KIR FIX Pak Sigit

KARTU INVENTARIS RUANGAN
KAB : JAKARTA UTARA

PROVINSI : DKI JAKARTA
UNIT : DINAS KESEHATAN
SATUAN KERJA : BLUD PUSKESMAS KECAMATAN CILNCING No. KODE LOKASI : 20701015500000
RUANGAN : Ruang Tunggu Lantai 3
Keadaan Barang
No. Urut Jenis Barang/ Nama Barang Merk/ Model Tahun Pembuatan/ Pembelian Harga Beli/ Perolehan Keterangan
Baik (B) Kurang Baik (KB) Rusak Berat (RB)
1 2 3 7 10 11 12 13 14
1 Bangku tunggu 4 Seat HARLEY 2017 3,329,865 √

3 Bangku tunggu 4 Seat 2016 3,329,865 √
16 AC Sharp 2018 7,879,000 √
17 AC Cassete Daikin 5 PK 2018 49,439,500 √
18 AC Mitsubishi 2017 5,609,000 √
Mengetahui : Jakarta, September 2022

Kepala Puskesmas Kecamatan Cilincing Pengurus Barang
dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang Musholla Lantai 3
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Lemari Kayu 2017 1,980,000 √
2 Filling Besi 4 Laci Krisbow 2018 2,331,560 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Nurse Station
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Meja Staf 2012 1,980,000 √
2 Meja Staf 2012 1,980,000 √
3 Meja Staf 2012 1,980,000 √
4 Laptop Canon E- 510 2016 3,248,080 √
5 Printer AUDIOCORE 2016 1,540,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Kasatpel UKP
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Printer CANON MP 287 2004 7,590,000 √
2 Meja Komputer 2008 680,000 √
3 Meja Kerja Staff INNOLA 2016 6,636,364 √
4 FILLING CABINET 4 LACI DATA SCRIB FCDN4-7C P101 2017 3,194,400 √
merk Lenovo Processor intel R core TM i3 -7100,
monitor 21,5 inchi , memori standar 4 GB DDR 4, √
5 Komputer 2018 6,838,500
kapasitas Hard disk 1000 GB HDD, Hard drive 1TB
HDD, Memori / RAM 4 GB
6 Printer Canon E 510 2018 1,260,000 √
7 LEMARI BUKU INNOLA 120 2017 4,545,455 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang Menyusui
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Examination Table For Baby 2016 5,950,000 √
2 AC 1 PK SHARP 2014 3,988,600 √
3 SOFA 1 SHEAT INNOLA 2017 3,068,000 √
4 KULKAS SANYO 2010 2,900,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang Konseling
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Meja Staf 2010 1,672,000 √
2 Bed Examination Table Back ( Tempat Tidur Periksa ) PARAMOUNT 2016 8,707,594 √
3 LEMARI INTRUMEN MEDIS 2010 11,859,766 √

4 Filing Cabinet (3Laci) 2013 2,698,134 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Gudang Alkes
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Rak Besi 2010 1,000,000 √

2 Rak Besi 2007 2,235,000 √
3 Rak Besi 2010 2,235,000 √
4 Rak Besi 2010 2,235,000 √
5 Rak Besi 2010 2,235,000 √
6 Rak Besi 2010 2,235,000 √
7 AC LG 2018 - √
8 AC LG 2018 - √
9 Meja Tulis 1995 4,000,000 √
10 Kursi Karyawan (Putar ) 2016 699,500 √
11 Komputer /Pc LG 2013 54,450,000 √
12 Rak Besi Krisbow 2018 2,278,362 √


NIP. 196801242007011020 NIP. 198410082014082004
KAB : JAKARTA UTARA

SATUAN KERJA : BLUD PUSKESMAS KECAMATAN CILNCING
RUANGAN : Gudang Alkes
Keadaan Barang
1 2 3 7 10 11 12 13 14
3 Bed Examination Table Back ( Tempat Tidur Periksa ) PARAMOUND 2016 8,707,594 √
4 Meja Staf 2010 1,661,000 √

5 Lemari Kaca Tinggi 2015 2,159,100 √
6 Meja Kerja karyawan 2015 2,497,000 √
12 Foot Step MAK 2016 803,000 √
13 Foot Step MAK 2016 803,000 √
ASUS processor AMD Dual Core A9-9420, 3.0 GHz
(1M Cache, up to 3.6 GHz),, memory 4GB DDR4 √
14 LAPTOP 2018 5,225,500
2133 MHz,,, hard drive 1TB ( 5400 rpm ),, Display
14.0" HD (1366x768)


