LAPORAN HASIL REKONSILIASI

PB.FAR (GUDANG REAGENS) DAN UNIT LABORATORIUM

TANGGAL 01 JANUARI S/D 31 JANUARI 2021

PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM

1 HBSAg Strip @ 50s - Right Side Box @ 50 10 10 Rp 739,750 7,397,500.00 7,397,500.00 10 0

2 HCG Strip @ 50s - OneMed Box @ 50 3 3 Rp 170,500 511,500.00 511,500.00 3 0
3 HCG Card @ 25s - Wondfo Pcs 25 25 Rp 15,400 385,000.00 385,000.00 25 0
4 Oncal Strip GDS @ 25s Box @ 50 20 20 Rp 247,500 4,950,000.00 4,950,000.00 20 0
5 K3 EDTA 3 ml @ 100s - GP Box @ 100 12 12 Rp 330,000 3,960,000.00 3,960,000.00 12 0
6 Yellow Cup Gel 3 ml @ 100s Box @ 100 12 12 Rp 385,000 4,620,000.00 4,620,000.00 12 0
7 K3 EDTA Micro 0,5 ml @ 100s Box @ 100 5 5 Rp 330,000 1,650,000.00 1,650,000.00 5 0
8 ERBA Wash XL 1 X 100 ml Btl 10 10 Rp 1,313,400 13,134,000.00 13,134,000.00 10 0
9 ERBA Norm 1 x 5 ml Btl 4 4 Rp 1,097,250 4,389,000.00 4,389,000.00 4 0
10 Golongan Darah Anti, A 10 ml Val 3 3 Rp 198,000 594,000.00 594,000.00 3 0
11 Golongan Darah Anti, B 10 ml Val 3 3 Rp 198,000 594,000.00 594,000.00 3 0

12 Golongan Darah Anti, D 10 ml Val 3 3 Rp 286,000 858,000.00 858,000.00 3 0

13 Golongan Darah Anti, AB 10 ml Val 2 2 Rp 198,000 396,000.00 396,000.00 2 0

14 Strip Urine 10P Kit @ 10 3 3 Rp 495,000 1,485,000.00 1,485,000.00 3 0

15 Diluent 20L Diff 5 Gln 1 1 Rp 6,050,000 6,050,000.00 6,050,000.00 1 0

16 Cleaner Diff 5 1 L - ERBA Botol 3 3 Rp 4,950,000 14,850,000.00 14,850,000.00 3 0

17 Lysa SP 5L - ERBA GLN 2 2 Rp 8,593,750 17,187,500.00 17,187,500.00 2 0

 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM

18 Creatinine 5x44 + 5x1 ml - ERBA XL Kit @5 2 2 Rp 4,391,200 8,782,400.00 8,782,400.00 2 0

19 Urea UV 5 x 44 + 5 x 11 ml - ERBA XL Kit @ 5 2 2 Rp 5,384,500 10,769,000.00 10,769,000.00 2 0

20 Glucose 10x44 ml - Glenbio Kit @ 10 1 1 Rp 4,091,450 4,091,450.00 4,091,450.00 1 0

21 Kartu Golongan Darah Pak @ 100 10 10 Rp 137,500 1,375,000.00 1,375,000.00 10 0

22 Bilirubin Directh 6x44 ml + 3x22 ml - ERBA XL Kit @ 6 1 1 Rp 5,209,380 5,209,380.00 5,209,380.00 1 0
23 Triglycerides 10x44 ml Kit @ 10 1 1 Rp 12,100,000 12,100,000.00 12,100,000.00 1 0
24 Diluen 20L Diff 5 Gln 4 4 Rp 6,050,000 24,200,000.00 24,200,000.00 4 0
25 Strip Urine 10P Tub@100 2 2 Rp 495,000 990,000.00 990,000.00 2 0
26 CK - MB 4X42 ml + 2x17 ml - Glenbio Kit@4 1 1 Rp 12,067,000 12,067,000.00 12,067,000.00 1 0
27 CK - Nac 4X42 ml + 2x17 ml - Glenbio Kit@5 1 1 Rp 10,430,200 10,430,200.00 10,430,200.00 1 0

TOTAL 173,025,930.00
Rp 206,046,500.00

Sengkang, 31 Januari 2021

Mengetahui , Ka.Instalasi Farmasi

Kepala Seksi Pelayanan Dan Penunjang Medik

SANIKYAH,S.Sos,S.Farm,Apt
NIP. 19660610 199103 2 011
MUHAMMAD SAING,S.KM,M.Kes
NIP. 19731231 199403 1 011 Penanggungjawab Gudang Reagens / Alat Loboratorium

ANDI MELDA DALAISA, S.Si

NIP.19831005 201101 2 002

URAIAN SATUAN QYT HARGA SATUAN

HBSAg Strip @ 50s - Right Side Box @ 50 10 Rp 672,500.00

 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
HCG Strip @ 50s - OneMed Box @ 50 3 Rp 155,000.00
HCG Card @ 25s - Wondfo Pcs 25 Rp 14,000.00
Oncal Strip GDS @ 25s Box @ 50 20 Rp 225,000.00
K3 EDTA 3 ml @ 100s - GP Box @ 100 12 Rp 300,000.00
Yellow Cup Gel 3 ml @ 100s Box @ 100 12 Rp 350,000.00
K3 EDTA Micro 0,5 ml @ 100s Box @ 100 5 Rp 300,000
ERBA Wash XL 1 X 100 ml Btl 10 Rp 1,194,000
ERBA Norm 1 x 5 ml Val 4 Rp 997,500
Golongan Darah Anti, A 10 ml Val 3 Rp 180,000
Golongan Darah Anti, B 10 ml Val 3 Rp 180,000
Golongan Darah Anti, D 10 ml Val 3 Rp 260,000
Golongan Darah Anti, AB 10 ml Val 2 Rp 180,000
Strip Urine 10P Kit @ 10 3 Rp 450,000
Diluent 20L Diff 5 Gln 1 Rp 5,500,000
Cleaner Diff 5 1 L - ERBA Botol 3 Rp 4,500,000.00
Lysa SP 5L - ERBA GLN 2 Rp 7,812,500.00
Creatinine 5x44 + 5x1 ml - ERBA XL Kit @5 2 Rp 3,992,000.00
Urea UV 5 x 44 + 5 x 11 ml - ERBA XL Kit @ 5 2 Rp 4,895,000
Glucose 10x44 ml - Glenbio Kit @ 10 1 Rp 3,719,500
Kartu Golongan Darah Pak @ 100 10 Rp 125,000.00
Bilirubin Directh 6x44 ml + 3x22 ml - ERBA XL Kit @ 6 1 Rp 4,735,800.00
Triglycerides 10x44 ml Kit @ 10 1 Rp 11,000,000.00
Diluen 20L Diff 5 Gln 4 Rp 5,500,000
Strip Urine 10P Tub@100 2 Rp 450,000.00
CK - MB 4X42 ml + 2x17 ml - Glenbio Kit@4 1 Rp 10,970,000
CK - Nac 4X42 ml + 2x17 ml - Glenbio Kit@5 1 Rp 9,482,000
 LAPORAN HASIL REKONSILIASI
PB.FAR (GUDANG REAGENS) DAN UNIT LABORATORIUM
TANGGAL 01 FEBRUARI S/D 29 FEBRUARI 2020

PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
1 Oncal Strip GDS @ 25s Pcs 600 600 Rp 9,900 5,940,000.00 5,940,000.00 600 0 Box @ 25
2 K3 EDTA 3 ml @ 100s - ENDO Pcs 1500 1500 Rp 3,300 4,950,000.00 4,950,000.00 1500 0 Box @ 100
3 Yellow Cup Gel 3 ml @ 100s Pcs 1500 1500 Rp 3,850 5,775,000.00 5,775,000.00 1500 0 Box @ 100
4 ERBA Wash XL 1 X 100 ml Btl 10 10 Rp 797,500 7,975,000.00 7,975,000.00 10 0 Btl
5 Strip Urine Laura 10P @ 100s Pcs 300 300 Rp 6,050 1,815,000.00 1,815,000.00 300 0 Box @ 100
6 Blood Control Normal Hematology 3 ml 5 Diff - ERBA Val 1 1 Rp 2,750,000 2,750,000.00 2,750,000.00 1 0 Val
7 CK-MB 4 x 42 ml + 2 x 17 ml - Glenbio Btl 4 4 Rp 2,715,763 10,863,050.00 10,863,050.00 4 0 Kit @ 4
8 CK Nac 4 x 42 ml + 2 x 17 ml - Glenbio Btl 4 4 Rp 2,332,550 9,330,200.00 9,330,200.00 4 0 Kit @ 4
9 Diluent 20L Diff 5 Gln 5 5 Rp 6,050,000 30,250,000.00 30,250,000.00 5 0 Gln
10 Strip Urine 10P Tube 200 200 Rp 4,950 990,000.00 990,000.00 200 0 Tube
11 LDL Cholesterol 2 x 45 + 2 x 15 ml - Glenbio Btl 4 4 Rp 3,836,250 15,345,000.00 15,345,000.00 4 0 Kit @ 2
12 Creatinine 4 x 42 + 2 x 17 ml - Glenbio Btl 4 4 Rp 508,750 2,035,000.00 2,035,000.00 4 0 Kit @ 4
13 Lyse 5P 5L - ERBA Gln 2 2 Rp 8,593,750 17,187,500.00 17,187,500.00 2 0 Gln
14 Urea UV 5 x 44 + 5 x 11 ml - ERBA XL Btl 5 5 Rp 825,000 4,125,000.00 4,125,000.00 5 0 Kit @ 5
15 Glucose 5 x 42 ml - GLENBIO Btl 10 10 Rp 399,300 3,993,000.00 3,993,000.00 10 0 Kit @ 5
16 E - Plate @ 50s Pcs 300 300 Rp 126,500 37,950,000.00 37,950,000.00 300 0 Kit @ 50
17 HDL Cholesterol 2 x 45 + 2 x 15 ml - GLENBIO Btl 4 4 Rp 2,511,630 10,046,520.00 10,046,520.00 4 0 Kit @ 2
 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
18 HBSAg Strip @ 50s - Rigth Side Pcs 350 350 Rp 14,795 5,178,250.00 5,178,250.00 350 0 Box @ 50
19 HCG Strip @ 50s - OneMed Pcs 200 200 Rp 3,410 682,000.00 682,000.00 200 0 Box @ 50
20 HCG Card @ 25s - Wondfo Pcs 50 50 Rp 15,400 770,000.00 770,000.00 50 0 Pcs
21 Multi Drup 3P - Screen Plus Pcs 100 100 Rp 71,500 7,150,000.00 7,150,000.00 100 0 Pcs
22 HCV Strip @ 50s - wondflo Pcs 100 100 Rp 20,900 2,090,000.00 2,090,000.00 100 0 Pcs
23 Dengue IGG-IGM Pcs 50 50 Rp 138,600 6,930,000.00 6,930,000.00 50 0 Pcs
24 Lyse 1L 3 Diff - ERBA Btl 1 1 Rp 4,389,000 4,389,000.00 4,389,000.00 1 0 Btl
25 ERBA Norm 1 x 5 ml Val 4 4 Rp 1,097,250 4,389,000.00 4,389,000.00 4 0 Val
26 Golongan Darah Anti, A 10 ml Val 1 1 Rp 198,000 198,000.00 198,000.00 1 0 Val
27 Golongan Darah Anti, B 10 ml Val 1 1 Rp 198,000 198,000.00 198,000.00 1 0 Val
28 Golongan Darah Anti, D 10 ml Val 2 2 Rp 286,000 572,000.00 572,000.00 2 0 Val
29 Strip Urine 10P Pcs 200 200 Rp 4,950 990,000.00 990,000.00 200 0 Tub @ 100
30 Creatinine 5 x 44 + 5 x 11 ml - ERBA XL Btl 5 5 Rp 430,100 2,150,500.00 2,150,500.00 5 0 Kit @ 5
31 Blood Control Normal Hematology 3 ml 3 Diff - ERBA Val 1 1 Rp 1,358,500 1,358,500.00 1,358,500.00 1 0 Val
32 Golongan Darah Anti, AB 10 ml Val 2 2 Rp 198,000 396,000.00 396,000.00 2 0 Val
33 Cleaner 1L 3Diff Btl 1 1 Rp 2,838,000 2,838,000.00 2,838,000.00 1 0 Btl
34 HBSAg Strip @ 50s - Rigth Side Pcs 150 150 Rp 14,795 2,219,250.00 2,219,250.00 150 0 Box @ 50
35 Dengue Igg -Igm Pcs 30 30 Rp 138,600 4,158,000.00 4,158,000.00 30 0 Pcs
36 Shipilis Strip - WONDFO Pcs 50 50 Rp 20,900 1,045,000.00 1,045,000.00 50 0 Pcs

