AKRUAL Winongan

KELENGKAPAN PENCATATAN MUTASI PERSEDIAAN
SKPD : PUSKESMAS WINONGAN

BULAN : JANUARI 2015
SALDO AWAL 01/01/2015 MUTASI TAMBAH MUTASI KURANG SALDO AKHIR 31/01/2015
NO. URAIAN JUMLAH NILAI JUMLAH NILAI JUMLAH NILAI JUMLAH NILAI
NILAI (Rp) NILAI (Rp) NILAI (Rp) NILAI (Rp)
(satuan) SATUAN(Rp) (satuan) SATUAN(Rp) (satuan) SATUAN(Rp) (satuan) SATUAN(Rp)
1 2 3 4 (5)=(3)x(4) 6 7 (8)=(6)x(7) 9 10 (11)=(9)x(10) (12)=(3)+(6)-(9) 13 (14)=(12)x(13)
1 Alat Tulis Kantor

Amplop sedang "Jaya R Peel & Sea 0 13,750 0 0 13,750 0 0 13,750 0 0 13,750 0
Binder klip No. 155 0 10,000 0 0 10,000 0 0 10,000 0 0 10,000 0
Binder klip No. 155 1 750 750 0 750 0 1 750 750 0 750 0
Binder klip No. 260 0 25,000 0 0 25,000 0 0 25,000 0 0 25,000 0
Bolpoin Faster 0 33,000 0 0 33,000 0 0 33,000 0 0 33,000 0
Buku kuarto 100 0 11,000 0 0 11,000 0 0 11,000 0 0 11,000 0
Cutter A300 0 5,500 0 0 5,500 0 0 5,500 0 0 5,500 0
Isi Stepler 0 4,000 0 0 4,000 0 0 4,000 0 0 4,000 0
Kertas HVS F4 75 gram SIDU 0 43,000 0 0 43,000 0 0 43,000 0 0 43,000 0
Kertas Plano 0 1,000 0 0 1,000 0 0 1,000 0 0 1,000 0
Paper klip no. 5 0 4,000 0 0 4,000 0 0 4,000 0 0 4,000 0
Tinta mesin ketik Daito 0 22,000 0 0 22,000 0 0 22,000 0 0 22,000 0
Spidol kecil 0 2,000 0 0 2,000 0 0 2,000 0 0 2,000 0
Spidol permanen hitam 0 7,750 0 0 7,750 0 0 7,750 0 0 7,750 0
Stempel tanggal 0 8,125 0 0 8,125 0 0 8,125 0 0 8,125 0
Stepler "MAY HD 10 Kenko" 0 8,000 0 0 8,000 0 0 8,000 0 0 8,000 0
Stop map kertas 0 500 0 0 500 0 0 500 0 0 500 0
Tinta stempel "INK Yamura" 0 4,500 0 0 4,500 0 0 4,500 0 0 4,500 0
Flashdisk 4 GB 0 60,000 0 0 60,000 0 0 60,000 0 0 60,000 0
Isi Ulang Toner laser Jet 0 110,000 0 0 110,000 0 0 110,000 0 0 110,000 0
Portepel 0 5,000 0 0 5,000 0 0 5,000 0 0 5,000 0
Bak Stempel 0 20,000 0 0 20,000 0 0 20,000 0 0 20,000 0
Binder klip No.155 0 14,000 0 0 14,000 0 0 14,000 0 0 14,000 0
Binder Klip No. 260 0 30,000 0 0 30,000 0 0 30,000 0 0 30,000 0
Bolpoin Faster 0 36,000 0 0 36,000 0 0 36,000 0 0 36,000 0
Buku Kuitansi 0 8,000 0 0 8,000 0 0 8,000 0 0 8,000 0
Buku Nota 3 ply 0 8,000 0 0 8,000 0 0 8,000 0 0 8,000 0
Catriedge 0 250,000 0 0 250,000 0 0 250,000 0 0 250,000 0
Document Keeper 0 45,000 0 0 45,000 0 0 45,000 0 0 45,000 0
Kalkulator 0 90,000 0 0 90,000 0 0 90,000 0 0 90,000 0
Kertas HVS F4 70 gram SIDU 0 47,000 0 0 47,000 0 0 47,000 0 0 47,000 0
Map Tali Portepel 0 5,500 0 0 5,500 0 0 5,500 0 0 5,500 0
Odner 0 12,000 0 0 12,000 0 0 12,000 0 0 12,000 0
Penghapus Pensil "Stadeler" 0 22,000 0 0 22,000 0 0 22,000 0 0 22,000 0
Penghapus Papan Tulis 0 5,000 0 0 5,000 0 0 5,000 0 0 5,000 0
Plak Ban 0 13,400 0 0 13,400 0 0 13,400 0 0 13,400 0
Spidol White Board 0 8,000 0 0 8,000 0 0 8,000 0 0 8,000 0
JUMLAH 750 0 750 0
Cetakan
Lembar Regristrasi BPJS 0 6,600 0 0 6,600 0 0 6,600 0 0 6,600 0
Rujukan 0 13,750 0 0 13,750 0 0 13,750 0 0 13,750 0
Agenda Surat Keluar 0 24,750 0 0 24,750 0 0 24,750 0 0 24,750 0
Agenda Surat Masuk 0 24,750 0 0 24,750 0 0 24,750 0 0 24,750 0
Kartu Persediaan Barang 0 1,650 0 0 1,650 0 0 1,650 0 0 1,650 0
Kartu Barang 0 850 0 0 850 0 0 850 0 0 850 0
Rawat Inap & UGD 24 jam 0 57,750 0 0 57,750 0 0 57,750 0 0 57,750 0
Laporan Pelayanan RJTP 0 65,500 0 0 65,500 0 0 65,500 0 0 65,500 0
Surat Ket. Rawat Jamkesda 0 18,200 0 0 18,200 0 0 18,200 0 0 18,200 0
Surat Ket. Rawat BPJS 0 65,500 0 0 65,500 0 0 65,500 0 0 65,500 0
SJPP BPJS 0 65,500 0 0 65,500 0 0 65,500 0 0 65,500 0
Visite dokter & catatan perawata 0 55,000 0 0 55,000 0 0 55,000 0 0 55,000 0
Surat Keterangan 0 65,500 0 0 65,500 0 0 65,500 0 0 65,500 0
Cairan Masuk / Keluar 0 55,000 0 0 55,000 0 0 55,000 0 0 55,000 0
Status pasien Rawat Inap 0 55,000 0 0 55,000 0 0 55,000 0 0 55,000 0
Surat Ket. Istirahat Pelajar 0 4,500 0 0 4,500 0 0 4,500 0 0 4,500 0
Surat Ket. Istirahat Pegawai 0 4,500 0 0 4,500 0 0 4,500 0 0 4,500 0
Surat Ket. Istirahat Pegawai 1 4,000 4,000 0 4,000 0 1 4,000 4,000 0 4,000
Lembar Regristrasi Umum 0 7,500 0 0 7,500 0 0 7,500 0 0 7,500 0
SJPP BPJS 0 8,500 0 0 8,500 0 0 8,500 0 0 8,500 0
Surat Ket. Rawat Inap BPJS 0 8,500 0 0 8,500 0 0 8,500 0 0 8,500 0
Surat Pernyataan MRS & Tindaka 0 7,000 0 0 7,000 0 0 7,000 0 0 7,000 0
Kartu Anamnesa 0 250 0 0 250 0 0 250 0 0 250 0
Buku KIA 0 7,300 0 0 7,300 0 0 7,300 0 0 7,300 0
Buku SKP Pegawai 0 2,000 0 0 2,000 0 0 2,000 0 0 2,000 0
Lembar Disposisi 1 66,000 66,000 0 66,000 0 1 66,000 66,000 0 66,000 0
JUMLAH 70,000 0 70,000 0
Alat Kebersihan & Bahan Pembersih
Cairan Pembersih "Wipol" 0 9,500 0 0 9,500 0 0 9,500 0 0 9,500 0
Lap Mobil "Ken Master" 0 23,500 0 0 23,500 0 0 23,500 0 0 23,500 0
Kresek hitam besar 0 27,500 0 0 27,500 0 0 27,500 0 0 27,500 0
Penebah "2 Macan" 0 11,000 0 0 11,000 0 0 11,000 0 0 11,000 0
Pengharum ruangan "Stella" 0 21,500 0 0 21,500 0 0 21,500 0 0 21,500 0
Pengharum mobil "Glade" 0 26,000 0 0 26,000 0 0 26,000 0 0 26,000 0
Reffil sabun cuci "Sunlight" 0 6,000 0 0 6,000 0 0 6,000 0 0 6,000 0
Reffil sabun cuci tangan 0 14,000 0 0 14,000 0 0 14,000 0 0 14,000 0
Sapu panjang "Lowo-lowo" 0 16,500 0 0 16,500 0 0 16,500 0 0 16,500 0
Tempat sampah injak sedang 0 93,500 0 0 93,500 0 0 93,500 0 0 93,500 0
Handuk kecil putih 0 4,000 0 0 4,000 0 0 4,000 0 0 4,000 0
Sapu lidi 0 8,000 0 0 8,000 0 0 8,000 0 0 8,000 0
JUMLAH 0 0 0 0
Materai & Perangko
Materai @3.000 2 3,500 7,000 0 3,500 0 2 3,500 7,000 0 3,500 0
Materai @6.000 0 6,500 0 0 6,500 0 0 6,500 0 0 6,500 0
JUMLAH 7,000 0 7,000 0
Suku Cadang
Kampas rem depan 0 165,000 0 0 165,000 0 0 165,000 0 0 165,000 0
Wiber bash 0 85,000 0 0 85,000 0 0 85,000 0 0 85,000 0
Wiper link 0 165,000 0 0 165,000 0 0 165,000 0 0 165,000 0
Roch and 0 330,000 0 0 330,000 0 0 330,000 0 0 330,000 0
F. Bell FM 35 0 35,000 0 0 35,000 0 0 35,000 0 0 35,000 0
F. Bell FM A 38 0 40,000 0 0 40,000 0 0 40,000 0 0 40,000 0
Karet Stabil 0 35,000 0 0 35,000 0 0 35,000 0 0 35,000 0
Bos rock SRR 0 35,000 0 0 35,000 0 0 35,000 0 0 35,000 0
Nepel Accu B 0 25,000 0 0 25,000 0 0 25,000 0 0 25,000 0
Platina 0 85,000 0 0 85,000 0 0 85,000 0 0 85,000 0
Shell HyS 0 200,000 0 0 200,000 0 0 200,000 0 0 200,000 0
Karet Anteng pir 0 50,000 0 0 50,000 0 0 50,000 0 0 50,000 0
Idle UP AC 0 170,000 0 0 170,000 0 0 170,000 0 0 170,000 0
Kabel busi + busi Wl Gr W 0 190,000 0 0 190,000 0 0 190,000 0 0 190,000 0
Wiber bosh 0 80,000 0 0 80,000 0 0 80,000 0 0 80,000 0
Accu NS 70 YUASA 0 900,000 0 0 900,000 0 0 900,000 0 0 900,000 0
Karet Stutbar 0 40,000 0 0 40,000 0 0 40,000 0 0 40,000 0
Tie Rod 0 150,000 0 0 150,000 0 0 150,000 0 0 150,000 0
Karet stabil A 0 15,000 0 0 15,000 0 0 15,000 0 0 15,000 0
Karet stabil 0 5,000 0 0 5,000 0 0 5,000 0 0 5,000 0
Bos Uper Arm K 0 60,000 0 0 60,000 0 0 60,000 0 0 60,000 0
Bos Uper Arm B 0 55,000 0 0 55,000 0 0 55,000 0 0 55,000 0
Boll Jabt Atas 0 137,000 0 0 137,000 0 0 137,000 0 0 137,000 0
Sen Hys 0 230,000 0 0 230,000 0 0 230,000 0 0 230,000 0
HDA 90 0 170,000 0 0 170,000 0 0 170,000 0 0 170,000 0
Oil Filter 0 40,000 0 0 40,000 0 0 40,000 0 0 40,000 0
Brake Master 0 350,000 0 0 350,000 0 0 350,000 0 0 350,000 0
Minyak rem Toyota 0 50,000 0 0 50,000 0 0 50,000 0 0 50,000 0
Shell Hys 0 225,000 0 0 225,000 0 0 225,000 0 0 225,000 0
JUMLAH 0 0 0 0
Bahan Kimia
Melation 0 200,000 0 0 200,000 0 0 200,000 0 0 200,000 0
Temephos 0 115,000 0 0 115,000 0 0 115,000 0 0 115,000 0
RDT DBD 0 3,275,000 0 0 3,275,000 0 0 3,275,000 0 0 3,275,000 0
JUMLAH 0 0 0 0
Alat Lab. Habis Pakai
Blood Lancet 0 197,500 0 0 197,500 0 0 197,500 0 0 197,500 0
Cholesterol stik 0 198,500 0 0 198,500 0 0 198,500 0 0 198,500 0
GDA Stik 0 122,500 0 0 122,500 0 0 122,500 0 0 122,500 0
Kartu Golongan Darah 0 1,200 0 0 1,200 0 0 1,200 0 0 1,200 0
Kertas lensa 0 29,000 0 0 29,000 0 0 29,000 0 0 29,000 0
Plano test 0 178,000 0 0 178,000 0 0 178,000 0 0 178,000 0
Rak pipet mikro 0 97,500 0 0 97,500 0 0 97,500 0 0 97,500 0
Slide 0 49,250 0 0 49,250 0 0 49,250 0 0 49,250 0
Tabung reaksi kecil 0 1,900 0 0 1,900 0 0 1,900 0 0 1,900 0
Pipet Wester green 0 29,000 0 0 29,000 0 0 29,000 0 0 29,000 0
UA stik 0 129,000 0 0 129,000 0 0 129,000 0 0 129,000 0
Urine Strip 10 PM 0 248,500 0 0 248,500 0 0 248,500 0 0 248,500 0
Urine Strip 3 PM 0 69,000 0 0 69,000 0 0 69,000 0 0 69,000 0
PP Test 0 1,939 0 0 1,939 0 0 1,939 0 0 1,939 0
Protein urine test 0 1,045 0 0 1,045 0 0 1,045 0 0 1,045 0
JUMLAH 0 0 0 0
Bahan Makanan
Susu Nutrien Yunior 0 131,296 0 0 131,296 0 0 131,296 0 0 131,296 0
Susu Bebemama 0 33,968 0 0 33,968 0 0 33,968 0 0 33,968 0
JUMLAH 0 0 0 0
Karcis
Karcis Rp. 2.000,- 465 24.00 11,160.00 0 24.00 0.00 18 24.00 432.00 447 24.00 10,728.00
Karcis Rp. 2.500,- 135 24.00 3,240.00 500 24.00 12,000.00 55 24.00 1,320.00 580 24.00 13,920.00
Karcis Rp. 3.000,- 651 24.00 15,624.00 0 24.00 0.00 5 24.00 120.00 646 24.00 15,504.00
Karcis Rp. 5.000,- 2,088 29.70 62,013.60 0 29.70 0.00 67 29.70 1,989.90 2,021 29.70 60,023.70
Karcis Rp. 10.000,- 102 20.00 2,040.00 600 20.00 12,000.00 51 20.00 1,020.00 651 20.00 13,020.00
Karcis Rp. 10.000,- 25 25.00 0.00 0 25.00 0.00 0 25.00 0.00
Karcis Rp. 20.000,- 61 24.65 1,503.65 0 24.65 0.00 18 24.65 443.70 43 24.65 1,059.95
Karcis Rp. 25.000,- 199 24.65 4,905.35 0 24.65 0.00 0 24.65 0.00 199 24.65 4,905.35
Karcis Rp. 50.000,- 190 20.00 3,800.00 0 20.00 0.00 1 20.00 20.00 189 20.00 3,780.00
Karcis Rp. 100.000,- 670 24.65 16,515.50 0 24.65 0.00 0 24.65 0.00 670 24.65 16,515.50
Karcis Ambulan 736 96.78 71,230.08 0 96.78 0.00 2 96.78 193.56 734 96.78 71,036.52
Karcis Keperawatan 582 156.00 90,792.00 0 156.00 0.00 13 156.00 2,028.00 569 156.00 88,764.00
Karcis Keperawatan 100.00 100.00 100.00 0.00 100.00
JUMLAH 282,824.18 24,000.00 7,567.16 299,257.02
Pasuruan,
Mengetahui Dibuat oleh,
Kepala Puskesmas Winongan Pengurus Barang
dr. ANNIS ULANA NURKHASANAH

NIP. 19760324 200604 1 010 NIP. 19630511 198703 2 007
KETERANGAN
15
KELENGKAPAN PENCATATAN MUTASI

BULAN : FEBRUARI 2015
SALDO AWAL 01/01/2015 MUTASI TAMBAH

NO. URAIAN JUMLAH NILAI JUMLAH NILAI
NILAI (Rp)
(satuan) SATUAN(Rp) (satuan) SATUAN(Rp)
(1) (2) (3) (4) (5)=(3)x(4) (6) (7)
1 Alat Tulis Kantor

Amplop sedang "Jaya R Peel & S 0 13,750 0 0 13,750
Binder klip No. 155 0 10,000 0 0 10,000
Binder klip No. 155 0 750 0 0 750
Binder klip No. 260 0 25,000 0 0 25,000
Bolpoin Faster 0 33,000 0 0 33,000
Buku kuarto 100 0 11,000 0 0 11,000
Cutter A300 0 5,500 0 0 5,500
Isi Stepler 0 4,000 0 0 4,000
Kertas HVS F4 75 gram SIDU 0 43,000 0 0 43,000
Kertas Plano 0 1,000 0 0 1,000
Paper klip no. 5 0 4,000 0 0 4,000
Tinta mesin ketik Daito 0 22,000 0 0 22,000
Spidol kecil 0 2,000 0 0 2,000
Spidol permanen hitam 0 7,750 0 0 7,750
Stempel tanggal 0 8,125 0 0 8,125
Stepler "MAY HD 10 Kenko" 0 8,000 0 0 8,000
Stop map kertas 0 500 0 0 500
Tinta stempel "INK Yamura" 0 4,500 0 0 4,500
Flashdisk 4 GB 0 60,000 0 0 60,000
Isi Ulang Toner laser Jet 0 110,000 0 0 110,000
Portepel 0 5,000 0 0 5,000
Bak Stempel 0 20,000 0 0 20,000
Binder klip No.155 0 14,000 0 0 14,000
Binder Klip No. 260 0 30,000 0 0 30,000
Bolpoin Faster 0 36,000 0 0 36,000
Buku Kuitansi 0 8,000 0 0 8,000
Buku Nota 3 ply 0 8,000 0 0 8,000
Catriedge 0 250,000 0 0 250,000
Document Keeper 0 45,000 0 0 45,000
Kalkulator 0 90,000 0 0 90,000
Map Tali Portepel 0 5,500 0 0 5,500
Odner 0 12,000 0 0 12,000
Penghapus Pensil "Stadeler" 0 22,000 0 0 22,000
Penghapus Papan Tulis 0 5,000 0 0 5,000
Plak Ban 0 13,400 0 0 13,400
Spidol White Board 0 8,000 0 0 8,000
JUMLAH 0 0 0 0 0
Cetakan 0 0 0 0 0
Lembar Regristrasi BPJS 0 6,600 0 0 6,600
Rujukan 0 13,750 0 0 13,750
Agenda Surat Keluar 0 24,750 0 0 24,750
Agenda Surat Masuk 0 24,750 0 0 24,750
Kartu Persediaan Barang 0 1,650 0 0 1,650
Kartu Barang 0 850 0 0 850
Rawat Inap & UGD 24 jam 0 57,750 0 0 57,750
Laporan Pelayanan RJTP 0 65,500 0 0 65,500
Surat Ket. Rawat Jamkesda 0 18,200 0 0 18,200
Surat Ket. Rawat BPJS 0 65,500 0 0 65,500
SJPP BPJS 0 65,500 0 0 65,500
Visite dokter & catatan perawat 0 55,000 0 0 55,000
Surat Keterangan 0 65,500 0 0 65,500
Cairan Masuk / Keluar 0 55,000 0 0 55,000
Status pasien Rawat Inap 0 55,000 0 0 55,000
Surat Ket. Istirahat Pelajar 0 4,500 0 0 4,500
Surat Ket. Istirahat Pegawai 0 4,500 0 0 4,500
Lembar Regristrasi Umum 0 7,500 0 0 7,500
SJPP BPJS 0 8,500 0 0 8,500
Surat Ket. Rawat Inap BPJS 0 8,500 0 0 8,500
Surat Pernyataan MRS & Tindak 0 7,000 0 0 7,000
Kartu Anamnesa 0 250 0 0 250
Buku KIA 0 7,300 0 0 7,300
Buku SKP Pegawai 0 2,000 0 31 2,000
Lembar Disposisi 0 66,000 0 0 66,000
JUMLAH 0 0 0 0 0
Cairan Pembersih "Wipol" 0 9,500 0 0 9,500
Lap Mobil "Ken Master" 0 23,500 0 0 23,500
Kresek hitam besar 0 27,500 0 0 27,500
Penebah "2 Macan" 0 11,000 0 0 11,000
Pengharum ruangan "Stella" 0 21,500 0 0 21,500
Pengharum mobil "Glade" 0 26,000 0 0 26,000
Reffil sabun cuci "Sunlight" 0 6,000 0 0 6,000
Reffil sabun cuci tangan 0 14,000 0 0 14,000
Sapu panjang "Lowo-lowo" 0 16,500 0 0 16,500
Tempat sampah injak sedang 0 93,500 0 0 93,500
Handuk kecil putih 0 4,000 0 0 4,000
Sapu lidi 0 8,000 0 0 8,000
JUMLAH 0 0 0 0 0
Materai & Perangko
Materai @3.000 0 3,500 0 0 3,500
Materai @6.000 0 6,500 0 0 6,500
JUMLAH 0 0 0 0 0
Suku Cadang
Kampas rem depan 0 165,000 0 1 165,000
Wiber bash 0 85,000 0 1 85,000
Wiper link 0 165,000 0 1 165,000
Roch and 0 330,000 0 2 330,000
F. Bell FM 35 0 35,000 0 1 35,000
F. Bell FM A 38 0 40,000 0 1 40,000
Karet Stabil 0 35,000 0 2 35,000
Bos rock SRR 0 35,000 0 1 35,000
Nepel Accu B 0 25,000 0 1 25,000
Platina 0 85,000 0 1 85,000
Shell HyS 0 200,000 0 1 200,000
Karet Anteng pir 0 50,000 0 10 50,000
Idle UP AC 0 170,000 0 1 170,000
Kabel busi + busi Wl Gr W 0 190,000 0 1 190,000
Wiber bosh 0 80,000 0 1 80,000
Accu NS 70 YUASA 0 900,000 0 1 900,000
Karet Stutbar 0 40,000 0 40,000
Tie Rod 0 150,000 0 150,000
Karet stabil A 0 15,000 0 15,000
Karet stabil 0 5,000 0 5,000
Bos Uper Arm K 0 60,000 0 60,000
Bos Uper Arm B 0 55,000 0 55,000
Boll Jabt Atas 0 137,000 0 137,000
Sen Hys 0 230,000 0 230,000
HDA 90 0 170,000 0 170,000
Oil Filter 0 40,000 0 40,000
Brake Master 0 350,000 0 350,000
Minyak rem Toyota 0 50,000 0 50,000
Shell Hys 0 225,000 0 225,000
JUMLAH 0 0 0 0
Bahan Kimia 0 0 0 0
Melation 0 200,000 0 200,000
Temephos 0 115,000 0 115,000
RDT DBD 0 3,275,000 0 3,275,000
JUMLAH 0 0 0 0
Alat Lab. Habis Pakai 0 0 0 0
Blood Lancet 0 197,500 0 197,500
Cholesterol stik 0 198,500 0 198,500
GDA Stik 0 122,500 0 122,500
Kartu Golongan Darah 0 1,200 0 1,200
Kertas lensa 0 29,000 0 29,000
Plano test 0 178,000 0 178,000
Rak pipet mikro 0 97,500 0 97,500
Slide 0 49,250 0 49,250
Tabung reaksi kecil 0 1,900 0 1,900
Pipet Wester green 0 29,000 0 29,000
UA stik 0 129,000 0 129,000
Urine Strip 10 PM 0 248,500 0 248,500
Urine Strip 3 PM 0 69,000 0 69,000
PP Test 0 1,939 0 1,939
Protein urine test 0 1,045 0 1,045
JUMLAH 0 0 0 0
Bahan Makanan 0 0 0 0
Susu Nutrien Yunior 0 131,296 0 131,296
Susu Bebemama 0 33,968 0 33,968
JUMLAH
Karcis
Karcis Rp. 2.000,- 447 24.00 10,728 0 24.00
Karcis Rp. 2.500,- 580 24.00 13,920 24.00
Karcis Rp. 3.000,- 646 24.00 15,504 24.00
Karcis Rp. 5.000,- 2,021 29.70 60,024 29.70
Karcis Rp. 10.000,- 651 20.00 13,020 20.00
Karcis Rp. 10.000,- 0 25.00 0 25.00
Karcis Rp. 20.000,- 43 24.65 1,060 24.65
Karcis Rp. 25.000,- 199 24.65 4,905 24.65
Karcis Rp. 50.000,- 189 20.00 3,780 20.00
Karcis Rp. 100.000,- 670 24.65 16,516 24.65
Karcis Ambulan 734 96.78 71,037 96.78
Karcis Keperawatan 569 156.00 88,764 156.00
Karcis Keperawatan 0 100.00 0 100.00
JUMLAH 299,257
Mengetahui
Kepala Puskesmas Winongan
dr. ANNIS ULANA

