BUKU PENERIMAAN BARANG

PUSKESMAS ONEKORE
TAHUN 2020

Nota Pesanan / SPK Tahun Bukti Pemeriksaan Bukti Penerimaan

No Tanggal Penerimaan Dari Nama Barang Merk/Ukuran Pembuatan/Per Banyaknya satuan Harga Satuan Jumlah Harga Ket.
B.A. Pemeriksaan B.A. Penerimaan
Nomor Tanggal olehan
Nomor Tanggal Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

MATERAI DAN BENDA POS

1 28 Desember 2020 Kantor Pos Ende 28 Desember 2020 Materai 6000 2020 333 Lermbar 6,000.00 1,998,000.00 GU Nihil
1,998,000.00

ALAT TULIS KANTOR

1 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 Amplop Line Panjang PAPER LINE 2020 5 Pak 22,000.00 110,000.00 062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 063/PKM.OK/BAST/ATK/VII/2020 6-Jul-20 GU 5

2 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 Buku register Folio SIDU 2020 8 Buah 27,500.00 220,000.00 062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 063/PKM.OK/BAST/ATK/VII/2020 6-Jul-20 GU 5

3 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 Map TK 8 cm TEKA 2020 20 Buah 21,000.00 420,000.00 062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 063/PKM.OK/BAST/ATK/VII/2020 6-Jul-20 GU 5

4 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 HVS 70gr SIDU 2020 10 Rim 50,000.00 500,000.00 062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 063/PKM.OK/BAST/ATK/VII/2020 6-Jul-20 GU 5

5 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 Map Snellhecter Transparant BERACCO 2020 20 Buah 6,000.00 120,000.00 062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 063/PKM.OK/BAST/ATK/VII/2020 6-Jul-20 GU 5
6 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 Cartidge Hitam CANON 2020 1 Buah 231,000.00 231,000.00 062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 063/PKM.OK/BAST/ATK/VII/2020 6-Jul-20 GU 5
7 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 Cartridge Warna CANON 2020 1 Buah 286,000.00 286,000.00 062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 063/PKM.OK/BAST/ATK/VII/2020 6-Jul-20 GU 5
8 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 HVS 80gr SIDU 2020 9 Rim 52,000.00 468,000.00 062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 063/PKM.OK/BAST/ATK/VII/2020 6-Jul-20 GU 5

9 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 Bollpoint Boxy BOXY-OOIP 2020 5 Buah 9,000.00 45,000.00 062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 063/PKM.OK/BAST/ATK/VII/2020 6-Jul-20 GU 5
10 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 Box File Codwell KINGSCO 2020 10 Buah 20,000.00 200,000.00 062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 063/PKM.OK/BAST/ATK/VII/2020 6-Jul-20 GU 5
11 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 Map Snellhecter Folio JENIA 2020 100 Buah 9,000.00 900,000.00 062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 063/PKM.OK/BAST/ATK/VII/2020 6-Jul-20 GU 5
3,500,000.00

1 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 Amplop Line Putih Panjang 2020 20 Pack 28,000 560,000 164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 165/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 GU NIHIL

2 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 Buku Agenda Keluar masuk 2020 5 Buah 33,000 165,000 164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 165/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 GU NIHIL
3 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 Map Snell Hekter Plastik 2020 1000 Buah 9,100 9,100,000 164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 165/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 GU NIHIL

4 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 Buku Register Folio 200 Lembar 2020 5 Buah 45,000 225,000 164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 165/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 GU NIHIL
5 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 Hekter uk.24/6 2020 7 Buah 23,000 161,000 164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 165/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 GU NIHIL

6 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 Lem Kertas Botol Besar 2020 4 Buah 9,000 36,000 164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 165/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 GU NIHIL

7 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 Map TK 8 cm 2020 20 Buah 24,500 490,000 164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 165/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 GU NIHIL
8 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 Binder clip Besar 2020 4 Buah 12,000 48,000 164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 165/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 GU NIHIL
9 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 Kertas Foto A4 2020 5 Rim 25,000 125,000 164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 165/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 GU NIHIL
10 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 Kertas HVS 70 Gram 2020 35 Rim 66,000 2,310,000 164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 165/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 GU NIHIL

11 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 Kertas HVS A4 2020 18 Rim 55,500 999,000 164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 165/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 GU NIHIL

12 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 Isolasi Besar Bening 5 cm 2020 3 Roll 75,000 225,000 164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 165/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 GU NIHIL

13 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 Kertas Dosrlak Kuarto 2020 5 Rim 32,000 160,000 164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 165/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 GU NIHIL
14 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 Pelubang Kertas Besar 2020 3 Buah 132,000 396,000 164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 165/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 GU NIHIL
15,000,000
18,500,000

BAHAN OBAT-OBATAN
1 29-Jul-20 CV.Maranatha Permai 061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 Handscone Steril 2020 2 Dos 325,000 650,000 062.b/PKM.OK/BAP/BHP/VII/2020 29-Jul-20 063b/PKM.OK/BAST/BHP/VII/2020 29-Jul-20 GU 8
2 29-Jul-20 CV.Maranatha Permai 061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 Handscone On Steril 2020 3 Kotak 150,000 450,000 062.b/PKM.OK/BAP/BHP/VII/2020 29-Jul-20 063b/PKM.OK/BAST/BHP/VII/2020 29-Jul-20 GU 8
3 29-Jul-20 CV.Maranatha Permai 061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 Topi 2020 2 Dos 140,000 280,000 062.b/PKM.OK/BAP/BHP/VII/2020 29-Jul-20 063b/PKM.OK/BAST/BHP/VII/2020 29-Jul-20 GU 8
4 29-Jul-20 CV.Maranatha Permai 061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 Hand Wash 2020 3 Buah 50,000 150,000 062.b/PKM.OK/BAP/BHP/VII/2020 29-Jul-20 063b/PKM.OK/BAST/BHP/VII/2020 29-Jul-20 GU 8
5 29-Jul-20 CV.Maranatha Permai 061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 Masker 2020 1 Paket 300,000 300,000 062.b/PKM.OK/BAP/BHP/VII/2020 29-Jul-20 063b/PKM.OK/BAST/BHP/VII/2020 29-Jul-20 GU 8
1,830,000

1 8-Jul-20 CV.Maranatha Permai 087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 Handscone Sterill SAFEGUARD 2020 4 Dos 325,000.00 1,300,000.00 088/PKM.OK/BAP/BRGJS-BHP/VII/2020 8-Jul-20 089/PKM.OK/BAST-BHP/VII/2020 8-Jul-20 GU 5
2 8-Jul-20 CV.Maranatha Permai 087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 Handscone On Sterill SENSI GLOVES 2020 11 Kotak 150,000.00 1,650,000.00 088/PKM.OK/BAP/BRGJS-BHP/VII/2020 8-Jul-20 089/PKM.OK/BAST-BHP/VII/2020 8-Jul-20 GU 5
3 8-Jul-20 CV.Maranatha Permai 087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 Topi SENSI Nurse Caps 2020 2 Dos 145,000.00 290,000.00 088/PKM.OK/BAP/BRGJS-BHP/VII/2020 8-Jul-20 089/PKM.OK/BAST-BHP/VII/2020 8-Jul-20 GU 5
4 8-Jul-20 CV.Maranatha Permai 087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 Hand Wash S.O.S 2020 9 Buah 50,000.00 450,000.00 088/PKM.OK/BAP/BRGJS-BHP/VII/2020 8-Jul-20 089/PKM.OK/BAST-BHP/VII/2020 8-Jul-20 GU 5
5 8-Jul-20 CV.Maranatha Permai 087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 Masker FACE MASKS 2020 1 Paket 300,000.00 300,000.00 088/PKM.OK/BAP/BRGJS-BHP/VII/2020 8-Jul-20 089/PKM.OK/BAST-BHP/VII/2020 8-Jul-20 GU 5
3,990,000.00

1 07 Agustus 2020 CV.Maranatha Permai 107/PKM.OK/NP/BHP/VIII/2020 07 Agustus 2020 Handscone Sterill SAFEGUARD 2020 3 Dos 400,000 1,200,000 108/PKM.OK/BAP/BHP/VIII/2020 07 Agustus 2020 109/PKM.OK/BAST/BHP/VIII/2020 07 Agustus 2020 GU 6
2 07 Agustus 2020 CV.Maranatha Permai 107/PKM.OK/NP/BHP/VIII/2020 07 Agustus 2020 Handscone Obgyn SENSI GLOVES 2020 20 Kotak 65,000 1,300,000 108/PKM.OK/BAP/BHP/VIII/2020 07 Agustus 2020 109/PKM.OK/BAST/BHP/VIII/2020 07 Agustus 2020 GU 6
3 07 Agustus 2020 CV.Maranatha Permai 107/PKM.OK/NP/BHP/VIII/2020 07 Agustus 2020 Handscone On SENSI GLOVES 2020 6 Dos 150,000 900,000 108/PKM.OK/BAP/BHP/VIII/2020 07 Agustus 2020 109/PKM.OK/BAST/BHP/VIII/2020 07 Agustus 2020 GU 6
3,400,000.00

1 7-Sep-20 CV.Maranatha Permai 127/PKM.OK/NP/BHP/VII/2020 7-Sep-20 Handscone Steril 2020 2 Dos 400,000 800,000 128/PKM.OK/BAP/BHP/VII/2020 7-Sep-20 129/PKM.OK/BAST/BHP/VII/2020 7-Sep-20 GU 9
2 7-Sep-20 CV.Maranatha Permai 127/PKM.OK/NP/BHP/VII/2020 7-Sep-20 Handscone Disposible 2020 5 Paket 150,000 750,000 128/PKM.OK/BAP/BHP/VII/2020 7-Sep-20 129/PKM.OK/BAST/BHP/VII/2020 7-Sep-20 GU 9
1,550,000

