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USULAN REKAPITULASI KALIBRASI TAHUN 2020

PKM Bendosari PKM Baki PKM Kartasura PKM Polokarto PKM Bulu PKM Grogol PKM Mojolaban PKM Weru PKM Tawangsari PKM Nguter PKM Gatak PKM Sukoharjo Jumlah Total
No Nama Alat Kesehatan
∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) Alat Biaya (Rp)
1 Tensimeter Air Raksa 10 70,000 15 70,000 17 70,000 10 70,000 9 70,000 15 70,000 10 70,000 20 70,000 10 70,000 10 70,000 23 70,000 14 70,000 163 11,410,000
2 Tensimeter Digital 8 135,000 1 140,000 10 135,000 19 2,570,000
3 Autoclave 1 260,000 2 260,000 1 260,000 2 260,000 1 260,000 7 1,820,000
4 Sterilisator Kering/basah 1 170,000 6 170,000 2 170,000 2 170,000 2 170,000 3 170,000 2 170,000 2 170,000 3 170,000 3 170,000 2 170,000 4 170,000 32 5,440,000
5 Nebulizer 1 190,000 1 190,000 3 190,000 2 190,000 2 190,000 2 190,000 1 190,000 1 190,000 1 190,000 2 200,000 2 190,000 1 190,000 19 3,630,000
6 Dopler 2 130,000 2 130,000 5 130,000 4 130,000 2 130,000 3 130,000 3 130,000 3 130,000 3 130,000 3 130,000 4 130,000 34 4,420,000
7 Flowmeter (Regulator O2) 5 160,000 7 100,000 3 389,000 4 160,000 4 389,000 2 160,000 1 160,000 3 160,000 4 160,000 4 160,000 37 7,103,000
8 Oksigen Konsentrator 2 426,000 3 426,000 5 2,130,000
9 Oxymetri 1 150,000 1 150,000
10 Tabung Oksigen (APAR) 4 190,000 2 190,000 6 1,140,000
11 Suction Pump 1 120,000 1 120,000 2 110,000 2 120,000 1 80,000 2 240,000 1 120,000 1 120,000 11 1,500,000
12 Examination Lamp 3 336,000 4 336,000 7 2,352,000
13 Incubator Digital 1 270,000 1 270,000 2 540,000
14 Infant Warmer 1 200,000 1 200,000
15 Refrigerator (Kulkas Vaksin) 1 210,000 2 210,000 1 210,000 4 840,000
16 Freezer (kulkas Vaksin) 2 330,000 2 330,000 3 330,000 1 330,000 2 330,000 2 330,000 4 330,000 16 5,280,000
17 Lampu Sorot Halogen 2 160,000 2 320,000
18 Head Lamp 5 120,000 5 600,000
19 Infra Red (Lampu) 2 264,000 1 200,000 1 200,000 2 200,000 1 200,000 7 1,528,000
20 Electrical Stimulator (EST) 2 240,000 1 460,000 1 460,000 1 240,000 5 1,640,000
21 Ultrasound Therapy 1 180,000 1 180,000 2 360,000
22 SWD 1 260,000 1 260,000
23 Fotometer 1 140,000 1 1,900,000 1 1,500,000 1 140,000 1 140,000 2 150,000 7 4,120,000
24 Mikro Pipete 1 360,000 7 360,000 5 250,000 2 320,000 8 360,000 4 360,000 5 240,000 4 240,000 8 240,000 9 360,000 53 16,410,000
25 Mikroskop 1 310,000 1 310,000 1 310,000 1 330,000 2 310,000 1 310,000 1 140,000 1 300,000 2 310,000 11 3,250,000
26 Microlab 1 310,000 1 140,000 2 450,000
27 Hematologi Analyzer 1 1,950,000 1 1,950,000 1 1,950,000 1 1,390,000 4 7,240,000
28 Sentrifuge 1 200,000 1 200,000 2 200,000 1 200,000 3 200,000 2 200,000 2 200,000 1 200,000 2 200,000 2 200,000 17 3,400,000
29 Rotator 1 120,000 1 325,000 1 325,000 1 120,000 2 120,000 1 120,000 1 150,000 1 120,000 1 120,000 10 1,640,000
30 Timbangan Bayi 5 150,000 5 418,000 5 150,000 4 140,000 3 150,000 5 150,000 4 150,000 6 150,000 5 150,000 5 150,000 4 150,000 5 418,000 56 11,040,000
31 Timbangan Dewasa (Injak) 12 500,000 7 150,000 11 120,000 5 410,000 9 140,000 5 140,000 9 150,000 20 140,000 13 336,000 91 20,898,000
32 Timbangan Tinggi Badan 4 410,000 4 1,640,000
33 Dental Unit 1 140,000 2 442,000 1 140,000 2 140,000 1 140,000 1 140,000 2 140,000 2 200,000 3 140,000 15 2,824,000
34 Scaller 1 300,000 1 300,000
35 Elektrokardiogram (ECG/EKG) 1 150,000 1 250,000 1 150,000 1 150,000 1 150,000 1 240,000 1 140,000 7 1,230,000
36 USG 2 250,000 2 500,000
37 Termometer Digital 8 140,000 8 1,120,000
38 X - Ray Mobile Unit 1 730,000 1 730,000
39 Biaya Akomodasi Petugas Kalibrasi 1,680,000 3,000,000 4,680,000
