BERITA ACARA PEMERIKSAAN FISIK BARANG

Tanggal : 30 Juni 2022

Laporan Barang : Gudang
Kategori : Bagian Bahan Sterilisasi

Pada hari ini kamis tanggal tiga puluh bulan juni tahun dua ribu dua puluh dua
Nama : dr. Wisnu Murti Yani, M.Sc
NIP : 19760326 200501 2 008
Jabatan : Direktur RSUD Prambanan

Adapun perincian hasil perhitungan hasil kuantitas persediaan opname dan adminstrasinya adalah sebagai berikut:

Kode Barang Nama Barang Jumlah Harga Satuan

0101020020001 Stericide 5 L 4.00 752,400.00
0101020020008 Stericide 3 3.00 1,098,900.00
0101020020117 Chlorin Kit 7.00 177,000.00
0101020020274 Handrub Medis 500 ml 1,419.00 65,340.00
0102020010292 Oli Rored Wheel Loader 47.00 176,198.86
0103070080008 Chlorin Cair 30.00 297,000.00
0103070080061 Sabun Cuci Tangan Cair 100 Ml 311.00 19,800.00
0103070080062 Sabun Cuci Tangan Cair 500 Ml 733.00 74,250.00
0103070080063 Deterjen Cair Mesin 33.00 1,768,800.00
0103070080068 PH Test Air 8.00 177,000.00
0103070080076 Cairan Pembersih Instrument 1.00 1,008,425.00
0103070170078 Kemasan Standing Pouch Kertas 11.00 1,659,900.00
0104010010012 Alkacid 1 L 11.00 2,759,999.00
0104010040001 Alkazyme Sachet 25 x 25 Mg 20.00 840,004.00
0104010040001 Alkazyme Sachet 25 x 25 Mg 3.00 840,000.71
0104010080085 Filter Papper Medis 24.00 190,273.00
0104010080088 Filter Papper Medis Reuse 4.00 3,981,635.25
0104010080620 Pouches Bowie Dick Test 291.00 70,400.00
0104010080620 Pouches Bowie Dick Test 89.00 29,000.00
0104010080621 Pouches Flat 10Cm x 200M 2.00 352,000.00
0104010080621 Pouches Flat 10Cm x 200M 40.00 334,999.50
0104010080623 Pouches Flat 20Cm x 200M 8.00 605,000.00
0104010080623 Pouches Flat 20Cm x 200M 26.00 609,999.50
0104010080627 Pouches Steam Indicator 4/500 10.00 1,431,100.00
0104010081224 Indicator Plasma Tape 5.00 322,116.64
0104010081224 Indicator Plasma Tape 20.00 362,700.00
0104010081225 Indicator Plasma Strip 3.00 298,446.72
0104010081226 Indicator Steam Tape 10.00 40,029.00
0104010081226 Indicator Steam Tape 70.00 134,200.00
0104010081227 Indicator Steam Strip 59.00 177,100.00
0104010081228 Pouches Tyvek 15cm X 100m 5.00 1,425,000.00
0104010081229 Pouches Gusset 25cm X 100m 6.00 1,683,880.00
0104010081229 Pouches Gusset 25cm X 100m 20.00 1,683,880.75
0104010081230 Cartridge Plasma Medis 24.00 1,890,000.00
Total

PENGURUS BARANG

Septa Nuryanto, Amd.EM

NIP : 19840917 201001 1 007

Mengetahui
Direktur RSUD Prambanan

dr. Wisnu Murti Yani, M.Sc

NIP : 19760326 200501 2 008
nya adalah sebagai berikut:

Kadarluasa Sub. Total

3,009,600.00
3,296,700.00
1,239,000.00
92,717,460.00
8,281,346.42
8,910,000.00
6,157,800.00
54,425,250.00
58,370,400.00
1,416,000.00
1,008,425.00
18,258,900.00
30,359,989.00
16,800,080.00
2,520,002.13
4,566,552.00
15,926,541.00
20,486,400.00
2,581,000.00
704,000.00
13,399,980.00
4,840,000.00
15,859,987.00
14,311,000.00
1,610,583.20
7,254,000.00
895,340.16
400,290.00
9,394,000.00
10,448,900.00
 7,125,000.00
10,103,280.00
33,677,615.00
45,360,000.00
Total 525,715,420.91

Sleman, 30 Juni 2022

Pengelola Barang

Taufik Eko Wibowo

NP : 19910821 1 141