10,770,000

PERALATAN KEBERSIHAN DAN BAHAN PEMBERSIH

1 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Sapu Lantai Plastik NAGATA 2020 2 Buah 65,000.00 130,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
2 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Tongkat Pel ESTILO 2020 3 Buah 37,500.00 112,500.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
3 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Tissue Rol MULTI 2020 19 Buah 10,000.00 190,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
4 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Tissue Kotak MULTI 2020 13 Buah 35,000.00 455,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
5 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Celemek Plastik SAZANAMI 2020 2 Buah 100,000.00 200,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
6 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Serokan Sampah LION STAR 2020 2 Buah 50,000.00 100,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
7 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Kemucing STUTICDUSTER 2020 2 Buah 20,000.00 40,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
8 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Sunlight Reffil Besar SUNLIGHT 2020 5 Bungkus 15,000.00 75,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
9 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Kresek Merah Besar TIGER 2020 13 Pak 40,000.00 520,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
10 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Kresek Hitam Besar TIGER 2020 13 Pak 40,000.00 520,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
11 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Rinso RINSO 2020 5 Bungkus 27,500.00 137,500.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
12 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Verlak Hitam Tebal KEVIN 2020 4 Meter 50,000.00 200,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
13 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Bayclin BAYCLIN 2020 20 Botol 20,000.00 400,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
14 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Wipol WIPOL 2020 8 Botol 27,500.00 220,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
15 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Antiseptic Gel ONEMED 2020 6 Botol 100,000.00 600,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
16 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Sikat Pakayan ETERNA 2020 2 Buah 15,000.00 30,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
17 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Pengharum Ruangan STELLA 2020 4 Buah 35,000.00 140,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
18 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Sikat WC MASPION 2020 2 Buah 15,000.00 30,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
19 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Kanebo VICTORY 2020 2 Buah 20,000.00 40,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
20 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 SOS Pembersih Lantai S.O.S 2020 10 Botol 17,500.00 175,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
21 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Handsoap Antibacterial S.O.S 2020 9 Buah 50,000.00 450,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
22 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 Clorin 2020 9 Botol 15,000.00 135,000.00 074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 075/PKM.OK/BAST/PKPB/VII/2020 8-Jul-20 GU 5
4,900,000.00

1 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 Sapu lantai Plastik 2020 2 Buah 65,000 130,000 062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 063a/PKM.OK/BAST/PKPB/VII/202029-Jul-20 GU 8
2 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 Tongkat Pel 2020 4 Buah 37,500 150,000 062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 063a/PKM.OK/BAST/PKPB/VII/202029-Jul-20 GU 8
 3 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 Tissue Roll 2020 10 Buah 10,000 100,000 062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 063a/PKM.OK/BAST/PKPB/VII/202029-Jul-20 GU 8
4 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 Tissue Kotak (700 gr) 2020 10 Buah 35,000 350,000 062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 063a/PKM.OK/BAST/PKPB/VII/202029-Jul-20 GU 8
5 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 Celemek Plastik 2020 5 Buah 100,000 500,000 062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 063a/PKM.OK/BAST/PKPB/VII/202029-Jul-20 GU 8
6 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 Serokan Sampah 2020 2 Buah 50,000 100,000 062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 063a/PKM.OK/BAST/PKPB/VII/202029-Jul-20 GU 8
7 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 Kemoceng 2020 3 Buah 20,000 60,000 062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 063a/PKM.OK/BAST/PKPB/VII/202029-Jul-20 GU 8
8 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 Sunlight Reffil Besar 2020 6 Bungkus 15,000 90,000 062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 063a/PKM.OK/BAST/PKPB/VII/202029-Jul-20 GU 8
9 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 Kresek Merah besar 2020 6 Pack 40,000 240,000 062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 063a/PKM.OK/BAST/PKPB/VII/202029-Jul-20 GU 8
10 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 Kanebo 2020 1 Buah 24,000 24,000 062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 063a/PKM.OK/BAST/PKPB/VII/202029-Jul-20 GU 8
11 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 Kresek Hitam Besar 2020 6 Pack 40,000 240,000 062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 063a/PKM.OK/BAST/PKPB/VII/202029-Jul-20 GU 8
1,984,000

1 5-Sep-20 CV. Maranatha Permai 123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 Plastik Merah 2020 7 Pack 40,000.00 280,000 124/PKM.OK/BAP/PKBP/IX/2020 5-Sep-20 125/PKM.OK/BAST/PKPB/IX/2020 5-Sep-20 GU 9
2 5-Sep-20 CV. Maranatha Permai 123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 Plastik Hitam 2020 7 Pack 40,000.00 280,000 124/PKM.OK/BAP/PKBP/IX/2020 5-Sep-20 125/PKM.OK/BAST/PKPB/IX/2020 5-Sep-20 GU 9
3 5-Sep-20 CV. Maranatha Permai 123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 Tissue Kotak 2020 5 Pack 45,000.00 225,000 124/PKM.OK/BAP/PKBP/IX/2020 5-Sep-20 125/PKM.OK/BAST/PKPB/IX/2020 5-Sep-20 GU 9
4 5-Sep-20 CV. Maranatha Permai 123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 Clorin 2020 3 Botol 15,000.00 45,000 124/PKM.OK/BAP/PKBP/IX/2020 5-Sep-20 125/PKM.OK/BAST/PKPB/IX/2020 5-Sep-20 GU 9
5 5-Sep-20 CV. Maranatha Permai 123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 SOS 2020 8 Botol 12,000.00 96,000 124/PKM.OK/BAP/PKBP/IX/2020 5-Sep-20 125/PKM.OK/BAST/PKPB/IX/2020 5-Sep-20 GU 9
926,000

7,810,000

BAHAN PERCONTOHAN
1 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 Agar agar 2020 6 Dos 50,000 300,000 120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 121/PKM.OK/BAST/BBP/X/2020 1-Oct-20 GU 8
2 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 Gula Pasir 2020 16 Kilo 15,000 240,000 120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 121/PKM.OK/BAST/BBP/X/2020 1-Oct-20 GU 8
3 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 Susu 2020 14 Kaleng 11,000 154,000 120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 121/PKM.OK/BAST/BBP/X/2020 1-Oct-20 GU 8
4 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 Kacang Hijau 2020 14 Kilo 25,000 350,000 120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 121/PKM.OK/BAST/BBP/X/2020 1-Oct-20 GU 8
5 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 Gula Merah 2020 28 Batang 10,000 280,000 120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 121/PKM.OK/BAST/BBP/X/2020 1-Oct-20 GU 8
6 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 Daun merungge 2020 28 Ikat 10,000 280,000 120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 121/PKM.OK/BAST/BBP/X/2020 1-Oct-20 GU 8
7 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 Labu 2020 14 Buah 19,000 266,000 120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 121/PKM.OK/BAST/BBP/X/2020 1-Oct-20 GU 8
8 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 Kelapa 2020 16 Buah 5,000 80,000 120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 121/PKM.OK/BAST/BBP/X/2020 1-Oct-20 GU 8
9 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 Cap Puding 2020 6 Pack 25,000 150,000 120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 121/PKM.OK/BAST/BBP/X/2020 1-Oct-20 GU 8
2,100,000
2,100,000
BAHAN PRAKTEK
1 4-Aug-20 CV. Maranatha Permai 111/PKM.OK/NP/BBP/VIII/2020 4-Aug-20 Stopwatch 2020 1 Buah 114,000 114,000 112/PKM.OK/BAP/BBP/VIII/2020 4-Aug-20 113/PKM.OK/BAST/BBP/VIII/2020 4-Aug-20 GU 6
114,000

Mengetahui : Ende, 31 Desember 2020

Plt.Kepala Puskesmas Onekore Pengurus Barang Pembantu

( Arkadius Dominggo,Amd.Kep ) ( Maria Firmiyati Aga,Amd.Kep )

NIP. 19760113 199703 1 004 NIP. 19860321 201001 2 036
 BUKU PENGELUARAN BARANG BUKU BARANG
PUSKESMAS ONEKORE PUSKESMAS
TAHUN 2020 TAHUN

Surat Penyerahan PENERIMAAN

Tanggal
No. Nomor Urut Nama Barang Banyaknya Harga Satuan Jumlah Harga Untuk Ket. No Tahun
Pengeluaran Tanggal Nama / Jenis Merk / Jumlah Nota Pesanan/SPK
Nomor Tanggal Pembuata
Diterima Barang Ukuran Satuan Nomor
n
1 2 3 4 5 6 7 8 9 10 11 1 2 3 4 5 6 7

28 Desember 2020 1 Materai 6000 333 6,000.00 1,998,000.00 Bendahara Pengeluaran Pembantu 170/TU.01/PKM.OK/SP-BENDA POS/XI/2020 28 Desember 2020

6-Jul-20 1 Amplop Line Panjang 2 22,000.00 44,000.00 P2P 064/PKM.OK/SP/ATK/VII/2020 6-Jul-20

3 22,000.00 66,000.00 Tata Usaha 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20
6-Jul-20 2 Buku register Folio 5 27,500.00 137,500.00 P2P 064/PKM.OK/SP/ATK/VII/2020 6-Jul-20
1 27,500.00 27,500.00 Tata Usaha 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20
2 27,500.00 55,000.00 Loket 067/PKM.OK/SP/ATK/VII/2020 6-Jul-20
6-Jul-20 3 Map TK 8 cm 5 21,000.00 105,000.00 P2P 064/PKM.OK/SP/ATK/VII/2020 6-Jul-20
5 21,000.00 105,000.00 Tata Usaha 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20
10 21,000.00 210,000.00 Bendahara APBD 068/PKM.OK/SP/ATK/VII/2020 6-Jul-20
6-Jul-20 4 HVS 70gr 8 50,000.00 400,000.00 P2P 064/PKM.OK/SP/ATK/VII/2020 6-Jul-20
2 50,000.00 100,000.00 Ruang Kapus 066/PKM.OK/SP/ATK/VII/2020 6-Jul-20
6-Jul-20 5 Map Snellhecter Transparant 20 6,000.00 120,000.00 Tata Usaha 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20
6-Jul-20 6 Cartidge Hitam 1 231,000.00 231,000.00 Tata Usaha 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20
6-Jul-20 7 Cartridge Warna 1 286,000.00 286,000.00 Tata Usaha 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20
6-Jul-20 8 HVS 80gr 5 52,000.00 260,000.00 Tata Usaha 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20
4 52,000.00 208,000.00 Bendahara APBD 068/PKM.OK/SP/ATK/VII/2020 6-Jul-20
6-Jul-20 9 Bollpoint Boxy 5 9,000.00 45,000.00 Ruang Kapus 066/PKM.OK/SP/ATK/VII/2020 6-Jul-20
6-Jul-20 10 Box File Codwell 10 20,000.00 200,000.00 Loket 067/PKM.OK/SP/ATK/VII/2020 6-Jul-20
6-Jul-20 11 Map Snellhecter Folio 100 9,000.00 900,000.00 Loket 067/PKM.OK/SP/ATK/VII/2020 6-Jul-20

