LAPORAN PERSEDIAAN BAHAN KIMIA

DINAS KESEHATAN KAB. LUMAJANG

PUSKESMAS SUKODONO
UNTUK PERIODE TAHUN 2022

Saldo Awal 01 Januari 2022 Pengadaan 01 Januari - 31 Januari 2022 Penggunaan 01 Januari - 31 Januari 2022 Saldo Akhir 31 Januari 2022

Nilai Persediaan Harga Nilai Persediaan Harga Harga Sisa Nilai

No. Nama Persediaan Jumlah Harga/Satuan Jumlah Jumlah Nilai Penggunaan Jumlah Ket.
Satuan Awal Satuan /Satuan Awal Satuan /Satuan Satuan /Satuan Persediaan
Barang Barang Barang Barang
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
1 Anti A Monoklonal (reagen golongan darah) 2 Botol 132,000 264,000 - Botol 132,000 - - Botol 132,000 - 2 Botol 132,000 264,000
2 Anti AB Monoklonal (Reagen Gol darah) 3 Botol 132,000 396,000 - Botol 132,000 - 1 Botol 132,000 132,000 2 Botol 132,000 264,000
3 Anti B Monoklonal (Reagen Gol darah) 3 Botol 132,000 396,000 - Botol 132,000 - - Botol 132,000 - 3 Botol 132,000 396,000
4 Anti D monoklonal (Reagen Gol darah) 1 Botol 246,400 246,400 - Botol 246,400 - - Botol 246,400 - 1 Botol 246,400 246,400
5 Blood lancet Single Use isi 200 10 bok 75,000 750,000 - bok 75,000 - - bok 75,000 - 10 bok 75,000 750,000
6 Cat Giemsa 50ml 1 Botol 246,400 246,400 - Botol 246,400 - - Botol 246,400 - 1 Botol 246,400 246,400
7 Mytic 18 Cianide free Llytik soll 1 Botol 3,168,000 3,168,000 - Botol 3,168,000 - - Botol 3,168,000 - 1 Botol 3,168,000 3,168,000
8 Mytic 18 Diluent 2 Botol 2,640,000 5,280,000 - Botol 2,640,000 - - Botol 2,640,000 - 2 Botol 2,640,000 5,280,000
9 Oil Imersi 2 Botol 462,000 924,000 - Botol 462,000 - - Botol 462,000 - 2 Botol 462,000 924,000
10 Parafilm 1 pcs 593,450 593,450 - pcs 593,450 - - pcs 593,450 - 1 pcs 593,450 593,450
11 Stick Cholesterol 14 tube 320,000 4,480,000 - tube 320,000 - 1 tube 320,000 320,000 13 tube 320,000 4,160,000
12 Stick UA 21 tube 190,000 3,990,000 - tube 190,000 - - tube 190,000 - 21 tube 190,000 3,990,000
13 STIK GDA 22 tube 190,000 4,180,000 - tube 190,000 - 1 tube 190,000 190,000 21 tube 190,000 3,990,000
14 stik hb Easy Touch 4 tube 298,500 1,194,000 - tube 298,500 - - tube 298,500 - 4 tube 298,500 1,194,000
15 Widal Paratyphi A 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000
16 Widal Paratyphi B 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000
17 Widal Typhi H 1 Botol 159,500 159,500 - Botol 159,500 - - Botol 159,500 - 1 Botol 159,500 159,500
18 Widal Typhi O 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000

94 27,224,750 - - 3 642,000 91 26,582,750

Lumajang, 31 Januari 2022

Mengetahui, Pengurus Barang

UPT. Kepala Puskesmas Sukodono UPT. Puskesmas Sukodono

dr. Rina Yulya Agustin Yessy Gladiani Sutrisno

NIP. 19800814 201001 2 016 NIP. 19950701 202012 2 011
 LAPORAN PERSEDIAAN BAHAN KIMIA
DINAS KESEHATAN KAB. LUMAJANG
PUSKESMAS SUKODONO
UNTUK PERIODE TAHUN 2022

Saldo Awal 01 Februari 2022 Pengadaan 01 Februari - 28 Februari 2022 Penggunaan 01 Februari - 28 Februari 2022 Saldo Akhir 28 Februari 2022

Nilai Persediaan Harga Nilai Persediaan Harga Harga Sisa Nilai

No. Nama Persediaan Jumlah Harga/Satuan Jumlah Jumlah Nilai Penggunaan Jumlah Ket.
Satuan Awal Satuan /Satuan Awal Satuan /Satuan Satuan /Satuan Persediaan
Barang Barang Barang Barang
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
1 Anti A Monoklonal (reagen golongan darah) 2 Botol 132,000 264,000 - Botol 132,000 - - Botol 132,000 - 2 Botol 132,000 264,000
2 Anti AB Monoklonal (Reagen Gol darah) 2 Botol 132,000 264,000 - Botol 132,000 - - Botol 132,000 - 2 Botol 132,000 264,000
3 Anti B Monoklonal (Reagen Gol darah) 3 Botol 132,000 396,000 - Botol 132,000 - - Botol 132,000 - 3 Botol 132,000 396,000
4 Anti D monoklonal (Reagen Gol darah) 1 Botol 246,400 246,400 - Botol 246,400 - - Botol 246,400 - 1 Botol 246,400 246,400
5 Blood lancet Single Use isi 200 10 bok 75,000 750,000 - bok 75,000 - - bok 75,000 - 10 bok 75,000 750,000
6 Cat Giemsa 50ml 1 Botol 246,400 246,400 - Botol 246,400 - - Botol 246,400 - 1 Botol 246,400 246,400
7 Mytic 18 Cianide free Llytik soll 1 Botol 3,168,000 3,168,000 - Botol 3,168,000 - - Botol 3,168,000 - 1 Botol 3,168,000 3,168,000
8 Mytic 18 Diluent 2 Botol 2,640,000 5,280,000 - Botol 2,640,000 - - Botol 2,640,000 - 2 Botol 2,640,000 5,280,000
9 Oil Imersi 2 Botol 462,000 924,000 - Botol 462,000 - - Botol 462,000 - 2 Botol 462,000 924,000
10 Parafilm 1 pcs 593,450 593,450 - pcs 593,450 - 1 pcs 593,450 593,450 - pcs 593,450 -
11 Stick Cholesterol 13 tube 320,000 4,160,000 - tube 320,000 - 7 tube 320,000 2,240,000 6 tube 320,000 1,920,000
12 Stick UA 21 tube 190,000 3,990,000 - tube 190,000 - - tube 190,000 - 21 tube 190,000 3,990,000
13 STIK GDA 21 tube 190,000 3,990,000 - tube 190,000 - - tube 190,000 - 21 tube 190,000 3,990,000
14 stik hb Easy Touch 4 tube 298,500 1,194,000 - tube 298,500 - 2 tube 298,500 597,000 2 tube 298,500 597,000
15 Widal Paratyphi A 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000
16 Widal Paratyphi B 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000
17 Widal Typhi H 1 Botol 159,500 159,500 - Botol 159,500 - - Botol 159,500 - 1 Botol 159,500 159,500
18 Widal Typhi O 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000

