Format Laporan Persediaan Pkm Angsana Contoh.xlsx

LAPORAN PERSEDIAAN PUSKESMAS ANGSANA

Saldo Awal 2018 Harga per Jumlah (Rp) Unit (Rp) 4 5=3x4

1 I 1 2 3 4 5 6 7 8 9 10 11

2 Persediaan Alat Tulis Kantor: Amplop Putih Besar Ballpoint Standard AE7 Buku Tulis Folio, 100 Lembar Bussines File Folio Kertas A4 70 gram Kertas F4 70 gram Map Plastik Tali Odner Binder, Folio 7 cm Odner Karton , Folio 7 cm Spidol Permanent Stop Map Kertas/ Karton

II 1 2 3 4 5 6 7 8

Persediaan Barang Cetakan: Karcis Retribusi Blok Karcis Retribusi Lembar Kartu status Map status pasien bersalin Kartu kunjungan Stiker kunjungan rumah Kohort Bayi/Balita Buku KIA

III 1 2 3 4 5 6 7 8 9 10 11 12

Vaksin : HB 0 BCG DPT Hb Hib Polio Campak IPV Ads 0,05 ml Ads 0,5 ml Ads 5 ml TD MR Safety Box

IV 1 2 3 4

Program GIZI : MP ASI PMT bumil PMT anak sekolah Buku Raport

V 1 2 3 4 5 6

Persediaan Alat Kesehatan Habis Pakai (JKN) : Jelly USG 250 ml Kertas Puyer Lancet Needle No.24 O2 Nasal White Tubing-Adult O2 Nasal White Tubing-Child

3 24 2 21 30

2,000 17,000 2,000 2,000

9 79 1,200 440 1,180 40 335

19,263 193 423 6,600 300 3,300 4,826

10 5 7 5 20 15 70 -

19,096 52,492

2,744 -

10 10 9 5 50 10

Pemakaian TA. 2018 Unit 9

48,000 34,000 42,000 60,000

-

-

-

20 18 26

173,367 15,247 507,600 2,904,000 354,000 132,000 1,616,710

-

-

-

-

-

-

1 79 200 30 300 10

190,960 262,460 128,590 688,050 40,820 2,417,715 9,534,000 -

40 40 60 60 10 100 200 30 -

20,900 59,950 76,285 19,954 137,610 1,590 1,195 16,500 -

836,000 2,398,000 4,577,100 1,197,240 1,376,100 159,000 239,000 495,000 -

2,470

6,777,680 -

-

38,675 14,365 36,465 99,410 6,400 6,400

386,750 143,650 328,185 497,050 320,000 64,000

18,370 137,610

2,041 161,181 136,200 -

-

-

100

37 35 50 60 10 100 200 20 40 -

2,744 -

NI HI L

Unit

Pembelian TA. 2018 Harga per Unit Jumlah (Rp) Unit (Rp) 6 7 8=6x7

NI HI L

Uraian

NI HI L

No

: Angsana : Januari 2018

NI HI L

Nama Puskesmas Bulan

-

1 1 -

VI 1 2 3 4 5 6 7 8 9

Program KB : Duk Disposible Depo Progesteron 3 cc IUD Set Implant Set Spuit 3 cc Pil Kb kombinasi Povidon 30 ml kondom Safety box

50 20 28 2 25 19 21 4 4

11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

105 500 5 800 500 50

10,000 6,100 11,800 825 1,518 21,395

NI HI L

O2 Mask Elongated-Adult (Sungkup O2) Plastik Klip Besar Plastik Klip Sedang Reagen Golongan Darah Stik Glukosa atau gula darah Stik Haemoglobin (HB) Stik Uric Acid (Asam urat) Test Celup HCG Umbilical klem

575,000 2,442,000 2,784,600 712,726 2,486,250 3,147,825 2,552,550 353,600 353,600

-

-

-

1 2 1

1,050,000 3,050,000 59,000 660,000 759,000 1,069,750

-

-

-

-

NI HI L

7 8 9 10 11 12 13 14 15

Total Mengetahui, Kepala Puskesmas

Staf TU,

H. Agus Surya, SKM.M.Si NIP.19710821 199603 1 004

Agus Dadan Juanda, S.Kep NIP.19730717 200604 1 000

200 200

-

AS ANGSANA

Pemakaian TA. 2018 Harga per Jumlah (Rp) Unit (Rp) 10 11=9x10

Unit 12=3+6-9

Saldo Akhir Harga per Jumlah (Rp) Unit (Rp) 13 14=12x13

2,000 2,000 2,000

40,000 36,000 52,000

4 2 3 4

2,000 17,000 2,000 2,000

8,000 34,000 6,000 8,000

19,263 193 423 6,600 300 3,300 4,826

19,263 15,247 84,600 198,000 90,000 33,000 482,600

8 1,000 410 880 30 235

19,263 423 6,600 300 3,300 4,826

154,104 423,000 2,706,000 264,000 99,000 1,134,110

20,900 59,950 76,285 19,954 137,610 1,590 1,195 2,041 16,500 -

773,300 2,098,250 3,814,250 1,197,240 1,376,100 159,000 239,000 40,820 660,000 -

13 10 10 7 5 5 70

20,900 59,950 76,285 19,954 137,610

271,700 599,500 762,850 139,678 688,050 82,500 9,534,000 -

2,470 -

6,777,680 -

-

-

-

14,365 99,410 -

14,365 99,410 -

10 9 9 4 50 10

38,675 14,365 36,465 99,410 6,400 6,400

386,750 129,285 328,185 397,640 320,000 64,000

16,500 136,200

Ket. 15

122,100 99,450 88,400

122,100 198,900 88,400

50 19 28 2 23 19 21 4 3

11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

575,000 2,319,900 2,784,600 712,726 2,287,350 3,147,825 2,552,550 353,600 265,200

825 1,518 -

165,000 303,600 -

105 500 5 600 300 50

10,000 6,100 11,800 825 1,518 21,395

1,050,000 3,050,000 59,000 495,000 455,400 1,069,750

Pandeglang , 31 Januari 2018 Bendahara,

Dede Siti Hajar, S.S.T NIP.19860403 201001 2 015

LAPORAN PERSEDIAAN PUSKESMAS ANGSANA

Uraian

Saldo Awal 2018 Harga per Unit Jumlah (Rp) (Rp) 4 5=3x4

Unit 3

1 I 1 2 3 4 5 6 7 8 9 10 11

2 Persediaan Alat Tulis Kantor: Amplop Putih Besar Ballpoint Standard AE7 Buku Tulis Folio, 100 Lembar Bussines File Folio Kertas A4 70 gram Kertas F4 70 gram Map Plastik Tali Odner Binder, Folio 7 cm Odner Karton , Folio 7 cm Spidol Permanent Stop Map Kertas/ Karton

II 1 2 3 4 5 6 7 8

Persediaan Barang Cetakan: Karcis Retribusi Blok Karcis Retribusi Lembar Kartu status Map status pasien bersalin Kartu kunjungan Stiker kunjungan rumah Kohort Bayi/Balita Buku KIA

III 1 2 3 4 5 6 7 8 9 10 11 12 13

Vaksin : HB 0 BCG DPT Hb Hib Polio Campak IPV Ads 0,05 ml Ads 0,5 ml Ads 5 ml TD MR Safety Box DT

IV 1 2 3 4

Program GIZI : MP ASI PMT bumil PMT anak sekolah Buku Raport

V 1 2 3 4 5

Persediaan Alat Kesehatan Habis Pakai (JKN) : Jelly USG 250 ml 10 Kertas Puyer 9 Lancet 9 Needle No.24 4 O2 Nasal White Tubing-Adult 50

Pembelian TA. 2018 Harga per Unit Jumlah (Rp) Unit (Rp) 6 7 8=6x7

Pemakaian TA. 2018 Unit 9

4 2 3 4

2,000 17,000 2,000 2,000

8,000 34,000 6,000 8,000

13 24 5 12 -

2,000 4,000 50,000 8,500 -

26,000 96,000 250,000 102,000 -

12 24 4 3 10 4

8 1,000 410 880 30 235

19,263

154,104

-

-

-

4

423 6,600 300 3,300 4,826

423,000 2,706,000 264,000 99,000 1,134,110

-

-

-

300 110 400 30

13 10 10 7 5 5 70 -

19,096 52,492 76,285 18,370

248,248 524,920 762,850 128,590 688,050 805,905 9,534,000 -

30 30 140 50

20,900 59,950 76,285 19,954

38 31 150 50

200 5,400

1,590 1,195

360

16,500

627,000 1,798,500 10,679,900 997,700 318,000 6,453,000 5,940,000 -

60

16412

-

137,610 161,181 136,200 -

NI HI L

No

: Angsana : Februari 2018

-

-

38,675 14,365 36,465 99,410 6,400

386,750 129,285 328,185 397,640 320,000

N

-

-

984,720

-

5 50 5,200 280 60

-

I

H I -

NI HI

Nama Puskesmas Bulan

-

1 1 -

L

O2 Nasal White Tubing-Child O2 Mask Elongated-Adult (Sungkup O2) Plastik Klip Besar Plastik Klip Sedang Reagen Golongan Darah Stik Glukosa atau gula darah Stik Haemoglobin (HB) Stik Uric Acid (Asam urat) Test Celup HCG Umbilical klem

VI 1 2 3 4 5 6 7 8 9 10 11 12

Program KB : Duk Disposible Depo Progesteron 3 cc IUD Set Implant Set Spuit 3 cc (Disposable) Pil Kb kombinasi Povidon 30 ml kondom Safety box Handskun (Sarung tangan) Lidocain Plaster steril

NI HI L

6 7 8 9 10 11 12 13 14 15

10 50 19 28 2 23 19 21 4 3

6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

64,000 575,000 2,319,900 2,784,600 712,726 2,287,350 3,147,825 2,552,550 353,600 265,200

