Rekap Persediaan Puskesmas Karimunjawa 2021 015 Fix Rev Inspektorat

BERITA ACARA REKONSILIASI
PERSEDIAAN TAHUN 2021

Nomor : 015 /BMD 21/PUSKESMAS/VIII/2021
Pada hari ini, Senin , tanggal empat belas bulan Januari tahun Dua ribu dua puluh d, telah dilakuka
Persediaan Tahun 2021 antara Pengurus Barang pada Pengguna di Organisasi Perangkat Daerah PUSKESMAS KARIMUNJAWA
pada BPKAD Kabupaten Jepara sebagai Pejabat Penatausahaan Barang MIlik Daerah Kabupaten Jepara, guna penyusunan Laporan BMD Tahun 2021, dengan hasil sebagai berikut:
SALDO AWAL MASUK KELUAR

NO URAIAN
JUMLAH HARGA JUMLAH HARGA JUMLAH
HARGA PENGGUNAAN
1 APBD II - Barjas 4,984 105,801,000 4,969 105,651,000
2 APBD II - Modal
3 BLUD- Barjas 1,277 44,248,556 1,277 44,248,556
4 BLUD- BM
5 BOS/BOP- Barjas
6 BOS/BOP BM
7 DKK 1,509 6,508,120 1,509 6,508,120
8 IFK Rp 112,320 76,184,956.01 408,390 1,100,543,622 403,077 1,067,529,870
9 BTT
10 DISTRIBUSI DARI PD LAIN
DP3AP2KB 11,492 39,964,109 11,492 39,964,109
11 HIBAH DARI MASYARAKAT
12 HIBAH DARI PROVINSI 157 6,237,530 157 6,237,530
13 HIBAH DARI PUSAT
14 KOREKSI
JUMLAH 112,320 76,184,956 427,809 1,303,302,937 422,481 1,270,139,185
CATATAN LAIN-LAIN :
Dari IFK ( dari hibah Pusat) ada yang menjadi Aset Tetap yaitu berupa Tabung Oksigen seharga Rp. 63.255.500
.................................................................................................................................................................................................................................................................................
.................................................................................................................................................................................................................................................................................
.................................................................................................................................................................................................................................................................................
Demikian berita acara ini dibuat dengan sesunguhnya dalam rangkap 2 (dua) untuk dipergunakan seperlunya.
I. PENGGUNA BARANG
Mengetahui,
Pengguna Barang
PUSKESMAS KARIMUNJAWA
.....................................................
NIP. ......................................
II. PEJABAT PENATAUSAHAAN BARANG PADA PENGELOLA
Mengetahui,
Sub Koordinator Pencatatan dan Mutasi Aset
BPKAD Kabupaten Jepara
HERU SUTRISNO, SE, MM

NIP.19771212 201001 1 016
d, telah dilakukan averifikasi data dan rekonsiliasi
dengan Petugas Rekonsiliasi
AR STOK AKHIR
KETERANGAN
JUMLAH
RETUR KE DKK JUMLAH HARGA
15 150,000.000
- -
- -
- -
- -
- -
- -
60 40,183,230.00 117,573 69,015,478.530
- -
- -
- -
- -
- -
- -
- -
60 40,183,230 117,588 69,165,479
....................
....................
....................
Pengurus Barang Pengguna

.................................................
NIP. ...........................................
OLA
Petugas Rekonsiliasi
RETNO SULISTYANINGRUM, ST
NIP.
BERITA ACARA REKONSILIASI
PERSEDIAAN TAHUN 2021
Nomor : 015 /BMD 21/PUSKESMAS/VIII/2021
Pada hari ini, Senin , tanggal empat belas bulan Januari tahun Dua ribu dua puluh d, telah dilakuka
Persediaan Tahun 2021 antara Pengurus Barang pada Pengguna di Organisasi Perangkat Daerah PUSKESMAS KARIMUNJAWA
pada BPKAD Kabupaten Jepara sebagai Pejabat Penatausahaan Barang MIlik Daerah Kabupaten Jepara, guna penyusunan Laporan BMD Tahun 2021, dengan hasil sebagai berikut:
SALDO AWAL MASUK KELUAR

NO URAIAN
JUMLAH HARGA JUMLAH HARGA JUMLAH
HARGA PENGGUNAAN
1 APBD II - Barjas 4,984 105,801,000 4,859 103,971,000
2 APBD II - Modal
3 BLUD- Barjas 1,277 44,248,556 1,277 44,248,556
4 BLUD- BM
5 BOS/BOP- Barjas
6 BOS/BOP BM
7 DKK 1,509 6,508,120 1,509 6,508,120
8 IFK Rp 112,320 76,184,956.01 408,390 1,100,543,622 403,077 1,067,529,870
9 BTT
10 DISTRIBUSI DARI PD LAIN
DP3AP2KB 11,492 39,964,109 11,492 39,964,109
11 HIBAH DARI MASYARAKAT
12 HIBAH DARI PROVINSI 157 6,237,530 157 6,237,530
13 HIBAH DARI PUSAT
14 KOREKSI
JUMLAH 112,320 76,184,956 427,809 1,303,302,937 422,371 1,268,459,185
CATATAN LAIN-LAIN :
Dari IFK ( dari hibah Pusat) ada yang menjadi Aset Tetap yaitu berupa Tabung Oksigen seharga Rp. 63.255.500
.................................................................................................................................................................................................................................................................................
.................................................................................................................................................................................................................................................................................
.................................................................................................................................................................................................................................................................................
Demikian berita acara ini dibuat dengan sesunguhnya dalam rangkap 2 (dua) untuk dipergunakan seperlunya.
I. PENGGUNA BARANG
Mengetahui,
Pengguna Barang
.....................................................
NIP. ......................................
II. PEJABAT PENATAUSAHAAN BARANG PADA PENGELOLA
Mengetahui,
Sub Koordinator Pencatatan dan Mutasi Aset
HERU SUTRISNO, SE, MM

NIP.19771212 201001 1 016
d, telah dilakukan averifikasi data dan rekonsiliasi
dengan Petugas Rekonsiliasi
AR STOK AKHIR
KETERANGAN
JUMLAH
RETUR KE DKK JUMLAH HARGA
125 1,830,000.000 125 1,830,000
- - SELISIH ATK 91 773000
- - KERTAS DAN COVER 19 907000
- - 1680000
- -
- -
- -
60 40,183,230.00 117,573 69,015,478.530
- -
- -
- -
- -
- -
- -
- -
60 40,183,230 117,698 70,845,479
....................
....................
....................
Pengurus Barang Pengguna

.................................................
NIP. ...........................................
OLA
Petugas Rekonsiliasi
RETNO SULISTYANINGRUM, ST
NIP.
KABUPATEN JEPARA
MUTASI BARANG DAN NILAI PERSEDIAAN
Periode 202112
Kode Pengguna : 010222.00000.00000
Masuk Keluar
Objek PLU/Non Jumlah Jumlah Jumlah Jumlah
No. Keterangan Nilai Awal Pem Nilai Masuk Peng Nilai Keluar Nilai Akhir
PLU Awal Distri busi Hibah Retur Koreksi Masuk Distri Busi Hibah Retur Keluar Akhir
Belian gunaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
459 010000005235 MATERAI 10.000 [LEMBAR] - - 210 - - - - 210 2,100,000 195 - - - 195 1,950,000 15 150,000
Total - - 210 - - - - 210 2,100,000 195 - - - 195 1,950,000 15 150,000
19,419 202,759,315 Kabupaten Jepara ,

Pengurus Barang
( ……. ……. ……. ……. ……. ……. )

KABUPATEN JEPARA
MUTASI BARANG DAN NILAI PERSEDIAAN
Periode 202112
Kode Pengguna : 010222.00000.00000
Masuk Keluar
Objek PLU/Non Jumlah Jumlah Jumlah Jumlah
No. Keterangan Nilai Awal Pem Nilai Masuk Peng Nilai Keluar Nilai Akhir
PLU Awal Distri busi Hibah Retur Koreksi Masuk Distri Busi Hibah Retur Keluar Akhir
Belian gunaan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1 0011298719000 BALLPOINT [BUAH] - - 44 - - - - 44 88,000 44 - - - 44 88,000 - -
5 010000000016 GAS O2- MR 1 M3 [TABUNG] - - 120 - - - - 120 24,000,000 120 - - - 120 24,000,000 - -
24 010000000034 CARTRIDGE [BUAH] - - 20 - - - - 20 2,920,000 20 - - - 20 2,920,000 - -
36 010000000046 PAPER CLIPS BESAR NO.5 [BUAH] - - 5 - - - - 5 30,000 - - - - - - 5 30,000
38 010000000195 Buku Gizi [BUKU] - - - 12 - - - 12 150,000 12 - - - 12 150,000 - -
40 010000000335 LEM POVINAL TANGGUNG 75 ML - - 35 - - - - 35 210,000 28 - - - 28 168,000 7 42,000
[BOTOL]
48 010000000336 STOPMAP PLASTIK CLIP FILE [BUAH] - - 55 - - - - 55 1,100,000 45 - - - 45 900,000 10 200,000
55 010000000339 PREMIUM/PERTALITE/PERTAMAX/ - - 32 - - - - 32 11,270,000 32 - - - 32 11,270,000 - -
DEXLITE (BBM) [PAKET]
84 010000000340 EKRAK PLASTIK [BUAH] - - 1 - - - - 1 15,000 1 - - - 1 15,000 - -
86 010000000341 EKRAK BAMBU [BUAH] - - 2 - - - - 2 50,000 2 - - - 2 50,000 - -
88 010000000345 MASKER [BUAH] - - - 50 - - - 50 99,800 50 - - - 50 99,800 - -
90 010000000352 STOPMAP KERTAS [LEMBAR] - - 38 - - - - 38 304,000 30 - - - 30 240,000 8 64,000
96 010000000359 TINTA STEMPEL [BOTOL] - - 7 - - - - 7 28,000 2 - - - 2 8,000 5 20,000
99 010000000374 BANNER/SPANDUK [LEMBAR] - - 5 - - - - 5 1,000,000 5 - - - 5 1,000,000 - -
102 010000000408 LAMPU EMERGENCY [BUAH] - - 1 - - - - 1 115,000 1 - - - 1 115,000 - -
104 010000000500 MOUSE PAD [BUAH] - - 11 - - - - 11 110,000 11 - - - 11 110,000 - -
111 010000000610 SAPU KELUT [BUAH] - - 10 - - - - 10 250,000 10 - - - 10 250,000 - -
116 010000000614 SIKAT GAGANG PANJANG [BUAH] - - 1 - - - - 1 30,000 1 - - - 1 30,000 - -
118 010000000795 TONG SAMPAH [BUAH] - - 7 - - - - 7 350,000 7 - - - 7 350,000 - -
121 010000000805 ISI TABUNG GAS ELIPIJI 12 KG [TABUNG] - - 10 - - - - 10 2,000,000 10 - - - 10 2,000,000 - -
131 010000000828 ISI STAPLES KECIL [BUAH] - - 14 - - - - 14 28,000 4 - - - 4 8,000 10 20,000

134 010000000850 KERTAS BURAM [RIM] - - 12 - - - - 12 480,000 12 - - - 12 480,000 - -
138 010000000890 KASA STERIL [PAK] - - - 50 - - - 50 25,000 50 - - - 50 25,000 - -
140 010000000934 PLASTIK SAMPAH UKURAN 30X40 [PAK] - - 8 - - - - 8 80,000 8 - - - 8 80,000 - -
145 010000000947 CARTRIDGE WARNA [BUAH] - - 7 - - - - 7 1,750,000 7 - - - 7 1,750,000 - -

150 010000000952 SUSU [KALENG] - - 6 - - - - 6 66,000 6 - - - 6 66,000 - -
153 010000001182 SPON PEMBERSIH [BUAH] - - 6 - - - - 6 72,000 6 - - - 6 72,000 - -
157 010000001201 TINTA PRINTER EPSON WARNA [BOTOL] - - 3 - - - - 3 510,000 3 - - - 3 510,000 - -
160 010000001216 KLIP 155 [PAK] - - 8 - - - - 8 32,000 8 - - - 8 32,000 - -

163 0100000012161 KLIP NO 4 [PAK] - - 11 - - - - 11 44,000 11 - - - 11 44,000 - -
166 010000001217 ISI TABUNG GAS ELPIJI 5KG [TABUNG] - - 3 - - - - 3 105,000 3 - - - 3 105,000 - -
168 010000001235 PLASTIK B3 KUNING [PAK] - - 4 - - - - 4 360,000 4 - - - 4 360,000 - -

172 010000001251 NEO.K [AMPUL] - - 2 - - - - 2 250,000 2 - - - 2 250,000 - -
174 010000001291 KABEL LISTRIK [PAKET] - - 1 - - - - 1 450,000 1 - - - 1 450,000 - -
176 010000001347 Alkohol Swab Onemed [BOK] - - 6 - - - - 6 240,000 6 - - - 6 240,000 - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
179 010000001355 Handscoon Biasa L Onemed [BOK] - - 15 - - - - 15 2,800,000 15 - - - 15 2,800,000 - -
182 010000001422 HCG Test Onemed [BOTOL] - - 1 - - - - 1 157,500 1 - - - 1 157,500 - -
184 010000001447 Stik Asam Urat Easytouch [PAK] - - 10 - - - - 10 1,250,000 10 - - - 10 1,250,000 - -
188 010000001448 Stik Gula Darah Easytouch [PAK] - - 24 - - - - 24 4,730,000 24 - - - 24 4,730,000 - -
195 010000001450 Stik Gula Darah GlucoDR [PAK] - - 15 - - - - 15 2,120,000 15 - - - 15 2,120,000 - -
199 010000001451 Stik Kolesterol Easytouch [PAK] - - 28 - - - - 28 5,460,000 28 - - - 28 5,460,000 - -
203 010000001505 EDTA 100ML [BOTOL] - - 1 - - - - 1 175,000 1 - - - 1 175,000 - -
205 010000001506 KERTAS PUYER [PAK] - - 2 - - - - 2 240,000 2 - - - 2 240,000 - -
207 010000001510 MAP CM [BUAH] - - 100 - - - - 100 900,000 100 - - - 100 900,000 - -
209 010000001737 Sarung Tangan Panjang Steril [SET] - - - 50 - - - 50 247,500 50 - - - 50 247,500 - -
211 010000001806 CETAK KWITANSI TINDAKAN [RIM] - - 40 - - - - 40 800,000 40 - - - 40 800,000 - -
213 010000001816 Ondansetron Inj 4mg [BUAH] - - 30 - - - - 30 1,201,580 30 - - - 30 1,201,580 - -
216 010000001835 Cefadroxil 500mg [BOK] - - 5 - - - - 5 1,623,655 5 - - - 5 1,623,655 - -
218 010000001837 Metronidazol 500mg [BOK] - - 20 - - - - 20 1,536,460 20 - - - 20 1,536,460 - -
220 010000001858 Water For Injeksi Otsuka [BOTOL] - - 10 - - - - 10 539,000 10 - - - 10 539,000 - -
222 010000001867 Gliserl Guaiacolat [BOK] - - 50 - - - - 50 425,000 50 - - - 50 425,000 - -
224 010000001948 BINDER KLIP NO.200 [BOK] - - 1 - - - - 1 15,000 1 - - - 1 15,000 - -
226 010000002045 Vaculab EDTA 3 ml [buah] - - 1 - - - - 1 135,000 1 - - - 1 135,000 - -
228 010000002233 GAS LPG [TABUNG] - - 1 - - - - 1 60,000 1 - - - 1 60,000 - -
230 010000002362 GLIMEPIRIDE 2 MG [BOK] - - 22 - - - - 22 2,501,714 22 - - - 22 2,501,714 - -
233 010000002454 PULSE OXSYMETRI [BUAH] - - 2 - - - - 2 380,000 2 - - - 2 380,000 - -
235 010000002480 ACYCLOVIR [DUS] - - 5 - - - - 5 135,000 5 - - - 5 135,000 - -
237 010000002518 BLOOD LANCET [BOK] - - 25 - - - - 25 1,250,000 25 - - - 25 1,250,000 - -
244 010000002533 ISI TABUNG GAS ELPIGI ISI 12 KG - - 1 - - - - 1 200,000 1 - - - 1 200,000 - -
[TABUNG]
246 010000002570 STOPKONTAK ISI 4 [BUAH] - - 2 - - - - 2 90,000 2 - - - 2 90,000 - -
249 010000002672 IUD COPER T [BUAH] - - - 50 - - - 50 625,000 50 - - - 50 625,000 - -
251 010000002673 IMPLANT [BUAH] - - - 50 - - - 50 7,500,750 50 - - - 50 7,500,750 - -
253 010000002675 KONDOM [PAK] - - - 6 - - - 6 579,000 6 - - - 6 579,000 - -
256 010000002676 SUNTIKAN KB I [BUAH] - - - 3,500 - - - 3,500 18,720,000 3,500 - - - 3,500 18,720,000 - -
260 010000002701 KLIP ATOM NO. 4 [DUS] - - 40 - - - - 40 160,000 40 - - - 40 160,000 - -
264 010000002702 ISI STAPLES KECIL [BUAH] - - 10 - - - - 10 20,000 10 - - - 10 20,000 - -
268 010000002707 BALLPOINT STANDART AE7 [BUAH] - - 64 - - - - 64 64,000 50 - - - 50 50,000 14 14,000
278 010000002724 PENGGARIS BESI 30 CM [BUAH] - - 8 - - - - 8 40,000 3 - - - 3 15,000 5 25,000
282 010000002736 AIR MINUM ISI ULANG [GALON] - - 1 - - - - 1 20,000 1 - - - 1 20,000 - -
284 010000002790 ZINK DISPERSABLE [BOK] - - 4 - - - - 4 161,364 4 - - - 4 161,364 - -
286 010000002844 CANDESARTAN [BOK] - - 2 - - - - 2 230,000 2 - - - 2 230,000 - -
288 010000002972 STIK GULA DARAH ON CALL PLUS STRIP - - 2 - - - - 2 300,000 2 - - - 2 300,000 - -
2X25 [BOK]
290 010000002991 ALKOHOL SWAB [BUAH] - - 3 50 - - - 53 126,400 53 - - - 53 126,400 - -
294 010000003050 SPIDOL BESAR PNF [BUAH] - - 31 - - - - 31 372,000 27 - - - 27 324,000 4 48,000
300 010000003051 ISI STAPLES PNF [DUS] - - 10 - - - - 10 50,000 10 - - - 10 50,000 - -
303 010000003082 BANNER/MMT [LEMBAR] - - 8 - - - - 8 1,600,000 8 - - - 8 1,600,000 - -
306 010000003102 CETAK LEMBAR BALIK [RIM] - - 6 3 - - - 9 2,473,000 9 - - - 9 2,473,000 - -
311 010000003119 LAMPU LED 10 W [BUAH] - - 29 - - - - 29 1,334,000 29 - - - 29 1,334,000 - -
317 010000003129 SAPU CEMARA [BUAH] - - 7 - - - - 7 175,000 7 - - - 7 175,000 - -
322 010000003141 HANDSOAP BOTOL [BOTOL] - - 37 60 - - - 97 1,556,000 97 - - - 97 1,556,000 - -
332 010000003191 AMPLOP TANGGUNG [DUS] - - 2 - - - - 2 32,000 - - - - - - 2 32,000
334 010000003306 TONG SAMPAH [BUAH] - - 7 - - - - 7 350,000 7 - - - 7 350,000 - -
338 010000003337 ISOLASI HITAM KECIL [BUAH] - - 6 - - - - 6 14,000 6 - - - 6 14,000 - -
343 010000003341 LAMPU LED 7 WATT [BUAH] - - 33 - - - - 33 825,000 33 - - - 33 825,000 - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
349 010000003345 SUNTIKAN KECIL [BUAH] - - - 400 - - - 400 2,435,200 400 - - - 400 2,435,200 - -
351 010000003444 TEH CELUP [DUS] - - 6 - - - - 6 90,000 6 - - - 6 90,000 - -
358 010000003652 ISI STAPLES NO. 10 [DUS] - - 8 - - - - 8 40,000 8 - - - 8 40,000 - -
360 010000003677 PLESTER [ROLL] - - 15 - - - - 15 416,100 15 - - - 15 416,100 - -
363 010000003744 TIPEX KERTAS [BUAH] - - 17 - - - - 17 170,000 13 - - - 13 130,000 4 40,000
367 010000003745 LEAFLET MEDIA PROMKES [BUAH] - - 400 - - - - 400 1,200,000 400 - - - 400 1,200,000 - -
371 010000003809 REAGENT HEMATOLOGY ANALYZER - - 7 - - - - 7 8,367,761 7 - - - 7 8,367,761 - -
SYSMEX [PAKET]
379 010000003958 RM.PM.15 SURAT KETERANGAN SAKIT - - 100 - - - - 100 200,000 100 - - - 100 200,000 - -
[RIM]
381 010000004104 SIKAT KAMAR MANDI BESAR [BUAH] - - 25 - - - - 25 750,000 25 - - - 25 750,000 - -
388 010000004127 WIPOL [BUAH] - - 10 - - - - 10 200,000 10 - - - 10 200,000 - -
391 010000004184 PLASTIK SAMPAH UKURAN 40 X60 - - 3 - - - - 3 30,000 3 - - - 3 30,000 - -
[PAK]
393 010000004234 PMT PEMULIHAN GIBUR [PAKET] - - 20 - - - - 20 6,000,000 20 - - - 20 6,000,000 - -
396 010000004235 PMT BUMIL KEK [PAKET] - - 30 - 25 - - 55 10,133,750 55 - - - 55 10,133,750 - -
401 010000004236 PMTBALITA GIBUR DAN BUMIL KEK - - 10 - 132 - - 142 8,103,780 142 - - - 142 8,103,780 - -
[PAKET]
404 010000004243 CETAK FOTOCOPY [LEMBAR] - - 2,500 1,000 - - - 3,500 875,000 3,500 - - - 3,500 875,000 - -
410 010000004405 DISINFECTANT [BOTOL] - - - 35 - - - 35 700,000 35 - - - 35 700,000 - -
412 010000004467 Nasal Kanula Dewasa [BUAH] - - 190 - - - - 190 1,020,000 190 - - - 190 1,020,000 - -
416 010000004538 PYRAZINAMID 500 MG TABLET [BOK] - - 50 - - - - 50 1,362,250 50 - - - 50 1,362,250 - -
418 010000004602 KETOROLAC 30 MG INJEKSI [DUS] - - 20 - - - - 20 710,480 20 - - - 20 710,480 - -
420 010000004624 CATETER 20 GA BD [BUAH] - - 100 - - - - 100 434,000 100 - - - 100 434,000 - -
422 010000004625 CATETER 22 GA BD [BUAH] - - 450 - - - - 450 1,872,000 450 - - - 450 1,872,000 - -
425 010000004626 CATETER 24 GA BD [BUAH] - - 100 - - - - 100 417,000 100 - - - 100 417,000 - -
427 010000004662 VENTOLIN [AMPUL] - - 10 - - - - 10 135,000 10 - - - 10 135,000 - -
429 010000004681 DOMPERIDON [KAPLET] - - 10 - - - - 10 166,820 10 - - - 10 166,820 - -
431 010000004693 ALKOHOL70 % 300 ML [BOTOL] - - 2 - - - - 2 637,446 2 - - - 2 637,446 - -
433 010000004823 CIPROFLOXACIN [BOK] - - 20 - - - - 20 1,988,500 20 - - - 20 1,988,500 - -
435 010000004838 KOPI [BUNGKUS] - - 51 - - - - 51 123,000 51 - - - 51 123,000 - -
446 010000004987 RANITIDINE [BOK] - - 10 - - - - 10 275,000 10 - - - 10 275,000 - -
448 010000004989 CIPROFLOXACIN TABLET [BOK] - - 20 - - - - 20 761,900 20 - - - 20 761,900 - -
450 010000005177 SUSU FORMULA 100 [BUNGKUS] - - - 100 - - - 100 693,000 100 - - - 100 693,000 - -
452 010000005178 SUSU SUN IBU HAML [DUS] - - - 24 - - - 24 546,720 24 - - - 24 546,720 - -
454 010000005193 CETAK BUKU [BUAH] - - - 15 - - - 15 300,000 15 - - - 15 300,000 - -
456 010000005199 BUKU KIA [BUAH] - - - 250 - - - 250 2,071,400 250 - - - 250 2,071,400 - -
459 010000005235 MATERAI 10.000 [LEMBAR] - - 210 - - - - 210 2,100,000 195 - - - 195 1,950,000 15 150,000
470 010000005249 OKSITOSIN [AMPUL] - - 15 - - - - 15 75,000 15 - - - 15 75,000 - -
472 010000005315 PIL KB [KAPLET] - - - 2,600 - - - 2,600 2,997,800 2,600 - - - 2,600 2,997,800 - -
476 010000005316 SYRINGE, 3 ML (SUNTIK KB) [BUAH] - - - 3,940 - - - 3,940 4,483,720 3,940 - - - 3,940 4,483,720 - -
482 010000005317 SYRINGE, 3 ML (IMPLANT) [BUAH] - - - 50 - - - 50 67,900 50 - - - 50 67,900 - -
484 010000005318 LIDOCAINE, 2% [AMPUL] - - - 50 - - - 50 61,050 50 - - - 50 61,050 - -
486 010000005323 PLESTER STERIL [BUAH] - - - 50 - - - 50 210,600 50 - - - 50 210,600 - -
488 010000005324 Kain penutup operasi steril (Doek Steril - - - 50 - - - 50 343,150 50 - - - 50 343,150 - -
Disposable) [BUAH]
490 010000005325 SAFETY BOX [BUAH] - - - 1 - - - 1 26,589 1 - - - 1 26,589 - -
492 010000005326 POVIDONE IODINE 30ML [BOTOL] - - - 15 - - - 15 237,750 15 - - - 15 237,750 - -
495 010000005327 ASAM MEFENAMAT, 500 MG [KAPLET] - - - 500 - - - 500 1,072,500 500 - - - 500 1,072,500 - -
497 010000005411 VITAMIN C 50 MG [BOK] - - 5 - - - - 5 1,350,000 5 - - - 5 1,350,000 - -

499 010000005519 GESTIN F3, 1CC [BUAH] - - - 40 - - - 40 448,400 40 - - - 40 448,400 - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
501 0312030086757 GELATIK KEMBAR FOLIO 100 [BUAH] - - 60 - - - - 60 1,200,000 60 - - - 60 1,200,000 - -
505 3154141461095 PENGGARIS 30CM146109 MPED [BUAH] - - 2 - - - - 2 10,000 2 - - - 2 10,000 - -
507 37E21576D966 GULA PASIR 1KG [KG] - - 7 - - - - 7 121,000 7 - - - 7 121,000 - -