91 26,582,750 - - 10 3,430,450 81 23,152,300

Lumajang, 28 Februari 2022

Mengetahui, Pengurus Barang

UPT. Kepala Puskesmas Sukodono UPT. Puskesmas Sukodono

dr. Rina Yulya Agustin Yessy Gladiani Sutrisno

NIP. 19800814 201001 2 016 NIP. 19950701 202012 2 011
 LAPORAN PERSEDIAAN BAHAN KIMIA
DINAS KESEHATAN KAB. LUMAJANG
PUSKESMAS SUKODONO
UNTUK PERIODE TAHUN 2022

Saldo Awal 01 Maret 2022 Pengadaan 01 Maret - 03 Maret 2022 Penggunaan 01 Maret - 03 Maret 2022 Saldo Akhir 03 Maret 2022

Nilai Persediaan Harga Nilai Persediaan Harga Harga Sisa Nilai

No. Nama Persediaan Jumlah Harga/Satuan Jumlah Jumlah Nilai Penggunaan Jumlah Ket.
Satuan Awal Satuan /Satuan Awal Satuan /Satuan Satuan /Satuan Persediaan
Barang Barang Barang Barang
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
1 Anti A Monoklonal (reagen golongan darah) 2 Botol 132,000 264,000 - Botol 132,000 - - Botol 132,000 - 2 Botol 132,000 264,000
2 Anti AB Monoklonal (Reagen Gol darah) 2 Botol 132,000 264,000 - Botol 132,000 - - Botol 132,000 - 2 Botol 132,000 264,000
3 Anti B Monoklonal (Reagen Gol darah) 3 Botol 132,000 396,000 - Botol 132,000 - - Botol 132,000 - 3 Botol 132,000 396,000
4 Anti D monoklonal (Reagen Gol darah) 1 Botol 246,400 246,400 - Botol 246,400 - - Botol 246,400 - 1 Botol 246,400 246,400
5 Blood lancet Single Use isi 200 10 bok 75,000 750,000 - bok 75,000 - - bok 75,000 - 10 bok 75,000 750,000
6 Cat Giemsa 50ml 1 Botol 246,400 246,400 - Botol 246,400 - - Botol 246,400 - 1 Botol 246,400 246,400
7 Mytic 18 Cianide free Llytik soll 1 Botol 3,168,000 3,168,000 - Botol 3,168,000 - - Botol 3,168,000 - 1 Botol 3,168,000 3,168,000
8 Mytic 18 Diluent 2 Botol 2,640,000 5,280,000 - Botol 2,640,000 - - Botol 2,640,000 - 2 Botol 2,640,000 5,280,000
9 Oil Imersi 2 Botol 462,000 924,000 - Botol 462,000 - - Botol 462,000 - 2 Botol 462,000 924,000
10 Parafilm - pcs 593,450 - - pcs 593,450 - - pcs 593,450 - - pcs 593,450 -
11 Stick Cholesterol 6 tube 320,000 1,920,000 - tube 320,000 - - tube 320,000 - 6 tube 320,000 1,920,000
12 Stick UA 21 tube 190,000 3,990,000 - tube 190,000 - - tube 190,000 - 21 tube 190,000 3,990,000
13 STIK GDA 21 tube 190,000 3,990,000 - tube 190,000 - - tube 190,000 - 21 tube 190,000 3,990,000
14 stik hb Easy Touch 2 tube 298,500 597,000 - tube 298,500 - - tube 298,500 - 2 tube 298,500 597,000
15 Widal Paratyphi A 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000
16 Widal Paratyphi B 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000
17 Widal Typhi H 1 Botol 159,500 159,500 - Botol 159,500 - - Botol 159,500 - 1 Botol 159,500 159,500
18 Widal Typhi O 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000

81 23,152,300 - - - - 81 23,152,300

Lumajang, 03 Maret 2022

Mengetahui, Pengurus Barang

UPT. Kepala Puskesmas Sukodono UPT. Puskesmas Sukodono

dr. Rina Yulya Agustin Yessy Gladiani Sutrisno

NIP. 19800814 201001 2 016 NIP. 19950701 202012 2 011
 LAPORAN PERSEDIAAN BAHAN KIMIA
DINAS KESEHATAN KAB. LUMAJANG
PUSKESMAS SUKODONO
UNTUK PERIODE TAHUN 2022

Saldo Awal 01 Januari 2022 Pengadaan 01 Januari - 03 Maret 2022 Penggunaan 01 Januari - 03 Maret 2022 Saldo Akhir 03 Maret 2022

