Rekap Panjang Opname Dinkes 2021 Per 31 Desember

BERITA ACARA STOCK OPNAME FISIK PERSEDIAAN
PER 31 DESEMBER TAHUN 2021

DINAS KESEHATAN KAB.BANGLI
Pada hari ini Jumat tanggal Tiga Puluh Satu Desember Tahun Dua Ribu Dua Puluh Satu, kami
yang bertanda tangan di bawah ini :
Nama : dr. Anak agung Dwi Wulantari
NIP : 198404302010012037
Jabatan : Pejabat Penata Usahaan Barang Pengguna Dinas Kesehatan Kab.Bangli
Sesuai dengan jabatan sebagai Pejabat Penata Usahaan Barang Pengguna pada dinas Kesehatan Kabupaten Bangli,Telah Melakukan Pemeriksaan Fisik Persediaan Barang Yang dikuasakan Oleh :
Nama : I Komang Edi sanjaya, A.Md.Kep
NIP : 199209022015031003
Jabatan : Pengurus Barang Pengguna Dinas Kesehatan Kab.Bangli
yang berdasarkan Surat Keputusan Bupati Bangli Nomor 032/53/2020 Tanggal 7 Januari 2020 tentang Pengelolaan Barang Milik Daerah di lingkungan Pemerintah Kabupaten Bangli yang secara riil diserahi tugas sebagai
Pengurus Barang Pengguna.
Berdasarkan hasil pemeriksaan secara uji coba terhadap barang serta bukti bukti yang ada dalam pengurusan ini, kami menemui kenyataan sebagai berikut :
PERSEDIAAN Saldo Persediaan (Per 1 Januari 2021) PENGADAAN TH 2021 PENGGUNAAN TH 2021 KADALUARSA TH 2021 Saldo Persediaan Sampai dengan
No
Jumlah Harga Beli Jumlah Jumlah Jumlah Harga Beli Jumlah
JML HARGA Harga Beli terakhir JML HARGA Harga Beli terakhir JML HARGA JML HARGA
Satuan terakhir Satuan Satuan Satuan terakhir Satuan
ALAT TULIS
I
KANTOR
RUTIN
1 Box File (2019) 39 20,750.00 809,250 - 39 20,750.00 809,250
2 Box File (2020) 105 22,825.00 2,396,625 - 105 22,825.00 2,396,625
3 Box File (2021) - 50 23,400.00 1,170,000 50 23,400.00 1,170,000
4 Steples alat no 10 (L) - - -
5 Steples alat no 10 (B) 137 25,300.00 3,466,100 - 137 25,300.00 3,466,100
6 Steples alat no 10 (2021) - 150 55,500.00 8,325,000 25 55,500.00 1,387,500 125
7 Isi Steples HD 10 (L) - - -
8 Isi Steples HD 10 (2020) 390 3,520.00 1,372,800 - 390 3,520.00 1,372,800
9 Isi Steples HD 10 (2021) - 400 3,300.00 1,320,000 200 3,300.00 660,000 200
10 Bolpoint Biru (L) 174 18,000.00 3,132,000 - 174 18,000.00 3,132,000
11 Bolpoint Biru (B) 270 19,800.00 5,346,000 - 68 19,800.00 1,346,400 202
12 Gunting (L) - - -
13 Gunting (2020) 33 14,850.00 490,050 - 33 14,850.00 490,050
14 Gunting (2021) - 40 13,000.00 520,000 20 13,000.00 260,000 20
15 Map Plastik biasa Jepit /Snelhekter (L) 324 11,000.00 3,564,000 - 324 11,000.00 3,564,000
16 Map Plastik biasa Jepit /Snelhekter (B) 450 12,100.00 5,445,000 - 354 12,100.00 4,283,400 96
17 Map Kertas biasa (L) - - -
18 Map Kertas biasa (2021) - 923 650.00 600,000 785 650.00 510,000 150
19 Map Snelhekter Folio biasa (L) - - -
20 Map Snelhekter Folio biasa (B) 27 1,485.00 40,095 - 27 1,485.00 40,095
21 Klip Jepit Besar/ peper clip (L) 10 3,100.00 31,000 - 10 3,100.00 31,000
22 Klip Jepit Besar/ peper clip (2020) 350 3,520.00 1,232,000 - 310 3,520.00 1,091,200 40
23 Klip Jepit Besar/ peper clip (2021) - 20 4,000.00 80,000 - 4,000.00 - 20
24 Binder No.260 (L) - - -
25 Binder No.260 (B) 336 2,475.00 831,600 - 336 2,475.00 831,600
26 Binder No.260 (2021) - 350 3,100.00 1,085,000 300 3,100.00 930,000 50
27 Binder 155 (L) - - -
28 Binder 155 (B) 240 1,980.00 475,200 - 240 1,980.00 475,200
29 Binder 155 (2021) - 350 2,000.00 700,000 289 2,000.00 578,000 61
30 Buku Kas Folio 100 (L) 18 29,000.00 522,000 - 18 29,000.00 522,000
31 Buku Kas Folio 100 (B) 30 31,900.00 957,000 - 30 31,900.00 957,000
32 Buku Kas Folio 100 (2021) - 30 28,300.00 849,000 - 28,300.00 - 30
33 Bantalan Stempel B (L) 22 13,500.00 297,000 - 22 13,500.00 297,000
34 Bantalan Stempel B (B) 40 14,850.00 594,000 - 40 14,850.00 594,000
35 Bantalan Stempel B (2021) - 40 13,000.00 520,000 21 13,000.00 273,000 19
36 Tinta Yamura (L) 22 7,200.00 158,400 - 22 7,200.00 158,400
37 Tinta Yamura (B) 40 8,910.00 356,400 - 40 8,910.00 356,400
38 Tinta Yamura (2021) - 40 13,000.00 520,000 8 13,000.00 104,000 32
39 TIPEX botol (L) - - -
40 TIPEX botol (B) 48 7,425.00 356,400 - 48 7,425.00 356,400
41 TIPEX botol (2021) - 50 8,000.00 400,000 36 8,000.00 288,000 14
42 Lem Popinal T (L) - - -
43 Lem Popinal T (B) 34 6,875.00 233,750 - 34 6,875.00 233,750
44 Lem Popinal T (2021) - 40 6,000.00 240,000 37 6,000.00 222,000 3
45 Map Ordener F (L) 44 17,000.00 748,000 - 44 17,000.00 748,000
46 Map Ordener F (B) 200 18,700.00 3,740,000 - 200 18,700.00 3,740,000
47 Map Ordener F (2021) - 80 22,000.00 1,760,000 43 22,000.00 946,000 37
48 Buku Folio 100 (L) - - -
49 Buku Folio 100 (B) 284 18,700.00 5,310,800 - 269 18,700.00 5,030,300 15
50 Buku Folio 100 (2021) - 300 16,500.00 4,950,000 - 16,500.00 - 300
51 Buku Tulis (2021) - 50 4,500.00 270,000 60 4,500.00 270,000
52 Pensil Stedler 2B (L) - - -
53 Pensil Stedler 2B (B) 37 4,840.00 179,080 - 37 4,840.00 179,080
54 Pensil Stedler 2B (2021) - 40 11,500.00 225,000 17 11,500.00 193,500 7
55 Spidol Wheat Board exented (L) 34 9,000.00 306,000 - 34 9,000.00 306,000
56 Spidol Wheat Board exented (B) 40 9,900.00 396,000 - 40 9,900.00 396,000
57 Spidol Wheat Board exented (2021) - 25 16,500.00 460,000 - 16,500.00 - 40
58 Spidol Permanen (L) - - -
59 Spidol Permanen (B) 24 14,850.00 356,400 - 24 14,850.00 356,400
60 Spidol Permanen (2021) - 412,500 412,500
61 Spidol OHP Lepasan Snowman (2021) - 150 16,500.00 2,475,000 128 16,500.00 2,112,000 22
62 Stabilow Bos - 20 9,000.00 180,000 12 9,000.00 108,000 8
63 Steples HD 30 (L) - - -
64 Steples HD 30 (B) 40 85,800.00 3,432,000 - 40 85,800.00 3,432,000
65 Steples HD 30 (2021) - 40 93,000.00 3,720,000 24 93,000.00 2,232,000 16
66 Isi Steples HD 30 145 8,525.00 1,236,125 - 145 8,525.00 1,236,125
67 Isi Steples HD 30 (2021) - 150 8,800.00 1,320,000 8 8,800.00 70,400 142
68 Pelobang Kertas 35 21,450.00 750,750 - 35 21,450.00 750,750
69 Pelobang Kertas (2021) - 35 18,500.00 647,500 9 18,500.00 166,500 26
70 Penghapus 60 3,300.00 198,000 - 60 3,300.00 198,000
71 Penghapus (2021) - 60 3,300.00 198,000 29 3,300.00 95,700 31
72 Penggaris 49 8,140.00 398,860 - 49 8,140.00 398,860
73 Penggaris (2021) - 60 7,000.00 420,000 1 7,000.00 7,000 59
74 Tali Rafia (L) - - -
75 Tali Rafia (B) 11 24,750.00 272,250 - 9 24,750.00 222,750 2
76 Klip Segitiga no 3 (L) 128 3,100.00 396,800 - 128 3,100.00 396,800
77 Klip Segitiga no 3 (B) 350 3,410.00 1,193,500 - 228 3,410.00 777,480 122
78 Buku Agenda (L) 46 21,500.00 989,000 - 46 21,500.00 989,000
79 Buku Agenda (B) 50 23,650.00 1,182,500 - 3 23,650.00 70,950 47
80 Buku Agenda (2021) - 50 22,000.00 1,100,000 - 22,000.00 - 50
81 Bolpoint Biasa (L) - - -
82 Bolpoint Biasa (B) 38 4,950.00 188,100 - 38 4,950.00 188,100
83 Buku Expedisi (2021) - 10 21,000.00 210,000 4 21,000.00 84,000 6
84 foto copy 28,254 290.00 8,193,660 28,254 290.00 8,193,660
85 foto copy 34,138 290.00 9,900,020 34,138 290.00 9,900,020
86 foto copy 33,794 290.00 9,800,260 33,794 290.00 9,800,260
87 foto copy 33,449 290.00 9,700,210 33,449 290.00 9,700,210
88 jilid 1 paket 1,600,000.00 1,600,000 1 paket 1,600,000.00 1,600,000
89 fotocopy 23,333 290.00 6,766,570 23,333 290.00 6,766,570
90 fotocopy 15,554 290.00 4,510,660 15,554 290.00 4,510,660
ATK (BOK) -
91 Steples isi max no 10 - 40 3,300.00 132,000 30 3,300.00 99,000 10
92 Steples alat max no 10 - 6 59,500.00 357,000 6 59,500.00 357,000
93 Map Plastik Biasa Jepit.Snell - 20 10,000.00 200,000 20 10,000.00 200,000
94 Buku Folio - 15 16,500.00 247,500 15 16,500.00 247,500
95 Binder Clip Joyko/Kenko no. 260 - 40 3,100.00 310,000 50 3,100.00 155,000 50
96 Binder Clip Joyko/Kenko no. 155 - 40 2,000.00 100,000 30 2,000.00 60,000 20
97 Bolpoint Pilot Balliner 40 23,000.00 1,380,000 36 23,000.00 828,000 24
98 Bolpoint Paster 40 4,000.00 240,000 36 4,000.00 144,000 24
99 fotocopy 182 18,785.00 3,422,000 182 18,785.00 3,422,000
100 fotocopy data sik 401 18,785.00 7,540,000 401 18,785.00 7,540,000
101 fotocopy operasional puskesmas 290 18,785.00 5,447,780 290 18,785.00 5,447,780
102 fotocopy 296 18,785.00 5,568,000 296 18,785.00 5,568,000
ATK SARPRAS(DAK) - -
102 Map Kertas biasa (DAK) 24 550.00 13,200 - 24 550.00 13,200
103 Map Kertas Folio (2021) - 42,600 42,600
104 Klip Jepit Besar/ peper clip (B) 3 25,300.00 181,500 - 3 25,300.00 181,500
105 Steples alat no 10 5 3,520.00 75,900 - 5 3,520.00 75,900
106 Steples alat Mex No.10 (2021) - 330,000 330,000
107 Steples alat Mex No.30 (2021) - 186,000 186,000
108 Isi Steples HD 10 15 12,100.00 17,600 - 15 12,100.00 17,600
109 Isi Steples alat Max No. 10 (2021) - 95,700 95,700
110 Isi Steples alat Max No. 30 (2021) - 176,000 176,000
111 Binder 155 3 14,850.00 51,480 - 3 14,850.00 51,480
112 Binder 260 18 2,475.00 44,550 - 18 2,475.00 44,550
113 Spidol Permanen 26 1,980.00 44,550 - 26 1,980.00 44,550
114 Buku Folio (2021) - 130,000 130,000
115 Map Plastik Jepit (2021) - 220,000 220,000
116 Binder 155 (2021) 56,000 56,000
117 Binder 260 (2021) 111,600 111,600
118 perlengkapan atk kontrak 1,427,400 1,427,400
119 Bolpoint Snow BP 7 (2021) 108,000 108,000
120 Buku Agenda 100 66,000 66,000
121 Pensil Faber Castel 27,000 27,000
122 Penggaris Besi 60 cm 32,000 32,000
123 Retype Pemutih 75,000 75,000
124 Bantalan Stampel
125 Buku Tulis isi 50
126 Gunting SS1
127 Klip Seagull 3
128 Klip seagul 5
129 Lem Povinol K
130 foto copy 1,765,520 1,765,520
131 foto copy 2,900,000 2,900,000
ATK YANKES (DAK) -
132 Box File 22 20,200.00 444,400 2 20,200.00 40,400 20
133 Bolpoin snowman 19 3,800.00 72,000 10 3,800.00 38,000 9
134 Binder clip 68,200 68,200
135 Map clear holder 23 41,000.00 943,000 6 41,000.00 246,000 17
136 Map Kertas Folio 18 600.00 10,800 6 600.00 3,600 12
137 Map Plastik Biasa Jepit/snell 22 11,000.00 242,000 7 11,000.00 77,000 15
138 Foto copy Sk kegiatan 69,600 69,600
139 Foto copy Instrumen Monev 174,000 174,000
140 Foto copy SSB 20,300 20,300
141 Fotocopy juknis DAK NF 66,700 66,700
142 Foto copy spj mutu 624,570 624,570
Fotocopy Berita Acara Rekonsiliasi
143
Jumlah Peserta dan besaran Iuran JKN
Fotocopy Tagihan Iuran JKN PBI Daerah
144
Kab. Bangli
145 Fotocopy PKS Kegiatan JKN 2021
146 Fotocopy SK terkait kegiatan JKN 2021
147 Fotocopy kelengkapan administrasi pengajuan SPJ JKN 551,000 551,000
148 Spanduk 500,000 500,000
ATK KESGA dan GIZI - -
149 foto copy 2,225,750 2,225,750
150 cetak balok SKDN 6,875,000 6,875,000
ATK KESLING -
151 Cetak foto 400,000 400,000
152 Foto copy KKS 435,000 435,000
153 Foto copy Kualitas air 510,400 510,400
ATK KESGA gizi masyarakat - -
154 Fotocopy Laporan Anak
155 Fotocopy SPJ
156 Fotocopy Laporan Triwulan
157 Fotocopy Surat Pertemuan
158 Fotocopy Laporan KB
159 Fotocopy Pedoman MPDN
160 Fotocopy PWS KIA
161 Fotocopy Klaim Jampersal
162 Fotocopy Kasus Audit
163 Kohort Ibu 8,342,400 8,342,400
164 Kohort Bayi 8,342,400 8,342,400
165 Kohort Balita 9,732,800 9,732,800
166 Kartu tafsiran persalinan 3,267,000 3,267,000
167 Kartu perencanaan persalinan 1,990,890 1,990,890
168 Kartu Ibu 4,455,000 4,455,000
169 Bagan Manjemen Terpadu balita sakit 3,894,000 3,894,000
Daftar Tilik Penyeliaan Fasilitatif Asuhan
170 1,925,000
Persalinan Tingkat Polindes 1,925,000
Daftar Tilik Penyeliaan Fasilitatif
171 Program Kesehatan Ibu dan Anak 1,925,000
Tingkat Puskesmas 1,925,000
172 Daftar Tilik Penyeliaan Fasilitatif Asuhan 1,540,000

Persalinan Puskesmas Perawatan 1,540,000
173 Baliho 10,296,000 10,296,000
174 Brosur 30,459,000 30,459,000
175 Leaflet 21,450,000 21,450,000
176 Stiker 45,786,400 45,786,400
177 Rol Banner outdor 3,217,500 3,217,500
178 Spanduk Germas 9,350,000 9,350,000
179 Kartu PHBS di rumah tangga 11,616 1,925.00 22,360,800 1,925.00 22,330,000 16
- -
ATK P2M - -
180 Spanduk covid 1 Paket 9,102,500.00 9,102,500 - 1 Paket
181 Brosur -
182 Leaflet -
- -
ATK SDMK - -
183 Map zipper 2,047,500 2,047,500
184 Penghapus 346,500 346,500
185 Pensil 472,500 472,500
186 Note book 630,000 630,000
187 Pulpen 367,500 367,500
188 Penggaris 325,500 325,500
189 Spanduk Indoor 350,000 350,000
190 Spanduk Outdoor 450,000 450,000
- -
ATK IMUNISASI DAN SURVAILAN - -
191 Cetak stiker Imunisasi 90 5,000.00 450,000 - 5,000.00 - 90
192 Cetak Poster Imunisasi 134 10,000.00 1,340,000 - 10,000.00 - 134
193 Cetak Spanduk Penanganan Covid 50 187,000.00 9,350,000 - 187,000.00 - 50
194 Cetak sticker Penanganan Covid 2,269 4,840.00 10,981,960 - 4,840.00 - 2,269
195 Cetak Leaflet Covid 1,001 4,290.00 4,294,290 - 4,290.00 - 1,001
196 Cetak Spanduk 57 187,000.00 10,659,000 - 187,000.00 - 57
197 Cetak Sticker 1,007 4,840.00 4,873,880 - 4,840.00 - 1,007
198 Cetak Leaflet Covid 1,000 4,290.00 4,290,000 - 4,290.00 - 1,000
199 Cetak Pengantar Sampel 546 495.00 270,270 - 495.00 - 546
200 Cetak Form Imunisasi 100 49,500.00 4,950,000 - 49,500.00 - 100
201 Cetak stiker surveilan -
202 Cetak poster Suervailan -
- -
BARANG CETAKAN rutin - -
203 Map Dinas - - -
204 Blanko izin - 2 127,500.00 255,000 2 127,500.00 255,000.00
205 Buku kas Umum - 6 212,500.00 1,275,000 6 212,500.00 1,275,000.00
206 Buku Lembar Disposisi - 83 25,500.00 2,116,500 83 25,500.00 2,116,500.00
207 Surat Keluar - 50 13,600.00 680,000 50 13,600.00 680,000.00
208 Buku Lembar Disposisi - - -
209 Buku SBBK - - -
210 Kartu Gudang/Barang 1 135,000.00 135,000 - 1 135,000.00 135,000.00
211 Buku Pengantar - - -
212 Stiker TPM 400 2,500.00 1,000,000 - 400 2,500.00 1,000,000.00
Cetak Lembar Verifikasi STBM
213
Pengamatan/Pilar 1 503 400.00 201,200 - 503 400.00 201,200.00
214
215
216
217
Buku Instrumen Penilaian Puskesmas
218
Berprestasi 48 50,000.00 2,400,000 - 48 50,000.00 2,400,000.00
Buku Pedoman Algoritma
219
Kegawatdaruratan Medik Melalui NCC 39 159,500.00 6,220,500 - 39 159,500.00 6,220,500.00
220 Buku Pedoman Teknis Ambulance 39 170,500.00 6,649,500 - 39 170,500.00 6,649,500.00
221 Stiker KTR 4336 8,800.00 38,156,800 - - 4,336
222 Spanduk KTR 72 187,000.00 13,464,000 - - 72
223 Baliho KTR - - -
224 Buku Monitoring FR PTM - - -
225 Poster TBC 250 10,000.00 2,500,000 - - 250
226 Leaflet TBC 1000 4,500.00 4,500,000 - - 1,000
Cetak Spanduk DBD dan HIV (400 X
227
100 cm) 53 187,000.00 9,911,000 - - 53
228 Cetak Leaflet HIV 11000 3,960.00 43,560,000 - - 11,000
229 Cetak Stiker HIV 7000 3,575.00 25,025,000 - - 7,000
230 Cetak Poster (32cm X 48cm) 2450 9,900.00 24,255,000 - - 2,450
231 Cetak Buku Saku 1000 62,700.00 62,700,000 - - 1,000
232 Cetak Banner (160 X 60 cm ) 38 231,000.00 8,778,000 - - 38
233 Cetak Stiker Imunisasi 900 3,960.00 3,564,000 - - 900
234 Cetak Poster Imunisasi 900 9,900.00 8,910,000 - - 900
235 Cetak Stiker AFP 500 5,000.00 2,500,000 - - 500
236 Cetak Poster AFP 500 10,000.00 5,000,000 - - 500
Spanduk Penanggulangan Wabah (400
237
x100 cm) 58 187,000.00 10,846,000 - - 58
238 Leaflet Penanggulangan Wabah 4000 3,960.00 15,840,000 - - 4,000
239 Stiker Penanggulangan Wabah 4000 3,575.00 14,300,000 - - 4,000
Buku Petunjuk Teknis Makanan
240 - - -
Tambahan
241 Buku Penentu Status Gizi 344 357,500.00 122,980,000 - - 344
242 Cetak Stiker Desa Siaga - - -
243 Cetak Leaflet Desa Siaga - - -
244 Buku Catatan Kesehatanku Murid SD - - -
245 Buku Catatan Informasi Murid SD - - -
246 Buku Catatan Kesehatanku Murid SMP - - -
247 Buku Catatan Informasi Murid SMP - - -
BARANG KUASI/KARCIS (RUTIN) - -
248 Karcis Rawat Jalan 70250 79.20 5,563,800.00 - 31,100 79.20 2,463,120.00 39,150
249 Karcis Rawat Inap 15100 79.20 1,195,920.00 - 100 79.20 7,920.00 15,000
Karcis Rawat Inap Khusus Bayi
250
Bergabung 15200 79.20 1,203,840.00 - 100 79.20 7,920.00 15,100
Karcis Tindakan Medik Operatif
251
Terencana 13600 79.20 1,077,120.00 - 5,600 79.20 443,520.00 8,000
252 Karcis Tarif Pemeriksaan Lab 15200 79.20 1,203,840.00 - 1,600 79.20 126,720.00 13,600
253 Pemeriksaan Keterangan Kesehatan 8400 79.20 665,280.00 - 1,400 79.20 110,880.00 7,000
254 Pelayanan Kebidanan 19000 84.50 1,605,500.00 - 600 84.50 50,700.00 18,400
255 Lab Laboratorium Daerah 500 84.50 42,250.00 - 500 84.50 42,250.00 -
256 Blangko TTUK 78 17,000.00 1,326,000.00 - 30 17,000.00 510,000.00 48
BARANG KUASI/KARCIS (UPTD - -
Laboratorium Kesehatan)
257 Lab Laboratorium Daerah 325 84.50 27,462.50 325 84.50 27,462.50
258 Blangko TTUK 1 17,000.00 17,000.00 - 1 17,000.00 17,000.00
259 Fotocopy - 420,500 420,500.00
260 Penjilidan - 1,667,500 1,667,500.00
CETAK Kalender PEMDA - - -
261 Kalender 2022 - - -
penyakit tidak menular
262 binder clip joyko 155 8,000 8,000.00
263 Binder 260 92,200 92,200.00
264 Map Plastik biasa snell 440,000 440,000.00
265 Steples max isi no 10 105,600 105,600.00
266 foto copy dokumen bukti pembelian atk 145,000 145,000.00
Foto copy dokumen bukti pembelian
267 145,000 145,000.00
natura
268 Fotocopy bahan materi KTR 297,830 297,830.00
269 cetak stiker KTR 9,170,000 9,170,000.00
270 cetak buku monitoring PTM 31,504,000 31,504,000.00
Gudang Farmasi
271 Foto copy 5,075,000 5,075,000.00
272 alat tulis kantor pendistribusian obat 1 paket 4,016,600.00 4,016,600 1 paket 4,016,600.00 4,016,600.00
TOTAL ALAT TULIS KANTOR
501,938,027.50 443,373,520.00 426,868,857.50
DINKES
PUSKESMAS
ATK PUSKESMAS BANGLI
ATK BOK
1 Buku Kas 5 31,900.00 159,500.00 5 31,900.00 159,500.00
2 Buku HC Paper Line Ekspedisi 5 21,000.00 105,000.00 5 21,000.00 105,000.00
3 Buku Tulis Sidu 160 5,100.00 816,000.00 160 5,100.00 816,000.00
4 Binder No. 260 420 2,475.00 1,039,500.00 420 2,475.00 1,039,500.00
5 Map Kertas Folio 312 550.00 171,600.00 312 550.00 171,600.00
6 Paper Clip Vis-1 No 5 93 4,500.00 418,500.00 93 4,500.00 418,500.00
7 Staples Isi No 10 120 3,500.00 420,000.00 120 3,500.00 420,000.00
8 foto copy 10,433 290.00 3,025,570.00 10,433 290.00 3,025,570.00
9 cetak 33 25,000.00 825,000.00 33 25,000.00 825,000.00
ATK JKN
8 Buku Kas 10 28,300.00 283,000.00 10
9 Bantalan Stempel 5 12,500.00 62,500.00 5 12,500.00 62,500.00
10 Buku Folio (100) 20 16,500.00 330,000.00 20 16,500.00 330,000.00
11 Binder Clip No. 107 200 1,750.00 350,000.00 200 1,750.00 350,000.00
12 Binder Clip No. 155 200 2,000.00 400,000.00 200 2,000.00 400,000.00
13 Binder Clip No. 260 200 3,100.00 620,000.00 200 3,100.00 620,000.00
14 Klip Sea Gull Trigonal No 3 25 3,500.00 87,500.00 25 3,500.00 87,500.00
15 Map Kertas Folio 200 550.00 110,000.00 200 550.00 120,000.00 400 550.00 230,000.00
16 Spidol 12 Warna 7 19,000.00 133,000.00 7 19,000.00 133,000.00
17 Steples Alat Kangroo No 10 20 25,000.00 500,000.00 20 25,000.00 500,000.00
18 Steples Alat Max (B) Asli 5 93,000.00 465,000.00 5 93,000.00 465,000.00
19 Steples Isi Max No.10 200 3,500.00 700,000.00 200 3,500.00 700,000.00
21 Tinta Stempel Zenith 10 9,000.00 90,000.00 10 9,000.00 90,000.00
22 Tipp-Ex Kenko Botol/Retype Botol 25 12,000.00 300,000.00 25 12,000.00 300,000.00
23 Blangko Resep 9 110,000.00 990,000.00 50 14,000.00 700,000.00 9 110,000.00 990,000.00 50
24 Cetak Blangko Disposisi 5 75,000.00 375,000.00 5 75,000.00 375,000.00
25 Cetak Register Rawat Jalan 36 118,000.00 2,700,000.00 27 118,000.00 590,000.00 37 75,000.00 2,818,000.00 4
26 Cetak Amplop Coklat Logo Puskesmas 800 900.00 720,000.00 800
27 Cetak Surat Keterangan Sehat 5 140,000.00 700,000.00 700,000.00
28 Cetak Surat Keterangan Istirahat 2 140,000.00 280,000.00 280,000.00
29 Cetak Brosur 203 3,500.00 710,500.00 710,500.00
30 Cetak Kohort Bayi 5 68,000.00 340,000.00 340,000.00
31 Cetak Kohort Balita 5 68,000.00 340,000.00 340,000.00
32 Cetak Kohort Ibu 5 68,000.00 340,000.00 340,000.00
33 Stiker CM/Rekam Medis 500 3,300.00 1,650,000.00 1,650,000.00
34 Fotokopi 35,000 290.00 10,150,000.00 10,150,000.00
35 Jilid 120 20,000.00 2,400,000.00 2,400,000.00
36 Karcis Rawat Jalan 535 79.20 42,372.00 535 79.20 42,372.00
37 Karcis Tarif Medik 530 79.20 41,976.00 304 79.20 24,076.80 26
38 Karcis Pemeriksaan Kesehatan 178 79.20 14,097.60 178 79.20 14,097.60
39 Karcis Lab 172 79.20 13,622.40 38 79.20 3,009.60 134
TOTAL ATK PUSK BANGLI 7,762,168.00 27,043,070.00 32,601,726.00
ATK PUSKESMAS BANGLI UTARA

ALAT TULIS KANTOR JKN
1 Map kertas Folio 15 550.00 8,250 94 600.00 56,400 105 600.00 62,250.00 4
2 Map Bussines file 28 5,500.00 154,000 28 5,500.00 154,000.00
3 Steples Isi Max No 10 1 3,250.00 3,520 20 3,500.00 70,000 20 3,500.00 70,020.00 1
4 Tinta Stempel Art Line 1 44,000.00 44,000 1 44,000.00 44,000.00
5 Bantalan Stempel (K) 2 12,500.00 25,000 2 12,500.00 25,000.00
6 Binder Clip Joyko/kenko 260 30 3,100.00 93,000 25 3,100.00 77,500.00 5
7 Buku Folio (100) 10 16,500.00 165,000 10 16,500.00 165,000.00
8 Buku Kas Folio 3 28,300.00 84,900 3 28,300.00 84,900.00
9 Klip sea gull 30 3,500.00 105,000 25 3,500.00 87,500.00 5
10 Penggaris 100 cm Mika 2 8,500.00 17,000 2 8,500.00 17,000.00
11 Prefurator K 30 XL 1 18,500.00 18,500 1 18,500.00 18,500.00
12 Spidol Permanen G 12 5 16,500.00 82,500.00 5 16,500.00 82,500.00
13 Steples Alat Max No.10 (K) Asli 3 68,000.00 204,000.00 3 68,000.00 204,000.00
14 Tipp Ex Kenko Botol/Retype Botol 6 8,000.00 48,000.00 5 8,000.00 40,000.00 1
15 Cetak Blangko Surat Keterangan Sakit 1 150,000.00 150,000.00 1 150,000.00 150,000.00
16 Cetak Blangko Surat Keterangan Sehat 1 150,000.00 150,000.00 1 150,000.00 150,000.00
Cetak Form.Persetujuan/Penolakan
17 1 150,000.00 150,000.00 1 150,000.00 150,000.00
Tind.Medis
18 Cetak Form. Rawat Jalan 6 150,000.00 900,000.00 6 150,000.00 900,000.00
19 Cetak Kartu Pengenal Pasien 786 500.00 393,000.00 786 500.00 393,000.00
20 Cetak Kartu Stok Obat 387 1,500.00 580,500.00 387 1,500.00 580,500.00
21 Cetak Map Rekam Medis 1,000 8,000.00 8,000,000.00 1,000 8,000.00 8,000,000.00
22 Cetak Resep Pasien 100 14,000.00 1,400,000.00 100 14,000.00 1,400,000.00
23 Poto copy Absen 500 290.00 145,000.00 500 290.00 145,000.00
Poto copy blangko Survey Kepuasan
24 1,000 290.00 290,000.00 1,000 290.00 290,000.00
Masyarakat
25 Poto copy Nota SPJ 250 290.00 72,500.00 250 290.00 72,500.00
26 Poto copy Kontrak 250 290.00 72,500.00 250 290.00 72,500.00
27 Jilid Profil 4 20,000.00 80,000.00 4 20,000.00 80,000.00
28 Jilid PTP 4 20,000.00 80,000.00 4 20,000.00 80,000.00
29 Jilid SPJ JKN 2 20,000.00 40,000.00 2 20,000.00 40,000.00
30 Jilid Kontrak 20 20,000.00 400,000.00 20 20,000.00 400,000.00
ALAT TULIS KANTOR BOK

31 Binder klip no 105 Kenko 5 1,300.00 6,500.00 5 1,300.00 6,500.00
32 Binder klip no 155 Kenko 5 2,000.00 10,000.00 5 2,000.00 10,000.00
33 Binder klip no 260 Kenko 10 2,475.00 24,750.00 122 3,100.00 378,200.00 120 3,100.00 365,750.00 12
34 Staples isi Max/Drupa No 10 22 3,500.00 77,000.00 22 3,500.00 77,000.00
35 Map kertas Folio 4 550.00 2,200.00 200 600.00 120,000.00 154 600.00 92,200.00 50
36 Klip Sea Gull No.3 22 3,500.00 77,000.00 20 3,500.00 70,000.00 2
37 Lem Povinal T 2 6,000.00 12,000.00 2 6,000.00 12,000.00
38 Fotocopy/print ukuran F4 B/W 8,602 290.00 2,494,580.00 8,602 290.00 2,494,580.00
39 Cetak Brosur 4,943 4,900.00 24,220,700.00 4,943 4,900.00 24,220,700.00
40 Cetak Spanduk Outdoor 2 445,000.00 890,000.00 2 445,000.00 890,000.00
41 Cetak Stiker 598 10,000.00 5,980,000.00 598 10,000.00 5,980,000.00
42 Karcis Rawat jalan 1088 79.20 86,169.60 1,088 79.20 86,169.60

43 Karcis Tindakan Medik 601 79.20 47,599.20 122 79.20 9,662.40 479
44 Karcis Pemeriksaan Lab 100 79.20 7,920.00 37 79.20 2,930.40 63
45 Karcis Pemeriksaan Keterangan 135 79.20 10,692.00 49 79.20 3,880.80 86
46 Blanko TTUK
TOTAL ATK Pusk.Bangli Utara 438,600.80 48,089,280.00 48,357,043.20
ATK PUSKESMAS TEMBUKU I