TOTAL 219,021,770.00

Sengkang, 02 Maret 2020

Mengetahui , Kepala Instalasi Farmasi

Kepala Seksi Pelayanan Dan Penunjang Medik

SANIKYAH,S.Sos,S.Farm,Apt
NIP. 19660610 199103 2 011
 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
MUHAMMAD SAING,S.KM,M.Kes
NIP. 19731231 199403 1 011 Koordinator Gudang Reagens

ISPAWATI YUSUF
NIP.19790123 200604 2 008
JML HARGA HNA PPNTOTAL HARGA
24 600 Rp 247,500 Rp 5,940,000 Rp 9,900
15 1500 Rp 330,000 Rp 4,950,000 Rp 3,300
15 1500 Rp 385,000 Rp 5,775,000 Rp 3,850
10 10 Rp 797,500 Rp 7,975,000 Rp 797,500
3 300 Rp 605,000 Rp 1,815,000 Rp 6,050
1 1 Rp 2,750,000 Rp 2,750,000 Rp 2,750,000
1 4 Rp 10,863,050 Rp 10,863,050 Rp 2,715,763
1 4 Rp 9,330,200 Rp 9,330,200 Rp 2,332,550
5 5 Rp 6,050,000 Rp 30,250,000 Rp 6,050,000
2 200 Rp 495,000 Rp 990,000 Rp 4,950

2 4 Rp 7,672,500 Rp 15,345,000 Rp 3,836,250

1 4 Rp 2,035,000 Rp 2,035,000 Rp 508,750

2 2 Rp 8,593,750 Rp 17,187,500 Rp 8,593,750

1 5 Rp 4,125,000 Rp 4,125,000 Rp 825,000

2 10 Rp 1,996,500 Rp 3,993,000 Rp 399,300

6 300 Rp 6,325,000 Rp 37,950,000 Rp 126,500

2 4 Rp 5,023,260 Rp 10,046,520 Rp 2,511,630

JML HARGA HNA PPNTOTAL HARGA

7 350 Rp 739,750 Rp 5,178,250 Rp 14,795

4 200 Rp 170,500 Rp 682,000 Rp 3,410

50 50 Rp 15,400 Rp 770,000 Rp 15,400

100 100 Rp 71,500 Rp 7,150,000 Rp 71,500

100 100 Rp 20,900 Rp 2,090,000 Rp 20,900
50 50 Rp 138,600 Rp 6,930,000 Rp 138,600
1 1 Rp 4,389,000 Rp 4,389,000 Rp 4,389,000
4 4 Rp 1,097,250 Rp 4,389,000 Rp 1,097,250
1 1 Rp 198,000 Rp 198,000 Rp 198,000
1 1 Rp 198,000 Rp 198,000 Rp 198,000
2 2 Rp 286,000 Rp 572,000 Rp 286,000
2 200 Rp 495,000 Rp 990,000 Rp 4,950
1 5 Rp 2,150,500 Rp 2,150,500 Rp 430,100
1 1 Rp 1,358,500 Rp 1,358,500 Rp 1,358,500
2 2 Rp 198,000 Rp 396,000 Rp 198,000
1 1 Rp 2,838,000 Rp 2,838,000 Rp 2,838,000
3 150 Rp 739,750 Rp 2,219,250 Rp 14,795
30 30 Rp 138,600 Rp 4,158,000 Rp 138,600
50 50 Rp 20,900 Rp 1,045,000 Rp 20,900

Rp 219,021,770
 LAPORAN HASIL REKONSILIASI
PB.FAR (GUDANG REAGENS) DAN UNIT LABORATORIUM
TANGGAL 01 MARET S/D 31 MARET 2020

PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
1 Cholesterol 10 x 44 ml - ERBA XL BTL 10 10 Rp 561,330 5,613,300.00 5,613,300.00 10 0 Kit @ 10
2 K3 EDTA 3 ml @ 100s - ENDO PCS 1800 1800 Rp 3,300 5,940,000.00 5,940,000.00 1800 0 Box @ 100
3 Yellow Cup Gel 3 ml @ 100s PCS 1500 1500 Rp 3,850 5,775,000.00 5,775,000.00 1500 0 Box @ 100
4 Triglicerida 1 x 44 ml - XL Btl 10 10 Rp 1,122,660 11,226,600.00 11,226,600.00 10 0 Btl
5 UREA UV 5 x 11 ml - ERBA XL Btl 5 5 Rp 825,000 4,125,000.00 4,125,000.00 5 0 Kit @ 5
6 Auto Wash AC/AL 10 x 44 ml XL - ERBA Btl 10 10 Rp 214,500 2,145,000.00 2,145,000.00 10 0 Kit @ 10
7 Strip Urine 10P Btl 40 40 Rp 49,500 1,980,000.00 1,980,000.00 40 0 Kit @ 10
8 Diluent 20L Diff 5 Gln 3 3 Rp 6,050,000 18,150,000.00 18,150,000.00 3 0 Gln
9 Creatinine 4 x 42 + 2 x 17 ml - Glenbio BTL 4 4 Rp 508,750 2,035,000.00 2,035,000.00 4 0 Kit @ 4
10 Blood Control Normal Hematology 3 ml 5 Diff - ERBA Val 1 1 Rp 2,750,000 2,750,000.00 2,750,000.00 1 0 Val
11 Glucose 5 x 42 ml - GLENBIO BTL 10 10 Rp 399,300 3,993,000.00 3,993,000.00 10 0 Kit @ 5
12 Dengue Igg - Igm Pcs 20 20 Rp 138,600 2,772,000.00 2,772,000.00 20 0 Pcs
13 UREA UV 5 x 44 + 5 x 11 ml - ERBA XL Pcs 100 100 Rp 41,250 4,125,000.00 4,125,000.00 100 0 Box @ 100
14 Creatinine 4 x 42 + 2 x 17 ml - Glenbio Pcs 100 100 Rp 20,350 2,035,000.00 2,035,000.00 100 0 Box @ 100
15 HBSAg Strip @ 50s - Rigth Side Pcs 500 500 Rp 14,795 7,397,500.00 7,397,500.00 500 0 Box @ 50
16 Dengue Igg - Igm Pcs 80 80 Rp 138,600 11,088,000.00 11,088,000.00 80 0 Pcs
17 K3 EDTA Micro 0,5 ml @ 100s Pcs 500 500 Rp 3,300 1,650,000.00 1,650,000.00 500 0 Box @ 100
 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
18 Lyse 5P 5L - ERBA Gln 2 2 Rp 8,593,750 17,187,500.00 17,187,500.00 2 0 Gln
19 Vestec @ 200s PCS 600 600 Rp 18,123 10,873,500.00 10,873,500.00 600 0 Pak @ 200
20 Golongan Darah Anti,A 10 ml Val 2 2 Rp 198,000 396,000.00 396,000.00 2 0 Val
21 Golongan Darah Anti,B 10 ml Val 2 2 Rp 198,000 396,000.00 396,000.00 2 0 Val
22 ERBA Wash XL 1 x 100 ml Btl 10 10 Rp 797,500 7,975,000.00 7,975,000.00 10 0 Btl
23 Blood Control Normal Hematology 3 ml 5 Diff - ERBA Val 1 1 Rp 2,750,000 2,750,000.00 2,750,000.00 1 0 Val
24 Aquabides Steril 1 L Btl 2 2 Rp 54,450 108,900.00 108,900.00 2 0 Btl
25 ERBA Norm 1 x 5 ml Val 4 4 Rp 1,097,250 4,389,000.00 4,389,000.00 4 0 Val
26 Shipilis Strip - WONDFO Pcs 50 50 Rp 20,900 1,045,000.00 1,045,000.00 50 0 Pcs
27 Dengue IGg-IGm Pcs 20 20 Rp 138,600 2,772,000.00 2,772,000.00 20 0 Pcs
28 Diluent 20L Diff 5 Gln 3 3 Rp 6,050,000 18,150,000.00 18,150,000.00 3 0 Gln
29 Cleaner Diff 5P 1L - ERBA Btl 3 3 Rp 4,950,000 14,850,000.00 14,850,000.00 3 0 Btl
30 Strip Urine 10P PCS 300 300 Rp 4,950 1,485,000.00 1,485,000.00 300 0 Tub @ 100

TOTAL 175,178,300.00

Sengkang, 31 Maret 2020

Mengetahui , Kepala Instalasi Farmasi

Kepala Seksi Pelayanan Dan Penunjang Medik

SANIKYAH,S.Sos,S.Farm,Apt
NIP. 19660610 199103 2 011
MUHAMMAD SAING,S.KM,M.Kes
NIP. 19731231 199403 1 011 Koordinator Gudang Reagens

ISPAWATI YUSUF
NIP.19790123 200604 2 008
JML HARGA HNA PPNTOTAL HARGA
1 10 Rp 5,613,300 Rp 5,613,300 Rp 561,330
18 1800 Rp 330,000 Rp 5,940,000 Rp 3,300
15 1500 Rp 385,000 Rp 5,775,000 Rp 3,850
10 10 Rp 1,122,660 Rp 11,226,600 Rp 1,122,660
1 5 Rp 4,125,000 Rp 4,125,000 Rp 825,000
1 10 Rp 2,145,000 Rp 2,145,000 Rp 214,500
4 40 Rp 495,000 Rp 1,980,000 Rp 49,500
3 3 Rp 6,050,000 Rp 18,150,000 Rp 6,050,000
1 4 Rp 2,035,000 Rp 2,035,000 Rp 508,750
1 1 Rp 2,750,000 Rp 2,750,000 Rp 2,750,000

2 10 Rp 1,996,500 Rp 3,993,000 Rp 399,300

20 20 Rp 138,600 Rp 2,772,000 Rp 138,600

1 100 Rp 4,125,000 Rp 4,125,000 Rp 41,250

1 100 Rp 2,035,000 Rp 2,035,000 Rp 20,350

10 500 Rp 739,750 Rp 7,397,500 Rp 14,795

80 80 Rp 138,600 Rp 11,088,000 Rp 138,600

5 500 Rp 330,000 Rp 1,650,000 Rp 3,300

JML HARGA HNA PPNTOTAL HARGA

2 2 Rp 8,593,750 Rp 17,187,500 Rp 8,593,750

3 600 Rp 3,624,500 Rp 10,873,500 Rp 18,123

2 2 Rp 198,000 Rp 396,000 Rp 198,000

2 2 Rp 198,000 Rp 396,000 Rp 198,000

10 10 Rp 797,500 Rp 7,975,000 Rp 797,500
1 1 Rp 2,750,000 Rp 2,750,000 Rp 2,750,000
2 2 Rp 54,450 Rp 108,900 Rp 54,450
4 4 Rp 1,097,250 Rp 4,389,000 Rp 1,097,250
50 50 Rp 20,900 Rp 1,045,000 Rp 20,900
20 20 Rp 138,600 Rp 2,772,000 Rp 138,600
3 3 Rp 6,050,000 Rp 18,150,000 Rp 6,050,000
3 3 Rp 4,950,000 Rp 14,850,000 Rp 4,950,000
3 300 Rp 495,000 Rp 1,485,000 Rp 4,950

