LAPORAN PERSEDIAAN LABORATORIUM PROBEST

BULAN : NOVEMBER 2018

STOK PENERIMAAN HARGA

PEMAKAIAN STOK AKHIR
AWAL KEMASAN
SATUAN SATUAN
NO NAMA BARANG 01 Nov s.d 30 Nov 01 Nov s.d 30 Nov
KEMASAN TERKECIL 1-Nov-18 2018 2018
30-Nov-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil dlm satuan terkecil
kemasan

1 Acid washing dilution 1 Botol (500 ml) Botol 500 50 450 Free
2 Albumin FS proline (free) 0,25 kit Test - 285 169 116 Free
3 Albumin FS proline 1 Kit Test - 1143 0 1,143 Rp 689,000.00
4 Alkali washing dilution 1 Botol (500 ml) Botol 500 100 400 Free
5 Alkaline Phosphat R1 (free) 75 28 47
0,25 Kit Test Free
6 Alkaline Phosphat R2 (free) 75 68 7
7 Alkohol swab 5 Box (100 biji) Biji 500 201 299 Rp 26,500.00
8 Anti HCV Abon Box (50 strip) Strip 50 0 50 Rp 467,500.00
9 Anti HIV Device Vikia Box (25 strip) Strip 25 10 15 Rp 950,000.00
10 Anti HIV Device Oncoprobe 1 Box (50 strip) Strip 50 10 40 Rp 2,725,000.00
11 Anti HIV Device SD Box (30 strip) Strip 30 10 20 Rp 1,615,000.00
12 Anti Reagen A (Gol darah) Vial (200 tes) Test 200 1 199 Rp 70,000.00
13 Anti Reagen B (Gol darah) Vial (200 tes) Test 200 1 199 Rp 70,000.00
14 Anti D Reagen (rhesus) Vial (200 tes) Test 200 1 199 Rp 93,000.00
15 Aquadest 6 Vial (25 mL) mL 150 0 150 Rp 13,500.00
16 Asam acetat 6 % Liter ml 100 1 99 Rp 17,000.00
17 Autosera TG R1 (free) 462 207 255
0,25 Kit Test Free
18 Autosera TG R2 (free) 462 258 204
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : NOVEMBER 2018

STOK PENERIMAAN HARGA

PEMAKAIAN STOK AKHIR
AWAL KEMASAN
SATUAN SATUAN
NO NAMA BARANG 01 Nov s.d 30 Nov 01 Nov s.d 30 Nov
KEMASAN TERKECIL 1-Nov-18 2018 2018
30-Nov-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil dlm satuan terkecil
kemasan

19 Autosera TG R1 925 0 925 Rp 831,000.00

0,5 Kit Test
20 Autosera TG R2 925 0 925 Rp 554,250.00
21 Bacl 1 Btl ml 100 0 100 Rp 46,000.00
22 Bayclin 500 mL ml 500 375 125 Rp 7,330.00
23 Benedict Liter ml 100 3 97 Rp 144,000.00
24 Bilirubin direct auto FS proline R1 900 48 852
1 Kit Test Rp 887,185.00
25 Bilirubin direct auto FS proline R2 900 110 790
26 Bilirubin total auto FS proline R1 720 4 716
1 Kit Test Rp 844,675.00
27 Bilirubin total auto FS proline R2 720 65 655
28 Blue tip 3 Box (500) Box 1500 94 1,406 Rp 67,000.00
29 Bracket 5 Buah Buah 5 5 0 Rp 40,000.00
30 Cat Gram 3 x 100 mL 1 Set Test/slide 100 0 100 Rp 480,000.00
31 Cat Ziehl Nelsen 3x 100 mL 1 Set Test/slide 100 0 100 Rp 205,700.00
32 Cholestest N Calibrator (free) 1 Vial Test 1 1 0 free
33 Cholestest N Calibrator 1 Vial Test 1 0 1 Rp 674,000.00
34 Cholestest N-HDL R1 (Free) 275 54 221
1 Vial Test Free
35 Cholestest N-HDL R2 (Free) 275 72 203
36 Cholestest N-HDL R1 550 0 550 Rp 1,109,250.00
1 kit Test
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : NOVEMBER 2018

STOK PENERIMAAN HARGA

PEMAKAIAN STOK AKHIR
AWAL KEMASAN
SATUAN SATUAN
NO NAMA BARANG 01 Nov s.d 30 Nov 01 Nov s.d 30 Nov
KEMASAN TERKECIL 1-Nov-18 2018 2018
30-Nov-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil dlm satuan terkecil
kemasan

1 kit Test
37 Cholestest N-HDL R2 550 0 550 Rp 1,000,425.00
38 Cholestest LDL R1 (Free) 275 108 167
1 Vial Test Free
39 Cholestest LDL R2 (Free) 275 121 154
40 Cholestest LDL R1 550 0 550 Rp 3,855,750.00
1 kit Test
41 Cholestest LDL R2 550 0 550 Rp 1,152,750.00
42 CK-MB FS R1 400 15 385
1 Kit Test Rp 3,366,000.00
43 CK-MB FS R2 400 20 380
44 Combostik Urine 10 M 3 Box (100) Biji 300 26 274 Rp 405,600.00
45 Cover glass 22x22 Kotak (20 box) Box 1000 19 981 Rp 750,000.00
46 Creatinin FS Proline R1 (free) 125 32 93
0,25 Kit Test Free
47 Creatinin FS Proline R2 (free) 125 54 71
48 Creatinin FS Proline R1 1000 0 1,000
2 Kit Test Rp 825,890.00
49 Creatinin FS Proline R2 1000 0 1,000
50 Dengue IgG IgM SD 1 Box Test 25 0 25 Rp 1,987,000.00
51 Dengue NS1 SD 1 Box (25 Test) Test 25 0 25 Rp 2,925,000.00
52 Eosin (Alkohol) Vial (100 mL) mL 100 0 100 Rp 150,000.00
53 Eter Alkohol 1:4 2 Botol mL 500 2 498 Rp 275,000.00
54 Fresco Hand Scrub 500 mL 5 Btl Botol 5 4 1 Rp 112,500.00
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : NOVEMBER 2018

STOK PENERIMAAN HARGA

PEMAKAIAN STOK AKHIR
AWAL KEMASAN
SATUAN SATUAN
NO NAMA BARANG 01 Nov s.d 30 Nov 01 Nov s.d 30 Nov
KEMASAN TERKECIL 1-Nov-18 2018 2018
30-Nov-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil dlm satuan terkecil
kemasan

55 Fresco Hand Scrub 5 L 1 Galon mL 10 0 10 Rp 1,010,000.00

56 Fresco Hand Rub 500 mL 5 Btl Botol 5 5 0 Rp 83,375.00
57 Fresco Hand Rub 5 L 1 Galon mL 10 0 10 Rp 693,750.00
58 Fouchet 100 mL ml 100 2 98 Rp 334,000.00
59 Gamma-GT FS R1 (free) 216
0,25 Kit Test Free
60 Gamma-GT FS R2 (free) 150 45 105
61 Gamma-GT FS R1 600 0 600
1 Kit Test Rp 1,066,520.00
62 Gamma-GT FS R2 600 0 600
63 Giemsa 1 Btl (500mL) Test 500 14 486 Rp 1,485,000.00
64 Gluco DR Auto Strip 6 Box (50) Biji 300 14 286 Rp 300,000.00
65 Glukosa heksokinase proline R1 (Free) 180 139 41
0,25 Kit Test Free
66 Glukosa heksokinase proline R2 (Free) 180 139 41
67 Glukosa heksokinase proline R1 1440 0 1,440
2 Kit Test Rp 1,021,670.00
68 Glukosa heksokinase proline R2 1440 0 1,440
69 Handscoon 5 Box (500 biji) Biji 500 307 193 Rp 60,000.00
70 HBA1C Calibrator for Nuridia (Free) 1 Set Test 2 2 0 Free
71 HBA1C Calibrator for Nuridia 1 Set Test 2 1 1 Rp 604,750.00
72 HbA1C Control for Nurodia FS R1 (free) 2 2 0
1 Set Test
Free
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : NOVEMBER 2018

STOK PENERIMAAN HARGA

PEMAKAIAN STOK AKHIR
AWAL KEMASAN
SATUAN SATUAN
NO NAMA BARANG 01 Nov s.d 30 Nov 01 Nov s.d 30 Nov
KEMASAN TERKECIL 1-Nov-18 2018 2018
30-Nov-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil dlm satuan terkecil
kemasan

1 Set Test
73 HbA1C Control for Nurodia FS R2 (free) 2 2 0 Free
74 HbA1C Control for Nurodia FS R1 2 1 1 Rp 974,250.00
1 Set Test
75 HbA1C Control for Nurodia FS R2 2 1 1 Rp 2,399,250.00
76 HbA1C R1 150 124 26
1 Vial Test free
77 HbA1C R2 (free) 150 60 90
HbA1C R1 600 0 600 Rp 1,299,000.00
1 Kit Test
HbA1C R2 600 0 600 Rp 3,199,000.00
78 HbA1C Pretreatment 1 Vial (200ml) Test 200 35 165 free
79 HBsAg Strip SD Multi 1 Box (30) Pcs 30 9 21 Rp 880,000.00
80 Hitung Sperma 1 btl (100mL) Test 100 3 97 Rp 71,000.00
81 Irone FS Ferene R1 1 Kit Test 330 15 315 Rp 892,500.00
82 Irone FS Ferene R2 1 Kit Test 330 20 310 Rp 892,500.00
83 Jarum Holder 1 Box (50) Biji 50 1 49 Rp 84,700.00
84 Jarum wings 1 Box (50) Biji 50 14 36
85 Kapas 2 Pcs (250 gr) gram 500 0 500 Rp 33,500.00
86 Kertas Lensa 2 Lembar 50 2 48 Rp 27,000.00
87 kertas saring 10 Lembar Lembar 10 1 9 Rp 7,000.00
88 KOH 10% 1 Botol (100 mL) mL 100 0 100 Rp 27,000.00
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : NOVEMBER 2018

STOK PENERIMAAN HARGA

PEMAKAIAN STOK AKHIR
AWAL KEMASAN
SATUAN SATUAN
NO NAMA BARANG 01 Nov s.d 30 Nov 01 Nov s.d 30 Nov
KEMASAN TERKECIL 1-Nov-18 2018 2018
30-Nov-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil dlm satuan terkecil
kemasan

89 Lancet 10 Box (1000) Biji 1000 16 984 Rp 20,000.00

90 LDH FS (DGKC) R1 400 15 385
1 Kit Test Rp 923,950.00
91 LDH FS (DGKC) R2 400 20 380
92 Liquichek Urinalysis C1 1 kit (48 Test) Test 48 2 46 Rp 616,000.00
93 Liquichek Urinalysis C2 1 kit (48 Test) Test 48 1 47 Rp 616,000.00
94 Malaria Card Skytest 1 Box Strip 25 0 25 Rp 680,000.00
95 Masker 3 Box (150) Biji 150 66 84 Rp 25,000.00
96 Methanol Pro Analisa 1 Btl mL 100 2 98 Rp 51,000.00
97 Narkoba GP Glory Vial Vial 25 0 25 Rp 1,912,500.00
98 Nacl 0,9 % 2 Btl Botol 1000 1 999 Rp 67,000.00
99 Nihon Cleanac3 1 Box (5 L) Test 3 0 3 Free
101 Nihon Hematologi kontrol normal Vial Vial 3 0 3 Rp 1,031,250.00
102 Nihon Hemolinac 3 (free) 1 Btl (500ml) Test 500 98 402 Free
103 Nihon Hemolinac 3 1 Btl (500 ml) Test 500 0 500 Rp 4,000,000.00
104 Nihon Isotonac (free) 1 Box (18 L) Test 450 98 352 Free
105 Nihon Isotonac 1 Box (18 L) Test 450 0 450 Rp 4,840,000.00
106 NS 1 Dengue Box (100 biji) Biji 25 0 25 Rp 2,925,000.00
107 Obyek glass biasa (non frosted) 5 Box (360) Biji 360 20 340 Rp 25,000.00
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : NOVEMBER 2018

STOK PENERIMAAN HARGA

PEMAKAIAN STOK AKHIR
AWAL KEMASAN
SATUAN SATUAN
NO NAMA BARANG 01 Nov s.d 30 Nov 01 Nov s.d 30 Nov
KEMASAN TERKECIL 1-Nov-18 2018 2018
30-Nov-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil dlm satuan terkecil
kemasan

