Hasil Stock Opname Logistik Umum

30 -31 Desember 2017

No Kode Nama Barang Harga/Pak Pack

1 1AB Amplop Besar 15,000.00 25
2 1AG Amplop Gaji 18,000.00 4
3 1AGM Acrilik Geser Masuk 7,000.00 15
4 1AKRIT Acrilic Toilet 18,500.00 4
5 1AT Amplop Tanggung 11,000.00 18
6 1B4W Bolpoin 4 Warna 3,958.00 16
7 1BFM Box File 11,250.00 4
8 1BHT Bolpoin Hitam 1,366.00 96
9 1BKB Buku Kwitansi Besar 3,500.00 49
10 1BKEX Buku ExpedIsi 6,500.00 7
11 1BKF100 Buku Folio 100 12,000.00 5
12 1BKF50 Buku Folio 50 7,500.00 52
13 1BKK Buku Kwitansi Kecil 1,750.00 5
14 1BKL Batu Kalkulator 5,000.00 1
15 1BKOT Buku Oktavo Tebal 9,000.00 5
16 1BKW100 Buku Kwarto 100 6,000.00 11
17 1BKW200 Buku Kwarto 200 11,500.00 21
18 1BKW50 Buku Kwarto 50 4,500.00 34
19 1BMJ Bolpoin Meja 5,208.00 11
20 1BMR Bolpoin Merah 1,250.00 41
21 1BS Bak Stempel 4,790.00 8
22 1CB Cutter Besar 12,083.00 13
23 1CBBK Canon Botol Black 32,000.00 11
24 1CBC Canon Botol Cyan 33,500.00 8
25 1CBM Canon Botol Magenta 33,500.00 6
26 1CBY Canon Botol Yellow 33,500.00 1
27 1CD CD Balnk 1,300.00 101
28 1CH105 Clip Hitam no. 105 208.00 40
29 1CH107 Clip Hitam no. 107 250.00 144
30 1CH111 Clip Hitam no. 111 417.00 24
31 1CH155 Clip Hitam no. 155 583.00 7
32 1CH200 Clip Hitam no. 200 850.00 21
33 1CH260 Clip Hitam no. 260 1,417.00 42
34 1DTB Double Tape Besar 4,500.00 2
35 1DTH Double Tip Hijau 8,000.00 6
36 1EBBK Epsen Botol Black 33,500.00 4
37 1EBC Epsen Botol Cyan 32,000.00 2
38 1EBLC Epsen Botol LC 34,000.00 3
39 1EBLM Epsen Botol LM 34,000.00 3
40 1EBM Epsen Botol Magenta 32,000.00 5
41 1EBY Epsen Botol Yellow 33,500.00 1
42 1GKT Gunting Kertas Tanggung 7,000.00 3
43 1IB Isolasi Besar 2,292.00 2
44 1ICB Isi Cuter Besar 5,000.00 3
45 1IK Isolasi Kecil 833.00 20
46 1ISB Isi Staples Besar 4,500.00 45
 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

47 1ISJ Isi Staples Jumbo 17,500.00 7

48 1ISK Isi Staples Kecil 2,250.00 235
49 1K2PlyC Kertas 2 Ply PRS 225,000.00 3
50 1K4Ply Kertas 4 Ply 240,000.00 3
51 1KB Kertas Buram 20,000.00 4
52 1KC Kertas Card 265,000.00 1
53 1KFAX Kertas Fax 10,000.00 5
54 1KFC Kertas Foto Cetak 25,000.00 1
55 1KHVS70 Kertas F4 70 gr 32,000.00 7
56 1KK70 Kertas A4 70 gr 28,000.00 25
57 1KT1PLY Kertas Tellstruk 75x65 1Ply 3,800.00 40
58 1KT2PLY Kertas Tellstruk 75x65 2 Ply 5,300.00 60
59 1KT57x50 Kertas Tellstruk 57x50 5,000.00 13
60 1KTHER Kertas Thermal 11,500.00 66
61 1L101 Label 101 2,000.00 64
62 1L103 Label 103 2,000.00 615
63 1L109 Label 109 2,000.00 5
64 1L112 Label 112 2,000.00 22
65 1L123 Label 123 2,000.00 65
66 1LC Lakban Coklat 8,000.00 1
67 1LH Lakban Hitam 13,000.00 3
68 1LPT Lem Povinal Tanggung 3,333.00 6
69 1LR5X10 Label Roll 5 X 10 558,657.00 1
70 1M3 Meterai 3000 3,000.00 35
71 1M6 Materai 6000 6,000.00 39
72 1MB Map Business 2,292.00 336

73 1MCH20 Map Clear Holder 20 Lembar 10,417.00 20

74 1MG Map Gantung 3,000.00 10
75 1MJ Map Jepit 4,000.00 54
76 1MT Map Tusuk 4,000.00 27
77 1MTIK Isolasi Kertas 3,000.00 6
78 1MTT Map Tomex Tutup 1,875.00 34
79 1OFB Odner Folio Bindex 26,000.00 1
80 1OKB Odner Kwarto Bindex 20,000.00 3
81 1PCL Paper Clip 1,500.00 9
82 1PENGM Penggaris Mika 1,792.00 1
83 1PI Post It 6,000.00 8
84 1PIS Pencabut Isi Staples 7,500.00 3

85 1PKT Pembolong Kertas Tanggung 26,250.00 12

86 1PL Plastik Laminating 850.00 116
87 1PPWB Penghapus Papan WB 3,500.00 3
88 1PST Pensil Stadler 2B 2,708.00 33
89 1PSTAT Papan Status 3,000.00 13
90 1PWMB Pensil Warna M/B 1,125.00 10
91 1RBH Reffil Bolpoint 11,500.00 20
92 1RK3S Rak Kertas 3 Susun 85,000.00 2
 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

93 1RPEN Refill Pentel 13,333.00 27

94 1RPI Refill Pita Ink 5,500.00 10
95 1RPKL300 Refill Pita Printer LX-300 7,500.00 12
Refill Tinta Spidol Marker
96 1RTSMH Hitam 10,000.00 1
97 1RTSWBB Refill Tinta Spidol WB Biru 13,500.00 1
98 1RTSWBH Refill Tinta Spidol WB Hitam 13,000.00 2
99 1SKS Spidol Kecil Snowman 917.00 198
100 1smb Spidol Marker Biru 5,000.00 17
101 1SMH Spidol Marker Hitam 5,417.00 23
102 1SMID Snowman OPF Marker ID 6,667.00 27
103 1SMIKA Sampul Mika 200.00 7
104 1SMP Spidol Marker Putih 10,833.00 2
105 1SP Setip Pensil 1,667.00 1
106 1ST Stabilo 3,333.00 9
107 1STB Stepler Besar 56,250.00 5
108 1STK Stepler Kecil 12,500.00 10
109 1SWB Spidol WB Biru 5,500.00 8
110 1SWH Spidol WB Hitam 6,250.00 36