1. ATK JKN
1 BUKU FOLIO (100) 32 18,700.00 598,400 25 16,500.00 412,500 57 16,500.00 1,010,900
2 BUKU KAS FOLIO(100) 5 32,000.00 160,000 6 28,300.00 169,800 11 28,300.00 329,800
3 MAP KERTAS FOLIO 30 550.00 16,500 60 600.00 36,000 90 600.00 52,500
4 TIP EX KENKO BOTOL 6 7,425.00 44,550 10 8,000.00 80,000 16 8,000.00 124,550
5 TIP EX KENKO BOTOL SET 1 7,425.00 7,425 - - 1 7,425
6 STEPLES ALAT NO. 10 HD HALUS 5 25,300.00 126,500 10 55,500.00 555,000 15 55,500.00 681,500
7 STEPLES ISI 40 3,520.00 140,800 49 3,500.00 171,500 89 3,500.00 175,800 39
8 BUKU EXPEDISI (100) 2 12,000.00 24,000 3 21,000.00 63,000 5 21,000.00 87,000
9 LEM GLUKOL TANGGUNG 1 10,000.00 10,000 5 12,500.00 62,500 6 12,500.00 72,500
10 TINTA STEMPEL ZENITH 1 9,000.00 9,000 5 9,000.00 45,000 6 9,000.00 54,000
11 BANTALAN STEMPEL ART LINE 2 36,000.00 76,000 2 40,000.00 80,000 4 40,000.00 156,000
12 SPIDOL WHITE BOARD 10 9,900.00 99,000 10 11,500.00 115,000 20 11,500.00 214,000
13 MAP CLEAR HOLDER (2019) 24 33,000.00 792,000 - - 24 33,000.00 792,000
14 MAP CLEAR HOLDER (2020) 10 31,500.00 315,000 - - 10 31,500.00 315,000
15 MAP BUFFALOW SNELLECHTER 54 3,000.00 162,000 - - 54 3,000.00 162,000
16 MAP PLASTIK BIASA JEPIT 63 11,500.00 724,500 50 11,000.00 550,000 113 11,000.00 1,274,500
17 MAP SEMINAR 8 38,000.00 304,000 - - 8 38,000.00 304,000
18 KLIP JEPIT KECIL 105 KENKO 36 1,300.00 46,800 158 1,200.00 189,600 194 1,200.00 236,400
19 BUKU AGENDA 1 23,650.00 23,650 4 22,000.00 88,000 5 22,000.00 111,650
20 PERFURATOR 2 21,425.00 42,850 - - 2 42,850.00 42,850
21 PENGGARIS 30 CM 3 3,300.00 9,900 - - 3 9,900.00 9,900
22 PENGGARIS BESI 30 CM 4 5,000.00 20,000 - - 4 20,000.00 20,000
23 CAP PUSKESMAS 1 50,000.00 50,000 - - 1 50,000.00 50,000
24 BOX FILE PLASTIK 36 25,000.00 900,000 - - 36 900,000.00 900,000
25 LABEL HARGA 108 7 5,000.00 35,000 - - 7 35,000.00 35,000
26 LEM PROVINAL K 4 5,000.00 20,000 - - 4 20,000.00 20,000
27 PAKU ARSIP SURAT 3 10,500.00 31,500 - - 3 31,500.00 31,500
28 PAKU PINES PUTIH WARNA 3 2,900.00 8,700 - - 3 8,700.00 8,700
29 PEMBUKA KACIP 2 43,000.00 86,000 - - 2 86,000.00 86,000
30 GUNTING KERTAS 1 14,850.00 14,850 - - 1 14,850.00 14,850
31 PENGHAPUS PAPAN WB 1 5,000.00 5,000 - - 1 5,000.00 5,000
32 PLAK BAN BENING COKLAT 1 15,000.00 15,000 - - 1 15,000.00 15,000
33 PLAK BAN JILID 1" HITAM 1 11,800.00 11,800 - - 1 11,800.00 11,800
34 POST IT 4 16,000.00 64,000 - - 4 64,000.00 64,000
35 SPIDOL ART LINE 70 8 9,000.00 72,000 - - 8 72,000.00 72,000
36 LABEL HARGA 3 5,000.00 15,000 - - 3 15,000.00 15,000
2. ATK BOK
37 STEPLES ALAT MAX No.10 (K) ASLI 2 25,300.00 50,600 - - 2 25,300.00 50,600
38 STEPLES ISI NO 10 48 3,520.00 168,960 - - 48 3,520.00 168,960
39 KLIP SEAGULL 1 4,500.00 4,500 - - 1 4,500.00 4,500
40 BOLPOINT FASTER 71 3,500.00 248,500 - - 71 3,500.00 248,500
41 BUKU FOLIO (100) MIRAGE 2 19,000.00 38,000 - - 2 19,000.00 38,000
42 BUKU FOLIO (200) MIRAGE 4 32,000.00 128,000 - - 4 32,000.00 128,000
43 TIP EX KENKO 2 7,425.00 14,850 - - 2 7,425.00 14,850
44 LEM PROVINAL (T) 2 6,875.00 13,750 - - 2 6,875.00 13,750
45 TINTA STEMPEL 1 8,910.00 8,910 - - 1 8,910.00 8,910
46 BUKU KAS FOLIO (100) 2 31,900.00 63,800 - - 2 31,900.00 63,800
47 BANTALAN STEMPEL (k) 2 10,000.00 20,000 - - 2 10,000.00 20,000
48 BUKU TULIS ISI 50 64 5,000.00 320,000 - - 64 5,000.00 320,000
49 MAP PLASTIK BIASA JEPIT 27 12,100.00 326,700 - - 27 12,100.00 326,700
50 MAP KERTAS FOLIO 246 550.00 135,300 - - 246 550.00 135,300
51 BNDER KLIP KENKO NO.155 48 2,000.00 96,000 - - 48 2,000.00 96,000
52 BINDER KLIP KENKO NO.260 20 2,500.00 50,000 - - 20 2,500.00 50,000
53 BINDER KLIP KENKO NO.105 140 550.00 77,000 - - 140 550.00 77,000
BARANG CETAKAN JKN
54 REGISTER RAWAT JALAN 11 120,000.00 1,320,000 9 118,000.00 1,062,000 20 118,000.00 2,382,000
55 CETAK KARTU RAWAT JALAN 1000 2,000.00 2,000,000 5,000 1,500.00 7,500,000 6,000 1,500.00 9,500,000
56 SURAT KETERANGAN SEHAT 3 125,000.00 375,000 3 37,000.00 111,000 6 37,000.00 486,000
57 SURAT KETERANGAN SAKIT 2 125,000.00 250,000 2 37,000.00 74,000 4 37,000.00 324,000
58 KARTU LEMBAR DISPOSISI 5 66,800.00 334,000 5 25,000.00 125,000 10 25,000.00 459,000
59 KARTU STOK OBAT (2019) 750 1,000.00 750,000 - 750 750,000
60 KARTU STOK OBAT (2020*) 500 1,800.00 900,000 - 500 900,000
61 KARTU STOK OBAT (2020**) 200 2,000.00 400,000 500 1,500.00 750,000 700 1,500.00 1,150,000
62 BUKU SBBK (2019) 1 25,000.00 25,000 - 1 25,000
63 BUKU SBBK (2020) 15 65,000.00 975,000 15 24,000.00 360,000 30 24,000.00 1,335,000
64 REGISTER RUJUKAN PASIEN 2 120,000.00 240,000 2 118,000.00 236,000 4 118,000.00 476,000
65 KARTU STOK BARANG 500 1,750.00 875,000 500 1,500.00 750,000 1,000 1,500.00 1,625,000
66 BLANKO RKHP 1 125,000.00 125,000 - - 1 125,000
67 INFORM CONCENT 1 125,000.00 125,000 1 185,000.00 185,000 2 185,000.00 310,000
68 BLANKO PEMERIKSAAAN IVA 1 125,000.00 125,000 1 185,000.00 185,000 2 185,000.00 310,000
69 CETAK RESEP 42 65,000.00 2,730,000 100 20,000.00 2,000,000 142 20,000.00 2,970,000 88
70 BLANKO CUTI TAHUNAN 1 125,000.00 125,000 1 185,000.00 185,000 2 185,000.00 310,000
71 FAMILY FOLDER 500 5,000.00 2,500,000 3,670 5,000.00 18,350,000 4,170 5,000.00 20,850,000
BLANGKO KUESIONER KEPUASAN
72
PELANGGAN - - 4 185,000.00 740,000 4 185,000.00 740,000
73 BELANJA PENJILIDAN - - 23 10,000.00 230,000 23 10,000.00 230,000
74 BLANGKO HASIL PEMERIKSAAN LAB - - 1 185,000.00 185,000 1 185,000.00 185,000.00
75 BLANGKO LAPORAN ANAK - - 4 185,000.00 740,000 4 185,000.00 740,000.00

PENGKAJIAN AWAL KLINIS PASIEN
76
ANAK-ANAK - - 5 185,000.00 925,000 5 185,000.00 925,000.00
PENGKAJIAN AWAL KLINIS PASIEN
77
DEWASA - - 10 185,000.00 1,850,000 10 185,000.00 1,850,000.00
78 KARTU GOLONGAN DARAH - - 256 1,000.00 256,000 256 1,000.00 256,000.00

BARANG CETAKAN KUASI
79 KARCIS RAWAT JALAN 872 79.20 69,062 2,000 79.20 872 79.20 69,062.40 -
80 KARCIS TINDAKAN MEDIK 577 79.20 45,698 - 79.20 87 79.20 6,890.40 490
KARCIS PEMERIKSAAN
81
KETERANGAN SEHAT 130 79.20 10,296 500 79.20 130 79.20 10,296.00 -
82 KARCIS PEMERIKSAAN LAB 156 79.20 12,355 200 79.20 109 79.20 8,632.80 47
83 BLANGKO TTUK - -
TOTAL ATK Pusk. Tembuku I 21,158,007 39,416,900 58,635,876.60
ATK PUSKESMAS TEMBUKU II

I ATK
1 Buku Folio (100) 50 16,500.00 825,000 20 16,500.00 330,000.00 30
2 Ballpoin Faster CX-608 Black 100 5,005.00 500,500 40 5,005.00 200,200.00 60
3 Penghapus Papan WB (P) 10 9,020.00 90,200 4 9,020.00 36,080.00 6
4 Prefurator 850 10 154,000.00 1,540,000 3 154,000.00 462,000.00 7
5 Amplop Surat Casing B 15 37,950.00 569,250 5 37,950.00 189,750.00 10
6 Balpoin Pilot Balliner 50 27,500.00 1,375,000.00 15 27,500.00 412,500.00 35
7 Bantalan Stempel (B) 25 12,980.00 324,500.00 5 12,980.00 64,900.00 20
8 Binder Clip Joyko/Kenko No.155 205 1,980.00 405,900.00 43 1,980.00 85,140.00 162
9 Binder Clip Joyko/Kenko No.260 50 3,190.00 159,500.00 50 3,190.00 159,500.00 -
10 Box File Bontex 97 42,020.00 4,075,940.00 17 42,020.00 714,340.00 80
11 Buku Agenda K / M NN (100) 2 22,000.00 44,000.00 2 22,000.00 44,000.00 -
12 Buku Ekspedisi (100) 1 21,010.00 21,010.00 1 21,010.00 21,010.00 -
13 Buku Folio (200) 100 32,560.00 3,256,000.00 40 32,560.00 1,302,400.00 60
14 Buku Kas Folio (100) Mirage 3 28,325.00 84,975.00 3 28,325.00 84,975.00 -
15 Burung Garuda 50 Cm 2 231,000.00 462,000.00 2 231,000.00 462,000.00 -
16 Gambar Presiden, Wakil dan Bingkai ukuran 37x51cm 4 401,500.00 1,606,000.00 4 401,500.00 1,606,000.00 -
Gunting G XL
17
Joyko 848 GS
25 13,200.00 330,000.00 8 13,200.00 105,600.00 17
18 Isolasi Bolak Balik 2 Inch joyko 10 22,000.00 220,000.00 4 22,000.00 88,000.00 6
Klip sea gull
19
trigonal clips No. 5
100 3,960.00 396,000.00 20 3,960.00 79,200.00 80
Klip sea gull
20
trigonal clips No. 3
100 3,300.00 330,000.00 20 3,300.00 66,000.00 80
21 Lem Povinal K 30 6,050.00 181,500.00 10 6,050.00 60,500.00 20
22 Lem UHU T (7 ML) 10 22,550.00 225,500.00 4 22,550.00 90,200.00 6
Map Business File
23
Map busines file plastik ukuran folio
3,000 3,960.00 11,880,000.00 800 3,960.00 3,168,000.00 2,200
24 Map Clear Holder (60) 200 40,975.00 8,195,000.00 40 40,975.00 1,639,000.00 160
25 Map Kertas Folio 1,011 594.00 600,534.00 211 594.00 125,334.00 800
26 Map Plastik biasa jepit/snell 151 11,000.00 1,661,000.00 51 11,000.00 561,000.00 100
27 Penggaris Besi 100 cm 10 43,450.00 434,500.00 5 43,450.00 217,250.00 5
28 Penggaris Besi 30 cm 30 8,800.00 264,000.00 10 8,800.00 88,000.00 20
29 Plak ban jilid 2 Inch hitam daimaru 25 21,010.00 525,250.00 7 21,010.00 147,070.00 18
30 Retype Pemutih/Set 30 14,960.00 448,800.00 5 14,960.00 74,800.00 25
31 Spidol Permanen G 12 30 16,500.00 495,000.00 20 16,500.00 330,000.00 10
32 Spidol White Board Snowman 50 11,550.00 577,500.00 20 11,550.00 231,000.00 30
33 Stempel Dinas 12 74,800.00 897,600.00 12 74,800.00 897,600.00 -
34 Steples Alat Max No.10 (K) Asli 50 67,980.00 3,399,000.00 20 67,980.00 1,359,600.00 30
35 Steples Alat Max No. 30 (B) Asli 25 88,000.00 2,200,000.00 5 88,000.00 440,000.00 20
36 Steples Isi No.3 30 8,800.00 264,000.00 10 8,800.00 88,000.00 20
37 Steples Isi No. 10 70 3,300.00 231,000.00 15 3,300.00 49,500.00 55
38 Tinta Stempel 30 8,800.00 264,000.00 12 8,800.00 105,600.00 18
39 Map Rekam Medis 830 2,500.00 2,075,000.00 530 2,500.00 1,325,000.00 300
40 Blangko Resep 1/4 Folio isi 100 40 12,500.00 500,000.00 40 12,500.00 500,000.00 -
41 Blangko Resep Rujukan 1/4 folio isi 100 65 12,500.00 812,500.00 65 12,500.00 812,500.00 -
Blangko resep Permintaan Obat Pasien
42 25 12,500.00 312,500.00 25 12,500.00 312,500.00 -
1/4 Folio isi 100
43 Cetak Resep 1/3 Folio 300 29,000.00 8,700,000.00 25 29,000.00 725,000.00 275
44 Karcis Rawat Jalan Umum 2162 79.20 171,230.40 2,162 79.20 171,230.40 -
45 Karcis Tindakan Medik Operatif Terenca 3502 79.20 277,358.40 722 79.20 57,182.40 2,780
46 Karcis Pemeriksaan Kesehatan 290 79.20 22,968.00 138 79.20 10,929.60 152
47 Karcis Pelayanan Kebidanan 270 84.50 22,815.00 4 84.50 338.00 266
48 Karcis Bayi Bergabung 265 79.20 20,988.00 4 79.20 316.80 261
49 Karcis Rawat Inaf Umum 213 79.20 16,869.60 9 79.20 712.80 204
50 Karcis Lab 599 79.20 47,440.80 120 79.20 9,504.00 479
51 Fotocopy F4 (BOK) 2,000 350.00 700,000.00 2,000 350.00 700,000.00 -
52 Cetak Stiker Pis PK (BOK) 1,000 2,750.00 2,750,000.00 1,000 2,750.00 2,750,000.00 -
53 Cetak Leflet (BOK) 500 4,500.00 2,250,000.00 500 4,500.00 2,250,000.00 -
54 Fotocopy/Print BW (BOK) 1,000 350.00 350,000.00 1,000 350.00 350,000.00 -
55 Balpoint F5 (BOK) 100 3,800.00 380,000.00 100 3,800.00 380,000.00 -
56 Map Snelhecter polio Biasa (BOK) 400 2,500.00 1,000,000.00 22 2,500.00 55,000.00 422 2,500.00 1,055,000.00 -
TOTAL ATK Pusk. Tembuku II 5,279,670.20 64,544,959.00 27,596,263.00
ATK PUSKESMAS SUSUT I

A ATK BOK
1 Bolpoint Faster QC 6000 52 4,200.00 218,400 - 52 4,200.00 218,400
2 Buku Blok Note ABC 52 7,800.00 405,600 - 52 7,800.00 405,600
3 Pensil Biru Lumograph 2B 52 4,750.00 247,000 - 52 4,750.00 247,000
B ATK JKN
4 Box file/TK Jongkok 100 buah 23,000.00 2,300,000.00 100 buah 23,000.00 2,300,000.00
5 Buku Register Poli 20 buah 118,000.00 2,360,000.00 20 buah 118,000.00 2,360,000.00
6 Rekam Medik Pasien Rawat Inap 20 buah 14,500.00 290,000.00 20 buah 14,500.00 290,000.00
7 Family Folder 2000 buah 18,200.00 36,400,000.00 2000 buah 18,200.00 36,400,000.00
8 Kartu Golongan Darah 300 lembar 1,000.00 300,000.00 300 lembar 1,000.00 300,000.00
9 Kartu Stok Obat 200 lembar 1,500.00 300,000.00 200 lembar 1,500.00 300,000.00
10 Kartu Tanda Pengenal Pasien 600 lembar 1,000.00 600,000.00 600 lembar 1,000.00 600,000.00
11 Resep 62 buku 24,000.00 1,488,000.00 62 buku 24,000.00 1,488,000.00
12 Surat Keterangan Istirahat 1 rim 185,000.00 185,000.00 1 rim 185,000.00 185,000.00
13 Kartu Keterangan Sehat 1 rim 185,000.00 185,000.00 1 rim 185,000.00 185,000.00
14 Register Rawat Jalan 10 buku 118,000.00 1,180,000.00 3 buku 118,000.00 354,000.00 7
C KARCIS
15 Karcis Rawat Jalan 826 lembar 79.20 65,419.20 826 79.20 65,419.20
16 Karcis Rawat Inap 401 lembar 79.20 31,759.20 8 79.20 633.60 393
17 Karcis Tindakan Medik 573 lembar 79.20 45,381.60 573 79.20 45,381.60 -
18 Karcis Pemeriksaan Lab 239 lembar 79.20 18,928.80 - - 79.20 - 239
19 Karcis Pemeriksaan Kesehatan 441 lembar 79.20 34,927.20 - 244 79.20 19,324.80 197
20 Karcis Pelayanan Kebidanan 81 lembar 84.50 6,844.50 - 2 84.50 169.00 79
21 Karcis TRI Bayi Bergabung 192 lembar 79.20 15,206.40 - 11 79.20 871.20 181
22 Blanko ttuk
D Hut Bangli
22 Spanduk - 1 buah 100,000.00 100,000.00 1 buah 100,000.00 100,000.00
E Hut RI
22 Spanduk - 1 buah 100,000.00 100,000.00 1 buah 100,000.00 100,000.00
TOTAL ATK Pusk. SUSUT I 1,089,466.90 45,788,000.00 45,964,799.40
ATK PUSKESMAS SUSUT II

ATK JKN
1 Buku Folio 100 49 19,000.00 931,000 - 19,000.00 - 9 19,000.00 171,000 40
2 Spidol Permanent G12 61 16,500.00 1,012,500 30 16,500.00 495,000 61 16,500.00 1,012,500 30
3 Map Kertas Folio 598 600.00 359,000 500 600.00 300,000 525 600.00 315,200 573
4 Map Snel Folio Biasa 40 11,000.00 438,000 22 11,000.00 240,000 2 11,000.00 18,000 60
5 Buku Exspedisi 19 18,947.37 360,000 - 19 18,947.37 360,000
6 tipe ex 34 8,000.00 274,200 24 8,000.00 192,000 34 8,000.00 274,200 24
7 Steples alat max 10 13 55,500.00 735,000 5 55,500.00 277,500 13 55,500.00 735,000 5
8 Bantalan Stempel K 14 11,000.00 151,000 - 11,000.00 - 9 11,000.00 96,000 5
9 Tinta Stempel 8 13,000.00 98,000 10 13,000.00 130,000 8 13,000.00 98,000 10
10 Lem glukol B 9 9,500.00 85,500 - 9,500.00 - - 9,500.00 - 9
11 Buku Folio 200 26 32,500.00 840,000 10 32,500.00 325,000 26 32,500.00 840,000 10
12 Tinta Spidol Wibi 10 14,100.00 141,000 - 10 14,100.00 141,000
13 Map Plstik Jepit Snel 154 11,000.00 1,690,500 60 11,000.00 660,000 154 11,000.00 1,690,500 60
14 Pelubang Kertas B 12 49,833.33 598,000 - 12 49,833.33 598,000
15 Buku Kwarto Isi 50 17 11,000.00 187,000 10 14,000.00 140,000 327,000
16 Buku Agenda Besar 47,300 44,200 91,500
17 Spidol Whaitboard 286,500 115,000 401,500
18 Klip Seagul no 3 68,200 140,000 208,200
19 CaterL500 56,000 38,000 94,000
20 Catter Pisau Isi B 17,500 6,000 23,500
21 Isolasi BB 84,000 45,000 129,000
22 Plak ban Jilid hitam 2 21,000.00 51,000 5 21,000.00 105,000 2 21,000.00 51,000 5
23 Buku Kas Folio 63,800 84,900 148,700
24 Spidol 12 Warna 513,000 - 513,000
25 Binder Klip No 260 2 3,100.00 7,425 100 3,100.00 310,000 12 3,100.00 38,425 90
26 Binder klip no.155 90 2,000.00 180,000 100 2,000.00 200,000 150 2,000.00 300,000 40
27 Buku tulis biasa isi 58 5,000 - 5,000
28 Buku Agenda rapat 100 21,000 - 21,000
29 Binder Klip 105 332,400 360,000 692,400
30 Isi Staples 10,500 330,000 340,500
31 Remover/pembuka kacip 19,000 84,000 103,000
32 Penggaris besi 2 9,000.00 19,000 10 9,000.00 90,000 3 9,000.00 28,000 9
33 Bolpoin Snow B P 7 215,000 215,000
34 Bolpoin Bolinder 330,000 330,000
35 Binder Klip 107 - 1,750.00 300 1,750.00 525,000 - 1,750.00 - 300
36 isolasi 1 inch tebal 36,000 36,000
37 lem povinal k - 6,000.00 5 6,000.00 30,000 - 6,000.00 - 5
38 Stabilo Bos 63,000 63,000
39 Penghapus Stedler 33,000 33,000
40 Pensil feber castel 45,000 45,000
ATK BOK -
1 Buku folio 100 76,000 - 76,000
2 Spidol G12 Maker 749,000 - -
3 Map Kertas 302,000 251,800 103,800
4 Tipe Ex botol 67,500 - 67,500
5 Steples alat max no 10 96,000 96,000
6 Tinta Stempel Alat 34,000 - 34,000
7 Lem Glukol B 9,500 - 9,500
8 Pensil Fib/Stadler 51 4,750.00 242,500 - 4,750.00 - 3 4,750.00 14,500 48
9 Map Plastik snel Jepit 118 12,500.00 1,476,000 - 12,500.00 - 68 12,500.00 851,000 50
10 Map File Tk 38 20,000.00 760,000 - 20,000.00 - 20,000.00 - 38
11 Steples isi 3 hd - -
12 Buku Tulis Isi 58 137 5,000.00 685,000 - 5,000.00 - 1 5,000.00 5,000 136
13 Pilot Boliner Hitam/biru 525,000 - 525,000
14 Paper klip No 3 101,150 - 101,150
15 Paper klip No 5 116,600 - 116,600
16 Bolpoin Snowman/faster 253 4,500.00 1,138,500 15 4,500.00 67,200 64 4,500.00 287,700 204
17 Steples Isi no 10 43 3,500.00 150,500 14 3,500.00 49,000 43 3,500.00 150,500 14
18 Bantalan Stempel 74,400 - 74,400
19 Binder klip 260 297,000 9,300 306,300
20 Lem Povinol 41,500 - 41,500
21 Binder klip 155 366,000 - 366,000
22 Map Kancing Ziper 41 23,000.00 943,000 - 23,000.00 - - 23,000.00 - 41
23 Tali Rafia 40,000 - 40,000
24 Spidol Permanent 61 15,000.00 921,000 - 15,000.00 - 11 15,000.00 171,000 50
25 Binder Klip Kenko 111 45,000 - 45,000
26 Isolasi B 19,000 - 19,000
27 Map File Clear Holder 164,000 - 164,000
28 Box File bantek 1,368,000 - 1,368,000
29 Amplop Kabinet 80 gr - - -
30 Steples alat max no 50 450,000 - 450,000
31 Steples isi no 30 max 161,750 - 161,750
32 penghapus pensil 14 3,800.00 53,200 - 3,800.00 - - 3,800.00 - 14
33 lakban jilid - - -
34 Kertas label 11,400 - 11,400
35 Kertas manila 28,800 - 28,800
36 Gunting 59,400 - 59,400
37 Isolasi BB 21,000 - 21,000
38 Cuter A 300 kenko 11,500 - 11,500
39 Penggaris besi 48 9,500.00 456,000 - 9,500.00 - 3 9,500.00 28,500 45
40 Binder 115 65,000 - 65,000
41 Stempel tanggal D3 15,000 - 15,000
CETAK JKN -
1 Kartu Rekam Medik - - -
2 Form Infoconsen 202,000 - 202,000
3 Kartu GolDar 651,000 - 651,000
4 Kartu Stok obat BB 1,492,711 600,000 2,092,711
5 Disposisi Surat 529,000 - 529,000
6 Blangko Resep 2,247,500 1,200,000 3,447,500
7 Blangko SBBK 403,500 - 403,500
8 Buku Reg.r Rawat Jalan 913,000 944,000 1,857,000
9 Kartu Pengenal Pasien - 500,000 500,000
10 Kartu Stok Gudang BB 125,000 375,000 500,000
11 Surat Keterangan Sehat 402,700 185,000 587,700
12 Surat Ijin 101,000 - 101,000
13 Laboratorium Permintan 101,000 185,000 286,000
14 Laboraturium hasil 101,000 185,000 286,000
15 Buku Reg Obat 267,600 - 267,600
16 Form Rekam Medik Gigi - - -
17 Buku No Indek Pasien 848,600 - 848,600
18 Buku Barang Pakai Habis 75,000 - 75,000
19 Kartu Rawat Jalan - 4,063,500 4,063,500
20 Map RM 9,552,000 11,193,000 20,745,000
21 Form Kunjungan Rawat Jalan 6,875,000 - 6,875,000
22 Pengkajian Awal klinis Anak 625,000 1,500,000 2,125,000
23 Pengkajian Awal klinisGigi - 1,500,000 1,500,000
24 Pengkajian Awal Klinis Umum 3,125,000 2,250,000 5,375,000
25 Pengkajian Awal Klinis Kebidanan dan kandungan 625,000 1,500,000 2,125,000
26 Surat Keterangan Istirahat 101,000 185,000 286,000
27 Surat Pengantar 404,000 370,000 774,000
28 Leaplet 250,000 250,000
CETAK BOK -
1 Spanduk - 20 25,000.00 500,000 500,000
2 Banner aoutdor - 3 90,000.00 270,000 270,000
3 Kohort Perkesmas - - -
4 Register Lansia - - -
JILID JKN
1 Jjilid laporan PTP - 3 20,000.00 60,000.00 3 20,000.00 60,000.00
2 Jilid buku profil pkm - 3 20,000.00 60,000.00 3 20,000.00 60,000.00
3 jilid kinerja pegawai - 3 20,000.00 60,000.00 3 20,000.00 60,000.00
4 jilid RUK - 3 20,000.00 60,000.00 3 20,000.00 60,000.00
5 Jilid RPK - 3 20,000.00 60,000.00 3 20,000.00 60,000.00
6 Jilid SPJ - 2 25,000.00 50,000.00 2 25,000.00 50,000.00
7 Jilid lap tahunan PKM - 3 20,000.00 60,000.00 3 20,000.00 60,000.00
8 Jilid buku inventaris - 2 25,000.00 50,000.00 2 25,000.00 50,000.00
9 jilid IKM - 4 20,000.00 80,000.00 4 20,000.00 80,000.00
10 jilid Anjab - 2 25,000.00 50,000.00 2 25,000.00 50,000.00
11 jilid ABK - 2 25,000.00 50,000.00 2 25,000.00 50,000.00
12 jilid Lap Mutu - 2 20,000.00 40,000.00 2 20,000.00 40,000.00
13 jilid uraian tugas - 2 20,000.00 40,000.00 2 20,000.00 40,000.00
14 jilid lap lokmin - 12 20,000.00 240,000.00 12 20,000.00 240,000.00
15 Jilid Laporan lokmin triwulan 80,000.00 80,000.00
16 Jilid SKP SP, Bukti pembelian 1,150,000.00 1,150,000.00
FOTO COPY JKN
1 FC nota surat pesanan - 3,500 350.00 1,225,000.00 3,500 350.00 1,225,000.00
2 FC TTUK - 900 350.00 315,000.00 900 350.00 315,000.00
3 FCPTP - 450 350.00 157,500.00 450 350.00 157,500.00
4 FC Profil PKM - 600 350.00 210,000.00 600 350.00 210,000.00
5 FC Laporan Tahunan - 400 350.00 140,000.00 400 350.00 140,000.00
6 FC RUK - 225 350.00 78,750.00 225 350.00 78,750.00
7 FC RPK - 225 350.00 78,750.00 225 350.00 78,750.00
8 FC Surat Masuk - 2,500 350.00 875,000.00 2,500 350.00 875,000.00
9 FC Anjab - 350 350.00 122,500.00 350 350.00 122,500.00
10 FC Analisis Beban Kerja - 100 350.00 35,000.00 100 350.00 35,000.00
11 FC Uraian Tugas - 260 350.00 91,000.00 260 350.00 91,000.00
12 FC Laporan hasil lokmin,linprog, linsek - 600 350.00 210,000.00 600 350.00 210,000.00
13 FC model C - 185 350.00 64,750.00 185 350.00 64,750.00
14 FC SK Internal - 600 350.00 210,000.00 600 350.00 210,000.00
15 FC SOP - 9,288 350.00 3,250,800.00 9,288 350.00 3,250,800.00
JILID BOK
1 Jilid oprasional BOK 24 21,250.00 510,000.00 24 21,250.00 510,000.00
FOTO COPY BOK

1 FC oprasional BOK 10,135 290.00 2,939,150.00 10,135 290.00 2,939,150.00
2 FC 3,500 290.00 1,015,000.00 3,500 290.00 1,015,000.00
3 FC Form penyakit menular 5,010 290.00 1,452,900.00 5,010 290.00 1,452,900.00
4 FC Form KLB 2,000 290.00 580,000.00 2,000 290.00 580,000.00
Barang Kuasi
1 Karcis Rawat jalan 47,757.60 47,757.60
3 Karcis Trf Pemeriksaan Lab 670 79.20 53,064.00 77 79.20 6,098.40 593
4 Karcis Pemeriksaan Kesehatan 486 79.20 38,491.20 294 79.20 23,284.80 192
5 Karcis Pelayanan Kebidanan 100 79.20 7,920.00 - 79.20 - 100
6 Blanko TTUK
TOTAL ATK Pusk. SUSUT II 51,810,282.40 49,872,500.00 89,860,788.00
ATK PUSKESMAS KINTAMANI I

