RENCANA USULAN BELANJA ATK DAN BHP T.

A 2023

No ATK Satuan Harga Jumlah Anggaran

1 Amplop besar box 25,000 15 375,000
2 Amplop coklat F4 pak 55,000 12 660,000
3 Amplop kecil box 20,000 20 400,000
4 Bak stempel pcs 10,000 12 120,000
5 Ballpoint (hitam) pak 30,000 75 2,250,000
6 Binder klips/Penjepit kertas 111 pak 10,000 30 300,000
7 Box file bindex buah 30,000 100 3,000,000
8 Buku ekspedisi pcs 15,000 10 150,000
9 Buku hardcover kuarto buah 15,000 50 750,000
10 Buku hardcover polio buah 25,000 50 1,250,000
11 Buku tulis 58 sheet pak 50,000 10 500,000
12 Clear Book 60pocket pcs 50,000 35 1,750,000
13 Cutter besar pcs 15,000 15 225,000
14 Cutter kecil pcs 10,000 12 120,000
15 Double tape tebal (hitam) pcs 15,000 5 75,000
16 Double tape kertas 1 cm pcs 15,000 5 75,000
17 Double tape kertas 2,5 cm pcs 10,000 12 120,000
18 Double tape kertas 5 cm pcs 15,000 6 90,000
19 Gunting kertas pcs 20,000 20 400,000
20 Isi cutter besar pak 10,500 10 105,000
21 Isi stapler besar kotak 15,000 6 90,000
22 Isi stapler kecil kotak 5,000 200 1,000,000
23 Kertas HVS A4 rim 45,000 160 7,200,000
24 Kertas HVS F4 rim 55,000 180 9,900,000
25 Kertas HVS F4 - 80gr rim 70,000 10 700,000
26 kertas Jilid pak 8,000 5 40,000
27 Kertas photo pak 60,000 15 900,000
28 Kertas photo sticker pak 50,000 20 1,000,000
29 Klip kertas jumbo pak 6,000 50 300,000
30 Kwitansi besar buku 10,000 60 600,000
31 Label harga sticker pak 30,000 10 300,000
32 Lakban jilid besar (hitam) buah 25,000 12 300,000
33 Lakban Jilid besar (merah) pcs 25,000 12 300,000
34 Lem stick cair buah 7,000 25 175,000
35 Map kertas pak 45,000 25 1,125,000
36 Map plastik busines file pak 45,000 50 2,250,000
37 Map plastik kancing pak 45,000 25 1,125,000
38 Map spring file dus 100,000 20 2,000,000
39 Name tage pcs 25,000 70 1,750,000
40 Ordner Banex pcs 30,000 100 3,000,000
41 Pembolong (Punch) buah 20,000 10 200,000
42 Penggaris plastik 40 cm buah 15,000 10 150,000
43 Pensil 2B buah 5,000 12 60,000
44 Post it pcs 10,000 50 500,000
45 Selotip bening kecil pcs 15,000 60 900,000
46 Serutan pensil pcs 10,000 12 120,000
47 Sheet protektor 100 sheet pak 100,000 50 5,000,000
48 Spidol kecil hitam buah 3,000 50 150,000
49 Spidol permanent (hitam) lusin 100,000 20 2,000,000
50 Spidol permanent (merah) lusin 100,000 1 100,000
51 Stabilo buah 6,000 20 120,000
52 Stapler kecil pcs 20,000 40 800,000
53 Thermalroll (kertas mesin antrian) pcs 25,000 100 2,500,000
54 Tinta Printer Epson 774 hitam botol 200,000 25 5,000,000
55 Tinta printer Epson 5190 hitam botol 150,000 12 1,800,000
56 Tinta printer hitam epson 664 botol 150,000 8 1,200,000
57 Tinta printer warna epson 5190 botol 150,000 36 5,400,000
58 Tinta printer warna epson 664 botol 150,000 24 3,600,000
59 Tinta stemple buah 15,000 20 300,000
60 Tip Ex cair pcs 8,000 70 560,000
61 Tip ex pita pcs 10,000 30 300,000
62 Trigonal klips pak 5,000 45 225,000
77,755,000