∑ TOTAL 28 79 54 50 40 77 51 69 44 37 75 71 675 136,705,000
USULAN REKAPITULASI KALIBRASI TAHUN 2
PKM Bendosari PKM Baki PKM Kartasura PKM Polokarto PKM Bulu PKM Grogol PKM Mojolaban PKM Weru
No Nama Alat Kesehatan
∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat
1 Tensimeter Air Raksa 10 70,000 15 70,000 17 70,000 10 70,000 9 70,000 15 70,000 10 70,000 20
2 Tensimeter Digital 8 70,000 1 70,000 10 70,000
3 Autoclave 1 260,000 2 260,000 1 260,000 2 260,000
4 Sterilisator Kering/basah 1 170,000 6 170,000 2 170,000 2 170,000 2 170,000 3 170,000 2 170,000 2
5 Nebulizer 1 190,000 1 190,000 3 190,000 2 190,000 2 190,000 2 190,000 1 190,000 1
6 Dopler 2 130,000 2 130,000 5 130,000 4 130,000 3 130,000 3 130,000 3 130,000 3
7 Flowmeter (Regulator O2) 5 160,000 7 160,000 3 160,000 5 160,000 4 160,000 2
8 Oksigen Konsentrator 2 240,000 3 240,000
9 Pulse Oxymetri 1 150,000
10 Tabung Oksigen (APAR) 4 190,000
11 Suction Pump 1 120,000 1 120,000 2 120,000 2 120,000 1
12 Examination Lamp 3 336,000 4 336,000
13 Incubator Digital 1 270,000 1 270,000 1 270,000
14 Infant Warmer 1 200,000
15 Refrigerator (Kulkas Vaksin) 1 210,000 2 210,000
16 Freezer (kulkas Vaksin) 2 330,000 2 330,000 3
17 Lampu Sorot Halogen 2
18 Head Lamp
19 Infra Red (Lampu) 2 264,000
20 Electrical Stimulator (EST) 2 240,000 1 460,000 1 460,000
21 Ultrasound Therapy 1 180,000
22 SWD 1
23 Fotometer 1 1,500,000 1 1,500,000 1 1,500,000
24 Mikro Pipete 1 320,000 7 320,000 5 320,000 2 320,000 4 320,000 5
25 Mikroskop 1 310,000 1 310,000 1 310,000 1 310,000 2 310,000 1 310,000 1
26 Microlab
27 Hematologi Analyzer 1 1,950,000
28 Sentrifuge 1 200,000 1 200,000 2 200,000 1 200,000 1 200,000 3 200,000 2 200,000 2
29 Rotator 1 120,000 1 120,000 1 120,000 1 120,000 2 120,000
30 Timbangan Bayi 5 150,000 5 150,000 5 150,000 4 150,000 3 150,000 5 150,000 4 150,000 6
31 Timbangan Digital (Injak) 7 140,000 6 140,000 9
32 Timbangan Jarum / Mekanik 12 168,000
(injak)
33 Timbangan Tinggi Badan 5 410,000 5 410,000
34 Dental Unit 1 140,000 2 280,000 1 140,000 2 140,000 1 140,000 1
35 Scaller
36 Elektrokardiogram (ECG/EKG) 1 150,000 1 150,000 1 150,000 1 150,000 1 150,000 1
37 USG
38 Termometer Digital 4 140,000 8 140,000
39 X - Ray Mobile Unit
Biaya Akomodasi Petugas
40 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000
Kalibrasi
∑ TOTAL 28 79 54 42 50 64 48 60
SULAN REKAPITULASI KALIBRASI TAHUN 2020
PKM Weru PKM Tawangsari PKM Nguter PKM Gatak PKM Sukoharjo Jumlah Total
biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) Alat Biaya (Rp)
70,000 10 70,000 10 70,000 23 70,000 14 70,000 163 11,410,000
19 1,330,000
1 260,000 7 1,820,000
170,000 3 170,000 3 170,000 2 170,000 4 170,000 32 5,440,000
190,000 1 190,000 2 190,000 2 190,000 1 190,000 19 3,610,000
130,000 3 130,000 3 130,000 4 130,000 35 4,550,000
160,000 1 160,000 3 160,000 4 160,000 4 160,000 38 6,080,000
5 1,200,000
1 150,000
2 190,000 6 1,140,000
80,000 2 240,000 1 120,000 1 120,000 11 1,520,000
7 2,352,000
3 810,000
1 200,000 2 400,000
1 210,000 4 840,000
330,000 1 330,000 2 330,000 2 330,000 4 330,000 16 5,280,000
160,000 2 320,000
0 -
2 528,000
1 240,000 5 1,640,000
1 180,000 2 360,000
260,000 1 260,000
3 4,500,000
320,000 4 320,000 8 320,000 9 320,000 45 14,400,000
310,000 1 310,000 2 310,000 11 3,410,000
0 -
1 1,950,000
200,000 1 200,000 2 200,000 2 200,000 18 3,600,000
1 120,000 1 120,000 1 120,000 1 120,000 10 1,200,000
150,000 5 150,000 5 150,000 4 150,000 5 150,000 56 8,400,000
140,000 5 140,000 9 140,000 20 140,000 56 7,840,000
13 168,000 25 4,200,000
10 4,100,000
140,000 2 140,000 2 140,000 3 140,000 15 2,380,000
0 -
150,000 1 150,000 7 1,050,000
0 -
12 1,680,000
0 -

