rincian daftar penerimaan hibah rsup dr ......1 3/30/2020 hibah oseltamivir 75mg kapsul 1,000 tab rp...

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No Tanggal Entry Aplikasi Uraian Barang Nilai Perolehan (Satuan) Total Nilai Perolehan Nama Pemberi Hibah Kelompok Keterangan PEMERINTAH PUSAT 1 3/30/2020 HIBAH OSELTAMIVIR 75MG KAPSUL 1,000 tab 12,969.00 Rp 12,969,000.00 Rp KEMENTERIAN KESEHATAN RI OBAT 2 4/24/2020 HIBAH RDT COVID (RAPID TEST) 500 bh 220,000.00 Rp 110,000,000.00 Rp KEMENTERIAN KESEHATAN RI ALKES 3 6/4/2020 COVERALL HIBAH PEMERINTAH 800 bh 200,000.00 Rp 160,000,000.00 Rp KEMENTERIAN KESEHATAN RI APD 4 6/4/2020 HAND SANITIZER 500ML HIBAH PEMERINTAH 270 btl 32,000.00 Rp 8,640,000.00 Rp KEMENTERIAN KESEHATAN RI OBAT 5 6/4/2020 MASKER MEDIS HIBAH PEMERINTAH 50,000 pcs 9,000.00 Rp 450,000,000.00 Rp KEMENTERIAN KESEHATAN RI PELENGKAP APD 6 7/17/2020 CATRIDGE GENEXPERT 60 bh 311,355.00 Rp 18,681,300.00 Rp HIBAH DARI KEMENKES ALKES 7 7/27/2020 MASKER MEDIS HIBAH PEMERINTAH 23,400 pcs 4,200.00 Rp 98,280,000.00 Rp KEMENTERIAN KESEHATAN RI PELENGKAP APD 8 8/12/2020 HIBAH KARTRID XPERT XPRESS SARS-COV-2 120 pcs 321,000.00 Rp 38,520,000.00 Rp HIBAH DARI P2PML ( KEMENKES ) ALKES 9 8/28/2020 HIBAH KARTRID XPERT XPRESS SARS-COV-2 120 pcs 323,000.00 Rp 38,760,000.00 Rp HIBAH DARI P2PML ( KEMENKES ) ALKES 10 9/22/2020 HIBAH KARTRID XPERT XPRESS SARS-COV-2 100 pcs 322,200.00 Rp 32,220,000.00 Rp HIBAH DARI P2PML ( KEMENKES ) ALKES 11 10/15/2020 HIBAH FAVIPIRAVIR 200 MG (AVIGAN) 1,200 tab 18,260.00 Rp 21,912,000.00 Rp KEMENTERIAN KESEHATAN RI OBAT 12 10/15/2020 HIBAH OSELTAMIVIR 75MG KAPSUL 1,000 tab 9,500.00 Rp 9,500,000.00 Rp KEMENTERIAN KESEHATAN RI OBAT 13 10/22/2020 MASKER N95 HIBAH PEMERINTAH 6,600 pcs 20,000.00 Rp 132,000,000.00 Rp PUSAT KRISIS KESEHATAN KEMENKES PELENGKAP APD 14 11/2/2020 HIBAH KARTRID XPERT XPRESS SARS-COV-2 120 pcs 323,800.00 Rp 38,856,000.00 Rp HIBAH DARI P2PML ( KEMENKES ) ALKES 15 11/9/2020 HIBAH KARTRID XPERT XPRESS SARS-COV-2 120 pcs 323,800.00 Rp 38,856,000.00 Rp HIBAH DARI P2PML ( KEMENKES ) ALKES 16 11/16/2020 HIBAH FAVIPIRAVIR 200 MG (AVIGAN) 500 tab 18,260.00 Rp 9,130,000.00 Rp KEMENTERIAN KESEHATAN RI OBAT 17 11/16/2020 HIBAH ALUVIA (COVID) 480 tab 6,600.00 Rp 3,168,000.00 Rp KEMENTERIAN KESEHATAN RI OBAT 18 11/16/2020 HIBAH REMDESIVIR INJ 100MG (COVIFOR) 50 tab 936,840.00 Rp 46,842,000.00 Rp KEMENTERIAN KESEHATAN RI OBAT 19 11/20/2020 HIBAH KARTRID XPERT XPRESS SARS-COV-2 120 pcs 308,000.00 Rp 36,960,000.00 Rp HIBAH DARI P2PML ( KEMENKES ) ALKES 20 12/11/2020 HIBAH KARTRID XPERT XPRESS SARS-COV-2 120 pcs 310,600.00 Rp 37,272,000.00 Rp HIBAH DARI P2PML ( KEMENKES ) ALKES 21 1/29/2021 HIBAH CHAMBER+BREATHING TUBE+NASAL CANUL 200 pak 2,384,800.00 Rp 476,960,000.00 Rp KEMENTERIAN KESEHATAN RI ALKES TOTAL NILAI PEROLEHAN PENERIMAAN HIBAH DARI PEMERINTAH PUSAT 1,819,526,300.00 Rp PEMERINTAH DAERAH 1 3/24/2020 HIBAH HAZMAT COVERALL 85 bh 352,000.00 Rp 29,920,000.00 Rp DINAS KESEHATAN PROVINSI JAWA TENGAH APD 2 3/27/2020 HIBAH MASKER N95 160 pcs 21,736.00 Rp 3,477,760.00 Rp DINAS KESEHATAN PROVINSI JAWA TENGAH PELENGKAP APD 3 3/27/2020 HIBAH MASKER SURGICAL (BEDAH) 20 box 15,700.00 Rp 314,000.00 Rp DINAS KESEHATAN PROVINSI JAWA TENGAH PELENGKAP APD 4 3/28/2020 HIBAH RDT COVID (RAPID TEST) 50 bh 250,001.00 Rp 12,500,050.00 Rp DINAS KESEHATAN PROVINSI JAWA TENGAH ALKES 5 3/30/2020 HIBAH VTM (VIRAL TRANSPORT MEDIA) 12 btl 800,000.00 Rp 9,600,000.00 Rp DINAS KESEHATAN KLATEN ALKES 6 4/7/2020 HIBAH HAZMAT COVERALL 52 bh 150,000.00 Rp 7,800,000.00 Rp DINAS KESEHATAN KLATEN APD 7 4/15/2020 HIBAH APD SET 5 set 750,000.00 Rp 3,750,000.00 Rp DINAS KESEHATAN KLATEN APD 8 4/15/2020 HIBAH HAZMAT COVERALL 30 bh 98,000.00 Rp 2,940,000.00 Rp DINAS KESEHATAN KLATEN APD 9 4/15/2020 HIBAH MASKER N95 35 pcs 100,000.00 Rp 3,500,000.00 Rp DINAS KESEHATAN KLATEN PELENGKAP APD 10 4/25/2020 HIBAH RDT COVID (RAPID TEST) 20 bh 220,000.00 Rp 4,400,000.00 Rp DINAS KESEHATAN KLATEN ALKES 11 4/28/2020 HIBAH RDT COVID (RAPID TEST) 20 bh 200,000.00 Rp 4,000,000.00 Rp DINAS KESEHATAN KLATEN ALKES 12 4/29/2020 HIBAH MASKER SURGICAL (BEDAH) 15 box 302,500.00 Rp 4,537,500.00 Rp DINAS KESEHATAN KLATEN PELENGKAP APD 13 5/12/2020 HIBAH RDT COVID (RAPID TEST) 60 bh 220,000.00 Rp 13,200,000.00 Rp DINAS KESEHATAN KLATEN ALKES 14 5/22/2020 HIBAH HAZMAT COVERALL 220 bh 200,000.00 Rp 44,000,000.00 Rp DINAS KESEHATAN KLATEN APD 15 5/22/2020 HIBAH MASKER SURGICAL (BEDAH) 20 box 160,001.00 Rp 3,200,020.00 Rp DINAS KESEHATAN KLATEN PELENGKAP APD 16 6/1/2020 HIBAH RDT COVID (RAPID TEST) 25 bh 200,000.00 Rp 5,000,000.00 Rp DINAS KESEHATAN KLATEN ALKES DITERIMA LAB RSST TANGGAL 11 MEI 2020 17 6/1/2020 HIBAH RDT COVID (RAPID TEST) 20 bh 200,000.00 Rp 4,000,000.00 Rp DINAS KESEHATAN KLATEN ALKES DITERIMA LAB RSST TANGGAL 15 APRIL 2020 18 6/1/2020 HIBAH RDT COVID (RAPID TEST) 20 bh 200,000.00 Rp 4,000,000.00 Rp DINAS KESEHATAN KLATEN ALKES DITERIMA LAB RSST TANGGAL 18 APRIL 2020 19 7/16/2020 COVERALL HIBAH PEMERINTAH 1,100 bh 181,818.00 Rp 220,000,000.00 Rp DINAS KESEHATAN KLATEN APD 20 7/16/2020 HIBAH MASKER ANTI POLUTAN 500 bh 2,000.00 Rp 1,000,000.00 Rp DINAS KESEHATAN KLATEN PELENGKAP APD 21 7/23/2020 HIBAH VTM (VIRAL TRANSPORT MEDIA) 100 btl 147,000.00 Rp 14,700,000.00 Rp DINAS KESEHATAN KLATEN ALKES 22 10/19/2020 HIBAH TRANSPORT BOX SAMPEL 6 bh 50,000.00 Rp 300,000.00 Rp DINAS KESEHATAN KLATEN ALKES 23 10/19/2020 HIBAH VTM (VIRAL TRANSPORT MEDIA) 150 btl 45,000.00 Rp 6,750,000.00 Rp DINAS KESEHATAN KLATEN ALKES 24 11/17/2020 HIBAH TRANSPORT BOX SAMPEL 10 bh 50,000.00 Rp 500,000.00 Rp DINAS KESEHATAN KLATEN ALKES 25 11/17/2020 HIBAH VTM (VIRAL TRANSPORT MEDIA) 150 btl 53,000.00 Rp 7,950,000.00 Rp DINAS KESEHATAN KLATEN ALKES 26 11/30/2020 HIBAH VTM (VIRAL TRANSPORT MEDIA) 200 btl 53,000.00 Rp 10,600,000.00 Rp DINAS KESEHATAN KLATEN ALKES 27 11/30/2020 HIBAH TRANSPORT BOX SAMPEL 5 bh 50,000.00 Rp 250,000.00 Rp DINAS KESEHATAN KLATEN ALKES 28 12/15/2020 HIBAH TRANSPORT BOX SAMPEL 10 bh 50,000.00 Rp 500,000.00 Rp DINAS KESEHATAN KLATEN ALKES 29 12/15/2020 HIBAH VTM (VIRAL TRANSPORT MEDIA) 200 btl 30,500.00 Rp 6,100,000.00 Rp DINAS KESEHATAN KLATEN ALKES RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr. SOERADJI TIRTONEGORO KLATEN TERKAIT PANDEMI COVID -19 Periode 23 Maret 2020 s.d 3 Maret 2021 DI LINGKUNGAN DIREKTORAT JENDERAL PELAYANAN KESEHATAN Jumlah Barang Diterima

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Page 1: RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr ......1 3/30/2020 HIBAH OSELTAMIVIR 75MG KAPSUL 1,000 tab Rp 12,969.00 Rp 12,969,000.00 KEMENTERIAN KESEHATAN RI OBAT 2 4/24/2020 HIBAH RDT

NoTanggal

Entry AplikasiUraian Barang

Nilai Perolehan (Satuan)

Total Nilai Perolehan Nama Pemberi Hibah Kelompok Keterangan

PEMERINTAH PUSAT1 3/30/2020 HIBAH OSELTAMIVIR 75MG KAPSUL 1,000 tab 12,969.00Rp 12,969,000.00Rp KEMENTERIAN KESEHATAN RI OBAT2 4/24/2020 HIBAH RDT COVID (RAPID TEST) 500 bh 220,000.00Rp 110,000,000.00Rp KEMENTERIAN KESEHATAN RI ALKES3 6/4/2020 COVERALL HIBAH PEMERINTAH 800 bh 200,000.00Rp 160,000,000.00Rp KEMENTERIAN KESEHATAN RI APD4 6/4/2020 HAND SANITIZER 500ML HIBAH PEMERINTAH 270 btl 32,000.00Rp 8,640,000.00Rp KEMENTERIAN KESEHATAN RI OBAT5 6/4/2020 MASKER MEDIS HIBAH PEMERINTAH 50,000 pcs 9,000.00Rp 450,000,000.00Rp KEMENTERIAN KESEHATAN RI PELENGKAP APD 6 7/17/2020 CATRIDGE GENEXPERT 60 bh 311,355.00Rp 18,681,300.00Rp HIBAH DARI KEMENKES ALKES7 7/27/2020 MASKER MEDIS HIBAH PEMERINTAH 23,400 pcs 4,200.00Rp 98,280,000.00Rp KEMENTERIAN KESEHATAN RI PELENGKAP APD8 8/12/2020 HIBAH KARTRID XPERT XPRESS SARS-COV-2 120 pcs 321,000.00Rp 38,520,000.00Rp HIBAH DARI P2PML ( KEMENKES ) ALKES9 8/28/2020 HIBAH KARTRID XPERT XPRESS SARS-COV-2 120 pcs 323,000.00Rp 38,760,000.00Rp HIBAH DARI P2PML ( KEMENKES ) ALKES