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : LABORATORIUM
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Centrifugel (alat lab) HUMAN 2000 5,500,000 √
2 Meja 2010 1,672,000 √
3 Filing Cabinet (3Laci) ELITE 2013 2,698,132 √
4 Komputer / PC LG 2013 6,750,000 √
5 Mikroskop OLIMPUS 2013 18,845,833 √
6 Kulkas Dua Pintu GLACIO 2014 3,190,000 √
8 Meja bayi 2015 6,250,000 √
9 Mikroskop Merk : Humacope 2015 15,000,000 √
10 Centrifuge KUBOTA 2015 39,800,000 √
11 Laptop Asus 2016 3,938,000 √
12 Lemari Kaca MAK 2016 5,183,300 √
13 Rotator rotator 2016 7,754,000 √
14 Biosafety Cabinet biosefty 2016 49,800,000 √
15 Meja 2016 979,000 √
16 Humastar 100 with UPS 2017 357,347,100 √
17 Kulkas Sharp 2019 3,417,700 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : POLI GIGI
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Kulkas SAMSUNG 2010 1,590,000 √
2 Meja INNOLA 2018 6,636,364 √
3 Meja 2010 1,974,500 √
4 Loker 2014 2,000,000 √
5 Lemari Pendek 2015 1,169,100 √
6 Meja 2015 2,497,000 √
7 Lemari Kaca Mak 2015 5,183,300 √
8 Printer Canon E510 2018 1,260,000 √
9 Lemari Penyimpan 2016 3,742,200 √
10 Laptop Asus 2016 3,938,000 √
11 Dental Unit and Chair CLESTA 2016 242,000,000 √
12 Dental Unit and Chair CLESTA 2016 242,000,000 √
13 Dental Light Curing Starlight Pro MECTRON 2016 8,200,000 √
14 Laptop HP 2016 3,248,080 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : GUDANG OBAT
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Meja Tulis 1995 4,000,000 √
2 Rak Besi KRISBOW 2018 2,278,362 √
5 Rak Besi KRISBOW 2018 19,431,775 √
6 Rak Besi KRISBOW 2018 19,431,775 √
10 Rak Besi 2001 350,000 √
11 Rak Besi 2001 350,000 √
12 Rak Besi 2001 350,000 √
13 Lemari Besi BROTHER 2001 3,000,000 √
14 Rak Besi 2005 447,000 √
15 Filing Besi / Metal ELITE 2007 1,000,000 √
16 Dispenser DENPOO 2008 1,254,000 √
17 KURSI RAPAT 2010 1,188,000 √
18 Filling Cabinet 2010 3,107,500 √
19 Lemari Instrumen Medis ALBA 2010 11,110,000 √
20 Lemari Instrumen Medis ALBA 2010 11,110,000 √
21 Kursi Lipat 2013 388,143 √
22 Lemari Kartu Pasien HIGHT POINT 2013 4,895,000 √
23 Komputer / PC LG 2013 7,425,000 √
24 Refrigerator( Kulkas ) Merk: Samsung,Model:RT22FARBDSA/MT 2015 4,899,000 √
25 Lemari lemari 2016 7,484,400 √
26 PRINTER CANON E 510 2017 1,159,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : GUDANG CETAKAN
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Rak peralatan 1998 800,000 √
2 Rak Besi 2005 447,000 √
3 Lemari besi 2006 800,000 √
4 Toa Megaphone Toa 2014 632,500 √
7 Rak Besi 2018 2,278,100 √
8 Rak Besi 2018 2,278,100 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : GUDANG ATK
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Rak besi 2019 2,112,000 √
2 Rak besi 2019 2,112,000 √
3 Rak besi 2018 4,549,600 √
4 Rak besi 2018 4,549,600 √
5 Rak besi 2018 4,549,600 √
7 Lemari Rak 2010 600,000 √
8 Lemari Rak 2010 600,000 √
9 Kursi Karyawan 2010 1,188,000 √
10 Sound System 2010 30,000,000 √
11 Pompa Air KYODO 2011 3,500,000 √
12 Meja Staf 2012 1,980,000 √
13 Kursi Karyawan 2013 1,977,634 √
14 Printer CANON E 510 2017 1,159,000 √
15 MICROPONE MIC CLIP ON WIRELES 2017 2,750,000 √
16 MICROPONE MIC CLIP ON WIRELES 2017 2,750,000 √
17 Sound System AUDIOCORE 2017 8,635,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : KPLDH
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Loker Karyawan 2013 1,980,000 √
2 printer Canon E510 2017 1,159,000 √
3 Meja 2017 6,636,000 √
4 Laptop Asus Memory DDR4 2019 6,874,000 √
Merk : HP Processor INTEL 6100 6GEN CORE I3-
2C, Memory 4GB (1X4GB) DDR4 2400 , Hard Drive √
9 Komputer 2018 7,000,000
500GB 7200 3.5 , Display HP V194 18.5-IN
MONITOR [V5E94AA]
10 Filling Cabinet √
11 Lemari Besi Data Scrip SWING DOOR CBSD-7 2018 2,331,560 √
12 Filling Cabinet √
13 AC Daikin 2018 4,235,000 √
14 Meja 2018 6,636,364 √
15 Meja 2018 6,636,364 √
16 Meja 2018 6,636,364 √
17 Meja 2018 6,636,364 √
18 Filling Besi 1995 500,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : GUDANG UKM
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Rak peralatan 2019 2,112,000 √
2 Rak peralatan 2019 2,112,000 √
3 Rak peralatan 2019 2,112,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : RUANG UKM
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 DISPENSER MIYAKO 2017 770,000 √
2 Filling Kabinet DATA SCRIP 4 Laci 2019 3,194,400
7 KOMPUTER LG 2014 6,572,500 √
8 KOMPUTER LG 2014 6,572,500 √
HP intel Core i3 Memori 4GB DDR 3 Harddisk 1TB √
9 Komputer 2017 6,753,000
monitor 18,5 inchi
10 Komputer 2017 6,753,000
monitor 18,5 inchi
11 Komputer / PC ACER 2013 6,750,000 √
12 Komputer / PC ACER 2013 6,750,000 √
13 Komputer / PC ACER 2013 6,750,000 √
14 Komputer / PC 2018 6,750,000
500GB 7200 3.5 , Display HP V194 18.5-IN
MONITOR [V5E94AA]
15 Komputer / PC 2018 6,750,000
500GB 7200 3.5 , Display HP V194 18.5-IN
MONITOR [V5E94AA]
16 Meja Staf INNOLA 2017 6,636,000 √
17 Meja Staf 2010 2,090,000 √
18 Meja Staf 2013 2,090,000 √
19 Meja Staf 2014 3,630,000 √
20 Meja Staf 2014 3,630,000 √
21 Meja Staf 2014 3,630,000 √
22 Meja Staf 2014 3,630,000 √
23 Meja Staf 2014 3,630,000 √
24 Meja Staf 2014 3,630,000 √
25 Meja Staf 2014 3,630,000 √
26 Meja Staf 2010 1,595,000 √
27 Meja Staf 2010 1,595,000 √
28 Printer Canon MP 280 2012 1,072,500 √
29 Printer CANON IP 2770 2012 1,155,000 √
30 PRINTER CANON E 510 2017 1,159,000 √
31 Tablet 2016 2,951,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : AULA PUSKESMAS LANTAI 5
TAHUN : 2021
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 MEJA TAMU INNOLA 2018 2,636,364 √
2 MEJA TAMU INNOLA 2018 2,636,364 √
3 MEJA KAYU INFORMA KAYU 2018 1,799,000 √
4 MEJA KAYU INFORMA KAYU 2018 1,799,000 √
5 PODIUM KAYU INFORMA KAYU 2018 1,499,000 √
6 KURSI INFORMA KURSI PIMPINAN WARNA HITAM 2018 4,499,000 √
9 Sound System wireles FENDA 2017 2,855,000 √
10 Kursi Staff/Kursi Rapat STRAMM 2016 995,890 √
90 Sound System wireles FENDA 2017 2,855,000 √