No Listrik dan Elektrik Satuan Harga Jumlah Anggaran

1 Batu baterai 9 vilt (kotak) pcs 40,000 60 2,400,000
2 Batu baterai Alkalin AA (2 buah) pcs 20,000 120 2,400,000
3 Batu baterai Alkalin AAA (2 buah) pcs 20,000 100 2,000,000
4 Batu baterai lithium (kancing) pcs 7,500 40 300,000
5 Kabel Listrik NYM Eterna rol 600,000 5 3,000,000
6 Kabel serabut transparan rol 150,000 2 300,000
7 Lampu LED Phillips 12 W pcs 70,000 50 3,500,000
8 Lampu LED Phillips 10 W pcs 70,000 50 3,500,000
9 Steker pcs 15,000 6 90,000
10 Stop Kontak pcs 15,000 6 90,000
11 Terminal listrik 2 lubang brocco pcs 35,000 10 350,000
12 Terminal listrik 3 lubang brocco pcs 45,000 10 450,000
13 Lampu Emergency pcs 200,000 6 1,200,000
14 Kabel LAN (Jaringan) 20 m rol 50,000 10 500,000
20,080,000
No Peralatan Kebersihan dan bahan Pembersih Satuan Harga Jumlah Anggaran
1 Alat pel super mop set 150,000 15 2,250,000
2 Bayclean 1lt botol 20,000 70 1,400,000
3 Dinpenser Stella matic pcs 100,000 12 1,200,000
4 Handsoap reffil buah 20,000 200 4,000,000
5 Kamper Bagus Toilet (5 buah) pcs 30,000 180 5,400,000
6 Kanebo pcs 30,000 25 750,000
7 Kanebo (Alon) pcs 100,000 5 500,000
8 Kemoceng pcs 20,000 15 300,000
9 Keset pcs 45,000 30 1,350,000
10 Serbet pcs 10,000 40 400,000
11 Lap tangan/washlap pcs 20,000 40 800,000
12 Pembersih kaca cling pcs 15,000 60 900,000
13 Pembersih lantai Vixal 780 ml botol 45,000 60 2,700,000
14 Pengharum ruang gantung pcs 15,000 200 3,000,000
15 Pengharum ruang spray pcs 30,000 40 1,200,000
16 Plastik sampah domestik besar pak 20,000 100 2,000,000
17 Plastik sampah domestik kecil pak 15,000 150 2,250,000
18 Reffil kain pel supermop pcs 45,000 30 1,350,000
19 Sabun bayi pcs 25,000 15 375,000
20 Sabun detergen 1 kg buah 25,000 30 750,000
21 Sabun mandi cair pcs 20,000 30 600,000
22 Sapu ijuk pcs 20,000 40 800,000
23 Sapu lidi pcs 15,000 25 375,000
24 Sapu lidi gagang pcs 35,000 15 525,000
25 Serok sampah pcs 40,000 25 1,000,000
26 Sikat Kloset gagang pcs 15,000 20 300,000
27 Sikat cuci plastik pcs 20,000 20 400,000
28 Silkat gagang panjang 1 mtr pcs 45,000 7 315,000
29 Spon busa pcs 10,000 45 450,000
30 Spon serabut pcs 13,500 12 162,000
31 Stella matic reffil botol 40,000 130 5,200,000
32 Sunlight ( reffil ) pcs 20,000 50 1,000,000
33 Tempat sampah tertutup injak pcs 200,000 20 4,000,000
34 Tissue 250 gr pak 15,000 750 11,250,000
35 Tissue basah pcs 15,000 15 225,000
36 Tissue pengesat Towel pak 25,000 350 8,750,000
37 Wipol karbol lantai (reffil) pcs 30,000 80 2,400,000
70,627,000

No Alat Habis pakai Rumah Tangga Satuan Harga Jumlah Anggaran

1 AQUA Galon buah 20,000 300 6,000,000
2 Baby Oil besar buah 35,000 15 525,000
3 Kantong plastik 8 x 15 kg 45,000 50 2,250,000
4 Kantong plastik 9 x 15 kg 45,000 120 5,400,000
5 Kantong kresek besar hitam pak 40,000 60 2,400,000
6 Kantong kresek gelas (1 gelas) pak 4,500 630 2,835,000
7 Kantong plastik kresek sedang pak 15,000 50 750,000
8 Minyak telon (besar) botol 35,000 15 525,000
9 Obat nyamuk HIT semprot besar pcs 55,000 40 2,200,000
10 Plastik wrapping (besar) rol 200,000 4 800,000
11 Sedotan plastik pak 5,000 30 150,000
12 Minyak kayu putih (Sedang) botol 35,000 6 210,000
13 Round up botol 100,000 10 1,000,000
25,045,000

