DINAS KESEHATAN KABUPATEN

UPT PUSKESMAS WANARAJA

jl Talaga Bodas km 1 Desa Wanamekar Kecamatan Wanaraja
SALDO PERSEDIAAN PER 30 JUNI 2021

BERITA ACARA
STOCK OPNAME PERSEDIAAN BARANG

Pada hari ini kamis tanggal 30 bulan juni Tahun 2022, Kami yang bertanda tangan dibawah ini :
1 Nama : pujianti astuti str keb
Jabatan : Pengurus Barang

2 Nama : H Yanyan Supriatna

Jabatan : Kepala Tata Usaha Puskesmas Wanaraja

3 Nama : Hj yeti Heryati SKM,MKM

Jabatan : Kepala Puskesmas Wanaraja

Sesuai dengan ketentuan Pasal 16 dan 17 Peraturan Bupati Garut No. 14 Tahun 2016 tentang Sistem dan Prose
Daerah di lingkungan Pemerintah Kabupaten Garut, Kami telah melakukan Stock Opname Persediaan per juni 2022

MULAI TAHUN 2022

NO NAMA BARANG SALDO PER DESEMBER
2021 PENAMBAHAN
PERSEDIAAN BAHAN HABIS
A
PAKAI

1 Alat Tulis Kantor 3,056,500.00 16,752,190.00

Perangko, Materai &benda
2 pos lainnya 115,000.00 2,100,000.00

3 Peralatan kebersihan dan - 2,794,361.00

bahan pembersih

Alat listrik dan Elektronik

4 (Lampu Pijar, battery kering) - 6,271,744.00

5 Bahan Cetakan 4,419,500.00 16,880,600.00

JUMLAH 7,591,000.00 44,798,895.00
B BAHAN / MATERIAL (PERSDEDIAN OBAT )
1 Bahan Medis Habis pakai - 6,813,250.00
2 Bahan dan Alat Laboratorium - 5,327,470.00
3 Bahan Makanan - 16,966,400.00
4 IFK Sumber APBD 61,156,166.20 92,481,273.00
5 IFK Sumber Propinsi - -
6 IFK Sumber BTT - -
C BARANG LAINNYA
1 Barang untuk Pihak Ketiga - -
2 HIBAH BKKBN - -
JUMLAH 61,156,166.20 121,588,393.00
J U M L A H TOTAL 68,747,166.20 166,387,288.00
Demikian Berita acara ini kami buat, untuk dipergunakan seperlunya

Pengurus Barang

pujianti astuti str keb

198412152017 042000

Mengetahui :
Kepala Puskesmas Wanaraja

Hj yeti Heryati SKM,MKM

196,712,141,990,032,000.00
 TEN
AJA
camatan Wanaraja
NI 2021

BARANG

awah ini :

016 tentang Sistem dan Prosedur Pengelolaan Barang Milik

ame Persediaan per juni 2022 dengan hasil sebagai berikut:

SALDO PER JUNI 2022

7,076,370.00 7,076,370.00

1,265,000.00
1,265,000.00

- 2,726,436.00
- 2,726,436.00

548,500.00
548,500.00
11,590,900.00 11,590,900.00
17,754,334.00 17,754,334.00
IAN OBAT )
-
2,053,600.00 2,053,600.00
1,204,547.00 1,204,547.00
- -
75,659,428.20 75,659,428.20
 - -
- -
-
- -
- -
78,917,575.20 78,917,575.20
96,671,909.20 96,671,909.20

Kepala Tata Usaha Puskesmas Wanaraja

H Yanyan Supriatna
196902172007 011010
PROGRAM 0.00.00.01. PROGRAM PENUNJANG URUSAN PEMERINTAHAN DAERAH KABUPATEN/K
KEGIATAN 2.010. Peningkatan Pelayanan BLUD
SUB KEGIATAN 01. Pelayanan dan Penunjang Pelayanan BLUD

SESEUA RBA /DPA w

a
j
i
b
NO:KWITANSI
NO TANGGAL NO REKENING / NAMA REKENINH r KONTRAK/LS/GU d
i
05.02.02 Peralatan dan Mesin n
i
Alat Penyimpanan Perlengkapan Kantor c
i
1 1/20/2022 i
s
a
2 i
n
3
d
i
alat kesehatan n
4 1/10/2022 a
m
5 a
6
7 b
a
r
Peralatan Kantor a
n
8 3/23/2022
g
9 3/15/2022
9 4/7/2022
3/19/2022
4/19/2022
Pengadaan Peralatan Studio Visual
Pengadaan Alat Kedokteran/Kesehatan
 DAFTAR PENG

UPT PUS
TAHAN DAERAH KABUPATEN/KOTA

w
a
j
i
b
NAMA BARANG MERK /TYPE
d
i
14,422,000.00
i
schair all wrn
ikursi k5 47
k tumpuk merah

troli instrument 3 tahap

tensi abn
manset tensi
termogun

Chair all new

lemari es sharp 5j 167 sharp 5J 167
ac dalkin 1 pk
KURSI BAR
KURSI Jaring
DAFTAR PENGADAAN BARANG PERIODE : JANUARI SD JUNI 2022

UPT PUSKESMAS :…........................KEC….....................

VOLUME SATUAN HARGA SATUAN

5 UNIT 2,150,000.00
2 UNIT 111,000.00
10 UNIT 200,000.00

5 pcs 250,000.00
3 pcs 130,000.00
2 pcs 125,000.00

10 pcs 216,000.00
1 UNIT 1,895,000.00
1 UNIT 5,575,000.00
1 UNIT 570,000.00
5 UNIT 300,000.00
022

HARGA SATUAN UNTUK ENTRI KE ATISIBADA

BIAYA UMUM JUMLAH +BU

-
-
21,500,000.00 10,750,000.00
222,000.00
200,000.00 2,200,000.00

1,250,000.00
390,000.00
250,000.00
-
-
2,160,000.00

5,575,000.00
570,000.00
1,500,000.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
HARGA SATUAN2 SUMBER DANA KETERANGAN

