PEMBELIAN BARANG MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN JANUARI 2019

Jumlah
No Nama Fixed Asset MERK/TYPE Nilai Awal Total Lokasi
Barang
1 USG 1 1,034,230,000 1,034,230,000 Radiologi

PEMBELIAN BARANG NON MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN JANUARI 2019

Jumlah
No Nama Fixed Asset MERK/TYPE Nilai Awal Total Lokasi
Barang
- - - - - -

PEMBELIAN BARANG MEDIS DI BAWAH 20JT (AKTIVA TETAP) BULAN JANUARI 2019

JML HARGA HARGA

NO. NAMA BARANG MERK/TYPE PEMAKAI
BARANG SATUAN BARANG
1 Cito Ject Mindray 1 1,090,909 1,090,909 P.Gigi
2 Straight Bor Mindray 1 1,090,909 1,090,909 P.Gigi

PEMBELIAN BARANG NON MEDIS DI BAWAH 20JT (AKTIVA TETAP) BULAN JANUARI 2019

Jumlah
No Nama Fixed Asset MERK/TYPE Nilai Awal Total Lokasi
Barang

1 Komputer AZUZ 2 6,750,000 13,500,000 Kamtib,PPI

2 Lemari Besi Informa 1 4,800,000 4,800,000 IGD
3 Meja Repsionis 1 5,000,000 5,000,000 Arofah
4 Water Heater Ariston 2 2,275,000 4,550,000 Arofah,Tan'im
5 Rak Besi/ Filling Kabinet Informa 2 1,899,000 3,798,000 SDM
6 TV Led Sony 32 Inc 1 2,600,000 2,600,000 Farmasi BPJS
7 Printer Epson L-120 1 1,475,000 1,475,000 Kamtib
8 TV Led Sony 24 Inc 1 1,525,000 1,525,000 P.Gigi
9 Kipas Angin Mitsubisih 1 825,000 825,000 HD
10 Kipas Angin Mistubisih 1 425,000 425,000 TPPRJ
11 Kipas Angin Mistubisih 2 425,000 850,000 Farmasi BPJS
12 Ex House KDK 1 350,000 350,000 IGD
13 Magikcom Sanken 1 500,000 500,000 Gizi
14 Kursi Lipat Chitos 2 290,000 580,000 Farmasi BPJS
15 Kursi Putar Hitam Tangan 3 360,000 1,080,000 Far.BPJS-2,Radiologi-1
16 Kursi Putar Tanpa Tangan 2 320,000 640,000 Sekdir
17 Kursi Besi Hijau Sterling 2 170,000 340,000 FarmasiBPJS-1,SIM-1
18 Kursi Besi Hijau susun 100 165,000 16,500,000 RJ Graha-30,P.Inte-5
RJ G.Lama-60,Shofa-10
 PEMBELIAN BARANG MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN FEBRUARI 2019

No Nama Fixed Asset MERK/TYPE Jumlah Nilai Awal Total Lokasi

Barang
- - - - - -

PEMBELIAN BARANG NON MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN FEBRUARI 2019

Jumlah
No Nama Fixed Asset MERK/TYPE Nilai Awal Total Lokasi
Barang
- - - - - -

PEMBELIAN BARANG MEDIS DI BAWAH 20JT (AKTIVA TETAP) BULAN FEBRUARI 2019

JML HARGA HARGA

NO. NAMA BARANG MERK/TYPE PEMAKAI
BARANG SATUAN BARANG
1 Trolly Tindakan Stenlis 4 3,750,000 15,000,000 Fisioterapi
2 Timbangan Bayi Scale 1 1,500,000 1,500,000 Arofah
3 Tensimeter Berdiri Riester 1 3,850,000 3,850,000 P.umum
4 Lampu Tindakan Gea 1 1,700,000 1,700,000 IGD
5 Head Lamp Riester RI Focus 6091 1 6,750,000 6,750,000 IGD
6 Otoscope Riester 1 1,500,000 1,500,000 THT
7 Stetoscope Littman Clasic 1 1,912,500 1,912,500 IGD
8 Cabel Penjepit ECG 1 1,237,000 1,237,000 IGD
9 Cabel ECG Schiller Truscope 1 1,600,000 1,600,000 OK
10 Film Dental 1 6,705,000 6,705,000 Radiologi

13 30,504,500 41,754,500

PEMBELIAN BARANG NON MEDIS DI BAWAH 20JT (AKTIVA TETAP) BULAN FEBRUARI 2019

Jumlah
No Nama Fixed Asset MERK/TYPE Nilai Awal Total Lokasi
Barang

1 AC Daikin 2 PK 1 6,375,000 6,375,000 Muzdalifah -5

2 AC Mitsubishi 1 4,650,000 4,650,000 Shofa -3
3 AC Daikin 1 PK 1 4,125,000 4,125,000 Tppri
4 Lemari Es Sanken 1 2,025,000 2,025,000 P.gigi
5 Dispenser 1 1,450,000 1,450,000 P.gigi
6 Loker Besi 8 Pintu 1 1,850,000 1,850,000 Farmasi U
7 Meja Kerja Kayu 1 1,250,000 1,250,000 Radiologi
8 Meja Kerja Kayu 3 1,500,000 4,500,000 Farmasi BPJS
9 Komputer 2 Unit Azuz 3 6,750,000 20,250,000 TPPRI,Gizi,RT
10 Printer Epson L-120 4 1,475,000 5,900,000 RT-2,Radiologi-1,Gizi-1
11 Printer Epson L-3110 1 2,175,000 2,175,000 Radiologi
12 Wireless Yealink 1 2,519,000 2,519,000 R.Serbaguna Graha
R.Serbaguna G.Lama
13 Mesin Jahit + Meja Juki 1 3,900,000 3,900,000 Kesling
14 Kipas Angin Mitsubishi 1 425,000 425,000 HD
21 40,469,000 61,394,000
 PEMBELIAN BARANG INVENTARIS MEDIS BLN MARET 2019
NO. NAMA BARANG MERK/TYPE JML HARGA
BARANG SATUAN
1 Timbangan Badan Tanita 1 Rp 285,000
Regulator O2 Tabung Lokal 3 Rp 500,000
Tranducer Lokal 1 Rp 7,000,000
Regulator O2 Dinding Lokal 6 Rp 600,000
Oksigen Transport Lokal 1 Rp 1,500,000
Oksigen Transport Lokal 1 Rp 1,500,000
Oksigen Transport Lokal 1 Rp 1,500,000

PEMBELIAN BARANG INVENTARIS NON MEDIS BL MARET 2019

NO. NAMA BARANG MERK/TYPE JML HARGA
BARANG SATUAN
BARANG EXTRAKOMTEBEL :
TV 32 Inc Samsung 1 Rp 2,350,000
TV 32 Inc Sony Bravia 1 Rp 2,600,000
AC 1PK Daikin 1 Rp 3,575,000
Wallfan 16cm Mitsubishi 1 Rp 425,000
Laptop ASUS X505Z 2 Rp 8,125,000
Pemotong kertas Joyko 26x38cm (Folio) 1 Rp 240,000
Pompa Air Galon AMOR 1 Rp 23,000
Dispenser Sabun Lokal 1 Rp 80,000
Kursi Hitam Besi P-101 Sterling Ose 1 Rp 275,000
Kursi Hijau KS-01 Sterling Ose 3 Rp 165,000
Kursi Bakso Olymplast 5 Rp 40,000
Kursi Bakso Olymplast 20 Rp 40,000
Kursi Bakso Olymplast 4 Rp 40,000
Kursi Bakso Olymplast 1 Rp 40,000
Komputer ASUS 2 Rp 6,750,000
keybord ASUS 2
Telepon Yealink 2 Rp 1,100,000
Komputer ASUS 2 Rp 6,750,000
Keybord ASUS 2
Kursi Lipat besi 25 Rp 165,000
HP Xiaomi 6A 1 Rp 1,250,000
Bed Hitam Besi Monro Informa 1 Rp 2,159,100
Kaca Hias Informa 2 Rp 175,000
Jam Dinding Informa 1 Rp 150,000
Jam Dinding Informa 2 Rp 150,000
Jam Dinding Informa 2 Rp 150,000
Meja Kerja Besi Informa 1 Rp 1,799,000
Meja Kerja Besi Informa 4 Rp 1,799,000
Kursi Bakso Besi Informa 1 Rp 729,000
Lemari Besi Kaca Informa 1 Rp 2,399,000
Dispenser Tissu Depo Bangunan 2 Rp 136,318
Timba Super 50 Liter 1 Rp 145,000
Keset handuk 2 Rp 25,000
Kursi Besi Hitam Lokal 12 Rp 275,000
Kursi Hijau KS-01 Sterling Ose 3 Rp 165,000
Tempat Sampah Stailess ACE Hardware 1 Rp 1,216,000
Kursi Putar Hitam Informa 1 Rp 1,750,000
Kursi Besi Hitam Informa 1 Rp 275,000
Kursi Bakso Putih Informa 3 Rp 1,600,000
Sepatu Boot 3
Sarung Tangan Karet 2
Kacamata Google 2
Permonhonan Perabotan Poli Estetika
Telepon Yealink SIP-521PE2 2 Rp 1,100,000
Komputer Asus V 222 VA Core i3 2 Rp 6,750,000
AC Daikin 2 PK 2 Rp 5,775,000
Pipa 8 Rp 75,000
Televisi LED Samsung 32 inc 1 Rp 2,350,000
Monroe Bed Black Chrome 1 Rp 2,159,100
Jam Dinding/ Wall Clock 5 Rp 150,000
Metal Desk 120 Beech White 5 Rp 377,331
70007275 Pedestal Metal Desk 120 White 2 Rp 150,000
70007276 LEG+Back BRD Metal Desk 120 White 5 Rp 744,336
X133804 Travis ST00L Black (F) 1 Rp 729,000
X180213 High Filing Cabined 1 Rp 2,399,000
Tempat Tissu 302 Black 2 Rp 136,318
Spon Wajah 1 Rp 75,000
Cutten Bat 1 Rp 10,000
Gunting Solite 1 Rp 175,000
Keset Handuk 2 Rp 25,000
Cutting Sticker + Pasang 1 Rp 270,000
Poster Dinding 1 Rp 1,300,000
Papan Petunjuk Arah 20X50 cm 1 Rp 225,000
Poli Estetika/Solit Putih+Cutting Acrilyc 1 Rp 250,000
Nama Dokter + 2 Sleding 1 Rp 450,000
Photo Paper AD 1 Rp 150,000
Spanduk 400 X 150 6 Rp 50,000
Slading 12 Rp 15,000
Kabag. Umum

( HJ.Yulia Zahroh, SE )
 HARGA PEMAKAI
BARANG
Rp 285,000 Laboratorium 2.07.01.01.009.035
Rp 1,500,000 IGD
Rp 7,000,000 Fisioterapi
Rp 3,600,000 Mina
Rp 1,500,000 Muzdhalifah
Rp 1,500,000 Multazam
Rp 1,500,000 Arofah