Nilai Persediaan Harga Nilai Persediaan Harga Harga Sisa Nilai

No. Nama Persediaan Jumlah Harga/Satuan Jumlah Jumlah Nilai Penggunaan Jumlah Ket.
Satuan Awal Satuan /Satuan Awal Satuan /Satuan Satuan /Satuan Persediaan
Barang Barang Barang Barang
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
1 Anti A Monoklonal (reagen golongan darah) 2 Botol 132,000 264,000 - Botol 132,000 - - Botol 132,000 - 2 Botol 132,000 264,000
2 Anti AB Monoklonal (Reagen Gol darah) 3 Botol 132,000 396,000 - Botol 132,000 - 1 Botol 132,000 132,000 2 Botol 132,000 264,000
3 Anti B Monoklonal (Reagen Gol darah) 3 Botol 132,000 396,000 - Botol 132,000 - - Botol 132,000 - 3 Botol 132,000 396,000
4 Anti D monoklonal (Reagen Gol darah) 1 Botol 246,400 246,400 - Botol 246,400 - - Botol 246,400 - 1 Botol 246,400 246,400
5 Blood lancet Single Use isi 200 10 bok 75,000 750,000 - bok 75,000 - - bok 75,000 - 10 bok 75,000 750,000
6 Cat Giemsa 50ml 1 Botol 246,400 246,400 - Botol 246,400 - - Botol 246,400 - 1 Botol 246,400 246,400
7 Mytic 18 Cianide free Llytik soll 1 Botol 3,168,000 3,168,000 - Botol 3,168,000 - - Botol 3,168,000 - 1 Botol 3,168,000 3,168,000
8 Mytic 18 Diluent 2 Botol 2,640,000 5,280,000 - Botol 2,640,000 - - Botol 2,640,000 - 2 Botol 2,640,000 5,280,000
9 Oil Imersi 2 Botol 462,000 924,000 - Botol 462,000 - - Botol 462,000 - 2 Botol 462,000 924,000
10 Parafilm 1 pcs 593,450 593,450 - pcs 593,450 - 1 pcs 593,450 593,450 - pcs 593,450 -
11 Stick Cholesterol 14 tube 320,000 4,480,000 - tube 320,000 - 8 tube 320,000 2,560,000 6 tube 320,000 1,920,000
12 Stick UA 21 tube 190,000 3,990,000 - tube 190,000 - - tube 190,000 - 21 tube 190,000 3,990,000
13 STIK GDA 22 tube 190,000 4,180,000 - tube 190,000 - 1 tube 190,000 190,000 21 tube 190,000 3,990,000
14 stik hb Easy Touch 4 tube 298,500 1,194,000 - tube 298,500 - 2 tube 298,500 597,000 2 tube 298,500 597,000
15 Widal Paratyphi A 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000
16 Widal Paratyphi B 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000
17 Widal Typhi H 1 Botol 159,500 159,500 - Botol 159,500 - - Botol 159,500 - 1 Botol 159,500 159,500
18 Widal Typhi O 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000

94 27,224,750 - - 13 4,072,450 81 23,152,300

Lumajang, 03 Maret 2022

Mengetahui, Pengurus Barang

UPT. Kepala Puskesmas Sukodono UPT. Puskesmas Sukodono

dr. Rina Yulya Agustin Yessy Gladiani Sutrisno

NIP. 19800814 201001 2 016 NIP. 19950701 202012 2 011
 LAPORAN PERSEDIAAN BAHAN KIMIA
DINAS KESEHATAN KAB. LUMAJANG
PUSKESMAS SUKODONO
UNTUK PERIODE TAHUN 2022

Saldo Awal 04 Maret 2022 Pengadaan 04 Maret - 31 Maret 2022 Penggunaan 04 Maret - 31 Maret 2022 Saldo Akhir 31 Maret 2022

Nilai Persediaan Harga Nilai Persediaan Harga Harga Sisa Nilai

No. Nama Persediaan Jumlah Harga/Satuan Jumlah Jumlah Nilai Penggunaan Jumlah Ket.
Satuan Awal Satuan /Satuan Awal Satuan /Satuan Satuan /Satuan Persediaan
Barang Barang Barang Barang
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
1 Anti A Monoklonal (reagen golongan darah) 2 Botol 132,000 264,000 - Botol 132,000 - - Botol 132,000 - 2 Botol 132,000 264,000
2 Anti AB Monoklonal (Reagen Gol darah) 2 Botol 132,000 264,000 - Botol 132,000 - - Botol 132,000 - 2 Botol 132,000 264,000
3 Anti B Monoklonal (Reagen Gol darah) 3 Botol 132,000 396,000 - Botol 132,000 - - Botol 132,000 - 3 Botol 132,000 396,000
4 Anti D monoklonal (Reagen Gol darah) 1 Botol 246,400 246,400 - Botol 246,400 - - Botol 246,400 - 1 Botol 246,400 246,400
5 Blood lancet Single Use isi 200 10 bok 75,000 750,000 - bok 75,000 - 2 bok 75,000 150,000 8 bok 75,000 600,000
6 Cat Giemsa 50ml 1 Botol 246,400 246,400 - Botol 246,400 - - Botol 246,400 - 1 Botol 246,400 246,400
7 Mytic 18 Cianide free Llytik soll 1 Botol 3,168,000 3,168,000 - Botol 3,168,000 - - Botol 3,168,000 - 1 Botol 3,168,000 3,168,000
8 Mytic 18 Diluent 2 Botol 2,640,000 5,280,000 - Botol 2,640,000 - - Botol 2,640,000 - 2 Botol 2,640,000 5,280,000
9 Oil Imersi 2 Botol 462,000 924,000 - Botol 462,000 - - Botol 462,000 - 2 Botol 462,000 924,000
10 Parafilm - pcs 593,450 - - pcs 593,450 - - pcs 593,450 - - pcs 593,450 -
11 Stick Cholesterol 6 tube 320,000 1,920,000 - tube 320,000 - 4 tube 320,000 1,280,000 2 tube 320,000 640,000
12 Stick UA 21 tube 190,000 3,990,000 - tube 190,000 - - tube 190,000 - 21 tube 190,000 3,990,000
13 STIK GDA 21 tube 190,000 3,990,000 - tube 190,000 - - tube 190,000 - 21 tube 190,000 3,990,000
14 stik hb Easy Touch 2 tube 298,500 597,000 - tube 298,500 - 1 tube 298,500 298,500 1 tube 298,500 298,500
15 Widal Paratyphi A 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000
16 Widal Paratyphi B 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000
17 Widal Typhi H 1 Botol 159,500 159,500 - Botol 159,500 - - Botol 159,500 - 1 Botol 159,500 159,500
18 Widal Typhi O 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000