-

-

-

1 1 -

105 500 5 600 300 50 -

10,000 6,100 11,800

1,050,000 3,050,000 59,000 495,000 455,400 1,069,750 -

500 10 500 400 1 25 5 10 10

6,100 212,500 1,210 1,518 96,000 21,395 4,180 860 4,633

3,050,000 2,125,000 605,000 607,200 96,000 534,875 20,900 8,600 46,330

250 4 300 200

825 1,518

21,395 -

Total Mengetahui, Kepala Puskesmas

Staf TU,

H. Agus Surya, SKM.M.Si NIP.19710821 199603 1 004

Agus Dadan Juanda, S.Kep NIP.19730717 200604 1 000

20 2 2 2

ESMAS ANGSANA

Pemakaian TA. 2018 Harga per Unit Jumlah (Rp) Unit (Rp) 10 11=9x10 12=3+6-9

H I

2,000

Saldo Akhir Harga per Jumlah (Rp) Unit (Rp) 13 14=12x13

24,000 96,000 200,000 6,000 85,000 8,000

5 2 1 2 -

2,000 17,000 50,000

77,052 126,900 726,000 120,000 99,000 -

4 700 300 480 235

19,263

5 9 7 150 200 85 70

20,900 59,950

16,500 -

794,200 1,858,450 11,442,750 997,700 688,050 79,500 6,214,000 4,620,000 -

16,500 136,200

16412

984720

-

-

104,500 539,550 139,678 238,500 239,000 1,402,500 9,534,000 -

-

-

-

-

-

14,365

14,365 99,410 -

10 8 9 3 50

38,675 14,365 36,465 99,410 6,400

386,750 114,920 328,185 298,230 320,000

4,000 50,000 2,000 8,500 2,000

19,263 423 6,600 300 3,300 -

20,900 59,950 76,285 19,954 137,610 1,590 1,195

L 99,410

8,500 -

423 6,600 300 4,826

19,954 1,590 1,195

10,000 34,000 50,000 17,000 -

77,052 296,100 1,980,000 144,000 1,134,110

Ket. 15

122,100 -

88,400

6,100 212,500 825 1,518

21,395 4,180 860 4,633

122,100 88,400 -

10 50 18 28 2 23 19 21 3 3

6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

64,000 575,000 2,197,800 2,784,600 712,726 2,287,350 3,147,825 2,552,550 265,200 265,200

1,525,000 850,000 247,500 303,600 427,900 8,360 1,720 9,266

105 750 5 6 800 500 1 55 3 8 8

10,000 6,100 11,800 212,500 825 1,518

1,050,000 4,575,000 59,000 1,275,000 660,000 759,000 96,000 1,176,725 12,540 6,880 37,064

96,000 21,395 4,180 860 4,633

Pandeglang, 28 Februari 2018 Bendahara,

Dede Siti Hajar, S.S.T NIP.19860403 201001 2 015

LAPORAN PERSEDIAAN PUSKESMAS ANGSANA

Uraian

1 I 1 2 3 4 5 6 7 8 9 10 11

2 Persediaan Alat Tulis Kantor: Amplop Putih Besar Ballpoint Standard AE7 Buku Tulis Folio, 100 Lembar Bussines File Folio Kertas A4 70 gram Kertas F4 70 gram Map Plastik Tali Odner Binder, Folio 7 cm Odner Karton , Folio 7 cm Spidol Permanent Stop Map Kertas/ Karton

II 1 2 3 4 5 6 7 8

Saldo Awal 2018 Harga per Unit Jumlah (Rp) (Rp) 4 5=3x4

Unit 3 5 2 1 2 -

2,000 17,000 50,000

Persediaan Barang Cetakan: Karcis Retribusi Blok Karcis Retribusi Lembar Kartu status Map status pasien bersalin Kartu kunjungan Stiker kunjungan rumah Kohort Bayi/Balita Buku KIA

III 1 2 3 4 5 6 7 8 9 10 11 12 13

Vaksin : HB 0 BCG DPT Hb Hib Polio Campak IPV Ads 0,05 ml Ads 0,5 ml Ads 5 ml TD MR Safety Box DT

IV 1 2 3 4

Program GIZI : MP ASI PMT bumil PMT anak sekolah Buku Raport

V 1 2 3 4 5

Persediaan Alat Kesehatan Habis Pakai (JKN) : Jelly USG 250 ml Kertas Puyer Lancet Needle No.24 O2 Nasal White Tubing-Adult

Pembelian TA. 2018 Harga per Unit Jumlah (Rp) Unit (Rp) 6 7 8=6x7 3 12

8,500 -

10,000 34,000 50,000 17,000 -

4 700 300 480 235

19,263

77,052

5 9 7 150 200 85 70 -

19,096 52,492

-

10 8 9 3 50

Pemakaian TA. 2018 Unit 9

16,500 2,000 4,000 50,000 8,500

49,500 24,000 96,000 250,000 102,000 -

3 14

-

-

-

4

296,100 1,980,000 144,000 1,134,110

-

-

-

400 115 230

95,480 472,428 128,590 238,500 239,000 13,700,385 9,534,000 -

30 30 450 40

20,900 59,950 76,285 19,954

28 34 450 47

10

137,610

300

1,195

400

16,500

627,000 1,798,500 34,328,250 798,160 1,376,100 358,500 6,600,000 -

70

16412

1,148,840

70

-

-

-

38,675 14,365 36,465 99,410 6,400

386,750 114,920 328,185 298,230 320,000

423 6,600 300 4,826

18,370 1,590 1,195 161,181 136,200 -

24 5

12 -

NI HI L

No

: Angsana : Maret 2018

N

-

24 6

6 -

35

10 50 420 405 -

-

I

NI HI

Nama Puskesmas Bulan

H I -

-

1 1 -

L

VI 1 2 3 4 5 6 7 8 9 10 11 12

Program KB : Duk Disposible Depo Progesteron 3 cc IUD Set Implant Set Spuit 3 cc (Disposable) Pil Kb kombinasi Povidon 30 ml kondom Safety box Handskun (Sarung tangan) Lidocain Plaster steril

NI HI L

O2 Nasal White Tubing-Child O2 Mask Elongated-Adult (Sungkup O2) Plastik Klip Besar Plastik Klip Sedang Reagen Golongan Darah Stik Glukosa atau gula darah Stik Haemoglobin (HB) Stik Uric Acid (Asam urat) Test Celup HCG Umbilical klem

10 50 18 28 2 23 19 21 3 3

6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

64,000 575,000 2,197,800 2,784,600 712,726 2,287,350 3,147,825 2,552,550 265,200 265,200

-

-

-

105 750 5 6 800 500 1 55 3 8 8

10,000 6,100 11,800 212,500 825 1,518

1,050,000 4,575,000 59,000 1,275,000 660,000 759,000 96,000 1,176,725 12,540 6,880 37,064

-

-

-

96,000 21,395 4,180 860 4,633

NI HI L

6 7 8 9 10 11 12 13 14 15

Total Mengetahui, Kepala Puskesmas

Staf TU,

H. Agus Surya, SKM.M.Si NIP.19710821 199603 1 004

Agus Dadan Juanda, S.Kep NIP.19730717 200604 1 000

1 2 1 -

250 6 1 5 3 8 8

SMAS ANGSANA

Pemakaian TA. 2018 Saldo Akhir Harga per Harga per Jumlah (Rp) Unit Jumlah (Rp) Unit (Rp) Unit (Rp) 10 11=9x10 12=3+6-9 13 14=12x13

H I

16,500 2,000 4,000 50,000 8,500 -

49,500 28,000 96,000 300,000 51,000 -

3 2 8 -

19,263

77,052 169,200 759,000 69,000 168,910

300 185 250 200

20,900 585,200 59,950 2,038,300 76,285 34,328,250 19,954 937,838 137,610 1,376,100 1,590 79,500 1,195 501,900 16,500 6,682,500 -

7 5 100 80 80 70

16,500 136,200

423 6,600 300 4,826

2,000 17,000 8,500 -

423 6,600 300 4,826

126,900 1,221,000 75,000 965,200

16412

1148840

-

-

146,300 299,750 159,000 95,600 1,320,000 9,534,000 -

-

-

-

-

-

14,365 99,410 -

14,365 99,410 -

10 7 9 2 50

38,675 14,365 36,465 99,410 6,400

386,750 100,555 328,185 198,820 320,000

L

20,900 59,950 -

6,000 34,000 68,000 -

1,590 1,195

Ket. 15

122,100

99,450 121,550 -

6,100 212,500 96,000 21,395 4,180 860 4,633

122,100 198,900 121,550 -

10 50 17 28 2 21 19 20 3 3

6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

64,000 575,000 2,075,700 2,784,600 712,726 2,088,450 3,147,825 2,431,000 265,200 265,200

1,525,000 1,275,000 96,000 106,975 12,540 6,880 37,064

105 500 5 800 500 50 -

10,000 6,100 11,800 825 1,518

1,050,000 3,050,000 59,000 660,000 759,000 1,069,750 -

21,395 -

.........,.................... Bendahara,

Dede Siti Hajar, S.S.T NIP.19860403 201001 2 015

LAPORAN PERSEDIAAN PUSKESMAS ANGSANA

Uraian

1 I 1 2 3 4 5 6 7 8 9 10 11 12

2 Persediaan Alat Tulis Kantor: Amplop Putih Besar Ballpoint Standard AE7 Buku Tulis Folio, 100 Lembar Bussines File Folio Kertas A4 70 gram Kertas F4 70 gram Map Plastik Tali Odner Binder, Folio 7 cm Odner Karton , Folio 7 cm Spidol Permanent Stop Map Kertas/ Karton Tinta Stempel

II 1 2 3 4 5 6 7 8

Saldo Awal 2018 Harga per Unit Jumlah (Rp) (Rp) 4 5=3x4

Unit 3 3 2 8 -

2,000 17,000 -

Persediaan Barang Cetakan: Karcis Retribusi Blok Karcis Retribusi Lembar Kartu status Map status pasien bersalin Kartu kunjungan Stiker kunjungan rumah Kohort Bayi/Balita Buku KIA

