DATA

NO NAMA BARANG NO BATCH ED Satuan

1 RAPID TES COVID w19500323 11 maret 2021 pcs

SARS-Cov-2 Antibody test

2 VTM pcs

3 RAPID TES COVID Maret 2021 pcs

SARS-Cov-2 Antibody test

4 Masker bedah shet

Masker 1860 M N95 shet

5 DANEURON HTDNRG0112Y Februari 2022 kapsul

JUMLAH

Pembuat Laporan
Pengelola Logistk Covid
Puskesmas Kecamatan Ciracas

Tri Fitrah Ramadhan

NIP. 10205019880508201601086

Ke

S
 DATA PENERIMAAN OBAT PROGRAM TRIWULAN I TAHUN 2020

Volume Jumlah JUMLAH HARGA TOTAL SKPD/UKPD/UNIT

HARGA SATUAN (Rp)
Penerimaan (Rp) LAYANAN
300 PKM Ciracas

8 PKM Ciracas

40 PKM Ciracas

100 Rp 386 Rp 38,600.00 PKM Ciracas

20 Rp 23,510 Rp 470,200.00

500 PKM Ciracas

Rp 508,800.00

Mengetahui/Menyetujui
Kepala Puskesmas Kecamatan Ciracas

SUNERSI HANDAYANI SKM, MKM

NIP. 197612201998032004
 TANGGAL
NO SBBK PROGRAM GOL BULAN
Penerimaan
25 maret 2020 COVID ALKES MARET

27 Maret 2020

30 Maret 2020 286/SDK/III/2020 COVID ALKES MARET

30 Maret 2020 286/SDK/III/2020 COVID ALKES MARET

31 Maret 2020 299/SDK/III/2020 COVID OBAT MARET

Penerima Laporan
Pengurus Barang
Puskesmas Kecamatan Ciracas

Mariani Posma B, AMG

NIP.197609242009022002
Rp - SUDIN

SUDIN

Rp - SUDIN

Rp 508,800.00 SUDIN

Rp - SUDIN

Rp 508,800.00
 DATA PENERIMAAN OBAT PROGRAM TRIWULAN II TAHUN 2020

Volume Jumlah JUMLAH HARGA SKPD/UKPD/UNIT TANGGAL

NO NAMA BARANG NO BATCH ED Satuan HARGA SATUAN (Rp) NO SBBK
Penerimaan TOTAL (Rp) LAYANAN Penerimaan
1 Masker bedah 6191201 Dec-24 box 2 Rp 19,305 Rp 38,610 PKM Ciracas 1 April 2020 340/SDK/IV/2020
Masker N95 R19148 May-24 pcs 40 Rp 21,736 Rp 869,440

2 Rapid test Covid pcs 100 PKM Ciracas 1 April 2020

2 VTM PCS PCS 30 PKM Ciracas 3 April 2020

3 RAPID TES COVID M195 11 Maret 2021 PCS 60 PKM Ciracas 3 April 2020
SARS-Cov-2 Antibody test

4 VTM pcs 30 PKM Ciracas 6 April 2020

5 HAZMAT BOHO 5601 PCS 4 PKM Ciracas 11 April 2020

6 Alkohol Based (handsanitizer) jerigen 5 L 4 Rp 120,500 Rp 481,998 PKM Ciracas 11 April 2020
Alkohol 70 % Handsanitizer) jerigen 5 L 6 Rp 169,600 Rp 1,017,601
Prespet jerigen 20 L 3 Rp 120,500 Rp 361,499
Handsoap jerigen 5 L 6 Rp 456,000 Rp 2,735,997

7 Face Sheild pcs 5 PKM Ciracas 20 April 2020 308/SDK/IV/2020

8 Coverall pcs 150 PKM Ciracas 20 April 2020 336/SDK/IV/2020

9 Rapid Test pcs 5 PKM Ciracas 22 April 2020

10 RAPID TES COVID pcs 120 PKM Ciracas 27 April 2020

SARS-Cov-2 Antibody test

11 VTM pcs 100 PKM Ciracas 29 April 2020

DACRON pcs 200

12 Coverall pcs 200 PKM Ciracas 5 Mei 2020

13 RAPID TES COVID PCS 50 PKM Ciracas 6 Mei 2020

SARS-Cov-2 Antibody test

Perlengkapan Pemulasaran
14 Paket 5 PKM Ciracas 11 Mei 2020
Jenasah 1
Perlengkapan Pemulasaran
Paket 3
Jenasah 2

