Laporan BMD Pusk Kapitasi SMTR 1

BUKU PENERIMAAN BARANG
PUSKESMAS NANGAPANDA
TRIWULAN I TAHUN 2022
Nota Pesanan / SPK

Tanggal Tahun
No Dari Nama Barang Merk/Ukuran Banyaknya Satuan Harga Satuan
Penerimaan Pembuatan/Perolehan
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11
N I H I L
Mengetahui :
Kepala Puskesmas Nangapanda
( Ayu Puspita, AMK )

NIP. 19821808 200604 2 030
BUKU PENGELUARAN BARANG
Bukti Pemeriksaan Bukti Penerimaan

Tanggal
Jumlah Harga Ket. No. Nomor Urut Nama Barang
B.A. Pemeriksaan B.A. Penerimaan Pengeluaran
Nomor Tanggal Nomor Tanggal
12 13 14 15 16 17 1 2 3 4
N I H I L
Ende, 31 Maret 2022 Mengetahui :
Pengurus Barang Pembantu Kepala Puskesmas Nangapanda
( Yasinta Rhero Amd.Keb ) ( Ayu Puspita, AMK )

NIP. 19890120 201705 2 00 1 NIP. 19821808 200604 2 030
BUKU PENGELUARAN BARANG BUKU BARANG INVENTA
PUSKESMAS NANGAPANDA PUSKESMAS NANGAPA
TRIWULAN I TAHUN 2022 TRIWULAN I TAHUN 2
Surat Penyerahan PENERIMAAN

Banyaknya Harga Satuan Jumlah Harga Untuk Ket. No Tahun
Tanggal Nama / Jenis Merk / Jumlah
Nomor Tanggal Pembuata
Diterima Barang Ukuran Satuan
n
5 6 7 8 9 10 11 1 2 3 4 5 6
N I H I L N I H I L
Pengurus Barang Pengguna Kepala Puskesmas Nangapanda

NIP. 19890120 201705 2 00 1 NIP. 19821808 200604 2 030
BUKU BARANG INVENTARIS BUKU BARANG PAKA
PUSKESMAS NANGAPANDA PUSKESMAS NANGA
TRIWULAN I TAHUN 2022 TRIWULAN I TAHUN
NERIMAAN PENGELUARAN PENERIMAAN

Tanggal Jumlah Ket. No Nama / Tahun
Nota Pesanan/SPK Barita Acara Pemeriksaan Diserahka Surat Penyerahan Tanggal Merk / Jumlah
Dikeluarka Satuan / Jenis Pembuata
Nomor Tanggal Tanggal Nomor n Kepada Nomor Tanggal Diterima Ukuran Satuan
n Barang Barang n
7 8 9 10 11 12 13 14 15 16 1 2 3 4 5 6
N I H I L N I H I
Pengurus Barang Pengguna Pejabat Penatausahaan Pengguna Barang

NIP. 19890120 201705 2 00 1 NIP. 19821808 200604 2 030
BUKU BARANG PAKAI HABIS LAPORAN SEMESTER
Penerimaan
NERIMAAN PENGELUARAN
Penerimaan Dokumen/Faktur
Barita Acara Tanggal Jumlah Ket.
Nota Pesanan/SPK Diserahka Surat Penyerahan No. Urut Terima Tgl Dari SPK/Perjanjia
Pemeriksaan Dikeluarka Satuan / Nomor Tgl
Nomor Tanggal Tanggal Nomor n Kepada Nomor Tanggal n
n Barang
7 8 9 10 11 12 13 14 15 16 1 2 3 4 5 6
N I H I L

NIP. 19890120 201705 2 00 1 NIP. 19821808 200604 2 030
LAPORAN SEMESTER TENTANG PENERIMAAN DAN PENGELUARAN BARANG INVENTARIS
Penerimaan Pengeluaran
Buku Penerimaan Surat Bon Tanggal
Banyakny Harga Jumlah Pengeluar Banyakny Nama Harga Jumlah
Nama Barang B.A. / Srt Penerimaan Ket No. Urut Untuk Penyeraha Ket
a Satuan Harga an Tgl. Nomor Tanggal a Barang Satuan Harga
Nomor Tanggal n
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
N I H I L
Ende, 31 Maret 2022
Pengurus Barang Pengguna
( Yasinta Rhero Amd.Keb )

NIP. 19890120 201705 2 00 1
LAPORAN SEMESTER TENTANG PENERIMAAN DAN PENGELUARAN BARANG PAKAI HABIS
Penerimaan Pengeluaran
Dokumen/Faktur Dasar Penerimaan Buku Penerimaan Surat Bon
Banyakny Nama Harga Jumlah Pengeluar
No. Urut Terima Tgl Dari Jenis B.A. / Srt Penerimaan Ket No. Urut
Nomor Tgl Nomor a Barang Satuan Harga an Tgl. Nomor Tanggal
Surat Nomor Tanggal
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
N I H I L
Mengetahui :

NIP. 19821808 200604 2 030
S
Pengeluaran
Tanggal
Banyakny Nama Harga Jumlah
Untuk Penyeraha Ket
a Barang Satuan Harga
n
19 20 21 22 23 24 25
Ende, 31 Maret 2022
( Yasinta Rhero Amd.Keb )

NIP. 19890120 201705 2 00 1
BUKU PENERIMAAN BARAN
SEMESTER 1 TAHUN 202
Nota Pesanan / SPK

Tanggal Tahun
No Dari Nama Barang Merk/Ukuran Banyaknya Satuan
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10
OBAT-OBATAN
1 3-Jan-22 Apotek Bethesda 01/NP/AST/P.NGP/I/2022 3-Jan-22 RL Otsu 2022 5.0 PCS
2 6-Apr-22 Apotek Sidodadi 116/NP/AST/P.NGP/IV/2022 6-Apr-22 Spuit 3 cc One Med 2022 300.0 PCS
3 9-Apr-22 Apotek Sidodadi 120/NP/AST/P.NGP/IV/2022 9-Apr-22 Handscoon steril no 7 Altamed 2022 104.0 PCS
BELANJA OBAT-OBATAN
BAHAN
1 24-May-22 Kios Hidup Baru 132/NP/AST/P.NGP/V/2022 24-May-22 Semen 2022 150.0 sak
24-May-22 Kios Hidup Baru 132/NP/AST/P.NGP/V/2022 24-May-22 Kerikil 2022 71.0 m3
24-May-22 Kios Hidup Baru 132/NP/AST/P.NGP/V/2022 24-May-22 Tanah Timbun 2022 132.0 m3
24-May-22 Kios Hidup Baru 132/NP/AST/P.NGP/V/2022 24-May-22 Pasir kursa 2022 100.0 ton
24-May-22 Kios Hidup Baru 132/NP/AST/P.NGP/V/2022 24-May-22 Besi Beton 2022 13.0 btg
2 25-May-22 Ibrahim 136/NP/AST/P.NGP/V/2022 25-May-22 Batako 2022 300.0 bh
3 25-May-22 Muhamad Yasir 140/NP/AST/P.NGP/V/2022 25-May-22 Batu Kali 2022 15.0 m3
4 3-Jun-22 Ibrahim 144/NP/AST/P.NGP/VI/2022 3-Jun-22 Batako 2022 200.0 bh
5 3-Jun-22 Muhamad Yasir 148/NP/AST/P.NGP/VI/2022 3-Jun-22 Batu Kali 2022 10.0 m3

BAHAN BAKU BANGUNAN
6 3-Jun-22 Kios Hidup Baru 152/NP/AST/P.NGP/VI/2022 3-Jun-22 Pipa baja 3 dim 2022 1.0 btg
PIPA BAJA
7 4-Jan-22 SPBU W.Z YOHANES 4-Jan-22 Bio solar 2022 9.700 ltr
14 9-Feb-22 SPBU W.Z YOHANES 9-Feb-22 Bio solar 2022 38.825 ltr
17 12-Feb-22 Kios Sucia 45/NP/AST/P.NGP/II/202 12-Feb-22 Solar 2022 25.000 ltr
19 21-Feb-22 Kios Sucia 49/NP/AST/P.NGP/II/2022 21-Feb-22 Solar 2022 60.000 ltr
20 28-Mar-22 Kios Sucia 53/NP/AST/P.NGP/III/2022 28-Mar-22 Solar 2022 60.000 ltr

24 1-Apr-22 SPBU W.Z YOHANES 1-Apr-22 Bio solar 2022 9.700 ltr
25 1-Apr-22 Orakeri Motor 108/NP/AST/P.NGP/IV/2022 1-Apr-22 Oli Mesin Meditran 5X 2022 6.000 ltr
1-Apr-22 Orakeri Motor 108/NP/AST/P.NGP/IV/2022 1-Apr-22 Oli Transmisi Rored 2022 6.000 ltr
26 2-Apr-22 Orakeri Motor 112/NP/AST/P.NGP/IV/2022 2-Apr-22 Oli Mesin Meditran 5X 2022 6.000 ltr
2-Apr-22 Orakeri Motor 112/NP/AST/P.NGP/IV/2022 2-Apr-22 Oli Transmisi Rored 2022 6.000 ltr
BAHAN BAKAR MINYAK
19 7-Jan-22 Fernando Motor 05/NP/AST/P.NGP/I/2022 7-Jan-22 Isi Oksigen 2022 8.0 tong
20 24-Mar-22 Fernando Motor 104/NP/AST/P.NGP/III/2022 24-Mar-22 Isi Oksigen 2022 6.0 tong
21 28-Apr-22 Fernando Motor 124/NP/AST/P.NGP/IV/2022 28-Apr-22 Isi Oksigen 2022 4.0 tong
22 18-May-22 Fernando Motor 128/NP/AST/P.NGP/V/2022 18-May-22 Isi Oksigen 2022 4.0 tong
23 16-Jun-22 Fernando Motor 156/NP/AST/P.NGP/VI/2022 16-Jun-22 Isi Oksigen 2022 4.0 tong
BAHAN KIMIA
TOTAL BELANJA BAHAN
ALAT DAN BAHAN UNTUK KEGIATA

1 3-Feb-22 Kantor Pos Nnagapanda 3-Feb-22 Meterai 10,000 2022 50.0 lbr
2 8-Mar-22 Kantor Pos Nnagapanda 8-Mar-22 Meterai 10,000 2022 20.0 lbr
3 18-Mar-22 Sinar Murni 96/NP/AST/P.NGP/III/2022 18-Mar-22 Meterai 10,000 2022 41.0 lbr
METERAI DAN BENDA POS LAINNYA

4 10-Feb-22 Galaxi 26/NP/AST/P.NGP/II/2022 10-Feb-22 Cartridge Hitam Canon 810 2022 15.0 bh
10-Feb-22 Galaxi 26/NP/AST/P.NGP/II/2022 10-Feb-22 Cartridge Warna Canon 811 2022 15.0 bh
BAHAN KOMPUTER
5 10-Jan-22 CV. Unit Print 09/NP/AST/P.NGP/I/2022 10-Jan-22 Baliho uk 2 x 1 m Unit Print 2022 3.0 bh
8 11-Feb-22 CV. Unit Print 41/NP/AST/P.NGP/II/2022 11-Feb-22 Baliho uk 3 x 2 m Unit Print 2022 7.0 bh
9 7-Mar-22 CV. Unit Print 69/NP/AST/P.NGP/III/2022 7-Mar-22 Baliho uk 2 x 1 m Unit Print 2022 4.0 bh
10 14-Mar-22 CV. Unit Print 74/NP/AST/P.NGP/III/2022 14-Mar-22 Baliho uk 2 x 2 m Unit Print 2022 3.0 bh
14-Mar-22 CV. Unit Print 74/NP/AST/P.NGP/III/2022 14-Mar-22 Baliho uk 2 x 2,5 m Unit Print 2022 2.0 bh
ALAT DAN BAHAN UNTUK KEGIATAN KANTOR LAINNYA
13 15-Mar-22 Sinar Murni 78/NP/AST/P.NGP/III/2022 15-Mar-22 Lampu Philip 2022 10.0 bh
ALAT LISTRIK DAN ELEKTRONIK
BELANJA ALAT DAN BAHAN UNTUK KEGIATAN KANTOR
BELANJA PERSEDIAAN SEMESTER I
B E L A N J A M O DA L
1 16-Mar-22 Toko Lestari 82/NP/AST/P.NGP/IIi/2022 16-Mar-22 AC Pan 12nfs5eoe Panasonic 2022 2.0 bh
16-Mar-22 Toko Lestari 82/NP/AST/P.NGP/IIi/2022 16-Mar-22 AC Pan 09wcphx5 Panasonic 2022 1.0 bh
16-Mar-22 Toko Lestari 82/NP/AST/P.NGP/IIi/2022 16-Mar-22 Ternadowallfan 20'fke Regency 2022 2.0 bh
16-Mar-22 Toko Lestari 82/NP/AST/P.NGP/IIi/2022 16-Mar-22 Wallfan Masp Ukthse Maspion 2022 6.0 bh
ALAT PENDINGIN
Mengetahui :

NIP. NIP. 19821808 200604 2 030

Harga Satuan Jumlah Harga
B.A. Pemeriksaan B.A. Penerimaan
11 12 13 14 15 16
OBAT-OBATAN
20,000.00 100,000.00 02/BAP/P.NGP/AST-BOO/I/2022 3-Jan-22 03/BAST/P.NGP/AST-BOO/I/2022 3-Jan-22
1,300.00 390,000.00 117/BAP/P.NGP/AST-BOO/IV/2022 6-Apr-22 117/BAST/P.NGP/AST-BOO/IV/2022 6-Apr-22
1,010,000.00
BAHAN
58,000.00 8,700,000.00 133/BAP/P.NGP/AST-BBB/V/2022 24-May-22 134/BAST/P.NGP/AST-BBB/V/2022 24-May-22
5,000.00 1,000,000.00 145/BAP/P.NGP/AST-BBB/VI/2022 3-Jun-22 146/BAST/P.NGP/AST-BBB/VI/2022 3-Jun-22

64,428,000.00
822,000.00 822,000.00 153/BAP/P.NGP/AST-BBB/VI/2022 3-Jun-22 154/BAST/P.NGP/AST-BBB/VI/2022 3-Jun-22
822,000.00
5,150.00 50,000.00
5,150.00 100,000.00
5,150.00 100,000.00
5,150.00 50,000.00
5,150.00 100,000.00
5,150.00 50,000.00
5,150.00 200,000.00
5,150.00 200,000.00
5,150.00 100,000.00
5,150.00 100,000.00
7,000.00 175,000.00 46/BAP/P.NGP/AST-BBM/II/202 12-Feb-22 47/BAST/P.NGP/AST-BBM/II/2022 12-Feb-22
5,150.00 100,000.00 19-Feb-22 19-Feb-22
7,000.00 420,000.00 54/BAP/P.NGP/AST-BBM/III/2022 28-Mar-22 55/BAST/P.NGP/AST-BBM/III/2022 28-Mar-22

5,150.00 50,000.00
80,000.00 480,000.00 109/BAP/P.NGP/AST-BP/IV/2022 1-Apr-22 110/BAST/P.NGP/AST-BP/IV/2022 1-Apr-22


4,720,000.00
250,000.00 2,000,000.00 06/BAP/P.NGP/AST-ITG/I/2022 7-Jan-22 07/BAST/P.NGP/AST-ITG/I/2022 7-Jan-22
250,000.00 1,500,000.00 105/BAP/P.NGP/AST-ITG/III/2022 24-Mar-22 106/BAST/P.NGP/AST-ITG/III/2022 24-Mar-22
250,000.00 1,000,000.00 125/BAP/P.NGP/AST-ITG/IV/2022 28-Apr-22 126/BAST/P.NGP/AST-ITG/IV/2022 28-Apr-22
250,000.00 1,000,000.00 129/BAP/P.NGP/AST-ITG/V/2022 18-May-22 130/BAST/P.NGP/AST-ITG/V/2022 18-May-22
250,000.00 1,000,000.00 157/BAP/P.NGP/AST-ITG/VI/2022 16-Jun-22 158/BAST/P.NGP/AST-ITG/VI/2022 16-Jun-22
6,500,000.00
76,470,000.00
ALAT DAN BAHAN UNTUK KEGIATAN KANTOR

10,000.00 500,000.00
10,000.00 200,000.00
12,000.00 492,000.00 97/BAP/AST-MBP/III/2022 18-Mar-22 98/BAST/AST-MBP/III/2022 18-Mar-22
1,192,000.00
335,000.00 5,025,000.00 27/BAP/AST-BK/II/2022 10-Feb-22 28/BAST/AST-BK/I/2022 10-Feb-22
400,000.00 6,000,000.00 27/BAP/AST-BK/II/2022 10-Feb-22 28/BAST/AST-BK/I/2022 10-Feb-22
11,025,000.00
105,000.00 315,000.00 10/BAP/ASTABKL/I/2022 10-Jan-22 11/BAST/AST-ABKL/I/2022 10-Jan-22
250,000.00 1,000,000.00 14/BAP/ASTABKL/I/2022 20-Jan-22 15/BAST/AST-ABKL/I/2022 20-Jan-22
250,000.00 500,000.00 18/BAP/ASTABKL/I/2022 25-Jan-22 19/BAST/AST-ABKL/I/2022 25-Jan-22
250,000.00 1,750,000.00 42/BAP/ASTABKL/II/2022 11-Feb-22 43/BAST/AST-ABKL/II/2022 11-Feb-22
105,000.00 420,000.00 70/BAP/ASTABKL/III/2022 7-Mar-22 71/BAST/AST-ABKL/III/2022 7-Mar-22

5,000,000.00
60,000.00 600,000.00 79/BAP/ASTABAL/III/2022 15-Mar-22 80/BAST/AST-AL/III/2022 15-Mar-22
600,000.00
17,817,000.00
95,297,000.00
6,500,000.00 13,000,000.00 83/BAP/AST-AP/III/2022 16-Mar-22 84/BAST/AST-AP/III/2022 16-Mar-22
5,500,000.00 5,500,000.00 83/BAP/AST-AP/III/2022 16-Mar-22 84/BAST/AST-AP/III/2022 16-Mar-22

800,000.00 1,600,000.00 83/BAP/AST-AP/III/2022 16-Mar-22 84/BAST/AST-AP/III/2022 16-Mar-22
650,000.00 3,900,000.00 83/BAP/AST-AP/III/2022 16-Mar-22 84/BAST/AST-AP/III/2022 16-Mar-22
24,000,000.00
119,297,000.00
Ende, Kamis 30 Juni 2022
Pengurus Barang Pembantu