2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 24,000,000

41 37 75 71 649 133,750,000
USULAN REKAPITULASI KALIBRASI TAHUN
PKM Bendosari PKM Baki PKM Kartasura PKM Polokarto PKM Bulu PKM Grogol PKM Mojolaban PKM Weru
No Nama Alat Kesehatan
∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat
1 Tensimeter Air Raksa 10 84,000 15 84,000 17 84,000 10 84,000 9 84,000 15 84,000 10 84,000 20
2 Tensimeter Digital 8 84,000 1 84,000 10 84,000
3 Autoclave 1 312,000 2 312,000 1 312,000 2 312,000
4 Sterilisator Kering/basah 1 204,000 6 204,000 2 204,000 2 204,000 2 204,000 3 204,000 2 204,000 2
5 Nebulizer 1 228,000 1 228,000 3 228,000 2 228,000 2 228,000 2 228,000 1 228,000 1
6 Dopler 2 156,000 2 156,000 5 156,000 4 156,000 3 156,000 3 156,000 3 156,000 3
7 Flowmeter (Regulator O2) 5 192,000 7 192,000 3 192,000 5 192,000 4 192,000 2
8 Oksigen Konsentrator 2 288,000 3 288,000
9 Pulse Oxymetri 1 180,000
10 Suction Pump 1 144,000 1 144,000 2 144,000 2 144,000 1
11 Examination Lamp 3 192,000 4 192,000
12 Incubator Digital 1 324,000 1 324,000 1 324,000
13 Infant Warmer 1 240,000
14 Refrigerator (Kulkas Vaksin) 1 252,000 2 252,000
15 Freezer (kulkas Vaksin) 2 396,000 2 396,000 3
16 Lampu Sorot Halogen 2
17 Head Lamp 5
18 Infra Red (Lampu) 2 264,000
19 Electrical Stimulator (EST) 2 288,000 1 288,000 1 288,000
20 Ultrasound Therapy (UST) 1 216,000
21 SWD 1
22 Fotometer 1 1,500,000 1 1,500,000 1 1,500,000
23 Mikro Pipete 1 348,000 7 348,000 5 348,000 2 348,000 4 348,000 5
24 Mikroskop 1 220,000 1 220,000 1 220,000 1 220,000 2 220,000 1 220,000 1
25 Hematologi Analyzer 1 1,950,000
26 Centrifuge 1 200,000 1 200,000 2 200,000 1 200,000 1 200,000 3 200,000 2 200,000 2
27 Rotator 1 144,000 1 144,000 1 144,000 1 144,000 2 144,000
28 Timbangan Bayi 5 180,000 5 180,000 5 180,000 4 180,000 3 180,000 5 180,000 4 180,000 6
29 Timbangan Digital (Injak) 7 168,000 6 168,000 9

30 Timbangan Jarum / Mekanik 12 168,000


(injak)
31 Timbangan Tinggi Badan 5 410,000 5 410,000
32 Dental Unit 1 168,000 2 168,000 1 168,000 2 168,000 1 168,000 1
33 Elektrokardiogram (ECG/EKG) 1 150,000 1 150,000 1 150,000 1 150,000 1 150,000 1
34 Termometer Digital 4 140,000 8 140,000
Biaya Akomodasi Petugas
35 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000
Kalibrasi
∑ TOTAL 28 7,952,000 79 18,938,000 54 10,770,000 38 8,894,000 50 12,968,000 64 11,546,000 48 12,500,000 65

KODE WARNA :
PT. INDRALOKA
BALABKES & PAK SEMARANG
LPFK SURAKARTA
ULAN REKAPITULASI KALIBRASI TAHUN 2020
PKM Weru PKM Tawangsari PKM Nguter PKM Gatak PKM Sukoharjo Jumlah Total
biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) Alat Biaya (Rp)
84,000 10 84,000 10 84,000 23 84,000 14 84,000 163 13,692,000
19 1,596,000
1 312,000 7 2,184,000
204,000 3 204,000 3 204,000 2 204,000 4 204,000 32 6,528,000
228,000 1 228,000 2 228,000 2 228,000 1 228,000 19 4,332,000
156,000 3 156,000 3 156,000 4 156,000 35 5,460,000
192,000 1 192,000 3 192,000 4 192,000 4 192,000 38 7,296,000
5 1,440,000
1 180,000
144,000 2 144,000 1 144,000 1 144,000 11 1,584,000
7 1,344,000
3 972,000
1 240,000 2 480,000
1 252,000 4 1,008,000
396,000 1 396,000 2 396,000 2 396,000 4 396,000 16 6,336,000
192,000 2 384,000
144,000 5 720,000
2 528,000
1 288,000 5 1,440,000
1 216,000 2 432,000
312,000 1 312,000
3 4,500,000
348,000 4 348,000 8 348,000 9 348,000 45 15,660,000
220,000 1 220,000 2 220,000 11 2,420,000
1 1,950,000
200,000 1 200,000 2 200,000 2 200,000 18 3,600,000
1 144,000 1 144,000 1 144,000 1 144,000 10 1,440,000
180,000 5 180,000 5 180,000 4 180,000 5 180,000 56 10,080,000
168,000 5 168,000 9 168,000 20 168,000 56 9,408,000

13 168,000 25 4,200,000

10 4,100,000
168,000 2 168,000 2 168,000 3 168,000 15 2,520,000
150,000 1 150,000 7 1,050,000
12 1,680,000

