epson T664 (C) 5 Pcs Rp 94,500 472,500.00 ###
27 Oktober 2021 Umpeg Tinta Epson T664 (M) 5 Pcs Rp 94,500 472,500.00 ###
27 Oktober 2021 Umpeg Tinta Epson T664 (Y) 5 Pcs Rp 94,500 472,500.00 ###
27 Oktober 2021 Umpeg Tinta Canon 790 (BK) 2 Pcs Rp 100,000 200,000.00 ###
27 Oktober 2021 Umpeg Tinta Canon 790 (C) 2 Pcs Rp 100,000 200,000.00 ###
27 Oktober 2021 Umpeg Tinta Canon 790 (M) 2 Pcs Rp 100,000 200,000.00 ###
27 Oktober 2021 Umpeg Tinta Canon 790 (Y) 2 Pcs Rp 100,000 200,000.00 ###
Umpeg Belanja Alat Tulis Kantor 1 Paket Rp 13,969,000 13,969,000.00
23/11/20 Pjkm Kertas F4 5 Rim 250,000.00

50,000
Pjkm Kertas A4 5 Rim 250,000.00
50,000
03 Februari 2020 Perencanaan Kertas HVS 2 rim 108,000.00 944/APBD/SEKSI PEP/II/2020
54,000
10 Februari 2020 Perencanaan Refill Tinta 1 kali 345,000.00
345,000
Perencanaan Kertas HVS 3 rim 162,000.00
54,000
11 Februari 2020 Perencanaan Kertas HVS 5 rim 270,000.00 948/APBD/SEKSI APBD/II/2020
54,000
345,000
949/APBD/SEKSI APBD/II/2020
54,000
05 Maret 2020 Perencanaan Kertas HVS 2 rim 108,000.00
54,000
946/APBD/ SEKSI PEP/II/2020
Perencanaan Tinta Warna 1 buah 265,000.00
265,000
54,000
265,000
11 Maret 2020 Perencanaan Refill Tinta 1 kali 345,000.00
345,000
54,000
17 Maret 2020 Perencanaan Kertas HVS 3 rim 162,000.00 952/APBD/SEKSI PEP/II/2020
54,000
### Perencanaan Refill Tinta 1 kali 345,000.00
345,000
54,000
### Perencanaan Refill Toner 1 kali 345,000.00
345,000
54,000
345,000
54,000
16 November 2020 Perencanaan Cartridge Toner 2 kali Rp 345,000 690,000.00 1440/APBD/SEKSI PEP/ II/2020
03/12/20 SDMK Pulpen 1 Box 57,500.00

57,500
Umpeg Belanja Alat Tulis Kantor 1 Paket 3,502,500.00
3,502,500
03/12/20 SDMK Map Plastikk Kancing 2 Pak 140,000.00
70,000
Page 32 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.

25/11/21 Umpeg Kertas HVS F4 70gr Merk Bola Dunia 1250 Rim 50,039 62,548,750.00 DAN KEPEGAWAIAN/XII/2020 ###
25/11/21 Umpeg Kertas HVS A4 70gr Merk Bola Dunia 112 Rim 44,000 4,928,000.00 ###
25/11/21 Umpeg Kertas HVS F4 80gr Merk Bola Dunia 100 Rim 56,595 5,659,500.00 ###
25/11/21 Umpeg Toner HP Laser Jet 201A 1 Set (9 Black, Cyan, Yellow, Magenta Orginal) 3 Set 5,818,230 17,454,690.00 ###
16/11/21 Umpeg 50,000,000.00 ###

16/11/21 Umpeg 2,970,000.00
16/11/21 Umpeg 2,720,000.00
16/11/21 Umpeg 2,560,000.00
16/11/21 Umpeg 1,400,000.00
16/11/21 Umpeg 1,600,000.00
16/11/21 Umpeg 940,000.00
16/11/21 Umpeg 600,000.00
16/11/21 Umpeg 90,000.00
16/11/21 Umpeg 135,000.00
16/11/21 Umpeg 100,000.00
16/11/21 Umpeg 226,000.00
16/11/21 Umpeg 160,000.00
16/11/21 Umpeg 330,000.00
16/11/21 Umpeg 280,000.00
16/11/21 Umpeg 475,000.00
16/11/21 Umpeg 1,430,000.00
16/11/21 Umpeg 120,000.00
16/11/21 Umpeg 240,000.00
16/11/21 Umpeg 240,000.00
16/11/21 Umpeg 1,143,000.00
16/11/21 Umpeg 438,000.00
16/11/21 Umpeg 564,000.00
16/11/21 Umpeg 459,000.00
16/11/21 Umpeg 300,000.00
16/11/21 Umpeg 596,000.00
16/11/21 Umpeg 120,000.00
16/11/21 Umpeg 864,000.00
16/11/21 Umpeg 3,816,000.00
16/11/21 Umpeg 3,040,000.00
16/11/21 Umpeg 680,000.00
16/11/21 Umpeg 4,500,000.00
16/11/21 Umpeg 3,780,000.00
Page 33 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
16/11/21 Umpeg 5,128,000.00

16/11/21 Umpeg 2,778,000.00
16/11/21 Umpeg 2,752,000.00
16/11/21 Umpeg 258,000.00
16/11/21 Umpeg 685,000.00
JUMLAH BELANJA ALAT TULIS KANTOR Rp 395,511,440.00 OK
27 Oktober 2021 Umpeg Kabel Roll (15 m Uticion CR-2815) 70 Buah 250,000.00 17,500,000.00 ###
27 Oktober 2021 Umpeg Lampu Philips Tornado 20w E27 170 65,000.00 11,050,000.00 ###
KEPEGAWAIAN/X/2020
27 Oktober 2021 Umpeg Batterty A2 (ABS Alkaline) 20 90,000.00 1,800,000.00 ###

05 November 2021 Umpeg Kabel roll (5m Uticon CR-2815) 20 Buah 250,000.00 5,000,000.00 Friday, November 05, 2021
KEPEGAWAIAN/XI/2020
Umpeg Belanja Alat Listrik 1 Paket 18,560,000.00 18,560,000.00
JUMLAH BELANJA ALAT LISTRIK Rp 59,310,000.00 ok

(5.2.2.01.04)
06 Februari 2020 Umpeg Materai 3000 475 Pcs 3,000.00 1,425,000.00 ###
KEPEGAWAIAN/II/2020
19 Agustus 2020 Umpeg Materai 3000 475 Pcs 3,000.00 1,425,000.00 ###
JUMLAH BELANJA PERANGKO, MATERAI DAN BENDA POS LAINNYA Rp 61,650,000.00 ok
28 Januari 2020 Umpeg Tisu Toilet Nice 250 Pack 36,960.00 9,240,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Tempat Tisu Stainless 30 Buah 124,300.00 3,729,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Facial Tisue Tessa 150 Pack 20,900.00 3,135,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Reffil Pengharum Ruangan Calmic 200 Botol 41,800.00 8,360,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Cairan Pel 100 Pcs 12,870.00 1,287,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Prostek 100 Botol 20,790.00 2,079,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Deterjen Rinso 20 Bngks 22,880.00 457,600 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Sabung Cuci Tangan Sunlight 50 Bngks 17,930.00 896,500 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Kanebo 20 Buah 46,200.00 924,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Kamper Gantung 200 Pcs 13,750.00 2,750,000 375/APBD/SUB BAGIAN UMUM DAN Tuesday, January 28, 2020
KEPEGAWAIAN/II/2020
28 Januari 2020 Umpeg Kantong Sampah Extra Besar 100x120cm 200 Pack 39,600.00 7,920,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Reffil Hand Soap 4-5 Lt 50 Derigen 50,600.00 2,530,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Anti Nyamuk 50 Kaleng 44,330.00 2,216,500 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Sabun Cuci 5 Dus 62,700.00 313,500 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Keset Bahan 20 Buah 74,800.00 1,496,000 Tuesday, January 28, 2020
Page 34 of 288
KEPEGAWAIAN/II/2020
Penerimaan
Jml Satuan Satuan
No. Tgl.
28 Januari 2020 Umpeg Lap Kotak Kotak 100 Pcs 7,590.00 759,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Spoon Cuci Piring 6 Buah 3,850.00 23,100 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Serokan Air 8 Pcs 64,900.00 519,200 Tuesday, January 28, 2020
Alat Kebersihan 1 Paket 49,994,000.00 49,994,000
27 Oktober 2021 Umpeg Paseo Elegent Toilet Roll Tisue isi 12 rol x 300's 80 Pack 85,000.00 6,800,000 ###
27 Oktober 2021 Umpeg Tessa Facial Tisue 260 Pcs 80 Kotak 25,500.00 2,040,000 ###
27 Oktober 2021 Umpeg Klin Pack Kantong Sampah Extra Besar 100X120cm 300 Pack 48,500.00 14,550,000 ###
27 Oktober 2021 Umpeg Soklin Lantai 4Lt 30 Drigen 72,000.00 2,160,000 ###
27 Oktober 2021 Umpeg Pembersih Keramik Porslen Prostek 1Lt 80 Botol 27,000.00 2,160,000 ###
27 Oktober 2021 Umpeg Kamper Gantung Dahlia 80gr 80 Pcs 19,500.00 1,560,000 ###
27 Oktober 2021 Umpeg Sunlight Botol 750ml 30 Botol 32,000.00 960,000 ###
27 Oktober 2021 Umpeg Reffil Pengharum Ruangan 50 Botol 42,000.00 2,100,000 ###
27 Oktober 2021 Umpeg Deterjen Rinso Bubuk Anti Noda 770gr 20 Bungkus 35,000.00 700,000 ###
27 Oktober 2021 Umpeg Handsoap Sabun Cuci Tangan Drigen 5Lt 30 Drigen 75,000.00 2,250,000 ###
27 Oktober 2021 Umpeg Sabun Colek Ekonomi 500k (1 Dus isi 30 Pcs) 6 Dus 82,000.00 492,000 ###
KEPEGAWAIAN/IX/2020
27 Oktober 2021 Umpeg Cairan Pembersih Kaca Clink Wings 400ml 40 Botol 24,000.00 960,000 ###
27 Oktober 2021 Umpeg Super Mop Bolde M-169 X Plus 14 Buah 250,000.00 3,500,000 ###
27 Oktober 2021 Umpeg Sikat Closet 14 Buah 50,000.00 700,000 ###
27 Oktober 2021 Umpeg Sikat Kamar Mandi Gagang Panjang 14 Buah 80,000.00 1,120,000 ###
27 Oktober 2021 Umpeg Sapu Ijuk 14 Buah 60,000.00 840,000 ###
27 Oktober 2021 Umpeg Sapu Lidi 14 Buah 60,000.00 840,000 ###
27 Oktober 2021 Umpeg Pengki Sigma Lion Star 14 Buah 60,000.00 840,000 ###
27 Oktober 2021 Umpeg Kemoceng 14 Buah 55,000.00 770,000 ###
27 Oktober 2021 Umpeg Lap Kotak Kotak 96 Pcs 7,500.00 720,000 ###
27 Oktober 2021 Umpeg Anti Nyamuk Kaleng 48 Kaleng 44,500.00 2,136,000 ###
27 Oktober 2021 Umpeg Lap Kanebo Aion 20 Buah 90,000.00 1,800,000 ###
JUMLAH BELANJA BAHAN PEMBERSIH Rp 148,627,400.00 ok
14/02/2020 P2M Bahan Bakar Minyak/Gas 1 Paket Rp 3,926,500 Rp 3,926,500 14/02/2020 14/02/2020
14/02/2020 P2M Bahan Bakar Minyak/Gas 1 Paket Rp 1,883,000 Rp 1,883,000
Page 35 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
JUMLAH BELANJA PENGISIAN APAR Rp 225,808,359.00 ok
12 Agustus 2021 Umpeg Reffil Apar 50 Tabung Rp 350,000 Rp 17,500,000 Thursday, August 12, 2021 Thursday, August 12, 2021
16 November 2020 Rujukan Pengisian Tabung Gas 1 Paket Rp 3,600,000 Rp 3,600,000 Monday, November 16, 2020 ###
26 Maret 2020 SIMPK Pot Urine 500 Buah Rp 1,949 Rp 974,500 310/APBD/SEKSI SIMPK/III/2020 Thursday, March 26, 2020
29 September 2020 SIMPK HGC Strip 500 Buah Rp 4,300 Rp 2,150,000 1100/APBD/SEKSI SIMPK/X/2020 ###
24/03/20 P2PTM Humasen 2.0 Plus Glukose 610 Box 152,378,000.00

249,800
24/03/20 P2PTM ACCU CHECK Pro Uno 20 154 Box 20,020,000.00

130,000
24/03/20 P2PTM Akohol Swab Remidi 305 Box 3,751,500.00

12,300
24/03/20 P2PTM Stardec Nitrilie Examination Gloves-S 200 Box 12,540,000.00

62,700

62,700
Promkesjaor bahan medis habis pakai 1 Paket 9,330,000.00

9,330,000
Promkesjaor bahan medis habis pakai 1 Paket 60,653,900.00

60,653,900
06/11/20 Capp Micro Centrifuges tubes 2,0 ml 2 Pack Rp 7,115,900.00 Rp 14,231,800.00 1482/APBD/Seksi Farmalkes/XI/2020 25 Juni 2020
16/11/20 K3E K3EDTA 234612 285 Box Rp 129,000.00 Rp 36,765,000.00 1480/APBD/Seksi Farmalkes/XI/2020 19 Juni 2020
1480/APBD/Seksi
16/11/20 Z Serum Gel and Clot Activator 234303 520 Box Rp 182,000.00 Rp 94,640,000.00 Farmalkes/XI/2020
19 Juni 2020
14/07/20 Medical Sample Container (Pot Uriner) 5000 Botol Rp 1,856.00 Rp 9,280,000.00 678/APBD/Seksi Farmalkes/XI/2020 25 Agustus 2020
16/11/20 Accu-Chek Safe T Pro Uno 400 Box Rp 130,000.00 Rp 52,000,000.00 1479/APBD/Seksi Farmalkes/IX/2020 11 September 2020
13/11/20 Vacutainer Flashback Blood Collection Needle 35000 Pcs Rp 1,700.00 Rp 59,500,000.00 1478/APBD/Seksi Farmalkes/IX/2020 11 September 2020
Microtainer Tubes with K2E(K2EDTA) 8200 Pcs Rp 2,920.00 Rp 23,944,000.00 1478/APBD/Seksi Farmalkes/IX/2020 11 September 2020
Vacutainer PrecisionGlide Multiple Sample Needle 30000 Pcs Rp 1,287.00 Rp 38,610,000.00 1478/APBD/Seksi Farmalkes/IX/2020 11 September 2020
BD BBL Culture Swab Plus Amies withaout charcoal, single

50 Dus Rp 418,094.00 Rp 20,904,700.00 1478/APBD/Seksi Farmalkes/IX/2020
applicator
1476/APBD/Seksi
3-Nov-20 Aquadest 131 Dirigen Rp 153,000.00 Rp 20,043,000.00 Farmalkes/XII/2020
1476/APBD/Seksi
Cuvet Mindray BS-120 25 box Rp 1,974,500.00 Rp 49,362,500.00 Farmalkes/XII/2020
1476/APBD/Seksi
CD-80 Detergent 2 L 20 Dirigen Rp 1,342,000.00 Rp 26,840,000.00 Farmalkes/XII/2020
1476/APBD/Seksi
Cuvet Cobas 22 Box Rp 2,857,800.00 Rp 62,871,600.00 Farmalkes/XII/2020
1476/APBD/Seksi
Integra Microcuvet 1 Box Rp 9,784,500.00 Rp 9,784,500.00 Farmalkes/XII/2020
Page 36 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
1476/APBD/Seksi
Sample Cup 1 Box Rp 2,482,700.00 Rp 2,482,700.00 Farmalkes/XII/2020
1476/APBD/Seksi
1 Pack Rp 726,000.00 Rp 726,000.00 Farmalkes/XII/2020
Autoclave bag
1870/APBD/Seksi
14 Desember 2020 Rapid test Antigen 60 box Rp 3,272,500.00 Rp 196,350,000.00 Farmalkes/XII/2020
### ANIOSGEL 85 500 ml 500 Botol Rp 82,000 Rp 41,000,000
DERMANIOS CHLORHEXIDINE 4% 500 ml 2,000 Botol Rp 104,000 Rp 208,000,000
IV CATHETER 20G X 1 1/2 INCH 3,000 Pcs Rp 5,480 Rp 16,440,000
POLYWIN SAFETY SAFETY IV CANNULA 18G 1,000 Pcs Rp 11,660 Rp 11,660,000
UNDERPAD 60X90 15,000 Pcs Rp 4,620 Rp 69,300,000
DERMANIOS CHLORHEXIDINE 4% 500 ml 200 Botol Rp 104,000 Rp 20,800,000
ANIOSGEL 85 500 ml 1,800 Botol Rp 82,000 Rp 147,600,000 ###
ANIOSGEL 85 5 L 442 Galon Rp 500,000 Rp 221,000,000
SEMILAS Infusion SetY 5,000 Pcs Rp 5,800 Rp 29,000,000
Nasal Oxygen Cannula- White Tubing, Adult 3,000 Pcs Rp 6,400 Rp 19,200,000
Gammex Latex Powder Free Surgical Gloves 7,5 5,000 Pair Rp 11,000 Rp 55,000,000
Gammex Latex Powder Free Surgical Gloves 7 5,000 Pair Rp 11,000 Rp 55,000,000
Silk Black 3/0 HR 26 MM Braided nonabsorbable surgical suture 960 Sachet Rp 19,700 Rp 18,912,000
Catgut Plain 3/0 HR 26 MM Absorbable surgical suture 360 Sachet Rp 34,300 Rp 12,348,000
Catgut Chromic 3/0 HR 26 MM Absorbable surgical suture 480 Sachet Rp 32,800 Rp 15,744,000
Catgut Plain 2/0 HR 26 MM Absorbable surgical suture 360 Sachet Rp 34,300 Rp 12,348,000
Catgut Chromic 2/0 HR 26 MM Absorbable surgical suture 480 Sachet Rp 32,800 Rp 15,744,000
Kasa Hidrofil Steril 16 cm x 16 cm 10,000 Box Rp 5,950 Rp 59,500,000
APD Set 250 Set Rp 2,650,000 Rp 662,500,000
Masker N95- 3M 2,040 Pcs Rp 173,000 Rp 352,920,000
Handsanitizer FC Clean 5 Liter 200 Galon Rp 800,000 Rp 160,000,000

27 galon Rp 3,080,000 Rp 83,160,000
SPORE
Desinfektan Lantai/SURFANIOS PREMIUM 400 galon Rp 1,296,900 Rp 518,760,000
Masker 3 Ply REMEDI 3,000 box Rp 150,000 Rp 450,000,000
Masker kain batik 25,000 pcs Rp 7,000 Rp 175,000,000
25 Juni 2020 Catridge TCM (CEPHEID/ CEPHEID XPERT MTB/RIF ASSAY KIT) 2350 Test Rp 259,175 Rp 609,061,250 749/APBD/FARMALKES/IV/2020
25 Agustus 2020 RDT DBD Combo (NS1 + IgG/ IgM) 438 Test Rp 630,000 Rp 275,940,000 1359/APBD/FARMALKES/VIII/2020
JUMLAH BELANJA BARANG PAKAI HABIS MEDIS Rp 5,440,781,950.00 ok
Page 37 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
15-Oct-20 Gizi PMT Anak Sekolah 36,000 Buah 2,900 104,400,000 1155/APBD/SEKSI GIZI/X/2020 Thursday, October 15, 2020
14-Oct-20 Gizi PMT Pemulihan Balita Kurang Gizi (Nutren) 2,400 Buah 134,399 322,557,600 ###
P2M Susu Bear Brand 189 ML 1000 Kaleng 11,500.00 11,500,000.00 020/BA/ /P2PM/2020
JUMLAH BELANJA BAHAN PMT Rp 438,457,600.00 OK
27 April 2020 Farmalkes Cell Dyn Easy Cleaner 8 Rp 2,953,368 Rp 23,626,944.00 561/APBD/SEKSIFARMALKES/IV/2020 Monday, April 27, 2020
27 April 2020 Farmalkes Cell Dyn Emerald 22 Dilluent Reagen 8 Rp 3,626,489 Rp 29,011,912.00 Monday, April 27, 2020
27 April 2020 Farmalkes Cell Dyn Emerald 22 Lyse Reagen 8 Rp 4,799,223 Rp 38,393,784.00 Monday, April 27, 2020
27 April 2020 Farmalkes Cell Dyn 22 Plus Control 4 Rp 1,506,215 Rp 6,024,860.00 Monday, April 27, 2020
07 Juli 2020 Farmalkes ABX Miniclean 7 Botol Rp 2,415,600 Rp 16,909,200.00 714/APBD/SEKSI FARMALKES/VII/2020 Tuesday, July 07, 2020
07 Juli 2020 Farmalkes ABX Minilyse LMG 7 Botol Rp 7,246,800 Rp 50,727,600.00 Tuesday, July 07, 2020
07 Juli 2020 Farmalkes ABX Minidil LNG 6 Box Rp 3,382,500 Rp 20,295,000.00 Tuesday, July 07, 2020
07 Juli 2020 Farmalkes ABX Miniclair 6 Botol Rp 1,226,500 Rp 7,359,000.00 Tuesday, July 07, 2020
07 Juli 2020 Farmalkes Minotrol 16 Twin-Pack (2N) 3 Pack Rp 1,533,400 Rp 4,600,200.00 Tuesday, July 07, 2020
24 Juli 2020 Farmalkes DS HIV 1/2 One Step Rapid Test (GCHIV-402A) 889 Pcs Rp 12,527 Rp 11,136,503.00 1036/APBD/SEKSI FARMALKES/VII/2020 Friday, July 24, 2020
24 Juli 2020 Farmalkes DS HIV 1/2 One Step Rapid Test (GCHIV-402A) 1 Pcs Rp 12,497 Rp 12,497.00 Friday, July 24, 2020
11 Agustus 2020 Farmalkes SD Bioline HIV 1/2 3.0 24 Kit Rp 860,000 Rp 20,640,000.00 1039/APBD/SEKSI FARMALKES/VII/2020 Tuesday, August 11, 2020
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi BH Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 1035/APBD/SEKSI FARMALKES/VII/2020 Tuesday, August 11, 2020
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi CH Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi CO Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi H Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi AO Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi AH Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi O Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi BO Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020
Page 38 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
25 Agustus 2020 Farmalkes Urine Reagen Strip 19 Kit Rp 512,500 Rp 9,737,500.00 1040/APBD/SEKSI FARMALKES/VII/2020
25 Agustus 2020 Farmalkes HBSAg Strip 1,900 Test Rp 10,547 Rp 20,039,300.00 1037/APBD/SEKSI FARMALKES/VII/2020
28 Agustus 2020 Farmalkes Pathromtin SL 1 Kit Rp 1,133,000 Rp 1,133,000.00 1034/APBD/SEKSI FARMALKES/VII/2020 Friday, August 28, 2020
28 Agustus 2020 Farmalkes Multifibren 1 Kit Rp 3,362,700 Rp 3,362,700.00 Friday, August 28, 2020
28 Agustus 2020 Farmalkes Control Plasma N 1 Kit Rp 2,224,200 Rp 2,224,200.00 Friday, August 28, 2020
28 Agustus 2020 Farmalkes Innovin 1 Kit Rp 2,382,600 Rp 2,382,600.00 Friday, August 28, 2020
28 Agustus 2020 Farmalkes Diagnostic Kit For HIV (1+2) Antibody (Colloidal Gold)v2 67 Kit Rp 660,000 Rp 44,220,000.00 1038/APBD/SEKSI FARMALKES/VII/2020 Friday, August 28, 2020
14 Agustus 2020 Farmalkes Reagen HB Hemokrom 45 Kit Rp 3,300,000.00 Rp 148,500,000.00 957/APBD/Seksi Farmalkes/VIII/2020 14 Agustus 2020
11 Oktober 2020 Farmalkes Trepocheck Syphillis 147 Kit Rp 225,000.00 Rp 33,075,000.00 1157/APBD/Seksi Farmalkes/IX/2020 11 Oktober 2020
1158/APBD/Seksi
17/09/20 Farmalkes Reagen Hba1C 1 Kit Rp 20,750,000.00 Rp 20,750,000.00 Farmalkes/VIII/2020 ###
1158/APBD/Seksi
17/09/20 Farmalkes Lypocheck Diabetes Control Bilevel 1 Kit Rp 5,403,750.00 Rp 5,403,750.00 Farmalkes/VIII/2020 ###
1158/APBD/Seksi
17/09/20 Farmalkes Lypocheck Hemoglobin A2 Control Bilevel 1 Kit Rp 18,026,250.00 Rp 18,026,250.00 Farmalkes/VIII/2020 ###
1158/APBD/Seksi
17/09/20 Farmalkes D10 Thermal Printer paper 2 Pack Rp 1,140,000.00 Rp 2,280,000.00 Farmalkes/VIII/2020 ###
27 Oktober 2020 Farmalkes Glukosa Kit (GOD-POD) 56 Kit Rp 529,430.00 Rp 29,648,080.00 1262/APBD/Seksi Farmalkes/X/2020 27 Oktober 2020
27 Oktober 2020 Farmalkes Total Cholesterol Kit 55 Kit Rp 1,006,852.00 Rp 55,376,860.00 1262/APBD/Seksi Farmalkes/X/2020 27 Oktober 2020
27 Oktober 2020 Farmalkes Total Tryglicerides Kit 18 Kit Rp 1,806,550.00 Rp 32,517,900.00 1262/APBD/Seksi Farmalkes/X/2020 27 Oktober 2020
27 Oktober 2020 Farmalkes HDL Cholesterol 32 Kit Rp 3,912,225.00 Rp 125,191,200.00 1262/APBD/Seksi Farmalkes/X/2020 27 Oktober 2020
27 Oktober 2020 Farmalkes Uric Acid Kit 55 Kit Rp 1,006,852.00 Rp 55,376,860.00 1262/APBD/Seksi Farmalkes/X/2020 27 Oktober 2020
27 Oktober 2020 Farmalkes Urea Kit 16 Kit Rp 612,920.00 Rp 9,806,720.00 1262/APBD/Seksi Farmalkes/X/2020 27 Oktober 2020
27 Oktober 2020 Farmalkes Creatinin Kit (Sarcosine) 16 Kit Rp 3,606,955.00 Rp 57,711,280.00 1262/APBD/Seksi Farmalkes/X/2020 27 Oktober 2020
27 Oktober 2020 Farmalkes ALT Kit (SGPT) 25 Kit Rp 1,064,538.00 Rp 26,613,450.00 1262/APBD/Seksi Farmalkes/X/2020 27 Oktober 2020
27 Oktober 2020 Farmalkes AST Kit (SOPT) 25 Kit Rp 1,064,538.00 Rp 26,613,450.00 1262/APBD/Seksi Farmalkes/X/2020 27 Oktober 2020
27 Oktober 2020 Farmalkes Multi Sera Calibrator (10x3ml) 16 Kit Rp 5,975,614.50 Rp 95,609,832.00 1262/APBD/Seksi Farmalkes/X/2020 27 Oktober 2020
27 Oktober 2020 Farmalkes Lipids Calibrator 16 Kit Rp 4,904,404.00 Rp 78,470,464.00 1262/APBD/Seksi Farmalkes/X/2020 27 Oktober 2020
27 Oktober 2020 Farmalkes Multi Control Level 1 15 Kit Rp 10,347,949.50 Rp 155,219,242.50 1262/APBD/Seksi Farmalkes/X/2020 27 Oktober 2020
27 Oktober 2020 Farmalkes Multi Control Level 1 1 Kit Rp 10,347,861.50 Rp 10,347,861.50 1262/APBD/Seksi Farmalkes/X/2020 27 Oktober 2020
27 Oktober 2020 Farmalkes Dif Diluent 12 Botol Rp 1,669,250.00 Rp 20,031,000.00 1263/APBD/Seksi Farmalkes/IX/2020 27 Oktober 2020
Page 39 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
27 Oktober 2020 Farmalkes Dif Lyse 12 Botol Rp 2,020,480.00 Rp 24,245,760.00 1263/APBD/Seksi Farmalkes/IX/2020 27 Oktober 2020
27 Oktober 2020 Farmalkes Probe Cleanser 12 Botol Rp 92,290.00 Rp 1,107,480.00 1263/APBD/Seksi Farmalkes/IX/2020 27 Oktober 2020
27 Oktober 2020 Farmalkes Blood Control BC-20S 3 diff@3,0ml (1L,1N,1H) 6 Set Rp 1,831,720.00 Rp 10,990,320.00 1263/APBD/Seksi Farmalkes/IX/2020 27 Oktober 2020
27 Oktober 2020 Farmalkes Blood Control BC-20S 3 diff@3,0ml (1L,1N,1H) 1 Set Rp 1,831,640.00 Rp 1,831,640.00 1263/APBD/Seksi Farmalkes/IX/2020 27 Oktober 2020
30/11/20 Farmalkes HIV Duo Ultra 1 Kit Rp 6,583,500.00 Rp 6,583,500.00 1871/APBD/Seksi Farmalkes/IX/2020 ###
30/11/20 Farmalkes Anti HBS Total II 1 Kit Rp 7,771,500.00 Rp 7,771,500.00 1871/APBD/Seksi Farmalkes/IX/2020 ###
30/11/20 Farmalkes CMV IgG 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 1871/APBD/Seksi Farmalkes/IX/2020 ###
30/11/20 Farmalkes CMV IgM 1 Kit Rp 3,910,500.00 Rp 3,910,500.00 1871/APBD/Seksi Farmalkes/IX/2020 ###
30/11/20 Farmalkes HbsAg Ultra 1 Kit Rp 3,618,450.00 Rp 3,618,450.00 1871/APBD/Seksi Farmalkes/IX/2020 ###
30/11/20 Farmalkes Rubella IgG II 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 1871/APBD/Seksi Farmalkes/IX/2020 ###
30/11/20 Farmalkes Rubella IgM 1 Kit Rp 4,851,000.00 Rp 4,851,000.00 1871/APBD/Seksi Farmalkes/IX/2020 ###
30/11/20 Farmalkes T3 1 Kit Rp 4,133,250.00 Rp 4,133,250.00 1871/APBD/Seksi Farmalkes/IX/2020 ###
30/11/20 Farmalkes T4 1 Kit Rp 4,232,250.00 Rp 4,232,250.00 1871/APBD/Seksi Farmalkes/IX/2020 ###
30/11/20 Farmalkes Toxo IgG II 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 1871/APBD/Seksi Farmalkes/IX/2020 ###
30/11/20 Farmalkes Toxo IgM 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 1871/APBD/Seksi Farmalkes/IX/2020 ###
30/11/20 Farmalkes FT3 1 Kit Rp 6,212,250.00 Rp 6,212,250.00 1871/APBD/Seksi Farmalkes/IX/2020 ###
30/11/20 Farmalkes TSH3 1 Kit Rp 7,078,500.00 Rp 7,078,500.00 1871/APBD/Seksi Farmalkes/IX/2020 ###
30/11/20 Farmalkes Anti Hav IgM 2 Kit Rp 5,197,500.00 Rp 10,395,000.00 1871/APBD/Seksi Farmalkes/IX/2020 ###
01 Oktober 2020 Farmalkes Humasen 2.0 Plus Glucose Test Strips Blue 600 Dus Rp 249,800.00 Rp 149,880,000.00 1350/APBD/Seksi Farmalkes/X/2020 01 Oktober 2020
1 Oktober 2020 Farmalkes Humasen 2.0 Plus Total Cholesterol Test Strips 600 Dus Rp 541,900.00 Rp 325,140,000.00 1350/APBD/Seksi Farmalkes/X/2020 1 Oktober 2020
1 Oktober 2020 Farmalkes Humasens 2.0 Plus Uric Acid Test Strips 600 Dus Rp 548,300.00 Rp 328,980,000.00 1350/APBD/Seksi Farmalkes/X/2020 1 Oktober 2020
27/11/20 Farmalkes Alanine Transaminase IFCC (ALTL) 8 Kit Rp 1,276,000.00 Rp 10,208,000.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Albumin Gen 2 9 kit Rp 291,500.00 Rp 2,623,500.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Alkaline Phosphatase IFCC (ALP) 7 kit Rp 430,100.00 Rp 3,010,700.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Transaminase (ASTL) 8 kit Rp 1,276,000.00 Rp 10,208,000.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Bilirbin Direk Gen.2 8 kit Rp 420,200.00 Rp 3,361,600.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Bilirubin Total Gen.3 8 kit Rp 960,300.00 Rp 7,682,400.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
Page 40 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
27/11/20 Farmalkes Calcium Gen 2 7 kit Rp 580,800.00 Rp 4,065,600.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Cholesterol Gen 2 30 kit Rp 1,340,900.00 Rp 40,227,000.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Creatinine Plus vers 2 20 kit Rp 1,551,000.00 Rp 31,020,000.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Gamma Glutamyl Tranferase vers 2 8 kit Rp 1,023,000.00 Rp 8,184,000.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Glukose HK 65 kit Rp 447,700.00 Rp 29,100,500.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes HDL-Cholesterol Plus Gen 4 26 kit Rp 6,220,500.00 Rp 161,733,000.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes LDL-Cholesterol Gen 3 26 kit Rp 4,865,300.00 Rp 126,497,800.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Total Protein 8 kit Rp 513,700.00 Rp 4,109,600.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Triglyceride GPO 40 kit Rp 840,400.00 Rp 33,616,000.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Urea/BUN 8 kit Rp 1,944,800.00 Rp 15,558,400.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Uric Acid Vers.2 30 kit Rp 827,200.00 Rp 24,816,000.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Cleaner 35 botol Rp 1,403,600.00 Rp 49,126,000.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes ISE Deproteinizer cobas Integra 5 box Rp 886,600.00 Rp 4,433,000.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes C.f.a.s (Calibrator for automated system) 4 box Rp 1,217,700.00 Rp 4,870,800.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes C.f.a.s Lipids 4 box Rp 829,400.00 Rp 3,317,600.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Precicontrol Clinchem Multi 2QCS 3 box Rp 4,158,000.00 Rp 12,474,000.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Activator 3 kit Rp 2,616,900.00 Rp 7,850,700.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Iron Gen 2 3 kit Rp 470,800.00 Rp 1,412,400.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
27/11/20 Farmalkes Iron Gen 2 1 kit Rp 470,400.00 Rp 470,400.00 1481/APBD/Seksi Farmalkes/XI2020 Friday, November 27, 2020
09/11/20 Farmalkes Reagen Nitrat, TNT 1 Pack Rp 2,255,200.00 Rp 2,255,200.00 1492/APBD/Seksi Farmalkes/XI/2020 ###
09/11/20 Farmalkes Reagen Nitrit 1 Pack Rp 935,000.00 Rp 935,000.00 1492/APBD/Seksi Farmalkes/XI/2020 ###
09/11/20 Farmalkes Reagen Sulfat 1 Pack Rp 777,500.00 Rp 777,500.00 1492/APBD/Seksi Farmalkes/XI/2020 ###
09/11/20 Farmalkes Reagen Besi 1 Pack Rp 567,500.00 Rp 567,500.00 1492/APBD/Seksi Farmalkes/XI/2020 ###
09/11/20 Farmalkes Reagen Cromium,heksavalent 1 Pack Rp 819,500.00 Rp 819,500.00 1492/APBD/Seksi Farmalkes/XI/2020 ###
09/11/20 Farmalkes Reagen Mangan HR 1 Pack Rp 1,575,800.00 Rp 1,575,800.00 1492/APBD/Seksi Farmalkes/XI/2020 ###
09/11/20 Farmalkes Reagen Mangan LR 1 Pack Rp 1,334,200.00 Rp 1,334,200.00 1492/APBD/Seksi Farmalkes/XI/2020 ###
09/11/20 Farmalkes Reagen Kesadahan 1 Pack Rp 1,722,900.00 Rp 1,722,900.00 1492/APBD/Seksi Farmalkes/XI/2020 ###
Page 41 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
26/11/20 Farmalkes Isetrol Electrolyte Control 3 Box Rp 1,404,700.00 Rp 4,214,100.00 1493/APBD/Seksi Farmalkes/XI/2020 ###
26/11/20 Farmalkes Snappak 2 Box Rp 2,127,400.00 Rp 4,254,800.00 1493/APBD/Seksi Farmalkes/XI/2020 ###
26/11/20 Farmalkes Cleaning Solution 2 botol Rp 588,500.00 Rp 1,177,000.00 1493/APBD/Seksi Farmalkes/XI/2020 ###
07 Desember 2020 Farmalkes Reagen PCR 2732 test Rp 237,000.00 Rp 647,484,000.00 1611/APBD/Seksi Farmalkes/X/2020 07 Desember 2020
27/11/20 Farmalkes Uric Acid 50 Kit Rp 644,600.00 Rp 32,230,000.00 1477/APBD/Seksi Farmalkes/XI/2020 Friday, November 27, 2020
27/11/20 Farmalkes Cholesterol 80 Kit Rp 686,400.00 Rp 54,912,000.00 1477/APBD/Seksi Farmalkes/XI/2020 Friday, November 27, 2020
27/11/20 Farmalkes Creatinin Plus 30 Kit Rp 645,700.00 Rp 19,371,000.00 1477/APBD/Seksi Farmalkes/XI/2020 Friday, November 27, 2020
27/11/20 Farmalkes Glukose HK 40 Kit Rp 484,000.00 Rp 19,360,000.00 1477/APBD/Seksi Farmalkes/XI/2020 Friday, November 27, 2020
27/11/20 Farmalkes Triglyceride 30 Kit Rp 464,200.00 Rp 13,926,000.00 1477/APBD/Seksi Farmalkes/XI/2020 Friday, November 27, 2020
27/11/20 Farmalkes Urea 15 Kit Rp 812,900.00 Rp 12,193,500.00 1477/APBD/Seksi Farmalkes/XI/2020 Friday, November 27, 2020
27/11/20 Farmalkes c.f.a.s (calibrator for automated) 14 Kit Rp 1,217,700.00 Rp 17,047,800.00 1477/APBD/Seksi Farmalkes/XI/2020 Friday, November 27, 2020
27/11/20 Farmalkes Precicontrol clinchem multi 1 QCS 14 Kit Rp 4,158,000.00 Rp 58,212,000.00 1477/APBD/Seksi Farmalkes/XI/2020 Friday, November 27, 2020
27/11/20 Farmalkes c.f.a.s (lipid) 14 Kit Rp 829,400.00 Rp 11,611,600.00 1477/APBD/Seksi Farmalkes/XI/2020 Friday, November 27, 2020
27/11/20 Farmalkes ISE deproteinizer 42 Kit Rp 171,600.00 Rp 7,207,200.00 1477/APBD/Seksi Farmalkes/XI/2020 Friday, November 27, 2020
27/11/20 Farmalkes Cleaner 30 Kit Rp 1,403,600.00 Rp 42,108,000.00 1477/APBD/Seksi Farmalkes/XI/2020 Friday, November 27, 2020
27/11/20 Farmalkes Diluent (NaCl 9%) 30 Kit Rp 511,500.00 Rp 15,345,000.00 1477/APBD/Seksi Farmalkes/XI/2020 Friday, November 27, 2020
16/11/20 Farmalkes Humasens 2.0 Plus Glucose Test Strips 67 Dus Rp 249,800.00 Rp 16,736,600.00 1869/APBD/Seksi Farmalkes/X/2020 ###
Humasens 2.0 Plus Parameter system 3 in 1 Glu Chol UA dan

16/11/20 Farmalkes
Accesories
15 Dus Rp 805,950.00 Rp 12,089,250.00 1869/APBD/Seksi Farmalkes/X/2021 ###
16/11/20 Farmalkes Humasens 2.0 Plus Uric Acid Test Strips 66 Dus Rp 548,300.00 Rp 36,187,800.00 1869/APBD/Seksi Farmalkes/X/2022 ###
16/11/20 Farmalkes Humasens 2.0 Plus Total Cholesterol test strips 66 Dus Rp 541,900.00 Rp 35,765,400.00 1869/APBD/Seksi Farmalkes/X/2023 ###
JUMLAH BELANJA BAHAN PENUNJANG LABORATORIUM Rp 3,944,343,050.00 OK

new normal kit) (tumbles/botol minum, sedotan stainles + brush, sendok 1813/APBD/PROMKESLINGKESJAOR/XII/2
18 desember 2020 Promkesjaor 250 paket Rp 180,000 45,000,000 18 desember 2020
dan garpu stainless, masker kain, corona finger, hand sanitizer, hand 020
23 januari 2020 Promkesjaor souvenir botol minum tuperware bahan plastik uk, 1000 ml 100 pcs 98,000 9,800,000 23 januari 2020
30 januari 2020 Promkesjaor souvenir botol minum tuperware bahan plastik uk, 1000 ml 100 pcs 98,000 9,800,000
25 februari 2020 Promkesjaor Thumbler botol air minum tupperware plastik uk 1000 ml 120 pcs 93,000 11,160,000
Page 42 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
5 maret 2020 Promkesjaor Payung 100 buah Rp 75,000 7,500,000
5 maret 2020 Promkesjaor Mug gelas 100 buah Rp 35,000 3,500,000
5 maret 2020 Promkesjaor Tas goody bag 100 buah Rp 25,000 2,500,000
14-Apr-20 Promkesjaor Payung lipat ,Tas goodibag,mug 60 paket Rp 98,000 5,880,000
11 maret 2020 Promkesjaor Belanja Payung Lipat 150 pcs Rp 48,000 Rp 7,200,000
11 maret 2020 Promkesjaor Belanja tas gody bag logo Dinkes 150 pcs Rp 15,000 Rp 2,250,000
11 maret 2020 Promkesjaor Belanja Mug Bergambar 150 pcs Rp 35,000 Rp 5,250,000 11 maret 2020
Promkesjaor Pengadaan Plakat/Souvenir/Cinderamata 1 Paket Rp 11,760,000 Rp 11,760,000
10 Maret 2020 Gizi Bahan Kontak Untuk Kunjungan Balita Kurang Gizi 97 Paket 238,000.00 Rp 23,086,000 311/APBD/SEKSI GIZI/III/2020 Tuesday, March 10, 2020

02 November 2021 Umpeg Plakat 100 Buah 450,000.00 Rp 45,000,000 ###
KEPEGAWAIAN/II/2020
23 Desember 2020 Mutu Peningkatan Mutu Pelayanan Kesehatan Dasar 1 pAKET 1,500,000 Rp 1,500,000 ###
JUMLAH BELANJA PENGADAAN PLAKAT/SOUVENIR Rp 191,186,000.00 OK
07 September 2021 Umpeg Dekorasi Ruangan 1 Unit 4,500,000.00 Rp 4,500,000 ###

KEPEGAWAIAN/II/2020
07 September 2021 Umpeg Pembuatan Video 1 Unit 1,200,000.00 Rp 1,200,000 ###
Umpeg dekorasi 1 Unit 9,788,000.00 Rp 9,788,000
Promkesjaor dekorasi 1 Unit 1,800,000.00 Rp 1,800,000
JUMLAH BELANJA PENGADAAN PLAKAT/SOUVENIR Rp 17,288,000.00 ok
25 Februari 2020 PJKM Map Plastik Kancing 25 Lusin Rp 48,000 Rp 1,200,000 045/APBD/PJKM/II/2020 Tuesday, February 25, 2020
25 Februari 2020 PJKM Ballpoint 25 Lusin Rp 40,000 Rp 1,000,000 Tuesday, February 25, 2020
25 Februari 2020 PJKM Notebook 300 Buah Rp 13,000 Rp 3,900,000 Tuesday, February 25, 2020
07 Februari 2020 P2PT/KESWA Notebook 120 Buah Rp 5,000 Rp 600,000 126/APBD/P2PT&KESWA/II/2020 Friday, February 07, 2020
07 Februari 2020 P2PT/KESWA Pulpen 120 Buah Rp 5,000 Rp 600,000 Friday, February 07, 2020
07 Februari 2020 P2PT/KESWA Zipper Map 120 Buah Rp 15,000 Rp 1,800,000 Friday, February 07, 2020
1814/APBD/PROMKESLINGKESJAOR/XI/2
9-Nov-20 Promkejaor belanja tas parasut )resleting ketika dilipat & custom logo) 70 Pcs Rp 43,500 3,045,000
020
9-Nov-20 Promkejaor belanja ballpoint custom ( tali & custom logo) 70 Pcs Rp 27,500 1,925,000
020
9-Nov-20 Promkejaor Belanja hand sanitizer ( 6 ml & custom logo) 70 Pcs Rp 24,500 1,715,000
020
9-Nov-20 Promkejaor Belanja note book (ukuran 15X21 cm, art paper board/art carton, full colou 70 Pcs Rp 48,500 3,395,000
020
28 februari 2020 Promkejaor Rompi tim satgas KTR 2 muka plus bordir 50 pcs Rp 348,000 17,400,000
28 februari 2020 Promkejaor Ban lengan/ handbadge 50 pcs Rp 83,000 4,150,000
28 februari 2020 Promkejaor Topi satgas KTR bordir 50 pcs Rp 98,000 4,900,000
Promkejaor PERLENGKAPAN PANITIA 1 Paket Rp 3,200,000 3,200,000
Page 43 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
13 Maret 2020 PJKM Map Plastik Kancing 25 Lusin Rp 48,000 Rp 1,200,000 179/APBD/PJKM/II/2020 Friday, March 13, 2020
13 Maret 2020 PJKM Ballpoint 25 Lusin Rp 40,000 Rp 1,000,000 Friday, March 13, 2020
13 Maret 2020 PJKM Notebook 300 Buah Rp 13,000 Rp 3,900,000 Friday, March 13, 2020
Umpeg Perlengkapan panitia 1 Paket Rp 742,000 Rp 742,000
13 Maret 2020 perencanaan Balpoint 13 Lusin Rp 54,000 Rp 702,000 586/APBD/SUBBAG PEP/2020 Friday, March 13, 2020
13 Maret 2020 perencanaan Map Plastik 150 Buah Rp 19,500 Rp 2,925,000 Friday, March 13, 2020
JUMLAH BELANJA PERLENGKAPAN PANITIA/PESERTA Rp 59,299,000.00 ok
30-Dec-99 Kesga Belanja APE KIT 65 buah 760,500 49,432,500 1416
Promkes Belanja Percontohan 1 Paket 18,600,000 18,600,000
30-Dec-99 Kesga Belanja APE KIT 30 paket 295,020 8,850,600 1461
JUMLAH BELANJA BAHAN PERCONTOHAN Rp 76,883,100.00 ok
25 November 2020 Epapor NON INVENTARIS 1 Paket 4,770,000.00 4,770,000.00 12/11/1903 ###
16 November 2020 Rujukan Box Container Plastik 10 Buah 350,000.00 3,500,000.00 12/11/1903 ###
JUMLAH BELANJA BAHAN PAKAI HABIS NON INVENTARIS Rp 8,270,000.00 ok
21 Februari 2020 Umpeg Pipa 4' 4 Batang 380,000.00 Rp 1,520,000
21 Februari 2020 Umpeg Pipa 3' 4 Batang 240,000.00 Rp 960,000
21 Februari 2020 Umpeg Keramik 60x60 8 Dus 280,000.00 Rp 2,240,000
21 Februari 2020 Umpeg Pasir 1 Truk 750,000.00 Rp 750,000
21 Februari 2020 Umpeg Semen 21 Sak 75,000.00 Rp 1,575,000
21 Februari 2020 Umpeg Semen Sica 4 Sak 295,000.00 Rp 1,180,000
21 Februari 2020 Umpeg Weirmesh 1 Lbr 950,000.00 Rp 950,000
21 Februari 2020 Umpeg Plapon Gipsum 4 Lbr 105,000.00 Rp 420,000

21 Februari 2020 Umpeg Kompon 2 Sak 86,000.00 Rp 172,000 Friday, February 21, 2020
KEPEGAWAIAN/II/2020
21 Februari 2020 Umpeg Nat Keramik 4 Kg 25,000.00 Rp 100,000
21 Februari 2020 Umpeg Aqua Prof 5 Galon 206,000.00 Rp 1,030,000
Page 44 of 288
Friday, February 21, 2020
KEPEGAWAIAN/II/2020
Penerimaan
Jml Satuan Satuan
No. Tgl.
21 Februari 2020 Umpeg Sewa Mesin Tembak Air 1 Paket 1,500,000.00 Rp 1,500,000
21 Februari 2020 Umpeg Sedot WC 1 Paket 500,000.00 Rp 500,000
21 Februari 2020 Umpeg Ember 4 Buah 25,000.00 Rp 100,000
21 Februari 2020 Umpeg Sendok Semen 4 Buah 25,000.00 Rp 100,000
21 Februari 2020 Umpeg Benang 5 Buah 3,000.00 Rp 15,000
21 Februari 2020 Umpeg Hebel 1 M³ 750,000.00 Rp 750,000

24 Maret 2020 Umpeg Perbaikan Flafon gedung dinkes Bahan Material 1 Paket 17,470,000.00 Rp 17,470,000 Tuesday, March 24, 2020

17 Juli 2020 Umpeg Perbaikan Atap Selara dan Rooftop Atap 1 Paket 32,835,000.00 Rp 32,835,000 Friday, July 17, 2020
KEPEGAWAIAN/II/2020
Perbaikan Closet dan Flapon Kantor Dinas Kesehatan Kota Tangerang 1598/APBD/SUB BAGIAN UMUM DAN
07 September 2021 Umpeg 1 Paket 34,300,000.00 Rp 34,300,000
Selatan KEPEGAWAIAN/VII/2021

18 September 2021 Umpeg Bongkar Pasang Flapon 1 Paket 43,277,000.00 Rp 43,277,000
JUMLAH BELANJA BAHAN BAKU BANGUNAN Rp 141,744,000.00 ok
Farmalkes Parasetamol tablet 500 mg 914,000 Kaplet Rp 152 Rp 138,928,000 ###
Farmalkes Oxytocin/ Oksitosin inj 10 IU/ml 3,000 Ampul Rp 1,199 Rp 3,597,000
Farmalkes Atropin/Atropine inj 0,25 mg/ml (i.m./i.v./s.k ) 200 Ampul Rp 1,639 Rp 327,800

Farmalkes 200,000 Tablet Rp 110 Rp 22,000,000
mg
Farmalkes Asam askorbat (vitamin C) tab 50 mg 2,000,000 Tablet Rp 105 Rp 210,000,000

Farmalkes 3,000 Ampul Rp 3,682 Rp 11,046,000
mg/ml (i.m)
Farmalkes 300 Botol Rp 21,780 Rp 6,534,000
Farmalkes Epinefrin/ Epinephrine (Adrenalin) Injeksi 0,1% (i.v/s.k/i.m) 400 Ampul Rp 1,408 Rp 563,200
Farmalkes Alopurinol tablet/kapsul/kaplet 100 mg 300,000 Tablet Rp 105 Rp 31,500,000
Farmalkes Omeprazol/ Omeprazole serb Injeksi 40 mg 1,000 Vial Rp 10,393 Rp 10,393,000
Page 45 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
Farmalkes Parasetamol tablet 500 mg 300,000 Kaplet Rp 152 Rp 45,600,000
Farmalkes Ambroksol Syrup 15 mg / ml 15,000 Botol Rp 3,100 Rp 46,500,000
Farmalkes Antispasmodik 20,000 tablet Rp 1,000 Rp 20,000,000
Farmalkes Asiklovir krim 5 % 2,000 Tube Rp 3,125 Rp 6,250,000
Farmalkes Bedak Salisil 2% 3,000 Pot Rp 6,400 Rp 19,200,000
Farmalkes Guanfenesin tablet 100 mg 500,000 tablet Rp 120 Rp 60,000,000
Farmalkes Kalium Diklofenak 50 mg 10,000 Tablet Rp 725 Rp 7,250,000
Farmalkes Kloramfenikol tetes mata 0.5 % 4,100 Botol Rp 7,800 Rp 31,980,000
Farmalkes Kloramfenikol tetes telinga 3 % 1,000 Botol Rp 7,100 Rp 7,100,000
Farmalkes Lactobasillus 40,000 sachet Rp 12,400 Rp 496,000,000
Farmalkes Methisoprinol 250 mg/5ml 1,000 Botol Rp 53,625 Rp 53,625,000 ###
Farmalkes Methisoprinol 500 mg 10,000 Tablet Rp 3,215 Rp 32,150,000 ###
Farmalkes Multivitamin anak sirup 25,000 Botol Rp 35,300 Rp 882,500,000 ###
1 Farmalkes Multivitamin dewasa 200,000 Kaplet Rp 1,650 Rp 330,000,000 ###
2 Farmalkes Obat Antianemia Drop 1,000 botol Rp 36,400 Rp 36,400,000 ###
3 Farmalkes Obat Antifungi Drop 1,000 Botol Rp 33,530 Rp 33,530,000 ###
1 Farmalkes Obat batuk hitam 100 ml 5,000 botol Rp 7,788 Rp 38,940,000 ###
2 Farmalkes Obat Dekongestan tablet 10,000 tablet Rp 1,600 Rp 16,000,000 ###
3 Farmalkes Obat Flu dan Batuk Sirup 12,000 Botol Rp 11,500 Rp 138,000,000 ###
4 Farmalkes Obat Flu dan Batuk Tablet 200,000 Kaplet Rp 750 Rp 150,000,000 ###
5 Farmalkes Oksitetrasiklin HCl salep kulit 3% 2,000 Tube Rp 2,200 Rp 4,400,000 ###
6 Farmalkes Parasetamol supp 2,000 Suppositoria Rp 8,100 Rp 16,200,000 ###
7 Farmalkes Pseudoefedrin Hcl Drop 1,000 Botol Rp 23,000 Rp 23,000,000 ###
Page 46 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
8 Farmalkes Ranitidin Hcl Sirup 5,000 Botol Rp 55,000 Rp 275,000,000 ###
9 Farmalkes Siprofloksasin 500 mg tablet 50,000 Tablet Rp 500 Rp 25,000,000 ###
10 Farmalkes Suplemen Ibu Menyusui 15,000 Kapsul Rp 1,500 Rp 22,500,000 ###
11 Farmalkes Vitamin Neurotopik 50,700 Kaplet Rp 3,085 Rp 156,409,500 ###
12 Farmalkes Vitamin Neurotopik Injeksi 2,000 ampul Rp 5,400 Rp 10,800,000 ###
13 Wednesday, May 27, 2020 Farmalkes 4,742,400 Rp 354 Rp 1,678,809,600 Wednesday, May 27, 2020
14 Thursday, June 04, 2020 Farmalkes Retinol (vitamin A) kapsul lunak 100.000 IU 36,100 Soft kapsul Rp 306 Rp 11,046,600 Thursday, June 04, 2020
15 Thursday, June 04, 2020 Farmalkes Retinol acetate/retinol (vitamin A) kapsul lunak 200.000 IU 397,550 Soft kapsul Rp 552 Rp 219,447,600 Thursday, June 04, 2020
Thursday, July 02, 2020 Farmalkes Glukosa Larutan infus 5% 500 ml 500 Botol Rp 7,363 Rp 3,681,500
Thursday, July 02, 2020 Farmalkes NaCl 0,9%/ Sodium Chloride 0,9% 500 mL 8,000 Botol Rp 6,840 Rp 54,720,000
Thursday, July 02, 2020 Farmalkes Ringer Laktat/Ringer Lactate, 500 mL 20,000 Botol Rp 7,630 Rp 152,600,000
Thursday, July 02, 2020 Farmalkes Glimepiride tablet 2 mg 160,000 Tablet Rp 207 Rp 33,120,000
Monday, July 06, 2020 Farmalkes Amlodipin/Amlodipine/Amlodipine Besilat tablet 10 mg 750,000 Tablet Rp 99 Rp 74,250,000
Monday, July 06, 2020 Farmalkes Amlodipin/Amlodipine/Amlodipine Besilat tablet 5 mg 1,200,000 Tablet Rp 75 Rp 90,000,000
Monday, July 06, 2020 Farmalkes Zinc Sulfat/Zinc sulfate monohydrate/zink sir 20 mg/5ml 15,000 Botol Rp 3,171 Rp 47,565,000

Wednesday, July 22, 2020 Farmalkes mg + Salbutamol sulphate ⁓ Salbutamol 2,5 mg/ kombinasi : 9,000 Vial Rp 4,550 Rp 40,950,000
Tuesday, July 28, 2020 Farmalkes Prednison/Prednisone tablet 5 mg 1,080,000 Tablet Rp 73 Rp 78,840,000
Friday, August 07, 2020 Farmalkes Serum antitetanus (A.T.S) inj 1500 IU/mL (i.m) 1,800 Vial Rp 130,999 Rp 235,798,200

Friday, August 07, 2020 Farmalkes 80,000 Botol Rp 2,129 Rp 170,320,000
Monday, August 10, 2020 Farmalkes Atapulgit tablet 630 mg 80,000 Tablet Rp 162 Rp 12,960,000
Thursday, August 13, 2020 Farmalkes Permethrin/ Permetrin Krim 5%, kemasan tube 6,000 Tube Rp 11,825 Rp 70,950,000
### Farmalkes Diazepam enema 5 mg/2,5 mL 2,200 Tube Rp 12,573 Rp 27,660,600
### Farmalkes kombinasi : sulfametoksazol 400 mg + trimetroprim 80 mg (tab 120,000 Tablet Rp 133 Rp 15,960,000
480 mg)
Page 47 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.

### Farmalkes 2,000,000 Tablet Rp 58 Rp 116,000,000

### Farmalkes tiap 5ml suspensi : sulfametoksazol 200 mg + trimetroprim 40 mg 5,000 Botol Rp 2,190 Rp 10,950,000
(Susp 240 mg)
### Farmalkes Kalsium Laktat /Calcium lactate (Kalk) Tablet 500 mg 630,000 Tablet Rp 63 Rp 39,690,000
### Farmalkes MINIASPI 80 Asam Asetilsalisilat (asetosal) tablet 80 m 200,000 Tablet Rp 105 Rp 21,000,000
### Farmalkes Kaptopril/Captopril tablet 12,5 mg 100,000 Tablet Rp 66 Rp 6,600,000
### Farmalkes Miconazole nitrate/ Miconazole/ Mikonazol krim 2% 10,008 Tube Rp 3,414 Rp 34,167,312
### Farmalkes Pyridoxine/Piridoksin (Vitamin B6) Tablet 10 mg 400,000 Tablet Rp 131 Rp 52,400,000
### Farmalkes Cetirizine hydrochloride(HCl) sirup 5 mg/5ml 20,000 Botol Rp 2,915 Rp 58,300,000
### Farmalkes Acetyl cysteine/N-asetil sistein kaplet 200 mg 499,980 Kaplet Rp 382 Rp 190,992,360
### Farmalkes Glibenklamid/Glibenclamide tablet 5 mg 100,000 Tablet Rp 119 Rp 11,900,000
16 ### Farmalkes Parasetamol drops 100 mg botol @15 ml (60 mg/0,6 ml) 50,000 Botol Rp 6,649 Rp 332,450,000 Tuesday, October 13, 2020

17 ### Farmalkes 50,000 Tablet Rp 137 Rp 6,850,000 ###
enterik 25 mg

enterik 50 mg
19 ### Farmalkes Nystatin/ Nistatin vaginal tablet 100.000 IU 15,000 Tablet Rp 598 Rp 8,970,000 ###
Tablet salut
20 ### Farmalkes Nystatin/ Nistatin tablet/kaplet salut gula 500.000 IU 20,000 Rp 843 Rp 16,860,000 ###
gula
21 ### Farmalkes Asiklovir/Acyclovir tablet/kapsul/kaplet 400 mg 150,000 Tablet Rp 405 Rp 60,750,000 ###
JUMLAH BELANJA OBAT-OBATAN Rp 7,800,732,272.00 ok
01/08/20 P2M Obat Fooging JOLF 25 EC 500ML 1,480 botol 120,000 Rp 177,600,000 01 Agustus 2020
JUMLAH BELANJA BAHAN BAKU MAKANAN Rp 177,600,000 ok
14 Februari 2020 Gizi Bahan Makanan Untuk Praktek 1 Paket Rp 278,000 278,000 233/APBD/SEKSI GIZI/II/2020 14 Februari 2020
06 Oktober 2020 Gizi Bahan Food Lokal Untuk Pos Gizi 20 Paket Rp 248,000 4,960,000 1099/APBD/SEKSI GIZI/X/2020 06 Oktober 2020
JUMLAH BELANJA BAHAN BAKU MAKANAN Rp 5,238,000.00 ok
Page 48 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
22 Oktober 2020 P2M Larvasida Cair 6900 Botol 24,500.00 169,050,000.00 020/BA/1424/P2PM/2020 22 Oktober 2020
JUMLAH Bahan bakteri pengurai limbah cair Rp 169,050,000.00 ok
Promkesjaor cetak 1 unit 3,700,000 3,700,000
23-Nov-20 Promkesjaor belanja cetak kalender 2021 50 buah Rp 60,000 3,000,000
020
1815/APBD/PROMKESLIGKESJAOR/XII/20
18 desember 2020 Promkesjaor Belanja poster 30 Pcs Rp 124,000 3,720,000
20
18 desember 2020 Promkesjaor Belanja akrilik 30 Pcs Rp 785,500 23,565,000
20
18 desember 2020 Promkesjaor belanja flayer 5 Rim Rp 497,800 2,489,000
20
18 desember 2020 Promkesjaor belanja stiker 5 Rim Rp 493,000 2,465,000
20
18 desember 2020 Promkesjaor belanja buku tanya jawab 100 eks Rp 99,500 9,950,000
20
18 desember 2020 Promkesjaor belanja PIN 50 Pcs Rp 7,800 390,000
20
18 desember 2020 Promkesjaor belanja notebook 87 Eks Rp 48,000 4,176,000
20
23-Nov-20 Promkesjaor belanja bakdrop 1 buah Rp 6,000,000 6,000,000
020
23-Nov-20 Promkesjaor belanja poster 80 x 60 cm 20 buah Rp 275,000 5,500,000
020
23-Nov-20 Promkesjaor belanja poster 80 x 105 cm 2 buah Rp 450,000 900,000
020
23-Nov-20 Promkesjaor belanja roll up banner 2 buah Rp 1,350,000 2,700,000
020
23-Nov-20 Promkesjaor belanja stiker lift 1 buah Rp 3,800,000 3,800,000
020
23-Nov-20 Promkesjaor belanja stiker lantai 30 buah Rp 155,000 4,650,000
020
23-Nov-20 Promkesjaor belanja blocknote 300 buah Rp 70,000 21,000,000
020
30 maret 2020 Promkesjaor Flyer 8 rim Rp 575,000 4,600,000
30 maret 2020 Promkesjaor Roll up Banner 2 buah Rp 600,000 1,200,000
30 maret 2020 Promkesjaor Sticker 4 rim Rp 1,000,000 4,000,000
15-Apr-20 Promkesjaor Rollup Baner Uk.85X200CM,Albatros,Desain Materi,Cetak FC 12 pcs Rp 891,000 10,692,000
15-Apr-20 Promkesjaor Sticker A6,Uk A6,Vynil 150 gsm,Laminating,Desain Materi,Cetak FC 1 rim Rp 1,808,000 1,808,000
15-Apr-20 Promkesjaor Sticker A4 UkA4,(21X29 cm),vynil 150-210gsm,Laminating doff,Desain Ma 4 rim Rp 3,300,000 13,200,000
15-Apr-20 Promkesjaor Poster B2 UkB2,Artpapper,150-210 gsm,Desain Materi,Cetak FC 1 sisi 30 rim Rp 165,000 4,950,000
15-Apr-20 Promkesjaor Poster A3 UkA3,Artpapper,150-210 gsm,Desain Materi,Cetak FC 1 sisi 30 rim Rp 55,000 1,650,000
Page 49 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
Promkesjaor cetak buku narkora untuk kelurahan Paku Alam (F1 Musrembang) 1 Paket Rp 3,700,000 3,700,000
10 maret 2020 Promkesjaor Form PHBS Kader Lapis 3 Ncr 100 buku Rp 70,000 7,000,000
10 maret 2020 Promkesjaor Form PHBS Ketua Pos Yandu Lapis 3 Ncr 15 buku Rp 85,000 1,275,000
10 maret 2020 Promkesjaor Form PHBS Koord. Kelurahan Lapis 3 Ncr 10 buku Rp 85,000 850,000
10 maret 2020 Promkesjaor Form UKGMD 15 buku Rp 60,000 900,000
10 maret 2020 Promkesjaor Flayer Corona 5 rim Rp 800,000 4,000,000
10 maret 2020 Promkesjaor Leaflet KMB Test Kebugaran 8 rim Rp 1,050,000 8,400,000
10 maret 2020 Promkesjaor Flayer Novel Corona Virus A 4 rim Rp 850,000 3,400,000
10 maret 2020 Promkesjaor Flayer Novel Corona Virus B 5 rim Rp 800,000 4,000,000
10 maret 2020 Promkesjaor Flayer Memakai Masker 4 rim Rp 850,000 3,400,000
10 maret 2020 Promkesjaor Flayer Pencegahan Corona 6 rim Rp 750,000 4,500,000
25-Nov-20 Kesga Cetak Kohort 460 buah 64,200 29,532,000
25-Nov-20 Kesga Cetak Buku Bagan MTBS 42 buah 350,000 14,700,000
25-Nov-20 Kesga Cetak Format MTBM dan MTBS 100 rim 125,000 12,500,000
25-Nov-20 Kesga Cetak Bagan Dinding 30 set 650,000 19,500,000
25-Nov-20 Kesga Cetak Lembar Balik 83 buah 520,000 43,160,000
25-Nov-20 Kesga Cetak Leaflet 6 rim 1,240,000 7,440,000
25-Nov-20 Kesga Cetak Banner 63 buah 450,000 28,350,000
18-Mar-20 Kesga Cetak Buku MTPKR di Faskes Tk. Pertama 30 buah 235,000 7,050,000
18-Mar-20 Kesga Cetak Register PKPR 160 buah 39,000 6,240,000
10-Dec-20 Kesga Cetak Buku Pedoman Posyandu Remaja 112 buah 74,000 8,288,000
10-Dec-20 Kesga Cetak Raport Kesehatanku SMP/SMA 300 paket 120,000 36,000,000
10-Dec-20 Kesga Cetak Register Kohort Usia Reproduksi 64 buah 55,000 3,520,000
10-Dec-20 Kesga Cetak Sertifikat dengan bingkai 112 buah 50,000 5,600,000
30-Dec-99 Kesga Cetak KMS lansia 29 rim 1,100,000 31,900,000
10-Dec-20 Kesga Cetak Lembar Balik Lansia 32 buah 500,000 16,000,000
10-Dec-20 Kesga Cetak Buku Lansia 1,104 buku 35,000 38,640,000
10-Dec-20 Kesga Cetak Banner Lansia 29 buah 425,000 12,325,000
10-Dec-20 Kesga Cetak Format F1 61 buah 45,000 2,745,000
10-Dec-20 Kesga Cetak Kohort Lansia Puskesmas 61 buah 45,000 2,745,000
10-Dec-20 Kesga Cetak Raport Kesehatanku SD/MI 332 paket 110,000 36,520,000
10-Dec-20 Kesga Cetak Poster Pencegahan Covid di Sekolah 2,878 lembar 4,000 11,512,000
10-Dec-20 Kesga Cetak Banner 62 buah 425,000 26,350,000
24 Februari 2020 P2PTM Khohort 60 Dus Rp 100,000 6,000,000 354/APBD/P2PTM&KESWA/III/2020 Monday, February 24, 2020
24 Februari 2020 P2PTM Buku Bantu Skrining 30 Dus Rp 100,000 3,000,000 Monday, February 24, 2020
24 Februari 2020 P2PTM Buku Pedoman 60 Dus Rp 100,000 6,000,000 Monday, February 24, 2020

04 Februari 2020 Umpeg Amplop Surat Dinas 90gr (Samson B-W) 100 Rp 52,000 5,200,000 Tuesday, February 04, 2020
KEPEGAWAIAN/II/2020
Page 50 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
04 Februari 2020 Umpeg Map Biasa Art Karton 310gr (Laminasi Draff) 1,000 Rp 9,500 9,500,000 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Kop Surat Dinas Uk. 70gr HVS 10 Rp 195,000 1,950,000 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Lembar Diposisi NCR (B-W) 129 Rp 22,000 2,838,000 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Formulir Capa 1 Rp 185,000 185,000 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Formulir Pemeriksaan Toko Obat 1,500 Rp 2,275 3,412,500 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Surat Pernyataan 500 Rp 2,150 1,075,000 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Lembar Langkah Pembinaan dan Pengawasan 3,000 Rp 2,275 6,825,000 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Lembar Langkah Pembinaan dan Pengawasan Apotik 3,000 Rp 2,275 6,825,000 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Berita Acara Pemeriksaan Apotik 3,000 Rp 2,300 6,900,000 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Lembar Verifikasi 2,500 Rp 1,950 4,875,000 Tuesday, February 04, 2020

02 November 2020 Umpeg Amplop Puskesmas 100 Rim Rp 49,500 4,950,000 ###
KEPEGAWAIAN/XI/2020
02 November 2020 Umpeg Map Puskesmas 1,500 Buah Rp 11,000 16,500,000 ###
02 November 2020 Umpeg Kop Surat 10 Rim Rp 198,000 1,980,000 ###
02 November 2020 Umpeg Lembar Disposisi 20 Buku Rp 22,000 440,000 ###
02 November 2020 Umpeg Surat Resep Dokter 30 Buku Rp 22,000 660,000 ###
02 November 2020 Umpeg Surat Keterangan Dokter 20 Buku Rp 22,000 440,000 ###
02 November 2020 Umpeg Surat Rujukan 20 Buku Rp 22,000 440,000 ###
02 November 2020 Umpeg Surat Rujuk Balik 20 Buku Rp 22,000 440,000 ###
02 November 2020 Umpeg Surat Bukti Barang Keluar (SBBK) 20 Buku Rp 22,000 440,000 ###
02 November 2020 Umpeg Surat Diagnosa Keterangan Klinik 20 Buku Rp 22,000 440,000 ###
02 November 2020 Umpeg Surat Keterangan Klinik 20 Buku Rp 22,000 440,000 ###
02 November 2020 Umpeg Surat Kartu Stok 2,000 Buku Rp 1,100 2,200,000 ###
02 November 2020 Umpeg Surat Tanda Berobat 4,000 Buku Rp 880 3,520,000 ###
02 November 2020 Umpeg Surat Keterangan Sakit 40 Buku Rp 22,000 880,000 ###
02 November 2020 Umpeg Surat Pemeriksaan Kesehatan Umum 20 Buku Rp 27,500 550,000 ###
02 November 2020 Umpeg Surat Pemeriksaan Kesehatan Gigi 20 Buku Rp 27,500 550,000 ###
02 November 2020 Umpeg Surat Persetujuan/Penolakan 20 Buku Rp 27,500 550,000 ###
02 November 2020 Umpeg Surat Permohonan Pemeriksaan Bakteriologi 20 Buku Rp 27,500 550,000 ###
02 November 2020 Umpeg Surat Registrasi Gigi 20 Buku Rp 27,500 550,000 ###
02 November 2020 Umpeg Format Monitoring Pengguna Obat Sryup 4 Rim Rp 143,000 572,000 ###
02 November 2020 Umpeg Format Monitoring Pengguna Obat Tablet 4 Rim Rp 143,000 572,000 ###
02 November 2020 Umpeg Daftar Kunjungan Pasien 20 Buku Rp 55,000 1,100,000 ###
12-Mar-20 Gizi Cetak Buku Kohort Ibu 220 Buku 57,500 12,650,000 154/APBD/SEKSI GIZI/III/2020 Thursday, March 12, 2020
26-Mar-20 Gizi Cetak Roll Baner 29 Buah 440,000 12,760,000 232/APBD/SEKSI GIZI/III/2020
Gizi Cetak Lembar Balik 29 Buah 450,000 13,050,000 ###
13-Nov-20 Gizi Cetak Cakram Status Gizi 400 Paket 98,000 39,200,000 1436/APBD/SEKSI GIZI/XI/2020 Friday, November 13, 2020
12-Nov-20 Gizi Cetak Format E-PPGBM Ibu Hamil 845 Buku 44,000 37,180,000 1437/APBD/SEKSI GIZI/XI/2020 ###
Page 51 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
Gizi Cetak Format Anamnesa Gizi 37 Buku 47,500 1,757,500 Thursday, March 26, 2020
12-Nov-20 Gizi Cetak Format Pos Gizi 32 Buku 34,500 1,104,000 1435/APBD/SEKSI GIZI/XI/2020 ###
Gizi Cetak Leaflet 1 Rim 1,200,000 1,200,000 ###
24-Nov-20 Gizi Cetak Format 3A 850 Buku 46,000 39,100,000 1534/APBD/SEKSI GIZI/XI/2020 ###
Gizi Cetak Format 3B 850 Buku 46,000 39,100,000 ###
Gizi Cetak Format 5 849 Buku 25,647 21,774,303 ###
Gizi Cetak Format 5 1 Buku 25,697 25,697 ###

Friday, November 27, 2020 Primer Pendekatan Keluarga (PIS-PK)
100 buah Rp 97,000 9,700,000 1572/APBD/PRIMER/XI/2020 Friday, November 27, 2020
30 November 2020 Farmalkes 1 210,000 210,000 1498 ###
Farmalkes Cetak Pemantauan Kesehatan Tempat Penelolah Makanan 1 210,000 210,000 1147 ###
P2M Cetak 1 572,000 572,000
17 November 2020 P2M Format 1 rumah 1 Jumantik 10000 Lmbr 3,000 30,000,000 020/BA/1566/P2PM/2020 ###
Surimun N PENINGKATAN IMUNISASI 1 Paket 31,080,000 31,080,000 ###
perencannan 1 Paket 12,000,000 12,000,000
ptm 1 Paket 4,590,000 4,590,000
Mutu Cetak Buku peningkatan Mutu Pelayanan Kesehatan Dasar 47 buah Rp 255,000 11,985,000 027/5537225/BSTHP/PPKO 2-Nov-20
JUMLAH BELANJA CETAK Rp 1,026,139,000.00 OK
23 November 2020 Primer Spanduk 25 Meter Rp 35,000 Rp 875,000 1573/APBD/PRIMER/XI/2020
27 Agustus 2020 Mutu Spanduk 15 Meter Rp 35,000 Rp 525,000 /APBD/PRIMER/IX/2020
11 November 2020 Mutu Spanduk 30 Meter Rp 35,000 Rp 1,050,000 /APBD/PRIMER/IX/2020
30-Jan-20 KESGA Cetak Spanduk 4 meter 35,000 140,000 072
30-Dec-99 KESGA Cetak Spanduk 4 meter 35,000 140,000 1414
9-Mar-20 KESGA Cetak Spanduk 4 meter 35,000 140,000 305
11-Feb-20 KESGA Cetak Spanduk 3 meter 35,000 105,000 193
6-Feb-20 KESGA Cetak Spanduk 4 meter 35,000 140,000 071

Belanja Cetak Spanduk Pertemuan (2 Spanduk (satu 6 Meter Rp 35,000 Rp 210,000 025
spanduk 3 m x 1 m)
spanduk 3 m x 1 m)
spanduk 3 m x 1 m)
spanduk 3 m x 1 m)
10/03/20 Rujukan
spanduk 3 m x 1 m)
Page 52 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
23/07/20 Rujukan
spanduk 3 m x 1 m)
01/09/20 Rujukan
spanduk 3 m x 1 m)
08/10/20 Rujukan 12 Meter Rp 35,000 Rp 420,000 799
spanduk 3 m x 1 m)
Rujukan 12 Meter Rp 35,000 Rp 420,000 923
spanduk 3 m x 1 m)
Rujukan 30 Meter Rp 35,000 Rp 1,050,000 1125
spanduk 3 m x 1 m)
10/11/20 Rujukan
spanduk 3 m x 1 m)
10/11/20 Rujukan
Belanja Cetak Spanduk Pertemuan (20 Spanduk (satu 60 Meter Rp 35,000 Rp 2,100,000
spanduk 3 m x 1 m)
18/02/20 Ptm Belanja Cetak Spanduk 1 Buah 140,000.00 Tuesday, February 18, 2020
140,000
03/03/20 Ptm Belanja Cetak Spanduk 1 Buah 140,000.00 Tuesday, March 03, 2020
140,000
13/02/20 Ptm Belanja Cetak Spanduk 3 Buah 315,000.00 ###

105,000
21/02/20 Ptm Belanja Cetak Spanduk 3 Buah 315,000.00 Friday, February 21, 2020
105,000
11/11/20 Ptm Belanja Cetak Spanduk 1 Buah 105,000.00 11 November 2020

105,000

140,000
Ptm Belanja Cetak Spanduk 2 Buah 280,000.00

140,000
7-Feb-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000.00 155/APBD/SEKSI GIZI/II/2020 13-Feb
21-Aug-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000.00 1010/APBD/SEKSI GIZI/VIII/2020 13-Feb
1-Sep-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000.00 1012/APBD/SEKSI GIZI/IX/2020 13-Feb
2-Mar-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000.00 158/APBD/SEKSI GIZI/III/2020 13-Feb
6-Mar-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000.00 312/APBD/SEKSI GIZI/III/2020 13-Feb
2-Nov-20 Gizi Cetak Spanduk 5 Meter 30,000 150,000.00 1438/APBD/SEKSI GIZI/XI/2020 13-Feb
Page 53 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
7-Oct-20 Gizi Cetak Spanduk 40 Meter 30,000 1,200,000.00 1149/APBD/SEKSI GIZI/X/2020 13-Feb
6-Nov-20 Gizi Cetak Spanduk 3 Meter 30,000 90,000.00 1439/APBD/SEKSI GIZI/XI/2020 13-Feb
Gizi Cetak Spanduk 4 Meter 30,000 120,000.00

25 Februari 2020 PJKM 3 M Rp 30,000 90,000.00 180//APBD/PJKM/II/2020 25-Feb
06 Maret 2020 PJKM 3 M Rp 30,000 90,000.00 181//APBD/PJKM/II/2021 6-Mar
(Puskesmas)
10 Maret 2020 Umpeg Spanduk MTQ (uk.1mX4m) 2 Buah Rp 120,000 240,000.00 10-Mar
10 Maret 2020 Umpeg Spanduk MTQ (uk.1mX2m) 1 Buah Rp 60,000 60,000.00 10-Mar
Umpeg Cetak Spanduk 1 Paket Rp 750,000 750,000.00

05 Agustus 2021 Umpeg Spanduk Dirgahayu RI Ke-75 (uk. 1.5mX5m) 3 Pcs Rp 225,000 675,000.00 Thursday, August 05, 2021
KEPEGAWAIAN/XI/2020
21 Februari 2020 Umpeg Spanduk Peresmian PKM Cirendeu uk.4mX1m 2 Buah Rp 120,000 240,000.00 21-Feb
21 Februari 2020 Umpeg Spanduk Peresmian PKM Pamulang Timur uk.4mX1m 2 Buah Rp 120,000 240,000.00 21-Feb
Umpeg Spanduk 1 Buah Rp 120,000 120,000.00
26 Februari 2020 SIMPK Spanduk Kegiatan Koordinasi Kesiap dan Kesiagaan 4 M Rp 30,000 120,000.00 118/APBD/SEKSI SIMPK/II/2020 26-Feb
Yankes Spanduk 3 M Rp 30,000 90,000.00
22 juli 2020 Promkesjaor Cetak sepanduk,back drop,umbul umbul bahan flexi 736 meter Rp 35,000 25,760,000
17 maret 2020 Promkesjaor Cetak sepanduk,back drop,umbul umbul bahan flexi 779 meter Rp 35,000 27,265,000
9 oktober 2020 Promkesjaor Cetak sepanduk,back drop,umbul umbul bahan flexi 1 Paket 35,000 27,282,500
25-Nov-20 Promkesjaor belanja cetak spanduk 966 meter Rp 30,000 28,980,000
JUMLAH BELANJA CETAK SPANDUK Rp 128,012,500.00 OK

26 April 2020 Umpeg Air Mineral 208 Galon 20,000.00 4,160,000.00
KEPEGAWAIAN/II/2020
26 April 2020 Umpeg Aqua Mini 3 Dus 47,000.00 141,000.00
26 April 2020 Umpeg Aqua Gelas 5 Karton 37,000.00 185,000.00

08 Juni 2020 Umpeg Reffil Aqua Galon 100 Galon 20,000.00 2,000,000.00
KEPEGAWAIAN/II/2020
08 Juni 2020 Umpeg Aqua Gelas 40 Dus 38,000.00 1,520,000.00

20 Mei 2020 Umpeg Aqua Galon 109 Galon 20,000.00 2,180,000.00
KEPEGAWAIAN/II/2020
20 Mei 2020 Umpeg Aqua Mini 1 Dus 47,000.00 47,000.00

08 Juli 2020 Umpeg Aqua Galon 40 Galon 20,000.00 800,000.00
KEPEGAWAIAN/II/2020
08 Juli 2020 Umpeg Aqua Mini 10 Dus 45,000.00 450,000.00
08 Juli 2020 Umpeg Aqua Gelas 15 Dus 38,000.00 570,000.00

05 Agustus 2021 Umpeg Aqua Galon 120 Galon 20,000.00 2,400,000.00 05 Agustus 2021
05 Agustus 2021 Umpeg Aqua Mini 10 Dus 48,000.00 480,000.00 05 Agustus 2021
Page 54 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
05 Agustus 2021 Umpeg Aqua Gelas 50 Dus 38,000.00 1,900,000.00 05 Agustus 2021
Umpeg Makmin Pegawai 1 Paket 7,740,000.00 7,740,000.00

11 Agustus 2020 Umpeg Kopi Kapal Api 80 Karton 175,000.00 14,000,000.00
11 Agustus 2020 Umpeg Kopi uwak White Coffe 20 Karton 342,000.00 6,840,000.00
11 Agustus 2020 Umpeg The Sari Wangi Kotak 3 Karton 406,000.00 1,218,000.00
11 Agustus 2020 Umpeg Gula Lokal 100 Kg 30,000.00 3,000,000.00
11 Agustus 2020 Umpeg Mie Instan 2,000 Pcs 5,000.00 10,000,000.00
11 Agustus 2020 Umpeg Saus Sambal 115 Botol 28,000.00 3,220,000.00

17 September 2021 Umpeg Reffil Aqua Galon 25 Galon 20,000 500,000.00 17 September 2021
KEPEGAWAIAN/XI/2020
17 September 2021 Umpeg Aqua Gelas 20 Dus 38,000 760,000.00 17 September 2021
17 September 2021 Umpeg Aqua Galon 6 Galon 60,000 360,000.00 17 September 2021
17 September 2021 Umpeg Reffil Tabung Gas Elpiji 1 Tabung 150,000 150,000.00 17 September 2021
17 September 2021 Umpeg Aqua Botol 5 Dus 47,000 235,000.00 17 September 2021

27 Oktober 2021 Umpeg Kopi Kapal Api Spesial 300gr (1 Karton 9 bungkus) 18 Karton 174,000 3,132,000.00 27 Oktober 2021
KEPEGAWAIAN/II/2020
27 Oktober 2021 Umpeg Kopi Kapal Api Spesial Mix 25gr (1 Karton 12 Pak) 10 Karton 282,000 2,820,000.00 27 Oktober 2021
27 Oktober 2021 Umpeg Kopi Luwak White coffie ( 1 karton 20 Renceng) 6 Karton 341,000 2,046,000.00 27 Oktober 2021
27 Oktober 2021 Umpeg The Sari Wangi Kotak 25"S ( 1 Karton 48 Dus) 2 Karton 408,000 816,000.00 27 Oktober 2021
27 Oktober 2021 Umpeg Gula Lokal 100 kG 29,000 2,900,000.00 27 Oktober 2021
27 Oktober 2021 Umpeg Mie Instan 1,000 Pcs 5,500.00 5,500,000.00 27 Oktober 2021
27 Oktober 2021 Umpeg Saus Sambal (355 ml) 80 Botol 29,000.00 2,320,000.00 27 Oktober 2021
27 Oktober 2021 Umpeg Air Mineral Gelas 100 Karton 45,000.00 4,500,000.00 27 Oktober 2021
27 Oktober 2021 Umpeg Air Mineral Botol Mini (330 ml 24 Botol) 50 Karton 55,000.00 2,750,000.00 27 Oktober 2021
Page 55 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
27 Oktober 2021 Umpeg Air Mineral Botol Tanggung (600 ml 24 Botol) 50 Karton 59,000.00 2,950,000.00 27 Oktober 2021
1168//APBD/SUB BAGIAN UMUM DAN

26 Oktober 2021 Umpeg Air Mineral Reffil 140 Galon 20,000.00 2,800,000.00 26 Oktober 2021
KEPEGAWAIAN/II/2020
26 Oktober 2021 Umpeg Air Mineral Gelas 70 Dus 38,000.00 2,660,000.00 26 Oktober 2021
Umpeg Makmin Pegawai 1 Paket 7,226,000.00 7,226,000.00 30 Desember 1899
31 Januari, 28 Februari, 31
Rujukan Makan Standar Lauk Pauk dan Buah 357 Kotak 32,500.00 11,602,500.00
Maret 2020
30 April 2020, 30 Mei 2020. 30

Juni 2020. 30 Juli 2020
31 Agustus 2020 Rujukan Makan Standar Lauk Pauk dan Buah 129 Kotak 32,500.00 4,192,500.00
23 November 2020 Rujukan Makan Standar Lauk Pauk dan Buah 360 Kotak 32,500.00 11,700,000.00
08 Desember 2020 Rujukan Makan Standar Lauk Pauk dan Buah 1 Paket 3,607,500.00 3,607,500.00
JUMLAH BELANJA MAKANAN DAN MINUMAN HARIAN PEGAWAI Rp 162,557,000.00 ok

11 Mei 2020 Gizi 21,419 Buah 7,394.958 158,392,605 619/APBD/SEKSI GIZI/V/2020

11 Mei 2020 Gizi 1 Buah 7,394.598 7,395
JUMLAH BELANJA MAKANAN DAN MINUMAN HARIAN PEGAWAI 158,400,000 ok
17 November 2020 P2PM Belanja Pakaian Kerja Jumantik 500 Pcs Rp 84,000 42,000,000
Belanja Perlengkapan Pakaian Kerja Lapangan (522.13.02) 42,000,000 OK
14/10/20 P2PM Tas Jumantik 360 Buah 46,080,000

128,000
P2PM Rompi Jumantik 360 Buah 60,120,000

167,000
P2PM Topi 360 Buah 14,220,000

39,500
P2PM Handuk 360 Buah 10,620,000

29,500
P2PM Payung 360 Buah 18,540,000

51,500
P2PM Kartu Jumantik 360 Lmbr 540,000

1,500
P2PM Senter 360 Buah 19,260,000

53,500
P2PM Pipet 360 Buah 720,000

2,000
P2PM Plastik Klip 360 Pak 3,600,000

10,000
JUMLAH BELANJA PAKAIAN OLAHRAGA Rp 173,700,000.00 ok
11-Nov-20 Promkesjaor belanja kaos atau baju HKN 250 buah Rp 147,000 36,750,000 ;1426
Page 56 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.

(5.2.2.20.01)
24-Nov-20 Promkejaor piala juara 1 1 pcs Rp 500,000 500,000
24-Nov-20 Promkejaor piala juara harapan 1 1 pcs Rp 150,000 150,000
30-Dec-99 Kesga belanja Piala 4 paket 1,727,000 6,908,000
JUMLAH BELANJA HADIAH DAN PENGHARGAAN BERUPA BARANG Rp 8,608,000.00 ok
Belanja Hibah Barang kepada Badan/Lembaga (522.31.02)
27-Oct-20 Farmalkes Nucleid Acid Testing (NAT)/ Panther System and Accessories 1 Unit Rp 5,039,412,875 Rp 5,039,412,875 1358/APBD/FARMALKES/X/2020
27-Oct-20 Farmalkes Sealer Tube lapangan 2 Unit Rp 37,737,552 Rp 75,475,104 1358/APBD/FARMALKES/X/2020
JUMLAH BELANJA HADIAH DAN PENGHARGAAN BERUPA BARANG Rp 5,114,887,979.00 ok

(5.2.2.39.01)
12 Maret 2020 Gizi Wajan 10 Buah Rp 206,400 Rp 2,064,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Panci 10 Buah Rp 409,920 Rp 4,099,200 Thursday, March 12, 2020
12 Maret 2020 Gizi Kompor Gas 2Tungku 10 Buah Rp 417,600 Rp 4,176,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Selang 10 Buah Rp 148,800 Rp 1,488,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Tabung Gas LPG 3Kg 10 Buah Rp 240,000 Rp 2,400,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Piring 20 Lusin Rp 144,000 Rp 2,880,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Gelas 20 Lusin Rp 96,000 Rp 1,920,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Sendok Sayur 10 Buah Rp 28,800 Rp 288,000 Thursday, March 12, 2020
159/APBD/SEKSI GIZI/III/2020
12 Maret 2020 Gizi Sodet 10 Buah Rp 28,800 Rp 288,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Ballpoint 20 Lusin Rp 48,000 Rp 960,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Buku Tulis 20 Pak Rp 40,320 Rp 806,400 Thursday, March 12, 2020
12 Maret 2020 Gizi Spidol Warna 20 Set Rp 19,200 Rp 384,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Spidol Permanen 40 Pcs Rp 9,600 Rp 384,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Kertas Manila 140 Lembar Rp 3,840 Rp 537,600 Thursday, March 12, 2020
12 Maret 2020 Gizi Kertas Orogami 60 Pak Rp 18,240 Rp 1,094,400 Thursday, March 12, 2020
12 Maret 2020 Gizi Gunting 20 Pcs Rp 19,200 Rp 384,000 Thursday, March 12, 2020
14 oktober 2020 Promkejaor piala juara 1 2 pcs Rp 500,000 1,000,000
14 oktober 2020 Promkejaor piala juara 2 2 pcs Rp 400,000 800,000
14 oktober 2020 Promkejaor piala juara harapan 1 2 pcs Rp 150,000 300,000
Page 57 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
392/APBD/SEKSI
13 April 2020 Promkesjaor Wastafel+Instalasi 3 Unit Rp 2,200,000 Rp 6,600,000 Monday, April 13, 2020
393/APBD/SEKSI
394/APBD/SEKSI
3 maret 2020 Promkesjaor piala dalam rangka jambore kader kesehatan tingkat kelurahan Cilengga 1 paket Rp 1,600,000 1,600,000

30 September 2020 Promkesjaor 50 Unit Rp 1,949,490 Rp 97,474,500 ###
115cm Bisa Digeser)
1148/APBD/SEKSI
23-Sep-20 Promkesjaor gajebo pojok rokok 13 unit Rp 12,000,000 Rp 156,000,000
Umpeg Barang Untuk Diserahkan Kepada Masyarakat 1 Paket Rp 10,000,000 Rp 10,000,000

14 Desember 2021 Umpeg Tong Sampah 2 in 1 100 Unit Rp 1,465,000 Rp 146,500,000 ###
JUMLAH BELANJA BARANG UNTUK DISERAHKAN KEPADA MASYARAKAT Rp 572,053,600.00 ok
30 Juni 2020 Farmalkes Masker 3 Fly Earloop 5,000 Rp 200,000 Rp 1,000,000,000 Tuesday, June 30, 2020
567/APBD/SEKSI FARMALKES/VI/2020
30 Juni 2020 Farmalkes Masker 3 Fly Type Hijab 5,000 Rp 200,000 Rp 1,000,000,000 Tuesday, June 30, 2020
30 Juni 2020 Farmalkes Air Purifier 5 Rp 14,090,909 Rp - Tuesday, June 30, 2020
568/APBD/SEKSI FARMALKES/VI/2020
30 Juni 2020 Farmalkes Hazmat Non Medis 500 Rp 100,000 Rp 50,000,000 Tuesday, June 30, 2020
Farmalkes 1 Rp 3,325,000 840
Farmalkes Masker N95 6,640 Pcs Rp 147,273 Rp 977,890,927 921/BTT/SEKSI FARMALKES/IX/2020
08 Oktober 2020 Farmalkes 1 Rp 5,453,000 1115
06 Mei 2020 Farmalkes Sprei Uk. 160 x 200 400 Pcs Rp 172,727.30 Rp 69,090,920.00 Wednesday, May 06, 2020
06 Mei 2020 Farmalkes Selimut Uk. 120 x200 400 Pcs Rp 231,818.20 Rp 92,727,280.00 Wednesday, May 06, 2020
06 Mei 2020 Farmalkes Sarung Bantal Uk. Standar 400 Pcs Rp 36,363.60 Rp 14,545,440.00 607/APBD/SEKSI FARMALKES/VII/2020 Wednesday, May 06, 2020
06 Mei 2020 Farmalkes Masker Kain Biasa 20,000 Pcs Rp 7,272.73 Rp 145,454,600.00 Wednesday, May 06, 2020
Page 58 of 288
Penerimaan
607/APBD/SEKSI FARMALKES/VII/2020
Jml Satuan Satuan
No. Tgl.
06 Mei 2020 Farmalkes Rompi RW 800 Pcs Rp 222,727.20 Rp 178,181,760.00 Wednesday, May 06, 2020
06 Mei 2020 Farmalkes Coverall 1794 Pcs Rp 259,090.00 Rp 464,807,460.00 Wednesday, May 06, 2020
06 Mei 2020 Farmalkes Coverall 1 Rp 260,705.00 Rp 260,705.00 608/APBD/SEKSI FARMALKES/VII/2020
06 Mei 2020 Farmalkes Vivadiag Covid 19 Rapid Test 5000 Pcs Rp 200,000.00 Rp 1,000,000,000.00 Wednesday, May 06, 2020
27 Mei 2020 Farmalkes 3849 Pcs Rp 136,363.00 Rp 524,861,187 Wednesday, May 27, 2020
Rompi RT (Warna Biru, Bahan Oxsport, Penambahan Puring, Bordir,
Ukuran All Size)
27 Mei 2020 Farmalkes 1 Pcs Rp 138,813.00 Rp 138,813 Wednesday, May 27, 2020
22 Mei 2020 Farmalkes Masker 3 ply Type Air Loop 5000 Box Rp 200,000.00 Rp 1,000,000,000 Friday, May 22, 2020
22 Mei 2020 Farmalkes Masker 3 ply Type Hijab 5000 Box Rp 200,000.00 Rp 1,000,000,000 Friday, May 22, 2020
11 Mei 2020 Farmalkes Catriedge Xpert Xpress SARS-COV-2 60 Box Rp 6,000,000.00 Rp 360,000,000 611/APBD/SEKSI FARMALKES/VII/2020 Monday, May 11, 2020
11 Mei 2020 Farmalkes Vivadiag 30000 Pcs Rp 200,000.00 Rp 6,000,000,000 Monday, May 11, 2020
11 Mei 2020 Farmalkes 6359 Pcs Rp 167,727.00 Rp 1,066,575,993 612/APBD/SEKSI FARMALKES/VII/2020 Monday, May 11, 2020
Masker N95
11 Mei 2020 Farmalkes 1 Pcs Rp 169,461.00 Rp 169,461 Monday, May 11, 2020
JUMLAH BELANJA BTT (BELANJA TAK TERDUGA) COVID 19 Rp 14,944,704,546.20
1. SALDO AWAL = Rp 239,184,512.00
2. PENERIMAAN 1 JAN - 30 JUNI 2020 = Rp 41,178,639,196.20
3. TOTAL PENERIMAAN 2020 = Rp 41,417,823,708.20
#REF!
Mengetahui,
PLT. Kepala Dinas Kesehatan Kota Tangerang Selatan
Deden Deni, SE, MM

NIP. 19741220 200112 1 004
Page 59 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.

374/APBD/SUB BAGIAN
20 Januari 2020 Umpeg Reman Toner HP 83A 8 Kali Rp 307,000 2,456,000.00 UMUM DAN
KEPEGAWAIAN/I/2020
20 Januari 2020 Umpeg Reman Toner HP 78A 7 Kali Rp 283,000 1,981,000.00
20 Januari 2020 Umpeg Tinta Epson T664(BK) 7 Kali Rp 82,500 577,500.00
20 Januari 2020 Umpeg Tinta Epson T664 c 4 Kali Rp 82,500 330,000.00
20 Januari 2020 Umpeg Tinta Epson T664 m 4 Kali Rp 82,500 330,000.00
20 Januari 2020 Umpeg Tinta Epson T664 c 4 Kali Rp 82,500 330,000.00
23 januari 2020 Promkesjaor belanja alat tulis kantor 1 paket 900,000 900,000
18 maret 2020 18 maret 2020 Pensil tulis 16 lsn Rp 52,000 832,000
18 maret 2020 18 maret 2020 Balfoint 16 lsn Rp 43,750 700,000
18 maret 2020 18 maret 2020 Buku tulis 200 pcs Rp 6,000 1,200,000
18 maret 2020 18 maret 2020 maf 16 lsn Rp 29,250 468,000
1550/APBD/PROMKESLIN
4-Nov-20 4-Nov-20 pulpen 5 lsn Rp 32,000 160,000
GKESJAOR/XI/2020
4-Nov-20 4-Nov-20 note book 60 pcs Rp 4,000 240,000
GKESJAOR/XI/2020
374/APBD/SUB BAGIAN
13 Juli 2020 Umpeg Reffil Reman Toner HP 78A 21 Pcs 283,000.00 5,943,000.00 UMUM DAN Monday, July 13, 2020
KEPEGAWAIAN/I/2020
13 Juli 2020 Umpeg Reffil Reman Toner HP 83A 32 Pcs 307,000.00 9,824,000.00
13 Juli 2020 Umpeg Reffil Reman Toner HP 48A (+Chip) 5 Pcs 307,000.00 1,535,000.00
13 Juli 2020 Umpeg Tinta Epson T664 (BK) 13 Pcs 82,500.00 1,072,500.00
13 Juli 2020 Umpeg Tinta Epson T664 (C) 9 Pcs 82,500.00 742,500.00
13 Juli 2020 Umpeg Tinta Epson T664 (M) 9 Pcs 82,500.00 742,500.00
13 Juli 2020 Umpeg Tinta Epson T664 (Y) 9 Pcs 82,500.00 742,500.00
13 Juli 2020 Umpeg Tinta Canon 790 (BK) 6 Pcs 99,500.00 597,000.00
13 Juli 2020 Umpeg Tinta Canon 790 (C) 3 Pcs 95,000.00 285,000.00
13 Juli 2020 Umpeg Tinta Canon 790 (M) 3 Pcs 95,000.00 285,000.00
13 Juli 2020 Umpeg Tinta Canon 790 (Y) 3 Pcs 95,000.00 285,000.00
024/APBD/SUB BAGIAN
17 Februari 2020 Umpeg Reffil Reman Toner HP 78A 9 Pcs 283,000.00 2,547,000.00 UMUM DAN Monday, February 17, 2020
KEPEGAWAIAN/II/2020
17 Februari 2020 Umpeg Reffil Reman Toner HP 30A (+Chip) 4 Pcs 319,000.00 1,276,000.00
17 Februari 2020 Umpeg Reffil Reman Toner Canon LBP 3010 1 Pcs 283,000.00 283,000.00
17 Februari 2020 Umpeg Reffil Reman Toner Canon 83A 1 Pcs 307,000.00 307,000.00
231/APBD/SEKSI
14 Februari 2020 Gizi Notebook 30 Buah 7,500.00 225,000.00 Friday, February 14, 2020
GIZI/II/2020
14 Februari 2020 Gizi Kertas Flipchart 2 Gulung 45,000.00 90,000.00
14 Februari 2020 Gizi Map Plastik 3 Lusin 55,000.00 165,000.00
14 Februari 2020 Gizi Kertas Manila 5 Lembar 3,500.00 17,500.00
Page 60 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
14 Februari 2020 Gizi Ballpoint 3 Lusin 32,000.00 96,000.00
14 Februari 2020 Gizi Spidol 10 Buah 8,000.00 80,000.00
10 Februari 2020 PJKM Kertas HVS 5 Rim 50,000 250,000.00 10 Februari 2020 028/0873/P-Brg/2020
373/APBD/SUB BAGIAN
10 Maret 2020 Umpeg Reman Toner HP 78A 2 Kali Rp 283,000 566,000.00 UMUM DAN
KEPEGAWAIAN/I/2020
10 Maret 2020 Umpeg Tinta Epson T664(BK) 1 Kali Rp 82,500 82,500.00
10 Maret 2020 Umpeg Tinta Epson T664 m 1 Kali Rp 82,500 82,500.00

451/APBD/SUB BAGIAN
26 Maret 2020 Umpeg Reffil Ream Toner HP 78A 6 Pcs 283,000.00 1,698,000.00 UMUM DAN Thursday, March 26, 2020
KEPEGAWAIAN/I/2020
26 Maret 2020 Umpeg Reffil Ream Toner HP 35A 2 Pcs 283,000.00 566,000.00 Thursday, March 26, 2020
892/APBD/SEKSI
13 Agustus 2020 Gizi Map Kancing 2 Lusin 55,000.00 110,000.00 Thursday, August 13, 2020
GIZI/VIII/2020
13 Agustus 2020 Gizi Ballpoint 1 Lusin 41,000.00 41,000.00 Thursday, August 13, 2020
13 Agustus 2020 Gizi Ballpoint Baliner 1 Lusin 180,000.00 180,000.00 Thursday, August 13, 2020
13 Agustus 2020 Gizi Kertas HVS F4 7 Rim 50,000.00 350,000.00 Thursday, August 13, 2020
13 Agustus 2020 Gizi Post it 2 Pad 9,000.00 18,000.00 Thursday, August 13, 2020
955/APBD/SUB BAGIAN
18 Agustus 2020 Umpeg Kertas HVS F4 70gr Bola Dunia 650 Rim Rp 53,900 35,035,000.00 UMUM DAN Tuesday, August 18, 2020
18 Agustus 2020 Umpeg Kertas HVS F4 80gr Bola Dunia 50 Rim Rp 51,700 2,585,000.00
18 Agustus 2020 Umpeg Kertas Cont. Form 14 7/8x11 4ply Tricom 15 Box Rp 528,000 7,920,000.00
18 Agustus 2020 Umpeg Ballpoint Standart AE7 30 Lusin Rp 33,000 990,000.00
18 Agustus 2020 Umpeg Ballpoint Boldliner Boliner Standart 3 Lusin Rp 275,000 825,000.00
Page 61 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
18 Agustus 2020 Umpeg Spidol White Board Snowman 20 Pcs Rp 9,900 198,000.00
18 Agustus 2020 Umpeg Spidol Marker Permanet Snowman 50 Pcs Rp 8,800 440,000.00
18 Agustus 2020 Umpeg Paper Klip No. 5 Joyko 50 Kotak Rp 5,500 275,000.00
18 Agustus 2020 Umpeg Binder Klip No. 260 Joyko 45 Kotak Rp 26,400 1,188,000.00
18 Agustus 2020 Umpeg Map Kertas Biasa Tricom 30 Pak Rp 96,800 2,904,000.00
18 Agustus 2020 Umpeg Solasi Kecil Nanko 20 Roll Rp 4,400 88,000.00
18 Agustus 2020 Umpeg Lakban Bening 2" Nanko 20 Roll Rp 14,300 286,000.00
18 Agustus 2020 Umpeg Lakban Hitam 2"Nanko 30 Roll Rp 24,200 726,000.00
18 Agustus 2020 Umpeg Lem Stik 25gr Joyko 100 Pcs Rp 9,900 990,000.00
18 Agustus 2020 Umpeg Tip X Roll 5mmx12m Joyko 50 Pcs Rp 9,900 495,000.00
18 Agustus 2020 Umpeg StaflerNo. 10 Max 35 Pcs Rp 22,000 770,000.00
18 Agustus 2020 Umpeg Isi Stafler No. 10 Max 50 Pack Rp 73,700 3,685,000.00
18 Agustus 2020 Umpeg Penghapus White Board GM 10 Pcs Rp 9,900 99,000.00
18 Agustus 2020 Umpeg Post It Notes Warna Pronto 20 Pcs Rp 13,200 264,000.00
18 Agustus 2020 Umpeg Zipper Bag Folio Retseleting Standart 100 Pcs Rp 21,600 2,160,000.00
18 Agustus 2020 Umpeg Bussinnes File Folder One 100 Pcs Rp 4,400 440,000.00
18 Agustus 2020 Umpeg Pensil Faber Castel 2B Faber Castel 50 Lusin Rp 71,500 3,575,000.00
18 Agustus 2020 Umpeg Map Bening F4 Folder One 100 Lusin Rp 28,600 2,860,000.00
18 Agustus 2020 Umpeg Box File F4 Bandex 100 Pcs Rp 42,900 4,290,000.00
18 Agustus 2020 Umpeg Clear Holder 40 Lembar F4 Felix 80 Pcs Rp 38,500 3,080,000.00
18 Agustus 2020 Umpeg Post It Plastik Combo 150 Pcs Rp 13,200 1,980,000.00
18 Agustus 2020 Umpeg Odner Besar Bindex Folio Bindex 50 Pcs Rp 40,700 2,035,000.00
18 Agustus 2020 Umpeg Ribbon Printer Epson DFX 9000 Epson 5 Buah Rp 418,000 2,090,000.00
18 Agustus 2020 Umpeg Ribbon Printer Epson LQ/LX 310Epson 10 Buah Rp 91,200 912,000.00
18 Agustus 2020 Umpeg Catried HP 680 Black HP 5 Buah Rp 180,000 900,000.00
18 Agustus 2020 Umpeg Catried HP 680 Colour HP 5 Buah Rp 172,800 864,000.00
18 September 2021 Umpeg Reffil Tinta Toner HP CE 278/35A 5 Buah Rp 295,000 1,475,000.00 UMUM DAN
KEPEGAWAIAN/X/2020
18 September 2021 Umpeg Reffil Tinta Toner HP CF283A 5 Buah Rp 319,000 1,595,000.00
18 September 2021 Umpeg Reffil Toner HP CF283A 1 Buah Rp 319,000 319,000.00
18 September 2021 Umpeg Tinta Epson t664 (C) 2 Buah Rp 94,500 189,000.00
18 September 2021 Umpeg Tinta Epson t664 (M) 2 Buah Rp 94,500 189,000.00
18 September 2021 Umpeg Tinta Epson t664 (Y) 2 Buah Rp 94,500 189,000.00
18 September 2021 Umpeg Reffil Tinta Toner HP CE 278/35A 3 Buah Rp 295,000 885,000.00
Page 62 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
18 September 2021 Umpeg Reffil Tinta Toner HP CF283A 3 Buah Rp 319,000 957,000.00
25 September 2020 Umpeg Reffil Reman Toner HP CE278/35A 8 Pcs Rp 295,000 2,360,000.00 UMUM DAN
KEPEGAWAIAN/IX/2020
25 September 2020 Umpeg Reffil Reman Toner HP CE283A 8 Pcs Rp 319,000 2,552,000.00
25 September 2020 Umpeg Reffil Reman Toner HP 48A (+Chip) 3 Pcs Rp 306,800 920,400.00
25 September 2020 Umpeg Tinta Epson T664 (BK) 10 Pcs Rp 94,500 945,000.00
19 Oktober 2020 Umpeg Reffil Reman Toner HP CE278/35A 12 Rp 295,000 3,540,000.00 UMUM DAN
KEPEGAWAIAN/IX/2020
19 Oktober 2020 Umpeg Reffil Reman Toner HP 48A (+Chip) 8 Rp 319,000 2,552,000.00
19 Oktober 2020 Umpeg Tinta Epson T664 (BK) 11 Rp 94,500 1,039,500.00
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 BK) 3 Rp 100,000 300,000.00
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 C) 3 Rp 100,000 300,000.00
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 M) 3 Rp 100,000 300,000.00
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 Y) 3 Rp 100,000 300,000.00

27 Oktober 2021 Umpeg Reffil /Reman Toner HP CE278/35A 10 Pcs Rp 295,000 2,950,000.00 UMUM DAN ###
27 Oktober 2021 Umpeg Reffil /Reman Toner HP CF283A 6 Pcs Rp 319,000 1,914,000.00 ###
27 Oktober 2021 Umpeg Reffil /Reman Toner HP 48A (+Chip) 3 Pcs Rp 306,800 920,400.00 ###
27 Oktober 2021 Umpeg Tinta Epson T664 (BK) 5 Pcs Rp 94,500 472,500.00 ###
27 Oktober 2021 Umpeg Tinta Epson T664 (C) 5 Pcs Rp 94,500 472,500.00 ###
27 Oktober 2021 Umpeg Tinta Epson T664 (M) 5 Pcs Rp 94,500 472,500.00 ###
27 Oktober 2021 Umpeg Tinta Epson T664 (Y) 5 Pcs Rp 94,500 472,500.00 ###
27 Oktober 2021 Umpeg Tinta Canon 790 (BK) 2 Pcs Rp 100,000 200,000.00 ###
27 Oktober 2021 Umpeg Tinta Canon 790 (C) 2 Pcs Rp 100,000 200,000.00 ###
27 Oktober 2021 Umpeg Tinta Canon 790 (M) 2 Pcs Rp 100,000 200,000.00 ###
27 Oktober 2021 Umpeg Tinta Canon 790 (Y) 2 Pcs Rp 100,000 200,000.00 ###
Umpeg Belanja Alat Tulis Kantor 1 Paket Rp 13,969,000 13,969,000.00
23/11/20 Pjkm Kertas F4 5 Rim 250,000.00

50,000
50,000
944/APBD/SEKSI
03 Februari 2020 Perencanaan Kertas HVS 2 rim 108,000.00 PEP/II/2020
54,000
345,000 947/APBD/SEKSI
PEP/II/2020
54,000
948/APBD/SEKSI
11 Februari 2020 Perencanaan Kertas HVS 5 rim 270,000.00 APBD/II/2020
54,000
APBD/II/2020
54,000
54,000 946/APBD/ SEKSI
PEP/II/2020
Page 63 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
946/APBD/ SEKSI
PEP/II/2020
265,000
PEP/II/2020
265,000
PEP/II/2020
54,000
952/APBD/SEKSI
17 Maret 2020 Perencanaan Kertas HVS 3 rim 162,000.00 PEP/II/2020
54,000
345,000 1388/APBD/SEKSI
PEP/II/2020
54,000
345,000 1381/APBD/SEKSI
PEP/ II/2020
54,000
345,000 1389/APBD/SEKSI
PEP/ II/2020
54,000
1440/APBD/SEKSI PEP/
16 November 2020 Perencanaan Cartridge Toner 2 kali Rp 345,000 690,000.00
II/2020
03/12/20 SDMK Pulpen 1 Box 57,500.00

57,500
3,502,500
03/12/20 SDMK Map Plastikk Kancing 2 Pak 140,000.00
70,000 1559/APBD/SUB
BAGIAN UMUM DAN
25/11/21 Umpeg Kertas HVS F4 70gr Merk Bola Dunia 1250 Rim 50,039 62,548,750.00 KEPEGAWAIAN/XII/20 ###
20
25/11/21 Umpeg Kertas HVS F4 80gr Merk Bola Dunia 100 Rim 56,595 5,659,500.00 ###
25/11/21 Umpeg Toner HP Laser Jet 201A 1 Set (9 Black, Cyan, Yellow, Magenta Orginal) 3 Set 5,818,230 17,454,690.00 ###
16/11/21 Umpeg 50,000,000.00 ###

16/11/21 Umpeg 2,970,000.00
16/11/21 Umpeg 2,720,000.00
16/11/21 Umpeg 2,560,000.00
16/11/21 Umpeg 1,400,000.00
16/11/21 Umpeg 1,600,000.00
16/11/21 Umpeg 940,000.00
16/11/21 Umpeg 600,000.00
16/11/21 Umpeg 90,000.00
16/11/21 Umpeg 135,000.00
16/11/21 Umpeg 100,000.00
16/11/21 Umpeg 226,000.00
16/11/21 Umpeg 160,000.00
16/11/21 Umpeg 330,000.00
16/11/21 Umpeg 280,000.00
16/11/21 Umpeg 475,000.00
16/11/21 Umpeg 1,430,000.00
Page 64 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
16/11/21 Umpeg 120,000.00

16/11/21 Umpeg 240,000.00
16/11/21 Umpeg 240,000.00
16/11/21 Umpeg 1,143,000.00
16/11/21 Umpeg 438,000.00
16/11/21 Umpeg 564,000.00
16/11/21 Umpeg 459,000.00
16/11/21 Umpeg 300,000.00
16/11/21 Umpeg 596,000.00
16/11/21 Umpeg 120,000.00
16/11/21 Umpeg 864,000.00
16/11/21 Umpeg 3,816,000.00
16/11/21 Umpeg 3,040,000.00
16/11/21 Umpeg 680,000.00
16/11/21 Umpeg 4,500,000.00
16/11/21 Umpeg 3,780,000.00
16/11/21 Umpeg 5,128,000.00
16/11/21 Umpeg 2,778,000.00
16/11/21 Umpeg 2,752,000.00
16/11/21 Umpeg 258,000.00
16/11/21 Umpeg 685,000.00
JUMLAH BELANJA ALAT TULIS KANTOR Rp 409,528,940.00 ok
27 Oktober 2021 Umpeg Kabel Roll (15 m Uticion CR-2815) 70 Buah 250,000.00 17,500,000.00 ###
27 Oktober 2021 Umpeg Lampu Philips Tornado 20w E27 170 65,000.00 11,050,000.00 ###
UMUM DAN
KEPEGAWAIAN/X/2020
05 November 2021 Umpeg Kabel roll (5m Uticon CR-2815) 20 Buah 250,000.00 5,000,000.00 UMUM DAN Friday, November 05, 2021
KEPEGAWAIAN/XI/2020
Umpeg Belanja Alat Listrik 1 Paket 18,560,000.00 18,560,000.00
JUMLAH BELANJA ALAT LISTRIK Rp 59,310,000.00 ok

(5.2.2.01.04)
376/APBD/SUB BAGIAN
UMUM DAN
KEPEGAWAIAN/II/2020
851/APBD/SUB BAGIAN
UMUM DAN
Page 65 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
851/APBD/SUB BAGIAN
UMUM DAN
JUMLAH BELANJA PERANGKO, MATERAI DAN BENDA POS LAINNYA Rp 61,650,000.00 ok
28 Januari 2020 Umpeg Tisu Toilet Nice 250 Pack 36,960.00 9,240,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Tempat Tisu Stainless 30 Buah 124,300.00 3,729,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Facial Tisue Tessa 150 Pack 20,900.00 3,135,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Reffil Pengharum Ruangan Calmic 200 Botol 41,800.00 8,360,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Cairan Pel 100 Pcs 12,870.00 1,287,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Prostek 100 Botol 20,790.00 2,079,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Deterjen Rinso 20 Bngks 22,880.00 457,600 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Sabung Cuci Tangan Sunlight 50 Bngks 17,930.00 896,500 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Kanebo 20 Buah 46,200.00 924,000 Tuesday, January 28, 2020
375/APBD/SUB BAGIAN
28 Januari 2020 Umpeg Kamper Gantung 200 Pcs 13,750.00 2,750,000 Tuesday, January 28, 2020
UMUM DAN
28 Januari 2020 Umpeg Kantong Sampah Extra Besar 100x120cm 200 Pack 39,600.00 7,920,000 KEPEGAWAIAN/II/2020 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Reffil Hand Soap 4-5 Lt 50 Derigen 50,600.00 2,530,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Anti Nyamuk 50 Kaleng 44,330.00 2,216,500 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Sabun Cuci 5 Dus 62,700.00 313,500 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Keset Bahan 20 Buah 74,800.00 1,496,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Lap Kotak Kotak 100 Pcs 7,590.00 759,000 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Spoon Cuci Piring 6 Buah 3,850.00 23,100 Tuesday, January 28, 2020
28 Januari 2020 Umpeg Serokan Air 8 Pcs 64,900.00 519,200 Tuesday, January 28, 2020
Alat Kebersihan 1 Paket 49,994,000.00 49,994,000
27 Oktober 2021 Umpeg Paseo Elegent Toilet Roll Tisue isi 12 rol x 300's 80 Pack 85,000.00 6,800,000 ###
27 Oktober 2021 Umpeg Tessa Facial Tisue 260 Pcs 80 Kotak 25,500.00 2,040,000 ###
27 Oktober 2021 Umpeg Klin Pack Kantong Sampah Extra Besar 100X120cm 300 Pack 48,500.00 14,550,000 ###
27 Oktober 2021 Umpeg Soklin Lantai 4Lt 30 Drigen 72,000.00 2,160,000 ###
27 Oktober 2021 Umpeg Pembersih Keramik Porslen Prostek 1Lt 80 Botol 27,000.00 2,160,000 ###
27 Oktober 2021 Umpeg Kamper Gantung Dahlia 80gr 80 Pcs 19,500.00 1,560,000 ###
27 Oktober 2021 Umpeg Sunlight Botol 750ml 30 Botol 32,000.00 960,000 ###
27 Oktober 2021 Umpeg Reffil Pengharum Ruangan 50 Botol 42,000.00 2,100,000 ###
27 Oktober 2021 Umpeg Deterjen Rinso Bubuk Anti Noda 770gr 20 Bungkus 35,000.00 700,000 ###
27 Oktober 2021 Umpeg Handsoap Sabun Cuci Tangan Drigen 5Lt 30 Drigen 75,000.00 2,250,000 ###
27 Oktober 2021 Umpeg Sabun Colek Ekonomi 500k (1 Dus isi 30 Pcs) 6 Dus 82,000.00 492,000 1172/APBD/SUB BAGIAN ###
UMUM DAN
27 Oktober 2021 Umpeg Cairan Pembersih Kaca Clink Wings 400ml 40 Botol 24,000.00 960,000 KEPEGAWAIAN/IX/2020 ###
27 Oktober 2021 Umpeg Super Mop Bolde M-169 X Plus 14 Buah 250,000.00 3,500,000 ###
27 Oktober 2021 Umpeg Sikat Closet 14 Buah 50,000.00 700,000 ###
27 Oktober 2021 Umpeg Sikat Kamar Mandi Gagang Panjang 14 Buah 80,000.00 1,120,000 ###
27 Oktober 2021 Umpeg Sapu Ijuk 14 Buah 60,000.00 840,000 ###
27 Oktober 2021 Umpeg Sapu Lidi 14 Buah 60,000.00 840,000 ###
27 Oktober 2021 Umpeg Pengki Sigma Lion Star 14 Buah 60,000.00 840,000 ###
27 Oktober 2021 Umpeg Kemoceng 14 Buah 55,000.00 770,000 ###
Page 66 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
27 Oktober 2021 Umpeg Lap Kotak Kotak 96 Pcs 7,500.00 720,000 ###
27 Oktober 2021 Umpeg Anti Nyamuk Kaleng 48 Kaleng 44,500.00 2,136,000 ###
27 Oktober 2021 Umpeg Lap Kanebo Aion 20 Buah 90,000.00 1,800,000 ###
JUMLAH BELANJA BAHAN PEMBERSIH Rp 148,627,400.00 ok
14/02/2020 P2M Bahan Bakar Minyak/Gas 1 Paket Rp 3,926,500 Rp 3,926,500 14/02/2020 14/02/2020
12 Agustus 2021 Umpeg Reffil Apar 50 Tabung Rp 350,000 Rp 17,500,000 Thursday, August 12, 2021 Thursday, August 12, 2021
16 November 2020 Rujukan Pengisian Tabung Gas 1 Paket Rp 3,600,000 Rp 3,600,000 ### ###
310/APBD/SEKSI
26 Maret 2020 SIMPK Pot Urine 500 Buah Rp 1,949 Rp 974,500 Thursday, March 26, 2020
SIMPK/III/2020
1100/APBD/SEKSI
29 September 2020 SIMPK HGC Strip 500 Buah Rp 4,300 Rp 2,150,000 ###
SIMPK/X/2020
1 25 Juni 2020 Farmalkes Catridge TCM (CEPHEID/ CEPHEID XPERT MTB/RIF ASSAY KIT) 2350 Test Rp 259,175 Rp 609,061,250
749/APBD/FARMALKES/IV/2020 25 Juni 2020
BHP Pemeriksaan Gula Darah Sewaktu / HUMASENS 2.0 PLUS/
HUMASENSPLUS GLUCOSE TEST STRIPS BLUE
Farmalkes 24 Box Rp 249,800 Rp 5,995,200
2 19 Juni 2020 Alat Ukur Gula Darah / HUMASENS/ Human Humasens 2.0 Glucometer
System
Farmalkes 24 unit Rp 410,500 Rp 9,852,000
3 25 Agustus 2020 Farmalkes RDT DBD Combo (NS1 + IgG/ IgM) 438 Test Rp 630,000 Rp 275,940,000
1359/APBD/FARMALKES/VIII/2020
25 Agustus 2020

Farmalkes 24 Pcs Rp 100,658 Rp 2,415,792
…./APBD/FARMALKES/IX/2020
11 September 2020
4 11 September 2020 Alat Ukur Gula Darah / HUMASENS/ Human Humasens 2.0 Glucometer
System
Farmalkes 24 Pcs Rp 221,569 Rp 5,317,656
11 September 2020
5 11 September 2020 Farmalkes Alat Ukur Berat Badan 24 Pcs Rp 1,554,721 Rp 37,313,300
11 September 2020
6 11 September 2020 Farmalkes Alat Ukur Tekanan Darah Digital 24 Pcs Rp 386,000 Rp 9,330,000
11 September 2020
Page 67 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
Farmalkes Nucleid Acid Testing (NAT)/ Panther System and Accessories 1 Unit Rp 5,039,412,875 Rp 5,039,412,875
1358/APBD/FARMALKES/X/202007 Oktober 2020
7 07 Oktober 2020
Farmalkes Sealer Tube lapangan 2 Unit Rp 37,737,552 Rp 75,475,104
1358/APBD/FARMALKES/X/202007 Oktober 2020
1482/APBD/Seksi
06/11/20 Farmalkes Capp Micro Centrifuges tubes 2,0 ml 2 Pack Rp 7,115,900.00 Rp 14,231,800.00 Farmalkes/XI/2020
1480/APBD/Seksi
16/11/20 Farmalkes K3E K3EDTA 234612 285 Box Rp 129,000.00 Rp 36,765,000.00 Farmalkes/XI/2020
1480/APBD/Seksi
16/11/20 Farmalkes Z Serum Gel and Clot Activator 234303 520 Box Rp 182,000.00 Rp 94,640,000.00 Farmalkes/XI/2020
678/APBD/Seksi
14/07/20 Farmalkes Medical Sample Container (Pot Uriner) 5000 Botol Rp 1,856.00 Rp 9,280,000.00 Farmalkes/XI/2020
1479/APBD/Seksi
16/11/20 Farmalkes Accu-Chek Safe T Pro Uno 400 Box Rp 130,000.00 Rp 52,000,000.00 Farmalkes/IX/2020
1478/APBD/Seksi
13/11/20 Farmalkes Vacutainer Flashback Blood Collection Needle 35000 Pcs Rp 1,700.00 Rp 59,500,000.00 Farmalkes/IX/2020
1478/APBD/Seksi
Farmalkes Microtainer Tubes with K2E(K2EDTA) 8200 Pcs Rp 2,920.00 Rp 23,944,000.00 Farmalkes/IX/2020
1478/APBD/Seksi
Farmalkes Vacutainer PrecisionGlide Multiple Sample Needle 30000 Pcs Rp 1,287.00 Rp 38,610,000.00 Farmalkes/IX/2020
BD BBL Culture Swab Plus Amies withaout charcoal, single 1478/APBD/Seksi

Farmalkes 50 Dus Rp 418,094.00 Rp 20,904,700.00
applicator Farmalkes/IX/2020
1476/APBD/Seksi
3-Nov-20 Farmalkes Aquadest 131 Dirigen Rp 153,000.00 Rp 20,043,000.00 Farmalkes/XII/2020
1476/APBD/Seksi
Farmalkes Cuvet Mindray BS-120 25 box Rp 1,974,500.00 Rp 49,362,500.00 Farmalkes/XII/2020
1476/APBD/Seksi
Farmalkes CD-80 Detergent 2 L 20 Dirigen Rp 1,342,000.00 Rp 26,840,000.00 Farmalkes/XII/2020
1476/APBD/Seksi
Farmalkes Cuvet Cobas 22 Box Rp 2,857,800.00 Rp 62,871,600.00 Farmalkes/XII/2020
1476/APBD/Seksi
Farmalkes Integra Microcuvet 1 Box Rp 9,784,500.00 Rp 9,784,500.00 Farmalkes/XII/2020
1476/APBD/Seksi
Farmalkes Sample Cup 1 Box Rp 2,482,700.00 Rp 2,482,700.00 Farmalkes/XII/2020
1476/APBD/Seksi
Farmalkes 1 Pack Rp 726,000.00 Rp 726,000.00 Farmalkes/XII/2020
Autoclave bag
1 ### Farmalkes ANIOSGEL 85 500 ml 500 Botol Rp 82,000 Rp 41,000,000 ###
2 Farmalkes DERMANIOS CHLORHEXIDINE 4% 500 ml 2,000 Botol Rp 104,000 Rp 208,000,000
3 Farmalkes IV CATHETER 20G X 1 1/2 INCH 3,000 Pcs Rp 5,480 Rp 16,440,000
4 Farmalkes POLYWIN SAFETY SAFETY IV CANNULA 18G 1,000 Pcs Rp 11,660 Rp 11,660,000
7 Farmalkes UNDERPAD 60X90 15,000 Pcs Rp 4,620 Rp 69,300,000
8 Farmalkes DERMANIOS CHLORHEXIDINE 4% 500 ml 200 Botol Rp 104,000 Rp 20,800,000
9 Farmalkes ANIOSGEL 85 500 ml 1,800 Botol Rp 82,000 Rp 147,600,000
10 Farmalkes ANIOSGEL 85 5 L 442 Galon Rp 500,000 Rp 221,000,000
13 Farmalkes SEMILAS Infusion SetY 5,000 Pcs Rp 5,800 Rp 29,000,000
14 Farmalkes Nasal Oxygen Cannula- White Tubing, Adult 3,000 Pcs Rp 6,400 Rp 19,200,000
15 Farmalkes Gammex Latex Powder Free Surgical Gloves 7,5 5,000 Pair Rp 11,000 Rp 55,000,000
16 Farmalkes Gammex Latex Powder Free Surgical Gloves 7 5,000 Pair Rp 11,000 Rp 55,000,000
Page 68 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
17 Farmalkes Silk Black 3/0 HR 26 MM Braided nonabsorbable surgical suture 960 Sachet Rp 19,700 Rp 18,912,000
18 Farmalkes Catgut Plain 3/0 HR 26 MM Absorbable surgical suture 360 Sachet Rp 34,300 Rp 12,348,000
19 Farmalkes Catgut Chromic 3/0 HR 26 MM Absorbable surgical suture 480 Sachet Rp 32,800 Rp 15,744,000
20 Farmalkes Catgut Plain 2/0 HR 26 MM Absorbable surgical suture 360 Sachet Rp 34,300 Rp 12,348,000
21 Farmalkes Catgut Chromic 2/0 HR 26 MM Absorbable surgical suture 480 Sachet Rp 32,800 Rp 15,744,000
22 Farmalkes Kasa Hidrofil Steril 16 cm x 16 cm 10,000 Box Rp 5,950 Rp 59,500,000
23 Farmalkes APD Set 250 Set Rp 2,650,000 Rp 662,500,000
24 Farmalkes Masker N95- 3M 2,040 Pcs Rp 173,000 Rp 352,920,000
25 Farmalkes Handsanitizer FC Clean 5 Liter 200 Galon Rp 800,000 Rp 160,000,000

26 Farmalkes 27 galon Rp 3,080,000 Rp 83,160,000
SPORE
27 Farmalkes Desinfektan Lantai/SURFANIOS PREMIUM 400 galon Rp 1,296,900 Rp 518,760,000
28 Farmalkes Masker 3 Ply REMEDI 3,000 box Rp 150,000 Rp 450,000,000
29 Farmalkes Masker kain batik 25,000 pcs Rp 7,000 Rp 175,000,000

249,800

130,000

12,300

62,700

62,700
JUMLAH BELANJA BARANG PAKAI HABIS MEDIS Rp 10,359,559,977.40 CEK
1155/APBD/SEKSI
15-Oct-20 Gizi PMT Anak Sekolah 36,000 Buah 2,900 104,400,000 Thursday, October 15, 2020
GIZI/X/2020
14-Oct-20 Gizi PMT Pemulihan Balita Kurang Gizi (Nutren) 2,400 Buah 134,399 322,557,600 ###
P2M Susu Bear Brand 189 ML 1000 Kaleng 11,500.00 11,500,000.00 020/BA/ /P2PM/2020
JUMLAH BELANJA BAHAN PMT Rp 438,457,600.00 OK
561/APBD/SEKSIFARMAL
27 April 2020 Farmalkes Cell Dyn Easy Cleaner 8 Rp 2,953,368 Rp 23,626,944.00 Monday, April 27, 2020
KES/IV/2020
27 April 2020 Farmalkes Cell Dyn Emerald 22 Dilluent Reagen 8 Rp 3,626,489 Rp 29,011,912.00 Monday, April 27, 2020
27 April 2020 Farmalkes Cell Dyn Emerald 22 Lyse Reagen 8 Rp 4,799,223 Rp 38,393,784.00 Monday, April 27, 2020
27 April 2020 Farmalkes Cell Dyn 22 Plus Control 4 Rp 1,506,215 Rp 6,024,860.00 Monday, April 27, 2020
714/APBD/SEKSI
07 Juli 2020 Farmalkes ABX Miniclean 7 Botol Rp 2,415,600 Rp 16,909,200.00 Tuesday, July 07, 2020
FARMALKES/VII/2020
07 Juli 2020 Farmalkes ABX Minilyse LMG 7 Botol Rp 7,246,800 Rp 50,727,600.00 Tuesday, July 07, 2020
07 Juli 2020 Farmalkes ABX Minidil LNG 6 Box Rp 3,382,500 Rp 20,295,000.00 Tuesday, July 07, 2020
07 Juli 2020 Farmalkes ABX Miniclair 6 Botol Rp 1,226,500 Rp 7,359,000.00 Tuesday, July 07, 2020
Page 69 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
07 Juli 2020 Farmalkes Minotrol 16 Twin-Pack (2N) 3 Pack Rp 1,533,400 Rp 4,600,200.00 Tuesday, July 07, 2020
1036/APBD/SEKSI
24 Juli 2020 Farmalkes DS HIV 1/2 One Step Rapid Test (GCHIV-402A) 889 Pcs Rp 12,527 Rp 11,136,503.00 Friday, July 24, 2020
FARMALKES/VII/2020
24 Juli 2020 Farmalkes DS HIV 1/2 One Step Rapid Test (GCHIV-402A) 1 Pcs Rp 12,497 Rp 12,497.00 Friday, July 24, 2020
1039/APBD/SEKSI
11 Agustus 2020 Farmalkes SD Bioline HIV 1/2 3.0 24 Kit Rp 860,000 Rp 20,640,000.00 Tuesday, August 11, 2020
FARMALKES/VII/2020
1035/APBD/SEKSI
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi BH Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020
FARMALKES/VII/2020
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi CH Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi CO Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi H Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi AO Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi AH Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi O Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi BO Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Tuesday, August 11, 2020
1040/APBD/SEKSI
25 Agustus 2020 Farmalkes Urine Reagen Strip 19 Kit Rp 512,500 Rp 9,737,500.00
FARMALKES/VII/2020
1037/APBD/SEKSI
25 Agustus 2020 Farmalkes HBSAg Strip 1,900 Test Rp 10,547 Rp 20,039,300.00
FARMALKES/VII/2020
1034/APBD/SEKSI
28 Agustus 2020 Farmalkes Pathromtin SL 1 Kit Rp 1,133,000 Rp 1,133,000.00 Friday, August 28, 2020
FARMALKES/VII/2020
28 Agustus 2020 Farmalkes Multifibren 1 Kit Rp 3,362,700 Rp 3,362,700.00 Friday, August 28, 2020
28 Agustus 2020 Farmalkes Control Plasma N 1 Kit Rp 2,224,200 Rp 2,224,200.00 Friday, August 28, 2020
28 Agustus 2020 Farmalkes Innovin 1 Kit Rp 2,382,600 Rp 2,382,600.00 Friday, August 28, 2020
1038/APBD/SEKSI
28 Agustus 2020 Farmalkes Diagnostic Kit For HIV (1+2) Antibody (Colloidal Gold)v2 67 Kit Rp 660,000 Rp 44,220,000.00 Friday, August 28, 2020
FARMALKES/VII/2020
957/APBD/Seksi
14 Agustus 2020 Farmalkes Reagen HB Hemokrom 45 Kit Rp 3,300,000.00 Rp 148,500,000.00 Farmalkes/VIII/2020 14 Agustus 2020
1157/APBD/Seksi
11 Oktober 2020 Farmalkes Trepocheck Syphillis 147 Kit Rp 225,000.00 Rp 33,075,000.00 Farmalkes/IX/2020 11 Oktober 2020
1158/APBD/Seksi
17/09/20 Farmalkes Reagen Hba1C 1 Kit Rp 20,750,000.00 Rp 20,750,000.00 Farmalkes/VIII/2020 ###
1158/APBD/Seksi
17/09/20 Farmalkes Lypocheck Diabetes Control Bilevel 1 Kit Rp 5,403,750.00 Rp 5,403,750.00 Farmalkes/VIII/2020 ###
1158/APBD/Seksi
17/09/20 Farmalkes Lypocheck Hemoglobin A2 Control Bilevel 1 Kit Rp 18,026,250.00 Rp 18,026,250.00 Farmalkes/VIII/2020 ###
1158/APBD/Seksi
17/09/20 Farmalkes D10 Thermal Printer paper 2 Pack Rp 1,140,000.00 Rp 2,280,000.00 Farmalkes/VIII/2020 ###
Page 70 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Glukosa Kit (GOD-POD) 56 Kit Rp 529,430.00 Rp 29,648,080.00 Farmalkes/X/2020 27 Oktober 2020
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Total Cholesterol Kit 55 Kit Rp 1,006,852.00 Rp 55,376,860.00 Farmalkes/X/2020 27 Oktober 2020
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Total Tryglicerides Kit 18 Kit Rp 1,806,550.00 Rp 32,517,900.00 Farmalkes/X/2020 27 Oktober 2020
1262/APBD/Seksi
27 Oktober 2020 Farmalkes HDL Cholesterol 32 Kit Rp 3,912,225.00 Rp 125,191,200.00 Farmalkes/X/2020 27 Oktober 2020
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Uric Acid Kit 55 Kit Rp 1,006,852.00 Rp 55,376,860.00 Farmalkes/X/2020 27 Oktober 2020
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Urea Kit 16 Kit Rp 612,920.00 Rp 9,806,720.00 Farmalkes/X/2020 27 Oktober 2020
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Creatinin Kit (Sarcosine) 16 Kit Rp 3,606,955.00 Rp 57,711,280.00 Farmalkes/X/2020 27 Oktober 2020
1262/APBD/Seksi
27 Oktober 2020 Farmalkes ALT Kit (SGPT) 25 Kit Rp 1,064,538.00 Rp 26,613,450.00 Farmalkes/X/2020 27 Oktober 2020
1262/APBD/Seksi
27 Oktober 2020 Farmalkes AST Kit (SOPT) 25 Kit Rp 1,064,538.00 Rp 26,613,450.00 Farmalkes/X/2020 27 Oktober 2020
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Multi Sera Calibrator (10x3ml) 16 Kit Rp 5,975,614.50 Rp 95,609,832.00 Farmalkes/X/2020 27 Oktober 2020
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Lipids Calibrator 16 Kit Rp 4,904,404.00 Rp 78,470,464.00 Farmalkes/X/2020 27 Oktober 2020
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Multi Control Level 1 15 Kit Rp 10,347,949.50 Rp 155,219,242.50 Farmalkes/X/2020 27 Oktober 2020
1262/APBD/Seksi
27 Oktober 2020 Farmalkes Multi Control Level 1 1 Kit Rp 10,347,861.50 Rp 10,347,861.50 Farmalkes/X/2020 27 Oktober 2020
1263/APBD/Seksi
27 Oktober 2020 Farmalkes Dif Diluent 12 Botol Rp 1,669,250.00 Rp 20,031,000.00 Farmalkes/IX/2020 27 Oktober 2020
1263/APBD/Seksi
27 Oktober 2020 Farmalkes Dif Lyse 12 Botol Rp 2,020,480.00 Rp 24,245,760.00 Farmalkes/IX/2020 27 Oktober 2020
1263/APBD/Seksi
27 Oktober 2020 Farmalkes Probe Cleanser 12 Botol Rp 92,290.00 Rp 1,107,480.00 Farmalkes/IX/2020 27 Oktober 2020
1263/APBD/Seksi
27 Oktober 2020 Farmalkes Blood Control BC-20S 3 diff@3,0ml (1L,1N,1H) 6 Set Rp 1,831,720.00 Rp 10,990,320.00 Farmalkes/IX/2020 27 Oktober 2020
1263/APBD/Seksi
27 Oktober 2020 Farmalkes Blood Control BC-20S 3 diff@3,0ml (1L,1N,1H) 1 Set Rp 1,831,640.00 Rp 1,831,640.00 Farmalkes/IX/2020 27 Oktober 2020
1871/APBD/Seksi
30/11/20 Farmalkes HIV Duo Ultra 1 Kit Rp 6,583,500.00 Rp 6,583,500.00 Farmalkes/IX/2020 ###
1871/APBD/Seksi
30/11/20 Farmalkes Anti HBS Total II 1 Kit Rp 7,771,500.00 Rp 7,771,500.00 Farmalkes/IX/2020 ###
1871/APBD/Seksi
30/11/20 Farmalkes CMV IgG 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 Farmalkes/IX/2020 ###
1871/APBD/Seksi
30/11/20 Farmalkes CMV IgM 1 Kit Rp 3,910,500.00 Rp 3,910,500.00 Farmalkes/IX/2020 ###
1871/APBD/Seksi
30/11/20 Farmalkes HbsAg Ultra 1 Kit Rp 3,618,450.00 Rp 3,618,450.00 Farmalkes/IX/2020 ###
1871/APBD/Seksi
30/11/20 Farmalkes Rubella IgG II 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 Farmalkes/IX/2020 ###
1871/APBD/Seksi
30/11/20 Farmalkes Rubella IgM 1 Kit Rp 4,851,000.00 Rp 4,851,000.00 Farmalkes/IX/2020 ###
1871/APBD/Seksi
30/11/20 Farmalkes T3 1 Kit Rp 4,133,250.00 Rp 4,133,250.00 Farmalkes/IX/2020 ###
1871/APBD/Seksi
30/11/20 Farmalkes T4 1 Kit Rp 4,232,250.00 Rp 4,232,250.00 Farmalkes/IX/2020 ###
Page 71 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
1871/APBD/Seksi
30/11/20 Farmalkes Toxo IgG II 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 Farmalkes/IX/2020 ###
1871/APBD/Seksi
30/11/20 Farmalkes Toxo IgM 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 Farmalkes/IX/2020 ###
1871/APBD/Seksi
30/11/20 Farmalkes FT3 1 Kit Rp 6,212,250.00 Rp 6,212,250.00 Farmalkes/IX/2020 ###
1871/APBD/Seksi
30/11/20 Farmalkes TSH3 1 Kit Rp 7,078,500.00 Rp 7,078,500.00 Farmalkes/IX/2020 ###
1871/APBD/Seksi
30/11/20 Farmalkes Anti Hav IgM 2 Kit Rp 5,197,500.00 Rp 10,395,000.00 Farmalkes/IX/2020 ###
1350/APBD/Seksi
01 Oktober 2020 Farmalkes Humasen 2.0 Plus Glucose Test Strips Blue 600 Dus Rp 249,800.00 Rp 149,880,000.00 Farmalkes/X/2020 01 Oktober 2020
1350/APBD/Seksi
1 Oktober 2020 Farmalkes Humasen 2.0 Plus Total Cholesterol Test Strips 600 Dus Rp 541,900.00 Rp 325,140,000.00 Farmalkes/X/2020 1 Oktober 2020
1350/APBD/Seksi
1 Oktober 2020 Farmalkes Humasens 2.0 Plus Uric Acid Test Strips 600 Dus Rp 548,300.00 Rp 328,980,000.00 Farmalkes/X/2020 1 Oktober 2020
1481/APBD/Seksi
27/11/20 Farmalkes Alanine Transaminase IFCC (ALTL) 8 Kit Rp 1,276,000.00 Rp 10,208,000.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Albumin Gen 2 9 kit Rp 291,500.00 Rp 2,623,500.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Alkaline Phosphatase IFCC (ALP) 7 kit Rp 430,100.00 Rp 3,010,700.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Transaminase (ASTL) 8 kit Rp 1,276,000.00 Rp 10,208,000.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Bilirbin Direk Gen.2 8 kit Rp 420,200.00 Rp 3,361,600.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Bilirubin Total Gen.3 8 kit Rp 960,300.00 Rp 7,682,400.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Calcium Gen 2 7 kit Rp 580,800.00 Rp 4,065,600.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Cholesterol Gen 2 30 kit Rp 1,340,900.00 Rp 40,227,000.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Creatinine Plus vers 2 20 kit Rp 1,551,000.00 Rp 31,020,000.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Gamma Glutamyl Tranferase vers 2 8 kit Rp 1,023,000.00 Rp 8,184,000.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Glukose HK 65 kit Rp 447,700.00 Rp 29,100,500.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes HDL-Cholesterol Plus Gen 4 26 kit Rp 6,220,500.00 Rp 161,733,000.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes LDL-Cholesterol Gen 3 26 kit Rp 4,865,300.00 Rp 126,497,800.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Total Protein 8 kit Rp 513,700.00 Rp 4,109,600.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Triglyceride GPO 40 kit Rp 840,400.00 Rp 33,616,000.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Urea/BUN 8 kit Rp 1,944,800.00 Rp 15,558,400.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Uric Acid Vers.2 30 kit Rp 827,200.00 Rp 24,816,000.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Cleaner 35 botol Rp 1,403,600.00 Rp 49,126,000.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes ISE Deproteinizer cobas Integra 5 box Rp 886,600.00 Rp 4,433,000.00 Farmalkes/XI2020 Friday, November 27, 2020
Page 72 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
1481/APBD/Seksi
27/11/20 Farmalkes C.f.a.s (Calibrator for automated system) 4 box Rp 1,217,700.00 Rp 4,870,800.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes C.f.a.s Lipids 4 box Rp 829,400.00 Rp 3,317,600.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Precicontrol Clinchem Multi 2QCS 3 box Rp 4,158,000.00 Rp 12,474,000.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Activator 3 kit Rp 2,616,900.00 Rp 7,850,700.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Iron Gen 2 3 kit Rp 470,800.00 Rp 1,412,400.00 Farmalkes/XI2020 Friday, November 27, 2020
1481/APBD/Seksi
27/11/20 Farmalkes Iron Gen 2 1 kit Rp 470,400.00 Rp 470,400.00 Farmalkes/XI2020 Friday, November 27, 2020
1492/APBD/Seksi
09/11/20 Farmalkes Reagen Nitrat, TNT 1 Pack Rp 2,255,200.00 Rp 2,255,200.00 Farmalkes/XI/2020 ###
1492/APBD/Seksi
09/11/20 Farmalkes Reagen Nitrit 1 Pack Rp 935,000.00 Rp 935,000.00 Farmalkes/XI/2020 ###
1492/APBD/Seksi
09/11/20 Farmalkes Reagen Sulfat 1 Pack Rp 777,500.00 Rp 777,500.00 Farmalkes/XI/2020 ###
1492/APBD/Seksi
09/11/20 Farmalkes Reagen Besi 1 Pack Rp 567,500.00 Rp 567,500.00 Farmalkes/XI/2020 ###
1492/APBD/Seksi
09/11/20 Farmalkes Reagen Cromium,heksavalent 1 Pack Rp 819,500.00 Rp 819,500.00 Farmalkes/XI/2020 ###
1492/APBD/Seksi
09/11/20 Farmalkes Reagen Mangan HR 1 Pack Rp 1,575,800.00 Rp 1,575,800.00 Farmalkes/XI/2020 ###
1492/APBD/Seksi
09/11/20 Farmalkes Reagen Mangan LR 1 Pack Rp 1,334,200.00 Rp 1,334,200.00 Farmalkes/XI/2020 ###
1492/APBD/Seksi
09/11/20 Farmalkes Reagen Kesadahan 1 Pack Rp 1,722,900.00 Rp 1,722,900.00 Farmalkes/XI/2020 ###
1493/APBD/Seksi
26/11/20 Farmalkes Isetrol Electrolyte Control 3 Box Rp 1,404,700.00 Rp 4,214,100.00 Farmalkes/XI/2020 ###
1493/APBD/Seksi
26/11/20 Farmalkes Snappak 2 Box Rp 2,127,400.00 Rp 4,254,800.00 Farmalkes/XI/2020 ###
1493/APBD/Seksi
26/11/20 Farmalkes Cleaning Solution 2 botol Rp 588,500.00 Rp 1,177,000.00 Farmalkes/XI/2020 ###
1611/APBD/Seksi
07 Desember 2020 Farmalkes Reagen PCR 2732 test Rp 237,000.00 Rp 647,484,000.00 Farmalkes/X/2020 07 Desember 2020
1477/APBD/Seksi
27/11/20 Farmalkes Uric Acid 50 Kit Rp 644,600.00 Rp 32,230,000.00 Farmalkes/XI/2020 Friday, November 27, 2020
1477/APBD/Seksi
27/11/20 Farmalkes Cholesterol 80 Kit Rp 686,400.00 Rp 54,912,000.00 Farmalkes/XI/2020 Friday, November 27, 2020
1477/APBD/Seksi
27/11/20 Farmalkes Creatinin Plus 30 Kit Rp 645,700.00 Rp 19,371,000.00 Farmalkes/XI/2020 Friday, November 27, 2020
1477/APBD/Seksi
27/11/20 Farmalkes Glukose HK 40 Kit Rp 484,000.00 Rp 19,360,000.00 Farmalkes/XI/2020 Friday, November 27, 2020
1477/APBD/Seksi
27/11/20 Farmalkes Triglyceride 30 Kit Rp 464,200.00 Rp 13,926,000.00 Farmalkes/XI/2020 Friday, November 27, 2020
1477/APBD/Seksi
27/11/20 Farmalkes Urea 15 Kit Rp 812,900.00 Rp 12,193,500.00 Farmalkes/XI/2020 Friday, November 27, 2020
1477/APBD/Seksi
27/11/20 Farmalkes c.f.a.s (calibrator for automated) 14 Kit Rp 1,217,700.00 Rp 17,047,800.00 Farmalkes/XI/2020 Friday, November 27, 2020
1477/APBD/Seksi
27/11/20 Farmalkes Precicontrol clinchem multi 1 QCS 14 Kit Rp 4,158,000.00 Rp 58,212,000.00 Farmalkes/XI/2020 Friday, November 27, 2020
1477/APBD/Seksi
27/11/20 Farmalkes c.f.a.s (lipid) 14 Kit Rp 829,400.00 Rp 11,611,600.00 Farmalkes/XI/2020 Friday, November 27, 2020
Page 73 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
1477/APBD/Seksi
27/11/20 Farmalkes ISE deproteinizer 42 Kit Rp 171,600.00 Rp 7,207,200.00 Farmalkes/XI/2020 Friday, November 27, 2020
1477/APBD/Seksi
27/11/20 Farmalkes Cleaner 30 Kit Rp 1,403,600.00 Rp 42,108,000.00 Farmalkes/XI/2020 Friday, November 27, 2020
1477/APBD/Seksi
27/11/20 Farmalkes Diluent (NaCl 9%) 30 Kit Rp 511,500.00 Rp 15,345,000.00 Farmalkes/XI/2020 Friday, November 27, 2020
1870/APBD/Seksi
14 Desember 2020 Farmalkes Rapid test Antigen 60 box Rp 3,272,500.00 Rp 196,350,000.00 Farmalkes/XII/2020 14 Desember 2020
1869/APBD/Seksi
16/11/20 Farmalkes Humasens 2.0 Plus Glucose Test Strips 67 Dus Rp 249,800.00 Rp 16,736,600.00 Farmalkes/X/2020 ###
Humasens 2.0 Plus Parameter system 3 in 1 Glu Chol UA dan 1869/APBD/Seksi

16/11/20 Farmalkes 15 Dus Rp 805,950.00 Rp 12,089,250.00 ###
Accesories Farmalkes/X/2021
1869/APBD/Seksi
16/11/20 Farmalkes Humasens 2.0 Plus Uric Acid Test Strips 66 Dus Rp 548,300.00 Rp 36,187,800.00 Farmalkes/X/2022 ###
1869/APBD/Seksi
16/11/20 Farmalkes Humasens 2.0 Plus Total Cholesterol test strips 66 Dus Rp 541,900.00 Rp 35,765,400.00 Farmalkes/X/2023 ###
JUMLAH BELANJA BAHAN PENUNJANG LABORATORIUM Rp 4,140,693,050.00 OK

new normal kit) (tumbles/botol minum, sedotan stainles + brush, sendok 1813/APBD/PROMKESLIN
18 desember 2020 Promkesjaor 250 paket Rp 180,000 45,000,000 18 desember 2020
dan garpu stainless, masker kain, corona finger, hand sanitizer, hand GKESJAOR/XII/2020
23 januari 2020 Promkesjaor souvenir botol minum tuperware bahan plastik uk, 1000 ml 100 pcs 98,000 9,800,000 23 januari 2020
11 maret 2020 Promkesjaor Belanja Mug Bergambar 150 pcs Rp 35,000 Rp 5,250,000 11 maret 2020
311/APBD/SEKSI
10 Maret 2020 Gizi Bahan Kontak Untuk Kunjungan Balita Kurang Gizi 97 Paket 238,000.00 Rp 23,086,000 Tuesday, March 10, 2020
GIZI/III/2020
02 November 2021 Umpeg Plakat 100 Buah 450,000.00 Rp 45,000,000 UMUM DAN ###
KEPEGAWAIAN/II/2020
23 Desember 2020 Mutu Peningkatan Mutu Pelayanan Kesehatan Dasar 1 pAKET 1,500,000 Rp 1,500,000 ###
JUMLAH BELANJA PENGADAAN PLAKAT/SOUVENIR Rp 191,186,000.00 OK
Page 74 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
07 September 2021 Umpeg Dekorasi Ruangan 1 Unit 4,500,000.00 Rp 4,500,000 ###

UMUM DAN
KEPEGAWAIAN/II/2020
07 September 2021 Umpeg Pembuatan Video 1 Unit 1,200,000.00 Rp 1,200,000 ###
JUMLAH BELANJA PENGADAAN PLAKAT/SOUVENIR Rp 17,288,000.00 ok
25 Februari 2020 PJKM Map Plastik Kancing 25 Lusin Rp 48,000 Rp 1,200,000 045/APBD/PJKM/II/2020 Tuesday, February 25, 2020
25 Februari 2020 PJKM Ballpoint 25 Lusin Rp 40,000 Rp 1,000,000 Tuesday, February 25, 2020
25 Februari 2020 PJKM Notebook 300 Buah Rp 13,000 Rp 3,900,000 Tuesday, February 25, 2020
126/APBD/P2PT&KESWA/I
07 Februari 2020 P2PT/KESWA Notebook 120 Buah Rp 5,000 Rp 600,000 Friday, February 07, 2020
I/2020
07 Februari 2020 P2PT/KESWA Pulpen 120 Buah Rp 5,000 Rp 600,000 Friday, February 07, 2020
07 Februari 2020 P2PT/KESWA Zipper Map 120 Buah Rp 15,000 Rp 1,800,000 Friday, February 07, 2020
9-Nov-20 Promkejaor belanja tas parasut )resleting ketika dilipat & custom logo) 70 Pcs Rp 43,500 3,045,000
GKESJAOR/XI/2020
GKESJAOR/XI/2020
GKESJAOR/XI/2020
GKESJAOR/XI/2020
13 Maret 2020 PJKM Map Plastik Kancing 25 Lusin Rp 48,000 Rp 1,200,000 179/APBD/PJKM/II/2020 Friday, March 13, 2020
13 Maret 2020 PJKM Ballpoint 25 Lusin Rp 40,000 Rp 1,000,000 Friday, March 13, 2020
13 Maret 2020 PJKM Notebook 300 Buah Rp 13,000 Rp 3,900,000 Friday, March 13, 2020
586/APBD/SUBBAG
13 Maret 2020 perencanaan Balpoint 13 Lusin Rp 54,000 Rp 702,000 Friday, March 13, 2020
PEP/2020
13 Maret 2020 perencanaan Map Plastik 150 Buah Rp 19,500 Rp 2,925,000 Friday, March 13, 2020
JUMLAH BELANJA PERLENGKAPAN PANITIA/PESERTA Rp 59,299,000.00 ok
30-Dec-99 Kesga Belanja APE KIT 65 buah 760,500 49,432,500 1416
30-Dec-99 Kesga Belanja APE KIT 30 paket 295,020 8,850,600 1461
Page 75 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
JUMLAH BELANJA BAHAN PERCONTOHAN Rp 76,883,100.00 ok
25 November 2020 Epapor NON INVENTARIS 1 Paket 4,770,000.00 4,770,000.00 12/11/1903 ###
16 November 2020 Rujukan Box Container Plastik 10 Buah 350,000.00 3,500,000.00 12/11/1903 ###
JUMLAH BELANJA BAHAN PAKAI HABIS NON INVENTARIS Rp 8,270,000.00 ok
21 Februari 2020 Umpeg Pipa 4' 4 Batang 380,000.00 Rp 1,520,000
21 Februari 2020 Umpeg Pipa 3' 4 Batang 240,000.00 Rp 960,000
21 Februari 2020 Umpeg Keramik 60x60 8 Dus 280,000.00 Rp 2,240,000
21 Februari 2020 Umpeg Pasir 1 Truk 750,000.00 Rp 750,000
21 Februari 2020 Umpeg Semen 21 Sak 75,000.00 Rp 1,575,000
21 Februari 2020 Umpeg Semen Sica 4 Sak 295,000.00 Rp 1,180,000
21 Februari 2020 Umpeg Weirmesh 1 Lbr 950,000.00 Rp 950,000
21 Februari 2020 Umpeg Plapon Gipsum 4 Lbr 105,000.00 Rp 420,000
023/APBD/SUB BAGIAN
21 Februari 2020 Umpeg Kompon 2 Sak 86,000.00 Rp 172,000 UMUM DAN Friday, February 21, 2020
KEPEGAWAIAN/II/2020
21 Februari 2020 Umpeg Nat Keramik 4 Kg 25,000.00 Rp 100,000
21 Februari 2020 Umpeg Aqua Prof 5 Galon 206,000.00 Rp 1,030,000
21 Februari 2020 Umpeg Sewa Mesin Tembak Air 1 Paket 1,500,000.00 Rp 1,500,000
21 Februari 2020 Umpeg Sedot WC 1 Paket 500,000.00 Rp 500,000
21 Februari 2020 Umpeg Ember 4 Buah 25,000.00 Rp 100,000
21 Februari 2020 Umpeg Sendok Semen 4 Buah 25,000.00 Rp 100,000
21 Februari 2020 Umpeg Benang 5 Buah 3,000.00 Rp 15,000
21 Februari 2020 Umpeg Hebel 1 M³ 750,000.00 Rp 750,000
223/APBD/SUB BAGIAN
24 Maret 2020 Umpeg Perbaikan Flafon gedung dinkes Bahan Material 1 Paket 17,470,000.00 Rp 17,470,000 UMUM DAN Tuesday, March 24, 2020
683/APBD/SUB BAGIAN
17 Juli 2020 Umpeg Perbaikan Atap Selara dan Rooftop Atap 1 Paket 32,835,000.00 Rp 32,835,000 UMUM DAN Friday, July 17, 2020
KEPEGAWAIAN/II/2020
Perbaikan Closet dan Flapon Kantor Dinas Kesehatan Kota Tangerang
07 September 2021 Umpeg 1 Paket 34,300,000.00 Rp 34,300,000 UMUM DAN
Selatan
18 September 2021 Umpeg Bongkar Pasang Flapon 1 Paket 43,277,000.00 Rp 43,277,000 UMUM DAN
Page 76 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
JUMLAH BELANJA BAHAN BAKU BANGUNAN Rp 141,744,000.00 ok
Farmalkes Parasetamol tablet 500 mg 914,000 Kaplet Rp 152 Rp 138,928,000 ###

mg

mg/ml (i.m)
Farmalkes Methisoprinol 250 mg/5ml 1,000 Botol Rp 53,625 Rp 53,625,000 ###
Page 77 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
Farmalkes Methisoprinol 500 mg 10,000 Tablet Rp 3,215 Rp 32,150,000 ###
Farmalkes Multivitamin anak sirup 25,000 Botol Rp 35,300 Rp 882,500,000 ###
1 Farmalkes Multivitamin dewasa 200,000 Kaplet Rp 1,650 Rp 330,000,000 ###
2 Farmalkes Obat Antianemia Drop 1,000 botol Rp 36,400 Rp 36,400,000 ###
3 Farmalkes Obat Antifungi Drop 1,000 Botol Rp 33,530 Rp 33,530,000 ###
1 Farmalkes Obat batuk hitam 100 ml 5,000 botol Rp 7,788 Rp 38,940,000 ###
2 Farmalkes Obat Dekongestan tablet 10,000 tablet Rp 1,600 Rp 16,000,000 ###
3 Farmalkes Obat Flu dan Batuk Sirup 12,000 Botol Rp 11,500 Rp 138,000,000 ###
4 Farmalkes Obat Flu dan Batuk Tablet 200,000 Kaplet Rp 750 Rp 150,000,000 ###
5 Farmalkes Oksitetrasiklin HCl salep kulit 3% 2,000 Tube Rp 2,200 Rp 4,400,000 ###
6 Farmalkes Parasetamol supp 2,000 Suppositoria Rp 8,100 Rp 16,200,000 ###
7 Farmalkes Pseudoefedrin Hcl Drop 1,000 Botol Rp 23,000 Rp 23,000,000 ###
8 Farmalkes Ranitidin Hcl Sirup 5,000 Botol Rp 55,000 Rp 275,000,000 ###
9 Farmalkes Siprofloksasin 500 mg tablet 50,000 Tablet Rp 500 Rp 25,000,000 ###
10 Farmalkes Suplemen Ibu Menyusui 15,000 Kapsul Rp 1,500 Rp 22,500,000 ###
11 Farmalkes Vitamin Neurotopik 50,700 Kaplet Rp 3,085 Rp 156,409,500 ###
12 Farmalkes Vitamin Neurotopik Injeksi 2,000 ampul Rp 5,400 Rp 10,800,000 ###
13 Wednesday, May 27, 2020 Farmalkes 4,742,400 Rp 354 Rp 1,678,809,600 Wednesday, May 27, 2020
14 Thursday, June 04, 2020 Farmalkes Retinol (vitamin A) kapsul lunak 100.000 IU 36,100 Soft kapsul Rp 306 Rp 11,046,600 Thursday, June 04, 2020
15 Thursday, June 04, 2020 Farmalkes Retinol acetate/retinol (vitamin A) kapsul lunak 200.000 IU 397,550 Soft kapsul Rp 552 Rp 219,447,600 Thursday, June 04, 2020
Page 78 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.