513 4007817104118 PENSIL 2B STAEDTLER [BUAH] - - 20 - - - - 20 80,000 15 - - - 15 60,000 5 20,000
518 4007817530658 PENGHAPUS PENSIL [BUAH] - - 23 - - - - 23 69,000 20 - - - 20 60,000 3 9,000
524 4022536009056 MERCK. SULFANILIC ACID. ASAM - - 1 - - - - 1 600,000 1 - - - 1 600,000 - -
SULFANILAT [GRAM]
526 4540104902099 KANEBO [BUAH] - - 2 - - - - 2 150,000 2 - - - 2 150,000 - -
529 4902870775681 STAPLES KECIL [BUAH] - - 15 - - - - 15 300,000 13 - - - 13 260,000 2 40,000
535 4970430100518 ISI STEPLES ETONA KCL [BOK] - - 10 - - - - 10 20,000 10 - - - 10 20,000 - -
537 512E8847622C AMPLOP KECIL [BOK] - - 6 - - - - 6 60,000 4 - - - 4 40,000 2 20,000
541 6843A3840C79 SULAK Bulu Ayam [BUAH] - - 17 - - - - 17 340,000 17 - - - 17 340,000 - -
548 6932124720110 STAPLES [BUAH] - - 3 - - - - 3 180,000 2 - - - 2 120,000 1 60,000
551 818C23CB38FB penggaris biasa [BUAH] - - 2 - - - - 2 10,000 2 - - - 2 10,000 - -
553 819A38707BD9 AQUA GALON [GALON] - - 43 - - - - 43 1,505,000 43 - - - 43 1,505,000 - -
565 8885007028422 TINTA EPSON 003 BLACK [BOTOL] - - 17 - - - - 17 2,485,000 17 - - - 17 2,485,000 - -
573 8887549313707 BATERAI ALKALINE AA ISI 2 [PAK] - - 23 - - - - 23 230,000 23 - - - 23 230,000 - -
578 8991386247013 AMPLOP BESAR PAPERLINE 110X230 - - 3 - - - - 3 66,000 - - - - - - 3 66,000
[BOK]
580 8991389220306 BUKU SIDU 38L [BUAH] - - 30 - - - - 30 120,000 30 - - - 30 120,000 - -
584 8991389291061 HVS F4 70 SIDU [RIM] - - 123 - - - - 123 7,011,000 108 - - - 108 6,156,000 15 855,000
596 8991389291085 SIDU HVS 70 A4S [RIM] - - 9 - - - - 9 495,000 9 - - - 9 495,000 - -
600 8991389304464 BUKU SIDU 38 LBR [BUAH] - - 10 - - - - 10 40,000 10 - - - 10 40,000 - -
602 8991948302009 KENKO CLIP BINDER NO. 200 [BOK] - - 9 - - - - 9 123,000 4 - - - 4 48,000 5 75,000
607 8992779143106 GLADE 2IN1 ORANGE 250ML [BUAH] - - 21 - - - - 21 546,000 21 - - - 21 546,000 - -
611 8992779251306 CLEAR PEMBERSIH KACA [PAK] - - 27 - - - - 27 339,000 27 - - - 27 339,000 - -
621 8992929140207 B29 DETERJEN WTR-GUARD 1KG [PAK] - - 1 - - - - 1 40,000 1 - - - 1 40,000 - -
623 8992929140276 B29 DETERJEN 1KG FRUITY [PAK] - - 10 - - - - 10 400,000 10 - - - 10 400,000 - -

625 8992929140290 B29 DETERGEN 1KG BLUE [PAK] - - 7 - - - - 7 280,000 7 - - - 7 280,000 - -
629 8992929411031 B29 DETERJEN 1KG ROSE [PAK] - - 9 - - - - 9 360,000 9 - - - 9 360,000 - -
632 8994707000178 ACETYLCYSTEINE 200 MG [BOK] - - 10 - - - - 10 417,100 10 - - - 10 417,100 - -
634 8994805100169 METFORMIN 500 MG [BOK] - - 3 - - - - 3 490,926 3 - - - 3 490,926 - -
636 8997031730674 TINTA BLUEPRINT EPSON HITAM - - 14 - - - - 14 1,105,000 14 - - - 14 1,105,000 - -
[BOTOL]
644 8998866104876 MAMA LEMON 90 ML [PAK] - - 1 - - - - 1 3,000 1 - - - 1 3,000 - -
646 8998866105156 MAMA LEMON JERUK NIPIS 800ML - - 10 - - - - 10 160,000 10 - - - 10 160,000 - -
[PAK]
649 8998866600538 So-Klin Lantai Rose 400ml [PAK] - - 1 - - - - 1 15,000 1 - - - 1 15,000 - -
651 8998866600552 SOKLIN LANTAI 400 BIRU [PAK] - - 4 - - - - 4 170,000 4 - - - 4 170,000 - -
654 8998866603546 SOKLIN LT BTL 450ML [BOTOL] - - 5 - - - - 5 250,000 5 - - - 5 250,000 - -
656 8998866603553 SO KLIN LANTAI LAVENDER 900 ML - - 2 - - - - 2 100,000 2 - - - 2 100,000 - -
[PAK]
658 8998889851727 SAPU KELAPA [BUAH] - - 18 - - - - 18 446,000 18 - - - 18 446,000 - -
665 8998899001128 BAYGON AEROSOL WB BLUE 600 ML - - 2 - - - - 2 70,000 2 - - - 2 70,000 - -
[BOTOL]
667 8998899001456 BAYGON AEROSOL BIRU 330 ML - - 2 - - - - 2 70,000 2 - - - 2 70,000 - -
[BOTOL]
669 8999908264107 SOS KARBOL CLS PINE REF 800 ML [PAK] - - 3 - - - - 3 45,000 3 - - - 3 45,000 - -
671 8999999059811 PEMBERSIH LANTAI BESAR [BUAH] - - 1 - - - - 1 50,000 1 - - - 1 50,000 - -

673 8999999390198 SUNLIGHT 800 ML [BOTOL] - - 14 - - - - 14 210,000 14 - - - 14 210,000 - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
679 8999999393687 SUNLIGHT JERUK NIPIS 800ML [PAK] - - 18 - - - - 18 270,000 18 - - - 18 270,000 - -
683 8999999400897 SUNLIGHT GEL LIME 200 ML [PAK] - - 3 - - - - 3 45,000 3 - - - 3 45,000 - -
685 9E61410FCF96 Penggaris [BUAH] - - 10 - - - - 10 50,000 10 - - - 10 50,000 - -
Total - - 6,261 13,001 157 - - 19,419 202,759,315 19,294 - - - 19,294 200,929,315 125 1,830,000
Kabupaten Jepara ,
Pengurus Barang
( ……. ……. ……. ……. ……. ……. )

KABUPATEN JEPARA
MUTASI PEROLEHAN BARANG PERSEDIAAN
Periode 202112
Kode Pengguna : 010222.00000.00000
Belanja Barang Jasa Barang Jasa Barang Jasa Barang Jasa Jumlah
No. Objek PLU/Non PLU Jumlah Harga Hutang Modal BOS Modal BOP Modal BLUD Modal DAK Hibah Barang Jasa Kurang Bayar Keterangan
Modal BOS BOP BLUD NDAK Bayar
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 0102220000000000.H210001 2 200,000 400,000 - - - - - - 400,000 - - - - 400,000 - Feb 3 2021
2 010000000805 2 200,000 400,000 - - - - - - - - - - - - - ISI TABUNG GAS ELIPIJI 12 KG
[TABUNG]
3 0102220000000000.H210002 8 200,000 1,600,000 - - - - - - 1,600,000 - - - - 1,600,000 - Feb 4 2021
4 010000000016 8 200,000 1,600,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
5 0102220000000000.H210003 1 720,000 720,000 - - - - - - 720,000 - - - - 720,000 - Feb 5 2021
6 010000000339 1 720,000 720,000 - - - - - - - - - - - - - PREMIUM/PERTALITE/
PERTAMAX/DEXLITE (BBM)
[PAKET]
7 0102220000000000.H210004 5 575,000 825,000 - - - - - - 825,000 - - - - 825,000 - Feb 5 2021
8 010000000034 1 230,000 230,000 - - - - - - - - - - - - - CARTRIDGE [BUAH]
9 010000000500 1 10,000 10,000 - - - - - - - - - - - - - MOUSE PAD [BUAH]
10 010000000947 2 250,000 500,000 - - - - - - - - - - - - - CARTRIDGE WARNA [BUAH]
11 8997031730674 1 85,000 85,000 - - - - - - - - - - - - - TINTA BLUEPRINT EPSON HITAM
[BOTOL]
12 0102220000000000.H210005 57 139,000 1,148,000 - - - - - - 1,148,000 - - - - 1,148,000 - Feb 5 2021
13 010000000336 10 20,000 200,000 - - - - - - - - - - - - - STOPMAP PLASTIK CLIP FILE
[BUAH]
14 010000000352 10 8,000 80,000 - - - - - - - - - - - - - STOPMAP KERTAS [LEMBAR]
15 010000000850 4 40,000 160,000 - - - - - - - - - - - - - KERTAS BURAM [RIM]
16 010000001216 4 4,000 16,000 - - - - - - - - - - - - - KLIP 155 [PAK]
17 010000002707 5 1,000 5,000 - - - - - - - - - - - - - BALLPOINT STANDART AE7 [BUAH]
18 010000003652 8 5,000 40,000 - - - - - - - - - - - - - ISI STAPLES NO. 10 [DUS]

19 4007817104118 5 4,000 20,000 - - - - - - - - - - - - - PENSIL 2B STAEDTLER [BUAH]
20 8991389291061 11 57,000 627,000 - - - - - - - - - - - - - HVS F4 70 SIDU [RIM]
21 0102220000000000.H210006 20 10,000 200,000 - - - - - - 200,000 - - - - 200,000 - Feb 5 2021
22 010000005235 20 10,000 200,000 - - - - - - - - - - - - - MATERAI 10.000 [LEMBAR]
23 0102220000000000.H210007 10 51,000 160,000 - - - - - - 160,000 - - - - 160,000 - Feb 6 2021
24 010000003444 1 15,000 15,000 - - - - - - - - - - - - - TEH CELUP [DUS]
25 010000004838 5 1,000 5,000 - - - - - - - - - - - - - KOPI [BUNGKUS]
26 819A38707BD9 4 35,000 140,000 - - - - - - - - - - - - - AQUA GALON [GALON]
27 0102220000000000.H210008 16 331,000 624,000 - - - - - - 624,000 - - - - 624,000 - Feb 6 2021
28 010000000340 1 15,000 15,000 - - - - - - - - - - - - - EKRAK PLASTIK [BUAH]
29 010000000341 2 25,000 50,000 - - - - - - - - - - - - - EKRAK BAMBU [BUAH]
30 010000001235 2 90,000 180,000 - - - - - - - - - - - - - PLASTIK B3 KUNING [PAK]
31 4540104902099 1 75,000 75,000 - - - - - - - - - - - - - KANEBO [BUAH]
32 8992779143106 4 26,000 104,000 - - - - - - - - - - - - - GLADE 2IN1 ORANGE 250ML
[BUAH]
33 8998866600552 2 50,000 100,000 - - - - - - - - - - - - - SOKLIN LANTAI 400 BIRU [PAK]
34 8998899001128 2 35,000 70,000 - - - - - - - - - - - - - BAYGON AEROSOL WB BLUE 600
ML [BOTOL]
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
35 8999999390198 2 15,000 30,000 - - - - - - - - - - - - - SUNLIGHT 800 ML [BOTOL]
36 0102220000000000.H210009 8 200,000 1,600,000 - - - - - - 1,600,000 - - - - 1,600,000 - Mar 3 2021
37 010000000016 8 200,000 1,600,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
38 0102220000000000.H210010 20 10,000 200,000 - - - - - - 200,000 - - - - 200,000 - Mar 3 2021
39 010000005235 20 10,000 200,000 - - - - - - - - - - - - - MATERAI 10.000 [LEMBAR]
40 0102220000000000.H210011 25 267,000 624,000 - - - - - - 624,000 - - - - 624,000 - Mar 3 2021
41 010000000610 3 25,000 75,000 - - - - - - - - - - - - - SAPU KELUT [BUAH]
42 010000000795 3 50,000 150,000 - - - - - - - - - - - - - TONG SAMPAH [BUAH]
43 010000001182 2 12,000 24,000 - - - - - - - - - - - - - SPON PEMBERSIH [BUAH]
44 010000003129 2 25,000 50,000 - - - - - - - - - - - - - SAPU CEMARA [BUAH]
45 010000003141 1 10,000 10,000 - - - - - - - - - - - - - HANDSOAP BOTOL [BOTOL]
46 010000004104 2 30,000 60,000 - - - - - - - - - - - - - SIKAT KAMAR MANDI BESAR
[BUAH]
47 6843A3840C79 2 20,000 40,000 - - - - - - - - - - - - - SULAK Bulu Ayam [BUAH]
48 8992779251306 2 15,000 30,000 - - - - - - - - - - - - - CLEAR PEMBERSIH KACA [PAK]
49 8992929140290 1 40,000 40,000 - - - - - - - - - - - - - B29 DETERGEN 1KG BLUE [PAK]
50 8998889851727 4 25,000 100,000 - - - - - - - - - - - - - SAPU KELAPA [BUAH]
52 0102220000000000.H210012 1 200,000 200,000 - - - - - - 200,000 - - - - 200,000 - Mar 4 2021
[TABUNG]
54 0102220000000000.H210013 1 720,000 720,000 - - - - - - 720,000 - - - - 720,000 - Mar 5 2021
[PAKET]
56 0102220000000000.H210014 111 246,000 1,148,000 - - - - - - 1,148,000 - - - - 1,148,000 - Mar 8 2021
57 0011298719000 20 2,000 40,000 - - - - - - - - - - - - - BALLPOINT [BUAH]
58 010000000335 5 6,000 30,000 - - - - - - - - - - - - - LEM POVINAL TANGGUNG 75 ML
[BOTOL]
[BUAH]
61 010000000359 2 4,000 8,000 - - - - - - - - - - - - - TINTA STEMPEL [BOTOL]
62 0100000012161 1 4,000 4,000 - - - - - - - - - - - - - KLIP NO 4 [PAK]
63 010000002702 2 2,000 4,000 - - - - - - - - - - - - - ISI STAPLES KECIL [BUAH]
65 010000003050 12 12,000 144,000 - - - - - - - - - - - - - SPIDOL BESAR PNF [BUAH]

66 010000003051 2 5,000 10,000 - - - - - - - - - - - - - ISI STAPLES PNF [DUS]
67 010000003744 10 10,000 100,000 - - - - - - - - - - - - - TIPEX KERTAS [BUAH]
69 4007817530658 5 3,000 15,000 - - - - - - - - - - - - - PENGHAPUS PENSIL [BUAH]
70 4902870775681 4 20,000 80,000 - - - - - - - - - - - - - STAPLES KECIL [BUAH]
71 512E8847622C 2 10,000 20,000 - - - - - - - - - - - - - AMPLOP KECIL [BOK]
72 6932124720110 2 60,000 120,000 - - - - - - - - - - - - - STAPLES [BUAH]
73 8991389291061 4 57,000 228,000 - - - - - - - - - - - - - HVS F4 70 SIDU [RIM]
74 8991389304464 10 4,000 40,000 - - - - - - - - - - - - - BUKU SIDU 38 LBR [BUAH]
75 8991948302009 2 9,000 18,000 - - - - - - - - - - - - - KENKO CLIP BINDER NO. 200 [BOK]
76 9E61410FCF96 10 5,000 50,000 - - - - - - - - - - - - - Penggaris [BUAH]

77 0102220000000000.H210016 5 575,000 825,000 - - - - - - 825,000 - - - - 825,000 - Mar 8 2021
78 010000000034 1 230,000 230,000 - - - - - - - - - - - - - CARTRIDGE [BUAH]
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
79 010000000500 1 10,000 10,000 - - - - - - - - - - - - - MOUSE PAD [BUAH]
[BOTOL]
82 0102220000000000.H210017 18 578,000 765,000 - - - - - - 765,000 - - - - 765,000 - Mar 10 2021
83 010000001291 1 450,000 450,000 - - - - - - - - - - - - - KABEL LISTRIK [PAKET]
84 010000002570 1 45,000 45,000 - - - - - - - - - - - - - STOPKONTAK ISI 4 [BUAH]
85 010000003119 1 46,000 46,000 - - - - - - - - - - - - - LAMPU LED 10 W [BUAH]
86 010000003337 2 2,000 4,000 - - - - - - - - - - - - - ISOLASI HITAM KECIL [BUAH]
87 010000003341 6 25,000 150,000 - - - - - - - - - - - - - LAMPU LED 7 WATT [BUAH]
88 8887549313707 7 10,000 70,000 - - - - - - - - - - - - - BATERAI ALKALINE AA ISI 2 [PAK]
89 0102220000000000.H210018 17 92,000 320,000 - - - - - - 320,000 - - - - 320,000 - Mar 20 2021
90 010000000952 3 11,000 33,000 - - - - - - - - - - - - - SUSU [KALENG]
91 010000003444 1 15,000 15,000 - - - - - - - - - - - - - TEH CELUP [DUS]
92 010000004838 6 13,000 78,000 - - - - - - - - - - - - - KOPI [BUNGKUS]
93 37E21576D966 3 18,000 54,000 - - - - - - - - - - - - - GULA PASIR 1KG [KG]
95 0102220000000000.H210019 8 200,000 1,600,000 - - - - - - 1,600,000 - - - - 1,600,000 - Mar 25 2021
96 010000000016 8 200,000 1,600,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
97 0102220000000000.H210022 28 234,000 624,000 - - - - - - 624,000 - - - - 624,000 - Apr 3 2021
99 010000004184 3 10,000 30,000 - - - - - - - - - - - - - PLASTIK SAMPAH UKURAN 40 X60
[PAK]
100 4540104902099 1 75,000 75,000 - - - - - - - - - - - - - KANEBO [BUAH]
[BUAH]
104 8998866105156 7 16,000 112,000 - - - - - - - - - - - - - MAMA LEMON JERUK NIPIS 800ML
[PAK]
105 8998866600552 2 35,000 70,000 - - - - - - - - - - - - - SOKLIN LANTAI 400 BIRU [PAK]
107 0102220000000000.H210023 12 49,000 160,000 - - - - - - 160,000 - - - - 160,000 - Apr 5 2021
108 010000004838 7 1,000 7,000 - - - - - - - - - - - - - KOPI [BUNGKUS]
111 0102220000000000.H210024 40 20,000 800,000 - - - - - - 800,000 - - - - 800,000 - Apr 5 2021
112 010000001806 40 20,000 800,000 - - - - - - - - - - - - - CETAK KWITANSI TINDAKAN [RIM]
113 0102220000000000.H210025 57 139,000 1,148,000 - - - - - - 1,148,000 - - - - 1,148,000 - Apr 7 2021

[BUAH]
116 010000000850 4 40,000 160,000 - - - - - - - - - - - - - KERTAS BURAM [RIM]
117 010000001216 4 4,000 16,000 - - - - - - - - - - - - - KLIP 155 [PAK]
119 010000003051 8 5,000 40,000 - - - - - - - - - - - - - ISI STAPLES PNF [DUS]

121 8991389291061 11 57,000 627,000 - - - - - - - - - - - - - HVS F4 70 SIDU [RIM]
122 0102220000000000.H210026 1 720,000 720,000 - - - - - - 720,000 - - - - 720,000 - Apr 7 2021
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
[PAKET]
124 0102220000000000.H210028 1 200,000 200,000 - - - - - - 200,000 - - - - 200,000 - Apr 10 2021
125 010000002533 1 200,000 200,000 - - - - - - - - - - - - - ISI TABUNG GAS ELPIGI ISI 12 KG
[TABUNG]
126 0102220000000000.H210029 7 500,000 820,000 - - - - - - 820,000 - - - - 820,000 - Apr 12 2021
127 010000000034 1 125,000 125,000 - - - - - - - - - - - - - CARTRIDGE [BUAH]
128 010000000500 1 10,000 10,000 - - - - - - - - - - - - - MOUSE PAD [BUAH]
129 010000001201 2 170,000 340,000 - - - - - - - - - - - - - TINTA PRINTER EPSON WARNA
[BOTOL]
130 8885007028422 2 150,000 300,000 - - - - - - - - - - - - - TINTA EPSON 003 BLACK [BOTOL]

[BOTOL]
132 0102220000000000.H210030 8 200,000 1,600,000 - - - - - - 1,600,000 - - - - 1,600,000 - Apr 14 2021
133 010000000016 8 200,000 1,600,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
134 0102220000000000.H210031 1 200,000 200,000 - - - - - - 200,000 - - - - 200,000 - May 6 2021
[TABUNG]
136 0102220000000000.H210032 11 330,000 820,000 - - - - - - 820,000 - - - - 820,000 - May 7 2021
137 010000000034 1 125,000 125,000 - - - - - - - - - - - - - CARTRIDGE [BUAH]
138 010000000500 2 10,000 20,000 - - - - - - - - - - - - - MOUSE PAD [BUAH]

[BOTOL]
141 0102220000000000.H210033 1 720,000 720,000 - - - - - - 720,000 - - - - 720,000 - May 7 2021
[PAKET]
143 0102220000000000.H210034 8 200,000 1,600,000 - - - - - - 1,600,000 - - - - 1,600,000 - May 8 2021
144 010000000016 8 200,000 1,600,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
145 0102220000000000.H210035 20 10,000 200,000 - - - - - - 200,000 - - - - 200,000 - May 10 2021
146 010000005235 20 10,000 200,000 - - - - - - - - - - - - - MATERAI 10.000 [LEMBAR]
147 0102220000000000.H210036 75 204,000 1,125,000 - - - - - - 1,125,000 - - - - 1,125,000 - May 12 2021
[BOTOL]
149 010000001948 1 15,000 15,000 - - - - - - - - - - - - - BINDER KLIP NO.200 [BOK]
150 010000002701 10 4,000 40,000 - - - - - - - - - - - - - KLIP ATOM NO. 4 [DUS]

154 0312030086757 20 20,000 400,000 - - - - - - - - - - - - - GELATIK KEMBAR FOLIO 100
[BUAH]
157 818C23CB38FB 2 5,000 10,000 - - - - - - - - - - - - - penggaris biasa [BUAH]
158 8991389220306 10 4,000 40,000 - - - - - - - - - - - - - BUKU SIDU 38L [BUAH]
159 8991389291061 5 57,000 285,000 - - - - - - - - - - - - - HVS F4 70 SIDU [RIM]
160 8991389291085 3 55,000 165,000 - - - - - - - - - - - - - SIDU HVS 70 A4S [RIM]
161 0102220000000000.H210037 22 241,000 765,000 - - - - - - 765,000 - - - - 765,000 - May 12 2021
162 010000000408 1 115,000 115,000 - - - - - - - - - - - - - LAMPU EMERGENCY [BUAH]
163 010000002570 1 45,000 45,000 - - - - - - - - - - - - - STOPKONTAK ISI 4 [BUAH]
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
164 010000003119 10 46,000 460,000 - - - - - - - - - - - - - LAMPU LED 10 W [BUAH]
167 0102220000000000.H210038 29 204,000 624,000 - - - - - - 624,000 - - - - 624,000 - May 19 2021
168 010000000934 1 10,000 10,000 - - - - - - - - - - - - - PLASTIK SAMPAH UKURAN 30X40
[PAK]
170 010000003306 1 50,000 50,000 - - - - - - - - - - - - - TONG SAMPAH [BUAH]
171 010000004127 4 20,000 80,000 - - - - - - - - - - - - - WIPOL [BUAH]
174 8998866105156 3 16,000 48,000 - - - - - - - - - - - - - MAMA LEMON JERUK NIPIS 800ML
[PAK]
175 8998866603546 5 50,000 250,000 - - - - - - - - - - - - - SOKLIN LT BTL 450ML [BOTOL]
176 8998889851727 1 21,000 21,000 - - - - - - - - - - - - - SAPU KELAPA [BUAH]
177 0102220000000000.H210039 10 51,000 160,000 - - - - - - 160,000 - - - - 160,000 - May 20 2021
178 010000003444 1 15,000 15,000 - - - - - - - - - - - - - TEH CELUP [DUS]
179 010000004838 5 1,000 5,000 - - - - - - - - - - - - - KOPI [BUNGKUS]
181 0102220000000000.H210040 8 200,000 1,600,000 - - - - - - 1,600,000 - - - - 1,600,000 - Jun 2 2021
182 010000000016 8 200,000 1,600,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
183 0102220000000000.H210041 40 98,000 1,148,000 - - - - - - 1,148,000 - - - - 1,148,000 - Jun 2 2021
184 010000000850 4 40,000 160,000 - - - - - - - - - - - - - KERTAS BURAM [RIM]
186 8991389291061 17 57,000 969,000 - - - - - - - - - - - - - HVS F4 70 SIDU [RIM]

187 0102220000000000.H210042 1 720,000 720,000 - - - - - - 720,000 - - - - 720,000 - Jun 5 2021
[PAKET]
189 0102220000000000.H210043 20 10,000 200,000 - - - - - - 200,000 - - - - 200,000 - Jun 7 2021
190 010000005235 20 10,000 200,000 - - - - - - - - - - - - - MATERAI 10.000 [LEMBAR]
191 0102220000000000.H210044 6 275,000 825,000 - - - - - - 825,000 - - - - 825,000 - Jun 8 2021
192 010000000034 3 125,000 375,000 - - - - - - - - - - - - - CARTRIDGE [BUAH]
194 0102220000000000.H210045 1 200,000 200,000 - - - - - - 200,000 - - - - 200,000 - Jun 10 2021

[TABUNG]
196 0102220000000000.H210046 31 289,000 624,000 - - - - - - 624,000 - - - - 624,000 - Jun 11 2021
[PAK]
[BUAH]
201 010000004127 6 20,000 120,000 - - - - - - - - - - - - - WIPOL [BUAH]
204 8999908264107 3 15,000 45,000 - - - - - - - - - - - - - SOS KARBOL CLS PINE REF 800 ML
[PAK]
205 8999999059811 1 50,000 50,000 - - - - - - - - - - - - - PEMBERSIH LANTAI BESAR [BUAH]
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
207 0102220000000000.H210047 5 55,000 160,000 - - - - - - 160,000 - - - - 160,000 - Jun 12 2021
208 010000002736 1 20,000 20,000 - - - - - - - - - - - - - AIR MINUM ISI ULANG [GALON]
210 0102220000000000.H210049 6 275,000 825,000 - - - - - - 825,000 - - - - 825,000 - Jul 8 2021
211 010000000034 3 125,000 375,000 - - - - - - - - - - - - - CARTRIDGE [BUAH]
[BOTOL]
213 0102220000000000.H210050 1 200,000 200,000 - - - - - - 200,000 - - - - 200,000 - Jul 9 2021
[PAKET]
215 0102220000000000.H210051 1 320,000 320,000 - - - - - - 320,000 - - - - 320,000 - Jul 10 2021
[PAKET]
217 0102220000000000.H210052 1 200,000 200,000 - - - - - - 200,000 - - - - 200,000 - Jul 12 2021
[PAKET]
219 0102220000000000.H210053 1 200,000 200,000 - - - - - - 200,000 - - - - 200,000 - Jul 12 2021
[TABUNG]
221 0102220000000000.H210054 83 204,000 1,148,000 - - - - - - 1,148,000 - - - - 1,148,000 - Jul 12 2021
[BOTOL]
223 010000002701 15 4,000 60,000 - - - - - - - - - - - - - KLIP ATOM NO. 4 [DUS]
226 010000002724 2 5,000 10,000 - - - - - - - - - - - - - PENGGARIS BESI 30 CM [BUAH]

[BUAH]
231 8991389220306 10 4,000 40,000 - - - - - - - - - - - - - BUKU SIDU 38L [BUAH]
232 8991389291061 5 57,000 285,000 - - - - - - - - - - - - - HVS F4 70 SIDU [RIM]
233 8991389291085 3 55,000 165,000 - - - - - - - - - - - - - SIDU HVS 70 A4S [RIM]
235 0102220000000000.H210055 6 200,000 1,200,000 - - - - - - 1,200,000 - - - - 1,200,000 - Jul 12 2021