JKN -
1 Clips jepit No.111 - -
3 Clips Jepit no 155 - -
5 Penggaris besi 24 9,500.00 228,000 24 9,500.00 228,000
6 Penggaris 30 cm - -
7 Map kertas folio - -
8 Buku Kas Folio - -
9 buku ekspedisi 3 19,000.00 57,000 3 19,000.00 57,000
10 Bantalan Stempel - -
11 Buku Folio biasa - -
12 Buku Sidu isi 58 - -
13 Map bussines file 75 3,500.00 262,500 75 3,500.00 262,500
14 Nota 1/4 polio R3 biasa - -
15 Bolpoin faster - -
16 Spidol Permanen 4 12,000.00 48,000 4 12,000.00 48,000
17 Spidol Boormaker 5 11,000.00 55,000 5 11,000.00 55,000
18 buku kwitansi - -
19 lem levinol 12 9,000.00 108,000 12 9,000.00 108,000
20 plashdisk - -
21 Cutther Alat Lepasan 2 17,000.00 34,000 2 17,000.00 34,000
22 Tali Rafia - -
23 Box File 3 19,000.00 57,000 3 19,000.00 57,000
24 Pensil 2b 58 6,400.00 371,200 58 6,400.00 371,200
25 staples isi max no 3 10 7,500.00 75,000 10 7,500.00 75,000
26 staples isi max no 10 50 3,200.00 160,000 50 3,200.00 160,000
27 Ballpoin Snowman BP-7 Hitam 60 4,300.00 258,000 60 4,300.00 258,000
28 Bantalan Stempel (B) 10 13,000.00 130,000 - 13,000.00 - 10
29 Binder Clip Joyko/Kenko No. 111 39 1,000.00 39,000 39 1,000.00 39,000
30 Binder Clip Joyko/Kenko No.155 29 2,000.00 58,000 29 2,000.00 58,000
33 Box File Plastik 20 27,000.00 540,000 20 27,000.00 540,000
34 Buku Ekspedisi (100) 6 21,000.00 126,000 3 21,000.00 63,000 3
35 Buku Folio (100) 12 16,500.00 198,000 9 21,000.00 198,000
36 Buku Kas Folio (100) Mirage 10 28,300.00 283,000 4 28,300.00 113,200 6
37 Buku Tulis (isi 50) Kiky 23 4,500.00 103,500 23 4,500.00 103,500
38 Cutther B Alat Lepasan 6 19,000.00 114,000 4 19,000.00 76,000 2
39 Lem Povinal B 36 26,600.00 957,600 20 26,600.00 532,000 16
40 Map busines file plastik ukuran folio 100 4,000.00 400,000 50 4,000.00 200,000 50
41 Map Snelhecter Folio Biasa 550 2,400.00 1,320,000 350 2,400.00 840,000 200
42 Nota 1/4 Folio R3 Biasa 5 6,000.00 30,000 3 6,000.00 18,000 2
43 Penggaris 30 cm Mika 12 3,100.00 37,200 - 3,100.00 - 12
44 Penggaris Besi 30 cm 12 9,000.00 108,000 - 9,000.00 - 12
45 Pensil faber castel 2B 48 4,500.00 216,000 - 4,500.00 - 48
46 Spidol Permanen G 12 12 16,500.00 198,000 2 16,500.00 33,000 10
47 Spidol White Board Snowman 12 11,500.00 138,000.00 - 11,500.00 - 12
48 Steples Alat Max No.10 (K) Asli 12 68,000.00 816,000.00 12 68,000.00 816,000
49 Steples Alat Max No. 30 (B) Asli 6 93,000.00 558,000.00 3 93,000.00 279,000.00 3
51 Steples Isi Max No.30 30 8,800.00 264,000.00 13 8,800.00 114,400.00 17
BOK - -
52 staples alat 10 - -
53 staples isi no 10 - -
54 staples alat 30 - -
55 staples isi 30 7 3,500.00 24,500.00 7 3,500.00 24,500.00
56 buku folio (100) - -
57 tinta stampel yamura - -
58 binder clips no 155 - -
61 clips sea gull no.5 - -
62 spidol white board - -
63 map kertas folio - 30 600.00 18,000.00 18,000.00
64 bolpoint paster - 232,000.00 232,000.00
65 buku kas folio - -
66 bock note 1/2 folio 66 7,000.00 462,000.00 66 7,000.00 462,000.00
67 Bantalan Stempel - -
68 tip-ex kinko - -
69 gunting g XL guinido - -
70 Penggaris 30 cm - -
71 Buku tulis biasa 67 4,500.00 300,000.00 67 4,500.00 300,000.00
FOTO COPY JKN
72 Foto Copy Form Index Pasien 400 290.00 116,000.00 400 290.00 116,000.00
73 Foto Copy Kartu Catatan Imunisasi 250 290.00 72,500.00 250 290.00 72,500.00
74 Foto Copy Pemakaian dan Permintaan Obat 1,500 290.00 435,000.00 1,500 290.00 435,000.00
75 Foto copy Blangko Pengkajian awal gigi 3,000 290.00 870,000.00 3,000 290.00 870,000.00
76 Foto copy Kunjungan Poliklinik 7,000 290.00 2,030,000.00 7,000 290.00 2,030,000.00
77 Foto copy Blangko Pengkajian awal Klinik Umum 5,000 290.00 1,450,000.00 5,000 290.00 1,450,000.00
78 Foto copy Blangko Pengkajian awal Klinik anak 1,000 290.00 290,000.00 1,000 290.00 290,000.00
79 Foto copy Kuesioner Kelas Ibu Hamil ( I,II,III,IV) 200 290.00 58,000.00 200 290.00 58,000.00
80 Foto copy Blangko Kesehatan Ibu dan Anak 500 290.00 145,000.00 500 290.00 145,000.00
81 Foto copy Blangko MTBM 500 290.00 145,000.00 500 290.00 145,000.00
82 Foto copy Blangko MTBS 500 290.00 145,000.00 500 290.00 145,000.00
83 Foto copy Blangko Pemulangan pasien Rawat Inap 150 290.00 43,500.00 150 290.00 43,500.00
84 Foto copy Blangko Pengkajian Medis UGD 3,750 290.00 1,087,500.00 3,750 290.00 1,087,500.00
85 Foto copy Catatan Medik Penderita Rawat Inap 500 290.00 145,000.00 500 290.00 145,000.00
86 Foto copy Persetujuan Tes HIV 500 290.00 145,000.00 500 290.00 145,000.00
87 Foto copy Penolakan tindakan medik 500 290.00 145,000.00 500 290.00 145,000.00
88 Foto copy Persetujuan tindakan medik 500 290.00 145,000.00 500 290.00 145,000.00
89 Foto copy Permintaan permintaan lab 500 290.00 145,000.00 500 290.00 145,000.00
90 Foto copy Hasil Pemeriksaan Lab 500 290.00 145,000.00 500 290.00 145,000.00
91 Foto copy Resep 10,000 290.00 2,900,000.00 10,000 290.00 2,900,000.00
92 Foto copy Surat Keterangan sehat 500 290.00 145,000.00 500 290.00 145,000.00
93 Foto copy Surat Keterangan Istirahat 200 290.00 58,000.00 200 290.00 58,000.00
94 Foto copy Pemeriksaan lab 250 290.00 72,500.00 250 290.00 72,500.00
95 Foto copy Blangko Partograf 150 290.00 43,500.00 150 290.00 43,500.00
96 Foto copy Blangko Pemantauan Rujukan 150 290.00 43,500.00 150 290.00 43,500.00
97 Foto copy Blangko Inform Consent 400 290.00 116,000.00 400 290.00 116,000.00
98 Foto copy Blangko Itindakan Pembedahan 500 290.00 145,000.00 500 290.00 145,000.00
99 Foto copy Lap.Gizi 600 290.00 174,000.00 600 290.00 174,000.00
100 Foto copy Blangko Penyerahan Vaksin 500 290.00 145,000.00 500 290.00 145,000.00
BOK
88 Foto copy 5,045 350.00 1,765,600.00 5,045 350.00 1,765,600.00
89 Form Pelacakan 1,849 350.00 647,280.00 1,849 350.00 647,280.00
foto copy 1,339 350.00 468,600.00 1,339 350.00 468,600.00
CETAK JKN
88 Katu Golongan Darah 300 600.00 180,000.00 300 600.00 180,000.00
89 Kartu Stok Barang 500 1,000.00 500,000.00 500 1,000.00 500,000.00
90 Famili Folder Model Kantong 5,000 6,000.00 30,000,000.00 5,000 6,000.00 30,000,000.00
91 Register Rawat Jalan Umum 10 180,000.00 1,800,000.00 10 180,000.00 1,800,000.00
92 Register Rawat Jalan JKN 1 180,000.00 180,000.00 1 180,000.00 180,000.00
93 Register GHPR Resiko Rendah 1 50,000.00 50,000.00 1 50,000.00 50,000.00
94 Register GHPR Resiko Tinggi 1 50,000.00 50,000.00 1 50,000.00 50,000.00
95 Register Pengeluaran VAR 1 50,000.00 50,000.00 1 50,000.00 50,000.00
96 Register Triase 1 50,000.00 50,000.00 1 50,000.00 50,000.00
97 Register MTBS 1 50,000.00 50,000.00 1 50,000.00 50,000.00
98 Register Anak 1 50,000.00 50,000.00 1 50,000.00 50,000.00
99 Register Remaja 1 50,000.00 50,000.00 1 50,000.00 50,000.00
100 Register Gigi 1 50,000.00 50,000.00 1 50,000.00 50,000.00
101 Register Stok Vaksin dan Logistik 1 50,000.00 50,000.00 1 50,000.00 50,000.00
102 Laporan Bulanan Kesehatan Anak 8 50,000.00 400,000.00 8 50,000.00 400,000.00
103 Kartu Tanda Pengenal Pasien 300 600.00 180,000.00 300 600.00 180,000.00
Jilid laporan distribusi karcis 12 20,000.00 240,000.00 12 20,000.00 240,000.00
Jilid laporan JKN 6 12,000.00 72,000.00 6 12,000.00 72,000.00
Jilid Arsip SPJ jkn 12 20,000.00 240,000.00 12 20,000.00 240,000.00
Jilid Arsip spj rutin 12 20,000.00 240,000.00 12 20,000.00 240,000.00
Jilid RKMBD 1 12,000.00 12,000.00 1 12,000.00 12,000.00
Jilid RUK 1 20,000.00 20,000.00 1 20,000.00 20,000.00
Jilid PTM 1 20,000.00 20,000.00 1 20,000.00 20,000.00
Jilid Renstra 1 20,000.00 20,000.00 1 20,000.00 20,000.00
KUASI -
104 K. Rawat jalan 486 79.20 38,491.20 486 79.20 38,491.20 -
105 Karcis Rawat Inap 133 79.20 10,533.60 13 79.20 1,029.60 120
106 karcis khusus bayi bergabung 114 79.20 9,028.80 36 79.20 2,851.20 78
107 Karcis tindakan medis 368 79.20 29,145.60 368 79.20 29,145.60 -
108 K. Keterangan 391 79.20 30,967.20 - 37 79.20 2,930.40 354
109 K. Persalinan/ kebidanan 252 84.50 21,294.00 - 13 84.50 1,098.50 239
110 Karcis lab 133 79.20 13,305.60 - 62 79.20 4,910.40 106
111 Spanduk
HUT RI
112 Spanduk
TOTAL ATK Pusk. KINTAMANI I 2,094,966.00 57,150,380.00 56,561,836.90
ATK PUSKESMAS KINTAMANI II

ATK JKN
1 Staples isi no 10 4 3,500.00 14,000 50 3,300.00 165,000 54 3,300.00 179,000 -
2 Kertas karbon f 2 70,000.00 140,000 - 2 70,000.00 140,000 -
3 Buku agenda 100 2 23,650.00 47,300 - 1 23,650.00 23,650 1
4 Buku agenda 100 - 1 22,000.00 22,000 - 1
5 Bantalan Stempel 4 14,850.00 59,400 10 13,000.00 130,000 9 13,000.00 124,400 5
6 Buku Expedisi paperline 2 21,000.00 42,000 1 21,000.00 21,000 1 21,000.00 21,000 2
7 Buku folio 100 2 18,700.00 37,400 10 16,500.00 165,000 12 16,500.00 202,400 -
8 Map Kertas Folio 108 550.00 59,400 108 600.00 64,800 158 600.00 89,400 58
9 Bolpoint Faster C-600 hitam 69 5,000.00 345,000 - 69 5,000.00 345,000 -
10 Bolpoint Faster C-600 hitam 80 4,500.00 360,000 50 4,300.00 215,000 130 4,300.00 575,000 -
11 Box file plastik victory 10 19,000.00 190,000 - 10 19,000.00 190,000 -
12 Map plastik tebal jepit snel 11 12,500.00 137,500 - 11 12,500.00 137,500 -
13 Buku kas Folio 100 kiki 9 32,000.00 288,000 4 28,300.00 113,200 9 28,300.00 288,000 4
14 Buku kas Folio 50 4 14,000.00 56,000 - 4 14,000.00 56,000 -
15 Buku Folio 200 7 29,200.00 204,400 - 7 29,200.00 204,400 -
16 Baterai AA isi 2 1 21,000.00 21,000 - 1 21,000.00 21,000 -
17 Cutter B alat lepas 1 18,500.00 18,500 - 1 18,500.00 18,500 -
18 Cutter pisau isi B 1 6,000.00 6,000 - 1 6,000.00 6,000 -
19 Gunting G XL 2 14,850.00 29,700 11 13,000.00 143,000 13 13,000.00 172,700 -
20 Isolasi hitam tebal 3 17,000.00 51,000 - 3 17,000.00 51,000 -
21 Isolasi bening 3 15,000.00 45,000 - 2 15,000.00 30,000 1
22 Lem kertas UHU K 1 11,500.00 11,500 - 1 11,500.00 11,500 -
23 Isi steples no 30 14 8,525.00 119,350 5 8,800.00 44,000 14 8,525.00 119,350 5
24 Penggaris besi 30 cm 9 9,500.00 85,500 - 9 9,500.00 85,500 -
25 Paku pines 50 4 1,900.00 7,600 - 4 1,900.00 7,600 -
26 Tali rafia 1 kg 1 40,000.00 40,000 - 1 40,000.00 40,000 -
27 Penggaris besi 60 cm 1 15,000.00 15,000 - 1 15,000.00 15,000 -
28 Box file teka 13 22,825.00 296,725 - 13 22,825.00 296,725 -
29 Bolpoint merah 13 3,800.00 49,400 - 10 3,800.00 38,000 3
30 Bolpoint biru 11 3,800.00 41,800 - 11 3,800.00 41,800 -
31 Map Plastik Jepit - 500 11,000.00 5,500,000 500 11,000.00 5,500,000 -
32 Spidol permanen G 12 - 60 16,500.00 990,000 36 16,500.00 594,000 24
33 Spidol White Board - 10 11,500.00 115,000 10 11,500.00 115,000 -
34 Pelubang Kertas Halus B - 4 18,500.00 74,000 4 18,500.00 74,000 -
35 Lem Povinal Tanggung - 10 6,000.00 60,000 10 6,000.00 60,000 -
36 Steples Alat No 10 HD Halus - 10 55,500.00 555,000 10 55,500.00 555,000 -
37 Steples Alat No 30 Max Asli - 5 93,000.00 465,000 5 93,000.00 465,000 -
38 Tip Ex kenko - 20 8,000.00 160,000 20 8,000.00 160,000 -
39 Binder Clip 155 - 100 2,000.00 200,000 100 2,000.00 200,000 -
40 Binder Clip 260 - 100 3,100.00 310,000 100 3,100.00 310,000 -
ATK BOK
41 Isi Steples alat no 10 211 2,600.00 548,600 - 111 2,600.00 288,600 100
42 Bolpoint Faster QC 6000 162 3,800.00 615,600 - 162 3,800.00 615,600 -
43 Bolpoint Faster QC 6000 284 4,500.00 1,278,000 - - 284
44 Buku Tulis isi 58 230 5,000.00 1,150,000 - 125 5,000.00 625,000 105
45 Buku Tulis isi 58 227 5,100.00 1,157,700 - - 227
46 Penggaris 30 cm 176 3,000.00 528,000 - 125 3,000.00 375,000 51
47 Tipp-ex 176 7,500.00 1,320,000 - 125 7,500.00 937,500 51
48 Buku Folio 100 8 18,700.00 149,600 - 8 18,700.00 149,600 -
49 Bantalan stempel 2 14,850.00 29,700 - 2 14,850.00 29,700 -
50 Tinta stempel 4 9,000.00 36,000 - 4 9,000.00 36,000 -
51 Klip seagul no 3 20 3,410.00 68,200 30 3,500.00 105,000 50 3,500.00 173,200 -
52 Map Kertas Folio 110 550.00 60,500 110 600.00 66,000 140 600.00 78,500 80
53 Map Plastik Jepit Biasa 10 11,500.00 115,000 - 10 11,500.00 115,000 -
54 Binder Klip No. 260 Kenko 56 2,475.00 138,600 102 3,100.00 316,200 158 3,100.00 454,800 -
55 Binder Klip No. 155 Kenko 44 1,980.00 87,120 - 44 1,980.00 87,120 -
56 Staples Alat Max No.10 7 25,300.00 177,100 - 7 25,300.00 177,100 -
57 Box File TK 3 22,825.00 68,475 - 3 22,825.00 68,475 -
58 Spidol permanen snowman 10 14,850.00 148,500 - 10 14,850.00 148,500 -
59 Tipp-ex kenko Bolpoint 2 9,500.00 19,000 - 2 9,500.00 19,000 -
60 Fotocopy/print ukuran F4 B/W - 8,582 290.00 2,488,780 8,582 290.00 2,488,780 -
61 Cetak Brosur - 4,657 4,900.00 22,819,300 4,200 4,900.00 20,580,000 457
62 Cetak Spanduk Outdoor - 1 445,000.00 445,000 1 445,000.00 445,000 -
CETAK JKN
63 Buku Disposisi 5 33,000.00 165,000 - 2 33,000.00 66,000 3
64 Kartu stok obat 300 1,500.00 450,000 500 1,500.00 750,000 500 1,500.00 750,000 300
65 Blangko Rujukan Umum 2 100,000.00 200,000 - 2 100,000.00 200,000 -
66 Cetak register rawat jalan umum 2 190,000.00 380,000 - 2 190,000.00 380,000 -
67 Cetak register rawat jalan JKN 5 190,000.00 950,000 - 5 190,000.00 950,000 -
68 Cetak surat keterangan sakit 5 115,000.00 575,000 - 2 115,000.00 230,000 3
69 Cetak surat keterangan sehat 5 115,000.00 575,000 - 2 115,000.00 230,000 3
70 Cetak register rujukan 4 200,000.00 800,000 - 4 200,000.00 800,000 -
71 Cetak Resep 1200 500.00 600,000 - 1,200 500.00 600,000 -
72 Blangko permintaan obat 800 500.00 400,000.00 - 800 500.00 400,000.00 -
73 Kartu pengenal pasien 450 600.00 270,000.00 500 1,250.00 625,000.00 550 1,250.00 395,000.00 400
74 Blangko hasil keterangan lab 3 115,000.00 345,000.00 - 3 115,000.00 345,000.00 -
75 Kartu golongan darah 400 600.00 240,000.00 - 200 600.00 120,000.00 200
76 Cetak cap puskesmas 6 25,000.00 150,000.00 - 6 25,000.00 150,000.00 -
77 Blanko RM 1000 850.00 850,000.00 1,000 1,500.00 1,500,000.00 1,300 1,500.00 1,300,000.00 700
78 Blanko pengkajian awal gigi 1700 850.00 1,445,000.00 - 1,300 850.00 1,105,000.00 400
79 Blanko pengkajian awal gigi 750 1,500.00 1,125,000.00 - 750
80 Blanko pengkajian awal anak 1000 850.00 850,000.00 750 1,500.00 1,125,000.00 1,200 1,500.00 1,150,000.00 550
81 Blanko pengkajian awal kebidanan 1000 850.00 850,000.00 750 1,500.00 1,125,000.00 1,200 1,500.00 1,150,000.00 550
82 Blangko laporan pembedahan 1100 850.00 935,000.00 - 900 850.00 765,000.00 200
83 Lembar KIE 1100 850.00 935,000.00 - 900 850.00 765,000.00 200
84 Blanko Informed Consent 1000 850.00 850,000.00 - 900 850.00 765,000.00 100
85 Register rawat jalan anak 1 190,000.00 190,000.00 - 1 190,000.00 190,000.00 -
86 Register kunjungan rawat jalan ibu 1 190,000.00 190,000.00 - 1 190,000.00 190,000.00 -
87 Cetak Blanko Pengkajian Awal Kilinis Umum - 2,000 1,500.00 3,000,000.00 600 1,500.00 900,000.00 1,400
88 Cetak Blanko Pengkajian Awal KB - 750 1,500.00 1,125,000.00 400 1,500.00 600,000.00 350
89 Cetak Etiket Obat - 2,000 500.00 1,000,000.00 1,200 500.00 600,000.00 800
90 Cetak Resep - 40 25,000.00 1,000,000.00 1 25,000.00 25,000.00 39
91 Cetak Permintaan Obat Pasien - 71 14,000.00 994,000.00 10 14,000.00 140,000.00 61
Barang Kuasi PUSKESMAS
92 Karcis Rawat Jalan 605 79.20 47,916.00 605 79.20 47,916.00 -
94 Karcis Pemeriksaan Lab 130 79.20 10,296.00 85 79.20 6,732.00 45
95 Pemeriksaan Keterangan 85 79.20 6,732.00 59 79.20 4,672.80 26
96 Pelayanan Kebidanan 100 84.50 8,450.00 - 84.50 - 100
97 Blangko TTUK 1 17,000.00 17,000.00 1 17,000.00 17,000.00 -
TOTAL ATK Pusk. KINTAMANI II 23,814,057.60 49,121,280.00 54,797,101.60
ATK PUSKESMAS KINTAMANI III

I ATK BOK
1 map kertas folio 134 550.00 73,700 20 600.00 12,000 154 600.00 85,700.00 -
2 Tip Ex Kenko 4 9,500.00 38,000 - - - 3 9,500.00 28,500.00 1
3 Bantalan Stempel 3 14,800.00 44,400 - 2 14,800.00 29,600.00 1
4 Tinta Stempel Yamura 5 9,000.00 45,000 - 4 9,000.00 36,000.00 1
5 steples Alat max no 10 2 49,000.00 98,000 - 2 49,000.00 98,000.00 -
6 klip sea gull no 1 20 2,500.00 50,000 - 20 2,500.00 50,000.00 -
7 klip sea gull no 3 25 3,500.00 87,500 - 25 3,500.00 87,500.00 -
8 klip sea gull no 5 19 4,500.00 85,500 - 19 4,500.00 85,500.00 -
9 Buku Kas polio100 0 - - - - - -
10 Binder clip Jayoko/ kenko No 105 11 1,300.00 14,300 - 11 1,300.00 14,300.00 -
14 Buku Polio 100 0 - - - - - - -
15 Lem popinal T 1 7,000.00 7,000 - - 7,000.00 - 1
16 Pengaris 60 cm Mika 2 8,000.00 16,000 - 2 8,000.00 16,000.00 -
17 Pengaris 30 cm Mika 2 3,000.00 6,000 - 2 3,000.00 6,000.00 -
18 Pengaris 50 cm Mika 3 6,000.00 18,000 - 3 6,000.00 18,000.00 -
19 Stempel Lunas 5 12,500.00 62,500 - 5 12,500.00 62,500.00 -
20 Pensil 2B 7 4,750.00 33,250 - 7 4,750.00 33,250.00 -
21 Pengaris Besi 60 1 15,000.00 15,000 - - 15,000.00 - 1
22 Steples Isi Max 10 k 22 3,500.00 77,000 - 22 3,500.00 77,000.00 -
23 Buku Tulis isi 50 0 - - - - - -
24 Bolpoin 0 - - - - - -
25 Map jepit snel 24 2,500.00 60,000 - 19 2,500.00 47,500.00 5
26 Tali rapiah 1 25,000.00 25,000 - 1 25,000.00 25,000.00 -
27 Spidol white Bord 5 7,920.00 39,600 - 5 7,920.00 39,600.00 -
28 Buku expidisi 2 12,000.00 24,000 - 2 12,000.00 24,000.00 -
29 Box file plastik 6 22,000.00 132,000 - 4 22,000.00 88,000.00 2
30 Pengapus papan 1 10,000.00 10,000 - 1 10,000.00 10,000.00 -
31 Perporator 4 38,250.00 153,000 - 4 38,250.00 153,000.00 -
32 Penggaris besi 30 2 9,500.00 19,000 - - 9,500.00 - 2
33 Gunting G XL 0 - - - - - - -
34 Lem Glukol B 4 10,500.00 42,000 - 2 10,500.00 21,000.00 2
35 Steples isi No.3 2 8,525.00 17,050 - 2 8,525.00 17,050.00 -
36 Steples Alat Max 50 1 85,800.00 85,800 - 1 85,800.00 85,800.00 -
-
II ATK JKN -
37 Maf Kertas Folio 135 550.00 74,250 - 75 550.00 41,250.00 60
38 steples Alat max no 10 0 - - - - - -
39 steples Alat max no 30 0 - - - - - -
40 Steples Isi Max 10 k 70 3,500.00 245,000 200 3,300.00 660,000 250 3,300.00 839,000.00 20
41 steples isi max 30 k 35 9,000.00 315,000 - 27 9,000.00 243,000.00 8
42 Map kertas Nechter 100 1,000.00 100,000 294,800 100 1,000.00 394,800.00 -
43 Tip Ex Kenko 2 10,000.00 20,000 - 2 10,000.00 20,000.00 -
44 Klip seagul no 3 3 3,500.00 10,500 - 2 3,500.00 7,000.00 1
45 Tinta Stempel Yamura 4 8,910.00 35,640 5 13,000.00 65,000 9 13,000.00 -
46 Spidol white Bord 5 9,900.00 49,500 - - 3 9,900.00 29,700.00 2
47 Spidol permanen jumbo 0 - - - - - - -
48 Gunting Kertas 2 14,850.00 29,700 - 2 14,850.00 29,700.00 -
49 Buku Kas Polio 1 31,900.00 31,900 - 1 31,900.00 31,900.00 -
50 Calculator 0 - - - - - - -
51 Bolpoin Faster 0 - - - - - - -
52 Box File Teka 3 22,825.00 68,475 40 22,000.00 880,000 43 22,825.00 948,475.00 -
53 Spidol Permanen Snowman 0 - - 20 16,500.00 330,000 20 16,500.00 -
54 Buku Polio Paperline 2 18,700.00 37,400 9 16,500.00 148,500 11 18,700.00 185,900.00 -
55 Buku Tulis Sinar Dunia 20 5,100.00 102,000 - - 20 5,100.00 102,000.00 -
56 Penghapus Papan 2 6,000.00 12,000 - - 2 6,000.00 12,000.00 -
57 Perpuratoe No 30 4 21,450.00 85,800 - - 3 21,450.00 64,350.00 1
58 Buku Ekspedisi Isi 100 Kiky 2 21,000.00 42,000 6 14,000.00 84,000 4 21,000.00 84,000.00 4
59 Buku Agenda Paperline 1 23,650.00 23,650 1 22,000.00 22,000 2 23,650.00 45,650.00 -
60 Map Plastik Jepit Biasa 20 11,500.00 230,000 100 11,000.00 1,100,000 13 11,500.00 149,500.00 107
61 Lem Kertas Glukol B 4 10,500.00 42,000 - - 4 10,500.00 42,000.00 -
Belanja Cetak - - - - -
62 Buku Resep 80 40,500.00 3,240,000 300 13,000.00 3,900,000 110 40,500.00 3,500,000.00 270
63 Buku Register Pasien 4 90,000.00 360,000 - - 4 90,000.00 360,000.00 -
64 Kartu Pengenal Pasien 0 - - 300 1,000.00 300,000 300 1,000.00 300,000.00 -
65 Blanko Pengkajiaan Klinis 7 90,000.00 630,000 - - 7 90,000.00 630,000.00 -
66 Kartu Stok Obat 0 - - 300 1,500.00 450,000 300 1,500.00 450,000.00 -
67 Kartu Stok Barang 0 - - 300 1,500.00 450,000 300 1,500.00 450,000.00 -
68 Family Folder 0 - - 700 9,000.00 6,300,000 700 9,000.00 6,300,000.00 -
69 Form Pengantar Surat 5 85,000.00 425,000 - 5 85,000.00 425,000.00 -
70 form pengkajian awal kebidanan 7 90,000.00 630,000 500 1,500.00 750,000 336 1,500.00 503,750.00 171
71 Form pengkajian awal klinis anak 0 - - 500 1,500.00 750,000 48 1,500.00 72,500.00 452
72 Form pengkajian medis UGD 7 90,000.00 630,000 500 1,500.00 750,000 2 90,000.00 145,000.00 505
73 Form pengkajian awal Gigi 7 90,000.00 630,000 500 1,500.00 750,000 2 90,000.00 145,000.00 505
74 form kunjungan poliklinik 7 90,000.00 630,000 6 150,000.00 900,000 1 150,000.00 145,000.00 12
75 Form catatan Pendidikan 7 90,000.00 630,000 500 1,350.00 675,000 15 90,000.00 1,305,000.00 493
76 Form Disposisi Surat 0 - - - - - - -
77 Form Pengkajian Awal Klinis Umum 7 90,000.00 630,000 600 1,500.00 900,000 15 90,000.00 1,380,000.00 592
78 Blangko Rujukan - - 325 1,550.00 503,750 325 1,550.00 503,750.00 -
79 Blangko surat Ijin - - - - -
80 Blangko amprahan Internal - - - - -
81 Blangko surat cuti - - - - -
82 Blangko Setoran -
-
83 Karcis Rawat Jalan 3048 79.20 241,401.60 2,726 79.20 215,899.20 322
84 Karcis Rawat Inap 986 79.20 78,091.20 12 79.20 950.40 974
Tarif Rawat Inap Khusus Bayi
85 1098 79.20 86,962 68 79.20 5,385.60 1,030
bergabung
86 Tindakan Medik 768 79.20 60,826 768 79.20 60,825.60 -
87 Pemeriksaan Keterangan Kesehatan 286 79.20 22,651 58 79.20 4,593.60 228
88 Pelayanan Kebidanan 1144 84.50 96,668 6 84.50 507.00 1,138
89 Laboratorium 382 84.50 32,279 109 84.50 9,210.50 273
III Foto copy / penggandaan/ Cetak -

90 Foto copy bok - 12,628 500.00 6,314,000 6,314,000.00
91 Cetak stiker bok - 5,000,000 5,000,000.00
92 Fc Blangko pengantar surat - 1,000 290.00 290,000 290,000.00
93 FC Blangko srt ijin - 250 290.00 72,500 72,500.00
94 fotocopy form setoran - 1,250 290.00 362,500 217,500.00
95 Penjilidan Buku 25 20,000.00 500,000 500,000.00
96 Foto copy SKP 500 290.00 145,000 145,000.00
97 Foto copy SPJ - 250 290.00 72,500 72,500.00
98 FC Blangko amprahan Internal 500 290.00 145,000 145,000.00
99 FC Blangko Srt Cuti Tahunan 500 290.00 145,000 145,000.00
100 FC absen 1,500 290.00 435,000 435,000.00
101 FC Rekap Absen 500 290.00 145,000 145,000.00
102 FC Surat Keterangan sehat 500 290.00 145,000 145,000.00
103 FC Blangko Setoran 250 290.00 72,500 72,500.00
TOTAL ATK Pusk. KINTAMANI III 12,298,393.20 34,819,050.00 35,431,496.90
ATK PUSKESMAS KINTAMANI IV

ATK BOK
1 Bantalan Stempel 2 14,850.00 29,700 - 2 14,850.00 29,700
2 Map kertas Folio 50 550.00 27,500 1 600.00 600 51 600.00 28,100
3 Map Plastik Biasa Jepit / Snell 2 12,100.00 24,200 2 12,100.00 24,200
4 Map Snelhecter folio biasa 15 1,485.00 22,275 15 1,485.00 22,275
5 Tinta Stempel 4 8,910.00 35,640 4
6 Spidol White Board 12 9,900.00 118,800 12
7 Steples Alat No 10 5 25,300.00 126,500 5 25,300.00 126,500
8 Steples Isi No 10 40 3,520.00 140,800 14 3,520.00 49,280 26
9 Buku Folio (100) 2 18,700.00 37,400 2 18,700.00 37,400
10 Lem Popinal T 1 6,875.00 6,875 1 6,875.00 6,875
11 Steples Isi No 30 18 8,525.00 153,450 18
12 Buku tulis 42 5,000.00 210,000 84 4,500.00 378,000 126 4,500.00 588,000
13 Penggaris Mika 30 cm 15 3,000.00 45,000 15 3,000.00 45,000
14 Lem Besar Glukol 2 10,000.00 20,000 2 10,000.00 20,000
15 Lem G - 1 12,500.00 12,500 1 12,500.00 12,500
16 Cetak Brosur - 1,619 5,000.00 8,095,000 1,619 5,000.00 8,095,000
ATK JKN
17 Steples Alat Max No. 10 ( K ) Asli 1 25,300.00 25,300 10 25,000.00 250,000 6 25,000.00 150,300 5
18 Isi Steples Max No. 10 14 3,520.00 49,280 20 3,500.00 70,000 14 3,500.00 49,280 20
19 Buku Folio (100 ) 10 18,700.00 187,000 12 16,500.00 198,000 16 16,500.00 286,000 6
20 Buku Kas Folio (100 ) 2 31,900.00 63,800 5 28,300.00 141,500 5 28,300.00 148,700 2
21 Map Kertas Folio 50 550.00 27,500 300 600.00 180,000 135 600.00 78,500 215
22 Bantalan Stempel (K) 1 14,850.00 14,850 2 12,500.00 25,000 3 12,500.00 39,850
23 Tinta Stempel 2 8,910.00 17,820 2 9,600.00 19,200 3 9,600.00 27,420 1
24 Klip Jepit Kecil 107 Kenko/Binder jep 12 7,000.00 84,000 12 7,000.00 84,000
25 Clip Sea Gull 8 3,000.00 24,000 10 3,500.00 35,000 8 3,000.00 24,000 10
26 Spidol White Board 9 9,900.00 89,100 12 11,500.00 138,000 9 9,900.00 89,100 12
27 Spidol Permanen 10 14,850.00 148,500 12 16,500.00 198,000 10 14,850.00 148,500 12
28 Lem Povinol T 3 6,875.00 20,625 10 6,500.00 65,000 4 6,875.00 27,125 9
29 Bolpoin Snowman 12 4,950.00 59,400 12 4,300.00 51,600 12 4,950.00 59,400 12
30 Isi Steples Max No.30 13 8,525.00 110,825 5 8,800.00 44,000 13 8,525.00 110,825 5
31 Gunting GLX 1 14,850.00 14,850 5 13,000.00 65,000 2 14,850.00 27,850 4
32 Klip Jepit Kecil 111 Kenko/Binder Klip 14 7,000.00 98,000.00 187 1,000.00 187,000.00 134 7,000.00 218,000.00 67
33 Buku Tulis - 24 4,500.00 108,000.00 5 4,500.00 22,500.00 19
34 Map Jepit /Snell - 50 12,800.00 640,000.00 10 12,800.00 128,000.00 40
35 Tipe Ex Kenko botol - 5 12,500.00 62,500.00 2 12,500.00 25,000.00 3
36 Buku Agenda - 2 22,000.00 44,000.00 2 22,000.00 44,000.00
37 Buku Ekspedisi - 2 21,000.00 42,000.00 - 2
38 Penggaris Mika - 10 3,100.00 31,000.00 - 10
39 Steples alat no 30 - 2 93,000.00 186,000.00 - 2
CETAK JKN
40 Kartu Lembar Disposisi 4 25,000.00 100,000.00 4 25,000.00 100,000.00
41 Surat Keterangan Sehat 1 185,000.00 185,000.00 1 185,000.00 185,000.00
42 Surat Keterangan Istirahat 1 185,000.00 185,000.00 1 185,000.00 185,000.00
43 Kartu Stok Obat 325 1,800.00 585,000.00 325 1,800.00 585,000.00
44 Kartu pengenal pasien 500 500.00 250,000.00 500 500.00 250,000.00
45 Blanko Skreaning PTM 1 150,000.00 150,000.00 1 150,000.00 150,000.00
46 Blanko SDM UKK 1 150,000.00 150,000.00 1 150,000.00 150,000.00
47 Form Pengkajian Awal Kebidanan dan Kandungan 2 155,000.00 310,000.00 2 155,000.00 310,000.00
48 Form Pengkajian Awal Ruang Tindakan 1 155,000.00 155,000.00 1 155,000.00 155,000.00
49 Form Pengkajian Awal Klinis Anak 1 155,000.00 155,000.00 1 155,000.00 155,000.00
50 Form Pengkajian Awal Gigi 1 155,000.00 155,000.00 1 155,000.00 155,000.00
51 Form Pengkajian Awal Klinis Umum 1 155,000.00 155,000.00 1 155,000.00 155,000.00
52 Form Kunjungan Poliklinik 4 150,000.00 600,000.00 4 150,000.00 600,000.00
53 Form Catatan Pendidikan/Penyuluhan Pasien 4 150,000.00 600,000.00 4 150,000.00 600,000.00
54 Surat Tugas Untuk Penjaringan Sampel Dahak TB 1 150,000.00 150,000.00 1 150,000.00 150,000.00
55 Blanko Pemeriksaan IVA 1 150,000.00 150,000.00 1 150,000.00 150,000.00
56 Kartu Stok Vaksin 50 1,800.00 90,000.00 50 1,800.00 90,000.00
57 Blanko Laporan Kunjungan Pasien JKN 1 150,000.00 150,000.00 1 150,000.00 150,000.00
58 Blanko Laporan JKN 1 150,000.00 150,000.00 1 150,000.00 150,000.00
59 Buku KMS Lansia 50 100,000.00 5,000,000.00 50 100,000.00 5,000,000.00
60 Cetak Kartu Persalinan 200 1,800.00 360,000.00 200 1,800.00 360,000.00
61 Cetak Register rawat jalan 6 118,000.00 708,000.00 6 118,000.00 708,000.00
62 Cetak Buku Register Rujukan Pasien 1 118,000.00 118,000.00 1 118,000.00 118,000.00
63 Buku Bantu Harian Pengeluaran Obat 12 100,000.00 1,200,000.00 12 100,000.00 1,200,000.00
64 Cetak Buku Register Rujukan Balik 1 120,000.00 120,000.00 1 120,000.00 120,000.00
65 Buku Resep Pasien untuk Puskesmas dan Pustu 50 25,000.00 1,250,000.00 50 25,000.00 1,250,000.00
66 Family Folder 700 9,000.00 6,300,000.00 700 9,000.00 6,300,000.00
67 Cetak Buku LPLPO Pustu,Puskel,Ruang Farmasi 6 100,000.00 600,000.00 6 100,000.00 600,000.00
68 Cetak Buku LPLPO Gudang Obat 2 120,000.00 240,000.00 2 120,000.00 240,000.00
69 Cetak Buku Bantu Pengeluaran Karcis 10 90,000.00 900,000.00 10 90,000.00 900,000.00
70 Cetak Kartu Stok Barang 172 1,800.00 309,600.00 172 1,800.00 309,600.00
71 Cetak Blanko Cuti Tahunan 1 150,000.00 150,000.00 1 150,000.00 150,000.00
Amplop 12 38,000.00 456,000.00 12 38,000.00 456,000.00
Fotocopy BOK
72 Fotocopy blangko KLB 8,640 290.00 2,505,600.00 8,640 290.00 2,505,600.00
73 Fotocopy Form SMD 25,200 290.00 7,308,000.00 25,200 290.00 7,308,000.00
Fotocopy JKN
74 Fotocopy kartu kendali vaksinasi 1,000 350.00 350,000.00 1,000 350.00 350,000.00
75 Fotocopy profil, PTP, Laporan kinerja Puskesmas 500 350.00 175,000.00 500 350.00 175,000.00
Jilid JKN
76 Jilid profil, PTP, Laporan kinerja Puskesmas 9 20,000.00 180,000.00 9 20,000.00 180,000.00
Barang Kuasi
77 Karcis Rawat jalan 670 79.20 53,064.00 670 79.20 53,064.00 -
78 Karcis Tindakan 194 79.20 15,364.80 82 79.20 6,494.40 112
79 Karcis Pemeriksaan Kesehatan 220 79.20 17,424.00 3 79.20 237.60 217
80 karcis Pemeriksaan laboratorium 189 79.20 14,968.80 25 79.20 1,980.00 164
81 Karcis Pemeriksaan Kebidanan 172 84.50 14,534.00 - 84.50 - 172
TOTAL ATK Pusk. KINTAMANI IV 2,148,345.60 43,922,100.00 43,590,156.00
ATK PUSKESMAS KINTAMANI V