NIP. 196801242007011020 NIP. 198410082014082004
KAB : JAKARTA UTARA

RUANGAN : TATA USAHA
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Camera 2015 2,379,300 √
2 Handycam 2013 3,796,000 √
3 KOMPUTER ACER 2012 6,765,000 √
4 KOMPUTER LG 2014 6,572,500 √
Processor Intel Pentium G4560 ,, Memory 4GB
5 KOMPUTER DDR4,, Hard Drive 1TB HDD,, Operating System 2019 6,654,600 √
Windows 10 ,, Display 21.5 Inch
8 Komputer 2017 6,753,000
monitor 18,5 inchi
9 Komputer / PC ACER 2013 6,750,000 √
10 Komputer / PC ACER 2013 6,750,000 √
11 Komputer/PC ACER 2012 6,765,000 √
Processor intel R core TM i3 -7100, monitor 21,5
inchi , memori standar 4 GB DDR 4, kapasitas Hard √
12 Komputer/PC 2018 6,838,500
disk 1000 GB HDD, Hard drive 1TB HDD, Memori /
RAM 4 GB
Processor INTEL 6100 6GEN CORE I3-2C, Memory
4GB (1X4GB) DDR4 2400 , Hard Drive 500GB 7200 √
13 Komputer/PC 2018 7,000,000
3.5 , Display HP V194 18.5-IN MONITOR
[V5E94AA]
14 Kursi Karyawan 2013 1,977,632 √
15 Kursi karyawan ( putar) 2016 699,500 √
16 LEMARI KACA 2 PINTU 2019 21,450,000 √
21 Meja Kerja karyawan INNOLA 2016 6,636,364 √
37 Mesin Fax dan Telepone 2016 2,035,000 √
38 Mesin Penghancur Kertas 2010 6,270,000 √
39 PRINTER HP DESKJET GT 5820 2018 2,723,900 √
40 PRINTER HP DESKJET GT 5820 2018 2,723,900 √
41 PRINTER CANON E 510 2017 1,159,000 √
42 PRINTER HP 7500 A 2014 3,080,000 √
43 Sofa Tamu 3 Seat 2016 8,279,395 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : PENGADAAN
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 PRINTER E 510 2019 1,336,500 √
3 Meja Staf 2014 3,630,000 √
4 FILLING CABINET 4 LACI DATA SCRIB FCDN4-7C P101 2017 3,194,400 √
5 Komputer/PC Acer 2012 6,765,000 √
6 Meja Staf 2014 3,630,000 √
7 Meja Staf 2018 2,636,364 √
8 Meja Staf 2018 2,636,364 √
9 Laptop Asus 2016 3,938,000 √
10 Sofa Tamu 3 Seat 2016 8,279,395 √
11 Komputer 2017 6,753,000
monitor 18,5 inchi