( Yasinta Rhero )
NIP. 19890120 201705 2 001
Tanggal
Ket. No. Nomor Urut Nama Barang Banyaknya Harga Satuan
Pengeluaran
17 1 2 3 4 5 6
OBAT-OBATAN -
-
Persediaan Bahan obat-obatan 1 3-Jan-22 1 RL 5 20,000.00
-
Persediaan Bahan obat-obatan 2 6-Apr-22 2 Spuit 3 cc 300 1,300.00
-
Persediaan Bahan obat-obatan 3 9-Apr-22 3 Handscoon steril no 7 104 5,000.00
-
#REF! 0 0 BELANJA OBAT-OBATAN
0 0 0 -
BAHAN 0 0 -
0 0 0 -
Bahan Baku bangunan 1 24-May-22 1 Semen 150 58,000.00
Bahan Baku bangunan 0 24-May-22 0 Kerikil 71 400,000.00
Bahan Baku bangunan 0 24-May-22 0 Tanah Timbun 132 80,000.00
Bahan Baku bangunan 0 24-May-22 0 Pasir kursa 100 100,000.00
Bahan Baku bangunan 0 24-May-22 0 Besi Beton 13 136,000.00
Bahan Baku bangunan 2 25-May-22 2 Batako 300 5,000.00
Bahan Baku bangunan 3 25-May-22 3 Batu Kali 15 100,000.00
Bahan Baku bangunan 4 3-Jun-22 4 Batako 200 5,000.00
Bahan Baku bangunan 5 3-Jun-22 5 Batu Kali 10 100,000.00

Bahan Baku bangunan 6 3-Jun-22 6 Pipa baja 3 dim 1 822,000.00
BBM 7 4-Jan-22 7 Bio solar 9.700 5,150.00

0 0 0 -
BBM 8 6-Jan-22 8 Bio solar 19.410 5,150.00
-
BBM 9 14-Jan-22 9 Bio solar 19.410 5,150.00
-
BBM 10 19-Jan-22 10 Bio solar 9.700 5,150.00
-
BBM 11 21-Jan-22 11 Bio solar 19.41 5,150.00
-
BBM 12 24-Jan-22 12 Bio solar 9.7 5,150.00
-
BBM 13 29-Jan-22 13 Bio solar 38.825 5,150.00
-
BBM 14 9-Feb-22 14 Bio solar 38.825 5,150.00
-
BBM 15 9-Feb-22 15 Bio solar 19.41 5,150.00
-
BBM 14 10-Feb-22 14 Bio solar 19.41 5,150.00
-
BBM 17 12-Feb-22 17 Solar 25 7,000.00
BBM 18 19-Feb-22 18 Bio solar 19.41 5,150.00

-
BBM 19 21-Feb-22 19 Solar 60 7,000.00
-
BBM 20 28-Mar-22 20 Solar 60 7,000.00
-
BBM 21 4-Mar-22 21 Solar 30 7,000.00
-
BBM 22 7-Mar-22 22 Solar 30 7,000.00
-
BBM 23 24-Mar-22 23 Solar 23.6 7,000.00
-
BBM 24 1-Apr-22 24 Bio solar 9.700 5,150.00
BBM 25 1-Apr-22 25 Oli Mesin 6 80,000.00

BBM 0 1-Apr-22 0 Oli Transmisi 6 80,000.00
BBM 26 2-Apr-22 26 Oli Mesin 6 80,000.00

Isi Tabung Gas 19 7-Jan-22 19 Isi Oksigen 8 250,000.00
Isi Tabung Gas 20 24-Mar-22 20 Isi Oksigen 6 250,000.00
Isi Tabung Gas 21 28-Apr-22 21 Isi Oksigen 4 250,000.00
Isi Tabung Gas 22 18-May-22 22 Isi Oksigen 4 250,000.00
Isi Tabung Gas 23 16-Jun-22 23 Isi Oksigen 4 250,000.00
ALAT DAN BAHAN UNTUK KEGIATAN KANTOR -

-
Meterai dan Benda Pos lainnya 1 3-Feb-22 1 Meterai 50 10,000.00
-
Meterai dan Benda Pos lainnya 2 8-Mar-22 2 Meterai 20 10,000.00
-
Bahan Komputer 4 10-Feb-22 1 Cartridge Hitam 1 335,000.00
10-Feb-22 2 Cartridge Hitam 1 335,000.00
Bahan Komputer 10-Feb-22 1 Cartridge Warna 1 400,000.00
10-Feb-22 2 Cartridge Warna 1 400,000.00
Alat dan Bahan untuk kegiatan kantor lainnya 5 10-Jan-22 5 Baliho uk 2 x 1 m 3 105,000.00
Alat dan Bahan untuk kegiatan kantor lainnya 8 11-Feb-22 8 Baliho uk 3 x 2 m 7 250,000.00
Alat dan Bahan untuk kegiatan kantor lainnya 9 7-Mar-22 9 Baliho uk 2 x 1 m 4 105,000.00
Alat dan Bahan untuk kegiatan kantor lainnya 0 14-Mar-22 0 Baliho uk 2 x 2,5 m 2 200,000.00
Alat Listrik dan Elektronik 13 15-Mar-22 13 Lampu 10 60,000.00
B E L A N J A M O DA L -
Alat Listrik dan Elektronik 1 16-Mar-22 1 AC Pan 12nfs5eoe 1 6,500,000.00

16-Mar-22 2 AC Pan 12nfs5eoe 1 6,500,000.00
Alat Listrik dan Elektronik 0 16-Mar-22 3 AC Pan 09wcphx5 1 5,500,000.00
Alat Listrik dan Elektronik 0 16-Mar-22 4 Ternadowallfan 20'fke 2 800,000.00
Alat Listrik dan Elektronik 0 16-Mar-22 5 Wallfan Masp Ukthse 1 650,000.00
16-Mar-22 6 Wallfan Masp Ukthse 1 650,000.00
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
Ende, Kamis 30 Juni 2022 Mengetahui :

( Yasinta Rhero ) ( Ayu Puspita, AMK )
NIP. 19890120 201705 2 001 NIP. NIP. 19821808 200604 2 030
N BARANG BUKU BARANG
GAPANDA PUSKESMAS N
UN 2022 SEMESTER 1

Jumlah Harga Untuk Ket. No Tahun
Tanggal Merk / Jumlah
Nomor Tanggal Nama / Jenis Barang Pembuata
Diterima Ukuran Satuan
n
7 8 9 10 11 1 2 3 4 5 6
- 0
- 0
100,000.00 Gudang Obat 04/SP/KPT/I/2022 3-Jan-22
- 0
390,000.00 Gudang Obat 119/SP/KPT/IV/2022 6-Apr-22
- 0
- 0
#VALUE! 0
- 0
-
-
165,000.00 Koordinator kerja 135/SP/KPT/V/2022 24-May-22
165,000.00 Koordinator kerja 147/SP/KPT/VI/2022 3-Jun-22

50,000.00 Mobil Ambulance

-
100,000.00 Mobil Pusling
-
-
-
-
-
-
-
-
-
175,000.00 Mobil Pusling 48/SP/KPT/II/2022 12-Feb-22
99,961.50 Mobil Pusling 19-Feb-22

- 0
420,000.00 Generator Puskesmas 52/SP/KPT/II/2022 21-Feb-22
- 0
420,000.00 Generator Puskesmas 56/SP/KPT/III/2022 28-Mar-22
- 0
210,000.00 Mobil Ambulance 60/SP/KPT/V/2022 4-Mar-22
- 0
210,000.00 Mobil Ambulance 68/SP/KPT/III/2022 7-Mar-22
- 0
- 0
480,000.00 Mobil Ambulance 111/SP/KPT/IV/2022 1-Apr-22

480,000.00 Mobil Pusling 115/SP/KPT/IV/2022 2-Apr-22

165,000.00 UGD 09/SP/KPT/I/2022 7-Jan-22
165,000.00 UGD 107/SP/KPT/III/2022 24-Mar-22
165,000.00 UGD 127/SP/KPT/IV/2022 28-Apr-22
165,000.00 UGD 131/SP/KPT/V/2022 18-May-22
165,000.00 UGD 159/SP/KPT/VI/2022 16-Jun-22
- 0
- 0
500,000.00 Bendahara APBD 21/SP/KPT/II/2022 3-Feb-22
- 0
200,000.00 Bendahara Kapitasi 73/SP/KPT/III/2022 8-Mar-22
- 0
335,000.00 Gudang Obat 29/SP/KPT/II/2022 10-Feb-22
335,000.00 Rawat Inap 30/SP/KPT/II/2022 10-Feb-22
335,000.00 Poli Gizi 31/SP/KPT/II/2022 10-Feb-22
1,005,000.00 Ruang Administrasi 32/SP/KPT/II/2022 10-Feb-22
335,000.00 Laboratorium 33/SP/KPT/II/2022 10-Feb-22
335,000.00 Program Promkes 34/SP/KPT/II/2022 10-Feb-22
670,000.00 Program KIA 35/SP/KPT/II/2022 10-Feb-22
335,000.00 Program Imunisasi 36/SP/KPT/II/2022 10-Feb-22
335,000.00 Tim Vaksinasi COVID-19 37/SP/KPT/II/2022 10-Feb-22
335,000.00 Program Kesling 38/SP/KPT/II/2022 10-Feb-22
335,000.00 Program Kesjaor 39/SP/KPT/II/2022 10-Feb-22
335,000.00 Poli Gigi 40/SP/KPT/II/2022 10-Feb-22
6,000,000.00 Gudang Obat 29/SP/KPT/II/2022 10-Feb-22
0
0
315,000.00 Germas 12/SP/KPT/I/2022 10-Jan-22
1,000,000.00 Promkes 16/SP/KPT/I/2022 20-Jan-22
500,000.00 Admen 20/SP/KPT/I/2022 25-Jan-22
1,750,000.00 Vaksinasi covid19 44/SP/KPT/II/2022 11-Feb-22
420,000.00 Gizi 72/SP/KPT/III/2022 7-Mar-22
615,000.00 Imunisasi 77/SP/KPT/III/2022 14-Mar-22

400,000.00 admen 77/SP/KPT/III/2022 14-Mar-22
600,000.00 Koordinator kerja 81/SP/KPT/III/2022 15-Mar-22
0
- #REF! B E L A N J A M O DA L
13,000,000.00 Labboratorium 85/SP/KPT/III/2022 16-Mar-22 1 44636 AC Pan 12nfs5eoe Panasonic 2022 2

6,500,000.00 Ruang Kepala Puskesmas 86/SP/KPT/III/2022 16-Mar-22
5,500,000.00 Gudang Obat 87/SP/KPT/III/2022 16-Mar-22 44636 AC Pan 09wcphx5 Panasonic 2022 1
1,600,000.00 Ruang Pertemuan 88/SP/KPT/III/2022 16-Mar-22 44636 Ternadowallfan 20'fke Regency 2022 2
3,900,000.00 Ruang Rekam Medik 89/SP/KPT/III/2022 16-Mar-22 44636 Wallfan Masp Ukthse Maspion 2022 6
650,000.00 Poli Umum 90/SP/KPT/III/2022 16-Mar-22 0 0 0 0
650,000.00 Poli Gizi 91/SP/KPT/III/2022 16-Mar-22 0 0 0 0
650,000.00 Ruang Imunisasi 92/SP/KPT/III/2022 16-Mar-22 0 0 0 0
650,000.00 Poli Gigi 93/SP/KPT/III/2022 16-Mar-22 0 0 0 0 0 0
650,000.00 Poli KIA/KB 94/SP/KPT/III/2022 16-Mar-22 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

NIP. 19890120 201705 2 001 NIP. NIP. 19821808 200604 2 030
BUKU BARANG INVENTARIS
PENERIMAAN PENGELUARAN
Tanggal Jumlah Ket. No
Nota Pesanan/SPK Barita Acara Pemeriksaan Surat Penyerahan
Dikeluarka Diserahkan Kepada Satuan /
Nomor Tanggal Tanggal Nomor Nomor Tanggal
n Barang
7 8 9 10 11 12 13 14 15 16 1
OBAT-OBATAN
0
1
BAHAN
0
1
0
0
0
0
5
6
10
11
12
13
14
15
14
17
18
19
20
21
22
23
24
25
0
26
0
19
20
21
22
23
ALAT DAN BAHAN UNTUK KEGIATAN K
3
4
10
0
13
82/NP/AST/P.NGP/IIi/202216-Mar-22 16-Mar-22 83/BAP/AST-AP/III/2022 16-Mar-22 Labboratorium 1 85/SP/KPT/III/2022 16-Mar-22

Ruang Kepala Puskesmas 1 86/SP/KPT/III/2022 16-Mar-22
82/NP/AST/P.NGP/IIi/202216-Mar-22 16-Mar-22 83/BAP/AST-AP/III/2022 16-Mar-22 Gudang Obat 1 87/SP/KPT/III/2022 16-Mar-22
82/NP/AST/P.NGP/IIi/202216-Mar-22 16-Mar-22 83/BAP/AST-AP/III/2022 16-Mar-22 Ruang Pertemuan 2 88/SP/KPT/III/2022 16-Mar-22
82/NP/AST/P.NGP/IIi/202216-Mar-22 16-Mar-22 83/BAP/AST-AP/III/2022 16-Mar-22 Ruang Rekam Medik 1 89/SP/KPT/III/2022 16-Mar-22
0 30-Dec-99 30-Dec-99 0 16-Mar-22 Poli Umum 1 90/SP/KPT/III/2022 16-Mar-22
0 30-Dec-99 30-Dec-99 0 16-Mar-22 Poli Gizi 1 91/SP/KPT/III/2022 16-Mar-22
0 30-Dec-99 30-Dec-99 0 16-Mar-22 Ruang Imunisasi 1 92/SP/KPT/III/2022 16-Mar-22
0 30-Dec-99 30-Dec-99 0 16-Mar-22 Poli Gigi 1 93/SP/KPT/III/2022 16-Mar-22
0 0 0 0 16-Mar-22 Poli KIA/KB 1 94/SP/KPT/III/2022 16-Mar-22
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0

NIP. 19890120 201705 2 001 NIP. NIP. 19821808 200604 2 030
BUKU BARANG PAKAI HABIS
Tahun Tanggal Jumlah
Merk / Jumlah Nota Pesanan/SPK Barita Acara Pemeriksaan
Tanggal Diterima Nama / Jenis Barang Pembuata Dikeluarka Diserahkan Kepada Satuan /
Ukuran Satuan Nomor Tanggal Tanggal Nomor
n n Barang
2 3 4 5 6 7 8 9 10 11 12 13
OBAT-OBATAN
3-Jan-22 RL Otsu 2022 5 01/NP/AST/P.NGP/I/2022 3-Jan-22 3-Jan-22 02/BAP/P.NGP/AST-BOO/I/2022 3-Jan-22 Gudang Obat 5
6-Apr-22 Spuit 3 cc One Med 2022 300 116/NP/AST/P.NGP/IV/2022 44657 6-Apr-22 117/BAP/P.NGP/AST-BOO/IV/2022 6-Apr-22 Gudang Obat 300
9-Apr-22 Handscoon steril no 7 Altamed 2022 104 120/NP/AST/P.NGP/IV/2022 44660 9-Apr-22 121/BAP/P.NGP/AST-BOO/IV/2022 9-Apr-22 Gudang Obat 104
BAHAN
0 0 0
44705 Semen 0 2022 150 132/NP/AST/P.NGP/V/2022 44705 44705 133/BAP/P.NGP/AST-BBB/V/2022 44705 Koordinator kerja 150
44705 Kerikil 0 2022 71 132/NP/AST/P.NGP/V/2022 44705 44705 133/BAP/P.NGP/AST-BBB/V/2022 44705 Koordinator kerja 71
44705 Tanah Timbun 0 2022 132 132/NP/AST/P.NGP/V/2022 44705 44705 133/BAP/P.NGP/AST-BBB/V/2022 44705 Koordinator kerja 132
44705 Pasir kursa 0 2022 100 132/NP/AST/P.NGP/V/2022 44705 44705 133/BAP/P.NGP/AST-BBB/V/2022 44705 Koordinator kerja 100
44705 Besi Beton 0 2022 13 132/NP/AST/P.NGP/V/2022 44705 44705 133/BAP/P.NGP/AST-BBB/V/2022 44705 Koordinator kerja 13
44706 Batako 0 2022 300 136/NP/AST/P.NGP/V/2022 44706 44706 137/BAP/P.NGP/AST-BBB/V/2022 44706 Koordinator kerja 300
44706 Batu Kali 0 2022 15 140/NP/AST/P.NGP/V/2022 44706 44706 141/BAP/P.NGP/AST-BBB/V/2022 44706 Koordinator kerja 15
44715 Batako 0 2022 200 144/NP/AST/P.NGP/VI/2022 44715 44715 145/BAP/P.NGP/AST-BBB/VI/2022 44715 Koordinator kerja 200
44715 Batu Kali 0 2022 10 148/NP/AST/P.NGP/VI/2022 44715 44715 149/BAP/P.NGP/AST-BBB/VI/2022 44715 Koordinator kerja 10
44715 Pipa baja 3 dim 0 2022 1 152/NP/AST/P.NGP/VI/2022 44715 44715 153/BAP/P.NGP/AST-BBB/VI/2022 44715 Koordinator kerja 1
44565 Bio solar 0 2022 9.7 0 44565 0 0 44565 Mobil Ambulance 9.7
44567 Bio solar 0 2022 19.41 0 44567 0 0 44567 Mobil Pusling 19.41
44604 Solar 0 2022 25 45/NP/AST/P.NGP/II/202 44604 44604 46/BAP/P.NGP/AST-BBM/II/202 44604 Mobil Pusling 25
44613 Solar 0 2022 60 49/NP/AST/P.NGP/II/2022 44613 44613 50/BAP/P.NGP/AST-BBM/II/2022 44613 Generator Puskesmas 60
44648 Solar 0 2022 60 53/NP/AST/P.NGP/III/2022 44648 44648 54/BAP/P.NGP/AST-BBM/III/2022 44648 Generator Puskesmas 60
44624 Solar 0 2022 30 57/NP/AST/P.NGP/III/2022 44624 44624 58/BAP/P.NGP/AST-BBM/III/2022 44624 Mobil Ambulance 30
44627 Solar 0 2022 30 65/NP/AST/P.NGP/III/2022 44627 44627 66/BAP/P.NGP/AST-BBM/III/2022 44627 Mobil Ambulance 30
44644 Solar 0 2022 23.6 100/NP/AST/P.NGP/III/2022 44644 44644 101/BAP/P.NGP/AST-BBM/III/2022 44644 Mobil Ambulance 23.6
44652 Oli Mesin Meditran 5X 2022 6 108/NP/AST/P.NGP/IV/2022 44652 44652 109/BAP/P.NGP/AST-BP/IV/2022 44652 Mobil Ambulance 6
44652 Oli Transmisi Rored 2022 6 108/NP/AST/P.NGP/IV/2022 44652 44652 109/BAP/P.NGP/AST-BP/IV/2022 44652 Mobil Ambulance 6
44653 Oli Mesin Meditran 5X 2022 6 112/NP/AST/P.NGP/IV/2022 44653 44653 113/BAP/P.NGP/AST-BP/IV/2022 44653 Mobil Pusling 6
44653 Oli Transmisi Rored 2022 6 112/NP/AST/P.NGP/IV/2022 44653 44653 113/BAP/P.NGP/AST-BP/IV/2022 44653 Mobil Pusling 6
44568 Isi Oksigen 0 2022 8 05/NP/AST/P.NGP/I/2022 44568 44568 06/BAP/P.NGP/AST-ITG/I/2022 44568 UGD 8
44644 Isi Oksigen 0 2022 6 104/NP/AST/P.NGP/III/2022 44644 44644 105/BAP/P.NGP/AST-ITG/III/2022 44644 UGD 6
44679 Isi Oksigen 0 2022 4 124/NP/AST/P.NGP/IV/2022 44679 44679 125/BAP/P.NGP/AST-ITG/IV/2022 44679 UGD 4
44699 Isi Oksigen 0 2022 4 128/NP/AST/P.NGP/V/2022 44699 44699 129/BAP/P.NGP/AST-ITG/V/2022 44699 UGD 4
44728 Isi Oksigen 0 2022 4 156/NP/AST/P.NGP/VI/2022 44728 44728 157/BAP/P.NGP/AST-ITG/VI/2022 44728 UGD 4
44595 Meterai 10000 2022 50 0 44595 0 0 44595 Bendahara APBD 50
44628 Meterai 10000 2022 20 0 44628 0 0 44628 Bendahara Kapitasi 20
44638 Meterai 10000 2022 41 96/NP/AST/P.NGP/III/2022 44638 44638 97/BAP/AST-MBP/III/2022 44638 Bendahara Kapitasi 41
44602 Cartridge Hitam Canon 810 2022 15 26/NP/AST/P.NGP/II/2022 44602 44602 27/BAP/AST-BK/II/2022 10-Feb-22 Gudang Obat 1
10-Feb-22 Rawat Inap 1
10-Feb-22 Poli Gizi 1
10-Feb-22 Ruang Administrasi 3
10-Feb-22 Laboratorium 1
10-Feb-22 Program Promkes 1
10-Feb-22 Program KIA 2
10-Feb-22 Program Imunisasi 1
10-Feb-22 Tim Vaksinasi COVID-19 1
10-Feb-22 Program Kesling 1
10-Feb-22 Program Kesjaor 1
10-Feb-22 Poli Gigi 1
44602 Cartridge Warna Canon 811 2022 15 26/NP/AST/P.NGP/II/2022 44602 44602 27/BAP/AST-BK/II/2022 10-Feb-22 Gudang Obat 1
44571 Baliho uk 2 x 1 m Unit Print 2022 3 09/NP/AST/P.NGP/I/2022 44571 44571 10/BAP/ASTABKL/I/2022 44571 Germas 3
44581 Baliho uk 3 x 2 m Unit Print 2022 4 13/NP/AST/P.NGP/I/2022 44581 44581 14/BAP/ASTABKL/I/2022 44581 Promkes 4
44586 Baliho uk 2 x 3 m Unit Print 2022 2 17/NP/AST/P.NGP/I/2022 44586 44586 18/BAP/ASTABKL/I/2022 44586 Admen 2
44603 Baliho uk 3 x 2 m Unit Print 2022 7 41/NP/AST/P.NGP/II/2022 44603 44603 42/BAP/ASTABKL/II/2022 44603 Vaksinasi covid19 7
44627 Baliho uk 2 x 1 m Unit Print 2022 4 69/NP/AST/P.NGP/III/2022 44627 44627 70/BAP/ASTABKL/III/2022 44627 Gizi 4
44634 Baliho uk 2 x 2 m Unit Print 2022 3 74/NP/AST/P.NGP/III/2022 44634 44634 75/BAP/ASTABKL/III/2022 44634 Imunisasi 3
44634 Baliho uk 2 x 2,5 m Unit Print 2022 2 74/NP/AST/P.NGP/III/2022 44634 44634 75/BAP/ASTABKL/III/2022 44634 admen 2
44635 Lampu Philip 2022 10 78/NP/AST/P.NGP/III/2022 44635 44635 79/BAP/ASTABAL/III/2022 44635 Koordinator kerja 10
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui : Ende, Kamis 30 Juni 2022
Pejabat Penatausahaan Pengguna Barang Pengurus Barang Pengguna

