DAFTAR PERSEDIAAN (ALAT TULIS KANTOR/CETAK/ALAT KEBERSIHAN/ALAT LISRIK/BMHP/BHP)*

UPTDDPU
PUSKESMAS SUNGAI BENGKAL
TAHUN 2019

SALDO AWAL 2019 PENAMBAHAN s/d Maret 2019 PENGURANGAN s/d Maret 2019 SALDO AKHIR
NO URAIAN Satuan
Harga Jumlah Nilai Total Harga Jumlah Nilai Total Harga Jumlah Nilai Total Harga
BOK
1 Map Sndhrctar Rp 2,000 75 Rp 150,000 Rp 2,000 75 Rp 150,000
2 Agenda Folio Rp 16,000 3 Rp 48,000 Rp 16,000 3 Rp 48,000
3 Amplop Besar Rp 20,000 4 Rp 80,000 Rp 20,000 4 Rp 80,000
4 Amplop Kecil Rp 20,000 2 Rp 40,000 Rp 20,000 2 Rp 40,000
5 Tinta Epson Rp 80,000 2 Rp 160,000 Rp 80,000 2 Rp 160,000
6 HVS Sindu F4 Rp 50,000 45 Rp 2,250,000 Rp 50,000 45 Rp 2,250,000
7 Map Biasa Rp 35,000 3 Rp 105,000 Rp 35,000 3 Rp 105,000
8 Pena Konko Rp 5,000 2 Rp 10,000 Rp 5,000 2 Rp 10,000
9 Materai 6000 Rp 7,000 5 Rp 35,000 Rp 7,000 5 Rp 35,000
10 Kertas HVS Warna Rp 500 20 Rp 10,000 Rp 500 20 Rp 10,000
11 Pena Tinta Rp 5,000 4 Rp 20,000 Rp 5,000 4 Rp 20,000
12 Stabilo Rp 5,000 1 Rp 5,000 Rp 5,000 1 Rp 5,000
13 Spidol Rp 7,000 5 Rp 35,000 Rp 7,000 5 Rp 35,000
14 Isi Cutter Rp 6,000 1 Rp 6,000 Rp 6,000 1 Rp 6,000
15 Stick Up Rp 12,000 1 Rp 12,000 Rp 12,000 1 Rp 12,000
16 Gunting Rp 7,000 1 Rp 7,000 Rp 7,000 1 Rp 7,000
17 Selasi Meja Rp 5,000 1 Rp 5,000 Rp 5,000 1 Rp 5,000
18 Kertas Kado Rp 1,000 6 Rp 6,000 Rp 1,000 6 Rp 6,000
19 BC 25 Rp 8,000 1 Rp 8,000 Rp 8,000 1 Rp 8,000
20 BC 41 Rp 18,000 1 Rp 18,000 Rp 18,000 1 Rp 18,000
21 Pobo Rp 25,000 1 Rp 25,000 Rp 25,000 1 Rp 25,000
22 Clear Holder Gol Rp 30,000 1 Rp 30,000 Rp 30,000 1 Rp 30,000
23 Ordner 402 Rp 18,000 4 Rp 72,000 Rp 18,000 4 Rp 72,000
24 Ordner 401 Rp 20,000 2 Rp 40,000 Rp 20,000 2 Rp 40,000
25 Quarto 100 Rp 8,000 3 Rp 24,000 Rp 8,000 3 Rp 24,000
26 Agenda 200 Rp 15,000 4 Rp 60,000 Rp 15,000 4 Rp 60,000
27 Ekspedisi Rp 18,000 4 Rp 72,000 Rp 18,000 4 Rp 72,000
28 Agenda 50 L Rp 10,000 1 Rp 10,000 Rp 10,000 1 Rp 10,000
29 Agenda Folio 200 Rp 25,000 16 Rp 400,000 Rp 25,000 16 Rp 400,000
30 Kertas Jilid Rp 3,000 6 Rp 18,000 Rp 3,000 6 Rp 18,000
31 Flasdisc 16 Gb Rp 85,000 2 Rp 170,000 Rp 85,000 2 Rp 170,000
32 Buku Quarto 100 Rp 38,000 20 Rp 760,000 Rp 38,000 20 Rp 760,000
33 Buku Folio 100 L Rp 67,000 9 Rp 603,000 Rp 67,000 9 Rp 603,000
34 Buku Ekspedisi Rp 38,000 2 Rp 76,000 Rp 38,000 2 Rp 76,000
35 Pena Standar Rp 16,000 5 Rp 80,000 Rp 16,000 5 Rp 80,000
36 Pensil Rp 2,000 10 Rp 20,000 Rp 2,000 10 Rp 20,000
37 Penghapus pensil Rp 3,000 10 Rp 30,000 Rp 3,000 10 Rp 30,000
38 Tip-Ex Rp 5,000 6 Rp 30,000 Rp 5,000 6 Rp 30,000
39 Tinta Blue Print Rp 45,000 1 Rp 45,000 Rp 45,000 1 Rp 45,000
40 Kuitansi Rp 5,000 3 Rp 15,000 Rp 5,000 3 Rp 15,000
41 Agenda Folio 200 Rp 15,000 11 Rp 165,000 Rp 15,000 11 Rp 165,000
42 Pena Standar Rp 2,000 10 Rp 20,000 Rp 2,000 10 Rp 20,000
43 Busines File Rp 35,000 1 Rp 35,000 Rp 35,000 1 Rp 35,000
44 Rp 837,500.00 Rp 5,810,000.00 Rp 837,500.00 Rp 5,810,000.00