ALAT TULIS KANTOR JKN
1 Box File 11 25,200.00 277,200 11 25,200.00 277,200.00
2 Box File (2021) 10 27,000.00 270,000 10 27,000.00 270,000.00
3 Steples ALAT No 10 10 68,000.00 680,000 10 68,000.00 680,000.00
4 Staples ISI No 10 (K) 40 3,300.00 132,000 40 3,300.00 132,000.00
5 Bolpoin Faster 10 4,950.00 49,500 10 4,950.00 49,500.00
6 Bolpoin Faster (2021) 50 4,500.00 225,000 38 4,500.00 171,000.00 12
7 Penggaris Besi 30ccm 10 9,000.00 90,000 10 9,000.00 90,000.00
Map Plastik biasa Jepit /Snelhekter
8 125 11,000.00 125 11,000.00 1,375,000.00
(2021) 1,375,000
9 Map Plastik biasa Jepit /Snelhekter 3 12,100.00 36,300 3 12,100.00 36,300.00
10 Map Plastik Microtop 30 32,500.00 975,000 26 32,500.00 845,000.00 4
11 Map Kertas biasa (2021) 510 600.00 306,000 415 600.00 249,000.00 95
12 Map Kertas biasa 300 550.00 165,000 300 550.00 165,000.00
13 Map Snelhekter Folio biasa (L) 60 1,485.00 89,100 60 1,485.00 89,100.00
14 Klip Seagull Triagonal no 3 20 3,500.00 70,000 17 3,500.00 59,500.00 3
15 Binder No.260 50 3,850.00 192,500 50 3,850.00 192,500.00
16 Binder Klip No 155 128 2,500.00 320,000 128 2,500.00 320,000.00
17 Binder Klip No 105 160 1,500.00 240,000 160 1,500.00 240,000.00
18 Binder No.260 (2021) 100 3,100.00 310,000 100 3,100.00 310,000.00
19 Binder Klip No 155 (2021) 200 2,000.00 400,000 200 2,000.00 400,000.00
20 Binder Klip No 105 (2021) 300 1,200.00 360,000 280 1,200.00 336,000.00 20
21 Buku Folio 100 50 16,500.00 825,000 41 16,500.00 676,500.00 9
22 Buku Kas Folio 100 3 28,300.00 84,900 3 28,300.00 84,900.00
23 Buku Expedisi 100 (2021) 3 31,000.00 63,000 3 31,000.00 63,000.00
24 Buku Expedisi 100 2 32,100.00 64,200 2 32,100.00 64,200.00
25 Buku Kwarto isi 50 gr 20 12,600.00 280,000 14 12,600.00 204,400.00 6
26 Buku Agenda 2 22,000.00 44,000 2 22,000.00 44,000.00
27 Bantalan Stempel B (2021) 10 12,500.00 125,000 10 12,500.00 125,000.00
28 Tife Ex Botol Kenko 10 12,500.00 125,000 10 12,500.00 125,000.00
29 Tinta Yamura (2020) 8 8,910.00 71,280 8 8,910.00 71,280.00
30 Tinta Yamura (2021) 10 13,000.00 130,000.00 10 13,000.00 130,000.00
31 Pelubang Kertas B 5 64,000.00 320,000.00 5 64,000.00 320,000.00
32 Cutther L 500 2 19,200.00 38,400.00 2 19,200.00 38,400.00
33 Cutther L 500 (2021) - 2 19,000.00 38,000.00 2 19,000.00 38,000.00
34 Cutther Pisau Isi 1 7,400.00 7,400.00 1 7,400.00 7,400.00
35 Cutther Pisau Isi (2021) 5 6,000.00 30,000.00 5 6,000.00 30,000.00
36 Spidol Permanen G12 15 14,850.00 222,750.00 15 14,850.00 222,750.00
37 Spidol Permanen G12 (2021) 50 16,500.00 825,000.00 44 16,500.00 726,000.00 6
38 Spidol White Board 10 11,500.00 115,000.00 10 11,500.00 115,000.00
39 Spidol 12 Warna 10 19,000.00 190,000.00 10 19,000.00 190,000.00
40 Lem Glokol B 4 24,800.00 99,200.00 4 24,800.00 99,200.00
41 Lem Glokol B (2021) 10 12,500.00 125,000.00 8 12,500.00 100,000.00 2
42 Isolasi Bolak Balik 5 23,000.00 115,000.00 5 23,000.00 115,000.00
43 Flak Ban Jilid Hitam 10 21,000.00 210,000.00 10 21,000.00 210,000.00
44 map Plastik Jepit Snekhelcter 58 1,200.00 701,800.00 58 12,100.00 701,800.00
ALAT TULIS KANTOR BOK
45 Tinta Stempel Yamura 1 8,910.00 8,910.00 1 8,910.00 8,910.00
46 Bolpoin Faster 250 2,900.00 725,000.00 250 2,900.00 725,000.00
47 Map Polio Biasa 143 1,500.00 214,500.00 143 1,500.00 214,500.00
48 Map Polio Biasa (2021) 160 600.00 96,000.00 160 600.00 96,000.00
49 Klip Seagul No 3 17 3,500.00 59,500.00 17 3,500.00 59,500.00
50 Binder Klip Joyko No 260 120 3,100.00 372,000.00 120 3,100.00 372,000.00
Lem povinol tanggung 1 6,000.00 6,000.00 1 6,000.00 6,000.00
ALAT TULIS KANTOR / CETAK JKN
51 Cetak Kartu Golongan Darah 200 600.00 120,000.00 200 600.00 120,000.00
52 Cetak Informed Consent 1 250,000.00 250,000.00 1 250,000.00 250,000.00
53 Cetak Register Rujukan Balik 3 90,000.00 270,000.00 3 90,000.00 270,000.00
54 Cetak Register Rujukan Pasien 3 90,000.00 270,000.00 3 90,000.00 270,000.00
55 Cetak Resep Pasien JKN 120 9,000.00 1,080,000.00 120 9,000.00 1,080,000.00
56 600 350.00 370 350.00 129,500.00 230

Cetak SPTJM Kebenaran data Kelahiran 210,000.00
57 cetak Pengkajian Awal Klinis Anak 2,000 1,500.00 3,000,000.00 1,600 1,500.00 2,400,000.00 400
58 Cetak Pengkajian Awal Gigi 500 1,500.00 750,000.00 480 1,500.00 720,000.00 20
59 Cetak Pengkajian Awal Kebidanan 2,000 1,500.00 3,000,000.00 1,750 1,500.00 2,625,000.00 250
60 Cetak Pengkajian Awal Klinis Umum 1,000 1,500.00 1,500,000.00 900 1,500.00 1,350,000.00 100
61 Ccetak Kartu Barang 200 1,500.00 300,000.00 200 1,500.00 300,000.00 -
62 Cetak Register Rawat Jalan 42 168,000.00 7,056,000.00 38 168,000.00 6,384,000.00 4
63 Cetak Kartu Golongan Darah (2021) 360 1,000.00 360,000.00 240 1,000.00 240,000.00 120
64 Cetak Kartu Pengenal Pasien Pasien 1,200 500.00 600,000.00 350 500.00 175,000.00 850
65 Cetak Buku SBBK 10 48,000.00 480,000.00 9 48,000.00 432,000.00 1
66 Cetak Surat Keterangan Sakit 1 185,000.00 185,000.00 1 185,000.00 185,000.00 -
67 Cetak Surat Keterangan Sehat 1 185,000.00 185,000.00 1 185,000.00 185,000.00 -
68 Cetak Kartu Stok Obat 500 1,500.00 750,000.00 500 1,500.00 750,000.00 -
69 Cetak Resep Pasien JKN (2021) 200 24,000.00 4,800,000.00 138 24,000.00 3,312,000.00 62
70 Fotocopy 2,856 350.00 999,600.00 2,856 350.00 999,600.00 -
71 Penjilidan 10 340,000.00 340,000.00 10 340,000.00 340,000.00 -
ALAT TULIS KANTOR / CETAK BOK

72 Stiker Pis-PK 2,500 5,000.00 5,000,000.00 2,500 5,000.00 5,000,000.00
73 Spanduk 2 445,000.00 890,000.00 2 445,000.00 890,000.00
74 Cetak Stiker 250 10,000.00 2,500,000.00 250 10,000.00 2,500,000.00
75 Cetak Brosur 3,902 4,900.00 19,119,800.00 3,902 4,900.00 19,119,800.00
76 Fotocopy 7,442 290.00 2,158,180.00 7,442 290.00 2,158,180.00
BARANG KUASI
77 Karcis Pelayanan Kebidanan 160 84.50 13,520.00
78 Karcis Bayi Bergabung 147 79.20 11,642.40 1 79.20 79.20 146
79 Karcis Pemeriksaan Kesehatan 51 79.20 4,039.20 51 79.20 4,039.20 -
80 Karcis Pemeriksaan LAB 63 79.20 4,989.60 63 79.20 4,989.60 -
81 Karcis Rawat Inap 137 79.20 10,850.40 - 79.20 137
82 Karcis Tindakan Medik 111 79.20 8,791.20 111 79.20 8,791.20 -
83 Karcis Rawat Jalan 274 79.20 21,700.80 274 79.20 21,700.80 -
TOTAL ATK Pusk. KINTAMANI V 10,713,573.60 58,429,980.00 64,495,520.00
ATK PUSKESMAS KINTAMANI VI

ATK BOK
1 Clip no 5 90 4,500.00 405,000.00 - 90 4,500.00 405,000
2 Binder Klip 260 71 2,475.00 175,725.00 - 71 2,475.00 175,725
3 Binder Klip 155 58 2,000.00 116,000.00 - 58 2,000.00 116,000
4 Isi Steples no 10 125 3,520.00 440,000.00 - 125 3,520.00 440,000
5 Map 157 550.00 86,350.00 - 157 550.00 86,350
6 Buku Tulis folio isi 100 lbr 6 18,700.00 112,200.00 - 6 18,700.00 112,200
7 Bolpoint 407 4,600.00 1,872,200.00 100 4,600.00 460,000 407 4,600.00 2,332,200
8 Note Book 30 8,000.00 240,000.00 - 30 8,000.00 240,000
9 Pensil 65 4,840.00 314,600.00 - 65 4,840.00 314,600
kertas 14 61,000.00 854,000 14 61,000.00 854,000
ATK JKN
10 Buku Ekspedisi isi 100 3 22,000.00 66,000.00 10 21,000.00 210,000 6 21,000.00 129,000 7
11 Spidol white board 7 9,900.00 69,300.00 15 11,500.00 172,500 17 11,500.00 184,300 5
12 Buku agenda 5 24,400.00 122,000.00 10 22,000.00 220,000 10 22,000.00 232,000 5
13 Spidol Permanen 4 12,000.00 48,000.00 15 16,500.00 247,500 14 16,500.00 213,000 5
14 Box file TK/Jongkok - 80 22,000.00 1,760,000 50 22,000.00 1,100,000 30
15 Map kertas Folio - 158 600.00 94,800.00 100 600.00 60,000.00 58
16 Ballpoin - 50 4,300.00 215,000.00 50 4,300.00 215,000.00
17 Buku Folio isi 100 - 15 16,500.00 247,500.00 15 16,500.00 247,500.00
18 Buku Kas Folio - 6 28,300.00 169,800.00 4 28,300.00 113,200.00 2
19 Steples alat kanggaro No 10 - 10 25,000.00 250,000.00 10 25,000.00 250,000.00
20 Isi Steples kanggaro No 10 - 10 2,600.00 26,000.00 10 2,600.00 26,000.00
21 Map jepit /snellen - 100 11,000.00 1,100,000.00 100 11,000.00 1,100,000.00
22 Karcis Rawat Jalan Umum 1599 79.20 126,640.80 2,000 79.20 2,023 79.20 126,640.80 1,576
23 Karcis Tindakan Medik Operatif 342 79.20 27,086.40 400 79.20 366 79.20 27,086.40 376
24 Karcis Tarif Pemeriksaan Kesehatan 224 79.20 17,740.80 - 79.20 82 79.20 6,494.40 142
25 Karcis Pemeriksaan Laboratorium patologi 1173 79.20 92,901.60 - 79.20 53 79.20 4,197.60 1,120
26 Karcis Pelayanan Kebidanan 96 84.50 8,112.00 - 84.50 - 84.50 - 96
27 Blanko DP II .60 ( TTUK ) 0 17,000.00 - 5 17,000.00 5 17,000.00 -
CETAK jkn
28 Cetak Kartu Stok Obat - 400 1,500.00 600,000.00 400 1,500.00 600,000.00
29 Cetak Blanko Lembar Disposisi - 5 28,000.00 140,000.00 5 28,000.00 140,000.00
30 Cetak Amplop Family Folder - 2,000 3,000.00 6,000,000.00 2,000 3,000.00 6,000,000.00
31 Cetak Resep 1/3 Folio - 61 28,000.00 1,708,000.00 61 28,000.00 1,708,000.00
32 Cetak Blanko Lab - 4 138,000.00 552,000.00 4 138,000.00 552,000.00
33 Cetak Register Rujukan - 2 180,000.00 360,000.00 2 180,000.00 360,000.00
34 Cetak Register Rawat Jalan - 8 180,000.00 1,440,000.00 8 180,000.00 1,440,000.00
35 Cetak Kajian awal pasien - 18 138,000.00 2,484,000.00 18 138,000.00 2,484,000.00
36 Cetak Blanko MTBS - 3 138,000.00 414,000.00 3 138,000.00 414,000.00
37 Cetak SBBK - 4 138,000.00 552,000.00 4 138,000.00 552,000.00
Foto copy bok

38 Fc Blanko SMD dan PHBS - 2,620 290.00 759,800.00 2,620 290.00 759,800.00
39 FC Blanko Pemantauan KLB - 1,500 290.00 435,000.00 1,500 290.00 435,000.00
40 FC Blanko PTM - 1,640 290.00 475,600.00 1,640 290.00 475,600.00
TOTAL ATK Pusk. KINTAMANI VI 4,339,856.60 21,947,500.00 25,030,894.20
SUB TOTAL ALAT TULIS

644,885,415.40 983,518,519.00 1,009,792,359.30
KANTOR DINAS KESEHATAN
DINAS KESEHATAN
KERTAS DAN
II
COVER
RUTIN
1 Kertas HVS 70 gr A4 2021 - 10 56,000.00 560,000 280,000 5
2 Kertas HVS 70 gr folio (B) 10 59,950.00 599,500 - 599,500
3 Kertas HVS 70 gr folio (2021) - 215 60,000.00 12,900,000 12,900,000
4 Amplop Persegi Polos (L) 15 19,000.00 285,000 285,000
5 Amplop Persegi Polos (B) 15 20,900.00 313,500 313,500
6 Amplop Persegi Polos (2021) 6 21,500.00 129,000 43,000 4
7 Amplop Kabinet + lem 80 gr jaya (L) -
8 Amplop Kabinet + lem 80 gr jaya (B) 18 27,500.00 495,000 495,000
9 Amplop Kabinet + lem 80 gr jaya (2021) 2 59,950.00 10 26,300.00 263,000 263,000
10 Kertas Fax (L) 20 29,000.00 580,000 20
11 Kertas Fax (B) 15 31,900.00 478,500 15
BOK
12 Kertas HVS 70 gr folio - 70 60,000.00 4,200,000 45 60,000.00 2,700,000 25
SARPRAS( DAK)
13 Kertas HVS 70 gr folio 2 59,950.00 119,900 34 60,000.00 2,040,000 36 60,000.00 2,159,900
YANKES
14 Kertas HVS 70 gr Folio 15 60,000.00 900,000 15 60,000.00 900,000
p2p
Kertas HVS 14 60,000.00 820,000 14 60,000.00 820,000
TOTAL KERTAS DAN COVER
2,871,400 21,812,000
DINKES 21,758,900
PUSKESMAS
KERTAS DAN COVER PUSKESMAS
BANGLI
BOK
1 Kertas HVS Sidu 70 gr Folio 78 59,950.00 4,676,100 78 59,950.00 4,676,100
JKN
2 Kertas HVS Sidu 70 gr Folio 200 61,000.00 12,200,000 75 61,000.00 4,575,000 125
3 Amplop Persegi Polos 2 21,000.00 42,000 2 21,000.00 42,000
4,676,100 12,242,000 9,293,100
PUSKESMAS BANGLI
BANGLI UTARA
KERTAS DAN COVER JKN
1 Kertas HVS 70 gr Folio 10 59,950.00 599,500 40 61,000.00 2,440,000 45 61,000.00 2,734,500 5
KERTAS DAN COVER BOK
2 Kertas HVS 70 gr Folio 10 59,950.00 599,500 10 61,000.00 610,000 20 61,000.00 1,209,500
1,199,000 3,050,000 3,944,000
PUSKESMAS BANGLI UTARA

TEMBUKU I
JKN
1 KERTAS HVS 70 gr FOLIO 180 59,950.00 10,791,000 100 61,000.00 6,100,000 156 59,950.00 9,352,200 126
2 KERTAS BUFALOW PUTIH 1 30,000.00 30,000 - 1 30,000.00 30,000
3 KERTAS THERMAL 46 10,000.00 460,000 - 46 10,000.00 460,000
BOK
4 KERTAS HVS 70 gr FOLIO 180 59,950.00 10,791,000 - 85 59,950.00 5,095,750 95
22,072,000 6,100,000 14,937,950
PUSKESMAS TEMBUKU I

TEMBUKU II
1 Kertas HVS 70 gr Folio 79 59,950.00 4,736,050 300 61,000.00 18,300,000 234 61,000.00 14,191,050 145
2 Kertas Buffalo Ligth Kover - 7 54,000.00 378,000 7 54,000.00 378,000
4,736,050 18,678,000 14,569,050
PUSKESMAS TEMBUKU II

SUSUT I
1 Kertas HVS Folio 70 gr - 200 Rim 61,000.00 12,200,000 70 rim 61,000.00 4,270,000 130
4,270,000
PUSKESMAS SUSUT I - 12,200,000

SUSUT II
JKN
1 Kertas HVS 70gr 42 59,950.00 2,517,900 4,575,000 5,262,900 30
2 Kertas HVS 80 gr 15 68,000.00 1,020,000 - 15 68,000.00 1,020,000
3 Amplop Persegi 90 165,500 - 165,500
4 Kertas Termal(antrean) 1,075,000 1,075,000
BOK -
1 Kertas HVS 70gr 11980700 488,000 10,430,400 34
2 Amplop Persegi Polos 28,000 28,000
3 Amplop Kabinet 60gr 142,100 - 142,100
15,854,200 6,138,000 18,123,900
PUSKESMAS SUSUT II

KINTAMANI I
JKN
1 Kertas HVS 70 gr Folio - 75 61,000.00 4,575,000 60 61,000.00 3,660,000 15
2 Amplop Persegi Polos 10 20,900.00 209,000 209,000
E-Print Themper
3 400 4,750.00 400
Ukuran 57 x 30 1,900,000 -
4 Kertas Buffalow 5 31,000.00 155,000 - 5
BOK
5 Kertas HVS 70 gr folio 100 59,950.00 5,995,000 13 65,000.00 840,000 105 65,000.00 6,835,000
6,224,900 7,470,000 10,724,900
PUSKESMAS KINTAMANI I

KINTAMANI II
Kertas dan Cover JKN
1 Kertas HVS 70 gsm 32 59,950.00 1,918,400 20 61,000.00 1,220,000 52 3,138,400
Kertas dan Cover BOK
2 Kertas HVS 70 gsm 54 59,950.00 3,237,300 8 61,000.00 488,000 62 3,725,300
5,155,700 1,708,000 6,863,700
PUSKESMAS KINTAMANI II

KINTAMANI III
1 Kertas HVS 70 gr folio bok 26 59,950.00 1,558,700 9 59,950.00 520,000 34 59,950.00 2,013,700 1
2 Amplop persegi polos 2 20,900.00 41,800 - 20,900.00 - 2 20,900.00 41,800 -
3 Kertas HVS 70 Gr 5 59,950.00 299,750 31 59,950.00 1,830,000 33 59,950.00 2,007,750 2
4 Amplop Persegi Polos pAperline jkn 1 20,900.00 20,900 26 20,900.00 537,500 20 20,900.00 407,900 7
1,921,150 2,887,500 4,471,150
PUSKESMAS KINTAMANI III

KINTAMANI IV
BOK
1 Kertas HVS 70 gr Folio 53 59,950.00 3,177,350 5 61,000.00 305,000 53 61,000.00 3,177,350 5
2 Kertas Manila Putih 24 3,100.00 74,400 24 3,100.00 74,400
JKN
3 Kertas HVS 70 gr Folio 40 59,950.00 2,398,000 60 61,000.00 3,660,000 90 61,000.00 5,448,000 10
4 Amplop Surat -
5,649,750 3,965,000 8,699,750.00
PUSKESMAS KINTAMANI IV

KINTAMANI V
KERTAS DAN COVER JKN
1 Kertas HVS 70 gr A4 80 59,950.00 4,796,000 80 59,950.00 4,796,000
2 Kertas HVS 70 gr A4 2021 50 56,000.00 2,800,000 44 56,000.00 2,464,000 6
3 Kertas HVS 70 gr folio (2021) 80 61,000.00 4,880,000 77 61,000.00 4,697,000 3
4 Kertas HVS 70 gr folio 20 59,950.00 1,199,000 20 59,950.00 1,199,000
5 Amplop Kabinet 3 27,500.00 82,500 3 27,500.00 82,500
6 Amplop Kabinet (2021) 5 29,000.00 145,000 5 29,000.00 145,000
KERTAS DAN COVER BOK
7 Kertas HVS 70 gr Folio 45 59,950.00 2,697,750 45 59,950.00 2,697,750
8 Kertas HVS 70 gr folio (2021) 10 61,000.00 610,000 10 61,000.00 610,000
8,796,150 8,435,000 16,712,150
PUSKESMAS KINTAMANI V

KINTAMANI VI
BOK
1 Kertas HVS 105 59,950.00 6,294,750 105 59,950.00 6,294,750
JKN -
2 Kertas HVS 70 gr 40 59,950.00 2,398,000 80 61,000.00 4,880,000 76 61,000.00 4,594,000 44
8,692,750 10,888,750
PUSKESMAS KINTAMANI VI 4,880,000
SUB TOTAL KERTAS DAN
KOVER DINAS 87,849,150 109,565,500 145,257,300.00
KESEHATAN
DINAS KESEHATAN
III BENDA POS

Rutin
1 Materai 6000 1230 6,000.00 7,380,000 - 1,230 6,000.00 7,380,000
2 Materai 3000 516 3,000.00 1,548,000 - 516 3,000.00 1,548,000
3 Materai 10000 1,790 10,000.00 17,900,000 558 10,000.00 5,580,000 1,232
BTT COVID - -
4 Materai 6000 516 6,000.00 282,000 - - 47
5 Materai 3000 - - -
TOTAL BENDA POS RUTIN 9,210,000 17,900,000 14,508,000
PUSKESMAS
PUSKESMAS BANGLI
BOK
1 Materai 3000 30 3,000.00 90,000 30 3,000.00 90,000
2 Materai 6000 60 6,000.00 360,000 60 6,000.00 360,000
JKN -
3 Materai 3000 80 3,000.00 240,000 80 3,000.00 240,000
4 Materai 6000 161 6,000.00 966,000 161 6,000.00 966,000
5 Materai 10000 - 200 10,000.00 2,000,000 200 10,000.00 2,000,000
TOTAL BENDA POS Pusk.Bangli 1,656,000 2,000,000 3,656,000

JKN -
1 Materai 3000 20 3,000.00 60,000 - 20 3,000.00 60,000
2 Materai 6000 15 6,000.00 90,000 - 15 6,000.00 90,000
3 Materai 10000 - 60 10,000.00 600,000 50 10,000.00 500,000 10
BOK -
4 Materai 3000 4 3,000.00 12,000 - 4 3,000.00 12,000
5 Materai 6000 20 6,000.00 120,000 20 6,000.00 120,000
TOTAL BENDA POS Pusk.Bangli
282,000 600,000 782,000
Utara
PUSKESMAS TEMBUKU I
JKN -
1 MATERAI 6000 82 6,000.00 492,000 - 68 6,000.00 408,000 14
2 MATERAI 10000 99 10,000.00 990,000 60 10,000.00 600,000 39
BOK -
3 MATERAI 6000 212 6,000.00 1,272,000 - 212 6,000.00 1,272,000
4 MATERAI 3000 27 3,000.00 81,000 - 27 3,000.00 81,000
TOTAL BENDA POS Pusk. Tembuku I 1,845,000 990,000 2,361,000
JKN - -
1 Meterai 10000 - 200 10,000.00 2,000,000 108 10,000.00 1,080,000 92
TOTAL BENDA POS Pusk. Tembuku
- 2,000,000 1,080,000
II
PUSKESMAS SUSUT I
1 Materai - 100 buah 10,000.00 1,000,000 100 buah 10,000.00 1,000,000
TOTAL BENDA POS Pusk. SUSUT I - 1,000,000 1,000,000
PUSKESMAS SUSUT II
JKN -
1 Materai 6000 30,000 - 30,000
2 Materai 3000 - - -
3 Materai 10000 1,000,000 1,000,000
BOK -
4 Materai 6000 3,000,000 - 3,000,000
5 Materai 3000 222,000 - 222,000
TOTAL BENDA POS Pusk. SUSUT II 3,252,000 1,000,000 4,252,000
PUSKESMAS KINTAMANI I -
1.JKN -
1 MATERAI 10000 500 10,000.00 5,000,000 400 10,000.00 4,000,000 100
2 MATERAI 6000 - -
2.BOK
3 MATERAI 10000 -
4 Materai 6000 250 6,000.00 1,500,000 - 250 6,000.00 1,500,000
TOTAL BENDA POS Pusk.
1,500,000 5,000,000 5,500,000
KINTAMANI I
JKN -
1 Meterai 6.000 120 6,000.00 720,000 120 6,000.00 720,000
2 Meterai 3.000 40 3,000.00 120,000 40 3,000.00 120,000
3 Meterai 10000 150 10,000.00 1,500,000 30 10,000.00 300,000 120
BOK - -
4 Meterai 6.000 100 6,000.00 600,000 100 6,000.00 600,000
5 Meterai 3.000 - -
1,440,000 1,500,000 1,740,000
KINTAMANI II

1 Materai 10000 - 225 10,000.00 2,250,000 225 10,000.00 2,250,000
- 2,250,000 2,250,000
KINTAMANI III
JKN -
1 Materai 10000 120 10,000.00 1,200,000 120 10,000.00 1,200,000
- 1,200,000 1,200,000
KINTAMANI IV
JKN -
1 Materai 3000 (JKN) 180 3,000.00 540,000 180 3,000.00 540,000
2 Materai 6000 (JKN) 130 6,000.00 780,000 130 6,000.00 780,000
3 Materai 10000 180 10,000.00 1,800,000 178 10,000.00 1,780,000 2
BOK -
4 Materai 3000 (BOK) 50 3,000.00 150,000 50 3,000.00 150,000.00
5 Materai 6000 (BOK) 170 6,000.00 1,020,000 170 6,000.00 1,020,000.00
2,490,000 1,800,000 4,270,000
KINTAMANI V
PUSKESMAS KINTAMANI VI
BOK -
1 Materai BOK 3000 137 3,000.00 411,000 137 3,000.00 411,000
2 Materai BOK 6000 160 6,000.00 960,000 160 6,000.00 960,000
JKN - -
3 Materai 3000 21 3,000.00 63,000 21 3,000.00 63,000
4 Materai 10000 - 90 10,000.00 900,000 74 10,000.00 740,000 16
1,434,000 900,000 2,174,000
KINTAMANI VI
SUB TOTAL BENDA POS DINAS
23,109,000 38,140,000 44,773,000.00
KESEHATAN
DINAS KESEHATAN
IV BAHAN KOMPUTER
RUTIN
1 Toner Laserjet 85 A (L) 4 860,000.00 3,440,000 860,000.00 2 860,000.00 1,720,000 2
2 Toner Laserjet 85 A (B) 4 946,000.00 3,784,000 946,000.00 - 946,000.00 4
3 Toner Laserjet 85 A (2021) 1,350,000.00 2 1,350,000.00 2,700,000 1 1,350,000.00 1,350,000 1
4 Toner Laserjet 35 A (L) 4 875,000.00 3,500,000 875,000.00 - 875,000.00 4
5 Toner Laserjet 35 A (B) 4 957,000.00 3,828,000 957,000.00 - 957,000.00 4
6 Toner Laserjet 85 A refil (L) 87 95,000.00 8,265,000 95,000.00 87 95,000.00 8,265,000 -
7 Toner Laserjet 85 A refil (B) 135 104,500.00 14,107,500 104,500.00 98 104,500.00 10,241,000 37
9 Toner Laserjet 83 A refil (B) 40 104,500.00 4,180,000 104,500.00 40 104,500.00 4,180,000 -
11 Toner Laserjet 12 A refil (B) 40 112,750.00 4,510,000 112,750.00 40 112,750.00 4,510,000 -
13 Toner Laserjet 35 A refil (B) 135 104,500.00 14,107,500 104,500.00 69 104,500.00 7,210,500 66
14 Tinta Epson T664 1 (L) - - - -
15 Tinta Epson T664 1 (B) 37 123,750.00 4,578,750 123,750.00 20 123,750.00 2,475,000 17
16 Tinta Epson T664 1 (2021) 125,000.00 15 125,000.00 1,875,000 - 125,000.00 15
17 Tinta Epson T664 2 (L) 8 112,500.00 900,000 112,500.00 4 112,500.00 450,000 4
18 Tinta Epson T664 2 (B) 9 123,750.00 1,113,750 123,750.00 - 123,750.00 9
19 Tinta Epson T664 2 (2021) 125,000.00 8 125,000.00 1,000,000 - 125,000.00 8
20 Tinta Epson T664 3 (L) 11 112,500.00 1,237,500 112,500.00 4 112,500.00 450,000 7
21 Tinta Epson T664 3 (B) 9 123,750.00 1,113,750 123,750.00 - 123,750.00 9
22 Tinta Epson T664 3 (2021) 125,000.00 8 125,000.00 1,000,000 - 125,000.00 8
23 Tinta Epson T664 4 (L) 13 112,500.00 1,462,500 112,500.00 4 112,500.00 450,000 9
24 Tinta Epson T664 4 (B) 9 123,750.00 1,113,750 123,750.00 - 123,750.00 9
25 Tinta Epson T664 4 (2021) 125,000.00 8 125,000.00 1,000,000 - 125,000.00 8
26 Tinta Epson L3110 Black (2021) 90,000.00 20 90,000.00 1,800,000 15 90,000.00 1,350,000 5
27 Tinta Epson L3110 Tri colour (2021) 90,000.00 10 90,000.00 900,000 6 90,000.00 540,000 4
28 Tinta HP GT 51 37 123,750.00 4,578,750 123,750.00 - 123,750.00 37
29 Tinta HP GT 52 8 123,750.00 990,000 123,750.00 - 123,750.00 8
30 Tinta HP GT 53 7 123,750.00 866,250 123,750.00 - 123,750.00 7
31 Tinta HP GT 54 8 123,750.00 990,000 123,750.00 - 123,750.00 8
32 Tinta Printer hitam (L) 4 31,000.00 124,000 31,000.00 1 31,000.00 31,000 3
33 Tinta Printer hitam (B) 8 34,100.00 272,800 34,100.00 - 34,100.00 8
34 Tinta Printer merah (L) 3 31,000.00 93,000 31,000.00 1 31,000.00 31,000 2
35 Tinta Printer merah (B) 5 34,100.00 170,500 34,100.00 - 34,100.00 5
36 Tinta Printer biru (L) 4 31,000.00 124,000 31,000.00 1 31,000.00 31,000 3
37 Tinta Printer biru (B) 5 34,100.00 170,500 34,100.00 - 34,100.00 5
38 Tinta Printer kuning (L) 3 31,000.00 93,000 31,000.00 1 31,000.00 31,000 2
39 Tinta Printer kuning (B) 5 34,100.00 170,500 34,100.00 - 34,100.00 5
BOK
40 Toner Laserjet P 1102 refil - 1,500,000 1,500,000
YANKES
41 Tinta Epson T001 Black 435,000 290,000 1
42 Tinta Epson T001 Colour 432,000 4
BOK
43 Reffil toner 625,000 625,000
TOTAL BAHAN KOMPUTER

103,412,800 13,267,000 69,258,000.00
DINKES
-
PUSKESMAS
BAHAN KOMPUTER PUSKESMAS
BANGLI
BOK
1 Toner 1 1,275,000.00 1,275,000 - 1 1,275,000.00 1,275,000
JKN -
2 Tinta Printer Epson 664 Y Epson 664 5 125,000.00 625,000 5 125,000.00 625,000
3 Tinta Printer Epson 664 M Epson 664 5 125,000.00 625,000 5 125,000.00 625,000
4 Tinta Printer Epson 664 C Epson 664 5 125,000.00 625,000 5 125,000.00 625,000
5 Tinta Printer Epson 664 B Epson 664 35 125,000.00 4,375,000 35 125,000.00 4,375,000
Tinta Epson T003 Colour (EPCR TTN
6 9 105,000.00 9 105,000.00 945,000
R-045 X) For L3110 Supllies 945,000
Tinta Epson T003 Black (EPCR TTN R-
7 16 105,000.00 16 105,000.00 1,680,000
045 X) For L3110 Supllies 1,680,000
Flash Disk Kingston 16 GB DT100G3
8 5 112,000.00 5 112,000.00 560,000
USB 3.0 560,000
Tinta Printer Canon Black Canon Pixma
9 35 135,000.00 35 135,000.00 4,725,000
GI790 4,725,000
1,275,000 14,160,000 15,435,000.00
PUSKESMAS BANGLI

