Lampiran 25

KARTU INVENTARIS BARANG (KIB)

A. TANAH
No. Kode Lokasi : 13.09.07.01.04.00.00
Status Tanah
Nomor
Luas Tahun Sertifikat Asal-
No. Jenis Barang / Nama Barang Letak / Alamat Penggunaan Harga Ket
Tan (m2) Pengadaan Hak Usul
Kode Barang ah Register Tanggal Nomor
Ban
1 2 3 gun 4 5 6 7 8 9 10 11 12 13 14
1 Tanah Bangunan Puskesmas Lama an
Puskesmas
01.01.11.04.12 1 3 1 01 01 04 006 Pus 1  256 1977 Desa Ketro HP 9/4/1991 AA 845484 Hibah 44,700,000.00
Ketrowonojoyo Lama
kes
2 Tanah Bangunan Puskesmas Baru mas
Puskesmas
01.01.11.04.12 1 3 1 01 Tanah 04 006 /Pos
01 Bangunan Puskesmas/Posyandu
1 4000 2015 Desa KetroHak milik tanah pribadi
7/31/2014 Beli 442,274,500.00
yan Ketrowonojoyo baru
3 Tanah Bangunan Pustu 01.01.11.04.13 1 3 1 01 Tanah 04 006 du
01 Bangunan Puskesmas/Posyandu
1 355 1992 Desa Gembuk HP 11/12/2020
HP00002/AAX/179829
Pustu Gembuk Hibah 10,850,000
497,824,500.00
Mengetahui, Pacitan, 31 Desember 2020
KEPALA PUSKESMAS KETROWONOJOYO PENGURUS BARANG

dr.ANDRI PRADYASANTI TRI KARTIKA DEWI,Amd.Kep

NIP. 19820310 200903 2 005 NIP. 1979011 200901 2 011
 Lampiran 26
KARTU INVENTARIS BARANG (KIB)
B. PERALATAN DAN MESIN (ALAT ANGKUTAN)
No. Kode Lokasi : 13.09.07.01.04.00.00
Asal-Usul
No Kode Barang Nama Barang / Nomor Merk / Ukuran / Bahan Tahun Cara Harga Ket
Jenis Barang Register Type CC Bakar Pembelian Rangka Mesin Polisi BPKB Perolehan
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 02.03.01.04.01 1 3 2 02 01 06 001
Ambulance Mobil SUZUKI 1493 Premium 2016 MHYGDN42 G15AID379736 AE 1006 XP Dinkes Rp 241,009,638.00
VGJ 406290
2 02.03..01.05.01 1 3 2 02 01 l04 001
Sepeda Motor
Sepeda Motor Yamaha 102 Premium 2005 MH34ST2105 4ST1416168 AE 6043 ZZ D8164232 Hibah Rp 10,500,000.00 RR
K056684
3 02.03..01.05.01 1 3 2 02 01 l04 001
Sepeda Motor
Sepeda Motor Honda 100 Premium 2006 MH1HB41136 HB41E1765225 AE 2243 YP E400726J Hibah Rp 14,000,000.00 RR
K764847
4 02.03..01.05.01 1 3 2 02 01 l04 001
Sepeda Motor
Sepeda Motor Honda 125 Premium 2006 MH1JB51156 JB1E1798996 AE 6130 ZZ E2008177J Din.Kes. Rp 13,000,000.00 RR
K803218
5 02.03..01.05.01 1 3 2 02 01 l04 001
Sepeda Motor
Sepeda Motor Honda 125 Premium 2006 MH1JB51146 JB51E1755222 AE 6108 ZZ E2008155J Din.Kes. Rp 13,000,000.00 RR
K757784
6 02.03..01.05.01 1 3 2 02 01 l04 001
Sepeda Motor
Sepeda Motor Yamaha 110 Premium 2007 MH32P220047 2P2679731 AE 2440 YP E8231610J Din.Kes Rp 11,500,000.00 RR
K679244
7 02.03..01.05.01 1 3 2 02 01 l04 001
Sepeda Motor
Sepeda Motor Suzuki 125 Premium 2008 MH8BF45CA8J F496ID265492 AE 3325 XP F4932237 Din.Kes Rp 12,000,000.00 RR
152455
8 02.03..01.05.01 1 3 2 02 01 l04 001
Sepeda Motor
Sepeda Motor Yamaha 115 Premium 2016 MH3UE1210 E3R80026069 AE 2068 YP Din.Kes Rp 15,774,827.08 B
GJ101162
9 02.03..01.05.01 1 3 2 02 01 l04 001
Sepeda Motor
Sepeda Motor Yamaha 115 Premium 2016 MH3UE1210 E3R80026010 AE 2069 YP Din.Kes Rp 15,774,827.08 B
J010198 Rp 346,559,292.16

Mengetahui, Pacitan, 31 Desember 2020

KEPALA PUSKESMAS KETROWONOJOYO PENGURUS BARANG

dr.ANDRI PRADYASANTI TRI KARTIKA DEWI,Amd.Kep

NIP. 19820310 200903 2 005 NIP.19790112 200701 2 011
 Lampiran 26
KARTU INVENTARIS BARANG (KIB)
B. PERALATAN DAN MESIN (ALAT ANGKUTAN)
No. Kode Lokasi : 13.09.07.01.04.00.00
Asal-Usul
Nama Barang / Nomor Ukuran / Bahan Tahun
No Kode Barang Merk / Type Cara Harga Ket
Jenis Barang Register CC Bakar Pembelian Rangka Mesin Polisi BPKB Perolehan

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 02.03..01.04.01 1 3 2 02 01 06 001 Ambulance Suzuki APV 1493 Premium 2016 MHYGDN42VGJ 406290 G15AID379736 AE 1006 XP Din.Kes. 241,009,638 B
DLX 2016

Mengetahui, Pacitan, 31 Desember 2020

KEPALA PUSKESMAS KETROWONOJOYO PENGURUS BARANG

dr.ANDRI PRADYASANTI TRI KARTIKA DEWI,Amd.Kep

NIP. 19820310 200903 2 005 NIP. 19790112 200701 2 011
 Lampiran 26
KARTU INVENTARIS BARANG (KIB)
B. PERALATAN DAN MESIN (NON ANGKUTAN)
Ruangan :

