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DETASEMEN KESEHATAN WILAYAH MOJOKERTO

POLIKLINIK KESEHATAN 05.09.12 TUBAN

LAPORAN ALSATRI, AlSITOR DAN ALKES


POLIKLINIK KESEHATAN 05.09.12 TUBAN

Asal Barang Harga


No. Nama Barang SatuanJumlahNegara Tahun Ket
BPJS Pengadaan sendiriBKKBN Lain-Lain Satuan Total
1 2 3 4 5 6 7 8 9 10 11 12 13
ALKES
1 IUD KIT Buah 1 V 1,000,000.00 1,000,000.00 2016
2 IUD KIT Buan 1 V 1,000,000.00 1,000,000.00 2017
3 Implan KIT Buah 1 V 1,000,000.00 1,000,000.00 2016
4 Implan KIT Buah 1 V 1,000,000.00 1,000,000.00 2017
17 Bed Ginecologi pcs 3 V 3,500,000.00 10,500,000.00 2016+2017
18 Timbangan Bayi tidur Pcs 1 V 330,000.00 330,000.00 2014
19 Timbangan bayi Gea Pcs 1 V 330,000.00 330,000.00 2017
20 Timbangan bayi Gea Pcs 1 V 400,000.00 400,000.00 2017
21 Tensi meter Pcs 3 V 200,000.00 600,000.00 2016+2017
22 Sterilisator uap with steamer Pcs 1 V 100,000.00 100,000.00 2017
23 Tensi Jarum Gea Pcs 1 V 85,000.00 85,000.00 2016
24 Nalfulder Pcs 2 V 19,500.00 39,000.00 2012
25 Pincet cirurgie Pcs 3 V 25,000.00 75,000.00 2012
26 Gunting Tali pusat Pcs 2 V 16,000.00 32,000.00 2011
27 Gunting Perban Pcs 1 V 16,000.00 16,000.00 2011
28 Timbangan bayi gantung Pcs 1 V 50,000.00 50,000.00 2011
29 Tong Spatel Pcs 3 V 50,000.00 150,000.00 2010
30 Lampen Spritus Pcs 4 V 14,000.00 56,000.00 2010
31 Perlak Plastik Pcs 1 V 14,000.00 14,000.00 2010
32 Sendok Curetage Pcs 1 V 399,000.00 399,000.00
No 2 Tumpul Pcs 1 V 2000
No 4 Tumpul Pcs 1 V 2000
No 5 Tumpul Pcs 1 V 2000
No 2 Tajam Pcs 1 V 2000
No 3 Tajam Pcs 1 V 2000
No 5 Tajam Pcs 1 V 2000
No 6 Tajam Pcs 1 V 2000
33 Gliserin Spuit Pcs 2 V 85,000.00 170,000.00 2002
34 Kateter Nelaton Pcs 2 V 10,000.00 20,000.00 2002
35 Baskom kecil Pcs 3 V 50,000.00 150,000.00 2002
36 Baskom Aluminium Pcs 1 V 60,000.00 60,000.00 2003
37 Bengkok email Pcs 2 V 50,000.00 100,000.00 2003
38 Bengkok Aluminium Pcs 3 V 50,000.00 150,000.00 2003
39 Funandoscope Pcs 3 V 37,000.00 111,000.00 2003
40 Verban Tromol Pcs 1 V 220,000.00 220,000.00 2005
41 Termometer Rektal Pcs 3 V 50,000.00 150,000.00 2005
42 Hb sahli Pcs 1 V 35,000.00 35,000.00 2005
43 Cucing Plastik Pcs 4 V 30,000.00 120,000.00 2006
44 Com Pcs 1 V 35,000.00 35,000.00 2003
45 Cucing metalik Pcs 2 V 30,000.00 60,000.00 2005
46 Klem Ekstrator Pcs 1 V 35,000.00 35,000.00 2005
47 Korentang (Shm Germany) Pcs 2 V 200,000.00 400,000.00 2017
48 Metlin Pcs 1 V 10,000.00 10,000.00 2013
49 Pispot Besi Pcs 1 V 110,000.00 110,000.00 2002
50 Pinset anatomi Pcs 3 V 25,000.00 75,000.00 2003
51 Gunting Lancip Pcs 1 V 25,000.00 25,000.00 2003