TOTAL 5,810,000 5,810,000

Mengetahui Sungai bengkal 23 -4-2019

Kepala UPTD Bendahara Barang
Puskesmas sungai Bengkal Puskesmas sungai bengkak

dr Nursyah fitri k Ridawati br ginting AMKG

Nip 19860110201503 2003 Nip 1968199003 2003
DO AKHIR 31 Meret 2019

Jumlah Nilai Total

23 -4-2019
Barang
ai bengkak

ing AMKG
03 2003
DAFTAR PERSEDIAAN OBAT
UPTD PUSKESMAS ...........................................

SALDO AWAL 1 JANUARI 2019

NO URAIAN SATUAN
Harga Jumlah
1 Acetosal 100 mg (Asam asetil salisilat) Tablet
2 Acyclovir Tab 200 mg Tablet
3 Acyclovir Tab 400 mg Tablet
4 Acyclovir Krim 5% Tube
5 Albedazol Tab Tablet
6 Albedazol Syrup Botol
7 Alprazolam 0,5 mg Tablet
8 Alopurinol tablet 100 mg Tablet
9 Alopurinol tablet 300 mg Tablet
10 Amlodipin 5 mg Tablet
11 Amlodipin 10 mg Tablet
12 Aminofilin tablet 200 mg Tablet
13 Aminofilina injeksi 24 mg/ml - 10 ml Ampul
14 Amitriptilin HCl tablet salut 25 mg Tablet
15 Amoksisillin 1gr Injeksi Ampul
16 Amoksisilin kapsul 250 mg Kapsul
17 Amoksisilin kaplet 500 mg Kaplet
18 Amoksisilin sirup kering 125 mg/5ml Botol 60 ml
19 Ampicillin tablet 500 mg Tablet
20 Antalgin (Metampiron) tablet 500 mg Tablet
21 Antalgin injeksi 250 mg/ml - 2 ml Ampul
Antasida DOEN tab,kombinasi:
22 Mg-Hidroksida 200 mg + Al. Hidroksida.
200 mg Tablet
Antasida DOEN suspensi kombinasi:
23 Mg-Hidroksida 200 mg + Al. Hidroksida.
200 mg Botol / 60 ml
Anti Bakteri DOEN salep kombinasi:
24 Basitrasin 500 IU/g + Polimiksin 10.000
IU/g Tube
25 Anti Hemoroid DOEN Kombinasi Supp