480 mg)


(Susp 240 mg)
16 ### Farmalkes Parasetamol drops 100 mg botol @15 ml (60 mg/0,6 ml) 50,000 Botol Rp 6,649 Rp 332,450,000 Tuesday, October 13, 2020
Page 79 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.

enterik 25 mg

enterik 50 mg
19 ### Farmalkes Nystatin/ Nistatin vaginal tablet 100.000 IU 15,000 Tablet Rp 598 Rp 8,970,000 ###
Tablet salut
20 ### Farmalkes Nystatin/ Nistatin tablet/kaplet salut gula 500.000 IU 20,000 Rp 843 Rp 16,860,000 ###
gula
21 ### Farmalkes Asiklovir/Acyclovir tablet/kapsul/kaplet 400 mg 150,000 Tablet Rp 405 Rp 60,750,000 ###
JUMLAH BELANJA OBAT-OBATAN Rp 7,800,732,272.00 ok
01/08/20 P2M Obat Fooging JOLF 25 EC 500ML 1,480 botol 120,000 Rp 177,600,000 01 Agustus 2020
JUMLAH BELANJA BAHAN BAKU MAKANAN Rp 177,600,000 ok
233/APBD/SEKSI
14 Februari 2020 Gizi Bahan Makanan Untuk Praktek 1 Paket Rp 278,000 278,000 14 Februari 2020
GIZI/II/2020
1099/APBD/SEKSI
06 Oktober 2020 Gizi Bahan Food Lokal Untuk Pos Gizi 20 Paket Rp 248,000 4,960,000 06 Oktober 2020
GIZI/X/2020
JUMLAH BELANJA BAHAN BAKU MAKANAN Rp 5,238,000.00 ok
22 Oktober 2020 P2M Larvasida Cair 6900 Botol 24,500.00 169,050,000.00 020/BA/1424/P2PM/2020 22 Oktober 2020
JUMLAH Bahan bakteri pengurai limbah cair Rp 169,050,000.00 ok
11 maret 2020 Promkesjaor Cetakan Jamban 2 unit 9,300,000 18,600,000
GKESJAOR/XI/2020
1815/APBD/PROMKESLIG
KESJAOR/XII/2020
KESJAOR/XII/2020
KESJAOR/XII/2020
KESJAOR/XII/2020
KESJAOR/XII/2020
KESJAOR/XII/2020
KESJAOR/XII/2020
Page 80 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
GKESJAOR/XI/2020
GKESJAOR/XI/2020
GKESJAOR/XI/2020
GKESJAOR/XI/2020
GKESJAOR/XI/2020
GKESJAOR/XI/2020
GKESJAOR/XI/2020
10 maret 2020 Promkesjaor Flayer Novel Corona Virus A 4 rim Rp 850,000 3,400,000
10 maret 2020 Promkesjaor Flayer Novel Corona Virus B 5 rim Rp 800,000 4,000,000
10 maret 2020 Promkesjaor Flayer Memakai Masker 4 rim Rp 850,000 3,400,000
10 maret 2020 Promkesjaor Flayer Pencegahan Corona 6 rim Rp 750,000 4,500,000
25-Nov-20 Kesga Cetak Kohort 460 buah 64,200 29,532,000
Page 81 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
354/APBD/P2PTM&KESW
24 Februari 2020 P2PTM Khohort 60 Dus Rp 100,000 6,000,000 Monday, February 24, 2020
A/III/2020
24 Februari 2020 P2PTM Buku Bantu Skrining 30 Dus Rp 100,000 3,000,000 Monday, February 24, 2020
24 Februari 2020 P2PTM Buku Pedoman 60 Dus Rp 100,000 6,000,000 Monday, February 24, 2020
377/APBD/SUB BAGIAN
04 Februari 2020 Umpeg Amplop Surat Dinas 90gr (Samson B-W) 100 Rp 52,000 5,200,000 UMUM DAN Tuesday, February 04, 2020
KEPEGAWAIAN/II/2020
04 Februari 2020 Umpeg Map Biasa Art Karton 310gr (Laminasi Draff) 1,000 Rp 9,500 9,500,000 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Kop Surat Dinas Uk. 70gr HVS 10 Rp 195,000 1,950,000 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Lembar Diposisi NCR (B-W) 129 Rp 22,000 2,838,000 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Formulir Capa 1 Rp 185,000 185,000 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Formulir Pemeriksaan Toko Obat 1,500 Rp 2,275 3,412,500 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Surat Pernyataan 500 Rp 2,150 1,075,000 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Lembar Langkah Pembinaan dan Pengawasan 3,000 Rp 2,275 6,825,000 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Lembar Langkah Pembinaan dan Pengawasan Apotik 3,000 Rp 2,275 6,825,000 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Berita Acara Pemeriksaan Apotik 3,000 Rp 2,300 6,900,000 Tuesday, February 04, 2020
04 Februari 2020 Umpeg Lembar Verifikasi 2,500 Rp 1,950 4,875,000 Tuesday, February 04, 2020
02 November 2020 Umpeg Amplop Puskesmas 100 Rim Rp 49,500 4,950,000 UMUM DAN ###
KEPEGAWAIAN/XI/2020
02 November 2020 Umpeg Map Puskesmas 1,500 Buah Rp 11,000 16,500,000 ###
02 November 2020 Umpeg Kop Surat 10 Rim Rp 198,000 1,980,000 ###
02 November 2020 Umpeg Lembar Disposisi 20 Buku Rp 22,000 440,000 ###
02 November 2020 Umpeg Surat Resep Dokter 30 Buku Rp 22,000 660,000 ###
02 November 2020 Umpeg Surat Keterangan Dokter 20 Buku Rp 22,000 440,000 ###
02 November 2020 Umpeg Surat Rujukan 20 Buku Rp 22,000 440,000 ###
02 November 2020 Umpeg Surat Rujuk Balik 20 Buku Rp 22,000 440,000 ###
02 November 2020 Umpeg Surat Bukti Barang Keluar (SBBK) 20 Buku Rp 22,000 440,000 ###
Page 82 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
02 November 2020 Umpeg Surat Diagnosa Keterangan Klinik 20 Buku Rp 22,000 440,000 ###
02 November 2020 Umpeg Surat Keterangan Klinik 20 Buku Rp 22,000 440,000 ###
02 November 2020 Umpeg Surat Kartu Stok 2,000 Buku Rp 1,100 2,200,000 ###
02 November 2020 Umpeg Surat Tanda Berobat 4,000 Buku Rp 880 3,520,000 ###
02 November 2020 Umpeg Surat Keterangan Sakit 40 Buku Rp 22,000 880,000 ###
02 November 2020 Umpeg Surat Pemeriksaan Kesehatan Umum 20 Buku Rp 27,500 550,000 ###
02 November 2020 Umpeg Surat Pemeriksaan Kesehatan Gigi 20 Buku Rp 27,500 550,000 ###
02 November 2020 Umpeg Surat Persetujuan/Penolakan 20 Buku Rp 27,500 550,000 ###
02 November 2020 Umpeg Surat Permohonan Pemeriksaan Bakteriologi 20 Buku Rp 27,500 550,000 ###
02 November 2020 Umpeg Surat Registrasi Gigi 20 Buku Rp 27,500 550,000 ###
02 November 2020 Umpeg Format Monitoring Pengguna Obat Sryup 4 Rim Rp 143,000 572,000 ###
02 November 2020 Umpeg Format Monitoring Pengguna Obat Tablet 4 Rim Rp 143,000 572,000 ###
12-Nov-20 Gizi Cetak Format Pos Gizi 32 Buku 34,500 1,104,000 1435 ###
12-Nov-20 Gizi Cetak Leaflet 1 Rim 1,200,000 1,200,000
13-Nov-20 Gizi Cetak Cakram Status Gizi 400 Paket 98,000 39,200,000 1436 Friday, November 13, 2020
12-Nov-20 Gizi Cetak Format E-PPGBM Ibu Hamil 845 Buku 44,000 37,180,000 1437 ###
12-Nov-20 Gizi Cetak Format Anamnesa Gizi 37 Buku 47,500 1,757,500 ###
232/APBD/SEKSI
26 Maret 2020 Gizi Roll Baner 60x160 cm 29 Buah Rp 440,000 12,760,000 Thursday, March 26, 2020
GIZI/III/2020
26 Maret 2020 Gizi Lembar Balik 29 Buah Rp 450,000 13,050,000 Thursday, March 26, 2020
154/APBD/SEKSI
12 Maret 2020 Gizi Buku Khohort 2,200 Buku Rp 57,500 126,500,000 Thursday, March 12, 2020
GIZI/II/2020
24-Nov-20 Gizi Cetak Format 3A 850 Buku 46,000 39,100,000 1534 ###
24-Nov-20 Gizi Cetak Format 3B 850 Buku 46,000 39,100,000 1534 ###
24-Nov-20 Gizi Cetak Format 5 849 Buku 25,647 21,774,303 1534 ###
24-Nov-20 Gizi Cetak Format 5 1 Buku 25,697 25,697 1534 ###

Friday, November 27, 2020 Primer 100 buah Rp 97,000 Rp 9,700,0001572/APBD/PRIMER/XI/2020Friday, November 27, 2020
Pendekatan Keluarga (PIS-PK)
30 November 2020 Farmalkes 1 Rp 210,000,000 210,000,000 1498 ###
Farmalkes Cetak Pemantauan Kesehatan Tempat Penelolah Makanan 1 Rp 210,000 210,000 1147 ###
Mutu 1 Rp 32,279,000 32,279,000 1661 ###

P2M Cetak 1 Rp 4,590,000 4,590,000
17 November 2020 P2M Format 1 rumah 1 Jumantik 10000 Lmbr 3,000.00 30,000,000.00 020/BA/1566/P2PM/2020 ###
kesmas Upaya Kesehatan Masyarakat Sekunder 1 Paket 38,460,000.00 38,460,000.00 020/BA/1566/P2PM/2020 ###
Surimun N PENINGKATAN IMUNISASI 1 Paket 31,080,000.00 31,080,000.00 ###
027/5537225/BSTHP/PPK
Cetak Buku peningkatan Mutu Pelayanan Kesehatan Dasar 47 buah Rp 255,000 Rp 11,985,000 2-Nov-20
O
027/5537225/BSTHP/PPK
O
027/5537225/BSTHP/PPK
O
JUMLAH BELANJA CETAK Rp 1,355,787,000.00
1573/APBD/PRIMER/XI/
23 November 2020 Primer Spanduk 25 Meter Rp 35,000 Rp 875,000
2020
Page 83 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
27 Agustus 2020 Primer Spanduk 15 Meter Rp 35,000 Rp 525,000 /APBD/PRIMER/IX/2020
11 November 2020 Primer Spanduk 30 Meter Rp 35,000 Rp 1,050,000 /APBD/PRIMER/IX/2020
30-Jan-20 Kesga Cetak Spanduk 4 meter 35,000 140,000 072
30-Dec-99 Kesga Cetak Spanduk 4 meter 35,000 140,000 1414
9-Mar-20 Kesga Cetak Spanduk 4 meter 35,000 140,000 305
11-Feb-20 Kesga Cetak Spanduk 3 meter 35,000 105,000 193

spanduk 3 m x 1 m)
spanduk 3 m x 1 m)
spanduk 3 m x 1 m)
spanduk 3 m x 1 m)
10/03/20 Rujukan
spanduk 3 m x 1 m)
23/07/20 Rujukan
spanduk 3 m x 1 m)
01/09/20 Rujukan
spanduk 3 m x 1 m)
08/10/20 Rujukan 12 Meter Rp 35,000 Rp 420,000 799
spanduk 3 m x 1 m)
Rujukan 12 Meter Rp 35,000 Rp 420,000 923
spanduk 3 m x 1 m)
Rujukan 30 Meter Rp 35,000 Rp 1,050,000 1125
spanduk 3 m x 1 m)
10/11/20 Rujukan
spanduk 3 m x 1 m)
10/11/20 Rujukan
spanduk 3 m x 1 m)
18/02/20 Ptm Belanja Cetak Spanduk 1 Buah 140,000.00 Tuesday, February 18, 2020
140,000
03/03/20 Ptm Belanja Cetak Spanduk 1 Buah 140,000.00 Tuesday, March 03, 2020
140,000
13/02/20 Ptm Belanja Cetak Spanduk 3 Buah 315,000.00 ###

105,000
21/02/20 Ptm Belanja Cetak Spanduk 3 Buah 315,000.00 Friday, February 21, 2020
105,000

105,000
Page 84 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.

140,000
155/APBD/SEKSI
7-Feb-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000.00 13-Feb
GIZI/II/2020
153/APBD/SEKSI
GIZI/II/2020
152/APBD/SEKSI
GIZI/II/2020
156/APBD/SEKSI
GIZI/II/2020
1010/APBD/SEKSI
21-Aug-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000.00 13-Feb
GIZI/VIII/2020
1014/APBD/SEKSI
GIZI/VIII/2020
1011/APBD/SEKSI
GIZI/VIII/2020
1012/APBD/SEKSI
1-Sep-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000.00 13-Feb
GIZI/IX/2020
1013/APBD/SEKSI
GIZI/IX/2020
1009/APBD/SEKSI
GIZI/IX/2020
1008/APBD/SEKSI
GIZI/IX/2020
157/APBD/SEKSI
GIZI/II/2020
158/APBD/SEKSI
2-Mar-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000.00 13-Feb
GIZI/III/2020
312/APBD/SEKSI
6-Mar-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000.00 13-Feb
GIZI/III/2020
1438/APBD/SEKSI
2-Nov-20 Gizi Cetak Spanduk 5 Meter 30,000 150,000.00 13-Feb
GIZI/XI/2020
1007/APBD/SEKSI
GIZI/IX/2020
1149/APBD/SEKSI
7-Oct-20 Gizi Cetak Spanduk 40 Meter 30,000 1,200,000.00 13-Feb
GIZI/X/2020
1439/APBD/SEKSI
6-Nov-20 Gizi Cetak Spanduk 3 Meter 30,000 90,000.00 13-Feb
GIZI/XI/2020

25 Februari 2020 PJKM 4 M Rp 30,000 120,000.00 180//APBD/PJKM/II/2020 25-Feb
13 Februari 2020 PJKM Spanduk Validasi Data Program Penyakit Tidak Menular 4 M Rp 35,000 140,000.00
Spanduk Pertemuan Peningkatan Pengetahuan Tentang Pelayanan

13 Februari 2020 PJKM 4 M Rp 35,000 140,000.00
Diabetes
13 Februari 2020 PJKM Spanduk Iva Test 4 M Rp 35,000 140,000.00

06 Maret 2020 PJKM 3 M Rp 30,000 90,000.00 181//APBD/PJKM/II/2021 6-Mar
(Puskesmas)
10 Maret 2020 Umpeg Spanduk MTQ (uk.1mX4m) 2 Buah Rp 120,000 240,000.00 1564/APBD/SUB BAGIAN 10-Mar
UMUM DAN
10 Maret 2020 Umpeg Spanduk MTQ (uk.1mX2m) 1 Buah Rp 60,000 60,000.00 KEPEGAWAIAN/III/2020 10-Mar
Umpeg Cetak Spanduk 1 Paket Rp 750,000 750,000.00
05 Agustus 2021 Umpeg Spanduk Dirgahayu RI Ke-75 (uk. 1.5mX5m) 3 Pcs Rp 225,000 675,000.00 UMUM DAN Thursday, August 05, 2021
KEPEGAWAIAN/XI/2020
21 Februari 2020 Umpeg Spanduk Peresmian PKM Cirendeu uk.4mX1m 2 Buah Rp 120,000 240,000.00 1563/APBD/SUB BAGIAN 21-Feb
UMUM DAN
21 Februari 2020 Umpeg Spanduk Peresmian PKM Pamulang Timur uk.4mX1m 2 Buah Rp 120,000 240,000.00 KEPEGAWAIAN/III/2020 21-Feb
Page 85 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
118/APBD/SEKSI
26 Februari 2020 SIMPK Spanduk Kegiatan Koordinasi Kesiap dan Kesiagaan 4 M Rp 30,000 120,000.00 26-Feb
SIMPK/II/2020
9 oktober 2020 Promkesjaor Cetak sepanduk,back drop,umbul umbul bahan flexi 780 meter 35,000 27,300,000
JUMLAH BELANJA CETAK SPANDUK Rp 128,850,000.00
452/APBD/SUB BAGIAN
26 April 2020 Umpeg Air Mineral 208 Galon 20,000.00 4,160,000.00 UMUM DAN
KEPEGAWAIAN/II/2020
26 April 2020 Umpeg Aqua Mini 3 Dus 47,000.00 141,000.00
26 April 2020 Umpeg Aqua Gelas 5 Karton 37,000.00 185,000.00
559/APBD/SUB BAGIAN
08 Juni 2020 Umpeg Reffil Aqua Galon 100 Galon 20,000.00 2,000,000.00 UMUM DAN
KEPEGAWAIAN/II/2020
08 Juni 2020 Umpeg Aqua Gelas 40 Dus 38,000.00 1,520,000.00
660/APBD/SUB BAGIAN
20 Mei 2020 Umpeg Aqua Galon 109 Galon 20,000.00 2,180,000.00 UMUM DAN
KEPEGAWAIAN/II/2020
20 Mei 2020 Umpeg Aqua Mini 1 Dus 47,000.00 47,000.00
628/APBD/SUB BAGIAN
08 Juli 2020 Umpeg Aqua Galon 40 Galon 20,000.00 800,000.00 UMUM DAN
KEPEGAWAIAN/II/2020
08 Juli 2020 Umpeg Aqua Mini 10 Dus 45,000.00 450,000.00
08 Juli 2020 Umpeg Aqua Gelas 15 Dus 38,000.00 570,000.00
831/APBD/SUB BAGIAN
05 Agustus 2021 Umpeg Aqua Galon 120 Galon 20,000.00 2,400,000.00 UMUM DAN 05 Agustus 2021
05 Agustus 2021 Umpeg Aqua Mini 10 Dus 48,000.00 480,000.00 05 Agustus 2021
05 Agustus 2021 Umpeg Aqua Gelas 50 Dus 38,000.00 1,900,000.00 05 Agustus 2021
832/APBD/SUB BAGIAN
11 Agustus 2020 Umpeg Kopi Kapal Api 80 Karton 175,000.00 14,000,000.00 UMUM DAN
11 Agustus 2020 Umpeg Kopi uwak White Coffe 20 Karton 342,000.00 6,840,000.00
11 Agustus 2020 Umpeg The Sari Wangi Kotak 3 Karton 406,000.00 1,218,000.00
11 Agustus 2020 Umpeg Gula Lokal 100 Kg 30,000.00 3,000,000.00
11 Agustus 2020 Umpeg Mie Instan 2,000 Pcs 5,000.00 10,000,000.00
11 Agustus 2020 Umpeg Saus Sambal 115 Botol 28,000.00 3,220,000.00
17 September 2021 Umpeg Reffil Aqua Galon 25 Galon 20,000 500,000.00 UMUM DAN 17 September 2021
KEPEGAWAIAN/XI/2020
Page 86 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
17 September 2021 Umpeg Aqua Galon 6 Galon 60,000 360,000.00 17 September 2021
17 September 2021 Umpeg Reffil Tabung Gas Elpiji 1 Tabung 150,000 150,000.00 17 September 2021
17 September 2021 Umpeg Aqua Botol 5 Dus 47,000 235,000.00 17 September 2021
27 Oktober 2021 Umpeg Kopi Kapal Api Spesial 300gr (1 Karton 9 bungkus) 18 Karton 174,000 3,132,000.00 UMUM DAN 27 Oktober 2021
KEPEGAWAIAN/II/2020
27 Oktober 2021 Umpeg Kopi Kapal Api Spesial Mix 25gr (1 Karton 12 Pak) 10 Karton 282,000 2,820,000.00 27 Oktober 2021
27 Oktober 2021 Umpeg Kopi Luwak White coffie ( 1 karton 20 Renceng) 6 Karton 341,000 2,046,000.00 27 Oktober 2021
27 Oktober 2021 Umpeg The Sari Wangi Kotak 25"S ( 1 Karton 48 Dus) 2 Karton 408,000 816,000.00 27 Oktober 2021
27 Oktober 2021 Umpeg Gula Lokal 100 kG 29,000 2,900,000.00 27 Oktober 2021
27 Oktober 2021 Umpeg Mie Instan 1,000 Pcs 5,500.00 5,500,000.00 27 Oktober 2021
27 Oktober 2021 Umpeg Saus Sambal (355 ml) 80 Botol 29,000.00 2,320,000.00 27 Oktober 2021
27 Oktober 2021 Umpeg Air Mineral Gelas 100 Karton 45,000.00 4,500,000.00 27 Oktober 2021
27 Oktober 2021 Umpeg Air Mineral Botol Mini (330 ml 24 Botol) 50 Karton 55,000.00 2,750,000.00 27 Oktober 2021
27 Oktober 2021 Umpeg Air Mineral Botol Tanggung (600 ml 24 Botol) 50 Karton 59,000.00 2,950,000.00 27 Oktober 2021
1168//APBD/SUB BAGIAN
26 Oktober 2021 Umpeg Air Mineral Reffil 140 Galon 20,000.00 2,800,000.00 UMUM DAN 26 Oktober 2021
KEPEGAWAIAN/II/2020
26 Oktober 2021 Umpeg Air Mineral Gelas 70 Dus 38,000.00 2,660,000.00 26 Oktober 2021
Umpeg Makmin Pegawai 1 Paket 7,226,000.00 7,226,000.00 30 Desember 1899
31 Januari, 28 Februari, 31
Maret 2020
30 April 2020, 30 Mei 2020. 30

Juni 2020. 30 Juli 2020
31 Agustus 2020 Rujukan Makan Standar Lauk Pauk dan Buah 129 Kotak 32,500.00 4,192,500.00
23 November 2020 Rujukan Makan Standar Lauk Pauk dan Buah 360 Kotak 32,500.00 11,700,000.00
08 Desember 2020 Rujukan Makan Standar Lauk Pauk dan Buah 1 Paket 3,607,500.00 3,607,500.00
Page 87 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
JUMLAH BELANJA MAKANAN DAN MINUMAN HARIAN PEGAWAI Rp 162,557,000.00 ok

619/APBD/SEKSI
11 Mei 2020 Gizi 21,419 Buah 7,394.958 158,392,605
GIZI/V/2020
11 Mei 2020 Gizi 1 Buah 7,394.598 7,395
JUMLAH BELANJA MAKANAN DAN MINUMAN HARIAN PEGAWAI 158,400,000 ok
Belanja Perlengkapan Pakaian Kerja Lapangan (522.13.02) 42,000,000 OK
14/10/20 P2PM Tas Jumantik 360 Buah 46,080,000

128,000

167,000
P2PM Topi 360 Buah 14,220,000

39,500

29,500

51,500

1,500

53,500

2,000

10,000
11-Nov-20 Promkesjaor belanja kaos atau baju HKN 250 buah Rp 147,000 36,750,000 ;1426

(5.2.2.20.01)
JUMLAH BELANJA HADIAH DAN PENGHARGAAN BERUPA BARANG Rp 8,608,000.00 ok
Page 88 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.

(5.2.2.39.01)
12 Maret 2020 Gizi Wajan 10 Buah Rp 206,400 Rp 2,064,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Panci 10 Buah Rp 409,920 Rp 4,099,200 Thursday, March 12, 2020
12 Maret 2020 Gizi Kompor Gas 2Tungku 10 Buah Rp 417,600 Rp 4,176,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Selang 10 Buah Rp 148,800 Rp 1,488,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Tabung Gas LPG 3Kg 10 Buah Rp 240,000 Rp 2,400,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Piring 20 Lusin Rp 144,000 Rp 2,880,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Gelas 20 Lusin Rp 96,000 Rp 1,920,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Sendok Sayur 10 Buah Rp 28,800 Rp 288,000 Thursday, March 12, 2020
159/APBD/SEKSI
GIZI/III/2020
12 Maret 2020 Gizi Sodet 10 Buah Rp 28,800 Rp 288,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Ballpoint 20 Lusin Rp 48,000 Rp 960,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Buku Tulis 20 Pak Rp 40,320 Rp 806,400 Thursday, March 12, 2020
12 Maret 2020 Gizi Spidol Warna 20 Set Rp 19,200 Rp 384,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Spidol Permanen 40 Pcs Rp 9,600 Rp 384,000 Thursday, March 12, 2020
12 Maret 2020 Gizi Kertas Manila 140 Lembar Rp 3,840 Rp 537,600 Thursday, March 12, 2020
12 Maret 2020 Gizi Kertas Orogami 60 Pak Rp 18,240 Rp 1,094,400 Thursday, March 12, 2020
12 Maret 2020 Gizi Gunting 20 Pcs Rp 19,200 Rp 384,000 Thursday, March 12, 2020
392/APBD/SEKSI
13 April 2020 Promkesjaor Wastafel+Instalasi 3 Unit Rp 2,200,000 Rp 6,600,000 PROMKESLINGKESJAOR/ Monday, April 13, 2020
IV/2020
393/APBD/SEKSI
IV/2020
394/APBD/SEKSI
IV/2020

115cm Bisa Digeser)
1148/APBD/SEKSI
PROMKESLINGKESJAOR/
IV/2020
Umpeg Barang Untuk Diserahkan Kepada Masyarakat 1 Paket Rp 10,000,000 Rp 10,000,000
Page 89 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
14 Desember 2021 Umpeg Tong Sampah 2 in 1 100 Unit Rp 1,465,000 Rp 146,500,000 UMUM ###
JUMLAH BELANJA BARANG UNTUK DISERAHKAN KEPADA MASYARAKAT Rp 414,453,600.00 ok
30 Juni 2020 Farmalkes Masker 3 Fly Earloop 5,000 Rp 200,000 Rp 1,000,000,000 Tuesday, June 30, 2020
567/APBD/SEKSI
FARMALKES/VI/2020
30 Juni 2020 Farmalkes Masker 3 Fly Type Hijab 5,000 Rp 200,000 Rp 1,000,000,000 Tuesday, June 30, 2020
30 Juni 2020 Farmalkes Air Purifier 5 Rp 14,090,909 Rp 70,454,545 Tuesday, June 30, 2020
568/APBD/SEKSI
FARMALKES/VI/2020
30 Juni 2020 Farmalkes Hazmat Non Medis 500 Rp 100,000 Rp 50,000,000 Tuesday, June 30, 2020
Farmalkes 1 Rp 3,325,000 Rp 3,325,000 840
921/BTT/SEKSI
Farmalkes Masker N95 6,640 Pcs Rp 147,273 Rp 977,890,927
FARMALKES/IX/2020
08 Oktober 2020 Farmalkes 1 Rp 5,453,000 Rp 5,453,000 1115
06 Mei 2020 Farmalkes Sprei Uk. 160 x 200 400 Pcs Rp 172,727.30 Rp 69,090,920.00 Wednesday, May 06, 2020
06 Mei 2020 Farmalkes Selimut Uk. 120 x200 400 Pcs Rp 231,818.20 Rp 92,727,280.00 Wednesday, May 06, 2020
607/APBD/SEKSI
06 Mei 2020 Farmalkes Sarung Bantal Uk. Standar 400 Pcs Rp 36,363.60 Rp 14,545,440.00 Wednesday, May 06, 2020
FARMALKES/VII/2020
06 Mei 2020 Farmalkes Masker Kain Biasa 20,000 Pcs Rp 7,272.73 Rp 145,454,600.00 Wednesday, May 06, 2020
06 Mei 2020 Farmalkes Rompi RW 800 Pcs Rp 222,727.20 Rp 178,181,760.00 Wednesday, May 06, 2020
06 Mei 2020 Farmalkes Coverall 1794 Pcs Rp 259,090.00 Rp 464,807,460.00 Wednesday, May 06, 2020
608/APBD/SEKSI
06 Mei 2020 Farmalkes Coverall 1 Rp 260,705.00 Rp 260,705.00
FARMALKES/VII/2020
06 Mei 2020 Farmalkes Vivadiag Covid 19 Rapid Test 5000 Pcs Rp 200,000.00 Rp 1,000,000,000.00 Wednesday, May 06, 2020
27 Mei 2020 Farmalkes 3849 Pcs Rp 136,363.00 Rp 524,861,187 Wednesday, May 27, 2020
Rompi RT (Warna Biru, Bahan Oxsport, Penambahan Puring, Bordir, 609/APBD/SEKSI
Ukuran All Size) FARMALKES/VII/2020
27 Mei 2020 Farmalkes 1 Pcs Rp 138,813.00 Rp 138,813 Wednesday, May 27, 2020
22 Mei 2020 Farmalkes Masker 3 ply Type Air Loop 5000 Box Rp 200,000.00 Rp 1,000,000,000 Friday, May 22, 2020
610/APBD/SEKSI
FARMALKES/VII/2020
22 Mei 2020 Farmalkes Masker 3 ply Type Hijab 5000 Box Rp 200,000.00 Rp 1,000,000,000 Friday, May 22, 2020
611/APBD/SEKSI
11 Mei 2020 Farmalkes Catriedge Xpert Xpress SARS-COV-2 60 Box Rp 6,000,000.00 Rp 360,000,000 Monday, May 11, 2020
FARMALKES/VII/2020
11 Mei 2020 Farmalkes Vivadiag 30000 Pcs Rp 200,000.00 Rp 6,000,000,000 Monday, May 11, 2020
612/APBD/SEKSI
11 Mei 2020 Farmalkes 6359 Pcs Rp 167,727.00 Rp 1,066,575,993 Monday, May 11, 2020
FARMALKES/VII/2020
Masker N95
11 Mei 2020 Farmalkes 1 Pcs Rp 169,461.00 Rp 169,461 Monday, May 11, 2020
JUMLAH BELANJA BTT (BELANJA TAK TERDUGA) COVID 19 Rp 15,023,937,091.20
1. SALDO AWAL = Rp 239,184,512.00
2. PENERIMAAN 1 JAN - 30 JUNI 2020 = #REF!
3. TOTAL PENERIMAAN 2020 = #REF!
#REF!
Mengetahui,
Page 90 of 288
Penerimaan
Jml Satuan Satuan
No. Tgl.
PLT. Kepala Dinas Kesehatan Kota Tangerang Selatan
Deden Deni, SE, MM

NIP. 19741220 200112 1 004
Page 91 of 288

Kuantitas Harga (Rp) Kuantitas Harga Jumlah Kuantitas Harga
No. Tanggal Penerimaan Pembelian Nama Barang Total (Rp) Satuan Harga Satuan Total (Rp) Ket.
(Rp) (Rp) (Rp)
20 Januari 2020 Umpeg Reman Toner HP 83A 8 Kali Rp 307,000 2,456,000.00 8 Kali Rp 307,000 Rp 2,456,000 0 Kali Rp 307,000 Rp -
20 Januari 2020 Umpeg Tinta Epson T664(BK) 7 Kali Rp 82,500 577,500.00 7 Kali Rp 82,500 Rp 577,500 0 Kali Rp 82,500 Rp -
20 Januari 2020 Umpeg Tinta Epson T664 c 4 Kali Rp 82,500 330,000.00 4 Kali Rp 82,500 Rp 330,000 0 Kali Rp 82,500 Rp -
20 Januari 2020 Umpeg Tinta Epson T664 m 4 Kali Rp 82,500 330,000.00 4 Kali Rp 82,500 Rp 330,000 0 Kali Rp 82,500 Rp -
23 januari 2020 Promkesjaor belanja alat tulis kantor 1 paket 900,000 900,000 1 paket Rp 900,000 Rp 900,000 0 paket Rp 900,000 Rp -
18 maret 2020 18 maret 2020 Pensil tulis 16 lsn Rp 52,000 832,000
18 maret 2020 18 maret 2020 Balfoint 16 lsn Rp 43,750 700,000
18 maret 2020 18 maret 2020 Buku tulis 200 pcs Rp 6,000 1,200,000
18 maret 2020 18 maret 2020 maf 16 lsn Rp 29,250 468,000
4-Nov-20 4-Nov-20 pulpen 5 lsn Rp 32,000 160,000
4-Nov-20 4-Nov-20 note book 60 pcs Rp 4,000 240,000
13 Juli 2020 Umpeg Tinta Epson T664 (M) 9 Pcs 82,500.00 742,500.00 9 Pcs Rp 82,500 Rp 742,500 0 Pcs Rp 82,500 Rp -
17 Februari 2020 Umpeg Reffil Reman Toner HP 78A 9 Pcs 283,000.00 2,547,000.00 9 Pcs Rp 283,000 Rp 2,547,000 0 Pcs Rp 283,000 Rp -
17 Februari 2020 Umpeg Reffil Reman Toner HP 30A (+Chip) 4 Pcs 319,000.00 1,276,000.00 4 Pcs Rp 319,000 Rp 1,276,000 0 Pcs Rp 319,000 Rp -
17 Februari 2020 Umpeg Reffil Reman Toner Canon LBP 3010 1 Pcs 283,000.00 283,000.00 1 Pcs Rp 283,000 Rp 283,000 0 Pcs Rp 283,000 Rp -
17 Februari 2020 Umpeg Reffil Reman Toner Canon 83A 1 Pcs 307,000.00 307,000.00 1 Pcs Rp 307,000 Rp 307,000 0 Pcs Rp 307,000 Rp -
14 Februari 2020 Gizi Notebook 30 Buah 7,500.00 225,000.00 30 Buah Rp 7,500 Rp 225,000 0 Buah Rp 7,500 Rp -
14 Februari 2020 Gizi Kertas Flipchart 2 Gulung 45,000.00 90,000.00 2 Gulung Rp 45,000 Rp 90,000 0 Gulung Rp 45,000 Rp -
14 Februari 2020 Gizi Map Plastik 3 Lusin 55,000.00 165,000.00 3 Lusin Rp 55,000 Rp 165,000 0 Lusin Rp 55,000 Rp -
14 Februari 2020 Gizi Kertas Manila 5 Lembar 3,500.00 17,500.00 5 Lembar Rp 3,500 Rp 17,500 0 Lembar Rp 3,500 Rp -
Page 92 of 288
(Rp) (Rp) (Rp)
14 Februari 2020 Gizi Ballpoint 3 Lusin 32,000.00 96,000.00 3 Lusin Rp 32,000 Rp 96,000 0 Lusin Rp 32,000 Rp -
14 Februari 2020 Gizi Spidol 10 Buah 8,000.00 80,000.00 10 Buah Rp 8,000 Rp 80,000 0 Buah Rp 8,000 Rp -
10 Februari 2020 PJKM Kertas HVS 5 Rim 50,000 250,000.00 5 Rim Rp 50,000 Rp 250,000 0 Rim Rp 50,000 Rp -
10 Maret 2020 Umpeg Reman Toner HP 78A 2 Kali Rp 283,000 566,000.00 2 Kali Rp 283,000 Rp 566,000 0 Kali Rp 283,000 Rp -
10 Maret 2020 Umpeg Reman Toner HP 30A Chip 4 Kali Rp 319,000 1,276,000.00 4 Kali Rp 319,000 Rp 1,276,000 0 Kali Rp 319,000 Rp -
10 Maret 2020 Umpeg Reman Toner HP 83A 4 Kali Rp 307,000 1,228,000.00 4 Kali Rp 307,000 Rp 1,228,000 0 Kali Rp 307,000 Rp -
10 Maret 2020 Umpeg Tinta Epson T664(BK) 1 Kali Rp 82,500 82,500.00 1 Kali Rp 82,500 Rp 82,500 0 Kali Rp 82,500 Rp -
10 Maret 2020 Umpeg Tinta Epson T664 c 1 Kali Rp 82,500 82,500.00 1 Kali Rp 82,500 Rp 82,500 0 Kali Rp 82,500 Rp -
10 Maret 2020 Umpeg Tinta Epson T664 m 1 Kali Rp 82,500 82,500.00 1 Kali Rp 82,500 Rp 82,500 0 Kali Rp 82,500 Rp -
26 Maret 2020 Umpeg Reffil Ream Toner HP 78A 6 Pcs 283,000.00 1,698,000.00 6 Pcs Rp 283,000 Rp 1,698,000.00 0 Pcs Rp 283,000 Rp -
26 Maret 2020 Umpeg Reffil Ream Toner HP 35A 2 Pcs 283,000.00 566,000.00 2 Pcs Rp 283,000 Rp 566,000.00 0 Pcs Rp 283,000 Rp -
26 Maret 2020 Umpeg Reffil Ream Toner Canon 83A 6 Pcs 307,000.00 1,842,000.00 6 Pcs Rp 307,000 Rp 1,842,000.00 0 Pcs Rp 307,000 Rp -
26 Maret 2020 Umpeg Tinta Epson 790 BK 4 Pcs 99,500.00 398,000.00 4 Pcs Rp 99,500 Rp 398,000.00 0 Pcs Rp 99,500 Rp -
26 Maret 2020 Umpeg Tinta Epson 790 C 2 Pcs 95,000.00 190,000.00 2 Pcs Rp 95,000 Rp 190,000.00 0 Pcs Rp 95,000 Rp -
26 Maret 2020 Umpeg Tinta Epson 790 M 2 Pcs 95,000.00 190,000.00 2 Pcs Rp 95,000 Rp 190,000.00 0 Pcs Rp 95,000 Rp -
26 Maret 2020 Umpeg Tinta Epson 790 Y 2 Pcs 95,000.00 190,000.00 2 Pcs Rp 95,000 Rp 190,000.00 0 Pcs Rp 95,000 Rp -
13 Agustus 2020 Gizi Map Kancing 2 Lusin 55,000.00 110,000.00 2 Lusin Rp 55,000 Rp 110,000.00 0 Lusin Rp 55,000 Rp -
13 Agustus 2020 Gizi Ballpoint 1 Lusin 41,000.00 41,000.00 1 Lusin Rp 41,000 Rp 41,000.00 0 Lusin Rp 41,000 Rp -
13 Agustus 2020 Gizi Ballpoint Baliner 1 Lusin 180,000.00 180,000.00 1 Lusin Rp 180,000 Rp 180,000.00 0 Lusin Rp 180,000 Rp -
13 Agustus 2020 Gizi Kertas HVS F4 7 Rim 50,000.00 350,000.00 7 Rim Rp 50,000 Rp 350,000.00 0 Rim Rp 50,000 Rp -
13 Agustus 2020 Gizi Post it 2 Pad 9,000.00 18,000.00 2 Pad Rp 9,000 Rp 18,000.00 0 Pad Rp 9,000 Rp -
18 Agustus 2020 Umpeg Kertas HVS F4 70gr Bola Dunia 650 Rim Rp 53,900 35,035,000.00 650 Rim Rp 53,900 Rp 35,035,000.00 0 Rim Rp 53,900 Rp -
18 Agustus 2020 Umpeg Kertas HVS A4 70gr Bola Dunia 80 Rim Rp 48,400 3,872,000.00 80 Rim Rp 48,400 Rp 3,872,000.00 0 Rim Rp 48,400 Rp -
18 Agustus 2020 Umpeg Kertas HVS A4 80gr Bola Dunia 90 Rim Rp 53,900 4,851,000.00 80 Rim Rp 53,900 Rp 4,312,000.00 10 Rim Rp 53,900 Rp 539,000
18 Agustus 2020 Umpeg Kertas Cont. Form 14 7/8x11 4ply Tricom 15 Box Rp 528,000 7,920,000.00 15 Box Rp 528,000 Rp 7,920,000.00 0 Box Rp 528,000 Rp -
18 Agustus 2020 Umpeg Amplop Putih 110 Paper Line 100 Pak Rp 27,500 2,750,000.00 36 Pak Rp 27,500 Rp 990,000.00 64 Pak Rp 27,500 Rp 1,760,000
18 Agustus 2020 Umpeg Amplop Putih 90 Paper Line 50 Pak Rp 31,900 1,595,000.00 30 Pak Rp 31,900 Rp 957,000.00 20 Pak Rp 31,900 Rp 638,000
18 Agustus 2020 Umpeg Ballpoint Standart AE7 30 Lusin Rp 33,000 990,000.00 30 Lusin Rp 33,000 Rp 990,000.00 0 Lusin Rp 33,000 Rp -
18 Agustus 2020 Umpeg Ballpoint Boldliner Boliner Standart 3 Lusin Rp 275,000 825,000.00 3 Lusin Rp 275,000 Rp 825,000.00 0 Lusin Rp 275,000 Rp -
Page 93 of 288
(Rp) (Rp) (Rp)
18 Agustus 2020 Umpeg Spidol White Board Snowman 20 Pcs Rp 9,900 198,000.00 20 Pcs Rp 9,900 Rp 198,000.00 0 Pcs Rp 9,900 Rp -
18 Agustus 2020 Umpeg Spidol Marker Permanet Snowman 50 Pcs Rp 8,800 440,000.00 50 Pcs Rp 8,800 Rp 440,000.00 0 Pcs Rp 8,800 Rp -
18 Agustus 2020 Umpeg Paper Klip No. 5 Joyko 50 Kotak Rp 5,500 275,000.00 0 Kotak Rp 5,500 Rp - 50 Kotak Rp 5,500 Rp 275,000
18 Agustus 2020 Umpeg Binder Klip No. 260 Joyko 45 Kotak Rp 26,400 1,188,000.00 30 Kotak Rp 26,400 Rp 792,000.00 15 Kotak Rp 26,400 Rp 396,000
18 Agustus 2020 Umpeg Map Kertas Biasa Tricom 30 Pak Rp 96,800 2,904,000.00 30 Pak Rp 96,800 Rp 2,904,000.00 0 Pak Rp 96,800 Rp -
18 Agustus 2020 Umpeg Solasi Kecil Nanko 20 Roll Rp 4,400 88,000.00 0 Roll Rp 4,400 Rp - 20 Roll Rp 4,400 Rp 88,000
18 Agustus 2020 Umpeg Lakban Bening 2" Nanko 20 Roll Rp 14,300 286,000.00 6 Roll Rp 14,300 Rp 85,800.00 14 Roll Rp 14,300 Rp 200,200
18 Agustus 2020 Umpeg Lakban Hitam 2"Nanko 30 Roll Rp 24,200 726,000.00 15 Roll Rp 24,200 Rp 363,000.00 15 Roll Rp 24,200 Rp 363,000
18 Agustus 2020 Umpeg Lem Stik 25gr Joyko 100 Pcs Rp 9,900 990,000.00 85 Pcs Rp 9,900 Rp 841,500.00 15 Pcs Rp 9,900 Rp 148,500
18 Agustus 2020 Umpeg Tip X Roll 5mmx12m Joyko 50 Pcs Rp 9,900 495,000.00 50 Pcs Rp 9,900 Rp 495,000.00 0 Pcs Rp 9,900 Rp -
18 Agustus 2020 Umpeg StaflerNo. 10 Max 35 Pcs Rp 22,000 770,000.00 35 Pcs Rp 22,000 Rp 770,000.00 0 Pcs Rp 22,000 Rp -
18 Agustus 2020 Umpeg Isi Stafler No. 10 Max 50 Pack Rp 73,700 3,685,000.00 13 Pack Rp 73,700 Rp 958,100.00 37 Pack Rp 73,700 Rp 2,726,900
18 Agustus 2020 Umpeg Penghapus White Board GM 10 Pcs Rp 9,900 99,000.00 0 Pcs Rp 9,900 Rp - 10 Pcs Rp 9,900 Rp 99,000
18 Agustus 2020 Umpeg Post It Notes Warna Pronto 20 Pcs Rp 13,200 264,000.00 13 Pcs Rp 13,200 Rp 171,600.00 7 Pcs Rp 13,200 Rp 92,400
18 Agustus 2020 Umpeg Zipper Bag Folio Retseleting Standart 100 Pcs Rp 21,600 2,160,000.00 18 Pcs Rp 21,600 Rp 388,800.00 82 Pcs Rp 21,600 Rp 1,771,200
18 Agustus 2020 Umpeg Bussinnes File Folder One 100 Pcs Rp 4,400 440,000.00 24 Pcs Rp 4,400 Rp 105,600.00 76 Pcs Rp 4,400 Rp 334,400
18 Agustus 2020 Umpeg Pensil Faber Castel 2B Faber Castel 50 Lusin Rp 71,500 3,575,000.00 14 Lusin Rp 71,500 Rp 1,001,000.00 36 Lusin Rp 71,500 Rp 2,574,000
18 Agustus 2020 Umpeg Map Bening F4 Folder One 100 Lusin Rp 28,600 2,860,000.00 86 Lusin Rp 28,600 Rp 2,459,600.00 14 Lusin Rp 28,600 Rp 400,400
18 Agustus 2020 Umpeg Box File F4 Bandex 100 Pcs Rp 42,900 4,290,000.00 87 Pcs Rp 42,900 Rp 3,732,300.00 13 Pcs Rp 42,900 Rp 557,700
18 Agustus 2020 Umpeg Clear Holder 40 Lembar F4 Felix 80 Pcs Rp 38,500 3,080,000.00 80 Pcs Rp 38,500 Rp 3,080,000.00 0 Pcs Rp 38,500 Rp -
18 Agustus 2020 Umpeg Post It Plastik Combo 150 Pcs Rp 13,200 1,980,000.00 135 Pcs Rp 13,200 Rp 1,782,000.00 15 Pcs Rp 13,200 Rp 198,000
18 Agustus 2020 Umpeg Odner Besar Bindex Folio Bindex 50 Pcs Rp 40,700 2,035,000.00 39 Pcs Rp 40,700 Rp 1,587,300.00 11 Pcs Rp 40,700 Rp 447,700
18 Agustus 2020 Umpeg Ribbon Printer Epson DFX 9000 Epson 5 Buah Rp 418,000 2,090,000.00 5 Buah Rp 418,000 Rp 2,090,000.00 0 Buah Rp 418,000 Rp -
18 Agustus 2020 Umpeg Ribbon Printer Epson LQ/LX 310Epson 10 Buah Rp 91,200 912,000.00 0 Buah Rp 91,200 Rp - 10 Buah Rp 91,200 Rp 912,000
18 Agustus 2020 Umpeg Catried HP 680 Black HP 5 Buah Rp 180,000 900,000.00 0 Buah Rp 180,000 Rp - 5 Buah Rp 180,000 Rp 900,000
18 Agustus 2020 Umpeg Catried HP 680 Colour HP 5 Buah Rp 172,800 864,000.00 0 Buah Rp 172,800 Rp - 5 Buah Rp 172,800 Rp 864,000
18 Agustus 2020 Umpeg Catried Canon PG-811 Canon 3 Buah Rp 324,500 973,500.00 0 Buah Rp 324,500 Rp - 3 Buah Rp 324,500 Rp 973,500
18 September 2021 Umpeg Reffil Tinta Toner HP CE 278/35A 5 Buah Rp 295,000 1,475,000.00 5 Buah Rp 295,000 Rp 1,475,000.00 0 Buah Rp 295,000 Rp -
18 September 2021 Umpeg Reffil Tinta Toner HP CF283A 5 Buah Rp 319,000 1,595,000.00 5 Buah Rp 319,000 Rp 1,595,000.00 0 Buah Rp 319,000 Rp -
18 September 2021 Umpeg Reffil Toner HP CF283A 1 Buah Rp 319,000 319,000.00 1 Buah Rp 319,000 Rp 319,000.00 0 Buah Rp 319,000 Rp -
18 September 2021 Umpeg Tinta Epson t664 (C) 2 Buah Rp 94,500 189,000.00 2 Buah Rp 94,500 Rp 189,000.00 0 Buah Rp 94,500 Rp -
18 September 2021 Umpeg Tinta Epson t664 (M) 2 Buah Rp 94,500 189,000.00 2 Buah Rp 94,500 Rp 189,000.00 0 Buah Rp 94,500 Rp -
18 September 2021 Umpeg Tinta Epson t664 (Y) 2 Buah Rp 94,500 189,000.00 2 Buah Rp 94,500 Rp 189,000.00 0 Buah Rp 94,500 Rp -
18 September 2021 Umpeg Tinta Epson t664 (BK) 2 Buah Rp 94,500 189,000.00 2 Buah Rp 94,500 Rp 189,000.00 0 Buah Rp 94,500 Rp -
18 September 2021 Umpeg Reffil Toner HP 48A (+Chip) 3 Buah Rp 306,800 920,400.00 3 Buah Rp 306,800 Rp 920,400.00 0 Buah Rp 306,800 Rp -
18 September 2021 Umpeg Reffil Tinta Toner HP CE 278/35A 3 Buah Rp 295,000 885,000.00 3 Buah Rp 295,000 Rp 885,000.00 0 Buah Rp 295,000 Rp -
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(Rp) (Rp) (Rp)
18 September 2021 Umpeg Reffil Tinta Toner HP CF283A 3 Buah Rp 319,000 957,000.00 3 Buah Rp 319,000 Rp 957,000.00 0 Buah Rp 319,000 Rp -
25 September 2020 Umpeg Reffil Reman Toner HP CE278/35A 8 Pcs Rp 295,000 2,360,000.00 8 Pcs Rp 295,000 Rp 2,360,000.00 0 Pcs Rp 295,000 Rp -
25 September 2020 Umpeg Reffil Reman Toner HP CE283A 8 Pcs Rp 319,000 2,552,000.00 8 Pcs Rp 319,000 Rp 2,552,000.00 0 Pcs Rp 319,000 Rp -
25 September 2020 Umpeg Reffil Reman Toner HP 48A (+Chip) 3 Pcs Rp 306,800 920,400.00 3 Pcs Rp 306,800 Rp 920,400.00 0 Pcs Rp 306,800 Rp -
25 September 2020 Umpeg Tinta Epson T664 (BK) 10 Pcs Rp 94,500 945,000.00 10 Pcs Rp 94,500 Rp 945,000.00 0 Pcs Rp 94,500 Rp -
19 Oktober 2020 Umpeg Reffil Reman Toner HP CE278/35A 12 Rp 295,000 3,540,000.00 12 0 Rp 295,000 Rp 3,540,000.00 0 0 Rp 295,000 Rp -
19 Oktober 2020 Umpeg Reffil Reman Toner HP CE283A 5 Rp 319,000 1,595,000.00 5 0 Rp 319,000 Rp 1,595,000.00 0 0 Rp 319,000 Rp -
19 Oktober 2020 Umpeg Reffil Reman Toner HP 48A (+Chip) 8 Rp 319,000 2,552,000.00 8 0 Rp 319,000 Rp 2,552,000.00 0 0 Rp 319,000 Rp -
19 Oktober 2020 Umpeg Tinta Epson T664 (BK) 11 Rp 94,500 1,039,500.00 11 0 Rp 94,500 Rp 1,039,500.00 0 0 Rp 94,500 Rp -
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 BK) 3 Rp 100,000 300,000.00 3 0 Rp 100,000 Rp 300,000.00 0 0 Rp 100,000 Rp -
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 C) 3 Rp 100,000 300,000.00 3 0 Rp 100,000 Rp 300,000.00 0 0 Rp 100,000 Rp -
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 M) 3 Rp 100,000 300,000.00 3 0 Rp 100,000 Rp 300,000.00 0 0 Rp 100,000 Rp -
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 Y) 3 Rp 100,000 300,000.00 3 0 Rp 100,000 Rp 300,000.00 0 0 Rp 100,000 Rp -
27 Oktober 2021 Umpeg Reffil /Reman Toner HP CE278/35A 10 Pcs Rp 295,000 2,950,000.00 10 Pcs Rp 295,000 Rp 2,950,000.00 0 Pcs Rp 295,000 Rp -
27 Oktober 2021 Umpeg Reffil /Reman Toner HP CF283A 6 Pcs Rp 319,000 1,914,000.00 6 Pcs Rp 319,000 Rp 1,914,000.00 0 Pcs Rp 319,000 Rp -
27 Oktober 2021 Umpeg Reffil /Reman Toner HP 48A (+Chip) 3 Pcs Rp 306,800 920,400.00 3 Pcs Rp 306,800 Rp 920,400.00 0 Pcs Rp 306,800 Rp -
27 Oktober 2021 Umpeg Tinta Epson T664 (BK) 5 Pcs Rp 94,500 472,500.00 5 Pcs Rp 94,500 Rp 472,500.00 0 Pcs Rp 94,500 Rp -
27 Oktober 2021 Umpeg Tinta Epson T664 (C) 5 Pcs Rp 94,500 472,500.00 5 Pcs Rp 94,500 Rp 472,500.00 0 Pcs Rp 94,500 Rp -
27 Oktober 2021 Umpeg Tinta Epson T664 (M) 5 Pcs Rp 94,500 472,500.00 5 Pcs Rp 94,500 Rp 472,500.00 0 Pcs Rp 94,500 Rp -
27 Oktober 2021 Umpeg Tinta Epson T664 (Y) 5 Pcs Rp 94,500 472,500.00 5 Pcs Rp 94,500 Rp 472,500.00 0 Pcs Rp 94,500 Rp -
27 Oktober 2021 Umpeg Tinta Canon 790 (BK) 2 Pcs Rp 100,000 200,000.00 2 Pcs Rp 100,000 Rp 200,000.00 0 Pcs Rp 100,000 Rp -
27 Oktober 2021 Umpeg Tinta Canon 790 (C) 2 Pcs Rp 100,000 200,000.00 2 Pcs Rp 100,000 Rp 200,000.00 0 Pcs Rp 100,000 Rp -
27 Oktober 2021 Umpeg Tinta Canon 790 (M) 2 Pcs Rp 100,000 200,000.00 2 Pcs Rp 100,000 Rp 200,000.00 0 Pcs Rp 100,000 Rp -
27 Oktober 2021 Umpeg Tinta Canon 790 (Y) 2 Pcs Rp 100,000 200,000.00 2 Pcs Rp 100,000 Rp 200,000.00 0 Pcs Rp 100,000 Rp -
Umpeg Belanja Alat Tulis Kantor 1 Paket Rp 13,969,000 13,969,000.00 Paket Rp 13,969,000 Paket Rp 13,969,000
23/11/20 Pjkm Kertas F4 5 Rim 250,000.00 5 Rim Rp 50,000 Rp 250,000.00 0 Rim Rp 50,000 Rp -
50,000
50,000
03 Februari 2020 Perencanaan Kertas HVS 2 rim 108,000.00
54,000
345,000
54,000
11 Februari 2020 Perencanaan Kertas HVS 5 rim 270,000.00
54,000
345,000
54,000
54,000
Page 95 of 288
(Rp) (Rp) (Rp)

265,000
54,000
265,000
345,000
54,000
54,000
345,000
54,000
345,000
54,000
345,000
54,000
16 November 2020 Perencanaan Cartridge Toner 2 kali Rp 345,000 690,000.00
03/12/20 SDMK Pulpen 1 Box 57,500.00 1 Box Rp 57,500 Rp 57,500.00 0 Box Rp 57,500 Rp -
57,500
3,502,500
03/12/20 SDMK Map Plastikk Kancing 2 Pak 140,000.00 2 Pak Rp 70,000 Rp 140,000.00 0 Pak Rp 70,000 Rp -
70,000
25/11/21 Umpeg Kertas HVS F4 70gr Merk Bola Dunia 1250 Rim 50,039 62,548,750.00 80 Rim Rp 50,039 Rp 4,003,120.00 1170 Rim Rp 50,039 Rp 58,545,630
25/11/21 Umpeg Kertas HVS A4 70gr Merk Bola Dunia 112 Rim 44,000 4,928,000.00 0 Rim Rp 44,000 Rp - 112 Rim Rp 44,000 Rp 4,928,000
25/11/21 Umpeg Kertas HVS F4 80gr Merk Bola Dunia 100 Rim 56,595 5,659,500.00 0 Rim Rp 56,595 Rp - 100 Rim Rp 56,595 Rp 5,659,500
25/11/21 Umpeg Toner HP Laser Jet 201A 1 Set (9 Black, Cyan, Yellow, Magenta Orginal) 3 Set 5,818,230 17,454,690.00 0 Set Rp 5,818,230 Rp - 3 Set Rp 5,818,230 Rp 17,454,690
16/11/21 Umpeg 50,000,000.00

16/11/21 Umpeg 2,970,000.00
16/11/21 Umpeg 2,720,000.00
16/11/21 Umpeg 2,560,000.00
16/11/21 Umpeg 1,400,000.00
16/11/21 Umpeg 1,600,000.00
16/11/21 Umpeg 940,000.00
16/11/21 Umpeg 600,000.00
16/11/21 Umpeg 90,000.00
16/11/21 Umpeg 135,000.00
16/11/21 Umpeg 100,000.00
16/11/21 Umpeg 226,000.00
16/11/21 Umpeg 160,000.00
16/11/21 Umpeg 330,000.00
16/11/21 Umpeg 280,000.00
16/11/21 Umpeg 475,000.00
16/11/21 Umpeg 1,430,000.00
Page 96 of 288
(Rp) (Rp) (Rp)
16/11/21 Umpeg 120,000.00

16/11/21 Umpeg 240,000.00
16/11/21 Umpeg 240,000.00
16/11/21 Umpeg 1,143,000.00
16/11/21 Umpeg 438,000.00
16/11/21 Umpeg 564,000.00
16/11/21 Umpeg 459,000.00
16/11/21 Umpeg 300,000.00
16/11/21 Umpeg 596,000.00
16/11/21 Umpeg 120,000.00
16/11/21 Umpeg 864,000.00
16/11/21 Umpeg 3,816,000.00
16/11/21 Umpeg 3,040,000.00
16/11/21 Umpeg 680,000.00
16/11/21 Umpeg 4,500,000.00
16/11/21 Umpeg 3,780,000.00
16/11/21 Umpeg 5,128,000.00
16/11/21 Umpeg 2,778,000.00
16/11/21 Umpeg 2,752,000.00
16/11/21 Umpeg 258,000.00
16/11/21 Umpeg 685,000.00
JUMLAH BELANJA ALAT TULIS KANTOR Rp 409,528,940.00 Rp 174,987,820.00 Rp 109,766,620.00
27 Oktober 2021 Umpeg Kabel Roll (15 m Uticion CR-2815) 70 Buah 250,000.00 17,500,000.00 70 Buah Rp 250,000 Rp 17,500,000.00 0 Buah Rp 44,496 Rp -
27 Oktober 2021 Umpeg Lampu Philips Tornado 20w E27 170 65,000.00 11,050,000.00 170 0 Rp 65,000 Rp 11,050,000.00 0 0 Rp 44,496 Rp -
27 Oktober 2021 Umpeg Batterty A2 (ABS Alkaline) 20 90,000.00 1,800,000.00 20 0 Rp 90,000 Rp 1,800,000.00 0 0 Rp 44,496 Rp -
27 Oktober 2021 Umpeg Batterty A3 (ABS Alkaline) 60 90,000.00 5,400,000.00 60 0 Rp 90,000 Rp 5,400,000.00 0 0 Rp 44,496 Rp -
05 November 2021 Umpeg Kabel roll (5m Uticon CR-2815) 20 Buah 250,000.00 5,000,000.00 20 Buah Rp 250,000 Rp 5,000,000.00 0 Buah Rp 44,505 Rp -
Umpeg Belanja Alat Listrik 1 Paket 18,560,000.00 18,560,000.00 Rp 18,560,000
JUMLAH BELANJA ALAT LISTRIK Rp 59,310,000.00 Rp 40,750,000.00 Rp -

(5.2.2.01.04)
06 Februari 2020 Umpeg Materai 3000 475 Pcs 3,000.00 1,425,000.00 475 Pcs Rp 3,000 Rp 1,425,000 0 Pcs 3,000.00 Rp -
06 Februari 2020 Umpeg Materai 6000 4900 Pcs 6,000.00 29,400,000.00 4,900 Pcs Rp 6,000 Rp 29,400,000 0 Pcs 6,000.00 Rp -
19 Agustus 2020 Umpeg Materai 3000 475 Pcs 3,000.00 1,425,000.00 475 Pcs Rp 3,000 Rp 1,425,000 0 Pcs 3,000.00 Rp -
Page 97 of 288
(Rp) (Rp) (Rp)
19 Agustus 2020 Umpeg Materai 6000 4900 Pcs 6,000.00 29,400,000.00 4,900 Pcs Rp 6,000 Rp 29,400,000 0 Pcs 6,000.00 Rp -
JUMLAH BELANJA PERANGKO, MATERAI DAN BENDA POS LAINNYA Rp 61,650,000.00 Rp 61,650,000.00 Rp -
28 Januari 2020 Umpeg Tisu Toilet Nice 250 Pack 36,960.00 9,240,000 200 Pack Rp 36,960 Rp 7,392,000 50 Pack 36,960.00 Rp 1,848,000
28 Januari 2020 Umpeg Tempat Tisu Stainless 30 Buah 124,300.00 3,729,000 30 Buah Rp 124,300 Rp 3,729,000 0 Buah 124,300.00 Rp -
28 Januari 2020 Umpeg Facial Tisue Tessa 150 Pack 20,900.00 3,135,000 150 Pack Rp 20,900 Rp 3,135,000 0 Pack 20,900.00 Rp -
28 Januari 2020 Umpeg Reffil Pengharum Ruangan Calmic 200 Botol 41,800.00 8,360,000 179 Botol Rp 41,800 Rp 7,482,200 21 Botol 41,800.00 Rp 877,800
28 Januari 2020 Umpeg Cairan Pel 100 Pcs 12,870.00 1,287,000 100 Pcs Rp 12,870 Rp 1,287,000 0 Pcs 12,870.00 Rp -
28 Januari 2020 Umpeg Prostek 100 Botol 20,790.00 2,079,000 76 Botol Rp 20,790 Rp 1,580,040 24 Botol 20,790.00 Rp 498,960
28 Januari 2020 Umpeg Deterjen Rinso 20 Bngks 22,880.00 457,600 20 Bngks Rp 22,880 Rp 457,600 0 Bngks 22,880.00 Rp -
28 Januari 2020 Umpeg Sabung Cuci Tangan Sunlight 50 Bngks 17,930.00 896,500 50 Bngks Rp 17,930 Rp 896,500 0 Bngks 17,930.00 Rp -
28 Januari 2020 Umpeg Kanebo 20 Buah 46,200.00 924,000 20 Buah Rp 46,200 Rp 924,000 0 Buah 46,200.00 Rp -
28 Januari 2020 Umpeg Kamper Gantung 200 Pcs 13,750.00 2,750,000 200 Pcs Rp 13,750 Rp 2,750,000 0 Pcs 13,750.00 Rp -
28 Januari 2020 Umpeg Kantong Sampah Extra Besar 100x120cm 200 Pack 39,600.00 7,920,000 200 Pack Rp 39,600 Rp 7,920,000 0 Pack 39,600.00 Rp -
28 Januari 2020 Umpeg Reffil Hand Soap 4-5 Lt 50 Derigen 50,600.00 2,530,000 50 Derigen Rp 50,600 Rp 2,530,000 0 Derigen 50,600.00 Rp -
28 Januari 2020 Umpeg Anti Nyamuk 50 Kaleng 44,330.00 2,216,500 50 Kaleng Rp 44,330 Rp 2,216,500 0 Kaleng 44,330.00 Rp -
28 Januari 2020 Umpeg Sabun Cuci 5 Dus 62,700.00 313,500 5 Dus Rp 62,700 Rp 313,500 0 Dus 62,700.00 Rp -
28 Januari 2020 Umpeg Keset Bahan 20 Buah 74,800.00 1,496,000 20 Buah Rp 74,800 Rp 1,496,000 0 Buah 74,800.00 Rp -
28 Januari 2020 Umpeg Lap Kotak Kotak 100 Pcs 7,590.00 759,000 100 Pcs Rp 7,590 Rp 759,000 0 Pcs 7,590.00 Rp -
28 Januari 2020 Umpeg Spoon Cuci Piring 6 Buah 3,850.00 23,100 6 Buah Rp 3,850 Rp 23,100 0 Buah 3,850.00 Rp -
28 Januari 2020 Umpeg Serokan Air 8 Pcs 64,900.00 519,200 8 Pcs Rp 64,900 Rp 519,200 0 Pcs 64,900.00 Rp -
Alat Kebersihan 1 Paket 49,994,000.00 49,994,000 Paket Rp 49,994,000
27 Oktober 2021 Umpeg Paseo Elegent Toilet Roll Tisue isi 12 rol x 300's 80 Pack 85,000.00 6,800,000 0 Pack Rp 85,000 Rp - 80 Pcs 64,900.00 Rp 6,800,000
27 Oktober 2021 Umpeg Tessa Facial Tisue 260 Pcs 80 Kotak 25,500.00 2,040,000 49 Kotak Rp 25,500 Rp 1,249,500 31 Pcs 64,900.00 Rp 790,500
27 Oktober 2021 Umpeg Klin Pack Kantong Sampah Extra Besar 100X120cm 300 Pack 48,500.00 14,550,000 62 Pack Rp 48,500 Rp 3,007,000 238 Pcs 64,900.00 Rp 11,543,000
27 Oktober 2021 Umpeg Soklin Lantai 4Lt 30 Drigen 72,000.00 2,160,000 27 Drigen Rp 72,000 Rp 1,944,000 3 Pcs 64,900.00 Rp 216,000
27 Oktober 2021 Umpeg Pembersih Keramik Porslen Prostek 1Lt 80 Botol 27,000.00 2,160,000 0 Botol Rp 27,000 Rp - 80 Pcs 64,900.00 Rp 2,160,000
27 Oktober 2021 Umpeg Kamper Gantung Dahlia 80gr 80 Pcs 19,500.00 1,560,000 25 Pcs Rp 19,500 Rp 487,500 55 Pcs 64,900.00 Rp 1,072,500
27 Oktober 2021 Umpeg Sunlight Botol 750ml 30 Botol 32,000.00 960,000 30 Botol Rp 32,000 Rp 960,000 0 Pcs 64,900.00 Rp -
27 Oktober 2021 Umpeg Reffil Pengharum Ruangan 50 Botol 42,000.00 2,100,000 2 Botol Rp 42,000 Rp 84,000 48 Pcs 64,900.00 Rp 2,016,000
27 Oktober 2021 Umpeg Deterjen Rinso Bubuk Anti Noda 770gr 20 Bungkus 35,000.00 700,000 12 Bungkus Rp 35,000 Rp 420,000 8 Pcs 64,900.00 Rp 280,000
27 Oktober 2021 Umpeg Handsoap Sabun Cuci Tangan Drigen 5Lt 30 Drigen 75,000.00 2,250,000 1 Drigen Rp 75,000 Rp 75,000 29 Pcs 64,900.00 Rp 2,175,000
27 Oktober 2021 Umpeg Sabun Colek Ekonomi 500k (1 Dus isi 30 Pcs) 6 Dus 82,000.00 492,000 1 Dus Rp 82,000 Rp 82,000 5 Pcs 64,900.00 Rp 410,000
27 Oktober 2021 Umpeg Cairan Pembersih Kaca Clink Wings 400ml 40 Botol 24,000.00 960,000 0 Botol Rp 24,000 Rp - 40 Pcs 64,900.00 Rp 960,000
27 Oktober 2021 Umpeg Super Mop Bolde M-169 X Plus 14 Buah 250,000.00 3,500,000 7 Buah Rp 250,000 Rp 1,750,000 7 Pcs 64,900.00 Rp 1,750,000
27 Oktober 2021 Umpeg Sikat Closet 14 Buah 50,000.00 700,000 11 Buah Rp 50,000 Rp 550,000 3 Pcs 64,900.00 Rp 150,000
27 Oktober 2021 Umpeg Sikat Kamar Mandi Gagang Panjang 14 Buah 80,000.00 1,120,000 0 Buah Rp 80,000 Rp - 14 Pcs 64,900.00 Rp 1,120,000
27 Oktober 2021 Umpeg Sapu Ijuk 14 Buah 60,000.00 840,000 8 Buah Rp 60,000 Rp 480,000 6 Pcs 64,900.00 Rp 360,000
27 Oktober 2021 Umpeg Sapu Lidi 14 Buah 60,000.00 840,000 1 Buah Rp 60,000 Rp 60,000 13 Pcs 64,900.00 Rp 780,000
27 Oktober 2021 Umpeg Pengki Sigma Lion Star 14 Buah 60,000.00 840,000 2 Buah Rp 60,000 Rp 120,000 12 Pcs 64,900.00 Rp 720,000
27 Oktober 2021 Umpeg Kemoceng 14 Buah 55,000.00 770,000 9 Buah Rp 55,000 Rp 495,000 5 Pcs 64,900.00 Rp 275,000
Page 98 of 288
(Rp) (Rp) (Rp)
27 Oktober 2021 Umpeg Lap Kotak Kotak 96 Pcs 7,500.00 720,000 24 Pcs Rp 7,500 Rp 180,000 72 Pcs 64,900.00 Rp 540,000
27 Oktober 2021 Umpeg Anti Nyamuk Kaleng 48 Kaleng 44,500.00 2,136,000 8 Kaleng Rp 44,500 Rp 356,000 40 Pcs 64,900.00 Rp 1,780,000
27 Oktober 2021 Umpeg Lap Kanebo Aion 20 Buah 90,000.00 1,800,000 2 Buah Rp 90,000 Rp 180,000 18 Pcs 64,900.00 Rp 1,620,000
JUMLAH BELANJA BAHAN PEMBERSIH Rp 148,627,400.00 Rp 57,890,640.00 Rp 40,742,760.00
14/02/2020 P2M Bahan Bakar Minyak/Gas 1 Paket Rp 3,926,500 Rp 3,926,500 1 Paket Rp 3,926,500 Rp 3,926,500 0 Buah Rp 3,926,500 Rp -
JUMLAH BELANJA PENGISIAN APAR Rp 225,808,359.00 Rp 3,926,500.00 Rp -
12 Agustus 2021 Umpeg Reffil Apar 50 Tabung Rp 350,000 Rp 17,500,000 50 Tabung Rp 350,000 Rp 17,500,000 0 Buah Rp 350,000 Rp -
16 November 2020 Rujukan Pengisian Tabung Gas 1 Paket Rp 3,600,000 Rp 3,600,000 1 Paket Rp 3,600,000 Rp 3,600,000 0 Buah Rp 3,600,000 Rp -
26 Maret 2020 SIMPK Pot Urine 500 Buah Rp 1,949 Rp 974,500 500 Buah Rp 1,949 Rp 974,500 0 Buah Rp 1,949 Rp -
29 September 2020 SIMPK HGC Strip 500 Buah Rp 4,300 Rp 2,150,000 500 Buah Rp 4,300 Rp 2,150,000 0 Test Rp 259,175 Rp -
1 25 Juni 2020 Farmalkes Catridge TCM (CEPHEID/ CEPHEID XPERT MTB/RIF ASSAY KIT) 2350 Test Rp 259,175 Rp 609,061,250 2350 Test Rp259,175 Rp 609,061,250 - - - - -

Farmalkes 24 Box Rp 249,800 Rp 5,995,200 24 Box Rp249,800 Rp 5,995,200 - - - - -
2 19 Juni 2020 Alat Ukur Gula Darah / HUMASENS/ Human Humasens 2.0 Glucometer
System
Farmalkes 24 unit Rp 410,500 Rp 9,852,000 24 unit Rp410,500 Rp 9,852,000 - - - - -
3 25 Agustus 2020 Farmalkes RDT DBD Combo (NS1 + IgG/ IgM) 438 Test Rp 630,000 Rp 275,940,000 438 Test Rp630,000 Rp 275,940,000 - - - - -

Farmalkes 24 Pcs Rp 100,658 Rp 2,415,792 24 Pcs Rp100,658 Rp 2,415,792 - - - - -
4 11 September 2020 Alat Ukur Gula Darah / HUMASENS/ Human Humasens 2.0 Glucometer
System
Farmalkes 24 Pcs Rp 221,569 Rp 5,317,656 24 Pcs Rp221,569 Rp 5,317,656 - - - - -
5 11 September 2020 Farmalkes Alat Ukur Berat Badan 24 Pcs Rp 1,554,721 Rp 37,313,300 24 Pcs Rp1,554,721 Rp 37,313,300 - - - - -
6 11 September 2020 Farmalkes Alat Ukur Tekanan Darah Digital 24 Pcs Rp 386,000 Rp 9,330,000 24 Pcs Rp386,000 Rp 9,330,000 - - - - -
Page 99 of 288
(Rp) (Rp) (Rp)
Farmalkes Nucleid Acid Testing (NAT)/ Panther System and Accessories 1 Unit Rp 5,039,412,875 Rp 5,039,412,875 1 Unit Rp5,039,412,875 Rp 5,039,412,875 - - - - -
7 07 Oktober 2020
Farmalkes Sealer Tube lapangan 2 Unit Rp 37,737,552 Rp 75,475,104 2 Unit Rp37,737,552 Rp 75,475,104 - - - - -
06/11/20 Farmalkes Capp Micro Centrifuges tubes 2,0 ml 2 Pack Rp 7,115,900.00 Rp 14,231,800.00 2 Pack Rp 7,115,900.00 Rp 14,231,800.00 0 Pack Rp 7,115,900.00 Rp -
16/11/20 Farmalkes K3E K3EDTA 234612 285 Box Rp 129,000.00 Rp 36,765,000.00 285 Box Rp 129,000.00 Rp 36,765,000.00 0 Box Rp 129,000.00 Rp -
16/11/20 Farmalkes Z Serum Gel and Clot Activator 234303 520 Box Rp 182,000.00 Rp 94,640,000.00 520 Box Rp 182,000.00 Rp 94,640,000.00 0 Box Rp 182,000.00 Rp -
14/07/20 Farmalkes Medical Sample Container (Pot Uriner) 5000 Botol Rp 1,856.00 Rp 9,280,000.00 5000 Botol Rp 1,856.00 Rp 9,280,000.00 0 Botol Rp 1,856.00 Rp -
16/11/20 Farmalkes Accu-Chek Safe T Pro Uno 400 Box Rp 130,000.00 Rp 52,000,000.00 400 Box Rp 130,000.00 Rp 52,000,000.00 0 Box Rp 130,000.00 Rp -
13/11/20 Farmalkes Vacutainer Flashback Blood Collection Needle 35000 Pcs Rp 1,700.00 Rp 59,500,000.00 35000 Pcs Rp 1,700.00 Rp 59,500,000.00 0 Pcs Rp 1,700.00 Rp -
Farmalkes Microtainer Tubes with K2E(K2EDTA) 8200 Pcs Rp 2,920.00 Rp 23,944,000.00 8200 Pcs Rp 2,920.00 Rp 23,944,000.00 0 Pcs Rp 2,920.00 Rp -
Farmalkes Vacutainer PrecisionGlide Multiple Sample Needle 30000 Pcs Rp 1,287.00 Rp 38,610,000.00 30000 Pcs Rp 1,287.00 Rp 38,610,000.00 0 Pcs Rp 1,287.00 Rp -

Farmalkes 50 Dus Rp 418,094.00 Rp 20,904,700.00 50 Dus Rp 418,094.00 Rp 20,904,700.00 0 Dus Rp 418,094.00 Rp -
applicator
3-Nov-20 Farmalkes Aquadest 131 Dirigen Rp 153,000.00 Rp 20,043,000.00 131 Dirigen Rp 153,000.00 Rp 20,043,000.00 0 Dirigen Rp 153,000.00 Rp -
Farmalkes Cuvet Mindray BS-120 25 box Rp 1,974,500.00 Rp 49,362,500.00 25 box Rp 1,974,500.00 Rp 49,362,500.00 0 box Rp 1,974,500.00 Rp -
Farmalkes CD-80 Detergent 2 L 20 Dirigen Rp 1,342,000.00 Rp 26,840,000.00 20 Dirigen Rp 1,342,000.00 Rp 26,840,000.00 0 Dirigen Rp 1,342,000.00 Rp -
Farmalkes Cuvet Cobas 22 Box Rp 2,857,800.00 Rp 62,871,600.00 22 Box Rp 2,857,800.00 Rp 62,871,600.00 0 Box Rp 2,857,800.00 Rp -
Farmalkes Integra Microcuvet 1 Box Rp 9,784,500.00 Rp 9,784,500.00 1 Box Rp 9,784,500.00 Rp 9,784,500.00 0 Box Rp 9,784,500.00 Rp -
Farmalkes Sample Cup 1 Box Rp 2,482,700.00 Rp 2,482,700.00 1 Box Rp 2,482,700.00 Rp 2,482,700.00 0 Box Rp 2,482,700.00 Rp -
Farmalkes 1 Pack Rp 726,000.00 Rp 726,000.00 1 Pack Rp 726,000.00 Rp 726,000.00 0 Pack Rp 726,000.00 Rp -

Autoclave bag
1 ### Farmalkes ANIOSGEL 85 500 ml 500 Botol Rp 82,000 Rp 41,000,000 500 Botol Rp 82,000 Rp 41,000,000 - - - - -
2 Farmalkes DERMANIOS CHLORHEXIDINE 4% 500 ml 2,000 Botol Rp 104,000 Rp 208,000,000 2,000 Botol Rp 104,000 Rp 208,000,000
3 Farmalkes IV CATHETER 20G X 1 1/2 INCH 3,000 Pcs Rp 5,480 Rp 16,440,000 3,000 Pcs Rp 5,480 Rp 16,440,000
4 Farmalkes POLYWIN SAFETY SAFETY IV CANNULA 18G 1,000 Pcs Rp 11,660 Rp 11,660,000 1,000 Pcs Rp 11,660 Rp 11,660,000
7 Farmalkes UNDERPAD 60X90 15,000 Pcs Rp 4,620 Rp 69,300,000 15,000 Pcs Rp 4,620 Rp 69,300,000
8 Farmalkes DERMANIOS CHLORHEXIDINE 4% 500 ml 200 Botol Rp 104,000 Rp 20,800,000 200 Botol Rp 104,000 Rp 20,800,000
9 Farmalkes ANIOSGEL 85 500 ml 1,800 Botol Rp 82,000 Rp 147,600,000 1,800 Botol Rp 82,000 Rp 147,600,000
10 Farmalkes ANIOSGEL 85 5 L 442 Galon Rp 500,000 Rp 221,000,000 442 Galon Rp 500,000 Rp 221,000,000
13 Farmalkes SEMILAS Infusion SetY 5,000 Pcs Rp 5,800 Rp 29,000,000 5,000 Pcs Rp 5,800 Rp 29,000,000
14 Farmalkes Nasal Oxygen Cannula- White Tubing, Adult 3,000 Pcs Rp 6,400 Rp 19,200,000 3,000 Pcs Rp 6,400 Rp 19,200,000
15 Farmalkes Gammex Latex Powder Free Surgical Gloves 7,5 5,000 Pair Rp 11,000 Rp 55,000,000 5,000 Pair Rp 11,000 Rp 55,000,000
16 Farmalkes Gammex Latex Powder Free Surgical Gloves 7 5,000 Pair Rp 11,000 Rp 55,000,000 5,000 Pair Rp 11,000 Rp 55,000,000
Page 100 of 288

(Rp) (Rp) (Rp)
17 Farmalkes Silk Black 3/0 HR 26 MM Braided nonabsorbable surgical suture 960 Sachet Rp 19,700 Rp 18,912,000 960 Sachet Rp 19,700 Rp 18,912,000
18 Farmalkes Catgut Plain 3/0 HR 26 MM Absorbable surgical suture 360 Sachet Rp 34,300 Rp 12,348,000 360 Sachet Rp 34,300 Rp 12,348,000
19 Farmalkes Catgut Chromic 3/0 HR 26 MM Absorbable surgical suture 480 Sachet Rp 32,800 Rp 15,744,000 480 Sachet Rp 32,800 Rp 15,744,000
20 Farmalkes Catgut Plain 2/0 HR 26 MM Absorbable surgical suture 360 Sachet Rp 34,300 Rp 12,348,000 360 Sachet Rp 34,300 Rp 12,348,000
21 Farmalkes Catgut Chromic 2/0 HR 26 MM Absorbable surgical suture 480 Sachet Rp 32,800 Rp 15,744,000 480 Sachet Rp 32,800 Rp 15,744,000
22 Farmalkes Kasa Hidrofil Steril 16 cm x 16 cm 10,000 Box Rp 5,950 Rp 59,500,000 10,000 Box Rp 5,950 Rp 59,500,000
23 Farmalkes APD Set 250 Set Rp 2,650,000 Rp 662,500,000 250 Set Rp 2,650,000 Rp 662,500,000
24 Farmalkes Masker N95- 3M 2,040 Pcs Rp 173,000 Rp 352,920,000 2,040 Pcs Rp 173,000 Rp 352,920,000
25 Farmalkes Handsanitizer FC Clean 5 Liter 200 Galon Rp 800,000 Rp 160,000,000 200 Galon Rp 800,000 Rp 160,000,000

26 Farmalkes 27 galon Rp 3,080,000 Rp 83,160,000 27 galon Rp 3,080,000 Rp 83,160,000
SPORE
27 Farmalkes Desinfektan Lantai/SURFANIOS PREMIUM 400 galon Rp 1,296,900 Rp 518,760,000 400 galon Rp 1,296,900 Rp 518,760,000
28 Farmalkes Masker 3 Ply REMEDI 3,000 box Rp 150,000 Rp 450,000,000 3,000 box Rp 150,000 Rp 450,000,000
29 Farmalkes Masker kain batik 25,000 pcs Rp 7,000 Rp 175,000,000 25,000 pcs Rp 7,000 Rp 175,000,000

249,800

130,000

12,300

62,700

62,700
JUMLAH BELANJA BARANG PAKAI HABIS MEDIS Rp 10,359,559,977.40 Rp 9,987,719,477.40 Rp 175,000,000.00
15-Oct-20 Gizi PMT Anak Sekolah 36,000 Buah 2,900 104,400,000 0 Buah Rp 2,900 Rp - 36,000 Buah 2,900 Rp 104,400,000
14-Oct-20 Gizi PMT Pemulihan Balita Kurang Gizi (Nutren) 2,400 Buah 134,399 322,557,600 2,400 Buah Rp 134,399 Rp 322,557,600 0 Buah 134,399 Rp -
P2M Susu Bear Brand 189 ML 1000 Kaleng 11,500.00 11,500,000.00
JUMLAH BELANJA BAHAN PMT Rp 438,457,600.00 Rp 322,557,600.00 Rp 104,400,000.00
27 April 2020 Farmalkes Cell Dyn Easy Cleaner 8 Rp 2,953,368 Rp 23,626,944.00 8 - Rp 2,953,368 Rp 23,626,944 0 0 Rp 2,953,368 Rp -
27 April 2020 Farmalkes Cell Dyn Emerald 22 Dilluent Reagen 8 Rp 3,626,489 Rp 29,011,912.00 8 - Rp 3,626,489 Rp 29,011,912 0 0 Rp 3,626,489 Rp -
27 April 2020 Farmalkes Cell Dyn Emerald 22 Lyse Reagen 8 Rp 4,799,223 Rp 38,393,784.00 8 - Rp 4,799,223 Rp 38,393,784 0 0 Rp 4,799,223 Rp -
27 April 2020 Farmalkes Cell Dyn 22 Plus Control 4 Rp 1,506,215 Rp 6,024,860.00 4 - Rp 1,506,215 Rp 6,024,860 0 0 Rp 1,506,215 Rp -
07 Juli 2020 Farmalkes ABX Miniclean 7 Botol Rp 2,415,600 Rp 16,909,200.00 7 Botol Rp 2,415,600 Rp 16,909,200 0 Botol Rp 2,415,600 Rp -
07 Juli 2020 Farmalkes ABX Minilyse LMG 7 Botol Rp 7,246,800 Rp 50,727,600.00 7 Botol Rp 7,246,800 Rp 50,727,600 0 Botol Rp 7,246,800 Rp -
07 Juli 2020 Farmalkes ABX Minidil LNG 6 Box Rp 3,382,500 Rp 20,295,000.00 6 Box Rp 3,382,500 Rp 20,295,000 0 Box Rp 3,382,500 Rp -
07 Juli 2020 Farmalkes ABX Miniclair 6 Botol Rp 1,226,500 Rp 7,359,000.00 6 Botol Rp 1,226,500 Rp 7,359,000 0 Botol Rp 1,226,500 Rp -
Page 101 of 288

(Rp) (Rp) (Rp)
07 Juli 2020 Farmalkes Minotrol 16 Twin-Pack (2N) 3 Pack Rp 1,533,400 Rp 4,600,200.00 3 Pack Rp 1,533,400 Rp 4,600,200 0 Pack Rp 1,533,400 Rp -
24 Juli 2020 Farmalkes DS HIV 1/2 One Step Rapid Test (GCHIV-402A) 889 Pcs Rp 12,527 Rp 11,136,503.00 889 Pcs Rp 12,527 Rp 11,136,503 Pcs Rp 12,527 Rp -
24 Juli 2020 Farmalkes DS HIV 1/2 One Step Rapid Test (GCHIV-402A) 1 Pcs Rp 12,497 Rp 12,497.00 1 Pcs Rp 12,497 Rp 12,497 Pcs Rp 12,497 Rp -
11 Agustus 2020 Farmalkes SD Bioline HIV 1/2 3.0 24 Kit Rp 860,000 Rp 20,640,000.00 24 Kit Rp 860,000 Rp 20,640,000 0 Kit Rp 860,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi BH Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 68 Kit Rp 61,000 Rp 4,148,000 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi CH Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 68 Kit Rp 61,000 Rp 4,148,000 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi CO Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 68 Kit Rp 61,000 Rp 4,148,000 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi H Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 68 Kit Rp 61,000 Rp 4,148,000 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi AO Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 68 Kit Rp 61,000 Rp 4,148,000 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi AH Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 68 Kit Rp 61,000 Rp 4,148,000 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi O Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 68 Kit Rp 61,000 Rp 4,148,000 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi BO Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 68 Kit Rp 61,000 Rp 4,148,000 Kit Rp 61,000 Rp -
25 Agustus 2020 Farmalkes Urine Reagen Strip 19 Kit Rp 512,500 Rp 9,737,500.00 19 Kit Rp 512,500 Rp 9,737,500 Kit Rp 512,500 Rp -
25 Agustus 2020 Farmalkes HBSAg Strip 1,900 Test Rp 10,547 Rp 20,039,300.00 1,900 Test Rp 10,547 Rp 20,039,300 Test Rp 10,547 Rp -
28 Agustus 2020 Farmalkes Pathromtin SL 1 Kit Rp 1,133,000 Rp 1,133,000.00 1 Kit Rp 1,133,000 Rp 1,133,000 0 Kit Rp 1,133,000 Rp -
28 Agustus 2020 Farmalkes Multifibren 1 Kit Rp 3,362,700 Rp 3,362,700.00 1 Kit Rp 3,362,700 Rp 3,362,700 0 Kit Rp 3,362,700 Rp -
28 Agustus 2020 Farmalkes Control Plasma N 1 Kit Rp 2,224,200 Rp 2,224,200.00 1 Kit Rp 2,224,200 Rp 2,224,200 0 Kit Rp 2,224,200 Rp -
28 Agustus 2020 Farmalkes Innovin 1 Kit Rp 2,382,600 Rp 2,382,600.00 1 Kit Rp 2,382,600 Rp 2,382,600 0 Kit Rp 2,382,600 Rp -
28 Agustus 2020 Farmalkes Diagnostic Kit For HIV (1+2) Antibody (Colloidal Gold)v2 67 Kit Rp 660,000 Rp 44,220,000.00 67 Kit Rp 660,000 Rp 44,220,000 0 Kit Rp 660,000 Rp -
14 Agustus 2020 Farmalkes Reagen HB Hemokrom 45 Kit Rp 3,300,000.00 Rp 148,500,000.00 45 Kit Rp 3,300,000 Rp 148,500,000 0 Kit Rp 3,300,000 Rp -
11 Oktober 2020 Farmalkes Trepocheck Syphillis 147 Kit Rp 225,000.00 Rp 33,075,000.00 147 Kit Rp 225,000 Rp 33,075,000 0 Kit Rp 225,000 Rp -
17/09/20 Farmalkes Reagen Hba1C 1 Kit Rp 20,750,000.00 Rp 20,750,000.00 1 Kit Rp 20,750,000 Rp 20,750,000 0 Kit Rp 20,750,000 Rp -
17/09/20 Farmalkes Lypocheck Diabetes Control Bilevel 1 Kit Rp 5,403,750.00 Rp 5,403,750.00 1 Kit Rp 5,403,750 Rp 5,403,750 0 Kit Rp 5,403,750 Rp -
17/09/20 Farmalkes Lypocheck Hemoglobin A2 Control Bilevel 1 Kit Rp 18,026,250.00 Rp 18,026,250.00 1 Kit Rp 18,026,250 Rp 18,026,250 0 Kit Rp 18,026,250 Rp -
17/09/20 Farmalkes D10 Thermal Printer paper 2 Pack Rp 1,140,000.00 Rp 2,280,000.00 2 Pack Rp 1,140,000 Rp 2,280,000 0 Pack Rp 1,140,000 Rp -
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(Rp) (Rp) (Rp)
27 Oktober 2020 Farmalkes Glukosa Kit (GOD-POD) 56 Kit Rp 529,430.00 Rp 29,648,080.00 56 Kit Rp 529,430 Rp 29,648,080 0 Kit Rp 529,430 Rp -
27 Oktober 2020 Farmalkes Total Cholesterol Kit 55 Kit Rp 1,006,852.00 Rp 55,376,860.00 55 Kit Rp 1,006,852 Rp 55,376,860 0 Kit Rp 1,006,852 Rp -
27 Oktober 2020 Farmalkes Total Tryglicerides Kit 18 Kit Rp 1,806,550.00 Rp 32,517,900.00 18 Kit Rp 1,806,550 Rp 32,517,900 0 Kit Rp 1,806,550 Rp -
27 Oktober 2020 Farmalkes HDL Cholesterol 32 Kit Rp 3,912,225.00 Rp 125,191,200.00 32 Kit Rp 3,912,225 Rp 125,191,200 0 Kit Rp 3,912,225 Rp -
27 Oktober 2020 Farmalkes Uric Acid Kit 55 Kit Rp 1,006,852.00 Rp 55,376,860.00 55 Kit Rp 1,006,852 Rp 55,376,860 0 Kit Rp 1,006,852 Rp -
27 Oktober 2020 Farmalkes Urea Kit 16 Kit Rp 612,920.00 Rp 9,806,720.00 16 Kit Rp 612,920 Rp 9,806,720 0 Kit Rp 612,920 Rp -
27 Oktober 2020 Farmalkes Creatinin Kit (Sarcosine) 16 Kit Rp 3,606,955.00 Rp 57,711,280.00 16 Kit Rp 3,606,955 Rp 57,711,280 0 Kit Rp 3,606,955 Rp -
27 Oktober 2020 Farmalkes ALT Kit (SGPT) 25 Kit Rp 1,064,538.00 Rp 26,613,450.00 25 Kit Rp 1,064,538 Rp 26,613,450 0 Kit Rp 1,064,538 Rp -
27 Oktober 2020 Farmalkes AST Kit (SOPT) 25 Kit Rp 1,064,538.00 Rp 26,613,450.00 25 Kit Rp 1,064,538 Rp 26,613,450 0 Kit Rp 1,064,538 Rp -
27 Oktober 2020 Farmalkes Multi Sera Calibrator (10x3ml) 16 Kit Rp 5,975,614.50 Rp 95,609,832.00 16 Kit Rp 5,975,615 Rp 95,609,832 0 Kit Rp 5,975,615 Rp -
27 Oktober 2020 Farmalkes Lipids Calibrator 16 Kit Rp 4,904,404.00 Rp 78,470,464.00 16 Kit Rp 4,904,404 Rp 78,470,464 0 Kit Rp 4,904,404 Rp -
27 Oktober 2020 Farmalkes Multi Control Level 1 15 Kit Rp 10,347,949.50 Rp 155,219,242.50 15 Kit Rp 10,347,950 Rp 155,219,243 0 Kit Rp 10,347,950 Rp -
27 Oktober 2020 Farmalkes Multi Control Level 1 1 Kit Rp 10,347,861.50 Rp 10,347,861.50 1 Kit Rp 10,347,862 Rp 10,347,862 0 Kit Rp 10,347,862 Rp -
27 Oktober 2020 Farmalkes Dif Diluent 12 Botol Rp 1,669,250.00 Rp 20,031,000.00 12 Botol Rp 1,669,250 Rp 20,031,000 0 Botol Rp 1,669,250 Rp -
27 Oktober 2020 Farmalkes Dif Lyse 12 Botol Rp 2,020,480.00 Rp 24,245,760.00 12 Botol Rp 2,020,480 Rp 24,245,760 0 Botol Rp 2,020,480 Rp -
27 Oktober 2020 Farmalkes Probe Cleanser 12 Botol Rp 92,290.00 Rp 1,107,480.00 12 Botol Rp 92,290 Rp 1,107,480 0 Botol Rp 92,290 Rp -
27 Oktober 2020 Farmalkes Blood Control BC-20S 3 diff@3,0ml (1L,1N,1H) 6 Set Rp 1,831,720.00 Rp 10,990,320.00 6 Set Rp 1,831,720 Rp 10,990,320 0 Set Rp 1,831,720 Rp -
27 Oktober 2020 Farmalkes Blood Control BC-20S 3 diff@3,0ml (1L,1N,1H) 1 Set Rp 1,831,640.00 Rp 1,831,640.00 1 Set Rp 1,831,640 Rp 1,831,640 0 Set Rp 1,831,640 Rp -
30/11/20 Farmalkes HIV Duo Ultra 1 Kit Rp 6,583,500.00 Rp 6,583,500.00 1 Kit Rp 6,583,500 Rp 6,583,500 0 Kit Rp 6,583,500 Rp -
30/11/20 Farmalkes Anti HBS Total II 1 Kit Rp 7,771,500.00 Rp 7,771,500.00 1 Kit Rp 7,771,500 Rp 7,771,500 0 Kit Rp 7,771,500 Rp -
30/11/20 Farmalkes CMV IgG 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 1 Kit Rp 5,098,500 Rp 5,098,500 0 Kit Rp 5,098,500 Rp -
30/11/20 Farmalkes CMV IgM 1 Kit Rp 3,910,500.00 Rp 3,910,500.00 1 Kit Rp 3,910,500 Rp 3,910,500 0 Kit Rp 3,910,500 Rp -
30/11/20 Farmalkes HbsAg Ultra 1 Kit Rp 3,618,450.00 Rp 3,618,450.00 1 Kit Rp 3,618,450 Rp 3,618,450 0 Kit Rp 3,618,450 Rp -
30/11/20 Farmalkes Rubella IgG II 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 1 Kit Rp 5,098,500 Rp 5,098,500 0 Kit Rp 5,098,500 Rp -
30/11/20 Farmalkes Rubella IgM 1 Kit Rp 4,851,000.00 Rp 4,851,000.00 1 Kit Rp 4,851,000 Rp 4,851,000 0 Kit Rp 4,851,000 Rp -
30/11/20 Farmalkes T3 1 Kit Rp 4,133,250.00 Rp 4,133,250.00 1 Kit Rp 4,133,250 Rp 4,133,250 0 Kit Rp 4,133,250 Rp -
30/11/20 Farmalkes T4 1 Kit Rp 4,232,250.00 Rp 4,232,250.00 1 Kit Rp 4,232,250 Rp 4,232,250 0 Kit Rp 4,232,250 Rp -
Page 103 of 288

(Rp) (Rp) (Rp)
30/11/20 Farmalkes Toxo IgG II 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 1 Kit Rp 5,098,500 Rp 5,098,500 0 Kit Rp 5,098,500 Rp -
30/11/20 Farmalkes Toxo IgM 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 1 Kit Rp 5,098,500 Rp 5,098,500 0 Kit Rp 5,098,500 Rp -
30/11/20 Farmalkes FT3 1 Kit Rp 6,212,250.00 Rp 6,212,250.00 1 Kit Rp 6,212,250 Rp 6,212,250 0 Kit Rp 6,212,250 Rp -
30/11/20 Farmalkes TSH3 1 Kit Rp 7,078,500.00 Rp 7,078,500.00 1 Kit Rp 7,078,500 Rp 7,078,500 0 Kit Rp 7,078,500 Rp -
30/11/20 Farmalkes Anti Hav IgM 2 Kit Rp 5,197,500.00 Rp 10,395,000.00 2 Kit Rp 5,197,500 Rp 10,395,000 0 Kit Rp 5,197,500 Rp -
01 Oktober 2020 Farmalkes Humasen 2.0 Plus Glucose Test Strips Blue 600 Dus Rp 249,800.00 Rp 149,880,000.00 600 Dus Rp 249,800 Rp 149,880,000 0 Dus Rp 249,800 Rp -
1 Oktober 2020 Farmalkes Humasen 2.0 Plus Total Cholesterol Test Strips 600 Dus Rp 541,900.00 Rp 325,140,000.00 600 Dus Rp 541,900 Rp 325,140,000 0 Dus Rp 541,900 Rp -
1 Oktober 2020 Farmalkes Humasens 2.0 Plus Uric Acid Test Strips 600 Dus Rp 548,300.00 Rp 328,980,000.00 600 Dus Rp 548,300 Rp 328,980,000 0 Dus Rp 548,300 Rp -
27/11/20 Farmalkes Alanine Transaminase IFCC (ALTL) 8 Kit Rp 1,276,000.00 Rp 10,208,000.00 8 Kit Rp 1,276,000 Rp 10,208,000 0 Kit Rp 1,276,000 Rp -
27/11/20 Farmalkes Albumin Gen 2 9 kit Rp 291,500.00 Rp 2,623,500.00 9 kit Rp 291,500 Rp 2,623,500 0 kit Rp 291,500 Rp -
27/11/20 Farmalkes Alkaline Phosphatase IFCC (ALP) 7 kit Rp 430,100.00 Rp 3,010,700.00 7 kit Rp 430,100 Rp 3,010,700 0 kit Rp 430,100 Rp -
27/11/20 Farmalkes Transaminase (ASTL) 8 kit Rp 1,276,000.00 Rp 10,208,000.00 8 kit Rp 1,276,000 Rp 10,208,000 0 kit Rp 1,276,000 Rp -
27/11/20 Farmalkes Bilirbin Direk Gen.2 8 kit Rp 420,200.00 Rp 3,361,600.00 8 kit Rp 420,200 Rp 3,361,600 0 kit Rp 420,200 Rp -
27/11/20 Farmalkes Bilirubin Total Gen.3 8 kit Rp 960,300.00 Rp 7,682,400.00 8 kit Rp 960,300 Rp 7,682,400 0 kit Rp 960,300 Rp -
27/11/20 Farmalkes Calcium Gen 2 7 kit Rp 580,800.00 Rp 4,065,600.00 7 kit Rp 580,800 Rp 4,065,600 0 kit Rp 580,800 Rp -
27/11/20 Farmalkes Cholesterol Gen 2 30 kit Rp 1,340,900.00 Rp 40,227,000.00 30 kit Rp 1,340,900 Rp 40,227,000 0 kit Rp 1,340,900 Rp -
27/11/20 Farmalkes Creatinine Plus vers 2 20 kit Rp 1,551,000.00 Rp 31,020,000.00 20 kit Rp 1,551,000 Rp 31,020,000 0 kit Rp 1,551,000 Rp -
27/11/20 Farmalkes Gamma Glutamyl Tranferase vers 2 8 kit Rp 1,023,000.00 Rp 8,184,000.00 8 kit Rp 1,023,000 Rp 8,184,000 0 kit Rp 1,023,000 Rp -
27/11/20 Farmalkes Glukose HK 65 kit Rp 447,700.00 Rp 29,100,500.00 65 kit Rp 447,700 Rp 29,100,500 0 kit Rp 447,700 Rp -
27/11/20 Farmalkes HDL-Cholesterol Plus Gen 4 26 kit Rp 6,220,500.00 Rp 161,733,000.00 26 kit Rp 6,220,500 Rp 161,733,000 0 kit Rp 6,220,500 Rp -
27/11/20 Farmalkes LDL-Cholesterol Gen 3 26 kit Rp 4,865,300.00 Rp 126,497,800.00 26 kit Rp 4,865,300 Rp 126,497,800 0 kit Rp 4,865,300 Rp -
27/11/20 Farmalkes Total Protein 8 kit Rp 513,700.00 Rp 4,109,600.00 8 kit Rp 513,700 Rp 4,109,600 0 kit Rp 513,700 Rp -
27/11/20 Farmalkes Triglyceride GPO 40 kit Rp 840,400.00 Rp 33,616,000.00 40 kit Rp 840,400 Rp 33,616,000 0 kit Rp 840,400 Rp -
27/11/20 Farmalkes Urea/BUN 8 kit Rp 1,944,800.00 Rp 15,558,400.00 8 kit Rp 1,944,800 Rp 15,558,400 0 kit Rp 1,944,800 Rp -
27/11/20 Farmalkes Uric Acid Vers.2 30 kit Rp 827,200.00 Rp 24,816,000.00 30 kit Rp 827,200 Rp 24,816,000 0 kit Rp 827,200 Rp -
27/11/20 Farmalkes Cleaner 35 botol Rp 1,403,600.00 Rp 49,126,000.00 35 botol Rp 1,403,600 Rp 49,126,000 0 botol Rp 1,403,600 Rp -
27/11/20 Farmalkes ISE Deproteinizer cobas Integra 5 box Rp 886,600.00 Rp 4,433,000.00 5 box Rp 886,600 Rp 4,433,000 0 box Rp 886,600 Rp -
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(Rp) (Rp) (Rp)
27/11/20 Farmalkes C.f.a.s (Calibrator for automated system) 4 box Rp 1,217,700.00 Rp 4,870,800.00 4 box Rp 1,217,700 Rp 4,870,800 0 box Rp 1,217,700 Rp -
27/11/20 Farmalkes C.f.a.s Lipids 4 box Rp 829,400.00 Rp 3,317,600.00 4 box Rp 829,400 Rp 3,317,600 0 box Rp 829,400 Rp -
27/11/20 Farmalkes Precicontrol Clinchem Multi 2QCS 3 box Rp 4,158,000.00 Rp 12,474,000.00 3 box Rp 4,158,000 Rp 12,474,000 0 box Rp 4,158,000 Rp -
27/11/20 Farmalkes Activator 3 kit Rp 2,616,900.00 Rp 7,850,700.00 3 kit Rp 2,616,900 Rp 7,850,700 0 kit Rp 2,616,900 Rp -
27/11/20 Farmalkes Iron Gen 2 3 kit Rp 470,800.00 Rp 1,412,400.00 3 kit Rp 470,800 Rp 1,412,400 0 kit Rp 470,800 Rp -
27/11/20 Farmalkes Iron Gen 2 1 kit Rp 470,400.00 Rp 470,400.00 1 kit Rp 470,400 Rp 470,400 0 kit Rp 470,400 Rp -
09/11/20 Farmalkes Reagen Nitrat, TNT 1 Pack Rp 2,255,200.00 Rp 2,255,200.00 1 Pack Rp 2,255,200 Rp 2,255,200 0 Pack Rp 2,255,200 Rp -
09/11/20 Farmalkes Reagen Nitrit 1 Pack Rp 935,000.00 Rp 935,000.00 1 Pack Rp 935,000 Rp 935,000 0 Pack Rp 935,000 Rp -
09/11/20 Farmalkes Reagen Sulfat 1 Pack Rp 777,500.00 Rp 777,500.00 1 Pack Rp 777,500 Rp 777,500 0 Pack Rp 777,500 Rp -
09/11/20 Farmalkes Reagen Besi 1 Pack Rp 567,500.00 Rp 567,500.00 1 Pack Rp 567,500 Rp 567,500 0 Pack Rp 567,500 Rp -
09/11/20 Farmalkes Reagen Cromium,heksavalent 1 Pack Rp 819,500.00 Rp 819,500.00 1 Pack Rp 819,500 Rp 819,500 0 Pack Rp 819,500 Rp -
09/11/20 Farmalkes Reagen Mangan HR 1 Pack Rp 1,575,800.00 Rp 1,575,800.00 1 Pack Rp 1,575,800 Rp 1,575,800 0 Pack Rp 1,575,800 Rp -
09/11/20 Farmalkes Reagen Mangan LR 1 Pack Rp 1,334,200.00 Rp 1,334,200.00 1 Pack Rp 1,334,200 Rp 1,334,200 0 Pack Rp 1,334,200 Rp -
09/11/20 Farmalkes Reagen Kesadahan 1 Pack Rp 1,722,900.00 Rp 1,722,900.00 1 Pack Rp 1,722,900 Rp 1,722,900 0 Pack Rp 1,722,900 Rp -
26/11/20 Farmalkes Isetrol Electrolyte Control 3 Box Rp 1,404,700.00 Rp 4,214,100.00 3 Box Rp 1,404,700 Rp 4,214,100 0 Box Rp 1,404,700 Rp -
26/11/20 Farmalkes Snappak 2 Box Rp 2,127,400.00 Rp 4,254,800.00 2 Box Rp 2,127,400 Rp 4,254,800 0 Box Rp 2,127,400 Rp -
26/11/20 Farmalkes Cleaning Solution 2 botol Rp 588,500.00 Rp 1,177,000.00 2 botol Rp 588,500 Rp 1,177,000 0 botol Rp 588,500 Rp -
07 Desember 2020 Farmalkes Reagen PCR 2732 test Rp 237,000.00 Rp 647,484,000.00 2,732 test Rp 237,000 Rp 647,484,000 0 test Rp 237,000 Rp -
27/11/20 Farmalkes Uric Acid 50 Kit Rp 644,600.00 Rp 32,230,000.00 50 Kit Rp 644,600 Rp 32,230,000 0 Kit Rp 644,600 Rp -
27/11/20 Farmalkes Cholesterol 80 Kit Rp 686,400.00 Rp 54,912,000.00 80 Kit Rp 686,400 Rp 54,912,000 0 Kit Rp 686,400 Rp -
27/11/20 Farmalkes Creatinin Plus 30 Kit Rp 645,700.00 Rp 19,371,000.00 30 Kit Rp 645,700 Rp 19,371,000 0 Kit Rp 645,700 Rp -
27/11/20 Farmalkes Glukose HK 40 Kit Rp 484,000.00 Rp 19,360,000.00 40 Kit Rp 484,000 Rp 19,360,000 0 Kit Rp 484,000 Rp -
27/11/20 Farmalkes Triglyceride 30 Kit Rp 464,200.00 Rp 13,926,000.00 30 Kit Rp 464,200 Rp 13,926,000 0 Kit Rp 464,200 Rp -
27/11/20 Farmalkes Urea 15 Kit Rp 812,900.00 Rp 12,193,500.00 15 Kit Rp 812,900 Rp 12,193,500 0 Kit Rp 812,900 Rp -
27/11/20 Farmalkes c.f.a.s (calibrator for automated) 14 Kit Rp 1,217,700.00 Rp 17,047,800.00 14 Kit Rp 1,217,700 Rp 17,047,800 0 Kit Rp 1,217,700 Rp -
27/11/20 Farmalkes Precicontrol clinchem multi 1 QCS 14 Kit Rp 4,158,000.00 Rp 58,212,000.00 14 Kit Rp 4,158,000 Rp 58,212,000 0 Kit Rp 4,158,000 Rp -
27/11/20 Farmalkes c.f.a.s (lipid) 14 Kit Rp 829,400.00 Rp 11,611,600.00 14 Kit Rp 829,400 Rp 11,611,600 0 Kit Rp 829,400 Rp -
Page 105 of 288

(Rp) (Rp) (Rp)
27/11/20 Farmalkes ISE deproteinizer 42 Kit Rp 171,600.00 Rp 7,207,200.00 42 Kit Rp 171,600 Rp 7,207,200 0 Kit Rp 171,600 Rp -
27/11/20 Farmalkes Cleaner 30 Kit Rp 1,403,600.00 Rp 42,108,000.00 30 Kit Rp 1,403,600 Rp 42,108,000 0 Kit Rp 1,403,600 Rp -
27/11/20 Farmalkes Diluent (NaCl 9%) 30 Kit Rp 511,500.00 Rp 15,345,000.00 30 Kit Rp 511,500 Rp 15,345,000 0 Kit Rp 511,500 Rp -
14 Desember 2020 Farmalkes Rapid test Antigen 60 box Rp 3,272,500.00 Rp 196,350,000.00 60 box Rp 3,272,500 Rp 196,350,000 0 box Rp 3,272,500 Rp -
16/11/20 Farmalkes Humasens 2.0 Plus Glucose Test Strips 67 Dus Rp 249,800.00 Rp 16,736,600.00 67 Dus Rp 249,800 Rp 16,736,600 0 Dus Rp 249,800 Rp -

16/11/20 Farmalkes 15 Dus Rp 805,950.00 Rp 12,089,250.00 15 Dus Rp 805,950 Rp 12,089,250 0 Dus Rp 805,950 Rp -
Accesories
16/11/20 Farmalkes Humasens 2.0 Plus Uric Acid Test Strips 66 Dus Rp 548,300.00 Rp 36,187,800.00 66 Dus Rp 548,300 Rp 36,187,800 0 Dus Rp 548,300 Rp -
16/11/20 Farmalkes Humasens 2.0 Plus Total Cholesterol test strips 66 Dus Rp 541,900.00 Rp 35,765,400.00 66 Dus Rp 541,900 Rp 35,765,400 0 Dus Rp 541,900 Rp -
JUMLAH BELANJA BAHAN PENUNJANG LABORATORIUM Rp 4,140,693,050.00 Rp 4,140,693,050.00 Rp -

new normal kit) (tumbles/botol minum, sedotan stainles + brush, sendok
18 desember 2020 Promkesjaor 250 paket Rp 180,000 45,000,000 250 paket Rp 180,000 Rp 45,000,000 0 18 desember 2020 18 desember 2020 Rp -
dan garpu stainless, masker kain, corona finger, hand sanitizer, hand
23 januari 2020 Promkesjaor souvenir botol minum tuperware bahan plastik uk, 1000 ml 100 pcs 98,000 9,800,000 100 pcs Rp 98,000 Rp 9,800,000 0 23 januari 2020 23 januari 2020 Rp -
11 maret 2020 Promkesjaor Belanja Mug Bergambar 150 pcs Rp 35,000 Rp 5,250,000 150 pcs Rp 35,000 Rp 5,250,000 0 11 maret 2020 11 maret 2020 Rp -
10 Maret 2020 Gizi Bahan Kontak Untuk Kunjungan Balita Kurang Gizi 97 Paket 238,000.00 Rp 23,086,000 97 Paket Rp 238,000 Rp 23,086,000 0 43,900 Rp 43,900 Rp -
02 November 2021 Umpeg Plakat 100 Buah 450,000.00 Rp 45,000,000 100 Buah Rp 450,000 Rp 45,000,000 0 Buah Rp 450,000 Rp -
23 Desember 2020 Mutu Peningkatan Mutu Pelayanan Kesehatan Dasar 1 pAKET 1,500,000 Rp 1,500,000 1 pAKET Rp 1,500,000 Rp 1,500,000 pAKET Rp 1,500,000
JUMLAH BELANJA PENGADAAN PLAKAT/SOUVENIR Rp 191,186,000.00 Rp 129,636,000.00 Rp -
Page 106 of 288

(Rp) (Rp) (Rp)
07 September 2021 Umpeg Dekorasi Ruangan 1 Unit 4,500,000.00 Rp 4,500,000 1 Unit Rp 4,500,000 Rp 4,500,000 0 Unit Rp 4,500,000 Rp -
07 September 2021 Umpeg Pembuatan Video 1 Unit 1,200,000.00 Rp 1,200,000 1 Unit Rp 1,200,000 Rp 1,200,000 0 Unit Rp 1,200,000 Rp -
25 Februari 2020 PJKM Map Plastik Kancing 25 Lusin Rp 48,000 Rp 1,200,000 25 Lusin Rp 48,000 Rp 1,200,000 0 43,886 Rp 43,886 Rp -
25 Februari 2020 PJKM Ballpoint 25 Lusin Rp 40,000 Rp 1,000,000 25 Lusin Rp 40,000 Rp 1,000,000 0 43,886 Rp 43,886 Rp -
25 Februari 2020 PJKM Notebook 300 Buah Rp 13,000 Rp 3,900,000 300 Buah Rp 13,000 Rp 3,900,000 0 43,886 Rp 43,886 Rp -
07 Februari 2020 P2PT/KESWA Notebook 120 Buah Rp 5,000 Rp 600,000 120 Buah Rp 5,000 Rp 600,000 0 43,868 Rp 43,868 Rp -
07 Februari 2020 P2PT/KESWA Pulpen 120 Buah Rp 5,000 Rp 600,000 120 Buah Rp 5,000 Rp 600,000 0 43,868 Rp 43,868 Rp -
07 Februari 2020 P2PT/KESWA Zipper Map 120 Buah Rp 15,000 Rp 1,800,000 120 Buah Rp 15,000 Rp 1,800,000 0 43,868 Rp 43,868 Rp -
9-Nov-20 Promkejaor belanja tas parasut )resleting ketika dilipat & custom logo) 70 Pcs Rp 43,500 3,045,000 70 Pcs Rp 43,500 Rp 3,045,000 0 - Rp 44,144 Rp -
13 Maret 2020 PJKM Map Plastik Kancing 25 Lusin Rp 48,000 Rp 1,200,000 25 Lusin Rp 48,000 Rp 1,200,000 0 43,903 Rp 43,903 Rp -
13 Maret 2020 PJKM Ballpoint 25 Lusin Rp 40,000 Rp 1,000,000 25 Lusin Rp 40,000 Rp 1,000,000 0 43,903 Rp 43,903 Rp -
13 Maret 2020 PJKM Notebook 300 Buah Rp 13,000 Rp 3,900,000 300 Buah Rp 13,000 Rp 3,900,000 0 43,903 Rp 43,903 Rp -
13 Maret 2020 perencanaan Balpoint 13 Lusin Rp 54,000 Rp 702,000 13 Lusin Rp 54,000 Rp 702,000 0 43,903 Rp 43,903 Rp -
13 Maret 2020 perencanaan Map Plastik 150 Buah Rp 19,500 Rp 2,925,000 150 Buah Rp 19,500 Rp 2,925,000 0 43,903 Rp 43,903 Rp -
0 - Rp - Rp - 0 0
JUMLAH BELANJA PERLENGKAPAN PANITIA/PESERTA Rp 59,299,000.00 Rp 21,872,000.00 Rp -
30-Dec-99 Kesga Belanja APE KIT 65 buah 760,500 49,432,500
30-Dec-99 Kesga Belanja APE KIT 30 paket 295,020 8,850,600
Page 107 of 288

(Rp) (Rp) (Rp)
JUMLAH BELANJA BAHAN PERCONTOHAN Rp 76,883,100.00 Rp - Rp -
25 November 2020 Epapor NON INVENTARIS 1 Paket 4,770,000.00 4,770,000.00 1 Paket Rp 4,770,000 Rp 4,770,000 0 44,160 Rp 44,160 Rp -
16 November 2020 Rujukan Box Container Plastik 10 Buah 350,000.00 3,500,000.00 10 Buah Rp 350,000 Rp 3,500,000 0 44,151 Rp 44,151 Rp -
JUMLAH BELANJA BAHAN PAKAI HABIS NON INVENTARIS Rp 8,270,000.00 Rp 8,270,000.00 Rp -
21 Februari 2020 Umpeg Pipa 4' 4 Batang 380,000.00 Rp 1,520,000 4 Batang Rp 380,000 Rp 1,520,000 0 Batang Rp 43,882 Rp -
21 Februari 2020 Umpeg Pipa 3' 4 Batang 240,000.00 Rp 960,000 4 Batang Rp 240,000 Rp 960,000 0 Batang Rp 43,882 Rp -
21 Februari 2020 Umpeg Keramik 60x60 8 Dus 280,000.00 Rp 2,240,000 8 Dus Rp 280,000 Rp 2,240,000 0 Dus Rp 43,882 Rp -
21 Februari 2020 Umpeg Pasir 1 Truk 750,000.00 Rp 750,000 1 Truk Rp 750,000 Rp 750,000 0 Truk Rp 43,882 Rp -
21 Februari 2020 Umpeg Semen 21 Sak 75,000.00 Rp 1,575,000 21 Sak Rp 75,000 Rp 1,575,000 0 Sak Rp 43,882 Rp -
21 Februari 2020 Umpeg Semen Sica 4 Sak 295,000.00 Rp 1,180,000 4 Sak Rp 295,000 Rp 1,180,000 0 Sak Rp 43,882 Rp -
21 Februari 2020 Umpeg Weirmesh 1 Lbr 950,000.00 Rp 950,000 1 Lbr Rp 950,000 Rp 950,000 0 Lbr Rp 43,882 Rp -
21 Februari 2020 Umpeg Plapon Gipsum 4 Lbr 105,000.00 Rp 420,000 4 Lbr Rp 105,000 Rp 420,000 0 Lbr Rp 43,882 Rp -
21 Februari 2020 Umpeg Kompon 2 Sak 86,000.00 Rp 172,000 2 Sak Rp 86,000 Rp 172,000 0 Sak Rp 43,882 Rp -
21 Februari 2020 Umpeg Nat Keramik 4 Kg 25,000.00 Rp 100,000 4 Kg Rp 25,000 Rp 100,000 0 Kg Rp 43,882 Rp -
21 Februari 2020 Umpeg Aqua Prof 5 Galon 206,000.00 Rp 1,030,000 5 Galon Rp 206,000 Rp 1,030,000 0 Galon Rp 43,882 Rp -
21 Februari 2020 Umpeg Sewa Mesin Tembak Air 1 Paket 1,500,000.00 Rp 1,500,000 1 Paket Rp 1,500,000 Rp 1,500,000 0 Paket Rp 43,882 Rp -
21 Februari 2020 Umpeg Sedot WC 1 Paket 500,000.00 Rp 500,000 1 Paket Rp 500,000 Rp 500,000 0 Paket Rp 43,882 Rp -
21 Februari 2020 Umpeg Ember 4 Buah 25,000.00 Rp 100,000 4 Buah Rp 25,000 Rp 100,000 0 Buah Rp 43,882 Rp -
21 Februari 2020 Umpeg Sendok Semen 4 Buah 25,000.00 Rp 100,000 4 Buah Rp 25,000 Rp 100,000 0 Buah Rp 43,882 Rp -
21 Februari 2020 Umpeg Benang 5 Buah 3,000.00 Rp 15,000 5 Buah Rp 3,000 Rp 15,000 0 Buah Rp 43,882 Rp -
21 Februari 2020 Umpeg Hebel 1 M³ 750,000.00 Rp 750,000 1 M³ Rp 750,000 Rp 750,000 0 M³ Rp 43,882 Rp -
24 Maret 2020 Umpeg Perbaikan Flafon gedung dinkes Bahan Material 1 Paket 17,470,000.00 Rp 17,470,000 1 Paket Rp 17,470,000 Rp 17,470,000 0 Paket Rp 43,914 Rp -
17 Juli 2020 Umpeg Perbaikan Atap Selara dan Rooftop Atap 1 Paket 32,835,000.00 Rp 32,835,000 1 Paket Rp 32,835,000 Rp 32,835,000 0 Paket Rp 32,835,000 Rp -

07 September 2021 Umpeg 1 Paket 34,300,000.00 Rp 34,300,000 1 Paket Rp 34,300,000 Rp 34,300,000 0 Paket Rp 34,300,000 Rp -
Selatan
18 September 2021 Umpeg Bongkar Pasang Flapon 1 Paket 43,277,000.00 Rp 43,277,000 1 Paket Rp 43,277,000 Rp 43,277,000 0 Paket Rp 43,277,000 Rp -
Page 108 of 288

(Rp) (Rp) (Rp)
JUMLAH BELANJA BAHAN BAKU BANGUNAN Rp 141,744,000.00 Rp 141,744,000.00 Rp -
Farmalkes Parasetamol tablet 500 mg 914,000 Kaplet Rp 152 Rp 138,928,000 914,000 Kaplet Rp 152 Rp 138,928,000 0 Kaplet Rp 152 Rp -

mg

mg/ml (i.m)
Farmalkes Methisoprinol 250 mg/5ml 1,000 Botol Rp 53,625 Rp 53,625,000 1,000 Botol Rp 53,625 Rp 53,625,000 0 Botol Rp 53,625 Rp -
Page 109 of 288

(Rp) (Rp) (Rp)
Farmalkes Methisoprinol 500 mg 10,000 Tablet Rp 3,215 Rp 32,150,000 10,000 Tablet Rp 3,215 Rp 32,150,000 0 Tablet Rp 3,215 Rp -
Farmalkes Multivitamin anak sirup 25,000 Botol Rp 35,300 Rp 882,500,000 25,000 Botol Rp 35,300 Rp 882,500,000 0 Botol Rp 35,300 Rp -
1 Farmalkes Multivitamin dewasa 200,000 Kaplet Rp 1,650 Rp 330,000,000 200,000 Kaplet Rp 1,650 Rp 330,000,000 0 Kaplet Rp 1,650 Rp -
2 Farmalkes Obat Antianemia Drop 1,000 botol Rp 36,400 Rp 36,400,000 1,000 botol Rp 36,400 Rp 36,400,000 0 botol Rp 36,400 Rp -
3 Farmalkes Obat Antifungi Drop 1,000 Botol Rp 33,530 Rp 33,530,000 1,000 Botol Rp 33,530 Rp 33,530,000 0 Botol Rp 33,530 Rp -
1 Farmalkes Obat batuk hitam 100 ml 5,000 botol Rp 7,788 Rp 38,940,000 5,000 botol Rp 7,788 Rp 38,940,000 0 botol Rp 7,788 Rp -
2 Farmalkes Obat Dekongestan tablet 10,000 tablet Rp 1,600 Rp 16,000,000 10,000 tablet Rp 1,600 Rp 16,000,000 0 tablet Rp 1,600 Rp -
3 Farmalkes Obat Flu dan Batuk Sirup 12,000 Botol Rp 11,500 Rp 138,000,000 12,000 Botol Rp 11,500 Rp 138,000,000 0 Botol Rp 11,500 Rp -
4 Farmalkes Obat Flu dan Batuk Tablet 200,000 Kaplet Rp 750 Rp 150,000,000 200,000 Kaplet Rp 750 Rp 150,000,000 0 Kaplet Rp 750 Rp -
5 Farmalkes Oksitetrasiklin HCl salep kulit 3% 2,000 Tube Rp 2,200 Rp 4,400,000 2,000 Tube Rp 2,200 Rp 4,400,000 0 Tube Rp 2,200 Rp -
6 Farmalkes Parasetamol supp 2,000 Suppositoria Rp 8,100 Rp 16,200,000 2,000 Suppositoria Rp 8,100 Rp 16,200,000 0 Suppositoria Rp 8,100 Rp -
7 Farmalkes Pseudoefedrin Hcl Drop 1,000 Botol Rp 23,000 Rp 23,000,000 1,000 Botol Rp 23,000 Rp 23,000,000 0 Botol Rp 23,000 Rp -
8 Farmalkes Ranitidin Hcl Sirup 5,000 Botol Rp 55,000 Rp 275,000,000 5,000 Botol Rp 55,000 Rp 275,000,000 0 Botol Rp 55,000 Rp -
9 Farmalkes Siprofloksasin 500 mg tablet 50,000 Tablet Rp 500 Rp 25,000,000 50,000 Tablet Rp 500 Rp 25,000,000 0 Tablet Rp 500 Rp -
10 Farmalkes Suplemen Ibu Menyusui 15,000 Kapsul Rp 1,500 Rp 22,500,000 15,000 Kapsul Rp 1,500 Rp 22,500,000 0 Kapsul Rp 1,500 Rp -
11 Farmalkes Vitamin Neurotopik 50,700 Kaplet Rp 3,085 Rp 156,409,500 50,700 Kaplet Rp 3,085 Rp 156,409,500 0 Kaplet Rp 3,085 Rp -
12 Farmalkes Vitamin Neurotopik Injeksi 2,000 ampul Rp 5,400 Rp 10,800,000 2,000 ampul Rp 5,400 Rp 10,800,000 0 ampul Rp 5,400 Rp -
13 Wednesday, May 27, 2020 Farmalkes 4,742,400 Rp 354 Rp 1,678,809,600 4,742,400 Tablet salut gula Rp 354 Rp 1,678,809,600 0 Tablet salut gula Rp 354 Rp -
14 Thursday, June 04, 2020 Farmalkes Retinol (vitamin A) kapsul lunak 100.000 IU 36,100 Soft kapsul Rp 306 Rp 11,046,600 36,100 Soft kapsul Rp 306 Rp 11,046,600 0 Soft kapsul Rp 306 Rp -
15 Thursday, June 04, 2020 Farmalkes Retinol acetate/retinol (vitamin A) kapsul lunak 200.000 IU 397,550 Soft kapsul Rp 552 Rp 219,447,600 397,550 Soft kapsul Rp 552 Rp 219,447,600 0 Soft kapsul Rp 552 Rp -
Page 110 of 288

(Rp) (Rp) (Rp)


480 mg)


(Susp 240 mg)
16 ### Farmalkes Parasetamol drops 100 mg botol @15 ml (60 mg/0,6 ml) 50,000 Botol Rp 6,649 Rp 332,450,000 50,000 Botol Rp 6,649 Rp 332,450,000 0 Botol Rp 6,649 Rp -
Page 111 of 288

(Rp) (Rp) (Rp)

17 ### Farmalkes 50,000 Tablet Rp 137 Rp 6,850,000 50,000 Tablet Rp 137 Rp 6,850,000 0 Tablet Rp 137 Rp -
enterik 25 mg

18 ### Farmalkes 650,000 Tablet Rp 123 Rp 79,950,000 650,000 Tablet Rp 123 Rp 79,950,000 0 Tablet Rp 123 Rp -
enterik 50 mg
19 ### Farmalkes Nystatin/ Nistatin vaginal tablet 100.000 IU 15,000 Tablet Rp 598 Rp 8,970,000 15,000 Tablet Rp 598 Rp 8,970,000 0 Tablet Rp 598 Rp -
Tablet salut
20 ### Farmalkes Nystatin/ Nistatin tablet/kaplet salut gula 500.000 IU 20,000 Rp 843 Rp 16,860,000 20,000 Tablet salut gula Rp 843 Rp 16,860,000 0 Tablet salut gula Rp 843 Rp -
gula
21 ### Farmalkes Asiklovir/Acyclovir tablet/kapsul/kaplet 400 mg 150,000 Tablet Rp 405 Rp 60,750,000 150,000 Tablet Rp 405 Rp 60,750,000 0 Tablet Rp 405 Rp -
JUMLAH BELANJA OBAT-OBATAN Rp 7,800,732,272.00 Rp 4,798,516,300.00 Rp -
01/08/20 P2M Obat Fooging JOLF 25 EC 500ML 1,480 botol 120,000 Rp 177,600,000 1,480 botol Rp 120,000 Rp 177,600,000 0 botol Rp 44,044 Rp -
JUMLAH BELANJA BAHAN BAKU MAKANAN Rp 177,600,000 Rp 177,600,000.00 Rp -
14 Februari 2020 Gizi Bahan Makanan Untuk Praktek 1 Paket Rp 278,000 278,000 1 Paket Rp 278,000 Rp 278,000 0 Paket Rp 43,875 Rp -
06 Oktober 2020 Gizi Bahan Food Lokal Untuk Pos Gizi 20 Paket Rp 248,000 4,960,000 20 Paket Rp 248,000 Rp 4,960,000 0 Paket Rp 44,110 Rp -
JUMLAH BELANJA BAHAN BAKU MAKANAN Rp 5,238,000.00 Rp 5,238,000.00 Rp -
22 Oktober 2020 P2M Larvasida Cair 6900 Botol 24,500.00 169,050,000.00 6,900 Botol Rp 24,500 Rp 169,050,000 0 Botol Rp 44,126 Rp -
0 - Rp - Rp - 0 - Rp - Rp -
JUMLAH Bahan bakteri pengurai limbah cair Rp 169,050,000.00 Rp 169,050,000.00 Rp -
12 Maret 2020 Gizi Buku Khohort 2,200 Buku Rp 57,500 126,500,000 2,200 Buku Rp 57,500 Rp 126,500,000 0 Buku Rp 43,902 Rp -
11 maret 2020 Promkesjaor Cetakan Jamban 2 unit 9,300,000 18,600,000
Page 112 of 288

(Rp) (Rp) (Rp)
10 maret 2020 Promkesjaor Flayer Novel Corona Virus A 4 rim Rp 850,000 3,400,000 4 rim Rp 850,000 Rp 3,400,000 0 rim 10 maret 2020 Rp -
10 maret 2020 Promkesjaor Flayer Novel Corona Virus B 5 rim Rp 800,000 4,000,000 5 rim Rp 800,000 Rp 4,000,000 0 rim 10 maret 2020 Rp -
10 maret 2020 Promkesjaor Flayer Memakai Masker 4 rim Rp 850,000 3,400,000 4 rim Rp 850,000 Rp 3,400,000 0 rim 10 maret 2020 Rp -
10 maret 2020 Promkesjaor Flayer Pencegahan Corona 6 rim Rp 750,000 4,500,000 6 rim Rp 750,000 Rp 4,500,000 0 rim 10 maret 2020 Rp -
26 Maret 2020 Gizi Roll Baner 60x160 cm 29 Buah Rp 440,000 12,760,000 29 Buah Rp 440,000 Rp 12,760,000 0 Buah Rp 43,916 Rp -
26 Maret 2020 Gizi Lembar Balik 29 Buah Rp 450,000 13,050,000 29 Buah Rp 450,000 Rp 13,050,000 0 Buah Rp 43,916 Rp -
25-Nov-20 Kesga Cetak Kohort 460 buah 64,200 29,532,000 460 buah Rp 64,200 Rp 29,532,000 0 buah Rp 44,160 Rp -
Page 113 of 288

(Rp) (Rp) (Rp)
24 Februari 2020 P2PTM Khohort 60 Dus Rp 100,000 6,000,000 60 Dus Rp 100,000 Rp 6,000,000 0 Dus Rp 43,885 Rp -
24 Februari 2020 P2PTM Buku Bantu Skrining 30 Dus Rp 100,000 3,000,000 30 Dus Rp 100,000 Rp 3,000,000 0 Dus Rp 43,885 Rp -
24 Februari 2020 P2PTM Buku Pedoman 60 Dus Rp 100,000 6,000,000 60 Dus Rp 100,000 Rp 6,000,000 0 Dus Rp 43,885 Rp -
04 Februari 2020 Umpeg Amplop Surat Dinas 90gr (Samson B-W) 100 Rp 52,000 5,200,000 0 - Rp 52,000 Rp - 100 - Rp 43,865 Rp 5,200,000
04 Februari 2020 Umpeg Map Biasa Art Karton 310gr (Laminasi Draff) 1,000 Rp 9,500 9,500,000 1,000 - Rp 9,500 Rp 9,500,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Kop Surat Dinas Uk. 70gr HVS 10 Rp 195,000 1,950,000 0 - Rp 195,000 Rp - 10 - Rp 43,865 Rp 1,950,000
04 Februari 2020 Umpeg Lembar Diposisi NCR (B-W) 129 Rp 22,000 2,838,000 0 - Rp 22,000 Rp - 129 - Rp 43,865 Rp 2,838,000
04 Februari 2020 Umpeg Formulir Capa 1 Rp 185,000 185,000 1 - Rp 185,000 Rp 185,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Formulir Pemeriksaan Toko Obat 1,500 Rp 2,275 3,412,500 1,500 - Rp 2,275 Rp 3,412,500 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Surat Pernyataan 500 Rp 2,150 1,075,000 500 - Rp 2,150 Rp 1,075,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Lembar Langkah Pembinaan dan Pengawasan 3,000 Rp 2,275 6,825,000 3,000 - Rp 2,275 Rp 6,825,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Lembar Langkah Pembinaan dan Pengawasan Apotik 3,000 Rp 2,275 6,825,000 3,000 - Rp 2,275 Rp 6,825,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Berita Acara Pemeriksaan Apotik 3,000 Rp 2,300 6,900,000 3,000 - Rp 2,300 Rp 6,900,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Lembar Verifikasi 2,500 Rp 1,950 4,875,000 0 - Rp 1,950 Rp - 2,500 - Rp 43,865 Rp 4,875,000
Farmalkes Cetak Pemantauan Kesehatan Tempat Penelolah Makanan 1 Rp 210,000 210,000 1 - Rp 210,000 Rp 210,000 0 - Rp - Rp -
02 November 2020 Umpeg Amplop Puskesmas 100 Rim Rp 49,500 4,950,000 100 Rim Rp 49,500 Rp 4,950,000 0 Rim Rp 44,137 Rp -
02 November 2020 Umpeg Map Puskesmas 1,500 Buah Rp 11,000 16,500,000 1,500 Buah Rp 11,000 Rp 16,500,000 0 Buah Rp 44,137 Rp -
02 November 2020 Umpeg Kop Surat 10 Rim Rp 198,000 1,980,000 10 Rim Rp 198,000 Rp 1,980,000 0 Rim Rp 44,137 Rp -
Page 114 of 288

(Rp) (Rp) (Rp)
02 November 2020 Umpeg Lembar Disposisi 20 Buku Rp 22,000 440,000 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Resep Dokter 30 Buku Rp 22,000 660,000 30 Buku Rp 22,000 Rp 660,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Keterangan Dokter 20 Buku Rp 22,000 440,000 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Rujukan 20 Buku Rp 22,000 440,000 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Rujuk Balik 20 Buku Rp 22,000 440,000 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Bukti Barang Keluar (SBBK) 20 Buku Rp 22,000 440,000 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Diagnosa Keterangan Klinik 20 Buku Rp 22,000 440,000 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Keterangan Klinik 20 Buku Rp 22,000 440,000 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Kartu Stok 2,000 Buku Rp 1,100 2,200,000 2,000 Buku Rp 1,100 Rp 2,200,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Tanda Berobat 4,000 Buku Rp 880 3,520,000 4,000 Buku Rp 880 Rp 3,520,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Keterangan Sakit 40 Buku Rp 22,000 880,000 40 Buku Rp 22,000 Rp 880,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Pemeriksaan Kesehatan Umum 20 Buku Rp 27,500 550,000 20 Buku Rp 27,500 Rp 550,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Pemeriksaan Kesehatan Gigi 20 Buku Rp 27,500 550,000 20 Buku Rp 27,500 Rp 550,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Persetujuan/Penolakan 20 Buku Rp 27,500 550,000 20 Buku Rp 27,500 Rp 550,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Permohonan Pemeriksaan Bakteriologi 20 Buku Rp 27,500 550,000 20 Buku Rp 27,500 Rp 550,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Registrasi Gigi 20 Buku Rp 27,500 550,000 20 Buku Rp 27,500 Rp 550,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Format Monitoring Pengguna Obat Sryup 4 Rim Rp 143,000 572,000 4 Rim Rp 143,000 Rp 572,000 0 Rim Rp 44,137 Rp -
02 November 2020 Umpeg Format Monitoring Pengguna Obat Tablet 4 Rim Rp 143,000 572,000 4 Rim Rp 143,000 Rp 572,000 0 Rim Rp 44,137 Rp -
02 November 2020 Umpeg Daftar Kunjungan Pasien 20 Buku Rp 55,000 1,100,000 20 Buku Rp 55,000 Rp 1,100,000 0 Buku Rp 44,137 Rp -
12-Nov-20 Gizi Cetak Format Pos Gizi 32 Buku 34,500 1,104,000 32 Buku Rp 34,500 Rp 1,104,000 0 Buku Rp 44,147 Rp -
12-Nov-20 Gizi Cetak Leaflet 1 Rim 1,200,000 1,200,000 1 Rim Rp 1,200,000 Rp 1,200,000 0 Rim Rp - Rp -
13-Nov-20 Gizi Cetak Cakram Status Gizi 400 Paket 98,000 39,200,000 400 Paket Rp 98,000 Rp 39,200,000 0 Paket Rp 44,148 Rp -
12-Nov-20 Gizi Cetak Format E-PPGBM Ibu Hamil 845 Buku 44,000 37,180,000 845 Buku Rp 44,000 Rp 37,180,000 0 Buku Rp 44,147 Rp -
12-Nov-20 Gizi Cetak Format Anamnesa Gizi 37 Buku 47,500 1,757,500 37 Buku Rp 47,500 Rp 1,757,500 0 Buku Rp 44,147 Rp -
30 November 2020 DINKES FARMALKES 1 Rp 210,000,000 210,000,000 1 - Rp 210,000,000 Rp 210,000,000 0 - Rp 44,165 Rp -
24-Nov-20 Gizi Cetak Format 3A 850 Buku 46,000 39,100,000 850 Buku Rp 46,000 Rp 39,100,000 0 Buku Rp 44,159 Rp -
24-Nov-20 Gizi Cetak Format 3B 850 Buku 46,000 39,100,000 850 Buku Rp 46,000 Rp 39,100,000 0 Buku Rp 44,159 Rp -
24-Nov-20 Gizi Cetak Format 5 849 Buku 25,647 21,774,303 849 Buku Rp 25,647 Rp 21,774,303 0 Buku Rp 44,159 Rp -
24-Nov-20 Gizi Cetak Format 5 1 Buku 25,697 25,697 1 Buku Rp 25,697 Rp 25,697 0 Buku Rp 44,159 Rp -

Friday, November 27, 2020 Primer Pendekatan Keluarga (PIS-PK)
100 buah Rp 97,000 Rp 9,700,000 100 buah Rp 97,000 Rp 9,700,000 0 buah Rp 44,162 Rp -
Mutu 1 Rp 32,279,000 32,279,000 1 - Rp 32,279,000 Rp 32,279,000 0 - Rp - Rp -

P2M Cetak 1 Rp 4,590,000 4,590,000 1 Rp 4,590,000 Rp 4,590,000
17 November 2020 P2M Format 1 rumah 1 Jumantik 10000 Lmbr 3,000.00 30,000,000.00 Rp 44,152
kesmas Upaya Kesehatan Masyarakat Sekunder 1 Paket 38,460,000.00 38,460,000.00 Rp -
Surimun N PENINGKATAN IMUNISASI 1 Paket 31,080,000.00 31,080,000.00 Rp -
Cetak Buku peningkatan Mutu Pelayanan Kesehatan Dasar 47 buah Rp 255,000 Rp 11,985,000 - - -
Cetak Buku peningkatan Mutu Pelayanan Kesehatan Dasar 70 buah Rp 111,300 Rp 7,791,000
Cetak Buku peningkatan Mutu Pelayanan Kesehatan Dasar 50 buah Rp 250,060 Rp 12,503,000
JUMLAH BELANJA CETAK Rp 1,355,787,000.00 Rp 723,949,000.00 Rp 14,863,000.00
Page 115 of 288

(Rp) (Rp) (Rp)
23 November 2020 Primer Spanduk 25 Meter Rp 35,000 Rp 875,000
27 Agustus 2020 Primer Spanduk 15 Meter Rp 35,000 Rp 525,000
11 November 2020 Primer Spanduk 30 Meter Rp 35,000 Rp 1,050,000
30-Jan-20 Kesga Cetak Spanduk 4 meter 35,000 140,000
30-Dec-99 Kesga Cetak Spanduk 4 meter 35,000 140,000
9-Mar-20 Kesga Cetak Spanduk 4 meter 35,000 140,000
11-Feb-20 Kesga Cetak Spanduk 3 meter 35,000 105,000

Belanja Cetak Spanduk Pertemuan (2 Spanduk (satu 6 Meter Rp 35,000 Rp 210,000 6 Meter Rp 35,000 Rp 210,000 0 - 24 Februari 2020 Rp -
spanduk 3 m x 1 m)
Belanja Cetak Spanduk Pertemuan (2 Spanduk (satu 6 Meter Rp 35,000 Rp 210,000 6 Meter Rp 35,000 Rp 210,000 0 - 24 Februari 2020 Rp -
spanduk 3 m x 1 m)
Belanja Cetak Spanduk Pertemuan (2 Spanduk (satu 6 Meter Rp 35,000 Rp 210,000
spanduk 3 m x 1 m)
spanduk 3 m x 1 m)
10/03/20 Rujukan
spanduk 3 m x 1 m)
23/07/20 Rujukan
spanduk 3 m x 1 m)
01/09/20 Rujukan
spanduk 3 m x 1 m)
08/10/20 Rujukan 12 Meter Rp 35,000 Rp 420,000
spanduk 3 m x 1 m)
Rujukan 12 Meter Rp 35,000 Rp 420,000
spanduk 3 m x 1 m)
Rujukan 30 Meter Rp 35,000 Rp 1,050,000
spanduk 3 m x 1 m)
10/11/20 Rujukan
spanduk 3 m x 1 m)
10/11/20 Rujukan
spanduk 3 m x 1 m)
26 Februari 2020 SIMPK Spanduk Kegiatan Koordinasi Kesiap dan Kesiagaan 4 M Rp 30,000 120,000.00 4 M Rp 30,000 Rp 120,000 0 43,887 Rp 43,887 Rp -
21 Februari 2020 Umpeg Spanduk Peresmian PKM Cirendeu uk.4mX1m 2 Buah Rp 120,000 240,000.00 2 Buah Rp 120,000 Rp 240,000 0 43,882 Rp 43,882 Rp -
21 Februari 2020 Umpeg Spanduk Peresmian PKM Pamulang Timur uk.4mX1m 2 Buah Rp 120,000 240,000.00 2 Buah Rp 120,000 Rp 240,000 0 43,882 Rp 43,882 Rp -
18/02/20 Ptm Belanja Cetak Spanduk 1 Buah 140,000.00 1 Buah Rp 140,000 Rp 140,000 0 43,879 Rp 43,879 Rp -
140,000
Page 116 of 288

(Rp) (Rp) (Rp)
03/03/20 Ptm Belanja Cetak Spanduk 1 Buah 140,000.00 1 Buah Rp 140,000 Rp 140,000 0 43,893 Rp 43,893 Rp -
140,000
13/02/20 Ptm Belanja Cetak Spanduk 3 Buah 315,000.00

105,000

105,000

105,000
04/11/20 Ptm Belanja Cetak Spanduk 7 Buah 980,000.00 7 Buah Rp 140,000 Rp 980,000 0 04 November 2020 Rp 44,139 Rp -
140,000
7-Feb-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000.00 4 Meter Rp 30,000 Rp 120,000 0 43,874 Rp 43,868 Rp -
21-Aug-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000.00 4 Meter Rp 30,000 Rp 120,000 0 43,874 Rp 44,064 Rp -
1-Sep-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000.00 4 Meter Rp 30,000 Rp 120,000 0 43,874 Rp 44,075 Rp -
2-Mar-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000.00 4 Meter Rp 30,000 Rp 120,000 0 43,874 Rp 43,892 Rp -
6-Mar-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000.00 4 Meter Rp 30,000 Rp 120,000 0 43,874 Rp 43,896 Rp -
2-Nov-20 Gizi Cetak Spanduk 5 Meter 30,000 150,000.00 5 Meter Rp 30,000 Rp 150,000 0 43,874 Rp 44,137 Rp -
7-Oct-20 Gizi Cetak Spanduk 40 Meter 30,000 1,200,000.00 40 Meter Rp 30,000 Rp 1,200,000 0 43,874 Rp 44,111 Rp -
6-Nov-20 Gizi Cetak Spanduk 3 Meter 30,000 90,000.00 3 Meter Rp 30,000 Rp 90,000 0 43,874 Rp 44,141 Rp -

25 Februari 2020 PJKM 4 M Rp 30,000 120,000.00 4 M Rp 30,000 Rp 120,000 0 43,886 Rp 43,886 Rp -
13 Februari 2020 Spanduk Validasi Data Program Penyakit Tidak Menular 4 M Rp 35,000 140,000.00 4 M Rp 35,000 Rp 140,000 0 - Rp 43,874 Rp -

13 Februari 2020 4 M Rp 35,000 140,000.00 4 M Rp 35,000 Rp 140,000 0 - Rp 43,874 Rp -
Diabetes
13 Februari 2020 Spanduk Iva Test 4 M Rp 35,000 140,000.00 4 M Rp 35,000 Rp 140,000 0 - Rp 43,874 Rp -

06 Maret 2020 PJKM 3 M Rp 30,000 90,000.00 3 M Rp 30,000 Rp 90,000 0 43,896 Rp 43,896 Rp -
(Puskesmas)
10 Maret 2020 Umpeg Spanduk MTQ (uk.1mX4m) 2 Buah Rp 120,000 240,000.00 2 Buah Rp 120,000 Rp 240,000 Rp 43,900
Page 117 of 288

(Rp) (Rp) (Rp)
10 Maret 2020 Umpeg Spanduk MTQ (uk.1mX2m) 1 Buah Rp 60,000 60,000.00 1 Buah Rp 60,000 Rp 60,000
Cetak Spanduk 1 Paket Rp 750,000 750,000.00 1 Paket Rp 750,000 Rp 750,000
9 oktober 2020 Promkesjaor Cetak sepanduk,back drop,umbul umbul bahan flexi 780 meter 35,001 27,300,780
05 Agustus 2021 Umpeg Spanduk Dirgahayu RI Ke-75 (uk. 1.5mX5m) 3 Pcs Rp 225,000 675,000.00 3 Pcs Rp 225,000 Rp 675,000 0 Pcs Rp 44,413 Rp -
JUMLAH BELANJA CETAK SPANDUK Rp 128,815,780.00 Rp 7,995,000.00 Rp -
26 April 2020 Umpeg Air Mineral 208 Galon 20,000.00 4,160,000.00 208 Galon 20,000.00 Rp 4,160,000 0 Galon 20,000.00 Rp -
26 April 2020 Umpeg Aqua Mini 3 Dus 47,000.00 141,000.00 3 Dus 47,000.00 Rp 141,000 0 Dus 47,000.00 Rp -
26 April 2020 Umpeg Aqua Gelas 5 Karton 37,000.00 185,000.00 5 Karton 37,000.00 Rp 185,000 0 Karton 37,000.00 Rp -
08 Juni 2020 Umpeg Reffil Aqua Galon 100 Galon 20,000.00 2,000,000.00 100 Galon 20,000.00 Rp 2,000,000 0 Galon 20,000.00 Rp -
08 Juni 2020 Umpeg Aqua Gelas 40 Dus 38,000.00 1,520,000.00 40 Dus 38,000.00 Rp 1,520,000 0 Dus 38,000.00 Rp -
20 Mei 2020 Umpeg Aqua Galon 109 Galon 20,000.00 2,180,000.00 109 Galon 20,000.00 Rp 2,180,000 0 Galon 20,000.00 Rp -
20 Mei 2020 Umpeg Aqua Mini 1 Dus 47,000.00 47,000.00 1 Dus 47,000.00 Rp 47,000 0 Dus 47,000.00 Rp -
08 Juli 2020 Umpeg Aqua Galon 40 Galon 20,000.00 800,000.00 40 Galon 20,000.00 Rp 800,000 0 Galon 20,000.00 Rp -
08 Juli 2020 Umpeg Aqua Mini 10 Dus 45,000.00 450,000.00 10 Dus 45,000.00 Rp 450,000 0 Dus 45,000.00 Rp -
08 Juli 2020 Umpeg Aqua Gelas 15 Dus 38,000.00 570,000.00 15 Dus 38,000.00 Rp 570,000 0 Dus 38,000.00 Rp -
05 Agustus 2021 Umpeg Aqua Galon 120 Galon 20,000.00 2,400,000.00 120 Galon 20,000.00 Rp 2,400,000 0 Galon 20,000.00 Rp -
05 Agustus 2021 Umpeg Aqua Mini 10 Dus 48,000.00 480,000.00 10 Dus 48,000.00 Rp 480,000 0 Dus 48,000.00 Rp -
05 Agustus 2021 Umpeg Aqua Gelas 50 Dus 38,000.00 1,900,000.00 50 Dus 38,000.00 Rp 1,900,000 0 Dus 38,000.00 Rp -
11 Agustus 2020 Umpeg Kopi Kapal Api 80 Karton 175,000.00 14,000,000.00 80 Karton 175,000.00 Rp 14,000,000 0 Karton 175,000.00 Rp -
11 Agustus 2020 Umpeg Kopi uwak White Coffe 20 Karton 342,000.00 6,840,000.00 20 Karton 342,000.00 Rp 6,840,000 0 Karton 342,000.00 Rp -
11 Agustus 2020 Umpeg The Sari Wangi Kotak 3 Karton 406,000.00 1,218,000.00 3 Karton 406,000.00 Rp 1,218,000 0 Karton 406,000.00 Rp -
11 Agustus 2020 Umpeg Gula Lokal 100 Kg 30,000.00 3,000,000.00 100 Kg 30,000.00 Rp 3,000,000 0 Kg 30,000.00 Rp -
11 Agustus 2020 Umpeg Mie Instan 2,000 Pcs 5,000.00 10,000,000.00 2,000 Pcs 5,000.00 Rp 10,000,000 0 Pcs 5,000.00 Rp -
11 Agustus 2020 Umpeg Saus Sambal 115 Botol 28,000.00 3,220,000.00 115 Botol 28,000.00 Rp 3,220,000 0 Botol 28,000.00 Rp -
17 September 2021 Umpeg Reffil Aqua Galon 25 Galon 20,000 500,000.00 25 Galon 20,000.00 Rp 500,000 0 Galon 20,000.00 Rp -
17 September 2021 Umpeg Aqua Gelas 20 Dus 38,000 760,000.00 20 Dus 38,000.00 Rp 760,000 0 Dus 38,000.00 Rp -
Page 118 of 288

(Rp) (Rp) (Rp)
17 September 2021 Umpeg Aqua Galon 6 Galon 60,000 360,000.00 6 Galon 60,000.00 Rp 360,000 0 Galon 60,000.00 Rp -
17 September 2021 Umpeg Reffil Tabung Gas Elpiji 1 Tabung 150,000 150,000.00 1 Tabung 150,000.00 Rp 150,000 0 Tabung 150,000.00 Rp -
17 September 2021 Umpeg Aqua Botol 5 Dus 47,000 235,000.00 5 Dus 47,000.00 Rp 235,000 0 Dus 47,000.00 Rp -
27 Oktober 2021 Umpeg Kopi Kapal Api Spesial 300gr (1 Karton 9 bungkus) 18 Karton 174,000 3,132,000.00 18 Karton 174,000.00 Rp 3,132,000 0 Karton 174,000.00 Rp -
27 Oktober 2021 Umpeg Kopi Kapal Api Spesial Mix 25gr (1 Karton 12 Pak) 10 Karton 282,000 2,820,000.00 10 Karton 282,000.00 Rp 2,820,000 0 Karton 282,000.00 Rp -
27 Oktober 2021 Umpeg Kopi Luwak White coffie ( 1 karton 20 Renceng) 6 Karton 341,000 2,046,000.00 6 Karton 341,000.00 Rp 2,046,000 0 Karton 341,000.00 Rp -
27 Oktober 2021 Umpeg The Sari Wangi Kotak 25"S ( 1 Karton 48 Dus) 2 Karton 408,000 816,000.00 2 Karton 408,000.00 Rp 816,000 0 Karton 408,000.00 Rp -
27 Oktober 2021 Umpeg Gula Lokal 100 kG 29,000 2,900,000.00 100 kG 29,000.00 Rp 2,900,000 0 kG 29,000.00 Rp -
27 Oktober 2021 Umpeg Mie Instan 1,000 Pcs 5,500.00 5,500,000.00 1,000 Pcs 5,500.00 Rp 5,500,000 0 Pcs 5,500.00 Rp -
27 Oktober 2021 Umpeg Saus Sambal (355 ml) 80 Botol 29,000.00 2,320,000.00 80 Botol 29,000.00 Rp 2,320,000 0 Botol 29,000.00 Rp -
27 Oktober 2021 Umpeg Air Mineral Gelas 100 Karton 45,000.00 4,500,000.00 100 Karton 45,000.00 Rp 4,500,000 0 Karton 45,000.00 Rp -
27 Oktober 2021 Umpeg Air Mineral Botol Mini (330 ml 24 Botol) 50 Karton 55,000.00 2,750,000.00 50 Karton 55,000.00 Rp 2,750,000 0 Karton 55,000.00 Rp -
27 Oktober 2021 Umpeg Air Mineral Botol Tanggung (600 ml 24 Botol) 50 Karton 59,000.00 2,950,000.00 50 Karton 59,000.00 Rp 2,950,000 0 Karton 59,000.00 Rp -
26 Oktober 2021 Umpeg Air Mineral Reffil 140 Galon 20,000.00 2,800,000.00 140 Galon 20,000.00 Rp 2,800,000 0 Galon 20,000.00 Rp -
26 Oktober 2021 Umpeg Air Mineral Gelas 70 Dus 38,000.00 2,660,000.00 70 Dus 38,000.00 Rp 2,660,000 0 Dus 38,000.00 Rp -
15 Desember 2020 Umpeg 1 Paket 7,740,000.00 7,740,000.00 1 Paket 7,740,000.00 Rp 7,740,000 0 Paket 7,740,000.00 Rp -
JUMLAH BELANJA MAKANAN DAN MINUMAN HARIAN PEGAWAI Rp 150,375,000.00 Rp 114,982,500.00 Rp -

11 Mei 2020 Gizi 21,419 Buah 7,394.958 158,392,605 21,419 Buah 7,394.958 Rp 158,392,605.402 0 0 Buah Rp -
11 Mei 2020 Gizi 1 Buah 7,394.598 7,395 1 Buah 7,394.598 Rp 7,394.598 0 0 Buah Rp -
JUMLAH BELANJA MAKANAN DAN MINUMAN HARIAN PEGAWAI 158,400,000 158,400,000 -
Page 119 of 288

(Rp) (Rp) (Rp)
14/10/20 P2PM Tas Jumantik 360 Buah 46,080,000 360 Buah 7,394.958 Rp 2,662,184.880 0 0 Buah Rp -
128,000

167,000
P2PM Topi 360 Buah 14,220,000

39,500

29,500

51,500

1,500

53,500

2,000

10,000
JUMLAH BELANJA PAKAIAN OLAHRAGA Rp 215,700,000.00 Rp - Rp -
11-Nov-20 Promkesjaor belanja kaos atau baju HKN 250 buah Rp 147,000 36,750,000 250 Paket 147,000.000 Rp 36,750,000.000 0 Paket Paket Rp -
JUMLAH BELANJA PAKAIAN OLAHRAGA Rp 36,750,000.00 Rp 36,750,000.00 Rp -

(5.2.2.20.01)
24-Nov-20 Promkejaor piala juara 1 1 pcs Rp 500,000 500,000 1 Pcs 500,000.00 Rp 500,000 0 Pcs 150,000.00 Rp -
24-Nov-20 Promkejaor piala juara harapan 1 1 pcs Rp 150,000 150,000 1 Pcs 150,000.00 Rp 150,000 0 Pcs 150,000.00 Rp -
JUMLAH BELANJA HADIAH DAN PENGHARGAAN BERUPA BARANG Rp 8,608,000.00 Rp 1,700,000.00 Rp -

(5.2.2.39.01)
12 Maret 2020 Gizi Wajan 10 Buah Rp 206,400 Rp 2,064,000 10 Buah Rp 206,400 Rp 2,064,000 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Panci 10 Buah Rp 409,920 Rp 4,099,200 10 Buah Rp 409,920 Rp 4,099,200 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Kompor Gas 2Tungku 10 Buah Rp 417,600 Rp 4,176,000 10 Buah Rp 417,600 Rp 4,176,000 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Selang 10 Buah Rp 148,800 Rp 1,488,000 10 Buah Rp 148,800 Rp 1,488,000 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Tabung Gas LPG 3Kg 10 Buah Rp 240,000 Rp 2,400,000 10 Buah Rp 240,000 Rp 2,400,000 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Piring 20 Lusin Rp 144,000 Rp 2,880,000 20 Lusin Rp 144,000 Rp 2,880,000 0 Lusin Rp 43,902 Rp -
12 Maret 2020 Gizi Gelas 20 Lusin Rp 96,000 Rp 1,920,000 20 Lusin Rp 96,000 Rp 1,920,000 0 Lusin Rp 43,902 Rp -
12 Maret 2020 Gizi Sendok Sayur 10 Buah Rp 28,800 Rp 288,000 10 Buah Rp 28,800 Rp 288,000 0 Buah Rp 43,902 Rp -
Page 120 of 288

(Rp) (Rp) (Rp)
12 Maret 2020 Gizi Sodet 10 Buah Rp 28,800 Rp 288,000 10 Buah Rp 28,800 Rp 288,000 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Ballpoint 20 Lusin Rp 48,000 Rp 960,000 20 Lusin Rp 48,000 Rp 960,000 0 Lusin Rp 43,902 Rp -
12 Maret 2020 Gizi Buku Tulis 20 Pak Rp 40,320 Rp 806,400 20 Pak Rp 40,320 Rp 806,400 0 Pak Rp 43,902 Rp -
12 Maret 2020 Gizi Spidol Warna 20 Set Rp 19,200 Rp 384,000 20 Set Rp 19,200 Rp 384,000 0 Set Rp 43,902 Rp -
12 Maret 2020 Gizi Spidol Permanen 40 Pcs Rp 9,600 Rp 384,000 40 Pcs Rp 9,600 Rp 384,000 0 Pcs Rp 43,902 Rp -
12 Maret 2020 Gizi Kertas Manila 140 Lembar Rp 3,840 Rp 537,600 140 Lembar Rp 3,840 Rp 537,600 0 Lembar Rp 43,902 Rp -
12 Maret 2020 Gizi Kertas Orogami 60 Pak Rp 18,240 Rp 1,094,400 60 Pak Rp 18,240 Rp 1,094,400 0 Pak Rp 43,902 Rp -
12 Maret 2020 Gizi Gunting 20 Pcs Rp 19,200 Rp 384,000 20 Pcs Rp 19,200 Rp 384,000 0 Pcs Rp 43,902 Rp -
13 April 2020 Promkesjaor Wastafel+Instalasi 3 Unit Rp 2,200,000 Rp 6,600,000 3 Unit Rp 2,200,000 Rp 6,600,000 0 Unit Rp 43,934 Rp -

30 September 2020 Promkesjaor 50 Unit Rp 1,949,490 Rp 97,474,500 50 Unit Rp 1,949,490 Rp 97,474,500 0 Unit Rp 44,104 Rp -
115cm Bisa Digeser)

Umpeg Barang Untuk Diserahkan Kepada Masyarakat 1 Paket Rp 10,000,000 Rp 10,000,000 1 Paket Rp 10,000,000 Rp 10,000,000 Paket
14 Desember 2021 Umpeg Tong Sampah 2 in 1 100 Unit Rp 1,465,000 Rp 146,500,000 100 Unit Rp 1,465,000 Rp 146,500,000 Unit Rp 44,544
JUMLAH BELANJA BARANG UNTUK DISERAHKAN KEPADA MASYARAKAT Rp 414,453,600.00 Rp 411,053,600.00 Rp -
30 Juni 2020 Farmalkes Masker 3 Fly Earloop 5,000 Rp 200,000 Rp 1,000,000,000 5,000 - Rp 200,000 Rp 1,000,000,000 0 Rp 200,000 Rp -
30 Juni 2020 Farmalkes Masker 3 Fly Type Hijab 5,000 Rp 200,000 Rp 1,000,000,000 5,000 - Rp 200,000 Rp 1,000,000,000 0 Rp 200,000 Rp -
30 Juni 2020 Farmalkes Air Purifier 5 Rp 14,090,909 Rp 70,454,545 5 - Rp 14,090,909 Rp 70,454,545 0 Rp 14,090,909 Rp -
30 Juni 2020 Farmalkes Hazmat Non Medis 500 Rp 100,000 Rp 50,000,000 500 - Rp 100,000 Rp 50,000,000 0 Rp 100,000 Rp -
Page 121 of 288

(Rp) (Rp) (Rp)
Farmalkes 1 Rp 3,325,000 Rp 3,325,000 1 - Rp 3,325,000 Rp 3,325,000 0 Pcs Rp - Rp -
Farmalkes Masker N95 6,640 Pcs Rp 147,273 Rp 977,890,927 6,640 Pcs Rp 147,273 Rp 977,890,927 0 Pcs Rp - Rp -
08 Oktober 2020 Farmalkes 1 Rp 5,453,000 Rp 5,453,000 1 - Rp 5,453,000 Rp 5,453,000 0 Pcs Rp - Rp -
06 Mei 2020 Farmalkes Sprei Uk. 160 x 200 400 Pcs Rp 172,727.30 Rp 69,090,920.00 400 Pcs Rp 172,727 Rp 69,090,920 0 Pcs Rp 172,727.30 Rp -
06 Mei 2020 Farmalkes Selimut Uk. 120 x200 400 Pcs Rp 231,818.20 Rp 92,727,280.00 400 Pcs Rp 231,818 Rp 92,727,280 0 Pcs Rp 231,818.20 Rp -
06 Mei 2020 Farmalkes Sarung Bantal Uk. Standar 400 Pcs Rp 36,363.60 Rp 14,545,440.00 400 Pcs Rp 36,364 Rp 14,545,440 0 Pcs Rp 36,363.60 Rp -
06 Mei 2020 Farmalkes Masker Kain Biasa 20,000 Pcs Rp 7,272.73 Rp 145,454,600.00 20,000 Pcs Rp 7,273 Rp 145,454,600 0 Pcs Rp 7,272.73 Rp -
06 Mei 2020 Farmalkes Rompi RW 800 Pcs Rp 222,727.20 Rp 178,181,760.00 800 Pcs Rp 222,727 Rp 178,181,760 0 Pcs Rp 222,727.20 Rp -
06 Mei 2020 Farmalkes Coverall 1794 Pcs Rp 259,090.00 Rp 464,807,460.00 1,794 Pcs Rp 259,090 Rp 464,807,460 0 Pcs Rp 259,090.00 Rp -
06 Mei 2020 Farmalkes Coverall 1 Rp 260,705.00 Rp 260,705.00 1 Rp 260,705 Rp 260,705 Rp 260,705.00
06 Mei 2020 Farmalkes Vivadiag Covid 19 Rapid Test 5000 Pcs Rp 200,000.00 Rp 1,000,000,000.00 5,000 Pcs Rp 200,000 Rp 1,000,000,000 0 Pcs Rp 200,000.00 Rp -
27 Mei 2020 Farmalkes 3849 Pcs Rp 136,363.00 Rp 524,861,187 3,849 Pcs Rp 136,363 Rp 524,861,187 0 Pcs Rp 136,363.00 Rp -
Ukuran All Size)
27 Mei 2020 Farmalkes 1 Pcs Rp 138,813.00 Rp 138,813 1 Pcs Rp 138,813 Rp 138,813 0 Pcs Rp 138,813.00 Rp -
22 Mei 2020 Farmalkes Masker 3 ply Type Air Loop 5000 Box Rp 200,000.00 Rp 1,000,000,000 5,000 Box Rp 200,000 Rp 1,000,000,000 0 Box Rp 200,000.00 Rp -
22 Mei 2020 Farmalkes Masker 3 ply Type Hijab 5000 Box Rp 200,000.00 Rp 1,000,000,000 5,000 Box Rp 200,000 Rp 1,000,000,000 0 Box Rp 200,000.00 Rp -
11 Mei 2020 Farmalkes Catriedge Xpert Xpress SARS-COV-2 60 Box Rp 6,000,000.00 Rp 360,000,000 60 Box Rp 6,000,000 Rp 360,000,000 0 Box Rp 6,000,000.00 Rp -
11 Mei 2020 Farmalkes Vivadiag 30000 Pcs Rp 200,000.00 Rp 6,000,000,000 30,000 Pcs Rp 200,000 Rp 6,000,000,000 0 Pcs Rp 200,000.00 Rp -
11 Mei 2020 Farmalkes 6359 Pcs Rp 167,727.00 Rp 1,066,575,993 6,359 Pcs Rp 167,727 Rp 1,066,575,993 0 Pcs Rp 167,727.00 Rp -
Masker N95
JUMLAH BELANJA BTT (BELANJA TAK TERDUGA) COVID 19 Rp 15,023,937,091.20 Rp 15,023,937,091.20 Rp -
2. PENERIMAAN 1 JAN - 30 JUNI 2020 = #REF! 2. PENGELUARAN 1 JAN - 30 JUNI = #REF! 2. SISA PENGELUARAN 1 JAN - 30 JUNI 2020 #REF!
3. TOTAL PENERIMAAN 2020 = #REF! 3. TOTAL PENGELUARAN 2020 (1+2= #REF! 3. SALDO AKHIR 2020 (1+2) #REF!
4. TOTAL PENERIMAAN 2020 #REF!
#REF!


