SKPD : Dinas Kesehatan

KAB/KOTA : Ketapang
PROPINSI : Kalimantan Barat
LAPORAN SEMESTER TENTANG PENERIMAAN DAN PENGELUARAN BARANG INVENTARIS
SEMESTER .............................. TAHUN .............................
PENERIMA DOKUMEN / FAKTUR BUKU PENERIMAAN SURAT BON
AN SPK / BANYAK NAMA B. A / SRT NO PENGELUAR NAMA TGL
NO. TERIMA TGL DARI HARGA SATUAN PENERIMAAN KET UNTUK BANYAKNYA HARGA SATUAN JUMLAH HARGA KET
PERJANJIA NYA BARANG URUT AN TGL BRG PENYERAHAN
N NOMOR TGL NOMOR TGL
NOMOR TGL
1 2 3 4 5 6 7 8 9.00 10 11 12 13 14 15 16 17 18 19 20.00 21.00 22 23

Ketapang, Januari 2014

ATASAN LANGSUNG PENGURUS BARANG

Kepala UPTD. Puskesmas Skamulya UPTD. Puskesmas Sukamulya

E RAM SYAH ERMALINA, A. Md. Kep

NIP. 19620524 198703 1 010 NIP. 19841111 200609 2 023
SKPD Puskesmas tanjung pura
KAB/KOTA : Ketapang
PROPINSI : Kalimantan Barat
LAPORAN SEMESTER TENTANG PENERIMAAN DAN PENGELUARAN BARANG PAKAI HABIS
SEMESTER 1 TAHUN 2016