236 010000000016 6 200,000 1,200,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
237 0102220000000000.H210056 6 200,000 1,200,000 - - - - - - 1,200,000 - - - - 1,200,000 - Jul 16 2021
238 010000000016 6 200,000 1,200,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
239 0102220000000000.H210057 20 10,000 200,000 - - - - - - 200,000 - - - - 200,000 - Jul 17 2021
240 010000005235 20 10,000 200,000 - - - - - - - - - - - - - MATERAI 10.000 [LEMBAR]
241 0102220000000000.H210058 10 51,000 160,000 - - - - - - 160,000 - - - - 160,000 - Jul 19 2021
242 010000003444 1 15,000 15,000 - - - - - - - - - - - - - TEH CELUP [DUS]
243 010000004838 5 1,000 5,000 - - - - - - - - - - - - - KOPI [BUNGKUS]
245 0102220000000000.H210059 4 200,000 800,000 - - - - - - 800,000 - - - - 800,000 - Jul 19 2021
246 010000000016 4 200,000 800,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
247 0102220000000000.H210060 25 267,000 624,000 - - - - - - 624,000 - - - - 624,000 - Jul 24 2021
248 010000000610 3 25,000 75,000 - - - - - - - - - - - - - SAPU KELUT [BUAH]
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
250 010000003129 2 25,000 50,000 - - - - - - - - - - - - - SAPU CEMARA [BUAH]
252 010000003306 3 50,000 150,000 - - - - - - - - - - - - - TONG SAMPAH [BUAH]
[BUAH]
256 8992929140207 1 40,000 40,000 - - - - - - - - - - - - - B29 DETERJEN WTR-GUARD 1KG
[PAK]
257 8998889851727 4 25,000 100,000 - - - - - - - - - - - - - SAPU KELAPA [BUAH]
259 0102220000000000.H210063 10 51,000 160,000 - - - - - - 160,000 - - - - 160,000 - Aug 6 2021
260 010000003444 1 15,000 15,000 - - - - - - - - - - - - - TEH CELUP [DUS]
261 010000004838 5 1,000 5,000 - - - - - - - - - - - - - KOPI [BUNGKUS]
263 0102220000000000.H210064 8 200,000 1,600,000 - - - - - - 1,600,000 - - - - 1,600,000 - Aug 7 2021
264 010000000016 8 200,000 1,600,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
265 0102220000000000.H210065 1 720,000 720,000 - - - - - - 720,000 - - - - 720,000 - Aug 7 2021
[PAKET]
267 0102220000000000.H210066 5 295,000 365,000 - - - - - - 365,000 - - - - 365,000 - Aug 7 2021
[TABUNG]
269 010000001217 3 35,000 105,000 - - - - - - - - - - - - - ISI TABUNG GAS ELPIJI 5KG
[TABUNG]
270 010000002233 1 60,000 60,000 - - - - - - - - - - - - - GAS LPG [TABUNG]
271 0102220000000000.H210067 83 204,000 1,148,000 - - - - - - 1,148,000 - - - - 1,148,000 - Aug 9 2021
[BOTOL]
274 010000002701 15 4,000 60,000 - - - - - - - - - - - - - KLIP ATOM NO. 4 [DUS]

[BUAH]
278 3154141461095 2 5,000 10,000 - - - - - - - - - - - - - PENGGARIS 30CM146109 MPED
[BUAH]
281 8991389220306 10 4,000 40,000 - - - - - - - - - - - - - BUKU SIDU 38L [BUAH]
282 8991389291061 5 57,000 285,000 - - - - - - - - - - - - - HVS F4 70 SIDU [RIM]
283 8991389291085 3 55,000 165,000 - - - - - - - - - - - - - SIDU HVS 70 A4S [RIM]
285 0102220000000000.H210068 22 84,000 765,000 - - - - - - 765,000 - - - - 765,000 - Aug 11 2021

286 010000003119 12 46,000 552,000 - - - - - - - - - - - - - LAMPU LED 10 W [BUAH]
290 0102220000000000.H210069 6 275,000 825,000 - - - - - - 825,000 - - - - 825,000 - Aug 12 2021
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
291 010000000034 3 125,000 375,000 - - - - - - - - - - - - - CARTRIDGE [BUAH]
293 0102220000000000.H210070 20 10,000 200,000 - - - - - - 200,000 - - - - 200,000 - Aug 14 2021

294 010000005235 20 10,000 200,000 - - - - - - - - - - - - - MATERAI 10.000 [LEMBAR]
295 0102220000000000.H210071 28 148,000 624,000 - - - - - - 624,000 - - - - 624,000 - Aug 14 2021
[PAK]
[BUAH]
299 8998866104876 1 3,000 3,000 - - - - - - - - - - - - - MAMA LEMON 90 ML [PAK]
300 8998866603553 2 50,000 100,000 - - - - - - - - - - - - - SO KLIN LANTAI LAVENDER 900 ML
[PAK]
301 8998899001456 2 35,000 70,000 - - - - - - - - - - - - - BAYGON AEROSOL BIRU 330 ML
[BOTOL]
302 8999999400897 3 15,000 45,000 - - - - - - - - - - - - - SUNLIGHT GEL LIME 200 ML [PAK]
303 0102220000000000.H210072 1,000 250 250,000 - - - - - - 250,000 - - - - 250,000 - Aug 30 2021

304 010000004243 1,000 250 250,000 - - - - - - - - - - - - - CETAK FOTOCOPY [LEMBAR]
305 0102220000000000.H210073 1 200,000 200,000 - - - - - - 200,000 - - - - 200,000 - Aug 30 2021
[PAKET]
307 0102220000000000.H210074 10 300,000 3,000,000 - - - - - - 3,000,000 - - - - 3,000,000 - Aug 30 2021
308 010000004234 10 300,000 3,000,000 - - - - - - - - - - - - - PMT PEMULIHAN GIBUR [PAKET]
309 0102220000000000.H210076 2 120,000 240,000 - - - - - - 240,000 - - - - 240,000 - Aug 31 2021
[PAKET]
311 0102220000000000.H210077 3 350,000 1,050,000 - - - - - - 1,050,000 - - - - 1,050,000 - Aug 31 2021
312 010000003102 3 350,000 1,050,000 - - - - - - - - - - - - - CETAK LEMBAR BALIK [RIM]
313 0102220000000000.H210078 102 203,000 700,000 - - - - - - 700,000 - - - - 700,000 - Aug 31 2021
314 010000000374 2 200,000 400,000 - - - - - - - - - - - - - BANNER/SPANDUK [LEMBAR]
315 010000003745 100 3,000 300,000 - - - - - - - - - - - - - LEAFLET MEDIA PROMKES [BUAH]
316 0102220000000000.H210079 10 300,000 3,000,000 - - - - - - 3,000,000 - - - - 3,000,000 - Sep 4 2021

317 010000004236 10 300,000 3,000,000 - - - - - - - - - - - - - PMTBALITA GIBUR DAN BUMIL KEK
[PAKET]
318 0102220000000000.H210080 500 250 125,000 - - - - - - 125,000 - - - - 125,000 - Sep 4 2021
319 010000004243 500 250 125,000 - - - - - - - - - - - - - CETAK FOTOCOPY [LEMBAR]
320 0102220000000000.H210081 3 100,000 300,000 - - - - - - 300,000 - - - - 300,000 - Sep 4 2021
[PAKET]
322 0102220000000000.H210082 5 200,000 1,000,000 - - - - - - 1,000,000 - - - - 1,000,000 - Sep 4 2021
323 010000003082 5 200,000 1,000,000 - - - - - - - - - - - - - BANNER/MMT [LEMBAR]
324 0102220000000000.H210083 2 40,000 80,000 - - - - - - 80,000 - - - - 80,000 - Sep 4 2021
325 010000001347 2 40,000 80,000 - - - - - - - - - - - - - Alkohol Swab Onemed [BOK]
326 0102220000000000.H210084 4 200,000 400,000 - - - - - - 400,000 - - - - 400,000 - Sep 4 2021
327 010000002518 2 50,000 100,000 - - - - - - - - - - - - - BLOOD LANCET [BOK]
328 010000002972 2 150,000 300,000 - - - - - - - - - - - - - STIK GULA DARAH ON CALL PLUS
STRIP 2X25 [BOK]
329 0102220000000000.H210088 1 200,000 200,000 - - - - - - 200,000 - - - - 200,000 - Sep 8 2021
[TABUNG]
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
331 0102220000000000.H210089 59 112,000 1,148,000 - - - - - - 1,148,000 - - - - 1,148,000 - Sep 9 2021
332 0011298719000 12 2,000 24,000 - - - - - - - - - - - - - BALLPOINT [BUAH]
[BOTOL]
[BUAH]
336 0100000012161 10 4,000 40,000 - - - - - - - - - - - - - KLIP NO 4 [PAK]
339 8991389291061 15 57,000 855,000 - - - - - - - - - - - - - HVS F4 70 SIDU [RIM]
340 0102220000000000.H210090 1 300,000 300,000 - - - - - - 300,000 - - - - 300,000 - Sep 10 2021
[PAKET]
342 0102220000000000.H210091 8 200,000 1,600,000 - - - - - - 1,600,000 - - - - 1,600,000 - Sep 10 2021
343 010000000016 8 200,000 1,600,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
344 0102220000000000.H210092 1 200,000 200,000 - - - - - - 200,000 - - - - 200,000 - Sep 13 2021
[PAKET]
346 0102220000000000.H210093 11 65,000 160,000 - - - - - - 160,000 - - - - 160,000 - Sep 13 2021
347 010000000952 3 11,000 33,000 - - - - - - - - - - - - - SUSU [KALENG]
348 010000004838 4 1,000 4,000 - - - - - - - - - - - - - KOPI [BUNGKUS]
351 0102220000000000.H210094 20 10,000 200,000 - - - - - - 200,000 - - - - 200,000 - Sep 14 2021
352 010000005235 20 10,000 200,000 - - - - - - - - - - - - - MATERAI 10.000 [LEMBAR]
353 0102220000000000.H210095 5 575,000 825,000 - - - - - - 825,000 - - - - 825,000 - Sep 15 2021
354 010000000034 1 230,000 230,000 - - - - - - - - - - - - - CARTRIDGE [BUAH]
355 010000000500 1 10,000 10,000 - - - - - - - - - - - - - MOUSE PAD [BUAH]
358 0102220000000000.H210096 1 220,000 220,000 - - - - - - 220,000 - - - - 220,000 - Sep 20 2021

[PAKET]
360 0102220000000000.H210097 25 267,000 624,000 - - - - - - 624,000 - - - - 624,000 - Sep 20 2021
361 010000000610 3 25,000 75,000 - - - - - - - - - - - - - SAPU KELUT [BUAH]
363 010000003129 2 25,000 50,000 - - - - - - - - - - - - - SAPU CEMARA [BUAH]
365 010000003306 3 50,000 150,000 - - - - - - - - - - - - - TONG SAMPAH [BUAH]
[BUAH]
369 8992929411031 1 40,000 40,000 - - - - - - - - - - - - - B29 DETERJEN 1KG ROSE [PAK]
370 8998889851727 4 25,000 100,000 - - - - - - - - - - - - - SAPU KELAPA [BUAH]
371 8999999393687 3 15,000 45,000 - - - - - - - - - - - - - SUNLIGHT JERUK NIPIS 800ML
[PAK]
372 0102220000000000.H210098 3 500,000 950,000 - - - - - - 950,000 - - - - 950,000 - Oct 4 2021
373 010000001448 2 450,000 900,000 - - - - - - - - - - - - - Stik Gula Darah Easytouch [PAK]
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
374 010000002518 1 50,000 50,000 - - - - - - - - - - - - - BLOOD LANCET [BOK]
375 0102220000000000.H210099 20 600,000 6,000,000 - - - - - - 6,000,000 - - - - 6,000,000 - Oct 4 2021
376 010000004234 10 300,000 3,000,000 - - - - - - - - - - - - - PMT PEMULIHAN GIBUR [PAKET]
377 010000004235 10 300,000 3,000,000 - - - - - - - - - - - - - PMT BUMIL KEK [PAKET]
378 0102220000000000.H210100 500 250 125,000 - - - - - - 125,000 - - - - 125,000 - Oct 4 2021
380 0102220000000000.H210101 2 100,000 200,000 - - - - - - 200,000 - - - - 200,000 - Oct 4 2021
[PAKET]
382 0102220000000000.H210102 1 200,000 200,000 - - - - - - 200,000 - - - - 200,000 - Oct 4 2021
[PAKET]
384 0102220000000000.H210103 200 3,000 600,000 - - - - - - 600,000 - - - - 600,000 - Oct 4 2021
386 0102220000000000.H210104 4 40,000 160,000 - - - - - - 160,000 - - - - 160,000 - Oct 4 2021

387 010000001347 4 40,000 160,000 - - - - - - - - - - - - - Alkohol Swab Onemed [BOK]
388 0102220000000000.H210105 5 200,000 450,000 - - - - - - 450,000 - - - - 450,000 - Oct 4 2021
390 010000002518 3 50,000 150,000 - - - - - - - - - - - - - BLOOD LANCET [BOK]

391 0102220000000000.H210106 8 200,000 1,600,000 - - - - - - 1,600,000 - - - - 1,600,000 - Oct 8 2021
392 010000000016 8 200,000 1,600,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
393 0102220000000000.H210107 20 10,000 200,000 - - - - - - 200,000 - - - - 200,000 - Oct 8 2021
394 010000005235 20 10,000 200,000 - - - - - - - - - - - - - MATERAI 10.000 [LEMBAR]
395 0102220000000000.H210108 1 200,000 200,000 - - - - - - 200,000 - - - - 200,000 - Oct 8 2021
[PAKET]
397 0102220000000000.H210110 1 520,000 520,000 - - - - - - 520,000 - - - - 520,000 - Oct 11 2021
[PAKET]
399 0102220000000000.H210111 1 200,000 200,000 - - - - - - 200,000 - - - - 200,000 - Oct 12 2021
[TABUNG]
401 0102220000000000.H210112 6 275,000 825,000 - - - - - - 825,000 - - - - 825,000 - Oct 14 2021
402 010000000034 3 125,000 375,000 - - - - - - - - - - - - - CARTRIDGE [BUAH]
404 0102220000000000.H210113 11 73,000 250,000 - - - - - - 250,000 - - - - 250,000 - Oct 14 2021

405 010000003119 1 46,000 46,000 - - - - - - - - - - - - - LAMPU LED 10 W [BUAH]
408 0102220000000000.H210114 42 90,000 1,100,000 - - - - - - 1,100,000 - - - - 1,100,000 - Oct 15 2021
[BUAH]
411 4970430100518 10 2,000 20,000 - - - - - - - - - - - - - ISI STEPLES ETONA KCL [BOK]

413 8991389291061 15 57,000 855,000 - - - - - - - - - - - - - HVS F4 70 SIDU [RIM]
414 0102220000000000.H210115 7 54,000 160,000 - - - - - - 160,000 - - - - 160,000 - Oct 15 2021
415 010000004838 2 1,000 2,000 - - - - - - - - - - - - - KOPI [BUNGKUS]
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
418 0102220000000000.H210116 21 290,000 625,000 - - - - - - 625,000 - - - - 625,000 - Oct 18 2021
419 010000000610 1 25,000 25,000 - - - - - - - - - - - - - SAPU KELUT [BUAH]
420 010000000795 4 50,000 200,000 - - - - - - - - - - - - - TONG SAMPAH [BUAH]
[PAK]
423 010000003129 1 25,000 25,000 - - - - - - - - - - - - - SAPU CEMARA [BUAH]
[BUAH]
427 8998889851727 4 25,000 100,000 - - - - - - - - - - - - - SAPU KELAPA [BUAH]
428 0102220000000000.H210117 1 400,000 400,000 - - - - - - 400,000 - - - - 400,000 - Nov 6 2021
[PAKET]
430 0102220000000000.H210118 4 200,000 800,000 - - - - - - 800,000 - - - - 800,000 - Nov 8 2021
431 010000000016 4 200,000 800,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
432 0102220000000000.H210119 38 65,000 1,200,000 - - - - - - 1,200,000 - - - - 1,200,000 - Nov 9 2021
433 0011298719000 12 2,000 24,000 - - - - - - - - - - - - - BALLPOINT [BUAH]
[BOTOL]
435 8991389291061 20 57,000 1,140,000 - - - - - - - - - - - - - HVS F4 70 SIDU [RIM]
436 0102220000000000.H210120 20 10,000 200,000 - - - - - - 200,000 - - - - 200,000 - Nov 11 2021
437 010000005235 20 10,000 200,000 - - - - - - - - - - - - - MATERAI 10.000 [LEMBAR]
438 0102220000000000.H210121 100 9,000 900,000 - - - - - - 900,000 - - - - 900,000 - Nov 12 2021
439 010000001510 100 9,000 900,000 - - - - - - - - - - - - - MAP CM [BUAH]
440 0102220000000000.H210122 25 90,000 625,000 - - - - - - 625,000 - - - - 625,000 - Nov 12 2021
442 8992929140276 10 40,000 400,000 - - - - - - - - - - - - - B29 DETERJEN 1KG FRUITY [PAK]
443 8998889851727 1 25,000 25,000 - - - - - - - - - - - - - SAPU KELAPA [BUAH]
[PAK]
445 0102220000000000.H210123 3 200,000 600,000 - - - - - - 600,000 - - - - 600,000 - Nov 13 2021
446 010000000016 3 200,000 600,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
447 0102220000000000.H210124 9 575,000 700,000 - - - - - - 700,000 - - - - 700,000 - Nov 13 2021
448 010000000034 1 230,000 230,000 - - - - - - - - - - - - - CARTRIDGE [BUAH]
449 010000000500 5 10,000 50,000 - - - - - - - - - - - - - MOUSE PAD [BUAH]
[BOTOL]
452 0102220000000000.H210125 7 54,000 160,000 - - - - - - 160,000 - - - - 160,000 - Nov 13 2021
453 010000004838 2 1,000 2,000 - - - - - - - - - - - - - KOPI [BUNGKUS]
456 0102220000000000.H210126 1 100,000 100,000 - - - - - - 100,000 - - - - 100,000 - Nov 15 2021
[PAKET]
458 0102220000000000.H210127 2 200,000 400,000 - - - - - - 400,000 - - - - 400,000 - Nov 17 2021
459 010000000016 2 200,000 400,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
460 0102220000000000.H210128 7 200,000 1,400,000 - - - - - - 1,400,000 - - - - 1,400,000 - Nov 22 2021
461 010000000016 7 200,000 1,400,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
462 0102220000000000.H210129 1 250,000 250,000 - - - - - - 250,000 - - - - 250,000 - Nov 22 2021
[PAKET]
464 0102220000000000.H210130 1 500,000 500,000 - - - - - - 500,000 - - - - 500,000 - Nov 26 2021
[PAKET]
466 0102220000000000.H210131 6 550,000 1,650,000 - - - - - - 1,650,000 - - - - 1,650,000 - Nov 26 2021
467 010000003082 3 200,000 600,000 - - - - - - - - - - - - - BANNER/MMT [LEMBAR]
468 010000003102 3 350,000 1,050,000 - - - - - - - - - - - - - CETAK LEMBAR BALIK [RIM]
469 0102220000000000.H210132 2 40,000 80,000 - - - - - - 80,000 - - - - 80,000 - Nov 26 2021
470 010000002991 2 40,000 80,000 - - - - - - - - - - - - - ALKOHOL SWAB [BUAH]
471 0102220000000000.H210133 10 300,000 3,000,000 - - - - - - 3,000,000 - - - - 3,000,000 - Nov 26 2021
473 0102220000000000.H210134 20 650,000 2,800,000 - - - - - - 2,800,000 - - - - 2,800,000 - Nov 26 2021
474 010000001448 4 450,000 1,800,000 - - - - - - - - - - - - - Stik Gula Darah Easytouch [PAK]
475 010000001450 2 150,000 300,000 - - - - - - - - - - - - - Stik Gula Darah GlucoDR [PAK]

476 010000002518 14 50,000 700,000 - - - - - - - - - - - - - BLOOD LANCET [BOK]
477 0102220000000000.H210135 30 10,000 300,000 - - - - - - 300,000 - - - - 300,000 - Dec 6 2021
478 010000005235 30 10,000 300,000 - - - - - - - - - - - - - MATERAI 10.000 [LEMBAR]
479 0102220000000000.H210136 1 700,000 700,000 - - - - - - 700,000 - - - - 700,000 - Dec 6 2021
[PAKET]
481 0102220000000000.H210138 53 175,000 1,185,000 - - - - - - 1,185,000 - - - - 1,185,000 - Dec 8 2021
482 010000000614 1 30,000 30,000 - - - - - - - - - - - - - SIKAT GAGANG PANJANG [BUAH]
[BUAH]
487 8992929411031 8 40,000 320,000 - - - - - - - - - - - - - B29 DETERJEN 1KG ROSE [PAK]
488 8998866600538 1 15,000 15,000 - - - - - - - - - - - - - So-Klin Lantai Rose 400ml [PAK]

[PAK]
490 0102220000000000.H210139 22 84,000 513,000 - - - - - - 513,000 - - - - 513,000 - Dec 9 2021
491 010000003119 5 46,000 230,000 - - - - - - - - - - - - - LAMPU LED 10 W [BUAH]
495 0102220000000000.H210140 6 490,000 765,000 - - - - - - 765,000 - - - - 765,000 - Dec 11 2021
496 010000000034 2 125,000 250,000 - - - - - - - - - - - - - CARTRIDGE [BUAH]
497 010000001201 1 170,000 170,000 - - - - - - - - - - - - - TINTA PRINTER EPSON WARNA
[BOTOL]

[BOTOL]
500 0102220000000000.H210141 1 200,000 200,000 - - - - - - 200,000 - - - - 200,000 - Dec 13 2021
[TABUNG]
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
502 0102220000000000.H210142 15 51,000 165,000 - - - - - - 165,000 - - - - 165,000 - Dec 14 2021
503 010000003444 1 15,000 15,000 - - - - - - - - - - - - - TEH CELUP [DUS]
504 010000004838 10 1,000 10,000 - - - - - - - - - - - - - KOPI [BUNGKUS]
506 0102220000000000.H210143 8 200,000 1,600,000 - - - - - - 1,600,000 - - - - 1,600,000 - Dec 16 2021
507 010000000016 8 200,000 1,600,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
508 0102220000000000.H210144 110 281,000 1,680,000 - - - - - - 1,680,000 - - - - 1,680,000 - Dec 18 2021
509 010000000046 5 6,000 30,000 - - - - - - - - - - - - - PAPER CLIPS BESAR NO.5 [BUAH]
[BOTOL]
[BUAH]
513 010000000359 5 4,000 20,000 - - - - - - - - - - - - - TINTA STEMPEL [BOTOL]

518 010000003191 2 16,000 32,000 - - - - - - - - - - - - - AMPLOP TANGGUNG [DUS]
524 6932124720110 1 60,000 60,000 - - - - - - - - - - - - - STAPLES [BUAH]
525 8991386247013 3 22,000 66,000 - - - - - - - - - - - - - AMPLOP BESAR PAPERLINE
110X230 [BOK]
526 8991389291061 15 57,000 855,000 - - - - - - - - - - - - - HVS F4 70 SIDU [RIM]
528 0102220000000000.H210145 100 2,000 200,000 - - - - - - 200,000 - - - - 200,000 - Dec 20 2021

529 010000003958 100 2,000 200,000 - - - - - - - - - - - - - RM.PM.15 SURAT KETERANGAN
SAKIT [RIM]
530 0102220000000000.H210146 8 200,000 1,600,000 - - - - - - 1,600,000 - - - - 1,600,000 - Dec 20 2021
531 010000000016 8 200,000 1,600,000 - - - - - - - - - - - - - GAS O2- MR 1 M3 [TABUNG]
532 0102220000000000.H210147 10 300,000 3,000,000 - - - - - - 3,000,000 - - - - 3,000,000 - Dec 20 2021
534 0102220000000000.H210148 500 250 125,000 - - - - - - 125,000 - - - - 125,000 - Dec 20 2021
536 0102220000000000.H210149 1 400,000 400,000 - - - - - - 400,000 - - - - 400,000 - Dec 20 2021
[PAKET]
538 0102220000000000.H210150 103 203,000 900,000 - - - - - - 900,000 - - - - 900,000 - Dec 21 2021
539 010000000374 3 200,000 600,000 - - - - - - - - - - - - - BANNER/SPANDUK [LEMBAR]
541 0102220000000000.H210151 1 400,000 400,000 - - - - - - 400,000 - - - - 400,000 - Dec 21 2021

[PAKET]
543 0102220000000000.H210152 4 50,000 200,000 - - - - - - 200,000 - - - - 200,000 - Dec 21 2021
544 010000002518 4 50,000 200,000 - - - - - - - - - - - - - BLOOD LANCET [BOK]
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
545 0102220000000000.H210153 1 200,000 200,000 - - - - - - 200,000 - - - - 200,000 - Dec 27 2021
[PAKET]
547 0102220000000000.H210154 1 700,000 700,000 - - - - - - 700,000 - - - - 700,000 - Dec 27 2021
[PAKET]
549 0102220000000000.H210155 1 40,000 40,000 - - - - - - 40,000 - - - - 40,000 - Dec 28 2021
550 010000002991 1 40,000 40,000 - - - - - - - - - - - - - ALKOHOL SWAB [BUAH]
551 0102220000000000.H210156 1 50,000 50,000 - - - - - - 50,000 - - - - 50,000 - Dec 28 2021
552 010000002518 1 50,000 50,000 - - - - - - - - - - - - - BLOOD LANCET [BOK]
553 0102220000000000.H210160 1 1,910,700 1,910,700 - - - - - - - - - 1,910,700 - 1,910,700 - Mar 1 2021
554 010000003809 1 1,910,700 1,910,700 - - - - - - - - - - - - - REAGENT HEMATOLOGY
ANALYZER SYSMEX [PAKET]
555 0102220000000000.H210161 5 200,000 1,000,000 - - - - - - - - - 1,000,000 - 1,000,000 - Apr 30 2021
556 010000001355 5 200,000 1,000,000 - - - - - - - - - - - - - Handscoon Biasa L Onemed [BOK]
557 0102220000000000.H210162 10 180,000 1,800,000 - - - - - - - - - 1,800,000 - 1,800,000 - Apr 30 2021

558 010000001355 10 180,000 1,800,000 - - - - - - - - - - - - - Handscoon Biasa L Onemed [BOK]
559 0102220000000000.H210163 1 1,265,000 1,265,000 - - - - - - - - - 1,265,000 - 1,265,000 - May 31 2021

561 0102220000000000.H210164 65 278,000 1,830,000 - - - - - - - - - 1,830,000 - 1,830,000 - Jun 29 2021
562 010000004467 60 8,000 480,000 - - - - - - - - - - - - - Nasal Kanula Dewasa [BUAH]
563 010000005411 5 270,000 1,350,000 - - - - - - - - - - - - - VITAMIN C 50 MG [BOK]
564 0102220000000000.H210165 1 1,950,300 1,950,300 - - - - - - - - - 1,950,300 - 1,950,300 - Jul 7 2021
566 0102220000000000.H210166 56 1,288,765 3,811,910 - - - - - - - - - 3,811,910 - 3,811,910 - Aug 19 2021
567 010000002362 2 625,427 1,250,854 - - - - - - - - - - - - - GLIMEPIRIDE 2 MG [BOK]
568 010000002480 5 27,000 135,000 - - - - - - - - - - - - - ACYCLOVIR [DUS]
569 010000002790 4 40,341 161,364 - - - - - - - - - - - - - ZINK DISPERSABLE [BOK]
570 010000003677 10 27,740 277,400 - - - - - - - - - - - - - PLESTER [ROLL]
571 010000004681 10 16,682 166,820 - - - - - - - - - - - - - DOMPERIDON [KAPLET]
572 010000004693 2 318,723 637,446 - - - - - - - - - - - - - ALKOHOL70 % 300 ML [BOTOL]
573 010000004987 10 27,500 275,000 - - - - - - - - - - - - - RANITIDINE [BOK]
574 8994707000178 10 41,710 417,100 - - - - - - - - - - - - - ACETYLCYSTEINE 200 MG [BOK]
575 8994805100169 3 163,642 490,926 - - - - - - - - - - - - - METFORMIN 500 MG [BOK]
576 0102220000000000.H210167 2 190,000 380,000 - - - - - - - - - 380,000 - 380,000 - Aug 19 2021
577 010000002454 2 190,000 380,000 - - - - - - - - - - - - - PULSE OXSYMETRI [BUAH]
578 0102220000000000.H210168 250 8,330 1,041,000 - - - - - - - - - 1,041,000 - 1,041,000 - Aug 19 2021
579 010000004625 150 4,160 624,000 - - - - - - - - - - - - - CATETER 22 GA BD [BUAH]
581 0102220000000000.H210169 14 870,000 2,215,000 - - - - - - - - - 2,215,000 - 2,215,000 - Sep 8 2021
582 010000001447 1 125,000 125,000 - - - - - - - - - - - - - Stik Asam Urat Easytouch [PAK]
584 010000001450 5 100,000 500,000 - - - - - - - - - - - - - Stik Gula Darah GlucoDR [PAK]