111 1TDPCW Tinta Data Print Canon Warna 17,500.00 2

112 1TFTP Tinta Fotocopy Tuner Panther 120,000.00 4

113 1TIB Tempat Isolasi Besar 20,000.00 3
114 1TIP Tip-Ex Cair 3,958.00 22
115 1TNOT Tusukan Nota 8,500.00 1
116 1TPB Tempat Pulpen Besar 25,000.00 1
117 1TSV Tinta Stenpel Violet 9,000.00 10
118 1TSZ Tinta Stempel 2,292.00 7
119 3 gab/n Gelang Anak Blue / Nipro 2,772.00 1360
120 3 gap Gelang ID Anak Pink 718.00 300
121 3 gap/n Gelang Anak Pink / Nipro 2,772.00 1200

122 3 gdb/n Gelang Dewasa Blue / Nipro 1,818.00 500

123 3 gdp/n Gelang Dewasa Pink / Nipro 1,818.00 500
124 3AVF AV Fitsula 6,000.00 150
125 3CSF10 CSSD-Pouches Flat 10 Cm 886,050.00 1
126 3CSF25 CSSD-Pouches Flat 25 Cm 2,034,450.00 1
127 3ebsa Electroda Blue Sensor Anak 210,400.00 12

128 3ebsd Electroda Blue Sensor Dewasa 210,400.00 7

129 3es Electroda Scintac 90,750.00 9
130 3gab Gelang ID Anak Blue 718.00 300
131 3gdb Gelang ID Dewasa Blue 1,200.00 500
132 3gdp Gelang ID Dewasa Pink 718.00 200
133 3GG Gely Galon 550,000.00 1
134 3GIBB Gelang Ibu Bayi Blue 6,534.00 240
135 3GIBP Gelang Ibu Bayi Pink 6,534.00 360
136 3IADNR Ident Alert DNR 652.00 1500
 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

137 3IAR Ident Alert Red 652.00 1000

138 3IAY Ident Alert Yellow 652.00 500
139 3KCTGB Kertas CTG Bistos 330,000.00 1
140 3kECGFD Kertas ECG Fukuda Denshi 74,000.00 5
141 3kECGMor Kertas ECG Mortara 220,000.00 6
142 3Kg Kacamata Gogle 20,000.00 2
143 3kUSG Kertas USG Sony 250,000.00 14
144 3KUSG4C Kertas USG 4d Canon 615,000.00 2
145 3SBOX Safetybox 7,000.00 225
146 3SBOXK Safetybox K 5,006.00 350
147 3to Bandana/ Topi Operasi 825.00 240
148 3TPL Thermal Paper Lab 50,000.00 15
149 3TSK Tounge Spatel Kayu 25,000.00 9
150 41BT Batu ABC Tanggung 3,125.00 9
151 4BA2 Batu Alkalin A2 3,350.00 64
152 4BA3 Batu Alkalin A3 3,350.00 58
153 4BKB Batu Kalkulator Besar 5,000.00 3
154 4BKH Batu ABC Kotak Hitam 5,828.00 17
155 4BPB Batu Panasonic Besar 3,700.00 4
156 4SN Senter 17,550.00 5
157 5BCB Bedak Bayi Besar 15,050.00 1
158 5BCT Bedak Bayi Tanggung 6,250.00 3
159 5CB Cotton Bud 2,350.00 2
160 5GS Gelas Susu 7,500.00 169
161 5MT Minyak Telon 29,450.00 8
162 5MT90 Minyak Telon 90Ml 18,450.00 4
163 5SBT Shampo Bayi Tanggung 43,600.00 1
164 5TT Toetoe Tanggung 11,424.00 34
165 5ttb Toetoe Botol 12,712.00 10
166 7MMG Minuman Mineral Gelas 16,200.00 17
167 7PG Pasta Gigi 25 gr 1,383.00 231
168 7SG Sikat Gigi 2,350.00 187
169 7SM Sabun Mandi 2,469.00 233
170 7TAS Tas Packet Pasien 8,500.00 237
171 7TB Tas Bayi 10,000.00 78
172 7TR Tisu Roll 2,700.00 228
173 7W Waslap 3,200.00 225
174 9CO Corong 2,800.00 4
175 9JB Jepitan Baju 6,000.00 7
176 9KAN Kanebo 16,875.00 1
177 9M Meteran 917.00 9
178 9RN Raket Nyamuk 50,000.00 2
179 9SA Serok Air 41,000.00 2
180 9SBJ Sikat Baju 5,600.00 3
181 9SGR Silet Garukan 4,892.00 18
182 9SK Sabut Kawat 1,711.00 13
183 9SO Spon Orang 14,000.00 1
 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