81 23,152,300 - - 7 1,728,500 74 21,423,800

Lumajang, 31 Maret 2022

Mengetahui, Pengurus Barang

UPT. Kepala Puskesmas Sukodono UPT. Puskesmas Sukodono

dr. Rina Yulya Agustin Yessy Gladiani Sutrisno

NIP. 19800814 201001 2 016 NIP. 19950701 202012 2 011
 LAPORAN PERSEDIAAN BAHAN KIMIA
DINAS KESEHATAN KAB. LUMAJANG
PUSKESMAS SUKODONO
UNTUK PERIODE TAHUN 2022

Saldo Awal 01 April 2022 Pengadaan 01 April - 30 April 2022 Penggunaan 01 April - 30 April 2022 Saldo Akhir 30 April 2022

Nilai Persediaan Harga Nilai Persediaan Harga Harga Sisa Nilai

No. Nama Persediaan Jumlah Harga/Satuan Jumlah Jumlah Nilai Penggunaan Jumlah Ket.
Satuan Awal Satuan /Satuan Awal Satuan /Satuan Satuan /Satuan Persediaan
Barang Barang Barang Barang
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
1 Anti A Monoklonal (reagen golongan darah) 2 Botol 132,000 264,000 - Botol 132,000 - - Botol 132,000 - 2 Botol 132,000 264,000
2 Anti AB Monoklonal (Reagen Gol darah) 2 Botol 132,000 264,000 - Botol 132,000 - - Botol 132,000 - 2 Botol 132,000 264,000
3 Anti B Monoklonal (Reagen Gol darah) 3 Botol 132,000 396,000 - Botol 132,000 - - Botol 132,000 - 3 Botol 132,000 396,000
4 Anti D monoklonal (Reagen Gol darah) 1 Botol 246,400 246,400 - Botol 246,400 - - Botol 246,400 - 1 Botol 246,400 246,400
5 Blood lancet Single Use isi 200 8 bok 75,000 600,000 - bok 75,000 - 1 bok 75,000 75,000 7 bok 75,000 525,000
6 Cat Giemsa 50ml 1 Botol 246,400 246,400 - Botol 246,400 - - Botol 246,400 - 1 Botol 246,400 246,400
7 Mytic 18 Cianide free Llytik soll 1 Botol 3,168,000 3,168,000 - Botol 3,168,000 - - Botol 3,168,000 - 1 Botol 3,168,000 3,168,000
8 Mytic 18 Diluent 2 Botol 2,640,000 5,280,000 - Botol 2,640,000 - - Botol 2,640,000 - 2 Botol 2,640,000 5,280,000
9 Oil Imersi 2 Botol 462,000 924,000 - Botol 462,000 - - Botol 462,000 - 2 Botol 462,000 924,000
10 Parafilm - pcs 593,450 - - pcs 593,450 - - pcs 593,450 - - pcs 593,450 -
11 Stick Cholesterol 2 tube 320,000 640,000 - tube 320,000 - 2 tube 320,000 640,000 - tube 320,000 -
12 Stick UA 21 tube 190,000 3,990,000 - tube 190,000 - 1 tube 190,000 190,000 20 tube 190,000 3,800,000
13 STIK GDA 21 tube 190,000 3,990,000 - tube 190,000 - 4 tube 190,000 760,000 17 tube 190,000 3,230,000
14 stik hb Easy Touch 1 tube 298,500 298,500 - tube 298,500 - 1 tube 298,500 298,500 - tube 298,500 -
15 Widal Paratyphi A 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000
16 Widal Paratyphi B 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000
17 Widal Typhi H 1 Botol 159,500 159,500 - Botol 159,500 - - Botol 159,500 - 1 Botol 159,500 159,500
18 Widal Typhi O 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000

74 21,423,800 - - 9 1,963,500 65 19,460,300

Lumajang, 30 April 2022

Mengetahui, Pengurus Barang

UPT. Kepala Puskesmas Sukodono UPT. Puskesmas Sukodono

dr. Rina Yulya Agustin Yessy Gladiani Sutrisno

NIP. 19800814 201001 2 016 NIP. 19950701 202012 2 011
 LAPORAN PERSEDIAAN BAHAN KIMIA
DINAS KESEHATAN KAB. LUMAJANG
PUSKESMAS SUKODONO
UNTUK PERIODE TAHUN 2022

Saldo Awal 01 Mei 2022 Pengadaan 01 Mei - 31 Mei 2022 Penggunaan 01 Mei - 31 Mei 2022 Saldo Akhir 31 Mei 2022