Dasar
Dokumen / Faktur Buku Penerimaan B. Surat Bon
Penerimaan
No
NO Terima Tgl Dari Banyaknya Nama Barang Harga Satuan A / Srt Penerimaan Ket Terima Tgl Untuk Banyaknya Nama Brg Harga Satuan Jumlah Harga Tgl Penyerahan Ket
Urut
Jenis
Nomor Tgl Nomor Nomor Tgl
Surat Nomor Tgl
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
1 2-May-16 Joyo boyo Nota 53 lbr Foto Copy Rp 350 1 2-May-16 Puskesmas 53 lbr Foto Copy Rp 350 Rp 18,550 18550 0
2 3-May-16 Joyo boyo Nota 1 riim Ncr mid Biru Rp 65,000 2 3-May-16 Puskesmas 1 riim Ncr mid Biru Rp 65,000 Rp 65,000 65000 0
3 10-May-16 Joyo boyo Nota 45 lbr Foto Copy Rp 350 3 10-May-16 Puskesmas 45 lbr Foto Copy Rp 350 Rp 15,750 15750 0
4 10-May-16 Joyo boyo Nota 2 rim kertas Ncr Mid Rp 65,000 4 10-May-16 Puskesmas 2 rim kertas Ncr Mid Rp 65,000 Rp 130,000 130000 0
5 10-May-16 Joyo boyo Nota 2 rim kertas Ncr Mid Rp 65,000 5 10-May-16 Puskesmas 2 rim kertas Ncr Mid Rp 65,000 Rp 130,000 130000 0
6 10-May-16 Joyo boyo Nota 6 bh Materai 3000 Rp 4,000 6 10-May-16 Puskesmas 6 bh Materai 3000 Rp 4,000 Rp 24,000 24000 0
7 13-May-16 Joyo boyo Nota 4 rim kertas Ncr Mid Rp 65,000 7 13-May-16 Puskesmas 4 rim kertas Ncr Mid Rp 65,000 Rp 260,000 260000 0
8 16-May-16 joyo boyo Nota 2 rim NCR Midle Rp 65,000 8 16-May-16 Puskesmas 2 rim NCR Midle Rp 65,000 Rp 130,000 130000 0
9 16-May-16 Joyo boyo Nota 2 btl Tinta blu print Rp 67,500 9 16-May-16 Puskesmas 2 btl Tinta blu print Rp 67,500 Rp 135,000 135000 0
10 16-May-16 Joyo boyo Nota 1 bh Polpen Rp 11,000 10 16-May-16 Puskesmas 1 bh Polpen Rp 11,000 Rp 11,000 11000 0
11 16-May-16 Joyo boyo Nota 1 bh Catridge Rp 404,000 11 16-May-16 Puskesmas 1 bh Catridge Rp 404,000 Rp 404,000 404000 0
12 16-May-16 Joyo boyo Nota 1 rim Ncr Mid Putih Rp 65,000 12 16-May-16 Puskesmas 1 rim Ncr Mid Putih Rp 65,000 Rp 65,000 65000 0
13 16-May-16 Joyo boyo Nota 1 rim Ncr Mid Biru Rp 65,000 13 16-May-16 Puskesmas 1 rim Ncr Mid Biru Rp 65,000 Rp 65,000 65000 0
14 16-May-16 Joyo boyo Nota 1 bh Tinta Cap Rp 16,000 14 16-May-16 Puskesmas 1 bh Tinta Cap Rp 16,000 Rp 16,000 16000 0
15 16-May-16 Joyo boyo Nota 10 ktk Isi Staples no 10 Rp 3,000 15 16-May-16 Puskesmas 10 ktk Isi Staples no 10 Rp 3,000 Rp 30,000 30000 0
16 5/16/2016 Joyo boyo Nota 2 bh Nota 3 Ply Kcl Rp 5,500 16 5/16/2016 Puskesmas 2 bh Nota 3 Ply Kcl Rp 5,500 Rp 11,000 11000 0
17 5/17/2016 Joyo boyo Nota 13 lbr Foto copy Rp 350 17 5/17/2016 Puskesmas 13 lbr Foto copy Rp 350 Rp 4,550 4550 0
18 5/23/2016 Joyo boyo Nota 2 pak Kertas foto Mungli Rp 31,000 18 5/23/2016 Puskesmas 2 pak Kertas foto Mungli Rp 31,000 Rp 62,000 62000 0
19 5/23/2016 Joyo boyo Nota 1 bh Catridge 811 Rp 484,000 19 5/23/2016 Puskesmas 1 bh Catridge 811 Rp 484,000 Rp 484,000 484000 0