585 010000001451 5 195,000 975,000 - - - - - - - - - - - - - Stik Kolesterol Easytouch [PAK]
586 010000003809 1 285,000 285,000 - - - - - - - - - - - - - REAGENT HEMATOLOGY
587 0102220000000000.H210170 13 420,000 1,850,000 - - - - - - - - - 1,850,000 - 1,850,000 - Sep 8 2021
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
590 010000001451 5 195,000 975,000 - - - - - - - - - - - - - Stik Kolesterol Easytouch [PAK]

591 0102220000000000.H210171 1 2,563,000 2,563,000 - - - - - - - - - 2,563,000 - 2,563,000 - Oct 15 2021
593 0102220000000000.H210172 101 406,799 3,220,521 - - - - - - - - - 3,220,521 - 3,220,521 - Nov 2 2021
594 010000001858 10 53,900 539,000 - - - - - - - - - - - - - Water For Injeksi Otsuka [BOTOL]
595 010000001867 50 8,500 425,000 - - - - - - - - - - - - - Gliserl Guaiacolat [BOK]

596 010000002362 20 62,543 1,250,860 - - - - - - - - - - - - - GLIMEPIRIDE 2 MG [BOK]
598 010000004989 20 38,095 761,900 - - - - - - - - - - - - - CIPROFLOXACIN TABLET [BOK]
599 0102220000000000.H210173 525 12,500 2,182,000 - - - - - - - - - 2,182,000 - 2,182,000 - Dec 17 2021
602 010000004625 300 4,160 1,248,000 - - - - - - - - - - - - - CATETER 22 GA BD [BUAH]
603 0102220000000000.H210174 140 632,817 8,186,625 - - - - - - - - - 8,186,625 - 8,186,625 - Dec 27 2021
604 010000001816 20 41,329 826,580 - - - - - - - - - - - - - Ondansetron Inj 4mg [BUAH]
605 010000001835 5 324,731 1,623,655 - - - - - - - - - - - - - Cefadroxil 500mg [BOK]
606 010000001837 20 76,823 1,536,460 - - - - - - - - - - - - - Metronidazol 500mg [BOK]
607 010000003677 5 27,740 138,700 - - - - - - - - - - - - - PLESTER [ROLL]
608 010000004538 50 27,245 1,362,250 - - - - - - - - - - - - - PYRAZINAMID 500 MG TABLET
[BOK]
609 010000004602 20 35,524 710,480 - - - - - - - - - - - - - KETOROLAC 30 MG INJEKSI [DUS]
610 010000004823 20 99,425 1,988,500 - - - - - - - - - - - - - CIPROFLOXACIN [BOK]

611 0102220000000000.H210175 92 2,226,500 9,042,500 - - - - - - - - - 9,042,500 - 9,042,500 - Dec 27 2021
612 010000001251 2 125,000 250,000 - - - - - - - - - - - - - NEO.K [AMPUL]
613 010000001422 1 157,500 157,500 - - - - - - - - - - - - - HCG Test Onemed [BOTOL]
616 010000001450 8 165,000 1,320,000 - - - - - - - - - - - - - Stik Gula Darah GlucoDR [PAK]

617 010000001451 18 195,000 3,510,000 - - - - - - - - - - - - - Stik Kolesterol Easytouch [PAK]
618 010000001505 1 175,000 175,000 - - - - - - - - - - - - - EDTA 100ML [BOTOL]
619 010000001506 2 120,000 240,000 - - - - - - - - - - - - - KERTAS PUYER [PAK]
620 010000001816 10 37,500 375,000 - - - - - - - - - - - - - Ondansetron Inj 4mg [BUAH]
621 010000002045 1 135,000 135,000 - - - - - - - - - - - - - Vaculab EDTA 3 ml [buah]
622 010000002844 2 115,000 230,000 - - - - - - - - - - - - - CANDESARTAN [BOK]
625 010000004662 10 13,500 135,000 - - - - - - - - - - - - - VENTOLIN [AMPUL]
626 010000005249 15 5,000 75,000 - - - - - - - - - - - - - OKSITOSIN [AMPUL]
627 4022536009056 1 600,000 600,000 - - - - - - - - - - - - - MERCK. SULFANILIC ACID. ASAM
SULFANILAT [GRAM]
Total 12,522 ### 300,099,112 - - - - - - 105,801,000 - - 44,248,556 - 150,049,556 -

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Jepara ,
Pengurus Barang
( ……. ……. ……. ……. ……. ……. )

KABUPATEN JEPARA
MUTASI PEROLEHAN AKUN RINCI BARANG PERSEDIAAN
Periode 202112
Kode Pengguna : 010222.00000.00000
Belanja Barang Jasa Barang Jasa Barang Jasa Barang Jasa

No. Objek PLU/Non PLU Jumlah Harga Hutang Modal BOS Modal BOP Modal BLUD Modal DAK Hibah Barang Jasa Jumlah Bayar Kurang Bayar Keterangan
Modal BOS BOP BLUD NDAK
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
2 1.1.7.01.01.02 8 8,967,761 8,967,761 - - - - - - - - - 8,967,761 - 8,967,761 - BAHAN.BAHAN KIMIA
5 1.1.7.01.01.04 32 ### 11,270,000 - - - - - - 11,270,000 - - - - 11,270,000 - BAHAN.BAHAN BAKAR DAN
PELUMAS
7 1.1.7.01.01.05 4 270,000 360,000 - - - - - - 360,000 - - - - 360,000 - BAHAN.BAHAN BAKU
9 1.1.7.01.01.10 133 5,435,000 26,105,000 - - - - - - 26,105,000 - - - - 26,105,000 - BAHAN.ISI TABUNG GAS
13 1.1.7.01.03.01 609 834,000 5,077,000 - - - - - - 5,077,000 - - - - 5,077,000 - ALAT/BAHAN UNTUK KEGIATAN
KANTOR.ALAT TULIS KANTOR
KANTOR.KERTAS DAN COVER
28 1.1.7.01.03.03 3,159 1,541,000 8,425,000 - - - - - - 8,425,000 - - - - 8,425,000 - ALAT/BAHAN UNTUK KEGIATAN
KANTOR.BAHAN CETAK
KANTOR.BENDA POS
32 1.1.7.01.03.06 72 4,720,000 8,880,000 - - - - - - 8,880,000 - - - - 8,880,000 - ALAT/BAHAN UNTUK KEGIATAN
KANTOR.BAHAN KOMPUTER
36 1.1.7.01.03.07 304 2,610,723 7,704,446 - - - - - - 7,067,000 - - 637,446 - 7,704,446 - ALAT/BAHAN UNTUK KEGIATAN
KANTOR.PERABOT KANTOR
45 1.1.7.01.03.08 89 1,050,000 3,044,000 - - - - - - 3,044,000 - - - - 3,044,000 - ALAT/BAHAN UNTUK KEGIATAN
KANTOR.ALAT LISTRIK
51 1.1.7.01.04.01 293 2,197,588 15,135,169 - - - - - - - - - 15,135,169 - 15,135,169 - OBAT-OBATAN.OBAT
56 1.1.7.01.04.02 1,020 4,728,639 24,718,180 - - - - - - 5,210,000 - - 19,508,180 - 24,718,180 - OBAT-OBATAN.OBAT-OBATAN
LAINNYA
60 1.1.7.01.07.01 176 2,684,000 20,185,000 - - - - - - 20,185,000 - - - - 20,185,000 - NATURA DAN PAKAN.NATURA
Total 6,261 ### 150,049,556 - - - - - - 105,801,000 - - 44,248,556 - 150,049,556 -
Jepara ,
Pengurus Barang
( ……. ……. ……. ……. ……. ……. )

KABUPATEN JEPARA
SALDO AKHIR NILAI DAN BEBAN
TAHUN 2021
Kode Pengguna : 010222.00000.00000
No. Akun Keterangan Jml Nilai Perpetual Nilai Periodik
1 2 3 4 5 6
1 1.1.7.01.01 BARANG PAKAI HABIS.BAHAN - - -
2 1.1.7.01.02 BARANG PAKAI HABIS.SUKU CADANG - - -
3 1.1.7.01.03 BARANG PAKAI HABIS.ALAT/BAHAN UNTUK 15 150,000 150,000
KEGIATAN KANTOR
4 1.1.7.01.04 BARANG PAKAI HABIS.OBAT-OBATAN - - -
5 1.1.7.01.05 BARANG PAKAI HABIS.PERSEDIAAN UNTUK - - -
DIJUAL/DISERAHKAN
6 1.1.7.01.06 BARANG PAKAI HABIS.PERSEDIAAN UNTUK TUJUAN - - -
STRATEGIS/BERJAGA-JAGA
7 1.1.7.01.07 BARANG PAKAI HABIS.NATURA DAN PAKAN - - -
8 1.1.7.01.08 BARANG PAKAI HABIS.PERSEDIAAN PENELITIAN - - -
9 1.1.7.01.09 BARANG PAKAI HABIS.PERSEDIAAN DALAM PROSES - - -
10 1.1.7.02.01 BARANG TAK PAKAI HABIS.KOMPONEN - - -

11 1.1.7.02.02 BARANG TAK PAKAI HABIS.P I P A - - -
12 1.1.7.03.01 BARANG BEKAS DIPAKAI.KOMPONEN BEKAS DAN - - -
PIPA BEKAS
Total 150,000 150,000
Kabupaten Jepara ,
Pengurus Barang
( ……. ……. ……. ……. ……. ……. )

KABUPATEN JEPARA
MUTASI REKAP NILAI BARANG PERSEDIAAN
Periode 202112
Kode Pengguna : 010222.00000.00000
No. Akun Keterangan Masuk Keluar Stok Nilai Perpetual Nilai Periodik
1 2 3 4 5 6 7 8
1 1.1.7.01.03.01.001 ALAT TULIS KANTOR.ALAT TULIS 135 105 30 188,000 188,000 ATK 91 773,000
2 1.1.7.01.03.01.002 ALAT TULIS KANTOR.TINTA TULIS, TINTA 7 2 5 20,000 20,000
STEMPEL KERTAS DAN COVER 19 907,000
3 1.1.7.01.03.01.003 ALAT TULIS KANTOR.PENJEPIT KERTAS 14 4 10 105,000 105,000 1,680,000
4 1.1.7.01.03.01.004 ALAT TULIS 23 20 3 9,000 9,000 BENDA POS.MATERAI 15 150,000
KANTOR.PENGHAPUS/KOREKTOR
5 1.1.7.01.03.01.006 ALAT TULIS KANTOR.ORDNER DAN MAP 93 75 18 264,000 264,000 125 1,830,000
6 1.1.7.01.03.01.007 ALAT TULIS KANTOR.PENGGARIS 8 3 5 25,000 25,000
7 1.1.7.01.03.01.010 ALAT TULIS KANTOR.ALAT PEREKAT 35 28 7 42,000 42,000
8 1.1.7.01.03.01.012 ALAT TULIS KANTOR.STAPLES 18 15 3 100,000 100,000
9 1.1.7.01.03.01.013 ALAT TULIS KANTOR.ISI STAPLES 14 4 10 20,000 20,000
10 1.1.7.01.03.02.001 KERTAS DAN COVER.KERTAS HVS 123 108 15 855,000 855,000
11 1.1.7.01.03.02.004 KERTAS DAN COVER.AMPLOP 8 4 4 52,000 52,000
12 1.1.7.01.03.04.001 BENDA POS.MATERAI 210 195 15 150,000 150,000
Total 1,830,000 1,830,000
Kabupaten Jepara ,
Pengurus Barang
( ……. ……. ……. ……. ……. ……. )