#DIV/0! APBD

2,150,000.00
111,000.00
220,000.00

250,000.00
130,000.00
125,000.00
#DIV/0!
#DIV/0!
216,000.00
1,895,000.00
5,575,000.00
570,000.00
300,000.00
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
 LAPAMPIRAN STOCKOPNAME PERIODE JAN SD JUNI 20…
Penerimaan Barang Persediaan Pengeluaran Barang Persediaan
Saldo Per 31 Desember 2021 Saldo Per 31 Juni 2022
Jumlah Jumlah Tahun 2022 Jumlah Tahun 2022
No Nama Barang Barang Harga Satuan Jumlah Total Barang. Harga Satuan . Jumlah Total. Barang.3 Harga Satuan. Jumlah Total.2 Jumlah Barang.2 Harga Satuan.2
A PERSEDIAAN BAHAN HABIS PAKAI
I Alat Tulis Kantor
1 amplop besar 1 25,000.00 25,000.00 0 - - 2 25,000.00 50,000.00 - 1 25,000.00
2 amplop besar - 13,600.00 - 10 13,600.00 136,000.00 7 13,600.00 95,200.00 3 13,600.00
3 kertas hvs f4 70 gr 7 50,000.00 350,000.00 - - 7 50,000.00
4 kertas hvs f4 70 gr 39,000.00 - 45 39,000.00 1,755,000.00 28 39,000.00 1,092,000.00 17 39,000.00
5 kertas hvs f4 70 gr 46,750.00 - 40 46,750.00 1,870,000.00 25 46,750.00 1,168,750.00 15 46,750.00
6 kertas hvs a4 70 gr 6 50,000.00 300,000.00 - 6 50,000.00 300,000.00 - 50,000.00
7 kertas hvs a4 75 gr 35,500.00 - 45 35,500.00 1,597,500.00 28 35,500.00 994,000.00 17 35,500.00
HVS 70 ULTIMATE 46,750.00 - 20 46,750.00 935,000.00 16 46,750.00 748,000.00 4 46,750.00
8 trigonal klip 4 25,000.00 100,000.00 - 4 25,000.00 100,000.00 - 25,000.00
9 trigonal klip 22,000.00 - 16 22,000.00 352,000.00 8 22,000.00 176,000.00 8 22,000.00
10 binder klip - 14,000.00 - 0 14,000.00 - - 14,000.00 - - 14,000.00
11 klip 155 6 1,000.00 6,000.00 - 6 1,000.00 6,000.00 - 1,000.00
12 klip 16,000.00 - 20 16,000.00 320,000.00 14 16,000.00 224,000.00 6 16,000.00
13 klip111 - 900.00 - - - - - 900.00
14 klip 4,400.00 - 24 4,400.00 105,600.00 20 4,400.00 88,000.00 4 4,400.00
15 klip 107 - 800.00 - - - - 800.00
16 klip 2,850.00 - 20 2,850.00 57,000.00 13 2,850.00 37,050.00 7 2,850.00
17 klip 105 - 600.00 - - - - 600.00
18 klip - 3,300.00 - 17 3,300.00 56,100.00 12 3,300.00 39,600.00 5 3,300.00
19 klip 260 - 2,500.00 - 0 2,500.00 - - 2,500.00 - - 2,500.00
20 bak stempel - 12,500.00 - - - - 12,500.00
21 bak stempel 13,200.00 - 7 13,200.00 92,400.00 5 13,200.00 66,000.00 2 13,200.00
22 tinta stempel 1 15,000.00 15,000.00 0 15,000.00 - - 15,000.00 - 1 15,000.00
23 ballpoint 2 10,000.00 20,000.00 2 20,000.00 40,000.00 - 10,000.00
24 ballpoint 7,000.00 - 15 7,000.00 105,000.00 12 7,000.00 84,000.00 3 7,000.00
25 pencil 2b - 3,800.00 - 0 3,800.00 - - 3,800.00 - - 3,800.00
26 spidol besar permanent - 8,000.00 - 0 8,000.00 - - 8,000.00 - - 8,000.00
27 spidol - 2,000.00 - 0 2,000.00 - - 2,000.00 - - 2,000.00
28 stabilo - 5,000.00 - - - - 5,000.00
29 stabilo 5,800.00 - 15 5,800.00 87,000.00 15 5,800.00 87,000.00 - 5,800.00
stabilo boss 8,800.00 - 10 8,800.00 88,000.00 10 8,800.00 88,000.00 0 8,800.00
stabilo joyko 4,400.00 - 10 4,400.00 44,000.00 10 4,400.00 44,000.00 0 4,400.00
30 lem cair - 2,200.00 - 5 2,200.00 11,000.00 5 2,200.00 11,000.00 - 2,200.00
31 lem cair 1,500.00 - 10 1,500.00 15,000.00 7 1,500.00 10,500.00 3 1,500.00
32 penghapus - 22,500.00 - 4 22,500.00 90,000.00 4 22,500.00 90,000.00 - 22,500.00
33 map clearnodle - 22,500.00 - 0 22,500.00 - - 22,500.00 - - 22,500.00
34 map bisnis file - 36,000.00 - 8 36,000.00 288,000.00 5 36,000.00 180,000.00 3 36,000.00
35 map plastik - 15,000.00 - 8 15,000.00 120,000.00 5 15,000.00 75,000.00 3 15,000.00
36 map presiden - 35,000.00 - 0 35,000.00 - - 35,000.00 - - 35,000.00
37 map tali - 2,000.00 - 0 2,000.00 - - 2,000.00 - - 2,000.00
38 lakban bening - 12,250.00 - 0 12,250.00 - - 12,250.00 - - 12,250.00
39 lakban hitam - 21,780.00 - 5 21,780.00 108,900.00 4 21,780.00 87,120.00 1 21,780.00
40 hekter hd 50 - 25,000.00 - 4 25,000.00 100,000.00 4 25,000.00 100,000.00 - 25,000.00
41 hekter hd 10 - 16,000.00 - 0 16,000.00 - - 16,000.00 - - 16,000.00
42 isi hekter 24 - 5,000.00 - 5 5,000.00 25,000.00 4 5,000.00 20,000.00 1 5,000.00
43 isi hekter 10 - 2,000.00 - 20 2,000.00 40,000.00 16 2,000.00 32,000.00 4 2,000.00
44 buku tulis 38 - 25,000.00 - 20 25,000.00 500,000.00 14 25,000.00 350,000.00 6 25,000.00
45 buku polio 100 1 20,000.00 20,000.00 0 20,000.00 - - 20,000.00 - 1 20,000.00
46 buku polio 200 1 32,000.00 32,000.00 0 32,000.00 - - 32,000.00 - 1 32,000.00
presiden polio 24,750.00 - 20 24,750.00 495,000.00 14 24,750.00 346,500.00 6 24,750.00
47 buku exspedisi - 12,000.00 - 0 12,000.00 - - 12,000.00 - - 12,000.00
48 kwitansi besar 2 7,000.00 14,000.00 0 7,000.00 - - 7,000.00 - 2 7,000.00
49 kwitansi sedang - 4,500.00 - 5 4,500.00 22,500.00 4 4,500.00 18,000.00 1 4,500.00
50 penggaris besar 30 cm - 3,750.00 - 6 3,750.00 22,500.00 3 3,750.00 11,250.00 3 3,750.00
51 gunting besar 1 15,000.00 15,000.00 0 15,000.00 - - 15,000.00 - 1 15,000.00
52 gunting sedang 1 10,000.00 10,000.00 0 10,000.00 - - 10,000.00 - 1 10,000.00
53 cutter besar 1 18,000.00 18,000.00 0 18,000.00 - - 18,000.00 - 1 18,000.00
54 isi cutter - 8,000.00 - 10 8,000.00 80,000.00 6 8,000.00 48,000.00 4 8,000.00
55 tipe x - 8,630.00 - 10 8,630.00 86,300.00 7 8,630.00 60,410.00 3 8,630.00
56 kertas karton - 3,000.00 - 8 3,000.00 24,000.00 4 3,000.00 12,000.00 4 3,000.00
57 amplop kecil 1 20,000.00 20,000.00 0 20,000.00 - - 20,000.00 - 1 20,000.00
58 amplop 90 polos 19,000.00 - 10 19,000.00 190,000.00 6 19,000.00 114,000.00 4 19,000.00
59 amplop 104 polos 13,600.00 - 11 13,600.00 149,600.00 9 13,600.00 122,400.00 2 13,600.00
60 double tape - 3,000.00 - 1 3,000.00 3,000.00 1 3,000.00 3,000.00 - 3,000.00
61 double tape 6,600.00 - 10 6,600.00 66,000.00 7 6,600.00 46,200.00 3 6,600.00
62 kalkulator - 65,000.00 - 7 65,000.00 455,000.00 5 65,000.00 325,000.00 2 65,000.00
63 box file - 27,500.00 - 10 27,500.00 275,000.00 6 27,500.00 165,000.00 4 27,500.00
64 tinta printer warna hitam - 55,000.00 - - - - - 55,000.00
65 tinta printer warna hitam 39,000.00 - 12 39,000.00 468,000.00 8 39,000.00 312,000.00 4 39,000.00
66 tinta printer warna merah - 55,000.00 - - - 55,000.00 - - 55,000.00
67 tinta printer warna mgt 39,000.00 - 18 39,000.00 702,000.00 14 39,000.00 546,000.00 4 39,000.00
68 tinta printer warna yellow - 55,000.00 - - - 55,000.00 - - 55,000.00
69 tinta printer warna yellow 39,000.00 - 18 39,000.00 702,000.00 14 39,000.00 546,000.00 4 39,000.00
70 tinta printer warna biru - 55,000.00 - 10 55,000.00 550,000.00 7 55,000.00 385,000.00 3 55,000.00
71 plasdisk 16 gb - 75,000.00 - - - - 75,000.00
72 plasdisk 16 gb 90,000.00 - 6 90,000.00 540,000.00 4 90,000.00 360,000.00 2 90,000.00
73 label 103 - 5,000.00 - 1 5,000.00 5,000.00 1 5,000.00 5,000.00 - 5,000.00
74 box file plastik 1 65,000.00 65,000.00 0 65,000.00 - - 65,000.00 - 1 65,000.00
75 odner forte - - - 18 18,000.00 324,000.00 14 18,000.00 252,000.00 4 18,000.00
76 tinta indigo epson - 50,000.00 - 20 50,000.00 1,000,000.00 15 50,000.00 750,000.00 5 50,000.00
77 tinta epson - 155,000.00 - 10 155,000.00 1,550,000.00 7 155,000.00 1,085,000.00 3 155,000.00
78 m doc 20 rr - 13,200.00 - 10 13,200.00 132,000.00 7 13,200.00 92,400.00 3 13,200.00
79 nota kecil - 5,350.00 - 2 5,350.00 10,700.00 1 5,350.00 5,350.00 1 5,350.00
80 penghapus kecil joyko - 1,090.00 - 1 1,090.00 1,090.00 1 1,090.00 1,090.00 - 1,090.00
81 pulpen joyko - - Err:507 5 4,000.00 Err:507 2 4,000.00 Err:507 Err:507 4,000.00
82 kertas kado - - Err:507 10 2,000.00 Err:507 5 2,000.00 Err:507 Err:507 2,000.00
87 double tape - - Err:507 5 6,000.00 Err:507 3 6,000.00 Err:507 Err:507 6,000.00
88 pita - - Err:507 0 9,000.00 Err:507 2 9,000.00 Err:507 Err:507 9,000.00
89 map plastik - - Err:507 0 42,500.00 Err:507 2 42,500.00 Err:507 Err:507 42,500.00
90 doblefoam - - Err:507 0 15,000.00 Err:507 2 15,000.00 Err:507 Err:507 15,000.00
91 buku quarto - - Err:507 0 28,000.00 Err:507 4 28,000.00 Err:507 Err:507 28,000.00
92 gunting kecil - - Err:507 0 7,500.00 Err:507 1 7,500.00 Err:507 Err:507 7,500.00
93 buku polio - - Err:507 0 40,000.00 Err:507 2 40,000.00 Err:507 Err:507 40,000.00
94 spidol permanent - - Err:507 0 9,000.00 Err:507 3 9,000.00 Err:507 Err:507 9,000.00
 95 snm v5 - - Err:507 2 3,300.00 Err:507 - 3,300.00 Err:507 Err:507 3,300.00
96 jpt stl 4 sdi - - Err:507 3 10,000.00 Err:507 - 10,000.00 Err:507 Err:507 10,000.00
97 jpt stl 6 sdi - - Err:507 0 13,500.00 Err:507 - 13,500.00 Err:507 Err:507 13,500.00
98 std p5 - - Err:507 0 3,000.00 Err:507 - 3,000.00 Err:507 Err:507 3,000.00
99 standar buku besco - - Err:507 0 20,000.00 Err:507 - 20,000.00 Err:507 Err:507 20,000.00
100 hd 10 - - 0 19,000.00 Err:507 - 19,000.00 Err:507 Err:507 19,000.00
101 clip - - Err:507 0 18,375.00 Err:507 - 18,375.00 Err:507 Err:507 18,375.00
102 solasi - - Err:507 0 12,000.00 Err:507 - 12,000.00 Err:507 Err:507 12,000.00
103 t.epo 664 - - Err:507 0 50,000.00 Err:507 2 50,000.00 Err:507 Err:507 50,000.00
104 tinta 003l - - Err:507 0 42,000.00 Err:507 2 42,000.00 Err:507 Err:507 42,000.00
105 amplop merpati - - Err:507 0 15,000.00 Err:507 2 15,000.00 Err:507 Err:507 15,000.00
106 t chips - - Err:507 0 20,000.00 Err:507 1 20,000.00 Err:507 1 20,000.00
107 stopmep - - Err:507 0 27,000.00 Err:507 - 27,000.00 Err:507 Err:507 27,000.00
108 gunting - - Err:507 0 8,000.00 Err:507 1 8,000.00 Err:507 Err:507 8,000.00
105 - - - 0 - - - - - - -
106 - - - 0 - - - - - - -
107 - - - 0 - - - - - - -
108 - - - 0 - - - - - - -
109 - - - 0 - - - - - - -
110 - - - 0 - - - - - - -
111 - - - 0 - - - - - - -
112 - - - 0 - - - - - - -
113 - - - 0 - - - - - - -
114 - - - 0 - - - - - - -
115 - - - 0 - - - - - - -
116 - - - 0 - - - - - - -
117 - - - 0 - - - - - - -
118 - - - 0 - - - - - - -
119 - - - 0 - - - - - - -
120 - - - 0 - - - - - - -
121 - - - 0 - - - - - - -
122 - - - 0 - - - - - - -
123 - - - 0 - - - - - - -
124 - - - 0 - - - - - - -
125 - - - 0 - - - - - - -
126 - - - 0 - - - - - - -
127 - - - 0 - - - - - - -
128 - - - 0 - - - - - - -
129 - - - 0 - - - - - - -
130 - - - 0 - - - - - - -
131 - - - 0 - - - - - - -
132 - - - 0 - - - - - - -
133 - - - 0 - - - - - - -
134 - - - 0 - - - - - - -
135 - - - 0 - - - - - - -
136 - - - 0 - - - - - - -
137 - - - 0 - - - - - - -
138 - - - 0 - - - - - - -
139 - - - 0 - - - - - - -
140 - - - 0 - - - - - - -
141 - - - 0 - - - - - - -
142 - - - 0 - - - - - - -
143 - - - 0 - - - - - - -
144 - - - 0 - - - - - - -
145 - - - 0 - - - - - - -
146 - - - 0 - - - - - - -
147 - - - 0 - - - - - - -
148 - - - 0 - - - - - - -
149 - - - 0 - - - - - - -
150 - - - 0 - - - - - - -
151 - - - 0 - - - - - - -
152 - - - 0 - - - - - - -
153 - - - 0 - - - - - - -
154 - - - 0 - - - - - - -
155 - - - 0 - - - - - - -
156 - - - 0 - - - - - - -
157 - - - 0 - - - - - - -
158 - - - 0 - - - - - - -
159 - - - 0 - - - - - - -
160 - - - 0 - - - - - - -
161 - - - 0 - - - - - - -
162 - - - 0 - - - - - - -
163 - - - 0 - - - - - - -
164 - - - 0 - - - - - - -
165 - - - 0 - - - - - - -
166 - - - 0 - - - - - - -
167 - - - 0 - - - - - - -
168 - - - 0 - - - - - - -
166 - - - 0 - - - - - - -
JUMLAH I 1,010,000.00 18,516,290.00 12,732,320.00

II PERANGKO,MATERAI DAN BENDA

POSLAINNYA
1 MATERAI - - - 0 - - - - - 0 -
1 materai 10000 10 100,000.00 100,000.00 210 10,000.00 2,100,000.00 210 10,000.00 2,100,000.00 210 10,000.00
2 materai 6000 6,000.00 6,000.00 6,000.00 - 6,000.00
3 materai 3000 5 3,000.00 15,000.00 3,000.00 - 3,000.00