10 9/22/2020 HIBAH KARTRID XPERT XPRESS SARS-COV-2 100 pcs 322,200.00Rp 32,220,000.00Rp HIBAH DARI P2PML ( KEMENKES ) ALKES11 10/15/2020 HIBAH FAVIPIRAVIR 200 MG (AVIGAN) 1,200 tab 18,260.00Rp 21,912,000.00Rp KEMENTERIAN KESEHATAN RI OBAT12 10/15/2020 HIBAH OSELTAMIVIR 75MG KAPSUL 1,000 tab 9,500.00Rp 9,500,000.00Rp KEMENTERIAN KESEHATAN RI OBAT13 10/22/2020 MASKER N95 HIBAH PEMERINTAH 6,600 pcs 20,000.00Rp 132,000,000.00Rp PUSAT KRISIS KESEHATAN KEMENKES PELENGKAP APD14 11/2/2020 HIBAH KARTRID XPERT XPRESS SARS-COV-2 120 pcs 323,800.00Rp 38,856,000.00Rp HIBAH DARI P2PML ( KEMENKES ) ALKES15 11/9/2020 HIBAH KARTRID XPERT XPRESS SARS-COV-2 120 pcs 323,800.00Rp 38,856,000.00Rp HIBAH DARI P2PML ( KEMENKES ) ALKES16 11/16/2020 HIBAH FAVIPIRAVIR 200 MG (AVIGAN) 500 tab 18,260.00Rp 9,130,000.00Rp KEMENTERIAN KESEHATAN RI OBAT17 11/16/2020 HIBAH ALUVIA (COVID) 480 tab 6,600.00Rp 3,168,000.00Rp KEMENTERIAN KESEHATAN RI OBAT18 11/16/2020 HIBAH REMDESIVIR INJ 100MG (COVIFOR) 50 tab 936,840.00Rp 46,842,000.00Rp KEMENTERIAN KESEHATAN RI OBAT19 11/20/2020 HIBAH KARTRID XPERT XPRESS SARS-COV-2 120 pcs 308,000.00Rp 36,960,000.00Rp HIBAH DARI P2PML ( KEMENKES ) ALKES20 12/11/2020 HIBAH KARTRID XPERT XPRESS SARS-COV-2 120 pcs 310,600.00Rp 37,272,000.00Rp HIBAH DARI P2PML ( KEMENKES ) ALKES

21 1/29/2021 HIBAH CHAMBER+BREATHING TUBE+NASAL CANUL200 pak

2,384,800.00Rp 476,960,000.00Rp KEMENTERIAN KESEHATAN RI ALKES

TOTAL NILAI PEROLEHAN PENERIMAAN HIBAH DARI PEMERINTAH PUSAT 1,819,526,300.00Rp

PEMERINTAH DAERAH1 3/24/2020 HIBAH HAZMAT COVERALL 85 bh 352,000.00Rp 29,920,000.00Rp DINAS KESEHATAN PROVINSI JAWA TENGAH APD2 3/27/2020 HIBAH MASKER N95 160 pcs 21,736.00Rp 3,477,760.00Rp DINAS KESEHATAN PROVINSI JAWA TENGAH PELENGKAP APD3 3/27/2020 HIBAH MASKER SURGICAL (BEDAH) 20 box 15,700.00Rp 314,000.00Rp DINAS KESEHATAN PROVINSI JAWA TENGAH PELENGKAP APD4 3/28/2020 HIBAH RDT COVID (RAPID TEST) 50 bh 250,001.00Rp 12,500,050.00Rp DINAS KESEHATAN PROVINSI JAWA TENGAH ALKES5 3/30/2020 HIBAH VTM (VIRAL TRANSPORT MEDIA) 12 btl 800,000.00Rp 9,600,000.00Rp DINAS KESEHATAN KLATEN ALKES6 4/7/2020 HIBAH HAZMAT COVERALL 52 bh 150,000.00Rp 7,800,000.00Rp DINAS KESEHATAN KLATEN APD7 4/15/2020 HIBAH APD SET 5 set 750,000.00Rp 3,750,000.00Rp DINAS KESEHATAN KLATEN APD8 4/15/2020 HIBAH HAZMAT COVERALL 30 bh 98,000.00Rp 2,940,000.00Rp DINAS KESEHATAN KLATEN APD9 4/15/2020 HIBAH MASKER N95 35 pcs 100,000.00Rp 3,500,000.00Rp DINAS KESEHATAN KLATEN PELENGKAP APD

10 4/25/2020 HIBAH RDT COVID (RAPID TEST) 20 bh 220,000.00Rp 4,400,000.00Rp DINAS KESEHATAN KLATEN ALKES11 4/28/2020 HIBAH RDT COVID (RAPID TEST) 20 bh 200,000.00Rp 4,000,000.00Rp DINAS KESEHATAN KLATEN ALKES12 4/29/2020 HIBAH MASKER SURGICAL (BEDAH) 15 box 302,500.00Rp 4,537,500.00Rp DINAS KESEHATAN KLATEN PELENGKAP APD13 5/12/2020 HIBAH RDT COVID (RAPID TEST) 60 bh 220,000.00Rp 13,200,000.00Rp DINAS KESEHATAN KLATEN ALKES14 5/22/2020 HIBAH HAZMAT COVERALL 220 bh 200,000.00Rp 44,000,000.00Rp DINAS KESEHATAN KLATEN APD15 5/22/2020 HIBAH MASKER SURGICAL (BEDAH) 20 box 160,001.00Rp 3,200,020.00Rp DINAS KESEHATAN KLATEN PELENGKAP APD

16 6/1/2020 HIBAH RDT COVID (RAPID TEST) 25 bh 200,000.00Rp 5,000,000.00Rp DINAS KESEHATAN KLATEN ALKES DITERIMA LAB RSST TANGGAL 11 MEI 2020

17 6/1/2020 HIBAH RDT COVID (RAPID TEST) 20 bh 200,000.00Rp 4,000,000.00Rp DINAS KESEHATAN KLATEN ALKES DITERIMA LAB RSST TANGGAL 15 APRIL 2020

18 6/1/2020 HIBAH RDT COVID (RAPID TEST) 20 bh 200,000.00Rp 4,000,000.00Rp DINAS KESEHATAN KLATEN ALKES DITERIMA LAB RSST TANGGAL 18 APRIL 2020

19 7/16/2020 COVERALL HIBAH PEMERINTAH 1,100 bh 181,818.00Rp 220,000,000.00Rp DINAS KESEHATAN KLATEN APD20 7/16/2020 HIBAH MASKER ANTI POLUTAN 500 bh 2,000.00Rp 1,000,000.00Rp DINAS KESEHATAN KLATEN PELENGKAP APD21 7/23/2020 HIBAH VTM (VIRAL TRANSPORT MEDIA) 100 btl 147,000.00Rp 14,700,000.00Rp DINAS KESEHATAN KLATEN ALKES22 10/19/2020 HIBAH TRANSPORT BOX SAMPEL 6 bh 50,000.00Rp 300,000.00Rp DINAS KESEHATAN KLATEN ALKES23 10/19/2020 HIBAH VTM (VIRAL TRANSPORT MEDIA) 150 btl 45,000.00Rp 6,750,000.00Rp DINAS KESEHATAN KLATEN ALKES24 11/17/2020 HIBAH TRANSPORT BOX SAMPEL 10 bh 50,000.00Rp 500,000.00Rp DINAS KESEHATAN KLATEN ALKES25 11/17/2020 HIBAH VTM (VIRAL TRANSPORT MEDIA) 150 btl 53,000.00Rp 7,950,000.00Rp DINAS KESEHATAN KLATEN ALKES26 11/30/2020 HIBAH VTM (VIRAL TRANSPORT MEDIA) 200 btl 53,000.00Rp 10,600,000.00Rp DINAS KESEHATAN KLATEN ALKES27 11/30/2020 HIBAH TRANSPORT BOX SAMPEL 5 bh 50,000.00Rp 250,000.00Rp DINAS KESEHATAN KLATEN ALKES28 12/15/2020 HIBAH TRANSPORT BOX SAMPEL 10 bh 50,000.00Rp 500,000.00Rp DINAS KESEHATAN KLATEN ALKES29 12/15/2020 HIBAH VTM (VIRAL TRANSPORT MEDIA) 200 btl 30,500.00Rp 6,100,000.00Rp DINAS KESEHATAN KLATEN ALKES

RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr. SOERADJI TIRTONEGORO KLATENTERKAIT PANDEMI COVID -19 Periode 23 Maret 2020 s.d 3 Maret 2021

DI LINGKUNGAN DIREKTORAT JENDERAL PELAYANAN KESEHATAN

Jumlah Barang Diterima

Page 2: RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr ......1 3/30/2020 HIBAH OSELTAMIVIR 75MG KAPSUL 1,000 tab Rp 12,969.00 Rp 12,969,000.00 KEMENTERIAN KESEHATAN RI OBAT 2 4/24/2020 HIBAH RDT

NoTanggal

Entry AplikasiUraian Barang

Nilai Perolehan (Satuan)

Total Nilai Perolehan Nama Pemberi Hibah Kelompok Keterangan

RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr. SOERADJI TIRTONEGORO KLATENTERKAIT PANDEMI COVID -19 Periode 23 Maret 2020 s.d 3 Maret 2021