16-Nov-20 1 Amplop Line Putih Panjang 20 28,000 560,000 Tata Usaha 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
3 28,000 84,000 Pengelola P2P 166/PKM.OK/SP-ATK/XI/2020 16-Nov-20
2 28,000 56,000 Pengelola KIA 169/PKM.OK/SP-ATK/XI/2020 16-Nov-20
16-Nov-20 2 Buku Agenda Keluar masuk 5 33,000 165,000 Tata Usaha 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
16-Nov-20 3 Map Snell Hekter Plastik 200 9,100 1,820,000 Tata Usaha 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
800 9,100 7,280,000 Pengelola Loket 167/PKM.OK/SP-ATK/XI/2020 16-Nov-20
16-Nov-20 4 Buku Register Folio 200 Lembar5 45,000 225,000 Tata Usaha 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
16-Nov-20 5 Hekter uk.24/6 4 23,000 92,000 Tata Usaha 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
3 23,000 69,000 Pengelola P2P 166/PKM.OK/SP-ATK/XI/2020 16-Nov-20
1 23,000 23,000 Pengelola KIA 169/PKM.OK/SP-ATK/XI/2020 16-Nov-20
16-Nov-20 5 Lem Kertas Botol Besar 2 9,000 18,000 Tata Usaha 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
1 - - Pengelola P2P 166/PKM.OK/SP-ATK/XI/2020 16-Nov-20
1 - - Pengelola KIA 169/PKM.OK/SP-ATK/XI/2020 16-Nov-20
16-Nov-20 5 Map TK 8 cm 20 24,500 490,000 Tata Usaha 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
16-Nov-20 5 Binder clip Besar 4 12,000 48,000 Tata Usaha 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
16-Nov-20 5 Kertas Foto A4 5 25,000 125,000 Tata Usaha 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
16-Nov-20 1 Kertas HVS 70 Gram 30 66,000 1,980,000 Tata Usaha 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
3 - - Pengelola P2P 166/PKM.OK/SP-ATK/XI/2020 16-Nov-20
2 - - Pengelola KIA 169/PKM.OK/SP-ATK/XI/2020 16-Nov-20
16-Nov-20 2 Kertas HVS A4 15 55,500 832,500 Tata Usaha 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
2 - - Pengelola P2P 166/PKM.OK/SP-ATK/XI/2020 16-Nov-20
1 - - Pengelola KIA 169/PKM.OK/SP-ATK/XI/2020 16-Nov-20
16-Nov-20 3 Isolasi Besar Bening 5 cm 1 75,000 75,000 Tata Usaha 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
1 - - Pengelola P2P 166/PKM.OK/SP-ATK/XI/2020 16-Nov-20
1 - - Pengelola KIA 169/PKM.OK/SP-ATK/XI/2020 16-Nov-20
16-Nov-20 4 Kertas Dosrlak Kuarto 3 32,000 96,000 Tata Usaha 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
 1 - - Pengelola P2P 166/PKM.OK/SP-ATK/XI/2020 16-Nov-20
1 - - Pengelola KIA 169/PKM.OK/SP-ATK/XI/2020 16-Nov-20
16-Nov-20 5 Pelubang Kertas Besar 1 132,000 132,000 Tata Usaha 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
1 132,000 132,000 Pengelola P2P 166/PKM.OK/SP-ATK/XI/2020 16-Nov-20

29-Jul-20 1 Handscone Steril 2 325,000 650,000 Ruang KIA 064.b/PKM.OK/SP/ BHP /VII/2020 29-Jul-20
29-Jul-20 2 Handscone On Steril 3 150,000 450,000 Ruang KIA 064.b/PKM.OK/SP/ BHP /VII/2020 29-Jul-20
29-Jul-20 3 Topi 2 140,000 280,000 Ruang KIA 064.b/PKM.OK/SP/ BHP /VII/2020 29-Jul-20
29-Jul-20 4 Hand Wash 3 50,000 150,000 Ruang KIA 064.b/PKM.OK/SP/ BHP /VII/2020 29-Jul-20
29-Jul-20 5 Masker 1 300,000 300,000 Ruang KIA 064.b/PKM.OK/SP/ BHP /VII/2020 29-Jul-20
1,830,000.00

8-Jul-20 1 Handscone Sterill 4 325,000.00 1,300,000.00 KIA 087/PKM.OK/SP/BHP/VII/2020 8-Jul-20

8-Jul-20 2 Handscone On Sterill 11 150,000.00 1,650,000.00 KIA 087/PKM.OK/SP/BHP/VII/2020 8-Jul-20
8-Jul-20 3 Topi 2 145,000.00 290,000.00 KIA 087/PKM.OK/SP/BHP/VII/2020 8-Jul-20
8-Jul-20 4 Hand Wash 9 50,000.00 450,000.00 KIA 087/PKM.OK/SP/BHP/VII/2020 8-Jul-20
8-Jul-20 5 Masker 1 300,000.00 300,000.00 KIA 087/PKM.OK/SP/BHP/VII/2020 8-Jul-20

07 Agustus 2020 1 Handscone Sterill 3 400,000 1,200,000 KIA 110/PKM.OK/SP/BHP/VIII/2020 07 Agustus 2020
07 Agustus 2020 2 Handscone Obgyn 20 65,000 1,300,000 KIA 110/PKM.OK/SP/BHP/VIII/2020 07 Agustus 2020
07 Agustus 2020 3 Handscone On 6 150,000 900,000 KIA 110/PKM.OK/SP/BHP/VIII/2020 07 Agustus 2020

7-Sep-20 1 Handscone Steril 2 400,000 800,000 Ruang KIA 130/PKM.OK/SP/BHP/IX/2020 7-Sep-20

7-Sep-20 2 Handscone Disposible 5 150,000 750,000 Ruang KIA 130/PKM.OK/SP/BHP/IX/2020 7-Sep-20

8-Jul-20 1 Sapu Lantai Plastik 2 65,000.00 130,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20

8-Jul-20 2 Tongkat Pel 3 37,500.00 112,500.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 3 Tissue Rol 19 10,000.00 190,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 4 Tissue Kotak 13 35,000.00 455,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 5 Celemek Plastik 2 100,000.00 200,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 6 Serokan Sampah 2 50,000.00 100,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 7 Kemucing 2 20,000.00 40,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 8 Sunlight Reffil Besar 5 15,000.00 75,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 9 Kresek Merah Besar 13 40,000.00 520,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 10 Kresek Hitam Besar 13 40,000.00 520,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 11 Rinso 5 27,500.00 137,500.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 12 Verlak Hitam Tebal 4 50,000.00 200,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 13 Bayclin 20 20,000.00 400,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 14 Wipol 8 27,500.00 220,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 15 Antiseptic Gel 6 100,000.00 600,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 16 Sikat Pakayan 2 15,000.00 30,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 17 Pengharum Ruangan 4 35,000.00 140,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 18 Sikat WC 2 15,000.00 30,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 19 Kanebo 2 20,000.00 40,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 20 SOS Pembersih Lantai 10 17,500.00 175,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 21 Handsoap Antibacterial 9 50,000.00 450,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
8-Jul-20 22 Clorin 9 15,000.00 135,000.00 KIA 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20

29-Jul-20 1 Sapu lantai Plastik 2 65,000 130,000 Pengelola Gizi 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
29-Jul-20 2 Tongkat Pel 4 37,500 150,000 Pengelola Gizi 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
29-Jul-20 3 Tissue Roll 10 10,000 100,000 Pengelola Gizi 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
29-Jul-20 4 Tissue Kotak (700 gr) 10 35,000 350,000 Pengelola Gizi 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
29-Jul-20 5 Celemek Plastik 5 100,000 500,000 Pengelola Gizi 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
29-Jul-20 5 Serokan Sampah 2 50,000 100,000 Pengelola Gizi 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
29-Jul-20 5 Kemoceng 3 20,000 60,000 Pengelola Gizi 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
29-Jul-20 5 Sunlight Reffil Besar 6 15,000 90,000 Pengelola Gizi 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
29-Jul-20 5 Kresek Merah besar 6 40,000 240,000 Pengelola Gizi 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
29-Jul-20 5 Kanebo 1 24,000 24,000 Pengelola Gizi 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
29-Jul-20 5 Kresek Hitam Besar 6 40,000 240,000 Pengelola Gizi 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20

5-Sep-20 1 Plastik Merah 7 40,000 280,000 Pengelola KIA 126/PKM.OK/SP/PKPB/IX/2020 5-Sep-20

5-Sep-20 2 Plastik Hitam 7 40,000 280,000 Pengelola KIA 126/PKM.OK/SP/PKPB/IX/2020 5-Sep-20
5-Sep-20 3 Tissue Kotak 5 45,000 225,000 Pengelola KIA 126/PKM.OK/SP/PKPB/IX/2020 5-Sep-20
5-Sep-20 4 Clorin 3 15,000 45,000 Pengelola KIA 126/PKM.OK/SP/PKPB/IX/2020 5-Sep-20
5-Sep-20 5 SOS 8 12,000 96,000 Pengelola KIA 126/PKM.OK/SP/PKPB/IX/2020 5-Sep-20

1-Oct-20 1 Agar agar 6 50,000 300,000 Pengelola Gizi 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20
1-Oct-20 2 Gula Pasir 16 15,000 240,000 Pengelola Gizi 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20
1-Oct-20 3 Susu 14 11,000 154,000 Pengelola Gizi 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20
1-Oct-20 4 Kacang Hijau 14 25,000 350,000 Pengelola Gizi 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20
1-Oct-20 5 Gula Merah 28 10,000 280,000 Pengelola Gizi 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20
1-Oct-20 5 Daun merungge 28 10,000 280,000 Pengelola Gizi 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20
1-Oct-20 5 Labu 14 19,000 266,000 Pengelola Gizi 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20
1-Oct-20 5 Kelapa 16 5,000 80,000 Pengelola Gizi 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20
1-Oct-20 5 Cap Puding 6 25,000 150,000 Pengelola Gizi 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20

4-Aug-20 1 Stopwatch 1 114,000 114,000 Pengelola Kesjaor 114/PKM.OK/BAST/BBP/VIII/2020 4-Aug-20

Mengetahui : Ende, 31 Desember 2020 Mengetahui :

Plt.Kepala Puskesmas Onekore Pengurus Barang Pengguna Plt.Kepala Puskesmas Onekore

( Arkadius Dominggo,Amd.Kep ) ( Maria Firmiyati Aga,Amd.Kep ) ( Arkadius Dominggo,Amd.Kep )

NIP. 19760113 199703 1 004 NIP. 19860321 201001 2 036 NIP. 19760113 199703 1 004
 BUKU BARANG INVENTARIS BUKU BARANG PAKAI HABIS
PUSKESMAS ONEKORE PUSKESMAS ONEKORE
TAHUN 2020 TAHUN 2020

AN PENGELUARAN PENERIMAAN
Tanggal Jumlah Ket. No Tahun
Nota Pesanan/SPK Barita Acara Pemeriksaan Surat Penyerahan Jumlah Nota Pesanan/SPK Barita Acara Pemeriksaan
Dikeluark Diserahkan Kepada Satuan / Tanggal Diterima Nama / Jenis Barang Merk / Ukuran Pembuata
Tanggal Tanggal Nomor Nomor Tanggal Satuan Nomor Tanggal Tanggal
an Barang n
8 9 10 11 12 13 14 15 16 1 2 3 4 5 6 7 8 9

