Per 31 Desemberrrrrrr.xlsx

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PEMERINTAH KABUPATEN KLUNGKUNG OPD : UPTD. RS PRATAMA GEMA SANTI PERSEDIAAN BARANG ### PERSEDIAAN TAHUN 2016 NO

URAIAN

1

Kuantitas

2

I

(Rp)

3

4

(Rp)

Kuantitas

5

6

Harga Satuan (Rp)

7

ALAT TULIS KANTOR ( ATK ) -

-

6 Unit

79,500

Tinta Epson Megenta Ink Cartridge

-

-

7 Unit

79,500

Tinta Epson Cyan Ink Cartridge

-

-

7 Unit

79,500

Tinta Epson Black Ink Cartridge

-

-

20 Unit

79,500

-

-

2 Buku

60,000

-

-

10 Buku

18,000

-

-

10 Buku

18,000

-

-

1 Rim

70,000

-

-

2 Buku

30,000

-

-

2 Buku

30,000

1 Tinta EpsonYellow Ink Cartridge

II

PENGADAAN

Harga Satuan Jumlah

BARANG CETAKAN 1 Buku Kas Umum R2NCR 2 Lembar Disposisi R2NCR 3 Buku SBBK R2NCR 4 Blanko Wasdit 5 Buku Kendali Masuk R2NCR 6 Buku Kendali Keluar R2NCR 7 Buku PPN

-

-

2 Buku

80,000

8 Buku PPH

-

-

2 Buku

80,000

9 Buku SSP

-

-

2 Buku

70,000

-

-

1 rim

70,000

-

-

1 Rim

70,000

12 Surat Cuti Bersalin

-

-

1 Rim

70,000

Blanko Ijin Meninggalkan 13 Tugas

-

-

1 Rim

70,000

-

-

1 Rim

70,000

Amplop Dinas Lambang Daerah 15 11X28cm

-

-

500 Buah

1,450

16 Buku Resep

-

-

100 Buku

14,100

Blanko Pengambilan Obat 17 Dan Alkes

-

-

10 Surat Ijin Cuti 11 Surat Permohonan Cuti

Blanko Penelitian 14 Kelengkapan SSP

5

70,000

Blanko Permintaan 18 Instalasi Alkes

-

-

1 Rim

19 Kartu Stok Obat

-

-

600 Lembar

740

Amplop Besar 20 Rontgen 21 Amplop Kecil Rontgen 22

-

-

300 Lembar

1,175

-

-

500 Lembar

975

-

-

100 Lembar

7,500

23 Etiket Obat

-

-

1 Rim

70,000

Blanko Obat24 Obatan Alkes BHP

-

-

1 Rim

70,000

-

-

1 Rim

70,000

-

-

1 Rim

70,000

-

-

10 Buku

65,000

-

-

100 Lembar

5,000

-

-

100 Lembar

7,000

-

-

500 Lembar

7,000

-

-

1 Rim

70,000

-

-

1 Rim

70,000

33 Kartu Berobat

-

-

1 Rim

70,000

34 Medical Reg.CM 35 Rekapitulasi Sensus Harian Poliklinik 36 Blanko Rekam Medis UGD 37 Blanko Catatan Penggunaan Obat dan Alkes

-

-

1500 Lembar

-

-

1 Rim

70,000

-

-

1 Rim

70,000

-

-

1 Rim

70,000

Blanko Surat 38 Kelahiran

-

-

1 Rim

70,000

Blanko Sidik 39 Telapak Kaki Bayi 40 Buku Observasi Persalinan

-

-

1 Rim

70,000

-

-

1 Buku

70,000

-

-

9 Buku

40,000

III BARANG KEBERSIHAN 42 Keset

30 Buah

25,000

43 Sapu Bulu Ayam

12 Buah

17,500

44 Sapu Ijuk

20 Buah

15,000

Kwintansi Instalasi Farmasi

25 Permohonan Lab. Permintaan 26 Rontgen 27 Register Rawat jalan 28 Isi Les Rawat Inap 29 Map Les Rawat Inap 30 Map Les Rawat Jalan 31 Sensus Harian Rawat Jalan 32 Surat Keterangan

41 Register Rawat Inap

70,000

300

45 Kain Pembersih Kaca 46 alat Pembersih Kaca 47 Sapu Lidi

20 Buah

7,000

50 Buah

10,000

30 Buah

6,000

48 Lap Kanebo

10 Buah

100,000

49 Gayung

30 Buah

8,000

50 Gunting Rumput

10 Buah

93,100

51 Ember 2 Galon

20 Buah

20,500

50 Buah

31,000

10 Buah

40,000

10 Buah

16,000

10 Buah

21,000

20 Buah

37,500

50 Buah

10,000

50 Buah

8,000

50 Buah

15,000

60 Kamper

10 Buah

15,000

61 Tissue Rol

25 Buah

7,000

63 Pengharum WC

50 Buah

15,000

64 Pengharum Ruangan

50 Buah

40,000

52 Keranjang Sampah Kecil 53 Keranjang Sampah Besar 54 Sabit 55 Serok Sampah Plastik 56 Sikat WC Biasa 57 Sabun Cuci Tangan 58 Pembersih Lantai 59 pembersih Kaca

JUMLAH Demikian pandangan kami atas pemeriksaan barang daerah tersebut diatas.