- 3,000.00
JUMLAH II - 2,100,000.00 - -
PERALATAM KEBERSIHAN DAN
II BAHAN PEMBERSIH
1 sikat dorong - 250,000.00 - 0 250,000.00 - - 250,000.00 - 0 250,000.00
2 lap pel dragon 1 25,000.00 25,000.00 1 25,000.00 25,000.00 1 25,000.00 25,000 0 25,000.00
3 gayung 2 25,000.00 50,000.00 - - 2 25,000.00
gayung 10,000.00 - 2 10,000.00 20,000.00 2 10,000.00 20,000.00 0 10,000.00
4 ember besar 1 40,000.00 40,000.00 4 40,000.00 160,000.00 3 40,000.00 120,000 1 40,000.00
5 pengki - 22,500.00 - 0 22,500.00 - - 22,500.00 - 0 22,500.00
6 sapu lidi - 15,000.00 - 0 15,000.00 - - 15,000.00 - 0 15,000.00
sapu lidi 12,000.00 - 5 12,000.00 60,000.00 3 12,000.00 36,000.00 2 12,000.00
sapu kipas 40,000.00 - 3 40,000.00 120,000.00 3 40,000.00 120,000.00 0 40,000.00
 7 sapu ijuk - 25,000.00 - 0 25,000.00 - - 25,000.00 - 0 25,000.00
8 handsoap 3 15,000.00 45,000.00 0 15,000.00 - - 15,000.00 - 3 15,000.00
9 handsoap 5 liter - 217,425.00 - 0 217,425.00 - - 217,425.00 - 0 217,425.00
10 handsanitizer 2 223,000.00 446,000.00 0 223,000.00 - - 223,000.00 - 2 223,000.00
11 wifol - 25,000.00 - - - 25,000.00 - 0 25,000.00
wifol 1 galon 100,000.00 - 3 100,000.00 300,000.00 3 100,000.00 300,000.00 0 100,000.00
12 pemutih pakaian /baclyn 1 20,000.00 20,000.00 0 20,000.00 - - 20,000.00 - 1 20,000.00
13 kesed - 37,500.00 - - - 37,500.00 - 0 37,500.00
kesed 7,500.00 - 4 7,500.00 30,000.00 4 7,500.00 30,000.00 0 7,500.00
14 sikat lantai - 21,000.00 - 4 21,000.00 84,000.00 4 21,000.00 84,000 0 21,000.00
15 pembersih kaca - 52,136.00 - 3 52,136.00 156,408.00 2 52,136.00 104,272 1 52,136.00
16 lap kanebo - 20,000.00 - 0 20,000.00 - - 20,000.00 - 0 20,000.00
17 sabun detergen 1 17,000.00 17,000.00 0 17,000.00 - 1 17,000.00 17,000 0 17,000.00
18 tissue 1 15,000.00 15,000.00 0 15,000.00 - 1 15,000.00 15,000 15,000.00
19 pewangi pakaian 1 15,000.00 15,000.00 0 15,000.00 - 1 15,000.00 15,000 0 15,000.00
20 pot bunga - 10,000.00 - 3 10,000.00 30,000.00 3 10,000.00 30,000 0 10,000.00
21 pewangi ruangan - 12,500.00 - 1 12,500.00 12,500.00 1 12,500.00 12,500 0 12,500.00
22 pewangi kamar mandi 2 13,500.00 27,000.00 0 13,500.00 - 2 13,500.00 27,000 0 13,500.00
23 sikat kloset - 22,500.00 - 3 22,500.00 67,500.00 3 22,500.00 67,500 0 22,500.00
24 sarung tangan rumah tangga - - - 0 - - - - - 0 -
25 kamper - - - 0 - - - - - 0 -
26 molto pewangi pakaian - 6,100.00 - 26 6,100.00 158,600.00 24 6,100.00 146,400 2 6,100.00
27 bayclin lemon - 10,500.00 - 25 10,500.00 262,500.00 20 10,500.00 210,000 5 10,500.00
28 so klin pewangi - 2,550.00 - 33 2,550.00 84,150.00 28 2,550.00 71,400 5 2,550.00
29 swallow TBC 6S - 29,800.00 - 10 29,800.00 298,000.00 7 29,800.00 208,600 3 29,800.00
30 VIXAL BIRU - 26,200.00 - 10 26,200.00 262,000.00 8 26,200.00 209,600 2 26,200.00
31 YOA POP UP - 24,700.00 - 1 24,700.00 24,700.00 1 24,700.00 24,700 0 24,700.00
32 MONTISS FACIAL - 11,700.00 - 14 11,700.00 163,800.00 14 11,700.00 163,800 0 11,700.00
33 SO KLINN RYL - 2,882.00 - 23 2,882.00 66,286.00 19 2,882.00 54,758 4 2,882.00
34 jazi pd psegar - 17,700.00 - 20 17,700.00 354,000.00 16 17,700.00 283,200 4 17,700.00
35 kesed anyam besar - 7,000.00 - 4 7,000.00 28,000.00 4 7,000.00 28,000 0 7,000.00
36 jazi scienta - 17,721.00 - 1 17,721.00 17,721.00 1 17,721.00 17,721 0 17,721.00
37 sikat cuci - 4,598.00 - 2 4,598.00 9,196.00 2 4,598.00 9,196 - 4,598.00
38 PH FACTIS - - - 25 19,701.00 492,525.00 20 19,701.00 394,020 5 19,505.00
39 YOA POP UP - - - 4 29,900.00 119,600.00 2 29,900.00 59,800 2 29,900.00
45 bayclin - - Err:507 10 10,700.00 107,000.00 7 10,700.00 74,900 3 10,700.00
46 yuri grape - - Err:507 15 18,500.00 237,000.00 15 18,500.00 237,000 15 18,500.00
47 jazi pd scinta - - Err:507 15 18,400.00 276,000.00 15 18,400.00 276,000 15 18,400.00
48 jazi pd psegar - - Err:507 15 18,400.00 276,000.00 15 18,400.00 276,000 15 18,400.00
49 so klin royal - - Err:507 20 3,300.00 66,000.00 20 3,300.00 66,000 20 3,300.00
50 so klin pewangi - - Err:507 45 2,200.00 99,000.00 45 2,200.00 99,000 45 2,200.00
51 yuri stawberi - - Err:507 15 18,500.00 277,500.00 15 18,500.00 277,500 15 18,500.00
52 yoa tcb - - Err:507 15 17,300.00 259,500.00 15 17,300.00 259,500 15 17,300.00
53 stella daily ora - - Err:507 20 15,800.00 316,000.00 20 15,800.00 316,000 20 15,800.00
54 pd scinta - - Err:507 15 17,721.00 265,815.00 15 17,721.00 265,815 15 17,721.00
55 pd psegar - - Err:507 15 17,721.00 265,815.00 15 17,721.00 265,815 15 17,721.00
56 yoa apl - - Err:507 0 9,702.00 Err:507 - 9,702.00 Err:507 Err:507 9,702.00
57 downy mystq - - Err:507 0 6,237.00 Err:507 4 6,237.00 Err:507 Err:507 6,237.00
58 pof 40 ap - - Err:507 0 25,000.00 Err:507 2 25,000.00 Err:507 Err:507 25,000.00
59 pof 3 aar h - Err:507 2 12,000.00 Err:507 2 12,000.00 Err:507 2 12,000.00
 60 sikat wc Err:507 1 25,000.00 25,000.00 1 25,000.00 25,000 1 25,000.00
61 confident clsd Err:507 4 35,900.00 143,600.00 2 35,900.00 71,800 4 35,900.00
62 sikat wc Err:507 5 10,000.00 50,000.00 3 10,000.00 30,000 5 10,000.00
63 pel putih Err:507 3 4,000.00 12,000.00 3 4,000.00 12,000 3 4,000.00
64 kanebo koss Err:507 2 12,000.00 24,000.00 2 12,000.00 24,000 2 12,000.00
65 sapu ijuk Err:507 3 21,789.40 108,947.00 2 20,000.00 40,000 3 20,000.00
61 - - - 0 - - - - - 0 -
62 - - - 0 - - - - - 0 -
63 - - - 0 - - - - - 0 -
64 - - - 0 - - - - - 0 -
65 - - - 0 - - - - - 0 -
66 - - - - - - - 0 -
67 - - - 0 - - - - - 0 -
JUMLAH III 700,000.00 6,215,663.00 5,520,797.00