( Ayu Puspita, AMK ) ( Yasinta Rhero )
NIP. NIP. 19821808 200604 2 030 NIP. 19890120 201705 2 001
LAPORAN SEMESTER TENTANG PE
PUS
SE
Penerimaan
GELUARAN
Ket.
Surat Penyerahan No. Urut Terima Tgl Dari SPK/Perjanjia Banyaknya Nama Barang
Nomor Tgl
Nomor Tanggal n
14 15 16 1 2 3 4 5 6 7 8
04/SP/KPT/I/2022 3-Jan-22
119/SP/KPT/IV/2022 6-Apr-22
123/SP/KPT/IV/2022 9-Apr-22
135/SP/KPT/V/2022 44705
135/SP/KPT/V/2023 44705
135/SP/KPT/V/2024 44705
135/SP/KPT/V/2025 44705
135/SP/KPT/V/2026 44705
139/SP/KPT/V/2022 44706
143/SP/KPT/V/2022 44706
147/SP/KPT/VI/2022 44715
151/SP/KPT/VI/2022 44715
155/SP/KPT/VI/2022 44715
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
48/SP/KPT/II/2022 44604
0 44611
52/SP/KPT/II/2022 44613
56/SP/KPT/III/2022 44648
60/SP/KPT/V/2022 44624
68/SP/KPT/III/2022 44627
103/SP/KPT/III/2022 44644
0 0
111/SP/KPT/IV/2022 44652
111/SP/KPT/IV/2022 44652
115/SP/KPT/IV/2022 44653
115/SP/KPT/IV/2022 44653
09/SP/KPT/I/2022 44568
107/SP/KPT/III/2022 44644
127/SP/KPT/IV/2022 44679
131/SP/KPT/V/2022 44699
159/SP/KPT/VI/2022 44728
21/SP/KPT/II/2022 44595
73/SP/KPT/III/2022 44628
99/SP/KPT/III/2022 44638
29/SP/KPT/II/2022 10-Feb-22
30/SP/KPT/II/2022 10-Feb-22
31/SP/KPT/II/2022 10-Feb-22
32/SP/KPT/II/2022 10-Feb-22
33/SP/KPT/II/2022 10-Feb-22
34/SP/KPT/II/2022 10-Feb-22
35/SP/KPT/II/2022 10-Feb-22
36/SP/KPT/II/2022 10-Feb-22
37/SP/KPT/II/2022 10-Feb-22
38/SP/KPT/II/2022 10-Feb-22
39/SP/KPT/II/2022 10-Feb-22
40/SP/KPT/II/2022 10-Feb-22
29/SP/KPT/II/2022 10-Feb-22
30/SP/KPT/II/2022 10-Feb-22
31/SP/KPT/II/2022 10-Feb-22
32/SP/KPT/II/2022 10-Feb-22
33/SP/KPT/II/2022 10-Feb-22
34/SP/KPT/II/2022 10-Feb-22
35/SP/KPT/II/2022 10-Feb-22
36/SP/KPT/II/2022 10-Feb-22
37/SP/KPT/II/2022 10-Feb-22
38/SP/KPT/II/2022 10-Feb-22
39/SP/KPT/II/2022 10-Feb-22
40/SP/KPT/II/2022 10-Feb-22
12/SP/KPT/I/2022 44571
16/SP/KPT/I/2022 44581
20/SP/KPT/I/2022 44586
44/SP/KPT/II/2022 44603
72/SP/KPT/III/2022 44627
77/SP/KPT/III/2022 44634
77/SP/KPT/III/2022 44634
81/SP/KPT/III/2022 44635
0 0
B E L A N J A M O DA L 0 0 0
1 16-Mar-22 Toko Lestari 82/NP/AST/P.NGP/IIi/2022

16-Mar-22 2 AC Pan 12nfs5eoe
16-Mar-22 Toko Lestari 82/NP/AST/P.NGP/IIi/2022

16-Mar-22 1 AC Pan 09wcphx5
16-Mar-22 2 Ternadowallfan 20'fke
16-Mar-22 6 Wallfan Masp Ukthse
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0

NIP. 19890120 201705 2 001 NIP. NIP. 19821808 200604 2 030
Pengeluaran
Surat Bon
Buku Penerimaan B.A. / Srt Penerimaan Pengeluar
Harga Satuan Jumlah Harga Ket No. Urut Untuk Banyaknya Nama Barang Harga Satuan
an Tgl. Nomor Tanggal
Nomor Tanggal
9 10 11 12 13 14 15 16 17 18 19 20 21
- - 0 0 B E L A N J A M O DA L
6,500,000.00 13,000,000.00 84/BAST/AST-AP/III/2022 44636 1 16-Mar-22 85/SP/KPT/III/2022 16-Mar-22 85/SP/KPT/III/2022 1 AC Pan 12nfs5eoe 6,500,000.00
5,500,000.00 5,500,000.00 84/BAST/AST-AP/III/2022 44636 0 16-Mar-22 87/SP/KPT/III/2022 16-Mar-22 87/SP/KPT/III/2022 1 AC Pan 09wcphx5 5,500,000.00
800,000.00 1,600,000.00 84/BAST/AST-AP/III/2022 44636 0 16-Mar-22 88/SP/KPT/III/2022 16-Mar-22 88/SP/KPT/III/2022 2 Ternadowallfan 20'fke 800,000.00
650,000.00 3,900,000.00 84/BAST/AST-AP/III/2022 44636 0 16-Mar-22 89/SP/KPT/III/2022 16-Mar-22 89/SP/KPT/III/2022 1 Wallfan Masp Ukthse 650,000.00
16-Mar-22 90/SP/KPT/III/2022 16-Mar-22 90/SP/KPT/III/2022 1 Wallfan Masp Ukthse 650,000.00
- - 0 0 0 16-Mar-22 93/SP/KPT/III/2022 16-Mar-22 93/SP/KPT/III/2022 1 Wallfan Masp Ukthse 650,000.00
- - 0 0 0 0 0 0 0 0 0 -
- - 0 0 0 0 0 0 0 0 0 -
- - 0 0 0 0 0 0 0 0 0 -
- - 0 0 0 0 0 0 0 0 0 -
- - 0 0 0 0 0 0 0 0 0 -
- - 0 0 0 0 0 0 0 0 0 -

( Yasinta Rhero )
NIP. 19890120 201705 2 001
L
Penerimaan
Tanggal Dokumen/Faktur Dasar Penerimaan
Jumlah Harga Penyeraha Ket No. Urut Terima Tgl Dari Jenis
Nomor Tgl Nomor
n Surat
22 23 24 1 2 3 4 5 6 7
OBAT-OBATAN 0 0 0 0 0
0 0 0 0 0
1 44564 Apotek Bethesda 01/NP/AST/P.NGP/I/2022 44564 03/BAST/P.NGP/AST-BOO/I/2022
2 44657 Apotek Sidodadi 116/NP/AST/P.NGP/IV/2022 44657 117/BAST/P.NGP/AST-BOO/IV/2022
3 44660 Apotek Sidodadi 120/NP/AST/P.NGP/IV/2022 44660 122/BAST/P.NGP/AST-BOO/IV/2022
BAHAN
1 44705 Kios Hidup Baru 132/NP/AST/P.NGP/V/2022 44705 134/BAST/P.NGP/AST-BBB/V/2022

2 44706 Ibrahim 136/NP/AST/P.NGP/V/2022 44706 138/BAST/P.NGP/AST-BBB/V/2022
3 44706 Muhamad Yasir 140/NP/AST/P.NGP/V/2022 44706 142/BAST/P.NGP/AST-BBB/V/2022
4 44715 Ibrahim 144/NP/AST/P.NGP/VI/2022 44715 146/BAST/P.NGP/AST-BBB/VI/2022
5 44715 Muhamad Yasir 148/NP/AST/P.NGP/VI/2022 44715 150/BAST/P.NGP/AST-BBB/VI/2022

6 44715 Kios Hidup Baru 152/NP/AST/P.NGP/VI/2022 44715 154/BAST/P.NGP/AST-BBB/VI/2022
7 44565 SPBU W.Z YOHANES 0 44565 0

0 0 0 0 0 0
8 44567 SPBU W.Z YOHANES 0 44567 0
0 0 0 0 0 0
9 44575 SPBU W.Z YOHANES 0 44575 0
0 0 0 0 0 0
10 44580 SPBU W.Z YOHANES 0 44580 0
0 0 0 0 0 0
11 44582 SPBU W.Z YOHANES 0 44582 0
0 0 0 0 0 0
12 44585 SPBU W.Z YOHANES 0 44585 0
0 0 0 0 0 0
13 44590 SPBU W.Z YOHANES 0 44590 0
0 0 0 0 0 0
14 44601 SPBU W.Z YOHANES 0 44601 0
0 0 0 0 0 0
15 44601 SPBU W.Z YOHANES 0 44601 0
0 0 0 0 0 0
14 44602 SPBU W.Z YOHANES 0 44602 0
0 0 0 0 0 0
17 44604 Kios Sucia 45/NP/AST/P.NGP/II/202 44604 47/BAST/P.NGP/AST-BBM/II/2022
18 44611 SPBU W.Z YOHANES 0 44611 0

0 0 0 0 0 0
19 44613 Kios Sucia 49/NP/AST/P.NGP/II/2022 44613 51/BAST/P.NGP/AST-BBM/II/2022
0 0 0 0 0 0
20 44648 Kios Sucia 53/NP/AST/P.NGP/III/2022 44648 55/BAST/P.NGP/AST-BBM/III/2022
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
24 44652 SPBU W.Z YOHANES 0 44652 0
25 44652 Orakeri Motor 108/NP/AST/P.NGP/IV/2022 44652 110/BAST/P.NGP/AST-BP/IV/2022


19 44568 Fernando Motor 05/NP/AST/P.NGP/I/2022 44568 07/BAST/P.NGP/AST-ITG/I/2022
20 44644 Fernando Motor 104/NP/AST/P.NGP/III/2022 44644 106/BAST/P.NGP/AST-ITG/III/2022
21 44679 Fernando Motor 124/NP/AST/P.NGP/IV/2022 44679 126/BAST/P.NGP/AST-ITG/IV/2022
22 44699 Fernando Motor 128/NP/AST/P.NGP/V/2022 44699 130/BAST/P.NGP/AST-ITG/V/2022
23 44728 Fernando Motor 156/NP/AST/P.NGP/VI/2022 44728 158/BAST/P.NGP/AST-ITG/VI/2022
#REF! 0 0 0 0 0
0 0 0 0 0 0
#REF! 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
ALAT DAN BAHAN UNTUK KEGIATAN
0 KANTOR 0 0 0 0
0 0 0 0 0 0
1 44595 Kantor Pos Nnagapanda 0 44595 0
0 0 0 0 0 0
0 0 0 0 0 0
3 44638 Sinar Murni 96/NP/AST/P.NGP/III/2022 44638 98/BAST/AST-MBP/III/2022
0 0 0 0 0 0
#REF! 0 0 0 0 0
0 0 0 0 0 0
4 44602 Galaxi 26/NP/AST/P.NGP/II/2022 44602 28/BAST/AST-BK/I/2022
0 44602 Galaxi 26/NP/AST/P.NGP/II/2022 44602 28/BAST/AST-BK/I/2022
#REF! 0 0 0 0 0
0 0 0 0 0 0
5 44571 CV. Unit Print 09/NP/AST/P.NGP/I/2022 44571 11/BAST/AST-ABKL/I/2022
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
8 44603 CV. Unit Print 41/NP/AST/P.NGP/II/2022 44603 43/BAST/AST-ABKL/II/2022
0 0 0 0 0 0
9 44627 CV. Unit Print 69/NP/AST/P.NGP/III/2022 44627 71/BAST/AST-ABKL/III/2022
0 0 0 0 0 0
13 44635 Sinar Murni 78/NP/AST/P.NGP/III/2022 44635 80/BAST/AST-AL/III/2022

0 0 0 0 0 0
#REF! 0 0 0 0 0
6,500,000.00 16-Mar-22
5,500,000.00 16-Mar-22
1,600,000.00 16-Mar-22
650,000.00 16-Mar-22
650,000.00 16-Mar-22
650,000.00 16-Mar-22
650,000.00 16-Mar-22
650,000.00 16-Mar-22
650,000.00 16-Mar-22
- 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
nde, Kamis 30 Juni 2022 Mengetahui :
engurus Barang Pengguna Kepala Puskesmas Nangapanda

P. 19890120 201705 2 001 NIP. NIP. 19821808 200604 2 030
Penerimaan Pengeluara
Surat Bon
Banyaknya Nama Barang Harga Satuan Jumlah Harga Ket No. Urut
Nomor Tanggal
8 9 10 11 12 13 14 15 16 17 18
0 0 - - 0 0 OBAT-OBATAN 0 0
5 RL 20,000.00 100,000.00 03/BAST/P.NGP/AST-BOO/I/2022 44564 1 44564 04/SP/KPT/I/2022 44564
300 Spuit 3 cc 1,300.00 390,000.00 117/BAST/P.NGP/AST-BOO/IV/2022 44657 2 44657 119/SP/KPT/IV/2022 44657
104 Handscoon steril no 7 5,000.00 520,000.00 122/BAST/P.NGP/AST-BOO/IV/2022 44660 3 44660 123/SP/KPT/IV/2022 44660
BELANJA OBAT-OBATAN #VALUE!
- -
- - BAHAN
- -
150 Semen 58,000.00 8,700,000.00 134/BAST/P.NGP/AST-BBB/V/2022 44705 1 44705 135/SP/KPT/V/2022 44705
71 Kerikil 400,000.00 28,400,000.00 134/BAST/P.NGP/AST-BBB/V/2022 44705 0 44705 135/SP/KPT/V/2023 44705
132 Tanah Timbun 80,000.00 10,560,000.00 134/BAST/P.NGP/AST-BBB/V/2022 44705 0 44705 135/SP/KPT/V/2024 44705
100 Pasir kursa 100,000.00 10,000,000.00 134/BAST/P.NGP/AST-BBB/V/2022 44705 0 44705 135/SP/KPT/V/2025 44705
13 Besi Beton 136,000.00 1,768,000.00 134/BAST/P.NGP/AST-BBB/V/2022 44705 0 44705 135/SP/KPT/V/2026 44705
300 Batako 5,000.00 1,500,000.00 138/BAST/P.NGP/AST-BBB/V/2022 44706 2 44706 139/SP/KPT/V/2022 44706
15 Batu Kali 100,000.00 1,500,000.00 142/BAST/P.NGP/AST-BBB/V/2022 44706 3 44706 143/SP/KPT/V/2022 44706
200 Batako 5,000.00 1,000,000.00 146/BAST/P.NGP/AST-BBB/VI/2022 44715 4 44715 147/SP/KPT/VI/2022 44715
10 Batu Kali 100,000.00 1,000,000.00 150/BAST/P.NGP/AST-BBB/VI/2022 44715 5 44715 151/SP/KPT/VI/2022 44715