Nomor Tahun Pembelian Nomor

No Kode Barang Nama Barang / Jenis Barang
Register
Satuan Merk / Type Ukuran Bahan / Pengadaan
Asal-Usul Cara Perolehan Harga Satuan Harga Ket
Pabrik
1 2 3 4 5 6 7 8 9 10 11 12
02,06,01,01,33 Kursi Tunggu panjang 1 1 3 2 05 02 01 035
Bangku tunggu Bh 200x45x90 Kayu 2000 Beli Rp 600,000.00 Rp 600,000.00 RB
02,09,01,12,20 Microscope 1 1 3 2 8 1 16 Miskroskop
006 Binokuler
Unit Stenlis 2001 Din Kes Rp 8,500,000.00 Rp 8,500,000.00 RB
1 02,08,01,02,02 Dental Chair 1 1 3 2 07 01 02 001Dental chair Unit Besi 2004 Din Kes Rp 12,000,000.00 Rp 12,000,000.00 RB
02,06,01,04,12 Lemari Kaca 1 1 3 2 5 02 05 027Lemari kayu BH 90x60x200 Stenlis 2004 Din Kes Rp 950,000.00 Rp 950,000.00 B
2 02,08,01,02,02 Dental Chair 1 1 3 2 07 01 02 001Dental chair Unit Besi 2004 Din Kes Rp 6,000,000.00 Rp 6,000,000.00 R
02,06,01,04,03 Rak Kayu 1 1 3 2 5 01 04 004 Rak kayu BH 120x40x200 Kayu 2004 Beli Rp 600,000.00 Rp 600,000.00 B
02,06,01,04,12 Lemari Kaca 1 1 3 2 5 02 05 027Lemari kayu BH 100x40x200 Stenlis 2004 Beli Rp 875,000.00 Rp 875,000.00 KB
02,06,01,04,12 Lemari Kaca 1 1 3 2 5 03 06 027Lemari kayu BH 150x40x200 Stenlis 2004 Beli Rp 950,000.00 Rp 950,000.00 KB
02,08,01,01,01 Stirilisator 1 1 3 2 07 01 05 ;001Sterilisator Unit 425x35x77 Besi 2004 Din Kes Rp 1,475,000.00 Rp 1,475,000.00 KB
02,06,02,01,01 Lemari Kayu 1 1 3 2 05 01 04 002Lemari kayu Unit 119x48x200 Kayu 2005 Beli Rp 660,000.00 Rp 660,000.00 B
PHN Kit 1 Stenlis 2006 Din Kes Rp 1,325,000.00 Rp 1,325,000.00 RB
02,08,01,01,05 Tensi Meter 1 1 3 2 07 01 01 005Tensimeter Unit Stenlis 2006 Din Kes Rp 685,300.00 Rp 685,300.00 HP
02,08,01,01,05 Tensi Meter 1 1 3 2 07 01 01 005Tensimeter Unit Stenlis 2006 Din Kes Rp 685,300.00 Rp 685,300.00 HP
Stetoskop 1 1 3 2 7 01 01 004Stetoscope Unit Stenlis 2006 Din Kes Rp 886,000.00 Rp 886,000.00 B
Stetoskop 1 1 3 2 7 01 01 004Stetoscope Unit Stenlis 2006 Din Kes Rp 886,000.00 Rp 886,000.00 B
Heating Set 1 1 3 2 07 01 04 083
Heacting set Set Stenlis 2006 Din Kes Rp 325,000.00 Rp 325,000.00 B
Iud Kit 1 Stenlis 2006 Din Kes Rp 6,500,000.00 Rp 6,500,000.00 B
Partus Kit 1 1 3 2 07 01 05 Partus
105 instumen set Stenlis 2006 Din Kes Rp 1,100,000.00 Rp 1,100,000.00 B
Lemari es 1 RCW42EK 70x55x75 Palstik 2006 Din Kes Rp 5,000,000.00 Rp 5,000,000.00 B
Lemari es 1 RCW50EK 40x71x85 Palstik 2006 Din Kes Rp 5,000,000.00 Rp 5,000,000.00 B
02,08,01,01,01 Stirilisator 1 1 3 2 07 01 05 ;001Sterilisator Unit Stenlis 2006 Din Kes Rp 2,000,000.00 Rp 2,000,000.00 B
1 Tabung Oksigen Kecil set 1 1 3 2 07 01 01 026tabung O2 Bh Besi 2006 Din Kes Rp 500,000.00 Rp 500,000.00 B
2 Tabung Oksigen Kecil set 1 1 3 2 07 01 01 026tabung O2 Bh Besi 2006 Din Kes Rp 500,000.00 Rp 500,000.00 B
3 Tabung Oksigen Kecil set 1 1 3 2 07 01 01 026tabung O2 Bh Besi 2006 Din Kes Rp 500,000.00 Rp 500,000.00 B
4 Tabung Oksigen Kecil set 1 1 3 2 07 01 01 026tabung O2 Bh Besi 2006 Din Kes Rp 500,000.00 Rp 500,000.00 B
02,06,01,04,12 Lemari Kaca 1 1 3 2 05 01 04 027
Lemari Kaca Unit 70x40x170 Stenlis 2007 Din Kes Rp 2,200,000.00 Rp 2,200,000.00 B
1 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
2 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
3 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
4 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
5 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
6 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
7 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
8 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
9 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
02,06,01,04,12 Lemari Kaca 1 1 3 2 05 01 04 027
Lemari Kaca Unit 70x40x170 Stenlis 2007 Din Kes Rp 2,200,000.00 Rp 2,200,000.00 B
Ginzet 1 1 3 2 01 03 04 portable
002 generatingset
set Besi 2007 Din Kes Rp 3,626,500.00 Rp 3,626,500.00 RR
Kulkas Meja 1 1 3 2 05 02 04 001Refrigerator Unit GLACIO Stenlis 2007 Din Kes Rp 1,790,900.00 Rp 1,790,900.00 B
02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 120x50x70 Kayu 2007 Din Kes Rp 600,000.00 Rp 600,000.00 B
02,06,02,01,21 Meja Periksa 1 1 3 2 05 02 01 019 90x60x200 Stenlis 2007 Din Kes Rp 840,000.00 Rp 840,000.00 B
02,06,02,01,22 Lemari Kaca 1 1 3 2 05 01 04 027
Lemari Kaca Unit 70x40x170 Stenlis 2007 Din Kes Rp 2,200,000.00 Rp 2,200,000.00 B
02,06,02,01,21 Meja gynekologi 1 1 3 2 05 02 01 019 90x60x200 Stenlis 2007 Din Kes Rp 8,910,000.00 Rp 8,910,000.00 B
02.06.03.01.-. Computer 1 Stenlis 2007 Din Kes Rp 8,239,000.00 Rp 8,239,000.00 RB
Radio Medik 1 Besi 2007 Din Kes Rp 1,500,000.00 Rp 1,500,000.00 RB
1 Lemari Arsip 1 1 3 2 05 03 07 007Lemari arsif Bh Kayu 2008 Din Kes Rp 1,325,000.00 Rp 1,325,000.00 B
Lemari Arsip 1 1 3 2 05 03 07 007Lemari arsif Bh Kayu 2008 Din Kes Rp 1,325,000.00 Rp 1,325,000.00 B
Laptop 1 1 3 2 10 01 02 002 Laptop Unit 2008 Din Kes Rp 9,460,000.00 Rp 9,460,000.00 RB
LCD Proyektor Kecil 1 1 3 2 05 01 05 043
LCD Proyektor Bh LG Minibean 2008 Din Kes Rp 1,459,000.00 Rp 1,459,000.00 RB
Layar Proyektor 1 1 3 2 09 04 07 022
Layar proyektorBh 2008 Din Kes Rp 1,317,303.00 Rp 1,317,303.00 RR
1 Komputer PC Dual Core( 1 1 3 2 10 01 03 Komputer unitUnit 2008 Din Kes Rp 4,290,000.00 Rp 4,290,000.00 RB
2 Komputer PC Dual Core( 1 1 3 2 10 01 03 Komputer unitUnit 2008 Din Kes Rp 4,290,000.00 Rp 4,290,000.00 RB
 3 Komputer PC Dual Core( 1 1 3 2 10 01 03 Komputer unitUnit 2008 Din Kes Rp 4,290,000.00 Rp 4,290,000.00 RB
4 Komputer PC Dual Core( 1 1 3 2 10 01 03 Komputer unitUnit 2008 Din Kes Rp 4,290,000.00 Rp 4,290,000.00 RB
Komputer PC Intel 1 1 3 2 10 01 03 Komputer unitUnit 2008 DinKes Rp 6,303,000.00 Rp 6,303,000.00 RB
Networking/ Jaringan 1 2008 Dinkes Rp 1,155,000.00 Rp 1,155,000.00 RB
Sound Sistem 1 2008 Dinkes Rp 2,079,000.00 Rp 2,079,000.00 B
Sound Sistem 1 2008 Dinkes Rp 5,912,500.00 Rp 5,912,500.00 B
DVD Player Polytron 2132 U 1 1 3 2 05 02 06 067DVD Plauer Unit POLITRON 2132 U 2008 Dinkes Rp 594,000.00 Rp 594,000.00 RB
Televisi 1 1 3 2 05 02 06 002 Televisi Unit SHAARP 29 AXS200 2008 Dinkes Rp 3,575,000.00 Rp 3,575,000.00 B
Sound Sistem Audio Aktif 1 2008 Dinkes Rp 797,500.00 Rp 797,500.00 B
Dopler 1 1 3 2 07 01 05 081 Dopler Unit 2008 Din.Kes Rp 2,610,000.00 Rp 2,610,000.00 RB
Dopler 1 1 3 2 07 01 05 081 Dopler Unit 2008 Din.Kes Rp 2,610,000.00 Rp 2,610,000.00 RB
Lemari Instrument 1 1 3 2 07 01 01 018
Lemari Instrumen
Unit Stenlis 2008 Din.Kes Rp 4,850,000.00 Rp 4,850,000.00 B
Meja Instrumen 1 1 3 2 07 ;01 01 170
Instrumen tableunit Stenlis 2008 Dinkes Rp 3,978,920.00 Rp 3,978,920.00 B
1 Sterilisator Listrik 1 1 3 2 07 01 05 ;001Sterilisator Unit 2008 Din.Kes Rp 1,454,970.00 Rp 1,454,970.00 B
2 Sterilisator Listrik 1 1 3 2 07 01 05 ;001Sterilisator Unit 2008 Din.Kes Rp 1,454,970.00 Rp 1,454,970.00 B
Kulkas Meja 1 1 3 2 05 02 04 001Refrigerator Unit GLACIO 2008 Din.Kes Rp 1,500,000.00 Rp 1,500,000.00 B
Printer Epson 1 1 3 2 10 02 3 003 Unit Epson 2009 Din.Kes Rp 1,350,000.00 Rp 1,350,000.00 RB
Monitor LCD 1 2009 Din.Kes Rp 1,250,000.00 Rp 1,250,000.00 R
UPS 1 2009 Din.Kes Rp 728,000.00 Rp 728,000.00 R
Kamera Digital 1 1 3 2 09 04 02 031
Kamera digitalUnit 2009 Din.Kes Rp 1,840,000.00 Rp 1,840,000.00 RR
Memori Komputer 1 2009 Din.Kes Rp 500,000.00 Rp 500,000.00 RB
1 Keyboard dan Mouse OPTIC 1 1 3 2 10 02 03 009Keyboard Unit 2009 Din.Kes Rp 290,000.00 Rp 290,000.00 RB
2 Keyboard dan Mouse OPTIC 1 1 3 2 10 02 03 009Keyboard Unit 2009 Din.Kes Rp 290,000.00 Rp 290,000.00 RB
3 Keyboard dan Mouse OPTIC 1 1 3 2 10 02 03 009Keyboard Unit 2009 Din.Kes Rp 290,000.00 Rp 290,000.00 RB
4 Keyboard dan Mouse OPTIC 1 1 3 2 10 02 03 009Keyboard Unit 2009 Din.Kes Rp 290,000.00 Rp 290,000.00 RB
Modem 1 1 3 2 10 02 04 004 Modem Bh 2009 Din.Kes Rp 1,000,000.00 Rp 1,000,000.00 RB
1 NET PC 1 2009 Din.Kes Rp 1,100,000.00 Rp 1,100,000.00 RB
2 NET PC 1 2009 Din.Kes Rp 1,100,000.00 Rp 1,100,000.00 RB
3 NET PC 1 2009 Din.Kes Rp 1,100,000.00 Rp 1,100,000.00 RB
4 NET PC 1 2009 Din.Kes Rp 1,100,000.00 Rp 1,100,000.00 RB
Hard Disk INTERNAL 1 1 3 2 10 02 03 017 hardish Bh 2009 Din.Kes Rp 1,000,000.00 Rp 1,000,000.00 B
1 Nebulizer Elektrik 1 1 3 2 07 01 08 Ultrasonik
025 Nebulezer
Unit 2009 Din.Kes Rp 16,400,909.00 Rp 16,400,909.00 B
2 Nebulizer Elektrik 1 1 3 2 07 01 08 Ultrasonik
025 Nebulezer
Unit 2009 Din.Kes Rp 16,400,909.00 Rp 16,400,909.00 B
Stetoskop Dewasa 1 1 3 2 7 01 01 004Stetoscope Unit Stenlis 2009 Din.Kes Rp 2,535,000.00 Rp 2,535,000.00 B
Alat Pengukur Gula Darah 1 2009 Din.Kes Rp 1,707,273.00 Rp 1,707,273.00 B
1 Vaceine Carier 1 1 3 2 08 01 41 415Tas vaksin Unit 2009 Din.Kes Rp 708,181.66 Rp 708,181.66 B
2 Vaceine Carier 1 1 3 2 08 01 41 416Tas vaksin Unit 2009 Din.Kes Rp 708,181.66 Rp 708,181.66 B
3 Vaceine Carier 1 1 3 2 08 01 41 417Tas vaksin Unit 2009 Din.Kes Rp 708,181.66 Rp 708,181.66 B
Poskesdes Kit 1 2009 Din.Kes Rp 49,897,727.00 Rp 49,897,727.00 B
1 Lemari 1 1 3 2 05 03 07 007Lemari arsif Bh 2010 Din.Kes Rp 623,000.00 Rp 623,000.00 B
2 Lemari 1 1 3 2 05 03 07 007Lemari arsif Bh 2010 Din.Kes Rp 623,000.00 Rp 623,000.00 B
1 Poskesdes Kit 1 2010 Din.Kes Rp 35,170,500.00 Rp 35,170,500.00 B
2 Poskesdes Kit 1 2010 Din.Kes Rp 35,170,500.00 Rp 35,170,500.00 B
1 Ponkesdes Kit 1 2010 Din.Kes Rp 2,960,280.00 Rp 2,960,280.00 B
2 Ponkesdes Kit 1 2010 Din.Kes Rp 2,960,280.00 Rp 2,960,280.00 B
Vaceine Carier Domestik 1 1 3 2 08 01 41 415Tas vaksin Unit 2011 Din.Kes Rp 7,145,000.00 Rp 7,145,000.00 B
ECG 1 1 3 2 07 01 05 133EKG Manual Unit 2012 Din Kes Rp 28,000,000.00 Rp 28,000,000.00 RR
Tensi Meter Digital 1 1 3 2 07 01 10 005 Tensimeter Unit OMRON 2013 KEMENKES RI Rp 1,485,000.00 Rp 1,485,000.00 RB
Alat Ukur Tinggi Badan Dewasa 1 1 3 2 07 01 01 Measuring
070 instument
Unit Saga 2013 KEMENKES RI Rp 627,000.00 Rp 627,000.00 B
1 Timbangan Bayi 1 1 3 2 07 01 01 010timbangan bayi Unit GEA 2014 DAK Rp 550,000.00 Rp 550,000.00 B
2 Timbangan Bayi 1 1 3 2 07 01 01 010timbangan bayi Unit GEA 2014 DAK Rp 550,000.00 Rp 550,000.00 B
1 Stetoskop 1 1 3 2 7 01 01 004Stetoscope Unit ERKA 2014 DAK Rp 1,650,000.00 Rp 1,650,000.00 B
2 Stetoskop 1 1 3 2 7 01 01 004Stetoscope Unit ERKA 2014 DAK Rp 1,650,000.00 Rp 1,650,000.00 B
Mikroskop 1 1 3 2 8 1 16 Miskroskop
006 Binokuler
Unit OLIMPUS 2014 DAK Rp 31,900,000.00 Rp 31,900,000.00 B
Komputer PC 1 1 3 2 10 01 03 Komputer unitUnit HP 110 050 D 2014 DAU Rp 6,773,250.00 Rp 6,773,250.00 RB
USP / Stabilizer 1 Unit APC BX1100CI 2014 DAU Rp 2,365,000.00 Rp 2,365,000.00 RB
Swich HUB 1 Unit CISCO SF90D 16 AS 2014 DAU Rp 990,000.00 Rp 990,000.00 RB
1 Infra RED Pemanas 1 1 3 2 07 01 02 010 Infra Red Unit OSERAM 2014 Beli Rp 550,000.00 Rp 550,000.00 RB
2 Infra RED Pemanas 1 1 3 2 07 01 02 010 Infra Red Unit OSERAM 2014 Beli Rp 550,000.00 Rp 550,000.00 RR
1 Tabung Oksigen Kecil 1 1 3 2 07 01 01 026tabung O2 Unit 2014 Beli Rp 500,000.00 Rp 500,000.00 B
2 Tabung Oksigen Kecil 1 1 3 2 07 01 01 026tabung O2 Unit 2014 Beli Rp 500,000.00 Rp 500,000.00 B
1 Tabung Oksigen Besar 1 1 3 2 07 01 01 026tabung O2 Unit 2014 Beli Rp 1,870,000.00 Rp 1,870,000.00 B
2 Tabung Oksigen Besar 1 1 3 2 07 01 01 026tabung O2 Unit 2014 Beli Rp 1,870,000.00 Rp 1,870,000.00 B
1 Dopler 1 1 3 2 07 01 05 081 Dopler Unit 2014 Beli Rp 1,100,000.00 Rp 1,100,000.00 B
2 Dopler 1 1 3 2 07 01 05 081 Dopler Unit 2014 Beli Rp 1,100,000.00 Rp 1,100,000.00 B
Note BooK 1 Unit ACER E3 - 112 2014 Beli Rp 4,015,000.00 Rp 4,015,000.00 RR
1 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2014 Beli Rp 4,015,000.00 Rp 4,015,000.00 RR
2 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2014 Beli Rp 4,015,000.00 Rp 4,015,000.00 RR
3 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2014 Beli Rp 4,015,000.00 Rp 4,015,000.00 RR
4 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2014 Beli Rp 4,015,000.00 Rp 4,015,000.00 RR
Laptop 1 1 3 2 10 01 01 002 Laptop Unit Toshiba LAOAS 1 B 2014 Beli Rp 6,182,000.00 Rp 6,182,000.00 RB
Oxygen Concentractor 1 1 3 2 07 01 01 Oxygen
171 consentrator
Unit 2015 DAK Rp 12,100,000.00 Rp 12,100,000.00 B
1 Fetal Dopler 1 1 3 2 07 01 05 081 Dopler Unit HI bebe bistos 2015 DAK Rp 1,650,000.00 Rp 1,650,000.00 B
2 Fetal Dopler 1 1 3 2 07 01 05 081 Dopler Unit HI bebe bistos 2015 DAK Rp 1,650,000.00 Rp 1,650,000.00 B
3 Fetal Dopler 1 1 3 2 07 01 05 081 Dopler Unit HI bebe bistos 2015 DAK Rp 1,650,000.00 Rp 1,650,000.00 B
1 Tabung O2 Portable 1 1 3 2 07 01 01 026tabung O2 Unit 2015 Dak Rp 2,200,000.00 Rp 2,200,000.00 B
2 Tabung O2 Portable 1 1 3 2 07 01 01 026tabung O2 Unit 2015 Dak Rp 2,200,000.00 Rp 2,200,000.00 B
3 Tabung O2 Portable 1 1 3 2 07 01 01 026tabung O2 Unit 2015 Dak Rp 2,200,000.00 Rp 2,200,000.00 B
1 Brankar 1 1 3 2 07 01 01 042 Brancard Unit MAK Emergency Mobile Stretcher 31208 2015 DAK Rp 10,804,700.00 Rp 10,804,700.00 B
2 Brankar 1 1 3 2 07 01 01 042 Brancard Unit MAK Emergency Mobile Stretcher 31208 2015 DAK Rp 10,804,700.00 Rp 10,804,700.00 B
1 Infuse Standart 1 1 3 2 07 01 01 138
standard infusUnit MAK IS 4 Hook Collasible 36 103 2015 DAK Rp 1,241,000.00 Rp 1,241,000.00 B
2 Infuse Standart 1 1 3 2 07 01 01 139
standard infusUnit MAK IS 4 Hook Collasible 36 103 2015 DAK Rp 1,241,000.00 Rp 1,241,000.00 B
Kulkas Vaksin 1 1 3 2 08 01 11 113Refrigerator Unit Dovline 220 Volt, 50 Hz 2015 UPT Gedung Farmasi Kes Rp 27,000,000.00 Rp 27,000,000.00 Bekas / mutasi
1 Lemari Instrument 1 1 3 2 07 01 01 018
Lemari Instrumen
Unit Poly ( 044PC) Stenlis 2015 DAK Rp 5,385,185.00 Rp 5,385,185.00 B
2 Lemari Instrument 1 1 3 2 07 01 01 018
Lemari Instrumen
Unit Poly ( 044PC) Stenlis 2015 DAK Rp 5,385,185.00 Rp 5,385,185.00 B
3 Lemari Instrument 1 1 3 2 07 01 01 018
Lemari Instrumen
Unit Poly ( 044PC) Stenlis 2015 DAK Rp 5,385,185.00 Rp 5,385,185.00 B
Fotometer 1 1 3 2 08 01 13 007Fotometer Unit Riele 5010V5+ 2015 DAK Rp 85,419,150.00 Rp 85,419,150.00 B
SCANER 1 1 3 2 10 02 3 003 scaner Unit CANON A4 LIDO 120 2015 Beli Rp 785,000.00 Rp 785,000.00 B
1 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2015 Beli Rp 4,015,000.00 Rp 4,015,000.00 RS
2 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2015 Beli Rp 4,015,000.00 Rp 4,015,000.00 RS
3 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2015 Beli Rp 4,015,000.00 Rp 4,015,000.00 RS
4 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2015 Beli Rp 4,015,000.00 Rp 4,015,000.00 RS
5 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2015 Beli Rp 4,015,000.00 Rp 4,015,000.00 RS
6 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2015 Beli Rp 4,015,000.00 Rp 4,015,000.00 RS
7 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2015 Beli Rp 4,015,000.00 Rp 4,015,000.00 RS
1 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit Lenovo 12 2015 Beli Rp 3,516,975.00 Rp 3,516,975.00 RS
2 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit Lenovo 12 2015 Beli Rp 3,516,975.00 Rp 3,516,975.00 RS
Note BooK 1 1 3 2 10 01 02 003 Notebook Unit Lenovo 14" 2015 Beli Rp 5,500,000.00 Rp 5,500,000.00 RR
Note BooK 1 1 3 2 10 01 02 003 Notebook Unit Lenovo S 20 30 2015 Beli Rp 3,465,000.00 Rp 3,465,000.00 RR
1 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit Lenovo S 20 30 2015 Beli Rp 3,465,000.00 Rp 3,465,000.00 RR
2 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit Lenovo S 20 30 2015 Beli Rp 3,465,000.00 Rp 3,465,000.00 RR
Laptop 1 1 3 2 10 01 02 002 Laptop Unit Lenovo G 40 80 2015 Beli Rp 7,232,500.00 Rp 7,232,500.00 RR