Catatan : Untuk barang kuasi seperti karcis dan sejenisnya di isi harga sesuai dengan nilai pengadaannya.

Mengetahui, Kepala UPTD. RS Pratama Gema Santi

dr. I Ketut Rai Sutapa,S.Ked NIP.19790401 200604 1 012

TAHUN 2017 PENGELUARAN

GADAAN Jumlah (Rp)

8

Kuantitas

9

SISA

Harga Satuan Jumlah (Rp)

(Rp)

10

11

Kuantitas

Harga Satuan Jumlah

12

(Rp)

(Rp)

13

14

477,000

6 Unit

79,500

477,000

-

-

556,500

7 Unit

79,500

556,500

-

-

556,500

7 Unit

79,500

556,500

-

-

1,590,000

20 Unit

79,500 1,590,000

-

-

120,000

1 Buku

60,000

60,000

180,000

5 Buku

18,000

90,000

5 Buku

60,000 18,000

180,000

0 Buku

18,000

-

10 Buku

18,000

70,000

1 Rim

70,000

70,000

60,000

1 Buku

30,000

30,000

60,000

1 Buku

30,000

30,000

160,000

1 Buku

80,000

80,000

160,000

1 Buku

80,000

80,000

140,000

Buku

1

Buku

-

60,000 90,000 180,000 -

1

Buku

30,000

30,000

1

Buku

1

Buku

30,000 80,000

30,000 80,000

1

Buku -

80,000

80,000 -

70,000

1 rim

70,000

70,000

-

-

70,000

1 rim

70,000

70,000

-

-

70,000

1 rim

70,000

70,000

-

-

70,000

1 rim

70,000

70,000 -

-

-

-

70,000

1 rim

70,000

70,000

725,000

400 Buah

1,450

580,000

100

Buah

1,450

145,000

1,410,000

35 Buku

14,100

493,500

65

Buku

14,100

916,500

5 Rim

70,000

350,000

350,000

-

-

70,000

1 Rim

70,000

70,000 -

-

-

-

444,000

600 Lembar

740

444,000

352,500

200 Lembar

1,175

235,000

487,500

50 Lembar

975

48,750

750,000

100 Lembar

7,500

750,000

-

-

70,000

1 Rim

70,000

70,000

-

-

70,000

1 Rim

70,000

70,000 -

-

70,000

0.5 Rim

70,000

70,000

70,000

1 Rim

70,000

70,000

650,000

9 Buku

65,000

585,000

500,000

100 Lembar

5,000

500,000

700,000

100 Lembar

7,000

700,000

3,500,000

500 Lembar

7,000 3,500,000

100

Lembar

450 Lembar

0.5

1,175 975

Rim

70,000

1

Buku

117,500 438,750

35,000 -

65,000

65,000

-

-

-

-

-

-

-

-

70,000

1 Rim

70,000

70,000

70,000

1 Rim

70,000

70,000

70,000

1 Rim

70,000

70,000

450,000

750 Lembar

70,000

1 Rim

70,000

70,000

-

-

70,000

1 Rim

70,000

70,000

-

-

70,000

1 Rim

70,000

70,000

-

-

70,000

1 Rim

70,000

70,000

-

-

70,000

1 Rim

70,000

70,000

-

-

70,000

1 Buku

70,000

70,000

-

-

360,000

5 Buku

40,000

200,000

750,000

30 Buah

25,000

750,000

-

-

210,000

12 Buah

17,500

210,000

-

-

300,000

20 Buah

15,000

300,000

-

-

1 Rim −

300

70,000

70,000





Lembar

4

Buku

40,000

160,000

140,000

20 Buah

7,000

140,000

-

-

500,000

50 Buah

10,000

500,000

-

-

180,000

30 Buah

6,000

180,000

-

-

1,000,000

10 Buah

100,000 1,000,000

-

-

240,000

30 Buah

8,000

240,000

-

-

931,000

10 Buah

93,100

931,000

-

-

410,000

20 Buah

20,500

410,000

-

-

1,550,000

50 Buah

31,000 1,550,000

-

-

400,000

10 Buah

40,000

400,000

-

-

160,000

10 Buah

16,000

160,000

-

-

210,000

10 Buah

21,000

210,000

-

-

750,000

20 Buah

37,500

750,000

-

-

500,000

50 Buah

10,000

500,000

-

-

400,000

50 Buah

8,000

400,000

-

-

750,000

50 Buah

15,000

750,000

-

-

150,000

10 Buah

15,000

150,000

-

-

175,000

25 Buah

7,000

175,000

-

-

750,000

50 Buah

15,000

750,000

-

-

2,000,000

50 Buah

40,000 2,000,000

-

2,497,750

Semarapura, 31 Desember 2017 Pengurus barang pembantu,

Ns. Putu A. Permana Adi putra, S.Kep NIP.1988021 2200902 1 002

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