REKAP NOTA PEKERJAAN RUMAH SAKIT MADANI PALU

Keterangan
Tanggal Harga Jumlah
Qty Nama Barang
Ruang Jambu
1 unit Bongkar AC + Pasang 210,000 210,000
23-Mar-17
2 unit Cuci AC 60,000 120,000
Total 330,000
ICU Ruang Isolasi
1 unit Bongkar AC + Pasang 1PK 210,000 210,000
10 meter Kabel 15,000 150,000
24-Mar-17
2,5 meter Pipa AC 95,000 237,500
1 unit Cuci AC 60,000 60,000
Total 657,500
Ruang Psikologi
1 buah Ganti Kapasitor Kompresor 175,000 175,000
29-Mar-17 1 buah Tambah Freon 2pk 275,000 275,000
1 unit Cuci AC 2PK 85,000 85,000
Total 535,000
Ruang Operasi
29-Mar-17 1 buah Bongkar AC 2PK Panasonic 170,000 170,000
Total 170,000
Ruang Jambu (R,Katim)
29-Mar-17 1 unit Cuci Overhead 185,000 185,000
Total 185,000
Ruang Klinik Dalam
1 unit Cuci AC 1PK 60,000 60,000
Ruang Rekam Medis
1-Apr-17 1 Unit Cuci AC 1pk 60,000 60,000
Ruang Laborat
1 unit Cuci AC 2PK 85,000 85,000
Total 205,000
Ruang Jambu (ICU/ISOLASI)
1 unit Jasa Servis 125,000 125,000
1 unit Kompressor AC 1PK LG 1,975,000 1,975,000
1-Apr-17 1 unit Kapasitor 115,000 115,000
1 unit Isi Freon Full 1PK 275,000 275,000
1 unit Cuci AC 1PK 60,000 60,000
Total 2,550,000
Ruang Kamar Alat ICU
7-Apr-17 7 meter Kabel 15,000 105,000
Total 105,000
Ruang Semangka (Pos Suster)
2 unit Jasa Servis Pergantian Kompresor
Pipa Kapiler 250,000
8-Apr-17
1 unit Servis Penggantian Pipa Instalasi
2 unit Cuci AC 1PK 60,000 120,000
8-Apr-17

Total 370,000
Ruang Semangka (Pos Suster)
2 unit Kompressor AC 1 PK 1,975,000 3,950,000
2 unit Isi Freon R22 Full 275,000 550,000
8-Apr-17 1 unit Pipa Kapiler - -
2 meter Pipa Instalasi AC 95,000 190,000
10 meter Kabel 15,000 150,000
Total 4,840,000
Ruang Apoteker (Baru)
8-Apr-17 4 meter Kabel 15,000 60,000
Total 60,000
Ruang Melon
R. VIP 2
1 unit Cuci AC 1PK 60,000 60,000
1 unit Tambah Freon R22 150,000 150,000
R. VIP 4
1 unit Cuci AC 1PK 60,000 60,000
R. VIP B
12-Apr-17
1 unit Cuci AC 1 PK 60,000 60,000
R.VIP C
1 unit Cuci AC 1PK 60,000 60,000
R. VIP D
1 unit Cuci AC 1PK 60,000 60,000
1 unit Tambah Freon R22 150,000 150,000
Total 600,000
Ruang Direktur
1 unit Cuci AC Standing 5PK Panasonic 450,000 450,000
13-Apr-17
1 unit Jasa Service Modul 525,000 525,000
Total 975,000
Ruang Anggur
3 unit Cuci AC 1PK 60,000 180,000
13-Apr-17
2 unit Tambah Freon 150,000 300,000
Total 480,000
Ruang Markisa
15-Apr-17 1 unit Cuci AC 1PK 60,000 60,000
Total 60,000
Ruang Melon
15-Apr-17 2 unit Cuci AC 1PK 60,000 120,000
Total 120,000
JUMLAH TOTAL TANGGAL 23 MARET 2017 - 15 APRIL 2017 12,242,500