Rp 16,885,000

HARGA PEMAKAI
BARANG

Rp 2,350,000 P. Estetika 2.05.02.06.002.112

Rp 2,600,000 Gizi 2.05.02.06.002.111
Rp 3,575,000 Gizi 2.05.02.04.004.277
Rp 425,000 RR/ICU 2.05.02.04.006.197
Rp 16,250,000 PS Umum 2.12.01.02.002.006 4
Rp 240,000 Sekdir
Rp 23,000 Sekdir 2.05.02.06.064
Rp 80,000 P. Estetika 4.01.03.05.015
Rp 275,000 Humas 2.05.02.01.003.979
Rp 495,000 Muzdalifah 2.05.02.01.003.1063-1068
Rp 200,000 P.Gigi 2.05.02.01.028.615-619
Rp 800,000 P. Penyakit Dalam 2.05.02.01.028.620-639
Rp 160,000 SPI 2.05.02.01.028.640-643
Rp 40,000 SEKDIR 2.05.02.01.028.644
Rp 13,500,000 P. Estetika 2.05.02.04.004.278-279
Rp - P. Estetika 2.12.02.03.003.292-293
Rp 2,200,000 P. Estetika 2.06.02.03.003.243-244
Rp 13,500,000 Keuangan 2.05.02.04.004.280-281
Rp - Keuangan 2.12.02.03.003.294-295
Rp 4,125,000 Diklat 2.05.02.01.003.1069-1093
Rp 1,250,000 Makkah 2.06.02.01.014.020
Rp 2,159,100 P. Estetika
Rp 350,000 P. Gigi
Rp 150,000 P. Gigi 2.05.02.02.003.
Rp 300,000 P. Estetika 2.05.02.02.003.
Rp 300,000 P. Internis 2.05.02.02.003.
Rp 1,799,000 P. Gigi
Rp 7,196,000 P. Internis
Rp 729,000 P. Estetika
Rp 2,399,000 P. Gigi
Rp 272,636 P. Estetika
Rp 145,000 P. Gigi
Rp 50,000 P. Estetika
Rp 3,300,000 Humas 2.05.02.01.003.980-991
Rp 495,000 ICU 2.05.02.01.003.1069-1071
Rp 1,216,000 Muzdalifah 4.01.03.05.004.
Rp 1,750,000 P. Estetika 2.05.02.001.034.209
Rp 275,000 P. Estetika 2.05.02.001.003.992
Rp 4,800,000 P. Estetika 2.05.02.001.039.584-586
Kesling
Kesling
Kesling

Rp 2,200,000
Rp 13,500,000 294
Rp 11,550,000
Rp 600,000
Rp 2,350,000
Rp 2,159,100
Rp 750,000
Rp 1,886,655
Rp 300,000
Rp 3,721,680
Rp 729,000
Rp 2,399,000
Rp 272,636
Rp 75,000
Rp 10,000
Rp 175,000
Rp 50,000
Rp 270,000
Rp 1,300,000
Rp 225,000
Rp 250,000
Rp 450,000
Rp 150,000
Rp 300,000 Rp 45,853,071
Rp 180,000
 Rp 135,626,807
Surabaya, 1 April 2019
Kasi Rumah Tangga

( Hj.Siti Rofiah,SE )
 PEMBELIAN BARANG MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN APRIL 2019

Jumlah
No Nama Fixed Asset MERK/TYPE Nilai Awal Total Lokasi
Barang
- - - - - -

PEMBELIAN BARANG NON MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN APRIL 2019

Jumlah
No Nama Fixed Asset MERK/TYPE Nilai Awal Total Lokasi
Barang
- - - - - -

PEMBELIAN BARANG MEDIS DI BAWAH 20JT (AKTIVA TETAP) BULAN APRIL 2019

JML HARGA HARGA

NO. NAMA BARANG MERK/TYPE PEMAKAI
BARANG SATUAN BARANG

1 Face Silk 1 185,000 185,000 Thaif

2 Bed Transport Hopefull 2 19,800,000 39,600,000 IGD
3 Sphygmomanometer Aneroid Mobile Stand Adult Kenz-BP 542 A 1 3,135,000 3,135,000 IGD
4 Tensi Meter Digital BP A200 1 1,000,000 1,000,000 Shofa Marwah
5 Nebulizer Compresor Inno Spire Elegance Philip 1099973 1 1,000,000 1,000,000 Makkah
6 Nebulizer Compresor Inno Spire Elegance Philip 1099974 1 1,000,000 1,000,000 Madinah
7 Seal Door Gasket 1 3,850,000 3,850,000 CSSD
8 Drassing Cart Lokal 2 2,375,000 4,750,000 P. Gigi
9 Infuso Pump Dewasa 2 1,000,000 2,000,000 OK
10 Breathing Bag Rusch 1,5L 2 750,000 1,500,000 OK
11 Thermometer Digital Omron MC 245 3 75,000 225,000 Zam-zam
12 Thermometer Digital Omron MC 246 2 75,000 150,000 Hijr Ismail
13 Thermometer Non Kuatak Omron MC 720 1 800,000 800,000 Hijr Ismail
14 Regulator O2 Gentle Plus G10 KM-BSST - 10 1 2,750,000 2,750,000 IGD
15 Regulator O2 Dinding Lokal 3 600,000 1,800,000 Thaif
16 TRANDUSER CATANOGA CATANOGA 1 15,000,000 15,000,000 Fisioterapi
17 Face Silk 2 185,000 370,000 Thaif
18 Hepa Filter/Lunacel HC (Frame GL) 6 2,860,000 17,160,000 OK
19 Miracel SH ( Single Header ) 5 605,000 3,025,000 OK
20 O iDOT iP-SET OX6 07-1 (6 Pcs)E/10.00 1 6,705,000 6,705,000 CSSD
SIM
Jumlah 106,005,000 Gizi
Huma

PEMBELIAN BARANG NON MEDIS DI BAWAH 20JT (AKTIVA TETAP) BULAN APRIL 2019

JML HARGA HARGA

NO. NAMA BARANG MERK/TYPE PEMAKAI
BARANG SATUAN BARANG

BARANG EXTRAKOMTEBEL :
1 Tempat Sampah - Kuning 10L 3 132,000 396,000 P. Estetika
2 Tempat Sampah - Abu 10L 3 132,000 396,000 P. Estetika
3 Tempat Sampah - Kuning 10L 3 132,000 396,000 HD
4 Tempat Sampah - Kuning 10L 2 132,000 264,000 IGD
5 Komputer ( 2.12.02.03.001.282 ) ASUS
1 6,875,000 6,875,000 PMKP
6 Monitor ( 2.12.02.03.002.282 ) ASUS
7 Jam Dinding ( 2.05.02.02.003 ) Quartz 1 180,000 180,000 Muzdhalifah
8 Bantal Lutuye 3 52,000 156,000 Makkah
9 Bantal Lutuye 3 52,000 156,000 Madinah
10 Bantal Lutuye 3 52,000 156,000 Hijir Ismail
11 Bantal Lutuye 3 52,000 156,000 Mina
12 Bantal Lutuye 2 52,000 104,000 Estetika
13 Bantal Lutuye 1 52,000 52,000 P. Umum
14 Bantal Lutuye 1 52,000 52,000 Fisioterapi
15 Bantal Lutuye 2 52,000 104,000 IGD
16 Guling Lutuye 3 52,000 156,000 Makkah
17 Guling Lutuye 3 52,000 156,000 Madinah
18 Guling Lutuye 3 52,000 156,000 Hijir Ismail
19 Guling Lutuye 2 52,000 104,000 Mina
20 Kursi Tunggu Besi 2 1,100,000 2,200,000 Hijir Ismail
21 Jam Dinding Mirado 2 180,000 360,000 Fisioterapi
22 Keset 3 180,000 540,000 Fisioterapi
23 Kipas Daikin 5 425,000 2,125,000 Fisioterapi
24 AC Daikin 2 3,250,000 6,500,000 Fisioterapi
25 AC Daikin 2 4,375,000 8,750,000 Fisioterapi
26 AC Daikin 1 5,775,000 5,775,000 Fisioterapi
27 Meja Kayu admin/doktet 2 600,000 1,200,000 Fisioterapi
28 Black Hole Krisbow 2 179,100 358,200 Mina
29 Printer Epson/ L 3110 1 2,150,000 2,150,000 Fisioterapi
30 Lemari 2 2,100,000 4,200,000 Fisioterapi
31 Jam dinding 2 180,000 360,000 Fisioterapi
32 Tempat Tissu 3 110,000 330,000 Fisioterapi
33 Kursi bar bakso 2 160,000 320,000 Fisioterapi
34 Kursi bakso roda 1 275,000 275,000 Fisioterapi
35 Bed Pasien 4 18,400,000 73,600,000 Fisioterapi
36 Kunci Ban Mobil Ace Hardwae 1 308,000 308,000 Kamtib
37 Kaca Hias ( 2.05.02.07.035.080 ) 1 175,000 175,000 Kamtib
38 Kaca Hias ( 2.05.02.07.035.081 ) 1 175,000 175,000 Radiologi
39 PC ASUS S340MC CORE I3 ASUS 1 6,875,000 6,875,000 Jaringan (SIM)
40 Casing Simbada 1 310,000 310,000 Jaringan (SIM)
41 Kabel 1 310,000 310,000 Jaringan (SIM)
42 DDR 3 4 GB Vigen PC 1 375,000 375,000 HUMAS (1)
43 KEYBOARD LOGITECH 2 115,000 230,000 HUMAS (1)
44 MOUSE LOGITECH 2 70,000 140,000 HUMAS (1)
45 Proc Core i3 Tray 2120 2 750,000 1,500,000 Radiologi
46 AC 1,5 PK MITSUBISHI 1 4,375,000 4,375,000 IGD
47 AC 1,5 PK MITSUBISHI 1 4,375,000 4,375,000 Mina
48 HT VEV VEV 5 825,000 4,125,000 Kamtib
49 Almari 1/2 Tinggi Sleding Door B-305 1 2,050,000 2,050,000 Gizi
50 Akrilyc Ukuran 45 x 15 cm 1 250,000 250,000 Binroh
51 Akrilyc Ukuran 45 x 40 cm 1 450,000 450,000 Binroh
52 Petunjuk Arah Ukuran 50 x 20 cm 2 sisi 1 420,000 420,000 Binroh
53 Nama Papan Nama Petugas 7 22,500 157,500 Binroh
54 Akrilyc Ukuran 45 x 15 cm 1 250,000 250,000 Gizi
55 Akrilyc Ukuran 45 x 40 cm 1 450,000 450,000 Gizi
56 Salon TOA 1 650,000 650,000 Radiologi
57 Salon TOA 1 650,000 650,000 IGD
58 Swith 1 100,000 100,000 Radiologi
59 Swith 1 100,000 100,000 IGD
60 Lampu UV Philip 30 W 4 595,000 2,380,000 OK
61 Lampu UV 6 W 1 485,000 485,000 OK
62 Lampu Operasi 24V 50 W Germany 2 985,000 1,970,000 OK

Jumlah 152,693,700
 PEMBELIAN BARANG MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN MEI 2019

Jumlah
No Nama Fixed Asset MERK/TYPE Nilai Awal Total Lokasi
Barang
- - - - - -

PEMBELIAN BARANG NON MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN MEI 2019