NIP. 19760324 200604 1 010
N PENCATATAN MUTASI PERSEDIAAN
TASI TAMBAH MUTASI KURANG SALDO AKHIR 31/01/2015

KETERANGA
JUMLAH NILAI JUMLAH NILAI N
NILAI (Rp) NILAI (Rp) NILAI (Rp)
(8)=(6)x(7) (9) (10) (11)=(9)x(10) (12)=(3)+(6)-(9) (13) (14)=(12)x(13) (15)
0 0 13,750 0 0 13,750 0
0 0 10,000 0 0 10,000 0
0 0 750 0 0 750 0
0 0 25,000 0 0 25,000 0
0 0 33,000 0 0 33,000 0
0 0 11,000 0 0 11,000 0
0 0 5,500 0 0 5,500 0
0 0 4,000 0 0 4,000 0
0 0 43,000 0 0 43,000 0
0 0 1,000 0 0 1,000 0
0 0 4,000 0 0 4,000 0
0 0 22,000 0 0 22,000 0
0 0 2,000 0 0 2,000 0
0 0 7,750 0 0 7,750 0
0 0 8,125 0 0 8,125 0
0 0 8,000 0 0 8,000 0
0 0 500 0 0 500 0
0 0 4,500 0 0 4,500 0
0 0 60,000 0 0 60,000 0
0 0 110,000 0 0 110,000 0
0 0 5,000 0 0 5,000 0
0 0 20,000 0 0 20,000 0
0 0 14,000 0 0 14,000 0
0 0 30,000 0 0 30,000 0
0 0 36,000 0 0 36,000 0
0 0 8,000 0 0 8,000 0
0 0 8,000 0 0 8,000 0
0 0 250,000 0 0 250,000 0
0 0 45,000 0 0 45,000 0
0 0 90,000 0 0 90,000 0
0 0 47,000 0 0 47,000 0
0 0 5,500 0 0 5,500 0
0 0 12,000 0 0 12,000 0
0 0 22,000 0 0 22,000 0
0 0 5,000 0 0 5,000 0
0 0 13,400 0 0 13,400 0
0 0 8,000 0 0 8,000 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 6,600 0 0 6,600 0
0 0 13,750 0 0 13,750 0
0 0 24,750 0 0 24,750 0
0 0 24,750 0 0 24,750 0
0 0 1,650 0 0 1,650 0
0 0 850 0 0 850 0
0 0 57,750 0 0 57,750 0
0 0 65,500 0 0 65,500 0
0 0 18,200 0 0 18,200 0
0 0 65,500 0 0 65,500 0
0 0 65,500 0 0 65,500 0
0 0 55,000 0 0 55,000 0
0 0 65,500 0 0 65,500 0
0 0 55,000 0 0 55,000 0
0 0 55,000 0 0 55,000 0
0 0 4,500 0 0 4,500 0
0 0 4,500 0 0 4,500 0
0 0 4,000 0 0 4,000 0
0 0 7,500 0 0 7,500 0
0 0 8,500 0 0 8,500 0
0 0 8,500 0 0 8,500 0
0 0 7,000 0 0 7,000 0
0 0 250 0 0 250 0
0 0 7,300 0 0 7,300 0
62,000 31 2,000 62,000 0 2,000 0
0 0 66,000 0 0 66,000 0
62,000 0 0 62,000 0 0 0 0
0 0 9,500 0 0 9,500 0
0 0 23,500 0 0 23,500 0
0 0 27,500 0 0 27,500 0
0 0 11,000 0 0 11,000 0
0 0 21,500 0 0 21,500 0
0 0 26,000 0 0 26,000 0
0 0 6,000 0 0 6,000 0
0 0 14,000 0 0 14,000 0
0 0 16,500 0 0 16,500 0
0 0 93,500 0 0 93,500 0
0 0 4,000 0 0 4,000 0
0 0 8,000 0 0 8,000 0
0 0 0 0 0 0 0
0 0 3,500 0 0 3,500 0
0 0 6,500 0 0 6,500 0
0 0 0 0 0 0 0 0
165,000 1 165,000 165,000 0 165,000 0

85,000 1 85,000 85,000 0 85,000 0
165,000 1 165,000 165,000 0 165,000 0
660,000 2 330,000 660,000 0 330,000 0
35,000 1 35,000 35,000 0 35,000 0
40,000 1 40,000 40,000 0 40,000 0
70,000 2 35,000 70,000 0 35,000 0
35,000 1 35,000 35,000 0 35,000 0
25,000 1 25,000 25,000 0 25,000 0
85,000 1 85,000 85,000 0 85,000 0
200,000 1 200,000 200,000 0 200,000 0
500,000 10 50,000 500,000 0 50,000 0
170,000 1 170,000 170,000 0 170,000 0
190,000 1 190,000 190,000 0 190,000 0
80,000 1 80,000 80,000 0 80,000 0
900,000 1 900,000 900,000 0 900,000 0
0 0 40,000 0 0 40,000 0
0 0 150,000 0 0 150,000 0
0 0 15,000 0 0 15,000 0
0 0 5,000 0 0 5,000 0
0 0 60,000 0 0 60,000 0
0 0 55,000 0 0 55,000 0
0 0 137,000 0 0 137,000 0
0 0 230,000 0 0 230,000 0
0 0 170,000 0 0 170,000 0
0 0 40,000 0 0 40,000 0
0 0 350,000 0 0 350,000 0
0 0 50,000 0 0 50,000 0
0 0 225,000 0 0 225,000 0
3,405,000 3,405,000 0 0 0
0 0 0 0 0 0
0 200,000 0 0 200,000 0
0 115,000 0 0 115,000 0
0 3,275,000 0 0 3,275,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 197,500 0 0 197,500 0
0 198,500 0 0 198,500 0
0 122,500 0 0 122,500 0
0 1,200 0 0 1,200 0
0 29,000 0 0 29,000 0
0 178,000 0 0 178,000 0
0 97,500 0 0 97,500 0
0 49,250 0 0 49,250 0
0 1,900 0 0 1,900 0
0 29,000 0 0 29,000 0
0 129,000 0 0 129,000 0
0 248,500 0 0 248,500 0
0 69,000 0 0 69,000 0
0 1,939 0 0 1,939 0
0 1,045 0 0 1,045 0
0 0 0 0 0 0
0 0 0 0 0 0
0 131,296 0 0 131,296 0
0 33,968 0 0 33,968 0
0 33 24.00 792 414 24.00 9,936.00

0 71 24.00 1,704 509 24.00 12,216.00
0 6 24.00 144 640 24.00 15,360.00
0 82 29.70 2,435 1,939 29.70 57,588.30
0 23 20.00 460 628 20.00 12,560.00
0 0 25.00 0 0 25.00 0.00
0 20 24.65 493 23 24.65 566.95
0 1 24.65 25 198 24.65 4,880.70
0 2 20.00 40 187 20.00 3,740.00
0 3 24.65 74 667 24.65 16,441.55
0 2 96.78 194 732 96.78 70,842.96
0 13 156.00 2,028 556 156.00 86,736.00
0 0 100.00 0 0 100.00 0.00
0 8,389 290,868

BULAN : MARET 2015

NILAI (Rp)
(1) (2) (3) (4) (5)=(3)x(4) (6) (7)
1 Alat Tulis Kantor

Binder klip No. 155 0 10,000 0 0 10,000
Binder klip No. 155 0 750 0 0 750
Binder klip No. 260 0 25,000 0 0 25,000
Bolpoin Faster 0 33,000 0 0 33,000
Buku kuarto 100 0 11,000 0 0 11,000
Cutter A300 0 5,500 0 0 5,500
Isi Stepler 0 4,000 0 0 4,000
Kertas Plano 0 1,000 0 0 1,000
Paper klip no. 5 0 4,000 0 0 4,000
Spidol kecil 0 2,000 0 0 2,000
Flashdisk 4 GB 0 60,000 0 0 60,000
Portepel 0 5,000 0 0 5,000
Bak Stempel 0 20,000 0 0 20,000
Binder klip No.155 0 14,000 0 0 14,000
Binder Klip No. 260 0 30,000 0 0 30,000
Bolpoin Faster 0 36,000 0 0 36,000
Buku Kuitansi 0 8,000 0 0 8,000
Buku Nota 3 ply 0 8,000 0 0 8,000
Catriedge 0 250,000 0 0 250,000
Kalkulator 0 90,000 0 0 90,000
Odner 0 12,000 0 0 12,000
Plak Ban 0 13,400 0 0 13,400
JUMLAH 0 0 0 0
Cetakan
Rujukan 0 13,750 0 0 13,750
SJPP BPJS 0 65,500 0 0 65,500
SJPP BPJS 0 8,500 0 0 8,500
Buku KIA 0 7,300 0 0 7,300
JUMLAH 0 0 0 0
Penebah "2 Macan" 0 11,000 0 0 11,000
Sapu lidi 0 8,000 0 0 8,000
JUMLAH 0 0 0 0
Materai & Perangko
Materai @3.000 0 3,500 0 0 3,500
Materai @6.000 0 6,500 0 0 6,500
JUMLAH 0 0 0 0 0
Suku Cadang 0 0 0 0 0
Kampas rem depan 0 165,000 0 0 165,000
Wiber bash 0 85,000 0 0 85,000
Wiper link 0 165,000 0 0 165,000
Roch and 0 330,000 0 0 330,000
F. Bell FM 35 0 35,000 0 0 35,000
F. Bell FM A 38 0 40,000 0 0 40,000
Karet Stabil 0 35,000 0 0 35,000
Bos rock SRR 0 35,000 0 0 35,000
Nepel Accu B 0 25,000 0 0 25,000
Platina 0 85,000 0 0 85,000
Shell HyS 0 200,000 0 0 200,000
Karet Anteng pir 0 50,000 0 0 50,000
Idle UP AC 0 170,000 0 0 170,000
Wiber bosh 0 80,000 0 0 80,000
Accu NS 70 YUASA 0 900,000 0 0 900,000
Karet Stutbar 0 40,000 0 0 40,000
Tie Rod 0 150,000 0 0 150,000
Karet stabil A 0 15,000 0 0 15,000
Karet stabil 0 5,000 0 0 5,000
Bos Uper Arm K 0 60,000 0 0 60,000
Bos Uper Arm B 0 55,000 0 0 55,000
Boll Jabt Atas 0 137,000 0 0 137,000
Sen Hys 0 230,000 0 0 230,000
HDA 90 0 170,000 0 0 170,000
Oil Filter 0 40,000 0 0 40,000
Brake Master 0 350,000 0 0 350,000
Minyak rem Toyota 0 50,000 0 0 50,000
Shell Hys 0 225,000 0 0 225,000
JUMLAH 0 0 0 0
Bahan Kimia 0 0 0 0
Melation 0 200,000 0 0 200,000
Temephos 0 115,000 0 0 115,000
RDT DBD 0 3,275,000 0 0 3,275,000
JUMLAH 0 0 0 0
Blood Lancet 0 197,500 0 0 197,500
Cholesterol stik 0 198,500 0 0 198,500
GDA Stik 0 122,500 0 0 122,500
Kartu Golongan Darah 0 1,200 0 0 1,200
Kertas lensa 0 29,000 0 0 29,000
Plano test 0 178,000 0 0 178,000
Rak pipet mikro 0 97,500 0 0 97,500
Slide 0 49,250 0 0 49,250
Tabung reaksi kecil 0 1,900 0 0 1,900
Pipet Wester green 0 29,000 0 0 29,000
UA stik 0 129,000 0 0 129,000
Urine Strip 10 PM 0 248,500 0 0 248,500
Urine Strip 3 PM 0 69,000 0 0 69,000
PP Test 0 1,939 0 0 1,939
Protein urine test 0 1,045 0 0 1,045
JUMLAH 0 0 0 0
Susu Nutrien Yunior 0 131,296 0 131,296
Susu Bebemama 0 33,968 0 33,968
JUMLAH
Karcis
Karcis Rp. 2.000,- 414 24.00 9,936 24.00
Karcis Rp. 2.500,- 509 24.00 12,216 24.00
Karcis Rp. 3.000,- 640 24.00 15,360 24.00
Karcis Rp. 5.000,- 1,939 29.70 57,588 29.70
Karcis Rp. 10.000,- 628 20.00 12,560 20.00
Karcis Rp. 10.000,- 0 25.00 0 25.00
Karcis Rp. 20.000,- 23 24.65 567 300 24.65
Karcis Rp. 25.000,- 198 24.65 4,881 24.65
Karcis Rp. 50.000,- 187 20.00 3,740 20.00
Karcis Rp. 100.000,- 667 24.65 16,442 24.65
Karcis Ambulan 732 96.78 70,843 96.78
JUMLAH 290,868

KETERANGA
(8)=(6)x(7) (9) (10) (11)=(9)x(10) (12)=(3)+(6)-(9) (13) (14)=(12)x(13) (15)
0 13,750 0 0 13,750 0
0 10,000 0 0 10,000 0
0 750 0 0 750 0
0 25,000 0 0 25,000 0
0 33,000 0 0 33,000 0
0 11,000 0 0 11,000 0
0 5,500 0 0 5,500 0
0 4,000 0 0 4,000 0
0 43,000 0 0 43,000 0
0 1,000 0 0 1,000 0
0 4,000 0 0 4,000 0
0 22,000 0 0 22,000 0
0 2,000 0 0 2,000 0
0 7,750 0 0 7,750 0
0 8,125 0 0 8,125 0
0 8,000 0 0 8,000 0
0 500 0 0 500 0
0 4,500 0 0 4,500 0
0 60,000 0 0 60,000 0
0 110,000 0 0 110,000 0
0 5,000 0 0 5,000 0
0 20,000 0 0 20,000 0
0 14,000 0 0 14,000 0
0 30,000 0 0 30,000 0
0 36,000 0 0 36,000 0
0 8,000 0 0 8,000 0
0 8,000 0 0 8,000 0
0 250,000 0 0 250,000 0
0 45,000 0 0 45,000 0
0 90,000 0 0 90,000 0
0 47,000 0 0 47,000 0
0 5,500 0 0 5,500 0
0 12,000 0 0 12,000 0
0 22,000 0 0 22,000 0
0 5,000 0 0 5,000 0
0 13,400 0 0 13,400 0
0 8,000 0 0 8,000 0
0 0 0 0 0 0
0 6,600 0 0 6,600 0
0 13,750 0 0 13,750 0
0 24,750 0 0 24,750 0
0 24,750 0 0 24,750 0
0 1,650 0 0 1,650 0
0 850 0 0 850 0
0 57,750 0 0 57,750 0
0 65,500 0 0 65,500 0
0 18,200 0 0 18,200 0
0 65,500 0 0 65,500 0
0 65,500 0 0 65,500 0
0 55,000 0 0 55,000 0
0 65,500 0 0 65,500 0
0 55,000 0 0 55,000 0
0 55,000 0 0 55,000 0
0 4,500 0 0 4,500 0
0 4,500 0 0 4,500 0
0 4,000 0 0 4,000 0
0 7,500 0 0 7,500 0
0 8,500 0 0 8,500 0
0 8,500 0 0 8,500 0
0 7,000 0 0 7,000 0
0 250 0 0 250 0
0 7,300 0 0 7,300 0
0 2,000 0 0 2,000 0
0 66,000 0 0 66,000 0
0 0 0 0 0 0
0 9,500 0 0 9,500 0
0 23,500 0 0 23,500 0
0 27,500 0 0 27,500 0
0 11,000 0 0 11,000 0
0 21,500 0 0 21,500 0
0 26,000 0 0 26,000 0
0 6,000 0 0 6,000 0
0 14,000 0 0 14,000 0
0 16,500 0 0 16,500 0
0 93,500 0 0 93,500 0
0 4,000 0 0 4,000 0
0 8,000 0 0 8,000 0
0 0 0 0 0 0
0 0 3,500 0 0 3,500 0
0 0 6,500 0 0 6,500 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 165,000 0 0 165,000 0
0 0 85,000 0 0 85,000 0
0 0 165,000 0 0 165,000 0
0 0 330,000 0 0 330,000 0
0 0 35,000 0 0 35,000 0
0 0 40,000 0 0 40,000 0
0 0 35,000 0 0 35,000 0
0 0 35,000 0 0 35,000 0
0 0 25,000 0 0 25,000 0
0 0 85,000 0 0 85,000 0
0 0 200,000 0 0 200,000 0
0 0 50,000 0 0 50,000 0
0 0 170,000 0 0 170,000 0
0 0 190,000 0 0 190,000 0
0 0 80,000 0 0 80,000 0
0 0 900,000 0 0 900,000 0
0 0 40,000 0 0 40,000 0
0 0 150,000 0 0 150,000 0
0 0 15,000 0 0 15,000 0
0 0 5,000 0 0 5,000 0
0 0 60,000 0 0 60,000 0
0 0 55,000 0 0 55,000 0
0 0 137,000 0 0 137,000 0
0 0 230,000 0 0 230,000 0
0 0 170,000 0 0 170,000 0
0 0 40,000 0 0 40,000 0
0 0 350,000 0 0 350,000 0
0 0 50,000 0 0 50,000 0
0 0 225,000 0 0 225,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 200,000 0 0 200,000 0
0 0 115,000 0 0 115,000 0
0 0 3,275,000 0 0 3,275,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 197,500 0 0 197,500 0
0 0 198,500 0 0 198,500 0
0 0 122,500 0 0 122,500 0
0 0 1,200 0 0 1,200 0
0 0 29,000 0 0 29,000 0
0 0 178,000 0 0 178,000 0
0 0 97,500 0 0 97,500 0
0 0 49,250 0 0 49,250 0
0 0 1,900 0 0 1,900 0
0 0 29,000 0 0 29,000 0
0 0 129,000 0 0 129,000 0
0 0 248,500 0 0 248,500 0
0 0 69,000 0 0 69,000 0
0 0 1,939 0 0 1,939 0
0 0 1,045 0 0 1,045 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 131,296 0 0 131,296 0
0 0 33,968 0 0 33,968 0
0 24 24.00 576 390 24.00 9,360

0 69 24.00 1,656 440 24.00 10,560
0 4 24.00 96 636 24.00 15,264
0 124 29.70 3,683 1,815 29.70 53,906
0 138 20.00 2,760 490 20.00 9,800
0 0 25.00 0 0 25.00 0
7,395 24 24.65 592 299 24.65 7,370
0 6 24.65 148 192 24.65 4,733
0 6 20.00 120 181 20.00 3,620
0 0 24.65 0 667 24.65 16,442
0 5 96.78 484 727 96.78 70,359
0 18 156.00 2,808 538 156.00 83,928
0 100.00 0 0 100.00 0
7,395 12,922 285,341

BULAN : APRIL 2015

NILAI (Rp)
(1) (2) (3) (4) (5)=(3)x(4) (6) (7)
1 Alat Tulis Kantor

Binder klip No. 155 0 10,000 0 0 10,000
Binder klip No. 155 0 750 0 0 750
Binder klip No. 260 0 25,000 0 0 25,000
Bolpoin Faster 0 33,000 0 0 33,000
Buku kuarto 100 0 11,000 0 0 11,000
Cutter A300 0 5,500 0 0 5,500
Isi Stepler 0 4,000 0 0 4,000
Kertas Plano 0 1,000 0 0 1,000
Paper klip no. 5 0 4,000 0 0 4,000
Spidol kecil 0 2,000 0 0 2,000
Flashdisk 4 GB 0 60,000 0 0 60,000
Portepel 0 5,000 0 0 5,000
Bak Stempel 0 20,000 0 0 20,000
Binder klip No.155 0 14,000 0 0 14,000
Binder Klip No. 260 0 30,000 0 0 30,000
Bolpoin Faster 0 36,000 0 0 36,000
Buku Kuitansi 0 8,000 0 0 8,000
Buku Nota 3 ply 0 8,000 0 0 8,000
Catriedge 0 250,000 0 0 250,000
Kalkulator 0 90,000 0 0 90,000
Odner 0 12,000 0 0 12,000
Plak Ban 0 13,400 0 0 13,400
JUMLAH 0 0 0 0
Cetakan 0 0 0 0
Rujukan 0 13,750 0 0 13,750
SJPP BPJS 0 65,500 0 0 65,500
SJPP BPJS 0 8,500 0 0 8,500
Buku KIA 0 7,300 0 0 7,300
JUMLAH 0 0 0 0
Alat Kebersihan & Bahan Pemb 0 0 0 0
Penebah "2 Macan" 0 11,000 0 0 11,000
Sapu lidi 0 8,000 0 0 8,000
JUMLAH 0 0 0 0
Materai & Perangko 0 0 0 0
Materai @3.000 0 3,500 0 0 3,500
Materai @6.000 0 6,500 0 0 6,500
JUMLAH 0 0 0 0
Suku Cadang 0 0 0 0
Kampas rem depan 0 165,000 0 0 165,000
Wiber bash 0 85,000 0 0 85,000
Wiper link 0 165,000 0 0 165,000
Roch and 0 330,000 0 0 330,000
F. Bell FM 35 0 35,000 0 0 35,000
F. Bell FM A 38 0 40,000 0 0 40,000
Karet Stabil 0 35,000 0 0 35,000
Bos rock SRR 0 35,000 0 0 35,000
Nepel Accu B 0 25,000 0 0 25,000
Platina 0 85,000 0 0 85,000
Shell HyS 0 200,000 0 0 200,000
Karet Anteng pir 0 50,000 0 0 50,000
Idle UP AC 0 170,000 0 0 170,000
Wiber bosh 0 80,000 0 0 80,000
Accu NS 70 YUASA 0 900,000 0 0 900,000
Karet Stutbar 0 40,000 0 0 40,000
Tie Rod 0 150,000 0 0 150,000
Karet stabil A 0 15,000 0 0 15,000
Karet stabil 0 5,000 0 0 5,000
Bos Uper Arm K 0 60,000 0 0 60,000
Bos Uper Arm B 0 55,000 0 0 55,000
Boll Jabt Atas 0 137,000 0 0 137,000
Sen Hys 0 230,000 0 0 230,000
HDA 90 0 170,000 0 0 170,000
Oil Filter 0 40,000 0 0 40,000
Brake Master 0 350,000 0 0 350,000
Shell Hys 0 225,000 0 0 225,000
JUMLAH 0 0 0 0
Bahan Kimia 0 0 0 0
Melation 0 200,000 0 0 200,000
Temephos 0 115,000 0 0 115,000
RDT DBD 0 3,275,000 0 0 3,275,000
JUMLAH 0 0 0 0
Blood Lancet 0 197,500 0 0 197,500
GDA Stik 0 122,500 0 0 122,500
Kertas lensa 0 29,000 0 0 29,000
Plano test 0 178,000 0 0 178,000
Rak pipet mikro 0 97,500 0 0 97,500
Slide 0 49,250 0 0 49,250
UA stik 0 129,000 0 0 129,000
Urine Strip 10 PM 0 248,500 0 0 248,500
Urine Strip 3 PM 0 69,000 0 0 69,000
PP Test 0 1,939 0 0 1,939
JUMLAH 0 0 0 0
Susu Nutrien Yunior 0 131,296 0 0 131,296
Susu Bebemama 0 33,968 0 0 33,968
JUMLAH
Karcis
Karcis Rp. 2.000,- 390 24.00 9,360 24.00
Karcis Rp. 2.500,- 440 24.00 10,560 24.00
Karcis Rp. 3.000,- 636 24.00 15,264 24.00
Karcis Rp. 5.000,- 1,815 29.70 53,906 29.70
Karcis Rp. 10.000,- 490 20.00 9,800 20.00
Karcis Rp. 10.000,- 0 25.00 0 25.00
Karcis Rp. 20.000,- 299 24.65 7,370 24.65
Karcis Rp. 25.000,- 192 24.65 4,733 24.65
Karcis Rp. 50.000,- 181 20.00 3,620 20.00
Karcis Rp. 100.000,- 667 24.65 16,442 24.65
Karcis Ambulan 727 96.78 70,359 96.78
JUMLAH 285,341