1 28 Desember 2020 Materai 6000 2020 333

1 6-Jul-20 Amplop Line Panjang PAPER LINE 2020 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 6-Jul-20

2 6-Jul-20 Buku register Folio SIDU 2020 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 6-Jul-20

3 6-Jul-20 Map TK 8 cm TEKA 2020 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 6-Jul-20

4 6-Jul-20 HVS 70gr SIDU 2020 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 6-Jul-20

5 6-Jul-20 Map Snellhecter Transparant BERACCO 2020 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 6-Jul-20

6 6-Jul-20 Cartidge Hitam CANON 2020 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 6-Jul-20
7 6-Jul-20 Cartridge Warna CANON 2020 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 6-Jul-20
8 6-Jul-20 HVS 80gr SIDU 2020 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 6-Jul-20

9 6-Jul-20 Bollpoint Boxy BOXY-OOIP 2020 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 6-Jul-20

10 6-Jul-20 Box File Codwell KINGSCO 2020 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 6-Jul-20
11 6-Jul-20 Map Snellhecter Folio JENIA 2020 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 6-Jul-20

1 16-Nov-20 Amplop Line Putih Panjang 2020 20 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 16-Nov-20

2 16-Nov-20 Buku Agenda Keluar masuk 2020 5 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 16-Nov-20

3 16-Nov-20 Map Snell Hekter Plastik 2020 1000 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 16-Nov-20

4 16-Nov-20 Buku Register Folio 200 Lembar 2020 5 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 16-Nov-20
5 16-Nov-20 Hekter uk.24/6 2020 7 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 16-Nov-20

6 16-Nov-20 Daun merungge 2020 4 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 16-Nov-20

7 16-Nov-20 Labu 2020 20 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 16-Nov-20

8 16-Nov-20 Kelapa 2020 4 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 16-Nov-20
9 16-Nov-20 Cap Puding 2020 5 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 16-Nov-20
1 16-Nov-20 Kertas HVS 70 Gram 2020 35 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 16-Nov-20

2 16-Nov-20 Kertas HVS A4 2020 18 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 16-Nov-20

3 16-Nov-20 Isolasi Besar Bening 5 cm 2020 3 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 16-Nov-20

4 16-Nov-20 Kertas Dosrlak Kuarto 2020 5 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 16-Nov-20

5 16-Nov-20 Pelubang Kertas Besar 2020 3 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 16-Nov-20

1 29-Jul-20 Handscone Steril 2020 2 061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 29-Jul-20

2 29-Jul-20 Handscone On Steril 2020 3 061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 29-Jul-20
3 29-Jul-20 Topi 2020 2 061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 29-Jul-20
4 29-Jul-20 Hand Wash 2020 3 061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 29-Jul-20
5 29-Jul-20 Masker 2020 1 061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 29-Jul-20

1 8-Jul-20 Handscone Sterill SAFEGUARD 2020 4 087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 8-Jul-20

2 8-Jul-20 Handscone On Sterill SENSI GLOVES 2020 11 087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 8-Jul-20
3 8-Jul-20 Topi SENSI Nurse Caps 2020 2 087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 8-Jul-20
4 8-Jul-20 Hand Wash S.O.S 2020 9 087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 8-Jul-20
5 8-Jul-20 Masker FACE MASKS 2020 1 087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 8-Jul-20

1 07 Agustus 2020 Handscone Sterill 2020 3 107/PKM.OK/NP/BHP/VIII/2020 07 Agustus 207 Agustus 20

2 07 Agustus 2020 Handscone Obgyn 2020 20 107/PKM.OK/NP/BHP/VIII/2020 07 Agustus 207 Agustus 20
3 07 Agustus 2020 Handscone On 2020 6 107/PKM.OK/NP/BHP/VIII/2020 07 Agustus 207 Agustus 20

1 7-Sep-20 Handscone Steril 2020 2 127/PKM.OK/NP/BHP/VII/2020 7-Sep-20 7-Sep-20

2 7-Sep-20 Handscone Disposible 2020 5 127/PKM.OK/NP/BHP/VII/2020 7-Sep-20 7-Sep-20

1 8-Jul-20 Sapu Lantai Plastik NAGATA 2020 2 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20

2 8-Jul-20 Tongkat Pel ESTILO 2020 3 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
3 8-Jul-20 Tissue Rol MULTI 2020 19 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
4 8-Jul-20 Tissue Kotak MULTI 2020 13 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
5 8-Jul-20 Celemek Plastik SAZANAMI 2020 2 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
6 8-Jul-20 Serokan Sampah LION STAR 2020 2 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
7 8-Jul-20 Kemucing STUTICDUSTER 2020 2 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
8 8-Jul-20 Sunlight Reffil Besar SUNLIGHT 2020 5 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
9 8-Jul-20 Kresek Merah Besar TIGER 2020 13 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
10 8-Jul-20 Kresek Hitam Besar TIGER 2020 13 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
11 8-Jul-20 Rinso RINSO 2020 5 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
12 8-Jul-20 Verlak Hitam Tebal KEVIN 2020 4 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
13 8-Jul-20 Bayclin BAYCLIN 2020 20 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
14 8-Jul-20 Wipol WIPOL 2020 8 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
15 8-Jul-20 Antiseptic Gel ONEMED 2020 6 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
16 8-Jul-20 Sikat Pakayan ETERNA 2020 2 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
17 8-Jul-20 Pengharum Ruangan STELLA 2020 4 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
18 8-Jul-20 Sikat WC MASPION 2020 2 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
19 8-Jul-20 Kanebo VICTORY 2020 2 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
20 8-Jul-20 SOS Pembersih Lantai S.O.S 2020 10 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
21 8-Jul-20 Handsoap Antibacterial S.O.S 2020 9 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20
22 8-Jul-20 Clorin 2020 9 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8-Jul-20

1 29-Jul-20 Sapu lantai Plastik 2020 2 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 29-Jul-20

2 29-Jul-20 Tongkat Pel 2020 4 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 29-Jul-20
 3 29-Jul-20 Tissue Roll 2020 10 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 29-Jul-20
4 29-Jul-20 Tissue Kotak (700 gr) 2020 10 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 29-Jul-20
5 29-Jul-20 Celemek Plastik 2020 5 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 29-Jul-20
6 29-Jul-20 Daun merungge 2020 2 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 29-Jul-20
7 29-Jul-20 Labu 2020 3 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 29-Jul-20
8 29-Jul-20 Kelapa 2020 6 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 29-Jul-20
9 29-Jul-20 Cap Puding 2020 6 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 29-Jul-20
10 29-Jul-20 Kelapa 2020 1 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 29-Jul-20
11 29-Jul-20 Cap Puding 2020 6 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 29-Jul-20

1 5-Sep-20 Plastik Merah 2020 7 123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 5-Sep-20

2 5-Sep-20 Plastik Hitam 2020 7 123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 5-Sep-20
3 5-Sep-20 Tissue Kotak 2020 5 123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 5-Sep-20
4 5-Sep-20 Clorin 2020 3 123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 5-Sep-20
5 5-Sep-20 SOS 2020 8 123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 5-Sep-20

1 1-Oct-20 Agar agar 2020 6 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 1-Oct-20

2 1-Oct-20 Gula Pasir 2020 16 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 1-Oct-20
3 1-Oct-20 Susu 2020 14 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 1-Oct-20
4 1-Oct-20 Kacang Hijau 2020 14 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 1-Oct-20
5 1-Oct-20 Gula Merah 2020 28 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 1-Oct-20
6 1-Oct-20 Daun merungge 2020 28 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 1-Oct-20
7 1-Oct-20 Labu 2020 14 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 1-Oct-20
8 1-Oct-20 Kelapa 2020 16 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 1-Oct-20
9 1-Oct-20 Cap Puding 2020 6 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 1-Oct-20

1 4-Aug-20 Stopwatch 2020 1 111/PKM.OK/NP/BBP/VIII/2020 4-Aug-20 4-Aug-20

Ende, 31 Desember 2020 Mengetahui :

Pengurus Barang Pengguna Pejabat Penatausahaan Pengguna Barang

( Maria Firmiyati Aga,Amd.Kep ) ( Arkadius Dominggo,Amd.Kep )

NIP. 19860321 201001 2 036 NIP. 19760113 199703 1 004
UKU BARANG PAKAI HABIS LAPORAN SEMESTER TENTANG PENERIMAAN DAN PENGELUARAN BARANG
PUSKESMAS ONEKORE PUSKESMAS ONEKORE
TAHUN 2020 TAHUN 2020

Penerimaan
PENGELUARAN Buku Penerimaan
Penerimaan Dokumen/Faktur
Jumlah Ket. Terima Banyakny Harga B.A. / Srt Pengeluar
Barita Acara Pemeriksaan Tanggal Surat Penyerahan No. Urut Dari SPK/Perjanjia Nama Barang Jumlah Harga Ket No. Urut
Diserahkan Kepada Satuan / Tgl Nomor Tgl a Satuan Penerimaan an Tgl.
Nomor Dikeluarkan Nomor Tanggal n Nomor Tanggal
Barang
10 11 12 13 14 15 16 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Bendahara Pengeluaran Pembantu 333 170/TU.01/PKM.OK/SP-BENDA POS/XI/2020 28 Desember 2020

062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 P2P 2 064/PKM.OK/SP/ATK/VII/2020 6-Jul-20

Tata Usaha 3 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20
062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 P2P 5 064/PKM.OK/SP/ATK/VII/2020 6-Jul-20
Tata Usaha 1 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20
Loket 2 067/PKM.OK/SP/ATK/VII/2020 6-Jul-20
062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 P2P 5 064/PKM.OK/SP/ATK/VII/2020 6-Jul-20
Tata Usaha 5 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20
Bendahara APBD 10 068/PKM.OK/SP/ATK/VII/2020 6-Jul-20
062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 P2P 8 064/PKM.OK/SP/ATK/VII/2020 6-Jul-20
Ruang Kapus 2 066/PKM.OK/SP/ATK/VII/2020 6-Jul-20
062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 Tata Usaha 20 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20
062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 Tata Usaha 1 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20
062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 Tata Usaha 1 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20
062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 Tata Usaha 5 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20
Bendahara APBD 4 068/PKM.OK/SP/ATK/VII/2020 6-Jul-20
062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 Ruang Kapus 5 066/PKM.OK/SP/ATK/VII/2020 6-Jul-20
062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 Loket 10 067/PKM.OK/SP/ATK/VII/2020 6-Jul-20
062/PKM.OK/BAP/BRGJS-ATK/VII/2020 6-Jul-20 Loket 100 067/PKM.OK/SP/ATK/VII/2020 6-Jul-20