DI LINGKUNGAN DIREKTORAT JENDERAL PELAYANAN KESEHATAN

Jumlah Barang Diterima

30 12/19/2020 HIBAH FAVIPIRAVIR 200 MG (AVIGAN) 400 tab 18,260.00Rp 7,304,000.00Rp DINAS KESEHATAN KLATEN OBAT31 12/21/2020 HIBAH FAVIPIRAVIR 200 MG (AVIGAN) 100 tab 18,260.00Rp 1,826,000.00Rp DINAS KESEHATAN KLATEN OBAT32 1/14/2021 HIBAH TRANSPORT BOX SAMPEL 10 bh 50,000.00Rp 500,000.00Rp DINAS KESEHATAN KLATEN ALKES33 1/14/2021 HIBAH VTM (VIRAL TRANSPORT MEDIA) 200 bh 30,500.00Rp 6,100,000.00Rp DINAS KESEHATAN KLATEN ALKES34 1/21/2021 HIBAH FAVIPIRAVIR 200 MG (AVIGAN) 800 tab 18,260.00Rp 14,608,000.00Rp DINAS KESEHATAN KLATEN OBAT35 1/21/2021 HIBAH LEVOFLOXACIN INFUS 750MG/150ML 50 btl 65,340.00Rp 3,267,000.00Rp DINAS KESEHATAN KLATEN OBAT36 1/21/2021 HIBAH REMDESIVIR INJ 100MG (COVIFOR) 41 vial 314,400.00Rp 12,890,400.00Rp DINAS KESEHATAN KLATEN OBAT37 1/21/2021 HIBAH REMDESIVIR INJ 100MG (COVIFOR) 9 vial 314,400.00Rp 2,829,600.00Rp DINAS KESEHATAN KLATEN OBAT38 1/24/2021 HIBAH SPUIT DISPOSIBLE 0,5 ML 200 bh 1,190.00Rp 238,000.00Rp DINAS KESEHATAN KLATEN ALKES39 1/24/2021 HIBAH VAKSIN COVID 19 200 vial 232,410.00Rp 46,482,000.00Rp DINAS KESEHATAN KLATEN OBAT40 1/25/2021 HIBAH TRANSPORT BOX SAMPEL 10 bh 50,000.00Rp 500,000.00Rp DINAS KESEHATAN KLATEN ALKES41 1/25/2021 HIBAH VTM (VIRAL TRANSPORT MEDIA) 200 btl 47,250.00Rp 9,450,000.00Rp DINAS KESEHATAN KLATEN ALKES42 1/25/2021 HIBAH ALKOHOL SWAB 200 pcs 99.75Rp 19,950.00Rp DINAS KESEHATAN KLATEN ALKES43 1/25/2021 HIBAH ROMPI 2 bh 148,000.00Rp 296,000.00Rp DINAS KESEHATAN KLATEN ALKES44 1/25/2021 HIBAH SAFETY BOX 5 L 2 bh 14,000.00Rp 28,000.00Rp DINAS KESEHATAN KLATEN ALKES45 1/25/2021 HIBAH SPUIT DISPOSIBLE 0,5 ML 606 bh 11.85Rp 7,181.00Rp DINAS KESEHATAN KLATEN ALKES46 1/25/2021 HIBAH ALKOHOL SWAB 606 pcs 99.75Rp 60,448.00Rp DINAS KESEHATAN KLATEN ALKES47 1/25/2021 HIBAH VAKSIN C19 SINOVAC 606 vial 232,410.00Rp 140,840,460.00Rp DINAS KESEHATAN KLATEN OBAT48 1/28/2021 HIBAH VAKSIN C19 SINOVAC 806 vial 232,410.00Rp 187,322,460.00Rp DINAS KESEHATAN KLATEN OBAT49 2/2/2021 HIBAH FAVIPIRAVIR 200 MG (AVIGAN) 500 tab 18,260.00Rp 9,130,000.00Rp DINAS KESEHATAN KLATEN OBAT50 2/2/2021 HIBAH OSELTAMIVIR 75MG KAPSUL 790 kapsul 8,943.00Rp 7,064,970.00Rp DINAS KESEHATAN KLATEN OBAT51 2/8/2021 HIBAH VAKSIN C19 SINOVAC 116 vial 232,410.00Rp 26,959,560.00Rp DINAS KESEHATAN KLATEN OBAT52 2/16/2021 HIBAH TRANSPORT BOX SAMPEL 10 bh 50,000.00Rp 500,000.00Rp DINAS KESEHATAN KLATEN ALKES53 2/16/2021 HIBAH VTM (VIRAL TRANSPORT MEDIA) 150 btl 47,250.00Rp 7,087,500.00Rp DINAS KESEHATAN KLATEN ALKES54 2/23/2021 HIBAH APD SET 50 set 98,450.00Rp 4,922,500.00Rp DINAS KESEHATAN KLATEN PELENGKAP APD55 2/23/2021 HIBAH SPUIT DISPOSIBLE 0,5 ML 500 bh 1,190.00Rp 595,000.00Rp DINAS KESEHATAN KLATEN ALKES56 2/23/2021 HIBAH VAKSIN C19 BIOFARMA 124 vial 1,473,384.00Rp 182,699,616.00Rp DINAS KESEHATAN KLATEN OBAT

TOTAL NILAI PEROLEHAN PENERIMAAN HIBAH DARI PEMERINTAH DAERAH 1,102,317,975.00Rp

PIHAK LAIN / SWASTA1 3/23/2020 HIBAH HAZMAT COVERALL 10 bh 775,000.00Rp 7,750,000.00Rp PT. KUSUMA ANEKA YASA APD2 3/24/2020 HIBAH HAND SANITIZER LITER 6 lt 100,000.00Rp 600,000.00Rp MAGISTER TEKNIK KIMIA UMS OBAT3 3/26/2020 HIBAH BRITISH PROPOLIS 20 btl 225,000.00Rp 4,500,000.00Rp BRITISH PROPOLIS OBAT4 3/26/2020 HIBAH MASKER N95 20 pcs 95,000.00Rp 1,900,000.00Rp KITABISA.COM PELENGKAP APD5 3/26/2020 HIBAH MASKER SURGICAL (BEDAH) 10 box 170,000.00Rp 1,700,000.00Rp KITABISA.COM PELENGKAP APD6 3/27/2020 HIBAH FACE SHIELD 19 bh 50,001.00Rp 950,019.00Rp KOMUNITAS 3D PRINTING PELENGKAP APD7 3/27/2020 HIBAH MASKER N95 3 pcs 40,000.00Rp 120,000.00Rp AHMAD AKBAR KUSUMA PELENGKAP APD8 3/30/2020 HIBAH FACE SHIELD 1 bh 165,000.00Rp 165,000.00Rp KOMUNITAS PENDIDIKAN DOKTER PELENGKAP APD9 3/30/2020 HIBAH HAND SANITIZER BOTOL 4 btl 30,000.00Rp 120,000.00Rp KOMUNITAS PENDIDIKAN DOKTER OBAT

10 3/30/2020 HIBAH HAND SANITIZER LITER 5 lt 120,000.00Rp 600,000.00Rp KOMUNITAS PENDIDIKAN DOKTER OBAT11 3/30/2020 HIBAH HANDSCOON 1 box 100,000.00Rp 100,000.00Rp KOMUNITAS PENDIDIKAN DOKTER PELENGKAP APD12 3/30/2020 HIBAH HAZMAT COVERALL 5 bh 100,000.00Rp 500,000.00Rp KOMUNITAS PENDIDIKAN DOKTER APD13 3/30/2020 HIBAH HEADCAP 16 pcs 937.00Rp 14,992.00Rp KOMUNITAS PENDIDIKAN DOKTER PELENGKAP APD14 3/30/2020 HIBAH JAS HUJAN DISPOSIBLE 12 pcs 8,334.00Rp 100,008.00Rp KOMUNITAS PENDIDIKAN DOKTER PELENGKAP APD15 3/30/2020 HIBAH KACAMATA GOOGLE 10 bh 40,000.00Rp 400,000.00Rp OGB DEXA MEDICA PELENGKAP APD16 3/30/2020 HIBAH MASKER N95 5 pcs 80,000.00Rp 400,000.00Rp KOMUNITAS PENDIDIKAN DOKTER PELENGKAP APD17 3/30/2020 HIBAH MASKER SURGICAL (BEDAH) 1 box 50,001.00Rp 50,001.00Rp KOMUNITAS PENDIDIKAN DOKTER PELENGKAP APD18 3/30/2020 HIBAH SEPATU BOOT PENGAMAN 3 psg 75,000.00Rp 225,000.00Rp KOMUNITAS PENDIDIKAN DOKTER PELENGKAP APD19 3/31/2020 HIBAH HAND SANITIZER LITER 70 lt 40,000.00Rp 2,800,000.00Rp BACIRO GONDOKUSUMAN OBAT20 4/1/2020 HIBAH BOX INTUBASI 4 pcs 800,000.00Rp 3,200,000.00Rp FERRY IRAWAN ALKES21 4/1/2020 HIBAH FACE SHIELD 30 bh 50,001.00Rp 1,500,030.00Rp BAGAS PRATONDHO (31 MARET) PELENGKAP APD22 4/1/2020 HIBAH FACE SHIELD 10 bh 60,000.00Rp 600,000.00Rp CBIOM3S TEKNIK UNDIP PELENGKAP APD23 4/1/2020 HIBAH FACE SHIELD 20 bh 60,000.00Rp 1,200,000.00Rp CBIOM3S UNDIP (31 MARET) PELENGKAP APD24 4/1/2020 HIBAH FACE SHIELD 75 bh 60,000.00Rp 4,500,000.00Rp KSM ORTHO RSST (31 MARET) PELENGKAP APD25 4/1/2020 HIBAH HAZMAT COVER UP 50 pcs 300,000.00Rp 15,000,000.00Rp ARIEF M. KITA BISA APD26 4/1/2020 HIBAH HAZMAT COVER UP 50 pcs 300,000.00Rp 15,000,000.00Rp RACHEL VENNYA KITABISA APD27 4/1/2020 HIBAH HAZMAT COVERALL REUSE 1 set 1,000,000.00Rp 1,000,000.00Rp TN AGUS SOEPARTO (31 MARET) APD

Page 3: RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr ......1 3/30/2020 HIBAH OSELTAMIVIR 75MG KAPSUL 1,000 tab Rp 12,969.00 Rp 12,969,000.00 KEMENTERIAN KESEHATAN RI OBAT 2 4/24/2020 HIBAH RDT

NoTanggal

Entry AplikasiUraian Barang

Nilai Perolehan (Satuan)

Total Nilai Perolehan Nama Pemberi Hibah Kelompok Keterangan

RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr. SOERADJI TIRTONEGORO KLATENTERKAIT PANDEMI COVID -19 Periode 23 Maret 2020 s.d 3 Maret 2021