108 Obyek glass frosted 5 Box (360) Biji 360 0 360 Rp 27,000.00
109 Oil imersi 1 Botol (250 mL) ml 250 0 250 Rp 1,958,000.00
110 One Med Plester Bulat Box (200) Biji 1000 111 889 Rp 190,000.00
111 Pureauto S Cho-N R1 0,25 Kit Test 462 215 247
Free
112 Pureauto S Cho-N R2 0,25 Kit Test 462 226 236
113 Pureauto S Cho-N R1 0,5 Kit Test 925 0 925 Rp 679,875.00
114 Pureauto S Cho-N R2 0,5 Kit Test 925 0 925 Rp 408,000.00
115 Safety Box 10 Biji Biji 10 2 8 Rp 22,000.00
116 Sample Tube Serum 1 Pack (500 Biji) Biji 500 128 372 Rp 300,000.00
117 SGOT proline R1 (fee) 225 24 201
0,25 kit Test Free
118 SGOT proline R2 (free) 225 67 158
119 SGOT proline R1 900 0 900
1 Kit Test Rp 825,825.00
120 SGOT proline R2 900 0 900
121 SGPT proline R1 (free) 225 36 189
0,25 Kit Test Free
122 SGPT proline R2 (free) 225 62 163
123 SGPT proline R1 900 0 900
1 Kit Test Rp 825,825.00
124 SGPT proline R2 900 0 900
125 Spirtus 2 Sak (1ltr) mL 1000 200 800 Rp 25,000.00
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : NOVEMBER 2018

STOK PENERIMAAN HARGA

PEMAKAIAN STOK AKHIR
AWAL KEMASAN
SATUAN SATUAN
NO NAMA BARANG 01 Nov s.d 30 Nov 01 Nov s.d 30 Nov
KEMASAN TERKECIL 1-Nov-18 2018 2018
30-Nov-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil dlm satuan terkecil
kemasan

126 Spuit Onemed 1 cc 1 Box (100) Biji 100 0 100 Rp 100,000.00

127 Spuit Terumo 1 cc 1 Box (100) Biji 100 7 93 Rp 412,650.00
128 Spuit Terumo 3 CC 2 Box (100) Biji 200 95 105 Rp 301,500.00
129 Spuit Terumo 5 CC 2 Box (100) Biji 200 22 178 Rp 378,000.00
130 Sypilis strip glory 50 T 1 Box (50) Test 50 0 50 Rp 510,000.00
131 Tabung Reaksi Box (50 ) Strip 50 0 50 Rp 250,000.00
132 Thepol 1L mL 1000 0 1,000 Rp 50,000.00
133 Test kehamilan(HCG strip) 2 Box (50) Biji 100 1 99 Rp 80,000.00
134 Total Protein Fs R1 (free) 180 40 104
0,25 kit Test Free
135 Total Protein Fs R2 (free) 180 132 48
136 TPHA 1 Kit Test 200 0 200 Rp 1,600,000.00
137 Trucal U (free) 1 Kit Test 1 1 0 Free
138 Trucal U 2 Kit Test 2 1 1 Rp 259,545.00
139 Trulab N (Kontrol Normal) (free) 1 Kit Test 1 1 0 Free
140 Trulab N (Kontrol Normal) 6 Vial Vial 6 1 5 Rp 377,520.00
141 Tubex TF 1 kit Test 36 4 32 Rp 3,700,000.00
142 Typhidot IgG IgM Box (25 pcs) Pcs 25 0 25 Rp 2,420,000.00
143 UIBC FS R1 330 15 315
1 Kit Test Rp 1,615,000.00
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : NOVEMBER 2018

STOK PENERIMAAN HARGA

PEMAKAIAN STOK AKHIR
AWAL KEMASAN
SATUAN SATUAN
NO NAMA BARANG 01 Nov s.d 30 Nov 01 Nov s.d 30 Nov
KEMASAN TERKECIL 1-Nov-18 2018 2018
30-Nov-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil dlm satuan terkecil
kemasan

1 Kit Test Rp 1,615,000.00

144 UIBC FS R2 330 20 310
145 Urea UV proline R1 (free) 180 80 100
0,25 kit test free
146 Urea UV proline R2 (free) 180 91 89
147 Urea UV proline R1 1440 0 1,440
2 Kit Test Rp 884,845.00
148 Urea UV proline R2 1440 0 1,440
149 Urid Acid FS (TBHBA) R1 (free) 180 87 93
0,25 kit Test Free
150 Urid Acid FS (TBHBA) R2 (free) 180 77 83
151 Urid Acid FS (TBHBA) R1 720 0 720
1 Kit Test Rp 1,101,880.00
152 Urid Acid FS (TBHBA) R2 720 0 720
153 Urine Container Non Steril 4 Pack (50 Pcs) Pcs 200 66 134 Rp 125,000.00
154 Urine Container Steril 25 Pcs Pcs 25 0 25 Rp 62,500.00
155 Vacuntainer K2EDTA 0,5 ml box Biji 100 2 98 Rp 182,000.00
156 Vacuntainer K3EDTA 3,0 ml box Biji 900 33 867 Rp 251,000.00
157 Vacuntainer Plain Merah box Biji 1000 94 906 Rp 164,000.00
158 Widal Remel 1 Set Test 150 2 148 Rp 1,500,000.00
159 Yellow tip 3 Box (1000) Liter 3000 66 2,934 Rp 80,000.00
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : NOVEMBER 2018

STOK PENERIMAAN HARGA

PEMAKAIAN STOK AKHIR
AWAL KEMASAN
SATUAN SATUAN
NO NAMA BARANG 01 Nov s.d 30 Nov 01 Nov s.d 30 Nov
KEMASAN TERKECIL 1-Nov-18 2018 2018
30-Nov-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil dlm satuan terkecil
kemasan

Tuban,
Mengetahui,
a.n Penanggung Jawab Laboratorium Penangung jawab barang

Suprapti, S.ST Mida Adyang Rurintyas

HARGA

dlm satuan terkecil

Rp -
Rp -
Rp 603.00 Rp -
Rp -

Rp -

Rp 265.00 Rp 53,265.00
Rp 9,350.00 Rp -
Rp 38,000.00 Rp 380,000.00
Rp 54,500.00 Rp 545,000.00
Rp 16,150.00 Rp 161,500.00
Rp 350.00 Rp 350.00
Rp 350.00 Rp 350.00
Rp 465.00 Rp 465.00
Rp 540.00 Rp -
Rp 170.00 Rp 170.00

Rp -
HARGA

dlm satuan terkecil

Rp 900.00 Rp -
Rp 600.00 Rp -
Rp 460.00 Rp -
Rp 16.66 Rp 6,247.50
Rp 1,440.00 Rp 4,320.00

Rp 990.00 Rp 47,520.00

Rp 1,230.00 Rp 4,920.00

Rp 134.00Rp 12,596.00
Rp 40,000.00Rp 200,000.00
Rp 4,800.00Rp -
Rp 2,057.00Rp -
Rp -
Rp 674,000.00 Rp -

Rp -

Rp 2,020.00 Rp -
HARGA

dlm satuan terkecil

Rp 1,820.00 Rp -

Rp -

Rp 7,010.00 Rp -
Rp 3,000.00 Rp -

Rp 8,420.00 Rp 126,300.00

Rp 4,056.00 Rp 105,456.00
Rp 750.00 Rp 14,250.00

Rp -

Rp 1,700.00 Rp -

Rp 79,480.00 Rp -
Rp 117,000.00 Rp -
Rp 150.00 Rp -
Rp 550.00 Rp 1,100.00
Rp 112,500.00 Rp 450,000.00
HARGA

dlm satuan terkecil

Rp 101,000.00 Rp -
Rp 83,375.00 Rp 416,875.00
Rp 69,375.00 Rp -
Rp 3,340.00 Rp 6,680.00

Rp -

Rp -

Rp 2,970.00 Rp 41,580.00
Rp 6,000.00 Rp 84,000.00

Rp -

Rp 1,420.00 Rp -

Rp 120.00 Rp 36,840.00
Rp -
Rp 302,375.00 Rp 302,375.00

Rp -
HARGA

dlm satuan terkecil

Rp -
Rp 487,125.00 Rp 487,125.00
Rp 1,199,625.00 Rp 1,199,625.00

Rp -

Rp 2,165.00
Rp 5,332.00
Rp -
Rp 29,333.33 Rp 263,999.97
Rp 710.00 Rp 2,130.00
Rp 2,705.00 Rp 40,575.00
Rp 2,705.00 Rp 54,100.00
Rp 1,694.00 Rp 1,694.00
Rp -
Rp 670.00 Rp -
Rp 1,080.00 Rp 2,160.00
Rp 7,000.00 Rp 7,000.00
Rp 2,700.00 Rp -
HARGA

dlm satuan terkecil

Rp 200.00 Rp 3,200.00

Rp 2,310.00 Rp 34,650.00

Rp 12,833.33 Rp 25,666.66
Rp 12,833.33 Rp 12,833.33
Rp 27,200.00 Rp -
Rp 500.00 Rp 33,000.00
Rp 510.00 Rp 1,020.00
Rp 76,500.00 Rp -
Rp 134.00 Rp 134.00
Rp -
Rp 257,812.80 Rp -
Rp -
Rp 8,000.00 Rp -
Rp -
Rp 10,800.00 Rp -
Rp 117,000.00 Rp -
Rp 277.78 Rp 5,555.60
HARGA

dlm satuan terkecil

Rp 375.00 Rp -
Rp 7,832.00 Rp -
Rp 190.00 Rp 21,090.00

Rp -

Rp 735.00 Rp -
Rp 450.00 Rp -
Rp 22,000.00 Rp 44,000.00
Rp 600.00 Rp 76,800.00

Rp -

Rp -
Rp 920.00

Rp -

Rp 920.00 Rp -

Rp 50.00 Rp 10,000.00
HARGA

dlm satuan terkecil

Rp 1,000.00 Rp -
Rp 4,127.00 Rp 28,889.00
Rp 3,015.00 Rp 286,425.00
Rp 3,780.00 Rp 83,160.00
Rp 10,200.00 Rp -
Rp 5,000.00 Rp -
Rp 50.00 Rp -
Rp 800.00 Rp 800.00

Rp -

Rp 8,000.00 Rp -
Rp -
Rp 259,545.00 Rp 259,545.00
Rp -
Rp 377,520.00 Rp 377,520.00
Rp 102,777.00 Rp 411,108.00
Rp 96,800.00 Rp -

Rp 4,895.00 Rp 73,425.00
HARGA

dlm satuan terkecil

Rp 4,895.00 Rp 73,425.00

Rp -

Rp 1,130.00 Rp -

Rp -

Rp 1,535.00 Rp -

Rp 2,500.00 Rp 165,000.00
Rp 2,500.00 Rp -
Rp 3,640.00 Rp 7,280.00
Rp 2,510.00 Rp 82,830.00
Rp 1,640.00 Rp 154,160.00
Rp 10,000.00 Rp 20,000.00
Rp 80.00 Rp 5,280.00
Rp 7,283,940.06
 HARGA

dlm satuan terkecil

jawab barang

ang Rurintyas
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : DESEMBER 2018

STOK PENERIMAAN HARGA

STOK AKHIR
AWAL KEMASAN
PEMAKAIAN
SATUAN SATUAN
NO NAMA BARANG 01 Dec s.d 31 Dec 01 Dec s.d 31 Dec
KEMASAN TERKECIL 1-Dec-18 2018 2018
31-Dec-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil
kemasan dlm satuan terkecil

1 Acid washing dilution 1 Botol (500 ml) Botol 450 450 80 370 Free
2 Albumin FS proline (free) 0,25 kit Test 116 116 10 106 Free
3 Albumin FS proline 1 Kit Test 1143 1143 0 1,143 Rp 689,000.00
4 Alkali washing dilution 1 Botol (500 ml) Botol 400 400 160 240 Free
5 Alkaline Phosphat R1 (free) 47 47 4 43
0,25 Kit Test Free
6 Alkaline Phosphat R2 (free) 7 7 4 3
7 Alkohol swab Box (100 biji) Biji 299 299 160 139 Rp 132,500.00
8 Alkohol Swab One Med 10 Box (100 biji) biji 1000 0 1,000 Rp 160,000.00
9 Anti HCV Abon Box (50 strip) Strip 50 50 1 49 Rp 467,500.00
11 Anti HIV Device Vikia 3 Box (25 strip) Strip 15 90 23 67 Rp 950,000.00
12 Anti HIV Device Oncoprobe 1 Box (50 strip) Strip 40 40 23 17 Rp 2,725,000.00
13 Anti HIV Device Oncoprobe 1 Box (25 strip) Strip 25 0 25 Rp 1,050,000.00
14 Anti HIV Intec 3 Box (40 Strip) Strip 120 0 120 Rp 1,672,000.00
15 Anti HIV Device SD Box (30 strip) Strip 20 20 20 0 Rp 1,615,000.00
16 Anti Reagen A (Gol darah) Vial (200 tes) Test 199 199 2 197 Rp 70,000.00
17 Anti Reagen B (Gol darah) Vial (200 tes) Test 199 199 2 197 Rp 70,000.00
18 Anti D Reagen (rhesus) Vial (200 tes) Test 199 199 2 197 Rp 93,000.00
19 Aquadest Vial (25 mL) mL 150 275 150 125 Rp 148,500.00
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : DESEMBER 2018

STOK PENERIMAAN HARGA

STOK AKHIR
AWAL KEMASAN
PEMAKAIAN
SATUAN SATUAN
NO NAMA BARANG 01 Dec s.d 31 Dec 01 Dec s.d 31 Dec
KEMASAN TERKECIL 1-Dec-18 2018 2018
31-Dec-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil
kemasan dlm satuan terkecil