KETERANGA
(8)=(6)x(7) (9) (10) (11)=(9)x(10) (12)=(3)+(6)-(9) (13) (14)=(12)x(13) (15)
0 0 13,750 0 0 13,750 0
0 0 10,000 0 0 10,000 0
0 0 750 0 0 750 0
0 0 25,000 0 0 25,000 0
0 0 33,000 0 0 33,000 0
0 0 11,000 0 0 11,000 0
0 0 5,500 0 0 5,500 0
0 0 4,000 0 0 4,000 0
0 0 43,000 0 0 43,000 0
0 0 1,000 0 0 1,000 0
0 0 4,000 0 0 4,000 0
0 0 22,000 0 0 22,000 0
0 0 2,000 0 0 2,000 0
0 0 7,750 0 0 7,750 0
0 0 8,125 0 0 8,125 0
0 0 8,000 0 0 8,000 0
0 0 500 0 0 500 0
0 0 4,500 0 0 4,500 0
0 0 60,000 0 0 60,000 0
0 0 110,000 0 0 110,000 0
0 0 5,000 0 0 5,000 0
0 0 20,000 0 0 20,000 0
0 0 14,000 0 0 14,000 0
0 0 30,000 0 0 30,000 0
0 0 36,000 0 0 36,000 0
0 0 8,000 0 0 8,000 0
0 0 8,000 0 0 8,000 0
0 0 250,000 0 0 250,000 0
0 0 45,000 0 0 45,000 0
0 0 90,000 0 0 90,000 0
0 0 47,000 0 0 47,000 0
0 0 5,500 0 0 5,500 0
0 0 12,000 0 0 12,000 0
0 0 22,000 0 0 22,000 0
0 0 5,000 0 0 5,000 0
0 0 13,400 0 0 13,400 0
0 0 8,000 0 0 8,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 6,600 0 0 6,600 0
0 0 13,750 0 0 13,750 0
0 0 24,750 0 0 24,750 0
0 0 24,750 0 0 24,750 0
0 0 1,650 0 0 1,650 0
0 0 850 0 0 850 0
0 0 57,750 0 0 57,750 0
0 0 65,500 0 0 65,500 0
0 0 18,200 0 0 18,200 0
0 0 65,500 0 0 65,500 0
0 0 65,500 0 0 65,500 0
0 0 55,000 0 0 55,000 0
0 0 65,500 0 0 65,500 0
0 0 55,000 0 0 55,000 0
0 0 55,000 0 0 55,000 0
0 0 4,500 0 0 4,500 0
0 0 4,500 0 0 4,500 0
0 0 4,000 0 0 4,000 0
0 0 7,500 0 0 7,500 0
0 0 8,500 0 0 8,500 0
0 0 8,500 0 0 8,500 0
0 0 7,000 0 0 7,000 0
0 0 250 0 0 250 0
0 0 7,300 0 0 7,300 0
0 0 2,000 0 0 2,000 0
0 0 66,000 0 0 66,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 9,500 0 0 9,500 0
0 0 23,500 0 0 23,500 0
0 0 27,500 0 0 27,500 0
0 0 11,000 0 0 11,000 0
0 0 21,500 0 0 21,500 0
0 0 26,000 0 0 26,000 0
0 0 6,000 0 0 6,000 0
0 0 14,000 0 0 14,000 0
0 0 16,500 0 0 16,500 0
0 0 93,500 0 0 93,500 0
0 0 4,000 0 0 4,000 0
0 0 8,000 0 0 8,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 3,500 0 0 3,500 0
0 0 6,500 0 0 6,500 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 165,000 0 0 165,000 0
0 0 85,000 0 0 85,000 0
0 0 165,000 0 0 165,000 0
0 0 330,000 0 0 330,000 0
0 0 35,000 0 0 35,000 0
0 0 40,000 0 0 40,000 0
0 0 35,000 0 0 35,000 0
0 0 35,000 0 0 35,000 0
0 0 25,000 0 0 25,000 0
0 0 85,000 0 0 85,000 0
0 0 200,000 0 0 200,000 0
0 0 50,000 0 0 50,000 0
0 0 170,000 0 0 170,000 0
0 0 190,000 0 0 190,000 0
0 0 80,000 0 0 80,000 0
0 0 900,000 0 0 900,000 0
0 0 40,000 0 0 40,000 0
0 0 150,000 0 0 150,000 0
0 0 15,000 0 0 15,000 0
0 0 5,000 0 0 5,000 0
0 0 60,000 0 0 60,000 0
0 0 55,000 0 0 55,000 0
0 0 137,000 0 0 137,000 0
0 0 230,000 0 0 230,000 0
0 0 170,000 0 0 170,000 0
0 0 40,000 0 0 40,000 0
0 0 350,000 0 0 350,000 0
0 0 50,000 0 0 50,000 0
0 0 225,000 0 0 225,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 200,000 0 0 200,000 0
0 0 115,000 0 0 115,000 0
0 0 3,275,000 0 0 3,275,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 197,500 0 0 197,500 0
0 0 198,500 0 0 198,500 0
0 0 122,500 0 0 122,500 0
0 0 1,200 0 0 1,200 0
0 0 29,000 0 0 29,000 0
0 0 178,000 0 0 178,000 0
0 0 97,500 0 0 97,500 0
0 0 49,250 0 0 49,250 0
0 0 1,900 0 0 1,900 0
0 0 29,000 0 0 29,000 0
0 0 129,000 0 0 129,000 0
0 0 248,500 0 0 248,500 0
0 0 69,000 0 0 69,000 0
0 0 1,939 0 0 1,939 0
0 0 1,045 0 0 1,045 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 131,296 0 0 131,296 0
0 0 33,968 0 0 33,968 0
0 27 24 648 363 24 8,712

0 93 24 2,232 347 24 8,328
0 6 24 144 630 24 15,120
0 120 30 3,564 1,695 30 50,342
0 68 20 1,360 422 20 8,440
0 0 25 0 0 25 0
0 20 25 493 279 25 6,877
0 1 25 25 191 25 4,708
0 2 20 40 179 20 3,580
0 0 25 0 667 25 16,442
0 2 97 194 725 97 70,166
0 22 156 3,432 516 156 80,496
0 0 100 0 0 100 0
0 12,131 273,210

BULAN : MEI 2015

NILAI (Rp)
(1) (2) (3) (4) (5)=(3)x(4) (6) (7)
1 Alat Tulis Kantor

Binder klip No. 155 0 10,000 0 40 10,000
Binder klip No. 155 0 750 0 0 750
Binder klip No. 260 0 25,000 0 10 25,000
Bolpoin Faster 0 33,000 0 22 33,000
Buku kuarto 100 0 11,000 0 45 11,000
Cutter A300 0 5,500 0 16 5,500
Isi Stepler 0 4,000 0 30 4,000
Kertas Plano 0 1,000 0 50 1,000
Paper klip no. 5 0 4,000 0 5 4,000
Spidol kecil 0 2,000 0 100 2,000
Flashdisk 4 GB 0 60,000 0 3 60,000
Portepel 0 5,000 0 4 5,000
Bak Stempel 0 20,000 0 0 20,000
Binder klip No.155 0 14,000 0 0 14,000
Binder Klip No. 260 0 30,000 0 0 30,000
Bolpoin Faster 0 36,000 0 0 36,000
Buku Kuitansi 0 8,000 0 0 8,000
Buku Nota 3 ply 0 8,000 0 0 8,000
Catriedge 0 250,000 0 0 250,000
Kalkulator 0 90,000 0 0 90,000
Odner 0 12,000 0 0 12,000
Plak Ban 0 13,400 0 0 13,400
JUMLAH 0 0 0 0
Cetakan 0 0 0 0
Rujukan 0 13,750 0 0 13,750
SJPP BPJS 0 65,500 0 0 65,500
SJPP BPJS 0 8,500 0 0 8,500
Buku KIA 0 7,300 0 0 7,300
JUMLAH 0 0 0 0
Alat Kebersihan & Bahan Pembe 0 0 0 0
Penebah "2 Macan" 0 11,000 0 8 11,000
Sapu lidi 0 8,000 0 1 8,000
JUMLAH 0 0 0 0
Materai @3.000 0 3,500 0 40 3,500
Materai @6.000 0 6,500 0 50 6,500
JUMLAH 0 0 0 0
Suku Cadang 0 0 0 0
Kampas rem depan 0 165,000 0 0 165,000
Wiber bash 0 85,000 0 0 85,000
Wiper link 0 165,000 0 0 165,000
Roch and 0 330,000 0 0 330,000
F. Bell FM 35 0 35,000 0 0 35,000
F. Bell FM A 38 0 40,000 0 0 40,000
Karet Stabil 0 35,000 0 0 35,000
Bos rock SRR 0 35,000 0 0 35,000
Nepel Accu B 0 25,000 0 0 25,000
Platina 0 85,000 0 0 85,000
Shell HyS 0 200,000 0 0 200,000
Karet Anteng pir 0 50,000 0 0 50,000
Idle UP AC 0 170,000 0 0 170,000
Wiber bosh 0 80,000 0 0 80,000
Accu NS 70 YUASA 0 900,000 0 0 900,000
Karet Stutbar 0 40,000 0 0 40,000
Tie Rod 0 150,000 0 0 150,000
Karet stabil A 0 15,000 0 0 15,000
Karet stabil 0 5,000 0 0 5,000
Bos Uper Arm K 0 60,000 0 0 60,000
Bos Uper Arm B 0 55,000 0 0 55,000
Boll Jabt Atas 0 137,000 0 0 137,000
Sen Hys 0 230,000 0 0 230,000
HDA 90 0 170,000 0 0 170,000
Oil Filter 0 40,000 0 0 40,000
Brake Master 0 350,000 0 0 350,000
Shell Hys 0 225,000 0 0 225,000
JUMLAH 0 0 0 0
Bahan Kimia 0 0 0 0
Melation 0 200,000 0 35 200,000
Temephos 0 115,000 0 30 115,000
RDT DBD 0 3,275,000 0 1 3,275,000
JUMLAH 0 0 0 0
Blood Lancet 0 197,500 0 0 197,500
GDA Stik 0 122,500 0 0 122,500
Kertas lensa 0 29,000 0 0 29,000
Plano test 0 178,000 0 0 178,000
Rak pipet mikro 0 97,500 0 0 97,500
Slide 0 49,250 0 0 49,250
UA stik 0 129,000 0 0 129,000
Urine Strip 10 PM 0 248,500 0 0 248,500
Urine Strip 3 PM 0 69,000 0 0 69,000
PP Test 0 1,939 0 0 1,939
JUMLAH 0 0 0 0
Susu Bebemama 0 33,968 0 0 33,968
JUMLAH
Karcis
Karcis Rp. 2.000,- 363 24.00 8,712 24.00
Karcis Rp. 2.500,- 347 24.00 8,328 24.00
Karcis Rp. 3.000,- 630 24.00 15,120 24.00
Karcis Rp. 5.000,- 1,695 29.70 50,342 29.70
Karcis Rp. 10.000,- 422 20.00 8,440 20.00
Karcis Rp. 10.000,- 0 25.00 0 25.00
Karcis Rp. 20.000,- 279 24.65 6,877 24.65
Karcis Rp. 25.000,- 191 24.65 4,708 24.65
Karcis Rp. 50.000,- 179 20.00 3,580 20.00
Karcis Rp. 100.000,- 667 24.65 16,442 24.65
Karcis Ambulan 725 96.78 70,166 96.78
JUMLAH 273,210

KETERANGA
(8)=(6)x(7) (9) (10) (11)=(9)x(10) (12)=(3)+(6)-(9) (13) (14)=(12)x(13) (15)
178,750 0 13,750 0 13 13,750 178,750

400,000 0 10,000 0 40 10,000 400,000
0 0 750 0 0 750 0
250,000 0 25,000 0 10 25,000 250,000
726,000 0 33,000 0 22 33,000 726,000
495,000 0 11,000 0 45 11,000 495,000
88,000 0 5,500 0 16 5,500 88,000
120,000 0 4,000 0 30 4,000 120,000
1,376,000 7 43,000 301,000 25 43,000 1,075,000
50,000 0 1,000 0 50 1,000 50,000
20,000 0 4,000 0 5 4,000 20,000
44,000 0 22,000 0 2 22,000 44,000
200,000 0 2,000 0 100 2,000 200,000
325,500 0 7,750 0 42 7,750 325,500
16,250 0 8,125 0 2 8,125 16,250
32,000 0 8,000 0 4 8,000 32,000
204,500 0 500 0 409 500 204,500
45,000 0 4,500 0 10 4,500 45,000
180,000 0 60,000 0 3 60,000 180,000
3,300,000 0 110,000 0 30 110,000 3,300,000
20,000 0 5,000 0 4 5,000 20,000
0 0 20,000 0 0 20,000 0
0 0 14,000 0 0 14,000 0
0 0 30,000 0 0 30,000 0
0 0 36,000 0 0 36,000 0
0 0 8,000 0 0 8,000 0
0 0 8,000 0 0 8,000 0
0 0 250,000 0 0 250,000 0
0 0 45,000 0 0 45,000 0
0 0 90,000 0 0 90,000 0
0 0 47,000 0 0 47,000 0
0 0 5,500 0 0 5,500 0
0 0 12,000 0 0 12,000 0
0 0 22,000 0 0 22,000 0
0 0 5,000 0 0 5,000 0
0 0 13,400 0 0 13,400 0
0 0 8,000 0 0 8,000 0
8,071,000 0 301,000 0 0 7,770,000
0 0 0 0 0 0
0 0 6,600 0 0 6,600 0
0 0 13,750 0 0 13,750 0
0 0 24,750 0 0 24,750 0
0 0 24,750 0 0 24,750 0
0 0 1,650 0 0 1,650 0
0 0 850 0 0 850 0
0 0 57,750 0 0 57,750 0
0 0 65,500 0 0 65,500 0
0 0 18,200 0 0 18,200 0
0 0 65,500 0 0 65,500 0
0 0 65,500 0 0 65,500 0
0 0 55,000 0 0 55,000 0
0 0 65,500 0 0 65,500 0
0 0 55,000 0 0 55,000 0
0 0 55,000 0 0 55,000 0
0 0 4,500 0 0 4,500 0
0 0 4,500 0 0 4,500 0
0 0 4,000 0 0 4,000 0
0 0 7,500 0 0 7,500 0
0 0 8,500 0 0 8,500 0
0 0 8,500 0 0 8,500 0
0 0 7,000 0 0 7,000 0
0 0 250 0 0 250 0
0 0 7,300 0 0 7,300 0
0 0 2,000 0 0 2,000 0
0 0 66,000 0 0 66,000 0
0 0 0 0 0 0 0
0 0 0 0 0 0
2,023,500 0 9,500 0 213 9,500 2,023,500
188,000 0 23,500 0 8 23,500 188,000
770,000 0 27,500 0 28 27,500 770,000
88,000 0 11,000 0 8 11,000 88,000
215,000 0 21,500 0 10 21,500 215,000
260,000 0 26,000 0 10 26,000 260,000
120,000 0 6,000 0 20 6,000 120,000
280,000 0 14,000 0 20 14,000 280,000
33,000 0 16,500 0 2 16,500 33,000
93,500 0 93,500 0 1 93,500 93,500
60,000 0 4,000 0 15 4,000 60,000
8,000 0 8,000 0 1 8,000 8,000
4,139,000 0 0 0 0 4,139,000
0 0 0 0 0 0
140,000 6 3,500 21,000 34 3,500 119,000
325,000 18 6,500 117,000 32 6,500 208,000
465,000 0 138,000 0 0 327,000
0 0 0 0 0 0
0 0 165,000 0 0 165,000 0
0 0 85,000 0 0 85,000 0
0 0 165,000 0 0 165,000 0
0 0 330,000 0 0 330,000 0
0 0 35,000 0 0 35,000 0
0 0 40,000 0 0 40,000 0
0 0 35,000 0 0 35,000 0
0 0 35,000 0 0 35,000 0
0 0 25,000 0 0 25,000 0
0 0 85,000 0 0 85,000 0
0 0 200,000 0 0 200,000 0
0 0 50,000 0 0 50,000 0
0 0 170,000 0 0 170,000 0
0 0 190,000 0 0 190,000 0
0 0 80,000 0 0 80,000 0
0 0 900,000 0 0 900,000 0
0 0 40,000 0 0 40,000 0
0 0 150,000 0 0 150,000 0
0 0 15,000 0 0 15,000 0
0 0 5,000 0 0 5,000 0
0 0 60,000 0 0 60,000 0
0 0 55,000 0 0 55,000 0
0 0 137,000 0 0 137,000 0
0 0 230,000 0 0 230,000 0
0 0 170,000 0 0 170,000 0
0 0 40,000 0 0 40,000 0
0 0 350,000 0 0 350,000 0
0 0 50,000 0 0 50,000 0
0 0 225,000 0 0 225,000 0
0 0 0 0 0 0
0 0 0 0 0 0
7,000,000 35 200,000 7,000,000 0 200,000 0
3,450,000 30 115,000 3,450,000 0 115,000 0
3,275,000 1 3,275,000 3,275,000 0 3,275,000 0
13,725,000 0 0 0 0 0
0 0 0 0 0 0
0 0 197,500 0 0 197,500 0
0 0 198,500 0 0 198,500 0
0 0 122,500 0 0 122,500 0
0 0 1,200 0 0 1,200 0
0 0 29,000 0 0 29,000 0
0 0 178,000 0 0 178,000 0
0 0 97,500 0 0 97,500 0
0 0 49,250 0 0 49,250 0
0 0 1,900 0 0 1,900 0
0 0 29,000 0 0 29,000 0
0 0 129,000 0 0 129,000 0
0 0 248,500 0 0 248,500 0
0 0 69,000 0 0 69,000 0
0 0 1,939 0 0 1,939 0
0 0 1,045 0 0 1,045 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 131,296 0 0 131,296 0
0 0 33,968 0 0 33,968 0
0 19 24 456 344 24 8,256

0 95 24 2,280 252 24 6,048
0 0 24 0 630 24 15,120
0 138 30 4,099 1,557 30 46,243
0 75 20 1,500 347 20 6,940
0 0 25 0 0 25 0
0 15 25 370 264 25 6,508
0 1 25 25 190 25 4,684
0 3 20 60 176 20 3,520
0 6 25 148 661 25 16,294
0 3 97 290 722 97 69,875
0 23 156 3,588 493 156 76,908
0 0 100 0 0 100 0
0 12,815 260,395

BULAN : JUNI 2015

NILAI (Rp)
(1) (2) (3) (4) (5)=(3)x(4) (6) (7)
1 Alat Tulis Kantor

Amplop sedang "Jaya R Peel & S 13 13,750 178,750 0 13,750
Binder klip No. 155 40 10,000 400,000 0 10,000
Binder klip No. 155 0 750 0 0 750
Binder klip No. 260 10 25,000 250,000 0 25,000
Bolpoin Faster 22 33,000 726,000 0 33,000
Buku kuarto 100 45 11,000 495,000 0 11,000
Cutter A300 16 5,500 88,000 0 5,500
Isi Stepler 30 4,000 120,000 0 4,000
Kertas HVS F4 75 gram SIDU 25 43,000 1,075,000 0 43,000
Kertas Plano 50 1,000 50,000 0 1,000
Paper klip no. 5 5 4,000 20,000 0 4,000
Tinta mesin ketik Daito 2 22,000 44,000 0 22,000
Spidol kecil 100 2,000 200,000 0 2,000
Spidol permanen hitam 42 7,750 325,500 0 7,750
Stempel tanggal 2 8,125 16,250 0 8,125
Stepler "MAY HD 10 Kenko" 4 8,000 32,000 0 8,000
Stop map kertas 409 500 204,500 0 500
Tinta stempel "INK Yamura" 10 4,500 45,000 0 4,500
Flashdisk 4 GB 3 60,000 180,000 0 60,000
Isi Ulang Toner laser Jet 30 110,000 3,300,000 0 110,000
Portepel 4 5,000 20,000 0 5,000
Bak Stempel 0 20,000 0 0 20,000
Binder klip No.155 0 14,000 0 0 14,000
Binder Klip No. 260 0 30,000 0 0 30,000
Bolpoin Faster 0 36,000 0 0 36,000
Buku Kuitansi 0 8,000 0 0 8,000
Buku Nota 3 ply 0 8,000 0 0 8,000
Catriedge 0 250,000 0 0 250,000
Kalkulator 0 90,000 0 0 90,000
Odner 0 12,000 0 0 12,000
Plak Ban 0 13,400 0 0 13,400
JUMLAH 0 0 7,770,000 0
Cetakan 0 0 0 0
Rujukan 0 13,750 0 0 13,750
SJPP BPJS 0 65,500 0 0 65,500
SJPP BPJS 0 8,500 0 0 8,500
Buku KIA 0 7,300 0 0 7,300
JUMLAH 0 0 0 0
Cairan Pembersih "Wipol" 213 9,500 2,023,500 0 9,500
Lap Mobil "Ken Master" 8 23,500 188,000 0 23,500
Kresek hitam besar 28 27,500 770,000 0 27,500
Penebah "2 Macan" 8 11,000 88,000 0 11,000
Pengharum ruangan "Stella" 10 21,500 215,000 0 21,500
Pengharum mobil "Glade" 10 26,000 260,000 0 26,000
Reffil sabun cuci "Sunlight" 20 6,000 120,000 0 6,000
Reffil sabun cuci tangan 20 14,000 280,000 0 14,000
Sapu panjang "Lowo-lowo" 2 16,500 33,000 0 16,500
Tempat sampah injak sedang 1 93,500 93,500 0 93,500
Handuk kecil putih 15 4,000 60,000 0 4,000
Sapu lidi 1 8,000 8,000 0 8,000
JUMLAH 0 0 4,139,000 0
Materai @3.000 34 3,500 119,000 0 3,500
Materai @6.000 32 6,500 208,000 0 6,500
JUMLAH 0 0 327,000 0
Suku Cadang 0 0 0 0
Kampas rem depan 0 165,000 0 0 165,000
Wiber bash 0 85,000 0 0 85,000
Wiper link 0 165,000 0 0 165,000
Roch and 0 330,000 0 0 330,000
F. Bell FM 35 0 35,000 0 0 35,000
F. Bell FM A 38 0 40,000 0 0 40,000
Karet Stabil 0 35,000 0 0 35,000
Bos rock SRR 0 35,000 0 0 35,000
Nepel Accu B 0 25,000 0 0 25,000
Platina 0 85,000 0 0 85,000
Shell HyS 0 200,000 0 0 200,000
Karet Anteng pir 0 50,000 0 0 50,000
Idle UP AC 0 170,000 0 0 170,000
Wiber bosh 0 80,000 0 0 80,000
Accu NS 70 YUASA 0 900,000 0 0 900,000
Karet Stutbar 0 40,000 0 0 40,000
Tie Rod 0 150,000 0 0 150,000
Karet stabil A 0 15,000 0 0 15,000
Karet stabil 0 5,000 0 0 5,000
Bos Uper Arm K 0 60,000 0 0 60,000
Bos Uper Arm B 0 55,000 0 0 55,000
Boll Jabt Atas 0 137,000 0 0 137,000
Sen Hys 0 230,000 0 0 230,000
HDA 90 0 170,000 0 0 170,000
Oil Filter 0 40,000 0 0 40,000
Brake Master 0 350,000 0 0 350,000
Shell Hys 0 225,000 0 0 225,000
JUMLAH 0 0 0 0
Bahan Kimia 0 0 0 0
Melation 0 200,000 0 0 200,000
Temephos 0 115,000 0 0 115,000
RDT DBD 0 3,275,000 0 0 3,275,000
JUMLAH 0 0 0 0
Blood Lancet 0 197,500 0 0 197,500
GDA Stik 0 122,500 0 0 122,500
Kertas lensa 0 29,000 0 0 29,000
Plano test 0 178,000 0 0 178,000
Rak pipet mikro 0 97,500 0 0 97,500
Slide 0 49,250 0 0 49,250
UA stik 0 129,000 0 0 129,000
Urine Strip 10 PM 0 248,500 0 0 248,500
Urine Strip 3 PM 0 69,000 0 0 69,000
PP Test 0 1,939 0 0 1,939
JUMLAH 0 0 0 0
Susu Bebemama 0 33,968 0 0 33,968
JUMLAH
Karcis
Karcis Rp. 2.000,- 344 24 8,256 24
Karcis Rp. 2.500,- 252 24 6,048 24
Karcis Rp. 3.000,- 630 24 15,120 24
Karcis Rp. 5.000,- 1,557 30 46,243 30
Karcis Rp. 10.000,- 347 20 6,940 20
Karcis Rp. 10.000,- 0 25 0 25
Karcis Rp. 20.000,- 264 25 6,508 25
Karcis Rp. 25.000,- 190 25 4,684 25
Karcis Rp. 50.000,- 176 20 3,520 20
Karcis Rp. 100.000,- 661 25 16,294 25
Karcis Ambulan 722 97 69,875 97
Karcis Keperawatan 493 156 76,908 156
Karcis Keperawatan 0 100 0 100
JUMLAH 260,395

