Panduan Simda BMD

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LAPORAN PENERIMAAN DAN PENGELUARAN BHP REAGEN DAN RADIOLOGI GUDANG

RSUD dr. SOERATNO GEMOLONG


BULAN : JANUARI 2018

STOK PENERI PERSED PEMAK SISA


NO NAMA OBAT SATUAN HARGA
AWAL MAAN IAAN AIAN STOK
SATUAN BULAN

1. LABORATORIUM
1 Alkohol 96% botol Rp 907,500 0 0 0 0
2 Alkohol 96% 20 lt Galon Rp 1,496,250 0 0 0 0
3 Albumin 5010 Box Rp 628,320 0 0 0 0
4 Albumin 1 X 44 ml Kit Rp 484,000 0 0 0 0
5 Aspirator FNBA 20cc Pcs Rp 1,650,000 0 0 0 0
6 Bilirubin Bok Rp 722,755 1 1 2 0 2
7 Blue Tip Pcs Rp 121,000 0 0 0 0
8 Cat Giemsa (500 ml) Botol Rp 1,430,000 0 0 0 0
9 Cat OG 6 Botol Rp 434,500 0 0 0 0
10 Cat EA 50 Botol Rp 693,000 0 0 0 0
11 Cat Haris Hematoxilyn Botol Rp 539,000 0 0 0 0
12 Cel clean Pak Rp 1,197,900 0 1 1 0 1
13 Cel pack Galon Rp 1,768,800 0 2 2 1 1
14 Cholesterol ( 1x44ml ) Kit Rp 895,400 0 0 0 0
15 Cholesterol ( 4x100ml ) Bok Rp 1,645,600 0 0 0 0
16 Combostick Bok Rp 446,050 2 2 2 0
17 Creatinin ( 2x100 ) Bok Rp 576,989 0 2 2 0 2
18 Creatinin ( R1: 1x44ml ; R2: 1X 11ml) Kit Rp 618,200 0 0 0 0
19 Dek Glass 18x18) Pcs Rp 199,000 2 2 0 2
20 Dek Glass 22x22) Pcs Rp 44,000 10 10 0 10
21 Dek Glass 24x24) Pcs Rp 92,038,372 24 24 0 24
22 Dek Glass 24x40) Pcs Rp 796,950 0 0 0 0
23 Dek Glass 24x60) pack Rp 137,500 20 20 4 16
24 Dengue IgG - IgM Whole Blood Paket Rp 858,000 0 0 0 0
25 E cek Paket/Sysmex Paket Rp 861,300 0 0 0 0
26 Easydip 12 Jar Slide Rack Pcs Rp 247,500 0 0 0 0
27 Erba Norm 4 x 5 ml Kit Rp 3,150,400 0 0 0 0
28 Erba XL Wash 4 x 100 ml Kit Rp 6,886,000 0 0 0 0
29 Glucosa ( 1 x 100ml ) Bok Rp 756,135 0 3 3 0 3
30 Glucosa ( 1 x 44ml ) Kit Rp 484,000 0 0 0 0
31 Gol Darah ( A, B, AB, D ) Botol Rp 115,500 2 4 6 0 6
32 HBsAg Pcs Rp 12,100 200 200 160 40
33 HCG Oright Box Rp 302,500 0 2 2 0 2
34 HDL/LDL 5010 Box Rp 803,539 0 0 0 0
35 Hemoglobin 500 ml Botol Rp 88,000 3 3 0 3
36 Kartu Gol Darah pack Rp 33,990 1 1 0 1
37 Lancet Blood pack Rp 33,000 0 0 0 0
38 Lancet Steinless Pcs Rp 128,000 1 1 0 1
39 Larutan Drabkin/500 ml Botol Rp 49,300 0 0 0 0
40 Larutan EDTA 500 ml Botol Rp 715,000 0 1 1 0 1
41 Larutan EDTA 100 ml Botol Rp 181,500 1 1 0 1
42 Larutan ZN/BTA Btl Rp 456,500 8 8 0 8
43 Methanol Btl Rp 55,000 3 3 0 3
44 Mounting Media Btl Rp 269,500 2 2 0 2
45 Object Glass Box Rp 40,200 0 0 0 0
46 Objek Glass 7101 Pcs Rp 27,500 17 17 0 17
STOK PENERI PERSED PEMAK SISA
NO NAMA OBAT SATUAN HARGA
AWAL MAAN IAAN AIAN STOK
SATUAN BULAN
47 Objek Glass 7105 Frosted Pcs Rp 30,250 0 0 0 0
48 Poch D/Sysmex Galon Rp 594,000 1 8 9 3 6
49 Poch L/Syismex Galon Rp 1,873,300 0 0 0 0
50 Pot Urine Steril Pcs Rp 2,420 0 0 0 0
51 Protetin Total 5010 Box Rp 778,388 0 0 0 0
52 Protein Total 1 x 44 ml Kit Rp 514,800 0 0 0 0
53 Sampel Cup Grainer isi 500 Pak Rp 198,000 0 0 0 0
54 SGOT UV TEST 8 X 50 Pak Rp 1,724,140 1 1 1 0
55 SGOT R1: 2 x 44ml; R2: 1 x 22 ml Kit Rp 1,716,000 1 1 1 0
56 SGPT ( 20x8 ) Bok Rp 1,724,140 0 0 0 0
57 SGPT (R1: 2x24ml; R2: 1x22ml) Kit Rp 1,716,000 1 1 1 0
58 Stromatolyser WH Galon Rp 1,171,500 0 2 2 1 1
59 Straining jar 10 slide Pcs Rp 247,500 0 0 0 0
60 Spatula Ayre Box Rp 300,000 0 0 0 0
61 Spatula Brush Box Rp 300,000 0 0 0 0
62 Tabung EDTA/Vac Tube Pak Rp 165,000 4 4 4 0
63 Tabung Hematokrit Heparin Botol Rp 43,001 3 3 0 3
64 Tabung reaksi ( 10x1.5 ) Pyrex Pcs Rp 390,000 3 3 0 3
65 Trigliserid (1x44ml ) Kit Rp 1,786,400 0 0 0 0
66 Urea R1 : ( 1x 44ml ) R2:(1X11ml) Kit Rp 1,315,600 0 0 0 0
67 Urea ( 2x 100ml ) Rp 543,048 0 1 1 1 0
68 Uric Acid ( 4x100ml ) Pak Rp 1,470,755 0 0 0 0
69 Uric Acid ( 1x44ml ) KIT Rp 1,117,600 0 0 0 0
70 Urine Analisa Box Rp 285,000 0 0 0 0
71 Widal O, H, AO Botol Rp 115,500 5 4 9 3 6
72 Xilol Botol Rp 55,000 0 0 0 0
73 XL Multical 4 x 3ml Kit Rp 4,417,600 1 1 0 1
74 Yellow Tip Pcs Rp 110,000 0 2 2 1 1
0
2. RONGTEN 0
75 CR 11 x 14 Box Rp 4,118,400 0 0 0 0
76 CR 8 x 10 Box Rp 2,499,994 3 3 3 0
77 Developer Set Rp 975,000 0 0 0 0
78 Film RO 24x30 Lembar Rp 1,390,000 0 0 0 0
79 Film RO 30x40 Lembar Rp 2,100,000 0 0 0 0
80 Film RO 35x35 Lembar Rp 2,200,000 0 0 0 0
81 Fixer 20 Ltr Set Rp 600,000 0 0 0 0
82 Grid 30x40 cm Pcs Rp 4,000,000 0 0 0 0
0
3. REAGEN LAB. PATOLOGI 0
82 Xylene Leica (3,8 ml) Botol Rp 1,155,000 2 2 0 2
83 Eosin Quart (946 ml) Botol Rp 429,000 0 0 0 0
84 Paraplast/Parafin Pack Rp 176,000 2 2 0 2
85 Star Diagnostic-Dengue antibody Pcs Rp 71,775 0 0 0 0
86 Calibration Strip box Rp 112,200 0 0 0 0
87 Haematoxilline (946 ml) botol Rp 605,000 0 0 0 0
88 Buffer formalin 10% (3,8 lt) botol Rp 715,000 1 1 0 1
89 Embeding Cassete dg tutup (500 pcs) box Rp 1,320,000 3 3 0 3
90 Alkohol 100% (3,8 lt) botol Rp 907,500 4 4 0 4
91 Brush Papsmeer (100 pcs) Box Rp 440,000 1 1 0 1
92 Grein plain 3 ml Pak Rp 165,000 3 3 0 3
93 Trigliserid (4 x 100 ml ) Pak Rp 2,375,835 0 0 0 0
94 Pot Dahak Pcs Rp 2,420 0 0 0 0
STOK PENERI PERSED PEMAK SISA
NO NAMA OBAT SATUAN HARGA
AWAL MAAN IAAN AIAN STOK
SATUAN BULAN
95 Buffer formalin 10% (20 lt) Galon Rp 2,200,000 3 3 0 3
96 Lart. Asam Alkohol botol Rp 148,500 5 5 0 5
JUMLAH

Gemolong, Agustus 2017

Mengetahui
Direktur RSUD Gemolong Apoteker
Kab. Sragen

dr. Agus Trijono, M Kes. Drs. J. Seno Tjahjadi. Apt


NIP. 19700820 200501 1 011 NIP. 19680707 199503 1 002
OLOGI GUDANG

HARGA KET

SISA STOK

Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,445,510
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,197,900
Rp 1,768,800
Rp -
Rp -
Rp -
Rp 1,153,977
Rp -
Rp 398,000
Rp 440,000
Rp 2,208,920,921
Rp -
Rp 2,200,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 2,268,404
Rp -
Rp 693,000
Rp 484,000
Rp 605,000
Rp -
Rp 264,000
Rp 33,990
Rp -
Rp 128,000
Rp -
Rp 715,000
Rp 181,500
Rp 3,652,000
Rp 165,000
Rp 539,000
Rp -
Rp 467,500
HARGA KET

SISA STOK
Rp -
Rp 3,564,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,171,500
Rp -
Rp -
Rp -
Rp -
Rp 129,003
Rp 1,170,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 693,000
Rp -
Rp 4,417,600
Rp 110,000

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp 2,310,000
Rp -
Rp 352,000
Rp -
Rp -
Rp -
Rp 715,000
Rp 3,960,000
Rp 3,630,000
Rp 440,000
Rp 495,000
Rp -
Rp -
HARGA KET

SISA STOK
Rp 6,600,000
Rp 742,500
Rp 2,258,221,104

Agustus 2017

poteker

no Tjahjadi. Apt
707 199503 1 002
LAPORAN PENGELUARAN HARIAN BHP REAGEN DAN RADIOLOGI GUDANG
BULAN : JANUARI 2018

Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

2. LABORATORIUM

1 Alkohol 96% 0
2 Alkohol 96% 20 lt 0
3 Albumin 5010 0
4 Albumin 1 X 44 ml 0
5 Aspirator FNBA 20cc 0
6 Bilirubin 2
7 Blue Tip 0
8 Cat Giemsa 0
9 Cat OG 6 0
10 Cat EA 50 0
11 Cat Haris Hematoxilyn 0
12 Cel clean 1
13 Cell pack 2 1

14 Cholesterol ( 1x44ml ) 0
15 Cholesterol ( 4x100ml ) 0
16 Combostick 2 2

17 Creatinin ( 2x100 ) 2
18 Creatinin ( R1: 1x44; R2: 1X 11ml) 0
19 Dek Glass 18x18) 2
20 Dek Glass 22x22) 10
21 Dek Glass 24x24) 24
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

22 Dek Glass 24x40) 0


23 Dek Glass 24x60) 20 4

24 Dengue IgG - IgM Whole Blood 0


25 E cek Paket/Sysmex 0
26 Easydip 12 Jar Slide Rack 0
27 Erba Norm 4 x 5 ml 0
28 Erba XL Wash 4 x 100 ml 0
29 Glucosa ( 1 x 100ml ) 3
30 Glucosa ( 1x44ml ) 0
31 Gol Darah ( A, B, AB, D ) 6
32 HBsAg 200 160

33 HCG oright 2
34 HDL/LDL 5010 0
35 Hemoglobin 500 m 3
36 Kartu Gol Darah 1
37 Lancet Blood 0
38 Lancet Steinless 1
39 Larutan Drabkin/500 ml 0
40 Larutan EDTA 500 ml 1
41 Larutan EDTA 10% 1
42 Larutan ZN/BTA 8
43 Methanol 3
44 Mounting Media 2
45 Object Glass 0
46 Objek Glass 7101 17
47 Objek Glass 7105 Frosted 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

48 Poch D/Sysmex 9 1 2

49 Poch L/Syismex 0
50 Pot Urine Steril 0
51 Protetin Total 5010 0
52 Protetin Total 1 x 44 ml 0
53 Sampel Cup Grainer isi 500 0
54 SGOT UV TEST 8 X 50 1 1

55 SGOT R1:2x44ml; R2: 1x22 ml 1 1

56 SGPT ( 50x8 ) 0
57 SGPT (R1: 2x24ml; R2: 1x22ml) 1 1

58 Stromatolyser WH 2 1

59 Straining jar 10 slide 0


60 Spatula Ayre 0
61 Spatula Brush 0
62 Tabung EDTA/Vac Tube 4 4

63 Tabung Hematokrit Heparin 3


64 Tabung reaksi ( 10x1.5 ) Pyrex 3
65 Trigliserid (1x44ml ) 0
66 Urea R1 : ( 1x 44ml ) R2:(1X11ml) 0
67 Urea ( 2x 100ml ) 1 1

68 Uric Acid ( 4x100ml ) 0


69 Uric Acid ( 1x44ml ) 0
70 Urine Analisa 0
71 Widal O, H, AO 9 3

72 Xilol 0
73 XL Multical 4 x 3ml 1
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

74 Yellow Tip 2 1

0
3. RONGTEN 0
75 CR 11 x 14 0
76 CR 8 x 10 3 1 1 1

77 Developer 0
78 Film RO 24x30 0
79 Film RO 30x40 0
80 Film RO 35x35 0
81 Fixer 20 Ltr 0
82 Grid 30x40 cm 0
0
3. REAGEN LAB. PA BARU 0
82 Xylene Leica (3,8 ml) 2
83 Eosin Quart (946 ml) 0
84 Paraplast/Parafin 2
85 Star Diagnostic-Dengue antibody 0
86 Calibration Strip 0
86 Haematoxilline (946 ml) 0
86 Buffer formalin 10% (3,8 lt) 1
86 Embeding Cassete dg tutup (500 pcs) 3
90 Alkohol 100% (3,8 lt) 4
91 Brush Papsmeer (100 pcs) 1
92 Grein plain 3 ml 3
93 Trigliserid (4 x 100 ml ) 0
94 Pot Dahak 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