164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 Tata Usaha 20 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20

164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 Tata Usaha 5 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20

164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 Tata Usaha 200 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
Pengelola Loket 800
164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 Tata Usaha 5 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 Tata Usaha 4 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
3
1
164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 Tata Usaha 2 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20

164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 Tata Usaha 20 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20

164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 Tata Usaha 4 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 Tata Usaha 5 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 Tata Usaha 30 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20

164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 Tata Usaha 15 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20

164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 Tata Usaha 1 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20

164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 Tata Usaha 3 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20

164/PKM.OK/BAP/ATK/XI/2020 16-Nov-20 Tata Usaha 1 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20
1

062.b/PKM.OK/BAP/BHP/VII/2020 29-Jul-20 Ruang KIA 2 064.b/PKM.OK/SP/ BHP /VII/2020 29-Jul-20

062.b/PKM.OK/BAP/BHP/VII/2020 29-Jul-20 Ruang KIA 3 064.b/PKM.OK/SP/ BHP /VII/2020 29-Jul-20
062.b/PKM.OK/BAP/BHP/VII/2020 29-Jul-20 Ruang KIA 2 064.b/PKM.OK/SP/ BHP /VII/2020 29-Jul-20
062.b/PKM.OK/BAP/BHP/VII/2020 29-Jul-20 Ruang KIA 3 064.b/PKM.OK/SP/ BHP /VII/2020 29-Jul-20
062.b/PKM.OK/BAP/BHP/VII/2020 29-Jul-20 Ruang KIA 1 064.b/PKM.OK/SP/ BHP /VII/2020 29-Jul-20

088/PKM.OK/BAP/BRGJS-BHP/VII/2020 8-Jul-20 KIA 4 087/PKM.OK/SP/BHP/2020 8-Jul-20

088/PKM.OK/BAP/BRGJS-BHP/VII/2020 8-Jul-20 KIA 11 087/PKM.OK/SP/BHP/2020 8-Jul-20
088/PKM.OK/BAP/BRGJS-BHP/VII/2020 8-Jul-20 KIA 2 087/PKM.OK/SP/BHP/2020 8-Jul-20
088/PKM.OK/BAP/BRGJS-BHP/VII/2020 8-Jul-20 KIA 9 087/PKM.OK/SP/BHP/2020 8-Jul-20
088/PKM.OK/BAP/BRGJS-BHP/VII/2020 8-Jul-20 KIA 1 087/PKM.OK/SP/BHP/2020 8-Jul-20

108/PKM.OK/BAP/BHP/VIII/2020 07 Agustus 202KIA 3 110/PKM.OK/SP/BHP/VIII/2020 07 Agustus 2020

108/PKM.OK/BAP/BHP/VIII/2020 07 Agustus 202KIA 20 110/PKM.OK/SP/BHP/VIII/2020 07 Agustus 2020
108/PKM.OK/BAP/BHP/VIII/2020 07 Agustus 202KIA 6 110/PKM.OK/SP/BHP/VIII/2020 07 Agustus 2020

128/PKM.OK/BAP/BHP/VII/2020 7-Sep-20 Ruang KIA 2 130/PKM.OK/SP/BHP/IX/2020 7-Sep-20

128/PKM.OK/BAP/BHP/VII/2020 7-Sep-20 Ruang KIA 5 130/PKM.OK/SP/BHP/IX/2020 7-Sep-20

074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 2 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20

074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 3 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 19 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 13 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 2 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 2 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 2 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 5 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 13 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 13 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 5 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 4 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 8 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 6 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 2 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 4 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 2 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 2 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 10 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 9 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20
074/PKM.OK/BAP/BRGJS-PKPB/VII/2020 8-Jul-20 KIA 9 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20

062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 Ruang KIA 2 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20

062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 Ruang KIA 4 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 Ruang KIA 10 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 Ruang KIA 10 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 Ruang KIA 5 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 Ruang KIA 2 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 Ruang KIA 3 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 Ruang KIA 6 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 Ruang KIA 6 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 Ruang KIA 1 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20
062.a/PKM.OK/BAP/PKBP/VII/2020 29-Jul-20 Ruang KIA 6 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20

124/PKM.OK/BAP/PKBP/IX/2020 5-Sep-20 Ruang KIA 7 126/PKM.OK/SP/PKPB/IX/2020 5-Sep-20

124/PKM.OK/BAP/PKBP/IX/2020 5-Sep-20 Ruang KIA 7 126/PKM.OK/SP/PKPB/IX/2020 5-Sep-20
124/PKM.OK/BAP/PKBP/IX/2020 5-Sep-20 Ruang KIA 5 126/PKM.OK/SP/PKPB/IX/2020 5-Sep-20
124/PKM.OK/BAP/PKBP/IX/2020 5-Sep-20 Ruang KIA 3 126/PKM.OK/SP/PKPB/IX/2020 5-Sep-20
124/PKM.OK/BAP/PKBP/IX/2020 5-Sep-20 Ruang KIA 8 126/PKM.OK/SP/PKPB/IX/2020 5-Sep-20

120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 Pengelola Gizi 6 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20

120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 Pengelola Gizi 16 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20
120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 Pengelola Gizi 14 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20
120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 Pengelola Gizi 14 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20
120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 Pengelola Gizi 28 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20
120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 Pengelola Gizi 28 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20
120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 Pengelola Gizi 14 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20
120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 Pengelola Gizi 16 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20
120/PKM.OK/BAP/BBP/X/2020 1-Oct-20 Pengelola Gizi 6 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20

112/PKM.OK/BAP/BBP/VIII/2020 4-Aug-20 Pengelola Kesjaor 1 114/PKM.OK/BAST/BBP/VIII/2020 4-Aug-20

Ende, 31 Desember 2020 Mengetahui :

Pengurus Barang Pengguna Plt.Kepala Puskesmas Onekore

( Maria Firmiyati Aga,Amd.Kep ) ( Arkadius Dominggo,Amd.Kep )

NIP. 19860321 201001 2 036 NIP. 19760113 199703 1 004
DAN PENGELUARAN BARANG INVENTARIS LAPORAN SEMESTER TENTANG PE
ONEKORE P
2020

Pengeluaran Penerimaan
Surat Bon Tanggal Dokumen/Faktur Dasar Penerimaan
Banyakny Nama Harga
Untuk Jumlah Harga Penyerah Ket No. Urut Terima Tgl Dari Banyaknya Nama Barang Harga Satuan Jumlah Harga
Nomor Tanggal a Barang Satuan Nomor Tgl Jenis Surat
an
16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 8 9 10 11

1 28 Desember 2020 Kantor Pos Ende 333 Materai 6000 6,000.00 1,998,000.00

1 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 2 P2P 22,000.00 44,000.00

3 Tata Usaha 22,000.00 66,000.00
2 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 5 P2P 27,500.00 137,500.00
1 Tata Usaha 27,500.00 27,500.00
2 Loket 27,500.00 55,000.00
3 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 5 P2P 21,000.00 105,000.00
5 Tata Usaha 21,000.00 105,000.00
10 Bendahara APBD 21,000.00 210,000.00
4 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 8 P2P 50,000.00 400,000.00
2 Ruang Kapus 50,000.00 100,000.00
5 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 20 Tata Usaha 6,000.00 120,000.00
6 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 1 Tata Usaha 231,000.00 231,000.00
7 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 1 Tata Usaha 286,000.00 286,000.00
8 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 5 Tata Usaha 52,000.00 260,000.00
4 Bendahara APBD 52,000.00 208,000.00
9 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 5 Ruang Kapus 9,000.00 45,000.00
10 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 10 Loket 20,000.00 200,000.00
11 6-Jul-20 CV.Maranatha Permai 061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 100 Loket 9,000.00 900,000.00

1 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 20 Tata Usaha 28,000

1 30-Dec-99 0 0 30-Dec-99 0 0 28,000
1 30-Dec-99 0 0 30-Dec-99 0 0 28,000
2 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 5 Tata Usaha 33,000
3 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 200 Tata Usaha 9,100
800 Pengelola Loket
4 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 5 Tata Usaha 45,000
5 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 4 Tata Usaha 23,000
3 23,000
1
6 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 2 Tata Usaha 9,000
6 30-Dec-99 0 0 30-Dec-99 0 0 -
6 30-Dec-99 0 0 30-Dec-99 0 0 -
7 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 20 Tata Usaha 24,500
8 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 4 Tata Usaha 12,000
9 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 5 Tata Usaha 25,000
1 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 30 Tata Usaha 66,000
1 30-Dec-99 0 0 30-Dec-99 0 0 -
1 30-Dec-99 0 0 30-Dec-99 0 0 -
2 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 15 Tata Usaha 55,500
2 30-Dec-99 0 0 30-Dec-99 0 0 -
2 30-Dec-99 0 0 30-Dec-99 0 0 -
3 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 1 Tata Usaha 75,000
3 30-Dec-99 0 0 30-Dec-99 0 0 -
3 30-Dec-99 0 0 30-Dec-99 0 0 -
4 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 3 Tata Usaha 32,000
4 30-Dec-99 0 0 30-Dec-99 0 0 -
4 30-Dec-99 0 0 30-Dec-99 0 0 -
5 16-Nov-20 CV.Maranatha Permai 163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 1 Tata Usaha 132,000
1

1 29-Jul-20 CV.Maranatha Permai 061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 2 Ruang KIA 325,000

2 29-Jul-20 CV.Maranatha Permai 061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 3 Ruang KIA 150,000
3 29-Jul-20 CV.Maranatha Permai 061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 2 Ruang KIA 140,000
4 29-Jul-20 CV.Maranatha Permai 061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 3 Ruang KIA 50,000
5 29-Jul-20 CV.Maranatha Permai 061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 1 Ruang KIA 300,000

1 8-Jul-20 CV.Maranatha Permai 087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 4 KIA 325,000.00 1,300,000.00

2 8-Jul-20 CV.Maranatha Permai 087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 11 KIA 150,000.00 1,650,000.00
3 8-Jul-20 CV.Maranatha Permai 087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 2 KIA 145,000.00 290,000.00
4 8-Jul-20 CV.Maranatha Permai 087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 9 KIA 50,000.00 450,000.00
5 8-Jul-20 CV.Maranatha Permai 087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 1 KIA 300,000.00 300,000.00

1 07 Agustus 2020 CV.Maranatha Permai 107/PKM.OK/NP/BHP/VIII/2020 07 Agustus 2020 3 KIA 400,000