LAPORAN ASET OBAT DAN PERBEKALAN KESEHATAN
TAHUN 2021
PENAMBAHAN 2021 PENGELUARAN 2021

STOK AWAL STOK AKHIR
PER 1 RUPIAH STOK PER 31
NO. NAMA OBAT SAT NOMOR BATCH / ED HARGA OBAT JANUARI AWAL DESEMBER
JUMLAH OBAT
2021 JUMLAH OBATRUPIAH OBAT DARI IFK 2021 PENGADAAN RUPIAH JUMLAH OBAT RUPIAH 2021
DARI IFK 2020 PENGADAAN 2021 PENGELUARAN
1 2 3 4 Rp 5.00 6 7 8 9 10 11 12 13 14
1 ACETOSAL 80 MG TABLET TABLE
A11961 / 2023-10-20 Rp 89.00 Rp - 300 Rp 26,700.00 Rp - 0 Rp - 300
TTABLE
2 ACETOSAL 80 MG TABLET A00067 / 2022-05-20 Rp 105.00 100 Rp 10,500 300 Rp 31,500.00 Rp - 400 Rp 42,000.00
TKAPSU
3 ACETYLCYSTEIN 200MG KAPS EDD0347 / 2022-05-31 Rp 373.00 Rp - 2,000 Rp 746,000.00 Rp - 2,000 Rp 746,000.00
LKAPSU
4 ACETYLCYSTEIN 200MG KAPS ECH207 / 2021-08-20 Rp 373.00 200 Rp 74,600 Rp - Rp - 200 Rp 74,600.00
LKAPSU
5 ACETYLCYSTEIN 200MG KAPS EDE012 / 2022-05-31 Rp 373.00 2,800 Rp 1,044,400 2,000 Rp 746,000.00 Rp - 4,800 Rp 1,790,400.00
LKAPSU
6 ACETYLCYSTEIN 200MG KAPS 21AS1122 / 2023-11-30 Rp 301.00 Rp - 1,800 Rp 541,800.00 Rp - 180 Rp 54,180.00 1,620
LTABLE
7 ACICLOVIR 400 MG TABLET 36304017/ 2024-02-20 Rp 405.00 Rp - 500 Rp 202,500.00 Rp - 100 Rp 40,500.00 400
TTABLE
8 ACICLOVIR 400 MG TABLET 100S 36304017 / 2024-02-20 Rp 405.00 900 Rp 364,500 Rp - Rp - 900 Rp 364,500.00
T
9 ALAT PELINDUNG DIRI ( COVID KAB ) BUAH GTK0720-1 / 2025-07-20 Rp 78,000.00 Rp - 100 Rp 7,800,000.00 Rp - 100 Rp 7,800,000.00
10 ALAT PELINDUNG DIRI ( REFOCUSING ) BUAH TY0621 / 2026-06-20 Rp 130,000.00 Rp - 100 Rp 13,000,000.00 Rp - 100 Rp 13,000,000.00
11 ALAT SUNTIK DISP 1 ML BUAH 6295253 / 2021-10-25 Rp 1,700.00 Rp - 76 Rp 129,200.00 Rp - 76 Rp 129,200.00
12 ALAT SUNTIK DISP 3 ML BUAH 1077793/ 2026-03-20 Rp 940.00 Rp - 800 Rp 752,000.00 Rp - 400 Rp 376,000.00 400
13 ALAT SUNTIK DISP 3 ML BUAH 9266671 / 2024-09-20 Rp 920.00 290 Rp 266,800 1,600 Rp 1,472,000.00 Rp - 1,890 Rp 1,738,800.00
14 ALAT SUNTIK DISP 5 ML BUAH 7142458 / 2022-05-25 Rp 1,350.00 100 Rp 135,000 Rp - Rp - 100 Rp 135,000.00
15 ALAT SUNTIK DISP 5 ML BUAH 9266692 / 2024-09-20 Rp 1,260.00 Rp - 400 Rp 504,000.00 Rp - 220 Rp 277,200.00 180
16 ALBENDAZOLE 400 MG TABLET TABLE
K92704B / 2021-10-20 Rp 402.00 Rp - 2,000 Rp 804,000.00 Rp - 2,000 Rp 804,000.00
TTABLE
17 ALBENDAZOLE 400 MG TABLET G90160B1 / 2021-06-20 Rp 402.00 200 Rp 80,400 Rp - Rp - 200 Rp 80,400.00
TTABLE
18 ALBENDAZOLE 400 MG TABLET K00607BJ / 2022-11-20 Rp 402.00 Rp - 2,500 Rp 1,005,000.00 Rp - 200 Rp 80,400.00 2,300
T
19 ALBENDAZOL 200 MG/5 ML SUSPENSI BOTOL 2011100 / 2022-11-20 Rp 4,000.00 Rp - 700 Rp 2,800,000.00 Rp - 0 Rp - 700
20 ALKOHOL SWABS BUAH 20200515 / 2025-05-14 Rp 99.75 Rp - 130 Rp 12,967.50 Rp - 130 Rp 12,967.50
21 ALKOHOL SWABS BUAH COV_05102088 / 2023-09-20 Rp 95.00 Rp - 4,050 Rp 384,750.00 Rp - 4,050 Rp 384,750.00
22 ALKOHOL SWABS BUAH COV/05102088 / 2023-09-30 Rp 95.00 Rp - 100 Rp 9,500.00 Rp - 100 Rp 9,500.00
23 ALKOHOL SWABS BUAH COV05102088/2 / 2023-09-30 Rp 95.00 Rp - 200 Rp 19,000.00 Rp - 200 Rp 19,000.00
24 ALKOHOL SWABS BUAH COV-G3405 / 2025-07-20 Rp 97.00 Rp - 1,985 Rp 192,545.00 Rp - 1,985 Rp 192,545.00
25 ALKOHOL SWABS BUAH 11022188 / 2024-01-20 Rp 120.00 Rp - 1,000 Rp 120,000.00 Rp - 1,000 Rp 120,000.00
26 ALKOHOL SWABS BUAH COV20200915/2 / 2025-09-20 Rp 95.00 Rp - 520 Rp 49,400.00 Rp - 520 Rp 49,400.00
27 ALKOHOL SWABS BUAH COV0721A / 2026-07-20 Rp 95.00 Rp - 389 Rp 36,955.00 Rp - 389 Rp 36,955.00
28 ALKOHOL SWABS BUAH COV213619/ 2025-07-20 Rp 79.00 Rp - 5,011 Rp 395,869.00 Rp - 5,011 Rp 395,869.00
29 ALKOHOL SWABS BUAH GM2109154 / 2026-09-20 Rp 79.00 Rp - 300 Rp 23,700.00 Rp - 0 Rp - 300
30 ALKOHOL SWABS BUAH COVGM2109159 / 2026-09-20 Rp 79.00 Rp - 194 Rp 15,326.00 Rp - 94 Rp 7,426.00 100
31 ALKOHOL SWABS BUAH COV-GM2109156 / 2026-09-20 Rp 79.00 Rp - 6 Rp 474.00 Rp - 6 Rp 474.00
32 ALOPURINOL 100 MG TAB TABLE
A00354 / 2023-02-20 Rp 105.00 Rp - 6,000 Rp 630,000.00 Rp - 4,900 Rp 514,500.00 1,100
TTABLE
33 ALOPURINOL 100 MG TAB A90746 / 2022-04-20 Rp 105.00 1,400 Rp 147,000 Rp - Rp - 1,400 Rp 147,000.00
T
34 AMLODIPIN 5 MG
TABLE
100820 /2022-10-20 Rp 53.00 Rp - 3,000 Rp 159,000.00 Rp - 3,000 Rp 159,000.00
TTABLE
35 AMLODIPIN 5 MG 110570 / 2022-11-20 Rp 53.00 Rp - 3,000 Rp 159,000.00 Rp - 1,500 Rp 79,500.00 1,500
TTABLE
36 AMLODIPIN 5 MG 12410 / 2022-01-14 Rp 75.00 1,240 Rp 93,000 6,000 Rp 450,000.00 Rp - 7,240 Rp 543,000.00
T
37 AMOKSILIN FORTE SIRUP BOTOL 191010193 / 2021-10-20 Rp 3,628.00 160 Rp 580,480 Rp - Rp - 160 Rp 580,480.00
38 AMOKSILIN FORTE SIRUP BOTOL 11029 / 2024-09-20 Rp 3,498.00 Rp - 120 Rp 419,760.00 Rp - 85 Rp 297,330.00 35
39 AMOKSISILIN 500 MG
TABLE
CAMXA91118 / 2021-05-31 Rp 249.00 16,000 Rp 3,983,999 Rp - Rp - 16,000 Rp 3,983,999.36
TTABLE
40 AMOKSISILIN 500 MG CAMXA01556 / 2022-03-20 Rp 249.00 Rp - 5,000 Rp 1,245,000.00 Rp - 5,000 Rp 1,245,000.00
TTABLE
41 AMOKSISILIN 500 MG CAMXA01570 / 2022-04-20 Rp 249.00 Rp - 10,000 Rp 2,490,000.00 Rp - 10,000 Rp 2,490,000.00
TTABLE
42 AMOKSISILIN 500 MG CAMXA01612 / 2022-05-30 Rp 249.00 Rp - 5,000 Rp 1,245,000.00 Rp - 0 Rp - 5,000
T
43 AMPICILIN SERBUK INJ IM/IV 1000MG/ML VIAL 36438018 / 2024-08-20 Rp 8,591.00 Rp - 150 Rp 1,288,650.00 Rp - 110 Rp 945,010.00 40
44 AMPICILIN SERBUK INJ IM/IV 1000MG/ML VIAL 36436017 / 2024-09-20 Rp 8,591.00 Rp - 200 Rp 1,718,200.00 Rp - 0 Rp - 200
45 AMPICILIN SERBUK INJ IM/IV 1000MG/ML VIAL 16436003BF / 2021-11-20 Rp 8,237.00 67 Rp 551,879 Rp - Rp - 67 Rp 551,879.00
46 ANTASIDA DOEN I TABLET KUNYAH
TABLE
A01645 / 2023-09-20 Rp 58.00 Rp - 3,000 Rp 174,000.00 Rp - 3,000 Rp 174,000.00
TTABLE
47 ANTASIDA DOEN I TABLET KUNYAH A93413 / 2022-12-20 Rp 58.00 Rp - 8,000 Rp 464,000.00 Rp - 4,000 Rp 232,000.00 4,000
TTABLE
48 ANTASIDA DOEN I TABLET KUNYAH A93405 / 2022-12-20 Rp 58.00 7,300 Rp 423,400 Rp - Rp - 7,300 Rp 423,400.00
T
49 ANTASIDA DOEN II SUSPENSI BOTOL 2OSD024 / 2022-04-30 Rp 2,129.00 Rp - 100 Rp 212,900.00 Rp - 100 Rp 212,900.00
50 ANTASIDA DOEN II SUSPENSI BOTOL 2OSD023 / 2022-04-30 Rp 2,129.00 40 Rp 85,160 Rp - Rp - 40 Rp 85,160.00
51 ANTASIDA DOEN II SUSPENSI BOTOL 2OSD021 / 2022-04-30 Rp 2,129.00 100 Rp 212,900 Rp - Rp - 100 Rp 212,900.00
52 ANTASIDA DOEN II SUSPENSI BOTOL 20SD021/1 / 2022-04-30 Rp 2,129.00 Rp - 100 Rp 212,900.00 Rp - 90 Rp 191,610.00 10
53 ANTI FUNGI DOEN / WHITE CR POT 185G040B / 2022-07-20 Rp 4,798.00 67 Rp 321,466 Rp - Rp - 19 Rp 91,162.00 48
54 ANTI HEMOROID SUPP SUPP 172228W / 2021-09-21 Rp 3,200.00 50 Rp 160,000 Rp - Rp - 50 Rp 160,000.00
55 ANTI HEMOROID SUPP SUPP G82057W / 2021-07-20 Rp 3,167.00 Rp - Rp - Rp - 0 Rp -
56 APD SET PAKET KMEN230121 / 2026-01-20 Rp 98,450.00 Rp - 20 Rp 1,969,000.00 Rp - 20 Rp 1,969,000.00
57 APD SET GAVI PAKET GAVI012021 / 2026-01-20 Rp 53,296.00 Rp - 1 Rp 53,296.00 Rp - 1 Rp 53,296.00
58 AS. ASKORBAT 500 MG 100S
TABLE
PROV-A02040 / 2022-10-22 Rp 484.00 Rp - 3,772 Rp 1,825,648.00 Rp - 772 Rp 373,648.00 3,000
TTABLE
59 AS. ASKORBAT 50 MG G91843B / 2022-06-20 Rp 105.00 700 Rp 73,500 Rp - Rp - 700 Rp 73,500.00
TTABLE
60 AS. ASKORBAT 50 MG D00004B1 / 2023-04-20 Rp 105.00 1,000 Rp 105,000 2,000 Rp 210,000.00 Rp - 3,000 Rp 315,000.00
TTABLE
61 AS. MEFENAMAT 500 MG TAB HTMBCA03247 / 2022-06-20 Rp 161.05 Rp - 7,000 Rp 1,127,357.00 Rp - 7,000 Rp 1,127,357.00
TTABLE
62 AS. MEFENAMAT 500 MG TAB HTMBCA03248 / 2022-06-20 Rp 161.05 8,400 Rp 1,352,828 7,000 Rp 1,127,357.00 Rp - 15,400 Rp 2,480,185.40
TTABLE
63 AS. MEFENAMAT 500 MG TAB HTMBCA03248 / 2022-06-20 Rp 161.05 Rp - 5,000 Rp 805,255.00 Rp - 4,400 Rp 708,624.40 600
TTABLE
64 AS. MEFENAMAT 500 MG TAB HTMECA15855 / 2023-09-30 Rp 111.00 Rp - 3,000 Rp 333,000.00 Rp - 0 Rp - 3,000
T
65 AS.TRANEXAMAT 50MG/ML INJ AMPUL 2590669 / 2022-06-20 Rp 1,748.00 38 Rp 66,424 Rp - Rp - 18 Rp 31,464.00 20
66 ASEPTIK GEL+DISPENSER 500ML BOTOL 24062066 / 2023-05-20 Rp 26,500.00 4 Rp 106,000 Rp - Rp - 1 Rp 26,500.00 3
67 ASEPTIK GEL+DISPENSER 500ML BOTOL 28062188 / 2025-05-20 Rp 27,700.00 Rp - 3 Rp 83,100.00 Rp - 0 Rp - 3
68 ASEPTIK GEL 5 LITER BOTOL 6072188 / 2024-06-20 Rp 214,000.00 Rp - 1 Rp 214,000.00 Rp - 0 Rp - 1
69 ATROPIN SULFAT INJ 0,25 MG 30A AMPUL 9618G0118A / 2020-07-31 Rp 1,639.00 Rp - Rp - Rp - 0 Rp -
70 AUTO DISABLE SYRINGE 0.05 ML BUAH 2-0002 / 2025-04-20 Rp 1,460.00 Rp - 100 Rp 146,000.00 Rp - 100 Rp 146,000.00
71 AUTO DISABLE SYRINGE 0.05 ML BUAH 20002 / 2025-04-20 Rp 1,460.00 Rp - 200 Rp 292,000.00 Rp - 200 Rp 292,000.00
74 AUTO DISABLE SYRINGE 0.5 ML BUAH COV19118 / 2024-08-20 Rp 1,050.00 Rp - 1,540 Rp 1,617,000.00 Rp - 1,540 Rp 1,617,000.00
75 AUTO DISABLE SYRINGE 0.5 ML BUAH COV1908405SKIVA / 2024-06-20 Rp 1,050.00 Rp - 1,900 Rp 1,995,000.00 Rp - 1,900 Rp 1,995,000.00
76 AUTO DISABLE SYRINGE 0.5 ML BUAH COV1902401SKIVA / 2024-06-20 Rp 1,050.00 Rp - 600 Rp 630,000.00 Rp - 600 Rp 630,000.00
78 AUTO DISABLE SYRINGE 0.5 ML BUAH COV-20109 / 2025-08-20 Rp 1,185.00 Rp - 300 Rp 355,500.00 Rp - 300 Rp 355,500.00
79 AUTO DISABLE SYRINGE 0.5 ML BUAH COV20141/1 / 2025-09-20 Rp 1,185.00 Rp - 45 Rp 53,325.00 Rp - 45 Rp 53,325.00
80 AUTO DISABLE SYRINGE 0.5 ML BUAH COV20141 / 2025-09-20 Rp 1,185.00 Rp - 500 Rp 592,500.00 Rp - 500 Rp 592,500.00
81 AUTO DISABLE SYRINGE 0.5 ML BUAH COV210124 /2025-09-20 Rp 1,185.00 Rp - 780 Rp 924,300.00 Rp - 780 Rp 924,300.00
82 AUTO DISABLE SYRINGE 0.5 ML BUAH COV210124OJ / 2025-09-20 Rp 1,185.00 Rp - 660 Rp 782,100.00 Rp - 660 Rp 782,100.00
83 AUTO DISABLE SYRINGE 0.5 ML BUAH COV20189 /2025-09-20 Rp 1,050.00 Rp - 1,320 Rp 1,386,000.00 Rp - 1,320 Rp 1,386,000.00
84 AUTO DISABLE SYRINGE 0.5 ML BUAH COV20155/2 / 2025-11-20 Rp 1,050.00 Rp - 1,049 Rp 1,101,450.00 Rp - 1,049 Rp 1,101,450.00
85 AUTO DISABLE SYRINGE 0.5 ML BUAH COV21113 / 2026-02-20 Rp 1,050.00 Rp - 3,551 Rp 3,728,550.00 Rp - 3,551 Rp 3,728,550.00
86 AUTO DISABLE SYRINGE 0.5 ML BUAH COV21111/1 / 2026-02-20 Rp 1,185.00 Rp - 300 Rp 355,500.00 Rp - 160 Rp 189,600.00 140
87 AUTO DISABLE SYRINGE 0.5 ML BUAH COV21156/1 / 2026-07-20 Rp 1,165.00 Rp - 200 Rp 233,000.00 Rp - 0 Rp - 200
88 AUTO DISABLE SYRINGE 5 ML BUAH 17503 / 2022-02-25 Rp 1,640.00 Rp - Rp - Rp - 0 Rp -
89 AUTO DISABLE SYRINGE 5 ML BUAH 1804401 / 2023-03-20 Rp 1,583.00 Rp - 300 Rp 474,900.00 Rp - 300 Rp 474,900.00
90 AZITROMICIN 500 MG
TABLE
H02092J / 2025-05-20 Rp 1,250.00 Rp - 100 Rp 125,000.00 Rp - 100 Rp 125,000.00
TTABLE
91 AZITROMICIN 500 MG H02092J/1 / 2025-08-20 Rp 1,250.00 Rp - 200 Rp 250,000.00 Rp - 200 Rp 250,000.00
TTABLE
92 BETAHISTINE 6MG TABLET 50H0116 / 2021-07-20 Rp 110.00 1,600 Rp 176,000 Rp - Rp - 1,400 Rp 154,000.00 200
TTABLE
93 BETAHISTINE 6MG TABLET 50HJ0118 / 2021-08-20 Rp 110.00 Rp - 2,000 Rp 220,000.00 Rp - 2,000 Rp 220,000.00
TTABLE
94 BETAHISTINE 6MG TABLET 51D0230 / 2022-02-20 Rp 110.00 Rp - 3,000 Rp 330,000.00 Rp - 800 Rp 88,000.00 2,200
T
95 BETAMETASON KRIM 0,1 % TUBE B00008T / 2022-02-20 Rp 1,430.00 Rp - 100 Rp 143,000.00 Rp - 100 Rp 143,000.00
96 BETAMETASON KRIM 0,1 % TUBE J82199T / 2021-10-20 Rp 1,430.00 292 Rp 417,560 Rp - Rp - 232 Rp 331,760.00 60
97 BUFFER ALERE COMBO BOX MPS809001 / 2020-04-09 Rp - 1 Rp - Rp - Rp - 1 Rp -
98 BROCON TAB 100S
TABLE
TTABLE 11826 /2023-06-30 Rp 359.70 Rp - 3,000 Rp 1,079,100.00 Rp - 2,000 Rp 719,400.00 1,000
99 BROCON TAB 100S 12326 / 2023-06-30 Rp 359.70 Rp - 3,000 Rp 1,079,100.00 Rp - 0 Rp - 3,000
TTABLE
100 CAPTOPRIL 12,5 TAB L92886B / 2024-11-20 Rp 66.00 2,400 Rp 158,400 Rp - Rp - 2,400 Rp 158,400.00
TTABLE
101 CAPTOPRIL 12,5 TAB L92885B / 2024-11-20 Rp 66.00 Rp - 4,000 Rp 264,000.00 Rp - 2,500 Rp 165,000.00 1,500
TTABLE
102 CAPTOPRIL 25 MG TAB FL1070 / 2024-06-20 Rp 81.69 2,000 Rp 163,372 4,000 Rp 326,744.00 Rp - 2,900 Rp 236,889.40 3,100
TTABLE
103 CAPTOPRIL 25 MG TAB 46324017 / 2023-04-20 Rp 75.00 Rp - 2,000 Rp 149,996.00 Rp - 2,000 Rp 149,996.00
T
104 CATGUT 3/0+JARUM (70CM) BUAH QQ433-20 / 2025-08-31 Rp 19,928.00 Rp - 24 Rp 478,272.00 Rp - 12 Rp 239,136.00 12
105 CATGUT 3/0+JARUM (70CM) BUAH QQ249-16 / 2021-08-31 Rp 35,000.00 96 Rp 3,360,000 Rp - Rp - 96 Rp 3,360,000.00
106 CATGUT PLAIN 3/0 70CM+JARUM BUAH WW337-18 / 2023-11-20 Rp 24,583.33 12 Rp 295,000 Rp - Rp - 0 Rp - 12
107 CAVICUR TAB 100S
TABLE
TTABLE HO756035 / 2024-04-30 Rp 572.00 Rp - 2,000 Rp 1,144,000.00 Rp - 600 Rp 343,200.00 1,400
108 CAVIPLEX TABLET F1456329 / 2024-07-31 Rp 638.00 Rp - 2,000 Rp 1,276,000.00 Rp - 1,500 Rp 957,000.00 500
T
109 CEFADROKSIL SIRUP KERING 125MG/5 ML BOTOL 6909003 / 2022-09-30 Rp 4,185.00 150 Rp 627,750 195 Rp 816,075.00 Rp - 345 Rp 1,443,825.00
110 CEFADROKSIL SIRUP KERING 125MG/5 ML BOTOL 2110-09-188 / 2023-10-31 Rp 3,800.00 Rp - 180 Rp 684,000.00 Rp - 85 Rp 323,000.00 95
111 CEFADROKSIL 250 MG
KAPSU
190601252 / 2021-06-20 Rp 690.00 Rp - Rp - Rp - 0 Rp -
LKAPSU
112 CEFADROKSIL 250 MG 190701252 / 2021-07-20 Rp 690.00 200 Rp 138,000 4,000 Rp 2,760,000.00 Rp - 4,200 Rp 2,898,000.00
LTABLE
113 CHLORFENIRAMIN M/ CTM 4 MG 190764152 / 2021-07-20 Rp 23.00 Rp - Rp - Rp - 0 Rp -
TTABLE
114 CHLORFENIRAMIN M/ CTM 4 MG 200808152 / 2022-08-20 Rp 41.68 7,800 Rp 325,096 13,000 Rp 541,827.00 Rp - 17,000 Rp 708,543.00 3,800
TTABLE
115 CHLORFENIRAMIN M/ CTM 4 MG 180209152 / 2022-02-20 Rp 22.00 Rp - Rp - Rp - 0 Rp -
TTABLE
116 CIPROFLOKSASIN 500MG 160881106 / 2020-08-25 Rp 300.00 Rp - Rp - Rp - 0 Rp -
TTABLE
117 COTRIMOKSASOL 480 MG A92171/1 / 2022-09-20 Rp 133.00 Rp - 1,000 Rp 133,000.00 Rp - 1,000 Rp 133,000.00
TTABLE
118 COTRIMOKSASOL 480 MG TAB A91157 / 2022-05-20 Rp 133.00 200 Rp 26,600 1,000 Rp 133,000.00 Rp - 800 Rp 106,400.00 400
T
119 COTRIMOKSASOL SYR 60 ML BOTOL A91750 / 2022-07-20 Rp 2,190.00 Rp - Rp - Rp - 0 Rp -
120 COTRIMOKSASOL SYR 60 ML BOTOL A91814 / 2022-07-20 Rp 2,190.00 156 Rp 341,640 Rp - Rp - 96 Rp 210,240.00 60
121 DEKSAMETASON 0.5 MG
TABLE
200807150 / 2022-0820 Rp 56.84 2,200 Rp 125,041 Rp - Rp - 2,200 Rp 125,041.40
TTABLE
122 DEKSAMETASON 0.5 MG 200803150 / 2022-08-20 Rp 56.84 Rp - 16,000 Rp 909,392.00 Rp - 12,000 Rp 682,044.00 4,000
T
123 DEKSAMETASON INJ AMPUL 46337061 / 2024-06-20 Rp 924.00 Rp - 53 Rp 48,972.00 Rp - 53 Rp 48,972.00
124 DIAFORM/NEW ANTIDES TAB
TABLE
SB0991 / 2021-02-01 Rp 150.00 2,700 Rp 405,000 Rp - Rp - 2,700 Rp 405,000.00
TTABLE
125 DIAFORM/NEW ANTIDES TAB TC0281 / 2023-03-20 Rp 145.00 Rp - 4,500 Rp 652,500.00 Rp - 2,500 Rp 362,500.00 2,000
T
126 DIAZEPAM 5 MG REKTAL 2,5 ML TUBE X23681718 / 2023-11-30 Rp 34,980.00 Rp - 10 Rp 349,800.00 Rp - 10 Rp 349,800.00
127 DIAZEPAM 5 MG TAB
TABLE
A11124 / 2025-07-20 Rp 108.00 Rp - 100 Rp 10,800.00 Rp - 0 Rp - 100
TAMPU
128 DIAZEPAM INJ 5 MG F1G264 / 2023-07-30 Rp 1,545.00 Rp - 5 Rp 7,725.00 Rp - 5 Rp 7,725.00
LAMPU
129 DIFENHIDRAMIN INJ 46342010-2 / 2023-05-20 Rp 781.00 Rp - 30 Rp 23,430.00 Rp - 30 Rp 23,430.00
LTABLE
130 DIGOKSIN TAB 0,25 MG A8605AX / 2022-01-20 Rp 104.00 300 Rp 31,200 100 Rp 10,400.00 Rp - 400 Rp 41,600.00
TTABLE
131 DIGOKSIN TAB 0,25 MG Aa8602cy / 2023-03-31 Rp 119.90 Rp - 300 Rp 35,970.00 Rp - 0 Rp - 300
TTABLE
132 DIMENHIDRINATE 50 MG D10051N / 2023-4-20 Rp 98.50 Rp - 5,500 Rp 541,750.00 Rp - 2,300 Rp 226,550.00 3,200
TTABLE
133 DIMENHIDRINATE 50 MG 100S E91162B / 2024-04-20 Rp 112.00 2,300 Rp 257,600 4,000 Rp 448,000.00 Rp - 6,300 Rp 705,600.00
T
134 DOMPERIDON 5MG/5ML SYR BOTOL 200402186 / 2022-04-20 Rp 2,700.00 10 Rp 27,000 Rp - Rp - 10 Rp 27,000.00
135 DOMPERIDON 5MG/5ML SYR BOTOL 200421186 / 2022-04-20 Rp 2,700.00 50 Rp 135,000 50 Rp 135,000.00 Rp - 60 Rp 162,000.00 40
136 DOMPERIDONE 10 MG 100S
TABLE
TTABLE JE2181 / 2024-05-20 Rp 71.00 Rp - 1,500 Rp 106,500.00 Rp - 1,000 Rp 71,000.00 500
137 DOMPERIDONE 10 MG 100S 200406149 / 2020-04-23 Rp 91.00 1,000 Rp 91,000 Rp - Rp - 1,000 Rp 91,000.00
T
138 DRESSING PENUTUP LUKA LEBAR 10CM X 5M BOX 93820230 / 2024-08-20 Rp 102,500.00 Rp - 5 Rp 512,500.00 Rp - 0 Rp - 5
139 DRESSING PENUTUP LUKA LEBAR 10CM X 5M BUAH 191101 /2024-11-24 Rp 39,110.00 2 Rp 78,220 5 Rp 195,550.00 Rp - 4 Rp 156,440.00 3
140 ERLAMYCETIN 1% TETES TELINGA BOTOL D0656122 / 2024-06-20 Rp 7,920.00 Rp - 72 Rp 570,240.00 Rp - 17 Rp 134,640.00 55
141 ETAMBUTOL 500 mg 100's(TIBITOL) TABLE
nobatch_lama / 2022-04-01 Rp 750.00 500 Rp 375,000 Rp - Rp - 200 Rp 150,000.00 300
T
142 ETANOL 70% 100 ML BOTOL 1072188 / 2025-06-20 Rp 3,527.00 Rp - 24 Rp 84,648.00 Rp - 0 Rp - 24
143 ETANOL 70% 1 LITER BOTOL 2001926 / 2025-05-20 Rp 18,700.00 2 Rp 37,400 Rp - Rp - 2 Rp 37,400.00
144 ETANOL 70% 1 LITER BOTOL 25062188 / 2025-05-20 Rp 29,645.00 Rp - 2 Rp 59,290.00 Rp - 0 Rp - 2
145 EUGINOL CAIRAN BOTOL nobatch_lama / 2030-10-25 Rp 45,830.00 22 Rp 1,008,260 Rp - Rp - 2 Rp 91,660.00 20
146 FACE SHEILD BUAH BOK0921 / 2026-09-20 Rp 8,000.00 Rp - 50 Rp 400,000.00 Rp - 0 Rp - 50
147 FACE SHEILD ( REFOCUSING ) BUAH KRISB0620 / 2025-06-20 Rp 90,000.00 10 Rp 900,000 Rp - Rp - 10 Rp 900,000.00
148 FACE SHEILD ( REFOCUSING ) BUAH TRIFG0620 / 2025-06-20 Rp 14,000.00 20 Rp 280,000 Rp - Rp - 20 Rp 280,000.00
149 FENOLGLISEROL TT 10% BOTOL 21LG008 / 2023-07-20 Rp 3,300.00 Rp - 24 Rp 79,200.00 Rp - 24 Rp 79,200.00
150 FENOTEROL HBR 0,1% 50ML (BEROTEC) BOTOL nobatch_lama / 2021-06-20 Rp 126,000.00 Rp - 1 Rp 126,000.00 Rp - 1 Rp 126,000.00
151 FITO MENADION (VIT K) 10MG 100S
TABLE
16381029 / 2021-11-20 Rp 758.00 200 Rp 151,600 600 Rp 454,800.00 Rp - 800 Rp 606,400.00
TTABLE
152 FITO MENADION (VIT K) 10MG 100S 36381005 / 2023-09-22 Rp 748.00 Rp - 500 Rp 374,000.00 Rp - 200 Rp 149,600.00 300
TTABLE
153 FITO MENADION (VIT K) 10MG 100S 16381019 / 2021-10-20 Rp 758.00 300 Rp 227,400 Rp - Rp - 300 Rp 227,400.00
TTABLE
154 FITO MENADION (VIT K) 10MG 100S 16381010 / 2021-05-25 Rp 758.00 200 Rp 151,600 Rp - Rp - 200 Rp 151,600.00
T
155 FITOMENADION (VIT K) 2 MG/1 ML INJ AMPUL 6478080 / 2021-01-20 Rp 3,682.00 140 Rp 515,480 Rp - Rp - 140 Rp 515,480.00
156 FITOMENADION (VIT K) 2 MG/1 ML INJ AMPUL 26478062 / 2021-11-20 Rp 3,682.00 Rp - 120 Rp 441,840.00 Rp - 120 Rp 441,840.00
157 FUROSEMIDE TAB 40MG TABLE
F91444B / 23-05-20 Rp 82.00 250 Rp 20,500 1,200 Rp 98,400.00 Rp - 850 Rp 69,700.00 600
TSACHE
158 GARAM ORALIT U/ 200 ML AIR P10067AG / 2020-11-25 Rp 260.00 Rp - Rp - Rp - 0 Rp -
T
159 GENTAMICIN SULFAT TTS MATA BOTOL D0255005 / 2023-04-20 Rp 4,232.00 Rp - 216 Rp 914,112.00 Rp - 72 Rp 304,704.00 144
160 GENTAMICIN SULFAT TTS MATA BOTOL D0255005 / 2023-04-20 Rp 4,232.00 162 Rp 685,584 Rp - Rp - 162 Rp 685,584.00
161 GLIMEPIRIDE 2 MG TAB TABLE
50B0051 / 2022-01-20 Rp 207.00 3,000 Rp 621,000 Rp - Rp - 3,000 Rp 621,000.00
TTABLE
162 GLIMEPIRIDE 2 MG TAB 51D0307 / 2023-03-20 Rp 207.00 Rp - 1,000 Rp 207,000.00 Rp - 1,000 Rp 207,000.00
T
163 GLIMEPIRIDE 2 MG TAB
TABLE
50F0225 / 2022-05-20 Rp 207.00 100 Rp 20,700 Rp - Rp - 100 Rp 20,700.00
TTABLE
164 GLIMEPIRIDE 4 MG TAB 52G4157 / 2023-06-20 Rp 183.00 Rp - 3,000 Rp 548,999.88 Rp - 300 Rp 54,899.99 2,700
T
165 GLUKOSA INFUS (DEXTROSE 5 %) BOTOL 48A97A / 2021-01-28 Rp 7,000.00 70 Rp 490,000 Rp - Rp - 70 Rp 490,000.00
166 GLUKOSA INFUS (DEXTROSE 5 %) BOTOL 1B9D002 / 2021-04-20 Rp 7,363.00 Rp - 40 Rp 294,520.00 Rp - 40 Rp 294,520.00
167 GLUKOSA INFUS (DEXTROSE 10 %) BOTOL 290805 / 2022-07-20 Rp 8,003.00 Rp - 10 Rp 80,030.00 Rp - 3 Rp 24,009.00 7
168 GOWN PVC ( REFOCUSING ) BUAH TRIG620 / 2025-06-20 Rp 25,000.00 90 Rp 2,250,000 Rp - Rp - 90 Rp 2,250,000.00
169 GOWN SPUNBOND ( REFOCUSING ) BUAH ONECARE-TRI / 2025-11-20 Rp 44,750.00 100 Rp 4,475,000.00 Rp - 100 Rp 4,475,000.00
170 GRISEOVULVIN 125 MG
TABLE
190603176 / 2021-06-20 Rp 224.00 300 Rp 67,200 300 Rp 67,200.00 Rp - 600 Rp 134,400.00
TTABLE
171 GUAIFENESIN 100 MG TAB 180503155 / 2022-05-20 Rp 110.00 Rp - Rp - Rp - 0 Rp -
T
172 HALDOL DEC 50 MG/ML INJ AMPUL 5S2T / 2021-05-26 Rp 101,300.00 5 Rp 506,500 Rp - Rp - 5 Rp 506,500.00
173 HAND SANITIZER 100ML SPRAY BOTOL BOK18082188 / 2024-07-20 Rp 15,909.00 Rp - 84 Rp 1,336,356.00 Rp - 0 Rp - 84
174 HANDSCUN GYNAECOLOG 56 CM SET 13082188 / 2026-07-20 Rp 19,000.00 Rp - 10 Rp 190,000.00 Rp - 0 Rp - 10
175 HANDSCUN GYNAECOLOG 56 CM BUAH 2091988 / 2024-08-20 Rp 19,360.00 11 Rp 212,960 Rp - Rp - 7 Rp 135,520.00 4
176 HANDSCUN L ( REFOCUSING ) BUAH RPLE10281 / 2023-07-20 Rp 1,900.00 Rp - 1,800 Rp 3,420,000.00 Rp - 1,500 Rp 2,850,000.00 300
177 HANDSCUN L ( REFOCUSING ) BUAH TRI-LGOLD1120 / 2025-11-20 Rp 1,400.00 Rp - 300 Rp 420,000.00 Rp - 300 Rp 420,000.00
178 HANDSCUN M BUAH BOK0921STAR / 2023-08-25 Rp 1,624.00 Rp - 1,000 Rp 1,624,000.00 Rp - 0 Rp - 1,000
179 HANDSCUN M BUAH 20060401 / 2025-05-31 Rp 470.50 200 Rp 94,100 Rp - Rp - 200 Rp 94,100.00
180 HANDSCUN M ( REFOCUSING ) BUAH TRI-MGOLD1120 / 2025-11-20 Rp 1,400.00 Rp - 6,400 Rp 8,960,000.00 Rp - 6,400 Rp 8,960,000.00
181 HANDSCUN S BUAH 190341026 / 2024-02-20 Rp 470.50 Rp - 900 Rp 423,450.00 Rp - 900 Rp 423,450.00
182 HANDSCUN S BUAH 19010502 / 2023-12-31 Rp 470.50 300 Rp 141,150 Rp - Rp - 300 Rp 141,150.00
183 HANDSCUN S BUAH 190886076 / 2024-07-31 Rp 470.50 Rp - 500 Rp 235,250.00 Rp - 500 Rp 235,250.00
184 HANDSCUN S BUAH 1905580306/1 / 2024-04-30 Rp 470.50 Rp - 1,200 Rp 564,600.00 Rp - 900 Rp 423,450.00 300
185 HANDSCUN STERIL 6.5 ( REFOCUSING ) SET 170328020265 / 2022-02-20 Rp 11,000.00 25 Rp 275,000 Rp - Rp - 25 Rp 275,000.00
186 HANDSCUN STERIL 7 ( REFOCUSING ) SET 170602010170 / 2022-0520 Rp 11,000.00 25 Rp 275,000 Rp - Rp - 25 Rp 275,000.00
187 HANDSCUN STERIL 7 ( REFOCUSING ) BUAH TRI-7GEN1120 / 2025-11-20 Rp 4,400.00 Rp - 100 Rp 440,000.00 Rp - 100 Rp 440,000.00
188 HANDSCUN STERIL 7.5 ( REFOCUSING ) SET 170328020275 /2023-02-20 Rp 11,000.00 10 Rp 110,000 Rp - Rp - 10 Rp 110,000.00
189 HIDROKORTISON SALF TUBE G81447T / 2022-07-20 Rp 2,475.00 86 Rp 212,850 Rp - Rp - 86 Rp 212,850.00
190 HIDROKORTISON SALF TUBE F90881T / 2023-06-20 Rp 2,475.00 Rp - 120 Rp 297,000.00 Rp - 85 Rp 210,375.00 35
191 IBUPROFEN TAB 400MG
TABLE
GL1064 / 2023-07-20 Rp 227.37 1,100 Rp 250,107 3,000 Rp 682,110.00 Rp - 4,100 Rp 932,217.00
TTABLE
192 IBUPROFEN TAB 400MG GLI066 /2023-07-20 Rp 227.37 Rp - 7,000 Rp 1,591,590.00 Rp - 3,500 Rp 795,795.00 3,500
T
193 INFUSION SET DEWASA BUAH E2019 / 2029-05-20 Rp 3,100.00 81 Rp 251,100 Rp - Rp - 81 Rp 251,100.00
194 INFUSION SET DEWASA BUAH 20190502 / 2022-01-05 Rp 3,100.00 Rp - 100 Rp 310,000.00 Rp - 0 Rp - 100
195 INFUSION SET DEWASA BUAH 20190502 / 2022-01-05 Rp 3,100.00 450 Rp 1,395,000 Rp - Rp - 400 Rp 1,240,000.00 50
196 ISONIAZID 100 MG
TABLE
nobatch_lama / 2019-05-25 Rp 65.00 400 Rp 26,000 600 Rp 39,000.00 Rp - 400 Rp 26,000.00 600
TTABLE
197 ISONIAZID 300 MG nobatch_lama / 2018-10-25 Rp 158.00 Rp - 600 Rp 94,800.00 Rp - 100 Rp 15,800.00 500
T
198 IV. CATHETER NO. 20 BUAH 7201127 / 2022-07-25 Rp 13,200.00 50 Rp 660,000 Rp - Rp - 50 Rp 660,000.00
199 IV. CATHETER NO. 22 BUAH 7324279 / 2022-11-20 Rp 13,200.00 123 Rp 1,623,600 Rp - Rp - 110 Rp 1,452,000.00 13
200 IV. CATHETER NO. 22 BUAH 4210515 / 2026-05-20 Rp 5,995.00 Rp - 150 Rp 899,250.00 Rp - 100 Rp 599,500.00 50
201 IV. CATHETER NO. 24 BUAH 7167488 / 2022-06-25 Rp 8,400.00 27 Rp 226,800 Rp - Rp - 27 Rp 226,800.00
202 IV. CATHETER NO. 24 BUAH 4210718 / 2026-07-20 Rp 5,995.00 Rp - 70 Rp 419,650.00 Rp - 70 Rp 419,650.00
203 IV. CATHETER NO 26 BUAH 20170930 / 2022-08-20 Rp 8,200.00 124 Rp 1,016,800 Rp - Rp - 17 Rp 139,400.00 107
204 KACAMATA ( REFOCUSING ) BUAH TRI-KC1120 / 2025-11-20 Rp 14,000.00 Rp - 20 Rp 280,000.00 Rp - 20 Rp 280,000.00
205 KACAMATA ( REFOCUSING ) BUAH TRIK620 / 2025-06-20 Rp 35,000.00 35 Rp 1,225,000 Rp - Rp - 35 Rp 1,225,000.00
206 KALSIUM LAKTAT 500MG TAB
TABLE
A00487 / 2023-02-20 Rp 63.00 3,200 Rp 201,600 4,000 Rp 252,000.00 Rp - 7,200 Rp 453,600.00
TTABLE
207 KALSIUM LAKTAT 500MG TAB A00419 / 2023-02-20 Rp 63.00 Rp - 7,000 Rp 441,000.00 Rp - 2,800 Rp 176,400.00 4,200
T
208 KAPAS ABSORBEN 250 GR BUAH nobatch_lama / 2020-03-30 Rp 24,000.00 17 Rp 408,000 Rp - Rp - 17 Rp 408,000.00
209 KAPAS ABSORBEN 250 GR BUAH 20317 / 2021-03-25 Rp 24,000.00 Rp - 20 Rp 480,000.00 Rp - 0 Rp - 20
210 KASA HIDROFIL 36M X 80CM ROLL 30319 / 2022-03-20 Rp 136,500.00 6 Rp 819,000 5 Rp 682,500.00 Rp - 6 Rp 819,000.00 5
211 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROLL 20917 / 2021-09-25 Rp 2,300.00 Rp - 500 Rp 1,150,000.00 Rp - 0 Rp - 500
212 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROLL 20617 / 2021-06-30 Rp 2,300.00 350 Rp 805,000 Rp - Rp - 250 Rp 575,000.00 100
213 KASA PEMBALUT HIDROFIL 4M X 5CM ROLL 20817 / 2021-08-25 Rp 1,127.00 375 Rp 422,625 Rp - Rp - 75 Rp 84,525.00 300
214 KASA STERIL BOX 10819 / 2023-08-20 Rp 7,370.00 100 Rp 737,000 300 Rp 2,211,000.00 Rp - 300 Rp 2,211,000.00 100
215 KASA STERIL BOX 010917 / 2021-09-25 Rp 8,000.00 Rp - Rp - Rp - 0 Rp -
216 KATEGORI I (FDC) PAKET 16449171-2 / 21-07-20 Rp 415,467.00 3 Rp 1,246,401 Rp - Rp - 3 Rp 1,246,401.00
217 KATEGORI I (FDC) PAKET 26461147 / 2022-07-20 Rp 415,467.00 Rp - 5 Rp 2,077,335.00 Rp - 3 Rp 1,246,401.00 2
218 KETOKONAZOLE TAB
TABLE
200202103 / 2023-02-20 Rp 288.00 Rp - 1,200 Rp 345,600.00 Rp - 1,200 Rp 345,600.00
TTABLE
219 KETOKONAZOLE TAB 200202103 / 2023-02-20 Rp 288.00 850 Rp 244,800 Rp - Rp - 850 Rp 244,800.00
TTABLE
220 KETOKONAZOLE TAB 15116 / 2023-09-30 Rp 252.00 Rp - 300 Rp 75,600.00 Rp - 0 Rp - 300
T
221 KETOPROFEN SUPP SUPP F11598W / 2024-06-20 Rp 2,491.56 Rp - 5 Rp 12,457.78 Rp - 5 Rp 12,457.78
222 KLORAMFENIKOL 500MG
KAPSU
V2388141 / 2021-12-20 Rp 1,163.00 2,000 Rp 2,326,000 Rp - Rp - 2,000 Rp 2,326,000.00
LKAPSU
223 KLORAMFENIKOL 500MG V2388137 / 2021-10-20 Rp 1,163.00 1,400 Rp 1,628,200 Rp - Rp - 1,400 Rp 1,628,200.00
LKAPSU
224 KLORAMFENIKOL 500MG W2388105 / 2022-01-20 Rp 1,163.00 Rp - 1,500 Rp 1,744,500.00 Rp - 0 Rp - 1,500
LKAPSU
225 KLORAMFENIKOL 500MG W2388104 / 2022-01-20 Rp 1,163.00 Rp - 500 Rp 581,500.00 0 Rp - 500
LKAPSU
226 KLORAMPENIKOL 250MG KAPSUL 1803-04-251 / 2022-03-20 Rp 310.00 200 Rp 62,000 Rp - Rp - 200 Rp 62,000.00
L
227 KLORAMFENIKOL SUSP. 125 MG/5 ML BOTOL 19071482 / 2021-07-20 Rp 5,015.00 31 Rp 155,465 Rp - Rp - 31 Rp 155,465.00
228 KLORAMFENIKOL SUSP. 125 MG/5 ML BOTOL FK2005 / 2024-06-20 Rp 5,316.30 100 Rp 531,630 Rp - Rp - 79 Rp 419,987.70 21
229 KLORAMFENICOL 2% SALEP ( BUFACETIN ) TUBE 10207925 / 2022-08-20 Rp 3,242.00 Rp - 240 Rp 778,080.00 Rp - 24 Rp 77,808.00 216
230 KLORAMPENIKOL 1% S.MATA TUBE I91897W / 2022-09-20 Rp 2,007.00 Rp - 144 Rp 289,008.00 Rp - 82 Rp 164,574.00 62
231 LANCET DARAH STRIP BUAH 1081988 / 2024-07-20 Rp 140.00 Rp - 500 Rp 70,000.00 Rp - 0 Rp - 500
232 LANCET DARAH STRIP BUAH 21012088 / 2024-12-20 Rp 140.00 Rp - 500 Rp 70,000.00 Rp - 300 Rp 42,000.00 200
233 LANCET DARAH STRIP BUAH 18071788 / 2022-06-13 Rp 146.00 800 Rp 116,800 Rp - Rp - 800 Rp 116,800.00
234 LIDOKAIN INJ AMPUL 16362084-2 / 2022-11-20 Rp 1,221.00 100 Rp 122,100 Rp - Rp - 0 Rp - 100
235 LIDOKAIN INJ AMPUL 26362057-1 / 2023-08-20 Rp 1,221.00 Rp - 100 Rp 122,100.00 Rp - 100 Rp 122,100.00
236 LIDOKAIN INJ AMPUL 26362056-2 / 2023-08-20 Rp 1,221.00 Rp - 100 Rp 122,100.00 Rp - 40 Rp 48,840.00 60
LIDOKAIN INJEKSI 2%(HCL)+EPINEFRIN 1:80.000-
237 AMPUL 16815067/ 2021-10-20 Rp 1,229.00 105 Rp 129,045 Rp - Rp - 105 Rp 129,045.00
2ML
LIDOKAIN INJEKSI 2%(HCL)+EPINEFRIN 1:80.000-
238 AMPUL 16815074 / 2021-10-20 Rp 1,229.00 Rp - 19 Rp 23,351.00 Rp - 19 Rp 23,351.00
2ML
239 LIDOKAIN INJEKSI 2%(HCL)+EPINEFRIN 1:80.000- AMPUL 16815080 / 2021-11-20 Rp 1,229.00 Rp - 131 Rp 160,999.00 Rp - 131 Rp 160,999.00
2ML TABLE
240 LORATADIN 80044 / 2021-01-31 Rp 123.00 1,000 Rp 123,000 Rp - Rp - 1,000 Rp 123,000.00
T
241 LUGOL BOTOL A123B / 2021-12-25 Rp 30,000.00 1 Rp 30,000 Rp - Rp - 1 Rp 30,000.00
242 MASKER 3 PLY EARLOOP BUAH 4506178 / 2027-09-29 Rp 330.00 Rp - 500 Rp 165,000.00 Rp - 500 Rp 165,000.00
243 MASKER 3 PLY EARLOOP BUAH INTI0820 / 2025-08-20 Rp 2,134.00 Rp - 900 Rp 1,920,600.00 Rp - 900 Rp 1,920,600.00
244 MASKER 3 PLY EARLOOP
BOK/GLE092021MARSHA/2024-
BUAH 09-20
Rp 679.00 Rp - 7,500 Rp 5,092,500.00 Rp - 1,000 Rp 679,000.00 6,500
245 MASKER 3 PLY PLUS EARLOOP BUAH 23012086/1 / 2025-08-20 Rp 2,618.00 Rp - 700 Rp 1,832,600.00 Rp - 700 Rp 1,832,600.00
246 MASKER 3 PLY PLUS EARLOOP BUAH 23012086/2 / 2025-09-20 Rp 2,618.00 Rp - 800 Rp 2,094,400.00 Rp - 800 Rp 2,094,400.00
247 MASKER 3 PLY PLUS EARLOOP BUAH 1905-1 / 2029-05-20 Rp 440.00 Rp - 1,600 Rp 704,000.00 Rp - 1,600 Rp 704,000.00
248 MASKER BEDAH (REFOCUSING) BUAH GIE062021 / 2024-08-06 Rp 746.00 Rp - 2,000 Rp 1,492,000.00 Rp - 2,000 Rp 1,492,000.00
249 MASKER BEDAH HIJAB (REFOCUSING) BUAH INTI23121986 / 25-07-20 Rp 2,636.36 1,000 Rp 2,636,364 Rp - Rp - 1,000 Rp 2,636,363.62
250 MASKER BEDAH HIJAB (REFOCUSING) BUAH TRI-MARSHA1120 / 2025-11-20 Rp 2,850.00 Rp - 1,000 Rp 2,850,000.00 Rp - 1,000 Rp 2,850,000.00
251 MASKER BEDAH HIJAB (REFOCUSING) BUAH ONEMED300621 / 2026-06-20 Rp 690.00 Rp - 2,000 Rp 1,380,000.00 Rp - 0 Rp - 2,000
252 MASKER EARLOOP (COVIDKAB) BUAH BTT1-1120 / 2025-11-20 Rp 2,475.00 350 Rp 866,250 Rp - Rp - 350 Rp 866,250.00
253 MASKER KAIN ( BTT ) BUAH MK310321 / 2026-03-20 Rp 4,500.00 Rp - 200 Rp 900,000.00 Rp - 200 Rp 900,000.00
254 MASKER KN95 ( REFOCUSING ) BUAH 200302 / 2025-06-20 Rp 25,000.00 70 Rp 1,750,000 60 Rp 1,500,000.00 Rp - 130 Rp 3,250,000.00
255 MASKER N95 1860 ( REFOCUSING ) BUAH MINARA720 / 2025/07/20 Rp 160,000.00 10 Rp 1,600,000 Rp - Rp - 10 Rp 1,600,000.00
256 MASKER N95 1860 ( REFOCUSING ) BUAH TRI-N951120 / 2025-11-20 Rp 40,000.00 Rp - 40 Rp 1,600,000.00 Rp - 40 Rp 1,600,000.00
257 MASKER N95 1860S ( REFOCUSING ) BUAH MINARA0720 / 2025-07-20 Rp 160,000.00 10 Rp 1,600,000 Rp - Rp - 10 Rp 1,600,000.00
258 METILPREDNISOLON 4MG TABLET
TABLE
M02BL042 / 2022-07-20 Rp 143.00 2,000 Rp 286,000 17,000 Rp 2,431,000.00 Rp - 14,500 Rp 2,073,500.00 4,500
TTABLE
259 METFORMIN HCL TAB 500 MG 14028 / 2023-08-31 Rp 77.00 Rp - 3,000 Rp 231,000.00 Rp - 3,000 Rp 231,000.00
TTABLE
260 METFORMIN HCL TAB 500 MG 14986 / 2023-08-31 Rp 77.00 Rp - 3,000 Rp 231,000.00 Rp - 200 Rp 15,400.00 2,800
TTABLE
261 METFORMIN HCL TAB 500 MG HTMFNA02862 / 2022-03-20 Rp 102.00 5,500 Rp 561,000 Rp - Rp - 5,500 Rp 561,000.00
TTABLE
262 METRONIDAZOL 500 MG 200811129 / 2022-08-20 Rp 184.38 2,100 Rp 387,202 Rp - Rp - 2,100 Rp 387,202.20
T
263 MICONAZOLE 2% CREAM TUBE I91749W / 2023-09-20 Rp 3,414.00 192 Rp 655,488 Rp - Rp - 192 Rp 655,488.00
264 MICONAZOLE 2% CREAM TUBE I91746W / 2023-09-20 Rp 3,414.00 Rp - 120 Rp 409,680.00 Rp - 87 Rp 297,018.00 33
265 NA DIKLOFENAK 50 MG
TABLE
52J0194/ 2024-07-20 Rp 99.00 Rp - 3,000 Rp 297,000.00 Rp - 1,000 Rp 99,000.00 2,000
TTABLE
266 NA DIKLOFENAK 50 MG 26365064 / 2021-08-20 Rp 123.00 600 Rp 73,800 5,600 Rp 688,800.00 Rp - 6,200 Rp 762,600.00
T
267 NASAL OXYGEN CANULA-ANAK BUAH 23051988 / 2023-04-20 Rp 5,500.00 3 Rp 16,500 Rp - Rp - 3 Rp 16,500.00
268 NASAL OXYGEN CANULA-ANAK BUAH 4200503 / 2025-05-20 Rp 5,027.00 Rp - 5 Rp 25,135.00 Rp - 5 Rp 25,135.00
269 NASAL OXYGEN CANULA-DEWASA BUAH 722019 / 2023-04-20 Rp 5,500.00 18 Rp 99,000 Rp - Rp - 18 Rp 99,000.00
270 NASAL OXYGEN CANULA-DEWASA BUAH 4210705 / 2026-07-20 Rp 5,027.00 Rp - 10 Rp 50,270.00 Rp - 10 Rp 50,270.00
271 NATRIUM CLORIDA INFUS 0,9% 500 ML BOTOL 1A9C046 / 2021-03-20 Rp 6,840.00 400 Rp 2,736,000 Rp - Rp - 400 Rp 2,736,000.00
272 NATRIUM CLORIDA INFUS 0,9% 500 ML BOTOL 400503 / 2025-04-20 Rp 6,840.00 Rp - 100 Rp 684,000.00 Rp - 74 Rp 506,160.00 26
273 NEPHROLIT KAPS
KAPSU TKNHLC11091 / 2023-02-28 Rp 517.00 Rp - 1,500 Rp 775,500.00 Rp - 300 Rp 155,100.00 1,200
LTABLE
274 NIFEDIPIN 100S B00070B/ 2024-01-20 Rp 112.00 400 Rp 44,800 Rp - Rp - 300 Rp 33,600.00 100
TTABLE
275 NIFEDIPIN 100S 51l4142 / 2024-11-20 Rp 149.93 Rp - 200 Rp 29,986.00 Rp - 0 Rp - 200
T
276 NURSE CAP ( REFOCUSING ) BUAH TRI-N1120 / 2025-11-20 Rp 440.00 Rp - 200 Rp 88,000.00 Rp - 200 Rp 88,000.00
277 OKSITETRASIKLIN HCL SM 1 % 3,5 G TUBE J82969W / 2021-10-20 Rp 2,500.00 85 Rp 212,500 Rp - Rp - 85 Rp 212,500.00
278 OKSITETRASIKLIN HCL SM 1 % 3,5 G TUBE A80110W / 2021-01-20 Rp 2,668.00 Rp - 150 Rp 400,200.00 Rp - 150 Rp 400,200.00
279 OMEPRAZOL 20 MG KAPSUL
KAPSU
GLI019 / 2022-07-20 Rp 304.30 135 Rp 41,080 Rp - Rp - 135 Rp 41,080.05
L
280 ONDANSETRON INJ AMPUL 2790945 / 2021-07-20 Rp 1,124.00 280 Rp 314,720 Rp - Rp - 280 Rp 314,720.00
281 OSELTAMIVIR 75 MG TAB
KAPSU
LTABLE 210V2031 / 2025-03-20 Rp 7,000.00 Rp - 100 Rp 700,000.00 Rp - 100 Rp 700,000.00
282 PARASETAMOL 500 MG TAB A01561 / 2023-08-20 Rp 93.79 Rp - 10,000 Rp 937,860.00 Rp - 10,000 Rp 937,860.00
TTABLE
283 PARASETAMOL 500 MG TAB A01570 / 2023-08-20 Rp 93.79 Rp - 13,000 Rp 1,219,218.00 Rp - 9,900 Rp 928,481.40 3,100
T
284 PARASETAMOL SYR BOTOL A91941 / 2022-07-20 Rp 1,181.00 400 Rp 472,400 600 Rp 708,600.00 Rp - 1,000 Rp 1,181,000.00
285 PARASETAMOL SYR BOTOL A91952 / 2022-08-20 Rp 1,181.00 Rp - 200 Rp 236,200.00 Rp - 126 Rp 148,806.00 74
286 PEMBALUT ELASTIS 10CM X 4,5M ROLL 70610002 / 2022-01-25 Rp 26,470.50 5 Rp 132,353 Rp - Rp - 0 Rp - 5
287 PHENOBARBITAL 30 MG TAB
TABLE
D90973B / 2024-03-28 Rp 171.00 30 Rp 5,130 Rp - Rp - 30 Rp 5,130.00
TTABLE
288 PIRIDOKSIN 10 MG TABLET H92238B / 2022-08-20 Rp 131.00 2,100 Rp 275,100 2,000 Rp 262,000.00 Rp - 3,000 Rp 393,000.00 1,100
T
289 PLESTER 4,5 M X 7,5 CM ROLL 70715009 / 2020-01-20 Rp 36,176.00 9 Rp 325,584 Rp - Rp - 9 Rp 325,584.00
290 PLESTER ROLL PU 5CM X 2M ROLL 23111988 / 2024-10-20 Rp 18,816.00 9 Rp 169,344 Rp - Rp - 0 Rp - 9
291 POVIDON IODIUM 30 ML BOTOL 11052088 / 2023-04-20 Rp 3,200.00 52 Rp 166,400 100 Rp 320,000.00 Rp - 147 Rp 470,400.00 5
292 PREDNISON 5 MG 1000S
TABLE
1107028 / 2023-07-31 Rp 68.00 Rp - 3,000 Rp 204,000.00 Rp - 1,700 Rp 115,600.00 1,300
TTABLE
293 PREDNISON 5 MG 1000S 1912001 / 2024-05-20 Rp 73.00 200 Rp 14,600 Rp - Rp - 200 Rp 14,600.00
T
294 RANITIDIN 150 MG 100S TABLET A93248 / 2022-11-20 Rp 171.61 1,500 Rp 257,413 3,000 Rp 514,826.40 Rp - 3,700 Rp 634,952.56 800
295 RAPID HBS AG BUAH C20010 / 2022-03-20 Rp 8,090.00 25 Rp 202,250 Rp - Rp - 25 Rp 202,250.00
296 RAPID HBS AG BUAH C20017 / 2022-03-20 Rp 8,210.00 75 Rp 615,750 Rp - Rp - 75 Rp 615,750.00
297 RAPID HBS AG BUAH C21021 / 2023-03-31 Rp 9,850.00 Rp - 200 Rp 1,970,000.00 Rp - 75 Rp 738,750.00 125
298 RAPID TEST HIV I (INTEC) BUAH 03ADE024A/1 / 2021-06-20 Rp 11,975.00 100 Rp 1,197,500 Rp - Rp - 100 Rp 1,197,500.00
299 RAPID TEST HIV I BUAH 03ADG001AA / 2023-01-25 Rp 11,322.00 Rp - 180 Rp 2,037,960.00 Rp - 60 Rp 679,320.00 120
300 RAPID TEST UNTK SIPILIS BUAH L19154 / 2021-12-20 Rp 9,000.00 50 Rp 450,000 Rp - Rp - 0 Rp - 50
301 RDT COVID 19 ( COVIDPROV ) BUAH QC3020020A / 2021-03-20 Rp 200,000.00 Rp - 10 Rp 2,000,000.00 Rp - 10 Rp 2,000,000.00
302 RDT COVID 19 ANTIGEN BUAH QCO3020051P / 2022-08-12 Rp 82,428.00 Rp - 50 Rp 4,121,400.00 Rp - 50 Rp 4,121,400.00
303 RDT COVID 19 ANTIGEN ( BTT ) BUAH QC0390025A_SDBIO / 2021-11-20 Rp 98,000.00 Rp - 100 Rp 9,800,000.00 Rp - 100 Rp 9,800,000.00
304 RDT COVID 19 ANTIGEN ( COVIDPROV ) BUAH M20007INDEC / 2022-12-31 Rp 107,800.00 Rp - 100 Rp 10,780,000.00 Rp - 100 Rp 10,780,000.00
305 RDT COVID 19 ANTIGEN ( COVIDPROV ) BUAH 41ADF118A-ABBOTT / 2021-09-28 Rp 97,450.00 Rp - 700 Rp 68,215,000.00 Rp - 700 Rp 68,215,000.00
306 REGULATOR OKSIGEN ( 15LTR ) BUAH B9688VQA / 2026-11-20 Rp - Rp - 7 Rp - Rp - 7 Rp -
307 REGULATOR OKSIGEN ( 47LTR ) BUAH DIS161121 / 2026-11-20 Rp - Rp - 14 Rp - Rp - 14 Rp -
308 RETINOL 100.000 IU 50S
KAPSU
19KG003 / 2021-07-20 Rp 306.00 Rp - 1,000 Rp 306,000.00 Rp - 1,000 Rp 306,000.00
LKAPSU
309 RETINOL 100.000 IU 50S 20KG008/1 / 2022-07-20 Rp 552.00 Rp - 350 Rp 193,200.00 Rp - 350 Rp 193,200.00
LKAPSU
310 RETINOL 200.000 IU 50S 17KD012 / 2020-04-25 Rp 550.00 Rp - Rp - Rp - 0 Rp -
LKAPSU
311 RETINOL 200.000 IU 50S 19KD019 / 2021-04-20 Rp 552.00 Rp - 1,250 Rp 690,000.00 Rp - 1,250 Rp 690,000.00
LKAPSU
312 RETINOL 200.000 IU 50S 20KG017/2 / 2022-07-20 Rp 552.00 Rp - 1,000 Rp 552,000.00 Rp - 1,000 Rp 552,000.00
LTABLE
313 RIFAMPICIN 450 MG 100S 18RF3014 / 2022-04-26 Rp 900.00 400 Rp 360,000 Rp - Rp - 200 Rp 180,000.00 200
TTABLE
314 RIFAMPICIN 600 MG 100S B80215J / 2022-02-20 Rp 1,200.00 400 Rp 480,000 Rp - Rp - 0 Rp - 400
T
315 RINGER LAKTAT INFUS BOTOL 510908 / 2025-08-20 Rp 7,657.00 Rp - 500 Rp 3,828,500.00 Rp - 0 Rp - 500
316 RINGER LAKTAT INFUS BOTOL 410505 / 2026-04-20 Rp 7,630.00 Rp - 300 Rp 2,288,998.80 Rp - 0 Rp - 300
317 RINGER LAKTAT INFUS BOTOL 370816 / 2022-07-25 Rp 7,150.00 1,120 Rp 8,008,000 Rp - Rp - 640 Rp 4,576,000.00 480
318 ROMPI ( TIM VAKSINASI COVID-19 ) BUAH 23012021 / 2031-01-20 Rp 148,000.00 Rp - 1 Rp 148,000.00 Rp - 1 Rp 148,000.00
319 SAFETY BOX VAKSIN 2,5LTR BUAH 221220 / 2025-12-20 Rp 19,949.00 Rp - 13 Rp 259,337.00 Rp - 13 Rp 259,337.00
320 SAFETY BOX VAKSIN 2.5LTR BUAH COV250821 / 2026-08-20 Rp 14,000.00 Rp - 55 Rp 770,000.00 Rp - 55 Rp 770,000.00
321 SAFETY BOX VAKSIN 5 LTR BUAH 1307J20 / 2026-01-20 Rp 14,000.00 Rp - 2 Rp 28,000.00 Rp - 2 Rp 28,000.00
322 SAFETY BOX VAKSIN 5 LTR BUAH COV-E010015 / 2026-03-20 Rp 14,000.00 Rp - 12 Rp 168,000.00 Rp - 12 Rp 168,000.00
323 SAFETY BOX VAKSIN 5 LTR BUAH COV-100321 / 2026-03-20 Rp 14,000.00 Rp - 7 Rp 98,000.00 Rp - 7 Rp 98,000.00
324 SAFETY BOX VAKSIN 5 LTR BUAH COV-13286J19 / 2026-05-20 Rp 14,000.00 Rp - 9 Rp 126,000.00 Rp - 9 Rp 126,000.00
325 SAFETY BOX VAKSIN 5 LTR BUAH COV-E.010015 / 2026-06-20 Rp 14,000.00 Rp - 11 Rp 154,000.00 Rp - 11 Rp 154,000.00
326 SAFETY BOX VAKSIN 5 LTR BUAH COV190721 / 2026-07-20 True Rp - 1 Rp 14,000.00 Rp - 1 Rp 14,000.00
332 SAFETY BOX VAKSIN 5 LTR BUAH COV161121/1 / 2026-11-20 True Rp - 3 Rp 40,800.00 Rp - 3 Rp 40,800.00
333 SAFETY BOX VAKSIN 5 LTR BUAH COV131221 / 2026-12-20 True Rp - 2 Rp 27,200.00 Rp - 1 Rp 13,600.00 1
334 SALBUTAMOL TAB 2 MG 100'S
TABLE
E91402B / 23-04-20 Rp 67.00 300 Rp 20,100 Rp - Rp - 300 Rp 20,100.00
T
335 SALBUTAMOL TAB 2 MG 100'S
TABLE
H92030B / 2023-07-20 Rp 67.00 Rp - 5,000 Rp 335,000.00 Rp - 3,600 Rp 241,200.00 1,400
TTABLE
336 SALBUTAMOL TAB 4 MG 100S XJ002G / 2021-10-20 Rp 70.00 100 Rp 7,000 Rp - Rp - 100 Rp 7,000.00
T
337 SCABICID CREAM 10 GR TUBE D20003 / 2023-04-20 Rp 11,825.00 Rp - 120 Rp 1,419,000.00 Rp - 50 Rp 591,250.00 70
338 SCABIMITE CREAM 10 GR TUBE C19003 / 2021-03-20 Rp 11,825.00 35 Rp 413,875 Rp - Rp - 35 Rp 413,875.00
339 SEPATU BOOT ( REFOCUSING ) SET AFA620 / 2025-06-20 Rp 105,000.00 20 Rp 2,100,000 Rp - Rp - 20 Rp 2,100,000.00
340 SEPATU BOOT ( REFOCUSING ) SET TRI-ANDO42 / 2025-11-20 Rp 100,000.00 Rp - 10 Rp 1,000,000.00 Rp - 10 Rp 1,000,000.00
341 SERUM ABU 5 ML VIAL 4700419 / 2021-11-20 Rp 512,204.00 Rp - 10 Rp 5,122,040.00 Rp - 10 Rp 5,122,040.00
342 SERUM ABU 5 ML VIAL 4700121 / 2023-02-20 Rp 517,132.00 Rp - 11 Rp 5,688,452.00 Rp - 5 Rp 2,585,660.00 6
343 SERUM ANTI TETANUS 1500 IU(20.000 IU) AMPUL 4200421 / 2023-02-28 Rp 130,999.00 Rp - 40 Rp 5,239,960.00 Rp - 20 Rp 2,619,980.00 20
344 SILK (BENANG SUTERA) 2/0 BUAH 190986 / 2024-08-20 Rp 16,366.67 24 Rp 392,800 Rp - Rp - 24 Rp 392,800.08
345 SILK (BENANG SUTERA) 2/0 BUAH JJ313-20 / 2025-05-31 Rp 14,943.00 Rp - 12 Rp 179,316.00 Rp - 0 Rp - 12
346 SIMVASTATIN TAB 50S
TABLE
14383 / 2023-08-31 Rp 68.00 Rp - 4,300 Rp 292,400.00 Rp - 2,600 Rp 176,800.00 1,700
TTABLE
347 SIMVASTATIN TAB 50S A87771W / 2021-09-20 Rp 117.00 1,680 Rp 196,560 6,600 Rp 772,200.00 Rp - 8,280 Rp 968,760.00
TTABLE
348 TABLET TAMBAH DARAH 3000S 43818074 / 2024-05-20 Rp 226.00 Rp - 5,000 Rp 1,130,000.00 Rp - 0 Rp - 5,000
TTABLE
349 TABLET TAMBAH DARAH FIG1941 / 2023-09-20 Rp 226.00 Rp - 5,000 Rp 1,130,000.00 Rp - 800 Rp 180,800.00 4,200
TTABLE
350 TABLET TAMBAH DARAH 3000S 20TD1138 / 2022-11-20 Rp 354.00 Rp - 7,560 Rp 2,676,240.00 Rp - 7,560 Rp 2,676,240.00
TTABLE
351 TABLET TAMBAH DARAH 18TD1187 / 2020-10-20 Rp 354.00 1,200 Rp 424,800 Rp - Rp - 1,200 Rp 424,800.00
TTABLE
352 TABLET TAMBAH DARAH 3000S 20TD1158 / 2022-11-20 Rp 354.00 Rp - 7,560 Rp 2,676,240.00 Rp - 7,560 Rp 2,676,240.00
TSACHE
355 TABURIA J09N / 2022-07-15 Rp 710.00 Rp - 2,700 Rp 1,917,000.00 Rp - 2,700 Rp 1,917,000.00
TSACHE
356 TABURIA 04B59 / 2023-07-30 Rp 710.00 Rp - 3,300 Rp 2,343,000.00 Rp - 3,300 Rp 2,343,000.00
TTABLE
357 TIAMIN HCL (B.I ) 50 MG 1000S 200803158 / 2022-08-20 Rp 132.00 Rp - Rp - Rp - 0 Rp -
T
358 TUBE EDTA PLH13X75 3.0 BUAH 9057548 / 2020-05-20 Rp 1,691.00 300 Rp 507,300 Rp - Rp - 0 Rp - 300
359 TUBE EDTA PLH13X75 3.0 BUAH 3346002419 / 2020-12-20 Rp 1,700.00 100 Rp 170,000 Rp - Rp - 0 Rp - 100
360 URINE BAG DWS BUAH 4210706 / 2026-07-20 Rp 5,951.00 Rp - 20 Rp 119,020.00 Rp - 11 Rp 65,461.00 9
361 URINE BAG DWS BUAH 782019 / 2024-05-20 Rp 3,000.00 20 Rp 60,000 Rp - Rp - 20 Rp 60,000.00
362 VAKSIN BCG AMPUL 0379G187/1 / 2022-01-20 Rp 66,154.00 Rp - 25 Rp 1,653,850.00 Rp - 25 Rp 1,653,850.00
363 VAKSIN BCG VIAL O371G015 / 2023-02-20 True Rp - 30 Rp 2,933,400.00 Rp - 30 Rp 2,933,400.00
364 VAKSIN BCG VIAL O37G004 / 2023-02-20 True Rp - 20 Rp 1,955,600.00 20 Rp 1,955,600.00
365 VAKSIN COVID-19 VIAL /202011043 / 2021-07-20 Rp 232,410.00 Rp - 80 Rp 18,592,800.00 Rp - 80 Rp 18,592,800.00
366 VAKSIN COVID-19 VIAL BIOF24000221 / 2021-07-20 Rp 1,473,384.00 Rp - 20 Rp 29,467,680.00 Rp - 20 Rp 29,467,680.00
375 VAKSIN COVID-19 VIAL BIOF24004221 / 2021-12-20 True Rp - 10 Rp 13,394,410.00 Rp - 10 Rp 13,394,410.00
376 VAKSIN COVID-19 VIAL BIOF24004721 / 2021-12-20 False Rp - 20 Rp - Rp - 20 Rp -
377 VAKSIN COVID 19 CORONAVAC ( 2 DOSIS ) VIAL 202109183F/BKKBN / 2022-03-20 Rp - Rp - 100 Rp - Rp - 100 Rp -
378 VAKSIN COVID 19 CORONAVAC ( 2 DOSIS ) VIAL 202109174M / 2022-03-20 Rp - Rp - 150 Rp - Rp - 150 Rp -
379 VAKSIN COVID 19 CORONAVAC ( 2 DOSIS ) VIAL 202109178M / 2022-10-02 Rp - Rp - 50 Rp - Rp - 50 Rp -
380 VAKSIN COVID 19 CORONAVAC ( 2 DOSIS ) VIAL 202109185I / 2022-03-20 Rp - Rp - 100 Rp - Rp - 100 Rp -
381 VAKSIN COVID 19 CORONAVAC ( 2 DOSIS ) VIAL 202109195G/BKKBN / 2022-03-20 Rp - Rp - 150 Rp - Rp - 150 Rp -
382 VAKSIN COVID 19 CORONAVAC ( 2 DOSIS ) VIAL 202109167H / 2022-03-20 Rp - Rp - 100 Rp - Rp - 100 Rp -
383 VAKSIN COVID-19 ASTRAZENECA VIAL A1024 / 2021-11-10 Rp 581,607.00 Rp - 50 Rp 29,080,350.00 Rp - 50 Rp 29,080,350.00
384 VAKSIN COVID-19 ASTRAZENECA ( 10 DOSIS ) VIAL AB0016-PERANCIS / 2021-10-20 False Rp - 10 Rp - Rp - 10 Rp -
385 VAKSIN COVID-19 ASTRAZENECA ( 10 DOSIS ) VIAL A1087/THAI / 2022-01-20 False Rp - 10 Rp - Rp - 10 Rp -
386 VAKSIN COVID-19 ASTRAZENECA ( 10 DOSIS ) VIAL N003A/JAPAN / 2022-01-20 False Rp - 3 Rp - Rp - 3 Rp -
387 VAKSIN COVID-19 ASTRAZENECA ( 8 DOSIS ) VIAL PV46700/UK / 2021-09-20 False Rp - 20 Rp - Rp - 20 Rp -
388 VAKSIN COVID-19 CINOVAC VIAL 24007221 / 2022-03-20 True Rp - 30 Rp 40,183,215.00 Rp - 30 Rp 40,183,215.00
389 VAKSIN COVID-19 MODERNA VIAL 021D21A / 2021-11-20 False Rp - 3 Rp - Rp - 3 Rp -
390 VAKSIN COVID-19 SINOVAC VIAL BIOF24202521 / 2022-01-20 True Rp - 50 Rp 66,972,050.00 Rp - 50 Rp 66,972,050.00
391 VAKSIN COVID-19 SINOVAC ( 2 DOSIS ) VIAL 2021081491 / 2022-05-02 False Rp - 200 Rp - Rp - 200 Rp -
392 VAKSIN COVID-19 SINOVAC ( 2 DOSIS ) VIAL 2021071331/1 / 2022-01-20 False Rp - 450 Rp - Rp - 450 Rp -
393 VAKSIN COVID-19 SINOVAC ( 2 DOSIS ) VIAL 2021081491/1 / 2022-05-02 False Rp - 1061 Rp - Rp - 1,061 Rp -
394 VAKSIN COVID-19 SINOVAC ( 2 DOSIS ) VIAL 202108147G / 2022-10-02 False Rp - 75 Rp - Rp - 75 Rp -
395 VAKSIN DTP-HB-HIB VIAL 5041419 / 2021-11-20 Rp 84,282.00 Rp - 40 Rp 3,371,280.00 Rp - 40 Rp 3,371,280.00
396 VAKSIN DTP-HB-HIB VIAL 5041619 / 2021-11-20 Rp 84,282.00 Rp - 20 Rp 1,685,640.00 Rp - 20 Rp 1,685,640.00
397 VAKSIN DTP-HB-HIB VIAL 5010321 / 2023-03-20 True Rp - 30 Rp 2,553,090.00 Rp - 30 Rp 2,553,090.00
399 VAKSIN DTP-HB-HIB VIAL 5010321/1 / 2023-03-20 True Rp - 30 Rp 2,553,090.00 Rp - 30 Rp 2,553,090.00
401 VAKSIN HBIG BUAH H2MAE00023/1 / 2022-11-20 Rp 1,325,000.00 Rp - 3 Rp 3,975,000.00 Rp - 3 Rp 3,975,000.00
402 VAKSIN HBIG BUAH H2MAE00073 / 2023-05-20 Rp 1,325,000.00 Rp - 2 Rp 2,650,000.00 Rp - 2 Rp 2,650,000.00