95 Buffer formalin 10% (20 lt) 3


96 Lart. Asam Alkohol 5
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Pemakai Sisa
an Stok

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 2

0 0

0 0

0 0

0 0

0 0

0 1

1 1

0 0

0 0

2 0

0 2

0 0

0 2

0 10

0 24
Pemakai Sisa
an Stok

0 0

4 16

0 0

0 0

0 0

0 0

0 0

0 3

0 0

0 6

160 40

0 2

0 0

0 3

0 1

0 0

0 1

0 0

0 1

0 1

0 8

0 3

0 2

0 0

0 17

0 0
Pemakai Sisa
an Stok

3 6

0 0

0 0

0 0

0 0

0 0

1 0

1 0

0 0

1 0

1 1

0 0

0 0

0 0

4 0

0 3

0 3

0 0

0 0

1 0

0 0

0 0

0 0

3 6

0 0

0 1
Pemakai Sisa
an Stok

1 1

0 0

0 0

0 0

3 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 2

0 0

0 2

0 0

0 0

0 0

0 1

0 3

0 4

0 1

0 3

0 0

0 0
Pemakai Sisa
an Stok

0 3

0 5
LAPORAN PENERIMAAN DAN PENGELUARAN BHP REAGEN DAN RADIOLOGI GUDANG
RSUD dr. SOERATNO GEMOLONG
BULAN : FEBRUARI 2018

STOK PENERI PERSEDI PEMAKA SISA


NO NAMA OBAT SATUAN HARGA
AWAL MAAN AAN IAN STOK
SATUAN BULAN

1. LABORATORIUM
1 Alkohol 96% botol Rp 907,500 0 0 0 0
2 Alkohol 96% 20 lt Galon Rp 1,496,250 0 0 0 0
3 Albumin 5010 Box Rp 628,320 0 0 0 0
4 Albumin 1 X 44 ml Kit Rp 484,000 0 2 2 0 2
5 Aspirator FNBA 20cc Pcs Rp 1,650,000 0 0 0 0
6 Bilirubin Bok Rp 722,755 2 1 3 1 2
7 Blue Tip Pcs Rp 121,000 0 2 2 0 2
8 Cat Giemsa (500 ml) Botol Rp 1,430,000 0 0 0 0
9 Cat OG 6 Botol Rp 434,500 0 0 0 0
10 Cat EA 50 Botol Rp 693,000 0 0 0 0
11 Cat Haris Hematoxilyn Botol Rp 539,000 0 0 0 0
12 Cel clean Pak Rp 1,197,900 1 1 2 1 1
13 Cel pack Galon Rp 1,768,800 1 4 5 2 3
14 Cholesterol ( 1x44ml ) Kit Rp 895,400 0 3 3 0 3
15 Cholesterol ( 4x100ml ) Bok Rp 1,645,600 0 2 2 0 2
16 Combostick Bok Rp 446,050 0 8 8 2 6
17 Creatinin ( 2x100 ) Bok Rp 623,832 2 2 4 1 3
18 Creatinin ( R1: 1x44ml ; R2: 1X 11ml) Kit Rp 618,200 0 6 6 2 4
19 Dek Glass 18x18) Pcs Rp 199,000 2 2 0 2
20 Dek Glass 22x22) Pcs Rp 44,000 10 10 0 10
21 Dek Glass 24x24) Pcs Rp 920,920 24 24 0 24
22 Dek Glass 24x40) Pcs Rp 796,950 0 0 0 0
23 Dek Glass 24x60) pack Rp 137,500 16 16 4 12
24 Dengue IgG - IgM Whole Blood Paket Rp 858,000 0 0 0 0
25 E cek Paket/Sysmex Paket Rp 861,300 0 3 3 0 3
26 Easydip 12 Jar Slide Rack Pcs Rp 247,500 0 0 0 0
27 Erba Norm 4 x 5 ml Kit Rp 3,150,400 0 1 1 1 0
28 Erba XL Wash 4 x 100 ml Kit Rp 6,886,000 0 1 1 0 1
29 Glucosa ( 1 x 100ml ) Bok Rp 756,135 3 3 6 1 5
30 Glucosa ( 1 x 44ml ) Kit Rp 484,000 0 8 8 3 5
31 Gol Darah ( A, B, AB, D ) Botol Rp 115,500 6 6 3 3
32 HBsAg Pcs Rp 12,100 40 600 640 160 480
33 HCG Oright Box Rp 302,500 2 2 1 1
34 HDL/LDL 5010 Box Rp 803,539 0 0 0 0
35 Hemoglobin 500 ml Botol Rp 88,000 3 3 1 2
36 Kartu Gol Darah pack Rp 33,990 1 2 3 0 3
37 Lancet Blood pack Rp 33,000 0 0 0 0
38 Lancet Steinless Pcs Rp 128,000 1 1 0 1
39 Larutan Drabkin/500 ml Botol Rp 49,300 0 1 1 0 1
40 Larutan EDTA 500 ml Botol Rp 715,000 1 1 1 0
41 Larutan EDTA 100 ml Botol Rp 181,500 1 1 1 0
42 Larutan ZN/BTA Btl Rp 456,500 8 3 11 2 9
43 Methanol Btl Rp 55,000 3 3 0 3
44 Mounting Media Btl Rp 269,500 2 2 0 2
45 Object Glass Box Rp 40,200 0 0 0 0
46 Objek Glass 7101 Pcs Rp 27,500 17 17 4 13
STOK PENERI PERSEDI PEMAKA SISA
NO NAMA OBAT SATUAN HARGA
AWAL MAAN AAN IAN STOK
SATUAN BULAN
47 Objek Glass 7105 Frosted Pcs Rp 30,250 0 0 0 0
48 Poch D/Sysmex Galon Rp 594,000 6 7 13 4 9
49 Poch L/Syismex Galon Rp 1,873,300 0 0 0 0
50 Pot Urine Steril Pcs Rp 3,960 0 1,000 1,000 0 1,000
51 Protetin Total 5010 Box Rp 778,388 0 0 0 0
52 Protein Total 1 x 44 ml Kit Rp 514,800 0 2 2 0 2
53 Sampel Cup Grainer isi 500 Pak Rp 198,000 0 0 0 0
54 SGOT UV TEST 8 X 50 Pak Rp 1,724,140 0 0 0 0
55 SGOT R1: 2 x 44ml; R2: 1 x 22 ml Kit Rp 1,716,000 0 0 0 0
56 SGPT ( 20x8 ) Bok Rp 1,724,140 0 0 0 0
57 SGPT (R1: 2x24ml; R2: 1x22ml) Kit Rp 1,716,000 0 0 0 0
58 Stromatolyser WH Galon Rp 1,171,500 1 4 5 2 3
59 Straining jar 10 slide Pcs Rp 247,500 0 0 0 0
60 Spatula Ayre Box Rp 300,000 0 0 0 0
61 Spatula Brush Box Rp 300,000 0 0 0 0
62 Tabung EDTA/Vac Tube Pak Rp 165,000 0 50 50 2 48
63 Tabung Hematokrit Heparin Botol Rp 43,001 3 3 0 3
64 Tabung reaksi ( 10x1.5 ) Pyrex Pcs Rp 390,000 3 3 0 3
65 Trigliserid (1x44ml ) Kit Rp 1,786,400 0 0 0 0
66 Urea R1 : ( 1x 44ml ) R2:(1X11ml) Kit Rp 1,315,600 0 6 6 2 4
67 Urea ( 2x 100ml ) Rp 587,087 0 3 3 0 3
68 Uric Acid ( 4x100ml ) Pak Rp 1,590,061 0 2 2 0 2
69 Uric Acid ( 1x44ml ) KIT Rp 1,117,600 0 2 2 1 1
70 Urine Analisa Box Rp 285,000 0 0 0 0
71 Widal O, H, AO Botol Rp 115,500 6 5 11 0 11
72 Xilol Botol Rp 55,000 0 0 0 0
73 XL Multical 4 x 3ml Kit Rp 4,417,600 0 1 1 1 0
74 Yellow Tip Pcs Rp 110,000 1 1 0 1
0 0
2. RONGTEN 0 0
75 CR 11 x 14 Box Rp 2,999,920 0 2 2 1 1
76 CR 8 x 10 Box Rp 2,499,750 0 4 4 2 2
77 Developer Set Rp 975,000 0 0 0 0
78 Film RO 24x30 Lembar Rp 1,390,000 0 0 0 0
79 Film RO 30x40 Lembar Rp 2,100,000 0 0 0 0
80 Film RO 35x35 Lembar Rp 2,200,000 0 0 0 0
81 Fixer 20 Ltr Set Rp 600,000 0 0 0 0
82 Grid 30x40 cm Pcs Rp 4,000,000 0 0 0 0
0 0
3. REAGEN LAB. PATOLOGI 0 0
82 Xylene Leica (3,8 ml) Botol Rp 1,155,000 2 2 0 2
83 Eosin Quart (946 ml) Botol Rp 429,000 0 0 0 0
84 Paraplast/Parafin Pack Rp 176,000 2 2 1 1
85 Star Diagnostic-Dengue antibody Pcs Rp 71,775 0 0 0 0
86 Calibration Strip box Rp 112,200 0 0 0 0
87 Haematoxilline (946 ml) botol Rp 605,000 0 0 0 0
88 Buffer formalin 10% (3,8 lt) botol Rp 715,000 1 1 0 1
89 Embeding Cassete dg tutup (500 pcs) box Rp 1,320,000 3 3 0 3
90 Alkohol 100% (3,8 lt) botol Rp 907,500 4 4 0 4
91 Brush Papsmeer (100 pcs) Box Rp 440,000 1 1 0 1
92 Grein plain 3 ml Pak Rp 165,000 3 4 7 0 7
93 Trigliserid (4 x 100 ml ) Pak Rp 2,568,539 0 1 1 0 1
94 Pot Dahak Pcs Rp 2,420 0 0 0 0
STOK PENERI PERSEDI PEMAKA SISA
NO NAMA OBAT SATUAN HARGA
AWAL MAAN AAN IAN STOK
SATUAN BULAN
95 Buffer formalin 10% (20 lt) Galon Rp 2,200,000 3 3 1 2
96 Lart. Asam Alkohol botol Rp 148,500 5 5 5 0
97 Imersion Oil Botol Rp 693,000 1 1 0 1
JUMLAH

Gemolong, Maret 2018

Mengetahui
Direktur RSUD Gemolong Apoteker
Kab. Sragen

dr. Agus Trijono, M Kes. Drs. J. Seno Tjahjadi. Apt


NIP. 19700820 200501 1 011 NIP. 19680707 199503 1 002
OLOGI GUDANG

HARGA KET

SISA STOK

Rp -
Rp -
Rp -
Rp 968,000
Rp -
Rp 1,445,510
Rp 242,000
Rp -
Rp -
Rp -
Rp -
Rp 1,197,900
Rp 5,306,400
Rp 2,686,200
Rp 3,291,200
Rp 2,676,300
Rp 1,871,496
Rp 2,472,800
Rp 398,000
Rp 440,000
Rp 22,102,080
Rp -
Rp 1,650,000
Rp -
Rp 2,583,900
Rp -
Rp -
Rp 6,886,000
Rp 3,780,673
Rp 2,420,000
Rp 346,500
Rp 5,808,000
Rp 302,500
Rp -
Rp 176,000
Rp 101,970
Rp -
Rp 128,000
Rp 49,300
Rp -
Rp -
Rp 4,108,500 RETUR
Rp 165,000
Rp 539,000
Rp -
Rp 357,500
HARGA KET

SISA STOK
Rp -
Rp 5,346,000
Rp -
Rp 3,960,000
Rp -
Rp 1,029,600
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 3,514,500
Rp -
Rp -
Rp -
Rp 7,920,000
Rp 129,003
Rp 1,170,000
Rp -
Rp 5,262,400
Rp 1,761,260
Rp 3,180,122
Rp 1,117,600
Rp -
Rp 1,270,500
Rp -
Rp -
Rp 110,000

Rp 2,999,920
Rp 4,999,500
Rp - 7,999,420
Rp -
Rp -
Rp -
Rp -
Rp -

Rp 2,310,000
Rp -
Rp 176,000
Rp -
Rp -
Rp -
Rp 715,000
Rp 3,960,000
Rp 3,630,000
Rp 440,000
Rp 1,155,000
Rp 2,568,539
Rp -
HARGA KET

SISA STOK
Rp 4,400,000
Rp -
Rp 693,000
Rp 138,318,672

g, Maret 2018

poteker

no Tjahjadi. Apt
07 199503 1 002
LAPORAN PENGELUARAN HARIAN BHP REAGEN DAN RADIOLOGI GUDANG
BULAN : FEBRUARI 2018

Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

2. LABORATORIUM

1 Alkohol 96% 0
2 Alkohol 96% 20 lt 0
3 Albumin 5010 0
4 Albumin 1 X 44 ml 2
5 Aspirator FNBA 20cc 0
6 Bilirubin 3 1

7 Blue Tip 2
8 Cat Giemsa 0
9 Cat OG 6 0
10 Cat EA 50 0
11 Cat Haris Hematoxilyn 0
12 Cel clean 2 1

13 Cell pack 5 1 1

14 Cholesterol ( 1x44ml ) 3
15 Cholesterol ( 4x100ml ) 2
16 Combostick 8 2

17 Creatinin ( 2x100 ) 4 1

18 Creatinin ( R1: 1x44; R2: 1X 11ml) 6 2

19 Dek Glass 18x18) 2


20 Dek Glass 22x22) 10
21 Dek Glass 24x24) 24
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

22 Dek Glass 24x40) 0


23 Dek Glass 24x60) 16 4

24 Dengue IgG - IgM Whole Blood 0


25 E cek Paket/Sysmex 3
26 Easydip 12 Jar Slide Rack 0
27 Erba Norm 4 x 5 ml 1 1

28 Erba XL Wash 4 x 100 ml 1


29 Glucosa ( 1 x 100ml ) 6 1

30 Glucosa ( 1x44ml ) 8 1 2

31 Gol Darah ( A, B, AB, D ) 6 3

32 HBsAg 640 40 120

33 HCG oright 2 1

34 HDL/LDL 5010 0
35 Hemoglobin 500 m 3 1

36 Kartu Gol Darah 3


37 Lancet Blood 0
38 Lancet Steinless 1
39 Larutan Drabkin/500 ml 1
40 Larutan EDTA 500 ml 1 1

41 Larutan EDTA 10% 1 1

42 Larutan ZN/BTA 11 2

43 Methanol 3
44 Mounting Media 2
45 Object Glass 0
46 Objek Glass 7101 17 4

47 Objek Glass 7105 Frosted 0


Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

48 Poch D/Sysmex 13 2 2

49 Poch L/Syismex 0
50 Pot Urine Steril 1,000
51 Protetin Total 5010 0
52 Protetin Total 1 x 44 ml 2
53 Sampel Cup Grainer isi 500 0
54 SGOT UV TEST 8 X 50 0
55 SGOT R1:2x44ml; R2: 1x22 ml 0
56 SGPT ( 50x8 ) 0
57 SGPT (R1: 2x24ml; R2: 1x22ml) 0
58 Stromatolyser WH 5 1 1

59 Straining jar 10 slide 0


60 Spatula Ayre 0
61 Spatula Brush 0
62 Tabung EDTA/Vac Tube 50 2

63 Tabung Hematokrit Heparin 3


64 Tabung reaksi ( 10x1.5 ) Pyrex 3
65 Trigliserid (1x44ml ) 0
66 Urea R1 : ( 1x 44ml ) R2:(1X11ml) 6 2

67 Urea ( 2x 100ml ) 3
68 Uric Acid ( 4x100ml ) 2
69 Uric Acid ( 1x44ml ) 2 1

70 Urine Analisa 0
71 Widal O, H, AO 11
72 Xilol 0
73 XL Multical 4 x 3ml 1 1
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

74 Yellow Tip 1
0
3. RONGTEN 0
75 CR 11 x 14 2 1

76 CR 8 x 10 4 1 1

77 Developer 0
78 Film RO 24x30 0
79 Film RO 30x40 0
80 Film RO 35x35 0
81 Fixer 20 Ltr 0
82 Grid 30x40 cm 0
0
3. REAGEN LAB. PA BARU 0
82 Xylene Leica (3,8 ml) 2
83 Eosin Quart (946 ml) 0
84 Paraplast/Parafin 2 1

85 Star Diagnostic-Dengue antibody 0


86 Calibration Strip 0
86 Haematoxilline (946 ml) 0
86 Buffer formalin 10% (3,8 lt) 1
86 Embeding Cassete dg tutup (500 pcs) 3
90 Alkohol 100% (3,8 lt) 4
91 Brush Papsmeer (100 pcs) 1
92 Grein plain 3 ml 7
93 Trigliserid (4 x 100 ml ) 1
94 Pot Dahak 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