BANGLI UTARA
BAHAN KOMPUTER JKN
1 Tinta Epson 4 123,750.00 495,000 4 123,750.00 495,000
2 Tinta Epson T 6652 B 10 130,000.00 1,300,000 7 130,000.00 910,000 3
3 Tinta Epson T 6652 M 5 130,000.00 650,000 4 130,000.00 520,000 1
4 Tinta Epson T 6652 Y 5 130,000.00 650,000 4 130,000.00 520,000 1
BAHAN KOMPUTER BOK
5 Tinta printer Epson 1 123,750.00 123,750 - 1 123,750.00 123,750
6 Tinta Epson T003 Black 9 105,000.00 945,000 7 105,000.00 735,000 2
618,750 3,545,000 3,303,750

TEMBUKU I
1 TINTA 678 BLACK (2019) 1 125,000.00 125,000 - 1 125,000.00 125,000
2 TINTA 678 BLACK (2020) 10 120,000.00 1,200,000 - 10 120,000.00 1,200,000
3 TINTA 678 TRICOLOUR (2019) 4 125,000.00 500,000 - 4 125,000.00 500,000
4 TINTA 678 TRICOLOUR (2020) 5 120,000.00 600,000 - 5 120,000.00 600,000
5 TINTA EPSON 664 BK 0 - 5 130,000.00 650,000 5 130,000.00 260,000
6 TINTA EPSON 664 C 10 123,750.00 1,237,500 - 10 123,750.00 1,237,500
7 TINTA EPSON 664 M 10 123,750.00 1,237,500 - 10 123,750.00 1,237,500
8 TINTA EPSON 664 Y 10 123,750.00 1,237,500 - 10 123,750.00 1,237,500
9 CANON TINTA BOTOL 790 B 5 123,750.00 618,750 - 5 123,750.00 618,750
10 CANON TINTA BOTOL 790 M 5 123,750.00 618,750 - 5 123,750.00 618,750
11 CANON TINTA BOTOL 790 C 3 123,750.00 371,250 - 3 123,750.00 371,250
12 CANON TINTA BOTOL 790 Y 3 123,750.00 371,250 - 3 123,750.00 371,250
13 SANDISK 0 - 4 65,000.00 260,000 4 65,000.00 650,000
8,117,500 910,000 9,027,500
PUSKESMAS TEMBUKU I

TEMBUKU II
1 Tinta Epson T003 Black 10 105,000.00 1,050,000 7 105,000.00 735,000 3
2 Tinta Epson T003 Colour (C,M,Y) 15 105,000.00 1,575,000 7 105,000.00 735,000 8
- 2,625,000 1,470,000

SUSUT I
1 Tinta Epson T 66652 Y - 5 botol 130,000.00 650,000 5 botol 130,000.00 650,000
2 Tinta Epson T 66652 C - 5 botol 130,000.00 650,000 5 botol 130,000.00 650,000
3 Tinta Epson T 66652 M - 5 botol 130,000.00 650,000 5 botol 130,000.00 650,000
4 Tinta Epson T 66652 Y - 5 botol 130,000.00 650,000 5 botol 130,000.00 650,000
- 2,600,000.00 2,600,000
PUSKESMAS SUSUT I

SUSUT II
JKN -
1 Refil toner laser jet/hp series(L) 2 115,000.00 230,000 - 2 115,000.00 230,000
Refil toner laser jet/hp series(B) 10 125,000.00 1,250,000 10 125,000.00 1,250,000
2 Refil Tinta Epson(L) 8 125,000.00 1,000,000 50 125,000.00 6,250,000 8 125,000.00 1,000,000 50
Refil Tinta Epson(B) 76 123,750.00 9,405,000 76 123,750.00 9,405,000
BOK
1 Refil Toner laser jet 17 112,750.00 1,916,750 7 112,750.00 750,000 24 112,750.00 2,666,750
13,801,750 7,000,000 14,551,750
PUSKESMAS SUSUT II

KINTAMANI I
JKN
1 Tinta epson T6644 for printer L100/L1200 1 110,000.00 110,000 20 125,000.00 2,500,000 8 125,000.00 985,000 13
Flash Disk Kingston 32Gb DT100G3
2 3 125,000.00 3 125,000.00 375,000
USB 3.0 375,000
3 Hardisk 1 TB
4 Instal sistem
BOK
5 tinta epson L 120 7 123,750.00 866,250 2 123,750.00 250,000 7 123,750.00 866,250 2
976,250 3,125,000 2,226,250

KINTAMANI II
Bahan Komputer JKN
1 Tinta Printer Epson 10 123,750.00 1,237,500 24 125,000.00 3,000,000 15 125,000.00 1,862,500 19
2 Tinta Epson 003 9 123,750.00 1,113,750 30 105,000.00 3,150,000 20 105,000.00 2,268,750 19
Bahan Komputer BOK - -
3 Tinta Epson 8 123,750.00 990,000 - 8 123,750.00 990,000 -
4 INK/Toner - 9 105,000.00 945,000 5 105,000.00 525,000 4
3,341,250 7,095,000 5,646,250

KINTAMANI III
1 Tinta Epson L310 1 125,000.00 125,000 15 105,000.00 1,575,000 16 105,000.00 1,700,000
2 Tinta Refil Epson 664 Black 1 123,750.00 123,750 - 1 123,750.00 123,750
3 Tinta REfil Epson 664 Cyan 1 123,750.00 123,750 - 1 123,750.00 123,750
4 Tinta Refil Epson 664 Magenta 1 123,750.00 123,750 - 1 123,750.00 123,750
5 Tinta Refil Epson 664 Yellow 1 123,750.00 123,750 - 1 123,750.00 123,750
6 inkjet catridge HP Black - - -
7 inkjet catridge HP colour - - -
8 Tinta Epson colour - 5 105,000.00 525,000 5 105,000.00 525,000
9 Toner Hp Laserjet - - -
10 Refil toner HP - 15 115,000.00 1,725,000 12 115,000.00 1,380,000 3
11 Tinta hp data print colour/blak 2 48,000.00 96,000 - 2 48,000.00 96,000
12 Tinta epson T664 - - -
13 Tinta Refil Epson 2 123,750.00 247,500 - 2 123,750.00 247,500.00
14 Epson T003 Black - 4 110,000.00 440,000 4 110,000.00 440,000.00
963,500 4,265,000 4,883,500

KINTAMANI IV
Bahan Komputer JKN
1 Tinta Printer Canon 5 185,000.00 925,000 6 190,000.00 1,140,000 7 185,000.00 1,305,000 4
2 Tinta Printer Epson 8 123,750.00 990,000 8 125,000.00 1,000,000 11 123,750.00 1,365,000 5
-
Bahan Komputer BOK -
3 Tinta Printer L120 T6641 Black - 1 125,000.00 125,000 1 125,000.00 125,000
1,915,000 2,265,000 2,795,000

KINTAMANI V
BAHAN KOMPUTER JKN
1 Tinta Brother T310 6 158,015.00 948,090 6 158,015.00 948,090
2 Tinta Epson T 6652 B 2 123,750.00 247,500 2 123,750.00 247,500
3 Tinta Brother T310 (2021) 6 140,000.00 840,000 4 140,000.00 560,000 2
4 Tinta Brother BT 5000 CMY 6 140,000.00 840,000 6 140,000.00 840,000
5 Tinta Epson T 6652 B (2021) 10 130,000.00 1,300,000 10 130,000.00 1,300,000
BAHAN KOMPUTER BOK
6 Tinta Epson T 6644 3 123,750.00 371,250 3 123,750.00 371,250
7 Tinta Brother T310 11 141,500.00 1,556,500 11 141,500.00 1,556,500
1,566,840 4,536,500 5,823,340

KINTAMANI VI
BOK
1 Tinta Epson 664 4 123,750.00 495,000 - 4 123,750.00 495,000
495,000 - 495,000
SUB TOTAL BAHAN
KOMPUTER DINAS 136,483,640 65,393,500 137,515,340
KESEHATAN
DINAS KESEHATAN
V PERABOT KANTOR
Rutin -
1 Sapu Ijuk 71 17,000.00 1,207,000 0 17,000.00 - 49 17,000.00 833,000 22
2 Sapu Ijuk 2021 17,500.00 114 17,500.00 1,995,000 96 17,500.00 1,680,000 18
3 Sapu lidi Biasa 30 7,000.00 210,000 - 30 7,000.00 210,000
4 Sapu lidi Biasa 2021 7,700.00 123 7,700.00 947,100 105 7,700.00 808,500 18
5 Pengharum Ruangan Besar 49 50,000.00 2,450,000 0 50,000.00 - 25 50,000.00 1,250,000 24
6 Pengharum Mobil 36 30,000.00 1,080,000 0 30,000.00 - 13 30,000.00 390,000 23
7 Pengharum Mobil 2021 17,000.00 36 17,000.00 612,000 23 17,000.00 391,000 13
8 Pembasmi Serangga (L) - -
9 Pembasmi Serangga (B) 27 35,000.00 945,000 0 35,000.00 - 21 35,000.00 735,000 6
10 Pembasmi Serangga 2021 42,100.00 25 42,100.00 1,052,500 13 42,100.00 547,300 12
11 Lap Kaca Kuning Kecil 15 15,000.00 225,000 0 15,000.00 - 8 15,000.00 120,000 7
12 Lap Kaca Kuning Kecil 2021 11,500.00 46 11,500.00 529,000 36 11,500.00 414,000 10
13 Lap Tangan Kecil 15 4,500.00 67,500 0 4,500.00 - 3 4,500.00 13,500 12
14 Lap Tangan Kecil 2021 36,800.00 10 36,800.00 368,000 6 36,800.00 220,800 4
15 Lap Untuk Mobil/Motor 18 42,000.00 756,000 0 42,000.00 - 9 42,000.00 378,000 9
16 Lap Untuk Mobil/Motor 2021 42,500.00 15 42,500.00 637,500 0 42,500.00 - 15
17 Lap Pel G.A.Biru 22 8,500.00 187,000 0 8,500.00 - 18 8,500.00 153,000 4
18 Lap Pel G.A.Biru 2021 7,400.00 44 7,400.00 325,600 29 7,400.00 214,600 15
19 Handuk 32 45,000.00 1,440,000 0 45,000.00 - 8 45,000.00 360,000 24
20 Keset Woll Kecil 17 7,500.00 127,500 0 7,500.00 - 16 7,500.00 120,000 1
21 Keset Woll Kecil 2021 44,000.00 23 44,000.00 1,012,000 13 44,000.00 572,000 10
22 Keranjang Sampah Dengan Kampil 3 35,000.00 105,000 3 35,000.00 105,000
KERANJANG SAMPAH PLASTIK
23
BIASA 2 86,300.00 172,600 2 86,300.00 172,600
24 Keranjang Sampah Biasa Halus 23,000.00 78 23,000.00 1,794,000 63 23,000.00 1,449,000 15
25 Serok Sampah Plastik Halus 96,000 0 16,000.00 - 6 16,000.00 96,000
26 Serok Sampah Plastik Halus 2021 13,800.00 58 13,800.00 800,400 43 13,800.00 593,400 15
27 Keranjang Sampah Bertutup 18 37,000.00 666,000 0 37,000.00 - 15 37,000.00 555,000 3
28 Tong Sampah Besar 22 214,000.00 4,708,000 0 214,000.00 - 12 214,000.00 2,568,000 10
29 Ember Plastik 4 Galon (L) 21 28,000.00 588,000 0 28,000.00 - 21 28,000.00 588,000
30 Ember Plastik 4 Galon (B) 10 21,600.00 216,000 0 21,600.00 - 0 21,600.00 - 10
31 Ember Plastik 4 Galon (2021) 18,500.00 35 18,500.00 647,500 23 18,500.00 425,500 12
32 Pembersih Kaca 1 Ltr 37 13,500.00 499,500 0 13,500.00 - 27 13,500.00 364,500 10
33 Pembersih Kaca 1 Ltr 2021 22,600.00 50 22,600.00 1,130,000 38 22,600.00 858,800 12
34 Pembersih Lantai 1,5 Ltr (L) 27 25,000.00 675,000 0 25,000.00 - 26 25,000.00 650,000 1
35 Pembersih Lantai 1,5 Ltr (B) 10 20,000.00 200,000 0 20,000.00 - 0 20,000.00 - 10
36 Pembersih Lantai 1,5 Ltr 2021 37 35,800.00 1,324,600 37 35,800.00 1,324,600
37 Sapu Bulu Ayam Super 12 24,000.00 288,000 0 24,000.00 - 10 24,000.00 240,000 2
38 Sapu Bulu Ayam Super 2021 0 23,400.00 36 23,400.00 842,400 26 23,400.00 608,400 10
39 Pembersih Keramik 1 Ltr (L) 124,000 0 15,500.00 - 8 15,500.00 124,000
40 Pembersih Keramik 1 Ltr (B) 25 21,000.00 525,000 0 21,000.00 - 13 21,000.00 273,000 12
41 Pembersih Keramik 1 Ltr 2021 19,200.00 12 19,200.00 230,400 0 19,200.00 - 12
42 Sumbu Tangkai pel 20,300.00 8 20,300.00 162,400 0 20,300.00 8
43 Sabun Mandi (L) 14 3,000.00 42,000 0 3,000.00 - 14 3,000.00 42,000
44 Sabun Mandi (B) 50 3,300.00 165,000 0 3,300.00 - 25 3,300.00 82,500 25
45 Sabun Cuci Piring (L) 20 6,000.00 120,000 0 6,000.00 - 20 6,000.00 120,000
46 Sabun Cuci Piring (B) 34 8,000.00 272,000 0 8,000.00 - 16 8,000.00 128,000 18
47 Sabun Cuci Piring 2021 9,500.00 37 9,500.00 351,500 0 9,500.00 - 37
48 Sabun Pencuci Tangan (L) 14 9,000.00 126,000 0 9,000.00 - 14 9,000.00 126,000
49 Sabun Pencuci Tangan (B) 50 10,000.00 500,000 0 10,000.00 - 19 10,000.00 190,000 31
50 Sabun Pencuci Tangan 2021 21,300.00 20 21,300.00 426,000 8 21,300.00 170,400 12
51 Kapur Barus Biasa (L) 62 9,000.00 558,000 0 9,000.00 - 18 9,000.00 162,000 44
52 Kapur Barus Biasa (B) 30 10,000.00 300,000 0 10,000.00 - 0 10,000.00 - 30
53 Kapur Barus Biasa 2021 68,000.00 4 68,000.00 272,000 0 68,000.00 - 4
54 Kapur Barus Toilet (L) 37 13,500.00 499,500 0 13,500.00 - 36 13,500.00 486,000 1
55 Kapur Barus Toilet (B) 30 8,000.00 240,000 0 8,000.00 - 0 8,000.00 - 30
56 Tissu (L) 45 13,500.00 607,500 0 13,500.00 - 45 13,500.00 607,500
57 Tissu (B) 50 15,700.00 785,000 0 15,700.00 - 0 15,700.00 - 50
58 Tissu 2021 19,200.00 29 19,200.00 556,800 5 19,200.00 96,000 24
59 Gayung 13 15,000.00 195,000 0 15,000.00 - 9 15,000.00 135,000 4
60 Gayung 2021 9,200.00 48 9,200.00 441,600 36 9,200.00 331,200 12
61 Alat Pel Tangkai Stenliess (L) 13 29,000.00 377,000 0 29,000.00 - 11 29,000.00 319,000 2
62 Alat Pel Tangkai Stenliess (B) 5 33,000.00 165,000 0 33,000.00 - 0 33,000.00 - 5
63 Sikat WC Tangkai (L) 14 17,000.00 238,000 0 17,000.00 - 8 17,000.00 136,000 6
64 Sikat WC Tangkai (B) 5 16,200.00 81,000 0 16,200.00 - 0 16,200.00 - 5
65 Sikat WC Tangkai 2021 13,800.00 26 13,800.00 358,800 0 13,800.00 - 26
66 Sikat Cucian Eterna 35 5,000.00 175,000 0 5,000.00 - 17 5,000.00 85,000 18
67 Sikat Cucian Eterna 2021 11,500.00 8 11,500.00 92,000 0 11,500.00 - 8
68 Palu (Martil Kecil) 19 24,000.00 456,000 0 24,000.00 - 5 24,000.00 120,000 14
69 Sabit (L) 11 45,000.00 495,000 0 45,000.00 - 9 45,000.00 405,000 2
70 Sabit (B) 5 65,000.00 325,000 0 65,000.00 - 0 65,000.00 - 5
71 Sabit 2021 82,700.00 5 82,700.00 413,500 0 82,700.00 - 5
72 Gunting kayu 111,100.00 5 111,100.00 555,500 0 111,100.00 5
TOTAL PERABOT KANTOR RUTIN 24,002,500 18,155,700 24,148,100.00
PUSKESMAS
PUSKESMAS BANGLI
1 Tissue Kotak Tebal
2 Sikat WC Plastik Tangkai
3 Serok Sampah Plastik
4 Sapu Lidi Biasa
5 Sapu Ijuk Piala Kayu
6 Sapu Bulu Ayam Super
7 Sabun Cuci Tangan Cair
8 Pembersih Lantai
9 Pembersih Kaca
10 Lap Pel G.A Biru/Putih
11 Keset Wool Kecil
12 Keranjang Sampah Plastik Biasa
13 Keranjang Sampah dengan Kampil
14 Keranjang Sampah Biasa/Halus
15 Cairan Pencuci Piring
16 EMBER Plastik 4 Galon
TOTAL PERABOT KANTOR Pusk.
- - -
Bangli

1 Cairan Pencuci Piring
2 Ember Plastik 4 Galon
3 Gayung
4 Keranjang Sampah Biasa/ Halus
5 Lap Kaca Kuning Tanggung
6 Lap Pel G.A Biru/Putih
7 Pembasmi Serangga
8 Pembersih Kaca
9 Pembersih Lantai
10 Pengharum Mobil Refil
11 Sabun Cuci Tangan Cair
12 Sabu BULU Ayam Super
13 Sapu Ijuk Piala Kayu
14 Sapu Lidi Biasa
16 Sikat WC Plastik tangkai
17 Tissue Kotak Tebal
- - -
Bangli Utara
PUSKESMAS TEMBUKU I
1 SAPU IJUK 7 17,000.00 119,000 7 17,000.00 119,000
2 SAPU LIDI BIASA 5 7,000.00 35,000 5 7,000.00 35,000
3 PEBERSIH KACA 1 15,000.00 15,000 1 15,000.00 15,000
4 PENGHARUM MOBIL 2 36,000.00 76,000 2 36,000.00 76,000
5 PEMBERSIH LANTAI 1,5 LTR 1 20,000.00 20,000 1 20,000.00 20,000
6 LAP KACA KUNING KECIL 4 17,000.00 68,000 4 17,000.00 68,000
7 KESET WOLL KECIL 2 15,000.00 30,000 2 15,000.00 30,000
8 KERANJANG SAMPAH BERTUTUP 1 26,000.00 26,000 1 26,000.00 26,000
9 TONG SAMPAH BESAR 1 214,000.00 214,000 1 214,000.00 214,000
10 SABUN MANDI 8 gr 1 3,000.00 3,000 1 3,000.00 3,000
11 SABUN PENCUCI TANGAN 3 10,000.00 30,000 3 10,000.00 30,000
12 ALAT PEL TANGKAI STAINLESS 1 29,000.00 29,000 1 29,000.00 29,000
13 LAP TANGAN KECIL 4 4,500.00 18,000 4 4,500.00 18,000
14 GAYUNG (2020*) 1 15,000.00 15,000 1 15,000.00 15,000
15 GAYUNG (2020**) 3 10,800.00 32,400 3 10,800.00 32,400
16 LAP UNTUK MOBIL/MOTOR 1 42,000.00 42,000 1 42,000.00 42,000
17 SABUN CUCI PIRING 3 8,000.00 24,000 3 8,000.00 24,000
18 SIKAT CUCIAN EKTERNA 2 5,000.00 10,000 2 5,000.00 10,000
19 PALU MARTIL KECIL 1 24,000.00 24,000 1 24,000.00 24,000
20 KAPUR BARUS TOILET 3 13,500.00 40,500 3 13,500.00 40,500
21 KAPUR BARUS BIASA 4 9,000.00 36,000 4 9,000.00 36,000
22 TISSUE 3 15,700.00 47,100 3 15,700.00 47,100
23 LAP PEL GA BIRU 3 8,500.00 25,500 3 8,500.00 25,500
24 KERANJANG SAMPAH BIASA 0 - -
25 SAPU BULU AYAM SUPER 0 - -
26 TALI RAPIA 2 24,750.00 49,500 2 24,750.00 49,500
1,029,000 - 1,029,000
Tembuku I
1 Cairan Pencuci Piring -
2 Keranjang sampah bias/ halus -
3 Lap Kuning Tanggung -
4 Pembersih kaca -
5 Pembersih Lantai -
6 Pengharum Mobil refill -
7 Sapu Bulu Ayam Super -
8 Sapu ijuk piala Kayu -
9 Sapu Lidi biasa -
10 Serok sampah plastik -
11 Sikat wc plastik tangkai -
- - -
Tembuku II
PUSKESMAS SUSUT I
1 Sapu Ijuk
2 Sapu Lidi Biasa
3 Ember plastik 4 galon
4 Keset wool kecil
5 Lap Tangan kecil gunung air
6 Pembersih Kaca
7 Pembersih Lantai 1,5 ltr
9 Gayung
- - -
Susut I
PUSKESMAS SUSUT II
1 Lap Pel Ga Biru 3 8,500.00 25,500 25,500
2 Sabit - -
3 Tissu - -
4 Kapur Barus Biasa 6 9,000.00 54,000 54,000
5 Kapur Barus Toilet 5 13,500.00 67,500 67,500
6 Palu/Martil 2 24,000.00 48,000 48,000
7 Sikat Cucian Eterna 3 5,000.00 15,000 15,000
8 Handuk 2 45,000.00 90,000 90,000
9 Sabun Cuci Piring - -
10 Lap Untuk mobil 3 42,000.00 126,000 126,000
11 Sikat wc Tangkai 4 17,000.00 68,000 68,000
12 Pembersih keramik 1lt 2 15,500.00 31,000 31,000
13 Gayung 7.1 15,000.00 106,500 106,500
14 Pembasmi serangga 163,000 163,000
15 Lap Tangan kecil 1 4,500.00 4,500 4,500
16 Alat Pel Tangkai Stainles - -
17 Sabun Cuci Tangan 10,000.00 30,000 30,000
18 Sapu bulu super 148,500 148,500
19 Sabun Mandi 80gr 3,000.00 9,000 9,000
20 Pembersih Lantai 20,000.00 40,000 40,000
21 Pembersih Kaca 1 Lt 100,500 100,500
22 Keranjang Sampah Tertutup 216,000 216,000
23 Keset wool Kecil 195,000 195,000
24 Ember Plastik 4 Galon 148,800 148,800
25 Tong Sampah Besar 214,000.00 856,000 856,000
26 Lap Kaca Kuning Kecil 96,000 96,000
27 Pengharum Mobil 196,000 196,000
28 Pengharum Ruangan Besar 50,000.00 200,000 200,000
29 Sapu lidi 28,000 28,000
30 Sapu Ijuk 17,000.00 85,000 85,000
31 tong sampah biasa -
32 serok samapah plastik -
JKN
33 Tas Kresek Hitam 40cm 22 53,240.00 1,171,280 22 53,240.00 1,171,280
34 Tas Kresek Kuning40cm 22 53,240.00 1,171,280 22 53,240.00 1,171,280
35 Tas Kresek Merah40cm 21 53,240.00 1,118,040 21 53,240.00 1,118,040
36 Tisu 275 7,700.00 2,117,500 275 7,700.00 2,117,500
TOTAL ALKEB Pusk. Susut II 3,147,800 5,578,100 8,725,900.00
1 Sapu Ijuk 10 17,000.00 170,000 10 17,000.00 170,000
2 Lap kaca kuning kecil 10 8,000.00 80,000 10 8,000.00 80,000
3 Serok sampah plastik 5 16,000.00 80,000 5 16,000.00 80,000
4 Pembersih kaca 5 13,500.00 67,500 5 13,500.00 67,500
5 Pembersih lantai 5 20,000.00 100,000 5 20,000.00 100,000
6 Pembasmi serangga 3 35,000.00 105,000 3 35,000.00 105,000
7 Gayung 5 10,800.00 54,000 5 10,800.00 54,000
8 Sikat WC tangkai 5 16,200.00 81,000 5 16,200.00 81,000
9 Sabun cuci piring 5 8,000.00 40,000 5 8,000.00 40,000
10 Tisuu 5 15,700.00 78,500 5 15,700.00 78,500
11 Lap pel G.A biru 5 8,500.00 42,500 5 8,500.00 42,500
12 Sabit 2 65,000.00 130,000 2 65,000.00 130,000
13 tali rafia 2 19,000.00 38,000 2 19,000.00 38,000
14 Lap kuning tanggung
1,028,500 38,000 1,066,500
KINTAMANI I
PERABOTAN KANTOR BOK -
1 Sabun 408,000 - 408,000
2 Tisu 440,000 - 440,000
PERABOT KANTOR DARI DINKES -
3 Ember plastik 4 galon -
4 Gayung -
5 Keranjang sampah biasa/halus -
6 Lap kuning tanggung -
7 Lap pel G.A biru/putih -
8 Pembasmi serangga -
9 Pembersih kaca -
10 Pembersih lantai -
11 Pengharum mobil refil -
12 Sabun cuci tangan cair -
13 Sapu bulu ayam super -
14 Sapu ijuk piala kayu -
15 Sapu lidi biasa -
848,000 - 848,000
KINTAMANI II

1 Sapu Ijuk
2 Sapu Lidi Biasa
3 Pengharum Ruangan Besar
4 Pengharum Mobil
5 Lap Kaca Kuning Kecil
6 Keset Wool Kecil
7 Keranjang Sampah
8 Pembersih Kaca 1 ltr
9 pembersih Lantai 1,5 ltr
10 Sabun Mandi 80 gr
12 Sabun Pencuci Tanga
13 Alat Pel Tangkai Stenlestil
14 Lap Tangan Kecil
15 Pembersih Serangga
16 Gayung
17 Pembersih Keramik 1ltr
18 Lap Untuk Mobil/Motor
19 Sikat WC Tangkai
20 Sabun Cuci Piring
21 Handuk
22 Handuk
23 Sikat Cucian Eterna
24 Kapur Barus Toilet
25 Palu(Martil Kecil
26 Kapur Barus Biasa
27 Tissu
28 Sabit
29 Lap Pel G.A Biru
30 Tong Sampah Besar
31 Ember Plastik 4 galon
- - -
KINTAMANI III
2 Gayung -
3 Keranjang sampah biasa/halus -
4 Lap tangan kecil gunung air -
5 Pembersih kaca -
7 Sabun cuci tangan cair -
9 Sapu lidi biasa -
10 Serok sampah plastik -
- - -
KINTAMANI IV
1 Lap Untuk Mobil 4 42,000.00 168,000 4 42,000.00 168,000
2 Pengharum Mobil 5 51,000.00 102,000 5 51,000.00 102,000
3 Pengharum Mobil 1 30,000.00 30,000 1 30,000.00 30,000
4 Sabun Cuci Piring
5 Sikat WC Tangkai
6 Pembasmi Serangga
7 Sabun Cuci Tangan
9 Pembersih Lantai
10 Pembersih Kaca
11 Tong Sampah Biasa Halus
12 Lap Kaca Kuning
13 Serok Plastik
14 Pengharum Mobil Refill
15 Sapu Lidi Biasa
16 Sapu IJUK
300,000 - 300,000
KINTAMANI V
2 Gayung -
3 Keranjang Sampah besar/halus -
4 Lap tangan kecil gunung air -
5 Pembersih kaca -
8 Sapu lidi biasa -
9 Serok Sampah plastik -
- - -
KINTAMANI VI
SUB TOTAL PERABOT KANTOR
30,355,800 23,771,800 36,117,500.00
DINAS KESEHATAN
DINAS KESEHATAN
VI ALAT LISTRIK
Rutin -
1 Lampu Essential Philips 5 (2020) 58 43,000.00 2,494,000 33 43,000.00 1,419,000 25
2 Lampu Essential Philips 5 (2021) 5,415,000 4,524,000
8 Lampu Essential Philips 18 (2021) 1,064,000 -
9 Isolasi Unibel (2020) 37 12,000.00 444,000 2 12,000.00 24,000 35
10 Isolasi Unibel (2021) 126,500 -
11 Stok Kontak 5 Lubang (2020) 30 39,000.00 1,170,000 12 39,000.00 468,000 18
12 Stok Kontak 5 Lubang (2021) 2,829,000 2,380,500
13 Kabel Listrik Eterna Putih (2x2,5) (2020) 131 31,500.00 4,126,500 20 31,500.00 630,000 111
14 Kabel Listrik Eterna Putih (2x2,5) (2021) 10,175,000 8,800,000
15 Cuk Listrik 31 14,000.00 434,000 - 4 14,000.00 56,000 27
16 Steker Arde Biasa - 967,750 833,000
17 Baterai 840,000 840,000
TOTAL ALAT LISTRIK DINKES 16,368,000 34,693,250 35,310,700.00
PUSKESMAS
PUSKESMAS BANGLI
ALAT LISTRIK RUTIN
1 Bateray 9 V Alkaline ABC 10 29,000.00 290,000 10 29,000.00 290,000
2 Bateray AAA Isi 2 ABC Alkaline 20 19,000.00 380,000 20 19,000.00 380,000
3 Bateray AA Isi 2 ABC Alkaline 20 21,000.00 420,000 20 21,000.00 420,000
4 Kabel Listrik Warna Putih Eterna
5 Lampu Essensial Philips 14 Watt
6 Lampu Essensial Philips 5 Watt
7 Lampu Esential Philips 8 Watt
8 Steker
9 Stop Kontak
TOTAL ALAT LISTRIK Pusk. Bangli - 1,090,000 1,090,000

1 Kabel listrik warna putih eterna
2 Lampu esensial phillips 5 watt
5 Steker
TOTAL ALAT LISTRIK Pusk. Bangli
- - -
Utara
PUSKESMAS TEMBUKU I
1 LAMPU ESENSIAL PHILIP 5 WATT 8 43,000.00 344,000 344,000
4 STOP KONTAK 5 LUBANG 6 39,000.00 234,000 234,000
5 KABEL LISTRIK EXTERNA 25 31,500.00 787,500 787,500
6 CUK LISTRIK 6 14,000.00 84,000 - 84,000
7 BATERAY (AA) Isi 2 2 17,000.00 34,000 - 34,000
8 BATERAY (AAA) Isi 2 4 17,000.00 68,000 - 68,000
9 BATERAY ALKALINE 4 33,000.00 132,000 4 34,000.00 136,000 268,000
10 STEKER - -
TOTAL ALAT LISTRIK Pusk.
2,515,500 136,000 2,651,500
Tembuku I
1 Kabel Listrik warna putih eterna -
2 Lampu esensial philips 5 watt -
3 Lampu esensial philips 14 watt -
4 lampu esensial philips 8 watt -
5 Steker -
6 Stop kontak -
TOTAL ALAT LISTRIK Pusk. Tembuku II - - -
PUSKESMAS SUSUT I
1 Kabel Listrik Warna Putih Eterna
2 Lampu Esensial Philips 5 watt
5 Steker
6 Stop Kontak
TOTAL ALAT LISTRIK Pusk. SUSUT I - - -
PUSKESMAS SUSUT II
RUTIN ( DINKES)
1 Lampu Philip Esensial 18w 140,490 - 140,490
2 Lampu Philip Esensial 14 W 639,740 639,740
3 Kabel Rol - -
4 Baterai B 20,000 20,000
5 Baterai Maxel 3V 23,415 23,415
6 Kabel Twisted 926,500 926,500
7 Saklar Tempel 101,600 101,600
8 Lampu TL 224,000 224,000
9 Pitingan Lampu 37,000 -
10 Lampu Essetial philip 5 W 344,000 344,000
11 Lampu Essetial philip 8 W 388,000 388,000
12 Stop Kontak 5 Lubang 195,000 195,000
13 Kabel Listrik Eterna Putih(2x2,5) 567,000 567,000
14 Cuk Listrik 70,000 70,000
15 Bateray A3 /bateray kecil - -
JKN
1 Lampu Essetial philip 5 W 329,000 -
2 Pitingan cream Tempel 168,000 168,000
3 Tespen 19,000 19,000
4 Bateray A3 247,000 2,650,000 803,500
5 Bateray A 2 2,650,000 2,650,000
6 Bateray 9 v Alkalin 340,000 -
7 BOK
8 Baterai 9 v 136,000 136,000
9 baterai a3 114,000 114,000
10 BATERAI 3 V 138,000 138,000
TOTAL ALAT LISTRIK Pusk. SUSUT II 4,311,745 6,156,000 7,668,245
1 KABEL LISTRIK WARNA PUTIH -
2 lampu esensial 8 watt -
3 lampun esensial 14 watt -
4 lampun esensial 5 watt -
5 steker -
6 Stop kontak -
- - -
KINTAMANI I
Alat Listrik Rutin Puskesmas
1 Lampu essential 8 watt 4 48,500.00 194,000 4 48,500.00 194,000
2 Lampu Essensial Philips 5 watt 4 43,000.00 172,000 4 43,000.00 172,000
3 Lampu Essensial Philips 14 watt 4 55,500.00 222,000 4 55,500.00 222,000
Alat Listrik dari Dinkes -
4 Kabel listrik warna putih eterna
5 Lampu esensial philips 5 watt
8 Steker
9 Stop Kontak
588,000 - 588,000
KINTAMANI II

ALALT -ALAT LISTRIK -
1 lampu 8 watt philips -
2 Lampu neon btng 20 wat 2 42,000.00 84,000 2 42,000.00 84,000
3 Lampu filip 5 wat -
4 Lampu Filip 14 wat -
5 Stop Kontak 5 lubang -
6 Kabel listrik -
7 Cuk listrik
8 Baterai A3 Alkaline - 4 16,500.00 66,000 4 16,500.00 66,000
9 Baterai A2 Alkaline - 5 17,500.00 87,500 5 17,500.00 87,500
84,000 153,500 237,500
KINTAMANI III
ALALT -ALAT LISTRIK
1 Lampu esensial 14 watt 4 56,000.00 224,000 4 56,000.00 224,000
2 Stop kontak 6 40,100.00 240,600 6 40,100.00 240,600
3 Lampu Essential Philips 8 Watt 5 44,000.00 248,500 5 44,000.00 248,500
4 Lampu essential Philips 5 Watt 5 49,700.00 220,000 5 49,700.00 220,000
5 Kabel listrik warna putih eterna - -
6 Steker - -
933,100 - 933,100
KINTAMANI IV
ALALT -ALAT LISTRIK
1 Baterai Jam Dinding 10 4,250.00 42,500 10 4,250.00 42,500
2 Baterai Calkulator 8 21,000.00 168,000 8 21,000.00 168,000
3 Lampu Etential Philifs 5 Watt