Printer 1 1 3 2 10 02 3 003 Printer Unit Canon IP 2770 ( Infus ) 2015 Beli Rp 752,000.00 Rp 752,000.00 B
Bidan Kit 1 Paket MULTI 2016 KEMENKES RI Rp 4,826,718.00 Rp 4,826,718.00 B
Kursi Roda 1 1 3 2 07 01 01 126Kursi dorong unit MAK Wheel Chair 31303 Stenlis 2016 DAK Rp 2,722,992.00 Rp 2,722,992.00 B
Meja Resusitasi 1 1 3 2 07 01 05 135 S/S Poly Stenlis 2016 Dinkes/DAK Rp 10,853,260.00 Rp 10,853,260.00 B
Dental Unit 1 1 3 2 07 01 02 002Dental Unit Unit G-Natus Besi/ Plastik 2016 Dinkes/DAK Rp 94,810,711.00 Rp 94,810,711.00 B
1 Timbangan Badan 1 1 3 2 07 01 01 009
timbangan badan
Unit Secaflat scale 2016 DAK Rp 1,898,935.00 Rp 1,898,935.00 B
2 Timbangan Badan 1 1 3 2 07 01 01 009
timbangan badan
Unit Secaflat scale 2016 DAK Rp 1,898,935.00 Rp 1,898,935.00 B
1 Lemari Obat 1 1 3 2 07 01' 01 096 Lemari Unit Sani Stenlis 2016 DAK Rp 6,625,945.00 Rp 6,625,945.00 B
2 Lemari Obat 1 1 3 2 07 01' 01 096 Lemari Unit Sani Stenlis 2016 DAK Rp 6,625,945.00 Rp 6,625,945.00 B
3 Lemari Obat 1 1 3 2 07 01' 01 096 Lemari Unit Sani Stenlis 2016 DAK Rp 6,625,945.00 Rp 6,625,945.00 B
Timbangan Bayi 1 1 3 2 08 01' 02 010
Timbangan bayiUnit Sani 2016 DAK Rp 1,374,250.00 Rp 1,374,250.00 B
1 Sterilisator Kering 1 1 3 2 07' 01 10 072
Elektri sterilisator
Unit Sani 2016 DAK Rp 12,222,668.00 Rp 12,222,668.00 RB
2 Sterilisator Kering 1 1 3 2 07' 01 10 072
Elektri sterilisator
Unit Sani 2016 DAK Rp 12,222,668.00 Rp 12,222,668.00 B
Lampu Tindakan 1 1 3 2 07 01 01 107
Operating lamp Bh Karika NT 50HSS 2016 DAK Rp 2,934,500.00 Rp 2,934,500.00 B
1 Lemari Instumen 1 1 3 2 07 01' 01 018
Lemari instrumen
Unit MAX IC 32903 Stenlis 2016 DAK Rp 5,291,806.00 Rp 5,291,806.00 B
2 Lemari Instumen 1 1 3 2 07 01' 01 018
Lemari instrumen
Unit MAX IC 32903 Stenlis 2016 DAK Rp 5,291,806.00 Rp 5,291,806.00 B
 Radio Komunikasi 1 Unit HT Icom ICV80 2016 DAK Rp 1,760,000.00 Rp 1,760,000.00 RR
Perangkat Radio Komunikasi 1 Paket RIG, Icom 2300 H Antena, Kabel Briket 2016 DAK Rp 3,795,000.00 Rp 3,795,000.00 RR
Wireless Sound 1 Unit Roland , KC 1500 Visioner 2016 DAK Rp 4,697,000.00 Rp 4,697,000.00 B
Note BooK 1 1 3 2 10 01 02 003 Notebook Bh Lenovo 9.40.80 2016 JKN Rp 4,977,500.00 Rp 4,977,500.00 B
Otoskop 1 1 3 2 07 01 06 094 Otoskop set RENCZ Stenlis 2016 JKN Rp 1,739,400.00 Rp 1,739,400.00 B
1 Tempat Tidur Pasien 1 1 3 2 05 02 01 019Meja periksa Bh Stenlis 2016 JKN Rp 6,118,420.00 Rp 6,118,420.00 B
2 Tempat Tidur Pasien 1 1 3 2 05 02 01 019Meja periksa Bh Stenlis 2016 JKN Rp 6,118,420.00 Rp 6,118,420.00 B
3 Tempat Tidur Pasien 1 1 3 2 05 02 01 019Meja periksa Bh Stenlis 2016 JKN Rp 6,118,420.00 Rp 6,118,420.00 B
Tempat Tidur Periksa 1 1 3 2 05 02 01 019Meja periksa Bh 100 x 200 cm Kayu 2016 JKN Rp 700,000.00 Rp 700,000.00 B
LCD Proyektor 1 1 3 2 05 01 05 043
LCD Proyektor Bh LG Minibeam 2016 JKN Rp 6,050,000.00 Rp 6,050,000.00 B
1 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tunggu Bh Stenlis 2016 JKN Rp 1,674,750.00 Rp 1,674,750.00 B
2 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tunggu Bh Stenlis 2016 JKN Rp 1,674,750.00 Rp 1,674,750.00 B
3 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tunggu Bh Stenlis 2016 JKN Rp 1,674,750.00 Rp 1,674,750.00 B
4 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tunggu Bh Stenlis 2016 JKN Rp 1,674,750.00 Rp 1,674,750.00 B
5 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tunggu Bh Stenlis 2016 JKN Rp 1,674,750.00 Rp 1,674,750.00 B
6 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tunggu Bh Stenlis 2016 JKN Rp 1,674,750.00 Rp 1,674,750.00 B
AC 1 1 3 2 05 02 04 004 AC Split Bh Panasonik 2016 JKN Rp 4,438,087.00 Rp 4,438,087.00 B
Printer 1 1 3 2 10 02 3 003 Bh Canon IP 2770 ( Infus ) 2016 JKN Rp 820,628.00 Rp 820,628.00 B
Printer 1 1 3 2 10 02 3 003 Bh Canon LBP 2900 2016 JKN Rp 2,009,700.00 Rp 2,009,700.00 B
Vaceine Carier 1 1 3 2 08 01 41 415Tas vaksin Unit Domestik/RCW/ Louxembourg 2017 KEMENKES RI Ditjend P2P Rp 10,994,954.00 Rp 10,994,954.00 B
Obgin Bad 1 1 3 2 07 01 05 136Obgyn Bed set 2017 Dinas PPKBD PPPA Rp 7,000,000.00 Rp 7,000,000.00 B
1 Removal Implan 1 1 3 2 07 01 03 015
Implan RemovalUnit 2017 Dinas PPKBD PPPA Rp 1,878,020.00 Rp 1,878,020.00 B
2 Removal Implan 1 1 3 2 07 01 03 015
Implan RemovalUnit 2017 Dinas PPKBD PPPA Rp 1,878,020.00 Rp 1,878,020.00 B
3 Removal Implan 1 1 3 2 07 01 03 015
Implan RemovalUnit 2017 Dinas PPKBD PPPA Rp 1,878,020.00 Rp 1,878,020.00 B
4 Removal Implan 1 1 3 2 07 01 03 015
Implan RemovalUnit 2017 Dinas PPKBD PPPA Rp 1,878,020.00 Rp 1,878,020.00 B
5 Removal Implan 1 1 3 2 07 01 03 015
Implan RemovalUnit 2017 Dinas PPKBD PPPA Rp 1,878,020.00 Rp 1,878,020.00 B
IUD Kit Sterilisator 1 set 2017 Dinas PPKBD PPPA Rp 4,871,020.00 Rp 4,871,020.00 B
Laptop 1 1 3 2 10 01 02 002 Laptop Unit Lenovo 2017 DINKES Rp 6,890,937.09 Rp 6,890,937.09 B
Printer 1 1 3 2 10 02 3 003 Unit Epson L 120 2017 DINKES Rp 1,776,500.00 Rp 1,776,500.00 B
Fetal Dopler 100B+ 1 1 3 2 07 01 05 081 Dopler Unit SHENZEN Jumper ME 2017 DINKES Rp 1,844,109.00 Rp 1,844,109.00 B
Partus SET 1 1 3 2 07 01 05 105 instumen Unit
Partus set MEDICON Stenlis 2017 Dinkes Rp 10,388,850.13 Rp 10,388,850.13 B
Heacting set 1 1 3 2 08 02 04 083Heacting set Unit MEDICON Stenlis 2017 Dinkes Rp 4,548,174.00 Rp 4,548,174.00 B
Lemari Rekam Medis 1 1 3 2 ;05 03 07 007Lemari Arsif set Kayu 2017 JKN Rp 14,961,100.00 Rp 14,961,100.00 B
Neon BOK 1 1 3 2 05 01 05 003
Papan nama visual
Unit 2018 JKN Rp 9,565,000.00 Rp 9,565,000.00 B
Papan Nama Letter 1 1 3 2 05 01 05 Papan
050 nama instansi
Unit 2018 JKN Rp 14,635,000.00 Rp 14,635,000.00 B
Printer 1 1 3 2 10 02 3 003 Unit Epson L 120 2018 JKN Rp 1,980,000.00 Rp 1,980,000.00 B
AC 1 1 3 2 05 02 04 004 AC Split Unit Panasonic R32 Low Watt 2018 JKN Rp 5,280,000.00 Rp 5,280,000.00 B
Note BooK 1 1 3 2 10 01 02 003 Notebook Bh ACER Aspire ES 475 14" 2017 JKN Rp 4,913,552.00 Rp 4,913,552.00 B
Laptop 1 1 3 2 10 01 02 002 Laptop Unit HP 240 G6 10 In 2018 Dinkes Rp 7,430,100.00 Rp 7,430,100.00 B
Printer 1 1 3 2 10 02 3 003 Printer Unit Epson L 120 2018 Dinkes Rp 1,828,400.00 Rp 1,828,400.00 B
Busa bed 1 1 3 2 05 02 01 025 Kasur Unit Mak Matter Foam Adult (MATO2) Busa 2018 Dinkes Rp 1,419,547.00 Rp 1,419,547.00 B
Bed Pasien 1 1 3 2 07 01 01 169Bed Pasien Unit Mak Supramak Bed 73010 Metal 2018 Dinkes Rp 11,680,848.00 Rp 11,680,848.00 B
Cryotherapy 1 Unit MGC 200 A 2019 DAK 2019 Rp 79,907,457.00 Rp 79,907,457.00 B
CO2 Set ( 25 Kg ) 1 1 3 2 03 01 08 004Tabung Co2 set Medical Grade 2019 DAK 2019 Rp 3,376,452.00 Rp 3,376,452.00 B
CO2 Set ( 5 Kg ) 1 1 3 2 03 01 08 004Tabung Co3 set Medical Grade 2019 DAK 2019 Rp 1,527,652.00 Rp 1,527,652.00 B
Printer 1 1 3 2 10 02 3 003 Printer Unit EPSON L 120 Ink Tank Printer 2019 JKN Rp 1,853,400.00 Rp 1,853,400.00 B
Meja Kerja Kayu 1 1 3 2 05 03 01 008 Meja Buah Kayu 2019 JKN Rp 1,677,500.00 Rp 1,677,500.00 B
1 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tungguBuah Queenera Stainlis 2019 JKN Rp 2,431,000.00 Rp 2,431,000.00 B
2 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tungguBuah Queenera Stainlis 2019 JKN Rp 2,431,000.00 Rp 2,431,000.00 B
3 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tungguBuah Queenera Stainlis 2019 JKN Rp 2,431,000.00 Rp 2,431,000.00 B
1 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
2 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
3 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
4 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
5 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
6 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
7 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
8 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
9 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
 10 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
11 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
12 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
13 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
14 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
15 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
16 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
17 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
18 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
19 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
20 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
Kursi Kerja Direktur 1 1 3 2 ;05 03 03'Kursi007
kerja pejabat eselon
Buah 5 Stainlis 2019 JKN Rp 3,014,000.00 Rp 3,014,000.00 B
1 Hard Disk INTERNAL 1 Buah 2019 JKN Rp 907,500.00 Rp 907,500.00 B
2 Hard Disk INTERNAL 1 Buah 2019 JKN Rp 907,500.00 Rp 907,500.00 B
Papan Visual Non Elektronik 1 1 3 2 05 01 05 003
Papan nama visual
Unit 2019 JKN Rp 9,949,500.00 Rp 9,949,500.00 B
1 Body Fat Analizer 1 1 3 2 07 05 05 025 Body fat Unit 2019 Pengadaan DAK Rp 1,107,752.48 Rp 1,107,752.48 B
2 Body Fat Analizer 1 1 3 2 07 05 05 025 Body fat Unit 2020 Pengadaan DAK Rp 1,107,753.48 Rp 1,107,753.48 B
3 Body Fat Analizer 1 1 3 2 07 05 05 025 Body fat Unit 2021 Pengadaan DAK Rp 1,107,754.48 Rp 1,107,754.48 B
4 Body Fat Analizer 1 1 3 2 07 05 05 025 Body fat Unit 2022 Pengadaan DAK Rp 1,107,755.48 Rp 1,107,755.48 B
5 Body Fat Analizer 1 1 3 2 07 05 05 025 Body fat Unit 2023 Pengadaan DAK Rp 1,107,756.48 Rp 1,107,756.48 B
6 Body Fat Analizer 1 1 3 2 07 05 05 025 Body fat Unit 2024 Pengadaan DAK Rp 1,107,757.48 Rp 1,107,757.48 B
7 Body Fat Analizer 1 1 3 2 07 05 05 025 Body fat Unit 2025 Pengadaan DAK Rp 1,107,758.48 Rp 1,107,758.48 B
8 Body Fat Analizer 1 1 3 2 07 05 05 025 Body fat Unit 2025 Pengadaan DAK Rp 1,107,758.48 Rp 1,107,758.48 B
Televi
Televisi 1 1 3 2 05 02 06 002 si Unit SAMSUNG 49 inch UA449J5250AKPXD 2019 JKN Rp 7,920,000.00 Rp 7,920,000.00 B
AC 1 1 3 2 05 02 04 004 AC Split Unit PANASONIC KNS TKJ 0,5PK 2019 JKN Rp 6,270,000.00 Rp 6,270,000.00 B
Note BooK 1 1 3 2 10 01 02 003 Notebook Unit HP 6KY03PA 2019 JKN Rp 7,248,850.00 Rp 7,248,850.00 B
1 Tensi Meter Digital 1 1 3 2 07 01 10 005 Tensimeter unit ABN DM 500 2020 Pengadaan Cukai Rp 1,194,658.00 Rp 1,194,658.00 B
2 Tensi Meter Digital 1 1 3 2 07 01 10 005 Tensimeter unit ABN DM 500 2020 Pengadaan Cukai Rp 1,194,659.00 Rp 1,194,659.00 B
3 Tensi Meter Digital 1 1 3 2 07 01 10 005 Tensimeter unit ABN DM 500 2020 Pengadaan Cukai Rp 1,194,660.00 Rp 1,194,660.00 B
4 Tensi Meter Digital 1 1 3 2 07 01 10 005 Tensimeter unit ABN DM 500 2020 Pengadaan Cukai Rp 1,194,661.00 Rp 1,194,661.00 B
Head lamp 1 1 3 2 07 01 01 007 Head lamp Unit MEDICINDO 2020 Pengadaan Cukai Rp 2,685,000.00 Rp 2,685,000.00 B
1 Pulse Oksimeter 1 1 3 2 07' 01 01 118
Pulse oksimetriUnit FYROM 2020 Pengadaan DID Rp 7,137,368.00 Rp 7,137,368.00 B
2 Pulse Oksimeter 1 1 3 2 07' 01 01 118
Pulse oksimetriUnit FYROM 2020 Pengadaan DID Rp 7,137,369.00 Rp 7,137,369.00 B
Medikal Transport 1 1 3 2 08 01 41 415
Tas obat/vaksinUnit Domestik B Medical system MT4B 2020 Pengadaan Dana Cukai Rp 10,025,346.00 Rp 10,025,346.00 B
Bilik Swab 1 1 3 2 07 02 01 Monoplace
013 chamber
Unit Alumunium 2020 Pengadaan DID Rp 4,400,000.00 Rp 4,400,000.00 B
Sanitarian Kit 1 1 3 2 07 02 02 032Sanitarian kit Kit Inscienpro GN 60 2020 Pengadaan DAK Rp 84,810,000.00 Rp 84,810,000.00 B
1 Laptop 1 1 3 2 10 01 01 002 Laptop Unit 2020 JKN Rp 7,645,000.00 Rp 7,645,000.00 B
2 Laptop 1 1 3 2 10 01 01 002 Laptop Unit 2020 JKN Rp 7,645,000.00 Rp 7,645,000.00 B
1 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit CONTEK 2020 BTT Rp 1,900,000.00 Rp 1,900,000.00 B
2 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit CONTEK 2020 BTT Rp 1,900,000.00 Rp 1,900,000.00 B
1 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
2 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
3 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
4 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
5 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
6 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
7 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
8 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
9 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
10 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
11 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit COOLPAD 2020 BTT Rp 1,600,000.00 Rp 1,600,000.00 B
1 Sprayer Gun 1 1 3 2 08 01 11 046Spayer gun Unit BLUE RAY Handhold Nano 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
2 Sprayer Gun 1 1 3 2 08 01 11 046Spayer gun Unit BLUE RAY Handhold Nano 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
Lampu Tindakan 1 1 3 2 07 01 01 107
Operating lamp Bh Onemed 2020 JKN Rp 2,064,700.00 Rp 2,064,700.00 B
Bilik Swab Bh 2020 Dinkes Rp 4,400,000.00 Rp 4,400,000.00 B
Bed Pasien Bh MAK LA NINA 73062 2021 Dinkes Rp 14,700,000.00 Rp 14,700,000.00 B
Bed Examination Bh Mak LA NINA 34205 2021 Dinkes Rp 7,800,000.00 Rp 7,800,000.00 B
 Lampiran 27
KARTU INVENTARIS BARANG (KIB)
C. GEDUNG DAN BANGUNAN
No. Kode Lokasi : 13.09.07.01.03.00.00
Kondisi Kontruksi
Nomor Bangun Bangunan Dokumen Gedung Nomor
Jenis Barang / Nama Luas Tahun Tahun Letak / Lokasi Luas Status
No an Kode Asal usul Harga Ket
Barang Regis (B,KB,R Bertingkat / Lantai Dibangun renovasi Alamat (m2) Tanah
Kode Barang Tgl No Tanah
ter B) Tidak
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 Puskesmas Ketrowonojojo 03.11.01.06.10 1 3 3 01 01 Bangunan
06 010 Klinik/Puskesmas
1 RB tidak 239 1989 Desa Ketro 410 Hp Hibah 240,500,000.00
2 Rumah Dinas Dokter Lama 03.11.01.06.12 1 3 3 1 1 6Tempat
13 praktek dokter
1 RB Tidak 126 1989 2004 Desa Ketro 324 Hp Hibah 285,177,288 UP
3 Rumah Dinas Paramedis 03.11.01.06.12 1 3 3 1 1 6Tempat
13 praktek dokter
1 RB Tidak 58.8 1989 2008 Desa.Ketro 130 Hp Hibah 22,750,000.00 UP
4 Pustu Worawari 03.11.01.06.10 1 3 3 01 01 Bangunan
06 010 Klinik/Puskesmas
1 RB Tidak 95 1991 2008 Desa worawari 180 Hp Hibah 52,629,000.00
5 Pustu Gembuk 03.11.01.06.10 1 3 3 01 01 Bangunan
06 010 Klinik/Puskesmas
1 RB Tidak 95 1993 2008 Desa Gembuk 355 Hp Hibah 50,700,000.00
6 Pustu Ketepung 03.11.01.06.10 1 3 3 01 01 Bangunan
06 010 Klinik/Puskesmas
1 B Tidak 105 1994 2016 Desa Ketepung 1500 Hp Hibah 28,350,000.00
7 Ponkesdes Punjung 03.11.01.06.10 1 3 3 01 01 Bangunan
06 010 Klinik/Puskesmas
1 RR Tidak 70 1992 2009 Desa Punjung 110 Hp Hibah 80,750,928.00
8 Polindes Sanggrahan 03.11.01.06.10 1 3 3 01 01 Bangunan
06 010 Klinik/Puskesmas
1 B Tidak 50 1996 2018 Desa Sanggrahan 145 Hp Hibah 58,846,000.00
9 Ponkesdes Wonogondo 03.11.01.06.10 1 3 3 01 01 Bangunan
06 010 Klinik/Puskesmas
1 B Tidak 39 1997 2008 Desa Wonogondo 960 Hp Hibah 131,809,124.58
10 Poskesdes Worawari 03.11.01.06.10 1 3 3 01 01 Bangunan
06 010 Klinik/Puskesmas
1 B Tidak 99 2010 2010 Desa worawari 120 Hp Hibah 132,433,696.18
11 Pus. Ketrowonojoyo (baru) 03.11.01.06.10 1 3 3 01 01Bangunan
06 013Tempat Praktek
1 Dokter
B Tidak 300 2015 2015 Desa Ketro 4000 Hp Hibah 1,099,055,928.50
Tempat parkir Kendaraan Roda 4 03.11.01.06.10 1 3 3 01 01 32
Bangunan
001 Tempat 1Parkir B Tidak 40 2018 Desa Ketro 4000 HP Pengadaan 12,320,000.00
12 Rumah Dinas Dokter Baru 03.11.01.06.10 1 3 3 1 1 6 13 Tempa 1 B Tidak 2020 Desa Ketro 4000 Hp Pengadaan 555,004,128.42
2,750,326,093.68
Mengetahui, Pacitan, 31 Desember 2020
KEPALA PUSKESMAS KETROWONOJOYO PENGURUS BARANG
249500000
65,000,000.00