95 Buffer formalin 10% (20 lt) 3 1


96 Lart. Asam Alkohol 5 2 3
97 Imersion Oil 1
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Pemakai Sisa
an Stok

0 0

0 0

0 0

0 0

0 0

0 2

0 0

1 2

0 2

0 0

0 0

0 0

0 0

1 1

2 3

0 3

0 2

2 6

1 3

2 4

0 2

0 10

0 24
Pemakai Sisa
an Stok

0 0

4 12

0 0

0 3

0 0

1 0

0 1

1 5

3 5

3 3

160 480

1 1

0 0

1 2

0 3

0 0

0 1

0 1

1 0

1 0

2 9

0 3

0 2

0 0

4 13

0 0
Pemakai Sisa
an Stok

4 9

0 0

0 1,000

0 0

0 2

0 0

0 0

0 0

0 0

0 0

2 3

0 0

0 0

0 0

2 48

0 3

0 3

0 0

2 4

0 3

0 2

1 1

0 0

0 11

0 0

1 0
Pemakai Sisa
an Stok

0 1

0 0

0 0

1 1

2 2

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 2

0 0

1 1

0 0

0 0

0 0

0 1

0 3

0 4

0 1

0 7

0 1

0 0
Pemakai Sisa
an Stok

1 2

5 0

0 1
LAPORAN PENERIMAAN DAN PENGELUARAN BHP REAGEN DAN RADIOLOGI GUDANG
RSUD dr. SOERATNO GEMOLONG
BULAN : MARET 2018

STOK PENERI PERSEDI PEMAKA SISA


NO NAMA OBAT SATUAN HARGA
AWAL MAAN AAN IAN STOK
SATUAN BULAN

1. LABORATORIUM
1 Alkohol 96% botol Rp 907,500 0 0 0 0
2 Alkohol 96% 20 lt Galon Rp 1,496,250 0 0 0 0
3 Albumin 5010 Box Rp 628,320 0 0 0 0
4 Albumin 1 X 44 ml Kit Rp 484,000 2 1 3 1 2
5 Aspirator FNBA 20cc Pcs Rp 1,650,000 0 0 0 0
6 Bilirubin Bok Rp 722,755 2 2 0 2
7 Blue Tip Pcs Rp 121,000 2 2 1 1
8 Cat Giemsa (500 ml) Botol Rp 1,430,000 0 0 0 0
9 Cat OG 6 Botol Rp 434,500 0 0 0 0
10 Cat EA 50 Botol Rp 693,000 0 0 0 0
11 Cat Haris Hematoxilyn Botol Rp 539,000 0 0 0 0
12 Cel clean Pak Rp 1,197,900 1 1 0 1
13 Cel pack Galon Rp 1,768,800 3 3 2 1
14 Cholesterol ( 1x44ml ) Kit Rp 895,400 3 3 2 1
15 Cholesterol ( 4x100ml ) Bok Rp 1,645,600 2 2 0 2
16 Combostick Bok Rp 446,050 6 6 2 4
17 Creatinin ( 2x100 ) Bok Rp 623,832 3 3 1 2
18 Creatinin ( R1: 1x44ml ; R2: 1X 11ml) Kit Rp 618,200 4 2 6 2 4
19 Dek Glass 18x18) Pcs Rp 199,000 2 2 0 2
20 Dek Glass 22x22) Pcs Rp 44,000 10 10 0 10
21 Dek Glass 24x24) Pcs Rp 920,920 24 24 0 24
22 Dek Glass 24x40) Pcs Rp 796,950 0 0 0 0
23 Dek Glass 24x60) pack Rp 137,500 12 12 6 6
24 Dengue IgG - IgM Whole Blood Paket Rp 858,000 0 0 0 0
25 E cek Paket/Sysmex Paket Rp 861,300 3 3 0 3
26 Easydip 12 Jar Slide Rack Pcs Rp 247,500 0 0 0 0
27 Erba Norm 4 x 5 ml Kit Rp 3,150,400 0 0 0 0
28 Erba XL Wash 4 x 100 ml Kit Rp 6,886,000 1 1 1 0
29 Glucosa ( 1 x 100ml ) Bok Rp 756,135 5 5 2 3
30 Glucosa ( 1 x 44ml ) Kit Rp 484,000 5 5 5 0
31 Gol Darah ( A, B, AB, D ) Botol Rp 115,500 3 3 0 3
32 HBsAg Pcs Rp 12,100 480 480 200 280
33 HCG Oright Box Rp 302,500 1 1 1 0
34 HDL/LDL 5010 Box Rp 803,539 0 0 0 0
35 Hemoglobin 500 ml Botol Rp 88,000 2 2 1 1
36 Kartu Gol Darah pack Rp 33,990 3 3 2 1
37 Lancet Blood pack Rp 33,000 0 0 0 0
38 Lancet Steinless Pcs Rp 128,000 1 1 0 1
39 Larutan Drabkin/500 ml Botol Rp 49,300 1 1 0 1
40 Larutan EDTA 500 ml Botol Rp 715,000 0 0 0 0
41 Larutan EDTA 100 ml Botol Rp 181,500 0 0 0 0
42 Larutan ZN/BTA Btl Rp 456,500 9 9 0 9
43 Methanol Btl Rp 55,000 3 3 0 3
44 Mounting Media Btl Rp 269,500 2 2 0 2
45 Object Glass Box Rp 40,200 0 20 20 10 10
46 Objek Glass 7101 Pcs Rp 27,500 13 13 0 13
STOK PENERI PERSEDI PEMAKA SISA
NO NAMA OBAT SATUAN HARGA
AWAL MAAN AAN IAN STOK
SATUAN BULAN
47 Objek Glass 7105 Frosted Pcs Rp 30,250 0 0 0 0
48 Poch D/Sysmex Galon Rp 594,000 9 9 5 4
49 Poch L/Syismex Galon Rp 1,873,300 0 1 1 0 1
50 Pot Urine Steril Pcs Rp 3,960 1,000 1,000 300 700
51 Protetin Total 5010 Box Rp 778,388 0 0 0 0
52 Protein Total 1 x 44 ml Kit Rp 514,800 2 1 3 1 2
53 Sampel Cup Grainer isi 500 Pak Rp 198,000 0 0 0 0
54 SGOT UV TEST 8 X 50 Pak Rp 1,724,140 0 0 0 0
55 SGOT R1: 2 x 44ml; R2: 1 x 22 ml Kit Rp 1,716,000 0 3 3 0 3
56 SGPT ( 20x8 ) Bok Rp 1,724,140 0 0 0 0
57 SGPT (R1: 2x24ml; R2: 1x22ml) Kit Rp 1,716,000 0 3 3 0 3
58 Stromatolyser WH Galon Rp 1,171,500 3 3 3 0
59 Straining jar 10 slide Pcs Rp 247,500 0 0 0 0
60 Spatula Ayre Box Rp 300,000 0 0 0 0
61 Spatula Brush Box Rp 300,000 0 0 0 0
62 Tabung EDTA/Vac Tube Pak Rp 165,000 48 48 2 46
63 Tabung Hematokrit Heparin Botol Rp 43,001 3 3 0 3
64 Tabung reaksi ( 10x1.5 ) Pyrex Pcs Rp 390,000 3 3 0 3
65 Trigliserid (1x44ml ) Kit Rp 1,786,400 0 2 2 1 1
66 Urea R1 : ( 1x 44ml ) R2:(1X11ml) Kit Rp 1,315,600 4 4 2 2
67 Urea ( 2x 100ml ) Rp 587,087 3 3 2 1
68 Uric Acid ( 4x100ml ) Pak Rp 1,590,061 2 2 0 2
69 Uric Acid ( 1x44ml ) KIT Rp 1,117,600 1 1 2 1 1
70 Urine Analisa Box Rp 285,000 0 0 0 0
71 Widal O, H, AO Botol Rp 115,500 11 11 0 11
72 Xilol Botol Rp 55,000 0 0 0 0
73 XL Multical 4 x 3ml Kit Rp 4,417,600 0 0 0 0
74 Yellow Tip Pcs Rp 110,000 1 1 1 0
0 0
2. RONGTEN 0 0
75 CR 11 x 14 Box Rp 2,999,920 1 5 6 1 5
76 CR 8 x 10 Box Rp 2,499,750 2 10 12 3 9
77 Developer Set Rp 975,000 0 0 0 0
78 Film RO 24x30 Lembar Rp 1,390,000 0 0 0 0
79 Film RO 30x40 Lembar Rp 2,100,000 0 0 0 0
80 Film RO 35x35 Lembar Rp 2,200,000 0 0 0 0
81 Fixer 20 Ltr Set Rp 600,000 0 0 0 0
82 Grid 30x40 cm Pcs Rp 4,000,000 0 0 0 0
0 0
3. REAGEN LAB. PATOLOGI 0 0
82 Xylene Leica (3,8 ml) Botol Rp 1,155,000 2 2 0 2
83 Eosin Quart (946 ml) Botol Rp 429,000 0 0 0 0
84 Paraplast/Parafin Pack Rp 176,000 1 4 5 1 4
85 Star Diagnostic-Dengue antibody Pcs Rp 71,775 0 0 0 0
86 Calibration Strip box Rp 112,200 0 0 0 0
87 Haematoxilline (946 ml) botol Rp 605,000 0 0 0 0
88 Buffer formalin 10% (3,8 lt) botol Rp 715,000 1 1 0 1
89 Embeding Cassete dg tutup (500 pcs) box Rp 1,320,000 3 3 0 3
90 Alkohol 100% (3,8 lt) botol Rp 907,500 4 4 0 4
91 Brush Papsmeer (100 pcs) Box Rp 440,000 1 1 0 1
92 Grein plain 3 ml Pak Rp 165,000 7 7 0 7
93 Trigliserid (4 x 100 ml ) Pak Rp 2,568,539 1 1 0 1
94 Pot Dahak Pcs Rp 2,420 0 0 0 0
STOK PENERI PERSEDI PEMAKA SISA
NO NAMA OBAT SATUAN HARGA
AWAL MAAN AAN IAN STOK
SATUAN BULAN
95 Buffer formalin 10% (20 lt) Galon Rp 2,926,000 2 1 3 0 3
96 Lart. Asam Alkohol botol Rp 148,500 0 0 0 0
97 Imersion Oil Botol Rp 693,000 1 1 0 1
98 Embeding Cassete tanpa tutup (500 pcBox Rp 825,000 4 4 0 4
99 Alkohol Meter Pcs Rp 220,000 1 1 0 1
JUMLAH

Gemolong, April 2018

Mengetahui
Direktur RSUD Gemolong Apoteker
Kab. Sragen

dr. Agus Trijono, M Kes. Drs. J. Seno Tjahjadi. Apt


NIP. 19700820 200501 1 011 NIP. 19680707 199503 1 002
LOGI GUDANG

HARGA KET

SISA STOK

Rp -
Rp -
Rp -
Rp 968,000
Rp -
Rp 1,445,510
Rp 121,000
Rp -
Rp -
Rp -
Rp -
Rp 1,197,900
Rp 1,768,800
Rp 895,400
Rp 3,291,200
Rp 1,784,200
Rp 1,247,664
Rp 2,472,800
Rp 398,000
Rp 440,000
Rp 22,102,080
Rp -
Rp 825,000
Rp -
Rp 2,583,900
Rp -
Rp -
Rp -
Rp 2,268,404
Rp -
Rp 346,500
Rp 3,388,000
Rp -
Rp -
Rp 88,000
Rp 33,990
Rp -
Rp 128,000
Rp 49,300
Rp -
Rp -
Rp 4,108,500 RETUR
Rp 165,000
Rp 539,000
Rp 402,000
Rp 357,500
HARGA KET

SISA STOK
Rp -
Rp 2,376,000
Rp 1,873,300
Rp 2,772,000
Rp -
Rp 1,029,600
Rp -
Rp -
Rp 5,148,000
Rp -
Rp 5,148,000
Rp -
Rp -
Rp -
Rp -
Rp 7,590,000
Rp 129,003
Rp 1,170,000
Rp 1,786,400
Rp 2,631,200
Rp 587,087
Rp 3,180,122
Rp 1,117,600
Rp -
Rp 1,270,500
Rp -
Rp -
Rp -

Rp 14,999,600
Rp 22,497,750
Rp - 37,497,350
Rp -
Rp -
Rp -
Rp -
Rp -

Rp 2,310,000
Rp -
Rp 704,000
Rp -
Rp -
Rp -
Rp 715,000
Rp 3,960,000
Rp 3,630,000
Rp 440,000
Rp 1,155,000
Rp 2,568,539
Rp -
HARGA KET

SISA STOK
Rp 8,778,000
Rp -
Rp 693,000
Rp 3,300,000
Rp 220,000
Rp 157,195,348

g, April 2018

o Tjahjadi. Apt
07 199503 1 002
LAPORAN PENGELUARAN HARIAN BHP REAGEN DAN RADIOLOGI GUDANG
BULAN : MARET 2018

Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

2. LABORATORIUM

1 Alkohol 96% 0
2 Alkohol 96% 20 lt 0
3 Albumin 5010 0
4 Albumin 1 X 44 ml 3 1

5 Aspirator FNBA 20cc 0


6 Bilirubin 2
7 Blue Tip 2 1

8 Cat Giemsa 0
9 Cat OG 6 0
10 Cat EA 50 0
11 Cat Haris Hematoxilyn 0
12 Cel clean 1
13 Cell pack 3 1 1

14 Cholesterol ( 1x44ml ) 3 2

15 Cholesterol ( 4x100ml ) 2
16 Combostick 6 2

17 Creatinin ( 2x100 ) 3 1

18 Creatinin ( R1: 1x44; R2: 1X 11ml) 6 2

19 Dek Glass 18x18) 2


20 Dek Glass 22x22) 10
21 Dek Glass 24x24) 24
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

22 Dek Glass 24x40) 0


23 Dek Glass 24x60) 12 6

24 Dengue IgG - IgM Whole Blood 0


25 E cek Paket/Sysmex 3
26 Easydip 12 Jar Slide Rack 0
27 Erba Norm 4 x 5 ml 0
28 Erba XL Wash 4 x 100 ml 1 1

29 Glucosa ( 1 x 100ml ) 5 1 1

30 Glucosa ( 1x44ml ) 5 1 1 1 2

31 Gol Darah ( A, B, AB, D ) 3


32 HBsAg 480 40 80 80

33 HCG oright 1 1

34 HDL/LDL 5010 0
35 Hemoglobin 500 m 2 1

36 Kartu Gol Darah 3 1 1

37 Lancet Blood 0
38 Lancet Steinless 1
39 Larutan Drabkin/500 ml 1
40 Larutan EDTA 500 ml 0
41 Larutan EDTA 10% 0
42 Larutan ZN/BTA 9
43 Methanol 3
44 Mounting Media 2
45 Object Glass 20 10

46 Objek Glass 7101 13


47 Objek Glass 7105 Frosted 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

48 Poch D/Sysmex 9 1 1 3

49 Poch L/Syismex 1
50 Pot Urine Steril 1,000 200 100

51 Protetin Total 5010 0


52 Protetin Total 1 x 44 ml 3 1

53 Sampel Cup Grainer isi 500 0


54 SGOT UV TEST 8 X 50 0
55 SGOT R1:2x44ml; R2: 1x22 ml 3
56 SGPT ( 50x8 ) 0
57 SGPT (R1: 2x24ml; R2: 1x22ml) 3
58 Stromatolyser WH 3 1 1 1

59 Straining jar 10 slide 0


60 Spatula Ayre 0
61 Spatula Brush 0
62 Tabung EDTA/Vac Tube 48 2

63 Tabung Hematokrit Heparin 3


64 Tabung reaksi ( 10x1.5 ) Pyrex 3
65 Trigliserid (1x44ml ) 2 1

66 Urea R1 : ( 1x 44ml ) R2:(1X11ml) 4 2

67 Urea ( 2x 100ml ) 3 1 1

68 Uric Acid ( 4x100ml ) 2


69 Uric Acid ( 1x44ml ) 2 1

70 Urine Analisa 0
71 Widal O, H, AO 11
72 Xilol 0
73 XL Multical 4 x 3ml 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

74 Yellow Tip 1 1

0
3. RONGTEN 0
75 CR 11 x 14 6 1

76 CR 8 x 10 12 1 1 1

77 Developer 0
78 Film RO 24x30 0
79 Film RO 30x40 0
80 Film RO 35x35 0
81 Fixer 20 Ltr 0
82 Grid 30x40 cm 0
0
3. REAGEN LAB. PA BARU 0
82 Xylene Leica (3,8 ml) 2
83 Eosin Quart (946 ml) 0
84 Paraplast/Parafin 5 1

85 Star Diagnostic-Dengue antibody 0


86 Calibration Strip 0
86 Haematoxilline (946 ml) 0
86 Buffer formalin 10% (3,8 lt) 1
86 Embeding Cassete dg tutup (500 pcs) 3
90 Alkohol 100% (3,8 lt) 4
91 Brush Papsmeer (100 pcs) 1
92 Grein plain 3 ml 7
93 Trigliserid (4 x 100 ml ) 1
94 Pot Dahak 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

95 Buffer formalin 10% (20 lt) 3


96 Lart. Asam Alkohol 0
97 Imersion Oil 1
98 Embeding Cassete tanpa tutup (500 p 4
99 Alkohol Meter 1
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Pemakai Sisa
an Stok