26 Antifungi DOEN Kombinasi:

Asam Benzoat 6% + Asam Salisilat 3% Pot
27 Anti Bakteri Kombinasi,Basitrasin 500iu Tube

28 Antimigren:
Ergotamin Tartrat 1 mg + Kofein 50 mg Tablet
29 Artesunat Tablet/DHP (Anti Malaria) Ktk@9Tablet
30 Asam Askorbat (Vit C) tablet 50 mg Tablet
31 Asam Mefenamat 500 mg Tablet
32 Asam Traneksamat Inj 100mg/ml Ampul
33 Atenolol 100 mg (Betablok) Tablet
34 Atropin Sulfat injeksi 0,25 mg/ml - 1 ml Ampul
35 Attafulgit Tablet
36 Air untuk Injeksi Ampul
37 Bedak Salisilk Serbuk Peaces
38 Betahistin mesylate 6 mg Tablet
39 Betametason krim 0.1% Tube
40 Betadin salep kulit 10 gr Tube
41 Bisacodil 5 mg (Dulcolax) Supp
42 Cefadroxil 500 mg Tablet
43 Cefadroxil Syrup Botol
44 Cefotaxime 1 g Injeksi Ampul
45 Cetirizine 10 mg Tablet
46 Ciprofloksasin tablet 500 mg Tablet
47 Coidein 10 mg Tablet
48 Coidein 20 mg Tablet
49 Deksametason injeksi 5 mg/ml - 1 ml Ampul
50 Deksametason tablet 0,5 mg Tablet
51 Diazepam injeksi 5 mg/ml - 2 ml Ampul
52 Diazepam tablet 2 mg Tablet
53 Diazepam tablet 5 mg Tablet
54 Diazepam 5 mg/ml Rectal (Stesolid) Tube
55 Diazepam 10 mg/ml Rectal (Stesolid) Tube
56 Difenhidramin HCl inj 10 mg/ml-1 ml Ampul
57 Digoksin tablet 0,25 mg Tablet
58 Diltiazem HCL tablet 30 mg Tablet
59 Doksisiklin HCL 100 mg kapsul Kapsul
60 Domperidon tablet 10 mg Tablet
61 Domperidon Syr 5mg/ml Botol
62 Efedrin HCl tablet 25 mg Tablet
63 Efedrin 10 mg/ml Inj Ampul
Epinefrina HCl/Bitartrat ( Epinefrina /
64 Adrenalina )
Injeksi 0,1% - 1 ml Ampul
65 Etakridin ( Rivanol ) larutan 0,1% Botol 300 ml
66 Etanol 70 % Botol 100 ml
67 Etanol 70 % Botol 1000 ml
68 Erytromisin Syr Botol
69 Erytromisin Kapsul 500 mg Kapsul
70 Ergotamin 1 mg Tablet
71 Fenitoin Natrium Kapsul 100 mg Kapsul
72 Fenitoin Natrium Kapsul 30 mg Kapsul
73 Fenobarbital injeksi 50 mg/ml - 1 ml Ampul
74 Fenobarbital tablet 30 mg Tablet
75 Fenol Gliserol Teteslinga 10% Botol
76 Ferrosus Sulfas 300 mg / Besi II Tablet T Tablet
77 Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1Ampul
78 Fitomenadion (Vit.K1) tablet salut gula 10 Tablet
79 Furosemid tablet 40 mg Tablet