DI LINGKUNGAN DIREKTORAT JENDERAL PELAYANAN KESEHATAN

Jumlah Barang Diterima

28 4/2/2020 HIBAH MASKER N95 60 pcs 96,250.00Rp 5,775,000.00Rp KORPRI RSST PELENGKAP APD29 4/2/2020 HIBAH MASKER SURGICAL (BEDAH) 15 box 175,000.00Rp 2,625,000.00Rp KORPRI RSST PELENGKAP APD31 4/3/2020 HIBAH FACE SHIELD 10 bh 25,000.00Rp 250,000.00Rp GKJ GONDANG KLATEN PELENGKAP APD32 4/3/2020 HIBAH FACE SHIELD 3 bh 50,001.00Rp 150,003.00Rp GRACE LOKER KLATEN PELENGKAP APD33 4/3/2020 HIBAH HAND SANITIZER LITER 5 lt 80,000.00Rp 400,000.00Rp GRACE LOKER KLATEN OBAT30 4/3/2020 HIBAH HANDSCOON 1 box 52,000.00Rp 52,000.00Rp SD MUH. PRAMBANAN PELENGKAP APD34 4/3/2020 HIBAH HAZMAT COVERALL 4 bh 250,000.00Rp 1,000,000.00Rp KOM. BADMINTON SINGAPORE APD35 4/3/2020 HIBAH KACAMATA GOOGLE 15 bh 15,000.00Rp 225,000.00Rp OPTIK IBRAHIM PELENGKAP APD36 4/3/2020 HIBAH MASKER SURGICAL (BEDAH) 1 box 150,000.00Rp 150,000.00Rp GRACE LOKER KLATEN PELENGKAP APD37 4/3/2020 HIBAH MULTIVITAMIN 600 tab 667.00Rp 400,200.00Rp KOMUNITAS JAGO PEDULI OBAT38 4/3/2020 HIBAH PAKET VENISH 1 set 106,000.00Rp 106,000.00Rp GRACE LOKER KLATEN OBAT39 4/3/2020 HIBAH SURGICAL GLOVES 20 psg 5,350.00Rp 107,000.00Rp GRACE LOKER KLATEN PELENGKAP APD40 4/6/2020 HIBAH FACE SHIELD + HELM + GOOGLE 7 set 300,000.00Rp 2,100,000.00Rp WE CARE ID PELENGKAP APD41 4/6/2020 HIBAH HANDSCOON 8 box 60,000.00Rp 480,000.00Rp EVA FITRIANA SUSANTI PELENGKAP APD42 4/6/2020 HIBAH HANDSCOON 5 box 100,000.00Rp 500,000.00Rp WE CARE ID PELENGKAP APD43 4/6/2020 HIBAH HAZMAT COVERALL 50 bh 100,000.00Rp 5,000,000.00Rp BENGKEL DAKWAH YOGYA APD44 4/6/2020 HIBAH HAZMAT COVERALL 15 bh 200,000.00Rp 3,000,000.00Rp WE CARE ID APD45 4/6/2020 HIBAH HAZMAT COVERALL REUSE 5 set 1,000,000.00Rp 5,000,000.00Rp WE CARE ID APD46 4/6/2020 HIBAH MASKER KAIN 800 pcs 10,000.00Rp 8,000,000.00Rp BRAVO ADVENTURE PELENGKAP APD47 4/6/2020 HIBAH MASKER KAIN 60 pcs 10,000.00Rp 600,000.00Rp NY. HANDAYANI PELENGKAP APD48 4/6/2020 HIBAH MASKER KAIN 100 pcs 3,500.00Rp 350,000.00Rp WE CARE ID PELENGKAP APD49 4/8/2020 HIBAH HAND SANITIZER 500 ML 36 btl 110,000.00Rp 3,960,000.00Rp DPD PKS KLATEN OBAT50 4/8/2020 HIBAH HAZMAT COVERALL 50 bh 60,000.00Rp 3,000,000.00Rp DPD PKS KLATEN APD51 4/8/2020 HIBAH HAZMAT COVERALL 100 bh 250,000.00Rp 25,000,000.00Rp FKKMK UGM APD52 4/8/2020 HIBAH HAZMAT COVERALL 11 bh 70,000.00Rp 770,000.00Rp MUDA MUDI GABAHAN KUNDEN APD53 4/8/2020 HIBAH HAZMAT COVERALL REUSE 30 set 875,001.00Rp 26,250,030.00Rp PT.MACANAN JAYA CEMERLANG APD54 4/8/2020 HIBAH MASKER KAIN 720 pcs 2,917.00Rp 2,100,240.00Rp DIR.PK BMN PELENGKAP APD55 4/8/2020 HIBAH MASKER KAIN 200 pcs 6,001.00Rp 1,200,200.00Rp DPD PKS KLATEN PELENGKAP APD56 4/8/2020 HIBAH MASKER KAIN 300 pcs 5,500.00Rp 1,650,000.00Rp PT.MACANAN JAYA CEMERLANG PELENGKAP APD57 4/9/2020 HIBAH FACE SHIELD 50 bh 10,000.00Rp 500,000.00Rp ASOSIASI PRINTRIDI PELENGKAP APD58 4/9/2020 HIBAH FACE SHIELD 40 bh 50,001.00Rp 2,000,040.00Rp KAPI-KAPI PELENGKAP APD59 4/9/2020 HIBAH FACE SHIELD 150 bh 5,000.00Rp 750,000.00Rp ROTARI CLUB PELENGKAP APD60 4/9/2020 HIBAH FACE SHIELD 100 bh 5,000.00Rp 500,000.00Rp SMK LEONARDO KLATEN PELENGKAP APD61 4/9/2020 HIBAH HAND SANITIZER LITER 5 lt 130,000.00Rp 650,000.00Rp YAYASAN ANNE AVANTIE OBAT62 4/9/2020 HIBAH HANDSCOON 30 box 60,000.00Rp 1,800,000.00Rp KAPI-KAPI PELENGKAP APD63 4/9/2020 HIBAH HAZMAT COVERALL 40 bh 1,000,000.00Rp 40,000,000.00Rp BANK MANDIRI APD64 4/9/2020 HIBAH HAZMAT COVERALL 50 bh 225,000.00Rp 11,250,000.00Rp PT.ELANG PERKASA MADANI APD65 4/9/2020 HIBAH HAZMAT COVERALL 45 bh 100,000.00Rp 4,500,000.00Rp YAYASAN ANNE AVANTIE APD66 4/9/2020 HIBAH HAZMAT COVERALL 50 bh 200,000.00Rp 10,000,000.00Rp YAYASAN BUDHA SUCI APD67 4/9/2020 HIBAH HEADCAP 180 pcs 750.00Rp 135,000.00Rp KAPI-KAPI PELENGKAP APD68 4/9/2020 HIBAH JAS HUJAN DISPOSIBLE 120 pcs 20,000.00Rp 2,400,000.00Rp KAPI-KAPI PELENGKAP APD69 4/9/2020 HIBAH KACAMATA GOOGLE 10 bh 15,000.00Rp 150,000.00Rp KAPI-KAPI PELENGKAP APD70 4/9/2020 HIBAH MASKER SURGICAL (BEDAH) 11 box 272,727.00Rp 2,999,997.00Rp KAPI-KAPI PELENGKAP APD71 4/9/2020 HIBAH MULTIVITAMIN 200 tab 667.00Rp 133,400.00Rp KAPI-KAPI OBAT72 4/9/2020 HIBAH SEPATU BOOT PENGAMAN 16 psg 50,001.00Rp 800,016.00Rp KAPI-KAPI PELENGKAP APD73 4/9/2020 HIBAH VTM (VIRAL TRANSPORT MEDIA) 60 btl 800,000.00Rp 48,000,000.00Rp FK-KMK UGM ALKES74 4/13/2020 HIBAH AZYTROMICYN 500 MG 150 tab 10,000.00Rp 1,500,000.00Rp DEXA MEDIKA OBAT75 4/13/2020 HIBAH FACE SHIELD 50 bh 5,000.00Rp 250,000.00Rp FTMD-ITB PELENGKAP APD76 4/13/2020 HIBAH HAND SANITIZER LITER 5 lt 130,000.00Rp 650,000.00Rp POLRES KLATEN OBAT77 4/13/2020 HIBAH HANDSCHOEN/HANDSEAL 1,200 psg 4,980.00Rp 5,976,000.00Rp PT. PRIMA ALKESINDO N PELENGKAP APD78 4/13/2020 HIBAH HAZMAT COVERALL 10 bh 200,000.00Rp 2,000,000.00Rp DANIEL RIANTO APD79 4/13/2020 HIBAH HAZMAT COVERALL 25 bh 60,000.00Rp 1,500,000.00Rp NY. RETNO BANDUNG APD80 4/13/2020 HIBAH HYDROCLOROQUINE 200 MG 300 tab 7,000.00Rp 2,100,000.00Rp DEXA MEDIKA OBAT81 4/13/2020 HIBAH MASKER SURGICAL (BEDAH) 1 box 150,000.00Rp 150,000.00Rp POLRES KLATEN PELENGKAP APD82 4/13/2020 HIBAH MASKER SURGICAL (BEDAH) 40 box 192,000.00Rp 7,680,000.00Rp YAYASAN BUDDHA TZU CHI PELENGKAP APD83 4/13/2020 HIBAH PERIOKIN SPRAY 18 pcs 170,000.00Rp 3,060,000.00Rp PT EXELTIS JOGJAKARTA OBAT84 4/14/2020 HIBAH ALKOHOL 300ML 2 btl 18,000.00Rp 36,000.00Rp EKS PASIEN 2018 OBAT

Page 4: RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr ......1 3/30/2020 HIBAH OSELTAMIVIR 75MG KAPSUL 1,000 tab Rp 12,969.00 Rp 12,969,000.00 KEMENTERIAN KESEHATAN RI OBAT 2 4/24/2020 HIBAH RDT

NoTanggal

Entry AplikasiUraian Barang

Nilai Perolehan (Satuan)

Total Nilai Perolehan Nama Pemberi Hibah Kelompok Keterangan

RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr. SOERADJI TIRTONEGORO KLATENTERKAIT PANDEMI COVID -19 Periode 23 Maret 2020 s.d 3 Maret 2021

DI LINGKUNGAN DIREKTORAT JENDERAL PELAYANAN KESEHATAN

Jumlah Barang Diterima

85 4/14/2020 HIBAH ESKULIN KIDS 12 btl 19,000.00Rp 228,000.00Rp EKS PASIEN 2018 OBAT86 4/14/2020 HIBAH FACE SHIELD 10 bh 100,000.00Rp 1,000,000.00Rp ALUMNI SMAN1 1990 PELENGKAP APD87 4/14/2020 HIBAH FACE SHIELD + HELM + GOOGLE 3 set 250,000.00Rp 750,000.00Rp ALUMNI SMAN1 1990 PELENGKAP APD88 4/14/2020 HIBAH HAND SANITIZER BOTOL 5 btl 80,000.00Rp 400,000.00Rp ALUMNI SMAN1 1990 OBAT89 4/14/2020 HIBAH HAND SANITIZER BOTOL 12 btl 10,000.00Rp 120,000.00Rp EKS PASIEN 2018 OBAT90 4/14/2020 HIBAH HAND SANITIZER LITER 5 lt 130,000.00Rp 650,000.00Rp ALUMNI SMAN1 1990 OBAT91 4/14/2020 HIBAH HAZMAT COVERALL 10 bh 60,000.00Rp 600,000.00Rp ALUMNI SMAN1 1990 APD92 4/14/2020 HIBAH HAZMAT COVERALL 1 bh 150,000.00Rp 150,000.00Rp ALUMNI SMAN1 1990 APD93 4/14/2020 HIBAH HAZMAT COVERALL 6 bh 125,000.00Rp 750,000.00Rp dr. FREDIE (LANGSING HD) APD94 4/14/2020 HIBAH HAZMAT COVERALL 15 bh 250,000.00Rp 3,750,000.00Rp ONSIGHT FOUNDATION APD95 4/14/2020 HIBAH HAZMAT COVERALL 10 bh 100,000.00Rp 1,000,000.00Rp THE CRAB APD96 4/14/2020 HIBAH HAZMAT COVERALL REUSE 2 set 220,000.00Rp 440,000.00Rp dr. FREDIE (LANGSUNG HD) APD97 4/14/2020 HIBAH KACAMATA GOOGLE 10 bh 90,000.00Rp 900,000.00Rp ALUMNI SMAN1 1990 PELENGKAP APD98 4/14/2020 HIBAH KACAMATA GOOGLE 10 bh 20,000.00Rp 200,000.00Rp dr. FREDIE (LANGSUNG HD) PELENGKAP APD99 4/14/2020 HIBAH KACAMATA GOOGLE 4 bh 90,000.00Rp 360,000.00Rp THE CRAB PELENGKAP APD

100 4/14/2020 HIBAH MASKER KAIN 60 pcs 5,000.00Rp 300,000.00Rp NY DYAH DAN IKA PELENGKAP APD101 4/15/2020 HIBAH HAZMAT COVERALL 5 bh 75,000.00Rp 375,000.00Rp NY RETNO YULI HASTUTI APD102 4/15/2020 HIBAH MASKER N95 40 pcs 115,000.00Rp 4,600,000.00Rp TN GIGIH HILMA WIJAYA PELENGKAP APD103 4/16/2020 HIBAH HAZMAT COVERALL 17 bh 97,059.00Rp 1,650,003.00Rp MASYARAKAT RELAWAN IND APD104 4/16/2020 HIBAH KACAMATA GOOGLE 25 bh 18,000.00Rp 450,000.00Rp MASYARAKAT RELAWAN IND PELENGKAP APD105 4/16/2020 HIBAH MASKER ANTI POLUTAN 10 bh 35,588.00Rp 355,880.00Rp MASYARAKAT RELAWAN IND PELENGKAP APD106 4/16/2020 HIBAH MASKER N95 7 pcs 35,588.00Rp 249,116.00Rp MASYARAKAT RELAWAN IND PELENGKAP APD107 4/16/2020 HIBAH MASKER SURGICAL (BEDAH) 5 box 295,000.00Rp 1,475,000.00Rp MASYARAKAT RELAWAN IND PELENGKAP APD108 4/17/2020 HIBAH ALKOHOL 70% 1,000 ML 30.00Rp 30,000.00Rp IAI KLATEN OBAT109 4/17/2020 HIBAH ALKOHOL 95% 1,000 ML 40.00Rp 40,000.00Rp IAI KLATEN OBAT110 4/17/2020 HIBAH ALKOHOL SWAB 200 pcs 260.00Rp 52,000.00Rp IAI KLATEN ALKES111 4/17/2020 HIBAH APD SET 12 set 200,000.00Rp 2,400,000.00Rp TRITUNGGAL MAHAKUDUS APD112 4/17/2020 HIBAH FACE SHIELD 100 bh 10,000.00Rp 1,000,000.00Rp GEREJA MARIA A. CAWAS PELENGKAP APD113 4/17/2020 HIBAH FACE SHIELD 50 bh 15,000.00Rp 750,000.00Rp HIBAH SMK PETRUS KANISIUS KLATEN PELENGKAP APD114 4/17/2020 HIBAH HAND SANITIZER 100 ML 13 btl 12,692.00Rp 164,996.00Rp IAI KLATEN OBAT115 4/17/2020 HIBAH HAND SANITIZER 500 ML 11 btl 25,000.00Rp 275,000.00Rp IAI KLATEN OBAT156 4/17/2020 HIBAH HAND SANITIZER LITER 2 lt 100,000.00Rp 200,000.00Rp POLRES&KODIM KLATEN OBAT116 4/17/2020 HIBAH HAZMAT COVERALL 25 bh 125,000.00Rp 3,125,000.00Rp ALUMNI '85 SMAN 1 KLATEN APD117 4/17/2020 HIBAH HAZMAT COVERALL 20 bh 75,000.00Rp 1,500,000.00Rp PRANIC HEALING APD118 4/17/2020 HIBAH HAZMAT COVERALL 8 bh 75,000.00Rp 600,000.00Rp TRITUNGGAL MAHAKUDUS APD119 4/17/2020 HIBAH MASKER KAIN 50 pcs 4,000.00Rp 200,000.00Rp TN. ANDRI PELENGKAP APD120 4/17/2020 HIBAH MASKER N95 75 pcs 115,000.00Rp 8,625,000.00Rp BANK BTN KLATEN PELENGKAP APD121 4/17/2020 HIBAH MASKER SURGICAL (BEDAH) 10 box 175,000.00Rp 1,750,000.00Rp PT. MONDRIAN PELENGKAP APD122 4/18/2020 HIBAH ALKOHOL 70% 2,000 ML 25.00Rp 50,000.00Rp IMM KLATEN OBAT123 4/18/2020 HIBAH HANDSCOON 1 box 107,000.00Rp 107,000.00Rp IMM KLATEN PELENGKAP APD124 4/18/2020 HIBAH HAZMAT COVERALL 9 bh 44,444.00Rp 399,996.00Rp IMM KLATEN APD125 4/20/2020 HIBAH FACE SHIELD 40 bh 50,001.00Rp 2,000,040.00Rp PADMA WIJAYA PEDULI PELENGKAP APD126 4/20/2020 HIBAH FACE SHIELD 49 bh 30,000.00Rp 1,470,000.00Rp PP KAGAMA PELENGKAP APD127 4/20/2020 HIBAH HANDSCOON 3 box 100,000.00Rp 300,000.00Rp PADMA WIJAYA PEDULI PELENGKAP APD128 4/20/2020 HIBAH HANDSCOON 2 box 120,000.00Rp 240,000.00Rp PP KAGAMA PELENGKAP APD129 4/20/2020 HIBAH HANDSCOON 5 box 120,000.00Rp 600,000.00Rp PT.MACANANJAYA CEMERLANG PELENGKAP APD130 4/20/2020 HIBAH HANDSCOON 5 box 100,000.00Rp 500,000.00Rp PT.MACANANJAYA CEMERLANG PELENGKAP APD131 4/20/2020 HIBAH HAZMAT COVER UP 30 pcs 25,000.00Rp 750,000.00Rp PP KAGAMA APD132 4/20/2020 HIBAH HAZMAT COVERALL 6 bh 250,000.00Rp 1,500,000.00Rp NY. LINDA SUSANTI APD133 4/20/2020 HIBAH HAZMAT COVERALL 45 bh 44,444.00Rp 1,999,980.00Rp PADMA WIJAYA PEDULI APD134 4/20/2020 HIBAH HAZMAT COVERALL 50 bh 150,000.00Rp 7,500,000.00Rp PP KAGAMA APD135 4/20/2020 HIBAH HAZMAT COVERALL 100 bh 5,060.00Rp 506,000.00Rp TN. GAGUK RISDIANTO APD136 4/20/2020 HIBAH HEADCAP 100 pcs 1,200.00Rp 120,000.00Rp PP KAGAMA PELENGKAP APD137 4/20/2020 HIBAH HEADCAP 500 pcs 1,200.00Rp 600,000.00Rp PT.MACANANJAYA CEMERLANG PELENGKAP APD138 4/20/2020 HIBAH MASKER KAIN 100 pcs 5,000.00Rp 500,000.00Rp TN. IBNU HERMAWAN PELENGKAP APD139 4/20/2020 HIBAH MASKER SURGICAL (BEDAH) 2 box 302,500.00Rp 605,000.00Rp PP KAGAMA PELENGKAP APD140 4/20/2020 HIBAH MASKER SURGICAL (BEDAH) 10 box 302,500.00Rp 3,025,000.00Rp PT.MACANANJAYA CEMERLANG PELENGKAP APD