300 185 250 200

423 6,600 300

III 1 2 3 4 5 6 7 8 9 10 11 12 13

Vaksin : HB 0 BCG DPT Hb Hib Polio Campak IPV Ads 0,05 ml Ads 0,5 ml Ads 5 ml TD MR Safety Box DT

7 5 100 80 80 70 -

19,096 52,492 -

IV 1 2 3 4

Program GIZI : MP ASI PMT bumil PMT anak sekolah Buku Raport

V 1 2 3 4

Persediaan Alat Kesehatan Habis Pakai (JKN) : Jelly USG 250 ml Kertas Puyer Lancet Needle No.24

-

10 7 9 2

8,500 -

4,826

1,590 1,195 161,181 136,200 -

Pembelian TA. 2018 Harga per Unit Jumlah (Rp) Unit (Rp) 6 7 8=6x7

Unit 9

2 12

12 2

65,000 8,000

33,000 24,000 48,000 250,000 780,000 16,000

-

-

-

-

100 75 135

40 30 540 50

20,900 59,950 76,285 19,954

22 18 260 42

10

137,610

9,400 100 760 30

1,195 1,640 16,500 136,200

836,000 1,798,500 41,193,900 997,700 1,376,100 11,233,000 164,000 12,540,000 4,086,000

4 50 7,200 50 350 26

130

16412

2,133,560

100

12 5

126,900 1,221,000 75,000 965,200

16,500 2,000 4,000 50,000 -

Pemakaian TA. 2018

6,000 34,000 68,000 -

NI HI L

No

: Angsana : April 2018

133,672 262,460 159,000 95,600 12,894,480 9,534,000 -

-

-

38,675 14,365 36,465 99,410

386,750 100,555 328,185 198,820

N

-

I

-

NI I

Nama Puskesmas Bulan

1 8 4

8 10 1

120

H I -

-

-

5 -

L

O2 Nasal White Tubing-Adult O2 Nasal White Tubing-Child O2 Mask Elongated-Adult (Sungkup O2) Plastik Klip Besar Plastik Klip Sedang Reagen Golongan Darah Stik Glukosa atau gula darah Stik Haemoglobin (HB) Stik Uric Acid (Asam urat) Test Celup HCG Umbilical klem

VI 1 2 3 4 5 6 7 8 9 10 11 12

Program KB : Duk Disposible Depo Progesteron 3 cc IUD Set Implant Set Spuit 3 cc (Disposable) Pil Kb kombinasi Povidon 30 ml kondom Safety box Handskun (Sarung tangan) Lidocain Plaster steril

50 10 50 17 28 2 21 19 20 3 3

6,400 6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

320,000 64,000 575,000 2,075,700 2,784,600 712,726 2,088,450 3,147,825 2,431,000 265,200 265,200

-

-

-

1

105 500 5 800 500 50 -

10,000 6,100 11,800 825 1,518

1,050,000 3,050,000 59,000 660,000 759,000 1,069,750 -

500 10 500 400 1 -

6,100 212,500 1,210 1,518 96,000 -

3,050,000 2,125,000 605,000 607,200 96,000 -

60 450 3 800 500

21,395 -

NI HI L

5 6 7 8 9 10 11 12 13 14 15

Total Mengetahui, Kepala Puskesmas

Staf TU,

H. Agus Surya, SKM.M.Si NIP.19710821 199603 1 004

Agus Dadan Juanda, S.Kep NIP.19730717 200604 1 000

1 2 -

10 -

AS ANGSANA

H I

Pemakaian TA. 2018 Harga per Unit Jumlah (Rp) Unit (Rp) 10 11=9x10 12=3+6-9

Saldo Akhir Harga per Jumlah (Rp) Unit (Rp) 13 14=12x13

16,500 2,000 50,000 8,500 2,000 8,000

16,500 16,000 200,000 68,000 20,000 8,000

1 7 2 12 1 2 1

16,500 2,000 17,000 4,000 50,000 2,000 8,000

16,500 14,000 34,000 48,000 50,000 4,000 8,000

423 6,600 300

42,300 495,000 40,500 579,120

200 110 115 80

423 6,600 300

84,600 726,000 34,500 386,080

25 17 280 8 6 50 2,280 50 490 74

20,900 59,950 76,285 19,954

137,610 1,590 1,195 1,640 16,500 136,200

459,800 1,079,100 19,834,100 838,068 550,440 79,500 8,604,000 82,000 5,775,000 3,541,200

137,610 1,590 1,195 1,640 16,500 136,200

16412

1641200

30

16412

522,500 1,019,150 21,359,800 159,632 825,660 79,500 2,724,600 82,000 8,085,000 10,078,800 492,360

-

L

-

-

-

-

14,365 -

71,825 -

10 2 9 2

38,675 14,365 36,465 99,410

386,750 28,730 328,185 198,820

4,826

20,900 59,950 76,285 19,954

4,826

Ket. 15

99,450 99,450 165,675 -

10,000 6,100 212,500 825 1,518

21,395 -

99,450 99,450 331,350 -

50 10 50 17 27 2 20 17 20 3 3

6,400 6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

320,000 64,000 575,000 2,075,700 2,685,150 712,726 1,989,000 2,816,475 2,431,000 265,200 265,200

600,000 2,745,000 637,500 660,000 759,000 213,950 -

45 550 5 7 500 400 1 40 -

10,000 6,100 11,800 212,500 825 1,518

450,000 3,355,000 59,000 1,487,500 412,500 607,200 96,000 855,800 -

96,000 21,395 -

.........,.................... Bendahara,

Dede Siti Hajar, S.S.T NIP.19860403 201001 2 015

LAPORAN PERSEDIAAN PUSKESMAS ANGSANA

Uraian

Saldo Awal 2018 Harga per Jumlah (Rp) Unit (Rp) 4 5=3x4

Unit 3

1 I 1 2 3 4 5 6 7 8 9 10 11 12

2 Persediaan Alat Tulis Kantor: Amplop Putih Besar Ballpoint Standard AE7 Buku Tulis Folio, 100 Lembar Bussines File Folio Kertas A4 70 gram Kertas F4 70 gram Map Plastik Tali Odner Binder, Folio 7 cm Odner Karton , Folio 7 cm Spidol Permanent Stop Map Kertas/ Karton Tinta Stempel

II 1 2 3 4 5 6 7 8

Persediaan Barang Cetakan: Karcis Retribusi Blok Karcis Retribusi Lembar Kartu status Map status pasien bersalin Kartu kunjungan Stiker kunjungan rumah Kohort Bayi/Balita Buku KIA

III 1 2 3 4 5 6 7 8 9 10 11 12 13

Vaksin : HB 0 BCG DPT Hb Hib Polio Campak IPV Ads 0,05 ml Ads 0,5 ml Ads 5 ml TD MR Safety Box DT

IV 1 2 3 4

Program GIZI : MP ASI PMT bumil PMT anak sekolah Buku Raport

V 1 2 3 4

Persediaan Alat Kesehatan Habis Pakai (JKN) : Jelly USG 250 ml 10 Kertas Puyer 2 Lancet 9 Needle No.24 2

1 7 2 12 1 2 1

16,500 2,000 17,000 4,000 50,000

200 110 115 80

423 6,600 300

25 17 280 8 6 50 2,280 50 490 74 30

19,096 52,492 76,285 18,370

-

Pembelian TA. 2018 Harga per Unit Jumlah (Rp) Unit (Rp) 6 7 8=6x7

13

12

16,500 24,000 96,000 102,000 -

84,600 726,000 34,500 386,080

29 100 -

19,263 193 -

558,627 19,300 -

12 80 100 75 115

477,400 892,364 21,359,800 146,960 825,660 79,500 2,724,600 59,750 78,978,690 10,078,800 492,360

-

-

-

12 8 200 8 5 2,000 15 310 19

20,900 59,950 76,285 19,954 137,610 1,195 1,195 16,500 136,200

30

16,412

-

-

-

I

-

-

38,675 14,365 36,465 99,410

386,750 28,730 328,185 198,820

-

-

2 1 -

14,365 36,465 -

4,826

137,610 1,590 1,195 1,195 161,181 136,200 16,412

1 12

Pemakaian TA. 2018 Harga per Unit Unit (Rp) 9 10

16,500 2,000 4,000 8,500

8,000 8,000

16,500 14,000 34,000 48,000 50,000 16,000 8,000

24 -

NI HI L

No

: Angsana : Mei 2018

N

NI I

Nama Puskesmas Bulan

6 1

12

19,263 193 423 6,600 300 -

H I -

2,000 4,000 50,000 8,500 -

L

O2 Nasal White Tubing-Adult O2 Nasal White Tubing-Child O2 Mask Elongated-Adult (Sungkup O2) Plastik Klip Besar Plastik Klip Sedang Reagen Golongan Darah Stik Glukosa atau gula darah Stik Haemoglobin (HB) Stik Uric Acid (Asam urat) Test Celup HCG Umbilical klem

VI 1 2 3 4 5 6 7 8 9 10 11 12

Program KB : Duk Disposible Depo Progesteron 3 cc IUD Set Implant Set Spuit 3 cc (Disposable) Pil Kb kombinasi Povidon 30 ml kondom Safety box Handskun (Sarung tangan) Lidocain Plaster steril

50 10 50 17 27 2 20 17 20 3 3

6,400 6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

320,000 64,000 575,000 2,075,700 2,685,150 712,726 1,989,000 2,816,475 2,431,000 265,200 265,200

-

-

-

1

99,450

2 1 1

165,675 88,400 88,400

45 550 5 7 500 400 1 40 -

10,000 6,100 11,800 212,500 825 1,518

450,000 3,355,000 59,000 1,487,500 412,500 607,200 96,000 855,800 -

500

6,100 1,210 1,518 96,000 4,180 860 4,633

3,050,000 605,000 303,600 192,000 20,900 8,600 46,330

20 400 2 200 200

10,000 6,100 212,500 825 1,518

5 10 10

4,180 860 4,633

96,000 21,395 -

NI HI L

5 6 7 8 9 10 11 12 13 14 15

500 200 2 5 10 10

Total Mengetahui, Kepala Puskesmas

Staf TU,

H. Agus Surya, SKM.M.Si NIP.19710821 199603 1 004

Agus Dadan Juanda, S.Kep NIP.19730717 200604 1 000

ANGSANA

Pemakaian TA. 2018

I

Jumlah (Rp)