KETERANGA
(8)=(6)x(7) (9) (10) (11)=(9)x(10) (12)=(3)+(6)-(9) (13) (14)=(12)x(13) (15)
0 0 13,750 0 13 13,750 178,750

0 0 10,000 0 40 10,000 400,000
0 0 750 0 0 750 0
0 2 25,000 50,000 8 25,000 200,000
0 0 33,000 0 22 33,000 726,000
0 1 11,000 11,000 44 11,000 484,000
0 0 5,500 0 16 5,500 88,000
0 0 4,000 0 30 4,000 120,000
0 8 43,000 344,000 17 43,000 731,000
0 0 1,000 0 50 1,000 50,000
0 0 4,000 0 5 4,000 20,000
0 0 22,000 0 2 22,000 44,000
0 0 2,000 0 100 2,000 200,000
0 0 7,750 0 42 7,750 325,500
0 0 8,125 0 2 8,125 16,250
0 0 8,000 0 4 8,000 32,000
0 0 500 0 409 500 204,500
0 0 4,500 0 10 4,500 45,000
0 0 60,000 0 3 60,000 180,000
0 5 110,000 550,000 25 110,000 2,750,000
0 0 5,000 0 4 5,000 20,000
0 0 20,000 0 0 20,000 0
0 0 14,000 0 0 14,000 0
0 0 30,000 0 0 30,000 0
0 0 36,000 0 0 36,000 0
0 0 8,000 0 0 8,000 0
0 0 8,000 0 0 8,000 0
0 0 250,000 0 0 250,000 0
0 0 45,000 0 0 45,000 0
0 0 90,000 0 0 90,000 0
0 0 47,000 0 0 47,000 0
0 0 5,500 0 0 5,500 0
0 0 12,000 0 0 12,000 0
0 0 22,000 0 0 22,000 0
0 0 5,000 0 0 5,000 0
0 0 13,400 0 0 13,400 0
0 0 8,000 0 0 8,000 0
0 0 955,000 0 0 6,815,000
0 0 0 0 0 0
0 0 6,600 0 0 6,600 0
0 0 13,750 0 0 13,750 0
0 0 24,750 0 0 24,750 0
0 0 24,750 0 0 24,750 0
0 0 1,650 0 0 1,650 0
0 0 850 0 0 850 0
0 0 57,750 0 0 57,750 0
0 0 65,500 0 0 65,500 0
0 0 18,200 0 0 18,200 0
0 0 65,500 0 0 65,500 0
0 0 65,500 0 0 65,500 0
0 0 55,000 0 0 55,000 0
0 0 65,500 0 0 65,500 0
0 0 55,000 0 0 55,000 0
0 0 55,000 0 0 55,000 0
0 0 4,500 0 0 4,500 0
0 0 4,500 0 0 4,500 0
0 0 4,000 0 0 4,000 0
0 0 7,500 0 0 7,500 0
0 0 8,500 0 0 8,500 0
0 0 8,500 0 0 8,500 0
0 0 7,000 0 0 7,000 0
0 0 250 0 0 250 0
0 0 7,300 0 0 7,300 0
0 0 2,000 0 0 2,000 0
0 0 66,000 0 0 66,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 16 9,500 152,000 197 9,500 1,871,500
0 0 23,500 0 8 23,500 188,000
0 14 27,500 385,000 14 27,500 385,000
0 0 11,000 0 8 11,000 88,000
0 0 21,500 0 10 21,500 215,000
0 0 26,000 0 10 26,000 260,000
0 0 6,000 0 20 6,000 120,000
0 4 14,000 56,000 16 14,000 224,000
0 2 16,500 33,000 0 16,500 0
0 0 93,500 0 1 93,500 93,500
0 0 4,000 0 15 4,000 60,000
0 1 8,000 8,000 0 8,000 0
0 0 634,000 0 0 3,505,000
0 0 0 0 0 0
0 4 3,500 14,000 30 3,500 105,000
0 7 6,500 45,500 25 6,500 162,500
0 0 59,500 0 0 267,500
0 0 0 0 0 0
0 0 165,000 0 0 165,000 0
0 0 85,000 0 0 85,000 0
0 0 165,000 0 0 165,000 0
0 0 330,000 0 0 330,000 0
0 0 35,000 0 0 35,000 0
0 0 40,000 0 0 40,000 0
0 0 35,000 0 0 35,000 0
0 0 35,000 0 0 35,000 0
0 0 25,000 0 0 25,000 0
0 0 85,000 0 0 85,000 0
0 0 200,000 0 0 200,000 0
0 0 50,000 0 0 50,000 0
0 0 170,000 0 0 170,000 0
0 0 190,000 0 0 190,000 0
0 0 80,000 0 0 80,000 0
0 0 900,000 0 0 900,000 0
0 0 40,000 0 0 40,000 0
0 0 150,000 0 0 150,000 0
0 0 15,000 0 0 15,000 0
0 0 5,000 0 0 5,000 0
0 0 60,000 0 0 60,000 0
0 0 55,000 0 0 55,000 0
0 0 137,000 0 0 137,000 0
0 0 230,000 0 0 230,000 0
0 0 170,000 0 0 170,000 0
0 0 40,000 0 0 40,000 0
0 0 350,000 0 0 350,000 0
0 0 50,000 0 0 50,000 0
0 0 225,000 0 0 225,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 200,000 0 0 200,000 0
0 0 115,000 0 0 115,000 0
0 0 3,275,000 0 0 3,275,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 197,500 0 0 197,500 0
0 0 198,500 0 0 198,500 0
0 0 122,500 0 0 122,500 0
0 0 1,200 0 0 1,200 0
0 0 29,000 0 0 29,000 0
0 0 178,000 0 0 178,000 0
0 0 97,500 0 0 97,500 0
0 0 49,250 0 0 49,250 0
0 0 1,900 0 0 1,900 0
0 0 29,000 0 0 29,000 0
0 0 129,000 0 0 129,000 0
0 0 248,500 0 0 248,500 0
0 0 69,000 0 0 69,000 0
0 0 1,939 0 0 1,939 0
0 0 1,045 0 0 1,045 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 131,296 0 0 131,296 0
0 0 33,968 0 0 33,968 0
0 8 24 192 336 24 8,064

0 93 24 2,232 159 24 3,816
0 3 24 72 627 24 15,048
0 126 30 3,742 1,431 30 42,501
0 75 20 1,500 272 20 5,440
0 0 25 0 0 25 0
0 33 25 813 231 25 5,694
0 0 25 0 190 25 4,684
0 1 20 20 175 20 3,500
0 0 25 0 661 25 16,294
0 336 97 32,518 386 97 37,357
0 440 156 68,640 53 156 8,268
0 100 0 0 100 0
0 109,730 150,665

BULAN : JULI 2015

NILAI (Rp)
(1) (2) (3) (4) (5)=(3)x(4) (6) (7)
1 Alat Tulis Kantor

Binder klip No. 155 40 10,000 400,000 0 10,000
Binder klip No. 155 0 750 0 0 750
Binder klip No. 260 8 25,000 200,000 0 25,000
Bolpoin Faster 22 33,000 726,000 0 33,000
Buku kuarto 100 44 11,000 484,000 0 11,000
Cutter A300 16 5,500 88,000 0 5,500
Isi Stepler 30 4,000 120,000 0 4,000
Kertas HVS F4 75 gram SIDU 17 43,000 731,000 0 43,000
Kertas Plano 50 1,000 50,000 0 1,000
Paper klip no. 5 5 4,000 20,000 0 4,000
Spidol kecil 100 2,000 200,000 0 2,000
Stempel tanggal 2 8,125 16,250 0 8,125
Stop map kertas 409 500 204,500 0 500
Flashdisk 4 GB 3 60,000 180,000 0 60,000
Portepel 4 5,000 20,000 0 5,000
Bak Stempel 0 20,000 0 0 20,000
Binder klip No.155 0 14,000 0 0 14,000
Binder Klip No. 260 0 30,000 0 0 30,000
Bolpoin Faster 0 36,000 0 0 36,000
Buku Kuitansi 0 8,000 0 0 8,000
Buku Nota 3 ply 0 8,000 0 0 8,000
Catriedge 0 250,000 0 0 250,000
Kalkulator 0 90,000 0 0 90,000
Odner 0 12,000 0 0 12,000
Plak Ban 0 13,400 0 0 13,400
JUMLAH 0 0 6,815,000 0
Cetakan 0 0 0 0
Rujukan 0 13,750 0 0 13,750
SJPP BPJS 0 65,500 0 0 65,500
SJPP BPJS 0 8,500 0 0 8,500
Buku KIA 0 7,300 0 0 7,300
JUMLAH 0 0 0 0
Penebah "2 Macan" 8 11,000 88,000 0 11,000
Sapu lidi 0 8,000 0 0 8,000
JUMLAH 0 0 3,505,000 0
Materai @3.000 30 3,500 105,000 0 3,500
Materai @6.000 25 6,500 162,500 0 6,500
JUMLAH 0 0 267,500 0
Suku Cadang 0 0 0 0
Kampas rem depan 0 165,000 0 0 165,000
Wiber bash 0 85,000 0 0 85,000
Wiper link 0 165,000 0 0 165,000
Roch and 0 330,000 0 0 330,000
F. Bell FM 35 0 35,000 0 0 35,000
F. Bell FM A 38 0 40,000 0 0 40,000
Karet Stabil 0 35,000 0 0 35,000
Bos rock SRR 0 35,000 0 0 35,000
Nepel Accu B 0 25,000 0 0 25,000
Platina 0 85,000 0 0 85,000
Shell HyS 0 200,000 0 0 200,000
Karet Anteng pir 0 50,000 0 0 50,000
Idle UP AC 0 170,000 0 0 170,000
Wiber bosh 0 80,000 0 0 80,000
Accu NS 70 YUASA 0 900,000 0 0 900,000
Karet Stutbar 0 40,000 0 0 40,000
Tie Rod 0 150,000 0 0 150,000
Karet stabil A 0 15,000 0 0 15,000
Karet stabil 0 5,000 0 0 5,000
Bos Uper Arm K 0 60,000 0 0 60,000
Bos Uper Arm B 0 55,000 0 0 55,000
Boll Jabt Atas 0 137,000 0 0 137,000
Sen Hys 0 230,000 0 0 230,000
HDA 90 0 170,000 0 0 170,000
Oil Filter 0 40,000 0 0 40,000
Brake Master 0 350,000 0 0 350,000
Shell Hys 0 225,000 0 0 225,000
JUMLAH 0 0 0 0
Bahan Kimia 0 0 0 0
Melation 0 200,000 0 200,000
Temephos 0 115,000 0 115,000
RDT DBD 0 3,275,000 0 3,275,000
JUMLAH 0 0 0 0
Blood Lancet 0 197,500 0 197,500
Cholesterol stik 0 198,500 0 198,500
GDA Stik 0 122,500 0 122,500
Kartu Golongan Darah 0 1,200 0 1,200
Kertas lensa 0 29,000 0 29,000
Plano test 0 178,000 0 178,000
Rak pipet mikro 0 97,500 0 97,500
Slide 0 49,250 0 49,250
Tabung reaksi kecil 0 1,900 0 1,900
Pipet Wester green 0 29,000 0 29,000
UA stik 0 129,000 0 129,000
Urine Strip 10 PM 0 248,500 0 248,500
Urine Strip 3 PM 0 69,000 0 69,000
PP Test 0 1,939 0 1,939
Protein urine test 0 1,045 0 1,045
JUMLAH 0 0 0 0
Susu Bebemama 0 33,968 0 0 33,968
JUMLAH
Karcis
Karcis Rp. 2.000,- 336 24 8,064 0 24
Karcis Rp. 2.500,- 159 24 3,816 500 24
Karcis Rp. 3.000,- 627 24 15,048 0 24
Karcis Rp. 5.000,- 1,431 30 42,501 0 30
Karcis Rp. 10.000,- 272 20 5,440 0 20
Karcis Rp. 10.000,- 0 25 0 0 25
Karcis Rp. 20.000,- 231 25 5,694 0 25
Karcis Rp. 25.000,- 190 25 4,684 0 25
Karcis Rp. 50.000,- 175 20 3,500 0 20
Karcis Rp. 100.000,- 661 25 16,294 0 25
Karcis Ambulan 386 97 37,357 0 97
Karcis Keperawatan 53 156 8,268 0 156
Karcis Keperawatan 0 100 0 500 100
JUMLAH 150,665

KETERANGA
(8)=(6)x(7) (9) (10) (11)=(9)x(10) (12)=(3)+(6)-(9) (13) (14)=(12)x(13) (15)
0 5 13,750 68,750 8 13,750 110,000

0 0 10,000 0 40 10,000 400,000
0 0 750 0 0 750 0
0 5 25,000 125,000 3 25,000 75,000
0 4 33,000 132,000 18 33,000 594,000
0 0 11,000 0 44 11,000 484,000
0 3 5,500 16,500 13 5,500 71,500
0 0 4,000 0 30 4,000 120,000
0 10 43,000 430,000 7 43,000 301,000
0 0 1,000 0 50 1,000 50,000
0 0 4,000 0 5 4,000 20,000
0 0 22,000 0 2 22,000 44,000
0 18 2,000 36,000 82 2,000 164,000
0 2 7,750 15,500 40 7,750 310,000
0 0 8,125 0 2 8,125 16,250
0 0 8,000 0 4 8,000 32,000
0 100 500 50,000 309 500 154,500
0 0 4,500 0 10 4,500 45,000
0 1 60,000 60,000 2 60,000 120,000
0 3 110,000 330,000 22 110,000 2,420,000
0 4 5,000 20,000 0 5,000 0
0 0 20,000 0 0 20,000 0
0 0 14,000 0 0 14,000 0
0 0 30,000 0 0 30,000 0
0 0 36,000 0 0 36,000 0
0 0 8,000 0 0 8,000 0
0 0 8,000 0 0 8,000 0
0 0 250,000 0 0 250,000 0
0 0 45,000 0 0 45,000 0
0 0 90,000 0 0 90,000 0
0 0 47,000 0 0 47,000 0
0 0 5,500 0 0 5,500 0
0 0 12,000 0 0 12,000 0
0 0 22,000 0 0 22,000 0
0 0 5,000 0 0 5,000 0
0 0 13,400 0 0 13,400 0
0 0 8,000 0 0 8,000 0
0 0 1,283,750 0 0 5,531,250
0 0 0 0 0 0
0 0 6,600 0 0 6,600 0
0 0 13,750 0 0 13,750 0
0 0 24,750 0 0 24,750 0
0 0 24,750 0 0 24,750 0
0 0 1,650 0 0 1,650 0
0 0 850 0 0 850 0
0 0 57,750 0 0 57,750 0
0 0 65,500 0 0 65,500 0
0 0 18,200 0 0 18,200 0
0 0 65,500 0 0 65,500 0
0 0 65,500 0 0 65,500 0
0 0 55,000 0 0 55,000 0
0 0 65,500 0 0 65,500 0
0 0 55,000 0 0 55,000 0
0 0 55,000 0 0 55,000 0
0 0 4,500 0 0 4,500 0
0 0 4,500 0 0 4,500 0
0 0 4,000 0 0 4,000 0
0 0 7,500 0 0 7,500 0
0 0 8,500 0 0 8,500 0
0 0 8,500 0 0 8,500 0
0 0 7,000 0 0 7,000 0
0 0 250 0 0 250 0
0 0 7,300 0 0 7,300 0
0 0 2,000 0 0 2,000 0
0 0 66,000 0 0 66,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 16 9,500 152,000 181 9,500 1,719,500
0 0 23,500 0 8 23,500 188,000
0 0 27,500 0 14 27,500 385,000
0 0 11,000 0 8 11,000 88,000
0 0 21,500 0 10 21,500 215,000
0 2 26,000 52,000 8 26,000 208,000
0 0 6,000 0 20 6,000 120,000
0 2 14,000 28,000 14 14,000 196,000
0 0 16,500 0 0 16,500 0
0 0 93,500 0 1 93,500 93,500
0 0 4,000 0 15 4,000 60,000
0 0 8,000 0 0 8,000 0
0 0 232,000 0 0 3,273,000
0 0 0 0 0 0
0 2 3,500 7,000 28 3,500 98,000
0 14 6,500 91,000 11 6,500 71,500
0 0 98,000 0 0 169,500
0 0 0 0 0 0
0 0 165,000 0 0 165,000 0
0 0 85,000 0 0 85,000 0
0 0 165,000 0 0 165,000 0
0 0 330,000 0 0 330,000 0
0 0 35,000 0 0 35,000 0
0 0 40,000 0 0 40,000 0
0 0 35,000 0 0 35,000 0
0 0 35,000 0 0 35,000 0
0 0 25,000 0 0 25,000 0
0 0 85,000 0 0 85,000 0
0 0 200,000 0 0 200,000 0
0 0 50,000 0 0 50,000 0
0 0 170,000 0 0 170,000 0
0 0 190,000 0 0 190,000 0
0 0 80,000 0 0 80,000 0
0 0 900,000 0 0 900,000 0
0 0 40,000 0 0 40,000 0
0 0 150,000 0 0 150,000 0
0 0 15,000 0 0 15,000 0
0 0 5,000 0 0 5,000 0
0 0 60,000 0 0 60,000 0
0 0 55,000 0 0 55,000 0
0 0 137,000 0 0 137,000 0
0 0 230,000 0 0 230,000 0
0 0 170,000 0 0 170,000 0
0 0 40,000 0 0 40,000 0
0 0 350,000 0 0 350,000 0
0 0 50,000 0 0 50,000 0
0 0 225,000 0 0 225,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 200,000 0 0 200,000 0
0 0 115,000 0 0 115,000 0
0 0 3,275,000 0 0 3,275,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 197,500 0 0 197,500 0
0 0 198,500 0 0 198,500 0
0 0 122,500 0 0 122,500 0
0 0 1,200 0 0 1,200 0
0 0 29,000 0 0 29,000 0
0 0 178,000 0 0 178,000 0
0 0 97,500 0 0 97,500 0
0 0 49,250 0 0 49,250 0
0 0 1,900 0 0 1,900 0
0 0 29,000 0 0 29,000 0
0 0 129,000 0 0 129,000 0
0 0 248,500 0 0 248,500 0
0 0 69,000 0 0 69,000 0
0 0 1,939 0 0 1,939 0
0 0 1,045 0 0 1,045 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 131,296 0 0 131,296 0
0 0 33,968 0 0 33,968 0
0 4 24 96 332 24 7,968
12,000 112 24 2,688 547 24 13,128
0 7 24 168 620 24 14,880
0 145 30 4,307 1,286 30 38,194
0 82 20 1,640 190 20 3,800
0 25 0 0 25 0
0 29 25 715 202 25 4,979
0 0 25 0 190 25 4,684
0 1 20 20 174 20 3,480
0 9 25 222 652 25 16,072
0 4 97 387 382 97 36,970
0 35 156 5,460 18 156 2,808
50,000 100 0 500 100 50,000
62,000 15,702 196,963