No Bahan Cetak Satuan Harga Jumlah Anggaran

1 Hak dan kewajiban pasien rim 160,000 5 800,000
2 Surat keterangan sakit buku 25,000 67 1,675,000
3 Inform consernt rim 160,000 40 6,400,000
4 Hasil Pemeriksaan Laboratorium buku 25,000 75 1,875,000
5 Rujukan Pemeriksaan Laboratorium buku 20,000 150 3,000,000
6 Rujukan Umum rim 160,000 12 1,920,000
7 Karcis Retribusi Rawat Jalan buku 7,000 250 1,750,000
8 Karcis Retribusi Keterangan Sehat buku 7,000 30 210,000
9 Karcis Retribusi Calon Pengantin buku 7,000 20 140,000
10 Karcis Retribusi UGD buku 7,000 5 35,000
11 Karcis Haji buku 7,000 1 7,000
12 Buku Calon Pengantin buku 20,000 20 400,000
13 Kartu Ibu rim 160,000 15 2,400,000
14 Format Rawat Jalan rim 380,000 20 7,600,000
15 Resep buku 20,000 500 10,000,000
16 Map rekam medik pcs 8,500 7,500 63,750,000
17 Surat Keterangan Sehat buku 25,000 - -
18 Surat keterangan Sakit buku 25,000 - -
19 Kepuasan Pelanggan rim 160,000 15 2,400,000
20 Laporan BOK rim 160,000 3 480,000
21 SOAP Ibu rim 160,000 12 1,920,000
22 Pendataan 5 Pilar STBM rim 400,000 - -
106,762,000
 RENCANA USULAN BELANJA ATK DAN BHP T.A 2023

No ATK Satuan Harga Jumlah Anggaran

1 Amplop besar box 25,000 15 375,000
2 Amplop coklat F4 pak 55,000 10 550,000
3 Amplop kecil box 20,000 20 400,000
4 Bak stempel pcs 10,000 12 120,000
5 Ballpoint (biru) pak 30,000 6 180,000
Ballpoint (hitam) pak 30,000 80 2,400,000
Ballpoint (merah) pak 30,000 6 180,000
6 Binder klips/Penjepit kertas 111 pak 10,000 30 300,000
7 Box file bindex buah 30,000 100 3,000,000
8 Buku ekspedisi pcs 15,000 10 150,000
9 Buku hardcover kuarto buah 15,000 50 750,000
10 Buku hardcover polio buah 25,000 50 1,250,000
11 Buku tulis 58 sheet pak 50,000 10 500,000
12 Clear Book 60pocket pcs 50,000 35 1,750,000
13 Cutter besar pcs 15,000 15 225,000
14 Cutter kecil pcs 10,000 12 120,000
15 Double tape tebal (hitam) pcs 15,000 5 75,000
16 Double tape kertas 1 cm pcs 15,000 5 75,000
17 Double tape kertas 2,5 cm pcs 10,000 10 100,000
18 Double tape kertas 5 cm pcs 15,000 6 90,000
19 Gunting kertas pcs 20,000 20 400,000
20 Isi cutter besar pak 10,500 10 105,000
21 Isi stapler besar kotak 15,000 6 90,000
22 Isi stapler kecil kotak 5,000 200 1,000,000
23 Kertas HVS A4 rim 45,000 150 6,750,000
24 Kertas HVS F4 rim 55,000 175 9,625,000
25 Kertas HVS F4 - 80gr rim 70,000 10 700,000
26 kertas Jilid pak 45,000 1 45,000
27 Kertas photo pak 40,000 12 480,000
28 Kertas photo sticker pak 45,000 15 675,000
29 Klip kertas jumbo pak 6,000 50 300,000
30 Kwitansi besar buku 10,000 60 600,000
31 Label harga sticker pak 30,000 10 300,000
32 Lakban jilid besar (hitam) buah 25,000 12 300,000
33 Lakban Jilid besar (merah) pcs 25,000 12 300,000
34 Lem stick cair buah 7,000 25 175,000
35 Map kertas pak 45,000 25 1,125,000
36 Map plastik busines file pak 45,000 50 2,250,000
37 Map plastik kancing pak 45,000 25 1,125,000
38 Map spring file dus 100,000 20 2,000,000
39 Name tage pcs 25,000 70 1,750,000
40 Ordner Banex pcs 30,000 100 3,000,000