20 Asam acetat 6 % Liter ml 99 99 0 99 Rp 17,000.00

21 Autosera TG R1 (free) 255 255 55 200
0,25 Kit Test Free
22 Autosera TG R2 (free) 204 204 60 144
23 Autosera TG R1 925 925 0 925 Rp 831,000.00
0,5 Kit Test
24 Autosera TG R2 925 925 0 925 Rp 554,250.00
25 Bacl 1 Btl ml 100 100 0 100 Rp 46,000.00
26 Bayclin mL ml 125 1125 300 825 Rp 7,330.00
27 Benedict Liter ml 97 97 0 97 Rp 144,000.00
28 Bilirubin direct auto FS proline R1 852 852 7 845
1 Kit Test Rp 887,185.00
29 Bilirubin direct auto FS proline R2 790 790 6 784
30 Bilirubin total auto FS proline R1 716 716 8 708
1 Kit Test Rp 844,675.00
31 Bilirubin total auto FS proline R2 655 655 6 649
32 Blue tip 3 Box (1500) Box 1406 1406 37 1,369 Rp 201,000.00
33 Cat Gram 3 x 100 mL 1 Set Test/slide 100 100 0 100 Rp 480,000.00
34 Cat Ziehl Nelsen 3x 100 mL 1 Set Test/slide 100 100 0 100 Rp 205,700.00
35 Cholestest N Calibrator 1 Vial Test 1 1 1 0 Rp 674,000.00
36 Cholestest N-HDL R1 (Free) 221 221 22 199
1 Vial Test Free
37 Cholestest N-HDL R2 (Free) 203 203 22 181
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : DESEMBER 2018

STOK PENERIMAAN HARGA

STOK AKHIR
AWAL KEMASAN
PEMAKAIAN
SATUAN SATUAN
NO NAMA BARANG 01 Dec s.d 31 Dec 01 Dec s.d 31 Dec
KEMASAN TERKECIL 1-Dec-18 2018 2018
31-Dec-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil
kemasan dlm satuan terkecil

38 Cholestest N-HDL R1 550 550 0 550 Rp 1,109,250.00

1 kit Test
39 Cholestest N-HDL R2 550 550 0 550 Rp 1,000,425.00
40 Cholestest LDL R1 (Free) 167 167 20 147
1 Vial Test Free
41 Cholestest LDL R2 (Free) 156 156 22 134
42 Cholestest LDL R1 550 550 0 550 Rp 3,855,750.00
1 kit Test
43 Cholestest LDL R2 550 550 0 550 Rp 1,152,750.00
44 CK-MB FS R1 385 385 10 375
1 Kit Test Rp 3,366,000.00
45 CK-MB FS R2 380 380 15 365
46 Combostik Urine 10 M 3 Box (300) Biji 274 274 18 256 Rp 1,216,800.00
47 Cover glass 22x22 Kotak (20 box) Box 981 981 23 958 Rp 750,000.00
48 Creatinin FS Proline R1 (free) 93 93 26 67
0,25 Kit Test Free
49 Creatinin FS Proline R2 (free) 71 71 22 49
50 Creatinin FS Proline R1 1000 1000 0 1,000
2 Kit Test Rp 825,890.00
51 Creatinin FS Proline R2 1000 1000 0 1,000
52 Dengue IgG IgM SD 1 Box Test 25 25 2 23 Rp 1,987,000.00
53 Dengue NS1 SD 1 Box (25 Test) Test 25 25 0 25 Rp 2,925,000.00
54 Eosin (Alkohol) Vial (100 mL) mL 100 100 0 100 Rp 150,000.00
55 Eter Alkohol 1:4 2 Botol mL 498 498 0 498 Rp 275,000.00
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : DESEMBER 2018

STOK PENERIMAAN HARGA

STOK AKHIR
AWAL KEMASAN
PEMAKAIAN
SATUAN SATUAN
NO NAMA BARANG 01 Dec s.d 31 Dec 01 Dec s.d 31 Dec
KEMASAN TERKECIL 1-Dec-18 2018 2018
31-Dec-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil
kemasan dlm satuan terkecil

56 Fresco Hand Scrub 500 mL 5 Btl Botol 1 1 1 0 Rp 562,500.00

57 Fresco Hand Scrub 5 L 1 Galon mL 10 10 0 10 Rp 1,010,000.00
58 Fresco Hand Rub 5 L 1 Galon mL 10 10 0 10 Rp 693,750.00
59 FOB Right Sign Box (10Biji) Biji 10 0 10 Rp 440,000.00
60 Fouchet 100 mL ml 98 98 0 98 Rp 334,000.00
61 Gamma-GT FS R1 (free) 216 216 9 207
0,25 Kit Test Free
62 Gamma-GT FS R2 (free) 105 105 9 96
63 Gamma-GT FS R1 600 600 0 600
1 Kit Test Rp 1,066,520.00
64 Gamma-GT FS R2 600 600 0 600
65 Giemsa 1 Btl (500mL) Test 486 486 8 478 Rp 1,485,000.00
66 Gluco DR Auto Strip 6 Box (300) Biji 286 286 4 282 Rp 1,800,000.00
67 Glukosa heksokinase proline R1 (Free) 41 41 41 0
0,25 Kit Test Free
68 Glukosa heksokinase proline R2 (Free) 41 41 41 0
69 Glukosa heksokinase proline R1 1440 1440 6 1,434
2 Kit Test Rp 1,021,670.00
70 Glukosa heksokinase proline R2 1140 1440 8 1,432
71 Handscoon 5 Box (500 biji) Biji 193 193 193 0 Rp 300,000.00
72 Handscoon Nitril Box (100 biji) biji 1000 10 990 Rp 700,000.00
73 Handscoon Safeguard Box (100 biji) biji 400 92 308 Rp 192,000.00
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : DESEMBER 2018

STOK PENERIMAAN HARGA

STOK AKHIR
AWAL KEMASAN
PEMAKAIAN
SATUAN SATUAN
NO NAMA BARANG 01 Dec s.d 31 Dec 01 Dec s.d 31 Dec
KEMASAN TERKECIL 1-Dec-18 2018 2018
31-Dec-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil
kemasan dlm satuan terkecil

74 HBA1C Calibrator for Nuridia 1 Set Test 1 1 1 0 Rp 604,750.00

75 HbA1C Control for Nurodia FS R1 1 1 1 0 Rp 974,250.00
1 Set Test
76 HbA1C Control for Nurodia FS R2 1 1 1 0 Rp 2,399,250.00
77 HbA1C R1 26 26 0 26
1 Vial Test free
78 HbA1C R2 (free) 90 90 0 90
HbA1C R1 600 600 0 600 Rp 1,299,000.00
1 Kit Test
HbA1C R2 600 600 0 600 Rp 3,199,000.00
79 HbA1C Pretreatment 1 Vial (500ml) Test 165 165 0 165 free
80 HbsAb Strip Skytest 1 Box (50 Biji) Biji 50 50 0 50 Rp 480,000.00
81 HBsAg Strip SD Multi 1 Box (30) Pcs 21 21 21 0 Rp 880,000.00
82 Hbsag Strip Glory 1 Box (50 Biji) Biji 50 50 7 43 Rp 640,000.00
83 Hitung Sperma 1 btl (100mL) Test 97 97 3 94 Rp 71,000.00
84 Irone FS Ferene R1 1 Kit Test 315 315 15 300 Rp 892,500.00
85 Irone FS Ferene R2 1 Kit Test 310 310 15 295 Rp 892,500.00
86 Jarum Holder 1 Box (50) Biji 49 49 0 49 Rp 84,700.00
87 Jarum wings 1 Box (50) Biji 36 36 2 34 PINJAM RSUD
88 Kapas 2 Pcs (250 gr) gram 500 500 0 500 Rp 67,000.00
89 Kertas Lensa 2 Lembar 48 48 1 47 Rp 54,000.00
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : DESEMBER 2018

STOK PENERIMAAN HARGA

STOK AKHIR
AWAL KEMASAN
PEMAKAIAN
SATUAN SATUAN
NO NAMA BARANG 01 Dec s.d 31 Dec 01 Dec s.d 31 Dec
KEMASAN TERKECIL 1-Dec-18 2018 2018
31-Dec-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil
kemasan dlm satuan terkecil

90 Kertas Ph 1 Pack (100 Biji) Pcs 100 2 98 Rp 235,000.00

91 kertas saring 10 Lembar Lembar 9 9 0 9 Rp 70,000.00
92 KOH 10% 1 Botol (100 mL) mL 100 100 0 100 Rp 27,000.00
93 Lancet 10 Box (1000) Biji 984 984 15 969 Rp 200,000.00
94 LDH FS (DGKC) R1 385 385 10 375
1 Kit Test Rp 923,950.00
95 LDH FS (DGKC) R2 380 380 10 370
96 Liquichek Urinalysis C1 1 kit (48 Test) Test 46 46 0 46 Rp 616,000.00
97 Liquichek Urinalysis C2 2 kit (48 Test) Test 47 47 0 47 Rp 616,000.00
98 Malaria Card Skytest 1 Box Strip 25 25 0 25 Rp 680,000.00
99 Masker Box (50) Biji 84 334 30 304 Rp 167,000.00
100 Methanol Pro Analisa 1 Btl mL 98 98 8 90 Rp 51,000.00
101 Narkoba GP Glory Vial Vial 25 25 0 25 Rp 1,912,500.00
102 Nacl 0,9 % 2 Btl Botol 999 999 0 999 Rp 134,000.00
103 Nihon Cleanac3 1 Box (5 L) Test 3 3 0 3 Free
105 Nihon Hematologi kontrol normal Vial Vial 3 3 1 2 Rp 1,031,250.00
106 Nihon Hemolinac 3 (free) 1 Btl Test 402 402 114 288 Free
107 Nihon Hemolinac 3 1 Btl Test 500 500 0 500 Rp 4,000,000.00
108 Nihon Isotonac (free) 1 Box Test 352 352 114 238 Free
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : DESEMBER 2018

STOK PENERIMAAN HARGA

STOK AKHIR
AWAL KEMASAN
PEMAKAIAN
SATUAN SATUAN
NO NAMA BARANG 01 Dec s.d 31 Dec 01 Dec s.d 31 Dec
KEMASAN TERKECIL 1-Dec-18 2018 2018
31-Dec-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil
kemasan dlm satuan terkecil

109 Nihon Isotonac 1 Box Test 450 450 0 450 Rp 4,840,000.00

110 Obyek glass biasa (non frosted) 5 Box (360) Biji 340 340 21 319 Rp 100,000.00
111 Obyek glass frosted 5 Box (360) Biji 360 360 0 360 Rp 135,000.00
112 Oil imersi 1 Botol (250 mL) ml 250 250 0 250 Rp 1,958,000.00
113 One Med Plester Bulat Box (200) Biji 889 889 91 798 Rp 190,000.00
114 Pureauto S Cho-N R1 0,5 Kit Test 246 246 74 172
Free
115 Pureauto S Cho-N R2 0,5 Kit Test 236 236 101 135
116 Pureauto S Cho-N R1 0,5 Kit Test 925 925 0 925 Rp 679,875.00
117 Pureauto S Cho-N R2 0,5 Kit Test 925 925 0 925 Rp 408,000.00
118 Safety Box 10 Biji Biji 8 8 0 8 Rp 220,000.00
119 Sample Tube Serum 500 Biji Biji 372 372 47 325 Rp 300,000.00
120 SGOT proline R1 (fee) 201 201 24 177
0,25 kit Test Free
121 SGOT proline R2 (free) 158 158 24 134
122 SGOT proline R1 900 900 0 900
1 Kit Test Rp 825,825.00
123 SGOT proline R2 900 900 0 900
124 SGPT proline R1 (free) 189 189 24 165
0,25 Kit Test Free
125 SGPT proline R2 (free) 163 163 24 139
126 SGPT proline R1 900 900 0 900
1 Kit Test Rp 825,825.00
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : DESEMBER 2018

STOK PENERIMAAN HARGA

STOK AKHIR
AWAL KEMASAN
PEMAKAIAN
SATUAN SATUAN
NO NAMA BARANG 01 Dec s.d 31 Dec 01 Dec s.d 31 Dec
KEMASAN TERKECIL 1-Dec-18 2018 2018
31-Dec-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil
kemasan dlm satuan terkecil

1 Kit Test Rp 825,825.00

127 SGPT proline R2 900 900 0 900
128 Spirtus 2 Sak (1ltr) mL 800 800 200 600 Rp 50,000.00
129 Spuit Nipro 3 CC Box (100 biji) Biji 100 100 0 100 Rp 600,000.00
130 Spuit Onemed 1 cc 1 Box (100) Biji 100 100 0 100 Rp 100,000.00
131 Spuit Terumo 1 cc 1 Box (100) Biji 93 93 35 58 Rp 412,650.00
132 Spuit Terumo 3 CC Box (100) Biji 105 605 69 536 Rp 603,000.00
133 Spuit Terumo 5 CC Box (100) Biji 178 178 18 160 Rp 756,000.00
134 Sypilis strip glory 50 T 1 Box (50) Test 50 50 1 49 Rp 510,000.00
135 Tabung Reaksi Box (50 strip) Strip 50 50 0 50 Rp 250,000.00
136 Thepol 1L mL 1000 1000 0 1,000 Rp 50,000.00
137 Test kehamilan(HCG strip) 2 Box (50) Biji 99 99 0 99 Rp 160,000.00
138 Total Protein Fs R1 (free) 104 104 20 84
0,25 kit Test Free
139 Total Protein Fs R2 (free) 48 48 13 35
140 TPHA 1 Kit Test 200 200 0 200 Rp 1,600,000.00
141 Trucal U 2 Kit Test 1 1 0 1 Rp 519,090.00
142 Trulab N (Kontrol Normal) 6 Vial Vial 5 5 1 4 Rp 2,265,120.00
143 Tubex TF 1 kit Test 32 32 4 28 Rp 3,700,000.00
144 Typhidot IgG IgM Box (25 pcs) Pcs 25 25 0 25 Rp 2,420,000.00
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : DESEMBER 2018