dr. ANDRI PRADYASANTI TRI KARTIKA DEWI ,Amd.Kep

NIP. 19820310 200903 2 005 NIP. 19790112 200701 2 011
 Lampiran 28
KARTU INVENTARIS BARANG (KIB)
D. JALAN, IRIGASI DAN JARINGAN
No. Kode Lokasi :
Jenis Nomor Dokumen
Panjang Letak / Status Nomor Kondisi
No Barang
Nama
/
Kode Konstruksi (km) Lebar (m) Luas (m2) Lokasi Tanah Kode Asal usul Harga (B,KB,RB) Ket
Barang Barang Register Alamat Tanggal Nomor Tanah
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Jalan Khusus 1 1 3 4 01 01 09 008 Jala 1 Desa Ketro31-12-216 HP Pengadaan 88,010,744.0 KB

88,010,744.0

Mengetahui,
KEPALA PUSKESMAS KETROWONOJOYO Pacitan, 31 Desember 2020
PENGURUS BARANG

dr. ANDRI PRADYASANTI

NIP. 19820310 200903 2 005 TRI KARTIKA DEWI,Amd.Kep
NIP. 19790112 200701 2 011
 Lampiran 29
KARTU INVENTARIS BARANG (KIB)
E. ASET TETAP LAINNYA
No. Kode Lokasi :
Barang Bercorak Kesenian / Hewan / Ternak dan Tahun
Nomor Buku / Perpustakaan Asal usul
Jenis Barang / Nama Kebudayaan Tumbuhan Cetak /
No Barang Kode Judul / Spesifikas Asal Jumlah Pembelia Cara Harga Ket
Barang Register Pencipta i Daerah Pencipta Bahan Jenis Ukuran Perolehan
n
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

N I H I L

Mengetahui Pacitan, 31 Desember 2020

KEPALA PUSKESMAS KETROWONOJOYO PENGURUS BARANG

dr. ANDRI PRADYASANTI TRI KARTIKA DEWI,Amd.Kep

NIP. 19820310 200903 2 005 NIP. 19790112 200701 2 011
 KARTU INVENTARIS BARANG (KIB)
B. PERALATAN DAN MESIN (PERLENGKAPAN KANTOR)
Ruangan :
Tahun Nomor Asal-Usul
Nama Barang / Jenis Nomor Merk /
No Kode Barang Ukuran Bahan Pembeli Cara Harga Ket
Barang Register Type Pabrik
an Perolehan
1 2 3 4 5 6 7 8 9 10 11 12
Standar com Stenlis Din Kes 25.000,- 1
02,08,01,01,08 wascom 32x32 Stenlis 1980 Din Kes 10.000,- 1
02,06,01,05,08 Papan Tulis 70x50 Kayu 1988 Beli 25.000,- 1
02,06,01,04,02 Rak Besi 250x50x190 Besi 1991 Beli 250,000,- 1
02,06,01,01,02 Mesin Ketik Besi 1991 Beli 325,000,- 1
02,06,01,04,02 Rak Besi 180x50x150 Besi 1992 Beli 185.000,- 1
02,06,02,01,51 Cermin 32x62 Kaca 1994 Beli 50.000,- 1
Teromos Besar Plastik 1997 Din Kes 600.000,- 12
Teromos Kecil Plastik 1999 Din Kes 320.000,- 16
02,06,02,05,02 Kompor Gas Stenlis 2001 Beli 400.000,- 1
02,06,02,01,27 Kursi Plastik/Rapat Plastik 2001 Beli 1.080.000,- 40
02,08,01,01,10 Timbangan Balita Besi 2002 Din Kes 95.000,- 1
Tinggi Badan Besi 2002 Din Kes 225.000,- 1
Panjang Badan Kayu 2004 Din Kes 50.000,- 1
Tromol Stenlis 2004 Din Kes 150.000,- 1
02,08,01,01,08 Waskom Stenlis 2004 Din Kes 260.000,- 4
Timbangan Stenlis 2004 Din Kes 250.000,- 1
02,06,01,02,01 Kakulator Stenlis 2005 Beli 45.000,- 1
02,06,02,01,05 Kursi Kerja 65x44x70 Stenlis 2007 Din Kes 4.300.000,- 20
Standar Infus Stenlis 2007 Din Kes 150.000,- 1
Phantom Gigi 2008 Din.Kes 94.500,- 1
HB Meter Sahli 2008 Din.Kes 1.341.800,- 4
Kamar Hitung Kaca 2008 Din.Kes 453.600,- 1
02,06,02,01,05 KURSI Lipat Futura Stenlis 2010 Din.Kes 450.000,- 2
Standar Infus Stenlis 2007 Din Kes 150.000,- 1
Tabung HB Meter Sahli 2008 Din.Kes 340.000,- 5
PUSKESMAS : KETROWONOJOYO BUKU INVENTARIS
SKPD : DINAS KESEHATAN LAMPIRAN 32
KABUPATEN : PACITAN
PROVINSI : JAWA TIMUR NO KODE LOKASI :13,09,07,01,03,00,00