Unit

11=9x10

12=3+6-9

Saldo Akhir Harga per Jumlah (Rp) Unit (Rp) 13 14=12x13

26,000 24,000 50,000 102,000 -

2 6 2 30 2 1

16,500 2,000 17,000 4,000 8,000 8,000

33,000 12,000 34,000 120,000 16,000 8,000

231,156 15,440 42,300 495,000 34,500 -

17 20 100 35 80

19,263 193 423 6,600 -

327,471 3,860 42,300 231,000 386,080

250,800 479,600 15,257,000 159,632 688,050 2,390,000 17,925 5,115,000 2,587,800

20,900 59,950 76,285 -

492,360

13 9 80 1 50 280 35 180 55 -

-

28,730 36,465 -

L

4,826

-

271,700 539,550 6,102,800 137,610 79,500 334,600 41,825 2,970,000 7,491,000 -

-

-

-

10 8 2

38,675

386,750 291,720 198,820

137,610 1,590 1,195 1,195 16,500 136,200

36,465 99,410

Ket. 15

99,450 331,350 88,400 88,400

50 10 50 17 26 2 20 15 20 2 2

6,400 6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

320,000 64,000 575,000 2,075,700 2,585,700 712,726 1,989,000 2,485,125 2,431,000 176,800 176,800

200,000 2,440,000 425,000 165,000 303,600 20,900 8,600 46,330

25 650 5 5 800 400 3 40 -

10,000 6,100 11,800 212,500 825 1,518

250,000 3,965,000 59,000 1,062,500 660,000 607,200 288,000 855,800 -

96,000 21,395 -

.........,.................... Bendahara,

Dede Siti Hajar, S.S.T NIP.19860403 201001 2 015

LAPORAN PERSEDIAAN PUSKESMAS ANGSANA

1 I 1 2 3 4 5 6 7 8 9 10 11 12

2 Persediaan Alat Tulis Kantor: Amplop Putih Besar Ballpoint Standard AE7 Buku Tulis Folio, 100 Lembar Bussines File Folio Kertas A4 70 gram Kertas F4 70 gram Map Plastik Tali Odner Binder, Folio 7 cm Odner Karton , Folio 7 cm Spidol Permanent Stop Map Kertas/ Karton Tinta Stempel

II 1 2 3 4 5 6 7 8

Saldo Awal 2018 Harga per Unit Jumlah (Rp) (Rp) 4 5=3x4

Unit 3 2 6 2 30 2 1

16,500 2,000 17,000 4,000 -

Persediaan Barang Cetakan: Karcis Retribusi Blok Karcis Retribusi Lembar Kartu status Map status pasien bersalin Kartu kunjungan Stiker kunjungan rumah Kohort Bayi/Balita Buku KIA

17 20 100 35 80

19,263 193 423 6,600 -

III 1 2 3 4 5 6 7 8 9 10 11 12 13

Vaksin : HB 0 BCG DPT Hb Hib Polio Campak IPV Ads 0,05 ml Ads 0,5 ml Ads 5 ml TD MR Safety Box DT

13 9 80 1 50 280 35 180 55 -

20,900 59,950 76,285 -

IV 1 2 3 4

Program GIZI : MP ASI PMT bumil PMT anak sekolah Buku Raport

V 1 2 3 4

Persediaan Alat Kesehatan Habis Pakai (JKN) : Jelly USG 250 ml 10 Kertas Puyer Lancet 8 Needle No.24 2

-

Pembelian TA. 2018 Harga per Unit Jumlah (Rp) Unit (Rp) 6 7 8=6x7

Pemakaian TA. 2018 Unit 9

48,000 96,000 250,000 100,800 102,000 -

1 18 2 24 5

12

2,000 4,000 50,000 4,200 8,500

327,471 3,860 42,300 231,000 386,080

-

-

-

13 13 100 35 -

271,700 539,550 6,102,800 137,610 79,500 334,600 41,825 2,970,000 7,491,000 -

-

-

-

8 4 70

-

-

-

38,675 36,465 99,410

386,750 291,720 198,820

8,000 8,000

4,826

137,610 1,590 1,195 1,195 16,500 136,200 -

33,000 12,000 34,000 120,000 16,000 8,000

24 24 5 24

NI HI L

Uraian

NI HI L

No

: Angsana : Juni 2018

N

-

24

2 1

80

1 15 240 15 166 50 -

-

I

NI I

Nama Puskesmas Bulan

H I -

-

-

L

VI 1 2 3 4 5 6 7 8 9 10 11 12

Program KB : Duk Disposible Depo Progesteron 3 cc IUD Set Implant Set Spuit 3 cc (Disposable) Pil Kb kombinasi Povidon 30 ml kondom Safety box Handskun (Sarung tangan) Lidocain Plaster steril

50 10 50 17 26 2 20 15 20 2 2

6,400 6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

320,000 64,000 575,000 2,075,700 2,585,700 712,726 1,989,000 2,485,125 2,431,000 176,800 176,800

25 650 5 5 800 400 3 40 -

10,000 6,100 11,800 212,500 825 1,518

250,000 3,965,000 59,000 1,062,500 660,000 607,200 288,000 855,800 -

96,000 21,395 -

-

-

NI HI L

O2 Nasal White Tubing-Adult O2 Nasal White Tubing-Child O2 Mask Elongated-Adult (Sungkup O2) Plastik Klip Besar Plastik Klip Sedang Reagen Golongan Darah Stik Glukosa atau gula darah Stik Haemoglobin (HB) Stik Uric Acid (Asam urat) Test Celup HCG Umbilical klem

-

2 1 -

25 150

NI HI L

5 6 7 8 9 10 11 12 13 14 15

Total Mengetahui, Kepala Puskesmas

Staf TU,

H. Agus Surya, SKM.M.Si NIP.19710821 199603 1 004

Agus Dadan Juanda, S.Kep NIP.19730717 200604 1 000

350

-

SMAS ANGSANA

Pemakaian TA. 2018 Harga per Jumlah (Rp) Unit Unit (Rp) 10 11=9x10 12=3+6-9

H I

Saldo Akhir Harga per Jumlah (Rp) Unit (Rp) 13 14=12x13

16,500 2,000 17,000 4,000 50,000 4,200 8,000 8,000

16,500 36,000 34,000 96,000 250,000 100,800 16,000 8,000

1 12 30 12 -

16,500 2,000

19,263 193 423 6,600 -

4 7 -

19,263 193 -

4,826

250,419 2,509 42,300 231,000 386,080

20,900 59,950 76,285 137,610 1,590 1,195 1,195 16,500 136,200

167,200 239,800 5,339,950 137,610 23,850 286,800 17,925 2,739,000 6,810,000

20,900 59,950 76,285 -

-

-

5 5 10 35 40 20 14 5 -

-

-

-

-

L

4,000 8,500 -

-

16,500 24,000 120,000 102,000 -

77,052 1,351 -

-

104,500 299,750 762,850 55,650 47,800 23,900 231,000 681,000 -

-

-

-

10 8 2

38,675

386,750 291,720 198,820

1,590 1,195 1,195 16,500 136,200

36,465 99,410

Ket. 15

122,100 99,450 -

10,000 6,100 1,518

-

244,200 99,450 -

50 10 50 15 25 2 20 15 20 2 2

6,400 6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

320,000 64,000 575,000 1,831,500 2,486,250 712,726 1,989,000 2,485,125 2,431,000 176,800 176,800

250,000 915,000 531,300 -

500 5 5 800 50 3 40 -

6,100 11,800 212,500 825 1,518

3,050,000 59,000 1,062,500 660,000 75,900 288,000 855,800 -

96,000 21,395 -

.........,.................... Bendahara,

Dede Siti Hajar, S.S.T NIP.19860403 201001 2 015

LAPORAN PERSEDIAAN PUSKESMAS ANGSANA

No

Uraian

: Angsana : Juli 2018 Saldo Awal 2018 Harga per Unit Jumlah (Rp) (Rp) 4 5=3x4

Unit 3

1 I 1 2 3 4 5 6 7 8 9 10 11 12

2 Persediaan Alat Tulis Kantor: Amplop Putih Besar Ballpoint Standard AE7 Buku Tulis Folio, 100 Lembar Bussines File Folio Kertas A4 70 gram Kertas F4 70 gram Map Plastik Tali Odner Binder, Folio 7 cm Odner Karton , Folio 7 cm Spidol Permanent Stop Map Kertas/ Karton Tinta Stempel

II 1 2 3 4 5 6 7 8

Persediaan Barang Cetakan: Karcis Retribusi Blok Karcis Retribusi Lembar Kartu status Map status pasien bersalin Kartu kunjungan Stiker kunjungan rumah Kohort Bayi/Balita Buku KIA

III 1 2 3 4 5 6 7 8 9 10 11 12 13

Vaksin : HB 0 BCG DPT Hb Hib Polio Campak IPV Ads 0,05 ml Ads 0,5 ml Ads 5 ml TD MR Safety Box DT

IV 1 2 3 4

Program GIZI : MP ASI PMT bumil PMT anak sekolah Buku Raport

V 1 2 3 4 5

Persediaan Alat Kesehatan Habis Pakai (JKN) : Jelly USG 250 ml 10 Kertas Puyer Lancet 8 Needle No.24 2 O2 Nasal White Tubing-Adult 50

