LAPORAN PEMBELIAN BARANG Dicetak tanggal : 27/05/2019

SIM RSUD KAB. BULELELNG

Jalan Ngurah Rai No. 30 Singaraja
Gudang : GUDANG LAB
Tanggal 01 Mei 2019 s/d 27 Mei 2019

Kode Nama Barang No. Faktur Suplier Harga Jumlah Diskon Total
Barang (%)

No Faktur: 000253/PRS/04/2019 02/05/2019

L00106 HCG V CARE 000253/PRS/04/ PT PUTERA RAGAM SARI 330.000,00 3 0 990.000,00
2019
Total : 990.000,00

No Faktur: 003353 03/05/2019

L00015 Bilirubin Auto Total Dialab 5x25 ml 003353 PT. CAHYA INTAN MEDICA 3.256.000,00 2 0 6.512.000,00
L00012 Creatinin 5x25ml 003353 PT. CAHYA INTAN MEDICA 2.057.000,00 6 0 12.342.000,00
L00025 Diacal Auto 003353 PT. CAHYA INTAN MEDICA 715.000,00 3 0 2.145.000,00
L00023 Diacon N 003353 PT. CAHYA INTAN MEDICA 715.000,00 6 0 4.290.000,00
L00016 SGOT 5x100ml 003353 PT. CAHYA INTAN MEDICA 6.435.000,00 2 0 12.870.000,00
L00017 SGPT 5x100ml 003353 PT. CAHYA INTAN MEDICA 6.435.000,00 1 0 6.435.000,00
L00011 Urea UV 5x50ml 003353 PT. CAHYA INTAN MEDICA 3.960.000,00 2 0 7.920.000,00
Total : 52.514.000,00

No Faktur: PT19/02572 03/05/2019

L00128 ONE LAB OBJECT GLASS 7101 PT19/02572 PT. SANIDATA INDONESIA 18.308,32 50 0 915.416,04
Total : 915.416,04

No Faktur: FKT/DPS/2019/00004090 02/05/2019

L00140 TIPS FOR MICROPIPETTES MT I FKT/DPS/2019/0 RAJAWALI NUSINDO 175.700,00 4 0 702.799,99
0004090
Total : 702.799,99

No Faktur: 003361 07/05/2019

L00009 Pot Urine 003361 PT. CAHYA INTAN MEDICA 2.200,00 500 0 1.100.000,00
Total : 1.100.000,00
 Kode Nama Barang No. Faktur Suplier Harga Jumlah Diskon Total
Barang (%)

No Faktur: 003362 07/05/2019

L00092 REAGEN NONNE 003362 PT. CAHYA INTAN MEDICA 744.150,00 1 0 744.150,00
L00093 REAGEN PANDY 003362 PT. CAHYA INTAN MEDICA 233.200,00 1 0 233.200,00
Total : 977.350,00

No Faktur: IV/19/000877 08/05/2019

L00164 SEMILLAS SAMPLE CONTAINER IV/19/000877 PT.CAHYA MURNI 1.804,00 5000 0 9.020.000,00
CEMERLANG
Total : 9.020.000,00

No Faktur: 58190026369 09/05/2019

L00130 BD TUBE EDTA PLH13X75 3,0 58190026369 PT. ANUGRAH ARGON 169.100,01 50 0 8.455.000,35
BD TUBE PLN PLH 13X75 4,0 LIBLRA
MEDICA
L00121 58190026369 PT. ANUGRAH ARGON 123.600,01 50 0 6.180.000,66
MEDICA
Total : 14.635.001,00

No Faktur: 1035/NTU/V/2019 09/05/2019

L00006 CD Emerald Cleaner 960 ml, Abott 1035/NTU/V/201 NUSA TRIUTAMA 4.455.000,00 1 0 4.455.000,00
CD Emerald Lyse 960 ml, Abott
9
L00007 1035/NTU/V/201 NUSA TRIUTAMA 7.260.000,00 1 0 7.260.000,00
COMBUR UX 100 STR 100 TEST
9
L00138 1035/NTU/V/201 NUSA TRIUTAMA 687.500,00 2 0 1.375.000,00
9
Total : 13.090.000,00

No Faktur: 1034/NTU/V/2019 09/05/2019

L00071 Aution Stick 10 EA Arkray 1034/NTU/V/201 NUSA TRIUTAMA 687.500,00 5 0 3.437.500,00
CD 26 PLUS TRILEVEL CONTROL
9
L00113 1034/NTU/V/201 NUSA TRIUTAMA 3.668.500,00 2 0 7.337.000,00
CD 32 Hemoglobin Free 3,8 liter, Abbott
9
L00003 1034/NTU/V/201 NUSA TRIUTAMA 5.225.000,00 1 0 5.225.000,00
CD Diluent/Sheeth CD 3200 20 liter, Abbott
9
L00001 1034/NTU/V/201 NUSA TRIUTAMA 5.225.000,00 5 0 26.125.000,00
CD Enzymatic Cleaner
9
L00004 1034/NTU/V/201 NUSA TRIUTAMA 2.255.000,00 1 0 2.255.000,00
CD Ruby /32 WBC Lyse 3,8 liter, Abbott
9
L00002 1034/NTU/V/201 NUSA TRIUTAMA 13.860.000,00 7 0 97.020.000,00
9
Total : 141.399.500,00

No Faktur: 003371 10/05/2019

L00015 Bilirubin Auto Total Dialab 5x25 ml 003371 PT. CAHAYA INTAN 3.256.000,00 1 0 3.256.000,00
MEDIKA
 Kode Nama Barang No. Faktur Suplier Harga Jumlah Diskon Total
Barang (%)