NOMOR SPESIFIKASI BARANG Ukuran JUMLAH

No.Sertifikat asal/cara Barang/ Satuan Keadaan
No Kode Reges Nama/Jenis Merk/ No.Pabrik Bahan Perolehan Tahun Kontruksi Barang Barang Harga Ket.
Urt Barang ter Barang Type No.Chassis Barang Perolehan (P,S,D) (B/KB/RB) (Rp)
No.Mesin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 01.01.11.04.12. Tanah Puskesmas Hibah 1989 410 m2 Bidang 1 44,700,000
2 01.01.11.04.12. Tanah Pustu Worawari Hibah 1991 180m2 Bidang 1 10,000,000
3 01.01.11.04.12. Tanah Pustu Gembuk Hibah 1993 450m2 Bidang 1 22,400,000
4 01.01.11.04.12. Tanah Pustu Ketepung Hibah 1994 1.500m2 Bidang 1 25,576,000
5 01.01.11.04.12. Tanah Polindes Punjung Hibah 1992 110 m2 Bidang 1 5,500,000
6 01.01.11.04.12. Tanah PolindesSanggrahan Hibah 1996 145m2 Bidang 1 5,000,000
7 01.01.11.04.12. Tanah Polindes Wonogondo Hibah 1997 960m2 Bidang 1 48,000,000
8 01.01.11.04.25. Tanah Perumahan Dr Hibah 1989 324m2 Bidang 1 10,564,000
9 01.01.11.04.25. Tanah Perum.Paramedis Hibah 1989 130 m2 Bidang 1 28,000,000
10 01.01.11.04.12. Tanah Poskesdes Hibah 2010 140m2 Bidang 1 70,000,000
11 02.03.01.05.01 Sepeda Motor Suzuki E1041D564205 Besi Din Kes 1997 Buah RB 1 4,000,000,- UH
12 02.03.01.05.01 Sepeda Motor Yamaha 4ST1416168 Besi Din Kes 2005 Buah RR 1 11,000,000,-
13 02.03.01.05.01 Sepeda Motor Honda HB41E1765225 Besi Din Kes 2006 Buah RR 1 10,000,000,-
14 02.03.01.05.01 Sepeda Motor Honda JB51E1798996 Besi Din Kes 2006 Buah RR 1 13,000,000,-
15 02.03.01.05.01 Sepeda Motor Honda JB51E1755222 Besi Din Kes 2006 Buah RR 1 13,000,000,-
16 02.03.01.05.01 Sepeda Motor Yamaha 2P2679731 Besi Din Kes 2007 Buah RR 1 12,950,000,-
18 02.03.01.05.01 Sepeda Motor Suzuki F496ID265492 Besi Din.Kes 2008 Buah RR 1 12.753.400,-
19 02.03.01.05.01 Sepeda Motor Yamaha E3R8E0026069 Besi Din.Kes 2016 Buah B 1 15,200,000.00
20 02.03.01.05.01 Sepeda Motor Yamaha E3 R8E1220G Besi Din.Kes 2016 Buah B 1 15,200,000.00
21 02.03.01.04.01 Ambulance Kijang MHf31KF6054227 Besi Din Kes 2005 Buah RS 1 140,000,000,-
22 02.03.01.04.01 Pusling Std S uzuki APV G15AID379736 Besi Din Kes 2016 Buah B 1 235,261,000
19 03,11,01,06,10 PKM Ketrowonojoyo 1989 239 m2 unit RB 1 190.000.000,-
20 03,11,01,06,10 Pustu Worawari 1991 95 m2 unit B 1 110,000,000,-
21 03,11,01,06,10 Pustu Gembuk 1993 95 m2 unit RR 1 110,000,000,-
22 03,11,01,06,10 Pustu Ketepung 1994 105 m2 unit B 1 110,000,000,-
23 03,11,01,06,10 Ponkesdes Punjung 1992 70 m2 unit RR 1 95,000,000,-
24 03,11,01,06,10 Polindes Sanggrahan 1996 50 m2 unit B 1 65,000,000,-
25 03,11,01,06,10 Ponkesdes Wonogondo 1997 39 m2 unit RS 1 50,000,000,-
26 03,11,01,06,12 Perumahan Dokter 1989 82 M2 unit RB 1 50,000,000,-
27 03,11,01,06,12, Perumahan Paramedis 1989 59 m2 unit RB 1 50,000,000,-
28 03,11,01,06,10 Poskesdes Worawari 2010 99m2 unit B 1 160,000,000
29 03,11,01,06,10 PKM Ketrowonojoyo Baru 2015 4000m2 unit B 1 1,099,055,928
 NOMOR SPESIFIKASI BARANG Ukuran JUMLAH
No.Sertifikat asal/cara Barang/ Satuan Keadaan
No Kode Reges Nama/Jenis Merk/ No.Pabrik Bahan Perolehan Tahun Kontruksi Barang Barang Harga Ket.
Urt Barang ter Barang Type No.Chassis Barang Perolehan (P,S,D) (B/KB/RB)
No.Mesin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
29 02,06,02,01,01 Lemari Kayu Kayu Din Kes 1975 100x40x175 Buah KB 1 200.000,-
30 Meja Pimpong Kayu Beli 1988 275x150x75 Buah KB 1 250.000,-
31 02,06,02,01,22 Meja Obat Kayu Beli 1989 80x60x80 Buah KB 1 85.000,-
32 02,06,01,04,03 Rak Kayu Kayu Beli 1991 150x40x140 Buah KB 1 200.000,-
33 02,06,02,01,04 Meja Kayu Kayu Beli 1992 60x70x77 Buah KB 1 65,000,-
34 02,06,02,01,01 Lemari Kayu Kayu Beli 1992 120x50x190 Buah KB 2 250.000,-
35 02,06,02,01,04 Meja Kayu Kayu Beli 1994 50x40x75 Buah KB 1 150.000,-
36 02,06,02,01,01 Lemari Kayu Kayu Beli 1994 80x40x75 Buah B 1 200.000,-
37 Alat-alat gigi Stenlis Beli 1994 Set KB 1 5.000.000,-
38 02,06,02,01,04 Meja Kayu Kayu Beli 1997 80x46x59 Buah KB 1 95.000,-
39 02,06,02,01,06 Kursi Kayu Kayu Beli 1997 48x55x85 Buah KB 4 100.000,-
40 02,06,01,04,03 Rak Kayu Kayu Beli 1997 200x60x180 Buah KB 1 350.000,-
41 02,06,02,01,04 Meja Kayu Kayu Beli 1997 65x53x70 Buah KB 1 50.000,-
42 02,06,02,01,11 Meja Tulis Kayu Beli 1997 112x59x75 Buah B 1 275.000,-
43 02,06,02,01,11 Meja Tulis Kayu Beli 2000 110x60x75 Buah B 1 200.000,-
44 02,06,02,01,11 Meja Tulis Kayu Beli 2000 100x60x72 Buah B 1 250.000,-
45 02,06,02,01,01 Lemari Kayu Kayu Beli 2000 80x45x180 Buah KB 1 150.000,-
46 02,06,02,01,01 Lemari Food Model Kayu Beli 2000 150x40x110 Buah B 1 150.000,-
47 02,06,02,01,11 Meja Tulis Kayu Beli 2000 120x60x70 Buah KB 1 250.000,-
48 02,06,01,01,33 Bangku Tunggu Kayu Beli 2000 200x45x90 Buah KB 1 600.000,-
49 02,06,02,01,11 Meja Tulis Kayu Beli 2000 150x74x74 Buah B 1 250.000,-
50 02,09,01,12,20 Microscope Stenlis Din Kes 2001 Buah RB 1 8,500.000,-
51 02,06,02,01,11 Meja Tulis Kayu Beli 2001 Buah KB 1 250.000,-
52 02,06,02,01,11 Meja Tulis Kayu Beli 2001 Buah KB 1 250.000,-
53 02,06,02,01,04 Meja Kayu Kayu Beli 2002 60x40x100 Buah KB 1 225.000,-
54 02,08,01,02,02 Kursi Dental Unit Besi Din Kes 2004 Buah RB 1 12,000,000
55 02,06,01,04,12 Lemari Kaca Stenlis Din Kes 2004 90x60x200 Buah B 1 950.000,-
56 02,08,01,02,02 Dental Chair Besi Din Kes 2004 Buah RB 1 6,000,000
57 02,06,02,01,21 Meja Periksa Pasien Kayu Beli 2004 190x70x85 Buah B 1 200.000,-
58 02,06,01,04,03 Rak Kayu Kayu Beli 2004 65x44x70 Buah B 1 250.000,-
59 02,06,02,01,11 Meja Tulis Kayu Beli 2004 120x50x77 Buah B 1 225.000,-
60 02,06,01,04,03 Rak Kayu Kayu Beli 2004 120x40x200 Buah RS 1 600.000,-
61 02,06,01,04,12 Lemari Kaca Stenlis Beli 2004 100x40x200 Buah KB 1 875.000,-
 NOMOR SPESIFIKASI BARANG Ukuran JUMLAH
No.Sertifikat asal/cara Barang/ Satuan Keadaan
No Kode Reges Nama/Jenis Merk/ No.Pabrik Bahan Perolehan Tahun Kontruksi Barang Barang Harga Ket.
Urt Barang ter Barang Type No.Chassis Barang Perolehan (P,S,D) (B/KB/RB)
No.Mesin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
62 02,06,01,04,12 Lemari Kaca Stenlis Beli 2004 150x40x200 Buah KB 1 950.000,-
63 02,08,01,01,01 Stirilsator Besi Din Kes 2004 425x35x77 Buah KB 1 1.475.000,-
64 02,06,02,01,01 Lemari Kayu Kayu Beli 2005 50x45x150 Buah B 1 350.000,-
65 02,06,02,01,01 Lemari Kayu Kayu Beli 2005 119x48x200 Buah B 1 750.000,-
66 02,06,02,01,11 Meja Tulis Kayu Beli 2006 113x60x75 Buah B 1 300.000,-
67 PHN Kit Stenlis Din Kes 2006 Buah B 1 1.325000,-
68 02,08,01,01,05 Tensi Meter Stenlis Din Kes 2006 Buah B 2 1360.000,-
69 Stetoscup Stenlis Din Kes 2006 Buah B 2 1. 772.000,-
70 Heating Set Stenlis Din Kes 2006 Buah B 1 325.000,-
71 Iud Kit Stenlis Din Kes 2006 Buah B 1 6.500.000,-
72 Partus Kit Stenlis Din Kes 2006 Buah B 1 1.100.000,-
73 Lemari es RCW42EK Palstik Din Kes 2006 70x55x75 Buah B 1 5.000.000,-
74 Lemari es RCW50EK Palstik Din Kes 2006 40x71x85 Buah RB 1 5.000.000,-
75 02,08,01,01,01 Stirilsator Stenlis Din Kes 2006 Buah B 1 2.000.000,-
76 Tabung Oksigen Kecil set Besi Din Kes 2006 Buah B 4 2,000,000
77 02,06,01,04,12 Lemari Kaca Stenlis Din Kes 2007 70x40x170 Buah B 1 2.471.400,-
78 02,06,02,01,48 Meja 1/2 Biro Kayu Din Kes 2007 120x50x70 Buah B 10 11.500.000,-
79 02,06,01,04,12 Lemari Kaca Stenlis Din Kes 2007 70x40x170 Buah B 1 2.471.400,-
80 Ginzet Besi Din Kes 2007 Buah B 1 3.626.500,-
81 Kulkas Lab Stenlis Din Kes 2007 Buah B 1 1.790.900,-
82 02,06,02,01,21 Meja Periksa Stenlis Din Kes 2007 90x60x200 Buah B 1 1.250.000,-
83 02,06,02,01,01 Lemari Kayu Kayu Din Kes 2007 128x50x178 Buah B 2 2.650.000-,-
84 02.06.03.01.-. Computer Stenlis Din Kes 2007 Set B 1 8.239.000,-
85 Radio Medik Besi Din Kes 2007 Set B 1 1.500.000,-
86 02,09,01,12,03 Ikubator Stenlis Din Kes 2007 Buah B 4 1.500.000,-
87 Almari Arsip Kayu Din Kes 2008 Buah B 2 2.650.000,-
88 Bangku Tunggu Kayu Din Kes 2008 Buah B 2 700.000,-
89 Laptop Din Kes 2008 Buah RB 1 9.460.000,-
90 LCD Din Kes 2008 Buah B 1 14.59.000,-
91 Layar Din Kes 2008 Buah B 1 1.317.303,-
92 Komputer PC Dual Core( Din Kes 2008 Buah RB 4 17.160.000,-
93 Komputer PC Intel DinKes 2008 Buah RB 1 6.303.000,-
94 Core 2 Duo (Server)
 NOMOR SPESIFIKASI BARANG Ukuran JUMLAH
No.Sertifikat asal/cara Barang/ Satuan Keadaan
No Kode Reges Nama/Jenis Merk/ No.Pabrik Bahan Perolehan Tahun Kontruksi Barang Barang Harga Ket.
Urt Barang ter Barang Type No.Chassis Barang Perolehan (P,S,D) (B/KB/RB)
No.Mesin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
95 Networking/ Jaringan Dinkes 2008 Buah RB 1 1.155.000,-
96 Sound Sistem Dinkes 2008 Buah B 1 2.079.000,-
97 Sound Sistem Dinkes 2008 Buah B 1 5.912.500,-
98 DVD Player Polytron 2132 U Dinkes 2008 Buah B 1 594.000,-
99 TV Warna (29A X S200) Dinkes 2008 Buah B 1 3.575.000,-
100 Sound Sistem Audio Aktif Dinkes 2008 Buah B 1 797.500,-
101 Dopler Din.Kes 2008 Unit RB 2 5.220.000,-
102 Lemari Instrument Stenlis Din.Kes 2008 Unit B 1 4.850.000,-
103 Meja Ginekologi Stenlis Din.Kes 2008 Unit B 1 8.100.000,-
104 Meja Instrument Stenlis Din.Kes 2008 Unit B 1 3.617.200,-
105 Sterilisator Listrik Din.Kes 2008 Unit B 2 2.645.400,-
106 Kulkas Meja Din.Kes 2008 Unit B 1 1.630.000,-
107 Printer Epson Din.Kes 2009 Unit RB 1 1.350.000,-
108 Monitor LCD Din.Kes 2009 Unit B 5 6.250.000,-
109 UPS Din.Kes 2009 Buah RB 1 728.000,-
110 Kamera Digital Din.Kes 2009 Buah B 1 1.840.000,-
111 Memori Komputer Din.Kes 2009 Buah RB 1 500.000,-
112 Keyboard dan Mouse OPTIC Din.Kes 2009 Buah RB 4 1.160.000,-
113 Modem Din.Kes 2009 Buah RB 1 1.000.000,-
114 NET PC Din.Kes 209 Buah B 4 4.400.000,-
115 Hard Disk INTERNAL Din.Kes 2009 Buah RB 1 1.000.000
116 Nebulizer Elektrik Din.Kes 2009 Buah B 2 32.801.818,-
117 Stetoskop Dewasa Din.Kes 2009 Buah B 1 2.304.545,-
118 Alat Pengukur Gula Darah Din.Kes 2009 Buah RB 1 1.707.273,-
119 Vaceine Carier Din.Kes 2009 Buah B 3 2.124.545,-
120 Poskesdes Kit Din.Kes 2009 Pt B 1 49.897.727,-
121 KURSI Tunggu Panjang Din.Kes 2010 Buah B 2 444.000,-
122 Almari Din.Kes 2010 Buah B 2 1.246.000,-
123 Meja Kerja Din.Kes 2010 Buah B 2 712.000,-
124 Tempat Tidur Periksa Din.Kes 2010 Buah B 2 710.000,-
125 Poskesdes Kit Din.Kes 2010 Pkt B 2 70.341.000,-
126 Ponkesdes Kit Din.Kes 2010 Pkt B 2 4.960.560,-
127 Vaceine Carier Domestik Din.Kes 2011 Unit B 1 7.145.000,-
 NOMOR SPESIFIKASI BARANG Ukuran JUMLAH
No.Sertifikat asal/cara Barang/ Satuan Keadaan
No Kode Reges Nama/Jenis Merk/ No.Pabrik Bahan Perolehan Tahun Kontruksi Barang Barang Harga Ket.
Urt Barang ter Barang Type No.Chassis Barang Perolehan (P,S,D) (B/KB/RB)
No.Mesin
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
128 ECG Din Kes 2012 Set B 1 28.000.000
129 Tensi Meter Digital KEMENKES RI KEMENKES RI 2013 Unit RR 1 1,485,000
120 Timbangan Berat Badan Digital KEMENKES RI KEMENKES RI 2013 Unit B 1 209,000
121 Alat Ukur Tinggi Badan KEMENKES RI KEMENKES RI 2013 Unit B 1 627,000
122 Timbangan Bayi DAK DAK 2014 Unit B 2 1,100,000
123 Stetoskop DAK DAK 2014 Unit B 2 3,300,000
124 Tensimeter DAK DAK 2014 Unit B 1 495,000
125 Mikroskop DAK DAK 2014 Unit B 1 31,900,000
126 Komputer PC DAU DAU 2014 Unit RB 1 6,773,250
127 USP / Stabilizer DAU DAU 2014 Unit RB 1 2,365,000
128 Swich HUB DAU DAU 2014 Unit RB 1 990,000
129 Infra RED Pemanas OSERAM Beli 2014 1 550,000
Tabung Oksigen Kecil 0 Beli 2014 1 500,000
Tabung Oksigen Besar 0 Beli 2014 1 1,870,000
Dopler 0 Beli 2014 1 1,100,000
Note BooK ACER E3 - 112 Beli 2014 1 4,015,000
Note BooK ACER E3 - 112 Beli 2014 1 4,015,000
Note BooK ACER E3 - 112 Beli 2014 1 4,015,000
Note BooK ACER E3 - 112 Beli 2014 1 4,015,000
Note BooK ACER E3 - 112 Beli 2014 1 4,015,000
Laptop Toshiba LAOAS 1 B Beli 2014 1 6,182,000
Oxygen Concentractor 0 DAK 2015 1 12,100,000
Fetal Dopler HI bebe bistos DAK 2015 1 1,650,000
Tabung O2 Portable 0 Dak 2015 1 2,200,000
Brankar MAK Emergency Mobile Stretcher 31208 DAK 2015 1 10,804,700
Infuse Standart MAK IS 4 Hook Collasible 36 103 DAK 2015 1 1,241,000
Kulkas Vaksin Dovline 220 Volt, 50 Hz UPT Gedung Farmas 2015 1 27,000,000
Lemari Instrument Poly ( 044PC) DAK 2015 1 5,385,185
Fotometer Riele 5010V5+ DAK 2015 1 85,419,150
SCANER CANON A4 LIDO 120 Beli 2015 1 785,000
Note BooK ACER E3 - 112 Beli 2015 1 4,015,000
Note BooK ACER E3 - 112 Beli 2015 1 4,015,000
Note BooK ACER E3 - 112 Beli 2015 1 4,015,000
Note BooK ACER E3 - 112 Beli 2015 1 4,015,000
Note BooK ACER E3 - 112 Beli 2015 1 4,015,000
Note BooK ACER E3 - 112 Beli 2015 1 4,015,000
Note BooK ACER E3 - 112 Beli 2015 1 4,015,000
Note BooK Lenovo 12 Beli 2015 1 3,516,975
Note BooK Lenovo 12 Beli 2015 1 3,516,975
Note BooK Lenovo 14" Beli 2015 1 5,500,000
 NOMOR