Page 5: RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr ......1 3/30/2020 HIBAH OSELTAMIVIR 75MG KAPSUL 1,000 tab Rp 12,969.00 Rp 12,969,000.00 KEMENTERIAN KESEHATAN RI OBAT 2 4/24/2020 HIBAH RDT

NoTanggal

Entry AplikasiUraian Barang

Nilai Perolehan (Satuan)

Total Nilai Perolehan Nama Pemberi Hibah Kelompok Keterangan

RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr. SOERADJI TIRTONEGORO KLATENTERKAIT PANDEMI COVID -19 Periode 23 Maret 2020 s.d 3 Maret 2021

DI LINGKUNGAN DIREKTORAT JENDERAL PELAYANAN KESEHATAN

Jumlah Barang Diterima

141 4/21/2020 HIBAH FACE SHIELD 10 bh 250,000.00Rp 2,500,000.00Rp INDONESIA BERTAUHID PELENGKAP APD142 4/21/2020 HIBAH FACE SHIELD 100 bh 20,000.00Rp 2,000,000.00Rp PBR PEDULI PARAMEDIS PELENGKAP APD143 4/21/2020 HIBAH HANDSCHOEN/HANDSEAL 200 psg 950.00Rp 190,000.00Rp INDONESIA BERTAUHID PELENGKAP APD144 4/21/2020 HIBAH HAZMAT COVERALL 50 bh 200,000.00Rp 10,000,000.00Rp BNI KLATEN APD145 4/21/2020 HIBAH HAZMAT COVERALL 40 bh 75,000.00Rp 3,000,000.00Rp MASY. PEDULI COVID APD146 4/21/2020 HIBAH HAZMAT COVERALL REUSE 10 set 1,000,000.00Rp 10,000,000.00Rp GERAKAN BERBAGI KEBAIKAN APD147 4/21/2020 HIBAH HEADCAP 200 pcs 900.00Rp 180,000.00Rp INDONESIA BERTAUHID PELENGKAP APD148 4/21/2020 HIBAH JAS HUJAN DISPOSIBLE 100 pcs 4,400.00Rp 440,000.00Rp INDONESIA BERTAUHID PELENGKAP APD149 4/21/2020 HIBAH MASKER N95 40 pcs 140,000.00Rp 5,600,000.00Rp INDONESIA BERTAUHID PELENGKAP APD150 4/22/2020 HIBAH HAND SANITIZER 125 ML 1,008 pcs 25,000.00Rp 25,200,000.00Rp MSD PROJECTS OBAT151 4/22/2020 HIBAH HANDSCOON 10 box 60,000.00Rp 600,000.00Rp KOPERASI BINA SEHAT PELENGKAP APD152 4/22/2020 HIBAH HAZMAT COVERALL REUSE 15 set 150,000.00Rp 2,250,000.00Rp dr. ANDO APD153 4/22/2020 HIBAH HAZMAT COVERALL REUSE 30 set 1,000,000.00Rp 30,000,000.00Rp POLRES KLATEN APD154 4/22/2020 HIBAH THERMO GUN 1 UNIT 1,400,000.00Rp 1,400,000.00Rp KOPERASI BINA SEHAT ALKES155 4/23/2020 HIBAH FACE SHIELD 20 bh 10,000.00Rp 200,000.00Rp KITA BISA.COM PELENGKAP APD157 4/23/2020 HIBAH HAZMAT COVERALL 50 bh 250,000.00Rp 12,500,000.00Rp KITA BISA.COM APD158 4/23/2020 HIBAH HAZMAT COVERALL REUSE 17 set 250,000.00Rp 4,250,000.00Rp HIBAH ALM AKT 2000 UPNV YOGYA APD159 4/23/2020 HIBAH HEADCAP 340 pcs 706.00Rp 240,040.00Rp TN. MARGONO PELENGKAP APD160 4/23/2020 HIBAH MASKER ANTI POLUTAN 108 bh 5,157.00Rp 556,956.00Rp TN. MARGONO PELENGKAP APD161 4/23/2020 HIBAH MASKER KAIN 20 pcs 5,157.00Rp 103,140.00Rp TN. MARGONO PELENGKAP APD162 4/23/2020 HIBAH MULTIVITAMIN 25 tab 10,000.00Rp 250,000.00Rp HIBAH ALM AKT 2000 UPNV YOGYA OBAT163 4/24/2020 HIBAH HAZMAT COVERALL 25 bh 200,000.00Rp 5,000,000.00Rp ISA COVID 19 APD164 4/27/2020 HIBAH CHLOROQUIN 1,000 tab 3,300.00Rp 3,300,000.00Rp PT. DEXA MEDICA ALKES165 4/27/2020 HIBAH FACE SHIELD 10 bh 50,001.00Rp 500,010.00Rp DANA SESAMA&BAHASUTA PELENGKAP APD166 4/27/2020 HIBAH FACE SHIELD 12 bh 50,001.00Rp 600,012.00Rp HIBAH DOMPET DHUAFA PELENGKAP APD167 4/27/2020 HIBAH HAND WASH 2 gln 400,000.00Rp 800,000.00Rp RELAWAN SOLO OBAT168 4/27/2020 HIBAH HANDSCOON 2 box 300,000.00Rp 600,000.00Rp DANA SESAMA&BAHASUTA PELENGKAP APD

Page 6: RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr ......1 3/30/2020 HIBAH OSELTAMIVIR 75MG KAPSUL 1,000 tab Rp 12,969.00 Rp 12,969,000.00 KEMENTERIAN KESEHATAN RI OBAT 2 4/24/2020 HIBAH RDT

NoTanggal

Entry AplikasiUraian Barang

Nilai Perolehan (Satuan)

Total Nilai Perolehan Nama Pemberi Hibah Kelompok Keterangan

RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr. SOERADJI TIRTONEGORO KLATENTERKAIT PANDEMI COVID -19 Periode 23 Maret 2020 s.d 3 Maret 2021