80 Furosemid 10 mg/ml Inj Ampul
81 Garam Oralit untuk 200 ml air Kantong
82 Gentamisin Injeksi 40mg/ml Ampul
83 Gentamisin Salep kulit 0,1% Tube
84 Gentamisin Sulfat tetes mata 0,3% Botol
85 Gentamisin Sulfat salep mata Botol
86 Gentian Violet larutan 1 % Botol 10 ml
87 Glibenklamid tablet 5 mg Tablet
88 Gliclazide 60 mg (Diamicron) Tablet
89 Gliclazide 80 mg (Gored) Tablet
90 Glimepiride 1 mg Tablet
91 Glimepiride 2 mg Tablet
92 Glimepiride 3 mg Tablet
93 Glimepiride 4 mg Tablet
94 Gliseril Guayakolat tablet 100 mg Tablet
95 Glukosa larutan infus 5 % steril (Produk lokKolf
96 Griseofulvin tablet 125 mg, micronized Tablet
97 Haloperidol tablet 0,5 mg Tablet
98 Haloperidol tablet 1,5 mg Tablet
99 Haloperidol tablet 5 mg Tablet
100 Hidroklorotiazid (HCT) tablet 25 mg Tablet
101 Hidrokortison krim 2,5 % Tube
102 Ibuprofen tablet 200 mg Tablet
103 Ibuprofen tablet 400 mg Tablet
104 Isosorbid Dinitrat tablet sublingual 5 mg Tablet
105 Kalsium Laktat (Kalk) tablet 500 mg Tablet
106 Kaptopril tablet 12,5 mg Tablet
107 Kaptopril tablet 25 mg Tablet
108 Kaptopril 50 mg Tablet
109 Ketokonazol tablet 200 mg Tablet
110 Ketokonazol Krim 2% Tube
111 Klindamisin kapsul 150 mg Kapsul
112 Klindamisin kapsul 300 mg Kapsul
113 Kloramfenikol kapsul 250 mg Kapsul
114 Kloramfenikol Salep Mata 1% Tube
115 Kloramfhenicol Tetes Mata Botol
116 Kloramfhenicol Tetes Telinga Botol
117 Kloramfenikol Salep Kulit (Bufacetin) Tube
118 Kloramfenikol Syrup Botol
119 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet
120 Klorpromazin HCl tablet salut 25 mg Tablet
121 Klorpromazin HCl tablet salut 100 mg Tablet
122 Kotrimoksazol Suspensi komb: Sulfametoks Botol 60 ml
123 Kotrimoksazol tablet kombinasi: Sulfamet Tablet
124 Lidocain gel 2% Tube
 Lidokain komp. injeksi, Kombinasi:
125 Lidokain HCl 2% + Epinefrin 1:80.000 - 2
ml / Pehacain Ampul
126 Lisol Botol 1000 ml
127 Loperamide tablet 2 mg Tablet
128 Loratadine 10 mg Tablet
129 Magnesium Sulfat inj (IV) 20% - 25 ml Vial
130 Magnesium Sulfat inj (IV) 40% - 25 ml Vial
131 Metformine 500 mg Tablet
132 Metformine 850 mg Tablet