2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 24,000,000

13,186,000 41 9,308,000 37 8,168,000 75 15,030,000 69 15,596,000 648 144,856,000


USULAN REKAPITULASI KALIBRASI TAHUN 2020
PKM Bendosari PKM Baki PKM Kartasura PKM Polokarto PKM Bulu PKM Grogol PKM Mojolaban PKM Weru PKM Tawangsari PKM Nguter PKM Gatak PKM Sukoharjo Jumlah Total
No Nama Alat Kesehatan
∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) ∑ Alat biaya@ (Rp) Alat Biaya (Rp)
1 Tensimeter Air Raksa 10 84,000 15 84,000 17 84,000 10 84,000 9 84,000 10 84,000 10 84,000 10 84,000 10 84,000 23 84,000 14 84,000 138 11,592,000
2 Tensimeter Digital 8 84,000 1 84,000 10 84,000 19 1,596,000
3 Autoclave 1 312,000 2 312,000 1 312,000 2 312,000 1 312,000 7 2,184,000
4 Sterilisator Kering/basah 1 204,000 6 204,000 2 204,000 2 204,000 2 204,000 3 204,000 2 204,000 2 204,000 3 204,000 3 204,000 2 204,000 4 204,000 32 6,528,000
5 Nebulizer 1 228,000 1 228,000 3 228,000 2 228,000 2 228,000 2 228,000 1 228,000 1 228,000 1 228,000 2 228,000 2 228,000 1 228,000 19 4,332,000
6 Dopler 2 156,000 2 156,000 5 156,000 4 156,000 3 156,000 3 156,000 3 156,000 3 156,000 3 156,000 3 156,000 4 156,000 35 5,460,000
7 Flowmeter (Regulator O2) 5 192,000 7 192,000 3 192,000 5 192,000 4 192,000 2 192,000 1 192,000 3 192,000 4 192,000 4 192,000 38 7,296,000
8 Oksigen Konsentrator 2 288,000 3 288,000 5 1,440,000
9 Pulse Oxymetri 1 180,000 1 180,000
10 Suction Pump 1 144,000 1 144,000 2 144,000 2 144,000 1 144,000 2 144,000 1 144,000 1 144,000 11 1,584,000
11 Examination Lamp 3 192,000 4 192,000 7 1,344,000
12 Incubator Digital 1 324,000 1 324,000 1 324,000 3 972,000
13 Infant Warmer 1 240,000 1 240,000 2 480,000
14 Refrigerator (Kulkas Vaksin) 1 252,000 2 252,000 1 252,000 4 1,008,000
15 Freezer (kulkas Vaksin) 2 396,000 2 396,000 3 396,000 1 396,000 2 396,000 2 396,000 4 396,000 16 6,336,000
16 Lampu Sorot Halogen 2 192,000 2 384,000
17 Head Lamp 5 144,000 5 720,000
18 Infra Red (Lampu) 2 264,000 2 528,000
19 Electrical Stimulator (EST) 2 288,000 1 288,000 1 288,000 1 288,000 5 1,440,000
20 Ultrasound Therapy (UST) 1 216,000 1 216,000 2 432,000
21 SWD 1 312,000 1 312,000
22 Fotometer 1 1,500,000 1 1,500,000 1 1,500,000 3 4,500,000
23 Mikro Pipete 1 348,000 7 348,000 2 348,000 4 348,000 8 348,000 22 7,656,000
24 Mikroskop 1 220,000 1 220,000 1 220,000 1 220,000 2 220,000 1 220,000 1 220,000 1 220,000 2 220,000 11 2,420,000
25 Hematologi Analyzer 1 1,950,000 1 1,950,000
26 Centrifuge 1 200,000 1 200,000 2 200,000 1 200,000 1 200,000 3 200,000 2 200,000 2 200,000 1 200,000 2 200,000 2 200,000 18 3,600,000
27 Rotator 1 144,000 1 144,000 1 144,000 1 144,000 2 144,000 1 144,000 1 144,000 1 144,000 1 144,000 10 1,440,000
28 Timbangan Bayi 5 180,000 5 180,000 5 180,000 4 180,000 3 180,000 5 180,000 4 180,000 6 180,000 5 180,000 5 180,000 4 180,000 5 180,000 56 10,080,000
29 Timbangan Digital (Injak) 7 168,000 6 168,000 9 168,000 5 168,000 9 168,000 20 168,000 56 9,408,000
30 Timbangan Jarum / Mekanik 12 168,000 13 168,000 25 4,200,000
(injak)
31 Timbangan Tinggi Badan 5 410,000 5 410,000 10 4,100,000
32 Dental Unit 1 168,000 2 168,000 1 168,000 2 168,000 1 168,000 1 168,000 2 168,000 2 168,000 3 168,000 15 2,520,000
33 Elektrokardiogram (ECG/EKG) 1 150,000 1 150,000 1 150,000 1 150,000 1 150,000 1 150,000 1 150,000 7 1,050,000
34 Termometer Digital 4 140,000 8 140,000 12 1,680,000
Biaya Akomodasi Petugas
35 Kalibrasi 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 24,000,000

∑ TOTAL 28 7,952,000 79 18,938,000 54 10,770,000 33 7,154,000 50 12,968,000 49 10,286,000 44 11,108,000 50 10,606,000 41 9,308,000 37 8,168,000 75 15,030,000 60 12,464,000 600 134,752,000