DI LINGKUNGAN DIREKTORAT JENDERAL PELAYANAN KESEHATAN

Jumlah Barang Diterima

169 4/27/2020 HIBAH HAZMAT COVERALL 3 bh 100,000.00Rp 300,000.00Rp DANA SESAMA&BAHASUTA APD170 4/27/2020 HIBAH HAZMAT COVERALL 40 bh 250,000.00Rp 10,000,000.00Rp HIBAH DOMPET DHUAFA APD171 4/27/2020 HIBAH HAZMAT COVERALL 20 bh 75,000.00Rp 1,500,000.00Rp MUALAF CENTER APD172 4/27/2020 HIBAH HAZMAT COVERALL 6 bh 83,334.00Rp 500,004.00Rp PT. AKARI APD173 4/27/2020 HIBAH HAZMAT COVERALL 25 bh 150,000.00Rp 3,750,000.00Rp PT. DIAN JAYA BARU APD174 4/27/2020 HIBAH KACAMATA GOOGLE 2 bh 25,000.00Rp 50,000.00Rp DANA SESAMA&BAHASUTA PELENGKAP APD175 4/27/2020 HIBAH MASKER KAIN 1,000 pcs 2,917.00Rp 2,917,000.00Rp TN. AMINA ALI ZEN PELENGKAP APD176 4/27/2020 HIBAH MASKER N95 20 pcs 115,000.00Rp 2,300,000.00Rp PT. AMSA PELENGKAP APD177 4/27/2020 HIBAH MASKER SURGICAL (BEDAH) 4 box 137,500.00Rp 550,000.00Rp DANA SESAMA&BAHASUTA PELENGKAP APD178 4/27/2020 HIBAH MASKER SURGICAL (BEDAH) 2 box 137,500.00Rp 275,000.00Rp HIBAH DOMPET DHUAFA PELENGKAP APD179 4/28/2020 HIBAH FACE SHIELD 1 bh 100,000.00Rp 100,000.00Rp FK IMS PELENGKAP APD180 4/28/2020 HIBAH FACE SHIELD 5 bh 50,001.00Rp 250,005.00Rp UNY PEDULI PELENGKAP APD181 4/28/2020 HIBAH HAND SANITIZER LITER 5 lt 200,000.00Rp 1,000,000.00Rp GOJEK OBAT182 4/28/2020 HIBAH HAZMAT COVERALL 30 bh 100,000.00Rp 3,000,000.00Rp FK IMS APD183 4/28/2020 HIBAH HAZMAT COVERALL 4 bh 80,000.00Rp 320,000.00Rp GOJEK APD184 4/28/2020 HIBAH HAZMAT COVERALL 20 bh 250,000.00Rp 5,000,000.00Rp PADMANABA 89 PEDULI APD185 4/28/2020 HIBAH HAZMAT COVERALL REUSE 4 set 125,000.00Rp 500,000.00Rp GOJEK APD186 4/28/2020 HIBAH HAZMAT COVERALL REUSE 5 set 200,000.00Rp 1,000,000.00Rp UNY PEDULI APD187 4/28/2020 HIBAH HEADCAP 100 pcs 1,250.00Rp 125,000.00Rp PADMANABA 89 PEDULI PELENGKAP APD188 4/28/2020 HIBAH KACAMATA GOOGLE 20 bh 50,001.00Rp 1,000,020.00Rp PADMANABA 89 PEDULI PELENGKAP APD189 4/28/2020 HIBAH MASKER KAIN 5 pcs 5,000.00Rp 25,000.00Rp UNY PEDULI PELENGKAP APD190 4/28/2020 HIBAH MASKER N95 40 pcs 75,000.00Rp 3,000,000.00Rp FK IMS PELENGKAP APD191 4/28/2020 HIBAH MASKER N95 20 pcs 1,640.00Rp 32,800.00Rp PADMANABA 89 PEDULI PELENGKAP APD192 4/29/2020 HIBAH FACE SHIELD 10 bh 50,001.00Rp 500,010.00Rp GOODSFORGOOD.ID PELENGKAP APD193 4/29/2020 HIBAH HAND SANITIZER LITER 20 lt 100,000.00Rp 2,000,000.00Rp HIBAH HIMPUNAN LAUNDRY IND OBAT194 4/29/2020 HIBAH HANDSCOON 2 box 52,000.00Rp 104,000.00Rp GOODSFORGOOD.ID PELENGKAP APD195 4/29/2020 HIBAH HAZMAT COVERALL 130 bh 100,000.00Rp 13,000,000.00Rp GOODSFORGOOD.ID APD196 4/29/2020 HIBAH HAZMAT COVERALL 8 bh 75,000.00Rp 600,000.00Rp GOODSFORGOOD.ID APD197 4/29/2020 HIBAH HAZMAT COVERALL 5 bh 75,000.00Rp 375,000.00Rp HIBAH HIMPUNAN LAUNDRY IND APD198 4/29/2020 HIBAH HEADCAP 200 pcs 1,250.00Rp 250,000.00Rp GOODSFORGOOD.ID PELENGKAP APD199 4/29/2020 HIBAH MASKER ANTI POLUTAN 52 bh 5,009.00Rp 260,468.00Rp HIBAH HIMPUNAN LAUNDRY IND PELENGKAP APD200 4/29/2020 HIBAH MASKER KAIN 12 pcs 5,000.00Rp 60,000.00Rp HIBAH HIMPUNAN LAUNDRY IND PELENGKAP APD201 4/29/2020 HIBAH MASKER N95 150 pcs 1,640.00Rp 246,000.00Rp GOODSFORGOOD.ID PELENGKAP APD202 4/29/2020 HIBAH MASKER SURGICAL (BEDAH) 15 box 180,000.00Rp 2,700,000.00Rp GOODSFORGOOD.ID PELENGKAP APD203 4/29/2020 HIBAH THERMO GUN 1 UNIT 1,400,000.00Rp 1,400,000.00Rp GOODSFORGOOD.ID ALKES204 4/30/2020 HIBAH APD SET 20 set 45,000.00Rp 900,000.00Rp POLRES DAN KODIM APD205 4/30/2020 HIBAH FACE SHIELD 13 bh 50,001.00Rp 650,013.00Rp LIONS CIF PELENGKAP APD206 4/30/2020 HIBAH FACE SHIELD 5 bh 50,001.00Rp 250,005.00Rp UKHS PELENGKAP APD207 4/30/2020 HIBAH HANDSCHOEN/HANDSEAL 7 psg 5,350.00Rp 37,450.00Rp LIONS CIF PELENGKAP APD208 4/30/2020 HIBAH HAZMAT COVERALL 17 bh 250,000.00Rp 4,250,000.00Rp LIONS CIF APD209 4/30/2020 HIBAH HAZMAT COVERALL 50 bh 100,000.00Rp 5,000,000.00Rp TEAM MYDREAMGOODIES APD210 4/30/2020 HIBAH HAZMAT COVERALL 10 bh 250,000.00Rp 2,500,000.00Rp UKHS APD211 4/30/2020 HIBAH KACAMATA GOOGLE 10 bh 75,000.00Rp 750,000.00Rp UKHS PELENGKAP APD212 4/30/2020 HIBAH MASKER SURGICAL (BEDAH) 1 box 137,500.00Rp 137,500.00Rp LIONS CIF PELENGKAP APD213 4/30/2020 HIBAH MASKER SURGICAL (BEDAH) 3 box 180,000.00Rp 540,000.00Rp POLRES DAN KODIM PELENGKAP APD214 5/1/2020 HIBAH COVER SHOES 500 psg 4,418.00Rp 2,209,000.00Rp KOMITE MEDIK RSST (02 APRIL 2020) PELENGKAP APD215 5/1/2020 HIBAH FACE SHIELD 11 bh 7,000.00Rp 77,000.00Rp KOMITE MEDIK RSST (02 APRIL 2020) PELENGKAP APD216 5/1/2020 HIBAH HAZMAT COVER UP 10 pcs 45,000.00Rp 450,000.00Rp KOMITE MEDIK RSST (02 APRIL 2020) APD217 5/1/2020 HIBAH HAZMAT COVERALL 20 bh 37,500.00Rp 750,000.00Rp KOMITE MEDIK RSST (02 APRIL 2020) APD218 5/1/2020 HIBAH MASKER N95 73 pcs 100,000.00Rp 7,300,000.00Rp KOMITE MEDIK RSST (02 APRIL 2020) PELENGKAP APD219 5/1/2020 HIBAH MASKER N95 25 pcs 100,000.00Rp 2,500,000.00Rp RELAWAN G.L (21 APRIL 2020) PELENGKAP APD220 5/4/2020 HIBAH COVER SHOES 60 psg 10,000.00Rp 600,000.00Rp PT. AAM PELENGKAP APD221 5/4/2020 HIBAH FACE SHIELD 7 bh 15,000.00Rp 105,000.00Rp IKATAN ALUMNI UNS PELENGKAP APD222 5/4/2020 HIBAH FACE SHIELD 50 bh 25,000.00Rp 1,250,000.00Rp PRODI ARSITEK UNS PELENGKAP APD223 5/4/2020 HIBAH FACE SHIELD 21 bh 30,000.00Rp 630,000.00Rp PT. AAM PELENGKAP APD224 5/4/2020 HIBAH HAND SANITIZER LITER 10 lt 979,216.00Rp 9,792,160.00Rp PT. VALUE LM (30 APRIL 2020) OBAT225 5/4/2020 HIBAH HANDSCHOEN/HANDSEAL 5 psg 35,500.00Rp 177,500.00Rp SMAN 1 ANGKATAN 99 PELENGKAP APD

Page 7: RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr ......1 3/30/2020 HIBAH OSELTAMIVIR 75MG KAPSUL 1,000 tab Rp 12,969.00 Rp 12,969,000.00 KEMENTERIAN KESEHATAN RI OBAT 2 4/24/2020 HIBAH RDT

NoTanggal

Entry AplikasiUraian Barang

Nilai Perolehan (Satuan)

Total Nilai Perolehan Nama Pemberi Hibah Kelompok Keterangan

RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr. SOERADJI TIRTONEGORO KLATENTERKAIT PANDEMI COVID -19 Periode 23 Maret 2020 s.d 3 Maret 2021

DI LINGKUNGAN DIREKTORAT JENDERAL PELAYANAN KESEHATAN

Jumlah Barang Diterima

226 5/4/2020 HIBAH HAZMAT COVERALL 50 bh 100,000.00Rp 5,000,000.00Rp HIBAH SMAN 1 ANGKATAN 90 APD227 5/4/2020 HIBAH HAZMAT COVERALL 20 bh 100,000.00Rp 2,000,000.00Rp IKATAN ALUMNI UNS APD228 5/4/2020 HIBAH HAZMAT COVERALL 5 bh 100,000.00Rp 500,000.00Rp PRODI ARSITEK UNS APD229 5/4/2020 HIBAH HAZMAT COVERALL 30 bh 150,000.00Rp 4,500,000.00Rp PT. AAM APD230 5/4/2020 HIBAH HEADCAP 60 pcs 1,200.00Rp 72,000.00Rp PT. AAM PELENGKAP APD231 5/4/2020 HIBAH KACAMATA GOOGLE 10 bh 40,000.00Rp 400,000.00Rp IKATAN ALUMNI UNS PELENGKAP APD232 5/4/2020 HIBAH KACAMATA GOOGLE 36 bh 40,000.00Rp 1,440,000.00Rp PT. AAM PELENGKAP APD233 5/4/2020 HIBAH MASKER ANTI POLUTAN 10 bh 6,050.00Rp 60,500.00Rp IKATAN ALUMNI UNS PELENGKAP APD234 5/4/2020 HIBAH MASKER KAIN 216 pcs 2,917.00Rp 630,072.00Rp TN. DAWAM (30 APRIL 2020) PELENGKAP APD235 5/4/2020 HIBAH MASKER N95 5 pcs 95,000.00Rp 475,000.00Rp IKATAN ALUMNI UNS PELENGKAP APD236 5/4/2020 HIBAH MASKER N95 15 pcs 95,000.00Rp 1,425,000.00Rp SMAN 1 ANGKATAN 99 PELENGKAP APD237 5/4/2020 HIBAH MULTIVITAMIN 600 tab 2,600.00Rp 1,560,000.00Rp PT. AAM OBAT238 5/5/2020 HIBAH CERNEVIT MULTIVITAMIN INJ 10 vial 214,500.00Rp 2,145,000.00Rp KALBE FARMA OBAT239 5/5/2020 HIBAH COVER SHOES 76 psg 10,000.00Rp 760,000.00Rp SMPN 1 ANGKATAN 94 PELENGKAP APD240 5/6/2020 HIBAH HAND SANITIZER 500 ML 3 btl 50,001.00Rp 150,003.00Rp POLTEKES SURAKARTA OBAT241 5/6/2020 HIBAH HAZMAT COVERALL 5 bh 75,000.00Rp 375,000.00Rp POLTEKES SURAKARTA APD242 5/6/2020 HIBAH MASKER ANTI POLUTAN 100 bh 5,000.00Rp 500,000.00Rp POLTEKES SURAKARTA PELENGKAP APD243 5/8/2020 HIBAH COVER SHOES 10 psg 10,000.00Rp 100,000.00Rp NY. SILVIA DAN DONATUR PELENGKAP APD244 5/8/2020 HIBAH FACE SHIELD 75 bh 15,000.00Rp 1,125,000.00Rp ALUMNI ITB 2001 PELENGKAP APD245 5/8/2020 HIBAH FACE SHIELD 50 bh 15,000.00Rp 750,000.00Rp ROTARI CLUB PELENGKAP APD246 5/8/2020 HIBAH FACE SHIELD + HELM + GOOGLE 25 bh 23,000.00Rp 575,000.00Rp NY. SILVIA DAN DONATUR PELENGKAP APD247 5/8/2020 HIBAH HAND SANITIZER 500 ML 1 btl 50,001.00Rp 50,001.00Rp NY. SILVIA DAN DONATUR OBAT248 5/8/2020 HIBAH HANDSCOON 4 box 102,000.00Rp 408,000.00Rp NY. SILVIA DAN DONATUR PELENGKAP APD249 5/8/2020 HIBAH HAZMAT COVERALL 5 bh 100,000.00Rp 500,000.00Rp NY. SILVIA DAN DONATUR APD250 5/8/2020 HIBAH HAZMAT COVERALL REUSE 20 set 100,000.00Rp 2,000,000.00Rp ROTARI CLUB APD251 5/8/2020 HIBAH HEADCAP 100 pcs 1,200.00Rp 120,000.00Rp NY. SILVIA DAN DONATUR PELENGKAP APD252 5/8/2020 HIBAH KACAMATA GOOGLE 5 bh 75,000.00Rp 375,000.00Rp NY. SILVIA DAN DONATUR PELENGKAP APD253 5/8/2020 HIBAH MASKER N95 6 pcs 80,000.00Rp 480,000.00Rp PERSI JATENG PELENGKAP APD254 5/8/2020 HIBAH MASKER N95 40 pcs 26,000.00Rp 1,040,000.00Rp NY. SILVIA DAN DONATUR PELENGKAP APD255 5/8/2020 HIBAH MASKER N95 150 pcs 26,000.00Rp 3,900,000.00Rp ROTARI CLUB PELENGKAP APD256 5/8/2020 HIBAH MASKER SURGICAL (BEDAH) 2 box 180,000.00Rp 360,000.00Rp NY. SILVIA DAN DONATUR PELENGKAP APD257 5/8/2020 HIBAH MASKER SURGICAL (BEDAH) 2 box 175,000.00Rp 350,000.00Rp ROTARI CLUB PELENGKAP APD258 5/8/2020 HIBAH RDT COVID (RAPID TEST) 10 bh 220,000.00Rp 2,200,000.00Rp PERSI JATENG ALKES259 5/11/2020 HIBAH FACE SHIELD 10 bh 5,000.00Rp 50,000.00Rp KASTA PELENGKAP APD260 5/11/2020 HIBAH FACE SHIELD 30 bh 10,000.00Rp 300,000.00Rp RX KING KLATEN PELENGKAP APD261 5/11/2020 HIBAH HAND SANITIZER 125 ML 1 pcs 20,000.00Rp 20,000.00Rp KASTA OBAT262 5/11/2020 HIBAH HANDSCOON 1 box 100,000.00Rp 100,000.00Rp KASTA PELENGKAP APD263 5/11/2020 HIBAH HAZMAT COVERALL 1 bh 75,000.00Rp 75,000.00Rp KARANG TARUNA GERMAND APD264 5/11/2020 HIBAH HAZMAT COVERALL 24 bh 75,000.00Rp 1,800,000.00Rp KASTA APD265 5/11/2020 HIBAH HAZMAT COVERALL 15 bh 75,000.00Rp 1,125,000.00Rp RX KING KLATEN APD266 5/11/2020 HIBAH HAZMAT COVERALL REUSE 1 set 75,000.00Rp 75,000.00Rp KARANG TARUNA GERMAND APD267 5/11/2020 HIBAH HEADCAP 100 pcs 1,200.00Rp 120,000.00Rp KASTA PELENGKAP APD268 5/11/2020 HIBAH MASKER ANTI POLUTAN 100 bh 5,500.00Rp 550,000.00Rp RX KING KLATEN PELENGKAP APD269 5/11/2020 HIBAH MASKER KAIN 20 pcs 5,000.00Rp 100,000.00Rp KARANG TARUNA GERMAND PELENGKAP APD270 5/11/2020 HIBAH MASKER SURGICAL (BEDAH) 1 box 302,500.00Rp 302,500.00Rp KASTA PELENGKAP APD271 5/12/2020 HIBAH HANDSCOON 2 box 100,000.00Rp 200,000.00Rp PT. KALIREJO MAKMUR PELENGKAP APD272 5/12/2020 HIBAH HAZMAT COVER UP 80 bh 350,000.00Rp 28,000,000.00Rp KALBE FARMA APD273 5/12/2020 HIBAH HAZMAT COVERALL 3 bh 75,000.00Rp 225,000.00Rp PT. KALIREJO MAKMUR APD274 5/12/2020 HIBAH HYDROCLOROQUINE 200 MG 400 tab 23,100.00Rp 9,240,000.00Rp KALBE FARMA OBAT275 5/12/2020 HIBAH JAS HUJAN DISPOSIBLE 50 pcs 100,000.00Rp 5,000,000.00Rp KALBE FARMA PELENGKAP APD276 5/12/2020 HIBAH MASKER SURGICAL (BEDAH) 40 box 255,000.00Rp 10,200,000.00Rp KALBE FARMA PELENGKAP APD277 5/12/2020 HIBAH MASKER SURGICAL (BEDAH) 1 box 200,000.00Rp 200,000.00Rp PT. KALIREJO MAKMUR PELENGKAP APD278 5/13/2020 HIBAH HAZMAT COVERALL 80 bh 75,000.00Rp 6,000,000.00Rp PT. BRIGHT SPARK INDONESIA APD279 5/13/2020 HIBAH HAZMAT COVERALL REUSE 5 set 100,000.00Rp 500,000.00Rp IKATAN BIDAN INDONESIA APD280 5/13/2020 HIBAH HAZMAT COVERALL REUSE 12 set 75,000.00Rp 900,000.00Rp PT. BRIGHT SPARK INDONESIA APD281 5/15/2020 HIBAH COVER SHOES 50 psg 10,000.00Rp 500,000.00Rp CSR HONDA COMMUNITY PELENGKAP APD282 5/15/2020 HIBAH HAZMAT COVERALL 50 bh 75,000.00Rp 3,750,000.00Rp CSR HONDA COMMUNITY APD