Nilai Persediaan Harga Nilai Persediaan Harga Harga Sisa Nilai

No. Nama Persediaan Jumlah Harga/Satuan Jumlah Jumlah Nilai Penggunaan Jumlah Ket.
Satuan Awal Satuan /Satuan Awal Satuan /Satuan Satuan /Satuan Persediaan
Barang Barang Barang Barang
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
1 Anti A Monoklonal (reagen golongan darah) 2 Botol 132,000 264,000 - Botol 132,000 - - Botol 132,000 - 2 Botol 132,000 264,000
2 Anti AB Monoklonal (Reagen Gol darah) 2 Botol 132,000 264,000 - Botol 132,000 - - Botol 132,000 - 2 Botol 132,000 264,000
3 Anti B Monoklonal (Reagen Gol darah) 3 Botol 132,000 396,000 - Botol 132,000 - - Botol 132,000 - 3 Botol 132,000 396,000
4 Anti D monoklonal (Reagen Gol darah) 1 Botol 246,400 246,400 - Botol 246,400 - - Botol 246,400 - 1 Botol 246,400 246,400
5 Blood lancet Single Use isi 200 7 bok 75,000 525,000 - bok 75,000 - 1 bok 75,000 75,000 6 bok 75,000 450,000
6 Cat Giemsa 50ml 1 Botol 246,400 246,400 - Botol 246,400 - - Botol 246,400 - 1 Botol 246,400 246,400
7 Mytic 18 Cianide free Llytik soll 1 Botol 3,168,000 3,168,000 - Botol 3,168,000 - - Botol 3,168,000 - 1 Botol 3,168,000 3,168,000
8 Mytic 18 Diluent 2 Botol 2,640,000 5,280,000 - Botol 2,640,000 - - Botol 2,640,000 - 2 Botol 2,640,000 5,280,000
9 Oil Imersi 2 Botol 462,000 924,000 - Botol 462,000 - - Botol 462,000 - 2 Botol 462,000 924,000
10 Parafilm - pcs 593,450 - - pcs 593,450 - - pcs 593,450 - - pcs 593,450 -
11 Stick Cholesterol - tube 320,000 - - tube 320,000 - - tube 320,000 - - tube 320,000 -
12 Stick UA 20 tube 190,000 3,800,000 - tube 190,000 - 1 tube 190,000 190,000 19 tube 190,000 3,610,000
13 STIK GDA 17 tube 190,000 3,230,000 - tube 190,000 - 3 tube 190,000 570,000 14 tube 190,000 2,660,000
14 stik hb Easy Touch - tube 298,500 - - tube 298,500 - - tube 298,500 - - tube 298,500 -
15 Widal Paratyphi A 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000
16 Widal Paratyphi B 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000
17 Widal Typhi H 1 Botol 159,500 159,500 - Botol 159,500 - - Botol 159,500 - 1 Botol 159,500 159,500
18 Widal Typhi O 2 Botol 159,500 319,000 - Botol 159,500 - - Botol 159,500 - 2 Botol 159,500 319,000

65 19,460,300 - - 5 835,000 60 18,625,300

Lumajang, 31 Mei 2022

Mengetahui, Pengurus Barang

UPT. Kepala Puskesmas Sukodono UPT. Puskesmas Sukodono

dr. Rina Yulya Agustin Yessy Gladiani Sutrisno

NIP. 19800814 201001 2 016 NIP. 19950701 202012 2 011
 LAPORAN PERSEDIAAN BAHAN KIMIA
DINAS KESEHATAN KAB. LUMAJANG
PUSKESMAS SUKODONO
UNTUK PERIODE TAHUN 2022

Saldo Awal 01 Juni 2022 Pengadaan 01 Juni - 30 Juni 2022 Penggunaan 01 Juni - 30 Juni 2022 Saldo Akhir 30 Juni 2022

Nilai Persediaan Harga Nilai Persediaan Harga Harga Sisa Nilai

No. Nama Persediaan Jumlah Harga/Satuan Jumlah Jumlah Nilai Penggunaan Jumlah Ket.
Satuan Awal Satuan /Satuan Awal Satuan /Satuan Satuan /Satuan Persediaan
Barang Barang Barang Barang
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
1 Anti A Monoklonal (reagen golongan darah) 2 Botol 132,000 264,000 1 Botol 133,200 133,200 - Botol 133,200 - 3 Botol 133,200 399,600
2 Anti AB Monoklonal (Reagen Gol darah) 2 Botol 132,000 264,000 1 Botol 133,200 133,200 1 Botol 133,200 133,200 2 Botol 133,200 266,400
3 Anti B Monoklonal (Reagen Gol darah) 3 Botol 132,000 396,000 1 Botol 133,200 133,200 1 Botol 133,200 133,200 3 Botol 133,200 399,600
4 Anti D monoklonal (Reagen Gol darah) 1 Botol 246,400 246,400 1 Botol 270,840 270,840 - Botol 270,840 - 2 Botol 270,840 541,680
5 Blood lancet Single Use isi 200 6 bok 75,000 450,000 - bok 75,000 - 1 bok 75,000 75,000 5 bok 75,000 375,000
6 Cat Giemsa 50ml 1 Botol 246,400 246,400 1 Botol 435,600 435,600 - Botol 435,600 - 2 Botol 435,600 871,200
7 Hematology Cleaner - Botol 666,000 - 2 Botol 666,000 1,332,000 1 Botol 666,000 666,000 1 Botol 666,000 666,000
8 Mytic 18 Cianide free Llytik soll 1 Botol 3,168,000 3,168,000 3 Botol 3,196,800 9,590,400 - Botol 3,196,800 - 4 Botol 3,196,800 12,787,200
9 Mytic 18 Diluent 2 Botol 2,640,000 5,280,000 4 Botol 2,664,000 10,656,000 - Botol 2,664,000 - 6 Botol 2,664,000 15,984,000
10 Mytic 18/22 Enzymatic Cleaner - Botol 2,220,000 - 4 Botol 2,220,000 8,880,000 - Botol 2,220,000 - 4 Botol 2,220,000 8,880,000
11 Oil Imersi 2 Botol 462,000 924,000 1 Botol 594,960 594,960 - Botol 594,960 - 3 Botol 594,960 1,784,880
12 Parafilm - pcs 593,450 - - pcs 593,450 - - pcs 593,450 - - pcs 593,450 -
13 Stick Cholesterol - tube 320,000 - - tube 320,000 - - tube 320,000 - - tube 320,000 -
14 Stick UA 19 tube 190,000 3,610,000 - tube 190,000 - 2 tube 190,000 380,000 17 tube 190,000 3,230,000
15 STIK GDA 14 tube 190,000 2,660,000 - tube 190,000 - 4 tube 190,000 760,000 10 tube 190,000 1,900,000
16 stik hb Easy Touch - tube 298,500 - - tube 298,500 - - tube 298,500 - - tube 298,500 -
17 Widal Paratyphi A 2 Botol 159,500 319,000 2 Botol 160,950 321,900 - Botol 160,950 - 4 Botol 160,950 643,800
18 Widal Paratyphi B 2 Botol 159,500 319,000 2 Botol 160,950 321,900 - Botol 160,950 - 4 Botol 160,950 643,800
19 Widal Typhi H 1 Botol 159,500 159,500 2 Botol 160,950 321,900 - Botol 160,950 - 3 Botol 160,950 482,850
20 Widal Typhi O 2 Botol 159,500 319,000 2 Botol 160,950 321,900 - Botol 160,950 - 4 Botol 160,950 643,800