52 Gunting Perban Pcs 1 V 30,000.00 30,000.00 2003
53 Tabung Oksigen Pcs 3 V 30,000.00 90,000.00 2004
54 Regulator Pcs 1 V 345,000.00 345,000.00 2017
55 Termometer Pcs 1 V 25,000.00 25,000.00 2017
56 Dopler Pcs 1 V 1,300,000.00 1,300,000.00 2016
57 Bak Instrumen (Pakistan) Pcs 3 V 44,100.00 132,300.00 2016
58 Bein Lurus besar (Pakistan) Pcs 1 V 55,000.00 55,000.00 2016
59 Bein Lurus Kecil (Pakistan) Pcs 1 V 55,000.00 55,000.00 2016
60 Cement Spatula (Pakistan) Pcs 2 V 16,000.00 32,000.00 2016
61 Compressor swam (Pakistan) Pcs 1 V 4,418,182.00 4,418,182.00 2016
62 Cryer T ka/ki (Pakistan) Pcs 2 V 56,700.00 113,400.00 2016
63 Excavator (Pakistan) Pcs 5 V 14,400.00 72,000.00 2016
64 Gagang Kaca mulut (Pakistan) Pcs 5 V 22,500.00 112,500.00 2016
65 Glass plate (Pakistan) Pcs 2 V 4,000.00 8,000.00 2016
66 high speed (Ca Gnatus) Pcs 1 V 1,350,000.00 1,350,000.00 2016
67 Kaca Mulut (Pakistan) Pcs 5 V 12,600.00 63,000.00 2016
68 Kursi gigi (Marumi tip xya 2 ) Pcs 1 V 15,000,000.00 15,000,000.00 2016
69 Light curinng (litex Dewasa) Pcs 1 V 2,970,000.00 2,970,000.00 2016
70 Low Speed (Alegra Rm 4 hole) Pcs 1 V 5,220,000.00 5,220,000.00 2016
71 Nerbeken besar (Pakistan) Pcs 3 V 18,000.00 54,000.00 2016
72 Nerbeken kecil (Pakistan) Pcs 2 V 14,400.00 28,800.00 2016
73 Pincet dental (Pakistan) Pcs 2 V 17,100.00 34,200.00 2016
74 Scaler unit Pcs 1 V 4,400,000.00 4,400,000.00 2016
75 Sonde sehalfmonn (Pakistan) Pcs 3 V 14,400.00 43,200.00 2016
76 Sonde Selurus (Pakistan) Pcs 2 V 14,400.00 28,800.00 2016
77 Tang cabut dewasa (Medesy) pcs 1 V 570,000.00 570,000.00 2016
78 Sterilisator (elitech) Pcs 1 V 2,500,000.00 2,500,000.00 2017
79 Sterilisator (Electra) Pcs 1 V 1,850,000.00 1,850,000.00 2016
80 TCA (pakistan) Pcs 2 V 70,200.00 140,400.00 2016
81 Water tank Pcs 1 V 1,100,000.00 1,100,000.00 2016
82 Bak Instrumen Pcs 2 V 45,000.00 90,000.00 2016
83 Com betadine (Pakistan) Pcs 2 V 44,100.00 88,200.00 2016
84 Diagnostic set Pcs 1 V 30,000.00 30,000.00 2016
85 Forceps Dressing Pcs 2 V 50,000.00 100,000.00 2016
86 Forceps Tissue Pcs 2 V 35,000.00 70,000.00 2016
87 Grooved Director Buttoned Pcs 1 V 35,000.00 35,000.00 2016
88 Kelly Hemostatis Pcs 4 V 25,000.00 100,000.00 2016
89 Korentang jar ss 77 cm Pcs 1 V 25,000.00 25,000.00 2016
90 Korentang Lurus Pcs 1 V 50,000.00 50,000.00 2016
91 Lister Bandage Scissor Pcs 1 V 50,000.00 50,000.00 2016
92 Mayo hegar needholder Pcs 1 V 20,000.00 20,000.00 2016
93 Nierbeken Pcs 2 V 20,000.00 40,000.00 2016
94 Oxigen set Pcs 1 V 750,000.00 750,000.00 2016
95 Pean Hemostatic Forceps Pcs 2 V 37,000.00 74,000.00 2016