0 0

0 0

0 0

0 0

0 0

1 2

0 0

0 2

1 1

0 0

0 0

0 0

0 0

0 1

2 1

2 1

0 2

2 4

1 2

2 4

0 2

0 10

0 24
Pemakai Sisa
an Stok

0 0

6 6

0 0

0 3

0 0

0 0

1 0

2 3

5 0

0 3

200 280

1 0

0 0

1 1

2 1

0 0

0 1

0 1

0 0

0 0

0 9

0 3

0 2

10 10

0 13

0 0
Pemakai Sisa
an Stok

5 4

0 1

300 700

0 0

1 2

0 0

0 0

0 3

0 0

0 3

3 0

0 0

0 0

0 0

2 46

0 3

0 3

1 1

2 2

2 1

0 2

1 1

0 0

0 11

0 0

0 0
Pemakai Sisa
an Stok

1 0

0 0

0 0

1 5

3 9

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 2

0 0

1 4

0 0

0 0

0 0

0 1

0 3

0 4

0 1

0 7

0 1

0 0
Pemakai Sisa
an Stok

0 3

0 0

0 1

0 4

0 1
LAPORAN PENERIMAAN DAN PENGELUARAN BHP REAGEN DAN RADIOLOGI GUDANG
RSUD dr. SOERATNO GEMOLONG
BULAN : APRIL 2018

STOK PENERIM PERSEDI PEMAKAI SISA


NO NAMA OBAT SATUAN HARGA
AWAL AAN AAN AN STOK
SATUAN BULAN

1. LABORATORIUM
1 Alkohol 96% botol Rp 907,500 0 0 0 0
2 Alkohol 96% 20 lt Galon Rp 1,496,250 0 0 0 0
3 Albumin 5010 Box Rp 628,320 0 0 0 0
4 Albumin 1 X 44 ml Kit Rp 484,000 2 2 0 2
5 Aspirator FNBA 20cc Pcs Rp 1,650,000 0 0 0 0
6 Bilirubin Bok Rp 722,755 2 2 0 2
7 Blue Tip Pcs Rp 121,000 1 1 0 1
8 Cat Giemsa (500 ml) Botol Rp 1,430,000 0 0 0 0
9 Cat OG 6 Botol Rp 434,500 0 0 0 0
10 Cat EA 50 Botol Rp 693,000 0 0 0 0
11 Cat Haris Hematoxilyn Botol Rp 539,000 0 0 0 0
12 Cel clean Pak Rp 1,197,900 1 1 1 0
13 Cel pack Galon Rp 1,768,800 1 1 1 0
14 Cholesterol ( 1x44ml ) Kit Rp 895,400 1 1 0 1
15 Cholesterol ( 4x100ml ) Bok Rp 1,645,600 2 2 1 1
16 Combostick Bok Rp 446,050 4 4 0 4
17 Creatinin ( 2x100 ) Bok Rp 623,832 2 2 0 2
18 Creatinin ( R1: 1x44ml ; R2: 1X 11ml) Kit Rp 618,200 4 4 1 3
19 Dek Glass 18x18) Pcs Rp 199,000 2 2 0 2
20 Dek Glass 22x22) Pcs Rp 44,000 10 10 0 10
21 Dek Glass 24x24) Pcs Rp 920,920 24 24 3 21
22 Dek Glass 24x40) Pcs Rp 796,950 0 0 0 0
23 Dek Glass 24x60) pack Rp 137,500 6 6 0 6
24 Dengue IgG - IgM Whole Blood Paket Rp 858,000 0 0 0 0
25 E cek Paket/Sysmex Paket Rp 861,300 3 3 0 3
26 Easydip 12 Jar Slide Rack Pcs Rp 247,500 0 0 0 0
27 Erba Norm 4 x 5 ml Kit Rp 3,150,400 0 0 0 0
28 Erba XL Wash 4 x 100 ml Kit Rp 6,886,000 0 0 0 0
29 Glucosa ( 1 x 100ml ) Bok Rp 756,135 3 3 1 2
30 Glucosa ( 1 x 44ml ) Kit Rp 484,000 0 0 0 0
31 Gol Darah ( A, B, AB, D ) Botol Rp 115,500 3 3 3 0
32 HBsAg Pcs Rp 12,100 280 280 200 80
33 HCG Oright Box Rp 302,500 0 0 0 0
34 HDL/LDL 5010 Box Rp 803,539 0 0 0 0
35 Hemoglobin 500 ml Botol Rp 88,000 1 1 0 1
36 Kartu Gol Darah pack Rp 33,990 1 1 0 1
37 Lancet Blood pack Rp 33,000 0 0 0 0
38 Lancet Steinless Pcs Rp 128,000 1 1 0 1
39 Larutan Drabkin/500 ml Botol Rp 49,300 1 1 0 1
40 Larutan EDTA 500 ml Botol Rp 715,000 0 0 0 0
41 Larutan EDTA 100 ml Botol Rp 181,500 0 0 0 0
42 Larutan ZN/BTA Btl Rp 456,500 9 9 0 9
43 Methanol Btl Rp 55,000 3 3 0 3
44 Mounting Media Btl Rp 269,500 2 2 0 2
45 Object Glass Box Rp 40,200 10 10 0 10
46 Objek Glass 7101 Pcs Rp 27,500 13 13 0 13
47 Objek Glass 7105 Frosted Pcs Rp 30,250 0 0 0 0
STOK PENERIM PERSEDI PEMAKAI SISA
NO NAMA OBAT SATUAN HARGA
AWAL AAN AAN AN STOK
SATUAN BULAN
48 Poch D/Sysmex Galon Rp 594,000 4 9 13 6 7
49 Poch L/Syismex Galon Rp 1,873,300 1 3 4 2 2
50 Pot Urine Steril Pcs Rp 3,960 700 700 0 700
51 Protetin Total 5010 Box Rp 778,388 0 0 0 0
52 Protein Total 1 x 44 ml Kit Rp 514,800 2 2 0 2
53 Sampel Cup Grainer isi 500 Pak Rp 198,000 0 0 0 0
54 SGOT UV TEST 8 X 50 Pak Rp 1,724,140 0 0 0 0
55 SGOT R1: 2 x 44ml; R2: 1 x 22 ml Kit Rp 1,716,000 3 3 2 1
56 SGPT ( 20x8 ) Bok Rp 1,724,140 0 0 0 0
57 SGPT (R1: 2x24ml; R2: 1x22ml) Kit Rp 1,716,000 3 3 2 1
58 Stromatolyser WH Galon Rp 1,171,500 0 1 1 1 0
59 Straining jar 10 slide Pcs Rp 247,500 0 0 0 0
60 Spatula Ayre Box Rp 300,000 0 0 0 0
61 Spatula Brush Box Rp 300,000 0 0 0 0
62 Tabung EDTA/Vac Tube Pak Rp 165,000 46 46 4 42
63 Tabung Hematokrit Heparin Botol Rp 43,001 3 3 0 3
64 Tabung reaksi ( 10x1.5 ) Pyrex Pcs Rp 390,000 3 3 0 3
65 Trigliserid (1x44ml ) Kit Rp 1,786,400 1 1 0 1
66 Urea R1 : ( 1x 44ml ) R2:(1X11ml) Kit Rp 1,315,600 2 2 1 1
67 Urea ( 2x 100ml ) Rp 587,087 1 1 0 1
68 Uric Acid ( 4x100ml ) Pak Rp 1,590,061 2 2 0 2
69 Uric Acid ( 1x44ml ) KIT Rp 1,117,600 1 1 0 1
70 Urine Analisa Box Rp 285,000 0 0 0 0
71 Widal O, H, AO Botol Rp 115,500 11 11 6 5
72 Xilol Botol Rp 55,000 0 0 0 0
73 XL Multical 4 x 3ml Kit Rp 4,417,600 0 0 0 0
74 Yellow Tip Pcs Rp 110,000 0 3 3 1 2
0 0
2. RONGTEN 0 0
75 CR 11 x 14 Box Rp 2,999,920 5 5 1 4
76 CR 8 x 10 Box Rp 2,499,750 9 9 3 6
77 Developer Set Rp 975,000 0 0 0 0
78 Film RO 24x30 Lembar Rp 1,390,000 0 0 0 0
79 Film RO 30x40 Lembar Rp 2,100,000 0 0 0 0
80 Film RO 35x35 Lembar Rp 2,200,000 0 0 0 0
81 Fixer 20 Ltr Set Rp 600,000 0 0 0 0
82 Grid 30x40 cm Pcs Rp 4,000,000 0 0 0 0
0 0
3. REAGEN LAB. PATOLOGI 0 0
82 Xylene Leica (3,8 ml) Botol Rp 1,155,000 2 2 0 2
83 Eosin Quart (946 ml) Botol Rp 429,000 0 0 0 0
84 Paraplast/Parafin Pack Rp 176,000 4 4 1 3
85 Star Diagnostic-Dengue antibody Pcs Rp 71,775 0 0 0 0
86 Calibration Strip box Rp 112,200 0 0 0 0
87 Haematoxilline (946 ml) botol Rp 605,000 0 0 0 0
88 Buffer formalin 10% (3,8 lt) botol Rp 715,000 1 1 0 1
89 Embeding Cassete dg tutup (500 pcs) box Rp 1,320,000 3 3 0 3
90 Alkohol 100% (3,8 lt) botol Rp 907,500 4 4 1 3
91 Brush Papsmeer (100 pcs) Box Rp 440,000 1 1 0 1
92 Grein plain 3 ml Pak Rp 165,000 7 7 0 7
93 Trigliserid (4 x 100 ml ) Pak Rp 2,568,539 1 1 1 0
94 Pot Dahak Pcs Rp 2,420 0 0 0 0
95 Buffer formalin 10% (20 lt) Galon Rp 2,926,000 3 3 0 3
96 Lart. Asam Alkohol botol Rp 148,500 0 0 0 0
STOK PENERIM PERSEDI PEMAKAI SISA
NO NAMA OBAT SATUAN HARGA
AWAL AAN AAN AN STOK
SATUAN BULAN
97 Imersion Oil Botol Rp 693,000 1 1 0 1
98 Embeding Cassete tanpa tutup (500 pcBox Rp 825,000 4 4 0 4
99 Alkohol Meter Pcs Rp 220,000 1 1 0 1
JUMLAH

Gemolong, Mei 2018

Mengetahui
Direktur RSUD Gemolong Apoteker
Kab. Sragen

dr. Agus Trijono, M Kes. Drs. J. Seno Tjahjadi. Apt


NIP. 19700820 200501 1 011 NIP. 19680707 199503 1 002
LOGI GUDANG

HARGA KET

SISA STOK

Rp -
Rp -
Rp -
Rp 968,000
Rp -
Rp 1,445,510
Rp 121,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 895,400
Rp 1,645,600
Rp 1,784,200
Rp 1,247,664
Rp 1,854,600
Rp 398,000
Rp 440,000
Rp 19,339,320
Rp -
Rp 825,000
Rp -
Rp 2,583,900
Rp -
Rp -
Rp -
Rp 1,512,269
Rp -
Rp -
Rp 968,000
Rp -
Rp -
Rp 88,000
Rp 33,990
Rp -
Rp 128,000
Rp 49,300
Rp -
Rp -
Rp 4,108,500 RETUR
Rp 165,000
Rp 539,000
Rp 402,000
Rp 357,500
Rp -
HARGA KET

SISA STOK
Rp 4,158,000
Rp 3,746,600
Rp 2,772,000
Rp -
Rp 1,029,600
Rp -
Rp -
Rp 1,716,000
Rp -
Rp 1,716,000
Rp -
Rp -
Rp -
Rp -
Rp 6,930,000
Rp 129,003
Rp 1,170,000
Rp 1,786,400
Rp 1,315,600
Rp 587,087
Rp 3,180,122
Rp 1,117,600
Rp -
Rp 577,500
Rp -
Rp -
Rp 220,000

Rp 11,999,680
Rp 14,998,500
Rp - 26,998,180
Rp -
Rp -
Rp -
Rp -
Rp -

Rp 2,310,000
Rp -
Rp 528,000
Rp -
Rp -
Rp -
Rp 715,000
Rp 3,960,000
Rp 2,722,500
Rp 440,000
Rp 1,155,000
Rp -
Rp -
Rp 8,778,000
Rp -
HARGA KET

SISA STOK
Rp 693,000
Rp 3,300,000
Rp 220,000
Rp 125,870,945

ng, Mei 2018

poteker

no Tjahjadi. Apt
707 199503 1 002
LAPORAN PENGELUARAN HARIAN BHP REAGEN DAN RADIOLOGI GUDANG
BULAN : APRIL 2018

Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

2. LABORATORIUM

1 Alkohol 96% 0
2 Alkohol 96% 20 lt 0
3 Albumin 5010 0
4 Albumin 1 X 44 ml 2
5 Aspirator FNBA 20cc 0
6 Bilirubin 2
7 Blue Tip 1
8 Cat Giemsa 0
9 Cat OG 6 0
10 Cat EA 50 0
11 Cat Haris Hematoxilyn 0
12 Cel clean 1 1

13 Cell pack 1 1

14 Cholesterol ( 1x44ml ) 1
15 Cholesterol ( 4x100ml ) 2 1

16 Combostick 4
17 Creatinin ( 2x100 ) 2
18 Creatinin ( R1: 1x44; R2: 1X 11ml) 4 1

19 Dek Glass 18x18) 2


20 Dek Glass 22x22) 10
21 Dek Glass 24x24) 24 3
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

22 Dek Glass 24x40) 0


23 Dek Glass 24x60) 6
24 Dengue IgG - IgM Whole Blood 0
25 E cek Paket/Sysmex 3
26 Easydip 12 Jar Slide Rack 0
27 Erba Norm 4 x 5 ml 0
28 Erba XL Wash 4 x 100 ml 0
29 Glucosa ( 1 x 100ml ) 3 1

30 Glucosa ( 1x44ml ) 0
31 Gol Darah ( A, B, AB, D ) 3 3

32 HBsAg 280 120 40 40

33 HCG oright 0
34 HDL/LDL 5010 0
35 Hemoglobin 500 m 1
36 Kartu Gol Darah 1
37 Lancet Blood 0
38 Lancet Steinless 1
39 Larutan Drabkin/500 ml 1
40 Larutan EDTA 500 ml 0
41 Larutan EDTA 10% 0
42 Larutan ZN/BTA 9
43 Methanol 3
44 Mounting Media 2
45 Object Glass 10
46 Objek Glass 7101 13
47 Objek Glass 7105 Frosted 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

48 Poch D/Sysmex 13 2 2 2

49 Poch L/Syismex 4 1 1

50 Pot Urine Steril 700


51 Protetin Total 5010 0
52 Protetin Total 1 x 44 ml 2
53 Sampel Cup Grainer isi 500 0
54 SGOT UV TEST 8 X 50 0
55 SGOT R1:2x44ml; R2: 1x22 ml 3 2

56 SGPT ( 50x8 ) 0
57 SGPT (R1: 2x24ml; R2: 1x22ml) 3 2

58 Stromatolyser WH 1 1

59 Straining jar 10 slide 0


60 Spatula Ayre 0
61 Spatula Brush 0
62 Tabung EDTA/Vac Tube 46 4

63 Tabung Hematokrit Heparin 3


64 Tabung reaksi ( 10x1.5 ) Pyrex 3
65 Trigliserid (1x44ml ) 1
66 Urea R1 : ( 1x 44ml ) R2:(1X11ml) 2 1

67 Urea ( 2x 100ml ) 1
68 Uric Acid ( 4x100ml ) 2
69 Uric Acid ( 1x44ml ) 1
70 Urine Analisa 0
71 Widal O, H, AO 11 3 3

72 Xilol 0
73 XL Multical 4 x 3ml 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

74 Yellow Tip 3 1

0
3. RONGTEN 0
75 CR 11 x 14 5 1

76 CR 8 x 10 9 1 1 1

77 Developer 0
78 Film RO 24x30 0
79 Film RO 30x40 0
80 Film RO 35x35 0
81 Fixer 20 Ltr 0
82 Grid 30x40 cm 0
0
3. REAGEN LAB. PA BARU 0
82 Xylene Leica (3,8 ml) 2
83 Eosin Quart (946 ml) 0
84 Paraplast/Parafin 4 1

85 Star Diagnostic-Dengue antibody 0


86 Calibration Strip 0
86 Haematoxilline (946 ml) 0
86 Buffer formalin 10% (3,8 lt) 1
86 Embeding Cassete dg tutup (500 pcs) 3
90 Alkohol 100% (3,8 lt) 4 1
91 Brush Papsmeer (100 pcs) 1
92 Grein plain 3 ml 7
93 Trigliserid (4 x 100 ml ) 1 1
94 Pot Dahak 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

95 Buffer formalin 10% (20 lt) 3


96 Lart. Asam Alkohol 0
97 Imersion Oil 1
98 Embeding Cassete tanpa tutup (500 p 4
99 Alkohol Meter 1
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Pemakai Sisa
an Stok