20 6/26/2016 Joyo boyo Nota 6 bh Gobi Rp 33,000 20 5/26/2016 Puskesmas 6 bh Gobi Rp 33,000 Rp 198,000 198000 0
21 5/31/2016 Joyo boyo Nota 1 bh pelobang kertas Rp 40,000 21 5/31/2016 Puskesmas 1 bh pelobang kertas Rp 40,000 Rp 40,000 40000 0
22 6/3/2017 Joyo boyo Nota 1 bh Lakban hitam besar Rp 11,000 22 6/3/2016 Puskesmas 1 bh Lakban hitam besar Rp 11,000 Rp 11,000 11000 0
23 6/3/2016 Joyo boyo Nota 62 lbr Foto copy Rp 350 23 6/3/2016 Puskesmas 62 lbr Foto copy Rp 350 Rp 21,700 21700 0
24 6/9/2016 joyo boyo Nota 76 lbr Foto copy Rp 350 24 6/9/2016 Puskesmas 76 lbr Foto copy Rp 350 Rp 26,600 26600 0
25 6/13/2016 Joyo boyo Nota 53 lbr Foto copy Rp 350 25 6/13/2016 Puskesmas 53 lbr Foto copy Rp 350 Rp 18,550 18550 0
26 6/15/2016 Joyo boyo Nota 105 lbr Foto copy Rp 350 26 6/15/2016 Puskesmas 105 lbr Foto copy Rp 350 Rp 36,750 36750 0
27 6/29/2016 Joyo boyo Nota 93 lbr Foto copy Rp 350 27 6/29/2016 Puskesmas 93 lbr Foto copy Rp 350 Rp 32,550 32550 0
28 6/29/2016 Joyo boyo Nota 1 bh Staples Rp 27,000 28 6/29/2016 Puskesmas 1 bh Staples Rp 27,000 Rp 27,000 27000 0
29 6/29/2016 Joyo boyo Nota 1 bh Penggaris besi 30 cm Rp 5,000 29 6/29/2016 Puskesmas 1 bh Penggaris besi 30 cm Rp 5,000 Rp 5,000 5000 0
30 7/13/2016 Joyo boyo Nota 40 lbr Foto Copy Rp 350 30 7/13/2016 Puskesmas 40 lbr Foto Copy Rp 350 Rp 14,000 14000 0
31 7/18/2016 Joyo boyo Nota 1 bh Catridge 810 Rp 387,000 31 7/18/2016 Puskesmas 1 bh Catridge 810 Rp 387,000 Rp 387,000 387000 0
32 7/18/2016 Joyo boyo Nota 2 rim Kertas hvs f4 Rp 61,000 32 7/18/2016 Puskesmas 2 rim Kertas hvs f4 Rp 61,000 Rp 122,000 122000 0
33 7/21/2016 Joyo boyo Nota 156 lbr Foto Copy Rp 350 33 7/21/2016 Puskesmas 156 lbr Foto Copy Rp 350 Rp 54,600 54600 0
34 7/27/2016 Joyo boyo Nota 2 rim Kertas ncr putih Rp 65,000 34 7/27/2016 Puskesmas 2 rim Kertas ncr putih Rp 65,000 Rp 130,000 130000 0
35 7/27/2016 Joyo boyo Nota 2 rim Kertas ncr merah Rp 65,000 35 7/27/2016 Puskesmas 2 rim Kertas ncr merah Rp 65,000 Rp 130,000 130000 0
36 7/27/2016 Joyo boyo Nota 2 rim Kertas ncr kuning Rp 65,000 36 7/27/2016 Puskesmas 2 rim Kertas ncr kuning Rp 65,000 Rp 130,000 130000 0
37 7/27/2016 Joyo boyo Nota 2 rim Kertas ncr hijau Rp 65,000 37 7/27/2016 Puskesmas 2 rim Kertas ncr hijau Rp 65,000 Rp 130,000 130000 0
38 7/29/2016 Joyo boyo Nota 2 bh Tinta blue print Rp 70,000 38 7/29/2016 Puskesmas 2 bh Tinta blue print Rp 70,000 Rp 140,000 140000 0
39 7/29/2016 Joyo boyo Nota 1 bh Tinta Cap Rp 17,000 39 7/29/2016 Puskesmas 1 bh Tinta Cap Rp 17,000 Rp 17,000 17000 0
40 8/1/2016 Joyo boyo Nota 6 pcs Gobi Rp 33,000 40 8/1/2016 Puskesmas 6 pcs Gobi Rp 33,000 Rp 198,000 198000 0