133 Metilergometrin Maleat (Metilergometrin)

tablet salut 0,125 mg Tablet
134 Metilergometrin Maleat inj 0,200 mg-1 ml Ampul
135 Metronidazol Syr Botol
136 Metronidazol tablet 250 mg Tablet
137 Metronidazol tablet 500 mg Tablet
138 Metoclopramide tablet 10 mg Tablet
139 Metoclopramide Syr Botol
140 Methyl Prednisolone 4 mg Tablet
141 Meylon 84-BP 25 ml (Sodium Bicarbonat InVial
142 Multivitamin Anak (Becefort) Botol
143 Myconazole krim / salep 2% Tube
144 Natrium Diklofenak 25 mg Tablet
145 Natrium Diklofenak 50 mg Tablet
146 Natrium Bikarbonat tablet 500 mg Tablet
147 Natrium Klorida larutan infus 0,9 % steril ( Kolf
148 Nifedipin Tablet 10 mg Tablet
149 Nistatin tablet vaginal 100.000 IU/g Tablet
150 N-asetil Sistein Kapsul
151 Obat Batuk Hitam ( O.B.H. ) cairan Botol 100 ml
152 Obat batuk Fitoparmaka Botol
153 Ofloxacin tablet 200 mg Tablet
154 Ofloxacin tablet 400 mg Tablet
155 Oksitetrasiklin HCl salep mata 1 % Tube
156 Oksitosin injeksi 10 IU/ml - 1 ml Ampu;
157 Omeprazole 20 mg kapsul Kapsul
158 Parasetamol sirup 120 mg/5 ml Botol
159 Parasetamol tablet 500 mg Tablet
160 Parasetamol drop 60mg/ml Botol
161 Pirantel tablet 125 mg Tablet
162 Pirantel tablet Syrup Botol
163 Piridoksin HCl (Vit.B6) tablet 10 mg Tablet
164 Povidon Iodida 10 % 30 ml Botol 30 ml
165 Povidon Iodida 10 % 60 ml Botol 60 ml
166 Povidon Iodida 10 % 300 ml Botol 300 ml
167 Prednison tablet 5 mg Tablet
168 Primakuin tablet 15 mg Tablet
169 Propiltiourasil tablet 100 mg Tablet
170 Papaverin Tablet 40 mg Tablet
171 Ranitidin Tablet 150 mg Tablet
172 Ranitidin Injeksi Ampul
173 Retinol (Vitamin A) Kapsul 100.000 IU Kapsul
174 Retinol (Vitamin A) Kapsul 200.000 IU Kapsul
175 Ringer Laktat larutan infus steril (Produk loKolf
176 Salep 2-4 Pot
177 Salbutamol Tablet 2 mg Tablet
178 Salbutamol Tablet 4 mg Tablet
179 Scabimite (Permetrn 5%) Tube
180 Serum Anti Bisa Ular Polivalen injeksi 5 ml Vial
181 Serum Anti Tetanus Injeksi 1.500 IU/ampul Ampul
182 Sianokobalamin (Vit.B12) injeksi 500 mcg- Ampul
183 Sianokobalamin (Vit.B12) Tablet Tablet
184 Simvastatin 10 mg Tablet
185 Simvastatin 20 mg Tablet
186 Scabicid Cream Tube
187 Spironolakton 100 mg Tablet
188 Tetrasiklin HCl kapsul 500 mg Kapsul
189 Tiamin HCl (Vit.B1) injeksi 100 mg/ml-1 ml Ampul
190 Tiamin HCl / Mononitrat (Vit.B1) tablet 50 Tablet
191 Triheksifenidil Hidroklorida tablet 2 mg Tablet
192 Triotropium Serb 18 mcg+handihaller Botol
193 Triotropium Serb 18 mcg+Reffill Botol
194 Vaksin Anti Rabies (VAR) Vial
195 Vaksin Hepatitis B Vial
196 Verapamil 80 mg Tablet
197 Vitamin B Kompleks tablet Tablet
198 Zink Tablet Tablet
199 Zink Kids Syrup Botol
Alat Kesehatan
200 Alat suntik sekali pakai 0,5 ml Pcs
201 Alat suntik sekali pakai 1 ml Pcs
202 Alat suntik sekali pakai 3 ml Pcs