Jumlah
No Nama Fixed Asset MERK/TYPE Nilai Awal Total Lokasi
Barang
- - - - - -

PEMBELIAN BARANG MEDIS DIBAWAH 20JT (INVENTARIS) BULAN MEI 2019

Jumlah
No Nama Fixed Asset MERK/TYPE Nilai Awal Total Lokasi
Barang
1 Thermometer Digital Kulkas Thern 10 102,500 1,025,000 Rawat inap (dr.Wiwid)
2 Thermometer Digital Omron MC-245 3 75,000 225,000 Zam Zam
3 Thermometer Digital Omron MC-246 2 75,000 150,000 Hijir Ismail
4 Thermometer Digital Non Kontak Omron MC-720 1 800,000 800,000 Hijir Ismail
5 Flowmeter Wall Biomedic Tabung Kecil ASM-094 3 550,000 1,650,000 Tan'im ( 9/5'19 )
6 Flowmeter Wall Biomedic Tabung Kecil ASM-095 2 550,000 1,100,000 ICU ( 9/5'19 )
7 Flowmeter Wall Biomedic Tabung Kecil ASM-096 3 550,000 1,650,000 IGD ( 9/5'19 )
8 Lead SPO2 Sensor Adult Clip for Max Plus CSS029B 1 1,100,000 1,100,000 Hijir Ismail ( 9/5'19 )
9 O2 Transport ASM-153 1 1,500,000 1,500,000 OK ( 9/5'19 )
10 Stetoscope Dewasa Litman II Classic Ped 1 1,350,000 1,350,000 Shofa ( 9/5'19 )
11 Stetoscope Dewasa Litman II Classic Ped 2 1,350,000 2,700,000 IGD ( 9/5'19 )
Instrumen Trolly Modified Rel Laci
Juson 2 4,950,000 Makkah ( 7/5'19 )
12 Hydraulic 9,900,000
13 Standart infus Kaki 5 Juson 2 1,100,000 2,200,000 Makkah ( 7/5'19 )
Standart infus Kaki 5+Matrees
Juson 2 1,250,000 Makkah ( 7/5'19 )
14 Monitor/Instrumen 2,500,000
15 Instrumen Trolly Standart Juson 1 2,700,000 2,700,000 Madinah ( 9/5'19 )
Instrumen Trolly Modified Rel Laci Juson 1 4,950,000 Madinah ( 9/5'19 )
16 Hydraulic 4,950,000
17 Standart infus Kaki 5 Juson 3 1,100,000 3,300,000 Madinah ( 9/5'19 )
Standart infus Kaki 5+Matrees Juson 3 1,250,000 Madinah ( 9/5'19 )
18 Monitor/Instrumen 3,750,000
19 Telepon Wirelees 1 2,550,000 2,550,000 OK ( 9/5'19 )
20 Telepon Wirelees 1 2,550,000 2,550,000 ICU ( 9/5'19 )
21 Instrument Bak-Smic Ex Thailand 3 229,500 688,500 POLI ESTETIKA
22 Bisturimess No. 11 Aesculap 10 5,500 55,000 POLI ESTETIKA
23 Timer Digital 1 60,500 60,500 POLI ESTETIKA
24 Gunting Bengkok 1/2 10 cm 3 32,000 96,000 POLI ESTETIKA
25 Gunting Angkat Jahitan 1/2 10 cm 3 16,500 49,500 POLI ESTETIKA
26 Medical Oxigen Sensor M-04 1 2,805,000 2,805,000 ICU ( 6/5'19 )
27 Tensimeter/ Aneroid Suzuken (Kenz) / 0 - -
28 Sphygmomanometer BP 540 Wall Mount 2 1,936,000 3,872,000 IGD
29 Tensimeter/ Mobile Aneroid Suzuken (Kenz)/ BP
30 Sphygmomanometer Floor Mobile Stand 1 3,135,000 3,135,000 IGD
31 1 3,135,000 3,135,000 Hijir Ismail
32 Matras Strecher 8 850,000 6,800,000 IGD
33 Standar Infus Kursi roda Juson 2 550,000 1,100,000 MADINAH
34 Standar Infus Kursi roda Juson 3 550,000 1,650,000 Thaif
35 Standar Infus Kursi roda Juson 1 550,000 550,000 Shofa
36 Standar Infus Kursi roda Juson 3 550,000 1,650,000 Arofah
37 Standar Infus Kursi roda Juson 1 550,000 550,000 Tan'im ( 9/5'19 )
38 Standar Infus Kursi roda Juson 1 550,000 550,000 MINA
39 Standar Infus Kursi roda Juson 1 550,000 550,000 Hijir
40 Standar Infus Kursi roda Juson 1 550,000 550,000 Isolasi
41 Standar Infus Kursi roda Juson 3 550,000 1,650,000 IGD
42 Thermometer Kulkas digital Model S-W10 1 102,500 102,500 Makkah
43 Thermometer Kulkas digital Model S-W10 1 102,500 102,500 Madinah
44 Thermometer Kulkas digital Model S-W10 1 102,500 102,500 Thaif ( 20/5'19 )
45 Thermometer Kulkas digital Model S-W10 1 102,500 102,500 Shofa Marwah
46 Thermometer Kulkas digital Model S-W10 1 102,500 102,500 Multazam
47 Thermometer Kulkas digital Model S-W10 1 102,500 102,500 Arofah
48 Thermometer Kulkas digital Model S-W10 1 102,500 102,500 Tan'im ( 18/5'19 )
49 Thermometer Kulkas digital Model S-W10 1 102,500 102,500 Mina
50 Thermometer Kulkas digital Model S-W10 1 102,500 102,500 Hijir Ismail
51 Thermometer Kulkas digital Model S-W10 1 102,500 102,500 Hemodialisa
Bak-SM 156 Ex
52 Instrument Thailand 3 229,500 688,500 Estetika
53 Bisturi Mess No. 11 Aesculap 10 5,500 55,000 Estetika
54 Timer Digital 1 60,500 60,500 Estetika
55 Gunting Bengkok L/L 10 cm Saffa 3 32,000 96,000 Estetika
56 Gunting Angkat Jahitan Saffa 3 16,500 49,500 Estetika

PEMBELIAN BARANG NON MEDIS DIBAWAH 20JT (INVENTARIS) BULAN MEI 2019

JUMLAH
No Nama Fixed Asset MERK/TYPE Nilai Awal TOTAL Lokasi
BARANG
1 AC 1,5 PK Daikin 1 4,850,000 4,850,000 R. Mina
2 AC 1,6 PK Daikin 1 4,850,001 4,850,001 IGD
3 Printer Epson L1300 1 2,100,000 2,100,000 Keuangan
4 Dispenser Miyako 1 195,000 195,000 Gizi
5 Gorden 4 2,985,500 11,942,000 IGD
6 Gorden 16 1,122,194 17,955,104 Fisioterapi
7 WALLPAPER 5 240,000 1,200,000 Gizi
8 WALLPAPER 8 270,000 2,160,000 Fisioterapi
9 SPREI PASIEN 26 144,323 3,752,398 Fisioterapi
10 SARUNG BANTAL 26 54,980 1,429,480 Fisioterapi
11 STIK LAKEN 14 85,219 1,193,066 Fisioterapi
12 STIK LAKEN 12 71,095 853,140 Fisioterapi
13 PERLAK 26 99,533 2,587,858 Fisioterapi
14 SPREI PASIEN 15 256,313 3,844,695 Makkah
15 SARUNG BANTAL PASIEN 15 89,058 1,335,870 Makkah
16 SARUNG GULING PASIEN 15 93,240 1,398,600 Makkah
17 STIK LAKEN 15 162,929 2,443,935 Makkah
18 BED COVER 12 483,501 5,802,012 Makkah
19 SPREI PENUNGGU 12 160,286 1,923,432 Makkah
20 SARUNG BANTAL PENUNGGU 12 55,752 669,024 Makkah
21 SARUNG GULING PENUNGGU 12 62,721 752,652 Makkah
22 SPREI PASIEN 6 144,303 865,818 Madinah
23 SARUNG BANTAL PASIEN 6 54,973 329,838 Madinah
24 SARUNG GULING PASIEN 6 61,844 371,064 Madinah
25 STIK LAKEN 6 71,085 426,510 Madinah
26 BED COVER 6 391,681 2,350,086 Madinah
27 SPREI PENUNGGU 9 158,047 1,422,423 Madinah
28 SARUNG BANTAL PENUNGGU 9 54,973 494,757 Madinah
29 SARUNG GULING PENUNGGU 9 61,844 556,596 Madinah
30 SPREI PASIEN 18 256,313 4,613,634 Muzdhalifah
31 SARUNG BANTAL PASIEN 18 89,058 1,603,044 Muzdhalifah
32 SARUNG GULING PASIEN 18 93,240 1,678,320 Muzdhalifah
33 STIK LAKEN 18 162,929 2,932,722 Muzdhalifah
34 BED COVER 18 483,501 8,703,018 Muzdhalifah
35 SPREI PENUNGGU 18 160,286 2,885,148 Muzdhalifah
36 SARUNG BANTAL PENUNGGU 18 55,752 1,003,536 Muzdhalifah
37 SARUNG GULING PENUNGGU 18 62,721 1,128,978 Muzdhalifah
38 SELIMUT SHOFA COKLAT SUSU 20 85,000 1,700,000 Shofa Marwah
39 PERLAK SHOFA 30 105,000 3,150,000 Shofa Marwah
40 SELIMUT MINA COKLAT SUSU 40 85,000 3,400,000 Mina 6
41 SELIMUT MULTAZAM COKLAT SUSU 4 85,000 340,000 Multazam

Asus/ X5052A-
BR5017 Ryzen 5
Laptop 2500 + Win 1 7,975,000 Farmasi
(SNK10CX11S7690
37
42 7,975,000

Asus/ X441UA
C13-7020U
Laptop 4GB/17B/14'+WIN 1 6,820,000 Farmasi
101
J9NOCV08153369
43 6,820,000
44 Printer Epson/ L 1300 1 5,960,000 5,960,000 PS Umum
Roda hamer Castor central Lock Untuk Juson 1 3,250,000 OK ( 9/5'19 )
45 Stretcher 3,250,000
46 Pengerjaan Meja Valet 1 8,150,000 8,150,000 Kamtib ( 7/5'19 )
47 Lemari Besi Kaca 2 2,180,000 4,360,000 Kabag Umum
48 Lemari Besi Kaca 1 2,180,000 2,180,000 Binroh
49 Lemari Besi Kaca 1 2,180,000 2,180,000 PMKP
50 Meja Komputer 2 850,000 1,700,000 Kabag Umum
51 AC 1,5 PK Mitsubishi 1 4,850,000 4,850,000 Mina 6
52 AC 1,5 PK Mitsubishi 1 4,850,000 4,850,000 IGD
53 Close Rak Pro Heavy Duty 9042 1 13,700,000 13,700,000 SIM
54 Wire Managemen Panel 2u 3 330,000 990,000 SIM
55 Wire Managemen Panel 1u 3 150,000 450,000 SIM
56 Cantilever Shelf IU Depth 350MM 4 270,000 1,080,000 SIM
57 Wallount WR500BS 2 2,500,000 5,000,000 SIM

Asus Aio V22GAK-

WA14IT
Komputer J4005/4GB/1TB/2 1 4,900,000 Sekdir
1,5"
K3PTCJ00H996127
58 4,900,000
59 Printer Epson L3110 1 2,100,000 2,100,000 Sekdir
60 AC 1,5 PK ( Proyek ) 31/5'19 Daikin 4 6,075,000 24,300,000 Muzdhalifah