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NoTanggal

Entry AplikasiUraian Barang

Nilai Perolehan (Satuan)

Total Nilai Perolehan Nama Pemberi Hibah Kelompok Keterangan

RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr. SOERADJI TIRTONEGORO KLATENTERKAIT PANDEMI COVID -19 Periode 23 Maret 2020 s.d 3 Maret 2021

DI LINGKUNGAN DIREKTORAT JENDERAL PELAYANAN KESEHATAN

Jumlah Barang Diterima

283 5/15/2020 HIBAH HAZMAT COVERALL 20 bh 50,001.00Rp 1,000,020.00Rp REYCCA HIJAB APD284 5/18/2020 HIBAH MASKER N95 200 pcs 95,000.00Rp 19,000,000.00Rp KITABISA.COM PELENGKAP APD285 5/20/2020 HIBAH HAZMAT COVERALL 40 bh 75,000.00Rp 3,000,000.00Rp dr. WISNU APD286 5/20/2020 HIBAH KACAMATA GOOGLE 8 bh 25,000.00Rp 200,000.00Rp dr. WISNU PELENGKAP APD287 5/22/2020 HIBAH FACE SHIELD 5 bh 250,110.00Rp 1,250,550.00Rp YIB PELENGKAP APD288 5/22/2020 HIBAH MASKER N95 40 pcs 140,000.00Rp 5,600,000.00Rp YIB PELENGKAP APD289 5/22/2020 HIBAH MASKER SURGICAL (BEDAH) 10 box 302,500.00Rp 3,025,000.00Rp YIB PELENGKAP APD290 5/26/2020 HIBAH HANDSCOON 1 box 60,000.00Rp 60,000.00Rp PT. ESSITY (BSN) PELENGKAP APD291 5/26/2020 HIBAH HAZMAT COVERALL 2 bh 100,000.00Rp 200,000.00Rp PT. ESSITY (BSN) APD292 5/26/2020 HIBAH MASKER SURGICAL (BEDAH) 2 box 192,000.00Rp 384,000.00Rp PT. ESSITY (BSN) PELENGKAP APD293 5/27/2020 HIBAH HANDSCOON 5 box 60,000.00Rp 300,000.00Rp KKT SOSIAL JOMPO CHIKUNG 99 SUN PELENGKAP APD294 5/27/2020 HIBAH HAZMAT COVERALL 60 bh 100,000.00Rp 6,000,000.00Rp PT. TSG UTAMA INDONESIA APD295 5/27/2020 HIBAH KACAMATA GOOGLE 10 bh 25,000.00Rp 250,000.00Rp KKT SOSIAL JOMPO CHIKUNG 99 SUN PELENGKAP APD296 5/27/2020 HIBAH MASKER N95 5 pcs 95,000.00Rp 475,000.00Rp KKT SOSIAL JOMPO CHIKUNG 99 SUN PELENGKAP APD297 5/27/2020 HIBAH MASKER SURGICAL (BEDAH) 2 box 175,000.00Rp 350,000.00Rp KKT SOSIAL JOMPO CHIKUNG 99 SUN PELENGKAP APD298 5/27/2020 HIBAH VITAMIN C 50MG 150 tab 250.00Rp 37,500.00Rp KKT SOSIAL JOMPO CHIKUNG 99 SUN OBAT299 5/29/2020 HIBAH HAND SANITIZER 500 ML 3 btl 165,000.00Rp 495,000.00Rp PASUKAN KAPI-KAPI OBAT300 5/29/2020 HIBAH HAZMAT COVERALL 12 bh 165,000.00Rp 1,980,000.00Rp PASUKAN KAPI-KAPI APD301 5/29/2020 HIBAH KACAMATA GOOGLE 98 bh 25,000.00Rp 2,450,000.00Rp PASUKAN KAPI-KAPI PELENGKAP APD302 5/29/2020 HIBAH MASKER N95 100 pcs 40,000.00Rp 4,000,000.00Rp PASUKAN KAPI-KAPI PELENGKAP APD303 6/1/2020 HIBAH COVER SHOES 15 psg 10,000.00Rp 150,000.00Rp PT. SIEMEN (19 MEI) PELENGKAP APD304 6/1/2020 HIBAH FACE SHIELD 48 bh 15,000.00Rp 720,000.00Rp SMA INDOCEMENT (15 MEI) PELENGKAP APD305 6/1/2020 HIBAH HANDSCHOEN/HANDSEAL 15 psg 2,000.00Rp 30,000.00Rp PT. SIEMEN (19 MEI) PELENGKAP APD306 6/1/2020 HIBAH HAZMAT COVERALL 150 bh 75,000.00Rp 11,250,000.00Rp PT TUNGGAL JAYA EXPRESINDO (19 MEI) APD307 6/1/2020 HIBAH HAZMAT COVERALL 15 bh 75,000.00Rp 1,125,000.00Rp PT. SIEMEN (19 MEI) APD308 6/1/2020 HIBAH HEADCAP 15 pcs 900.00Rp 13,500.00Rp PT. SIEMEN (19 MEI) PELENGKAP APD309 6/1/2020 HIBAH KACAMATA GOOGLE 15 bh 50,001.00Rp 750,015.00Rp PT. SIEMEN (19 MEI) PELENGKAP APD310 6/1/2020 HIBAH MASKER KAIN 300 pcs 5,000.00Rp 1,500,000.00Rp BANK BTN (14 MEI) PELENGKAP APD311 6/1/2020 HIBAH MASKER KAIN 150 pcs 4,500.00Rp 675,000.00Rp dr. POPPY SETIATI H. RSST (19 MEI) PELENGKAP APD312 6/1/2020 HIBAH MASKER N95 30 pcs 95,000.00Rp 2,850,000.00Rp PT. SIEMEN (19 MEI) PELENGKAP APD313 6/1/2020 HIBAH MULTIVITAMIN 100 tab 900.00Rp 90,000.00Rp SD MUH. PRAMBANAN OBAT314 6/2/2020 HIBAH APD SET 7 set 417,500.00Rp 2,922,500.00Rp BPJS KETENAGAKERJAAN APD315 6/2/2020 HIBAH HANDSCOON 60 box 10,000.00Rp 600,000.00Rp PT. NESTLE INDONESIA PELENGKAP APD316 6/2/2020 HIBAH HAZMAT COVERALL 25 bh 150,000.00Rp 3,750,000.00Rp DEWAM FATWA APD317 6/2/2020 HIBAH KACAMATA GOOGLE 100 bh 25,000.00Rp 2,500,000.00Rp PT. NESTLE INDONESIA PELENGKAP APD318 6/2/2020 HIBAH MASKER N95 300 pcs 85,000.00Rp 25,500,000.00Rp PT. NESTLE INDONESIA PELENGKAP APD319 6/2/2020 HIBAH MASKER SURGICAL (BEDAH) 100 box 175,000.00Rp 17,500,000.00Rp PT. NESTLE INDONESIA PELENGKAP APD320 6/3/2020 HIBAH FACE SHIELD 100 bh 30,000.00Rp 3,000,000.00Rp IBU ENDANG (SMK LEONARDO) PELENGKAP APD321 6/3/2020 HIBAH HANDSCOON 1 box 52,000.00Rp 52,000.00Rp IBU ENDANG (SMK LEONARDO) PELENGKAP APD322 6/3/2020 HIBAH HAZMAT COVERALL 50 bh 150,000.00Rp 7,500,000.00Rp IBU ENDANG (SMK LEONARDO) APD323 6/3/2020 HIBAH KACAMATA GOOGLE 10 bh 15,000.00Rp 150,000.00Rp IBU ENDANG (SMK LEONARDO) PELENGKAP APD324 6/3/2020 HIBAH KACAMATA GOOGLE 5 bh 50,001.00Rp 250,005.00Rp IBU ENDANG (SMK LEONARDO) PELENGKAP APD325 6/3/2020 HIBAH MASKER ANTI POLUTAN 100 bh 9,000.00Rp 900,000.00Rp IBU ENDANG (SMK LEONARDO) PELENGKAP APD326 6/4/2020 HIBAH FACE SHIELD 25 bh 100,000.00Rp 2,500,000.00Rp DIAN JAYA BARU (04 JUNI ) PELENGKAP APD327 6/4/2020 HIBAH HAZMAT COVERALL 25 bh 165,000.00Rp 4,125,000.00Rp DIAN JAYA BARU (04 JUNI ) APD328 6/5/2020 HIBAH FACE SHIELD 10 bh 30,000.00Rp 300,000.00Rp DIXION PELENGKAP APD329 6/5/2020 HIBAH FACE SHIELD 5 bh 30,000.00Rp 150,000.00Rp PERHIMPUNAN RS INDONESIA PELENGKAP APD330 6/5/2020 HIBAH HANDSCOON 1 box 52,000.00Rp 52,000.00Rp PERHIMPUNAN RS INDONESIA PELENGKAP APD331 6/5/2020 HIBAH HAZMAT COVER UP 5 pcs 100,000.00Rp 500,000.00Rp PERHIMPUNAN RS INDONESIA APD332 6/5/2020 HIBAH HAZMAT COVERALL 10 bh 200,000.00Rp 2,000,000.00Rp DIXION APD333 6/5/2020 HIBAH HAZMAT COVERALL 10 bh 200,000.00Rp 2,000,000.00Rp PERHIMPUNAN RS INDONESIA APD334 6/5/2020 HIBAH HAZMAT COVERALL 85 bh 150,000.00Rp 12,750,000.00Rp PT. SELARAS LAWANGSEWU APD335 6/5/2020 HIBAH KACAMATA GOOGLE 4 bh 50,001.00Rp 200,004.00Rp PERHIMPUNAN RS INDONESIA PELENGKAP APD336 6/5/2020 HIBAH MASKER N95 20 pcs 95,000.00Rp 1,900,000.00Rp PERHIMPUNAN RS INDONESIA PELENGKAP APD337 6/5/2020 HIBAH MASKER SURGICAL (BEDAH) 2 box 450,000.00Rp 900,000.00Rp PERHIMPUNAN RS INDONESIA PELENGKAP APD338 6/5/2020 HIBAH MULTIVITAMIN 300 tab 2,834.00Rp 850,200.00Rp PERHIMPUNAN RS INDONESIA OBAT339 6/5/2020 HIBAH TOLAK ANGIN CAIR 72 box 14,584.00Rp 1,050,048.00Rp PERHIMPUNAN RS INDONESIA OBAT