STOK PENERIMAAN HARGA

STOK AKHIR
AWAL KEMASAN
PEMAKAIAN
SATUAN SATUAN
NO NAMA BARANG 01 Dec s.d 31 Dec 01 Dec s.d 31 Dec
KEMASAN TERKECIL 1-Dec-18 2018 2018
31-Dec-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil
kemasan dlm satuan terkecil

145 UIBC FS R1 315 315 10 305

1 Kit Test Rp 1,615,000.00
146 UIBC FS R2 310 310 15 295
147 Urea UV proline R1 (free) 100 100 18 82
0,25 kit test free
148 Urea UV proline R2 (free) 89 89 16 73
149 Urea UV proline R1 1440 1440 0 1,440
2 Kit Test Rp 1,769,690.00
150 Urea UV proline R2 1440 1440 0 1,440
151 Urid Acid FS (TBHBA) R1 (free) 93 93 18 75
0,25 kit Test Free
152 Urid Acid FS (TBHBA) R2 (free) 83 83 13 70
153 Urid Acid FS (TBHBA) R1 720 720 0 720
1 Kit Test Rp 1,101,880.00
154 Urid Acid FS (TBHBA) R2 720 720 0 720
155 Urine Container Non Steril 200 Pcs Pcs 134 134 12 122 Rp 500,000.00
156 Urine Container Steril 25 Pcs Pcs 25 25 0 16 Rp 62,500.00
157 Vacuntainer K2EDTA 0,5 ml Biji Biji 98 98 1 97 Rp 182,000.00
158 Vacuntainer K3EDTA 3,0 ml Biji Biji 867 867 45 822 Rp 251,000.00
159 Vacuntainer Plain Merah Biji Biji 906 906 70 836 Rp 164,000.00
160 Widal Remel 1 Set Test 148 148 2 146 Rp 1,500,000.00
161 Yellow tip 3 Box (1000) Liter 2934 2934 62 2,872 Rp 240,000.00
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : DESEMBER 2018

STOK PENERIMAAN HARGA

STOK AKHIR
AWAL KEMASAN
PEMAKAIAN
SATUAN SATUAN
NO NAMA BARANG 01 Dec s.d 31 Dec 01 Dec s.d 31 Dec
KEMASAN TERKECIL 1-Dec-18 2018 2018
31-Dec-18

dlm satuan
dlm satuan terkecil dlm satuan terkecil
kemasan dlm satuan terkecil

Tuban,
Mengetahui,
a.n Penanggung Jawab Laboratorium Penangung jawab barang

Suprapti, S.ST Mida Adyang Rurintyas

HARGA

dlm satuan terkecil

Rp -
Rp -
Rp -
Rp -

Rp -

Rp 265.00 Rp 42,400.00
Rp 160.00
Rp 9,350.00 Rp 9,350.00
Rp 38,000.00 Rp 874,000.00
Rp 54,500.00 Rp 1,253,500.00
Rp 42,000.00 Rp -
Rp 41,800.00 Rp -
Rp 16,150.00 Rp 323,000.00
Rp 350.00 Rp 700.00
Rp 350.00 Rp 700.00
Rp 465.00 Rp 930.00
Rp 540.00 Rp 81,000.00
HARGA

dlm satuan terkecil

Rp 170.00 Rp -

Rp -

Rp 900.00 Rp -
Rp 600.00 Rp -
Rp 460.00 Rp -
Rp 16.66 Rp 4,998.00
Rp 1,440.00 Rp -

Rp 990.00 Rp 6,930.00

Rp 1,230.00 Rp 9,840.00

Rp 134.00 Rp 4,958.00
Rp 4,800.00 Rp -
Rp 2,057.00 Rp -
Rp 674,000.00 Rp 674,000.00

Rp -
HARGA

dlm satuan terkecil

Rp 2,020.00
Rp -
Rp 1,820.00

Rp -

Rp 7,010.00 Rp -
Rp 3,000.00 Rp -

Rp 8,420.00 Rp 84,200.00

Rp 4,056.00 Rp 73,008.00
Rp 750.00 Rp 17,250.00

Rp -

Rp 1,700.00 Rp -

Rp 79,480.00 Rp 158,960.00
Rp 117,000.00 Rp -
Rp 150.00 Rp -
Rp 550.00 Rp -
HARGA

dlm satuan terkecil

Rp 112,500.00 Rp 112,500.00
Rp 101,000.00 Rp -
Rp 69,375.00 Rp -
Rp 44,000.00 Rp -
Rp 3,340.00 Rp -

Rp -

Rp -

Rp 2,970.00 Rp 23,760.00
Rp 6,000.00 Rp 24,000.00

Rp -

Rp 1,420.00 Rp 8,520.00

Rp 600.00 Rp 115,800.00
Rp 700.00 Rp 7,000.00
Rp 480.00 Rp 44,160.00
HARGA

dlm satuan terkecil

Rp 302,375.00 Rp 302,375.00
Rp 487,125.00 Rp 487,125.00
Rp 1,199,625.00 Rp 1,199,625.00

Rp -

Rp 2,165.00
Rp 5,332.00
Rp -
Rp 9,600.00
Rp 29,333.33 Rp 615,999.93
Rp 12,800.00
Rp 710.00 Rp 2,130.00
Rp 2,705.00 Rp 40,575.00
Rp 2,705.00 Rp 40,575.00
Rp 1,694.00 Rp -
Rp -
Rp 670.00 Rp -
Rp 1,080.00 Rp 1,080.00
HARGA

dlm satuan terkecil

Rp 2,350.00 Rp 4,700.00
Rp 7,000.00 Rp -
Rp 2,700.00 Rp -
Rp 200.00 Rp 3,000.00

Rp 2,310.00 Rp 23,100.00

Rp 12,833.33Rp -
Rp 12,833.33Rp -
Rp 27,200.00Rp -
Rp 500.00Rp 15,000.00
Rp 510.00Rp 4,080.00
Rp 76,500.00Rp -
Rp 134.00Rp -
Rp -
Rp 257,812.80 Rp 257,812.80
Rp -
Rp 8,000.00 Rp -
Rp -
HARGA

dlm satuan terkecil

Rp 10,800.00 Rp -
Rp 277.78 Rp 5,833.38
Rp 375.00 Rp -
Rp 7,832.00 Rp -
Rp 190.00 Rp 17,290.00

Rp -

Rp 735.00 Rp -
Rp 450.00 Rp -
Rp 22,000.00 Rp -
Rp 600.00 Rp 28,200.00

Rp 22,080.00
Rp 920.00

Rp -

Rp 920.00 Rp 22,080.00

Rp -
HARGA

dlm satuan terkecil

Rp -

Rp 50.00 Rp 10,000.00
Rp 1,200.00 Rp -
Rp 1,000.00 Rp -
Rp 4,127.00 Rp 144,445.00
Rp 3,015.00 Rp 208,035.00
Rp 3,780.00 Rp 68,040.00
Rp 10,200.00 Rp 10,200.00
Rp 5,000.00 Rp -
Rp 50.00 Rp -
Rp 800.00 Rp -

Rp -

Rp 8,000.00 Rp -
Rp 259,545.00 Rp -
Rp 377,520.00 Rp 377,520.00
Rp 102,777.00 Rp 411,108.00
Rp 96,800.00 Rp -
HARGA

dlm satuan terkecil

Rp 4,895.00 Rp 48,950.00

Rp -

Rp 1,130.00 Rp -

Rp -

Rp 1,535.00 Rp -

Rp 2,500.00 Rp 30,000.00
Rp 2,500.00 Rp -
Rp 3,640.00 Rp 3,640.00
Rp 2,510.00 Rp 112,950.00
Rp 1,640.00 Rp 114,800.00
Rp 10,000.00 Rp 20,000.00
Rp 80.00 Rp 4,960.00
Rp 8,612,773.11
 HARGA

dlm satuan terkecil

ung jawab barang

ang Rurintyas
 LAPORAN PERSEDIAAN LABORATORIUM PROBEST
BULAN : JANUARI 2019

STOK PENERIMAAN HARGA

STOK AKHIR
AWAL KEMASAN
PEMAKAIAN
SATUAN SATUAN
NO NAMA BARANG 01 Jan s.d 31 Jan 01 Jan s.d 31 Jan
KEMASAN TERKECIL 1-Jan-19 2019 2019
1-Jan-19