184 9SPLTX Sabut Politex 2,000.00 24

185 9SSM Serok Sampah 27,600.00 1
186 9ST Silet Tatra 3,000.00 10
187 9SWC Sikat WC 21,900.00 2
188 9TH Tissu Handtowel 7,085.00 164
189 9TKK Tisu Kotak Kecil 5,982.00 3
190 9TL Tepokan Lalat 3,000.00 1
191 B3B Baygon Sprai 13,000.00 1
192 B3CAR Carbol Refill 11,369.00 12
193 B3CP Cling Pump 6,960.00 8
194 B3CR Cling Refill 2,952.00 34
195 B3CTRN Citrun 975.00 90
196 B3HA Hit aerosol 600 ml 33,585.00 37
197 B3ML400 Mama Lemon Refill 400ml 7,500.00 68
198 B3MR Molto Reffil 5,086.00 3
199 B3PRES05 Presept 0,5 gr 668.00 1200
200 B3R1 Rinso 1 Kg 16,146.00 13
201 B3RS Rinso Sachet 417.00 31
202 B3SBP Sleek Botol 23,450.00 1
203 B3SDW Sleek Dish/Wash 7,425.00 68
204 B3STLG Stella Gantung 8,585.00 3
205 B3STLM Stella Aerosol 18,578.00 38
206 B3STLMC Stella Matic 27,372.00 42
207 B3VIXB Vixal Botol 800ml 13,400.00 3
208 CABP Amplop BPJS 15,000.00 15
209 CABRSI Amplop Besar RSI 2,125.00 95
210 CAHDI Askep Hemodialisa I 85.00 750
211 CAHDII Askep Hemodialisa II 85.00 750
212 CAKOPB Amplop Berkop Besar 28,000.00 7
213 CAKOPK Amplop Berkop Kecil 15,400.00 14
214 CAKRSI Amplop Kecil RSI 1,275.00 190
215 CAL Amplop Laborat 29,750.00 5
216 CARB Amplop Radiologi Besar 1,628.00 2350
217 CARK Amplop Radiologi Kecil 975.00 801
218 CATCS Amplop Tas Cityscan 3,500.00 1026
219 CAUSG Amplop USG 875.00 1142
220 CAVC Amplop Vidio Colposcopi 875.00 3450
221 CBAG Blangko Asuhan Gizi 85.00 500
Buku Acara Serah Terima
222 CBASTB Barang 85.00 500
223 CBBH Buku Breafing Harian 17,000.00 6
224 CBBM Bon Bahan Makanan 85.00 1500
225 CBBMY Buku BPKP dr Mosjab/Yogi 7,650.00 630
226 CBCPDG Buku CP DHF Grade 42,500.00 6
227 CBCPDT Buku CP Demam Tiroid 42,500.00 6
228 CBCPHI Buku CP Hernia Inguinalis 42,500.00 5
229 CBCPP Buku CP PEB 42,500.00 4
 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

230 CBCPS Buku CP Stroke 42,500.00 6

231 CBDA Bank Darah A 213.00 400
232 CBDAB Bank Darah AB 213.00 1000
233 CBDB Bank Darah B 213.00 800
234 CBDBD Blangko DBD 9,350.00 1
235 CBDO Bank Darah O 213.00 250
236 CBDP Buku Diet Pasien 850.00 350
237 CBIL Buku Induk Laborat 85,000.00 8
238 CBJR Blangko Jasa Raharja 5,100.00 1
239 CBKD Buku Konsul Dokter 5,950.00 10
240 CBKIT Buku Kitir 5,950.00 8
241 CBKSG Blangko Kartu Stock Gizi 85.00 1000
242 CBLCB Buku Laporan Code Blue 17,000.00 3

243 CBLPDB Buku Laporan Pencatatan DB 85,000.00 4

244 CBMK Bukti Penerimaan Kas 4,250.00 26
245 CBOK Buku Obat Kronis 3,825.00 450
Bon Obat Pasien/ Kartu Bon
246 CBOP Obat 2,975.00 62

247 CBPA Buku Pemesanan Ambulance 5,950.00 14

248 CBPAM Buku Penarikan Alat Medis 8,500.00 8
249 CBPB Buku Permintaan Barang 8,500.00 15
250 CBPEAM Buku Perbaikan Alat Medis 8,500.00 5
251 CBPH Buku Pasien Haemodialisa 3,825.00 50

252 CBPI Blangko Perawatan Istimewa 12,750.00 22

253 CBPJTN Buku Jaringan Tubuh NPBI 8,500.00 17

254 CBPJTU Buku Jaringan Tubuh Umum 8,500.00 16

255 CBPK Bukti Pengeluaran Kas 4,250.00 13
256 CBPN Buku Pemberian Nutrisi 2,975.00 11
257 CBPO Buku Pemakaian O2 7,225.00 20
258 CBPO2 Buku Penggunaan O2 3,400.00 34
259 CBPOI Buku Pemakaian Obat IBS 17,000.00 14
260 CBPPa Buku Penunggu Pasien 5,950.00 21
261 CBPPas Buku Personal Pasien 2,975.00 22
Blangko
Perbaikan/Pemasangan/Pemeli
262 CBPPP haraan 12,750.00 10
Buku Pesanan/ Surat Pesanan
263 CBPS2 R.2 5,950.00 20
Buku Pesanan/ Surat Pesanan
264 CBPS3 R.3 4,250.00 17
265 CBREGH Buku Register Haemodialisa 17,000.00 3
266 CBREGK Buku Register Kebidanan 17,000.00 1
267 CBRF Buku Register Fisioterapy 17,000.00 4
268 CBRIGD Buku Register IGD 17,000.00 10
269 CBRP Buku Register Pasien 17,000.00 10
270 CBRRSL Buku Rujukan ke RS lain 5,950.00 12
 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

Blangko Rujukan Tim Home

271 CBRTHC Care 8,500.00 9
Buku Register USG
272 CBRUPR Poli/Radiologi 42,500.00 14
273 CBRUSG Buku Register USG 34,000.00 4
274 CBSB Bukti Setor Bank 3,400.00 9

275 CBSHI Buku Surveilans Harian Infeksi 11,475.00 23

276 CBSN Blangko Skrining Nutri 85.00 1000
277 CBSPN Buku SP Narkotika 17,000.00 1
278 CBSPO Buku SP Obat Tertentu 17,000.00 1
279 CBSPP Buku SP Prekursor 17,000.00 1
280 CBSPPs Buku SP Psikotropika 17,000.00 1
Buku Setor faktur/Tanda
281 CBTTF Terima Faktur/Nota 5,950.00 10

282 CBVE Blangko Visum Et Repertum 85.00 250

283 CBVER Buku Visum Et Repertum 5,950.00 8

284 CBVINA Blangko Verifikasi INA CBG'S 85.00 3500

285 CCEF Buku Checklist Farmasi 2,125.00 23
286 CCIM Cimino 85.00 1250
287 CCLUCS Buku Uji Cocok Serasi 17,000.00 2

288 CDBMB Daftar Belanja Makanan Basah 85.00 600

289 CDLUN Double Lumer 85.00 1000
290 CDPHK Daftar pelaporan hasil kritis 17,000.00 4
Daftar Penggunaan obat &
291 CDPOA alkes IGD 5,950.00 43
292 CEOB Etiket Obat Biru 2,361.00 16
293 CEOF Buku Edukasi Obat Farmasi 5,950.00 9
294 CEOP Etiket Obat Putih 2,361.00 5

295 CFAF Lembar Assesmen Fisioterapy 85.00 500

296 CFDJ Lembar Diit Jantung 136.00 500
297 CFDK Lembar Diit Kanker 85.00 500
298 CFDL Lembar Diit Lambung 136.00 500
299 CFDRG Lembar Diit Rendah Garam 136.00 250