4 lampu Etential Philifs 8 Watt
5 Lampu Etential Philips 14 Watt
6 Stop Kontak
7 Kabel Listrik Eterna
210,500 - 210,500
KINTAMANI V
ALALT -ALAT LISTRIK
1 Lampu TL 16 22,400.00 358,400 4 22,400.00 89,600 12
2 Saklar tempel 14 25,400.00 355,600 2 25,400.00 152,400 8
3 Fitting lampu tempel biasa 11 7,400.00 81,400 8 7,400.00 59,200 3
4 Kabel Rol - -
5 Lampu Neon - -
6 Lampu Essential philips 5 watt 4 43,000.00 172,000 4 43,000.00 172,000
9 Stop kontak 5 lubang 1 39,000.00 39,000 1 39,000.00 39,000
10 Kabel listrik eterna putih 2 x2,5 m -
11 Cuk Listrik 1 14,000.00 14,000 1 14,000.00 14,000
12 Steker
JKN
13 Baterai AAA - 15 26,500.00 397,500 15 26,500.00 397,500
14 Baterai AA - 15 26,000.00 390,000 15 26,000.00 390,000
1,325,400 787,500 1,618,700
KINTAMANI VI
SUB TOTAL ALAT LISTRIK DINAS
26,336,245 43,016,250 50,308,245.00
KESEHATAN
DINAS KESEHATAN
VII ALAT/BAHAN UNTUK KEGIATAN KANTOR LAINNYA

Rutin -
1 Banten Harian - 4,140,000 4,140,000
2 Banten Purnama dan Tilem - 3,600,000 3,600,000
3 Banten Kajeng Kliwon - 600,000 600,000
4 Banten Galungan dan Kuningan - 2,000,000 2,000,000
5 Banten Saraswati - 1,500,000 1,500,000
6 Banten Piodalan - 20,000,000 20,000,000
7 Hut RI 2,500,000 2,500,000
8 Dekorasi (Hut Bangli) - 2,500,000 2,500,000
9 Surat Kabar Bali Post dan Denpost - 1,660,000 1,660,000
10 Surat kabar Fajar Bali - 900,000 900,000
11 Surat Kabar Post Bali - 900,000 900,000
12 Surat Kabar NUSA - 1,080,000 1,080,000
13 Surat Kabar Bali Tribun - 900,000 900,000
TOTAL ALAT/BAHAN UNTUK
- 42,280,000 42,280,000
KEGIATAN KANTOR LAINNYA RUTIN
PUSKESMAS
PUSKESMAS BANGLI
1 BANTEN GALUNGAN DAN KUNINGAN - 1 700,000.00 700,000 1 700,000.00 700,000
2 BANTEN PIODALAN SARASWATI - 1 7,754,000.00 7,754,000 1 7,754,000.00 7,754,000

3 Banten Harian, dan Purnama/Tilem - 1 4,050,000.00 4,050,000 1 4,050,000.00 4,050,000
DEKORASI HUT BANGLI -
4 Bakang-bakang ratna - 1 450,000.00 450,000 1 450,000.00 450,000
5 Bambu Pelengkungan - 1 360,000.00 360,000 1 360,000.00 360,000
6 Ambu besar - 1 600,000.00 600,000 1 600,000.00 600,000
7 Masker Bagi Anak Balita -
8 Masker Bagi Anak Usia Sekolah -
DEKORASI HUT RI -
9 Bakang-bakang ratna - 1 450,000.00 450,000 1 450,000.00 450,000
11 Ambu besar - 1 600,000.00 600,000 1 600,000.00 600,000
KEGIATAN KANTOR LAINNYA PUSK. - 15,324,000 15,324,000
BANGLI

1 Banten Harian dan purnama tilem 1 8,100,000.00 8,100,000 1 8,100,000.00 8,100,000
2 Purnama / Tilem
3 Kajeng Kliwon - -
4 Galungan & kuningan 1 1,400,000.00 1,400,000 1 1,400,000.00 1,400,000
5 Saraswati - -
6 Piodalan 1 7,500,000.00 7,500,000 1 7,500,000.00 7,500,000
7 Dekorasi HUT Bangli 1 1,500,000.00 1,500,000 1 1,500,000.00 1,500,000
8 Dekorasi HUT RI 1 1,500,000.00 1,500,000 1 1,500,000.00 1,500,000
BANGLI UTARA
PUSKESMAS TEMBUKU I
BANTEN HARIAN
1 Banten Sehari-hari - 9,000 500.00 4,500,000 9,000 500.00 4,500,000
2 Banten Pejatian - 24 150,000.00 3,600,000 24 150,000.00 3,600,000
BANTEN galungan dan kuningan
3 Banten Pejatian - 2 9,500.00 300,000 2 9,500.00 300,000
4 Banten Ajuman - 19 5,000.00 95,000 19 5,000.00 95,000
5 Segehan - 10 500.00 5,000 10 500.00 5,000
6 Penjor - 1 150,000.00 150,000 1 150,000.00 150,000
7 Lamak dan Gantung-gantungan - 15 5,000.00 75,000 15 5,000.00 75,000
8 Tamiang dan Cenigan - 15 5,000.00 75,000 15 5,000.00 75,000
BANTEN PIODALAN
9 Banten Peras Pejati - 7 150,000.00 1,050,000 7 150,000.00 1,050,000
10 Banten Sorohan Mesuci - 2 200,000.00 400,000 2 200,000.00 400,000
11 Rosan Pengelukat - 2 400,000.00 800,000 2 400,000.00 800,000
12 Pecaruan Manca Sata - 1 1,300,000.00 1,300,000 1 1,300,000.00 1,300,000
13 Pecaruan Abrunbunan - 1 500,000.00 500,000 1 500,000.00 500,000
14 Pecaruan Selem - 3 500,000.00 1,500,000 3 500,000.00 1,500,000
15 Penjor - 1 100,000.00 100,000 1 100,000.00 100,000
16 Gantung-gantungan dan Lamak - 20 10,000.00 200,000 20 10,000.00 200,000
17 Tedung Putih - 2 100,000.00 200,000 2 100,000.00 200,000
18 Tedung Hitam Putih (Poleng) - 2 100,000.00 200,000 2 100,000.00 200,000
19 Tedung Kuning - 2 100,000.00 200,000 2 100,000.00 200,000
20 Ajuman - 20 5,000.00 100,000 20 5,000.00 100,000
21 Gebogan - 2 200,000.00 400,000 2 200,000.00 400,000
22 Wastra - 4 150,000.00 600,000 4 150,000.00 600,000
DEKORASI HUT BANGLI
22 Bambu umbul-umbul - 12 15,000.00 180,000 12 15,000.00 180,000
23 bendera umbul-umbul panjang 6 meter - 12 35,000.00 420,000 12 35,000.00 420,000
Bendera merah putih ukuran 100 x 150
24
cm - 15 50,000.00 750,000 15 50,000.00 750,000
25 Ambu besar - 1 100,000.00 100,000 1 100,000.00 100,000

26 Bambu untuk pelengkungan - 2 25,000.00 50,000 2 25,000.00 50,000
DEKORASI HUT RI
27 Bendera merah putih ukuran - 10 40,000.00 400,000 10 40,000.00 400,000
28 Ider-ider Merah Putih - 22 50,000.00 1,100,000 22 50,000.00 1,100,000
TEMBUKU I
DEKORASI HUT BANGLI -
1 Bakang-Bakang Ratna 1 30,000.00 30,000 1 30,000.00 30,000
2 Bambu Pelengkungan 2 20,000.00 40,000 2 20,000.00 40,000
3 Bambu Lurus 16 10,000.00 160,000 16 10,000.00 160,000
4 Ambu Besar 1 100,000.00 100,000 1 100,000.00 100,000
5 Ider-ider Merah Putih 8 65,000.00 520,000 8 65,000.00 520,000
6 Bendera Merah Putih Ukuran 90x120 13 45,000.00 585,000 13 45,000.00 585,000
7 Kabel Tis Panjang Ukuran 30 Cm 2 30,000.00 60,000 2 30,000.00 60,000
DEKORASI HUT RI
1 Bakang-Bakang Ratna 1 30,000.00 30,000 1 30,000.00 30,000
2 Bambu Pelengkungan 2 20,000.00 40,000 2 20,000.00 40,000
3 Bambu Lurus 16 10,000.00 160,000 16 10,000.00 160,000
4 Ambu Besar 1 100,000.00 100,000 1 100,000.00 100,000
5 Ider-ider Merah Putih 8 65,000.00 520,000 8 65,000.00 520,000
6 Bendera Merah Putih Ukuran 90x120 13 45,000.00 585,000 13 45,000.00 585,000
7 Kabel Tis Panjang Ukuran 30 Cm 2 30,000.00 60,000 2 30,000.00 60,000
BANTEN
1 Banten Harian dan purnama tilem 1 8,100,000.00 8,100,000 1 8,100,000.00 8,100,000
2 Banten Piodalan Saraswati 1 7,400,000.00 7,400,000 1 7,400,000.00 7,400,000
TEMBUKU II
PUSKESMAS SUSUT I
Banten Purnama /Tilem /Banten
A -
Harian
1 banten sehari hari dan purnama tilem 1 8,100,000.00 8,100,000 1 8,100,000.00 8,100,000
2 Banten Galungan & Kuningan April 1 700,000.00 700,000 1 700,000.00 700,000
3 Banten Galungan & Kuningan November 1 700,000.00 700,000 1 700,000.00 700,000

4 Banten Piodalan Puskmas 1 7,500,000.00 7,500,000 1 7,500,000.00 7,500,000
B HUT Bangli -
5 Dekorasi 30 50,000.00 1,500,000 30 50,000.00 1,500,000
C HUT RI -
6 Dekorasi 30 50,000.00 1,500,000 30 50,000.00 1,500,000
SUSUT I
PUSKESMAS SUSUT II
BANTEN
1 Baanten canang harian januari - 375,000 375,000
2 Baanten canang harian Februari - 375,000 375,000
3 Baanten canang harianMaret - 375,000 375,000
4 Banten Purnama Tilem januari - 300,000 300,000
5 Banten Purnama TilemFebruari - 300,000 300,000
6 Banten Purnama Tilem Maret - 300,000 300,000
Banten Canang Harian dan banten
7 - 675,000 675,000
purnama tilem april
8 - 675,000 675,000
purnama tilem Mei
9 - 675,000 675,000
purnama tilem Juni
10 - 675,000 675,000
purnama tilem juli
11 - 675,000 675,000
purnama tilemagustus
12 - 675,000 675,000
purnama tilem september
13 - 675,000 675,000
purnama tilem oktober
14 - 675,000 675,000
purnama tilem nopember
15 - 675,000 675,000
purnama tilem desember
Banten piodalan saraswati bulanjanuari
16 - 7,500,000 7,500,000
dan agustus 2021
17 Banten Galungan Kuningan bln April - 700,000 700,000
18 Banten Galungan Kuningan bln Agustus - 700,000 700,000

DEKORASI -
1 Penghias Kantor HUT Bangli - 1,490,000 1,490,000
2 Penghias Kantor HUT RI - 1,494,500 1,494,500
SUSUT II
.HUT BANGLI -
1 Dekorasi 1 1,500,000.00 1,500,000 1 1,500,000.00 1,500,000
BANTEN -
2 Banten harian purnama tilem 1 6,250,000.00 6,250,000 1 6,250,000.00 6,250,000
3 banten Galungan Kuningan 1 1,400,000.00 1,400,000 1 1,400,000.00 1,400,000
4 banten odalan 1 4,000,000.00 4,000,000 1 4,000,000.00 4,000,000
-
-
.HUT RI -
5 Dekorasi 1 1,500,000.00 1,500,000 1 1,500,000.00 1,500,000
KINTAMANI I
Belanja Bahan Penghias Kantor (HUT
Bangli)
1 Bendera merah putih (120x80cm) - 6 50,000.00 300,000 6 50,000.00 300,000
2 Bendera merah putih (50x30cm ) - 11 25,000.00 275,000 11 25,000.00 275,000
3 Umbul-umbul merah putih - 5 125,000.00 625,000 5 125,000.00 625,000
4 Ider-ider - 1 300,000.00 300,000 1 300,000.00 300,000
Belanja Bahan Penghias Kantor (HUT
-
RI)
5 Bendera Merah Putih (120x90 cm) - 6 45,000.00 270,000 6 45,000.00 270,000
6 Bendera Merah Putih (50x30cm) - 10 25,000.00 250,000 10 25,000.00 250,000
7 Umbul-umbul Merah Putih (7 meter) - 5 65,000.00 325,000 5 65,000.00 325,000
8 Ider-ider Merah Putih - 10 65,000.00 650,000 10 65,000.00 650,000
9 Banten Harian (Canang Sari) - 7,800 500.00 3,900,000 7,800 500.00 3,900,000
10 Purnama / Tilem ( Pejati) - 24 150,000.00 3,600,000 24 150,000.00 3,600,000
Kajeng Kliwon -
11 Kelanan Dampulan - 48 5,000.00 240,000 48 5,000.00 240,000
12 Segehan - 360 1,000.00 360,000 360 1,000.00 360,000
Galungan & kuningan -
Galungan -
13 Banten Ajuman - 40 4,000.00 160,000 40 4,000.00 160,000
14 Banten Rayunan - 40 4,000.00 160,000 40 4,000.00 160,000
15 Banten Tumpeng - 20 4,000.00 80,000 20 4,000.00 80,000
16 Canang Raka - 80 1,000.00 80,000 80 1,000.00 80,000
17 Segehan - 40 1,000.00 40,000 40 1,000.00 40,000
18 Gantungan - 40 2,500.00 100,000 40 2,500.00 100,000
19 Tamyang - 40 3,000.00 120,000 40 3,000.00 120,000
Kuningan -
20 Banten ajuman - 40 4,000.00 160,000 40 4,000.00 160,000
21 Banten rayunan - 40 4,000.00 160,000 40 4,000.00 160,000
22 Canang Raka - 80 1,000.00 80,000 80 1,000.00 80,000
23 Segehan - 40 1,000.00 40,000 40 1,000.00 40,000
24 Cenigaan - 40 3,000.00 120,000 40 3,000.00 120,000
25 Gantungan - 40 2,500.00 100,000 40 2,500.00 100,000
Piodalan -
26 Banten Pecaruan - 2 400,000.00 800,000 2 400,000.00 800,000
27 Banten soroan suci - 4 200,000.00 800,000 4 200,000.00 800,000
28 Banten bayuan - 3 100,000.00 300,000 3 100,000.00 300,000
29 Pejatian alit - 4 50,000.00 200,000 4 50,000.00 200,000
30 Banten durmengale - 1 100,000.00 100,000 1 100,000.00 100,000
31 Segehan - 20 1,000.00 20,000 20 1,000.00 20,000
32 Banten pengolem - 1 150,000.00 150,000 1 150,000.00 150,000
33 Banten penyacak - 20 10,000.00 200,000 20 10,000.00 200,000
34 Guling - 1 3,200,000.00 3,200,000 1 3,200,000.00 3,200,000
35 Banten gebogan - 2 250,000.00 500,000 2 250,000.00 500,000
36 Banten jerimpen - 1 200,000.00 200,000 1 200,000.00 200,000
37 Penjor - 2 150,000.00 300,000 2 150,000.00 300,000
38 Tedung putih/kuning - 2 150,000.00 300,000 2 150,000.00 300,000
39 Tedung poleng - 1 150,000.00 150,000 1 150,000.00 150,000
40 Kasa putih kuning - 2 120,000.00 240,000 2 120,000.00 240,000
KINTAMANI II

-
1 Banten Purnama Tilem, harian - 54 150,000.00 8,125,000 54 150,000.00 8,125,000
2 Banten Piodalan - 1 4,000,000.00 4,000,000 1 4,000,000.00 4,000,000
3 Hut Bangli - 1 1,490,000.00 1,490,000 1 1,490,000.00 1,490,000
4 HUT RI - 1 1,500,000.00 1,500,000 1 1,500,000.00 1,500,000

KEGIATAN KANTOR LAINNYA PUSK. - 15,115,000 15,115,000.00
KINTAMANI III
Dekorasi HUT Bangli
1 Bambu umbul - umbul 12 15,000.00 180,000 12 15,000.00 180,000
Bendera umbul – umbul merah putih
2 12 35,000.00 420,000 12 35,000.00 420,000
ukuran 5 meter
Bendera merah putih ukuran 150 cm x
3
100 cm 15 50,000.00 750,000 15 50,000.00 750,000
4 Ambu besar 1 100,000.00 100,000 1 100,000.00 100,000

5 Bambu besar 2 25,000.00 50,000 2 25,000.00 50,000
HUT RI
6 Spanduk 1 210,000.00 210,000 1 210,000.00 210,000
7 Bendera merah putih uk 120 x 80 cm 7 50,000.00 350,000 7 50,000.00 350,000
Bendera merah putih ukuran 50 cm x 30
8
cm 4 35,000.00 140,000 4 35,000.00 140,000
9 Umbul – umbul merah putih 4 125,000.00 500,000 4 125,000.00 500,000

10 Ider – ider merah putih 1 300,000.00 300,000 1 300,000.00 300,000
Banten Galungan
11 Banten Pejatian 4 100,000.00 400,000 4 100,000.00 400,000
12 Banten pangkonan 20 5,000.00 100,000 20 5,000.00 100,000
13 Penjor 2 420,000.00 840,000 2 420,000.00 840,000
14 Lamak dan gantung-gantungan 20 3,000.00 60,000 20 3,000.00 60,000
Banten harian
15 canang 9,000 500.00 4,500,000 9,000 500.00 4,500,000
Banten purnama/tilem
Banten Pejatian (daksina + kelanan
16
dampulan + rayunan + segehan) 24 150,000.00 3,600,000 24 150,000.00 3,600,000
Banten Piodalan
Banten Pejatian 5 150,000.00 750,000 5 150,000.00 750,000
Prasista 1 100,000.00 100,000 1 100,000.00 100,000
Durmangala 1 200,000.00 200,000 1 200,000.00 200,000
Byakala 1 50,000.00 50,000 1 50,000.00 50,000
Pengulapan 1 250,000.00 250,000 1 250,000.00 250,000
Pelayuan 7 150,000.00 1,050,000 7 150,000.00 1,050,000
Soroan 5 250,000.00 1,250,000 5 250,000.00 1,250,000
Pejati penguleman 1 250,000.00 250,000 1 250,000.00 250,000
Banten Pangkonan 20 5,000.00 100,000 20 5,000.00 100,000
Pecaruan Genep 3 1,000,000.00 3,000,000 3 1,000,000.00 3,000,000
Banten Pebungah 2 250,000.00 500,000 2 250,000.00 500,000
KEGIATAN KANTOR LAINNYA PUSK. - 20,000,000.00 20,000,000.00
KINTAMANI IV
1 Banten Harian 4,500 500.00 4,500,000 4,500 500.00 4,500,000
2 Purnama / Tilem 12 150,000.00 3,600,000 12 150,000.00 3,600,000
3 Kajeng Kliwon - -
4 Galungan & kuningan 2 700,000.00 1,400,000 2 700,000.00 1,400,000
5 Saraswati - -
6 Piodalan 1 7,000,000.00 7,000,000 1 7,000,000.00 7,000,000
7 Dekorasi HUT Bangli 1 1,500,000.00 1,500,000 1 1,500,000.00 1,500,000
8 Dekorasi HUT Republik Indonesia 1 1,500,000.00 1,500,000 1 1,500,000.00 1,500,000
KEGIATAN KANTOR LAINNYA PUSK. - 19,500,000 19,500,000.00
KINTAMANI V
Banten Purnama /Tilem /Banten
Harian
Banten pejatian (daksina +
1
kelanan+dampulan+rayunan +segehan - 24 150,000.00 3,600,000 24 150,000.00 3,600,000
2 Canang - 9,000 500.00 4,500,000 9,000 500.00 4,500,000

Banten Hari raya Galungan dan
-
Kuningan
3 Pejatian - 2 100,000.00 200,000 2 100,000.00 200,000
4 Banten tumpeng - 6 50,000.00 300,000 6 50,000.00 300,000
5 Rayunan + ajuman - 20 5,000.00 100,000 20 5,000.00 100,000
6 Lamak + capah - 1 10,000.00 100,000 1 10,000.00 100,000
7 Banten Sulangi - 12 15,000.00 180,000 12 15,000.00 180,000
8 Banten Tebog - 14 20,000.00 280,000 14 20,000.00 280,000
9 Cenigaan - 16 2,500.00 40,000 16 2,500.00 40,000
10 Tamiang - 20 10,000.00 200,000 20 10,000.00 200,000
Banten Piodalan -
11 Banten Pejatian - 10 150,000.00 1,500,000 10 150,000.00 1,500,000
12 Pesucian - 3 200,000.00 600,000 3 200,000.00 600,000
13 Sayut durmangala - 3 200,000.00 600,000 3 200,000.00 600,000
14 Pecaruan manca sata - 1 1,500,000.00 1,500,000 1 1,500,000.00 1,500,000
15 Pecaruan abrumbunan - 1 500,000.00 500,000 1 500,000.00 500,000
16 Penjor - 4 200,000.00 800,000 4 200,000.00 800,000
17 Gantung-gantungan & lamak - 20 10,000.00 200,000 20 10,000.00 200,000
18 Tedung warna Putih - 2 100,000.00 200,000 2 100,000.00 200,000
19 Tedung hitam putih - 1 100,000.00 100,000 1 100,000.00 100,000
20 Tedung warna kuning - 1 100,000.00 100,000 1 100,000.00 100,000
21 Ajuman - 20 5,000.00 100,000 20 5,000.00 100,000
22 Gebogan - 2 200,000.00 400,000 2 200,000.00 400,000
23 Wastra - 4 100,000.00 400,000 4 100,000.00 400,000
HUT BANGLI -
25 Ambu Besar - 2 100,000.00 200,000 2 100,000.00 200,000
26 Bendera Merah putih - 12 45,000.00 540,000 12 45,000.00 540,000
27 Ider-ider merah putih - 10 65,000.00 650,000 10 65,000.00 650,000
HUT RI -
28 Bendera merah putih 120X80 cm - 5 50,000.00 250,000 5 50,000.00 250,000
29 Bendera merah putih 50x30 cm - 10 25,000.00 250,000 10 25,000.00 250,000
30 Umbul-umbul merah putih - 8 125,000.00 1,000,000 8 125,000.00 1,000,000
KINTAMANI VI
SUB TOTAL ALAT/BAHAN UNTUK
KEGIATAN KANTOR LAINNYA DINAS - 264,138,500 264,138,500.00
KESEHATAN
VIII ISI TABUNG GAS

Dinas kesehatan
1 Isi Tabung Gas Elpiji - 1,395,000 1,395,000
2 Isi Tabung Gas Elpiji kintamani 3 630,000 630,000
Puskesmas
Puskesmas Tembuku II
Reffil Fire Cap 3,0 Kg, abc powder-
1 1 180,469.00 1 180,469.00 180,469
stored Pressure - 180,469
Refill Fire ext. Cap 4,0 kg. abc
2 2 240,625.00 2 240,625.00 481,250
powder-stored Pressure - 481,250
- 2,686,719 2,686,719
IX OBAT - OBATAN
Dinas kesehatan
1 Obat JKN - - -
2 Obat Umum/DAK 2,028,008,059.79 445,739,517.75 1,270,631,713.60 160,058,493.76
3 Alkon - -
4 Obat Pengadaan 2021 500,971,884.00 346,892,482.00
5 Obat silpa 2021 23,505,872.00 1,390,880.00
6 Obat Buffer RSUD 423,682,976.00 423,682,976.00
7 Obat Buffer RS BMC 58,115,899.60 58,115,899.60
2,028,008,059.79 1,452,016,149.35 2,100,713,951.20 160,058,493.76
Puskesmas Bangli
1 Obat JKN pengadaan sendiri 3,785,500 3,785,500.00
2 Obat JKN 42,300.00 - - 12,600.00
3 Obat Umum/DAK 37,782,791.86 5,384,880.74 3,282,616.00
4 Alkon 2,854,966.00 - 2,848,866.00 6,100.00
5 Obat obatan lainnya 36,909,449.00 36,909,449.00
40,680,057.86 40,694,949.00 48,928,695.74 3,301,316.00
Puskesmas Bangli Utara

1 Obat JKN pengadan sndri - 4,359,960
2 Obat Umum 47,200,302.34 26,305,639.27 11,606,673.00
3 Alkon 3,026,474.00 - 579,068.00 5,745.00
50,226,776.34 4,359,960 26,884,707.27 11,612,418.00
Puskesmas Tembuku I
1 Obat JKN - -
2 Obat Umum 39,467,577.39 21,088,369.54 6,090,347.60
3 Alkon 699,678.00 - 178,317.00 173,030.00
40,167,255.39 - 21,266,686.54 6,263,377.60
Puskesmas Tembuku II
1 Obat JKN 24,000.00 - 24,000.00 -
2 Obat Umum 53,237,632.28 20,782,169.80 10,198,012.80
3 Alkon 3,070,328.00 - 1,095,399.00
4 Obat obatan lainnya 51,594,700 14,735,740.00
56,331,960 51,594,700 36,637,308.80 10,198,012.80
Puskesmas Susut I
1 Obat JKN - -
2 Obat Umum 48,540,429.19 1,659,132.62 10,899,176.25
3 Alkon 2,861,109.00 - 1,465,628.00 152,500.00
51,401,538.19 - 3,124,760.62 11,051,676.25
Puskesmas Susut II
1 Obat JKN - -
2 Obat Umum 30,605,562.93 4,827,582.89 9,729,252.93
3 Alkon 9,709,279 2,964,602.20 772,981.00
4 Obat Obatan lainnya 11,543,648 11,543,648.00
40,314,841.53 11,543,648 19,335,833.09 10,502,233.93
Puskesmas Kintamani I
1 Obat JKN 24,329,769.00 - 109,714.00 18,725,574.00
2 Obat Umum 55,467,603.24 20,521,164.38 16,994,919.00
3 Alkon 383,961.60 - 3,333.00
4 Obat Obatan Lainnya 5,265,000 5,265,000.00
80,181,333.84 5,265,000.00 25,899,211.381 35,720,493.000
Puskesmas Kintamani II
1 Obat JKN pengadaan sndri - 23,903,084 - -
2 Obat Umum 17,862,052.14 5,974,065.48 3,683,125.48
3 Alkon 2,887,400.00 - 2,887,400.00
20,749,452.14 23,903,084 8,861,465.48 3,683,125.48
Puskesmas Kintamani III

1 Obat JKN pengadaan sendri - 1,964,349.60 422,224.94
2 Obat Umum 66,178,315.82 1,473,400.00 1,250,204.00
3 Alkon 14,974,966.00 - 14,884,338.00
4 Obat Obatan Lainnya 7,347,000 7,347,000.00
81,153,281.82 9,311,350 24,126,962.94 1,250,204.00
Puskesmas Kintamani IV
1 Obat JKN - -
2 Obat Umum 41,237,461.15 2,347,914.77 9,077,433.90
3 Alkon 3,102,583.00 - 1,379,320.00 382,540.00
44,340,044.15 - 3,727,234.77 9,459,973.90
Puskesmas Kintamani V
1 Obat JKN - -
2 Obat Umum 56,931,001.84 10,267,231.40 9,188,635.91
3 Alkon 3,050,746.00 - 1,596,269.00 121,400.00
59,981,747.84 - 11,863,500.40 9,310,035.91
Puskesmas Kintamani VI
1 Obat JKN pengadaan sndri - 6,490,000 6,490,000.00 -
2 Obat Umum 63,320,808.29 8,914,368.90 9,419,700.15
3 Alkon 4,457,963.00 - 926,610.00 1,248,371.00
4 Obat Lainnya JKN 584,500 584,500.00
67,778,771.29 7,074,500 16,915,478.90 10,668,071.15
TOTAL OBAT 2,661,315,120.46 1,605,763,339.95 2,348,285,797.14 283,079,431.78
BAHAN OBAT-OBATAN P3K Dinkes

1 Antasida Doen - 231,000 231,000
2 Balsem Geliga - 360,000 360,000
3 Diatab - 71,500 71,500
4 Natrium clorida - 138,600 138,600
5 Minyak kayu putih - 1,771,000 1,771,000
6 Oxycan - 2,310,000 2,310,000
7 Paracetamol - 440,000 440,000
8 Povidone iodine - 294,000 294,000
9 Kasa Hidrofil - 77,000 77,000
10 Ultrafix 5cm x 1 m - 110,000 110,000
11 Lafalos -
12 Balsem Geliga -
13 Ultrafix 5 cm x 1 m -
OBAT - OBATAN P3K - 5,803,100 5,803,100 -
TOTAL OBAT-OBATAN P3K - 5,803,100 5,803,100 -
VAKSIN IMUNISASI
Dinas Kesehatan
1 Vaksin BCG+pelarut 6,255,960 63,686,800 69,942,760 -
2 Vaksin Polio (bOPV)+pipet 7,618,800 37,187,000 44,805,800 -
3 Vaksin Polio (IPV) 51,514,056 114,475,680 165,989,736 -
4 Vaksin DPT/Hb/Hib 5,529,370 244,872,100 235,630,153 -
5 Vaksin Hepatitis B - - - -
6 Vaksin Hepatitis B (BARU) 4,991,415 48,634,300 51,961,910 -
7 Vaksin Campak+pelarut - - - -
8 Vaksin DT - 9,772,000 7,712,900 -
9 Vaksin TD - 15,015,000 15,015,000 -
10 Vaksin JE - 77,000,000 77,000,000 -
11 Vaksin MR (141.648) - - - -
12 Vaksin MR (155.813) 57,494,997 328,765,430 342,788,600 -
13 Vaksin Gardasil (589.000) - - - -
14 Vaksin Gardasil (691.900) 94,098,400 - 94,098,400 -
15 ADS 5 ml 23,428,400 2,691,100 5,857,100 -
16 ADS 0,5 ml 3,968,000 33,976,000 36,704,000 -
17 ADS 0,05 ml (1.565) - -
18 ADS 0,05 ml (1.518) 3,795,000 5,616,600 5,313,000 -
19 Safty box 96,660 644,400 676,620 -
258,791,058 982,336,410 1,153,495,979 -
-
PUSK. BANGLI
1 Vaksin BCG+pelarut 1,690,800 -
2 Vaksin Polio (bOPV)+pipet 253,960 -
3 Vaksin Polio (IPV) 1,879,020 -
4 Vaksin DPT/Hb/Hib 2,290,739 -
5 Vaksin Hepatitis B 4,427,430 -
6 Vaksin Campak+pelarut - -
7 Vaksin DT - -
8 Vaksin TD 99,000 -
9 Vaksin JE+pelarut - -
10 Vaksin MR (141.648) 4,107,792 -
11 Vaksin MR (155.813) 1,558,130 -
12 Vaksin Gardasil (589.000) - -
14 ADS 5 ml - -
15 ADS 0,5 ml 220,720 -
16 ADS 0,05 ml (1.565) 283,265 -
17 ADS 0,05 ml (1.518) - -
18 Safty box 67,662 -
16,878,518 - - -
PUSK. BANGLI UTARA

5 Vaksin Hepatitis B 218,100 -
7 Vaksin DT - -
8 Vaksin TD 561,000 -
10 Vaksin MR (141.648) - -
11 Vaksin MR (155.813) 2,648,821 -
14 ADS 5 ml 147,219 -
15 ADS 0,5 ml 443,920 -
16 ADS 0,05 ml (1.565) - -
17 ADS 0,05 ml (1.518) 31,878 -
18 Safty box 25,776 -
14,934,583 - - -
PUSK. TEMBUKU I
3 Vaksin Polio (IPV) - -
7 Vaksin DT 52,350 -
8 Vaksin TD 346,500 -
10 Vaksin MR (141.648) 5,807,568
11 Vaksin MR (155.813) -
14 ADS 5 ml 528,722 -
15 ADS 0,5 ml 2,274,160 -
16 ADS 0,05 ml (1.565) 949,955 -
17 ADS 0,05 ml (1.518) -
18 Safty box 16,110 -
14,208,367 - - -
PUSK. TEMBUKU II
8 Vaksin TD 148,500 -
10 Vaksin MR (141.648) 1,699,776 -
11 Vaksin MR (155.813) - -
14 ADS 5 ml 675,941 -
15 ADS 0,5 ml 756,400 -
16 ADS 0,05 ml (1.565) - -
17 ADS 0,05 ml (1.518) 400,752 -
18 Safty box 3,222 -
9,675,480 - - -
PUSK. SUSUT I
1 Vaksin BCG+pelarut 619,960 -
5 Vaksin Hepatitis B (21.810) 261,720 -
6 Vaksin Hepatitis B (25.597) 255,970 -
8 Vaksin DT 212,680 -
9 Vaksin TD 676,500 -
11 Vaksin MR (141.648) - -
12 Vaksin MR (155.813) 3,583,699 -
13 Vaksin Gardasil (589.000) 2,945,000 -
15 ADS 5 ml 842,156 -
16 ADS 0,5 ml 649,760 -
17 ADS 0,05 ml (1.565) - -
18 ADS 0,05 ml (1.518) 951,786 -
19 Safty box 83,772 -
Total Vaksin Susut I 19,494,659 - - -
PUSK. SUSUT II
7 Vaksin DT - -
8 Vaksin TD 165,000 -
10 Vaksin MR (141.648) - -
11 Vaksin MR (155.813) 934,878 -
14 ADS 5 ml 170,964 -
15 ADS 0,5 ml 531,960 -
16 ADS 0,05 ml (1.565) - -
17 ADS 0,05 ml (1.518) 129,030 -
18 Safty box 25,776 -
Total Vaksin Susut II 5,390,173 - - -
PUSK. KINTAMANI I
5 Vaksin Hepatitis B 1,025,070 -
8 Vaksin TD 363,000 -
10 Vaksin MR (141.648) - -
11 Vaksin MR (155.813) 6,388,333 -
14 ADS 5 ml 281,774 -
15 ADS 0,5 ml 699,360 -
16 ADS 0,05 ml (1.565) - -
17 ADS 0,05 ml (1.518) 133,584 -
18 Safty box 86,994 -
Total Vaksin Kintamani I 19,291,321 - - -
PUSK. KINTAMANI II
7 Vaksin DT 130,880 -
10 Vaksin MR (141.648) 3,399,552 -
11 Vaksin MR (155.813) - -
14 ADS 5 ml 189,960 -
15 ADS 0,5 ml 130,200 -
16 ADS 0,05 ml (1.565) 97,030 -
17 ADS 0,05 ml (1.518) - -
18 Safty box 22,554 -
Total Vaksin Kintamani II 12,052,048 - - -
PUSK. KINTAMANI III