0 0

0 0

0 0

0 0

0 0

0 2

0 0

0 2

0 1

0 0

0 0

0 0

0 0

1 0

1 0

0 1

1 1

0 4

0 2

1 3

0 2

0 10

3 21
Pemakai Sisa
an Stok

0 0

0 6

0 0

0 3

0 0

0 0

0 0

1 2

0 0

3 0

200 80

0 0

0 0

0 1

0 1

0 0

0 1

0 1

0 0

0 0

0 9

0 3

0 2

0 10

0 13

0 0
Pemakai Sisa
an Stok

6 7

2 2

0 700

0 0

0 2

0 0

0 0

2 1

0 0

2 1

1 0

0 0

0 0

0 0

4 42

0 3

0 3

0 1

1 1

0 1

0 2

0 1

0 0

6 5

0 0

0 0
Pemakai Sisa
an Stok

1 2

0 0

0 0

1 4

3 6

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 2

0 0

1 3

0 0

0 0

0 0

0 1

0 3

1 3

0 1

0 7

1 0

0 0
Pemakai Sisa
an Stok

0 3

0 0

0 1

0 4

0 1
LAPORAN PENERIMAAN DAN PENGELUARAN BHP REAGEN DAN RADIOLOGI GUDANG
RSUD dr. SOERATNO GEMOLONG
BULAN : MEI 2018

STOK PENERI PERSEDI PEMAKA SISA


NO NAMA OBAT SATUAN HARGA
AWAL MAAN AAN IAN STOK
SATUAN BULAN

1. LABORATORIUM
1 Alkohol 96% botol Rp 907,500 0 0 0 0
2 Alkohol 96% 20 lt Galon Rp 1,496,250 0 0 0 0
3 Albumin 5010 Box Rp 628,320 0 0 0 0
4 Albumin 1 X 44 ml Kit Rp 484,000 2 1 3 0 3
5 Aspirator FNBA 20cc Pcs Rp 1,650,000 0 0 0 0
6 Bilirubin Bok Rp 722,755 2 1 3 3 0
7 Blue Tip Pcs Rp 121,000 1 2 3 1 2
8 Cat Giemsa (500 ml) Botol Rp 1,430,000 0 0 0 0
9 Cat OG 6 Botol Rp 434,500 0 0 0 0
10 Cat EA 50 Botol Rp 693,000 0 0 0 0
11 Cat Haris Hematoxilyn Botol Rp 539,000 0 0 0 0
12 Cel clean Pak Rp 1,197,900 0 2 2 0 2
13 Cel pack Galon Rp 1,768,800 0 6 6 1 5
14 Cholesterol ( 1x44ml ) Kit Rp 895,400 1 1 1 0
15 Cholesterol ( 4x100ml ) Bok Rp 1,645,600 1 1 0 1
16 Combostick Bok Rp 462,000 4 4 8 3 5
17 Creatinin ( 2x100 ) Bok Rp 623,832 2 3 5 1 4
18 Creatinin ( R1: 1x44ml ; R2: 1X 11ml) Kit Rp 618,200 3 3 6 2 4
19 Dek Glass 18x18) Pcs Rp 199,000 2 2 1 1
20 Dek Glass 22x22) Pcs Rp 44,000 10 10 0 10
21 Dek Glass 24x24) Pcs Rp 920,920 21 21 0 21
22 Dek Glass 24x40) Pcs Rp 796,950 0 0 0 0
23 Dek Glass 24x60) pack Rp 137,500 6 6 6 0
24 Dengue IgG - IgM Whole Blood Paket Rp 858,000 0 0 0 0
25 E cek Paket/Sysmex Paket Rp 861,300 3 3 0 3
26 Easydip 12 Jar Slide Rack Pcs Rp 247,500 0 0 0 0
27 Erba Norm 4 x 5 ml Kit Rp 3,150,400 0 0 0 0
28 Erba XL Wash 4 x 100 ml Kit Rp 6,886,000 0 0 0 0
29 Glucosa ( 1 x 100ml ) Bok Rp 756,135 2 3 5 1 4
30 Glucosa ( 1 x 44ml ) Kit Rp 484,000 0 4 4 3 1
31 Gol Darah ( A, B, AB, D ) Botol Rp 115,500 0 4 4 1 3
32 HBsAg Pcs Rp 12,100 80 400 480 160 320
33 HCG Oright Box Rp 302,500 0 2 2 0 2
34 HDL/LDL 5010 Box Rp 905,080 0 1 1 0 1
35 Hemoglobin 500 ml Botol Rp 88,000 1 1 0 1
36 Kartu Gol Darah pack Rp 33,000 1 1 2 1 1
37 Lancet Blood pack Rp 33,000 0 0 0 0
38 Lancet Steinless Pcs Rp 128,000 1 1 0 1
39 Larutan Drabkin/500 ml Botol Rp 49,300 1 1 1 0
40 Larutan EDTA 500 ml Botol Rp 715,000 0 0 0 0
41 Larutan EDTA 100 ml Botol Rp 181,500 0 5 5 3 2
42 Larutan ZN/BTA Btl Rp 456,500 9 9 0 9
43 Methanol Btl Rp 55,000 3 3 0 3
44 Mounting Media Btl Rp 269,500 2 2 1 1
45 Object Glass Box Rp 40,200 10 10 6 4
46 Objek Glass 7101 Pcs Rp 27,500 13 13 0 13
47 Objek Glass 7105 Frosted Pcs Rp 30,250 0 0 0 0
STOK PENERI PERSEDI PEMAKA SISA
NO NAMA OBAT SATUAN HARGA
AWAL MAAN AAN IAN STOK
SATUAN BULAN
48 Poch D/Sysmex Galon Rp 594,000 7 5 12 10 2
49 Poch L/Syismex Galon Rp 1,873,300 2 2 2 0
50 Pot Urine Steril Pcs Rp 3,960 700 700 0 700
51 Protetin Total 5010 Box Rp 778,388 0 0 0 0
52 Protein Total 1 x 44 ml Kit Rp 514,800 2 2 2 0
53 Sampel Cup Grainer isi 500 Pak Rp 198,000 0 0 0 0
54 SGOT UV TEST 8 X 50 Pak Rp 1,724,140 0 0 0 0
55 SGOT R1: 2 x 44ml; R2: 1 x 22 ml Kit Rp 1,716,000 1 1 2 0 2
56 SGPT ( 20x8 ) Bok Rp 1,724,140 0 0 0 0
57 SGPT (R1: 2x24ml; R2: 1x22ml) Kit Rp 1,716,000 1 1 0 1
58 Stromatolyser WH Galon Rp 1,171,500 0 6 6 1 5
59 Straining jar 10 slide Pcs Rp 247,500 0 0 0 0
60 Spatula Ayre Box Rp 300,000 0 0 0 0
61 Spatula Brush Box Rp 300,000 0 0 0 0
62 Tabung EDTA/Vac Tube 3 ml Pak Rp 165,000 42 42 2 40
63 Tabung Hematokrit Heparin Botol Rp 43,001 3 3 0 3
64 Tabung reaksi ( 10x1.5 ) Pyrex Pcs Rp 390,000 3 3 0 3
65 Trigliserid (1x44ml ) Kit Rp 1,786,400 1 1 2 0 2
66 Urea R1 : ( 1x 44ml ) R2:(1X11ml) Kit Rp 1,315,600 1 2 3 1 2
67 Urea ( 2x 100ml ) Rp 587,087 1 3 4 1 3
68 Uric Acid ( 4x100ml ) Pak Rp 1,590,061 2 2 0 2
69 Uric Acid ( 1x44ml ) KIT Rp 1,117,600 1 1 1 0
70 Urine Analisa Box Rp 285,000 0 0 0 0
71 Widal O, H, AO Botol Rp 115,500 5 5 0 5
72 Xilol Botol Rp 55,000 0 0 0 0
73 XL Multical 4 x 3ml Kit Rp 4,417,600 0 0 0 0
74 Yellow Tip Pcs Rp 110,000 2 1 3 1 2
0 0
2. RONGTEN 0 0
75 CR 11 x 14 Box Rp 2,999,920 4 4 1 3
76 CR 8 x 10 Box Rp 2,499,750 6 6 2 4
77 Developer Set Rp 975,000 0 0 0 0
78 Film RO 24x30 Lembar Rp 1,390,000 0 0 0 0
79 Film RO 30x40 Lembar Rp 2,100,000 0 0 0 0
80 Film RO 35x35 Lembar Rp 2,200,000 0 0 0 0
81 Fixer 20 Ltr Set Rp 600,000 0 0 0 0
82 Grid 30x40 cm Pcs Rp 4,000,000 0 0 0 0
0 0
3. REAGEN LAB. PATOLOGI 0 0
82 Xylene Leica (3,8 ml) Botol Rp 1,155,000 2 2 1 1
83 Eosin Quart (946 ml) Botol Rp 429,000 0 0 0 0
84 Paraplast/Parafin Pack Rp 176,000 3 3 0 3
85 Star Diagnostic-Dengue antibody Pcs Rp 71,775 0 0 0 0
86 Calibration Strip box Rp 112,200 0 0 0 0
87 Haematoxilline (946 ml) botol Rp 605,000 0 0 0 0
88 Buffer formalin 10% (3,8 lt) botol Rp 715,000 1 1 0 1
89 Embeding Cassete dg tutup (500 pcs) box Rp 1,320,000 3 3 2 1
90 Alkohol 100% (3,8 lt) botol Rp 907,500 3 3 0 3
91 Brush Papsmeer (100 pcs) Box Rp 440,000 1 1 0 1
92 Grein plain 3 ml Pak Rp 165,000 7 7 0 7
93 Trigliserid (4 x 100 ml ) Pak Rp 2,568,539 0 0 0 0
94 Pot Dahak Pcs Rp 2,420 0 0 0 0
95 Buffer formalin 10% (20 lt) Galon Rp 2,926,000 3 3 0 3
96 Lart. Asam Alkohol botol Rp 148,500 0 0 0 0
STOK PENERI PERSEDI PEMAKA SISA
NO NAMA OBAT SATUAN HARGA
AWAL MAAN AAN IAN STOK
SATUAN BULAN
97 Imersion Oil Botol Rp 693,000 1 1 0 1
98 Embeding Cassete tanpa tutup (500 pcBox Rp 825,000 4 4 0 4
99 Alkohol Meter Pcs Rp 220,000 1 1 0 1
100 Tabung EDTA 0,5 ml Pak Rp 297,000 6 6 3 3
JUMLAH

Gemolong, Mei 2018

Mengetahui
Direktur RSUD Gemolong Apoteker
Kab. Sragen

dr. Agus Trijono, M Kes. Drs. J. Seno Tjahjadi. Apt


NIP. 19700820 200501 1 011 NIP. 19680707 199503 1 002
OLOGI GUDANG

HARGA KET
SISA STOK

Rp -
Rp -
Rp -
Rp 1,452,000
Rp -
Rp -
Rp 242,000
Rp -
Rp -
Rp -
Rp -
Rp 2,395,800
Rp 8,844,000
Rp -
Rp 1,645,600
Rp 2,310,000
Rp 2,495,328
Rp 2,472,800
Rp 199,000
Rp 440,000
Rp 19,339,320
Rp -
Rp -
Rp -
Rp 2,583,900
Rp -
Rp -
Rp -
Rp 3,024,538
Rp 484,000
Rp 346,500
Rp 3,872,000
Rp 605,000
Rp 905,080
Rp 88,000
Rp 33,000
Rp -
Rp 128,000
Rp -
Rp -
Rp 363,000
Rp 4,108,500
Rp 165,000
Rp 269,500
Rp 160,800
Rp 357,500
Rp -
HARGA KET
SISA STOK
Rp 1,188,000
Rp -
Rp 2,772,000
Rp -
Rp -
Rp -
Rp -
Rp 3,432,000
Rp -
Rp 1,716,000
Rp 5,857,500
Rp -
Rp -
Rp -
Rp 6,600,000
Rp 129,003
Rp 1,170,000
Rp 3,572,800
Rp 2,631,200
Rp 1,761,260
Rp 3,180,122
Rp -
Rp -
Rp 577,500
Rp -
Rp -
Rp 220,000

Rp 8,999,760
Rp 9,999,000
Rp - 18,998,760
Rp -
Rp -
Rp -
Rp -
Rp -

Rp 1,155,000
Rp -
Rp 528,000
Rp -
Rp -
Rp -
Rp 715,000
Rp 1,320,000
Rp 2,722,500
Rp 440,000
Rp 1,155,000
Rp -
Rp -
Rp 8,778,000
Rp -
HARGA KET
SISA STOK
Rp 693,000
Rp 3,300,000
Rp 220,000
Rp 891,000
Rp 134,162,811

ng, Mei 2018

poteker

no Tjahjadi. Apt
07 199503 1 002
LAPORAN PENGELUARAN HARIAN BHP REAGEN DAN RADIOLOGI GUDANG
BULAN : MEI 2018

Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

2. LABORATORIUM

1 Alkohol 96% 0
2 Alkohol 96% 20 lt 0
3 Albumin 5010 0
4 Albumin 1 X 44 ml 3
5 Aspirator FNBA 20cc 0
6 Bilirubin 3 1 1 1

7 Blue Tip 3 1

8 Cat Giemsa 0
9 Cat OG 6 0
10 Cat EA 50 0
11 Cat Haris Hematoxilyn 0
12 Cel clean 2
13 Cell pack 6 1

14 Cholesterol ( 1x44ml ) 1 1

15 Cholesterol ( 4x100ml ) 1
16 Combostick 8 1 2

17 Creatinin ( 2x100 ) 5 1

18 Creatinin ( R1: 1x44; R2: 1X 11ml) 6 2

19 Dek Glass 18x18) 2 1

20 Dek Glass 22x22) 10


21 Dek Glass 24x24) 21
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

22 Dek Glass 24x40) 0


23 Dek Glass 24x60) 6 6

24 Dengue IgG - IgM Whole Blood 0


25 E cek Paket/Sysmex 3
26 Easydip 12 Jar Slide Rack 0
27 Erba Norm 4 x 5 ml 0
28 Erba XL Wash 4 x 100 ml 0
29 Glucosa ( 1 x 100ml ) 5 1

30 Glucosa ( 1x44ml ) 4 3

31 Gol Darah ( A, B, AB, D ) 4 1

32 HBsAg 480 40 40 80

33 HCG oright 2
34 HDL/LDL 5010 1
35 Hemoglobin 500 m 1
36 Kartu Gol Darah 2 1

37 Lancet Blood 0
38 Lancet Steinless 1
39 Larutan Drabkin/500 ml 1 1

40 Larutan EDTA 500 ml 0


41 Larutan EDTA 10% 5 2 1

42 Larutan ZN/BTA 9
43 Methanol 3
44 Mounting Media 2 1

45 Object Glass 10 6

46 Objek Glass 7101 13


47 Objek Glass 7105 Frosted 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

48 Poch D/Sysmex 12 4 3 3

49 Poch L/Syismex 2 1 1

50 Pot Urine Steril 700


51 Protein Total 5010 0
52 Protetin Total 1 x 44 ml 2 2

53 Sampel Cup Grainer isi 500 0


54 SGOT UV TEST 8 X 50 0
55 SGOT R1:2x44ml; R2: 1x22 ml 2
56 SGPT ( 50x8 ) 0
57 SGPT (R1: 2x24ml; R2: 1x22ml) 1
58 Stromatolyser WH 6 1

59 Straining jar 10 slide 0


60 Spatula Ayre 0
61 Spatula Brush 0
62 Tabung EDTA/Vac Tube 3 ml 42 2

63 Tabung Hematokrit Heparin 3


64 Tabung reaksi ( 10x1.5 ) Pyrex 3
65 Trigliserid (1x44ml ) 2
66 Urea R1 : ( 1x 44ml ) R2:(1X11ml) 3 1

67 Urea ( 2x 100ml ) 4 1

68 Uric Acid ( 4x100ml ) 2


69 Uric Acid ( 1x44ml ) 1 1

70 Urine Analisa 0
71 Widal O, H, AO 5
72 Xilol 0
73 XL Multical 4 x 3ml 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

74 Yellow Tip 3 1

0
3. RONGTEN 0
75 CR 11 x 14 4 1

76 CR 8 x 10 6 1 1

77 Developer 0
78 Film RO 24x30 0
79 Film RO 30x40 0
80 Film RO 35x35 0
81 Fixer 20 Ltr 0
82 Grid 30x40 cm 0
0
3. REAGEN LAB. PA BARU 0
82 Xylene Leica (3,8 ml) 2 1

83 Eosin Quart (946 ml) 0


84 Paraplast/Parafin 3
85 Star Diagnostic-Dengue antibody 0
86 Calibration Strip 0
86 Haematoxilline (946 ml) 0
86 Buffer formalin 10% (3,8 lt) 1
86 Embeding Cassete dg tutup (500 pcs) 3 2
90 Alkohol 100% (3,8 lt) 3
91 Brush Papsmeer (100 pcs) 1
92 Grein plain 3 ml 7
93 Trigliserid (4 x 100 ml ) 0
94 Pot Dahak 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

95 Buffer formalin 10% (20 lt) 3


96 Lart. Asam Alkohol 0
97 Imersion Oil 1
98 Embeding Cassete tanpa tutup (500 p 4
99 Alkohol Meter 1
100 Tabung EDTA 0,5 ml 6 3
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Pemakai Sisa
an Stok