NB ASUS A407UF
CI5-8050U
4GB/1TB/14" +
Laptop 1 8,700,000 SIM
WIN
(K1N0GR04T2190
34)
61 8,700,000

NB ASUS A407UF
CI5-8050U
4GB/1TB/14" +
Laptop 1 8,700,000 SIM
WIN
(K1N0GR04X9470
3B)
62 8,700,000
 EXT HDD 2TB
SEAGATE BACKUP
Hardisk 1 1,140,000 SIM
SLIM
63 1,140,000
64 Printer EPSON L3110 1 2,100,000 2,100,000 SIM
50 Shofa Marwah
65 Sprei Pasien Esprit/ 190x90x10 115,234 5,761,700
66 Sarung Bantal Pasien Esprit/ 65x45 50 50,703 2,535,150 Shofa Marwah
67 Sarung Guling Pasien Esprit/ 90x35 50 59,922 2,996,100 Shofa Marwah
68 Stik Laken KH Tex/ 170x120 50 69,141 3,457,050 Shofa Marwah
69 HP Xiaomi A6 1 1,275,000 1,275,000 Kendaraan
70 HP Xiaomi A7 1 1,275,001 1,275,001 Humas
71 Lemari Es ( Proyek ) 31/5'19 Sanken 186 CF 5 1,985,000 9,925,000 Muzdhalifah

Multazam
72 Sprei Pasien Esprit/ 195x93x10 50 115,234 5,761,700
73 Sarung Bantal Pasien Esprit/ 65x45 50 50,703 2,535,150 Multazam
74 Sarung Guling Pasien Esprit/ 90x35 15 59,922 898,830 Multazam
75 Stik Laken KH Tex/ 180x120 50 69,141 3,457,050 Multazam
76 Gorden 9 1,284,400 11,559,600 Tan'im
Parcel Lebaran [Beras ( 5 Kg ), Minyak
Gorang 2 Ltr, Gulaku ( 2 Kg ), Teh 154 125,000 ( CS, PS, Taman, Mudin )
77 Dandang] 19,250,000
Kamtib (Polsek
Marjan Boudon 2 235,500
78 471,000 Wonokromo)
79 komputer CPU 6,725,000
ASUS Pro 1 6,725,000 Shofa Marwah
80 Monitor -
81 komputer CPU 6,725,001
ASUS Pro 1 6,725,001 HD
82 Monitor -
 PEMBELIAN BARANG MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN JUNI 2019

Jumlah
No Nama Fixed Asset Nilai Awal Total Lokasi
Barang
- - - - - -

PEMBELIAN BARANG NON MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN JUNI 2019

Jumlah
No Nama Fixed Asset Nilai Awal Total Lokasi
Barang

PEMBELIAN BARANG MEDIS DIBAWAH 20JT (INVENTARIS) BULAN JUNI 2019

Jumlah
No Nama Fixed Asset Nilai Awal Total Lokasi
Barang
Silicon Broathing Lino AdulL 120
1 cm 1 2,500,000 2,500,000 OK
2 Silicon Broathing Bag 1 Lt - OK
3 Pulse Oxymetri Plas Skin Temp. 2 -

PEMBELIAN BARANG NON MEDIS DIBAWAH 20JT (INVENTARIS) BULAN JUNI 2019

No Nama Fixed Asset Jumlah Nilai Awal Total Lokasi

Barang
1 AC 2 PK Daikin 2 Rp 5,775,000 11,550,000 Verifikasi
2 PIPA AC 5 Rp 75,000 375,000 Verifikasi
3 Komputer Asus 2 Rp 6,775,000 13,550,000 Rekam Medis
4 PCDEK STO PC DEK STOP 2
5 Komputer 1 Rp 6,825,000 6,825,000 IGD
6 Kursi Susun KS-01 Oscar Hijau 20 Rp 165,000 3,300,000 10 Mina & 10 Raja
7 Timbangan Digital 1056 1 Rp 400,000 400,000 Radiologi
8 Bracket ABS BH 70 Rp 17,600 1,232,000
9 Bracket Bed Pasien Nylon Onemed 24 Rp 34,100 818,400
10 Komputer Bill Up 2 Rp 6,750,000 13,500,000 HD & Shofa Marwah 12/6'19
11 Komputer Asus 2 Rp 6,775,000 13,550,000 MR
12 Komputer Bill Up 1 Rp 6,825,000 6,825,000 IGD
13 Komputer Asus 3 Rp 6,775,000 20,325,000 2 BPJS Verifikasi & 1 MR
14 Meja Kerja 17 Rp 1,310,765 22,283,005 BPJS Verifikasi
15 Printer Epson 2 Rp 2,050,000 4,100,000 BPJS Verifikasi 21/6'19
 PEMBELIAN BARANG MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN JULI 2019

No Nama Fixed Asset Jumlah Barang Nilai Awal Total Lokasi

- - - - - -

PEMBELIAN BARANG NON MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN JULI 2019

No Nama Fixed Asset Jumlah Barang Nilai Awal Total Lokasi

1 1 32,000,000 32,000,000 R. SIM

PEMBELIAN BARANG MEDIS DIBAWAH 20JT (INVENTARIS) BULAN JULI 2019

No Nama Fixed Asset Jumlah Barang Nilai Awal Total Lokasi

1 LOUPE OPTIVISOR-DA-5 1 Rp 2,365,000 2,365,000 ESTETIKA
2 BED PASIEN JUSON 10 Rp 5,250,000 52,500,000 Fisioterapi
3 DRESSING CARD 3 Rp 3,950,000 11,850,000 Fisioterapi
4 PLATE ELECTRODA TENS ADULT 2 Rp 2,700,000 5,400,000 Fisioterapi
5 TENSIMETER ANEROID mobile 1 Rp 3,135,000 3,135,000 MINA
6 TENSIMETER DIGITAL 1 Rp 2,695,000 2,695,000 Mina
7 TENSIMETER ANEROID 2 Rp 1,936,000 3,872,000 Poli Umum
8 TENSIMETER DIGITAL 3 Rp 2,695,000 8,085,000 Poli Umum
9 1/2 KOCHER SS 2 Rp 27,500 55,000 Ponek
10 Gunting Episiotomy 14 cm MP 4 Rp 123,500 494,000 Ponek
11 NALDVOUDER 18 CM 3 Rp 32,000 96,000 Ponek
12 KLAMPECG DEWASA 1 Rp 749,600 749,600 Ponek
13 DRESSING CARD 1 Rp 2,850,000 2,850,000 RADIOLOGI
14 BOTOL SUCTION 2 Lt 3 Rp 1,600,000 4,800,000 R.OK
15 FLOWMETER TABUNG 4 Rp 600,000 2,400,000 STOK RT

PEMBELIAN BARANG NON MEDIS DIBAWAH 20JT (INVENTARIS) BULAN JULI 2019

No Nama Fixed Asset Jumlah Barang Nilai Awal Total Lokasi

1 FOOT STEP/ TRAP BED 1 Rp 785,000 785,000 Arofah
2 PRINTER EPSON 3 Rp 1,450,000 4,350,000 BPJS
PEMBELIAN AKSESORIS BARANG MEDIS
1
3 (MODIF AUTOCLAVE CSSD) Rp 5,000,000 5,000,000 CSSD
4 PRINTER EPSON 1 Rp 1,450,000 1,450,000 DIKLAT
5 SCANNER 1 Rp 4,800,000 4,800,000 DIKLAT
6 KOMPUTER ASUS 1 Rp 6,750,000 6,750,000 DIKLAT
7 SCANNER 1 Rp 4,800,000 4,800,000 Diklat
8 FOOT STEP/ TRAP BED 1 Rp 785,000 785,000 Hijr Ismail
9 PRINTER EPSON 1 Rp 2,050,000 2,050,000 HUMAS
10 GORDEN & REL 31 Rp 271,585 8,419,135 ICU
11 FOOT STEP/ TRAP BED 1 Rp 785,000 785,000 IGD
12 KOMPUTER AIO ASUS 1 Rp 6,750,000 6,750,000 Kanit R. Inap
13 PRINTER EPSON 3 Rp 2,090,000 6,270,000 Kanit R. Inap
14 KOMPUTER AIO ASUS 1 Rp 6,750,000 6,750,000 Kasi Diklat Keperawatan
15 HP REALME C2 3 GB 1 Rp 1,660,000 1,660,000 Keuangan
16 KOMPUTER BILLUP LENOVO 1 Rp 6,650,000 6,650,000 KEUANGAN
17 KOMPUTER CPU LENOVO M7 10E 1 Rp 6,650,000 6,650,000 Keuangan
18 FOOT STEP/ TRAP BED 1 Rp 785,000 785,000 Madinah
19 FOOT STEP/ TRAP BED 1 Rp 785,000 785,000 Makkah
20 AC DAIKIN 1PK 1 Rp 3,475,000 3,475,000 Mina
21 BRACKET AC 3 Rp 40,000 120,000 Mina
22 FOOT STEP/ TRAP BED 1 Rp 785,000 785,000 MINA
23 FOOT STEP/ TRAP BED 1 Rp 785,000 785,000 MULTAZAM
24 PRINTER EPSON 5 Rp 1,570,000 7,850,000 PMKP
25 PRINTER EPSON 1 Rp 2,090,000 2,090,000 POLI UMUM
26 SCANNER 2 Rp 4,800,000 9,600,000 POLI UMUM
27 KOMPUTER ASUS 1 Rp 6,750,000 6,750,000 Rawat Jalan
28 SCANNER 2 Rp 4,800,000 9,600,000 Rawat Jalan
29 TROLLEY STAINLESS BESAR 1 Rp 2,950,000 2,950,000 Rumah Tangga
30 TROLLEY STAINLESS KECIL 1 Rp 2,550,000 2,550,000 Rumah Tangga
31 FOOT STEP/ TRAP BED 1 Rp 785,000 785,000 SHOFA MARWAH
32 AC DAIKIN 1PK 1 Rp 3,475,000 3,475,000 SIM
33 IP CAMERA INDOOR 8 Rp 670,900 5,367,200 SIM
34 IP CAMERA OUTDOOR 1 Rp 649,700 649,700 SIM
35 IP CAMERA PTZ 1 Rp 4,675,600 4,675,600 SIM
36 NVR 1 Rp 1,775,550 1,775,550 SIM
37 HARDISK 2 Rp 1,765,300 3,530,600 SIM
38 KOMPUTER BILL UP 1 Rp 8,450,000 8,450,000 SIM
39 MINI PC 2 Rp 6,800,000 13,600,000 SIM
40 SWITCH HUB DLINK 1 Rp 235,000 235,000 SIM
41 FOOT STEP/ TRAP BED 1 Rp 785,000 785,000 Tan'im
42 FOOT STEP/ TRAP BED 1 Rp 785,000 785,000 Thaif
 PEMBELIAN BARANG MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN AGUSTUS 2019

No Efektif Mulai Nama Fixed Asset Jumlah Barang Nilai Awal Total Lokasi
1 8/16/2019 DEFIBILATOR 1 120,000,000 120,000,000.00 R. IGD
2 8/8/2019 PASIEN MONITOR 1 49,906,634 49,906,634.00 R. OPERASI
3 8/8/2019 PASIEN MONITOR PHILIP 1 149,900,000 149,900,000.00 R. ZAM ZAM