203 Alat suntik sekali pakai 5 ml Pcs
204 Alat Suntik Sekali Pakai 10 ml Pcs
205 Bisturi No 10 Pcs
206 Bisturi No 11 Pcs
207 Bisturi No 15 Pcs
208 Blood Lancet Pcs
209 Catgut / Benang Bedah No. 2/0 dengan ja Pcs
210 Catgut / Benang Bedah No. 3/0 dengan ja Pcs
211 Folley Catheter No.14 pcs
212 Folley Catheter No.16 pcs
213 Folley Catheter No.18 pcs
214 Hand scoen Non Steril M Pcs
215 Hand scoen Non Steril L pcs
216 Hand scoen Non Steril S Pcs
217 Hand scoen 7 steril Psg
218 Hand scoen 7.5 steril Psg
219 Handscrab Antiseptik (Polyclean) 500 ml Botol
220 Handscrab Antiseptik (Polywash) 500 ml Botol
221 Infusion set anak Set
222 Infusion set dewasa Set
223 IV Catheter No. 18 G Pcs
224 IV Catheter No. 20 G Pcs
225 IV Catheter No. 22 G Pcs
226 IV Catheter No. 24 G Pcs
227 Kapas Pembalut / Absorben 250 gram Bungkus
228 Kapas Pembalut / Absorben 500 gram Bungkus
229 Kasa Kompres 40/40 steril Bungkus
230 Kasa Pembalut Hidrofil 4 m x 3 cm elastic Roll
231 Kasa Pembalut Hidrofil 4 m x 15 cm elasticRoll
232 Kasa 40 Yard x 80 cm Roll
233 Masker Pcs
234 Povidone Iodida 10 % 30 ml Botol
235 Povidone Iodida 10 % 300 ml Botol
236 povidone iodida 100 ml Botol
237 Povidone Iodida 10 % 60 ml Botol
238 Plester 5 yards x 2 inch/ Hypafix/Polifix Roll
239 Polyban Nat Verban ortthopedic) 10 cm x 2Roll
240 Polygip (Verban Gyp) 10 cm x 2,7 m Roll
241 Silk (Benang Bedah Sutera) No. 3/0 dengaPcs
242 Silk (Benang Bedah Sutera) No. 2/0 dengaPcs
243 Test Gula (Glokose test) / nesco (ktk 10 pcPcs
244 Test Kolesterol (Cholesterol test) / nesco ( Pcs
245 Tes Asam Urat (Uric Acid) / nesco (Ktk 25 Pcs
246 Urien Bag Pcs
247 USG Gel Botol
248 Underpad Cosmomed Pcs
Obat Gigi
249 Bahan tumpatan sementara serbuk & cairabotol
250 Caviton/Tambal Sementara Kotak
251 Etil Klorida spray Botol
252 Eugenol cairan Botol
253 Fuji I Box
254 Fuji VII Kotak
255 Glass Ionomer Cement ART/GC Fuji IX Kotak
256 Klorfenol kamfer Menthol ( CHKM )/paramoBotol ml
257 Mummying pasta Pot
258 Semen Seng Fosfat serbuk dan cairan/Eli Kotak
259 Solarex 5.0g/Sel Adhesive/composit resin Kotak
260 Temporary Stopping Fletcher (Fletcher) se Kotak
 Laboratorium
261 Anti A Monoclonal (tes golongan darah) Botol
262 Anti AB Monoclonal (tes golongan darah) Botol
263 Anti B Monoclonal (tes golongan darah) Botol
264 Asam Asetat 6% Botol 100 ml
265 BaCL 10% Botol 100 ml
266 Buffer PH 7.2 Botol 100 ml
267 EDTA 10% Botol 100 ml
268 Fouchet Botol 100 ml
269 Giemsa Botol 100 ml
270 HCL 0,1N Botol 500 ml
271 KOH Botol 500 ml
272 Minyak Imersi Botol 50 ml
273 Rapid Diagnosis Test (RDT) Malaria Set
274 Rees Ecker Botol 100 ml
275 Turk Botol 100 ml
276 Ziehl Nielsen set (1:3:1) Paket
277 Natrium Citrat 3,18% Botol 500 ml
278 Giemsa Buffer PH 7,2 Botol 100 ml
Obat Program P2PL/P2P