403 VAKSIN HEPATITIS B REKOMBINAN BUAH 3651520 / 2022-08-20 Rp 25,597.00 Rp - 30 Rp 767,910.00 Rp - 30 Rp 767,910.00
407 VAKSIN JERAP TD VIAL O412220 / 2023-06-20 Rp 18,128.00 Rp - 20 Rp 362,560.00 Rp - 20 Rp 362,560.00
408 VAKSIN MR VIAL 010N033 / 2022-08-20 True Rp - 19 Rp 3,159,035.00 Rp - 19 Rp 3,159,035.00
409 VAKSIN MR VIAL 0120N033 / 2022-08-20 True Rp - 30 Rp 4,987,950.00 Rp - 30 Rp 4,987,950.00
410 VAKSIN MR VIAL 0129N264 / 2022-05-20 Rp 166,265.00 Rp - 25 Rp 4,156,625.00 Rp - 25 Rp 4,156,625.00
411 VAKSIN POLIO IPV VIAL 2101619 / 2022-09-20 True Rp - 4 Rp 635,976.00 Rp - 4 Rp 635,976.00
412 VAKSIN POLIO IPV VIAL 2101919 / 2022-09-20 True Rp - 30 Rp 4,769,820.00 Rp - 30 Rp 4,769,820.00
413 VAKSIN POLIO MYELITIS ORAL VIAL 2058519 / 2021-12-20 Rp 21,285.00 Rp - 30 Rp 638,550.00 Rp - 30 Rp 638,550.00
415 VAKSIN POLIO MYELITIS ORAL VIAL 2050720/1 / 2022-12-20 Rp 23,643.00 Rp - 50 Rp 1,182,150.00 Rp - 50 Rp 1,182,150.00
417 VIT. B KOMPLEK TAB
TABLE
1910034/ 2021-10-20 Rp 89.00 4,600 Rp 409,400 Rp - Rp - 4,600 Rp 409,400.00
TTABLE
418 VIT. B KOMPLEK TAB 1006051 / 2022-06-30 Rp 89.00 Rp - 17,000 Rp 1,513,000.00 Rp - 12,600 Rp 1,121,400.00 4,400
T
419 WATER FOR INJ 25 ML AMPUL 76A49B / 2022-07-01 Rp 2,860.00 132 Rp 377,520 Rp - Rp - 132 Rp 377,520.00
420 WICOLD TAB
TABLE
107144 / 2026-07-31 True Rp - 2,000 Rp 699,600.00 Rp - 2,000 Rp 699,600.00
TTABLE
421 WICOLD TAB 107154 / 2026-07-31 True Rp - 800 Rp 279,840.00 Rp - 800 Rp 279,840.00
T
422 WICOLD TAB
TABLE
107155 / 2026-07-31 True Rp - 2,200 Rp 769,560.00 Rp - 2,200 Rp 769,560.00
T
423 ZINC SYR 20MG/5ML BOTOL 81580 / 2022-08-20 Rp 2,489.00 Rp - 36 Rp 89,604.00 Rp - 36 Rp 89,604.00
424 ZINC TAB TABLE
G92193J / 2021-07-20 Rp 524.00 500 Rp 262,000 Rp - Rp - 300 Rp 157,200.00 200
T
425 ZIEHL NELLSEN PAKET 015/2019 / 2021-07-20 Rp 233,234.00 Rp - 1 Rp 233,234.00 Rp - 1 Rp 233,234.00
TOTAL Rp 112,320 Rp 76,184,956 Rp 408,390 Rp 1,100,543,622.36 Rp - Rp 403,137 Rp 1,107,713,099.83 Rp 117,573
112,320 76,184,956.01 408,390 1,100,543,622 - - 403,137 1,107,713,100 117,573
Jepara, 31 Januari 2022
Mengetahui, 60 40,183,230.00 117,573
KEPALA PUSKESMAS KARIMUNJAWA 403,077 1,067,529,870 PETUGAS PENGELOLA OBAT
KABUPATEN JEPARA PUSKESMAS KARIMUNJAWA
( DIAN SUSIYANTO, SKM. ) ( APT. DEBBY ARDHIANSYAH,S.FARM. )

