STOK OFNAME BARANG CETAK BULAN SEPTEMBER TAHUN 2018

UPT YANKES MARGAASIH

SISA BLN YG LALU PENERIMAAN JUMLAH PENGELUARAN SISA

NO NAMA BARANG SATUAN HARGA SATUAN
MARGAASIH RAHAYU MARGAASIH RAHAYU MARGAASIH RAHAYU MARGAASIH RAHAYU MARGAASIH RAHAYU
1 Formulir Pencatatan Balita Sakit (1 se set 470 3,000 1,000 3000 1000 1000 3000 0
2 Formulir Deteksi Tumbuh Kembang pcs 235 3,000 1,000 3000 1000 1000 3000 0
3 Formulir Penjaringan Kesehatan Did pcs 241.45 20,000 20000 0 20000 0
4 Kartu Status Peserta KB pcs 385 2,000 1,000 2000 1000 1000 2000 0
5 Tata Laksana Balita Sakit Umur 2 Bu pcs 390 2,000 500 2000 500 500 2000 0
6 Map Buku Medrek pcs 750 7000 3500 7000 3500 3500 7000 0
7 Form. 01.00 pcs 400 7000 3500 7000 3500 3500 7000 0
8 Form. 01.02 pcs 400 7000 3500 7000 3500 3500 7000 0
9 Form. 01.03 pcs 400 7000 3500 7000 3500 3500 7000 0
10 Form 03.00 pcs 400 7000 3500 7000 3500 3500 7000 0
11 Form 04.00 pcs 400 7000 3500 7000 3500 3500 7000 0
12 Form 05.01 pcs 400 7000 3500 7000 3500 500 3500 6500 0
13 Form. 05.00 pcs 400 7000 3500 7000 3500 3500 7000 0
14 Bukti Pembayaran Puskesmas buku 8595 100 100 0 100 0
15 Form. TB 01 pcs 385 2,000 1,000 2000 1000 1000 2000 0
16 Form TB 01 P pcs 325 500 500 500 500 500 500 0
17 Form. TB 02 pcs 390 2000 500 2000 500 500 2000 0
18 Form. TB 03 pcs 1000 2,000 500 2000 500 2000 500
19 Form. TB 04 pcs 635 500 500 500 500 500 500 0
20 Form. TB 05 pcs 670 2,000 500 2000 500 500 2000 0
21 Form. TB 06 pcs 1525 1,000 500 1000 500 1000 500
22 Form. TB 10 pcs 325 500 500 500 500 500 500 0
23 Form. TB 15 pcs 355 2,000 500 2000 500 500 2000 0
24 Kartu Berobat pcs 185 6000 3500 6000 3500 3500 6000 0
25 Form. TB 09 pcs 325 500 500 500 500 500 500 0
26 Form. TB 16 pcs 670 2,000 500 2000 500 500 2000 0
27 Sticker PIS PK pcs 150 8,000 8000 0 500 7500 0

JUMLAH
 Mengetahui
Kepala UPT Yankes Kes. Margaasih Bendahara Barang

dr Nita Emilia Thamrin Siti Hafsah Arifaini,AMKG

NIP. 19701203 200701 2 008 NIP. 19760330 199703 2 002
 NILAI SISA
MA RA
1,410,000 0
705,000 0
4,829,000 0
770,000 0
780,000 0
5,250,000 0
2,800,000 0
2,800,000 0
2,800,000 0
2,800,000 0
2,800,000 0
2,600,000 0
2,800,000 0
859,500 0
770,000 0
162,500 0
780,000 0
2,000,000 500000
317,500 0
1,340,000 0
1,525,000 762500
162,500 0
710,000 0
1,110,000 0
162,500 0
1,340,000 0
1,125,000 0
45,508,500 1,262,500
 STOK OFNAME BARANG CETAK BULAN OKTOBER TAHUN 2018
UPT YANKES MARGAASIH