NIP. 19741220 200112 1 004 NIP. 19840406 201001 1 009
Page 122 of 288


No. Tanggal Penerimaan Pembelian Nama Barang Total (Rp) Untuk Satuan Harga Satuan Total (Rp) Ket.
(Rp) (Rp) (Rp)
ALAT TULIS KANTOR (5.2.2.01.01)
2014
01 Januari 2020 Stok Awal CDR Spindle 50 / CD R isi 100 (GT-PRO) isi 50 21 dus 192,372.00 4,039,812.00 Staff 0 dus 192,372.00 - 21 dus 192,372.00 4,039,812.00
01 Januari 2020 Stok Awal Odner Karton Kwitansi (Gema) 1 lusin 225,000.00 225,000.00 Staff 0 lusin 225,000.00 - 1 lusin 225,000.00 225,000.00
2015 -
01 Januari 2020 Stok Awal Kertas HVS A3 80gr, 500lbr per rim SINAR DUNIA 2 rim 85,000.00 170,000.00 Staff 0 rim 85,000.00 - 2 rim 85,000.00 170,000.00
01 Januari 2020 Stok Awal Kertas fax uk. 210/216 x 50 merk OJI FAX 20 rim 25,000.00 500,000.00 Staff 0 rim 25,000.00 - 20 rim 25,000.00 500,000.00
01 Januari 2020 Stok Awal DVD-R isi 50 spindle merk GT PRO 3 dus 210,000.00 630,000.00 Staff 1 dus 210,000.00 210,000.00 2 dus 210,000.00 420,000.00
2016 -
01 Januari 2020 Stok Awal Odner karton kwitansi merk BANTEX 2 lusin 255,000.00 510,000.00 Staff 0 lusin 255,000.00 - 2 lusin 255,000.00 510,000.00
01 Januari 2020 Stok Awal Paper cutter ukuran folio, rotary trimmer. merk V-Tech 3 Pcs 195,000.00 585,000.00 Staff 0 Pcs 195,000.00 - 3 Pcs 195,000.00 585,000.00
2017 -
01 Januari 2020 Stok Awal Kertas continous form 9 1/2 x 13, 5 ply merk ULS 6 dus 560,000.00 3,360,000.00 Staff 3 dus 560,000.00 1,680,000.00 3 dus 560,000.00 1,680,000.00
2018 -
01 Januari 2020 Stok Awal Binder klip No.155 merk JOYKO 60 kotak 7,800.00 468,000.00 Staff 0 kotak 7,800.00 - 60 kotak 7,800.00 468,000.00
01 Januari 2020 Stok Awal Isi stapler No.10 (1 kotak isi 20 box) merk JOYKO 2 kotak 58,200.00 116,400.00 Staff 2 kotak 58,200.00 116,400.00 0 kotak 58,200.00 -
01 Januari 2020 Stok Awal Isi cutter kecil, isi 5 pcs per tube merk Kenko 12 kotak 4,000.00 48,000.00 Staff 1 kotak 4,000.00 4,000.00 11 kotak 4,000.00 44,000.00
01 Januari 2020 Stok Awal Isi cutter besar, isi 5 pcs per tube merk Kenko 10 kotak 6,000.00 60,000.00 Staff 3 kotak 6,000.00 18,000.00 7 kotak 6,000.00 42,000.00
01 Januari 2020 Stok Awal Buku tulis isi 38 lembar, pack isi 10 buku merk YUVI 1 pack 29,500.00 29,500.00 Staff 1 pack 29,500.00 29,500.00 0 pack 29,500.00 -
01 Januari 2020 Stok Awal Kertas HVS A3 80gr merk SINARDUNIA 2 rim 90,000.00 180,000.00 Staff 0 rim 90,000.00 - 2 rim 90,000.00 180,000.00
01 Januari 2020 Stok Awal Amplop putih No. 90 merk PAPERLINE 8 kotak 22,000.00 176,000.00 Staff 8 kotak 22,000.00 176,000.00 0 kotak 22,000.00 -
01 Januari 2020 Stok Awal Ballpoint standard merk STANDARD AE 7 1 lusin 34,500.00 34,500.00 Staff 1 lusin 34,500.00 34,500.00 0 lusin 34,500.00 -
01 Januari 2020 Stok Awal Spidol white board merk STANDARD 5 Pcs 11,500.00 57,500.00 Staff 5 Pcs 11,500.00 57,500.00 0 Pcs 11,500.00 -
01 Januari 2020 Stok Awal Spidol permanent marker merk SHINING 4 Pcs 12,000.00 48,000.00 Staff 4 Pcs 12,000.00 48,000.00 0 Pcs 12,000.00 -
01 Januari 2020 Stok Awal Pensil 2B merk JOYKO 2 lusin 45,000.00 90,000.00 Staff 2 lusin 45,000.00 90,000.00 0 lusin 45,000.00 -
01 Januari 2020 Stok Awal Paper klip No. 1 merk KENKO 76 kotak 3,500.00 266,000.00 Staff 76 kotak 3,500.00 266,000.00 0 kotak 3,500.00 -
01 Januari 2020 Stok Awal Paper klip No. 3 merk GLORY 113 kotak 3,500.00 395,500.00 Staff 113 kotak 3,500.00 395,500.00 0 kotak 3,500.00 -
01 Januari 2020 Stok Awal Paper klip No. 5 merk JOYKO 110 kotak 5,000.00 550,000.00 Staff 90 kotak 5,000.00 450,000.00 20 kotak 5,000.00 100,000.00
01 Januari 2020 Stok Awal Binder klip No. 111 merk KENKO 156 kotak 6,000.00 936,000.00 Staff 91 kotak 6,000.00 546,000.00 65 kotak 6,000.00 390,000.00
01 Januari 2020 Stok Awal Binder klip No. 155 merk JOYKO 108 kotak 8,500.00 918,000.00 Staff 66 kotak 8,500.00 561,000.00 42 kotak 8,500.00 357,000.00
01 Januari 2020 Stok Awal Binder klip No. 260 merk KENKO 87 kotak 19,500.00 1,696,500.00 Staff 87 kotak 19,500.00 1,696,500.00 0 kotak 19,500.00 -
01 Januari 2020 Stok Awal Kertas penanda (Post It) 656 merk JOYKO 26 Pcs 10,000.00 260,000.00 Staff 26 Pcs 10,000.00 260,000.00 0 Pcs 10,000.00 -
01 Januari 2020 Stok Awal Kertas penanda (Post It) warna merk JOYKO 30 Pcs 49,000.00 1,470,000.00 Staff 30 Pcs 49,000.00 1,470,000.00 0 Pcs 49,000.00 -
01 Januari 2020 Stok Awal Isi stapler No. 10 merk DELI 30 kotak 48,000.00 1,440,000.00 Staff 30 kotak 48,000.00 1,440,000.00 0 kotak 48,000.00 -
01 Januari 2020 Stok Awal Odner karton F4 merk BANTEX 4 lusin 260,000.00 1,040,000.00 Staff 4 lusin 260,000.00 1,040,000.00 0 lusin 260,000.00 -
01 Januari 2020 Stok Awal Odner karton kwitansi merk BANTEX 5 lusin 165,000.00 825,000.00 Staff 5 lusin 165,000.00 825,000.00 0 lusin 165,000.00 -
01 Januari 2020 Stok Awal Box file merk TYLO 28 lusin 36,000.00 1,008,000.00 Staff 28 lusin 36,000.00 1,008,000.00 0 lusin 36,000.00 -
01 Januari 2020 Stok Awal Spring file F4 merk GRAND 23 lusin 12,000.00 276,000.00 Staff 23 lusin 12,000.00 276,000.00 0 lusin 12,000.00 -
01 Januari 2020 Stok Awal Business file F4 merk JENIA 5 Pcs 58,000.00 290,000.00 Staff 5 Pcs 58,000.00 290,000.00 0 Pcs 58,000.00 -
01 Januari 2020 Stok Awal Map bening F4 merk JOYKO 5 lusin 35,000.00 175,000.00 Staff 5 lusin 35,000.00 175,000.00 0 lusin 35,000.00 -
01 Januari 2020 Stok Awal Map kertas biasa merk R & R 10 pack 35,000.00 350,000.00 Staff 10 pack 35,000.00 350,000.00 0 pack 35,000.00 -
01 Januari 2020 Stok Awal Buku folio expedisi 100 lbr merk OAKLEY 41 Pcs 17,000.00 697,000.00 Staff 14 Pcs 17,000.00 238,000.00 27 Pcs 17,000.00 459,000.00
01 Januari 2020 Stok Awal Buku folio 100 lbr merk PAPERLINE 33 Pcs 25,000.00 825,000.00 Staff 16 Pcs 25,000.00 400,000.00 17 Pcs 25,000.00 425,000.00
01 Januari 2020 Stok Awal Double tape 1/2 inchi merk MUTU 21 Pcs 5,000.00 105,000.00 Staff 2 Pcs 5,000.00 10,000.00 19 Pcs 5,000.00 95,000.00
01 Januari 2020 Stok Awal Double tape 1 inchi HITAM non merk 16 Pcs 17,000.00 272,000.00 Staff 11 Pcs 17,000.00 187,000.00 5 Pcs 17,000.00 85,000.00
01 Januari 2020 Stok Awal Solasi kecil merk DAVIS 16 Pcs 10,000.00 160,000.00 Staff 9 Pcs 10,000.00 90,000.00 7 Pcs 10,000.00 70,000.00
01 Januari 2020 Stok Awal Lakban bening 2 inchi merk AURAPACK 12 Pcs 14,000.00 168,000.00 Staff 12 Pcs 14,000.00 168,000.00 0 Pcs 14,000.00 -
01 Januari 2020 Stok Awal Lakban hitam 36mm x 12yard merk DAVIS 6 Pcs 20,000.00 120,000.00 Staff 6 Pcs 20,000.00 120,000.00 0 Pcs 20,000.00 -
01 Januari 2020 Stok Awal Isi pensil mekanik 2,0 mm merk JOYKO 6 kotak 10,000.00 60,000.00 Staff 2 kotak 10,000.00 20,000.00 4 kotak 10,000.00 40,000.00
01 Januari 2020 Stok Awal Cutter Kecil L-300 merk PLUS 23 Pcs 11,000.00 253,000.00 Staff 9 Pcs 11,000.00 99,000.00 14 Pcs 11,000.00 154,000.00
01 Januari 2020 Stok Awal Cutter besar L-500 merk AMC 22 Pcs 20,000.00 440,000.00 Staff 16 Pcs 20,000.00 320,000.00 6 Pcs 20,000.00 120,000.00
Page 123 of 288
(Rp) (Rp) (Rp)
01 Januari 2020 Stok Awal Tinta stempel violet ungu merk PYRAMID 28 botol 15,000.00 420,000.00 Staff 8 botol 15,000.00 120,000.00 20 botol 15,000.00 300,000.00
01 Januari 2020 Stok Awal Kertas photo glossy paper A4 merk SPECTRA 9 pack 25,000.00 225,000.00 Staff 4 pack 25,000.00 100,000.00 5 pack 25,000.00 125,000.00
01 Januari 2020 Stok Awal Buku tulis biasa isi 38/40 lembar merk SIDU 36 pack 29,000.00 1,044,000.00 Staff 4 pack 29,000.00 116,000.00 32 pack 29,000.00 928,000.00
01 Januari 2020 Stok Awal Ziper bag folio merk DAVIS 26 Pcs 23,500.00 611,000.00 Staff 26 Pcs 23,500.00 611,000.00 0 Pcs 23,500.00 -
2019 -
01 Januari 2020 Stok Awal Kertas HVS A4 80gr, isi 500 lbr per rim merk Paper One 100 Rim 51,700.00 5,170,000.00 Staff 100 Rim 51,700.00 5,170,000.00 0 Rim 51,700.00 -
01 Januari 2020 Stok Awal Ballpoint ball liner medium merk Pilot 20 Lusin 207,000.00 4,140,000.00 Staff 20 Lusin 207,000.00 4,140,000.00 0 Lusin 207,000.00 -
01 Januari 2020 Stok Awal Spidol whiteboard warna hitam/biru merk Snowman 25 Pcs 8,000.00 200,000.00 Staff 25 Pcs 8,000.00 200,000.00 0 Pcs 8,000.00 -
01 Januari 2020 Stok Awal Spidol permanent marker warna hitam/biru merk Snowman 25 Pcs 14,000.00 350,000.00 Staff 25 Pcs 14,000.00 350,000.00 0 Pcs 14,000.00 -
01 Januari 2020 Stok Awal Trigonal klip No. 1 merk Joyko 200 Kotak 3,000.00 600,000.00 Staff 140 Kotak 3,000.00 420,000.00 60 Kotak 3,000.00 180,000.00
01 Januari 2020 Stok Awal Binder klip No.105 merk Joyko 192 Kotak 4,000.00 768,000.00 Staff 192 Kotak 4,000.00 768,000.00 0 Kotak 4,000.00 -
01 Januari 2020 Stok Awal Binder klip No.111 merk Joyko 200 Kotak 5,000.00 1,000,000.00 Staff 103 Kotak 5,000.00 515,000.00 97 Kotak 5,000.00 485,000.00
01 Januari 2020 Stok Awal Binder klip No.155 merk Joyko 200 Kotak 8,000.00 1,600,000.00 Staff 200 Kotak 8,000.00 1,600,000.00 0 Kotak 8,000.00 -
01 Januari 2020 Stok Awal Double tape 1/2 inci merk Subaru 50 Roll 4,500.00 225,000.00 Staff 14 Roll 4,500.00 63,000.00 36 Roll 4,500.00 162,000.00
01 Januari 2020 Stok Awal Double tape 2 inci merk Subaru 50 Roll 17,000.00 850,000.00 Staff 13 Roll 17,000.00 221,000.00 37 Roll 17,000.00 629,000.00
01 Januari 2020 Stok Awal Solasi kecil merk Nachi 6 Roll 8,000.00 48,000.00 Staff 6 Roll 8,000.00 48,000.00 0 Roll 8,000.00 -
01 Januari 2020 Stok Awal Lakban bening 2' merk Daimaru 30 Roll 10,000.00 300,000.00 Staff 30 Roll 10,000.00 300,000.00 0 Roll 10,000.00 -
01 Januari 2020 Stok Awal Lakban hitam 2' merk Daimaru 29 Roll 22,000.00 638,000.00 Staff 29 Roll 22,000.00 638,000.00 0 Roll 22,000.00 -
01 Januari 2020 Stok Awal Lem stick 25gr merk Kenko 21 Pcs 9,500.00 199,500.00 Staff 21 Pcs 9,500.00 199,500.00 0 Pcs 9,500.00 -
01 Januari 2020 Stok Awal Tip ex cair merk JOYKO 41 Pcs 5,500.00 225,500.00 Staff 41 Pcs 5,500.00 225,500.00 0 Pcs 5,500.00 -
01 Januari 2020 Stok Awal Stabillo aneka warna merk ZRM 50 Pcs 5,500.00 275,000.00 Staff 50 Pcs 5,500.00 275,000.00 0 Pcs 5,500.00 -
01 Januari 2020 Stok Awal Label stiker No. 121 T&J 20 Pack 6,500.00 130,000.00 Staff 20 Pack 6,500.00 130,000.00 0 Pack 6,500.00 -
01 Januari 2020 Stok Awal Cutter kecil A-300 merk Kenko 15 Pcs 6,000.00 90,000.00 Staff 14 Pcs 6,000.00 84,000.00 1 Pcs 6,000.00 6,000.00
01 Januari 2020 Stok Awal Cutter besar L-500 merk Kenko 15 Pcs 16,000.00 240,000.00 Staff 8 Pcs 16,000.00 128,000.00 7 Pcs 16,000.00 112,000.00
01 Januari 2020 Stok Awal Kertas Photo A4, glossy, 230 gr merk Eprint 20 Pack 29,000.00 580,000.00 Staff 3 Pack 29,000.00 87,000.00 17 Pack 29,000.00 493,000.00
01 Januari 2020 Stok Awal Kertas F4 HVS 70 gr 370 Rim 59,000.00 21,830,000.00 Staff 370 Rim 59,000.00 21,830,000.00 0 Rim 59,000.00 -
01 Januari 2020 Stok Awal Kertas A4 HVS 70 gr 63 Rim 52,000.00 3,276,000.00 Staff 63 Rim 52,000.00 3,276,000.00 0 Rim 52,000.00 -
JUMLAH BELANJA ALAT TULIS KANTOR 71,358,712.00 56,779,900.00 14,578,812.00
CETAK (5.2.2.06.01) Rp -
2016
01 Januari 2020 Stok Awal Format Surat Ketetapan Retribusi Daerah. 12 rim Rp 85,000 1,020,000.00 Staff 0 rim 85,000.00 - 12 rim Rp 85,000 1,020,000.00
01 Januari 2020 Stok Awal Format Surat Ketetapan Retribusi Daerah Lebih Bayar. 5 rim Rp 85,000 425,000.00 Staff 0 rim 85,000.00 - 5 rim Rp 85,000 425,000.00
01 Januari 2020 Stok Awal Format Surat Tagihan Retribusi Daerah. 6 rim Rp 85,000 510,000.00 Staff 0 rim 85,000.00 - 6 rim Rp 85,000 510,000.00
2017 -
01 Januari 2020 Stok Awal Cetak amplop surat dinas 120 pack Rp 51,150 6,138,000.00 Staff 0 pack 51,150.00 - 120 pack Rp 51,150 6,138,000.00
01 Januari 2020 Stok Awal Map Dinas Kesehatan 4 Pcs Rp 9,900 39,600.00 Staff 4 Pcs 9,900.00 39,600.00 0 Pcs Rp 9,900 -
01 Januari 2020 Stok Awal Lembar disposisi 21 buku Rp 34,100 716,100.00 Staff 21 buku 34,100.00 716,100.00 0 buku Rp 34,100 -
2019 -
01 Januari 2020 Stok Awal Amplop surat dinas 180 buku Rp 51,000 9,180,000.00 Staff 0 buku 51,000.00 - 180 buku Rp 51,000 9,180,000.00
01 Januari 2020 Stok Awal Map biasa cetak satu Muka warna 1150 buah Rp 10,450 12,017,500.00 Staff 1150 buah 10,450.00 12,017,500.00 0 buah Rp 10,450 -
01 Januari 2020 Stok Awal kop surat dinas 25 Rim Rp 260,000 6,500,000.00 Staff 7 Rim 260,000.00 1,820,000.00 18 Rim Rp 260,000 4,680,000.00
01 Januari 2020 Stok Awal Kop Surat Dinas (walikota) 1 Rim Rp 520,000 520,000.00 Staff 0 Rim 520,000.00 - 1 Rim Rp 520,000 520,000.00
01 Januari 2020 Stok Awal Lembar Disposisi 190 buku Rp 32,500 6,175,000.00 Staff 99 buku 32,500.00 3,217,500.00 91 buku Rp 32,500 2,957,500.00
01 Januari 2020 Stok Awal Box Arsip 480 buah Rp 29,700 14,256,000.00 Staff 80 buah 29,700.00 2,376,000.00 400 buah Rp 29,700 11,880,000.00
JUMLAH BELANJA CETAK Rp 57,497,200.00 Rp 20,186,700.00 Rp 37,310,500.00

BAHAN PEMBERSIH (522.01.05)
2013
01 Januari 2020 Stok Awal Sikat lantai merk NAGOYA 7 Pcs Rp 33,300.00 233,100.00 Staff 7 Pcs 33,300.00 233,100.00 0 Pcs Rp 33,300.00 -
01 Januari 2020 Stok Awal Window washer 24 Pcs Rp 52,900.00 1,269,600.00 Staff 5 Pcs 52,900.00 264,500.00 19 Pcs Rp 52,900.00 1,005,100.00
01 Januari 2020 Stok Awal Floor sign 8 Pcs Rp 62,400.00 499,200.00 Staff 6 Pcs 62,400.00 374,400.00 2 Pcs Rp 62,400.00 124,800.00
01 Januari 2020 Stok Awal Kain lobby refill 80cm 43 Pcs Rp 58,200.00 2,502,600.00 Staff 18 Pcs 58,200.00 1,047,600.00 25 Pcs Rp 58,200.00 1,455,000.00
01 Januari 2020 Stok Awal Pembersih kaca merk Muscle 7 galon Rp 41,000.00 287,000.00 Staff 7 galon 41,000.00 287,000.00 0 galon Rp 41,000.00 -
01 Januari 2020 Stok Awal Pembersih kaca YURI 3,7L 2 galon Rp 28,800.00 57,600.00 Staff 2 galon 28,800.00 57,600.00 0 galon Rp 28,800.00 -
01 Januari 2020 Stok Awal Tempat sampah besar 1 Pcs Rp 250,000.00 250,000.00 Staff 1 Pcs 250,000.00 250,000.00 0 Pcs Rp 250,000.00 -
2019
01 Januari 2020 Stok Awal Tisu roll merk Nice 90 Pcs Rp 40,178.00 3,616,020.00 Staff 90 Pcs 40,178.00 3,616,020.00 0 Pcs Rp 40,178.00 -
01 Januari 2020 Stok Awal Sikat Kamar Mandi 18 Botol Rp 30,500.00 549,000.00 Staff 12 Botol 30,500.00 366,000.00 6 Botol Rp 30,500.00 183,000.00
Page 124 of 288

(Rp) (Rp) (Rp)
01 Januari 2020 Stok Awal Lem Tikus 4 Pcs Rp 22,000.00 88,000.00 Staff 4 Pcs 22,000.00 88,000.00 0 Pcs Rp 22,000.00 -
01 Januari 2020 Stok Awal Prostek 12 Botol Rp 22,550.00 270,600.00 Staff 12 Botol 22,550.00 270,600.00 0 Botol Rp 22,550.00 -
01 Januari 2020 Stok Awal Detergen Rinso 7 Bungkus Rp 25,300.00 177,100.00 Staff 7 Bungkus 25,300.00 177,100.00 0 Bungkus Rp 25,300.00 -
01 Januari 2020 Stok Awal Sunlight 10 Bungkus Rp 19,800.00 198,000.00 Staff 10 Bungkus 19,800.00 198,000.00 0 Bungkus Rp 19,800.00 -
01 Januari 2020 Stok Awal Refill Pengharum Ruangan (Calmic) 11 Buah Rp 46,200.00 508,200.00 Staff 11 Buah 46,200.00 508,200.00 0 Buah Rp 46,200.00 -
01 Januari 2020 Stok Awal Tempat Sampah Sedang 4 Buah Rp 56,100.00 224,400.00 Staff 4 Buah 56,100.00 224,400.00 0 Buah Rp 56,100.00 -
01 Januari 2020 Stok Awal Kanebo 11 Pcs Rp 51,700.00 568,700.00 Staff 11 Pcs 51,700.00 568,700.00 0 Pcs Rp 51,700.00 -
01 Januari 2020 Stok Awal Sapu Lidi 2 Pcs Rp 63,800.00 127,600.00 Staff 2 Pcs 63,800.00 127,600.00 0 Pcs Rp 63,800.00 -
01 Januari 2020 Stok Awal Pengki plastik Lion Star 2 Pcs Rp 49,940.00 99,880.00 Staff 2 Pcs 49,940.00 99,880.00 0 Pcs Rp 49,940.00 -
JUMLAH BELANJA PEMBERSIH Rp 11,526,600.00 Rp 8,758,700.00 Rp 2,767,900.00
GIZI
01 Januari 2020 Stok Awal PMT Anak Sekolah 36,000 Kg Rp 2,745 98,802,000.00 Progm 36000 Kg 2,744.50 98,802,000.00 0 Kg Rp 2,745 -
JUMLAH PMT Rp 98,802,000.00 Rp 98,802,000.00
TOTAL STOCK AWAL TA.2020 Rp 239,184,512.00 Rp 184,527,300.00 Rp 54,657,212.00
2.
20 Januari 2020 Umpeg Tinta Epson T664(BK) 7 Kali Rp 82,500 577,500.00 7 Kali Rp 82,500 Rp 577,500 0 Kali Rp 82,500 Rp -
20 Januari 2020 Umpeg Tinta Epson T664 m 4 Kali Rp 82,500 330,000.00 4 Kali Rp 82,500 Rp 330,000 0 Kali Rp 82,500 Rp -
23 Januari 2020 Promkes;ingkesjaor Note Book 8 Pack 70,000.00 560,000.00 8 Pack Rp 70,000 Rp 560,000 0 Pack Rp 70,000 Rp -
23 Januari 2020 Promkes;ingkesjaor Flipchart 1 Ball 154,000.00 154,000.00 1 Ball Rp 154,000 Rp 154,000 0 Ball Rp 154,000 Rp -
23 Januari 2020 Promkes;ingkesjaor Spidol 10 Pcs 3,000.00 30,000.00 10 Pcs Rp 3,000 Rp 30,000 0 Pcs Rp 3,000 Rp -
23 Januari 2020 Promkes;ingkesjaor Lakban 1 Roll 12,000.00 12,000.00 1 Roll Rp 12,000 Rp 12,000 0 Roll Rp 12,000 Rp -
23 Januari 2020 Promkes;ingkesjaor Ballpoint 8 Pack 18,000.00 144,000.00 8 Pack Rp 18,000 Rp 144,000 0 Pack Rp 18,000 Rp -
13 Juli 2020 Umpeg Tinta Epson T664 (M) 9 Pcs 82,500.00 742,500.00 9 Pcs Rp 82,500 Rp 742,500 0 Pcs Rp 82,500 Rp -
- Rp -
03 Februari 2020 Perencanaan Kertas HVS F4 70gr 2 Rim 54,000.00 108,000.00 2 Rim Rp 54,000 Rp 108,000 0 Rim Rp 54,000 Rp -
Page 125 of 288

(Rp) (Rp) (Rp)
10 Februari 2020 Perencanaan Reffil Tinta 1 Rim 345,000.00 345,000.00 1 Rim Rp 345,000 Rp 345,000 0 Rim Rp 345,000 Rp -
17 Februari 2020 Umpeg Reffil Reman Toner HP 78A 9 Pcs 283,000.00 2,547,000.00 9 Pcs Rp 283,000 Rp 2,547,000 0 Pcs Rp 283,000 Rp -
17 Februari 2020 Umpeg Reffil Reman Toner HP 30A (+Chip) 4 Pcs 319,000.00 1,276,000.00 4 Pcs Rp 319,000 Rp 1,276,000 0 Pcs Rp 319,000 Rp -
17 Februari 2020 Umpeg Reffil Reman Toner Canon LBP 3010 1 Pcs 283,000.00 283,000.00 1 Pcs Rp 283,000 Rp 283,000 0 Pcs Rp 283,000 Rp -
17 Februari 2020 Umpeg Reffil Reman Toner Canon 83A 1 Pcs 307,000.00 307,000.00 1 Pcs Rp 307,000 Rp 307,000 0 Pcs Rp 307,000 Rp -
14 Februari 2020 Gizi Notebook 30 Buah 7,500.00 225,000.00 30 Buah Rp 7,500 Rp 225,000 0 Buah Rp 7,500 Rp -
14 Februari 2020 Gizi Kertas Flipchart 2 Gulung 45,000.00 90,000.00 2 Gulung Rp 45,000 Rp 90,000 0 Gulung Rp 45,000 Rp -
14 Februari 2020 Gizi Map Plastik 3 Lusin 55,000.00 165,000.00 3 Lusin Rp 55,000 Rp 165,000 0 Lusin Rp 55,000 Rp -
14 Februari 2020 Gizi Kertas Manila 5 Lembar 3,500.00 17,500.00 5 Lembar Rp 3,500 Rp 17,500 0 Lembar Rp 3,500 Rp -
14 Februari 2020 Gizi Ballpoint 3 Lusin 32,000.00 96,000.00 3 Lusin Rp 32,000 Rp 96,000 0 Lusin Rp 32,000 Rp -
14 Februari 2020 Gizi Spidol 10 Buah 8,000.00 80,000.00 10 Buah Rp 8,000 Rp 80,000 0 Buah Rp 8,000 Rp -
10 Februari 2020 PJKM Kertas HVS 5 Rim 50,000.00 250,000.00 5 Rim Rp 50,000 Rp 250,000 0 Rim Rp 50,000 Rp -
07 Februari 2020 Promkes;ingkesjaor Notebook 50 Pcs 5,000.00 250,000.00 50 Pcs Rp 5,000 Rp 250,000 0 Pcs Rp 5,000 Rp -
07 Februari 2020 Promkes;ingkesjaor Ballpoint 4 Box 25,000.00 100,000.00 4 Box Rp 25,000 Rp 100,000 0 Box Rp 25,000 Rp -
20 Februari 2020 Perencanaan Reffil Tinta 1 Rim 345,000.00 345,000.00 1 Rim Rp 345,000 Rp 345,000 0 Rim Rp 345,000 Rp -
05 Maret 2020 Perencanaan Kertas HVS F4 70gr 2 Rim 54,000.00 108,000.00 2 Rim Rp 54,000 Rp 108,000 0 Rim Rp 54,000 Rp -
05 Maret 2020 Perencanaan Reffil Tinta 1 Rim 265,000.00 265,000.00 1 Rim Rp 265,000 Rp 265,000 0 Rim Rp 265,000 Rp -
10 Maret 2020 Umpeg Reman Toner HP 78A 2 Kali Rp 283,000 566,000.00 2 Kali Rp 283,000 Rp 566,000 0 Kali Rp 283,000 Rp -
10 Maret 2020 Umpeg Tinta Epson T664(BK) 1 Kali Rp 82,500 82,500.00 1 Kali Rp 82,500 Rp 82,500 0 Kali Rp 82,500 Rp -
10 Maret 2020 Umpeg Tinta Epson T664 m 1 Kali Rp 82,500 82,500.00 1 Kali Rp 82,500 Rp 82,500 0 Kali Rp 82,500 Rp -
26 Maret 2020 Umpeg Reffil Ream Toner HP 78A 6 Pcs 283,000.00 1,698,000.00 6 Pcs Rp 283,000 Rp 1,698,000.00 0 Pcs Rp 283,000 Rp -
26 Maret 2020 Umpeg Reffil Ream Toner HP 35A 2 Pcs 283,000.00 566,000.00 2 Pcs Rp 283,000 Rp 566,000.00 0 Pcs Rp 283,000 Rp -
Page 126 of 288

(Rp) (Rp) (Rp)
13 Agustus 2020 Gizi Map Kancing 2 Lusin 55,000.00 110,000.00 2 Lusin Rp 55,000 Rp 110,000.00 0 Lusin Rp 55,000 Rp -
13 Agustus 2020 Gizi Ballpoint 1 Lusin 41,000.00 41,000.00 1 Lusin Rp 41,000 Rp 41,000.00 0 Lusin Rp 41,000 Rp -
13 Agustus 2020 Gizi Ballpoint Baliner 1 Lusin 180,000.00 180,000.00 1 Lusin Rp 180,000 Rp 180,000.00 0 Lusin Rp 180,000 Rp -
13 Agustus 2020 Gizi Kertas HVS F4 7 Rim 50,000.00 350,000.00 7 Rim Rp 50,000 Rp 350,000.00 0 Rim Rp 50,000 Rp -
13 Agustus 2020 Gizi Post it 2 Pad 9,000.00 18,000.00 2 Pad Rp 9,000 Rp 18,000.00 0 Pad Rp 9,000 Rp -
18 Agustus 2020 Umpeg Kertas HVS A4 70gr Bola Dunia 80 Rim Rp 48,400 3,872,000.00 80 Rim Rp 48,400 Rp 3,872,000.00 0 Rim Rp 48,400 Rp -
18 Agustus 2020 Umpeg Kertas HVS A4 80gr Bola Dunia 90 Rim Rp 53,900 4,851,000.00 80 Rim Rp 53,900 Rp 4,312,000.00 10 Rim Rp 53,900 Rp 539,000
18 Agustus 2020 Umpeg Kertas Cont. Form 14 7/8x11 4ply Tricom 15 Box Rp 528,000 7,920,000.00 15 Box Rp 528,000 Rp 7,920,000.00 0 Box Rp 528,000 Rp -
18 Agustus 2020 Umpeg Amplop Putih 110 Paper Line 100 Pak Rp 27,500 2,750,000.00 36 Pak Rp 27,500 Rp 990,000.00 64 Pak Rp 27,500 Rp 1,760,000
18 Agustus 2020 Umpeg Amplop Putih 90 Paper Line 50 Pak Rp 31,900 1,595,000.00 30 Pak Rp 31,900 Rp 957,000.00 20 Pak Rp 31,900 Rp 638,000
18 Agustus 2020 Umpeg Ballpoint Standart AE7 30 Lusin Rp 33,000 990,000.00 30 Lusin Rp 33,000 Rp 990,000.00 0 Lusin Rp 33,000 Rp -
18 Agustus 2020 Umpeg Ballpoint Boldliner Boliner Standart 3 Lusin Rp 275,000 825,000.00 3 Lusin Rp 275,000 Rp 825,000.00 0 Lusin Rp 275,000 Rp -
18 Agustus 2020 Umpeg Spidol White Board Snowman 20 Pcs Rp 9,900 198,000.00 20 Pcs Rp 9,900 Rp 198,000.00 0 Pcs Rp 9,900 Rp -
18 Agustus 2020 Umpeg Spidol Marker Permanet Snowman 50 Pcs Rp 8,800 440,000.00 50 Pcs Rp 8,800 Rp 440,000.00 0 Pcs Rp 8,800 Rp -
18 Agustus 2020 Umpeg Paper Klip No. 5 Joyko 50 Kotak Rp 5,500 275,000.00 0 Kotak Rp 5,500 Rp - 50 Kotak Rp 5,500 Rp 275,000
18 Agustus 2020 Umpeg Binder Klip No. 260 Joyko 45 Kotak Rp 26,400 1,188,000.00 30 Kotak Rp 26,400 Rp 792,000.00 15 Kotak Rp 26,400 Rp 396,000
18 Agustus 2020 Umpeg Map Kertas Biasa Tricom 30 Pak Rp 96,800 2,904,000.00 30 Pak Rp 96,800 Rp 2,904,000.00 0 Pak Rp 96,800 Rp -
18 Agustus 2020 Umpeg Solasi Kecil Nanko 20 Roll Rp 4,400 88,000.00 0 Roll Rp 4,400 Rp - 20 Roll Rp 4,400 Rp 88,000
18 Agustus 2020 Umpeg Lakban Bening 2" Nanko 20 Roll Rp 14,300 286,000.00 6 Roll Rp 14,300 Rp 85,800.00 14 Roll Rp 14,300 Rp 200,200
18 Agustus 2020 Umpeg Lakban Hitam 2"Nanko 30 Roll Rp 24,200 726,000.00 15 Roll Rp 24,200 Rp 363,000.00 15 Roll Rp 24,200 Rp 363,000
18 Agustus 2020 Umpeg Lem Stik 25gr Joyko 100 Pcs Rp 9,900 990,000.00 85 Pcs Rp 9,900 Rp 841,500.00 15 Pcs Rp 9,900 Rp 148,500
18 Agustus 2020 Umpeg Tip X Roll 5mmx12m Joyko 50 Pcs Rp 9,900 495,000.00 50 Pcs Rp 9,900 Rp 495,000.00 0 Pcs Rp 9,900 Rp -
18 Agustus 2020 Umpeg StaflerNo. 10 Max 35 Pcs Rp 22,000 770,000.00 35 Pcs Rp 22,000 Rp 770,000.00 0 Pcs Rp 22,000 Rp -
18 Agustus 2020 Umpeg Isi Stafler No. 10 Max 50 Pack Rp 73,700 3,685,000.00 13 Pack Rp 73,700 Rp 958,100.00 37 Pack Rp 73,700 Rp 2,726,900
18 Agustus 2020 Umpeg Penghapus White Board GM 10 Pcs Rp 9,900 99,000.00 0 Pcs Rp 9,900 Rp - 10 Pcs Rp 9,900 Rp 99,000
18 Agustus 2020 Umpeg Post It Notes Warna Pronto 20 Pcs Rp 13,200 264,000.00 13 Pcs Rp 13,200 Rp 171,600.00 7 Pcs Rp 13,200 Rp 92,400
18 Agustus 2020 Umpeg Zipper Bag Folio Retseleting Standart 100 Pcs Rp 21,600 2,160,000.00 18 Pcs Rp 21,600 Rp 388,800.00 82 Pcs Rp 21,600 Rp 1,771,200
18 Agustus 2020 Umpeg Bussinnes File Folder One 100 Pcs Rp 4,400 440,000.00 24 Pcs Rp 4,400 Rp 105,600.00 76 Pcs Rp 4,400 Rp 334,400
18 Agustus 2020 Umpeg Pensil Faber Castel 2B Faber Castel 50 Lusin Rp 71,500 3,575,000.00 14 Lusin Rp 71,500 Rp 1,001,000.00 36 Lusin Rp 71,500 Rp 2,574,000
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(Rp) (Rp) (Rp)
18 Agustus 2020 Umpeg Map Bening F4 Folder One 100 Lusin Rp 28,600 2,860,000.00 86 Lusin Rp 28,600 Rp 2,459,600.00 14 Lusin Rp 28,600 Rp 400,400
18 Agustus 2020 Umpeg Box File F4 Bandex 100 Pcs Rp 42,900 4,290,000.00 87 Pcs Rp 42,900 Rp 3,732,300.00 13 Pcs Rp 42,900 Rp 557,700
18 Agustus 2020 Umpeg Clear Holder 40 Lembar F4 Felix 80 Pcs Rp 38,500 3,080,000.00 80 Pcs Rp 38,500 Rp 3,080,000.00 0 Pcs Rp 38,500 Rp -
18 Agustus 2020 Umpeg Post It Plastik Combo 150 Pcs Rp 13,200 1,980,000.00 135 Pcs Rp 13,200 Rp 1,782,000.00 15 Pcs Rp 13,200 Rp 198,000
18 Agustus 2020 Umpeg Odner Besar Bindex Folio Bindex 50 Pcs Rp 40,700 2,035,000.00 39 Pcs Rp 40,700 Rp 1,587,300.00 11 Pcs Rp 40,700 Rp 447,700
18 Agustus 2020 Umpeg Ribbon Printer Epson DFX 9000 Epson 5 Buah Rp 418,000 2,090,000.00 5 Buah Rp 418,000 Rp 2,090,000.00 0 Buah Rp 418,000 Rp -
18 Agustus 2020 Umpeg Ribbon Printer Epson LQ/LX 310Epson 10 Buah Rp 91,200 912,000.00 0 Buah Rp 91,200 Rp - 10 Buah Rp 91,200 Rp 912,000
18 Agustus 2020 Umpeg Catried HP 680 Black HP 5 Buah Rp 180,000 900,000.00 0 Buah Rp 180,000 Rp - 5 Buah Rp 180,000 Rp 900,000
18 Agustus 2020 Umpeg Catried HP 680 Colour HP 5 Buah Rp 172,800 864,000.00 0 Buah Rp 172,800 Rp - 5 Buah Rp 172,800 Rp 864,000
18 September 2021 Umpeg Reffil Tinta Toner HP CE 278/35A 5 Buah Rp 295,000 1,475,000.00 5 Buah Rp 295,000 Rp 1,475,000.00 0 Buah Rp 295,000 Rp -
18 September 2021 Umpeg Reffil Tinta Toner HP CF283A 5 Buah Rp 319,000 1,595,000.00 5 Buah Rp 319,000 Rp 1,595,000.00 0 Buah Rp 319,000 Rp -
18 September 2021 Umpeg Reffil Toner HP CF283A 1 Buah Rp 319,000 319,000.00 1 Buah Rp 319,000 Rp 319,000.00 0 Buah Rp 319,000 Rp -
18 September 2021 Umpeg Tinta Epson t664 (C) 2 Buah Rp 94,500 189,000.00 2 Buah Rp 94,500 Rp 189,000.00 0 Buah Rp 94,500 Rp -
18 September 2021 Umpeg Tinta Epson t664 (M) 2 Buah Rp 94,500 189,000.00 2 Buah Rp 94,500 Rp 189,000.00 0 Buah Rp 94,500 Rp -
18 September 2021 Umpeg Tinta Epson t664 (Y) 2 Buah Rp 94,500 189,000.00 2 Buah Rp 94,500 Rp 189,000.00 0 Buah Rp 94,500 Rp -
18 September 2021 Umpeg Reffil Tinta Toner HP CE 278/35A 3 Buah Rp 295,000 885,000.00 3 Buah Rp 295,000 Rp 885,000.00 0 Buah Rp 295,000 Rp -
18 September 2021 Umpeg Reffil Tinta Toner HP CF283A 3 Buah Rp 319,000 957,000.00 3 Buah Rp 319,000 Rp 957,000.00 0 Buah Rp 319,000 Rp -
25 September 2020 Umpeg Reffil Reman Toner HP CE283A 8 Pcs Rp 319,000 2,552,000.00 8 Pcs Rp 319,000 Rp 2,552,000.00 0 Pcs Rp 319,000 Rp -
25 September 2020 Umpeg Reffil Reman Toner HP 48A (+Chip) 3 Pcs Rp 306,800 920,400.00 3 Pcs Rp 306,800 Rp 920,400.00 0 Pcs Rp 306,800 Rp -
25 September 2020 Umpeg Tinta Epson T664 (BK) 10 Pcs Rp 94,500 945,000.00 10 Pcs Rp 94,500 Rp 945,000.00 0 Pcs Rp 94,500 Rp -
19 Oktober 2020 Umpeg Reffil Reman Toner HP CE278/35A 12 Rp 295,000 3,540,000.00 12 0 Rp 295,000 Rp 3,540,000.00 0 0 Rp 295,000 Rp -
19 Oktober 2020 Umpeg Reffil Reman Toner HP 48A (+Chip) 8 Rp 319,000 2,552,000.00 8 0 Rp 319,000 Rp 2,552,000.00 0 0 Rp 319,000 Rp -
19 Oktober 2020 Umpeg Tinta Epson T664 (BK) 11 Rp 94,500 1,039,500.00 11 0 Rp 94,500 Rp 1,039,500.00 0 0 Rp 94,500 Rp -
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 BK) 3 Rp 100,000 300,000.00 3 0 Rp 100,000 Rp 300,000.00 0 0 Rp 100,000 Rp -
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 C) 3 Rp 100,000 300,000.00 3 0 Rp 100,000 Rp 300,000.00 0 0 Rp 100,000 Rp -
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 M) 3 Rp 100,000 300,000.00 3 0 Rp 100,000 Rp 300,000.00 0 0 Rp 100,000 Rp -
19 Oktober 2020 Umpeg Tinta Epson L6170 (001 Y) 3 Rp 100,000 300,000.00 3 0 Rp 100,000 Rp 300,000.00 0 0 Rp 100,000 Rp -
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(Rp) (Rp) (Rp)
27 Oktober 2021 Umpeg Reffil /Reman Toner HP CE278/36A 11 Pcs Rp 295,000 3,245,000.00 Staff 11 Pcs Rp 295,000 Rp 3,245,000.00 0 Pcs Rp 295,000 Rp -
27 Oktober 2021 Umpeg Reffil /Reman Toner HP CF283A 6 Pcs Rp 319,000 1,914,000.00 6 Pcs Rp 319,000 Rp 1,914,000.00 0 Pcs Rp 319,000 Rp -
27 Oktober 2021 Umpeg Reffil /Reman Toner HP 48A (+Chip) 3 Pcs Rp 306,800 920,400.00 3 Pcs Rp 306,800 Rp 920,400.00 0 Pcs Rp 306,800 Rp -
27 Oktober 2021 Umpeg Tinta Epson T664 (BK) 5 Pcs Rp 94,500 472,500.00 5 Pcs Rp 94,500 Rp 472,500.00 0 Pcs Rp 94,500 Rp -
27 Oktober 2021 Umpeg Tinta Epson T664 (C) 5 Pcs Rp 94,500 472,500.00 5 Pcs Rp 94,500 Rp 472,500.00 0 Pcs Rp 94,500 Rp -
27 Oktober 2021 Umpeg Tinta Epson T664 (M) 5 Pcs Rp 94,500 472,500.00 5 Pcs Rp 94,500 Rp 472,500.00 0 Pcs Rp 94,500 Rp -
27 Oktober 2021 Umpeg Tinta Epson T664 (Y) 5 Pcs Rp 94,500 472,500.00 5 Pcs Rp 94,500 Rp 472,500.00 0 Pcs Rp 94,500 Rp -
27 Oktober 2021 Umpeg Tinta Canon 790 (BK) 2 Pcs Rp 100,000 200,000.00 2 Pcs Rp 100,000 Rp 200,000.00 0 Pcs Rp 100,000 Rp -
27 Oktober 2021 Umpeg Tinta Canon 790 (C) 2 Pcs Rp 100,000 200,000.00 2 Pcs Rp 100,000 Rp 200,000.00 0 Pcs Rp 100,000 Rp -
27 Oktober 2021 Umpeg Tinta Canon 790 (M) 2 Pcs Rp 100,000 200,000.00 2 Pcs Rp 100,000 Rp 200,000.00 0 Pcs Rp 100,000 Rp -
27 Oktober 2021 Umpeg Tinta Canon 790 (Y) 2 Pcs Rp 100,000 200,000.00 2 Pcs Rp 100,000 Rp 200,000.00 0 Pcs Rp 100,000 Rp -
- Rp -
23/11/20 DINKES PJKM 1 500,000.00 1 0 Rp 500,000 Rp 500,000.00 0 0 Rp 500,000 Rp -

500,000
23/11/20 DINKES EPAPOR 1 453,000.00 1 0 Rp 453,000 Rp 453,000.00 0 0 Rp 453,000 Rp -
453,000
719,000
610,000
562,000
744,000
745,000
615,000
453,000
399,000
345,000
638,000
744,000
453,000
718,000
216,000
399,000
54,000
453,000
690,000
03/12/20 DINKES SDMK Pulpen 1 Box 57,500.00 1 Box Rp 57,500 Rp 57,500.00 0 Box Rp 57,500 Rp -
57,500
03/12/20 DINKES SDMK Map Plastikk Kancing 2 Pak 140,000.00 2 Pak Rp 70,000 Rp 140,000.00 0 Pak Rp 70,000 Rp -
70,000
DINKES
07/12/20 PROMKESLINGKESJ 1 Paket 400,000 400,000.00 1 Paket Rp 400,000 Rp 400,000.00 0 Paket Rp 400,000 Rp -
AOR
25/11/21 Umpeg Kertas HVS F4 70gr Merk Bola Dunia 1250 Rim 50,039 62,548,750.00 80 Rim Rp 50,039 Rp 4,003,120.00 1170 Rim Rp 50,039 Rp 58,545,630
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(Rp) (Rp) (Rp)
25/11/21 Umpeg Kertas HVS F4 80gr Merk Bola Dunia 100 Rim 56,595 5,659,500.00 0 Rim Rp 56,595 Rp - 100 Rim Rp 56,595 Rp 5,659,500
25/11/21 Umpeg Toner HP Laser Jet 201A 1 Set (9 Black, Cyan, Yellow, Magenta Orginal) 3 Set 5,818,230 17,454,690.00 0 Set Rp 5,818,230 Rp - 3 Set Rp 5,818,230 Rp 17,454,690
JUMLAH BELANJA ALAT TULIS KANTOR Rp 298,355,440.00 Rp 188,588,820.00 Rp 109,766,620.00
27 Oktober 2021 Umpeg Kabel Roll (15 m Uticion CR-2815) 70 Buah 250,000.00 17,500,000.00 Kegiatan 70 Buah Rp 250,000 Rp 17,500,000.00 0 Buah Rp 44,496 Rp -
27 Oktober 2021 Umpeg Lampu Philips Tornado 20w E27 170 65,000.00 11,050,000.00 Kegiatan 170 0 Rp 65,000 Rp 11,050,000.00 0 0 Rp 44,496 Rp -
27 Oktober 2021 Umpeg Batterty A2 (ABS Alkaline) 20 90,000.00 1,800,000.00 Kegiatan 20 0 Rp 90,000 Rp 1,800,000.00 0 0 Rp 44,496 Rp -
27 Oktober 2021 Umpeg Batterty A3 (ABS Alkaline) 60 90,000.00 5,400,000.00 Kegiatan 60 0 Rp 90,000 Rp 5,400,000.00 0 0 Rp 44,496 Rp -
05 November 2021 Umpeg Kabel roll (5m Uticon CR-2815) 20 Buah 250,000.00 5,000,000.00 Kegiatan 20 Buah Rp 250,000 Rp 5,000,000.00 0 Buah Rp 44,505 Rp -
JUMLAH BELANJA ALAT LISTRIK Rp 40,750,000.00 Rp 40,750,000.00 Rp -

(5.2.2.01.04)
06 Februari 2020 Umpeg Materai 3000 475 Pcs 3,000.00 1,425,000.00 Kegiatan 475 Pcs Rp 3,000 Rp 1,425,000 0 Pcs 3,000.00 Rp -
06 Februari 2020 Umpeg Materai 6000 4900 Pcs 6,000.00 29,400,000.00 Kegiatan 4,900 Pcs Rp 6,000 Rp 29,400,000 0 Pcs 6,000.00 Rp -
19 Agustus 2020 Umpeg Materai 3000 475 Pcs 3,000.00 1,425,000.00 Kegiatan 475 Pcs Rp 3,000 Rp 1,425,000 0 Pcs 3,000.00 Rp -
19 Agustus 2020 Umpeg Materai 6000 4900 Pcs 6,000.00 29,400,000.00 Kegiatan 4,900 Pcs Rp 6,000 Rp 29,400,000 0 Pcs 6,000.00 Rp -
JUMLAH BELANJA PERANGKO, MATERAI DAN BENDA POS LAINNYA Rp 61,650,000.00 Rp 61,650,000.00 Rp -
28 Januari 2020 Umpeg Tisu Toilet Nice 250 Pack 36,960.00 9,240,000 200 Pack Rp 36,960 Rp 7,392,000 50 Pack 36,960.00 Rp 1,848,000
28 Januari 2020 Umpeg Tempat Tisu Stainless 30 Buah 124,300.00 3,729,000 30 Buah Rp 124,300 Rp 3,729,000 0 Buah 124,300.00 Rp -
28 Januari 2020 Umpeg Facial Tisue Tessa 150 Pack 20,900.00 3,135,000 150 Pack Rp 20,900 Rp 3,135,000 0 Pack 20,900.00 Rp -
28 Januari 2020 Umpeg Reffil Pengharum Ruangan Calmic 200 Botol 41,800.00 8,360,000 179 Botol Rp 41,800 Rp 7,482,200 21 Botol 41,800.00 Rp 877,800
28 Januari 2020 Umpeg Cairan Pel 100 Pcs 12,870.00 1,287,000 100 Pcs Rp 12,870 Rp 1,287,000 0 Pcs 12,870.00 Rp -
28 Januari 2020 Umpeg Prostek 100 Botol 20,790.00 2,079,000 76 Botol Rp 20,790 Rp 1,580,040 24 Botol 20,790.00 Rp 498,960
28 Januari 2020 Umpeg Deterjen Rinso 20 Bngks 22,880.00 457,600 20 Bngks Rp 22,880 Rp 457,600 0 Bngks 22,880.00 Rp -
28 Januari 2020 Umpeg Sabung Cuci Tangan Sunlight 50 Bngks 17,930.00 896,500 50 Bngks Rp 17,930 Rp 896,500 0 Bngks 17,930.00 Rp -
28 Januari 2020 Umpeg Kanebo 20 Buah 46,200.00 924,000 20 Buah Rp 46,200 Rp 924,000 0 Buah 46,200.00 Rp -
28 Januari 2020 Umpeg Kamper Gantung 200 Pcs 13,750.00 2,750,000 200 Pcs Rp 13,750 Rp 2,750,000 0 Pcs 13,750.00 Rp -
28 Januari 2020 Umpeg Kantong Sampah Extra Besar 100x120cm 200 Pack 39,600.00 7,920,000 200 Pack Rp 39,600 Rp 7,920,000 0 Pack 39,600.00 Rp -
28 Januari 2020 Umpeg Reffil Hand Soap 4-5 Lt 50 Derigen 50,600.00 2,530,000 50 Derigen Rp 50,600 Rp 2,530,000 0 Derigen 50,600.00 Rp -
28 Januari 2020 Umpeg Anti Nyamuk 50 Kaleng 44,330.00 2,216,500 50 Kaleng Rp 44,330 Rp 2,216,500 0 Kaleng 44,330.00 Rp -
28 Januari 2020 Umpeg Sabun Cuci 5 Dus 62,700.00 313,500 5 Dus Rp 62,700 Rp 313,500 0 Dus 62,700.00 Rp -
28 Januari 2020 Umpeg Keset Bahan 20 Buah 74,800.00 1,496,000 20 Buah Rp 74,800 Rp 1,496,000 0 Buah 74,800.00 Rp -
28 Januari 2020 Umpeg Lap Kotak Kotak 100 Pcs 7,590.00 759,000 100 Pcs Rp 7,590 Rp 759,000 0 Pcs 7,590.00 Rp -
28 Januari 2020 Umpeg Spoon Cuci Piring 6 Buah 3,850.00 23,100 6 Buah Rp 3,850 Rp 23,100 0 Buah 3,850.00 Rp -
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(Rp) (Rp) (Rp)
28 Januari 2020 Umpeg Serokan Air 8 Pcs 64,900.00 519,200 8 Pcs Rp 64,900 Rp 519,200 0 Pcs 64,900.00 Rp -
27 Oktober 2021 Umpeg Paseo Elegent Toilet Roll Tisue isi 12 rol x 300's 80 Pack 85,000.00 6,800,000 0 Pack Rp 85,000 Rp - 80 Pcs 64,900.00 Rp 6,800,000
27 Oktober 2021 Umpeg Tessa Facial Tisue 260 Pcs 80 Kotak 25,500.00 2,040,000 49 Kotak Rp 25,500 Rp 1,249,500 31 Pcs 64,900.00 Rp 790,500
27 Oktober 2021 Umpeg Klin Pack Kantong Sampah Extra Besar 100X120cm 300 Pack 48,500.00 14,550,000 62 Pack Rp 48,500 Rp 3,007,000 238 Pcs 64,900.00 Rp 11,543,000
27 Oktober 2021 Umpeg Soklin Lantai 4Lt 30 Drigen 72,000.00 2,160,000 27 Drigen Rp 72,000 Rp 1,944,000 3 Pcs 64,900.00 Rp 216,000
27 Oktober 2021 Umpeg Pembersih Keramik Porslen Prostek 1Lt 80 Botol 27,000.00 2,160,000 0 Botol Rp 27,000 Rp - 80 Pcs 64,900.00 Rp 2,160,000
27 Oktober 2021 Umpeg Kamper Gantung Dahlia 80gr 80 Pcs 19,500.00 1,560,000 25 Pcs Rp 19,500 Rp 487,500 55 Pcs 64,900.00 Rp 1,072,500
27 Oktober 2021 Umpeg Sunlight Botol 750ml 30 Botol 32,000.00 960,000 30 Botol Rp 32,000 Rp 960,000 0 Pcs 64,900.00 Rp -
27 Oktober 2021 Umpeg Reffil Pengharum Ruangan 50 Botol 42,000.00 2,100,000 2 Botol Rp 42,000 Rp 84,000 48 Pcs 64,900.00 Rp 2,016,000
27 Oktober 2021 Umpeg Deterjen Rinso Bubuk Anti Noda 770gr 20 Bungkus 35,000.00 700,000 12 Bungkus Rp 35,000 Rp 420,000 8 Pcs 64,900.00 Rp 280,000
27 Oktober 2021 Umpeg Handsoap Sabun Cuci Tangan Drigen 5Lt 30 Drigen 75,000.00 2,250,000 1 Drigen Rp 75,000 Rp 75,000 29 Pcs 64,900.00 Rp 2,175,000
27 Oktober 2021 Umpeg Sabun Colek Ekonomi 500k (1 Dus isi 30 Pcs) 6 Dus 82,000.00 492,000 1 Dus Rp 82,000 Rp 82,000 5 Pcs 64,900.00 Rp 410,000
27 Oktober 2021 Umpeg Cairan Pembersih Kaca Clink Wings 400ml 40 Botol 24,000.00 960,000 0 Botol Rp 24,000 Rp - 40 Pcs 64,900.00 Rp 960,000
27 Oktober 2021 Umpeg Super Mop Bolde M-169 X Plus 14 Buah 250,000.00 3,500,000 7 Buah Rp 250,000 Rp 1,750,000 7 Pcs 64,900.00 Rp 1,750,000
27 Oktober 2021 Umpeg Sikat Closet 14 Buah 50,000.00 700,000 11 Buah Rp 50,000 Rp 550,000 3 Pcs 64,900.00 Rp 150,000
27 Oktober 2021 Umpeg Sikat Kamar Mandi Gagang Panjang 14 Buah 80,000.00 1,120,000 0 Buah Rp 80,000 Rp - 14 Pcs 64,900.00 Rp 1,120,000
27 Oktober 2021 Umpeg Sapu Ijuk 14 Buah 60,000.00 840,000 8 Buah Rp 60,000 Rp 480,000 6 Pcs 64,900.00 Rp 360,000
27 Oktober 2021 Umpeg Sapu Lidi 14 Buah 60,000.00 840,000 1 Buah Rp 60,000 Rp 60,000 13 Pcs 64,900.00 Rp 780,000
27 Oktober 2021 Umpeg Pengki Sigma Lion Star 14 Buah 60,000.00 840,000 2 Buah Rp 60,000 Rp 120,000 12 Pcs 64,900.00 Rp 720,000
27 Oktober 2021 Umpeg Kemoceng 14 Buah 55,000.00 770,000 9 Buah Rp 55,000 Rp 495,000 5 Pcs 64,900.00 Rp 275,000
27 Oktober 2021 Umpeg Lap Kotak Kotak 96 Pcs 7,500.00 720,000 24 Pcs Rp 7,500 Rp 180,000 72 Pcs 64,900.00 Rp 540,000
27 Oktober 2021 Umpeg Anti Nyamuk Kaleng 48 Kaleng 44,500.00 2,136,000 8 Kaleng Rp 44,500 Rp 356,000 40 Pcs 64,900.00 Rp 1,780,000
27 Oktober 2021 Umpeg Lap Kanebo Aion 20 Buah 90,000.00 1,800,000 2 Buah Rp 90,000 Rp 180,000 18 Pcs 64,900.00 Rp 1,620,000
JUMLAH BELANJA BAHAN PEMBERSIH Rp 98,633,400.00 Rp 57,890,640.00 Rp 40,742,760.00
12 Agustus 2021 Umpeg Reffil Apar 50 Tabung Rp 350,000 Rp 17,500,000 50 Tabung Rp 350,000 Rp 17,500,000 0 Buah Rp 350,000 Rp -
16 November 2020 Rujukan Pengisian Tabung Gas 1 Paket Rp 3,600,000 Rp 3,600,000 1 Paket Rp 3,600,000 Rp 3,600,000 0 Buah Rp 3,600,000 Rp -
26 Maret 2020 SIMPK Pot Urine 500 Buah Rp 1,949 Rp 974,500 Progm 500 Buah Rp 1,949 Rp 974,500 0 Buah Rp 1,949 Rp -
09 April 2020 Farmalkes Aniosgel 85 500ml 500 Botol Rp 82,000 Rp 41,000,000 Progm 500 Botol Rp 82,000 Rp 41,000,000 0 Botol Rp 82,000 Rp -
09 April 2020 Farmalkes Dermanios Chlorhexidine 4% 500ml 2,000 Botol Rp 104,000 Rp 208,000,000 Progm 2,000 Botol Rp 104,000 Rp 208,000,000 0 Botol Rp 104,000 Rp -
24 Maret 2020 Farmalkes BMHP E-Kat 1 Paket Rp 196,840,500 Rp 196,840,500 Progm 1 Paket Rp 196,840,500 Rp 196,840,500 0 Paket Rp 196,840,500 Rp -
08 April 2020 Farmalkes Bahan Medis Habis Pakai E-Kat 1 Paket Rp 1,015,420,000 Rp 1,015,420,000 Progm 1 Paket Rp 1,015,420,000 Rp 1,015,420,000 0 Paket Rp 1,015,420,000 Rp -
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(Rp) (Rp) (Rp)
16 April 2020 Farmalkes BMHP 1 Paket Rp 160,000,000 Rp 160,000,000 Progm 1 Paket Rp 160,000,000 Rp 160,000,000 0 Paket Rp 160,000,000 Rp -
17 April 2020 Farmalkes Bahan Medis Habis Pakai E-Kat dan Non E -kat 1 Paket Rp 601,920,000 Rp 601,920,000 Progm 1 Paket Rp 601,920,000 Rp 601,920,000 0 Paket Rp 601,920,000 Rp -
01 Mei 2020 Farmalkes BD BBL Culture Swab Plus Amies Withaout Charcoal, Singel Applicator 50 Paket Rp 418,094 Rp 20,904,700 Progm 50 Paket Rp 418,094 Rp 20,904,700 0 Paket Rp 418,094 Rp -
25 Juni 2020 Farmalkes Catridge TCM 2,350 Test Rp 259,175 Rp 609,061,250 Progm 2,350 Test Rp 259,175 Rp 609,061,250 0 Test Rp 259,175 Rp -
14/07/20 Medical Sample Container (Pot Uriner) 5000 Botol Rp 1,856.00 Rp 9,280,000.00 5,000 Botol Rp 1,856 Rp 9,280,000 0 Test Rp 259,175 Rp -
29 September 2020 SIMPK HGC Strip 500 Buah Rp 4,300 Rp 2,150,000 500 Buah Rp 4,300 Rp 2,150,000 0 Test Rp 259,175 Rp -
06 Juli 2020 Farmalkes 1 Rp 16,440,000 Rp 16,440,000 1 - Rp 16,440,000 Rp 16,440,000 0 Test Rp 259,175 Rp -
19 November 2020 Farmalkes 1 Rp 275,940,000 Rp 275,940,000 1 - Rp 275,940,000 Rp 275,940,000 0 Test Rp 259,175 Rp -
19 November 2020 Farmalkes 1 Rp 15,847,200 Rp 15,847,200 1 - Rp 15,847,200 Rp 15,847,200 0 Test Rp 259,175 Rp -
26/11/20 Farmalkes 1 14,231,800 Rp 14,231,800 1 - Rp 14,231,800 Rp 14,231,800 0 Test Rp 259,175 Rp -
3-Nov-20 Farmalkes Aquadest 131 Dirigen Rp 153,000.00 Rp 20,043,000.00 131 Dirigen Rp 153,000 Rp 20,043,000 0 Test Rp 259,175 Rp -
3-Nov-20 Farmalkes Cuvet Mindray BS-120 25 box Rp 1,974,500.00 Rp 49,362,500.00 25 box Rp 1,974,500 Rp 49,362,500 0 Test Rp 259,175 Rp -
3-Nov-20 Farmalkes CD-80 Detergent 2 L 20 Dirigen Rp 1,342,000.00 Rp 26,840,000.00 20 Dirigen Rp 1,342,000 Rp 26,840,000 0 Test Rp 259,175 Rp -
3-Nov-20 Farmalkes Cuvet Cobas 22 Box Rp 2,857,800.00 Rp 62,871,600.00 22 Box Rp 2,857,800 Rp 62,871,600 0 Test Rp 259,175 Rp -
3-Nov-20 Farmalkes Integra Microcuvet 1 Box Rp 9,784,500.00 Rp 9,784,500.00 1 Box Rp 9,784,500 Rp 9,784,500 0 Test Rp 259,175 Rp -
3-Nov-20 Farmalkes Sample Cup 1 Box Rp 2,482,700.00 Rp 2,482,700.00 1 Box Rp 2,482,700 Rp 2,482,700 0 Test Rp 259,175 Rp -
3-Nov-20 Farmalkes 1 Pack Rp 726,000.00 Rp 726,000.00 1 Pack Rp 726,000 Rp 726,000 0 Test Rp 259,175 Rp -
Autoclave bag
13/11/20 Farmalkes Vacutainer Flashback Blood Collection Needle 35000 Pcs Rp 1,700.00 Rp 59,500,000.00 35,000 Pcs Rp 1,700 Rp 59,500,000 0 Test Rp 259,175 Rp -
13/11/20 Farmalkes Microtainer Tubes with K2E(K2EDTA) 8200 Pcs Rp 2,920.00 Rp 23,944,000.00 8,200 Pcs Rp 2,920 Rp 23,944,000 0 Test Rp 259,175 Rp -
13/11/20 Farmalkes Vacutainer PrecisionGlide Multiple Sample Needle 30000 Pcs Rp 1,287.00 Rp 38,610,000.00 30,000 Pcs Rp 1,287 Rp 38,610,000 0 Test Rp 259,175 Rp -

13/11/20 Farmalkes 50 Dus Rp 418,094.00 Rp 20,904,700.00 50 Dus Rp 418,094 Rp 20,904,700 0 Test Rp 259,175 Rp -
applicator
16/11/20 Farmalkes Accu-Chek Safe T Pro Uno 400 Box Rp 130,000.00 Rp 52,000,000.00 400 Box Rp 130,000 Rp 52,000,000 0 Test Rp 259,175 Rp -
16/11/20 Farmalkes K3E K3EDTA 234612 285 Box Rp 129,000.00 Rp 36,765,000.00 285 Box Rp 129,000 Rp 36,765,000 0 Test Rp 259,175 Rp -
16/11/20 Farmalkes Z Serum Gel and Clot Activator 234303 520 Box Rp 182,000.00 Rp 94,640,000.00 520 Box Rp 182,000 Rp 94,640,000 0 Test Rp 259,175 Rp -
06/11/20 Farmalkes Capp Micro Centrifuges tubes 2,0 ml 2 Pack Rp 7,115,900.00 Rp 14,231,800.00 2 Pack Rp 7,115,900 Rp 14,231,800 0 Test Rp 259,175 Rp -
1 ### ANIOSGEL 85 500 ml 500 Botol Rp 82,000 Rp 41,000,000 500 Botol Rp 82,000 Rp 41,000,000 0 Test Rp 259,175 Rp -
2 DERMANIOS CHLORHEXIDINE 4% 500 ml 2,000 Botol Rp 104,000 Rp 208,000,000 2,000 Botol Rp 104,000 Rp 208,000,000 0 Test Rp 259,175 Rp -
3 IV CATHETER 20G X 1 1/2 INCH 3,000 Pcs Rp 5,480 Rp 16,440,000 3,000 Pcs Rp 5,480 Rp 16,440,000 0 Test Rp 259,175 Rp -
4 POLYWIN SAFETY SAFETY IV CANNULA 18G 1,000 Pcs Rp 11,660 Rp 11,660,000 1,000 Pcs Rp 11,660 Rp 11,660,000 0 Test Rp 259,175 Rp -
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(Rp) (Rp) (Rp)
7 UNDERPAD 60X90 15,000 Pcs Rp 4,620 Rp 69,300,000 15,000 Pcs Rp 4,620 Rp 69,300,000 0 Test Rp 259,175 Rp -
8 DERMANIOS CHLORHEXIDINE 4% 500 ml 200 Botol Rp 104,000 Rp 20,800,000 200 Botol Rp 104,000 Rp 20,800,000 0 Test Rp 259,175 Rp -
9 ANIOSGEL 85 500 ml 1,800 Botol Rp 82,000 Rp 147,600,000 1,800 Botol Rp 82,000 Rp 147,600,000 0 Test Rp 259,175 Rp -
10 ANIOSGEL 85 5 L 442 Galon Rp 500,000 Rp 221,000,000 442 Galon Rp 500,000 Rp 221,000,000 0 Test Rp 259,175 Rp -
13 SEMILAS Infusion SetY 5,000 Pcs Rp 5,800 Rp 29,000,000 5,000 Pcs Rp 5,800 Rp 29,000,000 0 Test Rp 259,175 Rp -
14 Nasal Oxygen Cannula- White Tubing, Adult 3,000 Pcs Rp 6,400 Rp 19,200,000 3,000 Pcs Rp 6,400 Rp 19,200,000 0 Test Rp 259,175 Rp -
15 Gammex Latex Powder Free Surgical Gloves 7,5 5,000 Pair Rp 11,000 Rp 55,000,000 5,000 Pair Rp 11,000 Rp 55,000,000 0 Test Rp 259,175 Rp -
16 Gammex Latex Powder Free Surgical Gloves 7 5,000 Pair Rp 11,000 Rp 55,000,000 5,000 Pair Rp 11,000 Rp 55,000,000 0 Test Rp 259,175 Rp -
17 Silk Black 3/0 HR 26 MM Braided nonabsorbable surgical suture 960 Sachet Rp 19,700 Rp 18,912,000 960 Sachet Rp 19,700 Rp 18,912,000 0 Test Rp 259,175 Rp -
18 Catgut Plain 3/0 HR 26 MM Absorbable surgical suture 360 Sachet Rp 34,300 Rp 12,348,000 360 Sachet Rp 34,300 Rp 12,348,000 0 Test Rp 259,175 Rp -
19 Catgut Chromic 3/0 HR 26 MM Absorbable surgical suture 480 Sachet Rp 32,800 Rp 15,744,000 480 Sachet Rp 32,800 Rp 15,744,000 0 Test Rp 259,175 Rp -
20 Catgut Plain 2/0 HR 26 MM Absorbable surgical suture 360 Sachet Rp 34,300 Rp 12,348,000 360 Sachet Rp 34,300 Rp 12,348,000 0 Test Rp 259,175 Rp -
21 Catgut Chromic 2/0 HR 26 MM Absorbable surgical suture 480 Sachet Rp 32,800 Rp 15,744,000 480 Sachet Rp 32,800 Rp 15,744,000 0 Test Rp 259,175 Rp -
22 Kasa Hidrofil Steril 16 cm x 16 cm 10,000 Box Rp 5,950 Rp 59,500,000 10,000 Box Rp 5,950 Rp 59,500,000 0 Test Rp 259,175 Rp -
23 APD Set 250 Set Rp 2,650,000 Rp 662,500,000 250 Set Rp 2,650,000 Rp 662,500,000 0 Test Rp 259,175 Rp -
24 Masker N95- 3M 2,040 Pcs Rp 173,000 Rp 352,920,000 2,040 Pcs Rp 173,000 Rp 352,920,000 0 Test Rp 259,175 Rp -
25 Handsanitizer FC Clean 5 Liter 200 Galon Rp 800,000 Rp 160,000,000 200 Galon Rp 800,000 Rp 160,000,000 0 Test Rp 259,175 Rp -

26 27 galon Rp 3,080,000 Rp 83,160,000 27 galon Rp 3,080,000 Rp 83,160,000 0 Test Rp 259,175 Rp -
SPORE
27 Desinfektan Lantai/SURFANIOS PREMIUM 400 galon Rp 1,296,900 Rp 518,760,000 400 galon Rp 1,296,900 Rp 518,760,000 0 Test Rp 259,175 Rp -
28 Masker 3 Ply REMEDI 3,000 box Rp 150,000 Rp 450,000,000 3,000 box Rp 150,000 Rp 450,000,000 0 Test Rp 259,175 Rp -
29 Masker kain batik 25,000 pcs Rp 7,000 Rp 175,000,000 25,000 pcs Rp 7,000 Rp 175,000,000 0 Test Rp 259,175 Rp -
JUMLAH BELANJA BARANG PAKAI HABIS MEDIS Rp 7,912,828,450.00 Rp 7,912,828,450.00 Rp -
15-Oct-20 PMT Anak Sekolah 36,000 Buah 2,900 104,400,000 Progm 0 Buah Rp 2,900 Rp - 36,000 Buah 2,900 Rp 104,400,000
14-Oct-20 PMT Pemulihan Balita Kurang Gizi (Nutren) 2,400 Buah 134,399 322,557,600 Progm 2,400 Buah Rp 134,399 Rp 322,557,600 0 Buah 134,399 Rp -
JUMLAH BELANJA BAHAN PMT Rp 426,957,600.00 Rp 322,557,600.00 Rp 104,400,000.00
PROMKESLINGKESJA
11 Maret 2020 Cairan Sterilisasi Ruangan Cleanisept 5 Liter Rp 730,000 Rp 3,650,000.00 Puskesmas 5 Liter Rp 730,000 Rp 3,650,000 0 Liter Rp 730,000 Rp -
OR
27 April 2020 Farmalkes Cell Dyn Easy Cleaner 8 Rp 2,953,368 Rp 23,626,944.00 Puskesmas 8 - Rp 2,953,368 Rp 23,626,944 0 0 Rp 2,953,368 Rp -
Page 133 of 288

(Rp) (Rp) (Rp)
27 April 2020 Farmalkes Cell Dyn Emerald 22 Dilluent Reagen 8 Rp 3,626,489 Rp 29,011,912.00 Puskesmas 8 - Rp 3,626,489 Rp 29,011,912 0 0 Rp 3,626,489 Rp -
27 April 2020 Farmalkes Cell Dyn Emerald 22 Lyse Reagen 8 Rp 4,799,223 Rp 38,393,784.00 Puskesmas 8 - Rp 4,799,223 Rp 38,393,784 0 0 Rp 4,799,223 Rp -
27 April 2020 Farmalkes Cell Dyn 22 Plus Control 4 Rp 1,506,215 Rp 6,024,860.00 Puskesmas 4 - Rp 1,506,215 Rp 6,024,860 0 0 Rp 1,506,215 Rp -
07 Juli 2020 Farmalkes ABX Miniclean 7 Botol Rp 2,415,600 Rp 16,909,200.00 Puskesmas 7 Botol Rp 2,415,600 Rp 16,909,200 0 Botol Rp 2,415,600 Rp -
07 Juli 2020 Farmalkes ABX Minilyse LMG 7 Botol Rp 7,246,800 Rp 50,727,600.00 Puskesmas 7 Botol Rp 7,246,800 Rp 50,727,600 0 Botol Rp 7,246,800 Rp -
07 Juli 2020 Farmalkes ABX Minidil LNG 6 Box Rp 3,382,500 Rp 20,295,000.00 Puskesmas 6 Box Rp 3,382,500 Rp 20,295,000 0 Box Rp 3,382,500 Rp -
07 Juli 2020 Farmalkes ABX Miniclair 6 Botol Rp 1,226,500 Rp 7,359,000.00 Puskesmas 6 Botol Rp 1,226,500 Rp 7,359,000 0 Botol Rp 1,226,500 Rp -
07 Juli 2020 Farmalkes Minotrol 16 Twin-Pack (2N) 3 Pack Rp 1,533,400 Rp 4,600,200.00 Puskesmas 3 Pack Rp 1,533,400 Rp 4,600,200 0 Pack Rp 1,533,400 Rp -
24 Juli 2020 Farmalkes DS HIV 1/2 One Step Rapid Test (GCHIV-402A) 889 Pcs Rp 12,527 Rp 11,136,503.00 Puskesmas 889 Pcs Rp 12,527 Rp 11,136,503 Pcs Rp 12,527 Rp -
24 Juli 2020 Farmalkes DS HIV 1/2 One Step Rapid Test (GCHIV-402A) 1 Pcs Rp 12,497 Rp 12,497.00 Puskesmas 1 Pcs Rp 12,497 Rp 12,497 Pcs Rp 12,497 Rp -
11 Agustus 2020 Farmalkes SD Bioline HIV 1/2 3.0 24 Kit Rp 860,000 Rp 20,640,000.00 Puskesmas 24 Kit Rp 860,000 Rp 20,640,000 0 Kit Rp 860,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi BH Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Puskesmas 68 Kit Rp 61,000 Rp 4,148,000 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi CH Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Puskesmas 68 Kit Rp 61,000 Rp 4,148,000 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi CO Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Puskesmas 68 Kit Rp 61,000 Rp 4,148,000 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi H Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Puskesmas 68 Kit Rp 61,000 Rp 4,148,000 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi AO Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Puskesmas 68 Kit Rp 61,000 Rp 4,148,000 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi AH Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Puskesmas 68 Kit Rp 61,000 Rp 4,148,000 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi O Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Puskesmas 68 Kit Rp 61,000 Rp 4,148,000 Kit Rp 61,000 Rp -
11 Agustus 2020 Farmalkes Lorne Laboratories Salmonella Paratyphi BO Widal Test Vial 5 Ml 68 Kit Rp 61,000 Rp 4,148,000.00 Puskesmas 68 Kit Rp 61,000 Rp 4,148,000 Kit Rp 61,000 Rp -
25 Agustus 2020 Farmalkes Urine Reagen Strip 19 Kit Rp 512,500 Rp 9,737,500.00 19 Kit Rp 512,500 Rp 9,737,500 Kit Rp 512,500 Rp -
25 Agustus 2020 Farmalkes HBSAg Strip 1,900 Test Rp 10,547 Rp 20,039,300.00 1,900 Test Rp 10,547 Rp 20,039,300 Test Rp 10,547 Rp -
28 Agustus 2020 Farmalkes Pathromtin SL 1 Kit Rp 1,133,000 Rp 1,133,000.00 Puskesmas 1 Kit Rp 1,133,000 Rp 1,133,000 0 Kit Rp 1,133,000 Rp -
28 Agustus 2020 Farmalkes Multifibren 1 Kit Rp 3,362,700 Rp 3,362,700.00 Puskesmas 1 Kit Rp 3,362,700 Rp 3,362,700 0 Kit Rp 3,362,700 Rp -
28 Agustus 2020 Farmalkes Control Plasma N 1 Kit Rp 2,224,200 Rp 2,224,200.00 Puskesmas 1 Kit Rp 2,224,200 Rp 2,224,200 0 Kit Rp 2,224,200 Rp -
28 Agustus 2020 Farmalkes Innovin 1 Kit Rp 2,382,600 Rp 2,382,600.00 Upt Farmasi 1 Kit Rp 2,382,600 Rp 2,382,600 0 Kit Rp 2,382,600 Rp -
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(Rp) (Rp) (Rp)
28 Agustus 2020 Farmalkes Diagnostic Kit For HIV (1+2) Antibody (Colloidal Gold)v2 67 Kit Rp 660,000 Rp 44,220,000.00 Upt Farmasi 67 Kit Rp 660,000 Rp 44,220,000 0 Kit Rp 660,000 Rp -
14 Agustus 2020 Farmalkes Reagen HB Hemokrom 45 Kit Rp 3,300,000.00 Rp 148,500,000.00 Upt Farmasi 45 Kit Rp 3,300,000 Rp 148,500,000 0 Kit Rp 3,300,000 Rp -
11 Oktober 2020 Trepocheck Syphillis 147 Kit Rp 225,000.00 Rp 33,075,000.00 Upt Farmasi 147 Kit Rp 225,000 Rp 33,075,000 0 Kit Rp 225,000 Rp -
17/09/20 Reagen Hba1C 1 Kit Rp 20,750,000.00 Rp 20,750,000.00 Upt Farmasi 1 Kit Rp 20,750,000 Rp 20,750,000 0 Kit Rp 20,750,000 Rp -
17/09/20 Lypocheck Diabetes Control Bilevel 1 Kit Rp 5,403,750.00 Rp 5,403,750.00 Upt Farmasi 1 Kit Rp 5,403,750 Rp 5,403,750 0 Kit Rp 5,403,750 Rp -
17/09/20 Lypocheck Hemoglobin A2 Control Bilevel 1 Kit Rp 18,026,250.00 Rp 18,026,250.00 Upt Farmasi 1 Kit Rp 18,026,250 Rp 18,026,250 0 Kit Rp 18,026,250 Rp -
17/09/20 D10 Thermal Printer paper 2 Pack Rp 1,140,000.00 Rp 2,280,000.00 Upt Farmasi 2 Pack Rp 1,140,000 Rp 2,280,000 0 Pack Rp 1,140,000 Rp -
27 Oktober 2020 Glukosa Kit (GOD-POD) 56 Kit Rp 529,430.00 Rp 29,648,080.00 Upt Farmasi 56 Kit Rp 529,430 Rp 29,648,080 0 Kit Rp 529,430 Rp -
27 Oktober 2020 Total Cholesterol Kit 55 Kit Rp 1,006,852.00 Rp 55,376,860.00 Upt Farmasi 55 Kit Rp 1,006,852 Rp 55,376,860 0 Kit Rp 1,006,852 Rp -
27 Oktober 2020 Total Tryglicerides Kit 18 Kit Rp 1,806,550.00 Rp 32,517,900.00 Upt Farmasi 18 Kit Rp 1,806,550 Rp 32,517,900 0 Kit Rp 1,806,550 Rp -
27 Oktober 2020 HDL Cholesterol 32 Kit Rp 3,912,225.00 Rp 125,191,200.00 Upt Farmasi 32 Kit Rp 3,912,225 Rp 125,191,200 0 Kit Rp 3,912,225 Rp -
27 Oktober 2020 Uric Acid Kit 55 Kit Rp 1,006,852.00 Rp 55,376,860.00 Upt Farmasi 55 Kit Rp 1,006,852 Rp 55,376,860 0 Kit Rp 1,006,852 Rp -
27 Oktober 2020 Urea Kit 16 Kit Rp 612,920.00 Rp 9,806,720.00 Upt Farmasi 16 Kit Rp 612,920 Rp 9,806,720 0 Kit Rp 612,920 Rp -
27 Oktober 2020 Creatinin Kit (Sarcosine) 16 Kit Rp 3,606,955.00 Rp 57,711,280.00 Upt Farmasi 16 Kit Rp 3,606,955 Rp 57,711,280 0 Kit Rp 3,606,955 Rp -
27 Oktober 2020 ALT Kit (SGPT) 25 Kit Rp 1,064,538.00 Rp 26,613,450.00 Upt Farmasi 25 Kit Rp 1,064,538 Rp 26,613,450 0 Kit Rp 1,064,538 Rp -
27 Oktober 2020 AST Kit (SOPT) 25 Kit Rp 1,064,538.00 Rp 26,613,450.00 Upt Farmasi 25 Kit Rp 1,064,538 Rp 26,613,450 0 Kit Rp 1,064,538 Rp -
27 Oktober 2020 Multi Sera Calibrator (10x3ml) 16 Kit Rp 5,975,614.50 Rp 95,609,832.00 Upt Farmasi 16 Kit Rp 5,975,615 Rp 95,609,832 0 Kit Rp 5,975,615 Rp -
27 Oktober 2020 Lipids Calibrator 16 Kit Rp 4,904,404.00 Rp 78,470,464.00 Upt Farmasi 16 Kit Rp 4,904,404 Rp 78,470,464 0 Kit Rp 4,904,404 Rp -
27 Oktober 2020 Multi Control Level 1 15 Kit Rp 10,347,949.50 Rp 155,219,242.50 Upt Farmasi 15 Kit Rp 10,347,950 Rp 155,219,243 0 Kit Rp 10,347,950 Rp -
27 Oktober 2020 Multi Control Level 1 1 Kit Rp 10,347,861.50 Rp 10,347,861.50 Upt Farmasi 1 Kit Rp 10,347,862 Rp 10,347,862 0 Kit Rp 10,347,862 Rp -
27 Oktober 2020 Dif Diluent 12 Botol Rp 1,669,250.00 Rp 20,031,000.00 Upt Farmasi 12 Botol Rp 1,669,250 Rp 20,031,000 0 Botol Rp 1,669,250 Rp -
27 Oktober 2020 Dif Lyse 12 Botol Rp 2,020,480.00 Rp 24,245,760.00 Upt Farmasi 12 Botol Rp 2,020,480 Rp 24,245,760 0 Botol Rp 2,020,480 Rp -
27 Oktober 2020 Probe Cleanser 12 Botol Rp 92,290.00 Rp 1,107,480.00 Upt Farmasi 12 Botol Rp 92,290 Rp 1,107,480 0 Botol Rp 92,290 Rp -
27 Oktober 2020 Blood Control BC-20S 3 diff@3,0ml (1L,1N,1H) 6 Set Rp 1,831,720.00 Rp 10,990,320.00 Upt Farmasi 6 Set Rp 1,831,720 Rp 10,990,320 0 Set Rp 1,831,720 Rp -
27 Oktober 2020 Blood Control BC-20S 3 diff@3,0ml (1L,1N,1H) 1 Set Rp 1,831,640.00 Rp 1,831,640.00 Upt Farmasi 1 Set Rp 1,831,640 Rp 1,831,640 0 Set Rp 1,831,640 Rp -
30/11/20 HIV Duo Ultra 1 Kit Rp 6,583,500.00 Rp 6,583,500.00 Upt Farmasi 1 Kit Rp 6,583,500 Rp 6,583,500 0 Kit Rp 6,583,500 Rp -
30/11/20 Anti HBS Total II 1 Kit Rp 7,771,500.00 Rp 7,771,500.00 Upt Farmasi 1 Kit Rp 7,771,500 Rp 7,771,500 0 Kit Rp 7,771,500 Rp -
Page 135 of 288

(Rp) (Rp) (Rp)
30/11/20 CMV IgG 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 Upt Farmasi 1 Kit Rp 5,098,500 Rp 5,098,500 0 Kit Rp 5,098,500 Rp -
30/11/20 CMV IgM 1 Kit Rp 3,910,500.00 Rp 3,910,500.00 Upt Farmasi 1 Kit Rp 3,910,500 Rp 3,910,500 0 Kit Rp 3,910,500 Rp -
30/11/20 HbsAg Ultra 1 Kit Rp 3,618,450.00 Rp 3,618,450.00 Upt Farmasi 1 Kit Rp 3,618,450 Rp 3,618,450 0 Kit Rp 3,618,450 Rp -
30/11/20 Rubella IgG II 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 Upt Farmasi 1 Kit Rp 5,098,500 Rp 5,098,500 0 Kit Rp 5,098,500 Rp -
30/11/20 Rubella IgM 1 Kit Rp 4,851,000.00 Rp 4,851,000.00 Upt Farmasi 1 Kit Rp 4,851,000 Rp 4,851,000 0 Kit Rp 4,851,000 Rp -
30/11/20 T3 1 Kit Rp 4,133,250.00 Rp 4,133,250.00 Upt Farmasi 1 Kit Rp 4,133,250 Rp 4,133,250 0 Kit Rp 4,133,250 Rp -
30/11/20 T4 1 Kit Rp 4,232,250.00 Rp 4,232,250.00 Upt Farmasi 1 Kit Rp 4,232,250 Rp 4,232,250 0 Kit Rp 4,232,250 Rp -
30/11/20 Toxo IgG II 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 Upt Farmasi 1 Kit Rp 5,098,500 Rp 5,098,500 0 Kit Rp 5,098,500 Rp -
30/11/20 Toxo IgM 1 Kit Rp 5,098,500.00 Rp 5,098,500.00 Upt Farmasi 1 Kit Rp 5,098,500 Rp 5,098,500 0 Kit Rp 5,098,500 Rp -
30/11/20 FT3 1 Kit Rp 6,212,250.00 Rp 6,212,250.00 Upt Farmasi 1 Kit Rp 6,212,250 Rp 6,212,250 0 Kit Rp 6,212,250 Rp -
30/11/20 TSH3 1 Kit Rp 7,078,500.00 Rp 7,078,500.00 Upt Farmasi 1 Kit Rp 7,078,500 Rp 7,078,500 0 Kit Rp 7,078,500 Rp -
30/11/20 Anti Hav IgM 2 Kit Rp 5,197,500.00 Rp 10,395,000.00 Upt Farmasi 2 Kit Rp 5,197,500 Rp 10,395,000 0 Kit Rp 5,197,500 Rp -
01 Oktober 2020 Humasen 2.0 Plus Glucose Test Strips Blue 600 Dus Rp 249,800.00 Rp 149,880,000.00 Upt Farmasi 600 Dus Rp 249,800 Rp 149,880,000 0 Dus Rp 249,800 Rp -
1 Oktober 2020 Humasen 2.0 Plus Total Cholesterol Test Strips 600 Dus Rp 541,900.00 Rp 325,140,000.00 Upt Farmasi 600 Dus Rp 541,900 Rp 325,140,000 0 Dus Rp 541,900 Rp -
1 Oktober 2020 Humasens 2.0 Plus Uric Acid Test Strips 600 Dus Rp 548,300.00 Rp 328,980,000.00 Upt Farmasi 600 Dus Rp 548,300 Rp 328,980,000 0 Dus Rp 548,300 Rp -
27/11/20 Alanine Transaminase IFCC (ALTL) 8 Kit Rp 1,276,000.00 Rp 10,208,000.00 Upt Farmasi 8 Kit Rp 1,276,000 Rp 10,208,000 0 Kit Rp 1,276,000 Rp -
27/11/20 Albumin Gen 2 9 kit Rp 291,500.00 Rp 2,623,500.00 Upt Farmasi 9 kit Rp 291,500 Rp 2,623,500 0 kit Rp 291,500 Rp -
27/11/20 Alkaline Phosphatase IFCC (ALP) 7 kit Rp 430,100.00 Rp 3,010,700.00 Upt Farmasi 7 kit Rp 430,100 Rp 3,010,700 0 kit Rp 430,100 Rp -
27/11/20 Transaminase (ASTL) 8 kit Rp 1,276,000.00 Rp 10,208,000.00 Upt Farmasi 8 kit Rp 1,276,000 Rp 10,208,000 0 kit Rp 1,276,000 Rp -
27/11/20 Bilirbin Direk Gen.2 8 kit Rp 420,200.00 Rp 3,361,600.00 Upt Farmasi 8 kit Rp 420,200 Rp 3,361,600 0 kit Rp 420,200 Rp -
27/11/20 Bilirubin Total Gen.3 8 kit Rp 960,300.00 Rp 7,682,400.00 Upt Farmasi 8 kit Rp 960,300 Rp 7,682,400 0 kit Rp 960,300 Rp -
27/11/20 Calcium Gen 2 7 kit Rp 580,800.00 Rp 4,065,600.00 Upt Farmasi 7 kit Rp 580,800 Rp 4,065,600 0 kit Rp 580,800 Rp -
27/11/20 Cholesterol Gen 2 30 kit Rp 1,340,900.00 Rp 40,227,000.00 Upt Farmasi 30 kit Rp 1,340,900 Rp 40,227,000 0 kit Rp 1,340,900 Rp -
27/11/20 Creatinine Plus vers 2 20 kit Rp 1,551,000.00 Rp 31,020,000.00 Upt Farmasi 20 kit Rp 1,551,000 Rp 31,020,000 0 kit Rp 1,551,000 Rp -
27/11/20 Gamma Glutamyl Tranferase vers 2 8 kit Rp 1,023,000.00 Rp 8,184,000.00 Upt Farmasi 8 kit Rp 1,023,000 Rp 8,184,000 0 kit Rp 1,023,000 Rp -
27/11/20 Glukose HK 65 kit Rp 447,700.00 Rp 29,100,500.00 Upt Farmasi 65 kit Rp 447,700 Rp 29,100,500 0 kit Rp 447,700 Rp -
27/11/20 HDL-Cholesterol Plus Gen 4 26 kit Rp 6,220,500.00 Rp 161,733,000.00 Upt Farmasi 26 kit Rp 6,220,500 Rp 161,733,000 0 kit Rp 6,220,500 Rp -
Page 136 of 288

(Rp) (Rp) (Rp)
27/11/20 LDL-Cholesterol Gen 3 26 kit Rp 4,865,300.00 Rp 126,497,800.00 Upt Farmasi 26 kit Rp 4,865,300 Rp 126,497,800 0 kit Rp 4,865,300 Rp -
27/11/20 Total Protein 8 kit Rp 513,700.00 Rp 4,109,600.00 Upt Farmasi 8 kit Rp 513,700 Rp 4,109,600 0 kit Rp 513,700 Rp -
27/11/20 Triglyceride GPO 40 kit Rp 840,400.00 Rp 33,616,000.00 Upt Farmasi 40 kit Rp 840,400 Rp 33,616,000 0 kit Rp 840,400 Rp -
27/11/20 Urea/BUN 8 kit Rp 1,944,800.00 Rp 15,558,400.00 Upt Farmasi 8 kit Rp 1,944,800 Rp 15,558,400 0 kit Rp 1,944,800 Rp -
27/11/20 Uric Acid Vers.2 30 kit Rp 827,200.00 Rp 24,816,000.00 Upt Farmasi 30 kit Rp 827,200 Rp 24,816,000 0 kit Rp 827,200 Rp -
27/11/20 Cleaner 35 botol Rp 1,403,600.00 Rp 49,126,000.00 Upt Farmasi 35 botol Rp 1,403,600 Rp 49,126,000 0 botol Rp 1,403,600 Rp -
27/11/20 ISE Deproteinizer cobas Integra 5 box Rp 886,600.00 Rp 4,433,000.00 Upt Farmasi 5 box Rp 886,600 Rp 4,433,000 0 box Rp 886,600 Rp -
27/11/20 C.f.a.s (Calibrator for automated system) 4 box Rp 1,217,700.00 Rp 4,870,800.00 Upt Farmasi 4 box Rp 1,217,700 Rp 4,870,800 0 box Rp 1,217,700 Rp -
27/11/20 C.f.a.s Lipids 4 box Rp 829,400.00 Rp 3,317,600.00 Upt Farmasi 4 box Rp 829,400 Rp 3,317,600 0 box Rp 829,400 Rp -
27/11/20 Precicontrol Clinchem Multi 2QCS 3 box Rp 4,158,000.00 Rp 12,474,000.00 Upt Farmasi 3 box Rp 4,158,000 Rp 12,474,000 0 box Rp 4,158,000 Rp -
27/11/20 Activator 3 kit Rp 2,616,900.00 Rp 7,850,700.00 Upt Farmasi 3 kit Rp 2,616,900 Rp 7,850,700 0 kit Rp 2,616,900 Rp -
27/11/20 Iron Gen 2 3 kit Rp 470,800.00 Rp 1,412,400.00 Upt Farmasi 3 kit Rp 470,800 Rp 1,412,400 0 kit Rp 470,800 Rp -
27/11/20 Iron Gen 2 1 kit Rp 470,400.00 Rp 470,400.00 Upt Farmasi 1 kit Rp 470,400 Rp 470,400 0 kit Rp 470,400 Rp -
09/11/20 Reagen Nitrat, TNT 1 Pack Rp 2,255,200.00 Rp 2,255,200.00 Upt Farmasi 1 Pack Rp 2,255,200 Rp 2,255,200 0 Pack Rp 2,255,200 Rp -
09/11/20 Reagen Nitrit 1 Pack Rp 935,000.00 Rp 935,000.00 Upt Farmasi 1 Pack Rp 935,000 Rp 935,000 0 Pack Rp 935,000 Rp -
09/11/20 Reagen Sulfat 1 Pack Rp 777,500.00 Rp 777,500.00 Upt Farmasi 1 Pack Rp 777,500 Rp 777,500 0 Pack Rp 777,500 Rp -
09/11/20 Reagen Besi 1 Pack Rp 567,500.00 Rp 567,500.00 Upt Farmasi 1 Pack Rp 567,500 Rp 567,500 0 Pack Rp 567,500 Rp -
09/11/20 Reagen Cromium,heksavalent 1 Pack Rp 819,500.00 Rp 819,500.00 Upt Farmasi 1 Pack Rp 819,500 Rp 819,500 0 Pack Rp 819,500 Rp -
09/11/20 Reagen Mangan HR 1 Pack Rp 1,575,800.00 Rp 1,575,800.00 Upt Farmasi 1 Pack Rp 1,575,800 Rp 1,575,800 0 Pack Rp 1,575,800 Rp -
09/11/20 Reagen Mangan LR 1 Pack Rp 1,334,200.00 Rp 1,334,200.00 Upt Farmasi 1 Pack Rp 1,334,200 Rp 1,334,200 0 Pack Rp 1,334,200 Rp -
09/11/20 Reagen Kesadahan 1 Pack Rp 1,722,900.00 Rp 1,722,900.00 Upt Farmasi 1 Pack Rp 1,722,900 Rp 1,722,900 0 Pack Rp 1,722,900 Rp -
26/11/20 Isetrol Electrolyte Control 3 Box Rp 1,404,700.00 Rp 4,214,100.00 Upt Farmasi 3 Box Rp 1,404,700 Rp 4,214,100 0 Box Rp 1,404,700 Rp -
26/11/20 Snappak 2 Box Rp 2,127,400.00 Rp 4,254,800.00 Upt Farmasi 2 Box Rp 2,127,400 Rp 4,254,800 0 Box Rp 2,127,400 Rp -
26/11/20 Cleaning Solution 2 botol Rp 588,500.00 Rp 1,177,000.00 Upt Farmasi 2 botol Rp 588,500 Rp 1,177,000 0 botol Rp 588,500 Rp -
07 Desember 2020 Reagen PCR 2732 test Rp 237,000.00 Rp 647,484,000.00 Upt Farmasi 2,732 test Rp 237,000 Rp 647,484,000 0 test Rp 237,000 Rp -
27/11/20 Uric Acid 50 Kit Rp 644,600.00 Rp 32,230,000.00 Upt Farmasi 50 Kit Rp 644,600 Rp 32,230,000 0 Kit Rp 644,600 Rp -
27/11/20 Cholesterol 80 Kit Rp 686,400.00 Rp 54,912,000.00 Upt Farmasi 80 Kit Rp 686,400 Rp 54,912,000 0 Kit Rp 686,400 Rp -
Page 137 of 288

(Rp) (Rp) (Rp)
27/11/20 Creatinin Plus 30 Kit Rp 645,700.00 Rp 19,371,000.00 Upt Farmasi 30 Kit Rp 645,700 Rp 19,371,000 0 Kit Rp 645,700 Rp -
27/11/20 Glukose HK 40 Kit Rp 484,000.00 Rp 19,360,000.00 Upt Farmasi 40 Kit Rp 484,000 Rp 19,360,000 0 Kit Rp 484,000 Rp -
27/11/20 Triglyceride 30 Kit Rp 464,200.00 Rp 13,926,000.00 Upt Farmasi 30 Kit Rp 464,200 Rp 13,926,000 0 Kit Rp 464,200 Rp -
27/11/20 Urea 15 Kit Rp 812,900.00 Rp 12,193,500.00 Upt Farmasi 15 Kit Rp 812,900 Rp 12,193,500 0 Kit Rp 812,900 Rp -
27/11/20 c.f.a.s (calibrator for automated) 14 Kit Rp 1,217,700.00 Rp 17,047,800.00 Upt Farmasi 14 Kit Rp 1,217,700 Rp 17,047,800 0 Kit Rp 1,217,700 Rp -
27/11/20 Precicontrol clinchem multi 1 QCS 14 Kit Rp 4,158,000.00 Rp 58,212,000.00 Upt Farmasi 14 Kit Rp 4,158,000 Rp 58,212,000 0 Kit Rp 4,158,000 Rp -
27/11/20 c.f.a.s (lipid) 14 Kit Rp 829,400.00 Rp 11,611,600.00 Upt Farmasi 14 Kit Rp 829,400 Rp 11,611,600 0 Kit Rp 829,400 Rp -
27/11/20 ISE deproteinizer 42 Kit Rp 171,600.00 Rp 7,207,200.00 Upt Farmasi 42 Kit Rp 171,600 Rp 7,207,200 0 Kit Rp 171,600 Rp -
27/11/20 Cleaner 30 Kit Rp 1,403,600.00 Rp 42,108,000.00 Upt Farmasi 30 Kit Rp 1,403,600 Rp 42,108,000 0 Kit Rp 1,403,600 Rp -
27/11/20 Diluent (NaCl 9%) 30 Kit Rp 511,500.00 Rp 15,345,000.00 Upt Farmasi 30 Kit Rp 511,500 Rp 15,345,000 0 Kit Rp 511,500 Rp -
14 Desember 2020 Rapid test Antigen 60 box Rp 3,272,500.00 Rp 196,350,000.00 Upt Farmasi 60 box Rp 3,272,500 Rp 196,350,000 0 box Rp 3,272,500 Rp -
16/11/20 Humasens 2.0 Plus Glucose Test Strips 67 Dus Rp 249,800.00 Rp 16,736,600.00 Upt Farmasi 67 Dus Rp 249,800 Rp 16,736,600 0 Dus Rp 249,800 Rp -

16/11/20 15 Dus Rp 805,950.00 Rp 12,089,250.00 Upt Farmasi 15 Dus Rp 805,950 Rp 12,089,250 0 Dus Rp 805,950 Rp -
Accesories
16/11/20 Humasens 2.0 Plus Uric Acid Test Strips 66 Dus Rp 548,300.00 Rp 36,187,800.00 Upt Farmasi 66 Dus Rp 548,300 Rp 36,187,800 0 Dus Rp 548,300 Rp -
16/11/20 Humasens 2.0 Plus Total Cholesterol test strips 66 Dus Rp 541,900.00 Rp 35,765,400.00 Upt Farmasi 66 Dus Rp 541,900 Rp 35,765,400 0 Dus Rp 541,900 Rp -
JUMLAH BELANJA BAHAN PENUNJANG LABORATORIUM Rp 4,144,343,050.00 Rp 4,144,343,050.00 Rp -
PROMKESLINGKESJA
11 Maret 2020 Payung Lipat 150 Pcs 48,000.00 Rp 7,200,000 150 Pcs Rp 48,000 Rp 7,200,000 0 43,901 Rp 43,901 Rp -
OR
PROMKESLINGKESJA
11 Maret 2020 Tas Berlogo Dinkes Tangsel 150 Pcs 15,000.00 Rp 2,250,000 150 Pcs Rp 15,000 Rp 2,250,000 0 43,901 Rp 43,901 Rp -
OR
PROMKESLINGKESJA
11 Maret 2020 Mug Bergambar 150 Pcs 35,000.00 Rp 5,250,000 150 Pcs Rp 35,000 Rp 5,250,000 0 43,901 Rp 43,901 Rp -
OR
PROMKESLINGKESJA
05 Maret 2020 Payung 100 Pcs 75,000.00 Rp 7,500,000 100 Pcs Rp 75,000 Rp 7,500,000 0 43,895 Rp 43,895 Rp -
OR
PROMKESLINGKESJA
05 Maret 2020 Mug 100 Pcs 35,000.00 Rp 3,500,000 100 Pcs Rp 35,000 Rp 3,500,000 0 43,895 Rp 43,895 Rp -
OR
PROMKESLINGKESJA
05 Maret 2020 Tas Goody Bag 100 Pcs 25,000.00 Rp 2,500,000 100 Pcs Rp 25,000 Rp 2,500,000 0 43,895 Rp 43,895 Rp -
OR
PROMKESLINGKESJA
25 Februari 2020 Thumler Botol Air Minum Tupperware Plastik Uk.1000 ml 120 Pcs 93,000.00 Rp 11,160,000 120 Pcs Rp 93,000 Rp 11,160,000 0 43,886 Rp 43,886 Rp -
OR
10 Maret 2020 Gizi Bahan Kontak Untuk Kunjungan Balita Kurang Gizi 97 Paket 238,000.00 Rp 23,086,000 97 Paket Rp 238,000 Rp 23,086,000 0 43,900 Rp 43,900 Rp -
PROMKESLINGKESJA
23 Januari 2020 Thumler Botol Air Minum Tupperware Plastik Uk.1000 ml 100 Pcs 98,000.00 Rp 9,800,000 100 Pcs Rp 98,000 Rp 9,800,000 0 43,853 Rp 43,853 Rp -
OR
Page 138 of 288

(Rp) (Rp) (Rp)
PROMKESLINGKESJA
29 Januari 2020 Thumler Botol Air Minum Tupperware Plastik Uk.1000 ml 100 Pcs 98,000.00 Rp 9,800,000 100 Pcs Rp 98,000 Rp 9,800,000 0 43,859 Rp 43,859 Rp -
OR
PROMKESLINGKESJA
13 April 2020 Goodiebag Peserta, Payung Lipat, Tas Goodibag, Mug 60 Pcs 98,000.00 Rp 5,880,000 60 Pcs Rp 98,000 Rp 5,880,000 0 43,934 Rp 43,934 Rp -
OR
PROMKESLINGKESJA
13 April 2020 Goodiebag Peserta, Payung Lipat, Tas Goodibag, Mug 120 Pcs 98,000.00 Rp 11,760,000 120 Pcs Rp 98,000 Rp 11,760,000 0 43,934 Rp 43,934 Rp -
OR
02 November 2021 Umpeg Plakat 100 Buah 450,000.00 Rp 45,000,000 100 Buah Rp 450,000 Rp 45,000,000 0 Buah Rp 450,000 Rp -
PROMKESLINGKESJA
23 Desember 2020 1 pAKET 45,000,000 Rp 45,000,000 1 pAKET Rp 45,000,000 Rp 45,000,000 pAKET Rp 45,000,000
OR
23 Desember 2020 Mutu 1 pAKET 1,500,000 Rp 1,500,000 1 pAKET Rp 1,500,000 Rp 1,500,000 pAKET Rp 1,500,000
07 September 2021 Umpeg Dekorasi Ruangan 1 Unit 4,500,000.00 Rp 4,500,000 Dinkes 1 Unit Rp 4,500,000 Rp 4,500,000 0 Unit Rp 4,500,000 Rp -
07 September 2021 Umpeg Pembuatan Video 1 Unit 1,200,000.00 Rp 1,200,000 Dinkes 1 Unit Rp 1,200,000 Rp 1,200,000 0 Unit Rp 1,200,000 Rp -
25 Februari 2020 PJKM Map Plastik Kancing 25 Lusin Rp 48,000 Rp 1,200,000 25 Lusin Rp 48,000 Rp 1,200,000 0 43,886 Rp 43,886 Rp -
25 Februari 2020 PJKM Ballpoint 25 Lusin Rp 40,000 Rp 1,000,000 25 Lusin Rp 40,000 Rp 1,000,000 0 43,886 Rp 43,886 Rp -
25 Februari 2020 PJKM Notebook 300 Buah Rp 13,000 Rp 3,900,000 300 Buah Rp 13,000 Rp 3,900,000 0 43,886 Rp 43,886 Rp -
07 Februari 2020 P2PT/KESWA Notebook 120 Buah Rp 5,000 Rp 600,000 120 Buah Rp 5,000 Rp 600,000 0 43,868 Rp 43,868 Rp -
07 Februari 2020 P2PT/KESWA Pulpen 120 Buah Rp 5,000 Rp 600,000 120 Buah Rp 5,000 Rp 600,000 0 43,868 Rp 43,868 Rp -
07 Februari 2020 P2PT/KESWA Zipper Map 120 Buah Rp 15,000 Rp 1,800,000 120 Buah Rp 15,000 Rp 1,800,000 0 43,868 Rp 43,868 Rp -
PROMKESLINGKESJA
28 Februari 2020 Rompi Tim Satgas KTR 2 Muka Plus Bordir 50 Pcs Rp 348,000 Rp 17,400,000 50 Pcs Rp 348,000 Rp 17,400,000 0 43,889 Rp 43,889 Rp -
OR
PROMKESLINGKESJA
28 Februari 2020 Ban Lengan/Handbadge 50 Pcs Rp 83,000 Rp 4,150,000 50 Pcs Rp 83,000 Rp 4,150,000 0 43,889 Rp 43,889 Rp -
OR
PROMKESLINGKESJA
28 Februari 2020 Topi Satgas KTR Bordir 50 Pcs Rp 98,000 Rp 4,900,000 50 Pcs Rp 98,000 Rp 4,900,000 0 43,889 Rp 43,889 Rp -
OR
13 Maret 2020 PJKM Map Plastik Kancing 25 Lusin Rp 48,000 Rp 1,200,000 25 Lusin Rp 48,000 Rp 1,200,000 0 43,903 Rp 43,903 Rp -
13 Maret 2020 PJKM Ballpoint 25 Lusin Rp 40,000 Rp 1,000,000 25 Lusin Rp 40,000 Rp 1,000,000 0 43,903 Rp 43,903 Rp -
13 Maret 2020 PJKM Notebook 300 Buah Rp 13,000 Rp 3,900,000 300 Buah Rp 13,000 Rp 3,900,000 0 43,903 Rp 43,903 Rp -
PROMKESLINGKESJA
18 Maret 2020 Pensil Tulis 16 Lusin Rp 52,000 Rp 832,000 16 Lusin Rp 52,000 Rp 832,000 0 43,908 Rp 43,908 Rp -
OR
PROMKESLINGKESJA
18 Maret 2020 Ballpoint 16 Lusin Rp 43,750 Rp 700,000 16 Lusin Rp 43,750 Rp 700,000 0 43,908 Rp 43,908 Rp -
OR
PROMKESLINGKESJA
18 Maret 2020 Buku Tulis 200 Pcs Rp 6,000 Rp 1,200,000 200 Pcs Rp 6,000 Rp 1,200,000 0 43,908 Rp 43,908 Rp -
OR
PROMKESLINGKESJA
18 Maret 2020 Map Bening 16 Lusin Rp 29,250 Rp 468,000 16 Lusin Rp 29,250 Rp 468,000 0 43,908 Rp 43,908 Rp -
OR
13 Maret 2020 PEP Balpoint 13 Lusin Rp 54,000 Rp 702,000 13 Lusin Rp 54,000 Rp 702,000 0 43,903 Rp 43,903 Rp -
13 Maret 2020 PEP Map Plastik 150 Buah Rp 19,500 Rp 2,925,000 150 Buah Rp 19,500 Rp 2,925,000 0 43,903 Rp 43,903 Rp -
23 Desember 2020 Promkesjaor 1 Paket Rp 10,080,000 Rp 10,080,000 1 Paket Rp 10,080,000 Rp 10,080,000 44,188 44,188
JUMLAH BELANJA PERLENGKAPAN PANITIA/PESERTA Rp 58,557,000.00 Rp 58,557,000.00 Rp -
Page 139 of 288

(Rp) (Rp) (Rp)
30 Maret 2020 Promkesjaor Cetakan Jamban 2 Unit 9,300,000.00 18,600,000.00 2 Unit Rp 9,300,000 Rp 18,600,000 0 43,920 Rp 43,920 Rp -
25 November 2020 Kesga 1 Paket 8,046,000 8,046,000.00 1 Paket Rp 8,046,000 Rp 8,046,000 0 44,160 Rp 44,160 Rp -
JUMLAH BELANJA BAHAN PERCONTOHAN Rp 26,646,000.00 Rp 26,646,000.00 Rp -
25 November 2020 Epapor 1 Paket 4,770,000.00 4,770,000.00 1 Paket Rp 4,770,000 Rp 4,770,000 0 44,160 Rp 44,160 Rp -
16 November 2020 Rujukan 1 Paket 3,500,000.00 3,500,000.00 1 Paket Rp 3,500,000 Rp 3,500,000 0 44,151 Rp 44,151 Rp -
JUMLAH BELANJA BAHAN PAKAI HABIS NON INVENTARIS Rp 8,270,000.00 Rp 8,270,000.00 Rp -
21 Februari 2020 Umpeg Pipa 4' 4 Batang 380,000.00 Rp 1,520,000 4 Batang Rp 380,000 Rp 1,520,000 0 Batang Rp 43,882 Rp -
21 Februari 2020 Umpeg Pipa 3' 4 Batang 240,000.00 Rp 960,000 4 Batang Rp 240,000 Rp 960,000 0 Batang Rp 43,882 Rp -
21 Februari 2020 Umpeg Keramik 60x60 8 Dus 280,000.00 Rp 2,240,000 8 Dus Rp 280,000 Rp 2,240,000 0 Dus Rp 43,882 Rp -
21 Februari 2020 Umpeg Pasir 1 Truk 750,000.00 Rp 750,000 1 Truk Rp 750,000 Rp 750,000 0 Truk Rp 43,882 Rp -
21 Februari 2020 Umpeg Semen 21 Sak 75,000.00 Rp 1,575,000 21 Sak Rp 75,000 Rp 1,575,000 0 Sak Rp 43,882 Rp -
21 Februari 2020 Umpeg Semen Sica 4 Sak 295,000.00 Rp 1,180,000 4 Sak Rp 295,000 Rp 1,180,000 0 Sak Rp 43,882 Rp -
21 Februari 2020 Umpeg Weirmesh 1 Lbr 950,000.00 Rp 950,000 1 Lbr Rp 950,000 Rp 950,000 0 Lbr Rp 43,882 Rp -
21 Februari 2020 Umpeg Plapon Gipsum 4 Lbr 105,000.00 Rp 420,000 4 Lbr Rp 105,000 Rp 420,000 0 Lbr Rp 43,882 Rp -
21 Februari 2020 Umpeg Kompon 2 Sak 86,000.00 Rp 172,000 2 Sak Rp 86,000 Rp 172,000 0 Sak Rp 43,882 Rp -
21 Februari 2020 Umpeg Nat Keramik 4 Kg 25,000.00 Rp 100,000 4 Kg Rp 25,000 Rp 100,000 0 Kg Rp 43,882 Rp -
21 Februari 2020 Umpeg Aqua Prof 5 Galon 206,000.00 Rp 1,030,000 5 Galon Rp 206,000 Rp 1,030,000 0 Galon Rp 43,882 Rp -
21 Februari 2020 Umpeg Sewa Mesin Tembak Air 1 Paket 1,500,000.00 Rp 1,500,000 1 Paket Rp 1,500,000 Rp 1,500,000 0 Paket Rp 43,882 Rp -
21 Februari 2020 Umpeg Sedot WC 1 Paket 500,000.00 Rp 500,000 1 Paket Rp 500,000 Rp 500,000 0 Paket Rp 43,882 Rp -
21 Februari 2020 Umpeg Ember 4 Buah 25,000.00 Rp 100,000 4 Buah Rp 25,000 Rp 100,000 0 Buah Rp 43,882 Rp -
21 Februari 2020 Umpeg Sendok Semen 4 Buah 25,000.00 Rp 100,000 4 Buah Rp 25,000 Rp 100,000 0 Buah Rp 43,882 Rp -
21 Februari 2020 Umpeg Benang 5 Buah 3,000.00 Rp 15,000 5 Buah Rp 3,000 Rp 15,000 0 Buah Rp 43,882 Rp -
21 Februari 2020 Umpeg Hebel 1 M³ 750,000.00 Rp 750,000 1 M³ Rp 750,000 Rp 750,000 0 M³ Rp 43,882 Rp -
24 Maret 2020 Umpeg Perbaikan Flafon gedung dinkes Bahan Material 1 Paket 17,470,000.00 Rp 17,470,000 1 Paket Rp 17,470,000 Rp 17,470,000 0 Paket Rp 43,914 Rp -
Page 140 of 288

(Rp) (Rp) (Rp)
17 Juli 2020 Umpeg Perbaikan Atap Selara dan Rooftop Atap 1 Paket 32,835,000.00 Rp 32,835,000 1 Paket Rp 32,835,000 Rp 32,835,000 0 Paket Rp 32,835,000 Rp -

07 September 2021 Umpeg 1 Paket 34,300,000.00 Rp 34,300,000 1 Paket Rp 34,300,000 Rp 34,300,000 0 Paket Rp 34,300,000 Rp -
Selatan
18 September 2021 Umpeg Bongkar Pasang Flapon 1 Paket 43,277,000.00 Rp 43,277,000 1 Paket Rp 43,277,000 Rp 43,277,000 0 Paket Rp 43,277,000 Rp -
JUMLAH BELANJA BAHAN BAKU BANGUNAN Rp 141,744,000.00 Rp 141,744,000.00 Rp -
11 Maret 2020 Farmalkes Parasetamol 914,000 Kaplet Rp 152 Rp 138,928,000 Farmasi 914,000 Kaplet Rp 152 Rp 138,928,000 0 Kaplet Rp 152 Rp -
Kombinasi : Ferro Fumarat 60mg + as.Folat 0,4mg Tablet Salut Gula

28 Mei 2020 Farmalkes 4,742,400 Tablet Rp 354 Rp 1,678,809,600 Farmasi 4,742,400 Tablet Rp 354 Rp 1,678,809,600 0 Tablet Rp 354 Rp -
(Tablet Tambah Gula)
05 Juni 2020 Farmalkes Retinol (Vitamin A) Kapsul Lunak 100.000 IU 36,100 Kapsul Rp 306 Rp 11,046,600 Farmasi 36,100 Kapsul Rp 306 Rp 11,046,600 0 Kapsul Rp 306 Rp -
05 Juni 2020 Farmalkes Retinol Acetate/Retinol (Vitamin A) Kapsul Lunak200.000 IU 397,550 Kapsul Rp 552 Rp 219,447,600 Farmasi 397,550 Kapsul Rp 552 Rp 219,447,600 0 Kapsul Rp 552 Rp -
19 Mei 2020 Farmalkes 1 3,924,800 Rp 3,924,800 Farmasi 1 - Rp 3,924,800 Rp 3,924,800 0 - Rp 3,924,800 Rp -
18 Juni 2020 Farmalkes 1 Rp 11,046,000 Farmasi 1 - Rp 11,046,000 Rp 11,046,000 0 - Rp 11,046,000 Rp -

11,046,000
30 Juni 2020 Farmalkes 1 Rp 22,000,000 Farmasi 1 - Rp 22,000,000 Rp 22,000,000 0 - Rp 22,000,000 Rp -

22,000,000
11 Agustus 2020 Farmalkes 1 Rp 210,000,000 Farmasi 1 - Rp 210,000,000 Rp 210,000,000 0 - Rp 210,000,000 Rp -

210,000,000
10 September 2020 Farmalkes 1 235,798,200 Rp 235,798,200 Farmasi 1 - Rp 235,798,200 Rp 235,798,200 0 - Rp 235,798,200 Rp -
10 September 2020 Farmalkes 1 211,815,000 Rp 211,815,000 Farmasi 1 - Rp 211,815,000 Rp 211,815,000 0 - Rp 211,815,000 Rp -
Farmalkes 1 211,001,500 Rp 211,001,500 Farmasi 1 - Rp 211,001,500 Rp 211,001,500 0 - Rp 211,001,500 Rp -
24 November 2020 Farmalkes 1 33,120,000 Rp 33,120,000 Farmasi 1 - Rp 33,120,000 Rp 33,120,000 0 - Rp 33,120,000 Rp -
Page 141 of 288

(Rp) (Rp) (Rp)
07 Desember 2020 Farmalkes 1 2,938,734,500 Rp 2,938,734,500 Farmasi 1 - Rp 2,938,734,500 Rp 2,938,734,500 0 - Rp 2,938,734,500 Rp -
Kombinasi : Ferro fumarat 60 mg + as. Folat 0,4 mg tablet salut gula Tablet salut
1 Wednesday, May 27, 2020 4,742,400 Rp 354 Rp 1,678,809,600 Farmasi 4,742,400 Tablet salut gula Rp 354 Rp 1,678,809,600 0 Tablet salut gula Rp 354 Rp -
(tablet tambah darah) gula
2 Thursday, June 04, 2020 Retinol (vitamin A) kapsul lunak 100.000 IU 36,100 Soft kapsul Rp 306 Rp 11,046,600 Farmasi 36,100 Soft kapsul Rp 306 Rp 11,046,600 0 Soft kapsul Rp 306 Rp -
3 Thursday, June 04, 2020 Retinol acetate/retinol (vitamin A) kapsul lunak 200.000 IU 397,550 Soft kapsul Rp 552 Rp 219,447,600 Farmasi 397,550 Soft kapsul Rp 552 Rp 219,447,600 0 Soft kapsul Rp 552 Rp -
Rp - Farmasi 0 - Rp - Rp - 0 - Rp - Rp -
1 Thursday, July 02, 2020 Glukosa Larutan infus 5% 500 ml 500 Botol Rp 7,363 Rp 3,681,500 Farmasi 500 Botol Rp 7,363 Rp 3,681,500 0 Botol Rp 7,363 Rp -
2 Thursday, July 02, 2020 NaCl 0,9%/ Sodium Chloride 0,9% 500 mL 8,000 Botol Rp 6,840 Rp 54,720,000 Farmasi 8,000 Botol Rp 6,840 Rp 54,720,000 0 Botol Rp 6,840 Rp -
3 Thursday, July 02, 2020 Ringer Laktat/Ringer Lactate, 500 mL 20,000 Botol Rp 7,630 Rp 152,600,000 Farmasi 20,000 Botol Rp 7,630 Rp 152,600,000 0 Botol Rp 7,630 Rp -
4 Thursday, July 02, 2020 Glimepiride tablet 2 mg 160,000 Tablet Rp 207 Rp 33,120,000 Farmasi 160,000 Tablet Rp 207 Rp 33,120,000 0 Tablet Rp 207 Rp -
5 Monday, July 06, 2020 Amlodipin/Amlodipine/Amlodipine Besilat tablet 10 mg 750,000 Tablet Rp 99 Rp 74,250,000 Farmasi 750,000 Tablet Rp 99 Rp 74,250,000 0 Tablet Rp 99 Rp -
6 Monday, July 06, 2020 Amlodipin/Amlodipine/Amlodipine Besilat tablet 5 mg 1,200,000 Tablet Rp 75 Rp 90,000,000 Farmasi 1,200,000 Tablet Rp 75 Rp 90,000,000 0 Tablet Rp 75 Rp -
7 Monday, July 06, 2020 Zinc Sulfat/Zinc sulfate monohydrate/zink sir 20 mg/5ml 15,000 Botol Rp 3,171 Rp 47,565,000 Farmasi 15,000 Botol Rp 3,171 Rp 47,565,000 0 Botol Rp 3,171 Rp -
Ipratropium bromide monohydrate ⁓ ipratropium bromide 0,5 mg +

8 Wednesday, July 22, 2020 Salbutamol sulphate ⁓ Salbutamol 2,5 mg/ kombinasi : Ipratropium 9,000 Vial Rp 4,550 Rp 40,950,000 Farmasi 9,000 Vial Rp 4,550 Rp 40,950,000 0 Vial Rp 4,550 Rp -
bromide inhalasi 0,5 mg salbutamol 2,5 mg
9 Tuesday, July 28, 2020 Prednison/Prednisone tablet 5 mg 1,080,000 Tablet Rp 73 Rp 78,840,000 Farmasi 1,080,000 Tablet Rp 73 Rp 78,840,000 0 Tablet Rp 73 Rp -
10 Friday, August 07, 2020 Serum antitetanus (A.T.S) inj 1500 IU/mL (i.m) 1,800 Vial Rp 130,999 Rp 235,798,200 Farmasi 1,800 Vial Rp 130,999 Rp 235,798,200 0 Vial Rp 130,999 Rp -

11 Friday, August 07, 2020 80,000 Botol Rp 2,129 Rp 170,320,000 Farmasi 80,000 Botol Rp 2,129 Rp 170,320,000 0 Botol Rp 2,129 Rp -
12 Monday, August 10, 2020 Atapulgit tablet 630 mg 80,000 Tablet Rp 162 Rp 12,960,000 Farmasi 80,000 Tablet Rp 162 Rp 12,960,000 0 Tablet Rp 162 Rp -
13 Thursday, August 13, 2020 Permethrin/ Permetrin Krim 5%, kemasan tube 6,000 Tube Rp 11,825 Rp 70,950,000 Farmasi 6,000 Tube Rp 11,825 Rp 70,950,000 0 Tube Rp 11,825 Rp -
14 ### Diazepam enema 5 mg/2,5 mL 2,200 Tube Rp 12,573 Rp 27,660,600 Farmasi 2,200 Tube Rp 12,573 Rp 27,660,600 0 Tube Rp 12,573 Rp -
Cotrimoxazole/Cotrimoksazole/Kotrimoksazol (dewasa) kombinasi :

15 ### 120,000 Tablet Rp 133 Rp 15,960,000 Farmasi 120,000 Tablet Rp 133 Rp 15,960,000 0 Tablet Rp 133 Rp -
sulfametoksazol 400 mg + trimetroprim 80 mg (tab 480 mg)
Antasida Tablet Kunyah, kombinasi : Aluminium Hidroksida 200 mg +

16 ### 2,000,000 Tablet Rp 58 Rp 116,000,000 Farmasi 2,000,000 Tablet Rp 58 Rp 116,000,000 0 Tablet Rp 58 Rp -
Page 142 of 288

(Rp) (Rp) (Rp)
Cotrimoxazole/Cotrimoksazole/Kotrimoksazol (anak) kombinasi tiap 5ml

17 ### 5,000 Botol Rp 2,190 Rp 10,950,000 Farmasi 5,000 Botol Rp 2,190 Rp 10,950,000 0 Botol Rp 2,190 Rp -
suspensi : sulfametoksazol 200 mg + trimetroprim 40 mg (Susp 240 mg)
18 ### Kalsium Laktat /Calcium lactate (Kalk) Tablet 500 mg 630,000 Tablet Rp 63 Rp 39,690,000 Farmasi 630,000 Tablet Rp 63 Rp 39,690,000 0 Tablet Rp 63 Rp -
19 ### MINIASPI 80 Asam Asetilsalisilat (asetosal) tablet 80 m 200,000 Tablet Rp 105 Rp 21,000,000 Farmasi 200,000 Tablet Rp 105 Rp 21,000,000 0 Tablet Rp 105 Rp -
20 ### Kaptopril/Captopril tablet 12,5 mg 100,000 Tablet Rp 66 Rp 6,600,000 Farmasi 100,000 Tablet Rp 66 Rp 6,600,000 0 Tablet Rp 66 Rp -
21 ### Miconazole nitrate/ Miconazole/ Mikonazol krim 2% 10,008 Tube Rp 3,414 Rp 34,167,312 Farmasi 10,008 Tube Rp 3,414 Rp 34,167,312 0 Tube Rp 3,414 Rp -
22 ### Pyridoxine/Piridoksin (Vitamin B6) Tablet 10 mg 400,000 Tablet Rp 131 Rp 52,400,000 Farmasi 400,000 Tablet Rp 131 Rp 52,400,000 0 Tablet Rp 131 Rp -
23 ### Cetirizine hydrochloride(HCl) sirup 5 mg/5ml 20,000 Botol Rp 2,915 Rp 58,300,000 Farmasi 20,000 Botol Rp 2,915 Rp 58,300,000 0 Botol Rp 2,915 Rp -
24 Tuesday, October 13, 2020 Acetyl cysteine/N-asetil sistein kaplet 200 mg 499,980 Kaplet Rp 382 Rp 190,992,360 Farmasi 499,980 Kaplet Rp 382 Rp 190,992,360 0 Kaplet Rp 382 Rp -
25 Tuesday, October 13, 2020 Glibenklamid/Glibenclamide tablet 5 mg 100,000 Tablet Rp 119 Rp 11,900,000 Farmasi 100,000 Tablet Rp 119 Rp 11,900,000 0 Tablet Rp 119 Rp -
26 Tuesday, October 13, 2020 Parasetamol drops 100 mg botol @15 ml (60 mg/0,6 ml) 50,000 Botol Rp 6,649 Rp 332,450,000 Farmasi 50,000 Botol Rp 6,649 Rp 332,450,000 0 Botol Rp 6,649 Rp -
Diclofenac sodium/ Natrium diklofenak tablet/kapsul/kaplet salut enterik

25 mg
Diclofenac sodium/ Natrium diklofenak tablet/kapsul/kaplet salut enterik

50 mg
29 ### Nystatin/ Nistatin vaginal tablet 100.000 IU 15,000 Tablet Rp 598 Rp 8,970,000 Farmasi 15,000 Tablet Rp 598 Rp 8,970,000 0 Tablet Rp 598 Rp -
Tablet salut
30 ### Nystatin/ Nistatin tablet/kaplet salut gula 500.000 IU 20,000 Rp 843 Rp 16,860,000 Farmasi 20,000 Tablet salut gula Rp 843 Rp 16,860,000 0 Tablet salut gula Rp 843 Rp -
gula
31 ### Asiklovir/Acyclovir tablet/kapsul/kaplet 400 mg 150,000 Tablet Rp 405 Rp 60,750,000 Farmasi 150,000 Tablet Rp 405 Rp 60,750,000 0 Tablet Rp 405 Rp -
JUMLAH BELANJA OBAT-OBATAN Rp 11,434,843,532.00 Rp 11,434,843,532.00 Rp -
14 Februari 2020 Gizi Bahan Makanan Untuk Praktek 1 Paket Rp 278,000 278,000 Program 1 Paket Rp 278,000 Rp 278,000 0 Paket Rp 43,875 Rp -
06 Oktober 2020 Gizi Bahan Food Lokal Untuk Pos Gizi 20 Paket Rp 248,000 4,960,000 Program 20 Paket Rp 248,000 Rp 4,960,000 0 Paket Rp 44,110 Rp -
JUMLAH BELANJA BAHAN BAKU MAKANAN Rp 5,238,000.00 Rp 5,238,000.00 Rp -
21 Februari 2020 Kesga KMS 29 Rim Rp 1,100,000 31,900,000 29 Rim Rp 1,100,000 Rp 31,900,000 0 Rim Rp 43,882 Rp -
12 Maret 2020 Gizi Buku Khohort 220 Buku Rp 57,500 12,650,000 220 Buku Rp 57,500 Rp 12,650,000 0 Buku Rp 43,902 Rp -
10 Maret 2020 Promkesjaor Form PHBS Kader Lapis 3 NCR 100 Buku Rp 70,000 7,000,000 100 Buku Rp 70,000 Rp 7,000,000 0 Buku Rp 43,900 Rp -
10 Maret 2020 Promkesjaor Form PHBS Ketua Posyandu Lapis 3 NCR 15 Buku Rp 85,000 1,275,000 15 Buku Rp 85,000 Rp 1,275,000 0 Buku Rp 43,900 Rp -
10 Maret 2020 Promkesjaor Form PHBS Koord. Kelurahan Lapis 3 NCR 10 Buku Rp 85,000 850,000 10 Buku Rp 85,000 Rp 850,000 0 Buku Rp 43,900 Rp -
10 Maret 2020 Promkesjaor Form UKGMD 15 Buku Rp 60,000 900,000 15 Buku Rp 60,000 Rp 900,000 0 Buku Rp 43,900 Rp -
Page 143 of 288

(Rp) (Rp) (Rp)
10 Maret 2020 Promkesjaor Flayer Corona 5 Rim Rp 800,000 4,000,000 5 Rim Rp 800,000 Rp 4,000,000 0 Rim Rp 43,900 Rp -
10 Maret 2020 Promkesjaor Laeflet KMB Test Kebugaran 8 Rim Rp 1,050,000 8,400,000 8 Rim Rp 1,050,000 Rp 8,400,000 0 Rim Rp 43,900 Rp -
10 Maret 2020 Promkesjaor Flayer Novel Corona Virus A 4 Rim Rp 850,000 3,400,000 4 Rim Rp 850,000 Rp 3,400,000 0 Rim Rp 43,900 Rp -
10 Maret 2020 Promkesjaor Flayer Novel Corona Virus B 5 Rim Rp 800,000 4,000,000 5 Rim Rp 800,000 Rp 4,000,000 0 Rim Rp 43,900 Rp -
10 Maret 2020 Promkesjaor Flayer Memakai Masker 4 Rim Rp 850,000 3,400,000 4 Rim Rp 850,000 Rp 3,400,000 0 Rim Rp 43,900 Rp -
10 Maret 2020 Promkesjaor Flayer Pencegah Corona 6 Rim Rp 750,000 4,500,000 6 Rim Rp 750,000 Rp 4,500,000 0 Rim Rp 43,900 Rp -
26 Maret 2020 Gizi Roll Baner 60x160 cm 29 Buah Rp 440,000 12,760,000 29 Buah Rp 440,000 Rp 12,760,000 0 Buah Rp 43,916 Rp -
26 Maret 2020 Gizi Lembar Balik 29 Buah Rp 450,000 13,050,000 29 Buah Rp 450,000 Rp 13,050,000 0 Buah Rp 43,916 Rp -
18 Maret 2020 Kesga Buku MTPKR DI Faskes TK. Pertama 30 Buah Rp 235,000 7,050,000 30 Buah Rp 235,000 Rp 7,050,000 0 Buah Rp 43,908 Rp -
18 Maret 2020 Kesga Cetak Register PKPR 160 Buah Rp 39,000 6,240,000 160 Buah Rp 39,000 Rp 6,240,000 0 Buah Rp 43,908 Rp -
30 Maret 2020 Romkesjaor Flyer 8 Rim Rp 575,000 4,600,000 8 Rim Rp 575,000 Rp 4,600,000 0 Rim Rp 43,920 Rp -
30 Maret 2020 Romkesjaor Roll Banner 2 Buah Rp 600,000 1,200,000 2 Buah Rp 600,000 Rp 1,200,000 0 Buah Rp 43,920 Rp -
30 Maret 2020 Romkesjaor Stiker 4 Rim Rp 1,000,000 4,000,000 4 Rim Rp 1,000,000 Rp 4,000,000 0 Rim Rp 43,920 Rp -
24 Februari 2020 P2PTM Khohort 60 Dus Rp 100,000 6,000,000 60 Dus Rp 100,000 Rp 6,000,000 0 Dus Rp 43,885 Rp -
24 Februari 2020 P2PTM Buku Bantu Skrining 30 Dus Rp 100,000 3,000,000 30 Dus Rp 100,000 Rp 3,000,000 0 Dus Rp 43,885 Rp -
24 Februari 2020 P2PTM Buku Pedoman 60 Dus Rp 100,000 6,000,000 60 Dus Rp 100,000 Rp 6,000,000 0 Dus Rp 43,885 Rp -
09 April 2020 Romkesjaor Buku Bahaya Narkoba 50 Buku Rp 74,000 3,700,000 50 Buku Rp 74,000 Rp 3,700,000 0 Buku Rp 43,930 Rp -
04 Februari 2020 Umpeg Amplop Surat Dinas 90gr (Samson B-W) 100 Rp 52,000 5,200,000 0 - Rp 52,000 Rp - 100 - Rp 43,865 Rp 5,200,000
04 Februari 2020 Umpeg Map Biasa Art Karton 310gr (Laminasi Draff) 1,000 Rp 9,500 9,500,000 1,000 - Rp 9,500 Rp 9,500,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Kop Surat Dinas Uk. 70gr HVS 10 Rp 195,000 1,950,000 0 - Rp 195,000 Rp - 10 - Rp 43,865 Rp 1,950,000
04 Februari 2020 Umpeg Lembar Diposisi NCR (B-W) 129 Rp 22,000 2,838,000 0 - Rp 22,000 Rp - 129 - Rp 43,865 Rp 2,838,000
04 Februari 2020 Umpeg Formulir Capa 1 Rp 185,000 185,000 1 - Rp 185,000 Rp 185,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Formulir Pemeriksaan Toko Obat 1,500 Rp 2,275 3,412,500 1,500 - Rp 2,275 Rp 3,412,500 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Surat Pernyataan 500 Rp 2,150 1,075,000 500 - Rp 2,150 Rp 1,075,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Lembar Langkah Pembinaan dan Pengawasan 3,000 Rp 2,275 6,825,000 3,000 - Rp 2,275 Rp 6,825,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Lembar Langkah Pembinaan dan Pengawasan Apotik 3,000 Rp 2,275 6,825,000 3,000 - Rp 2,275 Rp 6,825,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Berita Acara Pemeriksaan Apotik 3,000 Rp 2,300 6,900,000 3,000 - Rp 2,300 Rp 6,900,000 0 - Rp 43,865 Rp -
04 Februari 2020 Umpeg Lembar Verifikasi 2,500 Rp 1,950 4,875,000 0 - Rp 1,950 Rp - 2,500 - Rp 43,865 Rp 4,875,000
14 April 2020 Promkesjaor Roll Banner 12 Buah Rp 891,000 10,692,000 12 Buah Rp 891,000 Rp 10,692,000 0 Buah Rp 43,935 Rp -
14 April 2020 Promkesjaor Stiker A6 1 Rim Rp 1,808,000 1,808,000 1 Rim Rp 1,808,000 Rp 1,808,000 0 Rim Rp 43,935 Rp -
14 April 2020 Promkesjaor Stiker A4 4 Rim Rp 3,300,000 13,200,000 4 Rim Rp 3,300,000 Rp 13,200,000 0 Rim Rp 43,935 Rp -
14 April 2020 Promkesjaor Poster B2 30 Rim Rp 165,000 4,950,000 30 Rim Rp 165,000 Rp 4,950,000 0 Rim Rp 43,935 Rp -
14 April 2020 Promkesjaor Poster A3 30 Rim Rp 55,000 1,650,000 30 Rim Rp 55,000 Rp 1,650,000 0 Rim Rp 43,935 Rp -
Farmalkes 1 Rp 210,000 210,000 1 - Rp 210,000 Rp 210,000 0 - Rp - Rp -
02 November 2020 Umpeg Amplop Puskesmas 100 Rim Rp 49,500 4,950,000 100 Rim Rp 49,500 Rp 4,950,000 0 Rim Rp 44,137 Rp -
02 November 2020 Umpeg Map Puskesmas 1,500 Buah Rp 11,000 16,500,000 1,500 Buah Rp 11,000 Rp 16,500,000 0 Buah Rp 44,137 Rp -
02 November 2020 Umpeg Kop Surat 10 Rim Rp 198,000 1,980,000 10 Rim Rp 198,000 Rp 1,980,000 0 Rim Rp 44,137 Rp -
02 November 2020 Umpeg Lembar Disposisi 20 Buku Rp 22,000 440,000 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
Page 144 of 288

(Rp) (Rp) (Rp)
02 November 2020 Umpeg Surat Resep Dokter 30 Buku Rp 22,000 660,000 30 Buku Rp 22,000 Rp 660,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Keterangan Dokter 20 Buku Rp 22,000 440,000 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Rujukan 20 Buku Rp 22,000 440,000 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Rujuk Balik 20 Buku Rp 22,000 440,000 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Bukti Barang Keluar (SBBK) 20 Buku Rp 22,000 440,000 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Diagnosa Keterangan Klinik 20 Buku Rp 22,000 440,000 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Keterangan Klinik 20 Buku Rp 22,000 440,000 20 Buku Rp 22,000 Rp 440,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Kartu Stok 2,000 Buku Rp 1,100 2,200,000 2,000 Buku Rp 1,100 Rp 2,200,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Tanda Berobat 4,000 Buku Rp 880 3,520,000 4,000 Buku Rp 880 Rp 3,520,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Keterangan Sakit 40 Buku Rp 22,000 880,000 40 Buku Rp 22,000 Rp 880,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Pemeriksaan Kesehatan Umum 20 Buku Rp 27,500 550,000 20 Buku Rp 27,500 Rp 550,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Pemeriksaan Kesehatan Gigi 20 Buku Rp 27,500 550,000 20 Buku Rp 27,500 Rp 550,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Persetujuan/Penolakan 20 Buku Rp 27,500 550,000 20 Buku Rp 27,500 Rp 550,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Permohonan Pemeriksaan Bakteriologi 20 Buku Rp 27,500 550,000 20 Buku Rp 27,500 Rp 550,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Surat Registrasi Gigi 20 Buku Rp 27,500 550,000 20 Buku Rp 27,500 Rp 550,000 0 Buku Rp 44,137 Rp -
02 November 2020 Umpeg Format Monitoring Pengguna Obat Sryup 4 Rim Rp 143,000 572,000 4 Rim Rp 143,000 Rp 572,000 0 Rim Rp 44,137 Rp -
02 November 2020 Umpeg Format Monitoring Pengguna Obat Tablet 4 Rim Rp 143,000 572,000 4 Rim Rp 143,000 Rp 572,000 0 Rim Rp 44,137 Rp -
24 November 2020 DINKES KESGA 1 Rp 29,532,000 29,532,000 1 - Rp 29,532,000 Rp 29,532,000 0 - Rp 44,159 Rp -
12-Nov-20 12-Nov-20 Cetak Format Pos Gizi 32 Buku 34,500 1,104,000 32 Buku Rp 34,500 Rp 1,104,000 0 Buku Rp 44,147 Rp -
Cetak Leaflet 1 Rim 1,200,000 1,200,000 1 Rim Rp 1,200,000 Rp 1,200,000 0 Rim Rp - Rp -
13-Nov-20 DINKES GIZI Cetak Cakram Status Gizi 400 Paket 98,000 39,200,000 400 Paket Rp 98,000 Rp 39,200,000 0 Paket Rp 44,148 Rp -
12-Nov-20 DINKES GIZI Cetak Format E-PPGBM Ibu Hamil 845 Buku 44,000 37,180,000 845 Buku Rp 44,000 Rp 37,180,000 0 Buku Rp 44,147 Rp -
12-Nov-20 DINKES GIZI Cetak Format Anamnesa Gizi 37 Buku 47,500 1,757,500 37 Buku Rp 47,500 Rp 1,757,500 0 Buku Rp 44,147 Rp -
30 November 2020 DINKES FARMALKES 1 Rp 210,000,000 210,000,000 1 - Rp 210,000,000 Rp 210,000,000 0 - Rp 44,165 Rp -
DINKES
03 Desember 2020 PROMKESLINGKESJ 1 Rp 44,550,000 44,550,000 1 - Rp 44,550,000 Rp 44,550,000 0 - Rp 44,168 Rp -
AOR
24-Nov-20 Gizi Cetak Format 3A 850 Buku 46,000 39,100,000 850 Buku Rp 46,000 Rp 39,100,000 0 Buku Rp 44,159 Rp -
24-Nov-20 Gizi Cetak Format 3B 850 Buku 46,000 39,100,000 850 Buku Rp 46,000 Rp 39,100,000 0 Buku Rp 44,159 Rp -
24-Nov-20 Gizi Cetak Format 5 849 Buku 25,647 21,774,303 849 Buku Rp 25,647 Rp 21,774,303 0 Buku Rp 44,159 Rp -
24-Nov-20 Gizi Cetak Format 5 1 Buku 25,697 25,697 1 Buku Rp 25,697 Rp 25,697 0 Buku Rp 44,159 Rp -
08 Desember 2020 Yankes 1 Rp 9,700,000 9,700,000 1 - Rp 9,700,000 Rp 9,700,000 0 - Rp 44,173 Rp -
15 Desember 2020 Promkesjaor 1 Rp 3,000,000 3,000,000 1 - Rp 3,000,000 Rp 3,000,000 0 - Rp 44,180 Rp -

Mutu 1 Rp 32,279,000 32,279,000 1 - Rp 32,279,000 Rp 32,279,000 0 - Rp - Rp -
23 Desember 2020 Promkesjaor 1 Rp 46,755,000 46,755,000 1 - Rp 46,755,000 Rp 46,755,000 0 - Rp 44,188 Rp -
JUMLAH BELANJA CETAK Rp 828,092,000.00 Rp 813,229,000.00 Rp 14,863,000.00
BELANJA (5.2.2.06.02)
30 November 2020 DINKES FARMALKES 1 Rp 134,400,000 134,400,000.00 1 Rp 134,400,000 Rp 134,400,000 0 Rp 44,165 Rp -
Page 145 of 288

(Rp) (Rp) (Rp)
JUMLAH BELANJA Rp 134,400,000.00 Rp 134,400,000.00 Rp -
24 Januari 2020 Rujukan Spanduk Rapar Koordinasi Pelayanan Kesehatan Rujukan 6 M Rp 35,000 210,000.00 6 M Rp 35,000 Rp 210,000 0 43,854 Rp 43,854 Rp -
21 Februari 2020 Rujukan Spanduk Pertemuan Pembinaan Institusi 6 M Rp 35,000 210,000.00 6 M Rp 35,000 Rp 210,000 0 43,882 Rp 43,882 Rp -
07 Februari 2020 Rujukan Spanduk Diseminasi Pelayanan Kesehatan Rujukan 6 M Rp 35,000 210,000.00 6 M Rp 35,000 Rp 210,000 0 43,868 Rp 43,868 Rp -
18 Februari 2020 Rujukan Spanduk Diseminasi Pelayanan Kesehatan Rujukan 6 M Rp 35,000 210,000.00 6 M Rp 35,000 Rp 210,000 0 43,879 Rp 43,879 Rp -
06 Februari 2020 Kesga Spanduk Sinkronisasi Petugas UKS 4 M Rp 35,000.00 140,000.00 4 M Rp 35,000 Rp 140,000 0 43,867 Rp 43,867 Rp -
Spanduk Sinkronisasi Rencana dan Evaluasi Kerja Program Kesehatan

31 Januari 2020 Kesga 4 M Rp 35,000 140,000.00 4 M Rp 35,000 Rp 140,000 0 43,860 Rp 43,861 Rp -
Ibu
07 Februari 2020 Kesga Spanduk Pertemuan dan Evaluasi Pelaksanaan Program 3 M Rp 35,000 105,000.00 3 M Rp 35,000 Rp 105,000 0 - Rp 43,868 Rp -
26 Februari 2020 SIMPK Spanduk Kegiatan Koordinasi Kesiap dan Kesiagaan 4 M Rp 30,000 120,000.00 4 M Rp 30,000 Rp 120,000 0 43,887 Rp 43,887 Rp -
21 Februari 2020 P2PTM&KESWA Spanduk Pembekalan Skrining Deteksi Dini Faktor Resiko PTM 3 M Rp 35,000 105,000.00 3 M Rp 35,000 Rp 105,000 0 43,878 Rp 43,882 Rp -
Spanduk Pembekalan Skrining Deteksi Dini Faktor Resiko PTM 20

21 Februari 2020 P2PTM&KESWA 3 M Rp 35,000 105,000.00 3 M Rp 35,000 Rp 105,000 0 43,878 Rp 43,882 Rp -
Februari 2020
Spanduk Pembekalan Skrining Deteksi Dini Faktor Resiko PTM 21
Februari 2020
21 Februari 2020 Umpeg Spanduk Peresmian PKM Cirendeu uk.4mX1m 2 Buah Rp 120,000 240,000.00 2 Buah Rp 120,000 Rp 240,000 0 43,882 Rp 43,882 Rp -
21 Februari 2020 Umpeg Spanduk Peresmian PKM Pamulang Timur uk.4mX1m 2 Buah Rp 120,000 240,000.00 2 Buah Rp 120,000 Rp 240,000 0 43,882 Rp 43,882 Rp -
Spanduk Sosialisasi Pemeriksaan IVA Test Dalam Rangka Menurunkan

Angka Kejadian Kanker Serviks

Angka Kejadian Kanker Serviks 12 Februari 2020

Angka Kejadian Kanker Serviks 13 Februari 2020
18 Februari 2020 P2PTM&KESWA Spanduk Pelayanan Peningkatan Kesehatan Jiwa di FKTP 4 M Rp 35,000 140,000.00 4 M Rp 35,000 Rp 140,000 0 43,874 Rp 43,879 Rp -
7-Feb-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000 4 Meter Rp 30,000 Rp 120,000 0 43,874 Rp 43,868 Rp -
21-Aug-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000 4 Meter Rp 30,000 Rp 120,000 0 43,874 Rp 44,064 Rp -
1-Sep-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000 4 Meter Rp 30,000 Rp 120,000 0 43,874 Rp 44,075 Rp -
2-Mar-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000 4 Meter Rp 30,000 Rp 120,000 0 43,874 Rp 43,892 Rp -
Page 146 of 288

(Rp) (Rp) (Rp)
6-Mar-20 Gizi Cetak Spanduk 4 Meter 30,000 120,000 4 Meter Rp 30,000 Rp 120,000 0 43,874 Rp 43,896 Rp -
2-Nov-20 Gizi Cetak Spanduk 5 Meter 30,000 150,000 5 Meter Rp 30,000 Rp 150,000 0 43,874 Rp 44,137 Rp -
7-Oct-20 Gizi Cetak Spanduk 40 Meter 30,000 1,200,000 40 Meter Rp 30,000 Rp 1,200,000 0 43,874 Rp 44,111 Rp -
6-Nov-20 Gizi Cetak Spanduk 3 Meter 30,000 90,000 3 Meter Rp 30,000 Rp 90,000 0 43,874 Rp 44,141 Rp -

25 Februari 2020 PJKM 4 M Rp 30,000 120,000.00 4 M Rp 30,000 Rp 120,000 0 43,886 Rp 43,886 Rp -
13 Februari 2020 Spanduk Validasi Data Program Penyakit Tidak Menular 4 M Rp 35,000 140,000.00 4 M Rp 35,000 Rp 140,000 0 - Rp 43,874 Rp -

13 Februari 2020 4 M Rp 35,000 140,000.00 4 M Rp 35,000 Rp 140,000 0 - Rp 43,874 Rp -
Diabetes
13 Februari 2020 Spanduk Iva Test 4 M Rp 35,000 140,000.00 4 M Rp 35,000 Rp 140,000 0 - Rp 43,874 Rp -
PROMKESLINGKESJA
16 Maret 2020 Cetak Spanduk, Backdroop, Umbul' Bahan Fleksi 779 M Rp 35,000 27,265,000.00 779 M Rp 35,000 Rp 27,265,000 0 43,907 Rp 43,906 Rp -
OR

06 Maret 2020 PJKM 3 M Rp 30,000 90,000.00 3 M Rp 30,000 Rp 90,000 0 43,896 Rp 43,896 Rp -
(Puskesmas)
10 Maret 2020 Rujukan Spanduk Workshop Kegawatdaruratan Medis 6 M Rp 35,000 210,000.00 6 M Rp 35,000 Rp 210,000 0 43,899 Rp 43,900 Rp -
27 Februari 2020 Rujukan Spanduk Diseminisasi Pelayanan Kesehatan Rujukan 6 M Rp 35,000 210,000.00 6 M Rp 35,000 Rp 210,000 0 43,867 Rp 43,888 Rp -
03 Maret 2020 Rujukan Spanduk Pertemuan Pembinaan Instusi 6 M Rp 35,000 210,000.00 6 M Rp 35,000 Rp 210,000 0 43,892 Rp 43,893 Rp -
09 Maret 2020 KESGA Spanduk Peningkatan Kapasitas Petugas Puskesmas Mampu KTA 4 M Rp 35,000 140,000.00 4 M Rp 35,000 Rp 140,000 0 43,899 Rp 43,899 Rp -
09 Maret 2020 KESGA Spanduk sinkronisasi Pelayanan Neo Natal Esensial 4 M Rp 35,000 140,000.00 4 M Rp 35,000 Rp 140,000 0 43,899 Rp 43,899 Rp -
Spanduk Peningkatan Pengetahuan Manajemen Terpadu Pelayanan

09 Maret 2020 KESGA 4 M Rp 35,000 140,000.00 4 M Rp 35,000 Rp 140,000 0 43,899 Rp 43,899 Rp -
Kesehatan
10 Maret 2020 Umpeg Spanduk MTQ (uk.1mX4m) 2 Buah Rp 120,000 240,000.00 2 Buah Rp 120,000 Rp 240,000 Rp 43,900
10 Maret 2020 Umpeg Spanduk MTQ (uk.1mX2m) 1 Buah Rp 60,000 60,000.00 1 Buah Rp 60,000 Rp 60,000
22 Juli 2020 Promkesjaor CetakSpanduk_Back Ground_Umbul-umbul Bahan Flexi 736 M Rp 35,000 25,760,000.00 736 M Rp 35,000 Rp 25,760,000 0 - Rp 44,034 Rp -
04 Agustus 2020 Rujukan Spanduk Pertemuan (4 Spanduk = 1 Spanduk 3mX1m) 12 M Rp 35,000 420,000.00 12 M Rp 35,000 Rp 420,000 0 - Rp 44,047 Rp -
05 Agustus 2021 Umpeg Spanduk Dirgahayu RI Ke-75 (uk. 1.5mX5m) 3 Pcs Rp 225,000 675,000.00 3 Pcs Rp 225,000 Rp 675,000 0 Pcs Rp 44,413 Rp -
15 Oktober 2020 Rujukan Spanduk Pertemuan (10 Spanduk = 1 Spandik 3m X 1m ) 30 M Rp 35,000 1,050,000.00 30 M Rp 35,000 Rp 1,050,000 0 - Rp 44,119 Rp -
09 Oktober 2020 Promkeslingkesjaor CetakSpanduk_Back Ground_Umbul-umbul Bahan Flexi 780 M Rp 35,000 27,282,500.00 780 M Rp 35,000 Rp 27,282,500 0 - Rp - Rp -
01 September 2020 Rujukan 1 Rp 420,000 420,000.00 1 - Rp 420,000 Rp 420,000 0 - Rp - Rp -
JUMLAH BELANJA CETAK SPANDUK Rp 90,807,500.00 Rp 90,807,500.00 Rp -
26 April 2020 Umpeg Air Mineral 208 Galon 20,000.00 4,160,000.00 208 Galon 20,000.00 Rp 4,160,000 0 Galon 20,000.00 Rp -
26 April 2020 Umpeg Aqua Mini 3 Dus 47,000.00 141,000.00 3 Dus 47,000.00 Rp 141,000 0 Dus 47,000.00 Rp -
26 April 2020 Umpeg Aqua Gelas 5 Karton 37,000.00 185,000.00 5 Karton 37,000.00 Rp 185,000 0 Karton 37,000.00 Rp -
08 Juni 2020 Umpeg Reffil Aqua Galon 100 Galon 20,000.00 2,000,000.00 100 Galon 20,000.00 Rp 2,000,000 0 Galon 20,000.00 Rp -
08 Juni 2020 Umpeg Aqua Gelas 40 Dus 38,000.00 1,520,000.00 40 Dus 38,000.00 Rp 1,520,000 0 Dus 38,000.00 Rp -
Page 147 of 288

(Rp) (Rp) (Rp)
20 Mei 2020 Umpeg Aqua Galon 109 Galon 20,000.00 2,180,000.00 109 Galon 20,000.00 Rp 2,180,000 0 Galon 20,000.00 Rp -
20 Mei 2020 Umpeg Aqua Mini 1 Dus 47,000.00 47,000.00 1 Dus 47,000.00 Rp 47,000 0 Dus 47,000.00 Rp -
31 Maret 2020 Rujukan Makmin Kegiatan PSC 357 Kotak 32,500.00 11,602,500.00 357 Kotak 32,500.00 Rp 11,602,500 0 Kotak 32,500.00 Rp -
08 Juli 2020 Umpeg Aqua Galon 40 Galon 20,000.00 800,000.00 40 Galon 20,000.00 Rp 800,000 0 Galon 20,000.00 Rp -
08 Juli 2020 Umpeg Aqua Mini 10 Dus 45,000.00 450,000.00 10 Dus 45,000.00 Rp 450,000 0 Dus 45,000.00 Rp -
08 Juli 2020 Umpeg Aqua Gelas 15 Dus 38,000.00 570,000.00 15 Dus 38,000.00 Rp 570,000 0 Dus 38,000.00 Rp -
05 Agustus 2021 Umpeg Aqua Galon 120 Galon 20,000.00 2,400,000.00 120 Galon 20,000.00 Rp 2,400,000 0 Galon 20,000.00 Rp -
05 Agustus 2021 Umpeg Aqua Mini 10 Dus 48,000.00 480,000.00 10 Dus 48,000.00 Rp 480,000 0 Dus 48,000.00 Rp -
05 Agustus 2021 Umpeg Aqua Gelas 50 Dus 38,000.00 1,900,000.00 50 Dus 38,000.00 Rp 1,900,000 0 Dus 38,000.00 Rp -
11 Agustus 2020 Umpeg Kopi Kapal Api 80 Karton 175,000.00 14,000,000.00 80 Karton 175,000.00 Rp 14,000,000 0 Karton 175,000.00 Rp -
11 Agustus 2020 Umpeg Kopi uwak White Coffe 20 Karton 342,000.00 6,840,000.00 20 Karton 342,000.00 Rp 6,840,000 0 Karton 342,000.00 Rp -
11 Agustus 2020 Umpeg The Sari Wangi Kotak 3 Karton 406,000.00 1,218,000.00 3 Karton 406,000.00 Rp 1,218,000 0 Karton 406,000.00 Rp -
11 Agustus 2020 Umpeg Gula Lokal 100 Kg 30,000.00 3,000,000.00 100 Kg 30,000.00 Rp 3,000,000 0 Kg 30,000.00 Rp -
11 Agustus 2020 Umpeg Mie Instan 2,000 Pcs 5,000.00 10,000,000.00 2,000 Pcs 5,000.00 Rp 10,000,000 0 Pcs 5,000.00 Rp -
11 Agustus 2020 Umpeg Saus Sambal 115 Botol 28,000.00 3,220,000.00 115 Botol 28,000.00 Rp 3,220,000 0 Botol 28,000.00 Rp -
31 Agustus 2020 Rujukan Nasi Kotak 129 Kotak 32,500.00 4,192,500.00 129 Kotak 32,500.00 Rp 4,192,500 0 Kotak 32,500.00 Rp -
17 September 2021 Umpeg Aqua Galon 6 Galon 60,000 360,000.00 6 Galon 60,000.00 Rp 360,000 0 Galon 60,000.00 Rp -
17 September 2021 Umpeg Reffil Tabung Gas Elpiji 1 Tabung 150,000 150,000.00 1 Tabung 150,000.00 Rp 150,000 0 Tabung 150,000.00 Rp -
17 September 2021 Umpeg Aqua Botol 5 Dus 47,000 235,000.00 5 Dus 47,000.00 Rp 235,000 0 Dus 47,000.00 Rp -
27 Oktober 2021 Umpeg Kopi Kapal Api Spesial 300gr (1 Karton 9 bungkus) 18 Karton 174,000 3,132,000.00 Staff 18 Karton 174,000.00 Rp 3,132,000 0 Karton 174,000.00 Rp -
Page 148 of 288