Palu, 21 April 2017

Hormat Kami,

Donny Wijaya
MASCOOL Aircon Expert
 REKAP PEKERJAAN NOTA AC

Tanggal Ruang Qty Keterangan Harga Total

1 Perbaikan Modul AC 425,000 425,000
Ganti bearing fan motor 85,000 85,000
R. Anggur VIP
17-Apr-17 Cuci AC 60,000 60,000
1
Tambah Freon 150,000 150,000
720,000
2 Cuci AC 60,000 120,000
17-Apr-17 R. Langsat 1 Tambah Freon 150,000 150,000
270,000
19-Apr-17 R. Gizi 1 Cuci AC 1PK 60,000 60,000
1 Cuci AC 1PK (R.Vip 1) 60,000 60,000
1 Cuci AC 1PK (R. Kelas II A) 60,000 60,000
1 Tambah Freon R410 (R.Kelas II A) 300,000 300,000
19-Apr-17 R. Melon 1 Cuci AC 1PK (R. Dokter) 60,000 60,000
1 Tambah Freon R22 (R. Dokter) 150,000 150,000
1 Cuci AC 1PK (R. Kelas II B) 60,000 60,000
690,000
2 Cuci AC 1PK 60,000 120,000
1 Cuci AC 2PK 85,000 85,000
28-Apr-17 R. Fisioterapi
1 Tambah Freon 2PK 200,000 200,000
405,000
10 Cuci AC 1PK 60,000 600,000
27-Apr-17 R. UGD 2 Tambah Freon R22 150,000 300,000
900,000
28-Apr-17 R. Semangka 1 Cuci AC 1PK 60,000 60,000
2-May-17 R. OK (Mata) 1 Isi Freon Full R410 425,000 425,000
3 Instalasi Kabel Power 80,000 240,000
2-May-17 R. Gizi 22 Kabel 20,000 440,000
680,000
3 Cuci AC 2PK 85,000 255,000
10-May-17 R. Auditorium 1 Tambah Freon 200,000 200,000
455,000
1 Pasang Instalai Kabel Power 80,000 80,000
11-May-17 R. Gizi 1 Pasang Instalasi Pipa Pembuangan 50,000 50,000
130,000
1 Pasang Instalasi Listrik 80,000 80,000
R. Rekam 5 Kabel 15,000 75,000
13-May-17
Medik 1 Bongkar Indor Unit 30,000 30,000
185,000
1 Ganti Kapasitor 175,000 175,000
1 Cuci AC 1PK 60,000 60,000
15-May-17 R. VIP 2 1 Tambah Freon 150,000 150,000
1 Service Kompresor 125,000 125,000
510,000
TOTAL 4,810,000

REKAP PEKERJAAN LEMARI

17-Apr-17 R. Apoteker 7 Kunci Lemari + Servis 40,000 280,000
1 Rak Lemari Aluminium UK 180x180x50 2,900,000 2,900,000
10-May-17 1 Rak Lemari Aluminium UK 157x180x50 2,650,000 2,650,000
5,550,000
TOTAL 5,830,000

Jumlah Total Tagihan 17April 2017-15 Mei 2017 10,640,000

 Periode 18 Mei 2017 - 26 Mei 2017
Tanggal Ruang Qty Keterangan Harga Jumlah
1 Ganti Kapasitor Kompresor 175,000 175,000
1 Ganti Modul (PCB AC) 700,000 70,000
1 Cuci AC 60,000 60,000
5/18/2017 Markisa (VIP 3)
1 Tambah Freon 150,000 150,000
1 Jasa Servis 125,000 125,000
Total 1,210,000
1 Cuci AC 60,000 60,000
5/22/2017 Sanitasi 1 Isi Freon Full 275,000 275,000
Total 335,000
3 Cuci AC 60,000 180,000
5/22/2017 Klinik Syaraf 2 Tambah Freon 150,000 300,000
Total 480,000
1 Perbaikan Bocor 125,000 125,000
Gudang Habis
5/22/2017 1 Cuci AC 60,000 60,000
Pakai
Total 185,000
1 Perbaikan Bocor Freon 125,000 125,000
5/23/2017 Operasi 1 Isi Freon Full 275,000 275,000
Total 400,000
1 Perbaikan AC 125,000 125,000
1 Ganti Kapasitor Kompresor 175,000 175,000
1 Cuci AC 60,000 60,000
5/24/2017 Klinik Dalam II
1 Tambah Freon 150,000 150,000
1 Ganti Kapasitor Fan 115,000 115,000
Total 625,000
1 Perbaikan Landasan Kompresor 75,000 75,000
1 Ganti Karet Landasan Kompresor 50,000 50,000
Ruang Pengendali
5/24/2017 1 Tambah Freon 1PK 150,000 150,000
BPJS
2 Cuci AC 60,000 120,000
Total 395,000
1 Cuci AC 60,000 60,000
5/24/2017 MArkisa (VIP 1)
Total 60,000
1 Cuci AC 2PK 85,000 85,000
5/26/2017 OK 1
Total 85,000
3 Cuci AC 1PK 60,000 180,000
5/26/2017 Poliklinik Jiwa
Total 180,000