300 CFDRK Lembar Diit Rendah Kolesterol 136.00 500

301 CFDRP Lembar Diit Rendah Sisa 136.00 500
302 CFDRPr Lembar Diit Rendah Protein 136.00 500
303 CFEM Femoral 85.00 250
304 CFKRJ Form Klaim Rawat Jalan 85.00 500
305 CFLP Form Layanan PITC 34,000.00 3
Form Pengeluaran Bahan
306 CFPBM Makanan 85.00 1300
Form Perst. Membuka hasil
307 CFPHTH Tes HIV 12,750.00 4

308 CFPLK Buku Pencatatan Linen Kotor 8,500.00 2

309 CFPP Form Pemantauan Porsi 85.00 750
 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

310 CFPTF Form Perstj. Tes HIV 17,000.00 3

311 CFPW Form Pemantauan Waste 85.00 2500
312 CFRBB Form Rencana Bahan Basah 85.00 2000
313 CFRC Form Rujukan CST 17,000.00 3
314 CFSGTBO Form Skrining TB ODHA 17,000.00 3
315 CFTPB Tim pengendali BPJS 136.00 1500

316 CGOM Gantungan Orang Meninggal 680.00 50

317 CHL Hasil Laborat 10,200.00 11
Hasil USG Ginetology
318 CHUGM [Link] 25,500.00 43

319 CHUGY Hasil USG Gynekology dr. Yogi 25,500.00 33

Hasil USG Obstetrik
320 CHUOM [Link] 25,500.00 41

321 CHUOY Hasil USG Obsentrik dr. Yogi 25,500.00 53

322 CHUSGN Hasil USG Non PBI 11,475.00 20
323 CHUSGP Hasil USG PBI 11,475.00 12
324 CHUSGU Hasil USG Umum 19,775.00 13
Hasil Uji Silang Serasi/
325 CHUSS Crosmacth 5,950.00 8
326 CJM Jadwal Makan 2,975.00 100
327 CKBM Kartu Kebidanan Dr. Mosjab 510.00 2000
328 CKCKM Kartu Ceklist Kamar Mandi 595.00 894
329 CKF Kegiatan Farmasi 11,475.00 27
330 CKFB Kwitansi Farmasi Besar 11,050.00 6
331 CKFK Kwitansi Farmasi Kecil 4,250.00 14
332 CKGD Kartu Golongan Darah 298.00 1398
333 CKKA Kartu Kontrol APAR 425.00 500
334 CKKOP Kertas Berkop/ Kop Surat 140.00 5000
335 CKMS KMS 1,275.00 753
336 CKNM Kartu Nama Dr Moesjab 34,000.00 3
337 CKNYOG Kartu Nama dr. Yogi 34,000.00 2
338 CKPAR Buku Karcis Parkir 2,833.00 46
339 CKPBY Kartu Periksa B dr Yogi 510.00 400
340 CKPDMB Kartu Periksa B dr Mosjab 510.00 500

341 CKPM Kartu Periksa Dokter Mosjab 170.00 300

342 CKRM Kwitansi RM 4,250.00 9
343 CKSG Kartu Stok Gizi 85.00 1000
344 CLA Laporan Anastesi 340.00 964
Label Farmasi Pagi Siang Sore
345 CLFPSSM Malam 434.00 400
346 CLG Lampiran Gadar 17,000.00 17
347 CLGCGM Laporan ECG Monitor 4,250.00 8
348 CLHDR Buku harian dr jaga IGD 8,500.00 17

349 CLHP Laporan Harian Perawat IGD 25,500.00 7

350 CLHPA Laporan Hasil PA (Bukti) 2,975.00 68
 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

Label Infus 2 Warna (High

351 CLI2W Alert) 476.00 900
Lembar Instruksi Pasien
352 CLIPP Pulang 43.00 900
353 CLL Label Laboratorium 434.00 300
354 CLLB Lembar Letter Bayi 850.00 56
355 CLM1 Lampiran Maternitas 1 17,000.00 15
356 CLOB Lembar Observasi dan DJJ 12,750.00 9
357 CLP Laporan Persalinan 25,500.00 22

358 CLPB Laporan Penerimaan Barang 8,500.00 15

359 CLV Laporan Vertilator 4,250.00 12
360 CLVCT Laporan Tes VCT Anti Bodi 17,000.00 5
361 CMICU Monitoring ICU 3,315.00 350
362 CMPNICU Monitoring PICU/NICU 3,315.00 500
RML01 Form Persetujuan
363 CMRML01 Umum 119.00 3750
364 COG On Going 85.00 4000
365 CPA Perjalanan Ambulan 2,975.00 16
366 CPAR Partograf 12,750.00 5
Permintaan ECG / USG Non
367 CPEUN PBI 5,950.00 6
368 CPEUP Permintaan ECG / USG PBI 5,950.00 15

369 CPEUU Permintaan ECG / USG UMUM 5,950.00 13

370 CPF Lembar Permintaan Fisioterapy 4,250.00 8

371 CPJ Pemeriksaan Jaringan 4,250.00 9
Permintaan Laboratorium Non
372 CPLN PBI 5,950.00 33

373 CPLP Permintaan Laboratorium PBI 5,950.00 27

Permintaan Laboratorium
374 CPLU Umum 4,250.00 20

375 CPRN Permintaan Rontgen Non PBI 11,688.00 7

376 CPRP Permintaan Rontgen PBI 11,475.00 19

377 CPRU Permintaan Rontgen Umum 11,475.00 5

378 CRA Register Arofah 17,000.00 6
379 CRAN Resep Arafah NPBI 8,500.00 28
380 CRAP Resep Arafah PBI 8,500.00 5
381 CRAU Resep Arafah Umum 8,550.00 30
382 CRB Rujukan Balik 5,950.00 15
383 CRBK RM Ranap Bayi (KBY) 17,000.00 106
384 CRDM Resep Dokter Moesjab 8,500.00 9
385 CRDRYO Resep dokter Yogi 8,500.00 6
386 CREGP Register Perinatologi 46,750.00 4
387 CRFV Buku Return Farmasi VK 2,125.00 10
388 CRHDB Resep HD Umum 8,500.00 16

389 CRHDN Resep Haemodialisa Non PBI 8,500.00 15

 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

390 CRHDP Resep Haemodialisa PBI 8,500.00 19

391 CRIBSN Resep IBS Non PBI 8,500.00 5
392 CRIBSU Resep IBS Umum 8,500.00 26
393 CRIGDN Resep IGD Non PBI 8,500.00 12
394 CRIGDP Resep IGD PBI 8,500.00 33