Page 9: RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr ......1 3/30/2020 HIBAH OSELTAMIVIR 75MG KAPSUL 1,000 tab Rp 12,969.00 Rp 12,969,000.00 KEMENTERIAN KESEHATAN RI OBAT 2 4/24/2020 HIBAH RDT

NoTanggal

Entry AplikasiUraian Barang

Nilai Perolehan (Satuan)

Total Nilai Perolehan Nama Pemberi Hibah Kelompok Keterangan

RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr. SOERADJI TIRTONEGORO KLATENTERKAIT PANDEMI COVID -19 Periode 23 Maret 2020 s.d 3 Maret 2021

DI LINGKUNGAN DIREKTORAT JENDERAL PELAYANAN KESEHATAN

Jumlah Barang Diterima

340 6/11/2020 HIBAH MULTIVITAMIN 1,500 tab 667.00Rp 1,000,500.00Rp HDI PEDULI PEJUANG MEDIS OBAT341 6/22/2020 HIBAH HANDSCHOEN/HANDSEAL 1,000 psg 8,000.00Rp 8,000,000.00Rp PT. ENSEVAL MEDIKA PRIMA PELENGKAP APD342 6/22/2020 HIBAH HAZMAT COVERALL 10 bh 150,000.00Rp 1,500,000.00Rp TEKNIK RADIOLOGI SMG (22 MEI) APD343 6/22/2020 HIBAH MASKER SURGICAL (BEDAH) 1 box 147,500.00Rp 147,500.00Rp TEKNIK RADIOLOGI SMG (22 MEI) PELENGKAP APD344 6/23/2020 HIBAH MASKER SURGICAL (BEDAH) 12 box 260,000.00Rp 3,120,000.00Rp MENKES (dr. TERAWAN) PELENGKAP APD345 7/1/2020 HIBAH FACE SHIELD 15 bh 36,364.00Rp 600,000.00Rp PASUKAN KAPI-KAPI (29 MEI) PELENGKAP APD346 7/16/2020 HIBAH FACE SHIELD 30 bh 15,000.00Rp 450,000.00Rp CSR HONDA COMMUNITY (15 MEI) PELENGKAP APD347 7/16/2020 HIBAH FACE SHIELD 5 bh 35,000.00Rp 175,000.00Rp HMHI/HEMOFILIA (28 MEI) PELENGKAP APD348 7/16/2020 HIBAH HANDSCHOEN/HANDSEAL 100 psg 2,100.00Rp 2,100,000.00Rp RENNIE YOLANDA (JANGKAU.ID) PELENGKAP APD349 7/16/2020 HIBAH HANDSCHOEN/HANDSEAL 50 psg 76,104.00Rp 3,805,200.00Rp RENNIE YOLANDA (JANGKAU.ID) PELENGKAP APD350 7/16/2020 HIBAH HAZMAT COVERALL 20 bh 22,500.00Rp 450,000.00Rp OPEN PO KAOS APD351 7/27/2020 HIBAH MINYAK EKALIPTUS A.L. 30 ML 288 pcs 10,494.00Rp 3,022,272.00Rp PT. BOROEN EAGLE INDONESIA OBAT352 7/27/2020 HIBAH MINYAK EKALIPTUS A.L. 60 ML 144 pcs 19,875.00Rp 2,862,000.00Rp PT. BOROEN EAGLE INDONESIA OBAT353 7/27/2020 HIBAH MINYAK KAYU PUTIH 30 ML 288 pcs 9,900.00Rp 2,851,200.00Rp PT. BOROEN EAGLE INDONESIA OBAT354 7/27/2020 HIBAH MINYAK KAYU PUTIH 60 ML 144 pcs 18,700.00Rp 2,692,800.00Rp PT. BOROEN EAGLE INDONESIA OBAT355 8/3/2020 HIBAH HAZMAT COVERALL 12 bh 40,000.00Rp 480,000.00Rp YERRY APD356 8/4/2020 HIBAH COVER SHOES 320 psg 4,417.00Rp 1,413,632.00Rp KOMITE MEDIK RSST PELENGKAP APD357 8/4/2020 HIBAH HAZMAT COVER UP 14 pcs 45,000.00Rp 630,000.00Rp KOMITE MEDIK RSST APD358 8/4/2020 HIBAH HAZMAT COVERALL 86 bh 63,372.00Rp 5,450,000.00Rp KOMITE MEDIK RSST APD359 8/6/2020 HIBAH HAZMAT COVERALL REUSE 100 bh 85,000.00Rp 8,500,000.00Rp UMI RENANI BNI46 KLATEN APD360 8/11/2020 HIBAH MASKER N95 650 pcs 20,000.00Rp 13,000,000.00Rp CHAIRUL TANJUNG PELENGKAP APD361 8/24/2020 HIBAH HANSAPLAST SALEP 1,200 pcs 45,000.00Rp 54,000,000.00Rp PT BEIERSDORF INDONESIA OBAT362 8/24/2020 HIBAH NIVEA CREAM 1,056 pcs 97,500.00Rp 102,960,000.00Rp PT BEIERSDORF INDONESIA OBAT363 8/29/2020 HIBAH MASKER SURGICAL (BEDAH) 10 box 110,000.00Rp 1,100,000.00Rp RIFKI (DUNEX) PELENGKAP APD364 8/31/2020 HIBAH COVER SHOES 100 psg 10,000.00Rp 1,000,000.00Rp YAYASAN PUNDI AMAL PEDULI SCTV PELENGKAP APD365 8/31/2020 HIBAH FACE SHIELD 100 bh 25,000.00Rp 2,500,000.00Rp YAYASAN PUNDI AMAL PEDULI SCTV PELENGKAP APD366 8/31/2020 HIBAH HANDSCHOEN/HANDSEAL 100 psg 35,500.00Rp 3,550,000.00Rp YAYASAN PUNDI AMAL PEDULI SCTV PELENGKAP APD367 8/31/2020 HIBAH HAZMAT COVERALL 100 bh 250,000.00Rp 25,000,000.00Rp YAYASAN PUNDI AMAL PEDULI SCTV APD368 8/31/2020 HIBAH KACAMATA GOOGLE 100 bh 40,000.00Rp 4,000,000.00Rp YAYASAN PUNDI AMAL PEDULI SCTV PELENGKAP APD369 8/31/2020 HIBAH MASKER KAIN 500 pcs 4,500.00Rp 2,250,000.00Rp YAYASAN PUNDI AMAL PEDULI SCTV PELENGKAP APD370 8/31/2020 HIBAH MASKER N95 60 pcs 40,000.00Rp 2,400,000.00Rp YAYASAN PUNDI AMAL PEDULI SCTV PELENGKAP APD371 8/31/2020 HIBAH MASKER SURGICAL (BEDAH) 10 box 192,000.00Rp 1,920,000.00Rp YAYASAN PUNDI AMAL PEDULI SCTV PELENGKAP APD372 9/14/2020 HIBAH HANDSCHOEN/HANDSEAL 70 pcs 58,821.29Rp 4,117,490.00Rp RENNIE YOLANDA (JANGKAU.ID) PELENGKAP APD373 9/29/2020 HIBAH STRONG ACID ISI ULANG 250 ML 5 btl 25,000.00Rp 125,000.00Rp KANGEN WATER KLATEN OBAT374 9/29/2020 HIBAH STRONG ACID ISI ULANG 600 ML 29 btl 50,000.00Rp 1,450,000.00Rp KANGEN WATER KLATEN OBAT375 9/29/2020 HIBAH STRONG ACID SPRAY 100 ML 11 btl 25,000.00Rp 275,000.00Rp KANGEN WATER KLATEN OBAT376 10/7/2020 HIBAH HAZMAT COVERALL 100 bh 100,000.00Rp 10,000,000.00Rp BAGUS PRIBADI (BNI`46) APD377 10/7/2020 HIBAH MASKER SURGICAL (BEDAH) 33 box 100,000.00Rp 3,300,000.00Rp BAGUS PRIBADI (BNI'46) PELENGKAP APD378 10/12/2020 HIBAH BRITISH PROPOLIS 33 btl 250,000.00Rp 8,250,000.00Rp IBU DAHLIA (BRITISH PROPOLIS KLATEN) OBAT379 11/16/2020 HIBAH HANDSANITIZER LITER 20 lt 30,000.00Rp 600,000.00Rp PT. MEGAH MEDIKA PHARMA OBAT381 12/8/2020 HIBAH HAND SANITIZER 100 ML 432 btl 15,000.00Rp 6,480,000.00Rp ELLA SKIN CARE KLATEN OBAT380 12/8/2020 HIBAH HAND SANITIZER BOTOL 96 btl 20,000.00Rp 1,920,000.00Rp ELLA SKIN CARE KLATEN OBAT382 12/10/2020 HIBAH REMDESIVIR INJ 100MG (COVIFOR) 30 box 1,475,000.00Rp 44,250,000.00Rp PT DEXA MEDICA OBAT384 12/14/2020 HIBAH HAZMAT COVERALL 40 bh 250,000.00Rp 10,000,000.00Rp PT BANK MANDIRI APD383 12/14/2020 HIBAH MASKER SURGICAL (BEDAH) 11 box 150,000.00Rp 1,650,000.00Rp PT BANK MANDIRI PELENGKAP APD390 12/22/2020 HIBAH APRON 1,500 pcs 4,000.00Rp 6,000,000.00Rp YAYASAN MEDIA GROUP PELENGKAP APD391 12/22/2020 HIBAH COVER SHOES 100 psg 2,000.00Rp 200,000.00Rp YAYASAN MEDIA GROUP PELENGKAP APD386 12/22/2020 HIBAH HANDSCOON 30 box 100,000.00Rp 3,000,000.00Rp YAYASAN MEDIA GROUP PELENGKAP APD387 12/22/2020 HIBAH HAZMAT COVER UP 50 pcs 80,000.00Rp 4,000,000.00Rp YAYASAN MEDIA GROUP APD385 12/22/2020 HIBAH HAZMAT COVERALL 120 pcs 50,000.00Rp 6,000,000.00Rp YAYASAN MEDIA GROUP APD388 12/22/2020 HIBAH HEADCAP 1,000 pcs 500.00Rp 500,000.00Rp YAYASAN MEDIA GROUP PELENGKAP APD389 12/22/2020 HIBAH KN95 740 pcs 5,000.00Rp 3,700,000.00Rp YAYASAN MEDIA GROUP PELENGKAP APD392 12/22/2020 HIBAH MASKER SURGICAL (BEDAH) 40 box 48,000.00Rp 1,920,000.00Rp YAYASAN MEDIA GROUP PELENGKAP APD395 1/21/2021 HIBAH KACAMATA GOOGLE 65 pcs 50,000.00Rp 3,250,000.00Rp TRANS MEDIA/ CT ARSA FOUNDATION PELENGKAP APD394 1/21/2021 HIBAH KN95 650 pcs 5,500.00Rp 3,575,000.00Rp TRANS MEDIA/ CT ARSA FOUNDATION PELENGKAP APD393 1/21/2021 HIBAH VITAMIN C 500MG 1,560 kapsul 3,333.33Rp 5,200,000.00Rp TRANS MEDIA/ CT ARSA FOUNDATION OBAT396 1/25/2021 HIBAH MASKER SURGICAL (BEDAH) 80 box 88,000.00Rp 7,040,000.00Rp BIZNET PELENGKAP APD

Page 10: RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr ......1 3/30/2020 HIBAH OSELTAMIVIR 75MG KAPSUL 1,000 tab Rp 12,969.00 Rp 12,969,000.00 KEMENTERIAN KESEHATAN RI OBAT 2 4/24/2020 HIBAH RDT