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  • Form Permintaan Bahan Habis Pakai Administrasi

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    This document is a request form from the administration unit of Utama Husada Main Hospital to purchase disposable supplies. It lists 34 items needed including plastic bags, paper, ink, and office supplies. For each item it specifies the price, monthly usage, remaining stock, quantity to purchase, and supplier. The total requested purchase amount is 1,472,500. The form requires approval from the Financial and Asset Sub Manager and Hospital Director.

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    jan 2020

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    This document is a request form from the administration unit of Utama Husada Main Hospital to purchase disposable supplies. It lists 34 items needed including plastic bags, paper, ink, and office supplies. For each item it specifies the price, monthly usage, remaining stock, quantity to purchase, and supplier. The total requested purchase amount is 1,472,500. The form requires approval from the Financial and Asset Sub Manager and Hospital Director.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    24 views2 pages

    Form Permintaan Bahan Habis Pakai Administrasi

    Uploaded by

    ILA
    This document is a request form from the administration unit of Utama Husada Main Hospital to purchase disposable supplies. It lists 34 items needed including plastic bags, paper, ink, and office supplies. For each item it specifies the price, monthly usage, remaining stock, quantity to purchase, and supplier. The total requested purchase amount is 1,472,500. The form requires approval from the Financial and Asset Sub Manager and Hospital Director.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 2

    RUMAH SAKIT UTAMA HUSADA

    Jalan Manggar 134 Tegalsari – Ambulu


    Telp. (0336) – 881186, 881187 – Fax. 881434
    Website : www.utamahusada.com – Email : utama husada@yahoo.com

    FORM PERMINTAAN BAHAN HABIS PAKAI ADMINISTRASI


    Unit : administrasi
    Tanggal : 1/1/2020

    Penggunaan /
    No. Nama Barang Harga Sisa Jumlah yang dibeli Nama Outlet Jumlah
    Bulan
    1 kresek tong 35,000 7 pak 2 6 toko ojolali 210,000
    2 kresek kuning 23,000 7 pak 4 3 toko ojolali 69,000
    3 kresek hitam besar 20000 5 pak 1 5 toko ojolali 100,000
    4 kresek hitam atas tanggung 16,000 3 pak 2 3 toko ojolali 48,000
    5 plastik ozon 62,500 2 rol 1 2 toko ojolali 125,000
    6 plastik 1 kgan 7,000 4 bendel 1 3 toko ojolali 21,000
    7 kresek tiktas putih kecil 6,000 6 pak 2 5 toko ojolali 30,000
    8 klip 6x10 4,500 4 pak 2 3 toko ojolali 13,500
    9 klip 8x12 6,000 5 pak 2 4 toko ojolali 24,000
    10 klip 7x10 5,000 7 pak 5 3 toko ojolali 15,000
    11 f4 45,000 3 rem 1 2 toko alhikam 90,000
    12 label besar 3,000 0 1 toko alhikam 3,000
    13 a4 40,000 3 rem 2 1 toko alhikam 40,000
    14 penghapus white board 5,000 2 toko alhikam 10,000
    15 penggaris mika 3,000 1 2 toko alhikam 6,000
    16 folio tipis 11,000 3 0 5 toko alhikam 55,000
    17 folio tebal 15,000 2 0 3 toko alhikam 45,000
    18 lab ban coklat 15,000 0 1 toko alhikam 15,000
    19 bat alkalin kecil 21,000 2 pak 1 1 toko alhikam 21,000
    20 solasi bening kb 6,000 0 2 toko alhikam 12,000
    21 isi staplkes kecil 3,000 5 5 2 toko alhikam 6,000
    22 bat alkalin xk 19,500 2 pak 1 1 toko alhikam 19,500
    23 bat ABC b 5,500 5 4 2 toko alhikam 11,000
    24 castol 14,000 0 2 toko alhikam 28,000
    25 alteko 5,000 0 2 toko alhikam 10,000
    26 pensil 3,500 4 3 2 toko alhikam 7,000
    27 bolpoint standart 13,000 4 2 2 toko alhikam 26,000
    28 binder klip kecil 15,000 0 1 toko alhikam 15,000
    29 amplop paperline k 12,500 1 0 1 toko alhikam 12,500
    30 buku tulis tipis 2,500 10 5 10 toko alhikam 25,000
    31 tinta epson 664 hitam 90,000 0 1 toko alhikam 90,000
    32 tinta epson 664 yellow 90,000 0 1 toko cahaya 90,000
    33 tinta epson 664 pink 90,000 0 1 toko cahaya 90,000
    34 tinta epson 664 hitam 90,000 0 1 toko cahaya 90,000
    1,472,500
    Mengetahui /Menyetujui
    Sub Manajer Keuangan dan Aset Direktur Rs. Utama Husada
    Christopher Alex Budiman dr. Hari Pitono, MARS

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