1 Pipa baja 3 dim 822,000.00 822,000.00 154/BAST/P.NGP/AST-BBB/VI/2022 44715 6 44715 155/SP/KPT/VI/2022 44715
9.7 Bio solar 5,150.00 49,955.00 0 0 7 44565 0 44565

0 0 - - 0 0
19.41 Bio solar 5,150.00 99,961.50 0 0 8 44567 0 44567
0 0 - - 0 0
19.41 Bio solar 5,150.00 99,961.50 0 0 9 44575 0 44575
0 0 - - 0 0
9.7 Bio solar 5,150.00 49,955.00 0 0 10 44580 0 44580
0 0 - - 0 0
19.41 Bio solar 5,150.00 99,961.50 0 0 11 44582 0 44582
0 0 - - 0 0
9.7 Bio solar 5,150.00 49,955.00 0 0 12 44585 0 44585
0 0 - - 0 0
38.825 Bio solar 5,150.00 199,948.75 0 0 13 44590 0 44590
0 0 - - 0 0
38.825 Bio solar 5,150.00 199,948.75 0 0 14 44601 0 44601
0 0 - - 0 0
19.41 Bio solar 5,150.00 99,961.50 0 0 15 44601 0 44601
0 0 - - 0 0
19.41 Bio solar 5,150.00 99,961.50 0 0 14 44602 0 44602
0 0 - - 0 0
25 Solar 7,000.00 175,000.00 47/BAST/P.NGP/AST-BBM/II/2022 44604 17 44604 48/SP/KPT/II/2022 44604
19.41 Bio solar 5,150.00 99,961.50 0 44611 18 44611 0 44611

0 0 - - 0 0
0 0 - - 0 0
60 Solar 7,000.00 420,000.00 55/BAST/P.NGP/AST-BBM/III/2022 44648 20 44648 56/SP/KPT/III/2022 44648
0 0 - - 0 0
30 Solar 7,000.00 210,000.00 59/BAST/P.NGP/AST-BBM/III/2022 44624 21 44624 60/SP/KPT/V/2022 44624
0 0 - - 0 0
0 0 - - 0 0
23.6 Solar 7,000.00 165,200.00 102/BAST/P.NGP/AST-BBM/III/2022 44644 23 44644 103/SP/KPT/III/2022 44644
0 0 - - 0 0
9.7 Bio solar 5,150.00 49,955.00 0 0 24 44652 0 44652
6 Oli Mesin 80,000.00 480,000.00 110/BAST/P.NGP/AST-BP/IV/2022 44652 25 44652 111/SP/KPT/IV/2022 44652

6 Oli Transmisi 80,000.00 480,000.00 110/BAST/P.NGP/AST-BP/IV/2022 44652 0 44652 111/SP/KPT/IV/2022 44652

8 Isi Oksigen 250,000.00 2,000,000.00 07/BAST/P.NGP/AST-ITG/I/2022 44568 19 44568 09/SP/KPT/I/2022 44568
6 Isi Oksigen 250,000.00 1,500,000.00 106/BAST/P.NGP/AST-ITG/III/2022 44644 20 44644 107/SP/KPT/III/2022 44644
4 Isi Oksigen 250,000.00 1,000,000.00 126/BAST/P.NGP/AST-ITG/IV/2022 44679 21 44679 127/SP/KPT/IV/2022 44679
4 Isi Oksigen 250,000.00 1,000,000.00 130/BAST/P.NGP/AST-ITG/V/2022 44699 22 44699 131/SP/KPT/V/2022 44699
4 Isi Oksigen 250,000.00 1,000,000.00 158/BAST/P.NGP/AST-ITG/VI/2022 44728 23 44728 159/SP/KPT/VI/2022 44728
0 0 BAHAN KIMIA #VALUE! 0 0

0 0 - - 0 0
0 0 TOTAL BELANJA BAHAN #VALUE! 0 0
0 0 - - 0 0
0 0 - - 0 0
0 0 - - 0 ALAT
0 DAN BAHAN UNTUK KEGIATAN KANTOR
0 0 - - 0 0
50 Meterai 10,000.00 500,000.00 0 0 1 44595 21/SP/KPT/II/2022 44595
0 0 - - 0 0
20 Meterai 10,000.00 200,000.00 0 0 2 44628 73/SP/KPT/III/2022 44628
0 0 - - 0 0
41 Meterai 12,000.00 492,000.00 98/BAST/AST-MBP/III/2022 44638 3 44638 99/SP/KPT/III/2022 44638
0 0 - - 0 0
0 0 METERAI DAN BENDA POS LAINNYA #VALUE! 0 0
0 0 - - 0 0
15 Cartridge Hitam 335,000.00 5,025,000.00 28/BAST/AST-BK/I/2022 44602 4 44602 29/SP/KPT/II/2022 44602
15 Cartridge Warna 400,000.00 6,000,000.00 28/BAST/AST-BK/I/2022 44602 0 44602 29/SP/KPT/II/2022 44602
0 0 BAHAN KOMPUTER #VALUE! 0 0

0 0 - - 0 0
3 Baliho uk 2 x 1 m 105,000.00 315,000.00 11/BAST/AST-ABKL/I/2022 44571 5 44571 12/SP/KPT/I/2022 44571
0 0 - - 0 0
4 Baliho uk 3 x 2 m 250,000.00 1,000,000.00 15/BAST/AST-ABKL/I/2022 44581 6 44581 16/SP/KPT/I/2022 44581
0 0 - - 0 0
2 Baliho uk 2 x 3 m 250,000.00 500,000.00 19/BAST/AST-ABKL/I/2022 44586 7 44586 20/SP/KPT/I/2022 44586
0 0 - - 0 0
7 Baliho uk 3 x 2 m 250,000.00 1,750,000.00 43/BAST/AST-ABKL/II/2022 44603 8 44603 44/SP/KPT/II/2022 44603
0 0 - - 0 0
4 Baliho uk 2 x 1 m 105,000.00 420,000.00 71/BAST/AST-ABKL/III/2022 44627 9 44627 72/SP/KPT/III/2022 44627
0 0 - - 0 0
3 Baliho uk 2 x 2 m 205,000.00 615,000.00 76/BAST/AST-ABKL/III/2022 44634 10 44634 77/SP/KPT/III/2022 44634
2 Baliho uk 2 x 2,5 m 200,000.00 400,000.00 76/BAST/AST-ABKL/III/2022 44634 0 44634 77/SP/KPT/III/2022 44634
10 Lampu 60,000.00 600,000.00 80/BAST/AST-AL/III/2022 44635 13 44635 81/SP/KPT/III/2022 44635

0 0 -
0 0 ALAT LISTRIK DAN ELEKTRONIK
0 0 - - 0 0 0 0 0 0
0 0 - - 0 0 0 0 0 0
0 0 - - 0 0 0 0 0 0
0 0 - - 0 0 0 0 0 0
0 0 - - 0 0 0 0 0 0
Pengeluaran
Tanggal
Untuk Banyaknya Nama Barang Harga Satuan Jumlah Harga Penyeraha Ket
n
19 20 21 22 23 24 25
0 0 0 - - 0
Gudang Obat 5 RL 20,000.00 100,000.00 44564
Gudang Obat 300 Spuit 3 cc 1,300.00 390,000.00 44657
Gudang Obat 104 Handscoon steril no 7 5,000.00 520,000.00 44660
BELANJA OBAT-OBATAN #VALUE! 0
- - 0
- - 0
- - 0
Koordinator kerja 150 Semen 58,000.00 8,700,000.00 44705
Koordinator kerja 71 Kerikil 400,000.00 28,400,000.00 44705
Koordinator kerja 132 Tanah Timbun 80,000.00 10,560,000.00 44705
Koordinator kerja 100 Pasir kursa 100,000.00 10,000,000.00 44705
Koordinator kerja 13 Besi Beton 136,000.00 1,768,000.00 44705
Koordinator kerja 300 Batako 5,000.00 1,500,000.00 44706
Koordinator kerja 15 Batu Kali 100,000.00 1,500,000.00 44706

Koordinator kerja 1 Pipa baja 3 dim 822,000.00 822,000.00 44715
Mobil Ambulance 9.7 Bio solar 5,150.00 49,955.00

- -
Mobil Pusling 19.41 Bio solar 5,150.00 99,961.50
- -
- -
- -
- -
- -
- -
- -
- -
- -
Mobil Pusling 25 Solar 7,000.00 175,000.00 44604
Mobil Pusling 19.41 Bio solar 5,150.00 99,961.50 44611
Generator Puskesmas 60 Solar 7,000.00 420,000.00 44613
Mobil Ambulance 30 Solar 7,000.00 210,000.00 44624

Mobil Ambulance 23.6 Solar 7,000.00 165,200.00 44644
- - 0
Mobil Ambulance 9.7 Bio solar 5,150.00 49,955.00 0
Mobil Ambulance 6 Oli Mesin 80,000.00 480,000.00 44652

Mobil Ambulance 6 Oli Transmisi 80,000.00 480,000.00 44652
Mobil Pusling 6 Oli Mesin 80,000.00 480,000.00 44653

Mobil Pusling 6 Oli Transmisi 80,000.00 480,000.00 44653
UGD 8 Isi Oksigen 250,000.00 2,000,000.00 44568
UGD 6 Isi Oksigen 250,000.00 1,500,000.00 44644
UGD 4 Isi Oksigen 250,000.00 1,000,000.00 44679
UGD 4 Isi Oksigen 250,000.00 1,000,000.00 44699
UGD 4 Isi Oksigen 250,000.00 1,000,000.00 44728
Bendahara APBD 50 Meterai 10,000.00 500,000.00 44595
Bendahara Kapitasi 20 Meterai 10,000.00 200,000.00 44628

Gudang Obat 1 Cartridge Hitam 335,000.00 335,000.00 10-Feb-22
1 Cartridge Hitam 335,000.00 335,000.00 10-Feb-22
3 Cartridge Hitam 335,000.00 1,005,000.00 10-Feb-22
Gudang Obat 1 Cartridge Warna 400,000.00 400,000.00 10-Feb-22
1 Cartridge Warna 400,000.00 400,000.00 10-Feb-22
3 Cartridge Warna 400,000.00 1,200,000.00 10-Feb-22
Germas 3 Baliho uk 2 x 1 m 105,000.00 315,000.00 44571
Promkes 4 Baliho uk 3 x 2 m 250,000.00 1,000,000.00 44581
Admen 2 Baliho uk 2 x 3 m 250,000.00 500,000.00 44586
Vaksinasi covid19 7 Baliho uk 3 x 2 m 250,000.00 1,750,000.00 44603
Gizi 4 Baliho uk 2 x 1 m 105,000.00 420,000.00 44627
Imunisasi 3 Baliho uk 2 x 2 m 205,000.00 615,000.00 44634

admen 2 Baliho uk 2 x 2,5 m 200,000.00 400,000.00 44634
Koordinator kerja 10 Lampu 60,000.00 600,000.00 44635

- -
- -
0 0 0 - - 0
0 0 0 - - 0
0 0 0 - - 0
0 0 0 - - 0
0 0 0 - - 0

( Yasinta Rhero )
NIP. 19890120 201705 2 001
BUKU PENERIMAAN BARA
PUSKESMAS NANGAPAN
SEMESTER 1 TAHUN 20
Nota Pesanan / SPK

Tanggal Tahun
No Dari Nama Barang Merk/Ukuran Banyaknya Satuan
Nomor Tanggal
1 2 3 4 5 6 7 8 9 10
OBAT-OBATAN
1 3-Jan-22 Apotek Bethesda 01/NP/AST/P.NGP-KPS/I/2022 3-Jan-22 RL Otsu 2022 5.0 PCS
2 6-Apr-22 Apotek Sidodadi 116/NP/AST/P.NGP-KPS/IV/2022 6-Apr-22 Spuit 3 cc One Med 2022 300.0 PCS
3 9-Apr-22 Apotek Sidodadi 120/NP/AST/P.NGP-KPS/IV/2022 9-Apr-22 Handscoon steril no 7 Altamed 2022 104.0 PCS
BELANJA OBAT-OBATAN
BAHAN
1 24-May-22 Kios Hidup Baru 132/NP/AST/P.NGP-KPS/V/2022 24-May-22 Semen 2022 150.0 sak
24-May-22 Kios Hidup Baru 132/NP/AST/P.NGP-KPS/V/2022 24-May-22 Kerikil 2022 71.0 m3
24-May-22 Kios Hidup Baru 132/NP/AST/P.NGP-KPS/V/2022 24-May-22 Tanah Timbun 2022 132.0 m3
24-May-22 Kios Hidup Baru 132/NP/AST/P.NGP-KPS/V/2022 24-May-22 Pasir kursa 2022 100.0 ton
24-May-22 Kios Hidup Baru 132/NP/AST/P.NGP-KPS/V/2022 24-May-22 Besi Beton 2022 13.0 btg
2 25-May-22 Ibrahim 136/NP/AST/P.NGP-KPS/V/2022 25-May-22 Batako 2022 300.0 bh
3 25-May-22 Muhamad Yasir 140/NP/AST/P.NGP-KPS/V/2022 25-May-22 Batu Kali 2022 15.0 m3
4 3-Jun-22 Ibrahim 144/NP/AST/P.NGP-KPS/VI/2022 3-Jun-22 Batako 2022 200.0 bh
5 3-Jun-22 Muhamad Yasir 148/NP/AST/P.NGP-KPS/VI/2022 3-Jun-22 Batu Kali 2022 10.0 m3

BAHAN BAKU BANGUNAN
6 3-Jun-22 Kios Hidup Baru 152/NP/AST/P.NGP-KPS/VI/2022 3-Jun-22 Pipa baja 3 dim 2022 1.0 btg
PIPA BAJA
17 12-Feb-22 Kios Sucia 45/NP/AST/P.NGP-KPS/II/202 12-Feb-22 Solar 2022 25.000 ltr
19 21-Feb-22 Kios Sucia 49/NP/AST/P.NGP-KPS/II/2022 21-Feb-22 Solar 2022 60.000 ltr
20 28-Mar-22 Kios Sucia 53/NP/AST/P.NGP-KPS/III/2022 28-Mar-22 Solar 2022 60.000 ltr

24 1-Apr-22 SPBU W.Z YOHANES 1-Apr-22 Bio solar 2022 9.700 ltr
25 1-Apr-22 Orakeri Motor 108/NP/AST/P.NGP-KPS/IV/2022 1-Apr-22 Oli Mesin Meditran 5X 2022 6.000 ltr
1-Apr-22 Orakeri Motor 108/NP/AST/P.NGP-KPS/IV/2022 1-Apr-22 Oli Transmisi Rored 2022 6.000 ltr
26 2-Apr-22 Orakeri Motor 112/NP/AST/P.NGP-KPS/IV/2022 2-Apr-22 Oli Mesin Meditran 5X 2022 6.000 ltr
2-Apr-22 Orakeri Motor 112/NP/AST/P.NGP-KPS/IV/2022 2-Apr-22 Oli Transmisi Rored 2022 6.000 ltr
BAHAN BAKAR MINYAK
19 7-Jan-22 Fernando Motor 05/NP/AST/P.NGP-KPS/I/2022 7-Jan-22 Isi Oksigen 2022 8.0 tong
20 24-Mar-22 Fernando Motor 104/NP/AST/P.NGP-KPS/III/2022 24-Mar-22 Isi Oksigen 2022 6.0 tong
21 28-Apr-22 Fernando Motor 124/NP/AST/P.NGP-KPS/IV/2022 28-Apr-22 Isi Oksigen 2022 4.0 tong
22 18-May-22 Fernando Motor 128/NP/AST/P.NGP-KPS/V/2022 18-May-22 Isi Oksigen 2022 4.0 tong
23 16-Jun-22 Fernando Motor 156/NP/AST/P.NGP-KPS/VI/2022 16-Jun-22 Isi Oksigen 2022 4.0 tong
BAHAN KIMIA
TOTAL BELANJA BAHAN
ALAT DAN BAHAN UNTUK KEGIA

1 3-Feb-22 Kantor Pos Nnagapanda 3-Feb-22 Meterai 10,000 2022 50.0 lbr
2 8-Mar-22 Kantor Pos Nnagapanda 8-Mar-22 Meterai 10,000 2022 20.0 lbr
3 18-Mar-22 Sinar Murni 96/NP/AST/P.NGP-KPS/III/2022 18-Mar-22 Meterai 10,000 2022 41.0 lbr

4 10-Feb-22 Galaxi 26/NP/AST/P.NGP-KPS/II/2022 10-Feb-22 Cartridge Hitam Canon 810 2022 15.0 bh
10-Feb-22 Galaxi 26/NP/AST/P.NGP-KPS/II/2022 10-Feb-22 Cartridge Warna Canon 811 2022 15.0 bh
BAHAN KOMPUTER
5 10-Jan-22 CV. Unit Print 09/NP/AST/P.NGP-KPS/I/2022 10-Jan-22 Baliho uk 2 x 1 m Unit Print 2022 3.0 bh
8 11-Feb-22 CV. Unit Print 41/NP/AST/P.NGP-KPS/II/2022 11-Feb-22 Baliho uk 3 x 2 m Unit Print 2022 7.0 bh
9 7-Mar-22 CV. Unit Print 69/NP/AST/P.NGP-KPS/III/2022 7-Mar-22 Baliho uk 2 x 1 m Unit Print 2022 4.0 bh
10 14-Mar-22 CV. Unit Print 74/NP/AST/P.NGP-PKS/III/2022 14-Mar-22 Baliho uk 2 x 2 m Unit Print 2022 3.0 bh
14-Mar-22 CV. Unit Print 74/NP/AST/P.NGP-KPS/III/2022 14-Mar-22 Baliho uk 2 x 2,5 m Unit Print 2022 2.0 bh
13 15-Mar-22 Sinar Murni 78/NP/AST/P.NGP-KPS/III/2022 15-Mar-22 Lampu Philip 2022 10.0 bh
ALAT LISTRIK DAN ELEKTRONIK
BELANJA ALAT DAN BAHAN UNTUK KEGIATAN KANTOR
BELANJA PERSEDIAAN SEMESTER I
B E L A N J A M O DA
1 16-Mar-22 Toko Lestari 82/NP/AST/P.NGP-KPS/III/2022 16-Mar-22 AC Pan 12nfs5eoe Panasonic 2022 2.0 bh
16-Mar-22 Toko Lestari 82/NP/AST/P.NGP-KPS/III/2022 16-Mar-22 AC Pan 09wcphx5 Panasonic 2022 1.0 bh
16-Mar-22 Toko Lestari 82/NP/AST/P.NGP-KPS/III/2022 16-Mar-22 Ternadowallfan 20'fke Regency 2022 2.0 bh
16-Mar-22 Toko Lestari 82/NP/AST/P.NGP-KPS/III/2022 16-Mar-22 Wallfan Masp Ukthse Maspion 2022 6.0 bh
ALAT PENDINGIN
Mengetahui :