0 0

0 0

0 0

0 0

0 0

0 3

0 0

3 0

1 2

0 0

0 0

0 0

0 0

0 2

1 5

1 0

0 1

3 5

1 4

2 4

1 1

0 10

0 21
Pemakai Sisa
an Stok

0 0

6 0

0 0

0 3

0 0

0 0

0 0

1 4

3 1

1 3

160 320

0 2

0 1

0 1

1 1

0 0

0 1

1 0

0 0

3 2

0 9

0 3

1 1

6 4

0 13

0 0
Pemakai Sisa
an Stok

10 2

2 0

0 700

0 0

2 0

0 0

0 0

0 2

0 0

0 1

1 5

0 0

0 0

0 0

2 40

0 3

0 3

0 2

1 2

1 3

0 2

1 0

0 0

0 5

0 0

0 0
Pemakai Sisa
an Stok

1 2

0 0

0 0

1 3

2 4

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

1 1

0 0

0 3

0 0

0 0

0 0

0 1

2 1

0 3

0 1

0 7

0 0

0 0
Pemakai Sisa
an Stok

0 3

0 0

0 1

0 4

0 1

3 3
LAPORAN PENERIMAAN DAN PENGELUARAN BHP REAGEN DAN RADIOLOGI GUDANG
RSUD dr. SOERATNO GEMOLONG
BULAN : JUNI 2018

STOK PENERI PERSEDI PEMAKA SISA


NO NAMA OBAT SATUAN HARGA
AWAL MAAN AAN IAN STOK

SATUAN BULAN

1. LABORATORIUM
1 Alkohol 96% botol Rp 907,500 0 0 0 0
2 Alkohol 96% 20 lt Galon Rp 1,496,250 0 0 0 0
3 Albumin 5010 Box Rp 628,320 0 0 0 0
4 Albumin 1 X 44 ml Kit Rp 484,000 3 3 0 3
5 Aspirator FNBA 20cc Pcs Rp 1,650,000 0 0 0 0
6 Bilirubin Bok Rp 722,755 0 0 0 0
7 Blue Tip Pcs Rp 121,000 2 2 0 2
8 Cat Giemsa (500 ml) Botol Rp 1,265,000 0 1 1 0 1
9 Cat OG 6 Botol Rp 434,500 0 0 0 0
10 Cat EA 50 Botol Rp 693,000 0 0 0 0
11 Cat Haris Hematoxilyn Botol Rp 715,000 0 1 1 0 1
12 Cel clean Pak Rp 1,197,900 2 2 0 2
13 Cel pack Galon Rp 1,768,800 5 5 1 4
14 Cholesterol ( 1x44ml ) Kit Rp 895,400 0 0 0 0
15 Cholesterol ( 4x100ml ) Bok Rp 1,645,600 1 1 0 1
16 Combostick Bok Rp 462,000 5 5 0 5
17 Creatinin ( 2x100 ) Bok Rp 623,832 4 4 0 4
18 Creatinin ( R1: 1x44ml ; R2: 1X 11ml) Kit Rp 618,200 4 4 0 4
19 Dek Glass 18x18) Pcs Rp 199,000 1 1 0 1
20 Dek Glass 22x22) Pcs Rp 44,000 10 10 0 10
21 Dek Glass 24x24) Pcs Rp 920,920 21 21 0 21
22 Dek Glass 24x40) Pcs Rp 796,950 0 0 0 0
23 Dek Glass 24x60) pack Rp 93,500 0 10 10 0 10
24 Dengue IgG - IgM Whole Blood Paket Rp 858,000 0 0 0 0
25 E cek Paket/Sysmex Paket Rp 861,300 3 3 0 3
26 Easydip 12 Jar Slide Rack Pcs Rp 247,500 0 0 0 0
27 Erba Norm 4 x 5 ml Kit Rp 3,150,400 0 0 0 0
28 Erba XL Wash 4 x 100 ml Kit Rp 6,886,000 0 0 0 0
29 Glucosa ( 1 x 100ml ) Bok Rp 756,135 4 4 1 3
30 Glucosa ( 1 x 44ml ) Kit Rp 484,000 1 2 3 1 2
31 Gol Darah ( A, B, AB, D ) Botol Rp 115,500 3 3 0 3
32 HBsAg Pcs Rp 12,100 320 320 120 200
33 HCG Oright Box Rp 302,500 2 2 1 1
34 HDL/LDL 5010 Box Rp 905,080 1 1 0 1
35 Hemoglobin 500 ml Botol Rp 88,000 1 1 0 1
36 Kartu Gol Darah pack Rp 33,000 1 1 1 0
37 Lancet Blood pack Rp 33,000 0 0 0 0
38 Lancet Steinless Pcs 1 1 0 1
39 Larutan Drabkin/500 ml Botol Rp 49,300 0 0 0 0
40 Larutan EDTA 500 ml Botol Rp 715,000 0 0 0 0
41 Larutan EDTA 100 ml Botol Rp 181,500 2 2 2 0
42 Larutan ZN/BTA Btl Rp 456,500 9 9 0 9
43 Methanol Btl Rp 55,000 3 3 0 3
44 Mounting Media Btl Rp 335,500 1 1 2 1 1
45 Object Glass Box Rp 40,200 4 4 2 2
46 Objek Glass 7101 Pcs Rp 27,500 13 13 3 10
STOK PENERI PERSEDI PEMAKA SISA
NO NAMA OBAT SATUAN HARGA
AWAL MAAN AAN IAN STOK

SATUAN BULAN

47 Objek Glass 7105 Frosted Pcs Rp 30,250 0 0 0 0


48 Poch D/Sysmex Galon Rp 594,000 2 15 17 0 17
49 Poch L/Syismex Galon Rp 1,873,300 0 5 5 0 5
50 Pot Urine Steril Pcs Rp 3,960 700 700 0 700
51 Protetin Total 5010 Box Rp 778,388 0 0 0 0
52 Protein Total 1 x 44 ml Kit Rp 514,800 0 1 1 0 1
53 Sampel Cup Grainer isi 500 Pak Rp 198,000 0 0 0 0
54 SGOT UV TEST 8 X 50 Pak Rp 1,724,140 0 0 0 0
55 SGOT R1: 2 x 44ml; R2: 1 x 22 ml Kit Rp 1,716,000 2 2 0 2
56 SGPT ( 20x8 ) Bok Rp 1,724,140 0 0 0 0
57 SGPT (R1: 2x24ml; R2: 1x22ml) Kit Rp 1,716,000 1 1 2 0 2
58 Stromatolyser WH Galon Rp 1,171,500 5 5 1 4
59 Straining jar 10 slide Pcs Rp 247,500 0 0 0 0
60 Spatula Ayre Box Rp 300,000 0 0 0 0
61 Spatula Brush Box Rp 300,000 0 0 0 0
62 Tabung EDTA/Vac Tube 3 ml Pak Rp 165,000 40 40 2 38
63 Tabung Hematokrit Heparin Botol Rp 43,001 3 3 0 3
64 Tabung reaksi ( 10x1.5 ) Pyrex Pcs Rp 390,000 3 3 0 3
65 Trigliserid (1x44ml ) Kit Rp 1,786,400 2 2 0 2
66 Urea R1 : ( 1x 44ml ) R2:(1X11ml) Kit Rp 1,315,600 2 1 3 0 3
67 Urea ( 2x 100ml ) Rp 587,087 3 3 0 3
68 Uric Acid ( 4x100ml ) Pak Rp 1,590,061 2 2 0 2
69 Uric Acid ( 1x44ml ) KIT Rp 1,117,600 0 1 1 0 1
70 Urine Analisa Box Rp 285,000 0 0 0 0
71 Widal O, H, AO Botol Rp 115,500 5 5 2 3
72 Xilol Botol Rp 55,000 0 0 0 0
73 XL Multical 4 x 3ml Kit Rp 4,417,600 0 0 0 0
74 Yellow Tip Pcs Rp 110,000 2 2 2 0
0 0
2. RONGTEN 0 0
75 CR 11 x 14 Box Rp 2,999,920 3 10 13 1 12
76 CR 8 x 10 Box Rp 2,499,750 4 5 9 2 7
77 Developer Set Rp 975,000 0 0 0 0
78 Film RO 24x30 Lembar Rp 1,390,000 0 0 0 0
79 Film RO 30x40 Lembar Rp 2,100,000 0 0 0 0
80 Film RO 35x35 Lembar Rp 2,200,000 0 0 0 0
81 Fixer 20 Ltr Set Rp 600,000 0 0 0 0
82 Grid 30x40 cm Pcs Rp 4,000,000 0 0 0 0
0 0
3. REAGEN LAB. PATOLOGI 0 0
82 Xylene Leica (3,8 ml) Botol Rp 1,155,000 1 1 2 0 2
83 Eosin Quart (946 ml) Botol Rp 429,000 0 0 0 0
84 Paraplast/Parafin Pack Rp 176,000 3 3 6 2 4
85 Star Diagnostic-Dengue antibody Pcs Rp 71,775 0 0 0 0
86 Calibration Strip box Rp 112,200 0 0 0 0
87 Haematoxilline (946 ml) botol Rp 605,000 0 0 0 0
88 Buffer formalin 10% (3,8 lt) botol Rp 715,000 1 1 0 1
89 Embeding Cassete dg tutup (500 pcs) box Rp 1,320,000 1 1 0 1
90 Alkohol 100% (3,8 lt) botol Rp 907,500 3 3 0 3
91 Brush Papsmeer (100 pcs) Box Rp 440,000 1 1 2 1 1
92 Grein plain 3 ml Pak Rp 165,000 7 7 0 7
93 Trigliserid (4 x 100 ml ) Pak Rp 2,568,539 0 0 0 0
94 Pot Dahak Pcs Rp 2,420 0 0 0 0
STOK PENERI PERSEDI PEMAKA SISA
NO NAMA OBAT SATUAN HARGA
AWAL MAAN AAN IAN STOK

SATUAN BULAN

95 Buffer formalin 10% (20 lt) Galon Rp 2,926,000 3 3 0 3


96 Lart. Asam Alkohol botol Rp 148,500 0 0 0 0
97 Imersion Oil Botol Rp 693,000 1 1 1 0
98 Embeding Cassete tanpa tutup (500 pcBox Rp 825,000 4 4 0 4
99 Alkohol Meter Pcs Rp 220,000 1 1 0 1
100 Tabung EDTA 0,5 ml Pak Rp 297,000 3 3 0 3
JUMLAH

Gemolong, Mei 2018

Mengetahui
Direktur RSUD Gemolong Apoteker
Kab. Sragen

dr. Agus Trijono, M Kes. Drs. J. Seno Tjahjadi. Apt


NIP. 19700820 200501 1 011 NIP. 19680707 199503 1 002
OLOGI GUDANG

HARGA KET

SISA STOK

Rp -
Rp -
Rp -
Rp 1,452,000
Rp -
Rp -
Rp 242,000
Rp 1,265,000
Rp -
Rp -
Rp 715,000
Rp 2,395,800
Rp 7,075,200
Rp -
Rp 1,645,600
Rp 2,310,000
Rp 2,495,328
Rp 2,472,800
Rp 199,000
Rp 440,000
Rp 19,339,320
Rp -
Rp 935,000
Rp -
Rp 2,583,900
Rp -
Rp -
Rp -
Rp 2,268,404
Rp 968,000
Rp 346,500
Rp 2,420,000
Rp 302,500
Rp 905,080
Rp 88,000
Rp -
Rp -
#VALUE!
Rp -
Rp -
Rp -
Rp 4,108,500
Rp 165,000
Rp 335,500
Rp 80,400
Rp 275,000
HARGA KET

SISA STOK

Rp -
Rp 10,098,000
Rp 9,366,500
Rp 2,772,000
Rp -
Rp 514,800
Rp -
Rp -
Rp 3,432,000
Rp -
Rp 3,432,000
Rp 4,686,000
Rp -
Rp -
Rp -
Rp 6,270,000
Rp 129,003
Rp 1,170,000
Rp 3,572,800
Rp 3,946,800
Rp 1,761,260
Rp 3,180,122
Rp 1,117,600
Rp -
Rp 346,500
Rp -
Rp -
Rp -

Rp 35,999,040
Rp 17,498,250
Rp - 53,497,290
Rp -
Rp -
Rp -
Rp -
Rp -

Rp 2,310,000
Rp -
Rp 704,000
Rp -
Rp -
Rp -
Rp 715,000
Rp 1,320,000
Rp 2,722,500
Rp 440,000
Rp 1,155,000
Rp -
Rp -
HARGA KET

SISA STOK

Rp 8,778,000
Rp -
Rp -
Rp 3,300,000
Rp 220,000
Rp 891,000
#VALUE!

ong, Mei 2018

poteker

no Tjahjadi. Apt
707 199503 1 002
LAPORAN PENGELUARAN HARIAN BHP REAGEN DAN RADIOLOGI GUDANG
BULAN : JUNI 2018

Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

2. LABORATORIUM

1 Alkohol 96% 0
2 Alkohol 96% 20 lt 0
3 Albumin 5010 0
4 Albumin 1 X 44 ml 3
5 Aspirator FNBA 20cc 0
6 Bilirubin 0
7 Blue Tip 2
8 Cat Giemsa 1
9 Cat OG 6 0
10 Cat EA 50 0
11 Cat Haris Hematoxilyn 1
12 Cel clean 2
13 Cell pack 5 1

14 Cholesterol ( 1x44ml ) 0
15 Cholesterol ( 4x100ml ) 1
16 Combostick 5
17 Creatinin ( 2x100 ) 4
18 Creatinin ( R1: 1x44; R2: 1X 11ml) 4
19 Dek Glass 18x18) 1
20 Dek Glass 22x22) 10
21 Dek Glass 24x24) 21
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

22 Dek Glass 24x40) 0


23 Dek Glass 24x60) 10
24 Dengue IgG - IgM Whole Blood 0
25 E cek Paket/Sysmex 3
26 Easydip 12 Jar Slide Rack 0
27 Erba Norm 4 x 5 ml 0
28 Erba XL Wash 4 x 100 ml 0
29 Glucosa ( 1 x 100ml ) 4 1

30 Glucosa ( 1x44ml ) 3 1

31 Gol Darah ( A, B, AB, D ) 3


32 HBsAg 320 120

33 HCG oright 2 1

34 HDL/LDL 5010 1
35 Hemoglobin 500 m 1
36 Kartu Gol Darah 1 1

37 Lancet Blood 0
38 Lancet Steinless 1
39 Larutan Drabkin/500 ml 0
40 Larutan EDTA 500 ml 0
41 Larutan EDTA 10% 2 2

42 Larutan ZN/BTA 9
43 Methanol 3
44 Mounting Media 2 1

45 Object Glass 4 2

46 Objek Glass 7101 13 3

47 Objek Glass 7105 Frosted 0


Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

48 Poch D/Sysmex 17
49 Poch L/Syismex 5
50 Pot Urine Steril 700
51 Protein Total 5010 0
52 Protetin Total 1 x 44 ml 1
53 Sampel Cup Grainer isi 500 0
54 SGOT UV TEST 8 X 50 0
55 SGOT R1:2x44ml; R2: 1x22 ml 2
56 SGPT ( 50x8 ) 0
57 SGPT (R1: 2x24ml; R2: 1x22ml) 2
58 Stromatolyser WH 5 1

59 Straining jar 10 slide 0


60 Spatula Ayre 0
61 Spatula Brush 0
62 Tabung EDTA/Vac Tube 3 ml 40 2

63 Tabung Hematokrit Heparin 3


64 Tabung reaksi ( 10x1.5 ) Pyrex 3
65 Trigliserid (1x44ml ) 2
66 Urea R1 : ( 1x 44ml ) R2:(1X11ml) 3
67 Urea ( 2x 100ml ) 3
68 Uric Acid ( 4x100ml ) 2
69 Uric Acid ( 1x44ml ) 1
70 Urine Analisa 0
71 Widal O, H, AO 5 2

72 Xilol 0
73 XL Multical 4 x 3ml 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

74 Yellow Tip 2 2

0
3. RONGTEN 0
75 CR 11 x 14 13 1

76 CR 8 x 10 9 2

77 Developer 0
78 Film RO 24x30 0
79 Film RO 30x40 0
80 Film RO 35x35 0
81 Fixer 20 Ltr 0
82 Grid 30x40 cm 0
0
3. REAGEN LAB. PA BARU 0
82 Xylene Leica (3,8 ml) 2
83 Eosin Quart (946 ml) 0
84 Paraplast/Parafin 6 2

85 Star Diagnostic-Dengue antibody 0


86 Calibration Strip 0
86 Haematoxilline (946 ml) 0
86 Buffer formalin 10% (3,8 lt) 1
86 Embeding Cassete dg tutup (500 pcs) 1
90 Alkohol 100% (3,8 lt) 3
91 Brush Papsmeer (100 pcs) 2 1
92 Grein plain 3 ml 7
93 Trigliserid (4 x 100 ml ) 0
94 Pot Dahak 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

95 Buffer formalin 10% (20 lt) 3


96 Lart. Asam Alkohol 0
97 Imersion Oil 1 1
98 Embeding Cassete tanpa tutup (500 p 4
99 Alkohol Meter 1
100 Tabung EDTA 0,5 ml 3
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Pemakai Sisa
an Stok