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang Bersalin
Keadaan Barang
1 2 3 7 10 11 12 13 14

2 Instrument Cabinet ( Lemrai Obat Pintu Kaca) MAK 2016 5,183,300 √
3 Bedside Cabinet PARAMOUNT 2018 3,900,000 √
9 Mattress latex Adult MAK 2016 3,121,233 √
15 Kursi Staff / Kursi Rapat STRAMM 2016 995,890 √
20 Tempat tidur bayi BIPMED 2019 6,500,000 √
21 Tempat tidur bayi BIPMED 2019 6,500,000 √
22 Lemari Kaca DANKHA 2019 4,700,000 √
23 Televisi SAMSUNG 2019 3,500,000 √
24 Maniual Sotamak Bed MAK 2016 18,105,313 √

NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang Vaksin
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 cold chain 1982 49,871,662 √
2 cold chain DOMETIC RCW 50 1995 23,000,000 √
3 cold chain Dometic TCW- 3000 2008 63,970,600 √
4 cold chain Dometic TCW- 3000 2011 49,871,663 √
5 Stabilizer lexos ST 1500 2017 639,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang Dapur
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 RICE COOKER 2000 275,000 √

2 Lemari KACA 2010 560,000 √
3 Kompor Gas RINNAI 2014 595,315 √
4 Intrument Trolley 2014 6,214,786 √
5 Refrigerator( Kulkas ) Merk: Samsung,Model:RT22FARBDSA/MT 2015 4,899,000 √
6 DISPENSER MIYAKO 2017 770,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang Dapur Bersih
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Meja Staff 2010 1,661,000 √
2 Trolley Bartec 2019 8,269,800 √
3 Trolley 2007 215,000 √
4 Dispencer Miyako 2017 770,000 √
5 Magic Com Yong Ma 2020 2,035,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang Laundry
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Kursi Staff STramm 2016 995,891 √
2 laundry Trolley MENTOR 2016 11,459,500 √
3 MESIN CUCI 10 KG LG 2017 4,400,000 √
4 MESIN CUCI LG 2017 5,830,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Bangku Tunggu 4 Seat HARLEY 2017 3,329,865 √
9 Ac cassete Daikin 4 PK 2018 39,117,375 √
10 Kursi Futura 2016 995,890 √
11 Kursi Futura 2016 995,891 √
12 Kursi Futura 2016 995,890 √
13 Kursi Futura 2016 995,890 √
14 Kursi Futura 2016 995,890 √
15 Kursi Futura 2016 995,890 √
16 Kursi Futura 2016 995,890 √
17 Kursi Futura 2016 995,890 √
18 Alat Pemadam Kebakaran Viking 2010 759,000 √

NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang Caten
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Kursi Staff Stramm 2016 995,891 √
2 Meja Staff 2010 1,661,000 √
3 Lemari Kayu 2013 4,895,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang Kesehatan Ibu
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Meja Kayu Innola 2019 4,324,500 √
5 Meja Staff 2010 1,661,000
6 Printer Canon E 510 2018 1,260,000
7 Komputer LG 2013 6,750,000
8 Lemari Kaca Tinggi 2015 2,159,100
9 Foot Step MAK 2016 803,000
10 Foot Step MAK 2016 803,000
11 Bed Examinaion Table Back ( Tempat Tidur Periksa ) Paramount 2016 8,707,594
12 Bed Examinaion Table Back ( Tempat Tidur Periksa ) Paramount 2016 8,707,594
13 Dressing Trolley MAK 2016 7,300,500