Total 18 Mei 2017 - 26 Mei 2017 = Rp. 3.995.000,- ( Tiga Juta Sembilan Ratus Sembilan Puluh Lima Ribu
Rupiah)
 Periode 1 Juni 2017 - 14 Juni 2017
Tanggal Ruang Qty Keterangan Harga Jumlah
2 Cuci AC 60,000 120,000
6/1/2017 Anggur
Total 120,000
2 Cuci AC 1PK 60,000 120,000
6/6/2017 Bank Darah 1 Tambah Freon 150,000
Total 270,000
2 Cuci AC 60,000 120,000
6/7/2017 Jambu
Total 120,000
1 Cuci AC 60,000 60,000
6/6/2017 Laborat
Total 60,000
Bank Darah 1 Perbaikan Modul AC 125,000 125,000
1 Gantti Kapasitor Fan Indoor 175,000 175,000
1 Perbaikan Jalur PCB 50,000 50,000
R Ganti Perawat 1 Perbaikan Motor Fan Indoor 125,000 125,000
1 Cuci AC 1PK 60,000 60,000
6/7/2017 1 Tambah Freon R22 150,000 150,000
1 Perbaikan Modul AC 125,000 125,000
1 Ganti Kapasitor Fan Indoor 175,000 175,000
R, Tunggu Pasien 1 Cuci AC 1PK 60,000 60,000
1 Tambah Freon R22 150,000 150,000
Total 1,195,000
7 Cuci AC 60,000 420,000
6/7/2017 Jambu
Total 420,000
1 Perbaikan AC Overload Protect 125,000 125,000
6/10/2017 Apotek UGD
Total 125,000
1 Ganti Kompresor 1PK 2,200,000 2,200,000
1 Isi Freon FullR22 275,000 275,000
R. Jambu 1 Cuci AC 60,000 60,000
6/10/2017 (Perawatan Laki-
Laki) 1 Ganti Kapasitor Kompresor
1 Ganti Pipa Kapiler
Total 2,535,000
2 Cuci AC 1PK 60,000 120,000
6/12/2017 Poli A dan KB
Total 120,000
2 Cuci AC 1PK 60,000 120,000
6/12/2017 UGD Kebidanan
Total 120,000
6 Pergantian Pipa Dryer AC 30,000 180,000
6/14/2017 UGD Kebidanan
Total 180,000
1 Pasang Indoor AC 90,000 90,000
6/14/2017 R. Gizi
Total 90,000
4 Pasang Pipa Dryer AC 30,000 120,000
6/14/2017 R. Gizi 3 Pasang Pipa Dryer AC 30,000 90,000
Total 210,000
1 Cuci AC 60,000 60,000
1 Perbaikan AC Bocor 125,000 125,000
6/22/2017 Apotik Farmasi
1 Isi Freon Full R410 425,000 425,000
Total 610,000
Total 1 Juni 2017 - 22 Juni 2017 Rp. 6.175.000,- ( Enam Juta Seratus Tujuh Puluh Lima Ribu Rupiah)
REKAP NOTA TAGIHAN PERIODE 4 JULI 2017 - 27 JULI 2017

Keterangan
Tanggal Ruangan Harga Jumlah
Qty
1 Cuci AC 1PK 60,000 60,000
R. Nangka
5-Jul-17 1 Tambah Freon 150,000 150,000
Perawat
Total 210,000
1 Ganti Kompressor 2,200,000 2,200,000
1 Ganti Modul AC 700,000 70,000
4-Jul-17 R. Gudang Gizi 1 Isi Freon Full - -
1 Cuci AC 60,000 60,000
Total 2,960,000
2 Cuci AC 1PK 60,000 120,000
R. IGD
5-Jul-17
Alat&Infor
Total 120,000
1 Cuci AC 1PK 60,000 60,000
R. Akuntansi &
5-Jul-17 - -
Aset
Total 60,000
2 Cuci AC 60,000 120,000
8-Jul-17 R. Nangka 1 Tambah Freon 150,000 150,000
Total 270,000
2 Cuci AC 1PK 60,000 120,000
R Nangka KLS
10-Jul-17 1 Tambah Freon R22 150,000 150,000
III
Total 270,000
1 Ganti Fan Motor Outdoor 675,000 675,000
R Radiologi 1 Cuci AC 2PK 85,000 85,000
10-Jul-17
(USG) 2 Cuci AC 1PK 60,000 120,000
Total 880,000
2 Cuci AC 1PK 60,000 120,000
13-Jul-17 R Semangka 1 Tambah Freon R22 150,000 150,000
Total 270,000
1 Perbaikan AC Bocor Freon 125,000 125,000
R Semangka 2 Pipa AC 1PK 95,000 190,000
20-Jul-17
(Kuret) 1 Isi Freon Full 275,000 275,000
Total 590,000
3 Bongkar Pasang AC 1PK 210,000 630,000
3 Pasang Instalasi Kabel 80,000 240,000
27-Jul-17 R Nangka
22 Kabel 15,000 330,000
Total 1,200,000