BULAN : AGUSTUS 2015

NILAI (Rp)
(1) (2) (3) (4) (5)=(3)x(4) (6) (7)
1 Alat Tulis Kantor

Binder klip No. 155 40 10,000 400,000 0 10,000
Binder klip No. 155 0 750 0 0 750
Binder klip No. 260 3 25,000 75,000 0 25,000
Bolpoin Faster 18 33,000 594,000 0 33,000
Buku kuarto 100 44 11,000 484,000 0 11,000
Cutter A300 13 5,500 71,500 0 5,500
Isi Stepler 30 4,000 120,000 0 4,000
Kertas Plano 50 1,000 50,000 0 1,000
Paper klip no. 5 5 4,000 20,000 0 4,000
Spidol kecil 82 2,000 164,000 0 2,000
Stempel tanggal 2 8,125 16,250 0 8,125
Stop map kertas 309 500 154,500 0 500
Flashdisk 4 GB 2 60,000 120,000 0 60,000
Portepel 0 5,000 0 0 5,000
Bak Stempel 0 20,000 0 0 20,000
Binder klip No.155 0 14,000 0 0 14,000
Binder Klip No. 260 0 30,000 0 0 30,000
Bolpoin Faster 0 36,000 0 0 36,000
Buku Kuitansi 0 8,000 0 0 8,000
Buku Nota 3 ply 0 8,000 0 0 8,000
Catriedge 0 250,000 0 0 250,000
Kalkulator 0 90,000 0 0 90,000
Odner 0 12,000 0 0 12,000
Plak Ban 0 13,400 0 0 13,400
JUMLAH 0 0 5,531,250 0
Cetakan 0 0 0 0
Rujukan 0 13,750 0 10 13,750
Kartu Barang 0 850 0 100 850
SJPP BPJS 0 65,500 0 2 65,500
SJPP BPJS 0 8,500 0 10 8,500
Kartu Anamnesa 0 250 0 3,000 250
Buku KIA 0 7,300 0 0 7,300
JUMLAH 0 0 0 0
Alat Kebersihan & Bahan Pembe 0 0 0 0
Penebah "2 Macan" 8 11,000 88,000 0 11,000
Sapu lidi 0 8,000 0 0 8,000
JUMLAH 0 0 3,273,000 0
Materai @3.000 28 3,500 98,000 3,500
Materai @6.000 11 6,500 71,500 6,500
JUMLAH 0 0 169,500 0
Suku Cadang 0 0 0 0
Kampas rem depan 0 165,000 0 0 165,000
Wiber bash 0 85,000 0 0 85,000
Wiper link 0 165,000 0 0 165,000
Roch and 0 330,000 0 0 330,000
F. Bell FM 35 0 35,000 0 0 35,000
F. Bell FM A 38 0 40,000 0 0 40,000
Karet Stabil 0 35,000 0 0 35,000
Bos rock SRR 0 35,000 0 0 35,000
Nepel Accu B 0 25,000 0 0 25,000
Platina 0 85,000 0 0 85,000
Shell HyS 0 200,000 0 0 200,000
Karet Anteng pir 0 50,000 0 0 50,000
Idle UP AC 0 170,000 0 0 170,000
Wiber bosh 0 80,000 0 0 80,000
Accu NS 70 YUASA 0 900,000 0 0 900,000
Karet Stutbar 0 40,000 0 0 40,000
Tie Rod 0 150,000 0 0 150,000
Karet stabil A 0 15,000 0 0 15,000
Karet stabil 0 5,000 0 0 5,000
Bos Uper Arm K 0 60,000 0 0 60,000
Bos Uper Arm B 0 55,000 0 0 55,000
Boll Jabt Atas 0 137,000 0 0 137,000
Sen Hys 0 230,000 0 0 230,000
HDA 90 0 170,000 0 0 170,000
Oil Filter 0 40,000 0 0 40,000
Brake Master 0 350,000 0 0 350,000
Shell Hys 0 225,000 0 0 225,000
JUMLAH 0 0 0 0
Bahan Kimia 0 0 0 0
Melation 0 200,000 0 0 200,000
Temephos 0 115,000 0 0 115,000
RDT DBD 0 3,275,000 0 0 3,275,000
JUMLAH 0 0 0 0 0
Alat Lab. Habis Pakai 0 0 0 0 0
Blood Lancet 0 197,500 0 0 197,500
GDA Stik 0 122,500 0 0 122,500
Kertas lensa 0 29,000 0 0 29,000
Plano test 0 178,000 0 0 178,000
Rak pipet mikro 0 97,500 0 0 97,500
Slide 0 49,250 0 0 49,250
UA stik 0 129,000 0 0 129,000
Urine Strip 10 PM 0 248,500 0 0 248,500
Urine Strip 3 PM 0 69,000 0 0 69,000
PP Test 0 1,939 0 0 1,939
JUMLAH 0 0 0 0
Susu Bebemama 0 33,968 0 0 33,968
JUMLAH
Karcis
Karcis Rp. 2.000,- 332 24 7,968 0 24
Karcis Rp. 2.500,- 547 24 13,128 0 24
Karcis Rp. 3.000,- 620 24 14,880 0 24
Karcis Rp. 5.000,- 1,286 30 38,194 0 30
Karcis Rp. 10.000,- 190 20 3,800 0 20
Karcis Rp. 10.000,- 0 25 0 0 25
Karcis Rp. 20.000,- 202 25 4,979 0 25
Karcis Rp. 25.000,- 190 25 4,684 0 25
Karcis Rp. 50.000,- 174 20 3,480 0 20
Karcis Rp. 100.000,- 652 25 16,072 0 25
Karcis Ambulan 382 97 36,970 0 97
JUMLAH 196,963

KETERANGA
(8)=(6)x(7) (9) (10) (11)=(9)x(10) (12)=(3)+(6)-(9) (13) (14)=(12)x(13) (15)
0 0 13,750 0 8 13,750 110,000

0 0 10,000 0 40 10,000 400,000
0 0 750 0 0 750 0
0 0 25,000 0 3 25,000 75,000
0 0 33,000 0 18 33,000 594,000
0 1 11,000 11,000 43 11,000 473,000
0 1 5,500 5,500 12 5,500 66,000
0 0 4,000 0 30 4,000 120,000
0 3 43,000 129,000 4 43,000 172,000
0 0 1,000 0 50 1,000 50,000
0 0 4,000 0 5 4,000 20,000
0 0 22,000 0 2 22,000 44,000
0 0 2,000 0 82 2,000 164,000
0 1 7,750 7,750 39 7,750 302,250
0 0 8,125 0 2 8,125 16,250
0 0 8,000 0 4 8,000 32,000
0 59 500 29,500 250 500 125,000
0 0 4,500 0 10 4,500 45,000
0 0 60,000 0 2 60,000 120,000
0 4 110,000 440,000 18 110,000 1,980,000
0 0 5,000 0 0 5,000 0
0 0 20,000 0 0 20,000 0
0 0 14,000 0 0 14,000 0
0 0 30,000 0 0 30,000 0
0 0 36,000 0 0 36,000 0
0 0 8,000 0 0 8,000 0
0 0 8,000 0 0 8,000 0
0 0 250,000 0 0 250,000 0
0 0 45,000 0 0 45,000 0
0 0 90,000 0 0 90,000 0
0 0 47,000 0 0 47,000 0
0 0 5,500 0 0 5,500 0
0 0 12,000 0 0 12,000 0
0 0 22,000 0 0 22,000 0
0 0 5,000 0 0 5,000 0
0 0 13,400 0 0 13,400 0
0 0 8,000 0 0 8,000 0
0 0 622,750 0 0 4,908,500
0 0 0 0 0 0
330,000 25 6,600 165,000 25 6,600 165,000
137,500 3 13,750 41,250 7 13,750 96,250
49,500 0 24,750 0 2 24,750 49,500
24,750 0 24,750 0 1 24,750 24,750
165,000 100 1,650 165,000 0 1,650 0
85,000 100 850 85,000 0 850 0
57,750 0 57,750 0 1 57,750 57,750
327,500 0 65,500 0 5 65,500 327,500
182,000 0 18,200 0 10 18,200 182,000
131,000 0 65,500 0 2 65,500 131,000
131,000 0 65,500 0 2 65,500 131,000
220,000 0 55,000 0 4 55,000 220,000
131,000 0 65,500 0 2 65,500 131,000
110,000 0 55,000 0 2 55,000 110,000
110,000 0 55,000 0 2 55,000 110,000
45,000 0 4,500 0 10 4,500 45,000
45,000 0 4,500 0 10 4,500 45,000
0 0 4,000 0 0 4,000 0
210,000 0 7,500 0 28 7,500 210,000
85,000 0 8,500 0 10 8,500 85,000
85,000 0 8,500 0 10 8,500 85,000
70,000 0 7,000 0 10 7,000 70,000
750,000 2,000 250 500,000 1,000 250 250,000
0 0 7,300 0 0 7,300 0
0 0 2,000 0 0 2,000 0
0 0 66,000 0 0 66,000 0
0 0 956,250 0 0 2,525,750
0 0 0 0 0 0
0 0 9,500 0 181 9,500 1,719,500
0 0 23,500 0 8 23,500 188,000
0 0 27,500 0 14 27,500 385,000
0 0 11,000 0 8 11,000 88,000
0 0 21,500 0 10 21,500 215,000
0 0 26,000 0 8 26,000 208,000
0 0 6,000 0 20 6,000 120,000
0 0 14,000 0 14 14,000 196,000
0 0 16,500 0 0 16,500 0
0 0 93,500 0 1 93,500 93,500
0 0 4,000 0 15 4,000 60,000
0 0 8,000 0 0 8,000 0
0 0 0 0 0 3,273,000
0 0 0 0 0 0
0 5 3,500 17,500 23 3,500 80,500
0 1 6,500 6,500 10 6,500 65,000
0 0 24,000 0 0 145,500
0 0 0 0 0 0
0 0 165,000 0 0 165,000 0
0 0 85,000 0 0 85,000 0
0 0 165,000 0 0 165,000 0
0 0 330,000 0 0 330,000 0
0 0 35,000 0 0 35,000 0
0 0 40,000 0 0 40,000 0
0 0 35,000 0 0 35,000 0
0 0 35,000 0 0 35,000 0
0 0 25,000 0 0 25,000 0
0 0 85,000 0 0 85,000 0
0 0 200,000 0 0 200,000 0
0 0 50,000 0 0 50,000 0
0 0 170,000 0 0 170,000 0
0 0 190,000 0 0 190,000 0
0 0 80,000 0 0 80,000 0
0 0 900,000 0 0 900,000 0
0 0 40,000 0 0 40,000 0
0 0 150,000 0 0 150,000 0
0 0 15,000 0 0 15,000 0
0 0 5,000 0 0 5,000 0
0 0 60,000 0 0 60,000 0
0 0 55,000 0 0 55,000 0
0 0 137,000 0 0 137,000 0
0 0 230,000 0 0 230,000 0
0 0 170,000 0 0 170,000 0
0 0 40,000 0 0 40,000 0
0 0 350,000 0 0 350,000 0
0 0 50,000 0 0 50,000 0
0 0 225,000 0 0 225,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 200,000 0 0 200,000 0
0 0 115,000 0 0 115,000 0
0 0 3,275,000 0 0 3,275,000 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 197,500 0 0 197,500 0
0 0 198,500 0 0 198,500 0
0 0 122,500 0 0 122,500 0
0 0 1,200 0 0 1,200 0
0 0 29,000 0 0 29,000 0
0 0 178,000 0 0 178,000 0
0 0 97,500 0 0 97,500 0
0 0 49,250 0 0 49,250 0
0 0 1,900 0 0 1,900 0
0 0 29,000 0 0 29,000 0
0 0 129,000 0 0 129,000 0
0 0 248,500 0 0 248,500 0
0 0 69,000 0 0 69,000 0
0 0 1,939 0 0 1,939 0
0 0 1,045 0 0 1,045 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 131,296 0 0 131,296 0
0 0 33,968 0 0 33,968 0
0 20 24 480 312 24 7,488

0 76 24 1,824 471 24 11,304
0 13 24 312 607 24 14,568
0 94 30 2,792 1,192 30 35,402
0 77 20 1,540 113 20 2,260
0 0 25 0 0 25 0
0 21 25 518 181 25 4,462
0 1 25 25 189 25 4,659
0 1 20 20 173 20 3,460
0 3 25 74 649 25 15,998
0 2 97 194 380 97 36,776
0 18 156 2,808 0 156 0
0 12 100 1,200 488 100 48,800
0 11,786 185,177

BULAN : SEPTEMBER 2015

NILAI (Rp)
(1) (2) (3) (4) (5)=(3)x(4) (6) (7)
1 Alat Tulis Kantor

Binder klip No. 155 40 10,000 400,000 0 10,000
Binder klip No. 155 0 750 0 0 750
Binder klip No. 260 3 25,000 75,000 0 25,000
Bolpoin Faster 18 33,000 594,000 0 33,000
Buku kuarto 100 43 11,000 473,000 0 11,000
Cutter A300 12 5,500 66,000 0 5,500
Isi Stepler 30 4,000 120,000 0 4,000
Kertas Plano 50 1,000 50,000 0 1,000
Paper klip no. 5 5 4,000 20,000 0 4,000
Spidol kecil 82 2,000 164,000 0 2,000
Stempel tanggal 2 8,125 16,250 0 8,125
Stop map kertas 250 500 125,000 0 500
Flashdisk 4 GB 2 60,000 120,000 0 60,000
Portepel 0 5,000 0 0 5,000
Bak Stempel 0 20,000 0 0 20,000
Binder klip No.155 0 14,000 0 0 14,000
Binder Klip No. 260 0 30,000 0 0 30,000
Bolpoin Faster 0 36,000 0 0 36,000
Buku Kuitansi 0 8,000 0 0 8,000
Buku Nota 3 ply 0 8,000 0 0 8,000
Catriedge 0 250,000 0 0 250,000
Kalkulator 0 90,000 0 0 90,000
Odner 0 12,000 0 0 12,000
Plak Ban 0 13,400 0 0 13,400
JUMLAH 0 0 4,908,500 0
Cetakan 0 0 0 0
Lembar Regristrasi BPJS 25 6,600 165,000 0 6,600
Rujukan 7 13,750 96,250 0 13,750
Agenda Surat Keluar 2 24,750 49,500 0 24,750
Agenda Surat Masuk 1 24,750 24,750 0 24,750
Rawat Inap & UGD 24 jam 1 57,750 57,750 0 57,750
Laporan Pelayanan RJTP 5 65,500 327,500 0 65,500
Surat Ket. Rawat Jamkesda 10 18,200 182,000 0 18,200
Surat Ket. Rawat BPJS 2 65,500 131,000 0 65,500
SJPP BPJS 2 65,500 131,000 0 65,500
Visite dokter & catatan perawat 4 55,000 220,000 0 55,000
Surat Keterangan 2 65,500 131,000 0 65,500
Cairan Masuk / Keluar 2 55,000 110,000 0 55,000
Status pasien Rawat Inap 2 55,000 110,000 0 55,000
Surat Ket. Istirahat Pelajar 10 4,500 45,000 0 4,500
Surat Ket. Istirahat Pegawai 10 4,500 45,000 0 4,500
Lembar Regristrasi Umum 28 7,500 210,000 0 7,500
SJPP BPJS 10 8,500 85,000 0 8,500
Surat Ket. Rawat Inap BPJS 10 8,500 85,000 0 8,500
Surat Pernyataan MRS & Tindak 10 7,000 70,000 0 7,000
Kartu Anamnesa 1,000 250 250,000 0 250
Buku KIA 0 7,300 0 0 7,300
JUMLAH 0 0 2,525,750 0
Penebah "2 Macan" 8 11,000 88,000 0 11,000
Sapu lidi 0 8,000 0 0 8,000
JUMLAH 0 0 3,273,000 0
Materai @3.000 23 3,500 80,500 0 3,500
Materai @6.000 10 6,500 65,000 0 6,500
JUMLAH 0 0 145,500 0
Suku Cadang 0 0 0 0
Kampas rem depan 0 165,000 0 0 165,000
Wiber bash 0 85,000 0 0 85,000
Wiper link 0 165,000 0 0 165,000
Roch and 0 330,000 0 0 330,000
F. Bell FM 35 0 35,000 0 0 35,000
F. Bell FM A 38 0 40,000 0 0 40,000
Karet Stabil 0 35,000 0 0 35,000
Bos rock SRR 0 35,000 0 0 35,000
Nepel Accu B 0 25,000 0 0 25,000
Platina 0 85,000 0 0 85,000
Shell HyS 0 200,000 0 0 200,000
Karet Anteng pir 0 50,000 0 0 50,000
Idle UP AC 0 170,000 0 0 170,000
Wiber bosh 0 80,000 0 0 80,000
Accu NS 70 YUASA 0 900,000 0 0 900,000
Karet Stutbar 0 40,000 0 0 40,000
Tie Rod 0 150,000 0 0 150,000
Karet stabil A 0 15,000 0 0 15,000
Karet stabil 0 5,000 0 0 5,000
Bos Uper Arm K 0 60,000 0 0 60,000
Bos Uper Arm B 0 55,000 0 0 55,000
Boll Jabt Atas 0 137,000 0 0 137,000
Sen Hys 0 230,000 0 0 230,000
HDA 90 0 170,000 0 0 170,000
Oil Filter 0 40,000 0 0 40,000
Brake Master 0 350,000 0 0 350,000
Shell Hys 0 225,000 0 0 225,000
JUMLAH 0 0 0 0
Bahan Kimia 0 0 0 0
Melation 0 200,000 0 0 200,000
Temephos 0 115,000 0 0 115,000
RDT DBD 0 3,275,000 0 0 3,275,000
JUMLAH 0 0 0 0 0
Alat Lab. Habis Pakai 0 0 0 0 0
Blood Lancet 0 197,500 0 0 197,500
GDA Stik 0 122,500 0 0 122,500
Kertas lensa 0 29,000 0 0 29,000
Plano test 0 178,000 0 0 178,000
Rak pipet mikro 0 97,500 0 0 97,500
Slide 0 49,250 0 0 49,250
UA stik 0 129,000 0 0 129,000
Urine Strip 10 PM 0 248,500 0 0 248,500
Urine Strip 3 PM 0 69,000 0 0 69,000
PP Test 0 1,939 0 0 1,939
JUMLAH 0 0 0 0
Susu Bebemama 0 33,968 0 90 33,968
JUMLAH
Karcis
Karcis Rp. 2.000,- 312 24 7,488 0 24
Karcis Rp. 2.500,- 471 24 11,304 0 24
Karcis Rp. 3.000,- 607 24 14,568 0 24
Karcis Rp. 5.000,- 1,192 30 35,402 0 30
Karcis Rp. 10.000,- 113 20 2,260 0 20
Karcis Rp. 10.000,- 0 25 0 500 25
Karcis Rp. 20.000,- 181 25 4,462 0 25
Karcis Rp. 25.000,- 189 25 4,659 0 25
Karcis Rp. 50.000,- 173 20 3,460 0 20
Karcis Rp. 100.000,- 649 25 15,998 0 25
Karcis Ambulan 380 97 36,776 0 97
JUMLAH 185,177

KETERANGA
(8)=(6)x(7) (9) (10) (11)=(9)x(10) (12)=(3)+(6)-(9) (13) (14)=(12)x(13) (15)
0 5 13,750 68,750 3 13,750 41,250

0 0 10,000 0 40 10,000 400,000
0 0 750 0 0 750 0
0 2 25,000 50,000 1 25,000 25,000
0 0 33,000 0 18 33,000 594,000
0 4 11,000 44,000 39 11,000 429,000
0 1 5,500 5,500 11 5,500 60,500
0 1 4,000 4,000 29 4,000 116,000
0 4 43,000 172,000 0 43,000 0
0 0 1,000 0 50 1,000 50,000
0 0 4,000 0 5 4,000 20,000
0 0 22,000 0 2 22,000 44,000
0 0 2,000 0 82 2,000 164,000
0 0 7,750 0 39 7,750 302,250
0 0 8,125 0 2 8,125 16,250
0 0 8,000 0 4 8,000 32,000
0 0 500 0 250 500 125,000
0 0 4,500 0 10 4,500 45,000
0 0 60,000 0 2 60,000 120,000
0 5 110,000 550,000 13 110,000 1,430,000
0 0 5,000 0 0 5,000 0
0 0 20,000 0 0 20,000 0
0 0 14,000 0 0 14,000 0
0 0 30,000 0 0 30,000 0
0 0 36,000 0 0 36,000 0
0 0 8,000 0 0 8,000 0
0 0 8,000 0 0 8,000 0
0 0 250,000 0 0 250,000 0
0 0 45,000 0 0 45,000 0
0 0 90,000 0 0 90,000 0
0 0 47,000 0 0 47,000 0
0 0 5,500 0 0 5,500 0
0 0 12,000 0 0 12,000 0
0 0 22,000 0 0 22,000 0
0 0 5,000 0 0 5,000 0
0 0 13,400 0 0 13,400 0
0 0 8,000 0 0 8,000 0
0 0 894,250 0 0 4,014,250
0 0 0 0 0 0
0 15 6,600 99,000 10 6,600 66,000
0 0 13,750 0 7 13,750 96,250
0 0 24,750 0 2 24,750 49,500
0 0 24,750 0 1 24,750 24,750
0 0 1,650 0 0 1,650 0
0 0 850 0 0 850 0
0 0 57,750 0 1 57,750 57,750
0 0 65,500 0 5 65,500 327,500
0 0 18,200 0 10 18,200 182,000
0 0 65,500 0 2 65,500 131,000
0 0 65,500 0 2 65,500 131,000
0 0 55,000 0 4 55,000 220,000
0 0 65,500 0 2 65,500 131,000
0 0 55,000 0 2 55,000 110,000
0 0 55,000 0 2 55,000 110,000
0 0 4,500 0 10 4,500 45,000
0 0 4,500 0 10 4,500 45,000
0 0 4,000 0 0 4,000 0
0 0 7,500 0 28 7,500 210,000
0 0 8,500 0 10 8,500 85,000
0 0 8,500 0 10 8,500 85,000
0 0 7,000 0 10 7,000 70,000
0 0 250 0 1,000 250 250,000
0 0 7,300 0 0 7,300 0
0 0 2,000 0 0 2,000 0
0 0 66,000 0 0 66,000 0
0 0 99,000 0 0 2,426,750
0 0 0 0 0 0
0 0 9,500 0 181 9,500 1,719,500
0 1 23,500 23,500 7 23,500 164,500
0 0 27,500 0 14 27,500 385,000
0 0 11,000 0 8 11,000 88,000
0 0 21,500 0 10 21,500 215,000
0 2 26,000 52,000 6 26,000 156,000
0 1 6,000 6,000 19 6,000 114,000
0 2 14,000 28,000 12 14,000 168,000
0 0 16,500 0 0 16,500 0
0 0 93,500 0 1 93,500 93,500
0 0 4,000 0 15 4,000 60,000
0 0 8,000 0 0 8,000 0
0 0 109,500 0 0 3,163,500
0 0 0 0 0 0
0 8 3,500 28,000 15 3,500 52,500
0 10 6,500 65,000 0 6,500 0
0 0 93,000 0 0 52,500
0 0 0 0 0 0
0 0 165,000 0 0 165,000 0
0 0 85,000 0 0 85,000 0
0 0 165,000 0 0 165,000 0
0 0 330,000 0 0 330,000 0
0 0 35,000 0 0 35,000 0
0 0 40,000 0 0 40,000 0
0 0 35,000 0 0 35,000 0
0 0 35,000 0 0 35,000 0
0 0 25,000 0 0 25,000 0
0 0 85,000 0 0 85,000 0
0 0 200,000 0 0 200,000 0
0 0 50,000 0 0 50,000 0
0 0 170,000 0 0 170,000 0
0 0 190,000 0 0 190,000 0
0 0 80,000 0 0 80,000 0
0 0 900,000 0 0 900,000 0
0 0 40,000 0 0 40,000 0
0 0 150,000 0 0 150,000 0
0 0 15,000 0 0 15,000 0
0 0 5,000 0 0 5,000 0
0 0 60,000 0 0 60,000 0
0 0 55,000 0 0 55,000 0
0 0 137,000 0 0 137,000 0
0 0 230,000 0 0 230,000 0
0 0 170,000 0 0 170,000 0
0 0 40,000 0 0 40,000 0
0 0 350,000 0 0 350,000 0
0 0 50,000 0 0 50,000 0
0 0 225,000 0 0 225,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 200,000 0 0 200,000 0
0 0 115,000 0 0 115,000 0
0 0 3,275,000 0 0 3,275,000 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 197,500 0 0 197,500 0
0 0 198,500 0 0 198,500 0
0 0 122,500 0 0 122,500 0
0 0 1,200 0 0 1,200 0
0 0 29,000 0 0 29,000 0
0 0 178,000 0 0 178,000 0
0 0 97,500 0 0 97,500 0
0 0 49,250 0 0 49,250 0
0 0 1,900 0 0 1,900 0
0 0 29,000 0 0 29,000 0
0 0 129,000 0 0 129,000 0
0 0 248,500 0 0 248,500 0
0 0 69,000 0 0 69,000 0
0 0 1,939 0 0 1,939 0
0 0 1,045 0 0 1,045 0
0 0 0 0 0 0
0 0 0 0 0 0
10,634,976 0 131,296 0 81 131,296 10,634,976
3,057,120 0 33,968 0 90 33,968 3,057,120
0 6 24 144 306 24 7,344

0 87 24 2,088 384 24 9,216
0 13 24 312 594 24 14,256
0 110 30 3,267 1,082 30 32,135
0 65 20 1,300 48 20 960
12,500 0 25 0 500 25 12,500
0 19 25 468 162 25 3,993
0 0 25 0 189 25 4,659
0 0 20 0 173 20 3,460
0 3 25 74 646 25 15,924
0 1 97 97 379 97 36,680
0 0 156 0 0 156 0
0 29 100 2,900 459 100 45,900
12,500 10,650 187,027