0 0

0 0

0 0

0 0

0 0

0 3

0 0

0 0

0 2

0 1

0 0

0 0

0 1

0 2

1 4

0 0

0 1

0 5

0 4

0 4

0 1

0 10

0 21
Pemakai Sisa
an Stok

0 0

0 10

0 0

0 3

0 0

0 0

0 0

1 3

1 2

0 3

120 200

1 1

0 1

0 1

1 0

0 0

0 1

0 0

0 0

2 0

0 9

0 3

1 1

2 2

3 10

0 0
Pemakai Sisa
an Stok

0 17

0 5

0 700

0 0

0 1

0 0

0 0

0 2

0 0

0 2

1 4

0 0

0 0

0 0

2 38

0 3

0 3

0 2

0 3

0 3

0 2

0 1

0 0

2 3

0 0

0 0
Pemakai Sisa
an Stok

2 0

0 0

0 0

1 12

2 7

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 2

0 0

2 4

0 0

0 0

0 0

0 1

0 1

0 3

1 1

0 7

0 0

0 0
Pemakai Sisa
an Stok

0 3

0 0

1 0

0 4

0 1

0 3
LAPORAN PENERIMAAN DAN PENGELUARAN BHP REAGEN DAN RADIO
RSUD dr. SOERATNO GEMOLONG
BULAN : JULI 2018

NO NAMA OBAT SATUAN HARGA STOK AWAL PENERIMAAN PERSEDIAAN


SATUAN BULAN

1. LABORATORIUM
1 Alkohol 96% botol Rp 907,500 0 0
2 Alkohol 96% 20 lt Galon Rp 1,496,250 0 0
3 Albumin 5010 Box Rp 628,320 0 0
4 Albumin 1 X 44 ml Kit Rp 484,000 3 3
5 Aspirator FNBA 20cc Pcs Rp 1,650,000 0 0
6 Bilirubin Bok Rp 722,755 0 0
7 Blue Tip Pcs Rp 121,000 2 2
8 Cat Giemsa (500 ml) Botol Rp 1,265,000 1 1
9 Cat OG 6 Botol Rp 434,500 0 0
10 Cat EA 50 Botol Rp 693,000 0 0
11 Cat Haris Hematoxilyn Botol Rp 715,000 1 1
12 Cel clean Pak Rp 1,197,900 2 2
13 Cel pack Galon Rp 1,768,800 4 4
14 Cholesterol ( 1x44ml ) Kit Rp 895,400 0 0
15 Cholesterol ( 4x100ml ) Bok Rp 1,645,600 1 1
16 Combostick Bok Rp 462,000 5 5
17 Creatinin ( 2x100 ) Bok Rp 623,832 4 4
18 Creatinin ( R1: 1x44ml ; R2: 1X 11ml) Kit Rp 618,200 4 4
19 Dek Glass 18x18) Pcs Rp 199,000 1 1
20 Dek Glass 22x22) Pcs Rp 44,000 10 10
21 Dek Glass 24x24) Pcs Rp 920,920 21 21
22 Dek Glass 24x40) Pcs Rp 796,950 0 0
23 Dek Glass 24x60) pack Rp 93,500 10 10
24 Dengue IgG - IgM Whole Blood Paket Rp 858,000 0 0
25 E cek Paket/Sysmex Paket Rp 861,300 3 3
26 Easydip 12 Jar Slide Rack Pcs Rp 247,500 0 0
27 Erba Norm 4 x 5 ml Kit Rp 3,150,400 0 0
28 Erba XL Wash 4 x 100 ml Kit Rp 6,886,000 0 1 1
29 Glucosa ( 1 x 100ml ) Bok Rp 756,135 3 3
30 Glucosa ( 1 x 44ml ) Kit Rp 484,000 2 2 4
31 Gol Darah ( A, B, AB, D ) Botol Rp 115,500 3 3
32 HBsAg Pcs Rp 12,100 200 200
33 HCG Oright Box Rp 302,500 1 1
34 HDL/LDL 5010 Box Rp 905,080 1 1
35 Hemoglobin 500 ml Botol Rp 88,000 1 1
36 Kartu Gol Darah pack Rp 33,000 0 0
37 Lancet Blood pack Rp 33,000 0 0
38 Lancet Steinless Pcs Rp 128,000 1 1
39 Larutan Drabkin/500 ml Botol Rp 49,300 0 0
40 Larutan EDTA 500 ml Botol Rp 715,000 0 0
41 Larutan EDTA 100 ml Botol Rp 181,500 0 0
42 Larutan ZN/BTA Btl Rp 456,500 9 9
43 Methanol Btl Rp 55,000 3 3
44 Mounting Media Btl Rp 335,500 1 1
45 Object Glass Box Rp 40,200 2 2
46 Objek Glass 7101 Pcs Rp 27,500 10 10
47 Objek Glass 7105 Frosted Pcs Rp 30,250 0 0
48 Poch D/Sysmex Galon Rp 594,000 17 17
NO NAMA OBAT SATUAN HARGA STOK AWAL PENERIMAAN PERSEDIAAN
SATUAN BULAN
49 Poch L/Syismex Galon Rp 1,873,300 5 5
50 Pot Urine Steril Pcs Rp 3,960 700 700
51 Protetin Total 5010 Box Rp 778,388 0 0
52 Protein Total 1 x 44 ml Kit Rp 514,800 1 1
53 Sampel Cup Grainer isi 500 Pak Rp 198,000 0 0
54 SGOT UV TEST 8 X 50 Pak Rp 1,724,140 0 0
55 SGOT R1: 2 x 44ml; R2: 1 x 22 ml Kit Rp 1,716,000 2 2
56 SGPT ( 20x8 ) Bok Rp 1,724,140 0 0
57 SGPT (R1: 2x24ml; R2: 1x22ml) Kit Rp 1,716,000 2 2
58 Stromatolyser WH Galon Rp 1,171,500 4 4
59 Straining jar 10 slide Pcs Rp 247,500 0 0
60 Spatula Ayre Box Rp 300,000 0 0
61 Spatula Brush Box Rp 300,000 0 0
62 Tabung EDTA/Vac Tube 3 ml Pak Rp 165,000 38 38
63 Tabung Hematokrit Heparin Botol Rp 43,001 3 3
64 Tabung reaksi ( 10x1.5 ) Pyrex Pcs Rp 390,000 3 3
65 Trigliserid (1x44ml ) Kit Rp 1,786,400 2 2
66 Urea R1 : ( 1x 44ml ) R2:(1X11ml) Kit Rp 1,315,600 3 3
67 Urea ( 2x 100ml ) Rp 587,087 3 3
68 Uric Acid ( 4x100ml ) Pak Rp 1,590,061 2 2
69 Uric Acid ( 1x44ml ) KIT Rp 1,117,600 1 1
70 Urine Analisa Box Rp 285,000 0 0
71 Widal O, H, AO Botol Rp 115,500 3 3
72 Xilol Botol Rp 55,000 0 0
73 XL Multical 4 x 3ml Kit Rp 4,417,600 0 0
74 Yellow Tip Pcs Rp 110,000 0 0
0
2. RONGTEN 0
75 CR 11 x 14 Box Rp 2,999,920 12 12
76 CR 8 x 10 Box Rp 2,499,750 7 7
77 Developer Set Rp 975,000 0 0
78 Film RO 24x30 Lembar Rp 1,390,000 0 0
79 Film RO 30x40 Lembar Rp 2,100,000 0 0
80 Film RO 35x35 Lembar Rp 2,200,000 0 0
81 Fixer 20 Ltr Set Rp 600,000 0 0
82 Grid 30x40 cm Pcs Rp 4,000,000 0 0
0
3. REAGEN LAB. PATOLOGI 0
82 Xylene Leica (3,8 ml) Botol Rp 1,155,000 2 2
83 Eosin Quart (946 ml) Botol Rp 429,000 0 0
84 Paraplast/Parafin Pack Rp 176,000 4 4
85 Star Diagnostic-Dengue antibody Pcs Rp 71,775 0 0
86 Calibration Strip box Rp 112,200 0 0
87 Haematoxilline (946 ml) botol Rp 605,000 0 0
88 Buffer formalin 10% (3,8 lt) botol Rp 715,000 1 1
89 Embeding Cassete dg tutup (500 pcs) box Rp 1,320,000 1 1
90 Alkohol 100% (3,8 lt) botol Rp 907,500 3 3
91 Brush Papsmeer (100 pcs) Box Rp 440,000 1 1
92 Grein plain 3 ml Pak Rp 165,000 7 7
93 Trigliserid (4 x 100 ml ) Pak Rp 2,568,539 0 0
94 Pot Dahak Pcs Rp 2,420 0 0
95 Buffer formalin 10% (20 lt) Galon Rp 2,926,000 3 3
96 Lart. Asam Alkohol botol Rp 148,500 0 0
97 Imersion Oil Botol Rp 693,000 0 0
98 Embeding Cassete tanpa tutup (500 pcBox Rp 825,000 4 4
NO NAMA OBAT SATUAN HARGA STOK AWAL PENERIMAAN PERSEDIAAN
SATUAN BULAN
99 Alkohol Meter Pcs Rp 220,000 1 1
100 Tabung EDTA 0,5 ml Pak Rp 297,000 3 3
JUMLAH

Mengetahui
Direktur RSUD Gemolong
Kab. Sragen

dr. Agus Trijono, M Kes.


NIP. 19700820 200501 1 011
EN DAN RADIOLOGI GUDANG
NG

PEMAKAIAN SISA STOK HARGA KET


SISA STOK

0 0 Rp -
0 0 Rp -
0 0 Rp -
0 3 Rp 1,452,000
0 0 Rp -
0 0 Rp -
1 1 Rp 121,000
0 1 Rp 1,265,000
0 0 Rp -
0 0 Rp -
0 1 Rp 715,000
0 2 Rp 2,395,800
2 2 Rp 3,537,600
0 0 Rp -
0 1 Rp 1,645,600
2 3 Rp 1,386,000
1 3 Rp 1,871,496
4 0 Rp -
0 1 Rp 199,000
0 10 Rp 440,000
2 19 Rp 17,497,480
0 0 Rp -
3 7 Rp 654,500
0 0 Rp -
0 3 Rp 2,583,900
0 0 Rp -
0 0 Rp -
1 0 Rp -
1 2 Rp 1,512,269
4 0 Rp -
1 2 Rp 231,000
200 0 Rp -
0 1 Rp 302,500
0 1 Rp 905,080
1 0 Rp -
0 0 Rp -
0 0 Rp -
0 1 Rp 128,000
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 9 Rp 4,108,500
0 3 Rp 165,000
0 1 Rp 335,500
2 0 Rp -
0 10 Rp 275,000
0 0 Rp -
5 12 Rp 7,128,000
PEMAKAIAN SISA STOK HARGA KET
SISA STOK
1 4 Rp 7,493,200
0 700 Rp 2,772,000
0 0 Rp -
0 1 Rp 514,800
0 0 Rp -
0 0 Rp -
0 2 Rp 3,432,000
0 0 Rp -
0 2 Rp 3,432,000
2 2 Rp 2,343,000
0 0 Rp -
0 0 Rp -
0 0 Rp -
2 36 Rp 5,940,000
0 3 Rp 129,003
0 3 Rp 1,170,000
1 1 Rp 1,786,400
2 1 Rp 1,315,600
1 2 Rp 1,174,173
0 2 Rp 3,180,122
1 0 Rp -
0 0 Rp -
3 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0
0
2 10 Rp 29,999,200
1 6 Rp 14,998,500
0 0 Rp - 44,997,700
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0
0
0 2 Rp 2,310,000
0 0 Rp -
0 4 Rp 704,000
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 1 Rp 715,000
1 0 Rp -
0 3 Rp 2,722,500
0 1 Rp 440,000
0 7 Rp 1,155,000
0 0 Rp -
0 0 Rp -
0 3 Rp 8,778,000
0 0 Rp -
0 0 Rp -
0 4 Rp 3,300,000
PEMAKAIAN SISA STOK HARGA KET
SISA STOK
0 1 Rp 220,000
0 3 Rp 891,000
Rp 150,879,723

Gemolong, Juli 2018

Apoteker

Drs. J. Seno Tjahjadi. Apt


NIP. 19680707 199503 1 002
LAPORAN PENGELUARAN HARIAN BHP REAGEN DAN RADIOLOGI GUDANG
BULAN : JULI 2018

Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

2. LABORATORIUM

1 Alkohol 96% 0
2 Alkohol 96% 20 lt 0
3 Albumin 5010 0
4 Albumin 1 X 44 ml 3
5 Aspirator FNBA 20cc 0
6 Bilirubin 0
7 Blue Tip 2 1

8 Cat Giemsa 1
9 Cat OG 6 0
10 Cat EA 50 0
11 Cat Haris Hematoxilyn 1
12 Cel clean 2
13 Cell pack 4 1 1

14 Cholesterol ( 1x44ml ) 0
15 Cholesterol ( 4x100ml ) 1
16 Combostick 5 2

17 Creatinin ( 2x100 ) 4 1

18 Creatinin ( R1: 1x44; R2: 1X 11ml) 4 2 2

19 Dek Glass 18x18) 1


20 Dek Glass 22x22) 10
21 Dek Glass 24x24) 21 2
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

22 Dek Glass 24x40) 0


23 Dek Glass 24x60) 10 3

24 Dengue IgG - IgM Whole Blood 0


25 E cek Paket/Sysmex 3
26 Easydip 12 Jar Slide Rack 0
27 Erba Norm 4 x 5 ml 0
28 Erba XL Wash 4 x 100 ml 1 1

29 Glucosa ( 1 x 100ml ) 3 1

30 Glucosa ( 1x44ml ) 4 2 1 1

31 Gol Darah ( A, B, AB, D ) 3 1

32 HBsAg 200 120 80

33 HCG oright 1
34 HDL/LDL 5010 1
35 Hemoglobin 500 m 1 1

36 Kartu Gol Darah 0


37 Lancet Blood 0
38 Lancet Steinless 1
39 Larutan Drabkin/500 ml 0
40 Larutan EDTA 500 ml 0
41 Larutan EDTA 10% 0
42 Larutan ZN/BTA 9
43 Methanol 3
44 Mounting Media 1
45 Object Glass 2 2

46 Objek Glass 7101 10


47 Objek Glass 7105 Frosted 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

48 Poch D/Sysmex 17 3 2

49 Poch L/Syismex 5 1

50 Pot Urine Steril 700


51 Protein Total 5010 0
52 Protetin Total 1 x 44 ml 1
53 Sampel Cup Grainer isi 500 0
54 SGOT UV TEST 8 X 50 0
55 SGOT R1:2x44ml; R2: 1x22 ml 2
56 SGPT ( 50x8 ) 0
57 SGPT (R1: 2x24ml; R2: 1x22ml) 2
58 Stromatolyser WH 4 1 1

59 Straining jar 10 slide 0


60 Spatula Ayre 0
61 Spatula Brush 0
62 Tabung EDTA/Vac Tube 3 ml 38 2

63 Tabung Hematokrit Heparin 3


64 Tabung reaksi ( 10x1.5 ) Pyrex 3
65 Trigliserid (1x44ml ) 2 1

66 Urea R1 : ( 1x 44ml ) R2:(1X11ml) 3 2

67 Urea ( 2x 100ml ) 3 1

68 Uric Acid ( 4x100ml ) 2


69 Uric Acid ( 1x44ml ) 1 1

70 Urine Analisa 0
71 Widal O, H, AO 3 3

72 Xilol 0
73 XL Multical 4 x 3ml 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

74 Yellow Tip 0
0
3. RONGTEN 0
75 CR 11 x 14 12 1 1

76 CR 8 x 10 7 1

77 Developer 0
78 Film RO 24x30 0
79 Film RO 30x40 0
80 Film RO 35x35 0
81 Fixer 20 Ltr 0
82 Grid 30x40 cm 0
0
3. REAGEN LAB. PA BARU 0
82 Xylene Leica (3,8 ml) 2
83 Eosin Quart (946 ml) 0
84 Paraplast/Parafin 4
85 Star Diagnostic-Dengue antibody 0
86 Calibration Strip 0
86 Haematoxilline (946 ml) 0
86 Buffer formalin 10% (3,8 lt) 1
86 Embeding Cassete dg tutup (500 pcs) 1 1
90 Alkohol 100% (3,8 lt) 3
91 Brush Papsmeer (100 pcs) 1
92 Grein plain 3 ml 7
93 Trigliserid (4 x 100 ml ) 0
94 Pot Dahak 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

95 Buffer formalin 10% (20 lt) 3


96 Lart. Asam Alkohol 0
97 Imersion Oil 0
98 Embeding Cassete tanpa tutup (500 p 4
99 Alkohol Meter 1
100 Tabung EDTA 0,5 ml 3
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Pemakai Sisa
an Stok