60 18,625,300 27 33,447,000 10 2,147,400 77 50,499,810

Lumajang, 30 Juni 2022

Mengetahui, Pengurus Barang

UPT. Kepala Puskesmas Sukodono UPT. Puskesmas Sukodono

dr. Rina Yulya Agustin Yessy Gladiani Sutrisno

NIP. 19800814 201001 2 016 NIP. 19950701 202012 2 011
 LAPORAN PERSEDIAAN BAHAN KIMIA
DINAS KESEHATAN KAB. LUMAJANG
PUSKESMAS SUKODONO
UNTUK PERIODE TAHUN 2022

Saldo Awal 01 Juli 2022 Pengadaan 01 Juli - 31 Juli 2022 Penggunaan 01 Juli - 31 Juli 2022 Saldo Akhir 31 Juli 2022

Nilai Persediaan Harga Nilai Persediaan Harga Harga Sisa Nilai

No. Nama Persediaan Jumlah Harga/Satuan Jumlah Jumlah Nilai Penggunaan Jumlah Ket.
Satuan Awal Satuan /Satuan Awal Satuan /Satuan Satuan /Satuan Persediaan
Barang Barang Barang Barang
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
1 Anti A Monoklonal (reagen golongan darah) 3 Botol 133,200 399,600 - Botol 133,200 - - Botol 133,200 - 3 Botol 133,200 399,600
2 Anti AB Monoklonal (Reagen Gol darah) 2 Botol 133,200 266,400 - Botol 133,200 - - Botol 133,200 - 2 Botol 133,200 266,400
3 Anti B Monoklonal (Reagen Gol darah) 3 Botol 133,200 399,600 - Botol 133,200 - - Botol 133,200 - 3 Botol 133,200 399,600
4 Anti D monoklonal (Reagen Gol darah) 2 Botol 270,840 541,680 - Botol 270,840 - - Botol 270,840 - 2 Botol 270,840 541,680
5 Blood lancet Single Use isi 200 5 bok 75,000 375,000 - bok 75,000 - 1 bok 75,000 75,000 4 bok 75,000 300,000
6 Cat Giemsa 50ml 2 Botol 435,600 871,200 - Botol 435,600 - - Botol 435,600 - 2 Botol 435,600 871,200
7 Hematology Cleaner 1 Botol 666,000 666,000 - Botol 666,000 - - Botol 666,000 - 1 Botol 666,000 666,000
8 Mytic 18 Cianide free Llytik soll 4 Botol 3,196,800 12,787,200 - Botol 3,196,800 - - Botol 3,196,800 - 4 Botol 3,196,800 12,787,200
9 Mytic 18 Diluent 6 Botol 2,664,000 15,984,000 - Botol 2,664,000 - - Botol 2,664,000 - 6 Botol 2,664,000 15,984,000
10 Mytic 18/22 Enzymatic Cleaner 4 Botol 2,220,000 8,880,000 - Botol 2,220,000 - 2 Botol 2,220,000 4,440,000 2 Botol 2,220,000 4,440,000
11 Oil Imersi 3 Botol 594,960 1,784,880 - Botol 594,960 - - Botol 594,960 - 3 Botol 594,960 1,784,880
12 Parafilm - pcs 593,450 - - pcs 593,450 - - pcs 593,450 - - pcs 593,450 -
13 Stick Cholesterol - tube 320,000 - - tube 320,000 - - tube 320,000 - - tube 320,000 -
14 Stick UA 17 tube 190,000 3,230,000 - tube 190,000 - 1 tube 190,000 190,000 16 tube 190,000 3,040,000
15 STIK GDA 10 tube 190,000 1,900,000 - tube 190,000 - - tube 190,000 - 10 tube 190,000 1,900,000
16 stik hb Easy Touch - tube 298,500 - - tube 298,500 - - tube 298,500 - - tube 298,500 -
17 Widal Paratyphi A 4 Botol 160,950 643,800 - Botol 160,950 - 1 Botol 160,950 160,950 3 Botol 160,950 482,850
18 Widal Paratyphi B 4 Botol 160,950 643,800 - Botol 160,950 - - Botol 160,950 - 4 Botol 160,950 643,800
19 Widal Typhi H 3 Botol 160,950 482,850 - Botol 160,950 - - Botol 160,950 - 3 Botol 160,950 482,850
20 Widal Typhi O 4 Botol 160,950 643,800 - Botol 160,950 - 1 Botol 160,950 160,950 3 Botol 160,950 482,850

77 50,499,810 - - 6 5,026,900 71 45,472,910

Lumajang, 31 Juli 2022

Mengetahui, Pengurus Barang

UPT. Kepala Puskesmas Sukodono UPT. Puskesmas Sukodono

dr. Rina Yulya Agustin Yessy Gladiani Sutrisno

NIP. 19800814 201001 2 016 NIP. 19950701 202012 2 011
 LAPORAN PERSEDIAAN BAHAN KIMIA
DINAS KESEHATAN KAB. LUMAJANG
PUSKESMAS SUKODONO
UNTUK PERIODE TAHUN 2022

Saldo Awal 01 Agustus 2022 Pengadaan 01 Agustus - 31 Agustus 2022 Penggunaan 01 Agustus - 31 Agustus 2022 Saldo Akhir 31 Agustus 2022