L00066 Cuvette Washing Sol 003371 PT. CAHAYA INTAN 3.300.000,00 1 0 3.300.000,00
Diacal Auto
MEDIKA
L00025 003371 PT. CAHAYA INTAN 715.000,00 3 0 2.145.000,00
Urea UV 5x50ml
MEDIKA
L00011 003371 PT. CAHAYA INTAN 3.960.000,00 3 0 11.880.000,00
MEDIKA
Total : 20.581.000,00

No Faktur: 0523/MS/V/19 13/05/2019

L00119 HBSAG STRIP 50 TEST 0523/MS/V/19 PT MITRASAMAYA SEJATI 4.933,33 300 0 1.479.999,99
Total : 1.479.999,99

No Faktur: 58190027770 14/05/2019

L00159 BD VACUTAINER FLASHBACK BLOOD 58190027770 PT. ANUGRAH ARGON 1.700,00 500 0 850.000,05
COLLECTION NEEDLE MEDICA
Total : 850.000,05

No Faktur: 003387 17/05/2019

L00051 Extran Merck 003387 PT. CAHAYA INTAN 2.062.500,00 3 0 6.187.500,00
MEDIKA
Total : 6.187.500,00

No Faktur: 319002580 16/05/2019

L00116 ACCU CHEK SAFE T PRO UNO PCS 319002580 PT. ENSEVAL PUTRA 635,25 1000 0 635.250,00
MEGATRADING
Total : 635.250,00

No Faktur: 003397/JL 21/05/2019

L00019 Albumin 5x100ml 003397/JL PT. CAHYA INTAN MEDICA 2.678.500,00 1 0 2.678.500,00
L00014 Bilirubin Auto Direct Dialab 5x25 ml 003397/JL PT. CAHYA INTAN MEDICA 3.256.000,00 2 0 6.512.000,00
L00012 Creatinin 5x25ml 003397/JL PT. CAHYA INTAN MEDICA 2.057.000,00 8 0 16.456.000,00
L00023 Diacon N 003397/JL PT. CAHYA INTAN MEDICA 715.000,00 5 0 3.575.000,00
L00016 SGOT 5x100ml 003397/JL PT. CAHYA INTAN MEDICA 6.435.000,00 1 0 6.435.000,00
L00017 SGPT 5x100ml 003397/JL PT. CAHYA INTAN MEDICA 6.435.000,00 1 0 6.435.000,00
L00069 Snappack 003397/JL PT. CAHYA INTAN MEDICA 7.700.000,00 7 0 53.900.000,00
L00018 Total Protein 003397/JL PT. CAHYA INTAN MEDICA 1.320.000,00 2 0 2.640.000,00
L00013 URIC ACID 003397/JL PT. CAHYA INTAN MEDICA 4.235.000,00 1 0 4.235.000,00
 Kode Nama Barang No. Faktur Suplier Harga Jumlah Diskon Total
Barang (%)

Total : 102.866.500,00

No Faktur: 020.001-19.42502285 21/05/2019

L00163 ABON MULTI-DRUG ONE STEP MULTI-LINE 020.001-19.4250 PT SABA INDOMEDIKA 1.220.000,00 20 0 24.400.000,02
SCREEN TEST DE 2285
Total : 24.400.000,02

No Faktur: 22/05/2019
L00113 CD 26 PLUS TRILEVEL CONTROL NUSA TRIUTAMA 3.668.500,00 2 0 7.337.000,00
L00003 CD 32 Hemoglobin Free 3,8 liter, Abbott NUSA TRIUTAMA 5.225.000,00 2 0 10.450.000,00
L00001 CD Diluent/Sheeth CD 3200 20 liter, Abbott NUSA TRIUTAMA 5.225.000,00 7 0 36.575.000,00
Total : 54.362.000,00

No Faktur: 1155/NTU/V/2019 22/05/2019

L00005 CD Emerald Diluent 10 liter, Abbott 1155/NTU/V/201 NUSA TRIUTAMA 6.710.000,00 1 0 6.710.000,00
9
Total : 6.710.000,00

No Faktur: 003408 22/05/2019

L00051 Extran Merck 003408 PT. CAHYA INTAN MEDICA 2.062.500,00 3 0 6.187.500,00
Total : 6.187.500,00

No Faktur: 002-19.36554867 17/05/2019

L00155 ON CALL PLUS STRIP 002-19.3655486 PT. MITRA BAHAGIA CITRA 3.810,00 2000 0 7.620.000,00
7 MEDIKA
Total : 7.620.000,00

No Faktur: 003412 24/05/2019

L00010 Glucose 5x100ml 003412 PT. CAHYA INTAN MEDICA 4.235.000,00 1 0 4.235.000,00
Total : 4.235.000,00

No Faktur: 003396/JL 24/05/2019

L00056 Kertas Roll 003396/JL PT. CAHYA INTAN MEDICA 71.500,00 5 0 357.500,00
Total : 357.500,00

No Faktur: 000268/PRS/05/2019 24/05/2019

 Kode Nama Barang No. Faktur Suplier Harga Jumlah Diskon Total
Barang (%)

L00040 Widal -AH 000268/PRS/05/ PT PUTERA RAGAM SARI 517.000,00 3 0 1.551.000,00

Widal -BH
2019
L00042 000268/PRS/05/ PT PUTERA RAGAM SARI 517.000,00 2 0 1.034.000,00
Widal -H
2019
L00038 000268/PRS/05/ PT PUTERA RAGAM SARI 517.000,00 1 0 517.000,00
Widal -O
2019
L00037 000268/PRS/05/ PT PUTERA RAGAM SARI 517.000,00 1 0 517.000,00
2019
Total : 3.619.000,00

Total : 475.435.317,09