KODE WARNA :
PT. INDRALOKA Bendosari 7,952,000
BALABKES & PAK SEMARANG Baki 18,938,000
LPFK SURAKARTA Kartasura 10,770,000
PKM Bendosari PKM Baki PKM Kartasura PKM Po
No Nama Alat Kesehatan
∑ Alat biaya@ (Rp) ∑ Total ∑ Alat biaya@ (Rp) ∑ Total ∑ Alat biaya@ (Rp) ∑ Total ∑ Alat
1 Tensimeter Air Raksa 10 84,000 840,000 15 84,000 1,260,000 17 84,000 1,428,000 10
2 Tensimeter Digital - 8 84,000 672,000 1 84,000 84,000
3 Autoclave 1 312,000 312,000 - 2 312,000 624,000
4 Sterilisator Kering/basah 1 204,000 204,000 6 204,000 1,224,000 2 204,000 408,000 2
5 Nebulizer 1 228,000 228,000 1 228,000 228,000 3 228,000 684,000 2
6 Dopler 2 156,000 312,000 2 156,000 312,000 5 156,000 780,000 4
7 Flowmeter (Regulator O2) - 5 192,000 960,000 7 192,000 1,344,000 3
8 Oksigen Konsentrator 2 288,000 576,000 - -
9 Pulse Oxymetri - 1 180,000 180,000 -
10 Suction Pump - 1 144,000 144,000 - 1
11 Examination Lamp - 3 192,000 576,000 -
12 Incubator Digital - 1 324,000 324,000 -
13 Infant Warmer - - -
14 Refrigerator (Kulkas Vaksin) - 1 252,000 252,000 - 2
15 Freezer (kulkas Vaksin) - - 2 396,000 792,000
16 Lampu Sorot Halogen - - -
17 Head Lamp - - -
18 Infra Red (Lampu) - 2 264,000 528,000 -
19 Electrical Stimulator (EST) - 2 288,000 576,000 -
20 Ultrasound Therapy (UST) - - -
21 SWD - - -
22 Fotometer 1 1,500,000 1,500,000 1 1,500,000 1,500,000 -
23 Mikro Pipete 1 348,000 348,000 7 348,000 2,436,000 -
24 Mikroskop 1 220,000 220,000 1 220,000 220,000 - 1
25 Hematologi Analyzer - 1 1,950,000 1,950,000 -
26 Centrifuge 1 200,000 200,000 1 200,000 200,000 2 200,000 400,000 1
27 Rotator 1 144,000 144,000 1 144,000 144,000 - 1
28 Timbangan Bayi 5 180,000 900,000 5 180,000 900,000 5 180,000 900,000 4
29 Timbangan Digital (Injak) - - 7 168,000 1,176,000
30 Timbangan Jarum / Mekanik (injak) - 12 168,000 2,016,000 -
31 Timbangan Tinggi Badan - - -
32 Dental Unit 1 168,000 168,000 2 168,000 336,000 - 1
33 Elektrokardiogram (ECG/EKG) - - 1 150,000 150,000 1
34 Termometer Digital - - -
35 Biaya Akomodasi Petugas Kalibrasi 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000
∑ TOTAL 28 7,952,000 7,952,000 79 18,938,000 18,938,000 54 10,770,000 10,770,000 33