SISA BLN YG LALU PENERIMAAN JUMLAH PENGELUARAN SISA

NO NAMA BARANG SATUAN HARGA SATUAN
MARGAASIH RAHAYU MARGAASIH RAHAYU MARGAASIH RAHAYU MARGAASIH RAHAYU MARGAASIH RAHAYU
1 Formulir Pencatatan Balita Sakit (1 se set 470 3000 0 3000 0 1,000 2000 0
2 Formulir Deteksi Tumbuh Kembang pcs 235 3000 0 3000 0 3000 0
3 Formulir Penjaringan Kesehatan Did pcs 241.45 20000 0 20000 0 20000 0
4 Kartu Status Peserta KB pcs 385 2000 0 2000 0 2000 0
5 Tata Laksana Balita Sakit Umur 2 Bu pcs 390 2000 0 2000 0 1,000 1000 0
6 Map Buku Medrek pcs 750 7000 0 7000 0 450 6550 0
7 Form. 01.00 pcs 400 7000 0 7000 0 2000 5000 0
8 Form. 01.02 pcs 400 7000 0 7000 0 1000 6000 0
9 Form. 01.03 pcs 400 7000 0 7000 0 100 6900 0
10 Form 03.00 pcs 400 7000 0 7000 0 1000 6000 0
11 Form 04.00 pcs 400 7000 0 7000 0 1000 6000 0
12 Form 05.01 pcs 400 6500 0 6500 0 500 6000 0
13 Form. 05.00 pcs 400 7000 0 7000 0 2000 5000 0
14 Bukti Pembayaran Puskesmas buku 8595 100 0 100 0 100 0
15 Form. TB 01 pcs 385 2000 0 2000 0 500 1500 0
16 Form TB 01 P pcs 325 500 0 500 0 500 0
17 Form. TB 02 pcs 390 2000 0 2000 0 500 1500 0
18 Form. TB 03 pcs 1000 2000 500 2000 500 100 1900 500
19 Form. TB 04 pcs 635 500 0 500 0 500 0 0
20 Form. TB 05 pcs 670 2000 0 2000 0 100 1900 0
21 Form. TB 06 pcs 1525 1000 500 1000 500 100 900 500
22 Form. TB 10 pcs 325 500 0 500 0 500 0
23 Form. TB 15 pcs 355 2000 0 2000 0 2000 0
24 Kartu Berobat pcs 185 6000 0 6000 0 6000 0
25 Form. TB 09 pcs 325 500 0 500 0 500 0
26 Form. TB 16 pcs 670 2000 0 2000 0 2000 0
27 Sticker PIS PK pcs 150 7500 0 7500 0 7500 0
JUMLAH
 Mengetahui
Kepala UPT Yankes Kes. Margaasih Bendahara Barang

dr Nita Emilia Thamrin Siti Hafsah Arifaini,AMKG

NIP. 19701203 200701 2 008 NIP. 19760330 199703 2 002
 NILAI SISA
MA RA
940,000 0
705,000 0
4,829,000 0
770,000 0
390,000 0
4,912,500 0
2,000,000 0
2,400,000 0
2,760,000 0
2,400,000 0
2,400,000 0
2,400,000 0
2,000,000 0
859,500 0
577,500 0
162,500 0
585,000 0
1,900,000 500000
- 0
1,273,000 0
1,372,500 762500
162,500 0
710,000 0
1,110,000 0
162,500 0
1,340,000 0
1,125,000 0
40,246,500 1,262,500
 STOK OFNAME BARANG CETAK BULAN NOVEMBER TAHUN 2018
UPT YANKES MARGAASIH