dlm satuan
dlm satuan terkecil dlm satuan terkecil
kemasan dlm satuan terkecil

1 Acid washing dilution 1 Botol (500 ml) Botol 370 370 70 300 Free
2 Albumin FS proline (free) 0,25 kit Test 106 106 5 101 Free
3 Albumin FS proline 1 Kit Test 1143 1143 0 1,143 Rp 689,000.00
4 Alkali washing dilution 1 Botol (500 ml) Botol 240 240 90 150 Free
5 Alkaline Phosphat R1 (free) 43 43 3 40
0,25 Kit Test Free
6 Alkaline Phosphat R2 (free) 3 3 0 3
7 Alkohol swab Box (100 biji) Biji 139 139 103 36 Rp 132,500.00
8 Alkohol Swab One Med 10 Box (100 biji) biji 1000 1000 148 852 Rp 16,000.00
9 Anti HCV Abon Box (50 strip) Strip 49 49 0 49 Rp 467,500.00
10 Anti HIV Device Vikia Box (25 strip) Strip 67 67 29 38 Rp 950,000.00
11 Anti HIV Device Oncoprobe Box (50 strip) Strip 17 67 17 50 Rp 2,725,000.00
12 Anti HIV Device Oncoprobe Box (25 strip) Strip 25 25 12 13 Rp 1,050,000.00
13 Anti HIV Intec Box (40 Strip) Strip 120 120 28 92 Rp 1,672,000.00
15 Anti Reagen A (Gol darah) Vial (200 tes) Test 197 197 0 197 Rp 70,000.00
16 Anti Reagen B (Gol darah) Vial (200 tes) Test 197 197 0 197 Rp 70,000.00
17 Anti D Reagen (rhesus) Vial (200 tes) Test 197 197 0 197 Rp 93,000.00
18 Aquadest Vial (25 mL) mL 125 125 25 100 Rp 148,500.00
19 Asam acetat 6 % Liter ml 99 99 6 93 Rp 17,000.00
20 Autosera TG R1 (free) 200 200 30 170
0,25 Kit Test Free
21 Autosera TG R2 (free) 144 144 21 123
22 Autosera TG R1 925 925 0 925 Rp 831,000.00
0,5 Kit Test
23 Autosera TG R2 925 925 0 925 Rp 554,250.00
24 Bacl 1 Btl ml 100 100 0 100 Rp 46,000.00
25 Bayclin mL ml 825 825 625 200 Rp 7,330.00
26 Benedict Liter ml 97 97 7 90 Rp 144,000.00
27 Bilirubin direct auto FS proline R1 845 845 20 825
1 Kit Test Rp 887,185.00
28 Bilirubin direct auto FS proline R2 784 784 13 771
29 Bilirubin total auto FS proline R1 708 708 11 697
1 Kit Test Rp 844,675.00
30 Bilirubin total auto FS proline R2 649 649 10 639
31 Blue tip 3 Box (500) Box 1369 1369 41 1,328 Rp 67,000.00
32 Cat Gram 3 x 100 mL 1 Set Test/slide 100 100 2 98 Rp 480,000.00
33 Cat Ziehl Nelsen 3x 100 mL 1 Set Test/slide 100 100 4 96 Rp 205,700.00
34 Cholestest N Calibrator 1 Vial Test 0 1 0 1 Rp 674,000.00
35 Cholestest N-HDL R1 (Free) 199 199 64 135
1 Vial Test Free
36 Cholestest N-HDL R2 (Free) 181 181 160 21
37 Cholestest N-HDL R1 550 550 0 550 Rp 1,109,250.00
1 kit Test
38 Cholestest N-HDL R2 550 550 0 550 Rp 1,000,425.00
39 Cholestest LDL R1 (Free) 147 147 24 123
1 Vial Test Free
40 Cholestest LDL R2 (Free) 134 134 23 111
41 Cholestest LDL R1 550 550 0 550 Rp 3,855,750.00
1 kit Test
42 Cholestest LDL R2 550 550 0 550 Rp 1,152,750.00
43 CK-MB FS R1 375 375 0 375
1 Kit Test Rp 3,366,000.00
44 CK-MB FS R2 365 365 0 365
45 Combostik Urine 10 M 3 Box (100) Biji 256 256 32 224 Rp 405,600.00
46 Cover glass 22x22 Kotak (20 box) Box 958 958 32 926 Rp 750,000.00
47 Creatinin FS Proline R1 (free) 67 67 25 42
0,25 Kit Test Free
48 Creatinin FS Proline R2 (free) 49 49 25 24
49 Creatinin FS Proline R1 1000 1000 0 1,000
2 Kit Test Rp 825,890.00
50 Creatinin FS Proline R2 1000 1000 0 1,000
51 Dengue IgG IgM SD 1 Box Test 23 23 0 23 Rp 1,987,000.00
52 Dengue NS1 SD 1 Box (25 Test) Test 25 25 4 21 Rp 2,925,000.00
53 Eosin (Alkohol) Vial (100 mL) mL 100 100 1 99 Rp 150,000.00
54 Eter Alkohol 1:4 2 Botol mL 498 498 8 490 Rp 137,500.00
55 Fresco Hand Scrub 5 L 1 Galon mL 10 10 0 10 Rp 1,010,000.00
56 Fresco Hand Rub 5 L 1 Galon mL 10 10 0 10 Rp 693,750.00
57 FOB Right Sign Box (10Biji) Biji 10 10 0 10 Rp 440,000.00
58 Fouchet 100 mL ml 98 98 3 95 Rp 334,000.00
59 Gamma-GT FS R1 (free) 207 207 15 192
0,25 Kit Test Free
60 Gamma-GT FS R2 (free) 96 96 15 81
61 Gamma-GT FS R1 600 600 0 600
1 Kit Test Rp 1,066,520.00
62 Gamma-GT FS R2 600 600 0 600
63 Giemsa 1 Btl (500mL) Test 478 478 14 464 Rp 1,485,000.00
64 Gluco DR Auto Strip 6 Box (300) Biji 282 282 33 249 Rp 300,000.00
65 Glukosa heksokinase proline R1 1434 1434 105 1,329
2 Kit Test Rp 1,021,670.00
66 Glukosa heksokinase proline R2 1432 1432 115 1,317
67 Handscoon Nitril 10 Box (100 biji) biji 990 990 240 750 Rp 70,000.00
68 Handscoon Safeguard 4 Box (100 biji) biji 308 308 258 50 Rp 48,000.00
69 HbA1C R1 26 26 0 26
1 Vial Test free
70 HbA1C R2 90 90 0 90
HbA1C R1 600 0 600 Rp 1,299,000.00
1 Kit Test
HbA1C R2 600 0 600 Rp 3,199,000.00
71 HbA1C Pretreatment 1 Vial (500ml) Test 165 165 25 140 free
72 HbsAb Strip Skytest 1 Box (50 Biji) Biji 50 50 0 50 Rp 480,000.00
73 Hbsag Strip Glory 1 Box (50 Biji) Biji 43 93 30 63 Rp 640,000.00
74 Hitung Sperma 1 btl (100mL) Test 94 94 7 87 Rp 71,000.00
75 Irone FS Ferene R1 1 Kit Test 300 300 0 300 Rp 892,500.00
76 Irone FS Ferene R2 1 Kit Test 295 295 0 295 Rp 892,500.00
77 Jarum Holder 1 Box (50) Biji 49 49 6 43 Rp 84,700.00
78 Jarum wings 1 Box (50) Biji 34 34 6 28 PINJAM RSUD
79 Kapas 2 Pcs (250 gr) gram 500 500 250 250 Rp 67,000.00
80 Kertas Lensa 2 Lembar 47 47 6 41 Rp 54,000.00
81 Kertas Ph 1 Pack (100 Biji) Pcs 98 98 14 84 Rp 235,000.00
82 kertas saring 10 Lembar Lembar 9 9 0 9 Rp 70,000.00
83 KOH 10% 1 Botol (100 mL) mL 100 100 0 100 Rp 27,000.00
84 Lancet 10 Box (1000) Biji 969 969 10 959 Rp 200,000.00
85 LDH FS (DGKC) R1 375 375 0 375
1 Kit Test Rp 923,950.00
86 LDH FS (DGKC) R2 370 370 0 370
87 Liquichek Urinalysis C1 1 kit (48 Test) Test 46 46 4 42 Rp 616,000.00
88 Liquichek Urinalysis C2 2 kit (48 Test) Test 47 47 4 43 Rp 616,000.00
89 Malaria Card Skytest 1 Box Strip 25 25 0 25 Rp 680,000.00
90 Masker Box (50) Biji 304 304 71 233 Rp 25,000.00
91 Methanol Pro Analisa 1 Btl mL 90 90 14 76 Rp 51,000.00
92 Narkoba GP Glory Vial Vial 25 25 0 25 Rp 1,912,500.00
93 Nacl 0,9 % 2 Btl Botol 999 999 2 997 Rp 134,000.00
94 Nihon Cleanac3 1 Box (5 L) Test 3 3 0 3 Free
96 Nihon Hematologi kontrol normal Vial Vial 2 2 1 1 Rp 1,031,250.00
97 Nihon Hemolinac 3 (free) 1 Btl Test 288 288 125 163 Free
98 Nihon Hemolinac 3 1 Btl Test 500 500 0 500 Rp 4,000,000.00
99 Nihon Isotonac (free) 1 Box Test 238 238 125 113 Free
100 Nihon Isotonac 1 Box Test 450 450 0 450 Rp 4,840,000.00
101 Obyek glass biasa (non frosted) 5 Box (360) Biji 319 319 20 299 Rp 100,000.00
102 Obyek glass frosted 5 Box (360) Biji 360 360 13 347 Rp 135,000.00
103 Oil imersi 1 Botol (250 mL) ml 250 250 0 250 Rp 1,958,000.00
104 One Med Plester Bulat Box (200) Biji 798 798 133 665 Rp 190,000.00
105 Pureauto S Cho-N R1 0,5 Kit Test 172 172 144 28
Free
 Free
106 Pureauto S Cho-N R2 0,5 Kit Test 135 135 97 38
107 Pureauto S Cho-N R1 0,5 Kit Test 925 925 0 925 Rp 679,875.00
108 Pureauto S Cho-N R2 0,5 Kit Test 925 925 0 925 Rp 408,000.00
109 Safety Box 10 Biji Biji 8 8 1 7 Rp 220,000.00
110 Sample Tube Serum 500 Biji Biji 325 325 60 265 Rp 300,000.00
111 SGOT proline R1 (fee) 177 177 26 151
0,25 kit Test Free
112 SGOT proline R2 (free) 134 134 24 110
113 SGOT proline R1 900 900 0 900
1 Kit Test Rp 825,825.00
114 SGOT proline R2 900 900 0 900
115 SGPT proline R1 (free) 165 165 32 133
0,25 Kit Test Free
116 SGPT proline R2 (free) 139 139 34 105
117 SGPT proline R1 900 900 0 900
1 Kit Test Rp 825,825.00
118 SGPT proline R2 900 900 0 900
119 Spirtus 2 Sak (1ltr) mL 600 600 0 600 Rp 50,000.00
120 Spuit Nipro 3 CC Box (100 biji) Biji 100 100 84 16 Rp 600,000.00
121 Spuit Onemed 1 cc 1 Box (100) Biji 100 100 0 100 Rp 100,000.00
122 Spuit Terumo 1 cc 1 Box (100) Biji 58 58 9 49 Rp 412,650.00
123 Spuit Terumo 3 CC 5 Box (100) Biji 536 536 38 498 Rp 603,000.00
124 Spuit Terumo 5 CC Box (100) Biji 160 160 23 137 Rp 756,000.00
125 Sypilis strip glory 50 T 1 Box (50) Test 49 49 4 45 Rp 510,000.00
126 Tabung Reaksi Box (50 pcs) Strip 50 50 0 50 Rp 250,000.00
127 Thepol 1L mL 1000 1000 0 1,000 Rp 50,000.00
128 Test kehamilan(HCG strip) 2 Box (50) Biji 99 99 0 99 Rp 160,000.00
129 Total Protein Fs R1 (free) 84 84 15 69
0,25 kit Test Free
130 Total Protein Fs R2 (free) 35 35 7 28
131 TPHA 1 Kit Test 200 200 0 200 Rp 1,600,000.00
132 Trucal U 2 Kit Test 3 3 1 2 Rp 519,090.00
133 Trulab N (Kontrol Normal) 6 Vial Vial 4 4 1 3 Rp 2,265,120.00
134 Tubex TF 1 kit Test 28 100 11 89 Rp 3,700,000.00
135 Typhidot IgG IgM Box (25 pcs) Pcs 25 25 0 25 Rp 2,420,000.00
136 UIBC FS R1 305 305 0 305
1 Kit Test Rp 1,615,000.00
137 UIBC FS R2 295 295 0 295
138 Urea UV proline R1 (free) 82 82 35 47
0,25 kit test free
139 Urea UV proline R2 (free) 73 73 32 41
140 Urea UV proline R1 1440 1440 0 1,440
2 Kit Test Rp 1,769,690.00
141 Urea UV proline R2 1440 1440 0 1,440
142 Urid Acid FS (TBHBA) R1 (free) 75 75 48 27
0,25 kit Test Free
143 Urid Acid FS (TBHBA) R2 (free) 70 70 38 32
144 Urid Acid FS (TBHBA) R1 720 720 0 720
1 Kit Test Rp 1,101,880.00
145 Urid Acid FS (TBHBA) R2 720 720 0 720
146 Urine Container Non Steril 200 Pcs Pcs 122 122 0 122 Rp 500,000.00
147 Urine Container Steril 25 Pcs Pcs 25 25 9 16 Rp 62,500.00
148 Vacuntainer K2EDTA 0,5 ml Biji Biji 97 97 9 88 Rp 182,000.00
149 Vacuntainer K3EDTA 3,0 ml Biji Biji 822 822 67 755 Rp 251,000.00
150 Vacuntainer Plain Merah Biji Biji 836 836 91 745 Rp 164,000.00
151 Widal Remel 1 Set Test 146 146 2 144 Rp 1,500,000.00
152 Yellow tip 3 Box (1000) Liter 2872 2872 90 2,782 Rp 240,000.00

Tuban,
Mengetahui,
a.n Penanggung Jawab Laboratorium Penangung jawab barang

Suprapti, S.ST Mida Adyang Rurintyas

HARGA

dlm satuan terkecil

Rp -
Rp -
Rp 605.00 Rp -
Rp -

Rp -

Rp 265.00 Rp 27,295.00
Rp 160.00
Rp 9,350.00 Rp -
Rp 38,000.00 Rp 1,102,000.00
Rp 54,500.00 Rp 926,500.00
Rp 42,000.00 Rp 504,000.00
Rp 41,800.00 Rp 1,170,400.00
Rp 350.00 Rp -
Rp 350.00 Rp -
Rp 465.00 Rp -
Rp 540.00 Rp 13,500.00
Rp 170.00 Rp 1,020.00
 Rp -

Rp 900.00 Rp -
Rp 600.00 Rp -
Rp 460.00 Rp -
Rp 16.66 Rp 10,412.50
Rp 1,440.00 Rp 10,080.00

Rp 990.00 Rp 19,800.00

Rp 1,230.00 Rp 13,530.00

Rp 134.00 Rp 5,494.00
Rp 4,800.00 Rp 9,600.00
Rp 2,057.00 Rp 8,228.00
Rp 674,000.00 Rp -

Rp -

Rp 2,020.00
Rp -
Rp 1,820.00

Rp -

Rp 7,010.00 Rp -
Rp 3,000.00 Rp -

Rp 8,420.00 Rp -

Rp 4,056.00 Rp 129,792.00
Rp 750.00 Rp 24,000.00

Rp -
Rp 1,700.00 Rp -

Rp 79,480.00 Rp -
Rp 117,000.00 Rp 468,000.00
Rp 150.00 Rp 150.00
Rp 550.00 Rp 4,400.00
Rp 101,000.00 Rp -
Rp 69,375.00 Rp -
Rp 44,000.00 Rp -
Rp 3,340.00 Rp 10,020.00

Rp -

Rp -

Rp 2,970.00 Rp 41,580.00
Rp 6,000.00 Rp 198,000.00

Rp 1,420.00 Rp 149,100.00

Rp 700.00 Rp 168,000.00
Rp 480.00 Rp 123,840.00

Rp -

Rp 2,165.00
Rp 5,332.00
Rp -
Rp 9,600.00
Rp 12,800.00
Rp 710.00 Rp 4,970.00
Rp 2,705.00 Rp -
Rp 2,705.00 Rp -
Rp 1,694.00 Rp 10,164.00
Rp -
Rp 670.00 Rp 167,500.00
Rp 1,080.00 Rp 6,480.00
Rp 2,350.00 Rp 32,900.00
Rp 7,000.00 Rp -
Rp 2,700.00 Rp -
Rp 200.00 Rp 2,000.00