NIP. 197505271996031005 NIP. 198805252019021005
JUMLAH ASET KET
15 16
Rp 26,700.00
Rp -
Rp -
Rp -
Rp -
Rp 487,620.00
Rp 162,000.00
Rp -
Rp -
Rp -
Rp -
Rp 376,000.00
Rp -
Rp -
Rp 226,800.00
Rp -
Rp -
Rp 924,600.00
Rp 2,800,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 23,700.00
Rp 7,900.00
Rp -
Rp 115,500.00
Rp -
Rp -
Rp 79,500.00
Rp -
Rp -
Rp 122,430.00
Rp -
Rp -
Rp -
Rp 1,245,000.00
Rp 343,640.00
Rp 1,718,200.00
Rp -
Rp -
Rp 232,000.00
Rp -
Rp -
Rp -
Rp -
Rp 21,290.00
Rp 230,304.00
Rp -
Rp -
Rp -
Rp -
Rp 1,452,000.00
Rp -
Rp -
Rp -
Rp -
Rp 96,630.60
Rp 333,000.00
Rp 34,960.00
Rp 79,500.00
Rp 83,100.00
Rp 214,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 165,900.00
Rp 233,000.00
Rp -
Rp -
Rp -
Rp -
Rp 22,000.00
Rp -
Rp 242,000.00
Rp -
Rp 85,800.00
Rp -
Rp 359,700.00
Rp 1,079,100.00
Rp -
Rp 99,000.00
Rp 253,226.60
Rp -
Rp 239,136.00
Rp -
Rp 295,000.00
Rp 800,800.00
Rp 319,000.00
Rp -
Rp 361,000.00
Rp -
Rp -
Rp -
Rp 158,380.20
Rp -
Rp -
Rp -
Rp 53,200.00
Rp -
Rp 131,400.00
Rp -
Rp 227,348.00
Rp -
Rp -
Rp 290,000.00
Rp -
Rp 10,800.00
Rp -
Rp -
Rp -
Rp 35,970.00
Rp 315,200.00
Rp -
Rp -
Rp 108,000.00
Rp 35,500.00
Rp -
Rp 512,500.00
Rp 117,330.00
Rp 435,600.00
Rp 225,000.00
Rp 84,648.00
Rp -
Rp 59,290.00
Rp 916,600.00
Rp 400,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 224,400.00
Rp -
Rp -
Rp -
Rp -
Rp 49,200.00
Rp -
Rp 609,408.00
Rp -
Rp -
Rp -
Rp -
Rp 494,099.89
Rp -
Rp -
Rp 56,021.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,336,356.00
Rp 190,000.00
Rp 77,440.00
Rp 570,000.00
Rp -
Rp 1,624,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 141,150.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 86,625.00
Rp -
Rp 795,795.00
Rp -
Rp 310,000.00
Rp 155,000.00
Rp 39,000.00
Rp 79,000.00
Rp -
Rp 171,600.00
Rp 299,750.00
Rp -
Rp -
Rp 877,400.00
Rp -
Rp -
Rp -
Rp 264,600.00
Rp -
Rp 480,000.00
Rp 682,500.00
Rp 1,150,000.00
Rp 230,000.00
Rp 338,100.00
Rp 737,000.00
Rp -
Rp -
Rp 830,934.00
Rp -
Rp -
Rp 75,600.00
Rp -
Rp -
Rp -
Rp 1,744,500.00
Rp 581,500.00
Rp -
Rp -
Rp 111,642.30
Rp 700,272.00
Rp 124,434.00
Rp 70,000.00
Rp 28,000.00
Rp -
Rp 122,100.00
Rp -
Rp 73,260.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 4,413,500.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,380,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 643,500.00
Rp -
Rp 215,600.00
Rp -
Rp -
Rp -
Rp 112,662.00
Rp 198,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 177,840.00
Rp 620,400.00
Rp 11,200.00
Rp 29,986.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 290,736.60
Rp -
Rp 87,394.00
Rp 132,352.50
Rp -
Rp 144,100.00
Rp -
Rp 169,344.00
Rp 16,000.00
Rp 88,400.00
Rp -
Rp 137,287.04
Rp -
Rp -
Rp 1,231,250.00
Rp -
Rp 1,358,640.00
Rp 450,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 180,000.00
Rp 480,000.00
Rp 3,828,500.00
Rp 2,288,998.80
Rp 3,432,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 13,600.00
Rp -
Rp 93,800.00
Rp -
Rp 827,750.00
Rp -
Rp -
Rp -
Rp -
Rp 3,102,792.00
Rp 2,619,980.00
Rp -
Rp 179,316.00
Rp 115,600.00
Rp -
Rp 1,130,000.00
Rp 949,200.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 507,300.00
Rp 170,000.00
Rp 53,559.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 391,600.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 104,800.00
Rp -
Rp 69,015,478.53
69,015,478.5300
69,015,478.530
Rp -
Bulan Maret 2021
LAMPIRAN BERITA ACARA

Nomor : 027/ 0419
Nama barang :
No Nama Barang Banyaknya Harga Satuan Total

1 Kondom 3 96,500 289,500
3
Jumlah 289,500
Bulan APRIL 2021

Nomor : 027/ 0574
Nama barang :

1 Pil KB 100 1,153 115,300
2 Kondom 3 96,500 289,500
3 Suntikan 400 6,088 2,435,200
4 Syringe, 3 ml (Suntik KB) 400 1,138 455,200
903
Jumlah 3,295,200
Bulan AGUSTUS 2021

Nomor : 027/ 1044
Puskesmas Karimunjawa
Nama Alokon :

1 Pil KB 500 1,153 576,500
3 Suntikan 1500 6,080 9,120,000
4 Syringe, 3 ml (Suntik KB) 1500 1,138 1,707,000
3500
Jumlah 11,403,500
Bulan September

Nomor : 027/2262
Nama Barang :
1 Gestin F3, 1cc 40 11,210.00 448,400

2 Syringe, 3ml (Suntik KB) 40 1,138.00 45,520
80
Jumlah 493,920
Bulan September

Nomor : 027/ 2355
Nama Barang :
1 Pil KB 1946 1,153.00 2,243,738

2 Pil KB 54 1,153.00 62,262
2000
Jumlah 2,306,000
Bulan Oktober 2021

Nomor : 027 / 2402
Nama Barang :
No Nama Barang BanyaknyaHarga Satuan (Rp) Total

1 Safety Box 1 26,589 26,589
2 Suntikan 1000 4,800 4,800,000
4 Implant 50 150,015 7,500,750
5 Syringe, 3 ml (Implant) 50 1,358 67,900
6 Lidocaine, 2 persen, injeksi ampul 50 1,221 61,050
7 Plester Steril 50 4,212 210,600
8 Kain penutup operasi steril (Doek Steril Disposable) 50 6,863 343,150
9 Sarung tangan steril 50 4,950 247,500
10 Masker (face mask) 50 1,996 99,800
11 Povidone iodine, 30 ml 5 2,750 13,750
12 Asam Mefenamat, 500 mg tablet 500 2,145 1,072,500
13 Kasa Steril 50 500 25,000
14 Alcohol swab 2-ply 50 128 6,400
Jumlah 15,612,989
2956
Bulan Desember 2021

Nomor : 027/ 2854
Nama Barang :
No Nama Barang BanyaknyaHarga Satuan (Rp) Total

1 IUD Coper T 50 12,500 625,000
2 Suntikan 1000 4,800 4,800,000
2050
Jumlah 6,563,000
DROPING BARANG - DINAS KESEHATAN
HARGA
NO NAMA BARANG JUMLAH SATUAN JUMLAH HARGA SUMBER DANA
SATUAN
1 Iodie Test 10 Botol 22,400 224,000 APBD
2 Cakram Gizi Bumil 4 Buah 12,500 50,000 BOK Kab

3 Cakram Gizi IMT Remaja 4 Buah 12,500 50,000 BOK Kab
4 Cakram Gizi IMT Dewasa 4 Buah 12,500 50,000 BOK Kab
5 Buku KIA APBD 50 Buah 23,000 1,150,000 APBD
6 Leaflet Lembar Balik DBD 2 Buah 11,500 23,000
7 BTI DBD 0 Buah 43,230 - DAK
8 Themepos 0 Pail 2,750,000 -
9 Buku Saku Tracer 15 Buah 20,000 300,000
10 Form Pemantauan Kontak 1,000 Lembar 250 250,000
LEMBAR BALIK IBU MENYUSUI 1 buah 350,000 350,000 BOK Kab
F100 100 Sachet 6,930 693,000 APBD
Susu Ibu Hamil 24 dus 22,780 546,720 APBD
Kesling
NO NAMA BARANG JUMLAH SATUAN HARGA JUMLAH HARGA SUMBER DANA
SATUAN
1 Desinfektan 35 liter 20,000 700,000 APBD
2 Cairan Antiseptik 60 liter 20,000 1,200,000 APBD
HIBAH KEMENKES
HARGA
NO NAMA BARANG JUMLAH SATUAN JUMLAH HARGA SUMBER DANA
SATUAN
1 Buku KIA 200 buku 4,607 921,400
1,509 - 6,508,120
1,509
KODE BARANG
KONDISI NO BAST TGL PENYEDIA DAN TANGGAL BELANJA
(SIMANJA)
B 027/3639/2021 2/4/2021 010000000696 3-Feb-21 martorius Jl Mutiara IV - Semarang
KONDISI NO BAST TGL
B 027/3235/2021 6/21/2021
B 027/3641/2022 7/27/2021
KONDISI NO BAST TGL

LAPORAN REALISASI ANGGARAN
PUSKESMAS
DINAS KESEHATAN KARIMUNJAWA
TAHUN : 2021
REALISASI
KODE URAIAN
Rupiah
4 PENDAPATAN
41 PENDAPATAN ASLI DAERAH (PAD)
4102 RETRIBUSI DAERAH
4102.01 Retribusi Jasa Umum

4102.01.01 Retribusi Pelayanan Kesehatan
Retribusi Pelayanan Kesehatan di Tempat Pelayanan
4102.01.01.0006 Kesehatan Lainnya yang Sejenis
4104 LAIN-LAIN PAD YANG SAH
4104.16 Pendapatan BLUD

4104.16.01 Pendapatan BLUD
4104.16.01.0001 Pendapatan BLUD
5 BELANJA 2,839,002,428
51 BELANJA OPERASI 2,789,102,428
5101 BELANJA PEGAWAI 1,694,993,449
5101.01 Belanja Gaji dan Tunjangan ASN 1,641,513,449

5101.01.01 Belanja Gaji Pokok ASN 1,266,437,760
5101.01.01.0001 Belanja Gaji Pokok PNS 1,266,437,760
5101.01.02 Belanja Tunjangan Keluarga ASN 116,497,538
5101.01.02.0001 Belanja Tunjangan Keluarga PNS 116,497,538
5101.01.03 Belanja Tunjangan Jabatan ASN 6,860,000
5101.01.03.0001 Belanja Tunjangan Jabatan PNS 6,860,000
5101.01.04 Belanja Tunjangan Fungsional ASN 93,810,000
5101.01.04.0001 Belanja Tunjangan Fungsional PNS 93,810,000
5101.01.05 Belanja Tunjangan Fungsional Umum ASN 12,605,000
5101.01.05.0001 Belanja Tunjangan Fungsional Umum PNS 12,605,000
5101.01.06 Belanja Tunjangan Beras ASN 83,500,260
5101.01.06.0001 Belanja Tunjangan Beras PNS 83,500,260
5101.01.07 Belanja Tunjangan PPh/Tunjangan Khusus ASN 37,879

5101.01.07.0001 Belanja Tunjangan PPh/Tunjangan Khusus PNS 37,879
5101.01.08 Belanja Pembulatan Gaji ASN 19,271
5101.01.08.0001 Belanja Pembulatan Gaji PNS 19,271
5101.01.09 Belanja Iuran Jaminan Kesehatan ASN 51,319,545
5101.01.09.0001 Belanja Iuran Jaminan Kesehatan PNS 51,319,545
5101.01.10 Belanja Iuran Jaminan Kecelakaan Kerja ASN 2,606,531
5101.01.10.0001 Belanja Iuran Jaminan Kecelakaan Kerja PNS 2,606,531
5101.01.11 Belanja Iuran Jaminan Kematian ASN 7,819,665
5101.01.11.0001 Belanja Iuran Jaminan Kematian PNS 7,819,665
Belanja Iuran Simpanan Peserta Tabungan Perumahan
5101.01.12 Rakyat ASN 0
Belanja Iuran Simpanan Peserta Tabungan Perumahan
5101.01.12.0001 Rakyat PNS 0
5101.02 Belanja Tambahan Penghasilan ASN
5101.02.01 Tambahan Penghasilan berdasarkan Beban Kerja ASN
5101.02.01.0001 Tambahan Penghasilan berdasarkan Beban Kerja PNS
Tambahan Penghasilan berdasarkan Pertimbangan

5101.03 Objektif Lainnya ASN 53,480,000
Belanja bagi ASN atas Insentif Pemungutan Retribusi
5101.03.02 Daerah
Belanja Insentif bagi ASN atas Pemungutan Retribusi
5101.03.02.0001 Jasa Umum-Pelayanan Kesehatan
5101.03.07 Belanja Honorarium 53,480,000
Belanja Honorarium Penanggungjawaban Pengelola
5101.03.07.0001 Keuangan 53,480,000
5101.03.07.0002 Belanja Honorarium Pengadaan Barang/Jasa
5101.99 Belanja Pegawai BLUD

5101.99.99 Belanja Pegawai BLUD
5101.99.99.9999 Belanja Pegawai BLUD
5102 BELANJA BARANG DAN JASA 1,094,108,979
5102.01 Belanja Barang 178,341,000

5102.01.01 Belanja Barang Pakai Habis 178,341,000
5102.01.01.0001 Belanja Bahan-Bahan Bangunan dan Konstruksi
5102.01.01.0002 Belanja Bahan-Bahan Kimia
5102.01.01.0004 Belanja Bahan-Bahan Bakar dan Pelumas 11,270,000
5102.01.01.0008 Belanja Bahan-Bahan/Bibit Tanaman
1.1.7.01.01.05 BAHAN.BAHAN BAKU
5102.01.01.0009 Belanja Bahan-Isi Tabung Pemadam Kebakaran
5102.01.01.0010 Belanja Bahan-Isi Tabung Gas 2,365,000
5102.01.01.0013 Belanja Suku Cadang-Suku Cadang Alat Angkutan
5102.01.01.0016 Belanja Suku Cadang-Suku Cadang Alat Laboratorium

Belanja Alat/Bahan untuk Kegiatan Kantor-Alat Tulis
5102.01.01.0024 Kantor 13,141,000
Belanja Alat/Bahan untuk Kegiatan Kantor- Kertas dan
5102.01.01.0025 Cover
5102.01.01.0026 Belanja Alat/Bahan untuk Kegiatan Kantor- Bahan Cetak 8,425,000
5102.01.01.0027 Belanja Alat/Bahan untuk Kegiatan Kantor-Benda Pos 2,100,000

Belanja Alat/Bahan untuk Kegiatan Kantor-Bahan
5102.01.01.0029 Komputer 8,880,000
Belanja Alat/Bahan untuk Kegiatan Kantor-Perabot
5102.01.01.0030 Kantor
5102.01.01.0031 Belanja Alat/Bahan untuk Kegiatan Kantor-Alat Listrik 3,058,000

Belanja Alat/Bahan untuk Kegiatan Kantor-
5102.01.01.0035 Suvenir/Cendera Mata
Belanja Alat/Bahan untuk Kegiatan Kantor-Alat/Bahan
5102.01.01.0036 untuk Kegiatan Kantor Lainnya 7,427,000
5102.01.01.0037 Belanja Obat-Obatan-Obat 24,360,000
5102.01.01.0038 Belanja Obat-Obatan-Obat-Obatan Lainnya 4,850,000
Belanja Persediaan untuk Dijual/Diserahkan-Persediaan

5102.01.01.0039 untuk Dijual/Diserahkan kepada Masyarakat
5102.01.01.0043 Belanja Natura dan Pakan-Natura 19,925,000
5102.01.01.0052 Belanja Makanan dan Minuman Rapat 72,540,000
5102.01.01.0053 Belanja Makanan dan Minuman Jamuan Tamu
5102.01.01.0064 Belanja Pakaian Dinas Lapangan (PDL)
5102.01.01.0067 Belanja Pakaian Penyelamatan
5102.01.01.0068 Belanja Pakaian Siaga
5102.02 Belanja Jasa 182,683,713