BULAN : OKTOBER 2015

NILAI (Rp)
(1) (2) (3) (4) (5)=(3)x(4) (6) (7)
1 Alat Tulis Kantor

Binder klip No. 155 40 10,000 400,000 0 10,000
Binder klip No. 155 0 750 0 0 750
Binder klip No. 260 1 25,000 25,000 0 25,000
Bolpoin Faster 18 33,000 594,000 0 33,000
Buku kuarto 100 39 11,000 429,000 0 11,000
Cutter A300 11 5,500 60,500 0 5,500
Isi Stepler 29 4,000 116,000 0 4,000
Kertas Plano 50 1,000 50,000 0 1,000
Paper klip no. 5 5 4,000 20,000 0 4,000
Spidol kecil 82 2,000 164,000 0 2,000
Stempel tanggal 2 8,125 16,250 0 8,125
Stop map kertas 250 500 125,000 0 500
Flashdisk 4 GB 2 60,000 120,000 0 60,000
Portepel 0 5,000 0 0 5,000
Bak Stempel 0 20,000 0 5 20,000
Binder klip No.155 0 14,000 0 50 14,000
Binder Klip No. 260 0 30,000 0 10 30,000
Bolpoin Faster 0 36,000 0 20 36,000
Buku Kuitansi 0 8,000 0 50 8,000
Buku Nota 3 ply 0 8,000 0 30 8,000
Catriedge 0 250,000 0 4 250,000
Document Keeper 0 45,000 0 50 45,000
Kalkulator 0 90,000 0 2 90,000
Odner 0 12,000 0 50 12,000
Plak Ban 0 13,400 0 5 13,400
JUMLAH 0 0 4,014,250 0
Cetakan 0 0 0 0
Rujukan 7 13,750 96,250 0 13,750
Rawat Inap & UGD 24 jam 1 57,750 57,750 0 57,750
SJPP BPJS 2 65,500 131,000 0 65,500
SJPP BPJS 10 8,500 85,000 0 8,500
Kartu Anamnesa 1,000 250 250,000 0 250
Buku KIA 0 7,300 0 0 7,300
JUMLAH 0 0 2,426,750 0
Penebah "2 Macan" 8 11,000 88,000 0 11,000
Sapu lidi 0 8,000 0 0 8,000
JUMLAH 0 0 3,163,500 0
Materai @3.000 15 3,500 52,500 0 3,500
Materai @6.000 0 6,500 0 0 6,500
JUMLAH 0 0 52,500 0
Suku Cadang 0 0 0 0
Kampas rem depan 0 165,000 0 0 165,000
Wiber bash 0 85,000 0 0 85,000
Wiper link 0 165,000 0 0 165,000
Roch and 0 330,000 0 0 330,000
F. Bell FM 35 0 35,000 0 0 35,000
F. Bell FM A 38 0 40,000 0 0 40,000
Karet Stabil 0 35,000 0 0 35,000
Bos rock SRR 0 35,000 0 0 35,000
Nepel Accu B 0 25,000 0 0 25,000
Platina 0 85,000 0 0 85,000
Shell HyS 0 200,000 0 0 200,000
Karet Anteng pir 0 50,000 0 0 50,000
Idle UP AC 0 170,000 0 0 170,000
Wiber bosh 0 80,000 0 0 80,000
Accu NS 70 YUASA 0 900,000 0 0 900,000
Karet Stutbar 0 40,000 0 0 40,000
Tie Rod 0 150,000 0 0 150,000
Karet stabil A 0 15,000 0 0 15,000
Karet stabil 0 5,000 0 0 5,000
Bos Uper Arm K 0 60,000 0 0 60,000
Bos Uper Arm B 0 55,000 0 0 55,000
Boll Jabt Atas 0 137,000 0 0 137,000
Sen Hys 0 230,000 0 0 230,000
HDA 90 0 170,000 0 0 170,000
Oil Filter 0 40,000 0 0 40,000
Brake Master 0 350,000 0 0 350,000
Shell Hys 0 225,000 0 0 225,000
JUMLAH 0 0 0 0
Bahan Kimia 0 0 0 0
Melation 0 200,000 0 0 200,000
Temephos 0 115,000 0 0 115,000
RDT DBD 0 3,275,000 0 0 3,275,000
JUMLAH 0 0 0 0
Blood Lancet 0 197,500 0 10 197,500
GDA Stik 0 122,500 0 100 122,500
Kertas lensa 0 29,000 0 10 29,000
Plano test 0 178,000 0 3 178,000
Rak pipet mikro 0 97,500 0 1 97,500
Slide 0 49,250 0 50 49,250
UA stik 0 129,000 0 75 129,000
Urine Strip 10 PM 0 248,500 0 5 248,500
Urine Strip 3 PM 0 69,000 0 5 69,000
PP Test 0 1,939 0 0 1,939
JUMLAH 0 0 0 0
Susu Nutrien Yunior 81 131,296 10,634,976 0 131,296
Susu Bebemama 90 33,968 3,057,120 0 33,968
JUMLAH
Karcis
Karcis Rp. 2.000,- 306 24 7,344 0 24
Karcis Rp. 2.500,- 384 24 9,216 0 24
Karcis Rp. 3.000,- 594 24 14,256 0 24
Karcis Rp. 5.000,- 1,082 30 32,135 0 30
Karcis Rp. 10.000,- 48 20 960 0 20
Karcis Rp. 10.000,- 500 25 12,500 0 25
Karcis Rp. 20.000,- 162 25 3,993 0 25
Karcis Rp. 25.000,- 189 25 4,659 0 25
Karcis Rp. 50.000,- 173 20 3,460 0 20
Karcis Rp. 100.000,- 646 25 15,924 0 25
Karcis Ambulan 379 97 36,680 0 97
JUMLAH 187,027

KETERANGA
(8)=(6)x(7) (9) (10) (11)=(9)x(10) (12)=(3)+(6)-(9) (13) (14)=(12)x(13) (15)
0 3 13,750 41,250 0 13,750 0

0 0 10,000 0 40 10,000 400,000
0 0 750 0 0 750 0
0 0 25,000 0 1 25,000 25,000
0 4 33,000 132,000 14 33,000 462,000
0 0 11,000 0 39 11,000 429,000
0 0 5,500 0 11 5,500 60,500
0 1 4,000 4,000 28 4,000 112,000
0 0 43,000 0 0 43,000 0
0 25 1,000 25,000 25 1,000 25,000
0 0 4,000 0 5 4,000 20,000
0 0 22,000 0 2 22,000 44,000
0 0 2,000 0 82 2,000 164,000
0 0 7,750 0 39 7,750 302,250
0 0 8,125 0 2 8,125 16,250
0 0 8,000 0 4 8,000 32,000
0 0 500 0 250 500 125,000
0 0 4,500 0 10 4,500 45,000
0 0 60,000 0 2 60,000 120,000
0 5 110,000 550,000 8 110,000 880,000
0 0 5,000 0 0 5,000 0
100,000 0 20,000 0 5 20,000 100,000
700,000 0 14,000 0 50 14,000 700,000
300,000 0 30,000 0 10 30,000 300,000
720,000 0 36,000 0 20 36,000 720,000
400,000 8 8,000 64,000 42 8,000 336,000
240,000 0 8,000 0 30 8,000 240,000
1,000,000 0 250,000 0 4 250,000 1,000,000
2,250,000 0 45,000 0 50 45,000 2,250,000
180,000 2 90,000 180,000 0 90,000 0
2,820,000 10 47,000 470,000 50 47,000 2,350,000
385,000 30 5,500 165,000 40 5,500 220,000
600,000 0 12,000 0 50 12,000 600,000
66,000 0 22,000 0 3 22,000 66,000
25,000 0 5,000 0 5 5,000 25,000
67,000 0 13,400 0 5 13,400 67,000
160,000 1 8,000 8,000 19 8,000 152,000
10,013,000 0 1,639,250 0 0 12,388,000
0 0 0 0 0 0
0 0 6,600 0 10 6,600 66,000
0 0 13,750 0 7 13,750 96,250
0 0 24,750 0 2 24,750 49,500
0 0 24,750 0 1 24,750 24,750
0 0 1,650 0 0 1,650 0
0 0 850 0 0 850 0
0 1 57,750 57,750 0 57,750 0
0 0 65,500 0 5 65,500 327,500
0 0 18,200 0 10 18,200 182,000
0 0 65,500 0 2 65,500 131,000
0 0 65,500 0 2 65,500 131,000
0 0 55,000 0 4 55,000 220,000
0 0 65,500 0 2 65,500 131,000
0 0 55,000 0 2 55,000 110,000
0 0 55,000 0 2 55,000 110,000
0 0 4,500 0 10 4,500 45,000
0 0 4,500 0 10 4,500 45,000
0 0 4,000 0 0 4,000 0
0 7 7,500 52,500 21 7,500 157,500
0 0 8,500 0 10 8,500 85,000
0 0 8,500 0 10 8,500 85,000
0 0 7,000 0 10 7,000 70,000
0 0 250 0 1,000 250 250,000
0 0 7,300 0 0 7,300 0
0 0 2,000 0 0 2,000 0
0 0 66,000 0 0 66,000 0
0 0 110,250 0 0 2,316,500
0 0 0 0 0 0
0 19 9,500 180,500 162 9,500 1,539,000
0 1 23,500 23,500 6 23,500 141,000
0 27,500 0 14 27,500 385,000
0 11,000 0 8 11,000 88,000
0 0 21,500 0 10 21,500 215,000
0 0 26,000 0 6 26,000 156,000
0 4 6,000 24,000 15 6,000 90,000
0 3 14,000 42,000 9 14,000 126,000
0 0 16,500 0 0 16,500 0
0 0 93,500 0 1 93,500 93,500
0 0 4,000 0 15 4,000 60,000
0 0 8,000 0 0 8,000 0
0 0 270,000 0 0 2,893,500
0 0 0 0 0 0
0 0 3,500 0 15 3,500 52,500
0 0 6,500 0 0 6,500 0
0 0 0 0 0 52,500
0 0 0 0 0 0
0 0 165,000 0 0 165,000 0
0 0 85,000 0 0 85,000 0
0 0 165,000 0 0 165,000 0
0 0 330,000 0 0 330,000 0
0 0 35,000 0 0 35,000 0
0 0 40,000 0 0 40,000 0
0 0 35,000 0 0 35,000 0
0 0 35,000 0 0 35,000 0
0 0 25,000 0 0 25,000 0
0 0 85,000 0 0 85,000 0
0 0 200,000 0 0 200,000 0
0 0 50,000 0 0 50,000 0
0 0 170,000 0 0 170,000 0
0 0 190,000 0 0 190,000 0
0 0 80,000 0 0 80,000 0
0 0 900,000 0 0 900,000 0
0 0 40,000 0 0 40,000 0
0 0 150,000 0 0 150,000 0
0 0 15,000 0 0 15,000 0
0 0 5,000 0 0 5,000 0
0 0 60,000 0 0 60,000 0
0 0 55,000 0 0 55,000 0
0 0 137,000 0 0 137,000 0
0 0 230,000 0 0 230,000 0
0 0 170,000 0 0 170,000 0
0 0 40,000 0 0 40,000 0
0 0 350,000 0 0 350,000 0
0 0 50,000 0 0 50,000 0
0 0 225,000 0 0 225,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 200,000 0 0 200,000 0
0 0 115,000 0 0 115,000 0
0 0 3,275,000 0 0 3,275,000 0
0 0 0 0 0 0
0 0 0 0 0 0
1,975,000 0 197,500 0 10 197,500 1,975,000
14,887,500 12 198,500 2,382,000 63 198,500 12,505,500
12,250,000 15 122,500 1,837,500 85 122,500 10,412,500
240,000 0 1,200 0 200 1,200 240,000
290,000 0 29,000 0 10 29,000 290,000
534,000 0 178,000 0 3 178,000 534,000
97,500 0 97,500 0 1 97,500 97,500
2,462,500 0 49,250 0 50 49,250 2,462,500
190,000 50 1,900 95,000 50 1,900 95,000
290,000 0 29,000 0 10 29,000 290,000
9,675,000 7 129,000 903,000 68 129,000 8,772,000
1,242,500 0 248,500 0 5 248,500 1,242,500
345,000 0 69,000 0 5 69,000 345,000
0 0 1,939 0 0 1,939 0
0 0 1,045 0 0 1,045 0
44,479,000 0 5,217,500 0 0 39,261,500
0 0 0 0 0 0
0 27 131,296 3,544,992 54 131,296 7,089,984
0 30 33,968 1,019,040 60 33,968 2,038,080
0 21 24 504 285 24 6,840

0 65 24 1,560 319 24 7,656
0 3 24 72 591 24 14,184
0 80 30 2,376 1,002 30 29,759
0 48 20 960 0 20 0
0 29 25 725 471 25 11,775
0 7 25 173 155 25 3,821
0 2 25 49 187 25 4,610
0 4 20 80 169 20 3,380
0 2 25 49 644 25 15,875
0 6 97 581 373 97 36,099
0 0 156 0 0 156 0
0 26 100 2,600 433 100 43,300
0 9,729 177,298

BULAN : NOVEMBER 2015

NILAI (Rp)
(1) (2) (3) (4) (5)=(3)x(4) (6) (7)
1 Alat Tulis Kantor

Binder klip No. 155 40 10,000 400,000 0 10,000
Binder klip No. 155 0 750 0 0 750
Binder klip No. 260 1 25,000 25,000 0 25,000
Bolpoin Faster 14 33,000 462,000 0 33,000
Buku kuarto 100 39 11,000 429,000 0 11,000
Cutter A300 11 5,500 60,500 0 5,500
Isi Stepler 28 4,000 112,000 0 4,000
Kertas Plano 25 1,000 25,000 0 1,000
Paper klip no. 5 5 4,000 20,000 0 4,000
Spidol kecil 82 2,000 164,000 0 2,000
Stempel tanggal 2 8,125 16,250 0 8,125
Stop map kertas 250 500 125,000 0 500
Flashdisk 4 GB 2 60,000 120,000 0 60,000
Isi Ulang Toner laser Jet 8 110,000 880,000 0 110,000
Portepel 0 5,000 0 0 5,000
Bak Stempel 5 20,000 100,000 0 20,000
Binder klip No.155 50 14,000 700,000 0 14,000
Binder Klip No. 260 10 30,000 300,000 0 30,000
Bolpoin Faster 20 36,000 720,000 0 36,000
Buku Kuitansi 42 8,000 336,000 0 8,000
Buku Nota 3 ply 30 8,000 240,000 0 8,000
Catriedge 4 250,000 1,000,000 0 250,000
Document Keeper 50 45,000 2,250,000 0 45,000
Kalkulator 0 90,000 0 0 90,000
Map Tali Portepel 40 5,500 220,000 0 5,500
Odner 50 12,000 600,000 0 12,000
Penghapus Pensil "Stadeler" 3 22,000 66,000 0 22,000
Penghapus Papan Tulis 5 5,000 25,000 0 5,000
Plak Ban 5 13,400 67,000 0 13,400
Spidol White Board 19 8,000 152,000 0 8,000
JUMLAH 0 0 12,388,000 0
Cetakan 0 0 0 0
Rujukan 7 13,750 96,250 0 13,750
SJPP BPJS 2 65,500 131,000 0 65,500
SJPP BPJS 10 8,500 85,000 0 8,500
Kartu Anamnesa 1,000 250 250,000 0 250
Buku KIA 0 7,300 0 0 7,300
JUMLAH 0 0 2,316,500 0
Penebah "2 Macan" 8 11,000 88,000 0 11,000
Sapu lidi 0 8,000 0 0 8,000
JUMLAH 0 0 2,893,500 0
Materai @3.000 15 3,500 52,500 0 3,500
Materai @6.000 0 6,500 0 0 6,500
JUMLAH 0 0 52,500 0
Suku Cadang 0 0 0 0
Kampas rem depan 0 165,000 0 0 165,000
Wiber bash 0 85,000 0 0 85,000
Wiper link 0 165,000 0 0 165,000
Roch and 0 330,000 0 0 330,000
F. Bell FM 35 0 35,000 0 0 35,000
F. Bell FM A 38 0 40,000 0 0 40,000
Karet Stabil 0 35,000 0 0 35,000
Bos rock SRR 0 35,000 0 0 35,000
Nepel Accu B 0 25,000 0 0 25,000
Platina 0 85,000 0 0 85,000
Shell HyS 0 200,000 0 0 200,000
Karet Anteng pir 0 50,000 0 0 50,000
Idle UP AC 0 170,000 0 0 170,000
Wiber bosh 0 80,000 0 0 80,000
Accu NS 70 YUASA 0 900,000 0 0 900,000
Karet Stutbar 0 40,000 0 0 40,000
Tie Rod 0 150,000 0 0 150,000
Karet stabil A 0 15,000 0 0 15,000
Karet stabil 0 5,000 0 0 5,000
Bos Uper Arm K 0 60,000 0 0 60,000
Bos Uper Arm B 0 55,000 0 0 55,000
Boll Jabt Atas 0 137,000 0 0 137,000
Sen Hys 0 230,000 0 0 230,000
HDA 90 0 170,000 0 0 170,000
Oil Filter 0 40,000 0 0 40,000
Brake Master 0 350,000 0 0 350,000
Shell Hys 0 225,000 0 0 225,000
JUMLAH 0 0 0 0
Bahan Kimia 0 0 0 0
Melation 0 200,000 0 0 200,000
Temephos 0 115,000 0 0 115,000
RDT DBD 0 3,275,000 0 0 3,275,000
JUMLAH 0 0 0 0
Blood Lancet 10 197,500 1,975,000 0 197,500
Cholesterol stik 63 198,500 12,505,500 0 198,500
GDA Stik 85 122,500 10,412,500 0 122,500
Kartu Golongan Darah 200 1,200 240,000 0 1,200
Kertas lensa 10 29,000 290,000 0 29,000
Plano test 3 178,000 534,000 0 178,000
Rak pipet mikro 1 97,500 97,500 0 97,500
Slide 50 49,250 2,462,500 0 49,250
Tabung reaksi kecil 50 1,900 95,000 0 1,900
Pipet Wester green 10 29,000 290,000 0 29,000
UA stik 68 129,000 8,772,000 0 129,000
Urine Strip 10 PM 5 248,500 1,242,500 0 248,500
Urine Strip 3 PM 5 69,000 345,000 0 69,000
PP Test 0 1,939 0 0 1,939
JUMLAH 0 0 39,261,500 0
Susu Bebemama 60 33,968 2,038,080 0 33,968
JUMLAH
Karcis
Karcis Rp. 2.000,- 285 24 6,840 0 24
Karcis Rp. 2.500,- 319 24 7,656 0 24
Karcis Rp. 3.000,- 591 24 14,184 0 24
Karcis Rp. 5.000,- 1,002 30 29,759 0 30
Karcis Rp. 10.000,- 0 20 0 0 20
Karcis Rp. 10.000,- 471 25 11,775 0 25
Karcis Rp. 20.000,- 155 25 3,821 0 25
Karcis Rp. 25.000,- 187 25 4,610 0 25
Karcis Rp. 50.000,- 169 20 3,380 0 20
Karcis Rp. 100.000,- 644 25 15,875 0 25
Karcis Ambulan 373 97 36,099 0 97
JUMLAH 177,298

KETERANGA
(8)=(6)x(7) (9) (10) (11)=(9)x(10) (12)=(3)+(6)-(9) (13) (14)=(12)x(13) (15)
0 0 13,750 0 0 13,750 0
0 0 10,000 0 40 10,000 400,000
0 0 750 0 0 750 0
0 0 25,000 0 1 25,000 25,000
0 4 33,000 132,000 10 33,000 330,000
0 0 11,000 0 39 11,000 429,000
0 2 5,500 11,000 9 5,500 49,500
0 0 4,000 0 28 4,000 112,000
0 0 43,000 0 0 43,000 0
0 25 1,000 25,000 0 1,000 0
0 0 4,000 0 5 4,000 20,000
0 0 22,000 0 2 22,000 44,000
0 0 2,000 0 82 2,000 164,000
0 0 7,750 0 39 7,750 302,250
0 0 8,125 0 2 8,125 16,250
0 0 8,000 0 4 8,000 32,000
0 100 500 50,000 150 500 75,000
0 0 4,500 0 10 4,500 45,000
0 1 60,000 60,000 1 60,000 60,000
0 4 110,000 440,000 4 110,000 440,000
0 0 5,000 0 0 5,000 0
0 0 20,000 0 5 20,000 100,000
0 0 14,000 0 50 14,000 700,000
0 0 30,000 0 10 30,000 300,000
0 0 36,000 0 20 36,000 720,000
0 0 8,000 0 42 8,000 336,000
0 0 8,000 0 30 8,000 240,000
0 2 250,000 500,000 2 250,000 500,000
0 0 45,000 0 50 45,000 2,250,000
0 0 90,000 0 0 90,000 0
0 0 47,000 0 50 47,000 2,350,000
0 30 5,500 165,000 10 5,500 55,000
0 0 12,000 0 50 12,000 600,000
0 0 22,000 0 3 22,000 66,000
0 0 5,000 0 5 5,000 25,000
0 1 13,400 13,400 4 13,400 53,600
0 2 8,000 16,000 17 8,000 136,000
0 0 1,412,400 0 0 10,975,600
0 0 0 0 0 0
0 0 6,600 0 10 6,600 66,000
0 0 13,750 0 7 13,750 96,250
0 0 24,750 0 2 24,750 49,500
0 0 24,750 0 1 24,750 24,750
0 0 1,650 0 0 1,650 0
0 0 850 0 0 850 0
0 0 57,750 0 0 57,750 0
0 0 65,500 0 5 65,500 327,500
0 0 18,200 0 10 18,200 182,000
0 0 65,500 0 2 65,500 131,000
0 0 65,500 0 2 65,500 131,000
0 0 55,000 0 4 55,000 220,000
0 0 65,500 0 2 65,500 131,000
0 0 55,000 0 2 55,000 110,000
0 0 55,000 0 2 55,000 110,000
0 0 4,500 0 10 4,500 45,000
0 0 4,500 0 10 4,500 45,000
0 0 4,000 0 0 4,000 0
0 0 7,500 0 21 7,500 157,500
0 0 8,500 0 10 8,500 85,000
0 0 8,500 0 10 8,500 85,000
0 0 7,000 0 10 7,000 70,000
0 0 250 0 1,000 250 250,000
0 0 7,300 0 0 7,300 0
0 0 2,000 0 0 2,000 0
0 0 66,000 0 0 66,000 0
0 0 0 0 0 2,316,500
0 0 0 0 0 0
0 0 9,500 0 162 9,500 1,539,000
0 0 23,500 0 6 23,500 141,000
0 0 27,500 0 14 27,500 385,000
0 0 11,000 0 8 11,000 88,000
0 0 21,500 0 10 21,500 215,000
0 0 26,000 0 6 26,000 156,000
0 1 6,000 6,000 14 6,000 84,000
0 2 14,000 28,000 7 14,000 98,000
0 0 16,500 0 0 16,500 0
0 0 93,500 0 1 93,500 93,500
0 0 4,000 0 15 4,000 60,000
0 0 8,000 0 0 8,000 0
0 0 34,000 0 0 2,859,500
0 0 0 0 0 0
0 7 3,500 24,500 8 3,500 28,000
0 0 6,500 0 0 6,500 0
0 0 24,500 0 0 28,000
0 0 0 0 0 0
0 0 165,000 0 0 165,000 0
0 0 85,000 0 0 85,000 0
0 0 165,000 0 0 165,000 0
0 0 330,000 0 0 330,000 0
0 0 35,000 0 0 35,000 0
0 0 40,000 0 0 40,000 0
0 0 35,000 0 0 35,000 0
0 0 35,000 0 0 35,000 0
0 0 25,000 0 0 25,000 0
0 0 85,000 0 0 85,000 0
0 0 200,000 0 0 200,000 0
0 0 50,000 0 0 50,000 0
0 0 170,000 0 0 170,000 0
0 0 190,000 0 0 190,000 0
0 0 80,000 0 0 80,000 0
0 0 900,000 0 0 900,000 0
0 0 40,000 0 0 40,000 0
0 0 150,000 0 0 150,000 0
0 0 15,000 0 0 15,000 0
0 0 5,000 0 0 5,000 0
0 0 60,000 0 0 60,000 0
0 0 55,000 0 0 55,000 0
0 0 137,000 0 0 137,000 0
0 0 230,000 0 0 230,000 0
0 0 170,000 0 0 170,000 0
0 0 40,000 0 0 40,000 0
0 0 350,000 0 0 350,000 0
0 0 50,000 0 0 50,000 0
0 0 225,000 0 0 225,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 200,000 0 0 200,000 0
0 0 115,000 0 0 115,000 0
0 0 3,275,000 0 0 3,275,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 197,500 0 10 197,500 1,975,000
0 12 198,500 2,382,000 51 198,500 10,123,500
0 15 122,500 1,837,500 70 122,500 8,575,000
0 0 1,200 0 200 1,200 240,000
0 0 29,000 0 10 29,000 290,000
0 1 178,000 178,000 2 178,000 356,000
0 0 97,500 0 1 97,500 97,500
0 5 49,250 246,250 45 49,250 2,216,250
0 25 1,900 47,500 25 1,900 47,500
0 10 29,000 290,000 0 29,000 0
0 7 129,000 903,000 61 129,000 7,869,000
0 0 248,500 0 5 248,500 1,242,500
0 0 69,000 0 5 69,000 345,000
0 0 1,939 0 0 1,939 0
0 0 1,045 0 0 1,045 0
0 0 5,884,250 0 0 33,377,250
0 0 0 0 0 0
0 27 131,296 3,544,992 27 131,296 3,544,992
0 30 33,968 1,019,040 30 33,968 1,019,040
0 10 24 240 275 24 6,600