Rp 2,310.00 Rp -

Rp 12,833.33 Rp 51,333.32
Rp 12,833.33 Rp 51,333.32
Rp 27,200.00 Rp -
Rp 500.00 Rp 35,500.00
Rp 510.00 Rp 7,140.00
Rp 76,500.00 Rp -
Rp 134.00 Rp 268.00
Rp -
Rp 257,812.80 Rp 257,812.80
Rp -
Rp 8,000.00 Rp -
Rp -
Rp 10,800.00 Rp -
Rp 277.78 Rp 5,555.60
Rp 375.00 Rp 4,875.00
Rp 7,832.00 Rp -
Rp 190.00 Rp 25,270.00

Rp -
 Rp -

Rp 735.00 Rp -
Rp 450.00 Rp -
Rp 22,000.00 Rp 22,000.00
Rp 600.00 Rp 36,000.00

Rp -

Rp -
Rp 920.00

Rp -

Rp 920.00 Rp -

Rp 50.00 Rp -
Rp 1,200.00 Rp 100,800.00
Rp 1,000.00 Rp -
Rp 4,127.00 Rp 37,143.00
Rp 3,015.00 Rp 114,570.00
Rp 3,780.00 Rp 86,940.00
Rp 10,200.00 Rp 40,800.00
Rp 5,000.00 Rp -
Rp 50.00 Rp -
Rp 800.00 Rp -

Rp -

Rp 8,000.00 Rp -
Rp 259,545.00 Rp 259,545.00
Rp 377,520.00 Rp 377,520.00
Rp 102,777.00 Rp 1,130,547.00
 Rp 96,800.00 Rp -

Rp 4,895.00 Rp -

Rp -

Rp 1,130.00 Rp -

Rp -

Rp 1,535.00 Rp -

Rp 2,500.00 Rp -
Rp 2,500.00 Rp 22,500.00
Rp 3,640.00 Rp 32,760.00
Rp 2,510.00 Rp 168,170.00
Rp 1,640.00 Rp 149,240.00
Rp 10,000.00 Rp 20,000.00
Rp 80.00 Rp 7,200.00
Rp 8,407,578.54

jawab barang

Rurintyas
 LAPORAN PERSEDIAAN LABORATORIUM PRO
BULAN : FEBRUARI 2019

STOK PENERIMAAN
AWAL
SATUAN SATUAN 01 Feb s.d 28 Feb
NO NAMA BARANG 1-Feb-19
KEMASAN TERKECIL 2019

dlm satuan
dlm satuan terkecil
kemasan

1 Acid washing dilution 2 Botol (500 ml) Botol 300 800

2 Albumin FS proline (free) 0,25 kit Test 101 101
3 Albumin FS proline 1 Kit Test 1,143 1,143
4 Alkali washing dilution 2 Botol (500 ml) Botol 150 650
5 Alkaline Phosphat R1 (free) 40 40
0,25 Kit Test
6 Alkaline Phosphat R2 (free) 3 3
7 Alkohol swab Box (100 biji) Biji 36 36
8 Alkohol Swab One Med 10 Box (100 biji) biji 852 852
9 Anti HCV Abon Box (50 strip) Strip 49 49
10 Anti HIV Device Vikia Box (25 strip) Strip 38 38
11 Anti HIV Device Oncoprobe Box (50 strip) Strip 50 150
12 Anti HIV Device Oncoprobe Box (25 strip) Strip 13 13
13 Anti HIV Intec Box (40 Strip) Strip 92 92
14 Anti Reagen A (Gol darah) Vial (200 tes) Test 197 197
15 Anti Reagen B (Gol darah) Vial (200 tes) Test 197 197
16 Anti D Reagen (rhesus) Vial (200 tes) Test 197 197
17 Aquadest 9 Vial (25 mL) mL 100 225
18 Asam acetat 6 % Liter ml 93 93
19 Autosera TG R1 (free) 170 170
0,25 Kit Test
20 Autosera TG R2 (free) 123 123
21 Autosera TG R1 925 925
0,5 Kit Test
22 Autosera TG R2 925 925
23 Bacl 1 Btl ml 100 100
24 Bayclin mL ml 200 2,000
25 Benedict Liter ml 90 90
26 Bilirubin direct auto FS proline R1 825 825
1 Kit Test
27 Bilirubin direct auto FS proline R2 771 771
28 Bilirubin total auto FS proline R1 697 697
1 Kit Test
29 Bilirubin total auto FS proline R2 639 639
30 Blue tip 3 Box (500) Box 1,328 1,328
31 Cat Gram 3 x 100 mL 1 Set Test/slide 98 98
32 Cat Ziehl Nelsen 3x 100 mL 1 Set Test/slide 96 96
33 Cholestest N Calibrator 1 Vial Test 1 1
34 Cholestest N-HDL R1 (Free) 135 135
1 Vial Test
35 Cholestest N-HDL R2 (Free) 21 21
36 Cholestest N-HDL R1 550 550
1 kit Test
37 Cholestest N-HDL R2 550 550
38 Cholestest LDL R1 (Free) 123 123
1 Vial Test
39 Cholestest LDL R2 (Free) 111 111
40 Cholestest LDL R1 550 550
1 kit Test
41 Cholestest LDL R2 550 550
42 CK-MB FS R1 375 375
1 Kit Test
43 CK-MB FS R2 365 365
44 Combostik Urine 10 M 3 Box (100) Biji 224 224
45 Cover glass 22x22 Kotak (20 box) Box 926 926
46 Creatinin FS Proline R1 (free) 42 42
0,25 Kit Test
47 Creatinin FS Proline R2 (free) 24 24
48 Creatinin FS Proline R1 1,000 1,000
2 Kit Test
49 Creatinin FS Proline R2 1,000 1,000
50 Dengue IgG IgM SD 1 Box Test 23 23
51 Dengue NS1 SD 1 Box (25 Test) Test 21 21
52 Eosin (Alkohol) Vial (100 mL) mL 99 99
53 Eter Alkohol 1:4 2 Botol mL 490 490
54 Fresco Hand Scrub 5 L 1 Galon mL 10 10
55 Fresco Hand Rub 5 L 1 Galon mL 10 10
56 FOB Right Sign Box (10Biji) Biji 10 10
57 Fouchet 100 mL ml 95 95
58 Gamma-GT FS R1 (free) 192 192
0,25 Kit Test
59 Gamma-GT FS R2 (free) 81 81
60 Gamma-GT FS R1 600 600
1 Kit Test
61 Gamma-GT FS R2 600 600
62 Giemsa 1 Btl (500mL) Test 464 464
63 Gluco DR Auto Strip 6 Box (300) Biji 249 249
64 Glukosa heksokinase proline R1 1,329 1,329
2 Kit Test
65 Glukosa heksokinase proline R2 1,317 1,317
66 Handscoon Nitril 10 Box (100 biji) biji 750 750
67 Handscoon Safeguard 4 Box (100 biji) biji 50 50
68 HbA1C R1 26 26
1 Vial Test
69 HbA1C R2 (free) 90 90
70 HbA1C R1 600 600
1 Kit Test
71 HbA1C R2 600 600
72 HbA1C Pretreatment 1 Vial (500ml) Test 140 140
73 HbsAb Strip Skytest 1 Box (50 Biji) Biji 50 50
74 Hbsag Strip Glory 1 Box (50 Biji) Biji 63 163
75 Hitung Sperma 1 btl (100mL) Test 87 87
76 Irone FS Ferene R1 1 Kit Test 300 300
77 Irone FS Ferene R2 1 Kit Test 295 295
78 Jarum Holder 1 Box (50) Biji 43 43
79 Jarum wings 1 Box (50) Biji 28 28
80 Kapas 2 Pcs (250 gr) gram 250 250
81 Kertas Lensa 2 Lembar 41 41
82 Kertas Ph 1 Pack (100 Biji) Pcs 84 84
83 kertas saring 10 Lembar Lembar 9 9
84 KOH 10% 1 Botol (100 mL) mL 100 100
85 Lancet 10 Box (1000) Biji 959 959
86 LDH FS (DGKC) R1 375 375
1 Kit Test
87 LDH FS (DGKC) R2 370 370
88 Liquichek Urinalysis C1 1 kit (48 Test) Test 42 42
89 Liquichek Urinalysis C2 2 kit (48 Test) Test 43 43
90 Malaria Card Skytest 1 Box Strip 25 25
91 Masker Box (50) Biji 233 233
92 Methanol Pro Analisa 1 Btl mL 76 76
93 Narkoba GP Glory Vial Vial 25 25
94 Nacl 0,9 % 2 Btl Botol 997 997
95 Nihon Cleanac3 1 Box (5 L) Test 3 3
96 Nihon Hematologi kontrol normal Vial Vial 1 4
97 Nihon Hemolinac 3 (free) 1 Btl Test 163 163
98 Nihon Hemolinac 3 1 Box Test 500 500
99 Nihon Isotonac (free) 1 Box Test 113 113
100 Nihon Isotonac 1 Box Test 450 450
101 Obyek glass biasa (non frosted) 5 Box (360) Biji 299 299
102 Obyek glass frosted 5 Box (360) Biji 347 347
103 Oil imersi 1 Botol (250 mL) ml 250 250
104 One Med Plester Bulat Box (200) Biji 665 665
105 Pureauto S Cho-N R1 0,5 Kit Test 28 28
106 Pureauto S Cho-N R2 0,5 Kit Test 38 38
107 Pureauto S Cho-N R1 0,5 Kit Test 925 925
108 Pureauto S Cho-N R2 0,5 Kit Test 925 925
109 Safety Box 10 Biji Biji 7 7
110 Sample Tube Serum 500 Biji Biji 265 265
111 SGOT proline R1 (fee) 151 151
0,25 kit Test
112 SGOT proline R2 (free) 110 110
113 SGOT proline R1 900 900
1 Kit Test
 1 Kit Test
114 SGOT proline R2 900 900
115 SGPT proline R1 (free) 133 133
0,25 Kit Test
116 SGPT proline R2 (free) 105 105
117 SGPT proline R1 900 900
1 Kit Test
118 SGPT proline R2 900 900
119 Spirtus 2 Sak (1ltr) mL 600 600
120 Spuit Nipro 3 CC Box (100 biji) Biji 16 16
121 Spuit Onemed 1 cc 1 Box (100) Biji 100 100
122 Spuit Terumo 1 cc 1 Box (100) Biji 49 49
123 Spuit Terumo 3 CC 5 Box (100) Biji 498 498
124 Spuit Terumo 5 CC Box (100) Biji 137 137
125 Sypilis strip glory 50 T 1 Box (50) Test 45 45
126 Tabung Reaksi Box (50 pcs) Strip 50 50
127 Thepol 1L mL 1,000 1,000
128 Test kehamilan(HCG strip) 2 Box (50) Biji 99 99
129 Total Protein Fs R1 (free) 69 69
0,25 kit Test
130 Total Protein Fs R2 (free) 28 28
131 TPHA 1 Kit Test 200 200
132 Trucal U 2 Kit Test 2 2
133 Trulab N (Kontrol Normal) 6 Vial Vial 3 3
134 Tubex TF 1 kit Test 89 89
135 Typhidot IgG IgM Box (25 pcs) Pcs 25 25
136 UIBC FS R1 305 305
1 Kit Test
137 UIBC FS R2 295 295
138 Urea UV proline R1 (free) 47 47
0,25 kit test
139 Urea UV proline R2 (free) 41 41
140 Urea UV proline R1 1,440 1,440
2 Kit Test
141 Urea UV proline R2 1,440 1,440
142 Urid Acid FS (TBHBA) R1 (free) 27 27
0,25 kit Test
143 Urid Acid FS (TBHBA) R2 (free) 32 32
144 Urid Acid FS (TBHBA) R1 720 720
1 Kit Test
145 Urid Acid FS (TBHBA) R2 720 720
146 Urine Container Non Steril 200 Pcs Pcs 122 122
147 Urine Container Steril 25 Pcs Pcs 16 16
148 Vacuntainer K2EDTA 0,5 ml Box Biji 88 88
149 Vacuntainer K3EDTA 3,0 ml Box Biji 755 755
150 Vacuntainer SST 5 Box (@100) Biji 500
151 Vacuntainer Plain Merah Box Biji 745 745
152 Widal Remel 1 Set Test 144 144
153 Yellow tip 3 Box (1000) Liter 2,782 2,782
a.n Penanggung Jawab Laboratorium