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang KB
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Printer Tank 415 HP 2019 √
2 Laptop HP 2018 √
3 Meja Kayu Innola 2019 √
4 Meja Staff 2010 √
5 Kursi Staff Stramm 2016 √
9 Bed Gynecolog 2010 √
10 Tempat Tidur Periksa Paramount 2016 √
11 Filling Cabinet 3 Laci Lion 2013 √
12 Foot Step Mak 2016 √
13 Laptop Asus 2018 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang Bidan
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 MEJA KOMPUTER 2008 1,140,000 √
2 MEJA STAF 2010 1,661,000 √
3 KURSI KEPALA MASTOSO 2010 2,530,000 √
4 Filing Cabinet (3Laci) ALBA 2013 2,698,132 √
5 Komputer / PC ACER 2013 7,425,000 √
6 Loker 12 Cupboards MAK 2014 13,027,351 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang VK (Ruang Melahirkan)
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Kulkas Sharp 2019 2,049,000
2 Timbangan bayi 2007 150,000
3 Timbangan bayi Laica 2010 150,000
4 Incubator Transport 2018 147,762,600
5 Meja Instrument BSM 2010 6,187,500
6 Doppler TOITU 2013 6,187,500
7 Tabung Oksigen 2014 25,568,054
10 Foot Step MAK 2016 1,004,850
11 Foot Step MAK 2016 803,000
12 Suction Pump Blue Cross 2016 803,000
13 Emergency Trolley Trolley 2016 7,982,069
14 Bed Manual Delivery Paramount 2016 10,364,073
15 Bed Manual Delivery Paramount 2016 16,595,137
16 Oxygen Concentrator Sysmed 2016 16,595,137
17 Infant Incubator Tesena 2016 21,000,000
18 Lemari Arsip DataScrib 2019 96,900,000
19 Baby Tafel Pliko 2018 4,239,840
20 ECG BTL 2019 5,950,000
21 Doppler Bistos 2013 85,000,000
22 Dressing Trolley MAK 2016 7,300,000
23 Lemari Es Pintu 1 Sharp 2019 2,409,000
24 Kursi Staff STramm 2016 995,891
25 Neonatal care with scale ( Infant Warmer ) Ampla 2016 155,000,000
26 Saturasi Oksigen Oxy-9 2017 5,995,000


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang Sterilisator
Keadaan Barang
1 2 3 7 10 11 12 13 14
4 Sterilisator Kering memmert 2013 13,468,890 √

5 Sterilisator kering memmert 2015 19,580,000 √
1 Meja Instrumen 2010 6,187,500 √
2 Lemari Arsip Data Scrip 2019 4,239,840 √
3 Dressing Trolley MAK 2016 7,300,500 √
6 Autoclave TUTTNAUER 2019 161,891,638 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang Farmasi
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Mesin Press Puyer SCI 2010 2,310,000 √
2 Lemari Obat ALBA 2013 4,510,000 √
3 Medicine Cabinet 2013 7,187,891 √
4 LEMARI OBAT INNOLA 2014 3,711,958 √
5 Medicine Cabinet ( Lemari Obat Setengah Kaca ) MAK 2016 5,183,300 √
6 PRINTER CANON E 510 2017 1,109,658 √
7 RAK SUSUN 400 KG KRISBOW 2017 2,086,700 √
10 Printer RESEP EPSON TM -T82 2017 3,829,430 √
11 Lemari Narkotik Bawah Meja 2016 2,753,784 √
12 Lemari Narkotik gantung 2016 2,753,784 √
Memory DDR4 4GB ,, Hard Drive SATA 1TB

13 LAPTOP 5400RPM,, Processor I3-7020U,, Operating System 2019 6,874,000 √
Windows 10 (64bit),, Display 14 INCH ASUS
HP Processor INTEL 6100 6GEN CORE I3-2C,

Memory 4GB (1X4GB) DDR4 2400 , Hard Drive √
14 KOMPUTER 2018 7,000,000
500GB 7200 3.5 , Display HP V194 18.5-IN
MONITOR [V5E94AA]
15 Komputer HP 510-P012L 2017 5,295,400 √
16 Televisi Samsung 2020 4,499,000 √
17 Rak KRISBOW 2019 2,112,000 √
18 Rak KRISBOW 2019 2,112,000 √
19 Rak KRISBOW 2019 2,112,000 √
20 Rak KRISBOW 2019 2,112,000 √
21 Rak 2018 19,431,775 √
22 Rak 2020 635,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang Kesling
Keadaan Barang
1 2 3 7 10 11 12 13 14

3 Lemari Kaca 2015 2,159,100 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : UGD
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Nebulizer ABN 2001 9,000,000 √
2 Foot Step 2014 1,165,785 √
3 Medicine Cabinet MAK 2014 7,105,786 √
4 Infus Pump 2014 17,500,000 √
5 Anaesthesia trolley 2015 7,008,500 √
6 Foot Step MAK 2016 803,000 √
7 Laptop HP 2016 3,248,080 √
8 SATURASI OKSIGEN oxy 9 2016 5,995,000 √
9 Dressing Troley MAK 2016 7,300,500 √
10 Oxygen Concentrator SYSMED 2016 21,000,000 √
11 Bed Strectcher PARAMOUNT 2016 29,914,588 √
14 Komputer HP 510-P012L 2017 5,295,400 √
15 ECG FUKUDA fx-8322R 2017 46,282,670 √
16 Meja Innola 2019 4,324,500 √
17 Meja Innola 2019 4,324,500 √
18 Laptop HP 2016 3,248,080 √
19 Laptop HP 2016 3,248,080 √
20 Laptop HP 2016 3,248,080 √
21 Laptop HP 2018 6,248,500 √
22 EKG BTL 2019 36,000,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Lobby
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 TAMPUNGAN AIR 500 LITER 2017 20,075,000 √