(Rp) (Rp) (Rp)
27 Oktober 2021 Umpeg Kopi Kapal Api Spesial Mix 25gr (1 Karton 12 Pak) 10 Karton 282,000 2,820,000.00 Staff 10 Karton 282,000.00 Rp 2,820,000 0 Karton 282,000.00 Rp -
27 Oktober 2021 Umpeg Kopi Luwak White coffie ( 1 karton 20 Renceng) 6 Karton 341,000 2,046,000.00 Staff 6 Karton 341,000.00 Rp 2,046,000 0 Karton 341,000.00 Rp -
27 Oktober 2021 Umpeg The Sari Wangi Kotak 25"S ( 1 Karton 48 Dus) 2 Karton 408,000 816,000.00 Staff 2 Karton 408,000.00 Rp 816,000 0 Karton 408,000.00 Rp -
27 Oktober 2021 Umpeg Gula Lokal 100 kG 29,000 2,900,000.00 Staff 100 kG 29,000.00 Rp 2,900,000 0 kG 29,000.00 Rp -
27 Oktober 2021 Umpeg Mie Instan 1,000 Pcs 5,500.00 5,500,000.00 Staff 1,000 Pcs 5,500.00 Rp 5,500,000 0 Pcs 5,500.00 Rp -
27 Oktober 2021 Umpeg Saus Sambal (355 ml) 80 Botol 29,000.00 2,320,000.00 Staff 80 Botol 29,000.00 Rp 2,320,000 0 Botol 29,000.00 Rp -
27 Oktober 2021 Umpeg Air Mineral Gelas 100 Karton 45,000.00 4,500,000.00 Staff 100 Karton 45,000.00 Rp 4,500,000 0 Karton 45,000.00 Rp -
27 Oktober 2021 Umpeg Air Mineral Botol Mini (330 ml 24 Botol) 50 Karton 55,000.00 2,750,000.00 Staff 50 Karton 55,000.00 Rp 2,750,000 0 Karton 55,000.00 Rp -
27 Oktober 2021 Umpeg Air Mineral Botol Tanggung (600 ml 24 Botol) 50 Karton 59,000.00 2,950,000.00 Staff 50 Karton 59,000.00 Rp 2,950,000 0 Karton 59,000.00 Rp -
26 Oktober 2021 Umpeg Air Mineral Reffil 140 Galon 20,000.00 2,800,000.00 Staff 140 Galon 20,000.00 Rp 2,800,000 0 Galon 20,000.00 Rp -
26 Oktober 2021 Umpeg Air Mineral Gelas 70 Dus 38,000.00 2,660,000.00 Staff 70 Dus 38,000.00 Rp 2,660,000 0 Dus 38,000.00 Rp -
12 Agustus 2020 Rujukan 1 Paket 15,892,500.00 15,892,500.00 1 Paket 15,892,500.00 Rp 15,892,500 0 Paket 15,892,500.00 Rp -
16 November 2020 Rujukan 1 Paket 11,700,000.00 11,700,000.00 1 Paket 11,700,000.00 Rp 11,700,000 0 Paket 11,700,000.00 Rp -
08 Desember 2020 Rujukan 1 Paket 3,607,500.00 3,607,500.00 1 Paket 3,607,500.00 Rp 3,607,500 0 Paket 3,607,500.00 Rp -
15 Desember 2020 Umpeg 1 Paket 7,740,000.00 7,740,000.00 1 Paket 7,740,000.00 Rp 7,740,000 0 Paket 7,740,000.00 Rp -
Rujukan 1 15,892,500.000 15,892,500.000 1 Buah 15,892,500.000 Rp 15,892,500.000 0 0 Buah Rp -
Farmalkes 1 1,950,000.000 1,950,000.000 1 Buah 1,950,000.000 Rp 1,950,000.000 0 0 Buah Rp -

11 Mei 2020 Gizi 21,419 Buah 7,394.958 158,392,605 21,419 Buah 7,394.958 Rp 158,392,605.402 0 0 Buah Rp -
11 Mei 2020 Gizi 1 Buah 7,394.598 7,395 1 Buah 7,394.598 Rp 7,394.598 0 0 Buah Rp -
JUMLAH BELANJA MAKANAN DAN MINUMAN HARIAN PEGAWAI 158,400,000 Rp 158,400,000.00 Rp -
24 November 2020 Promkesjaor 1 Paket 36,750,000.000 36,750,000.000 1 Paket 36,750,000.000 Rp 36,750,000.000 0 Paket Paket Rp -
Page 149 of 288

(Rp) (Rp) (Rp)
JUMLAH BELANJA PAKAIAN OLAHRAGA Rp 36,750,000.00 Rp 36,750,000.00 Rp -

(5.2.2.20.01)
03 Maret 2020 Promkesjaor Piala Juara 1 1 Pcs 480,000.00 480,000.00 1 Pcs 480,000.00 Rp 480,000 0 Pcs 480,000.00 Rp -
03 Maret 2020 Promkesjaor Piala Juara Harapan 1 1 Pcs 150,000.00 150,000.00 1 Pcs 150,000.00 Rp 150,000 0 Pcs 150,000.00 Rp -
14 Oktober 2020 Promkesjaor Piala Juara 1 2 Pcs 500,000.00 1,000,000.00 2 Pcs 500,000.00 Rp 1,000,000 0 Pcs 150,000.00 Rp -
14 Oktober 2020 Promkesjaor Piala Juara 2 2 Pcs 400,000.00 800,000.00 2 Pcs 400,000.00 Rp 800,000 0 Pcs 150,000.00 Rp -
14 Oktober 2020 Promkesjaor Piala Juara 3 2 Pcs 350,000.00 700,000.00 2 Pcs 350,000.00 Rp 700,000 0 Pcs 150,000.00 Rp -
14 Oktober 2020 Promkesjaor Piala Juara Harapan 1 2 Pcs 150,000.00 300,000.00 2 Pcs 150,000.00 Rp 300,000 0 Pcs 150,000.00 Rp -
25 November 2020 Kesga 1 6,908,000.00 6,908,000.00 1 6,908,000.00 Rp 6,908,000
03 Desember 2020 Promkesjaor 1 1,700,000.00 1,700,000.00 1 1,700,000.00 Rp 1,700,000
JUMLAH BELANJA HADIAH DAN PENGHARGAAN BERUPA BARANG Rp 13,608,000.00 Rp 13,608,000.00 Rp -
1. BELANJA (522.31.02)
19 November 2020 Farmalkes 1 5,114,887,900.00 5,114,887,900.00 1 Pcs 5,114,887,900.00 Rp 5,114,887,900 0 Pcs 150,000.00 Rp -
Rp -
JUMLAH BELANJA Rp 5,114,887,900.00 Rp 5,114,887,900.00 Rp -

(5.2.2.39.01)
12 Maret 2020 Gizi Wajan 10 Buah Rp 206,400 Rp 2,064,000 10 Buah Rp 206,400 Rp 2,064,000 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Panci 10 Buah Rp 409,920 Rp 4,099,200 10 Buah Rp 409,920 Rp 4,099,200 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Kompor Gas 2Tungku 10 Buah Rp 417,600 Rp 4,176,000 10 Buah Rp 417,600 Rp 4,176,000 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Selang 10 Buah Rp 148,800 Rp 1,488,000 10 Buah Rp 148,800 Rp 1,488,000 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Tabung Gas LPG 3Kg 10 Buah Rp 240,000 Rp 2,400,000 10 Buah Rp 240,000 Rp 2,400,000 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Piring 20 Lusin Rp 144,000 Rp 2,880,000 20 Lusin Rp 144,000 Rp 2,880,000 0 Lusin Rp 43,902 Rp -
12 Maret 2020 Gizi Gelas 20 Lusin Rp 96,000 Rp 1,920,000 20 Lusin Rp 96,000 Rp 1,920,000 0 Lusin Rp 43,902 Rp -
12 Maret 2020 Gizi Sendok Sayur 10 Buah Rp 28,800 Rp 288,000 10 Buah Rp 28,800 Rp 288,000 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Sodet 10 Buah Rp 28,800 Rp 288,000 10 Buah Rp 28,800 Rp 288,000 0 Buah Rp 43,902 Rp -
12 Maret 2020 Gizi Ballpoint 20 Lusin Rp 48,000 Rp 960,000 20 Lusin Rp 48,000 Rp 960,000 0 Lusin Rp 43,902 Rp -
12 Maret 2020 Gizi Buku Tulis 20 Pak Rp 40,320 Rp 806,400 20 Pak Rp 40,320 Rp 806,400 0 Pak Rp 43,902 Rp -
Page 150 of 288

(Rp) (Rp) (Rp)
12 Maret 2020 Gizi Spidol Warna 20 Set Rp 19,200 Rp 384,000 20 Set Rp 19,200 Rp 384,000 0 Set Rp 43,902 Rp -
12 Maret 2020 Gizi Spidol Permanen 40 Pcs Rp 9,600 Rp 384,000 40 Pcs Rp 9,600 Rp 384,000 0 Pcs Rp 43,902 Rp -
12 Maret 2020 Gizi Kertas Manila 140 Lembar Rp 3,840 Rp 537,600 140 Lembar Rp 3,840 Rp 537,600 0 Lembar Rp 43,902 Rp -
12 Maret 2020 Gizi Kertas Orogami 60 Pak Rp 18,240 Rp 1,094,400 60 Pak Rp 18,240 Rp 1,094,400 0 Pak Rp 43,902 Rp -
12 Maret 2020 Gizi Gunting 20 Pcs Rp 19,200 Rp 384,000 20 Pcs Rp 19,200 Rp 384,000 0 Pcs Rp 43,902 Rp -

115cm Bisa Digeser)

14 Desember 2021 Umpeg Tong Sampah 2 in 1 100 Unit Rp 1,465,000 Rp 146,500,000 100 Unit Rp 1,465,000 Rp 146,500,000 Unit Rp 44,544
JUMLAH BELANJA BARANG UNTUK DISERAHKAN KEPADA MASYARAKAT Rp 401,053,600.00 Rp 401,053,600.00 Rp -
30 Juni 2020 Farmalkes Masker 3 Fly Earloop 5,000 Rp 200,000 Rp 1,000,000,000 5,000 - Rp 200,000 Rp 1,000,000,000 0 Rp 200,000 Rp -
30 Juni 2020 Farmalkes Masker 3 Fly Type Hijab 5,000 Rp 200,000 Rp 1,000,000,000 5,000 - Rp 200,000 Rp 1,000,000,000 0 Rp 200,000 Rp -
30 Juni 2020 Farmalkes Air Purifier 5 Rp 14,090,909 Rp 70,454,545 5 - Rp 14,090,909 Rp 70,454,545 0 Rp 14,090,909 Rp -
30 Juni 2020 Farmalkes Hazmat Non Medis 500 Rp 100,000 Rp 50,000,000 500 - Rp 100,000 Rp 50,000,000 0 Rp 100,000 Rp -
Farmalkes 1 Rp 3,325,000 Rp 3,325,000 1 - Rp 3,325,000 Rp 3,325,000 0 Pcs Rp - Rp -
Farmalkes Masker N95 6,640 Pcs Rp 147,273 Rp 977,890,927 6,640 Pcs Rp 147,273 Rp 977,890,927 0 Pcs Rp - Rp -
08 Oktober 2020 Farmalkes 1 Rp 5,453,000 Rp 5,453,000 1 - Rp 5,453,000 Rp 5,453,000 0 Pcs Rp - Rp -
06 Mei 2020 Farmalkes Sprei Uk. 160 x 200 400 Pcs Rp 172,727.30 Rp 69,090,920.00 400 Pcs Rp 172,727 Rp 69,090,920 0 Pcs Rp 172,727.30 Rp -
06 Mei 2020 Farmalkes Selimut Uk. 120 x200 400 Pcs Rp 231,818.20 Rp 92,727,280.00 400 Pcs Rp 231,818 Rp 92,727,280 0 Pcs Rp 231,818.20 Rp -
06 Mei 2020 Farmalkes Sarung Bantal Uk. Standar 400 Pcs Rp 36,363.60 Rp 14,545,440.00 400 Pcs Rp 36,364 Rp 14,545,440 0 Pcs Rp 36,363.60 Rp -
06 Mei 2020 Farmalkes Masker Kain Biasa 20,000 Pcs Rp 7,272.73 Rp 145,454,600.00 20,000 Pcs Rp 7,273 Rp 145,454,600 0 Pcs Rp 7,272.73 Rp -
06 Mei 2020 Farmalkes Rompi RW 800 Pcs Rp 222,727.20 Rp 178,181,760.00 800 Pcs Rp 222,727 Rp 178,181,760 0 Pcs Rp 222,727.20 Rp -
06 Mei 2020 Farmalkes Coverall 1794 Pcs Rp 259,090.00 Rp 464,807,460.00 1,794 Pcs Rp 259,090 Rp 464,807,460 0 Pcs Rp 259,090.00 Rp -
06 Mei 2020 Farmalkes Coverall 1 Rp 260,705.00 Rp 260,705.00 1 Rp 260,705 Rp 260,705 Rp 260,705.00
06 Mei 2020 Farmalkes Vivadiag Covid 19 Rapid Test 5000 Pcs Rp 200,000.00 Rp 1,000,000,000.00 5,000 Pcs Rp 200,000 Rp 1,000,000,000 0 Pcs Rp 200,000.00 Rp -
Page 151 of 288

(Rp) (Rp) (Rp)
27 Mei 2020 Farmalkes 3849 Pcs Rp 136,363.00 Rp 524,861,187 3,849 Pcs Rp 136,363 Rp 524,861,187 0 Pcs Rp 136,363.00 Rp -
Ukuran All Size)
22 Mei 2020 Farmalkes Masker 3 ply Type Air Loop 5000 Box Rp 200,000.00 Rp 1,000,000,000 5,000 Box Rp 200,000 Rp 1,000,000,000 0 Box Rp 200,000.00 Rp -
22 Mei 2020 Farmalkes Masker 3 ply Type Hijab 5000 Box Rp 200,000.00 Rp 1,000,000,000 5,000 Box Rp 200,000 Rp 1,000,000,000 0 Box Rp 200,000.00 Rp -
11 Mei 2020 Farmalkes Catriedge Xpert Xpress SARS-COV-2 60 Box Rp 6,000,000.00 Rp 360,000,000 60 Box Rp 6,000,000 Rp 360,000,000 0 Box Rp 6,000,000.00 Rp -
11 Mei 2020 Farmalkes Vivadiag 30000 Pcs Rp 200,000.00 Rp 6,000,000,000 30,000 Pcs Rp 200,000 Rp 6,000,000,000 0 Pcs Rp 200,000.00 Rp -
11 Mei 2020 Farmalkes 6359 Pcs Rp 167,727.00 Rp 1,066,575,993 6,359 Pcs Rp 167,727 Rp 1,066,575,993 0 Pcs Rp 167,727.00 Rp -
Masker N95
JUMLAH BELANJA BTT (BELANJA TAK TERDUGA) COVID 19 Rp 15,023,937,091.20 Rp 15,023,937,091.20 Rp -
2. PENERIMAAN 1 JAN - 30 JUNI 2020 = Rp 46,846,956,063.20 2. PENGELUARAN 1 JAN - 30 JUNI 2020 = Rp 46,577,183,683.20 2. SISA PENGELUARAN 1 JAN - 30 JUNI 2020 Rp 269,772,380.00
3. TOTAL PENERIMAAN 2020 = Rp 47,086,140,575.20 3. TOTAL PENGELUARAN 2020 (1+2) = Rp 46,761,710,983.20 3. SALDO AKHIR 2020 (1+2) Rp 324,429,592.00
4. TOTAL PENERIMAAN 2020 Rp 47,086,140,575.20


NIP. 19741220 200112 1 004 NIP. 19840406 201001 1 009
Page 152 of 288


Kuantitas Harga (Rp) Buku Penerimaan Tanggal Surat Bon /Perintah Kuantitas Harga Jumlah Kuantitas
No. Tanggal Penerimaan Pembelian Nama Barang Total (Rp) B.A/ Serah Terima Pengeluaran Pengeluaran Barang Untuk Satuan Harga
No. Tgl. No. Tgl. (Rp) (Rp)
PENERIMAAN TA. 2020
kwitansi
LOGISTIK COVID
SUMBER DINKES PROVINSI BANTEN
1 OSELTAMIVIR 75 Mg 580 Tablet Rp 12,969.00 Rp 7,522,020.00 136/IFP/APBN/III/2020 24 Maret 2020 442.1/002/Farmalkes/2020 25 Maret 2020 RS DHIA 20 Tablet Rp 12,969.00 560 Tablet
442.1/005/Farmalkes/2020 RS Eka Hospital 240 Tablet Rp 12,969.00 320 Tablet
442.1/007/Farmalkes/2020 RS Hermina Ciputat 10 Tablet Rp 12,969.00 310 Tablet
442.1/008/Farmalkes/2020 RS Hermina Serpong 10 Tablet Rp 12,969.00 300 Tablet
442.1/009/Farmalkes/2020 Permata Pamulang 20 Tablet Rp 12,969.00 280 Tablet
442.1/010/Farmalkes/2020 RS BBH 10 Tablet Rp 12,969.00 270 Tablet
442.1/012/Farmalkes/2020 RS Pondok Indah 120 Tablet Rp 12,969.00 150 Tablet
1,500 Tablet Rp 12,969.00 Rp 19,453,500.00 1-Apr-20 032/031/SBBK/Farmalkes 1-Apr-20 RS Permata Pamulang 10 Tablet Rp 12,969.00 1,640 Tablet
032/032/SBBK/Farmalkes RS Eka Hospital 230 Tablet Rp 12,969.00 1,410 Tablet
032/038/SBBK/Farmalkes RS Sari Asih Ciputat 10 Tablet Rp 12,969.00 1,400 Tablet
032/044/SBBK/Farmalkes RS IMC 60 Tablet Rp 12,969.00 1,340 Tablet
032/045/SBBK/Farmalkes RS Premier 160 Tablet Rp 12,969.00 1,180 Tablet
032/048/SBBK/Farmalkes RIS 40 Tablet Rp 12,969.00 1,140 Tablet
032/049/SBBK/Farmalkes RS Dhia 20 Tablet Rp 12,969.00 1,120 Tablet
032/051/SBBK/Farmalkes RS Hermina Ciputat 10 Tablet Rp 12,969.00 1,110 Tablet
032/056/SBBK/Farmalkes RSU TangSel 100 Tablet Rp 12,969.00 1,010 Tablet
RS Mitra Keluarga
032/060/SBBK/Farmalkes 2-Apr-20
Bintaro
120 Tablet Rp 12,969.00 890 Tablet
032/061/SBBK/Farmalkes RS.Hermina Serpong 20 Tablet Rp 12,969.00 870 Tablet
032/062/SBBK/Farmalkes RSPI Bintaro 220 Tablet Rp 12,969.00 650 Tablet
032/063/SBBK/Farmalkes RS Insan Permata 10 Tablet Rp 12,969.00 640 Tablet
032/064/SBBK/Farmalkes RS BBH 10 Tablet Rp 12,969.00 630 Tablet
032/065/SBBK/Farmalkes RS Medika BSD 60 Tablet Rp 12,969.00 570 Tablet
032/070/SBBK/Farmalkes 3-Apr-20 RS Premier 200 Tablet Rp 12,969.00 370 Tablet
RS UIN Syarif
Hidayatullah
200 Rp 12,969.00 Rp 2,593,800.00 252/IFP/APBN/IV/2020 6-Apr-20 032/152/SBBK/Farmalkes 13-Apr-20 RS Premier Bintaro 112 Tablet Rp 12,969.00 318 Tablet
032/208/SBBK/Farmalkes 16-Apr-20 RS Hermina Ciputat 50 Tablet Rp 12,969.00 268 Tablet
032/218/SBBK/Farmalkes 16-Apr-20 RSUD 100 Tablet Rp 12,969.00 168 Tablet
1,000 Rp 12,969.00 Rp 12,969,000.00 412/IFP/APBN/IV/2020 17-Apr-20 032/237/SBBK/Farmalkes 20-Apr-20 RS Premier Bintaro 140 Tablet Rp 12,969.00 1,028 Tablet
032/251/SBBK/Farmalkes 21-Apr-20 RS Hermina Serpong 30 Tablet Rp 12,969.00 858 Tablet
Page 153 of 288

032/314/SBBK/Farmalkes 27-Apr-20 RS Sari Asih Ciputat 126 Tablet Rp 12,969.00 732 Tablet
032/341/SBBK/Farmalkes 29-Apr-20 RSUD Tangsel 206 Tablet Rp 12,969.00 326 Tablet
032/392/SBBK/Farmalkes 5-May-20 RS Hermina Ciputat 200 Tablet Rp 12,969.00 126 Tablet
032/402/SBBK/Farmalkes 6-May-20 RS Premier Bintaro 100 Tablet Rp 12,969.00 26 Tablet
032/448/SBBK/Farmalkes 11-May-20 RS Hermina Serpong 16 Tablet Rp 12,969.00 10 Tablet
600 Rp 12,969.00 Rp 7,781,400.00 18-May-20 032/516/SBBK/Farmalkes 19-May-20 RS Hermina Ciputat 100 Tablet Rp 12,969.00 510 Tablet
032/526/SBBK/Farmalkes 20-May-20 RSUD Tangsel 100 Tablet Rp 12,969.00 410 Tablet
032/535/SBBK/Farmalkes 22-May-20 RS Premier 100 Tablet Rp 12,969.00 310 Tablet
032/638/SBBK/Farmalkes 3-Jun-20 RS Hermina Ciputat 100 Tablet Rp 12,969.00 210 Tablet
032/796/SBBK/Farmalkes 3-Jul-20 RS Hermina Serpong 20 Tablet Rp 12,969.00 190 Tablet
500 Rp 12,969.00 Rp 6,484,500.00 9-Jul-20 032/857/SBBK/Farmalkes 21-Jul-20 RS Premier 100 Tablet Rp 12,969.00 590 Tablet
032/945/SBBK/Farmalkes 7-Aug-20 RS Sari Asih Ciputat 100 Tablet Rp 12,969.00 490 Tablet
032/951/SBBK/Farmalkes 9-Aug-20 RS IMC 20 Tablet Rp 12,969.00 470 Tablet
032/996/SBBK/Farmalkes 14-Aug-20 RS IMC Bintaro 60 Tablet Rp 12,969.00 410 Tablet
032/1018/SBBK/Farmalkes 20-Aug-20 RS Permata Pamulang 30 Tablet Rp 12,969.00 380 Tablet
032/1018/SBBK/Farmalkes 25-Aug-20 RS Sari Asih Ciputat 150 Tablet Rp 12,969.00 230 Tablet
032/1042/SBBK/Farmalkes 26-Aug-20 RS Hermina Serpong 50 Tablet Rp 12,969.00 180 Tablet
RS Mitra Keluarga
032/1043/SBBK/Farmalkes Bintaro 24 Tablet Rp 12,969.00 156 Tablet
750 Rp 9,500.00 Rp 7,125,000.00 2-Sep-20 032/1113/SBBK/Farmalkes 10-Sep-20 RS Medika BSD 80 Tablet Rp 9,500.00 826 Tablet
032/1123/SBBK/Farmalkes 11-Sep-20 RS Permata Pamulang 50 Tablet Rp 9,500.00 776 Tablet
032/1125/SBBK/Farmalkes RS Hermina Serpong 50 Tablet Rp 9,500.00 726 Tablet
032/1129/SBBK/Farmalkes RS Pondok Indah 10 Tablet Rp 9,500.00 716 Tablet
032/1132/SBBK/Farmalkes 14-Sep-20 RS Premier Bintaro 110 Tablet Rp 9,500.00 606 Tablet
032/1143/SBBK/Farmalkes 15-Sep-20 RS Permata Pamulang 50 Tablet Rp 9,500.00 556 Tablet
RS Mitra Keluarga
032/1151/SBBK/Farmalkes 16-Sep-20
Bintaro
032/1163/SBBK/Farmalkes 17-Sep-20 RS Sari Asih Ciputat 150 Tablet Rp 9,500.00 256 Tablet
032/1183/SBBK/Farmalkes 21-Sep-20 RS Pondok Indah 50 Tablet Rp 9,500.00 206 Tablet
032/1189/SBBK/Farmalkes 22-Sep-20 RS IMC Bintaro 40 Tablet Rp 9,500.00 166 Tablet
032/1204/SBBK/Farmalkes 23-Sep-20 RS Hermina Ciputat 10 Tablet Rp 9,500.00 156 Tablet
032/1236/SBBK/Farmalkes 29-Sep-20 RS Sari Asih Ciputat 100 Tablet Rp 9,500.00 56 Tablet
1,610 Rp 9,500.00 Rp 15,295,000.00 2157/IFP/APBN/IX/2020 28-Sep-20 032/1239/SBBK/Farmalkes RS Hermina Serpong 40 Tablet Rp 9,500.00 1,626 Tablet
032/1241/SBBK/Farmalkes 30-Sep-20 RS IMC Bintaro 180 Tablet Rp 9,500.00 1,446 Tablet
032/1258/SBBK/Farmalkes 1-Oct-20 RS Medika BSD 40 Tablet Rp 9,500.00 1,406 Tablet
032/1315/SBBK/Farmalkes 13-Oct-20 RS IMC Bintaro 30 Tablet Rp 9,500.00 1,376 Tablet
032/1328/SBBK/Farmalkes 15-Oct-20 RS Premier Bintaro 250 Tablet Rp 9,500.00 1,126 Tablet
Page 154 of 288

032/1343/SBBK/Farmalkes 16-Oct-20 RS IMC Bintaro 60 Tablet Rp 9,500.00 1,066 Tablet
032/1352/SBBK/Farmalkes 20-Oct-20 RS Asshobirin 10 Tablet Rp 9,500.00 1,056 Tablet
032/1366/SBBK/Farmalkes 21-Oct-20 RS IMC Bintaro 80 Tablet Rp 9,500.00 976 Tablet
500 Rp 9,500.00 Rp 4,750,000.00 032/1378/SBBK/Farmalkes 23-Oct-20 RS Medika BSD 100 Tablet Rp 9,500.00 1,376 Tablet
032/1389/SBBK/Farmalkes 26-Oct-20 RS IMC 20 Tablet Rp 9,500.00 1,356 Tablet
032/1405/SBBK/Farmalkes 2-Nov-20 RS IMC 80 Tablet Rp 9,500.00 1,276 Tablet
032/1439/SBBK/Farmalkes 9-Nov-20 RS Ashobirin 10 Tablet Rp 9,500.00 1,266 Tablet
032/1451/SBBK/Farmalkes 12-Nov-20 RS Asshobirin 20 Tablet Rp 9,500.00 1,246 Tablet
032/1455/SBBK/Farmalkes 13-Nov-20 RS IMC Bintaro 50 Tablet Rp 9,500.00 1,196 Tablet
032/1465/SBBK/Farmalkes 16-Nov-20 RSI Ashobirin 50 Tablet Rp 9,500.00 1,146 Tablet
032/1474/SBBK/Farmalkes 18-Nov-20 RS IMC Bintaro 60 Tablet Rp 9,500.00 1,086 Tablet
032/1493/SBBK/Farmalkes 20-Nov-20 RS Medika BSD 130 Tablet Rp 9,500.00 956 Tablet
032/1517/SBBK/Farmalkes 26-Nov-20 RS Ashobirin 50 Tablet Rp 9,500.00 906 Tablet
032/1526/SBBK/Farmalkes 27-Nov-20 RS IMC Bintaro 70 Tablet Rp 9,500.00 836 Tablet
032/1554/SBBK/Farmalkes 3-Dec-20 RS IMC Bintaro 70 Tablet Rp 9,500.00 766 Tablet
032/1555/SBBK/Farmalkes RS Islam Ashobirin 70 Tablet Rp 9,500.00 696 Tablet
032/1564/SBBK/Farmalkes 4-Dec-20 RS Islam Ashobirin 40 Tablet Rp 9,500.00 656 Tablet
032/1593/SBBK/Farmalkes 8-Dec-20 RS Islam Ashobirin 90 Tablet Rp 9,500.00 566 Tablet
RS Pondok Indah
032/1603/SBBK/Farmalkes 10-Dec-20 Bintaro 50 Tablet Rp 9,500.00 516 Tablet
032/1608/SBBK/Farmalkes 11-Dec-20 RS Premier Bintaro 150 Tablet Rp 9,500.00 366 Tablet
032/1614/SBBK/Farmalkes RS Islam Ashobirin 120 Tablet Rp 9,500.00 246 Tablet
032/1621/SBBK/Farmalkes 14-Dec-20 RS IMC Bintaro 100 Tablet Rp 9,500.00 146 Tablet
032/1625/SBBK/Farmalkes RS Permata Pamulang 100 Tablet Rp 9,500.00 46 Tablet
032/1625.1/SBBK/Farmalkes Dinkes 46 Tablet Rp 9,500.00 0 Tablet
5000 Tablet 2781/IFP/APBN/XII/2020 5000 Tablet
2 Coverall (baju hazmat) 475 Pcs 136/IFP/APBN/III/2020 24 Maret 2020 '442.1/001/Farmalkes/202 25 Maret 2020 RSUD Tangsel 25 Pcs 450 Pcs
442.1/002/Farmalkes/202 RS UIN 25 Pcs 425 Pcs
442.1/003/Farmalkes/202 RS Sari Asih 25 Pcs 400 Pcs
442.1/004/Farmalkes/202 RS DHIA 25 Pcs 375 Pcs
442.1/005/Farmalkes/202 Eka Hospital 75 Pcs 300 Pcs
442.1/006/Farmalkes/202 Hermina Ciputat 25 Pcs 275 Pcs
442.1/007/Farmalkes/202 Hermina Serpong 25 Pcs 250 Pcs
442.1/008/Farmalkes/202 Permata Pamulang 25 Pcs 225 Pcs
442.1/009/Farmalkes/202 RS BBH 25 Pcs 200 Pcs
442.1/010/Farmalkes/202 RSPI 50 Pcs 150 Pcs
442.1/011/Farmalkes/202 Mitra Keluarga 75 Pcs 75 Pcs
Page 155 of 288

442.1/012/Farmalkes/202 Primier Bintaro 75 Pcs 0 Pcs
200 Pcs 189/IFP/APBN/III/2020 31 Maret 2020 032/030/SBBK/Farmalkes 1-Apr-20 RS UIN 15 Pcs 185 Pcs
032/031/SBBK/Farmalkes RS.Permata Pamulang 10 Pcs 175 Pcs
032/032/SBBK/Farmalkes RS.Eka BSD 20 Pcs 155 Pcs
032/034/SBBK/Farmalkes RS Hermina Serpong 10 Pcs 145 Pcs
032/036/SBBK/Farmalkes RSPI Bintaro 20 Pcs 125 Pcs
032/037/SBBK/Farmalkes RS.Medika BSD 10 Pcs 115 Pcs
032/038/SBBK/Farmalkes RS Sari Asih 10 Pcs 105 Pcs
032/039/SBBK/Farmalkes RS Mitra keluarga 15 Pcs 90 Pcs
032/040/SBBK/Farmalkes RS Insan Permata 5 Pcs 85 Pcs
032/042/SBBK/Farmalkes RS.Bhineka Bakti 10 Pcs 75 Pcs
032/043/SBBK/Farmalkes RS Buah Hati Pamulang 5 Pcs 70 Pcs
032/044/SBBK/Farmalkes RS IMC 10 Pcs 60 Pcs
032/045/SBBK/Farmalkes RS Premier Bintaro 20 Pcs 40 Pcs
032/047/SBBK/Farmalkes RS Ashobirin 5 Pcs 35 Pcs
032/048/SBBK/Farmalkes RIS 5 Pcs 30 Pcs
032/049/SBBK/Farmalkes RS Dhia 5 Pcs 25 Pcs
032/050/SBBK/Farmalkes RS Buah Hati Ciputat 5 Pcs 20 Pcs
032/051/SBBK/Farmalkes RS Hermina Ciputat 20 Pcs 0 Pcs
1,000 Pcs 021/IFP/Kemkes/2020 1-Apr-20 032/173/SBBK/Farmalkes 16-Apr-20 Puskesmas Kranggan 30 Pcs 970 Pcs
245/IFP/Kemenkes/IV/202 Puskesmas Pondok

500 Pcs 0
8-Apr-20 032/174/SBBK/Farmalkes 16-Apr-20
Aren
30 Pcs 1,440 Pcs
900 Pcs 280/IFP/APBN/IV/2020 8-Apr-20 032/175/SBBK/Farmalkes 16-Apr-20 Puskesmas Bambu Apus 30 Pcs 2,310 Pcs
Puskesmas Ciputat
900 Pcs 336/IFP/APBN/IV/2020 13-Apr-20 032/176/SBBK/Farmalkes 16-Apr-20 Timur 30 Pcs 3,180 Pcs
600 Pcs 355/IFP/APBN/IV/2020 032/177/SBBK/Farmalkes 16-Apr-20 Puskesmas Paku Alam 30 Pcs 3,750 Pcs
032/178/SBBK/Farmalkes 16-Apr-20 Puskesmas Sawah Baru 30 Pcs 3,720 Pcs
032/179/SBBK/Farmalkes 16-Apr-20 Puskesmas Rawa Buntu 30 Pcs 3,690 Pcs

Puskesmas Pondok
600 470/IFP/APBN/IV/2020 21-Apr-20 032/180/SBBK/Farmalkes 16-Apr-20
Cabe Ilir
30 Pcs 4,260 Pcs
Puskesmas Pondok
Pucung
30 Pcs 4,230 Pcs
Puskesmas Pondok
032/182/SBBK/Farmalkes 16-Apr-20 Ranji 30 Pcs 4,200 Pcs
032/183/SBBK/Farmalkes 16-Apr-20 Puskesmas Setu 30 Pcs 4,170 Pcs
032/184/SBBK/Farmalkes 16-Apr-20 Puskesmas Pisangan 30 Pcs 4,140 Pcs
Page 156 of 288

032/185/SBBK/Farmalkes 16-Apr-20 Puskesmas Jombang 30 Pcs 4,110 Pcs
Puskesmas Pondok
Kacang Timur
30 Pcs 4,080 Pcs
Puskesmas Jurang
Mangu
30 Pcs 4,050 Pcs
032/188/SBBK/Farmalkes 16-Apr-20 Puskesmas Parigi 30 Pcs 4,020 Pcs
032/189/SBBK/Farmalkes 16-Apr-20 Puskesmas Benda baru 30 Pcs 3,990 Pcs
Puskesmas Pondok
Benda
30 Pcs 3,960 Pcs
Puskesmas Kampung
032/191/SBBK/Farmalkes
Sawah
30 Pcs 3,930 Pcs
032/192/SBBK/Farmalkes 22-Apr-20 Puskesmas Rengas 30 Pcs 3,900 Pcs
032/193/SBBK/Farmalkes 22-Apr-20 Pondok Jagung 30 Pcs 3,870 Pcs
032/194/SBBK/Farmalkes 23-Apr-20 Bakti Jaya 30 Pcs 3,840 Pcs
032/195/SBBK/Farmalkes 24-Apr-20 Ciputat 30 Pcs 3,810 Pcs
032/196/SBBK/Farmalkes Lengkong Wetan 30 Pcs 3,780 Pcs
032/197/SBBK/Farmalkes Pamulang 30 Pcs 3,750 Pcs
032/198/SBBK/Farmalkes Serpong 2 30 Pcs 3,720 Pcs
032/200/SBBK/Farmalkes Situ Gintung 30 Pcs 3,660 Pcs
032/201/SBBK/Farmalkes Pondok Betung 30 Pcs 3,630 Pcs
032/216/SBBK/Farmalkes 27-Apr-20 RSUD Tangsel 100 Pcs 3,530 Pcs
032/261/SBBK/Farmalkes 27-Apr-20 PTM 7 Pcs 3,523 Pcs
032/264/SBBK/Farmalkes 27-Apr-20 Surimun 4 Pcs 3,519 Pcs
032/270/SBBK/Farmalkes 27-Apr-20 RS Aria Sentra Medika 80 Pcs 3,439 Pcs
032/276/SBBK/Farmalkes 28-Apr-20 Rumah Lawan Covid 60 Pcs 3,379 Pcs
032/280/SBBK/Farmalkes Puskesmas Serpong 1 62 Pcs 3,252 Pcs
032/281/SBBK/Farmalkes Puskesmas Benda baru 62 Pcs 3,190 Pcs
Puskesmas Ciputat
Timur
62 Pcs 3,128 Pcs
Puskesmas Pondok
Ranji
62 Pcs 3,066 Pcs
Puskesmas Pondok
jagung
62 Pcs 3,004 Pcs
Page 157 of 288

032/285/SBBK/Farmalkes Puskesmas Rengas 62 Pcs 2,942 Pcs
032/286/SBBK/Farmalkes Puskesmas Kranggan 62 Pcs 2,880 Pcs
032/287/SBBK/Farmalkes Puskesmas Parigi 62 Pcs 2,818 Pcs
Puskesmas Pondok
Kacang Timur
62 Pcs 2,756 Pcs
032/289/SBBK/Farmalkes Puskesmas Bambu Apus 62 Pcs 2,694 Pcs
032/292/SBBK/Farmalkes 30-Apr-20 Puskesmas Rawabuntu 62 Pcs 2,632 Pcs
032/293/SBBK/Farmalkes Puskesmas Paku Alam 62 Pcs 2,570 Pcs
Puskesmas Pondok
032/294/SBBK/Farmalkes Benda 62 Pcs 2,508 Pcs
032/295/SBBK/Farmalkes 1-May-20 Puskesmas Pisangan 62 Pcs 2,446 Pcs
Puskesmas Pondok
032/296/SBBK/Farmalkes 4-May-20
Pucung
62 Pcs 2,384 Pcs
032/300/SBBK/Farmalkes Puskesmas Jombang 62 Pcs 2,322 Pcs
Puskesmas Pondok
Cabe Ilir
62 Pcs 2,260 Pcs
Puskesmas Lengkong
Wetan
62 Pcs 2,198 Pcs
032/310/SBBK/Farmalkes Puskesmas Sawah Baru 62 Pcs 2,136 Pcs
Puskesmas Kampung
032/312/SBBK/Farmalkes 5-May-20 Sawah 62 Pcs 2,074 Pcs
Puskesmas Pondok
Betung
62 Pcs 2,012 Pcs
032/316/SBBK/Farmalkes Rumah Lawan Covid 60 Pcs 1,952 Pcs
Puskesmas Jurang
032/318/SBBK/Farmalkes Mangu 62 Pcs 1,890 Pcs
032/319/SBBK/Farmalkes Puskesmas Ciputat 62 Pcs 1,828 Pcs
Puskesmas Pondok
Aren
62 Pcs 1,766 Pcs
Puskesmas Pondok
Ranji
50 Pcs 1,716 Pcs
032/333/SBBK/Farmalkes PSC 6 Pcs 1,710 Pcs
032/334/SBBK/Farmalkes PKM Benda Baru 50 Pcs 1,660 Pcs
032/335/SBBK/Farmalkes Yankes 9 Pcs 1,651 Pcs
032/336/SBBK/Farmalkes 6-May-20 Puskesmas Rawabuntu 50 Pcs 1,601 Pcs
032/337/SBBK/Farmalkes Puskesmas Pamulang 12 Pcs 1,589 Pcs
032/340/SBBK/Farmalkes RSU Tangsel 60 Pcs 1,479 Pcs
Puskesmas
Jurangmangu
62 Pcs 1,417 Pcs
Puskesmas
032/343/SBBK/Farmalkes 10-Jul-20
Jurangmangu
50 Pcs 1,367 Pcs
032/345/SBBK/Farmalkes 13-Jul-20 PSC 6 Pcs 1,361 Pcs
032/349/SBBK/Farmalkes 20-Jul-20 Puskesmas Ciputat 50 Pcs 1,305 Pcs
Puskesmas Pondok
2,880 854/IFP/APBN/VI/2020 10-Jun-20 032/350/SBBK/Farmalkes 21-Jul-20 Kacang Timur 50 Pcs 4,135 Pcs
032/351/SBBK/Farmalkes PTM 12 Pcs 4,123 Pcs
032/379/SBBK/Farmalkes 30-Jul-20 RS Vitalaya 50 Pcs 4,005 Pcs
032/381/SBBK/Farmalkes 3-Aug-20 Puskesmas Pisangan 50 Pcs 3,955 Pcs
Page 158 of 288

032/384/SBBK/Farmalkes Klinik Pemkot 2 Pcs 3,953 Pcs
032/389/SBBK/Farmalkes Promkes 15 Pcs 3,838 Pcs
032/390/SBBK/Farmalkes Puskesmas Setu 62 Pcs 3,776 Pcs
Puskesmas Pondok
Betung
100 Pcs 3,626 Pcs
RSIA Permata Sarana

Husada
50 Pcs 3,576 Pcs
032/395/SBBK/Farmalkes 4-Aug-20 RSUD Tangsel 300 Pcs 3,276 Pcs
032/397/SBBK/Farmalkes RIS Hospital 150 Pcs 3,126 Pcs
032/403/SBBK/Farmalkes RS Ashobirin 100 Pcs 3,011 Pcs
032/404/SBBK/Farmalkes Puskesmas Bakti Jaya 50 Pcs 2,961 Pcs
Puskesmas
Jurangmangu
19 Pcs 2,880 Pcs
Surimun (Puskesmas
032/827/SBBK/Farmalkes Jombang) 20 Pcs 2,860 Pcs
Puskesmas Pondok
032/833/SBBK/Farmalkes Pucung 200 Pcs 2,660 Pcs
032/838/SBBK/Farmalkes 5-Aug-20 Rumah Lawan Covid 50 Pcs 2,610 Pcs
032/854/SBBK/Farmalkes RS Permata Pamulang 50 Pcs 2,560 Pcs
032/855/SBBK/Farmalkes P2P 20 Pcs 2,540 Pcs
032/859/SBBK/Farmalkes 7-Aug-20 P2P 20 Pcs 2,490 Pcs
032/860/SBBK/Farmalkes Labkesda 50 Pcs 2,440 Pcs
Puskesmas Kampung
Sawah
100 Pcs 1,925 Pcs
032/895/SBBK/Farmalkes Puskesmas Rawabuntu 100 Pcs 1,625 Pcs
Puskesmas Lengkong
032/896/SBBK/Farmalkes Wetan 100 Pcs 1,525 Pcs
Puskesmas Ciputat
Timur
100 Pcs 1,425 Pcs
Puskesmas
032/900/SBBK/Farmalkes Jurangmangu 100 Pcs 1,225 Pcs
Puskesmas Pondok
032/902/SBBK/Farmalkes Aren 100 Pcs 1,125 Pcs
Puskesmas Pondok
Kacang Timur
100 Pcs 1,025 Pcs
Puskesmas Pondok
Pucung
100 Pcs 910 Pcs
032/909/SBBK/Farmalkes Puskesmas Benda baru 100 Pcs 810 Pcs
Puskesmas Pondok
Ranji
100 Pcs 710 Pcs
032/914/SBBK/Farmalkes Puskesmas Pisangan 100 Pcs 610 Pcs
032/916/SBBK/Farmalkes Puskesmas Sawah Baru 100 Pcs 510 Pcs
Page 159 of 288

032/917/SBBK/Farmalkes Puskesmas Ciputat 100 Pcs 410 Pcs
032/923/SBBK/Farmalkes Puskesmas Serpong 1 100 Pcs 310 Pcs
032/924/SBBK/Farmalkes Puskesmas Kranggan 100 Pcs 210 Pcs
032/925/SBBK/Farmalkes Puskesmas Setu 100 Pcs 110 Pcs
Puskesmas Pondok
032/926/SBBK/Farmalkes Benda 100 Pcs 10 Pcs
032/937/SBBK/Farmalkes Puskesmas Jombang 10 Pcs 0 Pcs
3 Masker Bedah 42,000 Pcs 136/IFP/APBN/III/2020 24 Maret 2020 '442.1/001/Farmalkes/202 25 Maret 2020 RSUD Tangsel 7500 Pcs 34,500 Pcs
442.1/002/Farmalkes/202 RS UIN 4500 Pcs 30,000 Pcs
442.1/003/Farmalkes/202 RS Sari Asih 4500 Pcs 25,500 Pcs
442.1/004/Farmalkes/202 RS DHIA 2000 Pcs 23,500 Pcs
442.1/005/Farmalkes/202 Eka Hospital 2000 Pcs 21,500 Pcs
442.1/006/Farmalkes/202 Hermina Ciputat 2000 Pcs 19,500 Pcs
442.1/007/Farmalkes/202 Hermina Serpong 2000 Pcs 17,500 Pcs
442.1/008/Farmalkes/202 Permata Pamulang 2000 Pcs 15,500 Pcs
442.1/009/Farmalkes/202 RS BBH 2000 Pcs 13,500 Pcs
442.1/010/Farmalkes/202 RSPI 4500 Pcs 9,000 Pcs
442.1/011/Farmalkes/202 Mitra Keluarga 4500 Pcs 4,500 Pcs
442.1/012/Farmalkes/202 Primier Bintaro 4500 Pcs - Pcs
4,300 Pcs 302/IFP/APBN/IV/2020 8-Apr-20 032/ 793/SBBK/Farmalkes SDK 300 Pcs 4,000 Pcs
032/ 1375/SBBK/Farmalkes PTM 100 Pcs 3,900 Pcs
032/ 1377/SBBK/Farmalkes Pemkot 250 Pcs 3,650 Pcs
032/1417/SBBK/Farmalkes Gizi 200 Pcs 3,450 Pcs
032/1422/SBBK/Farmalkes Bidang Kesmas 100 Pcs 2,850 Pcs
032/1427/SBBK/Farmalkes PPPS BBI 50 Pcs 2,800 Pcs
Puskesmas Pondok
032/1454/SBBK/Farmalkes Rujukan 500 Pcs 1,800 Pcs
032/1486/SBBK/Farmalkes Umpeg 50 Pcs 1,550 Pcs
Puskesmas Pondok
Pucung
4 Pcs 1,546 Pcs
032/1565/SBBK/Farmalkes Puskesmas Parigi 300 Pcs 746 Pcs
032/1579/SBBK/Farmalkes PTM 100 Pcs 446 Pcs
032/1586/SBBK/Farmalkes Pemkot 150 Pcs 296 Pcs
032/1670/SBBK/Farmalkes BPBD 200 Pcs 96 Pcs
Page 160 of 288

032/1671.1/SBBK/Farmalkes SDK 56 Pcs 0 Pcs
4 Masker N95 450 Pcs 136/IFP/APBN/III/2020 24 Maret 2020 442.1/001/Farmalkes/2020 RSUD Tangsel 50 Pcs 400 Pcs
442.1/005/Farmalkes/2020 RS Eka Hospital 50 Pcs 250 Pcs
442.1/006/Farmalkes/2020 RS Hermina Ciputat 25 Pcs 225 Pcs
442.1/007/Farmalkes/2020 RS Hermina Serpong 25 Pcs 200 Pcs
442.1/008/Farmalkes/2020 RS Permata Pamulang 25 Pcs 175 Pcs
442.1/010/Farmalkes/2020 RS Pondok Indah 50 Pcs 100 Pcs
442.1/011/Farmalkes/2020 RS Mitra Keluarga 50 Pcs 50 Pcs
442.1/012/Farmalkes/2020 RS Primier Bintaro 50 Pcs 0 Pcs
Seksi Survailence dan

5 Rapid Test COVID-19 600 Pcs 153/IFP/APBN/III/2020 26 Maret 2020 032/007/SBBK/Farmalkes 27 Maret 2020 Imunisasi 600 Pcs - Pcs
2,000 Pcs 175/IPF/APBN/III/2020 29 Maret 2020 032/014/SBBK/Farmalkes 30 Maret 2020 labkesda 20 Pcs 1,980 Pcs

Imunisasi
20 Pcs 1,960 Pcs

032/025/SBBK/Farmalkes 31 Maret 2020
Imunisasi
820 Pcs 1,140 Pcs
032/028/SBBK/Farmalkes RS Umum TangSel 120 Pcs 1,020 Pcs

Imunisasi
1020 Pcs - Pcs
90 Pcs 175/IPF/APBN/III/2020 8-Apr-20 032/150/SBBK/Farmalkes 13-Apr-20 Seksi Surimun 20 Pcs 70 Pcs
50 Pcs 153/IFP/APBN/III/2020 8-Apr-20 032/163/SBBK/Farmalkes 15-Apr-20 labkesda 40 Pcs 80 Pcs
032/165/SBBK/Farmalkes 15-Apr-20 RS Hermina Ciputat 40 Pcs 40 Pcs
032/166/SBBK/Farmalkes 15-Apr-20 RS Buah Hati Pamulang 20 Pcs 20 Pcs
032/171/SBBK/Farmalkes 15-Apr-20 Seksi PTM 10 Pcs 10 Pcs
032/1039/SBBK/Farmalkes 26-Aug-20 Seksi PTM 10 Pcs - Pcs
Puskesmas Pondok
Pcs 547/IFP/BTT/V/2020 5-May-20 032/781/SBBK/Farmalkes 30-Jun-20 Betung 40 Pcs 3,560 Pcs
3600
Pcs 792/IFP/BTT/V/2020 29-May-20 032/782/SBBK/Farmalkes Puskesmas Serpong 1 30 Pcs 11,930 Pcs
8400
Puskesmas Lengkong
Wetan
100 Pcs 11,830 Pcs
032/788/SBBK/Farmalkes 1-Jul-20 Puskesmas Serpong 2 50 Pcs 11,780 Pcs
032/791/SBBK/Farmalkes 2-Jul-20 Puskesmas Pamulang 100 Pcs 11,680 Pcs
Puskesmas Jurang
Mangu
100 Pcs 11,580 Pcs
Puskesmas Pondok
Jagung
50 Pcs 11,530 Pcs
032/826/SBBK/Farmalkes 10-Jul-20 Puskesmas Rengas 30 Pcs 11,500 Pcs
Surimun (Puskesmas
032/827/SBBK/Farmalkes jombang) 200 Pcs 11,300 Pcs
Puskesmas Lengkong
Wetan
200 Pcs 11,100 Pcs
032/830/SBBK/Farmalkes 13-Jul-20 labkesda 200 Pcs 10,900 Pcs
Puskesmas Pondok
Page 161 of 288

032/859/SBBK/Farmalkes 21-Jul-20 P2P 200 Pcs 10,550 Pcs
032/862/SBBK/Farmalkes 22-Jul-20 PTM 300 Pcs 10,250 Pcs
Puskesmas Pondok
Cabe Ilir
100 Pcs 10,150 Pcs
Puskesmas Jurang
Mangu
100 Pcs 10,050 Pcs
Puskesmas Pondok
Jagung
200 Pcs 9,850 Pcs
032/882/SBBK/Farmalkes 29-Jul-20 Puskesmas Jombang 100 Pcs 9,750 Pcs
032/886/SBBK/Farmalkes 30-Jul-20 Puskesmas Parigi 200 Pcs 9,550 Pcs
032/890/SBBK/Farmalkes 3-Aug-20 Puskesmas Pamulang 200 Pcs 9,350 Pcs
Puskesmas Kampung
Sawah
200 Pcs 9,150 Pcs
Puskesmas Lengkong
Wetan
200 Pcs 8,350 Pcs
Puskesmas Ciputat
032/897/SBBK/Farmalkes Timur 200 Pcs 8,150 Pcs
Puskesmas
Jurangmangu
200 Pcs 7,750 Pcs
Puskesmas Pondok
Aren
200 Pcs 7,550 Pcs
Puskesmas Pondok
032/904/SBBK/Farmalkes Kacang Timur 200 Pcs 7,350 Pcs
Puskesmas Pondok
Pucung
200 Pcs 7,150 Pcs
032/909/SBBK/Farmalkes Puskesmas Benda Baru 200 Pcs 6,950 Pcs
Puskesmas Pondok
Ranji
200 Pcs 6,750 Pcs
032/914/SBBK/Farmalkes Puskesmas Pisangan 200 Pcs 6,550 Pcs
032/923/SBBK/Farmalkes 5-Aug-20 Puskesmas Serpong 1 200 Pcs 5,950 Pcs
Puskesmas Pondok
Benda
200 Pcs 5,350 Pcs
032/937/SBBK/Farmalkes 7-Aug-20 Puskesmas Jombang 200 Pcs 5,150 Pcs
Puskesmas Pondok
032/939/SBBK/Farmalkes Jagung 200 Pcs 4,950 Pcs
032/941/SBBK/Farmalkes RSUD 300 Pcs 4,450 Pcs
Puskesmas Pondok
032/943/SBBK/Farmalkes Cabe Ilir 200 Pcs 4,250 Pcs
Page 162 of 288

032/947/SBBK/Farmalkes RS Buah Hati Ciputat 50 Pcs 4,000 Pcs
032/950/SBBK/Farmalkes 8-Aug-20 Puspem 40 Pcs 3,960 Pcs
032/960/SBBK/Farmalkes 11-Aug-20 PTM 440 Pcs 3,520 Pcs
032/968/SBBK/Farmalkes Pemkot 5 Pcs 3,515 Pcs
032/969/SBBK/Farmalkes 12-Aug-20 labkesda 200 Pcs 3,315 Pcs
032/996/SBBK/Farmalkes 14-Aug-20 RS IMC Bntaro 40 Pcs 3,275 Pcs
Puskesmas Pondok
032/ 1009/SBBK/Farmalkes 18-Aug-20
Jagung
300 Pcs 2,675 Pcs
032/ 1015/SBBK/Farmalkes 19-Aug-20 Puskesmas Parigi 200 Pcs 2,475 Pcs
032/1020/SBBK/Farmalkes 22-Aug-20 KPGG 200 Pcs 2,275 Pcs
032/1039/SBBK/Farmalkes 26-Aug-20 PTM 920 Pcs 600 Pcs
032/1207/SBBK/Farmalkes 24-Sep-20 PTM 400 Pcs 0 Pcs
228/IFP/Kemenkes
6 Klorokuin 150 mg 1,700 Tablet Rp 1,506.00 2,560,200.00
RI/IV/2020
6-Apr-20 032/208/SBBK/Farmalkes 16-Apr-20 RS Hermina Ciputat 50 Tablet Rp 1,506.00 Rp 75,300.00 1,650 Tablet
1,400 Tablet Rp 1,506.00 2,108,400.00 395/IFP/APBN/IV/2020 17-Apr-20 032/271/SBBK/Farmalkes 23-Apr-20 RS Hermina Ciputat 100 Tablet Rp 1,506.00 Rp 150,600.00 2,950 Tablet
032/463/SBBK/Farmalkes 11-May-20 RS Hermina Ciputat 200 Tablet Rp 1,506.00 Rp 301,200.00 2,750 Tablet
032/517/SBBK/Farmalkes 19-May-20 RS Hermina Ciputat 150 Tablet Rp 1,506.00 Rp 225,900.00 2,600 Tablet
032/1042/SBBK/Farmalkes 26-Aug-20 RS Hermina Serpong 50 Tablet Rp 1,506.00 Rp 75,300.00 2,550 Tablet
032/1065/SBBK/Farmalkes 31-Aug-20 RS Hermina Serpong 50 Tablet Rp 1,506.00 Rp 75,300.00 2,500 Tablet
032/1110/SBBK/Farmalkes 9-Sep-20 RS Hermina Serpong 100 Tablet Rp 1,506.00 Rp 150,600.00 2,400 Tablet
032/1166/SBBK/Farmalkes 17-Sep-20 RS Hermina Serpong 50 Tablet Rp 1,506.00 Rp 75,300.00 2,350 Tablet
032/1376/SBBK/Farmalkes 23-Oct-20 RS Ashobirin 20 Tablet Rp 1,506.00 Rp 30,120.00 2,330 Tablet
032/1376/SBBK/Farmalkes 9-Nov-20 RS Ashobirin 10 Tablet Rp 1,506.00 Rp 15,060.00 2,320 Tablet
7 VTM 200 Pcs Rp 99,000.00 19,800,000.00 048/Labkes/BTT/V/2020 5-May-20 032/532/SBBK/Farmalkes 22-May-20 PKM Serpong 1 50 Pcs Rp 99,000.00 Rp 4,950,000.00 150 Pcs
Page 163 of 288

Puskesmas Pondok
032/536/SBBK/Farmalkes Pucung 50 Pcs Rp 99,000.00 Rp 4,950,000.00 100 Pcs
Puskesmas Pondok
032/714/SBBK/Farmalkes 15-Jun-20 Betung 50 Pcs Rp 99,000.00 Rp 4,950,000.00 50 Pcs
850 Pcs Rp 99,000.00 84,150,000.00 066/labkes/BTT/V/2020 29-May-20 Pcs 900 Pcs
032/719/SBBK/Farmalkes 16-Jun-20 Puskesmas Parigi 100 Pcs Rp 99,000.00 Rp 9,900,000.00 800 Pcs
032/724/SBBK/Farmalkes 17-Jun-20 Puskesmas Setu 50 Pcs Rp 99,000.00 Rp 4,950,000.00 750 Pcs
Puskesmas Lengkong
Wetan
100 Pcs Rp 99,000.00 Rp 9,900,000.00 650 Pcs
032/731/SBBK/Farmalkes Puskesmas Ciputat 100 Pcs Rp 99,000.00 Rp 9,900,000.00 550 Pcs
032/733/SBBK/Farmalkes 18-Jun-20 Puskesmas Parigi 100 Pcs Rp 99,000.00 Rp 9,900,000.00 450 Pcs
Puskesmas Pondok
032/736/SBBK/Farmalkes 19-Jun-20
Jagung
50 Pcs Rp 99,000.00 Rp 4,950,000.00 400 Pcs
032/737/SBBK/Farmalkes Puskesmas Serpong 2 100 Pcs Rp 99,000.00 Rp 9,900,000.00 300 Pcs
Puskesmas Kampung
Sawah
100 Pcs Rp 99,000.00 Rp 9,900,000.00 200 Pcs
Puskesmas Pondok
Ranji
100 Pcs Rp 99,000.00 Rp 9,900,000.00 100 Pcs
032/743/SBBK/Farmalkes 22-Jun-20 Labkesda 100 Pcs Rp 99,000.00 Rp 9,900,000.00 - Pcs

136/labkes/Kemenkes/VIII
800
/2020
25-Aug-20 032/1226/SBBK/Farmalkes 28-Sep-20 Puskesmas Rengas 92 Pcs 708 Pcs
Puskesmas Lengkong
1,700 095/BAST/Farmalkes 31-Aug-20 032/1228/SBBK/Farmalkes
Wetan
100 Pcs 2,308 Pcs
167/labkes/kemenkes/IX/2 Puskesmas Ciputat
4,000
020
28-Sep-20 032/1233/SBBK/Farmalkes 29-Sep-20
Timur
100 Pcs 6,208 Pcs
Puskesmas Pondok
032/1235/SBBK/Farmalkes Betung 100 Pcs 6,108 Pcs
032/1242/SBBK/Farmalkes 30-Sep-20 Puskesmas Bambu Apus 100 Pcs 6,008 Pcs
Puskesmas Pondok
Benda
100 Pcs 5,908 Pcs
Puskesmas Kampung
Sawah
100 Pcs 5,808 Pcs
Puskesmas Pondok
032/1248/SBBK/Farmalkes 1-Oct-20
Jagung
100 Pcs 5,608 Pcs
032/1257/SBBK/Farmalkes Puskesmas Situ Gintung 100 Pcs 5,408 Pcs

Puskesmas Pondok
032/1261/SBBK/Farmalkes 2-Oct-20 Kacang timur 100 Pcs 5,308 Pcs
Puskesmas Pondok
Pucung
50 Pcs 5,108 Pcs
Puskesmas Pondok
Pucung
50 Pcs 5,058 Pcs
Puskesmas Jurang
Mangu
100 Pcs 4,958 Pcs
032/1271/SBBK/Farmalkes 6-Oct-20 Puskesmas Serpong 2 150 Pcs 4,708 Pcs

032/1282/SBBK/Farmalkes 7-Oct-20 Labkesda 200 Pcs 4,268 Pcs
Puskesmas Pondok
Puskesmas Kampung
Sawah
100 Pcs 3,968 Pcs
Puskesmas Pondok
032/1300/SBBK/Farmalkes 12-Oct-20 Puskesmas Pamulang 200 Pcs 3,668 Pcs
Page 164 of 288


No. Tanggal Penerimaan Pembelian Nama Barang Total (Rp) B.A/ Serah Terima Pengeluaran Pengeluaran Barang Untuk Satuan Harga Satuan T
PENERIMAAN TA. 2020
kwitansi
LOGISTIK COVID
SUMBER DINKES PROVINSI BANTEN
1 OSELTAMIVIR 75 Mg 580 Tablet Rp 12,969.00 Rp 7,522,020.00 136/IFP/APBN/III/2020 24 Maret 2020 442.1/002/Farmalkes/2020 25 Maret 2020 RS DHIA 20 Tablet Rp 12,969.00 560 Tablet Rp 12,969 Rp
442.1/005/Farmalkes/2020 RS Eka Hospital 240 Tablet Rp 12,969.00 320 Tablet Rp 12,969 Rp
442.1/007/Farmalkes/2020 RS Hermina Ciputat 10 Tablet Rp 12,969.00 310 Tablet Rp 12,969 Rp
442.1/008/Farmalkes/2020 RS Hermina Serpong 10 Tablet Rp 12,969.00 300 Tablet Rp 12,969 Rp
442.1/009/Farmalkes/2020 Permata Pamulang 20 Tablet Rp 12,969.00 280 Tablet Rp 12,969 Rp
442.1/010/Farmalkes/2020 RS BBH 10 Tablet Rp 12,969.00 270 Tablet Rp 12,969 Rp
442.1/012/Farmalkes/2020 RS Pondok Indah 120 Tablet Rp 12,969.00 150 Tablet Rp 12,969 Rp
1,500 Tablet Rp 12,969.00 Rp 19,453,500.00 1-Apr-20 032/031/SBBK/Farmalkes 1-Apr-20 RS Permata Pamulang 10 Tablet Rp 12,969.00 1,640 Tablet Rp 12,969 Rp
032/032/SBBK/Farmalkes RS Eka Hospital 230 Tablet Rp 12,969.00 1,410 Tablet Rp 12,969 Rp
032/038/SBBK/Farmalkes RS Sari Asih Ciputat 10 Tablet Rp 12,969.00 1,400 Tablet Rp 12,969 Rp
032/044/SBBK/Farmalkes RS IMC 60 Tablet Rp 12,969.00 1,340 Tablet Rp 12,969 Rp
032/045/SBBK/Farmalkes RS Premier 160 Tablet Rp 12,969.00 1,180 Tablet Rp 12,969 Rp
032/048/SBBK/Farmalkes RIS 40 Tablet Rp 12,969.00 1,140 Tablet Rp 12,969 Rp
032/049/SBBK/Farmalkes RS Dhia 20 Tablet Rp 12,969.00 1,120 Tablet Rp 12,969 Rp
032/051/SBBK/Farmalkes RS Hermina Ciputat 10 Tablet Rp 12,969.00 1,110 Tablet Rp 12,969 Rp
032/056/SBBK/Farmalkes RSU TangSel 100 Tablet Rp 12,969.00 1,010 Tablet Rp 12,969 Rp
RS Mitra Keluarga
Bintaro
120 Tablet Rp 12,969.00 890 Tablet Rp 12,969 Rp
032/061/SBBK/Farmalkes RS.Hermina Serpong 20 Tablet Rp 12,969.00 870 Tablet Rp 12,969 Rp
032/062/SBBK/Farmalkes RSPI Bintaro 220 Tablet Rp 12,969.00 650 Tablet Rp 12,969 Rp
032/063/SBBK/Farmalkes RS Insan Permata 10 Tablet Rp 12,969.00 640 Tablet Rp 12,969 Rp
032/064/SBBK/Farmalkes RS BBH 10 Tablet Rp 12,969.00 630 Tablet Rp 12,969 Rp
032/065/SBBK/Farmalkes RS Medika BSD 60 Tablet Rp 12,969.00 570 Tablet Rp 12,969 Rp
032/070/SBBK/Farmalkes 3-Apr-20 RS Premier 200 Tablet Rp 12,969.00 370 Tablet Rp 12,969 Rp
RS UIN Syarif
Hidayatullah
140 Tablet Rp 12,969.00 230 Tablet Rp 12,969 Rp
200 Rp 12,969.00 Rp 2,593,800.00 252/IFP/APBN/IV/2020 6-Apr-20 032/152/SBBK/Farmalkes 13-Apr-20 RS Premier Bintaro 112 Tablet Rp 12,969.00 318 Tablet Rp 12,969 Rp
032/208/SBBK/Farmalkes 16-Apr-20 RS Hermina Ciputat 50 Tablet Rp 12,969.00 268 Tablet Rp 12,969 Rp
032/218/SBBK/Farmalkes 16-Apr-20 RSUD 100 Tablet Rp 12,969.00 168 Tablet Rp 12,969 Rp
1,000 Rp 12,969.00 Rp 12,969,000.00 412/IFP/APBN/IV/2020 17-Apr-20 032/237/SBBK/Farmalkes 20-Apr-20 RS Premier Bintaro 140 Tablet Rp 12,969.00 1,028 Tablet Rp 12,969 Rp
032/251/SBBK/Farmalkes 21-Apr-20 RS Hermina Serpong 30 Tablet Rp 12,969.00 858 Tablet Rp 12,969 Rp
Page 165 of 288

032/314/SBBK/Farmalkes 27-Apr-20 RS Sari Asih Ciputat 126 Tablet Rp 12,969.00 732 Tablet Rp 12,969 Rp
032/341/SBBK/Farmalkes 29-Apr-20 RSUD Tangsel 206 Tablet Rp 12,969.00 326 Tablet Rp 12,969 Rp
032/392/SBBK/Farmalkes 5-May-20 RS Hermina Ciputat 200 Tablet Rp 12,969.00 126 Tablet Rp 12,969 Rp
032/402/SBBK/Farmalkes 6-May-20 RS Premier Bintaro 100 Tablet Rp 12,969.00 26 Tablet Rp 12,969 Rp
032/448/SBBK/Farmalkes 11-May-20 RS Hermina Serpong 16 Tablet Rp 12,969.00 10 Tablet Rp 12,969 Rp
600 Rp 12,969.00 Rp 7,781,400.00 18-May-20 032/516/SBBK/Farmalkes 19-May-20 RS Hermina Ciputat 100 Tablet Rp 12,969.00 510 Tablet Rp 12,969 Rp
032/526/SBBK/Farmalkes 20-May-20 RSUD Tangsel 100 Tablet Rp 12,969.00 410 Tablet Rp 12,969 Rp
032/535/SBBK/Farmalkes 22-May-20 RS Premier 100 Tablet Rp 12,969.00 310 Tablet Rp 12,969 Rp
032/638/SBBK/Farmalkes 3-Jun-20 RS Hermina Ciputat 100 Tablet Rp 12,969.00 210 Tablet Rp 12,969 Rp
032/796/SBBK/Farmalkes 3-Jul-20 RS Hermina Serpong 20 Tablet Rp 12,969.00 190 Tablet Rp 12,969 Rp
500 Rp 12,969.00 Rp 6,484,500.00 9-Jul-20 032/857/SBBK/Farmalkes 21-Jul-20 RS Premier 100 Tablet Rp 12,969.00 590 Tablet Rp 12,969 Rp
032/945/SBBK/Farmalkes 7-Aug-20 RS Sari Asih Ciputat 100 Tablet Rp 12,969.00 490 Tablet Rp 12,969 Rp
032/951/SBBK/Farmalkes 9-Aug-20 RS IMC 20 Tablet Rp 12,969.00 470 Tablet Rp 12,969 Rp
032/996/SBBK/Farmalkes 14-Aug-20 RS IMC Bintaro 60 Tablet Rp 12,969.00 410 Tablet Rp 12,969 Rp
032/1018/SBBK/Farmalkes 20-Aug-20 RS Permata Pamulang 30 Tablet Rp 12,969.00 380 Tablet Rp 12,969 Rp
032/1018/SBBK/Farmalkes 25-Aug-20 RS Sari Asih Ciputat 150 Tablet Rp 12,969.00 230 Tablet Rp 12,969 Rp
032/1042/SBBK/Farmalkes 26-Aug-20 RS Hermina Serpong 50 Tablet Rp 12,969.00 180 Tablet Rp 12,969 Rp
RS Mitra Keluarga
032/1043/SBBK/Farmalkes Bintaro 24 Tablet Rp 12,969.00 156 Tablet Rp 12,969 Rp
750 Rp 9,500.00 Rp 7,125,000.00 2-Sep-20 032/1113/SBBK/Farmalkes 10-Sep-20 RS Medika BSD 80 Tablet Rp 9,500.00 826 Tablet Rp 9,500.00 Rp
032/1123/SBBK/Farmalkes 11-Sep-20 RS Permata Pamulang 50 Tablet Rp 9,500.00 776 Tablet Rp 9,500.00 Rp
032/1125/SBBK/Farmalkes RS Hermina Serpong 50 Tablet Rp 9,500.00 726 Tablet Rp 9,500.00 Rp
032/1129/SBBK/Farmalkes RS Pondok Indah 10 Tablet Rp 9,500.00 716 Tablet Rp 9,500.00 Rp
032/1132/SBBK/Farmalkes 14-Sep-20 RS Premier Bintaro 110 Tablet Rp 9,500.00 606 Tablet Rp 9,500.00 Rp
032/1143/SBBK/Farmalkes 15-Sep-20 RS Permata Pamulang 50 Tablet Rp 9,500.00 556 Tablet Rp 9,500.00 Rp
RS Mitra Keluarga
032/1151/SBBK/Farmalkes 16-Sep-20
Bintaro
150 Tablet Rp 9,500.00 406 Tablet Rp 9,500.00 Rp
032/1163/SBBK/Farmalkes 17-Sep-20 RS Sari Asih Ciputat 150 Tablet Rp 9,500.00 256 Tablet Rp 9,500.00 Rp
032/1183/SBBK/Farmalkes 21-Sep-20 RS Pondok Indah 50 Tablet Rp 9,500.00 206 Tablet Rp 9,500.00 Rp
032/1189/SBBK/Farmalkes 22-Sep-20 RS IMC Bintaro 40 Tablet Rp 9,500.00 166 Tablet Rp 9,500.00 Rp
032/1204/SBBK/Farmalkes 23-Sep-20 RS Hermina Ciputat 10 Tablet Rp 9,500.00 156 Tablet Rp 9,500.00 Rp
032/1236/SBBK/Farmalkes 29-Sep-20 RS Sari Asih Ciputat 100 Tablet Rp 9,500.00 56 Tablet Rp 9,500.00 Rp
1,610 Rp 9,500.00 Rp 15,295,000.00 2157/IFP/APBN/IX/2020 28-Sep-20 032/1239/SBBK/Farmalkes RS Hermina Serpong 40 Tablet Rp 9,500.00 1,626 Tablet Rp 9,500.00 Rp
032/1241/SBBK/Farmalkes 30-Sep-20 RS IMC Bintaro 180 Tablet Rp 9,500.00 1,446 Tablet Rp 9,500.00 Rp
032/1258/SBBK/Farmalkes 1-Oct-20 RS Medika BSD 40 Tablet Rp 9,500.00 1,406 Tablet Rp 9,500.00 Rp
032/1315/SBBK/Farmalkes 13-Oct-20 RS IMC Bintaro 30 Tablet Rp 9,500.00 1,376 Tablet Rp 9,500.00 Rp
032/1328/SBBK/Farmalkes 15-Oct-20 RS Premier Bintaro 250 Tablet Rp 9,500.00 1,126 Tablet Rp 9,500.00 Rp
Page 166 of 288

032/1343/SBBK/Farmalkes 16-Oct-20 RS IMC Bintaro 60 Tablet Rp 9,500.00 1,066 Tablet Rp 9,500.00 Rp
032/1352/SBBK/Farmalkes 20-Oct-20 RS Asshobirin 10 Tablet Rp 9,500.00 1,056 Tablet Rp 9,500.00 Rp
032/1366/SBBK/Farmalkes 21-Oct-20 RS IMC Bintaro 80 Tablet Rp 9,500.00 976 Tablet Rp 9,500.00 Rp
500 Rp 9,500.00 Rp 4,750,000.00 032/1378/SBBK/Farmalkes 23-Oct-20 RS Medika BSD 100 Tablet Rp 9,500.00 1,376 Tablet Rp 9,500.00 Rp
032/1389/SBBK/Farmalkes 26-Oct-20 RS IMC 20 Tablet Rp 9,500.00 1,356 Tablet Rp 9,500.00 Rp
032/1405/SBBK/Farmalkes 2-Nov-20 RS IMC 80 Tablet Rp 9,500.00 1,276 Tablet Rp 9,500.00 Rp
032/1439/SBBK/Farmalkes 9-Nov-20 RS Ashobirin 10 Tablet Rp 9,500.00 1,266 Tablet Rp 9,500.00 Rp
032/1451/SBBK/Farmalkes 12-Nov-20 RS Asshobirin 20 Tablet Rp 9,500.00 1,246 Tablet Rp 9,500.00 Rp
032/1455/SBBK/Farmalkes 13-Nov-20 RS IMC Bintaro 50 Tablet Rp 9,500.00 1,196 Tablet Rp 9,500.00 Rp
032/1465/SBBK/Farmalkes 16-Nov-20 RSI Ashobirin 50 Tablet Rp 9,500.00 1,146 Tablet Rp 9,500.00 Rp
032/1474/SBBK/Farmalkes 18-Nov-20 RS IMC Bintaro 60 Tablet Rp 9,500.00 1,086 Tablet Rp 9,500.00 Rp
032/1493/SBBK/Farmalkes 20-Nov-20 RS Medika BSD 130 Tablet Rp 9,500.00 956 Tablet Rp 9,500.00 Rp
032/1517/SBBK/Farmalkes 26-Nov-20 RS Ashobirin 50 Tablet Rp 9,500.00 906 Tablet Rp 9,500.00 Rp
032/1526/SBBK/Farmalkes 27-Nov-20 RS IMC Bintaro 70 Tablet Rp 9,500.00 836 Tablet Rp 9,500.00 Rp
032/1554/SBBK/Farmalkes 3-Dec-20 RS IMC Bintaro 70 Tablet Rp 9,500.00 766 Tablet Rp 9,500.00 Rp
032/1555/SBBK/Farmalkes RS Islam Ashobirin 70 Tablet Rp 9,500.00 696 Tablet Rp 9,500.00 Rp
032/1564/SBBK/Farmalkes 4-Dec-20 RS Islam Ashobirin 40 Tablet Rp 9,500.00 656 Tablet Rp 9,500.00 Rp
032/1593/SBBK/Farmalkes 8-Dec-20 RS Islam Ashobirin 90 Tablet Rp 9,500.00 566 Tablet Rp 9,500.00 Rp
RS Pondok Indah
032/1603/SBBK/Farmalkes 10-Dec-20 Bintaro 50 Tablet Rp 9,500.00 516 Tablet Rp 9,500.00 Rp
032/1608/SBBK/Farmalkes 11-Dec-20 RS Premier Bintaro 150 Tablet Rp 9,500.00 366 Tablet Rp 9,500.00 Rp
032/1614/SBBK/Farmalkes RS Islam Ashobirin 120 Tablet Rp 9,500.00 246 Tablet Rp 9,500.00 Rp
032/1621/SBBK/Farmalkes 14-Dec-20 RS IMC Bintaro 100 Tablet Rp 9,500.00 146 Tablet Rp 9,500.00 Rp
032/1625/SBBK/Farmalkes RS Permata Pamulang 100 Tablet Rp 9,500.00 46 Tablet Rp 9,500.00 Rp
032/1625.1/SBBK/Farmalkes Dinkes 46 Tablet Rp 9,500.00 0 Tablet Rp 9,500.00 Rp
5000 Tablet 2781/IFP/APBN/XII/2020 5000 Tablet
2 Coverall (baju hazmat) 475 Pcs 136/IFP/APBN/III/2020 24 Maret 2020 '442.1/001/Farmalkes/202 25 Maret 2020 RSUD Tangsel 25 Pcs 450 Pcs
442.1/005/Farmalkes/202 Eka Hospital 75 Pcs 300 Pcs
442.1/006/Farmalkes/202 Hermina Ciputat 25 Pcs 275 Pcs
442.1/007/Farmalkes/202 Hermina Serpong 25 Pcs 250 Pcs
442.1/008/Farmalkes/202 Permata Pamulang 25 Pcs 225 Pcs
442.1/010/Farmalkes/202 RSPI 50 Pcs 150 Pcs
442.1/011/Farmalkes/202 Mitra Keluarga 75 Pcs 75 Pcs
Page 167 of 288

442.1/012/Farmalkes/202 Primier Bintaro 75 Pcs 0 Pcs
200 Pcs 189/IFP/APBN/III/2020 31 Maret 2020 032/030/SBBK/Farmalkes 1-Apr-20 RS UIN 15 Pcs 185 Pcs
032/031/SBBK/Farmalkes RS.Permata Pamulang 10 Pcs 175 Pcs
032/032/SBBK/Farmalkes RS.Eka BSD 20 Pcs 155 Pcs
032/034/SBBK/Farmalkes RS Hermina Serpong 10 Pcs 145 Pcs
032/036/SBBK/Farmalkes RSPI Bintaro 20 Pcs 125 Pcs
032/037/SBBK/Farmalkes RS.Medika BSD 10 Pcs 115 Pcs
032/038/SBBK/Farmalkes RS Sari Asih 10 Pcs 105 Pcs
032/039/SBBK/Farmalkes RS Mitra keluarga 15 Pcs 90 Pcs
032/040/SBBK/Farmalkes RS Insan Permata 5 Pcs 85 Pcs
032/042/SBBK/Farmalkes RS.Bhineka Bakti 10 Pcs 75 Pcs
032/043/SBBK/Farmalkes RS Buah Hati Pamulang 5 Pcs 70 Pcs
032/044/SBBK/Farmalkes RS IMC 10 Pcs 60 Pcs
032/045/SBBK/Farmalkes RS Premier Bintaro 20 Pcs 40 Pcs
032/047/SBBK/Farmalkes RS Ashobirin 5 Pcs 35 Pcs
032/048/SBBK/Farmalkes RIS 5 Pcs 30 Pcs
032/049/SBBK/Farmalkes RS Dhia 5 Pcs 25 Pcs
032/050/SBBK/Farmalkes RS Buah Hati Ciputat 5 Pcs 20 Pcs
032/051/SBBK/Farmalkes RS Hermina Ciputat 20 Pcs 0 Pcs
1,000 Pcs 021/IFP/Kemkes/2020 1-Apr-20 032/173/SBBK/Farmalkes 16-Apr-20 Puskesmas Kranggan 30 Pcs 970 Pcs
245/IFP/Kemenkes/IV/202 Puskesmas Pondok

500 Pcs 0
8-Apr-20 032/174/SBBK/Farmalkes 16-Apr-20
Aren
30 Pcs 1,440 Pcs
900 Pcs 280/IFP/APBN/IV/2020 8-Apr-20 032/175/SBBK/Farmalkes 16-Apr-20 Puskesmas Bambu Apus 30 Pcs 2,310 Pcs
Puskesmas Ciputat
900 Pcs 336/IFP/APBN/IV/2020 13-Apr-20 032/176/SBBK/Farmalkes 16-Apr-20 Timur 30 Pcs 3,180 Pcs
600 Pcs 355/IFP/APBN/IV/2020 032/177/SBBK/Farmalkes 16-Apr-20 Puskesmas Paku Alam 30 Pcs 3,750 Pcs
032/178/SBBK/Farmalkes 16-Apr-20 Puskesmas Sawah Baru 30 Pcs 3,720 Pcs
032/179/SBBK/Farmalkes 16-Apr-20 Puskesmas Rawa Buntu 30 Pcs 3,690 Pcs

Puskesmas Pondok
600 470/IFP/APBN/IV/2020 21-Apr-20 032/180/SBBK/Farmalkes 16-Apr-20
Cabe Ilir
30 Pcs 4,260 Pcs
Puskesmas Pondok
Pucung
30 Pcs 4,230 Pcs
Puskesmas Pondok
032/182/SBBK/Farmalkes 16-Apr-20 Ranji 30 Pcs 4,200 Pcs
032/183/SBBK/Farmalkes 16-Apr-20 Puskesmas Setu 30 Pcs 4,170 Pcs
032/184/SBBK/Farmalkes 16-Apr-20 Puskesmas Pisangan 30 Pcs 4,140 Pcs
Page 168 of 288

032/185/SBBK/Farmalkes 16-Apr-20 Puskesmas Jombang 30 Pcs 4,110 Pcs
Puskesmas Pondok
Kacang Timur
30 Pcs 4,080 Pcs
Puskesmas Jurang
Mangu
30 Pcs 4,050 Pcs
032/188/SBBK/Farmalkes 16-Apr-20 Puskesmas Parigi 30 Pcs 4,020 Pcs
032/189/SBBK/Farmalkes 16-Apr-20 Puskesmas Benda baru 30 Pcs 3,990 Pcs
Puskesmas Pondok
Benda
30 Pcs 3,960 Pcs
Puskesmas Kampung
Sawah
30 Pcs 3,930 Pcs
032/192/SBBK/Farmalkes 22-Apr-20 Puskesmas Rengas 30 Pcs 3,900 Pcs
032/193/SBBK/Farmalkes 22-Apr-20 Pondok Jagung 30 Pcs 3,870 Pcs
032/194/SBBK/Farmalkes 23-Apr-20 Bakti Jaya 30 Pcs 3,840 Pcs
032/195/SBBK/Farmalkes 24-Apr-20 Ciputat 30 Pcs 3,810 Pcs
032/196/SBBK/Farmalkes Lengkong Wetan 30 Pcs 3,780 Pcs
032/197/SBBK/Farmalkes Pamulang 30 Pcs 3,750 Pcs
032/200/SBBK/Farmalkes Situ Gintung 30 Pcs 3,660 Pcs
032/201/SBBK/Farmalkes Pondok Betung 30 Pcs 3,630 Pcs
032/264/SBBK/Farmalkes 27-Apr-20 Surimun 4 Pcs 3,519 Pcs
032/270/SBBK/Farmalkes 27-Apr-20 RS Aria Sentra Medika 80 Pcs 3,439 Pcs
032/276/SBBK/Farmalkes 28-Apr-20 Rumah Lawan Covid 60 Pcs 3,379 Pcs
032/281/SBBK/Farmalkes Puskesmas Benda baru 62 Pcs 3,190 Pcs
Puskesmas Ciputat
Timur
62 Pcs 3,128 Pcs
Puskesmas Pondok
Ranji
62 Pcs 3,066 Pcs
Puskesmas Pondok
jagung
62 Pcs 3,004 Pcs
Page 169 of 288

Puskesmas Pondok
Kacang Timur
62 Pcs 2,756 Pcs
032/292/SBBK/Farmalkes 30-Apr-20 Puskesmas Rawabuntu 62 Pcs 2,632 Pcs
Puskesmas Pondok
032/295/SBBK/Farmalkes 1-May-20 Puskesmas Pisangan 62 Pcs 2,446 Pcs
Puskesmas Pondok
032/296/SBBK/Farmalkes 4-May-20
Pucung
62 Pcs 2,384 Pcs
Puskesmas Pondok
Cabe Ilir
62 Pcs 2,260 Pcs
Puskesmas Lengkong
Wetan
62 Pcs 2,198 Pcs
Puskesmas Kampung
032/312/SBBK/Farmalkes 5-May-20 Sawah 62 Pcs 2,074 Pcs
Puskesmas Pondok
Betung
62 Pcs 2,012 Pcs
Puskesmas Jurang
032/318/SBBK/Farmalkes Mangu 62 Pcs 1,890 Pcs
Puskesmas Pondok
Aren
62 Pcs 1,766 Pcs
Puskesmas Pondok
Ranji
50 Pcs 1,716 Pcs
032/334/SBBK/Farmalkes PKM Benda Baru 50 Pcs 1,660 Pcs
032/335/SBBK/Farmalkes Yankes 9 Pcs 1,651 Pcs
032/336/SBBK/Farmalkes 6-May-20 Puskesmas Rawabuntu 50 Pcs 1,601 Pcs
032/340/SBBK/Farmalkes RSU Tangsel 60 Pcs 1,479 Pcs
Puskesmas
Jurangmangu
62 Pcs 1,417 Pcs
Puskesmas
Jurangmangu
50 Pcs 1,367 Pcs
032/349/SBBK/Farmalkes 20-Jul-20 Puskesmas Ciputat 50 Pcs 1,305 Pcs
Puskesmas Pondok
2,880 854/IFP/APBN/VI/2020 10-Jun-20 032/350/SBBK/Farmalkes 21-Jul-20 Kacang Timur 50 Pcs 4,135 Pcs
032/379/SBBK/Farmalkes 30-Jul-20 RS Vitalaya 50 Pcs 4,005 Pcs
032/381/SBBK/Farmalkes 3-Aug-20 Puskesmas Pisangan 50 Pcs 3,955 Pcs
Page 170 of 288

032/384/SBBK/Farmalkes Klinik Pemkot 2 Pcs 3,953 Pcs
032/389/SBBK/Farmalkes Promkes 15 Pcs 3,838 Pcs
Puskesmas Pondok
Betung
100 Pcs 3,626 Pcs
RSIA Permata Sarana

Husada
50 Pcs 3,576 Pcs
032/395/SBBK/Farmalkes 4-Aug-20 RSUD Tangsel 300 Pcs 3,276 Pcs
032/397/SBBK/Farmalkes RIS Hospital 150 Pcs 3,126 Pcs
032/403/SBBK/Farmalkes RS Ashobirin 100 Pcs 3,011 Pcs
Puskesmas
Jurangmangu
19 Pcs 2,880 Pcs
Surimun (Puskesmas
032/827/SBBK/Farmalkes Jombang) 20 Pcs 2,860 Pcs
Puskesmas Pondok
032/859/SBBK/Farmalkes 7-Aug-20 P2P 20 Pcs 2,490 Pcs
032/860/SBBK/Farmalkes Labkesda 50 Pcs 2,440 Pcs
Puskesmas Kampung
Sawah
100 Pcs 1,925 Pcs
Puskesmas Lengkong
032/896/SBBK/Farmalkes Wetan 100 Pcs 1,525 Pcs
Puskesmas Ciputat
Timur
100 Pcs 1,425 Pcs
Puskesmas
032/900/SBBK/Farmalkes Jurangmangu 100 Pcs 1,225 Pcs
Puskesmas Pondok
032/902/SBBK/Farmalkes Aren 100 Pcs 1,125 Pcs
Puskesmas Pondok
Kacang Timur
100 Pcs 1,025 Pcs
Puskesmas Pondok
Pucung
100 Pcs 910 Pcs
032/909/SBBK/Farmalkes Puskesmas Benda baru 100 Pcs 810 Pcs
Puskesmas Pondok
Ranji
100 Pcs 710 Pcs
032/914/SBBK/Farmalkes Puskesmas Pisangan 100 Pcs 610 Pcs
Page 171 of 288

032/917/SBBK/Farmalkes Puskesmas Ciputat 100 Pcs 410 Pcs
032/923/SBBK/Farmalkes Puskesmas Serpong 1 100 Pcs 310 Pcs
032/924/SBBK/Farmalkes Puskesmas Kranggan 100 Pcs 210 Pcs
032/925/SBBK/Farmalkes Puskesmas Setu 100 Pcs 110 Pcs
Puskesmas Pondok
032/926/SBBK/Farmalkes Benda 100 Pcs 10 Pcs
032/937/SBBK/Farmalkes Puskesmas Jombang 10 Pcs 0 Pcs
3 Masker Bedah 42,000 Pcs 136/IFP/APBN/III/2020 24 Maret 2020 '442.1/001/Farmalkes/202 25 Maret 2020 RSUD Tangsel 7500 Pcs 34,500 Pcs
442.1/002/Farmalkes/202 RS UIN 4500 Pcs 30,000 Pcs
442.1/003/Farmalkes/202 RS Sari Asih 4500 Pcs 25,500 Pcs
442.1/004/Farmalkes/202 RS DHIA 2000 Pcs 23,500 Pcs
442.1/005/Farmalkes/202 Eka Hospital 2000 Pcs 21,500 Pcs
442.1/006/Farmalkes/202 Hermina Ciputat 2000 Pcs 19,500 Pcs
442.1/007/Farmalkes/202 Hermina Serpong 2000 Pcs 17,500 Pcs
442.1/008/Farmalkes/202 Permata Pamulang 2000 Pcs 15,500 Pcs
442.1/009/Farmalkes/202 RS BBH 2000 Pcs 13,500 Pcs
442.1/010/Farmalkes/202 RSPI 4500 Pcs 9,000 Pcs
442.1/011/Farmalkes/202 Mitra Keluarga 4500 Pcs 4,500 Pcs
442.1/012/Farmalkes/202 Primier Bintaro 4500 Pcs - Pcs
4,300 Pcs 302/IFP/APBN/IV/2020 8-Apr-20 032/ 793/SBBK/Farmalkes SDK 300 Pcs 4,000 Pcs
032/ 1375/SBBK/Farmalkes PTM 100 Pcs 3,900 Pcs
032/ 1377/SBBK/Farmalkes Pemkot 250 Pcs 3,650 Pcs
032/1417/SBBK/Farmalkes Gizi 200 Pcs 3,450 Pcs
032/1422/SBBK/Farmalkes Bidang Kesmas 100 Pcs 2,850 Pcs
032/1427/SBBK/Farmalkes PPPS BBI 50 Pcs 2,800 Pcs
Puskesmas Pondok
032/1454/SBBK/Farmalkes Rujukan 500 Pcs 1,800 Pcs
032/1486/SBBK/Farmalkes Umpeg 50 Pcs 1,550 Pcs
Puskesmas Pondok
Pucung
4 Pcs 1,546 Pcs
032/1565/SBBK/Farmalkes Puskesmas Parigi 300 Pcs 746 Pcs
032/1579/SBBK/Farmalkes PTM 100 Pcs 446 Pcs
032/1586/SBBK/Farmalkes Pemkot 150 Pcs 296 Pcs
Page 172 of 288

032/1671.1/SBBK/Farmalkes SDK 56 Pcs 0 Pcs
4 Masker N95 450 Pcs 136/IFP/APBN/III/2020 24 Maret 2020 442.1/001/Farmalkes/2020 RSUD Tangsel 50 Pcs 400 Pcs
442.1/005/Farmalkes/2020 RS Eka Hospital 50 Pcs 250 Pcs
442.1/006/Farmalkes/2020 RS Hermina Ciputat 25 Pcs 225 Pcs
442.1/007/Farmalkes/2020 RS Hermina Serpong 25 Pcs 200 Pcs
442.1/008/Farmalkes/2020 RS Permata Pamulang 25 Pcs 175 Pcs
442.1/010/Farmalkes/2020 RS Pondok Indah 50 Pcs 100 Pcs
442.1/011/Farmalkes/2020 RS Mitra Keluarga 50 Pcs 50 Pcs
442.1/012/Farmalkes/2020 RS Primier Bintaro 50 Pcs 0 Pcs

5 Rapid Test COVID-19 600 Pcs 153/IFP/APBN/III/2020 26 Maret 2020 032/007/SBBK/Farmalkes 27 Maret 2020 Imunisasi 600 Pcs - Pcs
2,000 Pcs 175/IPF/APBN/III/2020 29 Maret 2020 032/014/SBBK/Farmalkes 30 Maret 2020 labkesda 20 Pcs 1,980 Pcs

Imunisasi
20 Pcs 1,960 Pcs

032/025/SBBK/Farmalkes 31 Maret 2020
Imunisasi
820 Pcs 1,140 Pcs
032/028/SBBK/Farmalkes RS Umum TangSel 120 Pcs 1,020 Pcs

Imunisasi
1020 Pcs - Pcs
90 Pcs 175/IPF/APBN/III/2020 8-Apr-20 032/150/SBBK/Farmalkes 13-Apr-20 Seksi Surimun 20 Pcs 70 Pcs
50 Pcs 153/IFP/APBN/III/2020 8-Apr-20 032/163/SBBK/Farmalkes 15-Apr-20 labkesda 40 Pcs 80 Pcs
032/165/SBBK/Farmalkes 15-Apr-20 RS Hermina Ciputat 40 Pcs 40 Pcs
032/166/SBBK/Farmalkes 15-Apr-20 RS Buah Hati Pamulang 20 Pcs 20 Pcs
032/171/SBBK/Farmalkes 15-Apr-20 Seksi PTM 10 Pcs 10 Pcs
032/1039/SBBK/Farmalkes 26-Aug-20 Seksi PTM 10 Pcs - Pcs
Puskesmas Pondok
Pcs 547/IFP/BTT/V/2020 5-May-20 032/781/SBBK/Farmalkes 30-Jun-20 Betung 40 Pcs 3,560 Pcs
3600
Pcs 792/IFP/BTT/V/2020 29-May-20 032/782/SBBK/Farmalkes Puskesmas Serpong 1 30 Pcs 11,930 Pcs
8400
Puskesmas Lengkong
Wetan
100 Pcs 11,830 Pcs
032/788/SBBK/Farmalkes 1-Jul-20 Puskesmas Serpong 2 50 Pcs 11,780 Pcs
032/791/SBBK/Farmalkes 2-Jul-20 Puskesmas Pamulang 100 Pcs 11,680 Pcs
Puskesmas Jurang
Mangu
100 Pcs 11,580 Pcs
Puskesmas Pondok
Jagung
50 Pcs 11,530 Pcs
032/826/SBBK/Farmalkes 10-Jul-20 Puskesmas Rengas 30 Pcs 11,500 Pcs
Surimun (Puskesmas
032/827/SBBK/Farmalkes jombang) 200 Pcs 11,300 Pcs
Puskesmas Lengkong
Wetan
200 Pcs 11,100 Pcs
032/830/SBBK/Farmalkes 13-Jul-20 labkesda 200 Pcs 10,900 Pcs
Puskesmas Pondok
Page 173 of 288

032/859/SBBK/Farmalkes 21-Jul-20 P2P 200 Pcs 10,550 Pcs
032/862/SBBK/Farmalkes 22-Jul-20 PTM 300 Pcs 10,250 Pcs
Puskesmas Pondok
Cabe Ilir
100 Pcs 10,150 Pcs
Puskesmas Jurang
Mangu
100 Pcs 10,050 Pcs
Puskesmas Pondok
Jagung
200 Pcs 9,850 Pcs
032/882/SBBK/Farmalkes 29-Jul-20 Puskesmas Jombang 100 Pcs 9,750 Pcs
032/886/SBBK/Farmalkes 30-Jul-20 Puskesmas Parigi 200 Pcs 9,550 Pcs
032/890/SBBK/Farmalkes 3-Aug-20 Puskesmas Pamulang 200 Pcs 9,350 Pcs
Puskesmas Kampung
Sawah
200 Pcs 9,150 Pcs
Puskesmas Lengkong
Wetan
200 Pcs 8,350 Pcs
Puskesmas Ciputat
032/897/SBBK/Farmalkes Timur 200 Pcs 8,150 Pcs
Puskesmas
Jurangmangu
200 Pcs 7,750 Pcs
Puskesmas Pondok
Aren
200 Pcs 7,550 Pcs
Puskesmas Pondok
032/904/SBBK/Farmalkes Kacang Timur 200 Pcs 7,350 Pcs
Puskesmas Pondok
Pucung
200 Pcs 7,150 Pcs
Puskesmas Pondok
Ranji
200 Pcs 6,750 Pcs
032/923/SBBK/Farmalkes 5-Aug-20 Puskesmas Serpong 1 200 Pcs 5,950 Pcs
Puskesmas Pondok
Benda
200 Pcs 5,350 Pcs
032/937/SBBK/Farmalkes 7-Aug-20 Puskesmas Jombang 200 Pcs 5,150 Pcs
Puskesmas Pondok
032/939/SBBK/Farmalkes Jagung 200 Pcs 4,950 Pcs
032/941/SBBK/Farmalkes RSUD 300 Pcs 4,450 Pcs
Puskesmas Pondok
032/943/SBBK/Farmalkes Cabe Ilir 200 Pcs 4,250 Pcs
Page 174 of 288

032/947/SBBK/Farmalkes RS Buah Hati Ciputat 50 Pcs 4,000 Pcs
032/950/SBBK/Farmalkes 8-Aug-20 Puspem 40 Pcs 3,960 Pcs
032/960/SBBK/Farmalkes 11-Aug-20 PTM 440 Pcs 3,520 Pcs
032/968/SBBK/Farmalkes Pemkot 5 Pcs 3,515 Pcs
032/969/SBBK/Farmalkes 12-Aug-20 labkesda 200 Pcs 3,315 Pcs
032/996/SBBK/Farmalkes 14-Aug-20 RS IMC Bntaro 40 Pcs 3,275 Pcs
Puskesmas Pondok
032/ 1009/SBBK/Farmalkes 18-Aug-20
Jagung
300 Pcs 2,675 Pcs
032/ 1015/SBBK/Farmalkes 19-Aug-20 Puskesmas Parigi 200 Pcs 2,475 Pcs
032/1020/SBBK/Farmalkes 22-Aug-20 KPGG 200 Pcs 2,275 Pcs
032/1207/SBBK/Farmalkes 24-Sep-20 PTM 400 Pcs 0 Pcs
228/IFP/Kemenkes
6 Klorokuin 150 mg 1,700 Tablet Rp 1,506.00 2,560,200.00
RI/IV/2020
6-Apr-20 032/208/SBBK/Farmalkes 16-Apr-20 RS Hermina Ciputat 50 Tablet Rp 1,506.00 Rp 75,300.00 1,650 Tablet Rp 1,506.00 Rp
1,400 Tablet Rp 1,506.00 2,108,400.00 395/IFP/APBN/IV/2020 17-Apr-20 032/271/SBBK/Farmalkes 23-Apr-20 RS Hermina Ciputat 100 Tablet Rp 1,506.00 Rp 150,600.00 2,950 Tablet Rp 1,506.00 Rp
032/463/SBBK/Farmalkes 11-May-20 RS Hermina Ciputat 200 Tablet Rp 1,506.00 Rp 301,200.00 2,750 Tablet Rp 1,506.00 Rp
032/517/SBBK/Farmalkes 19-May-20 RS Hermina Ciputat 150 Tablet Rp 1,506.00 Rp 225,900.00 2,600 Tablet Rp 1,506.00 Rp
032/1042/SBBK/Farmalkes 26-Aug-20 RS Hermina Serpong 50 Tablet Rp 1,506.00 Rp 75,300.00 2,550 Tablet Rp 1,506.00 Rp
032/1065/SBBK/Farmalkes 31-Aug-20 RS Hermina Serpong 50 Tablet Rp 1,506.00 Rp 75,300.00 2,500 Tablet Rp 1,506.00 Rp
032/1110/SBBK/Farmalkes 9-Sep-20 RS Hermina Serpong 100 Tablet Rp 1,506.00 Rp 150,600.00 2,400 Tablet Rp 1,506.00 Rp
032/1166/SBBK/Farmalkes 17-Sep-20 RS Hermina Serpong 50 Tablet Rp 1,506.00 Rp 75,300.00 2,350 Tablet Rp 1,506.00 Rp
032/1376/SBBK/Farmalkes 23-Oct-20 RS Ashobirin 20 Tablet Rp 1,506.00 Rp 30,120.00 2,330 Tablet Rp 1,506.00 Rp
032/1376/SBBK/Farmalkes 9-Nov-20 RS Ashobirin 10 Tablet Rp 1,506.00 Rp 15,060.00 2,320 Tablet Rp 1,506.00 Rp
7 VTM 200 Pcs Rp 99,000.00 19,800,000.00 048/Labkes/BTT/V/2020 5-May-20 032/532/SBBK/Farmalkes 22-May-20 PKM Serpong 1 50 Pcs Rp 99,000.00 Rp 4,950,000.00 150 Pcs Rp 99,000.00 Rp
Page 175 of 288

Puskesmas Pondok
032/536/SBBK/Farmalkes Pucung 50 Pcs Rp 99,000.00 Rp 4,950,000.00 100 Pcs Rp 99,000.00 Rp
Puskesmas Pondok
032/714/SBBK/Farmalkes 15-Jun-20 Betung 50 Pcs Rp 99,000.00 Rp 4,950,000.00 50 Pcs Rp 99,000.00 Rp
850 Pcs Rp 99,000.00 84,150,000.00 066/labkes/BTT/V/2020 29-May-20 Pcs 900 Pcs
032/719/SBBK/Farmalkes 16-Jun-20 Puskesmas Parigi 100 Pcs Rp 99,000.00 Rp 9,900,000.00 800 Pcs Rp 99,000.00 Rp
032/724/SBBK/Farmalkes 17-Jun-20 Puskesmas Setu 50 Pcs Rp 99,000.00 Rp 4,950,000.00 750 Pcs Rp 99,000.00 Rp
Puskesmas Lengkong
Wetan
100 Pcs Rp 99,000.00 Rp 9,900,000.00 650 Pcs Rp 99,000.00 Rp
032/731/SBBK/Farmalkes Puskesmas Ciputat 100 Pcs Rp 99,000.00 Rp 9,900,000.00 550 Pcs Rp 99,000.00 Rp
032/733/SBBK/Farmalkes 18-Jun-20 Puskesmas Parigi 100 Pcs Rp 99,000.00 Rp 9,900,000.00 450 Pcs Rp 99,000.00 Rp
Puskesmas Pondok
032/736/SBBK/Farmalkes 19-Jun-20
Jagung
50 Pcs Rp 99,000.00 Rp 4,950,000.00 400 Pcs Rp 99,000.00 Rp
032/737/SBBK/Farmalkes Puskesmas Serpong 2 100 Pcs Rp 99,000.00 Rp 9,900,000.00 300 Pcs Rp 99,000.00 Rp
Puskesmas Kampung
Sawah
100 Pcs Rp 99,000.00 Rp 9,900,000.00 200 Pcs Rp 99,000.00 Rp
Puskesmas Pondok
Ranji
100 Pcs Rp 99,000.00 Rp 9,900,000.00 100 Pcs Rp 99,000.00 Rp
032/743/SBBK/Farmalkes 22-Jun-20 Labkesda 100 Pcs Rp 99,000.00 Rp 9,900,000.00 - Pcs Rp 99,000.00 Rp

136/labkes/Kemenkes/VIII
800
/2020
25-Aug-20 032/1226/SBBK/Farmalkes 28-Sep-20 Puskesmas Rengas 92 Pcs 708 Pcs
Puskesmas Lengkong
1,700 095/BAST/Farmalkes 31-Aug-20 032/1228/SBBK/Farmalkes
Wetan
100 Pcs 2,308 Pcs
167/labkes/kemenkes/IX/2 Puskesmas Ciputat
4,000
020
28-Sep-20 032/1233/SBBK/Farmalkes 29-Sep-20
Timur
100 Pcs 6,208 Pcs
Puskesmas Pondok
032/1242/SBBK/Farmalkes 30-Sep-20 Puskesmas Bambu Apus 100 Pcs 6,008 Pcs
Puskesmas Pondok
Benda
100 Pcs 5,908 Pcs
Puskesmas Kampung
Sawah
100 Pcs 5,808 Pcs
Puskesmas Pondok
Jagung
100 Pcs 5,608 Pcs
032/1257/SBBK/Farmalkes Puskesmas Situ Gintung 100 Pcs 5,408 Pcs

Puskesmas Pondok
032/1261/SBBK/Farmalkes 2-Oct-20 Kacang timur 100 Pcs 5,308 Pcs
Puskesmas Pondok
Pucung
50 Pcs 5,108 Pcs
Puskesmas Pondok
Pucung
50 Pcs 5,058 Pcs
Puskesmas Jurang
Mangu
100 Pcs 4,958 Pcs
032/1271/SBBK/Farmalkes 6-Oct-20 Puskesmas Serpong 2 150 Pcs 4,708 Pcs

032/1282/SBBK/Farmalkes 7-Oct-20 Labkesda 200 Pcs 4,268 Pcs
Puskesmas Pondok
Puskesmas Kampung
Sawah
100 Pcs 3,968 Pcs
Puskesmas Pondok
032/1300/SBBK/Farmalkes 12-Oct-20 Puskesmas Pamulang 200 Pcs 3,668 Pcs
Page 176 of 288

PEMERINTAH KOTA TANGERANG SELATAN
INSPEKTORAT
LAPORAN HASIL PEMERIKSAAN OPNAME FISIK PERSEDIAAN BARANG PAKAI HABIS, DAN BARANG HABIS PAKAI MEDIS
DINAS KESEHATAN
PERHITUNGAN MUNDUR
Mutasi Barang Habis Pakai, Obat, dll

Stock Fisik Stock Fisik
Stock Buku Penerimaan 01 s/d 06 Januari 2021 Pemakaian 01 s/d 06 Januari 2021 HARGA SATUAN
No Tgl 06 Jan Tgl 31 Des Selisih JUMLAH (Rp) KETERANGAN
31 Des 2020 (Rp)
2020 2020
Tgl 01 Tgl 02 Tgl 03 Tgl 04 Tgl 05 Tgl 06 Tgl 01 Tgl 02 Tgl 03 Tgl 04 Tgl 05 Tgl 06
1 3 4 5 6 7 8 9 16 17 18 19 20 27 28 29 30 31
A
2014
CDR Spindle 50 / CD R isi 100 (GT-PRO) isi 50 21 21 21 0 192,372.00 4,039,812
Odner Karton Kwitansi (Gema) 1 1 1 0 225,000.00 225,000
2015 0 0 0 -
Kertas HVS A3 80gr, 500lbr per rim SINAR DUNIA 2 2 2 0 85,000.00 170,000
Kertas fax uk. 210/216 x 50 merk OJI FAX 20 20 20 0 25,000.00 500,000
DVD-R isi 50 spindle merk GT PRO 2 2 2 0 210,000.00 420,000
2016 0 0 0 -
Odner karton kwitansi merk BANTEX 2 2 2 0 255,000.00 510,000
Paper cutter ukuran folio, rotary trimmer. merk V-Tech 3 3 3 0 195,000.00 585,000
2017 0 0 0 -
Kertas continous form 9 1/2 x 13, 5 ply merk ULS 3 3 3 0 560,000.00 1,680,000
2018 0 0 0 -
Binder klip No.155 merk JOYKO 60 60 60 0 7,800.00 468,000
Isi cutter kecil, isi 5 pcs per tube merk Kenko 11 11 11 0 4,000.00 44,000
Isi cutter besar, isi 5 pcs per tube merk Kenko 7 7 7 0 6,000.00 42,000
Kertas HVS A3 80gr merk SINARDUNIA 2 2 2 0 90,000.00 180,000
Paper klip No. 5 merk JOYKO 20 20 20 0 5,000.00 100,000
Binder klip No. 111 merk KENKO 65 65 65 0 6,000.00 390,000
Binder klip No. 155 merk JOYKO 42 42 42 0 8,500.00 357,000
Buku folio expedisi 100 lbr merk OAKLEY 27 27 27 0 17,000.00 459,000
Buku folio 100 lbr merk PAPERLINE 17 17 17 0 25,000.00 425,000
Double tape 1/2 inchi merk MUTU 19 19 19 0 5,000.00 95,000
Double tape 1 inchi HITAM non merk 5 5 5 0 17,000.00 85,000
Solasi kecil merk DAVIS 7 7 7 0 10,000.00 70,000
Lakban bening 2 inchi merk AURAPACK 0 0 0 0 14,000.00 -
Isi pensil mekanik 2,0 mm merk JOYKO 4 4 4 0 10,000.00 40,000
Cutter Kecil L-300 merk PLUS 14 14 14 0 11,000.00 154,000
Cutter besar L-500 merk AMC 6 6 6 0 20,000.00 120,000
Tinta stempel violet ungu merk PYRAMID 20 20 20 0 15,000.00 300,000
Kertas photo glossy paper A4 merk SPECTRA 5 5 5 0 25,000.00 125,000
Buku tulis biasa isi 38/40 lembar merk SIDU 32 32 32 0 29,000.00 928,000
2019 0 0 0 -
Trigonal klip No. 1 merk Joyko 60 60 60 0 3,000.00 180,000
Binder klip No.111 merk Joyko 97 97 97 0 5,000.00 485,000
Double tape 1/2 inci merk Subaru 36 36 36 0 4,500.00 162,000
Double tape 2 inci merk Subaru 37 37 37 0 17,000.00 629,000
Cutter kecil A-300 merk Kenko 1 1 1 0 6,000.00 6,000
Cutter besar L-500 merk Kenko 7 7 7 0 16,000.00 112,000
Kertas Photo A4, glossy, 230 gr merk Eprint 17 17 17 0 29,000.00 493,000
2020 0 0 0 -
Kertas HVS A4 80gr Bola Dunia 10 10 10 0 53,900 539,000
Amplop Putih 110 Paper Line 64 64 64 0 27,500 1,760,000
31 Des 2020 (Rp)
2020 2020
1 3 4 5 6 7 8 9 16 17 18 19 20 27 28 29 30 31
A
Amplop Putih 90 Paper Line 20 20 20 0 31,900 638,000
Paper Klip No. 5 Joyko 50 50 50 0 5,500 275,000
Binder Klip No. 260 Joyko 15 15 15 0 26,400 396,000
Solasi Kecil Nanko 20 20 20 0 4,400 88,000
Lakban Bening 2" Nanko 14 14 14 0 14,300 200,200
Lakban Hitam 2"Nanko 15 15 15 0 24,200 363,000
Lem Stik 25gr Joyko 15 15 15 0 9,900 148,500
Isi Stafler No. 10 Max 37 37 37 0 73,700 2,726,900
Penghapus White Board GM 10 10 10 0 9,900 99,000
Post It Notes Warna Pronto 7 7 7 0 13,200 92,400
Zipper Bag Folio Retseleting Standart 82 82 82 0 21,600 1,771,200
Bussinnes File Folder One 76 76 76 0 4,400 334,400
Pensil Faber Castel 2B Faber Castel 36 36 36 0 71,500 2,574,000
Map Bening F4 Folder One 14 14 14 0 28,600 400,400
Box File F4 Bandex 13 13 13 0 42,900 557,700
Post It Plastik Combo 15 15 15 0 13,200 198,000
Odner Besar Bindex Folio Bindex 11 11 11 0 40,700 447,700
Ribbon Printer Epson LQ/LX 310Epson 10 10 10 0 91,200 912,000
Catried HP 680 Black HP 5 5 5 0 180,000 900,000
Catried HP 680 Colour HP 5 5 5 0 172,800 864,000
Catried Canon PG-811 Canon 3 3 3 0 324,500 973,500
Kertas HVS F4 70gr Merk Bola Dunia 1170 1170 1,170 0 50,039 58,545,630
Kertas HVS A4 70gr Merk Bola Dunia 112 112 112 0 44,000 4,928,000
Kertas HVS F4 80gr Merk Bola Dunia 100 100 100 0 56,595 5,659,500
Toner HP Laser Jet 201A 1 Set (9 Black, Cyan, Yellow,
3 3 3 0 5,818,230 17,454,690
Magenta Orginal)
JUMLAH ALAT TULIS KANTOR 124,345,432
2013
Window washer 19 19 19 0 Rp 52,900.00 Rp 1,005,100.00
Floor sign 2 2 2 0 Rp 62,400.00 Rp 124,800.00
Kain lobby refill 80cm 25 25 25 0 Rp 58,200.00 Rp 1,455,000.00
Sikat Kamar Mandi 6 6 6 0 Rp 30,500.00 Rp 183,000.00
2020 Rp -
Tisu Toilet Nice 50 50 50 0 36,960.00 Rp 1,848,000.00
Reffil Pengharum Ruangan Calmic 21 21 21 0 41,800.00 Rp 877,800.00
Prostek 24 24 24 0 20,790.00 Rp 498,960.00
Paseo Elegent Toilet Roll Tisue isi 12 rol x 300's 80 80 80 0 85,000.00 Rp 6,800,000.00
Tessa Facial Tisue 260 Pcs 31 31 31 0 25,500.00 Rp 790,500.00
Klin Pack Kantong Sampah Extra Besar 100X120cm 238 238 238 0 48,500.00 Rp 11,543,000.00
Soklin Lantai 4Lt 3 3 3 0 72,000.00 Rp 216,000.00
Pembersih Keramik Porslen Prostek 1Lt 80 80 80 0 27,000.00 Rp 2,160,000.00
Kamper Gantung Dahlia 80gr 55 55 55 0 19,500.00 Rp 1,072,500.00
Reffil Pengharum Ruangan 48 48 48 0 42,000.00 Rp 2,016,000.00
Deterjen Rinso Bubuk Anti Noda 770gr 8 8 8 0 35,000.00 Rp 280,000.00
Handsoap Sabun Cuci Tangan Drigen 5Lt 29 29 29 0 75,000.00 Rp 2,175,000.00
Sabun Colek Ekonomi 500k (1 Dus isi 30 Pcs) 5 5 5 0 82,000.00 Rp 410,000.00
Cairan Pembersih Kaca Clink Wings 400ml 40 40 40 0 24,000.00 Rp 960,000.00
Super Mop Bolde M-169 X Plus 7 7 7 0 250,000.00 Rp 1,750,000.00
31 Des 2020 (Rp)
2020 2020
1 3 4 5 6 7 8 9 16 17 18 19 20 27 28 29 30 31
A
Sikat Closet 3 3 3 0 50,000.00 Rp 150,000.00
Sikat Kamar Mandi Gagang Panjang 14 14 14 0 80,000.00 Rp 1,120,000.00
Sapu Ijuk 6 6 6 0 60,000.00 Rp 360,000.00
Sapu Lidi 13 13 13 0 60,000.00 Rp 780,000.00
Pengki Sigma Lion Star 12 12 12 0 60,000.00 Rp 720,000.00
Kemoceng 5 5 5 0 55,000.00 Rp 275,000.00
Lap Kotak Kotak 72 72 72 0 7,500.00 Rp 540,000.00
Anti Nyamuk Kaleng 40 40 40 0 44,500.00 Rp 1,780,000.00
Lap Kanebo Aion 18 18 18 0 90,000.00 Rp 1,620,000.00
JUMLAH BAHAN PEMBERSIH Rp 43,510,660.00
CETAK (522.06.01)
2016
Format Surat Ketetapan Retribusi Daerah. 12 12 12 0 Rp 85,000 Rp 1,020,000.00
Format Surat Ketetapan Retribusi Daerah Lebih Bayar. 5 5 5 0 Rp 85,000 Rp 425,000.00
Format Surat Tagihan Retribusi Daerah. 6 6 6 0 Rp 85,000 Rp 510,000.00
2017 0 0 0 Rp -
Cetak amplop surat dinas 120 120 120 0 Rp 51,150 Rp 6,138,000.00
2019 0 0 0 Rp -
Amplop surat dinas 180 180 180 0 Rp 51,000 Rp 9,180,000.00
kop surat dinas 18 18 18 0 Rp 260,000 Rp 4,680,000.00
Kop Surat Dinas (walikota) 1 1 1 0 Rp 520,000 Rp 520,000.00
Lembar Disposisi 91 91 91 0 Rp 32,500 Rp 2,957,500.00
Box Arsip 400 400 400 0 Rp 29,700 Rp 11,880,000.00
2020 Rp -
Amplop Surat Dinas 90gr (Samson B-W) 100 100 100 0 Rp 52,000 Rp 5,200,000.00
Kop Surat Dinas Uk. 70gr HVS 10 10 10 0 Rp 195,000 Rp 1,950,000.00
Lembar Diposisi NCR (B-W) 129 129 129 0 Rp 22,000 Rp 2,838,000.00
Lembar Verifikasi 2,500 2500 2,500 0 Rp 1,950 Rp 4,875,000.00
JUMLAH CETAK Rp 52,173,500.00
PMT
PMT Anak Sekolah 36,000 36000 36,000 0 Rp 2,900 Rp 104,400,000.00
JUMLAH PMT Rp 104,400,000.00
TOTAL Rp 324,429,592.00
Mengetahui,
Plt. Kepala Dinas Kesehatan Pengurus Barang Dinas Kesehatan Nama Tanda Tangan
1 A.B. Yudishtira
NIP. 19800317 199810 1 001 1. …………………………………..
2 Iwan Darmawan, ST, MM

NIP. 19750602 201001 1 003 2. …………………………………..
3 Cece Sumantri, S.Sos

DEDEN DENI, SE DEDY TISNA AMIJAYA SKM NIP. 19640801 200112 1 001 3. …………………………………..
NIP. 19741220 200112 1 004 NIP. 198404406 201001 1 009
4 Rosmalia Yuniar M, ST
NIP. 19830625 200803 2 004 4. …………………………………..
5 Tahir Ahmad, SE
NIP. 19860919 201001 1 003 5. …………………………………..
31 Des 2020 (Rp)
2020 2020
1 3 4 5 6 7 8 9 16 17 18 19 20 27 28 29 30 31
A
6 Irwan Hartono, S.Si, Apt 6. …………………………………..

NIP. 19781102 200604 1 015
7 Ika Rahmawati, S.Sos 7. …………………………………..

NIP. 19801224 201001 2 007
PEMERINTAH KOTA TANGERANG SELATAN
INSPEKTORAT
LAPORAN HASIL PEMERIKSAAN OPNAME FISIK PERSEDIAAN BARANG PAKAI HABIS, DAN BARANG HABIS PAKAI MEDIS
DINAS KESEHATAN
PERHITUNGAN MUNDUR

Stock Buku Penerimaan 01 s/d 06 Januari 2021 Pemakaian 01 s/d 06 Januari 2021
No Tgl 06 Jan Tgl 31 Des Selisih HARGA SATUAN (Rp) JUMLAH (Rp) KETERANGAN
31 Des 2020
2020 2020
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
A
2014
CDR Spindle 50 / CD R isi 100 (GT-PRO) isi 50 21 21 21 0 192,372.00 4,039,812
Odner Karton Kwitansi (Gema) 1 1 1 0 225,000.00 225,000
2015 0 0 0 -
Kertas HVS A3 80gr, 500lbr per rim SINAR DUNIA 2 2 2 0 85,000.00 170,000
Kertas fax uk. 210/216 x 50 merk OJI FAX 20 20 20 0 25,000.00 500,000
DVD-R isi 50 spindle merk GT PRO 2 2 2 0 210,000.00 420,000
2016 0 0 0 -
Odner karton kwitansi merk BANTEX 2 2 2 0 255,000.00 510,000
Paper cutter ukuran folio, rotary trimmer. merk V-Tech 3 3 3 0 195,000.00 585,000
2017 0 0 0 -
Kertas continous form 9 1/2 x 13, 5 ply merk ULS 3 3 3 0 560,000.00 1,680,000
2018 0 0 0 -
Binder klip No.155 merk JOYKO 60 60 60 0 7,800.00 468,000
Isi cutter kecil, isi 5 pcs per tube merk Kenko 11 11 11 0 4,000.00 44,000
Isi cutter besar, isi 5 pcs per tube merk Kenko 7 7 7 0 6,000.00 42,000
Kertas HVS A3 80gr merk SINARDUNIA 2 2 2 0 90,000.00 180,000
Paper klip No. 5 merk JOYKO 20 20 20 0 5,000.00 100,000
Binder klip No. 111 merk KENKO 65 65 65 0 6,000.00 390,000
Binder klip No. 155 merk JOYKO 42 42 42 0 8,500.00 357,000
Buku folio expedisi 100 lbr merk OAKLEY 27 27 27 0 17,000.00 459,000
Buku folio 100 lbr merk PAPERLINE 17 17 17 0 25,000.00 425,000
Double tape 1/2 inchi merk MUTU 19 19 19 0 5,000.00 95,000
Double tape 1 inchi HITAM non merk 5 5 5 0 17,000.00 85,000
Solasi kecil merk DAVIS 7 7 7 0 10,000.00 70,000
Lakban bening 2 inchi merk AURAPACK 0 0 0 0 14,000.00 -
Isi pensil mekanik 2,0 mm merk JOYKO 4 4 4 0 10,000.00 40,000
Cutter Kecil L-300 merk PLUS 14 14 14 0 11,000.00 154,000
Cutter besar L-500 merk AMC 6 6 6 0 20,000.00 120,000
Tinta stempel violet ungu merk PYRAMID 20 20 20 0 15,000.00 300,000
Kertas photo glossy paper A4 merk SPECTRA 5 5 5 0 25,000.00 125,000
Buku tulis biasa isi 38/40 lembar merk SIDU 32 32 32 0 29,000.00 928,000
2019 0 0 0 -
Trigonal klip No. 1 merk Joyko 60 60 60 0 3,000.00 180,000
Binder klip No.111 merk Joyko 97 97 97 0 5,000.00 485,000
Double tape 1/2 inci merk Subaru 36 36 36 0 4,500.00 162,000
Double tape 2 inci merk Subaru 37 37 37 0 17,000.00 629,000
Cutter kecil A-300 merk Kenko 1 1 1 0 6,000.00 6,000
Cutter besar L-500 merk Kenko 7 7 7 0 16,000.00 112,000
Kertas Photo A4, glossy, 230 gr merk Eprint 17 17 17 0 29,000.00 493,000
2020 0 0 0 - ###
31 Des 2020
2020 2020
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
A
Kertas HVS A4 80gr Bola Dunia 10 10 10 0 53,900 539,000
Amplop Putih 110 Paper Line 64 64 64 0 27,500 1,760,000
Amplop Putih 90 Paper Line 20 20 20 0 31,900 638,000
Paper Klip No. 5 Joyko 50 50 50 0 5,500 275,000
Binder Klip No. 260 Joyko 15 15 15 0 26,400 396,000
Solasi Kecil Nanko 20 20 20 0 4,400 88,000
Lakban Bening 2" Nanko 14 14 14 0 14,300 200,200
Lakban Hitam 2"Nanko 15 15 15 0 24,200 363,000
Lem Stik 25gr Joyko 15 15 15 0 9,900 148,500
Isi Stafler No. 10 Max 37 37 37 0 73,700 2,726,900
Penghapus White Board GM 10 10 10 0 9,900 99,000
Post It Notes Warna Pronto 7 7 7 0 13,200 92,400
Zipper Bag Folio Retseleting Standart 82 82 82 0 21,600 1,771,200
Bussinnes File Folder One 76 76 76 0 4,400 334,400
Pensil Faber Castel 2B Faber Castel 36 36 36 0 71,500 2,574,000
Map Bening F4 Folder One 14 14 14 0 28,600 400,400
Box File F4 Bandex 13 13 13 0 42,900 557,700
Post It Plastik Combo 15 15 15 0 13,200 198,000
Odner Besar Bindex Folio Bindex 11 11 11 0 40,700 447,700
Ribbon Printer Epson LQ/LX 310Epson 10 10 10 0 91,200 912,000
Catried HP 680 Black HP 5 5 5 0 180,000 900,000
Catried HP 680 Colour HP 5 5 5 0 172,800 864,000
Kertas HVS F4 70gr Merk Bola Dunia 1170 1170 1,170 0 50,039 58,545,630
Kertas HVS F4 80gr Merk Bola Dunia 100 100 100 0 56,595 5,659,500
Toner HP Laser Jet 201A 1 Set (9 Black, Cyan, Yellow,
3 3 3 0 5,818,230 17,454,690
Magenta Orginal)
JUMLAH ALAT TULIS KANTOR 124,345,432 ###
2013
Window washer 19 19 19 0 Rp 52,900.00 Rp 1,005,100.00
Floor sign 2 2 2 0 Rp 62,400.00 Rp 124,800.00
Kain lobby refill 80cm 25 25 25 0 Rp 58,200.00 Rp 1,455,000.00
Sikat Kamar Mandi 6 6 6 0 Rp 30,500.00 Rp 183,000.00 ###
2020 Rp -
Tisu Toilet Nice 50 50 50 0 36,960.00 Rp 1,848,000.00
Reffil Pengharum Ruangan Calmic 21 21 21 0 41,800.00 Rp 877,800.00
Prostek 24 24 24 0 20,790.00 Rp 498,960.00
Paseo Elegent Toilet Roll Tisue isi 12 rol x 300's 80 80 80 0 85,000.00 Rp 6,800,000.00
Tessa Facial Tisue 260 Pcs 31 31 31 0 25,500.00 Rp 790,500.00
Klin Pack Kantong Sampah Extra Besar 100X120cm 238 238 238 0 48,500.00 Rp 11,543,000.00
Soklin Lantai 4Lt 3 3 3 0 72,000.00 Rp 216,000.00
Pembersih Keramik Porslen Prostek 1Lt 80 80 80 0 27,000.00 Rp 2,160,000.00
Kamper Gantung Dahlia 80gr 55 55 55 0 19,500.00 Rp 1,072,500.00
Reffil Pengharum Ruangan 48 48 48 0 42,000.00 Rp 2,016,000.00
31 Des 2020
2020 2020
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
A
Deterjen Rinso Bubuk Anti Noda 770gr 8 8 8 0 35,000.00 Rp 280,000.00
Handsoap Sabun Cuci Tangan Drigen 5Lt 29 29 29 0 75,000.00 Rp 2,175,000.00
Sabun Colek Ekonomi 500k (1 Dus isi 30 Pcs) 5 5 5 0 82,000.00 Rp 410,000.00
Cairan Pembersih Kaca Clink Wings 400ml 40 40 40 0 24,000.00 Rp 960,000.00
Super Mop Bolde M-169 X Plus 7 7 7 0 250,000.00 Rp 1,750,000.00
Sikat Closet 3 3 3 0 50,000.00 Rp 150,000.00
Sikat Kamar Mandi Gagang Panjang 14 14 14 0 80,000.00 Rp 1,120,000.00
Sapu Ijuk 6 6 6 0 60,000.00 Rp 360,000.00
Sapu Lidi 13 13 13 0 60,000.00 Rp 780,000.00
Pengki Sigma Lion Star 12 12 12 0 60,000.00 Rp 720,000.00
Kemoceng 5 5 5 0 55,000.00 Rp 275,000.00
Lap Kotak Kotak 72 72 72 0 7,500.00 Rp 540,000.00
Anti Nyamuk Kaleng 40 40 40 0 44,500.00 Rp 1,780,000.00
Lap Kanebo Aion 18 18 18 0 90,000.00 Rp 1,620,000.00 ###
JUMLAH BAHAN PEMBERSIH Rp 43,510,660.00
Belanja APE KIT 65 65 65 0 760,500 Rp 49,432,500.00
Belanja APE KIT 30 30 30 0 295,020 Rp 8,850,600.00
JUMLAH BELANJA BAHAN PERCONTOHAN Rp 58,283,100.00 ###
CETAK (522.06.01)
2016
Format Surat Ketetapan Retribusi Daerah. 12 12 12 0 Rp 85,000 Rp 1,020,000.00
Format Surat Ketetapan Retribusi Daerah Lebih Bayar. 5 5 5 0 Rp 85,000 Rp 425,000.00
Format Surat Tagihan Retribusi Daerah. 6 6 6 0 Rp 85,000 Rp 510,000.00
2017 0 0 0 Rp -
Cetak amplop surat dinas 120 120 120 0 Rp 51,150 Rp 6,138,000.00
2019 0 0 0 Rp -
Amplop surat dinas 180 180 180 0 Rp 51,000 Rp 9,180,000.00
kop surat dinas 18 18 18 0 Rp 260,000 Rp 4,680,000.00
Kop Surat Dinas (walikota) 1 1 1 0 Rp 520,000 Rp 520,000.00
Lembar Disposisi 91 91 91 0 Rp 32,500 Rp 2,957,500.00
Box Arsip 400 400 400 0 Rp 29,700 Rp 11,880,000.00
2020 Rp - ###
Amplop Surat Dinas 90gr (Samson B-W) 100 100 100 0 Rp 52,000 Rp 5,200,000.00
Kop Surat Dinas Uk. 70gr HVS 10 10 10 0 Rp 195,000 Rp 1,950,000.00
Lembar Diposisi NCR (B-W) 129 129 129 0 Rp 22,000 Rp 2,838,000.00
Lembar Verifikasi 2,500 2500 2,500 0 Rp 1,950 Rp 4,875,000.00
Rp - ###
Cetak Kohort 460 460 460 0 Rp 64,200 Rp 29,532,000.00
Cetak Buku Bagan MTBS 42 42 42 0 Rp 350,000 Rp 14,700,000.00
Cetak Format MTBM dan MTBS 100 100 100 0 Rp 125,000 Rp 12,500,000.00
Cetak Bagan Dinding 30 30 30 0 Rp 650,000 Rp 19,500,000.00
Cetak Lembar Balik 83 83 83 0 Rp 520,000 Rp 43,160,000.00
Cetak Leaflet 6 6 6 0 Rp 1,240,000 Rp 7,440,000.00
Cetak Banner 63 63 63 0 Rp 450,000 Rp 28,350,000.00
Cetak Buku MTPKR di Faskes Tk. Pertama 30 30 30 0 Rp 235,000 Rp 7,050,000.00
Cetak Register PKPR 160 160 160 0 Rp 39,000 Rp 6,240,000.00
Cetak Buku Pedoman Posyandu Remaja 112 112 112 0 Rp 74,000 Rp 8,288,000.00
31 Des 2020
2020 2020
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
A
Cetak Raport Kesehatanku SMP/SMA 300 300 300 0 Rp 120,000 Rp 36,000,000.00
Cetak Register Kohort Usia Reproduksi 64 64 64 0 Rp 55,000 Rp 3,520,000.00
Cetak Sertifikat dengan bingkai 112 112 112 0 Rp 50,000 Rp 5,600,000.00
Cetak KMS lansia 29 29 29 0 Rp 1,100,000 Rp 31,900,000.00
Cetak Lembar Balik Lansia 32 32 32 0 Rp 500,000 Rp 16,000,000.00
Cetak Buku Lansia 1,104 1104 1,104 0 Rp 35,000 Rp 38,640,000.00
Cetak Banner Lansia 29 29 29 0 Rp 425,000 Rp 12,325,000.00
Cetak Format F1 61 61 61 0 Rp 45,000 Rp 2,745,000.00
Cetak Kohort Lansia Puskesmas 61 61 61 0 Rp 45,000 Rp 2,745,000.00
Cetak Raport Kesehatanku SD/MI 332 332 332 0 Rp 110,000 Rp 36,520,000.00
Cetak Poster Pencegahan Covid di Sekolah 2,878 2878 2,878 0 Rp 4,000 Rp 11,512,000.00
Cetak Banner 62 62 62 0 Rp 425,000 Rp 26,350,000.00
###
JUMLAH CETAK Rp 452,790,500.00 ###
PMT
PMT Anak Sekolah 36,000 36000 36,000 0 Rp 2,900 Rp 104,400,000.00
JUMLAH PMT Rp 104,400,000.00
BTT
Rapid Test Covid-19 24748 24748 24,748 0 200,000.00 4,949,600,000
Masker N95 3860 3860 3,860 0 56,000.00 216,160,000
Masker N96 1933 1933 1,933 0 147,272.73 284,678,187
Masker Kain Biasa 23792 23792 23,792 0 7,272.73 173,032,792
Masker Kain Biasa 25000 25000 25,000 0 7,100.00 177,500,000
Air Purifier Sterilizer/Hefafilter 1 1 1 0 14,090,909.00 14,090,909
Air Purifier Sterilizer/Hefafilter 15 15 15 0 6,900,000.00 103,500,000
Coverall 679 679 679 0 259,090.90 175,922,721
Thermometer Digital / Gun 10 10 10 0 750,000.00 7,500,000
Masker 3ply 5294 5294 5,294 0 200,000.00 1,058,800,000
Masker (merck MI) 5000 5000 5,000 0 50,000.00 250,000,000
Rompi (RT) 176 176 176 0 136,363.64 24,000,001
Rompi (RT) 1 1 1 0 136,349.64 136,350
APD Set (Lokal) 673 673 673 0 1,447,590.91 974,228,682
APD Set (Lokal) 1 1 1 0 1,447,589.80 1,447,589.80
APD Set (Lokal) 1 1 1 0 1,447,590.01 1,447,590.01
Tabung Oksigen + Regulator 1 m3 6 6 6 0 Rp 3,872,000 23,232,000
Tabung Oksigen + Regulator 1 m4 2 2 2 0 Rp 9,559,000 19,118,000
Multivitamin (Imunomodulator) 23250 23250 23,250 0 Rp 5,280 122,760,000
Alkohol 70% 70 70 70 0 Rp 779,425 54,559,750
Cairan Desinfektan (Aseptanios HP) 89 89 89 0 Rp 1,900,000 169,100,000
VTM (Yaohabio) 12400 12400 12,400 0 Rp 35,000 434,000,000
VTM (Yaohabio) 30000 30000 30,000 0 Rp 35,000 1,050,000,000
Vitamin C (Biferce) 346 346 346 0 Rp 29,260 10,123,960
Handscoon Panjang (meditouch dan Remedi) 4200 4200 4,200 0 Rp 54,500 228,900,000
Lobby duster 10 10 10 0 Rp 97,750 977,500
Trolly kebersihan 2 2 2 0 Rp 1,562,850 3,125,700
31 Des 2020
2020 2020
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
A
Kanebo 40 40 40 0 Rp 56,250 2,250,000
Kemoceng 23 23 23 0 Rp 23,000 529,000
Kain Keset 25 25 25 0 Rp 55,200 1,380,000
mesin pengharum ruangan elektrik 10 10 10 0 Rp 87,860 878,600
Kain lap berwarna 100 100 100 0 Rp 7,200 720,000
Kamper ball 200 200 200 0 Rp 14,200 2,840,000
Pembersih kamar mandi /karbol 80 80 80 0 Rp 53,500 4,280,000
Pembersih lantai 30 30 30 0 Rp 42,000 1,260,000
Plastik hitam 90 x 120 50 50 50 0 Rp 12,650 632,500
Plastik kuning 90 x 120 100 100 100 0 Rp 33,350 3,335,000
Refile pengharum ruangan elektrik 57 57 57 0 Rp 37,700 2,148,900
Sabun cuci Tangan 80 80 80 0 Rp 53,500 4,280,000
tissue kotak 2 2 2 0 Rp 10,900 21,800
Tissue roll Jumbo 64 64 64 0 Rp 17,250 1,104,000
Tissue towel 350 350 350 0 Rp 7,500 2,625,000
Pembersih kloset 160 160 160 0 Rp 17,250 2,760,000
sabun mandi 133 133 133 0 Rp 41,400 5,506,200
Tisue roll kecil 80 80 80 0 Rp 68,000 5,440,000
Filter Tips 1000 (1024) 20 20 20 0 Rp 3,318,000 66,360,000
Filter Tips 1000, system rack (PP),sterilized 5 5 5 0 Rp 4,160,000 20,800,000
Safelock 1,5 ml 15 15 15 0 Rp 1,811,000 27,165,000
Safelock 2 ml 15 15 15 0 Rp 2,415,000 36,225,000
RNA Kit (250) 48 48 48 0 Rp 38,262,000 1,836,576,000
Mesin Airbone Desinfektan 2 2 2 0 Rp 134,300,000 268,600,000
JUMLAH BTT Rp 12,825,658,731.87
TOTAL Rp 13,608,988,423.87 ###
Mengetahui,
Plt. Kepala Dinas Kesehatan Pengurus Barang Pengguna Nama Tanda Tangan
Dinas Kesehatan
1. A.B. YUDISHTIRA …………………………………..
19800317 199810 1 001
Pengendali Teknis
2. VIVI HERLINDA, SE, MM …………………………………..

19740630 201101 2 001
DEDEN DENI, SE, MM DEDY TISNA AMIJAYA SKM Ketua Tim
NIP. 19741220 200112 1 004 NIP. 198404406 201001 1 009
3. SION NARIA SARAGIH,S.Sos,M.Si …………………………………..
19690807 199203 2 008
Anggota Tim
4. GHOZALI,SE …………………………………..
19850629 201503 1 004
Anggota Tim
5. MAMAN SUPARMAN,S.Sos …………………………………..

31 Des 2020
2020 2020
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
A
19751206 200003 1 001
Anggota Tim
REKAPITULASI DAFTAR PERSEDIAAN
Periode sampai dengan 31 Desember 2020
Saldo Awal per 1 Januari Pengadaan 1 Januari s/d Pengeluaran 1 Januari s/d Saldo Akhir Stock Opname
No. Uraian Beban Persediaan
2020 31 Desember 2020 31 Desember 2020 sesuai metode FIFO
1 2 3 4 5 6 7 = (3+4-6)
1. PERSEDIAAN BAHAN PAKAI HABIS
Persediaan Alat Tulis Kantor
Belanja Alat Tulis Kantor 71,358,712.00 395,511,440.00 342,524,720.00 124,345,432.00 342,524,720.00
Persediaan Dokumen / Administrasi Tender - -
Belanja Dokumen / Administrasi Tender - -
Persediaan Perlengkapan Listrik dan Elektronik - -
Belanja Alat Listrik dan Elektronik 59,310,000.00 59,310,000.00 - 59,310,000.00
Persediaan Perangko, Materai dan Benda Pos Lainnya - -
Belanja Perangko, Materai dan Benda Pos Lainnya 61,650,000.00 61,650,000.00 - 61,650,000.00
Persediaan Perangkat Kebersihan dan Bahan Pembersih - -
Belanja Peralatan Kebersihan dan Bahan Pembersih 11,526,600.00 148,627,400.00 116,643,340.00 43,510,660.00 116,643,340.00
Persediaan Bahan Bakar Minyak / Gas - -
Belanja Bahan Bakar Minyak 225,808,359.00 225,808,359.00 - 225,808,359.00
Gas - -
Persediaan Pengisian Tabung Pemadam Kebakaran - -
Belanja Pengisian Tabung Pemadam Kebakaran 17,500,000.00 17,500,000.00 - 17,500,000.00
Persediaan Pengisian Tabung Gas - -
Belanja Pengisian Tabung Gas 3,600,000.00 3,600,000.00 - 3,600,000.00
Persediaan Bahan Medis - -
Belanja Barang Pakai Habis Medis 5,479,216,675.00 5,479,216,675.00 - 5,479,216,675.00
Persediaan Bahan Pakai Habis Lainnya - -
Belanja Bahan PMT (Pemberian Makanan Tambahan) 98,802,000.00 438,457,600.00 432,859,600.00 104,400,000.00 432,859,600.00
Belanja Bahan Penunjang Laboratorium 3,944,343,050.00 3,944,343,050.00 - 3,944,343,050.00
Belanja Pengadaan Plakat/Souvenir/Cinderamata 191,186,000.00 191,186,000.00 - 191,186,000.00
Belanja Dekorasi 17,288,000.00 17,288,000.00 - 17,288,000.00
Belanja Bahan Pelatihan/Diklat - -
Belanja Perlengkapan Panitia/Peserta 59,299,000.00 59,299,000.00 - 59,299,000.00
Belanja Bahan Pemeriksaan Penunjang Medis - -
Belanja Bahan Percontohan 76,883,100.00 18,600,000.00 58,283,100.00 18,600,000.00
Belanja Plat Uji - -
Belanja Bendera dan Umbul-umbul 128,012,500.00 128,012,500.00 - 128,012,500.00
Belanja Bahan Pakai Habis Lainnya 8,270,000.00 8,270,000.00 - 8,270,000.00
Bantuan
2. PERSEDIAAN BAHAN MATERIAL - -
Persediaan Bahan Baku Bangunan - -
Belanja Bahan Baku Bangunan 141,744,000.00 141,744,000.00 - 141,744,000.00
Persediaan Bahan/Bibit Tanaman - -
Belanja Bahan/Bibit Tanaman/Tanaman - -
Persediaan Bibit Ternak/Bibit Ikan - -
Belanja Bibit Ternak/Bibit Ikan - -
Persediaan Bahan Obat-obatan - -
Belanja Bahan Obat-obatan 7,800,732,272.00 7,800,732,272.00 - 7,800,732,272.00
Persediaan Bahan Kimia - -
Belanja Bahan Kimia/Pupuk 177,600,000.00 177,600,000.00 - 177,600,000.00
Persediaan Bahan Baku Makanan dan Minuman - -
Belanja Bahan Baku Makanan 5,238,000.00 5,238,000.00 - 5,238,000.00
Persediaan Bahan/Material Lainnya - -
Belanja Bahan/Material Lainnya 169,050,000.00 169,050,000.00 - 169,050,000.00
3. PERSEDIAAN BARANG YANG AKAN DIBERIKAN KEPADA

MASYARAKAT/PIHAK KETIGA - -
Belanja Hadiah dan Penghargaan berupa Barang 8,608,000.00 8,608,000.00 - 8,608,000.00
Belanja dari Hibah Barang
Belanja Barang Untuk Diserahkan Kepada Masyarakat 572,053,600.00 572,053,600.00 -
Belanja dari Bansos Barang - -
Belanja Hibah Barang atau Jasa
Belanja Hibah Barang kepada Badan/Lembaga 5,114,887,900.00 5,114,887,900.00 - 5,114,887,900.00
4. PERSEDIAAN LAINNYA - -
Belanja Barang Cetakan 57,497,200.00 1,244,599,688.80 849,306,388.80 452,790,500.00 849,306,388.80
Belanja Makanan dan Minuman Harian Pegawai 162,557,000.00 162,557,000.00 - 162,557,000.00
Belanja Makanan dan Minuman Pasien 158,400,000.00 158,400,000.00 - 158,400,000.00
Belanja Pakaian Sipil Harian (PSH) - -
Belanja Pakaian Sipil Lengkap (PSL) - -
Belanja Pakaian Dinas Harian (PDH) - -
Belanja Pakaian Dinas Upacara (PDU) - -
Belanja Pakaian Sipil Resmi (PSR) - -
Belanja Pakaian Hansip/Linmas - -
Belanja Pakaian Kerja 42,000,000.00 42,000,000.00 - 42,000,000.00
Belanja Perlengkapan Pakaian Kerja Lapangan 173,700,000.00 173,700,000.00 - 173,700,000.00
Belanja Pakaian Korpri - -
Belanja Pakaian Adat Daerah - -
Belanja Pakaian Batik Tradisional - -
Belanja Pakaian Pakaian Olah Raga 36,750,000.00 36,750,000.00 - 36,750,000.00
Belanja Pakaian Keagamaan - -
Belanja Pakaian Bercorak Kesenian - -
Belanja Pakaian Korp Musik - -
Perlengkapan Dapur - -
JUMLAH 239,184,512.00 27,062,883,584.80 26,518,738,404.80 783,329,692.00 25,946,684,804.80
Tangerang Selatan, 06 Januari 2021

Pengurus Barang Dinas Kesehatan
Dedy Tisna Amijaya, SKM
NIP. 198404406 201001 1 009


27/7/2021 Stok Awal Ballpoint Pilot BPTP 10 lusin 48,400.00 484,000.00 01 Jan-30 Juni Operasional -11 lusin 48,400.00 - 532,400.00 21 lusin 48,400.00 1,016,400.00
27/7/2021 Stok Awal Pensil 5 pack 28,600.00 143,000.00 01 Jan-30 Juni Operasional 4 pack 28,600.00 114,400.00 1 pack 28,600.00 28,600.00
27/7/2021 Stok Awal Box File Plastik 20 pcs 41,800.00 836,000.00 01 Jan-30 Juni Operasional 18 pcs 41,800.00 752,400.00 2 pcs 41,800.00 83,600.00
27/7/2021 Stok Awal Lem Kertas 15 buah 17,600.00 264,000.00 01 Jan-30 Juni Operasional -5 buah 17,600.00 - 88,000.00 20 buah 17,600.00 352,000.00
27/7/2021 Stok Awal Buku Polio 13 buah 72,600.00 943,800.00 01 Jan-30 Juni Operasional 11 buah 72,600.00 798,600.00 2 buah 72,600.00 145,200.00
27/7/2021 Stok Awal Map Kancing Plastik 20 lusin 68,200.00 1,364,000.00 01 Jan-30 Juni Operasional 18 lusin 68,200.00 1,227,600.00 2 lusin 68,200.00 136,400.00
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JUMLAH BELANJA ALAT TULIS KANTOR 4,034,800.00 2,272,600.00 1,762,200.00
01 Januari 2021 Stok Awal 19 Pcs 52,900 1,005,100.00 01 Jan-30 Juni Staff 19 Pcs 52,900.00 1,005,100.00 0 Pcs 52,900.00 -
01 Januari 2021 Stok Awal 2 Pcs 62,400 124,800.00 01 Jan-30 Juni Staff 2 Pcs 62,400.00 124,800.00 0 Pcs 62,400.00 -
01 Januari 2021 Stok Awal 25 Pcs 58,200 1,455,000.00 01 Jan-30 Juni Staff 11 Pcs 58,200.00 640,200.00 14 Pcs 58,200.00 814,800.00
01 Januari 2021 Stok Awal 50 Pack 36,960 1,848,000.00 01 Jan-30 Juni Staff 50 Pack 36,960.00 1,848,000.00 0 Pack 36,960.00 -
01 Januari 2021 Stok Awal 21 Botol 41,800 877,800.00 01 Jan-30 Juni Staff 21 Botol 41,800.00 877,800.00 0 Botol 41,800.00 -
01 Januari 2021 Stok Awal 31 Kotak 25,500 790,500.00 01 Jan-30 Juni Staff 31 Kotak 25,500.00 790,500.00 0 Kotak 25,500.00 -
01 Januari 2021 Stok Awal 3 Drigen 72,000 216,000.00 01 Jan-30 Juni Staff 3 Drigen 72,000.00 216,000.00 0 Drigen 72,000.00 -
01 Januari 2021 Stok Awal 80 Botol 27,000 2,160,000.00 01 Jan-30 Juni Staff 42 Botol 27,000.00 1,134,000.00 38 Botol 27,000.00 1,026,000.00
01 Januari 2021 Stok Awal 55 Pcs 19,500 1,072,500.00 01 Jan-30 Juni Staff 55 Pcs 19,500.00 1,072,500.00 0 Pcs 19,500.00 -
01 Januari 2021 Stok Awal 48 Botol 42,000 2,016,000.00 01 Jan-30 Juni Staff 48 Botol 42,000.00 2,016,000.00 0 Botol 42,000.00 -
01 Januari 2021 Stok Awal 8 Bungkus 35,000 280,000.00 01 Jan-30 Juni Staff 8 Bungkus 35,000.00 280,000.00 0 Bungkus 35,000.00 -
01 Januari 2021 Stok Awal 29 Drigen 75,000 2,175,000.00 01 Jan-30 Juni Staff 29 Drigen 75,000.00 2,175,000.00 0 Drigen 75,000.00 -
01 Januari 2021 Stok Awal 5 Dus 82,000 410,000.00 01 Jan-30 Juni Staff 3 Dus 82,000.00 246,000.00 2 Dus 82,000.00 164,000.00
01 Januari 2021 Stok Awal 7 Buah 250,000 1,750,000.00 01 Jan-30 Juni Staff 7 Buah 250,000.00 1,750,000.00 0 Buah 250,000.00 -
01 Januari 2021 Stok Awal 3 Buah 50,000 150,000.00 01 Jan-30 Juni Staff 3 Buah 50,000.00 150,000.00 0 Buah 50,000.00 -
01 Januari 2021 Stok Awal 40 Kaleng 44,500 1,780,000.00 01 Jan-30 Juni Staff 28 Kaleng 44,500.00 1,246,000.00 12 Kaleng 44,500.00 534,000.00
JUMLAH BELANJA PEMBERSIH 43,510,660.00 40,971,860.00 2,538,800.00
01 Januari 2021 Stok Awal Belanja APE KIT 65 buah 760,500 49,432,500.00 01 Jan-30 Juni Program 65 buah 760,500.00 49,432,500.00 0 buah 760,500.00 -
01 Januari 2021 Stok Awal Belanja APE KIT 30 paket 295,020 8,850,600.00 01 Jan-30 Juni Program 30 paket 295,020.00 8,850,600.00 0 paket 295,020.00 -
JUMLAH BELANJA BAHAN PERCONTOHAN (5.2.2.01.17) 58,283,100.00 58,283,100.00 -
CETAK (5.2.2.06.01)
01 Januari 2021 Stok Awal Format Surat Ketetapan Retribusi Daerah. 12 rim 85,000 1,020,000.00 01 Jan-30 Juni Staff 0 rim 85,000.00 - 12 rim 85,000.00 1,020,000.00
01 Januari 2021 Stok Awal Format Surat Ketetapan Retribusi Daerah Lebih Bayar. 5 rim 85,000 425,000.00 01 Jan-30 Juni Staff 0 rim 85,000.00 - 5 rim 85,000.00 425,000.00
01 Januari 2021 Stok Awal Format Surat Tagihan Retribusi Daerah. 6 rim 85,000 510,000.00 01 Jan-30 Juni Staff 0 rim 85,000.00 - 6 rim 85,000.00 510,000.00
01 Januari 2021 Stok Awal Amplop surat dinas 120 pack 51,150 6,138,000.00 01 Jan-30 Juni Staff 2 pack 51,150.00 102,300.00 118 pack 51,150.00 6,035,700.00
01 Januari 2021 Stok Awal Amplop surat dinas 180 buku 51,000 9,180,000.00 01 Jan-30 Juni Staff 0 buku 51,000.00 - 180 buku 51,000.00 9,180,000.00
01 Januari 2021 Stok Awal kop surat dinas 18 buah 260,000 4,680,000.00 01 Jan-30 Juni Staff 0 buah 260,000.00 - 18 buah 260,000.00 4,680,000.00
01 Januari 2021 Stok Awal Kop Surat Dinas (walikota) 1 Rim 520,000 520,000.00 01 Jan-30 Juni Staff 1 Rim 520,000.00 520,000.00 0 Rim 520,000.00 -
01 Januari 2021 Stok Awal Lembar Disposisi 91 Rim 32,500 2,957,500.00 01 Jan-30 Juni Staff 0 Rim 32,500.00 - 91 Rim 32,500.00 2,957,500.00
01 Januari 2021 Stok Awal Box Arsip 400 buku 29,700 11,880,000.00 01 Jan-30 Juni Staff 28 buku 29,700.00 831,600.00 372 buku 29,700.00 11,048,400.00
01 Januari 2021 Stok Awal Amplop Surat Dinas 90gr (Samson B-W) 100 pack 52,000 5,200,000.00 01 Jan-30 Juni Staff 21 pack 52,000.00 1,092,000.00 79 pack 52,000.00 4,108,000.00
01 Januari 2021 Stok Awal Kop Surat Dinas Uk. 70gr HVS 10 Rim 195,000 1,950,000.00 01 Jan-30 Juni Staff 0 Rim 195,000.00 - 10 Rim 195,000.00 1,950,000.00
01 Januari 2021 Stok Awal Lembar Diposisi NCR (B-W) 129 Buku 22,000 2,838,000.00 01 Jan-30 Juni Staff 0 Buku 22,000.00 - 129 Buku 22,000.00 2,838,000.00
01 Januari 2021 Stok Awal Lembar Verifikasi 2,500 Lembar 1,950 4,875,000.00 01 Jan-30 Juni Staff 0 Lembar 1,950.00 - 2500 Lembar 1,950.00 4,875,000.00
01 Januari 2021 Stok Awal Format Kohort 460 buah 64,200 29,532,000.00 01 Jan-30 Juni Staff 460 buah 64,200.00 29,532,000.00 0 buah 64,200.00 -
01 Januari 2021 Stok Awal Format Buku Bagan MTBS 42 buah 350,000 14,700,000.00 01 Jan-30 Juni Staff 42 buah 350,000.00 14,700,000.00 0 buah 350,000.00 -
01 Januari 2021 Stok Awal Format MTBM dan MTBS 100 rim 125,000 12,500,000.00 01 Jan-30 Juni Staff 100 rim 125,000.00 12,500,000.00 0 rim 125,000.00 -
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01 Januari 2021 Stok Awal Format Bagan Dinding 30 set 650,000 19,500,000.00 01 Jan-30 Juni Staff 30 set 650,000.00 19,500,000.00 0 set 650,000.00 -
01 Januari 2021 Stok Awal Format Lembar Balik 83 buah 520,000 43,160,000.00 01 Jan-30 Juni Staff 83 buah 520,000.00 43,160,000.00 0 buah 520,000.00 -
01 Januari 2021 Stok Awal Format Leaflet 6 rim 1,240,000 7,440,000.00 01 Jan-30 Juni Staff 6 rim 1,240,000.00 7,440,000.00 0 rim 1,240,000.00 -
01 Januari 2021 Stok Awal Format Banner 63 buah 450,000 28,350,000.00 01 Jan-30 Juni Staff 63 buah 450,000.00 28,350,000.00 0 buah 450,000.00 -
01 Januari 2021 Stok Awal Format Buku MTPKR di Faskes Tk. Pertama 30 buah 235,000 7,050,000.00 01 Jan-30 Juni Staff 30 buah 235,000.00 7,050,000.00 0 buah 235,000.00 -
01 Januari 2021 Stok Awal Format Register PKPR 160 buah 39,000 6,240,000.00 01 Jan-30 Juni Staff 160 buah 39,000.00 6,240,000.00 0 buah 39,000.00 -
01 Januari 2021 Stok Awal Format Buku Pedoman Posyandu Remaja 112 buah 74,000 8,288,000.00 01 Jan-30 Juni Staff 112 buah 74,000.00 8,288,000.00 0 buah 74,000.00 -
01 Januari 2021 Stok Awal Format Raport Kesehatanku SMP/SMA 300 paket 120,000 36,000,000.00 01 Jan-30 Juni Staff 300 paket 120,000.00 36,000,000.00 0 paket 120,000.00 -
01 Januari 2021 Stok Awal Format Register Kohort Usia Reproduksi 64 buah 55,000 3,520,000.00 01 Jan-30 Juni Staff 64 buah 55,000.00 3,520,000.00 0 buah 55,000.00 -
01 Januari 2021 Stok Awal Format Sertifikat dengan bingkai 112 buah 50,000 5,600,000.00 01 Jan-30 Juni Staff 112 buah 50,000.00 5,600,000.00 0 buah 50,000.00 -
01 Januari 2021 Stok Awal Format KMS lansia 29 rim 1,100,000 31,900,000.00 01 Jan-30 Juni Staff 29 rim 1,100,000.00 31,900,000.00 0 rim 1,100,000.00 -
01 Januari 2021 Stok Awal Format Lembar Balik Lansia 32 buah 500,000 16,000,000.00 01 Jan-30 Juni Staff 32 buah 500,000.00 16,000,000.00 0 buah 500,000.00 -
01 Januari 2021 Stok Awal Format Buku Lansia 1,104 buku 35,000 38,640,000.00 01 Jan-30 Juni Staff 1104 buku 35,000.00 38,640,000.00 0 buku 35,000.00 -
01 Januari 2021 Stok Awal Format Banner Lansia 29 buah 425,000 12,325,000.00 01 Jan-30 Juni Staff 29 buah 425,000.00 12,325,000.00 0 buah 425,000.00 -
01 Januari 2021 Stok Awal Format Format F1 61 buah 45,000 2,745,000.00 01 Jan-30 Juni Staff 61 buah 45,000.00 2,745,000.00 0 buah 45,000.00 -
01 Januari 2021 Stok Awal Format Kohort Lansia Puskesmas 61 buah 45,000 2,745,000.00 01 Jan-30 Juni Staff 61 buah 45,000.00 2,745,000.00 0 buah 45,000.00 -
01 Januari 2021 Stok Awal Format Raport Kesehatanku SD/MI 332 paket 110,000 36,520,000.00 01 Jan-30 Juni Staff 332 paket 110,000.00 36,520,000.00 0 paket 110,000.00 -
01 Januari 2021 Stok Awal Format Poster Pencegahan Covid di Sekolah 2,878 lembar 4,000 11,512,000.00 01 Jan-30 Juni Staff 2878 lembar 4,000.00 11,512,000.00 0 lembar 4,000.00 -
01 Januari 2021 Stok Awal Format Banner 62 buah 425,000 26,350,000.00 01 Jan-30 Juni Staff 62 buah 425,000.00 26,350,000.00 0 buah 425,000.00 -
JUMLAH BELANJA CETAK 452,790,500.00 403,162,900.00 - 49,627,600.00
GIZI - -
01 Januari 2021 Stok Awal PMT Anak Sekolah 36,000 Kg 2,900 104,400,000.00 01 Jan-30 Juni Staff 36000 Kg 2,900.00 104,400,000.00 0 Kg 2,900.00 -
JUMLAH PMT 104,400,000.00 104,400,000.00 -
TOTAL STOCK AWAL TA.2021 663,019,060.00 609,090,460.00 53,928,600.00
Belanja Reagen Untuk Alat Emerald (5.1.02.01.01.0002)
252/APBD/SEKSI
26 April 2021 Farmalkes ABX Miniclean 2 Botol 2,415,600 4,831,200.00 Monday, April 26, 2021 01 Jan-30 Juni Farmasi 2 Botol 2,415,600.00 4,831,200.00 0 Botol 2,415,600.00 Rp -
FARMALKES/IV/2021
26 April 2021 Farmalkes ABX Lysebo 2 Botol 2,200,000 4,400,000.00 01 Jan-30 Juni Farmasi 2 Botol 2,200,000.00 4,400,000.00 0 Botol 2,200,000.00 Rp -
26 April 2021 Farmalkes ABX Minidil LMG 2 Box 3,382,500 6,765,000.00 01 Jan-30 Juni Farmasi 2 Box 3,382,500.00 6,765,000.00 0 Box 3,382,500.00 Rp -
26 April 2021 Farmalkes ABX Minicloar 2 Botol 1,226,500 2,453,000.00 01 Jan-30 Juni Farmasi 2 Botol 1,226,500.00 2,453,000.00 0 Botol 1,226,500.00 Rp -
26 April 2021 Farmalkes Minotrol 16 Twun-Pack (2N) 2 Pack 1,533,400 3,066,800.00 01 Jan-30 Juni Farmasi 2 Pack 1,533,400.00 3,066,800.00 0 Pack 1,533,400.00 Rp -
325/APBD/SEKSI
18 Mei 2021 Farmalkes Dif Diluent 4 Botol 1,669,250 6,677,000.00 18 Mei 2021 01 Jan-30 Juni Farmasi 4 Botol 1,669,250.00 6,677,000.00 0 Botol 1,669,250.00 Rp -
FARMALKES/V/2021
18 Mei 2021 Farmalkes Dif Lyse 4 Botol 2,020,480 8,081,920.00 01 Jan-30 Juni Farmasi 4 Botol 2,020,480.00 8,081,920.00 0 Botol 2,020,480.00 Rp -
18 Mei 2021 Farmalkes Probe Cleanser 4 Botol 92,290 369,160.00 01 Jan-30 Juni Farmasi 4 Botol 92,290.00 369,160.00 0 Botol 92,290.00 Rp -
18 Mei 2021 Farmalkes Blood Control BC-20S 3 Diff@3,0 ml(1L,IN.IH) 4 Set 1,831,720 7,326,880.00 01 Jan-30 Juni Farmasi 4 Set 1,831,720.00 7,326,880.00 0 Set 1,831,720.00 Rp -
446/APBD/SEKSI
23 Juni 2021 Farmalkes Cell Dyn Easy Cleaner 6 Botol 2,904,000 17,424,000.00 23 Juni 2021 01 Jan-30 Juni Farmasi 6 Botol 2,904,000.00 17,424,000.00 0 Botol 2,904,000.00 Rp -
FARMALKES/VI/2021
23 Juni 2021 Farmalkes Cell Dyn Emerald 22 Diluent Reagent 6 Botol 3,575,870 21,455,220.00 01 Jan-30 Juni Farmasi 6 Botol 3,575,870.00 21,455,220.00 0 Botol 3,575,870.00 Rp -
23 Juni 2021 Farmalkes Cell Dyn Emerald 22 Lyse Reagent 6 Botol 4,719,000 28,314,000.00 01 Jan-30 Juni Farmasi 6 Botol 4,719,000.00 28,314,000.00 0 Botol 4,719,000.00 Rp -
23 Juni 2021 Farmalkes Cell Dyn 22 Plus Control 2 Set 5,924,160 11,848,320.00 01 Jan-30 Juni Farmasi 2 Set 5,924,160.00 11,848,320.00 0 Set 5,924,160.00 Rp -
634/APBD/SEKSI
04 Agustus 2021 Farmalkes Rapid Test 1 HIV 27500 Test 9,082 249,741,800 27 Juli 2021 01 Juli-31 Des Farmasi 27500 Test 9,081.52 249,741,800.00 0 Test 9,081.52 Rp -
FARMALKES/VII/2021
04 Agustus 2021 Farmalkes Rapid Test Sypilis 27479 Test 10,667 293,109,425 01 Juli-31 Des Farmasi 27479 Test 10,666.67 293,109,424.93 0 Test 10,666.67 Rp -
04 Agustus 2021 Farmalkes Rapid Test Sypilis 1 Test 10,575 10,575 01 Juli-31 Des Farmasi 1 Test 10,575.00 10,575.00 0 Test 10,575.00 Rp -
635/APBD/SEKSI
29 Juli 2021 Farmalkes HbaAg Strip 1000 Pcs 8,100 8,100,000 29 Juli 2021 01 Juli-31 Des Farmasi 1000 Pcs 8,100.00 8,100,000.00 0 Pcs 8,100.00 Rp -
FARMALKES/VII/2021
29 Juli 2021 Farmalkes Salmonella Paratyphi BH Widal Test 43 Kit 38,760 1,666,680 01 Juli-31 Des Farmasi 43 Kit 38,760.00 1,666,680.00 0 Kit 38,760.00 Rp -
29 Juli 2021 Farmalkes Salmonella Paratyphi CH Widal Test 43 Kit 38,760 1,666,680 01 Juli-31 Des Farmasi 43 Kit 38,760.00 1,666,680.00 0 Kit 38,760.00 Rp -
29 Juli 2021 Farmalkes Salmonella Paratyphi CO Widal Test 43 Kit 38,760 1,666,680 01 Juli-31 Des Farmasi 43 Kit 38,760.00 1,666,680.00 0 Kit 38,760.00 Rp -
29 Juli 2021 Farmalkes Salmonella typhi H Widal Test 43 Kit 38,760 1,666,680 01 Juli-31 Des Farmasi 43 Kit 38,760.00 1,666,680.00 0 Kit 38,760.00 Rp -
29 Juli 2021 Farmalkes Salmonella Paratyphi AO Widal Test 43 Kit 38,760 1,666,680 01 Juli-31 Des Farmasi 43 Kit 38,760.00 1,666,680.00 0 Kit 38,760.00 Rp -
Page 192 of 288