0 83 24 1,992 236 24 5,664
0 1 24 24 590 24 14,160
0 91 30 2,703 911 30 27,057
0 0 20 0 0 20 0
0 42 25 1,050 429 25 10,725
0 6 25 148 149 25 3,673
0 2 25 49 185 25 4,560
0 2 20 40 167 20 3,340
0 0 25 0 644 25 15,875
0 0 97 0 373 97 36,099
0 0 156 0 0 156 0
0 19 100 1,900 414 100 41,400
0 8,146 169,152

BULAN : JANUARI 2015

NILAI (Rp)
(1) (2) (3) (4) (5)=(3)x(4) (6) (7)
1 Alat Tulis Kantor

Binder klip No. 155 40 10,000 400,000 0 10,000
Binder klip No. 155 0 750 0 0 750
Binder klip No. 260 1 25,000 25,000 0 25,000
Bolpoin Faster 10 33,000 330,000 0 33,000
Buku kuarto 100 39 11,000 429,000 0 11,000
Cutter A300 9 5,500 49,500 0 5,500
Isi Stepler 28 4,000 112,000 0 4,000
Kertas Plano 0 1,000 0 0 1,000
Paper klip no. 5 5 4,000 20,000 0 4,000
Spidol kecil 82 2,000 164,000 0 2,000
Stempel tanggal 2 8,125 16,250 0 8,125
Stop map kertas 150 500 75,000 0 500
Flashdisk 4 GB 1 60,000 60,000 0 60,000
Isi Ulang Toner laser Jet 4 110,000 440,000 0 110,000
Portepel 0 5,000 0 0 5,000
Bak Stempel 5 20,000 100,000 0 20,000
Binder klip No.155 50 14,000 700,000 0 14,000
Binder Klip No. 260 10 30,000 300,000 0 30,000
Bolpoin Faster 20 36,000 720,000 0 36,000
Buku Kuitansi 42 8,000 336,000 0 8,000
Buku Nota 3 ply 30 8,000 240,000 0 8,000
Catriedge 2 250,000 500,000 0 250,000
Document Keeper 50 45,000 2,250,000 0 45,000
Kalkulator 0 90,000 0 0 90,000
Map Tali Portepel 10 5,500 55,000 0 5,500
Odner 50 12,000 600,000 0 12,000
Penghapus Pensil "Stadeler" 3 22,000 66,000 0 22,000
Penghapus Papan Tulis 5 5,000 25,000 0 5,000
Plak Ban 4 13,400 53,600 0 13,400
Spidol White Board 17 8,000 136,000 0 8,000
JUMLAH 0 0 10,975,600 0
Cetakan 0 0 0 0
Rujukan 7 13,750 96,250 0 13,750
SJPP BPJS 2 65,500 131,000 0 65,500
SJPP BPJS 10 8,500 85,000 0 8,500
Kartu Anamnesa 1,000 250 250,000 0 250
Buku KIA 0 7,300 0 152 7,300
JUMLAH 0 0 2,316,500 0
Penebah "2 Macan" 8 11,000 88,000 0 11,000
Sapu lidi 0 8,000 0 0 8,000
JUMLAH 0 0 2,859,500 0
Materai @3.000 8 3,500 28,000 0 3,500
Materai @6.000 0 6,500 0 0 6,500
JUMLAH 0 0 28,000 0
Suku Cadang 0 0 0 0
Kampas rem depan 0 165,000 0 0 165,000
Wiber bash 0 85,000 0 0 85,000
Wiper link 0 165,000 0 0 165,000
Roch and 0 330,000 0 0 330,000
F. Bell FM 35 0 35,000 0 0 35,000
F. Bell FM A 38 0 40,000 0 0 40,000
Karet Stabil 0 35,000 0 0 35,000
Bos rock SRR 0 35,000 0 0 35,000
Nepel Accu B 0 25,000 0 0 25,000
Platina 0 85,000 0 0 85,000
Shell HyS 0 200,000 0 0 200,000
Karet Anteng pir 0 50,000 0 0 50,000
Idle UP AC 0 170,000 0 0 170,000
Wiber bosh 0 80,000 0 1 80,000
Accu NS 70 YUASA 0 900,000 0 2 900,000
Karet Stutbar 0 40,000 0 4 40,000
Tie Rod 0 150,000 0 2 150,000
Karet stabil A 0 15,000 0 2 15,000
Karet stabil 0 5,000 0 2 5,000
Bos Uper Arm K 0 60,000 0 1 60,000
Bos Uper Arm B 0 55,000 0 1 55,000
Boll Jabt Atas 0 137,000 0 1 137,000
Sen Hys 0 230,000 0 1 230,000
HDA 90 0 170,000 0 1 170,000
Oil Filter 0 40,000 0 1 40,000
Brake Master 0 350,000 0 0 350,000
Shell Hys 0 225,000 0 0 225,000
JUMLAH 0 0 0 0
Bahan Kimia 0 0 0 0
Melation 0 200,000 0 0 200,000
Temephos 0 115,000 0 0 115,000
RDT DBD 0 3,275,000 0 0 3,275,000
JUMLAH 0 0 0 0
Blood Lancet 10 197,500 1,975,000 0 197,500
Cholesterol stik 51 198,500 10,123,500 0 198,500
GDA Stik 70 122,500 8,575,000 0 122,500
Kartu Golongan Darah 200 1,200 240,000 0 1,200
Kertas lensa 10 29,000 290,000 0 29,000
Plano test 2 178,000 356,000 0 178,000
Rak pipet mikro 1 97,500 97,500 0 97,500
Slide 45 49,250 2,216,250 0 49,250
Tabung reaksi kecil 25 1,900 47,500 0 1,900
UA stik 61 129,000 7,869,000 0 129,000
Urine Strip 10 PM 5 248,500 1,242,500 0 248,500
Urine Strip 3 PM 5 69,000 345,000 0 69,000
PP Test 0 1,939 0 281 1,939
JUMLAH 0 0 33,377,250 0
Susu Bebemama 30 33,968 1,019,040 0 33,968
JUMLAH
Karcis
Karcis Rp. 2.000,- 275 24 6,600 0 24
Karcis Rp. 2.500,- 236 24 5,664 0 24
Karcis Rp. 3.000,- 590 24 14,160 0 24
Karcis Rp. 5.000,- 911 30 27,057 0 30
Karcis Rp. 10.000,- 0 20 0 0 20
Karcis Rp. 10.000,- 429 25 10,725 0 25
Karcis Rp. 20.000,- 149 25 3,673 0 25
Karcis Rp. 25.000,- 185 25 4,560 0 25
Karcis Rp. 50.000,- 167 20 3,340 0 20
Karcis Rp. 100.000,- 644 25 15,875 0 25
Karcis Ambulan 373 97 36,099 0 97
JUMLAH 169,152

KETERANGA
(8)=(6)x(7) (9) (10) (11)=(9)x(10) (12)=(3)+(6)-(9) (13) (14)=(12)x(13) (15)
0 0 13,750 0 0 13,750 0
0 0 10,000 0 40 10,000 400,000
0 0 750 0 0 750 0
0 1 25,000 25,000 0 25,000 0
0 5 33,000 165,000 5 33,000 165,000
0 4 11,000 44,000 35 11,000 385,000
0 3 5,500 16,500 6 5,500 33,000
0 1 4,000 4,000 27 4,000 108,000
0 0 43,000 0 0 43,000 0
0 0 1,000 0 0 1,000 0
0 2 4,000 8,000 3 4,000 12,000
0 0 22,000 0 2 22,000 44,000
0 0 2,000 0 82 2,000 164,000
0 0 7,750 0 39 7,750 302,250
0 0 8,125 0 2 8,125 16,250
0 0 8,000 0 4 8,000 32,000
0 0 500 0 150 500 75,000
0 0 4,500 0 10 4,500 45,000
0 1 60,000 60,000 0 60,000 0
0 4 110,000 440,000 0 110,000 0
0 0 5,000 0 0 5,000 0
0 1 20,000 20,000 4 20,000 80,000
0 0 14,000 0 50 14,000 700,000
0 0 30,000 0 10 30,000 300,000
0 0 36,000 0 20 36,000 720,000
0 0 8,000 0 42 8,000 336,000
0 0 8,000 0 30 8,000 240,000
0 2 250,000 500,000 0 250,000 0
0 0 45,000 0 50 45,000 2,250,000
0 0 90,000 0 0 90,000 0
0 10 47,000 470,000 40 47,000 1,880,000
0 10 5,500 55,000 0 5,500 0
0 0 12,000 0 50 12,000 600,000
0 0 22,000 0 3 22,000 66,000
0 0 5,000 0 5 5,000 25,000
0 0 13,400 0 4 13,400 53,600
0 1 8,000 8,000 16 8,000 128,000
0 0 0 0 0 0
0 0 0 0 0 0
0 10 6,600 66,000 0 6,600 0
0 2 13,750 27,500 5 13,750 68,750
0 0 24,750 0 2 24,750 49,500
0 0 24,750 0 1 24,750 24,750
0 0 1,650 0 0 1,650 0
0 0 850 0 0 850 0
0 0 57,750 0 0 57,750 0
0 0 65,500 0 5 65,500 327,500
0 0 18,200 0 10 18,200 182,000
0 0 65,500 0 2 65,500 131,000
0 0 65,500 0 2 65,500 131,000
0 0 55,000 0 4 55,000 220,000
0 0 65,500 0 2 65,500 131,000
0 0 55,000 0 2 55,000 110,000
0 0 55,000 0 2 55,000 110,000
0 0 4,500 0 10 4,500 45,000
0 0 4,500 0 10 4,500 45,000
0 0 4,000 0 0 4,000 0
0 8 7,500 60,000 13 7,500 97,500
0 0 8,500 0 10 8,500 85,000
0 0 8,500 0 10 8,500 85,000
0 0 7,000 0 10 7,000 70,000
0 1,000 250 250,000 0 250 0
1,109,600 152 7,300 1,109,600 0 7,300 0
0 0 2,000 0 0 2,000 0
0 0 66,000 0 0 66,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 16 9,500 152,000 146 9,500 1,387,000
0 3 23,500 70,500 3 23,500 70,500
0 14 27,500 385,000 0 27,500 0
0 1 11,000 11,000 7 11,000 77,000
0 0 21,500 0 10 21,500 215,000
0 2 26,000 52,000 4 26,000 104,000
0 2 6,000 12,000 12 6,000 72,000
0 6 14,000 84,000 1 14,000 14,000
0 0 16,500 0 0 16,500 0
0 0 93,500 0 1 93,500 93,500
0 0 4,000 0 15 4,000 60,000
0 0 8,000 0 0 8,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 3 3,500 10,500 5 3,500 17,500
0 0 6,500 0 0 6,500 0
0 0 10,500 0 0 17,500
0 0 0 0 0 0
0 0 165,000 0 0 165,000 0
0 0 85,000 0 0 85,000 0
0 0 165,000 0 0 165,000 0
0 0 330,000 0 0 330,000 0
0 0 35,000 0 0 35,000 0
0 0 40,000 0 0 40,000 0
0 0 35,000 0 0 35,000 0
0 0 35,000 0 0 35,000 0
0 0 25,000 0 0 25,000 0
0 0 85,000 0 0 85,000 0
0 0 200,000 0 0 200,000 0
0 0 50,000 0 0 50,000 0
0 0 170,000 0 0 170,000 0
380,000 2 190,000 380,000 0 190,000 0
80,000 1 80,000 80,000 0 80,000 0
1,800,000 2 900,000 1,800,000 0 900,000 0
160,000 4 40,000 160,000 0 40,000 0
300,000 2 150,000 300,000 0 150,000 0
30,000 2 15,000 30,000 0 15,000 0
10,000 2 5,000 10,000 0 5,000 0
60,000 1 60,000 60,000 0 60,000 0
55,000 1 55,000 55,000 0 55,000 0
137,000 1 137,000 137,000 0 137,000 0
230,000 1 230,000 230,000 0 230,000 0
170,000 1 170,000 170,000 0 170,000 0
40,000 1 40,000 40,000 0 40,000 0
0 0 350,000 0 0 350,000 0
0 0 50,000 0 0 50,000 0
0 0 225,000 0 0 225,000 0
3,452,000 0 3,452,000 0 0 0
0 0 0 0 0 0
0 0 200,000 0 0 200,000 0
0 0 115,000 0 0 115,000 0
0 0 3,275,000 0 0 3,275,000 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 197,500 0 10 197,500 1,975,000
0 11 198,500 2,183,500 40 198,500 7,940,000
0 15 122,500 1,837,500 55 122,500 6,737,500
0 0 1,200 0 200 1,200 240,000
0 0 29,000 0 10 29,000 290,000
0 1 178,000 178,000 1 178,000 178,000
0 0 97,500 0 1 97,500 97,500
0 5 49,250 246,250 40 49,250 1,970,000
0 25 1,900 47,500 0 1,900 0
0 0 29,000 0 0 29,000 0
0 6 129,000 774,000 55 129,000 7,095,000
0 0 248,500 0 5 248,500 1,242,500
0 0 69,000 0 5 69,000 345,000
544,859 281 1,939 544,859 0 1,939 0
293,645 281 1,045 293,645 0 1,045 0
0 0 6,105,254 0 0 28,110,500
0 0 0 0 0 0
0 27 131,296 3,544,992 0 131,296 0
0 30 33,968 1,019,040 0 33,968 0
0 11 24 264 264 24 6,336

0 116 24 2,784 120 24 2,880
0 3 24 72 587 24 14,088
0 132 30 3,920 779 30 23,136
0 0 20 0 0 20 0
0 54 25 1,350 375 25 9,375
0 21 25 518 128 25 3,155
0 0 25 0 185 25 4,560
0 0 20 0 167 20 3,340
0 0 25 0 644 25 15,875
0 6 97 581 367 97 35,518
0 0 156 0 0 156 0
0 36 100 3,600 378 100 37,800
0 13,089 156,064
MUTASI TAMBAH PERSEDIAN TAHUN 2
Mutas
NO Jenis Persediaan
Januari Februari Maret April
1 Alat Tulis Kantor - 3,467,000 - -
Amplop sedang "Jaya R Peel & Seal" - - - -
Binder klip No. 155 - - - -
Bolpoin Faster - - - -
Buku kuarto 100 - - - -
Cutter A300 - - - -
Isi Stepler - - - -
Kertas HVS F4 75 gram SIDU - - - -
Kertas Plano - - - -
Paper klip no. 5 - - - -
Tinta mesin ketik Daito - - - -
Spidol kecil - - - -
Spidol permanen hitam - - - -
Stempel tanggal - - - -
Stepler "MAY HD 10 Kenko" - - - -
Stop map kertas - - - -
Tinta stempel "INK Yamura"
- - - -
Flashdisk 4 GB - - - -
Isi Ulang Toner laser Jet - - - -
Portepel - - - -
Bak Stempel - - - -
Binder klip No.155 - - - -
Binder Klip No. 260 - - - -
Buku Kuitansi - - - -
Buku Nota 3 ply - - - -
Catriedge - - - -
Document Keeper - - - -
Kalkulator - - - -
Map Tali Portepel - - - -
Odner - - - -
Penghapus Pensil "Stadeler" - - - -
Penghapus Papan Tulis - - - -
Plak Ban - - - -
Spidol White Board - - - -
JUMLAH - - -
Cetakan - - - -
Lembar Regristrasi BPJS - - - -
Rujukan - - - -
Agenda Surat Keluar - - - -
Agenda Surat Masuk - - - -
Kartu Persediaan Barang - - - -
Kartu Barang - - - -
Rawat Inap & UGD 24 jam - - - -
Laporan Pelayanan RJTP - - - -
Surat Ket. Rawat Jamkesda - - - -
Surat Ket. Rawat BPJS - - - -
SJPP BPJS - - - -
Visite dokter & catatan perawatan - - - -
Surat Keterangan - - - -
Cairan Masuk / Keluar - - - -
Status pasien Rawat Inap - - - -
Surat Ket. Istirahat Pelajar - - - -
Surat Ket. Istirahat Pegawai - - - -
Lembar Regristrasi Umum - - - -
SJPP BPJS - - - -
Surat Ket. Rawat Inap BPJS - - - -
Surat Pernyataan MRS & Tindakan - - - -
Kartu Anamnesa - - - -
Buku KIA - - - -
Buku SKP Pegawai - 62,000 - -
Lembar Disposisi - - - -
JUMLAH
Alat Kebersihan & Bahan Pembersih - - - -
Cairan Pembersih "Wipol" - - - -
Lap Mobil "Ken Master" - - - -
Kresek hitam besar - - - -
Penebah "2 Macan" - - - -
Pengharum ruangan "Stella" - - - -
Pengharum mobil "Glade" - - - -
Reffil sabun cuci "Sunlight" - - - -
Reffil sabun cuci tangan - - - -
Sapu panjang "Lowo-lowo" - - - -
Tempat sampah injak sedang - - - -
Handuk kecil putih - - - -
Sapu lidi - - - -
JUMLAH -
Materai & Perangko - - - -
Materai @3.000 - - - -
Materai @6.000 - - - -
JUMLAH
Suku Cadang - - - -
Kampas rem depan - 165,000 - -
Wiber bash - 85,000 - -
Wiper link - 165,000 - -
Roch and - 660,000 - -
F. Bell FM 35 - 35,000 - -
F. Bell FM A 38 - 40,000 - -
Karet Stabil - 70,000 - -
Bos rock SRR - 35,000 - -
Nepel Accu B - 25,000 - -
Platina - 85,000 - -
Shell HyS - 200,000 - -
Karet Anteng pir - 500,000 - -
Idle UP AC - 170,000 - -
Kabel busi + busi Wl Gr W - 190,000 - -
Wiber bosh - 80,000 - -
Accu NS 70 YUASA - 900,000 - -
Karet Stutbar - - - -
Tie Rod - - - -
Karet stabil A - - - -
Karet stabil - - - -
Bos Uper Arm K - - - -
Bos Uper Arm B - - - -
Boll Jabt Atas - - - -
Sen Hys - - - -
HDA 90 - - - -
Oil Filter - - - -
Brake Master - - - -
Minyak rem Toyota - - - -
Shell Hys - - - -
JUMLAH
Bahan Kimia - - - -
Melation - - - -
Temephos - - - -
RDT DBD - - - -
JUMLAH -
Alat Lab. Habis Pakai - - - -
Blood Lancet - - - -
Cholesterol stik - - - -
GDA Stik - - - -
Kartu Golongan Darah - - - -
Kertas lensa - - - -
Plano test - - - -
Rak pipet mikro - - - -
Slide - - - -
Tabung reaksi kecil - - - -
Pipet Wester green - - - -
UA stik - - - -
Urine Strip 10 PM - - - -
PP Test - - - -
Protein urine test - - - -
JUMLAH -
Bahan Makanan - - - -
Susu Nutrien Yunior - - - -
Susu Bebemama - - - -
JUMLAH
TOTAL - 3,467,000 - -
Menyetujui
Pengguna / Kuasa Pengguna Barang
dr. Annis Ulana

NIP. 197603242006041010
Keterangan = Apabila obyek/ rincian obyek atas persediaan yang tidak tercantum seperti tersebut di atas harap disesuaika
Diisi mutasi persediaan tahun 2015
MBAH PERSEDIAN TAHUN 2015 ( BERBASIS AKRUAL )
Mutasi Tambah 2015

Mei Juni Juli Agustus September Oktober November
26,400,000 - - 3,482,000 13,692,096 54,492,000 -
178,750 - - - - - -
400,000 - - - - - -
- - - - - - -
250,000 - - - - - -
726,000 - - - - - -
495,000 - - - - - -
88,000 - - - - - -
120,000 - - - - - -
1,376,000 - - - - - -
50,000 - - - - - -
20,000 - - - - - -
44,000 - - - - - -
200,000 - - - - - -
325,500 - - - - - -
16,250 - - - - - -
32,000 - - - - - -
204,500 - - - - - -
45,000 - - - - - -
180,000 - - - - - -
3,300,000 - - - - - -
20,000 - - - - - -
- - - - - 100,000 -
- - - - - 700,000 -
- - - - - 300,000 -
- - - - - 720,000 -
- - - - - 400,000 -
- - - - - 240,000 -
- - - - - 1,000,000 -
- - - - - 2,250,000 -
- - - - - 180,000 -
- - - - - 2,820,000 -
- - - - - 385,000 -
- - - - - 600,000 -
- - - - - 66,000 -
- - - - - 25,000 -
- - - - - 67,000 -
- - - - - 160,000 -
- - - - - - -
- - - 330,000 - - -
- - - 137,500 - - -
- - - 49,500 - - -
- - - 24,750 - - -
- - - 165,000 - - -
- - - 85,000 - - -
- - - 57,750 - - -
- - - 327,500 - - -
- - - 182,000 - - -
- - - 131,000 - - -
- - - 131,000 - - -
- - - 220,000 - - -
- - - 131,000 - - -
- - - 110,000 - - -
- - - 110,000 - - -
- - - 45,000 - - -
- - - 45,000 - - -
- - - - - - -
- - - 210,000 - - -
- - - 85,000 - - -
- - - 85,000 - - -
- - - 70,000 - - -
- - - 750,000 - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
2,023,500 - - - - - -
188,000 - - - - - -
770,000 - - - - - -
88,000 - - - - - -
215,000 - - - - - -
260,000 - - - - - -
120,000 - - - - - -
280,000 - - - - - -
33,000 - - - - - -
93,500 - - - - - -
60,000 - - - - - -
8,000 - - - - - -
- - - - - - -
140,000 - - - - - -
325,000 - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
7,000,000 - - - - - -
3,450,000 - - - - - -
3,275,000 - - - - - -
- - - - - - -
- - - - - 1,975,000 -
- - - - - 14,887,500 -
- - - - - 12,250,000 -
- - - - - 240,000 -
- - - - - 290,000 -
- - - - - 534,000 -
- - - - - 97,500 -
- - - - - 2,462,500 -
- - - - - 190,000 -
- - - - - 290,000 -
- - - - - 9,675,000 -
- - - - - 1,242,500 -
- - - - - 345,000 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - 10,634,976 - -
- - - - 3,057,120 - -
26,400,000 - - 3,482,000 13,692,096 54,492,000 -
Pengurus/ Penyimpan Barang

UPTD Kesehatan Puskesmas Winongan
Nurkhasanah
NIP. 196305111987032003
eperti tersebut di atas harap disesuaikan atau ditambahkan