Suprapti, S.ST
N LABORATORIUM PROBEST
FEBRUARI 2019

STOK
HARGA KEMASAN
PEMAKAIAN AKHIR
HARGA
01 Feb s.d 28 Feb
2019
1-Feb-19

dlm satuan
dlm satuan terkecil
dlm satuan terkecil terkecil

50 750 Free Rp -
101 0 Free Rp -
202 941 Rp 689,000.00 Rp 605.00 Rp -
0 650 Free Rp -
0 40
Free Rp -
0 3
36 0 Rp 132,500.00 Rp 265.00 Rp 9,540.00
181 671 Rp 16,000.00 Rp 160.00
0 49 Rp 467,500.00 Rp 9,350.00 Rp -
21 17 Rp 950,000.00 Rp 38,000.00 Rp 798,000.00
9 141 Rp 2,725,000.00 Rp 54,500.00 Rp 490,500.00
13 0 Rp 1,050,000.00 Rp 42,000.00 Rp 546,000.00
21 71 Rp 1,672,000.00 Rp 41,800.00 Rp 877,800.00
11 186 Rp 70,000.00 Rp 350.00 Rp 3,850.00
11 186 Rp 70,000.00 Rp 350.00 Rp 3,850.00
10 187 Rp 93,000.00 Rp 465.00 Rp 4,650.00
75 150 Rp 148,500.00 Rp 540.00 Rp 40,500.00
3 90 Rp 17,000.00 Rp 170.00 Rp 510.00
59 111
Free Rp -
52 71
0 925 Rp 831,000.00 Rp 900.00 Rp -
0 925 Rp 554,250.00 Rp 600.00 Rp -
0 100 Rp 46,000.00 Rp 460.00 Rp -
400 1,600 Rp 7,330.00 Rp 16.66 Rp 6,664.00
1 89 Rp 144,000.00 Rp 1,440.00 Rp 1,440.00
7 818
Rp 887,185.00 Rp 990.00 Rp 6,930.00
13 758
20 677
Rp 844,675.00 Rp 1,230.00 Rp 24,600.00
16 623
70 1,258 Rp 67,000.00 Rp 134.00 Rp 9,380.00
0 98 Rp 480,000.00 Rp 4,800.00 Rp -
 0 96 Rp 205,700.00 Rp 2,057.00 Rp -
1 0 Rp 674,000.00 Rp 674,000.00 Rp 674,000.00
48 87
Free Rp -
21 0
0 550 Rp 1,109,250.00 Rp 2,020.00
Rp -
68 482 Rp 1,000,425.00 Rp 1,820.00
45 78
Free Rp -
45 66
0 550 Rp 3,855,750.00 Rp 7,010.00 Rp -
0 550 Rp 1,152,750.00 Rp 3,000.00 Rp -
0 375
Rp 3,366,000.00 Rp 8,420.00 Rp -
0 365
44 180 Rp 405,600.00 Rp 4,056.00 Rp 178,464.00
54 872 Rp 750,000.00 Rp 750.00 Rp 40,500.00
42 0
Free Rp -
24 0
48 952
Rp 825,890.00 Rp 1,700.00 Rp 81,600.00
104 896
6 17 Rp 1,987,000.00 Rp 79,480.00 Rp 476,880.00
2 19 Rp 2,925,000.00 Rp 117,000.00 Rp 234,000.00
1 98 Rp 150,000.00 Rp 150.00 Rp 150.00
1 489 Rp 137,500.00 Rp 550.00 Rp 550.00
0 10 Rp 1,010,000.00 Rp 101,000.00 Rp -
0 10 Rp 693,750.00 Rp 69,375.00 Rp -
0 10 Rp 440,000.00 Rp 44,000.00 Rp -
0 95 Rp 334,000.00 Rp 3,340.00 Rp -
15 177
Free Rp -
9 72
0 600
Rp 1,066,520.00 Rp -
0 600
17 447 Rp 1,485,000.00 Rp 2,970.00 Rp 50,490.00
40 209 Rp 300,000.00 Rp 6,000.00 Rp 240,000.00
129 1,200
Rp 1,021,670.00 Rp 1,420.00 Rp 183,180.00
105 1,212
350 400 Rp 70,000.00 Rp 700.00 Rp 245,000.00
50 0 Rp 48,000.00 Rp 480.00 Rp 24,000.00
10 16
free Rp -
8 82
0 600 Rp 1,299,000.00 Rp 2,165.00
0 600 Rp 3,199,000.00 Rp 5,332.00
1 139 free Rp -
 2 48 Rp 480,000.00 Rp 9,600.00
24 139 Rp 640,000.00 Rp 12,800.00
17 70 Rp 71,000.00 Rp 710.00 Rp 12,070.00
0 300 Rp 892,500.00 Rp 2,705.00 Rp -
0 295 Rp 892,500.00 Rp 2,705.00 Rp -
0 43 Rp 84,700.00 Rp 1,694.00 Rp -
9 19 PINJAM RSUD Rp -
0 250 Rp 67,000.00 Rp 670.00 Rp -
5 36 Rp 54,000.00 Rp 1,080.00 Rp 5,400.00
17 67 Rp 235,000.00 Rp 2,350.00 Rp 39,950.00
0 9 Rp 70,000.00 Rp 7,000.00 Rp -
0 100 Rp 27,000.00 Rp 2,700.00 Rp -
43 916 Rp 200,000.00 Rp 200.00 Rp 8,600.00
0 375
Rp 923,950.00 Rp 2,310.00 Rp -
0 370
8 34 Rp 616,000.00 Rp 12,833.33 Rp 102,666.64
8 35 Rp 616,000.00 Rp 12,833.33 Rp 102,666.64
0 25 Rp 680,000.00 Rp 27,200.00 Rp -
33 200 Rp 25,000.00 Rp 500.00 Rp 16,500.00
17 59 Rp 51,000.00 Rp 510.00 Rp 8,670.00
0 25 Rp 1,912,500.00 Rp 76,500.00 Rp -
3 994 Rp 134,000.00 Rp 134.00 Rp 402.00
0 3 Free Rp -
1 3 Rp 1,031,250.00 Rp 257,812.80 Rp 257,812.80
113 50 Rp -
0 500 Rp 4,000,000.00 Rp 8,000.00 Rp -
113 0 Free Rp -
70 380 Rp 4,840,000.00 Rp 10,800.00
30 269 Rp 100,000.00 Rp 277.78 Rp 8,333.40
6 341 Rp 135,000.00 Rp 375.00 Rp 2,250.00
0 250 Rp 1,958,000.00 Rp 7,832.00 Rp -
164 501 Rp 190,000.00 Rp 190.00 Rp 31,160.00
28 0
Free Rp -
38 0
Rp 679,875.00 Rp 735.00 Rp -
Rp 408,000.00 Rp 450.00 Rp -
0 7 Rp 220,000.00 Rp 22,000.00 Rp -
116 149 Rp 300,000.00 Rp 600.00 Rp 69,600.00
101 50
Free Rp -
86 24
0 900
Rp 825,825.00 Rp -
Rp 920.00
 Rp 825,825.00 Rp -
0 900 Rp 920.00
51 82
Free Rp -
43 62
0 900
Rp 825,825.00 Rp 920.00 Rp -
0 900
0 600 Rp 50,000.00 Rp 50.00 Rp -
16 0 Rp 600,000.00 Rp 1,200.00 Rp 19,200.00
3 97 Rp 100,000.00 Rp 1,000.00 Rp 3,000.00
40 9 Rp 412,650.00 Rp 4,127.00 Rp 165,080.00
99 399 Rp 603,000.00 Rp 3,015.00 Rp 298,485.00
21 116 Rp 756,000.00 Rp 3,780.00 Rp 79,380.00
1 44 Rp 510,000.00 Rp 10,200.00 Rp 10,200.00
0 50 Rp 250,000.00 Rp 5,000.00 Rp -
0 1,000 Rp 50,000.00 Rp 50.00 Rp -
0 99 Rp 160,000.00 Rp 800.00 Rp -
0 69
Free Rp -
0 28
0 200 Rp 1,600,000.00 Rp 8,000.00 Rp -
1 1 Rp 519,090.00 Rp 259,545.00 Rp 259,545.00
1 2 Rp 2,265,120.00 Rp 377,520.00 Rp 377,520.00
4 85 Rp 3,700,000.00 Rp 102,777.00 Rp 411,108.00
0 25 Rp 2,420,000.00 Rp 96,800.00 Rp -
0 305
Rp 1,615,000.00 Rp 4,895.00 Rp -
0 295
47 0
free Rp -
41 0
17 1,423
Rp 1,769,690.00 Rp 1,130.00 Rp 19,210.00
7 1,433
27 0
Free Rp -
32 0
32 688
Rp 1,101,880.00 Rp 1,535.00 Rp 49,120.00
46 674
1 121 Rp 500,000.00 Rp 2,500.00 Rp 2,500.00
0 16 Rp 62,500.00 Rp 2,500.00 Rp -
19 69 Rp 182,000.00 Rp 3,640.00 Rp 69,160.00
50 705 Rp 251,000.00 Rp 2,510.00 Rp 125,500.00
0 500 Rp 323,000.00 Rp 3,230.00
57 688 Rp 164,000.00 Rp 1,640.00 Rp 93,480.00
13 131 Rp 1,500,000.00 Rp 10,000.00 Rp 130,000.00
98 2,684 Rp 240,000.00 Rp 80.00 Rp 7,840.00
Rp 8,039,437.48
Tuban,
Mengetahui,
Penangung jawab barang

Mida Adyang Rurintyas

 LAPORAN PERSEDIAAN LABORATORIUM PROB
BULAN : MARET 2019

STOK PENERIMAAN
AWAL
SATUAN
SATUAN 01 Mar s.d 31 Mar
NO NAMA BARANG TERKECI 1-Mar-19
KEMASAN 2019
L
dlm satuan
dlm satuan terkecil
kemasan