29 Juli 2021 Farmalkes Salmonella Paratyphi AH Widal Test 43 Kit 38,760 1,666,680 01 Juli-31 Des Farmasi 43 Kit 38,760.00 1,666,680.00 0 Kit 38,760.00 Rp -
29 Juli 2021 Farmalkes Salmonella typhi O Widal Test 43 Kit 38,760 1,666,680 01 Juli-31 Des Farmasi 43 Kit 38,760.00 1,666,680.00 0 Kit 38,760.00 Rp -
29 Juli 2021 Farmalkes Salmonella Paratyphi BO Widal Test 42 Kit 38,760 1,627,920 01 Juli-31 Des Farmasi 42 Kit 38,760.00 1,627,920.00 0 Kit 38,760.00 Rp -
29 Juli 2021 Farmalkes Salmonella Paratyphi BO Widal Test 1 Kit 38,720 38,720 01 Juli-31 Des Farmasi 1 Kit 38,720.00 38,720.00 0 Kit 38,720.00 Rp -
29 Juli 2021 Farmalkes Reagen Dengue NS 25 Pcs 33,900 847,500 01 Juli-31 Des Farmasi 25 Pcs 33,900.00 847,500.00 0 Pcs 33,900.00 Rp -
636//APBD/SEKSI
16 Juli 2021 Farmalkes Urine Reagen Strips 21 Box 512,490 10,762,290 01 Juli-31 Des Farmasi 21 Box 512,490.00 10,762,290.00 0 Box 512,490.00 Rp -
FARMALKES/VII/2021
704/PERSEDIAAN/DINKES/FARMALK
06 September 2021 Farmalkes Glukosa Kit (god-pod) 16 Kit 531,300 8,500,800 01 Juli-31 Des Farmasi 16 Kit 531,300.00 8,500,800.00 0 Kit 531,300.00 Rp -
ES/IX/2021
06 September 2021 Farmalkes Total Cholesterol 16 Kit 1,011,450 16,183,200 01 Juli-31 Des Farmasi 16 Kit 1,011,450.00 16,183,200.00 0 Kit 1,011,450.00 Rp -
06 September 2021 Farmalkes Total Tryglicerides Kit 16 Kit 1,814,780 29,036,480 01 Juli-31 Des Farmasi 16 Kit 1,814,780.00 29,036,480.00 0 Kit 1,814,780.00 Rp -
06 September 2021 Farmalkes HDL Cholesterol 16 Kit 3,930,080 62,881,280 01 Juli-31 Des Farmasi 16 Kit 3,930,080.00 62,881,280.00 0 Kit 3,930,080.00 Rp -
06 September 2021 Farmalkes Uric Acid Kit 16 Kit 1,011,450 16,183,200 01 Juli-31 Des Farmasi 16 Kit 1,011,450.00 16,183,200.00 0 Kit 1,011,450.00 Rp -
06 September 2021 Farmalkes Urea Kit 16 Kit 676,280 10,820,480 01 Juli-31 Des Farmasi 16 Kit 676,280.00 10,820,480.00 0 Kit 676,280.00 Rp -
06 September 2021 Farmalkes Creatin Kit (Sarcosine) 16 Kit 3,623,400 57,974,400 01 Juli-31 Des Farmasi 16 Kit 3,623,400.00 57,974,400.00 0 Kit 3,623,400.00 Rp -
06 September 2021 Farmalkes ALT KIT (SPGPT) 16 Kit 1,069,310 17,108,960 01 Juli-31 Des Farmasi 16 Kit 1,069,310.00 17,108,960.00 0 Kit 1,069,310.00 Rp -
06 September 2021 Farmalkes AST KIT (SOPT) 16 Kit 1,069,310 17,108,960 01 Juli-31 Des Farmasi 16 Kit 1,069,310.00 17,108,960.00 0 Kit 1,069,310.00 Rp -
06 September 2021 Farmalkes Multi Sera Calibrator (10X3ml) 16 Kit 6,002,810 96,044,960 01 Juli-31 Des Farmasi 16 Kit 6,002,810.00 96,044,960.00 0 Kit 6,002,810.00 Rp -
06 September 2021 Farmalkes Lipids Calibrator 16 Kit 4,926,789 78,828,620 01 Juli-31 Des Farmasi 16 Kit 4,926,789.00 78,828,620.00 0 Kit 4,926,789.00 Rp -
06 September 2021 Farmalkes Multi Control Level 16 Kit 10,395,110 166,321,760 01 Juli-31 Des Farmasi 16 Kit 10,395,110.00 166,321,760.00 0 Kit 10,395,110.00 Rp -
850/APBD/SEKSI
28 September 2021 Farmalkes Reagen PCR 15264 Test 168,838 2,577,142,900.00 01 Juli-31 Des Farmasi 15264 Test 168,837.98 2,577,142,900.00 0 Test 168,837.98 Rp -
FARMALKES/IX/2021
853/APBD/SEKSI
22 September 2021 Farmalkes Reagen HB Hemocrom 42 Kit 2,200,000 92,400,000 01 Juli-31 Des Farmasi 42 Kit 2,200,000.00 92,400,000.00 0 Kit 2,200,000.00 Rp -
FARMALKES/IX/2021
Jumlah Belanja Reagen Untuk Alat Emerald (5.1.02.01.01.0002) 3,945,453,490 OK 3,945,453,490 -
#REF!
Belanja Bahan Medis Habis Pakai (5.1.02.01.01.0012)
633/APBD/SEKSI
03 Agustus 2021 Farmalkes Cairan Desinfektan (Aseptanios AD 5L) 300 Galon 2,416,700 725,010,000.00 Friday, July 30, 2021 01 Juli-31 Des Farmasi 300 Galon 2,416,700.00 725,010,000.00 0 Galon 2,416,700.00 Rp -
FARMALKES/VII/2021
03 Agustus 2021 Farmalkes Handsanitizer (Aniosgel 85 500ml) 27310 Botol 90,000 2,457,900,000.00 Friday, July 30, 2021 01 Juli-31 Des Farmasi 27310 Botol 90,000.00 2,457,900,000.00 0 Botol 90,000.00 Rp -
705/DAK/SEKSI
26 Agustus 2021 Farmalkes Plester Transparan/Plesterin 1000 Box 38,934 38,934,000.00 Friday, July 30, 2021 01 Juli-31 Des Farmasi 1000 Box 38,934.00 38,934,000.00 0 Box 38,934.00 Rp -
FARMALKES/VIII/2021
849/APBD/SEKSI
28 September 2021 Farmalkes Coverall 45225 Pcs 110,600 5,001,885,000.00 ### 01 Juli-31 Des Farmasi 45225 Pcs 110,600.00 5,001,885,000.00 0 Pcs 110,600.00 Rp -
FARMALKES/IX/2021
28 September 2021 Farmalkes Gown 14900 Pcs 72,000 1,072,800,000.00 01 Juli-31 Des Farmasi 14900 Pcs 72,000.00 1,072,800,000.00 0 Pcs 72,000.00 Rp -
28 September 2021 Farmalkes Nurse Cup 7660 Box 39,000 298,740,000.00 01 Juli-31 Des Farmasi 7660 Box 39,000.00 298,740,000.00 0 Box 39,000.00 Rp -
28 September 2021 Farmalkes Masker 3Ply 3000 Box 40,800 122,400,000.00 01 Juli-31 Des Farmasi 3000 Box 40,800.00 122,400,000.00 0 Box 40,800.00 Rp -
Jumlah Belanja Bahan Medis Habis Pakai (5.1.02.01.01.0012) 9,717,669,000.00 OK 9,717,669,000.00 -
#REF!
Belanja Alat/Bahan untuk Kegiatan Kantor-Alat Tulis Kantor

(5.1.02.01.01.0024)
09 April 2021 Umpeg Ballpoint Merk balliner 5 pack 210,000 1,050,000.00 539/APBD/SEKSI UMPEG /IV/2021 Friday, April 09, 2021 01 Jan-30 Juni Operasional 5 pack 210,000.00 1,050,000.00 0 pack 210,000.00 Rp -
09 April 2021 Umpeg Ballpoint Merk Faster C6 30 lusin 45,000 1,350,000.00 01 Jan-30 Juni Operasional 30 lusin 45,000.00 1,350,000.00 0 lusin 45,000.00 Rp -
Page 193 of 288

09 April 2021 Umpeg Binder Klip No. 111 Merk KENKO 150 Kotak 10,000 1,500,000.00 01 Jan-30 Juni Operasional 48 Kotak 10,000.00 480,000.00 102 Kotak 10,000.00 Rp 1,020,000.00
09 April 2021 Umpeg Binder Klip No. 260 Merk KENKO 100 Kotak 26,000 2,600,000.00 01 Jan-30 Juni Operasional 47 Kotak 26,000.00 1,222,000.00 53 Kotak 26,000.00 Rp 1,378,000.00
09 April 2021 Umpeg Binder Klip 105 Merk KENKO 200 Kotak 6,000 1,200,000.00 01 Jan-30 Juni Operasional 178 Kotak 6,000.00 1,068,000.00 22 Kotak 6,000.00 Rp 132,000.00
09 April 2021 Umpeg Buku Kwitansi Sedang Merk Sidu 50 eks 6,000 300,000.00 01 Jan-30 Juni Operasional 13 eks 6,000.00 78,000.00 37 eks 6,000.00 Rp 222,000.00
09 April 2021 Umpeg Buku Kwitansi Besar Merk Sidu 95 eks 8,000 760,000.00 01 Jan-30 Juni Operasional 15 eks 8,000.00 120,000.00 80 eks 8,000.00 Rp 640,000.00
09 April 2021 Umpeg Correction Pen Merk JOYKO 100 Pcs 25,000 2,500,000.00 01 Jan-30 Juni Operasional 96 Pcs 25,000.00 2,400,000.00 4 Pcs 25,000.00 Rp 100,000.00
09 April 2021 Umpeg Ziper Bag Folio 100 Pcs 25,000 2,500,000.00 01 Jan-30 Juni Operasional 7 Pcs 25,000.00 175,000.00 93 Pcs 25,000.00 Rp 2,325,000.00
09 April 2021 Umpeg Map bening L 9002 (F4) putih) 100 lusin 37,000 3,700,000.00 01 Jan-30 Juni Operasional 100 lusin 37,000.00 3,700,000.00 0 lusin 37,000.00 Rp -
09 April 2021 Umpeg Map Business File 940-F4) 10 lusin 72,000 720,000.00 01 Jan-30 Juni Operasional 10 lusin 72,000.00 720,000.00 0 lusin 72,000.00 Rp -
09 April 2021 Umpeg Clear holder F4 isi 40) 52 Pcs 58,000 3,016,000.00 01 Jan-30 Juni Operasional 52 Pcs 58,000.00 3,016,000.00 0 Pcs 58,000.00 Rp -
09 April 2021 Umpeg Map Kertas biasa Kabita 50 pack 40,000 2,000,000.00 01 Jan-30 Juni Operasional 50 pack 40,000.00 2,000,000.00 0 pack 40,000.00 Rp -
09 April 2021 Umpeg Gunting 7.5" Merk Finder) 20 Pcs 50,000 1,000,000.00 01 Jan-30 Juni Operasional 20 Pcs 50,000.00 0 Pcs 50,000.00 Rp -
09 April 2021 Umpeg Lem Stick 25 Gram Kenko 90 Pcs 15,000 1,350,000.00 01 Jan-30 Juni Operasional 90 Pcs 15,000.00 1,350,000.00 0 Pcs 15,000.00 Rp -
09 April 2021 Umpeg Letter Tray 3 susun besi 15 Pcs 133,000 1,995,000.00 01 Jan-30 Juni Operasional 7 Pcs 133,000.00 931,000.00 8 Pcs 133,000.00 Rp 1,064,000.00
09 April 2021 Umpeg Odner plastik 1465 (folio 7 cm Bantex 100 Pcs 41,000 4,100,000.00 01 Jan-30 Juni Operasional 85 Pcs 41,000.00 3,485,000.00 15 Pcs 41,000.00 Rp 615,000.00
09 April 2021 Umpeg Box file plastil type 4011 Merk BANTEX 100 Pcs 41,000 4,100,000.00 01 Jan-30 Juni Operasional 100 Pcs 41,000.00 4,100,000.00 0 Pcs 41,000.00 Rp -
09 April 2021 Umpeg Paper Klip No.5 Merk JOYKO/KENKO 50 Kotak 8,000 400,000.00 01 Jan-30 Juni Operasional 30 Kotak 8,000.00 240,000.00 20 Kotak 8,000.00 Rp 160,000.00
09 April 2021 Umpeg Paper Klip No. 3 Merk JOYKO 100 Kotak 3,000 300,000.00 01 Jan-30 Juni Operasional 70 Kotak 3,000.00 210,000.00 30 Kotak 3,000.00 Rp 90,000.00
09 April 2021 Umpeg Penggaris 40cm Merk KENKO 30 Pcs 18,000 540,000.00 01 Jan-30 Juni Operasional 16 Pcs 18,000.00 288,000.00 14 Pcs 18,000.00 Rp 252,000.00
09 April 2021 Umpeg Penghapus White Board Merk ATARI 20 Pcs 18,000 360,000.00 01 Jan-30 Juni Operasional 0 Pcs 18,000.00 - 20 Pcs 18,000.00 Rp 360,000.00
09 April 2021 Umpeg Penghapus Merk FABER CASTLE 50 Pcs 5,000 250,000.00 01 Jan-30 Juni Operasional 50 Pcs 5,000.00 250,000.00 0 Pcs 5,000.00 Rp -
09 April 2021 Umpeg Pensil 2B Merk STEADLER 30 lusin 68,000 2,040,000.00 01 Jan-30 Juni Operasional 6 lusin 68,000.00 408,000.00 24 lusin 68,000.00 Rp 1,632,000.00
09 April 2021 Umpeg POST IT FLAG 50 Pcs/Pad 35,000 1,750,000.00 01 Jan-30 Juni Operasional 50 Pcs/Pad 35,000.00 1,750,000.00 0 Pcs/Pad 35,000.00 Rp -
09 April 2021 Umpeg POST IT 654 3m 20 Pcs/Pad 20,000 400,000.00 01 Jan-30 Juni Operasional 20 Pcs/Pad 20,000.00 400,000.00 0 Pcs/Pad 20,000.00 Rp -
09 April 2021 Umpeg Rautan meja sedang Angel 3 15 Pcs 60,000 900,000.00 01 Jan-30 Juni Operasional 8 Pcs 60,000.00 480,000.00 7 Pcs 60,000.00 Rp 420,000.00
09 April 2021 Umpeg Lakban OPP bening Merk Daimaru 32 Roll 18,000 576,000.00 01 Jan-30 Juni Operasional 32 Roll 18,000.00 576,000.00 0 Roll 18,000.00 Rp -
09 April 2021 Umpeg Lakban 2" HITAM,BIRU,MERAH Merk Daimaru 30 bh/Roll 25,000 750,000.00 01 Jan-30 Juni Operasional 26 bh/Roll 25,000.00 650,000.00 4 bh/Roll 25,000.00 Rp 100,000.00
09 April 2021 Umpeg Solasi 1/2x10 21 Roll 10,000 210,000.00 01 Jan-30 Juni Operasional 13 Roll 10,000.00 130,000.00 8 Roll 10,000.00 Rp 80,000.00
09 April 2021 Umpeg Spidol Artline 70 Permanent Ink 50 Pcs 12,000 600,000.00 01 Jan-30 Juni Operasional 50 Pcs 12,000.00 600,000.00 0 Pcs 12,000.00 Rp -
09 April 2021 Umpeg Spidol Merk Snowman 26 Pcs 19,000 494,000.00 01 Jan-30 Juni Operasional 26 Pcs 19,000.00 494,000.00 0 Pcs 19,000.00 Rp -
09 April 2021 Umpeg Pencabut Staples Merk Kangoroo 20 Pcs 46,000 920,000.00 01 Jan-30 Juni Operasional 0 Pcs 46,000.00 - 20 Pcs 46,000.00 Rp 920,000.00
09 April 2021 Umpeg Stapler No. 10 Merk Max 35 Pcs 27,000 945,000.00 01 Jan-30 Juni Operasional 35 Pcs 27,000.00 945,000.00 0 Pcs 27,000.00 Rp -
09 April 2021 Umpeg Isi Stapler No. 10 Merk Max 20 Pcs 66,000 1,320,000.00 01 Jan-30 Juni Operasional 0 Pcs 66,000.00 - 20 Pcs 66,000.00 Rp 1,320,000.00
302/DAK
26 Maret 2021 Farmalkes sertifikat/Ijasah/Piagam 1 Warna BC/ Linen 40 Lembar 5,000 200,000.00 ### 01 Jan-30 Juni Kegiatan 40 Lembar 5,000.00 200,000.00 0 Lembar 5,000.00 Rp -
BPOM/SEKSI/FARMALKES/II/2021
26 Maret 2021 Farmalkes Ballpoint RX7 Kenko 4 Lusin 22,000 88,000.00 01 Jan-30 Juni Kegiatan 4 Lusin 22,000.00 88,000.00 0 Lusin 22,000.00 Rp -
26 Maret 2021 Farmalkes Barang Cetakan FotoCopy 1200 Lembar 200 240,000.00 01 Jan-30 Juni Kegiatan 1200 Lembar 200.00 240,000.00 0 Lembar 200.00 Rp -
26 Maret 2021 Farmalkes Zipper Bag Folio Bambi 40 Pcs 10,500 420,000.00 01 Jan-30 Juni Kegiatan 40 Pcs 10,500.00 420,000.00 0 Pcs 10,500.00 Rp -
27 Mei 2021 SDMK Binder Klip Kenko No. 105 4 Lusin 4,000 16,000.00 497/DAK BPOM/SEKSI SDMK/V/2021 01 Jan-30 Juni Kegiatan 4 Lusin 4,000.00 16,000.00 0 Lusin 4,000.00 Rp -
27 Mei 2021 SDMK Plastik Pocket Bambi 48 Pcs 10,500 504,000.00 01 Jan-30 Juni Kegiatan 48 Pcs 10,500.00 504,000.00 0 Pcs 10,500.00 Rp -
27 Mei 2021 SDMK Pensil Joyko 4 Lusin 54,000 216,000.00 01 Jan-30 Juni Kegiatan 4 Lusin 54,000.00 216,000.00 0 Lusin 54,000.00 Rp -
Page 194 of 288

31 Mei 2021 SDMK Ballpoint 1 Lusin 26,000 26,000.00 573/APBD/SDMK/V/2021 01 Jan-30 Juni Kegiatan 1 Lusin 26,000.00 26,000.00 0 Lusin 26,000.00 Rp -
31 Mei 2021 SDMK Binder Klip No. 155 1 Kotak 15,000 15,000.00 01 Jan-30 Juni Kegiatan 1 Kotak 15,000.00 15,000.00 0 Kotak 15,000.00 Rp -
519/APBD/SEKSI
21 Juli 2021 Farmalkes Catriedge TCM 4800 Test 252,400 1,211,520,000.00 01 Juli- 31 Des Kegiatan 4800 Test 252,400.00 1,211,520,000.00 0 Test 252,400.00 Rp -
FARMALKES/VII/2021
Jumlah Belanja Alat/Bahan untuk Kegiatan Kantor-Alat Tulis Kantor (5.1.02.01.01.0024) 1,261,741,000.00 OK 1,247,911,000.00 12,830,000.00
#REF!
Belanja Alat/Bahan untuk Kegiatan Kantor-Kertas dan Cover

(5.1.02.01.01.0025)
09 April 2021 Umpeg Amplop No. 90 Merk JAYA 50 pack 32,000 1,600,000.00 540/APBD/SEKSI UMPEG /III/2021 01 Jan-30 Juni Staff 0 pack 32,000.00 - 50 pack 32,000.00 Rp 1,600,000.00
09 April 2021 Umpeg Amplop 110 Merk SIDU 100 pack 24,000 2,400,000.00 01 Jan-30 Juni Staff 0 pack 24,000.00 - 100 pack 24,000.00 Rp 2,400,000.00
09 April 2021 Umpeg Kertas HVS A4 70 Gr Merk PAPER ONE 50 Rim 51,000 2,550,000.00 01 Jan-30 Juni Staff 0 Rim 51,000.00 - 50 Rim 51,000.00 Rp 2,550,000.00
09 April 2021 Umpeg Kertas HVS A4 80 Gr Merk PAPER ONE 50 Rim 55,000 2,750,000.00 01 Jan-30 Juni Staff 15 Rim 55,000.00 825,000.00 35 Rim 55,000.00 Rp 1,925,000.00
09 April 2021 Umpeg Kertas HVS F4 80 Gr Merk PAPER ONE 50 Rim 64,000 3,200,000.00 01 Jan-30 Juni Staff 0 Rim 64,000.00 - 50 Rim 64,000.00 Rp 3,200,000.00
Jumlah Belanja Alat/Bahan untuk Kegiatan Kantor-Kertas dan Cover (5.1.02.01.01.0025) 53,210,000.00 OK 825,000.00 52,385,000.00
#REF!
Belanja Cetak (5.1.02.01.01.0026)
10 Mei 2021 Umpeg Lembar Disposisi 19 Blok 290,000 5,510,000.00 542/APBD/SEKSI UMPEG/V/2021 01 Jan-30 Juni Staff 19 Blok 290,000.00 5,510,000.00 0 Blok 290,000.00 Rp -
10 Mei 2021 Umpeg Blanko dinas 118 Rim 235,000 27,730,000.00 01 Jan-30 Juni Staff 118 Rim 235,000.00 27,730,000.00 0 Rim 235,000.00 Rp -
10 Mei 2021 Umpeg Map Biasa/Dinas 1000 Buah 13,000 13,000,000.00 01 Jan-30 Juni Staff 1000 Buah 13,000.00 13,000,000.00 0 Buah 13,000.00 Rp -
04 Juni 2021 P2PTM&KESWA Cetak Spanduk 1 Paket 105,000 105,000.00 372/ 01 Jan-30 Juni Staff 1 Paket 105,000.00 105,000.00 0 Paket 105,000.00 Rp -
02 September 2021 P2PTM&KESWA Cetak Spanduk 1 Paket 105,000 105,000.00 719/ 01 Jan-30 Juni Staff 1 Paket 105,000.00 105,000.00 0 Paket 105,000.00 Rp -
15 September 2021 P2PTM&KESWA Cetak 1 Paket 70,000 70,000.00 768/ 01 Jan-30 Juni Staff 1 Paket 70,000.00 70,000.00 0 Paket 70,000.00 Rp -
Page 195 of 288

301/DAK BPOM/SEKSI
31 Maret 2021 Farmalkes Spanduk Standar 4 Meter 15,000 60,000.00 ### 01 Jan-30 Juni Staff 4 Meter 15,000.00 60,000.00 0 Meter 15,000.00 Rp -
FARMALKES/II/2021
444/APBD/PROMKESLINGKESJAOR/
11 Maret 2021 Promkes Buku Manual Kesmavet 120 Buah 170,000 20,400,000.00 01 Jan-30 Juni Staff 120 Buah 170,000.00 20,400,000.00 0 Buah 170,000.00 Rp -
VI/2021
11 Maret 2021 Promkes Format Amnesia Bahan Kertas Isi 500 Lembar 15 Box 160,000 2,400,000.00 01 Jan-30 Juni Staff 15 Box 160,000.00 2,400,000.00 0 Box 160,000.00 Rp -
15 September 2021 Gizi Spanduk pertemuan pengumpulan dan pelaporan data gizi terintegrasi 4 M 30,000 120,000.00 754/APBD/SEKSI GIZI/IX/2021 01 Jan-30 Juni Staff 4 M 30,000.00 120,000.00 0 M 30,000.00 Rp -
23 September 2021 Kesga Cetak Spanduk (si pandai kemas tangsel) 3 M 30,000 90,000.00 791/APBD/KESGA/VIII/2021 Thursday, August 26, 2021 01 Jan-30 Juni Staff 3 M 30,000.00 90,000.00 0 M 30,000.00 Rp -
23 September 2021 Kesga Cetak Spanduk (Penfelolaan Pelayanan Kesehatan Pada Usia Lanjut) 3 M 30,000 90,000.00 790/APBD/KESGA/VIII/2021 Monday, August 30, 2021 01 Jan-30 Juni Staff 3 M 30,000.00 90,000.00 0 M 30,000.00 Rp -
23 September 2021 Kesga Buku Bina Lansia 7290 Bok 7,900 57,591,000.00 789/APBD/KESGA/VIII/2021 ### 01 Jan-30 Juni Staff 7290 Bok 7,900.00 57,591,000.00 0 Bok 7,900.00 Rp -
23 September 2021 Kesga Buku Kader Tangguh 64 Eksmplar 256,000 16,384,000.00 01 Jan-30 Juni Staff 64 Eksmplar 256,000.00 16,384,000.00 0 Eksmplar 256,000.00 Rp -
Cetak Spanduk Orientasi Penigkatan Kapsitas Petugas Dalam

28 September 2021 Gizi 4 M 30,000 120,000.00 856/APBD/SEKSI GIZI/IX/2021 01 Jan-30 Juni Staff 4 M 30,000.00 120,000.00 0 M 30,000.00 Rp -
Pemberian Makanan Bai dan Anak (PMBA)
Jumlah Belanja Cetak (5.1.02.01.01.0026) 145,875,000.00 OK 145,875,000.00 -
#REF!
Belanja Alat/Bahan Untuk Kegiatan Kantor-Benda Pos

#REF!
(5.1.02.01.01.0027)
19 Februari 2021 Umpeg Materai 10.000 2500 Pcs 10,000 25,000,000.00 136/APBD/SEKSI UMPEG/II/2021 01 Jan-30 Juni Operasional 2500 Pcs 10,000.00 25,000,000.00 0 Pcs 10,000.00 Rp -
22 Juli 2021 Materai 10.000 2500 Pcs 10,000 25,000,000.00 585/APBD/SEKSI UMPEG/VII/2021 01 Jan-30 Juni Operasional 2500 Pcs 10,000.00 25,000,000.00 0 Pcs 10,000.00 Rp -
Jumlah Belanja Alat/Bahan Untuk Kegiatan Kantor-Benda Pos (5.1.02.01.01.0027) 50,000,000.00 OK 50,000,000.00 -
#REF!
Belanja Bahan Untuk Kegiatan Kantor-Bahan Komputer

(5.1.02.01.01.0029)
09 April 2021 Umpeg Cont. Form14 7/8x11 4 Ply 10 box 490,000 4,900,000.00 541/APBD/SEKSI UMPEG /IV/2021 01 Jan-30 Juni Staff 1 box 490,000.00 490,000.00 9 box 490,000.00 Rp 4,410,000.00
09 April 2021 Umpeg Ribbon catridge epson LX 310 10 Bh/Ribon 74,000 740,000.00 01 Jan-30 Juni Staff 0 Bh/Ribon 74,000.00 - 10 Bh/Ribon 74,000.00 Rp 740,000.00
09 April 2021 Umpeg Canon CL-811 Colour MP 245,268,468 3 Pcs 298,000 894,000.00 01 Jan-30 Juni Staff 0 Pcs 298,000.00 - 3 Pcs 298,000.00 Rp 894,000.00
09 April 2021 Umpeg Canon PG-810 3 Pcs 260,000 780,000.00 01 Jan-30 Juni Staff 0 Pcs 260,000.00 - 3 Pcs 260,000.00 Rp 780,000.00
15 Februari 2021 Umpeg Reffil/Reman Toner HP 83A 20 Buah 307,000 6,140,000.00 137/APBD/SEKSI UMPEG/II/2021 01 Jan-30 Juni Staff 20 Buah 307,000.00 6,140,000.00 0 Buah 307,000.00 Rp -
15 Februari 2021 Umpeg Reffil/Reman Toner HP 78/85A 19 Buah 283,000 5,377,000.00 01 Jan-30 Juni Staff 19 Buah 283,000.00 5,377,000.00 0 Buah 283,000.00 Rp -
15 Februari 2021 Umpeg Tinta Epson T664 BK 12 Buah 80,000 960,000.00 01 Jan-30 Juni Staff 12 Buah 80,000.00 960,000.00 0 Buah 80,000.00 Rp -
Page 196 of 288

16 April 2021 Umpeg Tinta Epson T664 4 Unit 80,000 320,000.00 194/APBD/SEKSI UMPEG/IV/2021 01 Jan-30 Juni Staff 4 Unit 80,000.00 320,000.00 0 Unit 80,000.00 Rp -
16 April 2021 Umpeg Reffil/Reman Toner HP 78A 5 Buah 283,000 1,415,000.00 01 Jan-30 Juni Staff 5 Buah 283,000.00 1,415,000.00 0 Buah 283,000.00 Rp -
16 April 2021 Umpeg Reffil/Reman Toner HP 83A 2 Buah 307,000 614,000.00 01 Jan-30 Juni Staff 2 Buah 307,000.00 614,000.00 0 Buah 307,000.00 Rp -
16 April 2021 Umpeg Tinta Epson T664 9 Unit 80,000 720,000.00 01 Jan-30 Juni Staff 9 Unit 80,000.00 720,000.00 0 Unit 80,000.00 Rp -
16 April 2021 Umpeg Reffil/Reman Toner HP 48A (+Chip) 5 Buah 307,000 1,535,000.00 01 Jan-30 Juni Staff 5 Buah 307,000.00 1,535,000.00 0 Buah 307,000.00 Rp -
04 Mei 2021 Umpeg Refill / Reman Tinta HP 78A 16 Buah 283,000 4,528,000.00 277/APBD/SEKSI UMPEG/V/2021 01 Jan-30 Juni Staff 16 Buah 283,000.00 4,528,000.00 0 Buah 283,000.00 Rp -
04 Mei 2021 Umpeg Refill / Reman Tinta HP 83A 19 Buah 307,000 5,833,000.00 01 Jan-30 Juni Staff 19 Buah 307,000.00 5,833,000.00 0 Buah 307,000.00 Rp -
27 Mei 2021 Umpeg Tinta Epson T664 (BK) 4 Buah 80,000 320,000.00 326/APBD/SEKSI UMPEG/III/2021 01 Jan-30 Juni Staff 4 Buah 80,000.00 320,000.00 0 Buah 80,000.00 Rp -
27 Mei 2021 Umpeg Tinta Epson T664 (C) 2 Buah 80,000 160,000.00 01 Jan-30 Juni Staff 2 Buah 80,000.00 160,000.00 0 Buah 80,000.00 Rp -
27 Mei 2021 Umpeg Tinta Epson T664 (M) 2 Buah 80,000 160,000.00 01 Jan-30 Juni Staff 2 Buah 80,000.00 160,000.00 0 Buah 80,000.00 Rp -
27 Mei 2021 Umpeg Tinta Epson T664 (Y) 2 Buah 80,000 160,000.00 01 Jan-30 Juni Staff 2 Buah 80,000.00 160,000.00 0 Buah 80,000.00 Rp -
27 Mei 2021 Umpeg Reffil/Reman TonermHP 83A 3 Buah 307,000 921,000.00 01 Jan-30 Juni Staff 3 Buah 307,000.00 921,000.00 0 Buah 307,000.00 Rp -
27 Mei 2021 Umpeg Reffil/Reman TonermHP 48A (CHIP+) 3 Buah 307,000 921,000.00 01 Jan-30 Juni Staff 3 Buah 307,000.00 921,000.00 0 Buah 307,000.00 Rp -
27 Mei 2021 Umpeg Reffil/Reman TonermHP 36A 6 Buah 283,000 1,698,000.00 01 Jan-30 Juni Staff 6 Buah 283,000.00 1,698,000.00 0 Buah 283,000.00 Rp -
27 Mei 2021 Umpeg Reffil/Reman TonermHP T664 (C,M,Y,BK) 16 Buah 80,000 1,280,000.00 01 Jan-30 Juni Staff 16 Buah 80,000.00 1,280,000.00 0 Buah 80,000.00 Rp -

12 Juli 2021 Umpeg Reffil/Reman TonermHP 83A 5 307,000 1,535,000.00 01 Jan-30 Juni Staff 5 0 307,000.00 1,535,000.00 0 0 307,000.00 Rp -
KEPEGAWAIAAN/VII/2021
12 Juli 2021 Umpeg Tinta Epson T664 (BK) 4 80,000 320,000.00 01 Jan-30 Juni Staff 4 0 80,000.00 320,000.00 0 0 80,000.00 Rp -
12 Juli 2021 Umpeg Tinta Epson T664 (C) 4 80,000 320,000.00 01 Jan-30 Juni Staff 4 0 80,000.00 320,000.00 0 0 80,000.00 Rp -
12 Juli 2021 Umpeg Tinta Epson T664 (M) 4 80,000 320,000.00 01 Jan-30 Juni Staff 4 0 80,000.00 320,000.00 0 0 80,000.00 Rp -
12 Juli 2021 Umpeg Tinta Epson T664 (Y) 4 80,000 320,000.00 01 Jan-30 Juni Staff 4 0 80,000.00 320,000.00 0 0 80,000.00 Rp -

Umpeg Reffil Tinta 1 Paket 6,895,400 6,895,400.00 01 Jan-30 Juni Staff 1 Paket 6,895,400.00 6,895,400.00 0 Paket 6,895,400.00 Rp -
/APBD/SUB BAGIAN UMUM DAN

KEPEGAWAIAAN/XI/2021
Jumlah Belanja Bahan Untuk Kegiatan Kantor-Bahan Komputer (5.1.02.01.01.0029) 69,448,800.00 OK 62,624,800.00 6,824,000.00
#REF!
Belanja Alat/Bahan Kebersihan dan Bahan Pembersih

(5.1.02.01.01.0030)
09 April 2021 Umpeg Deterjen Merk Rinso 770/800gr 20 Pcs Rp 30,900 618,000.00 538/APBD/SEKSI UMPEG /IV/2021 Friday, April 09, 2021 01 Jan-30 Juni Staff 20 Pcs 30,900.00 618,000.00 0 Pcs 30,900.00 Rp -
09 April 2021 Umpeg Dispenser Tisue 20 Buah Rp 383,900 7,678,000.00 01 Jan-30 Juni Staff 16 Buah 383,900.00 6,142,400.00 4 Buah 383,900.00 Rp 1,535,600.00
09 April 2021 Umpeg Hand Soap Merk SOS (4 Ltr) 50 Buah Rp 100,850 5,042,500.00 01 Jan-30 Juni Staff 11 Buah 100,850.00 1,109,350.00 39 Buah 100,850.00 Rp 3,933,150.00
Page 197 of 288

09 April 2021 Umpeg Hand Towel Tisue Merk See u 800 Pcs Rp 20,900 16,720,000.00 01 Jan-30 Juni Staff 740 Pcs 20,900.00 15,466,000.00 60 Pcs 20,900.00 Rp 1,254,000.00
09 April 2021 Umpeg Kamper Gantung Swallow 100 Pcs Rp 47,900 4,790,000.00 01 Jan-30 Juni Staff 100 Pcs 47,900.00 4,790,000.00 0 Pcs 47,900.00 Rp -
09 April 2021 Umpeg Kantong Sampah Hitam Merk Klinpak (60x80) 500 Pack Rp 40,900 20,450,000.00 01 Jan-30 Juni Staff 500 Pack 40,900.00 20,450,000.00 0 Pack 40,900.00 Rp -
09 April 2021 Umpeg Kantong Sampah Kuning Merk Klinpak (60x100) 200 Pack Rp 92,900 18,580,000.00 01 Jan-30 Juni Staff 200 Pack 92,900.00 18,580,000.00 0 Pack 92,900.00 Rp -
09 April 2021 Umpeg Karbol Wangi Merk Sos (4Lt) 50 Buah Rp 80,900 4,045,000.00 01 Jan-30 Juni Staff 26 Buah 80,900.00 2,103,400.00 24 Buah 80,900.00 Rp 1,941,600.00
09 April 2021 Umpeg So Klin Pembersih Lantai Merk 750/800gr 150 Buah Rp 17,850 2,677,500.00 01 Jan-30 Juni Staff 100 Buah 17,850.00 1,785,000.00 50 Buah 17,850.00 Rp 892,500.00
09 April 2021 Umpeg Reffil Pewangi Ruangan Matic Merk Stella 100 Pcs Rp 67,900 6,790,000.00 01 Jan-30 Juni Staff 100 Pcs 67,900.00 6,790,000.00 0 Pcs 67,900.00 Rp -
09 April 2021 Umpeg Sabun Cuci Cair Merk Sunlight 775/800ml 30 Pcs Rp 25,900 777,000.00 01 Jan-30 Juni Staff 30 Pcs 25,900.00 777,000.00 0 Pcs 25,900.00 Rp -
09 April 2021 Umpeg Sikat Closet 24 Pcs Rp 26,900 645,600.00 01 Jan-30 Juni Staff 18 Pcs 26,900.00 484,200.00 6 Pcs 26,900.00 Rp 161,400.00
09 April 2021 Umpeg Tempat Sampah Merk Komet 30 Buah Rp 260,900 7,827,000.00 01 Jan-30 Juni Staff 30 Buah 260,900.00 7,827,000.00 0 Buah 260,900.00 Rp -
09 April 2021 Umpeg Tisue Merk Tessa (isi 120 Lbr) 100 Box Rp 34,850 3,485,000.00 01 Jan-30 Juni Staff 100 Box 34,850.00 3,485,000.00 0 Box 34,850.00 Rp -
Jumlah Belanja Alat/Bahan Kebersihan dan Bahan Pembersih (5.1.02.01.01.0030) 100,125,600.00 OK 90,407,350.00 9,718,250.00
#REF!
Belanja Alat/Bahan untuk Kegiatan Kantor-Alat Listrik (5.1.02.01.01.0031)

22 Juni 2021 Umpeg Batterai Alkaline A2 148 Pak 33,000.00 4,884,000.00 01 Jan-30 Juni Staff 0 Pak 33,000.00 - 148 Pak 33,000.00 Rp 4,884,000.00
22 Juni 2021 Umpeg Batterai ABC 28 Lusin 65,000.00 1,820,000.00 01 Jan-30 Juni Staff 0 Lusin 65,000.00 - 28 Lusin 65,000.00 Rp 1,820,000.00
22 Juni 2021 Umpeg Baterai Alkaline A3 45 Set 35,000.00 1,575,000.00 01 Jan-30 Juni Staff 0 Set 35,000.00 - 45 Set 35,000.00 Rp 1,575,000.00
22 Juni 2021 Umpeg Lampu Philip 18 Watt 140 Buah 73,000.00 10,220,000.00 01 Jan-30 Juni Staff 0 Buah 73,000.00 - 140 Buah 73,000.00 Rp 10,220,000.00
Jumlah Belanja Alat/Bahan untuk Kegiatan Kantor-Alat Listrik (5.1.02.01.01.0031) 18,499,000.00 OK - 18,499,000.00
#REF!
Belanja Alat/Bahan untuk Kegiatan Kantor-Suvenir/Cindera Mata

(5.1.02.01.01.0035)
445//APBD/PROMKESLINGKESJAOR
08 Juni 2021 Promkes Souvenir Pelaksanaan EHRA Study 120 Paket 140,000.00 16,800,000.00 01 Jan-30 Juni Staff 120 Paket 140,000.00 16,800,000.00 0 Paket 140,000.00 Rp -
/VI/2021
Jumlah Belanja Alat/Bahan untuk Kegiatan Kantor-Suvenir/Cindera Mata (5.1.02.01.01.0035) 16,800,000.00 OK 16,800,000.00 -
#REF!
Belanja Obat-Obtan (5.1.02.01.01.0037)
08 Juni 2021 P2PM Obat Anti Tuberkulosis 30 Paket 248,010.00 7,440,300.00 020/BA/637/P2PM/2021 Tuesday, June 08, 2021 01 Juli-31 Des Staff 30 Paket 248,010.00 7,440,300.00 0 Paket 248,010.00 Rp -
30 Juni 2021 Farmalkes Amoxicillin sirup/suspensi kering 125mg/5ml 10000 Botol 2,050.00 20,500,000.00 715/SEKSI FARMALKES/VI/2021 ### 01 Juli-31 Des Staff 10000 Botol 2,050.00 20,500,000.00 0 Botol 2,050.00 Rp -
14 Juli 2021 Farmalkes Pirantel Pamoat Tablet 10000 Tablet 304.00 3,040,000.00 712/SEKSI FARMALKES/VII/2021 Wednesday, July 14, 2021 01 Juli-31 Des Staff 10000 Tablet 304.00 3,040,000.00 0 Tablet 304.00 Rp -
14 Juli 2021 Farmalkes Prednison/Prednisone tablet 5MG 371300 Tablet 68.00 25,248,400.00 713/SEKSI FARMALKES/VII/2021 Wednesday, July 14, 2021 01 Juli-31 Des Staff 371300 Tablet 68.00 25,248,400.00 0 Tablet 68.00 Rp -
14 Juli 2021 Farmalkes Metformin Hydrochloride/Metformin Tablet 500mg 121000 Tablet 77.00 9,317,000.00 714/SEKSI FARMALKES/VII/2021 Wednesday, July 14, 2021 01 Juli-31 Des Staff 121000 Tablet 77.00 9,317,000.00 0 Tablet 77.00 Rp -
29 Juni 2021 Farmalkes Atropin Inj 0,25 mg/ml (i.v/s.k) 300 Ampul 1,718.00 515,400.00 873/SEKSI FARMALKES/VI/2021 Tuesday, June 29, 2021 01 Juli-31 Des Staff 300 Ampul 1,718.00 515,400.00 0 Ampul 1,718.00 Rp -
06 September 2021 Farmalkes Amlodipin Tablet 10mg 300000 Tablet 70.00 21,000,000.00 872/SEKSI FARMALKES/IX/2021 ### 01 Juli-31 Des Staff 300000 Tablet 70.00 21,000,000.00 0 Tablet 70.00 Rp -
25 Agustus 2021 Farmalkes Glimepirid Tablet 2mg 100000 Tablet 123.00 12,300,000.00 872/SEKSI FARMALKES/VIII/2021 ### 01 Juli-31 Des Staff 100000 Tablet 123.00 12,300,000.00 0 Tablet 123.00 Rp -
Jumlah Belanja Obat-Obtan (5.1.02.01.01.0037) 99,361,100.00 OK 99,361,100.00 -
#REF!
Belanja Persediaa Untuk Dijual/diserahkan masyarakat

(5.1.02.01.01.0039)
Micropore/Aximed Paper Tape 2.5cm X 9.14CM (I inch) kemasan box

01 Juli 2021 Farmalkes 100 Box 271,920.00 27,192,000.00 589/SEKSI FARMALKES/VI/2021 01 Juli-31 Des Farmasi 100 Box 271,920.00 27,192,000.00 0 Box 271,920.00 Rp -
@24 Roll
06 Juli 2021 Farmalkes Masker NRM Semilas Oxygen Mask Non Rebrithing Anak 400 Pcs 18,788.00 7,515,200.00 584/SEKSI FARMALKES/VI/2021 01 Juli-31 Des Farmasi 400 Pcs 18,788.00 7,515,200.00 0 Pcs 18,788.00 Rp -
Page 198 of 288

06 Juli 2021 Farmalkes Masker NRM Semilas Oxygen Mask Non Rebrithing Dewasa 1900 Pcs 18,788.00 35,697,200.00 01 Juli-31 Des Farmasi 1900 Pcs 18,788.00 35,697,200.00 0 Pcs 18,788.00 Rp -
02 Juli 2021 Farmalkes Reagen Tubex 2 Box 2,318,000.00 4,636,000.00 888/SEKSI FARMALKES/VII/2021 01 Juli-31 Des Farmasi 2 Box 2,318,000.00 4,636,000.00 0 Box 2,318,000.00 Rp -
06 September 2021 Promkes Personal Komputer Hp All In One 4 Unit 11,638,250.00 46,553,000.00 01 Juli-31 Des Kegiatan 4 Unit 11,638,250.00 46,553,000.00 0 Unit 11,638,250.00 Rp -
IX/2021
13 September 2021 Promkes Cetak Brosur Covid-19 art paper 150gr 10 Rim 1,200,000.00 12,000,000.00 01 Juli-31 Des Kegiatan 10 Rim 1,200,000.00 12,000,000.00 0 Rim 1,200,000.00 Rp -
IX/2021
13 September 2021 Promkes Cetak Brosur Diabetes 2 Muka Kertas Art Paper 150gr 10 Rim 1,400,000.00 14,000,000.00 01 Juli-31 Des Kegiatan 10 Rim 1,400,000.00 14,000,000.00 0 Rim 1,400,000.00
IX/2021
15 September 2021 Promkes Printer Epson L4150 10 Unit 4,131,000.00 41,310,000.00 01 Juli-31 Des FFKS 10 Unit 4,131,000.00 41,310,000.00 0 Unit 4,131,000.00
IX/2021
Belanja Persediaa Untuk Dijual/diserahkan masyarakat (5.1.02.01.01.0039) 188,903,400.00 OK 188,903,400.00 -
Belanja Natura dan Pakan Natura (5.1.02.01.01.0043)
29 Maret 2021 Umpeg Reffil Aqua Galon 136 Galon 22,000.00 2,992,000.00 111/APBD/SEKSI UMPEG/III/2021 01 Jan-30 Juni Operasional 136 Galon 22,000.00 2,992,000.00 0 Galon 22,000.00 Rp -
29 Maret 2021 Umpeg Aqua Gelas 50 Dus 43,000.00 2,150,000.00 01 Jan-30 Juni Operasional 50 Dus 43,000.00 2,150,000.00 0 Dus 43,000.00 Rp -
29 Maret 2021 Umpeg Aqua Botol Mini 330ml 50 Dus 50,000.00 2,500,000.00 01 Jan-30 Juni Operasional 50 Dus 50,000.00 2,500,000.00 0 Dus 50,000.00 Rp -
29 Maret 2021 Umpeg Aqua Botol Sedang 600ml 45 Dus 71,000.00 3,195,000.00 01 Jan-30 Juni Operasional 45 Dus 71,000.00 3,195,000.00 0 Dus 71,000.00 Rp -
16 April 2021 Umpeg Gula Pasir Lokal 100 Kg 29,000.00 2,900,000.00 193/APBD/SEKSI UMPEG/IV/2021 01 Jan-30 Juni Operasional 65 Kg 29,000.00 1,885,000.00 35 Kg 29,000.00 Rp 1,015,000.00
16 April 2021 Umpeg Mie Instan 1000 Pcs 5,000.00 5,000,000.00 01 Jan-30 Juni Operasional 920 Pcs 5,000.00 4,600,000.00 80 Pcs 5,000.00 Rp 400,000.00
16 April 2021 Umpeg Pop Mie 500 Pcs 10,000.00 5,000,000.00 01 Jan-30 Juni Operasional 408 Pcs 10,000.00 4,080,000.00 92 Pcs 10,000.00 Rp 920,000.00
16 April 2021 Umpeg Kopi Kapal Api Special Mix 25gr 80 Karton 170,000.00 13,600,000.00 01 Jan-30 Juni Operasional 67 Karton 170,000.00 11,390,000.00 13 Karton 170,000.00 Rp 2,210,000.00
16 April 2021 Umpeg Kopi Jahe Susu Sido Muncul 10 Karton 175,000.00 1,750,000.00 01 Jan-30 Juni Operasional 10 Karton 175,000.00 1,750,000.00 0 Karton 175,000.00 Rp -
16 April 2021 Umpeg Kopi Luwak White Coffe 20 Karton 340,000.00 6,800,000.00 01 Jan-30 Juni Operasional 18 Karton 340,000.00 6,120,000.00 2 Karton 340,000.00 Rp 680,000.00
16 April 2021 Umpeg The Sari Wangi 3 Karton 405,000.00 1,215,000.00 01 Jan-30 Juni Operasional 3 Karton 405,000.00 1,215,000.00 0 Karton 405,000.00 Rp -

28 Mei 2021 Umpeg Reffil Aqua Galon 83 Galon 22,000.00 1,826,000.00 01 Jan-30 Juni Operasional 83 Galon 22,000.00 1,826,000.00 0 Galon 22,000.00 Rp -
KEPEGAWAIAN /V/2021
28 Mei 2021 Umpeg Aqua 220ml 48 Dus 43,000.00 2,064,000.00 01 Jan-30 Juni Operasional 48 Dus 43,000.00 2,064,000.00 0 Dus 43,000.00 Rp -
28 Mei 2021 Umpeg Aqua 330ml 15 Dus 50,000.00 750,000.00 01 Jan-30 Juni Operasional 15 Dus 50,000.00 750,000.00 0 Dus 50,000.00 Rp -

21 Juli 2021 Umpeg Reffil Aqua Galon 240 Galon 22,000.00 5,280,000.00 01 Juli-31 Des Operasional 240 Galon 22,000.00 5,280,000.00 0 Galon 22,000.00 Rp -
KEPEGAWAIAN /VII/2021
21 Juli 2021 Umpeg Aqua 220ml 20 Dus 43,000.00 860,000.00 01 Juli-31 Des Operasional 20 Dus 43,000.00 860,000.00 0 Dus 43,000.00 Rp -
Umpeg Makmin Pegawai 1 Paket 5,062,000 5,062,000.00 674/APBD/SEKSI UMPEG/VIII/2021 01 Juli-31 Des Operasional 1 Paket 5,062,000.00 5,062,000.00 0 Paket 5,062,000.00 Rp -
Page 199 of 288

26 Juli 2021 Gizi PMT Pemulihan 1092 Kaleng 162,000 176,904,000.00 763/APBD/SEKSI GIZI/VII/2021 01 Juli-31 Des Kegiatan 1092 Kaleng 162,000.00 176,904,000.00 0 Kaleng 162,000.00 Rp -
870/APBD/SEKSI UMUM DAN

04 Oktober 2021 Umpeg makmin (belanja air galon) 1 Paket 8,736,000 8,736,000.00 01 Juli-31 Des Kegiatan 1 Paket 8,736,000.00 8,736,000.00 0 Paket 8,736,000.00 Rp -
KEPEGAWAIAN/IX/2021
Jumlah Belanja Natura dan Pakan Natura (5.1.02.01.01.0043) 251,214,000.00 OK 245,989,000.00 5,225,000.00
#REF!
Belanja Makanan dan minuman (5.1.02.01.01.0052)
177/APBD/SEKSI
22 Februari 2021 Farmalkes Makmin 1 Paket 2,555,000.00 2,555,000.00 01 Jan-30 Juni Kegiatan 1 Paket 2,555,000.00 2,555,000.00 0 Paket 2,555,000.00 Rp -
FARMALKES/II/2021
Jumlah Belanja Makanan dan minuman (5.1.02.01.01.0052) 2,555,000.00 OK 2,555,000.00 -
#REF!
Belanja Jasa, Iklan/Reklame, Film dan Pemotretan (5.1.02.02.01.0055)
Jasa Film/Video (CD); Produksi Video Profil Pimpinan Daerah dan OPD 728/APBD/PROMKESLINGKESJAOR/
13 September 2021 Promkelingjaor 1 Kegiatan 47,000,000.00 47,000,000.00 01 Jan-30 Juni Kegiatan 1 Kegiatan 47,000,000.00 47,000,000.00 0 Kegiatan 47,000,000.00 Rp -
serta iklan layanan Masyarakat IX/2021
Jumlah Belanja Jasa, Iklan/Reklame, Film dan Pemotretan (5.1.02.02.01.0055) 47,000,000.00 OK 47,000,000.00 -
#REF!
BELANJA PAKAIAN OLAHRAGA (5.1.02.01.01.0076)
P2PTM&KESWA Pakaian Olah Raga 1 Paket 8,200,000.00 8,200,000.00 907/ 01 Jan-30 Juni Kegiatan 1 Paket 8,200,000.00 8,200,000.00 0 Paket 8,200,000.00 Rp -
JumlahBELANJA PAKAIAN OLAHRAGA (5.1.02.01.01.0076) 8,200,000.00 OK 8,200,000.00 -
Belanja Sosialisasi (5.1.02.02.12.0002)
27 Mei 2021 SDMK Cetak Spanduk kegiatan sosialisasi 4 M 20,000.00 80,000.00 496/DAK BPOM/SEKSI SDK/V/2021 01 Jan-30 Juni Staff 4 M 20,000.00 80,000.00 0 M 20,000.00 Rp -
17 September 2021 P2PM Cetak Spanduk kegiatan sosialisasi 4M X 1M 4 M 40,000.00 160,000.00 868/APBD/0921/P2PM/2021 01 Jan-30 Juni Staff 4 M 40,000.00 160,000.00 0 M 40,000.00 Rp -
Jumlah Belanja Sosialisasi (5.1.02.02.12.0002) 400,000.00 OK 400,000.00 -
#REF!
Belanja Kursus/Pelatihan, Sosialisasi, Bimbingan Teknis dan Pelatihan

(5.1.02.02.12)
08 Juni 2021 Promkes Kaos Sablon Pelatihan EHRA 120 Buah 127,000.00 15,240,000.00 01 Jan-30 Juni Staff 120 Buah 127,000.00 15,240,000.00 0 Buah 127,000.00 Rp -
VI/2021
Jumlah Belanja Kursus/Pelatihan, Sosialisasi, Bimbingan Teknis dan Pelatihan (5.1.02.02.12) 15,240,000.00 OK 15,240,000.00 -
#REF!
BTT (Belanja Tak Terduga Penanganan Covid 19)
02 Juli 2021 Farmalkes Tips 1000 ul Merk Thermo Scientific 19968 Pcs 4,000.00 79,872,000.00 Staff 19968 Pcs 4,000.00 79,872,000.00 0 Pcs 4,000.00 Rp -
ES/VI/2021
08 Maret 2021 Farmalkes Reagen PCR Merk Care Gene Covid-9 RT-PCR Kit 11200 Pcs 160,000.00 1,792,000,000.00 Staff 11200 Pcs 160,000.00 1,792,000,000.00 0 Pcs 160,000.00 Rp -
ES/VIII/2021
03 Mei 2021 Farmalkes Tabung PCR 0,1 ml Merk Mygo Pro 9000 Pcs 3,500.00 31,500,000.00 Staff 9000 Pcs 3,500.00 31,500,000.00 0 Pcs 3,500.00 Rp -
ES/VIII/2021
03 Mei 2021 Farmalkes Tips 100 ul Merk Thermo Scientific 17280 Pcs 2,865.00 49,507,200.00 Staff 17280 Pcs 2,865.00 49,507,200.00 0 Pcs 2,865.00 Rp -
03 Mei 2021 Farmalkes Microcentrifuge Tube 1,5 ml Thermo Scientific 12000 Pcs 1,330.00 15,960,000.00 Staff 12000 Pcs 1,330.00 15,960,000.00 0 Pcs 1,330.00 Rp -
Page 200 of 288

03 Mei 2021 Farmalkes Parafilm Merk Parafilm 20 Rol 660,000.00 13,200,000.00 Staff 20 Rol 660,000.00 13,200,000.00 0 Rol 660,000.00 Rp -
05 April 2021 Farmalkes Tabung PCR 0,1 ml Merk Qiagen, 981103 23000 Pcs 8,855.00 203,665,000.00 Staff 23000 Pcs 8,855.00 203,665,000.00 0 Pcs 8,855.00 Rp -
ES/VIII/2021
05 April 2021 Farmalkes Tip 10 ul Merk Rainin RT-10F 28800 Pcs 2,900.00 83,520,000.00 Staff 28800 Pcs 2,900.00 83,520,000.00 0 Pcs 2,900.00 Rp -
Jumlah BTT (Belanja Tak Terduga Penanganan Covid 19) 2,642,645,000.00 OK 2,642,645,000.00 -
#REF!
1. SALDO AWAL = 663,019,060 1. KELUAR SALDO AWAL = 609,090,460 1. SISA SALDO AWAL 53,928,600
2. PENERIMAAN 01 JAN - 31 DES 2021 = 18,634,340,390 2. PENGELUARAN 01 JAN - 31 DES 2021 = 18,519,659,140 2. SISA PENGELUARAN 01 JAN - 31 DES 2021 105,481,250
3. TOTAL PENERIMAAN 2021 = 19,297,359,450 3. TOTAL PENGELUARAN 2021 (1+2) = 19,128,749,600 3. SALDO AKHIR 2021 (1+2) 159,409,850
4. TOTAL PENERIMAAN 2021 19,297,359,450
Tangerang Selatan, 2021

Kepala UPT/PUSKESMAS Kota Tangerang Selatan
………………………. …………………….
NIP. 19 NIP. 19
Page 201 of 288


No. Tanggal Penerimaan Pembelian Nama Barang Total (Rp) B.A/ Serah Terima Pengeluaran Pengeluaran Barang Untuk Satuan Harga Satuan Total (Rp)
1. PENERIMAAN TA. 2021
ALAT TULIS KANTOR (5.1.02.01.01.0024) (5.1.02.01.01.022)
27/7/2021 BLUD Ballpoint Pilot BPTP 10 lusin 48,400.00 484,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-31 Des 05/KW/ASS/VI/2021 22/07/2021 Operasional 5 lusin 48,400.00 242,000.00 5 lusin 48,400.00 242,000.00
27/7/2021 BLUD Pensil 5 Lusin 28,600.00 143,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-31 Des 05/KW/ASS/VI/2021 22/07/2021 Operasional 1 Lusin 28,600.00 28,600.00 4 Lusin 28,600.00 114,400.00
27/7/2021 BLUD Box File Plastik 20 pcs 41,800.00 836,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-31 Des 05/KW/ASS/VI/2021 22/07/2021 Operasional 5 pcs 41,800.00 209,000.00 15 pcs 41,800.00 627,000.00
27/7/2021 BLUD Lem Kertas 15 buah 17,600.00 264,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-31 Des 05/KW/ASS/VI/2021 22/07/2021 Operasional 3 buah 17,600.00 52,800.00 12 buah 17,600.00 211,200.00
27/7/2021 BLUD Buku Polio 13 buah 72,600.00 943,800.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-31 Des 05/KW/ASS/VI/2021 22/07/2021 Operasional 4 buah 72,600.00 290,400.00 9 buah 72,600.00 653,400.00
27/7/2021 BLUD Map Kancing Plastik 20 lusin 68,200.00 1,364,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-31 Des 05/KW/ASS/VI/2021 22/07/2021 Operasional 0 lusin 68,200.00 - 20 lusin 68,200.00 1,364,000.00
22 Oktober 2021 BLUD Tinta Epson 664 hitam 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 10 pcs 110,000.00 1,100,000.00 10 pcs 110,000.00 1,100,000.00
22 Oktober 2021 BLUD Tinta Epson 664 biru 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 10 pcs 110,000.00 1,100,000.00 10 pcs 110,000.00 1,100,000.00
22 Oktober 2021 BLUD Tinta Epson 664 kuning 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 10 pcs 110,000.00 1,100,000.00 10 pcs 110,000.00 1,100,000.00
22 Oktober 2021 BLUD Tinta Epson 664 merah 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 10 pcs 110,000.00 1,100,000.00 10 pcs 110,000.00 1,100,000.00
22 Oktober 2021 BLUD tinta stempel ungu 10 pcs 15,000.00 150,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 10 pcs 15,000.00 150,000.00 10 pcs 15,000.00 150,000.00
22 Oktober 2021 BLUD lakban kain 2 inch hitam 2 Roll 25,000.00 50,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 2 Roll 25,000.00 50,000.00 2 Roll 25,000.00 50,000.00
22 Oktober 2021 BLUD lakban kain 2 inch hijau 1 Roll 25,000.00 25,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 1 Roll 25,000.00 25,000.00 1 Roll 25,000.00 25,000.00
22 Oktober 2021 BLUD lakban kain 2 inch kuning 1 Roll 25,000.00 25,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 1 Roll 25,000.00 25,000.00 1 Roll 25,000.00 25,000.00
22 Oktober 2021 BLUD lakban kain 2 inch merah 1 Roll 25,000.00 25,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 1 Roll 25,000.00 25,000.00 1 Roll 25,000.00 25,000.00
22 Oktober 2021 BLUD lakban opp bening/transparan 2 inch 5 Roll 20,000.00 100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 5 Roll 20,000.00 100,000.00 5 Roll 20,000.00 100,000.00
22 Oktober 2021 BLUD tape dispenser tempat isolasi joyco TD-103 5 buah 40,000.00 200,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 5 buah 40,000.00 200,000.00 5 buah 40,000.00 200,000.00
22 Oktober 2021 BLUD tape cutter tempat isolasi lakban joyco TD-2 5 buah 35,000.00 175,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 5 buah 35,000.00 175,000.00 5 buah 35,000.00 175,000.00
22 Oktober 2021 BLUD stappler HD 10 max 5 pcs 20,000.00 100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 5 pcs 20,000.00 100,000.00 5 pcs 20,000.00 100,000.00
22 Oktober 2021 BLUD isi stappler no 10 joyco 20 box 40,000.00 800,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 20 box 40,000.00 800,000.00 20 box 40,000.00 800,000.00
22 Oktober 2021 BLUD isi stappler no 3 joyco 20 box 50,000.00 1,000,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 20 box 50,000.00 1,000,000.00 20 box 50,000.00 1,000,000.00
22 Oktober 2021 BLUD paper klip no 5 kenko/joyco 30 kotak 9,000.00 270,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 30 kotak 9,000.00 270,000.00 30 kotak 9,000.00 270,000.00
22 Oktober 2021 BLUD ballpoint balliner 2 pak 215,000.00 430,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 2 pak 215,000.00 430,000.00 2 pak 215,000.00 430,000.00
22 Oktober 2021 BLUD map L bening daichi F4 20 lusin 38,000.00 760,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 20 lusin 38,000.00 760,000.00 20 lusin 38,000.00 760,000.00
22 Oktober 2021 BLUD buku expedisi paperline isi 100 lembar 8 buah 18,000.00 144,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 8 buah 18,000.00 144,000.00 8 buah 18,000.00 144,000.00
22 Oktober 2021 BLUD correction pen (tip-ex cair) 5 box 100,000.00 500,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 5 box 100,000.00 500,000.00 5 box 100,000.00 500,000.00
22 Oktober 2021 BLUD memo sticky note post it 3M 654 20 pad 17,000.00 340,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 20 pad 17,000.00 340,000.00 20 pad 17,000.00 340,000.00
22 Oktober 2021 BLUD binder klip 260 10 kotak 27,000.00 270,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 10 kotak 27,000.00 270,000.00 10 kotak 27,000.00 270,000.00
22 Oktober 2021 BLUD kertas label 112 tom n jerry 10 set 9,000.00 90,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 10 set 9,000.00 90,000.00 10 set 9,000.00 90,000.00
JUMLAH BELANJA ALAT TULIS KANTOR (5.1.02.01.01.0024) (5.1.02.01.01.022) 19,033,800.00 14,999,000.00 14,999,000.00
KERTAS HVS (5.1.02.01.01.0025) (5.1.02.01.01.023)
08 April 2021 BLUD Kertas HVS A4 39 rim 53,900 2,102,100.00 160/PKM PONDOK RANJI/IV/2021 8/4/2021 01 Jan-31 Des 01/KW/ASS/IV/2021 1/4/2021 Operasional 12 rim 53,900.00 646,800.00 27 rim 53,900.00 1,455,300.00
08 April 2021 BLUD Kertas HVS F4 80 rim 59,400 4,752,000.00 160/PKM PONDOK RANJI/IV/2021 8/4/2021 01 Jan-31 Des 01/KW/ASS/IV/2021 1/4/2021 Operasional 32 rim 59,400.00 1,900,800.00 48 rim 59,400.00 2,851,200.00
JUMLAH BELANJA KERTAS HVS (5.1.02.01.01.0025) (5.1.02.01.01.023) 6,854,100.00 2,547,600.00 4,306,500.00
BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-BENDA POS

(5.1.02.01.01.0027) (5.1.02.01.01.025)
19/03/2021 BLUD Materai 200 buah 10,129 2,025,700.00 129/PKM PONDOK RANJI/III/2021 19/03/2021 01 Jan-31 Des 4693 16/03/2021 Program 90 buah 10,128.50 911,565.00 110 buah 10,128.50 1,114,135.00
Program 0 0 - - 0 0 - -
JUMLAH BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-BENDA POS (5.1.02.01.01.0027) (5.1.02.01.01.025) 2,025,700.00 911,565.00 1,114,135.00
BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-PERABOT

KANTOR (5.1.02.01.01.0030) (5.1.02.01.01.028)
Page 202 of 288

19/03/2021 BLUD Gas Elpiji 1 tabung 170,000 170,000.00 098/PKM PONDOK RANJI/III/2021 19/03/2021 01 Jan-31 Des 10/BLUD/PKMPDR/2021 8/3/2021 Operasional 1 tabung 170,000.00 170,000.00 0 tabung 170,000.00 -
05 Mei 2021 BLUD Gas Elpiji 2 tabung 160,000 320,000.00 262/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 24/BLUD/PKMPDR/2021 23/04/2021 Operasional 2 tabung 160,000.00 320,000.00 0 tabung 160,000.00 -
06 Juli 2021 BLUD Gas Elpiji 2 tabung 170,000 340,000.00 453/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-31 Des 37/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 tabung 170,000.00 340,000.00 0 tabung 170,000.00 -
09 September 2021 BLUD Gas Elpiji 2 tabung 170,000 340,000.00 708/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-31 Des 54/BLUD/PKMPDR/2021 26/08/2021 Operasional 2 tabung 170,000.00 340,000.00 0 tabung 170,000.00 -
11 November 2021 BLUD Gas Elpiji 1 tabung 170,000 170,000.00 1150/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-31 Des 65/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 tabung 170,000.00 170,000.00 0 tabung 170,000.00 -
JUMLAH BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-PERABOT KANTOR (5.1.02.01.01.0030) (5.1.02.01.01.028) 1,340,000.00 1,340,000.00 - -
BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-ALAT LISTRIK

- -
(5.1.02.01.01.0031) (5.1.02.01.01.029)
05 Mei 2021 BLUD Baterai A3 25 set 32,500 812,500.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 01/BW/2021 29/04/2021 Operasional 25 set 32,500.00 812,500.00 0 set 32,500.00 -
05 Mei 2021 BLUD Baterai Tipe LR44 5 set 10,000 50,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 01/BW/2021 29/04/2021 Operasional 5 set 10,000.00 50,000.00 0 set 10,000.00 -
05 Mei 2021 BLUD Lampu Sorot 5 set 145,000 725,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 01/BW/2021 29/04/2021 Operasional 1 set 145,000.00 145,000.00 4 set 145,000.00 580,000.00
05 Mei 2021 BLUD Lampu Bohlam 20 buah 41,500 830,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 01/BW/2021 29/04/2021 Operasional 20 buah 41,500.00 830,000.00 0 buah 41,500.00 -
05 Mei 2021 BLUD Stop kontak 4 buah 28,500 114,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 01/BW/2021 29/04/2021 Operasional 0 buah 28,500.00 - 4 buah 28,500.00 114,000.00
05 Mei 2021 BLUD Kabel Roll 3 buah 99,500 298,500.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 01/BW/2021 29/04/2021 Operasional 3 buah 99,500.00 298,500.00 0 buah 99,500.00 -
05 Mei 2021 BLUD Neon panjang dan Starter 20 buah 52,000 1,040,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 01/BW/2021 29/04/2021 Operasional 20 buah 52,000.00 1,040,000.00 0 buah 52,000.00 -
22 Oktober 2021 BLUD Baterai A2 60 pak 39,000 2,340,000.00 996/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 044/KW.PMJ/X/2021 12/10/2021 Operasional 60 pak 39,000 2,340,000.00 60 pak 39,000 2,340,000.00
22 Oktober 2021 BLUD Lampu LED Philips 30 pcs 70,000 2,100,000.00 996/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 044/KW.PMJ/X/2021 12/10/2021 Operasional 30 pcs 70,000 2,100,000.00 30 pcs 70,000 2,100,000.00
22 Oktober 2021 BLUD Lampu Philips TL 18 W 30 pcs 38,000 1,140,000.00 996/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 044/KW.PMJ/X/2021 12/10/2021 Operasional 30 pcs 38,000 1,140,000.00 30 pcs 38,000 1,140,000.00
22 Oktober 2021 BLUD Starter Lampu 20 pcs 15,000 300,000.00 996/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 044/KW.PMJ/X/2021 12/10/2021 Operasional 20 pcs 15,000 300,000.00 20 pcs 15,000 300,000.00
JUMLAH BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-ALAT LISTRIK (5.1.02.01.01.0031) (5.1.02.01.01.028) 12,870,000.00 9,558,500.00 -
BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-ALAT/BAHAN

- -
UNTUK KEGIATAN LAINNYA (5.1.02.01.01.0036) (5.1.02.01.01.034)
28/05/2021 BLUD Kemasan Obat Paper Bag 4,900 pcs 2,000 9,800,000.00 322/PKM PONDOK RANJI/V/2021 28/5/2021 01 Jan-31 Des KW/065/SSS/V/2021 18/05/2021 Operasional 4900 pcs 2,000.00 9,800,000.00 0 pcs 2,000.00 -
Belanja Cetak
04 Oktober 2021 BLUD Form Screening awal kewaspadaan covid 19 2 rim 120,000 240,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 2 rim 120,000 240,000.00 2 rim 120,000 240,000.00
04 Oktober 2021 BLUD Surat keterangan berobat 1 rim 120,000 120,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 1 rim 120,000 120,000.00 1 rim 120,000 120,000.00
04 Oktober 2021 BLUD Form Resep 5 rim 120,000 600,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 5 rim 120,000 600,000.00 5 rim 120,000 600,000.00
04 Oktober 2021 BLUD Surat keterangan dokter 2 rim 120,000 240,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 2 rim 120,000 240,000.00 2 rim 120,000 240,000.00
04 Oktober 2021 BLUD Screening vaksin covid 19 11 rim 110,000 1,210,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 11 rim 110,000 1,210,000.00 11 rim 110,000 1,210,000.00
04 Oktober 2021 BLUD surat rujukan 5 rim 110,000 550,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 5 rim 110,000 550,000.00 5 rim 110,000 550,000.00
04 Oktober 2021 BLUD Database pasien 4 rim 110,000 440,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 4 rim 110,000 440,000.00 4 rim 110,000 440,000.00
04 Oktober 2021 BLUD Form medis 10 rim 110,000 1,100,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 10 rim 110,000 1,100,000.00 10 rim 110,000 1,100,000.00
04 Oktober 2021 BLUD Resume/ringkasan keluar 2 rim 110,000 220,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 2 rim 110,000 220,000.00 2 rim 110,000 220,000.00
04 Oktober 2021 BLUD Kartu vaksin 8,000 lembar 700 5,600,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 8,000 lembar 700 5,600,000.00 8,000 lembar 700 5,600,000.00
04 Oktober 2021 BLUD Form Pemantauan 5 rim 110,000 550,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 5 rim 110,000 550,000.00 5 rim 110,000 550,000.00
JUMLAH BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-ALAT/BAHAN UNTUK KEGIATAN LAINNYA (5.1.02.01.01.0036) (5.1.02.01.01.034) 20,670,000.00 20,670,000.00 10,870,000.00
BELANJA ISI ULANG AIR MINUM GALON (5.1.02.01.01.0043)

(5.1.02.01.01.041)
17/02/2021 BLUD Aqua Galon 17 tabung Rp 22,000 374,000.00 021/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 02/BLUD/PKMPDR/2021 8/2/2021 Operasional 17 tabung 22,000.00 374,000.00 0 tabung 22,000.00 -
04 Maret 2021 BLUD Aqua Galon 23 tabung Rp 22,000 506,000.00 067/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 05/BLUD/PKMPDR/2021 25/02/2021 Operasional 23 tabung 22,000.00 506,000.00 0 tabung 22,000.00 -
08 April 2021 BLUD Aqua Galon 45 tabung Rp 22,000 990,000.00 161/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-31 Des 15/BLUD/PKMPDR/2021 30/03/2021 Operasional 45 tabung 22,000.00 990,000.00 0 tabung 22,000.00 -
05 Mei 2021 BLUD Aqua Galon 28 tabung Rp 22,000 616,000.00 264/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 23/BLUD/PKMPDR/2021 28/04/2021 Operasional 28 tabung 22,000.00 616,000.00 0 tabung 22,000.00 -
03 Juni 2021 BLUD Aqua Galon 32 tabung 22,000 704,000.00 341/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-31 Des 30/BLUD/PKMPDR/2021 28/05/2021 Operasional 32 tabung 22,000.00 704,000.00 0 tabung 22,000.00 -
06 Juli 2021 BLUD Aqua Galon 40 tabung 22,000 880,000.00 451/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-31 Des 36/BLUD/PKMPDR/2021 30/06/2021 Operasional 40 tabung 22,000.00 880,000.00 0 tabung 22,000.00 -
10 Agustus 2021 BLUD Aqua Galon 24 tabung 22,000 528,000.00 566/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-31 Des 47/BLUD/PKMPDR/2021 30/07/2021 Operasional 24 tabung 22,000.00 528,000.00 0 tabung 22,000.00 -
09 September 2021 BLUD Aqua Galon 40 tabung 22,000 880,000.00 708/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-31 Des 55/BLUD/PKMPDR/2021 26/08/2021 Operasional 40 tabung 22,000.00 880,000.00 0 tabung 22,000.00 -
11 Oktober 2021 BLUD Aqua Galon 61 tabung 22,000 1,342,000.00 909/PKM PONDOK RANJI/IX/2021 11 Oktober 2021 01 Jan-31 Des 60/BLUD/PKMPDR/2021 30/09/2021 Operasional 61 tabung 22,000.00 1,342,000.00 0 tabung 22,000.00 -
11 November 2021 BLUD Aqua Galon 68 tabung 22,000 1,496,000.00 1152/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-31 Des 66/BLUD/PKMPDR/2021 30/10/2021 Operasional 68 tabung 22,000.00 1,496,000.00 0 tabung 22,000.00 -
JUMLAH BELANJA ISI ULANG AIR MINUM GALON (5.1.02.01.01.0043) (5.1.02.01.01.041) 8,316,000.00 6,820,000.00 - -
BELANJA SUKU CADANG ALAT LABORATORIUM (5.1.02.01.01.0049)

(5.1.02.01.01.015)
17/02/2021 BLUD Oksigen Besar 30 Tabung Rp 120,000 3,600,000.00 022/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 03/BLUD/PKMPDR/2021 30/01/2021 Operasional 30 Tabung Rp 120,000 3,600,000.00 0 Tabung Rp 120,000 -
17/02/2021 BLUD Oksigen Kecil 8 Tabung Rp 50,000 400,000.00 022/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 03/BLUD/PKMPDR/2021 30/01/2021 Operasional 8 Tabung Rp 50,000 400,000.00 0 Tabung Rp 50,000 -
05 Mei 2021 BLUD Oksigen Kecil 3 Tabung Rp 50,000 150,000.00 265/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 26/BLUD/PKMPDR/2021 12/4/2021 Operasional 3 Tabung Rp 50,000 150,000.00 0 Tabung Rp 50,000 -
Page 203 of 288
17/06/2021 BLUD Oksigen Besar 3 Tabung Rp 120,000 360,000.00 416/PKM PONDOK RANJI/VI/2021 17/06/2021 01 Jan-31 Des 33/BLUD/PKMPDR/2021 6/6/2021 Operasional 3 Tabung Rp 120,000 360,000.00 0 Tabung Rp 120,000 -
17/06/2021 BLUD Oksigen Kecil 2 Tabung Rp 50,000 100,000.00 416/PKM PONDOK RANJI/VI/2021 17/06/2021 01 Jan-31 Des 33/BLUD/PKMPDR/2021 6/6/2021 Operasional 2 Tabung Rp 50,000 100,000.00 0 Tabung Rp 50,000 -
28/06/2021 BLUD Oksigen Besar 20 Tabung Rp 120,000 2,400,000.00 438/PKM PONDOK RANJI/VI/2021 28/06/2021 01 Jan-31 Des 35/BLUD/PKMPDR/2021 28/06/2021 Operasional 20 Tabung Rp 120,000 2,400,000.00 0 Tabung Rp 120,000 -
06 Juli 2021 BLUD Oksigen Besar 23 Tabung Rp 120,000 2,760,000.00 450/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-31 Des 40/BLUD/PKMPDR/2021 7/3/2021 Operasional 23 Tabung Rp 120,000 2,760,000.00 0 Tabung Rp 120,000 -
06 Juli 2021 BLUD Oksigen Kecil 18 Tabung Rp 50,000 900,000.00 450/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-31 Des 40/BLUD/PKMPDR/2021 7/3/2021 Operasional 18 Tabung Rp 50,000 900,000.00 0 Tabung Rp 50,000 -
13/07/2021 BLUD Oksigen Besar 7 Tabung Rp 120,000 840,000.00 483/PKM PONDOK RANJI/VII/2021 13/07/2021 01 Jan-31 Des 42/BLUD/PKMPDR/2021 10/7/2021 Operasional 7 Tabung 120,000.00 840,000.00 0 Tabung 120,000.00 -
13/07/2021 BLUD Oksigen Kecil 3 Tabung Rp 50,000 150,000.00 483/PKM PONDOK RANJI/VII/2021 13/07/2021 01 Jan-31 Des 42/BLUD/PKMPDR/2021 10/7/2021 Operasional 3 Tabung 50,000.00 150,000.00 0 Tabung 50,000.00 -
24/08/2021 BLUD Oksigen Besar 2 Tabung Rp 150,000 300,000.00 642/PKM PONDOK RANJI/VIII/2021 24/08/2021 01 Jan-31 Des 50/BLUD/PKMPDR/2021 23/08/2021 Operasional 2 Tabung 150,000.00 300,000.00 0 Tabung 150,000.00 -
24/08/2021 BLUD Oksigen Kecil 5 Tabung Rp 50,000 250,000.00 642/PKM PONDOK RANJI/VIII/2021 24/08/2021 01 Jan-31 Des 50/BLUD/PKMPDR/2021 23/08/2021 Operasional 5 Tabung 50,000.00 250,000.00 0 Tabung 50,000.00 -
JUMLAH BELANJA SUKU CADANG ALAT LABORATORIUM (5.1.02.01.01.0049) (5.1.02.01.01.015) 13,810,000.00 2,990,000.00 -
BELANJA MAKANAN DAN MINUMAN PADA FASILITAS PELAYANAN

URUSAN KESEHATAN (5.1.02.01.01.0056) (5.1.02.01.01.054)
Belanja Makan Kering Produksi

17/02/2021 BLUD beras 16 kg Rp 12,000 192,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 16 kg Rp 12,000 192,000.00 0 kg Rp 12,000 -
17/02/2021 BLUD Gula merah 2 kg Rp 10,000 20,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 2 kg Rp 10,000 20,000.00 0 kg Rp 10,000 -
17/02/2021 BLUD Tepung Terigu 1 kg Rp 15,000 15,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 1 kg Rp 15,000 15,000.00 0 kg Rp 15,000 -
17/02/2021 BLUD Royco 1 bungkus Rp 10,000 10,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 1 bungkus Rp 10,000 10,000.00 0 bungkus Rp 10,000 -
17/02/2021 BLUD Garam 10 bungkus Rp 5,000 50,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 10 bungkus Rp 5,000 50,000.00 0 bungkus Rp 5,000 -
17/02/2021 BLUD Merica 0.25 kg Rp 100,000 25,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0,25 kg Rp 100,000 #VALUE! 0 kg Rp 100,000 -
17/02/2021 BLUD Kemiri 0.25 kg Rp 50,000 12,500.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0,25 kg Rp 50,000 #VALUE! 0 kg Rp 50,000 -
Belanja Makanan Kering non Produksi
17/02/2021 BLUD Pisang 6 sisir Rp 20,000 120,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 6 sisir Rp 20,000 120,000.00 0 sisir Rp 20,000 -
17/02/2021 BLUD Buncis 11 ikat Rp 4,000 44,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 11 ikat Rp 4,000 44,000.00 0 ikat Rp 4,000 -
17/02/2021 BLUD Labu Siam 6 buah Rp 2,000 12,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 6 buah Rp 2,000 12,000.00 0 buah Rp 2,000 -
17/02/2021 BLUD Melon 13 kg Rp 9,000 117,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 13 kg Rp 9,000 117,000.00 0 kg Rp 9,000 -
17/02/2021 BLUD Jagung 11 buah Rp 2,000 22,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 11 buah Rp 2,000 22,000.00 0 buah Rp 2,000 -
17/02/2021 BLUD Wortel 5 kg Rp 7,000 35,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 5 kg Rp 7,000 35,000.00 0 kg Rp 7,000 -
17/02/2021 BLUD Oyong 7 bungkus Rp 6,000 42,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 bungkus Rp 6,000 42,000.00 0 bungkus Rp 6,000 -
17/02/2021 BLUD Bumbu Dapur 5 bungkus Rp 4,000 20,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 5 bungkus Rp 4,000 20,000.00 0 bungkus Rp 4,000 -
17/02/2021 BLUD Kacang Panjang 11 ikat Rp 5,000 55,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 11 ikat Rp 5,000 55,000.00 0 ikat Rp 5,000 -
17/02/2021 BLUD Jamur 3 kantong Rp 5,000 15,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 3 kantong Rp 5,000 15,000.00 0 kantong Rp 5,000 -
17/02/2021 BLUD Kentang 4 kg Rp 11,000 44,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 4 kg Rp 11,000 44,000.00 0 kg Rp 11,000 -
17/02/2021 BLUD Pepaya 7 buah Rp 10,000 70,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 buah Rp 10,000 70,000.00 0 buah Rp 10,000 -
17/02/2021 BLUD Tomat 1 kg Rp 14,000 7,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0,5 kg Rp 14,000 #VALUE! 0 kg Rp 14,000 -
17/02/2021 BLUD Bawang Merah 0.5 kg Rp 100,000 50,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0,5 kg Rp 100,000 #VALUE! 0 kg Rp 100,000 -
17/02/2021 BLUD Bawang Putih 0.5 kg Rp 100,000 50,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0,5 kg Rp 100,000 #VALUE! 0 kg Rp 100,000 -
17/02/2021 BLUD Cabe Rawit 0.5 kg Rp 100,000 50,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0,5 kg Rp 100,000 #VALUE! 0 kg Rp 100,000 -
17/02/2021 BLUD Daun Bawang 0.25 kg Rp 50,000 12,500.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0,25 kg Rp 50,000 #VALUE! 0 kg Rp 50,000 -
17/02/2021 BLUD Jeruk Nipis 0.25 kg Rp 40,000 10,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0,25 kg Rp 40,000 #VALUE! 0 kg Rp 40,000 -
Belanja Makanan Basah Produksi
17/02/2021 BLUD Tempe 9 potong Rp 5,000 45,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 9 potong Rp 5,000 45,000.00 0 potong Rp 5,000 -
17/02/2021 BLUD Tahu 11 potong Rp 4,000 44,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 11 potong Rp 4,000 44,000.00 0 potong Rp 4,000 -
17/02/2021 BLUD Minyak Goreng 8 liter Rp 15,000 120,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 8 liter Rp 15,000 120,000.00 0 liter Rp 15,000 -
17/02/2021 BLUD Kecap Manis 4 bungkius Rp 12,000 48,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 4 bungkius Rp 12,000 48,000.00 0 bungkius Rp 12,000 -
17/02/2021 BLUD Bubur Sumsum 20 buah Rp 2,000 40,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah Rp 2,000 -
17/02/2021 BLUD Puding 20 buah Rp 2,000 40,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah Rp 2,000 -
17/02/2021 BLUD Bubur Kacang 20 buah Rp 2,000 40,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah Rp 2,000 -
17/02/2021 BLUD Bakso 1 bungkus Rp 34,000 34,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 1 bungkus Rp 34,000 34,000.00 0 bungkus Rp 34,000 -
Belanja Makanan Basah non Produksi

17/02/2021 BLUD Telur Puyuh 3 kg Rp 20,000 60,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 3 kg Rp 20,000 60,000.00 0 kg Rp 20,000 -
17/02/2021 BLUD Ayam 7 ekor Rp 35,000 245,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 ekor Rp 35,000 245,000.00 0 ekor Rp 35,000 -
17/02/2021 BLUD Telur Ayam 7 kg Rp 24,000 168,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 kg Rp 24,000 168,000.00 0 kg Rp 24,000 -
17/02/2021 BLUD Ikan 7 kg Rp 25,000 175,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 kg Rp 25,000 175,000.00 0 kg Rp 25,000 -
17/02/2021 BLUD Kara 4 bungkus Rp 4,000 16,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 4 bungkus Rp 4,000 16,000.00 0 bungkus Rp 4,000 -

04 Maret 2021 BLUD Beras 31 kg Rp 12,000 372,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 31 kg Rp 12,000 372,000.00 0 kg Rp 12,000 -
04 Maret 2021 BLUD Gula merah 5 kg Rp 20,000 100,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 kg Rp 20,000 100,000.00 0 kg Rp 20,000 -
04 Maret 2021 BLUD Garam 5 bungkus Rp 5,000 25,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 bungkus Rp 5,000 25,000.00 0 bungkus Rp 5,000 -
Page 204 of 288

04 Maret 2021 BLUD Merica 0.25 kg Rp 100,000 25,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 0,25 kg Rp 100,000 #VALUE! 0 kg Rp 100,000 -
04 Maret 2021 BLUD Kemiri 10 bungkus Rp 2,000 20,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 10 bungkus Rp 2,000 20,000.00 0 bungkus Rp 2,000 -
04 Maret 2021 BLUD Merica 10 bungkus Rp 2,000 20,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 10 bungkus Rp 2,000 20,000.00 0 bungkus Rp 2,000 -
04 Maret 2021 BLUD Tepung Terigu 3 kg Rp 15,000 45,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 3 kg Rp 15,000 45,000.00 0 kg Rp 15,000 -
04 Maret 2021 BLUD Royco 1 bungkus Rp 12,000 12,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 1 bungkus Rp 12,000 12,000.00 0 bungkus Rp 12,000 -
04 Maret 2021 BLUD Kacang hijau 1 kg Rp 20,000 20,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -

04 Maret 2021 BLUD pisang 8 sisir Rp 20,000 160,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 8 sisir Rp 20,000 160,000.00 0 sisir Rp 20,000 -
04 Maret 2021 BLUD buncis 17 ikat Rp 4,000 68,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 17 ikat Rp 4,000 68,000.00 0 ikat Rp 4,000 -
04 Maret 2021 BLUD labu siam 15 buah Rp 2,000 30,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 15 buah Rp 2,000 30,000.00 0 buah Rp 2,000 -
04 Maret 2021 BLUD melon 6 kg Rp 9,000 54,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 6 kg Rp 9,000 54,000.00 0 kg Rp 9,000 -
04 Maret 2021 BLUD wortel 13 kg Rp 7,000 91,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 13 kg Rp 7,000 91,000.00 0 kg Rp 7,000 -
04 Maret 2021 BLUD kacang panjang 12 ikat Rp 5,000 60,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 12 ikat Rp 5,000 60,000.00 0 ikat Rp 5,000 -
04 Maret 2021 BLUD jamur 5 kantong Rp 5,000 25,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 kantong Rp 5,000 25,000.00 0 kantong Rp 5,000 -
04 Maret 2021 BLUD kentang 8 kg Rp 11,000 88,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 8 kg Rp 11,000 88,000.00 0 kg Rp 11,000 -
04 Maret 2021 BLUD pepaya 5 buah Rp 10,000 50,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 buah Rp 10,000 50,000.00 0 buah Rp 10,000 -
04 Maret 2021 BLUD jeruk 1 kg Rp 25,000 25,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg Rp 25,000 -
04 Maret 2021 BLUD toge 0.5 kg Rp 10,000 5,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 0.5 kg Rp 10,000 5,000.00 0 kg Rp 10,000 -
04 Maret 2021 BLUD daun bawang 0.25 kg Rp 20,000 5,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 0.25 kg Rp 20,000 5,000.00 0 kg Rp 20,000 -
04 Maret 2021 BLUD bumbu dapur 9 bungkus Rp 4,000 36,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 9 bungkus Rp 4,000 36,000.00 0 bungkus Rp 4,000 -
04 Maret 2021 BLUD oyong 7 bungkus Rp 6,000 42,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 7 bungkus Rp 6,000 42,000.00 0 bungkus Rp 6,000 -
04 Maret 2021 BLUD jagung manis 11 buah Rp 2,000 22,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 11 buah Rp 2,000 22,000.00 0 buah Rp 2,000 -
04 Maret 2021 BLUD brokoli 1 buah Rp 45,000 45,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 1 buah Rp 45,000 45,000.00 0 buah Rp 45,000 -
04 Maret 2021 BLUD kembang kol 2 buah Rp 25,000 50,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 2 buah Rp 25,000 50,000.00 0 buah Rp 25,000 -
04 Maret 2021 BLUD sayur asam 4 bungkus Rp 6,000 24,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 4 bungkus Rp 6,000 24,000.00 0 bungkus Rp 6,000 -
04 Maret 2021 BLUD Tempe 16 potong Rp 5,000 80,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 16 potong Rp 5,000 80,000.00 0 potong Rp 5,000 -
04 Maret 2021 BLUD Tahu 16 potong Rp 4,000 64,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 16 potong Rp 4,000 64,000.00 0 potong Rp 4,000 -
04 Maret 2021 BLUD Minyak Goreng 15 liter Rp 15,000 225,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 15 liter Rp 15,000 225,000.00 0 liter Rp 15,000 -
04 Maret 2021 BLUD Kecap Manis 15 bungkus Rp 12,000 180,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 15 bungkus Rp 12,000 180,000.00 0 bungkus Rp 12,000 -
04 Maret 2021 BLUD Bubur Kacang 20 buah Rp 2,000 40,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah Rp 2,000 -
04 Maret 2021 BLUD Kara 5 bungkus Rp 4,000 20,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 bungkus Rp 4,000 20,000.00 0 bungkus Rp 4,000 -
04 Maret 2021 BLUD Bubur Sumsum 4 bungkus Rp 2,000 8,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 4 bungkus Rp 2,000 8,000.00 0 bungkus Rp 2,000 -
04 Maret 2021 BLUD Telur puyuh 5 kg Rp 20,000 100,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 kg Rp 20,000 100,000.00 0 kg Rp 20,000 -
04 Maret 2021 BLUD ayam 11 kg Rp 35,000 385,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 11 kg Rp 35,000 385,000.00 0 kg Rp 35,000 -
04 Maret 2021 BLUD telur ayam 12 kg Rp 24,000 288,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 12 kg Rp 24,000 288,000.00 0 kg Rp 24,000 -
04 Maret 2021 BLUD daging 4 kg Rp 80,000 320,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 4 kg Rp 80,000 320,000.00 0 kg Rp 80,000 -
04 Maret 2021 BLUD ikan kembung 6 kg Rp 25,000 150,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 6 kg Rp 25,000 150,000.00 0 kg Rp 25,000 -
04 Maret 2021 BLUD ikan mujaer 3 kg Rp 30,000 90,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 3 kg Rp 30,000 90,000.00 0 kg Rp 30,000 -
08 April 2021 BLUD beras 36 kg Rp 12,000 432,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 36 kg Rp 12,000 432,000.00 0 kg Rp 12,000 -
08 April 2021 BLUD gula merah 5 kg Rp 10,000 50,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 5 kg Rp 10,000 50,000.00 0 kg Rp 10,000 -
08 April 2021 BLUD kerupuk 4 kg Rp 15,000 60,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 4 kg Rp 15,000 60,000.00 0 kg Rp 15,000 -
08 April 2021 BLUD merica 1 lsn Rp 12,000 12,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 lsn Rp 12,000 12,000.00 0 lsn Rp 12,000 -
08 April 2021 BLUD kemiri 0.5 kg Rp 100,000 50,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 0.5 kg Rp 100,000 50,000.00 0 kg Rp 100,000 -
08 April 2021 BLUD merica 10 bungkus Rp 2,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 10 bungkus Rp 2,000 20,000.00 0 bungkus Rp 2,000 -
08 April 2021 BLUD tepung terigu 3 kg Rp 10,000 30,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 kg Rp 10,000 30,000.00 0 kg Rp 10,000 -
08 April 2021 BLUD royco 3 bungkus Rp 12,000 36,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 bungkus Rp 12,000 36,000.00 0 bungkus Rp 12,000 -
08 April 2021 BLUD garam 8 bungkus Rp 5,000 40,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 8 bungkus Rp 5,000 40,000.00 0 bungkus Rp 5,000 -
08 April 2021 BLUD bawang goreng 2 bungkus Rp 2,000 4,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 bungkus Rp 2,000 4,000.00 0 bungkus Rp 2,000 -
08 April 2021 BLUD sasa 1 bungkus Rp 750 750.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 bungkus Rp 750 750.00 0 bungkus Rp 750 -
08 April 2021 BLUD pisang 6 sisir Rp 20,000 120,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 6 sisir Rp 20,000 120,000.00 0 sisir Rp 20,000 -
08 April 2021 BLUD buncis 27 ikat Rp 4,000 108,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 27 ikat Rp 4,000 108,000.00 0 ikat Rp 4,000 -
08 April 2021 BLUD labu siam 14 buah Rp 2,000 28,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 14 buah Rp 2,000 28,000.00 0 buah Rp 2,000 -
08 April 2021 BLUD melon 12 kg Rp 9,000 108,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 12 kg Rp 9,000 108,000.00 0 kg Rp 9,000 -
08 April 2021 BLUD wortel 9 kg Rp 7,000 63,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 9 kg Rp 7,000 63,000.00 0 kg Rp 7,000 -
08 April 2021 BLUD kacang panjang 13 ikat Rp 5,000 65,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 13 ikat Rp 5,000 65,000.00 0 ikat Rp 5,000 -
08 April 2021 BLUD jamur 9 kantong Rp 5,000 45,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 9 kantong Rp 5,000 45,000.00 0 kantong Rp 5,000 -
08 April 2021 BLUD kentang 7 kg Rp 11,000 77,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 7 kg Rp 11,000 77,000.00 0 kg Rp 11,000 -
08 April 2021 BLUD pepaya 5 buah Rp 10,000 50,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 5 buah Rp 10,000 50,000.00 0 buah Rp 10,000 -
08 April 2021 BLUD sawi putih 2 kg Rp 10,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 10,000 20,000.00 0 kg Rp 10,000 -
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08 April 2021 BLUD terong 2 kg Rp 12,000 24,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 12,000 24,000.00 0 kg Rp 12,000 -
08 April 2021 BLUD cabe merah 1.5 kg Rp 120,000 180,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 120,000 180,000.00 0 kg Rp 120,000 -
08 April 2021 BLUD bumbu dapur 6 bungkus Rp 4,000 24,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 6 bungkus Rp 4,000 24,000.00 0 bungkus Rp 4,000 -
08 April 2021 BLUD oyong 2 bungkus Rp 6,000 12,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 bungkus Rp 6,000 12,000.00 0 bungkus Rp 6,000 -
08 April 2021 BLUD jagung manis 27 buah Rp 2,000 54,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 27 buah Rp 2,000 54,000.00 0 buah Rp 2,000 -
08 April 2021 BLUD cabe rawit 1.5 kg Rp 120,000 180,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 120,000 180,000.00 0 kg Rp 120,000 -
08 April 2021 BLUD bawang merah 1.5 kg Rp 110,000 165,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 110,000 165,000.00 0 kg Rp 110,000 -
08 April 2021 BLUD bawang putih 1.5 kg Rp 80,000 120,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 80,000 120,000.00 0 kg Rp 80,000 -
08 April 2021 BLUD tomat 1 kg Rp 15,000 15,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 kg Rp 15,000 15,000.00 0 kg Rp 15,000 -
08 April 2021 BLUD kangkung 10 ikat Rp 7,000 70,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 10 ikat Rp 7,000 70,000.00 0 ikat Rp 7,000 -
08 April 2021 BLUD daun singkong 3 ikat Rp 6,000 18,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 ikat Rp 6,000 18,000.00 0 ikat Rp 6,000 -
08 April 2021 BLUD sayur asem 2 bungkus Rp 10,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus Rp 10,000 -
08 April 2021 BLUD sayur sop 3 bungkus Rp 10,000 30,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 bungkus Rp 10,000 30,000.00 0 bungkus Rp 10,000 -
08 April 2021 BLUD kemangi 5 ikat Rp 1,000 5,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 5 ikat Rp 1,000 5,000.00 0 ikat Rp 1,000 -
08 April 2021 BLUD daun bawang 0.25 kg Rp 25,000 6,250.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 0.25 kg Rp 25,000 6,250.00 0 kg Rp 25,000 -
08 April 2021 BLUD toge 0.5 kg Rp 15,000 7,500.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 0.5 kg Rp 15,000 7,500.00 0 kg Rp 15,000 -

08 April 2021 BLUD tempe 26 potong Rp 5,000 130,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 26 potong Rp 5,000 130,000.00 0 potong Rp 5,000 -
08 April 2021 BLUD tahu 25 potong Rp 4,000 100,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 25 potong Rp 4,000 100,000.00 0 potong Rp 4,000 -
08 April 2021 BLUD minyak goreng 18 liter Rp 15,000 270,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 18 liter Rp 15,000 270,000.00 0 liter Rp 15,000 -
08 April 2021 BLUD kecap manis 15 bungkus Rp 12,000 180,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 15 bungkus Rp 12,000 180,000.00 0 bungkus Rp 12,000 -
08 April 2021 BLUD bakso 0.75 kg Rp 60,000 45,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 0.75 kg Rp 60,000 45,000.00 0 kg Rp 60,000 -
08 April 2021 BLUD kara 4 bungkus Rp 5,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 4 bungkus Rp 5,000 20,000.00 0 bungkus Rp 5,000 -
08 April 2021 BLUD ikan lele 3 kg Rp 28,000 84,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 kg Rp 28,000 84,000.00 0 kg Rp 28,000 -
08 April 2021 BLUD ayam 10 kg Rp 35,000 350,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 10 kg Rp 35,000 350,000.00 0 kg Rp 35,000 -
08 April 2021 BLUD telur ayam 15 kg Rp 24,000 360,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 15 kg Rp 24,000 360,000.00 0 kg Rp 24,000 -
08 April 2021 BLUD daging 1 kg Rp 80,000 80,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 kg Rp 80,000 80,000.00 0 kg Rp 80,000 -
08 April 2021 BLUD ikan kembung 2 kg Rp 25,000 50,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 25,000 50,000.00 0 kg Rp 25,000 -
08 April 2021 BLUD ikan gurame 2 kg Rp 50,000 100,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg Rp 50,000 -
08 April 2021 BLUD udang 2 kg Rp 20,000 40,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
08 April 2021 BLUD ikan patin 1 kg Rp 25,000 25,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg Rp 25,000 -
05 Mei 2021 BLUD beras 36 kg Rp 12,000 432,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 36 kg Rp 12,000 432,000.00 0 kg Rp 12,000 -
05 Mei 2021 BLUD gula merah 4 kg Rp 15,000 60,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 kg Rp 15,000 60,000.00 0 kg Rp 15,000 -
05 Mei 2021 BLUD tepung terigu 3 kg Rp 15,000 45,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 3 kg Rp 15,000 45,000.00 0 kg Rp 15,000 -
05 Mei 2021 BLUD royco 2 bungkus Rp 12,000 24,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 bungkus Rp 12,000 24,000.00 0 bungkus Rp 12,000 -
05 Mei 2021 BLUD garam 5 bungkus Rp 5,000 25,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 5 bungkus Rp 5,000 25,000.00 0 bungkus Rp 5,000 -
05 Mei 2021 BLUD kacang hijau 1 kg Rp 20,000 20,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
05 Mei 2021 BLUD kemiri 0.5 kg Rp 80,000 40,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg Rp 80,000 -
05 Mei 2021 BLUD pisang 9 sisir Rp 20,000 180,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 9 sisir Rp 20,000 180,000.00 0 sisir Rp 20,000 -
05 Mei 2021 BLUD buncis 17 ikat Rp 4,000 68,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 17 ikat Rp 4,000 68,000.00 0 ikat Rp 4,000 -
05 Mei 2021 BLUD labu siam 8 buah Rp 2,000 16,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 8 buah Rp 2,000 16,000.00 0 buah Rp 2,000 -
05 Mei 2021 BLUD bayam 4 ikat Rp 7,000 28,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 ikat Rp 7,000 28,000.00 0 ikat Rp 7,000 -
05 Mei 2021 BLUD wortel 12 kg Rp 7,000 84,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 12 kg Rp 7,000 84,000.00 0 kg Rp 7,000 -
05 Mei 2021 BLUD kacang panjang 16 ikat Rp 5,000 80,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 16 ikat Rp 5,000 80,000.00 0 ikat Rp 5,000 -
05 Mei 2021 BLUD jamur 2 kantong Rp 5,000 10,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 kantong Rp 5,000 10,000.00 0 kantong Rp 5,000 -
05 Mei 2021 BLUD kentang 6 kg Rp 11,000 66,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 6 kg Rp 11,000 66,000.00 0 kg Rp 11,000 -
05 Mei 2021 BLUD pepaya 8 buah Rp 10,000 80,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 8 buah Rp 10,000 80,000.00 0 buah Rp 10,000 -
05 Mei 2021 BLUD sawi putih 5 kg Rp 10,000 50,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 5 kg Rp 10,000 50,000.00 0 kg Rp 10,000 -
05 Mei 2021 BLUD bumbu dapur 12 bungkus Rp 4,000 48,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 12 bungkus Rp 4,000 48,000.00 0 bungkus Rp 4,000 -
05 Mei 2021 BLUD oyong 13 bungkus Rp 6,000 78,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 13 bungkus Rp 6,000 78,000.00 0 bungkus Rp 6,000 -
05 Mei 2021 BLUD jagung manis 22 buah Rp 2,000 44,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 22 buah Rp 2,000 44,000.00 0 buah Rp 2,000 -
05 Mei 2021 BLUD kangkung 4 ikat Rp 7,000 28,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 ikat Rp 7,000 28,000.00 0 ikat Rp 7,000 -
05 Mei 2021 BLUD sayur asem 4 bungkus Rp 10,000 40,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 bungkus Rp 10,000 40,000.00 0 bungkus Rp 10,000 -
05 Mei 2021 BLUD sayur sop 4 bungkus Rp 6,000 24,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 bungkus Rp 6,000 24,000.00 0 bungkus Rp 6,000 -
05 Mei 2021 BLUD melon 3 kg Rp 9,000 27,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 3 kg Rp 9,000 27,000.00 0 kg Rp 9,000 -
05 Mei 2021 BLUD bawang merah 2 kg Rp 50,000 100,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg Rp 50,000 -
05 Mei 2021 BLUD bawang putih 2 kg Rp 50,000 100,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg Rp 50,000 -
05 Mei 2021 BLUD cabe rawit 0.25 kg Rp 170,000 42,500.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 0.25 kg Rp 170,000 42,500.00 0 kg Rp 170,000 -
05 Mei 2021 BLUD daun bawang 0.5 kg Rp 15,000 7,500.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 0.5 kg Rp 15,000 7,500.00 0 kg Rp 15,000 -
05 Mei 2021 BLUD tomat 1 kg Rp 20,000 20,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
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05 Mei 2021 BLUD pokcoi 1 kg Rp 10,000 10,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 1 kg Rp 10,000 10,000.00 0 kg Rp 10,000 -

05 Mei 2021 BLUD tempe 21 potong Rp 5,000 105,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 21 potong Rp 5,000 105,000.00 0 potong Rp 5,000 -
05 Mei 2021 BLUD tahu 23 potong Rp 4,000 92,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 23 potong Rp 4,000 92,000.00 0 potong Rp 4,000 -
05 Mei 2021 BLUD minyak goreng 18 liter Rp 15,000 270,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 18 liter Rp 15,000 270,000.00 0 liter Rp 15,000 -
05 Mei 2021 BLUD kecap manis 16 bungkus Rp 12,000 192,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 16 bungkus Rp 12,000 192,000.00 0 bungkus Rp 12,000 -
05 Mei 2021 BLUD bakso 0.5 bungkus Rp 60,000 30,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 0.5 bungkus Rp 60,000 30,000.00 0 bungkus Rp 60,000 -
05 Mei 2021 BLUD ayam 12 kg Rp 35,000 420,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 12 kg Rp 35,000 420,000.00 0 kg Rp 35,000 -
05 Mei 2021 BLUD telur ayam 11 kg Rp 24,000 264,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 11 kg Rp 24,000 264,000.00 0 kg Rp 24,000 -
05 Mei 2021 BLUD ikan tongkol 2 kg Rp 50,000 100,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg Rp 50,000 -
05 Mei 2021 BLUD ikan kembung 3 kg Rp 25,000 75,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 3 kg Rp 25,000 75,000.00 0 kg Rp 25,000 -
05 Mei 2021 BLUD ikan bandeng 2 kg Rp 30,000 60,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 kg Rp 30,000 60,000.00 0 kg Rp 30,000 -
05 Mei 2021 BLUD telur puyuh 1 kg Rp 20,000 20,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
03 Juni 2021 BLUD beras 27 kg Rp 12,000 324,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 27 kg Rp 12,000 324,000.00 0 kg Rp 12,000 -
03 Juni 2021 BLUD gula merah 2 kg Rp 20,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
03 Juni 2021 BLUD tepung terigu 2 kg Rp 25,000 50,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 2 kg Rp 25,000 50,000.00 0 kg Rp 25,000 -
03 Juni 2021 BLUD lada 5 bungkus Rp 1,000 5,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5 bungkus Rp 1,000 5,000.00 0 bungkus Rp 1,000 -
03 Juni 2021 BLUD garam 10 bungkus Rp 5,000 50,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 bungkus Rp 5,000 50,000.00 0 bungkus Rp 5,000 -
03 Juni 2021 BLUD kacang hijau 1 kg Rp 20,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
03 Juni 2021 BLUD kemiri 0.5 kg Rp 80,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg Rp 80,000 -
03 Juni 2021 BLUD pisang 11 sisir Rp 20,000 220,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 11 sisir Rp 20,000 220,000.00 0 sisir Rp 20,000 -
03 Juni 2021 BLUD buncis 16 ikat Rp 4,000 64,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 16 ikat Rp 4,000 64,000.00 0 ikat Rp 4,000 -
03 Juni 2021 BLUD labu siam 17 buah Rp 2,000 34,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 17 buah Rp 2,000 34,000.00 0 buah Rp 2,000 -
03 Juni 2021 BLUD bayam 4 ikat Rp 6,000 24,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 ikat Rp 6,000 24,000.00 0 ikat Rp 6,000 -
03 Juni 2021 BLUD wortel 5.5 kg Rp 7,000 38,500.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5.5 kg Rp 7,000 38,500.00 0 kg Rp 7,000 -
03 Juni 2021 BLUD kacang panjang 5 ikat Rp 5,000 25,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat Rp 5,000 -
03 Juni 2021 BLUD jamur 3 kantong Rp 6,000 18,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 3 kantong Rp 6,000 18,000.00 0 kantong Rp 6,000 -
03 Juni 2021 BLUD brokoli 1 kg Rp 25,000 25,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg Rp 25,000 -
03 Juni 2021 BLUD pepaya 20 buah Rp 10,000 200,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 20 buah Rp 10,000 200,000.00 0 buah Rp 10,000 -
03 Juni 2021 BLUD sawi putih 4 kg Rp 7,000 28,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 kg Rp 7,000 28,000.00 0 kg Rp 7,000 -
03 Juni 2021 BLUD bumbu dapur 18 bungkus Rp 4,000 72,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 18 bungkus Rp 4,000 72,000.00 0 bungkus Rp 4,000 -
03 Juni 2021 BLUD oyong 1 kg Rp 15,000 15,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 kg Rp 15,000 15,000.00 0 kg Rp 15,000 -
03 Juni 2021 BLUD jagung manis 22 buah Rp 2,000 44,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 22 buah Rp 2,000 44,000.00 0 buah Rp 2,000 -
03 Juni 2021 BLUD kangkung 8 ikat Rp 5,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 8 ikat Rp 5,000 40,000.00 0 ikat Rp 5,000 -
03 Juni 2021 BLUD sayur asem 7 bungkus Rp 10,000 70,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 7 bungkus Rp 10,000 70,000.00 0 bungkus Rp 10,000 -
03 Juni 2021 BLUD sayur sop 7 bungkus Rp 10,000 70,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 7 bungkus Rp 10,000 70,000.00 0 bungkus Rp 10,000 -
03 Juni 2021 BLUD melon 16 kg Rp 9,000 144,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 16 kg Rp 9,000 144,000.00 0 kg Rp 9,000 -
03 Juni 2021 BLUD bawang bombay 0.5 kg Rp 50,000 25,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 0.5 kg Rp 50,000 25,000.00 0 kg Rp 50,000 -
03 Juni 2021 BLUD bawang merah 1.5 kg Rp 60,000 90,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1.5 kg Rp 60,000 90,000.00 0 kg Rp 60,000 -
03 Juni 2021 BLUD bawang putih 1.5 kg Rp 60,000 90,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1.5 kg Rp 60,000 90,000.00 0 kg Rp 60,000 -
03 Juni 2021 BLUD cabe rawit 1.5 kg Rp 80,000 120,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1.5 kg Rp 80,000 120,000.00 0 kg Rp 80,000 -
03 Juni 2021 BLUD cabe merah 1.5 kg Rp 70,000 105,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1.5 kg Rp 70,000 105,000.00 0 kg Rp 70,000 -
03 Juni 2021 BLUD daun bawang 0.5 kg Rp 8,000 4,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 0.5 kg Rp 8,000 4,000.00 0 kg Rp 8,000 -
03 Juni 2021 BLUD putren 4 bungkus Rp 5,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 bungkus Rp 5,000 20,000.00 0 bungkus Rp 5,000 -
03 Juni 2021 BLUD terong ungu 1 kg Rp 15,000 15,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 kg Rp 15,000 15,000.00 0 kg Rp 15,000 -
03 Juni 2021 BLUD kentang 3 kg Rp 11,000 33,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 3 kg Rp 11,000 33,000.00 0 kg Rp 11,000 -
03 Juni 2021 BLUD toge 1 kg Rp 8,500 8,500.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 kg Rp 8,500 8,500.00 0 kg Rp 8,500 -
03 Juni 2021 BLUD tempe 22 potong Rp 5,000 110,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 22 potong Rp 5,000 110,000.00 0 potong Rp 5,000 -
03 Juni 2021 BLUD tahu 24 potong Rp 4,000 96,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 24 potong Rp 4,000 96,000.00 0 potong Rp 4,000 -
03 Juni 2021 BLUD minyak goreng 16 liter Rp 15,000 240,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 16 liter Rp 15,000 240,000.00 0 liter Rp 15,000 -
03 Juni 2021 BLUD kecap manis 12 bungkus Rp 12,000 144,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 12 bungkus Rp 12,000 144,000.00 0 bungkus Rp 12,000 -
03 Juni 2021 BLUD bubur kacang 10 cup Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 cup Rp 2,000 20,000.00 0 cup Rp 2,000 -
03 Juni 2021 BLUD puding 10 cup Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 cup Rp 2,000 20,000.00 0 cup Rp 2,000 -
03 Juni 2021 BLUD bubur sumsum 10 cup Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 cup Rp 2,000 20,000.00 0 cup Rp 2,000 -
03 Juni 2021 BLUD pie buah 10 cup Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 cup Rp 2,000 20,000.00 0 cup Rp 2,000 -
03 Juni 2021 BLUD bolu gulung pandan 10 cup Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 cup Rp 2,000 20,000.00 0 cup Rp 2,000 -
03 Juni 2021 BLUD kroket pandan 10 cup Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 cup Rp 2,000 20,000.00 0 cup Rp 2,000 -
03 Juni 2021 BLUD kara 4 bungkus Rp 4,000 16,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 bungkus Rp 4,000 16,000.00 0 bungkus Rp 4,000 -
03 Juni 2021 BLUD bakso 1 bungkus Rp 60,000 60,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 bungkus Rp 60,000 60,000.00 0 bungkus Rp 60,000 -
Page 207 of 288
03 Juni 2021 BLUD ayam 10 kg Rp 35,000 350,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 kg Rp 35,000 350,000.00 0 kg Rp 35,000 -
03 Juni 2021 BLUD telur ayam 10 kg Rp 24,000 240,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 kg Rp 24,000 240,000.00 0 kg Rp 24,000 -
03 Juni 2021 BLUD ikan gurame 4 kg Rp 40,000 160,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 kg Rp 40,000 160,000.00 0 kg Rp 40,000 -
03 Juni 2021 BLUD ikan kembung 5 kg Rp 30,000 150,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5 kg Rp 30,000 150,000.00 0 kg Rp 30,000 -
03 Juni 2021 BLUD ikan lele 5 kg Rp 20,000 100,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5 kg Rp 20,000 100,000.00 0 kg Rp 20,000 -
03 Juni 2021 BLUD ikan patin 3 kg Rp 20,000 60,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 3 kg Rp 20,000 60,000.00 0 kg Rp 20,000 -
03 Juni 2021 BLUD telur puyuh 3 kg Rp 20,000 60,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 3 kg Rp 20,000 60,000.00 0 kg Rp 20,000 -
03 Juni 2021 BLUD daging 2 kg Rp 80,000 160,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 2 kg Rp 80,000 160,000.00 0 kg Rp 80,000 -
03 Juni 2021 BLUD ikan nila 2 kg Rp 20,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -

06 Juli 2021 BLUD beras 27 kg Rp 12,000 324,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 27 kg Rp 12,000 324,000.00 0 kg Rp 12,000 -
06 Juli 2021 BLUD gula merah 3 kg Rp 20,000 60,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 20,000 60,000.00 0 kg Rp 20,000 -
06 Juli 2021 BLUD tepung terigu 4 kg Rp 25,000 100,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 4 kg Rp 25,000 100,000.00 0 kg Rp 25,000 -
06 Juli 2021 BLUD sasa 5 bungkus Rp 5,000 25,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 5 bungkus Rp 5,000 25,000.00 0 bungkus Rp 5,000 -
06 Juli 2021 BLUD garam 10 bungkus Rp 6,000 60,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 10 bungkus Rp 6,000 60,000.00 0 bungkus Rp 6,000 -
06 Juli 2021 BLUD kacang hijau 1 kg Rp 20,000 20,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
Belanja Makanan Kering non Produksi -
06 Juli 2021 BLUD pisang 14 sisir Rp 20,000 280,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 14 sisir Rp 20,000 280,000.00 0 sisir Rp 20,000 -
06 Juli 2021 BLUD buncis 20 ikat Rp 4,000 80,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 20 ikat Rp 4,000 80,000.00 0 ikat Rp 4,000 -
06 Juli 2021 BLUD labu siam 19 buah Rp 2,000 38,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 19 buah Rp 2,000 38,000.00 0 buah Rp 2,000 -
06 Juli 2021 BLUD tomat 1 kg Rp 10,000 10,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 1 kg Rp 10,000 10,000.00 0 kg Rp 10,000 -
06 Juli 2021 BLUD wortel 7 kg Rp 7,000 49,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 7 kg Rp 7,000 49,000.00 0 kg Rp 7,000 -
06 Juli 2021 BLUD kacang panjang 22 ikat Rp 5,000 110,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 22 ikat Rp 5,000 110,000.00 0 ikat Rp 5,000 -
06 Juli 2021 BLUD jamur 5 kantong Rp 5,000 25,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 5 kantong Rp 5,000 25,000.00 0 kantong Rp 5,000 -
06 Juli 2021 BLUD brokoli 2 kg Rp 15,000 30,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 kg Rp 15,000 30,000.00 0 kg Rp 15,000 -
06 Juli 2021 BLUD pepaya 9 buah Rp 10,000 90,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 9 buah Rp 10,000 90,000.00 0 buah Rp 10,000 -
06 Juli 2021 BLUD sawi putih 2 kg Rp 15,000 30,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 kg Rp 15,000 30,000.00 0 kg Rp 15,000 -
06 Juli 2021 BLUD bumbu dapur 14 bungkus Rp 4,000 56,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 14 bungkus Rp 4,000 56,000.00 0 bungkus Rp 4,000 -
06 Juli 2021 BLUD oyong 2 kg Rp 6,000 12,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 kg Rp 6,000 12,000.00 0 kg Rp 6,000 -
06 Juli 2021 BLUD jagung manis 20 buah Rp 2,000 40,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah Rp 2,000 -
06 Juli 2021 BLUD sayur asem 8 bungkus Rp 10,000 80,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 8 bungkus Rp 10,000 80,000.00 0 bungkus Rp 10,000 -
06 Juli 2021 BLUD sayur sop 10 bungkus Rp 10,000 100,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 10 bungkus Rp 10,000 100,000.00 0 bungkus Rp 10,000 -
06 Juli 2021 BLUD melon 17 kg Rp 9,000 153,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 17 kg Rp 9,000 153,000.00 0 kg Rp 9,000 -
06 Juli 2021 BLUD bawang merah 3 kg Rp 80,000 240,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 80,000 240,000.00 0 kg Rp 80,000 -
06 Juli 2021 BLUD bawang putih 3 kg Rp 70,000 210,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 70,000 210,000.00 0 kg Rp 70,000 -
06 Juli 2021 BLUD cabe rawit 2.5 kg Rp 100,000 250,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2.5 kg Rp 100,000 250,000.00 0 kg Rp 100,000 -
06 Juli 2021 BLUD cabe merah 2.5 kg Rp 100,000 250,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2.5 kg Rp 100,000 250,000.00 0 kg Rp 100,000 -
06 Juli 2021 BLUD daun bawang 0.5 kg Rp 8,000 4,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 0.5 kg Rp 8,000 4,000.00 0 kg Rp 8,000 -
06 Juli 2021 BLUD jeruk 3 kg Rp 20,000 60,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 20,000 60,000.00 0 kg Rp 20,000 -
06 Juli 2021 BLUD terong ungu 3 kg Rp 10,000 30,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 10,000 30,000.00 0 kg Rp 10,000 -
06 Juli 2021 BLUD kentang 3 kg Rp 11,000 33,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 11,000 33,000.00 0 kg Rp 11,000 -
06 Juli 2021 BLUD tempe 25 potong Rp 5,000 125,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 25 potong Rp 5,000 125,000.00 0 potong Rp 5,000 -
06 Juli 2021 BLUD tahu 23 potong Rp 4,000 92,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 23 potong Rp 4,000 92,000.00 0 potong Rp 4,000 -
06 Juli 2021 BLUD minyak goreng 15 liter Rp 15,000 225,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 15 liter Rp 15,000 225,000.00 0 liter Rp 15,000 -
06 Juli 2021 BLUD kecap manis 12 bungkus Rp 12,000 144,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 12 bungkus Rp 12,000 144,000.00 0 bungkus Rp 12,000 -
06 Juli 2021 BLUD kara 4 bungkus Rp 4,000 16,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 4 bungkus Rp 4,000 16,000.00 0 bungkus Rp 4,000 -
06 Juli 2021 BLUD ayam 8 kg Rp 35,000 280,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 8 kg Rp 35,000 280,000.00 0 kg Rp 35,000 -
06 Juli 2021 BLUD telur ayam 11 kg Rp 24,000 264,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 11 kg Rp 24,000 264,000.00 0 kg Rp 24,000 -
06 Juli 2021 BLUD ikan mujaer 4 kg Rp 30,000 120,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 4 kg Rp 30,000 120,000.00 0 kg Rp 30,000 -
06 Juli 2021 BLUD ikan kembung 5 kg Rp 30,000 150,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 5 kg Rp 30,000 150,000.00 0 kg Rp 30,000 -
06 Juli 2021 BLUD ikan lele 3 kg Rp 20,000 60,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 20,000 60,000.00 0 kg Rp 20,000 -
06 Juli 2021 BLUD telur puyuh 1 kg Rp 25,000 25,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg Rp 25,000 -
06 Juli 2021 BLUD daging 3 kg Rp 80,000 240,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 80,000 240,000.00 0 kg Rp 80,000 -

10 Agustus 2021 BLUD beras 25 kg Rp 12,000 300,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 25 kg Rp 12,000 300,000.00 0 kg Rp 12,000 -
10 Agustus 2021 BLUD gula merah 2 kg Rp 20,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
10 Agustus 2021 BLUD tepung terigu 2 kg Rp 15,000 30,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 15,000 30,000.00 0 kg Rp 15,000 -
10 Agustus 2021 BLUD sagu 1 kg Rp 20,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
10 Agustus 2021 BLUD garam 5 bungkus Rp 5,000 25,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 5 bungkus Rp 5,000 25,000.00 0 bungkus Rp 5,000 -
Page 208 of 288
10 Agustus 2021 BLUD kacang hijau 2 kg Rp 20,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
10 Agustus 2021 BLUD kemiri 0.25 kg Rp 80,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.25 kg Rp 80,000 20,000.00 0 kg Rp 80,000 -
10 Agustus 2021 BLUD lada 10 kg Rp 2,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 10 kg Rp 2,000 20,000.00 0 kg Rp 2,000 -
10 Agustus 2021 BLUD pisang 9 sisir Rp 20,000 180,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 9 sisir Rp 20,000 180,000.00 0 sisir Rp 20,000 -
10 Agustus 2021 BLUD buncis 14 ikat Rp 4,000 56,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 14 ikat Rp 4,000 56,000.00 0 ikat Rp 4,000 -
10 Agustus 2021 BLUD labu siam 11 buah Rp 2,000 22,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 11 buah Rp 2,000 22,000.00 0 buah Rp 2,000 -
10 Agustus 2021 BLUD kacang panjang 21 ikat Rp 5,000 105,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 21 ikat Rp 5,000 105,000.00 0 ikat Rp 5,000 -
10 Agustus 2021 BLUD wortel 13 kg Rp 7,000 91,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 13 kg Rp 7,000 91,000.00 0 kg Rp 7,000 -
10 Agustus 2021 BLUD pepaya 14 buah Rp 10,000 140,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 14 buah Rp 10,000 140,000.00 0 buah Rp 10,000 -
10 Agustus 2021 BLUD sawi putih 1 kg Rp 10,000 10,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 1 kg Rp 10,000 10,000.00 0 kg Rp 10,000 -
10 Agustus 2021 BLUD bawang bombay 2 kg Rp 70,000 140,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 70,000 140,000.00 0 kg Rp 70,000 -
10 Agustus 2021 BLUD oyong 10 kg Rp 6,000 60,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 10 kg Rp 6,000 60,000.00 0 kg Rp 6,000 -
10 Agustus 2021 BLUD bumbu dapur 8 bungkus Rp 4,000 32,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 8 bungkus Rp 4,000 32,000.00 0 bungkus Rp 4,000 -
10 Agustus 2021 BLUD jagung manis 20 buah Rp 2,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah Rp 2,000 -
10 Agustus 2021 BLUD sayur asem 2 bungkus Rp 10,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus Rp 10,000 -
10 Agustus 2021 BLUD sayur sop 2 bungkus Rp 10,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus Rp 10,000 -
10 Agustus 2021 BLUD jeruk 4 kg Rp 20,000 80,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 4 kg Rp 20,000 80,000.00 0 kg Rp 20,000 -
10 Agustus 2021 BLUD bayam 5 ikat Rp 6,000 30,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 5 ikat Rp 6,000 30,000.00 0 ikat Rp 6,000 -
10 Agustus 2021 BLUD toge 1.5 kg Rp 20,000 30,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 1.5 kg Rp 20,000 30,000.00 0 kg Rp 20,000 -
10 Agustus 2021 BLUD bawang merah 0.5 kg Rp 60,000 30,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 kg Rp 60,000 30,000.00 0 kg Rp 60,000 -
10 Agustus 2021 BLUD bawang putih 0.25 kg Rp 60,000 15,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.25 kg Rp 60,000 15,000.00 0 kg Rp 60,000 -
10 Agustus 2021 BLUD cabe rawit 0.5 kg Rp 80,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg Rp 80,000 -
10 Agustus 2021 BLUD cabe merah keriting 0.5 kg Rp 80,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg Rp 80,000 -
10 Agustus 2021 BLUD cabe hijau besar 0.5 kg Rp 80,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg Rp 80,000 -
10 Agustus 2021 BLUD kangkung 5 ikat Rp 5,000 25,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat Rp 5,000 -
10 Agustus 2021 BLUD kentang 4 kg Rp 11,000 44,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 4 kg Rp 11,000 44,000.00 0 kg Rp 11,000 -

10 Agustus 2021 BLUD tempe 22 potong Rp 5,000 110,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 22 potong Rp 5,000 110,000.00 0 potong Rp 5,000 -
10 Agustus 2021 BLUD tahu 19 potong Rp 4,000 76,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 19 potong Rp 4,000 76,000.00 0 potong Rp 4,000 -
10 Agustus 2021 BLUD minyak goreng 12 liter Rp 15,000 180,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 12 liter Rp 15,000 180,000.00 0 liter Rp 15,000 -
10 Agustus 2021 BLUD kecap manis 11 bungkus Rp 12,000 132,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 11 bungkus Rp 12,000 132,000.00 0 bungkus Rp 12,000 -
10 Agustus 2021 BLUD bubur sumsum 8 cup Rp 2,000 16,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 8 cup Rp 2,000 16,000.00 0 cup Rp 2,000 -
10 Agustus 2021 BLUD ayam 8 kg Rp 35,000 280,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 8 kg Rp 35,000 280,000.00 0 kg Rp 35,000 -
10 Agustus 2021 BLUD telur ayam 13 kg Rp 24,000 312,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 13 kg Rp 24,000 312,000.00 0 kg Rp 24,000 -
10 Agustus 2021 BLUD ikan lele 2 kg Rp 25,000 50,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 25,000 50,000.00 0 kg Rp 25,000 -
10 Agustus 2021 BLUD ikan kembung 6 kg Rp 30,000 180,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 6 kg Rp 30,000 180,000.00 0 kg Rp 30,000 -
10 Agustus 2021 BLUD ikan tongkol 4 kg Rp 30,000 120,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 4 kg Rp 30,000 120,000.00 0 kg Rp 30,000 -
10 Agustus 2021 BLUD telur puyuh 1 kg Rp 20,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
10 Agustus 2021 BLUD daging 2 kg Rp 80,000 160,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 80,000 160,000.00 0 kg Rp 80,000 -
10 Agustus 2021 BLUD ikan bawal 2 kg Rp 30,000 60,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 30,000 60,000.00 0 kg Rp 30,000 -

09 September 2021 BLUD beras 30 kg Rp 12,000 360,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 30 kg Rp 12,000 360,000.00 0 kg Rp 12,000 -
09 September 2021 BLUD gula merah 4 kg Rp 20,000 80,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 4 kg Rp 20,000 80,000.00 0 kg Rp 20,000 -
09 September 2021 BLUD tepung terigu 2 kg Rp 20,000 40,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
09 September 2021 BLUD kara 5 kg Rp 5,000 25,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 kg Rp 5,000 25,000.00 0 kg Rp 5,000 -
09 September 2021 BLUD kacang hijau 2 kg Rp 20,000 40,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
09 September 2021 BLUD pisang 12 sisir Rp 20,000 240,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 12 sisir Rp 20,000 240,000.00 0 sisir Rp 20,000 -
09 September 2021 BLUD buncis 10 ikat Rp 4,000 40,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 10 ikat Rp 4,000 40,000.00 0 ikat Rp 4,000 -
09 September 2021 BLUD labu siam 18 buah Rp 2,000 36,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 18 buah Rp 2,000 36,000.00 0 buah Rp 2,000 -
09 September 2021 BLUD kacang panjang 13 ikat Rp 5,000 65,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 13 ikat Rp 5,000 65,000.00 0 ikat Rp 5,000 -
09 September 2021 BLUD wortel 15 kg Rp 7,000 105,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 15 kg Rp 7,000 105,000.00 0 kg Rp 7,000 -
09 September 2021 BLUD pepaya 18 buah Rp 10,000 180,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 18 buah Rp 10,000 180,000.00 0 buah Rp 10,000 -
09 September 2021 BLUD jamur 4 bungkus Rp 7,000 28,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 4 bungkus Rp 7,000 28,000.00 0 bungkus Rp 7,000 -
09 September 2021 BLUD brokoli 1 kg Rp 35,000 35,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 kg Rp 35,000 35,000.00 0 kg Rp 35,000 -
09 September 2021 BLUD oyong 2 kg Rp 6,000 12,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 kg Rp 6,000 12,000.00 0 kg Rp 6,000 -
09 September 2021 BLUD bumbu dapur 16 bungkus Rp 4,000 64,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 16 bungkus Rp 4,000 64,000.00 0 bungkus Rp 4,000 -
09 September 2021 BLUD jagung manis 20 buah Rp 2,000 40,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah Rp 2,000 -
09 September 2021 BLUD sayur asem 2 bungkus Rp 10,000 20,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus Rp 10,000 -
09 September 2021 BLUD sayur sop 2 bungkus Rp 10,000 20,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus Rp 10,000 -
09 September 2021 BLUD kangkung 5 ikat Rp 5,000 25,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat Rp 5,000 -
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09 September 2021 BLUD bayam 3 ikat Rp 5,000 15,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 3 ikat Rp 5,000 15,000.00 0 ikat Rp 5,000 -
09 September 2021 BLUD putren 5 kg Rp 5,000 25,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 kg Rp 5,000 25,000.00 0 kg Rp 5,000 -
09 September 2021 BLUD bawang merah 1.5 kg Rp 50,000 75,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1.5 kg Rp 50,000 75,000.00 0 kg Rp 50,000 -
09 September 2021 BLUD bawang putih 1.5 kg Rp 50,000 75,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1.5 kg Rp 50,000 75,000.00 0 kg Rp 50,000 -
09 September 2021 BLUD cabe rawit 1.5 kg Rp 50,000 75,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1.5 kg Rp 50,000 75,000.00 0 kg Rp 50,000 -
09 September 2021 BLUD cabe merah 1.5 kg Rp 50,000 75,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1.5 kg Rp 50,000 75,000.00 0 kg Rp 50,000 -
09 September 2021 BLUD sayur lodeh 1 kg Rp 10,000 10,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 kg Rp 10,000 10,000.00 0 kg Rp 10,000 -
09 September 2021 BLUD daun singkong 5 ikat Rp 6,000 30,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 ikat Rp 6,000 30,000.00 0 ikat Rp 6,000 -
09 September 2021 BLUD kentang 5 kg Rp 11,000 55,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 kg Rp 11,000 55,000.00 0 kg Rp 11,000 -

09 September 2021 BLUD tempe 22 potong Rp 5,000 110,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 22 potong Rp 5,000 110,000.00 0 potong Rp 5,000 -
09 September 2021 BLUD tahu 22 potong Rp 4,000 88,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 22 potong Rp 4,000 88,000.00 0 potong Rp 4,000 -
09 September 2021 BLUD minyak goreng 14 liter Rp 15,000 210,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 14 liter Rp 15,000 210,000.00 0 liter Rp 15,000 -
09 September 2021 BLUD kecap manis 9 bungkus Rp 12,000 108,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 9 bungkus Rp 12,000 108,000.00 0 bungkus Rp 12,000 -
09 September 2021 BLUD puding susu 3 bungkus Rp 15,000 45,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 3 bungkus Rp 15,000 45,000.00 0 bungkus Rp 15,000 -
09 September 2021 BLUD ayam 6 kg Rp 35,000 210,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 6 kg Rp 35,000 210,000.00 0 kg Rp 35,000 -
09 September 2021 BLUD telur ayam 14 kg Rp 24,000 336,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 14 kg Rp 24,000 336,000.00 0 kg Rp 24,000 -
09 September 2021 BLUD ikan selar 1 kg Rp 25,000 25,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg Rp 25,000 -
09 September 2021 BLUD ikan kembung 5 kg Rp 25,000 125,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 kg Rp 25,000 125,000.00 0 kg Rp 25,000 -
09 September 2021 BLUD ikan tuna 0.5 kg Rp 30,000 15,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 0.5 kg Rp 30,000 15,000.00 0 kg Rp 30,000 -
09 September 2021 BLUD telur puyuh 1 kg Rp 20,000 20,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
11 Oktober 2021 BLUD beras 28 kg Rp 12,000 336,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 28 kg Rp 12,000 336,000.00 0 kg Rp 12,000 -
11 Oktober 2021 BLUD gula merah 2 kg Rp 20,000 40,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
11 Oktober 2021 BLUD kemiri 10 bungkus Rp 2,000 20,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 10 bungkus Rp 2,000 20,000.00 0 bungkus Rp 2,000 -
11 Oktober 2021 BLUD kacang hijau 1 kg Rp 20,000 20,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
11 Oktober 2021 BLUD pisang 2 sisir Rp 20,000 40,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 sisir Rp 20,000 40,000.00 0 sisir Rp 20,000 -
11 Oktober 2021 BLUD buncis 29 ikat Rp 4,000 116,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 29 ikat Rp 4,000 116,000.00 0 ikat Rp 4,000 -
11 Oktober 2021 BLUD labu siam 22 buah Rp 2,000 44,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 22 buah Rp 2,000 44,000.00 0 buah Rp 2,000 -
11 Oktober 2021 BLUD kacang panjang 32 ikat Rp 5,000 160,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 32 ikat Rp 5,000 160,000.00 0 ikat Rp 5,000 -
11 Oktober 2021 BLUD wortel 14 kg Rp 7,000 98,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 14 kg Rp 7,000 98,000.00 0 kg Rp 7,000 -
11 Oktober 2021 BLUD pepaya 8 buah Rp 10,000 80,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 8 buah Rp 10,000 80,000.00 0 buah Rp 10,000 -
11 Oktober 2021 BLUD jamur 5 bungkus Rp 5,000 25,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 5 bungkus Rp 5,000 25,000.00 0 bungkus Rp 5,000 -
11 Oktober 2021 BLUD toge 0.15 kg Rp 10,000 1,500.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 0.15 kg Rp 10,000 1,500.00 0 kg Rp 10,000 -
11 Oktober 2021 BLUD oyong 8 kg Rp 6,000 48,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 8 kg Rp 6,000 48,000.00 0 kg Rp 6,000 -
11 Oktober 2021 BLUD tomat 1.75 bungkus Rp 18,000 31,500.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 bungkus Rp 18,000 31,500.00 0 bungkus Rp 18,000 -
11 Oktober 2021 BLUD jagung manis 34 buah Rp 2,000 68,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 34 buah Rp 2,000 68,000.00 0 buah Rp 2,000 -
11 Oktober 2021 BLUD sayur asem 2 bungkus Rp 10,000 20,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus Rp 10,000 -
11 Oktober 2021 BLUD sayur sop 6 bungkus Rp 10,000 60,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 6 bungkus Rp 10,000 60,000.00 0 bungkus Rp 10,000 -
11 Oktober 2021 BLUD kangkung 5 ikat Rp 5,000 25,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat Rp 5,000 -
11 Oktober 2021 BLUD sawi putih 1 buah Rp 15,000 15,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1 buah Rp 15,000 15,000.00 0 buah Rp 15,000 -
11 Oktober 2021 BLUD bumbu dapur 14 kg Rp 4,000 56,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 14 kg Rp 4,000 56,000.00 0 kg Rp 4,000 -
11 Oktober 2021 BLUD bawang merah 1.75 kg Rp 60,000 105,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 kg Rp 60,000 105,000.00 0 kg Rp 60,000 -
11 Oktober 2021 BLUD bawang putih 1.75 kg Rp 50,000 87,500.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 kg Rp 50,000 87,500.00 0 kg Rp 50,000 -
11 Oktober 2021 BLUD cabe rawit 1.75 kg Rp 70,000 122,500.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 kg Rp 70,000 122,500.00 0 kg Rp 70,000 -
11 Oktober 2021 BLUD cabe merah 1.75 kg Rp 60,000 105,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 kg Rp 60,000 105,000.00 0 kg Rp 60,000 -
11 Oktober 2021 BLUD terong ungu 2 kg Rp 10,000 20,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 kg Rp 10,000 20,000.00 0 kg Rp 10,000 -
11 Oktober 2021 BLUD daun singkong 5 ikat Rp 5,000 25,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat Rp 5,000 -
11 Oktober 2021 BLUD kentang 11 kg Rp 11,000 121,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 11 kg Rp 11,000 121,000.00 0 kg Rp 11,000 -
11 Oktober 2021 BLUD daun bawang 0.5 kg Rp 20,000 10,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 0.5 kg Rp 20,000 10,000.00 0 kg Rp 20,000 -
11 Oktober 2021 BLUD tempe 25 potong Rp 5,000 125,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 25 potong Rp 5,000 125,000.00 0 potong Rp 5,000 -
11 Oktober 2021 BLUD tahu 25 potong Rp 4,000 100,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 25 potong Rp 4,000 100,000.00 0 potong Rp 4,000 -
11 Oktober 2021 BLUD minyak goreng 13 liter Rp 15,000 195,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 13 liter Rp 15,000 195,000.00 0 liter Rp 15,000 -
11 Oktober 2021 BLUD kecap manis 14 bungkus Rp 12,000 168,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 14 bungkus Rp 12,000 168,000.00 0 bungkus Rp 12,000 -
11 Oktober 2021 BLUD bakso 0.5 bungkus Rp 60,000 30,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 0.5 bungkus Rp 60,000 30,000.00 0 bungkus Rp 60,000 -
11 Oktober 2021 BLUD ayam 5 kg Rp 35,000 175,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 5 kg Rp 35,000 175,000.00 0 kg Rp 35,000 -
11 Oktober 2021 BLUD telur ayam 17 kg Rp 24,000 408,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 17 kg Rp 24,000 408,000.00 0 kg Rp 24,000 -
11 Oktober 2021 BLUD telur puyuh 2 kg Rp 20,000 40,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
11 Oktober 2021 BLUD ikan kembung 6 kg Rp 25,000 150,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 6 kg Rp 25,000 150,000.00 0 kg Rp 25,000 -
Page 210 of 288
11 Oktober 2021 BLUD daging 2 kg Rp 80,000 160,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 kg Rp 80,000 160,000.00 0 kg Rp 80,000 -

11 November 2021 BLUD beras 31 kg Rp 12,000 372,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 31 kg Rp 12,000 372,000.00 0 kg Rp 12,000 -
11 November 2021 BLUD gula merah 3 kg Rp 20,000 60,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 kg Rp 20,000 60,000.00 0 kg Rp 20,000 -
11 November 2021 BLUD kemiri 10 bungkus Rp 1,000 10,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 10 bungkus Rp 1,000 10,000.00 0 bungkus Rp 2,000 -
11 November 2021 BLUD kacang hijau 2 kg Rp 20,000 40,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
11 November 2021 BLUD tepung terigu 2 kg Rp 10,000 20,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 10,000 20,000.00
11 November 2021 BLUD garam 6 bungkus Rp 5,000 30,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 6 bungkus Rp 5,000 30,000.00
11 November 2021 BLUD tepung beras 0.5 bungkus Rp 25,000 12,500.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 0.5 bungkus Rp 25,000 12,500.00
11 November 2021 BLUD royco 1 lusin Rp 15,000 15,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 lusin Rp 15,000 15,000.00

11 November 2021 BLUD pisang 8 sisir Rp 20,000 160,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 8 sisir Rp 20,000 160,000.00 0 sisir Rp 20,000 -
11 November 2021 BLUD buncis 20 ikat Rp 4,000 80,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 20 ikat Rp 4,000 80,000.00 0 ikat Rp 4,000 -
11 November 2021 BLUD labu siam 23 buah Rp 2,000 46,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 23 buah Rp 2,000 46,000.00 0 buah Rp 2,000 -
11 November 2021 BLUD kacang panjang 18 ikat Rp 5,000 90,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 18 ikat Rp 5,000 90,000.00 0 ikat Rp 5,000 -
11 November 2021 BLUD wortel 12 kg Rp 7,000 84,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 12 kg Rp 7,000 84,000.00 0 kg Rp 7,000 -
11 November 2021 BLUD pepaya 5 buah Rp 10,000 50,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 5 buah Rp 10,000 50,000.00 0 buah Rp 10,000 -
11 November 2021 BLUD jamur 3 bungkus Rp 5,000 15,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 bungkus Rp 5,000 15,000.00 0 bungkus Rp 5,000 -
11 November 2021 BLUD toge 0.5 kg Rp 15,000 7,500.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 0.5 kg Rp 15,000 7,500.00 0 kg Rp 10,000 -
11 November 2021 BLUD oyong 5 bungkus Rp 7,000 35,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 5 bungkus Rp 7,000 35,000.00 0 kg Rp 6,000 -
11 November 2021 BLUD tomat 3 kg Rp 15,000 45,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 kg Rp 15,000 45,000.00 0 bungkus Rp 18,000 -
11 November 2021 BLUD jagung manis 27 buah Rp 2,000 54,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 27 buah Rp 2,000 54,000.00 0 buah Rp 2,000 -
11 November 2021 BLUD sayur asem 4 bungkus Rp 10,000 40,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 4 bungkus Rp 10,000 40,000.00 0 bungkus Rp 10,000 -
11 November 2021 BLUD sayur sop 5 bungkus Rp 10,000 50,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 5 bungkus Rp 10,000 50,000.00 0 bungkus Rp 10,000 -
11 November 2021 BLUD kangkung 5 ikat Rp 5,000 25,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat Rp 5,000 -
11 November 2021 BLUD sawi putih 3.5 buah Rp 12,000 42,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3.5 buah Rp 12,000 42,000.00 0 buah Rp 15,000 -
11 November 2021 BLUD bumbu dapur 16 kg Rp 4,000 64,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 16 kg Rp 4,000 64,000.00 0 kg Rp 4,000 -
11 November 2021 BLUD bawang merah 2 kg Rp 50,000 100,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg Rp 60,000 -
11 November 2021 BLUD bawang putih 2 kg Rp 50,000 100,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg Rp 50,000 -
11 November 2021 BLUD cabe rawit 2 kg Rp 50,000 100,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg Rp 70,000 -
11 November 2021 BLUD cabe merah 2 kg Rp 50,000 100,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg Rp 60,000 -
11 November 2021 BLUD bawang bombay 1 kg Rp 30,000 30,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 kg Rp 30,000 30,000.00 0 kg Rp 10,000 -
11 November 2021 BLUD bayam 2 ikat Rp 5,000 10,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 ikat Rp 5,000 10,000.00 0 ikat Rp 5,000 -
11 November 2021 BLUD kentang 4 kg Rp 11,000 44,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 4 kg Rp 11,000 44,000.00 0 kg Rp 11,000 -
11 November 2021 BLUD daun bawang 0.5 kg Rp 15,000 7,500.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 0.5 kg Rp 15,000 7,500.00 0 kg Rp 20,000 -
11 November 2021 BLUD tempe 29 potong Rp 5,000 145,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 29 potong Rp 5,000 145,000.00 0 potong Rp 5,000 -
11 November 2021 BLUD tahu 29 potong Rp 4,000 116,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 29 potong Rp 4,000 116,000.00 0 potong Rp 4,000 -
11 November 2021 BLUD minyak goreng 16 liter Rp 15,000 240,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 16 liter Rp 15,000 240,000.00 0 liter Rp 15,000 -
11 November 2021 BLUD kecap manis 13 bungkus Rp 12,000 156,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 13 bungkus Rp 12,000 156,000.00 0 bungkus Rp 12,000 -
11 November 2021 BLUD ayam 10 kg Rp 35,000 350,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 10 kg Rp 35,000 350,000.00 0 kg Rp 35,000 -
11 November 2021 BLUD telur ayam 15 kg Rp 24,000 360,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 15 kg Rp 24,000 360,000.00 0 kg Rp 24,000 -
11 November 2021 BLUD telur puyuh 1 kg Rp 20,000 20,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
11 November 2021 BLUD ikan kembung 4 kg Rp 30,000 120,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 4 kg Rp 30,000 120,000.00 0 kg Rp 25,000 -
11 November 2021 BLUD ikan bawal 3 kg Rp 25,000 75,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 kg Rp 25,000 75,000.00 0 kg Rp 80,000 -
11 November 2021 BLUD ikan mujair 2 kg Rp 25,000 50,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 25,000 50,000.00 0 kg
11 November 2021 BLUD ati ampela 1 kg Rp 25,000 25,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg
JUMLAH BELANJA MAKANAN DAN MINUMAN PADA FASILITAS PELAYANAN URUSAN KESEHATAN (5.1.02.01.01.0049) (5.1.02.01.01.054) 35,909,000.00 650,000.00 -
Page 211 of 288

Page 212 of 288

Page 213 of 288

26 April 2021 Farmalkes ABX Miniclean 2 Botol 2,415,600 4,831,200.00 252/APBD/SEKSI FARMALKES/IV/2021 Monday, April 26, 2021 01 Jan-30 Juni Farmasi 2 Botol 2,415,600.00 4,831,200.00 0 Botol 2,415,600.00 Rp -
18 Mei 2021 Farmalkes Dif Diluent 4 Botol 1,669,250 6,677,000.00 325/APBD/SEKSI FARMALKES/V/2021 18 Mei 2021 01 Jan-30 Juni Farmasi 4 Botol 1,669,250.00 6,677,000.00 0 Botol 1,669,250.00 Rp -
23 Juni 2021 Farmalkes Cell Dyn Easy Cleaner 6 Botol 2,904,000 17,424,000.00 446/APBD/SEKSI FARMALKES/VI/2021 23 Juni 2021 01 Jan-30 Juni Farmasi 6 Botol 2,904,000.00 17,424,000.00 0 Botol 2,904,000.00 Rp -
04 Agustus 2021 Farmalkes Rapid Test 1 HIV 27500 Test 9,082 249,741,800 634/APBD/SEKSI FARMALKES/VII/2021 27 Juli 2021 01 Juli-31 Des Farmasi 27500 Test 9,081.52 249,741,800.00 0 Test 9,081.52 Rp -
29 Juli 2021 Farmalkes HbaAg Strip 1000 Pcs 8,100 8,100,000 635/APBD/SEKSI FARMALKES/VII/2021 29 Juli 2021 01 Juli-31 Des Farmasi 1000 Pcs 8,100.00 8,100,000.00 0 Pcs 8,100.00 Rp -
Page 214 of 288

16 Juli 2021 Farmalkes Urine Reagen Strips 21 Box 512,490 10,762,290 636//APBD/SEKSI FARMALKES/VII/2021 01 Juli-31 Des Farmasi 21 Box 512,490.00 10,762,290.00 0 Box 512,490.00 Rp -
06 September 2021 Farmalkes Glukosa Kit (god-pod) 16 Kit 531,300 8,500,800 704/PERSEDIAAN/DINKES/FARMALKES/IX/2021 01 Juli-31 Des Farmasi 16 Kit 531,300.00 8,500,800.00 0 Kit 531,300.00 Rp -
28 September 2021 Farmalkes Reagen PCR 15264 Test 168,838 2,577,142,900.00 850/APBD/SEKSI FARMALKES/IX/2021 01 Juli-31 Des Farmasi 15264 Test 168,837.98 2,577,142,900.00 0 Test 168,837.98 Rp -
22 September 2021 Farmalkes Reagen HB Hemocrom 42 Kit 2,200,000 92,400,000 853/APBD/SEKSI FARMALKES/IX/2021 01 Juli-31 Des Farmasi 42 Kit 2,200,000.00 92,400,000.00 0 Kit 2,200,000.00 Rp -
#REF!
03 Agustus 2021 Farmalkes Cairan Desinfektan (Aseptanios AD 5L) 300 Galon 2,416,700 725,010,000.00 633/APBD/SEKSI FARMALKES/VII/2021 Friday, July 30, 2021 01 Juli-31 Des Farmasi 300 Galon 2,416,700.00 725,010,000.00 0 Galon 2,416,700.00 Rp -
26 Agustus 2021 Farmalkes Plester Transparan/Plesterin 1000 Box 38,934 38,934,000.00 705/DAK/SEKSI FARMALKES/VIII/2021 Friday, July 30, 2021 01 Juli-31 Des Farmasi 1000 Box 38,934.00 38,934,000.00 0 Box 38,934.00 Rp -
28 September 2021 Farmalkes Coverall 45225 Pcs 110,600 5,001,885,000.00 849/APBD/SEKSI FARMALKES/IX/2021 Monday, September 13, 2021 01 Juli-31 Des Farmasi 45225 Pcs 110,600.00 5,001,885,000.00 0 Pcs 110,600.00 Rp -
#REF!

(5.1.02.01.01.0024)
Page 215 of 288

26 Maret 2021 Farmalkes sertifikat/Ijasah/Piagam 1 Warna BC/ Linen 40 Lembar 5,000 200,000.00 302/DAK BPOM/SEKSI/FARMALKES/II/2021 Wednesday, March 31, 2021 01 Jan-30 Juni Kegiatan 40 Lembar 5,000.00 200,000.00 0 Lembar 5,000.00 Rp -
Page 216 of 288

21 Juli 2021 Farmalkes Catriedge TCM 4800 Test 252,400 1,211,520,000.00 519/APBD/SEKSI FARMALKES/VII/2021 01 Juli- 31 Des Kegiatan 4800 Test 252,400.00 1,211,520,000.00 0 Test 252,400.00 Rp -
#REF!

(5.1.02.01.01.0025)
#REF!
Belanja Cetak (5.1.02.01.01.0026)
Page 217 of 288

31 Maret 2021 Farmalkes Spanduk Standar 4 Meter 15,000 60,000.00 301/DAK BPOM/SEKSI FARMALKES/II/2021 Wednesday, March 31, 2021 01 Jan-30 Juni Staff 4 Meter 15,000.00 60,000.00 0 Meter 15,000.00 Rp -
11 Maret 2021 Promkes Buku Manual Kesmavet 120 Buah 170,000 20,400,000.00 444/APBD/PROMKESLINGKESJAOR/VI/2021 01 Jan-30 Juni Staff 120 Buah 170,000.00 20,400,000.00 0 Buah 170,000.00 Rp -
23 September 2021 Kesga Buku Bina Lansia 7290 Bok 7,900 57,591,000.00 789/APBD/KESGA/VIII/2021 Monday, September 20, 2021 01 Jan-30 Juni Staff 7290 Bok 7,900.00 57,591,000.00 0 Bok 7,900.00 Rp -

#REF!

#REF!
(5.1.02.01.01.0027)
#REF!

(5.1.02.01.01.0029)
Page 218 of 288




#REF!

(5.1.02.01.01.0030)
Page 219 of 288

#REF!

#REF!

(5.1.02.01.01.0035)
08 Juni 2021 Promkes Souvenir Pelaksanaan EHRA Study 120 Paket 140,000.00 16,800,000.00 445//APBD/PROMKESLINGKESJAOR/VI/2021 01 Jan-30 Juni Staff 120 Paket 140,000.00 16,800,000.00 0 Paket 140,000.00 Rp -
#REF!
30 Juni 2021 Farmalkes Amoxicillin sirup/suspensi kering 125mg/5ml 10000 Botol 2,050.00 20,500,000.00 715/SEKSI FARMALKES/VI/2021 Monday, September 13, 2021 01 Juli-31 Des Staff 10000 Botol 2,050.00 20,500,000.00 0 Botol 2,050.00 Rp -
06 September 2021 Farmalkes Amlodipin Tablet 10mg 300000 Tablet 70.00 21,000,000.00 872/SEKSI FARMALKES/IX/2021 Monday, September 06, 2021 01 Juli-31 Des Staff 300000 Tablet 70.00 21,000,000.00 0 Tablet 70.00 Rp -
25 Agustus 2021 Farmalkes Glimepirid Tablet 2mg 100000 Tablet 123.00 12,300,000.00 872/SEKSI FARMALKES/VIII/2021 Wednesday, August 25, 2021 01 Juli-31 Des Staff 100000 Tablet 123.00 12,300,000.00 0 Tablet 123.00 Rp -
#REF!

(5.1.02.01.01.0039)

@24 Roll
Page 220 of 288

06 September 2021 Promkes Personal Komputer Hp All In One 4 Unit 11,638,250.00 46,553,000.00 729/APBD/PROMKESLINGKESJAOR/IX/2021 01 Juli-31 Des Kegiatan 4 Unit 11,638,250.00 46,553,000.00 0 Unit 11,638,250.00 Rp -
13 September 2021 Promkes Cetak Brosur Covid-19 art paper 150gr 10 Rim 1,200,000.00 12,000,000.00 765/APBD/PROMKESLINGKESJAOR/IX/2021 01 Juli-31 Des Kegiatan 10 Rim 1,200,000.00 12,000,000.00 0 Rim 1,200,000.00 Rp -
13 September 2021 Promkes Cetak Brosur Diabetes 2 Muka Kertas Art Paper 150gr 10 Rim 1,400,000.00 14,000,000.00 766/APBD/PROMKESLINGKESJAOR/IX/2021 01 Juli-31 Des Kegiatan 10 Rim 1,400,000.00 14,000,000.00 0 Rim 1,400,000.00
15 September 2021 Promkes Printer Epson L4150 10 Unit 4,131,000.00 41,310,000.00 766/APBD/PROMKESLINGKESJAOR/IX/2021 01 Juli-31 Des FFKS 10 Unit 4,131,000.00 41,310,000.00 0 Unit 4,131,000.00
28 Mei 2021 Umpeg Reffil Aqua Galon 83 Galon 22,000.00 1,826,000.00 343/APBD/SUB BAGIAN UMUM KEPEGAWAIAN /V/2021 01 Jan-30 Juni Operasional 83 Galon 22,000.00 1,826,000.00 0 Galon 22,000.00 Rp -
21 Juli 2021 Umpeg Reffil Aqua Galon 240 Galon 22,000.00 5,280,000.00 489/APBD/SUB BAGIAN UMUM KEPEGAWAIAN /VII/2021 01 Juli-31 Des Operasional 240 Galon 22,000.00 5,280,000.00 0 Galon 22,000.00 Rp -
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04 Oktober 2021 Umpeg makmin (belanja air galon) 1 Paket 8,736,000 8,736,000.00 870/APBD/SEKSI UMUM DAN KEPEGAWAIAN/IX/2021 01 Juli-31 Des Kegiatan 1 Paket 8,736,000.00 8,736,000.00 0 Paket 8,736,000.00 Rp -
#REF!
22 Februari 2021 Farmalkes Makmin 1 Paket 2,555,000.00 2,555,000.00 177/APBD/SEKSI FARMALKES/II/2021 01 Jan-30 Juni Kegiatan 1 Paket 2,555,000.00 2,555,000.00 0 Paket 2,555,000.00 Rp -
#REF!
Jasa Film/Video (CD); Produksi Video Profil Pimpinan Daerah dan OPD
13 September 2021 Promkelingjaor 1 Kegiatan 47,000,000.00 47,000,000.00 728/APBD/PROMKESLINGKESJAOR/IX/2021 01 Jan-30 Juni Kegiatan 1 Kegiatan 47,000,000.00 47,000,000.00 0 Kegiatan 47,000,000.00 Rp -
serta iklan layanan Masyarakat
#REF!
#REF!