PEMBELIAN BARANG NON MEDIS DI BAWAH 20JT (AKTIVA TETAP) BULAN AGUSTUS 2019

No Efektif Mulai Nama Fixed Asset Jumlah Barang Nilai Awal Total Lokasi
1 SERAGAM 1 39,900,000 39,900,000

PEMBELIAN BARANG NON MEDIS DI BAWAH 20JT (AKTIVA TETAP) BULAN AGUSTUS 2019

No Efektif Mulai Nama Fixed Asset Jumlah Barang Nilai Awal Total Lokasi
1 8/9/2019 KURSI KANTOR 1 275,000 275,000 BPJS
2 8/9/2019 KURSI KANTOR 1 275,000 275,000 BPJS
3 8/9/2019 KURSI KANTOR 1 275,000 275,000 BPJS
4 8/9/2019 HARDISK 1 765,000 765,000 BPJS
5 8/26/2019 TV 40 1 4,500,000 4,500,000 HD
6 8/26/2019 TV 40 1 4,500,000 4,500,000 HD
7 8/8/2019 BLOWER 1 755,000 755,000 ISOLASI
8 8/9/2019 BLOWER 1 755,000 755,000 ISOLASI
9 8/8/2019 BRACKET AC 1 50,000 50,000 MINA
10 8/9/2019 RAM DDR3 VGEN 1 250,000 250,000 PMKP
11 8/27/2019 TEMPAT MEMANDIKAN JENAZAH 1 8,500,000 8,500,000 R. BINROH
12 8/16/2019 KULKAS VAKSIN 1 16,000,000 16,000,000 R. FARMASI
13 8/2/2019 TV 1 2,650,000 2,650,000 R. MINA
14 8/2/2019 TV 1 2,650,000 2,650,000 R. MUZDHALIFAH
8/27/2019
PEMBELIAN AKSESORIS BARANG
15 MEDIS 1 3,250,000 3,250,000 R. OK
8/8/2019
TELEPON YEALINK IP DECT BASE
16 STATION W60B 1 900,000 900,000 R. P3 RS
17 8/10/2019 PRINTER EPSON 1 3,925,000 3,925,000 R. RADIOLOGI
8/3/2019
PEMBELIAN AKSESORIS BARANG
18 MEDIS 1 2,650,000 2,650,000 R. RADIOLOGI
19 8/8/2019 BRACKET AC 1 50,000 50,000 R. RM
20 8/13/2019 KOMPUTER SERVER 1 11,250,000 11,250,000 R. SIM
21 8/13/2019 KOMPUTER SERVER 1 11,250,000 11,250,000 R. SIM
22 8/26/2019 KOMPUTER ASUS 1 6,950,000 6,950,000 R. SIM
23 8/26/2019 PRINTER EPSON 1 1,450,000 1,450,000 R. SIM
24 8/27/2019 HARDISK 1 1,000,000 1,000,000 R. SIM
25 8/28/2019 WINDOWS 10 PRO 1 2,700,000 2,700,000 R. SIM
26 8/28/2019 KASPERSKY/ ANTI VIRUS 1 2,150,000 2,150,000 R. SIM
27 8/28/2019 UPS 1 1,000,000 1,000,000 R. SIM
28 8/28/2019 KOMPUTER SERVER 1 13,900,000 13,900,000 R. SIM
29 8/28/2019 PRINTER EPSON 1 1,450,000 1,450,000 R. SIM
30 8/28/2019 PRINTER EPSON 1 1,450,000 1,450,000 R. SIM
31 8/9/2019 AC DAIKIN 1PK 1 3,475,000 3,475,000 R. SIM
32 8/2/2019 TV 1 2,650,000 2,650,000 R. TAN iM
33 8/2/2019 TV 1 2,650,000 2,650,000 R. TAN IM
34 8/2/2019 TV 1 2,650,000 2,650,000 R. TAN IM
35 8/8/2019 BRACKET TV 1 425,000 425,000 R. TAN'IM
36 8/8/2019 BRACKET TV 1 425,000 425,000 R. TAN'IM
37 8/9/2019 BRACKET AC 1 75,000 75,000 R. TAN'IM
38 8/9/2019 BRACKET AC 1 75,000 75,000 R. TAN'IM
39 8/15/2019 KIPAS ANGIN 1 425,000 425,000 R. THAIF ISOLASI
40 8/13/2019 KOMPUTER AIO ASUS 1 6,750,000 6,750,000 Rajal
41 MAKBRO 1 7,903,000 7,903,000
 42 MAKBRO 1 9,750,000 9,750,000
43 MAKBRO 1 4,985,000 4,985,000
44 JAHIT BAJU DALAM 1 2,000,000 2,000,000 R. ZAM-ZAM
45
46 TERUS JAYA ABADI 1 7,636,000 7,636,000 R. BINROH
47 TERUS JAYA ABADI 1 8,812,000 8,812,000 R. THOIF

PEMBELIAN BARANG MEDIS DI BAWAH 20JT (AKTIVA TETAP) BULAN AGUSTUS 2019

No Efektif Mulai Nama Fixed Asset Jumlah Barang Nilai Awal Total Lokasi
8/8/2019
MAGNEHELIC DIFFERENTIAL
1 PRESSURE GAGE 1 4,950,000 4,950,000 CSSD
2 8/19/2019 THERMOMETER KULKAS DIGITAL 1 105,000 105,000 HD
3 8/8/2019 BATERAI ECG 1 3,500,000 3,500,000 IGD
8/8/2019
MAGNEHELIC DIFFERENTIAL
4 PRESSURE GAGE 1 4,950,000 4,950,000 ISOLASI
8/8/2019
MAGNEHELIC DIFFERENTIAL
5 PRESSURE GAGE 1 4,950,000 4,950,000 JEDDAH
8/8/2019
MAGNEHELIC DIFFERENTIAL
6 PRESSURE GAGE 1 4,950,000 4,950,000 JEDDAH
7 8/27/2019 MANSET 1 180,000 180,000 MEKKAH
8 8/16/2019 PHARMACEUTICAL REFRIGERATOR 1 16,000,000 16,000,000 R. FARMASI UMUM
9 8/7/2019 MULTI GYM SET 1 2,946,000 2,946,000 R. FISIOTERAPI
10 8/7/2019 RECUMBENT BIKE 1 3,958,500 3,958,500 R. FISIOTERAPI
11 8/7/2019 TREADMILL MOTORIZED 1 8,758,500 8,758,500 R. FISIOTERAPI
12 8/14/2019 LARYNGOSCOPE MC 1 15,000,000 15,000,000 R. ICU
13 8/19/2019 LARYNGOSCOPE MC 1 15,000,000 15,000,000 R. ICU
14 8/20/2019 KABEL SPO 2 SENSOR 1 1,760,000 1,760,000 R. IGD
15 8/20/2019 INFUSABLE 1 1,800,000 1,800,000 R. IGD
16 8/30/2019 TENSIMETER ANEROID 1 3,500,000 3,500,000 R. IGD
17 8/30/2019 FETAL DOPPLER 1 9,000,000 9,000,000 R. IGD
18 8/13/2019 TENSIMETER DIGITAL 1 2,695,000 2,695,000 R. MULTAZAM
19 8/14/2019 STETOSCOPE ABN 1 400,000 400,000 R. MULTAZAM
20 8/19/2019 STETOSCOPE ABN 1 400,000 400,000 R. MULTAZAM
21 8/19/2019 STETOSCOPE LITMAN CLASSIC III 1 1,850,000 1,850,000 R. MULTAZAM
22 8/14/2019 LARYNGOSCOPE MC 1 15,000,000 15,000,000 R. OK
23 8/14/2019 FETAL DOPPLER 1 9,000,000 9,000,000 R. OK
24 8/8/2019 ROLL STAND 1 7,920,000 7,920,000 R. OPERASI
25 8/19/2019 LARYNGOSCOPE MC 1 15,000,000 15,000,000 R. OPERASI
26 8/13/2019 TENSIMETER DIGITAL 1 2,695,000 2,695,000 R. POLI UMUM
27 8/13/2019 TENSIMETER DIGITAL 1 2,695,000 2,695,000 R. POLI UMUM
28 8/13/2019 TENSIMETER DIGITAL 1 2,695,000 2,695,000 R. POLI UMUM
8/27/2019
TEMP & HUMIDITY METER HTC-2/
29 SUHU RUANGAN 1 170,000 170,000 R. SHOFA
30 8/14/2019 TENSIMETER DIGITAL 1 3,500,000 3,500,000 R. SHOFA MARWAH
31 8/14/2019 TENSIMETER DIGITAL 1 3,500,000 3,500,000 R. SHOFA MARWAH
32 8/30/2019 TENSIMETER ANESROID 1 3,500,000 3,500,000 R. SHOFA MARWAH
33 8/30/2019 TENSIMETER ANESROID 1 3,000,000 3,000,000 R. SHOFA MARWAH
34 8/14/2019 KRAN O2 1 1,100,000 1,100,000 R. ZAM ZAM
35 8/14/2019 KRAN O2 1 1,100,000 1,100,000 R. ZAM ZAM
36 8/14/2019 THERMOMETER DIGITAL OMRON 1 170,000 170,000 R. ZAM ZAM
37 8/14/2019 THERMOMETER DIGITAL OMRON 1 170,000 170,000 R. ZAM ZAM
38 8/19/2019 THERMOS VAKSIN/ DARAH 1 155,000 155,000 R. ZAM ZAM
39 8/8/2019 THERMOMETER DIGITAL OMRON 1 950,000 950,000 R. ZAM-ZAM
40 8/19/2019 THERMOMETER KULKAS DIGITAL 1 105,000 105,000 STOK
8/27/2019
TEMP & HUMIDITY METER HTC-2/
41 SUHU RUANGAN 1 170,000 170,000 STOK

NB. SUMBER TELAAH DAN PERMINTAAN KECIL

 PEMBELIAN BARANG MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN SEPEMBER 2019

No Efektif Mulai Nama Fixed Asset Jumlah Barang Jumlah Total Lokasi
1 9/4/2019 INCUBATOR Rp 137,000,000 1 Rp 137,000,000 R. ZAM-ZAM

PEMBELIAN BARANG NON MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN SEPEMBER 2019