395 CRJIGD Rekapitulasi Jaga IGD/Bangsal 5,950.00 4

396 CRKB Register Kematian Bayi 42,500.00 5
397 CRKBY Register KBY 25,500.00 4
398 CRKL Register Klinik Lebaksiu 17,000.00 2
399 CRKM Resep Kaca Mata 4,250.00 17
RM 01 Lembar Masuk dan
400 CRM01 Keluar 17,000.00 16
401 CRM02B RM02B Status Luka 17,000.00 10

402 CRM03B RM03B Lembar Observasi IGD 17,000.00 24

403 CRM03E RM03E Asesmed Pasien Anak 17,000.00 8

RM03G Asmed Pasien
404 CRM03G Neonatus 17,000.00 10
RM03I Asmed Ranap
405 CRM03I Kebidanan 17,000.00 4
406 CRM03K RM03K Discharge Planning 17,000.00 14

407 CRM03M RM03M Asmed Ranap Tulang 17,000.00 9

408 CRM03O RM03O Asmed Ranap Mata 17,000.00 12

409 CRM03Q RM03Q Asmed Ranap Bedah 17,000.00 11

410 CRM03S RM03S Asmed Ranap Dalam 17,000.00 3

RM03U Asmed Ranap Kulit
411 CRM03U Kelamin 17,000.00 11

412 CRM03W RM03W Asmed Ranap Syaraf 17,000.00 8

413 CRM03Y RM03Y Asmed Ranap THT 17,000.00 13
414 CRM04 RM04 CPPT 17,000.00 105
RM05 Catatan Edukasi Ps &
415 CRM05 Kel Terintergrasi 17,000.00 15
RM06 Lembar Dokter
416 CRM06 Penanggungjawab Pasien 17,000.00 19
417 CRM07 RM07 Lembar konsultasi 17,000.00 11
RM08 Lembar Observasi
418 CRM08 Harian Pasien 17,000.00 15
RM09 Monitoring Pasien
419 CRM09 Terpasang Infus 17,000.00 16

420 CRM10 RM10 Catatan Pemberian Obat 17,000.00 27

421 CRM10B RM10B Meso 17,000.00 5
RM12 Resume Medis Rawat
422 CRM12 Inap 17,000.00 60

423 CRM15 RM15 Pemeriksaan Radiologi 85.00 280

RM9B Grafik Obserfasi Harian
424 CRM9B Pasien 17,000.00 16
 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

RMA02 Catatan Kegiatan

425 CRMA02 Harian Perawat (Anak) 17,000.00 18
RMA03 Assesment Ulang
426 CRMA03 Resiko Jatuh 17,000.00 44

427 CRMA04 RMA04 Assesment Ulang Nyeri 17,000.00 47

428 CRMB05 RMB05 Assesment Ulang Nyeri 17,000.00 11

RMB09 Lembar Observasi Bayi
429 CRMB09 dlm Rooming In 17,000.00 33
RMB11 Lembar Observasi Bayi
430 CRMB11 Baru Lahir 17,000.00 32
RMB12 Serah Terima Bayi
431 CRMB12 Pulang 17,000.00 4
RMD02 Catatan Kegiatan
432 CRMD02 Harian Perawat (dewasa) 17,000.00 4
RMD03 Assesment Ulang
433 CRMD03 Resiko Jatuh Dewasa 17,000.00 32

434 CRMD04 RMD04 Assesment Ulang Nyeri 17,000.00 4

RMH02 Pemberian Info Tind.
435 CRMH02 HD 17,000.00 16
436 CRMI05 RMI05 Catatan Sedasi 17,000.00 14
437 CRMI06 RMI06 Catatan operasi baru 17,000.00 10
RMJ01B Asesmen lanjutan
438 CRMJ01B rawat jalan 119.00 500
RMJ02B(B) Assesmen
439 CRMJ02BB Kebidanan 17,000.00 7
RMJ03 Asesmen awal rajal poli
440 CRMJ03 kebidanan 17,000.00 16
RMJ03B Asesmen lanjutan
441 CRMJ03B rajal poli kebidanan 17,000.00 15
442 CRMJ03F RMJ03 Fisioterapy 17,000.00 4
443 CRMJ04 RMJ04 Resume Rawat Jalan 17,000.00 17
RMJ05 Persetujuan umum
444 CRMJ05 rajal 17,000.00 10
445 CRMJ06 RMJ06 Lembar Skrining 17,000.00 13
446 CRMJ1 RMJ1 Asmed Anak Rajal 17,000.00 2
RMJ1D Asmed Kebidanan
447 CRMJ1D Rajal 17,000.00 1
448 CRMJ1F RMJ1F Asmed Kulit Kelamin 17,000.00 7
449 CRMJ1I RMJ1I Asmed Bedah Rajal 17,000.00 9
450 CRMJ1K RMJ1K Asmed Dalam Rajal 17,000.00 2
451 CRMJ1M RMJ1M Asmed Mata Rajal 17,000.00 14

452 CRMJ1P RMJ1P Asmed Neonatus Rajal 17,000.00 15

453 CRMJ1R RMJ1R Asmed Syaraf Rajal 17,000.00 13
454 CRMJ1T RMJ1T Asmed THT Rajal 17,000.00 4
455 CRMJ1V RMJ1V Asmed Tulang Rajal 17,000.00 7
456 CRMJ1X RMJ1X Asmed Rajal Umum 17,000.00 3
RML02 Permohonan Rawat
457 CRML02 Inap 85.00 3000
RML03 Surat Persetujuan
458 CRML03 Rawat Inap 85.00 4000
 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

RML04 Bukti Orientasi &

459 CRML04 Penjelasan Informasi ps 85.00 4000
RML05A Catatan Perencanaan
460 CRML05A Asma 119.00 1500

RML05B Catatan Perencanaan

461 CRML05B BBLC Spontan 119.00 400
RML05C Catatan Perencanaan
462 CRML05C BBLR 119.00 1150

RML05D Catatan Perencanaan

463 CRML05D Cedera Kepala 119.00 500

RML05E Catatan Perencanaan

464 CRML05E Cirosis Hepatitis 119.00 1800
RML05F Catatan Perencanaan
465 CRML05F [Link] 119.00 1000
RML05G Catatan Perencanaan
466 CRML05G [Link] 119.00 830
467 CRML05H RML05H DHF 119.00 1700