2 07 Agustus 2020 CV.Maranatha Permai 107/PKM.OK/NP/BHP/VIII/2020 07 Agustus 2020 20 KIA 65,000
3 07 Agustus 2020 CV.Maranatha Permai 107/PKM.OK/NP/BHP/VIII/2020 07 Agustus 2020 6 KIA 150,000

4 7-Sep-20 CV.Maranatha Permai 127/PKM.OK/NP/BHP/VII/2020 7-Sep-20 2 Ruang KIA 400,000

5 7-Sep-20 CV.Maranatha Permai 127/PKM.OK/NP/BHP/VII/2020 7-Sep-20 5 Ruang KIA 150,000

1 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 2 KIA 65,000.00 130,000.00

2 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 3 KIA 37,500.00 112,500.00
3 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 19 KIA 10,000.00 190,000.00
4 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 13 KIA 35,000.00 455,000.00
5 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 2 KIA 100,000.00 200,000.00
6 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 2 KIA 50,000.00 100,000.00
7 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 2 KIA 20,000.00 40,000.00
8 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 5 KIA 15,000.00 75,000.00
9 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 13 KIA 40,000.00 520,000.00
10 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 13 KIA 40,000.00 520,000.00
11 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 5 KIA 27,500.00 137,500.00
12 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 4 KIA 50,000.00 200,000.00
13 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 20 KIA 20,000.00 400,000.00
14 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8 KIA 27,500.00 220,000.00
15 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 6 KIA 100,000.00 600,000.00
16 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 2 KIA 15,000.00 30,000.00
17 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 4 KIA 35,000.00 140,000.00
18 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 2 KIA 15,000.00 30,000.00
19 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 2 KIA 20,000.00 40,000.00
20 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 10 KIA 17,500.00 175,000.00
21 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 9 KIA 50,000.00 450,000.00
22 8-Jul-20 CV.Maranatha Permai 073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 9 KIA 15,000.00 135,000.00

1 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 2 Ruang KIA 65,000
2 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 4 Ruang KIA 37,500
 3 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 10 Ruang KIA 10,000
4 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 10 Ruang KIA 35,000
5 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 5 Ruang KIA 100,000
6 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 2 Ruang KIA 50,000
7 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 3 Ruang KIA 20,000
8 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 6 Ruang KIA 15,000
9 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 6 Ruang KIA 40,000
10 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 1 Ruang KIA 24,000
11 29-Jul-20 CV. Maranatha Permai 161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 6 Ruang KIA 40,000

1 5-Sep-20 CV. Maranatha Permai 123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 7 Ruang KIA 40,000

2 5-Sep-20 CV. Maranatha Permai 123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 7 Ruang KIA 40,000
3 5-Sep-20 CV. Maranatha Permai 123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 5 Ruang KIA 45,000
4 5-Sep-20 CV. Maranatha Permai 123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 3 Ruang KIA 15,000
5 5-Sep-20 CV. Maranatha Permai 123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 8 Ruang KIA 12,000

1 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 6 Pengelola Gizi 50,000

2 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 16 Pengelola Gizi 15,000
3 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 14 Pengelola Gizi 11,000
4 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 14 Pengelola Gizi 25,000
5 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 28 Pengelola Gizi 10,000
6 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 28 Pengelola Gizi 10,000
7 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 14 Pengelola Gizi 19,000
8 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 16 Pengelola Gizi 5,000
9 1-Oct-20 Kios Jihan 53 119/PKM.OK/NP/BBP/X/2020 1-Oct-20 6 Pengelola Gizi 25,000

1 4-Aug-20 CV. Maranatha Permai 111/PKM.OK/NP/BBP/VIII/2020 4-Aug-20 1 Pengelola Kesjaor 114,000

Ende, 31 Desember 2020 Mengetahui :

Pengurus Barang Pengguna Plt.Kepala Puskesmas Onekore

( Maria Firmiyati Aga,Amd.Kep ) ( Arkadius Dominggo,Amd.Kep )

NIP. 19860321 201001 2 036 NIP. 19760113 199703 1 004
ORAN SEMESTER TENTANG PENERIMAAN DAN PENGELUARAN BARANG PAKAI HABIS
PUSKESMAS ONEKORE
TAHUN 2020

Pengeluaran
Surat Bon
Buku Penerimaan B.A. / Srt Penerimaan Banyakny
Ket No. Urut Pengeluaran Tgl. Untuk Nama Barang Harga Satuan Jumlah Harga Tanggal Penyerahan Ket
Nomor Tanggal a
Nomor Tanggal
12 13 14 15 16 17 18 19 20 21 22 23 24 25

1 28 Desmber 2020 170/TU.01/PKM.OK/SP-BENDA POS/XI/2020 Bendahara Pengeluaran Pembantu 333 Materai 6000 6,000.00 1,998,000.00 28 Desmber 2020

061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 1 6-Jul-20 064/PKM.OK/SP/ATK/VII/2020 6-Jul-20 P2P 2 Amplop Line Panjang 22,000.00 44,000.00 6-Jul-20
065/PKM.OK/SP/ATK/VII/2020 Tata Usaha 3 Amplop Line Panjang 22,000.00 66,000.00 7-Jul-20
061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 2 6-Jul-20 064/PKM.OK/SP/ATK/VII/2020 6-Jul-20 P2P 5 Buku register Folio 27,500.00 137,500.00 8-Jul-20
065/PKM.OK/SP/ATK/VII/2020 Tata Usaha 1 Buku register Folio 27,500.00 27,500.00 9-Jul-20
067/PKM.OK/SP/ATK/VII/2020 Loket 2 Buku register Folio 27,500.00 55,000.00 10-Jul-20
061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 3 6-Jul-20 064/PKM.OK/SP/ATK/VII/2020 6-Jul-20 P2P 5 Map TK 8 cm 21,000.00 105,000.00 11-Jul-20
065/PKM.OK/SP/ATK/VII/2020 Tata Usaha 5 Map TK 8 cm 21,000.00 105,000.00 12-Jul-20
068/PKM.OK/SP/ATK/VII/2020 Bendahara APBD 10 Map TK 8 cm 21,000.00 210,000.00 13-Jul-20
061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 4 6-Jul-20 064/PKM.OK/SP/ATK/VII/2020 6-Jul-20 P2P 8 HVS 70gr 50,000.00 400,000.00 14-Jul-20
066/PKM.OK/SP/ATK/VII/2020 Ruang Kapus 2 HVS 70gr 50,000.00 100,000.00 15-Jul-20
061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 5 6-Jul-20 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20 Tata Usaha 20 Map Snellhecter Transparant 6,000.00 120,000.00 16-Jul-20
061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 6 6-Jul-20 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20 Tata Usaha 1 Cartidge Hitam 231,000.00 231,000.00 17-Jul-20
061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 7 6-Jul-20 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20 Tata Usaha 1 Cartridge Warna 286,000.00 286,000.00 18-Jul-20
061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 8 6-Jul-20 065/PKM.OK/SP/ATK/VII/2020 6-Jul-20 Tata Usaha 5 HVS 80gr 52,000.00 260,000.00 19-Jul-20
068/PKM.OK/SP/ATK/VII/2020 Bendahara APBD 4 HVS 80gr 52,000.00 208,000.00 20-Jul-20
061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 9 6-Jul-20 066/PKM.OK/SP/ATK/VII/2020 6-Jul-20 Ruang Kapus 5 Bollpoint Boxy 9,000.00 45,000.00 21-Jul-20
061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 10 6-Jul-20 067/PKM.OK/SP/ATK/VII/2020 6-Jul-20 Loket 10 Box File Codwell 20,000.00 200,000.00 22-Jul-20
061/PKM.OK/NP/ATK/VII/2020 6-Jul-20 11 6-Jul-20 067/PKM.OK/SP/ATK/VII/2020 6-Jul-20 Loket 100 Map Snellhecter Folio 9,000.00 900,000.00 23-Jul-20

163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 4 16-Nov-20 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20 Tata Usaha 20 Amplop Line Putih Panjang 28,000 560,000 16-Nov-20
0 30-Dec-99 4 30-Dec-99 0 30-Dec-99 0 0 0 28,000 - 30-Dec-99
0 30-Dec-99 4 30-Dec-99 0 30-Dec-99 0 0 0 28,000 - 30-Dec-99
163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 5 16-Nov-20 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20 Tata Usaha 5 Buku Agenda Keluar masuk 33,000 165,000 16-Nov-20
163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 6 16-Nov-20 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20 Tata Usaha 200 Map Snell Hekter Plastik 9,100 1,820,000 16-Nov-20
Pengelola Loket 800
163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 7 16-Nov-20 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20 Tata Usaha 5 Buku Register Folio 200 Lembar 45,000 225,000 16-Nov-20
163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 8 16-Nov-20 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20 Tata Usaha 4 Hekter uk.24/6 23,000 92,000 16-Nov-20
3 23,000 69,000
1
163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 9 16-Nov-20 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20 Tata Usaha 2 Daun merungge 9,000 18,000 16-Nov-20
0 30-Dec-99 9 30-Dec-99 0 30-Dec-99 0 0 0 - - 30-Dec-99
0 30-Dec-99 9 30-Dec-99 0 30-Dec-99 0 0 0 - - 30-Dec-99
163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 10 16-Nov-20 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20 Tata Usaha 20 Labu 24,500 490,000 16-Nov-20
163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 11 16-Nov-20 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20 Tata Usaha 4 Kelapa 12,000 48,000 16-Nov-20
163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 12 16-Nov-20 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20 Tata Usaha 5 Cap Puding 25,000 125,000 16-Nov-20
163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 4 16-Nov-20 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20 Tata Usaha 30 Kertas HVS 70 Gram 66,000 1,980,000 16-Nov-20
0 30-Dec-99 4 30-Dec-99 0 30-Dec-99 0 0 0 - - 30-Dec-99
0 30-Dec-99 4 30-Dec-99 0 30-Dec-99 0 0 0 - - 30-Dec-99
163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 5 16-Nov-20 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20 Tata Usaha 15 Kertas HVS A4 55,500 832,500 16-Nov-20
0 30-Dec-99 5 30-Dec-99 0 30-Dec-99 0 0 0 - - 30-Dec-99
0 30-Dec-99 5 30-Dec-99 0 30-Dec-99 0 0 0 - - 30-Dec-99
163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 6 16-Nov-20 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20 Tata Usaha 1 Isolasi Besar Bening 5 cm 75,000 75,000 16-Nov-20
0 30-Dec-99 6 30-Dec-99 0 30-Dec-99 0 0 0 - - 30-Dec-99
0 30-Dec-99 6 30-Dec-99 0 30-Dec-99 0 0 0 - - 30-Dec-99
163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 7 16-Nov-20 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20 Tata Usaha 3 Kertas Dosrlak Kuarto 32,000 96,000 16-Nov-20
0 30-Dec-99 7 30-Dec-99 0 30-Dec-99 0 0 0 - - 30-Dec-99
0 30-Dec-99 7 30-Dec-99 0 30-Dec-99 0 0 0 - - 30-Dec-99
163/PKM.OK/NP/ATK/XI/2020 16-Nov-20 8 16-Nov-20 168/PKM.OK/SP-ATK/XI/2020 16-Nov-20 Tata Usaha 1 Pelubang Kertas Besar 132,000 132,000 16-Nov-20
1