41 8/1/2016 Joyo boyo Nota 1 pcs pen my-gel Rp 9,000 41 8/1/2016 Puskesmas 1 pcs pen my-gel Rp 9,000 Rp 9,000 9000 0
42 8/1/2016 Joyo boyo Nota 1 pak Amplop kabinet Rp 27,000 42 8/1/2016 Puskesmas 1 pak Amplop kabinet Rp 27,000 Rp 27,000 27000 0
43 8/1/2016 Joyo boyo Nota 1 rim Kertas ncr putih Rp 65,000 43 8/1/2016 Puskesmas 1 rim Kertas ncr putih Rp 65,000 Rp 65,000 65000 0
44 8/1/2016 Joyo boyo Nota 1 rim Kertas ncr merah Rp 65,000 44 8/1/2016 Puskesmas 1 rim Kertas ncr merah Rp 65,000 Rp 65,000 65000 0
45 8/1/2016 Joyo boyo Nota 1 rim Kertas ncr kuning Rp 65,000 45 8/1/2016 Puskesmas 1 rim Kertas ncr kuning Rp 65,000 Rp 65,000 65000 0
46 8/1/2016 Joyo boyo Nota 1 rim Kertas ncr hijau Rp 65,000 46 8/1/2016 Puskesmas 1 rim Kertas ncr hijau Rp 65,000 Rp 65,000 65000 0
47 8/2/2016 Joyo boyo Nota 3 ktk Trigonal clip no.3 Rp 3,000 47 8/2/2016 Puskesmas 3 ktk Trigonal clip no.3 Rp 3,000 Rp 9,000 9000 0
48 8/2/2016 Joyo boyo Nota 3 ktk Trigonal clip no.5 Rp 6,000 48 8/2/2016 Puskesmas 3 ktk Trigonal clip no.5 Rp 6,000 Rp 18,000 18000 0
49 8/2/2016 Joyo boyo Nota 1 pcs Stick note Rp 8,500 49 8/2/2016 Puskesmas 1 pcs Stick note Rp 8,500 Rp 8,500 8500 0
50 8/2/2016 Joyo boyo Nota 56 lbr Foto Copy Rp 350 50 8/2/2016 Puskesmas 56 lbr Foto Copy Rp 350 Rp 19,600 19600 0
51 8/3/2016 Joyo boyo Nota 1 rim Hvs f4 70 gram Rp 61,000 51 8/3/2016 Puskesmas 1 rim Hvs f4 70 gram Rp 61,000 Rp 61,000 61000 0
52 8/6/2016 Joyo boyo Nota 2 rim Kertas ncr putih Rp 65,000 52 8/6/2016 Puskesmas 2 rim Kertas ncr putih Rp 65,000 Rp 130,000 130000 0
53 8/6/2016 Joyo boyo Nota 2 rim Kertas ncr merah Rp 65,000 53 8/6/2016 Puskesmas 2 rim Kertas ncr merah Rp 65,000 Rp 130,000 130000 0
54 8/6/2016 Joyo boyo Nota 2 rim Kertas ncr kuning Rp 65,000 54 8/6/2016 Puskesmas 2 rim Kertas ncr kuning Rp 65,000 Rp 130,000 130000 0
55 8/19/2016 Joyo boyo Nota 2 rim Kertas hvs f4 Rp 61,000 55 8/19/2016 Puskesmas 2 rim Kertas hvs f4 Rp 61,000 Rp 122,000 122000 0
56 9/1/2016 Joyo boyo Nota 2 bh Gobi Rp 33,000 56 9/1/2016 Puskesmas 2 bh Gobi Rp 33,000 Rp 66,000 66000 0
57 9/7/2016 Joyo boyo Nota 1 bh Catridge 810 Rp 386,000 57 9/7/2016 Puskesmas 1 bh Catridge 810 Rp 386,000 Rp 386,000 386000 0
58 9/8/2016 Joyo boyo Nota 2 rim Kertas f4 Rp 61,000 58 9/8/2016 Puskesmas 2 rim Kertas f4 Rp 61,000 Rp 122,000 122000 0
59 9/14/2016 Joyo boyo Nota 28 lbr Foto Copy Rp 350 59 9/14/2016 Puskesmas 28 lbr Foto Copy Rp 350 Rp 9,800 9800 0
60 9/14/2016 Joyo boyo Nota 4 bh Pulpen meja Rp 10,000 60 9/14/2016 Puskesmas 4 bh Pulpen meja Rp 10,000 Rp 40,000 40000 0
61 9/14/2016 Joyo boyo Nota 1 ktk Pulpen pilot Rp 37,000 61 9/14/2016 Puskesmas 1 ktk Pulpen pilot Rp 37,000 Rp 37,000 37000 0