IV Alat listrik dan Elektronik (Lampu

Pijar, battery kering)
1 lampu neon LED - 50,000.00 - 0 50,000.00 - - 50,000.00 - 0 50,000.00
2 lampu LED philip - 54,900.00 - - 54,900.00 - 0 54,900.00
lampu philip 59,000.00 - 6 59,000.00 354,000.00 2 59,000.00 118,000.00 4 59,000.00
3 lampu neon batang - 60,000.00 - 0 60,000.00 - - 60,000.00 - 0 60,000.00
4 lampu philip essential - 21,375.00 - 0 21,375.00 - - 21,375.00 - 0 21,375.00
5 kabel - 6,000.00 - - - 6,000.00 - 0 6,000.00
kabel 5,000.00 - 50 5,000.00 250,000.00 30 5,000.00 150,000.00 20 5,000.00
6 steker broco - 25,000.00 - 0 25,000.00 - - 25,000.00 - 0 25,000.00
7 f plapon broco - 10,000.00 - 0 10,000.00 - - 10,000.00 - 0 10,000.00
8 stop kontak - 16,900.00 - 0 16,900.00 - - 16,900.00 - 0 16,900.00
9 lampu emergensi - 90,000.00 - 0 90,000.00 - - 90,000.00 - 0 90,000.00
10 terminal listrik - 30,500.00 - 0 30,500.00 - - 30,500.00 - 0 30,500.00
11 baterai kecil - 5,000.00 - 0 5,000.00 - - 5,000.00 - 0 5,000.00
12 pipa kabel - 60,000.00 - 0 60,000.00 - - 60,000.00 - 0 60,000.00
13 over stera braco - 100,000.00 - 0 100,000.00 - - 100,000.00 - 0 100,000.00
14 otomatis radar - 75,000.00 - 0 75,000.00 - - 75,000.00 - 0 75,000.00
15 adaptor - 125,000.00 - - - 125,000.00 - 0 125,000.00
adaptor 95,000.00 - 2 95,000.00 190,000.00 1 95,000.00 95,000.00 1 95,000.00
16 lampu sorot - 125,000.00 - 0 125,000.00 - - 125,000.00 - 0 125,000.00
17 fitting broco - 8,500.00 - - - 8,500.00 - 0 8,500.00
fitting broco 10,000.00 - 4 10,000.00 40,000.00 2 10,000.00 20,000.00 2 10,000.00
18 steker gepeng - 2,500.00 - 1 2,400.00 2,400.00 1 2,400.00 2,400.00 0 2,400.00
19 klem kabel listrik - 5,500.00 - 0 5,500.00 - - 5,500.00 - 0 5,500.00
20 mangkok stop kontak - 3,900.00 - 0 3,900.00 - - 3,900.00 - 0 3,900.00
21 lampu bohlam - 25,000.00 - 6 25,000.00 150,000.00 6 25,000.00 150,000.00 0 25,000.00
22 lampu 10 watt - 10,000.00 - 4 10,000.00 40,000.00 4 10,000.00 40,000.00 0 10,000.00
23 baterai abc alk - 37,400.00 - 4 37,400.00 149,600.00 4 37,400.00 149,600.00 0 37,400.00
24 kabel 2/1,5 - 7,500.00 - 17 7,500.00 127,500.00 12 7,500.00 90,000.00 5 7,500.00
25 lampu - 16,000.00 - 4 16,000.00 64,000.00 4 16,000.00 64,000.00 0 16,000.00
26 batre abc alkalin - 14,850.00 - 5 14,850.00 74,250.00 5 14,850.00 74,250.00 0 14,850.00
27 batre abc alkalin - 13,750.00 - 7 13,750.00 96,250.00 7 13,750.00 96,250.00 0 13,750.00
28 lp loket 50 watt - 100,000.00 - 7 100,000.00 700,000.00 7 100,000.00 700,000.00 0 100,000.00
29 mory 15 w stik - 30,000.00 - 7 30,000.00 210,000.00 5 30,000.00 150,000.00 2 30,000.00
34 batre abc alkalin - - 10 13,500.00 135,000.00 10 13,500.00 135,000.00 10 13,500.00
35 batre abc alkalin - - 10 12,800.00 128,000.00 10 12,800.00 128,000.00 10 12,800.00
36 stopkontak morgan - - 10 10,000.00 Err:507 10 10,000.00 Err:507 10 10,000.00
37 led kabel 2x1,5 - - 0 9,500.00 Err:507 20 9,500.00 Err:507 20 9,500.00
38 terminal 3lb - - Err:507 8 40,000.00 320,000.00 8 40,000.00 320,000.00 8 40,000.00
39 kabel goal - Err:507 8 12,000.00 96,000.00 8 12,000.00 96,000.00 8 12,000.00
40 kombinasi Err:507 5 24,000.00 120,000.00 5 24,000.00 120,000.00 5 24,000.00
41 lampu 15 watt Err:507 5 15,000.00 75,000.00 5 15,000.00 75,000.00 5 15,000.00
42 terminal lb 5 Err:507 5 32,000.00 160,000.00 5 32,000.00 160,000.00 5 32,000.00
43 steker Err:507 9 10,000.00 90,000.00 9 10,000.00 90,000.00 9 10,000.00
44 philip clear 100 w Err:507 10 12,600.00 126,000.00 10 12,600.00 126,000.00 10 12,600.00
45 philip helix Err:507 6 65,250.00 375,000.00 6 65,250.00 375,000.00 6 65,250.00
46 abc alkalin Err:507 6 40,700.00 244,200.00 6 40,700.00 244,200.00 6 40,700.00
47 stkp 6 35,000.00 210,000.00 6 35,000.00 210,000.00 6 35,000.00
48 casah laptop 4 200,200.00 800,800.00 4 200,200.00 800,800.00 4 200,200.00
49 led 20 watt 6 45,000.00 270,000.00 6 45,000.00 270,000.00 6 45,000.00
50 telepon panasonic 1 350,000.00 350,000.00 1 350,000.00 350,000.00 1 350,000.00
47 lampu bohlam 14 watt 1 23,744.00 23,744.00 1 23,744.00 23,744.00 1 23,744.00
48
49
50
51 - - - 0 - - - - - 0 -
JUMLAH IV - 6,271,744.00 5,723,244.00
V Bahan Cetakan
1 rekam medis rawat jalan umum 100 3,500.00 350,000.00 1000 3,500.00 3,500,000.00 500 3,500.00 1,750,000.00 600 3,500.00
2 cetak kartu kunjungan - 500.00 - 500 500.00 250,000.00 300 500.00 150,000.00 200 500.00
cetak kartu kunjungan 250.00 - 1000 250.00 250,000.00 300 250.00 75,000.00 700 250.00
3 cetak rincian biaya UGD - 250.00 100 250.00 25,000.00 80 250.00 20,000.00 20 250.00
4 cetak rincian rawat inap 141 250.00 35,250.00 1696 250.00 424,000.00 500 250.00 125,000.00 1337 250.00
5 kartu kunjungan kb 270 500.00 135,000.00 0 500.00 - - 500.00 - 270 500.00
kartu kunungan kb 1,490.00 100 1,490.00 149,000.00 60 1,490.00 89,400.00 40 1,490.00
6 rekam medis rawat inap 212 3,500.00 742,000.00 0 3,500.00 - - 3,500.00 - 212 3,500.00
7 format hasil pemeriksaan lab 10 15,000.00 150,000.00 0 15,000.00 - - 15,000.00 - 10 15,000.00
8 form hasil pemeriksaan urine 10 15,000.00 150,000.00 0 15,000.00 - - 15,000.00 - 10 15,000.00
9 daftar rincian biaya lab 10 15,000.00 150,000.00 0 15,000.00 - - 15,000.00 - 10 15,000.00
10 surat keterangan dokter - 650.00 - 100 650.00 65,000.00 60 650.00 39,000.00 40 650.00
11 resep - 10,000.00 - 6 10,000.00 60,000.00 4 10,000.00 40,000.00 2 10,000.00
12 blanko resep obat - 8,000.00 - 80 8,000.00 640,000.00 - 8,000.00 - 80 8,000.00
13 spanduk /balogo/leafleat - 150,000.00 - 0 150,000.00 - - 150,000.00 - 0 150,000.00
14 banner stunting - 150,000.00 - 2 150,000.00 300,000.00 2 150,000.00 300,000.00 0 150,000.00
banner ahlak ASN 100,000.00 - 1 100,000.00 100,000.00 1 100,000.00 100,000.00 0 100,000.00
banner lokmin 150,000.00 - 1 150,000.00 100,000.00 1 150,000.00 150,000.00 0 150,000.00
banner uk 3x1,5 m 150,000.00 - 1 150,000.00 150,000.00 1 150,000.00 150,000.00 0 150,000.00
banner uk 3x1 m 120,000.00 - 1 120,000.00 120,000.00 1 120,000.00 120,000.00 0 120,000.00
15 rekam medis rawat jalan umum - 4,460.00 - 500 4,460.00 2,230,000.00 300 4,460.00 1,338,000.00 200 4,460.00
16 rekam medis rawat inap - 4,460.00 - 60 4,460.00 267,600.00 30 4,460.00 133,800.00 30 4,460.00
17 kwitansi - 11,500.00 - 10 11,500.00 115,000.00 6 11,500.00 69,000.00 4 11,500.00
18 resep - 10,000.00 - 250 10,000.00 2,500,000.00 200 10,000.00 2,000,000.00 50 10,000.00
19 roll banner vaksinasi - 220,000.00 - 0 220,000.00 - - 220,000.00 - 0 220,000.00
20 banner hari kemerdakaan - 600,000.00 - 0 600,000.00 - - 600,000.00 - 0 600,000.00
21 pigura A3 - 220,000.00 - 3 220,000.00 660,000.00 3 220,000.00 660,000.00 0 220,000.00
22 pigura struktur organisasi - 550,000.00 - 0 550,000.00 - - 550,000.00 - 0 550,000.00
23 kartu kunjungan pasen - - - 0 - - - - - 0 -
24 rekam medis - 150,000.00 - 2 150,000.00 300,000.00 2 150,000.00 300,000.00 0 150,000.00
25 cetak kartu kendali - 250.00 - 2300 250.00 575,000.00 1,000 250.00 250,000.00 1300 250.00
26 MAP rekam medik rawat jalan - 3,500.00 - 1000 3,500.00 3,500,000.00 400 3,500.00 1,400,000.00 600 3,500.00
27 isi rekam medik 2 rim - 150,000.00 4 150,000.00 600,000.00 3 150,000.00 450,000.00 1 150,000.00
28 - - - 0 - - - - - 0 -
29 - - - 0 - - - - - 0 -
30 - - - 0 - - - - - 0 -
31 - - - 0 - - - - - 0 -
32 - - - 0 - - - - - 0 -
33 - - - 0 - - - - - 0 -
34 - - - 0 - - - - - 0 -
35 - - - 0 - - - - - 0 -
36 - - - 0 - - - - - 0 -
37 - - - 0 - - - - - 0 -
38 - - - 0 - - - - - 0 -
39 - - - 0 - - - - - 0 -
40 - - - 0 - - - - - 0 -
41 - - - 0 - - - - - 0 -
42 - - - 0 - - - - - 0 -
43 - - - 0 - - - - - 0 -
44 - - - 0 - - - - - 0 -
45 - - - 0 - - - - - 0 -
46 - - - 0 - - - - - 0 -
47 - - - 0 - - - - - 0 -
48 - - - 0 - - - - - 0 -
49 - - - 0 - - - - - 0 -
50 - - - 0 - - - - - 0 -
51 - - - 0 - - - - - 0 -
52 - - - 0 - - - - - 0 -
53 - - - 0 - - - - - 0 -
54 - - - 0 - - - - - 0 -
55 - - - 0 - - - - - 0 -
56 - - - 0 - - - - - 0 -
57 - - - 0 - - - - - 0 -
58 - - - 0 - - - - - 0 -
59 - - - 0 - - - - - 0 -
60 - - - 0 - - - - - 0 -
61 - - - 0 - - - - - 0 -
62 - - - 0 - - - - - 0 -
63 - - - 0 - - - - - 0 -
64 - - - 0 - - - - - 0 -
65 - - - 0 - - - - - 0 -
66 - - - 0 - - - - - 0 -
67 - - - 0 - - - - - 0 -
68 - - - 0 - - - - - 0 -
69 - - - 0 - - - - - 0 -
70 - - - 0 - - - - - 0 -
JUMLAH V - 1,712,250.00 16,880,600.00 9,709,200.00
 JUMLAH TOTALPERSEDIAAN BAHAN HABIS PAKAI 3,422,250.00 - - 49,984,297.00 - 33,685,561.00 - -
B.BAHAN / MATERIAL (PERSDEDIAN OBAT )
1 Bahan Medis Habis pakai
1 ADS 0,0O5 ML - - - 0 - - - - - 0 -
2 ADS O,5 ML - - - 0 - - - - - 0 -
3 ADS 5 ML - - - 0 - - - - - 0 -
4 alat suntik sekali pakai 1 ml - - - 0 - - - - - 0 -
5 alat suntik sekali pakai 3ml - - - 0 - - - - - 0 -
6 alat suntik sekali pakai 5 ml - - - 0 - - - - - 0 -
7 alkohol swab 6,800 103.00 700,400.00 0 103.00 - - 103.00 - 6800 103.00
8 - - - 0 - - - - - 0 -
9 bisturi - - - 0 - - - - - 0 -
10 blood set - - - 0 - - - - - 0 -
catgut/benang bedah no 2/0 dengan
11 jarum bedah - - - 0 - - - - - 0 -
catgut/benang bedah no 3/0 dengan
12 jarum bedah - - - 0 - - - - - 0 -
13 folley catheter no 18 60 12,000.00 720,000.00 0 12,000.00 - - 12,000.00 - 60 12,000.00
14 infusion set anak 150 5,100.00 765,000.00
800 4,800.00 3,840,000.00
15 infusion set dewasa 550 4,800.00 2,640,000.00
16 IV Catheter no 18
17 IV Catheter no 20 490 7,100.00 3,479,000.00
18 IV Catheter no 22 590 7,100.00 4,189,000.00
450 6,277.00 2,824,650.00
19 IV Catheter no 24 1,330 7,100.00 9,443,000.00
20 jarum kulit
jarum otot
kaca slide
kantung mayat
kapas pembalut/absorben 250 mg 14 21,090.00
kasa hidrofil 2x80 9,498.00
kasa hidrofil steril 16x16
kasa pembalut hidrofil 4x10cm 1,727.00
kasa hidrofil 4x5cm 10 1,122.00 11,229.00
31 kasa pembalut elastic 4 inchi - - - 0 - - - - - 0 -
32 masker tie on 2,500 580.00 1,450,000.00 0 580.00 - - 580.00 - 2500 580.00
33 masker N 95 - - - 0 - - - - - 0 -
34 plester 5 yard x 2 inch - - - 0 - - - - - 0 -
35 polybag medis - - - 0 - - - - - 0 -
36 polybag non medis - - - 0 - - - - - 0 -
37 polybag ramah lingkungan - - - 0 - - - - - 0 -
38 pot dahak - - - 0 - - - - - 0 -
39 safety box - - - 0 - - - - - 0 -
40 sarung tangan non steril uk S 300 750.00 225,000.00 0 750.00 - - 750.00 - 300 750.00
41 sarung tangan non steril uk m 900 750.00 675,000.00 0 750.00 - - 750.00 - 900 750.00
42 sarung tangan non steril uk l - - - 0 - - - - - 0 -
43 sarung tangan steril no 6 - - - 0 - - - - - 0 -
44 sarung tangan steril no 6,5 - - 0 - - - - - 0 -
45 sarung tangan steril no 7 - - - 0 - - - - - 0 -
 sarung tangan(handscone) 95,000.00 - 20 95,000.00 1,900,000.00 14 95,000.00 1,330,000.00 6 95,000.00
46 sendok obat - - - 0 - - - - - 0 -
silk(benang bedah sutera)no 2/0
47 dengan jarum bedah - 2,525.00 - 0 2,525.00 - - 2,525.00 - 0 2,525.00
48 urin bag 100 6,000.00 600,000.00 0 6,000.00 - - 6,000.00 - 100 6,000.00
49 - - - 0 - - - - - 0 -
50 - - - 0 - - - - - 0 -
51 - - - 0 - - - - - 0 -
52 - - - 0 - - - - - 0 -
53 - - - 0 - - - - - 0 -
54 - - - 0 - - - - - 0 -
55 - - - 0 - - - - - 0 -
56 - - - 0 - - - - - 0 -
57 - - - 0 - - - - - 0 -
58 - - - 0 - - - -
59 - - - 0 - - - - - 0 -
60 - - - 0 - - - - - 0 -
61 - - - 0 - - - - - 0 -
62 - - - 0 - - - - - 0 -
63 - - - 0 - - - - - 0 -
64 - - - 0 - - - - - 0 -
65 - - - 0 - - - - - 0 -
66 - - - 0 - - - - - 0 -
67 - - - 0 - - - - - 0 -
68 - - - 0 - - - - - 0 -
69 - - - 0 - - - - - 0 -
70 - - - 0 - - - - - 0 -
71 - - - 0 - - - - - 0 -
72 - - - 0 - - - - - 0 -
73 - - - 0 - - - - - 0 -
74 - - - 0 - - - - - 0 -
75 - - - 0 - - - - - 0 -
76 - - - 0 - - - - - 0 -
77 - - - 0 - - - - - 0 -
78 - - - 0 - - - - - 0 -
79 - - - 0 - - - - - 0 -
80 - - - 0 - - - - - 0 -
81 - - - 0 - - - - - 0 -
82 - - - 0 - - - - - 0 -
83 - - - 0 - - - - - 0 -
84 - - - 0 - - - - - 0 -
85 - - - 0 - - - - - 0 -
86 - - - 0 - - - - - 0 -
87 - - - 0 - - - - - 0 -
88 - - - 0 - - - - - 0 -
89 - - - 0 - - - - - 0 -
90 - - - 0 - - - - - 0 -
91 - - - 0 - - - - - 0 -
92 - - - 0 - - - - - 0 -
93 - - - 0 - - - - - 0 -
94 - - - 0 - - - - - 0 -
95 - - - 0 - - - - - 0 -
96 - - - 0 - - - - - 0 -
97 - - - 0 - - - - - 0 -
98 - - - 0 - - - - - 0 -
99 - - - 0 - - - - - 0 -
100 - - - 0 - - - - - 0 -
101 - - - 0 - - - - - 0 -
102 - - - 0 - - - - - 0 -
103 - - - 0 - - - - - 0 -
104 - - - 0 - - - - - 0 -
105 - - - 0 - - - - - 0 -
106 - - - 0 - - - - - 0 -
107 - - - 0 - - - - - 0 -
108 - - - 0 - - - - - 0 -
109 - - - 0 - - - - - 0 -
110 - - - 0 - - - - - 0 -
111 - - - 0 - - - - - 0 -
112 - - - 0 - - - - - 0 -
113 - - - 0 - - - - - 0 -
114 - - - 0 - - - - - 0 -
115 - - - 0 - - - - - 0 -
116 - - - 0 - - - - - 0 -
117 - - - 0 - - - - - 0 -
118 - - - 0 - - - - - 0 -
119 - - - 0 - - - - - 0 -
120 - - - 0 - - - - - 0 -
121 - - - 0 - - - - - 0 -
122 - - - 0 - - - - - 0 -
123 - - - 0 - - - - - 0 -
124 - - - 0 - - - - - 0 -
125 - - - 0 - - - - - 0 -
126 - - - 0 - - - - - 0 -
127 - - - 0 - - - - - 0 -
128 - - - 0 - - - - - 0 -
129 - - - 0 - - - - - 0 -
130 - - - 0 - - - - - 0 -
131 - - - 0 - - - - - 0 -
132 - - - 0 - - - - - 0 -
133 - - - 0 - - - - - 0 -
134 - - - 0 - - - - - 0 -
135 - - - 0 - - - - - 0 -
136 - - - 0 - - - - - 0 -
137 - - - 0 - - - - - 0 -
138 - - - 0 - - - - - 0 -
139 - - - 0 - - - - - 0 -
140 - - - 0 - - - - - 0 -
141 - - - 0 - - - - - 0 -
142 - - - 0 - - - - - 0 -
143 - - - 0 - - - - - 0 -
144 - - - 0 - - - - - 0 -
145 - - - 0 - - - - - 0 -
146 - - - 0 - - - - - 0 -
147 - - - 0 - - - - - 0 -
148 - - - 0 - - - - - 0 -
149 - - - 0 - - - - - 0 -
JUMLAH I 31,562,279.00 6,813,250.00 4,759,650.00
2 Bahan dan Alat Laboratorium
1 cellpack - 1,936,755.00 1,936,755.00 1,934,908.00 - 1,934,908.00 - 0 1,936,755.00
2 celclean - 1,275,560.00 - 1,275,560.00 - - 1,275,560.00 - 0 1,275,560.00
3 stromatolyser - 1,282,250.00 - 1,282,250.00 - - 1,282,250.00 - 0 1,282,250.00
4 eight check - 1,009,075.00 - 1,009,075.00 - 1,009,075.00 - 0 1,009,075.00
5 tabung edta - 265,000.00 - 0 265,000.00 - - 265,000.00 - 0 265,000.00
6 gds auto check - 95,000.00 - 0 95,000.00 - - 95,000.00 - 0 95,000.00
7 urine acid - 724,750.00 - 3 724,750.00 2,174,250.00 3 724,750.00 2,174,250.00 3 724,750.00
8 colesterol - 200,000.00 - 0 200,000.00 - - 200,000.00 - 0 200,000.00
9 tes kehamilan - 60,000.00 - 30 60,000.00 1,800,000.00 30 60,000.00 1,800,000.00 30 60,000.00
10 tes kehamilan 2,000.00 - 100 2,000.00 200,000.00 100 2,000.00 200,000.00 100 2,000.00
11 stik urinarisis perify - 190,000.00 - 5 190,000.00 950,000.00 5 190,000.00 950,000.00 5 190,000.00
12 reagen golongan darah - 247,365.00 - - - 247,365.00 - 0 247,365.00
13 reagen golongan darah 395,000.00 - 7 395,000.00 1,185,000.00 7 395,000.00 790,000.00 7 395,000.00
14 print hemotolizer - 100,000.00 - 0 100,000.00 - - 100,000.00 - 0
15 ok plast - 20,000.00 - 10 20,000.00 200,000.00 10 20,000.00 200,000.00 10 20,000.00
16 metamol - 85,000.00 - 5 85,000.00 425,000.00 5 85,000.00 425,000.00 5 85,000.00
metamol 86,579.50 - 6 86,579.50 519,474.00 6 86,579.50 519,474.00 6 86,579.50
17 glucose god - 248,225.00 - - - 248,225.00 - 0 248,225.00
18 glucose god 105,000.00 - 15 105,000.00 1,575,000.00 10 105,000.00 1,050,000.00 5 105,000.00
19 Creatinne jaffe - 161,805.00 - 0 161,805.00 - - 161,805.00 - 0 161,805.00
20 Cholesterol - 525,788.00 - 4 525,788.00 2,103,152.00 4 525,788.00 2,103,152.00 4 525,788.00
21 GOT (ASAT) - 282,011.00 - 5 282,011.00 1,410,055.00 5 282,011.00 1,410,055.00 5 282,011.00
22 GPT (alat) - 282,241.00 - 5 282,241.00 1,411,205.00 5 282,241.00 1,411,205.00 5 282,241.00
23 unitrol(control serum norm) - 1,410,975.00 - 1 1,410,975.00 1,410,975.00 1 1,410,975.00 1,410,975.00 1 1,410,975.00
24 triglycerdas - 1,053,577.00 - 0 1,053,577.00 - - 1,053,577.00 - 0 1,053,577.00
25 urea color - 244,547.00 - 10 244,547.00 2,445,470.00 10 244,547.00 2,445,470.00 10 244,547.00
26 easy touch strip glucose - - - 20 105,000.00 10,500,000.00 20 105,000.00 10,500,000.00 20 105,000.00
27 easy touch strip cholesterol - - - 15 175,000.00 2,625,000.00 15 175,000.00 2,625,000.00 15 175,000.00
28 easy touch strip uric acid - - - 12 109,000.00 1,308,000.00 12 109,000.00 1,308,000.00 12 109,000.00
29 alat pengukur suhu - - - 1 150,108.00 150,108.00 1 150,108.00 150,108.00 1 150,108.00
30 - - - 1 1,053,264.00 1,053,264.00 1 1,053,264.00 1,053,264.00 1 1,053,264.00
31 - - - 0 - - - - - 0 -
32 - - - 0 - - - - - 0 -
33 - - - 0 - - - - - 0 -
34 - - - 0 - - - - - 0 -
35 - - - 0 - - - - - 0 -
36 - - - 0 - - - - - 0 -
37 - - - 0 - - - - - 0 -
38 - - - 0 - - - - - 0 -
39 - - - 0 - - - - - 0 -
40 - - - 0 - - - - - 0 -
41 - - - 0 - - - - - 0 -
 42 - - - 0 - - - - - 0 -
43 - - - 0 - - - - - 0 -
44 - - - 0 - - - - - 0 -
45 - - - 0 - - - - - 0 -
46 - - - 0 - - - - - 0 -
47 - - - 0 - - - - - 0 -
48 - - - 0 - - - - - 0 -
49 - - - 0 - - - - - 0 -
50 - - - 0 - - - - - 0 -
51 - - - 0 - - - - - 0 -
52 - - - 0 - - - - - 0 -
53 - - - 0 - - - - - 0 -
54 - - - 0 - - - - - 0 -
55 - - - 0 - - - - - 0 -
56 - - - 0 - - - - - 0 -
57 - - - 0 - - - - - 0 -
58 - - - 0 - - - - - 0 -
59 - - - 0 - - - - - 0 -
60 - - - 0 - - - - - 0 -
61 - - - 0 - - - - - 0 -
62 - - - 0 - - - - - 0 -
63 - - - 0 - - - - - 0 -
JUMLAH 2 1,936,755.00 33,445,953.00 4,122,923.00
3 Bahan Makanan
1 bihun - 12,000.00 - 6.5 12,000.00 78,000.00 6.5 12,000.00 156,000.00 6.5 12,000.00
2 abon - 150,000.00 - 10.5 150,000.00 1,575,000.00 10.5 150,000.00 2,250,000.00 10.5 150,000.00
3 makaroni - 20,000.00 - 3.75 20,000.00 75,000.00 3.75 20,000.00 200,000.00 3.75 20,000.00
4 kem tahu - 2,500.00 - 9 2,500.00 22,500.00 9 2,500.00 37,500.00 9 2,500.00
5 kara/santan - 3,000.00 - 0 7,500.00 30,000.00 0 3,000.00 12,000.00 0 3,000.00
6 gula putih - 18,000.00 - 9 18,000.00 270,000.00 9 18,000.00 270,000.00 9 18,000.00
7 minyak - 14,000.00 - 27 14,000.00 210,000.00 27 14,000.00 210,000.00 27 14,000.00
8 bumbu kuning - 6,000.00 - 30 6,000.00 150,000.00 30 6,000.00 150,000.00 30 6,000.00
9 tepung panir - 30,000.00 - 2.7 30,000.00 450,000.00 2.7 30,000.00 450,000.00 2.7 30,000.00
10 kecap - 15,000.00 - 27 15,000.00 225,000.00 27 15,000.00 225,000.00 27 15,000.00
11 garam - 2,000.00 - 27 2,000.00 40,000.00 27 2,000.00 40,000.00 27 2,000.00
12 royko - 6,000.00 - 30 6,000.00 180,000.00 30 6,000.00 180,000.00 30 6,000.00
13 saus tomat - 8,000.00 - 12 8,000.00 88,000.00 12 8,000.00 88,000.00 12 8,000.00
14 sendok - 7,000.00 - 24 7,000.00 112,000.00 24 7,000.00 112,000.00 24 7,000.00
15 pencuci piring - 14,000.00 - 27 14,000.00 168,000.00 27 14,000.00 168,000.00 27 14,000.00
16 plastik kemasan - 4,500.00 - 24 4,500.00 90,000.00 24 4,500.00 90,000.00 24 4,500.00
17 aqua - 3,000.00 - 360 3,000.00 750,000.00 360 3,000.00 750,000.00 360 3,000.00
18 susu llm - 100,000.00 - 0 100,000.00 - 0 100,000.00 - 0 100,000.00
19 sosis - 125,000.00 - 3 125,000.00 - 3 125,000.00 - 3 125,000.00
20 tahu - 500.00 - 746 500.00 178,000.00 746 500.00 178,000.00 746 500.00
21 tempe - 500.00 - 746 500.00 178,000.00 746 500.00 178,000.00 746 500.00
22 beras - 12,000.00 - 754 12,000.00 3,000,000.00 754 12,000.00 3,000,000.00 754 12,000.00
23 kentang - 16,000.00 - 68 16,000.00 176,000.00 68 16,000.00 176,000.00 68 16,000.00
24 ayam - 32,000.00 - 97 32,000.00 800,000.00 97 32,000.00 800,000.00 97 32,000.00
25 daging cingcang - 120,000.00 - 10.5 120,000.00 720,000.00 10.5 120,000.00 720,000.00 10.5 120,000.00
26 telur - 22,000.00 - 82 22,000.00 660,000.00 82 22,000.00 660,000.00 82 22,000.00
27 hati ayam - 32,000.00 - 51 32,000.00 352,000.00 51 32,000.00 352,000.00 51 32,000.00
28 wortel - 12,000.00 - 90 12,000.00 192,000.00 90 12,000.00 192,000.00 90 12,000.00
29 buncis - 12,000.00 - 60 12,000.00 204,000.00 60 12,000.00 204,000.00 60 12,000.00
30 pakcoy - 10,000.00 - 60 10,000.00 140,000.00 60 10,000.00 140,000.00 60 10,000.00
31 bayam - 1,000.00 - 180 1,000.00 80,000.00 180 1,000.00 80,000.00 180 1,000.00
32 sawi putih - 6,000.00 - 66 6,000.00 102,000.00 66 6,000.00 102,000.00 66 6,000.00
33 brungkol - 20,000.00 - 30 20,000.00 360,000.00 30 20,000.00 360,000.00 30 20,000.00
34 labu siam - 10,000.00 - 42 10,000.00 90,000.00 42 10,000.00 90,000.00 42 10,000.00
35 kacang panjang - 10,000.00 - 3 10,000.00 120,000.00 3 10,000.00 120,000.00 3 10,000.00
36 jagung pipil - 10,000.00 - 6 10,000.00 150,000.00 6 10,000.00 150,000.00 6 10,000.00
37 toge - 20,000.00 - 3 20,000.00 240,000.00 3 20,000.00 240,000.00 3 20,000.00
38 mentimun - 10,000.00 - 12 10,000.00 120,000.00 12 10,000.00 120,000.00 12 10,000.00
39 pepaya - 10,000.00 - 90 10,000.00 150,000.00 90 10,000.00 150,000.00 90 10,000.00
40 melon 15,000.00 - 90 15,000.00 300,000.00 90 15,000.00 300,000.00 90 15,000.00
41 jeruk 20,000.00 - 40 20,000.00 340,000.00 40 20,000.00 340,000.00 40 20,000.00
42 pisang 10,000.00 - 60 10,000.00 270,000.00 60 10,000.00 270,000.00 60 10,000.00
43 bawang sop 20,000.00 - 9 20,000.00 120,000.00 9 20,000.00 120,000.00 9 20,000.00
44 seledri 10,000.00 - 6 10,000.00 70,000.00 6 10,000.00 70,000.00 6 10,000.00
45 bawang merah 30,000.00 - 9.5 30,000.00 300,000.00 9.5 30,000.00 300,000.00 9.5 30,000.00
46 salam 1,000.00 - 20 1,000.00 5,000.00 20 1,000.00 5,000.00 20 1,000.00
47 sereh 1,000.00 - 20 1,000.00 8,000.00 20 1,000.00 8,000.00 20 1,000.00
48 bawang putih 30,000.00 - 9 30,000.00 120,000.00 9 30,000.00 180,000.00 9 30,000.00
49 kue sus 1,500.00 - 226 1,500.00 112,500.00 226 1,500.00 112,500.00 226 1,500.00
50 talam kapala 1,000.00 - 226 1,000.00 58,000.00 226 1,000.00 58,000.00 226 1,000.00
51 brownies 1,500.00 - 226 1,000.00 75,000.00 226 1,500.00 112,500.00 226 1,500.00
52 sarikaya 1,000.00 - 226 1,000.00 75,000.00 226 1,000.00 75,000.00 226 1,000.00
53 mutiara 1,500.00 - 226 1,500.00 112,500.00 226 1,500.00 112,500.00 226 1,500.00
54 putri ayu 1,000.00 - 226 1,000.00 70,000.00 226 1,000.00 70,000.00 226 1,000.00
55 lontong sayur 1,500.00 - 226 1,500.00 105,000.00 226 1,500.00 105,000.00 226 1,500.00
56 risoles 1,500.00 - 226 1,500.00 105,000.00 226 1,500.00 105,000.00 226 1,500.00
57 lapis 1,000.00 - 226 1,000.00 75,000.00 226 1,000.00 75,000.00 226 1,000.00
58 sakura 1,000.00 - 226 1,000.00 75,000.00 226 1,000.00 75,000.00 226 1,000.00
59 lontong ayam 1,500.00 - 226 1,500.00 112,500.00 226 1,500.00 112,500.00 226 1,500.00
60 bolu pisang 1,500.00 - 226 1,500.00 112,500.00 226 1,500.00 112,500.00 226 1,500.00
61 martabak telur 1,500.00 - 226 1,500.00 112,500.00 226 1,500.00 112,500.00 226 1,500.00
62 bolu lapis ungu 1,000.00 - 226 1,500.00 111,000.00 226 1,000.00 74,000.00 226 1,000.00
63 kue talam asin 1,000.00 - 226 1,000.00 75,000.00 226 1,000.00 75,000.00 226 1,000.00
64 bolu kukus 1,500.00 - 226 1,500.00 105,000.00 226 1,500.00 105,000.00 226 1,500.00
65 puding jagung 1,000.00 - 226 1,000.00 75,000.00 226 1,000.00 75,000.00 226 1,000.00
66 donat 1,500.00 - 226 1,500.00 105,000.00 226 1,500.00 105,000.00 226 1,500.00
67 kue mangkuk 1,500.00 - 226 1,500.00 105,000.00 226 1,500.00 105,000.00 226 1,500.00
68 talam manis 1,000.00 - 226 1,000.00 70,000.00 226 1,000.00 70,000.00 226 1,000.00
69 kornet - 29,617.00 - 0 29,617.00 - 0 29,617.00 - 0 29,617.00
 JUMLAH 3 - 16,966,400.00 16,966,400.00
4 IFK Sumber APBD
1 albendazol tablet 400mg - - - 1000 - - 900 - - 100 -
albenazol sirup 560 - 560 - - 0 -
2 alopurinol tablet 100mg - 0 - - - 0 -
3 aminofilin inj 24mg/ml-10 ml - 0 - - - 0 -
4 aminofilin tablet 200mg - - 0 - - - 0 -