2 MESIN ANTRIAN 2017 62,590,000 √
3 Mobil Ambulance 1994 34,800,000 √
4 Sepeda Motor YAMAHA 2005 4,500,000 √
6 Sepeda Motor HONDA 2006 6,000,000 √
12 Mobil DinasAPV 2006 95,000,000 √
14 Mobil APV Kenderaan Pusling 2011 195,813,176 √
15 KURSI PUTAR 2011 375,000 √
16 Kursi Roda 2012 1,200,000 √
17 Pembatas Antrian KRISBOW 2014 704,000 √
29 KURSI RODA 2014 1,452,000 √
32 Kursi Staff/Kursi Rapat Counter STRAMM 2016 822,878 √
33 Meja satpam 2016 5,174,400 √
34 sepeda motor ( roda tiga) VIAR 2016 25,755,000 √
35 Mini Bus Kendaraan dinas Operasional Suzuki APV 2016 167,800,000 √
36 MESIN POMPA AIR SEMI JET PUMP 2017 4,565,000 √
37 KURSI RODA 2014 1,452,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
Keadaan Barang
1 2 3 7 10 11 12 13 14
3 AC Floor Standing 5 PK DAIKIN 2015 22,150,000 √
20 AC Casette Daikin 5 PK 2019 52,708,700 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Poli Prima
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Meja Karyawan (meja tulis) 1995 2,400,000 √
2 Brangkar /Follding Stretcher Paramount 2013 9,662,890 √
Processor INTEL I3-7020U,,, Memory 4GB,, Hard Drive

3 LAPTOP
1TB HDD ,,MONITOR 14 '' WARNA HITAM LENOVO
2019 9,916,500 √
4 FILING CABINET TIGER 2019 2,750,025 √

5 Note Book / Laptop Toshiba 2013 6,985,000 √
6 AC LG 2018 3,850,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang Jaga Dokter
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Emergency Mobile Stretcher /Brangkar MAK 2014 14,728,786 √
2 Emergency Mobile Stretcher /Brangkar MAK 2014 14,728,786 √
3 Dispenser sanken 2013 425,000 √
4 Loker 2014 2,000,000 √
5 Loker BROTHER 2015 2,200,000 √
6 Loker BROTHER 2015 2,200,000 √
7 Loker Informa 2019 1,244,100 √
8 Loker Informa 2019 1,244,100 √
9 Loker Krisbow 2018 1,296,845 √
10 Loker Krisbow 2018 1,296,845 √
11 Loker Krisbow 2018 1,296,845 √
12 Loker Krisbow 2019 1,285,900 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Poli Lansia
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Meja Staf 2010 1,661,000 √
2 Meja Staf 2010 1,661,000 √
4 Notebook 14 " HP 2016 3,248,080 √
5 Notebook 14 " HP 2016 3,248,080 √
6 Ac Split LG 2018 - √
7 Ac Split Daikin 2019 6,127,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Poli Prima
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Lemari Kayu 1995 2,000,000
2 Meja Staff 2007 1,840,600
3 Meja Staff 2010 1,661,000
4 Foot Step 2014 1,165,786
5 Trolley Emergency 2014 1,666,667
6 Laptop HP 2016 3,248,080
7 Tempat Tidur Periksa Paramount 2016 8,707,594
8 Filling Cabinet 4 Laci Data Scrib FCDN4-7C P101 2017 3,194,400
9 Kursi Tungggu 4 Seat Harley 2017 3,329,865
10 Kursi Tungggu 4 Seat Harley 2017 3,329,865
11 Kipas Angin 2019 2,018,500
12 laptop Asus 2018 7,338,700
13 Printer Canon E 510 2016 1,540,000
14 Meja Staff 2015 2,497,000
15 Lemari MAK 2013 1,980,000


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Ruang Rekam Medis
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 LEMARI REKAM MEDIS SPECTRUM 2017 56,056,000 √

NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Loket Pendaftaran
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Mesin Absensi Karyawan Sulutoin X100-C+ADMS 2014 2,233,000 √
2 Mesin Absensi Sulutoin X100-C+ADMS 2016 1,870,000 √
3 Komputer HP 510-P012L 2017 5,295,400 √
HP intel Core i3 Memori 4GB DDR 3 Harddisk 1TB
4 Komputer 2017 6,753,000 √
monitor 18,5 inchi
5 MEJA LOKET DAN APOTIK 2017 87,417,176 √
6 Komputer / PC HP 2013 6,750,000 √
7 Komputer / PC ACER 2013 6,750,000 √
8 Printer CANON MX 308 2006 4,300,000 √
9 Notebook 14 " HP 2016 3,248,080 √
10 KURSI INFORMA KURSI DI PENDAFTARAN 2018 1,279,200 √
15 KURSI INFORMA WARNA HITAM 2018 1,399,000 √
22 AC LG 2018 - √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : MTBS
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Laptop Asus 2010 3,938,000 √
2 Meja 2016 979,000 √
3 Examination Table For Baby 2016 5,950,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : POLI GIZI
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Meja Staf 2010 2,090,000 √
2 TIMBANGAN BADAN/UKUR BADAN SMIC 2010 2,313,691 √
3 Laptop HP 2016 3,248,080 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : POLI SINTA
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Meja Staf 2010 1,661,000 √

2 Meja Staf 2010 1,661,000 √
3 Bed Gynecolog Hydra 2010 54,324,393
4 Filing Cabinet (3Laci) LION 2013 2,698,132 √
5 Komputer / PC 2013 6,750,000 √
6 Printer MG 2570s 2012 107,500
7 Trolley 2010 5,000,000
9 Laptop HP 2016 3,248,080 √
10 Examination Table For Baby tafel 2016 5,950,000 √


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : KEPALA PUSKESMAS
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Filing Cabinet HIGHT POINT 2013 2,698,132 √
2 Televisi LG 2014 4,015,000 √
3 Sofa Tamu INNOLA 2016 6,034,421 √
4 Kursi Pimpinan INFORMA KURSI PIMPINAN WARNA HITAM 2018 4,499,000 √
5 Meja Pimpinan INFORMA MEJA SOFA KECIL 119X59X39,7 CM 2018 999,000 √
6 Kulka Sharp 2018 3,499,000 √
PROCESSOR INTEL CORE i7 -8700 ,, MEMORY 8 √

7 Komputer 2019 14,181,136
GB ,, HARD DISK 1 TB ,, LAYAR 18,5 INCHI ASUS


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : PKPR
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Tempat Tidur Periksa Paramount 2016 8,707,594
2 Meja Staff 2007 1,840,600
3 Lemari 2001 3,000,000


NIP. 196801242007011020 NIP. 198410082014082004

KAB : JAKARTA UTARA
RUANGAN : Pendaftaran Ruang Bersalin
Keadaan Barang
1 2 3 7 10 11 12 13 14
1 Meja Counter Pendaftaran Paramount 2019 32,340,000 √
2 Komputer Acer 2019 6,250,000 √


NIP. 196801242007011020 NIP. 198410082014082004
KARTU INVENTARIS RUA
KAB : JAKARTA UTARA
: BLUD PUSKESMAS
SATUAN KERJA
KECAMATAN CILNCING
RUANGAN : UGD
No. Urut Jenis Barang/ Nama Barang Merk/ Model
1 2 3
2 Defibrilator REANIBEX 70
3 Emergency Trolley CAPSA SOLUTION
4 Lemari Kaca MAK
MAK Anasthesia Trolley
5 Anaesthesia trolley 36604
6 Ac Split Daikin
7 Ac Split Daikin
8 Air Purifier KALTECH Air Purifier
9 Premature Infant Incubator FANEM AMPLA 2085 FANEM
Merk: YUWELL Type: 9F-
5A
10 Oxygen Concentrator
3
11 Tempat Tidur Besi PARAMOUNT
14 Komputer HP 510-P012L
15 ECG FUKUDA DENSHI FX-8322R
16 Meja Kerja Kayu INNOLA
Notebook HP 14an-016AU-
18 Laptop
Silver X3C60PA
19 Laptop
Silver X3C60PA
HP Notebook 14-BS092TX
21 Laptop 3MR35PA-Red
Trolley Type : 35102 MAK
22 EKG BTL 12 CHANEL
Mengetahui :
Kepala Puskesmas Kecamatan Cilincing
dr.Raden Achmad Sigit Mustika Adi

NIP. 196801242007011020
KARTU INVENTARIS RUA

KAB : JAKARTA UTARA
SATUAN KERJA : BLUD PUSKESMAS

KECAMATAN CILNCING
RUANGAN : Suntik
No. Urut Jenis Barang/ Nama Barang Merk/ Model
1 2 3
2 Defibrilator REANIBEX 70
3 Emergency Trolley CAPSA SOLUTION
4 Lemari Kaca MAK
MAK Anasthesia Trolley
5 Anaesthesia trolley
36604
6 Ac Split Daikin
7 Ac Split Daikin
8 Air Purifier KALTECH Air Purifier
9 Premature Infant Incubator FANEM AMPLA 2085 FANEM
Merk: YUWELL Type: 9F-
5A
10 Oxygen Concentrator
3