No Kode Reges
Urt Barang ter

1 2 3 Note BooK Lenovo S 20 30 Beli 2015 1

Note BooK Lenovo S 20 30 Beli 2015 1
Note BooK Lenovo S 20 30 Beli 2015 1
Laptop Lenovo G 40 80 Beli 2015 1
Printer Canon IP 2770 ( Infus ) Beli 2015 1
Bidan Kit MULTI KEMENKES RI 2016 1
#REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! #REF!
Kursi Roda MAK Wheel Chair 31303 DAK 2016 1
Meja Resusitasi S/S Poly Dinkes/DAK 2016 1
Dental Unit G-Natus Dinkes/DAK 2016 1
Timbangan Badan Secaflat scale DAK 2016 1
Lemari Obat Sani DAK 2016 1
Timbangan Bayi Sani DAK 2016 1
Sterilisator Kering Sani DAK 2016 1
Lampu Tindakan Karika NT 50HSS DAK 2016 1
Lemari Instumen MAX IC 32903 DAK 2016 1
Radio Komunikasi HT Icom ICV80 DAK 2016 1
Perangkat Radio Komunikasi RIG, Icom 2300 H Antena, Kabel Briket DAK 2016 1
Wireless Sound Roland , KC 1500 Visioner DAK 2016 1
Note BooK Lenovo 9.40.80 JKN 2016 1
Otoskop RENCZ JKN 2016 1
Tempat Tidur Pasien 0 JKN 2016 1
Tempat Tidur Periksa 0 JKN 2016 1
LCD Proyektor LG Minibeam JKN 2016 1
KURSI Tunggu Panjang 0 JKN 2016 1
AC Panasonik JKN 2016 1
Printer Canon IP 2770 ( Infus ) JKN 2016 1
Printer Canon LBP 2900 JKN 2016 1
Vaceine Carier Domestik/RCW/ Louxembourg KEMENKES RI Di 2017 1
Obgin Bad 0 Dinas PPKBD P 2017 1
Removal Implan 0 Dinas PPKBD P 2017 1
IUD Kit Sterilisator 0 Dinas PPKBD P 2017 1
Laptop Lenovo DINKES 2017 1
Printer Epson L 120 DINKES 2017 1
Fetal Dopler 100B+ SHENZEN Jumper ME DINKES 2017 1
Partus SET MEDICON Dinkes 2017 1
Heacting set MEDICON Dinkes 2017 1
Lemari Rekam Medis 0 JKN 2017 1
Neon BOK 0 JKN 2018 1
Papan Nama Letter 0 JKN 2018 1
Printer Epson L 120 JKN 2018 1
AC Panasonic R32 Low Watt JKN 2018 1
Note BooK ACER Aspire ES 475 14" JKN 2017 1
Laptop HP 240 G6 10 In Dinkes 2018 1
Printer Epson L 120 Dinkes 2018 1
Busa bed Mak Matter Foam Adult (MATO2) Dinkes 2018 1
Bed Pasien Mak Supramak Bed 73010 Dinkes 2018 1
Cryotherapy MGC 200 A DAK 2019 2019 1
CO2 Set ( 25 Kg ) Medical Grade DAK 2019 2019 1
CO2 Set ( 5 Kg ) Medical Grade DAK 2019 2019 1
Printer EPSON L 120 Ink Tank Printer JKN 2019 1
Meja Kerja Kayu 0 JKN 2019 1
KURSI Tunggu Panjang Queenera JKN 2019 1
Kursi Kerja Futura Futura JKN 2019 1
Kursi Kerja Direktur 0 JKN 2019 1
Hard Disk INTERNAL 0 JKN 2019 1
Papan Visual Non Elektronik 0 JKN 2019 1
Televisi SAMSUNG 49 inch UA449J5250AKPXD JKN 2019 1
AC PANASONIC KNS TKJ 0,5PK JKN 2019 1
Note BooK HP 6KY03PA JKN 2019 1
 Lampiran 36
SKPD : PUSKESMAS KETROWONOJOYO
Kabupaten : PACITAN
Propinsi : JAWA TIMUR
REKAPITULASI HASIL SENSUS
KABUPATEN PACITAN
TAHUN 2019

Keadaan per 31 Koreksi BPK Hasil Sensus Keadaan per setelah

Kode Des 2019 SENSUS
No Koreksi Tambah Koreksi Kurang Koreksi Tambah Koreksi Kurang
Gol Bidang Nama Bidang Barang Ket.
Urut Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah Jumlah
Barang
Barang Harga Barang Harga Barang Harga Barang Harga Barang Harga Barang Harga
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

1 1 1 TANAH

2 2 PERALATAN DAN
MESIN
2 a.   Alat-alat Besar
3 b.  Alat-alat Angkutan
4 c.   Alat-alat Bengkel dan
Alat Ukur
5 d.  Alat-Alat
Pertanian/Peternakan
6 e.   Alat-alat Kantor dan
Rumah Tangga
7 f.    Alat-alat Studio dan
Komunikasi
8 g.   Alat-alat Kedokteran
9 h.   Alat-alat
Laboratorium
10 i.     Alat-alat Keamanan

3 3 GEDUNG DAN
BANGUNAN
11 a. Bangunan Gedung
12 b. Bangunan Monumen
 4 4 JALAN, IRIGASI DAN
JARINGAN
13 a. Jalan dan Jembatan
14 b. Bangunan Air/Irigasi
15 c. Instalasi
16 d. Jaringan

5 5 ASET TETAP LAINNYA

17 a. Buku Perpustakaan
18 b. Barang Bercorak
Kesenian/Kebudayaan
19 c. Hewan Ternak dan
Tumbuhan

6 6 KONSTRUKSI DALAM
PENGERJAAN

JUMLAH

Mengetahui, Pacitan, ………………………..

KEPALA SKPD PENGURUS BARANG

dr.ANDRI PRADYASANTI TRI KARTIKA DEWI,A.Md.Kep

NIP. 19820310 200903 2 005 NIP. 19790112 200701 2 011
Keterangan :
SKPD SKPD yang bersangkutan
Kolom 5 & 6 Jumlah barang dan harga (kondisi awal periode)
Kolom 7 & 8 Jumlah barang dan harga (mutasi tambah selama periode)
Kolom 9 & 10 Jumlah barang dan harga (mutasi kurang selama periode)
Kolom 11 & 12 Jumlah barang dan harga (kondisi akhir periode)
Kolom 13 Keterangan lain yang diperlukan
 Lampiran 26
KARTU INVENTARIS BARANG (KIB)
B. PERALATAN DAN MESIN (NON ANGKUTAN)
Ruangan :