6 Vaksin Campak+pelarut 253,836 -
7 Vaksin DT - -
8 Vaksin TD 231,000 -
10 Vaksin MR (141.648) 4,532,736 -
11 Vaksin MR (155.813) - -
14 ADS 5 ml 208,956 -
15 ADS 0,5 ml 306,280 -
16 ADS 0,05 ml (1.565) 456,980 -
17 ADS 0,05 ml (1.518) - -
18 Safty box 45,108 -
Total Vaksin Kintamani III 10,683,498 - - -
PUSK. KINTAMANI IV
7 Vaksin DT - -
10 Vaksin MR (141.648) 2,691,312
11 Vaksin MR (155.813) -
12 Vaksin Gardasil (589.000) -
14 ADS 5 ml 160,339 -
15 ADS 0,5 ml 141,360 -
16 ADS 0,05 ml (1.565) 87,780 -
17 ADS 0,05 ml (1.518) -
18 Safty box 25,776 -
Total Vaksin Kintamani IV 8,374,616 - - -
PUSK. KINTAMANI V
3 Vaksin Polio (IPV) 144,540 -
7 Vaksin DT - -
9 Vaksin JE+pelarut 280,000 -
10 Vaksin MR (141.648) 3,257,904 -
11 Vaksin MR (155.813) -
14 ADS 5 ml 490,730 -
15 ADS 0,5 ml 421,600 -
16 ADS 0,05 ml (1.565) 219,100 -
17 ADS 0,05 ml (1.518) -
18 Safty box 99,882 -
Total Vaksin Kintamani V 7,892,600 - - -
-
PUSK. KINTAMANI VI
7 Vaksin DT - -
8 Vaksin TD 198,000 -
10 Vaksin MR (141.648) 3,116,256 -
11 Vaksin MR (155.813) - -
14 ADS 5 ml 213,705 -
15 ADS 0,5 ml 322,400 -
16 ADS 0,05 ml (1.565) - -
17 ADS 0,05 ml (1.518) 432,630 -
18 Safty box 38,664 -
Total Vaksin Kintamani VI 9,710,751 - - -
TOTAL VAKSIN IMUNISASI DINKES 407,377,672 982,336,410 1,153,495,979 -
VAKSIN VAR
Dinas Kesehatan
1 Vaksin VAR 788,700,000 336,600,000 764,295,000 106,260,000
2 SAR 2 ml 8,041,275 21,494,187 13,227,192 8,041,275
3 SAR 10 ml (9134125) 45,670,625 - 45,670,625
4 SAR 10 ml (3999600) - -
842,411,900 358,094,187 777,522,192 159,971,900
Pusk. Bangli
5 Vaksin VAR 1,815,000 1,509,000 -
1,815,000 - 1,509,000 -
Pusk. Bangli Utara

6 Vaksin VAR 330,000 165,000 -
330,000 - 165,000 -
Pusk. Tembuku I
7 Vaksin VAR 2,475,000 2,475,000 -
2,475,000 - 2,475,000 -
Pusk. Tembuku II
8 Vaksin VAR 5,280,000 1,299,000 -
5,280,000 - 1,299,000 -
Pusk. Susut I
9 Vaksin VAR 4,125,000 660,000 -
4,125,000 - 660,000 -
Pusk. Susut II
10 Vaksin VAR 2,145,000 156,000 -
2,145,000 - 156,000 -
Pusk. Kintamani I
11 Vaksin VAR 19,470,000 4,005,000 -
19,470,000 - 4,005,000 -
Pusk. Kintamani III

12 Vaksin VAR 14,520,000 11,055,000 -
14,520,000 - 11,055,000 -
Pusk. Kintamani V
12 Vaksin VAR 7,590,000 4,455,000 -
7,590,000 - 4,455,000 -
Pusk. Kintamani VI
14 Vaksin VAR 1,815,000 495,000 -
1,815,000 - 495,000 -
TOTAL VAKSIN VAR 901,976,900 358,094,187 803,796,192 159,971,900
SUB TOTAL OBAT - OBATAN DINAS
3,970,669,692.46 2,951,997,037 4,311,381,068.14 443,051,331.78
KESEHATAN
DINAS KESEHATAN
ALAT LABORATORIUM LABKES :
1 Tabung Reaksi 2,992,000 2,992,000
2 Tabung Durham 1,838,000 1,838,000
3 Pipet Ukuran 10 ML 385,000 385,000
4 Rak Tabung Reaksi 658,350 658,350
5 Alumunium Foil 926,200 926,200
6 Kertas Label Besar 41,250 41,250
7 Kertas Label Kecil 41,250 41,250
8 Kresek Hitam 712,800 712,800
9 Kresek Kuning 800,250 800,250
10 Lidi Kapas Steril S 313,600 313,600
11 BHI 1,865,000 1,865,000
12 BRILLIANT GREEN BILE BROTH 3,998,600 3,998,600
13 LAKTOSA BROTH 3,920,400 3,920,400
14 MAC CONKAY AGAR 3,763,100 3,763,100
15 PLATE COUNT AGAR 1,540,000 1,540,000
16 SALMONELLA SHIGELLA AGAR 4,070,000 4,070,000
17 TCBS AGAR 4,547,600 4,547,600
ALAT LABORATORIUM LABKES : - 32,413,400 32,413,400 -
ALAT LABORATORIUM KESLING KIT

Pengukuran Jumlah Kuman dalam
1
Udara -
2 Methanyl Yellow Test kit -
3 Rodhamin B Test Kit -
4 Borax Test Kit -
5 Formalin Test Kit -
6 Nitrat Test -
7 Arsenik Test Kit -
8 Sianida Test Kit -
9 Timbal Test Kit -
10 Pestisida Test Kit -
11 Kandungan Babi -
12 E-coli Test Kit -
13 Coliform Test Kit -
14 Enterobacteriacae Test Kit -
Arsen, Range 0-5 ppm,(100 test/paket)
15
Photometer -
Fluorida, range 0 - 2 mg/I, (100
16
test/paket) Use Photometer -
Nitrit (NO), range 0 -150 ppm, (100
17
Nitrat (No), range 0 - 44 ppm, (100
18
Sianida, range0 - 50 ppm, (100
19
Alumunium, range 0 -1.00 ppm, (100
20
test /paket) Use Photometer -
Besi, range 0 - 4.00ppm, (100
21
Kesadahan, range 0 - 500 ppm, (100
22
Klorida, range 0 -50.000 mg/I, (100
23
test/paket)Use Photometer -
Mangan, range 0-30 ppm, (100
24
Seng, range 0 - 3 ppm,(100 test/paket)
25
Use Photometer -
Sulfat, range 0 - 1.00ppm, (100
26
Tembaga, range 0 -3.00 ppm, (100
27
test /paket) Use Photometer -
Amonia, range 0 - 1.00 ppm, (100
28
Sisa Klor, range 0 - 10 ppm, (100
29
30 Total Krom, range 0 - 1 mg/I, (100 test/paket) -
31 E-coli Test Kit -
32 Coliform Test Kit -
33 Mortar dan Pestel -
34 Pinset dan gunting -
35 Pipet transfer/spuit -
36 Salin steril -
37 Aquades -
38 Wadah sampel -
39 Kertas saring berabu -
40 Alkohol Swab -
41 Corong kaca -
42 Rak tabung -
43 Tabung reaksi -
44 Tabung Erlenmeyer -
45 Lampu Spirtus -
46 Sarung tangan -
47 Botol Sampel -
48 Masker -
ALAT LABORATORIUM KESLING KIT - - -
SUB TOTAL ALAT LABORATORIUM - 32,413,400 32,413,400 -
BAHAN KESEHATAN HABIS PAKAI

Dinas Kesehatan Alat Kesehatan : -
1 Masker Earloop (Imunisasi) - 73,724,000.0000 -
2 Anti septik liquid - 93,846,530.0000 -
3 Nurse Cap - 62,880,000.0000 -
ALAT CEK KOLESTEROL (Mission
4 - - -
Ultra)
5 Vaginal Speculum Disposable Sz L 1,440,000 - -
6 Vaginal Speculum Disposable Sz M 1,440,000 - -
TOTAL Alat Kesehatan DINKES 2,880,000 230,450,530.000 - -
Puskesmas Bangli Utara

7 Sterile Surgical Gloves FR 7,5 -
TOTAL BNHP Pusk. Bangli Utara - - -
SUB TOTAL Bahan Kesehatan Habis
2,880,000 230,450,530 - -
Pakai
BTT DINAS KESEHATAN

OBAT DAN BMHP COVID-19 -
Dinas kesehatan -
Bantuan BNPB Bangli
1 Masker Bedah -
2 Desinfektan 5 L - -
- -
P2PM Dinkes Prop bali - -
3 RDT covid 19 - -
- -
Labkes Propinsi Bali dan Kemenkes - -
4 Rapid Test (Budha TzuChi Gel 2) - -
5 Rapid Test (BNPB) - -
6 Rapid Test (Kemenkes) - -
7 Rapid Test High Top (APBD DTT 2020) - -
8 Rapid Test Zybio (APBD BTT 2020) - -
9 APD (BNPN Gel II) - -
10 APD (BNPN) - -
11 APD (Kemenkes) - -
12 Azitrommycin 500 mg - -
13 Klorokuin 150 mg - -
14 Oseltamivit tablet - -
15 Masker N-95 - -
16 Kaca Mata Google 9,698,150 1,259,500 -
- -
Dana Tidak Terduga Dinkes Bangli
- -
(DTT I)
17 Masker N95-NIOSH Standard/ Vflex 525,000 525,000 -
Vikacheck Infrared Non Contact
18 - -
thermometer VK 300
Sarung tangan M (Protos exam powder
19 128,000 128,000 -
glove)
Sarung tangan L (Protos exam powder
20 640,000 640,000 -
glove)
21 Rapid test Biozek 218,381,250 126,431,250 -
22 Medika Antiseptik Handrub 500 ml 28,359,188 28,359,188 -
23 APD set 15,300,000 1,700,000 -
24 APD set 3 Protevtive Coverall - -
25 APD Sepatu Boots Panjang All Size (1) - -
26 Tuth APD Face Shield - -
27 QTR APD Latex Hand Gloves 5 - -
Tuth SLO APD Gown Coverall
28 - -
Spunbond
29 Onemed APD Nurse Cap - -
30 Tuth APD Shoes Cover - -
31 Kardus/Tas - -
32 3M Masker KN95-9501V+ - -
33 Tissue Livi Evo 65,406,000 65,406,000 -
34 Curcuma FCT 120's 5,067,652 4,888,917 -
35 Imbost Force 35,556,576 35,254,560 -
36 Mesin Semprot Hama Charge - -
Onecare Thermometer Non Contact DT-
37 - -
8809C
38 Handwash 500 ml Hclean 64,482,000 14,355,000 -
39 Masker Disposible facemask 3 ply - -
40 Desinfektan 5 L 22,110,000 10,560,000 -
41 Becefort 33,719,868 14,496,048 -
- -
(DTT II)
42 Baju Operasi hijau 1,760,000 440,000 -
43 Gammex steril 7 - -
44 Gammex steril 7,5 - -
45 Masker kain - -
46 Rapid test Biozek 103,443,750 - -
47 Caviplex 19,812,078 11,572,418 -
48 Latex safeglove exam (M) 522,500 522,500 -
49 Maxter surg gloved steril 6 1,748,800 1,748,800 -
50 Maxter surg gloved steril 6,5 2,623,200 2,623,200 -
51 Maxter surg gloved steril 7 2,273,440 2,273,440 -
52 Maxter surg gloved steril 7,5 3,672,480 3,672,480 -
53 Latex safeglove exam (S) 1,881,000 1,881,000 -
54 Latex safeglove exam (L) 627,000 627,000 -
55 Termometer Infrared Lerkonn - -
56 Face Shield - -
57 Blood Pressure Mont Hem 7120 - -
58 Pulse Oksimetri Fox 1 - -
59 Stethoscope light weight - -
60 Nurse cap - -
- -
Propinsi Bali - -
61 APD (APBD BTT 2020) 12,375,000 12,375,000 -
62 Sepatu Boot (Ukuran 40) - -
65 Masker Bedah (BNPB) - -
66 Face Shield (BNPB) - -
67 VTM (kemenkes) - -
68 Arkan VTM - -
69 CD Rich VTM - -
Viral Transport Tube With Swab Rong
70 -
Ye -
71 Impro Viral TM NAT set - -
72 VTM Genesis (BNPB 2020) - -
73 Arkan VTM (II) - -
74 VTM Zybio (BNPB 2020) - -
75 VTM Cito Swab 28,355,000 185,500,000 213,855,000 -
76 Alkohol swab - -
- -
Kemenkes - -
77 Masker Kain Logo Earloop 12,952,500 -
78 Masker Kain Logo Headloop 12,952,500 -
79 Masker Kain Polos Earloop - -
80 Masker Kain Polos Headloop - -
- -
Propinsi Bali - -
81 Masker Bedah Sensi (APBD BTT 2020) 8,300,600 8,300,600 -
Coverall Protective Disposable (Hibah
82 -
BPBD 2020) -
Masker KN95 Tainuoer (Hibah
83 -
Kemenkes RI) -
Sarung tangan Nitrile Golden Gloves
84 Size S (Sumbangan Temasek - -
Foundation) -
85 97,000,000 -
Rapid Test Antigen (Panbio) BNPB 2020 97,000,000
86 VTM Poctman BNPB 2020 - - -
Rapid Test Antigen (SD Biosensor)
87 97,000,000 -
BNPB 2021) ED Nov 2021 97,000,000
Rapid Test Antigen Genbody Hibah
88 158,400,000 -
BNPB 2021 158,400,000
89 VTM Zybio BNPB 2020 - - -
90 VTM +Dacron Swab (KH Medical) 222,600,000 222,600,000 -
91 174,945,000 -
BNPB 2021) ED okt 2022 174,945,000
Rapid Antigen SD Biosensor Standar Q
252,951,000 -
Covid 19 Ag test kemenkes 252,951,000
VTM Zybio PT Padma 55,000,000 55,000,000
Baju Coverall Solida DAU 2021 15,120,000 15,120,000
134,639,375
APBN 2021) ED Desember 2022 134,639,375
Rapid Test Antigen SD Biosensor ED
31,071,000
Desember 2023 (APBN 2021) 31,071,000
Masker KN95 Utamma (BPBD Prop.
1,920,000
Bali) 2,400,000
Masker Bedah BYD (Sumbangan
610,242
Temasek Foundation 2021) 855,480
VTM Yahoabio 9,310,000 8,645,000
115,997,000
APBN 2021) ED DJanuari 2023 124,282,500
-
DTT II tahap II - -
92 Masker N 95 1860 29,260,000 29,260,000 -
93 Latex Examination golden gloves M 1,595,000 1,595,000 -
94 Face Shield 1,770,000 1,140,000 -
- -
Hibah Kemenkes RI - -
95 Coverall Maxifirst - -
96 Masker N95 Dreamcare - -
-
-
BTT 2021 yankes -
97 Regulator Biomedik 430,000 430,000 -
98 Stethoscope light weight 246,400 61,600 -
99 Nasal Canule (Oxyflow Bubbles) dws 120,000 - -
100 Masker Medis Earloop Baymed 3 ply 7,000,000 4,340,000 -
101 Maxter Surg Gloved ST 8,5 4,500,000 - -
102 Maxter Surg Gloved ST 8 3,000,000 750,000 -
103 Maxter Surg Gloved ST 7,5 1,500,000 1,500,000 -
104 Maxter Surg Gloved ST 6,5 375,000 375,000 -
105 Maxter Surg Gloved ST 7,5 225,000 - -
106 Masker 3 ply tali 3,200,000 720,000 -
Kantong Plastik Kuning 100x80 Bio
107 - -
Hazard 4,500,000
Kantong Plastik Kuning 60x80 Bio
108 900,000 -
Hazard 4,500,000
109 Kantong sampah non infeksius 5,000,000 1,500,000 -
110 Gloves panjang non steril 40,000,000 - -
111 Masker N95 8810 cm 35,000,000 30,800,000 -
112 Gloves GC exam powder L 20,000,000 7,800,000 -
113 Tensimeter digital Hem-8712 2,100,000 1,400,000 -
114 Masker Oxigen/Maxiflow Dewasa 300,000 30,000 -
115 Sepatu Boots Kuning - 1,256,000 314,000 -
Medikacare 0.5 % 1 Liter/ Hand
116 606,214
Sanitizer 8,920,006
Dinkes 745,298,532 1,703,246,761 2,013,315,332 -
KANTONG PLASTIK (BTT COVID) -

116 Kantong Plastik Infeksius 472,500
117 Kantong Plastik Non Infeksius 40,000
TOTAL KANTONG PLASTIK BTT
512,500 - -
COVID
Total Dinkes 745,811,032 1,703,246,761 2,013,315,332 -
-
BTT PUSKESMAS -
Puskesmas Bangli -
Bantuan BNPB Bangli -
1 Masker Bedah - -
- -
3 RDT covid 19 - -
- -
6 Rapid Test (APBD BTT 2020) 17,684,999 6,075,000 -
8 APD (BNPN) - -
13 Masker N-95 - -
- -
- -
- -
(DTT I)
14 Masker N95-NIOSH Standard 3,325,000 3,325,000 -
15 - -
thermometer VK 300
16 - -
glove)
17 - -
glove)
18 Rapid test Biozek - -
19 Medika Antiseptik Handrub 500 ml 659,516 659,516 -
20 APD set - -
25 - -
Spunbond
28 Kardus/Tas - -
29 3M Masker KN95-9501V+ - -
30 Tissue Livi Evo - -
31 Curcuma FCT 120's - -
32 Imbost Force - -
34 - -
8809C
35 Handwash 500 ml Hclean 660,000 660,000 -
36 Masker Disposible facemask 3 ply 3,850,000 3,850,000 -
37 Desinfektan 5 L 165,000 165,000 -
38 Becefort - -
- -
- -
(DTT II)
39 Baju Operasi hijau - -
42 Masker Kain - -
43 Face Shild - -
44 Nurse Cup - -
45 Caviplex - -
- -
Propinsi Bali - -
46 APD (APBD BTT 2020) - -
52 VTM Cito Swab - -
53 VTM Genesis (BNPB) - -
54 Arkan VTM II - -
55 Zybio VTM - -
56 Kemenkes - -
57 Masker Kain Logo Earloop - -
58 Masker Kain Logo Headloop - -
61 Rapid Test Antigen (Panbio) BNP 2020 - -
62 Masker Bedah Sensi (APBD BTT 2020) - -
63 -
BNPB 2021) ED okt 2022 -
- -
BANTUAN DPNPD (PKK) - -
64 APD - -
65 MASKER - -
Pusk. Bangli 26,344,515 - 14,734,516 -
-
Puskesmas Bangli Utara -
1 Masker Bedah - -
- -
3 RDT covid 19 - -
- -
6 Rapid Test (Kemenkes) - -
8 APD (BNPN) - -
13 Masker N-95 - -
14 FACE Shield - -
16 vtm (kh medical) bnpb 2020 - -
- -
(DTT I)
17 Masker N95-NIOSH Standard/ Vflex 1,925,000 1,925,000 -
18 - -
thermometer VK 300
19 - -
glove)
20 - -
glove)
21 Rapid test Biozek - - -
23 APD set - -
28 - -
Spunbond
31 Kardus/Tas - -
32 3M Masker KN95-9501V+ - -
33 Tissue Livi Evo 1,480,000 1,480,000 -
35 Imbost Force - -
37 - -
8809C
38 Handwash 500 ml Hclean - -
41 Becefort - -
- -
(DTT II)
45 Masker kain - -
47 Caviplex - -
48 Latex safeglove exam (M) - -
49 Maxter surg gloved steril 6 - -
50 Maxter surg gloved steril 6,5 - -
53 Latex safeglove exam (S) - -
54 Latex safeglove exam (L) - -
- -
Propinsi Bali - -
55 Masker bedah sensi (APBD BTT (2020) - -
Rapid test antigen (SD Biosensor)
56 - -
BNPB 2022
57 masker kn95 utamma (bpbd prop. Bali) - -
58 Baju coveall solida DAU 2021 - -
59 - -
Temasek Foundation 2021)
62 Arkan VTM - -
63 CD Rich VTM - -
64 Masker kain polos eraloop - -
65 Masker kain polos headloop - -
66 - -
Kemenkes RI)
Sumbangan Dinas Pemberdayaan

Masyarakat dan Desa Kabupaten
Bangli
67 Baju APD Coverall - -
68 Masker Medis - -
Pusk. Bangli Utara 6,582,700 - 4,604,132 -
-
Puskesmas Tembuku I -
1 Masker Bedah -
- -
3 RDT covid 19 - -
- -
6 Rapid Test (APBD DTT 2020) - -
9 APD (BNPN) - -
14 Masker N-95 - -
15 Kaca Mata Google - -
- -
Dana Tidak Terduga Dinkes Bangli (DTT
16 - -
I)
17 Masker N95-NIOSH Standard/ Vflex 8,925,000 -
18 - 8,925,000 -
thermometer VK 300
19 - -
glove)
20 - -
glove)
22 Medika Antiseptik Handrub 500 ml 899,340 -
23 APD set 2,550,000 899,340 -
24 APD set 3 Protevtive Coverall - 1,700,000 -
28 - -
Spunbond
31 Kardus/Tas - -
32 3M Masker KN95-9501V+ - -
33 Tissue Livi Evo 1,364,000 -
34 Curcuma FCT 120's 105,138 1,364,000 -
35 Imbost Force - 105,138 -
37 2,337,500 -
8809C
39 Masker Disposible facemask 3 ply 1,925,000 792,000 -
40 Desinfektan 5 L - 1,925,000 -
41 Becefort - -
- -
(DTT II)
45 Masker kain - -
46 Rapid test Biozek 22,987,500 -
47 Caviplex - -
56 Face Shield - -
60 Nurse cap - -
- -
Propinsi Bali - -
61 APD (APBD BTT 2020) 3,135,000 -
62 Sepatu Boot (Ukuran 40) - 3,135,000 -
68 Arkan VTM - -
69 CD Rich VTM - -
70 - -
Ye
76 Alkohol swab - -
- -
Kemenkes - -
79 Masker Kain Polos Earloop 7,645,000 -
80 Masker Kain Polos Headloop 10,890,000 1,375,000 -
- 2,640,000 -
Propinsi Bali - -
82 - -
BPBD 2020)
83 - -
Kemenkes RI)
84 Rapid Test Antigen (Panbio) BNPB 2020 - -

-
BNPB 2021) ED Nov 2021
VTM +Dacron Swab (KH Medical)
Covid 19 Ag test kemenkes
VTM Zybio PT Padma
APBN 2021) ED Desember 2022
Rapid Test Antigen SD Biosensor ED
Desember 2023 (APBN 2021)
DTT II tahap II - -
85 Masker N 95 1860 - -
86 Latex Examination golden gloves M - -
87 Face Shield - -
- -
88 Hibah Kemenkes RI - -
- -
Masyarakat dan Desa Kabupaten -
Bangli -
92 Masker Medis - -
Pusk. Tembuku I 64,017,478 - 25,197,978.00 -
-
Puskesmas Tembuku II -
1 Masker Bedah - -
- -
3 RDT covid 19 - -
- -

9 APD (BNPN) - -
14 Masker N-95 - -
Kaca Mata Google - -
- -
15 - -
(DTT I)
17 - -
thermometer VK 300
18 - -
glove)
19 - -
glove)
22 APD set 2,550,000 2,550,000 -

27 - -
Spunbond
30 Kardus/Tas - -
31 3M Masker KN95-9501V+ - -
34 Imbost Force - -
Onecare Thermometer Non Contact
36 - -
DT-8809C
39 Desinfektan 5 L 330,000 330,000 -
40 Becefort - -
- -
(DTT II)
44 Masker kain - -
46 Caviplex - -
55 Face Shield - -
59 Nurse cap - -
- -
Propinsi Bali - -
60 APD (APBD BTT 2020) 3,300,000 3,300,000 -
67 Arkan VTM - -
68 CD Rich VTM - -
69 - -
Ye
72 Arkan VTM (II) 325,000 325,000 -
75 Alkohol swab - -
- -
Kemenkes - -
- -
Propinsi Bali - -

81 - -
BPBD 2020)
82 - -
Kemenkes RI)
Rapid Test Antigen (Panbio) BNPB
83 - -
2020
DTT II tahap II - -
84 Masker N 95 1860 - -
86 Face Shield - -
- -
87 Hibah Kemenkes RI - -

Bangli
90 APD cover all - -
91 Masker bedah 3 ply - -
Pusk. Tembuku II 14,906,824 - 14,906,824 -
-
Puskesmas Susut I -
1 Masker Bedah - -
- -
3 RDT covid 19 - -
- -
8 APD (BNPN) - -
13 Masker N-95 - -
-
- -
(DTT I)
16 - -
thermometer VK 300
17 - -
glove)
18 - -
glove)
21 APD set - -
26 - -
Spunbond
29 Kardus/Tas - -
30 3M Masker KN95-9501V+ - -
33 Imbost Force - -
34 Mesin Semprot Hama Charge 1,250,000 1,250,000 -
35 - -
8809C
38 Desinfektan 5 L 990,000 495,000 -
39 Becefort - -
40 - -
II)
Baju Operasi hijau - -
43 Masker kain - -
45 Caviplex - -
53 Termometer infrared lerkonn - -
54 faceshield - -
55 Blood Pressure mont hem 7120 - -
58 Nurse cap - -
-
PROVINSI BALI - -
APD ( APBD BTT 2020) - -
59 Sepatu boot ( uk 40) - -
60 sepatu boot uk 39 - -
61 sepatu boot uk.38 - -
62 masker bedah (BNPB) - -
63 face shield (BNPB) - -
64 VTM (Kemenkes) - -
65 Arkan VTM - -
66 CD Rich VTM - -
67 Viral Transport Tube with swab rong ye - -
70 VTM Arkan - -
71 VTM ZYBIO - -
72 VTM Cito swab APBN 2020 - -
73 alkohol swab - -
- -
KEMENKES - -
74 Masker kain logo earloop - -
75 masker kain logo headloop - -
76 Masker kain polos earloop - -
77 Masker kain polos headloop - -
- -
Provinsi Bali - -
78 Masker Bedah Sensi APBD BTT 2020) - -
Coveral Protective Disposable Hibah
79 - -
APBD 2020)
Maskler KN 95 Tainuoer Hibah
80 - -
Klemenkes RI)
82
BNPB 2021
83 VTM (KH Medical) BNPB 2020
84
BNPB 2021) ED okt 2022
Covid 19 Ag Test Kemenkes
VTM Xybio PT Padma
Baju Coverall Solida DAU 2021
DTT Tahap II - -
85 Masker N95 1860 - -
86 Latex examination golden dloves M - -
87 face shield - -
88 Hibah Kemenkles RI - -
89 Coverallllllllll Maxifirst - -

Bangli -
92 Masker Medis - -
Pusk. Susut I 30,046,532 - 14,609,657 -
-
Puskesmas Susut II -
Bantuan BNPB Bangli
1 Masker Bedah - -
- -
3 RDT covid 19 - -
- -
6 Rapid Test (APBD BTT 2020) - -
8 APD (BNPN) - -
13 Masker N-95 - -
- -
- -
I)
16 - -
thermometer VK 300
17 - -
glove)
18 - -
glove)
21 APD set 13,600,000 13,600,000 -
26 - -
Spunbond
29 Kardus/Tas - -
30 3M Masker KN95-9501V+ - -
31 Tissue Livi Evo 1,034,000 1,034,000 -
33 Imbost Force - -
35 - -
8809C
39 Becefort 134,904 134,904 -
- -
(DTT II)
43 Masker kain - -
45 Caviplex 12,298 12,298 -
54 Face Shield 120,000 120,000 -
58 Nurse cap - -
- -
Propinsi Bali - -
59 APD (APBD BTT 2020) 2,640,000 2,640,000 -
66 Arkan VTM - -
67 CD Rich VTM - -
68 VTM Rong Ye - -
70 VTM genesis - -
71 VTM Arkan - -
72 VTM Zybio - -
73 VTM cito swab APBN 2020 3,604,000 3,604,000 -
74 Alkohol swab - -
75 VTM cito swab - -
76 Kemenkes - -
77 Masker kain logo earloop - -
78 Masker kain logo headloop - -
79 Masker kain polos earloop 6,490,000 6,490,000 -
80 Masker kain polos headloop 11,000,000 11,000,000 -
- -
Propinsi Bali - -
81 Masker bedah sensi (APBD BTT 2020) - -
Coverall Protectif disposible (Hibah
82 - -
BPBD 2020)
Masker KN95 Taniuoner (Hibah
83 - -
kemenkes RI)
Rapod test antigen (SD biosensor )
84 - -
BNPB 2021
DTT II tahap II - -
85 Masker N95 1860 - -
86 Latex examination golden glove M - -
87 Face shield - -
VTM (KH Medical) BNPB 2020
VTM Zybio PT Padma
APBN 2021) ED Desember 2022
Bali)

Bangli
89 Masker Medis - -
Pusk. Susut II 55,020,461 - 55,020,461 -
-
Puskesmas Kintamani I -
1 Masker Bedah - -
- -
3 RDT covid 19 - -
- -
6 Rapid Test (APBD DTT 2020) 5,400,000 2,295,000 3,105,000
8 APD (BNPN) - -
13 Masker N-95 - -
- -
- -
(DTT I)
16 - -
thermometer VK 300
17 - -
glove)
18 - -
glove)
21 APD set - -
26 - -
Spunbond
29 Kardus/Tas - -
30 3M Masker KN95-9501V+ - -
31 Tissue Livi Evo 1,364,000 1,364,000 -
32 Curcuma FCT 120's - - -
33 Imbost Force 58,080 58,080 -
35 - -
8809C
36 Handwash 500 ml Hclean 1,188,000 858,000 -
37 Masker Disposible facemask 3 ply 53,900 53,900 -
38 Desinfektan 5 L 330,000 330,000 -
39 Becefort 55,188 55,188 -
40 - -
II)
46 Masker kain - -
48 Caviplex - -
49 Caviplex 49,200 49,200 -
57 Termometer Infrared Lerkon - -
58 Face shield - -
59 blood Pressure Mont Hem 7120 - -
60 pulse Oksimetri Fox 1 - -
62 nurse cap - -
- -
Propinsi Bali - -
63 APD (APBD BTT 2020) 2,475,000 2,475,000 -
70 Arkan VTM - -
71 CD Rich VTM - -
72 - -
Ye
78 Alkohol swab - -
- -
Kemenkes - -
81 Masker Kain Polos Earloop 9,339,000 1,749,000 -
- -
Propinsi Bali - -
83 Masker Bedah Sensi (APBD BTT 2020) 754,600 754,600 -
84 - -
BPBD 2020)
85 - -
Kemenkes RI)
Rapid Test Antigen ( Panbio) BNPB
86 -
2020
87 VTM Poctman BNPB 2020 -
Rapid Test Antigen (SD Biosensor )
88 -
BNPB 2021
89 Rapid Test Antigen ( Genbody) -
VTM (KH Medical) BNPB 2020 - -
DTT II tahap II - -
90 Masker N 95 1860 1,540,000 1,540,000 -
92 Face Shield - -
-
VTM Zybio PT Padma -
Baju Coverall Solida DAU 2021 -
Masker Beadah BYD ( Sumbanagan
-
Temasek Foundation 2021 )
- -

Bangli
96 Masker Medis - -
Pusk. Kintamani I 58,513,967 - 42,428,967.00 3,105,000.00
-
Puskesmas Kintamani II -
Bantuan BNPB Bangli - -
1 Masker Bedah - -
- -
3 RDT covid 19 - -
- -
4 Labkes Propinsi Bali dan Kemenkes - -
10 APD (BNPN) - -
15 Masker N-95 - -
- -
- -
I)
18 - -
thermometer VK 300
19 Sarung tangan M (Protos exam powder glove) - -
20 Sarung tangan L (Protos exam powder glove) - -
23 APD set 4,250,000 4,250,000 -
28 Tuth SLO APD Gown Coverall Spunbond - -
31 Kardus/Tas - -
32 3M Masker KN95-9501V+ - -
33 Tissue Livi Evo 440,000 440,000 -
35 Imbost Force - -
36 Mesin Semprot Hama Charge 1,250,000 -
37 Onecare Thermometer Non Contact DT-8809C - -
40 Desinfektan 5 L 330,000 330,000 -
41 Becefort - -
42 Dana Tidak Terduga Dinkes Bangli (DTT II) - -
46 Masker kain - -
48 Caviplex - -
57 Face Shield - -
61 Nurse cap - -
- -
Propinsi Bali - -
APD (APBD BTT 2020) - -
68 Arkan VTM - -
69 CD Rich VTM - -
70 Viral Transport Tube With Swab Rong Ye - -
75 VTM Cito Swab 1,855,000 1,855,000 -
76 Alkohol swab - -
78 Kemenkes - -
- -
Propinsi Bali - -
84 Coverall Protective Disposable (Hibah BPBD 2020) - -
85 Masker KN95 Tainuoer (Hibah Kemenkes RI) - -
- -
DTT II tahap II - -
86 Masker N 95 1860 - -
88 Face Shield - -
- -
- -
Bangli -
91 Baju APD Hazmat Coverall - -
92 Masker bedah 3ply - -
Pusk. Kintamani II 43,657,840 - 38,546,840 -
-
Puskesmas Kintamani III -
1 Masker Bedah - -
- -
3 RDT covid 19 - -
- -
9 APD (BNPN) - -
14 Masker N-95 - -
- -
- -
(DTT I)
17 - -
thermometer VK 300
18 - -
glove)
19 - -
glove)
22 APD set - -
27 - -
Spunbond
30 Kardus/Tas - -
31 3M Masker KN95-9501V+ - -
32 Tissue Livi Evo 88,000 88,000 -
34 Imbost Force - -
36 - -
8809C
39 Desinfektan 5 L 1,320,000 1,320,000 -
40 Becefort - -
- -
(DTT II)
44 Masker kain - -
46 Caviplex - -
55 Face Shield - -
Nurse cap - -
- -
Propinsi Bali - -
APD (APBD BTT 2020) 2,970,000 2,970,000 -
65 Arkan VTM - -
66 CD Rich VTM - -
67 - -
Ye
73 Alkohol swab - -
75 Kemenkes - -
- -
Propinsi Bali - -
81 - -
BPBD 2020)
82 - -
Kemenkes RI)
- -
BNPB 2021) ED okt 2022
DTT II tahap II - -
83 Masker N 95 1860 - -
85 Face Shield - -
- -