1 12 30 12 -

16,500 2,000

4 7 -

19,263 193

5 5 10 35 40 20 14 5 -

20,900 59,950 76,285 -

-

Pembelian TA. 2018 Harga per Unit Jumlah (Rp) Unit (Rp) 6 7 8=6x7

Unit 9 2 13

6 24 5 5 12 1

49,500 8,000 96,000 330,000 100,800 150,000 150,000 102,000 65,000 -

77,052 1,351 -

51 -

48,000 -

2,448,000 -

4 7

104,500 299,750 762,850 55,650 47,800 23,900 231,000 681,000 -

50 30 50 60 10 200 400 20 -

20,900 59,950 76,285 19,954 137,610 1,590 1,195 136,200 -

1,045,000 1,798,500 3,814,250 1,197,240 1,376,100 318,000 478,000 2,724,000 -

-

-

-

38,675 36,465 99,410 6,400

386,750 291,720 198,820 320,000

8,500 -

-

1,590 1,195 1,195 16,500 136,200 -

3 4

Pemakaian TA. 2018

16,500 2,000 4,000 55,000 4,200 30,000 30,000 8,500 65,000

4,000 -

16,500 24,000 120,000 102,000 -

24

N

-

50 5 20 5 5 14 1

51

49 32 51 60 10 180 420 14 25 -

-

I

H I -

NI HI

Nama Puskesmas Bulan

-

-

L

O2 Nasal White Tubing-Child O2 Mask Elongated-Adult (Sungkup O2) Plastik Klip Besar Plastik Klip Sedang Reagen Golongan Darah Stik Glukosa atau gula darah Stik Haemoglobin (HB) Stik Uric Acid (Asam urat) Test Celup HCG Umbilical klem Program KB : Duk Disposible Depo Progesteron 3 cc IUD Set Implant Set Spuit 3 cc (Disposable) Pil Kb kombinasi Povidon 30 ml kondom Safety box Handskun (Sarung tangan) Lidocain Plaster steril

NI HI L

6 7 8 9 10 11 12 13 14 15 VI 1 2 3 4 5 6 7 8 9 10 11 12

10 50 15 25 2 20 15 20 2 2

6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

64,000 575,000 1,831,500 2,486,250 712,726 1,989,000 2,485,125 2,431,000 176,800 176,800

500 5 5 800 50 3 40 -

6,100 11,800 212,500 825 1,518

3,050,000 59,000 1,062,500 660,000 75,900 288,000 855,800 -

96,000 21,395 -

-

-

-

500 5 5 500 500

6,100 11,800 212,500 825 1,518

1 10 10 10

96,000 21,395 860 4,633

3,050,000 59,000 1,062,500 412,500 759,000 96,000 213,950 8,600 46,330

Total Mengetahui, Kepala Puskesmas

Staf TU,

H. Agus Surya, SKM.M.Si NIP.19710821 199603 1 004

Agus Dadan Juanda, S.Kep NIP.19730717 200604 1 000

260 500 120 1 3 10 10 -

KESMAS ANGSANA

Pemakaian TA. 2018 Saldo Akhir Harga per Harga per Jumlah (Rp) Unit Jumlah (Rp) Unit (Rp) Unit (Rp) 10 11=9x10 12=3+6-9 13 14=12x13

H I

16,500 2,000 4,000 55,000 4,200 30,000 30,000 8,500 65,000 -

33,000 26,000 200,000 275,000 84,000 150,000 150,000 119,000 65,000 -

2 3 4 1 4 10 -

16,500 2,000 4,000 55,000 4,200 8,500 -

33,000 6,000 16,000 55,000 16,800 85,000 -

19,263 193 -

-

-

48,000 -

77,052 1,351 2,448,000 -

-

20,900 59,950 76,285 19,954 137,610 1,590 1,195 16,500 136,200

1,024,100 1,918,400 3,890,535 1,197,240 1,376,100 286,200 501,900 231,000 3,405,000

20,900 59,950 76,285 -

-

-

6 3 9 55 20 20 -

1,590 1,195 1,195 -

125,400 179,850 686,565 87,450 23,900 23,900 -

-

L

-

-

-

-

-

-

10 8 2 50

38,675

386,750 291,720 198,820 320,000

-

36,465 99,410 6,400

Ket. 15

6,100 825 1,518 96,000 21,395 860 4,633 -

-

10 50 15 25 2 20 15 20 2 2

6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

64,000 575,000 1,831,500 2,486,250 712,726 1,989,000 2,485,125 2,431,000 176,800 176,800

1,586,000 412,500 182,160 96,000 64,185 8,600 46,330 -

740 10 10 800 430 3 47 -

6,100 11,800 212,500 825 1,518

4,514,000 118,000 2,125,000 660,000 652,740 288,000 1,005,565 -

96,000 21,395 -

.........,.................... Bendahara,

Dede Siti Hajar, S.S.T NIP.19860403 201001 2 015

LAPORAN PERSEDIAAN PUSKESMAS ANGSANA Nama Puskesmas Bulan

No

Uraian

1 I 1 2 3 4 5 6 7 8 9 10 11 12

2 Persediaan Alat Tulis Kantor: Amplop Putih Besar Ballpoint Standard AE7 Buku Tulis Folio, 100 Lembar Bussines File Folio Kertas A4 70 gram Kertas F4 70 gram Map Plastik Tali Odner Binder, Folio 7 cm Odner Karton , Folio 7 cm Spidol Permanent Stop Map Kertas/ Karton Tinta Stempel

II 1 2 3 4 5 6 7 8 9 10 11

Persediaan Barang Cetakan: Karcis Retribusi Blok Karcis Retribusi Lembar Kartu status Map status pasien bersalin Kartu kunjungan Stiker kunjungan rumah Kohort Bayi/Balita Buku KIA Stiker Keluarga Sehat Bendera BUMIL Resti Bendera Gizi Buruk

III 1 2 3 4 5 6 7 8 9 10 11 12 13

Vaksin : HB 0 BCG DPT Hb Hib Polio Campak IPV Ads 0,05 ml Ads 0,5 ml Ads 5 ml TD MR Safety Box DT

IV 1 2 3 4

Program GIZI : MP ASI PMT bumil PMT anak sekolah Buku Raport

: Angsana : Agustus 2018 Saldo Awal 2018 Harga per Unit Jumlah (Rp) (Rp) 4 5=3x4

Unit 3 2 3 4 1 4 10 -

16,500 2,000

-

-

6 3 9 55 20 20 -

20,900 59,950 76,285 -

-

V Persediaan Alat Kesehatan Habis Pakai (JKN) : 10 1 Jelly USG 250 ml

4,000 55,000 4,200 8,500 -

-

1,590 1,195 1,195 -

Pembelian TA. 2018 Harga per Unit Jumlah (Rp) Unit (Rp) 6 7 8=6x7

33,000 6,000 16,000 55,000 16,800 85,000 -

3 28

-

125,400 179,850 686,565 87,450 23,900 23,900 -

-

-

38,675

386,750

Pemakaian TA. 2018 Unit 9

16,500 2,000 4,000 55,000 4,200 30,000 30,000 8,500 -

49,500 56,000 96,000 330,000 100,800 30,000 150,000 85,000 -

3 25

19 100 1,674 150 150

19,263 193 2,500 5,000 5,000

365,997 19,300 4,185,000 750,000 750,000

2 40

40 40 40 50

20,900 59,950 76,285 19,954 137,610 1,590 1,195 1,640 136,200 21,929 -

836,000 2,398,000 3,051,400 997,700 1,376,100 318,000 478,000 164,000 4,086,000 548,225 -

24 6 24 1 5 10

10 200 400 100 30 25 -

N

-

-

28 5 1 3 10

1,100 50 50

42 43 39 50 10 200 400 100 25 25

-

I

H I -

-

-

L

VI 1 2 3 4 5 6 7 8 9 10 11 12

Program KB : Duk Disposible Depo Progesteron 3 cc IUD Set Implant Set Spuit 3 cc (Disposable) Pil Kb kombinasi Povidon 30 ml kondom Safety box Handskun (Sarung tangan) Lidocain Plaster steril

8 2 50 10 50 15 25 2 20 15 20 2 2

36,465 99,410 6,400 6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

291,720 198,820 320,000 64,000 575,000 1,831,500 2,486,250 712,726 1,989,000 2,485,125 2,431,000 176,800 176,800

-

740 10 10 800 430 3 47 -

6,100 11,800 212,500 825 1,518

4,514,000 118,000 2,125,000 660,000 652,740 288,000 1,005,565 -

-

96,000 21,395 -

-

NI HI L

Kertas Puyer Lancet Needle No.24 O2 Nasal White Tubing-Adult O2 Nasal White Tubing-Child O2 Mask Elongated-Adult (Sungkup O2) Plastik Klip Besar Plastik Klip Sedang Reagen Golongan Darah Stik Glukosa atau gula darah Stik Haemoglobin (HB) Stik Uric Acid (Asam urat) Test Celup HCG Umbilical klem

-

-

NI HI L

2 3 4 5 6 7 8 9 10 11 12 13 14 15

-

Total Mengetahui, Kepala Puskesmas

Staf TU,

H. Agus Surya, SKM.M.Si NIP.19710821 199603 1 004

Agus Dadan Juanda, S.Kep NIP.19730717 200604 1 000

-

140

300 130

7

SKESMAS ANGSANA

Pemakaian TA. 2018 Harga per Jumlah (Rp) Unit Unit (Rp) 10 11=9x10 12=3+6-9

H I

Saldo Akhir Harga per Jumlah (Rp) Unit (Rp) 13 14=12x13

16,500 2,000 4,000 55,000 30,000 30,000 8,500 -

49,500 50,000 112,000 275,000 30,000 90,000 85,000 -

2 6 2 28 2 10 -

16,500 2,000 55,000 4,200 30,000 8,500 -

33,000 12,000 110,000 117,600 60,000 85,000 -

19,263 193 -

38,526 7,720 2,750,000 250,000 250,000

17 60 574 100 100

19,263 193 -

327,471 11,580 1,435,000 500,000 500,000

20,900 59,950 76,285 19,954 137,610 1,590 1,195 1,640 136,200 21,929 -

877,800 2,577,850 2,975,115 997,700 1,376,100 318,000 478,000 164,000 3,405,000

20,900 76,285 -

-

4 10 55 20 20 5 -

1,590 1,195 1,195 136,200 -

83,600 762,850 87,450 23,900 23,900 681,000 -

-

-

-

-

-

-

10

38,675

386,750

2,500 5,000 5,000

-

L

2,500 5,000 5,000

Ket. 15

-

6,100

825 1,518

21,395 -

-

8 2 50 10 50 15 25 2 20 15 20 2 2

854,000 247,500 197,340 149,765 -

600 10 10 500 300 3 40 -

291,720 198,820 320,000 64,000 575,000 1,831,500 2,486,250 712,726 1,989,000 2,485,125 2,431,000 176,800 176,800