SISA BLN YG LALU PENERIMAAN JUMLAH PENGELUARAN SISA

NO NAMA BARANG SATUAN HARGA SATUAN
MARGAASIH RAHAYU MARGAASIH RAHAYU MARGAASIH RAHAYU MARGAASIH RAHAYU MARGAASIH RAHAYU
1 Formulir Pencatatan Balita Sakit (1 se set 470 2000 0 2000 0 2000 0
2 Formulir Deteksi Tumbuh Kembang pcs 235 3000 0 3000 0 3000 0
3 Formulir Penjaringan Kesehatan Did pcs 241.45 20000 0 20000 0 20000 0
4 Kartu Status Peserta KB pcs 385 2000 0 2000 0 2000 0
5 Tata Laksana Balita Sakit Umur 2 Bu pcs 390 1000 0 1000 0 1000 0
6 Map Buku Medrek pcs 750 6550 0 6550 0 300 6250 0
7 Form. 01.00 pcs 400 5000 0 5000 0 5000 0
8 Form. 01.02 pcs 400 6000 0 6000 0 1000 5000 0
9 Form. 01.03 pcs 400 6900 0 6900 0 6900 0
10 Form 03.00 pcs 400 6000 0 6000 0 6000 0
11 Form 04.00 pcs 400 6000 0 6000 0 6000 0
12 Form 05.01 pcs 400 6000 0 6000 0 6000 0
13 Form. 05.00 pcs 400 5000 0 5000 0 5000 0
14 Bukti Pembayaran Puskesmas buku 8595 100 0 100 0 100 0
15 Form. TB 01 pcs 385 1500 0 1500 0 1500 0
16 Form TB 01 P pcs 325 500 0 500 0 500 0
17 Form. TB 02 pcs 390 1500 0 1500 0 1500 0
18 Form. TB 03 pcs 1000 1900 500 1900 500 1900 500
19 Form. TB 04 pcs 635 0 0 0 0 0 0
20 Form. TB 05 pcs 670 1900 0 1900 0 1900 0
21 Form. TB 06 pcs 1525 900 500 900 500 900 500
22 Form. TB 10 pcs 325 500 0 500 0 500 0
23 Form. TB 15 pcs 355 2000 0 2000 0 2000 0
24 Kartu Berobat pcs 185 6000 0 6000 0 6000 0
25 Form. TB 09 pcs 325 500 0 500 0 500 0
26 Form. TB 16 pcs 670 2000 0 2000 0 2000 0
27 Sticker PIS PK pcs 150 7500 0 7500 0 1,500 6000 0
JUMLAH
 Mengetahui
Kepala UPT Yankes Kes. Margaasih Bendahara Barang

dr Nita Emilia Thamrin Siti Hafsah Arifaini,AMKG

NIP. 19701203 200701 2 008 NIP. 19760330 199703 2 002
 NILAI SISA
MA RA
940,000 0
705,000 0
4,829,000 0
770,000 0
390,000 0
4,687,500 0
2,000,000 0
2,000,000 0
2,760,000 0
2,400,000 0
2,400,000 0
2,400,000 0
2,000,000 0
859,500 0
577,500 0
162,500 0
585,000 0
1,900,000 500000
- 0
1,273,000 0
1,372,500 762500
162,500 0
710,000 0
1,110,000 0
162,500 0
1,340,000 0
900,000 0
39,396,500 1,262,500
 STOK OFNAME BARANG CETAK BULAN NOVEMBER TAHUN 2018
UPT YANKES MARGAASIH

SISA BLN YG LALU PENERIMAAN JUMLAH PENGELUARAN SISA NILAI SISA

NO NAMA BARANG SATUAN HARGA SATUAN
MARGAASIH RAHAYU MARGAASIH RAHAYU MARGAASIH RAHAYU MARGAASIH RAHAYU MARGAASIH RAHAYU MA
1 Formulir Pencatatan Balita Sakit (1 set isi 2 lbr) set 470 2000 0 2000 0 2000 0 940,000
2 Formulir Deteksi Tumbuh Kembang Anak pcs 235 3000 0 3000 0 3000 0 705,000
3 Formulir Penjaringan Kesehatan Didik pcs 241.45 20000 0 20000 0 20000 0 4,829,000
4 Kartu Status Peserta KB pcs 385 2000 0 2000 0 2000 0 770,000
5 Tata Laksana Balita Sakit Umur 2 Bulan pcs 390 1000 0 1000 0 1000 0 390,000
6 Map Buku Medrek pcs 750 6250 0 6250 0 6250 0 4,687,500
7 Form. 01.00 pcs 400 5000 0 5000 0 5000 0 2,000,000
8 Form. 01.02 pcs 400 5000 0 5000 0 5000 0 2,000,000
9 Form. 01.03 pcs 400 6900 0 6900 0 6900 0 2,760,000
10 Form 03.00 pcs 400 6000 0 6000 0 6000 0 2,400,000
11 Form 04.00 pcs 400 6000 0 6000 0 6000 0 2,400,000
12 Form 05.01 pcs 400 6000 0 6000 0 6000 0 2,400,000
13 Form. 05.00 pcs 400 5000 0 5000 0 5000 0 2,000,000
14 Bukti Pembayaran Puskesmas buku 8595 100 0 100 0 100 0 859,500
15 Form. TB 01 pcs 385 1500 0 1500 0 1500 0 577,500
16 Form TB 01 P pcs 325 500 0 500 0 500 0 162,500
17 Form. TB 02 pcs 390 1500 0 1500 0 1500 0 585,000
18 Form. TB 03 pcs 1000 1900 500 1900 500 1900 500 1,900,000
19 Form. TB 04 pcs 635 0 0 0 0 0 0 -
20 Form. TB 05 pcs 670 1900 0 1900 0 1900 0 1,273,000
21 Form. TB 06 pcs 1525 900 500 900 500 900 500 1,372,500
22 Form. TB 10 pcs 325 500 0 500 0 500 0 162,500
23 Form. TB 15 pcs 355 2000 0 2000 0 2000 0 710,000
24 Kartu Berobat pcs 185 6000 0 6000 0 6000 0 1,110,000
25 Form. TB 09 pcs 325 500 0 500 0 500 0 162,500
26 Form. TB 16 pcs 670 2000 0 2000 0 2000 0 1,340,000
27 Sticker PIS PK pcs 150 6000 0 6000 0 6000 0 900,000
JUMLAH 39,396,500
 Mengetahui
Kepala UPT Yankes Kes. Margaasih Bendahara Barang