41 Pembolong (Punch) buah 20,000 10 200,000

42 Penggaris plastik 40 cm buah 15,000 10 150,000
43 Pensil 2B buah 5,000 12 60,000
44 Post it pcs 10,000 50 500,000
45 Selotip bening kecil pcs 15,000 60 900,000
46 Serutan pensil pcs 10,000 12 120,000
47 Sheet protektor 100 sheet pak 100,000 50 5,000,000
48 Spidol kecil hitam buah 3,000 50 150,000
49 Spidol permanent (hitam) lusin 100,000 20 2,000,000
50 Spidol permanent (merah) lusin 100,000 1 100,000
51 Stabilo buah 6,000 20 120,000
52 Stapler kecil pcs 20,000 40 800,000
53 Thermalroll (kertas mesin antrian) pcs 25,000 100 2,500,000
54 Tinta Printer Epson 774 hitam botol 200,000 25 5,000,000
55 Tinta printer Epson 5190 hitam botol 150,000 12 1,800,000
56 Tinta printer hitam epson 664 botol 150,000 8 1,200,000
57 Tinta printer warna epson 5190 botol 150,000 36 5,400,000
58 Tinta printer warna epson 664 botol 150,000 24 3,600,000
59 Tinta stemple buah 15,000 20 300,000
60 Tip Ex cair pcs 8,000 70 560,000
61 Tip ex pita pcs 10,000 30 300,000
62 Trigonal klips pak 5,000 45 225,000
76,670,000
No Listrik dan Elektrik Satuan Harga Jumlah Anggaran
1 Batu baterai 9 vilt (kotak) pcs 40,000 60 2,400,000
2 Batu baterai Alkalin AA (2 buah) pcs 20,000 120 2,400,000
3 Batu baterai Alkalin AAA (2 buah) pcs 20,000 100 2,000,000
4 Batu baterai lithium (kancing) pcs 7,500 40 300,000
5 Kabel Listrik NYM Eterna rol 600,000 5 3,000,000
6 Kabel serabut transparan rol 150,000 2 300,000
7 Lampu LED Phillips 12 W pcs 70,000 50 3,500,000
8 Lampu LED Phillips 10 W pcs 70,000 50 3,500,000
9 Steker pcs 15,000 6 90,000
10 Stop Kontak pcs 15,000 6 90,000
11 Terminal listrik 2 lubang brocco pcs 35,000 10 350,000
12 Terminal listrik 3 lubang brocco pcs 45,000 10 450,000
13 Lampu Emergency pcs 200,000 6 1,200,000
14 Kabel LAN (Jaringan) 20 m rol 50,000 10 500,000
20,080,000
No Peralatan Kebersihan dan bahan Pembersih Satuan Harga Jumlah Anggaran
1 Alat pel super mop set 150,000 15 2,250,000
2 Bayclean 1lt botol 20,000 70 1,400,000
3 Dinpenser Stella matic pcs 100,000 12 1,200,000
4 Handsoap reffil buah 20,000 200 4,000,000
5 Kamper Bagus Toilet (5 buah) pcs 30,000 180 5,400,000
6 Kanebo pcs 30,000 25 750,000
7 Kanebo (Alon) pcs 100,000 5 500,000
8 Kemoceng pcs 20,000 15 300,000
9 Keset pcs 45,000 30 1,350,000
10 Serbet pcs 10,000 40 400,000
11 Lap tangan/washlap pcs 20,000 40 800,000
12 Pembersih kaca cling pcs 15,000 60 900,000
13 Pembersih lantai Vixal 780 ml botol 45,000 60 2,700,000
14 Pengharum ruang gantung pcs 15,000 200 3,000,000
15 Pengharum ruang spray pcs 30,000 40 1,200,000
16 Plastik sampah domestik besar pak 20,000 100 2,000,000
17 Plastik sampah domestik kecil pak 15,000 150 2,250,000
18 Reffil kain pel supermop pcs 45,000 30 1,350,000
19 Sabun bayi pcs 25,000 15 375,000
20 Sabun detergen 1 kg buah 25,000 30 750,000
21 Sabun mandi cair pcs 20,000 30 600,000
22 Sapu ijuk pcs 20,000 40 800,000
23 Sapu lidi pcs 15,000 25 375,000
24 Sapu lidi gagang pcs 35,000 15 525,000
25 Serok sampah pcs 40,000 25 1,000,000
26 Sikat Kloset gagang pcs 15,000 20 300,000
27 Sikat cuci plastik pcs 20,000 20 400,000
28 Silkat gagang panjang 1 mtr pcs 45,000 7 315,000
29 Spon busa pcs 10,000 45 450,000
30 Spon serabut pcs 13,500 12 162,000
31 Stella matic reffil botol 40,000 130 5,200,000
32 Sunlight ( reffil ) pcs 20,000 50 1,000,000
33 Tempat sampah tertutup injak pcs 200,000 20 4,000,000
34 Tissue 250 gr pak 15,000 750 11,250,000
35 Tissue basah pcs 15,000 15 225,000
36 Tissue pengesat Towel pak 25,000 350 8,750,000
37 Wipol karbol lantai (reffil) pcs 30,000 80 2,400,000
70,627,000