36,465 99,410 6,400 6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

6,100 11,800 212,500 825 1,518

3,660,000 118,000 2,125,000 412,500 455,400 288,000 855,800 -

96,000 21,395 -

.........,.................... Bendahara,

Dede Siti Hajar, S.S.T NIP.19860403 201001 2 015

LAPORAN PERSEDIAAN PUSKESMAS ANGSANA

No

Uraian

1 I 1 2 3 4 5 6 7 8 9 10 11 12 13

2 Persediaan Alat Tulis Kantor: Amplop Putih Besar Ballpoint Standard AE7 Buku Tulis Folio, 100 Lembar Bussines File Folio Kertas A4 70 gram Kertas F4 70 gram Map Plastik Tali Odner Binder, Folio 7 cm Odner Karton , Folio 7 cm Spidol Permanent Stop Map Kertas/ Karton Tinta Stempel Tinta Epson T6643 (BK)

II 1 2 3 4 5 6 7 8 9 10 11

Persediaan Barang Cetakan: Karcis Retribusi Blok Karcis Retribusi Lembar Kartu status Map status pasien bersalin Kartu kunjungan Stiker kunjungan rumah Kohort Bayi/Balita Buku KIA Stiker Keluarga Sehat Bendera BUMIL Resti Bendera Gizi Buruk

III 1 2 3 4 5 6 7 8 9 10 11 12 13

Vaksin : HB 0 BCG DPT Hb Hib Polio Campak IPV Ads 0,05 ml Ads 0,5 ml Ads 5 ml TD MR Safety Box DT

IV 1 2 3 4

Program GIZI : MP ASI PMT bumil PMT anak sekolah Buku Raport

: Angsana : September 2018 Saldo Awal 2018 Harga per Jumlah (Rp) Unit (Rp) 4 5=3x4

Unit 3 2 6 2 28 2 10 -

16,500 2,000 55,000 4,200 30,000 8,500 -

17 60 574 100 100

19,263 193

4 10 55 20 20 5 -

20,900 76,285 -

-

V Persediaan Alat Kesehatan Habis Pakai (JKN) :

2,500 5,000 5,000

1,590 1,195 1,195 136,200 -

-

33,000 12,000 110,000 117,600 60,000 85,000 -

Pembelian TA. 2018 Harga per Unit Jumlah (Rp) Unit (Rp) 6 7 8=6x7 3 21 32 1 6 24 3 12 1

16,500 2,000 4,000 50,000 55,000 4,200 30,000 8,500 65,000

2

78,000

327,471 11,580 1,435,000 500,000 500,000

-

-

83,600 762,850 87,450 23,900 23,900 681,000 -

40 40 60 60

-

10 100 100 100 30 10 -

370 107 -

Pemakaian TA. 2018 Harga per Unit Unit (Rp) 9 10

49,500 42,000 128,000 50,000 330,000 100,800 90,000 102,000 65,000 156,000

4 15 32 1 8 22 5 10 1

-

2 13

NI HI L

Nama Puskesmas Bulan

20,900 59,950 76,285 19,954 137,610 1,590 1,195 1,640 136,200 21,929 -

836,000 2,398,000 4,577,100 1,197,240 1,376,100 159,000 119,500 164,000 4,086,000 219,290 -

12,420 69,162

4,595,400 7,400,334

2

574 100 100

34 40 70 60 10 155 20 120 35 10

-

16,500 2,000 4,000 50,000 55,000 4,200 30,000 8,500 65,000 78,000

19,263 193 2,500 5,000 5,000

20,900 59,950 76,285 19,954 137,610 1,590 1,195 1,640 136,200 21,929 -

-

VI 1 2 3 4 5 6 7 8 9 10 11 12

Program KB : Duk Disposible Depo Progesteron 3 cc IUD Set Implant Set Spuit 3 cc (Disposable) Pil Kb kombinasi Povidon 30 ml kondom Safety box Handskun (Sarung tangan) Lidocain Plaster steril

10 8 2 50 10 50 15 25 2 20 15 20 2 2

38,675 36,465 99,410 6,400 6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

386,750 291,720 198,820 320,000 64,000 575,000 1,831,500 2,486,250 712,726 1,989,000 2,485,125 2,431,000 176,800 176,800

-

600 10 10 500 300 3 40 -

6,100 11,800 212,500 825 1,518

3,660,000 118,000 2,125,000 412,500 455,400 288,000 855,800 -

-

96,000 21,395 -

-

NI HI L

Jelly USG 250 ml Kertas Puyer Lancet Needle No.24 O2 Nasal White Tubing-Adult O2 Nasal White Tubing-Child O2 Mask Elongated-Adult (Sungkup O2) Plastik Klip Besar Plastik Klip Sedang Reagen Golongan Darah Stik Glukosa atau gula darah Stik Haemoglobin (HB) Stik Uric Acid (Asam urat) Test Celup HCG Umbilical klem

-

-

NI HI L

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

-

Total Mengetahui, Kepala Puskesmas

Staf TU,

H. Agus Surya, SKM.M.Si NIP.19710821 199603 1 004

Agus Dadan Juanda, S.Kep NIP.19730717 200604 1 000

-

-

-

-

-

-

100

6,100

250 100

825 1,518

1 -

96,000 -

ANGSANA

Pemakaian TA. 2018 Jumlah (Rp)

Unit

11=9x10

12=3+6-9

Saldo Akhir Harga per Jumlah (Rp) Unit (Rp) 13 14=12x13

66,000 30,000 128,000 50,000 440,000 92,400 150,000 85,000 65,000 156,000

1 12 30 12 -

16,500 2,000 4,200 8,500 -

16,500 24,000 126,000 102,000 -

38,526 2,509 1,435,000 500,000 500,000

15 47 -

19,263 193 -

288,945 9,071 -

710,600 2,398,000 5,339,950 1,197,240 1,376,100 246,450 23,900 196,800 4,767,000 219,290 -

10 100 -

20,900 1,195 -

209,000 119,500 -

-

370 107 -

12,420 69,162 -

12,790 69,269 -

-

Ket. 15

-

10 8 2 50 10 50 15 25 2 20 15 20 2 2

610,000 206,250 151,800 96,000 -

500 10 10 250 200 2 40 -

38,675 36,465 99,410 6,400 6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

6,100 11,800 212,500 825 1,518 96,000 21,395 -

386,750 291,720 198,820 320,000 64,000 575,000 1,831,500 2,486,250 712,726 1,989,000 2,485,125 2,431,000 176,800 176,800

3,050,000 118,000 2,125,000 206,250 303,600 192,000 855,800 -

.........,.................... Bendahara,

Dede Siti Hajar, S.S.T NIP.19860403 201001 2 015

LAPORAN PERSEDIAAN PUSKESMAS ANGSANA Nama Puskesmas Bulan

No

Uraian

1 I 1 2 3 4 5 6 7 8 9 10 11 12 13

2 Persediaan Alat Tulis Kantor: Amplop Putih Besar Ballpoint Standard AE7 Buku Tulis Folio, 100 Lembar Bussines File Folio Kertas A4 70 gram Kertas F4 70 gram Map Plastik Tali Odner Binder, Folio 7 cm Odner Karton , Folio 7 cm Spidol Permanent Stop Map Kertas/ Karton Tinta Stempel Tinta Epson T6643 (BK)

II 1 2 3 4 5 6 7 8 9 10 11

Persediaan Barang Cetakan: Karcis Retribusi Blok Karcis Retribusi Lembar Kartu status Map status pasien bersalin Kartu kunjungan Stiker kunjungan rumah Kohort Bayi/Balita Buku KIA Stiker Keluarga Sehat Bendera BUMIL Resti Bendera Gizi Buruk

III 1 2 3 4 5 6 7 8 9 10 11 12 13 IV 1 2 3 4

: Angsana : Oktober 2018 Saldo Awal 2018 Harga per Unit Jumlah (Rp) (Rp) 4 5=3x4

Unit 3 1 12 30 12 -

16,500 2,000

15 47 -

19,263 193

Vaksin : HB 0 BCG DPT Hb Hib Polio Campak IPV Ads 0,05 ml Ads 0,5 ml Ads 5 ml TD MR Safety Box DT

10 100 -

20,900 -

Program GIZI : MP ASI PMT bumil PMT anak sekolah Buku Raport

370 107 -

12,420 69,162

V Persediaan Alat Kesehatan Habis Pakai (JKN) :

4,200 8,500 -

16,500 24,000 126,000 102,000 -

Pembelian TA. 2018 Harga per Unit Jumlah (Rp) Unit (Rp) 6 7 8=6x7 3 32 15 12 3 9 24

16,500 2,000 17,000 4,000 50,000 55,000 4,200

10 1

8,500 65,000

-

1,195 -

29 100 -

209,000 119,500 -

40 40 40 40

4,595,400 7,400,334 -

10 100 100 100 30 35 -

-

Unit 9

49,500 64,000 255,000 48,000 150,000 495,000 100,800 85,000 65,000 -

4 35 15 12 3 9 3

558,627 19,300 -

10 25

20,900 59,950 76,285 19,954 137,610 1,590 1,195 1,640 136,200 21,929 -

836,000 2,398,000 3,051,400 798,160 1,376,100 159,000 119,500 164,000 4,086,000 767,515 -

38 20 18 35

-

-

-

288,945 9,071 -

Pemakaian TA. 2018

19,263 193 -

10 1

-

10 30 120 30 18 15

370 107 -

VI 1 2 3 4 5 6 7 8 9 10 11 12

Program KB : Duk Disposible Depo Progesteron 3 cc IUD Set Implant Set Spuit 3 cc (Disposable) Pil Kb kombinasi Povidon 30 ml kondom Safety box Handskun (Sarung tangan) Lidocain Plaster steril