0 0

0 0

0 0

0 0

0 0

0 3

0 0

0 0

1 1

0 1

0 0

0 0

0 1

0 2

2 2

0 0

0 1

2 3

1 3

4 0

0 1

0 10

2 19
Pemakai Sisa
an Stok

0 0

3 7

0 0

0 3

0 0

0 0

1 0

1 2

4 0

1 2

200 0

0 1

0 1

1 0

0 0

0 0

0 1

0 0

0 0

0 0

0 9

0 3

0 1

2 0

0 10

0 0
Pemakai Sisa
an Stok

5 12

1 4

0 700

0 0

0 1

0 0

0 0

0 2

0 0

0 2

2 2

0 0

0 0

0 0

2 36

0 3

0 3

1 1

2 1

1 2

0 2

1 0

0 0

3 0

0 0

0 0
Pemakai Sisa
an Stok

0 0

0 0

0 0

2 10

1 6

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 2

0 0

0 4

0 0

0 0

0 0

0 1

1 0

0 3

0 1

0 7

0 0

0 0
Pemakai Sisa
an Stok

0 3

0 0

0 0

0 4

0 1

0 3
LAPORAN PENERIMAAN DAN PENGELUARAN BHP REAGEN DAN RADIO
RSUD dr. SOERATNO GEMOLONG
BULAN : AGUSTUS 2018

NO NAMA OBAT SATUAN HARGA STOK AWAL PENERIMAAN PERSEDIAAN


SATUAN BULAN

1. LABORATORIUM
1 Alkohol 96% botol Rp 907,500 0 0
2 Alkohol 96% 20 lt Galon Rp 1,496,250 0 0
3 Albumin 5010 Box Rp 628,320 0 0
4 Albumin 1 X 44 ml Kit Rp 484,000 3 3
5 Aspirator FNBA 20cc Pcs Rp 1,650,000 0 0
6 Bilirubin Bok Rp 722,755 0 2 2
7 Blue Tip Pcs Rp 121,000 1 1
8 Cat Giemsa (500 ml) Botol Rp 1,265,000 1 1
9 Cat OG 6 Botol Rp 434,500 0 0
10 Cat EA 50 Botol Rp 693,000 0 0
11 Cat Haris Hematoxilyn Botol Rp 715,000 1 1
12 Cel clean Pak Rp 1,197,900 2 2 4
13 Cel pack Galon Rp 1,768,800 2 5 7
14 Cholesterol ( 1x44ml ) Kit Rp 895,400 0 0
15 Cholesterol ( 4x100ml ) Bok Rp 1,645,600 1 1
16 Combostick Bok Rp 462,000 3 4 7
17 Creatinin ( 2x100 ) Pak Rp 623,832 3 3 6
18 Creatinin ( R1: 1x44ml ; R2: 1X 11ml) Kit Rp 618,200 0 3 3
19 Dek Glass 18x18) Pcs Rp 199,000 1 1
20 Dek Glass 22x22) Pcs Rp 44,000 10 10
21 Dek Glass 24x24) Pcs Rp 920,920 19 19
22 Dek Glass 24x40) Pcs Rp 796,950 0 0
23 Dek Glass 24x60) pack Rp 93,500 7 7
24 Dengue IgG - IgM Whole Blood Paket Rp 858,000 0 0
25 E cek Paket/Sysmex Paket Rp 861,300 3 3
26 Easydip 12 Jar Slide Rack Pcs Rp 247,500 0 0
27 Erba Norm 4 x 5 ml Kit Rp 3,150,400 0 0
28 Erba XL Wash 4 x 100 ml Kit Rp 6,886,000 0 1 1
29 Glucosa ( 1 x 100ml ) Pak Rp 756,135 2 3 5
30 Glucosa ( 1 x 44ml ) Kit Rp 484,000 0 2 2
31 Gol Darah ( A, B, AB, D ) Botol Rp 115,500 2 2 4
32 HBsAg Pcs Rp 12,100 0 480 480
33 HCG Oright Box Rp 302,500 1 2 3
34 HDL/LDL 5010 Box Rp 905,080 1 1
35 Hemoglobin 500 ml Botol Rp 88,000 0 2 2
36 Kartu Gol Darah pack Rp 33,000 0 2 2
37 Lancet Blood pack Rp 33,000 0 0
38 Lancet Steinless Pcs Rp 128,000 1 1
39 Larutan Drabkin/500 ml Botol Rp 49,300 0 0
40 Larutan EDTA 500 ml Botol Rp 715,000 0 0
41 Larutan EDTA 100 ml Botol Rp 181,500 0 5 5
42 Larutan ZN/BTA Btl Rp 456,500 9 9
43 Methanol Btl Rp 55,000 3 3
44 Mounting Media Btl Rp 335,500 1 1
45 Object Glass Box Rp 40,200 0 0
46 Objek Glass 7101 Pcs Rp 27,500 10 10
47 Objek Glass 7105 Frosted Pcs Rp 30,250 0 0
48 Poch D/Sysmex Galon Rp 594,000 12 20 32
NO NAMA OBAT SATUAN HARGA STOK AWAL PENERIMAAN PERSEDIAAN
SATUAN BULAN
49 Poch L/Syismex Galon Rp 1,873,300 4 2 6
50 Pot Urine Steril Pcs Rp 3,960 700 700
51 Protetin Total 5010 Box Rp 778,388 0 0
52 Protein Total 1 x 44 ml Kit Rp 514,800 1 1
53 Sampel Cup Grainer isi 500 Pak Rp 198,000 0 0
54 SGOT UV TEST 8 X 50 Pak Rp 1,724,140 0 0
55 SGOT R1: 2 x 44ml; R2: 1 x 22 ml Kit Rp 1,716,000 2 1 3
56 SGPT ( 20x8 ) Bok Rp 1,724,140 0 1 1
57 SGPT (R1: 2x24ml; R2: 1x22ml) Kit Rp 1,716,000 2 1 3
58 Stromatolyser WH Galon Rp 1,171,500 2 4 6
59 Straining jar 10 slide Pcs Rp 247,500 0 0
60 Spatula Ayre Box Rp 300,000 0 0
61 Spatula Brush Box Rp 300,000 0 0
62 Tabung EDTA/Vac Tube 3 ml Pak Rp 165,000 36 36
63 Tabung Hematokrit Heparin Botol Rp 43,001 3 3
64 Tabung reaksi ( 10x1.5 ) Pyrex Pcs Rp 390,000 3 3
65 Trigliserid (1x44ml ) Kit Rp 1,786,400 1 1
66 Urea R1 : ( 1x 44ml ) R2:(1X11ml) Kit Rp 1,315,600 1 3 4
67 Urea ( 2x 100ml ) Pak Rp 587,087 2 2 4
68 Uric Acid ( 4x100ml ) Pak Rp 1,590,061 2 1 3
69 Uric Acid ( 1x44ml ) KIT Rp 1,117,600 0 1 1
70 Urine Analisa Box Rp 285,000 0 0
71 Widal O, H, AO Botol Rp 115,500 0 0
72 Xilol Botol Rp 55,000 0 0
73 XL Multical 4 x 3ml Kit Rp 4,417,600 0 0
74 Yellow Tip Pcs Rp 110,000 0 4 4
0
2. RONGTEN 0
75 CR 11 x 14 Box Rp 2,999,920 10 10
76 CR 8 x 10 Box Rp 2,499,750 6 6
77 Developer Set Rp 975,000 0 0
78 Film RO 24x30 Lembar Rp 1,390,000 0 0
79 Film RO 30x40 Lembar Rp 2,100,000 0 0
80 Film RO 35x35 Lembar Rp 2,200,000 0 0
81 Fixer 20 Ltr Set Rp 600,000 0 0
82 Grid 30x40 cm Pcs Rp 4,000,000 0 0
0
3. REAGEN LAB. PATOLOGI 0
82 Xylene Leica (3,8 ml) Botol Rp 1,155,000 2 2
83 Eosin Quart (946 ml) Botol Rp 429,000 0 0
84 Paraplast/Parafin Pack Rp 176,000 4 4
85 Star Diagnostic-Dengue antibody Pcs Rp 71,775 0 0
86 Calibration Strip box Rp 112,200 0 0
87 Haematoxilline (946 ml) botol Rp 605,000 0 0
88 Buffer formalin 10% (3,8 lt) botol Rp 715,000 1 1
89 Embeding Cassete dg tutup (500 pcs) box Rp 1,320,000 0 0
90 Alkohol 100% (3,8 lt) botol Rp 907,500 3 3
91 Brush Papsmeer (100 pcs) Box Rp 440,000 1 1
92 Grein plain 3 ml Pak Rp 165,000 7 7
93 Trigliserid (4 x 100 ml ) Pak Rp 2,568,539 0 0
94 Pot Dahak Pcs Rp 2,420 0 0
95 Buffer formalin 10% (20 lt) Galon Rp 2,926,000 3 3
96 Lart. Asam Alkohol botol Rp 148,500 0 0
97 Imersion Oil Botol Rp 693,000 0 0
98 Embeding Cassete tanpa tutup (500 pcBox Rp 825,000 4 4
NO NAMA OBAT SATUAN HARGA STOK AWAL PENERIMAAN PERSEDIAAN
SATUAN BULAN
99 Alkohol Meter Pcs Rp 220,000 1 1
100 Tabung EDTA 0,5 ml Pak Rp 297,000 3 5 8
JUMLAH

Mengetahui
Direktur RSUD Gemolong
Kab. Sragen

dr. Agus Trijono, M Kes.


NIP. 19700820 200501 1 011
EN DAN RADIOLOGI GUDANG
NG

PEMAKAIAN SISA STOK HARGA KET


SISA STOK

0 0 Rp -
0 0 Rp -
0 0 Rp -
2 1 Rp 484,000
0 0 Rp -
1 1 Rp 722,755
0 1 Rp 121,000
0 1 Rp 1,265,000
0 0 Rp -
0 0 Rp -
0 1 Rp 715,000
0 4 Rp 4,791,600
1 6 Rp 10,612,800
0 0 Rp -
0 1 Rp 1,645,600
0 7 Rp 3,234,000
0 6 Rp 3,742,992
0 3 Rp 1,854,600
0 1 Rp 199,000
0 10 Rp 440,000
0 19 Rp 17,497,480
0 0 Rp -
0 7 Rp 654,500
0 0 Rp -
0 3 Rp 2,583,900
0 0 Rp -
0 0 Rp -
0 1 Rp 6,886,000
0 5 Rp 3,780,673
1 1 Rp 484,000
1 3 Rp 346,500
160 320 Rp 3,872,000
0 3 Rp 907,500
0 1 Rp 905,080
1 1 Rp 88,000
0 2 Rp 66,000
0 0 Rp -
0 1 Rp 128,000
0 0 Rp -
0 0 Rp -
0 5 Rp 907,500
0 9 Rp 4,108,500
0 3 Rp 165,000
0 1 Rp 335,500
0 0 Rp -
0 10 Rp 275,000
0 0 Rp -
2 30 Rp 17,820,000
PEMAKAIAN SISA STOK HARGA KET
SISA STOK
0 6 Rp 11,239,800
0 700 Rp 2,772,000
0 0 Rp -
0 1 Rp 514,800
0 0 Rp -
0 0 Rp -
0 3 Rp 5,148,000
1 0 Rp -
0 3 Rp 5,148,000
0 6 Rp 7,029,000
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 36 Rp 5,940,000
0 3 Rp 129,003
0 3 Rp 1,170,000
1 0 Rp -
0 4 Rp 5,262,400
0 4 Rp 2,348,346
0 3 Rp 4,770,183
0 1 Rp 1,117,600
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
1 3 Rp 330,000
0
0
1 9 Rp 26,999,280
0 6 Rp 14,998,500
0 0 Rp - 41,997,780
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0
0
0 2 Rp 2,310,000
0 0 Rp -
0 4 Rp 704,000
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 1 Rp 715,000
0 0 Rp -
0 3 Rp 2,722,500
0 1 Rp 440,000
0 7 Rp 1,155,000
0 0 Rp -
0 0 Rp -
0 3 Rp 8,778,000
0 0 Rp -
0 0 Rp -
0 4 Rp 3,300,000
PEMAKAIAN SISA STOK HARGA KET
SISA STOK
0 1 Rp 220,000
1 7 Rp 2,079,000
Rp 206,900,892

Gemolong, Juli 2018

Apoteker

Drs. J. Seno Tjahjadi. Apt


NIP. 19680707 199503 1 002
LAPORAN PENGELUARAN HARIAN BHP REAGEN DAN RADIOLOGI GUDANG
BULAN : AGUSTUS 2018

Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

2. LABORATORIUM

1 Alkohol 96% 0
2 Alkohol 96% 20 lt 0
3 Albumin 5010 0
4 Albumin 1 X 44 ml 3 2

5 Aspirator FNBA 20cc 0


6 Bilirubin 2 1

7 Blue Tip 1
8 Cat Giemsa 1
9 Cat OG 6 0
10 Cat EA 50 0
11 Cat Haris Hematoxilyn 1
12 Cel clean 4
13 Cell pack 7 1

14 Cholesterol ( 1x44ml ) 0
15 Cholesterol ( 4x100ml ) 1
16 Combostick 7
17 Creatinin ( 2x100 ) 6
18 Creatinin ( R1: 1x44; R2: 1X 11ml) 3
19 Dek Glass 18x18) 1
20 Dek Glass 22x22) 10
21 Dek Glass 24x24) 19
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

22 Dek Glass 24x40) 0


23 Dek Glass 24x60) 7
24 Dengue IgG - IgM Whole Blood 0
25 E cek Paket/Sysmex 3
26 Easydip 12 Jar Slide Rack 0
27 Erba Norm 4 x 5 ml 0
28 Erba XL Wash 4 x 100 ml 1
29 Glucosa ( 1 x 100ml ) 5
30 Glucosa ( 1x44ml ) 2 1

31 Gol Darah ( A, B, AB, D ) 4 1

32 HBsAg 480 80 80

33 HCG oright 3
34 HDL/LDL 5010 1
35 Hemoglobin 500 m 2 1

36 Kartu Gol Darah 2


37 Lancet Blood 0
38 Lancet Steinless 1
39 Larutan Drabkin/500 ml 0
40 Larutan EDTA 500 ml 0
41 Larutan EDTA 10% 5
42 Larutan ZN/BTA 9
43 Methanol 3
44 Mounting Media 1
45 Object Glass 0
46 Objek Glass 7101 10
47 Objek Glass 7105 Frosted 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

48 Poch D/Sysmex 32 1 1

49 Poch L/Syismex 6
50 Pot Urine Steril 700
51 Protein Total 5010 0
52 Protetin Total 1 x 44 ml 1
53 Sampel Cup Grainer isi 500 0
54 SGOT UV TEST 8 X 50 0
55 SGOT R1:2x44ml; R2: 1x22 ml 3
56 SGPT ( 50x8 ) 1 1

57 SGPT (R1: 2x24ml; R2: 1x22ml) 3


58 Stromatolyser WH 6
59 Straining jar 10 slide 0
60 Spatula Ayre 0
61 Spatula Brush 0
62 Tabung EDTA/Vac Tube 3 ml 36
63 Tabung Hematokrit Heparin 3
64 Tabung reaksi ( 10x1.5 ) Pyrex 3
65 Trigliserid (1x44ml ) 1 1

66 Urea R1 : ( 1x 44ml ) R2:(1X11ml) 4


67 Urea ( 2x 100ml ) 4
68 Uric Acid ( 4x100ml ) 3
69 Uric Acid ( 1x44ml ) 1
70 Urine Analisa 0
71 Widal O, H, AO 0
72 Xilol 0
73 XL Multical 4 x 3ml 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

74 Yellow Tip 4 1

0
3. RONGTEN 0
75 CR 11 x 14 10 1

76 CR 8 x 10 6
77 Developer 0
78 Film RO 24x30 0
79 Film RO 30x40 0
80 Film RO 35x35 0
81 Fixer 20 Ltr 0
82 Grid 30x40 cm 0
0
3. REAGEN LAB. PA BARU 0
82 Xylene Leica (3,8 ml) 2
83 Eosin Quart (946 ml) 0
84 Paraplast/Parafin 4
85 Star Diagnostic-Dengue antibody 0
86 Calibration Strip 0
86 Haematoxilline (946 ml) 0
86 Buffer formalin 10% (3,8 lt) 1
86 Embeding Cassete dg tutup (500 pcs) 0
90 Alkohol 100% (3,8 lt) 3
91 Brush Papsmeer (100 pcs) 1
92 Grein plain 3 ml 7
93 Trigliserid (4 x 100 ml ) 0
94 Pot Dahak 0
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

95 Buffer formalin 10% (20 lt) 3


96 Lart. Asam Alkohol 0
97 Imersion Oil 0
98 Embeding Cassete tanpa tutup (500 p 4
99 Alkohol Meter 1
100 Tabung EDTA 0,5 ml 8 1
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Stok Tanggal
No Nama Obat Awal
Bulan 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Pemakai Sisa
an Stok

0 0

0 0

0 0

0 0

0 0

2 1

0 0

1 1

0 1

0 1

0 0

0 0

0 1

0 4

1 6

0 0

0 1

0 7

0 6

0 3

0 1

0 10

0 19
Pemakai Sisa
an Stok

0 0

0 7

0 0

0 3

0 0

0 0

0 1

0 5

1 1

1 3

160 320

0 3

0 1

1 1

0 2

0 0

0 1

0 0

0 0

0 5

0 9

0 3

0 1

0 0

0 10

0 0
Pemakai Sisa
an Stok

2 30

0 6

0 700

0 0

0 1

0 0

0 0

0 3

1 0

0 3

0 6

0 0

0 0

0 0

0 36

0 3

0 3

1 0

0 4

0 4

0 3

0 1

0 0

0 0

0 0

0 0
Pemakai Sisa
an Stok

1 3

0 0

0 0

1 9

0 6

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 2

0 0

0 4

0 0

0 0

0 0

0 1

0 0

0 3

0 1

0 7

0 0

0 0
Pemakai Sisa
an Stok

0 3

0 0

0 0

0 4

0 1

1 7

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