Saldo
Desember
5,400,104 106,933,200
- 178,750
- 400,000
- -
- 250,000
- 726,000 12500
- 495,000 35
- 88,000 437500
- 120,000
- 1,376,000
- 50,000
- 20,000
- 44,000
- 200,000
- 325,500
- 16,250
- 32,000
- 204,500
- 45,000
- 180,000
- 3,300,000
- 20,000
- 100,000
- 700,000
- 300,000
- 720,000
- 400,000
- 240,000
- 1,000,000
- 2,250,000
- 180,000
- 2,820,000
- 385,000
- 600,000
- 66,000
- 25,000
- 67,000
- 160,000
-
- -
- 330,000
- 137,500
- 49,500
- 24,750
- 165,000
- 85,000
- 57,750
- 327,500
- 182,000
- 131,000
- 131,000
- 220,000
- 131,000
- 110,000
- 110,000
- 45,000
- 45,000
- -
- 210,000
- 85,000
- 85,000
- 70,000
- 750,000
1,109,600 1,109,600
- 62,000
- -
-
- -
- 2,023,500
- 188,000
- 770,000
- 88,000
- 215,000
- 260,000
- 120,000
- 280,000
- 33,000
- 93,500
- 60,000
- 8,000
-
- -
- 140,000
- 325,000
-
- -
- 165,000
- 85,000
- 165,000
- 660,000
- 35,000
- 40,000
- 70,000
- 35,000
- 25,000
- 85,000
- 200,000
- 500,000
- 170,000
380,000 570,000
80,000 160,000
1,800,000 2,700,000
160,000 160,000
300,000 300,000
30,000 30,000
10,000 10,000
60,000 60,000
55,000 55,000
137,000 137,000
230,000 230,000
170,000 170,000
40,000 40,000
- -
- -
- -
-
- -
- 7,000,000
- 3,450,000
- 3,275,000
-
- -
- 1,975,000
- 14,887,500
- 12,250,000
- 240,000
- 290,000
- 534,000
- 97,500
- 2,462,500
- 190,000
- 290,000
- 9,675,000
- 1,242,500
- 345,000
544,859 544,859
293,645 293,645
-
- -
- 10,634,976
- 3,057,120
-
5,400,104 106,933,200
UTASI KURANG PERSEDIAAN TAHUN 2
Mutas
NO Jenis Persediaan
Januari Februari Maret April
1 Alat Tulis Kantor 84,750 3,467,000 - -
Amplop sedang "Jaya R Peel & Seal" - - - -
Binder klip No. 155 750 - - -
Buku kuarto 100 - - - -
Cutter A300 - - - -
Isi Stepler - - - -
Kertas Plano - - - -
Paper klip no. 5 - - - -
Tinta mesin ketik Daito - - - -
Spidol kecil - - - -
Spidol permanen hitam - - - -
Stempel tanggal - - - -
Stepler "MAY HD 10 Kenko" - - - -
Stop map kertas - - - -
Tinta stempel "INK Yamura" - - - -
Flashdisk 4 GB - - - -
Isi Ulang Toner laser Jet - - - -
Portepel - - - -
Bak Stempel - - - -
Binder klip No.155 - - - -
Binder Klip No. 260 - - - -
Buku Kuitansi - - - -
Buku Nota 3 ply - - - -
Catriedge - - - -
Document Keeper - - - -
Kalkulator - - - -
Map Tali Portepel - - - -
Odner - - - -
Penghapus Pensil "Stadeler" - - - -
Penghapus Papan Tulis - - - -
Plak Ban - - - -
Spidol White Board - - - -
JUMLAH
Cetakan - - - -
Lembar Regristrasi BPJS - - - -
Rujukan - - - -
Agenda Surat Keluar - - - -
Agenda Surat Masuk - - - -
Kartu Persediaan Barang - - - -
Kartu Barang - - - -
Rawat Inap & UGD 24 jam - - - -
Laporan Pelayanan RJTP - - - -
Surat Ket. Rawat Jamkesda - - - -
Surat Ket. Rawat BPJS - - - -
SJPP BPJS - - - -
Visite dokter & catatan perawatan - - - -
Surat Keterangan - - - -
Cairan Masuk / Keluar - - - -
Status pasien Rawat Inap - - - -
Surat Ket. Istirahat Pelajar - - - -
Surat Ket. Istirahat Pegawai 4,000 - - -
Lembar Regristrasi Umum - - - -
SJPP BPJS - - - -
Surat Ket. Rawat Inap BPJS - - - -
Surat Pernyataan MRS & Tindakan - - - -
Kartu Anamnesa - - - -
Buku KIA - - - -
Buku SKP Pegawai - 62,000 - -
Lembar Disposisi 66,000 - - -
JUMLAH
Alat Kebersihan & Bahan Pembersih - - - -
Cairan Pembersih "Wipol" - - - -
Lap Mobil "Ken Master" - - - -
Kresek hitam besar - - - -
Penebah "2 Macan" - - - -
Pengharum ruangan "Stella" - - - -
Pengharum mobil "Glade" - - - -
Reffil sabun cuci "Sunlight" - - - -
Reffil sabun cuci tangan - - - -
Sapu panjang "Lowo-lowo" - - - -
Tempat sampah injak sedang - - - -
Handuk kecil putih - - - -
Sapu lidi - - - -
JUMLAH -
Materai & Perangko - - - -
Materai @3.000 7,000 - - -
Materai @6.000 - - - -
JUMLAH 7,000
Suku Cadang - - - -
Kampas rem depan - 165,000 - -
Wiber bash - 85,000 - -
Wiper link - 165,000 - -
Roch and - 660,000 - -
F. Bell FM 35 - 35,000 - -
F. Bell FM A 38 - 40,000 - -
Karet Stabil - 70,000 - -
Bos rock SRR - 35,000 - -
Nepel Accu B - 25,000 - -
Platina - 85,000 - -
Shell HyS - 200,000 - -
Karet Anteng pir - 500,000 - -
Idle UP AC - 170,000 - -
Kabel busi + busi Wl Gr W - 190,000 - -
Wiber bosh - 80,000 - -
Accu NS 70 YUASA - 900,000 - -
Karet Stutbar - - - -
Tie Rod - - - -
Karet stabil A - - - -
Karet stabil - - - -
Bos Uper Arm K - - - -
Bos Uper Arm B - - - -
Boll Jabt Atas - - - -
Sen Hys - - - -
HDA 90 - - - -
Oil Filter - - - -
Brake Master - - - -
Minyak rem Toyota - - - -
Shell Hys - - - -
JUMLAH -
Bahan Kimia - - - -
Melation - - - -
Temephos - - - -
RDT DBD - - - -
JUMLAH -
Alat Lab. Habis Pakai - - - -
Blood Lancet - - - -
Cholesterol stik - - - -
GDA Stik - - - -
Kartu Golongan Darah - - - -
Kertas lensa - - - -
Plano test - - - -
Rak pipet mikro - - - -
Slide - - - -
Tabung reaksi kecil - - - -
Pipet Wester green - - - -
UA stik - - - -
PP Test - - - -
Protein urine test - - - -
JUMLAH -
Bahan Makanan - - - -
Susu Nutrien Yunior - - - -
Susu Bebemama - - - -
JUMLAH
TOTAL 84,750 3,467,000 - -
Menyetujui
Pengguna / Kuasa Pengguna Barang
dr. Annis Ulana

NIP. 197603242006041010
Keterangan = Apabila obyek/ rincian obyek atas persediaan yang tidak tercantum seperti tersebut di atas harap disesuaik
NG PERSEDIAAN TAHUN 2015 ( BERBASIS AKRUAL )
Mutasi Kurang 2014
Mei Juni Juli Agustus September Oktober November
14,164,000 1,648,500 1,613,750 1,603,000 1,195,750 11,801,032 11,919,182
- - 68,750 - 68,750 41,250 -
- - - - - - -
- - - - - - -
- 50,000 125,000 - 50,000 - -
- - 132,000 - - 132,000 132,000
- 11,000 - 11,000 44,000 - -
- - 16,500 5,500 5,500 - 11,000
- - - - 4,000 4,000 -
301,000 344,000 430,000 129,000 172,000 - -
- - - - - 25,000 25,000
- - - - - - -
- - - - - - -
- - 36,000 - - - -
- - 15,500 7,750 - - -
- - - - - - -
- - - - - - -
- - 50,000 29,500 - - 50,000
- - - - - - -
- - 60,000 - - - 60,000
- 550,000 330,000 440,000 550,000 550,000 440,000
- - 20,000 - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 64,000 -
- - - - - - -
- - - - - - 500,000
- - - - - - -
- - - - - 180,000 -
- - - - - 470,000 -
- - - - - 165,000 165,000
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - 13,400
- - - - - 8,000 16,000
- - - - - - -
- - - 165,000 99,000 - -
- - - 41,250 - - -
- - - - - - -
- - - - - - -
- - - 165,000 - - -
- - - 85,000 - - -
- - - - - 57,750 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 52,500 -
- - - - - - -
- - - - - - -
- - - - - - -
- - - 500,000 - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- 152,000 152,000 - - 180,500 -
- - - - 23,500 23,500 -
- 385,000 - - - - -
- - - - - - -
- - - - - - -
- - 52,000 - 52,000 - -
- - - - 6,000 24,000 6,000
- 56,000 28,000 - 28,000 42,000 28,000
- 33,000 - - - - -
- - - - - - -
- - - - - - -
- 8,000 - - - - -
- - - - - - -
21,000 14,000 7,000 17,500 28,000 - 24,500
117,000 45,500 91,000 6,500 65,000 - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
7,000,000 - - - - - -
3,450,000 - - - - - -
3,275,000 - - - - - -
- - - - - - -
- - - - - - -
- - - - - 2,382,000 2,382,000
- - - - - 1,837,500 1,837,500
- - - - - - -
- - - - - - -
- - - - - - 178,000
- - - - - - -
- - - - - - 246,250
- - - - - 95,000 47,500
- - - - - - 290,000
- - - - - 903,000 903,000
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - 3,544,992 3,544,992
- - - - - 1,019,040 1,019,040
14,164,000 1,648,500 1,613,750 1,603,000 1,195,750 11,801,032 11,919,182

UPTD Kesehatan Puskesmas Winongan
Nurkhasanah
NIP. 196305111987032003
eperti tersebut di atas harap disesuaikan atau ditambahkan

Saldo
Desember
18,226,886 65,723,850
- 178,750 65,723,850
- -
- 750
25,000 250,000
165,000 561,000
44,000 110,000
16,500 55,000
4,000 12,000
- 1,376,000
- 50,000
8,000 8,000
- -
- 36,000
- 23,250
- -
- -
- 129,500
- -
60,000 180,000
440,000 3,300,000
- 20,000
20,000 20,000
- -
- -
- -
- 64,000
- -
500,000 1,000,000
- -
- 180,000
470,000 940,000
55,000 385,000
- -
- -
- -
- 13,400
8,000 32,000
-
- -
66,000 330,000
27,500 68,750
- -
- -
- 165,000
- 85,000
- 57,750
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 4,000
60,000 112,500
- -
- -
- -
250,000 750,000
1,109,600 1,109,600
- 62,000
- 66,000
-
- -
152,000 636,500
70,500 117,500
385,000 770,000
11,000 11,000
- -
52,000 156,000
12,000 48,000
84,000 266,000
- 33,000
- -
- -
- 8,000
-
- -
10,500 129,500
- 325,000
7,000
- -
- 165,000
- 85,000
- 165,000
- 660,000
- 35,000
- 40,000
- 70,000
- 35,000
- 25,000
- 85,000
- 200,000
- 500,000
- 170,000
380,000 570,000
80,000 160,000
1,800,000 2,700,000
160,000 160,000
300,000 300,000
30,000 30,000
10,000 10,000
60,000 60,000
55,000 55,000
137,000 137,000
230,000 230,000
170,000 170,000
40,000 40,000
- -
- -
- -
-
- -
- 7,000,000
- 3,450,000
- 3,275,000
-
- -
- -
2,183,500 6,947,500
1,837,500 5,512,500
- -
- -
178,000 356,000
- -
246,250 492,500
47,500 190,000
- 290,000
774,000 2,580,000
- -
- -
544,859 544,859
293,645 293,645
-
- -
3,544,992 10,634,976
1,019,040 3,057,120 0
-
-
18,226,886 65,723,850
SKPD…………………..
NIP.
REKAPITULASI MUTASI PERSEDIAAN TAHUN 2015 ( BERBASIS AKRUAL )
Saldo Awal Mutasi Tambah Mutasi Kurang

NO Jenis Persediaan 2015 2015 2015
(Rp.) Total Total
1 Alat Tulis Kantor - 106,933,200 65,723,850

Amplop sedang "Jaya R Peel & Seal" - 178,750 178,750
Binder klip No. 155 - 400,000 -
Binder klip No. 155 750 - 750
Binder klip No. 260 - 250,000 250,000
Bolpoin Faster - 726,000 561,000
Buku kuarto 100 - 495,000 110,000
Cutter A300 - 88,000 55,000
Isi Stepler - 120,000 12,000
Kertas HVS F4 75 gram SIDU - 1,376,000 1,376,000
Kertas Plano - 50,000 50,000
Paper klip no. 5 - 20,000 8,000
Tinta mesin ketik Daito - 44,000 -
Spidol kecil - 200,000 36,000
Spidol permanen hitam - 325,500 23,250
Stempel tanggal - 16,250 -
Stepler "MAY HD 10 Kenko" - 32,000 -
Stop map kertas - 204,500 129,500
Tinta stempel "INK Yamura" - 45,000 -
Flashdisk 4 GB - 180,000 180,000
Isi Ulang Toner laser Jet - 3,300,000 3,300,000
Portepel - 20,000 20,000
Bak Stempel - 100,000 20,000
Binder klip No.155 - 700,000 -
Binder Klip No. 260 - 300,000 -
Bolpoin Faster - 720,000 -
Buku Kuitansi - 400,000 64,000
Buku Nota 3 ply - 240,000 -
Catriedge - 1,000,000 1,000,000
Document Keeper - 2,250,000 -
Kalkulator - 180,000 180,000
Kertas HVS F4 70 gram SIDU - 2,820,000 940,000
Map Tali Portepel - 385,000 385,000
Odner - 600,000 -
Penghapus Pensil "Stadeler" - 66,000 -
Penghapus Papan Tulis - 25,000 -
Plak Ban - 67,000 13,400
Spidol White Board - 160,000 32,000
JUMLAH - -
Cetakan - - -
Lembar Regristrasi BPJS - 330,000 330,000
Rujukan - 137,500 68,750
Agenda Surat Keluar - 49,500 -
Agenda Surat Masuk - 24,750 -
Kartu Persediaan Barang - 165,000 165,000
Kartu Barang - 85,000 85,000
Rawat Inap & UGD 24 jam - 57,750 57,750
Laporan Pelayanan RJTP - 327,500 -
Surat Ket. Rawat Jamkesda - 182,000 -
Surat Ket. Rawat BPJS - 131,000 -
SJPP BPJS - 131,000 -
Visite dokter & catatan perawatan - 220,000 -
Surat Keterangan - 131,000 -
Cairan Masuk / Keluar - 110,000 -
Status pasien Rawat Inap - 110,000 -
Surat Ket. Istirahat Pelajar - 45,000 -
Surat Ket. Istirahat Pegawai - 45,000 -
Surat Ket. Istirahat Pegawai 4,000 - 4,000
Lembar Regristrasi Umum - 210,000 112,500
SJPP BPJS - 85,000 -
Surat Ket. Rawat Inap BPJS - 85,000 -
Surat Pernyataan MRS & Tindakan - 70,000 -
Kartu Anamnesa - 750,000 750,000
Buku KIA - 1,109,600 1,109,600
Buku SKP Pegawai - 62,000 62,000
Lembar Disposisi 66,000 - 66,000
JUMLAH - -
Alat Kebersihan & Bahan Pembersih - - -
Cairan Pembersih "Wipol" - 2,023,500 636,500
Lap Mobil "Ken Master" - 188,000 117,500
Kresek hitam besar - 770,000 770,000
Penebah "2 Macan" - 88,000 11,000
Pengharum ruangan "Stella" - 215,000 -
Pengharum mobil "Glade" - 260,000 156,000
Reffil sabun cuci "Sunlight" - 120,000 48,000
Reffil sabun cuci tangan - 280,000 266,000
Sapu panjang "Lowo-lowo" - 33,000 33,000
Tempat sampah injak sedang - 93,500 -
Handuk kecil putih - 60,000 -
Sapu lidi - 8,000 8,000
JUMLAH - - -
Materai & Perangko - - -
Materai @3.000 7,000 140,000 129,500
Materai @6.000 - 325,000 325,000
JUMLAH - 7,000
Suku Cadang - - -
Kampas rem depan - 165,000 165,000
Wiber bash - 85,000 85,000
Wiper link - 165,000 165,000
Roch and - 660,000 660,000
F. Bell FM 35 - 35,000 35,000
F. Bell FM A 38 - 40,000 40,000
Karet Stabil - 70,000 70,000
Bos rock SRR - 35,000 35,000
Nepel Accu B - 25,000 25,000
Platina - 85,000 85,000
Shell HyS - 200,000 200,000
Karet Anteng pir - 500,000 500,000
Idle UP AC - 170,000 170,000
Kabel busi + busi Wl Gr W - 570,000 570,000
Wiber bosh - 160,000 160,000
Accu NS 70 YUASA - 2,700,000 2,700,000
Karet Stutbar - 160,000 160,000
Tie Rod - 300,000 300,000
Karet stabil A - 30,000 30,000
Karet stabil - 10,000 10,000
Bos Uper Arm K - 60,000 60,000
Bos Uper Arm B - 55,000 55,000
Boll Jabt Atas - 137,000 137,000
Sen Hys - 230,000 230,000
HDA 90 - 170,000 170,000
Oil Filter - 40,000 40,000
Brake Master - - -
Minyak rem Toyota - - -
Shell Hys - - -
JUMLAH - - -
Bahan Kimia - - -
Melation - 7,000,000 7,000,000
Temephos - 3,450,000 3,450,000
RDT DBD - 3,275,000 3,275,000
JUMLAH - - -
Alat Lab. Habis Pakai - - -
Blood Lancet - 1,975,000 -
Cholesterol stik - 14,887,500 6,947,500
GDA Stik - 12,250,000 5,512,500
Kartu Golongan Darah - 240,000 -
Kertas lensa - 290,000 -
Plano test - 534,000 356,000
Rak pipet mikro - 97,500 -
Slide - 2,462,500 492,500
Tabung reaksi kecil - 190,000 190,000
Pipet Wester green - 290,000 290,000
UA stik - 9,675,000 2,580,000
Urine Strip 10 PM - 1,242,500 -
Urine Strip 3 PM - 345,000 -
PP Test - 544,859 544,859
Protein urine test - 293,645 293,645
JUMLAH - - -
Bahan Makanan - - -
Susu Nutrien Yunior - 10,634,976 10,634,976
Susu Bebemama - 3,057,120 3,057,120
JUMLAH -
TOTAL 106,933,200 65,723,850
Menyetujui
Pengguna / Kuasa Pengguna Barang Pengurus/ Penyimpan Barang
UPTD Kesehatan Puskesmas Win
dr. Annis Ulana Nurkhasanah

NIP. 197603242006041010 NIP. 196305111987032003
Keterangan = Apabila obyek/ rincian obyek atas persediaan yang tidak tercantum seperti terseb
di atas harap disesuaikan atau ditambahkan
RBASIS AKRUAL ) kertas kerja penyajian persedian pada restatemen lkpd 2014
Saldo
41,209,350
-
400,000
-
-
165,000
385,000
33,000
108,000
-
-
12,000
44,000
164,000
302,250
16,250
32,000
75,000
45,000
-
-
-
80,000
700,000
300,000
720,000
336,000
240,000
-
2,250,000
-
1,880,000
-
600,000
66,000
25,000
53,600
128,000
-
-
-
68,750
49,500
24,750
-
-
-
327,500
182,000
131,000
131,000
220,000
131,000
110,000
110,000
45,000
45,000
-
97,500
85,000
85,000
70,000
-
-
-
-
-
-
1,387,000
70,500
-
77,000
215,000
104,000
72,000
14,000
-
93,500
60,000
-
-
-
17,500
-
(7,000)
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,975,000
7,940,000
6,737,500
240,000
290,000
178,000
97,500
1,970,000
-
-
7,095,000
1,242,500
345,000
-
-
-
-
-
-
-
41,248,225
/ Penyimpan Barang
ehatan Puskesmas Winongan
05111987032003
rcantum seperti tersebut

AKRUAL Winongan

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KELENGKAPAN PENCATATAN MUTASI PERSEDIAAN

SKPD : PUSKESMAS WINONGAN

1 Alat Tulis Kantor

dr. ANNIS ULANA NURKHASANAH

SKPD : PUSKESMAS WINONGAN

SALDO AWAL 01/01/2015 MUTASI TAMBAH

1 Alat Tulis Kantor

dr. ANNIS ULANA

TASI TAMBAH MUTASI KURANG SALDO AKHIR 31/01/2015

165,000 1 165,000 165,000 0 165,000 0

0 33 24.00 792 414 24.00 9,936.00

SKPD : PUSKESMAS WINONGAN

SALDO AWAL 01/01/2015 MUTASI TAMBAH

1 Alat Tulis Kantor

TASI TAMBAH MUTASI KURANG SALDO AKHIR 31/01/2015

0 24 24.00 576 390 24.00 9,360

SKPD : PUSKESMAS WINONGAN

SALDO AWAL 01/01/2015 MUTASI TAMBAH

1 Alat Tulis Kantor

TASI TAMBAH MUTASI KURANG SALDO AKHIR 31/01/2015

0 27 24 648 363 24 8,712

SKPD : PUSKESMAS WINONGAN

SALDO AWAL 01/01/2015 MUTASI TAMBAH

1 Alat Tulis Kantor

TASI TAMBAH MUTASI KURANG SALDO AKHIR 31/01/2015

178,750 0 13,750 0 13 13,750 178,750

0 19 24 456 344 24 8,256

SKPD : PUSKESMAS WINONGAN

SALDO AWAL 01/01/2015 MUTASI TAMBAH

1 Alat Tulis Kantor

TASI TAMBAH MUTASI KURANG SALDO AKHIR 31/01/2015

0 0 13,750 0 13 13,750 178,750

0 8 24 192 336 24 8,064

SKPD : PUSKESMAS WINONGAN

SALDO AWAL 01/01/2015 MUTASI TAMBAH

1 Alat Tulis Kantor

TASI TAMBAH MUTASI KURANG SALDO AKHIR 31/01/2015

0 5 13,750 68,750 8 13,750 110,000

SKPD : PUSKESMAS WINONGAN

SALDO AWAL 01/01/2015 MUTASI TAMBAH

1 Alat Tulis Kantor

TASI TAMBAH MUTASI KURANG SALDO AKHIR 31/01/2015

0 0 13,750 0 8 13,750 110,000

0 20 24 480 312 24 7,488

SKPD : PUSKESMAS WINONGAN

SALDO AWAL 01/01/2015 MUTASI TAMBAH

1 Alat Tulis Kantor

TASI TAMBAH MUTASI KURANG SALDO AKHIR 31/01/2015

0 5 13,750 68,750 3 13,750 41,250

0 6 24 144 306 24 7,344

SKPD : PUSKESMAS WINONGAN

SALDO AWAL 01/01/2015 MUTASI TAMBAH

1 Alat Tulis Kantor

TASI TAMBAH MUTASI KURANG SALDO AKHIR 31/01/2015

0 3 13,750 41,250 0 13,750 0

0 21 24 504 285 24 6,840

SKPD : PUSKESMAS WINONGAN

SALDO AWAL 01/01/2015 MUTASI TAMBAH

1 Alat Tulis Kantor

TASI TAMBAH MUTASI KURANG SALDO AKHIR 31/01/2015

0 10 24 240 275 24 6,600

SKPD : PUSKESMAS WINONGAN

SALDO AWAL 01/01/2015 MUTASI TAMBAH

1 Alat Tulis Kantor