Nomor Tahun Pembelian Nomor

No Kode Barang Nama Barang / Jenis Barang
Register
Satuan Merk / Type Ukuran Bahan / Pengadaan
Asal-Usul Cara Perolehan Harga Satuan Harga Ket
Pabrik
1 2 3 4 5 6 7 8 9 10 11 12
02,06,01,01,33 Kursi Tunggu panjang 1 1 3 2 05 02 01 035
Bangku tunggu Bh 200x45x90 Kayu 2000 Beli Rp 600,000.00 Rp 600,000.00 RB
02,09,01,12,20 Microscope 1 1 3 2 8 1 16 Miskroskop
006 Binokuler
Unit Stenlis 2001 Din Kes Rp 8,500,000.00 Rp 8,500,000.00 RB
02,08,01,02,02 Dental Chair 1 1 3 2 07 01 02 001Dental chair Unit Besi 2004 Din Kes Rp 12,000,000.00 Rp 12,000,000.00 RB
02,06,01,04,12 Lemari Kaca 1 1 3 2 5 02 05 027Lemari kayu BH 90x60x200 Stenlis 2004 Din Kes Rp 950,000.00 Rp 950,000.00 B
02,08,01,02,02 Dental Chair 1 1 3 2 07 01 02 001Dental chair Unit Besi 2004 Din Kes Rp 6,000,000.00 Rp 6,000,000.00 R
02,06,01,04,03 Rak Kayu 1 1 3 2 5 01 04 004 Rak kayu BH 120x40x200 Kayu 2004 Beli Rp 600,000.00 Rp 600,000.00 B
02,06,01,04,12 Lemari Kaca 1 1 3 2 5 02 05 027Lemari kayu BH 100x40x200 Stenlis 2004 Beli Rp 875,000.00 Rp 875,000.00 KB
02,06,01,04,12 Lemari Kaca 1 1 3 2 5 03 06 027Lemari kayu BH 150x40x200 Stenlis 2004 Beli Rp 950,000.00 Rp 950,000.00 KB
02,08,01,01,01 Stirilisator 1 1 3 2 07 01 05 ;001Sterilisator Unit 425x35x77 Besi 2004 Din Kes Rp 1,475,000.00 Rp 1,475,000.00 KB
02,06,02,01,01 Lemari Kayu 1 1 3 2 05 01 04 002Lemari kayu Unit 119x48x200 Kayu 2005 Beli Rp 660,000.00 Rp 660,000.00 B
PHN Kit 1 Stenlis 2006 Din Kes Rp 1,325,000.00 Rp 1,325,000.00 RB
1 Stetoskop 1 1 3 2 7 01 01 004Stetoscope Unit Stenlis 2006 Din Kes Rp 886,000.00 Rp 886,000.00 B
2 Stetoskop 1 1 3 2 7 01 01 004Stetoscope Unit Stenlis 2006 Din Kes Rp 886,000.00 Rp 886,000.00 B
Heating Set 1 1 3 2 07 01 04 083
Heacting set Set Stenlis 2006 Din Kes Rp 325,000.00 Rp 325,000.00 B
Iud Kit 1 Stenlis 2006 Din Kes Rp 6,500,000.00 Rp 6,500,000.00 B
Partus Kit 1 1 3 2 07 01 05 Partus
105 instumen set Stenlis 2006 Din Kes Rp 1,100,000.00 Rp 1,100,000.00 B
Lemari es 1 RCW42EK 70x55x75 Palstik 2006 Din Kes Rp 5,000,000.00 Rp 5,000,000.00 B
Lemari es 1 RCW50EK 40x71x85 Palstik 2006 Din Kes Rp 5,000,000.00 Rp 5,000,000.00 B
02,08,01,01,01 Stirilisator 1 1 3 2 07 01 05 ;001Sterilisator Unit Stenlis 2006 Din Kes Rp 2,000,000.00 Rp 2,000,000.00 B
Tabung Oksigen Kecil set 1 1 3 2 07 01 01 026tabung O2 Bh Besi 2006 Din Kes Rp 500,000.00 Rp 500,000.00 B
Tabung Oksigen Kecil set 1 1 3 2 07 01 01 026tabung O2 Bh Besi 2006 Din Kes Rp 500,000.00 Rp 500,000.00 B
Tabung Oksigen Kecil set 1 1 3 2 07 01 01 026tabung O2 Bh Besi 2006 Din Kes Rp 500,000.00 Rp 500,000.00 B
Tabung Oksigen Kecil set 1 1 3 2 07 01 01 026tabung O2 Bh Besi 2006 Din Kes Rp 500,000.00 Rp 500,000.00 B
02,06,01,04,12 Lemari Kaca 1 1 3 2 05 01 04 027
Lemari Kaca Unit 70x40x170 Stenlis 2007 Din Kes Rp 2,200,000.00 Rp 2,200,000.00 B
1 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
2 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
3 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
4 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
5 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
6 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
7 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
8 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
9 02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 Meja Unit 120x50x70 Kayu 2007 Din Kes Rp 605,000.00 Rp 605,000.00 B
02,06,01,04,12 Lemari Kaca 1 1 3 2 05 01 04 027
Lemari Kaca Unit 70x40x170 Stenlis 2007 Din Kes Rp 2,200,000.00 Rp 2,200,000.00 B
Ginzet 1 1 3 2 01 03 04 portable
002 generatingset
set Besi 2007 Din Kes Rp 3,626,500.00 Rp 3,626,500.00 RR
Kulkas Meja 1 1 3 2 05 02 04 001Refrigerator Unit GLACIO Stenlis 2007 Din Kes Rp 1,790,900.00 Rp 1,790,900.00 B
02,06,02,01,48 Meja Kerja Pegawai non Struktural 1 1 3 2 05 03 01 008 120x50x70 Kayu 2007 Din Kes Rp 600,000.00 Rp 600,000.00 B
02,06,02,01,21 Meja Periksa 1 1 3 2 05 02 01 019 90x60x200 Stenlis 2007 Din Kes Rp 840,000.00 Rp 840,000.00 B
02,06,02,01,22 Lemari Kaca 1 1 3 2 05 01 04 027
Lemari Kaca Unit 70x40x170 Stenlis 2007 Din Kes Rp 2,200,000.00 Rp 2,200,000.00 B
02,06,02,01,21 Meja gynekologi 1 1 3 2 05 02 01 019 90x60x200 Stenlis 2007 Din Kes Rp 8,910,000.00 Rp 8,910,000.00 B
02.06.03.01.-. Computer 1 Stenlis 2007 Din Kes Rp 8,239,000.00 Rp 8,239,000.00 RB
Radio Medik 1 Besi 2007 Din Kes Rp 1,500,000.00 Rp 1,500,000.00 RB
1 Lemari Arsip 1 1 3 2 05 03 07 007Lemari arsif Bh Kayu 2008 Din Kes Rp 1,325,000.00 Rp 1,325,000.00 B
Lemari Arsip 1 1 3 2 05 03 07 007Lemari arsif Bh Kayu 2008 Din Kes Rp 1,325,000.00 Rp 1,325,000.00 B
Laptop 1 1 3 2 10 01 02 002 Laptop Unit 2008 Din Kes Rp 9,460,000.00 Rp 9,460,000.00 RB
LCD Proyektor Kecil 1 1 3 2 05 01 05 043
LCD Proyektor Bh LG Minibean 2008 Din Kes Rp 1,459,000.00 Rp 1,459,000.00 RB
Layar Proyektor 1 1 3 2 09 04 07 022
Layar proyektorBh 2008 Din Kes Rp 1,317,303.00 Rp 1,317,303.00 RR
1 Komputer PC Dual Core( 1 1 3 2 10 01 03 Komputer unitUnit 2008 Din Kes Rp 4,290,000.00 Rp 4,290,000.00 RB
2 Komputer PC Dual Core( 1 1 3 2 10 01 03 Komputer unitUnit 2008 Din Kes Rp 4,290,000.00 Rp 4,290,000.00 RB
3 Komputer PC Dual Core( 1 1 3 2 10 01 03 Komputer unitUnit 2008 Din Kes Rp 4,290,000.00 Rp 4,290,000.00 RB
4 Komputer PC Dual Core( 1 1 3 2 10 01 03 Komputer unitUnit 2008 Din Kes Rp 4,290,000.00 Rp 4,290,000.00 RB
 Komputer PC Intel 1 1 3 2 10 01 03 Komputer unitUnit 2008 DinKes Rp 6,303,000.00 Rp 6,303,000.00 RB
Networking/ Jaringan 1 2008 Dinkes Rp 1,155,000.00 Rp 1,155,000.00 RB
Sound Sistem 1 2008 Dinkes Rp 2,079,000.00 Rp 2,079,000.00 B
Sound Sistem 1 2008 Dinkes Rp 5,912,500.00 Rp 5,912,500.00 B
DVD Player Polytron 2132 U 1 1 3 2 05 02 06 067DVD Plauer Unit POLITRON 2132 U 2008 Dinkes Rp 594,000.00 Rp 594,000.00 RB
Televisi 1 1 3 2 05 02 06 002 Televisi Unit SHAARP 29 AXS200 2008 Dinkes Rp 3,575,000.00 Rp 3,575,000.00 B
Sound Sistem Audio Aktif 1 2008 Dinkes Rp 797,500.00 Rp 797,500.00 B
Dopler 1 1 3 2 07 01 05 081 Dopler Unit 2008 Din.Kes Rp 2,610,000.00 Rp 2,610,000.00 RB
Dopler 1 1 3 2 07 01 05 081 Dopler Unit 2008 Din.Kes Rp 2,610,000.00 Rp 2,610,000.00 RB
Lemari Instrument 1 1 3 2 07 01 01 018
Lemari Instrumen
Unit Stenlis 2008 Din.Kes Rp 4,850,000.00 Rp 4,850,000.00 B
Meja Instrumen 1 1 3 2 07 ;01 01 170
Instrumen tableunit Stenlis 2008 Dinkes Rp 3,978,920.00 Rp 3,978,920.00 B
1 Sterilisator Listrik 1 1 3 2 07 01 05 ;001Sterilisator Unit 2008 Din.Kes Rp 1,454,970.00 Rp 1,454,970.00 B
2 Sterilisator Listrik 1 1 3 2 07 01 05 ;001Sterilisator Unit 2008 Din.Kes Rp 1,454,970.00 Rp 1,454,970.00 B
Kulkas Meja 1 1 3 2 05 02 04 001Refrigerator Unit GLACIO 2008 Din.Kes Rp 1,500,000.00 Rp 1,500,000.00 B
Printer Epson 1 1 3 2 10 02 3 003 Unit Epson 2009 Din.Kes Rp 1,350,000.00 Rp 1,350,000.00 RB
Monitor LCD 1 2009 Din.Kes Rp 1,250,000.00 Rp 1,250,000.00 R
UPS 1 2009 Din.Kes Rp 728,000.00 Rp 728,000.00 R
Kamera Digital 1 1 3 2 09 04 02 031
Kamera digitalUnit 2009 Din.Kes Rp 1,840,000.00 Rp 1,840,000.00 RR
Memori Komputer 1 2009 Din.Kes Rp 500,000.00 Rp 500,000.00 RB
1 Keyboard dan Mouse OPTIC 1 1 3 2 10 02 03 009Keyboard Unit 2009 Din.Kes Rp 290,000.00 Rp 290,000.00 RB
2 Keyboard dan Mouse OPTIC 1 1 3 2 10 02 03 009Keyboard Unit 2009 Din.Kes Rp 290,000.00 Rp 290,000.00 RB
3 Keyboard dan Mouse OPTIC 1 1 3 2 10 02 03 009Keyboard Unit 2009 Din.Kes Rp 290,000.00 Rp 290,000.00 RB
4 Keyboard dan Mouse OPTIC 1 1 3 2 10 02 03 009Keyboard Unit 2009 Din.Kes Rp 290,000.00 Rp 290,000.00 RB
Modem 1 1 3 2 10 02 04 004 Modem Bh 2009 Din.Kes Rp 1,000,000.00 Rp 1,000,000.00 RB
1 NET PC 1 2009 Din.Kes Rp 1,100,000.00 Rp 1,100,000.00 RB
2 NET PC 1 2009 Din.Kes Rp 1,100,000.00 Rp 1,100,000.00 RB
3 NET PC 1 2009 Din.Kes Rp 1,100,000.00 Rp 1,100,000.00 RB
4 NET PC 1 2009 Din.Kes Rp 1,100,000.00 Rp 1,100,000.00 RB
Hard Disk INTERNAL 1 1 3 2 10 02 03 017 hardish Bh 2009 Din.Kes Rp 1,000,000.00 Rp 1,000,000.00 B
1 Nebulizer Elektrik 1 1 3 2 07 01 08 Ultrasonik
025 Nebulezer
Unit 2009 Din.Kes Rp 16,400,909.00 Rp 16,400,909.00 B
2 Nebulizer Elektrik 1 1 3 2 07 01 08 Ultrasonik
025 Nebulezer
Unit 2009 Din.Kes Rp 16,400,909.00 Rp 16,400,909.00 B
Stetoskop Dewasa 1 1 3 2 7 01 01 004Stetoscope Unit Stenlis 2009 Din.Kes Rp 2,535,000.00 Rp 2,535,000.00 B
Alat Pengukur Gula Darah 1 2009 Din.Kes Rp 1,707,273.00 Rp 1,707,273.00 B
1 Vaceine Carier 1 1 3 2 08 01 41 415Tas vaksin Unit 2009 Din.Kes Rp 708,181.66 Rp 708,181.66 B
2 Vaceine Carier 1 1 3 2 08 01 41 416Tas vaksin Unit 2009 Din.Kes Rp 708,181.66 Rp 708,181.66 B
3 Vaceine Carier 1 1 3 2 08 01 41 417Tas vaksin Unit 2009 Din.Kes Rp 708,181.66 Rp 708,181.66 B
Poskesdes Kit 1 2009 Din.Kes Rp 49,897,727.00 Rp 49,897,727.00 B
1 Lemari 1 1 3 2 05 03 07 007Lemari arsif Bh 2010 Din.Kes Rp 623,000.00 Rp 623,000.00 B
2 Lemari 1 1 3 2 05 03 07 007Lemari arsif Bh 2010 Din.Kes Rp 623,000.00 Rp 623,000.00 B
1 Poskesdes Kit 1 2010 Din.Kes Rp 35,170,500.00 Rp 35,170,500.00 B
2 Poskesdes Kit 1 2010 Din.Kes Rp 35,170,500.00 Rp 35,170,500.00 B
1 Ponkesdes Kit 1 2010 Din.Kes Rp 2,960,280.00 Rp 2,960,280.00 B
2 Ponkesdes Kit 1 2010 Din.Kes Rp 2,960,280.00 Rp 2,960,280.00 B
Vaceine Carier Domestik 1 1 3 2 08 01 41 415Tas vaksin Unit 2011 Din.Kes Rp 7,145,000.00 Rp 7,145,000.00 B
ECG 1 1 3 2 07 01 05 133EKG Manual Unit 2012 Din Kes Rp 28,000,000.00 Rp 28,000,000.00 RR
Tensi Meter Digital 1 1 3 2 07 01 10 005 Tensimeter Unit OMRON 2013 KEMENKES RI Rp 1,485,000.00 Rp 1,485,000.00 RB
Alat Ukur Tinggi Badan Dewasa 1 1 3 2 07 01 01 Measuring
070 instument
Unit Saga 2013 KEMENKES RI Rp 627,000.00 Rp 627,000.00 B
1 Timbangan Bayi 1 1 3 2 07 01 01 010timbangan bayi Unit GEA 2014 DAK Rp 550,000.00 Rp 550,000.00 B
2 Timbangan Bayi 1 1 3 2 07 01 01 010timbangan bayi Unit GEA 2014 DAK Rp 550,000.00 Rp 550,000.00 B
1 Stetoskop 1 1 3 2 7 01 01 004Stetoscope Unit ERKA 2014 DAK Rp 1,650,000.00 Rp 1,650,000.00 B
2 Stetoskop 1 1 3 2 7 01 01 004Stetoscope Unit ERKA 2014 DAK Rp 1,650,000.00 Rp 1,650,000.00 B
Mikroskop 1 1 3 2 8 1 16 Miskroskop
006 Binokuler
Unit OLIMPUS 2014 DAK Rp 31,900,000.00 Rp 31,900,000.00 B
Komputer PC 1 1 3 2 10 01 03 Komputer unitUnit HP 110 050 D 2014 DAU Rp 6,773,250.00 Rp 6,773,250.00 RB
USP / Stabilizer 1 Unit APC BX1100CI 2014 DAU Rp 2,365,000.00 Rp 2,365,000.00 RB
Swich HUB 1 Unit CISCO SF90D 16 AS 2014 DAU Rp 990,000.00 Rp 990,000.00 RB
1 Infra RED Pemanas 1 1 3 2 07 01 02 010 Infra Red Unit OSERAM 2014 Beli Rp 550,000.00 Rp 550,000.00 RB
2 Infra RED Pemanas 1 1 3 2 07 01 02 010 Infra Red Unit OSERAM 2014 Beli Rp 550,000.00 Rp 550,000.00 RR
1 Tabung Oksigen Kecil 1 1 3 2 07 01 01 026tabung O2 Unit 2014 Beli Rp 500,000.00 Rp 500,000.00 B
2 Tabung Oksigen Kecil 1 1 3 2 07 01 01 026tabung O2 Unit 2014 Beli Rp 500,000.00 Rp 500,000.00 B
1 Tabung Oksigen Besar 1 1 3 2 07 01 01 026tabung O2 Unit 2014 Beli Rp 1,870,000.00 Rp 1,870,000.00 B
2 Tabung Oksigen Besar 1 1 3 2 07 01 01 026tabung O2 Unit 2014 Beli Rp 1,870,000.00 Rp 1,870,000.00 B
1 Dopler 1 1 3 2 07 01 05 081 Dopler Unit 2014 Beli Rp 1,100,000.00 Rp 1,100,000.00 B
2 Dopler 1 1 3 2 07 01 05 081 Dopler Unit 2014 Beli Rp 1,100,000.00 Rp 1,100,000.00 B
Note BooK 1 Unit ACER E3 - 112 2014 Beli Rp 4,015,000.00 Rp 4,015,000.00 RR
1 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2014 Beli Rp 4,015,000.00 Rp 4,015,000.00 RR
2 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2014 Beli Rp 4,015,000.00 Rp 4,015,000.00 RR
3 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2014 Beli Rp 4,015,000.00 Rp 4,015,000.00 RR
4 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2014 Beli Rp 4,015,000.00 Rp 4,015,000.00 RR
Laptop 1 1 3 2 10 01 01 002 Laptop Unit Toshiba LAOAS 1 B 2014 Beli Rp 6,182,000.00 Rp 6,182,000.00 RB
Oxygen Concentractor 1 1 3 2 07 01 01 Oxygen
171 consentrator
Unit 2015 DAK Rp 12,100,000.00 Rp 12,100,000.00 B
1 Fetal Dopler 1 1 3 2 07 01 05 081 Dopler Unit HI bebe bistos 2015 DAK Rp 1,650,000.00 Rp 1,650,000.00 B
2 Fetal Dopler 1 1 3 2 07 01 05 081 Dopler Unit HI bebe bistos 2015 DAK Rp 1,650,000.00 Rp 1,650,000.00 B
3 Fetal Dopler 1 1 3 2 07 01 05 081 Dopler Unit HI bebe bistos 2015 DAK Rp 1,650,000.00 Rp 1,650,000.00 B
1 Tabung O2 Portable 1 1 3 2 07 01 01 026tabung O2 Unit 2015 Dak Rp 2,200,000.00 Rp 2,200,000.00 B
2 Tabung O2 Portable 1 1 3 2 07 01 01 026tabung O2 Unit 2015 Dak Rp 2,200,000.00 Rp 2,200,000.00 B
3 Tabung O2 Portable 1 1 3 2 07 01 01 026tabung O2 Unit 2015 Dak Rp 2,200,000.00 Rp 2,200,000.00 B
1 Brankar 1 1 3 2 07 01 01 042 Brancard Unit MAK Emergency Mobile Stretcher 31208 2015 DAK Rp 10,804,700.00 Rp 10,804,700.00 B
2 Brankar 1 1 3 2 07 01 01 042 Brancard Unit MAK Emergency Mobile Stretcher 31208 2015 DAK Rp 10,804,700.00 Rp 10,804,700.00 B
1 Infuse Standart 1 1 3 2 07 01 01 138
standard infusUnit MAK IS 4 Hook Collasible 36 103 2015 DAK Rp 1,241,000.00 Rp 1,241,000.00 B
2 Infuse Standart 1 1 3 2 07 01 01 139
standard infusUnit MAK IS 4 Hook Collasible 36 103 2015 DAK Rp 1,241,000.00 Rp 1,241,000.00 B
Kulkas Vaksin 1 1 3 2 08 01 11 113Refrigerator Unit Dovline 220 Volt, 50 Hz 2015 UPT Gedung Farmasi Kes Rp 27,000,000.00 Rp 27,000,000.00 Bekas / mutasi
1 Lemari Instrument 1 1 3 2 07 01 01 018
Lemari Instrumen
Unit Poly ( 044PC) Stenlis 2015 DAK Rp 5,385,185.00 Rp 5,385,185.00 B
2 Lemari Instrument 1 1 3 2 07 01 01 018
Lemari Instrumen
Unit Poly ( 044PC) Stenlis 2015 DAK Rp 5,385,185.00 Rp 5,385,185.00 B
3 Lemari Instrument 1 1 3 2 07 01 01 018
Lemari Instrumen
Unit Poly ( 044PC) Stenlis 2015 DAK Rp 5,385,185.00 Rp 5,385,185.00 B
Fotometer 1 1 3 2 08 01 13 007Fotometer Unit Riele 5010V5+ 2015 DAK Rp 85,419,150.00 Rp 85,419,150.00 B
SCANER 1 1 3 2 10 02 3 003 scaner Unit CANON A4 LIDO 120 2015 Beli Rp 785,000.00 Rp 785,000.00 B
1 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2015 Beli Rp 4,015,000.00 Rp 4,015,000.00 RS
2 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2015 Beli Rp 4,015,000.00 Rp 4,015,000.00 RS
3 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2015 Beli Rp 4,015,000.00 Rp 4,015,000.00 RS
4 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2015 Beli Rp 4,015,000.00 Rp 4,015,000.00 RS