(5.1.02.02.12)
08 Juni 2021 Promkes Kaos Sablon Pelatihan EHRA 120 Buah 127,000.00 15,240,000.00 443/APBD/PROMKESLINGKESJAOR/VI/2021 01 Jan-30 Juni Staff 120 Buah 127,000.00 15,240,000.00 0 Buah 127,000.00 Rp -
#REF!
02 Juli 2021 Farmalkes Tips 1000 ul Merk Thermo Scientific 19968 Pcs 4,000.00 79,872,000.00 670/PERSEDIAAN/DINKES/FARMALKES/VI/2021 Staff 19968 Pcs 4,000.00 79,872,000.00 0 Pcs 4,000.00 Rp -
08 Maret 2021 Farmalkes Reagen PCR Merk Care Gene Covid-9 RT-PCR Kit 11200 Pcs 160,000.00 1,792,000,000.00 671/PERSEDIAAN/DINKES/FARMALKES/VIII/2021 Staff 11200 Pcs 160,000.00 1,792,000,000.00 0 Pcs 160,000.00 Rp -
03 Mei 2021 Farmalkes Tabung PCR 0,1 ml Merk Mygo Pro 9000 Pcs 3,500.00 31,500,000.00 672/PERSEDIAAN/DINKES/FARMALKES/VIII/2021 Staff 9000 Pcs 3,500.00 31,500,000.00 0 Pcs 3,500.00 Rp -
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05 April 2021 Farmalkes Tabung PCR 0,1 ml Merk Qiagen, 981103 23000 Pcs 8,855.00 203,665,000.00 673/PERSEDIAAN/DINKES/FARMALKES/VIII/2021 Staff 23000 Pcs 8,855.00 203,665,000.00 0 Pcs 8,855.00 Rp -
#REF!
1. SALDO AWAL = 160,000 1. KELUAR SALDO AWAL = 160,000 1. SISA SALDO AWAL -

………………………. …………………….
NIP. 19 NIP. 19
Page 223 of 288


27/7/2021 BLUD Ballpoint Pilot BPTP 10 lusin 48,400.00 484,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-31 Des 05/KW/ASS/VI/2021 22/07/2021 Operasional 5 lusin 48,400.00 242,000.00 5 lusin 48,400.00 242,000.00
27/7/2021 BLUD Pensil 5 Lusin 28,600.00 143,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-31 Des 05/KW/ASS/VI/2021 22/07/2021 Operasional 1 Lusin 28,600.00 28,600.00 4 Lusin 28,600.00 114,400.00
27/7/2021 BLUD Box File Plastik 20 pcs 41,800.00 836,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-31 Des 05/KW/ASS/VI/2021 22/07/2021 Operasional 5 pcs 41,800.00 209,000.00 15 pcs 41,800.00 627,000.00
27/7/2021 BLUD Lem Kertas 15 buah 17,600.00 264,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-31 Des 05/KW/ASS/VI/2021 22/07/2021 Operasional 3 buah 17,600.00 52,800.00 12 buah 17,600.00 211,200.00
27/7/2021 BLUD Buku Polio 13 buah 72,600.00 943,800.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-31 Des 05/KW/ASS/VI/2021 22/07/2021 Operasional 4 buah 72,600.00 290,400.00 9 buah 72,600.00 653,400.00
27/7/2021 BLUD Map Kancing Plastik 20 lusin 68,200.00 1,364,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-31 Des 05/KW/ASS/VI/2021 22/07/2021 Operasional 0 lusin 68,200.00 - 20 lusin 68,200.00 1,364,000.00
22 Oktober 2021 BLUD tinta stempel ungu 10 pcs 15,000.00 150,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 10 pcs 15,000.00 150,000.00 10 pcs 15,000.00 150,000.00
22 Oktober 2021 BLUD lakban kain 2 inch hitam 2 Roll 25,000.00 50,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 2 Roll 25,000.00 50,000.00 2 Roll 25,000.00 50,000.00
22 Oktober 2021 BLUD lakban kain 2 inch hijau 1 Roll 25,000.00 25,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 1 Roll 25,000.00 25,000.00 1 Roll 25,000.00 25,000.00
22 Oktober 2021 BLUD lakban kain 2 inch kuning 1 Roll 25,000.00 25,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 1 Roll 25,000.00 25,000.00 1 Roll 25,000.00 25,000.00
22 Oktober 2021 BLUD lakban kain 2 inch merah 1 Roll 25,000.00 25,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 1 Roll 25,000.00 25,000.00 1 Roll 25,000.00 25,000.00
22 Oktober 2021 BLUD lakban opp bening/transparan 2 inch 5 Roll 20,000.00 100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 5 Roll 20,000.00 100,000.00 5 Roll 20,000.00 100,000.00
22 Oktober 2021 BLUD tape dispenser tempat isolasi joyco TD-103 5 buah 40,000.00 200,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 5 buah 40,000.00 200,000.00 5 buah 40,000.00 200,000.00
22 Oktober 2021 BLUD tape cutter tempat isolasi lakban joyco TD-2 5 buah 35,000.00 175,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 5 buah 35,000.00 175,000.00 5 buah 35,000.00 175,000.00
22 Oktober 2021 BLUD isi stappler no 10 joyco 20 box 40,000.00 800,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 20 box 40,000.00 800,000.00 20 box 40,000.00 800,000.00
22 Oktober 2021 BLUD isi stappler no 3 joyco 20 box 50,000.00 1,000,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 20 box 50,000.00 1,000,000.00 20 box 50,000.00 1,000,000.00
22 Oktober 2021 BLUD paper klip no 5 kenko/joyco 30 kotak 9,000.00 270,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 30 kotak 9,000.00 270,000.00 30 kotak 9,000.00 270,000.00
22 Oktober 2021 BLUD ballpoint balliner 2 pak 215,000.00 430,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 2 pak 215,000.00 430,000.00 2 pak 215,000.00 430,000.00
22 Oktober 2021 BLUD map L bening daichi F4 20 lusin 38,000.00 760,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 20 lusin 38,000.00 760,000.00 20 lusin 38,000.00 760,000.00
22 Oktober 2021 BLUD buku expedisi paperline isi 100 lembar 8 buah 18,000.00 144,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 8 buah 18,000.00 144,000.00 8 buah 18,000.00 144,000.00
22 Oktober 2021 BLUD correction pen (tip-ex cair) 5 box 100,000.00 500,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 5 box 100,000.00 500,000.00 5 box 100,000.00 500,000.00
22 Oktober 2021 BLUD memo sticky note post it 3M 654 20 pad 17,000.00 340,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 043/KW.PMJ/X/2021 12/10/2021 20 pad 17,000.00 340,000.00 20 pad 17,000.00 340,000.00
JUMLAH BELANJA ALAT TULIS KANTOR (5.1.02.01.01.0024) (5.1.02.01.01.022) 19,033,800.00 14,999,000.00 14,999,000.00
KERTAS HVS (5.1.02.01.01.0025) (5.1.02.01.01.023)
08 April 2021 BLUD Kertas HVS A4 39 rim 53,900 2,102,100.00 160/PKM PONDOK RANJI/IV/2021 8/4/2021 01 Jan-31 Des 01/KW/ASS/IV/2021 1/4/2021 Operasional 12 rim 53,900.00 646,800.00 27 rim 53,900.00 1,455,300.00
08 April 2021 BLUD Kertas HVS F4 80 rim 59,400 4,752,000.00 160/PKM PONDOK RANJI/IV/2021 8/4/2021 01 Jan-31 Des 01/KW/ASS/IV/2021 1/4/2021 Operasional 32 rim 59,400.00 1,900,800.00 48 rim 59,400.00 2,851,200.00
JUMLAH BELANJA KERTAS HVS (5.1.02.01.01.0025) (5.1.02.01.01.023) 6,854,100.00 2,547,600.00 4,306,500.00
BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-BENDA POS

(5.1.02.01.01.0027) (5.1.02.01.01.025)
19/03/2021 BLUD Materai 200 buah 10,129 2,025,700.00 129/PKM PONDOK RANJI/III/2021 19/03/2021 01 Jan-31 Des 4693 16/03/2021 Program 90 buah 10,128.50 911,565.00 110 buah 10,128.50 1,114,135.00
Program 0 0 - - 0 0 - -
JUMLAH BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-BENDA POS (5.1.02.01.01.0027) (5.1.02.01.01.025) 2,025,700.00 911,565.00 1,114,135.00
BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-PERABOT

KANTOR (5.1.02.01.01.0030) (5.1.02.01.01.028)
Page 224 of 288

19/03/2021 BLUD Gas Elpiji 1 tabung 170,000 170,000.00 098/PKM PONDOK RANJI/III/2021 19/03/2021 01 Jan-31 Des 10/BLUD/PKMPDR/2021 8/3/2021 Operasional 1 tabung 170,000.00 170,000.00 0 tabung 170,000.00 -
05 Mei 2021 BLUD Gas Elpiji 2 tabung 160,000 320,000.00 262/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 24/BLUD/PKMPDR/2021 23/04/2021 Operasional 2 tabung 160,000.00 320,000.00 0 tabung 160,000.00 -
06 Juli 2021 BLUD Gas Elpiji 2 tabung 170,000 340,000.00 453/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-31 Des 37/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 tabung 170,000.00 340,000.00 0 tabung 170,000.00 -
09 September 2021 BLUD Gas Elpiji 2 tabung 170,000 340,000.00 708/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-31 Des 54/BLUD/PKMPDR/2021 26/08/2021 Operasional 2 tabung 170,000.00 340,000.00 0 tabung 170,000.00 -
11 November 2021 BLUD Gas Elpiji 1 tabung 170,000 170,000.00 1150/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-31 Des 65/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 tabung 170,000.00 170,000.00 0 tabung 170,000.00 -
JUMLAH BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-PERABOT KANTOR (5.1.02.01.01.0030) (5.1.02.01.01.028) 1,340,000.00 1,340,000.00 - -
BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-ALAT LISTRIK

- -
(5.1.02.01.01.0031) (5.1.02.01.01.029)
05 Mei 2021 BLUD Baterai Tipe LR44 5 set 10,000 50,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 01/BW/2021 29/04/2021 Operasional 5 set 10,000.00 50,000.00 0 set 10,000.00 -
05 Mei 2021 BLUD Lampu Sorot 5 set 145,000 725,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 01/BW/2021 29/04/2021 Operasional 1 set 145,000.00 145,000.00 4 set 145,000.00 580,000.00
05 Mei 2021 BLUD Lampu Bohlam 20 buah 41,500 830,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 01/BW/2021 29/04/2021 Operasional 20 buah 41,500.00 830,000.00 0 buah 41,500.00 -
05 Mei 2021 BLUD Stop kontak 4 buah 28,500 114,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 01/BW/2021 29/04/2021 Operasional 0 buah 28,500.00 - 4 buah 28,500.00 114,000.00
05 Mei 2021 BLUD Kabel Roll 3 buah 99,500 298,500.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 01/BW/2021 29/04/2021 Operasional 3 buah 99,500.00 298,500.00 0 buah 99,500.00 -
05 Mei 2021 BLUD Neon panjang dan Starter 20 buah 52,000 1,040,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 01/BW/2021 29/04/2021 Operasional 20 buah 52,000.00 1,040,000.00 0 buah 52,000.00 -
22 Oktober 2021 BLUD Lampu LED Philips 30 pcs 70,000 2,100,000.00 996/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 044/KW.PMJ/X/2021 12/10/2021 Operasional 30 pcs 70,000 2,100,000.00 30 pcs 70,000 2,100,000.00
22 Oktober 2021 BLUD Lampu Philips TL 18 W 30 pcs 38,000 1,140,000.00 996/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 044/KW.PMJ/X/2021 12/10/2021 Operasional 30 pcs 38,000 1,140,000.00 30 pcs 38,000 1,140,000.00
22 Oktober 2021 BLUD Starter Lampu 20 pcs 15,000 300,000.00 996/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-31 Des 044/KW.PMJ/X/2021 12/10/2021 Operasional 20 pcs 15,000 300,000.00 20 pcs 15,000 300,000.00
JUMLAH BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-ALAT LISTRIK (5.1.02.01.01.0031) (5.1.02.01.01.028) 12,870,000.00 9,558,500.00 -
BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-ALAT/BAHAN

- -
UNTUK KEGIATAN LAINNYA (5.1.02.01.01.0036) (5.1.02.01.01.034)
28/05/2021 BLUD Kemasan Obat Paper Bag 4,900 pcs 2,000 9,800,000.00 322/PKM PONDOK RANJI/V/2021 28/5/2021 01 Jan-31 Des KW/065/SSS/V/2021 18/05/2021 Operasional 4900 pcs 2,000.00 9,800,000.00 0 pcs 2,000.00 -
Belanja Cetak
04 Oktober 2021 BLUD Form Screening awal kewaspadaan covid 19 2 rim 120,000 240,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 2 rim 120,000 240,000.00 2 rim 120,000 240,000.00
04 Oktober 2021 BLUD Surat keterangan berobat 1 rim 120,000 120,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 1 rim 120,000 120,000.00 1 rim 120,000 120,000.00
04 Oktober 2021 BLUD Form Resep 5 rim 120,000 600,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 5 rim 120,000 600,000.00 5 rim 120,000 600,000.00
04 Oktober 2021 BLUD Surat keterangan dokter 2 rim 120,000 240,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 2 rim 120,000 240,000.00 2 rim 120,000 240,000.00
04 Oktober 2021 BLUD Screening vaksin covid 19 11 rim 110,000 1,210,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 11 rim 110,000 1,210,000.00 11 rim 110,000 1,210,000.00
04 Oktober 2021 BLUD surat rujukan 5 rim 110,000 550,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 5 rim 110,000 550,000.00 5 rim 110,000 550,000.00
04 Oktober 2021 BLUD Database pasien 4 rim 110,000 440,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 4 rim 110,000 440,000.00 4 rim 110,000 440,000.00
04 Oktober 2021 BLUD Form medis 10 rim 110,000 1,100,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 10 rim 110,000 1,100,000.00 10 rim 110,000 1,100,000.00
04 Oktober 2021 BLUD Resume/ringkasan keluar 2 rim 110,000 220,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 2 rim 110,000 220,000.00 2 rim 110,000 220,000.00
04 Oktober 2021 BLUD Kartu vaksin 8,000 lembar 700 5,600,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 8,000 lembar 700 5,600,000.00 8,000 lembar 700 5,600,000.00
04 Oktober 2021 BLUD Form Pemantauan 5 rim 110,000 550,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-31 Des 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 5 rim 110,000 550,000.00 5 rim 110,000 550,000.00
JUMLAH BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-ALAT/BAHAN UNTUK KEGIATAN LAINNYA (5.1.02.01.01.0036) (5.1.02.01.01.034) 20,670,000.00 20,670,000.00 10,870,000.00
BELANJA ISI ULANG AIR MINUM GALON (5.1.02.01.01.0043)

(5.1.02.01.01.041)
17/02/2021 BLUD Aqua Galon 17 tabung Rp 22,000 374,000.00 021/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 02/BLUD/PKMPDR/2021 8/2/2021 Operasional 17 tabung 22,000.00 374,000.00 0 tabung 22,000.00 -
04 Maret 2021 BLUD Aqua Galon 23 tabung Rp 22,000 506,000.00 067/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 05/BLUD/PKMPDR/2021 25/02/2021 Operasional 23 tabung 22,000.00 506,000.00 0 tabung 22,000.00 -
08 April 2021 BLUD Aqua Galon 45 tabung Rp 22,000 990,000.00 161/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-31 Des 15/BLUD/PKMPDR/2021 30/03/2021 Operasional 45 tabung 22,000.00 990,000.00 0 tabung 22,000.00 -
05 Mei 2021 BLUD Aqua Galon 28 tabung Rp 22,000 616,000.00 264/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 23/BLUD/PKMPDR/2021 28/04/2021 Operasional 28 tabung 22,000.00 616,000.00 0 tabung 22,000.00 -
03 Juni 2021 BLUD Aqua Galon 32 tabung 22,000 704,000.00 341/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-31 Des 30/BLUD/PKMPDR/2021 28/05/2021 Operasional 32 tabung 22,000.00 704,000.00 0 tabung 22,000.00 -
06 Juli 2021 BLUD Aqua Galon 40 tabung 22,000 880,000.00 451/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-31 Des 36/BLUD/PKMPDR/2021 30/06/2021 Operasional 40 tabung 22,000.00 880,000.00 0 tabung 22,000.00 -
10 Agustus 2021 BLUD Aqua Galon 24 tabung 22,000 528,000.00 566/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-31 Des 47/BLUD/PKMPDR/2021 30/07/2021 Operasional 24 tabung 22,000.00 528,000.00 0 tabung 22,000.00 -
09 September 2021 BLUD Aqua Galon 40 tabung 22,000 880,000.00 708/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-31 Des 55/BLUD/PKMPDR/2021 26/08/2021 Operasional 40 tabung 22,000.00 880,000.00 0 tabung 22,000.00 -
11 Oktober 2021 BLUD Aqua Galon 61 tabung 22,000 1,342,000.00 909/PKM PONDOK RANJI/IX/2021 11 Oktober 2021 01 Jan-31 Des 60/BLUD/PKMPDR/2021 30/09/2021 Operasional 61 tabung 22,000.00 1,342,000.00 0 tabung 22,000.00 -
11 November 2021 BLUD Aqua Galon 68 tabung 22,000 1,496,000.00 1152/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-31 Des 66/BLUD/PKMPDR/2021 30/10/2021 Operasional 68 tabung 22,000.00 1,496,000.00 0 tabung 22,000.00 -
JUMLAH BELANJA ISI ULANG AIR MINUM GALON (5.1.02.01.01.0043) (5.1.02.01.01.041) 8,316,000.00 6,820,000.00 - -
BELANJA SUKU CADANG ALAT LABORATORIUM (5.1.02.01.01.0049)

(5.1.02.01.01.015)
17/02/2021 BLUD Oksigen Besar 30 Tabung Rp 120,000 3,600,000.00 022/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 03/BLUD/PKMPDR/2021 30/01/2021 Operasional 30 Tabung Rp 120,000 3,600,000.00 0 Tabung Rp 120,000 -
17/02/2021 BLUD Oksigen Kecil 8 Tabung Rp 50,000 400,000.00 022/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 03/BLUD/PKMPDR/2021 30/01/2021 Operasional 8 Tabung Rp 50,000 400,000.00 0 Tabung Rp 50,000 -
05 Mei 2021 BLUD Oksigen Kecil 3 Tabung Rp 50,000 150,000.00 265/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-31 Des 26/BLUD/PKMPDR/2021 12/4/2021 Operasional 3 Tabung Rp 50,000 150,000.00 0 Tabung Rp 50,000 -
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17/06/2021 BLUD Oksigen Besar 3 Tabung Rp 120,000 360,000.00 416/PKM PONDOK RANJI/VI/2021 17/06/2021 01 Jan-31 Des 33/BLUD/PKMPDR/2021 6/6/2021 Operasional 3 Tabung Rp 120,000 360,000.00 0 Tabung Rp 120,000 -
28/06/2021 BLUD Oksigen Besar 20 Tabung Rp 120,000 2,400,000.00 438/PKM PONDOK RANJI/VI/2021 28/06/2021 01 Jan-31 Des 35/BLUD/PKMPDR/2021 28/06/2021 Operasional 20 Tabung Rp 120,000 2,400,000.00 0 Tabung Rp 120,000 -
06 Juli 2021 BLUD Oksigen Besar 23 Tabung Rp 120,000 2,760,000.00 450/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-31 Des 40/BLUD/PKMPDR/2021 7/3/2021 Operasional 23 Tabung Rp 120,000 2,760,000.00 0 Tabung Rp 120,000 -
06 Juli 2021 BLUD Oksigen Kecil 18 Tabung Rp 50,000 900,000.00 450/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-31 Des 40/BLUD/PKMPDR/2021 7/3/2021 Operasional 18 Tabung Rp 50,000 900,000.00 0 Tabung Rp 50,000 -
24/08/2021 BLUD Oksigen Besar 2 Tabung Rp 150,000 300,000.00 642/PKM PONDOK RANJI/VIII/2021 24/08/2021 01 Jan-31 Des 50/BLUD/PKMPDR/2021 23/08/2021 Operasional 2 Tabung 150,000.00 300,000.00 0 Tabung 150,000.00 -
24/08/2021 BLUD Oksigen Kecil 5 Tabung Rp 50,000 250,000.00 642/PKM PONDOK RANJI/VIII/2021 24/08/2021 01 Jan-31 Des 50/BLUD/PKMPDR/2021 23/08/2021 Operasional 5 Tabung 50,000.00 250,000.00 0 Tabung 50,000.00 -
JUMLAH BELANJA SUKU CADANG ALAT LABORATORIUM (5.1.02.01.01.0049) (5.1.02.01.01.015) 13,810,000.00 2,990,000.00 -
BELANJA MAKANAN DAN MINUMAN PADA FASILITAS PELAYANAN

URUSAN KESEHATAN (5.1.02.01.01.0056) (5.1.02.01.01.054)

17/02/2021 BLUD beras 16 kg Rp 12,000 192,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 16 kg Rp 12,000 192,000.00 0 kg Rp 12,000 -
17/02/2021 BLUD Gula merah 2 kg Rp 10,000 20,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 2 kg Rp 10,000 20,000.00 0 kg Rp 10,000 -
17/02/2021 BLUD Tepung Terigu 1 kg Rp 15,000 15,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 1 kg Rp 15,000 15,000.00 0 kg Rp 15,000 -
17/02/2021 BLUD Royco 1 bungkus Rp 10,000 10,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 1 bungkus Rp 10,000 10,000.00 0 bungkus Rp 10,000 -
17/02/2021 BLUD Garam 10 bungkus Rp 5,000 50,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 10 bungkus Rp 5,000 50,000.00 0 bungkus Rp 5,000 -
17/02/2021 BLUD Merica 0.25 kg Rp 100,000 25,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0,25 kg Rp 100,000 #VALUE! 0 kg Rp 100,000 -
17/02/2021 BLUD Kemiri 0.25 kg Rp 50,000 12,500.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0,25 kg Rp 50,000 #VALUE! 0 kg Rp 50,000 -
17/02/2021 BLUD Pisang 6 sisir Rp 20,000 120,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 6 sisir Rp 20,000 120,000.00 0 sisir Rp 20,000 -
17/02/2021 BLUD Buncis 11 ikat Rp 4,000 44,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 11 ikat Rp 4,000 44,000.00 0 ikat Rp 4,000 -
17/02/2021 BLUD Labu Siam 6 buah Rp 2,000 12,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 6 buah Rp 2,000 12,000.00 0 buah Rp 2,000 -
17/02/2021 BLUD Melon 13 kg Rp 9,000 117,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 13 kg Rp 9,000 117,000.00 0 kg Rp 9,000 -
17/02/2021 BLUD Jagung 11 buah Rp 2,000 22,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 11 buah Rp 2,000 22,000.00 0 buah Rp 2,000 -
17/02/2021 BLUD Wortel 5 kg Rp 7,000 35,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 5 kg Rp 7,000 35,000.00 0 kg Rp 7,000 -
17/02/2021 BLUD Oyong 7 bungkus Rp 6,000 42,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 bungkus Rp 6,000 42,000.00 0 bungkus Rp 6,000 -
17/02/2021 BLUD Bumbu Dapur 5 bungkus Rp 4,000 20,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 5 bungkus Rp 4,000 20,000.00 0 bungkus Rp 4,000 -
17/02/2021 BLUD Kacang Panjang 11 ikat Rp 5,000 55,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 11 ikat Rp 5,000 55,000.00 0 ikat Rp 5,000 -
17/02/2021 BLUD Jamur 3 kantong Rp 5,000 15,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 3 kantong Rp 5,000 15,000.00 0 kantong Rp 5,000 -
17/02/2021 BLUD Kentang 4 kg Rp 11,000 44,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 4 kg Rp 11,000 44,000.00 0 kg Rp 11,000 -
17/02/2021 BLUD Pepaya 7 buah Rp 10,000 70,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 buah Rp 10,000 70,000.00 0 buah Rp 10,000 -
17/02/2021 BLUD Tomat 1 kg Rp 14,000 7,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0,5 kg Rp 14,000 #VALUE! 0 kg Rp 14,000 -
17/02/2021 BLUD Bawang Merah 0.5 kg Rp 100,000 50,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0,5 kg Rp 100,000 #VALUE! 0 kg Rp 100,000 -
17/02/2021 BLUD Bawang Putih 0.5 kg Rp 100,000 50,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0,5 kg Rp 100,000 #VALUE! 0 kg Rp 100,000 -
17/02/2021 BLUD Cabe Rawit 0.5 kg Rp 100,000 50,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0,5 kg Rp 100,000 #VALUE! 0 kg Rp 100,000 -
17/02/2021 BLUD Daun Bawang 0.25 kg Rp 50,000 12,500.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0,25 kg Rp 50,000 #VALUE! 0 kg Rp 50,000 -
17/02/2021 BLUD Jeruk Nipis 0.25 kg Rp 40,000 10,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0,25 kg Rp 40,000 #VALUE! 0 kg Rp 40,000 -
17/02/2021 BLUD Tempe 9 potong Rp 5,000 45,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 9 potong Rp 5,000 45,000.00 0 potong Rp 5,000 -
17/02/2021 BLUD Tahu 11 potong Rp 4,000 44,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 11 potong Rp 4,000 44,000.00 0 potong Rp 4,000 -
17/02/2021 BLUD Minyak Goreng 8 liter Rp 15,000 120,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 8 liter Rp 15,000 120,000.00 0 liter Rp 15,000 -
17/02/2021 BLUD Kecap Manis 4 bungkius Rp 12,000 48,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 4 bungkius Rp 12,000 48,000.00 0 bungkius Rp 12,000 -
17/02/2021 BLUD Bubur Sumsum 20 buah Rp 2,000 40,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah Rp 2,000 -
17/02/2021 BLUD Puding 20 buah Rp 2,000 40,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah Rp 2,000 -
17/02/2021 BLUD Bubur Kacang 20 buah Rp 2,000 40,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah Rp 2,000 -
17/02/2021 BLUD Bakso 1 bungkus Rp 34,000 34,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 1 bungkus Rp 34,000 34,000.00 0 bungkus Rp 34,000 -

17/02/2021 BLUD Telur Puyuh 3 kg Rp 20,000 60,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 3 kg Rp 20,000 60,000.00 0 kg Rp 20,000 -
17/02/2021 BLUD Ayam 7 ekor Rp 35,000 245,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 ekor Rp 35,000 245,000.00 0 ekor Rp 35,000 -
17/02/2021 BLUD Telur Ayam 7 kg Rp 24,000 168,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 kg Rp 24,000 168,000.00 0 kg Rp 24,000 -
17/02/2021 BLUD Ikan 7 kg Rp 25,000 175,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 kg Rp 25,000 175,000.00 0 kg Rp 25,000 -
17/02/2021 BLUD Kara 4 bungkus Rp 4,000 16,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-31 Des 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 4 bungkus Rp 4,000 16,000.00 0 bungkus Rp 4,000 -

04 Maret 2021 BLUD Beras 31 kg Rp 12,000 372,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 31 kg Rp 12,000 372,000.00 0 kg Rp 12,000 -
04 Maret 2021 BLUD Gula merah 5 kg Rp 20,000 100,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 kg Rp 20,000 100,000.00 0 kg Rp 20,000 -
04 Maret 2021 BLUD Garam 5 bungkus Rp 5,000 25,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 bungkus Rp 5,000 25,000.00 0 bungkus Rp 5,000 -
Page 226 of 288

04 Maret 2021 BLUD Merica 0.25 kg Rp 100,000 25,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 0,25 kg Rp 100,000 #VALUE! 0 kg Rp 100,000 -
04 Maret 2021 BLUD Kemiri 10 bungkus Rp 2,000 20,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 10 bungkus Rp 2,000 20,000.00 0 bungkus Rp 2,000 -
04 Maret 2021 BLUD Merica 10 bungkus Rp 2,000 20,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 10 bungkus Rp 2,000 20,000.00 0 bungkus Rp 2,000 -
04 Maret 2021 BLUD Tepung Terigu 3 kg Rp 15,000 45,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 3 kg Rp 15,000 45,000.00 0 kg Rp 15,000 -
04 Maret 2021 BLUD Royco 1 bungkus Rp 12,000 12,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 1 bungkus Rp 12,000 12,000.00 0 bungkus Rp 12,000 -
04 Maret 2021 BLUD Kacang hijau 1 kg Rp 20,000 20,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -

04 Maret 2021 BLUD pisang 8 sisir Rp 20,000 160,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 8 sisir Rp 20,000 160,000.00 0 sisir Rp 20,000 -
04 Maret 2021 BLUD buncis 17 ikat Rp 4,000 68,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 17 ikat Rp 4,000 68,000.00 0 ikat Rp 4,000 -
04 Maret 2021 BLUD labu siam 15 buah Rp 2,000 30,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 15 buah Rp 2,000 30,000.00 0 buah Rp 2,000 -
04 Maret 2021 BLUD melon 6 kg Rp 9,000 54,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 6 kg Rp 9,000 54,000.00 0 kg Rp 9,000 -
04 Maret 2021 BLUD wortel 13 kg Rp 7,000 91,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 13 kg Rp 7,000 91,000.00 0 kg Rp 7,000 -
04 Maret 2021 BLUD kacang panjang 12 ikat Rp 5,000 60,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 12 ikat Rp 5,000 60,000.00 0 ikat Rp 5,000 -
04 Maret 2021 BLUD jamur 5 kantong Rp 5,000 25,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 kantong Rp 5,000 25,000.00 0 kantong Rp 5,000 -
04 Maret 2021 BLUD kentang 8 kg Rp 11,000 88,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 8 kg Rp 11,000 88,000.00 0 kg Rp 11,000 -
04 Maret 2021 BLUD pepaya 5 buah Rp 10,000 50,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 buah Rp 10,000 50,000.00 0 buah Rp 10,000 -
04 Maret 2021 BLUD jeruk 1 kg Rp 25,000 25,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg Rp 25,000 -
04 Maret 2021 BLUD toge 0.5 kg Rp 10,000 5,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 0.5 kg Rp 10,000 5,000.00 0 kg Rp 10,000 -
04 Maret 2021 BLUD daun bawang 0.25 kg Rp 20,000 5,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 0.25 kg Rp 20,000 5,000.00 0 kg Rp 20,000 -
04 Maret 2021 BLUD bumbu dapur 9 bungkus Rp 4,000 36,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 9 bungkus Rp 4,000 36,000.00 0 bungkus Rp 4,000 -
04 Maret 2021 BLUD oyong 7 bungkus Rp 6,000 42,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 7 bungkus Rp 6,000 42,000.00 0 bungkus Rp 6,000 -
04 Maret 2021 BLUD jagung manis 11 buah Rp 2,000 22,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 11 buah Rp 2,000 22,000.00 0 buah Rp 2,000 -
04 Maret 2021 BLUD brokoli 1 buah Rp 45,000 45,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 1 buah Rp 45,000 45,000.00 0 buah Rp 45,000 -
04 Maret 2021 BLUD kembang kol 2 buah Rp 25,000 50,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 2 buah Rp 25,000 50,000.00 0 buah Rp 25,000 -
04 Maret 2021 BLUD sayur asam 4 bungkus Rp 6,000 24,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 4 bungkus Rp 6,000 24,000.00 0 bungkus Rp 6,000 -
04 Maret 2021 BLUD Tempe 16 potong Rp 5,000 80,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 16 potong Rp 5,000 80,000.00 0 potong Rp 5,000 -
04 Maret 2021 BLUD Tahu 16 potong Rp 4,000 64,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 16 potong Rp 4,000 64,000.00 0 potong Rp 4,000 -
04 Maret 2021 BLUD Minyak Goreng 15 liter Rp 15,000 225,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 15 liter Rp 15,000 225,000.00 0 liter Rp 15,000 -
04 Maret 2021 BLUD Kecap Manis 15 bungkus Rp 12,000 180,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 15 bungkus Rp 12,000 180,000.00 0 bungkus Rp 12,000 -
04 Maret 2021 BLUD Bubur Kacang 20 buah Rp 2,000 40,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah Rp 2,000 -
04 Maret 2021 BLUD Kara 5 bungkus Rp 4,000 20,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 bungkus Rp 4,000 20,000.00 0 bungkus Rp 4,000 -
04 Maret 2021 BLUD Bubur Sumsum 4 bungkus Rp 2,000 8,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-31 Des 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 4 bungkus Rp 2,000 8,000.00 0 bungkus Rp 2,000 -
04 Maret 2021 BLUD Telur puyuh 5 kg Rp 20,000 100,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 kg Rp 20,000 100,000.00 0 kg Rp 20,000 -
04 Maret 2021 BLUD ayam 11 kg Rp 35,000 385,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 11 kg Rp 35,000 385,000.00 0 kg Rp 35,000 -
04 Maret 2021 BLUD telur ayam 12 kg Rp 24,000 288,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 12 kg Rp 24,000 288,000.00 0 kg Rp 24,000 -
04 Maret 2021 BLUD daging 4 kg Rp 80,000 320,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 4 kg Rp 80,000 320,000.00 0 kg Rp 80,000 -
04 Maret 2021 BLUD ikan kembung 6 kg Rp 25,000 150,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 6 kg Rp 25,000 150,000.00 0 kg Rp 25,000 -
04 Maret 2021 BLUD ikan mujaer 3 kg Rp 30,000 90,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 3 kg Rp 30,000 90,000.00 0 kg Rp 30,000 -
08 April 2021 BLUD beras 36 kg Rp 12,000 432,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 36 kg Rp 12,000 432,000.00 0 kg Rp 12,000 -
08 April 2021 BLUD gula merah 5 kg Rp 10,000 50,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 5 kg Rp 10,000 50,000.00 0 kg Rp 10,000 -
08 April 2021 BLUD kerupuk 4 kg Rp 15,000 60,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 4 kg Rp 15,000 60,000.00 0 kg Rp 15,000 -
08 April 2021 BLUD merica 1 lsn Rp 12,000 12,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 lsn Rp 12,000 12,000.00 0 lsn Rp 12,000 -
08 April 2021 BLUD kemiri 0.5 kg Rp 100,000 50,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 0.5 kg Rp 100,000 50,000.00 0 kg Rp 100,000 -
08 April 2021 BLUD merica 10 bungkus Rp 2,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 10 bungkus Rp 2,000 20,000.00 0 bungkus Rp 2,000 -
08 April 2021 BLUD tepung terigu 3 kg Rp 10,000 30,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 kg Rp 10,000 30,000.00 0 kg Rp 10,000 -
08 April 2021 BLUD royco 3 bungkus Rp 12,000 36,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 bungkus Rp 12,000 36,000.00 0 bungkus Rp 12,000 -
08 April 2021 BLUD garam 8 bungkus Rp 5,000 40,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 8 bungkus Rp 5,000 40,000.00 0 bungkus Rp 5,000 -
08 April 2021 BLUD bawang goreng 2 bungkus Rp 2,000 4,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 bungkus Rp 2,000 4,000.00 0 bungkus Rp 2,000 -
08 April 2021 BLUD sasa 1 bungkus Rp 750 750.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 bungkus Rp 750 750.00 0 bungkus Rp 750 -
08 April 2021 BLUD pisang 6 sisir Rp 20,000 120,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 6 sisir Rp 20,000 120,000.00 0 sisir Rp 20,000 -
08 April 2021 BLUD buncis 27 ikat Rp 4,000 108,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 27 ikat Rp 4,000 108,000.00 0 ikat Rp 4,000 -
08 April 2021 BLUD labu siam 14 buah Rp 2,000 28,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 14 buah Rp 2,000 28,000.00 0 buah Rp 2,000 -
08 April 2021 BLUD melon 12 kg Rp 9,000 108,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 12 kg Rp 9,000 108,000.00 0 kg Rp 9,000 -
08 April 2021 BLUD wortel 9 kg Rp 7,000 63,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 9 kg Rp 7,000 63,000.00 0 kg Rp 7,000 -
08 April 2021 BLUD kacang panjang 13 ikat Rp 5,000 65,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 13 ikat Rp 5,000 65,000.00 0 ikat Rp 5,000 -
08 April 2021 BLUD jamur 9 kantong Rp 5,000 45,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 9 kantong Rp 5,000 45,000.00 0 kantong Rp 5,000 -
08 April 2021 BLUD kentang 7 kg Rp 11,000 77,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 7 kg Rp 11,000 77,000.00 0 kg Rp 11,000 -
08 April 2021 BLUD pepaya 5 buah Rp 10,000 50,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 5 buah Rp 10,000 50,000.00 0 buah Rp 10,000 -
08 April 2021 BLUD sawi putih 2 kg Rp 10,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 10,000 20,000.00 0 kg Rp 10,000 -
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08 April 2021 BLUD terong 2 kg Rp 12,000 24,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 12,000 24,000.00 0 kg Rp 12,000 -
08 April 2021 BLUD cabe merah 1.5 kg Rp 120,000 180,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 120,000 180,000.00 0 kg Rp 120,000 -
08 April 2021 BLUD bumbu dapur 6 bungkus Rp 4,000 24,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 6 bungkus Rp 4,000 24,000.00 0 bungkus Rp 4,000 -
08 April 2021 BLUD oyong 2 bungkus Rp 6,000 12,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 bungkus Rp 6,000 12,000.00 0 bungkus Rp 6,000 -
08 April 2021 BLUD jagung manis 27 buah Rp 2,000 54,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 27 buah Rp 2,000 54,000.00 0 buah Rp 2,000 -
08 April 2021 BLUD cabe rawit 1.5 kg Rp 120,000 180,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 120,000 180,000.00 0 kg Rp 120,000 -
08 April 2021 BLUD bawang merah 1.5 kg Rp 110,000 165,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 110,000 165,000.00 0 kg Rp 110,000 -
08 April 2021 BLUD bawang putih 1.5 kg Rp 80,000 120,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 80,000 120,000.00 0 kg Rp 80,000 -
08 April 2021 BLUD tomat 1 kg Rp 15,000 15,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 kg Rp 15,000 15,000.00 0 kg Rp 15,000 -
08 April 2021 BLUD kangkung 10 ikat Rp 7,000 70,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 10 ikat Rp 7,000 70,000.00 0 ikat Rp 7,000 -
08 April 2021 BLUD daun singkong 3 ikat Rp 6,000 18,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 ikat Rp 6,000 18,000.00 0 ikat Rp 6,000 -
08 April 2021 BLUD sayur asem 2 bungkus Rp 10,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus Rp 10,000 -
08 April 2021 BLUD sayur sop 3 bungkus Rp 10,000 30,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 bungkus Rp 10,000 30,000.00 0 bungkus Rp 10,000 -
08 April 2021 BLUD kemangi 5 ikat Rp 1,000 5,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 5 ikat Rp 1,000 5,000.00 0 ikat Rp 1,000 -
08 April 2021 BLUD daun bawang 0.25 kg Rp 25,000 6,250.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 0.25 kg Rp 25,000 6,250.00 0 kg Rp 25,000 -
08 April 2021 BLUD toge 0.5 kg Rp 15,000 7,500.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 0.5 kg Rp 15,000 7,500.00 0 kg Rp 15,000 -

08 April 2021 BLUD tempe 26 potong Rp 5,000 130,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 26 potong Rp 5,000 130,000.00 0 potong Rp 5,000 -
08 April 2021 BLUD tahu 25 potong Rp 4,000 100,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 25 potong Rp 4,000 100,000.00 0 potong Rp 4,000 -
08 April 2021 BLUD minyak goreng 18 liter Rp 15,000 270,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 18 liter Rp 15,000 270,000.00 0 liter Rp 15,000 -
08 April 2021 BLUD kecap manis 15 bungkus Rp 12,000 180,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 15 bungkus Rp 12,000 180,000.00 0 bungkus Rp 12,000 -
08 April 2021 BLUD bakso 0.75 kg Rp 60,000 45,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 0.75 kg Rp 60,000 45,000.00 0 kg Rp 60,000 -
08 April 2021 BLUD kara 4 bungkus Rp 5,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 4 bungkus Rp 5,000 20,000.00 0 bungkus Rp 5,000 -
08 April 2021 BLUD ikan lele 3 kg Rp 28,000 84,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 kg Rp 28,000 84,000.00 0 kg Rp 28,000 -
08 April 2021 BLUD ayam 10 kg Rp 35,000 350,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 10 kg Rp 35,000 350,000.00 0 kg Rp 35,000 -
08 April 2021 BLUD telur ayam 15 kg Rp 24,000 360,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 15 kg Rp 24,000 360,000.00 0 kg Rp 24,000 -
08 April 2021 BLUD daging 1 kg Rp 80,000 80,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 kg Rp 80,000 80,000.00 0 kg Rp 80,000 -
08 April 2021 BLUD ikan kembung 2 kg Rp 25,000 50,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 25,000 50,000.00 0 kg Rp 25,000 -
08 April 2021 BLUD ikan gurame 2 kg Rp 50,000 100,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg Rp 50,000 -
08 April 2021 BLUD udang 2 kg Rp 20,000 40,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
08 April 2021 BLUD ikan patin 1 kg Rp 25,000 25,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg Rp 25,000 -
05 Mei 2021 BLUD beras 36 kg Rp 12,000 432,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 36 kg Rp 12,000 432,000.00 0 kg Rp 12,000 -
05 Mei 2021 BLUD gula merah 4 kg Rp 15,000 60,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 kg Rp 15,000 60,000.00 0 kg Rp 15,000 -
05 Mei 2021 BLUD tepung terigu 3 kg Rp 15,000 45,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 3 kg Rp 15,000 45,000.00 0 kg Rp 15,000 -
05 Mei 2021 BLUD royco 2 bungkus Rp 12,000 24,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 bungkus Rp 12,000 24,000.00 0 bungkus Rp 12,000 -
05 Mei 2021 BLUD garam 5 bungkus Rp 5,000 25,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 5 bungkus Rp 5,000 25,000.00 0 bungkus Rp 5,000 -
05 Mei 2021 BLUD kacang hijau 1 kg Rp 20,000 20,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
05 Mei 2021 BLUD kemiri 0.5 kg Rp 80,000 40,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg Rp 80,000 -
05 Mei 2021 BLUD pisang 9 sisir Rp 20,000 180,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 9 sisir Rp 20,000 180,000.00 0 sisir Rp 20,000 -
05 Mei 2021 BLUD buncis 17 ikat Rp 4,000 68,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 17 ikat Rp 4,000 68,000.00 0 ikat Rp 4,000 -
05 Mei 2021 BLUD labu siam 8 buah Rp 2,000 16,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 8 buah Rp 2,000 16,000.00 0 buah Rp 2,000 -
05 Mei 2021 BLUD bayam 4 ikat Rp 7,000 28,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 ikat Rp 7,000 28,000.00 0 ikat Rp 7,000 -
05 Mei 2021 BLUD wortel 12 kg Rp 7,000 84,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 12 kg Rp 7,000 84,000.00 0 kg Rp 7,000 -
05 Mei 2021 BLUD kacang panjang 16 ikat Rp 5,000 80,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 16 ikat Rp 5,000 80,000.00 0 ikat Rp 5,000 -
05 Mei 2021 BLUD jamur 2 kantong Rp 5,000 10,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 kantong Rp 5,000 10,000.00 0 kantong Rp 5,000 -
05 Mei 2021 BLUD kentang 6 kg Rp 11,000 66,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 6 kg Rp 11,000 66,000.00 0 kg Rp 11,000 -
05 Mei 2021 BLUD pepaya 8 buah Rp 10,000 80,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 8 buah Rp 10,000 80,000.00 0 buah Rp 10,000 -
05 Mei 2021 BLUD sawi putih 5 kg Rp 10,000 50,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 5 kg Rp 10,000 50,000.00 0 kg Rp 10,000 -
05 Mei 2021 BLUD bumbu dapur 12 bungkus Rp 4,000 48,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 12 bungkus Rp 4,000 48,000.00 0 bungkus Rp 4,000 -
05 Mei 2021 BLUD oyong 13 bungkus Rp 6,000 78,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 13 bungkus Rp 6,000 78,000.00 0 bungkus Rp 6,000 -
05 Mei 2021 BLUD jagung manis 22 buah Rp 2,000 44,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 22 buah Rp 2,000 44,000.00 0 buah Rp 2,000 -
05 Mei 2021 BLUD kangkung 4 ikat Rp 7,000 28,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 ikat Rp 7,000 28,000.00 0 ikat Rp 7,000 -
05 Mei 2021 BLUD sayur asem 4 bungkus Rp 10,000 40,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 bungkus Rp 10,000 40,000.00 0 bungkus Rp 10,000 -
05 Mei 2021 BLUD sayur sop 4 bungkus Rp 6,000 24,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 bungkus Rp 6,000 24,000.00 0 bungkus Rp 6,000 -
05 Mei 2021 BLUD melon 3 kg Rp 9,000 27,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 3 kg Rp 9,000 27,000.00 0 kg Rp 9,000 -
05 Mei 2021 BLUD bawang merah 2 kg Rp 50,000 100,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg Rp 50,000 -
05 Mei 2021 BLUD bawang putih 2 kg Rp 50,000 100,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg Rp 50,000 -
05 Mei 2021 BLUD cabe rawit 0.25 kg Rp 170,000 42,500.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 0.25 kg Rp 170,000 42,500.00 0 kg Rp 170,000 -
05 Mei 2021 BLUD daun bawang 0.5 kg Rp 15,000 7,500.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 0.5 kg Rp 15,000 7,500.00 0 kg Rp 15,000 -
05 Mei 2021 BLUD tomat 1 kg Rp 20,000 20,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
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05 Mei 2021 BLUD pokcoi 1 kg Rp 10,000 10,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 1 kg Rp 10,000 10,000.00 0 kg Rp 10,000 -

05 Mei 2021 BLUD tempe 21 potong Rp 5,000 105,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 21 potong Rp 5,000 105,000.00 0 potong Rp 5,000 -
05 Mei 2021 BLUD tahu 23 potong Rp 4,000 92,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 23 potong Rp 4,000 92,000.00 0 potong Rp 4,000 -
05 Mei 2021 BLUD minyak goreng 18 liter Rp 15,000 270,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 18 liter Rp 15,000 270,000.00 0 liter Rp 15,000 -
05 Mei 2021 BLUD kecap manis 16 bungkus Rp 12,000 192,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 16 bungkus Rp 12,000 192,000.00 0 bungkus Rp 12,000 -
05 Mei 2021 BLUD bakso 0.5 bungkus Rp 60,000 30,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 0.5 bungkus Rp 60,000 30,000.00 0 bungkus Rp 60,000 -
05 Mei 2021 BLUD ayam 12 kg Rp 35,000 420,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 12 kg Rp 35,000 420,000.00 0 kg Rp 35,000 -
05 Mei 2021 BLUD telur ayam 11 kg Rp 24,000 264,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 11 kg Rp 24,000 264,000.00 0 kg Rp 24,000 -
05 Mei 2021 BLUD ikan tongkol 2 kg Rp 50,000 100,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg Rp 50,000 -
05 Mei 2021 BLUD ikan kembung 3 kg Rp 25,000 75,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 3 kg Rp 25,000 75,000.00 0 kg Rp 25,000 -
05 Mei 2021 BLUD ikan bandeng 2 kg Rp 30,000 60,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 kg Rp 30,000 60,000.00 0 kg Rp 30,000 -
05 Mei 2021 BLUD telur puyuh 1 kg Rp 20,000 20,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
03 Juni 2021 BLUD beras 27 kg Rp 12,000 324,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 27 kg Rp 12,000 324,000.00 0 kg Rp 12,000 -
03 Juni 2021 BLUD gula merah 2 kg Rp 20,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
03 Juni 2021 BLUD tepung terigu 2 kg Rp 25,000 50,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 2 kg Rp 25,000 50,000.00 0 kg Rp 25,000 -
03 Juni 2021 BLUD lada 5 bungkus Rp 1,000 5,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5 bungkus Rp 1,000 5,000.00 0 bungkus Rp 1,000 -
03 Juni 2021 BLUD garam 10 bungkus Rp 5,000 50,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 bungkus Rp 5,000 50,000.00 0 bungkus Rp 5,000 -
03 Juni 2021 BLUD kacang hijau 1 kg Rp 20,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
03 Juni 2021 BLUD kemiri 0.5 kg Rp 80,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg Rp 80,000 -
03 Juni 2021 BLUD pisang 11 sisir Rp 20,000 220,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 11 sisir Rp 20,000 220,000.00 0 sisir Rp 20,000 -
03 Juni 2021 BLUD buncis 16 ikat Rp 4,000 64,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 16 ikat Rp 4,000 64,000.00 0 ikat Rp 4,000 -
03 Juni 2021 BLUD labu siam 17 buah Rp 2,000 34,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 17 buah Rp 2,000 34,000.00 0 buah Rp 2,000 -
03 Juni 2021 BLUD bayam 4 ikat Rp 6,000 24,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 ikat Rp 6,000 24,000.00 0 ikat Rp 6,000 -
03 Juni 2021 BLUD wortel 5.5 kg Rp 7,000 38,500.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5.5 kg Rp 7,000 38,500.00 0 kg Rp 7,000 -
03 Juni 2021 BLUD kacang panjang 5 ikat Rp 5,000 25,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat Rp 5,000 -
03 Juni 2021 BLUD jamur 3 kantong Rp 6,000 18,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 3 kantong Rp 6,000 18,000.00 0 kantong Rp 6,000 -
03 Juni 2021 BLUD brokoli 1 kg Rp 25,000 25,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg Rp 25,000 -
03 Juni 2021 BLUD pepaya 20 buah Rp 10,000 200,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 20 buah Rp 10,000 200,000.00 0 buah Rp 10,000 -
03 Juni 2021 BLUD sawi putih 4 kg Rp 7,000 28,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 kg Rp 7,000 28,000.00 0 kg Rp 7,000 -
03 Juni 2021 BLUD bumbu dapur 18 bungkus Rp 4,000 72,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 18 bungkus Rp 4,000 72,000.00 0 bungkus Rp 4,000 -
03 Juni 2021 BLUD oyong 1 kg Rp 15,000 15,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 kg Rp 15,000 15,000.00 0 kg Rp 15,000 -
03 Juni 2021 BLUD jagung manis 22 buah Rp 2,000 44,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 22 buah Rp 2,000 44,000.00 0 buah Rp 2,000 -
03 Juni 2021 BLUD kangkung 8 ikat Rp 5,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 8 ikat Rp 5,000 40,000.00 0 ikat Rp 5,000 -
03 Juni 2021 BLUD sayur asem 7 bungkus Rp 10,000 70,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 7 bungkus Rp 10,000 70,000.00 0 bungkus Rp 10,000 -
03 Juni 2021 BLUD sayur sop 7 bungkus Rp 10,000 70,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 7 bungkus Rp 10,000 70,000.00 0 bungkus Rp 10,000 -
03 Juni 2021 BLUD melon 16 kg Rp 9,000 144,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 16 kg Rp 9,000 144,000.00 0 kg Rp 9,000 -
03 Juni 2021 BLUD bawang bombay 0.5 kg Rp 50,000 25,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 0.5 kg Rp 50,000 25,000.00 0 kg Rp 50,000 -
03 Juni 2021 BLUD bawang merah 1.5 kg Rp 60,000 90,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1.5 kg Rp 60,000 90,000.00 0 kg Rp 60,000 -
03 Juni 2021 BLUD bawang putih 1.5 kg Rp 60,000 90,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1.5 kg Rp 60,000 90,000.00 0 kg Rp 60,000 -
03 Juni 2021 BLUD cabe rawit 1.5 kg Rp 80,000 120,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1.5 kg Rp 80,000 120,000.00 0 kg Rp 80,000 -
03 Juni 2021 BLUD cabe merah 1.5 kg Rp 70,000 105,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1.5 kg Rp 70,000 105,000.00 0 kg Rp 70,000 -
03 Juni 2021 BLUD daun bawang 0.5 kg Rp 8,000 4,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 0.5 kg Rp 8,000 4,000.00 0 kg Rp 8,000 -
03 Juni 2021 BLUD putren 4 bungkus Rp 5,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 bungkus Rp 5,000 20,000.00 0 bungkus Rp 5,000 -
03 Juni 2021 BLUD terong ungu 1 kg Rp 15,000 15,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 kg Rp 15,000 15,000.00 0 kg Rp 15,000 -
03 Juni 2021 BLUD kentang 3 kg Rp 11,000 33,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 3 kg Rp 11,000 33,000.00 0 kg Rp 11,000 -
03 Juni 2021 BLUD toge 1 kg Rp 8,500 8,500.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 kg Rp 8,500 8,500.00 0 kg Rp 8,500 -
03 Juni 2021 BLUD tempe 22 potong Rp 5,000 110,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 22 potong Rp 5,000 110,000.00 0 potong Rp 5,000 -
03 Juni 2021 BLUD tahu 24 potong Rp 4,000 96,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 24 potong Rp 4,000 96,000.00 0 potong Rp 4,000 -
03 Juni 2021 BLUD minyak goreng 16 liter Rp 15,000 240,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 16 liter Rp 15,000 240,000.00 0 liter Rp 15,000 -
03 Juni 2021 BLUD kecap manis 12 bungkus Rp 12,000 144,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 12 bungkus Rp 12,000 144,000.00 0 bungkus Rp 12,000 -
03 Juni 2021 BLUD bubur kacang 10 cup Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 cup Rp 2,000 20,000.00 0 cup Rp 2,000 -
03 Juni 2021 BLUD puding 10 cup Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 cup Rp 2,000 20,000.00 0 cup Rp 2,000 -
03 Juni 2021 BLUD bubur sumsum 10 cup Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 cup Rp 2,000 20,000.00 0 cup Rp 2,000 -
03 Juni 2021 BLUD pie buah 10 cup Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 cup Rp 2,000 20,000.00 0 cup Rp 2,000 -
03 Juni 2021 BLUD bolu gulung pandan 10 cup Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 cup Rp 2,000 20,000.00 0 cup Rp 2,000 -
03 Juni 2021 BLUD kroket pandan 10 cup Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 cup Rp 2,000 20,000.00 0 cup Rp 2,000 -
03 Juni 2021 BLUD kara 4 bungkus Rp 4,000 16,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 bungkus Rp 4,000 16,000.00 0 bungkus Rp 4,000 -
03 Juni 2021 BLUD bakso 1 bungkus Rp 60,000 60,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 bungkus Rp 60,000 60,000.00 0 bungkus Rp 60,000 -
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03 Juni 2021 BLUD ayam 10 kg Rp 35,000 350,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 kg Rp 35,000 350,000.00 0 kg Rp 35,000 -
03 Juni 2021 BLUD telur ayam 10 kg Rp 24,000 240,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 kg Rp 24,000 240,000.00 0 kg Rp 24,000 -
03 Juni 2021 BLUD ikan gurame 4 kg Rp 40,000 160,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 kg Rp 40,000 160,000.00 0 kg Rp 40,000 -
03 Juni 2021 BLUD ikan kembung 5 kg Rp 30,000 150,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5 kg Rp 30,000 150,000.00 0 kg Rp 30,000 -
03 Juni 2021 BLUD ikan lele 5 kg Rp 20,000 100,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5 kg Rp 20,000 100,000.00 0 kg Rp 20,000 -
03 Juni 2021 BLUD ikan patin 3 kg Rp 20,000 60,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 3 kg Rp 20,000 60,000.00 0 kg Rp 20,000 -
03 Juni 2021 BLUD telur puyuh 3 kg Rp 20,000 60,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 3 kg Rp 20,000 60,000.00 0 kg Rp 20,000 -
03 Juni 2021 BLUD daging 2 kg Rp 80,000 160,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 2 kg Rp 80,000 160,000.00 0 kg Rp 80,000 -
03 Juni 2021 BLUD ikan nila 2 kg Rp 20,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -

06 Juli 2021 BLUD beras 27 kg Rp 12,000 324,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 27 kg Rp 12,000 324,000.00 0 kg Rp 12,000 -
06 Juli 2021 BLUD gula merah 3 kg Rp 20,000 60,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 20,000 60,000.00 0 kg Rp 20,000 -
06 Juli 2021 BLUD tepung terigu 4 kg Rp 25,000 100,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 4 kg Rp 25,000 100,000.00 0 kg Rp 25,000 -
06 Juli 2021 BLUD sasa 5 bungkus Rp 5,000 25,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 5 bungkus Rp 5,000 25,000.00 0 bungkus Rp 5,000 -
06 Juli 2021 BLUD garam 10 bungkus Rp 6,000 60,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 10 bungkus Rp 6,000 60,000.00 0 bungkus Rp 6,000 -
06 Juli 2021 BLUD kacang hijau 1 kg Rp 20,000 20,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
06 Juli 2021 BLUD pisang 14 sisir Rp 20,000 280,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 14 sisir Rp 20,000 280,000.00 0 sisir Rp 20,000 -
06 Juli 2021 BLUD buncis 20 ikat Rp 4,000 80,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 20 ikat Rp 4,000 80,000.00 0 ikat Rp 4,000 -
06 Juli 2021 BLUD labu siam 19 buah Rp 2,000 38,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 19 buah Rp 2,000 38,000.00 0 buah Rp 2,000 -
06 Juli 2021 BLUD tomat 1 kg Rp 10,000 10,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 1 kg Rp 10,000 10,000.00 0 kg Rp 10,000 -
06 Juli 2021 BLUD wortel 7 kg Rp 7,000 49,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 7 kg Rp 7,000 49,000.00 0 kg Rp 7,000 -
06 Juli 2021 BLUD kacang panjang 22 ikat Rp 5,000 110,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 22 ikat Rp 5,000 110,000.00 0 ikat Rp 5,000 -
06 Juli 2021 BLUD jamur 5 kantong Rp 5,000 25,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 5 kantong Rp 5,000 25,000.00 0 kantong Rp 5,000 -
06 Juli 2021 BLUD brokoli 2 kg Rp 15,000 30,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 kg Rp 15,000 30,000.00 0 kg Rp 15,000 -
06 Juli 2021 BLUD pepaya 9 buah Rp 10,000 90,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 9 buah Rp 10,000 90,000.00 0 buah Rp 10,000 -
06 Juli 2021 BLUD sawi putih 2 kg Rp 15,000 30,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 kg Rp 15,000 30,000.00 0 kg Rp 15,000 -
06 Juli 2021 BLUD bumbu dapur 14 bungkus Rp 4,000 56,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 14 bungkus Rp 4,000 56,000.00 0 bungkus Rp 4,000 -
06 Juli 2021 BLUD oyong 2 kg Rp 6,000 12,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 kg Rp 6,000 12,000.00 0 kg Rp 6,000 -
06 Juli 2021 BLUD jagung manis 20 buah Rp 2,000 40,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah Rp 2,000 -
06 Juli 2021 BLUD sayur asem 8 bungkus Rp 10,000 80,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 8 bungkus Rp 10,000 80,000.00 0 bungkus Rp 10,000 -
06 Juli 2021 BLUD sayur sop 10 bungkus Rp 10,000 100,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 10 bungkus Rp 10,000 100,000.00 0 bungkus Rp 10,000 -
06 Juli 2021 BLUD melon 17 kg Rp 9,000 153,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 17 kg Rp 9,000 153,000.00 0 kg Rp 9,000 -
06 Juli 2021 BLUD bawang merah 3 kg Rp 80,000 240,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 80,000 240,000.00 0 kg Rp 80,000 -
06 Juli 2021 BLUD bawang putih 3 kg Rp 70,000 210,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 70,000 210,000.00 0 kg Rp 70,000 -
06 Juli 2021 BLUD cabe rawit 2.5 kg Rp 100,000 250,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2.5 kg Rp 100,000 250,000.00 0 kg Rp 100,000 -
06 Juli 2021 BLUD cabe merah 2.5 kg Rp 100,000 250,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2.5 kg Rp 100,000 250,000.00 0 kg Rp 100,000 -
06 Juli 2021 BLUD daun bawang 0.5 kg Rp 8,000 4,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 0.5 kg Rp 8,000 4,000.00 0 kg Rp 8,000 -
06 Juli 2021 BLUD jeruk 3 kg Rp 20,000 60,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 20,000 60,000.00 0 kg Rp 20,000 -
06 Juli 2021 BLUD terong ungu 3 kg Rp 10,000 30,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 10,000 30,000.00 0 kg Rp 10,000 -
06 Juli 2021 BLUD kentang 3 kg Rp 11,000 33,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 11,000 33,000.00 0 kg Rp 11,000 -
06 Juli 2021 BLUD tempe 25 potong Rp 5,000 125,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 25 potong Rp 5,000 125,000.00 0 potong Rp 5,000 -
06 Juli 2021 BLUD tahu 23 potong Rp 4,000 92,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 23 potong Rp 4,000 92,000.00 0 potong Rp 4,000 -
06 Juli 2021 BLUD minyak goreng 15 liter Rp 15,000 225,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 15 liter Rp 15,000 225,000.00 0 liter Rp 15,000 -
06 Juli 2021 BLUD kecap manis 12 bungkus Rp 12,000 144,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 12 bungkus Rp 12,000 144,000.00 0 bungkus Rp 12,000 -
06 Juli 2021 BLUD kara 4 bungkus Rp 4,000 16,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 4 bungkus Rp 4,000 16,000.00 0 bungkus Rp 4,000 -
06 Juli 2021 BLUD ayam 8 kg Rp 35,000 280,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 8 kg Rp 35,000 280,000.00 0 kg Rp 35,000 -
06 Juli 2021 BLUD telur ayam 11 kg Rp 24,000 264,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 11 kg Rp 24,000 264,000.00 0 kg Rp 24,000 -
06 Juli 2021 BLUD ikan mujaer 4 kg Rp 30,000 120,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 4 kg Rp 30,000 120,000.00 0 kg Rp 30,000 -
06 Juli 2021 BLUD ikan kembung 5 kg Rp 30,000 150,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 5 kg Rp 30,000 150,000.00 0 kg Rp 30,000 -
06 Juli 2021 BLUD ikan lele 3 kg Rp 20,000 60,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 20,000 60,000.00 0 kg Rp 20,000 -
06 Juli 2021 BLUD telur puyuh 1 kg Rp 25,000 25,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg Rp 25,000 -
06 Juli 2021 BLUD daging 3 kg Rp 80,000 240,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 80,000 240,000.00 0 kg Rp 80,000 -

10 Agustus 2021 BLUD beras 25 kg Rp 12,000 300,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 25 kg Rp 12,000 300,000.00 0 kg Rp 12,000 -
10 Agustus 2021 BLUD gula merah 2 kg Rp 20,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
10 Agustus 2021 BLUD tepung terigu 2 kg Rp 15,000 30,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 15,000 30,000.00 0 kg Rp 15,000 -
10 Agustus 2021 BLUD sagu 1 kg Rp 20,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
10 Agustus 2021 BLUD garam 5 bungkus Rp 5,000 25,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 5 bungkus Rp 5,000 25,000.00 0 bungkus Rp 5,000 -
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10 Agustus 2021 BLUD kacang hijau 2 kg Rp 20,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
10 Agustus 2021 BLUD kemiri 0.25 kg Rp 80,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.25 kg Rp 80,000 20,000.00 0 kg Rp 80,000 -
10 Agustus 2021 BLUD lada 10 kg Rp 2,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 10 kg Rp 2,000 20,000.00 0 kg Rp 2,000 -
10 Agustus 2021 BLUD pisang 9 sisir Rp 20,000 180,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 9 sisir Rp 20,000 180,000.00 0 sisir Rp 20,000 -
10 Agustus 2021 BLUD buncis 14 ikat Rp 4,000 56,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 14 ikat Rp 4,000 56,000.00 0 ikat Rp 4,000 -
10 Agustus 2021 BLUD labu siam 11 buah Rp 2,000 22,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 11 buah Rp 2,000 22,000.00 0 buah Rp 2,000 -
10 Agustus 2021 BLUD kacang panjang 21 ikat Rp 5,000 105,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 21 ikat Rp 5,000 105,000.00 0 ikat Rp 5,000 -
10 Agustus 2021 BLUD wortel 13 kg Rp 7,000 91,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 13 kg Rp 7,000 91,000.00 0 kg Rp 7,000 -
10 Agustus 2021 BLUD pepaya 14 buah Rp 10,000 140,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 14 buah Rp 10,000 140,000.00 0 buah Rp 10,000 -
10 Agustus 2021 BLUD sawi putih 1 kg Rp 10,000 10,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 1 kg Rp 10,000 10,000.00 0 kg Rp 10,000 -
10 Agustus 2021 BLUD bawang bombay 2 kg Rp 70,000 140,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 70,000 140,000.00 0 kg Rp 70,000 -
10 Agustus 2021 BLUD oyong 10 kg Rp 6,000 60,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 10 kg Rp 6,000 60,000.00 0 kg Rp 6,000 -
10 Agustus 2021 BLUD bumbu dapur 8 bungkus Rp 4,000 32,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 8 bungkus Rp 4,000 32,000.00 0 bungkus Rp 4,000 -
10 Agustus 2021 BLUD jagung manis 20 buah Rp 2,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah Rp 2,000 -
10 Agustus 2021 BLUD sayur asem 2 bungkus Rp 10,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus Rp 10,000 -
10 Agustus 2021 BLUD sayur sop 2 bungkus Rp 10,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus Rp 10,000 -
10 Agustus 2021 BLUD jeruk 4 kg Rp 20,000 80,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 4 kg Rp 20,000 80,000.00 0 kg Rp 20,000 -
10 Agustus 2021 BLUD bayam 5 ikat Rp 6,000 30,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 5 ikat Rp 6,000 30,000.00 0 ikat Rp 6,000 -
10 Agustus 2021 BLUD toge 1.5 kg Rp 20,000 30,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 1.5 kg Rp 20,000 30,000.00 0 kg Rp 20,000 -
10 Agustus 2021 BLUD bawang merah 0.5 kg Rp 60,000 30,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 kg Rp 60,000 30,000.00 0 kg Rp 60,000 -
10 Agustus 2021 BLUD bawang putih 0.25 kg Rp 60,000 15,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.25 kg Rp 60,000 15,000.00 0 kg Rp 60,000 -
10 Agustus 2021 BLUD cabe rawit 0.5 kg Rp 80,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg Rp 80,000 -
10 Agustus 2021 BLUD cabe merah keriting 0.5 kg Rp 80,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg Rp 80,000 -
10 Agustus 2021 BLUD cabe hijau besar 0.5 kg Rp 80,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg Rp 80,000 -
10 Agustus 2021 BLUD kangkung 5 ikat Rp 5,000 25,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat Rp 5,000 -
10 Agustus 2021 BLUD kentang 4 kg Rp 11,000 44,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 4 kg Rp 11,000 44,000.00 0 kg Rp 11,000 -

10 Agustus 2021 BLUD tempe 22 potong Rp 5,000 110,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 22 potong Rp 5,000 110,000.00 0 potong Rp 5,000 -
10 Agustus 2021 BLUD tahu 19 potong Rp 4,000 76,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 19 potong Rp 4,000 76,000.00 0 potong Rp 4,000 -
10 Agustus 2021 BLUD minyak goreng 12 liter Rp 15,000 180,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 12 liter Rp 15,000 180,000.00 0 liter Rp 15,000 -
10 Agustus 2021 BLUD kecap manis 11 bungkus Rp 12,000 132,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 11 bungkus Rp 12,000 132,000.00 0 bungkus Rp 12,000 -
10 Agustus 2021 BLUD bubur sumsum 8 cup Rp 2,000 16,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 8 cup Rp 2,000 16,000.00 0 cup Rp 2,000 -
10 Agustus 2021 BLUD ayam 8 kg Rp 35,000 280,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 8 kg Rp 35,000 280,000.00 0 kg Rp 35,000 -
10 Agustus 2021 BLUD telur ayam 13 kg Rp 24,000 312,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 13 kg Rp 24,000 312,000.00 0 kg Rp 24,000 -
10 Agustus 2021 BLUD ikan lele 2 kg Rp 25,000 50,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 25,000 50,000.00 0 kg Rp 25,000 -
10 Agustus 2021 BLUD ikan kembung 6 kg Rp 30,000 180,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 6 kg Rp 30,000 180,000.00 0 kg Rp 30,000 -
10 Agustus 2021 BLUD ikan tongkol 4 kg Rp 30,000 120,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 4 kg Rp 30,000 120,000.00 0 kg Rp 30,000 -
10 Agustus 2021 BLUD telur puyuh 1 kg Rp 20,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
10 Agustus 2021 BLUD daging 2 kg Rp 80,000 160,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 80,000 160,000.00 0 kg Rp 80,000 -
10 Agustus 2021 BLUD ikan bawal 2 kg Rp 30,000 60,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 30,000 60,000.00 0 kg Rp 30,000 -

09 September 2021 BLUD beras 30 kg Rp 12,000 360,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 30 kg Rp 12,000 360,000.00 0 kg Rp 12,000 -
09 September 2021 BLUD gula merah 4 kg Rp 20,000 80,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 4 kg Rp 20,000 80,000.00 0 kg Rp 20,000 -
09 September 2021 BLUD tepung terigu 2 kg Rp 20,000 40,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
09 September 2021 BLUD kara 5 kg Rp 5,000 25,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 kg Rp 5,000 25,000.00 0 kg Rp 5,000 -
09 September 2021 BLUD kacang hijau 2 kg Rp 20,000 40,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
09 September 2021 BLUD pisang 12 sisir Rp 20,000 240,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 12 sisir Rp 20,000 240,000.00 0 sisir Rp 20,000 -
09 September 2021 BLUD buncis 10 ikat Rp 4,000 40,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 10 ikat Rp 4,000 40,000.00 0 ikat Rp 4,000 -
09 September 2021 BLUD labu siam 18 buah Rp 2,000 36,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 18 buah Rp 2,000 36,000.00 0 buah Rp 2,000 -
09 September 2021 BLUD kacang panjang 13 ikat Rp 5,000 65,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 13 ikat Rp 5,000 65,000.00 0 ikat Rp 5,000 -
09 September 2021 BLUD wortel 15 kg Rp 7,000 105,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 15 kg Rp 7,000 105,000.00 0 kg Rp 7,000 -
09 September 2021 BLUD pepaya 18 buah Rp 10,000 180,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 18 buah Rp 10,000 180,000.00 0 buah Rp 10,000 -
09 September 2021 BLUD jamur 4 bungkus Rp 7,000 28,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 4 bungkus Rp 7,000 28,000.00 0 bungkus Rp 7,000 -
09 September 2021 BLUD brokoli 1 kg Rp 35,000 35,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 kg Rp 35,000 35,000.00 0 kg Rp 35,000 -
09 September 2021 BLUD oyong 2 kg Rp 6,000 12,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 kg Rp 6,000 12,000.00 0 kg Rp 6,000 -
09 September 2021 BLUD bumbu dapur 16 bungkus Rp 4,000 64,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 16 bungkus Rp 4,000 64,000.00 0 bungkus Rp 4,000 -
09 September 2021 BLUD jagung manis 20 buah Rp 2,000 40,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah Rp 2,000 -
09 September 2021 BLUD sayur asem 2 bungkus Rp 10,000 20,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus Rp 10,000 -
09 September 2021 BLUD sayur sop 2 bungkus Rp 10,000 20,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus Rp 10,000 -
09 September 2021 BLUD kangkung 5 ikat Rp 5,000 25,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat Rp 5,000 -
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09 September 2021 BLUD bayam 3 ikat Rp 5,000 15,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 3 ikat Rp 5,000 15,000.00 0 ikat Rp 5,000 -
09 September 2021 BLUD putren 5 kg Rp 5,000 25,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 kg Rp 5,000 25,000.00 0 kg Rp 5,000 -
09 September 2021 BLUD bawang merah 1.5 kg Rp 50,000 75,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1.5 kg Rp 50,000 75,000.00 0 kg Rp 50,000 -
09 September 2021 BLUD bawang putih 1.5 kg Rp 50,000 75,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1.5 kg Rp 50,000 75,000.00 0 kg Rp 50,000 -
09 September 2021 BLUD cabe rawit 1.5 kg Rp 50,000 75,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1.5 kg Rp 50,000 75,000.00 0 kg Rp 50,000 -
09 September 2021 BLUD cabe merah 1.5 kg Rp 50,000 75,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1.5 kg Rp 50,000 75,000.00 0 kg Rp 50,000 -
09 September 2021 BLUD sayur lodeh 1 kg Rp 10,000 10,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 kg Rp 10,000 10,000.00 0 kg Rp 10,000 -
09 September 2021 BLUD daun singkong 5 ikat Rp 6,000 30,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 ikat Rp 6,000 30,000.00 0 ikat Rp 6,000 -
09 September 2021 BLUD kentang 5 kg Rp 11,000 55,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 kg Rp 11,000 55,000.00 0 kg Rp 11,000 -

09 September 2021 BLUD tempe 22 potong Rp 5,000 110,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 22 potong Rp 5,000 110,000.00 0 potong Rp 5,000 -
09 September 2021 BLUD tahu 22 potong Rp 4,000 88,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 22 potong Rp 4,000 88,000.00 0 potong Rp 4,000 -
09 September 2021 BLUD minyak goreng 14 liter Rp 15,000 210,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 14 liter Rp 15,000 210,000.00 0 liter Rp 15,000 -
09 September 2021 BLUD kecap manis 9 bungkus Rp 12,000 108,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 9 bungkus Rp 12,000 108,000.00 0 bungkus Rp 12,000 -
09 September 2021 BLUD puding susu 3 bungkus Rp 15,000 45,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 3 bungkus Rp 15,000 45,000.00 0 bungkus Rp 15,000 -
09 September 2021 BLUD ayam 6 kg Rp 35,000 210,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 6 kg Rp 35,000 210,000.00 0 kg Rp 35,000 -
09 September 2021 BLUD telur ayam 14 kg Rp 24,000 336,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 14 kg Rp 24,000 336,000.00 0 kg Rp 24,000 -
09 September 2021 BLUD ikan selar 1 kg Rp 25,000 25,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg Rp 25,000 -
09 September 2021 BLUD ikan kembung 5 kg Rp 25,000 125,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 kg Rp 25,000 125,000.00 0 kg Rp 25,000 -
09 September 2021 BLUD ikan tuna 0.5 kg Rp 30,000 15,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 0.5 kg Rp 30,000 15,000.00 0 kg Rp 30,000 -
09 September 2021 BLUD telur puyuh 1 kg Rp 20,000 20,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
11 Oktober 2021 BLUD beras 28 kg Rp 12,000 336,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 28 kg Rp 12,000 336,000.00 0 kg Rp 12,000 -
11 Oktober 2021 BLUD gula merah 2 kg Rp 20,000 40,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
11 Oktober 2021 BLUD kemiri 10 bungkus Rp 2,000 20,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 10 bungkus Rp 2,000 20,000.00 0 bungkus Rp 2,000 -
11 Oktober 2021 BLUD kacang hijau 1 kg Rp 20,000 20,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
11 Oktober 2021 BLUD pisang 2 sisir Rp 20,000 40,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 sisir Rp 20,000 40,000.00 0 sisir Rp 20,000 -
11 Oktober 2021 BLUD buncis 29 ikat Rp 4,000 116,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 29 ikat Rp 4,000 116,000.00 0 ikat Rp 4,000 -
11 Oktober 2021 BLUD labu siam 22 buah Rp 2,000 44,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 22 buah Rp 2,000 44,000.00 0 buah Rp 2,000 -
11 Oktober 2021 BLUD kacang panjang 32 ikat Rp 5,000 160,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 32 ikat Rp 5,000 160,000.00 0 ikat Rp 5,000 -
11 Oktober 2021 BLUD wortel 14 kg Rp 7,000 98,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 14 kg Rp 7,000 98,000.00 0 kg Rp 7,000 -
11 Oktober 2021 BLUD pepaya 8 buah Rp 10,000 80,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 8 buah Rp 10,000 80,000.00 0 buah Rp 10,000 -
11 Oktober 2021 BLUD jamur 5 bungkus Rp 5,000 25,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 5 bungkus Rp 5,000 25,000.00 0 bungkus Rp 5,000 -
11 Oktober 2021 BLUD toge 0.15 kg Rp 10,000 1,500.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 0.15 kg Rp 10,000 1,500.00 0 kg Rp 10,000 -
11 Oktober 2021 BLUD oyong 8 kg Rp 6,000 48,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 8 kg Rp 6,000 48,000.00 0 kg Rp 6,000 -
11 Oktober 2021 BLUD tomat 1.75 bungkus Rp 18,000 31,500.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 bungkus Rp 18,000 31,500.00 0 bungkus Rp 18,000 -
11 Oktober 2021 BLUD jagung manis 34 buah Rp 2,000 68,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 34 buah Rp 2,000 68,000.00 0 buah Rp 2,000 -
11 Oktober 2021 BLUD sayur asem 2 bungkus Rp 10,000 20,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus Rp 10,000 -
11 Oktober 2021 BLUD sayur sop 6 bungkus Rp 10,000 60,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 6 bungkus Rp 10,000 60,000.00 0 bungkus Rp 10,000 -
11 Oktober 2021 BLUD kangkung 5 ikat Rp 5,000 25,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat Rp 5,000 -
11 Oktober 2021 BLUD sawi putih 1 buah Rp 15,000 15,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1 buah Rp 15,000 15,000.00 0 buah Rp 15,000 -
11 Oktober 2021 BLUD bumbu dapur 14 kg Rp 4,000 56,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 14 kg Rp 4,000 56,000.00 0 kg Rp 4,000 -
11 Oktober 2021 BLUD bawang merah 1.75 kg Rp 60,000 105,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 kg Rp 60,000 105,000.00 0 kg Rp 60,000 -
11 Oktober 2021 BLUD bawang putih 1.75 kg Rp 50,000 87,500.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 kg Rp 50,000 87,500.00 0 kg Rp 50,000 -
11 Oktober 2021 BLUD cabe rawit 1.75 kg Rp 70,000 122,500.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 kg Rp 70,000 122,500.00 0 kg Rp 70,000 -
11 Oktober 2021 BLUD cabe merah 1.75 kg Rp 60,000 105,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 kg Rp 60,000 105,000.00 0 kg Rp 60,000 -
11 Oktober 2021 BLUD terong ungu 2 kg Rp 10,000 20,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 kg Rp 10,000 20,000.00 0 kg Rp 10,000 -
11 Oktober 2021 BLUD daun singkong 5 ikat Rp 5,000 25,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat Rp 5,000 -
11 Oktober 2021 BLUD kentang 11 kg Rp 11,000 121,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 11 kg Rp 11,000 121,000.00 0 kg Rp 11,000 -
11 Oktober 2021 BLUD daun bawang 0.5 kg Rp 20,000 10,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 0.5 kg Rp 20,000 10,000.00 0 kg Rp 20,000 -
11 Oktober 2021 BLUD tempe 25 potong Rp 5,000 125,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 25 potong Rp 5,000 125,000.00 0 potong Rp 5,000 -
11 Oktober 2021 BLUD tahu 25 potong Rp 4,000 100,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 25 potong Rp 4,000 100,000.00 0 potong Rp 4,000 -
11 Oktober 2021 BLUD minyak goreng 13 liter Rp 15,000 195,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 13 liter Rp 15,000 195,000.00 0 liter Rp 15,000 -
11 Oktober 2021 BLUD kecap manis 14 bungkus Rp 12,000 168,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 14 bungkus Rp 12,000 168,000.00 0 bungkus Rp 12,000 -
11 Oktober 2021 BLUD bakso 0.5 bungkus Rp 60,000 30,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 0.5 bungkus Rp 60,000 30,000.00 0 bungkus Rp 60,000 -
11 Oktober 2021 BLUD ayam 5 kg Rp 35,000 175,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 5 kg Rp 35,000 175,000.00 0 kg Rp 35,000 -
11 Oktober 2021 BLUD telur ayam 17 kg Rp 24,000 408,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 17 kg Rp 24,000 408,000.00 0 kg Rp 24,000 -
11 Oktober 2021 BLUD telur puyuh 2 kg Rp 20,000 40,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
11 Oktober 2021 BLUD ikan kembung 6 kg Rp 25,000 150,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 6 kg Rp 25,000 150,000.00 0 kg Rp 25,000 -
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11 Oktober 2021 BLUD daging 2 kg Rp 80,000 160,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 kg Rp 80,000 160,000.00 0 kg Rp 80,000 -

11 November 2021 BLUD beras 31 kg Rp 12,000 372,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 31 kg Rp 12,000 372,000.00 0 kg Rp 12,000 -
11 November 2021 BLUD gula merah 3 kg Rp 20,000 60,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 kg Rp 20,000 60,000.00 0 kg Rp 20,000 -
11 November 2021 BLUD kemiri 10 bungkus Rp 1,000 10,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 10 bungkus Rp 1,000 10,000.00 0 bungkus Rp 2,000 -
11 November 2021 BLUD kacang hijau 2 kg Rp 20,000 40,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg Rp 20,000 -
11 November 2021 BLUD tepung terigu 2 kg Rp 10,000 20,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 10,000 20,000.00
11 November 2021 BLUD garam 6 bungkus Rp 5,000 30,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 6 bungkus Rp 5,000 30,000.00
11 November 2021 BLUD tepung beras 0.5 bungkus Rp 25,000 12,500.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 0.5 bungkus Rp 25,000 12,500.00
11 November 2021 BLUD royco 1 lusin Rp 15,000 15,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 lusin Rp 15,000 15,000.00

11 November 2021 BLUD pisang 8 sisir Rp 20,000 160,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 8 sisir Rp 20,000 160,000.00 0 sisir Rp 20,000 -
11 November 2021 BLUD buncis 20 ikat Rp 4,000 80,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 20 ikat Rp 4,000 80,000.00 0 ikat Rp 4,000 -
11 November 2021 BLUD labu siam 23 buah Rp 2,000 46,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 23 buah Rp 2,000 46,000.00 0 buah Rp 2,000 -
11 November 2021 BLUD kacang panjang 18 ikat Rp 5,000 90,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 18 ikat Rp 5,000 90,000.00 0 ikat Rp 5,000 -
11 November 2021 BLUD wortel 12 kg Rp 7,000 84,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 12 kg Rp 7,000 84,000.00 0 kg Rp 7,000 -
11 November 2021 BLUD pepaya 5 buah Rp 10,000 50,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 5 buah Rp 10,000 50,000.00 0 buah Rp 10,000 -
11 November 2021 BLUD jamur 3 bungkus Rp 5,000 15,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 bungkus Rp 5,000 15,000.00 0 bungkus Rp 5,000 -
11 November 2021 BLUD toge 0.5 kg Rp 15,000 7,500.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 0.5 kg Rp 15,000 7,500.00 0 kg Rp 10,000 -
11 November 2021 BLUD oyong 5 bungkus Rp 7,000 35,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 5 bungkus Rp 7,000 35,000.00 0 kg Rp 6,000 -
11 November 2021 BLUD tomat 3 kg Rp 15,000 45,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 kg Rp 15,000 45,000.00 0 bungkus Rp 18,000 -
11 November 2021 BLUD jagung manis 27 buah Rp 2,000 54,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 27 buah Rp 2,000 54,000.00 0 buah Rp 2,000 -
11 November 2021 BLUD sayur asem 4 bungkus Rp 10,000 40,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 4 bungkus Rp 10,000 40,000.00 0 bungkus Rp 10,000 -
11 November 2021 BLUD sayur sop 5 bungkus Rp 10,000 50,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 5 bungkus Rp 10,000 50,000.00 0 bungkus Rp 10,000 -
11 November 2021 BLUD kangkung 5 ikat Rp 5,000 25,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat Rp 5,000 -
11 November 2021 BLUD sawi putih 3.5 buah Rp 12,000 42,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3.5 buah Rp 12,000 42,000.00 0 buah Rp 15,000 -
11 November 2021 BLUD bumbu dapur 16 kg Rp 4,000 64,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 16 kg Rp 4,000 64,000.00 0 kg Rp 4,000 -
11 November 2021 BLUD bawang merah 2 kg Rp 50,000 100,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg Rp 60,000 -
11 November 2021 BLUD bawang putih 2 kg Rp 50,000 100,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg Rp 50,000 -
11 November 2021 BLUD cabe rawit 2 kg Rp 50,000 100,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg Rp 70,000 -
11 November 2021 BLUD cabe merah 2 kg Rp 50,000 100,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg Rp 60,000 -
11 November 2021 BLUD bawang bombay 1 kg Rp 30,000 30,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 kg Rp 30,000 30,000.00 0 kg Rp 10,000 -
11 November 2021 BLUD bayam 2 ikat Rp 5,000 10,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 ikat Rp 5,000 10,000.00 0 ikat Rp 5,000 -
11 November 2021 BLUD kentang 4 kg Rp 11,000 44,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 4 kg Rp 11,000 44,000.00 0 kg Rp 11,000 -
11 November 2021 BLUD daun bawang 0.5 kg Rp 15,000 7,500.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 0.5 kg Rp 15,000 7,500.00 0 kg Rp 20,000 -
11 November 2021 BLUD tempe 29 potong Rp 5,000 145,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 29 potong Rp 5,000 145,000.00 0 potong Rp 5,000 -
11 November 2021 BLUD tahu 29 potong Rp 4,000 116,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 29 potong Rp 4,000 116,000.00 0 potong Rp 4,000 -
11 November 2021 BLUD minyak goreng 16 liter Rp 15,000 240,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 16 liter Rp 15,000 240,000.00 0 liter Rp 15,000 -
11 November 2021 BLUD kecap manis 13 bungkus Rp 12,000 156,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 13 bungkus Rp 12,000 156,000.00 0 bungkus Rp 12,000 -
11 November 2021 BLUD ayam 10 kg Rp 35,000 350,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 10 kg Rp 35,000 350,000.00 0 kg Rp 35,000 -
11 November 2021 BLUD telur ayam 15 kg Rp 24,000 360,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 15 kg Rp 24,000 360,000.00 0 kg Rp 24,000 -
11 November 2021 BLUD telur puyuh 1 kg Rp 20,000 20,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg Rp 20,000 -
11 November 2021 BLUD ikan kembung 4 kg Rp 30,000 120,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 4 kg Rp 30,000 120,000.00 0 kg Rp 25,000 -
11 November 2021 BLUD ikan bawal 3 kg Rp 25,000 75,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 kg Rp 25,000 75,000.00 0 kg Rp 80,000 -
11 November 2021 BLUD ikan mujair 2 kg Rp 25,000 50,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 25,000 50,000.00 0 kg
11 November 2021 BLUD ati ampela 1 kg Rp 25,000 25,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg
JUMLAH BELANJA MAKANAN DAN MINUMAN PADA FASILITAS PELAYANAN URUSAN KESEHATAN (5.1.02.01.01.0049) (5.1.02.01.01.054) 35,909,000.00 650,000.00 -
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26 April 2021 Farmalkes ABX Miniclean 2 Botol 2,415,600 4,831,200.00 252/APBD/SEKSI FARMALKES/IV/2021 Monday, April 26, 2021 01 Jan-30 Juni Farmasi 2 Botol 2,415,600.00 4,831,200.00 0 Botol 2,415,600.00 Rp -
18 Mei 2021 Farmalkes Dif Diluent 4 Botol 1,669,250 6,677,000.00 325/APBD/SEKSI FARMALKES/V/2021 18 Mei 2021 01 Jan-30 Juni Farmasi 4 Botol 1,669,250.00 6,677,000.00 0 Botol 1,669,250.00 Rp -
23 Juni 2021 Farmalkes Cell Dyn Easy Cleaner 6 Botol 2,904,000 17,424,000.00 446/APBD/SEKSI FARMALKES/VI/2021 23 Juni 2021 01 Jan-30 Juni Farmasi 6 Botol 2,904,000.00 17,424,000.00 0 Botol 2,904,000.00 Rp -
04 Agustus 2021 Farmalkes Rapid Test 1 HIV 27500 Test 9,082 249,741,800 634/APBD/SEKSI FARMALKES/VII/2021 27 Juli 2021 01 Juli-31 Des Farmasi 27500 Test 9,081.52 249,741,800.00 0 Test 9,081.52 Rp -
29 Juli 2021 Farmalkes HbaAg Strip 1000 Pcs 8,100 8,100,000 635/APBD/SEKSI FARMALKES/VII/2021 29 Juli 2021 01 Juli-31 Des Farmasi 1000 Pcs 8,100.00 8,100,000.00 0 Pcs 8,100.00 Rp -
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16 Juli 2021 Farmalkes Urine Reagen Strips 21 Box 512,490 10,762,290 636//APBD/SEKSI FARMALKES/VII/2021 01 Juli-31 Des Farmasi 21 Box 512,490.00 10,762,290.00 0 Box 512,490.00 Rp -
06 September 2021 Farmalkes Glukosa Kit (god-pod) 16 Kit 531,300 8,500,800 704/PERSEDIAAN/DINKES/FARMALKES/IX/2021 01 Juli-31 Des Farmasi 16 Kit 531,300.00 8,500,800.00 0 Kit 531,300.00 Rp -
28 September 2021 Farmalkes Reagen PCR 15264 Test 168,838 2,577,142,900.00 850/APBD/SEKSI FARMALKES/IX/2021 01 Juli-31 Des Farmasi 15264 Test 168,837.98 2,577,142,900.00 0 Test 168,837.98 Rp -
22 September 2021 Farmalkes Reagen HB Hemocrom 42 Kit 2,200,000 92,400,000 853/APBD/SEKSI FARMALKES/IX/2021 01 Juli-31 Des Farmasi 42 Kit 2,200,000.00 92,400,000.00 0 Kit 2,200,000.00 Rp -
#REF!
03 Agustus 2021 Farmalkes Cairan Desinfektan (Aseptanios AD 5L) 300 Galon 2,416,700 725,010,000.00 633/APBD/SEKSI FARMALKES/VII/2021 Friday, July 30, 2021 01 Juli-31 Des Farmasi 300 Galon 2,416,700.00 725,010,000.00 0 Galon 2,416,700.00 Rp -
26 Agustus 2021 Farmalkes Plester Transparan/Plesterin 1000 Box 38,934 38,934,000.00 705/DAK/SEKSI FARMALKES/VIII/2021 Friday, July 30, 2021 01 Juli-31 Des Farmasi 1000 Box 38,934.00 38,934,000.00 0 Box 38,934.00 Rp -
28 September 2021 Farmalkes Coverall 45225 Pcs 110,600 5,001,885,000.00 849/APBD/SEKSI FARMALKES/IX/2021 Monday, September 13, 2021 01 Juli-31 Des Farmasi 45225 Pcs 110,600.00 5,001,885,000.00 0 Pcs 110,600.00 Rp -
#REF!

(5.1.02.01.01.0024)
Page 237 of 288

26 Maret 2021 Farmalkes sertifikat/Ijasah/Piagam 1 Warna BC/ Linen 40 Lembar 5,000 200,000.00 302/DAK BPOM/SEKSI/FARMALKES/II/2021 Wednesday, March 31, 2021 01 Jan-30 Juni Kegiatan 40 Lembar 5,000.00 200,000.00 0 Lembar 5,000.00 Rp -
Page 238 of 288

21 Juli 2021 Farmalkes Catriedge TCM 4800 Test 252,400 1,211,520,000.00 519/APBD/SEKSI FARMALKES/VII/2021 01 Juli- 31 Des Kegiatan 4800 Test 252,400.00 1,211,520,000.00 0 Test 252,400.00 Rp -
#REF!

(5.1.02.01.01.0025)
#REF!
Belanja Cetak (5.1.02.01.01.0026)
Page 239 of 288

31 Maret 2021 Farmalkes Spanduk Standar 4 Meter 15,000 60,000.00 301/DAK BPOM/SEKSI FARMALKES/II/2021 Wednesday, March 31, 2021 01 Jan-30 Juni Staff 4 Meter 15,000.00 60,000.00 0 Meter 15,000.00 Rp -
11 Maret 2021 Promkes Buku Manual Kesmavet 120 Buah 170,000 20,400,000.00 444/APBD/PROMKESLINGKESJAOR/VI/2021 01 Jan-30 Juni Staff 120 Buah 170,000.00 20,400,000.00 0 Buah 170,000.00 Rp -
23 September 2021 Kesga Buku Bina Lansia 7290 Bok 7,900 57,591,000.00 789/APBD/KESGA/VIII/2021 Monday, September 20, 2021 01 Jan-30 Juni Staff 7290 Bok 7,900.00 57,591,000.00 0 Bok 7,900.00 Rp -

#REF!

#REF!
(5.1.02.01.01.0027)
#REF!

(5.1.02.01.01.0029)
Page 240 of 288




#REF!

(5.1.02.01.01.0030)
Page 241 of 288

#REF!

#REF!

(5.1.02.01.01.0035)
08 Juni 2021 Promkes Souvenir Pelaksanaan EHRA Study 120 Paket 140,000.00 16,800,000.00 445//APBD/PROMKESLINGKESJAOR/VI/2021 01 Jan-30 Juni Staff 120 Paket 140,000.00 16,800,000.00 0 Paket 140,000.00 Rp -
#REF!
30 Juni 2021 Farmalkes Amoxicillin sirup/suspensi kering 125mg/5ml 10000 Botol 2,050.00 20,500,000.00 715/SEKSI FARMALKES/VI/2021 Monday, September 13, 2021 01 Juli-31 Des Staff 10000 Botol 2,050.00 20,500,000.00 0 Botol 2,050.00 Rp -
06 September 2021 Farmalkes Amlodipin Tablet 10mg 300000 Tablet 70.00 21,000,000.00 872/SEKSI FARMALKES/IX/2021 Monday, September 06, 2021 01 Juli-31 Des Staff 300000 Tablet 70.00 21,000,000.00 0 Tablet 70.00 Rp -
25 Agustus 2021 Farmalkes Glimepirid Tablet 2mg 100000 Tablet 123.00 12,300,000.00 872/SEKSI FARMALKES/VIII/2021 Wednesday, August 25, 2021 01 Juli-31 Des Staff 100000 Tablet 123.00 12,300,000.00 0 Tablet 123.00 Rp -
#REF!

(5.1.02.01.01.0039)

@24 Roll
Page 242 of 288

06 September 2021 Promkes Personal Komputer Hp All In One 4 Unit 11,638,250.00 46,553,000.00 729/APBD/PROMKESLINGKESJAOR/IX/2021 01 Juli-31 Des Kegiatan 4 Unit 11,638,250.00 46,553,000.00 0 Unit 11,638,250.00 Rp -
13 September 2021 Promkes Cetak Brosur Covid-19 art paper 150gr 10 Rim 1,200,000.00 12,000,000.00 765/APBD/PROMKESLINGKESJAOR/IX/2021 01 Juli-31 Des Kegiatan 10 Rim 1,200,000.00 12,000,000.00 0 Rim 1,200,000.00 Rp -
13 September 2021 Promkes Cetak Brosur Diabetes 2 Muka Kertas Art Paper 150gr 10 Rim 1,400,000.00 14,000,000.00 766/APBD/PROMKESLINGKESJAOR/IX/2021 01 Juli-31 Des Kegiatan 10 Rim 1,400,000.00 14,000,000.00 0 Rim 1,400,000.00
15 September 2021 Promkes Printer Epson L4150 10 Unit 4,131,000.00 41,310,000.00 766/APBD/PROMKESLINGKESJAOR/IX/2021 01 Juli-31 Des FFKS 10 Unit 4,131,000.00 41,310,000.00 0 Unit 4,131,000.00
28 Mei 2021 Umpeg Reffil Aqua Galon 83 Galon 22,000.00 1,826,000.00 343/APBD/SUB BAGIAN UMUM KEPEGAWAIAN /V/2021 01 Jan-30 Juni Operasional 83 Galon 22,000.00 1,826,000.00 0 Galon 22,000.00 Rp -
21 Juli 2021 Umpeg Reffil Aqua Galon 240 Galon 22,000.00 5,280,000.00 489/APBD/SUB BAGIAN UMUM KEPEGAWAIAN /VII/2021 01 Juli-31 Des Operasional 240 Galon 22,000.00 5,280,000.00 0 Galon 22,000.00 Rp -
Page 243 of 288

04 Oktober 2021 Umpeg makmin (belanja air galon) 1 Paket 8,736,000 8,736,000.00 870/APBD/SEKSI UMUM DAN KEPEGAWAIAN/IX/2021 01 Juli-31 Des Kegiatan 1 Paket 8,736,000.00 8,736,000.00 0 Paket 8,736,000.00 Rp -
#REF!
22 Februari 2021 Farmalkes Makmin 1 Paket 2,555,000.00 2,555,000.00 177/APBD/SEKSI FARMALKES/II/2021 01 Jan-30 Juni Kegiatan 1 Paket 2,555,000.00 2,555,000.00 0 Paket 2,555,000.00 Rp -
#REF!
Jasa Film/Video (CD); Produksi Video Profil Pimpinan Daerah dan OPD
13 September 2021 Promkelingjaor 1 Kegiatan 47,000,000.00 47,000,000.00 728/APBD/PROMKESLINGKESJAOR/IX/2021 01 Jan-30 Juni Kegiatan 1 Kegiatan 47,000,000.00 47,000,000.00 0 Kegiatan 47,000,000.00 Rp -
serta iklan layanan Masyarakat
#REF!
#REF!

(5.1.02.02.12)
08 Juni 2021 Promkes Kaos Sablon Pelatihan EHRA 120 Buah 127,000.00 15,240,000.00 443/APBD/PROMKESLINGKESJAOR/VI/2021 01 Jan-30 Juni Staff 120 Buah 127,000.00 15,240,000.00 0 Buah 127,000.00 Rp -
#REF!
02 Juli 2021 Farmalkes Tips 1000 ul Merk Thermo Scientific 19968 Pcs 4,000.00 79,872,000.00 670/PERSEDIAAN/DINKES/FARMALKES/VI/2021 Staff 19968 Pcs 4,000.00 79,872,000.00 0 Pcs 4,000.00 Rp -
08 Maret 2021 Farmalkes Reagen PCR Merk Care Gene Covid-9 RT-PCR Kit 11200 Pcs 160,000.00 1,792,000,000.00 671/PERSEDIAAN/DINKES/FARMALKES/VIII/2021 Staff 11200 Pcs 160,000.00 1,792,000,000.00 0 Pcs 160,000.00 Rp -
03 Mei 2021 Farmalkes Tabung PCR 0,1 ml Merk Mygo Pro 9000 Pcs 3,500.00 31,500,000.00 672/PERSEDIAAN/DINKES/FARMALKES/VIII/2021 Staff 9000 Pcs 3,500.00 31,500,000.00 0 Pcs 3,500.00 Rp -
Page 244 of 288

05 April 2021 Farmalkes Tabung PCR 0,1 ml Merk Qiagen, 981103 23000 Pcs 8,855.00 203,665,000.00 673/PERSEDIAAN/DINKES/FARMALKES/VIII/2021 Staff 23000 Pcs 8,855.00 203,665,000.00 0 Pcs 8,855.00 Rp -
#REF!
1. SALDO AWAL = 160,000 1. KELUAR SALDO AWAL = 160,000 1. SISA SALDO AWAL -

………………………. …………………….
NIP. 19 NIP. 19
Page 245 of 288

PERIODE 01 JANUARI S/D 30 NOVEMBER 2021

28/05/2021 BLUD Kemasan Obat Paper Bag 4,900 pcs 2,000 9,800,000.00 322/PKM PONDOK RANJI/V/2021 28/5/2021 01 Jan-30 Nov KW/065/SSS/V/2021 18/05/2021 Operasional 4900 pcs 2,000.00 9,800,000.00 0 pcs
27/7/2021 BLUD Ballpoint Pilot BPTP 10 lusin 48,400.00 484,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-30 Nov 05/KW/ASS/VI/2021 22/07/2021 Operasional 9 lusin 48,400.00 435,600.00 1 lusin
27/7/2021 BLUD Pensil 5 Lusin 28,600.00 143,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-30 Nov 05/KW/ASS/VI/2021 22/07/2021 Operasional 1 Lusin 28,600.00 28,600.00 4 Lusin
27/7/2021 BLUD Box File Plastik 20 pcs 41,800.00 836,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-30 Nov 05/KW/ASS/VI/2021 22/07/2021 Operasional 9 pcs 41,800.00 376,200.00 11 pcs
27/7/2021 BLUD Lem Kertas 15 buah 17,600.00 264,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-30 Nov 05/KW/ASS/VI/2021 22/07/2021 Operasional 4 buah 17,600.00 70,400.00 11 buah
27/7/2021 BLUD Buku Polio 13 buah 72,600.00 943,800.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-30 Nov 05/KW/ASS/VI/2021 22/07/2021 Operasional 8 buah 72,600.00 580,800.00 5 buah
27/7/2021 BLUD Map Kancing Plastik 20 lusin 68,200.00 1,364,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-30 Nov 05/KW/ASS/VI/2021 22/07/2021 Operasional 0 lusin 68,200.00 - 20 lusin
22 Oktober 2021 BLUD Tinta Epson 664 hitam 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 2 pcs 110,000.00 220,000.00 8 pcs
22 Oktober 2021 BLUD Tinta Epson 664 biru 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 pcs 110,000.00 - 10 pcs
22 Oktober 2021 BLUD Tinta Epson 664 kuning 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 2 pcs 110,000.00 220,000.00 8 pcs
22 Oktober 2021 BLUD Tinta Epson 664 merah 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 pcs 110,000.00 - 10 pcs
22 Oktober 2021 BLUD Tinta Epson 003 hitam 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 5 pcs 110,000.00 550,000.00 5 pcs
22 Oktober 2021 BLUD Tinta Epson 003 biru 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 4 pcs 110,000.00 440,000.00 6 pcs
22 Oktober 2021 BLUD Tinta Epson 003 kuning 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 pcs 110,000.00 110,000.00 9 pcs
22 Oktober 2021 BLUD Tinta Epson 003 merah 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 3 pcs 110,000.00 330,000.00 7 pcs
22 Oktober 2021 BLUD tinta stempel ungu 10 pcs 15,000.00 150,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 pcs 15,000.00 15,000.00 9 pcs
22 Oktober 2021 BLUD lakban kain 2 inch hitam 2 Roll 25,000.00 50,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 Roll 25,000.00 25,000.00 1 Roll
22 Oktober 2021 BLUD lakban kain 2 inch hijau 1 Roll 25,000.00 25,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 Roll 25,000.00 25,000.00 0 Roll
22 Oktober 2021 BLUD lakban kain 2 inch kuning 1 Roll 25,000.00 25,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 Roll 25,000.00 - 1 Roll
22 Oktober 2021 BLUD lakban kain 2 inch merah 1 Roll 25,000.00 25,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 Roll 25,000.00 - 1 Roll
22 Oktober 2021 BLUD lakban opp bening/transparan 2 inch 5 Roll 20,000.00 100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 Roll 20,000.00 - 5 Roll
22 Oktober 2021 BLUD tape dispenser tempat isolasi joyco TD-103 5 buah 40,000.00 200,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 buah 40,000.00 - 5 buah
22 Oktober 2021 BLUD tape cutter tempat isolasi lakban joyco TD-2 5 buah 35,000.00 175,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 buah 35,000.00 - 5 buah
22 Oktober 2021 BLUD stappler HD 10 max 5 pcs 20,000.00 100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 pcs 20,000.00 - 5 pcs
22 Oktober 2021 BLUD stappler HD 50 max 5 pcs 80,000.00 400,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 4 pcs 80,000.00 320,000.00 1 pcs
22 Oktober 2021 BLUD isi stappler no 10 joyco 20 box 40,000.00 800,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 box 40,000.00 40,000.00 19 box
22 Oktober 2021 BLUD isi stappler no 3 joyco 20 box 50,000.00 1,000,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 box 50,000.00 50,000.00 19 box
22 Oktober 2021 BLUD paper klip no 5 kenko/joyco 30 kotak 9,000.00 270,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 18 kotak 9,000.00 162,000.00 12 kotak
22 Oktober 2021 BLUD ballpoint balliner 2 pak 215,000.00 430,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 pak 215,000.00 215,000.00 1 pak
22 Oktober 2021 BLUD map L bening daichi F4 20 lusin 38,000.00 760,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 3 lusin 38,000.00 114,000.00 17 lusin
22 Oktober 2021 BLUD buku expedisi paperline isi 100 lembar 8 buah 18,000.00 144,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 2 buah 18,000.00 36,000.00 6 buah
22 Oktober 2021 BLUD correction pen (tip-ex cair) 5 box 100,000.00 500,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 box 100,000.00 100,000.00 4 box
22 Oktober 2021 BLUD memo sticky note post it 3M 654 20 pad 17,000.00 340,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 pad 17,000.00 - 20 pad
22 Oktober 2021 BLUD binder klip 260 10 kotak 27,000.00 270,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 kotak 27,000.00 27,000.00 9 kotak
22 Oktober 2021 BLUD kertas label 112 tom n jerry 10 set 9,000.00 90,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 set 9,000.00 9,000.00 9 set
22 Oktober 2021 BLUD kertas label 102 tom n jerry 10 set 9,000.00 90,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 6 set 9,000.00 54,000.00 4 set
JUMLAH BELANJA ALAT TULIS KANTOR (5.1.02.01.01.0024) (5.1.02.01.01.022) 28,833,800.00 3,108,000.00
KERTAS HVS (5.1.02.01.01.0025) (5.1.02.01.01.023)
08 April 2021 BLUD Kertas HVS A4 39 rim 53,900 2,102,100.00 160/PKM PONDOK RANJI/IV/2021 8/4/2021 01 Jan-30 Nov 01/KW/ASS/IV/2021 1/4/2021 Operasional 19 rim 53,900.00 1,024,100.00 20 rim
08 April 2021 BLUD Kertas HVS F4 80 rim 59,400 4,752,000.00 160/PKM PONDOK RANJI/IV/2021 8/4/2021 01 Jan-30 Nov 01/KW/ASS/IV/2021 1/4/2021 Operasional 65 rim 59,400.00 3,861,000.00 15 rim
JUMLAH BELANJA KERTAS HVS (5.1.02.01.01.0025) (5.1.02.01.01.023) 6,854,100.00 4,885,100.00
BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-BENDA POS (5.1.02.01.01.0027) (5.1.02.01.01.025)
19/03/2021 BLUD Materai 200 buah 10,114 2,022,800.00 129/PKM PONDOK RANJI/III/2021 19/03/2021 01 Jan-30 Nov 4693 16/03/2021 Program 200 buah 10,114.00 2,022,800.00 0 buah
JUMLAH BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-BENDA POS (5.1.02.01.01.0027) (5.1.02.01.01.025) 2,022,800.00 2,022,800.00
Page 246 of 288

BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-PERABOT KANTOR (5.1.02.01.01.0030)

(5.1.02.01.01.028)
19/03/2021 BLUD Gas Elpiji 1 tabung 170,000 170,000.00 098/PKM PONDOK RANJI/III/2021 19/03/2021 01 Jan-30 Nov 10/BLUD/PKMPDR/2021 8/3/2021 Operasional 1 tabung 170,000.00 170,000.00 0 tabung
05 Mei 2021 BLUD Gas Elpiji 2 tabung 160,000 320,000.00 262/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 24/BLUD/PKMPDR/2021 23/04/2021 Operasional 2 tabung 160,000.00 320,000.00 0 tabung
06 Juli 2021 BLUD Gas Elpiji 2 tabung 170,000 340,000.00 453/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 37/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 tabung 170,000.00 340,000.00 0 tabung
09 September 2021 BLUD Gas Elpiji 2 tabung 170,000 340,000.00 708/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 54/BLUD/PKMPDR/2021 26/08/2021 Operasional 2 tabung 170,000.00 340,000.00 0 tabung
11 November 2021 BLUD Gas Elpiji 1 tabung 170,000 170,000.00 1150/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 65/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 tabung 170,000.00 170,000.00 0 tabung
09 September 2021 BLUD Kain Pel 3 buah 182,000 546,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 3 buah 182,000 546,000.00 0 buah
09 September 2021 BLUD plastik sampah hitam 80 pack 41,000 3,280,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 80 pack 41,000 3,280,000.00 0 pack
09 September 2021 BLUD karbol wangi 18 botol 45,000 810,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 18 botol 45,000 810,000.00 0 botol
09 September 2021 BLUD cairan desinfektan 10 botol 29,000 290,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 10 botol 29,000 290,000.00 0 botol
09 September 2021 BLUD sapu lantai 3 pcs 33,000 99,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 3 pcs 33,000 99,000.00 0 pcs
09 September 2021 BLUD keset besar 7 buah 142,800 999,600.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 2 buah 142,800 285,600.00 5 buah
09 September 2021 BLUD tisu kotak 50 pcs 18,000 900,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 50 pcs 18,000 900,000.00 0 pcs
09 September 2021 BLUD tisu toilet 80 pack 46,200 3,696,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 50 pack 46,200 2,310,000.00 30 pack
09 September 2021 BLUD pembasmi nyamuk 40 buah 49,000 1,960,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 31 buah 49,000 1,519,000.00 9 buah
09 September 2021 BLUD kanebo 30 buah 48,500 1,455,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 9 buah 48,500 436,500.00 21 buah
09 September 2021 BLUD plastik sampah warna 200 pack 41,500 8,300,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 0 pack 41,500 - 200 pack
09 September 2021 BLUD sikat lantai kamar mandi 3 buah 32,000 96,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 2 buah 32,000 64,000.00 1 buah
09 September 2021 BLUD sikat toilet 3 buah 50,000 150,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 1 buah 50,000 50,000.00 2 buah
09 September 2021 BLUD sikat cuci 3 buah 30,000 90,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 1 buah 30,000 30,000.00 2 buah
09 September 2021 BLUD sapu lidi 3 buah 30,000 90,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 3 buah 30,000 90,000.00 0 buah
JUMLAH BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-PERABOT KANTOR (5.1.02.01.01.0030) (5.1.02.01.01.028) 24,101,600.00 12,050,100.00
BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-ALAT LISTRIK (5.1.02.01.01.0031) (5.1.02.01.01.029) -
05 Mei 2021 BLUD Baterai A3 25 set 32,500 812,500.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 01/BW/2021 29/04/2021 Operasional 25 set 32,500.00 812,500.00 0 set
05 Mei 2021 BLUD Baterai A2 24 set 32,500 780,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 01/BW/2021 29/04/2021 Operasional 24 set 32,500.00 780,000.00 0 set
05 Mei 2021 BLUD Baterai Tipe LR44 5 set 10,000 50,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 01/BW/2021 29/04/2021 Operasional 5 set 10,000.00 50,000.00 0 set
05 Mei 2021 BLUD Lampu Sorot 5 set 145,000 725,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 01/BW/2021 29/04/2021 Operasional 0 set 145,000.00 - 5 set
05 Mei 2021 BLUD Lampu Bohlam 20 buah 41,500 830,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 01/BW/2021 29/04/2021 Operasional 20 buah 41,500.00 830,000.00 0 buah
05 Mei 2021 BLUD Stop kontak 4 buah 28,500 114,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 01/BW/2021 29/04/2021 Operasional 0 buah 28,500.00 - 4 buah
05 Mei 2021 BLUD Kabel Roll 3 buah 99,500 298,500.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 01/BW/2021 29/04/2021 Operasional 3 buah 99,500.00 298,500.00 0 buah
05 Mei 2021 BLUD Neon panjang dan Starter 20 buah 52,000 1,040,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 01/BW/2021 29/04/2021 Operasional 20 buah 52,000.00 1,040,000.00 0 buah
22 Oktober 2021 BLUD Baterai A2 60 pak 39,000 2,340,000.00 996/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 044/KW.PMJ/X/2021 12/10/2021 Operasional 24 pak 39,000 936,000.00 36 pak
22 Oktober 2021 BLUD Baterai A3 60 pak 39,000 2,340,000.00 996/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 044/KW.PMJ/X/2021 12/10/2021 Operasional 17 pak 39,000 663,000.00 43 pak
22 Oktober 2021 BLUD Lampu LED Philips 30 pcs 70,000 2,100,000.00 996/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 044/KW.PMJ/X/2021 12/10/2021 Operasional 30 pcs 70,000 2,100,000.00 - pcs
22 Oktober 2021 BLUD Lampu Philips TL 18 W 30 pcs 38,000 1,140,000.00 996/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 044/KW.PMJ/X/2021 12/10/2021 Operasional 12 pcs 38,000 456,000.00 18 pcs
22 Oktober 2021 BLUD Starter Lampu 20 pcs 15,000 300,000.00 996/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 044/KW.PMJ/X/2021 12/10/2021 Operasional 20 pcs 15,000 300,000.00 - pcs
JUMLAH BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-ALAT LISTRIK (5.1.02.01.01.0031) (5.1.02.01.01.028) 12,870,000.00 5,793,500.00
BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-ALAT/BAHAN UNTUK KEGIATAN LAINNYA

-
(5.1.02.01.01.0036) (5.1.02.01.01.034)
Belanja Cetak
04 Oktober 2021 BLUD Form Screening awal kewaspadaan covid 19 2 rim 120,000 240,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 2 rim 120,000 240,000.00 - rim
04 Oktober 2021 BLUD Surat keterangan berobat 1 rim 120,000 120,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 1 rim 120,000 120,000.00 - rim
04 Oktober 2021 BLUD Form Resep 5 rim 120,000 600,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 5 rim 120,000 600,000.00 - rim
04 Oktober 2021 BLUD Surat keterangan dokter 2 rim 120,000 240,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 2 rim 120,000 240,000.00 - rim
04 Oktober 2021 BLUD Screening vaksin covid 19 11 rim 110,000 1,210,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 11 rim 110,000 1,210,000.00 - rim
04 Oktober 2021 BLUD surat rujukan 5 rim 110,000 550,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 5 rim 110,000 550,000.00 - rim
04 Oktober 2021 BLUD Database pasien 4 rim 110,000 440,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 4 rim 110,000 440,000.00 - rim
04 Oktober 2021 BLUD Form medis 10 rim 110,000 1,100,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 10 rim 110,000 1,100,000.00 - rim
04 Oktober 2021 BLUD Resume/ringkasan keluar 2 rim 110,000 220,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 2 rim 110,000 220,000.00 - rim
04 Oktober 2021 BLUD Kartu vaksin 8,000 lembar 700 5,600,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 8000 lembar 700 5,600,000.00 - lembar
04 Oktober 2021 BLUD Form Pemantauan 5 rim 110,000 550,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 5 rim 110,000 550,000.00 - rim
Penggandaan/Fotocpy 1 Paket 10,547,600 10,547,600.00 0 Paket 10,547,600 - 1 Paket
JUMLAH BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-ALAT/BAHAN UNTUK KEGIATAN LAINNYA (5.1.02.01.01.0036) (5.1.02.01.01.034) 21,417,600.00 10,870,000.00
BELANJA ISI ULANG AIR MINUM GALON (5.1.02.01.01.0043) (5.1.02.01.01.041)
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17/02/2021 BLUD Aqua Galon 17 tabung Rp 22,000 374,000.00 021/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 02/BLUD/PKMPDR/2021 8/2/2021 Operasional 17 tabung 22,000.00 374,000.00 0 tabung
04 Maret 2021 BLUD Aqua Galon 23 tabung Rp 22,000 506,000.00 067/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 05/BLUD/PKMPDR/2021 25/02/2021 Operasional 23 tabung 22,000.00 506,000.00 0 tabung
08 April 2021 BLUD Aqua Galon 45 tabung Rp 22,000 990,000.00 161/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 15/BLUD/PKMPDR/2021 30/03/2021 Operasional 45 tabung 22,000.00 990,000.00 0 tabung
05 Mei 2021 BLUD Aqua Galon 28 tabung Rp 22,000 616,000.00 264/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 23/BLUD/PKMPDR/2021 28/04/2021 Operasional 28 tabung 22,000.00 616,000.00 0 tabung
03 Juni 2021 BLUD Aqua Galon 32 tabung 22,000 704,000.00 341/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 30/BLUD/PKMPDR/2021 28/05/2021 Operasional 32 tabung 22,000.00 704,000.00 0 tabung
06 Juli 2021 BLUD Aqua Galon 40 tabung 22,000 880,000.00 451/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 36/BLUD/PKMPDR/2021 30/06/2021 Operasional 40 tabung 22,000.00 880,000.00 0 tabung
10 Agustus 2021 BLUD Aqua Galon 24 tabung 22,000 528,000.00 566/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 47/BLUD/PKMPDR/2021 30/07/2021 Operasional 24 tabung 22,000.00 528,000.00 0 tabung
09 September 2021 BLUD Aqua Galon 40 tabung 22,000 880,000.00 708/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 55/BLUD/PKMPDR/2021 26/08/2021 Operasional 40 tabung 22,000.00 880,000.00 0 tabung
11 Oktober 2021 BLUD Aqua Galon 61 tabung 22,000 1,342,000.00 909/PKM PONDOK RANJI/IX/2021 11 Oktober 2021 01 Jan-30 Nov 60/BLUD/PKMPDR/2021 30/09/2021 Operasional 61 tabung 22,000.00 1,342,000.00 0 tabung
11 November 2021 BLUD Aqua Galon 68 tabung 22,000 1,496,000.00 1152/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 66/BLUD/PKMPDR/2021 30/10/2021 Operasional 68 tabung 22,000.00 1,496,000.00 0 tabung
JUMLAH BELANJA ISI ULANG AIR MINUM GALON (5.1.02.01.01.0043) (5.1.02.01.01.041) 8,316,000.00 6,820,000.00
BELANJA SUKU CADANG ALAT LABORATORIUM (5.1.02.01.01.0049) (5.1.02.01.01.015)
17/02/2021 BLUD Oksigen Besar 30 Tabung Rp 120,000 3,600,000.00 022/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 03/BLUD/PKMPDR/2021 30/01/2021 Operasional 30 Tabung Rp 120,000 3,600,000.00 0 Tabung
17/02/2021 BLUD Oksigen Kecil 8 Tabung Rp 50,000 400,000.00 022/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 03/BLUD/PKMPDR/2021 30/01/2021 Operasional 8 Tabung Rp 50,000 400,000.00 0 Tabung
05 Mei 2021 BLUD Oksigen Kecil 3 Tabung Rp 50,000 150,000.00 265/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 26/BLUD/PKMPDR/2021 12/4/2021 Operasional 3 Tabung Rp 50,000 150,000.00 0 Tabung
17/06/2021 BLUD Oksigen Besar 3 Tabung Rp 120,000 360,000.00 416/PKM PONDOK RANJI/VI/2021 17/06/2021 01 Jan-30 Nov 33/BLUD/PKMPDR/2021 6/6/2021 Operasional 3 Tabung Rp 120,000 360,000.00 0 Tabung
17/06/2021 BLUD Oksigen Kecil 2 Tabung Rp 50,000 100,000.00 416/PKM PONDOK RANJI/VI/2021 17/06/2021 01 Jan-30 Nov 33/BLUD/PKMPDR/2021 6/6/2021 Operasional 2 Tabung Rp 50,000 100,000.00 0 Tabung
28/06/2021 BLUD Oksigen Besar 20 Tabung Rp 120,000 2,400,000.00 438/PKM PONDOK RANJI/VI/2021 28/06/2021 01 Jan-30 Nov 35/BLUD/PKMPDR/2021 28/06/2021 Operasional 20 Tabung Rp 120,000 2,400,000.00 0 Tabung
28/06/2021 BLUD Oksigen Kecil 3 Tabung Rp 50,000 150,000.00 438/PKM PONDOK RANJI/VI/2021 28/06/2021 01 Jan-30 Nov 35/BLUD/PKMPDR/2021 28/06/2021 Operasional 3 Tabung Rp 50,000 150,000.00 0 Tabung
06 Juli 2021 BLUD Oksigen Besar 23 Tabung Rp 120,000 2,760,000.00 450/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 40/BLUD/PKMPDR/2021 7/3/2021 Operasional 23 Tabung Rp 120,000 2,760,000.00 0 Tabung
06 Juli 2021 BLUD Oksigen Kecil 18 Tabung Rp 50,000 900,000.00 450/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 40/BLUD/PKMPDR/2021 7/3/2021 Operasional 18 Tabung Rp 50,000 900,000.00 0 Tabung
13/07/2021 BLUD Oksigen Besar 7 Tabung Rp 120,000 840,000.00 483/PKM PONDOK RANJI/VII/2021 13/07/2021 01 Jan-30 Nov 42/BLUD/PKMPDR/2021 10/7/2021 Operasional 7 Tabung 120,000.00 840,000.00 0 Tabung
13/07/2021 BLUD Oksigen Kecil 3 Tabung Rp 50,000 150,000.00 483/PKM PONDOK RANJI/VII/2021 13/07/2021 01 Jan-30 Nov 42/BLUD/PKMPDR/2021 10/7/2021 Operasional 3 Tabung 50,000.00 150,000.00 0 Tabung
27/07/2021 BLUD Oksigen Besar 6 Tabung Rp 150,000 900,000.00 522/PKM PONDOK RANJI/VII/2021 27/07/2021 01 Jan-30 Nov 45/BLUD/PKMPDR/2021 26/07/2021 Operasional 6 Tabung 150,000.00 900,000.00 0 Tabung
27/07/2021 BLUD Oksigen Kecil 11 Tabung Rp 50,000 550,000.00 522/PKM PONDOK RANJI/VII/2021 27/07/2021 01 Jan-30 Nov 45/BLUD/PKMPDR/2021 26/07/2021 Operasional 11 Tabung 50,000.00 550,000.00 0 Tabung
24/08/2021 BLUD Oksigen Besar 2 Tabung Rp 150,000 300,000.00 642/PKM PONDOK RANJI/VIII/2021 24/08/2021 01 Jan-30 Nov 50/BLUD/PKMPDR/2021 23/08/2021 Operasional 2 Tabung 150,000.00 300,000.00 0 Tabung
24/08/2021 BLUD Oksigen Kecil 5 Tabung Rp 50,000 250,000.00 642/PKM PONDOK RANJI/VIII/2021 24/08/2021 01 Jan-30 Nov 50/BLUD/PKMPDR/2021 23/08/2021 Operasional 5 Tabung 50,000.00 250,000.00 0 Tabung
23/11/2021 BLUD Oksigen Besar 3 Tabung Rp 150,000 450,000.00 1207/PKM PONDOK RANJI/XI/2021 23/11/2021 01 Jan-30 Nov 76/BLUD/PKMPDR/2021 17/11/2021 Operasional 3 Tabung Rp 150,000 450,000.00 0 Tabung
23/11/2021 BLUD Oksigen Kecil 2 Tabung Rp 50,000 100,000.00 1207/PKM PONDOK RANJI/XI/2021 23/11/2021 01 Jan-30 Nov 76/BLUD/PKMPDR/2021 17/11/2021 Operasional 2 Tabung Rp 50,000 100,000.00 0 Tabung
JUMLAH BELANJA SUKU CADANG ALAT LABORATORIUM (5.1.02.01.01.0049) (5.1.02.01.01.015) 14,360,000.00 2,990,000.00
BELANJA MAKANAN DAN MINUMAN PADA FASILITAS PELAYANAN URUSAN KESEHATAN

(5.1.02.01.01.0056) (5.1.02.01.01.054)
17/02/2021 BLUD beras 16 Kg Rp 12,000 192,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 16 Kg Rp 12,000 192,000.00 0 Kg
17/02/2021 BLUD Gula Merah 2 Kg Rp 10,000 20,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 2 Kg Rp 10,000 20,000.00 0 Kg
17/02/2021 BLUD Kemiri 0.25 kg Rp 60,000 15,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0.25 kg Rp 60,000 15,000.00 0 kg
17/02/2021 BLUD Tepung Terigu 1 bks Rp 15,000 15,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 1 bks Rp 15,000 15,000.00 0 bks
17/02/2021 BLUD Merica 0.25 kg Rp 100,000 25,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0.25 kg Rp 100,000 25,000.00 0 kg
17/02/2021 BLUD Garam 10 bks Rp 5,000 50,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 10 bks Rp 5,000 50,000.00 0 bks
17/02/2021 BLUD Royco 1 ls Rp 10,000 10,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 1 ls Rp 10,000 10,000.00 0 ls
17/02/2021 BLUD pisang 6 sisir Rp 20,000 120,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 6 sisir Rp 20,000 120,000.00 0 sisir
17/02/2021 BLUD Buncis 11 ikat Rp 4,000 44,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 11 ikat Rp 4,000 44,000.00 0 ikat
17/02/2021 BLUD Labu Siam 6 buah Rp 2,000 12,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 6 buah Rp 2,000 12,000.00 0 buah
17/02/2021 BLUD Kacang Panjang 11 ikat Rp 5,000 55,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 11 ikat Rp 5,000 55,000.00 0 ikat
17/02/2021 BLUD Wortel 5 kg Rp 7,000 35,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 5 kg Rp 7,000 35,000.00 0 kg
17/02/2021 BLUD Pepaya 7 kg Rp 10,000 70,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 kg Rp 10,000 70,000.00 0 kg
17/02/2021 BLUD Oyong 7 bks Rp 6,000 42,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 bks Rp 6,000 42,000.00 0 bks
17/02/2021 BLUD Melon 13 kg Rp 9,000 117,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 13 kg Rp 9,000 117,000.00 0 kg
17/02/2021 BLUD Tomat 0.5 kg Rp 14,000 7,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0.5 kg Rp 14,000 7,000.00 0 kg
17/02/2021 BLUD Jagung Manis 11 buah Rp 2,000 22,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 11 buah Rp 2,000 22,000.00 0 buah
17/02/2021 BLUD Jeruk Nipis 0.25 kg Rp 40,000 10,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0.25 kg Rp 40,000 10,000.00 0 kg
17/02/2021 BLUD Bumbu Dapur 5 kg Rp 4,000 20,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 5 kg Rp 4,000 20,000.00 0 kg
17/02/2021 BLUD Bawang Merah 0.5 kg Rp 100,000 50,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0.5 kg Rp 100,000 50,000.00 0 kg
17/02/2021 BLUD Bawang Putih 0.5 kg Rp 100,000 50,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0.5 kg Rp 100,000 50,000.00 0 kg
17/02/2021 BLUD Cabe Rawit 0.5 kg Rp 100,000 50,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0.5 kg Rp 100,000 50,000.00 0 kg
17/02/2021 BLUD Kentang 4 kg Rp 11,000 44,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 4 kg Rp 11,000 44,000.00 0 kg
17/02/2021 BLUD Jamur 3 kg Rp 5,000 15,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 3 kg Rp 5,000 15,000.00 0 kg
17/02/2021 BLUD Daun Bawang 0.25 kg Rp 60,000 15,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0.25 kg Rp 60,000 15,000.00 0 kg
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17/02/2021 BLUD Tempe 9 ptng Rp 5,000 45,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 9 ptng Rp 5,000 45,000.00 0 ptng
17/02/2021 BLUD Tahu 11 ptng Rp 4,000 44,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 11 ptng Rp 4,000 44,000.00 0 ptng
17/02/2021 BLUD Minyak Goreng 8 liter Rp 15,000 120,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2022 30/01/2022 Operasional 8 liter Rp 15,000 120,000.00 liter
17/02/2021 BLUD Bakso 1 bungkus Rp 34,000 34,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2023 30/01/2023 Operasional 1 bungkus Rp 34,000 34,000.00 0 bungkus
17/02/2021 BLUD Kara 4 bungkus Rp 4,000 16,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2024 30/01/2024 Operasional 4 bungkus Rp 4,000 16,000.00 0 bungkus
17/02/2021 BLUD Bubur Kacang Hijau 20 bungkus Rp 2,000 40,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2025 30/01/2025 Operasional 20 bungkus Rp 2,000 40,000.00 0 bungkus
17/02/2021 BLUD Bubur Sumsum 20 bungkus Rp 2,000 40,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2026 30/01/2026 Operasional 20 bungkus Rp 2,000 40,000.00 bungkus
17/02/2021 BLUD Puding 20 bungkus Rp 2,000 40,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2027 30/01/2027 Operasional 20 bungkus Rp 2,000 40,000.00 0 bungkus
17/02/2021 BLUD Kecap Manis 4 bungkus Rp 12,000 48,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2028 30/01/2028 Operasional 4 bungkus Rp 12,000 48,000.00 bungkus
17/02/2021 BLUD Ayam 7 kg Rp 35,000 245,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 kg Rp 35,000 245,000.00 0 kg
17/02/2021 BLUD Telur ayam 7 Kg Rp 24,000 168,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 Kg Rp 24,000 168,000.00 0 Kg
17/02/2021 BLUD Telur Puyuh 3 Kg Rp 20,000 60,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 3 Kg Rp 20,000 60,000.00 0 Kg
17/02/2022 BLUD Ikan Kembung 3 Kg Rp 25,000 75,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 3 Kg Rp 25,000 75,000.00 0 Kg
17/02/2023 BLUD Ikan Nila 4 Kg Rp 25,000 100,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 4 Kg Rp 25,000 100,000.00 0 Kg
17/02/2024 BLUD Daging Sapi 4 kg Rp 80,000 320,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 4 kg Rp 80,000 320,000.00 0 kg
2.500.000
04 Maret 2021 BLUD beras 31 Kg Rp 12,000 372,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 31 Kg Rp 12,000 372,000.00 0 kg
04 Maret 2021 BLUD Gula Merah 5 Kg Rp 20,000 100,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 Kg Rp 20,000 100,000.00 0 kg
04 Maret 2021 BLUD Kemiri 10 bks Rp 2,000 20,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 10 bks Rp 2,000 20,000.00 0 bungkus
04 Maret 2021 BLUD Merica 0.25 kg Rp 100,000 25,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 0.25 kg Rp 100,000 25,000.00 0 kg
04 Maret 2021 BLUD Tepung Terigu 3 bks Rp 15,000 45,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 3 bks Rp 15,000 45,000.00 0 bungkus
04 Maret 2021 BLUD Garam 5 bks Rp 6,000 30,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 bks Rp 6,000 30,000.00 0 kg
04 Maret 2021 BLUD Merica 10 bks Rp 2,000 20,000.00 066/PKM PONDOK RANJI/III/2022 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2022 22/02/2021 Operasional 10 bks Rp 2,000 20,000.00 0 bks
04 Maret 2021 BLUD Kacang Hijau 1 kg Rp 20,000 20,000.00 066/PKM PONDOK RANJI/III/2023 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2023 22/02/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg
04 Maret 2021 BLUD Royco 1 ls Rp 12,000 12,000.00 066/PKM PONDOK RANJI/III/2024 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2024 22/02/2021 Operasional 1 ls Rp 12,000 12,000.00 0 ls
04 Maret 2021 BLUD pisang 8 sisir Rp 20,000 160,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 8 sisir Rp 20,000 160,000.00 0 sisir
04 Maret 2021 BLUD Buncis 23 ikat Rp 4,000 92,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 23 ikat Rp 4,000 92,000.00 0 ikat
04 Maret 2021 BLUD Labu Siam 15 buah Rp 2,000 30,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 15 buah Rp 2,000 30,000.00 0 buah
04 Maret 2021 BLUD Kacang Panjang 12 ikat Rp 5,000 60,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 12 ikat Rp 5,000 60,000.00 0 ikat
04 Maret 2021 BLUD Wortel 13 kg Rp 7,000 91,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 13 kg Rp 7,000 91,000.00 0 kg
04 Maret 2021 BLUD Pepaya 5 buah Rp 10,000 50,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 buah Rp 10,000 50,000.00 0 buah
04 Maret 2021 BLUD Jamur 5 bks Rp 5,000 25,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 bks Rp 5,000 25,000.00 0 bks
04 Maret 2021 BLUD Toge 0.5 Kg Rp 10,000 5,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 0.5 Kg Rp 10,000 5,000.00 0 Kg
04 Maret 2021 BLUD Melon 6 kg Rp 9,000 54,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 6 kg Rp 9,000 54,000.00 0 kg
04 Maret 2021 BLUD Oyong 7 bks Rp 6,000 42,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 7 bks Rp 6,000 42,000.00 0 bks
04 Maret 2021 BLUD Jeruk 1 kg Rp 25,000 25,000.00 066/PKM PONDOK RANJI/III/2022 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2022 22/02/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg
04 Maret 2021 BLUD Jagung Manis 11 buah Rp 2,000 22,000.00 066/PKM PONDOK RANJI/III/2023 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2023 22/02/2021 Operasional 11 buah Rp 2,000 22,000.00 0 buah
04 Maret 2021 BLUD Sayur Asem 4 bungkus Rp 6,000 24,000.00 066/PKM PONDOK RANJI/III/2024 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2024 22/02/2021 Operasional 4 bungkus Rp 6,000 24,000.00 0 bungkus
04 Maret 2021 BLUD Brokoli 1 buah Rp 45,000 45,000.00 066/PKM PONDOK RANJI/III/2025 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2025 22/02/2021 Operasional 1 buah Rp 45,000 45,000.00 0 buah
04 Maret 2021 BLUD Bumbu Dapur 9 kg Rp 4,000 36,000.00 066/PKM PONDOK RANJI/III/2026 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2026 22/02/2021 Operasional 9 kg Rp 4,000 36,000.00 0 kg
04 Maret 2021 BLUD Kembang Kol 2 buah Rp 25,000 50,000.00 066/PKM PONDOK RANJI/III/2027 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2027 22/02/2021 Operasional 2 buah Rp 25,000 50,000.00 0 buah
04 Maret 2021 BLUD Kentang 8 kg Rp 11,000 88,000.00 066/PKM PONDOK RANJI/III/2028 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2028 22/02/2021 Operasional 8 kg Rp 11,000 88,000.00 0 kg
04 Maret 2021 BLUD Daun Bawang 0.25 kg Rp 20,000 5,000.00 066/PKM PONDOK RANJI/III/2029 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2029 22/02/2021 Operasional 0.25 kg Rp 20,000 5,000.00 0 kg

04 Maret 2021 BLUD Tempe 16 ptng Rp 5,000 80,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 16 ptng Rp 5,000 80,000.00 0 ptng
04 Maret 2021 BLUD Tahu 12 ptng Rp 4,000 48,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 12 ptng Rp 4,000 48,000.00 0 ptng
04 Maret 2021 BLUD Tahu 4 ptng Rp 5,000 20,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 4 ptng Rp 5,000 20,000.00 0 ptng
04 Maret 2021 BLUD Bubur Sumsum 4 pcs Rp 2,000 8,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 4 pcs Rp 2,000 8,000.00 0 pcs
04 Maret 2021 BLUD Bubur Kacang Hjau 19 pcs Rp 2,000 38,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 19 pcs Rp 2,000 38,000.00 0 pcs
04 Maret 2021 BLUD kara 5 pcs Rp 4,000 20,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 pcs Rp 4,000 20,000.00 0 pcs
04 Maret 2021 BLUD Minyak Goreng 15 liter Rp 15,000 225,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 15 liter Rp 15,000 225,000.00 0 liter
04 Maret 2021 BLUD Kecap Manis 15 bungkus Rp 12,000 180,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 15 bungkus Rp 12,000 180,000.00 0 bungkus
04 Maret 2021 BLUD Ayam 11 kg Rp 35,000 385,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 11 kg Rp 35,000 385,000.00 0 kg
04 Maret 2021 BLUD Telur ayam 12 Kg Rp 24,000 288,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 12 Kg Rp 24,000 288,000.00 0 Kg
04 Maret 2021 BLUD Telur Puyuh 5 Kg Rp 20,000 100,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 Kg Rp 20,000 100,000.00 0 Kg
04 Maret 2021 BLUD Daging Sapi 4 Kg Rp 80,000 320,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 4 Kg Rp 80,000 320,000.00 0 Kg
04 Maret 2021 BLUD Ikan Kembung 6 Kg Rp 25,000 150,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 6 Kg Rp 25,000 150,000.00 0 Kg
04 Maret 2021 BLUD Ikan Mujaer 3 kg Rp 30,000 90,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 3 kg Rp 30,000 90,000.00 0 kg
3.500.00
Page 249 of 288
08 April 2021 BLUD beras 36 Kg Rp 12,000 432,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 36 Kg Rp 12,000 432,000.00 0 Kg
08 April 2021 BLUD Gula Merah 4 Kg Rp 10,000 40,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 4 Kg Rp 10,000 40,000.00 0 Kg
08 April 2021 BLUD Kemiri 0.1 kg Rp 100,000 10,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 0.1 kg Rp 100,000 10,000.00 0 kg
08 April 2021 BLUD Bawang Goreng 2 bks Rp 2,000 4,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 bks Rp 2,000 4,000.00 0 bks
08 April 2021 BLUD Merica 10 bks Rp 2,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 10 bks Rp 2,000 20,000.00 0 bks
08 April 2021 BLUD Sasa 1 bks Rp 750 750.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 bks Rp 750 750.00 0 bks
08 April 2021 BLUD Tepung Terigu 3 bks Rp 10,000 30,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 bks Rp 10,000 30,000.00 0 bks
08 April 2021 BLUD Garam 8 bks Rp 5,000 40,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 8 bks Rp 5,000 40,000.00 0 bks
08 April 2021 BLUD Kerupuk Gendar 1 kg Rp 20,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg
08 April 2021 BLUD Kerupuk Warna 1 kg Rp 20,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg
08 April 2021 BLUD Kerupuk 2 kg Rp 15,000 30,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 15,000 30,000.00 0 kg
08 April 2021 BLUD Royco 2 ls Rp 12,000 24,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 ls Rp 12,000 24,000.00 0 ls
Belanja Makan Kering non Produksi
08 April 2021 BLUD pisang 6 sisir Rp 20,000 120,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 6 sisir Rp 20,000 120,000.00 0 sisir
08 April 2021 BLUD Buncis 27 ikat Rp 4,000 108,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 27 ikat Rp 4,000 108,000.00 0 ikat
08 April 2021 BLUD Labu Siam 10 buah Rp 2,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 10 buah Rp 2,000 20,000.00 0 buah
08 April 2021 BLUD Kacang Panjang 13 ikat Rp 5,000 65,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 13 ikat Rp 5,000 65,000.00 0 ikat
08 April 2021 BLUD Wortel 8 kg Rp 7,000 56,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 8 kg Rp 7,000 56,000.00 0 kg
08 April 2021 BLUD Pepaya 5 buah Rp 10,000 50,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 5 buah Rp 10,000 50,000.00 0 buah
08 April 2021 BLUD Toge 0.5 Kg Rp 15,000 7,500.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 0.5 Kg Rp 15,000 7,500.00 0 Kg
08 April 2021 BLUD Kangkung 9 ikat Rp 7,000 63,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 9 ikat Rp 7,000 63,000.00 0 ikat
08 April 2021 BLUD Oyong 2 bks Rp 6,000 12,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 bks Rp 6,000 12,000.00 0 bks
08 April 2021 BLUD Melon 13 kg Rp 9,000 117,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 13 kg Rp 9,000 117,000.00 0 kg
08 April 2021 BLUD Tomat 2 kg Rp 15,000 30,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 15,000 30,000.00 0 kg
08 April 2021 BLUD Jagung Manis 27 buah Rp 2,000 54,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 27 buah Rp 2,000 54,000.00 0 buah
08 April 2021 BLUD Sayur Asem 2 bungkus Rp 10,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus
08 April 2021 BLUD Sayur Sop 3 bungkus Rp 10,000 30,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 bungkus Rp 10,000 30,000.00 0 bungkus
08 April 2021 BLUD Terung Ungu 2 kg Rp 12,000 24,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 12,000 24,000.00 0 kg
08 April 2021 BLUD Sawi Putih 2 buah Rp 10,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 buah Rp 10,000 20,000.00 0 buah
08 April 2021 BLUD Bumbu Dapur 5 kg Rp 4,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 5 kg Rp 4,000 20,000.00 0 kg
08 April 2021 BLUD Bawang Merah 1.5 kg Rp 110,000 165,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 110,000 165,000.00 0 kg
08 April 2021 BLUD Bawang Putih 1.5 kg Rp 80,000 120,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 80,000 120,000.00 0 kg
08 April 2021 BLUD Cabe Rawit 1.5 kg Rp 120,000 180,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 120,000 180,000.00 0 kg
08 April 2021 BLUD Cabe Merah 1.5 kg Rp 120,000 180,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 120,000 180,000.00 0 kg
08 April 2021 BLUD Kemangi 5 ikat Rp 1,000 5,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 5 ikat Rp 1,000 5,000.00 0 ikat
08 April 2021 BLUD Kentang 7 kg Rp 11,000 77,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 7 kg Rp 11,000 77,000.00 0 kg
08 April 2021 BLUD Daun Singkong 4 kg Rp 6,000 24,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 4 kg Rp 6,000 24,000.00 0 kg
08 April 2021 BLUD Jamur 9 kg Rp 5,000 45,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 9 kg Rp 5,000 45,000.00 0 kg
08 April 2021 BLUD Daun Bawang 1.5 kg Rp 15,000 22,500.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 15,000 22,500.00 0 kg
08 April 2021 BLUD Daun Bawang 0.25 kg Rp 25,000 6,250.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 0.25 kg Rp 25,000 6,250.00 0 kg
08 April 2021 BLUD Tempe 26 ptng Rp 5,000 130,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 26 ptng Rp 5,000 130,000.00 0 ptng
08 April 2021 BLUD Tahu 25 ptng Rp 4,000 100,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 25 ptng Rp 4,000 100,000.00 0 ptng
08 April 2021 BLUD Minyak Goreng 18 liter Rp 15,000 270,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 18 liter Rp 15,000 270,000.00 0 liter
08 April 2021 BLUD Bakso 0.75 bungkus Rp 60,000 45,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 0.75 bungkus Rp 60,000 45,000.00 0 bungkus
08 April 2021 BLUD Kara 4 bungkus Rp 5,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 4 bungkus Rp 5,000 20,000.00 0 bungkus
08 April 2021 BLUD Kecap Manis 17 bungkus Rp 12,000 204,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 17 bungkus Rp 12,000 204,000.00 0 bungkus

08 April 2021 BLUD Ayam 13 kg Rp 35,000 455,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 13 kg Rp 35,000 455,000.00 0 kg
08 April 2021 BLUD Telur ayam 15 Kg Rp 24,000 360,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 15 Kg Rp 24,000 360,000.00 0 kg
08 April 2021 BLUD Ikan Gurame 2 Kg Rp 50,000 100,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 Kg Rp 50,000 100,000.00 0 kg
08 April 2021 BLUD Ikan Kembung 3 Kg Rp 25,000 75,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 Kg Rp 25,000 75,000.00 0 kg
08 April 2021 BLUD Ikan Patin 1 Kg Rp 25,000 25,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 Kg Rp 25,000 25,000.00 0 kg
08 April 2021 BLUD Ikan Lele 3 kg Rp 28,000 84,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 kg Rp 28,000 84,000.00 0 kg
08 April 2021 BLUD Udang 2 kg Rp 20,000 40,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg
08 April 2021 BLUD Daging Sapi 1 kg Rp 80,000 80,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 kg Rp 80,000 80,000.00 0 kg
08 April 2021 BLUD Gula 30 kg Rp 22,500 675,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 30 kg Rp 22,500 675,000.00 0 kg
08 April 2021 BLUD The 30 kotak Rp 6,500 195,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 30 kotak Rp 6,500 195,000.00 0 kotak
08 April 2021 BLUD Kopi 500 sachet Rp 2,000 1,000,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 500 sachet Rp 2,000 1,000,000.00 0 sachet
6.170.000 6,170,000.00

Page 250 of 288
05 Mei 2021 BLUD beras 36 Kg Rp 12,000 432,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 36 Kg Rp 12,000 432,000.00 0 Kg
05 Mei 2021 BLUD Gula Merah 4 Kg Rp 15,000 60,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 Kg Rp 15,000 60,000.00 0 Kg
05 Mei 2021 BLUD Kemiri 0.5 kg Rp 80,000 40,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg
05 Mei 2021 BLUD Kacang Hijau 1 kg Rp 20,000 20,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg
05 Mei 2021 BLUD Tepung Terigu 3 bks Rp 15,000 45,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 3 bks Rp 15,000 45,000.00 0 bks
05 Mei 2021 BLUD Garam 4 bks Rp 5,000 20,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 bks Rp 5,000 20,000.00 0 bks
05 Mei 2021 BLUD Royco 2 ls Rp 12,000 24,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 ls Rp 12,000 24,000.00 0 ls

05 Mei 2021 BLUD pisang 9 sisir Rp 20,000 180,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 9 sisir Rp 20,000 180,000.00 0 sisir
05 Mei 2021 BLUD Buncis 17 ikat Rp 4,000 68,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 17 ikat Rp 4,000 68,000.00 0 ikat
05 Mei 2021 BLUD Labu Siam 8 buah Rp 2,000 16,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 8 buah Rp 2,000 16,000.00 0 buah
05 Mei 2021 BLUD Kacang Panjang 16 ikat Rp 5,000 80,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 16 ikat Rp 5,000 80,000.00 0 ikat
05 Mei 2021 BLUD Wortel 12 kg Rp 7,000 84,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 12 kg Rp 7,000 84,000.00 0 kg
05 Mei 2021 BLUD Pepaya 8 buah Rp 10,000 80,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 8 buah Rp 10,000 80,000.00 0 buah
05 Mei 2021 BLUD Kangkung 4 ikat Rp 7,000 28,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 ikat Rp 7,000 28,000.00 0 ikat
05 Mei 2021 BLUD Oyong 13 bks Rp 6,000 78,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 13 bks Rp 6,000 78,000.00 0 bks
05 Mei 2021 BLUD Melon 3 kg Rp 9,000 27,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 3 kg Rp 9,000 27,000.00 0 kg
05 Mei 2021 BLUD Tomat 1 kg Rp 20,000 20,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg
05 Mei 2021 BLUD Jagung Manis 22 buah Rp 2,000 44,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 22 buah Rp 2,000 44,000.00 0 buah
05 Mei 2021 BLUD Sayur Asem 4 bungkus Rp 10,000 40,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 bungkus Rp 10,000 40,000.00 0 bungkus
05 Mei 2021 BLUD Sayur Sop 4 bungkus Rp 6,000 24,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 bungkus Rp 6,000 24,000.00 0 bungkus
05 Mei 2021 BLUD Pokcoy 1 kg Rp 10,000 10,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 1 kg Rp 10,000 10,000.00 0 kg
05 Mei 2021 BLUD Sawi Putih 5 buah Rp 10,000 50,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 5 buah Rp 10,000 50,000.00 0 buah
05 Mei 2021 BLUD Bumbu Dapur 12 bks Rp 4,000 48,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 12 bks Rp 4,000 48,000.00 0 bks
05 Mei 2021 BLUD Bawang Merah 2 kg Rp 50,000 100,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg
05 Mei 2021 BLUD Bawang Putih 2 kg Rp 50,000 100,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg
05 Mei 2021 BLUD Cabe Rawit 0.25 kg Rp 170,000 42,500.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 0.25 kg Rp 170,000 42,500.00 0 kg
05 Mei 2021 BLUD Kentang 6 kg Rp 11,000 66,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 6 kg Rp 11,000 66,000.00 0 kg
05 Mei 2021 BLUD Jamur 2 kg Rp 5,000 10,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 kg Rp 5,000 10,000.00 0 kg
05 Mei 2021 BLUD Bayam 4 kg Rp 7,000 28,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 kg Rp 7,000 28,000.00 0 kg
05 Mei 2021 BLUD Daun Bawang 0.5 kg Rp 15,000 7,500.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 0.5 kg Rp 15,000 7,500.00 0 kg
05 Mei 2021 BLUD Tempe 21 ptng Rp 5,000 105,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 21 ptng Rp 5,000 105,000.00 0 ptng
05 Mei 2021 BLUD Tahu 23 ptng Rp 4,000 92,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 23 ptng Rp 4,000 92,000.00 0 ptng
05 Mei 2021 BLUD Minyak Goreng 18 liter Rp 15,000 270,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 18 liter Rp 15,000 270,000.00 0 liter
05 Mei 2021 BLUD Bakso 0.5 bungkus Rp 60,000 30,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 0.5 bungkus Rp 60,000 30,000.00 0 bungkus
05 Mei 2021 BLUD Kecap Manis 16 bungkus Rp 12,000 192,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 16 bungkus Rp 12,000 192,000.00 0 bungkus

05 Mei 2021 BLUD Ayam 12 kg Rp 35,000 420,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 12 kg Rp 35,000 420,000.00 0 kg
05 Mei 2021 BLUD Telur ayam 11 Kg Rp 24,000 264,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 11 Kg Rp 24,000 264,000.00 0 Kg
05 Mei 2021 BLUD Ikan Tongkol 2 Kg Rp 50,000 100,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 Kg Rp 50,000 100,000.00 0 Kg
05 Mei 2021 BLUD Ikan Kembung 3 Kg Rp 25,000 75,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 3 Kg Rp 25,000 75,000.00 0 Kg
05 Mei 2021 BLUD Ikan Bandeng 2 Kg Rp 30,000 60,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 Kg Rp 30,000 60,000.00 0 Kg
05 Mei 2021 BLUD Telur Puyuh 1 kg Rp 20,000 20,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg
3.500.000

03 Juni 2021 BLUD beras 27 Kg Rp 12,000 324,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 27 Kg Rp 12,000 324,000.00 0 Kg
03 Juni 2021 BLUD Gula Merah 2 Kg Rp 20,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 2 Kg Rp 20,000 40,000.00 0 Kg
03 Juni 2021 BLUD Kemiri 0.5 kg Rp 80,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg
03 Juni 2021 BLUD Kacang Hijau 1 kg Rp 20,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg
03 Juni 2021 BLUD Tepung Terigu 2 bks Rp 25,000 50,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 2 bks Rp 25,000 50,000.00 0 bks
03 Juni 2021 BLUD Garam 10 bks Rp 5,000 50,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 bks Rp 5,000 50,000.00 0 bks

03 Juni 2021 BLUD pisang 11 sisir Rp 20,000 220,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 11 sisir Rp 20,000 220,000.00 0 sisir
03 Juni 2021 BLUD Buncis 16 ikat Rp 4,000 64,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 16 ikat Rp 4,000 64,000.00 0 ikat
03 Juni 2021 BLUD Labu Siam 17 buah Rp 2,000 34,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 17 buah Rp 2,000 34,000.00 0 buah
03 Juni 2021 BLUD Kacang Panjang 5 ikat Rp 5,000 25,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat
03 Juni 2021 BLUD Wortel 5.5 kg Rp 7,000 38,500.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5.5 kg Rp 7,000 38,500.00 0 kg
03 Juni 2021 BLUD Pepaya 20 buah Rp 10,000 200,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 20 buah Rp 10,000 200,000.00 0 buah
03 Juni 2021 BLUD Toge 1 Kg Rp 8,500 8,500.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 Kg Rp 8,500 8,500.00 0 Kg
03 Juni 2021 BLUD Terong 1 Kg Rp 15,000 15,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 Kg Rp 15,000 15,000.00 0 Kg
03 Juni 2021 BLUD Oyong 1 bks Rp 15,000 15,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 bks Rp 15,000 15,000.00 0 bks
03 Juni 2021 BLUD Melon 16 kg Rp 9,000 144,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 16 kg Rp 9,000 144,000.00 0 kg
03 Juni 2021 BLUD Jagung Manis 22 buah Rp 2,000 44,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 22 buah Rp 2,000 44,000.00 0 buah
Page 251 of 288

03 Juni 2021 BLUD Sayur Asem 7 bungkus Rp 10,000 70,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 7 bungkus Rp 10,000 70,000.00 0 bungkus
03 Juni 2021 BLUD Sayur Sop 7 bungkus Rp 10,000 70,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 7 bungkus Rp 10,000 70,000.00 0 bungkus
03 Juni 2021 BLUD Kangkung 8 ikat Rp 5,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 8 ikat Rp 5,000 40,000.00 0 ikat
03 Juni 2021 BLUD Sawi Putih 4 buah Rp 7,000 28,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 buah Rp 7,000 28,000.00 0 buah
03 Juni 2021 BLUD Bumbu Dapur 18 kg Rp 4,000 72,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 18 kg Rp 4,000 72,000.00 0 kg
03 Juni 2021 BLUD Bawang Merah 0.5 kg Rp 60,000 30,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 0.5 kg Rp 60,000 30,000.00 0 kg
03 Juni 2021 BLUD Bawang Merah 1 kg Rp 80,000 80,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 kg Rp 80,000 80,000.00 0 kg
03 Juni 2021 BLUD Bawang Putih 1.5 kg Rp 60,000 90,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1.5 kg Rp 60,000 90,000.00 0 kg
03 Juni 2021 BLUD Cabe Rawit 1.5 kg Rp 80,000 120,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1.5 kg Rp 80,000 120,000.00 0 kg
03 Juni 2021 BLUD Cabe Merah 1.5 kg Rp 70,000 105,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1.5 kg Rp 70,000 105,000.00 0 kg
03 Juni 2021 BLUD Bawang Bombay 0.5 kg Rp 50,000 25,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 0.5 kg Rp 50,000 25,000.00 0 kg
03 Juni 2021 BLUD Bayam 4 ikat Rp 6,000 24,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 ikat Rp 6,000 24,000.00 0 ikat
03 Juni 2021 BLUD Kentang 3 kg Rp 11,000 33,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 3 kg Rp 11,000 33,000.00 0 kg
03 Juni 2021 BLUD Putren 4 bks Rp 5,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 bks Rp 5,000 20,000.00 0 bks
03 Juni 2021 BLUD Brokoli 1 kg Rp 25,000 25,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg
03 Juni 2021 BLUD Jamur 3 kg Rp 6,000 18,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 3 kg Rp 6,000 18,000.00 0 kg
Daun Bawang 0.5 kg Rp 8,000 4,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 0.5 kg Rp 8,000 4,000.00 kg

03 Juni 2021 BLUD Tempe 22 ptng Rp 5,000 110,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 22 ptng Rp 5,000 110,000.00 0 ptng
03 Juni 2021 BLUD Tahu 24 ptng Rp 4,000 96,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 24 ptng Rp 4,000 96,000.00 0 ptng
03 Juni 2021 BLUD Minyak Goreng 16 liter Rp 15,000 240,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 16 liter Rp 15,000 240,000.00 0 liter
03 Juni 2021 BLUD Bakso 1 bungkus Rp 60,000 60,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 bungkus Rp 60,000 60,000.00 0 bungkus
03 Juni 2021 BLUD Pie Buah 10 Pcs Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 Pcs Rp 2,000 20,000.00 0 Pcs
03 Juni 2021 BLUD Bolu Gulung 10 Pcs Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 Pcs Rp 2,000 20,000.00 0 Pcs
03 Juni 2021 BLUD Kroket 10 Pcs Rp 4,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 Pcs Rp 4,000 40,000.00 0 Pcs
03 Juni 2021 BLUD Puding 10 Pcs Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 Pcs Rp 2,000 20,000.00 0 Pcs
03 Juni 2021 BLUD Bubur Sumsum 10 Pcs Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 Pcs Rp 2,000 20,000.00 0 Pcs
03 Juni 2021 BLUD Kara 4 Pcs Rp 4,000 16,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 Pcs Rp 4,000 16,000.00 0 Pcs
03 Juni 2021 BLUD Bubur Kacang Hijau 10 Cup Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 Cup Rp 2,000 20,000.00 0 Cup
03 Juni 2021 BLUD Kecap Manis 11 bungkus Rp 12,000 132,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 11 bungkus Rp 12,000 132,000.00 0 bungkus

03 Juni 2021 BLUD Ayam 10 kg Rp 35,000 350,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 kg Rp 35,000 350,000.00 0 kg
03 Juni 2021 BLUD Telur ayam 10 Kg Rp 24,000 240,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 Kg Rp 24,000 240,000.00 0 Kg
03 Juni 2021 BLUD Telur Puyuh 3 Kg Rp 20,000 60,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 3 Kg Rp 20,000 60,000.00 0 Kg
03 Juni 2021 BLUD Ikan Gurame 4 Kg Rp 40,000 160,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 Kg Rp 40,000 160,000.00 0 Kg
03 Juni 2021 BLUD Ikan Kembung 5 Kg Rp 30,000 150,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5 Kg Rp 30,000 150,000.00 0 Kg
03 Juni 2021 BLUD Ikan Patin 3 Kg Rp 20,000 60,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 3 Kg Rp 20,000 60,000.00 0 Kg
03 Juni 2021 BLUD Ikan Lele 5 kg Rp 20,000 100,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5 kg Rp 20,000 100,000.00 0 kg
03 Juni 2021 BLUD Daging Sapi 2 kg Rp 80,000 160,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 2 kg Rp 80,000 160,000.00 0 kg
03 Juni 2021 BLUD Ikan Nila 2 kg Rp 20,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg
4.300.000
06 Juli 2021 BLUD beras 26 Kg Rp 12,000 312,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 26 Kg Rp 12,000 312,000.00 0 Kg
06 Juli 2021 BLUD Gula Merah 3 Kg Rp 10,000 30,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 Kg Rp 10,000 30,000.00 0 Kg
06 Juli 2021 BLUD Kacang Hijau 1 kg Rp 15,000 15,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 1 kg Rp 15,000 15,000.00 0 kg
06 Juli 2021 BLUD Tepung Terigu 4 bks Rp 20,000 80,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 4 bks Rp 20,000 80,000.00 0 bks
06 Juli 2021 BLUD Garam 10 bks Rp 6,000 60,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 10 bks Rp 6,000 60,000.00 0 bks
06 Juli 2021 BLUD Sasa 5 bks Rp 5,000 25,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 5 bks Rp 5,000 25,000.00 0 bks

06 Juli 2021 BLUD pisang 14 sisir Rp 20,000 280,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 14 sisir Rp 20,000 280,000.00 0 sisir
06 Juli 2021 BLUD Buncis 15 ikat Rp 4,000 60,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 15 ikat Rp 4,000 60,000.00 0 ikat
06 Juli 2021 BLUD Labu Siam 14 buah Rp 6,000 84,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 14 buah Rp 6,000 84,000.00 0 buah
06 Juli 2021 BLUD Labu Siam 5 buah Rp 2,000 10,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 5 buah Rp 2,000 10,000.00 0 buah
06 Juli 2021 BLUD Kacang Panjang 22 ikat Rp 5,000 110,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 22 ikat Rp 5,000 110,000.00 0 ikat
06 Juli 2021 BLUD Wortel 13 kg Rp 7,000 91,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 13 kg Rp 7,000 91,000.00 0 kg
06 Juli 2021 BLUD Pepaya 9 buah Rp 10,000 90,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 9 buah Rp 10,000 90,000.00 0 buah
06 Juli 2021 BLUD Jeruk 3 Kg Rp 20,000 60,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 Kg Rp 20,000 60,000.00 0 Kg
06 Juli 2021 BLUD Oyong 2 bks Rp 6,000 12,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 bks Rp 6,000 12,000.00 0 bks
06 Juli 2021 BLUD Melon 17 kg Rp 9,000 153,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 17 kg Rp 9,000 153,000.00 0 kg
06 Juli 2021 BLUD Tomat 1 kg Rp 10,000 10,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 1 kg Rp 10,000 10,000.00 0 kg
06 Juli 2021 BLUD Terong 3 kg Rp 10,000 30,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 10,000 30,000.00 0 kg
06 Juli 2021 BLUD Jagung Manis 20 buah Rp 2,000 40,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah
06 Juli 2021 BLUD Sayur Asem 8 bungkus Rp 10,000 80,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 8 bungkus Rp 10,000 80,000.00 0 bungkus
06 Juli 2021 BLUD Sayur Sop 10 bungkus Rp 10,000 100,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 10 bungkus Rp 10,000 100,000.00 0 bungkus
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06 Juli 2021 BLUD Sawi Putih 2 buah Rp 15,000 30,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 buah Rp 15,000 30,000.00 0 buah
06 Juli 2021 BLUD Bumbu Dapur 14 kg Rp 4,000 56,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 14 kg Rp 4,000 56,000.00 0 kg
06 Juli 2021 BLUD Bawang Merah 3 kg Rp 80,000 240,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 80,000 240,000.00 0 kg
06 Juli 2021 BLUD Bawang Putih 3 kg Rp 70,000 210,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 70,000 210,000.00 0 kg
06 Juli 2021 BLUD Cabe Rawit 2.5 kg Rp 100,000 250,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2.5 kg Rp 100,000 250,000.00 0 kg
06 Juli 2021 BLUD Cabe Merah 2.5 kg Rp 100,000 250,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2.5 kg Rp 100,000 250,000.00 0 kg
06 Juli 2021 BLUD Kentang 3 kg Rp 11,000 33,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 11,000 33,000.00 0 kg
06 Juli 2021 BLUD Brokoli 2 kg Rp 15,000 30,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 kg Rp 15,000 30,000.00 0 kg
06 Juli 2021 BLUD Jamur 5 kg Rp 5,000 25,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 5 kg Rp 5,000 25,000.00 0 kg
06 Juli 2021 BLUD Daun Bawang 0.25 kg Rp 32,000 8,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 0.25 kg Rp 32,000 8,000.00 0 kg
06 Juli 2021 BLUD Tempe 25 ptng Rp 5,000 125,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 25 ptng Rp 5,000 125,000.00 0 ptng
06 Juli 2021 BLUD Tahu 23 ptng Rp 4,000 92,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 23 ptng Rp 4,000 92,000.00 0 ptng
06 Juli 2021 BLUD Minyak Goreng 15 liter Rp 15,000 225,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 15 liter Rp 15,000 225,000.00 0 liter
06 Juli 2021 BLUD Kara 4 pcs Rp 4,000 16,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 4 pcs Rp 4,000 16,000.00 0 pcs
06 Juli 2021 BLUD Kecap Manis 12 bungkus Rp 12,000 144,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 12 bungkus Rp 12,000 144,000.00 0 bungkus

06 Juli 2021 BLUD Ayam 8 kg Rp 35,000 280,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 8 kg Rp 35,000 280,000.00 0 kg
06 Juli 2021 BLUD Telur ayam 11 Kg Rp 24,000 264,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 11 Kg Rp 24,000 264,000.00 0 Kg
06 Juli 2021 BLUD Telur Puyuh 1 dus Rp 25,000 25,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 1 dus Rp 25,000 25,000.00 0 dus
06 Juli 2021 BLUD Ikan Kembung 5 Kg Rp 25,000 125,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 5 Kg Rp 25,000 125,000.00 0 Kg
06 Juli 2021 BLUD Ikan Mujaer 4 Kg Rp 30,000 120,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 4 Kg Rp 30,000 120,000.00 0 Kg
06 Juli 2021 BLUD Ikan Lele 3 kg Rp 20,000 60,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 20,000 60,000.00 0 kg
06 Juli 2021 BLUD Daging Sapi 2 kg Rp 80,000 160,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 kg Rp 80,000 160,000.00 0 kg
4.500.000
10 Agustus 2021 BLUD beras 25 Kg Rp 12,000 300,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 25 Kg Rp 12,000 300,000.00 0 Kg
10 Agustus 2021 BLUD Gula Merah 2 Kg Rp 20,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 Kg Rp 20,000 40,000.00 0 Kg
10 Agustus 2021 BLUD Kemiri 0.25 Kg Rp 80,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.25 Kg Rp 80,000 20,000.00 0 Kg
10 Agustus 2021 BLUD Lada Bubuk 10 bks Rp 2,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 10 bks Rp 2,000 20,000.00 0 bks
10 Agustus 2021 BLUD Kacang Hijau 2 kg Rp 20,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg
10 Agustus 2021 BLUD Tepung Terigu 2 bks Rp 15,000 30,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 bks Rp 15,000 30,000.00 0 bks
10 Agustus 2021 BLUD Garam 5 bks Rp 5,000 25,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 5 bks Rp 5,000 25,000.00 0 bks
10 Agustus 2021 BLUD Sagu 1 kg Rp 20,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg

10 Agustus 2021 BLUD pisang 9 sisir Rp 20,000 180,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 9 sisir Rp 20,000 180,000.00 0 sisir
10 Agustus 2021 BLUD Buncis 14 ikat Rp 4,000 56,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 14 ikat Rp 4,000 56,000.00 0 ikat
10 Agustus 2021 BLUD Labu Siam 11 buah Rp 2,000 22,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 11 buah Rp 2,000 22,000.00 0 buah
10 Agustus 2021 BLUD Kacang Panjang 21 ikat Rp 5,000 105,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 21 ikat Rp 5,000 105,000.00 0 ikat
10 Agustus 2021 BLUD Wortel 13 kg Rp 7,000 91,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 13 kg Rp 7,000 91,000.00 0 kg
10 Agustus 2021 BLUD Pepaya 14 buah Rp 10,000 140,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 14 buah Rp 10,000 140,000.00 0 buah
10 Agustus 2021 BLUD Toge 0.5 Kg Rp 20,000 10,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 Kg Rp 20,000 10,000.00 0 Kg
10 Agustus 2021 BLUD Toge 1 bks Rp 9,000 9,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 1 bks Rp 9,000 9,000.00 0 bks
10 Agustus 2021 BLUD Jeruk 4 Kg Rp 20,000 80,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 4 Kg Rp 20,000 80,000.00 0 Kg
10 Agustus 2021 BLUD Oyong 10 bks Rp 6,000 60,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 10 bks Rp 6,000 60,000.00 0 bks
10 Agustus 2021 BLUD Jagung Manis 20 buah Rp 2,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah
10 Agustus 2021 BLUD Sayur Asem 2 bungkus Rp 10,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus
10 Agustus 2021 BLUD Sayur Sop 2 bungkus Rp 10,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus
10 Agustus 2021 BLUD Kangkung 5 ikat Rp 5,000 25,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat
10 Agustus 2021 BLUD Sawi Putih 1 buah Rp 10,000 10,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 1 buah Rp 10,000 10,000.00 0 buah
10 Agustus 2021 BLUD Bumbu Dapur 8 kg Rp 4,000 32,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 8 kg Rp 4,000 32,000.00 0 kg
10 Agustus 2021 BLUD Bawang Merah 0.5 kg Rp 60,000 30,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 kg Rp 60,000 30,000.00 0 kg
10 Agustus 2021 BLUD Bawang Putih 0.25 kg Rp 60,000 15,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.25 kg Rp 60,000 15,000.00 0 kg
10 Agustus 2021 BLUD Cabe Rawit 0.5 kg Rp 80,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg
10 Agustus 2021 BLUD Cabe Merah 0.5 kg Rp 80,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg
10 Agustus 2021 BLUD Cabe Hijau Besar 0.5 kg Rp 80,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg
10 Agustus 2021 BLUD Bawang Bombay 2 kg Rp 70,000 140,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 70,000 140,000.00 0 kg
10 Agustus 2021 BLUD Bayam 5 ikat Rp 6,000 30,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 5 ikat Rp 6,000 30,000.00 0 ikat
10 Agustus 2021 BLUD Kentang 4 kg Rp 11,000 44,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 4 kg Rp 11,000 44,000.00 0 kg
10 Agustus 2021 BLUD Tempe 22 ptng Rp 5,000 110,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 22 ptng Rp 5,000 110,000.00 0 ptng
10 Agustus 2021 BLUD Tahu 21 ptng Rp 4,000 84,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 21 ptng Rp 4,000 84,000.00 0 ptng
10 Agustus 2021 BLUD Minyak Goreng 12 liter Rp 15,000 180,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 12 liter Rp 15,000 180,000.00 0 liter
10 Agustus 2021 BLUD Bubur Sumsum 8 bungkus Rp 2,000 16,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 8 bungkus Rp 2,000 16,000.00 0 bungkus
Page 253 of 288

10 Agustus 2021 BLUD Kecap Manis 11 bungkus Rp 12,000 132,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 11 bungkus Rp 12,000 132,000.00 0 bungkus

10 Agustus 2021 BLUD Ayam 10 kg Rp 35,000 350,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 10 kg Rp 35,000 350,000.00 0 kg
10 Agustus 2021 BLUD Telur ayam 11 Kg Rp 24,000 264,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 11 Kg Rp 24,000 264,000.00 0 Kg
10 Agustus 2021 BLUD Telur Puyuh 1 Kg Rp 20,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 1 Kg Rp 20,000 20,000.00 0 Kg
10 Agustus 2021 BLUD Ikan Tongkol 4 Kg Rp 30,000 120,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 4 Kg Rp 30,000 120,000.00 0 Kg
10 Agustus 2021 BLUD Ikan Kembung 6 Kg Rp 30,000 180,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 6 Kg Rp 30,000 180,000.00 0 Kg
10 Agustus 2021 BLUD Ikan Bawal 2 Kg Rp 30,000 60,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 Kg Rp 30,000 60,000.00 0 Kg
10 Agustus 2021 BLUD Ikan Lele 2 kg Rp 25,000 50,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 25,000 50,000.00 0 kg
10 Agustus 2021 BLUD Daging Sapi 2 kg Rp 80,000 160,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 80,000 160,000.00 0 kg
3.500.000

09 September 2021 BLUD beras 30 Kg Rp 12,000 360,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 30 Kg Rp 12,000 360,000.00 0 Kg
09 September 2021 BLUD Gula Merah 2 Kg Rp 20,000 40,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 Kg Rp 20,000 40,000.00 0 Kg
09 September 2021 BLUD Gula Merah 2 Kg Rp 25,000 50,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 Kg Rp 25,000 50,000.00 0 Kg
09 September 2021 BLUD Kacang Hijau 2 kg Rp 20,000 40,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg
09 September 2021 BLUD Tepung Terigu 2 bks Rp 15,000 30,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 bks Rp 15,000 30,000.00 0 bks

09 September 2021 BLUD pisang 12 sisir Rp 20,000 240,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 12 sisir Rp 20,000 240,000.00 0 sisir
09 September 2021 BLUD Buncis 10 ikat Rp 4,000 40,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 10 ikat Rp 4,000 40,000.00 0 ikat
09 September 2021 BLUD Labu Siam 17 buah Rp 2,000 34,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 17 buah Rp 2,000 34,000.00 0 buah
09 September 2021 BLUD Kacang Panjang 12 ikat Rp 5,000 60,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 12 ikat Rp 5,000 60,000.00 0 ikat
09 September 2021 BLUD Wortel 15 kg Rp 7,000 105,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 15 kg Rp 7,000 105,000.00 0 kg
09 September 2021 BLUD Pepaya 18 buah Rp 10,000 180,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 18 buah Rp 10,000 180,000.00 0 buah
09 September 2021 BLUD Oyong 2 bks Rp 6,000 12,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 bks Rp 6,000 12,000.00 0 bks
09 September 2021 BLUD Daun Singkong 5 kg Rp 6,000 30,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 kg Rp 6,000 30,000.00 0 kg
09 September 2021 BLUD Jagung Manis 20 buah Rp 2,000 40,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah
09 September 2021 BLUD Sayur Asem 2 bungkus Rp 10,000 20,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus
09 September 2021 BLUD Sayur Sop 2 bungkus Rp 10,000 20,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus
09 September 2021 BLUD Kangkung 5 ikat Rp 5,000 25,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat
09 September 2021 BLUD Sayur Lodeh 1 bks Rp 10,000 10,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 bks Rp 10,000 10,000.00 0 bks
09 September 2021 BLUD Bumbu Dapur 16 kg Rp 4,000 64,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 16 kg Rp 4,000 64,000.00 0 kg
09 September 2021 BLUD Bawang Merah 1.5 kg Rp 50,000 75,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1.5 kg Rp 50,000 75,000.00 0 kg
09 September 2021 BLUD Bawang Putih 1.5 kg Rp 50,000 75,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1.5 kg Rp 50,000 75,000.00 0 kg
09 September 2021 BLUD Cabe Rawit 1.5 kg Rp 60,000 90,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1.5 kg Rp 60,000 90,000.00 0 kg
09 September 2021 BLUD Cabe Merah 1.5 kg Rp 50,000 75,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1.5 kg Rp 50,000 75,000.00 0 kg
09 September 2021 BLUD Bayam 3 ikat Rp 5,000 15,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 3 ikat Rp 5,000 15,000.00 0 ikat
09 September 2021 BLUD Kentang 5 kg Rp 11,000 55,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 kg Rp 11,000 55,000.00 0 kg
09 September 2021 BLUD Putren 5 bks Rp 5,000 25,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 bks Rp 5,000 25,000.00 0 bks
09 September 2021 BLUD Brokoli 1 buah Rp 35,000 35,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 buah Rp 35,000 35,000.00 0 buah
09 September 2021 BLUD Jamur 4 kg Rp 7,000 28,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 4 kg Rp 7,000 28,000.00 0 kg
09 September 2021 BLUD Tempe 20 ptng Rp 5,000 100,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 20 ptng Rp 5,000 100,000.00 0 ptng
09 September 2021 BLUD Tahu 22 ptng Rp 4,000 88,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 22 ptng Rp 4,000 88,000.00 0 ptng
09 September 2021 BLUD Minyak Goreng 14 liter Rp 15,000 210,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 14 liter Rp 15,000 210,000.00 0 liter
09 September 2021 BLUD Puding Susu 3 bks Rp 15,000 45,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 3 bks Rp 15,000 45,000.00 0 bks
09 September 2021 BLUD Kara 5 bungkus Rp 5,000 25,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 bungkus Rp 5,000 25,000.00 0 bungkus
09 September 2021 BLUD Kecap Manis 9 bungkus Rp 12,000 108,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 9 bungkus Rp 12,000 108,000.00 bungkus

09 September 2021 BLUD Ayam 8 kg Rp 35,000 280,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 8 kg Rp 35,000 280,000.00 0 kg
09 September 2021 BLUD Telur ayam 14 Kg Rp 24,000 336,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 14 Kg Rp 24,000 336,000.00 0 Kg
09 September 2021 BLUD Telur Puyuh 1 dus Rp 20,000 20,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 dus Rp 20,000 20,000.00 0 dus
09 September 2021 BLUD Ikan Selar 1 Kg Rp 20,000 20,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 Kg Rp 20,000 20,000.00 0 Kg
09 September 2021 BLUD Ikan Kembung 4 Kg Rp 25,000 100,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 4 Kg Rp 25,000 100,000.00 0 Kg
09 September 2021 BLUD Ikan Tuna 0.5 Kg Rp 30,000 15,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 0.5 Kg Rp 30,000 15,000.00 0 Kg
09 September 2021 BLUD Ikan Kembung 1 Kg Rp 30,000 30,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 Kg Rp 30,000 30,000.00 0 Kg
3.250.000

11 Oktober 2021 BLUD beras 28 Kg Rp 12,000 336,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 28 Kg Rp 12,000 336,000.00 0 Kg
11 Oktober 2021 BLUD Gula Merah 2 Kg Rp 19,000 38,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 Kg Rp 19,000 38,000.00 0 Kg
11 Oktober 2021 BLUD Kemiri 10 bks Rp 2,000 20,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 10 bks Rp 2,000 20,000.00 0 bks
11 Oktober 2021 BLUD Kacang Hijau 1 kg Rp 20,000 20,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg

11 Oktober 2021 BLUD pisang 2 sisir Rp 20,000 40,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 sisir Rp 20,000 40,000.00 0 sisir
Page 254 of 288

11 Oktober 2021 BLUD Buncis 29 ikat Rp 4,000 116,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 29 ikat Rp 4,000 116,000.00 0 ikat
11 Oktober 2021 BLUD Labu Siam 22 buah Rp 2,000 44,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 22 buah Rp 2,000 44,000.00 0 buah
11 Oktober 2021 BLUD Kacang Panjang 32 ikat Rp 5,000 160,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 32 ikat Rp 5,000 160,000.00 0 ikat
11 Oktober 2021 BLUD Wortel 14 kg Rp 7,000 98,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 14 kg Rp 7,000 98,000.00 0 kg
11 Oktober 2021 BLUD Pepaya 8 buah Rp 10,000 80,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 8 buah Rp 10,000 80,000.00 0 buah
11 Oktober 2021 BLUD Toge 0.15 Kg Rp 10,000 1,500.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 0.15 Kg Rp 10,000 1,500.00 0 Kg
11 Oktober 2021 BLUD Oyong 8 bks Rp 6,000 48,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 8 bks Rp 6,000 48,000.00 0 bks
11 Oktober 2021 BLUD Daun Singkong 5 kg Rp 5,000 25,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 5 kg Rp 5,000 25,000.00 0 kg
11 Oktober 2021 BLUD Terong 2 kg Rp 10,000 20,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 kg Rp 10,000 20,000.00 0 kg
11 Oktober 2021 BLUD Tomat 0.25 kg Rp 16,000 4,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 0.25 kg Rp 16,000 4,000.00 0 kg
11 Oktober 2021 BLUD Tomat 1.5 kg Rp 18,000 27,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.5 kg Rp 18,000 27,000.00 0 kg
11 Oktober 2021 BLUD Jagung Manis 34 buah Rp 2,000 68,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 34 buah Rp 2,000 68,000.00 0 buah
11 Oktober 2021 BLUD Sayur Asem 2 bungkus Rp 10,000 20,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus
11 Oktober 2021 BLUD Sayur Sop 5 bungkus Rp 10,000 50,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 5 bungkus Rp 10,000 50,000.00 0 bungkus
11 Oktober 2021 BLUD Kangkung 5 ikat Rp 5,000 25,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat
11 Oktober 2021 BLUD Sawi Putih 1 buah Rp 15,000 15,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1 buah Rp 15,000 15,000.00 0 buah
11 Oktober 2021 BLUD Bumbu Dapur 14 kg Rp 4,000 56,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 14 kg Rp 4,000 56,000.00 0 kg
11 Oktober 2021 BLUD Bawang Merah 1.75 kg Rp 60,000 105,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 kg Rp 60,000 105,000.00 0 kg
11 Oktober 2021 BLUD Bawang Putih 1.75 kg Rp 50,000 87,500.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 kg Rp 50,000 87,500.00 0 kg
11 Oktober 2021 BLUD Cabe Rawit 1.75 kg Rp 70,000 122,500.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 kg Rp 70,000 122,500.00 0 kg
11 Oktober 2021 BLUD Cabe Merah 1.75 kg Rp 60,000 105,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 kg Rp 60,000 105,000.00 0 kg
11 Oktober 2021 BLUD Kentang 7 kg Rp 11,000 77,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 7 kg Rp 11,000 77,000.00 0 kg
11 Oktober 2021 BLUD Jamur 5 kg Rp 5,000 25,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 5 kg Rp 5,000 25,000.00 0 kg
11 Oktober 2021 BLUD Daun Bawang 0.5 kg Rp 20,000 10,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 0.5 kg Rp 20,000 10,000.00 0 kg

11 Oktober 2021 BLUD Tempe 25 ptng Rp 5,000 125,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 25 ptng Rp 5,000 125,000.00 0 ptng
11 Oktober 2021 BLUD Tahu 25 ptng Rp 4,000 100,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 25 ptng Rp 4,000 100,000.00 0 ptng
11 Oktober 2021 BLUD Minyak Goreng 16 liter Rp 15,000 240,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 16 liter Rp 15,000 240,000.00 0 liter
11 Oktober 2021 BLUD Bakso 0.5 bungkus Rp 60,000 30,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 0.5 bungkus Rp 60,000 30,000.00 0 bungkus
11 Oktober 2021 BLUD Kecap Manis 14 bungkus Rp 12,000 168,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 14 bungkus Rp 12,000 168,000.00 0 bungkus
Belanja Makanan Basah non Produksi 0

11 Oktober 2021 BLUD Ayam 6 kg Rp 35,000 210,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 6 kg Rp 35,000 210,000.00 0 kg
11 Oktober 2021 BLUD Telur ayam 17 Kg Rp 24,000 408,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 17 Kg Rp 24,000 408,000.00 0 Kg
11 Oktober 2021 BLUD Telur Puyuh 2 Kg Rp 20,000 40,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 Kg Rp 20,000 40,000.00 0 Kg
11 Oktober 2021 BLUD Ikan Kembung 4 Kg Rp 25,000 100,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 4 Kg Rp 25,000 100,000.00 0 Kg
11 Oktober 2021 BLUD Ikan Nila 2 Kg Rp 25,000 50,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 Kg Rp 25,000 50,000.00 0 Kg
11 Oktober 2021 BLUD Daging Sapi 2 kg Rp 80,000 160,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 kg Rp 80,000 160,000.00 0 kg
3.474.500
11 November 2021 BLUD beras 31 Kg Rp 12,000 372,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 31 Kg Rp 12,000 372,000.00 0 Kg
11 November 2021 BLUD Gula Merah 3 Kg Rp 20,000 60,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 Kg Rp 20,000 60,000.00 0 Kg
11 November 2021 BLUD Kemiri 10 bks Rp 1,000 10,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 10 bks Rp 1,000 10,000.00 0 bks
11 November 2021 BLUD Kacang Hijau 2 kg Rp 20,000 40,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg
11 November 2021 BLUD Tepung Terigu 2 bks Rp 10,000 20,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 bks Rp 10,000 20,000.00 0 bks
11 November 2021 BLUD Garam 6 bks Rp 5,000 30,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 6 bks Rp 5,000 30,000.00 0 bks
11 November 2021 BLUD Tepung Beras 0.5 kg Rp 25,000 12,500.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 0.5 kg Rp 25,000 12,500.00 0 kg
11 November 2021 BLUD Royco 1 ls Rp 15,000 15,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 ls Rp 15,000 15,000.00 0 ls

11 November 2021 BLUD pisang 8 sisir Rp 20,000 160,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 8 sisir Rp 20,000 160,000.00 0 sisir
11 November 2021 BLUD Buncis 20 ikat Rp 4,000 80,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 20 ikat Rp 4,000 80,000.00 0 ikat
11 November 2021 BLUD Labu Siam 23 buah Rp 2,000 46,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 23 buah Rp 2,000 46,000.00 0 buah
11 November 2021 BLUD Kacang Panjang 18 ikat Rp 5,000 90,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 18 ikat Rp 5,000 90,000.00 0 ikat
11 November 2021 BLUD Wortel 12 kg Rp 7,000 84,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 12 kg Rp 7,000 84,000.00 0 kg
11 November 2021 BLUD Pepaya 9 buah Rp 10,000 90,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 9 buah Rp 10,000 90,000.00 0 buah
11 November 2021 BLUD Jamur 3 bks Rp 5,000 15,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 bks Rp 5,000 15,000.00 0 bks
11 November 2021 BLUD Toge 0.5 Kg Rp 15,000 7,500.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 0.5 Kg Rp 15,000 7,500.00 0 Kg
11 November 2021 BLUD Oyong 3 bks Rp 7,000 21,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 bks Rp 7,000 21,000.00 0 bks
11 November 2021 BLUD Oyong 2 bks Rp 6,000 12,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 bks Rp 6,000 12,000.00 0 bks
11 November 2021 BLUD Tomat 3 kg Rp 15,000 45,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 kg Rp 15,000 45,000.00 0 kg
11 November 2021 BLUD Jagung Manis 27 buah Rp 2,000 54,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 27 buah Rp 2,000 54,000.00 0 buah
11 November 2021 BLUD Sayur Asem 4 bungkus Rp 10,000 40,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 4 bungkus Rp 10,000 40,000.00 0 bungkus
11 November 2021 BLUD Sayur Sop 5 bungkus Rp 10,000 50,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 5 bungkus Rp 10,000 50,000.00 0 bungkus
11 November 2021 BLUD Kangkung 5 ikat Rp 5,000 25,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat
11 November 2021 BLUD Sawi Putih 3.5 buah Rp 12,000 42,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3.5 buah Rp 12,000 42,000.00 0 buah
Page 255 of 288

11 November 2021 BLUD Bumbu Dapur 16 kg Rp 4,000 64,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 16 kg Rp 4,000 64,000.00 0 kg
11 November 2021 BLUD Bawang Merah 2 kg Rp 50,000 100,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg
11 November 2021 BLUD Bawang Putih 2 kg Rp 50,000 100,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg
11 November 2021 BLUD Cabe Rawit 2 kg Rp 50,000 100,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg
11 November 2021 BLUD Cabe Merah 2 kg Rp 50,000 100,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg
11 November 2021 BLUD Bawang Bombay 1 kg Rp 30,000 30,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 kg Rp 30,000 30,000.00 0 kg
11 November 2021 BLUD Bayam 2 ikat Rp 5,000 10,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 ikat Rp 5,000 10,000.00 0 ikat
11 November 2021 BLUD Kentang 4 kg Rp 11,000 44,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 4 kg Rp 11,000 44,000.00 0 kg
11 November 2021 BLUD Daun Bawang 0.5 kg Rp 15,000 7,500.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 0.5 kg Rp 15,000 7,500.00 0 kg

11 November 2021 BLUD Tempe 29 ptng Rp 5,000 145,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 29 ptng Rp 5,000 145,000.00 0 ptng
11 November 2021 BLUD Tahu 29 ptng Rp 4,000 116,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 29 ptng Rp 4,000 116,000.00 0 ptng
11 November 2021 BLUD Minyak Goreng 16 liter Rp 15,000 240,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 16 liter Rp 15,000 240,000.00 0 liter
11 November 2021 BLUD Kecap Manis 13 bungkus Rp 12,000 156,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 13 bungkus Rp 12,000 156,000.00 0 bungkus

11 November 2021 BLUD Ayam 14 kg Rp 35,000 490,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 14 kg Rp 35,000 490,000.00 0 kg
11 November 2021 BLUD Telur ayam 15 Kg Rp 24,000 360,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 15 Kg Rp 24,000 360,000.00 0 Kg
11 November 2021 BLUD Telur Puyuh 2 Kg Rp 20,000 40,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 Kg Rp 20,000 40,000.00 0 Kg
11 November 2021 BLUD Ikan Kembung 2 Kg Rp 30,000 60,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 Kg Rp 30,000 60,000.00 0 Kg
11 November 2021 BLUD Ikan Kembung 2 Kg Rp 25,000 50,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 Kg Rp 25,000 50,000.00 0 Kg
11 November 2021 BLUD Ikan Bawal 3 Kg Rp 25,000 75,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 Kg Rp 25,000 75,000.00 0 Kg
11 November 2021 BLUD Ikan Mujaer 2 kg Rp 25,000 50,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 25,000 50,000.00 0 kg
11 November 2021 BLUD Ati ampela 1 kg Rp 25,000 25,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg
3.783.500
JUMLAH BELANJA MAKANAN DAN MINUMAN PADA FASILITAS PELAYANAN URUSAN KESEHATAN (5.1.02.01.01.0049) (5.1.02.01.01.054) 38,478,000.00 660,000.00
1 11 Juli 1905 Acetyl cysteine 200 mg 0 Kapsul Rp 382 - 0 Kapsul Rp 382 - 0 Kapsul
2 12 Juli 1905 Acetyl cysteine 200 mg 4800 Kapsul Rp 382 1,833,600.00 3279 Kapsul Rp 382 1,252,578.00 1521 Kapsul
3 10 Juli 1905 Albendazol 400 mg 0 Tablet Rp 404 - -374 Tablet Rp 404 - 151,096.00 374 Tablet
4 10 Juli 1905 Albendazol suspensi 0 Botol Rp 4,000 - 0 Botol Rp 4,000 - 0 Botol
5 11 Juli 1905 Alopurinol tablet 100 mg 0 Tablet Rp 105 - 0 Tablet Rp 105 - 0 Tablet
6 12 Juli 1905 Alopurinol tablet 100 mg 3500 Tablet Rp 105 367,500.00 2270 Tablet Rp 105 238,350.00 1230 Tablet
7 11 Juli 1905 Ambroksol Syrup 15 mg / ml 400 Botol Rp 4,255 1,702,000.00 400 Botol Rp 4,255 1,702,000.00 0 Botol
8 12 Juli 1905 Ambroksol Syrup 15 mg / ml 200 Botol Rp 3,100 620,000.00 10 Botol Rp 3,100 31,000.00 190 Botol
9 11 Juli 1905 Aminofilin inj 24 mg /ml 0 Ampul Rp 2,789 - 0 Ampul Rp 2,789 - 0 Ampul
10 APBN AMITRIPTILIN TABLET 25 MG 0 TABLET Rp 167 - 0 TABLET Rp 167 - 0 TABLET
11 APBN AMITRIPTILIN TABLET 25 MG 0 KOTAK Rp 16,700 - 0 KOTAK Rp 16,700 - 0 KOTAK

12 10 Juli 1905 Amitriptilin HCl tablet salut 25 mg 0 Tablet Rp 167 - 0 Tablet Rp 167 - 0 Tablet
13 11 Juli 1905 Amlodipin 10 mg 0 Tablet Rp 99 - 0 Tablet Rp 99 - 0 Tablet
14 11 Juli 1905 Amlodipin 5 mg 0 Tablet Rp 75 - 0 Tablet Rp 75 - 0 Tablet

15 12 Juli 1905 Amlodipin 10 mg 19200 Tablet Rp 99 1,900,800.00 7955 Tablet Rp 99 787,545.00 11245 Tablet
16 12 Juli 1905 Amlodipin 5 mg 0 Tablet Rp 75 - -8055 Tablet Rp 75 - 604,125.00 8055 Tablet

17 10 Juli 1905 Amoksisilin kaplet 500 mg 0 Kaplet Rp 233 - 0 Kaplet Rp 233 - 0 Kaplet
18 11 Juli 1905 Amoksisilin kaplet 500 mg 0 Kaplet Rp 249 - 0 Kaplet Rp 249 - 0 Kaplet
19 11 Juli 1905 Amoksisilin sirup kering forte 250mg/ml 120 Botol Rp 3,628 435,360.00 120 Botol Rp 3,628 435,360.00 0 Botol
20 10 Juli 1905 Anestesia Lokal Spray 0 Botol Rp 352,000 - 0 Botol Rp 352,000 - 0 Botol
21 11 Juli 1905 Antasida DOEN Suspensi 600 Botol Rp 2,129 1,277,400.00 600 Botol Rp 2,129 1,277,400.00 0 Botol
22 12 Juli 1905 Antasida DOEN Suspensi 700 Botol Rp 2,129 1,490,300.00 240 Botol Rp 2,129 510,960.00 460 Botol
23 11 Juli 1905 Antasida DOEN tablet 5000 Tablet Rp 58 290,000.00 1070 Tablet Rp 58 62,060.00 3930 Tablet
24 12 Juli 1905 Antasida DOEN tablet 0 Tablet Rp 58 - 0 Tablet Rp 58 - 0 Tablet

25 10 Juli 1905 Anti Bakteri DOEN salep 0 Tube Rp 3,035 - 0 Tube Rp 3,035 - 0 Tube
26 10 Juli 1905 Anti Hemmoroid DOEN supp 0 Supp Rp 3,167 - 0 Supp Rp 3,167 - 0 Supp
27 11 Juli 1905 Anti Hemmoroid DOEN supp 0 Supp Rp 3,167 - 0 Supp Rp 3,167 - 0 Supp
28 11 Juli 1905 Antispasmodik (SCOPMA) 0 Tablet Rp 1,900 - 0 Tablet Rp 1,900 - 0 Tablet
29 12 Juli 1905 Antispasmodik (SCOPMA) 300 Tablet Rp 1,000 300,000.00 300 Tablet Rp 1,000 300,000.00 0 Tablet
30 11 Juli 1905 Asam Asetilsalisilat (ASETOSAL) 0 Tablet Rp 105 - 0 Tablet Rp 105 - 0 Tablet
31 12 Juli 1905 Asam Asetilsalisilat 80 mg (MINIASPI) 1500 Tablet Rp 105 157,500.00 300 Tablet Rp 105 31,500.00 1200 Tablet
32 10 Juli 1905 Asam Askorbat (Vit. C) tablet 50 mg 0 Tablet Rp 105 - 0 Tablet Rp 105 - 0 Tablet
33 11 Juli 1905 Asam Askorbat (Vit. C) tablet 50 mg 0 Tablet Rp 105 - 0 Tablet Rp 105 - 0 Tablet
34 12 Juli 1905 Asam Askorbat (Vit. C) tablet 50 mg 28500 Tablet Rp 105 2,992,500.00 12316 Tablet Rp 105 1,293,180.00 16184 Tablet
35 11 Juli 1905 Asam Folat tab 0.4 mg (PROFOLAT) 0 Tablet Rp 55 - 0 Tablet Rp 55 - 0 Tablet
Page 256 of 288

36 11 Juli 1905 Asam Mefenamat Tablet 500 mg 0 Kaplet Rp 103 - 0 Kaplet Rp 103 - 0 Kaplet
37 11 Juli 1905 Asiklovir krim 5% 0 Tube Rp 3,400 - 1 Tube Rp 3,400 3,400.00 -1 Tube
38 12 Juli 1905 Asiklovir krim 5% 50 Tube Rp 3,125 156,250.00 49 Tube Rp 3,125 153,125.00 1 Tube
39 10 Juli 1905 Asiklovir Tablet 200 mg 200 Tablet Rp 236 47,200.00 -3104 Tablet Rp 236 - 732,544.00 3304 Tablet
40 10 Juli 1905 Asiklovir Tablet 400 mg 4800 Tablet Rp 380 1,824,000.00 4800 Tablet Rp 380 1,824,000.00 0 Tablet
41 12 Juli 1905 Asiklovir Tablet 400 mg 1000 Tablet Rp 405 405,000.00 165 Tablet Rp 405 66,825.00 835 Tablet
42 10 Juli 1905 Atapulgit tab 600 mg New Antides 0 Tablet Rp 136 - 0 Tablet Rp 136 - 0 Tablet
43 11 Juli 1905 Atapulgit tab 630 mg (PULAREX) 2500 Tablet Rp 162 405,000.00 2500 Tablet Rp 162 405,000.00 0 Tablet
44 12 Juli 1905 Atapulgit tab 630 mg (PULAREX) 0 Tablet Rp 162 - 0 Tablet Rp 162 - 0 Tablet
45 11 Juli 1905 Atropin Injeksi 0.25 mg/ml-1 ml 0 Ampul Rp 1,639 - 0 Ampul Rp 1,639 - 0 Ampul
46 12 Juli 1905 Atropin Injeksi 0.25 mg/ml-1 ml 0 Ampul Rp 1,639 - -10 Ampul Rp 1,639 - 16,390.00 10 Ampul
47 11 Juli 1905 Bedak Salisil 2 % 0 Pot Rp 6,100 - 0 Pot Rp 6,100 - 0 Pot

48 12 Juli 1905 Bedak Salisil 2 % 30 Pot Rp 6,400 192,000.00 30 Pot Rp 6,400 192,000.00 0 Pot
49 11 Juli 1905 Besi II Sulfat 200 mg + As. Folat (Tambah darah) 0 Tablet Rp 354 - 0 Tablet Rp 354 - 0 Tablet
50 12 Juli 1905 Besi II Sulfat 200 mg + As. Folat (Tambah darah) 98280 Tablet Rp 354 34,791,120.00 67970 Tablet Rp 354 24,061,380.00 30310 Tablet
51 11 Juli 1905 Betahistin 6 mg 0 Tablet Rp 110 - 0 Tablet Rp 110 - 0 Tablet
52 12 Juli 1905 Betahistin 6 mg 2000 Tablet Rp 110 220,000.00 1020 Tablet Rp 110 112,200.00 980 Tablet
53 10 Juli 1905 Betametason Krim 0 Tube Rp 1,340 - 0 Tube Rp 1,340 - 0 Tube
54 11 Juli 1905 Betametason Krim 50 Tube Rp 1,430 71,500.00 50 Tube Rp 1,430 71,500.00 0 Tube
55 11 Juli 1905 BIOSAT 1,5 Serum Antitetanus (A.T.S) 0 Ampul Rp 130,999 - 0 Ampul Rp 130,999 - 0 Ampul
56 12 Juli 1905 BIOSAT 1,5 Serum Antitetanus (A.T.S) 0 Ampul Rp 130,999 - -48 Ampul Rp 130,999 - 6,287,952.00 48 Ampul
57 11 Juli 1905 BIOSAVE Serum Anti Bisa Ular A.B.U Inj. 0 Ampul Rp 479,996 - 0 Ampul Rp 479,996 - 0 Ampul
58 11 Juli 1905 Bisoprolol tab 5 mg 0 Tablet Rp 252 - 0 Tablet Rp 252 - 0 Tablet
59 11 Juli 1905 Cairan Hydroxyethyl Strach (HES) 130/0.4 60 g, Nacl 9 g 0 Botol Rp 21,780 - 0 Botol Rp 21,780 - 0 Botol
62 10 Juli 1905 Cefadroksil Sirup 0 Botol Rp 3,922 - 0 Botol Rp 3,922 - 0 Botol
63 11 Juli 1905 Cetirizine HCl sirup 5 mg/5 ml 50 Botol Rp 2,915 145,750.00 50 Botol Rp 2,915 145,750.00 0 Botol
64 12 Juli 1905 Cetirizine HCl sirup 5 mg/5 ml 100 Botol Rp 2,915 291,500.00 10 Botol Rp 2,915 29,150.00 90 Botol
65 10 Juli 1905 Clindamisin kapsul 150 mg 0 Kapsul Rp 715 - 0 Kapsul Rp 715 - 0 Kapsul
66 12 Juli 1905 Ciprofloxacin 500 mg 500 Tablet Rp 500 250,000.00 359 Tablet Rp 500 179,500.00 141 Tablet
67 10 Juli 1905 Combivent UDV Ipratropium Bromide 0 Respules Rp 4,550 - 0 Respules Rp 4,550 - 0 Respules
68 11 Juli 1905 Combivent UDV Ipratropium Bromide 0 Respules Rp 4,550 - 0 Respules Rp 4,550 - 0 Respules
69 12 Juli 1905 Combivent UDV Ipratropium Bromide 60 Respules Rp 4,550 273,000.00 60 Respules Rp 4,550 273,000.00 0 Respules
70 10 Juli 1905 Deksametason injeksi 5 mg/ml (i.v/i.m) 0 Ampul Rp 1,097 - 0 Ampul Rp 1,097 - 0 Ampul
71 11 Juli 1905 Deksametason injeksi 5 mg/ml (i.v/i.m) 0 Ampul Rp 1,097 - 0 Ampul Rp 1,097 - 0 Ampul
72 11 Juli 1905 Diazepam 2 mg 0 Tablet Rp 86 - -82 Tablet Rp 86 - 7,052.00 82 Tablet
73 10 Juli 1905 Diazepam injeksi 5 mg/ml (i.v/i.m) 0 Ampul Rp 1,735 - 0 Ampul Rp 1,735 - 0 Ampul
74 11 Juli 1905 Diazepam injeksi 5 mg/ml (i.v/i.m) 0 Ampul Rp 1,735 - 0 Ampul Rp 1,735 - 0 Ampul
75 10 Juli 1905 Diazepam supp enema 5 mg/2,5 ml 0 Supp Rp 12,573 - 0 Supp Rp 12,573 - 0 Supp
76 11 Juli 1905 Diazepam supp (STESOLID) 0 Supp Rp 12,573 - -15 Supp Rp 12,573 - 188,595.00 15 Supp
77 12 Juli 1905 Diazepam Suppositoria (STESOLID) 0 Tube Rp 12,573 - 0 Tube Rp 12,573 - 0 Tube
78 09 Juli 1905 Difenhidramin inj 10 mg/5ml-1ml 0 Ampul Rp 1,060 - 0 Ampul Rp 1,060 - 0 Ampul
79 11 Juli 1905 Difenhidramin inj 10 mg/5ml-1ml 0 Ampul Rp 1,168 - 0 Ampul Rp 1,168 - 0 Ampul
80 11 Juli 1905 Digoksin tablet 0.25 mg 0 Tablet Rp 104 - 0 Tablet Rp 104 - 0 Tablet
81 11 Juli 1905 Doksisiklin kap 100 mg 0 Kapsul Rp 280 - 0 Kapsul Rp 280 - 0 Kapsul
82 11 Juli 1905 Domperidon 10 mg 0 Tablet Rp 91 - 0 Tablet Rp 91 - 0 Tablet
83 11 Juli 1905 Domperidon sirup 5 mg/5ml 400 Botol Rp 2,700 1,080,000.00 400 Botol Rp 2,700 1,080,000.00 0 Botol
84 10 Juli 1905 Dulcolax bisakodil supp 10 mg 0 Supp Rp 5,900 - 0 Supp Rp 5,900 - 0 Supp
85 11 Juli 1905 Dulcolax bisakodil supp 10 mg 0 Supp Rp 5,900 - 0 Supp Rp 5,900 - 0 Supp
86 11 Juli 1905 Epinefrin / Adrenalin inj 0.1 % 0 Ampul Rp 1,408 - 0 Ampul Rp 1,408 - 0 Ampul
87 12 Juli 1905 Epinefrin / Adrenalin inj 0.1 % 0 Ampul Rp 1,408 - -8 Ampul Rp 1,408 - 11,264.00 8 Ampul
88 11 Juli 1905 Eritromisin kapsul 250 mg 1000 Kapsul Rp 583 583,000.00 70 Kapsul Rp 583 40,810.00 930 Kapsul
89 09 Juli 1905 Eritromisin kapsul 500 mg 0 Kaplet Rp 730 - 0 Kaplet Rp 730 - 0 Kaplet
90 08 Juli 1905 Eritromisin sirup 200mg/5 ml 0 Botol Rp 6,700 - 0 Botol Rp 6,700 - 0 Botol
91 10 Juli 1905 Eritromisin sirup 200mg/5 ml 0 Botol Rp 6,090 - 0 Botol Rp 6,090 - 0 Botol
92 10 Juli 1905 Fenobarbital tablet 30 mg 0 Tablet Rp 171 - -690 Tablet Rp 171 - 117,990.00 690 Tablet
93 11 Juli 1905 Fenobarbital tablet 30 mg 0 Tablet Rp 171 - 0 Tablet Rp 171 - 0 Tablet

94 09 Juli 1905 Fenoterol nebules solution 0 Botol Rp 125,750 - 0 Botol Rp 125,750 - 0 Botol
95 11 Juli 1905 Fenoterol nebules solution 0 Botol Rp 130,190 - 0 Botol Rp 130,190 - 0 Botol
96 10 Juli 1905 Fitomenadion (Vit K1) tablet gula 10 mg 0 Tablet Rp 710 - 0 Tablet Rp 710 - 0 Tablet
97 11 Juli 1905 Fitomenadion (Vit K1) tablet gula 10 mg 0 Tablet Rp 758 - 0 Tablet Rp 758 - 0 Tablet
98 11 Juli 1905 Fitomenadion injeksi 2mg/1ml 0 Ampul Rp 3,682 - 0 Ampul Rp 3,682 - 0 Ampul
99 12 Juli 1905 Fitomenadion injeksi 2mg/1ml 0 Ampul Rp 3,682 - 0 Ampul Rp 3,682 - 0 Ampul
Page 257 of 288
100 09 Juli 1905 Framisetin Sulfat Tulle 1% 0 Sachet Rp 8,990 - 0 Sachet Rp 8,990 - 0 Sachet
101 09 Juli 1905 Furosemid tab 40 mg 0 Tablet Rp 80 - 0 Tablet Rp 80 - 0 Tablet

102 11 Juli 1905 Furosemid tab 40 mg 0 Tablet Rp 82 - 0 Tablet Rp 82 - 0 Tablet
103 11 Juli 1905 Garam oralit serbuk kombinasi 500 Sachet Rp 274 137,000.00 276 Sachet Rp 274 75,624.00 224 Sachet
104 09 Juli 1905 Gentian Violet larutan 1 % 0 Botol Rp 2,244 - 0 Botol Rp 2,244 - 0 Botol
105 10 Juli 1905 Gentian Violet larutan 1 % 0 Botol Rp 2,750 - -39 Botol Rp 2,750 - 107,250.00 39 Botol
106 10 Juli 1905 Glibenklamid 5 mg 1000 Tablet Rp 119 119,000.00 -750 Tablet Rp 119 - 89,250.00 1750 Tablet
107 12 Juli 1905 Glibenklamid 5 mg 0 Tablet Rp 119 - 0 Tablet Rp 119 - 0 Tablet
108 11 Juli 1905 Glimepirid 2mg 0 Tablet Rp 207 - -510 Tablet Rp 207 - 105,570.00 510 Tablet
109 12 Juli 1905 Glimepirid 2mg 0 Tablet Rp 207 - 0 Tablet Rp 207 - 0 Tablet
110 10 Juli 1905 Glukosa larutan infus 5% 0 Botol Rp 6,900 - 0 Botol Rp 6,900 - 0 Botol
111 12 Juli 1905 Glukosa larutan infus 5% 0 Botol Rp 7,363 - -12 Botol Rp 7,363 - 88,356.00 12 Botol
112 09 Juli 1905 Griseofulvin tablet 125 mg micronized 0 Tablet Rp 245 - -3972 Tablet Rp 245 - 973,140.00 3972 Tablet
113 09 Juli 1905 Griseofulvin tablet 250 mg micronized 0 Tablet Rp 1,705 - 0 Tablet Rp 1,705 - 0 Tablet
114 11 Juli 1905 Guafenesin tablet 3000 Tablet Rp 160 480,000.00 -4101 Tablet Rp 160 - 656,160.00 7101 Tablet
115 12 Juli 1905 Guafenesin tablet 0 Tablet Rp 120 - 0 Tablet Rp 120 - 0 Tablet
116 10 Juli 1905 Haloperidol imj 50 mg/ml 0 Ampul Rp 20,260 - 0 Ampul Rp 20,260 - 0 Ampul
117 11 Juli 1905 Haloperidol inj 50 mg/ml 0 Ampul Rp 101,300 - 0 Ampul Rp 101,300 - 0 Ampul
118 APBN HALOPERIDOL INJ 50 MG/ML (DEKANOAT) 0 KOTAK Rp 506,500 - 0 KOTAK Rp 506,500 - 0 KOTAK
119 APBN HALOPERIDOL TABLET 0,5 MG 0 TABLET Rp 55 - 0 TABLET Rp 55 - 0 TABLET

120 11 Juli 1905 Haloperidol Tablet 1,5 mg 0 Tablet Rp 59 - 0 Tablet Rp 59 - 0 Tablet
121 APBN HALOPERIDOL TABLET 1,5 MG 0 TABLET Rp 59 - 0 TABLET Rp 59 - 0 TABLET

122 11 Juli 1905 Haloperidol Tablet 5 mg 0 Tablet Rp 60 - 0 Tablet Rp 60 - 0 Tablet
123 08 Juli 1905 Hidroklortiazid (HCT) tablet 25 mg 0 Tablet Rp 149 - 0 Tablet Rp 149 - 0 Tablet
126 10 Juli 1905 Hidrokortison cream 2,5 % 0 Tube Rp 2,475 - 0 Tube Rp 2,475 - 0 Tube
127 11 Juli 1905 Hidrokortison cream 2,5 % 312 Tube Rp 2,475 772,200.00 128 Tube Rp 2,475 316,800.00 184 Tube
128 09 Juli 1905 Isorbid dinitrat tablet sublingual 5 mg 0 Tablet Rp 90 - 0 Tablet Rp 90 - 0 Tablet
129 10 Juli 1905 Isosorbid Dinitrat 5 mg 0 Tablet Rp 89 - 0 Tablet Rp 89 - 0 Tablet

130 11 Juli 1905 Kalium Diklofenak 50 mg (POTAFLAM-50) 0 Tablet Rp 684 - 0 Tablet Rp 684 - 0 Tablet
131 12 Juli 1905 Kalium Diklofenak 50 mg (POTAFLAM) 200 Tablet Rp 725 145,000.00 200 Tablet Rp 725 145,000.00 0 Tablet
132 09 Juli 1905 Kalsium Glukonat injkesi i.v 10% (100mg/ml) 0 Ampul Rp 9,955 - 0 Ampul Rp 9,955 - 0 Ampul
133 10 Juli 1905 Kalsium Glukonat injkesi i.v 10% (100mg/ml) 0 Ampul Rp 10,351 - 0 Ampul Rp 10,351 - 0 Ampul
134 11 Juli 1905 Kalsium Glukonat injkesi i.v 10% (100mg/ml) 24 Ampul Rp 10,351 248,424.00 24 Ampul Rp 10,351 248,424.00 0 Ampul
135 11 Juli 1905 Kalsium Laktat (Kalk) Tablet 500 mg 0 Tablet Rp 59 - 0 Tablet Rp 59 - 0 Tablet
136 11 Juli 1905 Kalsium Laktat (Kalk) Tablet 500 mg 5000 Tablet Rp 63 315,000.00 -3993 Tablet Rp 63 - 251,559.00 8993 Tablet
137 12 Juli 1905 Kalsium Laktat (Kalk) Tablet 500 mg 0 Tablet Rp 63 - 0 Tablet Rp 63 - 0 Tablet
138 12 Juli 1905 Kaptopril tablet 12,5 mg 0 Tablet Rp 66 - -219 Tablet Rp 66 - 14,454.00 219 Tablet
139 09 Juli 1905 Ketokonazol krim 2 % 0 Tube Rp 2,545 - 0 Tube Rp 2,545 - 0 Tube
140 10 Juli 1905 Ketokonazol krim 2 % 0 Tube Rp 2,518 - 0 Tube Rp 2,518 - 0 Tube
141 11 Juli 1905 Ketokonazol krim 2 % 100 Tube Rp 2,518 251,800.00 37 Tube Rp 2,518 93,166.00 63 Tube
142 09 Juli 1905 Ketokonazol tablet 200 mg 0 Tablet Rp 280 - 0 Tablet Rp 280 - 0 Tablet
143 10 Juli 1905 Klobazam 10 mg 0 Tablet Rp 739 - 0 Tablet Rp 739 - 0 Tablet
144 APBN Klobazam 10 mg 0 KOTAK Rp 77,600 - 0 KOTAK Rp 77,600 - 0 KOTAK
145 10 Juli 1905 Kloramfenikol salep kulit 2 % 0 Tube Rp 3,038 - 0 Tube Rp 3,038 - 0 Tube
146 11 Juli 1905 Kloramfenikol salep kulit 2 % 0 Tube Rp 3,242 - 0 Tube Rp 3,242 - 0 Tube
147 11 Juli 1905 Kloramfenikol salep mata 1 % 24 Tube Rp 2,007 48,168.00 24 Tube Rp 2,007 48,168.00 0 Tube
148 10 Juli 1905 Kloramfenikol tetes telinga 3% 20 Botol Rp 6,050 121,000.00 20 Botol Rp 6,050 121,000.00 0 Botol
149 11 Juli 1905 Kloramfenikol tetes Telinga 3% (RECO) 0 Botol Rp 6,400 - -18 Botol Rp 6,400 - 115,200.00 18 Botol
150 12 Juli 1905 Kloramfenikol tetes Telinga 3% (RECO) 20 Botol Rp 7,100 142,000.00 0 Botol Rp 7,100 - 20 Botol
151 11 Juli 1905 Kloramfenikol tetes Mata 0.5 % (RECO) 0 Botol Rp 10,100 - 0 Botol Rp 10,100 - 0 Botol
152 12 Juli 1905 Kloramfenikol tetes Mata 0.5 % (RECO) 150 Botol Rp 7,800 1,170,000.00 58 Botol Rp 7,800 452,400.00 92 Botol
153 10 Juli 1905 Klorfeniramin maleat tablet 4 mg 5000 Tablet Rp 22 110,000.00 1957 Tablet Rp 22 43,054.00 3043 Tablet
154 11 Juli 1905 Klorfeniramin maleat tablet 4 mg 0 Tablet Rp 23 - 0 Tablet Rp 23 - 0 Tablet
155 10 Juli 1905 Klorheksidin 0,2% 0 Botol Rp 124,355 - -2 Botol Rp 124,355 - 248,710.00 2 Botol
156 11 Juli 1905 Klorheksidin 0,2% 0 Botol Rp 124,355 - 0 Botol Rp 124,355 - 0 Botol
157 APBN KLORPROMAZINE 100 MG 0 TABLET Rp 147 - 0 TABLET Rp 147 - 0 TABLET

158 APBN KLORPROMAZINE 100 MG 0 KOTAK Rp 15,700 - 0 KOTAK Rp 15,700 - 0 KOTAK
159 11 Juli 1905 Klozapin 25 mg 0 Tablet Rp 1,121 - 0 Tablet Rp 1,121 - 0 Tablet
160 APBN Klozapin 25 mg 0 KOTAK Rp 56,050 - 0 KOTAK Rp 56,050 - 0 KOTAK

161 11 Juli 1905 Kotrimoksazol suspensi 0 Botol Rp 2,190 - 0 Botol Rp 2,190 - 0 Botol
162 12 Juli 1905 Kotrimoksazol suspensi 100 Botol Rp 2,190 219,000.00 11 Botol Rp 2,190 24,090.00 89 Botol
163 09 Juli 1905 Kotrimosazol tablet. Komb: Sulfametoksazol 400 mg + Trimetoprim 80 mg 0 Tablet Rp 151 - 0 Tablet Rp 151 - 0 Tablet
Page 258 of 288
164 11 Juli 1905 Kotrimoksazol tablet 480 mg 0 Tablet Rp 133 - 0 Tablet Rp 133 - 0 Tablet
165 12 Juli 1905 Kotrimoksazol tablet 480 mg 0 Tablet Rp 133 - -984 Tablet Rp 133 - 130,872.00 984 Tablet
166 11 Juli 1905 Lactobacillus (PROBIOKIDS) 0 Sachet Rp 12,975 - 0 Sachet Rp 12,975 - 0 Sachet
167 12 Juli 1905 Lactobacillus (PROBIOKIDS) 350 Sachet Rp 12,400 4,340,000.00 63 Sachet Rp 12,400 781,200.00 287 Sachet
168 11 Juli 1905 Lactulose Sirup 3,335 g/5 ml 0 Botol Rp 15,060 - 0 Botol Rp 15,060 - 0 Botol
169 11 Juli 1905 Lidokain Injeksi 2% 0 Ampul Rp 1,140 - 0 Ampul Rp 1,140 - 0 Ampul
170 11 Juli 1905 Lidokain Injeksi 2% 300 Ampul Rp 1,216 364,800.00 200 Ampul Rp 1,216 243,200.00 100 Ampul
171 10 Juli 1905 Lidokain Injeksi 2% + Epinefrin 0 Ampul Rp 1,152 - 0 Ampul Rp 1,152 - 0 Ampul
172 11 Juli 1905 Lidokain Injeksi 2% + Epinefrin 0 Ampul Rp 1,229 - 0 Ampul Rp 1,229 - 0 Ampul
173 11 Juli 1905 Lidokain Spray Oral 10% (xylocain spray) 0 Botol Rp 189,107 - -2 Botol Rp 189,107 - 378,214.00 2 Botol
174 11 Juli 1905 Loratadine 10 mg 0 Tablet Rp 131 - 0 Tablet Rp 131 - 0 Tablet
175 10 Juli 1905 Magnesium sulfat inj 20 % 0 Botol Rp 3,328 - 0 Botol Rp 3,328 - 0 Botol
176 11 Juli 1905 Magnesium sulfat inj 20 % 0 Botol Rp 3,328 - 0 Botol Rp 3,328 - 0 Botol
177 11 Juli 1905 Metformin 500 mg 0 Tablet Rp 102 - 0 Tablet Rp 102 - 0 Tablet
178 11 Juli 1905 Metformin HCL tablet 850 mg 0 Tablet Rp 160 - 0 Tablet Rp 160 - 0 Tablet
179 10 Juli 1905 Methisoprinol 250 mg/5 ml 0 Botol Rp 55,000 - 0 Botol Rp 55,000 - 0 Botol
180 11 Juli 1905 Methisoprinol 250 mg/5ml 0 Botol Rp 55,000 - 0 Botol Rp 55,000 - 0 Botol
181 12 Juli 1905 Methisoprinol 250 mg/5ml 50 Botol Rp 53,625 2,681,250.00 20 Botol Rp 53,625 1,072,500.00 30 Botol
182 11 Juli 1905 Methisoprinol 500 mg 0 Tablet Rp 3,300 - 0 Tablet Rp 3,300 - 0 Tablet
183 12 Juli 1905 Methisoprinol 500 mg 500 Tablet Rp 3,215 1,607,500.00 430 Tablet Rp 3,215 1,382,450.00 70 Tablet
184 11 Juli 1905 Metilergometrin injeksi 0,2 mg/ml 0 Ampul Rp 2,959 - 0 Ampul Rp 2,959 - 0 Ampul
185 10 Juli 1905 Metilergometrin tablet salut 0,125 mg 0 Tablet Rp 210 - -400 Tablet Rp 210 - 84,000.00 400 Tablet
186 11 Juli 1905 Metilergometrin tablet salut 0,125 mg 0 Tablet Rp 224 - 0 Tablet Rp 224 - 0 Tablet
187 11 Juli 1905 Metilprednisolon 4 mg 0 Tablet Rp 143 - 0 Tablet Rp 143 - 0 Tablet
188 10 Juli 1905 Mikonazol cream 2% 0 Tube Rp 3,414 - 0 Tube Rp 3,414 - 0 Tube
189 11 Juli 1905 Mikonazol cream 2% 0 Tube Rp 3,414 - 0 Tube Rp 3,414 - 0 Tube
190 12 Juli 1905 Mikonazol cream 2% 48 Tube Rp 3,414 163,872.00 1 Tube Rp 3,414 3,414.00 47 Tube
191 11 Juli 1905 Multivitamin anak Sirup (SANBE KID) 120 Botol Rp 38,000 4,560,000.00 120 Botol Rp 38,000 4,560,000.00 0 Botol
192 12 Juli 1905 Multivitamin anak Sirup (SANBE KID) 120 Botol Rp 35,300 4,236,000.00 79 Botol Rp 35,300 2,788,700.00 41 Botol
193 11 Juli 1905 Multivitamin Dewasa (PERVITAL) 0 Kapsul Rp 832 - 0 Kapsul Rp 832 - 0 Kapsul
194 12 Juli 1905 Multivitamin Dewasa (HORVITA) 5100 Kapsul Rp 1,650 8,415,000.00 5100 Kapsul Rp 1,650 8,415,000.00 0 Kapsul
195 10 Juli 1905 Natrium Diklofenak tablet 25 mg 0 Tablet Rp 128 - 0 Tablet Rp 128 - 0 Tablet
199 12 Juli 1905 Natrium Diklofenak tablet 50 mg 2800 Tablet Rp 123 344,400.00 2670 Tablet Rp 123 328,410.00 130 Tablet
200 11 Juli 1905 Natrium Klorida larutan infus 0.9 % steril 40 Botol Rp 6,840 273,600.00 40 Botol Rp 6,840 273,600.00 0 Botol
201 10 Juli 1905 Natrium Klorida larutan infus 0.9 % steril 500 ml 0 Botol Rp 6,410 - 0 Botol Rp 6,410 - 0 Botol
202 12 Juli 1905 Natrium Klorida larutan infus 0.9 % steril 120 Botol Rp 6,840 820,800.00 100 Botol Rp 6,840 684,000.00 20 Botol
203 09 Juli 1905 Nifedipin tablet 10 mg 0 Tablet Rp 99 - 0 Tablet Rp 99 - 0 Tablet

204 11 Juli 1905 Nistatin tablet salut 500.000 IU 0 Tablet Rp 843 - 0 Tablet Rp 843 - 0 Tablet
205 12 Juli 1905 Nistatin tablet salut 500.000 IU 0 Tablet Rp 843 - 0 Tablet Rp 843 - 0 Tablet
206 10 Juli 1905 Nistatin tablet vaginal 100.000 IU/g 0 Vagsupp Rp 560 - -122 Vagsupp Rp 560 - 68,320.00 122 Vagsupp
207 11 Juli 1905 Nistatin tablet vaginal 100.000 IU/g 0 Vagsupp Rp 598 - 0 Vagsupp Rp 598 - 0 Vagsupp
208 12 Juli 1905 Nistatin tablet vaginal 100.000 IU/g 0 Vagsupp Rp 598 - 0 Vagsupp Rp 598 - 0 Vagsupp
209 10 Juli 1905 Obat Antianemia 0 Kapsul Rp 440 - -3909 Kapsul Rp 440 - 1,719,960.00 3909 Kapsul
210 11 Juli 1905 Obat Antianemia Drop (FERRIZ DROP) 0 Botol Rp 32,224 - 0 Botol Rp 32,224 - 0 Botol
211 12 Juli 1905 Obat Antianemia Drop (FERRIZ DROP) 0 Botol Rp 36,400 - 0 Botol Rp 36,400 - 0 Botol
212 11 Juli 1905 Obat Antifungi Drop (NYMIKO DROP) 0 Botol Rp 34,000 - -51 Botol Rp 34,000 - 1,734,000.00 51 Botol
213 12 Juli 1905 Obat Antifungi Drop 0 Botol Rp 33,530 - 0 Botol Rp 33,530 - 0 Botol
214 11 Juli 1905 Obat Batuk Hitam (OBH) 0 Botol Rp 8,350 - -59 Botol Rp 8,350 - 492,650.00 59 Botol
215 12 Juli 1905 Obat Batuk Hitam (OBH) 0 Botol Rp 7,788 - 0 Botol Rp 7,788 - 0 Botol
216 10 Juli 1905 Obat Dekongestan 0 Tablet Rp 1,480 - 0 Tablet Rp 1,480 - 0 Tablet
217 11 Juli 1905 Obat Dekongestan Tablet (TREMENZA) 0 Tablet Rp 1,524 - 0 Tablet Rp 1,524 - 0 Tablet
218 12 Juli 1905 Obat Dekongestan Tablet (TREMENZA) 500 Tablet Rp 1,600 800,000.00 500 Tablet Rp 1,600 800,000.00 0 Tablet
219 11 Juli 1905 Obat Flu dan Batuk Sirup (WICOLD SIRUP) 0 Botol Rp 12,800 - 0 Botol Rp 12,800 - 0 Botol
220 12 Juli 1905 Obat Flu dan Batuk Sirup (WICOLD SIRUP) 120 Botol Rp 11,500 1,380,000.00 47 Botol Rp 11,500 540,500.00 73 Botol
221 11 Juli 1905 Obat Flu dan Batuk Tablet (WICOLD TABLET 500 Tablet Rp 810 405,000.00 500 Tablet Rp 810 405,000.00 0 Tablet
222 12 Juli 1905 Obat Flu dan Batuk Tablet (WICOLD TABLET 1300 Tablet Rp 750 975,000.00 1300 Tablet Rp 750 975,000.00 0 Tablet
223 09 Juli 1905 Obat Pencahar Sirup 0 Botol Rp 7,700 - 0 Botol Rp 7,700 - 0 Botol
224 10 Juli 1905 Oksitetrasiklin HCl salep kulit 3 % 0 Tube Rp 2,000 - 0 Tube Rp 2,000 - 0 Tube
227 10 Juli 1905 Oksitosin injeksi 10 IU/ml 0 Ampul Rp 1,199 - 0 Ampul Rp 1,199 - 0 Ampul
Page 259 of 288
228 11 Juli 1905 Oksitosin injeksi 10 IU/ml 0 Ampul Rp 1,199 - 0 Ampul Rp 1,199 - 0 Ampul
229 12 Juli 1905 Oksitosin injeksi 10 IU/ml 0 Ampul Rp 1,199 - -26 Ampul Rp 1,199 - 31,174.00 26 Ampul
230 10 Juli 1905 Olanzapin salut selaput 10 mg 0 Tablet Rp 4,725 - 0 Tablet Rp 4,725 - 0 Tablet
231 11 Juli 1905 Olanzapin salut selaput 10 mg 0 Tablet Rp 4,725 - 0 Tablet Rp 4,725 - 0 Tablet
232 12 Juli 1905 Omeprazol injeksi 40mg/10ml 30 Vial Rp 10,393 311,790.00 30 Vial Rp 10,393 311,790.00 0 Vial
233 12 Juli 1905 Parasetamol drops 100 mg/ml (60 mg/0,6 ml) 360 Botol Rp 6,649 2,393,640.00 100 Botol Rp 6,649 664,900.00 260 Botol
234 11 Juli 1905 Parasetamol sirup 120 ml/5ml 400 Botol Rp 1,107 442,800.00 94 Botol Rp 1,107 104,058.00 306 Botol
235 11 Juli 1905 Parasetamol sirup 120 ml/5ml 200 Botol Rp 1,181 236,200.00 0 Botol Rp 1,181 - 200 Botol
236 11 Juli 1905 Parasetamol Suppositoria (PYREXIN) 0 Supp Rp 11,800 - 0 Supp Rp 11,800 - 0 Supp
237 12 Juli 1905 Parasetamol Suppositoria (PROPYRETIC) 72 Supp Rp 8,100 583,200.00 62 Supp Rp 8,100 502,200.00 10 Supp
238 12 Juli 1905 Parasetamol tablet 500 mg 0 Tablet Rp 152 - 0 Tablet Rp 152 - 0 Tablet
239 09 Juli 1905 Permetrin krim 5% 10 g 0 Tube Rp 12,155 - 0 Tube Rp 12,155 - 0 Tube
241 12 Juli 1905 Permetrin krim 5% 10 g 0 Tube Rp 11,825 - -48 Tube Rp 11,825 - 567,600.00 48 Tube
242 11 Juli 1905 Phenol Glycerol 10% 0 Botol Rp 2,764 - 0 Botol Rp 2,764 - 0 Botol
243 10 Juli 1905 Pirantel pamoat tablet 125 mg 0 Tablet Rp 287 - 0 Tablet Rp 287 - 0 Tablet
244 11 Juli 1905 Pirantel pamoat tablet 125 mg 0 Tablet Rp 306 - -496 Tablet Rp 306 - 151,776.00 496 Tablet
245 10 Juli 1905 Piridoksin (Vitamin B6) tablet 10 mg 0 Tablet Rp 123 - 0 Tablet Rp 123 - 0 Tablet
246 11 Juli 1905 Piridoksin (Vitamin B6) tablet 10 mg 0 Tablet Rp 131 - 0 Tablet Rp 131 - 0 Tablet
247 12 Juli 1905 Piridoksin (Vitamin B6) tablet 10 mg 0 Tablet Rp 131 - -3927 Tablet Rp 131 - 514,437.00 3927 Tablet
248 11 Juli 1905 Prednison tablet 5 mg 0 Tablet Rp 73 - 0 Tablet Rp 73 - 0 Tablet
249 12 Juli 1905 Prednison tablet 5 mg 3000 Tablet Rp 73 219,000.00 -3141 Tablet Rp 73 - 229,293.00 6141 Tablet
250 09 Juli 1905 Propranolol HCl 10 mg 0 Tablet Rp 52 - 0 Tablet Rp 52 - 0 Tablet
251 10 Juli 1905 Propranolol HCl 10 mg 0 Tablet Rp 54 - 0 Tablet Rp 54 - 0 Tablet
252 11 Juli 1905 Pseudoefedrin Hcl Drop (DEVOSIX) 0 Botol Rp 30,000 - 0 Botol Rp 30,000 - 0 Botol
253 12 Juli 1905 Pseudoefedrin Hcl Drop (DEVOSIX) 20 Botol Rp 23,000 460,000.00 20 Botol Rp 23,000 460,000.00 0 Botol
254 12 Juli 1905 Ranitidin Hcl Sirup (RANICHO) 168 Pcs Rp 55,000 9,240,000.00 71 Pcs Rp 55,000 3,905,000.00 97 Pcs
255 09 Juli 1905 Retinol (VIT A) kapsul 100.000 IU 0 Softcaps Rp 284 - 0 Softcaps Rp 284 - 0 Softcaps
259 11 Juli 1905 Retinol (VIT A) kapsul 200.000 IU 0 Softcaps Rp 552 - -1193 Softcaps Rp 552 - 658,536.00 1193 Softcaps
260 09 Juli 1905 Retinol (VIT A) tablet salut 200.000 IU 0 Softcaps Rp 505 - 0 Softcaps Rp 505 - 0 Softcaps
262 12 Juli 1905 Retinol (VIT A) kapsul 200.000 IU 0 Softcaps Rp 552 - -5000 Softcaps Rp 552 - 2,760,000.00 5000 Softcaps
263 09 Juli 1905 Ringer laktat larutan infus steril 340 Botol Rp 7,150 2,431,000.00 340 Botol Rp 7,150 2,431,000.00 0 Botol
264 12 Juli 1905 Ringer laktat larutan infus steril 260 Botol Rp 7,630 1,983,800.00 162 Botol Rp 7,630 1,236,060.00 98 Botol
265 11 Juli 1905 Risperidon 2 mg 0 Tablet Rp 287 - 0 Tablet Rp 287 - 0 Tablet

266 APBN Risperidon 2 mg 0 KOTAK Rp 28,700 - 0 KOTAK Rp 28,700 - 0 KOTAK
267 09 Juli 1905 Salbutamol tab 4 mg 0 Tablet Rp 83 - 0 Tablet Rp 83 - 0 Tablet

268 10 Juli 1905 Salep 24, kombinasi : asam salisilat 2%+belerang endap 4 % 0 Pot Rp 2,621 - 0 Pot Rp 2,621 - 0 Pot
269 11 Juli 1905 Salep 24, kombinasi : asam salisilat 2%+belerang endap 4 % 0 Pot Rp 2,797 - 0 Pot Rp 2,797 - 0 Pot
270 APBN SKIZONOATE 25 MG/ML 0 KOTAK Rp 319,065 - 0 KOTAK Rp 319,065 - 0 KOTAK

271 11 Juli 1905 Sulfadiazin Krim 1% 0 Tube Rp 20,700 - -106 Tube Rp 20,700 - 2,194,200.00 106 Tube
272 11 Juli 1905 Suplemen Ibu Menyusui (ASIFIT) 0 Kaplet Rp 2,050 - 0 Kaplet Rp 2,050 - 0 Kaplet
273 12 Juli 1905 Suplemen Ibu Menyusui (LARSI) 300 Kapsul Rp 1,500 450,000.00 300 Kapsul Rp 1,500 450,000.00 0 Kapsul
274 10 Juli 1905 Tiamin HCL / Nitrat ( Vit B1 ) 3000 Tablet Rp 85 255,000.00 -488 Tablet Rp 85 - 41,480.00 3488 Tablet
275 11 Juli 1905 Tiamin HCL / Nitrat ( Vit B1 ) 0 Tablet Rp 91 - 0 Tablet Rp 91 - 0 Tablet
276 11 Juli 1905 Triheksifenidil Tablet 2 mg 0 Tablet Rp 91 - 0 Tablet Rp 91 - 0 Tablet
277 APBN Triheksifenidil Tablet 2 mg 0 KOTAK Rp 9,100 - 0 KOTAK Rp 9,100 - 0 KOTAK
278 11 Juli 1905 Underpad 0 Pcs Rp 7,900 - 0 Pcs Rp 7,900 - 0 Pcs

279 11 Juli 1905 Vitamin B Komplek 21300 Tablet Rp 118 2,513,400.00 21300 Tablet Rp 118 2,513,400.00 0 Tablet
280 11 Juli 1905 Vitamin Neurotropik Injeksi (NEUROSANBE) 0 Ampul Rp 5,467 - 0 Ampul Rp 5,467 - 0 Ampul
281 12 Juli 1905 Vitamin Neurotropik Injeksi (NEUROSANBE) 20 Ampul Rp 5,400 108,000.00 10 Ampul Rp 5,400 54,000.00 10 Ampul
282 11 Juli 1905 Vitamin Neurotropik Tablet (NEUROVIT - E) 0 Tablet Rp 1,167 - 0 Tablet Rp 1,167 - 0 Tablet
283 12 Juli 1905 Vitamin Neurotropik Tablet (NEUROVIT - E) 1200 Tablet Rp 3,085 3,702,000.00 1200 Tablet Rp 3,085 3,702,000.00 0 Tablet
284 11 Juli 1905 Zink Sirup 20 mg/ml 0 Botol Rp 3,171 - 0 Botol Rp 3,171 - 0 Botol
285 12 Juli 1905 Zink Sirup 20 mg/ml 72 Botol Rp 3,171 228,312.00 72 Botol Rp 3,171 228,312.00 0 Botol
286 09 Juli 1905 Antiseptik untuk saluran akar 0 Botol Rp 360,000 - 0 Botol Rp 360,000 - 0 Botol
287 06 Juli 1905 Articulating paper 0 Pak Rp 298,760 - 0 Pak Rp 298,760 - 0 Pak
288 10 Juli 1905 Articulating paper 0 Pak Rp 146,150 - 0 Pak Rp 146,150 - 0 Pak
289 11 Juli 1905 Articulating paper 0 Kotak Rp 170,000 - -10 Kotak Rp 170,000 - 1,700,000.00 10 Kotak
290 11 Juli 1905 Bonding 0 Botol Rp 509,000 - -1 Botol Rp 509,000 - 509,000.00 1 Botol
291 10 Juli 1905 Cairan desinfektan untuk sistem penyedotan pada alat dental (orotol) 0 Botol Rp 1,551,000 - 0 Botol Rp 1,551,000 - 0 Botol
Page 260 of 288
292 11 Juli 1905 Cairan desinfektan untuk sistem penyedotan pada alat dental (OROTOL) 0 Botol Rp 1,762,000 - 0 Botol Rp 1,762,000 - 0 Botol
293 09 Juli 1905 Cairan Pembersih Gigi 0 Botol Rp 170,000 - 0 Botol Rp 170,000 - 0 Botol
294 11 Juli 1905 Celluloid Strip Svenska 0 pack Rp 151,000 - -1 pack Rp 151,000 - 151,000.00 1 pack
295 10 Juli 1905 Cotton roll 0 Pcs Rp 310,200 - 0 Pcs Rp 310,200 - 0 Pcs
296 11 Juli 1905 Cotton roll 0 Pcs Rp 34,400 - 0 Pcs Rp 34,400 - 0 Pcs
297 11 Juli 1905 Cotton Swab 0 Pack Rp 5,500 - -10 Pack Rp 5,500 - 55,000.00 10 Pack
298 11 Juli 1905 Devitalisasi pasta ( Pulp-X) 0 Pcs Rp 217,000 - 0 Pcs Rp 217,000 - 0 Pcs
299 11 Juli 1905 Etching 0 Pcs Rp 550,000 - 0 Pcs Rp 550,000 - 0 Pcs
300 04 Juli 1905 Eugenol Cairan 0 Pcs Rp 44,605 - -4 Pcs Rp 44,605 - 178,420.00 4 Pcs
301 10 Juli 1905 Fletcher 0 Pcs Rp 15,510 - 0 Pcs Rp 15,510 - 0 Pcs

302 11 Juli 1905 Fletcher 0 Pcs Rp 32,000 - 0 Pcs Rp 32,000 - 0 Pcs
303 06 Juli 1905 Fletcher Cairan 0 Pcs Rp 25,200 - 0 Pcs Rp 25,200 - 0 Pcs
304 10 Juli 1905 Glass Ionomer cement 0 Pcs Rp 613,160 - 0 Pcs Rp 613,160 - 0 Pcs
305 11 Juli 1905 Glass Ionomer cement 0 Set Rp 882,000 - -6 Set Rp 882,000 - 5,292,000.00 6 Set
306 11 Juli 1905 Kalsium Hidroksida pasta (Calcetin) 0 Pcs Rp 134,000 - -1 Pcs Rp 134,000 - 134,000.00 1 Pcs
307 11 Juli 1905 Kalsium Hidroksida pasta (HYDCAL) 0 Dus Rp 133,000 - 0 Dus Rp 133,000 - 0 Dus
308 06 Juli 1905 Mata bor diamond fissur 0 Pcs Rp 10,336 - 0 Pcs Rp 10,336 - 0 Pcs
309 07 Juli 1905 Mata bor diamond inverted 0 Pcs Rp 55,000 - 0 Pcs Rp 55,000 - 0 Pcs
310 07 Juli 1905 Mata bor diamond rounded 0 Pcs Rp 55,000 - 0 Pcs Rp 55,000 - 0 Pcs
311 06 Juli 1905 Mata bor tulang gigi 0 Pcs Rp 50,600 - 0 Pcs Rp 50,600 - 0 Pcs
312 07 Juli 1905 Mata bor tulang gigi 0 Pcs Rp 283,800 - 0 Pcs Rp 283,800 - 0 Pcs
313 10 Juli 1905 Microbrush 100's 0 Pcs Rp 188,000 - 0 Pcs Rp 188,000 - 0 Pcs
314 11 Juli 1905 Microbrush 100's (Svenska) 0 pack Rp 178,000 - -2 pack Rp 178,000 - 356,000.00 2 pack
315 10 Juli 1905 Minyak handpiece 0 Pcs Rp 827,200 - 0 Pcs Rp 827,200 - 0 Pcs
316 11 Juli 1905 Minyak handpiece 0 Botol Rp 764,275 - -1 Botol Rp 764,275 - 764,275.00 1 Botol
317 04 Juli 1905 Monoklorkamfer Mentol cairan (CHKM) 0 Pcs Rp 53,520 - 0 Pcs Rp 53,520 - 0 Pcs
318 10 Juli 1905 Monoklorkamfer Mentol cairan (CHKM) 0 Pcs Rp 62,040 - 0 Pcs Rp 62,040 - 0 Pcs
319 11 Juli 1905 Monoklorkamfer Mentol cairan (CHKM/CHAMPHENOL) 0 Pcs Rp 65,000 - 0 Pcs Rp 65,000 - 0 Pcs
320 08 Juli 1905 Pasta Iodoform 0 Pcs Rp 25,300 - 0 Pcs Rp 25,300 - 0 Pcs
321 08 Juli 1905 Semen seng fosfat serbuk 0 Pcs Rp 157,300 - 0 Pcs Rp 157,300 - 0 Pcs
322 10 Juli 1905 Slaber/ dental bib 0 Pcs Rp 948 - 0 Pcs Rp 948 - 0 Pcs
323 11 Juli 1905 Slaber/ dental bib 0 Pack Rp 125,000 - -3 Pack Rp 125,000 - 375,000.00 3 Pack
324 10 Juli 1905 Suction tip 0 pack Rp 94,000 - -2 pack Rp 94,000 - 188,000.00 2 pack
325 11 Juli 1905 Suction tip (SVENSKA DENTORAMA SALIVA EJECTOR) 0 pack Rp 87,000 - 0 pack Rp 87,000 - 0 pack
326 10 Juli 1905 Tambal Sementara Untuk Gigi 0 Pcs Rp 345,500 - 0 Pcs Rp 345,500 - 0 Pcs
327 11 Juli 1905 Tambal Sementara Untuk Gigi (COLTOSOL) 5 Pot Rp 250,900 1,254,500.00 1 Pot Rp 250,900 250,900.00 4 Pot
328 11 Juli 1905 Tambal Sinar Warna A 2 (NG ENAMEL) 0 Syringe Rp 308,900 - 0 Syringe Rp 308,900 - 0 Syringe
329 11 Juli 1905 Tambal Sinar Warna A 3 (NG ENAMEL) 0 Syringe Rp 285,300 - 0 Syringe Rp 285,300 - 0 Syringe
330 11 Juli 1905 Tambal Sinar Warna A 3,5 (NG ENAMEL) 0 Syringe Rp 308,900 - 0 Syringe Rp 308,900 - 0 Syringe
331 10 Juli 1905 Tambal Sinar Warna A2 Pasta 0 Pcs Rp 425,770 - 0 Pcs Rp 425,770 - 0 Pcs
332 10 Juli 1905 Tambal Sinar Warna A3 Pasta 0 Pcs Rp 425,770 - 0 Pcs Rp 425,770 - 0 Pcs
333 10 Juli 1905 Tehnodent Antiseptic Liquid No.2 0 Botol Rp 64,000 - 0 Botol Rp 64,000 - 0 Botol
334 11 Juli 1905 Tehnodent Antiseptic Liquid No.2 0 Botol Rp 64,000 - 0 Botol Rp 64,000 - 0 Botol
335 10 Juli 1905 Tehnodent Cresotin Liquid No.2 0 Botol Rp 160,500 - 0 Botol Rp 160,500 - 0 Botol
336 11 Juli 1905 Tehnodent Cresotin Liquid No.2 0 Botol Rp 160,500 - 0 Botol Rp 160,500 - 0 Botol
337 10 Juli 1905 Tehnodent Iodotin Paste 0 Botol Rp 96,500 - 0 Botol Rp 96,500 - 0 Botol
338 11 Juli 1905 Tehnodent Iodotin Paste 0 Pot Rp 96,500 - 0 Pot Rp 96,500 - 0 Pot
339 06 Juli 1905 Trikresol Formalin 0 Botol Rp 118,125 - 0 Botol Rp 118,125 - 0 Botol
340 08 Juli 1905 Wipes Desinfektan 0 Botol Rp 271,700 - 0 Botol Rp 271,700 - 0 Botol
341 09 Juli 1905 Alat suntik sekali pakai 1 ml 0 Pcs Rp 762 - 0 Pcs Rp 762 - 0 Pcs
342 11 Juli 1905 Alat Suntik sekali pakai 1 ml (NIPRO) 500 Pcs Rp 1,023 511,500.00 0 Pcs Rp 1,023 - 500 Pcs
343 09 Juli 1905 Alat Suntik sekali pakai 10 ml 500 Pcs Rp 1,257 628,500.00 0 Pcs Rp 1,257 - 500 Pcs
344 09 Juli 1905 Alat Suntik sekali pakai 3 ml 2300 Pcs Rp 789 1,814,700.00 2300 Pcs Rp 789 1,814,700.00 0 Pcs
345 08 Juli 1905 Alat suntik sekali pakai 5 ml 0 Pcs Rp 1,310 - 0 Pcs Rp 1,310 - 0 Pcs
346 09 Juli 1905 Alat suntik sekali pakai 5 ml 0 Pcs Rp 839 - -900 Pcs Rp 839 - 755,100.00 900 Pcs
347 10 Juli 1905 Alkohol 70% 1 L 0 Botol Rp 21,000 - 0 Botol Rp 21,000 - 0 Botol
348 11 Juli 1905 Alkohol 70% 1 L 0 Botol Rp 18,700 - 0 Botol Rp 18,700 - 0 Botol
349 11 Juli 1905 Alkohol Swab 60 Kotak Rp 29,000 1,740,000.00 10 Kotak Rp 29,000 290,000.00 50 Kotak
350 11 Juli 1905 Anestesia Lokal Spray 0 Botol Rp 334,000 - -11 Botol Rp 334,000 - 3,674,000.00 11 Botol
351 10 Juli 1905 ANIOS ANIOSGEL 85 500 ml 0 Botol Rp 82,000 - 0 Botol Rp 82,000 - 0 Botol
352 11 Juli 1905 ANIOS ANIOSGEL 85 500 ml 0 Botol Rp 82,000 - 0 Botol Rp 82,000 - 0 Botol
353 12 Juli 1905 ANIOS ANIOSGEL 85 500 ml 12 Botol Rp 82,000 984,000.00 12 Botol Rp 82,000 984,000.00 0 Botol
354 12 Juli 1905 ANIOSGEL 85 5 LITER 12 Galon 5L Rp 500,000 6,000,000.00 12 Galon 5L Rp 500,000 6,000,000.00 0 Galon 5L
355 10 Juli 1905 ANIOS ANIOSYME DLT PLUS 5 L 0 Botol Rp 615,000 - 0 Botol Rp 615,000 - 0 Botol
Page 261 of 288
356 11 Juli 1905 ANIOS ANIOSYME DLT PLUS 5 L 0 Botol Rp 669,000 - 0 Botol Rp 669,000 - 0 Botol
357 10 Juli 1905 Betadine 1000 ml 0 Botol Rp 149,314 - 0 Botol Rp 149,314 - 0 Botol
358 10 Juli 1905 Betadine 60 ml 0 Botol Rp 23,890 - 0 Botol Rp 23,890 - 0 Botol
359 09 Juli 1905 Blood transfusion set 0 pcs Rp 6,700 - -16 pcs Rp 6,700 - 107,200.00 16 pcs
360 10 Juli 1905 Blood transfusion set 0 pcs Rp 6,700 - 0 pcs Rp 6,700 - 0 pcs
361 11 Juli 1905 Cairan desinfektan untuk lantai (SURFANIOS) 0 Galon 5L Rp 1,170,000 - 0 Galon 5L Rp 1,170,000 - 0 Galon 5L
362 12 Juli 1905 Cairan desinfektan untuk lantai (SURFANIOS PREMIUM) 7 Galon 5L Rp 1,296,900 9,078,300.00 1 Galon 5L Rp 1,296,900 1,296,900.00 6 Galon 5L
363 09 Juli 1905 Catgut 2/0 Chromic 0 Pcs Rp 37,203 - 0 Pcs Rp 37,203 - 0 Pcs
365 11 Juli 1905 Catgut 2/0 Plain 0 Pcs Rp 35,067 - 0 Pcs Rp 35,067 - 0 Pcs
370 10 Juli 1905 Catgut CHROMIC SMI 2/0 HR 37 MM 0 Pcs Rp 32,800 - 0 Pcs Rp 32,800 - 0 Pcs
371 10 Juli 1905 Catgut PLAIN SMI 3/0 HR 37 MM 0 Pcs Rp 35,740 - 0 Pcs Rp 35,740 - 0 Pcs
372 12 Juli 1905 Catgut 2/0 CHROMIC 0 Sachet Rp 32,800 - 0 Sachet Rp 32,800 - 0 Sachet
373 12 Juli 1905 Catgut 2/0 PLAIN 0 Sachet Rp 34,300 - 0 Sachet Rp 34,300 - 0 Sachet
374 12 Juli 1905 Catgut 3/0 CHROMIC 0 Sachet Rp 32,800 - 0 Sachet Rp 32,800 - 0 Sachet
375 12 Juli 1905 Catgut 3/0 PLAIN 12 Sachet Rp 34,300 411,600.00 12 Sachet Rp 34,300 411,600.00 0 Sachet
376 11 Juli 1905 DERMANIOS SCRUB CHLORHEXIDINE 500 ML 0 Botol Rp 104,000 - 0 Botol Rp 104,000 - 0 Botol
377 12 Juli 1905 DERMANIOS SCRUB CHLORHEXIDINE 500 ML 0 Botol Rp 104,000 - -6 Botol Rp 104,000 - 624,000.00 6 Botol
378 08 Juli 1905 Dermavix 0 Pcs Rp 2,053 - 0 Pcs Rp 2,053 - 0 Pcs
379 09 Juli 1905 Dressing Fiksasi untuk luka lebar 10 cm x 5 cm 0 Pcs Rp 30,030 - 0 Pcs Rp 30,030 - 0 Pcs
380 10 Juli 1905 Dressing Fiksasi untuk luka lebar Transparent Medical Tape 5x500 0 Pcs Rp 84,700 - -38 Pcs Rp 84,700 - 3,218,600.00 38 Pcs
381 11 Juli 1905 Dressing Fiksasi untuk luka lebar Transparent Medical Tape 5x500 0 Pcs Rp 44,148 - 0 Pcs Rp 44,148 - 0 Pcs
382 10 Juli 1905 Dressing transparant untuk pemasang i.v catheter Anak Transparent IV Dressing 4.4x4.4 0 Pcs Rp 1,925 - 0 Pcs Rp 1,925 - 0 Pcs
383 11 Juli 1905 Dressing transparant untuk pemasang i.v catheter Anak Transparent IV Dressing 4.4x4.4 100 Pcs Rp 1,145 114,500.00 0 Pcs Rp 1,145 - 100 Pcs
384 09 Juli 1905 Dressing transparant untuk pemasang i.v catheter Dewasa 0 Pcs Rp 6,850 - 0 Pcs Rp 6,850 - 0 Pcs
385 10 Juli 1905 Dressing transparant untuk pemasang i.v catheter Dewasa CANNOFIX-PU ( 6 CM X 8 CM ) 0 Pcs Rp 6,850 - 0 Pcs Rp 6,850 - 0 Pcs
386 11 Juli 1905 ETT Reg Plain Uncuff 2,5 0 Pcs Rp 16,140 - 0 Pcs Rp 16,140 - 0 Pcs
387 11 Juli 1905 ETT Reg Plain Uncuff 3 0 Pcs Rp 16,140 - 0 Pcs Rp 16,140 - 0 Pcs
397 09 Juli 1905 Foley Catheter No. 16 0 Pcs Rp 11,800 - -30 Pcs Rp 11,800 - 354,000.00 30 Pcs
398 11 Juli 1905 Foley Catheter No. 16 0 Pcs Rp 18,450 - 0 Pcs Rp 18,450 - 0 Pcs
399 09 Juli 1905 Foley Catheter No. 18 0 Pcs Rp 11,800 - -27 Pcs Rp 11,800 - 318,600.00 27 Pcs
400 12 Juli 1905 Handsanitizer 5 Lt 0 Galon 5L Rp 800,000 - 0 Galon 5L Rp 800,000 - 0 Galon 5L
401 10 Juli 1905 Handscoon (Steril) # 6 0 Pasang Rp 4,600 - 0 Pasang Rp 4,600 - 0 Pasang
402 11 Juli 1905 Handscoon (Steril) # 6 (COSMOMED) 0 Pasang Rp 4,600 - 0 Pasang Rp 4,600 - 0 Pasang
403 11 Juli 1905 Handscoon (Steril) # 6,5 (COSMOMED) 0 Pasang Rp 4,600 - 0 Pasang Rp 4,600 - 0 Pasang
404 10 Juli 1905 Handscoon (Steril) # 6.5 0 Pasang Rp 4,600 - 0 Pasang Rp 4,600 - 0 Pasang
405 09 Juli 1905 Handscoon (Steril) # 7 0 Pasang Rp 4,100 - 0 Pasang Rp 4,100 - 0 Pasang
406 10 Juli 1905 Handscoon Non Steril L 0 Pcs Rp 499 - 0 Pcs Rp 499 - 0 Pcs
407 11 Juli 1905 Handscoon Non Steril L (COSMOMED) 0 Pcs Rp 551 - 0 Pcs Rp 551 - 0 Pcs
408 11 Juli 1905 Handscoon Non Steril M(COSMOMED) 0 Pcs Rp 551 - 0 Pcs Rp 551 - 0 Pcs
409 11 Juli 1905 Handscoon Non Steril S (COSMOMED) 0 Pcs Rp 551 - 0 Pcs Rp 551 - 0 Pcs
410 11 Juli 1905 Handscoon panjang manual plasenta 6,5 (REMEDI ELBOW) 0 Pasang Rp 17,400 - 0 Pasang Rp 17,400 - 0 Pasang
411 11 Juli 1905 Handscoon panjang manual plasenta 7 (REMEDI ELBOW) 0 Pasang Rp 17,400 - 0 Pasang Rp 17,400 - 0 Pasang
412 08 Juli 1905 Handscoon panjang untuk manual plasenta 6,5 0 Pasang Rp 17,400 - 0 Pasang Rp 17,400 - 0 Pasang
413 08 Juli 1905 Handscoon panjang untuk manual plasenta 7 0 Pasang Rp 17,400 - 0 Pasang Rp 17,400 - 0 Pasang
414 12 Juli 1905 Handscoon (Steril) # 7 (GAMEX) 0 Pasang Rp 11,000 - 0 Pasang Rp 11,000 - 0 Pasang
415 12 Juli 1905 Handscoon (Steril) # 7.5 (GAMEX) 0 Pasang Rp 11,000 - 0 Pasang Rp 11,000 - 0 Pasang
416 10 Juli 1905 Heat Sealing Reels (100+50) X 100 M 0 Roll Rp 313,500 - -2 Roll Rp 313,500 - 627,000.00 2 Roll
417 06 Juli 1905 ID Pasien bayi biru 0 Pcs Rp 1,798 - 0 Pcs Rp 1,798 - 0 Pcs
418 06 Juli 1905 ID pasien bayi pink 0 Pcs Rp 1,798 - 0 Pcs Rp 1,798 - 0 Pcs
419 09 Juli 1905 Infus Anak 0 Pcs Rp 4,400 - -50 Pcs Rp 4,400 - 220,000.00 50 Pcs
Page 262 of 288
420 10 Juli 1905 Infus set dewasa 3D Semillas Infusion Set-Y 0 Pcs Rp 6,061 - 0 Pcs Rp 6,061 - 0 Pcs
421 11 Juli 1905 Infus set dewasa 3D Semillas Infusion Set-Y 200 Pcs Rp 5,800 1,160,000.00 60 Pcs Rp 5,800 348,000.00 140 Pcs
422 12 Juli 1905 Infus set dewasa 3D Semillas Infusion Set-Y 0 Pcs Rp 5,800 - 0 Pcs Rp 5,800 - 0 Pcs
423 11 Juli 1905 IV Cannula No. 16G with safety wings (COSMOMED) 0 Pcs Rp 7,100 - 0 Pcs Rp 7,100 - 0 Pcs
424 10 Juli 1905 IV Cannula No. 26 G with safety wings 0 Pcs Rp 4,700 - 0 Pcs Rp 4,700 - 0 Pcs
425 11 Juli 1905 IV Cannula No. 26G with safety wings (COSMOMED) 0 Pcs Rp 7,100 - -50 Pcs Rp 7,100 - 355,000.00 50 Pcs
426 10 Juli 1905 IV Catheter 18 0 Pcs Rp 7,700 - 0 Pcs Rp 7,700 - 0 Pcs

427 11 Juli 1905 IV Catheter 18 (MF PRO) 0 Pcs Rp 7,569 - 0 Pcs Rp 7,569 - 0 Pcs


436 09 Juli 1905 IV Catheter No. 16 with safety wings 0 Pcs Rp 4,700 - 0 Pcs Rp 4,700 - 0 Pcs
437 09 Juli 1905 IV Catheter No. 26 with injection port 0 Pcs Rp 4,700 - 0 Pcs Rp 4,700 - 0 Pcs
439 12 Juli 1905 IV Catheter 18 (POLYMED) 0 Pcs Rp 11,660 - 0 Pcs Rp 11,660 - 0 Pcs
440 12 Juli 1905 IV Catheter 20 50 Pcs Rp 5,480 274,000.00 50 Pcs Rp 5,480 274,000.00 0 Pcs
441 12 Juli 1905 IV Catheter 22 (POLYMED) 100 Pcs Rp 11,880 1,188,000.00 100 Pcs Rp 11,880 1,188,000.00 0 Pcs
442 12 Juli 1905 IV Catheter 24 (POLYMED) 100 Pcs Rp 12,210 1,221,000.00 100 Pcs Rp 12,210 1,221,000.00 0 Pcs
443 05 Juli 1905 Jarum Hekting Kulit 0 Lusin Rp 27,500 - 0 Lusin Rp 27,500 - 0 Lusin
444 07 Juli 1905 Jarum Hekting Kulit 0 Set Rp 132,000 - 0 Set Rp 132,000 - 0 Set
445 05 Juli 1905 Jarum Hekting Otot 0 Lusin Rp 27,500 - 0 Lusin Rp 27,500 - 0 Lusin
446 07 Juli 1905 Jarum Hekting Otot 0 Set Rp 132,000 - 0 Set Rp 132,000 - 0 Set
447 07 Juli 1905 Kapas 1 kg 0 Roll Rp 54,560 - 0 Roll Rp 54,560 - 0 Roll

448 10 Juli 1905 Kapas pembalut 250 gr 0 Roll Rp 12,250 - -21 Roll Rp 12,250 - 257,250.00 21 Roll
449 11 Juli 1905 Kapas pembalut 250 gr 0 Roll Rp 15,070 - 0 Roll Rp 15,070 - 0 Roll
450 08 Juli 1905 Kasa Hidrofil 36 m x 80 cm 0 Roll Rp 130,000 - 0 Roll Rp 130,000 - 0 Roll
451 11 Juli 1905 Kasa Hidrofil 36 m x 80 cm 0 Roll Rp 136,500 - 0 Roll Rp 136,500 - 0 Roll
452 06 Juli 1905 Kasa Hidrofil 40 y x 80 cm 0 Roll Rp 102,300 - 0 Roll Rp 102,300 - 0 Roll
455 09 Juli 1905 Kasa Hidrofil Steril 18 x22 (isi 22 lbr) 0 Kotak Rp 7,491 - 0 Kotak Rp 7,491 - 0 Kotak
456 11 Juli 1905 Kasa Pembalut Elastis 10 inchi 0 Roll Rp 33,000 - 0 Roll Rp 33,000 - 0 Roll
457 11 Juli 1905 Kasa Pembalut Elastis 15 inchi 0 Roll Rp 41,910 - 0 Roll Rp 41,910 - 0 Roll
458 11 Juli 1905 Kasa Pembalut Elastis 7,5 inchi 0 Roll Rp 27,830 - 0 Roll Rp 27,830 - 0 Roll
459 11 Juli 1905 Kasa Steril 16 X 16 0 Kotak Rp 5,500 - 0 Kotak Rp 5,500 - 0 Kotak
460 12 Juli 1905 Kasa Steril 16 X 16 210 Kotak Rp 5,950 1,249,500.00 210 Kotak Rp 5,950 1,249,500.00 0 Kotak
461 06 Juli 1905 Kertas Puyer Cetak (pocket medicine) 0 Pcs Rp 90 - 0 Pcs Rp 90 - 0 Pcs
462 07 Juli 1905 Kertas Puyer Cetak (pocket medicine) 0 Pcs Rp 83 - -6955 Pcs Rp 83 - 573,787.50 6955 Pcs
463 09 Juli 1905 Lisol 0 Botol Rp 40,999 - 0 Botol Rp 40,999 - 0 Botol
464 11 Juli 1905 Masker (COSMOMED) 500 Pcs Rp 500 250,000.00 500 Pcs Rp 500 250,000.00 0 Pcs
465 12 Juli 1905 Masker (REMEDI) 4200 Pcs Rp 3,000 12,600,000.00 4200 Pcs Rp 3,000 12,600,000.00 0 Pcs
466 10 Juli 1905 Masker Nebulizer Anak 0 Pcs Rp 14,400 - 0 Pcs Rp 14,400 - 0 Pcs
467 11 Juli 1905 Masker Nebulizer Anak (COSMOMED) 0 Pcs Rp 16,700 - -35 Pcs Rp 16,700 - 584,500.00 35 Pcs
468 11 Juli 1905 Masker Nebulizer Dewasa (COSMOMED) 100 Pcs Rp 16,700 1,670,000.00 6 Pcs Rp 16,700 100,200.00 94 Pcs
469 11 Juli 1905 Masker Oksigen Anak (REMEDI) 0 Pcs Rp 11,500 - 0 Pcs Rp 11,500 - 0 Pcs
470 09 Juli 1905 Masker Oksigen Anak (oxygen Mask - child) 0 Pcs Rp 9,500 - -128 Pcs Rp 9,500 - 1,216,000.00 128 Pcs
471 10 Juli 1905 Masker Oksigen Anak (oxygen Mask - child) 0 Pcs Rp 9,500 - 0 Pcs Rp 9,500 - 0 Pcs
472 11 Juli 1905 Masker Oksigen Dewasa (REMEDI) 50 Pcs Rp 11,500 575,000.00 0 Pcs Rp 11,500 - 50 Pcs
473 09 Juli 1905 Masker Oksigen Dewasa (oxygen mask - adult) 0 Pcs Rp 9,500 - 0 Pcs Rp 9,500 - 0 Pcs
474 10 Juli 1905 Masker Oksigen Dewasa (oxygen mask - adult) 0 Pcs Rp 9,500 - 0 Pcs Rp 9,500 - 0 Pcs
475 10 Juli 1905 Micropore 1 inch 0 Dus Rp 217,028 - 0 Dus Rp 217,028 - 0 Dus
476 11 Juli 1905 Micropore 1/2 inch 0 Dus Rp 138,851 - 0 Dus Rp 138,851 - 0 Dus
477 10 Juli 1905 N 95 General Respirator 0 Roll Rp 21,000 - 0 Roll Rp 21,000 - 0 Roll
478 11 Juli 1905 N 95 General Respirator 0 Box Rp 301,215 - 0 Box Rp 301,215 - 0 Box
479 11 Juli 1905 Oksigen Portable (OXYCAN) 0 Botol Rp 65,000 - 0 Botol Rp 65,000 - 0 Botol
480 10 Juli 1905 Plastik limbah medis 0 Pack Rp 93,060 - 0 Pack Rp 93,060 - 0 Pack
481 11 Juli 1905 Povidon iodida larutan 10 % (60 ml) 0 Botol Rp 4,620 - 0 Botol Rp 4,620 - 0 Botol
482 10 Juli 1905 Remedi oxygen nasal canula-white, neonates 0 Pcs Rp 7,300 - 0 Pcs Rp 7,300 - 0 Pcs
483 10 Juli 1905 Remedi surgical glove gynecolog- 6,5 (Elbow Length) 0 Pcs Rp 17,400 - 0 Pcs Rp 17,400 - 0 Pcs
Page 263 of 288
484 10 Juli 1905 Remedi surgical glove gynecolog- 7 (Elbow Length) 0 Pcs Rp 17,400 - 0 Pcs Rp 17,400 - 0 Pcs
485 11 Juli 1905 Rivanol 50 ml 0 Botol Rp 1,322 - 0 Botol Rp 1,322 - 0 Botol

486 10 Juli 1905 Safety Box 0 Pcs Rp 24,122 - 0 Pcs Rp 24,122 - 0 Pcs
487 11 Juli 1905 Selang O2 anak (REMEDI) 0 Pcs Rp 6,400 - -40 Pcs Rp 6,400 - 256,000.00 40 Pcs
488 09 Juli 1905 Selang O2 anak (nasal oxygen canula- child) 0 Pcs Rp 6,400 - 0 Pcs Rp 6,400 - 0 Pcs
491 09 Juli 1905 Selang O2 Dewasa (nasal oxygen canula- adult) 0 Pcs Rp 5,900 - 0 Pcs Rp 5,900 - 0 Pcs
492 11 Juli 1905 Selang O2 Dewasa (REMEDI) 0 Pcs Rp 6,400 - 0 Pcs Rp 6,400 - 0 Pcs
493 12 Juli 1905 Selang O2 Dewasa (REMEDI) 20 Pcs Rp 6,400 128,000.00 20 Pcs Rp 6,400 128,000.00 0 Pcs
494 09 Juli 1905 Selang O2 NEO NATUS 0 Pcs Rp 7,300 - 0 Pcs Rp 7,300 - 0 Pcs
495 09 Juli 1905 Selang O2 NEO NATUS 0 Pcs Rp 5,900 - 0 Pcs Rp 5,900 - 0 Pcs
496 11 Juli 1905 Selang O2 Neonatus (REMEDI) 0 Pcs Rp 7,300 - 0 Pcs Rp 7,300 - 0 Pcs
497 09 Juli 1905 Silk Benang Bedah 3/0 0 Pcs Rp 35,077 - 0 Pcs Rp 35,077 - 0 Pcs
498 11 Juli 1905 Silk Benang Bedah 3/0 24 Pcs Rp 20,186 484,464.00 24 Pcs Rp 20,186 484,464.00 0 Pcs
499 12 Juli 1905 Silk Black Benang Bedah 3/0 0 Sachet Rp 19,700 - 0 Sachet Rp 19,700 - 0 Sachet
500 11 Juli 1905 Spekulum portable ukuran L 0 pcs Rp 6,000 - 0 pcs Rp 6,000 - 0 pcs
501 11 Juli 1905 Spekulum portable ukuran M 0 pcs Rp 6,000 - 0 pcs Rp 6,000 - 0 pcs
502 10 Juli 1905 Surgical Gloves Sterile 0 Pcs Rp 4,100 - 0 Pcs Rp 4,100 - 0 Pcs
503 08 Juli 1905 Three way stopcock 0 Pcs Rp 5,720 - 0 Pcs Rp 5,720 - 0 Pcs
504 09 Juli 1905 Three way stopcock 0 Pcs Rp 2,900 - 0 Pcs Rp 2,900 - 0 Pcs
505 11 Juli 1905 Ultrasound Gel (KONIX) 0 Botol Rp 28,100 - -1 Botol Rp 28,100 - 28,100.00 1 Botol
506 11 Juli 1905 Ultrasound Gel 250 ml (Dr. PRO) 0 Botol Rp 22,320 - 0 Botol Rp 22,320 - 0 Botol
507 09 Juli 1905 Umbilical Klem 0 Pcs Rp 1,300 - 0 Pcs Rp 1,300 - 0 Pcs
508 10 Juli 1905 Urine Bag 0 Pcs Rp 6,900 - -20 Pcs Rp 6,900 - 138,000.00 20 Pcs
509 09 Juli 1905 Urine Bag 0 Pcs Rp 6,900 - 0 Pcs Rp 6,900 - 0 Pcs
510 11 Juli 1905 Urine Bag (COSMOMED) 0 Pcs Rp 8,000 - 0 Pcs Rp 8,000 - 0 Pcs
511 12 Juli 1905 Underpad 50 Pcs Rp 4,620 231,000.00 50 Pcs Rp 4,620 231,000.00 0 Pcs
512 10 Juli 1905 Masker Nebulizer Dewasa 0 Pcs Rp 14,400 - 0 Pcs Rp 14,400 - 0 Pcs
513 12 Juli 1905 Masker N 95 0 Pcs Rp 173,000 - 0 Pcs Rp 173,000 - 0 Pcs

514 BTT 2021 Handscoon Non Steril L (shamrock) 6500 Pcs Rp 1,850 12,025,000.00 5700 Pcs Rp 1,850 10,545,000.00 800 Pcs
515 BTT 2021 Handscoon Non Steril M (shamrock) 8000 Pcs Rp 1,850 14,800,000.00 7900 Pcs Rp 1,850 14,615,000.00 100 Pcs
516 APBD Chlorpromazin HCL 25 mg 0 Kotak Rp 1,850 - 0 Kotak Rp 1,850 - 0 Kotak

517 APBD Karbamazepin Tab 200 mg 0 Kotak Rp 24,500 - 0 Kotak Rp 24,500 - 0 Kotak
518 APBD Klozapine Tab 0 Kotak Rp 56,050 - 0 Kotak Rp 56,050 - 0 Kotak

519 APBD Haloperidol 1,5mg Tab 0 Kotak Rp 5,900 - 0 Kotak Rp 5,900 - 0 Kotak
520 APBD Haloperidol 5 mg 0 Kotak Rp 6,000 - 0 Kotak Rp 6,000 - 0 Kotak
521 APBD Resperidon Tab 2 mg 0 Kotak Rp 28,700 - 0 Kotak Rp 28,700 - 0 Kotak

522 APBD Triheksifenidil Tablet 2 mg 0 Kotak Rp 9,100 - 0 Kotak Rp 9,100 - 0 Kotak
523 APBD SKIZONOATE 25 MG/ML 0 Kotak Rp 319,065 - 0 Kotak Rp 319,065 - 0 Kotak

524 APBD clobazam 10 mg Tab 0 Kotak Rp 77,600 - 0 Kotak Rp 77,600 - 0 Kotak
525 BTT 2021 Handscoon Non Steril S ( Shamrock) 5000 Pcs Rp 1,850 9,250,000.00 5000 Pcs Rp 1,850 9,250,000.00 0 Pcs
526 13 Juli 1905 Parasetamol Tablet 500 mg (Novagesic) 23000 tablet Rp 221 5,083,000.00 20700 tablet Rp 221 4,574,700.00 2300 tablet
527 BTT 2021 Alkohol Swab 0 Kotak Rp 33,000 - 0 Kotak Rp 33,000 - 0 Kotak
528 BTT 2021 Masker N 95 0 Pcs Rp 46,500 - 0 Pcs Rp 46,500 - 0 Pcs
529 12 Juli 1905 Masker Earloop Skrinner 500 Pcs Rp 4,000 2,000,000.00 500 Pcs Rp 4,000 2,000,000.00 0 Pcs
530 12 Juli 1905 Masker Hijab Skrinner 5500 Pcs Rp 4,000 22,000,000.00 5500 Pcs Rp 4,000 22,000,000.00 0 Pcs
531 12 Juli 1905 Masker MI 2000 Pcs Rp 1,000 2,000,000.00 700 Pcs Rp 1,000 700,000.00 1300 Pcs
532 BTT 2021 DESINFEKTAN 5L (ASEPTANIOS) 0 Galon 5L Rp 1,900,000 - 0 Galon 5L Rp 1,900,000 - 0 Galon 5L
533 BTT 2021 RAPID TEST ANTIGEN ( 200 PCS Rp 47,500 9,500,000.00 200 PCS Rp 47,500 9,500,000.00 0 PCS
534 BTT 2021 Alkohol 70% 1 L 20 Botol Rp 34,217 684,340.00 20 Botol Rp 34,217 684,340.00 0 Botol
535 APBD Aximed Paper Tape (Micropor) 48 Roll Rp 11,330 543,840.00 38 Roll Rp 11,330 430,540.00 10 Roll
536 BTT 2021 COVERALL XL (Mi) 250 Pcs Rp 110,600 27,650,000.00 5 Pcs Rp 110,600 553,000.00 245 Pcs
537 BTT 2021 COVERALL L (Mi) 50 Pcs Rp 110,600 5,530,000.00 5 Pcs Rp 110,600 553,000.00 45 Pcs
538 BTT 2021 COVERALL XXL (Mi) 150 Pcs Rp 110,600 16,590,000.00 0 Pcs Rp 110,600 - 150 Pcs
539 BTT 2021 COVERALL XXXL (Mi) 50 Pcs Rp 110,600 5,530,000.00 0 Pcs Rp 110,600 - 50 Pcs
540 BTT 2021 GOWN ( Mi) 1200 Pcs Rp 72,000 86,400,000.00 600 Pcs Rp 72,000 43,200,000.00 600 Pcs
541 BTT 2021 NURSE CAP ( Mi ) 40200 Pcs Rp 390 15,678,000.00 705 Pcs Rp 390 274,950.00 39495 Pcs
542 13 Juli 1905 Retinol (VIT A) kapsul 200.000 IU 0 botol Rp 552 - 0 botol Rp 552 - 0 botol
543 13 Juli 1905 Retinol (VIT A) kapsul 100.000 IU 0 botol Rp 305 - 0 botol Rp 305 - 0 botol
544 13 Juli 1905 ANIOS ANIOSGEL 85 500 ml 60 Botol Rp 90,000 5,400,000.00 36 Botol Rp 90,000 3,240,000.00 24 Botol
545 13 Juli 1905 Multivitamin Dewasa (Formuno) 0 tablet Rp 6,800 - 0 tablet Rp 6,800 - 0 tablet
546 DAU Plester Transparan/Plesterin 20 kotak Rp 38,934 778,680.00 0 kotak Rp 38,934 - 20 kotak
547 13 Juli 1905 Pirantel pamoat tablet 125 mg 0 Tablet Rp 304 - 0 Tablet Rp 304 - 0 Tablet
Page 264 of 288
548 13 Juli 1905 Amoksisilin Suspensi Kering 125mg/ml 220 Botol Rp 2,050 451,000.00 29 Botol Rp 2,050 59,450.00 191 Botol
549 13 Juli 1905 Atropin Injeksi 0.25 mg/ml 10 Ampul Rp 1,718 17,180.00 0 Ampul Rp 1,718 - 10 Ampul
550 13 Juli 1905 Antasida Tablet 0 Tablet Rp 54 - 0 Tablet Rp 54 - 0 Tablet
551 13 Juli 1905 Asam Asetlsalisilat (Miniaspi 80 mg) 0 tablet Rp 89 - 0 tablet Rp 89 - 0 tablet
552 13 Juli 1905 Kalsium Laktat (Kalk) Tablet 500 mg 0 tablet Rp 60 - 0 tablet Rp 60 - 0 tablet
553 13 Juli 1905 Kotrimosazol tablet. Komb: Sulfametoksazol 400 mg + Trimetoprim 80 mg 0 Tablet Rp 126 - 0 Tablet Rp 126 - 0 Tablet
554 13 Juli 1905 Parasetamol sirup 120 ml/5ml 0 Botol Rp 1,160 - 0 Botol Rp 1,160 - 0 Botol
556 13 Juli 1905 Cetirizine Sirup 5mg/ml 0 Botol Rp 2,090 - 0 Botol Rp 2,090 - 0 Botol
557 13 Juli 1905 Amlodipin 10 mg Kaplet 0 Kaplet Rp 70 - 0 Kaplet Rp 70 - 0 Kaplet

558 13 Juli 1905 Prednison Kaplet 5 mg 0 tablet Rp 68 - 0 tablet Rp 68 - 0 tablet
559 13 Juli 1905 Amlodipin 5 mg 0 tablet Rp 53 - 0 tablet Rp 53 - 0 tablet

560 13 Juli 1905 Metrformin 500 mg 5000 tablet Rp 77 385,000.00 5000 tablet Rp 77 385,000.00 0 tablet
561 13 Juli 1905 Loratadine 10 mg tablet 500 tablet Rp 109 54,500.00 232 tablet Rp 109 25,288.00 268 tablet
562 13 Juli 1905 Antasida Suspensi 0 botol Rp 1,679 - 0 botol Rp 1,679 - 0 botol
563 13 Juli 1905 Paracetamol Drops 100mg/ml 0 botol Rp 4,976 - 0 botol Rp 4,976 - 0 botol
564 13 Juli 1905 Elbow Length Latex Powdered Surgical Gloves No. 7 120 Pcs Rp 17,347 2,081,640.00 80 Pcs Rp 17,347 1,387,760.00 40 Pcs
565 13 Juli 1905 Elbow Length Latex Powdered Surgical Gloves No. 7,5 80 Pcs Rp 17,347 1,387,760.00 80 Pcs Rp 17,347 1,387,760.00 0 Pcs
566 13 Juli 1905 Masker 3 PLY-MI 0 Kotak Rp 51,500 - 0 Kotak Rp 51,500 - 0 Kotak
567 13 Juli 1905 Masker N95, HSAP 0 Pcs Rp 30,060 - 0 Pcs Rp 30,060 - 0 Pcs
568 13 Juli 1905 MEDI-GRIPLatex Powder-Free Surgical Gloves Size 7 300 Pair Rp 10,773 3,231,900.00 220 Pair Rp 10,773 2,370,060.00 80 Pair
569 13 Juli 1905 MEDI-GRIPLatex Powder-Free Surgical Gloves Size 7,5 200 Pair Rp 10,773 2,154,600.00 50 Pair Rp 10,773 538,650.00 150 Pair
570 13 Juli 1905 Masker Oksigen Dewasa 0 Pcs Rp 18,788 - 0 Pcs Rp 18,788 - 0 Pcs
571 13 Juli 1905 Masker Oksigen Anak 0 Pcs Rp 18,788 - 0 Pcs Rp 18,788 - 0 Pcs
572 DAU Masker 3 PLY-MI 2000 Pcs Rp 816 1,632,000.00 2000 Pcs Rp 816 1,632,000.00 0 Pcs
573 BTT 2021 RAPID TEST ANTIGEN (STRONG-STEP) 0 Pcs Rp 47,500 - 0 Pcs Rp 47,500 - 0 Pcs
574 DAU Alkohol Swab 500 Kotak Rp 8,380 4,190,000.00 500 Kotak Rp 8,380 4,190,000.00 0 Kotak
575 13 Juli 1905 Amoksisilin Trihidrate 500 mg 1000 Tablet Rp 201 201,000.00 900 Tablet Rp 201 180,900.00 100 Tablet
576 13 Juli 1905 Asam Mefenamat Tablet 500 mg 2000 Tablet Rp 111 222,000.00 1700 Tablet Rp 111 188,700.00 300 Tablet
577 13 Juli 1905 Omeprazol Kaplet 20 mg 2000 Tablet Rp 129 258,000.00 1460 Tablet Rp 129 188,340.00 540 Tablet
578 13 Juli 1905 Simvastatin Tablet 10 mg 1000 Tablet Rp 68 68,000.00 570 Tablet Rp 68 38,760.00 430 Tablet
579 APBN Resperidon Tab 2 mg 0 Kotak Rp 28,700 - 0 Kotak Rp 28,700 - 0 Kotak
580 APBN SKIZONOATE 25 MG/ML 0 kotak Rp 319,065 - 0 kotak Rp 319,065 - 0 kotak

581 13 Juli 1905 Parasetamol Tablet 3000 Tablet Rp 240 720,000.00 100 Tablet Rp 240 24,000.00 2900 Tablet
582 APBN Haloperidol 5 mg Injeksi 0 Kotak Rp 29,750 - 0 Kotak Rp 29,750 - 0 Kotak

417,372,240.00 196,249,453.50
DISTRIBUSI DINKES TA. 2021
BELANJA CETAK
1 25 Januari 2021 KESGA Kohort Ibu 13 Buah Rp 64,200 834,600.00 021/0667/SBBK/KESGA/2020 25 Januari 2021 Operasional 13 Buah Rp 64,200 834,600.00 0 Buah
2 25 Januari 2021 KESGA Buku Bagan MTBS 1 Rp 350,000 350,000.00

3 25 Januari 2021 KESGA Format MTBS dan MTBM 9 Rp 25,000 225,000.00
4 25 Januari 2021 KESGA Bagan Dinding 1 Rp 650,000 650,000.00
5 25 Januari 2021 KESGA Lembar Balik Kelas Ibu Balita 2 Rp 520,000 1,040,000.00
6 25 Januari 2021 KESGA Leaflet 56 Lembar Rp 2,480 138,880.00
7 25 Januari 2021 KESGA Banner Kelas Ibu Balita 1 Rp 450,000 450,000.00

8 25 Januari 2021 KESGA APE KIT Balita 2 Rp 760,500 1,521,000.00
9 25 Januari 2021 KESGA Buku Rapor Kesehatan (SD/MI) 8 Rp 110,000 880,000.00
10 25 Januari 2021 KESGA Poster Pencegahan Covid di Sekolah 53 Lembar Rp 4,000 212,000.00
11 25 Januari 2021 KESGA Banner Anak Sekolah 1 Rp 425,000 425,000.00
12 25 Januari 2021 KESGA Buku Pedoman Posyandu Remaja 2 Rp 74,000 148,000.00

13 25 Januari 2021 KESGA Buku Rapor Kesehatan (SMP/MA/MK) 7 Rp 120,000 840,000.00
14 25 Januari 2021 KESGA Register Kohort Usia Reproduksi 2 Rp 55,000 110,000.00
15 25 Januari 2021 KESGA Lembar Balik Lansia 1 Rp 500,000 500,000.00

16 25 Januari 2021 KESGA Buku Kesehatan Lansia 41 Rp 35,000 1,435,000.00
17 25 Januari 2021 KESGA Roll Banner Lansia 1 Rp 425,000 425,000.00

18 25 Januari 2021 KESGA Buku Format F1 2 Rp 45,000 90,000.00
19 25 Januari 2021 KESGA Buku Kohort Lansia Puskesmas 2 Rp 45,000 90,000.00
10,364,480.00
25 Januari 2021 KESGA Kartu Catin Sehat 500 Rp 352 176,000.00

-
Page 265 of 288
08 Februari 2021 GIZI PMT 1224 Rp 2,900 3,549,600.00
16 Agustus 2021 Farmalkes Masker Batik 200 Rp 7,000 1,400,000.00

Masker Lawan Covid 400 Rp 2,909,092 1,163,636,800.00
1 Oktober 2021 Farmalkes Oxygen Concentrator 2 Rp 15,085,350 30,170,700.00
JUMLAH BELANJA CETAK 834,600.00 834,600.00
OBAT-OBATAN
Operasional 0 30 Desember 1899 Rp - - 0 ###
JUMLAH BELANJA CETAK - -
#REF!
1. SALDO AWAL = 160,000 1. KELUAR SALDO AWAL = 160,000 1. SISA SALDO AWAL
2. PENERIMAAN 01 JAN - 31 DES 2021 = #REF! 2. PENGELUARAN 01 JAN - 31 DES 2021 = #REF! 2. SISA PENGELUARAN 01 JAN - 31 DES 2021
3. TOTAL PENERIMAAN 2021 = #REF! 3. TOTAL PENGELUARAN 2021 (1+2) = #REF! 3. SALDO AKHIR 2021 (1+2)
4. TOTAL PENERIMAAN 2021

………………………. …………………….
NIP. 19 NIP. 19
Page 266 of 288

PERIODE 01 JANUARI S/D 30 NOVEMBER 2021

No. Tanggal Penerimaan Pembelian Nama Barang Total (Rp) B.A/ Serah Terima Pengeluaran Pengeluaran Barang Untuk Satuan Harga Satuan To
28/05/2021 BLUD Kemasan Obat Paper Bag 4,900 pcs 2,000 9,800,000.00 322/PKM PONDOK RANJI/V/2021 28/5/2021 01 Jan-30 Nov KW/065/SSS/V/2021 18/05/2021 Operasional 4900 pcs 2,000.00 9,800,000.00 0 pcs 2,000.00
27/7/2021 BLUD Ballpoint Pilot BPTP 10 lusin 48,400.00 484,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-30 Nov 05/KW/ASS/VI/2021 22/07/2021 Operasional 9 lusin 48,400.00 435,600.00 1 lusin 48,400.00
27/7/2021 BLUD Pensil 5 Lusin 28,600.00 143,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-30 Nov 05/KW/ASS/VI/2021 22/07/2021 Operasional 1 Lusin 28,600.00 28,600.00 4 Lusin 28,600.00
27/7/2021 BLUD Box File Plastik 20 pcs 41,800.00 836,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-30 Nov 05/KW/ASS/VI/2021 22/07/2021 Operasional 9 pcs 41,800.00 376,200.00 11 pcs 41,800.00
27/7/2021 BLUD Lem Kertas 15 buah 17,600.00 264,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-30 Nov 05/KW/ASS/VI/2021 22/07/2021 Operasional 4 buah 17,600.00 70,400.00 11 buah 17,600.00
27/7/2021 BLUD Buku Polio 13 buah 72,600.00 943,800.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-30 Nov 05/KW/ASS/VI/2021 22/07/2021 Operasional 8 buah 72,600.00 580,800.00 5 buah 72,600.00
27/7/2021 BLUD Map Kancing Plastik 20 lusin 68,200.00 1,364,000.00 521/PKM PONDOK RANJI/VII/2021 27/7/2021 01 Jan-30 Nov 05/KW/ASS/VI/2021 22/07/2021 Operasional 0 lusin 68,200.00 - 20 lusin 68,200.00
22 Oktober 2021 BLUD Tinta Epson 664 hitam 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 2 pcs 110,000.00 220,000.00 8 pcs 110,000.00
22 Oktober 2021 BLUD Tinta Epson 664 biru 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 pcs 110,000.00 - 10 pcs 110,000.00
22 Oktober 2021 BLUD Tinta Epson 664 kuning 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 2 pcs 110,000.00 220,000.00 8 pcs 110,000.00
22 Oktober 2021 BLUD Tinta Epson 664 merah 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 pcs 110,000.00 - 10 pcs 110,000.00
22 Oktober 2021 BLUD Tinta Epson 003 hitam 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 5 pcs 110,000.00 550,000.00 5 pcs 110,000.00
22 Oktober 2021 BLUD Tinta Epson 003 biru 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 4 pcs 110,000.00 440,000.00 6 pcs 110,000.00
22 Oktober 2021 BLUD Tinta Epson 003 kuning 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 pcs 110,000.00 110,000.00 9 pcs 110,000.00
22 Oktober 2021 BLUD Tinta Epson 003 merah 10 pcs 110,000.00 1,100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 3 pcs 110,000.00 330,000.00 7 pcs 110,000.00
22 Oktober 2021 BLUD tinta stempel ungu 10 pcs 15,000.00 150,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 pcs 15,000.00 15,000.00 9 pcs 15,000.00
22 Oktober 2021 BLUD lakban kain 2 inch hitam 2 Roll 25,000.00 50,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 Roll 25,000.00 25,000.00 1 Roll 25,000.00
22 Oktober 2021 BLUD lakban kain 2 inch hijau 1 Roll 25,000.00 25,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 Roll 25,000.00 25,000.00 0 Roll 25,000.00
22 Oktober 2021 BLUD lakban kain 2 inch kuning 1 Roll 25,000.00 25,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 Roll 25,000.00 - 1 Roll 25,000.00
22 Oktober 2021 BLUD lakban kain 2 inch merah 1 Roll 25,000.00 25,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 Roll 25,000.00 - 1 Roll 25,000.00
22 Oktober 2021 BLUD lakban opp bening/transparan 2 inch 5 Roll 20,000.00 100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 Roll 20,000.00 - 5 Roll 20,000.00
22 Oktober 2021 BLUD tape dispenser tempat isolasi joyco TD-103 5 buah 40,000.00 200,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 buah 40,000.00 - 5 buah 40,000.00
22 Oktober 2021 BLUD tape cutter tempat isolasi lakban joyco TD-2 5 buah 35,000.00 175,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 buah 35,000.00 - 5 buah 35,000.00
22 Oktober 2021 BLUD stappler HD 10 max 5 pcs 20,000.00 100,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 pcs 20,000.00 - 5 pcs 20,000.00
22 Oktober 2021 BLUD stappler HD 50 max 5 pcs 80,000.00 400,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 4 pcs 80,000.00 320,000.00 1 pcs 80,000.00
22 Oktober 2021 BLUD isi stappler no 10 joyco 20 box 40,000.00 800,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 box 40,000.00 40,000.00 19 box 40,000.00
22 Oktober 2021 BLUD isi stappler no 3 joyco 20 box 50,000.00 1,000,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 box 50,000.00 50,000.00 19 box 50,000.00
22 Oktober 2021 BLUD paper klip no 5 kenko/joyco 30 kotak 9,000.00 270,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 18 kotak 9,000.00 162,000.00 12 kotak 9,000.00
22 Oktober 2021 BLUD ballpoint balliner 2 pak 215,000.00 430,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 pak 215,000.00 215,000.00 1 pak 215,000.00
22 Oktober 2021 BLUD map L bening daichi F4 20 lusin 38,000.00 760,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 3 lusin 38,000.00 114,000.00 17 lusin 38,000.00
22 Oktober 2021 BLUD buku expedisi paperline isi 100 lembar 8 buah 18,000.00 144,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 2 buah 18,000.00 36,000.00 6 buah 18,000.00
22 Oktober 2021 BLUD correction pen (tip-ex cair) 5 box 100,000.00 500,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 box 100,000.00 100,000.00 4 box 100,000.00
22 Oktober 2021 BLUD memo sticky note post it 3M 654 20 pad 17,000.00 340,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 0 pad 17,000.00 - 20 pad 17,000.00
22 Oktober 2021 BLUD binder klip 260 10 kotak 27,000.00 270,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 kotak 27,000.00 27,000.00 9 kotak 27,000.00
22 Oktober 2021 BLUD kertas label 112 tom n jerry 10 set 9,000.00 90,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 1 set 9,000.00 9,000.00 9 set 9,000.00
22 Oktober 2021 BLUD kertas label 102 tom n jerry 10 set 9,000.00 90,000.00 997/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 043/KW.PMJ/X/2021 12/10/2021 6 set 9,000.00 54,000.00 4 set 9,000.00
JUMLAH BELANJA ALAT TULIS KANTOR (5.1.02.01.01.0024) (5.1.02.01.01.022) 28,833,800.00 3,108,000.00
KERTAS HVS (5.1.02.01.01.0025) (5.1.02.01.01.023)
08 April 2021 BLUD Kertas HVS A4 39 rim 53,900 2,102,100.00 160/PKM PONDOK RANJI/IV/2021 8/4/2021 01 Jan-30 Nov 01/KW/ASS/IV/2021 1/4/2021 Operasional 19 rim 53,900.00 1,024,100.00 20 rim 53,900.00
08 April 2021 BLUD Kertas HVS F4 80 rim 59,400 4,752,000.00 160/PKM PONDOK RANJI/IV/2021 8/4/2021 01 Jan-30 Nov 01/KW/ASS/IV/2021 1/4/2021 Operasional 65 rim 59,400.00 3,861,000.00 15 rim 59,400.00
JUMLAH BELANJA KERTAS HVS (5.1.02.01.01.0025) (5.1.02.01.01.023) 6,854,100.00 4,885,100.00
BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-BENDA POS (5.1.02.01.01.0027) (5.1.02.01.01.025)
19/03/2021 BLUD Materai 200 buah 10,114 2,022,800.00 129/PKM PONDOK RANJI/III/2021 19/03/2021 01 Jan-30 Nov 4693 16/03/2021 Program 200 buah 10,114.00 2,022,800.00 0 buah 10,114.00
JUMLAH BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-BENDA POS (5.1.02.01.01.0027) (5.1.02.01.01.025) 2,022,800.00 2,022,800.00
Page 267 of 288

BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-PERABOT KANTOR (5.1.02.01.01.0030)

(5.1.02.01.01.028)
19/03/2021 BLUD Gas Elpiji 1 tabung 170,000 170,000.00 098/PKM PONDOK RANJI/III/2021 19/03/2021 01 Jan-30 Nov 10/BLUD/PKMPDR/2021 8/3/2021 Operasional 1 tabung 170,000.00 170,000.00 0 tabung 170,000.00
05 Mei 2021 BLUD Gas Elpiji 2 tabung 160,000 320,000.00 262/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 24/BLUD/PKMPDR/2021 23/04/2021 Operasional 2 tabung 160,000.00 320,000.00 0 tabung 160,000.00
06 Juli 2021 BLUD Gas Elpiji 2 tabung 170,000 340,000.00 453/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 37/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 tabung 170,000.00 340,000.00 0 tabung 170,000.00
09 September 2021 BLUD Gas Elpiji 2 tabung 170,000 340,000.00 708/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 54/BLUD/PKMPDR/2021 26/08/2021 Operasional 2 tabung 170,000.00 340,000.00 0 tabung 170,000.00
11 November 2021 BLUD Gas Elpiji 1 tabung 170,000 170,000.00 1150/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 65/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 tabung 170,000.00 170,000.00 0 tabung 170,000.00
09 September 2021 BLUD Kain Pel 3 buah 182,000 546,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 3 buah 182,000 546,000.00 0 buah 182,000.00
09 September 2021 BLUD plastik sampah hitam 80 pack 41,000 3,280,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 80 pack 41,000 3,280,000.00 0 pack 41,000.00
09 September 2021 BLUD karbol wangi 18 botol 45,000 810,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 18 botol 45,000 810,000.00 0 botol 45,000.00
09 September 2021 BLUD cairan desinfektan 10 botol 29,000 290,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 10 botol 29,000 290,000.00 0 botol 29,000.00
09 September 2021 BLUD sapu lantai 3 pcs 33,000 99,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 3 pcs 33,000 99,000.00 0 pcs 33,000.00
09 September 2021 BLUD keset besar 7 buah 142,800 999,600.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 2 buah 142,800 285,600.00 5 buah 142,800.00
09 September 2021 BLUD tisu kotak 50 pcs 18,000 900,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 50 pcs 18,000 900,000.00 0 pcs 18,000.00
09 September 2021 BLUD tisu toilet 80 pack 46,200 3,696,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 50 pack 46,200 2,310,000.00 30 pack 46,200.00
09 September 2021 BLUD pembasmi nyamuk 40 buah 49,000 1,960,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 31 buah 49,000 1,519,000.00 9 buah 49,000.00
09 September 2021 BLUD kanebo 30 buah 48,500 1,455,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 9 buah 48,500 436,500.00 21 buah 48,500.00
09 September 2021 BLUD plastik sampah warna 200 pack 41,500 8,300,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 0 pack 41,500 - 200 pack 41,500.00
09 September 2021 BLUD sikat lantai kamar mandi 3 buah 32,000 96,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 2 buah 32,000 64,000.00 1 buah 32,000.00
09 September 2021 BLUD sikat toilet 3 buah 50,000 150,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 1 buah 50,000 50,000.00 2 buah 50,000.00
09 September 2021 BLUD sikat cuci 3 buah 30,000 90,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 1 buah 30,000 30,000.00 2 buah 30,000.00
09 September 2021 BLUD sapu lidi 3 buah 30,000 90,000.00 709/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 001/PW/VIII/2021 28/08/2021 Operasional 3 buah 30,000 90,000.00 0 buah 30,000.00
JUMLAH BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-PERABOT KANTOR (5.1.02.01.01.0030) (5.1.02.01.01.028) 24,101,600.00 12,050,100.00 -
BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-ALAT LISTRIK (5.1.02.01.01.0031) (5.1.02.01.01.029) - -
05 Mei 2021 BLUD Baterai A3 25 set 32,500 812,500.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 01/BW/2021 29/04/2021 Operasional 25 set 32,500.00 812,500.00 0 set 32,500.00
05 Mei 2021 BLUD Baterai A2 24 set 32,500 780,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 01/BW/2021 29/04/2021 Operasional 24 set 32,500.00 780,000.00 0 set 32,500.00
05 Mei 2021 BLUD Baterai Tipe LR44 5 set 10,000 50,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 01/BW/2021 29/04/2021 Operasional 5 set 10,000.00 50,000.00 0 set 10,000.00
05 Mei 2021 BLUD Lampu Sorot 5 set 145,000 725,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 01/BW/2021 29/04/2021 Operasional 0 set 145,000.00 - 5 set 145,000.00
05 Mei 2021 BLUD Lampu Bohlam 20 buah 41,500 830,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 01/BW/2021 29/04/2021 Operasional 20 buah 41,500.00 830,000.00 0 buah 41,500.00
05 Mei 2021 BLUD Stop kontak 4 buah 28,500 114,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 01/BW/2021 29/04/2021 Operasional 0 buah 28,500.00 - 4 buah 28,500.00
05 Mei 2021 BLUD Kabel Roll 3 buah 99,500 298,500.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 01/BW/2021 29/04/2021 Operasional 3 buah 99,500.00 298,500.00 0 buah 99,500.00
05 Mei 2021 BLUD Neon panjang dan Starter 20 buah 52,000 1,040,000.00 263/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 01/BW/2021 29/04/2021 Operasional 20 buah 52,000.00 1,040,000.00 0 buah 52,000.00
22 Oktober 2021 BLUD Baterai A2 60 pak 39,000 2,340,000.00 996/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 044/KW.PMJ/X/2021 12/10/2021 Operasional 24 pak 39,000 936,000.00 36 pak 39,000
22 Oktober 2021 BLUD Baterai A3 60 pak 39,000 2,340,000.00 996/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 044/KW.PMJ/X/2021 12/10/2021 Operasional 17 pak 39,000 663,000.00 43 pak 39,000
22 Oktober 2021 BLUD Lampu LED Philips 30 pcs 70,000 2,100,000.00 996/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 044/KW.PMJ/X/2021 12/10/2021 Operasional 30 pcs 70,000 2,100,000.00 - pcs 70,000
22 Oktober 2021 BLUD Lampu Philips TL 18 W 30 pcs 38,000 1,140,000.00 996/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 044/KW.PMJ/X/2021 12/10/2021 Operasional 12 pcs 38,000 456,000.00 18 pcs 38,000
22 Oktober 2021 BLUD Starter Lampu 20 pcs 15,000 300,000.00 996/PKM PONDOK RANJI/X/2021 22 Oktober 2021 01 Jan-30 Nov 044/KW.PMJ/X/2021 12/10/2021 Operasional 20 pcs 15,000 300,000.00 - pcs 15,000
JUMLAH BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-ALAT LISTRIK (5.1.02.01.01.0031) (5.1.02.01.01.028) 12,870,000.00 5,793,500.00
BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-ALAT/BAHAN UNTUK KEGIATAN LAINNYA

- -
(5.1.02.01.01.0036) (5.1.02.01.01.034)
Belanja Cetak
04 Oktober 2021 BLUD Form Screening awal kewaspadaan covid 19 2 rim 120,000 240,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 2 rim 120,000 240,000.00 - rim 120,000
04 Oktober 2021 BLUD Surat keterangan berobat 1 rim 120,000 120,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 1 rim 120,000 120,000.00 - rim 120,000
04 Oktober 2021 BLUD Form Resep 5 rim 120,000 600,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 5 rim 120,000 600,000.00 - rim 120,000
04 Oktober 2021 BLUD Surat keterangan dokter 2 rim 120,000 240,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 2 rim 120,000 240,000.00 - rim 120,000
04 Oktober 2021 BLUD Screening vaksin covid 19 11 rim 110,000 1,210,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 11 rim 110,000 1,210,000.00 - rim 110,000
04 Oktober 2021 BLUD surat rujukan 5 rim 110,000 550,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 5 rim 110,000 550,000.00 - rim 110,000
04 Oktober 2021 BLUD Database pasien 4 rim 110,000 440,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 4 rim 110,000 440,000.00 - rim 110,000
04 Oktober 2021 BLUD Form medis 10 rim 110,000 1,100,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 10 rim 110,000 1,100,000.00 - rim 110,000
04 Oktober 2021 BLUD Resume/ringkasan keluar 2 rim 110,000 220,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 2 rim 110,000 220,000.00 - rim 110,000
04 Oktober 2021 BLUD Kartu vaksin 8,000 lembar 700 5,600,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 8000 lembar 700 5,600,000.00 - lembar 700
04 Oktober 2021 BLUD Form Pemantauan 5 rim 110,000 550,000.00 874/PKM PONDOK RANJI/X/2021 04 Oktober 2021 01 Jan-30 Nov 030/KW/KABAWA/IX/2021 28/09/2021 Operasional 5 rim 110,000 550,000.00 - rim 110,000
Penggandaan/Fotocpy 1 Paket 10,547,600 10,547,600.00 0 Paket 10,547,600 - 1 Paket 10,547,600
JUMLAH BELANJA ALAT/BAHAN UNTUK KEGIATAN KANTOR-ALAT/BAHAN UNTUK KEGIATAN LAINNYA (5.1.02.01.01.0036) (5.1.02.01.01.034) 21,417,600.00 10,870,000.00
BELANJA ISI ULANG AIR MINUM GALON (5.1.02.01.01.0043) (5.1.02.01.01.041)
Page 268 of 288

17/02/2021 BLUD Aqua Galon 17 tabung Rp 22,000 374,000.00 021/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 02/BLUD/PKMPDR/2021 8/2/2021 Operasional 17 tabung 22,000.00 374,000.00 0 tabung 22,000.00
04 Maret 2021 BLUD Aqua Galon 23 tabung Rp 22,000 506,000.00 067/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 05/BLUD/PKMPDR/2021 25/02/2021 Operasional 23 tabung 22,000.00 506,000.00 0 tabung 22,000.00
08 April 2021 BLUD Aqua Galon 45 tabung Rp 22,000 990,000.00 161/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 15/BLUD/PKMPDR/2021 30/03/2021 Operasional 45 tabung 22,000.00 990,000.00 0 tabung 22,000.00
05 Mei 2021 BLUD Aqua Galon 28 tabung Rp 22,000 616,000.00 264/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 23/BLUD/PKMPDR/2021 28/04/2021 Operasional 28 tabung 22,000.00 616,000.00 0 tabung 22,000.00
03 Juni 2021 BLUD Aqua Galon 32 tabung 22,000 704,000.00 341/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 30/BLUD/PKMPDR/2021 28/05/2021 Operasional 32 tabung 22,000.00 704,000.00 0 tabung 22,000.00
06 Juli 2021 BLUD Aqua Galon 40 tabung 22,000 880,000.00 451/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 36/BLUD/PKMPDR/2021 30/06/2021 Operasional 40 tabung 22,000.00 880,000.00 0 tabung 22,000.00
10 Agustus 2021 BLUD Aqua Galon 24 tabung 22,000 528,000.00 566/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 47/BLUD/PKMPDR/2021 30/07/2021 Operasional 24 tabung 22,000.00 528,000.00 0 tabung 22,000.00
09 September 2021 BLUD Aqua Galon 40 tabung 22,000 880,000.00 708/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 55/BLUD/PKMPDR/2021 26/08/2021 Operasional 40 tabung 22,000.00 880,000.00 0 tabung 22,000.00
11 Oktober 2021 BLUD Aqua Galon 61 tabung 22,000 1,342,000.00 909/PKM PONDOK RANJI/IX/2021 11 Oktober 2021 01 Jan-30 Nov 60/BLUD/PKMPDR/2021 30/09/2021 Operasional 61 tabung 22,000.00 1,342,000.00 0 tabung 22,000.00
11 November 2021 BLUD Aqua Galon 68 tabung 22,000 1,496,000.00 1152/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 66/BLUD/PKMPDR/2021 30/10/2021 Operasional 68 tabung 22,000.00 1,496,000.00 0 tabung 22,000.00
JUMLAH BELANJA ISI ULANG AIR MINUM GALON (5.1.02.01.01.0043) (5.1.02.01.01.041) 8,316,000.00 6,820,000.00 -
BELANJA SUKU CADANG ALAT LABORATORIUM (5.1.02.01.01.0049) (5.1.02.01.01.015)
17/02/2021 BLUD Oksigen Besar 30 Tabung Rp 120,000 3,600,000.00 022/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 03/BLUD/PKMPDR/2021 30/01/2021 Operasional 30 Tabung Rp 120,000 3,600,000.00 0 Tabung Rp 120,000
17/02/2021 BLUD Oksigen Kecil 8 Tabung Rp 50,000 400,000.00 022/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 03/BLUD/PKMPDR/2021 30/01/2021 Operasional 8 Tabung Rp 50,000 400,000.00 0 Tabung Rp 50,000
05 Mei 2021 BLUD Oksigen Kecil 3 Tabung Rp 50,000 150,000.00 265/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 26/BLUD/PKMPDR/2021 12/4/2021 Operasional 3 Tabung Rp 50,000 150,000.00 0 Tabung Rp 50,000
17/06/2021 BLUD Oksigen Besar 3 Tabung Rp 120,000 360,000.00 416/PKM PONDOK RANJI/VI/2021 17/06/2021 01 Jan-30 Nov 33/BLUD/PKMPDR/2021 6/6/2021 Operasional 3 Tabung Rp 120,000 360,000.00 0 Tabung Rp 120,000
17/06/2021 BLUD Oksigen Kecil 2 Tabung Rp 50,000 100,000.00 416/PKM PONDOK RANJI/VI/2021 17/06/2021 01 Jan-30 Nov 33/BLUD/PKMPDR/2021 6/6/2021 Operasional 2 Tabung Rp 50,000 100,000.00 0 Tabung Rp 50,000
28/06/2021 BLUD Oksigen Besar 20 Tabung Rp 120,000 2,400,000.00 438/PKM PONDOK RANJI/VI/2021 28/06/2021 01 Jan-30 Nov 35/BLUD/PKMPDR/2021 28/06/2021 Operasional 20 Tabung Rp 120,000 2,400,000.00 0 Tabung Rp 120,000
28/06/2021 BLUD Oksigen Kecil 3 Tabung Rp 50,000 150,000.00 438/PKM PONDOK RANJI/VI/2021 28/06/2021 01 Jan-30 Nov 35/BLUD/PKMPDR/2021 28/06/2021 Operasional 3 Tabung Rp 50,000 150,000.00 0 Tabung Rp 50,000
06 Juli 2021 BLUD Oksigen Besar 23 Tabung Rp 120,000 2,760,000.00 450/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 40/BLUD/PKMPDR/2021 7/3/2021 Operasional 23 Tabung Rp 120,000 2,760,000.00 0 Tabung Rp 120,000
06 Juli 2021 BLUD Oksigen Kecil 18 Tabung Rp 50,000 900,000.00 450/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 40/BLUD/PKMPDR/2021 7/3/2021 Operasional 18 Tabung Rp 50,000 900,000.00 0 Tabung Rp 50,000
13/07/2021 BLUD Oksigen Besar 7 Tabung Rp 120,000 840,000.00 483/PKM PONDOK RANJI/VII/2021 13/07/2021 01 Jan-30 Nov 42/BLUD/PKMPDR/2021 10/7/2021 Operasional 7 Tabung 120,000.00 840,000.00 0 Tabung 120,000.00
13/07/2021 BLUD Oksigen Kecil 3 Tabung Rp 50,000 150,000.00 483/PKM PONDOK RANJI/VII/2021 13/07/2021 01 Jan-30 Nov 42/BLUD/PKMPDR/2021 10/7/2021 Operasional 3 Tabung 50,000.00 150,000.00 0 Tabung 50,000.00
27/07/2021 BLUD Oksigen Besar 6 Tabung Rp 150,000 900,000.00 522/PKM PONDOK RANJI/VII/2021 27/07/2021 01 Jan-30 Nov 45/BLUD/PKMPDR/2021 26/07/2021 Operasional 6 Tabung 150,000.00 900,000.00 0 Tabung 150,000.00
27/07/2021 BLUD Oksigen Kecil 11 Tabung Rp 50,000 550,000.00 522/PKM PONDOK RANJI/VII/2021 27/07/2021 01 Jan-30 Nov 45/BLUD/PKMPDR/2021 26/07/2021 Operasional 11 Tabung 50,000.00 550,000.00 0 Tabung 50,000.00
24/08/2021 BLUD Oksigen Besar 2 Tabung Rp 150,000 300,000.00 642/PKM PONDOK RANJI/VIII/2021 24/08/2021 01 Jan-30 Nov 50/BLUD/PKMPDR/2021 23/08/2021 Operasional 2 Tabung 150,000.00 300,000.00 0 Tabung 150,000.00
24/08/2021 BLUD Oksigen Kecil 5 Tabung Rp 50,000 250,000.00 642/PKM PONDOK RANJI/VIII/2021 24/08/2021 01 Jan-30 Nov 50/BLUD/PKMPDR/2021 23/08/2021 Operasional 5 Tabung 50,000.00 250,000.00 0 Tabung 50,000.00
23/11/2021 BLUD Oksigen Besar 3 Tabung Rp 150,000 450,000.00 1207/PKM PONDOK RANJI/XI/2021 23/11/2021 01 Jan-30 Nov 76/BLUD/PKMPDR/2021 17/11/2021 Operasional 3 Tabung Rp 150,000 450,000.00 0 Tabung 150,000.00
23/11/2021 BLUD Oksigen Kecil 2 Tabung Rp 50,000 100,000.00 1207/PKM PONDOK RANJI/XI/2021 23/11/2021 01 Jan-30 Nov 76/BLUD/PKMPDR/2021 17/11/2021 Operasional 2 Tabung Rp 50,000 100,000.00 0 Tabung 50,000.00
JUMLAH BELANJA SUKU CADANG ALAT LABORATORIUM (5.1.02.01.01.0049) (5.1.02.01.01.015) 14,360,000.00 2,990,000.00
BELANJA MAKANAN DAN MINUMAN PADA FASILITAS PELAYANAN URUSAN KESEHATAN

(5.1.02.01.01.0056) (5.1.02.01.01.054)
17/02/2021 BLUD beras 16 Kg Rp 12,000 192,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 16 Kg Rp 12,000 192,000.00 0 Kg 12,000.00
17/02/2021 BLUD Gula Merah 2 Kg Rp 10,000 20,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 2 Kg Rp 10,000 20,000.00 0 Kg 10,000.00
17/02/2021 BLUD Kemiri 0.25 kg Rp 60,000 15,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0.25 kg Rp 60,000 15,000.00 0 kg 60,000.00
17/02/2021 BLUD Tepung Terigu 1 bks Rp 15,000 15,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 1 bks Rp 15,000 15,000.00 0 bks 15,000.00
17/02/2021 BLUD Merica 0.25 kg Rp 100,000 25,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0.25 kg Rp 100,000 25,000.00 0 kg 100,000.00
17/02/2021 BLUD Garam 10 bks Rp 5,000 50,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 10 bks Rp 5,000 50,000.00 0 bks 5,000.00
17/02/2021 BLUD Royco 1 ls Rp 10,000 10,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 1 ls Rp 10,000 10,000.00 0 ls 10,000.00
17/02/2021 BLUD pisang 6 sisir Rp 20,000 120,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 6 sisir Rp 20,000 120,000.00 0 sisir 20,000.00
17/02/2021 BLUD Buncis 11 ikat Rp 4,000 44,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 11 ikat Rp 4,000 44,000.00 0 ikat 4,000.00
17/02/2021 BLUD Labu Siam 6 buah Rp 2,000 12,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 6 buah Rp 2,000 12,000.00 0 buah 2,000.00
17/02/2021 BLUD Kacang Panjang 11 ikat Rp 5,000 55,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 11 ikat Rp 5,000 55,000.00 0 ikat 5,000.00
17/02/2021 BLUD Wortel 5 kg Rp 7,000 35,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 5 kg Rp 7,000 35,000.00 0 kg 7,000.00
17/02/2021 BLUD Pepaya 7 kg Rp 10,000 70,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 kg Rp 10,000 70,000.00 0 kg 10,000.00
17/02/2021 BLUD Oyong 7 bks Rp 6,000 42,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 bks Rp 6,000 42,000.00 0 bks 6,000.00
17/02/2021 BLUD Melon 13 kg Rp 9,000 117,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 13 kg Rp 9,000 117,000.00 0 kg 9,000.00
17/02/2021 BLUD Tomat 0.5 kg Rp 14,000 7,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0.5 kg Rp 14,000 7,000.00 0 kg 14,000.00
17/02/2021 BLUD Jagung Manis 11 buah Rp 2,000 22,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 11 buah Rp 2,000 22,000.00 0 buah 2,000.00
17/02/2021 BLUD Jeruk Nipis 0.25 kg Rp 40,000 10,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0.25 kg Rp 40,000 10,000.00 0 kg 40,000.00
17/02/2021 BLUD Bumbu Dapur 5 kg Rp 4,000 20,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 5 kg Rp 4,000 20,000.00 0 kg 4,000.00
17/02/2021 BLUD Bawang Merah 0.5 kg Rp 100,000 50,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0.5 kg Rp 100,000 50,000.00 0 kg 100,000.00
17/02/2021 BLUD Bawang Putih 0.5 kg Rp 100,000 50,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0.5 kg Rp 100,000 50,000.00 0 kg 100,000.00
17/02/2021 BLUD Cabe Rawit 0.5 kg Rp 100,000 50,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0.5 kg Rp 100,000 50,000.00 0 kg 100,000.00
17/02/2021 BLUD Kentang 4 kg Rp 11,000 44,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 4 kg Rp 11,000 44,000.00 0 kg 11,000.00
17/02/2021 BLUD Jamur 3 kg Rp 5,000 15,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 3 kg Rp 5,000 15,000.00 0 kg 5,000.00
17/02/2021 BLUD Daun Bawang 0.25 kg Rp 60,000 15,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 0.25 kg Rp 60,000 15,000.00 0 kg 60,000.00
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17/02/2021 BLUD Tempe 9 ptng Rp 5,000 45,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 9 ptng Rp 5,000 45,000.00 0 ptng 5,000.00
17/02/2021 BLUD Tahu 11 ptng Rp 4,000 44,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 11 ptng Rp 4,000 44,000.00 0 ptng 4,000.00
17/02/2021 BLUD Minyak Goreng 8 liter Rp 15,000 120,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2022 30/01/2022 Operasional 8 liter Rp 15,000 120,000.00 liter 15,000.00
17/02/2021 BLUD Bakso 1 bungkus Rp 34,000 34,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2023 30/01/2023 Operasional 1 bungkus Rp 34,000 34,000.00 0 bungkus 34,000.00
17/02/2021 BLUD Kara 4 bungkus Rp 4,000 16,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2024 30/01/2024 Operasional 4 bungkus Rp 4,000 16,000.00 0 bungkus 4,000.00
17/02/2021 BLUD Bubur Kacang Hijau 20 bungkus Rp 2,000 40,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2025 30/01/2025 Operasional 20 bungkus Rp 2,000 40,000.00 0 bungkus 2,000.00
17/02/2021 BLUD Bubur Sumsum 20 bungkus Rp 2,000 40,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2026 30/01/2026 Operasional 20 bungkus Rp 2,000 40,000.00 bungkus 2,000.00
17/02/2021 BLUD Puding 20 bungkus Rp 2,000 40,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2027 30/01/2027 Operasional 20 bungkus Rp 2,000 40,000.00 0 bungkus 2,000.00
17/02/2021 BLUD Kecap Manis 4 bungkus Rp 12,000 48,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2028 30/01/2028 Operasional 4 bungkus Rp 12,000 48,000.00 bungkus 12,000.00
17/02/2021 BLUD Ayam 7 kg Rp 35,000 245,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 kg Rp 35,000 245,000.00 0 kg 35,000.00
17/02/2021 BLUD Telur ayam 7 Kg Rp 24,000 168,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 7 Kg Rp 24,000 168,000.00 0 Kg 24,000.00
17/02/2021 BLUD Telur Puyuh 3 Kg Rp 20,000 60,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 3 Kg Rp 20,000 60,000.00 0 Kg 20,000.00
17/02/2022 BLUD Ikan Kembung 3 Kg Rp 25,000 75,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 3 Kg Rp 25,000 75,000.00 0 Kg 25,000.00
17/02/2023 BLUD Ikan Nila 4 Kg Rp 25,000 100,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 4 Kg Rp 25,000 100,000.00 0 Kg 25,000.00
17/02/2024 BLUD Daging Sapi 4 kg Rp 80,000 320,000.00 023/PKM PONDOK RANJI/II/2021 17/02/2021 01 Jan-30 Nov 01/BLUD/PKMPDR/2021 30/01/2021 Operasional 4 kg Rp 80,000 320,000.00 0 kg 80,000.00
2.500.000
04 Maret 2021 BLUD beras 31 Kg Rp 12,000 372,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 31 Kg Rp 12,000 372,000.00 0 kg 12,000.00
04 Maret 2021 BLUD Gula Merah 5 Kg Rp 20,000 100,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 Kg Rp 20,000 100,000.00 0 kg 20,000.00
04 Maret 2021 BLUD Kemiri 10 bks Rp 2,000 20,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 10 bks Rp 2,000 20,000.00 0 bungkus 2,000.00
04 Maret 2021 BLUD Merica 0.25 kg Rp 100,000 25,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 0.25 kg Rp 100,000 25,000.00 0 kg 100,000.00
04 Maret 2021 BLUD Tepung Terigu 3 bks Rp 15,000 45,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 3 bks Rp 15,000 45,000.00 0 bungkus 15,000.00
04 Maret 2021 BLUD Garam 5 bks Rp 6,000 30,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 bks Rp 6,000 30,000.00 0 kg 6,000.00
04 Maret 2021 BLUD Merica 10 bks Rp 2,000 20,000.00 066/PKM PONDOK RANJI/III/2022 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2022 22/02/2021 Operasional 10 bks Rp 2,000 20,000.00 0 bks 2,000.00
04 Maret 2021 BLUD Kacang Hijau 1 kg Rp 20,000 20,000.00 066/PKM PONDOK RANJI/III/2023 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2023 22/02/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg 20,000.00
04 Maret 2021 BLUD Royco 1 ls Rp 12,000 12,000.00 066/PKM PONDOK RANJI/III/2024 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2024 22/02/2021 Operasional 1 ls Rp 12,000 12,000.00 0 ls 12,000.00
04 Maret 2021 BLUD pisang 8 sisir Rp 20,000 160,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 8 sisir Rp 20,000 160,000.00 0 sisir 20,000.00
04 Maret 2021 BLUD Buncis 23 ikat Rp 4,000 92,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 23 ikat Rp 4,000 92,000.00 0 ikat 4,000.00
04 Maret 2021 BLUD Labu Siam 15 buah Rp 2,000 30,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 15 buah Rp 2,000 30,000.00 0 buah 2,000.00
04 Maret 2021 BLUD Kacang Panjang 12 ikat Rp 5,000 60,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 12 ikat Rp 5,000 60,000.00 0 ikat 5,000.00
04 Maret 2021 BLUD Wortel 13 kg Rp 7,000 91,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 13 kg Rp 7,000 91,000.00 0 kg 7,000.00
04 Maret 2021 BLUD Pepaya 5 buah Rp 10,000 50,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 buah Rp 10,000 50,000.00 0 buah 10,000.00
04 Maret 2021 BLUD Jamur 5 bks Rp 5,000 25,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 bks Rp 5,000 25,000.00 0 bks 5,000.00
04 Maret 2021 BLUD Toge 0.5 Kg Rp 10,000 5,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 0.5 Kg Rp 10,000 5,000.00 0 Kg 10,000.00
04 Maret 2021 BLUD Melon 6 kg Rp 9,000 54,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 6 kg Rp 9,000 54,000.00 0 kg 9,000.00
04 Maret 2021 BLUD Oyong 7 bks Rp 6,000 42,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 7 bks Rp 6,000 42,000.00 0 bks 6,000.00
04 Maret 2021 BLUD Jeruk 1 kg Rp 25,000 25,000.00 066/PKM PONDOK RANJI/III/2022 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2022 22/02/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg 25,000.00
04 Maret 2021 BLUD Jagung Manis 11 buah Rp 2,000 22,000.00 066/PKM PONDOK RANJI/III/2023 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2023 22/02/2021 Operasional 11 buah Rp 2,000 22,000.00 0 buah 2,000.00
04 Maret 2021 BLUD Sayur Asem 4 bungkus Rp 6,000 24,000.00 066/PKM PONDOK RANJI/III/2024 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2024 22/02/2021 Operasional 4 bungkus Rp 6,000 24,000.00 0 bungkus 6,000.00
04 Maret 2021 BLUD Brokoli 1 buah Rp 45,000 45,000.00 066/PKM PONDOK RANJI/III/2025 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2025 22/02/2021 Operasional 1 buah Rp 45,000 45,000.00 0 buah 45,000.00
04 Maret 2021 BLUD Bumbu Dapur 9 kg Rp 4,000 36,000.00 066/PKM PONDOK RANJI/III/2026 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2026 22/02/2021 Operasional 9 kg Rp 4,000 36,000.00 0 kg 4,000.00
04 Maret 2021 BLUD Kembang Kol 2 buah Rp 25,000 50,000.00 066/PKM PONDOK RANJI/III/2027 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2027 22/02/2021 Operasional 2 buah Rp 25,000 50,000.00 0 buah 25,000.00
04 Maret 2021 BLUD Kentang 8 kg Rp 11,000 88,000.00 066/PKM PONDOK RANJI/III/2028 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2028 22/02/2021 Operasional 8 kg Rp 11,000 88,000.00 0 kg 11,000.00
04 Maret 2021 BLUD Daun Bawang 0.25 kg Rp 20,000 5,000.00 066/PKM PONDOK RANJI/III/2029 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2029 22/02/2021 Operasional 0.25 kg Rp 20,000 5,000.00 0 kg 20,000.00

04 Maret 2021 BLUD Tempe 16 ptng Rp 5,000 80,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 16 ptng Rp 5,000 80,000.00 0 ptng 5,000.00
04 Maret 2021 BLUD Tahu 12 ptng Rp 4,000 48,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 12 ptng Rp 4,000 48,000.00 0 ptng 4,000.00
04 Maret 2021 BLUD Tahu 4 ptng Rp 5,000 20,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 4 ptng Rp 5,000 20,000.00 0 ptng 5,000.00
04 Maret 2021 BLUD Bubur Sumsum 4 pcs Rp 2,000 8,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 4 pcs Rp 2,000 8,000.00 0 pcs 2,000.00
04 Maret 2021 BLUD Bubur Kacang Hjau 19 pcs Rp 2,000 38,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 19 pcs Rp 2,000 38,000.00 0 pcs 2,000.00
04 Maret 2021 BLUD kara 5 pcs Rp 4,000 20,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 pcs Rp 4,000 20,000.00 0 pcs 4,000.00
04 Maret 2021 BLUD Minyak Goreng 15 liter Rp 15,000 225,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 15 liter Rp 15,000 225,000.00 0 liter 15,000.00
04 Maret 2021 BLUD Kecap Manis 15 bungkus Rp 12,000 180,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 15 bungkus Rp 12,000 180,000.00 0 bungkus 12,000.00
04 Maret 2021 BLUD Ayam 11 kg Rp 35,000 385,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 11 kg Rp 35,000 385,000.00 0 kg 35,000.00
04 Maret 2021 BLUD Telur ayam 12 Kg Rp 24,000 288,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 12 Kg Rp 24,000 288,000.00 0 Kg 24,000.00
04 Maret 2021 BLUD Telur Puyuh 5 Kg Rp 20,000 100,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 5 Kg Rp 20,000 100,000.00 0 Kg 20,000.00
04 Maret 2021 BLUD Daging Sapi 4 Kg Rp 80,000 320,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 4 Kg Rp 80,000 320,000.00 0 Kg 80,000.00
04 Maret 2021 BLUD Ikan Kembung 6 Kg Rp 25,000 150,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 6 Kg Rp 25,000 150,000.00 0 Kg 25,000.00
04 Maret 2021 BLUD Ikan Mujaer 3 kg Rp 30,000 90,000.00 066/PKM PONDOK RANJI/III/2021 04 Maret 2021 01 Jan-30 Nov 06/BLUD/PKMPDR/2021 22/02/2021 Operasional 3 kg Rp 30,000 90,000.00 0 kg 30,000.00
3.500.00
Page 270 of 288
08 April 2021 BLUD beras 36 Kg Rp 12,000 432,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 36 Kg Rp 12,000 432,000.00 0 Kg 12,000.00
08 April 2021 BLUD Gula Merah 4 Kg Rp 10,000 40,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 4 Kg Rp 10,000 40,000.00 0 Kg 10,000.00
08 April 2021 BLUD Kemiri 0.1 kg Rp 100,000 10,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 0.1 kg Rp 100,000 10,000.00 0 kg 100,000.00
08 April 2021 BLUD Bawang Goreng 2 bks Rp 2,000 4,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 bks Rp 2,000 4,000.00 0 bks 2,000.00
08 April 2021 BLUD Merica 10 bks Rp 2,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 10 bks Rp 2,000 20,000.00 0 bks 2,000.00
08 April 2021 BLUD Sasa 1 bks Rp 750 750.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 bks Rp 750 750.00 0 bks 750.00
08 April 2021 BLUD Tepung Terigu 3 bks Rp 10,000 30,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 bks Rp 10,000 30,000.00 0 bks 10,000.00
08 April 2021 BLUD Garam 8 bks Rp 5,000 40,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 8 bks Rp 5,000 40,000.00 0 bks 5,000.00
08 April 2021 BLUD Kerupuk Gendar 1 kg Rp 20,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg 20,000.00
08 April 2021 BLUD Kerupuk Warna 1 kg Rp 20,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg 20,000.00
08 April 2021 BLUD Kerupuk 2 kg Rp 15,000 30,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 15,000 30,000.00 0 kg 15,000.00
08 April 2021 BLUD Royco 2 ls Rp 12,000 24,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 ls Rp 12,000 24,000.00 0 ls 12,000.00
Belanja Makan Kering non Produksi
08 April 2021 BLUD pisang 6 sisir Rp 20,000 120,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 6 sisir Rp 20,000 120,000.00 0 sisir 20,000.00
08 April 2021 BLUD Buncis 27 ikat Rp 4,000 108,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 27 ikat Rp 4,000 108,000.00 0 ikat 4,000.00
08 April 2021 BLUD Labu Siam 10 buah Rp 2,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 10 buah Rp 2,000 20,000.00 0 buah 2,000.00
08 April 2021 BLUD Kacang Panjang 13 ikat Rp 5,000 65,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 13 ikat Rp 5,000 65,000.00 0 ikat 5,000.00
08 April 2021 BLUD Wortel 8 kg Rp 7,000 56,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 8 kg Rp 7,000 56,000.00 0 kg 7,000.00
08 April 2021 BLUD Pepaya 5 buah Rp 10,000 50,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 5 buah Rp 10,000 50,000.00 0 buah 10,000.00
08 April 2021 BLUD Toge 0.5 Kg Rp 15,000 7,500.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 0.5 Kg Rp 15,000 7,500.00 0 Kg 15,000.00
08 April 2021 BLUD Kangkung 9 ikat Rp 7,000 63,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 9 ikat Rp 7,000 63,000.00 0 ikat 7,000.00
08 April 2021 BLUD Oyong 2 bks Rp 6,000 12,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 bks Rp 6,000 12,000.00 0 bks 6,000.00
08 April 2021 BLUD Melon 13 kg Rp 9,000 117,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 13 kg Rp 9,000 117,000.00 0 kg 9,000.00
08 April 2021 BLUD Tomat 2 kg Rp 15,000 30,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 15,000 30,000.00 0 kg 15,000.00
08 April 2021 BLUD Jagung Manis 27 buah Rp 2,000 54,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 27 buah Rp 2,000 54,000.00 0 buah 2,000.00
08 April 2021 BLUD Sayur Asem 2 bungkus Rp 10,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus 10,000.00
08 April 2021 BLUD Sayur Sop 3 bungkus Rp 10,000 30,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 bungkus Rp 10,000 30,000.00 0 bungkus 10,000.00
08 April 2021 BLUD Terung Ungu 2 kg Rp 12,000 24,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 12,000 24,000.00 0 kg 12,000.00
08 April 2021 BLUD Sawi Putih 2 buah Rp 10,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 buah Rp 10,000 20,000.00 0 buah 10,000.00
08 April 2021 BLUD Bumbu Dapur 5 kg Rp 4,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 5 kg Rp 4,000 20,000.00 0 kg 4,000.00
08 April 2021 BLUD Bawang Merah 1.5 kg Rp 110,000 165,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 110,000 165,000.00 0 kg 110,000.00
08 April 2021 BLUD Bawang Putih 1.5 kg Rp 80,000 120,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 80,000 120,000.00 0 kg 80,000.00
08 April 2021 BLUD Cabe Rawit 1.5 kg Rp 120,000 180,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 120,000 180,000.00 0 kg 120,000.00
08 April 2021 BLUD Cabe Merah 1.5 kg Rp 120,000 180,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 120,000 180,000.00 0 kg 120,000.00
08 April 2021 BLUD Kemangi 5 ikat Rp 1,000 5,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 5 ikat Rp 1,000 5,000.00 0 ikat 1,000.00
08 April 2021 BLUD Kentang 7 kg Rp 11,000 77,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 7 kg Rp 11,000 77,000.00 0 kg 11,000.00
08 April 2021 BLUD Daun Singkong 4 kg Rp 6,000 24,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 4 kg Rp 6,000 24,000.00 0 kg 6,000.00
08 April 2021 BLUD Jamur 9 kg Rp 5,000 45,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 9 kg Rp 5,000 45,000.00 0 kg 5,000.00
08 April 2021 BLUD Daun Bawang 1.5 kg Rp 15,000 22,500.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1.5 kg Rp 15,000 22,500.00 0 kg 15,000.00
08 April 2021 BLUD Daun Bawang 0.25 kg Rp 25,000 6,250.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 0.25 kg Rp 25,000 6,250.00 0 kg 25,000.00
08 April 2021 BLUD Tempe 26 ptng Rp 5,000 130,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 26 ptng Rp 5,000 130,000.00 0 ptng 5,000.00
08 April 2021 BLUD Tahu 25 ptng Rp 4,000 100,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 25 ptng Rp 4,000 100,000.00 0 ptng 4,000.00
08 April 2021 BLUD Minyak Goreng 18 liter Rp 15,000 270,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 18 liter Rp 15,000 270,000.00 0 liter 15,000.00
08 April 2021 BLUD Bakso 0.75 bungkus Rp 60,000 45,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 0.75 bungkus Rp 60,000 45,000.00 0 bungkus 60,000.00
08 April 2021 BLUD Kara 4 bungkus Rp 5,000 20,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 4 bungkus Rp 5,000 20,000.00 0 bungkus 5,000.00
08 April 2021 BLUD Kecap Manis 17 bungkus Rp 12,000 204,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 17 bungkus Rp 12,000 204,000.00 0 bungkus 12,000.00
08 April 2021 BLUD Ayam 13 kg Rp 35,000 455,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 13 kg Rp 35,000 455,000.00 0 kg 35,000.00
08 April 2021 BLUD Telur ayam 15 Kg Rp 24,000 360,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 15 Kg Rp 24,000 360,000.00 0 kg 24,000.00
08 April 2021 BLUD Ikan Gurame 2 Kg Rp 50,000 100,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 Kg Rp 50,000 100,000.00 0 kg 50,000.00
08 April 2021 BLUD Ikan Kembung 3 Kg Rp 25,000 75,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 Kg Rp 25,000 75,000.00 0 kg 25,000.00
08 April 2021 BLUD Ikan Patin 1 Kg Rp 25,000 25,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 Kg Rp 25,000 25,000.00 0 kg 25,000.00
08 April 2021 BLUD Ikan Lele 3 kg Rp 28,000 84,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 3 kg Rp 28,000 84,000.00 0 kg 28,000.00
08 April 2021 BLUD Udang 2 kg Rp 20,000 40,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg 20,000.00
08 April 2021 BLUD Daging Sapi 1 kg Rp 80,000 80,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 14/BLUD/PKMPDR/2021 31/03/2021 Operasional 1 kg Rp 80,000 80,000.00 0 kg 80,000.00
08 April 2021 BLUD Gula 30 kg Rp 22,500 675,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 30 kg Rp 22,500 675,000.00 0 kg 22,500.00
08 April 2021 BLUD The 30 kotak Rp 6,500 195,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 30 kotak Rp 6,500 195,000.00 0 kotak 6,500.00
08 April 2021 BLUD Kopi 500 sachet Rp 2,000 1,000,000.00 162/PKM PONDOK RANJI/IV/2021 08 April 2021 01 Jan-30 Nov 17/BLUD/PKMPDR/2021 31/03/2021 Operasional 500 sachet Rp 2,000 1,000,000.00 0 sachet 2,000.00
6.170.000 6,170,000.00