Nilai Persediaan Harga Nilai Persediaan Harga Harga Sisa Nilai

No. Nama Persediaan Jumlah Harga/Satuan Jumlah Jumlah Nilai Penggunaan Jumlah Ket.
Satuan Awal Satuan /Satuan Awal Satuan /Satuan Satuan /Satuan Persediaan
Barang Barang Barang Barang
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
1 Anti A Monoklonal (reagen golongan darah) 3 Botol 133,200 399,600 - Botol 133,200 - - Botol 133,200 - 3 Botol 133,200 399,600
2 Anti AB Monoklonal (Reagen Gol darah) 2 Botol 133,200 266,400 - Botol 133,200 - - Botol 133,200 - 2 Botol 133,200 266,400
3 Anti B Monoklonal (Reagen Gol darah) 3 Botol 133,200 399,600 - Botol 133,200 - - Botol 133,200 - 3 Botol 133,200 399,600
4 Anti D monoklonal (Reagen Gol darah) 2 Botol 270,840 541,680 - Botol 270,840 - - Botol 270,840 - 2 Botol 270,840 541,680
5 Blood lancet Single Use isi 200 4 bok 75,000 300,000 - bok 75,000 - 1 bok 75,000 75,000 3 bok 75,000 225,000
6 Cat Giemsa 50ml 2 Botol 435,600 871,200 - Botol 435,600 - - Botol 435,600 - 2 Botol 435,600 871,200
7 Hematology Cleaner 1 Botol 666,000 666,000 - Botol 666,000 - - Botol 666,000 - 1 Botol 666,000 666,000
8 Mytic 18 Cianide free Llytik soll 4 Botol 3,196,800 12,787,200 - Botol 3,196,800 - - Botol 3,196,800 - 4 Botol 3,196,800 12,787,200
9 Mytic 18 Diluent 6 Botol 2,664,000 15,984,000 - Botol 2,664,000 - 1 Botol 2,664,000 2,664,000 5 Botol 2,664,000 13,320,000
10 Mytic 18/22 Enzymatic Cleaner 2 Botol 2,220,000 4,440,000 - Botol 2,220,000 - - Botol 2,220,000 - 2 Botol 2,220,000 4,440,000
11 Oil Imersi 3 Botol 594,960 1,784,880 - Botol 594,960 - - Botol 594,960 - 3 Botol 594,960 1,784,880
12 Parafilm - pcs 593,450 - - pcs 593,450 - - pcs 593,450 - - pcs 593,450 -
13 Stick Cholesterol - tube 320,000 - - tube 320,000 - - tube 320,000 - - tube 320,000 -
14 Stick UA 16 tube 190,000 3,040,000 - tube 190,000 - 2 tube 190,000 380,000 14 tube 190,000 2,660,000
15 STIK GDA 10 tube 190,000 1,900,000 - tube 190,000 - - tube 190,000 - 10 tube 190,000 1,900,000
16 stik hb Easy Touch - tube 298,500 - - tube 298,500 - - tube 298,500 - - tube 298,500 -
17 Widal Paratyphi A 3 Botol 160,950 482,850 - Botol 160,950 - - Botol 160,950 - 3 Botol 160,950 482,850
18 Widal Paratyphi B 4 Botol 160,950 643,800 - Botol 160,950 - - Botol 160,950 - 4 Botol 160,950 643,800
19 Widal Typhi H 3 Botol 160,950 482,850 - Botol 160,950 - - Botol 160,950 - 3 Botol 160,950 482,850
20 Widal Typhi O 3 Botol 160,950 482,850 - Botol 160,950 - - Botol 160,950 - 3 Botol 160,950 482,850

71 45,472,910 - - 4 3,119,000 67 42,353,910

Lumajang, 31 Agustus 2022

Mengetahui, Pengurus Barang

UPT. Kepala Puskesmas Sukodono UPT. Puskesmas Sukodono

dr. Rina Yulya Agustin Yessy Gladiani Sutrisno

NIP. 19800814 201001 2 016 NIP. 19950701 202012 2 011
 LAPORAN PERSEDIAAN BAHAN KIMIA
DINAS KESEHATAN KAB. LUMAJANG
PUSKESMAS SUKODONO
UNTUK PERIODE TAHUN 2022

Saldo Awal 01 September 2022 Pengadaan 01 September - 30 September 2022 Penggunaan 01 September - 30 September 2022 Saldo Akhir 30 September 2022

Nilai Persediaan Harga Nilai Persediaan Harga Harga Sisa Nilai

No. Nama Persediaan Jumlah Harga/Satuan Jumlah Jumlah Nilai Penggunaan Jumlah Ket.
Satuan Awal Satuan /Satuan Awal Satuan /Satuan Satuan /Satuan Persediaan
Barang Barang Barang Barang
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
1 Anti A Monoklonal (reagen golongan darah) 3 Botol 133,200 399,600 - Botol 133,200 - - Botol 133,200 - 3 Botol 133,200 399,600
2 Anti AB Monoklonal (Reagen Gol darah) 2 Botol 133,200 266,400 - Botol 133,200 - - Botol 133,200 - 2 Botol 133,200 266,400
3 Anti B Monoklonal (Reagen Gol darah) 3 Botol 133,200 399,600 - Botol 133,200 - - Botol 133,200 - 3 Botol 133,200 399,600
4 Anti D monoklonal (Reagen Gol darah) 2 Botol 270,840 541,680 - Botol 270,840 - - Botol 270,840 - 2 Botol 270,840 541,680
5 Blood lancet Single Use isi 200 3 bok 75,000 225,000 - bok 75,000 - - bok 75,000 - - bok 75,000 -
6 Cat Giemsa 50ml 2 Botol 435,600 871,200 - Botol 435,600 - - Botol 435,600 - 2 Botol 435,600 871,200
7 Hematology Cleaner 1 Botol 666,000 666,000 - Botol 666,000 - - Botol 666,000 - 1 Botol 666,000 666,000
8 Mytic 18 Cianide free Llytik soll 4 Botol 3,196,800 12,787,200 - Botol 3,196,800 - - Botol 3,196,800 - 4 Botol 3,196,800 12,787,200
9 Mytic 18 Diluent 5 Botol 2,664,000 13,320,000 - Botol 2,664,000 - - Botol 2,664,000 - 5 Botol 2,664,000 13,320,000
10 Mytic 18/22 Enzymatic Cleaner 2 Botol 2,220,000 4,440,000 - Botol 2,220,000 - - Botol 2,220,000 - 2 Botol 2,220,000 4,440,000
11 Oil Imersi 3 Botol 594,960 1,784,880 - Botol 594,960 - - Botol 594,960 - 3 Botol 594,960 1,784,880
12 Parafilm - pcs 593,450 - - pcs 593,450 - - pcs 593,450 - - pcs 593,450 -
13 Stick Cholesterol - tube 320,000 - - tube 320,000 - - tube 320,000 - - tube 320,000 -
14 Stick UA 14 tube 190,000 2,660,000 - tube 190,000 - - tube 190,000 - 10 tube 190,000 1,900,000
15 STIK GDA 10 tube 190,000 1,900,000 - tube 190,000 - - tube 190,000 - - tube 190,000 -
16 stik hb Easy Touch - tube 298,500 - - tube 298,500 - - tube 298,500 - - tube 298,500 -
17 Widal Paratyphi A 3 Botol 160,950 482,850 - Botol 160,950 - - Botol 160,950 - 3 Botol 160,950 482,850
18 Widal Paratyphi B 4 Botol 160,950 643,800 - Botol 160,950 - - Botol 160,950 - 4 Botol 160,950 643,800
19 Widal Typhi H 3 Botol 160,950 482,850 - Botol 160,950 - - Botol 160,950 - 3 Botol 160,950 482,850
20 Widal Typhi O 3 Botol 160,950 482,850 - Botol 160,950 - - Botol 160,950 - 3 Botol 160,950 482,850