5102.02.01 Belanja Jasa Kantor 137,683,713
Honorarium Narasumber atau Pembahas, Moderator,
5102.02.01.0003 Pembawa Acara, dan Panitia 10,350,000
Honorarium Tim Pelaksana Kegiatan dan Sekretariat
5102.02.01.0004 Tim Pelaksana Kegiatan
5102.02.01.0006 Honorarium Penyuluhan atau Pendampingan
5102.02.01.0014 Belanja Jasa Tenaga Kesehatan 53,700,000
5102.02.01.0015 Belanja Jasa Tenaga Laboratorium 905,000
5102.02.01.0019 Belanja Jasa Tenaga Penanganan Bencana
5102.02.01.0025 Belanja Jasa Tenaga Kesenian dan Kebudayaan
5102.02.01.0026 Belanja Jasa Tenaga Administrasi
5102.02.01.0027 Belanja Jasa Tenaga Operator Komputer
5102.02.01.0028 Belanja Jasa Tenaga Pelayanan Umum
5102.02.01.0029 Belanja Jasa Tenaga Ahli
5102.02.01.0030 Belanja Jasa Tenaga Kebersihan
5102.02.01.0031 Belanja Jasa Tenaga Keamanan
5102.02.01.0033 Belanja Jasa Tenaga Supir
5102.02.01.0037 Belanja Jasa Juri Perlombaan/Pertandingan
5102.02.01.0051 Belanja Jasa Pengolahan Sampah
Belanja Jasa Pembersihan, Pengendalian Hama, dan
5102.02.01.0052 Fumigasi
5102.02.01.0055 Belanja Jasa Iklan/Reklame, Film, dan Pemotretan

5102.02.01.0059 Belanja Tagihan Telepon 672,500
5102.02.01.0060 Belanja Tagihan Air 3,041,100
5102.02.01.0061 Belanja Tagihan Listrik 55,983,000
5102.02.01.0062 Belanja Langganan Jurnal/Surat Kabar/Majalah
5102.02.01.0063 Belanja Kawat/Faksimili/Internet/TV Berlangganan 12,423,113

5102.02.01.0064 Belanja Paket/Pengiriman
5102.02.01.0067 Belanja Pembayaran Pajak, Bea, dan Perizinan 609,000
5102.02.01.0071 Belanja Lembur
5102.02.01.0073 Belanja Medical Check Up
5102.02.02 Belanja Iuran Jaminan/Asuransi
5102.02.02.0005 Belanja Iuran Jaminan Kesehatan bagi Non ASN
5102.02.04 Belanja Sewa Peralatan dan Mesin 45,000,000
5102.02.04.0035 Belanja Sewa Kendaraan Dinas Bermotor Perorangan

5102.02.04.0036 Belanja Sewa Kendaraan Bermotor Penumpang
5102.02.04.0037 Belanja Sewa Kendaraan Bermotor Angkutan Barang

Belanja Sewa Alat Angkutan Apung Bermotor untuk
5102.02.04.0049 Penumpang 45,000,000
5102.02.04.0123 Belanja Sewa Alat Rumah Tangga Lainnya (Home Use)

5102.02.04.0132 Belanja Sewa Peralatan Studio Audio
5102.02.05 Belanja Sewa Gedung dan Bangunan
5102.02.05.0009 Belanja Sewa Bangunan Gedung Tempat Pertemuan

5102.02.05.0043 Belanja Sewa Hotel
5102.02.07 Belanja Sewa Aset Tetap Lainnya
5102.02.09 Belanja Jasa Konsultansi Non Konstruksi
Belanja Jasa Konsultansi Berorientasi Layanan-Jasa
5102.02.09.0011 Survei
Belanja Kursus/Pelatihan, Sosialisasi, Bimbingan Teknis
5102.02.12 serta Pendidikan dan Pelatihan
5102.02.12.0001 Belanja Kursus Singkat/Pelatihan
5102.03 Belanja Pemeliharaan

5102.03.02 Belanja Pemeliharaan Peralatan dan Mesin
Belanja Pemeliharaan Alat Besar-Alat Bantu-Alat Bantu
5102.03.02.0034 Lainnya
Belanja Pemeliharaan Alat Angkutan-Alat Angkutan

5102.03.02.0035 Darat Bermotor-Kendaraan Dinas Bermotor Perorangan

5102.03.02.0036 Darat Bermotor-Kendaraan Bermotor Penumpang

5102.03.02.0043 Darat Bermotor-Alat Angkutan Darat Bermotor Lainnya
Belanja Pemeliharaan Alat Kantor dan Rumah Tangga-
5102.03.02.0113 Alat Kantor-Mesin Ketik
5102.03.02.0117 Alat Kantor-Alat Kantor Lainnya
5102.03.02.0121 Alat Rumah Tangga-Alat Pendingin

Alat Rumah Tangga-Alat Rumah Tangga Lainnya (Home
5102.03.02.0123 Use)
Belanja Pemeliharaan Alat Studio, Komunikasi, dan

5102.03.02.0132 Pemancar-Alat Studio-Peralatan Studio Audio
Belanja Pemeliharaan Alat Laboratorium-Alat

Laboratorium Standarisasi Kalibrasi dan Instrumentasi-
Alat Laboratorium Standarisasi Kalibrasi dan
5102.03.02.0376 Instrumentasi Lainnya
Belanja Pemeliharaan Komputer-Komputer Unit-
5102.03.02.0404 Komputer Jaringan
Belanja Pemeliharaan Komputer-Komputer Unit-
5102.03.02.0405 Personal Computer
Belanja Pemeliharaan Komputer-Peralatan Komputer-
5102.03.02.0410 Peralatan Jaringan
Belanja Pemeliharaan Komputer-Peralatan Komputer-
5102.03.02.0411 Peralatan Komputer Lainnya
Belanja Pemeliharaan Alat Peraga-Alat Peraga
5102.03.02.0463 Pelatihan dan Percontohan-Alat Peraga Pelatihan
5102.03.03 Belanja Pemeliharaan Gedung dan Bangunan
Belanja Pemeliharaan Bangunan Gedung-Bangunan

5102.03.03.0001 Gedung Tempat Kerja-Bangunan Gedung Kantor
Gedung Tempat Kerja-Bangunan Gedung Tempat
5102.03.03.0009 Pertemuan
5102.03.03.0036 Gedung Tempat Kerja-Taman
5102.03.04 Belanja Pemeliharaan Jalan, Jaringan, dan Irigasi

Belanja Pemeliharaan Jaringan-Jaringan Air Minum-
5102.03.04.0123 Jaringan Air Minum Lainnya
Belanja Pemeliharaan Jaringan-Jaringan Listrik-Jaringan
5102.03.04.0126 Listrik Lainnya
Belanja Pemeliharaan Jaringan-Jaringan Telepon-
5102.03.04.0131 Jaringan Telepon Lainnya
5102.04 Belana Perjalanan Dinas 5,168,000

5102.04.01 Belanja Perjalanan Dinas Dalam Negeri 5,168,000
5102.04.01.0001 Belanja Perjalanan Dinas Biasa
5102.04.01.0003 Belanja Perjalanan Dinas Dalam Kota 5,168,000
5102.04.01.0005 Belanja Perjalanan Dinas Paket Meeting Luar Kota
Belanja Uang dan/atau Jasa untuk Diberikan kepada

5102.05 Pihak Ketiga/Pihak Lain/Masyarakat 50,400,000
Belanja Uang yang Diberikan kepada Pihak Ketiga/Pihak
5102.05.01 Lain/Masyarakat
5102.05.01.0001 Belanja Hadiah yang Bersifat Perlombaan
Belanja Jasa yang Diberikan kepada Pihak Ketiga/Pihak
5102.05.02 Lain/Masyarakat 50,400,000
Belanja Jasa yang Diberikan kepada Pihak Ketiga/Pihak
5102.05.02.0001 Lain 42,550,000
5102.05.02.0002 Belanja Jasa yang Diberikan kepada Masyarakat 7,850,000
5102.99 Belanja Barang dan Jasa BLUD 677,516,266

5102.99.99 Belanja Barang dan Jasa BLUD 677,516,266
5102.99.99.9999 Belanja Barang dan Jasa BLUD 677,516,266
52 BELANJA MODAL 49,900,000
5202 BELANJA MODAL PERALATAN DAN MESIN 49,900,000
5202.01 Belanja Modal Alat Besar

5202.01.03 Belanja Modal Alat Bantu
5202.01.03.0004 Belanja Modal Electric Generating Set
5202.05 Belanja Modal Alat Kantor dan Rumah Tangga

5202.05.01 Belanja Modal Alat Kantor
5202.05.01.0004 Belanja Modal Alat Penyimpan Perlengkapan Kantor
5202.05.02 Belanja Modal Alat Rumah Tangga
5202.05.02.0001 Belanja Modal Mebel
5202.05.02.0004 Belanja Modal Alat Pendingin
5202.05.02.0006 Belanja Modal Alat Rumah Tangga Lainnya (Home Use)
5202.05.03 Belanja Modal Meja dan Kursi Kerja/Rapat Pejabat

5202.05.03.0003 Belanja Modal Kursi Kerja Pejabat
5202.07 Belanja Modal Alat Kedokteran dan Kesehatan

5202.07.01 Belanja Modal Alat Kedokteran
5202.07.01.0001 Belanja Modal Alat Kedokteran Umum
5202.07.01.0002 Belanja Modal Alat Kedokteran Gigi
Belanja Modal Alat Kesehatan Kebidanan dan Penyakit
5202.07.01.0005 Kandungan
5202.07.01.0017 Belanja Modal Alat Kedokteran Transfusi Darah
5202.07.01.0025 Belanja Modal Alat Kedokteran ICCU
5202.07.02 Belanja Modal Alat Kesehatan Umum
5202.07.02.0005 Belanja Modal Alat Kesehatan Umum Lainnya
5202.08 Belanja Modal Alat Laboratorium

5202.08.01 Belanja Modal Unit Alat Laboratorium
5202.10 Belanja Modal Komputer

5202.10.01 Belanja Modal Komputer Unit
5202.10.01.0002 Belanja Modal Personal Computer
5202.10.01.0003 Belanja Modal Komputer Unit Lainnya
5202.10.02 Belanja Modal Peralatan Komputer
5202.99 Belanja Modal Peralatan dan Mesin BLUD 49,900,000

5202.99.99 Belanja Modal Peralatan dan Mesin BLUD 49,900,000
5202.99.99.9999 Belanja Modal Peralatan dan Mesin BLUD 49,900,000
5203 BELANJA MODAL GEDUNG DAN BANGUNAN
5203.01 Belanja Modal Bangunan Gedung
5203.01.01 Belanja Modal Bangunan Gedung Tempat Kerja

5203.01.01.0001 Belanja Modal Bangunan Gedung Kantor
5203.01.01.0002 Belanja Modal Bangunan Gudang
5203.01.01.0006 Belanja Modal Bangunan Kesehatan
5203.01.02 Belanja Modal Bangunan Gedung Tempat Tinggal

5203.01.02.0003 Belanja Modal Rumah Negara Golongan III
5203.99 Belanja Modal Gedung dan Bangunan BLUD

5203.99.99 Belanja Modal Gedung dan Bangunan BLUD
5203.99.99.9999 Belanja Modal Gedung dan Bangunan BLUD
5204 BELANJA MODAL JALAN, JARINGAN, DAN IRIGASI
5204.99 Belanja Modal Jalan, Jaringan, dan Irigasi BLUD
5204.99.99 Belanja Modal Jalan, Jaringan, dan Irigasi BLUD

5204.99.99.9999 Belanja Modal Jalan, Jaringan, dan Irigasi BLUD
5205 BELANJA MODAL ASET TETAP LAINNYA
5205.08 Belanja Modal Aset Tidak Berwujud

5205.08.01 Belanja Modal Aset Tidak Berwujud
5205.08.01.0005 Belanja Modal Software
5205.99 Belanja Modal Aset Tetap Lainnya BLUD

5205.99.99 Belanja Modal Aset Tetap Lainnya BLUD
5205.99.99.9999 Belanja Modal Aset Tetap Lainnya BLUD
SURPLUS / (DEFISIT) -2,839,002,428
2,839,002,428
-
105,801,000 105,801,000 0
0
0
11,270,000 0
0
360,000 360,000
0
26,105,000 23,740,000
0
0
5,077,000
-8,064,000
8,078,000
8,078,000
8,425,000
0
2,100,000
0
8,880,000
0
7,067,000
7,067,000
3,044,000
-14,000
-7,427,000
-24,360,000
5,210,000 360,000
0
20,185,000 260,000
OPD
KAB/KOTA : JEPARA
PROVINSI : JAWA TENGAH
KODE LOKASI: 1211200801--5900
REALISASI BELANJA BARANG JASA BOS/BLUD TAHUN 2021
REALISASI BELANJA BOS/BLUD

REALISASI TRANSFER BOS/BLUD
Belanja Modal
Belanja Belanja Barang dan
No Nama Belanja / Nama Barang Terkapitalisasi sebagai aset tetap Tidak terkapitalisasi sebagai aset tetap
Pegawai Jasa Belanja Modal
SALDO
JANUARI- DESEMBER Aset Tetap Extracomptable BPH
AWAL
Jml Harga Satuan Jml Harga Jml Harga Satuan Jml Harga Jml Harga Satuan Jml Harga
1 1 2 3 5 6 7 8 9 10 11 12 13 14 15 16
Saldo Awal 2021
Bunga Bank
Pengembalian ke kas negara
Pengembalian Temuan
1 JUMLAH DANA BOS/BLUD

2 BELANJA PEGAWAI
3 BELANJA BARANG DAN JASA
3.1 BELANJA PERSEDIAAN 44,248,556 44,248,556
1.1.7.01.01.01 BAHAN.BAHAN BANGUNAN DAN KONSTRUKSI -

8,967,761
1.1.7.01.01.02 BAHAN.BAHAN KIMIA
1.1.7.01.01.03 BAHAN.BAHAN PELEDAK
1.1.7.01.01.04 BAHAN.BAHAN BAKAR DAN PELUMAS
1.1.7.01.01.05 BAHAN.BAHAN BAKU
1.1.7.01.01.06 BAHAN.BAHAN KIMIA NUKLIR
1.1.7.01.01.07 BAHAN.BARANG DALAM PROSES
1.1.7.01.01.08 BAHAN.BAHAN/BIBIT TANAMAN
1.1.7.01.01.09 BAHAN.ISI TABUNG PEMADAM KEBAKARAN -
1.1.7.01.01.10 BAHAN.ISI TABUNG GAS

1.1.7.01.01.11 BAHAN.BAHAN/BIBIT TERNAK/BIBIT IKAN
1.1.7.01.01.12 BAHAN.BAHAN LAINNYA
1.1.7.01.02.01 SUKU CADANG.SUKU CADANG ALAT ANGKUTAN
1.1.7.01.02.02 SUKU CADANG.SUKU CADANG ALAT BESAR
1.1.7.01.02.03 SUKU CADANG.SUKU CADANG ALAT KEDOKTERAN
1.1.7.01.02.04 SUKU CADANG.SUKU CADANG ALAT LABORATORIUM
1.1.7.01.02.05 SUKU CADANG.SUKU CADANG ALAT PEMANCAR
1.1.7.01.02.06 SUKU CADANG.SUKU CADANG ALAT STUDIO DAN KOMUNIKASI
1.1.7.01.02.07 SUKU CADANG.SUKU CADANG ALAT PERTANIAN
1.1.7.01.02.08 SUKU CADANG.SUKU CADANG ALAT BENGKEL
1.1.7.01.02.09 SUKU CADANG.SUKU CADANG ALAT PERSENJATAAN
1.1.7.01.02.10 SUKU CADANG.PERSEDIAAN DARI BELANJA BANTUAN SOSIAL
1.1.7.01.02.11 SUKU CADANG.SUKU CADANG LAINNYA
Belanja Modal
SALDO
AWAL
1.1.7.01.03.01 ALAT/BAHAN UNTUK KEGIATAN KANTOR.ALAT TULIS KANTOR
1.1.7.01.03.02 ALAT/BAHAN UNTUK KEGIATAN KANTOR.KERTAS DAN COVER
1.1.7.01.03.03 ALAT/BAHAN UNTUK KEGIATAN KANTOR.BAHAN CETAK
1.1.7.01.03.04 ALAT/BAHAN UNTUK KEGIATAN KANTOR.BENDA POS
1.1.7.01.03.05 ALAT/BAHAN UNTUK KEGIATAN KANTOR.PERSEDIAAN DOKUMEN/ADMINISTRASI TENDER
1.1.7.01.03.06 ALAT/BAHAN UNTUK KEGIATAN KANTOR.BAHAN KOMPUTER
637,446
1.1.7.01.03.07 ALAT/BAHAN UNTUK KEGIATAN KANTOR.PERABOT KANTOR
1.1.7.01.03.08 ALAT/BAHAN UNTUK KEGIATAN KANTOR.ALAT LISTRIK
1.1.7.01.03.09 ALAT/BAHAN UNTUK KEGIATAN KANTOR.PERLENGKAPAN DINAS
1.1.7.01.03.10 ALAT/BAHAN UNTUK KEGIATAN KANTOR.KAPORLAP DAN PERLENGKAPAN SATWA
1.1.7.01.03.11 ALAT/BAHAN UNTUK KEGIATAN KANTOR.PERLENGKAPAN PENDUNGKUNG OLAH RAGA
1.1.7.01.03.12 ALAT/BAHAN UNTUK KEGIATAN KANTOR.SUVENIR/CENDERA MATA
1.1.7.01.03.13 ALAT/BAHAN UNTUK KEGIATAN KANTOR.ALAT/BAHAN UNTUK KEGIATAN KANTOR LAINNYA
1.1.7.01.04.01 OBAT-OBATAN.OBAT
15,135,169
44,248,556 44,248,556 19,508,180
1.1.7.01.04.02 OBAT-OBATAN.OBAT-OBATAN LAINNYA
1.1.7.01.04.03 OBAT-OBATAN.ALAT KESEHATAN
1.1.7.01.04.04 OBAT-OBATAN.ALAT SUNTIK
1.1.7.01.05.01 PERSEDIAAN UNTUK DIJUAL/DISERAHKAN.PERSEDIAAN UNTUK DIJUAL/DISERAHKAN KEPADA MASYARAKAT
1.1.7.01.05.02 PERSEDIAAN UNTUK DIJUAL/DISERAHKAN.PERSEDIAAN UNTUK DIJUAL/DISERAHKAN LAINNYA

1.1.7.01.06.01 PERSEDIAAN UNTUK TUJUAN STRATEGIS/BERJAGA-JAGA.PERSEDIAAN UNTUK TUJUAN STRATEGIS/BERJAGA-JAGA
1.1.7.01.06.02 PERSEDIAAN UNTUK TUJUAN STRATEGIS/BERJAGA-JAGA.PERSEDIAAN UNTUK TUJUAN STRATEGIS/BERJAGA-JAGA
1.1.7.01.07.01 NATURA DAN PAKAN.NATURA
1.1.7.01.07.02 NATURA DAN PAKAN.PAKAN
1.1.7.01.07.03 NATURA DAN PAKAN.NATURA DAN PAKAN LAINNYA
1.1.7.01.08.01 PERSEDIAAN PENELITIAN.PERSEDIAAN PENELITIAN BIOLOGI
1.1.7.01.08.02 PERSEDIAAN PENELITIAN.PERSEDIAAN PENELITIAN BIOLOGI LAINNYA
1.1.7.01.08.03 PERSEDIAAN PENELITIAN.PERSEDIAAN PENELITIAN TEKNOLOGI
1.1.7.01.08.04 PERSEDIAAN PENELITIAN.PERSEDIAAN PENELITIAN LAINNYA
TIDAK MASUK
SIMANJA BELANJA MAKANAN DAN MINUMAN RAPAT
TIDAK MASUK
SIMANJA BELANJA MAKANAN DAN MINUMAN JAMUAN TAMU
TIDAK MASUK
SIMANJA BELANJA MAKANAN DAN MINUMAN AKTIVITAS LAPANGAN
TIDAK MASUK
SIMANJA BELANJA PAKAIAN DINAS KDH DAN WKDH
TIDAK MASUK
SIMANJA BELANJA PAKAIAN DINAS HARIAN (PDH)
TIDAK MASUK
SIMANJA BELANJA PAKAIAN DINAS LAPANGAN (PDL)
Belanja Modal
SALDO
AWAL
TIDAK MASUK
SIMANJA BELANJA PAKAIAN PENYELAMATAN
TIDAK MASUK
SIMANJA BELANJA PAKAIAN SIAGA
TIDAK MASUK
SIMANJA BELANJA PAKAIAN ADAT DAERAH
TIDAK MASUK
SIMANJA BELANJA PAKAIAN BATIK TRADISIONAL
TIDAK MASUK
SIMANJA BELANJA PAKAIAN OLAHRAGA
TIDAK MASUK
SIMANJA BELANJA PAKAIAN PASKIBRAKA
3.2 BELANJA JASA 621,741,960

3.3 BELANJA PEMELIHARAAN 10,175,750
3.4 BELANJA PERJALANAN 1,350,000
4 BELANJA MODAL
A TANAH
B PERALATAN DAN MESIN 49,900,000 5 8,316,600 41,583,000
1 8,317,000 8,317,000
C GEDUNG DAN BANGUNAN
D JALAN, IRIGASI DAN JARINGAN
E ASET TETAP LAINNYA
F KONSTRUKSI DALAM PENGERJAAN
JUMLAH - 727,416,266 0 0 0 6 49,900,000 0 0 0 0 0

JA BARANG JASA BOS/BLUD TAHUN 2021
Jumlah Realisasi
Sisa Kas
BOS/BLUD
17 18
-
-
Jumlah Realisasi
Sisa Kas
BOS/BLUD
44,248,556
Jumlah Realisasi
Sisa Kas
BOS/BLUD
621,741,960
10,175,750
1,350,000
49,900,000
727,416,266 -

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BERITA ACARA REKONSILIASI

PERSEDIAAN TAHUN 2021

SALDO AWAL MASUK KELUAR

JUMLAH 112,320 76,184,956 427,809 1,303,302,937 422,481 1,270,139,185

II. PEJABAT PENATAUSAHAAN BARANG PADA PENGELOLA

HERU SUTRISNO, SE, MM

60 40,183,230 117,588 69,165,479

Pengurus Barang Pengguna

SALDO AWAL MASUK KELUAR

JUMLAH 112,320 76,184,956 427,809 1,303,302,937 422,371 1,268,459,185

II. PEJABAT PENATAUSAHAAN BARANG PADA PENGELOLA

HERU SUTRISNO, SE, MM

60 40,183,230 117,698 70,845,479

Pengurus Barang Pengguna

Kode Pengguna : 010222.00000.00000

Total - - 210 - - - - 210 2,100,000 195 - - - 195 1,950,000 15 150,000

19,419 202,759,315 Kabupaten Jepara ,

( ……. ……. ……. ……. ……. ……. )

Kode Pengguna : 010222.00000.00000

131 010000000828 ISI STAPLES KECIL [BUAH] - - 14 - - - - 14 28,000 4 - - - 4 8,000 10 20,000

145 010000000947 CARTRIDGE WARNA [BUAH] - - 7 - - - - 7 1,750,000 7 - - - 7 1,750,000 - -

160 010000001216 KLIP 155 [PAK] - - 8 - - - - 8 32,000 8 - - - 8 32,000 - -

168 010000001235 PLASTIK B3 KUNING [PAK] - - 4 - - - - 4 360,000 4 - - - 4 360,000 - -

497 010000005411 VITAMIN C 50 MG [BOK] - - 5 - - - - 5 1,350,000 5 - - - 5 1,350,000 - -

507 37E21576D966 GULA PASIR 1KG [KG] - - 7 - - - - 7 121,000 7 - - - 7 121,000 - -

623 8992929140276 B29 DETERJEN 1KG FRUITY [PAK] - - 10 - - - - 10 400,000 10 - - - 10 400,000 - -

671 8999999059811 PEMBERSIH LANTAI BESAR [BUAH] - - 1 - - - - 1 50,000 1 - - - 1 50,000 - -

( ……. ……. ……. ……. ……. ……. )

Kode Pengguna : 010222.00000.00000

18 010000003652 8 5,000 40,000 - - - - - - - - - - - - - ISI STAPLES NO. 10 [DUS]

65 010000003050 12 12,000 144,000 - - - - - - - - - - - - - SPIDOL BESAR PNF [BUAH]

76 9E61410FCF96 10 5,000 50,000 - - - - - - - - - - - - - Penggaris [BUAH]

113 0102220000000000.H210025 57 139,000 1,148,000 - - - - - - 1,148,000 - - - - 1,148,000 - Apr 7 2021

119 010000003051 8 5,000 40,000 - - - - - - - - - - - - - ISI STAPLES PNF [DUS]

131 8997031730674 1 45,000 45,000 - - - - - - - - - - - - - TINTA BLUEPRINT EPSON HITAM

140 8997031730674 5 45,000 225,000 - - - - - - - - - - - - - TINTA BLUEPRINT EPSON HITAM

153 010000003050 5 12,000 60,000 - - - - - - - - - - - - - SPIDOL BESAR PNF [BUAH]

186 8991389291061 17 57,000 969,000 - - - - - - - - - - - - - HVS F4 70 SIDU [RIM]

194 0102220000000000.H210045 1 200,000 200,000 - - - - - - 200,000 - - - - 200,000 - Jun 10 2021

226 010000002724 2 5,000 10,000 - - - - - - - - - - - - - PENGGARIS BESI 30 CM [BUAH]

235 0102220000000000.H210055 6 200,000 1,200,000 - - - - - - 1,200,000 - - - - 1,200,000 - Jul 12 2021

276 010000003050 5 12,000 60,000 - - - - - - - - - - - - - SPIDOL BESAR PNF [BUAH]

285 0102220000000000.H210068 22 84,000 765,000 - - - - - - 765,000 - - - - 765,000 - Aug 11 2021

293 0102220000000000.H210070 20 10,000 200,000 - - - - - - 200,000 - - - - 200,000 - Aug 14 2021

303 0102220000000000.H210072 1,000 250 250,000 - - - - - - 250,000 - - - - 250,000 - Aug 30 2021

316 0102220000000000.H210079 10 300,000 3,000,000 - - - - - - 3,000,000 - - - - 3,000,000 - Sep 4 2021

358 0102220000000000.H210096 1 220,000 220,000 - - - - - - 220,000 - - - - 220,000 - Sep 20 2021

386 0102220000000000.H210104 4 40,000 160,000 - - - - - - 160,000 - - - - 160,000 - Oct 4 2021

390 010000002518 3 50,000 150,000 - - - - - - - - - - - - - BLOOD LANCET [BOK]

404 0102220000000000.H210113 11 73,000 250,000 - - - - - - 250,000 - - - - 250,000 - Oct 14 2021

411 4970430100518 10 2,000 20,000 - - - - - - - - - - - - - ISI STEPLES ETONA KCL [BOK]

475 010000001450 2 150,000 300,000 - - - - - - - - - - - - - Stik Gula Darah GlucoDR [PAK]

489 8999999393687 3 15,000 45,000 - - - - - - - - - - - - - SUNLIGHT JERUK NIPIS 800ML

499 8997031730674 1 45,000 45,000 - - - - - - - - - - - - - TINTA BLUEPRINT EPSON HITAM

516 010000002724 5 5,000 25,000 - - - - - - - - - - - - - PENGGARIS BESI 30 CM [BUAH]

528 0102220000000000.H210145 100 2,000 200,000 - - - - - - 200,000 - - - - 200,000 - Dec 20 2021

541 0102220000000000.H210151 1 400,000 400,000 - - - - - - 400,000 - - - - 400,000 - Dec 21 2021

557 0102220000000000.H210162 10 180,000 1,800,000 - - - - - - - - - 1,800,000 - 1,800,000 - Apr 30 2021

559 0102220000000000.H210163 1 1,265,000 1,265,000 - - - - - - - - - 1,265,000 - 1,265,000 - May 31 2021

584 010000001450 5 100,000 500,000 - - - - - - - - - - - - - Stik Gula Darah GlucoDR [PAK]

590 010000001451 5 195,000 975,000 - - - - - - - - - - - - - Stik Kolesterol Easytouch [PAK]

595 010000001867 50 8,500 425,000 - - - - - - - - - - - - - Gliserl Guaiacolat [BOK]

610 010000004823 20 99,425 1,988,500 - - - - - - - - - - - - - CIPROFLOXACIN [BOK]

616 010000001450 8 165,000 1,320,000 - - - - - - - - - - - - - Stik Gula Darah GlucoDR [PAK]