RINCIAN DAFTAR PENERIMAAN HIBAH RSUP dr ......1 3/30/2020 HIBAH OSELTAMIVIR 75MG KAPSUL 1,000 tab Rp...

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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

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

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

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

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

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

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

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

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

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