5
amitriptilina hcl tablet salut 25mg 130 210.00 27,300.00 0 210.00 - 210.00 - 130 210.00
6 amlodipin tablet 5 mg 460 53.00 330,633.00 0 53.00 - 53.00 - 460 53.00
- - - 0 -
7 amoksisilin kaplet 500mg 3,980 201.00 799,980.00 2000 201.00 402,000.00 5,850 201.00 1,175,850.00 130 201.00
8 amoksisilin sirup kering 125mg/5ml - - - 0 - - - - 0 -
9 antasida DOEN tablet kunyah 1,000 54.00 54,000.00 0 54.00 - 54.00 - 1000 54.00
100 2,303.00 230,300.00 2,303.00 - 2,303.00 - 100 2,303.00
10 antasida II suspensi 60 ml 40 1,679.00 67,169.00 50 1,679.00 83,950.00 90 1,679.00 151,110.00 0 1,679.00
11 anti hemmoroid DOEN 20 3,250.00 65,000.00 0 3,250.00 - 3,250.00 - 20 3,250.00
12 Antibakteri DOEN - - 0 - - - 0 -
13 Antifungi DOEN kombinasi - - 0 - - - 0 -
14 antimigren deon - - 0 - - - 0 -
15 aqua pro inj steril bebas pirogen-20 ml - - 0 - - - 0 -
16 ARV:efavirenz 600 mg - - 0 - - - 0 -
17 ARV:Lamivudine 150 mg - - 0 - - - 0 -
18 ARV Lovinapir 200mg ronavir - - - - - 0 -
19 ARV:Nevirapine 200 mg - - 0 - - - 0 -
20 ARV:TDF(300)+3TC(300)+EFV(600) - - 0 - - - 0 -
21 ARV:Tenofovir 300mg - - 0 - - - 0 -
22 ARV:Zdvdn(60)+lmvdn(30)+nvrpn(50) - - 0 - - - 0 -
23 ARVZidovudine(300)+lamivudine(150) - - 0 - - - 0 -
24 asam asetilsalisilat tablet 80 mg(asetos - - - - - 0 -
25 asam askorbat (vit c)tablet 50 mg 200 42.00 8,400.00 200 42.00 8,400.00 400 42.00 16,800.00 0 42.00
Asam Askorbat 500 mg 600 - - - 600 -
26 asam folat tablet 0,4 mg - - - 0 - - - - 0 -
27 asam mefenamat kaplet500 mg - - - 0 - - - - 0 -
28 asiklover krim 5%/5g - - 0 - - - 0 -
29 asiklover tablet 400 mg 150 407.00 61,050.00 100 407.00 40,700.00 190 407.00 77,330.00 60 407.00
30 atapulgit tablet 600 mg - - 0 - - - 0 -
31 atropin sulfat inj 0,25 mg/ml - 1 - - - 1 -
32 azithromisin tablet 500 mg 60 1,888.00 113,280.00 30 1,888.00 56,640.00 1,888.00 - 90 1,888.00
33 benzatin benzil penisilin inj 2,4 juta iu - - - 0 - - - - 0 -
34 betahistin tablet 6 mg - - - 200 - - 100 - - 100 -
35 betametason krim 0,1 % 24 1,450.00 34,800.00 77 1,450.00 111,650.00 101 1,450.00 146,450.00 0 1,450.00
Bisacordyl - - - 200 - - 110 - - 90 -
36 bisoprol tablet 5mg - - 0 - - - 0 -
37 bromheksen tablet 8mg - - 0 - - - 0 -
38 clobazam tablet 1o mg 100 776.00 77,600.00 90 776.00 69,840.00 776.00 - 190 776.00
39 clozapine tablet 25 mg 140 473.00 66,220.00 100 473.00 47,300.00 230 473.00 108,790.00 10 473.00
40 dehidroartemisin 40 mg+piperaquin 3 - - 0 - - - 0 -
41 deksametason inj 5mg/ml-1ml 10 924.00 9,240.00 102 924.00 94,248.00 112 924.00 103,488.00 0 924.00
42 deksametason tablet 0,5mg - - - 2050 - - 2,050 - - 0 -
43 dekstrometorfan sirup kombinasi - - - 0 - - - - 0 -
- - - - 0 -
44 dektrometorfan sirup kombinasi - - 0 - - - 0 -
45 devitalisasi pasta - - 0 - - - 0 -
46 - - 0 - - - 0 -
47 Diazepam Inj 5 mg/ml-2 ml - - 8 - 6 - - 2 -
48 Diazepam Rectal 5 mg/2,5 ml - - 0 - - - 0 -
49 Diazepam Tablet 2 mg 120 86.00 10,320.00 0 86.00 - 86.00 - 120 86.00
Diazepam 5 mg 400 - 350 - - 50 -
50 Difenhidramin Inj 10 mg/ml 30 1,095.00 32,850.00 0 1,095.00 - 1,095.00 - 30 1,095.00
51 Digoksin Tablet 0,25 mg - - 0 - - - 0 -
52 Dimenhidrinat Tablet 50 mg - - - 0 - - - - 0 -
53 Doksisilin Tablet 100 mg - - 0 - - - 0 -
54 Domperidon Suspensi 5mg/5ml - - - 0 - - - - 0 -
55 Domperidon Tablet 10 mg 200 71.00 14,200.00 0 71.00 - 71.00 - 200 71.00
56 Endometason 2 160,850.00 321,700.00 0 160,850.00 - 160,850.00 - 2 160,850.00
Epinefrina HCl/Bitartrat (Adrenalin) Inj
5 1,515.00 7,575.00 1,515.00
57 0,1 % 4 6,060.00 6 1,515.00 9,090.00 3 1,515.00
58 Eritromisin Kapsul 250 mg 100 360.00 36,000.00 0 360.00 - 360.00 - 100 360.00
59 Eritromisin Kapsul 500 mg 100 730.00 73,000.00 0 730.00 - 730.00 - 100 730.00
60 Eritromisin Sirup 200 mg/5 ml - - 0 - - - 0 -
61 Etakridin Larutan 0,1 % - - 2 - 2 - - 0 -
62 Etanol 70 %- 1000 ml - - - 0 - - - - 0 -
Etanol 70 %- 300 ml 1 - 1 - - 0 -
63 Etil Klorida Spray - - 1 - 1 - - 0 -
64 Eugenol Cairan - 0 - - - 0 -