NIP. NIP. 19821808 200604 2 030

Harga Satuan Jumlah Harga
B.A. Pemeriksaan B.A. Penerimaan
11 12 13 14 15 16
OBAT-OBATAN
20,000.00 100,000.00 02/BAP/P.NGP/AST-BOO/I/2022 3-Jan-22 03/BAST/P.NGP/AST-BOO/I/2022 3-Jan-22
1,010,000.00
BAHAN
59,428,000.00

123,856,000.00
822,000.00 822,000.00 153/BAP/P.NGP/AST-BBB/VI/2022 3-Jun-22 154/BAST/P.NGP/AST-BBB/VI/2022 3-Jun-22
822,000.00
5,150.00 50,000.00
5,150.00 100,000.00
5,150.00 100,000.00
5,150.00 50,000.00
5,150.00 100,000.00
5,150.00 50,000.00
5,150.00 200,000.00
5,150.00 200,000.00
5,150.00 100,000.00
5,150.00 100,000.00
5,150.00 100,000.00 19-Feb-22 19-Feb-22

5,150.00 50,000.00


4,720,000.00
250,000.00 2,000,000.00 06/BAP/P.NGP/AST-ITG/I/2022 7-Jan-22 07/BAST/P.NGP/AST-ITG/I/2022 7-Jan-22
250,000.00 1,500,000.00 105/BAP/P.NGP/AST-ITG/III/2022 24-Mar-22 106/BAST/P.NGP/AST-ITG/III/2022 24-Mar-22
250,000.00 1,000,000.00 125/BAP/P.NGP/AST-ITG/IV/2022 28-Apr-22 126/BAST/P.NGP/AST-ITG/IV/2022 28-Apr-22
250,000.00 1,000,000.00 129/BAP/P.NGP/AST-ITG/V/2022 18-May-22 130/BAST/P.NGP/AST-ITG/V/2022 18-May-22
250,000.00 1,000,000.00 157/BAP/P.NGP/AST-ITG/VI/2022 16-Jun-22 158/BAST/P.NGP/AST-ITG/VI/2022 16-Jun-22
6,500,000.00
135,898,000.00

10,000.00 500,000.00
10,000.00 200,000.00
12,000.00 492,000.00 97/BAP/P.NGP/AST-MBP/III/2022 18-Mar-22 98/BAST/P.NGP/AST-MBP/III/2022 18-Mar-22
1,192,000.00
335,000.00 5,025,000.00 27/BAP/P.NGP/AST-BK/II/2022 10-Feb-22 28/BAST/P.NGP/AST-BK/I/2022 10-Feb-22
400,000.00 6,000,000.00 27/BAP/P.NGP/AST-BK/II/2022 10-Feb-22 28/BAST/P.NGP/AST-BK/I/2022 10-Feb-22
11,025,000.00
105,000.00 315,000.00 10/BAP/P.NGP/AST-ABKL/I/2022 10-Jan-22 11/BAST/P.NGP/AST-ABKL/I/2022 10-Jan-22
250,000.00 1,000,000.00 14/BAP/P.NGP/AST-ABKL/I/2022 20-Jan-22 15/BAST/P.NGP/AST-ABKL/I/2022 20-Jan-22
250,000.00 500,000.00 18/BAP/P.NGP/AST-ABKL/I/2022 25-Jan-22 19/BAST/P.NGP/AST-ABKL/I/2022 25-Jan-22
250,000.00 1,750,000.00 42/BAP/P.NGP/AST-ABKL/II/2022 11-Feb-22 43/BAST/P.NGP/AST-ABKL/II/2022 11-Feb-22
105,000.00 420,000.00 70/BAP/P.NGP/AST-ABKL/III/2022 7-Mar-22 71/BAST/P.NGP/AST-ABKL/III/2022 7-Mar-22
205,000.00 615,000.00 75/BAP/P.NGP/AST-ABKL/III/2022 14-Mar-22 76/BAST/P.NGP/AST-ABKL/III/2022 14-Mar-22

200,000.00 400,000.00 75/BAP/P.NGP/ASTABKL/III/2022 14-Mar-22 76/BAST/P.NGP/AST-ABKL/III/2022 14-Mar-22
5,000,000.00
60,000.00 600,000.00 79/BAP/P.NGP/AST-AL/III/2022 15-Mar-22 80/BAST/P.NGP/AST-AL/III/2022 15-Mar-22
600,000.00
17,817,000.00
154,725,000.00
6,500,000.00 13,000,000.00 83/BAP/P.NGP/AST-AP/III/2022 16-Mar-22 84/BAST/P.NGP/AST-AP/III/2022 16-Mar-22
5,500,000.00 5,500,000.00 83/BAP/P.NGP/AST-AP/III/2022 16-Mar-22 84/BAST/P.NGP/AST-AP/III/2022 16-Mar-22

800,000.00 1,600,000.00 83/BAP/P.NGP/AST-AP/III/2022 16-Mar-22 84/BAST/P.NGP/AST-AP/III/2022 16-Mar-22
650,000.00 3,900,000.00 83/BAP/P.NGP/AST-AP/III/2022 16-Mar-22 84/BAST/P.NGP/AST-AP/III/2022 16-Mar-22
24,000,000.00
178,725,000.00
Pengurus Barang Pembantu

( Yasinta Rhero )
NIP. 19890120 201705 2 001
Tanggal
Ket. No. Nomor Urut Nama Barang Banyaknya Harga Satuan
Pengeluaran
17 1 2 3 4 5 6
OBAT-OBATAN -
-
Persediaan Bahan obat-obatan 1 3-Jan-22 1 RL 5 20,000.00
-
Persediaan Bahan obat-obatan 2 6-Apr-22 2 Spuit 3 cc 300 1,300.00
-
Persediaan Bahan obat-obatan 3 9-Apr-22 3 Handscoon steril no 7 104 5,000.00
-
#REF! 0 0 BELANJA OBAT-OBATAN
0 0 0 -
BAHAN 0 0 -
0 0 0 -
Bahan Baku bangunan 1 24-May-22 1 Semen 150 58,000.00
Bahan Baku bangunan 0 24-May-22 0 Kerikil 71 400,000.00
Bahan Baku bangunan 0 24-May-22 0 Tanah Timbun 132 80,000.00
Bahan Baku bangunan 0 24-May-22 0 Pasir kursa 100 100,000.00
Bahan Baku bangunan 0 24-May-22 0 Besi Beton 13 136,000.00
Bahan Baku bangunan 2 25-May-22 2 Batako 300 5,000.00
Bahan Baku bangunan 3 25-May-22 3 Batu Kali 15 100,000.00
Bahan Baku bangunan 4 3-Jun-22 4 Batako 200 5,000.00
Bahan Baku bangunan 5 3-Jun-22 5 Batu Kali 10 100,000.00

Bahan Baku bangunan 6 3-Jun-22 6 Pipa baja 3 dim 1 822,000.00
BBM 7 4-Jan-22 7 Bio solar 9.700 5,150.00

0 0 0 -
BBM 8 6-Jan-22 8 Bio solar 19.410 5,150.00
-
BBM 9 14-Jan-22 9 Bio solar 19.410 5,150.00
-
BBM 10 19-Jan-22 10 Bio solar 9.700 5,150.00
-
BBM 11 21-Jan-22 11 Bio solar 19.41 5,150.00
-
BBM 12 24-Jan-22 12 Bio solar 9.7 5,150.00
-
BBM 13 29-Jan-22 13 Bio solar 38.825 5,150.00
-
BBM 14 9-Feb-22 14 Bio solar 38.825 5,150.00
-
BBM 15 9-Feb-22 15 Bio solar 19.41 5,150.00
-
BBM 14 10-Feb-22 14 Bio solar 19.41 5,150.00
-
BBM 17 12-Feb-22 17 Solar 25 7,000.00
BBM 18 19-Feb-22 18 Bio solar 19.41 5,150.00

-
BBM 19 21-Feb-22 19 Solar 60 7,000.00
-
BBM 20 28-Mar-22 20 Solar 60 7,000.00
-
BBM 21 4-Mar-22 21 Solar 30 7,000.00
-
BBM 22 7-Mar-22 22 Solar 30 7,000.00
-
BBM 23 24-Mar-22 23 Solar 23.6 7,000.00
-
BBM 24 1-Apr-22 24 Bio solar 9.700 5,150.00
BBM 25 1-Apr-22 25 Oli Mesin 6 80,000.00

BBM 26 2-Apr-22 26 Oli Mesin 6 80,000.00

Isi Tabung Gas 19 7-Jan-22 19 Isi Oksigen 8 250,000.00
Isi Tabung Gas 20 24-Mar-22 20 Isi Oksigen 6 250,000.00
Isi Tabung Gas 21 28-Apr-22 21 Isi Oksigen 4 250,000.00
Isi Tabung Gas 22 18-May-22 22 Isi Oksigen 4 250,000.00
Isi Tabung Gas 23 16-Jun-22 23 Isi Oksigen 4 250,000.00
ALAT DAN BAHAN UNTUK KEGIATAN KANTOR -

-
Meterai dan Benda Pos lainnya 1 3-Feb-22 1 Meterai 50 10,000.00
-
-
Bahan Komputer 4 10-Feb-22 1 Cartridge Hitam 1 335,000.00
Bahan Komputer 10-Feb-22 1 Cartridge Warna 1 400,000.00
Alat dan Bahan untuk kegiatan kantor lainnya 8 11-Feb-22 8 Baliho uk 3 x 2 m 7 250,000.00
Alat dan Bahan untuk kegiatan kantor lainnya 0 14-Mar-22 0 Baliho uk 2 x 2,5 m 2 200,000.00
Alat Listrik dan Elektronik 13 15-Mar-22 13 Lampu 10 60,000.00
B E L A N J A M O DA L -
Alat Listrik dan Elektronik 1 16-Mar-22 1 AC Pan 12nfs5eoe 1 6,500,000.00

16-Mar-22 2 AC Pan 12nfs5eoe 1 6,500,000.00
Alat Listrik dan Elektronik 0 16-Mar-22 3 AC Pan 09wcphx5 1 5,500,000.00
Alat Listrik dan Elektronik 0 16-Mar-22 4 Ternadowallfan 20'fke 2 800,000.00
Alat Listrik dan Elektronik 0 16-Mar-22 5 Wallfan Masp Ukthse 1 650,000.00
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -
0 0 0 -

NIP. 19890120 201705 2 001 NIP. NIP. 19821808 200604 2 030
N BARANG BUKU BARANG
GAPANDA PUSKESMAS N
UN 2022 SEMESTER 1

Jumlah Harga Untuk Ket. No Tahun
Tanggal Merk / Jumlah
Nomor Tanggal Nama / Jenis Barang Pembuata
Diterima Ukuran Satuan
n
7 8 9 10 11 1 2 3 4 5 6
- 0
- 0
100,000.00 Gudang Obat 04/SP/KPT/I/2022 3-Jan-22
- 0
- 0
- 0
#VALUE! 0
- 0
-
-


-
-
-
-
-
-
-
-
-
- VV
175,000.00 Mobil Pusling ? 12-Feb-22
99,961.50 Mobil Pusling 19-Feb-22

- 0
420,000.00 Generator Puskesmas 52/SP/KPT/II/2022 21-Feb-22
- 0
420,000.00 Generator Puskesmas 56/SP/KPT/III/2022 28-Mar-22
- 0
210,000.00 Mobil Ambulance 60/SP/KPT/V/2022 4-Mar-22
- 0
- 0
- 0


165,000.00 UGD 08/SP/KPT/I/2022 7-Jan-22
165,000.00 UGD 107/SP/KPT/III/2022 24-Mar-22
165,000.00 UGD 127/SP/KPT/IV/2022 28-Apr-22
165,000.00 UGD 131/SP/KPT/V/2022 18-May-22
165,000.00 UGD 159/SP/KPT/VI/2022 16-Jun-22
- 0
- 0
500,000.00 Bendahara APBD 21/SP/KPT/II/2022 3-Feb-22
- 0
- 0
335,000.00 Gudang Obat 29/SP/KPT/II/2022 10-Feb-22
6,000,000.00 Gudang Obat 29/SP/KPT/II/2022 10-Feb-22
0
0
315,000.00 Germas 12/SP/KPT/I/2022 10-Jan-22
1,000,000.00 Promkes 16/SP/KPT/I/2022 20-Jan-22
500,000.00 Admen 20/SP/KPT/I/2022 25-Jan-22
1,750,000.00 Vaksinasi covid19 44/SP/KPT/II/2022 11-Feb-22
420,000.00 Gizi 72/SP/KPT/III/2022 7-Mar-22
615,000.00 Imunisasi 77/SP/KPT/III/2022 14-Mar-22

400,000.00 admen 77/SP/KPT/III/2022 14-Mar-22
600,000.00 Koordinator kerja 81/SP/KPT/III/2022 15-Mar-22
0
- #REF! B E L A N J A M O DA L
13,000,000.00 Labboratorium 85/SP/KPT/III/2022 16-Mar-22 1 44636 AC Pan 12nfs5eoe Panasonic 2022 2

6,500,000.00 Ruang Kepala Puskesmas 86/SP/KPT/III/2022 16-Mar-22
5,500,000.00 Gudang Obat 87/SP/KPT/III/2022 16-Mar-22 44636 AC Pan 09wcphx5 Panasonic 2022 1
1,600,000.00 Ruang Pertemuan 88/SP/KPT/III/2022 16-Mar-22 44636 Ternadowallfan 20'fke Regency 2022 2
3,900,000.00 Ruang Rekam Medik 89/SP/KPT/III/2022 16-Mar-22 44636 Wallfan Masp Ukthse Maspion 2022 6
650,000.00 Poli Umum 90/SP/KPT/III/2022 16-Mar-22 0 0 0 0
650,000.00 Poli Gizi 91/SP/KPT/III/2022 16-Mar-22 0 0 0 0
650,000.00 Ruang Imunisasi 92/SP/KPT/III/2022 16-Mar-22 0 0 0 0
650,000.00 Poli Gigi 93/SP/KPT/III/2022 16-Mar-22 0 0 0 0 0 0
650,000.00 Poli KIA/KB 94/SP/KPT/III/2022 16-Mar-22 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

NIP. 19890120 201705 2 001 NIP. NIP. 19821808 200604 2 030
BUKU BARANG INVENTARIS
Tanggal Jumlah Ket. No
Nota Pesanan/SPK Barita Acara Pemeriksaan Surat Penyerahan
Dikeluarka Diserahkan Kepada Satuan /
Nomor Tanggal Tanggal Nomor Nomor Tanggal
n Barang
7 8 9 10 11 12 13 14 15 16 1
OBAT-OBATAN
0
1
BAHAN
0
1
0
0
0
0
5
6
10
11
12
13
14
15
14
17
18
19
20
21
22
23
24
25
0
26
0
19
20
21
22
23
ALAT DAN BAHAN UNTUK KEGIATAN K
3
4
10
0
13
82/NP/AST/P.NGP-KPS/III/2022
16-Mar-22 16-Mar-2283/BAP/P.NGP/AST-AP/III/2022
16-Mar-22 Labboratorium 1 85/SP/KPT/III/2022 16-Mar-22
Ruang Kepala Puskesmas 1 86/SP/KPT/III/2022 16-Mar-22
16-Mar-22 Gudang Obat 1 87/SP/KPT/III/2022 16-Mar-22
16-Mar-22 Ruang Pertemuan 2 88/SP/KPT/III/2022 16-Mar-22
16-Mar-22 Ruang Rekam Medik 1 89/SP/KPT/III/2022 16-Mar-22
0 30-Dec-99 30-Dec-99 0 16-Mar-22 Poli Umum 1 90/SP/KPT/III/2022 16-Mar-22
0 30-Dec-99 30-Dec-99 0 16-Mar-22 Poli Gizi 1 91/SP/KPT/III/2022 16-Mar-22
0 30-Dec-99 30-Dec-99 0 16-Mar-22 Ruang Imunisasi 1 92/SP/KPT/III/2022 16-Mar-22
0 30-Dec-99 30-Dec-99 0 16-Mar-22 Poli Gigi 1 93/SP/KPT/III/2022 16-Mar-22
0 0 0 0 16-Mar-22 Poli KIA/KB 1 94/SP/KPT/III/2022 16-Mar-22
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0