dr Nita Emilia Thamrin Siti Hafsah Arifaini,AMKG

NIP. 19701203 200701 2 008 NIP. 19760330 199703 2 002
NILAI SISA
RA
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
500000
0
0
762500
0
0
0
0
0
0
1,262,500
 STOK OFNAME BARANG CETAK BULAN JANUARI TAHUN 2019
PUSKESMAS MARGAASIH

NO NAMA BARANG SATUAN HARGA SATUAN SISA BLN YG LALU PENERIMAAN

1 Formulir Pencatatan Balita Sakit (1 set isi 2 lbr) set 470 2000
2 Formulir Deteksi Tumbuh Kembang Anak pcs 235 3000
3 Formulir Penjaringan Kesehatan Didik pcs 241.45 20000
4 Kartu Status Peserta KB pcs 385 2000
5 Tata Laksana Balita Sakit Umur 2 Bulan pcs 390 1000
6 Map Buku Medrek pcs 750 6250
7 Form. 01.00 pcs 400 5000
8 Form. 01.02 pcs 400 5000
9 Form. 01.03 pcs 400 6900
10 Form 03.00 pcs 400 6000
11 Form 04.00 pcs 400 6000
12 Form 05.01 pcs 400 6000
13 Form. 05.00 pcs 400 5000
14 Bukti Pembayaran Puskesmas buku 8595 100
15 Form. TB 01 pcs 385 1500
16 Form TB 01 P pcs 325 500
17 Form. TB 02 pcs 390 1500
18 Form. TB 03 pcs 1000 1900
19 Form. TB 04 pcs 635 0
20 Form. TB 05 pcs 670 1900
21 Form. TB 06 pcs 1525 900
22 Form. TB 10 pcs 325 500
23 Form. TB 15 pcs 355 2000
24 Kartu Berobat pcs 185 6000
25 Form. TB 09 pcs 325 500
26 Form. TB 16 pcs 670 2000
27 Sticker PIS PK pcs 150 6000
JUMLAH

Mengetahui
Kepala UPT Yankes Kes. Margaasih

dr Nita Emilia Thamrin

NIP. 19701203 200701 2 008
RI TAHUN 2019

JUMLAH PENGELUARAN SISA NILAI SISA

2000 2000 940,000

3000 3000 705,000
20000 20000 4,829,000
2000 2000 770,000
1000 1000 390,000
6250 6250 4,687,500
5000 5000 2,000,000
5000 5000 2,000,000
6900 6900 2,760,000
6000 6000 2,400,000
6000 6000 2,400,000
6000 6000 2,400,000
5000 5000 2,000,000
100 100 859,500
1500 1500 577,500
500 500 162,500
1500 1500 585,000
1900 1900 1,900,000
0 0 -
1900 1900 1,273,000
900 900 1,372,500
500 500 162,500
2000 2000 710,000
6000 6000 1,110,000
500 500 162,500
2000 2000 1,340,000
6000 6000 900,000
39,396,500

Bendahara Barang

Siti Hafsah Arifaini,AMKG

NIP. 19760330 199703 2 002