15 Coverall pcs 200 PKM Ciracas 14 Mei 2020

17 Coverall pcs 150 PKM Ciracas 20 Mei 2020

18 Coverall pcs 200 PKM Ciracas 20 Mei 2020

 Face Sheild pcs 30

19 RAPID TES COVID pcs 325 PKM Ciracas 28 Mei 2020

SARS-Cov-2 Antibody test
Masker Bedah box 30

20 VTM pcs 100 PKM Ciracas 29 Mei 2020

SWAB 100

21 RDT pcs 120 PKM Ciracas 3 Juni 2020

22 VTM pcs 200 PKM Ciracas 3 Juni 2020

SWAB 200

23 VTM pcs 500 PKM Ciracas 10 Juni 2020

SWAB DACRON 1,000

24 VTM pcs 500 PKM Ciracas 15 Juni 2020

SWAB DACRON 500

25 RDT pcs 1,400 Rp 220,000 Rp 308,000,000 PKM Ciracas 25 Juni 2020

JUMLAH Rp 313,505,145

Pembuat Laporan Penerima Laporan

Pengelola Logistk Covid Pengurus Barang
Puskesmas Kecamatan Ciracas Puskesmas Kecamatan Ciracas

Tri Fitrah Ramadhan Mariani Posma B, AMG

NIP. 10205019880508201601086 NIP.197609242009022002

Mengetahui/Menyetujui
Kepala Puskesmas Kecamatan Ciracas

SUNERSI HANDAYANI SKM, MKM

NIP. 197612201998032004
PROGRAM GOL BULAN PENGIRIM

COVID ALKES APRIL Rp 908,050 SUDIN

Covid ALKES APRIL Rp - SUDIN

COVID ALKES APRIL Rp - SUDIN

COVID ALKES APRIL Rp - SUDIN

COVID ALKES APRIL Rp - SUDIN

COVID ALKES APRIL Rp - SUDIN

COVID ALKES APRIL Rp 4,597,095 SUDIN

COVID ALKES APRIL Rp - SUDIN

COVID ALKES APRIL Rp - SUDIN

COVID ALKES APRIL Rp - SUDIN

COVID ALKES APRIL Rp - SUDIN

COVID ALKES APRIL Rp - SUDIN

COVID ALKES MEI Rp - SUDIN

COVID ALKES MEI Rp - SUDIN

COVID ALKES MEI Rp - SUDIN

COVID ALKES MEI Rp - SUDIN

COVID ALKES MEI Rp - SUDIN

COVID ALKES MEI Rp - SUDIN

COVID ALKES MEI Rp - SUDIN

COVID ALKES MEI Rp - SUDIN

COVID ALKES JUNI Rp - SUDIN

COVID ALKES JUNI Rp - SUDIN

COVID ALKES JUNI Rp - SUDIN

COVID ALKES JUNI Rp - SUDIN

COVID ALKES JUNI Rp 308,000,000 SUDIN

Rp 313,505,145
 DATA PENERIMAAN OBAT PROGRAM TRIWULAN III TAHUN 2020

Volume Jumlah JUMLAH HARGA SKPD/UKPD/UNIT TANGGAL

NO NAMA BARANG NO BATCH ED Satuan HARGA SATUAN (Rp) NO SBBK
Penerimaan TOTAL (Rp) LAYANAN Penerimaan
1 Rapid Test pcs 300 Rp 220,000 Rp 66,000,000 PKM Ciracas 8 Juli 2020

2 VTM PCS 350 PKM Ciracas 7 juli 2020

3 VTM pcs 500 PKM Ciracas 22 Juli 2020

SWAB DACRON 1,000

4 VTM + SWAB (COPAN) pcs 300 Rp 83,710 Rp 25,113,000 PKM Ciracas 28 Juli 2020

5 VTM pcs 200 Rp 154,000 Rp 30,800,000 PKM Ciracas 30 juli 2020

6 Masker Bedah PCS 13,800 Rp 2,290 Rp 31,602,000 PKM Ciracas 19 Agustus 2020

7 VTM pcs 300 Rp 55,000 Rp 16,500,000 PKM Ciracas 31 agustus 2020

8 VTM pcs 300 Rp 33,425 Rp 10,027,500 PKM Ciracas 4 September 2020

9 VTM pcs 300 Rp 33,425 Rp 10,027,500 PKM Ciracas 9 September 2020

10 VTM+SWAB (BIO VTM) PCS 1,250 Rp 50,000 Rp 62,500,000 PKM Ciracas 22 September 2020
Rapid Test (INDEC) pcs 300 Rp 108,060 Rp 32,418,000