Obat Program Kesga (Gizi & KIA)

Obat Program KESWA

Obat Buffer Stock

Obat JKN

Obat Tambahan

JUMLAH
AWAL 1 JANUARI 2019 PENAMBAHAN S/D MARET 2019 PENGURANGAN S/D MARET 2019
Nilai Total Harga Jumlah Nilai Total Harga Jumlah
ANGAN S/D MARET 2019 SALDO AKHIR 31 MARET 2019
Nilai Total Harga Jumlah Nilai Total
Rp -
UPTD PUSKESM
D PUSKESMAS SUNGAI BENGKAL
TAHUN 2019

SALDO AWAL 2019 PENAMBAHAN s/d Oktober 2019

NO URAIAN Satuan
Harga JumlahNilai Total Harga Jumlah
BOK
1 Busines File Rp 30,000 20
2 Box file Rp 15,000 10
3 Tinta prient canon Rp 35,000 2
4 Odner bantex besar Rp 20,000 2
5 Matrai 6000 Rp 7,000 5
6 Tinta epson 664 Rp 80,000 1
7 Agenda polio Rp 16,000 1
8 Matrai 3000 Rp 4,000 4
9 Binder clip Rp 5,000 1
10 Busines File Rp 30,000 5
11 Tipek kanko Rp 5,000 2
12 Pena gel 0,5 Rp 5,000 1
13 Kertas hvs cidu Rp 50,000 5
14 Map kertas biasa Rp 35,000 2
15 Map snelhoctor Rp 2,000 10
16 Ampl0p 90 pps Rp 20,000 4
17 lem fox Rp 10,000 1
18 Lakban bening Rp 10,000 1
19 Gunting deli sedang Rp 15,000 1
20 Tip ek brenbol Rp 8,000 2
21 Spidol permanen Rp 6,000 2
22 Penggaris besi Rp 5,000 2
23 Pena 0,1 Rp 5,000 2
24 Map tulang biasa Rp 3,000 8
25 Binder clip Rp 2,000 2
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44

TOTAL

Mengetahui
Kepala UPTD
Puskesmas sungai Bengkal

dr Nursyah fitri k
Nip 19860110201503 2003
 SALDO AKHIR 31 Oktober
BAHAN s/d Oktober 2019 PENGURANGAN s/d Oktober 2019
2019
Nilai Total Harga Jumlah Nilai Total Harga Jumlah Nilai Total

Rp 600,000 Rp 30,000 20 Rp 600,000

Rp 150,000 Rp 15,000 10 Rp 150,000
Rp 70,000 Rp 35,000 2 Rp 70,000
Rp 40,000 Rp 20,000 2 Rp 40,000
Rp 35,000 Rp 7,000 7 Rp 35,000
Rp 80,000 Rp 80,000 45 Rp 80,000
Rp 16,000 Rp 16,000 1 Rp 16,000
Rp 16,000 Rp 4,000 4 Rp 16,000
Rp 5,000 Rp 5,000 1 Rp 5,000
Rp 150,000 Rp 30,000 5 Rp 150,000
Rp 10,000 Rp 5,000 2 Rp 10,000
Rp 5,000 Rp 5,000 1 Rp 5,000
Rp 250,000 Rp 50,000 5 Rp 250,000
Rp 70,000 Rp 35,000 2 Rp 70,000
Rp 20,000 Rp 2,000 10 Rp 20,000
Rp 80,000 Rp 20,000 4 Rp 80,000
Rp 10,000 Rp 10,000 1 Rp 10,000
Rp 10,000 Rp 10,000 1 Rp 10,000
Rp 15,000 Rp 15,000 1 Rp 15,000
Rp 16,000 Rp 8,000 2 Rp 16,000
Rp 12,000 Rp 6,000 2 Rp 12,000
Rp 10,000 Rp 5,000 2 Rp 10,000
Rp 10,000 Rp 5,000 2 Rp 10,000
Rp 24,000 Rp 3,000 8 Rp 24,000
Rp 4,000 Rp 2,000 2 Rp 4,000
Sungai bengkal 23 -4-2019
Bendahara Barang
Puskesmas sungai bengkak

Ridawati br ginting AMKG

Nip 1968199003 2003
DAFTAR PERSEDIAAN (ALAT TULIS KANTOR/CETAK/ALAT KEBERSIHAN/ALAT LISRIK/BMHP/BHP)*
UPTD PUSKESM
D PUSKESMAS SUNGAI BENGKAL
TAHUN 2019

SALDO AWAL 2019 PENAMBAHAN s/JUNI

NO URAIAN Satuan
Harga Jumlah Nilai Total Harga Jumlah
APBD
1 Tisu tesa Rp 8,800 36
2 Wipol 800 ml Rp 21,000 3
3 Stella Rp 11,600 11
4 Sapu Rp 17,600 6
5 Pel Rp 27,000 6
6 Hand soap Yuri Rp 27,600 12
7 Super pell 800 ml Rp 11,400 6
 TOTAL 1,174,600