TOTAL TAGIHAN PERIODE 4 JULI 2017 - 27 JULI 2017

Rp. 6.830.000,- (Enam Juta Delapan Ratus Tiga Puluh Ribu Rupiah) belum termasuk PPN dan PPH
REKAP NOTA TAGIHAN PERIODE 1 AGUSTUS 2017 - 8 AGUSTUS 2017

Keterangan
Tanggal Ruangan Harga Jumlah
Qty
4 Pipa AC 1PK 95,000 380,000
R. Gudang 5 Kabel 15,000 75,000
1-Aug-17
Gizi 1 Bongkar + Pasang Outdoor 110,000 110,000
Total 565,000
1 Perbaikan AC Tidak Dingin 125,000 125,000
1 Kapasitor Kompresor 175,000 175,000
R Jambu (R
2-Aug-17 1 Tambah Freon R22 150,000 150,000
Obat)
2 Perbaikan Filter Evap 125,000 125,000
Total 575,000
1 Perbaikan AC Tidak Dingin 125,000 125,000
R 1 Tambah Freon R22 150,000 150,000
2-Aug-17 Laboratoriu 2 Cuci AC 1PK 60,000 120,000
m 1 Cuci AC 2PK 85,000 85,000
Total 480,000
1 Perbaikan Bocor Air 75,000 75,000
R Gudang
2-Aug-17 1 Cuci AC 1PK 60,000 60,000
Obat
Total 135,000
1 Perbaikan AC Tidak Dingin 125,000 125,000
1 Cuci AC 1PK 60,000 60,000
3-Aug-17 R K. Apotik
1 Tambah Freon R22 150,000 150,000
Total 335,000
1 Cuci AC 1PK 60,000 60,000
3-Aug-17 Kantin
Total 60,000
1 Perbaikan AC Tidak Dingin 125,000 125,000
1 Ganti Kapasitor + Overload 310,000 310,000
Klinik Syaraf
5-Aug-17 1 Tambah Freon R22 150,000 150,000
(R. Alat)
2 Cuci AC 1PK 60,000 120,000
Total 705,000
7 Cuci AC 1PK 60,000 420,000
1 Cuci AC 2PK 85,000 85,000
8-Aug-17 R ICU
2 Tambah Freon R22 150,000 300,000
Total 805,000
15 Kabel 15,000 225,000
1 Pipa AC 1PK 95,000 95,000
9-Aug-17 R Gizi 2 Pasang Instalasi 80,000 160,000
2 MCB 60,000 120,000
Total 600,000