Bangli
Pusk. Kintamani III 78,112,786 - 69,490,962 -
-
Puskesmas Kintamani IV -
1 Bantuan BNPB Bangli -
2 Masker Bedah - -
- -
4 RDT covid 19 - -
- -
5 Labkes Propinsi Bali dan Kemenkes - -
8 Rapid Test (APBD DTT 2020) 3,375,000 3,375,000
11 APD (BNPN) - -
16 Masker N-95 - -
- -

- -
(DTT I)
19 2,475,000 2,475,000 -
thermometer VK 300
20 - -
glove)
21 - -
glove)
24 APD set 4,250,000 4,250,000 -
29 - -
Spunbond
32 Kardus/Tas - -
33 3M Masker KN95-9501V+ - -
34 Tissue Livi Evo 1,606,000 1,606,000 -
35 Curcuma FCT 120's 35,046 35,046 -
36 Imbost Force 116,160 116,160 -
38 21,037,500 21,037,500 -
8809C
41 Desinfektan 5 L 330,000 330,000 -
42 Becefort - -
- -
(DTT II)
46 Masker kain - -
48 Caviplex - -
52 Maxter surg gloved steril 7 69,952 69,952 -
53 Maxter surg gloved steril 7,5 174,880 174,880 -
54 Latex safeglove exam (S) 104,500 104,500 -
57 Face Shield 160,000 160,000 -
61 Nurse cap - -
- -
Propinsi Bali - -
APD (APBD BTT 2020) - -
68 Arkan VTM 2,596,000 2,596,000 -
69 CD Rich VTM - -
70 Viral Transport Tube With Swab Rong Ye - -
76 Alkohol swab - -
78 VTM Poctman BNPB 2020 - -
79 - -
80 Rapid Test Antigen Genbody Hibah BNPB 2021 -
81 Kemenkes - -
Rapid Test Antigen (SD Biosensor) BNPB 2021) ED Nov 2021 -
VTM Zybio BNPB 2020 -
VTM +Dacron Swab (KH Medical) -
Rapid Test Antigen (SD Biosensor) BNPB 2021) ED okt 2022 -
Rapid Test Antigen SD Biosensor ED Desember 2023 (APBN 2021)
Masker Bedah BYD (Sumbangan Temasek Foundation 2021) - -
Propinsi Bali - -
87 Coverall Protective Disposable (Hibah BPBD 2020) - -
88 Masker KN95 Tainuoer (Hibah Kemenkes RI) - -
- -
DTT II tahap II - -
89 Masker N 95 1860 - -
91 Face Shield - -
- -

Bangli
Pusk. Kintamani IV 125,488,961 - 53,534,586 3,375,000
-
Puskesmas Kintamani V - -
1 Bantuan BNPB Bangli - -
2 Masker Bedah - -
- -
4 RDT covid 19 - -
- -
Labkes Propinsi Bali - -
7 Rapid Test (APBD BTT 2020) - -
9 APD (BNPN) - -
10 APD (kemenkes) - -
14 Masker N-95 - -
- -
Dana Tidak Terduga Dinkes Bangli (DTT I) - -
17 2,475,000 2,475,000 -
thermometer VK 300
18 96,000 96,000 -
glove)
19 8,320 -
glove)
20 Rapid test Biozek 48,656,875 36,013,750 1,915,625
22 APD set ; 1,700,000 -
27 Tuth SLO APD Gown Coverall Spunbond - -
30 Kardus/Tas - -
31 3M Masker KN95-9501V+ - -
32 Tissue Livi Evo 484,000 484,000 -
34 Imbost Force - -
36 7,012,500 2,337,500 -
8809C
38 Masker Disposible facemask 3 ply 1,008,700 816,200 -
40 Becefort - -
41 Dana Tidak Terduga Dinkes Bangli (DTT II) - -
45 Masker kain - -
47 Caviplex - -
55 Nurse Cap - -
- -
Propinsi Bali - -
APD (APBD BTT 2020) 3,300,000 2,805,000 -
62 Arkan VTM - -
63 CD Rich VTM - -
64 VTM Genesis ( BNPB 2020 ) - -
65 Arkan VTM II 3,185,000 1,495,000 -
Rapid Test Antigen ( SD Biosensor)
66 - -
BNPB 2021
KEMENKES - -
68 Masker Kain Headloop - -
Masker Bedah BYD( Sumbangan temasek foundation 2021 )
Bangli
Pusk. Kintamani V 73,064,679 - 51,135,734 1,915,625
-
Puskesmas Kintamani VI -
1 Masker Bedah - -
- -
3 RDT covid 19 - -
- -
6 Rapid Test (APBD DTT 2020) 15,929,999 2,565,000 13,364,999
9 APD (BNPN) - -
14 Masker N-95 - -
- -
- -
(DTT I)
17 - -
thermometer VK 300
18 - -
glove)
19 - -
glove)
22 APD set 2,550,000 1,700,000 -
27 - -
Spunbond
30 Kardus/Tas - -
31 3M Masker KN95-9501V+ - -
32 Tissue Livi Evo 946,000 946,000 -
34 Imbost Force - -
36 - -
8809C
40 Becefort - -
41 - -
II)
45 Masker kain - -
47 Caviplex - -
56 Face Shield - -
60 Nurse cap - -
- -
Propinsi Bali - -
61 APD (APBD BTT 2020) - -
68 Arkan VTM - -
69 CD Rich VTM - -
70 - -
Ye
75 VTM Cito Swab 1,378,000 1,378,000 -
76 Alkohol swab - -
- -
Kemenkes - -
- -
Propinsi Bali - -
82 - -
BPBD 2020)
83 - -
Kemenkes RI)
85 VTM Poctman BNPB 2020 - -
86 - -
87 -
BNPB 2021
VTM +Dacron Swab (KH Medical)
VTM Zybio PT Padma
Bali)
- -
- -
DTT II tahap II - -
88 Masker N 95 1860 - -
90 Face Shield 330,000 330,000 -
91 Face Shield - -
- -
Bangli -
94 Baju APD COVERALL - -
95 Masker Medis - -
Pusk. Kintamani VI 43,715,987 - 27,300,988.00 13,364,998.82
SUB TOTAL OBAT DAN BMHP COVID-19 1,365,283,760.26 1,703,246,761.00 2,424,826,976.95 21,760,623.57
DINAS KESEHATAN 6,287,852,703.12 6,448,338,515.95 8,459,210,408.39 464,811,955.35
Kepala Dinas Kesehatan Bangli, 31 Desember 2021

Kabupaten Bangli Pengurus Barang Pengguna
(dr. I Nyoman Arsana, M.Kes) (I Komang Edi Sanjaya, A

NIP. 19670803 199903 1 004 NIP. 19920902 201503 1 0
Mengetahui,
Pejabat Penatausahaan Pengguna Barang
Dinas Kesehatan Kabupaten Bangli
dr. Anak Agung Dwi Wulantari

NIP. 19840430 201001 2 037
Saldo Persediaan Sampai dengan tgl 31 Desember 2021
Harga Beli
JML HARGA
terakhir
-
-
-
-
-
55,500.00 6,937,500
-
-
3,300.00 660,000
-
19,800.00 3,999,600
-
-
13,000.00 260,000
-
12,100.00 1,161,600
-
600.00 90,000
-
-
-
3,520.00 140,800
4,000.00 80,000
-
-
3,100.00 155,000
-
-
2,000.00 122,000
-
-
28,300.00 849,000
-
-
13,000.00 247,000
-
-
13,000.00 416,000
-
-
8,000.00 112,000
-
-
6,000.00 18,000
-
-
22,000.00 814,000
-
18,700.00 280,500
16,500.00 4,950,000
-
-
-
4,500.00 31,500
-
-
11,500.00 460,000
-
-
-
16,500.00 363,000
9,000.00 72,000
-
-
93,000.00 1,488,000
-
8,800.00 1,249,600
-
18,500.00 481,000
-
3,300.00 102,300
-
7,000.00 413,000
-
24,750.00 49,500
-
3,410.00 416,020
-
23,650.00 1,111,550
22,000.00 1,100,000
-
-
21,000.00 126,000
-
-
-
-
-
-
-
-
3,300.00 33,000
-
-
-
3,100.00 155,000
2,000.00 40,000
23,000.00 552,000
4,000.00 96,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
20,200.00 404,000
3,800.00 34,000
-
41,000.00 697,000
600.00 7,200
11,000.00 165,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,925.00 30,800
-
-
9,102,500.00 9,102,500
-
-
-
-
-
-
-
-
-
-
-
-
-
-
5,000.00 450,000
10,000.00 1,340,000
187,000.00 9,350,000
4,840.00 10,981,960
4,290.00 4,294,290
187,000.00 10,659,000
4,840.00 4,873,880
4,290.00 4,290,000
495.00 270,270
49,500.00 4,950,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
8,800.00 38,156,800
187,000.00 13,464,000
-
-
10,000.00 2,500,000
4,500.00 4,500,000
187,000.00 9,911,000
3,960.00 43,560,000
3,575.00 25,025,000
9,900.00 24,255,000
62,700.00 62,700,000
231,000.00 8,778,000
3,960.00 3,564,000
9,900.00 8,910,000
5,000.00 2,500,000
10,000.00 5,000,000
187,000.00 10,846,000
3,960.00 15,840,000
3,575.00 14,300,000
-
357,500.00 122,980,000
-
-
-
-
-
-
-
79.20 3,100,680
79.20 1,188,000
79.20 1,195,920
79.20 633,600
79.20 1,077,120
79.20 554,400
84.50 1,554,800
84.50 -
17,000.00 816,000
-
84.50 -
17,000.00 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
518,442,690
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
28,300.00 283,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
14,000.00 700,000
-
118,000.00 472,000
900.00 720,000
-
-
-
-
-
-
-
-
-
-
79.20 17,899
-
79.20 10,613
2,203,512
-
-
-
600.00 2,400
-
3,500.00 3,500
-
-
3,100.00 15,500
-
-
3,500.00 17,500
-
-
-
-
8,000.00 8,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
3,100.00 37,200
-
600.00 30,000
3,500.00 7,000
-
-
-
-
-
-
-
-
79.20 37,937
79.20 4,990
79.20 6,811
-
170,838
-
-
-
-
-
-
-
-
-
35,000.00 136,500
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
20,000.00 1,760,000
-
-
-
-
-
-
-
-
-
-
79.20 -
79.20 38,808
79.20 -
79.20 3,722
79.20 -
1,939,030
-
-
-
16,500.00 495,000
5,005.00 300,300
9,020.00 54,120
154,000.00 1,078,000
37,950.00 379,500
27,500.00 962,500
12,980.00 259,600
1,980.00 320,760
3,190.00 -
42,020.00 3,361,600
22,000.00 -
21,010.00 -
32,560.00 1,953,600
28,325.00 -
231,000.00 -
401,500.00 -
13,200.00 224,400
22,000.00 132,000
3,960.00 316,800
3,300.00 264,000
6,050.00 121,000
22,550.00 135,300
3,960.00 8,712,000
40,975.00 6,556,000
594.00 475,200
11,000.00 1,100,000
43,450.00 217,250
8,800.00 176,000
21,010.00 378,180
14,960.00 374,000
16,500.00 165,000
11,550.00 346,500
74,800.00 -
67,980.00 2,039,400
88,000.00 1,760,000
8,800.00 176,000
3,300.00 181,500
8,800.00 158,400
2,500.00 750,000
12,500.00 -
12,500.00 -
12,500.00 -
29,000.00 7,975,000
79.20 -
79.20 220,176
79.20 12,038
84.50 22,477
79.20 20,671
79.20 16,157
79.20 37,937
350.00 -
2,750.00 -
4,500.00 -
350.00 -
3,800.00 -
2,500.00 -
42,228,366
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
118,000.00 826,000
-
-
79.20 -
79.20 31,126
79.20 -
79.20 18,929
79.20 15,602
84.50 6,676
79.20 14,335
-
-
-
-
-
-
912,668
-
-
-
19,000.00 760,000
16,500.00 495,000
600.00 343,800
11,000.00 660,000
-
8,000.00 192,000
55,500.00 277,500
11,000.00 55,000
13,000.00 130,000
9,500.00 85,500
32,500.00 325,000
-
11,000.00 660,000
-
-
-
-
-
-
-
-
21,000.00 105,000
-
-
3,100.00 279,000
2,000.00 80,000
-
-
-
-
-
9,000.00 81,000
-
-
1,750.00 525,000
-
6,000.00 30,000
-
-
-
-
-
749,000
450,000
-
-
-
-
4,750.00 228,000
12,500.00 625,000
20,000.00 760,000
-
5,000.00 680,000
-
-
-
4,500.00 918,000
3,500.00 49,000
-
-
-
-
23,000.00 943,000
-
15,000.00 750,000
-
-
-
-
-
-
-
3,800.00 53,200
-
-
-
-
-
-
9,500.00 427,500
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
79.20 35,402
79.20 46,966
79.20 15,206
79.20 7,920
-
11,821,994
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
13,000.00 130,000
-
-
-
-
-
21,000.00 63,000
-
28,300.00 169,800
-
19,000.00 38,000
26,600.00 425,600
4,000.00 200,000
2,400.00 480,000
6,000.00 12,000
3,100.00 37,200
9,000.00 108,000
4,500.00 216,000
16,500.00 165,000
11,500.00 138,000
-
93,000.00 279,000
-
8,800.00 149,600
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
79.20 -
79.20 9,504
79.20 6,178
79.20 -
79.20 28,037
84.50 20,196
79.20 8,395
-
-
-
-
2,683,509
-
-
-
-
3,300.00 -
70,000.00 -
23,650.00 23,650
22,000.00 22,000
13,000.00 65,000
21,000.00 42,000
16,500.00 -
600.00 34,800
5,000.00 -
4,300.00 -
19,000.00 -
12,500.00 -
28,300.00 113,200
14,000.00 -
29,200.00 -
21,000.00 -
18,500.00 -
6,000.00 -
13,000.00 -
17,000.00 -
15,000.00 15,000
11,500.00 -
8,800.00 44,000
9,500.00 -
1,900.00 -
40,000.00 -
15,000.00 -
22,825.00 -
3,800.00 11,400
3,800.00 -
11,000.00 -
16,500.00 396,000
11,500.00 -
18,500.00 -
6,000.00 -
55,500.00 -
93,000.00 -
8,000.00 -
2,000.00 -
3,100.00 -
-
2,600.00 260,000
3,800.00 -
4,500.00 1,278,000
5,000.00 525,000
5,100.00 1,157,700
3,000.00 153,000
7,500.00 382,500
18,700.00 -
14,850.00 -
9,000.00 -
3,500.00 -
600.00 48,000
11,500.00 -
3,100.00 -
1,980.00 -
25,300.00 -
22,825.00 -
14,850.00 -
9,500.00 -
290.00 -
4,900.00 2,239,300
445,000.00 -
-
33,000.00 99,000
1,500.00 450,000
100,000.00 -
190,000.00 -
190,000.00 -
115,000.00 345,000
115,000.00 345,000
200,000.00 -
500.00 -
500.00 -
1,250.00 500,000
115,000.00 -
600.00 120,000
25,000.00 -
1,500.00 1,050,000
850.00 340,000
1,500.00 1,125,000
1,500.00 825,000
1,500.00 825,000
850.00 170,000
850.00 170,000
850.00 85,000
190,000.00 -
190,000.00 -
1,500.00 2,100,000
1,500.00 525,000
500.00 400,000
25,000.00 975,000
14,000.00 854,000
-
79.20 -
79.20 10,613
79.20 3,564
79.20 2,059
84.50 8,450
17,000.00 -
18,138,236
-
-
-
- -
9,500.00 9,500
14,800.00 14,800
9,000.00 9,000
49,000.00 -
2,500.00 -
3,500.00 -
4,500.00 -
- -
1,300.00 -
1,500.00 -
1,980.00 -
2,475.00 -
- -
7,000.00 7,000
8,000.00 -
3,000.00 -
6,000.00 -
12,500.00 -
4,750.00 -
15,000.00 15,000
3,500.00 -
- -
- -
2,500.00 12,500
25,000.00 -
7,920.00 -
12,000.00 -
22,000.00 44,000
10,000.00 -
38,250.00 -
9,500.00 19,000
- -
10,500.00 21,000
8,525.00 -
85,800.00 -
-
- -
550.00 33,000
- -
- -
3,300.00 66,000
9,000.00 72,000
1,000.00 -
10,000.00 -
3,500.00 3,500
13,000.00 100,640
9,900.00 19,800
- -
14,850.00 -
31,900.00 -
- -
- -
22,825.00 -
16,500.00 330,000
18,700.00 -
5,100.00 -
6,000.00 -
21,450.00 21,450
21,000.00 42,000
23,650.00 -
11,500.00 1,180,500
10,500.00 -
- -
40,500.00 3,640,000
90,000.00 -
1,000.00 -
90,000.00 -
1,500.00 -
1,500.00 -
9,000.00 -
85,000.00 -
1,500.00 876,250
1,500.00 677,500
90,000.00 1,235,000
90,000.00 1,235,000
150,000.00 1,385,000
90,000.00 -
- -
90,000.00 150,000
1,550.00 -
- -
- -
- -
-
-
79.20 25,502
79.20 77,141
79.20 81,576
79.20 -
79.20 18,058
84.50 96,161
84.50 23,069
-
-
-
-
-
-
145,000
-
-
-
-
-
-
-
-
-
11,685,946
-
-
-
-
-
-
-
-
8,910.00 35,640
9,900.00 118,800
-
3,520.00 91,520
-
-
8,525.00 153,450
-
-
-
-
-
-
-
25,000.00 125,000
3,500.00 70,000
16,500.00 99,000
28,300.00 56,600
600.00 129,000
-
9,600.00 9,600
-
3,500.00 35,000
11,500.00 138,000
16,500.00 198,000
6,500.00 58,500
9,900.00 51,600
8,800.00 44,000
13,000.00 52,000
1,000.00 67,000
4,500.00 85,500
12,800.00 512,000
12,500.00 37,500
-
21,000.00 42,000
3,100.00 31,000
93,000.00 186,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
79.20 -
79.20 8,870
79.20 17,186
79.20 12,989
84.50 14,534
2,480,290
-
-
-
-
-
-
-
-
4,500.00 54,000
-
-
-
32,500.00 130,000
600.00 57,000
-
-
3,500.00 10,500
-
-
-
-
-
1,200.00 24,000
16,500.00 148,500
-
-
-
12,600.00 75,600
-
-
-
-
-
-
-
-
-
-
-
16,500.00 99,000
-
-
-
12,500.00 25,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
350.00 80,500
1,500.00 600,000
1,500.00 30,000
1,500.00 375,000
1,500.00 150,000
-
168,000.00 672,000
1,000.00 120,000
500.00 425,000
48,000.00 48,000
-
-
-
24,000.00 1,488,000
-
-
-
-
-
-
-
-
-
-
- 13,520
79.20 11,563
79.20 -
79.20 -
79.20 10,850
79.20 -
79.20 -
4,648,034
-
-
-
-
-
-
-
-
-
-
-
-
-
-
21,000.00 147,000
11,500.00 57,500
22,000.00 110,000
16,500.00 82,500
22,000.00 660,000
600.00 34,800
-
-
28,300.00 56,600
-
-
-
79.20 -
79.20 -
79.20 11,246
79.20 88,704
84.50 8,112
17,000.00 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,256,462
618,611,575
-
-
-
-
56,000.00 280,000
-
-
-
-
21,500.00 86,000
-
-
-
29,000.00 580,000
31,900.00 478,500
-
60,000.00 1,500,000
-
-
-
-
-
-
2,924,500
-
-
-
-
-
-
61,000.00 7,625,000
-
7,625,000
-
-
-
61,000.00 305,000
-
-
305,000
-
-
-
59,950.00 7,538,800
-
-
-
59,950.00 5,695,250
13,234,050
-
-
61,000.00 8,845,000
-
8,845,000
-
-
61,000.00 7,930,000
7,930,000
-
-
-
61,000.00 1,830,000
-
-
-
-
-
59,950.00 2,038,300
-
-
3,868,300
-
-
-
61,000.00 915,000
-
4,750.00 1,900,000
31,000.00 155,000
-
-
-
2,970,000
-
-
-
-
-
-
-
-
-
59,950.00 65,000
20,900.00 -
59,950.00 122,000
20,900.00 150,500
337,500
-
-
-
61,000.00 305,000
-
-
-
61,000.00 610,000
-
915,000
-
-
-
-
56,000.00 336,000
61,000.00 183,000
-
-
-
-
-
-
-
519,000
-
-
-
-
-
61,000.00 2,684,000
2,684,000
52,157,350
-
-
-
-
-
-
-
10,000.00 12,320,000
-
6,000.00 282,000
-
12,602,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10,000.00 100,000
-
-
-
100,000
-
-
-
6,000.00 84,000
10,000.00 390,000
-
-
-
474,000
-
-
-
-
10,000.00 920,000
920,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10,000.00 1,000,000
-
-
-
-
1,000,000
-
-
-
-
-
10,000.00 1,200,000
-
-
-
1,200,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
10,000.00 20,000
-
-
-
20,000
-
-
-
-
-
-
-
10,000.00 160,000
160,000
16,476,000
-
-
-
-
-
860,000.00 1,720,000
946,000.00 3,784,000
1,350,000.00 1,350,000
875,000.00 3,500,000
957,000.00 3,828,000
95,000.00 -
104,500.00 3,866,500
95,000.00 -
104,500.00 -
102,500.00 -
112,750.00 -
95,000.00 -
104,500.00 6,897,000
- -
123,750.00 2,103,750
125,000.00 1,875,000
112,500.00 450,000
123,750.00 1,113,750
125,000.00 1,000,000
112,500.00 787,500
123,750.00 1,113,750
125,000.00 1,000,000
112,500.00 1,012,500
123,750.00 1,113,750
125,000.00 1,000,000
90,000.00 450,000
90,000.00 360,000
123,750.00 4,578,750
123,750.00 990,000
123,750.00 866,250
123,750.00 990,000
31,000.00 93,000
34,100.00 272,800
31,000.00 62,000
34,100.00 170,500
31,000.00 93,000
34,100.00 170,500
31,000.00 62,000
34,100.00 170,500
-
-
-
145,000.00 145,000
108,000.00 432,000
-
-
-
-
47,421,800
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
130,000.00 390,000
130,000.00 130,000
130,000.00 130,000
-
-
105,000.00 210,000
860,000
-
-
-
-
-
-
390,000
-
-
-
-
-
-
-
- 390,000
-
-
-
105,000.00 315,000
105,000.00 840,000
1,155,000
-
-
-
-
-
-
-
-
-
-
-
-
125,000.00 6,250,000
-
-
-
6,250,000
-
-
-
125,000.00 1,625,000
-
-
-
-
123,750.00 250,000
1,875,000
-
-
-
125,000.00 2,375,000
105,000.00 1,995,000
-
123,750.00 -
105,000.00 420,000
4,790,000
-
-
-
-
-
-
-
-
-
-
-
115,000.00 345,000
-
-
-
-
345,000
-
-
-
190,000.00 760,000
125,000.00 625,000
-
-
-
1,385,000
-
-
-
-
-
-
140,000.00 280,000
-
-
-
-
-
280,000
-
-
-
-
-
64,361,800
-
-
-
-
-
17,000.00 374,000
17,500.00 315,000
-
7,700.00 138,600
50,000.00 1,200,000
30,000.00 690,000
17,000.00 221,000
-
35,000.00 210,000
42,100.00 505,200
15,000.00 105,000
11,500.00 115,000
4,500.00 54,000
36,800.00 147,200
42,000.00 378,000
42,500.00 637,500
8,500.00 34,000
7,400.00 111,000
45,000.00 1,080,000
7,500.00 7,500
44,000.00 440,000
-
-
23,000.00 345,000
-
13,800.00 207,000
37,000.00 111,000
214,000.00 2,140,000
-
21,600.00 216,000
18,500.00 222,000
13,500.00 135,000
22,600.00 271,200
25,000.00 25,000
20,000.00 200,000
-
24,000.00 48,000
23,400.00 234,000
-
21,000.00 252,000
19,200.00 230,400
20,300.00 162,400
-
3,300.00 82,500
-
8,000.00 144,000
9,500.00 351,500
-
10,000.00 310,000
21,300.00 255,600
9,000.00 396,000
10,000.00 300,000
68,000.00 272,000
13,500.00 13,500
8,000.00 240,000
-
15,700.00 785,000
19,200.00 460,800
15,000.00 60,000
9,200.00 110,400
29,000.00 58,000
33,000.00 165,000
17,000.00 102,000
16,200.00 81,000
13,800.00 358,800
5,000.00 90,000
11,500.00 92,000
24,000.00 336,000
45,000.00 90,000
65,000.00 325,000
82,700.00 413,500
111,100.00 555,500
18,010,100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
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-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
18,010,100
-
-
-
-
43,000.00 1,075,000
891,000
48,500.00 1,649,000
1,039,300
55,500.00 999,000
1,220,000
61,000.00 732,000
1,064,000
12,000.00 420,000
126,500
39,000.00 702,000
448,500
31,500.00 3,496,500
1,375,000
14,000.00 378,000
134,750
-
15,750,550
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
37,000
-
-
-
-
-
-
-
329,000
-
-
2,093,500
-
340,000
-
-
-
-
2,799,500
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
22,400.00 268,800
25,400.00 203,200
7,400.00 22,200
-
-
-
-
-
-
-
-
-
-
-
-
494,200
19,044,250
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,043,057,370
-
154,079,402
22,114,992
-
-
1,219,251,764
-
-
-
29,700
29,115,295
-
-
29,144,995
-
-
4,359,960
9,287,990
2,441,661
16,089,611
-
-
-
12,288,860
348,331
12,637,191
-
-
-
22,257,450
1,974,929
36,858,960
61,091,339
-
-
-
35,982,120
1,242,981
37,225,101
-
-
-
16,048,727
5,971,695
-
22,020,423
-
-
5,494,481
17,951,520
380,629
-
23,826,629
-
-
23,903,084
8,204,861
-
32,107,945
-
-
1,542,125
63,454,712
90,628
-
65,087,464
-
-
-
29,812,112
1,340,723
31,152,835
-
-
-
37,475,135
1,333,077
38,808,212
-
-
-
44,986,739
2,282,982
-
47,269,721
1,635,713,231
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
14,771,317
-
1,663,805
-
2,059,100
-
-
-
43,471,827
-
-
20,262,400
1,240,000
-
4,098,600
64,440
87,631,489
-
-
1,690,800
253,960
1,879,020
2,290,739
4,427,430
-
-
99,000
-
4,107,792
1,558,130
-
-
-
220,720
283,265
-
67,662
16,878,518
-
-
1,070,840
979,560
6,200,766
2,606,703
218,100
-
-
561,000
-
-
2,648,821
-
-
147,219
443,920
-
31,878
25,776
14,934,583
-
-
1,747,160
399,080
-
1,737,802
348,960
-
52,350
346,500
-
5,807,568
-
-
-
528,722
2,274,160
949,955
-
16,110
14,208,367
-
-
1,296,280
308,380
2,225,916
1,816,793
261,720
-
81,800
148,500
-
1,699,776
-
-
-
675,941
756,400
-
400,752
3,222
9,675,480
-
-
619,960
798,160
4,769,820
2,843,676
261,720
255,970
-
212,680
676,500
-
-
3,583,699
2,945,000
-
842,156
649,760
-
951,786
83,772
19,494,659
-
-
450,880
163,260
1,589,940
1,184,865
43,620
-
-
165,000
-
-
934,878
-
-
170,964
531,960
-
129,030
25,776
5,390,173
-
-
958,120
707,460
4,610,826
3,949,550
1,025,070
-
87,250
363,000
-
-
6,388,333
-
-
281,774
699,360
-
133,584
86,994
19,291,321
-
-
450,880
18,140
5,492,520
1,737,802
283,530
-
130,880
99,000
-
3,399,552
-
-
-
189,960
130,200
97,030
-
22,554
12,052,048
-
-
450,880
362,800
1,879,020
1,737,802
218,100
253,836
-
231,000
-
4,532,736
-
-
-
208,956
306,280
456,980
-
45,108
10,683,498
-
-
1,351,084
272,100
2,312,640
1,184,865
130,860
-
-
16,500
-
2,691,312
-
-
-
160,339
141,360
87,780
-
25,776
8,374,616
-
-
676,320
634,900
144,540
1,105,874
545,250
-
-
16,500
280,000
3,257,904
-
-
-
490,730
421,600
219,100
-
99,882
7,892,600
-
-
1,578,080
362,800
1,879,020
1,263,856
305,340
-
-
198,000
-
3,116,256
-
-
-
213,705
322,400
-
432,630
38,664
9,710,751
236,218,103
-
-
-
254,745,000
8,266,995
-
-
263,011,995
-
-
306,000
306,000
-
-
165,000
165,000
-
-
-
-
-
-
3,981,000
3,981,000
-
-
3,465,000
3,465,000
-
-
1,989,000
1,989,000
-
-
15,465,000
15,465,000
-
-
3,465,000
3,465,000
-
-
3,135,000
3,135,000
-
-
1,320,000
1,320,000
296,302,995
2,168,234,329
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
73,724,000
93,846,530
62,880,000
-
1,440,000
1,440,000
233,330,530
-
-
-
-
233,330,530
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
8,438,650
-
-
-
-
-
-
91,950,000
-
13,600,000
-
-
-
-
-
-
-
-
-
-
178,735
302,016
-
-
50,127,000
-
11,550,000
19,223,820
-
1,320,000
-
-
-
103,443,750
8,239,660
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
12,952,500
12,952,500
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
480,000
245,238
665,000
8,285,500
-
-
-
-
630,000
-
-
-
-
-
-
-
-
184,800
120,000
2,660,000
4,500,000
2,250,000
-
-
225,000
2,480,000
4,500,000
3,600,000
3,500,000
40,000,000
4,200,000
12,200,000
700,000
270,000
942,000
8,313,792
435,229,960
-
-
472,500
40,000
512,500
435,742,460
-
-
-
-
-
-
-
-
-
-
-
-
-
11,609,999
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
11,609,999
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,978,568
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,978,568
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
8,925,000
- 8,925,000
-
-
-
899,340
1,650,660
- 1,700,000
-
-
-
-
-
-
-
-
1,364,000
- 1,258,862
- 105,138
-
2,337,500
- 1,083,500
1,133,000
- 1,925,000
-
-
-
-
-
-
22,987,500
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
3,135,000
- 3,135,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
7,645,000
9,515,000
- 2,640,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
38,819,500
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
495,000
-
-
-
-
-
-
14,941,875
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
15,436,875
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- 0
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
330,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
7,590,000
5,060,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
12,980,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,250,000
-
561,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
3,300,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
5,111,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
239,824
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
99,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
2,783,000
5,500,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
8,621,824
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
68,579,375
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
68,579,375
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
525,000
-
-
8,320
10,727,500
-
1,700,000
-
-
-
-
-
-
-
-
-
-
-
-
-
4,675,000
-
192,500
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
495,000
-
-
-
-
-
-
-
-
-
1,690,000
-
-
-
-
-
-
-
-
-
-
20,013,320
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
850,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
2,200,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
3,050,000
621,942,921
3,812,168,855.33
-
Bangli, 31 Desember 2021

Pengurus Barang Pengguna
(I Komang Edi Sanjaya, A.Md.Kep)

NIP. 19920902 201503 1 003

Rekap Panjang Opname Dinkes 2021 Per 31 Desember

Diunggah oleh

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BERITA ACARA STOCK OPNAME FISIK PERSEDIAAN

PER 31 DESEMBER TAHUN 2021

172 Daftar Tilik Penyeliaan Fasilitatif Asuhan 1,540,000

ATK PUSKESMAS BANGLI UTARA

ALAT TULIS KANTOR BOK

42 Karcis Rawat jalan 1088 79.20 86,169.60 1,088 79.20 86,169.60

ATK PUSKESMAS TEMBUKU I

73 BELANJA PENJILIDAN - - 23 10,000.00 230,000 23 10,000.00 230,000

74 BLANGKO HASIL PEMERIKSAAN LAB - - 1 185,000.00 185,000 1 185,000.00 185,000.00

75 BLANGKO LAPORAN ANAK - - 4 185,000.00 740,000 4 185,000.00 740,000.00

78 KARTU GOLONGAN DARAH - - 256 1,000.00 256,000 256 1,000.00 256,000.00

ATK PUSKESMAS TEMBUKU II

ATK PUSKESMAS SUSUT I

ATK PUSKESMAS SUSUT II

FOTO COPY BOK

ATK PUSKESMAS KINTAMANI I

ATK PUSKESMAS KINTAMANI II

ATK PUSKESMAS KINTAMANI III

III Foto copy / penggandaan/ Cetak -

ATK PUSKESMAS KINTAMANI IV

ATK PUSKESMAS KINTAMANI V

56 600 350.00 370 350.00 129,500.00 230

ALAT TULIS KANTOR / CETAK BOK

ATK PUSKESMAS KINTAMANI VI

Foto copy bok

SUB TOTAL ALAT TULIS

KERTAS DAN COVER PUSKESMAS

KERTAS DAN COVER PUSKESMAS

KERTAS DAN COVER PUSKESMAS

KERTAS DAN COVER PUSKESMAS

KERTAS DAN COVER PUSKESMAS

KERTAS DAN COVER PUSKESMAS

KERTAS DAN COVER PUSKESMAS

KERTAS DAN COVER PUSKESMAS

KERTAS DAN COVER PUSKESMAS

KERTAS DAN COVER PUSKESMAS

III BENDA POS

PUSKESMAS BANGLI UTARA

TOTAL BENDA POS Pusk. Tembuku I 1,845,000 990,000 2,361,000

PUSKESMAS KINTAMANI III

TOTAL BAHAN KOMPUTER

BAHAN KOMPUTER PUSKESMAS

BAHAN KOMPUTER PUSKESMAS

BAHAN KOMPUTER PUSKESMAS

BAHAN KOMPUTER PUSKESMAS

BAHAN KOMPUTER PUSKESMAS

BAHAN KOMPUTER PUSKESMAS

BAHAN KOMPUTER PUSKESMAS

BAHAN KOMPUTER PUSKESMAS

BAHAN KOMPUTER PUSKESMAS

BAHAN KOMPUTER PUSKESMAS

BAHAN KOMPUTER PUSKESMAS

PUSKESMAS BANGLI UTARA

PUSKESMAS KINTAMANI III

PUSKESMAS BANGLI UTARA

TOTAL ALAT LISTRIK Pusk. SUSUT I - - -

TOTAL ALAT LISTRIK Pusk. SUSUT II 4,311,745 6,156,000 7,668,245

PUSKESMAS KINTAMANI III

3 Lampu Etential Philifs 5 Watt

VII ALAT/BAHAN UNTUK KEGIATAN KANTOR LAINNYA

1 BANTEN GALUNGAN DAN KUNINGAN - 1 700,000.00 700,000 1 700,000.00 700,000

2 BANTEN PIODALAN SARASWATI - 1 7,754,000.00 7,754,000 1 7,754,000.00 7,754,000