Rp 175,178,300
 LAPORAN HASIL REKONSILIASI
PB.FAR (GUDANG REAGENS) DAN UNIT LABORATORIUM
TANGGAL 01 APRIL S/D 30 APRIL 2020

PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
1 Dengue Igg-Igm Pcs 80 80 Rp 138,600 11,088,000.00 11,088,000.00 80 0 Pcs
2 HBSAg Strip @ 50s-Right Side Pcs 700 700 Rp 14,795 10,356,500.00 10,356,500.00 700 0 Box @ 50
3 HCG Strip 50s - OneMed Pcs 150 150 Rp 3,410 511,500.00 511,500.00 150 0 Box @ 50
4 Oncal Strip GDS @ 25s Pcs 500 500 Rp 9,900 4,950,000.00 4,950,000.00 500 0 Box @ 25
5 K3EDTA 3 ml @ 100s - ENDO Pcs 2000 2000 Rp 3,300 6,600,000.00 6,600,000.00 2000 0 Box @ 100
6 Yellow Cup Gel 3 ml @ 100s Pcs 1800 1800 Rp 3,850 6,930,000.00 6,930,000.00 1800 0 Box @ 100
7 Strip Urine 10P Pcs 500 500 Rp 4,950 2,475,000.00 2,475,000.00 500 0 Box @ 100
8 Shipilis Strip - Wondfo Pcs 150 150 Rp 20,900 3,135,000.00 3,135,000.00 150 0 Pcs
9 E-Plate @ 50s Pcs 100 100 Rp 126,500 12,650,000.00 12,650,000.00 100 0 Kit @ 50
10 Golongan Darah Anti D 10 ml Val 2 2 Rp 286,000 572,000.00 572,000.00 2 0 Val
11 Golongan Darah Anti AB 10 ml Val 2 2 Rp 198,000 396,000.00 396,000.00 2 0 Val
12 Lyse 5P 5L - ERBA Gln 2 2 Rp 8,593,750 17,187,500.00 17,187,500.00 2 0 Gln
13 Creatinine 4 x 42 + 2x17 ml - Glenbio Btl 8 8 Rp 508,750 4,070,000.00 4,070,000.00 8 0 Kit @ 4
14 Febrile Antigen O 5 ml Val 3 3 Rp 231,000 693,000.00 693,000.00 3 0 Val
15 Febrile Antigen H 5 ml Val 3 3 Rp 231,000 693,000.00 693,000.00 3 0 Val
16 Febrile Antigen AH 5 ml Val 3 3 Rp 231,000 693,000.00 693,000.00 3 0 Val
17 Febrile Antigen BH 5 ml Val 3 3 Rp 231,000 693,000.00 693,000.00 3 0 Val
 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
18 Glucose 5x42 ml - Glenbio Btl 4 4 Rp 499,125 1,996,500.00 1,996,500.00 4 0 Kit @ 4
19 Cleaner 1 L 3 Diff Btl 3 3 Rp 2,838,000 8,514,000.00 8,514,000.00 3 0 Btl
20 Albumin 5x47 ml - Glenbio Btl 5 5 Rp 319,000 1,595,000.00 1,595,000.00 5 0 Kit @ 5
21 Diluent 20 L Diff 5 Gln 33 33 Rp 550,000 18,150,000.00 18,150,000.00 33 0 Gln
22 Diluent 20 L 3 Diff Gln 3 3 Rp 4,944,500 14,833,500.00 14,833,500.00 3 0 Gln
23 Blood Control Normal Hematology 3 ml 3 Diff - ERBA Val 1 1 Rp 1,358,500 1,358,500.00 1,358,500.00 1 0 Val
24 Lyse 1 L 3 Diff - ERBA Btl 3 3 Rp 4,389,000 13,167,000.00 13,167,000.00 3 0 Btl
25 Blood Control Normal Hematology 3 ml 5 Diff - ERBA Val 1 1 Rp 2,750,000 2,750,000.00 2,750,000.00 1 0 Val
26 GOT/AST 4X42 + 2X17 ML - Glenbio Btl 4 4 Rp 655,023 2,620,090.00 2,620,090.00 4 0 Kit @ 4
27 GPT/ALT 4X42 + 2X17 ML - Glenbio Btl 4 4 Rp 655,023 2,620,090.00 2,620,090.00 4 0 Kit @ 4
28 Urea 5x42 + 2x21 ml - Glenbio Btl 5 5 Rp 759,000 3,795,000.00 3,795,000.00 5 0 Kit @ 5
29 LDL Cholesterol 2x45 + 2x15 ml - Glenbio Btl 2 2 Rp 3,836,250 7,672,500.00 7,672,500.00 2 0 Kit @ 2
30 ERBA Norm 1x5 ml Val 4 4 Rp 1,097,250 4,389,000.00 4,389,000.00 4 0 Val
31 Glucose 5x42 ml - Glenbio Btl 5 5 Rp 399,300 1,996,500.00 1,996,500.00 5 0 Kit @ 5
32 HDL Cholesterol 2x45 + 2x15 ml - Glenbio Btl 2 2 Rp 2,511,630 5,023,260.00 5,023,260.00 2 0 Kit @ 2
33 GOT/AST 4X42 + 2X17 ML - Glenbio Btl 8 8 Rp 655,023 5,240,180.00 5,240,180.00 8 0 Kit @ 4
34 GPT/ALT 4X42 + 2X17 ML - Glenbio Btl 8 8 Rp 655,023 5,240,180.00 5,240,180.00 8 0 Kit @ 4
35 Urea 5x42 + 2x21 ml - Glenbio Btl 5 5 Rp 759,000 3,795,000.00 3,795,000.00 5 0 Kit @ 5
36 Uric Acid 4x42 + 2x17 ml - Glenbio Btl 8 8 Rp 715,660 5,725,280.00 5,725,280.00 8 0 Kit @ 4
37 Shipilis Strip - Wondfo Pcs 200 200 Rp 20,900 4,180,000.00 4,180,000.00 200 0 Pcs

TOTAL 198,355,080.00

Sengkang, 30 April 2020

Mengetahui , Kepala Instalasi Farmasi

Kepala Seksi Pelayanan Dan Penunjang Medik
 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
SANIKYAH,S.Sos,S.Farm,Apt
NIP. 19660610 199103 2 011
MUHAMMAD SAING,S.KM,M.Kes
NIP. 19731231 199403 1 011 Koordinator Gudang Reagens

ISPAWATI YUSUF
NIP.19790123 200604 2 008

Pcs
Box @ 50
Box @ 50
Box @ 25
Box @ 100
Box @ 100
Box @ 100
Pcs
Kit @ 50
Val
Val
Gln
Kit @ 4
Val
Val
Val
Val
Kit @ 4
Btl
Kit @ 5
Gln
Gln
Val
Btl
Val
Kit @ 4
Kit @ 4
Kit @ 5
Kit @ 2
Val
 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
Kit @ 5
Kit @ 2
Kit @ 4
Kit @ 4
Kit @ 5
Kit @ 4
Pcs
JML HARGA HNA PPNTOTAL HARGA
80 80 Rp 138,600 Rp 11,088,000 Rp 138,600
14 700 Rp 739,750 Rp 10,356,500 Rp 14,795
3 150 Rp 170,500 Rp 511,500 Rp 3,410
20 500 Rp 247,500 Rp 4,950,000 Rp 9,900
20 2000 Rp 330,000 Rp 6,600,000 Rp 3,300
18 1800 Rp 385,000 Rp 6,930,000 Rp 3,850
5 500 Rp 495,000 Rp 2,475,000 Rp 4,950
150 150 Rp 20,900 Rp 3,135,000 Rp 20,900
2 100 Rp 6,325,000 Rp 12,650,000 Rp 126,500
2 2 Rp 286,000 Rp 572,000 Rp 286,000

2 2 Rp 198,000 Rp 396,000 Rp 198,000

2 2 Rp 8,593,750 Rp 17,187,500 Rp 8,593,750

2 8 Rp 2,035,000 Rp 4,070,000 Rp 508,750

3 3 Rp 231,000 Rp 693,000 Rp 231,000

3 3 Rp 231,000 Rp 693,000 Rp 231,000

3 3 Rp 231,000 Rp 693,000 Rp 231,000

3 3 Rp 231,000 Rp 693,000 Rp 231,000

JML HARGA HNA PPNTOTAL HARGA

1 4 Rp 1,996,500 Rp 1,996,500 Rp 499,125

3 3 Rp 2,838,000 Rp 8,514,000 Rp 2,838,000

1 5 Rp 1,595,000 Rp 1,595,000 Rp 319,000

3 33 Rp 6,050,000 Rp 18,150,000 Rp 550,000

3 3 Rp 4,944,500 Rp 14,833,500 Rp 4,944,500
1 1 Rp 1,358,500 Rp 1,358,500 Rp 1,358,500
3 3 Rp 4,389,000 Rp 13,167,000 Rp 4,389,000
1 1 Rp 2,750,000 Rp 2,750,000 Rp 2,750,000
1 4 Rp 2,620,090 Rp 2,620,090 Rp 655,023
1 4 Rp 2,620,090 Rp 2,620,090 Rp 655,023
1 5 Rp 3,795,000 Rp 3,795,000 Rp 759,000
1 2 Rp 7,672,500 Rp 7,672,500 Rp 3,836,250
4 4 Rp 1,097,250 Rp 4,389,000 Rp 1,097,250
1 5 Rp 1,996,500 Rp 1,996,500 Rp 399,300
1 2 Rp 5,023,260 Rp 5,023,260 Rp 2,511,630
2 8 Rp 2,620,090 Rp 5,240,180 Rp 655,023
2 8 Rp 2,620,090 Rp 5,240,180 Rp 655,023
1 5 Rp 3,795,000 Rp 3,795,000 Rp 759,000
2 8 Rp 2,862,640 Rp 5,725,280 Rp 715,660
200 200 Rp 20,900 Rp 4,180,000 Rp 20,900

Rp 198,355,080
JML HARGA HNA PPNTOTAL HARGA

80 Rp 138,600 Rp 11,088,000
14 Rp 739,750 Rp 10,356,500
3 Rp 170,500 Rp 511,500
20 Rp 247,500 Rp 4,950,000
20 Rp 330,000 Rp 6,600,000
18 Rp 385,000 Rp 6,930,000
5 Rp 495,000 Rp 2,475,000
150 Rp 20,900 Rp 3,135,000
2 Rp 6,325,000 Rp 12,650,000
2 Rp 286,000 Rp 572,000
2 Rp 198,000 Rp 396,000
2 Rp 8,593,750 Rp 17,187,500
2 Rp 2,035,000 Rp 4,070,000
3 Rp 231,000 Rp 693,000
3 Rp 231,000 Rp 693,000
3 Rp 231,000 Rp 693,000
3 Rp 231,000 Rp 693,000
1 Rp 1,996,500 Rp 1,996,500
3 Rp 2,838,000 Rp 8,514,000
1 Rp 1,595,000 Rp 1,595,000
3 Rp 6,050,000 Rp 18,150,000
3 Rp 4,944,500 Rp 14,833,500
1 Rp 1,358,500 Rp 1,358,500
3 Rp 4,389,000 Rp 13,167,000
1 Rp 2,750,000 Rp 2,750,000
1 Rp 2,620,090 Rp 2,620,090
1 Rp 2,620,090 Rp 2,620,090
1 Rp 3,795,000 Rp 3,795,000
1 Rp 7,672,500 Rp 7,672,500
4 Rp 1,097,250 Rp 4,389,000
JML HARGA HNA PPNTOTAL HARGA
1 Rp 1,996,500 Rp 1,996,500
1 Rp 5,023,260 Rp 5,023,260
2 Rp 2,620,090 Rp 5,240,180
2 Rp 2,620,090 Rp 5,240,180
1 Rp 3,795,000 Rp 3,795,000
2 Rp 2,862,640 Rp 5,725,280
200 Rp 20,900 Rp 4,180,000
 LAPORAN HASIL REKONSILIASI
PB.FAR (GUDANG REAGENS) DAN UNIT LABORATORIUM
TANGGAL 01 MEI S/D 31 MEI 2020

PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
1 Dengue Igg-Igm PCS 80 80 Rp 138,600 11,088,000.00 11,088,000.00 80 0 Pcs
2 HBSAg Strip @ 50s-Right Side Pcs 700 700 Rp 14,795 10,356,500.00 10,356,500.00 700 0 Box @ 50
3 HCG Strip 50s - OneMed Pcs 150 150 Rp 3,410 511,500.00 511,500.00 150 0 Box @ 50
4 Oncal Strip GDS @ 25s Pcs 500 500 Rp 9,900 4,950,000.00 4,950,000.00 500 0 Box @ 25
5 K3EDTA 3 ml @ 100s - ENDO Pcs 2000 2000 Rp 3,300 6,600,000.00 6,600,000.00 2000 0 Box @ 100
6 Yellow Cup Gel 3 ml @ 100s Pcs 1800 1800 Rp 3,850 6,930,000.00 6,930,000.00 1800 0 Box @ 100
7 Strip Urine 10P Pcs 500 500 Rp 4,950 2,475,000.00 2,475,000.00 500 0 Box @ 100
8 Shipilis Strip - Wondfo Pcs 150 150 Rp 20,900 3,135,000.00 3,135,000.00 150 0 Pcs
9 E-Plate @ 50s Pcs 100 100 Rp 126,500 12,650,000.00 12,650,000.00 100 0 Kit @ 50
10 Golongan Darah Anti D 10 ml Val 2 2 Rp 286,000 572,000.00 572,000.00 2 0 Val
11 Golongan Darah Anti AB 10 ml Val 2 2 Rp 198,000 396,000.00 396,000.00 2 0 Val
12 Lyse 5P 5L - ERBA Gln 2 2 Rp 8,593,750 17,187,500.00 17,187,500.00 2 0 Gln
13 Creatinine 4 x 42 + 2x17 ml - Glenbio Btl 8 8 Rp 508,750 4,070,000.00 4,070,000.00 8 0 Kit @ 4
14 Febrile Antigen O 5 ml Val 3 3 Rp 231,000 693,000.00 693,000.00 3 0 Val
15 Febrile Antigen H 5 ml Val 3 3 Rp 231,000 693,000.00 693,000.00 3 0 Val
16 Febrile Antigen AH 5 ml Val 3 3 Rp 231,000 693,000.00 693,000.00 3 0 Val
17 Febrile Antigen BH 5 ml Val 3 3 Rp 231,000 693,000.00 693,000.00 3 0 Val
 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
18 Glucose 5x42 ml - Glenbio Btl 4 4 Rp 499,125 1,996,500.00 1,996,500.00 4 0 Kit @ 4
19 Cleaner 1 L 3 Diff Btl 3 3 Rp 2,838,000 8,514,000.00 8,514,000.00 3 0 Btl
20 Albumin 5x47 ml - Glenbio Btl 5 5 Rp 319,000 1,595,000.00 1,595,000.00 5 0 Kit @ 5
21 Diluent 20 L Diff 5 Gln 33 33 Rp 550,000 18,150,000.00 18,150,000.00 33 0 Gln
22 Diluent 20 L 3 Diff Gln 3 3 Rp 4,944,500 14,833,500.00 14,833,500.00 3 0 Gln
23 Blood Control Normal Hematology 3 ml 3 Diff - ERBA Val 1 1 Rp 1,358,500 1,358,500.00 1,358,500.00 1 0 Val
24 Lyse 1 L 3 Diff - ERBA Btl 3 3 Rp 4,389,000 13,167,000.00 13,167,000.00 3 0 Btl
25 Blood Control Normal Hematology 3 ml 5 Diff - ERBA Val 1 1 Rp 2,750,000 2,750,000.00 2,750,000.00 1 0 Val
26 GOT/AST 4X42 + 2X17 ML - Glenbio Btl 4 4 Rp 655,023 2,620,090.00 2,620,090.00 4 0 Kit @ 4
27 GPT/ALT 4X42 + 2X17 ML - Glenbio Btl 4 4 Rp 655,023 2,620,090.00 2,620,090.00 4 0 Kit @ 4
28 Urea 5x42 + 2x21 ml - Glenbio Btl 5 5 Rp 759,000 3,795,000.00 3,795,000.00 5 0 Kit @ 5
29 LDL Cholesterol 2x45 + 2x15 ml - Glenbio Btl 2 2 Rp 3,836,250 7,672,500.00 7,672,500.00 2 0 Kit @ 2
30 ERBA Norm 1x5 ml Val 4 4 Rp 1,097,250 4,389,000.00 4,389,000.00 4 0 Val
31 Glucose 5x42 ml - Glenbio Btl 5 5 Rp 399,300 1,996,500.00 1,996,500.00 5 0 Kit @ 5
32 HDL Cholesterol 2x45 + 2x15 ml - Glenbio Btl 2 2 Rp 2,511,630 5,023,260.00 5,023,260.00 2 0 Kit @ 2
33 GOT/AST 4X42 + 2X17 ML - Glenbio Btl 8 8 Rp 655,023 5,240,180.00 5,240,180.00 8 0 Kit @ 4
34 GPT/ALT 4X42 + 2X17 ML - Glenbio Btl 8 8 Rp 655,023 5,240,180.00 5,240,180.00 8 0 Kit @ 4
35 Urea 5x42 + 2x21 ml - Glenbio Btl 5 5 Rp 759,000 3,795,000.00 3,795,000.00 5 0 Kit @ 5
36 Uric Acid 4x42 + 2x17 ml - Glenbio Btl 8 8 Rp 715,660 5,725,280.00 5,725,280.00 8 0 Kit @ 4
37 Shipilis Strip - Wondfo Pcs 200 200 Rp 20,900 4,180,000.00 4,180,000.00 200 0 Pcs

TOTAL 198,355,080.00

Sengkang, 02 JUNI 2020

Mengetahui , Kepala Instalasi Farmasi

Kepala Seksi Pelayanan Dan Penunjang Medik
 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
SANIKYAH,S.Sos,S.Farm,Apt
NIP. 19660610 199103 2 011
MUHAMMAD SAING,S.KM,M.Kes
NIP. 19731231 199403 1 011 Koordinator Gudang Reagens

ISPAWATI YUSUF
NIP.19790123 200604 2 008

Pcs
Box @ 50
Box @ 50
Box @ 25
Box @ 100
Box @ 100
Box @ 100
Pcs
Kit @ 50
Val
Val
Gln
Kit @ 4
Val
Val
Val
Val
Kit @ 4
Btl
Kit @ 5
Gln
Gln
Val
Btl
Val
Kit @ 4
Kit @ 4
Kit @ 5
Kit @ 2
Val
 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
Kit @ 5
Kit @ 2
Kit @ 4
Kit @ 4
Kit @ 5
Kit @ 4
Pcs
JML HARGA HNA PPNTOTAL HARGA
80 80 Rp 138,600 Rp 11,088,000 Rp 138,600
14 700 Rp 739,750 Rp 10,356,500 Rp 14,795
3 150 Rp 170,500 Rp 511,500 Rp 3,410
20 500 Rp 247,500 Rp 4,950,000 Rp 9,900
20 2000 Rp 330,000 Rp 6,600,000 Rp 3,300
18 1800 Rp 385,000 Rp 6,930,000 Rp 3,850
5 500 Rp 495,000 Rp 2,475,000 Rp 4,950
150 150 Rp 20,900 Rp 3,135,000 Rp 20,900
2 100 Rp 6,325,000 Rp 12,650,000 Rp 126,500
2 2 Rp 286,000 Rp 572,000 Rp 286,000

2 2 Rp 198,000 Rp 396,000 Rp 198,000

2 2 Rp 8,593,750 Rp 17,187,500 Rp 8,593,750

2 8 Rp 2,035,000 Rp 4,070,000 Rp 508,750

3 3 Rp 231,000 Rp 693,000 Rp 231,000

3 3 Rp 231,000 Rp 693,000 Rp 231,000

3 3 Rp 231,000 Rp 693,000 Rp 231,000

3 3 Rp 231,000 Rp 693,000 Rp 231,000

JML HARGA HNA PPNTOTAL HARGA

1 4 Rp 1,996,500 Rp 1,996,500 Rp 499,125

3 3 Rp 2,838,000 Rp 8,514,000 Rp 2,838,000

1 5 Rp 1,595,000 Rp 1,595,000 Rp 319,000

3 33 Rp 6,050,000 Rp 18,150,000 Rp 550,000

3 3 Rp 4,944,500 Rp 14,833,500 Rp 4,944,500
1 1 Rp 1,358,500 Rp 1,358,500 Rp 1,358,500
3 3 Rp 4,389,000 Rp 13,167,000 Rp 4,389,000
1 1 Rp 2,750,000 Rp 2,750,000 Rp 2,750,000
1 4 Rp 2,620,090 Rp 2,620,090 Rp 655,023
1 4 Rp 2,620,090 Rp 2,620,090 Rp 655,023
1 5 Rp 3,795,000 Rp 3,795,000 Rp 759,000
1 2 Rp 7,672,500 Rp 7,672,500 Rp 3,836,250
4 4 Rp 1,097,250 Rp 4,389,000 Rp 1,097,250
1 5 Rp 1,996,500 Rp 1,996,500 Rp 399,300
1 2 Rp 5,023,260 Rp 5,023,260 Rp 2,511,630
2 8 Rp 2,620,090 Rp 5,240,180 Rp 655,023
2 8 Rp 2,620,090 Rp 5,240,180 Rp 655,023
1 5 Rp 3,795,000 Rp 3,795,000 Rp 759,000
2 8 Rp 2,862,640 Rp 5,725,280 Rp 715,660
200 200 Rp 20,900 Rp 4,180,000 Rp 20,900

Rp 198,355,080
JML HARGA HNA PPNTOTAL HARGA

80 Rp 138,600 Rp 11,088,000
14 Rp 739,750 Rp 10,356,500
3 Rp 170,500 Rp 511,500
20 Rp 247,500 Rp 4,950,000
20 Rp 330,000 Rp 6,600,000
18 Rp 385,000 Rp 6,930,000
5 Rp 495,000 Rp 2,475,000
150 Rp 20,900 Rp 3,135,000
2 Rp 6,325,000 Rp 12,650,000
2 Rp 286,000 Rp 572,000
2 Rp 198,000 Rp 396,000
2 Rp 8,593,750 Rp 17,187,500
2 Rp 2,035,000 Rp 4,070,000
3 Rp 231,000 Rp 693,000
3 Rp 231,000 Rp 693,000
3 Rp 231,000 Rp 693,000
3 Rp 231,000 Rp 693,000
1 Rp 1,996,500 Rp 1,996,500
3 Rp 2,838,000 Rp 8,514,000
1 Rp 1,595,000 Rp 1,595,000
3 Rp 6,050,000 Rp 18,150,000
3 Rp 4,944,500 Rp 14,833,500
1 Rp 1,358,500 Rp 1,358,500
3 Rp 4,389,000 Rp 13,167,000
1 Rp 2,750,000 Rp 2,750,000
1 Rp 2,620,090 Rp 2,620,090
1 Rp 2,620,090 Rp 2,620,090
1 Rp 3,795,000 Rp 3,795,000
1 Rp 7,672,500 Rp 7,672,500
4 Rp 1,097,250 Rp 4,389,000
JML HARGA HNA PPNTOTAL HARGA
1 Rp 1,996,500 Rp 1,996,500
1 Rp 5,023,260 Rp 5,023,260
2 Rp 2,620,090 Rp 5,240,180
2 Rp 2,620,090 Rp 5,240,180
1 Rp 3,795,000 Rp 3,795,000
2 Rp 2,862,640 Rp 5,725,280
200 Rp 20,900 Rp 4,180,000
 LAPORAN HASIL REKONSILIASI
PB.FAR (GUDANG REAGENS) DAN UNIT LABORATORIUM
TANGGAL 01 JUNI S/D 30 JUNI 2020

PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
1 E-Plate @ 50s Pcs 50 50 Rp 126,500 6,325,000.00 6,325,000.00 50 0 Kit @ 50
2 Kartu Golongan Darah Pcs 300 300 Rp 1,375 412,500.00 412,500.00 300 0 Pak @ 100
3 Bilirubin Directh 6x44 ml + 3x22 ml - ERBA XL Botol 6 6 Rp 643,133 3,858,800.00 3,858,800.00 6 0 Kit @ 6
4 HBSAg Strip @ 50s - Rigth Side Pcs 400 400 Rp 14,795 5,918,000.00 5,918,000.00 400 0 Box @ 50
5 Malaria Card - Wondfo Pcs 50 50 Rp 79,248 3,962,420.00 3,962,420.00 50 0 Pcs
6 K3EDTA 3 ml @ 100s - ENDO Pcs 1500 1500 Rp 3,300 4,950,000.00 4,950,000.00 1500 0 Box @ 100
7 Oncal Strip GDS @ 25s Pcs 500 500 Rp 9,900 4,950,000.00 4,950,000.00 500 0 Box @ 25
8 E-Plate @ 50s Botol 100 100 Rp 126,500 12,650,000.00 12,650,000.00 100 0 Kit @ 50
9 Golongan Darah Anti A 10 ml Val 2 2 Rp 198,000 396,000.00 396,000.00 2 0 Val
10 Golongan Darah Anti B 10 ml Val 2 2 Rp 198,000 396,000.00 396,000.00 2 0 Val
11 Diluent 20 L Diff 5 Gln 5 5 Rp 6,050,000 30,250,000.00 30,250,000.00 5 0 Gln

12 Lyse 5P 5L - ERBA Gln 2 2 Rp 8,593,750 17,187,500.00 17,187,500.00 2 0 Gln

13 Creatinine 4x42 + 2x17 ml - Glenbio Botol 8 8 Rp 508,750 4,070,000.00 4,070,000.00 8 0 Kit @ 4

14 LDL Cholesterol 2x45 + 2x15 - Glenbio Botol 4 4 Rp 1,918,125 7,672,500.00 7,672,500.00 4 0 Kit @ 4

15 HDL Cholesterol 2x45 + 2x15 - Glenbio Botol 5 5 Rp 1,004,652 5,023,260.00 5,023,260.00 5 0 Kit @ 5

16 CK - MB 4X42 ml + 2x17 ml - Glenbio Pcs 1 1 Rp 10,863,050 10,863,050.00 10,863,050.00 1 0 Pcs

17 CK - Nac 4X42 ml + 2x17 ml - Glenbio Pcs 1 1 Rp 9,330,200 9,330,200.00 9,330,200.00 1 0 Pcs

 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
18 GPT/ALT 4x42 + 2x17 ml - Glenbio Botol 4 4 Rp 655,023 2,620,090.00 2,620,090.00 4 0 Kit @ 4

19 GOT/AST 4x42 + 2x17 ml - Glenbio Botol 8 8 Rp 655,023 5,240,180.00 5,240,180.00 8 0 Kit @ 4

20 Shipilis Strip - Wondfo Pcs 200 200 Rp 20,900 4,180,000.00 4,180,000.00 200 0 Pcs

21 ERBA Norm 1x5 ml Val 4 4 Rp 1,097,250 4,389,000.00 4,389,000.00 4 0 Val

22 Livzon Rapid Test IgM/IgG Antiibody Pcs 250 250 Rp 181,500 45,375,000.00 45,375,000.00 250 0 Box @ 25
23 Blood Control Normal Hemmatology 3 ml 3 Diff - ERBA Val 1 1 Rp 1,358,500 1,358,500.00 1,358,500.00 1 0 Val
24 Bilirubin Total 5x42 ml + 2x21 ml - Glenbio Botol 5 5 Rp 771,760 3,858,800.00 3,858,800.00 5 0 Kit @ 5
25 GPT/ALT 4X42 + 2X17 ml - Glenbio Botol 8 8 Rp 655,023 5,240,180.00 5,240,180.00 8 0 Kit @ 4
26 RTD Covid - 19 20200402/04/2022 Pcs 300 300 Rp 138,600 41,580,000.00 41,580,000.00 300 0 Box @ 25
27 Rapid Test IgM/IgG Antiibody Pcs 250 250 Rp 159,500 39,875,000.00 39,875,000.00 250 0 Pcs
28 Rapid Test IgM/IgG Antiibody Pcs 250 250 Rp 159,500 39,875,000.00 39,875,000.00 250 0 Pcs
29 Livzon Rapid Test IgM/IgG Antiibody Pcs 250 250 Rp 181,500 45,375,000.00 45,375,000.00 250 0 Box @ 25
30 GOT/AST 4x42 + 2x17 ml - Glenbio Botol 4 4 Rp 655,023 2,620,090.00 2,620,090.00 4 0 Kit @ 4

TOTAL 369,802,070.00

Sengkang, 30 JUNI 2020

Mengetahui , Kepala Instalasi Farmasi

Kepala Seksi Pelayanan Dan Penunjang Medik

SANIKYAH,S.Sos,S.Farm,Apt
NIP. 19660610 199103 2 011
MUHAMMAD SAING,S.KM,M.Kes
NIP. 19731231 199403 1 011 Koordinator Gudang Reagens

ISPAWATI YUSUF
NIP.19790123 200604 2 008
 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
Pcs
Box @ 50
Box @ 50
Box @ 25
Box @ 100
Box @ 100
Box @ 100
Pcs
Kit @ 50
Val
Val
Gln
Kit @ 4
Val
Val
Val
Val
Kit @ 4
Btl
Kit @ 5
Gln
Gln
Val
Btl
Val
Kit @ 4
Kit @ 4
Kit @ 5
Kit @ 2
Val
Kit @ 5
Kit @ 2
Kit @ 4
Kit @ 4
Kit @ 5
Kit @ 4
Pcs
JML HARGA HNA PPNTOTAL HARGA
1 50 Rp 6,325,000 Rp 6,325,000 Rp 126,500
3 300 Rp 137,500 Rp 412,500 Rp 1,375
1 6 Rp 3,858,800 Rp 3,858,800 Rp 643,133
8 400 Rp 739,750 Rp 5,918,000 Rp 14,795
50 50 Rp 79,248 Rp 3,962,420 Rp 79,248
15 1500 Rp 330,000 Rp 4,950,000 Rp 3,300
20 500 Rp 247,500 Rp 4,950,000 Rp 9,900
2 100 Rp 6,325,000 Rp 12,650,000 Rp 126,500
2 2 Rp 198,000 Rp 396,000 Rp 198,000
2 2 Rp 198,000 Rp 396,000 Rp 198,000

5 5 Rp 6,050,000 Rp 30,250,000 Rp 6,050,000

2 2 Rp 8,593,750 Rp 17,187,500 Rp 8,593,750

2 8 Rp 2,035,000 Rp 4,070,000 Rp 508,750

1 4 Rp 7,672,500 Rp 7,672,500 Rp 1,918,125

1 5 Rp 5,023,260 Rp 5,023,260 Rp 1,004,652

1 1 Rp 10,863,050 Rp 10,863,050 Rp 10,863,050

1 1 Rp 9,330,200 Rp 9,330,200 Rp 9,330,200

JML HARGA HNA PPNTOTAL HARGA

1 4 Rp 2,620,090 Rp 2,620,090 Rp 655,023

2 8 Rp 2,620,090 Rp 5,240,180 Rp 655,023

200 200 Rp 20,900 Rp 4,180,000 Rp 20,900

4 4 Rp 1,097,250 Rp 4,389,000 Rp 1,097,250

10 250 Rp 4,537,500 Rp 45,375,000 Rp 181,500
1 1 Rp 1,358,500 Rp 1,358,500 Rp 1,358,500
1 5 Rp 3,858,800 Rp 3,858,800 Rp 771,760
2 8 Rp 2,620,090 Rp 5,240,180 Rp 655,023
12 300 Rp 3,465,000 Rp 41,580,000 Rp 138,600
250 250 Rp 159,500 Rp 39,875,000 Rp 159,500
250 250 Rp 159,500 Rp 39,875,000 Rp 159,500
10 250 Rp 4,537,500 Rp 45,375,000 Rp 181,500
1 4 Rp 2,620,090 Rp 2,620,090 Rp 655,023

Rp 369,802,070
JML HARGA HNA PPNTOTAL HARGA
80 Rp 138,600 Rp 11,088,000
14 Rp 739,750 Rp 10,356,500
3 Rp 170,500 Rp 511,500
20 Rp 247,500 Rp 4,950,000
20 Rp 330,000 Rp 6,600,000
18 Rp 385,000 Rp 6,930,000
5 Rp 495,000 Rp 2,475,000
150 Rp 20,900 Rp 3,135,000
2 Rp 6,325,000 Rp 12,650,000
2 Rp 286,000 Rp 572,000
2 Rp 198,000 Rp 396,000
2 Rp 8,593,750 Rp 17,187,500
2 Rp 2,035,000 Rp 4,070,000
3 Rp 231,000 Rp 693,000
3 Rp 231,000 Rp 693,000
3 Rp 231,000 Rp 693,000
3 Rp 231,000 Rp 693,000
1 Rp 1,996,500 Rp 1,996,500
3 Rp 2,838,000 Rp 8,514,000
1 Rp 1,595,000 Rp 1,595,000
3 Rp 6,050,000 Rp 18,150,000
3 Rp 4,944,500 Rp 14,833,500
1 Rp 1,358,500 Rp 1,358,500
3 Rp 4,389,000 Rp 13,167,000
1 Rp 2,750,000 Rp 2,750,000
1 Rp 2,620,090 Rp 2,620,090
1 Rp 2,620,090 Rp 2,620,090
1 Rp 3,795,000 Rp 3,795,000
1 Rp 7,672,500 Rp 7,672,500
4 Rp 1,097,250 Rp 4,389,000
1 Rp 1,996,500 Rp 1,996,500
1 Rp 5,023,260 Rp 5,023,260
2 Rp 2,620,090 Rp 5,240,180
2 Rp 2,620,090 Rp 5,240,180
1 Rp 3,795,000 Rp 3,795,000
2 Rp 2,862,640 Rp 5,725,280
200 Rp 20,900 Rp 4,180,000
 LAPORAN HASIL REKONSILIASI
PB.FAR (GUDANG REAGENS) DAN UNIT LABORATORIUM
TANGGAL 01 JULI S/D 31 JULI 2020

PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
1 K3 EDTA 3 ml @ 100s - GP Pcs 1000 1000 Rp 3,300 3,300,000.00 3,300,000.00 1000 0 Box @ 100
2 K3 EDTA Micro 0,5 ml @ 100s Pcs 500 500 Rp 3,300 1,650,000.00 1,650,000.00 500 0 Box @ 100
3 Yellow Cup Gel 3 ml @ 100s Pcs 1000 1000 Rp 3,850 3,850,000.00 3,850,000.00 1000 0 Box @ 100
4 ERBA Wash XL 1x100 ml Btl 10 10 Rp 797,500 7,975,000.00 7,975,000.00 10 0 Btl
5 ERBA Norm 1x5 ml Val 4 4 Rp 1,097,250 4,389,000.00 4,389,000.00 4 0 Val
6 Strip Urine 10 P Pcs 500 500 Rp 4,950 2,475,000.00 2,475,000.00 500 0 Tub @ 100
7 Blood Control Normal Hematology 3 m 3 Diff - ERBA Val 2 2 Rp 1,358,500 2,717,000.00 2,717,000.00 2 0 Val
8 Urea 5x42 + 2x21 ml - Glenbio Btl 10 10 Rp 759,000 7,590,000.00 7,590,000.00 10 0 Kit @ 5
9 Shipilis Strip - Wondfo Pcs 300 300 Rp 20,900 6,270,000.00 6,270,000.00 300 0 Pcs
10 HBSAg Strip @ 50s - Rigth Side Pcs 350 350 Rp 14,795 5,178,250.00 5,178,250.00 350 0 Box @ 50
11 Diluent 20L 3 Diff Gln 2 2 Rp 4,944,500 9,889,000.00 9,889,000.00 2 0 Gln

12 E-Plate @ 50s Pcs 150 150 Rp 126,500 18,975,000.00 18,975,000.00 150 0 Kit @ 50

13 Diluent 20 L Diff 5 Gln 3 3 Rp 6,050,000 18,150,000.00 18,150,000.00 3 0 Gln

14 RTD Covid-19 20200402/04.2022 Pcs 300 300 Rp 138,600 41,580,000.00 41,580,000.00 300 0 Box @ 25

15 Covid - 19 Rafid Test @ 25 test/box Zybio Pcs 100 100 Rp 110,000 11,000,000.00 11,000,000.00 100 0 Box @ 25

16 AutoWash AC/AL 10X44 ML XL Btl 10 10 Rp 214,500 2,145,000.00 2,145,000.00 10 0 Kit @ 10

17 Creatinine 4x42 + 2x17 ml - Glenbio Btl 8 8 Rp 508,750 4,070,000.00 4,070,000.00 8 0 Kit @ 4

 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
18 HCG Strip @ 50s - OneMed Pcs 150 150 Rp 3,410 511,500.00 511,500.00 150 0 Box @ 50

19 Blood Control Normal Hematology 3 ml 5 Diff - ERBA Val 2 2 Rp 2,750,000 5,500,000.00 5,500,000.00 2 0 Val

20 Buffer PH 7 @ 1000 ml Btl 1 1 Rp 1,215,500 1,215,500.00 1,215,500.00 1 0 Btl

21 Golongan Darah Anti.D 10 ml Val 2 2 Rp 286,000 572,000.00 572,000.00 2 0 Val

22 Golongan Darah Anti.AB 10 ml Val 2 2 Rp 198,000 396,000.00 396,000.00 2 0 Val

TOTAL 159,398,250.00

Sengkang, 03 Agustus 2020

Mengetahui , Kepala Instalasi Farmasi

Kepala Seksi Pelayanan Dan Penunjang Medik

SANIKYAH,S.Sos,S.Farm,Apt
NIP. 19660610 199103 2 011
MUHAMMAD SAING,S.KM,M.Kes
NIP. 19731231 199403 1 011 Koordinator Gudang Reagens

ISPAWATI YUSUF
NIP.19790123 200604 2 008

Pcs
Box @ 50
Box @ 50
Box @ 25
Box @ 100
Box @ 100
Box @ 100
Pcs
Kit @ 50
Val
Val
 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
Gln
Kit @ 4
Val
Val
Val
Val
Kit @ 4
Btl
Kit @ 5
Gln
Gln
Val
Btl
Val
Kit @ 4
Kit @ 4
Kit @ 5
Kit @ 2
Val
Kit @ 5
Kit @ 2
Kit @ 4
Kit @ 4
Kit @ 5
Kit @ 4
Pcs
JML HARGA HNA PPNTOTAL HARGA
10 1000 Rp 330,000 Rp 3,300,000 Rp 3,300
5 500 Rp 330,000 Rp 1,650,000 Rp 3,300
10 1000 Rp 385,000 Rp 3,850,000 Rp 3,850
10 10 Rp 797,500 Rp 7,975,000 Rp 797,500
4 4 Rp 1,097,250 Rp 4,389,000 Rp 1,097,250
5 500 Rp 495,000 Rp 2,475,000 Rp 4,950
2 2 Rp 1,358,500 Rp 2,717,000 Rp 1,358,500
2 10 Rp 3,795,000 Rp 7,590,000 Rp 759,000
300 300 Rp 20,900 Rp 6,270,000 Rp 20,900
7 350 Rp 739,750 Rp 5,178,250 Rp 14,795
2 2 Rp 4,944,500 Rp 9,889,000 Rp 4,944,500

3 150 Rp 6,325,000 Rp 18,975,000 Rp 126,500

3 3 Rp 6,050,000 Rp 18,150,000 Rp 6,050,000

12 300 Rp 3,465,000 Rp 41,580,000 Rp 138,600

4 100 Rp 2,750,000 Rp 11,000,000 Rp 110,000

1 10 Rp 2,145,000 Rp 2,145,000 Rp 214,500

2 8 Rp 2,035,000 Rp 4,070,000 Rp 508,750

JML HARGA HNA PPNTOTAL HARGA
3 150 Rp 170,500 Rp 511,500 Rp 3,410

2 2 Rp 2,750,000 Rp 5,500,000 Rp 2,750,000

1 1 Rp 1,215,500 Rp 1,215,500 Rp 1,215,500

2 2 Rp 286,000 Rp 572,000 Rp 286,000

2 2 Rp 198,000 Rp 396,000 Rp 198,000

Rp 159,398,250

80 Rp 138,600 Rp 11,088,000
14 Rp 739,750 Rp 10,356,500
3 Rp 170,500 Rp 511,500
20 Rp 247,500 Rp 4,950,000
20 Rp 330,000 Rp 6,600,000
18 Rp 385,000 Rp 6,930,000
5 Rp 495,000 Rp 2,475,000
150 Rp 20,900 Rp 3,135,000
2 Rp 6,325,000 Rp 12,650,000
2 Rp 286,000 Rp 572,000
2 Rp 198,000 Rp 396,000
JML HARGA HNA PPNTOTAL HARGA
2 Rp 8,593,750 Rp 17,187,500
2 Rp 2,035,000 Rp 4,070,000
3 Rp 231,000 Rp 693,000
3 Rp 231,000 Rp 693,000
3 Rp 231,000 Rp 693,000
3 Rp 231,000 Rp 693,000
1 Rp 1,996,500 Rp 1,996,500
3 Rp 2,838,000 Rp 8,514,000
1 Rp 1,595,000 Rp 1,595,000
3 Rp 6,050,000 Rp 18,150,000
3 Rp 4,944,500 Rp 14,833,500
1 Rp 1,358,500 Rp 1,358,500
3 Rp 4,389,000 Rp 13,167,000
1 Rp 2,750,000 Rp 2,750,000
1 Rp 2,620,090 Rp 2,620,090
1 Rp 2,620,090 Rp 2,620,090
1 Rp 3,795,000 Rp 3,795,000
1 Rp 7,672,500 Rp 7,672,500
4 Rp 1,097,250 Rp 4,389,000
1 Rp 1,996,500 Rp 1,996,500
1 Rp 5,023,260 Rp 5,023,260
2 Rp 2,620,090 Rp 5,240,180
2 Rp 2,620,090 Rp 5,240,180
1 Rp 3,795,000 Rp 3,795,000
2 Rp 2,862,640 Rp 5,725,280
200 Rp 20,900 Rp 4,180,000
 LAPORAN HASIL REKONSILIASI
PB.FAR (GUDANG REAGENS) DAN UNIT LABORATORIUM
TANGGAL 01 AGUSTUS S/D 31 AGUSTUS 2020

PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
1 Cleaner Diff 5 1 L - ERBA Btl 2 2 Rp 4,950,000 9,900,000.00 9,900,000.00 2 0 Btl
2 Lyse 1 L 3 Diff - ERBA Btl 2 2 Rp 4,389,000 8,778,000.00 8,778,000.00 2 0 Btl
3 Aquabides Steril 1L Btl 1 1 Rp 54,450 54,450.00 54,450.00 1 0 Btl
4 HBSAg Strip @ 50s - Rigth Side Pcs 500 500 Rp 14,795 7,397,500.00 7,397,500.00 500 0 Box @ 50
5 HIV Card @ 25s - Wondfo Pcs 50 50 Rp 62,436 3,121,800.00 3,121,800.00 50 0 Pcs
6 Shipilis Strip - Wondfo Pcs 200 200 Rp 20,900 4,180,000.00 4,180,000.00 200 0 Pcs
7 OncalStrip GDS @ 25s Pcs 500 500 Rp 9,900 4,950,000.00 4,950,000.00 500 0 Box @ 25
8 Kartu Golongan Darah Pcs 1000 1000 Rp 1,375 1,375,000.00 1,375,000.00 1000 0 Pak @ 100
9 E-Plate @ 50s Pcs 150 150 Rp 126,500 18,975,000.00 18,975,000.00 150 0 Kit @ 50
10 GOT/AST 4x42 + 2x17 ml Btl 8 8 Rp 655,023 5,240,180.00 5,240,180.00 8 0 Kit @ 4
11 GPT/ALT 4x42 +2x17 ml Btl 8 8 Rp 655,023 5,240,180.00 5,240,180.00 8 0 Kit @ 4

12 Blood Control Normal Hematology 3 ml 3 Diff - ERBA Val 1 1 Rp 1,358,500 1,358,500.00 1,358,500.00 1 0 Val

13 Golongan Darah Anti A 10 ml Val 2 2 Rp 198,000 396,000.00 396,000.00 2 0 Val

14 Golongan Darah Anti B 10 ml Val 2 2 Rp 198,000 396,000.00 396,000.00 2 0 Val

15 Methanol PA 500 ml Btl 1 1 Rp 990,000 990,000.00 990,000.00 1 0 Btl

16 K3EDTA 3 ml @ 100s - GP Pcs 1000 1000 Rp 3,300 3,300,000.00 3,300,000.00 1000 0 Box @ 100

17 Yellow Cup Gel 3 ml @ 100s Pcs 1000 1000 Rp 3,850 3,850,000.00 3,850,000.00 1000 0 Box @ 100
 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
18 Diluent 20 L Diff 5 Gln 4 4 Rp 6,050,000 24,200,000.00 24,200,000.00 4 0 Gln

19 Lyse 5P 5L - ERBA Gln 2 2 Rp 8,593,750 17,187,500.00 17,187,500.00 2 0 Gln

20 Covid - 19 Rafid Test @ 25 Test/Box Zybio Pcs 50 50 Rp 93,500 4,675,000.00 4,675,000.00 50 0 Box @ 25

TOTAL 125,565,110.00

Sengkang, 31 Agustus 2020

Mengetahui , Kepala Instalasi Farmasi

Kepala Seksi Pelayanan Dan Penunjang Medik

SANIKYAH,S.Sos,S.Farm,Apt
NIP. 19660610 199103 2 011
MUHAMMAD SAING,S.KM,M.Kes
NIP. 19731231 199403 1 011 Koordinator Gudang Reagens