67 42,353,910 - - - - 50 39,468,910

Lumajang, 30 September 2022

Mengetahui, Pengurus Barang

UPT. Kepala Puskesmas Sukodono UPT. Puskesmas Sukodono

dr. Rina Yulya Agustin Yessy Gladiani Sutrisno

NIP. 19800814 201001 2 016 NIP. 19950701 202012 2 011
 LAPORAN PERSEDIAAN BAHAN KIMIA
DINAS KESEHATAN KAB. LUMAJANG
PUSKESMAS SUKODONO
UNTUK PERIODE TAHUN 2022

Saldo Awal 01 Oktober 2022 Pengadaan 01 Oktober - 30 Oktober 2022 Penggunaan 01 Oktober - 30 Oktober 2022 Saldo Akhir 30 Oktober 2022

Nilai Persediaan Harga Nilai Persediaan Harga Harga Sisa Nilai

No. Nama Persediaan Jumlah Harga/Satuan Jumlah Jumlah Nilai Penggunaan Jumlah Ket.
Satuan Awal Satuan /Satuan Awal Satuan /Satuan Satuan /Satuan Persediaan
Barang Barang Barang Barang
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15=3+7-11 16 17 18=15x17 19
1 Anti A Monoklonal (reagen golongan darah) 3 Botol 133,200 399,600 - Botol 133,200 - - Botol 133,200 - 3 Botol 133,200 399,600
2 Anti AB Monoklonal (Reagen Gol darah) 2 Botol 133,200 266,400 - Botol 133,200 - - Botol 133,200 - 2 Botol 133,200 266,400
3 Anti B Monoklonal (Reagen Gol darah) 3 Botol 133,200 399,600 - Botol 133,200 - - Botol 133,200 - 3 Botol 133,200 399,600
4 Anti D monoklonal (Reagen Gol darah) 2 Botol 270,840 541,680 - Botol 270,840 - - Botol 270,840 - 2 Botol 270,840 541,680
5 Blood lancet Single Use isi 200 3 bok 75,000 225,000 - bok 75,000 - - bok 75,000 - - bok 75,000 -
6 Cat Giemsa 50ml 2 Botol 435,600 871,200 - Botol 435,600 - - Botol 435,600 - 2 Botol 435,600 871,200
7 Hematology Cleaner 1 Botol 666,000 666,000 - Botol 666,000 - - Botol 666,000 - 1 Botol 666,000 666,000
8 Mytic 18 Cianide free Llytik soll 4 Botol 3,196,800 12,787,200 - Botol 3,196,800 - - Botol 3,196,800 - 4 Botol 3,196,800 12,787,200
9 Mytic 18 Diluent 5 Botol 2,664,000 13,320,000 - Botol 2,664,000 - - Botol 2,664,000 - 5 Botol 2,664,000 13,320,000
10 Mytic 18/22 Enzymatic Cleaner 2 Botol 2,220,000 4,440,000 - Botol 2,220,000 - - Botol 2,220,000 - 1 Botol 2,220,000 2,220,000
11 Oil Imersi 3 Botol 594,960 1,784,880 - Botol 594,960 - - Botol 594,960 - 3 Botol 594,960 1,784,880
12 Parafilm - pcs 593,450 - - pcs 593,450 - - pcs 593,450 - - pcs 593,450 -
13 Stick Cholesterol - tube 320,000 - - tube 320,000 - - tube 320,000 - - tube 320,000 -
14 Stick UA 14 tube 190,000 2,660,000 - tube 190,000 - - tube 190,000 - 9 tube 190,000 1,710,000
15 STIK GDA 10 tube 190,000 1,900,000 - tube 190,000 - - tube 190,000 - - tube 190,000 -
16 stik hb Easy Touch - tube 298,500 - - tube 298,500 - - tube 298,500 - - tube 298,500 -
17 Widal Paratyphi A 3 Botol 160,950 482,850 - Botol 160,950 - - Botol 160,950 - 3 Botol 160,950 482,850
18 Widal Paratyphi B 4 Botol 160,950 643,800 - Botol 160,950 - - Botol 160,950 - 4 Botol 160,950 643,800
19 Widal Typhi H 3 Botol 160,950 482,850 - Botol 160,950 - - Botol 160,950 - 3 Botol 160,950 482,850
20 Widal Typhi O 3 Botol 160,950 482,850 - Botol 160,950 - - Botol 160,950 - 3 Botol 160,950 482,850

67 42,353,910 - - - - 48 37,058,910

Lumajang, 30 Oktober 2022

Mengetahui, Pengurus Barang

UPT. Kepala Puskesmas Sukodono UPT. Puskesmas Sukodono

dr. Rina Yulya Agustin Yessy Gladiani Sutrisno

NIP. 19800814 201001 2 016 NIP. 19950701 202012 2 011