061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 1 29-Jul-20 064.b/PKM.OK/SP/ BHP /VII/2020 29-Jul-20 Ruang KIA 2 Handscone Steril 325,000 650,000 29-Jul-20
061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 2 29-Jul-20 064.b/PKM.OK/SP/ BHP /VII/2020 29-Jul-20 Ruang KIA 3 Handscone On Steril 150,000 450,000 29-Jul-20
061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 3 29-Jul-20 064.b/PKM.OK/SP/ BHP /VII/2020 29-Jul-20 Ruang KIA 2 Topi 140,000 280,000 29-Jul-20
061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 4 29-Jul-20 064.b/PKM.OK/SP/ BHP /VII/2020 29-Jul-20 Ruang KIA 3 Hand Wash 50,000 150,000 29-Jul-20
061.b/PKM.OK/NP/BHP/VII/2020 29-Jul-20 5 29-Jul-20 064.b/PKM.OK/SP/ BHP /VII/2020 29-Jul-20 Ruang KIA 1 Masker 300,000 300,000 29-Jul-20
1,830,000.00

087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 1 8-Jul-20 087/PKM.OK/SP/BHP/2020 8-Jul-20 KIA 4 Handscone Sterill 325,000.00 1,300,000.00 8-Jul-20
087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 2 8-Jul-20 087/PKM.OK/SP/BHP/2020 8-Jul-20 KIA 11 Handscone On Sterill 150,000.00 1,650,000.00 8-Jul-20
087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 3 8-Jul-20 087/PKM.OK/SP/BHP/2020 8-Jul-20 KIA 2 Topi 145,000.00 290,000.00 8-Jul-20
087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 4 8-Jul-20 087/PKM.OK/SP/BHP/2020 8-Jul-20 KIA 9 Hand Wash 50,000.00 450,000.00 8-Jul-20
087/PKM.OK/NP/BHP/VII/2020 8-Jul-20 5 8-Jul-20 087/PKM.OK/SP/BHP/2020 8-Jul-20 KIA 1 Masker 300,000.00 300,000.00 8-Jul-20

107/PKM.OK/NP/BHP/VIII/2020 07 Agustus 2020 4 07 Agustus 2020 110/PKM.OK/SP/BHP/VIII/2020 07 Agustus 20KIA 3 Handscone Sterill 400,000 1,200,000 07 Agustus 2020
107/PKM.OK/NP/BHP/VIII/2020 07 Agustus 2020 5 07 Agustus 2020 110/PKM.OK/SP/BHP/VIII/2020 07 Agustus 20KIA 20 Handscone Obgyn 65,000 1,300,000 07 Agustus 2020
107/PKM.OK/NP/BHP/VIII/2020 07 Agustus 2020 6 07 Agustus 2020 110/PKM.OK/SP/BHP/VIII/2020 07 Agustus 20KIA 6 Handscone On 150,000 900,000 07 Agustus 2020

127/PKM.OK/NP/BHP/VII/2020 7-Sep-20 4 7-Sep-20 130/PKM.OK/SP/BHP/IX/2020 7-Sep-20 Ruang KIA 2 Handscone Steril 400,000 800,000 7-Sep-20
127/PKM.OK/NP/BHP/VII/2020 7-Sep-20 5 7-Sep-20 130/PKM.OK/SP/BHP/IX/2020 7-Sep-20 Ruang KIA 5 Handscone Disposible 150,000 750,000 7-Sep-20
1,550,000.00

073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 1 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 2 Sapu Lantai Plastik 65,000.00 130,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 2 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 3 Tongkat Pel 37,500.00 112,500.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 3 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 19 Tissue Rol 10,000.00 190,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 4 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 13 Tissue Kotak 35,000.00 455,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 5 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 2 Celemek Plastik 100,000.00 200,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 6 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 2 Serokan Sampah 50,000.00 100,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 7 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 2 Kemucing 20,000.00 40,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 8 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 5 Sunlight Reffil Besar 15,000.00 75,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 9 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 13 Kresek Merah Besar 40,000.00 520,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 10 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 13 Kresek Hitam Besar 40,000.00 520,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 11 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 5 Rinso 27,500.00 137,500.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 12 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 4 Verlak Hitam Tebal 50,000.00 200,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 13 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 20 Bayclin 20,000.00 400,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 14 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 8 Wipol 27,500.00 220,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 15 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 6 Antiseptic Gel 100,000.00 600,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 16 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 2 Sikat Pakayan 15,000.00 30,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 17 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 4 Pengharum Ruangan 35,000.00 140,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 18 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 2 Sikat WC 15,000.00 30,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 19 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 2 Kanebo 20,000.00 40,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 20 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 10 SOS Pembersih Lantai 17,500.00 175,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 21 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 9 Handsoap Antibacterial 50,000.00 450,000.00 8-Jul-20
073/PKM.OK/NP/PKPB/VII/2020 8-Jul-20 22 8-Jul-20 076/PKM.OK/SP/PKPB/VII/2020 8-Jul-20 KIA 9 Clorin 15,000.00 135,000.00 8-Jul-20

161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 1 29-Jul-20 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20 Ruang KIA 2 Sapu lantai Plastik 65,000 130,000 29-Jul-20
161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 2 29-Jul-20 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20 Ruang KIA 4 Tongkat Pel 37,500 150,000 29-Jul-20
161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 3 29-Jul-20 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20 Ruang KIA 10 Tissue Roll 10,000 100,000 29-Jul-20
161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 4 29-Jul-20 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20 Ruang KIA 10 Tissue Kotak (700 gr) 35,000 350,000 29-Jul-20
161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 5 29-Jul-20 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20 Ruang KIA 5 Celemek Plastik 100,000 500,000 29-Jul-20
161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 6 29-Jul-20 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20 Ruang KIA 2 Daun merungge 50,000 100,000 29-Jul-20
161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 7 29-Jul-20 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20 Ruang KIA 3 Labu 20,000 60,000 29-Jul-20
161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 8 29-Jul-20 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20 Ruang KIA 6 Kelapa 15,000 90,000 29-Jul-20
161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 9 29-Jul-20 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20 Ruang KIA 6 Cap Puding 40,000 240,000 29-Jul-20
161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 10 29-Jul-20 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20 Ruang KIA 1 Kelapa 24,000 24,000 29-Jul-20
161.a /PKM.OK/NP/PKBP/VII/2020 29-Jul-20 11 29-Jul-20 064.a/PKM.OK/SP/ PKBP /VII/2020 29-Jul-20 Ruang KIA 6 Cap Puding 40,000 240,000 29-Jul-20
1,984,000

123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 1 5-Sep-20 126/PKM.OK/SP/PKPB/IX/2020 5-Sep-20 Ruang KIA 7 Plastik Merah 40,000 280,000 5-Sep-20
123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 2 5-Sep-20 126/PKM.OK/SP/PKPB/IX/2020 5-Sep-20 Ruang KIA 7 Plastik Hitam 40,000 280,000 5-Sep-20
123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 3 5-Sep-20 126/PKM.OK/SP/PKPB/IX/2020 5-Sep-20 Ruang KIA 5 Tissue Kotak 45,000 225,000 5-Sep-20
123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 4 5-Sep-20 126/PKM.OK/SP/PKPB/IX/2020 5-Sep-20 Ruang KIA 3 Clorin 15,000 45,000 5-Sep-20
123/PKM.OK/NP/PKPB/IX/2020 5-Sep-20 5 5-Sep-20 126/PKM.OK/SP/PKPB/IX/2020 5-Sep-20 Ruang KIA 8 SOS 12,000 96,000 5-Sep-20
926,000.00

119/PKM.OK/NP/BBP/X/2020 1-Oct-20 1 1-Oct-20 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20 Pengelola Gizi 6 Agar agar 50,000 300,000 1-Oct-20
119/PKM.OK/NP/BBP/X/2020 1-Oct-20 2 1-Oct-20 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20 Pengelola Gizi 16 Gula Pasir 15,000 240,000 1-Oct-20
119/PKM.OK/NP/BBP/X/2020 1-Oct-20 3 1-Oct-20 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20 Pengelola Gizi 14 Susu 11,000 154,000 1-Oct-20
119/PKM.OK/NP/BBP/X/2020 1-Oct-20 4 1-Oct-20 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20 Pengelola Gizi 14 Kacang Hijau 25,000 350,000 1-Oct-20
119/PKM.OK/NP/BBP/X/2020 1-Oct-20 5 1-Oct-20 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20 Pengelola Gizi 28 Gula Merah 10,000 280,000 1-Oct-20
119/PKM.OK/NP/BBP/X/2020 1-Oct-20 6 1-Oct-20 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20 Pengelola Gizi 28 Daun merungge 10,000 280,000 1-Oct-20
119/PKM.OK/NP/BBP/X/2020 1-Oct-20 7 1-Oct-20 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20 Pengelola Gizi 14 Labu 19,000 266,000 1-Oct-20
119/PKM.OK/NP/BBP/X/2020 1-Oct-20 8 1-Oct-20 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20 Pengelola Gizi 16 Kelapa 5,000 80,000 1-Oct-20
119/PKM.OK/NP/BBP/X/2020 1-Oct-20 9 1-Oct-20 122/PKM.OK/SP/ BBP /X/2020 1-Oct-20 Pengelola Gizi 6 Cap Puding 25,000 150,000 1-Oct-20
2,100,000.00

111/PKM.OK/NP/BBP/VIII/2020 4-Aug-20 1 4-Aug-20 114/PKM.OK/BAST/BBP/VIII/2020 4-Aug-20 Pengelola Kesjaor 1 Stopwatch 114,000 114,000 4-Aug-20

Ende, 31 Desember 2020

Pengurus Barang Pengguna

( Maria Firmiyati Aga,Amd.Kep )

NIP. 19860321 201001 2 036
 LAPORAN MUTASI BARANG INVENTARIS
KABUPATEN ENDE
PERIODE : Juli s/d Desember 2020

SKPD : Puskesmas Onekore

KOTA : ENDE KODE LOKASI :
PROVINSI : NUSA TENGGARA TIMUR

NOMOR SPESIFIKASI BARANG Jumlah (Awal) Mutasi/Perubahan Jumlah (Akhir)