NIP. 19890120 201705 2 001 NIP. NIP. 19821808 200604 2 030
BUKU BARANG PAKAI HABIS
Tahun Tanggal Jumlah
Merk / Jumlah Nota Pesanan/SPK Barita Acara Pemeriksaan
Tanggal Diterima Nama / Jenis Barang Pembuata Dikeluarka Diserahkan Kepada Satuan /
Ukuran Satuan Nomor Tanggal Tanggal Nomor
n n Barang
2 3 4 5 6 7 8 9 10 11 12 13
OBAT-OBATAN
3-Jan-22 RL Otsu 2022 5 01/NP/AST/P.NGP-KPS/I/2022 3-Jan-22 3-Jan-22 02/BAP/P.NGP/AST-BOO/I/2022 3-Jan-22 Gudang Obat 5
6-Apr-22 Spuit 3 cc One Med 2022 300 116/NP/AST/P.NGP-KPS/IV/2022 44657 6-Apr-22 117/BAP/P.NGP/AST-BOO/IV/2022 6-Apr-22 Gudang Obat 300
9-Apr-22 Handscoon steril no 7 Altamed 2022 104 120/NP/AST/P.NGP-KPS/IV/2022 44660 9-Apr-22 121/BAP/P.NGP/AST-BOO/IV/2022 9-Apr-22 Gudang Obat 104
BAHAN
0 0 0
44705 Semen 0 2022 150 132/NP/AST/P.NGP-KPS/V/2022 44705 44705 133/BAP/P.NGP/AST-BBB/V/2022 44705 Koordinator kerja 150
44705 Kerikil 0 2022 71 132/NP/AST/P.NGP-KPS/V/2022 44705 44705 133/BAP/P.NGP/AST-BBB/V/2022 44705 Koordinator kerja 71
44705 Tanah Timbun 0 2022 132 132/NP/AST/P.NGP-KPS/V/2022 44705 44705 133/BAP/P.NGP/AST-BBB/V/2022 44705 Koordinator kerja 132
44705 Pasir kursa 0 2022 100 132/NP/AST/P.NGP-KPS/V/2022 44705 44705 133/BAP/P.NGP/AST-BBB/V/2022 44705 Koordinator kerja 100
44705 Besi Beton 0 2022 13 132/NP/AST/P.NGP-KPS/V/2022 44705 44705 133/BAP/P.NGP/AST-BBB/V/2022 44705 Koordinator kerja 13
44706 Batako 0 2022 300 136/NP/AST/P.NGP-KPS/V/2022 44706 44706 137/BAP/P.NGP/AST-BBB/V/2022 44706 Koordinator kerja 300
44706 Batu Kali 0 2022 15 140/NP/AST/P.NGP-KPS/V/2022 44706 44706 141/BAP/P.NGP/AST-BBB/V/2022 44706 Koordinator kerja 15
44715 Batako 0 2022 200 144/NP/AST/P.NGP-KPS/VI/2022 44715 44715 145/BAP/P.NGP/AST-BBB/VI/2022 44715 Koordinator kerja 200
44715 Batu Kali 0 2022 10 148/NP/AST/P.NGP-KPS/VI/2022 44715 44715 149/BAP/P.NGP/AST-BBB/VI/2022 44715 Koordinator kerja 10
44715 Pipa baja 3 dim 0 2022 1 152/NP/AST/P.NGP-KPS/VI/2022 44715 44715 153/BAP/P.NGP/AST-BBB/VI/2022 44715 Koordinator kerja 1
44604 Solar 0 2022 25 45/NP/AST/P.NGP-KPS/II/202 44604 44604 46/BAP/P.NGP/AST-BBM/II/2022 44604 Mobil Pusling 25
44613 Solar 0 2022 60 49/NP/AST/P.NGP-KPS/II/2022 44613 44613 50/BAP/P.NGP/AST-BBM/II/2022 44613 Generator Puskesmas 60
44648 Solar 0 2022 60 53/NP/AST/P.NGP-KPS/III/2022 44648 44648 54/BAP/P.NGP/AST-BBM/III/2022 44648 Generator Puskesmas 60
44624 Solar 0 2022 30 57/NP/AST/P.NGP-KPS/III/2022 44624 44624 58/BAP/P.NGP/AST-BBM/III/2022 44624 Mobil Ambulance 30
44627 Solar 0 2022 30 65/NP/AST/P.NGP-KPS/III/2022 44627 44627 66/BAP/P.NGP/AST-BBM/III/2022 44627 Mobil Ambulance 30
44644 Solar 0 2022 23.6 100/NP/AST/P.NGP-KPS/III/2022 44644 44644 101/BAP/P.NGP/AST-BBM/III/2022 44644 Mobil Ambulance 23.6
44652 Oli Mesin Meditran 5X 2022 6 108/NP/AST/P.NGP-KPS/IV/2022 44652 44652 109/BAP/P.NGP/AST-BP/IV/2022 44652 Mobil Ambulance 6
44652 Oli Transmisi Rored 2022 6 108/NP/AST/P.NGP-KPS/IV/2022 44652 44652 109/BAP/P.NGP/AST-BP/IV/2022 44652 Mobil Ambulance 6
44653 Oli Mesin Meditran 5X 2022 6 112/NP/AST/P.NGP-KPS/IV/2022 44653 44653 113/BAP/P.NGP/AST-BP/IV/2022 44653 Mobil Pusling 6
44653 Oli Transmisi Rored 2022 6 112/NP/AST/P.NGP-KPS/IV/2022 44653 44653 113/BAP/P.NGP/AST-BP/IV/2022 44653 Mobil Pusling 6
44568 Isi Oksigen 0 2022 8 05/NP/AST/P.NGP-KPS/I/2022 44568 44568 06/BAP/P.NGP/AST-ITG/I/2022 44568 UGD 8
44644 Isi Oksigen 0 2022 6 104/NP/AST/P.NGP-KPS/III/2022 44644 44644 105/BAP/P.NGP/AST-ITG/III/2022 44644 UGD 6
44679 Isi Oksigen 0 2022 4 124/NP/AST/P.NGP-KPS/IV/2022 44679 44679 125/BAP/P.NGP/AST-ITG/IV/2022 44679 UGD 4
44699 Isi Oksigen 0 2022 4 128/NP/AST/P.NGP-KPS/V/2022 44699 44699 129/BAP/P.NGP/AST-ITG/V/2022 44699 UGD 4
44728 Isi Oksigen 0 2022 4 156/NP/AST/P.NGP-KPS/VI/2022 44728 44728 157/BAP/P.NGP/AST-ITG/VI/2022 44728 UGD 4
44595 Meterai 10000 2022 50 0 44595 0 0 44595 Bendahara APBD 50
44628 Meterai 10000 2022 20 0 44628 0 0 44628 Bendahara Kapitasi 20
44638 Meterai 10000 2022 41 96/NP/AST/P.NGP-KPS/III/2022 44638 44638 97/BAP/P.NGP/AST-MBP/III/2022 44638 Bendahara Kapitasi 41
44602 Cartridge Hitam Canon 810 2022 15 26/NP/AST/P.NGP-KPS/II/2022 44602 44602 27/BAP/P.NGP/AST-BK/II/2022 10-Feb-22 Gudang Obat 1
44602 Cartridge Warna Canon 811 2022 15 26/NP/AST/P.NGP-KPS/II/2022 44602 44602 27/BAP/P.NGP/AST-BK/II/2022 10-Feb-22 Gudang Obat 1
44571 Baliho uk 2 x 1 m Unit Print 2022 3 09/NP/AST/P.NGP-KPS/I/2022 44571 44571 10/BAP/P.NGP/AST-ABKL/I/2022 44571 Germas 3
44581 Baliho uk 3 x 2 m Unit Print 2022 4 13/NP/AST/P.NGP-KPS/I/2022 44581 44581 14/BAP/P.NGP/AST-ABKL/I/2022 44581 Promkes 4
44586 Baliho uk 2 x 3 m Unit Print 2022 2 17/NP/AST/P.NGP-KPS/I/2022 44586 44586 18/BAP/P.NGP/AST-ABKL/I/2022 44586 Admen 2
44603 Baliho uk 3 x 2 m Unit Print 2022 7 41/NP/AST/P.NGP-KPS/II/2022 44603 44603 42/BAP/P.NGP/AST-ABKL/II/2022 44603 Vaksinasi covid19 7
44627 Baliho uk 2 x 1 m Unit Print 2022 4 69/NP/AST/P.NGP-KPS/III/2022 44627 44627 70/BAP/P.NGP/AST-ABKL/III/2022 44627 Gizi 4
44634 Baliho uk 2 x 2 m Unit Print 2022 3 74/NP/AST/P.NGP-PKS/III/2022 44634 44634 75/BAP/P.NGP/AST-ABKL/III/2022 44634 Imunisasi 3
44634 Baliho uk 2 x 2,5 m Unit Print 2022 2 74/NP/AST/P.NGP-KPS/III/2022 44634 44634 75/BAP/P.NGP/ASTABKL/III/2022 44634 admen 2
44635 Lampu Philip 2022 10 78/NP/AST/P.NGP-KPS/III/2022 44635 44635 79/BAP/P.NGP/AST-AL/III/2022 44635 Koordinator kerja 10
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
Mengetahui : Ende, Kamis 30 Juni 2022
Pejabat Penatausahaan Pengguna Barang Pengurus Barang Pengguna

( Ayu Puspita, AMK ) ( Yasinta Rhero )
NIP. NIP. 19821808 200604 2 030 NIP. 19890120 201705 2 001
LAPORAN SEMESTER TENTANG PE
PUS
SE
Penerimaan
GELUARAN
Ket.
Surat Penyerahan No. Urut Terima Tgl Dari SPK/Perjanjia Banyaknya Nama Barang
Nomor Tgl
Nomor Tanggal n
14 15 16 1 2 3 4 5 6 7 8
04/SP/KPT/I/2022 3-Jan-22
119/SP/KPT/IV/2022 6-Apr-22
123/SP/KPT/IV/2022 9-Apr-22
135/SP/KPT/V/2022 44705
135/SP/KPT/V/2023 44705
135/SP/KPT/V/2024 44705
135/SP/KPT/V/2025 44705
135/SP/KPT/V/2026 44705
139/SP/KPT/V/2022 44706
143/SP/KPT/V/2022 44706
147/SP/KPT/VI/2022 44715
151/SP/KPT/VI/2022 44715
155/SP/KPT/VI/2022 44715
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
? 44604
0 44611
52/SP/KPT/II/2022 44613
56/SP/KPT/III/2022 44648
60/SP/KPT/V/2022 44624
68/SP/KPT/III/2022 44627
103/SP/KPT/III/2022 44644
0 0
111/SP/KPT/IV/2022 44652
111/SP/KPT/IV/2022 44652
115/SP/KPT/IV/2022 44653
115/SP/KPT/IV/2022 44653
08/SP/KPT/I/2022 44568
107/SP/KPT/III/2022 44644
127/SP/KPT/IV/2022 44679
131/SP/KPT/V/2022 44699
159/SP/KPT/VI/2022 44728
21/SP/KPT/II/2022 44595
73/SP/KPT/III/2022 44628
99/SP/KPT/III/2022 44638
29/SP/KPT/II/2022 10-Feb-22
30/SP/KPT/II/2022 10-Feb-22
31/SP/KPT/II/2022 10-Feb-22
32/SP/KPT/II/2022 10-Feb-22
33/SP/KPT/II/2022 10-Feb-22
34/SP/KPT/II/2022 10-Feb-22
35/SP/KPT/II/2022 10-Feb-22
36/SP/KPT/II/2022 10-Feb-22
37/SP/KPT/II/2022 10-Feb-22
38/SP/KPT/II/2022 10-Feb-22
39/SP/KPT/II/2022 10-Feb-22
40/SP/KPT/II/2022 10-Feb-22
29/SP/KPT/II/2022 10-Feb-22
30/SP/KPT/II/2022 10-Feb-22
31/SP/KPT/II/2022 10-Feb-22
32/SP/KPT/II/2022 10-Feb-22
33/SP/KPT/II/2022 10-Feb-22
34/SP/KPT/II/2022 10-Feb-22
35/SP/KPT/II/2022 10-Feb-22
36/SP/KPT/II/2022 10-Feb-22
37/SP/KPT/II/2022 10-Feb-22
38/SP/KPT/II/2022 10-Feb-22
39/SP/KPT/II/2022 10-Feb-22
40/SP/KPT/II/2022 10-Feb-22
12/SP/KPT/I/2022 44571
16/SP/KPT/I/2022 44581
20/SP/KPT/I/2022 44586
44/SP/KPT/II/2022 44603
72/SP/KPT/III/2022 44627
77/SP/KPT/III/2022 44634
77/SP/KPT/III/2022 44634
81/SP/KPT/III/2022 44635
0 0
B E L A N J A M O DA L 0 0 0
1 16-Mar-22 Toko Lestari 82/NP/AST/P.NGP-KPS/III/2022

16-Mar-22 2 AC Pan 12nfs5eoe
16-Mar-22 Toko Lestari 82/NP/AST/P.NGP-KPS/III/2022

16-Mar-22 1 AC Pan 09wcphx5
16-Mar-22 2 Ternadowallfan 20'fke
16-Mar-22 6 Wallfan Masp Ukthse
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0

NIP. 19890120 201705 2 001 NIP. NIP. 19821808 200604 2 030
Pengeluaran
Surat Bon
Harga Satuan Jumlah Harga Ket No. Urut Untuk Banyaknya Nama Barang Harga Satuan
Nomor Tanggal
9 10 11 12 13 14 15 16 17 18 19 20 21
- - 0 0 B E L A N J A M O DA L
6,500,000.00 13,000,000.0084/BAST/P.NGP/AST-AP/III/2022 44636 1 16-Mar-22 85/SP/KPT/III/2022 16-Mar-22 85/SP/KPT/III/2022 1 AC Pan 12nfs5eoe 6,500,000.00
5,500,000.00 5,500,000.0084/BAST/P.NGP/AST-AP/III/2022 44636 0 16-Mar-22 87/SP/KPT/III/2022 16-Mar-22 87/SP/KPT/III/2022 1 AC Pan 09wcphx5 5,500,000.00
800,000.00 1,600,000.0084/BAST/P.NGP/AST-AP/III/2022 44636 0 16-Mar-22 88/SP/KPT/III/2022 16-Mar-22 88/SP/KPT/III/2022 2 Ternadowallfan 20'fke 800,000.00
650,000.00 3,900,000.0084/BAST/P.NGP/AST-AP/III/2022 44636 0 16-Mar-22 89/SP/KPT/III/2022 16-Mar-22 89/SP/KPT/III/2022 1 Wallfan Masp Ukthse 650,000.00
- - 0 0 0 0 0 0 0 0 0 -
- - 0 0 0 0 0 0 0 0 0 -
- - 0 0 0 0 0 0 0 0 0 -
- - 0 0 0 0 0 0 0 0 0 -
- - 0 0 0 0 0 0 0 0 0 -
- - 0 0 0 0 0 0 0 0 0 -

( Yasinta Rhero )
NIP. 19890120 201705 2 001
L
Penerimaan
Tanggal Dokumen/Faktur Dasar Penerimaan
Jumlah Harga Penyeraha Ket No. Urut Terima Tgl Dari Jenis
Nomor Tgl Nomor
n Surat
22 23 24 1 2 3 4 5 6 7
OBAT-OBATAN 0 0 0 0 0
0 0 0 0 0
1 44564 Apotek Bethesda 01/NP/AST/P.NGP-KPS/I/2022 44564 03/BAST/P.NGP/AST-BOO/I/2022
2 44657 Apotek Sidodadi 116/NP/AST/P.NGP-KPS/IV/2022 44657 117/BAST/P.NGP/AST-BOO/IV/2022
3 44660 Apotek Sidodadi 120/NP/AST/P.NGP-KPS/IV/2022 44660 122/BAST/P.NGP/AST-BOO/IV/2022
BAHAN
1 44705 Kios Hidup Baru 132/NP/AST/P.NGP-KPS/V/2022 44705 134/BAST/P.NGP/AST-BBB/V/2022

2 44706 Ibrahim 136/NP/AST/P.NGP-KPS/V/2022 44706 138/BAST/P.NGP/AST-BBB/V/2022
3 44706 Muhamad Yasir 140/NP/AST/P.NGP-KPS/V/2022 44706 142/BAST/P.NGP/AST-BBB/V/2022
4 44715 Ibrahim 144/NP/AST/P.NGP-KPS/VI/2022 44715 146/BAST/P.NGP/AST-BBB/VI/2022
5 44715 Muhamad Yasir 148/NP/AST/P.NGP-KPS/VI/2022 44715 150/BAST/P.NGP/AST-BBB/VI/2022

6 44715 Kios Hidup Baru 152/NP/AST/P.NGP-KPS/VI/2022 44715 154/BAST/P.NGP/AST-BBB/VI/2022
7 44565 SPBU W.Z YOHANES 0 44565 0

0 0 0 0 0 0
8 44567 SPBU W.Z YOHANES 0 44567 0
0 0 0 0 0 0
9 44575 SPBU W.Z YOHANES 0 44575 0
0 0 0 0 0 0
10 44580 SPBU W.Z YOHANES 0 44580 0
0 0 0 0 0 0
11 44582 SPBU W.Z YOHANES 0 44582 0
0 0 0 0 0 0
12 44585 SPBU W.Z YOHANES 0 44585 0
0 0 0 0 0 0
13 44590 SPBU W.Z YOHANES 0 44590 0
0 0 0 0 0 0
14 44601 SPBU W.Z YOHANES 0 44601 0
0 0 0 0 0 0
15 44601 SPBU W.Z YOHANES 0 44601 0
0 0 0 0 0 0
14 44602 SPBU W.Z YOHANES 0 44602 0
0 0 0 0 0 0
17 44604 Kios Sucia 45/NP/AST/P.NGP-KPS/II/202 44604 47/BAST/P.NGP/AST-BBM/II/2022
18 44611 SPBU W.Z YOHANES 0 44611 0

0 0 0 0 0 0
19 44613 Kios Sucia 49/NP/AST/P.NGP-KPS/II/2022 44613 51/BAST/P.NGP/AST-BBM/II/2022
0 0 0 0 0 0
20 44648 Kios Sucia 53/NP/AST/P.NGP-KPS/III/2022 44648 55/BAST/P.NGP/AST-BBM/III/2022
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
24 44652 SPBU W.Z YOHANES 0 44652 0
25 44652 Orakeri Motor 108/NP/AST/P.NGP-KPS/IV/2022 44652 110/BAST/P.NGP/AST-BP/IV/2022


19 44568 Fernando Motor 05/NP/AST/P.NGP-KPS/I/2022 44568 07/BAST/P.NGP/AST-ITG/I/2022
20 44644 Fernando Motor 104/NP/AST/P.NGP-KPS/III/2022 44644 106/BAST/P.NGP/AST-ITG/III/2022
21 44679 Fernando Motor 124/NP/AST/P.NGP-KPS/IV/2022 44679 126/BAST/P.NGP/AST-ITG/IV/2022
22 44699 Fernando Motor 128/NP/AST/P.NGP-KPS/V/2022 44699 130/BAST/P.NGP/AST-ITG/V/2022
23 44728 Fernando Motor 156/NP/AST/P.NGP-KPS/VI/2022 44728 158/BAST/P.NGP/AST-ITG/VI/2022
#REF! 0 0 0 0 0
0 0 0 0 0 0
#REF! 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
ALAT DAN BAHAN UNTUK KEGIATAN
0 KANTOR 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
3 44638 Sinar Murni 96/NP/AST/P.NGP-KPS/III/2022 44638 98/BAST/P.NGP/AST-MBP/III/2022
0 0 0 0 0 0
#REF! 0 0 0 0 0
0 0 0 0 0 0
4 44602 Galaxi 26/NP/AST/P.NGP-KPS/II/2022 44602 28/BAST/P.NGP/AST-BK/I/2022
0 44602 Galaxi 26/NP/AST/P.NGP-KPS/II/2022 44602 28/BAST/P.NGP/AST-BK/I/2022
#REF! 0 0 0 0 0
0 0 0 0 0 0
5 44571 CV. Unit Print 09/NP/AST/P.NGP-KPS/I/2022 44571 11/BAST/P.NGP/AST-ABKL/I/2022
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
8 44603 CV. Unit Print 41/NP/AST/P.NGP-KPS/II/2022 44603 43/BAST/P.NGP/AST-ABKL/II/2022
0 0 0 0 0 0
9 44627 CV. Unit Print 69/NP/AST/P.NGP-KPS/III/2022 44627 71/BAST/P.NGP/AST-ABKL/III/2022
0 0 0 0 0 0
10 44634 CV. Unit Print 74/NP/AST/P.NGP-PKS/III/2022 44634 76/BAST/P.NGP/AST-ABKL/III/2022
0 44634 CV. Unit Print 74/NP/AST/P.NGP-KPS/III/2022 44634 76/BAST/P.NGP/AST-ABKL/III/2022
13 44635 Sinar Murni 78/NP/AST/P.NGP-KPS/III/2022 44635 80/BAST/P.NGP/AST-AL/III/2022