10 8 2 50 10 50 15 25 2 20 15 20 2 2

38,675 36,465 99,410 6,400 6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 8,400

386,750 291,720 198,820 320,000 64,000 575,000 1,831,500 2,486,250 712,726 1,989,000 2,485,125 2,431,000 176,800 16,800

-

500 10 10 250 200 2 40 -

6,100 11,800 212,500 825 1,518

3,050,000 118,000 2,125,000 206,250 303,600 192,000 855,800 -

-

96,000 21,395 -

-

NI HI L

Jelly USG 250 ml Kertas Puyer Lancet Needle No.24 O2 Nasal White Tubing-Adult O2 Nasal White Tubing-Child O2 Mask Elongated-Adult (Sungkup O2) Plastik Klip Besar Plastik Klip Sedang Reagen Golongan Darah Stik Glukosa atau gula darah Stik Haemoglobin (HB) Stik Uric Acid (Asam urat) Test Celup HCG Umbilical klem

-

NI HI L

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Total Mengetahui, Kepala Puskesmas

Staf TU,

H. Agus Surya, SKM.M.Si NIP.19710821 199603 1 004

Agus Dadan Juanda, S.Kep NIP.19730717 200604 1 000

20 10 12 2 2 2 2

170 1 250 100

3

KESMAS ANGSANA

Pemakaian TA. 2018 Harga per Unit Jumlah (Rp) Unit (Rp) 10 11=9x10 12=3+6-9

Saldo Akhir Harga per Jumlah (Rp) Unit (Rp) 13 14=12x13

16,500 2,000 17,000 4,000 50,000 55,000 4,200 8,500 65,000 -

66,000 70,000 255,000 48,000 150,000 495,000 12,600 85,000 65,000 -

9 51 12 -

2,000 4,200 -

19,263 193 -

34 122 -

19,263 193 -

-

192,630 4,825 -

20,900 59,950 76,285 19,954 137,610 1,590 1,195 1,640 136,200 21,929 -

794,200 1,199,000 1,373,130 698,390 1,376,100 47,700 143,400 49,200 2,451,600 328,935 -

12 20 22 5 70 80 70 12 20 -

20,900 59,950 76,285 19,954 1,590 1,195 1,640 136,200 21,929 -

250,800 1,199,000 1,678,270 99,770 111,300 95,600 114,800 1,634,400 438,580 -

12,420 69,162 -

4,595,400 7,400,334 -

-

-

-

8,500 -

-

18,000 214,200 102,000 -

654,942 23,546 -

Ket. 15

6,400 11,500 122,100 99,450 99,450 165,675 121,550

6,100 11,800 825 1,518

21,395 -

128,000 115,000 1,465,200 198,900 198,900 331,350 243,100 -

10 8 2 30 10 40 3 23 2 18 13 18 2 2

1,037,000 11,800 206,250 151,800 64,185 -

330 9 10 100 2 37 -

38,675 36,465 99,410 6,400 6,400 11,500 122,100 99,450 356,363 99,450 165,675 121,550 88,400 88,400

6,100 11,800 212,500 1,518 96,000 21,395 -

386,750 291,720 198,820 192,000 64,000 460,000 366,300 2,287,350 712,726 1,790,100 2,153,775 2,187,900 176,800 176,800

2,013,000 106,200 2,125,000 151,800 192,000 791,615 -

.........,.................... Bendahara,

Dede Siti Hajar, S.S.T NIP.19860403 201001 2 015

LAPORAN PERSEDIAAN PUSKESMAS ANGSANA

No

Uraian

1 I 1 2 3 4 5 6 7 8 9 10 11 13 14 15 16 17

2 Persediaan Alat Tulis Kantor: Amplop Putih Besar Ballpoint Standard AE7 Buku Tulis Folio, 100 Lembar Bussines File Folio Kertas A4 70 gram Kertas F4 70 gram Map Plastik Tali Odner Binder, Folio 7 cm Odner Karton , Folio 7 cm Spidol Permanent Stop Map Kertas/ Karton Tinta Stempel Tinta Epson T6643 (BK) Tinta Epson T6643 (M) Tinta Epson T6643 (C) Tinta Epson T6643 (Y)

II 1 2 3 4 5 6 7 8 9 10 11

Persediaan Barang Cetakan: Karcis Retribusi Blok Karcis Retribusi Lembar Kartu status Map status pasien bersalin Kartu kunjungan Stiker kunjungan rumah Kohort Bayi/Balita Buku KIA Stiker Keluarga Sehat Bendera BUMIL Resti Bendera Gizi Buruk

III 1 2 3 4 5 6 7 8 9 10 11 12 13

Vaksin : HB 0 BCG DPT Hb Hib Polio Campak IPV Ads 0,05 ml Ads 0,5 ml Ads 5 ml TD MR Safety Box DT

IV 1 2 3

Program GIZI : MP ASI PMT bumil PMT anak sekolah

: Angsana : November 2018 Saldo Awal 2018 Harga per Unit Jumlah (Rp) (Rp) 4 5=3x4

Unit 3 9 51 12 -

2,000

34 122 -

19,263 193

12 20 22 5 70 80 70 12 20 -

20,900 59,950 76,285 19,954

-

4,200 8,500 -

-

1,590 1,195 1,640 136,200 21,929 -

-

18,000 214,200 102,000 -

Pembelian TA. 2018 Harga per Unit Jumlah (Rp) Unit (Rp) 6 7 8=6x7 3 24 12 1 6 24 7

16,500 2,000 4,000 50,000 55,000 4,200 30,000

12 1

8,500 65,000

4 3 3 3

78,000 78,000 78,000 78,000

654,942 23,546 -

-

-

250,800 1,199,000 1,678,270 99,770 111,300 95,600 114,800 1,634,400 438,580 -

40 40 45 40

-

10 100 100 100 30 -

315 577 -

20,900 59,950 76,285 19,954 137,610 1,590 1,195 1,640 136,200 -

Pemakaian TA. 2018 Unit 9

49,500 48,000 48,000 50,000 330,000 100,800 210,000 102,000 65,000 312,000 234,000 234,000 234,000

3 25

-

20 22

836,000 2,398,000 3,432,825 798,160 1,376,100 159,000 119,500 164,000 4,086,000 -

40 39 29 38

NI HI L

Nama Puskesmas Bulan

73,645 23,198,175 69,162 39,906,474

12 1 6 38 7 12 1 4 3 3 3

-

8 30 100 30 30 10

115 427 -

4 Buku Raport

-

V 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Persediaan Alat Kesehatan Habis Pakai (JKN) : Jelly USG 250 ml 10 Kertas Puyer Lancet 8 Needle No.24 2 O2 Nasal White Tubing-Adult 30 O2 Nasal White Tubing-Child 10 O2 Mask Elongated-Adult (Sungkup O2) 40 O2 Mask Elongated-Child (Sungkup O2) 3 Plastik Klip Besar 23 Plastik Klip Sedang 2 Reagen Golongan Darah 18 Stik Glukosa atau gula darah 13 Stik Haemoglobin (HB) 18 Stik Uric Acid (Asam urat) 2 Stik Colesterol Nesco 2 Test Celup HCG Umbilical klem -

VI 1 2 3 4 5 6 7 8 9 10 11 12

Program KB : Duk Disposible Depo Progesteron 3 cc IUD Set Implant Set Spuit 3 cc (Disposable) Pil Kb kombinasi Povidon 30 ml kondom Safety box Handskun (Sarung tangan) Lidocain Plaster steril

330 9 10 100 2 37 -

-

38,675 36,465 99,410 6,400 6,400 11,500 5,818 122,100 99,450 356,363 99,450 143,181 121,550 187,772 -

6,100 11,800 212,500 1,518 96,000 21,395 -

-

386,750 291,720 198,820 192,000 64,000 460,000 17,454 2,808,300 198,900 6,414,534 1,292,850 2,577,258 243,100 375,544 -

60 5 30 30 20 20 10 10 8 100 4

13,059 33,364 10,455 10,455 5,818 5,818 90,409 143,181 187,772 88,400 80,250

2,013,000 106,200 2,125,000 151,800 192,000 791,615 -

500

6,100

10 500 500

212,500 825 1,518

1 50 10 10 10

96,000 21,395 860 4,633 4,633

13,119 33,369 10,485 10,485 5,838 5,838 90,419 143,191 187,780 88,500 80,254

3,050,000 2,125,000 412,500 759,000 96,000 1,069,750 8,600 46,330 46,330

Total

Mengetahui, Kepala Puskesmas

Staf TU,

H. Agus Surya, SKM.M.Si NIP.19710821 199603 1 004

Agus Dadan Juanda, S.Kep NIP.19730717 200604 1 000

10 2 5 30 5 20 10 2 10 10 19 2

2

500 2 2 500 350

40

KESMAS ANGSANA

Pemakaian TA. 2018 Harga per Unit Jumlah (Rp) Unit (Rp) 10 11=9x10 12=3+6-9

Saldo Akhir Harga per Jumlah (Rp) Unit (Rp) 13 14=12x13

16,500 2,000 4,000 50,000 55,000 4,200 30,000 8,500 65,000 78,000 78,000 78,000 78,000

49,500 50,000 48,000 50,000 330,000 159,600 210,000 102,000 65,000 312,000 234,000 234,000 234,000

8 37 12 -

2,000 4,200 8,500 -

16,000 155,400 102,000 -

19,263 193 -

14 100 -

19,263 193 -

-

385,260 4,246 -

269,682 19,300 -

20,900 59,950 76,285 19,954 137,610 1,590 1,195 1,640 136,200 21,929 -

836,000 2,338,050 2,212,265 758,252 1,100,880 47,700 119,500 49,200 4,086,000 219,290 -

12 21 38 7 2 140 80 140 12 10 -

20,900 59,950 76,285 19,954 137,610 1,590 1,195 1,640 136,200 21,929 -

250,800 1,258,950 2,898,830 139,678 275,220 222,600 95,600 229,600 1,634,400 219,290 -