62 9/26/2016 Joyo boyo Nota 1 btl Tinta blu print Rp 68,000 62 9/26/2016 Puskesmas 1 btl Tinta blu print Rp 68,000 Rp 68,000 68000 0
63 9/26/2016 Joyo boyo Nota 1 btl tinta Rp 50,000 63 9/26/2016 Puskesmas 1 btl tinta Rp 50,000 Rp 50,000 50000 0
64 9/26/2016 Joyo boyo Nota 1 bh Catridge canon 810 Rp 384,000 64 9/26/2016 Puskesmas 1 bh Catridge canon 810 Rp 384,000 Rp 384,000 384000 0
65 9/26/2016 Joyo boyo Nota 1 bh catridge canon 811 Rp 474,000 65 9/26/2016 Puskesmas 1 bh catridge canon 811 Rp 474,000 Rp 474,000 474000 0
66 10/3/2016 Joyo boyo Nota 2 rim Kertas hvs Rp 61,000 66 10/3/2016 Puskesmas 2 rim Kertas hvs Rp 61,000 Rp 122,000 122000 0
67 10/3/2016 Joyo boyo Nota 2 bh Tinta blue print Rp 68,000 67 10/3/2016 Puskesmas 2 bh Tinta blue print Rp 68,000 Rp 136,000 136000 0
68 10/4/2016 Joyo boyo Nota 11 bh Map gobi Rp 33,000 68 10/4/2016 Puskesmas 11 bh Map gobi Rp 33,000 Rp 363,000 363000 0
69 10/5/2016 Joyo boyo Nota 228 lbr Foto Copy Rp 350 69 10/5/2016 Puskesmas 228 lbr Foto Copy Rp 350 Rp 79,800 79800 0
70 10/5/2016 Joyo boyo Nota 3 pcs Staples icon Rp 27,000 70 10/5/2016 Puskesmas 3 pcs Staples icon Rp 27,000 Rp 81,000 81000 0
71 10/6/2016 Joyo boyo Nota 5 lbr Materai 6000 Rp 9,000 71 06/10/2016 Puskesmas 5 lbr Materai 6000 Rp 9,000 Rp 45,000 45000 0
72 10/6/2016 Joyo boyo Nota 10 lbr Materai 3000 Rp 5,000 72 06/10/2016 Puskesmas 10 lbr Materai 3000 Rp 5,000 Rp 50,000 50000 0
73 10/13/2016 Joyo boyo Nota 2 pak Kertas manila warna Rp 52,000 73 10/13/2016 Puskesmas 2 pak Kertas manila warna Rp 52,000 Rp 104,000 104000 0
74 10/13/2016 Joyo boyo Nota 2 pcs Buku folio 100 lbr Rp 25,000 74 10/13/2016 Puskesmas 2 pcs Buku folio 100 lbr Rp 25,000 Rp 50,000 50000 0
75 10/13/2016 Joyo boyo Nota 1 pcs Staples icon Rp 27,000 75 10/13/2016 Puskesmas 1 pcs Staples icon Rp 27,000 Rp 27,000 27000 0
76 11/4/2016 Joyo boyo Nota 5 rim Kertas hvs Rp 61,000 76 11/4/2016 Puskesmas 5 rim Kertas hvs Rp 61,000 Rp 305,000 305000 0
77 11/4/2016 Joyo boyo Nota 1 bh Tinta blue print Rp 68,000 77 11/4/2016 Puskesmas 1 bh Tinta blue print Rp 68,000 Rp 68,000 68000 0
78 11/7/2016 Joyo boyo Nota 99 lbr Foto Copy absensi Rp 350 78 11/7/2016 Puskesmas 99 lbr Foto Copy absensi Rp 350 Rp 34,650 34650 0
79 11/7/2016 Joyo boyo Nota 1 buah Tipe-x Rp 6,000 79 11/7/2016 Puskesmas 1 buah Tipe-x Rp 6,000 Rp 6,000 6000 0
80 11/7/2016 Joyo boyo Nota 6 lbr Tipe-x Rp 350 80 11/7/2016 Puskesmas 6 lbr Tipe-x Rp 350 Rp 2,100 2100 0
7,965,072

Mengetahui PENGURUS BARANG

Kepala UPTD. Puskesmas Tanjung Pura Puskesmas Tanjung Pura

ARIP RUSMAN
TRI PRABOWO NIP. 197712112012121001
NIP. 19640616 198603 1 021