No Alat Habis pakai Rumah Tangga Satuan Harga Jumlah Anggaran

1 AQUA Galon buah 20,000 300 6,000,000
2 Baby Oil besar buah 35,000 15 525,000
3 Kantong plastik 8 x 15 kg 45,000 50 2,250,000
4 Kantong plastik 9 x 15 kg 45,000 120 5,400,000
5 Kantong kresek besar hitam pak 40,000 60 2,400,000
6 Kantong kresek gelas (1 gelas) pak 4,500 630 2,835,000
7 Kantong plastik kresek sedang pak 15,000 50 750,000
8 Minyak telon (besar) botol 35,000 15 525,000
9 Obat nyamuk HIT semprot besar pcs 55,000 40 2,200,000
10 Plastik wrapping (besar) rol 200,000 4 800,000
11 Sedotan plastik pak 5,000 30 150,000
12 Minyak kayu putih (Sedang) botol 35,000 6 210,000
13 Round up botol 100,000 10 1,000,000
25,045,000
No Bahan Cetak Satuan Harga Jumlah Anggaran
1 Hak dan kewajiban pasien rim 160,000 5 800,000
2 Surat keterangan sakit buku 25,000 67 1,675,000
3 Inform consernt rim 160,000 40 6,400,000
4 Hasil Pemeriksaan Laboratorium buku 25,000 75 1,875,000
5 Rujukan Pemeriksaan Laboratorium buku 20,000 150 3,000,000
6 Rujukan Umum rim 160,000 12 1,920,000
7 Karcis Retribusi Rawat Jalan buku 7,000 250 1,750,000
8 Karcis Retribusi Keterangan Sehat buku 7,000 30 210,000
9 Karcis Retribusi Calon Pengantin buku 7,000 20 140,000
10 Karcis Retribusi UGD buku 7,000 5 35,000
11 Karcis Haji buku 7,000 1 7,000
12 Buku Calon Pengantin buku 20,000 20 400,000
13 Kartu Ibu rim 160,000 15 2,400,000
14 Format Rawat Jalan rim 380,000 20 7,600,000
15 Resep buku 20,000 500 10,000,000
16 Map rekam medik pcs 8,500 7,500 63,750,000
17 Surat Keterangan Sehat buku 25,000 - -
18 Surat keterangan Sakit buku 25,000 - -
19 Kepuasan Pelanggan rim 160,000 15 2,400,000
20 Laporan BOK rim 160,000 3 480,000
21 SOAP Ibu rim 160,000 12 1,920,000
22 Pendataan 5 Pilar STBM rim 400,000 - -
106,762,000