73,645 8,469,175 69,162 29,532,174 -

200 150 -

73,645 69,162 -

73,845 69,312 -

-

Ket. 15

-

-

-

-

-

13,059 33,364 10,455 10,455 11,500 5,818 122,100 99,450 356,363 99,450 143,181 121,550

130,590 66,728 52,275 313,650 57,500 116,360 1,221,000 198,900 3,563,630 994,500 2,720,439 243,100

10 50 11 2 55 10 55

38,675 13,059 36,465 99,410 6,400 6,400 11,500

386,750 652,950 401,115 198,820 352,000 64,000 632,500

13 8 13 9 -

122,100 356,363 99,450 165,675

1,587,300 2,850,904 1,292,850 1,491,075 -

80,250

160,500

100 2

88,400 80,250

8,840,000 160,500

3,050,000 23,600 425,000 412,500 531,300 855,800 -

330 7 18 250 3 47 -

6,100 11,800 212,500 1,518

2,013,000 82,600 3,825,000 379,500 288,000 1,005,565 -

6,100 11,800 212,500 825 1,518

21,395 -

96,000 21,395 -

.........,.................... Bendahara,

Dede Siti Hajar, S.S.T NIP.19860403 201001 2 015

LAPORAN PERSEDIAAN PUSKESMAS ANGSANA Nama Puskesmas Bulan

No

Uraian

1 I 1 2 3 4 5 6 7 8 9 10 11 13 14 15 16 17

2 Persediaan Alat Tulis Kantor: Amplop Putih Besar Ballpoint Standard AE7 Buku Tulis Folio, 100 Lembar Bussines File Folio Kertas A4 70 gram Kertas F4 70 gram Map Plastik Tali Odner Binder, Folio 7 cm Odner Karton , Folio 7 cm Spidol Permanent Stop Map Kertas/ Karton Tinta Stempel Tinta Epson T6643 (BK) Tinta Epson T6643 (M) Tinta Epson T6643 (C) Tinta Epson T6643 (Y)

II 1 2 3 4 5 6 7 8 9 10 11

: Angsana : Desember 2018 Saldo Awal 2018 Harga per Unit Jumlah (Rp) (Rp) 4 5=3x4

Unit 3 8 37 12 -

2,000

Persediaan Barang Cetakan: Karcis Retribusi Blok Karcis Retribusi Lembar Kartu status Map status pasien bersalin Kartu kunjungan Stiker kunjungan rumah Kohort Bayi/Balita Buku KIA Stiker Keluarga Sehat Bendera BUMIL Resti Bendera Gizi Buruk

14 100 -

19,263 193

III 1 2 3 4 5 6 7 8 9 10 11 12 13

Vaksin : HB 0 BCG DPT Hb Hib Polio Campak IPV Ads 0,05 ml Ads 0,5 ml Ads 5 ml TD MR Safety Box DT

12 21 38 7 2 140 80 140 12 10 -

20,900 59,950 76,285 19,954

IV 1 2 3

Program GIZI : MP ASI PMT bumil PMT anak sekolah

200 150 -

4,200 8,500 -

-

137,610 1,590 1,195 1,640 136,200 21,929 -

73,645 69,162

16,000 155,400 102,000 -

Pembelian TA. 2018 Harga per Unit Jumlah (Rp) Unit (Rp) 6 7 8=6x7 3 22

16,500 2,000 -

10 12 7

55,000 4,200 30,000

4 1

8,500 65,000

3 2 2 2

78,000 78,000 78,000 78,000

269,682 19,300 -

-

-

250,800 1,258,950 2,898,830 139,678 275,220 222,600 95,600 229,600 1,634,400 219,290 -

40 40 45 40

14,729,000 10,374,300 -

10 100 100 100 150 30 -

-

20,900 59,950 76,285 19,954 137,610 1,590 1,195 1,640 16,500 136,200 -

Pemakaian TA. 2018 Unit 9

49,500 44,000 550,000 50,400 210,000 34,000 65,000 234,000 156,000 156,000 156,000

3 30

-

14 15

836,000 2,398,000 3,432,825 798,160 1,376,100 159,000 119,500 164,000 2,475,000 4,086,000 -

37 51 33 42

10 49 7 16 1 3 2 2 2

-

12 40 180 40 50 27 10

-

-

V 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Persediaan Alat Kesehatan Habis Pakai (JKN) : Jelly USG 250 ml 10 Kertas Puyer 50 Lancet 11 Needle No.24 2 O2 Nasal White Tubing-Adult 55 O2 Nasal White Tubing-Child 10 O2 Mask Elongated-Adult (Sungkup O2) 55 O2 Mask Elongated-Child (Sungkup O2) Plastik Klip Besar 13 Plastik Klip Sedang Reagen Golongan Darah 8 Stik Glukosa atau gula darah 13 Stik Haemoglobin (HB) 9 Stik Uric Acid (Asam urat) Stik Colesterol Nesco Test Celup HCG 100 Umbilical klem 2

VI 1 2 3 4 5 6 7 8 9 10 11 12

Program KB : Duk Disposible Depo Progesteron 3 cc IUD Set Implant Set Spuit 3 cc (Disposable) Pil Kb kombinasi Povidon 30 ml kondom Safety box Handskun (Sarung tangan) Lidocain Plaster steril

330 7 18 250 3 47 -

-

38,675 13,059 36,465 99,410 6,400 6,400 11,500 122,100 356,363 99,450 165,675

88,400 80,250

6,100 11,800 212,500 1,518 96,000 21,395 -

-

386,750 652,950 401,115 198,820 352,000 64,000 632,500 1,587,300 2,850,904 1,292,850 1,491,075 8,840,000 160,500

NI HI L

4 Buku Raport

2,013,000 82,600 3,825,000 379,500 288,000 1,005,565 -

7 2 20 10 25 13 8 13 9

100 2

500

6,100

500 500

825 1,518

4 50

96,000 21,395

50

4,633

3,050,000 412,500 759,000 384,000 1,069,750 231,650

Total

Mengetahui, Kepala Puskesmas

Staf TU,

H. Agus Surya, SKM.M.Si NIP.19710821 199603 1 004

Agus Dadan Juanda, S.Kep NIP.19730717 200604 1 000

570 7 18 300 450 2 47

-

KESMAS ANGSANA

Pemakaian TA. 2018 Harga per Unit Jumlah (Rp) Unit (Rp) 10 11=9x10 12=3+6-9 16,500 2,000 55,000 4,200 30,000 3,000 8,500 65,000 78,000 78,000 78,000 78,000

49,500 60,000 550,000 205,800 210,000 136,000 65,000 234,000 156,000 156,000 156,000

-

19,263 19,263 -

269,682 288,945 -

85 -

20,900 59,950 76,285 19,954 137,610 1,590 1,195 1,640 16,500 136,200 21,929 -

773,300 3,057,450 2,517,405 838,068 1,651,320 63,600 215,100 65,600 825,000 3,677,400 219,290 -

15 10 50 5 200 200 100 15 -

-

-

200 150 -

Saldo Akhir Harga per Jumlah (Rp) Unit (Rp) 13 14=12x13 -

19,263 -

20,900 59,950 76,285 19,954

-

1,637,355 -

-

313,500 599,500 3,814,250 99,770 318,000 328,000 1,650,000 2,043,000 -

73,645 69,162 -

73,845 69,312 -

1,590 1,640 16,500 136,200

Ket. 15

-

36,465 99,410 6,400 6,400 11,500 122,100 356,363 99,450 165,675

88,400 80,250

6,100 11,800 212,500 825 1,518 96,000 21,395 -

-

255,255 198,820 128,000 64,000 287,500 1,587,300 2,850,904 1,292,850 1,491,075 8,840,000 160,500 3,477,000 82,600 3,825,000 247,500 683,100 192,000 1,005,565 -

-

-

-

10 50 4 35 30

38,675 13,059 36,465 6,400 11,500

386,750 652,950 145,860 224,000 345,000

-

-

-

-

-

-

260 200 300 5 50 50

6,100

1,586,000 165,000 455,400 480,000 1,069,750 231,650

-

825 1,518 96,000 21,395 4,633

.........,.................... Bendahara,

Dede Siti Hajar, S.S.T NIP.19860403 201001 2 015

LAPORAN PERSEDIAAN Nama Puskesmas

: Angsana

No

Uraian

1

2

Unit 3

1 Persediaan Alat Tulis Kantor: Kertas HVS F4 Sidu Spidol Snowman Permanent Ball Point Standar Tinta Epson

88 8 300 1,180 40

3 Vaksin HB 0 BCG DPT Hb Hib Polio Campak IPV Ads 0,05 ml Ads 0,5 ml Ads 5 ml TD

10 5 7 5 20 15

4 Biskuit MP ASI PMT bumil PMT anak sekolah

Total

NIP.

4

-

2 Persediaan Barang Cetakan: Karcis retribusi Kartu status Map status pasien bersalin Kartu kunjungan Stiker kunjungan rumah Kohort Bayi/Balita Buku KIA

Mengetahui, Kepala Puskesmas

Saldo Awal 2016 Harga per Unit Jumlah (Rp) (Rp) 5=3x4

50000 8500 2000 100,000

1,875 423 6,600 300 3,300

-

165,000 3,384 1,980,000 354,000 132,000

19,096 190,960 52,492 262,460 63,930 18,370 128,590 25,641 137,610 688,050 1,995 1,395 2041 40,820 161181 2,417,715

216.25 1454 1785.9

-

LAPORAN PERSEDIAAN UNTUK DINAS KESEHATAN

Unit

Pembelian TA. 2017 Harga per Unit Jumlah (Rp) (Rp)

6

7

10

8=6x7

19,620

196,200

Pemakaian TA. 2017 Harga per Unit Jumlah (Rp) Unit (Rp) 9

10

Saldo Akhir Unit

11=9x10

12=3+6-9

88

1,875

165,000

-

5

19,620

98,100

5

Staf TU,

Bendahara,

NIP.

NIP.

Saldo Akhir Harga per Unit Jumlah (Rp) (Rp) 13

Ket. 15

14=12x13

1,875

-

19,620

98,100

.........,....................