TOTAL TAGIHAN PERIODE 1 AGUSTUS 2017 - 8 AGUSTUS 2017

Rp. 4.260.000,- (Empat Juta Dua Ratus Enam Puluh Ribu Rupiah) belum termasuk PPN dan PPH
 Keterangan
Tanggal Ruang Harga Jumlah
Qty
4 Bongkar AC 1PK Indoor+Outdoor 60,000 240,000
8/11/2017 R. Anggur
Total 240,000
1 Cuci AC 1PK 60,000 60,000
8/14/2017 R. Apotik UGD
Total 60,000
5 Cuci AC 1PK 60,000 300,000
8/14/2017 R.Gizi
Total 300,000
1 Pasang AC 1PK 150,000 150,000
3 Kabel 15,000 45,000
1 Tambah Freon R22 150,000 150,000
8/15/2017 ICU Lama
2 Cuci AC 1PK 60,000 120,000
4 Selang Air 10,000 40,000
Total 505,000
1 Perbaikan AC Tidak Dingin 2PK 185,000 185,000
8/16/2017 R. Radiologi 1 Ganti Skun Kabel Terminal 125,000 125,000
Total 310,000
1 Perbaikan AC Bocor Freon 125,000 125,000
R. Sanitasi
8/16/2017 1 Isi Freon R22 Full 275,000 275,000
(Office)
Total 400,000
1 Perbaikan Kabel Power 125,000 125,000
R. Kamar
8/16/2017 1 Cuci AC 2PK 60,000 60,000
Operasi I
Total 185,000
1 Perbaikan Ganti Kompresor 1PK 2,200,000 2,200,000
1 Ganti Pipa Kapiler 65,000 65,000
R. Markisa 1 Ganti Kapasitor Kompresor 175,000 175,000
8/19/2017
R.VIP II 1 Cuci AC 1PK 60,000 60,000
1 Isi Freon R22 Full 275,000 275,000
Total 2,775,000
1 Bongkar Pasang AC Standing 5PK 850,000 850,000
3 Pipa AC 3/4 120,000 360,000
10 Kabel 2x2,5 21,000 210,000
8/22/2017 R Direktor
1 Isi Freon Full 750,000 750,000
1 Pasang Instalasi Kabel Power 80,000 80,000
Total 2,250,000
1 Cuci AC 1PK 60,000 60,000
8/24/2017 R. Pre Operasi
Total 60,000
1 Cuci AC 1PK 60,000 60,000
8/24/2017 R Fisioterapi
Total 60,000
11 Cuci AC 1PK 60,000 660,000
8/24/2017 R Melon
Total 660,000
3 Bongkar AC 2PK 85,000 255,000
8/25/2017 R. Auditorium
Total 255,000
1 Perbaikan AC Bocor Freon 125,000 125,000
R. Operasi
8/25/2017 1 Isi Freon R410 Full 425,000 425,000
Mata
Total 550,000
2 Bongkar AC Standing 3PK 180,000 360,000
8/28/2017 R. Auditorium 1 Bongkar AC Standing 5PK 300,000 300,000
Total 660,000
1 Bongkar Pasang Outdor 150,000 150,000
1 Flusting Indoor unit 125,000 125,000
1 Isi Freon R22 Full 275,000 275,000
8/28/2017 R. Fisioterapi
2 Pipa Instalasi 2PK 110,000 220,000
1 Cuci AC 2PK 60,000 60,000
Total 830,000
1 Ganti Kran Nepel Pengisian 350,000 350,000
R. Tumbuh 1 Isi Freon R410 Full 425,000 425,000
Kembang
8/29/2017 1 Cuci AC 1PK 60,000 60,000
(R.Belajar dan
R.Observasi) 6 Cuci AC 1PK 60,000 360,000
Total 1,195,000
Total Pekerjaan 11 Agustus - 29 Agustus 2017 Rp. 11.295.000,-
 Periode September 2017
Keterangan
Tanggal Ruang Harga Jumlah
Qty
R. Klinik Dalam 1 Ganti Kapasitor Kompressor 175,000 175,000
4-Sep-17
II Total 175,000
1 Pasang Outdoor AC 1PK 75,000 75,000
R. Ganti Bidan
4-Sep-17 1 Cuci AC 1PK 60,000 60,000
(R.Semangka)
Total 135,000
2 Cuci AC 1PK 60,000 120,000
4-Sep-17 R IGD Poli Anak 1 Tambah Freon R22 (R.bersalin) 150,000 150,000
Total 270,000
1 Perbaikan Fan Motor Indoor 125,000 125,000
1 Cuci AC 1PK 60,000 60,000
1 Tambah Freon R22 150,000 150,000
R. Perinatologi 1 Ganti Bearing Fan Motor 75,000 75,000
8-Sep-17 (R Bayi dan
R.Perawat) 1 Kapasitor Fan 1PK 175,000 175,000
1 Cuci AC 1PK 60,000 60,000
1 Isi Freon Full R22 275,000 275,000
Total 920,000
1 Cuci AC 2PK 60,000 60,000
8-Sep-17 R. Operasi II
Total 60,000
R. JKN 2 Cuci AC 1PK 60,000 120,000
12-Sep-17 (Pengendali 1 Tambah Freon 150,000 150,000