Page 271 of 288
05 Mei 2021 BLUD beras 36 Kg Rp 12,000 432,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 36 Kg Rp 12,000 432,000.00 0 Kg 12,000.00
05 Mei 2021 BLUD Gula Merah 4 Kg Rp 15,000 60,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 Kg Rp 15,000 60,000.00 0 Kg 15,000.00
05 Mei 2021 BLUD Kemiri 0.5 kg Rp 80,000 40,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg 80,000.00
05 Mei 2021 BLUD Kacang Hijau 1 kg Rp 20,000 20,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg 20,000.00
05 Mei 2021 BLUD Tepung Terigu 3 bks Rp 15,000 45,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 3 bks Rp 15,000 45,000.00 0 bks 15,000.00
05 Mei 2021 BLUD Garam 4 bks Rp 5,000 20,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 bks Rp 5,000 20,000.00 0 bks 5,000.00
05 Mei 2021 BLUD Royco 2 ls Rp 12,000 24,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 ls Rp 12,000 24,000.00 0 ls 12,000.00
05 Mei 2021 BLUD pisang 9 sisir Rp 20,000 180,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 9 sisir Rp 20,000 180,000.00 0 sisir 20,000.00
05 Mei 2021 BLUD Buncis 17 ikat Rp 4,000 68,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 17 ikat Rp 4,000 68,000.00 0 ikat 4,000.00
05 Mei 2021 BLUD Labu Siam 8 buah Rp 2,000 16,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 8 buah Rp 2,000 16,000.00 0 buah 2,000.00
05 Mei 2021 BLUD Kacang Panjang 16 ikat Rp 5,000 80,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 16 ikat Rp 5,000 80,000.00 0 ikat 5,000.00
05 Mei 2021 BLUD Wortel 12 kg Rp 7,000 84,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 12 kg Rp 7,000 84,000.00 0 kg 7,000.00
05 Mei 2021 BLUD Pepaya 8 buah Rp 10,000 80,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 8 buah Rp 10,000 80,000.00 0 buah 10,000.00
05 Mei 2021 BLUD Kangkung 4 ikat Rp 7,000 28,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 ikat Rp 7,000 28,000.00 0 ikat 7,000.00
05 Mei 2021 BLUD Oyong 13 bks Rp 6,000 78,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 13 bks Rp 6,000 78,000.00 0 bks 6,000.00
05 Mei 2021 BLUD Melon 3 kg Rp 9,000 27,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 3 kg Rp 9,000 27,000.00 0 kg 9,000.00
05 Mei 2021 BLUD Tomat 1 kg Rp 20,000 20,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg 20,000.00
05 Mei 2021 BLUD Jagung Manis 22 buah Rp 2,000 44,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 22 buah Rp 2,000 44,000.00 0 buah 2,000.00
05 Mei 2021 BLUD Sayur Asem 4 bungkus Rp 10,000 40,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 bungkus Rp 10,000 40,000.00 0 bungkus 10,000.00
05 Mei 2021 BLUD Sayur Sop 4 bungkus Rp 6,000 24,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 bungkus Rp 6,000 24,000.00 0 bungkus 6,000.00
05 Mei 2021 BLUD Pokcoy 1 kg Rp 10,000 10,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 1 kg Rp 10,000 10,000.00 0 kg 10,000.00
05 Mei 2021 BLUD Sawi Putih 5 buah Rp 10,000 50,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 5 buah Rp 10,000 50,000.00 0 buah 10,000.00
05 Mei 2021 BLUD Bumbu Dapur 12 bks Rp 4,000 48,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 12 bks Rp 4,000 48,000.00 0 bks 4,000.00
05 Mei 2021 BLUD Bawang Merah 2 kg Rp 50,000 100,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg 50,000.00
05 Mei 2021 BLUD Bawang Putih 2 kg Rp 50,000 100,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg 50,000.00
05 Mei 2021 BLUD Cabe Rawit 0.25 kg Rp 170,000 42,500.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 0.25 kg Rp 170,000 42,500.00 0 kg 170,000.00
05 Mei 2021 BLUD Kentang 6 kg Rp 11,000 66,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 6 kg Rp 11,000 66,000.00 0 kg 11,000.00
05 Mei 2021 BLUD Jamur 2 kg Rp 5,000 10,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 kg Rp 5,000 10,000.00 0 kg 5,000.00
05 Mei 2021 BLUD Bayam 4 kg Rp 7,000 28,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 4 kg Rp 7,000 28,000.00 0 kg 7,000.00
05 Mei 2021 BLUD Daun Bawang 0.5 kg Rp 15,000 7,500.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 0.5 kg Rp 15,000 7,500.00 0 kg 15,000.00
05 Mei 2021 BLUD Tempe 21 ptng Rp 5,000 105,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 21 ptng Rp 5,000 105,000.00 0 ptng 5,000.00
05 Mei 2021 BLUD Tahu 23 ptng Rp 4,000 92,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 23 ptng Rp 4,000 92,000.00 0 ptng 4,000.00
05 Mei 2021 BLUD Minyak Goreng 18 liter Rp 15,000 270,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 18 liter Rp 15,000 270,000.00 0 liter 15,000.00
05 Mei 2021 BLUD Bakso 0.5 bungkus Rp 60,000 30,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 0.5 bungkus Rp 60,000 30,000.00 0 bungkus 60,000.00
05 Mei 2021 BLUD Kecap Manis 16 bungkus Rp 12,000 192,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 16 bungkus Rp 12,000 192,000.00 0 bungkus 12,000.00

05 Mei 2021 BLUD Ayam 12 kg Rp 35,000 420,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 12 kg Rp 35,000 420,000.00 0 kg 35,000.00
05 Mei 2021 BLUD Telur ayam 11 Kg Rp 24,000 264,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 11 Kg Rp 24,000 264,000.00 0 Kg 24,000.00
05 Mei 2021 BLUD Ikan Tongkol 2 Kg Rp 50,000 100,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 Kg Rp 50,000 100,000.00 0 Kg 50,000.00
05 Mei 2021 BLUD Ikan Kembung 3 Kg Rp 25,000 75,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 3 Kg Rp 25,000 75,000.00 0 Kg 25,000.00
05 Mei 2021 BLUD Ikan Bandeng 2 Kg Rp 30,000 60,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 2 Kg Rp 30,000 60,000.00 0 Kg 30,000.00
05 Mei 2021 BLUD Telur Puyuh 1 kg Rp 20,000 20,000.00 261/PKM PONDOK RANJI/V/2021 05 Mei 2021 01 Jan-30 Nov 25/BLUD/PKMPDR/2021 30/04/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg 20,000.00
3.500.000

03 Juni 2021 BLUD beras 27 Kg Rp 12,000 324,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 27 Kg Rp 12,000 324,000.00 0 Kg 12,000.00
03 Juni 2021 BLUD Gula Merah 2 Kg Rp 20,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 2 Kg Rp 20,000 40,000.00 0 Kg 20,000.00
03 Juni 2021 BLUD Kemiri 0.5 kg Rp 80,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg 80,000.00
03 Juni 2021 BLUD Kacang Hijau 1 kg Rp 20,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg 20,000.00
03 Juni 2021 BLUD Tepung Terigu 2 bks Rp 25,000 50,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 2 bks Rp 25,000 50,000.00 0 bks 25,000.00
03 Juni 2021 BLUD Garam 10 bks Rp 5,000 50,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 bks Rp 5,000 50,000.00 0 bks 5,000.00

03 Juni 2021 BLUD pisang 11 sisir Rp 20,000 220,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 11 sisir Rp 20,000 220,000.00 0 sisir 20,000.00
03 Juni 2021 BLUD Buncis 16 ikat Rp 4,000 64,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 16 ikat Rp 4,000 64,000.00 0 ikat 4,000.00
03 Juni 2021 BLUD Labu Siam 17 buah Rp 2,000 34,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 17 buah Rp 2,000 34,000.00 0 buah 2,000.00
03 Juni 2021 BLUD Kacang Panjang 5 ikat Rp 5,000 25,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat 5,000.00
03 Juni 2021 BLUD Wortel 5.5 kg Rp 7,000 38,500.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5.5 kg Rp 7,000 38,500.00 0 kg 7,000.00
03 Juni 2021 BLUD Pepaya 20 buah Rp 10,000 200,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 20 buah Rp 10,000 200,000.00 0 buah 10,000.00
03 Juni 2021 BLUD Toge 1 Kg Rp 8,500 8,500.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 Kg Rp 8,500 8,500.00 0 Kg 8,500.00
03 Juni 2021 BLUD Terong 1 Kg Rp 15,000 15,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 Kg Rp 15,000 15,000.00 0 Kg 15,000.00
03 Juni 2021 BLUD Oyong 1 bks Rp 15,000 15,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 bks Rp 15,000 15,000.00 0 bks 15,000.00
03 Juni 2021 BLUD Melon 16 kg Rp 9,000 144,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 16 kg Rp 9,000 144,000.00 0 kg 9,000.00
03 Juni 2021 BLUD Jagung Manis 22 buah Rp 2,000 44,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 22 buah Rp 2,000 44,000.00 0 buah 2,000.00
Page 272 of 288
03 Juni 2021 BLUD Sayur Asem 7 bungkus Rp 10,000 70,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 7 bungkus Rp 10,000 70,000.00 0 bungkus 10,000.00
03 Juni 2021 BLUD Sayur Sop 7 bungkus Rp 10,000 70,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 7 bungkus Rp 10,000 70,000.00 0 bungkus 10,000.00
03 Juni 2021 BLUD Kangkung 8 ikat Rp 5,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 8 ikat Rp 5,000 40,000.00 0 ikat 5,000.00
03 Juni 2021 BLUD Sawi Putih 4 buah Rp 7,000 28,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 buah Rp 7,000 28,000.00 0 buah 7,000.00
03 Juni 2021 BLUD Bumbu Dapur 18 kg Rp 4,000 72,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 18 kg Rp 4,000 72,000.00 0 kg 4,000.00
03 Juni 2021 BLUD Bawang Merah 0.5 kg Rp 60,000 30,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 0.5 kg Rp 60,000 30,000.00 0 kg 60,000.00
03 Juni 2021 BLUD Bawang Merah 1 kg Rp 80,000 80,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 kg Rp 80,000 80,000.00 0 kg 80,000.00
03 Juni 2021 BLUD Bawang Putih 1.5 kg Rp 60,000 90,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1.5 kg Rp 60,000 90,000.00 0 kg 60,000.00
03 Juni 2021 BLUD Cabe Rawit 1.5 kg Rp 80,000 120,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1.5 kg Rp 80,000 120,000.00 0 kg 80,000.00
03 Juni 2021 BLUD Cabe Merah 1.5 kg Rp 70,000 105,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1.5 kg Rp 70,000 105,000.00 0 kg 70,000.00
03 Juni 2021 BLUD Bawang Bombay 0.5 kg Rp 50,000 25,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 0.5 kg Rp 50,000 25,000.00 0 kg 50,000.00
03 Juni 2021 BLUD Bayam 4 ikat Rp 6,000 24,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 ikat Rp 6,000 24,000.00 0 ikat 6,000.00
03 Juni 2021 BLUD Kentang 3 kg Rp 11,000 33,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 3 kg Rp 11,000 33,000.00 0 kg 11,000.00
03 Juni 2021 BLUD Putren 4 bks Rp 5,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 bks Rp 5,000 20,000.00 0 bks 5,000.00
03 Juni 2021 BLUD Brokoli 1 kg Rp 25,000 25,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg 25,000.00
03 Juni 2021 BLUD Jamur 3 kg Rp 6,000 18,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 3 kg Rp 6,000 18,000.00 0 kg 6,000.00
Daun Bawang 0.5 kg Rp 8,000 4,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 0.5 kg Rp 8,000 4,000.00 kg 8,000.00
03 Juni 2021 BLUD Tempe 22 ptng Rp 5,000 110,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 22 ptng Rp 5,000 110,000.00 0 ptng 5,000.00
03 Juni 2021 BLUD Tahu 24 ptng Rp 4,000 96,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 24 ptng Rp 4,000 96,000.00 0 ptng 4,000.00
03 Juni 2021 BLUD Minyak Goreng 16 liter Rp 15,000 240,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 16 liter Rp 15,000 240,000.00 0 liter 15,000.00
03 Juni 2021 BLUD Bakso 1 bungkus Rp 60,000 60,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 1 bungkus Rp 60,000 60,000.00 0 bungkus 60,000.00
03 Juni 2021 BLUD Pie Buah 10 Pcs Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 Pcs Rp 2,000 20,000.00 0 Pcs 2,000.00
03 Juni 2021 BLUD Bolu Gulung 10 Pcs Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 Pcs Rp 2,000 20,000.00 0 Pcs 2,000.00
03 Juni 2021 BLUD Kroket 10 Pcs Rp 4,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 Pcs Rp 4,000 40,000.00 0 Pcs 4,000.00
03 Juni 2021 BLUD Puding 10 Pcs Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 Pcs Rp 2,000 20,000.00 0 Pcs 2,000.00
03 Juni 2021 BLUD Bubur Sumsum 10 Pcs Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 Pcs Rp 2,000 20,000.00 0 Pcs 2,000.00
03 Juni 2021 BLUD Kara 4 Pcs Rp 4,000 16,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 Pcs Rp 4,000 16,000.00 0 Pcs 4,000.00
03 Juni 2021 BLUD Bubur Kacang Hijau 10 Cup Rp 2,000 20,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 Cup Rp 2,000 20,000.00 0 Cup 2,000.00
03 Juni 2021 BLUD Kecap Manis 11 bungkus Rp 12,000 132,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 11 bungkus Rp 12,000 132,000.00 0 bungkus 12,000.00
03 Juni 2021 BLUD Ayam 10 kg Rp 35,000 350,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 kg Rp 35,000 350,000.00 0 kg 35,000.00
03 Juni 2021 BLUD Telur ayam 10 Kg Rp 24,000 240,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 10 Kg Rp 24,000 240,000.00 0 Kg 24,000.00
03 Juni 2021 BLUD Telur Puyuh 3 Kg Rp 20,000 60,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 3 Kg Rp 20,000 60,000.00 0 Kg 20,000.00
03 Juni 2021 BLUD Ikan Gurame 4 Kg Rp 40,000 160,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 4 Kg Rp 40,000 160,000.00 0 Kg 40,000.00
03 Juni 2021 BLUD Ikan Kembung 5 Kg Rp 30,000 150,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5 Kg Rp 30,000 150,000.00 0 Kg 30,000.00
03 Juni 2021 BLUD Ikan Patin 3 Kg Rp 20,000 60,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 3 Kg Rp 20,000 60,000.00 0 Kg 20,000.00
03 Juni 2021 BLUD Ikan Lele 5 kg Rp 20,000 100,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 5 kg Rp 20,000 100,000.00 0 kg 20,000.00
03 Juni 2021 BLUD Daging Sapi 2 kg Rp 80,000 160,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 2 kg Rp 80,000 160,000.00 0 kg 80,000.00
03 Juni 2021 BLUD Ikan Nila 2 kg Rp 20,000 40,000.00 342/PKM PONDOK RANJI/VI/2021 03 Juni 2021 01 Jan-30 Nov 29/BLUD/PKMPDR/2021 31/05/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg 20,000.00
4.300.000
06 Juli 2021 BLUD beras 26 Kg Rp 12,000 312,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 26 Kg Rp 12,000 312,000.00 0 Kg 12,000.00
06 Juli 2021 BLUD Gula Merah 3 Kg Rp 10,000 30,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 Kg Rp 10,000 30,000.00 0 Kg 10,000.00
06 Juli 2021 BLUD Kacang Hijau 1 kg Rp 15,000 15,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 1 kg Rp 15,000 15,000.00 0 kg 15,000.00
06 Juli 2021 BLUD Tepung Terigu 4 bks Rp 20,000 80,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 4 bks Rp 20,000 80,000.00 0 bks 20,000.00
06 Juli 2021 BLUD Garam 10 bks Rp 6,000 60,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 10 bks Rp 6,000 60,000.00 0 bks 6,000.00
06 Juli 2021 BLUD Sasa 5 bks Rp 5,000 25,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 5 bks Rp 5,000 25,000.00 0 bks 5,000.00
06 Juli 2021 BLUD pisang 14 sisir Rp 20,000 280,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 14 sisir Rp 20,000 280,000.00 0 sisir 20,000.00
06 Juli 2021 BLUD Buncis 15 ikat Rp 4,000 60,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 15 ikat Rp 4,000 60,000.00 0 ikat 4,000.00
06 Juli 2021 BLUD Labu Siam 14 buah Rp 6,000 84,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 14 buah Rp 6,000 84,000.00 0 buah 6,000.00
06 Juli 2021 BLUD Labu Siam 5 buah Rp 2,000 10,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 5 buah Rp 2,000 10,000.00 0 buah 2,000.00
06 Juli 2021 BLUD Kacang Panjang 22 ikat Rp 5,000 110,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 22 ikat Rp 5,000 110,000.00 0 ikat 5,000.00
06 Juli 2021 BLUD Wortel 13 kg Rp 7,000 91,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 13 kg Rp 7,000 91,000.00 0 kg 7,000.00
06 Juli 2021 BLUD Pepaya 9 buah Rp 10,000 90,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 9 buah Rp 10,000 90,000.00 0 buah 10,000.00
06 Juli 2021 BLUD Jeruk 3 Kg Rp 20,000 60,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 Kg Rp 20,000 60,000.00 0 Kg 20,000.00
06 Juli 2021 BLUD Oyong 2 bks Rp 6,000 12,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 bks Rp 6,000 12,000.00 0 bks 6,000.00
06 Juli 2021 BLUD Melon 17 kg Rp 9,000 153,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 17 kg Rp 9,000 153,000.00 0 kg 9,000.00
06 Juli 2021 BLUD Tomat 1 kg Rp 10,000 10,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 1 kg Rp 10,000 10,000.00 0 kg 10,000.00
06 Juli 2021 BLUD Terong 3 kg Rp 10,000 30,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 10,000 30,000.00 0 kg 10,000.00
06 Juli 2021 BLUD Jagung Manis 20 buah Rp 2,000 40,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah 2,000.00
06 Juli 2021 BLUD Sayur Asem 8 bungkus Rp 10,000 80,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 8 bungkus Rp 10,000 80,000.00 0 bungkus 10,000.00
06 Juli 2021 BLUD Sayur Sop 10 bungkus Rp 10,000 100,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 10 bungkus Rp 10,000 100,000.00 0 bungkus 10,000.00
Page 273 of 288
06 Juli 2021 BLUD Sawi Putih 2 buah Rp 15,000 30,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 buah Rp 15,000 30,000.00 0 buah 15,000.00
06 Juli 2021 BLUD Bumbu Dapur 14 kg Rp 4,000 56,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 14 kg Rp 4,000 56,000.00 0 kg 4,000.00
06 Juli 2021 BLUD Bawang Merah 3 kg Rp 80,000 240,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 80,000 240,000.00 0 kg 80,000.00
06 Juli 2021 BLUD Bawang Putih 3 kg Rp 70,000 210,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 70,000 210,000.00 0 kg 70,000.00
06 Juli 2021 BLUD Cabe Rawit 2.5 kg Rp 100,000 250,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2.5 kg Rp 100,000 250,000.00 0 kg 100,000.00
06 Juli 2021 BLUD Cabe Merah 2.5 kg Rp 100,000 250,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2.5 kg Rp 100,000 250,000.00 0 kg 100,000.00
06 Juli 2021 BLUD Kentang 3 kg Rp 11,000 33,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 11,000 33,000.00 0 kg 11,000.00
06 Juli 2021 BLUD Brokoli 2 kg Rp 15,000 30,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 kg Rp 15,000 30,000.00 0 kg 15,000.00
06 Juli 2021 BLUD Jamur 5 kg Rp 5,000 25,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 5 kg Rp 5,000 25,000.00 0 kg 5,000.00
06 Juli 2021 BLUD Daun Bawang 0.25 kg Rp 32,000 8,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 0.25 kg Rp 32,000 8,000.00 0 kg 32,000.00
06 Juli 2021 BLUD Tempe 25 ptng Rp 5,000 125,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 25 ptng Rp 5,000 125,000.00 0 ptng 5,000.00
06 Juli 2021 BLUD Tahu 23 ptng Rp 4,000 92,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 23 ptng Rp 4,000 92,000.00 0 ptng 4,000.00
06 Juli 2021 BLUD Minyak Goreng 15 liter Rp 15,000 225,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 15 liter Rp 15,000 225,000.00 0 liter 15,000.00
06 Juli 2021 BLUD Kara 4 pcs Rp 4,000 16,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 4 pcs Rp 4,000 16,000.00 0 pcs 4,000.00
06 Juli 2021 BLUD Kecap Manis 12 bungkus Rp 12,000 144,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 12 bungkus Rp 12,000 144,000.00 0 bungkus 12,000.00

06 Juli 2021 BLUD Ayam 8 kg Rp 35,000 280,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 8 kg Rp 35,000 280,000.00 0 kg 35,000.00
06 Juli 2021 BLUD Telur ayam 11 Kg Rp 24,000 264,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 11 Kg Rp 24,000 264,000.00 0 Kg 24,000.00
06 Juli 2021 BLUD Telur Puyuh 1 dus Rp 25,000 25,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 1 dus Rp 25,000 25,000.00 0 dus 25,000.00
06 Juli 2021 BLUD Ikan Kembung 5 Kg Rp 25,000 125,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 5 Kg Rp 25,000 125,000.00 0 Kg 25,000.00
06 Juli 2021 BLUD Ikan Mujaer 4 Kg Rp 30,000 120,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 4 Kg Rp 30,000 120,000.00 0 Kg 30,000.00
06 Juli 2021 BLUD Ikan Lele 3 kg Rp 20,000 60,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 3 kg Rp 20,000 60,000.00 0 kg 20,000.00
06 Juli 2021 BLUD Daging Sapi 2 kg Rp 80,000 160,000.00 452/PKM PONDOK RANJI/VII/2021 06 Juli 2021 01 Jan-30 Nov 39/BLUD/PKMPDR/2021 30/06/2021 Operasional 2 kg Rp 80,000 160,000.00 0 kg 80,000.00
4.500.000
10 Agustus 2021 BLUD beras 25 Kg Rp 12,000 300,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 25 Kg Rp 12,000 300,000.00 0 Kg 12,000.00
10 Agustus 2021 BLUD Gula Merah 2 Kg Rp 20,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 Kg Rp 20,000 40,000.00 0 Kg 20,000.00
10 Agustus 2021 BLUD Kemiri 0.25 Kg Rp 80,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.25 Kg Rp 80,000 20,000.00 0 Kg 80,000.00
10 Agustus 2021 BLUD Lada Bubuk 10 bks Rp 2,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 10 bks Rp 2,000 20,000.00 0 bks 2,000.00
10 Agustus 2021 BLUD Kacang Hijau 2 kg Rp 20,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg 20,000.00
10 Agustus 2021 BLUD Tepung Terigu 2 bks Rp 15,000 30,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 bks Rp 15,000 30,000.00 0 bks 15,000.00
10 Agustus 2021 BLUD Garam 5 bks Rp 5,000 25,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 5 bks Rp 5,000 25,000.00 0 bks 5,000.00
10 Agustus 2021 BLUD Sagu 1 kg Rp 20,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg 20,000.00

10 Agustus 2021 BLUD pisang 9 sisir Rp 20,000 180,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 9 sisir Rp 20,000 180,000.00 0 sisir 20,000.00
10 Agustus 2021 BLUD Buncis 14 ikat Rp 4,000 56,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 14 ikat Rp 4,000 56,000.00 0 ikat 4,000.00
10 Agustus 2021 BLUD Labu Siam 11 buah Rp 2,000 22,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 11 buah Rp 2,000 22,000.00 0 buah 2,000.00
10 Agustus 2021 BLUD Kacang Panjang 21 ikat Rp 5,000 105,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 21 ikat Rp 5,000 105,000.00 0 ikat 5,000.00
10 Agustus 2021 BLUD Wortel 13 kg Rp 7,000 91,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 13 kg Rp 7,000 91,000.00 0 kg 7,000.00
10 Agustus 2021 BLUD Pepaya 14 buah Rp 10,000 140,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 14 buah Rp 10,000 140,000.00 0 buah 10,000.00
10 Agustus 2021 BLUD Toge 0.5 Kg Rp 20,000 10,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 Kg Rp 20,000 10,000.00 0 Kg 20,000.00
10 Agustus 2021 BLUD Toge 1 bks Rp 9,000 9,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 1 bks Rp 9,000 9,000.00 0 bks 9,000.00
10 Agustus 2021 BLUD Jeruk 4 Kg Rp 20,000 80,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 4 Kg Rp 20,000 80,000.00 0 Kg 20,000.00
10 Agustus 2021 BLUD Oyong 10 bks Rp 6,000 60,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 10 bks Rp 6,000 60,000.00 0 bks 6,000.00
10 Agustus 2021 BLUD Jagung Manis 20 buah Rp 2,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah 2,000.00
10 Agustus 2021 BLUD Sayur Asem 2 bungkus Rp 10,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus 10,000.00
10 Agustus 2021 BLUD Sayur Sop 2 bungkus Rp 10,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus 10,000.00
10 Agustus 2021 BLUD Kangkung 5 ikat Rp 5,000 25,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat 5,000.00
10 Agustus 2021 BLUD Sawi Putih 1 buah Rp 10,000 10,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 1 buah Rp 10,000 10,000.00 0 buah 10,000.00
10 Agustus 2021 BLUD Bumbu Dapur 8 kg Rp 4,000 32,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 8 kg Rp 4,000 32,000.00 0 kg 4,000.00
10 Agustus 2021 BLUD Bawang Merah 0.5 kg Rp 60,000 30,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 kg Rp 60,000 30,000.00 0 kg 60,000.00
10 Agustus 2021 BLUD Bawang Putih 0.25 kg Rp 60,000 15,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.25 kg Rp 60,000 15,000.00 0 kg 60,000.00
10 Agustus 2021 BLUD Cabe Rawit 0.5 kg Rp 80,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg 80,000.00
10 Agustus 2021 BLUD Cabe Merah 0.5 kg Rp 80,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg 80,000.00
10 Agustus 2021 BLUD Cabe Hijau Besar 0.5 kg Rp 80,000 40,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 0.5 kg Rp 80,000 40,000.00 0 kg 80,000.00
10 Agustus 2021 BLUD Bawang Bombay 2 kg Rp 70,000 140,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 70,000 140,000.00 0 kg 70,000.00
10 Agustus 2021 BLUD Bayam 5 ikat Rp 6,000 30,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 5 ikat Rp 6,000 30,000.00 0 ikat 6,000.00
10 Agustus 2021 BLUD Kentang 4 kg Rp 11,000 44,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 4 kg Rp 11,000 44,000.00 0 kg 11,000.00
10 Agustus 2021 BLUD Tempe 22 ptng Rp 5,000 110,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 22 ptng Rp 5,000 110,000.00 0 ptng 5,000.00
10 Agustus 2021 BLUD Tahu 21 ptng Rp 4,000 84,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 21 ptng Rp 4,000 84,000.00 0 ptng 4,000.00
10 Agustus 2021 BLUD Minyak Goreng 12 liter Rp 15,000 180,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 12 liter Rp 15,000 180,000.00 0 liter 15,000.00
10 Agustus 2021 BLUD Bubur Sumsum 8 bungkus Rp 2,000 16,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 8 bungkus Rp 2,000 16,000.00 0 bungkus 2,000.00
Page 274 of 288
10 Agustus 2021 BLUD Kecap Manis 11 bungkus Rp 12,000 132,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 11 bungkus Rp 12,000 132,000.00 0 bungkus 12,000.00

10 Agustus 2021 BLUD Ayam 10 kg Rp 35,000 350,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 10 kg Rp 35,000 350,000.00 0 kg 35,000.00
10 Agustus 2021 BLUD Telur ayam 11 Kg Rp 24,000 264,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 11 Kg Rp 24,000 264,000.00 0 Kg 24,000.00
10 Agustus 2021 BLUD Telur Puyuh 1 Kg Rp 20,000 20,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 1 Kg Rp 20,000 20,000.00 0 Kg 20,000.00
10 Agustus 2021 BLUD Ikan Tongkol 4 Kg Rp 30,000 120,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 4 Kg Rp 30,000 120,000.00 0 Kg 30,000.00
10 Agustus 2021 BLUD Ikan Kembung 6 Kg Rp 30,000 180,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 6 Kg Rp 30,000 180,000.00 0 Kg 30,000.00
10 Agustus 2021 BLUD Ikan Bawal 2 Kg Rp 30,000 60,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 Kg Rp 30,000 60,000.00 0 Kg 30,000.00
10 Agustus 2021 BLUD Ikan Lele 2 kg Rp 25,000 50,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 25,000 50,000.00 0 kg 25,000.00
10 Agustus 2021 BLUD Daging Sapi 2 kg Rp 80,000 160,000.00 567/PKM PONDOK RANJI/VIII/2021 10 Agustus 2021 01 Jan-30 Nov 46/BLUD/PKMPDR/2021 31/07/2021 Operasional 2 kg Rp 80,000 160,000.00 0 kg 80,000.00
3.500.000

09 September 2021 BLUD beras 30 Kg Rp 12,000 360,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 30 Kg Rp 12,000 360,000.00 0 Kg 12,000.00
09 September 2021 BLUD Gula Merah 2 Kg Rp 20,000 40,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 Kg Rp 20,000 40,000.00 0 Kg 20,000.00
09 September 2021 BLUD Gula Merah 2 Kg Rp 25,000 50,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 Kg Rp 25,000 50,000.00 0 Kg 25,000.00
09 September 2021 BLUD Kacang Hijau 2 kg Rp 20,000 40,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg 20,000.00
09 September 2021 BLUD Tepung Terigu 2 bks Rp 15,000 30,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 bks Rp 15,000 30,000.00 0 bks 15,000.00
09 September 2021 BLUD pisang 12 sisir Rp 20,000 240,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 12 sisir Rp 20,000 240,000.00 0 sisir 20,000.00
09 September 2021 BLUD Buncis 10 ikat Rp 4,000 40,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 10 ikat Rp 4,000 40,000.00 0 ikat 4,000.00
09 September 2021 BLUD Labu Siam 17 buah Rp 2,000 34,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 17 buah Rp 2,000 34,000.00 0 buah 2,000.00
09 September 2021 BLUD Kacang Panjang 12 ikat Rp 5,000 60,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 12 ikat Rp 5,000 60,000.00 0 ikat 5,000.00
09 September 2021 BLUD Wortel 15 kg Rp 7,000 105,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 15 kg Rp 7,000 105,000.00 0 kg 7,000.00
09 September 2021 BLUD Pepaya 18 buah Rp 10,000 180,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 18 buah Rp 10,000 180,000.00 0 buah 10,000.00
09 September 2021 BLUD Oyong 2 bks Rp 6,000 12,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 bks Rp 6,000 12,000.00 0 bks 6,000.00
09 September 2021 BLUD Daun Singkong 5 kg Rp 6,000 30,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 kg Rp 6,000 30,000.00 0 kg 6,000.00
09 September 2021 BLUD Jagung Manis 20 buah Rp 2,000 40,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 20 buah Rp 2,000 40,000.00 0 buah 2,000.00
09 September 2021 BLUD Sayur Asem 2 bungkus Rp 10,000 20,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus 10,000.00
09 September 2021 BLUD Sayur Sop 2 bungkus Rp 10,000 20,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus 10,000.00
09 September 2021 BLUD Kangkung 5 ikat Rp 5,000 25,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat 5,000.00
09 September 2021 BLUD Sayur Lodeh 1 bks Rp 10,000 10,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 bks Rp 10,000 10,000.00 0 bks 10,000.00
09 September 2021 BLUD Bumbu Dapur 16 kg Rp 4,000 64,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 16 kg Rp 4,000 64,000.00 0 kg 4,000.00
09 September 2021 BLUD Bawang Merah 1.5 kg Rp 50,000 75,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1.5 kg Rp 50,000 75,000.00 0 kg 50,000.00
09 September 2021 BLUD Bawang Putih 1.5 kg Rp 50,000 75,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1.5 kg Rp 50,000 75,000.00 0 kg 50,000.00
09 September 2021 BLUD Cabe Rawit 1.5 kg Rp 60,000 90,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1.5 kg Rp 60,000 90,000.00 0 kg 60,000.00
09 September 2021 BLUD Cabe Merah 1.5 kg Rp 50,000 75,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1.5 kg Rp 50,000 75,000.00 0 kg 50,000.00
09 September 2021 BLUD Bayam 3 ikat Rp 5,000 15,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 3 ikat Rp 5,000 15,000.00 0 ikat 5,000.00
09 September 2021 BLUD Kentang 5 kg Rp 11,000 55,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 kg Rp 11,000 55,000.00 0 kg 11,000.00
09 September 2021 BLUD Putren 5 bks Rp 5,000 25,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 bks Rp 5,000 25,000.00 0 bks 5,000.00
09 September 2021 BLUD Brokoli 1 buah Rp 35,000 35,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 buah Rp 35,000 35,000.00 0 buah 35,000.00
09 September 2021 BLUD Jamur 4 kg Rp 7,000 28,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 4 kg Rp 7,000 28,000.00 0 kg 7,000.00
09 September 2021 BLUD Tempe 20 ptng Rp 5,000 100,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 20 ptng Rp 5,000 100,000.00 0 ptng 5,000.00
09 September 2021 BLUD Tahu 22 ptng Rp 4,000 88,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 22 ptng Rp 4,000 88,000.00 0 ptng 4,000.00
09 September 2021 BLUD Minyak Goreng 14 liter Rp 15,000 210,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 14 liter Rp 15,000 210,000.00 0 liter 15,000.00
09 September 2021 BLUD Puding Susu 3 bks Rp 15,000 45,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 3 bks Rp 15,000 45,000.00 0 bks 15,000.00
09 September 2021 BLUD Kara 5 bungkus Rp 5,000 25,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 5 bungkus Rp 5,000 25,000.00 0 bungkus 5,000.00
09 September 2021 BLUD Kecap Manis 9 bungkus Rp 12,000 108,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 9 bungkus Rp 12,000 108,000.00 bungkus 12,000.00
09 September 2021 BLUD Ayam 8 kg Rp 35,000 280,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 8 kg Rp 35,000 280,000.00 0 kg 35,000.00
09 September 2021 BLUD Telur ayam 14 Kg Rp 24,000 336,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 14 Kg Rp 24,000 336,000.00 0 Kg 24,000.00
09 September 2021 BLUD Telur Puyuh 1 dus Rp 20,000 20,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 dus Rp 20,000 20,000.00 0 dus 20,000.00
09 September 2021 BLUD Ikan Selar 1 Kg Rp 20,000 20,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 Kg Rp 20,000 20,000.00 0 Kg 20,000.00
09 September 2021 BLUD Ikan Kembung 4 Kg Rp 25,000 100,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 4 Kg Rp 25,000 100,000.00 0 Kg 25,000.00
09 September 2021 BLUD Ikan Tuna 0.5 Kg Rp 30,000 15,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 0.5 Kg Rp 30,000 15,000.00 0 Kg 30,000.00
09 September 2021 BLUD Ikan Kembung 1 Kg Rp 30,000 30,000.00 706/PKM PONDOK RANJI/IX/2021 09 September 2021 01 Jan-30 Nov 53/BLUD/PKMPDR/2021 31/08/2021 Operasional 1 Kg Rp 30,000 30,000.00 0 Kg 30,000.00
3.250.000

11 Oktober 2021 BLUD beras 28 Kg Rp 12,000 336,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 28 Kg Rp 12,000 336,000.00 0 Kg 12,000.00
11 Oktober 2021 BLUD Gula Merah 2 Kg Rp 19,000 38,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 Kg Rp 19,000 38,000.00 0 Kg 19,000.00
11 Oktober 2021 BLUD Kemiri 10 bks Rp 2,000 20,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 10 bks Rp 2,000 20,000.00 0 bks 2,000.00
11 Oktober 2021 BLUD Kacang Hijau 1 kg Rp 20,000 20,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1 kg Rp 20,000 20,000.00 0 kg 20,000.00

11 Oktober 2021 BLUD pisang 2 sisir Rp 20,000 40,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 sisir Rp 20,000 40,000.00 0 sisir 20,000.00
Page 275 of 288
11 Oktober 2021 BLUD Buncis 29 ikat Rp 4,000 116,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 29 ikat Rp 4,000 116,000.00 0 ikat 4,000.00
11 Oktober 2021 BLUD Labu Siam 22 buah Rp 2,000 44,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 22 buah Rp 2,000 44,000.00 0 buah 2,000.00
11 Oktober 2021 BLUD Kacang Panjang 32 ikat Rp 5,000 160,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 32 ikat Rp 5,000 160,000.00 0 ikat 5,000.00
11 Oktober 2021 BLUD Wortel 14 kg Rp 7,000 98,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 14 kg Rp 7,000 98,000.00 0 kg 7,000.00
11 Oktober 2021 BLUD Pepaya 8 buah Rp 10,000 80,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 8 buah Rp 10,000 80,000.00 0 buah 10,000.00
11 Oktober 2021 BLUD Toge 0.15 Kg Rp 10,000 1,500.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 0.15 Kg Rp 10,000 1,500.00 0 Kg 10,000.00
11 Oktober 2021 BLUD Oyong 8 bks Rp 6,000 48,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 8 bks Rp 6,000 48,000.00 0 bks 6,000.00
11 Oktober 2021 BLUD Daun Singkong 5 kg Rp 5,000 25,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 5 kg Rp 5,000 25,000.00 0 kg 5,000.00
11 Oktober 2021 BLUD Terong 2 kg Rp 10,000 20,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 kg Rp 10,000 20,000.00 0 kg 10,000.00
11 Oktober 2021 BLUD Tomat 0.25 kg Rp 16,000 4,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 0.25 kg Rp 16,000 4,000.00 0 kg 16,000.00
11 Oktober 2021 BLUD Tomat 1.5 kg Rp 18,000 27,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.5 kg Rp 18,000 27,000.00 0 kg 18,000.00
11 Oktober 2021 BLUD Jagung Manis 34 buah Rp 2,000 68,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 34 buah Rp 2,000 68,000.00 0 buah 2,000.00
11 Oktober 2021 BLUD Sayur Asem 2 bungkus Rp 10,000 20,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 bungkus Rp 10,000 20,000.00 0 bungkus 10,000.00
11 Oktober 2021 BLUD Sayur Sop 5 bungkus Rp 10,000 50,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 5 bungkus Rp 10,000 50,000.00 0 bungkus 10,000.00
11 Oktober 2021 BLUD Kangkung 5 ikat Rp 5,000 25,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat 5,000.00
11 Oktober 2021 BLUD Sawi Putih 1 buah Rp 15,000 15,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1 buah Rp 15,000 15,000.00 0 buah 15,000.00
11 Oktober 2021 BLUD Bumbu Dapur 14 kg Rp 4,000 56,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 14 kg Rp 4,000 56,000.00 0 kg 4,000.00
11 Oktober 2021 BLUD Bawang Merah 1.75 kg Rp 60,000 105,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 kg Rp 60,000 105,000.00 0 kg 60,000.00
11 Oktober 2021 BLUD Bawang Putih 1.75 kg Rp 50,000 87,500.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 kg Rp 50,000 87,500.00 0 kg 50,000.00
11 Oktober 2021 BLUD Cabe Rawit 1.75 kg Rp 70,000 122,500.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 kg Rp 70,000 122,500.00 0 kg 70,000.00
11 Oktober 2021 BLUD Cabe Merah 1.75 kg Rp 60,000 105,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 1.75 kg Rp 60,000 105,000.00 0 kg 60,000.00
11 Oktober 2021 BLUD Kentang 7 kg Rp 11,000 77,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 7 kg Rp 11,000 77,000.00 0 kg 11,000.00
11 Oktober 2021 BLUD Jamur 5 kg Rp 5,000 25,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 5 kg Rp 5,000 25,000.00 0 kg 5,000.00
11 Oktober 2021 BLUD Daun Bawang 0.5 kg Rp 20,000 10,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 0.5 kg Rp 20,000 10,000.00 0 kg 20,000.00

11 Oktober 2021 BLUD Tempe 25 ptng Rp 5,000 125,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 25 ptng Rp 5,000 125,000.00 0 ptng 5,000.00
11 Oktober 2021 BLUD Tahu 25 ptng Rp 4,000 100,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 25 ptng Rp 4,000 100,000.00 0 ptng 4,000.00
11 Oktober 2021 BLUD Minyak Goreng 16 liter Rp 15,000 240,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 16 liter Rp 15,000 240,000.00 0 liter 15,000.00
11 Oktober 2021 BLUD Bakso 0.5 bungkus Rp 60,000 30,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 0.5 bungkus Rp 60,000 30,000.00 0 bungkus 60,000.00
11 Oktober 2021 BLUD Kecap Manis 14 bungkus Rp 12,000 168,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 14 bungkus Rp 12,000 168,000.00 0 bungkus 12,000.00
Belanja Makanan Basah non Produksi 0
11 Oktober 2021 BLUD Ayam 6 kg Rp 35,000 210,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 6 kg Rp 35,000 210,000.00 0 kg 35,000.00
11 Oktober 2021 BLUD Telur ayam 17 Kg Rp 24,000 408,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 17 Kg Rp 24,000 408,000.00 0 Kg 24,000.00
11 Oktober 2021 BLUD Telur Puyuh 2 Kg Rp 20,000 40,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 Kg Rp 20,000 40,000.00 0 Kg 20,000.00
11 Oktober 2021 BLUD Ikan Kembung 4 Kg Rp 25,000 100,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 4 Kg Rp 25,000 100,000.00 0 Kg 25,000.00
11 Oktober 2021 BLUD Ikan Nila 2 Kg Rp 25,000 50,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 Kg Rp 25,000 50,000.00 0 Kg 25,000.00
11 Oktober 2021 BLUD Daging Sapi 2 kg Rp 80,000 160,000.00 908/PKM PONDOK RANJI/X/2021 11 Oktober 2021 01 Jan-30 Nov 61/BLUD/PKMPDR/2021 30/09/2021 Operasional 2 kg Rp 80,000 160,000.00 0 kg 80,000.00
3.474.500
11 November 2021 BLUD beras 31 Kg Rp 12,000 372,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 31 Kg Rp 12,000 372,000.00 0 Kg 12,000.00
11 November 2021 BLUD Gula Merah 3 Kg Rp 20,000 60,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 Kg Rp 20,000 60,000.00 0 Kg 20,000.00
11 November 2021 BLUD Kemiri 10 bks Rp 1,000 10,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 10 bks Rp 1,000 10,000.00 0 bks 1,000.00
11 November 2021 BLUD Kacang Hijau 2 kg Rp 20,000 40,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 20,000 40,000.00 0 kg 20,000.00
11 November 2021 BLUD Tepung Terigu 2 bks Rp 10,000 20,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 bks Rp 10,000 20,000.00 0 bks 10,000.00
11 November 2021 BLUD Garam 6 bks Rp 5,000 30,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 6 bks Rp 5,000 30,000.00 0 bks 5,000.00
11 November 2021 BLUD Tepung Beras 0.5 kg Rp 25,000 12,500.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 0.5 kg Rp 25,000 12,500.00 0 kg 25,000.00
11 November 2021 BLUD Royco 1 ls Rp 15,000 15,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 ls Rp 15,000 15,000.00 0 ls 15,000.00

11 November 2021 BLUD pisang 8 sisir Rp 20,000 160,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 8 sisir Rp 20,000 160,000.00 0 sisir 20,000.00
11 November 2021 BLUD Buncis 20 ikat Rp 4,000 80,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 20 ikat Rp 4,000 80,000.00 0 ikat 4,000.00
11 November 2021 BLUD Labu Siam 23 buah Rp 2,000 46,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 23 buah Rp 2,000 46,000.00 0 buah 2,000.00
11 November 2021 BLUD Kacang Panjang 18 ikat Rp 5,000 90,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 18 ikat Rp 5,000 90,000.00 0 ikat 5,000.00
11 November 2021 BLUD Wortel 12 kg Rp 7,000 84,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 12 kg Rp 7,000 84,000.00 0 kg 7,000.00
11 November 2021 BLUD Pepaya 9 buah Rp 10,000 90,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 9 buah Rp 10,000 90,000.00 0 buah 10,000.00
11 November 2021 BLUD Jamur 3 bks Rp 5,000 15,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 bks Rp 5,000 15,000.00 0 bks 5,000.00
11 November 2021 BLUD Toge 0.5 Kg Rp 15,000 7,500.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 0.5 Kg Rp 15,000 7,500.00 0 Kg 15,000.00
11 November 2021 BLUD Oyong 3 bks Rp 7,000 21,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 bks Rp 7,000 21,000.00 0 bks 7,000.00
11 November 2021 BLUD Oyong 2 bks Rp 6,000 12,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 bks Rp 6,000 12,000.00 0 bks 6,000.00
11 November 2021 BLUD Tomat 3 kg Rp 15,000 45,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 kg Rp 15,000 45,000.00 0 kg 15,000.00
11 November 2021 BLUD Jagung Manis 27 buah Rp 2,000 54,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 27 buah Rp 2,000 54,000.00 0 buah 2,000.00
11 November 2021 BLUD Sayur Asem 4 bungkus Rp 10,000 40,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 4 bungkus Rp 10,000 40,000.00 0 bungkus 10,000.00
11 November 2021 BLUD Sayur Sop 5 bungkus Rp 10,000 50,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 5 bungkus Rp 10,000 50,000.00 0 bungkus 10,000.00
11 November 2021 BLUD Kangkung 5 ikat Rp 5,000 25,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 5 ikat Rp 5,000 25,000.00 0 ikat 5,000.00
11 November 2021 BLUD Sawi Putih 3.5 buah Rp 12,000 42,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3.5 buah Rp 12,000 42,000.00 0 buah 12,000.00
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11 November 2021 BLUD Bumbu Dapur 16 kg Rp 4,000 64,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 16 kg Rp 4,000 64,000.00 0 kg 4,000.00
11 November 2021 BLUD Bawang Merah 2 kg Rp 50,000 100,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg 50,000.00
11 November 2021 BLUD Bawang Putih 2 kg Rp 50,000 100,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg 50,000.00
11 November 2021 BLUD Cabe Rawit 2 kg Rp 50,000 100,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg 50,000.00
11 November 2021 BLUD Cabe Merah 2 kg Rp 50,000 100,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 50,000 100,000.00 0 kg 50,000.00
11 November 2021 BLUD Bawang Bombay 1 kg Rp 30,000 30,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 kg Rp 30,000 30,000.00 0 kg 30,000.00
11 November 2021 BLUD Bayam 2 ikat Rp 5,000 10,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 ikat Rp 5,000 10,000.00 0 ikat 5,000.00
11 November 2021 BLUD Kentang 4 kg Rp 11,000 44,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 4 kg Rp 11,000 44,000.00 0 kg 11,000.00
11 November 2021 BLUD Daun Bawang 0.5 kg Rp 15,000 7,500.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 0.5 kg Rp 15,000 7,500.00 0 kg 15,000.00

11 November 2021 BLUD Tempe 29 ptng Rp 5,000 145,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 29 ptng Rp 5,000 145,000.00 0 ptng 5,000.00
11 November 2021 BLUD Tahu 29 ptng Rp 4,000 116,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 29 ptng Rp 4,000 116,000.00 0 ptng 4,000.00
11 November 2021 BLUD Minyak Goreng 16 liter Rp 15,000 240,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 16 liter Rp 15,000 240,000.00 0 liter 15,000.00
11 November 2021 BLUD Kecap Manis 13 bungkus Rp 12,000 156,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 13 bungkus Rp 12,000 156,000.00 0 bungkus 12,000.00

11 November 2021 BLUD Ayam 14 kg Rp 35,000 490,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 14 kg Rp 35,000 490,000.00 0 kg 35,000.00
11 November 2021 BLUD Telur ayam 15 Kg Rp 24,000 360,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 15 Kg Rp 24,000 360,000.00 0 Kg 24,000.00
11 November 2021 BLUD Telur Puyuh 2 Kg Rp 20,000 40,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 Kg Rp 20,000 40,000.00 0 Kg 20,000.00
11 November 2021 BLUD Ikan Kembung 2 Kg Rp 30,000 60,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 Kg Rp 30,000 60,000.00 0 Kg 30,000.00
11 November 2021 BLUD Ikan Kembung 2 Kg Rp 25,000 50,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 Kg Rp 25,000 50,000.00 0 Kg 25,000.00
11 November 2021 BLUD Ikan Bawal 3 Kg Rp 25,000 75,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 3 Kg Rp 25,000 75,000.00 0 Kg 25,000.00
11 November 2021 BLUD Ikan Mujaer 2 kg Rp 25,000 50,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 2 kg Rp 25,000 50,000.00 0 kg 25,000.00
11 November 2021 BLUD Ati ampela 1 kg Rp 25,000 25,000.00 1151/PKM PONDOK RANJI/XI/2021 11 November 2021 01 Jan-30 Nov 69/BLUD/PKMPDR/2021 30/10/2021 Operasional 1 kg Rp 25,000 25,000.00 0 kg 25,000.00
3.783.500
JUMLAH BELANJA MAKANAN DAN MINUMAN PADA FASILITAS PELAYANAN URUSAN KESEHATAN (5.1.02.01.01.0049) (5.1.02.01.01.054) 38,478,000.00 660,000.00
1 11 Juli 1905 Acetyl cysteine 200 mg 0 Kapsul Rp 382 - 0 Kapsul Rp 382 - 0 Kapsul Rp 382
2 12 Juli 1905 Acetyl cysteine 200 mg 4800 Kapsul Rp 382 1,833,600.00 3279 Kapsul Rp 382 1,252,578.00 1521 Kapsul Rp 382
3 10 Juli 1905 Albendazol 400 mg 0 Tablet Rp 404 - -374 Tablet Rp 404 - 151,096.00 374 Tablet Rp 404
4 10 Juli 1905 Albendazol suspensi 0 Botol Rp 4,000 - 0 Botol Rp 4,000 - 0 Botol Rp 4,000
5 11 Juli 1905 Alopurinol tablet 100 mg 0 Tablet Rp 105 - 0 Tablet Rp 105 - 0 Tablet Rp 105
6 12 Juli 1905 Alopurinol tablet 100 mg 3500 Tablet Rp 105 367,500.00 2270 Tablet Rp 105 238,350.00 1230 Tablet Rp 105
7 11 Juli 1905 Ambroksol Syrup 15 mg / ml 400 Botol Rp 4,255 1,702,000.00 400 Botol Rp 4,255 1,702,000.00 0 Botol Rp 4,255
8 12 Juli 1905 Ambroksol Syrup 15 mg / ml 200 Botol Rp 3,100 620,000.00 10 Botol Rp 3,100 31,000.00 190 Botol Rp 3,100
9 11 Juli 1905 Aminofilin inj 24 mg /ml 0 Ampul Rp 2,789 - 0 Ampul Rp 2,789 - 0 Ampul Rp 2,789
10 APBN AMITRIPTILIN TABLET 25 MG 0 TABLET Rp 167 - 0 TABLET Rp 167 - 0 TABLET Rp 167
11 APBN AMITRIPTILIN TABLET 25 MG 0 KOTAK Rp 16,700 - 0 KOTAK Rp 16,700 - 0 KOTAK Rp 16,700

12 10 Juli 1905 Amitriptilin HCl tablet salut 25 mg 0 Tablet Rp 167 - 0 Tablet Rp 167 - 0 Tablet Rp 167
13 11 Juli 1905 Amlodipin 10 mg 0 Tablet Rp 99 - 0 Tablet Rp 99 - 0 Tablet Rp 99
14 11 Juli 1905 Amlodipin 5 mg 0 Tablet Rp 75 - 0 Tablet Rp 75 - 0 Tablet Rp 75

15 12 Juli 1905 Amlodipin 10 mg 19200 Tablet Rp 99 1,900,800.00 7955 Tablet Rp 99 787,545.00 11245 Tablet Rp 99
16 12 Juli 1905 Amlodipin 5 mg 0 Tablet Rp 75 - -8055 Tablet Rp 75 - 604,125.00 8055 Tablet Rp 75

17 10 Juli 1905 Amoksisilin kaplet 500 mg 0 Kaplet Rp 233 - 0 Kaplet Rp 233 - 0 Kaplet Rp 233
18 11 Juli 1905 Amoksisilin kaplet 500 mg 0 Kaplet Rp 249 - 0 Kaplet Rp 249 - 0 Kaplet Rp 249
19 11 Juli 1905 Amoksisilin sirup kering forte 250mg/ml 120 Botol Rp 3,628 435,360.00 120 Botol Rp 3,628 435,360.00 0 Botol Rp 3,628
20 10 Juli 1905 Anestesia Lokal Spray 0 Botol Rp 352,000 - 0 Botol Rp 352,000 - 0 Botol Rp 352,000
21 11 Juli 1905 Antasida DOEN Suspensi 600 Botol Rp 2,129 1,277,400.00 600 Botol Rp 2,129 1,277,400.00 0 Botol Rp 2,129
22 12 Juli 1905 Antasida DOEN Suspensi 700 Botol Rp 2,129 1,490,300.00 240 Botol Rp 2,129 510,960.00 460 Botol Rp 2,129
23 11 Juli 1905 Antasida DOEN tablet 5000 Tablet Rp 58 290,000.00 1070 Tablet Rp 58 62,060.00 3930 Tablet Rp 58
24 12 Juli 1905 Antasida DOEN tablet 0 Tablet Rp 58 - 0 Tablet Rp 58 - 0 Tablet Rp 58

25 10 Juli 1905 Anti Bakteri DOEN salep 0 Tube Rp 3,035 - 0 Tube Rp 3,035 - 0 Tube Rp 3,035
26 10 Juli 1905 Anti Hemmoroid DOEN supp 0 Supp Rp 3,167 - 0 Supp Rp 3,167 - 0 Supp Rp 3,167
27 11 Juli 1905 Anti Hemmoroid DOEN supp 0 Supp Rp 3,167 - 0 Supp Rp 3,167 - 0 Supp Rp 3,167
28 11 Juli 1905 Antispasmodik (SCOPMA) 0 Tablet Rp 1,900 - 0 Tablet Rp 1,900 - 0 Tablet Rp 1,900
29 12 Juli 1905 Antispasmodik (SCOPMA) 300 Tablet Rp 1,000 300,000.00 300 Tablet Rp 1,000 300,000.00 0 Tablet Rp 1,000
30 11 Juli 1905 Asam Asetilsalisilat (ASETOSAL) 0 Tablet Rp 105 - 0 Tablet Rp 105 - 0 Tablet Rp 105
31 12 Juli 1905 Asam Asetilsalisilat 80 mg (MINIASPI) 1500 Tablet Rp 105 157,500.00 300 Tablet Rp 105 31,500.00 1200 Tablet Rp 105
32 10 Juli 1905 Asam Askorbat (Vit. C) tablet 50 mg 0 Tablet Rp 105 - 0 Tablet Rp 105 - 0 Tablet Rp 105
33 11 Juli 1905 Asam Askorbat (Vit. C) tablet 50 mg 0 Tablet Rp 105 - 0 Tablet Rp 105 - 0 Tablet Rp 105
34 12 Juli 1905 Asam Askorbat (Vit. C) tablet 50 mg 28500 Tablet Rp 105 2,992,500.00 12316 Tablet Rp 105 1,293,180.00 16184 Tablet Rp 105
35 11 Juli 1905 Asam Folat tab 0.4 mg (PROFOLAT) 0 Tablet Rp 55 - 0 Tablet Rp 55 - 0 Tablet Rp 55
Page 277 of 288

36 11 Juli 1905 Asam Mefenamat Tablet 500 mg 0 Kaplet Rp 103 - 0 Kaplet Rp 103 - 0 Kaplet Rp 103
37 11 Juli 1905 Asiklovir krim 5% 0 Tube Rp 3,400 - 1 Tube Rp 3,400 3,400.00 -1 Tube Rp 3,400 -
38 12 Juli 1905 Asiklovir krim 5% 50 Tube Rp 3,125 156,250.00 49 Tube Rp 3,125 153,125.00 1 Tube Rp 3,125
39 10 Juli 1905 Asiklovir Tablet 200 mg 200 Tablet Rp 236 47,200.00 -3104 Tablet Rp 236 - 732,544.00 3304 Tablet Rp 236
40 10 Juli 1905 Asiklovir Tablet 400 mg 4800 Tablet Rp 380 1,824,000.00 4800 Tablet Rp 380 1,824,000.00 0 Tablet Rp 380
41 12 Juli 1905 Asiklovir Tablet 400 mg 1000 Tablet Rp 405 405,000.00 165 Tablet Rp 405 66,825.00 835 Tablet Rp 405
42 10 Juli 1905 Atapulgit tab 600 mg New Antides 0 Tablet Rp 136 - 0 Tablet Rp 136 - 0 Tablet Rp 136
43 11 Juli 1905 Atapulgit tab 630 mg (PULAREX) 2500 Tablet Rp 162 405,000.00 2500 Tablet Rp 162 405,000.00 0 Tablet Rp 162
44 12 Juli 1905 Atapulgit tab 630 mg (PULAREX) 0 Tablet Rp 162 - 0 Tablet Rp 162 - 0 Tablet Rp 162
45 11 Juli 1905 Atropin Injeksi 0.25 mg/ml-1 ml 0 Ampul Rp 1,639 - 0 Ampul Rp 1,639 - 0 Ampul Rp 1,639
46 12 Juli 1905 Atropin Injeksi 0.25 mg/ml-1 ml 0 Ampul Rp 1,639 - -10 Ampul Rp 1,639 - 16,390.00 10 Ampul Rp 1,639
47 11 Juli 1905 Bedak Salisil 2 % 0 Pot Rp 6,100 - 0 Pot Rp 6,100 - 0 Pot Rp 6,100
48 12 Juli 1905 Bedak Salisil 2 % 30 Pot Rp 6,400 192,000.00 30 Pot Rp 6,400 192,000.00 0 Pot Rp 6,400
49 11 Juli 1905 Besi II Sulfat 200 mg + As. Folat (Tambah darah) 0 Tablet Rp 354 - 0 Tablet Rp 354 - 0 Tablet Rp 354
50 12 Juli 1905 Besi II Sulfat 200 mg + As. Folat (Tambah darah) 98280 Tablet Rp 354 34,791,120.00 67970 Tablet Rp 354 24,061,380.00 30310 Tablet Rp 354
51 11 Juli 1905 Betahistin 6 mg 0 Tablet Rp 110 - 0 Tablet Rp 110 - 0 Tablet Rp 110
52 12 Juli 1905 Betahistin 6 mg 2000 Tablet Rp 110 220,000.00 1020 Tablet Rp 110 112,200.00 980 Tablet Rp 110
53 10 Juli 1905 Betametason Krim 0 Tube Rp 1,340 - 0 Tube Rp 1,340 - 0 Tube Rp 1,340
54 11 Juli 1905 Betametason Krim 50 Tube Rp 1,430 71,500.00 50 Tube Rp 1,430 71,500.00 0 Tube Rp 1,430
55 11 Juli 1905 BIOSAT 1,5 Serum Antitetanus (A.T.S) 0 Ampul Rp 130,999 - 0 Ampul Rp 130,999 - 0 Ampul Rp 130,999
56 12 Juli 1905 BIOSAT 1,5 Serum Antitetanus (A.T.S) 0 Ampul Rp 130,999 - -48 Ampul Rp 130,999 - 6,287,952.00 48 Ampul Rp 130,999
57 11 Juli 1905 BIOSAVE Serum Anti Bisa Ular A.B.U Inj. 0 Ampul Rp 479,996 - 0 Ampul Rp 479,996 - 0 Ampul Rp 479,996
58 11 Juli 1905 Bisoprolol tab 5 mg 0 Tablet Rp 252 - 0 Tablet Rp 252 - 0 Tablet Rp 252
59 11 Juli 1905 Cairan Hydroxyethyl Strach (HES) 130/0.4 60 g, Nacl 9 g 0 Botol Rp 21,780 - 0 Botol Rp 21,780 - 0 Botol Rp 21,780
62 10 Juli 1905 Cefadroksil Sirup 0 Botol Rp 3,922 - 0 Botol Rp 3,922 - 0 Botol Rp 3,922
63 11 Juli 1905 Cetirizine HCl sirup 5 mg/5 ml 50 Botol Rp 2,915 145,750.00 50 Botol Rp 2,915 145,750.00 0 Botol Rp 2,915
64 12 Juli 1905 Cetirizine HCl sirup 5 mg/5 ml 100 Botol Rp 2,915 291,500.00 10 Botol Rp 2,915 29,150.00 90 Botol Rp 2,915
65 10 Juli 1905 Clindamisin kapsul 150 mg 0 Kapsul Rp 715 - 0 Kapsul Rp 715 - 0 Kapsul Rp 715
66 12 Juli 1905 Ciprofloxacin 500 mg 500 Tablet Rp 500 250,000.00 359 Tablet Rp 500 179,500.00 141 Tablet Rp 500
67 10 Juli 1905 Combivent UDV Ipratropium Bromide 0 Respules Rp 4,550 - 0 Respules Rp 4,550 - 0 Respules Rp 4,550
68 11 Juli 1905 Combivent UDV Ipratropium Bromide 0 Respules Rp 4,550 - 0 Respules Rp 4,550 - 0 Respules Rp 4,550
69 12 Juli 1905 Combivent UDV Ipratropium Bromide 60 Respules Rp 4,550 273,000.00 60 Respules Rp 4,550 273,000.00 0 Respules Rp 4,550
70 10 Juli 1905 Deksametason injeksi 5 mg/ml (i.v/i.m) 0 Ampul Rp 1,097 - 0 Ampul Rp 1,097 - 0 Ampul Rp 1,097
71 11 Juli 1905 Deksametason injeksi 5 mg/ml (i.v/i.m) 0 Ampul Rp 1,097 - 0 Ampul Rp 1,097 - 0 Ampul Rp 1,097
72 11 Juli 1905 Diazepam 2 mg 0 Tablet Rp 86 - -82 Tablet Rp 86 - 7,052.00 82 Tablet Rp 86
73 10 Juli 1905 Diazepam injeksi 5 mg/ml (i.v/i.m) 0 Ampul Rp 1,735 - 0 Ampul Rp 1,735 - 0 Ampul Rp 1,735
74 11 Juli 1905 Diazepam injeksi 5 mg/ml (i.v/i.m) 0 Ampul Rp 1,735 - 0 Ampul Rp 1,735 - 0 Ampul Rp 1,735
75 10 Juli 1905 Diazepam supp enema 5 mg/2,5 ml 0 Supp Rp 12,573 - 0 Supp Rp 12,573 - 0 Supp Rp 12,573
76 11 Juli 1905 Diazepam supp (STESOLID) 0 Supp Rp 12,573 - -15 Supp Rp 12,573 - 188,595.00 15 Supp Rp 12,573
77 12 Juli 1905 Diazepam Suppositoria (STESOLID) 0 Tube Rp 12,573 - 0 Tube Rp 12,573 - 0 Tube Rp 12,573
78 09 Juli 1905 Difenhidramin inj 10 mg/5ml-1ml 0 Ampul Rp 1,060 - 0 Ampul Rp 1,060 - 0 Ampul Rp 1,060
79 11 Juli 1905 Difenhidramin inj 10 mg/5ml-1ml 0 Ampul Rp 1,168 - 0 Ampul Rp 1,168 - 0 Ampul Rp 1,168
80 11 Juli 1905 Digoksin tablet 0.25 mg 0 Tablet Rp 104 - 0 Tablet Rp 104 - 0 Tablet Rp 104
81 11 Juli 1905 Doksisiklin kap 100 mg 0 Kapsul Rp 280 - 0 Kapsul Rp 280 - 0 Kapsul Rp 280
82 11 Juli 1905 Domperidon 10 mg 0 Tablet Rp 91 - 0 Tablet Rp 91 - 0 Tablet Rp 91
83 11 Juli 1905 Domperidon sirup 5 mg/5ml 400 Botol Rp 2,700 1,080,000.00 400 Botol Rp 2,700 1,080,000.00 0 Botol Rp 2,700
84 10 Juli 1905 Dulcolax bisakodil supp 10 mg 0 Supp Rp 5,900 - 0 Supp Rp 5,900 - 0 Supp Rp 5,900
85 11 Juli 1905 Dulcolax bisakodil supp 10 mg 0 Supp Rp 5,900 - 0 Supp Rp 5,900 - 0 Supp Rp 5,900
86 11 Juli 1905 Epinefrin / Adrenalin inj 0.1 % 0 Ampul Rp 1,408 - 0 Ampul Rp 1,408 - 0 Ampul Rp 1,408
87 12 Juli 1905 Epinefrin / Adrenalin inj 0.1 % 0 Ampul Rp 1,408 - -8 Ampul Rp 1,408 - 11,264.00 8 Ampul Rp 1,408
88 11 Juli 1905 Eritromisin kapsul 250 mg 1000 Kapsul Rp 583 583,000.00 70 Kapsul Rp 583 40,810.00 930 Kapsul Rp 583
89 09 Juli 1905 Eritromisin kapsul 500 mg 0 Kaplet Rp 730 - 0 Kaplet Rp 730 - 0 Kaplet Rp 730
90 08 Juli 1905 Eritromisin sirup 200mg/5 ml 0 Botol Rp 6,700 - 0 Botol Rp 6,700 - 0 Botol Rp 6,700
91 10 Juli 1905 Eritromisin sirup 200mg/5 ml 0 Botol Rp 6,090 - 0 Botol Rp 6,090 - 0 Botol Rp 6,090
92 10 Juli 1905 Fenobarbital tablet 30 mg 0 Tablet Rp 171 - -690 Tablet Rp 171 - 117,990.00 690 Tablet Rp 171
93 11 Juli 1905 Fenobarbital tablet 30 mg 0 Tablet Rp 171 - 0 Tablet Rp 171 - 0 Tablet Rp 171
94 09 Juli 1905 Fenoterol nebules solution 0 Botol Rp 125,750 - 0 Botol Rp 125,750 - 0 Botol Rp 125,750
95 11 Juli 1905 Fenoterol nebules solution 0 Botol Rp 130,190 - 0 Botol Rp 130,190 - 0 Botol Rp 130,190
96 10 Juli 1905 Fitomenadion (Vit K1) tablet gula 10 mg 0 Tablet Rp 710 - 0 Tablet Rp 710 - 0 Tablet Rp 710
97 11 Juli 1905 Fitomenadion (Vit K1) tablet gula 10 mg 0 Tablet Rp 758 - 0 Tablet Rp 758 - 0 Tablet Rp 758
98 11 Juli 1905 Fitomenadion injeksi 2mg/1ml 0 Ampul Rp 3,682 - 0 Ampul Rp 3,682 - 0 Ampul Rp 3,682
99 12 Juli 1905 Fitomenadion injeksi 2mg/1ml 0 Ampul Rp 3,682 - 0 Ampul Rp 3,682 - 0 Ampul Rp 3,682
Page 278 of 288
100 09 Juli 1905 Framisetin Sulfat Tulle 1% 0 Sachet Rp 8,990 - 0 Sachet Rp 8,990 - 0 Sachet Rp 8,990
101 09 Juli 1905 Furosemid tab 40 mg 0 Tablet Rp 80 - 0 Tablet Rp 80 - 0 Tablet Rp 80

102 11 Juli 1905 Furosemid tab 40 mg 0 Tablet Rp 82 - 0 Tablet Rp 82 - 0 Tablet Rp 82
103 11 Juli 1905 Garam oralit serbuk kombinasi 500 Sachet Rp 274 137,000.00 276 Sachet Rp 274 75,624.00 224 Sachet Rp 274
104 09 Juli 1905 Gentian Violet larutan 1 % 0 Botol Rp 2,244 - 0 Botol Rp 2,244 - 0 Botol Rp 2,244
105 10 Juli 1905 Gentian Violet larutan 1 % 0 Botol Rp 2,750 - -39 Botol Rp 2,750 - 107,250.00 39 Botol Rp 2,750
106 10 Juli 1905 Glibenklamid 5 mg 1000 Tablet Rp 119 119,000.00 -750 Tablet Rp 119 - 89,250.00 1750 Tablet Rp 119
107 12 Juli 1905 Glibenklamid 5 mg 0 Tablet Rp 119 - 0 Tablet Rp 119 - 0 Tablet Rp 119
108 11 Juli 1905 Glimepirid 2mg 0 Tablet Rp 207 - -510 Tablet Rp 207 - 105,570.00 510 Tablet Rp 207
109 12 Juli 1905 Glimepirid 2mg 0 Tablet Rp 207 - 0 Tablet Rp 207 - 0 Tablet Rp 207
110 10 Juli 1905 Glukosa larutan infus 5% 0 Botol Rp 6,900 - 0 Botol Rp 6,900 - 0 Botol Rp 6,900
111 12 Juli 1905 Glukosa larutan infus 5% 0 Botol Rp 7,363 - -12 Botol Rp 7,363 - 88,356.00 12 Botol Rp 7,363
112 09 Juli 1905 Griseofulvin tablet 125 mg micronized 0 Tablet Rp 245 - -3972 Tablet Rp 245 - 973,140.00 3972 Tablet Rp 245
113 09 Juli 1905 Griseofulvin tablet 250 mg micronized 0 Tablet Rp 1,705 - 0 Tablet Rp 1,705 - 0 Tablet Rp 1,705
114 11 Juli 1905 Guafenesin tablet 3000 Tablet Rp 160 480,000.00 -4101 Tablet Rp 160 - 656,160.00 7101 Tablet Rp 160
115 12 Juli 1905 Guafenesin tablet 0 Tablet Rp 120 - 0 Tablet Rp 120 - 0 Tablet Rp 120
116 10 Juli 1905 Haloperidol imj 50 mg/ml 0 Ampul Rp 20,260 - 0 Ampul Rp 20,260 - 0 Ampul Rp 20,260
117 11 Juli 1905 Haloperidol inj 50 mg/ml 0 Ampul Rp 101,300 - 0 Ampul Rp 101,300 - 0 Ampul Rp 101,300
118 APBN HALOPERIDOL INJ 50 MG/ML (DEKANOAT) 0 KOTAK Rp 506,500 - 0 KOTAK Rp 506,500 - 0 KOTAK Rp 506,500
119 APBN HALOPERIDOL TABLET 0,5 MG 0 TABLET Rp 55 - 0 TABLET Rp 55 - 0 TABLET Rp 55

120 11 Juli 1905 Haloperidol Tablet 1,5 mg 0 Tablet Rp 59 - 0 Tablet Rp 59 - 0 Tablet Rp 59
121 APBN HALOPERIDOL TABLET 1,5 MG 0 TABLET Rp 59 - 0 TABLET Rp 59 - 0 TABLET Rp 59

122 11 Juli 1905 Haloperidol Tablet 5 mg 0 Tablet Rp 60 - 0 Tablet Rp 60 - 0 Tablet Rp 60
123 08 Juli 1905 Hidroklortiazid (HCT) tablet 25 mg 0 Tablet Rp 149 - 0 Tablet Rp 149 - 0 Tablet Rp 149
126 10 Juli 1905 Hidrokortison cream 2,5 % 0 Tube Rp 2,475 - 0 Tube Rp 2,475 - 0 Tube Rp 2,475
127 11 Juli 1905 Hidrokortison cream 2,5 % 312 Tube Rp 2,475 772,200.00 128 Tube Rp 2,475 316,800.00 184 Tube Rp 2,475
128 09 Juli 1905 Isorbid dinitrat tablet sublingual 5 mg 0 Tablet Rp 90 - 0 Tablet Rp 90 - 0 Tablet Rp 90
129 10 Juli 1905 Isosorbid Dinitrat 5 mg 0 Tablet Rp 89 - 0 Tablet Rp 89 - 0 Tablet Rp 89

130 11 Juli 1905 Kalium Diklofenak 50 mg (POTAFLAM-50) 0 Tablet Rp 684 - 0 Tablet Rp 684 - 0 Tablet Rp 684
131 12 Juli 1905 Kalium Diklofenak 50 mg (POTAFLAM) 200 Tablet Rp 725 145,000.00 200 Tablet Rp 725 145,000.00 0 Tablet Rp 725
132 09 Juli 1905 Kalsium Glukonat injkesi i.v 10% (100mg/ml) 0 Ampul Rp 9,955 - 0 Ampul Rp 9,955 - 0 Ampul Rp 9,955
133 10 Juli 1905 Kalsium Glukonat injkesi i.v 10% (100mg/ml) 0 Ampul Rp 10,351 - 0 Ampul Rp 10,351 - 0 Ampul Rp 10,351
134 11 Juli 1905 Kalsium Glukonat injkesi i.v 10% (100mg/ml) 24 Ampul Rp 10,351 248,424.00 24 Ampul Rp 10,351 248,424.00 0 Ampul Rp 10,351
135 11 Juli 1905 Kalsium Laktat (Kalk) Tablet 500 mg 0 Tablet Rp 59 - 0 Tablet Rp 59 - 0 Tablet Rp 59
136 11 Juli 1905 Kalsium Laktat (Kalk) Tablet 500 mg 5000 Tablet Rp 63 315,000.00 -3993 Tablet Rp 63 - 251,559.00 8993 Tablet Rp 63
137 12 Juli 1905 Kalsium Laktat (Kalk) Tablet 500 mg 0 Tablet Rp 63 - 0 Tablet Rp 63 - 0 Tablet Rp 63
138 12 Juli 1905 Kaptopril tablet 12,5 mg 0 Tablet Rp 66 - -219 Tablet Rp 66 - 14,454.00 219 Tablet Rp 66
139 09 Juli 1905 Ketokonazol krim 2 % 0 Tube Rp 2,545 - 0 Tube Rp 2,545 - 0 Tube Rp 2,545
140 10 Juli 1905 Ketokonazol krim 2 % 0 Tube Rp 2,518 - 0 Tube Rp 2,518 - 0 Tube Rp 2,518
141 11 Juli 1905 Ketokonazol krim 2 % 100 Tube Rp 2,518 251,800.00 37 Tube Rp 2,518 93,166.00 63 Tube Rp 2,518
142 09 Juli 1905 Ketokonazol tablet 200 mg 0 Tablet Rp 280 - 0 Tablet Rp 280 - 0 Tablet Rp 280
143 10 Juli 1905 Klobazam 10 mg 0 Tablet Rp 739 - 0 Tablet Rp 739 - 0 Tablet Rp 739
144 APBN Klobazam 10 mg 0 KOTAK Rp 77,600 - 0 KOTAK Rp 77,600 - 0 KOTAK Rp 77,600
145 10 Juli 1905 Kloramfenikol salep kulit 2 % 0 Tube Rp 3,038 - 0 Tube Rp 3,038 - 0 Tube Rp 3,038
146 11 Juli 1905 Kloramfenikol salep kulit 2 % 0 Tube Rp 3,242 - 0 Tube Rp 3,242 - 0 Tube Rp 3,242
147 11 Juli 1905 Kloramfenikol salep mata 1 % 24 Tube Rp 2,007 48,168.00 24 Tube Rp 2,007 48,168.00 0 Tube Rp 2,007
148 10 Juli 1905 Kloramfenikol tetes telinga 3% 20 Botol Rp 6,050 121,000.00 20 Botol Rp 6,050 121,000.00 0 Botol Rp 6,050
149 11 Juli 1905 Kloramfenikol tetes Telinga 3% (RECO) 0 Botol Rp 6,400 - -18 Botol Rp 6,400 - 115,200.00 18 Botol Rp 6,400
150 12 Juli 1905 Kloramfenikol tetes Telinga 3% (RECO) 20 Botol Rp 7,100 142,000.00 0 Botol Rp 7,100 - 20 Botol Rp 7,100
151 11 Juli 1905 Kloramfenikol tetes Mata 0.5 % (RECO) 0 Botol Rp 10,100 - 0 Botol Rp 10,100 - 0 Botol Rp 10,100
152 12 Juli 1905 Kloramfenikol tetes Mata 0.5 % (RECO) 150 Botol Rp 7,800 1,170,000.00 58 Botol Rp 7,800 452,400.00 92 Botol Rp 7,800
153 10 Juli 1905 Klorfeniramin maleat tablet 4 mg 5000 Tablet Rp 22 110,000.00 1957 Tablet Rp 22 43,054.00 3043 Tablet Rp 22
154 11 Juli 1905 Klorfeniramin maleat tablet 4 mg 0 Tablet Rp 23 - 0 Tablet Rp 23 - 0 Tablet Rp 23
155 10 Juli 1905 Klorheksidin 0,2% 0 Botol Rp 124,355 - -2 Botol Rp 124,355 - 248,710.00 2 Botol Rp 124,355
156 11 Juli 1905 Klorheksidin 0,2% 0 Botol Rp 124,355 - 0 Botol Rp 124,355 - 0 Botol Rp 124,355
157 APBN KLORPROMAZINE 100 MG 0 TABLET Rp 147 - 0 TABLET Rp 147 - 0 TABLET Rp 147
158 APBN KLORPROMAZINE 100 MG 0 KOTAK Rp 15,700 - 0 KOTAK Rp 15,700 - 0 KOTAK Rp 15,700
159 11 Juli 1905 Klozapin 25 mg 0 Tablet Rp 1,121 - 0 Tablet Rp 1,121 - 0 Tablet Rp 1,121
160 APBN Klozapin 25 mg 0 KOTAK Rp 56,050 - 0 KOTAK Rp 56,050 - 0 KOTAK Rp 56,050

161 11 Juli 1905 Kotrimoksazol suspensi 0 Botol Rp 2,190 - 0 Botol Rp 2,190 - 0 Botol Rp 2,190
162 12 Juli 1905 Kotrimoksazol suspensi 100 Botol Rp 2,190 219,000.00 11 Botol Rp 2,190 24,090.00 89 Botol Rp 2,190
163 09 Juli 1905 Kotrimosazol tablet. Komb: Sulfametoksazol 400 mg + Trimetoprim 80 mg 0 Tablet Rp 151 - 0 Tablet Rp 151 - 0 Tablet Rp 151
Page 279 of 288
164 11 Juli 1905 Kotrimoksazol tablet 480 mg 0 Tablet Rp 133 - 0 Tablet Rp 133 - 0 Tablet Rp 133
165 12 Juli 1905 Kotrimoksazol tablet 480 mg 0 Tablet Rp 133 - -984 Tablet Rp 133 - 130,872.00 984 Tablet Rp 133
166 11 Juli 1905 Lactobacillus (PROBIOKIDS) 0 Sachet Rp 12,975 - 0 Sachet Rp 12,975 - 0 Sachet Rp 12,975
167 12 Juli 1905 Lactobacillus (PROBIOKIDS) 350 Sachet Rp 12,400 4,340,000.00 63 Sachet Rp 12,400 781,200.00 287 Sachet Rp 12,400
168 11 Juli 1905 Lactulose Sirup 3,335 g/5 ml 0 Botol Rp 15,060 - 0 Botol Rp 15,060 - 0 Botol Rp 15,060
169 11 Juli 1905 Lidokain Injeksi 2% 0 Ampul Rp 1,140 - 0 Ampul Rp 1,140 - 0 Ampul Rp 1,140
170 11 Juli 1905 Lidokain Injeksi 2% 300 Ampul Rp 1,216 364,800.00 200 Ampul Rp 1,216 243,200.00 100 Ampul Rp 1,216
171 10 Juli 1905 Lidokain Injeksi 2% + Epinefrin 0 Ampul Rp 1,152 - 0 Ampul Rp 1,152 - 0 Ampul Rp 1,152
172 11 Juli 1905 Lidokain Injeksi 2% + Epinefrin 0 Ampul Rp 1,229 - 0 Ampul Rp 1,229 - 0 Ampul Rp 1,229
173 11 Juli 1905 Lidokain Spray Oral 10% (xylocain spray) 0 Botol Rp 189,107 - -2 Botol Rp 189,107 - 378,214.00 2 Botol Rp 189,107
174 11 Juli 1905 Loratadine 10 mg 0 Tablet Rp 131 - 0 Tablet Rp 131 - 0 Tablet Rp 131
175 10 Juli 1905 Magnesium sulfat inj 20 % 0 Botol Rp 3,328 - 0 Botol Rp 3,328 - 0 Botol Rp 3,328
176 11 Juli 1905 Magnesium sulfat inj 20 % 0 Botol Rp 3,328 - 0 Botol Rp 3,328 - 0 Botol Rp 3,328
177 11 Juli 1905 Metformin 500 mg 0 Tablet Rp 102 - 0 Tablet Rp 102 - 0 Tablet Rp 102
178 11 Juli 1905 Metformin HCL tablet 850 mg 0 Tablet Rp 160 - 0 Tablet Rp 160 - 0 Tablet Rp 160
179 10 Juli 1905 Methisoprinol 250 mg/5 ml 0 Botol Rp 55,000 - 0 Botol Rp 55,000 - 0 Botol Rp 55,000
180 11 Juli 1905 Methisoprinol 250 mg/5ml 0 Botol Rp 55,000 - 0 Botol Rp 55,000 - 0 Botol Rp 55,000
181 12 Juli 1905 Methisoprinol 250 mg/5ml 50 Botol Rp 53,625 2,681,250.00 20 Botol Rp 53,625 1,072,500.00 30 Botol Rp 53,625
182 11 Juli 1905 Methisoprinol 500 mg 0 Tablet Rp 3,300 - 0 Tablet Rp 3,300 - 0 Tablet Rp 3,300
183 12 Juli 1905 Methisoprinol 500 mg 500 Tablet Rp 3,215 1,607,500.00 430 Tablet Rp 3,215 1,382,450.00 70 Tablet Rp 3,215
184 11 Juli 1905 Metilergometrin injeksi 0,2 mg/ml 0 Ampul Rp 2,959 - 0 Ampul Rp 2,959 - 0 Ampul Rp 2,959
185 10 Juli 1905 Metilergometrin tablet salut 0,125 mg 0 Tablet Rp 210 - -400 Tablet Rp 210 - 84,000.00 400 Tablet Rp 210
186 11 Juli 1905 Metilergometrin tablet salut 0,125 mg 0 Tablet Rp 224 - 0 Tablet Rp 224 - 0 Tablet Rp 224
187 11 Juli 1905 Metilprednisolon 4 mg 0 Tablet Rp 143 - 0 Tablet Rp 143 - 0 Tablet Rp 143
188 10 Juli 1905 Mikonazol cream 2% 0 Tube Rp 3,414 - 0 Tube Rp 3,414 - 0 Tube Rp 3,414
189 11 Juli 1905 Mikonazol cream 2% 0 Tube Rp 3,414 - 0 Tube Rp 3,414 - 0 Tube Rp 3,414
190 12 Juli 1905 Mikonazol cream 2% 48 Tube Rp 3,414 163,872.00 1 Tube Rp 3,414 3,414.00 47 Tube Rp 3,414
191 11 Juli 1905 Multivitamin anak Sirup (SANBE KID) 120 Botol Rp 38,000 4,560,000.00 120 Botol Rp 38,000 4,560,000.00 0 Botol Rp 38,000
192 12 Juli 1905 Multivitamin anak Sirup (SANBE KID) 120 Botol Rp 35,300 4,236,000.00 79 Botol Rp 35,300 2,788,700.00 41 Botol Rp 35,300
193 11 Juli 1905 Multivitamin Dewasa (PERVITAL) 0 Kapsul Rp 832 - 0 Kapsul Rp 832 - 0 Kapsul Rp 832
194 12 Juli 1905 Multivitamin Dewasa (HORVITA) 5100 Kapsul Rp 1,650 8,415,000.00 5100 Kapsul Rp 1,650 8,415,000.00 0 Kapsul Rp 1,650
195 10 Juli 1905 Natrium Diklofenak tablet 25 mg 0 Tablet Rp 128 - 0 Tablet Rp 128 - 0 Tablet Rp 128
199 12 Juli 1905 Natrium Diklofenak tablet 50 mg 2800 Tablet Rp 123 344,400.00 2670 Tablet Rp 123 328,410.00 130 Tablet Rp 123
200 11 Juli 1905 Natrium Klorida larutan infus 0.9 % steril 40 Botol Rp 6,840 273,600.00 40 Botol Rp 6,840 273,600.00 0 Botol Rp 6,840
201 10 Juli 1905 Natrium Klorida larutan infus 0.9 % steril 500 ml 0 Botol Rp 6,410 - 0 Botol Rp 6,410 - 0 Botol Rp 6,410
202 12 Juli 1905 Natrium Klorida larutan infus 0.9 % steril 120 Botol Rp 6,840 820,800.00 100 Botol Rp 6,840 684,000.00 20 Botol Rp 6,840
203 09 Juli 1905 Nifedipin tablet 10 mg 0 Tablet Rp 99 - 0 Tablet Rp 99 - 0 Tablet Rp 99

204 11 Juli 1905 Nistatin tablet salut 500.000 IU 0 Tablet Rp 843 - 0 Tablet Rp 843 - 0 Tablet Rp 843
205 12 Juli 1905 Nistatin tablet salut 500.000 IU 0 Tablet Rp 843 - 0 Tablet Rp 843 - 0 Tablet Rp 843
206 10 Juli 1905 Nistatin tablet vaginal 100.000 IU/g 0 Vagsupp Rp 560 - -122 Vagsupp Rp 560 - 68,320.00 122 Vagsupp Rp 560
207 11 Juli 1905 Nistatin tablet vaginal 100.000 IU/g 0 Vagsupp Rp 598 - 0 Vagsupp Rp 598 - 0 Vagsupp Rp 598
208 12 Juli 1905 Nistatin tablet vaginal 100.000 IU/g 0 Vagsupp Rp 598 - 0 Vagsupp Rp 598 - 0 Vagsupp Rp 598
209 10 Juli 1905 Obat Antianemia 0 Kapsul Rp 440 - -3909 Kapsul Rp 440 - 1,719,960.00 3909 Kapsul Rp 440
210 11 Juli 1905 Obat Antianemia Drop (FERRIZ DROP) 0 Botol Rp 32,224 - 0 Botol Rp 32,224 - 0 Botol Rp 32,224
211 12 Juli 1905 Obat Antianemia Drop (FERRIZ DROP) 0 Botol Rp 36,400 - 0 Botol Rp 36,400 - 0 Botol Rp 36,400
212 11 Juli 1905 Obat Antifungi Drop (NYMIKO DROP) 0 Botol Rp 34,000 - -51 Botol Rp 34,000 - 1,734,000.00 51 Botol Rp 34,000
213 12 Juli 1905 Obat Antifungi Drop 0 Botol Rp 33,530 - 0 Botol Rp 33,530 - 0 Botol Rp 33,530
214 11 Juli 1905 Obat Batuk Hitam (OBH) 0 Botol Rp 8,350 - -59 Botol Rp 8,350 - 492,650.00 59 Botol Rp 8,350
215 12 Juli 1905 Obat Batuk Hitam (OBH) 0 Botol Rp 7,788 - 0 Botol Rp 7,788 - 0 Botol Rp 7,788
216 10 Juli 1905 Obat Dekongestan 0 Tablet Rp 1,480 - 0 Tablet Rp 1,480 - 0 Tablet Rp 1,480
217 11 Juli 1905 Obat Dekongestan Tablet (TREMENZA) 0 Tablet Rp 1,524 - 0 Tablet Rp 1,524 - 0 Tablet Rp 1,524
218 12 Juli 1905 Obat Dekongestan Tablet (TREMENZA) 500 Tablet Rp 1,600 800,000.00 500 Tablet Rp 1,600 800,000.00 0 Tablet Rp 1,600
219 11 Juli 1905 Obat Flu dan Batuk Sirup (WICOLD SIRUP) 0 Botol Rp 12,800 - 0 Botol Rp 12,800 - 0 Botol Rp 12,800
220 12 Juli 1905 Obat Flu dan Batuk Sirup (WICOLD SIRUP) 120 Botol Rp 11,500 1,380,000.00 47 Botol Rp 11,500 540,500.00 73 Botol Rp 11,500
221 11 Juli 1905 Obat Flu dan Batuk Tablet (WICOLD TABLET 500 Tablet Rp 810 405,000.00 500 Tablet Rp 810 405,000.00 0 Tablet Rp 810
222 12 Juli 1905 Obat Flu dan Batuk Tablet (WICOLD TABLET 1300 Tablet Rp 750 975,000.00 1300 Tablet Rp 750 975,000.00 0 Tablet Rp 750
223 09 Juli 1905 Obat Pencahar Sirup 0 Botol Rp 7,700 - 0 Botol Rp 7,700 - 0 Botol Rp 7,700
224 10 Juli 1905 Oksitetrasiklin HCl salep kulit 3 % 0 Tube Rp 2,000 - 0 Tube Rp 2,000 - 0 Tube Rp 2,000
227 10 Juli 1905 Oksitosin injeksi 10 IU/ml 0 Ampul Rp 1,199 - 0 Ampul Rp 1,199 - 0 Ampul Rp 1,199
Page 280 of 288
228 11 Juli 1905 Oksitosin injeksi 10 IU/ml 0 Ampul Rp 1,199 - 0 Ampul Rp 1,199 - 0 Ampul Rp 1,199
229 12 Juli 1905 Oksitosin injeksi 10 IU/ml 0 Ampul Rp 1,199 - -26 Ampul Rp 1,199 - 31,174.00 26 Ampul Rp 1,199
230 10 Juli 1905 Olanzapin salut selaput 10 mg 0 Tablet Rp 4,725 - 0 Tablet Rp 4,725 - 0 Tablet Rp 4,725
231 11 Juli 1905 Olanzapin salut selaput 10 mg 0 Tablet Rp 4,725 - 0 Tablet Rp 4,725 - 0 Tablet Rp 4,725
232 12 Juli 1905 Omeprazol injeksi 40mg/10ml 30 Vial Rp 10,393 311,790.00 30 Vial Rp 10,393 311,790.00 0 Vial Rp 10,393
233 12 Juli 1905 Parasetamol drops 100 mg/ml (60 mg/0,6 ml) 360 Botol Rp 6,649 2,393,640.00 100 Botol Rp 6,649 664,900.00 260 Botol Rp 6,649
234 11 Juli 1905 Parasetamol sirup 120 ml/5ml 400 Botol Rp 1,107 442,800.00 94 Botol Rp 1,107 104,058.00 306 Botol Rp 1,107
235 11 Juli 1905 Parasetamol sirup 120 ml/5ml 200 Botol Rp 1,181 236,200.00 0 Botol Rp 1,181 - 200 Botol Rp 1,181
236 11 Juli 1905 Parasetamol Suppositoria (PYREXIN) 0 Supp Rp 11,800 - 0 Supp Rp 11,800 - 0 Supp Rp 11,800
237 12 Juli 1905 Parasetamol Suppositoria (PROPYRETIC) 72 Supp Rp 8,100 583,200.00 62 Supp Rp 8,100 502,200.00 10 Supp Rp 8,100
238 12 Juli 1905 Parasetamol tablet 500 mg 0 Tablet Rp 152 - 0 Tablet Rp 152 - 0 Tablet Rp 152
239 09 Juli 1905 Permetrin krim 5% 10 g 0 Tube Rp 12,155 - 0 Tube Rp 12,155 - 0 Tube Rp 12,155
241 12 Juli 1905 Permetrin krim 5% 10 g 0 Tube Rp 11,825 - -48 Tube Rp 11,825 - 567,600.00 48 Tube Rp 11,825
242 11 Juli 1905 Phenol Glycerol 10% 0 Botol Rp 2,764 - 0 Botol Rp 2,764 - 0 Botol Rp 2,764
243 10 Juli 1905 Pirantel pamoat tablet 125 mg 0 Tablet Rp 287 - 0 Tablet Rp 287 - 0 Tablet Rp 287
244 11 Juli 1905 Pirantel pamoat tablet 125 mg 0 Tablet Rp 306 - -496 Tablet Rp 306 - 151,776.00 496 Tablet Rp 306
245 10 Juli 1905 Piridoksin (Vitamin B6) tablet 10 mg 0 Tablet Rp 123 - 0 Tablet Rp 123 - 0 Tablet Rp 123
246 11 Juli 1905 Piridoksin (Vitamin B6) tablet 10 mg 0 Tablet Rp 131 - 0 Tablet Rp 131 - 0 Tablet Rp 131
247 12 Juli 1905 Piridoksin (Vitamin B6) tablet 10 mg 0 Tablet Rp 131 - -3927 Tablet Rp 131 - 514,437.00 3927 Tablet Rp 131
248 11 Juli 1905 Prednison tablet 5 mg 0 Tablet Rp 73 - 0 Tablet Rp 73 - 0 Tablet Rp 73
249 12 Juli 1905 Prednison tablet 5 mg 3000 Tablet Rp 73 219,000.00 -3141 Tablet Rp 73 - 229,293.00 6141 Tablet Rp 73
250 09 Juli 1905 Propranolol HCl 10 mg 0 Tablet Rp 52 - 0 Tablet Rp 52 - 0 Tablet Rp 52
251 10 Juli 1905 Propranolol HCl 10 mg 0 Tablet Rp 54 - 0 Tablet Rp 54 - 0 Tablet Rp 54
252 11 Juli 1905 Pseudoefedrin Hcl Drop (DEVOSIX) 0 Botol Rp 30,000 - 0 Botol Rp 30,000 - 0 Botol Rp 30,000
253 12 Juli 1905 Pseudoefedrin Hcl Drop (DEVOSIX) 20 Botol Rp 23,000 460,000.00 20 Botol Rp 23,000 460,000.00 0 Botol Rp 23,000
254 12 Juli 1905 Ranitidin Hcl Sirup (RANICHO) 168 Pcs Rp 55,000 9,240,000.00 71 Pcs Rp 55,000 3,905,000.00 97 Pcs Rp 55,000
255 09 Juli 1905 Retinol (VIT A) kapsul 100.000 IU 0 Softcaps Rp 284 - 0 Softcaps Rp 284 - 0 Softcaps Rp 284
259 11 Juli 1905 Retinol (VIT A) kapsul 200.000 IU 0 Softcaps Rp 552 - -1193 Softcaps Rp 552 - 658,536.00 1193 Softcaps Rp 552
260 09 Juli 1905 Retinol (VIT A) tablet salut 200.000 IU 0 Softcaps Rp 505 - 0 Softcaps Rp 505 - 0 Softcaps Rp 505
262 12 Juli 1905 Retinol (VIT A) kapsul 200.000 IU 0 Softcaps Rp 552 - -5000 Softcaps Rp 552 - 2,760,000.00 5000 Softcaps Rp 552
263 09 Juli 1905 Ringer laktat larutan infus steril 340 Botol Rp 7,150 2,431,000.00 340 Botol Rp 7,150 2,431,000.00 0 Botol Rp 7,150
264 12 Juli 1905 Ringer laktat larutan infus steril 260 Botol Rp 7,630 1,983,800.00 162 Botol Rp 7,630 1,236,060.00 98 Botol Rp 7,630
265 11 Juli 1905 Risperidon 2 mg 0 Tablet Rp 287 - 0 Tablet Rp 287 - 0 Tablet Rp 287
266 APBN Risperidon 2 mg 0 KOTAK Rp 28,700 - 0 KOTAK Rp 28,700 - 0 KOTAK Rp 28,700
267 09 Juli 1905 Salbutamol tab 4 mg 0 Tablet Rp 83 - 0 Tablet Rp 83 - 0 Tablet Rp 83

268 10 Juli 1905 Salep 24, kombinasi : asam salisilat 2%+belerang endap 4 % 0 Pot Rp 2,621 - 0 Pot Rp 2,621 - 0 Pot Rp 2,621
269 11 Juli 1905 Salep 24, kombinasi : asam salisilat 2%+belerang endap 4 % 0 Pot Rp 2,797 - 0 Pot Rp 2,797 - 0 Pot Rp 2,797
270 APBN SKIZONOATE 25 MG/ML 0 KOTAK Rp 319,065 - 0 KOTAK Rp 319,065 - 0 KOTAK Rp 319,065
271 11 Juli 1905 Sulfadiazin Krim 1% 0 Tube Rp 20,700 - -106 Tube Rp 20,700 - 2,194,200.00 106 Tube Rp 20,700
272 11 Juli 1905 Suplemen Ibu Menyusui (ASIFIT) 0 Kaplet Rp 2,050 - 0 Kaplet Rp 2,050 - 0 Kaplet Rp 2,050
273 12 Juli 1905 Suplemen Ibu Menyusui (LARSI) 300 Kapsul Rp 1,500 450,000.00 300 Kapsul Rp 1,500 450,000.00 0 Kapsul Rp 1,500
274 10 Juli 1905 Tiamin HCL / Nitrat ( Vit B1 ) 3000 Tablet Rp 85 255,000.00 -488 Tablet Rp 85 - 41,480.00 3488 Tablet Rp 85
275 11 Juli 1905 Tiamin HCL / Nitrat ( Vit B1 ) 0 Tablet Rp 91 - 0 Tablet Rp 91 - 0 Tablet Rp 91
276 11 Juli 1905 Triheksifenidil Tablet 2 mg 0 Tablet Rp 91 - 0 Tablet Rp 91 - 0 Tablet Rp 91
277 APBN Triheksifenidil Tablet 2 mg 0 KOTAK Rp 9,100 - 0 KOTAK Rp 9,100 - 0 KOTAK Rp 9,100
278 11 Juli 1905 Underpad 0 Pcs Rp 7,900 - 0 Pcs Rp 7,900 - 0 Pcs Rp 7,900
279 11 Juli 1905 Vitamin B Komplek 21300 Tablet Rp 118 2,513,400.00 21300 Tablet Rp 118 2,513,400.00 0 Tablet Rp 118
280 11 Juli 1905 Vitamin Neurotropik Injeksi (NEUROSANBE) 0 Ampul Rp 5,467 - 0 Ampul Rp 5,467 - 0 Ampul Rp 5,467
281 12 Juli 1905 Vitamin Neurotropik Injeksi (NEUROSANBE) 20 Ampul Rp 5,400 108,000.00 10 Ampul Rp 5,400 54,000.00 10 Ampul Rp 5,400
282 11 Juli 1905 Vitamin Neurotropik Tablet (NEUROVIT - E) 0 Tablet Rp 1,167 - 0 Tablet Rp 1,167 - 0 Tablet Rp 1,167
283 12 Juli 1905 Vitamin Neurotropik Tablet (NEUROVIT - E) 1200 Tablet Rp 3,085 3,702,000.00 1200 Tablet Rp 3,085 3,702,000.00 0 Tablet Rp 3,085
284 11 Juli 1905 Zink Sirup 20 mg/ml 0 Botol Rp 3,171 - 0 Botol Rp 3,171 - 0 Botol Rp 3,171
285 12 Juli 1905 Zink Sirup 20 mg/ml 72 Botol Rp 3,171 228,312.00 72 Botol Rp 3,171 228,312.00 0 Botol Rp 3,171
286 09 Juli 1905 Antiseptik untuk saluran akar 0 Botol Rp 360,000 - 0 Botol Rp 360,000 - 0 Botol Rp 360,000
287 06 Juli 1905 Articulating paper 0 Pak Rp 298,760 - 0 Pak Rp 298,760 - 0 Pak Rp 298,760
288 10 Juli 1905 Articulating paper 0 Pak Rp 146,150 - 0 Pak Rp 146,150 - 0 Pak Rp 146,150
289 11 Juli 1905 Articulating paper 0 Kotak Rp 170,000 - -10 Kotak Rp 170,000 - 1,700,000.00 10 Kotak Rp 170,000
290 11 Juli 1905 Bonding 0 Botol Rp 509,000 - -1 Botol Rp 509,000 - 509,000.00 1 Botol Rp 509,000
291 10 Juli 1905 Cairan desinfektan untuk sistem penyedotan pada alat dental (orotol) 0 Botol Rp 1,551,000 - 0 Botol Rp 1,551,000 - 0 Botol Rp 1,551,000
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292 11 Juli 1905 Cairan desinfektan untuk sistem penyedotan pada alat dental (OROTOL) 0 Botol Rp 1,762,000 - 0 Botol Rp 1,762,000 - 0 Botol Rp 1,762,000
293 09 Juli 1905 Cairan Pembersih Gigi 0 Botol Rp 170,000 - 0 Botol Rp 170,000 - 0 Botol Rp 170,000
294 11 Juli 1905 Celluloid Strip Svenska 0 pack Rp 151,000 - -1 pack Rp 151,000 - 151,000.00 1 pack Rp 151,000
295 10 Juli 1905 Cotton roll 0 Pcs Rp 310,200 - 0 Pcs Rp 310,200 - 0 Pcs Rp 310,200
296 11 Juli 1905 Cotton roll 0 Pcs Rp 34,400 - 0 Pcs Rp 34,400 - 0 Pcs Rp 34,400
297 11 Juli 1905 Cotton Swab 0 Pack Rp 5,500 - -10 Pack Rp 5,500 - 55,000.00 10 Pack Rp 5,500
298 11 Juli 1905 Devitalisasi pasta ( Pulp-X) 0 Pcs Rp 217,000 - 0 Pcs Rp 217,000 - 0 Pcs Rp 217,000
299 11 Juli 1905 Etching 0 Pcs Rp 550,000 - 0 Pcs Rp 550,000 - 0 Pcs Rp 550,000
300 04 Juli 1905 Eugenol Cairan 0 Pcs Rp 44,605 - -4 Pcs Rp 44,605 - 178,420.00 4 Pcs Rp 44,605
301 10 Juli 1905 Fletcher 0 Pcs Rp 15,510 - 0 Pcs Rp 15,510 - 0 Pcs Rp 15,510
302 11 Juli 1905 Fletcher 0 Pcs Rp 32,000 - 0 Pcs Rp 32,000 - 0 Pcs Rp 32,000
303 06 Juli 1905 Fletcher Cairan 0 Pcs Rp 25,200 - 0 Pcs Rp 25,200 - 0 Pcs Rp 25,200
304 10 Juli 1905 Glass Ionomer cement 0 Pcs Rp 613,160 - 0 Pcs Rp 613,160 - 0 Pcs Rp 613,160
305 11 Juli 1905 Glass Ionomer cement 0 Set Rp 882,000 - -6 Set Rp 882,000 - 5,292,000.00 6 Set Rp 882,000
306 11 Juli 1905 Kalsium Hidroksida pasta (Calcetin) 0 Pcs Rp 134,000 - -1 Pcs Rp 134,000 - 134,000.00 1 Pcs Rp 134,000
307 11 Juli 1905 Kalsium Hidroksida pasta (HYDCAL) 0 Dus Rp 133,000 - 0 Dus Rp 133,000 - 0 Dus Rp 133,000
308 06 Juli 1905 Mata bor diamond fissur 0 Pcs Rp 10,336 - 0 Pcs Rp 10,336 - 0 Pcs Rp 10,336
309 07 Juli 1905 Mata bor diamond inverted 0 Pcs Rp 55,000 - 0 Pcs Rp 55,000 - 0 Pcs Rp 55,000
310 07 Juli 1905 Mata bor diamond rounded 0 Pcs Rp 55,000 - 0 Pcs Rp 55,000 - 0 Pcs Rp 55,000
311 06 Juli 1905 Mata bor tulang gigi 0 Pcs Rp 50,600 - 0 Pcs Rp 50,600 - 0 Pcs Rp 50,600
312 07 Juli 1905 Mata bor tulang gigi 0 Pcs Rp 283,800 - 0 Pcs Rp 283,800 - 0 Pcs Rp 283,800
313 10 Juli 1905 Microbrush 100's 0 Pcs Rp 188,000 - 0 Pcs Rp 188,000 - 0 Pcs Rp 188,000
314 11 Juli 1905 Microbrush 100's (Svenska) 0 pack Rp 178,000 - -2 pack Rp 178,000 - 356,000.00 2 pack Rp 178,000
315 10 Juli 1905 Minyak handpiece 0 Pcs Rp 827,200 - 0 Pcs Rp 827,200 - 0 Pcs Rp 827,200
316 11 Juli 1905 Minyak handpiece 0 Botol Rp 764,275 - -1 Botol Rp 764,275 - 764,275.00 1 Botol Rp 764,275
317 04 Juli 1905 Monoklorkamfer Mentol cairan (CHKM) 0 Pcs Rp 53,520 - 0 Pcs Rp 53,520 - 0 Pcs Rp 53,520
318 10 Juli 1905 Monoklorkamfer Mentol cairan (CHKM) 0 Pcs Rp 62,040 - 0 Pcs Rp 62,040 - 0 Pcs Rp 62,040
319 11 Juli 1905 Monoklorkamfer Mentol cairan (CHKM/CHAMPHENOL) 0 Pcs Rp 65,000 - 0 Pcs Rp 65,000 - 0 Pcs Rp 65,000
320 08 Juli 1905 Pasta Iodoform 0 Pcs Rp 25,300 - 0 Pcs Rp 25,300 - 0 Pcs Rp 25,300
321 08 Juli 1905 Semen seng fosfat serbuk 0 Pcs Rp 157,300 - 0 Pcs Rp 157,300 - 0 Pcs Rp 157,300
322 10 Juli 1905 Slaber/ dental bib 0 Pcs Rp 948 - 0 Pcs Rp 948 - 0 Pcs Rp 948
323 11 Juli 1905 Slaber/ dental bib 0 Pack Rp 125,000 - -3 Pack Rp 125,000 - 375,000.00 3 Pack Rp 125,000
324 10 Juli 1905 Suction tip 0 pack Rp 94,000 - -2 pack Rp 94,000 - 188,000.00 2 pack Rp 94,000
325 11 Juli 1905 Suction tip (SVENSKA DENTORAMA SALIVA EJECTOR) 0 pack Rp 87,000 - 0 pack Rp 87,000 - 0 pack Rp 87,000
326 10 Juli 1905 Tambal Sementara Untuk Gigi 0 Pcs Rp 345,500 - 0 Pcs Rp 345,500 - 0 Pcs Rp 345,500
327 11 Juli 1905 Tambal Sementara Untuk Gigi (COLTOSOL) 5 Pot Rp 250,900 1,254,500.00 1 Pot Rp 250,900 250,900.00 4 Pot Rp 250,900
328 11 Juli 1905 Tambal Sinar Warna A 2 (NG ENAMEL) 0 Syringe Rp 308,900 - 0 Syringe Rp 308,900 - 0 Syringe Rp 308,900
329 11 Juli 1905 Tambal Sinar Warna A 3 (NG ENAMEL) 0 Syringe Rp 285,300 - 0 Syringe Rp 285,300 - 0 Syringe Rp 285,300
330 11 Juli 1905 Tambal Sinar Warna A 3,5 (NG ENAMEL) 0 Syringe Rp 308,900 - 0 Syringe Rp 308,900 - 0 Syringe Rp 308,900
331 10 Juli 1905 Tambal Sinar Warna A2 Pasta 0 Pcs Rp 425,770 - 0 Pcs Rp 425,770 - 0 Pcs Rp 425,770
332 10 Juli 1905 Tambal Sinar Warna A3 Pasta 0 Pcs Rp 425,770 - 0 Pcs Rp 425,770 - 0 Pcs Rp 425,770
333 10 Juli 1905 Tehnodent Antiseptic Liquid No.2 0 Botol Rp 64,000 - 0 Botol Rp 64,000 - 0 Botol Rp 64,000
334 11 Juli 1905 Tehnodent Antiseptic Liquid No.2 0 Botol Rp 64,000 - 0 Botol Rp 64,000 - 0 Botol Rp 64,000
335 10 Juli 1905 Tehnodent Cresotin Liquid No.2 0 Botol Rp 160,500 - 0 Botol Rp 160,500 - 0 Botol Rp 160,500
336 11 Juli 1905 Tehnodent Cresotin Liquid No.2 0 Botol Rp 160,500 - 0 Botol Rp 160,500 - 0 Botol Rp 160,500
337 10 Juli 1905 Tehnodent Iodotin Paste 0 Botol Rp 96,500 - 0 Botol Rp 96,500 - 0 Botol Rp 96,500
338 11 Juli 1905 Tehnodent Iodotin Paste 0 Pot Rp 96,500 - 0 Pot Rp 96,500 - 0 Pot Rp 96,500
339 06 Juli 1905 Trikresol Formalin 0 Botol Rp 118,125 - 0 Botol Rp 118,125 - 0 Botol Rp 118,125
340 08 Juli 1905 Wipes Desinfektan 0 Botol Rp 271,700 - 0 Botol Rp 271,700 - 0 Botol Rp 271,700
341 09 Juli 1905 Alat suntik sekali pakai 1 ml 0 Pcs Rp 762 - 0 Pcs Rp 762 - 0 Pcs Rp 762
342 11 Juli 1905 Alat Suntik sekali pakai 1 ml (NIPRO) 500 Pcs Rp 1,023 511,500.00 0 Pcs Rp 1,023 - 500 Pcs Rp 1,023
343 09 Juli 1905 Alat Suntik sekali pakai 10 ml 500 Pcs Rp 1,257 628,500.00 0 Pcs Rp 1,257 - 500 Pcs Rp 1,257
344 09 Juli 1905 Alat Suntik sekali pakai 3 ml 2300 Pcs Rp 789 1,814,700.00 2300 Pcs Rp 789 1,814,700.00 0 Pcs Rp 789
345 08 Juli 1905 Alat suntik sekali pakai 5 ml 0 Pcs Rp 1,310 - 0 Pcs Rp 1,310 - 0 Pcs Rp 1,310
346 09 Juli 1905 Alat suntik sekali pakai 5 ml 0 Pcs Rp 839 - -900 Pcs Rp 839 - 755,100.00 900 Pcs Rp 839
347 10 Juli 1905 Alkohol 70% 1 L 0 Botol Rp 21,000 - 0 Botol Rp 21,000 - 0 Botol Rp 21,000
348 11 Juli 1905 Alkohol 70% 1 L 0 Botol Rp 18,700 - 0 Botol Rp 18,700 - 0 Botol Rp 18,700
349 11 Juli 1905 Alkohol Swab 60 Kotak Rp 29,000 1,740,000.00 10 Kotak Rp 29,000 290,000.00 50 Kotak Rp 29,000
350 11 Juli 1905 Anestesia Lokal Spray 0 Botol Rp 334,000 - -11 Botol Rp 334,000 - 3,674,000.00 11 Botol Rp 334,000
351 10 Juli 1905 ANIOS ANIOSGEL 85 500 ml 0 Botol Rp 82,000 - 0 Botol Rp 82,000 - 0 Botol Rp 82,000
352 11 Juli 1905 ANIOS ANIOSGEL 85 500 ml 0 Botol Rp 82,000 - 0 Botol Rp 82,000 - 0 Botol Rp 82,000
353 12 Juli 1905 ANIOS ANIOSGEL 85 500 ml 12 Botol Rp 82,000 984,000.00 12 Botol Rp 82,000 984,000.00 0 Botol Rp 82,000
354 12 Juli 1905 ANIOSGEL 85 5 LITER 12 Galon 5L Rp 500,000 6,000,000.00 12 Galon 5L Rp 500,000 6,000,000.00 0 Galon 5L Rp 500,000
355 10 Juli 1905 ANIOS ANIOSYME DLT PLUS 5 L 0 Botol Rp 615,000 - 0 Botol Rp 615,000 - 0 Botol Rp 615,000
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356 11 Juli 1905 ANIOS ANIOSYME DLT PLUS 5 L 0 Botol Rp 669,000 - 0 Botol Rp 669,000 - 0 Botol Rp 669,000
357 10 Juli 1905 Betadine 1000 ml 0 Botol Rp 149,314 - 0 Botol Rp 149,314 - 0 Botol Rp 149,314
358 10 Juli 1905 Betadine 60 ml 0 Botol Rp 23,890 - 0 Botol Rp 23,890 - 0 Botol Rp 23,890
359 09 Juli 1905 Blood transfusion set 0 pcs Rp 6,700 - -16 pcs Rp 6,700 - 107,200.00 16 pcs Rp 6,700
360 10 Juli 1905 Blood transfusion set 0 pcs Rp 6,700 - 0 pcs Rp 6,700 - 0 pcs Rp 6,700
361 11 Juli 1905 Cairan desinfektan untuk lantai (SURFANIOS) 0 Galon 5L Rp 1,170,000 - 0 Galon 5L Rp 1,170,000 - 0 Galon 5L Rp 1,170,000
362 12 Juli 1905 Cairan desinfektan untuk lantai (SURFANIOS PREMIUM) 7 Galon 5L Rp 1,296,900 9,078,300.00 1 Galon 5L Rp 1,296,900 1,296,900.00 6 Galon 5L Rp 1,296,900
363 09 Juli 1905 Catgut 2/0 Chromic 0 Pcs Rp 37,203 - 0 Pcs Rp 37,203 - 0 Pcs Rp 37,203
365 11 Juli 1905 Catgut 2/0 Plain 0 Pcs Rp 35,067 - 0 Pcs Rp 35,067 - 0 Pcs Rp 35,067
370 10 Juli 1905 Catgut CHROMIC SMI 2/0 HR 37 MM 0 Pcs Rp 32,800 - 0 Pcs Rp 32,800 - 0 Pcs Rp 32,800
371 10 Juli 1905 Catgut PLAIN SMI 3/0 HR 37 MM 0 Pcs Rp 35,740 - 0 Pcs Rp 35,740 - 0 Pcs Rp 35,740
372 12 Juli 1905 Catgut 2/0 CHROMIC 0 Sachet Rp 32,800 - 0 Sachet Rp 32,800 - 0 Sachet Rp 32,800
373 12 Juli 1905 Catgut 2/0 PLAIN 0 Sachet Rp 34,300 - 0 Sachet Rp 34,300 - 0 Sachet Rp 34,300
374 12 Juli 1905 Catgut 3/0 CHROMIC 0 Sachet Rp 32,800 - 0 Sachet Rp 32,800 - 0 Sachet Rp 32,800
375 12 Juli 1905 Catgut 3/0 PLAIN 12 Sachet Rp 34,300 411,600.00 12 Sachet Rp 34,300 411,600.00 0 Sachet Rp 34,300
376 11 Juli 1905 DERMANIOS SCRUB CHLORHEXIDINE 500 ML 0 Botol Rp 104,000 - 0 Botol Rp 104,000 - 0 Botol Rp 104,000
377 12 Juli 1905 DERMANIOS SCRUB CHLORHEXIDINE 500 ML 0 Botol Rp 104,000 - -6 Botol Rp 104,000 - 624,000.00 6 Botol Rp 104,000
378 08 Juli 1905 Dermavix 0 Pcs Rp 2,053 - 0 Pcs Rp 2,053 - 0 Pcs Rp 2,053
379 09 Juli 1905 Dressing Fiksasi untuk luka lebar 10 cm x 5 cm 0 Pcs Rp 30,030 - 0 Pcs Rp 30,030 - 0 Pcs Rp 30,030
380 10 Juli 1905 Dressing Fiksasi untuk luka lebar Transparent Medical Tape 5x500 0 Pcs Rp 84,700 - -38 Pcs Rp 84,700 - 3,218,600.00 38 Pcs Rp 84,700
381 11 Juli 1905 Dressing Fiksasi untuk luka lebar Transparent Medical Tape 5x500 0 Pcs Rp 44,148 - 0 Pcs Rp 44,148 - 0 Pcs Rp 44,148
382 10 Juli 1905 Dressing transparant untuk pemasang i.v catheter Anak Transparent IV Dressing 4.4x4.4 0 Pcs Rp 1,925 - 0 Pcs Rp 1,925 - 0 Pcs Rp 1,925
383 11 Juli 1905 Dressing transparant untuk pemasang i.v catheter Anak Transparent IV Dressing 4.4x4.4 100 Pcs Rp 1,145 114,500.00 0 Pcs Rp 1,145 - 100 Pcs Rp 1,145
384 09 Juli 1905 Dressing transparant untuk pemasang i.v catheter Dewasa 0 Pcs Rp 6,850 - 0 Pcs Rp 6,850 - 0 Pcs Rp 6,850
385 10 Juli 1905 Dressing transparant untuk pemasang i.v catheter Dewasa CANNOFIX-PU ( 6 CM X 8 CM ) 0 Pcs Rp 6,850 - 0 Pcs Rp 6,850 - 0 Pcs Rp 6,850
386 11 Juli 1905 ETT Reg Plain Uncuff 2,5 0 Pcs Rp 16,140 - 0 Pcs Rp 16,140 - 0 Pcs Rp 16,140
387 11 Juli 1905 ETT Reg Plain Uncuff 3 0 Pcs Rp 16,140 - 0 Pcs Rp 16,140 - 0 Pcs Rp 16,140
397 09 Juli 1905 Foley Catheter No. 16 0 Pcs Rp 11,800 - -30 Pcs Rp 11,800 - 354,000.00 30 Pcs Rp 11,800
398 11 Juli 1905 Foley Catheter No. 16 0 Pcs Rp 18,450 - 0 Pcs Rp 18,450 - 0 Pcs Rp 18,450
399 09 Juli 1905 Foley Catheter No. 18 0 Pcs Rp 11,800 - -27 Pcs Rp 11,800 - 318,600.00 27 Pcs Rp 11,800
400 12 Juli 1905 Handsanitizer 5 Lt 0 Galon 5L Rp 800,000 - 0 Galon 5L Rp 800,000 - 0 Galon 5L Rp 800,000
401 10 Juli 1905 Handscoon (Steril) # 6 0 Pasang Rp 4,600 - 0 Pasang Rp 4,600 - 0 Pasang Rp 4,600
402 11 Juli 1905 Handscoon (Steril) # 6 (COSMOMED) 0 Pasang Rp 4,600 - 0 Pasang Rp 4,600 - 0 Pasang Rp 4,600
403 11 Juli 1905 Handscoon (Steril) # 6,5 (COSMOMED) 0 Pasang Rp 4,600 - 0 Pasang Rp 4,600 - 0 Pasang Rp 4,600
404 10 Juli 1905 Handscoon (Steril) # 6.5 0 Pasang Rp 4,600 - 0 Pasang Rp 4,600 - 0 Pasang Rp 4,600
405 09 Juli 1905 Handscoon (Steril) # 7 0 Pasang Rp 4,100 - 0 Pasang Rp 4,100 - 0 Pasang Rp 4,100
406 10 Juli 1905 Handscoon Non Steril L 0 Pcs Rp 499 - 0 Pcs Rp 499 - 0 Pcs Rp 499
407 11 Juli 1905 Handscoon Non Steril L (COSMOMED) 0 Pcs Rp 551 - 0 Pcs Rp 551 - 0 Pcs Rp 551
408 11 Juli 1905 Handscoon Non Steril M(COSMOMED) 0 Pcs Rp 551 - 0 Pcs Rp 551 - 0 Pcs Rp 551
409 11 Juli 1905 Handscoon Non Steril S (COSMOMED) 0 Pcs Rp 551 - 0 Pcs Rp 551 - 0 Pcs Rp 551
410 11 Juli 1905 Handscoon panjang manual plasenta 6,5 (REMEDI ELBOW) 0 Pasang Rp 17,400 - 0 Pasang Rp 17,400 - 0 Pasang Rp 17,400
411 11 Juli 1905 Handscoon panjang manual plasenta 7 (REMEDI ELBOW) 0 Pasang Rp 17,400 - 0 Pasang Rp 17,400 - 0 Pasang Rp 17,400
412 08 Juli 1905 Handscoon panjang untuk manual plasenta 6,5 0 Pasang Rp 17,400 - 0 Pasang Rp 17,400 - 0 Pasang Rp 17,400
413 08 Juli 1905 Handscoon panjang untuk manual plasenta 7 0 Pasang Rp 17,400 - 0 Pasang Rp 17,400 - 0 Pasang Rp 17,400
414 12 Juli 1905 Handscoon (Steril) # 7 (GAMEX) 0 Pasang Rp 11,000 - 0 Pasang Rp 11,000 - 0 Pasang Rp 11,000
415 12 Juli 1905 Handscoon (Steril) # 7.5 (GAMEX) 0 Pasang Rp 11,000 - 0 Pasang Rp 11,000 - 0 Pasang Rp 11,000
416 10 Juli 1905 Heat Sealing Reels (100+50) X 100 M 0 Roll Rp 313,500 - -2 Roll Rp 313,500 - 627,000.00 2 Roll Rp 313,500
417 06 Juli 1905 ID Pasien bayi biru 0 Pcs Rp 1,798 - 0 Pcs Rp 1,798 - 0 Pcs Rp 1,798
418 06 Juli 1905 ID pasien bayi pink 0 Pcs Rp 1,798 - 0 Pcs Rp 1,798 - 0 Pcs Rp 1,798
419 09 Juli 1905 Infus Anak 0 Pcs Rp 4,400 - -50 Pcs Rp 4,400 - 220,000.00 50 Pcs Rp 4,400
Page 283 of 288
420 10 Juli 1905 Infus set dewasa 3D Semillas Infusion Set-Y 0 Pcs Rp 6,061 - 0 Pcs Rp 6,061 - 0 Pcs Rp 6,061
421 11 Juli 1905 Infus set dewasa 3D Semillas Infusion Set-Y 200 Pcs Rp 5,800 1,160,000.00 60 Pcs Rp 5,800 348,000.00 140 Pcs Rp 5,800
422 12 Juli 1905 Infus set dewasa 3D Semillas Infusion Set-Y 0 Pcs Rp 5,800 - 0 Pcs Rp 5,800 - 0 Pcs Rp 5,800
423 11 Juli 1905 IV Cannula No. 16G with safety wings (COSMOMED) 0 Pcs Rp 7,100 - 0 Pcs Rp 7,100 - 0 Pcs Rp 7,100
424 10 Juli 1905 IV Cannula No. 26 G with safety wings 0 Pcs Rp 4,700 - 0 Pcs Rp 4,700 - 0 Pcs Rp 4,700
425 11 Juli 1905 IV Cannula No. 26G with safety wings (COSMOMED) 0 Pcs Rp 7,100 - -50 Pcs Rp 7,100 - 355,000.00 50 Pcs Rp 7,100
426 10 Juli 1905 IV Catheter 18 0 Pcs Rp 7,700 - 0 Pcs Rp 7,700 - 0 Pcs Rp 7,700
427 11 Juli 1905 IV Catheter 18 (MF PRO) 0 Pcs Rp 7,569 - 0 Pcs Rp 7,569 - 0 Pcs Rp 7,569
436 09 Juli 1905 IV Catheter No. 16 with safety wings 0 Pcs Rp 4,700 - 0 Pcs Rp 4,700 - 0 Pcs Rp 4,700
437 09 Juli 1905 IV Catheter No. 26 with injection port 0 Pcs Rp 4,700 - 0 Pcs Rp 4,700 - 0 Pcs Rp 4,700
439 12 Juli 1905 IV Catheter 18 (POLYMED) 0 Pcs Rp 11,660 - 0 Pcs Rp 11,660 - 0 Pcs Rp 11,660
440 12 Juli 1905 IV Catheter 20 50 Pcs Rp 5,480 274,000.00 50 Pcs Rp 5,480 274,000.00 0 Pcs Rp 5,480
441 12 Juli 1905 IV Catheter 22 (POLYMED) 100 Pcs Rp 11,880 1,188,000.00 100 Pcs Rp 11,880 1,188,000.00 0 Pcs Rp 11,880
442 12 Juli 1905 IV Catheter 24 (POLYMED) 100 Pcs Rp 12,210 1,221,000.00 100 Pcs Rp 12,210 1,221,000.00 0 Pcs Rp 12,210
443 05 Juli 1905 Jarum Hekting Kulit 0 Lusin Rp 27,500 - 0 Lusin Rp 27,500 - 0 Lusin Rp 27,500
444 07 Juli 1905 Jarum Hekting Kulit 0 Set Rp 132,000 - 0 Set Rp 132,000 - 0 Set Rp 132,000
445 05 Juli 1905 Jarum Hekting Otot 0 Lusin Rp 27,500 - 0 Lusin Rp 27,500 - 0 Lusin Rp 27,500
446 07 Juli 1905 Jarum Hekting Otot 0 Set Rp 132,000 - 0 Set Rp 132,000 - 0 Set Rp 132,000
447 07 Juli 1905 Kapas 1 kg 0 Roll Rp 54,560 - 0 Roll Rp 54,560 - 0 Roll Rp 54,560
448 10 Juli 1905 Kapas pembalut 250 gr 0 Roll Rp 12,250 - -21 Roll Rp 12,250 - 257,250.00 21 Roll Rp 12,250
449 11 Juli 1905 Kapas pembalut 250 gr 0 Roll Rp 15,070 - 0 Roll Rp 15,070 - 0 Roll Rp 15,070
450 08 Juli 1905 Kasa Hidrofil 36 m x 80 cm 0 Roll Rp 130,000 - 0 Roll Rp 130,000 - 0 Roll Rp 130,000
451 11 Juli 1905 Kasa Hidrofil 36 m x 80 cm 0 Roll Rp 136,500 - 0 Roll Rp 136,500 - 0 Roll Rp 136,500
452 06 Juli 1905 Kasa Hidrofil 40 y x 80 cm 0 Roll Rp 102,300 - 0 Roll Rp 102,300 - 0 Roll Rp 102,300
455 09 Juli 1905 Kasa Hidrofil Steril 18 x22 (isi 22 lbr) 0 Kotak Rp 7,491 - 0 Kotak Rp 7,491 - 0 Kotak Rp 7,491
456 11 Juli 1905 Kasa Pembalut Elastis 10 inchi 0 Roll Rp 33,000 - 0 Roll Rp 33,000 - 0 Roll Rp 33,000
457 11 Juli 1905 Kasa Pembalut Elastis 15 inchi 0 Roll Rp 41,910 - 0 Roll Rp 41,910 - 0 Roll Rp 41,910
458 11 Juli 1905 Kasa Pembalut Elastis 7,5 inchi 0 Roll Rp 27,830 - 0 Roll Rp 27,830 - 0 Roll Rp 27,830
459 11 Juli 1905 Kasa Steril 16 X 16 0 Kotak Rp 5,500 - 0 Kotak Rp 5,500 - 0 Kotak Rp 5,500
460 12 Juli 1905 Kasa Steril 16 X 16 210 Kotak Rp 5,950 1,249,500.00 210 Kotak Rp 5,950 1,249,500.00 0 Kotak Rp 5,950
461 06 Juli 1905 Kertas Puyer Cetak (pocket medicine) 0 Pcs Rp 90 - 0 Pcs Rp 90 - 0 Pcs Rp 90
462 07 Juli 1905 Kertas Puyer Cetak (pocket medicine) 0 Pcs Rp 83 - -6955 Pcs Rp 83 - 573,787.50 6955 Pcs Rp 83
463 09 Juli 1905 Lisol 0 Botol Rp 40,999 - 0 Botol Rp 40,999 - 0 Botol Rp 40,999
464 11 Juli 1905 Masker (COSMOMED) 500 Pcs Rp 500 250,000.00 500 Pcs Rp 500 250,000.00 0 Pcs Rp 500
465 12 Juli 1905 Masker (REMEDI) 4200 Pcs Rp 3,000 12,600,000.00 4200 Pcs Rp 3,000 12,600,000.00 0 Pcs Rp 3,000
466 10 Juli 1905 Masker Nebulizer Anak 0 Pcs Rp 14,400 - 0 Pcs Rp 14,400 - 0 Pcs Rp 14,400
467 11 Juli 1905 Masker Nebulizer Anak (COSMOMED) 0 Pcs Rp 16,700 - -35 Pcs Rp 16,700 - 584,500.00 35 Pcs Rp 16,700
468 11 Juli 1905 Masker Nebulizer Dewasa (COSMOMED) 100 Pcs Rp 16,700 1,670,000.00 6 Pcs Rp 16,700 100,200.00 94 Pcs Rp 16,700
469 11 Juli 1905 Masker Oksigen Anak (REMEDI) 0 Pcs Rp 11,500 - 0 Pcs Rp 11,500 - 0 Pcs Rp 11,500
470 09 Juli 1905 Masker Oksigen Anak (oxygen Mask - child) 0 Pcs Rp 9,500 - -128 Pcs Rp 9,500 - 1,216,000.00 128 Pcs Rp 9,500
471 10 Juli 1905 Masker Oksigen Anak (oxygen Mask - child) 0 Pcs Rp 9,500 - 0 Pcs Rp 9,500 - 0 Pcs Rp 9,500
472 11 Juli 1905 Masker Oksigen Dewasa (REMEDI) 50 Pcs Rp 11,500 575,000.00 0 Pcs Rp 11,500 - 50 Pcs Rp 11,500
473 09 Juli 1905 Masker Oksigen Dewasa (oxygen mask - adult) 0 Pcs Rp 9,500 - 0 Pcs Rp 9,500 - 0 Pcs Rp 9,500
474 10 Juli 1905 Masker Oksigen Dewasa (oxygen mask - adult) 0 Pcs Rp 9,500 - 0 Pcs Rp 9,500 - 0 Pcs Rp 9,500
475 10 Juli 1905 Micropore 1 inch 0 Dus Rp 217,028 - 0 Dus Rp 217,028 - 0 Dus Rp 217,028
476 11 Juli 1905 Micropore 1/2 inch 0 Dus Rp 138,851 - 0 Dus Rp 138,851 - 0 Dus Rp 138,851
477 10 Juli 1905 N 95 General Respirator 0 Roll Rp 21,000 - 0 Roll Rp 21,000 - 0 Roll Rp 21,000
478 11 Juli 1905 N 95 General Respirator 0 Box Rp 301,215 - 0 Box Rp 301,215 - 0 Box Rp 301,215
479 11 Juli 1905 Oksigen Portable (OXYCAN) 0 Botol Rp 65,000 - 0 Botol Rp 65,000 - 0 Botol Rp 65,000
480 10 Juli 1905 Plastik limbah medis 0 Pack Rp 93,060 - 0 Pack Rp 93,060 - 0 Pack Rp 93,060
481 11 Juli 1905 Povidon iodida larutan 10 % (60 ml) 0 Botol Rp 4,620 - 0 Botol Rp 4,620 - 0 Botol Rp 4,620
482 10 Juli 1905 Remedi oxygen nasal canula-white, neonates 0 Pcs Rp 7,300 - 0 Pcs Rp 7,300 - 0 Pcs Rp 7,300
483 10 Juli 1905 Remedi surgical glove gynecolog- 6,5 (Elbow Length) 0 Pcs Rp 17,400 - 0 Pcs Rp 17,400 - 0 Pcs Rp 17,400
Page 284 of 288
484 10 Juli 1905 Remedi surgical glove gynecolog- 7 (Elbow Length) 0 Pcs Rp 17,400 - 0 Pcs Rp 17,400 - 0 Pcs Rp 17,400
485 11 Juli 1905 Rivanol 50 ml 0 Botol Rp 1,322 - 0 Botol Rp 1,322 - 0 Botol Rp 1,322
486 10 Juli 1905 Safety Box 0 Pcs Rp 24,122 - 0 Pcs Rp 24,122 - 0 Pcs Rp 24,122
487 11 Juli 1905 Selang O2 anak (REMEDI) 0 Pcs Rp 6,400 - -40 Pcs Rp 6,400 - 256,000.00 40 Pcs Rp 6,400
488 09 Juli 1905 Selang O2 anak (nasal oxygen canula- child) 0 Pcs Rp 6,400 - 0 Pcs Rp 6,400 - 0 Pcs Rp 6,400
491 09 Juli 1905 Selang O2 Dewasa (nasal oxygen canula- adult) 0 Pcs Rp 5,900 - 0 Pcs Rp 5,900 - 0 Pcs Rp 5,900
492 11 Juli 1905 Selang O2 Dewasa (REMEDI) 0 Pcs Rp 6,400 - 0 Pcs Rp 6,400 - 0 Pcs Rp 6,400
493 12 Juli 1905 Selang O2 Dewasa (REMEDI) 20 Pcs Rp 6,400 128,000.00 20 Pcs Rp 6,400 128,000.00 0 Pcs Rp 6,400
494 09 Juli 1905 Selang O2 NEO NATUS 0 Pcs Rp 7,300 - 0 Pcs Rp 7,300 - 0 Pcs Rp 7,300
495 09 Juli 1905 Selang O2 NEO NATUS 0 Pcs Rp 5,900 - 0 Pcs Rp 5,900 - 0 Pcs Rp 5,900
496 11 Juli 1905 Selang O2 Neonatus (REMEDI) 0 Pcs Rp 7,300 - 0 Pcs Rp 7,300 - 0 Pcs Rp 7,300
497 09 Juli 1905 Silk Benang Bedah 3/0 0 Pcs Rp 35,077 - 0 Pcs Rp 35,077 - 0 Pcs Rp 35,077
498 11 Juli 1905 Silk Benang Bedah 3/0 24 Pcs Rp 20,186 484,464.00 24 Pcs Rp 20,186 484,464.00 0 Pcs Rp 20,186
499 12 Juli 1905 Silk Black Benang Bedah 3/0 0 Sachet Rp 19,700 - 0 Sachet Rp 19,700 - 0 Sachet Rp 19,700
500 11 Juli 1905 Spekulum portable ukuran L 0 pcs Rp 6,000 - 0 pcs Rp 6,000 - 0 pcs Rp 6,000
501 11 Juli 1905 Spekulum portable ukuran M 0 pcs Rp 6,000 - 0 pcs Rp 6,000 - 0 pcs Rp 6,000
502 10 Juli 1905 Surgical Gloves Sterile 0 Pcs Rp 4,100 - 0 Pcs Rp 4,100 - 0 Pcs Rp 4,100
503 08 Juli 1905 Three way stopcock 0 Pcs Rp 5,720 - 0 Pcs Rp 5,720 - 0 Pcs Rp 5,720
504 09 Juli 1905 Three way stopcock 0 Pcs Rp 2,900 - 0 Pcs Rp 2,900 - 0 Pcs Rp 2,900
505 11 Juli 1905 Ultrasound Gel (KONIX) 0 Botol Rp 28,100 - -1 Botol Rp 28,100 - 28,100.00 1 Botol Rp 28,100
506 11 Juli 1905 Ultrasound Gel 250 ml (Dr. PRO) 0 Botol Rp 22,320 - 0 Botol Rp 22,320 - 0 Botol Rp 22,320
507 09 Juli 1905 Umbilical Klem 0 Pcs Rp 1,300 - 0 Pcs Rp 1,300 - 0 Pcs Rp 1,300
508 10 Juli 1905 Urine Bag 0 Pcs Rp 6,900 - -20 Pcs Rp 6,900 - 138,000.00 20 Pcs Rp 6,900
509 09 Juli 1905 Urine Bag 0 Pcs Rp 6,900 - 0 Pcs Rp 6,900 - 0 Pcs Rp 6,900
510 11 Juli 1905 Urine Bag (COSMOMED) 0 Pcs Rp 8,000 - 0 Pcs Rp 8,000 - 0 Pcs Rp 8,000
511 12 Juli 1905 Underpad 50 Pcs Rp 4,620 231,000.00 50 Pcs Rp 4,620 231,000.00 0 Pcs Rp 4,620
512 10 Juli 1905 Masker Nebulizer Dewasa 0 Pcs Rp 14,400 - 0 Pcs Rp 14,400 - 0 Pcs Rp 14,400
513 12 Juli 1905 Masker N 95 0 Pcs Rp 173,000 - 0 Pcs Rp 173,000 - 0 Pcs Rp 173,000
514 BTT 2021 Handscoon Non Steril L (shamrock) 6500 Pcs Rp 1,850 12,025,000.00 5700 Pcs Rp 1,850 10,545,000.00 800 Pcs Rp 1,850
515 BTT 2021 Handscoon Non Steril M (shamrock) 8000 Pcs Rp 1,850 14,800,000.00 7900 Pcs Rp 1,850 14,615,000.00 100 Pcs Rp 1,850
516 APBD Chlorpromazin HCL 25 mg 0 Kotak Rp 1,850 - 0 Kotak Rp 1,850 - 0 Kotak Rp 1,850
517 APBD Karbamazepin Tab 200 mg 0 Kotak Rp 24,500 - 0 Kotak Rp 24,500 - 0 Kotak Rp 24,500
518 APBD Klozapine Tab 0 Kotak Rp 56,050 - 0 Kotak Rp 56,050 - 0 Kotak Rp 56,050
519 APBD Haloperidol 1,5mg Tab 0 Kotak Rp 5,900 - 0 Kotak Rp 5,900 - 0 Kotak Rp 5,900
520 APBD Haloperidol 5 mg 0 Kotak Rp 6,000 - 0 Kotak Rp 6,000 - 0 Kotak Rp 6,000
521 APBD Resperidon Tab 2 mg 0 Kotak Rp 28,700 - 0 Kotak Rp 28,700 - 0 Kotak Rp 28,700
522 APBD Triheksifenidil Tablet 2 mg 0 Kotak Rp 9,100 - 0 Kotak Rp 9,100 - 0 Kotak Rp 9,100
523 APBD SKIZONOATE 25 MG/ML 0 Kotak Rp 319,065 - 0 Kotak Rp 319,065 - 0 Kotak Rp 319,065
524 APBD clobazam 10 mg Tab 0 Kotak Rp 77,600 - 0 Kotak Rp 77,600 - 0 Kotak Rp 77,600
525 BTT 2021 Handscoon Non Steril S ( Shamrock) 5000 Pcs Rp 1,850 9,250,000.00 5000 Pcs Rp 1,850 9,250,000.00 0 Pcs Rp 1,850
526 13 Juli 1905 Parasetamol Tablet 500 mg (Novagesic) 23000 tablet Rp 221 5,083,000.00 20700 tablet Rp 221 4,574,700.00 2300 tablet Rp 221
527 BTT 2021 Alkohol Swab 0 Kotak Rp 33,000 - 0 Kotak Rp 33,000 - 0 Kotak Rp 33,000
528 BTT 2021 Masker N 95 0 Pcs Rp 46,500 - 0 Pcs Rp 46,500 - 0 Pcs Rp 46,500
529 12 Juli 1905 Masker Earloop Skrinner 500 Pcs Rp 4,000 2,000,000.00 500 Pcs Rp 4,000 2,000,000.00 0 Pcs Rp 4,000
530 12 Juli 1905 Masker Hijab Skrinner 5500 Pcs Rp 4,000 22,000,000.00 5500 Pcs Rp 4,000 22,000,000.00 0 Pcs Rp 4,000
531 12 Juli 1905 Masker MI 2000 Pcs Rp 1,000 2,000,000.00 700 Pcs Rp 1,000 700,000.00 1300 Pcs Rp 1,000
532 BTT 2021 DESINFEKTAN 5L (ASEPTANIOS) 0 Galon 5L Rp 1,900,000 - 0 Galon 5L Rp 1,900,000 - 0 Galon 5L Rp 1,900,000
533 BTT 2021 RAPID TEST ANTIGEN ( 200 PCS Rp 47,500 9,500,000.00 200 PCS Rp 47,500 9,500,000.00 0 PCS Rp 47,500
534 BTT 2021 Alkohol 70% 1 L 20 Botol Rp 34,217 684,340.00 20 Botol Rp 34,217 684,340.00 0 Botol Rp 34,217
535 APBD Aximed Paper Tape (Micropor) 48 Roll Rp 11,330 543,840.00 38 Roll Rp 11,330 430,540.00 10 Roll Rp 11,330
536 BTT 2021 COVERALL XL (Mi) 250 Pcs Rp 110,600 27,650,000.00 5 Pcs Rp 110,600 553,000.00 245 Pcs Rp 110,600
537 BTT 2021 COVERALL L (Mi) 50 Pcs Rp 110,600 5,530,000.00 5 Pcs Rp 110,600 553,000.00 45 Pcs Rp 110,600
538 BTT 2021 COVERALL XXL (Mi) 150 Pcs Rp 110,600 16,590,000.00 0 Pcs Rp 110,600 - 150 Pcs Rp 110,600
539 BTT 2021 COVERALL XXXL (Mi) 50 Pcs Rp 110,600 5,530,000.00 0 Pcs Rp 110,600 - 50 Pcs Rp 110,600
540 BTT 2021 GOWN ( Mi) 1200 Pcs Rp 72,000 86,400,000.00 600 Pcs Rp 72,000 43,200,000.00 600 Pcs Rp 72,000
541 BTT 2021 NURSE CAP ( Mi ) 40200 Pcs Rp 390 15,678,000.00 705 Pcs Rp 390 274,950.00 39495 Pcs Rp 390
542 13 Juli 1905 Retinol (VIT A) kapsul 200.000 IU 0 botol Rp 552 - 0 botol Rp 552 - 0 botol Rp 552
543 13 Juli 1905 Retinol (VIT A) kapsul 100.000 IU 0 botol Rp 305 - 0 botol Rp 305 - 0 botol Rp 305
544 13 Juli 1905 ANIOS ANIOSGEL 85 500 ml 60 Botol Rp 90,000 5,400,000.00 36 Botol Rp 90,000 3,240,000.00 24 Botol Rp 90,000
545 13 Juli 1905 Multivitamin Dewasa (Formuno) 0 tablet Rp 6,800 - 0 tablet Rp 6,800 - 0 tablet Rp 6,800
546 DAU Plester Transparan/Plesterin 20 kotak Rp 38,934 778,680.00 0 kotak Rp 38,934 - 20 kotak Rp 38,934
547 13 Juli 1905 Pirantel pamoat tablet 125 mg 0 Tablet Rp 304 - 0 Tablet Rp 304 - 0 Tablet Rp 304
Page 285 of 288
548 13 Juli 1905 Amoksisilin Suspensi Kering 125mg/ml 220 Botol Rp 2,050 451,000.00 29 Botol Rp 2,050 59,450.00 191 Botol Rp 2,050
549 13 Juli 1905 Atropin Injeksi 0.25 mg/ml 10 Ampul Rp 1,718 17,180.00 0 Ampul Rp 1,718 - 10 Ampul Rp 1,718
550 13 Juli 1905 Antasida Tablet 0 Tablet Rp 54 - 0 Tablet Rp 54 - 0 Tablet Rp 54
551 13 Juli 1905 Asam Asetlsalisilat (Miniaspi 80 mg) 0 tablet Rp 89 - 0 tablet Rp 89 - 0 tablet Rp 89
552 13 Juli 1905 Kalsium Laktat (Kalk) Tablet 500 mg 0 tablet Rp 60 - 0 tablet Rp 60 - 0 tablet Rp 60
553 13 Juli 1905 Kotrimosazol tablet. Komb: Sulfametoksazol 400 mg + Trimetoprim 80 mg 0 Tablet Rp 126 - 0 Tablet Rp 126 - 0 Tablet Rp 126
554 13 Juli 1905 Parasetamol sirup 120 ml/5ml 0 Botol Rp 1,160 - 0 Botol Rp 1,160 - 0 Botol Rp 1,160
556 13 Juli 1905 Cetirizine Sirup 5mg/ml 0 Botol Rp 2,090 - 0 Botol Rp 2,090 - 0 Botol Rp 2,090
557 13 Juli 1905 Amlodipin 10 mg Kaplet 0 Kaplet Rp 70 - 0 Kaplet Rp 70 - 0 Kaplet Rp 70

558 13 Juli 1905 Prednison Kaplet 5 mg 0 tablet Rp 68 - 0 tablet Rp 68 - 0 tablet Rp 68
559 13 Juli 1905 Amlodipin 5 mg 0 tablet Rp 53 - 0 tablet Rp 53 - 0 tablet Rp 53

560 13 Juli 1905 Metrformin 500 mg 5000 tablet Rp 77 385,000.00 5000 tablet Rp 77 385,000.00 0 tablet Rp 77
561 13 Juli 1905 Loratadine 10 mg tablet 500 tablet Rp 109 54,500.00 232 tablet Rp 109 25,288.00 268 tablet Rp 109
562 13 Juli 1905 Antasida Suspensi 0 botol Rp 1,679 - 0 botol Rp 1,679 - 0 botol Rp 1,679
563 13 Juli 1905 Paracetamol Drops 100mg/ml 0 botol Rp 4,976 - 0 botol Rp 4,976 - 0 botol Rp 4,976
564 13 Juli 1905 Elbow Length Latex Powdered Surgical Gloves No. 7 120 Pcs Rp 17,347 2,081,640.00 80 Pcs Rp 17,347 1,387,760.00 40 Pcs Rp 17,347
565 13 Juli 1905 Elbow Length Latex Powdered Surgical Gloves No. 7,5 80 Pcs Rp 17,347 1,387,760.00 80 Pcs Rp 17,347 1,387,760.00 0 Pcs Rp 17,347
566 13 Juli 1905 Masker 3 PLY-MI 0 Kotak Rp 51,500 - 0 Kotak Rp 51,500 - 0 Kotak Rp 51,500
567 13 Juli 1905 Masker N95, HSAP 0 Pcs Rp 30,060 - 0 Pcs Rp 30,060 - 0 Pcs Rp 30,060
568 13 Juli 1905 MEDI-GRIPLatex Powder-Free Surgical Gloves Size 7 300 Pair Rp 10,773 3,231,900.00 220 Pair Rp 10,773 2,370,060.00 80 Pair Rp 10,773
569 13 Juli 1905 MEDI-GRIPLatex Powder-Free Surgical Gloves Size 7,5 200 Pair Rp 10,773 2,154,600.00 50 Pair Rp 10,773 538,650.00 150 Pair Rp 10,773
570 13 Juli 1905 Masker Oksigen Dewasa 0 Pcs Rp 18,788 - 0 Pcs Rp 18,788 - 0 Pcs Rp 18,788
571 13 Juli 1905 Masker Oksigen Anak 0 Pcs Rp 18,788 - 0 Pcs Rp 18,788 - 0 Pcs Rp 18,788
572 DAU Masker 3 PLY-MI 2000 Pcs Rp 816 1,632,000.00 2000 Pcs Rp 816 1,632,000.00 0 Pcs Rp 816
573 BTT 2021 RAPID TEST ANTIGEN (STRONG-STEP) 0 Pcs Rp 47,500 - 0 Pcs Rp 47,500 - 0 Pcs Rp 47,500
574 DAU Alkohol Swab 500 Kotak Rp 8,380 4,190,000.00 500 Kotak Rp 8,380 4,190,000.00 0 Kotak Rp 8,380
575 13 Juli 1905 Amoksisilin Trihidrate 500 mg 1000 Tablet Rp 201 201,000.00 900 Tablet Rp 201 180,900.00 100 Tablet Rp 201
576 13 Juli 1905 Asam Mefenamat Tablet 500 mg 2000 Tablet Rp 111 222,000.00 1700 Tablet Rp 111 188,700.00 300 Tablet Rp 111
577 13 Juli 1905 Omeprazol Kaplet 20 mg 2000 Tablet Rp 129 258,000.00 1460 Tablet Rp 129 188,340.00 540 Tablet Rp 129
578 13 Juli 1905 Simvastatin Tablet 10 mg 1000 Tablet Rp 68 68,000.00 570 Tablet Rp 68 38,760.00 430 Tablet Rp 68
579 APBN Resperidon Tab 2 mg 0 Kotak Rp 28,700 - 0 Kotak Rp 28,700 - 0 Kotak Rp 28,700
580 APBN SKIZONOATE 25 MG/ML 0 kotak Rp 319,065 - 0 kotak Rp 319,065 - 0 kotak Rp 319,065
581 13 Juli 1905 Parasetamol Tablet 3000 Tablet Rp 240 720,000.00 100 Tablet Rp 240 24,000.00 2900 Tablet Rp 240
582 APBN Haloperidol 5 mg Injeksi 0 Kotak Rp 29,750 - 0 Kotak Rp 29,750 - 0 Kotak Rp 29,750
417,372,240.00 196,249,453.50
DISTRIBUSI DINKES TA. 2021
BELANJA CETAK
1 25 Januari 2021 KESGA Kohort Ibu 13 Buah Rp 64,200 834,600.00 021/0667/SBBK/KESGA/2020 25 Januari 2021 Operasional 13 Buah Rp 64,200 834,600.00 0 Buah Rp 64,200
2 25 Januari 2021 KESGA Buku Bagan MTBS 1 Rp 350,000 350,000.00

3 25 Januari 2021 KESGA Format MTBS dan MTBM 9 Rp 25,000 225,000.00
4 25 Januari 2021 KESGA Bagan Dinding 1 Rp 650,000 650,000.00
5 25 Januari 2021 KESGA Lembar Balik Kelas Ibu Balita 2 Rp 520,000 1,040,000.00
6 25 Januari 2021 KESGA Leaflet 56 Lembar Rp 2,480 138,880.00
7 25 Januari 2021 KESGA Banner Kelas Ibu Balita 1 Rp 450,000 450,000.00

8 25 Januari 2021 KESGA APE KIT Balita 2 Rp 760,500 1,521,000.00
9 25 Januari 2021 KESGA Buku Rapor Kesehatan (SD/MI) 8 Rp 110,000 880,000.00
10 25 Januari 2021 KESGA Poster Pencegahan Covid di Sekolah 53 Lembar Rp 4,000 212,000.00
11 25 Januari 2021 KESGA Banner Anak Sekolah 1 Rp 425,000 425,000.00
12 25 Januari 2021 KESGA Buku Pedoman Posyandu Remaja 2 Rp 74,000 148,000.00

13 25 Januari 2021 KESGA Buku Rapor Kesehatan (SMP/MA/MK) 7 Rp 120,000 840,000.00
14 25 Januari 2021 KESGA Register Kohort Usia Reproduksi 2 Rp 55,000 110,000.00
15 25 Januari 2021 KESGA Lembar Balik Lansia 1 Rp 500,000 500,000.00

16 25 Januari 2021 KESGA Buku Kesehatan Lansia 41 Rp 35,000 1,435,000.00
17 25 Januari 2021 KESGA Roll Banner Lansia 1 Rp 425,000 425,000.00

18 25 Januari 2021 KESGA Buku Format F1 2 Rp 45,000 90,000.00
19 25 Januari 2021 KESGA Buku Kohort Lansia Puskesmas 2 Rp 45,000 90,000.00
10,364,480.00
25 Januari 2021 KESGA Kartu Catin Sehat 500 Rp 352 176,000.00

-
Page 286 of 288
08 Februari 2021 GIZI PMT 1224 Rp 2,900 3,549,600.00
16 Agustus 2021 Farmalkes Masker Batik 200 Rp 7,000 1,400,000.00

Masker Lawan Covid 400 Rp 2,909,092 1,163,636,800.00
1 Oktober 2021 Farmalkes Oxygen Concentrator 2 Rp 15,085,350 30,170,700.00
JUMLAH BELANJA CETAK 834,600.00 834,600.00
OBAT-OBATAN
Operasional 0 30 Desember 1899 Rp - - 0 ### Rp -
JUMLAH BELANJA CETAK - -
#REF!
1. SALDO AWAL = 160,000 1. KELUAR SALDO AWAL = 160,000 1. SISA SALDO AWAL
2. PENERIMAAN 01 JAN - 31 DES 2021 = #REF! 2. PENGELUARAN 01 JAN - 31 DES 2021 = #REF! 2. SISA PENGELUARAN 01 JAN - 31 DES 2021
3. TOTAL PENERIMAAN 2021 = #REF! 3. TOTAL PENGELUARAN 2021 (1+2) = #REF! 3. SALDO AKHIR 2021 (1+2)
4. TOTAL PENERIMAAN 2021

………………………. …………………….
NIP. 19 NIP. 19
Page 287 of 288

21,417,600
10,870,000
10,547,600
38,478,000
3,723,000
42,201,000

Buku Persediaan Ta. 2021 Semester II

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LAPORAN PENERIMAAN DAN PENGELUARAN BARANG PAKAI HABIS

DINAS KESEHATAN KOTA TANGERANG SELATAN

1. PENERIMAAN TA.2020 MENURUT LRA SELISIH

BELANJA ALAT TULIS KANTOR Rp 395,511,440.00 395,511,440.00 Rp -

BELANJA ALAT LISTRIK Rp 59,310,000.00 59,310,000.00 Rp -

PERANGKO MATERAI DAN BENDA POS LAINNYA Rp 61,650,000.00 61,650,000.00 Rp -

BELANJA BAHAN PEMBERSIH Rp 148,627,400.00 148,627,400.00 Rp -

BELANJA BAHAN BAKAR MINYAK Rp 225,808,359.00 225,808,359.00 Rp -

PENGISIAN APAR Rp 17,500,000.00 17,500,000.00 Rp -

BELANJA PENGISIAN TABUNG GAS Rp 3,600,000.00 3,600,000.00 Rp -

BELANJA BARANG PAKAI HABIS MEDIS Rp 5,440,781,950.00 5,440,781,950.00 Rp -

BELANJA BAHAN PMT Rp 438,457,600.00 438,457,600.00 Rp -

BELANJA BAHAN PENUNJANG LABORATORIUM Rp 3,944,343,050.00 3,944,343,050.00 Rp -

BELANJA PENGADAAN PLAKAT/SOUVENIR Rp 191,186,000.00 191,186,000.00 Rp -

BELANJA DEKORASI Rp 17,288,000.00 17,288,000.00 Rp -

PERLENGKAPAN PANITIA/PESERTA Rp 59,299,000.00 59,299,000.00 Rp -

BELANJA BAHAN PERCONTOHAN Rp 76,883,100.00 76,883,100.00 Rp -

BELANJA BAHAN PAKAI HABIS NON INVENTARIS Rp 8,270,000.00 8,270,000.00 Rp -

BELANJA BAHAN BAKU BANGUNAN Rp 141,744,000.00 141,744,000.00 Rp -

BELANJA OBAT-OBATAN Rp 7,800,732,272.00 7,800,732,272.00 Rp -

BELANJA BAHAN BAKU MAKANAN Rp 177,600,000 177,600,000 Rp -

BELANJA BAHAN BAKU MAKANAN Rp 5,238,000 5,238,000 Rp -

BELANJA BAHAN BAKTERI PENGURAI LIMBAH CAIR Rp 169,050,000 169,050,000 Rp -

BELANJA CETAK Rp 1,026,139,000 1,026,139,000.00 Rp -

BELANJA CETAK SPANDUK Rp 128,012,500 128,012,500.00 Rp -

BELANJA MAKANAN DAN MINUMAN HARIAN PEGAWAI Rp 162,557,000 162,557,000.00 Rp -

BELANJA MAKANAN DAN MINUMAN PASIEN 158,400,000 158,400,000.00 Rp -

BELANJA PAKAIAN KERJA 42,000,000 42,000,000 Rp -

BELANJA PERLENGKAPAN PAKAIAN KERJA LAPANGAN Rp 173,700,000 173,700,000 Rp -

BELANJA PAKAIAN OLAHRAGA Rp 36,750,000 36,750,000 Rp -

BELANJA HADIAH DAN PENGHARGAAN BERUPA BARANG Rp 8,608,000.00 8,608,000.00 Rp -

BELANJA HADIAH DAN PENGHARGAAN BERUPA BARANG Rp 5,114,887,900.00 5,114,887,900 Rp -

BELANJA BARANG UNTUK DISERAHKAN KEPADA MASYARAKAT Rp 572,053,600 572,053,600 Rp -

BELANJA BTT (BELANJA TAK TERDUGA) COVID 19 Rp 42,443,821,543.00 42,443,821,543.00 Rp -

Penerimaan Pengeluaran Sisa Stok

1. SALDO AWAL TA. 2020

TOTAL STOCK AWAL TA.2020 Rp 239,184,512.00 Rp 184,527,300.00 Rp 54,657,212.00

BELANJA ALAT TULIS KANTOR (5.2.2.01.01)

374/APBD/SUB BAGIAN UMUM DAN

373/APBD/SUB BAGIAN UMUM DAN

451/APBD/SUB BAGIAN UMUM DAN

955/APBD/SUB BAGIAN UMUM DAN

1559/APBD/SUB BAGIAN UMUM DAN

1048/APBD/SUB BAGIAN UMUM DAN

1145/APBD/SUB BAGIAN UMUM DAN

1169/APBD/SUB BAGIAN UMUM DAN

JUMLAH BELANJA ALAT TULIS KANTOR Rp 395,511,440.00 OK Rp 285,744,820.00 Rp 109,766,620.00

BELANJA ALAT LISTRIK (5.2.2.01.03)

1269/APBD/SUB BAGIAN UMUM DAN

JUMLAH BELANJA ALAT LISTRIK Rp 59,310,000.00 ok Rp 59,310,000.00 Rp -

BELANJA PERANGKO, MATERAI DAN BENDA POS LAINNYA

BELANJA BAHAN PEMBERSIH (5.2.2.01.05)

JUMLAH BELANJA BAHAN PEMBERSIH Rp 148,627,400.00 ok Rp 107,884,640.00 Rp 40,742,760.00

Belanja Bahan Bakar Minyak/Gas (522.01.06)

JUMLAH BELANJA PENGISIAN APAR Rp 225,808,359.00 ok Rp 225,808,359.00 Rp -

BELANJA PENGISIAN APAR (522.01.07)

JUMLAH BELANJA PENGISIAN APAR Rp 17,500,000.00 ok Rp 17,500,000.00 Rp -

BELANJA PENGISIAN TABUNG GAS (522.01.08)

JUMLAH BELANJA PENGISIAN APAR Rp 3,600,000.00 ok Rp 3,600,000.00 Rp -

Belanja Barang Pakai Habis Medis (522.01.09)

BD BBL Culture Swab Plus Amies withaout charcoal, single 1478/APBD/Seksi

Desinfektan Ruangan (Airbone) / ASEPTANIOS TERMINAL

JUMLAH BELANJA BARANG PAKAI HABIS MEDIS Rp 5,440,781,950.00 ok Rp 5,440,781,950.00 Rp -

1. BELANJA BAHAN PMT (5.2.2.01.10)