14 Komputer HP 510-P012L
15 ECG FUKUDA DENSHI FX-8322R
16 Meja Kerja Kayu INNOLA
18 Laptop
Silver X3C60PA
19 Laptop
Silver X3C60PA
HP Notebook 14-BS092TX
21 Laptop
3MR35PA-Red
Trolley Type : 35102 MAK
22 EKG BTL 12 CHANEL
Mengetahui :
Kepala Puskesmas Kecamatan Cilincing
dr.Raden Achmad Sigit Mustika Adi

NIP. 196801242007011020
No. KODE LOKASI : 00050
Keadaan Barang
Tahun Pembuatan/
Harga Beli/ Perolehan
Pembelian Baik (B) Kurang Baik (KB)
4 5 6 7
2019 143,528,000 √
2019 45,850,200 √
2014 7,105,786 √
2015 7,008,500 √
2019 5,538,500 √
2019 5,692,500 √
2021 15,400,000 √
2018 155,000,000 √
2020 7,450,680 √
2016 8,707,594 √
2016 8,707,594 √
2019 16,595,137 √
2017 5,295,400 √
2017 46,282,670 √
2017 6,636,000 √
2016 3,248,080
2016 3,248,080 √
2018 6,248,500 √
2016 7,300,500
2019 85,000,000 √
Jakarta, 30 Desember 2022
Pengurus Barang
Riyana Yospitasari
NIP. 198410082014082004
No. KODE LOKASI : 00050
Keadaan Barang
Tahun Pembuatan/
Pembelian Harga Beli/ Perolehan
Baik (B) Kurang Baik (KB)
4 5 6 7
2019 143,528,000 √
2019 45,850,200 √
2014 7,105,786 √
2015 7,008,500 √
2019 5,538,500 √
2019 5,692,500 √
2021 15,400,000 √
2018 155,000,000 √
2020 7,450,680 √
2016 8,707,594 √
2016 8,707,594 √
2019 16,595,137 √
2017 5,295,400 √
2017 46,282,670 √
2017 6,636,000 √
2016 3,248,080
2016 3,248,080 √
2018 6,248,500 √
2016 7,300,500
2019 85,000,000 √
Jakarta, 30 Desember 2022

Pengurus Barang
Riyana Yospitasari
NIP. 198410082014082004
an Barang
Keterangan
Rusak Berat (RB)
8 9
√
an Barang
Keterangan
Rusak Berat (RB)
8 9

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KARTU INVENTARIS RUANGAN

KAB : JAKARTA UTARA

1 Bangku tunggu 4 Seat HARLEY 2017 3,329,865 √

Mengetahui : Jakarta, September 2022

dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

KARTU INVENTARIS RUANGAN

Mengetahui : Jakarta, September 2022

dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

KARTU INVENTARIS RUANGAN

Mengetahui : Jakarta, September 2022

dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

KARTU INVENTARIS RUANGAN

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dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

KARTU INVENTARIS RUANGAN

Mengetahui : Jakarta, September 2022

dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

KARTU INVENTARIS RUANGAN

1 Meja Staf 2010 1,672,000 √

3 LEMARI INTRUMEN MEDIS 2010 11,859,766 √

Mengetahui : Jakarta, September 2022

dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

KARTU INVENTARIS RUANGAN

1 Rak Besi 2010 1,000,000 √

Mengetahui : Jakarta, September 2022

dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

KARTU INVENTARIS RUANGAN

KAB : JAKARTA UTARA

SATUAN KERJA : BLUD PUSKESMAS KECAMATAN CILNCING

RUANGAN : Gudang Alkes

4 Meja Staf 2010 1,661,000 √

Mengetahui : Jakarta, September 2022

dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

KARTU INVENTARIS RUANGAN

Mengetahui : Jakarta, September 2022

dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

KARTU INVENTARIS RUANGAN

Mengetahui : Jakarta, September 2022

dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

KARTU INVENTARIS RUANGAN

Mengetahui : Jakarta, September 2022

dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

KARTU INVENTARIS RUANGAN

Mengetahui : Jakarta, September 2022

dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

KARTU INVENTARIS RUANGAN

Mengetahui : Jakarta, September 2022

dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

KARTU INVENTARIS RUANGAN

Mengetahui : Jakarta, September 2022

dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

KARTU INVENTARIS RUANGAN

Mengetahui : Jakarta, September 2022

dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

KARTU INVENTARIS RUANGAN

Mengetahui : Jakarta, September 2022

dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

KARTU INVENTARIS RUANGAN

Mengetahui : Jakarta, September 2022

dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari

KARTU INVENTARIS RUANGAN

KAB : JAKARTA UTARA

Mengetahui : Jakarta, September 2022

dr.Raden Achmad Sigit Mustika Adi Riyana Yospitasari