Fenitoin Natrium Kapsul 100 mg - -

65 0 - - - 0 -
66 Fenobarbital Tablet 30 mg - - 100 - 90 - - 10 -

Fenoksimetil Penisilin Tablet 500 mg - -

67 0 - - - 0 -
Fitomenadion (Vit K1) Tablet Salut
50 748.00 37,400.00 748.00
68 Gula 10 mg 100 74,800.00 150 748.00 112,200.00 0 748.00

Fitomenadion(Vit K1) Inj 2 mg/ml - - - -

69 0 - - - 0 -
 70 Fluconazol Tablet 150 mg - - 0 - - - 0 -
Flufenazin Inj im 25 mg/ml
4 63,819.00 255,276.00 63,819.00
71 (Sikzonoate) 0 - 63,819.00 - 4 63,819.00
72 Formokresol Cair - - - - - 0 -
73 Furosemid Tablet 40 mg - - - - - - - 0 -
74 Garam Oralit I Serbuk 700 257.00 179,900.00 5500 257.00 1,413,500.00 4,150 257.00 1,066,550.00 2050 257.00

Gentamisin Inj 40 mg/ml (Sulfat) - -

75 - - - 0 -
76 Gentamisin Salep Kulit 0,1% - - - - - 0 -
77 Glass Ionomer Cement - - - - - 0 -
78 Glibenklamid Tablet 5 mg - - 400 - - 300 - - 100 -

Gliseril Guaiakolat Tablet 100 mg - - - -

79 - - - 0 -

Glukosa Larutan Infus 5% steril - - - -

80 - - - 0 -

Griseofulvin Tablet 125 mg Micronized 200 210.00 42,000.00 210.00

81 - 210.00 - 200 210.00
82 Haloperidol 5 mg - 300 - - - 300 -

Haloperidol Dekanoat Inj 50 mg/ml - -

83 - - - 0 -
84 Haloperidol Inj 5 mg/ml - - 200 - - - 200 -
85 Haloperidol Tablet 1,5 mg 300 51.00 15,300.00 51.00 - 300 51.00 15,300.00 0 51.00
Hepatitis B imuglobulin 3 - 3 - - 0 -
86 Hidrokortison Krim 2,5 % 24 2,325.00 55,800.00 48 2,325.00 111,600.00 72 2,325.00 167,400.00 0 2,325.00
87 Hiosina butilbromida tab 10 mg - - - - - 0 -
Human Tetanus Imunoglobulin Im
- -
88 250UI (Tetagam) - - - 0 -
89 Ibuprofen Tablet 400 mg - - - - - - - 0 -
- - - - - - - 0 -
- - - - - - - 0 -
90 Isoniazid Tablet 100 mg - - - - - - - 0 -
91 isosorbid dinitrat tablet sublingual 5 m - - - - - 0 -

92 Kalsium glukonat inj 100 mg/ml - - - - - 0 -

93 Kalsium hidroksida pasta - - - - - 0 -

Kalsium Laktat (Kalk) Tablet 500 mg 400 60.00 24,000.00 60.00

94 3300 198,000.00 3,500 60.00 210,000.00 200 60.00
95 Kaptropil Tablet 25 mg - - 300 - 160 - - 140 -
- - - - - 0 -
- - - - - 0 -
96 Karbamazepin Tablet 200 mg 200 189.00 37,800.00 800 189.00 151,200.00 1,000 189.00 189,000.00 0 189.00