RML05I Catatan Perencanaan

468 CRML05I Diabetes Militus 119.00 500
RML05J Catatan Perencanaan
469 CRML05J Fraktur 119.00 750

RML05K Catatan Perencanaan

470 CRML05K Gastro Enteristis 17,000.00 12
RML05L Catatan Perencanaan
471 CRML05L Ikterik 119.00 1500
RML05M Catatan Perencanaan
472 CRML05M Ileus 119.00 1350
RML05N Asuhan Kebid. Kala I
473 CRML05N Fase Laten 85.00 47
RML05O Asuhan Kebidanan
474 CRML05O Kala I fase Aktif 85.00 400
RML05P Asuhan Kebidanan
475 CRML05P Kala II 85.00 200
RML05Q Asuhan Kebidanan
476 CRML05Q Kala III 85.00 400
RML05R Asuhan Kebidanan
477 CRML05R Kala IV 85.00 350
478 CRML06 RML06 Form Asuhan Gizi 85.00 750
RML07 Formulir Penundaan
479 CRML07 Pelayanan 85.00 1300
RML08 Formulir Do Not
480 CRML08 Resucitate 85.00 1120
RML09 Formulir Ijin/Cuti
481 CRML09 Sementara dlm Perawatan 85.00 1280
RML09A Form Permohonan
482 CRML09A Ijin/Cuti smtra dlm prawata 85.00 1380
RML10 Form Pemberian
483 CRML10 Informasi MBO 85.00 1200
RML11 Form Penyimpanan
484 CRML11 Barang Berharga 85.00 450
RML11 Penyimpanan Barang
485 CRML11Bk Berharga Milik Ps 17,000.00 7
RML12 Form Pulang Atas
486 CRML12 Permintaan Pasien 85.00 1500
 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

RML13 Transfer Pasien

487 CRML13bk Eksternal 17,000.00 28
RML14 Form Transfer Pasien
488 CRML14 Internal 85.00 1500
RML15 Pemberian Informasi
489 CRML15 Tranfusi & Produk darah 119.00 500
RML16 Form Kriteria Pasien
490 CRML16 ICU 17,000.00 13
491 CRML17 RML17 Asesmen Restrain 85.00 975
RML18 Form Observasi
492 CRML18 Restrain 85.00 1296
RML19 Pengawasan Therapi
493 CRML19 Insulin pada DM 85.00 1900

RML20 Persetujuan
494 CRML20 Menentukan Dokter Spesialis 85.00 1210
RML21 Persetujuan Pendapat
495 CRML21 Lain 85.00 1250

RML22 Persetujuan/Penolakan
496 CRML22 Pemberian Terapi 119.00 990
RML23 Pemberian Informasi
497 CRML23 Tindakan Pembiusan 119.00 1000

498 CRML24 RML24 Penolakan Pengobatan 85.00 1500

RML25 Surat Pernyataan
499 CRML25 Perlindungan Harta Benda 85.00 1700
RML26 Pemberian Informasi
500 CRML26 Biaya Rawat Inap 85.00 1000
RML27 Monitoring Pasien
501 CRML27 Terpasang Tranfusi Darah 85.00 625
RML28 Surat Pernyataan
502 CRML28 Kenaikan Kelas Perawatan 85.00 1200
RML29 Surat Pemberitahuan
503 CRML29 Pulang 85.00 3430
504 CRML30 RML30 Surat Kematian 17,000.00 4
505 CRML31 RML31 SPDT 17,000.00 20
506 CRML32 RML32 Surat Kelahiran 17,000.00 14
RML33 Asesmen Pasien
507 CRML33 Terminal 119.00 800
508 CRML33B RML33B Buku Assesmen 17,000.00 5

RML34 Surat Pernyataan

509 CRML34 Pemberian Info medis & Edu 85.00 1490
RML35 Ases. Awal Nyeri pd ps
510 CRML35 tdk sadar (ICU) 85.00 1200
RML36 Ases. Awal Nyeri pd ps
511 CRML36 tdk sdr (PICU/NICU) 85.00 1400
RML37 Ases. Awal Nyeri pd ps
512 CRML37 tdk sdr (Bayi,Anak,De 85.00 1300
RML38 Ases. Ulang Nyeri
513 CRML38 Bayi,Anak,Dewasa 119.00 1350
RML39 Informed Consent
514 CRML39 Tindakan Kedokteran 119.00 1700

RML40 Persetujuan Penolakan

515 CRML40 Pemulasaran Jenazah 119.00 1360
 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

RML41 Surat Pernyataan Do

516 CRML41 Not Resucitate 85.00 1195
517 CRML42 RML42 Piutang 17,000.00 53
518 CRML43 RML43 Surat Rujukan 17,000.00 23
519 CRML44 RML44 Edukasi Pasien Rajal 17,000.00 5
520 CRML45 RML45 Pelayanan Rohani 17,000.00 12
RML46 Pemberian Info
521 CRML46 Restrain 17,000.00 3

522 CRML47 RML47 Pemeriksaan Rujukan 17,000.00 8

523 CRML48 RML48 Appendictomi 119.00 405
524 CRML49 RML49 Debredement 119.00 500
525 CRML50 RML50 Buble C-PAP 17,000.00 3
526 CRML51 RML51 Seksio Caesaria 119.00 900
527 CRML52 RML52 Pemasangan Orif 119.00 480
528 CRML53 RML53 Tensilektomi 119.00 500

529 CRML55 RML55 Persalinan Pervaginam 119.00 250

530 CRML57 RML57 Hernioraphy 119.00 355
531 CRML59 RML59 Sectio Alta 17,000.00 4
532 CRML63 RML63 Kuretase 119.00 50
533 CRML63H RML63 Histerektomi 119.00 500
534 CRML64E RML64 Explorasi Laparatomi 119.00 250
535 CRML66 RML66 Ekek 119.00 350
536 CRML72a RML72a Pemasangan DC 119.00 500
537 CRML73a RML73a Pemasangan NGT 119.00 400
538 CRML74 RML74 Pemasangan OGT 119.00 570
539 CRML75 RML75 CT scan abdomen 119.00 590
540 CRML76 RML76 Abdomen Pelvis 119.00 400
541 CRML77 RML77 Collon In Loop 119.00 320
542 CRML78 RML78 IVP 119.00 360
543 CRML79 RML79 Pasang ETT 119.00 150