BPJS) Total 270,000
1 Perbaikan AC tidak dingin 125,000 125,000
R. Jambu 1 Tambah Freon 150,000 150,000
12-Sep-17
(R.Obat) 1 Ganti Kapasitor 175,000 175,000
Total 450,000
1 Pasang AC 1PK 150,000 150,000
1 Cuci AC 60,000 60,000
13-Sep-17 Musholah
1 Tambah Freon 150,000 150,000
Total 360,000
1 Perbaikan AC tidak dingin 125,000 125,000
1 Ganti Kompressor AC 1PK 2,200,000 2,200,000
13-Sep-17 R. Markisa 1 Isi Freon Full 275,000 275,000
1 Cuci AC 1PK 60,000 60,000
Total 2,660,000
R. Markisa ( R.VIP 6 + 2 Cuci AC 1PK 60,000 120,000
25-Sep-17 R.Perawat)
Total 120,000
1 Cuci AC 1PK 60,000 60,000
27-Sep-17 R. Sanitasi 1 Perbaikan Fan Swing Patah - -
Total 60,000
9 Cuci AC 1PK 60,000 540,000
27-Sep-17 R. UGD Umum
Total 540,000
JUMLAH TOTAL TAGIHAN PERIODE SEPTEMBER 2017 6,020,000
 Periode Oktober 2017
Keterangan
Tanggal Ruang Harga Jumlah
Qty
1 Pergantian Modul AC 1PK 700,000 700,000
3-Oct-17 R UGD Umum
Total 700,000
1 Pengecekan Bocor
R Karu Apotek dan 1 Isi Freon Full R22 275,000 275,000
3-Oct-17
R Racik Obat 1 Cuci AC 1PK 60,000 60,000
Total 335,000
1 Perbaikan AC Tidak Dingin 125,000 125,000
1 Ganti Kapasitor Kompresor 175,000 175,000
12-Oct-17 R Fisioterapi
1 Cuci AC 1PK 60,000 60,000
Total 360,000
1 Tambah Freon R410 300,000 30,000
10-Oct-17 R Gizi Penyajian
Total 300,000
1 Cuci AC 1PK 60,000 60,000
R Rekam Medik ( R 1 Tambah Freon R22 150,000 150,000
17-Oct-17
Berkas dan Input) 2 Cuci AC 1PK 60,000 120,000
Total 330,000
1 Cuci AC 1PK 60,000 60,000
17-Oct-17 R. JKN
Total 60,000
1 Cuci AC 1PK 60,000 60,000
20-Oct-17 R. Fisioterapi
Total 60,000
R Arsip Rekam 1 Perbaikan Modul AC 425,000 425,000
23-Oct-17
Medik Total 425,000
R UGD Umum 1 Perbaikan Selang Pipa Buntu 125,000 125,000
23-Oct-17 (R.Obat) Total 125,000
1 Cuci AC 1PK 60,000 60,000
24-Oct-17 R, Poli Gigi
Total 60,000
1 Cuci AC 1PK 60,000 60,000
24-Oct-17 R. Poli Mata
Total 60,000
1 Perbaikan Ganti Modul AC 700,000 700,000
26-Oct-17 R. Laboratorium
Total 700,000
2 Cuci AC 1PK 60,000 120,000
26-Oct-17 R. Poli Dalam
Total 120,000
1 Bongkar + Pasang AC 60,000 60,000
1 Flushing Indoor Unit 125,000 125,000
2 Tambah Freon R22 150,000 300,000
1 Box MCB 60,000 60,000
30-Oct-17 R Guang RT
1 Cuci AC 1PK 60,000 60,000
4 Kabel 21,000 84,000
1 Pasang Instalasi Listrik 80,000 80,000
Total 769,000
JUMLAH TOTAL TAGIHAN PERIODE OKTOBER 2017 4,404,000
 PRIODE NOVEMBER 2017
Keterangan
Tanggal Ruang Harga Jumlah
Qty
1 Cuci AC 1PK 60,000 60,000
1 Nov 2017 R. Rambutan 1 Perbaikan Swing Indor Patah
Total 60,000
1 Pasang AC 2PK 185,000 185,000
1 Pasang AC 1PK 150000 150,000
2 Nov 2017 R. Anggur (R. VIP) 1 Pasang Instalasi Listrik 80000 80,000
12 Kabel Listrik 15000 180,000
Total 595,000
1 Servis Modul AC 425,000 425,000
1 Travo Modul 45,000 45,000
2 Nov 2017 R. Laboratorium
1 Cuci AC 1PK 60,000 60,000
Total 530,000
1 Cuci Indoor Overhaul 165,000 165,000
2 Nov 2017 R. Gizi 1 Perbaikan Bocor Air 125,000 125,000
Total 290,000
3 Cuci AC 1PK 60,000 180,000
3 Nov 2017 R. Nangka
Total 180,000
1 Cuci AC 1PK 60,000 60,000
7 Nov 2017 R Aset
Total 60,000
1 Servis AC Bocor Freon 125,000 125,000
1 Ganti Nut Sambungan Pipa 75,000 75,000
7 Nov 2017 R Poli syaraf
1 Tambah Freon R22 150,000 150,000
Total 350,000
1 Cuci AC 1PK 60,000 60,000
7 Nov 2017 R Pelayanan Medik