97
Karbogliserin Tetes Telinga 10 % - - - - 0 -
98 Karbon aktif tab 0,5 mg - - - - - 0 -
99 Ketokonazol Tablet 200 mg - - 200 - - - - 200 -
100 Ketoprofen Supp 100 mg - - - 0 -
101 Kina Inj 26 % 2 ml - - - - - 0 -
102 Kina Tablet 222 mg - - - 0 -
103 Klindanmisin Tablet 300 mg - - - 0 -
104 Kloramfenikol Kapsul 250 mg - - - 0 -
105 Kloramfenikol Kapsul 500 mg 300 1,174.00 352,200.00 1,174.00 - 1,174.00 - 300 1,174.00
106 Kloramfenikol Salep Kulit 2% - - - - - 0 -
107 Kloramfenikol Salep Mata 1 % - - - - 0 -
108
Kloramfenikol Sirup 125 mg/5 ml - - - 0 -

109 Kloramfenikol Tetes Mata 0.5% 50 - 50 - - 0 -

110 Kloramfenikol Tetes telinga 3 % - - - - - 0 -

Klorfenarimin Maleat (CTM) Tablet 4
- -
111 mg - - - 0 -
- - - - - 0 -
Klorpropmazin HCl Tablet salut 100
112 mg
- - - - - 0 -
Kotrimoksazol Susp:Sulf 200+Trim 40
- -
113 mg/5 ml 500 - 340 - - 160 -
Kotrimoksazol Tab Dws:Sulf 400+Trim
114 80 mg
100 2,100.00 210,000.00 100
2,100.00 210,000.00 200 2,100.00 420,000.00 0 2,100.00
Lidokain Inj Komp : Lidokain %+
115 Epinefrin 1 : 80000-2 ml
- - 32 - 32 - - 0 -
116 Lidokain Jelly 2 % - - - - - 0 -
117 Lidokain Spray 10 % - - - - - 0 -
118 Lisol - - - - - 0 -
119 Loratadin Tablet 10 mg - - 150 - 150 - - 0 -

Magnesium sulfat Inj (IV) 20 % - -

120 - - - 0 -

Magnesium sulfat Inj (IV) 40 % 2 4,090.00 8,180.00 4,090.00

121 - 2 4,090.00 8,180.00 0 4,090.00
122 MB Anak - - - - - 0 -
123 MB Dewasa - - - - 0 -
124 Metformin HCl Tablet 500 mg 40 77.00 3,080.00 600 77.00 46,200.00 640 77.00 49,280.00 0 77.00
125 Metildopa Tablet 250 mg 100 985.00 98,500.00 200 985.00 197,000.00 210 985.00 206,850.00 90 985.00

126 Metilergomatrin Maleat Inj 0,200 mg 16 1,023.00 16,368.00 10 1,023.00 10,230.00 25 1,023.00 25,575.00 1 1,023.00
Metilergometrin Maleat
(Metilergometrin) Tablet Salut 0,125 70 214.00 14,980.00 214.00
127 - 50 214.00 10,700.00 20 214.00
mg
128 Metilprednisolon Tablet 4 mg 300 102.00 30,600.00 1100 102.00 112,200.00 1,120 102.00 114,240.00 280 102.00
129 Metronidazol Tablet 500 mg 300 - 220 - - 80 -
Metroklopramid ampul 3 - - - 3 -
130 Mikonazol Krim/Salep 2% - - - 0 -
131 Mineral Mix - - - - - 0 -
132 Monoklorkamfer mentol cairan - - - - - 0 -

Multivitamin + DHA + Lysin Sirup 102 5,292.10 539,794.20 5,292.10

133 - 102 5,292.10 539,794.20 0 5,292.10
134 Multivitamin + Mineral Kaplet - - - - - 0 -
135 N-asetil sistein kaps 200 mg - - - - - 0 -

Natrium Bikarbonat Tablet 500 mg - -

136 - - - 0 -

137
Natrium Diklofenak Tablet 50 mg 10 120.00 1,200.00 120.00 - 120.00 - 10 120.00
138 Natrium Hipoklorit 3% - - - - - 0 -
139 Natrium Klorida 0,9% 47 6,410.00 301,270.00 25 6,410.00 160,250.00 52 6,410.00 333,320.00 20 6,410.00

Natrium Tiroksin Tablet 100 µg - -

140 - - - 0 -
141 Nipedipin Tablet 10 mg - - - - - 0 -
Nistatin Tablet Salut Gula 500.000
90 825.00 74,250.00 825.00
142 IU/g 110 90,750.00 160 825.00 132,000.00 40 825.00

143 Nistatin Tablet Vaginal 100.000 IU/g - - - - 0 -

144 OAT FDC Katagori 1 4 415,721.00 1,662,884.00 15 415,721.00 6,235,815.00 19 415,721.00 7,898,699.00 0 415,721.00
145 OAT FDC Katagori 2 - - - - - 0 -
146 OAT FDC Kategori Anak 1 248,120.00 248,120.00 4 248,120.00 992,480.00 5 248,120.00 1,240,600.00 0 248,120.00
147 OAT FDC Kategori Sisipan - - - - - 0 -
148 OAT Kombipak Kat I - - 9 - 9 - - 0 -

149
Obat Batuk Hitam (OBH) Cairan - - - - - 0 -
150 Oksitosin Inj 10 IU/ml- 1 ml - - 60 - 60 - - 0 -
Oksitetrasiklin sm 87,061,261.20 10 - 10 - - 0 -
151 Omeprazol Kapsul 20 mg - - - 0 -
152 Ondansetron Inj 4 mg/2 ml - - - 0 -

153 Parasetamol Sirup 120 mg / 5ml 100 1,160.00 116,000.00 810 1,160.00 939,600.00 900 1,160.00 1,044,000.00 10 1,160.00
154 Parasetamol Tablet 500 mg 6,000 110.00 660,000.00 4000 110.00 440,000.00 10,000 110.00 1,100,000.00 0 110.00
155 PB Anak - - - - - 0 -
156 PB Dewasa - - - - - 0 -

Permetrin 5% Krim (Scabimite) 25 11,466.00 286,650.00 11,466.00

157 - 25 11,466.00 286,650.00 0 11,466.00
Phenolphtalein, Paraffin Liquidum,
- -
158 Gliserin Sirup (Laxadin syr) - - - 0 -

Piridoksin HCl (Vit B6) Tablet 10 mg - -

159 - - - 0 -
160 Pirimetamin Tablet 25 mg - - - - - 0 -

161 Polikresulen (Albotyl) Botol 5 ml - - - - - 0 -

162 Povidon Iodida 10 %-30 ml - - - - - 0 -
163 Povidon Iodida 10 %-300 ml 3 23,000.00 69,000.00 23,000.00 - 23,000.00 - 3 23,000.00
164 Prednison Tablet 5 mg 400 68.00 27,200.00 300 68.00 20,400.00 700 68.00 47,600.00 0 68.00
165 Primakuin Tablet 15 mg - - - - - 0 -
Prokain Benzilpenisilin Serb Inj 3 juta
- -
166 UI/vial (i.m.) - - - 0 -
167 Propanolol HCl Tablet 40 mg 80 56.00 4,480.00 56.00 - 80 56.00 4,480.00 0 56.00
168 Propiltiourasil Tablet 100 mg - - - - - 0 -
169 Ranitidin Inj 25 mg/ml - - - 0 -
170 Ranitidin Tablet 150 mg 1,600 85.00 136,000.00 1000 85.00 85,000.00 2,600 85.00 221,000.00 0 85.00
171 Retinol (Vit A) Kapsul 100.000 IU 50 307.00 155,350.00 750 307.00 230,250.00 750 307.00 230,250.00 50 307.00

Retinol (VIT A) Kapsul 200.000 IU - -

172 4200 - 4,200 - - 0 -

Ringer Laktat Larutan Infus Steril

173 - - - 0 -
174 Risperidon Tablet 2 mg 140 123.00 17,220.00 123.00 - 140 123.00 17,220.00 0 123.00

175
Salbutamol Nebu 2,5 mg/2,5 ml NaCl - - - - - 0 -
176 Salbutamol Tablet 4 mg 200 63.00 12,600.00 63.00 - 200 63.00 12,600.00 0 63.00
Salep 2-4 kombinasi : as.asal 2 % +
177 - - - - - 0 -
Bel. 4 %
178 Salisil Bedak 2 % - - 70 - 60 - - 10 -
179 Sefadroksil Sirup 125 mg/5 ml 25 4,185.00 104,625.00 4,185.00 - 25 4,185.00 104,625.00 0 4,185.00
180 Sefadroxil Kapsul 500 mg - - - - - 0 -
Sefiksime 200 mg + Azitromisin 500
181 - - - - - 0 -
mg
182 Sefotaksim Inj 1 g - - - - - 0 -
183 Seftriaxon Inj 1 g - - - - - 0 -
184 Semen seng fosfat serbuk cairan - - - - - 0 -
185 Serum Anti Difteri (ADS) - - - - - 0 -
 Serum anti tetanus Inj 1500 IU/vial
186 (ATS) 2 187,040.00 374,080.00 187,040.00 - 2 187,040.00 374,080.00 0 187,040.00
Serum antibisa ular Polivalen Inj 5 ml
- -
187 (SABU) I - - - 0 -
188 Setirizin Sirup 5 mg/5 ml 160 - 90 - - 70 -
Sianokobalamin (Vit B12 ) Inj 500
189 mcg/ml - - - - - 0 -
190 Simvastatin Tablet 10 mg 600 - 290 - - 310 -

191
Siprofloksasin (HCl) Tablet 500 mg - - - 0 -

Tablet Tambah Darah (Camabion) - -

192 - - - 0 -

Tablet Tambah Darah Kombinasi 59,000 226.00 13,334,000.00 226.00

193 81750 18,475,500.00 53,890 226.00 12,179,140.00 86860 226.00

Temporary Restorative Material - -

194 - - - 0 -
195 Tetrasiklin Kapsul 500 mg 100 323.00 32,300.00 323.00 - 100 323.00 32,300.00 0 323.00