544 CRML80 RML80 CVP / Double Lumer 119.00 350

545 CRML81 RML81 Pasang Tracheostomy 119.00 450

546 CRML82 RML82 CVP/Double Lumen 119.00 500

547 CRML83 RML83 Perawatan Pasien ICU 119.00 1

548 CRML84 RML84 Survailens Infeksi 4,985.00 25
549 CRML84V RML84V Ventilator Mekanik 119.00 400
550 CRML85 RML85 Inform Radiologi 85.00 780
551 CRML86 RML86 KIE 17,000.00 4
552 CRML87 RML87 Rujukan Komunitas 17,000.00 11
RML88 Form Kriteria pasien
553 CRML88 PICU 17,000.00 19
554 CRMLHD Lampiran Haemodialisa 17,000.00 11
555 CRMLI Lampiran IBS 17,000.00 26
556 CRMLIBSSC Lampiran IBS SC 17,000.00 23
557 CRMM01 RMM01 Catatan Persalinan 17,000.00 11
 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

558 CRMM01A RMM01A Observasi Kala I 17,000.00 9

RMM02A Pemantauan
559 CRMM02A Persalinan 17,000.00 5

560 CRMM02C RMM02C Partogram Persalinan 17,000.00 9

RMM04 Asesmen ulang risiko
561 CRMM04 jatuh dewasa 17,000.00 21

562 CRMM05 RMM05 Asesmen ulang nyeri 17,000.00 19

RMM06 Catatan harian
563 CRMM06 perawat (maternitas) 17,000.00 12
564 CRMRAI RM Ranap Anak (IGD) 17,000.00 91
565 CRMRAP RM Ranap Anak (Poli) 17,000.00 54
566 CRMRBI RM Ranap Bayi (IGD) 17,000.00 27
567 CRMRBP RM Ranap Bayi (Poli) 17,000.00 27
568 CRMRDI RM Ranap Dewasa (IGD) 17,000.00 146
569 CRMRDP RM Ranap Dewasa (Poli) 17,000.00 177

570 CRMRM2I RM Ranap Maternitas 2 (IGD) 17,000.00 16

571 CRMRM2P RM Ranap Maternitas 2 (Poli) 17,000.00 50

572 CRMRM3I RM Ranap Maternitas 3 (IGD) 17,000.00 70

573 CRPA Rujukan Pelayanan Ambulance 8,500.00 19

574 CRPOLIN Resep Poliklinik NPBI 8,500.00 17
575 CRPOLIU Resep Poliklinik Umum 8,500.00 57
Registrasi Pasien Radiologi
576 CRPRB Besar 106,250.00 1
Registrasi Pasien Radiologi
577 CRPRS Sedang 42,500.00 2

578 CRRIR Register Rawat Inap Ruangan 17,000.00 16

579 CRS Resep Spesialis 8,500.00 18
580 CRSN Resep Spesialis Non PBI 8,500.00 12
581 CRSP Resep Spesialis PBI 8,500.00 24
582 CSAML Stiker Alat Medis Laborat 1,275.00 400
583 CSbkDB Sabuk Darah B 255.00 200
584 CSBKDO Sabuk Darah O 255.00 300

585 CSBMT Stiker Bahan Mudah Terbakar 1,700.00 2

586 CSDA Stiker Darah A 425.00 400
587 CSDAB Stiker Darah AB 425.00 950
588 CSDB Stiker Darah B 425.00 900
589 CSDO Stiker Darah O 425.00 100
590 CSH Sensus Harian 10,200.00 17
591 CSHA Stiker High Alert 574.00 200
592 CSHD Stiker Harus Diencerkan 434.00 400
593 CSJ Stiker Jatuh 1,955.00 2
594 CSJK Stiker Jatuh Kecil 255.00 102
595 CSKD Surat Keterangan Dokter 4,250.00 12

596 CSKK Surat Keterangan Kesehatan 4,250.00 3

 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

Surat Keterangan Kenaikan

597 CSKKB BPJS 85.00 580
Surat ket. Msh dlm rujukan
598 CSKRB balik 5,950.00 38
Surat ket. Msh dlm rujukan blk
599 CSKRBU Umum 5,950.00 12
600 CSL Stiker LASA 574.00 500
601 CSLAG Skrining Lanjut Asuhan Gizi 85.00 300
602 CSP Surat Pernyataan 85.00 600
603 CSPER Surat Perjanjian 85.00 500
604 CSPK S. Perny. Melengkapi BPJS 85.00 400
Surat Perny. Ksediaan
605 CSPKBS membayar selisih 85.00 750
606 CSPL Stiker Pasang Lepas 102.00 200
Buku Surat Pesanan Obat Pre
607 CSPOPF Farmasi 8,500.00 4
608 CSPRJ Surat permh. [Link] [Link] 85.00 1400
609 CSPRM Surat permh. Resume 85.00 750
SP Sanggup Bayar Semua
610 CSPSM Biaya 85.00 400
611 CSR Salinan Resep 5,950.00 15
612 CSRM Stopmap RM 3,150.00 2300
613 CSRUPA Buku Surat Rujukan Umum 8,500.00 3
614 CSSBRM Susunan Berkas RM 17,000.00 33
Serah Terima Obat & Alkes
615 CSTOAP Milik Ps 17,000.00 15
616 CSUSG Stofmap USG 1,452.00 1850
617 CTAN Tool Assement Nyeri 850.00 20
618 KAGK Agar Kit 27,000.00 4
619 KAL(KP) Alumunium Foil 11,458.00 48
620 KBO Bumbu Origano 10,500.00 8
621 KBP Beking Powder 1,500.00 6
622 KBWP50 Bawang Putih 0,50 Kg 8,000.00 56
623 KCD Collata Dark 46,000.00 3
624 KCW Collata White 48,000.00 2
625 KFMP Fermipan 15,000.00 13
626 Kg12 Gelas Starindo 12 0z 10,000.00 120
627 Kg25 Garam 250 gr 3,250.00 37
628 KGB Garpu Buah 656.00 25

629 KgDS(200) Gula Deabetasol sachet (200) 63,030.00 9

630 KgHLS Gula Halus 5,000.00 9
631 KgMT Gula Merah Tropikana 50.00 9
632 KgPR Gula Pasir 10,950.00 100
633 KgS Gula Sachet 240.00 13000
634 KHW Hunkwe 2,450.00 40
635 KJB Jinten bubuk 4,703.00 1
636 KJK25 Jamur Kuping 250 gr 25,000.00 6
637 KJP500 Jamur Putih 500 gr 90,000.00 1
638 KJPK Jamur Putih Kecil 18,500.00 13
 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