No Efektif Mulai Nama Fixed Asset Satuan Jumlah Total Lokasi

- - - - - - -

PEMBELIAN BARANG MEDIS DI BAWAH 20JT (AKTIVA TETAP) BULAN SEPEMBER 2019

No Efektif Mulai Nama Fixed Asset Satuan Jumlah Total Lokasi

1 9/4/2019 TENSIMETER ANESROID Rp 3,500,000 1 Rp 3,500,000 R. IGD
3 9/5/2019 TENSIMETER DIGITAL Rp 2,695,000 2 Rp 5,390,000 R. SHOFA MARWAH
4 9/17/2019 TENSIMETER ANESROID Rp 3,500,000 1 Rp 3,500,000 R. MAKKAH
5 9/18/2019 TENSIMETER ANESROID Rp 3,800,000 2 Rp 7,600,000 R. THAIF
6 9/18/2019 TENSIMETER ANESROID Rp 3,800,000 2 Rp 7,600,000 R. MADINAH
7 9/18/2019 TENSIMETER DIGITAL Rp 3,300,000 4 Rp 13,200,000 R. MULTAZAM
8 9/18/2019 TENSIMETER DIGITAL Rp 3,300,000 3 Rp 9,900,000 R. THAIF
9 9/18/2019 TENSIMETER DIGITAL Rp 3,300,000 1 Rp 3,300,000 R. MADINAH
10 9/18/2019 TENSIMETER DIGITAL Rp 3,300,000 1 Rp 3,300,000 R. FISIOTERAPI
11 9/18/2019 TENSIMETER DIGITAL Rp 3,300,000 10 Rp 33,000,000 R. POLI UMUM
12 9/18/2019 TENSIMETER DIGITAL Rp 3,300,000 4 Rp 13,200,000 R. TAN`IM
13 9/21/2019 TENSIMETER ANESROID Rp 3,300,000 1 Rp 3,300,000 R. FISIOTERAPI
14 9/21/2019 TENSIMETER ANESROID Rp 3,300,000 1 Rp 3,300,000 R. INTERNE
15 9/21/2019 TENSIMETER ANESROID Rp 3,300,000 1 Rp 3,300,000 R. OBGYN
16 9/21/2019 TENSIMETER ANESROID Rp 3,300,000 1 Rp 3,300,000 R. JANTUNG
17 9/21/2019 TENSIMETER ANESROID Rp 3,300,000 1 Rp 3,300,000 R. ESTETIKA
18 9/21/2019 TENSIMETER ANESROID Rp 3,300,000 1 Rp 3,300,000 R. POLI SYARAF
19 9/21/2019 TENSIMETER ANESROID Rp 3,300,000 1 Rp 3,300,000 R. POLI KIA
20 9/21/2019 TENSIMETER ANESROID Rp 3,300,000 1 Rp 3,300,000 R. POLI ANAK
21 9/21/2019 TENSIMETER ANESROID Rp 3,300,000 1 Rp 3,300,000 R. POLI THT
22 9/21/2019 TENSIMETER ANESROID Rp 3,300,000 1 Rp 3,300,000 R. POLI JIWA
23 9/21/2019 TENSIMETER ANESROID Rp 3,300,000 1 Rp 3,300,000 R. POLI KULIT
24 9/23/2019 TANG CABUT GIGI DEWASA Rp 2,517,500 1 Rp 2,517,500 R. POLGI
Rp 142,307,500

PEMBELIAN BARANG NON MEDIS DI BAWAH 20JT (AKTIVA TETAP) BULAN SEPEMBER 2019

No Efektif Mulai Nama Fixed Asset Satuan Jumlah Total Lokasi

1 9/3/2019 PROFIL TANK STAINLESS/ TANDON AIR Rp 11,850,000 1 Rp 11,850,000 PS UMUM
2 9/7/2019 LEMARI ALUMINIUM KACA Rp 2,950,000 1 Rp 2,950,000 R. MINA
3 9/9/2019 PRINTER EPSON Rp 2,100,000 1 Rp 2,100,000 R. Humas
4 9/9/2019 PRINTER EPSON Rp 2,100,000 1 Rp 2,100,000 Keperawatan
5 9/10/2019 PRINTER EPSON Rp 1,450,000 2 Rp 2,900,000 Kasir Keuangan
6 9/11/2019 LAPTOP Rp 6,350,000 1 Rp 6,350,000 R. HUMAS
7 9/11/2019 KOMPUTER AIO ASUS Rp 6,925,000 1 Rp 6,925,000 R. RADIOLOGI
8 9/11/2019 KOMPUTER BILL UP Rp 6,850,000 1 Rp 6,850,000 R. HUMAS
9 9/12/2019 AC DAIKIN 1/2 PK Rp 3,250,000 1 Rp 3,250,000 R. AROFAH
10 9/12/2019 AC DAIKIN 1PK Rp 3,475,000 1 Rp 3,475,000 R. AROFAH
11 9/23/2019 THERMOS VAKSIN/ DARAH Rp 155,000 1 Rp 155,000 R. THAIF
12 9/23/2019 HARDISK Rp 1,660,000 2 Rp 3,320,000 R. SIM
13 9/23/2019 PRINTER EPSON Rp 2,050,000 2 Rp 4,100,000 R. SIM
14 9/23/2019 RAM DDR3 VGEN Rp 225,000 1 Rp 225,000 R. SIM
15 9/23/2019 RAM DDR3 VGEN PLATINUM Rp 585,000 1 Rp 585,000 R. SIM
Nama Ruang ( 45 x 60 cm ) 450,000 1 Rp 450,000 Purologi
Nama Ruang ( 45 x 15 cm ) 225,000 2 Rp 450,000 Kabag. & Kanit
Slading Nama Dokter ( 36 x 4.8 ) 30,000 1 Rp 30,000 Dr. Enny
Papan Ruang ( 12.5 x 30 cm ) 75,000 1 Rp 75,000 R. Konsultan
16 9/12/2019 Revisi Slading 15,000 16 Rp 240,000
Nama dokter 12.5 x 45 cm 150,000 3 Rp 450,000
Kartu Px Geriatri + Tali Lanyard Kuning 15,000 50 Rp 750,000 Rawat Jalan
Kartu Identifikasi + Tali Lanyard Biru 15,000 40 Rp 600,000 Hemodialisa
Kartu Identifikasi + Tali Lanyard Pink 15,000 30 Rp 450,000 Hemodialisa
Trifold Kanker Serviks 800 1,000 Rp 800,000 Humas
17 9/16/2019
Trifold Senam Hamil 800 1,000 Rp 800,000 Humas
Seragam Ambulan
18 9/17/2019 300,000 4 Rp 1,200,000 IGD
bayu, dadang,yuda, rosi
Akrilik Papan Nama/
19 9/18/2019 500,000 3 Rp 1,500,000 R. Thaif
include ongkos pasang
Roll Banner Geriatri 225,000 2 Rp 450,000 Humas
Spanduk Geriatri/Humas 25,000 6 Rp 150,000 Humas
20 9/24/2019 Spand.Muharrom/Humas 25,000 25 Rp 625,000 Humas
Sticker Geriatri/Humas 5,000 50 Rp 250,000 Humas
K. Senam Hamil/Humas 2,500 52 Rp 130,000 Humas
Tulisan Cutting Stiker Dasar Acrilic 12,000 14 Rp 168,000 mina
Stiker Print.Bontax 1,200 10 Rp 12,000 cssd
Acrilic APAR 200,000 1 Rp 200,000 icu
21 9/24/2019 Acrilic Zona 200,000 1 Rp 200,000 icu
Papan Acrilic PMKP 810,000 1 Rp 810,000 hd
P. Acrilic PMKP 810,000 1 Rp 810,000 arofah
P. Acrilic PMKP 810,000 1 Rp 810,000 icu
Stiker Acrilic Nama perawat 12,000 28 Rp 336,000 makkah
22 9/24/2019
Stiker N.Prwt (Madinah) 6,000 28 Rp 168,000 madinah
Acrilic K.Saran (Humas) 245,000 5 Rp 1,225,000 Humas
23 9/24/2019
Acrilic 2 Susun 8 (Humas) 250,000 5 Rp 1,250,000 humas
Acrilic Cuci Tangan/PPI 40,000 50 Rp 2,000,000 PPI
24 9/25/2019
Stiker A4/ 122 macam 7,500 244 Rp 1,830,000 GIZI,PPI
Rp 76,354,000
 PEMBELIAN BARANG MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN OKTOBER 2019

Jumlah
No Efektif Mulai Nama Fixed Asset Nilai Awal Total Lokasi
Barang
- - - - - - -

PEMBELIAN BARANG NON MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN OKTOBER 2019

Jumlah
No Efektif Mulai Nama Fixed Asset Nilai Awal Total Lokasi
Barang
- - - - - - -

PEMBELIAN BARANG MEDIS DIBAWAH 20JT (INVENTARIS) BULAN OKTOBER 2019

No Efektif Mulai Nama Fixed Asset Jumlah Nilai Awal Total Lokasi
Barang
1 10/10/2019 PINSET DENTAL SS 5 Rp 23,000 Rp 115,000 P. Gigi
2 10/10/2019 NIERBEKEN 20 CM 35 Rp 27,500 Rp 962,500 P. Bedah
3 10/10/2019 KACA MULUT + HANDLE 17 Rp 32,000 Rp 544,000 P. Gigi
4 10/10/2019 THERMOMETER KULKAS DIGITAL 1 Rp 105,000 Rp 105,000 Arofah
5 10/10/2019 THERMOMETER KULKAS DIGITAL 1 Rp 105,000 Rp 105,000 Mina
6 10/10/2019 THERMOMETER KULKAS DIGITAL 1 Rp 105,000 Rp 105,000 Zam-zam
7 10/10/2019 THERMOS VAKSIN/ DARAH 1 Rp 155,000 Rp 155,000 Thaif
8 10/10/2019 TIMBANGAN BAYI DIGITAL 1 Rp 1,100,000 Rp 1,100,000 R. IGD
9 10/10/2019 GUNTING B 1/2 10 CM -MP- 3 Rp 110,000 Rp 330,000 P. Gigi
10 10/10/2019 NIERBEKEN 20 CM MAGNATE 1 Rp 65,700 Rp 65,700 P. Bedah
11 10/10/2019 CUCING STAINLESS 8 CM 2 Rp 42,750 Rp 85,500 P. Bedah
12 10/10/2019 BAK INSTRUMENT SM 156 MAGNATE 2 Rp 49,500 Rp 99,000 P. Bedah
13 10/10/2019 PINSET ANATOMIS 14 CM MP 3 Rp 19,800 Rp 59,400 P. Bedah
14 10/10/2019 THERMOMETER DIGITAL BEURER FT 65 1 Rp 575,000 Rp 575,000 Madinah
15 10/10/2019 THERMOMETER DIGITAL BEURER FT 65 1 Rp 575,000 Rp 575,000 Multazam
16 10/10/2019 THERMOMETER DIGITAL BEURER FT 65 1 Rp 575,000 Rp 575,000 Makkah
17 10/10/2019 THERMOMETER DIGITAL OMRON 3 Rp 100,000 Rp 300,000 IGD
18 10/15/2019 WSD MERK CONSTANT 1 Rp 17,250,000 Rp 17,250,000 R. IGD
19 10/15/2019 STETOSCOPE LITMAN CLASSIC III 1 Rp 2,200,000 Rp 2,200,000 R. RAWAT JALAN
20 10/15/2019 STETOSCOPE LITMAN CLASSIC III 1 Rp 2,200,000 Rp 2,200,000 R. RAWAT JALAN
21 10/15/2019 STETOSCOPE LITMAN CLASSIC III 1 Rp 2,200,000 Rp 2,200,000 Multazam
22 10/15/2019 STETOSCOPE LITMAN CLASSIC III 1 Rp 2,200,000 Rp 2,200,000 IGD
23 10/15/2019 STETOSCOPE LITMAN CLASSIC III 1 Rp 2,200,000 Rp 2,200,000 Stok
24 10/15/2019 TENSIMETER ANESROID 1 Rp 3,300,000 Rp 3,300,000 R. RAWAT JALAN
TEMP & HUMIDITY METER HTC-2/ SUHU
25 10/15/2019 RUANGAN 1 Rp 170,000 Rp 170,000 Makkah
TEMP & HUMIDITY METER HTC-2/ SUHU
26 10/15/2019 RUANGAN 1 Rp 170,000 Rp 170,000 Madinah
27 10/15/2019 Tensimeter Aneroid Mobile 1 Rp 3,800,000 Rp 3,800,000 R. MAKKAH
28 10/15/2019 Tensimeter Aneroid Mobile 1 Rp 3,800,000 Rp 3,800,000 R. MAKKAH
29 10/15/2019 FETAL DOPPLER 1 Rp 1,500,000 Rp 1,500,000 R. HUMAS
TEMP & HUMIDITY METER HTC-2/ SUHU
30 10/18/2019 RUANGAN 1 Rp 170,000 Rp 170,000 Thaif
TEMP & HUMIDITY METER HTC-2/ SUHU
31 10/18/2019 RUANGAN 1 Rp 170,000 Rp 170,000 Jeddah
TEMP & HUMIDITY METER HTC-2/ SUHU
32 10/18/2019 RUANGAN 1 Rp 170,000 Rp 170,000 Mudalifah
33 10/19/2019 DRESSING CARD 1 Rp 2,166,667 Rp 2,166,667 R. SHOFA
34 10/19/2019 DRESSING CARD 1 Rp 2,166,667 Rp 2,166,667 R. THOIF
35 10/19/2019 DRESSING CARD 1 Rp 2,166,667 Rp 2,166,667 R. THOIF
36 10/19/2019 DRESSING CARD 1 Rp 2,166,667 Rp 2,166,667 R. RADIOLOGI
37 10/19/2019 DRESSING CARD 1 Rp 2,166,667 Rp 2,166,667 R. CSSD
38 10/19/2019 DRESSING CARD 1 Rp 2,166,667 Rp 2,166,667 R. TANIM
39 10/22/2019 THERMOMETER KULKAS DIGITAL 1 Rp 105,000 Rp 105,000 Multazam
40 10/22/2019 THERMOMETER KULKAS DIGITAL 1 Rp 105,000 Rp 105,000 Muzdhalifah
41 10/22/2019 THERMOMETER KULKAS DIGITAL 1 Rp 105,000 Rp 105,000 Makkah
42 10/22/2019 THERMOMETER KULKAS DIGITAL 1 Rp 105,000 Rp 105,000 Madinah
43 10/22/2019 THERMOMETER KULKAS DIGITAL 1 Rp 105,000 Rp 105,000 Thaif