Total 60,000
1 Bongkar AC 1PK 60,000 60,000
8 Nov 2017 R Kenanga
Total 60,000
2 Pasang AC 1PK Polytron 150,000 300,000
10 Kabel 15,000 150,000
8 Nov 2017 R Keuangan 5 Pipa AC 95,000 475,000
2 Pasang Instalasi Listrik 80,000 160,000
Total 1,085,000
1 Cuci AC 1PK 60,000 60,000
10 Nov 2017 R VIP II
Total 60,000
2 Pasang AC 3PK Standing 350,000 700,000
1 Pasang AC 5PK Standing 550,000 550,000
15 Nov 2017 R. Auditorium 8 Kabel 21,000 168,000
1 Tambah Freon R22 standing 475,000 475,000
Total 1,893,000
1 Cuci AC 1PK 60,000 60,000
21 Nov 2017 R.Obat 1 Tambah Freon R22 150,000 150,000
Total 210,000
1 Bongkar AC 1PK 60,000 60,000
24 Nov 2017 R.Ganti OK
Total 60,000
1 Bongkar Pasang AC 210,000 210,000
29 Nov 2017 R. Rekam Medis
29 Nov 2017 R. Rekam Medis 1 Kabel 15,000 15,000
Total 225,000
1 Bongkar AC 1PK 60,000 60,000
29 Nov 2017 R. Racik Obat Farmasi
Total 60,000
1 Servis AC 1PK 125,000 125,000
30 Nov 2017 R. JKN 1 Kapasitor Kompresor 175,000 175,000
Total 300,000
Total Tagihan November 2017 (Belum Termasuk PPN dan PPH) 6,078,000
 PRIODE DESEMBER 2017
Tanggal Ruang Harga Jumlah
Qty
5 Cuci AC 1PK 60,000 300,000
4-Dec-17 R.IGD
Total 300,000
1 Perbaikan Indoor AC Toshiba 1PK 125,000 125,000
1 Tambah Freon R22 150,000 150,000
5-Dec-17 R. Radiologi
1 Cuci AC 1PK 60,000 60,000
Total 335,000
3 Bongkar Pasang AC 1PK 210,000 630,000
3 Pipa AC 1PK 95,000 285,000
3 MCB 50,000 150,000
6-Dec-17 R. Anggur 30 Kabel Listrik 15,000 450,000
3 Cuci AC 1PK 60,000 180,000
12 Dinabolt 3,000 36,000
Total 1,736,000
1 Bongkar Pasang AC 2PK 270,000 270,000
1 Pasang AC 1PK 150,000 150,000
14 Kabel Listrik 15,000 210,000
8-Dec-17 R.Anggur 3 Pipa AC 1PK 95,000 285,000
2 Pipa Air 10,000 20,000
1 MCB 50,000 50,000
Total 985,000
R. UGD 1 Cuci AC 1PK 60,000 60,000
8-Dec-17
UMUM Total 60,000
1 Cuci AC 1PK 60,000 60,000
11-Dec-17 R. Markisa
Total 60,000
R. Komite Per 1 Bongkar AC 1PK 60,000 60,000
1 Pasang AC 1PK 150,000 150,000
1 Pasang MMCB Instalasi Listrik 130,000 130,000
7 Pipa AC 95,000 665,000
11-Dec-17 9 Kabel Listrik 15,000 135,000
R. Informasi
1 Pipa Air PVC 65,000 65,000
1 Tambah Freon R410 300,000 300,000
1 Cuci AC 1PK 60,000 60,000
Total 1,565,000
1 Cuci AC 1PK 60,000 60,000
12-Dec-17 R. Rawat Inap
Total 60,000
1 Servis Ganti Baling Fan Indor 125,000 125,000
13-Dec-17 R. Anggur
Total 125,000
1 Bongkar Pasang Outdoor 150,000 150,000
13-Dec-17 R. VIP II 1 Cuci AC 1PK 60,000 60,000
Total 210,000
1 Cuci AC 1PK 60,000 60,000
13-Dec-17 KlinikBedah
Penyakit
Total 60,000
1 Cuci AC 1PK 60,000 60,000
16-Dec-17 R. Diklat
Total 60,000
1 Cuci AC 1PK 60,000 60,000
16-Dec-17 R. Susu (Gizi)
Total 60,000
 R. Kelas II L+P , VIP 2, VIP 4, Kelas 1 C, Kelas 1D dan R. Ganti
16-Dec-17 R. Melon 7 Cuci AC 1PK 60,000 420,000
Total 420,000
R.Kelas 1 A, R. Kelas 1B, VIP 1, VIP 3
18-Dec-17 R. Melon 4 Cuci AC 1PK 60,000 240,000
Total 240,000
4 Cuci AC 1PK 60,000 240,000
18-Dec-17 R. MArkisa
Total 240,000
7 Cuci AC 1PK 60,000 420,000
18-Dec-17 R. Jambu
Total Tagihan 1 Desember 2017 - 18 Desember 2017 Total (Belum Termasuk PPN 420,000
dan PPH) 6,936,000
 INVENTARIS AC DI RSUD MADANI
NO NAMA RUANGAN MERK JUMLAH KONDISI KETERANGAN
1 JAMBU 1B
2 JAMBU 1B
3 JAMBU 1B
4 JAMBU 1B
5 JAMBU 1B
6 JAMBU 1B
7 JAMBU 1B
8 JAMBU 1B
9 JAMBU 1B