Tiamin HCL (Vit B1) Tablet 50 mg 1,300 57.00 74,100.00 57.00

196 - 1,300 57.00 74,100.00 0 57.00

197 Triheksifenidil HCl Tablet 2 mg 300 63.00 18,900.00 2300 63.00 144,900.00 2,500 63.00 157,500.00 100 63.00
198 Vaksin BCG + Pelarut 50 66,154.00 3,307,700.00 210 66,154.00 13,892,340.00 220 66,154.00 14,553,880.00 40 66,154.00
199 Vaksin DPT-Hb-Hib 20 85,103.00 1,702,060.00 270 85,103.00 22,977,810.00 200 85,103.00 17,020,600.00 90 85,103.00
200 Vaksin DT 20 19,495.00 389,900.00 80 19,495.00 1,559,600.00 3 19,495.00 58,485.00 97 19,495.00
201 Vaksin Hb-0 10 25,839.00 258,390.00 540 25,839.00 13,953,060.00 515 25,839.00 13,307,085.00 35 25,839.00
202 Vaksin IPV 10 ds - - - - - 0 -
203 Vaksin IPV 5 ds - - - - - 0 -
204 Vaksin Measles Rubella (MR) - - - - - 0 -
205 Vaksin Meningitis - - - - - 0 -
206 Vaksin Papillomavirus (HPV) - - - - - 0 -
207 Vaksin Pneumococcus - - - - - 0 -
208 Vaksin Polio 10 ds bopv + Penetes - - 270 - 211 - - 59 -
209 Vaksin Rabies Vero - - - - - 0 -
210 Vaksin Td 30 18,128.00 543,840.00 130 18,128.00 2,356,640.00 115 18,128.00 2,084,720.00 45 18,128.00
211 Vitamin B Kompleks Tablet 700 57.00 39,900.00 57.00 - 700 57.00 39,900.00 0 57.00
212 Zinc Tablet 20 mg 700 208.00 145,600.00 2500 208.00 520,000.00 2,400 208.00 499,200.00 800 208.00
Favipiravir 200 15,000.00 3,000,000.00 400 15,000.00 6,000,000.00 600 15,000.00 9,000,000.00 0 15,000.00
Tamiflu 100 8,943.00 894,300.00 8,943.00 - 8,943.00 - 100 8,943.00
trifluoperazine 700 287.00 200,900.00 287.00 - 287.00 - 700 287.00
JUMLAH 4 - 61,156,166.20 92,481,273.00 77,978,011.20
5 IFK SUMBER PROVINSI - -
1 - - 0 - - - - 0 -
2 - - - - 0 -
3 - - - 0 -
4 - - - - 0 -
5 - - 0 -
6 - - 0 -
7 - - - 0 -
8 - - - 0 -
9 - - - 0 -
10 - - - 0 -
11 - - - 0 -
12 - - - 0 -
13 - - - 0 -
14 - - - 0 -
15 - - - 0 -
16 - - - 0 -
17 - - - 0 -
18 - - - 0 -
19 - - - 0 -
20 - - - 0 -
21 - - - 0 -
22 - - - 0 -
23 - - - 0 -
24 - - - 0 -
25 - - - 0 -
26 - - - 0 -
27 - - - 0 -
28 - - - 0 -
29 - - - 0 -
30 - - - 0 -
31 - - - 0 -
32 - - - 0 -
33 - - - 0 -
34 - - - 0 -
35 - - - 0 -
36 - - - 0 -
37 - - - 0 -
38 - - - 0 -
39 - - - 0 -
40 - - - 0 -
41 - - - 0 -
42 - - - 0 -
43 - - - 0 -
44 - - - 0 -
45 - - - 0 -
46 - - - 0 -
47 - - - 0 -
48 - - - 0 -
49 - - - 0 -
50 - - - 0 -
51 - - - 0 -
JUMLAH 5 - - -
6 IFK Sumber BTT
1 - - - 0 - - 0 - - - -
2 - - - 0 - - 0 - - - -
3 - - - 0 - - 0 - - - -
4 - - - 0 - - 0 - - - -
5 - - - 0 - - 0 - - - -
6 - - - 0 - - 0 - - - -
7 - - - 0 - - 0 - - - -
8 - - - 0 - - 0 - - - -
9 - - - 0 - - 0 - - - -
10 - - - 0 - - 0 - - - -
11 - - - 0 - - 0 - - - -
12 - - - 0 - - 0 - - - -
13 - - - 0 - - 0 - - - -
14 - - - 0 - - 0 - - - -
15 - - - 0 - - 0 - - - -
16 - - - 0 - - 0 - - - -
17 - - - 0 - - 0 - - - -
18 - - - 0 - - 0 - - - -
19 - - - 0 - - 0 - - - -
20 - - - 0 - - 0 - - - -
21 - - - 0 - - 0 - - - -
22 - - - 0 - - 0 - - - -
23 - - - 0 - - 0 - - - -
24 - - - 0 - - 0 - - - -
25 - - - 0 - - 0 - - - -
26 - - - 0 - - 0 - - - -
27 - - - 0 - - 0 - - - -
28 - - - 0 - - 0 - - - -
29 - - - 0 - - 0 - - - -
30 - - - 0 - - 0 - - - -
31 - - - 0 - - 0 - - - -
32 - - - 0 - - 0 - - - -
33 - - - 0 - - 0 - - - -
34 - - - 0 - - 0 - - - -
35 - - - 0 - - 0 - - - -
36 - - - 0 - - 0 - - - -
37 - - - 0 - - 0 - - - -
38 - - - 0 - - 0 - - - -
39 - - - 0 - - 0 - - - -
40 - - - 0 - - 0 - - - -
41 - - - 0 - - 0 - - - -
42 - - - 0 - - 0 - - - -
43 - - - 0 - - 0 - - - -
44 - - - 0 - - 0 - - - -
45 - - - 0 - - 0 - - - -
46 - - - 0 - - 0 - - - -
47 - - - 0 - - 0 - - - -
48 - - - 0 - - 0 - - - -
49 - - - 0 - - 0 - - - -
50 - - - 0 - - 0 - - - -
51 - - - 0 - - 0 - - - -
52 - - - 0 - - 0 - - - -
53 - - - 0 - - 0 - - - -
54 - - - 0 - - 0 - - - -
55 - - - 0 - - 0 - - - -
56 - - - 0 - - 0 - - - -
57 - - - 0 - - 0 - - - -
58 - - - 0 - - 0 - - - -
59 - - - 0 - - 0 - - - -
60 - - - 0 - - 0 - - - -
 61 - - - 0 - - 0 - - - -
62 - - - 0 - - 0 - - - -
63 - - - 0 - - 0 - - - -
64 - - - 0 - - 0 - - - -
65 - - - 0 - - 0 - - - -
66 - - - 0 - - 0 - - - -
67 - - - 0 - - 0 - - - -
JUMLAH 6 - - -
JUMLAH TOTAL BAHAN / MATERIAL (PERSDEDIAN OBAT ) 94,655,200.20 - - 149,706,876.00 - 103,826,984.20 - -
C BARANG LAINNYA
1 Barang untuk Pihak Ketiga
1 - - - 0 - - - - - - -
2 - - - - - - - - -
3 - - - - - - - - -
4 - - - - - - - - -
5 - - - - - - - - -
6 - - - - - - - - -
7 - - - - - - - - -
8 - - - - - - - - -
9 - - - - - - - - -
10 - - - - - - - - -
11 - - - - - - - - -
12 - - - - - - - - -
13 - - - - - - - - -
14 - - - - - - - - -
15 - - - - - - - - -
16 - - - - - - - - -
17 - - - - - - - - -
18 - - - - - - - - -
19 - - - - - - - - -
20 - - - - - - - - -
21 - - - - - - - - -
22 - - - - - - - - -
23 - - - - - - - - -
24 - - - - - - - - -
25 - - - - - - - - -
26 - - - - - - - - -
27 - - - - - - - - -
28 - - - - - - - - -
29 - - - - - - - - -
30 - - - - - - - - -
31 - - - - - - - - -
32 - - - - - - - - -
33 - - - - - - - - -
34 - - - - - - - - -
35 - - - - - - - - -
36 - - - - - - - - -
37 - - - - - - - - -
38 - - - - - - - - -
39 - - - - - - - - -
40 - - - - - - - - -
41 - - - - - - - - -
42 - - - - - - - - -
43 - - - - - - - - -
44 - - - - - - - - -
45 - - - - - - - - -
46 - - - - - - - - -
47 - - - - - - - - -
48 - - - - - - - - -
49 - - - - - - - - -
50 - - - - - - - - -
51 - - - - - - - - -
JUMLAH C Barang untuk Pihak Ketiga - - -
2 HIBAH BKKBN
1 - - - 0 - - 0 - - - -
2 - - - - - - - - -
3 - - - - - - - - -
4 - - - - - - - - -
5 - - - - - - - - -
6 - - - - - - - - -
7 - - - - - - - - -
8 - - - - - - - - -
9 - - - - - - - - -
10 - - - - - - - - -
11 - - - - - - - - -
12 - - - - - - - - -
13 - - - - - - - - -
14 - - - - - - - - -
15 - - - - - - - - -
16 - - - - - - - - -
17 - - - - - - - - -
18 - - - - - - - - -
19 - - - - - - - - -
20 - - - - - - - - -
21 - - - - - - - - -
22 - - - - - - - - -
23 - - - - - - - - -
24 - - - - - - - - -
25 - - - - - - - - -
26 - - - - - - - - -
27 - - - - - - - - -
28 - - - - - - - - -
29 - - - - - - - - -
30 - - - - - - - - -
31 - - - - - - - - -
32 - - - - - - - - -
33 - - - - - - - - -
34 - - - - - - - - -
35 - - - - - - - - -
36 - - - - - - - - -
 37 - - - - - - - - -
38 - - - - - - - - -
39 - - - - - - - - -
40 - - - - - - - - -
41 - - - - - - - - -
42 - - - - - - - - -
43 - - - - - - - - -
44 - - - - - - - - -
45 - - - - - - - - -
46 - - - - - - - - -
47 - - - - - - - - -
48 - - - - - - - - -
49 - - - - - - - - -
50 - - - - - - - - -
51 - - - - - - - - -
52 - - - - - - - - -
53 - - - - - - - - -
54 - - - - - - - - -
55 - - - - - - - - -
56 - - - - - - - - -
57 - - - - - - - - -
58 - - - - - - - - -
59 - - - - - - - - -
60 - - - - - - - - -
61 - - - - - - - - -
62 - - - - - - - - -
63 - - - - - - - - -
64 - - - - - - - - -
65 - - - - - - - - -
66 - - - - - - - - -
67 - - - - - - - - -
JUMLAH C HIBAH BKKBN - - -
JUMLAH TOTAL BARANG LAINNYA - - - - - - - - -
do Per 31 Juni 2022

Jumlah Total6

40,800.00
350,000.00
663,000.00
701,250.00
-
603,500.00
187,000.00
-
176,000.00
-
-
96,000.00
-
17,600.00
-
19,950.00
-
16,500.00
-
-
26,400.00
15,000.00
-
21,000.00
-
-
-
-
-
-
-
-
4,500.00
-
-
108,000.00
45,000.00
-
-
-
21,780.00
-
-
 5,000.00
8,000.00
150,000.00
20,000.00
32,000.00
148,500.00
-
14,000.00
4,500.00
11,250.00
15,000.00
10,000.00
18,000.00
32,000.00
25,890.00
12,000.00
20,000.00
76,000.00
27,200.00
-
19,800.00
130,000.00
110,000.00
-
156,000.00
-
156,000.00
-
156,000.00
165,000.00
-
180,000.00
-
65,000.00
72,000.00
250,000.00
465,000.00
39,600.00
5,350.00
-
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
Err:507
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
6,858,970.00

-
2,100,000.00

-
2,100,000.00

-
-
50,000.00
-
40,000.00
-
-
24,000.00
-
 -
45,000.00
-
446,000.00
-
-
20,000.00
-
-
-
52,136.00
-
-
-
-
-
-
-
-
-
-
12,200.00
52,500.00
12,750.00
89,400.00
52,400.00
-
-
11,528.00
70,800.00
-
-
-
98,505.00
59,800.00
32,100.00
237,000.00
276,000.00
276,000.00
66,000.00
99,000.00
277,500.00
259,500.00
316,000.00
265,815.00
265,815.00
Err:507
Err:507
Err:507
Err:507
 25,000.00
143,600.00
50,000.00
12,000.00
24,000.00
60,000.00
-
-
-
-
-
-
-
3,822,349.00

-
-
236,000.00
-
-
-
100,000.00
-
-
-
-
-
-
-
-
-
-
95,000.00
-
-
20,000.00
-
-
-
-
-
-
37,500.00
-
-
-
-
60,000.00
135,000.00
128,000.00
Err:507
Err:507
320,000.00
96,000.00
120,000.00
75,000.00
160,000.00
90,000.00
126,000.00
375,000.00
244,200.00
210,000.00
800,800.00
270,000.00
350,000.00
23,744.00

-
4,372,244.00

2,100,000.00
100,000.00
175,000.00
5,000.00
334,250.00
135,000.00
59,600.00
742,000.00
150,000.00
150,000.00
150,000.00
26,000.00
20,000.00
640,000.00
-
-
-
-
-
-
892,000.00
133,800.00
46,000.00
500,000.00
-
-
-
 -
-
-
325,000.00
2,100,000.00
150,000.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
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7,151,250.00
24,304,813.00

-
-
-
-
-
-
700,400.00
-
-
-

-
720,000.00

-
1,450,000.00
-
-
-
-
-
-
-
225,000.00
675,000.00
-
-
-
-
570,000.00
-

-
600,000.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
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-
-
-
-
-
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-
 -
-
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-
2,053,600.00

-
-
-
-
-
-
2,174,250.00
-
1,800,000.00
200,000.00
950,000.00
-
395,000.00
-
200,000.00
425,000.00
519,474.00
-
525,000.00
-
2,103,152.00
1,410,055.00
1,411,205.00
1,410,975.00
-
2,445,470.00
10,500,000.00
2,625,000.00
1,308,000.00
150,108.00
1,053,264.00
-
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-
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-
-
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 -
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1,936,755.00

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-
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-
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-
-
-

27,300.00
24,380.00
-
26,130.00
-
54,000.00
230,300.00
-
65,000.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
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24,420.00
-
-
169,920.00
-
-
-
-
-
-
147,440.00
4,730.00
-
-
-
-
-
-
-
-
-
-
10,320.00
-
32,850.00
-
-
-
-
14,200.00
321,700.00

4,545.00
36,000.00
73,000.00
-
-
-
-
-
-

-
-

-
 -

255,276.00
-
-
526,850.00

-
-
-
-

42,000.00
-

-
-
-
-
-
-

-
-
-
-
-
-

-
-

12,000.00
-
-
-
-

-
-
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-
-
352,200.00
-
-
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-
-

-
-
-
-
-

-
-
-
-
88,650.00

1,023.00

4,280.00
28,560.00
-
-
-
-
-

-
-
-

1,200.00
-
128,200.00

-
-

33,000.00

-
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-
-
-
-

-
-
-
-
-

11,600.00
-
-
-

-
-

-
-
69,000.00
-
-

-
-
-
-
-
15,350.00

-
-

-
-
-
-
-
-
-
-
-
-
-
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-
-

-
-

19,630,360.00

-
-

6,300.00
2,646,160.00
7,659,270.00
1,891,015.00
904,365.00
-
-
-
-
-
-
-
-
815,760.00
-
166,400.00
-
894,300.00
200,900.00
75,659,428.00

-
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-
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-
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79,649,783.00

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-
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Peralatan dan Mesin
Alat Penyimpanan Perlengkapan Kantor
Pengadaan personal Komputer
Peralatan Kantor
Peralatan RumahTangga
Pengadaan Meubelair
Pengadaan Peralatan Studio Visual
Pengadaan Alat Kedokteran/Kesehatan