5 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2015 Beli Rp 4,015,000.00 Rp 4,015,000.00 RS
6 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2015 Beli Rp 4,015,000.00 Rp 4,015,000.00 RS
7 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit ACER E3 - 112 2015 Beli Rp 4,015,000.00 Rp 4,015,000.00 RS
1 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit Lenovo 12 2015 Beli Rp 3,516,975.00 Rp 3,516,975.00 RS
2 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit Lenovo 12 2015 Beli Rp 3,516,975.00 Rp 3,516,975.00 RS
Note BooK 1 1 3 2 10 01 02 003 Notebook Unit Lenovo 14" 2015 Beli Rp 5,500,000.00 Rp 5,500,000.00 RR
Note BooK 1 1 3 2 10 01 02 003 Notebook Unit Lenovo S 20 30 2015 Beli Rp 3,465,000.00 Rp 3,465,000.00 RR
1 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit Lenovo S 20 30 2015 Beli Rp 3,465,000.00 Rp 3,465,000.00 RR
2 Note BooK 1 1 3 2 10 01 02 003 Notebook Unit Lenovo S 20 30 2015 Beli Rp 3,465,000.00 Rp 3,465,000.00 RR
Laptop 1 1 3 2 10 01 02 002 Laptop Unit Lenovo G 40 80 2015 Beli Rp 7,232,500.00 Rp 7,232,500.00 RR
Printer 1 1 3 2 10 02 3 003 Printer Unit Canon IP 2770 ( Infus ) 2015 Beli Rp 752,000.00 Rp 752,000.00 B
Bidan Kit 1 Paket MULTI 2016 KEMENKES RI Rp 4,826,718.00 Rp 4,826,718.00 B
Kursi Roda 1 1 3 2 07 01 01 126Kursi dorong unit MAK Wheel Chair 31303 Stenlis 2016 DAK Rp 2,722,992.00 Rp 2,722,992.00 B
Meja Resusitasi 1 1 3 2 07 01 05 135 S/S Poly Stenlis 2016 Dinkes/DAK Rp 10,853,260.00 Rp 10,853,260.00 B
Dental Unit 1 1 3 2 07 01 02 002Dental Unit Unit G-Natus Besi/ Plastik 2016 Dinkes/DAK Rp 94,810,711.00 Rp 94,810,711.00 B
1 Timbangan Badan 1 1 3 2 07 01 01 009
timbangan badan
Unit Secaflat scale 2016 DAK Rp 1,898,935.00 Rp 1,898,935.00 B
2 Timbangan Badan 1 1 3 2 07 01 01 009
timbangan badan
Unit Secaflat scale 2016 DAK Rp 1,898,935.00 Rp 1,898,935.00 B
1 Lemari Obat 1 1 3 2 07 01' 01 096 Lemari Unit Sani Stenlis 2016 DAK Rp 6,625,945.00 Rp 6,625,945.00 B
2 Lemari Obat 1 1 3 2 07 01' 01 096 Lemari Unit Sani Stenlis 2016 DAK Rp 6,625,945.00 Rp 6,625,945.00 B
3 Lemari Obat 1 1 3 2 07 01' 01 096 Lemari Unit Sani Stenlis 2016 DAK Rp 6,625,945.00 Rp 6,625,945.00 B
Timbangan Bayi 1 1 3 2 08 01' 02 010
Timbangan bayiUnit Sani 2016 DAK Rp 1,374,250.00 Rp 1,374,250.00 B
1 Sterilisator Kering 1 1 3 2 07' 01 10 072
Elektri sterilisator
Unit Sani 2016 DAK Rp 12,222,668.00 Rp 12,222,668.00 RB
2 Sterilisator Kering 1 1 3 2 07' 01 10 072
Elektri sterilisator
Unit Sani 2016 DAK Rp 12,222,668.00 Rp 12,222,668.00 B
Lampu Tindakan 1 1 3 2 07 01 01 107
Operating lamp Bh Karika NT 50HSS 2016 DAK Rp 2,934,500.00 Rp 2,934,500.00 B
1 Lemari Instumen 1 1 3 2 07 01' 01 018
Lemari instrumen
Unit MAX IC 32903 Stenlis 2016 DAK Rp 5,291,806.00 Rp 5,291,806.00 B
2 Lemari Instumen 1 1 3 2 07 01' 01 018
Lemari instrumen
Unit MAX IC 32903 Stenlis 2016 DAK Rp 5,291,806.00 Rp 5,291,806.00 B
Radio Komunikasi 1 Unit HT Icom ICV80 2016 DAK Rp 1,760,000.00 Rp 1,760,000.00 RR
Perangkat Radio Komunikasi 1 Paket RIG, Icom 2300 H Antena, Kabel Briket 2016 DAK Rp 3,795,000.00 Rp 3,795,000.00 RR
 Wireless Sound 1 Unit Roland , KC 1500 Visioner 2016 DAK Rp 4,697,000.00 Rp 4,697,000.00 B
Note BooK 1 1 3 2 10 01 02 003 Notebook Bh Lenovo 9.40.80 2016 JKN Rp 4,977,500.00 Rp 4,977,500.00 B
Otoskop 1 1 3 2 07 01 06 094 Otoskop set RENCZ Stenlis 2016 JKN Rp 1,739,400.00 Rp 1,739,400.00 B
1 Tempat Tidur Pasien 1 1 3 2 05 02 01 019Meja periksa Bh Stenlis 2016 JKN Rp 6,118,420.00 Rp 6,118,420.00 B
2 Tempat Tidur Pasien 1 1 3 2 05 02 01 019Meja periksa Bh Stenlis 2016 JKN Rp 6,118,420.00 Rp 6,118,420.00 B
3 Tempat Tidur Pasien 1 1 3 2 05 02 01 019Meja periksa Bh Stenlis 2016 JKN Rp 6,118,420.00 Rp 6,118,420.00 B
Tempat Tidur Periksa 1 1 3 2 05 02 01 019Meja periksa Bh 100 x 200 cm Kayu 2016 JKN Rp 700,000.00 Rp 700,000.00 B
LCD Proyektor 1 1 3 2 05 01 05 043
LCD Proyektor Bh LG Minibeam 2016 JKN Rp 6,050,000.00 Rp 6,050,000.00 B
1 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tunggu Bh Stenlis 2016 JKN Rp 1,674,750.00 Rp 1,674,750.00 B
2 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tunggu Bh Stenlis 2016 JKN Rp 1,674,750.00 Rp 1,674,750.00 B
3 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tunggu Bh Stenlis 2016 JKN Rp 1,674,750.00 Rp 1,674,750.00 B
4 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tunggu Bh Stenlis 2016 JKN Rp 1,674,750.00 Rp 1,674,750.00 B
5 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tunggu Bh Stenlis 2016 JKN Rp 1,674,750.00 Rp 1,674,750.00 B
6 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tunggu Bh Stenlis 2016 JKN Rp 1,674,750.00 Rp 1,674,750.00 B
AC 1 1 3 2 05 02 04 004 AC Split Bh Panasonik 2016 JKN Rp 4,438,087.00 Rp 4,438,087.00 B
Printer 1 1 3 2 10 02 3 003 Bh Canon IP 2770 ( Infus ) 2016 JKN Rp 820,628.00 Rp 820,628.00 B
Printer 1 1 3 2 10 02 3 003 Bh Canon LBP 2900 2016 JKN Rp 2,009,700.00 Rp 2,009,700.00 B
Vaceine Carier 1 1 3 2 08 01 41 415Tas vaksin Unit Domestik/RCW/ Louxembourg 2017 KEMENKES RI Ditjend P2P Rp 10,994,954.00 Rp 10,994,954.00 B
Obgin Bad 1 1 3 2 07 01 05 136Obgyn Bed set 2017 Dinas PPKBD PPPA Rp 7,000,000.00 Rp 7,000,000.00 B
1 Removal Implan 1 1 3 2 07 01 03 015
Implan RemovalUnit 2017 Dinas PPKBD PPPA Rp 1,878,020.00 Rp 1,878,020.00 B
2 Removal Implan 1 1 3 2 07 01 03 015
Implan RemovalUnit 2017 Dinas PPKBD PPPA Rp 1,878,020.00 Rp 1,878,020.00 B
3 Removal Implan 1 1 3 2 07 01 03 015
Implan RemovalUnit 2017 Dinas PPKBD PPPA Rp 1,878,020.00 Rp 1,878,020.00 B
4 Removal Implan 1 1 3 2 07 01 03 015
Implan RemovalUnit 2017 Dinas PPKBD PPPA Rp 1,878,020.00 Rp 1,878,020.00 B
5 Removal Implan 1 1 3 2 07 01 03 015
Implan RemovalUnit 2017 Dinas PPKBD PPPA Rp 1,878,020.00 Rp 1,878,020.00 B
IUD Kit Sterilisator 1 set 2017 Dinas PPKBD PPPA Rp 4,871,020.00 Rp 4,871,020.00 B
Laptop 1 1 3 2 10 01 02 002 Laptop Unit Lenovo 2017 DINKES Rp 6,890,937.09 Rp 6,890,937.09 B
Printer 1 1 3 2 10 02 3 003 Unit Epson L 120 2017 DINKES Rp 1,776,500.00 Rp 1,776,500.00 B
Fetal Dopler 100B+ 1 1 3 2 07 01 05 081 Dopler Unit SHENZEN Jumper ME 2017 DINKES Rp 1,844,109.00 Rp 1,844,109.00 B
Partus SET 1 1 3 2 07 01 05 105 instumen Unit
Partus set MEDICON Stenlis 2017 Dinkes Rp 10,388,850.13 Rp 10,388,850.13 B
Heacting set 1 1 3 2 08 02 04 083Heacting set Unit MEDICON Stenlis 2017 Dinkes Rp 4,548,174.00 Rp 4,548,174.00 B
Lemari Rekam Medis 1 1 3 2 ;05 03 07 007Lemari Arsif set Kayu 2017 JKN Rp 14,961,100.00 Rp 14,961,100.00 B
Neon BOK 1 1 3 2 05 01 05 003
Papan nama visual
Unit 2018 JKN Rp 9,565,000.00 Rp 9,565,000.00 B
Papan Nama Letter 1 1 3 2 05 01 05 Papan
050 nama instansi
Unit 2018 JKN Rp 14,635,000.00 Rp 14,635,000.00 B
Printer 1 1 3 2 10 02 3 003 Unit Epson L 120 2018 JKN Rp 1,980,000.00 Rp 1,980,000.00 B
AC 1 1 3 2 05 02 04 004 AC Split Unit Panasonic R32 Low Watt 2018 JKN Rp 5,280,000.00 Rp 5,280,000.00 B
Note BooK 1 1 3 2 10 01 02 003 Notebook Bh ACER Aspire ES 475 14" 2017 JKN Rp 4,913,552.00 Rp 4,913,552.00 B
Laptop 1 1 3 2 10 01 02 002 Laptop Unit HP 240 G6 10 In 2018 Dinkes Rp 7,430,100.00 Rp 7,430,100.00 B
Printer 1 1 3 2 10 02 3 003 Printer Unit Epson L 120 2018 Dinkes Rp 1,828,400.00 Rp 1,828,400.00 B
Busa bed 1 1 3 2 05 02 01 025 Kasur Unit Mak Matter Foam Adult (MATO2) Busa 2018 Dinkes Rp 1,419,547.00 Rp 1,419,547.00 B
Bed Pasien 1 1 3 2 07 01 01 169Bed Pasien Unit Mak Supramak Bed 73010 Metal 2018 Dinkes Rp 11,680,848.00 Rp 11,680,848.00 B
Cryotherapy 1 Unit MGC 200 A 2019 DAK 2019 Rp 79,907,457.00 Rp 79,907,457.00 B
CO2 Set ( 25 Kg ) 1 1 3 2 03 01 08 004Tabung Co2 set Medical Grade 2019 DAK 2019 Rp 3,376,452.00 Rp 3,376,452.00 B
CO2 Set ( 5 Kg ) 1 1 3 2 03 01 08 004Tabung Co3 set Medical Grade 2019 DAK 2019 Rp 1,527,652.00 Rp 1,527,652.00 B
Printer 1 1 3 2 10 02 3 003 Printer Unit EPSON L 120 Ink Tank Printer 2019 JKN Rp 1,853,400.00 Rp 1,853,400.00 B
Meja Kerja Kayu 1 1 3 2 05 03 01 008 Meja Buah Kayu 2019 JKN Rp 1,677,500.00 Rp 1,677,500.00 B
1 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tungguBuah Queenera Stainlis 2019 JKN Rp 2,431,000.00 Rp 2,431,000.00 B
2 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tungguBuah Queenera Stainlis 2019 JKN Rp 2,431,000.00 Rp 2,431,000.00 B
3 KURSI Tunggu Panjang 1 1 3 2 05 02 01 035
Bangku tungguBuah Queenera Stainlis 2019 JKN Rp 2,431,000.00 Rp 2,431,000.00 B
1 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
2 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
3 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
4 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
5 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
6 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
7 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
8 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
9 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
10 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
11 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
 12 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
13 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
14 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
15 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
16 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
17 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
18 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
19 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
20 Kursi Kerja Futura 1 1 3 2 05 03 01 003
Kuursi besi /Metal
Buah Futura Stainlis 2019 JKN Rp 547,250.00 Rp 547,250.00 B
Kursi Kerja Direktur 1 1 3 2 ;05 03 03'Kursi007
kerja pejabat eselon
Buah 5 Stainlis 2019 JKN Rp 3,014,000.00 Rp 3,014,000.00 B
1 Hard Disk INTERNAL 1 Buah 2019 JKN Rp 907,500.00 Rp 907,500.00 B
2 Hard Disk INTERNAL 1 Buah 2019 JKN Rp 907,500.00 Rp 907,500.00 B
Papan Visual Non Elektronik 1 1 3 2 05 01 05 003
Papan nama visual
Unit 2019 JKN Rp 9,949,500.00 Rp 9,949,500.00 B
1 Body Fat Analizer 1 1 3 2 07 05 05 025 Body fat Unit 2019 Pengadaan DAK Rp 1,107,752.48 Rp 1,107,752.48 B
2 Body Fat Analizer 1 1 3 2 07 05 05 025 Body fat Unit 2020 Pengadaan DAK Rp 1,107,753.48 Rp 1,107,753.48 B
3 Body Fat Analizer 1 1 3 2 07 05 05 025 Body fat Unit 2021 Pengadaan DAK Rp 1,107,754.48 Rp 1,107,754.48 B
4 Body Fat Analizer 1 1 3 2 07 05 05 025 Body fat Unit 2022 Pengadaan DAK Rp 1,107,755.48 Rp 1,107,755.48 B
5 Body Fat Analizer 1 1 3 2 07 05 05 025 Body fat Unit 2023 Pengadaan DAK Rp 1,107,756.48 Rp 1,107,756.48 B
6 Body Fat Analizer 1 1 3 2 07 05 05 025 Body fat Unit 2024 Pengadaan DAK Rp 1,107,757.48 Rp 1,107,757.48 B
7 Body Fat Analizer 1 1 3 2 07 05 05 025 Body fat Unit 2025 Pengadaan DAK Rp 1,107,758.48 Rp 1,107,758.48 B
8 Body Fat Analizer 1 1 3 2 07 05 05 025 Body fat Unit 2025 Pengadaan DAK Rp 1,107,758.48 Rp 1,107,758.48 B
Televisi 1 1 3 2 05 02 06 002 Televi Unit SAMSUNG 49 inch UA449J5250AKPXD 2019 JKN Rp 7,920,000.00 Rp 7,920,000.00 B
si
AC 1 1 3 2 05 02 04 004 AC Split Unit PANASONIC KNS TKJ 0,5PK 2019 JKN Rp 6,270,000.00 Rp 6,270,000.00 B
Note BooK 1 1 3 2 10 01 02 003 Notebook Unit HP 6KY03PA 2019 JKN Rp 7,248,850.00 Rp 7,248,850.00 B
1 Tensi Meter Digital 1 1 3 2 07 01 10 005 Tensimeter unit ABN DM 500 2020 Pengadaan Cukai Rp 1,194,658.00 Rp 1,194,658.00 B
2 Tensi Meter Digital 1 1 3 2 07 01 10 005 Tensimeter unit ABN DM 500 2020 Pengadaan Cukai Rp 1,194,659.00 Rp 1,194,659.00 B
3 Tensi Meter Digital 1 1 3 2 07 01 10 005 Tensimeter unit ABN DM 500 2020 Pengadaan Cukai Rp 1,194,660.00 Rp 1,194,660.00 B
4 Tensi Meter Digital 1 1 3 2 07 01 10 005 Tensimeter unit ABN DM 500 2020 Pengadaan Cukai Rp 1,194,661.00 Rp 1,194,661.00 B
Head lamp 1 1 3 2 07 01 01 007 Head lamp Unit MEDICINDO 2020 Pengadaan Cukai Rp 2,685,000.00 Rp 2,685,000.00 B
1 Pulse Oksimeter 1 1 3 2 07' 01 01 118
Pulse oksimetriUnit FYROM 2020 Pengadaan DID Rp 7,137,368.00 Rp 7,137,368.00 B
2 Pulse Oksimeter 1 1 3 2 07' 01 01 118
Pulse oksimetriUnit FYROM 2020 Pengadaan DID Rp 7,137,369.00 Rp 7,137,369.00 B
Medikal Transport 1 1 3 2 08 01 41 415
Tas obat/vaksinUnit Domestik B Medical system MT4B 2020 Pengadaan Dana Cukai Rp 10,025,346.00 Rp 10,025,346.00 B
Bilik Swab 1 1 3 2 07 02 01 Monoplace
013 chamber
Unit Alumunium 2020 Pengadaan DID Rp 4,400,000.00 Rp 4,400,000.00 B
Sanitarian Kit 1 1 3 2 07 02 02 032Sanitarian kit Kit Inscienpro GN 60 2020 Pengadaan DAK Rp 84,810,000.00 Rp 84,810,000.00 B
1 Laptop 1 1 3 2 10 01 01 002 Laptop Unit 2020 JKN Rp 7,645,000.00 Rp 7,645,000.00 B
2 Laptop 1 1 3 2 10 01 01 002 Laptop Unit 2020 JKN Rp 7,645,000.00 Rp 7,645,000.00 B
1 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit CONTEK 2020 BTT Rp 1,900,000.00 Rp 1,900,000.00 B
2 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit CONTEK 2020 BTT Rp 1,900,000.00 Rp 1,900,000.00 B
1 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
2 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
3 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
4 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
5 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
6 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
7 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
8 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
9 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
10 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
11 Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit JUMPER 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
Thermogun 1 1 3 2 07 01 01 Clinikal
049 thermometer
Unit COOLPAD 2020 BTT Rp 1,600,000.00 Rp 1,600,000.00 B
1 Sprayer Gun 1 1 3 2 08 01 11 046Spayer gun Unit BLUE RAY Handhold Nano 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
2 Sprayer Gun 1 1 3 2 08 01 11 046Spayer gun Unit BLUE RAY Handhold Nano 2020 BTT Rp 1,100,000.00 Rp 1,100,000.00 B
Lampu Tindakan 1 1 3 2 07 01 01 107
Operating lamp Bh Onemed 2020 JKN Rp 2,064,700.00 Rp 2,064,700.00 B
Bilik Swab Bh 2020 Dinkes Rp 4,400,000.00 Rp 4,400,000.00 B
Bed Pasien Bh MAK LA NINA 73062 2021 Dinkes Rp 14,700,000.00 Rp 14,700,000.00 B
Bed Examination Bh Mak LA NINA 34205 2021 Dinkes Rp 7,800,000.00 Rp 7,800,000.00 B