96 Reflek hammer Pcs 1 V 75,000.00 75,000.00 2016
97 Regulator Pcs 1 V 345,000.00 345,000.00 2016
98 Scapel Blade Pcs 100 V 25,000.00 2,500,000.00 2016
99 Scapel Handle Pcs 1 V 25,000.00 25,000.00 2016
100 Scissor bl/sh Pcs 1 V 25,000.00 25,000.00 2016
101 Scissor cvd Pcs 1 V 50,000.00 50,000.00 2016
102 Set bedah ringan Pcs 1 V 30,000.00 30,000.00 2016
103 Stacke ear Probe silver Pcs 1 V 250,000.00 250,000.00 2016
104 Stetoscope Dewasa Pcs 1 V 110,000.00 110,000.00 2016
105 Tabung Oksigen Pcs 1 V 85,000.00 85,000.00 2016
106 Tensimeter raksa Pcs 1 V 300,000.00 300,000.00 2016
107 Termometer raksa Pcs 2 V 30,000.00 60,000.00 2016
108 Troli Pcs 1 V 335,000.00 335,000.00 2016
109 Tromol Besar ss 27 cm Pcs 1 V 190,000.00 190,000.00 2016
110 Tromol kecil ss 18 cm Pcs 1 V 110,000.00 110,000.00 2016
111 Termometer digital (GEA) Pcs 1 V 25,000.00 25,000.00 2016
112 alat tindik (Bergeon) Pcs 1 V 50,000.00 50,000.00 2016
113 nebulizier (Omron) Pcs 1 V 650,000.00 650,000.00 2016
114 Termometer raksa (GEA) Pcs 1 V 400,000.00 400,000.00 2016
115 Lampu Heating (GEA) Pcs 1 V 1,300,000.00 1,300,000.00 2016
116 Senter kepala dan emergenci Pcs 1 V 185,000.00 185,000.00 2016
117 Timbangan badan (One Med) Pcs 1 V 167,500.00 167,500.00 2016
118 Pean bengkok Pcs 1 V 42,500.00 42,500.00 2016
119 Pean lurus Pcs 1 V 42,500.00 42,500.00 2016
120 Tampon Tang Pcs 1 V 75,000.00 75,000.00 2016
121 Head Lamp ryne Pcs 1 V 415,000.00 415,000.00 2017
122 Termometer kulkas Pcs 1 V 115,000.00 115,000.00 2016
123 Lupp Gomm (Joy Art) Pcs 1 V 38,000.00 38,000.00 2016
124 Ambubag Hitam Pcs 1 V 110,000.00 110,000.00 2016
125 Ambubag Putih Pcs 1 V 110,000.00 110,000.00 2016
126 Bak instrumen Pcs 1 V 60,000.00 60,000.00 2016
127 Klem Pcs 9 V 50,000.00 450,000.00 2016
128 Bak instrumen kecil Pcs 1 V 35,000.00 35,000.00 2016
129 Arteri Klem Pcs 1 V 20,000.00 20,000.00 2016
130 Gunting lancip Pcs 1 V 35,000.00 35,000.00 2016
131 Stetoscope Pcs 2 V 85,000.00 170,000.00 2016
132 Tensimeter Raksa (ABN) Pcs 1 V 455,000.00 455,000.00 2016
133 Hb (quick check) Pcs 1 V 850,000.00 850,000.00 2017
134 Pincet telinga Pcs 1 V 25,000.00 25,000.00 2016
135 Nalfulder Pcs 1 27,000.00 27,000.00 2016
136 Oksigen Pcs 1 V 950,000.00 950,000.00 2016
137 Blender obat dan packing (SCI) Pcs 1 V 2,900,000.00 2,900,000.00 2017
138 Standart Infus Pcs 1 V 260,000.00 260,000.00 2016
139 Termometer Infrared Pcs 1 V 290,000.00 290,000.00 2018
140 Alat Sirkumsisi Pcs 1 V 1,800,000.00 1,800,000.00 2016
141 Nesco Test Pcs 1 V 300,000.00 300,000.00 2016
142 Easy Touch Test 1 V 275,000.00 275,000.00 2016