KODE WARNA :
PT. INDRALOKA
BALABKES & PAK SEMARANG
LPFK SURAKARTA
USULAN REKAPITULASI KALIBRASI TAHUN 202
PKM Polokarto PKM Bulu PKM Grogol
biaya@ (Rp) ∑ Total ∑ Alat biaya@ (Rp) ∑ Total ∑ Alat biaya@ (Rp) ∑ Total
84,000 840,000 9 84,000 756,000 -
- - 10 84,000 840,000
- - 1 312,000 312,000
204,000 408,000 2 204,000 408,000 3 204,000 612,000
228,000 456,000 2 228,000 456,000 2 228,000 456,000
156,000 624,000 3 156,000 468,000 3 156,000 468,000
192,000 576,000 5 192,000 960,000 -
- - 3 288,000 864,000
- - -
144,000 144,000 2 144,000 288,000 2 144,000 288,000
- - -
- 1 324,000 324,000 1 324,000 324,000
- 1 240,000 240,000 -
252,000 504,000 - -
- - -
- - -
- - -
- - -
- - 1 288,000 288,000
- - -
- - -
- 1 1,500,000 1,500,000 -
- 2 348,000 696,000 -
220,000 220,000 1 220,000 220,000 2 220,000 440,000
- - -
200,000 200,000 1 200,000 200,000 3 200,000 600,000
144,000 144,000 1 144,000 144,000 2 144,000 288,000
180,000 720,000 3 180,000 540,000 5 180,000 900,000
- 6 168,000 1,008,000 -
- - -
- 5 410,000 2,050,000 -
168,000 168,000 - 2 168,000 336,000
150,000 150,000 1 150,000 150,000 1 150,000 150,000
- 4 140,000 560,000 8 140,000 1,120,000
2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000
7,154,000 7,154,000 50 12,968,000 12,968,000 49 10,286,000 10,286,000
LASI KALIBRASI TAHUN 2020
PKM Mojolaban PKM Weru PKM Tawangsari PKM Nguter PKM Gatak
∑ Alat biaya@ (Rp) ∑ Total ∑ Alat biaya@ (Rp) ∑ Total ∑ Alat biaya@ (Rp) ∑ Total ∑ Alat biaya@ (Rp) ∑ Total ∑ Alat biaya@ (Rp)
10 84,000 840,000 10 84,000 840,000 10 84,000 840,000 10 84,000 840,000 23 84,000
- - - -
2 312,000 624,000 - - -
2 204,000 408,000 2 204,000 408,000 3 204,000 612,000 3 204,000 612,000 2 204,000
1 228,000 228,000 1 228,000 228,000 1 228,000 228,000 2 228,000 456,000 2 228,000
3 156,000 468,000 3 156,000 468,000 3 156,000 468,000 - 3 156,000
4 192,000 768,000 2 192,000 384,000 1 192,000 192,000 3 192,000 576,000 4 192,000
- - - -
- - - -
- 1 144,000 144,000 2 144,000 288,000 - 1 144,000
4 192,000 768,000 - - -
- - - -
- - - -
- - 1 252,000 252,000 -
2 396,000 792,000 3 396,000 1,188,000 1 396,000 396,000 2 396,000 792,000 2 396,000
- 2 192,000 384,000 - -
- 5 144,000 720,000 - -
- - - -
1 288,000 288,000 - - - 1 288,000
1 216,000 216,000 - - - 1 216,000
- 1 312,000 312,000 - -
- - - -
- - 4 348,000 1,392,000 - 8 348,000
1 220,000 220,000 1 220,000 220,000 1 220,000 220,000 -
- - - -
2 200,000 400,000 2 200,000 400,000 1 200,000 200,000 - 2 200,000
- - 1 144,000 144,000 1 144,000 144,000 1 144,000
4 180,000 720,000 6 180,000 1,080,000 5 180,000 900,000 5 180,000 900,000 4 180,000
- 9 168,000 1,512,000 5 168,000 840,000 9 168,000 1,512,000 20 168,000
- - - -
5 410,000 2,050,000 - - -
1 168,000 168,000 1 168,000 168,000 2 168,000 336,000 2 168,000 336,000
1 150,000 150,000 1 150,000 150,000 - - 1 150,000
- - - -
2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000 2,000,000
44 11,108,000 11,108,000 50 10,606,000 10,606,000 41 9,308,000 9,308,000 37 8,168,000 8,168,000 75 15,030,000
PKM Gatak PKM Sukoharjo Jumlah Total
∑ Total ∑ Alat biaya@ (Rp) ∑ Total Alat Biaya (Rp)
1,932,000 14 84,000 1,176,000 138 11,592,000
- - 19 1,596,000
- 1 312,000 312,000 7 2,184,000
408,000 4 204,000 816,000 32 6,528,000
456,000 1 228,000 228,000 19 4,332,000
468,000 4 156,000 624,000 35 5,460,000
768,000 4 192,000 768,000 38 7,296,000
- - 5 1,440,000
- - 1 180,000
144,000 1 144,000 144,000 11 1,584,000
- - 7 1,344,000
- - 3 972,000
- 1 240,000 240,000 2 480,000
- - 4 1,008,000
792,000 4 396,000 1,584,000 16 6,336,000
- - 2 384,000
- - 5 720,000
- - 2 528,000
288,000 - 5 1,440,000
216,000 - 2 432,000
- - 1 312,000
- - 3 4,500,000
2,784,000 - 22 7,656,000
- 2 220,000 440,000 11 2,420,000
- - 1 1,950,000
400,000 2 200,000 400,000 18 3,600,000
144,000 1 144,000 144,000 10 1,440,000
720,000 5 180,000 900,000 56 10,080,000
3,360,000 - 56 9,408,000
- 13 168,000 2,184,000 25 4,200,000
- - 10 4,100,000
- 3 168,000 504,000 15 2,520,000
150,000 - 7 1,050,000
- - 12 1,680,000
2,000,000 2,000,000 2,000,000 24,000,000
15,030,000 60 12,464,000 12,464,000 600 134,752,000
REKAPITULASI KALIBRASI PUSKESMAS TAHUN 2020
KABUPATEN SUKOHARJO
JUMLAH ALAT
No Nama Alat Kesehatan Pusk Pusk Pusk Pusk Pusk
Pusk Baki Pusk Bulu Pusk Grogol Pusk Weru
Bendosari Kartasura Polokarto Mojolaban Tawangsari
1 Tensimeter Air Raksa 10 15 17 10 9 10 10 10
2 Tensimeter Digital 8 1 10
3 Autoclave 1 2 1 2
4 Sterilisator Kering/basah 1 6 2 2 2 3 2 2 3
5 Nebulizer 1 1 3 2 2 2 1 1 1
6 Dopler 2 2 5 4 3 3 3 3 3
7 Flowmeter (Regulator O2) 5 7 3 5 4 2 1
8 Oksigen Konsentrator 2 3
9 Pulse Oxymetri 1
10 Suction Pump 1 1 2 2 1 2
11 Examination Lamp 3 4
12 Incubator Digital 1 1 1
13 Infant Warmer 1
14 Refrigerator (Kulkas Vaksin) 1 2 1
15 Freezer (kulkas Vaksin) 2 2 3 1
16 Lampu Sorot Halogen 2
17 Head Lamp 5
18 Infra Red (Lampu) 2
19 Electrical Stimulator (EST) 2 1 1
20 Ultrasound Therapy (UST) 1
21 SWD 1
22 Fotometer 1 1 1
23 Mikro Pipete 1 7 2 4
24 Mikroskop 1 1 1 1 2 1 1 1
25 Hematologi Analyzer 1
26 Centrifuge 1 1 2 1 1 3 2 2 1
27 Rotator 1 1 1 1 2 1
28 Timbangan Bayi 5 5 5 4 3 5 4 6 5
29 Timbangan Digital (Injak) 7 6 9 5
30 Timbangan Jarum / Mekanik (injak) 12
31 Timbangan Tinggi Badan 5 5
32 Dental Unit 1 2 1 2 1 1 2
33 Elektrokardiogram (ECG/EKG) 1 1 1 1 1 1
34 Termometer Digital 4 8
35 Biaya Akomodasi Petugas Kalibrasi
∑ TOTAL 28 79 54 33 50 49 44 50 41
RASI PUSKESMAS TAHUN 2020
ATEN SUKOHARJO
JUMLAH ALAT
Jumlah Harga Total Biaya
Pusk Pusk Pusk KETERANGAN
Total Alat Satuan (Rp) (Rp)
Nguter Gatak Sukoharjo
10 23 14 138 84,000 11,592,000 LPFK Surakarta
19 84,000 1,596,000 LPFK Surakarta
1 7 312,000 2,184,000 LPFK Surakarta
3 2 4 32 204,000 6,528,000 LPFK Surakarta
2 2 1 19 228,000 4,332,000 LPFK Surakarta
3 4 35 156,000 5,460,000 LPFK Surakarta
3 4 4 38 192,000 7,296,000 LPFK Surakarta
5 288,000 1,440,000 LPFK Surakarta
1 180,000 180,000 LPFK Surakarta
1 1 11 144,000 1,584,000 LPFK Surakarta
7 192,000 1,344,000 BAPELKES&PAK SMG
3 324,000 972,000 LPFK Surakarta
1 2 240,000 480,000 LPFK Surakarta
4 252,000 1,008,000 LPFK Surakarta
2 2 4 16 396,000 6,336,000 LPFK Surakarta
2 192,000 384,000 LPFK Surakarta
5 144,000 720,000 BALABKES&PAK SMG
2 264,000 528,000 INDRALOKA
1 5 288,000 1,440,000 LPFK Surakarta
1 2 216,000 432,000 LPFK Surakarta
1 312,000 312,000 LPFK Surakarta
3 1,500,000 4,500,000 INDRALOKA
8 22 348,000 7,656,000 LPFK Surakarta
2 11 220,000 2,420,000 BALABKES&PAK SMG
1 1,950,000 1,950,000 INDRALOKA
2 2 18 200,000 3,600,000 LPFK Surakarta
1 1 1 10 144,000 1,440,000 LPFK Surakarta
5 4 5 56 180,000 10,080,000 LPFK Surakarta
9 20 56 168,000 9,408,000 BALABKES&PAK SMG
13 25 168,000 4,200,000 BALABKES&PAK SMG
10 410,000 4,100,000 INDRALOKA
2 3 15 168,000 2,520,000 LPFK Surakarta
1 7 150,000 1,050,000 LPFK Surakarta
12 140,000 1,680,000 LPFK Surakarta
12 2,000,000 24,000,000
37 75 60 612 134,752,000