No. Sertifikat Ukuran Kondisi Berkurang Bertambah
Asal/Cara Tahun
No. Pabrik Barang/K Bangunan
No. Kode Nama/Jenis Merk/ Peroleha Beli/Pero Satuan Ket
Register Bahan onstruksi (B, KB, Barang Harga Jumlah Jumlah Jumlah Jumlah Barang Harga
Urut Barang Barang Type No. n Barang lehan
(P,SP,D) RB) Barang Harga Barang Harga
Chasis/Mesin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

NIHIL

Mengetahui : Ende, 31 Desember 2020

Plt.Kepala Puskesmas Onekore Pengurus Barang Pengguna

Arkadius Dominggo,Amd.Kep Maria Firmiyati Aga,Amd.Kep

NIP. 19760113 199703 1 004 NIP. 19860321 201001 2 036
 LAPORAN MUTASI BARANG PAKAI HABIS
PUSKESMAS ONEKORE
Periode : Juli s/d Desember 2020

SKPD : PUSKESMAS ONEKORE

Kabupaten : ENDE
Provinsi : NUSA TENGGARA TIMUR

MUTASI BULAN JANUARI S/D MARET 2020 SALDO AKHIR BULAN MARET 2020
SO AWAL Bulan Januari
NO NAMA BARANG Harga Beli Terakhir Keterangan
2020 (Unit/bh/set) Tambah (unit/bh/set) Digunakan (unit/bh/set) unit/bh/set Jumlah
(Rp)
1 2 3 4 5 6=(3+4)-5 7 8=6x7 9
A BENDA POS
1 Materai 6000 0 0 333 Lembar 333 Lembar 0 Lembar 6,000.00 -

B ALAT TULIS KANTOR

1 Amplop Line Putih Panjang 0 0 25 Pak 20 Pak 5 Pak 28,000.00 140,000.00
2 Balpoint Boxy 0 0 5 Buah 2 Buah 3 Buah 9,000.00 27,000.00
3 Box File Codwell 0 0 10 Buah 10 Buah 0 Buah 20,000.00 -
4 Buku Register Folio 200 Lembar 0 0 13 Buah 10 Buah 3 Buah 45,000.00 135,000.00
5 Map Snell Hekter Folio 0 0 100 Buah 100 Buah 0 Buah 9,000.00 -
6 Map Snell Hekter Transparant 0 0 20 Buah 15 Buah 5 Buah 6,000.00 30,000.00
7 Map TK 8 cm 0 0 40 Buah 30 Buah 10 Buah 24,500.00 245,000.00
8 Catrigh Hitam 0 0 1 Buah 1 Buah 0 Buah 231,000.00 -
9 Catrigh Warna 0 0 1 Buah 1 Buah 0 Buah 286,000.00 -
10 Kertas HVS 70 Gram 0 0 45 Rim 31 Rim 14 Rim 66,000.00 924,000.00
11 Kertas HVS 80 Gram 0 0 9 Rim 7 Rim 2 Rim 52,000.00 104,000.00
12 Buku Agenda masuk Keluar 0 0 5 Buah 5 Buah 0 Buah 33,000.00 -
13 Map Snell Hekter plstik 0 0 1000 Buah 400 Buah 600 Buah 9,100.00 5,460,000.00
14 Hekter uk.24/6 0 0 7 Buah 7 Buah 0 Buah 23,000.00 -
15 Lem Botol Kertas 0 0 4 Buah 4 Buah 0 Buah 9,000.00 -
16 Binder clip Besar 0 0 4 Buah 4 Buah 0 Buah 12,000.00 -
17 kertas Foto A4 0 0 5 Rim 1 Rim 4 Rim 55,500.00 222,000.00
18 kertas Hvs A4 0 0 18 Rim 10 Rim 8 Rim 55,500.00 444,000.00
19 Isolasi Besar Bening 5 cm 0 0 3 Roll 3 Roll 0 Roll 75,000.00 -
20 Kertas Dosrlak Kuarto 0 0 5 Rim 3 Rim 2 Rim 32,000.00 64,000.00
21 Pelubang Kertas Besar 0 0 3 Buah 3 Buah 0 Buah 132,000.00 -

C Bahan Obat-Obatan
1 Handscone Steril 0 0 11 Dos 11 Dos 0 Dos 325,000.00 -
2 Handscone On Steril 0 0 20 Kotak 20 Kotak 0 Kotak 150,000.00 -
 PEMERINTAH KABUPATEN ENDE
PUSKESMAS ONEKORE
Alamat : Jln.Udayana Kelurahan Onekore kec.Ende Tengah

BERITA ACARA OPNAME FISIK (STOCK OPNAME) PERSEDIAAN

Per 31 Desember 2020

Pada hari ini Kamis tanggal Tiga Puluh satu bulan Desember Tahun Dua Ribu Dua Puluh, kami yang bertanda tangan di bawah ini :

1. Nama : Arkadius Dominggo,Amd.Kep

Jabatan : Plt.Kepala Puskesmas Onekore
NIP : 19760113 199703 004

2. Nama : Maria Firmiyati Aga,Amd.Kep

Jabatan : Pengurus Barang Pembantu
NIP : 19860321 201001 2 036

Menyatakan bahwa telah melakukan Stock Opname barang persediaan per tanggal 31 Desember 2020 dengan hasil sebagai berikut :

KONDISI
NO JENIS PERSEDIAAN MERK JUMLAH HARGA SATUAN TOTAL HARGA KETERANGAN
B RR RB

N I H I L
1 2 3 4 5 6 7 8 9 10
1 Benda pos

2 Alat Tulis Kantor

Amplop Line Putih Panjang Paper Line 5 28,000.00 140,000.00
Balpoint Boxy Boxy 3 9,000.00 27,000.00
Box File Codwell Kingsco 0 20,000.00 -
Buku Register Folio 200 Lembar Sidu 3 45,000.00 135,000.00
Map Snell Hekter Folio Jenia 0 9,000.00 -
Map Snell Hekter Transparant Beracco 5 6,000.00 30,000.00
Map TK 8 cm Teka 10 24,500.00 245,000.00
Catrigh Hitam Canon 0 231,000.00 -
Catrigh Warna Canon 0 286,000.00 -
Kertas HVS 70 Gram Sidu 14 66,000.00 924,000.00
Kertas HVS 80 Gram Sidu 2 52,000.00 104,000.00
Buku Agenda masuk Keluar Kiky 0 33,000.00 -
 KONDISI
NO JENIS PERSEDIAAN MERK JUMLAH HARGA SATUAN TOTAL HARGA KETERANGAN
B RR RB

N I H I L
1 2 3 4 5 6 7 8 9 10
Map Snell Hekter plstik Bisnis File 600 9,100.00 5,460,000.00
Hekter uk.24/6 Staples 0 23,000.00 -
Lem Botol Kertas Gluvinal 0 9,000.00 -
Binder clip Besar Joyko 0 12,000.00 -
kertas Foto A4 Kanvas 4 55,500.00 222,000.00
kertas Hvs A4 Sidu 8 55,500.00 444,000.00
Isolasi Besar Bening 5 cm Nachi 0 75,000.00 -
Kertas Dosrlak Kuarto Duslak 2 32,000.00 64,000.00
Pelubang Kertas Besar Joyko 0 132,000.00 -
3 Bahan Obat-obatan

N I H I L
4 Peralatan Kebersihan Dan Bahan Pembersih

N I H I L
5 Bahan Percontohan

N I H I L
6 Bahan Praktek
 KONDISI
NO JENIS PERSEDIAAN MERK JUMLAH HARGA SATUAN TOTAL HARGA KETERANGAN
B RR RB

NN
I H I L
1 2 3 4 5 6 7 8 9 10

I H I L
Jumlah 7,795,000.00

Demikian Berita Acara Stock Opname Persediaan ini dibuat untuk dipergunakan sebagaimana mestinya

Mengetahui : Ende, 31 Desember 2020

Plt.Kepala Puskesmas Onekore Pengurus Barang Pembantu

Arkadius Dominggo,Amd,Kep Maria Firmiyati Aga,Amd.Kep

NIP. 19760113 199703 1 004 NIP. 19860321 201001 2 036
 PEMERINTAH KABUPATEN ENDE
DINAS KESEHATAN
KABUPATEN ENDE
Jln. Melati No. Telp. (0381) - Ende - Flores - NTT

BERITA ACARA REKONSILIASI BARANG MILIK DAERAH DAN KEUANGAN

PADA PUSKESMAS ONEKORE
PER 30 DESEMBER TAHUN 2020

Pada hari Kamis tanggal Tiga Puluh Satu Bulan Desember Tahun Dua Ribu Dua Puluh, kami yang bertanda tangan
dibawah ini :
1. Nama Maria Firmiyati Aga,Amd.kep
NIP 19860321 201001 2 036
Jabatan : Pengurus Barang Pembantu

2 Nama : V.E. Sisilia Mbulu, S. Sos

NIP : 19750708 201409 2 002
Jabatan : Pengurus Barang Pengguna Dinas kesehatan

Dengan ini menyatakan dalam rangka penyusunan Laporan Keuangan dan Laporan Barang Milik Daerah pada Pada Dinas
Kesehatan Tahun 2020 Semester 11 telah melaksanakan rekonsiliasi data aset tetap menurut KIB dan Neraca Dinas Kesehatan
per 30 Desember 2020, dengan hasil sebagai berikut:

Saldo Awal Jumlah Mutasi Jumlah Mutasi Saldo Akhir

No. Kategori 31
2 Tambah Kurang Desember 2020
Januari 2020
1 2 3 4 5 6=3+4-5
A. ASET LANCAR
1. Persediaan
Benda Pos - 1,998,000.00 1,998,000.00
Alat Tulis Kantor - 18,500,000.00 18,500,000.00
Bahan Obat-obatan - 10,770,000.00 10,770,000.00
Bahan Percontohan - 2,100,000.00 2,100,000.00
Peralatan Kebersihan Dan Bahan
- 7,810,000.00 7,810,000.00
Pembersih
Bahan Praktek - 114,000.00 114,000.00
JUMLAH ASET LANCAR 41,292,000.00 - 41,292,000.00

- -
- - - -

Demikian Berita Acara ini dibuat untuk dipergunakan sebagaimana mestinya, dan apabila dikemudian hari terdapat kekeliruan
akan dilakukan perbaikan sebagaimana mestinya.

Ende , 31 Desember 2020

'1. Maria Firmiyati Aga,Amd.Kep Pengurus Barang Pembantu ....................................................

'2. V.E. Sisilia Mbulu, S. Sos Pengurus Barang Pengguna ....................................................

Mengetahui :

Plt.Kepala Puskesmas Onekore

Arkadius Dominggo,Amd.Kep
NIP. 19760113 199703 1 004