0 0 0 0 0 0
#REF! 0 0 0 0 0
6,500,000.00 16-Mar-22
5,500,000.00 16-Mar-22
1,600,000.00 16-Mar-22
650,000.00 16-Mar-22
650,000.00 16-Mar-22
650,000.00 16-Mar-22
650,000.00 16-Mar-22
650,000.00 16-Mar-22
650,000.00 16-Mar-22
- 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
nde, Kamis 30 Juni 2022 Mengetahui :
engurus Barang Pengguna Kepala Puskesmas Nangapanda

P. 19890120 201705 2 001 NIP. NIP. 19821808 200604 2 030
Penerimaan Pengeluara
Surat Bon
Banyaknya Nama Barang Harga Satuan Jumlah Harga Ket No. Urut
Nomor Tanggal
8 9 10 11 12 13 14 15 16 17 18
0 0 - - 0 0 OBAT-OBATAN 0 0
5 RL 20,000.00 100,000.00 03/BAST/P.NGP/AST-BOO/I/2022 44564 1 44564 04/SP/KPT/I/2022 44564
300 Spuit 3 cc 1,300.00 390,000.00 117/BAST/P.NGP/AST-BOO/IV/2022 44657 2 44657 119/SP/KPT/IV/2022 44657
104 Handscoon steril no 7 5,000.00 520,000.00 122/BAST/P.NGP/AST-BOO/IV/2022 44660 3 44660 123/SP/KPT/IV/2022 44660
BELANJA OBAT-OBATAN #VALUE!
- -
- - BAHAN
- -
150 Semen 58,000.00 8,700,000.00 134/BAST/P.NGP/AST-BBB/V/2022 44705 1 44705 135/SP/KPT/V/2022 44705
71 Kerikil 400,000.00 28,400,000.00 134/BAST/P.NGP/AST-BBB/V/2022 44705 0 44705 135/SP/KPT/V/2023 44705
132 Tanah Timbun 80,000.00 10,560,000.00 134/BAST/P.NGP/AST-BBB/V/2022 44705 0 44705 135/SP/KPT/V/2024 44705
100 Pasir kursa 100,000.00 10,000,000.00 134/BAST/P.NGP/AST-BBB/V/2022 44705 0 44705 135/SP/KPT/V/2025 44705
13 Besi Beton 136,000.00 1,768,000.00 134/BAST/P.NGP/AST-BBB/V/2022 44705 0 44705 135/SP/KPT/V/2026 44705
300 Batako 5,000.00 1,500,000.00 138/BAST/P.NGP/AST-BBB/V/2022 44706 2 44706 139/SP/KPT/V/2022 44706
15 Batu Kali 100,000.00 1,500,000.00 142/BAST/P.NGP/AST-BBB/V/2022 44706 3 44706 143/SP/KPT/V/2022 44706
200 Batako 5,000.00 1,000,000.00 146/BAST/P.NGP/AST-BBB/VI/2022 44715 4 44715 147/SP/KPT/VI/2022 44715
10 Batu Kali 100,000.00 1,000,000.00 150/BAST/P.NGP/AST-BBB/VI/2022 44715 5 44715 151/SP/KPT/VI/2022 44715

1 Pipa baja 3 dim 822,000.00 822,000.00 154/BAST/P.NGP/AST-BBB/VI/2022 44715 6 44715 155/SP/KPT/VI/2022 44715
9.7 Bio solar 5,150.00 49,955.00 0 0 7 44565 0 44565

0 0 - - 0 0
19.41 Bio solar 5,150.00 99,961.50 0 0 8 44567 0 44567
0 0 - - 0 0
19.41 Bio solar 5,150.00 99,961.50 0 0 9 44575 0 44575
0 0 - - 0 0
9.7 Bio solar 5,150.00 49,955.00 0 0 10 44580 0 44580
0 0 - - 0 0
19.41 Bio solar 5,150.00 99,961.50 0 0 11 44582 0 44582
0 0 - - 0 0
9.7 Bio solar 5,150.00 49,955.00 0 0 12 44585 0 44585
0 0 - - 0 0
38.825 Bio solar 5,150.00 199,948.75 0 0 13 44590 0 44590
0 0 - - 0 0
38.825 Bio solar 5,150.00 199,948.75 0 0 14 44601 0 44601
0 0 - - 0 0
19.41 Bio solar 5,150.00 99,961.50 0 0 15 44601 0 44601
0 0 - - 0 0
19.41 Bio solar 5,150.00 99,961.50 0 0 14 44602 0 44602
0 0 - - 0 0
25 Solar 7,000.00 175,000.00 47/BAST/P.NGP/AST-BBM/II/2022 44604 17 44604 ? 44604
19.41 Bio solar 5,150.00 99,961.50 0 44611 18 44611 0 44611

0 0 - - 0 0
0 0 - - 0 0
0 0 - - 0 0
30 Solar 7,000.00 210,000.00 59/BAST/P.NGP/AST-BBM/III/2022 44624 21 44624 60/SP/KPT/V/2022 44624
0 0 - - 0 0
0 0 - - 0 0
23.6 Solar 7,000.00 165,200.00 102/BAST/P.NGP/AST-BBM/III/2022 44644 23 44644 103/SP/KPT/III/2022 44644
0 0 - - 0 0
9.7 Bio solar 5,150.00 49,955.00 0 0 24 44652 0 44652


8 Isi Oksigen 250,000.00 2,000,000.00 07/BAST/P.NGP/AST-ITG/I/2022 44568 19 44568 08/SP/KPT/I/2022 44568
6 Isi Oksigen 250,000.00 1,500,000.00 106/BAST/P.NGP/AST-ITG/III/2022 44644 20 44644 107/SP/KPT/III/2022 44644
4 Isi Oksigen 250,000.00 1,000,000.00 126/BAST/P.NGP/AST-ITG/IV/2022 44679 21 44679 127/SP/KPT/IV/2022 44679
4 Isi Oksigen 250,000.00 1,000,000.00 130/BAST/P.NGP/AST-ITG/V/2022 44699 22 44699 131/SP/KPT/V/2022 44699
4 Isi Oksigen 250,000.00 1,000,000.00 158/BAST/P.NGP/AST-ITG/VI/2022 44728 23 44728 159/SP/KPT/VI/2022 44728
0 0 BAHAN KIMIA #VALUE! 0 0

0 0 - - 0 0
0 0 TOTAL BELANJA BAHAN #VALUE! 0 0
0 0 - - 0 0
0 0 - - 0 0
0 0 - - 0 ALAT
0 DAN BAHAN UNTUK KEGIATAN KANTOR
0 0 - - 0 0
50 Meterai 10,000.00 500,000.00 0 0 1 44595 21/SP/KPT/II/2022 44595
0 0 - - 0 0
20 Meterai 10,000.00 200,000.00 0 0 2 44628 73/SP/KPT/III/2022 44628
0 0 - - 0 0
41 Meterai 12,000.00 492,000.00 98/BAST/P.NGP/AST-MBP/III/2022 44638 3 44638 99/SP/KPT/III/2022 44638
0 0 - - 0 0
0 0 METERAI DAN BENDA POS LAINNYA #VALUE! 0 0
0 0 - - 0 0
15 Cartridge Hitam 335,000.00 5,025,000.00 28/BAST/P.NGP/AST-BK/I/2022 44602 4 44602 29/SP/KPT/II/2022 44602
15 Cartridge Warna 400,000.00 6,000,000.00 28/BAST/P.NGP/AST-BK/I/2022 44602 0 44602 29/SP/KPT/II/2022 44602
0 0 BAHAN KOMPUTER #VALUE! 0 0

0 0 - - 0 0
3 Baliho uk 2 x 1 m 105,000.00 315,000.00 11/BAST/P.NGP/AST-ABKL/I/2022 44571 5 44571 12/SP/KPT/I/2022 44571
0 0 - - 0 0
4 Baliho uk 3 x 2 m 250,000.00 1,000,000.00 15/BAST/P.NGP/AST-ABKL/I/2022 44581 6 44581 16/SP/KPT/I/2022 44581
0 0 - - 0 0
2 Baliho uk 2 x 3 m 250,000.00 500,000.00 19/BAST/P.NGP/AST-ABKL/I/2022 44586 7 44586 20/SP/KPT/I/2022 44586
0 0 - - 0 0
7 Baliho uk 3 x 2 m 250,000.00 1,750,000.00 43/BAST/P.NGP/AST-ABKL/II/2022 44603 8 44603 44/SP/KPT/II/2022 44603
0 0 - - 0 0
4 Baliho uk 2 x 1 m 105,000.00 420,000.00 71/BAST/P.NGP/AST-ABKL/III/2022 44627 9 44627 72/SP/KPT/III/2022 44627
0 0 - - 0 0
3 Baliho uk 2 x 2 m 205,000.00 615,000.00 76/BAST/P.NGP/AST-ABKL/III/2022 44634 10 44634 77/SP/KPT/III/2022 44634
2 Baliho uk 2 x 2,5 m 200,000.00 400,000.00 76/BAST/P.NGP/AST-ABKL/III/2022 44634 0 44634 77/SP/KPT/III/2022 44634
10 Lampu 60,000.00 600,000.00 80/BAST/P.NGP/AST-AL/III/2022 44635 13 44635 81/SP/KPT/III/2022 44635

0 0 -
0 0 ALAT LISTRIK DAN ELEKTRONIK
0 0 - - 0 0 0 0 0 0
0 0 - - 0 0 0 0 0 0
0 0 - - 0 0 0 0 0 0
0 0 - - 0 0 0 0 0 0
0 0 - - 0 0 0 0 0 0
Pengeluaran
Tanggal
Untuk Banyaknya Nama Barang Harga Satuan Jumlah Harga Penyeraha Ket
n
19 20 21 22 23 24 25
0 0 0 - - 0
Gudang Obat 5 RL 20,000.00 100,000.00 44564
Gudang Obat 300 Spuit 3 cc 1,300.00 390,000.00 44657
Gudang Obat 104 Handscoon steril no 7 5,000.00 520,000.00 44660
BELANJA OBAT-OBATAN #VALUE! 0
- - 0
- - 0
- - 0
Koordinator kerja 150 Semen 58,000.00 8,700,000.00 44705
Koordinator kerja 71 Kerikil 400,000.00 28,400,000.00 44705
Koordinator kerja 132 Tanah Timbun 80,000.00 10,560,000.00 44705
Koordinator kerja 100 Pasir kursa 100,000.00 10,000,000.00 44705
Koordinator kerja 13 Besi Beton 136,000.00 1,768,000.00 44705

Koordinator kerja 1 Pipa baja 3 dim 822,000.00 822,000.00 44715

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
Mobil Pusling 25 Solar 7,000.00 175,000.00 44604
Mobil Pusling 19.41 Bio solar 5,150.00 99,961.50 44611

Mobil Ambulance 23.6 Solar 7,000.00 165,200.00 44644
- - 0
Mobil Ambulance 9.7 Bio solar 5,150.00 49,955.00 0
Mobil Ambulance 6 Oli Mesin 80,000.00 480,000.00 44652

Mobil Ambulance 6 Oli Transmisi 80,000.00 480,000.00 44652
Mobil Pusling 6 Oli Mesin 80,000.00 480,000.00 44653

Mobil Pusling 6 Oli Transmisi 80,000.00 480,000.00 44653
UGD 8 Isi Oksigen 250,000.00 2,000,000.00 44568
UGD 6 Isi Oksigen 250,000.00 1,500,000.00 44644
UGD 4 Isi Oksigen 250,000.00 1,000,000.00 44679
UGD 4 Isi Oksigen 250,000.00 1,000,000.00 44699
UGD 4 Isi Oksigen 250,000.00 1,000,000.00 44728
Bendahara APBD 50 Meterai 10,000.00 500,000.00 44595

Gudang Obat 1 Cartridge Hitam 335,000.00 335,000.00 10-Feb-22
3 Cartridge Hitam 335,000.00 1,005,000.00 10-Feb-22
Gudang Obat 1 Cartridge Warna 400,000.00 400,000.00 10-Feb-22
3 Cartridge Warna 400,000.00 1,200,000.00 10-Feb-22
Germas 3 Baliho uk 2 x 1 m 105,000.00 315,000.00 44571
Promkes 4 Baliho uk 3 x 2 m 250,000.00 1,000,000.00 44581
Admen 2 Baliho uk 2 x 3 m 250,000.00 500,000.00 44586
Vaksinasi covid19 7 Baliho uk 3 x 2 m 250,000.00 1,750,000.00 44603
Gizi 4 Baliho uk 2 x 1 m 105,000.00 420,000.00 44627
Imunisasi 3 Baliho uk 2 x 2 m 205,000.00 615,000.00 44634

admen 2 Baliho uk 2 x 2,5 m 200,000.00 400,000.00 44634
Koordinator kerja 10 Lampu 60,000.00 600,000.00 44635

- -
- -
0 0 0 - - 0
0 0 0 - - 0
0 0 0 - - 0
0 0 0 - - 0
0 0 0 - - 0

( Yasinta Rhero )
NIP. 19890120 201705 2 001
LAPORAN MUTASI BARANG INVENTARIS
KABUPATEN ENDE
PERIODE : JANUARI s/d Juni 2022
SKPD : NANGAPANDA
KOTA : ENDE KODE LOKASI :
PROVINSI : NUSA TENGGARA TIMUR
NOMOR SPESIFIKASI BARANG Kondisi Jumlah (Awal) Mutasi/Perubahan Jumlah (Akhir)

Asal/Cara Tahun Ukuran
Kode No. Sertifikat Satua Bangun Berkurang Bertambah
No. Registe Merk/ Perolehan Beli/Pe Barang/Konst Baran Baran Ket
Baran Nama/Jenis Barang No. Pabrik Bahan n an (B, Harga Jumlah Jumlah Jumlah Jumlah Harga
Urut r Type Barang rolehan ruksi (P,SP,D) g g
g No. Chasis/Mesin KB, RB) Barang Harga Barang Harga
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
1 AC PAN 12nfs5eoe Panasonic SN : 24611512939 Plastik, Pembelian 2022 1½ PK buah Baik 0 0 0 0 2 6,500,000 2 13,000,000
CS-YN12WKJ tembaga,
ACXF00-69270 aluminium
2 AC PAN 09wcphx5 Panasonic SN : 245121146321 Plastik, Pembelian 2022 1 PK buah Baik 0 0 0 0 1 5,500,000 1 5,500,000
CS-YN12WKJ tembaga,
ACF02-58590 aluminium
3 Ternadowallfan 20' fke Regency SNI: 7609: 2011 Besi, Pembelian 2022 695 x 585 x 200 buah Baik 0 0 0 0 2 800,000 2 1,600,000
NPB 1-113-027-200520-5 aluminum, D; 51 CM (20")
P.12.H153.04201.1212 plastik
4 Wallfan Masp ukhse Maspion SN : 8990011108340 Plastik, Pembelian 2022 400mm(16") buah Baik 0 0 0 0 6 650,000 6 3,900,000
MWF-41K besi,
03/13,17,MG,IX,2004 aluminium
TOTAL 24,000,000
Mengetahui : Ende, 30 Juni 2022
KEPALA PUSKESMAS NANGAPANDA Pengurus Barang Pembantu
Ayu Puspita, AMK Yasinta Rhero Amd.Keb

NIP. 19821808 200604 2 030 NIP. 19890120 201705 2 00 1
LAPORAN MUTASI BARANG PAKAI HABIS
KABUPATEN ENDE
Periode : JANUARI s/d JUNI 2022
SKPD : NANGAPANDA
Kabupaten : ENDE
Provinsi : NUSA TENGGARA TIMUR
SO AWAL Bulan MUTASI BULAN JANUARI S/D JUNI 2022 SALDO AKHIR BULAN JUNI 2022
NO NAMA BARANG JANUARI 2022 Tambah Digunakan Harga Beli Keterangan
unit/bh/set Jumlah
(Unit/bh/set) (unit/bh/set) (unit/bh/set) Terakhir (Rp)
1 2 3 4 5 6=(3+4)-5 7 8=6x7 9
I OBAT-OBATAN / VAKSIN
PERSEDIAAN BAHAN OBAT-OBATAN
1 Amoxsilin Srp 100 btl 0 btl 0 btl 100 btl 3,000 300,000
2 Amlodipin 1000 Tab 0 Tab 0 Tab 1,000 Tab 118 118,000
3 Aquadest 8 btl 0 btl 0 btl 8 btl 25,000 200,000
4 Blood Lancet 60 ktk 0 ktk 0 ktk 60 ktk 18,900 1,134,000
5 Captropil 1400 Tab 0 Tab 0 Tab 1,400 Tab 200 280,000
6 Foley Chateter no 16 36 pcs 0 pcs 0 pcs 36 pcs 17,000 612,000
7 Foley Chateter no 18 25 pcs 0 pcs 0 pcs 25 pcs 15,000 375,000
8 Gentamicyn Inj 20 Amp 0 Amp 0 Amp 20 Amp 7,000 140,000
9 Gelang Bayi Merah 1500 pcs 0 pcs 0 pcs 1,500 pcs 2,600 3,900,000
10 Gelang Bayi Biru 1500 pcs 0 pcs 0 pcs 1,500 pcs 2,600 3,900,000
11 Gliseril Gual Kolat 1000 Tab 0 Tab 0 Tab 1,000 Tab 180 180,000
12 Handschoen Steril No. 7 1150 pcs 0 pcs 0 pcs 1,150 pcs 7,000 8,050,000
13 Handschoen Steril No. 7 104 pcs 0 pcs 104 pcs 5,000 520,000
14 Handschoen Steril No. 7,5 500 pcs 0 pcs 0 pcs 500 pcs 7,000 3,500,000
15 Handson non steril M 5610 pcs 0 pcs 0 pcs 5,610 pcs 3,000 16,830,000
16 Handscoon Non Steril L 200 pcs 0 pcs 0 pcs 200 pcs 1,995 399,000
17 Kasa Hidrofil 4 x 5 200 Roll 0 Roll 0 Roll 200 Roll 1,200 240,000
18 Kasa Hidrofil 4 x 15 300 Roll 0 Roll 0 Roll 300 Roll 3,500 1,050,000
19 Kasa Hidrofil 40 x 80 cm 27 Roll 0 Roll 0 Roll 27 Roll 280,000 7,560,000
20 Masker 3,500 pcs 0 pcs 0 pcs 3,500 pcs 5,000 17,500,000
21 NaCL 40 btl 0 btl 0 btl 40 btl 15,000 600,000
22 Omeprazol Kps 192 kaps 0 kaps 0 kaps 192 kaps 200 38,400
23 Parasetamol Srp 100 btl 0 btl 0 btl 100 btl 6,000 600,000
24 Ranitidin Inj 15 Amp 0 Amp 0 Amp 15 Amp 2,000 30,000
25 RL 70 btl 0 btl 0 btl 70 btl 15,000 1,050,000
26 RL 5 btl 0 btl 5 btl 20,000 100,000
27 Spuit 10 cc 10 pcs 0 pcs 0 pcs 10 pcs 1,500 15,000
28 Spuit 3 cc 850 pcs 0 pcs 0 pcs 850 pcs 2,000 1,700,000
32 Tes Kehamilan 300 pcs 0 pcs 0 pcs 300 pcs 5,000 1,500,000
33 Underpad 300 pcs 0 pcs 0 pcs 300 pcs 12,000 3,600,000
34 Ventolin Nebu 78 Amp 0 Amp 0 Amp 78 Amp 11,000 858,000
II BAHAN
BAHAN BAKU BANGUNAN
Semen 0 150 sak 150 sak 0 sak 58,000.00 0
Kerikil 0 71 m3 71 m3 0 m3 400,000.00 0
Tanah Timbun 0 132 m3 132 m3 0 m3 80,000.00 0
Pasir kursa 0 100 ton 100 ton 0 ton 100,000.00 0
Besi Beton 0 13 btg 13 btg 0 btg 136,000.00 0
Batako 0 500 bh 500 bh 0 bh 5,000.00 0
Batu Kali 0 25 m3 25 m3 0 m3 100,000 0
PIPA BAJA
Pipa baja 3 dim 0 1 btg 1 btg 0 btg 822,000 0
BBM
Bio solar 0 232.910 ltr 232.910 ltr 0 ltr 5,150 0
Solar 0 228.6 ltr 228.6 ltr 0 ltr 7,000 0
Oli Mesin 0 12.0 ltr 12.0 ltr 0 ltr 80,000 0
oli Transmisi 0 12.0 ltr 12.0 ltr 0 ltr 80,000 0
BAHAN KIMIA
Isi Oksigen 0 26 tong 26 tong 0 tong 250,000 0
ALAT DAN BAHAN UNTUK