639 KKB200 Ketumbar Bubuk 200 gr 12,050.00 3

640 KKC Kertas Cap Bolu 16,000.00 6
641 KKCB Kertas Cap Brownis 38,000.00 7
642 KKE50 Kemiri 0,50 Kg 15,700.00 10
643 KKI(M) Kecap Ikan Merah 12,550.00 6
644 KKJ Keju 180gr 19,300.00 38
645 KKM(B) Kecap Manis Bangau 600ml 25,100.00 14
646 KKMT Kecap Manis Tropikana 122,500.00 6
647 KKT Kembang Tahu 16,500.00 5
648 KLB1 Lada Bubuk 100gr 16,250.00 25
649 KM(S) Margarin Simas 7,000.00 52
650 KMA Makaroni 9,900.00 15

651 KMC50(Btg) Meses coklat bintang 0,50Kg 14,000.00 15

652 KMG Minyak Goreng 1 ltr 13,500.00 54
653 KMKWE Mie Kwetiaw 4,000.00 16
654 KMPBe Mika Plastik Besar 11,000.00 23
655 KMPK Mangkok Plastik Kecil 11,500.00 70
656 KMPKc Mika Plastik Kecil 5,000.00 25
657 KMPTa Mika Plastik Tanggung 8,000.00 80
658 KMS Miesua 4,000.00 5
659 KMTel Mie Telor 4,450.00 40
660 KMUS Mustard 17,750.00 4
661 KMW Minyak Wijen 34,700.00 2
662 KNUT Nutrijell 3,750.00 24
663 KPB Pala Bubuk 6,250.00 18
664 KPD15 Gelas Puding 8,000.00 14
665 KPH Plastik Hungkue 14,500.00 10
666 KPK(K) Penyedap Kennor Kemasan 75,000.00 4
667 KPPC Pewarna Pasta Ckt 8,050.00 20
668 KPPCW Plastik Press Cling Wrap 11,026.00 312
669 KPPP Pewarna Pasta Panda 8,100.00 2
670 KPS Pising Snack 1,100.00 600
671 KS Sirup 21,150.00 3
672 KS(SK) Santan Sun Kara 200 ml 7,150.00 73
673 KSB Sendok Bebek 16,500.00 5

674 KSCB8 Susu Coklat Bendera 800 gr 58,350.00 5

675 KSCI4 Susu Coklat Indomilk 400 gr 31,450.00 30

676 KSD Susu Diabetasol 600gr 124,520.00 9
677 KSE Susu Enteramix 180gr 48,670.00 4
678 KSEK Susu Entrakid 46,246.00 2
679 KSH Susu Hepatosol 180gr 103,488.00 40
Saos Inggris Sedap Wangi
680 KSI1 300ml 32,550.00 4
681 KSJ25 Sohun Jagung 250gr 7,500.00 33
682 KSK Soda Kue 4,500.00 15
683 KSKM(B) SKM Putih Bendera 9,950.00 8
 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

684 KSL Selai 7,000.00 8

685 KSM Sagu mutiara 250 gr 4,750.00 22
686 KSMP Sendok Makan Plastik 7,500.00 4
687 KSN Susu Neprisol 185 gr 55,140.00 16
688 KSND Susu Neprisol D 105 gr 62,847.00 5
689 KSP Sendok Puding 7,000.00 2
690 KSP185 Susu Peptisol 185 gr 60,476.00 16
691 KSPB4 Susu Putih Bendera 400 gr 37,750.00 2
692 KSPI4 Susu Putih Indomilk 400 gr 34,350.00 10
693 KSPI8 Susu Putih Indomilk 800 gr 64,400.00 4
694 KSPT Sendok Plastik & Tisu 390.00 3800
695 KSS Saos Sambel 102,000.00 1
696 KST.B Saos Teriyaki 275 ml 16,500.00 9
697 KST.B(P) Saos Tiram Panda 45,000.00 6
698 KSTB Sedotan Tekuk Bungkus 25,000.00 9
699 KSTGP Sarung Tangan Plastik 20,500.00 17
700 KSTO1 Saos Tomat 83,950.00 1
701 KSTROP Sirup Tropical 29,200.00 3
702 KTB5 Tepung Beras 500 gr 6,000.00 40
703 KTBS Teh Bubuk 3,050.00 70
704 KTCT1 Teh Celup Sachet 100 2,900.00 16
705 KTG12 Tutup Gelas 12 OZ 3,750.00 60
706 KTGP Tutup Gelas Puding 2,000.00 14
707 KTGPB Seroform Buah Besar 60,000.00 9
708 KTGPK Seroform Buah Kecil 50,000.00 4
709 KTM150 Tepung Mayzena 150 gr 3,800.00 35
710 KTMP Tissu Makan Putih 2,500.00 80
711 KTT05 Tepung Tapioka 500 gr 4,500.00 25
712 KTT1 Tepung Terigu 1 Kg 8,000.00 19
Plastik Klip 10 x 15 (Besar)
713 PKB10X15 (100Lembar) 153.00 1000
714 PKHJ Kresek Hitam Jumbo 28,000.00 24
715 PKHK Kresek Hitam Kecil 25,000.00 11

716 PKJ12X20 Plastik Klip 12 X 20 (Jumbo) 234.00 500

Plastik Klip 7 x 10 (Kecil)
717 PKK7X10 (100Lembar) 123.00 8000
718 PKKJ Kresek Kuning Jumbo 31,000.00 26
719 PKPBS Kresek Putih Besar 276.00 1500
Kresek Putih Kecil
720 PKPK100 (100Lembar) 183.00 9500
721 PKPSP Kresek Putih Sedang Polos 183.00 2100
Plastik Klip 13 x 8,7 (sdg)
722 PKS13X8 (100Lembar) 132.00 3900
723 PP10X17 Plastik 10 x 17 (Pack) 6,750.00 25
724 PP15X20 Plastik 15 x 20 (Pack) 6,750.00 36
725 PP15X30 Plastik 15 x 30 (Pack) 6,750.00 39
726 PP20X30 Plastik 20 x 30 (Pack) 6,750.00 43
727 PP26X50 Plastik 26 X 50 7,250.00 11
 Hasil Stock Opname Logistik Umum
30 -31 Desember 2017

728 PP6X10 Plastik 6x10 7,000.00 15

729 PPPBH Plastik Polybag Hitam 28,000.00 75
730 PPPBK Plastik Polybag Kuning 31,000.00 75
731 PPPBP Plastik Polybag Putih 31,000.00 25