ISPAWATI YUSUF
NIP.19790123 200604 2 008

Pcs
Box @ 50
Box @ 50
Box @ 25
Box @ 100
Box @ 100
Box @ 100
Pcs
Kit @ 50
Val
Val
Gln
Kit @ 4
Val
 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM
SATUAN
Val
Val
Val
Kit @ 4
Btl
Kit @ 5
Gln
Gln
Val
Btl
Val
Kit @ 4
Kit @ 4
Kit @ 5
Kit @ 2
Val
Kit @ 5
Kit @ 2
Kit @ 4
Kit @ 4
Kit @ 5
Kit @ 4
Pcs
JML HARGA HNA PPNTOTAL HARGA
2 2 Rp 4,950,000 Rp 9,900,000 Rp 4,950,000
2 2 Rp 4,389,000 Rp 8,778,000 Rp 4,389,000
1 1 Rp 54,450 Rp 54,450 Rp 54,450
10 500 Rp 739,750 Rp 7,397,500 Rp 14,795
50 50 Rp 62,436 Rp 3,121,800 Rp 62,436
200 200 Rp 20,900 Rp 4,180,000 Rp 20,900
20 500 Rp 247,500 Rp 4,950,000 Rp 9,900
10 1000 Rp 137,500 Rp 1,375,000 Rp 1,375
3 150 Rp 6,325,000 Rp 18,975,000 Rp 126,500
2 8 Rp 2,620,090 Rp 5,240,180 Rp 655,023
2 8 Rp 2,620,090 Rp 5,240,180 Rp 655,023

1 1 Rp 1,358,500 Rp 1,358,500 Rp 1,358,500

2 2 Rp 198,000 Rp 396,000 Rp 198,000

2 2 Rp 198,000 Rp 396,000 Rp 198,000

1 1 Rp 990,000 Rp 990,000 Rp 990,000

10 1000 Rp 330,000 Rp 3,300,000 Rp 3,300

10 1000 Rp 385,000 Rp 3,850,000 Rp 3,850

JML HARGA HNA PPNTOTAL HARGA
4 4 Rp 6,050,000 Rp 24,200,000 Rp 6,050,000

2 2 Rp 8,593,750 Rp 17,187,500 Rp 8,593,750

2 50 Rp 2,337,500 Rp 4,675,000 Rp 93,500

Rp 125,565,110

80 Rp 138,600 Rp 11,088,000
14 Rp 739,750 Rp 10,356,500
3 Rp 170,500 Rp 511,500
20 Rp 247,500 Rp 4,950,000
20 Rp 330,000 Rp 6,600,000
18 Rp 385,000 Rp 6,930,000
5 Rp 495,000 Rp 2,475,000
150 Rp 20,900 Rp 3,135,000
2 Rp 6,325,000 Rp 12,650,000
2 Rp 286,000 Rp 572,000
2 Rp 198,000 Rp 396,000
2 Rp 8,593,750 Rp 17,187,500
2 Rp 2,035,000 Rp 4,070,000
3 Rp 231,000 Rp 693,000
JML HARGA HNA PPNTOTAL HARGA
3 Rp 231,000 Rp 693,000
3 Rp 231,000 Rp 693,000
3 Rp 231,000 Rp 693,000
1 Rp 1,996,500 Rp 1,996,500
3 Rp 2,838,000 Rp 8,514,000
1 Rp 1,595,000 Rp 1,595,000
3 Rp 6,050,000 Rp 18,150,000
3 Rp 4,944,500 Rp 14,833,500
1 Rp 1,358,500 Rp 1,358,500
3 Rp 4,389,000 Rp 13,167,000
1 Rp 2,750,000 Rp 2,750,000
1 Rp 2,620,090 Rp 2,620,090
1 Rp 2,620,090 Rp 2,620,090
1 Rp 3,795,000 Rp 3,795,000
1 Rp 7,672,500 Rp 7,672,500
4 Rp 1,097,250 Rp 4,389,000
1 Rp 1,996,500 Rp 1,996,500
1 Rp 5,023,260 Rp 5,023,260
2 Rp 2,620,090 Rp 5,240,180
2 Rp 2,620,090 Rp 5,240,180
1 Rp 3,795,000 Rp 3,795,000
2 Rp 2,862,640 Rp 5,725,280
200 Rp 20,900 Rp 4,180,000
 LAPORAN HASIL REKONSILIASI
PB.FAR (GUDANG REAGENS) DAN UNIT LABORATORIUM
TANGGAL 01 SEPTEMBER S/D 30 SEPTEMBER 2020

PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM

1 Triglycerides 5x47 ml - Glenbio Botol 5 5 Rp 1,226,500 6,132,500.00 6,132,500.00 5 0

2 ERBA Norm 1x5 ml Val 4 4 Rp 1,097,250 4,389,000.00 4,389,000.00 4 0
3 ERBA Wash XL 1x100 ml Botol 10 10 Rp 797,500 7,975,000.00 7,975,000.00 10 0
4 Strip Urine 10P Pcs 300 300 Rp 4,950 1,485,000.00 1,485,000.00 300 0
5 Blood Control Normal Hematology 3 ml 5 Diff ERBA Val 1 1 Rp 2,750,000 2,750,000.00 2,750,000.00 1 0
6 Diluent 20L Diff 5 Gln 3 3 Rp 6,050,000 18,150,000.00 18,150,000.00 3 0
7 Lyse 5P 5L - ERBA Gln 1 1 Rp 8,593,750 8,593,750.00 8,593,750.00 1 0
8 Cleaner Diff 5 1 L - ERBA Botol 2 2 Rp 4,950,000 9,900,000.00 9,900,000.00 2 0
9 Creatinine 4x42 + 2x17 ml- Glenbio Botol 8 8 Rp 508,750 4,070,000.00 4,070,000.00 8 0
10 Urea 5x42 + 2x21 ml Botol 5 5 Rp 759,000 3,795,000.00 3,795,000.00 5 0
11 Glucose 5x42 - Glenbio Botol 10 10 Rp 399,300 3,993,000.00 3,993,000.00 10 0

12 HDL Cholesterol 2x45 + 2x15 ml Botol 4 4 Rp 2,511,630 10,046,520.00 10,046,520.00 4 0

 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM

13 Golongan Darah Anti A 10 ml Val 2 2 Rp 286,000 572,000.00 572,000.00 2 0

14 Golongan Darah Anti B 10 ml Val 2 2 Rp 198,000 396,000.00 396,000.00 2 0

15 Larutan MGG 500 ml Botol 1 1 Rp 1,490,500 1,490,500.00 1,490,500.00 1 0

TOTAL 83,738,270.00

Sengkang, 30 September 2020

Mengetahui , Kepala Instalasi Farmasi

Kepala Seksi Pelayanan Dan Penunjang Medik

SANIKYAH,S.Sos,S.Farm,Apt
NIP. 19660610 199103 2 011
MUHAMMAD SAING,S.KM,M.Kes
NIP. 19731231 199403 1 011 Koordinator Gudang Reagens

ISPAWATI YUSUF
NIP.19790123 200604 2 008
SATUAN JML HARGA HNA PPNTOTAL HARGA
Kit @ 5 1 5 Rp 6,132,500 Rp 6,132,500 Rp 1,226,500
Val 4 4 Rp 1,097,250 Rp 4,389,000 Rp 1,097,250
Botol 10 10 Rp 797,500 Rp 7,975,000 Rp 797,500
Tub @ 100 3 300 Rp 495,000 Rp 1,485,000 Rp 4,950
Val 1 1 Rp 2,750,000 Rp 2,750,000 Rp 2,750,000
Gln 3 3 Rp 6,050,000 Rp 18,150,000 Rp 6,050,000
Gln 1 1 Rp 8,593,750 Rp 8,593,750 Rp 8,593,750
Botol 2 2 Rp 4,950,000 Rp 9,900,000 Rp 4,950,000
Kit @ 4 2 8 Rp 2,035,000 Rp 4,070,000 Rp 508,750
Kit @ 5 1 5 Rp 3,795,000 Rp 3,795,000 Rp 759,000
Kit @ 5 2 10 Rp 1,996,500 Rp 3,993,000 Rp 399,300

Kit @ 2 2 4 Rp 5,023,260 Rp 10,046,520 Rp 2,511,630

SATUAN JML HARGA HNA PPNTOTAL HARGA
Val 2 2 Rp 286,000 Rp 572,000 Rp 286,000

Val 2 2 Rp 198,000 Rp 396,000 Rp 198,000

Botol 1 1 Rp 1,490,500 Rp 1,490,500 Rp 1,490,500

Rp 83,738,270

Pcs 80 Rp 138,600 Rp 11,088,000

Box @ 50 14 Rp 739,750 Rp 10,356,500
Box @ 50 3 Rp 170,500 Rp 511,500
Box @ 25 20 Rp 247,500 Rp 4,950,000
Box @ 100 20 Rp 330,000 Rp 6,600,000
Box @ 100 18 Rp 385,000 Rp 6,930,000
Box @ 100 5 Rp 495,000 Rp 2,475,000
SATUAN JML HARGA HNA PPNTOTAL HARGA
Pcs 150 Rp 20,900 Rp 3,135,000
Kit @ 50 2 Rp 6,325,000 Rp 12,650,000
Val 2 Rp 286,000 Rp 572,000
Val 2 Rp 198,000 Rp 396,000
Gln 2 Rp 8,593,750 Rp 17,187,500
Kit @ 4 2 Rp 2,035,000 Rp 4,070,000
Val 3 Rp 231,000 Rp 693,000
Val 3 Rp 231,000 Rp 693,000
Val 3 Rp 231,000 Rp 693,000
Val 3 Rp 231,000 Rp 693,000
Kit @ 4 1 Rp 1,996,500 Rp 1,996,500
Btl 3 Rp 2,838,000 Rp 8,514,000
Kit @ 5 1 Rp 1,595,000 Rp 1,595,000
Gln 3 Rp 6,050,000 Rp 18,150,000
Gln 3 Rp 4,944,500 Rp 14,833,500
Val 1 Rp 1,358,500 Rp 1,358,500
Btl 3 Rp 4,389,000 Rp 13,167,000
Val 1 Rp 2,750,000 Rp 2,750,000
Kit @ 4 1 Rp 2,620,090 Rp 2,620,090
Kit @ 4 1 Rp 2,620,090 Rp 2,620,090
Kit @ 5 1 Rp 3,795,000 Rp 3,795,000
Kit @ 2 1 Rp 7,672,500 Rp 7,672,500
Val 4 Rp 1,097,250 Rp 4,389,000
Kit @ 5 1 Rp 1,996,500 Rp 1,996,500
Kit @ 2 1 Rp 5,023,260 Rp 5,023,260
Kit @ 4 2 Rp 2,620,090 Rp 5,240,180
Kit @ 4 2 Rp 2,620,090 Rp 5,240,180
Kit @ 5 1 Rp 3,795,000 Rp 3,795,000
Kit @ 4 2 Rp 2,862,640 Rp 5,725,280
Pcs 200 Rp 20,900 Rp 4,180,000
 LAPORAN HASIL REKONSILIASI
PB.FAR (GUDANG REAGENS) DAN UNIT LABORATORIUM
TANGGAL 01 OKTOBER S/D 31 OKTOBER 2020

PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM

1 CK Nac 4X42 ml+2X40 ml Glembio Kit @ 4 1 1 Rp 9,330,200 9,330,200.00 9,330,200.00 1 0

2 Urea 5 x 42+2 x 21 ml Glembio Kit @ 5 1 1 Rp 3,795,000 3,795,000.00 3,795,000.00 1 0
3 HBSAg Strip @50s- Rigth Side Box 10 10 Rp 739,750 7,397,500.00 7,397,500.00 10 0
4 Oncal Strip GDS @25s Box 20 20 Rp 247,500 4,950,000.00 4,950,000.00 20 0
5 HIV Card @25s- Wondfo Pcs 50 50 Rp 62,436 3,121,800.00 3,121,800.00 50 0
6 Shipilis Strip - WONDFO Pcs 50 50 Rp 20,900 1,045,000.00 1,045,000.00 50 0
7 K3 EDTA 3ml @100s-GP Box 10 10 Rp 330,000 3,300,000.00 3,300,000.00 10 0
8 Yellow Cup Gel 3 ml @ 100s Box 10 10 Rp 385,000 3,850,000.00 3,850,000.00 10 0
9 CK-MB 4x42ml - 2x17 ml - Glembio Kit @ 4 1 1 Rp 10,863,050 10,863,050.00 10,863,050.00 1 0
10 LDL Cholesterol 2x45 + 2x15ml - Glembio Kit @ 2 1 1 Rp 7,672,500 7,672,500.00 7,672,500.00 1 0
11 ERBA Wash XL 1x100 ml Btl 8 8 Rp 797,500 6,380,000.00 6,380,000.00 8 0
12 ERBA Norm 1 x 5ml Val 4 4 Rp 1,097,250 4,389,000.00 4,389,000.00 4 0
 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM

13 E-Plate @ 50s Kit @ 50 2 2 Rp 6,325,000 12,650,000.00 12,650,000.00 2 0

14 Golongan darah Anti A 10 ml Val 2 2 Rp 198,000 396,000.00 396,000.00 2 0

15 GPT/ALT 4x42 + 2x17 ml - Glembio Kit @4 2 2 Rp 2,620,090 5,240,180.00 5,240,180.00 2 0

16 GOT/AST 4x42 + 2x17 ml - Glembio Kit @4 2 2 Rp 2,620,090 5,240,180.00 5,240,180.00 2 0

17 Lysa SP 5L - ERBA GLN 1 1 Rp 8,593,750 8,593,750.00 8,593,750.00 1 0

18 HCV Strip @50s-wondfo Pcs 50 50 Rp 20,900 1,045,000.00 1,045,000.00 50 0

19 Tryglycerides 5x47 ml - Glembio Kit@ 5 1 1 Rp 6,132,500 6,132,500.00 6,132,500.00 1 0

20 Albumin 10 x 44 ml - ERBA XL Kit @ 10 1 1 Rp 3,261,500 3,261,500.00 3,261,500.00 1 0

TOTAL 108,653,160.00

Sengkang, 2 November 2020

Mengetahui , Kepala Instalasi Farmasi

Kepala Seksi Pelayanan Dan Penunjang Medik

SANIKYAH,S.Sos,S.Farm,Apt
NIP. 19660610 199103 2 011
MUHAMMAD SAING,S.KM,M.Kes
NIP. 19731231 199403 1 011 Koordinator Gudang Reagens

ANDI MELDA DALAISA, S.Si

NIP.19831005 201101 2 002
 LAPORAN HASIL REKONSILIASI
PB.FAR (GUDANG REAGENS) DAN UNIT LABORATORIUM
TANGGAL 01 NOVEMBER S/D 30 NOVEMBER 2020

PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM

1 Glucose 10 x 44 ml - ERBA Kit @ 10 1 1 Rp 4,091,450.00 4,091,450.00 4,091,450.00 1 0

2 Oncal Strip GDS @25s Box 20 20 Rp 247,500.00 4,950,000.00 4,950,000.00 20 0
3 Multi Drug 3P (AMP/MOP/THC)-WONFO Pcs 100 100 Rp 71,500.00 7,150,000.00 7,150,000.00 100 0
4 K3 EDTA 3ml @100s-GP Box 13 13 Rp 330,000.00 4,290,000.00 4,290,000.00 13 0
5 Yellow Cup Gel 3 ml @ 100s Box 13 13 Rp 385,000.00 5,005,000.00 5,005,000.00 13 0
6 ERBA Wash XL 1x100 ml Btl 8 8 Rp 797,500.00 6,380,000.00 6,380,000.00 8 0
7 ERBA Norm 1 x 5 ml Val 4 4 Rp 1,097,250.00 4,389,000.00 4,389,000.00 4 0
8 HCG Strip @50s-OneMed Box 2 2 Rp 170,500.00 341,000.00 341,000.00 2 0
9 Diluent 20L Diff 5 Gln 2 2 Rp 6,050,000.00 12,100,000.00 12,100,000.00 2 0
10 Golongan darah Anti B 10 ml Val 2 2 Rp 198,000.00 396,000.00 396,000.00 2 0
11 Golongan darah Anti AB 10 ml Val 2 2 Rp 198,000.00 396,000.00 396,000.00 2 0
12 Golongan darah Anti D 10 ml Val 2 2 Rp 286,000.00 572,000.00 572,000.00 2 0
13 Strip Urine 10P Tub@100 5 5 Rp 495,000.00 2,475,000.00 2,475,000.00 5 0
14 Cholesterol 10 x 44ml - ERBA XL Kit@10 1 1 Rp 5,613,300.00 5,613,300.00 5,613,300.00 1 0

15 Creatinine 4x42 + 2x17 ml - Glembio Kit @4 1 1 Rp 2,035,000.00 2,035,000.00 2,035,000.00 1 0

 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM

16 Uric Acid 4 x $@ + 2x17 ml - Glembio Kit @4 1 1 Rp 2,862,640.00 2,862,640.00 2,862,640.00 1 0

17 LDL Chloresterol 2x45 + 2x15 ml - Glembio Kit @2 1 1 Rp 7,672,500.00 7,672,500.00 7,672,500.00 1 0

18 Urea 5x42 + 2x21 ml - Glembio Kit @5 2 2 Rp 3,795,000.00 7,590,000.00 7,590,000.00 2 0

19 Bilirubin Total 5x42 ml + 2x21 ml - Glembio Kit @5 1 1 Rp 3,858,800.00 3,858,800.00 3,858,800.00 1 0

20 Diluent 20L Diff 5 Gln 1 1 Rp 6,050,000.00 6,050,000.00 6,050,000.00 1 0

21 Lyse 5P ERBA Gln 2 2 Rp 8,593,750.00 17,187,500.00 17,187,500.00 2 0

22 Diluent 20L Diff 5 Gln 2 2 Rp 6,050,000.00 12,100,000.00 12,100,000.00 2 0

23 Uric Acid 4 x $@ + 2x17 ml - Glembio Kit@ 4 1 1 Rp 2,862,640.00 2,862,640.00 2,862,640.00 1 0

24 Creatinine 4x42 + 2x17 ml - Glembio Kit@ 4 1 1 Rp 2,035,000.00 2,035,000.00 2,035,000.00 1 0

25 HBSAg Strip @50s - Righ Side box @50 10 10 Rp 739,750.00 7,397,500.00 7,397,500.00 10 0

TOTAL 129,800,330.00

Sengkang, 1 Desember 2020

Mengetahui ,
Kepala Seksi Pelayanan Dan Penunjang Medik Kepala Instalasi Farmasi

MUHAMMAD SAING,S.KM,M.Kes SANIKYAH,S.Sos,S.Farm,Apt

NIP. 19731231 199403 1 011 NIP. 19660610 199103 2 011

Koordinator Gudang Reagens

ANDI MELDA DALAISA, S.Si

NIP.19831005 201101 2 002
 LAPORAN HASIL REKONSILIASI
PB.FAR (GUDANG REAGENS) DAN UNIT LABORATORIUM
TANGGAL 01 DESEMBER S/D 31 DESEMBER 2020

PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM

1 Diluen 20L Diff 5 Gln 5 5 Rp 6,050,000 30,250,000.00 30,250,000.00 5 0

2 Lyse 5P ERBA Gln 1 1 Rp 8,593,750 8,593,750.00 8,593,750.00 1 0
3 Creatinine 4x42 + 2x17 ml - Glembio Kit @4 1 1 Rp 2,035,000.00 2,035,000.00 2,035,000.00 1 0
4 Urea 5x42 +b2x21 ml - Glembio Kit@ 5 1 1 Rp 3,795,000.00 3,795,000.00 3,795,000.00 1 0
5 GPT/ALT 4x42 + 2x17 ml - Glembio Kit @4 1 1 Rp 2,620,090.00 2,620,090.00 2,620,090.00 1 0
6 GOT/AST 4x42 + 2x17 ml - Glembio Kit @4 2 2 Rp 2,620,090.00 5,240,180.00 5,240,180.00 2 0
7 HDL Cholesterol 2x45 + 2x15 ml Kit @ 2 1 1 Rp 5,023,260.00 5,023,260.00 5,023,260.00 1 0
8 LDL Cholesterol 2x45 + 2x15 ml - Glembio Kit @2 1 1 Rp 7,672,500 7,672,500.00 7,672,500.00 1 0
9 HBSAg Strip @50s - Righ Side box @50 4 4 Rp 739,750 2,959,000.00 2,959,000.00 4 0
10 Oncal Strip GDS @25s Box 20 20 Rp 247,500 4,950,000.00 4,950,000.00 20 0
11 K3 EDTA 3ml @100s-GP Box 12 12 Rp 330,000 3,960,000.00 3,960,000.00 12 0
12 Yellow Cup Gel 3 ml @ 100s Box 12 12 Rp 385,000 4,620,000.00 4,620,000.00 12 0
13 Strip Urine 10P Tub@100 5 5 Rp 495,000 2,475,000.00 2,475,000.00 5 0
14 ERBA Wash XL 1x100 ml Btl 8 8 Rp 797,500 6,380,000.00 6,380,000.00 8 0

15 Cleaner Diff 5P 1L - ERBA Btl 2 2 Rp 4,950,000 9,900,000.00 9,900,000.00 2 0

 PENGELUARAN
HARGA 1 NILAI TOTAL
NO NAMA REAGENS/ALAT LABORATORIUM SATUAN SELISIH
LABORATORIUM PENGELUARAN GUDANG
JML HARGA NILAI LABORATORIUM

16 Reagent Pack Biolyte Pack@4 1 1 Rp 12,375,000 12,375,000.00 12,375,000.00 1 0

17 Creatinine 4x42 + 2x17 ml - Glembio Kit @4 1 1 Rp 2,035,000 2,035,000.00 2,035,000.00 1 0

18 GPT/ALT 4x42 + 2x17 ml - Glembio Kit @4 2 2 Rp 2,620,090 5,240,180.00 5,240,180.00 2 0

19 GOT/AST 4x42 + 2x17 ml - Glembio Kit @4 1 1 Rp 2,620,090 2,620,090.00 2,620,090.00 1 0

20 Glucose 10 x 44 ml - ERBA Kit @ 5 2 2 Rp 1,996,500 3,993,000.00 3,993,000.00 2 0

21 ERBA Norm 1 x 5 ml Val 4 4 Rp 1,097,250 4,389,000.00 4,389,000.00 4 0

22 Lyse 5P ERBA Gln 1 1 Rp 8,593,750 8,593,750.00 8,593,750.00 1 0

23 Blood Control Normal Hematology 3 ml 5 Diff ERBA Val 1 1 Rp 2,750,000 2,750,000.00 2,750,000.00 1 0

24 Multi Drug 3P (AMP/MOP/THC) - Wondfo Pcs 200 200 Rp 71,500.00 14,300,000.00 14,300,000.00 200

TOTAL 156,769,800.00

Sengkang, 4 Januari 2021

Mengetahui ,
Kepala Seksi Pelayanan Dan Penunjang Medik Kepala Instalasi Farmasi

MUHAMMAD SAING,S.KM,M.Kes SANIKYAH,S.Sos,S.Farm,Apt

NIP. 19731231 199403 1 011 NIP. 19660610 199103 2 011

Koordinator Gudang Reagens

ANDI MELDA DALAISA, S.Si

NIP.19831005 201101 2 002
 BUKTI PENERIMAAN UNIT

DARI :

TANGGAL :

NO NAMA BARANG SATUAN DIMINTA DIBERI SISA STOK

YANG MENYERAHKAN YANG MENERIMA