Sukoharjo, Oktober 2019


KEPALA DINAS KESEHATAN
KABUPATEN SUKOHARJO

dr. YUNIA WAHDIYATI


Pembina
NIP. 19750607 200604 2 020
REKAPITULASI KALIBRASI PUSKESMAS TAHUN 2020
KABUPATEN SUKOHARJO
JUMLAH ALAT
No Nama Alat Kesehatan Pusk Pusk Pusk Pusk Pusk
Pusk Baki Pusk Bulu Pusk Grogol Pusk Weru
Bendosari Kartasura Polokarto Mojolaban Tawangsari
1 Tensimeter Air Raksa 10 15 17 10 9 10 10 10
2 Tensimeter Digital 8 1 10
3 Autoclave 1 2 1 2
4 Sterilisator Kering/basah 1 6 2 2 2 3 2 2 3
5 Nebulizer 1 1 3 2 2 2 1 1 1
6 Dopler 2 2 5 4 3 3 3 3 3
7 Flowmeter (Regulator O2) 5 7 3 5 4 2 1
8 Oksigen Konsentrator 2 3
9 Pulse Oxymetri 1
10 Suction Pump 1 1 2 2 1 2
11 Examination Lamp 3 4
12 Incubator Digital 1 1 1
13 Infant Warmer 1
14 Refrigerator (Kulkas Vaksin) 1 2 1
15 Freezer (kulkas Vaksin) 2 2 3 1
16 Lampu Sorot Halogen 2
17 Head Lamp 5
18 Infra Red (Lampu) 2
19 Electrical Stimulator (EST) 2 1 1
20 Ultrasound Therapy (UST) 1
21 SWD 1
22 Fotometer 1 1 1
23 Mikro Pipete 1 7 2 4
24 Mikroskop 1 1 1 1 2 1 1 1
25 Hematologi Analyzer 1
26 Centrifuge 1 1 2 1 1 3 2 2 1
27 Rotator 1 1 1 1 2 1
28 Timbangan Bayi 5 5 5 4 3 5 4 6 5
29 Timbangan Digital (Injak) 7 6 9 5
30 Timbangan Jarum / Mekanik (injak) 12
31 Timbangan Tinggi Badan 5 5
32 Dental Unit 1 2 1 2 1 1 2
33 Elektrokardiogram (ECG/EKG) 1 1 1 1 1 1
34 Termometer Digital 4 8
35 Biaya Akomodasi Petugas Kalibrasi
∑ TOTAL 28 79 54 33 50 49 44 50 41