Mengetahui
Kepala UPTD
Puskesmas sungai Bengkal

dr Nursyah fitri k
Nip 19860110201503 2003
N/ALAT LISRIK/BMHP/BHP)*

SALDO AKHIR 31 JUNI

NAMBAHAN s/JUNI PENGURANGAN s/d JUNI 2019
2019
Nilai Total Harga Jumlah Nilai Total Harga Jumlah Nilai Total

Rp 316,800 Rp 8,800 36 Rp 316,800

Rp 63,000 Rp 21,000 3 Rp 63,000
Rp 127,600 Rp 11,600 11 Rp 127,600
Rp 105,600 Rp 17,600 6 Rp 105,600
Rp 162,000 Rp 27,000 6 Rp 162,000
Rp 331,200 Rp 27,600 12 Rp 331,200
Rp 68,400 Rp 11,400 6 Rp 68,400
1,174,600 1,174,600

Sungai bengkal 23 -6-2019

Bendahara Barang
Puskesmas sungai bengkak

Ridawati br ginting AMKG

Nip 1968199003 2003
DAFTAR PERSEDIAAN (ALAT TULIS KANTOR/CETAK/ALAT KEBERSIHAN/ALAT LISRIK/BMHP/BHP)*
UPTD PUSKESMAS .............................................
TAHUN 2019

SALDO AWAL 2019 PENAMBAHAN s/DESEM

NO URAIAN Satuan
Harga Jumlah Nilai Total Harga
APBD
1 Sapu lidi Rp 8,000
2 Sapu lantai Rp 20,000
3 Kain pel Rp 30,000
4 Ember plastik Rp 15,000
5 Gayung p[lastik Rp 5,000
6 Sikat tangan Rp 7,000
7 Kemoceng bulu ayam Rp 8,000
8 Sarung tangan karet Rp 13,000
9 Sikat toilet Rp 25,000
10 Alat pembersih kaca Rp 85,000
11 Tempat sampah tutup Rp 35,000
12 Super pel Rp 13,000
13 Cling Rp 8,000
14
15

TOTAL

Diketahui
Kepala UPTD Puskesmas Pintas Tuo

dr ABDISSALAM
Nip.19731222 201412 1 001
ISRIK/BMHP/BHP)*

PENGURANGAN s/d DESEMBER SALDO AKHIR 31

PENAMBAHAN s/DESEMBER
2019 DESEMBER 2019
Jumlah Nilai Total Harga Jumlah Nilai Total Harga Jumlah Nilai Total

18 Rp 144,000 Rp 8,000 18 Rp 144,000 8,000 0 buah 0

9 Rp 180,000 Rp 20,000 9 Rp 180,000 20,000 0 buah 0
6 Rp 180,000 Rp 30,000 6 Rp 180,000 30,000 0 buah 0
9 Rp 135,000 Rp 15,000 9 Rp 135,000 15,000 0 buah 0
18 Rp 90,000 Rp 5,000 18 Rp 90,000 5,000 0 buah 0
18 Rp 126,000 Rp 7,000 18 Rp 126,000 7,000 0 buah 0
9 Rp 72,000 Rp 8,000 9 Rp 72,000 8,000 0 buah 0
9 Rp 117,000 Rp 13,000 9 Rp 117,000 13,000 0 buah 0
9 Rp 225,000 Rp 25,000 9 Rp 225,000 25,000 0 buah 0
3 Rp 255,000 Rp 85,000 3 Rp 255,000 85,000 0 buah 0
9 Rp 315,000 Rp 35,000 9 Rp 315,000 35,000 0 buah 0
9 Rp 117,000 Rp 13,000 9 Rp 117,000 13,000 0 buah 0
18 Rp 144,000 Rp 8,000 18 Rp 144,000 8,000 0 buah 0

Rp 2,100,000 Rp 2,100,000 0

Pintas Tuo 2019

Bendahara Barang

NINA RESTANTI H.A.Md.Keb

Nip. 19730705 200604 2 005