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

1 SEMANGAKA 1B
2 SEMANGAKA 1B
3 SEMANGAKA 1B
4 SEMANGAKA 1B
5 SEMANGAKA 1B
6 SEMANGAKA 1B
7 SEMANGAKA 1B
8 SEMANGAKA 1B
9 SEMANGAKA 1B
10 SEMANGAKA 1B

1 GUDANG BARANG 1B
2 GUDANG BARANG 1B

1 FERINATOLOGI 1B
2 FERINATOLOGI 1B

1 CSSD 1B
2 CSSD 1B
1 NANGKA PANASONIC 1B
2 NANGKA PANASONIC 1B
3 NANGKA PANASONIC 1B
4 NANGKA PANASONIC 1B
5 NANGKA PANASONIC 1B
6 NANGKA PANASONIC 1B
7 NANGKA PANASONIC 1B
8 NANGKA 1B

1 MELON 1B
2 MELON 1B
3 MELON 1B
4 MELON 1B
5 MELON 1B
6 MELON 1B
7 MELON 1B
8 MELON 1B
9 MELON 1B
10 MELON 1B
11 MELON 1B
12 MELON 1B
13 MELON 1B

1 RAMBUTAN 1B
2 RAMBUTAN 1B

1 MARKISA 1B
2 MARKISA 1B
3 MARKISA 1B
4 MARKISA 1B
5 MARKISA 1B
6 MARKISA 1B
7 MARKISA 1B

1 NAPZA 1B
2 NAPZA 1B
3 NAPZA 1B

1 ICU 1B
2 ICU 1B
3 ICU 1B
4 ICU 1B
5 ICU 1B
6 ICU 1B
7 ICU 1B
8 ICU 1B
1 OK 1B
2 OK 1B
3 OK 1B
4 OK 1B
5 OK 1B
6 OK 1B
7 OK 1B

1 RADIOLOGI 1B
2 RADIOLOGI 1B
3 RADIOLOGI 1B
4 RADIOLOGI

1 GIZI 1B
2 GIZI 1B
3 GIZI 1B
4 GIZI 1B
5 GIZI 1B
6 GIZI 1B
7 GIZI 1B
8 GIZI 1B
9 GIZI 1B

1 FISIOTHERAPI 1B
2 FISIOTHERAPI 1B
3 FISIOTHERAPI 1B
4 FISIOTHERAPI 1B

1 IGD UMUM 1B
2 IGD UMUM 1B
3 IGD UMUM 1B
4 IGD UMUM 1B
5 IGD UMUM 1B
6 IGD UMUM 1B
7 IGD UMUM 1B
8 IGD UMUM 1B
9 IGD UMUM 1B
10 IGD UMUM 1B
11 IGD UMUM 1B

1 IGD KB 1B
2 IGD KB 1B
3 IGD KB 1B
4 IGD KB 1B
5 IGD KB 1B
6 IGD KB 1B
1 ANGGUR PANASONIC 1B
2 ANGGUR PANASONIC 1B
3 ANGGUR PANASONIC 1B
4 ANGGUR PANASONIC 1B
5 ANGGUR PANASONIC 1B
6 ANGGUR PANASONIC 1B

1 JERUK 1B
2 JERUK 1B
3 JERUK 1B
4 JERUK 1B

1 CERY 1B
2 CERY 1B
3 CERY 1B
4 CERY 1B
5 CERY 1B
6 CERY 1B

1 BANK DARAH 1B
2 BANK DARAH 1B
3 BANK DARAH 1B
4 BANK DARAH 1B
5 BANK DARAH 1B
6 BANK DARAH 1B
7 BANK DARAH 1B
8 BANK DARAH 1B

1 PSIKOLOGI 1B
2 PSIKOLOGI 1B
3 PSIKOLOGI 1B
4 PSIKOLOGI 1B