KODE WARNA :
PT. INDRALOKA
BALABKES & PAK SEMARANG
LPFK SURAKARTA
RASI PUSKESMAS TAHUN 2020
ATEN SUKOHARJO
JUMLAH ALAT
Jumlah Harga Total Biaya
Pusk Pusk Pusk KETERANGAN
Total Alat Satuan (Rp) (Rp)
Nguter Gatak Sukoharjo
10 23 14 138 84,000 11,592,000 LPFK Surakarta
19 84,000 1,596,000 LPFK Surakarta
1 7 312,000 2,184,000 LPFK Surakarta
3 2 4 32 204,000 6,528,000 LPFK Surakarta
2 2 1 19 228,000 4,332,000 LPFK Surakarta
3 4 35 156,000 5,460,000 LPFK Surakarta
3 4 4 38 192,000 7,296,000 LPFK Surakarta
5 288,000 1,440,000 LPFK Surakarta
1 180,000 180,000 LPFK Surakarta
1 1 11 144,000 1,584,000 LPFK Surakarta
7 192,000 1,344,000 BAPELKES&PAK SMG
3 324,000 972,000 LPFK Surakarta
1 2 240,000 480,000 LPFK Surakarta
4 252,000 1,008,000 LPFK Surakarta
2 2 4 16 396,000 6,336,000 LPFK Surakarta
2 192,000 384,000 LPFK Surakarta
5 144,000 720,000 BALABKES&PAK SMG
2 264,000 528,000 INDRALOKA
1 5 288,000 1,440,000 LPFK Surakarta
1 2 216,000 432,000 LPFK Surakarta
1 312,000 312,000 LPFK Surakarta
3 1,500,000 4,500,000 INDRALOKA
8 22 348,000 7,656,000 LPFK Surakarta
2 11 220,000 2,420,000 BALABKES&PAK SMG
1 1,950,000 1,950,000
2 2 18 200,000 3,600,000 LPFK Surakarta
1 1 1 10 144,000 1,440,000 LPFK Surakarta
5 4 5 56 180,000 10,080,000 LPFK Surakarta
9 20 56 168,000 9,408,000 BALABKES&PAK SMG
13 25 168,000 4,200,000 BALABKES&PAK SMG
10 410,000 4,100,000 INDRALOKA
2 3 15 168,000 2,520,000 LPFK Surakarta
1 7 150,000 1,050,000 LPFK Surakarta
12 140,000 1,680,000 LPFK Surakarta
12 2,000,000 24,000,000
37 75 60 612 134,752,000

Sukoharjo, Oktober 2019


KEPALA DINAS KESEHATAN
KABUPATEN SUKOHARJO

dr. YUNIA WAHDIYATI


Pembina
NIP. 19750607 200604 2 020
REKAPITULASI KALIBRASI PUSKESMAS TAHUN 2020
KABUPATEN SUKOHARJO
JUMLAH ALAT
No Nama Alat Kesehatan Pusk Pusk Pusk Pusk Pusk
Pusk Baki Pusk Bulu Pusk Grogol Pusk Weru
Bendosari Kartasura Polokarto Mojolaban Tawangsari
1 Tensimeter Air Raksa 10 15 17 10 9 10 10 10
2 Tensimeter Digital 8 1 10
3 Autoclave 1 2 1 2
4 Sterilisator Kering/basah 1 6 2 2 2 3 2 2 3
5 Nebulizer 1 1 3 2 2 2 1 1 1
6 Dopler 2 2 5 4 3 3 3 3 3
7 Flowmeter (Regulator O2) 5 7 3 5 4 2 1
8 Oksigen Konsentrator 2 3
9 Pulse Oxymetri 1
10 Suction Pump 1 1 2 2 1 2
11 Incubator Digital 1 1 1
12 Infant Warmer 1
13 Refrigerator (Kulkas Vaksin) 1 2 1
14 Freezer (kulkas Vaksin) 2 2 3 1
15 Lampu Sorot Halogen 2
16 Electrical Stimulator (EST) 2 1 1
17 Ultrasound Therapy (UST) 1
18 SWD 1
19 Mikro Pipete 1 7 2 4
20 Centrifuge 1 1 2 1 1 3 2 2 1
21 Rotator 1 1 1 1 2 1
22 Timbangan Bayi 5 5 5 4 3 5 4 6 5
23 Dental Unit 1 2 1 2 1 1 2
24 Elektrokardiogram (ECG/EKG) 1 1 1 1 1 1
25 Termometer Digital 4 8
26 Biaya Akomodasi Petugas Kalibrasi
∑ TOTAL 26 59 47 32 37 47 34 35 35
RASI PUSKESMAS TAHUN 2020
ATEN SUKOHARJO
JUMLAH ALAT
Jumlah Harga Total Biaya
Pusk Pusk Pusk KETERANGAN
Total Alat Satuan (Rp) (Rp)
Nguter Gatak Sukoharjo
10 23 14 138 84,000 11,592,000 LPFK Surakarta
19 84,000 1,596,000 LPFK Surakarta
1 7 312,000 2,184,000 LPFK Surakarta
3 2 4 32 204,000 6,528,000 LPFK Surakarta
2 2 1 19 228,000 4,332,000 LPFK Surakarta
3 4 35 156,000 5,460,000 LPFK Surakarta
3 4 4 38 192,000 7,296,000 LPFK Surakarta
5 288,000 1,440,000 LPFK Surakarta
1 180,000 180,000 LPFK Surakarta
1 1 11 144,000 1,584,000 LPFK Surakarta
3 324,000 972,000 LPFK Surakarta
1 2 240,000 480,000 LPFK Surakarta
4 252,000 1,008,000 LPFK Surakarta
2 2 4 16 396,000 6,336,000 LPFK Surakarta
2 192,000 384,000 LPFK Surakarta
1 5 288,000 1,440,000 LPFK Surakarta
1 2 216,000 432,000 LPFK Surakarta
1 312,000 312,000 LPFK Surakarta
8 22 348,000 7,656,000 LPFK Surakarta
2 2 18 200,000 3,600,000 LPFK Surakarta
1 1 1 10 144,000 1,440,000 LPFK Surakarta
5 4 5 56 180,000 10,080,000 LPFK Surakarta
2 3 15 168,000 2,520,000 LPFK Surakarta
1 7 150,000 1,050,000 LPFK Surakarta
12 140,000 1,680,000 LPFK Surakarta
12 2,000,000 24,000,000
28 55 45 492 105,582,000

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