ALSINTOR
1 Speedy Indihome Buah 1 V 495,000.00 495,000.00 2017
2 Wireless wifi 1 V 650,000.00 650,000.00 2017
3 Pesawat telpon Buah 1 V 250,000.00 250,000.00 2015
4 TV Panasonic Buah 1 V ### 3,500,000.00 2015
5 Receiver matrix 1 V 700000.000.00 700,000.00 2017
6 Computer LG Buah 1 V ### 3,757,000.00 2014
7 Computer LG Buah 1 V ### 3,900,000.00 2018
8 Computer Panasonic Buah 1 V ### 1,250,000.00 2000
9 Printer epson l120 Buah 1 V ### 1,650,000.00 2016
10 Printer epson l120 Buah 1 V ### 1,800,000.00 2017
11 Printer Epsom L360 Buah 1 V ### 2,200,000.00 2018
12 Printer Epsomn L120 1 V ### 1,800,000.00 2018
13 Faximile Buah 1 V 750000.000.00 750,000.00 2016
14 Speaker aktiv Buah 1 V 390000.000.00 390,000.00 2014
15 Camera samsung Buah 1 V ### 2,500,000.00 2015
16 DVD politron Buah 1 V 700000.000.00 700,000.00 2015
17 Audio system Politron Buah 1 V 750000.000.00 750,000.00 2015
18 LCD proyektor Buah 1 V ### 4,785,600.00 2017
19 Layar Proyektor 1 V 800000.000.00 800,000.00 2017
20 Mesin ketik Buah 1 V 400000.000.00 400,000.00 2000
21 Laptop Asus dan Modem Buah 1 V ### 4,175,000.00 2014
-
ALSATRI -
1 Kursi kayu panjang Buah 8 V 350000 2,800,000.00 2000
2 Meja kaca Buah 2 V 350000 700,000.00 2000
3 Meja kayu Buah 11 V 400000 4,400,000.00 2000
4 Kipas angin dinding Buah 9 V 295000 2,655,000.00 2016
5 Kulkas Buah 1 V 950000 950,000.00 2014
6 Rak TV Buah 1 V 550000 550,000.00 2017
7 Termometer ruangan Buah 3 V 60000 180,000.00 2015
8 Tempat tidur pasien Buah 9 V 500000 4,500,000.00 2000
9 Kursi kayu busa Buah 3 V 500000 1,500,000.00 2000
10 Kursi roda Buah 1 V 1250000 1,250,000.00 2017
11 kursi Dokter Buah 2 V 265000 530,000.00 2017
12 Meja kayu besar putih Buah 1 V 650000 650,000.00 2000
13 Meja plastik Putih Buah 2 V 200000 400,000.00 2000
14 Radio Buah 1 V 150000 150,000.00 2000
15 Almari kayu kecil Buah 4 V 360000 1,440,000.00 2000
16 Almari 2 pintu Buah 1 V 1500000 1,500,000.00 2000
17 Almari besar putih Buah 1 V 2500000 2,500,000.00 2000
18 Meja kayu 2 standart Buah 2 V 360000 720,000.00 2000
19 Meja kayu kecil Buah 1 V 200000 200,000.00 2000
20 Troli Buah 3 V 250000 750,000.00 2004
21 Kursi busa Buah 2 V 520000 1,040,000.00 2005
22 Cermin Buah 3 V 100000 300,000.00 2011