44 10/24/2019 LAMPU BACA 2 SLIDE/ FILMVIEWER DOUBLE 1 Rp 3,750,000 Rp 3,750,000 OK

TEMP & HUMIDITY METER HTC-2/ SUHU
45 10/25/2019 RUANGAN 1 Rp 170,000 Rp 170,000 Mina
TEMP & HUMIDITY METER HTC-2/ SUHU
46 10/25/2019 RUANGAN 1 Rp 170,000 Rp 170,000 Multazam
TEMP & HUMIDITY METER HTC-2/ SUHU
47 10/25/2019 RUANGAN 1 Rp 170,000 Rp 170,000 Arofah
48 10/10/2019 SONDE HALFMOON 20 Rp 21,000 Rp 420,000 P. Gigi
49 10/10/2019 ESCAVATOR 20 Rp 21,000 Rp 420,000 P. Gigi
50 10/10/2019 PLASTIK FILLNG -MP- 5 Rp 55,000 Rp 275,000 P. Gigi
51 10/10/2019 PLASTIK FILLNG -MP- 10 Rp 55,000 Rp 550,000 P. Gigi
52 10/10/2019 PLASTIK FILLNG -MP- 5 Rp 55,000 Rp 275,000 P. Gigi
53 10/10/2019 PINSET DENTAL SS 5 Rp 23,000 Rp 115,000 P. Gigi
54 10/10/2019 KACA MULUT + HANDLE 1 Rp 32,000 Rp 32,000 P. Gigi
55 10/10/2019 PINSET DENTAL SS 10 Rp 23,000 Rp 230,000 P. Gigi
Rp 67,458,102

PEMBELIAN BARANG NON MEDIS DIBAWAH 20JT (INVENTARIS) BULAN OKTOBER 2019

No Efektif Mulai Nama Fixed Asset Nilai Awal Lokasi

1 10/10/2019 LEMARI STEEL PLATE 1 Rp 6,200,000 Rp 6,200,000 R. SHOFA
2 10/10/2019 MEJA STAINLESS STEEL 1 Rp 8,500,000 Rp 8,500,000 R.KESLING
3 10/14/2019 PLUG IN DUAL USB 2 Rp 200,000 Rp 400,000 SIM
4 10/15/2019 TROLLEY 2 Rp 1,200,000 Rp 2,400,000 R. MINA
5 10/15/2019 LEMARI B3 1 Rp 7,800,000 Rp 7,800,000 R. FARMASI
6 10/16/2019 CONV. HDMI TO VGA 2 Rp 50,000 Rp 100,000 SIM
7 10/17/2019 HARDISK 1 Rp 625,000 Rp 625,000 SIM
8 10/17/2019 KOMPUTER ASUS 1 Rp 6,850,000 Rp 6,850,000 R. BPJS
9 10/17/2019 PRINTER EPSON SCAN 1 Rp 2,050,000 Rp 2,050,000 R. BPJS
10 10/17/2019 PRINTER EPSON 1 Rp 1,750,000 Rp 1,750,000 R. BPJS
11 10/17/2019 MINI PC 1 Rp 3,850,000 Rp 3,850,000 R.DIREKTUR
12 10/17/2019 SSD LEXAR NS10 LITE 1 Rp 350,000 Rp 350,000 SIM
13 10/17/2019 WINDOWS 10 PRO 1 Rp 2,325,000 Rp 2,325,000 SIM
14 10/17/2019 SWITCH HUB DLINK 1 Rp 250,000 Rp 250,000 SIM
15 10/18/2019 IP CAMERA INDOOR 10 Rp 670,900 Rp 6,709,000 SIM
16 10/18/2019 IP CAMERA OUTDOOR 1 Rp 649,700 Rp 649,700 SIM
17 10/18/2019 NVR 1 Rp 1,775,550 Rp 1,775,550 SIM
18 10/18/2019 HARDISK 2 Rp 1,765,300 Rp 3,530,600 SIM
19 10/18/2019 SWITCH HUB DLINK 2 Rp 420,000 Rp 840,000 SIM
20 10/18/2019 AC DAIKIN 2 PK 1 Rp 5,775,000 Rp 5,775,000 R. GIZI
21 10/18/2019 DISPENSER GALON 1 Rp 2,475,000 Rp 2,475,000 R. OK
22 10/19/2019 DISPENSER GALON 1 Rp 2,475,000 Rp 2,475,000 R. ZAM-ZAM
23 10/19/2019 DISPENSER GALON DUO 1 Rp 2,550,000 Rp 2,550,000 R. KOMITE MEDIK
24 10/24/2019 AC 1,5 PK 1 Rp 4,325,000 Rp 4,325,000 R. RUMAH TANGGA
25 10/24/2019 KIPAS ANGIN 1 Rp 425,000 Rp 425,000 R. MULTAZAM
26 10/24/2019 LEMARI ES SANKEN 186 CF 1 Rp 1,975,000 Rp 1,975,000 R. SHOFA
27 10/24/2019 PRINTER EPSON 1 Rp 1,500,000 Rp 1,500,000 R. DIKLAT
28 10/24/2019 PRINTER EPSON SCAN 1 Rp 2,050,000 Rp 2,050,000 R. Hijr Ismail
29 10/24/2019 PRINTER EPSON SCAN 1 Rp 2,050,000 Rp 2,050,000 R. KOMITE MEDIK
30 10/24/2019 PRINTER EPSON SCAN 1 Rp 2,050,000 Rp 2,050,000 R. SEKDIR
31 10/24/2019 PRINTER EPSON SCAN 1 Rp 2,050,000 Rp 2,050,000 R. DIKLAT
32 10/24/2019 KOMPUTER AIO ASUS 1 Rp 6,925,000 Rp 6,925,000 R. Hijr Ismail
33 10/25/2019 LEMARI DOKUMEN 1 Rp 1,798,200 Rp 1,798,200 R. KOMITE MEDIK
34 10/28/2019 KURSI SUSUN BESI 16 Rp 165,000 Rp 2,640,000 R. Hijr Ismail
35 10/28/2019 KURSI SUSUN BESI 9 Rp 165,000 Rp 1,485,000 R. RAWAT JALAN
36 10/28/2019 LEMARI ES 2 PINTU 1 Rp 5,550,000 Rp 5,550,000 R. GIZI
37 10/28/2019 LEMARI ES SANKEN 186 CF 1 Rp 1,975,000 Rp 1,975,000 R. HIJIR ISMAIL
38 10/29/2019 AC DAIKIN 2 PK 1 Rp 5,775,000 Rp 5,775,000 R. Hijr Ismail
39 10/29/2019 AC DAIKIN 2 PK 1 Rp 5,775,000 Rp 5,775,000 R. DIKLAT
40 10/29/2019 TV 2 Rp 1,785,000 Rp 3,570,000 R. CCTV
41 10/30/2019 LAPTOP 1 Rp 6,300,000 Rp 6,300,000 R. DIKLAT
42 10/9/2019 KOMPUTER ASUS 1 Rp 8,300,000 Rp 8,300,000 R. SPI
43 10/9/2019 PRINTER EPSON 1 Rp 2,050,000 Rp 2,050,000 R. MINA
44 10/9/2019 PRINTER EPSON 1 Rp 2,050,000 Rp 2,050,000 R. BPJS
45 10/18/2019 NVR 1 Rp 1,775,550 Rp 1,775,550 SIM
 PEMBELIAN BARANG NON MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN NOVEMBER 2019

Jumlah
No Efektif Mulai Nama Fixed Asset Nilai Awal Total Lokasi
Barang
- - - - - - -

PEMBELIAN BARANG MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN NOVEMBER 2019

No Efektif Mulai Nama Fixed Asset Jumlah Nilai Awal Total Lokasi
Barang
- - - - - - -

PEMBELIAN BARANG NON MEDIS DIBAWAH 20JT (INVENTARIS) BULAN NOVEMBER 2019

Jumlah
No Efektif Mulai Nama Fixed Asset Nilai Awal Total Lokasi
Barang
1 11/2/2019 KIPAS ANGIN 1 425,000 425,000 HUMAS
2 11/2/2019 AC DAIKIN 1PK 1 3,475,000 3,475,000 R.BACA DIKLAT
3 11/2/2019 BRACKET AC 1 PK 1 50,000 50,000 R.BACA DIKLAT
4 11/2/2019 WINDOWS 10 PRO 1 2,325,000 2,325,000 DIKLAT
5 11/2/2019 TIMBANGAN BAYI DIGITAL 1 1,500,000 1,500,000 THOIF
6 11/4/2019 KOMPUTER AIO ASUS 1 6,850,000 6,850,000 R. DIKLAT
7 11/4/2019 TRIPOT LCD PROYEKTOR 1 485,000 485,000 R.BACA DIKLAT
8 11/4/2019 PRINTER EPSON SCAN 1 2,050,000 2,050,000 R. DIKLAT
9 11/4/2019 MOUSE PAD 5 5,000 25,000 KAMTIB
10 11/6/2019 KURSI PUTIH BESI 15 830,000 12,450,000 R. PERTEMUAN
11 11/7/2019 BED SIDE CABINET ABS GREY INDOMED BH 16 1,325,000 21,200,000 R. HIJIR ISMAIL
12 11/12/2019 BLENDER MIYAKO 1 675,000 675,000 R. GIZI
13 11/20/2019 MEJA STAINLESS STEEL 1 4,500,000 4,500,000 R. FARMASI
14 11/20/2019 MEJA STAINLESS STEEL 1 4,500,000 4,500,000 R. FARMASI
15 11/20/2019 LEMARI NARKOTIKA STAINLESS STEEL 1 2,400,000 2,400,000 R. RARMASI
16 11/20/2019 MEJA HPL 1 3,500,000 3,500,000 R. HIJIR ISMAIL
17 11/20/2019 PINTU HPL 1 400,000 400,000 R. HIJIR ISMAIL
18 11/26/2019 PROJECTOR 3 LCD EPSON 1 4,925,000 4,925,000
51 71,735,000