JUMLAH Rp 217,633,000

Pembuat Laporan Penerima Laporan

Pengelola Logistk Covid Pengurus Barang
Puskesmas Kecamatan Ciracas Puskesmas Kecamatan Ciracas

Tri Fitrah Ramadhan Mariani Posma B, AMG

NIP. 10205019880508201601086 NIP.197609242009022002

Mengetahui/Menyetujui
Kepala Puskesmas Kecamatan Ciracas

SUNERSI HANDAYANI SKM, MKM

NIP. 197612201998032004
PROGRAM GOL BULAN

COVID ALKES JULI Rp 66,000,000 SUDIN

COVID ALKES JULI

COVID ALKES JULI Rp - SUDIN

COVID ALKES JULI Rp 25,113,000 SUDIN

COVID ALKES JULI

COVID ALKES AGUSTUS Rp 31,602,000 SUDIN

COVID ALKES AGUSTUS

COVID ALKES SEPTEMBER

COVID ALKES SEPTEMBER

COVID ALKES SEPTEMBER Rp 94,918,000 SUDIN

Rp 217,633,000
 DATA PENERIMAAN OBAT PROGRAM TRIWULAN IV TAHUN 2020

Volume Jumlah JUMLAH HARGA SKPD/UKPD/UNIT

NO NAMA BARANG NO BATCH ED Satuan HARGA SATUAN (Rp) TANGGAL Penerimaan NO SBBK
Penerimaan TOTAL (Rp) LAYANAN
1 VTM pcs 500 Rp 33,425 Rp 16,712,500 PKM Ciracas 20 oktober 2020

2 VTM pcs 1200 Rp 130,000 Rp 156,000,000 PKM Ciracas 27 oktober 2020

3 Masker Kain Jenis earloop pcs 6620 Rp 5,500 Rp 36,410,000 PKM Ciracas 3 November 2020
Masker Kain Jenis headloop pcs 6620 Rp 5,500 Rp 36,410,000

4 VTM pcs 1000 Rp 50,000 Rp 50,000,000 PKM Ciracas 17 November 2020

5 VTM pcs 2000 Rp 37,950 Rp 75,900,000 PKM Ciracas 24 November 2020

6 VTM pcs 1500 Rp 38,500 Rp 57,750,000 PKM Ciracas 27 November 2020

7 Masker Bedah pcs 1,200 Rp 1,400 Rp 1,680,000 PKM Ciracas 25 November 2020
Face Shield pcs 40 Rp 11,000 Rp 440,000
Gloves Nonsteril pasang 1,200 Rp 3,850 Rp 4,620,000

8 VTM+Swab A232201103 Nov-21 pcs 4,000 Rp 28,160 Rp 112,640,000 PKM Ciracas 2 Desember 2020

9 Rapid Test Antigen (Abbot) pcs 800 Rp 97,450 Rp 77,960,000 PKM Ciracas

10 Vitamin C 250 mg tablet 30 Rp 11,900 Rp 357,000 PKM Ciracas

11 Vitamin C 500 mg A02146 Oktober 2022 tablet 200,000 Rp 198 Rp 39,600,000 PKM Ciracas 29 Desember 2020
Rapid Test Antigen (Abbot) pcs 350 Rp 97,450 Rp 34,107,500

JUMLAH Rp 527,874,500

Pembuat Laporan Penerima Laporan

Pengelola Logistk Covid Pengurus Barang
Puskesmas Kecamatan Ciracas Puskesmas Kecamatan Ciracas

Tri Fitrah Ramadhan Mariani Posma B, AMG

NIP. 10205019880508201601086 NIP.197609242009022002

Mengetahui/Menyetujui
Kepala Puskesmas Kecamatan Ciracas
SUNERSI HANDAYANI SKM, MKM
NIP. 197612201998032004
PROGRAM GOL BULAN

COVID ALKES oktober Rp 16,712,500

COVID ALKES oktober Rp 156,000,000

COVID ALKES November Rp 72,820,000 SUDIN

COVID ALKES november Rp 50,000,000

COVID ALKES november Rp 75,900,000

COVID ALKES november Rp 57,750,000

COVID ALKES November Rp 6,740,000 SUDIN

COVID ALKES Desember Rp 112,640,000 SUDIN

COVID ALKES Desember Rp 77,960,000

COVID OBAT Desember Rp 357,000 SUDIN

COVID OBAT Desember Rp 73,707,500 SUDIN

ALKES

Rp 527,874,500

total transfer Rp 1,059,521,445