1 Acid washing dilution 2 Botol (500 ml) Botol 750 750

2 Albumin FS proline 1 Kit Test 941 941
3 Alkali washing dilution 2 Botol (500 ml) Botol 650 650
4 Alkaline Phosphat R1 (free) 40 40
0,25 Kit Test
5 Alkaline Phosphat R2 (free) 3 3
6 Alkohol Swab One Med 10 Box (100 biji) biji 671 671
7 Anti HCV Abon Box (50 strip) Strip 49 49
8 Anti HIV Device Vikia Box (25 strip) Strip 17 117
9 Anti HIV Device Oncoprobe Box (50 strip) Strip 141 141
10 Anti HIV Intec Box (40 Strip) Strip 71 71
11 Anti Reagen A (Gol darah) Vial (200 tes) Test 186 186
12 Anti Reagen B (Gol darah) Vial (200 tes) Test 186 186
13 Anti D Reagen (rhesus) Vial (200 tes) Test 187 187
14 Aquadest 9 Vial (25 mL) mL 150 150
15 Asam acetat 6 % Liter ml 90 90
16 Autosera TG R1 (free) 111 111
0,25 Kit Test
17 Autosera TG R2 (free) 71 71
18 Autosera TG R1 925 925
0,5 Kit Test
19 Autosera TG R2 925 925
20 Bacl 1 Btl ml 100 100
21 Bayclin mL ml 1,600 1,600
22 Benedict Liter ml 89 89
23 Bilirubin direct auto FS proline R1 818 818
1 Kit Test
24 Bilirubin direct auto FS proline R2 758 758
25 Bilirubin total auto FS proline R1 677 677
1 Kit Test
26 Bilirubin total auto FS proline R2 623 623
27 Blue tip 3 Box (500) Box 1,258 1,258
28 Cat Gram 3 x 100 mL 1 Set Test/slide 98 98
29 Cat Ziehl Nelsen 3x 100 mL 1 Set Test/slide 96 96
30 Cholestest N Calibrator 1 Vial Test 0 0
31 Cholestest N-HDL R1 (Free) 87 87
1 Vial Test
 1 Vial Test
32 Cholestest N-HDL R2 (Free) 0 0
33 Cholestest N-HDL R1 550 550
1 kit Test
34 Cholestest N-HDL R2 482 482
35 Cholestest LDL R1 (Free) 78 78
1 Vial Test
36 Cholestest LDL R2 (Free) 66 66
37 Cholestest LDL R1 550 550
1 kit Test
38 Cholestest LDL R2 550 550
39 CK-MB FS R1 375 375
1 Kit Test
40 CK-MB FS R2 365 365
41 Combostik Urine 10 M 3 Box (100) Biji 180 180
42 Cover glass 22x22 Kotak (20 box) Box 872 872
43 Creatinin FS Proline R1 952 952
2 Kit Test
44 Creatinin FS Proline R2 896 896
45 Dengue IgG IgM SD 1 Box Test 17 42
46 Dengue NS1 SD 1 Box (25 Test) Test 19 44
47 Eosin (Alkohol) Vial (100 mL) mL 98 98
48 Eter Alkohol 1:4 2 Botol mL 489 489
49 Fresco Hand Scrub 5 L 1 Galon mL 10 10
50 Fresco Hand Rub 5 L 1 Galon mL 10 10
51 FOB Right Sign Box (10Biji) Biji 10 10
52 Fouchet 100 mL ml 95 95
53 Gamma-GT FS R1 (free) 177 177
0,25 Kit Test
54 Gamma-GT FS R2 (free) 72 72
55 Gamma-GT FS R1 600 600
1 Kit Test
56 Gamma-GT FS R2 600 600
57 Giemsa 1 Btl (500mL) Test 447 447
58 Gluco DR Auto Strip 6 Box (300) Biji 209 209
59 Glukosa heksokinase proline R1 1,200 1,200
2 Kit Test
60 Glukosa heksokinase proline R2 1,212 1,212
61 Handscoon Nitril 10 Box (100 biji) biji 400 1,400
62 HbA1C R1 16 16
1 Vial Test
63 HbA1C R2 (free) 82 82
64 HbA1C R1 600 600
1 Kit Test
65 HbA1C R2 600 600
66 HbA1C Pretreatment 1 Vial (500ml) Test 139 139
67 HbsAb Strip Skytest 1 Box (50 Biji) Biji 48 48
68 Hbsag Strip Glory 1 Box (50 Biji) Biji 139 139
69 Hitung Sperma 1 btl (100mL) Test 70 70
70 Irone FS Ferene R1 1 Kit Test 300 300
71 Irone FS Ferene R2 1 Kit Test 295 295
72 Jarum Holder 1 Box (50) Biji 43 43
73 Jarum wings 1 Box (50) Biji 19 19
74 Kapas 2 Pcs (250 gr) gram 250 250
75 Kertas Lensa 2 Lembar 36 36
76 Kertas Ph 1 Pack (100 Biji) Pcs 67 67
77 kertas saring 10 Lembar Lembar 9 9
78 KOH 10% 1 Botol (100 mL) mL 100 100
79 Lancet 10 Box (1000) Biji 916 916
80 LDH FS (DGKC) R1 375 375
1 Kit Test
81 LDH FS (DGKC) R2 370 370
82 Liquichek Urinalysis C1 1 kit (48 Test) Test 34 34
83 Liquichek Urinalysis C2 2 kit (48 Test) Test 35 35
84 Malaria Card Skytest 1 Box Strip 25 25
85 Masker Box (50) Biji 200 200
86 Methanol Pro Analisa 1 Btl mL 59 59
87 Narkoba GP Glory Vial Vial 25 25
88 Nacl 0,9 % 2 Btl Botol 994 994
89 Nihon Cleanac3 1 Box (5 L) Test 3 3
90 Nihon Hematologi kontrol normal Vial Vial 3 3
91 Nihon Hemolinac 3 (free) 1 Btl Test 50 50
92 Nihon Hemolinac 3 1 Box Test 500 500
93 Nihon Isotonac 1 Box Test 380 380
94 Obyek glass biasa (non frosted) 5 Box (360) Biji 269 269
95 Obyek glass frosted 5 Box (360) Biji 341 341
96 Oil imersi 1 Botol (250 mL) ml 250 250
97 One Med Plester Bulat Box (200) Biji 501 501
98 Pureauto S Cho-N R1 0,5 Kit Test 925 925
99 Pureauto S Cho-N R2 0,5 Kit Test 925 925
100 Safety Box 10 Biji Biji 7 7
101 Sample Tube Serum 500 Biji Biji 242 242
102 SGOT proline R1 (fee) 100 100
0,25 kit Test
103 SGOT proline R2 (free) 62 62
104 SGOT proline R1 900 900
1 Kit Test
105 SGOT proline R2 900 900
106 SGPT proline R1 (free) 82 82
0,25 Kit Test
107 SGPT proline R2 (free) 62 62
108 SGPT proline R1 900 900
1 Kit Test
109 SGPT proline R2 900 900
110 Spirtus 2 Sak (1ltr) mL 600 600
111 Spuit Onemed 1 cc 1 Box (100) Biji 97 97
112 Spuit Terumo 1 cc 1 Box (100) Biji 9 9
113 Spuit Terumo 3 CC 5 Box (100) Biji 399 399
114 Spuit Terumo 5 CC Box (100) Biji 116 116
115 Sypilis strip glory 50 T 1 Box (50) Test 44 44
116 Tabung Reaksi Box (50 pcs) Strip 50 50
117 Thepol 1L mL 1,000 1,000
118 Test kehamilan(HCG strip) 2 Box (50) Biji 99 99
119 Total Protein Fs R1 (free) 69 69
0,25 kit Test
120 Total Protein Fs R2 (free) 28 28
121 TPHA 1 Kit Test 200 200
122 Trucal U 2 Kit Test 1 1
123 Trulab N (Kontrol Normal) 6 Vial Vial 2 2
124 Tubex TF 1 kit Test 85 85
125 Typhidot IgG IgM Box (25 pcs) Pcs 25 25
126 UIBC FS R1 305 305
1 Kit Test
127 UIBC FS R2 295 295
128 Urea UV proline R1 1,423 1,423
2 Kit Test
129 Urea UV proline R2 1,423 1,423
130 Urid Acid FS (TBHBA) R1 688 688
1 Kit Test
131 Urid Acid FS (TBHBA) R2 674 674
132 Urine Container Non Steril 200 Pcs Pcs 121 121
133 Urine Container Steril 25 Pcs Pcs 16 16
134 Vacuntainer K2EDTA 0,5 ml Box Biji 69 69
135 Vacuntainer K3EDTA 3,0 ml Box Biji 705 705
136 Vacuntainer SST 5 Box (@100) Biji 500 500
137 Vacuntainer Plain Merah Box Biji 688 688
138 Widal Remel 1 Set Test 131 131
139 Yellow tip 3 Box (1000) Liter 2,684 2,684

a.n Penanggung Jawab Laboratorium

Suprapti, S.ST
IAAN LABORATORIUM PROBEST
AN : MARET 2019

STOK
HARGA KEMASAN
PEMAKAIAN AKHIR
HARGA
01 Mar s.d 31 Mar
2019
31-Mar-19

dlm satuan
dlm satuan terkecil
dlm satuan terkecil terkecil

50 700 Free Rp -
Rp 689,000.00 Rp 605.00 Rp -
602 48 Free Rp -
2 38
Free Rp -
3 0
236 435 Rp 16,000.00 Rp 160.00
49 Rp 467,500.00 Rp 9,350.00 Rp 458,150.00
27 90 Rp 950,000.00 Rp 38,000.00 Rp 1,026,000.00
27 114 Rp 2,725,000.00 Rp 54,500.00 Rp 1,471,500.00
27 44 Rp 1,672,000.00 Rp 41,800.00 Rp 1,128,600.00
5 181 Rp 70,000.00 Rp 350.00 Rp 1,750.00
5 181 Rp 70,000.00 Rp 350.00 Rp 1,750.00
1 186 Rp 93,000.00 Rp 465.00 Rp 465.00
65 85 Rp 148,500.00 Rp 540.00 Rp 35,100.00
2 88 Rp 17,000.00 Rp 170.00 Rp 340.00
59 52
Free Rp -
56 15
0 925 Rp 831,000.00 Rp 900.00 Rp -
0 925 Rp 554,250.00 Rp 600.00 Rp -
0 100 Rp 46,000.00 Rp 460.00 Rp -
300 1,300 Rp 7,330.00 Rp 16.66 Rp 4,998.00
2 87 Rp 144,000.00 Rp 1,440.00 Rp 2,880.00
13 805
Rp 887,185.00 Rp 990.00 Rp 12,870.00
13 745
9 668
Rp 844,675.00 Rp 1,230.00 Rp 11,070.00
10 613
50 1,208 Rp 67,000.00 Rp 134.00 Rp 6,700.00
1 97 Rp 480,000.00 Rp 4,800.00 Rp 4,800.00
0 96 Rp 205,700.00 Rp 2,057.00 Rp -
0 0 Rp 674,000.00 Rp 674,000.00 Rp -
15 72
Free Rp -
 Free Rp -
0 0
0 550 Rp 1,109,250.00 Rp 2,020.00
Rp -
13 469 Rp 1,000,425.00 Rp 1,820.00
15 63
Free Rp -
19 47
0 550 Rp 3,855,750.00 Rp 7,010.00 Rp -
0 550 Rp 1,152,750.00 Rp 3,000.00 Rp -
0 375
Rp 3,366,000.00 Rp 8,420.00 Rp -
0 365
36 144 Rp 405,600.00 Rp 4,056.00 Rp 146,016.00
15 857 Rp 750,000.00 Rp 750.00 Rp 11,250.00
174 778
Rp 825,890.00 Rp 1,700.00 Rp 295,800.00
384 512
20 22 Rp 1,987,000.00 Rp 79,480.00 Rp 1,589,600.00
3 41 Rp 2,925,000.00 Rp 117,000.00 Rp 351,000.00
0 98 Rp 150,000.00 Rp 150.00 Rp -
0 489 Rp 137,500.00 Rp 550.00 Rp -
0 10 Rp 1,010,000.00 Rp 101,000.00 Rp -
0 10 Rp 693,750.00 Rp 69,375.00 Rp -
0 10 Rp 440,000.00 Rp 44,000.00 Rp -
0 95 Rp 334,000.00 Rp 3,340.00 Rp -
0 177
Free Rp -
0 72
0 600
Rp 1,066,520.00 Rp -
0 600
12 435 Rp 1,485,000.00 Rp 2,970.00 Rp 35,640.00
14 195 Rp 300,000.00 Rp 6,000.00 Rp 84,000.00
77 1,123
Rp 1,021,670.00 Rp 1,420.00 Rp 109,340.00
75 1,137
245 1,155 Rp 70,000.00 Rp 700.00 Rp 171,500.00
2 14
free Rp -
3 79
0 600 Rp 1,299,000.00 Rp 2,165.00
0 600 Rp 3,199,000.00 Rp 5,332.00
2 137 free Rp -
0 48 Rp 480,000.00 Rp 9,600.00
26 113 Rp 640,000.00 Rp 12,800.00
15 55 Rp 71,000.00 Rp 710.00 Rp 10,650.00
2 298 Rp 892,500.00 Rp 2,705.00 Rp 5,410.00
2 293 Rp 892,500.00 Rp 2,705.00 Rp 5,410.00
0 43 Rp 84,700.00 Rp 1,694.00 Rp -
3 16 PINJAM RSUD Rp -
0 250 Rp 67,000.00 Rp 670.00 Rp -
Rp 54,000.00 Rp 1,080.00 Rp -
15 52 Rp 235,000.00 Rp 2,350.00 Rp 35,250.00
0 9 Rp 70,000.00 Rp 7,000.00 Rp -
0 100 Rp 27,000.00 Rp 2,700.00 Rp -
4 912 Rp 200,000.00 Rp 200.00 Rp 800.00
0 375
Rp 923,950.00 Rp 2,310.00 Rp -
0 370
8 26 Rp 616,000.00 Rp 12,833.33 Rp 102,666.64
8 27 Rp 616,000.00 Rp 12,833.33 Rp 102,666.64
0 25 Rp 680,000.00 Rp 27,200.00 Rp -
16 184 Rp 25,000.00 Rp 500.00 Rp 8,000.00
18 41 Rp 51,000.00 Rp 510.00 Rp 9,180.00
0 25 Rp 1,912,500.00 Rp 76,500.00 Rp -
2 992 Rp 134,000.00 Rp 134.00 Rp 268.00
Free Rp -
3 0 Rp 1,031,250.00 Rp 257,812.80 Rp 773,438.40
50 0 Rp -
145 355 Rp 4,000,000.00 Rp 8,000.00 Rp 1,160,000.00
195 185 Rp 4,840,000.00 Rp 10,800.00
23 246 Rp 100,000.00 Rp 277.78 Rp 6,388.94
9 332 Rp 135,000.00 Rp 375.00 Rp 3,375.00
0 250 Rp 1,958,000.00 Rp 7,832.00 Rp -
140 361 Rp 190,000.00 Rp 190.00 Rp 26,600.00
925 Rp 679,875.00 Rp 735.00 Rp 679,875.00
925 Rp 408,000.00 Rp 450.00 Rp 416,250.00
7 Rp 220,000.00 Rp 22,000.00 Rp 154,000.00
242 Rp 300,000.00 Rp 600.00 Rp 145,200.00
100
Free Rp -
62
900
Rp 825,825.00 Rp 828,000.00
900 Rp 920.00
82
Free Rp -
62

Rp 825,825.00 Rp 920.00 Rp -

Rp 50,000.00 Rp 50.00 Rp -
Rp 100,000.00 Rp 1,000.00 Rp -
Rp 412,650.00 Rp 4,127.00 Rp -
Rp 603,000.00 Rp 3,015.00 Rp -
Rp 756,000.00 Rp 3,780.00 Rp -
Rp 510,000.00 Rp 10,200.00 Rp -
Rp 250,000.00 Rp 5,000.00 Rp -
Rp 50,000.00 Rp 50.00 Rp -
Rp 160,000.00 Rp 800.00 Rp -

Free Rp -

Rp 1,600,000.00 Rp 8,000.00 Rp -
Rp 519,090.00 Rp 259,545.00 Rp -
Rp 2,265,120.00 Rp 377,520.00 Rp -
Rp 3,700,000.00 Rp 102,777.00 Rp -
Rp 2,420,000.00 Rp 96,800.00 Rp -

Rp 1,615,000.00 Rp 4,895.00 Rp -

Rp 1,769,690.00 Rp 1,130.00 Rp -

Rp 1,101,880.00 Rp 1,535.00 Rp -

Rp 500,000.00 Rp 2,500.00 Rp -
Rp 62,500.00 Rp 2,500.00 Rp -
Rp 182,000.00 Rp 3,640.00 Rp -
Rp 251,000.00 Rp 2,510.00 Rp -
Rp 323,000.00 Rp 3,230.00
Rp 164,000.00 Rp 1,640.00 Rp -
Rp 1,500,000.00 Rp 10,000.00 Rp -
Rp 240,000.00 Rp 80.00 Rp -
Rp 11,434,547.62

Tuban,
Mengetahui,
Penangung jawab barang

Afiyatul Muakhiroh