PEMBELIAN BARANG MEDIS DIBAWAH 20JT (INVENTARIS) BULAN NOVEMBER 2019

No Efektif Mulai Nama Fixed Asset Jumlah Nilai Awal Total Lokasi
Barang
1 11/14/2019 SCOOP STRETCHER 1 2,700,000 2,700,000 TIM CODE BLUE
2 11/14/2019 SCOOP STRETCHER 1 2,700,000 2,700,000 MEKKAH
3 11/14/2019 STETOSCOPE LITMAN CLASSIC III 1 1,350,000 1,350,000 R. IGD
4 11/14/2019 STETOSCOPE LITMAN CLASSIC III 1 1,350,000 1,350,000 R.MINA
5 11/20/2019 LEMARI B3 1 2,500,000 2,500,000 AKREDITASI
6 11/20/2019 LEMARI B3 1 2,500,000 2,500,000 AKREDITASI
7 11/20/2019 LEMARI B3 1 2,500,000 2,500,000 AKREDITASI
8 11/20/2019 LEMARI B3 1 2,500,000 2,500,000 AKREDITASI
9 11/20/2019 LEMARI B3 1 2,500,000 2,500,000 AKREDITASI
10 11/20/2019 LEMARI B3 BESAR 1 3,000,000 3,000,000 AKREDITASI
11 11/20/2019 DRESSING CARD 3 2,250,000 6,750,000 RAWAT JALAN
14 11/20/2019 DRESSING CARD 3 2,250,000 6,750,000 RUANG ICU
17 11/20/2019 DRESSING CARD 2 2,250,000 4,500,000 R. HIJIR ISMAIL
20 11/20/2019 DRESSING CARD 2 2,250,000 4,500,000 FARMASI
21 11/20/2019 DRESSING CARD 1 LACI 1 3,000,000 3,000,000 R. HIJIR ISMAIL
22 11/21/2019 FKG CABLE 10 / ead Banana for Schiller 1 1,800,000 1,800,000 R. IGD
23 11/21/2019 THERMOMETER DIGITAL OMRON 1 250,000 250,000
24 11/21/2019 THERMOMETER DIGITAL OMRON 1 250,000 250,000
25 11/21/2019 PEMBELIAN AKSESORIS BARANG MEDIS 1 500,000 500,000 R. IGD
26 11/21/2019 PEMBELIAN AKSESORIS BARANG MEDIS 1 500,000 500,000 STOK
27 11/21/2019 PEMBELIAN AKSESORIS BARANG MEDIS 1 500,000 500,000 STOK
28 11/21/2019 TEMP & HUMIDITY METER HTC-2/ SUHU RUANGAN 1 170,000 170,000
29 11/21/2019 TEMP & HUMIDITY METER HTC-2/ SUHU RUANGAN 1 170,000 170,000
30 11/21/2019 TEMP & HUMIDITY METER HTC-2/ SUHU RUANGAN 1 170,000 170,000
31 11/21/2019 MANSET 1 180,000 180,000 R. MAKKAH
32 11/21/2019 MANSET 1 180,000 180,000
33 11/21/2019 MANSET 1 180,000 180,000
34 11/21/2019 MANSET 1 TB ADULT LIFEMED 1 225,000 225,000 R. MAKKAH
35 11/21/2019 BATERAI PATIENT MONITOR BIONET BM7 1 1,950,000 1,950,000 R. MEKKAH
36 11/22/2019 WIRE CUTTER PAKISTAN504 H 1 431,062 431,062 P. GIGI
37 11/22/2019 WIRE CUTTER PAKISTAN504 H 1 431,062 431,062 P. GIGI
38 11/22/2019 TEMPAT KAPAS BERSIH LN 1 91,437 91,437 P. GIGI
39 11/22/2019 TIP SCALLER G1 WOODPECKER 1 172,187 172,187 P. GIGI
40 11/22/2019 TIP SCALLER G1 WOODPECKER 1 172,187 172,187 P. GIGI
41 11/22/2019 SCOOP STRETCHER 1 2,310,000 2,310,000 MADINAH
42 11/22/2019 SCOOP STRETCHER 1 2,310,000 2,310,000 THOIF
43 11/22/2019 SCOOP STRETCHER 1 2,310,000 2,310,000 HD
MATRAS LANTAI 9 M2 1 SET ( BESAR 4 Pcs & KECIL 10
44 11/22/2019 Pcs ) 1 5,353,333 5,353,333 R. FISIOTERAPI
45 11/22/2019 SPON TENS ZMI 2 334,400 668,800 R. FISIOTERAPI
47 11/22/2019 STREEP ZMI 1 985,600 985,600 R. FISIOTERAPI
 PEMBELIAN BARANG MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN DESEMBER 2019

No Efektif Mulai Nama Fixed Asset Jumlah Nilai Awal Total Lokasi
Barang
- - - - - - -

PEMBELIAN BARANG NON MEDIS DI ATAS 20JT (AKTIVA TETAP) BULAN DESEMBER 2019

Jumlah
No Efektif Mulai Nama Fixed Asset Nilai Awal Total Lokasi
Barang
1 12/12/2019 LAPTOP 1 32,000,000 32,000,000 R. SIM

PEMBELIAN BARANG MEDIS DIBAWAH 20JT (INVENTARIS) BULAN DESEMBER 2019

Jumlah
No Efektif Mulai Nama Fixed Asset Nilai Awal Total Lokasi
Barang
1 02/12/2019 AMBU BAG/ RESUSCITATOR ANAK MPM 1 1,100,000 1,100,000 R. IGD
2 02/12/2019 AMBU BAG/ RESUSCITATOR DEWASA MPM 1 1,100,000 1,100,000 R. IGD
3 06/12/2019 PROBE FOR TEOAE/DPOAE 1 18,711,000 18,711,000 R. FISIOTERAPI
MATRAS LANTAI 9 M2 1 SET ( BESAR 4 Pcs &
4 19/12/2019 KECIL 10 Pcs ) 1 5,353,333 5,353,333 R. FISIOTERAPI
5 19/12/2019 SPON TENS ZMI 1 334,400 334,400 R. FISIOTERAPI
6 19/12/2019 SPON TENS ZMI 1 334,400 334,400 R. FISIOTERAPI
7 19/12/2019 STREEP ZMI 1 985,600 985,600 R. FISIOTERAPI
27,918,733

PEMBELIAN BARANG NON MEDIS DIBAWAH 20JT (INVENTARIS) BULAN DESEMBER 2019

No Efektif Mulai Nama Fixed Asset Nilai Awal Lokasi

1 02/12/2019 AC 1,5 PK 1 4,375,000 4,375,000 R. POLI PARU
2 02/12/2019 SIKU AC 1 75,000 75,000 R. POLI PARU
3 02/12/2019 KIPAS ANGIN 1 425,000 425,000 R. MINA
4 02/12/2019 KIPAS ANGIN 1 425,000 425,000 R. HIJIR ISMAIL
5 02/12/2019 KIPAS ANGIN 1 425,000 425,000 REKAM MEDIS
6 03/12/2019 TELEPON 1 900,000 900,000 R. PPI
7 03/12/2019 TELEPON 1 900,000 900,000 R. HIJR ISMAIL
8 03/12/2019 TELEPON 1 900,000 900,000 R. LABORATORIUM
9 03/12/2019 TELEPON 1 900,000 900,000 R. POLI UMUM
10 03/12/2019 TELEPON 1 900,000 900,000 KAMTIB
11 03/12/2019 AC DAIKIN 1PK 1 4,375,000 4,375,000 R. IGD
12 03/12/2019 AC 1,5 PK 1 5,775,000 5,775,000 R. IGD
13 03/12/2019 BRACKET AC 1 75,000 75,000 R. IGD
14 03/12/2019 BRACKET AC 1 75,000 75,000 R. IGD
15 05/12/2019 KOMPUTER ASUS 1 6,550,000 6,550,000 KABAG UMUM
16 05/12/2019 KOMPUTER SERVER 1 10,675,000 10,675,000 R. SIM
17 11/12/2019 KURSI KANTOR 1 600,000 600,000 R.OK
18 11/12/2019 KURSI KANTOR 1 600,000 600,000 R.OK
19 11/12/2019 LEMARI BESI 4 PINTU 1 2,200,000 2,200,000 R.KESLING
20 11/12/2019 MEJA TULIS NST 1061 1 850,000 850,000 R. SIM
21 11/12/2019 MEJA TULIS VINO MT 100 1 750,000 750,000 R. MINA
22 11/12/2019 KURSI CAFE 1 200,000 200,000 R. TANIM
23 11/12/2019 KURSI CAFE 1 200,000 200,000 R. TANIM
24 11/12/2019 KURSI LIPAT 1 400,000 400,000 R. SIM
25 11/12/2019 KURSI LIPAT 1 400,000 400,000 R. SIM
26 11/12/2019 KURSI LIPAT 1 400,000 400,000 R. SIM
27 12/12/2019 TABLET SAMSUNG 1 4,999,000 4,999,000 R. SIM
28 12/12/2019 TABLET SAMSUNG 1 4,999,000 4,999,000 R. SIM
29 12/12/2019 LAPTOP 1 18,650,000 18,650,000 R. SIM
30 18/12/2019 KOMPUTER BILL UP 1 6,950,000 6,950,000 R. OK
31 21/12/2019 AC DAIKIN 1PK 1 3,375,000 3,375,000 R. LABORATORIUM
32 21/12/2019 AC 1,5 PK 1 4,375,000 4,375,000 R. MINA
33 21/12/2019 AC 1,5 PK 1 4,375,000 4,375,000 R. MINA
34 21/12/2019 BRACKET AC 1 PK 1 50,000 50,000 R. LABORATORIUM
35 21/12/2019 BRACKET AC 1 75,000 75,000 R. MINA
36 21/12/2019 BRACKET AC 1 75,000 75,000 R. MINA
37 21/12/2019 SODIMM DDR 4 8 GB CORSAIR ( P ) 1 745,000 745,000 R. SIM
38 21/12/2019 RAM DDR3 VGEN PLATINUM 1 625,000 625,000 R. PS MEDIS
39 23/12/2019 RAM DDR3 VGEN 1 695,000 695,000 LOGISTIK