23 APAR Buah 1 V 950000 950,000.00 2014
24 APAR Buah 1 V 950000 950,000.00 2016
25 APAR 1 V 1400000 1,400,000.00 2018
26 Kursi stainlist Buah 1 V 950000 950,000.00 2016
27 Almari besar Buah 2 V 250000 500,000.00 2000
28 Almari kecil Buah 1 V 1000000 1,000,000.00 2000
29 Almari kaca Buah 2 V 1000000 2,000,000.00 2000
30 Tatakan kaki Buah 2 V 200000 400,000.00 2000
31 Tampat sampah Buah 6 V 28450 170,700.00 2016
32 Tong sampah Buah 3 V 270000 810,000.00 2015
33 Meja pendaftaran Buah 1 V 5000000 5,000,000.00 2018
34 Korden hijau Buah 2 V 725000 1,450,000.00 2016
35 AC Buah 2 V 3600000 7,200,000.00 2016
36 Kerangka tong sampah Buah 1 V 700000 700,000.00 2015
37 Almari Rekam medis Buah 1 V 950000 950,000.00 2014
38 Dispenser Buah 1 V 500000 500,000.00 2015
39 Kursi bulat merah pasien Buah 4 V 100000 400,000.00 2017
40 Kursi Bulat hijau 4 V 100000 400,000.00 2017
41 Kursi Operator Buah 2 V 700000 1,400,000.00 2017
42 Meja TV Buah 1 V 200000 200,000.00 2015
43 Rak sepatu Buah 2 V 70000 140,000.00 2016
44 Kursi Panjang Buah 3 V 500000 1,500,000.00 2000
45 Jam dinding Buah 1 V 200000 200,000.00 2016
46 Almari kecil Buah 5 V 1500000 7,500,000.00 2000
47 Almari Besar Buah 1 V 2000000 2,000,000.00 2000
48 Almari Sedang Buah 3 V 680000 2,040,000.00 2000
49 Meja kecil Buah 2 V 450000 900,000.00 2000
50 Meja kayu tulis Buah 4 V 500000 2,000,000.00 2000
51 Buffet Almari ukir Buah 1 V 2000000 2,000,000.00 2000
52 KURSI BUSA Buah 2 V 550000 1,100,000.00 2000
53 Kursi kayu Buah 2 V 200000 400,000.00 2000
54 Meja mesin ketik Buah 1 V 400000 400,000.00 2000
55 Tempat sampah Buah 2 V 250000 500,000.00 2015
56 Neonbox Buah 1 V 1550000 1,550,000.00 2015
57 Meja ruang Obat Buah 1 V 650000 650,000.00 2002
58 Kasur Buah 7 V 50000 350,000.00 2000
59 Gorden Buah 4 V 181250 725,000.00 2015
60 Wall cabinet Buah 1 V 108000 108,000.00 2015
61 Lemari Es Buah 1 V 2600000 2,600,000.00 2015
62 Jam dinding dan tremos Buah 1 V 72600 72,600.00 2015
63 Cermin dinding Buah 1 V 100000 100,000.00 2016
64 Parabola Buah 1 V 950000 950,000.00 2014
65 Papan Reklame Buah 1 V 1800000 1,800,000.00 2016

Kapolkes 05.09.12 Tuban


Agung Budiono
Pelda NRP. 21960278390176

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