KEGIATAN KANTOR
Meterai 10.000 0 111 lbr 111 lbr 0 lbr 12,000 0
BAHAN KOMPUTER
cartridge Hitam 0 15 bh 15 bh 0 bh 335,000 0
cartridge Warna 0 15 bh 15 bh 0 bh 400,000 0
Baliho uk 2 x 1 m 0 7 bh 7 bh 0 bh 105,000 0
Baliho uk 2 x 2,5 m 0 2 bh 2 bh 0 bh 200,000 0
JUMLAH 78,679,400
Kepala Puskesmas Nangapanda Pengurus Barang Pembantu
( Ayu Puspita, AMK ) ( Yasinta Rhero Amd.Keb )

NIP. 19821808 200604 2 030 NIP. 19890120 201705 2 00 1
PEMERINTAH KABUPATEN ENDE
Alamat : JL. JURUSAN ENDE - BAJAWA
BERITA ACARA OPNAME FISIK (STOCK OPNAME) PERSEDIAAN

Per 30 JUNI 2022
Pada hari ini Kamis tanggal Tiga Puluh bulan Juni tahun Dua Ribu Dua Puluh Dua, kami yang bertanda tangan di bawah ini :
1. Nama : : Ayu Puspita, AMK

Jabatan : : Kepala Puskesmas Nangapanda
NIP : : 19821808 200604 2 030
2. Nama : : Yasinta Rhero

Jabatan : : Pengurus Barang Pembantu
NIP : : 19890120 201705 2 001
Menyatakan bahwa telah melakukan Stock Opname barang persediaan per tanggal 30 Juni 2022 dengan hasil sebagai berikut :
HARGA TOTAL KONDISI

NO JENIS PERSEDIAAN MERK JUMLAH KETERANGAN
SATUAN HARGA B RR RB
1 2 3 4 5 6 7 8 9 10
1 Belanja Bahan
* 0 0 0
2 Belanja Suku Cadang
* 0 0 0
3 Belanja Alat dan Bahan Untuk Kegiatan Kantor
* 0 0 0
4 Belanja Obat
Amoxsilin Srp Mersi 100 3,000 300000 v
Amlodipin Sejahtera Lestari 1,000 118 118000 v
Aquadest One Lab 8 25,000 200000 v
Blood Lancet 60 18,900 1134000 v
Captropil Errita Farma 1,400 200 280000 v
Foley Chateter no 16 Gea 36 17,000 612000 v
Foley Chateter no 18 Gea 25 15,000 375000 v
Gentamicyn Inj Indofarma 20 7,000 140000 v
Gelang Bayi Merah Resowrcos 1,500 2,600 3900000 v
Gelang Bayi Biru Resowrcos 1,500 2,600 3900000 v
Gliseril Gual Kolat Triman Farma 1,000 180 180000 v
Handschoen Steril No. 7 Altamed 1,150 7,000 8050000 v
Handschoen Steril No. 7 AltaMed 104 5,000 520000 v
Handschoen Steril No. 7,5 Maxter 500 7,000 3500000 v
Handson non steril M Shamrock 5,610 3,000 16830000 v
Handscoon Non Steril L Shamrock 200 1,995 399000 v
Kasa Hidrofil 4 x 5 One med 200 1,200 240000 v
Kasa Hidrofil 4 x 15 One med 300 3,500 1050000 v
Kasa Hidrofil 40 x 80 cm Cuplik 27 280,000 7560000 v
Masker OneCare 3,500 5,000 17500000 v
NaCL Otsuka 40 15,000 600000 v
Omeprazol Kps Novapharin 192 200 38400 v
Parasetamol Srp Afi Farma 100 6,000 600000 v
Ranitidin Inj Phapros 15 2,000 30000 v
RL Otsuka 70 15,000 1050000 v
RL Otsu 5 20,000 100000 v
Spuit 10 cc Syringe 10 1,500 15000 v
HARGA TOTAL KONDISI
NO JENIS PERSEDIAAN MERK JUMLAH KETERANGAN
SATUAN HARGA B RR RB
1 2 3 4 5 6 7 8 9 10
Spuit 3 cc One med 850 2,000 1700000 v

Spuit 3 cc One Med 300 1,300 390000 v
Spuit 5 cc One med 100 5,000 500000 v
Spuit 20 cc Syringe 130 7,000 910000 v
Tes Kehamilan One med 300 5,000 1500000 v
Underpad Sensipad 300 12,000 3600000 v
Ventolin Nebu Ventolin Nebules 78 11,000 858000 v
*
Jumlah 78,679,400
Demikian Berita Acara Stock Opname Persediaan ini dibuat untuk dipergunakan sebagaimana mestinya
Kepala Puskesmas Nangapanda Pengurus Barang Pembantu

Puskesmas Nangapanda
( Ayu Puspita, AMK ) ( Yasinta Rhero Amd.Keb )

NIP. 19821808 200604 2 030 NIP. 19890120 201705 2 00 1
PEMERINTAH KABUPATEN ENDE
DINAS KESEHATAN
JL. Jurusan Ende - Bajawa, Hotline : 081237433758
Email : puskesmasnangapanda21@gmail.com
BERITA ACARA REKONSILIASI BARANG MILIK DAERAH DAN KEUANGAN

DANA KAPITASI SEMESTER I PUSKESMAS NANGAPANDA
PER 30 JUNI 2022
Pada hari ini Selasa tanggal Dua Belas bulan Juli Tahun Dua Ribu Dua Puluh Dua, bertempat di Ruangan Aset Dinas Kesehatan Kabupaten
Ende, kami yang bertanda tangan di bawah ini :
I. Nama : : Maria Yosefina Maru, AMd.Kes

NIP : : 19720702 199203 2 009
Jabatan : : Pengurus Barang Pengguna Dinas Kesehatan Kab. Ende
II. Nama : : Yasinta Rhero Amd.Keb

NIP : : 19890120 201705 2 00 1
Jabatan : : Pengurus Barang Pembantu Puskesmas Nangapanda
dengan ini menyatakan dalam rangka penyusunan Laporan Keuangan dan Laporan Barang Milik Daerah pada Puskesmas Nangapanda Tahun
Anggaran 2022 Per 30 Juni telah melaksanakan rekonsialiasi data aset tetap menurut KIB dan Neraca serta data milik daerah lainya pada
Puskesmas Nangapanda per 30 Juni 2022, dengan hasil sebagai berikut:
Saldo Awal Jumlah Mutasi Jumlah Mutasi Saldo Akhir

No. Kategori Januari 30 Juni
2022 Tambah (+) Kurang (- ) 2022
1 2 3 4 5 6=3+4-5
A. ASET LANCAR
1. Persediaan
Bahan
BBM Gas/Pelumas - 2,310,000.00 2,310,000.00 -
Bahan Contoh -
Bahan Baku Bangunan - 64,428,000.00 64,428,000.00 -
Pemeliharaan Gedung Kantor -
Bahan Kimia -
Isi Tabung Oksigen - 6,500,000.00 6,500,000.00 -
Alat/Bahan Untuk Kegiatan Kantor -
Alat Tulis Kantor -
Kertas dan Cover -
Bahan Komputer - 11,025,000.00 11,025,000.00 -
Alat Listrik dan Elektronik - 600,000.00 600,000.00 -
Benda Pos - 1,192,000.00 1,192,000.00 -
Perlengkapan Dinas -
Perabot Kantor -
Alat dan Bahan Untuk Kegiatan Kantor Lainnya - 8,000,000.00 8,000,000.00
Peralatan dan Kegiatan Kantor Lainnya -
Obat-Obatan -
Obat 77,669,400.00 Rp 1,010,000 78,679,400.00
Obat Lainnya -
JUMLAH ASET LANCAR Rp 77,669,400 Rp 95,065,000 Rp 94,055,000 78,679,400.00
B. ASET TETAP
1. Tanah
Tanah
2. Peralatan dan Mesin
Alat Besar
Alat -alat Angkutan
Alat -alat Bengkel Dan Alat Ukur
Alat -alat Pertanian
Alat -alat Kantor dan Rumah Tangga
Alat Studio dan Alat Komunikasi dan Pemancar
Alat -alat Kedokteran dan Kesehatan -
Alat -alat Laboratorium
Alat - alat Persenjataan
Alat Pendingin - 24,000,000.00 - 24,000,000.00
Komputer
Alat Eksplorasi
A. Pengeboran
Alat Produksi, Pengolahan dan Pemurnian
Alat Bantu Eksplorasi
Alat Keselamatan Kerja
Alat Peraga
Peralatan Proses/ Produksi
Rambu-Rambu
Peralatan Olah Raga
3. Gedung dan Bangunan
Bangunan Gedung
Bangunan Monumen
Bangunan Menara
Tugu Titik Kontrol/ Pasti
4. Jalan, Irigasi dan Jaringan
Jalan dan Jembatan
Bangunan Air/Irigasi
Instalasi
Jaringan
5. Aset Tetap Lainnya
Buku dan Kepustakaan
Barang Bercorak Seni, Kebudayaan/ Olah Raga
Hewan
Biodata Perairan
Tanaman
Barang Koleksi Non Kebudayaan
Aset Tetap Dalam Renovasi
6. Konstruksi dalam Pengerjaan
Konstruksi Dalam Pengerjaan
JUMLAH ASET TETAP (tanpa penyusutan) 24,000,000.00 - 24,000,000.00
C. ASET LAINNYA
1 Kemitraan dengan Pihak Ketiga
Kemitraan dengan Pihak Ketiga
2 Aset Tak Berwujud
Aset Tak Berwujud
3 Aset Lain-lain
Aset Lain-lain
JUMLAH ASET LAINNYA
D. EKSTRAKOMPTABEL
1. Ekstrakomptabel
Ekstrakomptabel
JUMLAH EKSTRAKOMPTABEL
JUMLAH BARANG MILIK DAEARH ( B tanpa
E. 24,000,000.00 24,000,000.00
penyusutan + C+D)
Demikian Berita Acara ini dibuat untuk dipergunakan sebagaimana mestinya, dan apabila di kemudian hari terdapat kekeliruan akan dilakukan
perbaikan sebagaimana mestinya.
ENDE , 12 Juli 2022
1. Maria Yosefina Maru, A.Md.Kes Pengurus Barang Pengguna
2. Yasinta Rhero Amd.Keb Pengurus Barang Pembantu
Mengetahui:
KEPALA PUSKESMAS NANGAPANDA
Ayu Puspita, AMK

NIP. 19821808 200604 2 030

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BUKU PENERIMAAN BARANG

Nota Pesanan / SPK

Kepala Puskesmas Nangapanda

( Ayu Puspita, AMK )

Bukti Pemeriksaan Bukti Penerimaan

Ende, 31 Maret 2022 Mengetahui :

Pengurus Barang Pembantu Kepala Puskesmas Nangapanda

( Yasinta Rhero Amd.Keb ) ( Ayu Puspita, AMK )

Surat Penyerahan PENERIMAAN

Ende, 31 Maret 2022 Mengetahui :

Pengurus Barang Pengguna Kepala Puskesmas Nangapanda

( Yasinta Rhero Amd.Keb ) ( Ayu Puspita, AMK )

NERIMAAN PENGELUARAN PENERIMAAN

Ende, 31 Maret 2022 Mengetahui :

Pengurus Barang Pengguna Pejabat Penatausahaan Pengguna Barang

( Yasinta Rhero Amd.Keb ) ( Ayu Puspita, AMK )

Ende, 31 Maret 2022 Mengetahui :

Pengurus Barang Pengguna Kepala Puskesmas Nangapanda

( Yasinta Rhero Amd.Keb ) ( Ayu Puspita, AMK )

Ende, 31 Maret 2022

Pengurus Barang Pengguna

( Yasinta Rhero Amd.Keb )

Kepala Puskesmas Nangapanda

( Ayu Puspita, AMK )

Ende, 31 Maret 2022

Pengurus Barang Pengguna

( Yasinta Rhero Amd.Keb )

Nota Pesanan / SPK

2 25-May-22 Ibrahim 136/NP/AST/P.NGP/V/2022 25-May-22 Batako 2022 300.0 bh

3 25-May-22 Muhamad Yasir 140/NP/AST/P.NGP/V/2022 25-May-22 Batu Kali 2022 15.0 m3

4 3-Jun-22 Ibrahim 144/NP/AST/P.NGP/VI/2022 3-Jun-22 Batako 2022 200.0 bh

5 3-Jun-22 Muhamad Yasir 148/NP/AST/P.NGP/VI/2022 3-Jun-22 Batu Kali 2022 10.0 m3

17 12-Feb-22 Kios Sucia 45/NP/AST/P.NGP/II/202 12-Feb-22 Solar 2022 25.000 ltr

19 21-Feb-22 Kios Sucia 49/NP/AST/P.NGP/II/2022 21-Feb-22 Solar 2022 60.000 ltr

20 28-Mar-22 Kios Sucia 53/NP/AST/P.NGP/III/2022 28-Mar-22 Solar 2022 60.000 ltr

21 4-Mar-22 Kios Sucia 57/NP/AST/P.NGP/III/2022 4-Mar-22 Solar 2022 30.000 ltr

22 7-Mar-22 Kios Sucia 65/NP/AST/P.NGP/III/2022 7-Mar-22 Solar 2022 30.000 ltr

BAHAN BAKAR MINYAK

TOTAL BELANJA BAHAN

ALAT DAN BAHAN UNTUK KEGIATA

METERAI DAN BENDA POS LAINNYA

ALAT DAN BAHAN UNTUK KEGIATAN KANTOR LAINNYA

13 15-Mar-22 Sinar Murni 78/NP/AST/P.NGP/III/2022 15-Mar-22 Lampu Philip 2022 10.0 bh

ALAT LISTRIK DAN ELEKTRONIK

BELANJA ALAT DAN BAHAN UNTUK KEGIATAN KANTOR

BELANJA PERSEDIAAN SEMESTER I

Kepala Puskesmas Nangapanda

Bukti Pemeriksaan Bukti Penerimaan

1,300.00 390,000.00 117/BAP/P.NGP/AST-BOO/IV/2022 6-Apr-22 117/BAST/P.NGP/AST-BOO/IV/2022 6-Apr-22

5,000.00 520,000.00 121/BAP/P.NGP/AST-BOO/IV/2022 9-Apr-22 122/BAST/P.NGP/AST-BOO/IV/2022 9-Apr-22

5,000.00 1,500,000.00 137/BAP/P.NGP/AST-BBB/V/2022 25-May-22 138/BAST/P.NGP/AST-BBB/V/2022 25-May-22

100,000.00 1,500,000.00 141/BAP/P.NGP/AST-BBB/V/2022 25-May-22 142/BAST/P.NGP/AST-BBB/V/2022 25-May-22

5,000.00 1,000,000.00 145/BAP/P.NGP/AST-BBB/VI/2022 3-Jun-22 146/BAST/P.NGP/AST-BBB/VI/2022 3-Jun-22

100,000.00 1,000,000.00 149/BAP/P.NGP/AST-BBB/VI/2022 3-Jun-22 150/BAST/P.NGP/AST-BBB/VI/2022 3-Jun-22

822,000.00 822,000.00 153/BAP/P.NGP/AST-BBB/VI/2022 3-Jun-22 154/BAST/P.NGP/AST-BBB/VI/2022 3-Jun-22

7,000.00 175,000.00 46/BAP/P.NGP/AST-BBM/II/202 12-Feb-22 47/BAST/P.NGP/AST-BBM/II/2022 12-Feb-22

5,150.00 100,000.00 19-Feb-22 19-Feb-22

7,000.00 420,000.00 50/BAP/P.NGP/AST-BBM/II/2022 21-Feb-22 51/BAST/P.NGP/AST-BBM/II/2022 21-Feb-22

7,000.00 420,000.00 54/BAP/P.NGP/AST-BBM/III/2022 28-Mar-22 55/BAST/P.NGP/AST-BBM/III/2022 28-Mar-22

7,000.00 210,000.00 58/BAP/P.NGP/AST-BBM/III/2022 4-Mar-22 59/BAST/P.NGP/AST-BBM/III/2022 4-Mar-22

7,000.00 210,000.00 66/BAP/P.NGP/AST-BBM/III/2022 7-Mar-22 67/BAST/P.NGP/AST-BBM/III/2022 7-Mar-22

80,000.00 480,000.00 109/BAP/P.NGP/AST-BP/IV/2022 1-Apr-22 110/BAST/P.NGP/AST-BP/IV/2022 1-Apr-22

80,000.00 480,000.00 113/BAP/P.NGP/AST-BP/IV/2022 2-Apr-22 114/BAST/P.NGP/AST-BP/IV/2022 2-Apr-22